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Permit (81) ili CITY OF TIGARD MASTER PERMIT I • 'I COMMUNITY DEVELOPMENT Permit#: MST2016-00422 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/03/2016 Parcel: 2S106DB08900 Jurisdiction: Tigard Site address: 17395 SW SABRINA AVE Subdivision: RIVER TERRACE NORTHWEST Lot: 89 Project: River Terrace Northwest, Lot 89 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2229 sf Value: $271,716.73 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2229 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 SCOTTSDALE,AZ 85258 PHONE. PHONE: 360-695-7700 FAX: Total Fees: $32,124.24 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ' rie__, Permitteeg 6/� //' /�`' G''t/ Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • Building Permit Application L 0 / F • • Residential x C: ..• y FOR OFFICE USE ONLY City of Tigard Received ,IN1 PI '� 13125 S W Hall Blvd.,Tigard,OR 97223 S E P 1 2016 Dan R :/6 /� /47 �;/F Permit N _ay`_ea / Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Ti A D Inspection Line: 503.639.4175 , Date/13 R : — /— _ A Other Permi�k`SQ , _eags-c) Internet: www: 503.or Algov CITY f- `tWARD DateReadyBy: � �� �Ic s , l�3i t ; € g Notified/Method:If /4, H See ental or �� Supplemental information a _ '-� #.a f a r xx` a a :. g om it— 11 ®New construction :. - s.r.; ITKOWAY >i 0 Demolition Permit fees*are based on the value of the work performed.,.} ❑Addition/alteration/replacement Indicate the value(rounded to the nearest dollar)of all ❑Other r F �, equipment,materials,labor,overhead,and the profit for the `� t, GQRtJ WW - r ' ; '� work indicated on this application ® 1-and 2-family dwelling ❑Commercial/ Valuation: 7 ) ))l $industrial � ❑Accessorybuilding 1.111v, — I 0 Multi-family Number of b-. owns: ❑Master builder 0 Other: Number 41111.1111111111 u of bathrooms: - ;..: : t OB SITS ibli. oJN. l'+IQt _- ' � �; �` � �;�• Total number of floors: Job site address: Sv�l . ._.. .._ �: I City/State/ZIP:Tigard,OR 97224 `. ' ` ,. 'L New dwelling area: , square feet Suite/bldg./apt.no.: Garage/carport area: i ' square feet Project name:River Terrace Northwest Cross street/directions to job site: Covered porch area: square feet Deck area: square feet Other structure area: square feet Ig Subdivision:River Terrace Northwest #0 D , QOMI lIS Lot no.: ed Tax map/parcel no.: Permit fees*are based on the value of the work pe performed. F Indicate the value(rounded to the nearest dollar)of all y 3i1GF ,'� r equipment,materials,labor,overhead,and the profit for the �`-` : *� g ,f ` « . work indicated on this application. Valuation: $ Existing building area: square feet r (4 � -�'� "`��"�x New building area: square feet <. ..< � � Number of stories: Name:ADVL Land Holdings,LLC �.',f. Address:7600 E Doubletree Ranch Road Type of construction: City/State/ZIP:Scottsdale,AZ 85258 Occupancy groups: Phone:(602)694-4031 Existing: � � Fax ( ) I�.��.: - ��. �� ;� New: Business name:Polygon WLH,LLC ` t ` �` Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 13u'Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Amount received: Phone:(360)695-7700 Fax ( ) -,,,m.„„,.,.,..ftwo, ,.