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Permit (80) MASTER PERMIT 1111 CITY OF TIGARD COMMUNITY DEVELOPMENT Permit#: MST2016-00423 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/03/2016 Parcel: 2S106DB09000 Jurisdiction: Tigard Site address: 17383 SW SABRINA AVE Subdivision: RIVER TERRACE NORTHWEST Lot: 90 Project: River Terrace Northwest, Lot 90 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $253,947.70 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 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 Other Fixtures: 0 Drywell-Trench Drain: 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'I 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 2078 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: $31,737.38 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 throug •AR 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. C Issued By: 4/0 '' = Permittee Signature: G% 7f��/�'1/CCN 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 RECEIVED I S E Lal 70 - . Residential i/ FOR OFFICE USE ONLY City of Tigard SEP 1 2016 Received G / ��� �,�,,//�7— `/ n,�, y� 111 '� 13125 SW Hall Blvd.,Tigard OR 97223 viir �-++ DateBy:��`�Q���v �11'T / Permit NT 13/