- � .i..y d„ `E-mail:Angela.GraJewski@p fygonhomes corn 4 $ 3" - ` � ,'§ y ' ttu,s .: s Commercial and residential prescriptive installationof. x i. t4Zi E r t ' roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details Address: 109 East 13th Street and fire department access,along with the 2010 Oregon City/State/ZIP:Vancouver WA 98660 Solar Installation S.ecialty Code checklist. Permit Fee(includes plan review Phone:(360)695-7700 Fax:(360)693-4442 and administrative fees): $180.00 CCB lie.:207247 State surcharge(12%of permit fee): $21.60 Authorized signature: '` Total fee due upon application: $201.60 i / ,' , This permit application expires if a permit is not obtained © within 180 days after it has been accepted as complete. IV *Fee methodology set by Tri-County Building Industry Print name:Angela Grajewski Date: $ Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11IO2/COM/WEB) Mechanical Permit Applica `" ��V F FOR OFFICE CSE O\L1 City of TigardIII 4 1 Received 13125 SW Hall Blvd.,Tigard,OR 97223 SEP2016 DaRev Permit NoNs7--2_e/6 r,19n�A : Phone: 503.718.2439 Fax 503.598.1960 Plann Review T 1 G,,R D Inspection Line: 503.639.4175 , ,t. Date/By: Other Permit: Internet: www.tigard-or.gov or.gov C I1�• O 1 t `¢ - Date Ready/BY: Jam: ® See Page 2 for i d L v # 6--:''Y,':',,i- r Notifed/Method: Supplemental Information ',4 `,:::i''' :`:+; ; .�; . ,.4 Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. t ' . 42; ° Value $ ® 1-and 2-family dwelling 0 Commercial/industrial � 0 Accessory building For special information use checklist ❑Multi family 0 Master builder r. ❑Other: Description I Qty. I Ea. I Total t a 1 -a t• ,- i Heating/cooling: Job site address: 17 L 3\W CtJV�`1' e \ If f Air conditioning 1 46.75 J � V Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldgJapt.no.: I Project name:River Terrace Northwest Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above t 23.32 Subdivision:River Terrace Northwest I Lot no.: / Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 23.32 i Gas fireplace/insert 1 33.39 Flue vent for water heater or gas New construction HVAC system fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ' ` t � Other. 23.32` • f ° - :' Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road equipment 33.39 Clothes dryer exhaust 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, iI toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax: ( ) Attic/crawlspace fans 23.32 • Other. 23.32 Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Angela Grajewski ' Furnace,etc. Address:109 East 13th Street Gas heat pump City/State/ZIP:Vancouver,WA 98660 Wall/suspended/unit heater Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace I eta Gra'ewski Range � E-mail:An g j @polygonhomes.com Barbecue „ ..- ,- Clothes dryer� e � t, drY (gas) Business name:Apex Air LLC Other Address:18004 NE 72'd Ave » Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 I Fax:(360)326-1769 Plan review(25%of permit fee) CCB lie.:203034 State surcharge(12%of permit fee) TOTAL PERMIT FEE A� / •_ • This permit application expirese if a permit is not obtained within 180 Authorized signature: vwr �1�///,v days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski I Date:8/22/16 I I:\Building\Permits\MEC_PetmitApp_040113.doc 440-4617T(11/02/COM/WEB) • Electrical Permit Applicat F ,C FOR OFFICE USE ONLY Y City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 9725 E P 1 2016 > s Pe771it �/< -1704/‘.. • ' ' Phone: 503.718.2439 Fax 503.598.1960 Plan Review Datil$ , Related Permit is Inspection Line: 503.639A175 r Read y: ®See Pa IIGARD CITY € # t yDate/B leer Internee www.tigard-or.goY i I �71 ! a T `7Pc.et . Notified/Method:elet . nt l for v,�, .��._ ::--..;-7_,; -- _r s t F 3 9 3, f e q^ \_ Supplemental Information 7. ®New construction 0 Addition/alteration/re �'.� :�� _T= om�~��:�=s;`�'`.e rk - -•-WA_ i Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ` 0 Demolition 0Other: D Service or feeder 400 amps or mon: 0 Building over three stories. ' ``^w- _ i i W C0 17 — where the available fault currentboatyards. - - .` amps at 15lts or ❑Floating and ®1-and 2-familydwelling - tee. `�>� "" exceeds 1U,o00 ❑Floatingbuilaings. 0 Commercial/uidtistrial 0 Accessory building less to ground,or exceeds 14,000 D commercial-use agricultural 0 Multi-family ❑Master builder ❑Other amps for all other installations. buildings.- >x Y Y ati x E. _ 0 Fire pump. LI Installation of 150 KVA or _.�. ._. _•_,. ._._.�.�'=� `���'��s�_:�,�� _.��-_�i�_�` ❑EmergenoY system- ,�.. _. :. .. ��" larger separately derived Job#: I Job site address:J� 0t �,A' f4j���/�^��` 0 Addition of new motor load of system. 1 V/ SaY/i I 1.a. i, 100HP or more. City/State/ZJP:Tigard,OR 97224 0 Six or more residential units. occupancy. - ❑Health-ca a facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name:f f(//- /Crra z /I�,arq•/we4 (]Hazardous locations. D Supply voltage for more than Cross street/directions to job Site: /� t/ f L� /YVr t V1W D Service or feeder 600 amps or more. 600 vo16 minima- Cross � =Wa ":'• .�.� - -,--1W4`: ,�-.=ate P� Description I Qty. I Eadr 1 Tofatmal s New residential single-or multi-family dwelling unit. Subdivision:/7.1:1',e/y- 'f y-ren'•461, n / -,{-/�,.,p,,L- j Lot#: Includes attached garage. 4 Tax map/parcel#: °vL�/ 1,000 sq.R or less „st 168. »__ . s7. 4 Ea.add'1500 sq.ft or Po 3392 1 �' = Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft) 75-00 2 • Renewable Energy D"See Page 2` `p _ :�� IWe,Wi :� U - 5.4 Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 406 amps 133.56 2 City/State/ZIP:Scottsdale,AZ S5258 401 amps to 600 amps 0034 2 601 amps to 1,000 amps 301.04 1 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. - 201 1 amps to 4110 amps 125.08 2 Owner signature: Date: • 401 amps to 599 amps 16834 l�=;K..�;� -rw 2 LV: . W, E®-',G ,'.s; 0wc .. .Y Branch circuits-new,alteration,or extension,per panel • -' �'�""”" �•��, A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 742 2 Contact name:Angela Grajewski B.Fee for branch circuits without Address:109 East 13th Street service or feeder fee,first branch circuit 56.18 1 2 City/State/ZIP:Vancouver,WA 98660 Each add'1 branch circuit 7.42 2 Phone:(360)695-7700 I Fax::(360)693-4442 Miscellaneous(service or feeder not included) Each manufactured or modular Email:An ela.Gra'ewsld dwelling,service and/or feeder 67.84 2 g J @polygonhomes.com a ' - Reconnect only 67.84 2 a 0` e 9 x_:. " Pump or irrigation circle 67.84 2 Btx;ness name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Address:6101 NE St Johns Rd Signal circuits)or limited energy D See Page 2 2 panel,alteration,or extension City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above • I Additional inspection(I hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hrmin) 90.00/hr • Email:bdaniels @gweusa.com Industrial plant(1 hr min) • 78.18/br Inspections for which no fee is CCB Lic.: C1158 Electrical Lic.: 208174 I Suprv.Lica: 4496S specifically listed(t hr min) 90.00/hr ,�.� .... Supry Electrician signature required: . ' 1d � • ° Aid - • Subtotal: =_ Print name: Joan P Albert •- Date: 4/26/2016 0 Plan Review Required(25%of permit fee): ----- State surcharge(12e/,ofpermit fee): Authorized signature: _ - -- TOTAL PERMIT Fes: II This permit application expires if a permit is mot obtained within 180 • Print name: Bill Daniels I Date: 4/26/2016 days after it has been accepted as complete ,r L-1Swldm3lPermih\FS.0 PamitApp El.R ERE.doe Rev 06/1712015 * Number of inspections allowed per permit. I I/05/CO i Plumbin2.Permit Applicat ,. ,w y t_r Building Fixtures f "�" i ,,,, ,,, I I( f I ',E ,,., \ City of Tigard �F Received >z.S#P 1 2 016 trey: Permit No S% fC-V'/2.2 13125 SW Hall Blvd.,Tigard,OR 9 Plan Review d 3 `o F d'+``' tlate43y: Other Permit No.: Phone: 503.1182439 Fax: SO�iQB�.�� See Page 2 for 1 gi Inspection fare: 503.639.4175 �taa��PP , , Interna www trgard.or got )1 d 1'' ':1;` d k .1 1 ry Sa pfemrnW Information New eon inx:tion 13 Demolition For special uyornalalae ase checklist. 1 p Addrtion/slteratiodreplacemetrt 0 Other Description 1 Qty. 1 Ea. 1 Total 2-famdwellings(includesft.for each utility«mr ' New 1- ny 100 ,`r 41- ,,,A'...4.2 t SFR(I)ball► 312.70 ®I-and 2-fancily dwelling p Comme rcralPmdustriai SFR(2):bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 { Each additional bath/kitchen 25.02 ! p Master builder p t _ Fhexprinkler -sq.ft.) , Page 2 i aa. ;< t .- �£��: � . i.:;�� ,,5, - ' site Utilities: i Iob site add¢ts: 17395-. 1 Catch basin or area drain 18.76 I Sabrina_ L Diywetl,leach line,or trench drain 18.76 1 City/State/ZIP:Tigard,OR 97224 Suitelbla �} -{- Footing drain(no.linear ft: ) Page 2 l ��no.: l Proms : 1�i U,/eir 1 tVf arg Ofts t►`Vies Manufactured hone utilities 50.03 { Cross°street/dirtalons to job site: Manholes 18.76 Rain drain connector 18.76 1 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear it: ) 1 Page 2 Water service(no.linear it: ) Page 2 Subdivision:t�j���'�enrure N �rrG �es� ILot no.: �0 Fixture or item: Tax map/parcel no. sadcflow preventer 31.27 ' Backwater :S.,: :. � a `r e. ' &1 ' r:" clothes vaisber f 12.51 25.02 T Dishwasher 25.02 Drinking fountain 23.02 .7 x Elaxorsfsum25.02 p ; : ; �--` � Ezpansran:tank 12.51 Fixuretsewer Name ADvL Laid Holdings,LLC 25.02 Address:7600E Doubletree Ranch Road Floor drain/floor sink/hub 2s.o2 Garbage disposal 25.02 City/State/ZIP Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax.( ) Ice maker ...<N -7:7:---„,.-.',. ._. 12.51 �� ?i:, ' 4 �,, l c'�:-' '� - intcnccpto/ t trap , 25.02 Business name William Lyon.Homes,Inc Medical gas(value S ) P 2 Primer Contact name:Angela Graje ski 12.31 Roof drain(commercial) 12.51 Address 199 East 13th Street.: Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693.4442 Tub/shower/shower pan 12.51 E-marl ;Mesh:Gr jewstci@polygoahomea conn Urinal 25.02 .,,.- ! k -� -� 7 - Water closet 25.1)2 4 Watet'heater 37.52 Business Alharice Plumbing LLC Water piping/DWV 56.29 146;W 1llbturic Columbia River Hwy 25.02 Other:. City/State/ZIP Troutdaie,OR 97060 Subtotal Phone.(503)492-3490 Fax:(503)912-6438 Minimum permit fee: 572.50 CCB Lie 184601 Pltruibing Lic:no.:PB732Plea review (23%of permit fee) State Authonud_signatms 8e(12%ofpermit fee) . TOTAL PERMIT FEE Print name Robert Dishman Date:5t23/2016 This Pah*porririen exp.r s If a permit is not obtained within ISO days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. nnua ._ .Appdoc 16/Obu9 44O-4616T(Iou2Ico1UWEn) City of Tigard 1111 C " COMMUNITY DEVELOPMENT DEPAR'T'MENT T 1 G A R DBuildingPermit Review — Residential Building Permit #: //S` /6 •�QQ .2,7-- Site Address: Sc7S-- 10 -:767 0 Ad Project Name: /' pis 0 oorAj ,. Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 4/e4) .5 r /i erify site address/suite# exists and active in permAesi,lee River Terrace Neighborhood: ❑ No River Terrace Review Addendum Attached Sit Plan Elements: ree(3)copies of site plan ;► Iite plan must be on 8-1/2"x 11"or 11 x 17"papier sting structures on site p p n Footprint of new structure(including decks)with finished prawn to scale (standard architect or engineer scale) Orth arrow or elevations Utilitylocations(required for new,may apply for additions)e address,project or subdivision name and lot number �plicant information(name and phone number) cation of wells/septic systems t dimensions and building setback dimensions sting trees s be retained with drip line,and tree Lot area,building coverage area,percentage of coverage androtection measures 1 pervious area(applicable if R-7,R-12,R-25&R-40) eet tree size,type and location 7, 'roperty corner elevations(2 foot contour lines if " 'ueet names 4 foot differentialtiimore than iklean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified Ulfi Public Facili s Improvement(PFI) Permit: No Received: ❑ yes ❑ No • Required: yes,applicant was notified ❑ No Applied For: V and Use Case#: /Yes ❑ No,stop intake Pi/Zoning: ' U0t(41Q♦ S— `41 Required Setbacks: '� _,/ Front Z Rear J Side ACJ Landscape Requirement: QtY --,72.7-- 0 Street Side �= Garage 0 Lot Coverage Maximum: V AActuBuilding Height: Maximum Height isual Clearance iiAl al Height p' CS '/ ^� ents VJ Easem I Jul •ensitive Lands: ❑ Yes 7 Urban Forestry Plan 0/No Type ❑ Conditions nt"prior to issuance of building pest Notes: a? ! >/l ° Approved By Planning: _ ,,: Date: J /�1®/ Revisions (after Building Submittal only) Revision 1: ❑ Approved ❑ Not Approved Reviewer Date Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved is\Building Worms\B]dgPermitRvw RES_091216.docx t Building Permit Submittal Original Submittal Date: _lnAk_______ Site Plans: # Building Plans: # 23 Building Building Permit#: —Enter building permit#above. Workflow Routing: Planning El- Engineering emit Coordinator ILK'ruilding Workflow Sign-off: G]-Sign-off for Planning(include notes from pla(lningreview) (1) building plan and (1) copyof permit application, p Route Application Documents: Engineering: original plan review routing form.igi building plans,engineer and Building: original permit application,site plans, beam calculations and trust details,if applicable,etc. Notes: Date: h/ I � ei, By Permit Technician: :�,� e.t ,L_ .._.. �_5 Engineering Review Slope at building pad: ❑ Conditions"ildMet"prior to issuance of building pest ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: No Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes❑ Yes No LIDA Facility on lot: Date: ❑ NOT Approved by Engineering: Notes: itZ / Date: /9 —�.� Approved by Engineering: Date Revisions (after Building Submittal only) Reviewer Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Approved 3: ❑ Approved ❑ Not Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit Date: ❑ Approved,NOT Released: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: C Fees Entered: Wash Co Trans Dev Tax: ►.I es ❑ N/A Tigard Trans SDC: ? Yes ❑ N/A Parks SDC: Yes ❑ N/A (Qb0K to Issue Permit ,/ Date: /13 Approvedby Permit Coordinator: I:\BuildingTonns\BldgPermitRvw_RES_091216.docx 1111 City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT T I G A R River Terrace Building Peru Review Addendum RA Building Permit #: /}'S%,90/6 —CDj�--7-- Site Address: /. sci,-- SO 4(3 Project Name: k,ter- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist . t Design Standards (18.660.0701): Is the project subject to the plan district design standards? IVi Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a Vi ft. deep min. 2ft., 5 ft. wide min. 2 ft.,6ft.wide Gabled dormer ❑ El 0 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: c/ 3. ntrances:At least one entrance must meet both of the folio ' g standards: Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, Entrance opens to a porch: iiYes 0 No or open onto porch If es,all the following apply: 01 5 sq.ft.min. •ne street facing entry ft. max.roof above floor of porch !r/ 5 ft. depth min. 30%min.porch roof coverage Vetailedd Design:All buildings shall include a min. of five of e following elements on all street-facing facades: 4porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. dee all offset min. 16 inches ❑ ormer min. 4 ft.wide P Roof eave min. 12 inch projection 0 Roof shingles either tile or wood oof offsetof 2 ft. 0 Roof pitch oriented south min. 500 sq. ft. Gable,hip or gambrel roof design 0 .orizontal lap siding min. 3-7 inches wide 0 Accent siding min. 40%of street façade 0 Window recess min. 3 inches for all street facing11, Window trim thin. 2 1/2"wide by 5/8"deep 0 Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attac0 Bay hed owa e is. 5 ft. de ssby 2 ft. deep gam' g 35%or less of street façade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: Noloser to front or side lot line, than longest street-facing wall. 0 Yes /No. If No (Check one): Elextend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. tl�C,I May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) 0 -foot-wide garage door 0 40%max. of street facade priNotes: 50%max. of street façade with 7 detailed designelements Approved By Planning: ,�,,,", _./ ' ._ -,. Date: �l ' I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx RECEIVED Plumbing Permit Applica Building Fixtures NOV 2016 11 i1Z 01 I l( I t `I t)\I 1 City of Tigard Received ' Date/By. i/ / /4- / Pamir No.MS io�0 21 n 13125 SW Hall Blvd.,Tigard,O$. 7 1,f"pF TI t'A I)T9. plan Review !!YY Phone: 503.7181439 Fax: 5 1 1 V 13I1;J Day: Otter Permit No.: ternetonwww.tigard-or.gov �1ILDII�G DIVISION : hid : lem'cal for . ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I_ Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft for each utility connection) . CATEGORY OF CONSTRUCTION'" . SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commercial/ndustrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:/730i J' c V V 30 J v na A t,# Catch basin or area drain 18.76 I I'�+ Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 `^r Footing drain(no.linear ft.: ) Page 2 Suite/bidgJapt no.: Project name: Vj` ,r Telrer N V v Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft: ) Page 2 /�� Water service(no.linear ft: ) Page 2 l" Subdivision:' J- �+�Loiyu.F N U_f�^' Lot no.: [�}�' Fixture or item: Tax map/parcelno..: Backflow preventer 1 31.27 �. . • DESCRIP'T'ION OF.WOR . • Backwater valve 12.51 i'� Clothes washer 25.02 (fin Vr W\�� K1\�� Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®."PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:Angela-Grajewski@polygonhomes.com Urinal 25.02 Water closet 25.02 • CONTRACTOR • Water heater 37.52 Business name:Malmedal Enterprises Inc. WaterP��r WV 56.29 P Address:PO Box 207 Other. 25.02 City/StateIZIP:Banks,OR 97106 Sabtotal Phone:(503)3240759 Fax:(503-)324.0580 Minimum permit fee: 572.50 CCB Lic.:102535 "Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: C TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 This permit application expires ha permit is not obtained within 180 days atter it has been accepted as complete. 'Tee methodology set by Tri-County Building Industry Savin Board. I:\Buidm¢PermitsiPLMU-PwdtApp.doe 1501x19 440-46I6T(I0b2/COMI WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17395 SW SABRINAAVE, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00422 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17395 SW SABRINAAVE, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00422 Inspection Type: Inspector: 699 Mechanical final Chip Barnett Result: PASS Comments: Violation Summary: Inspector Contractor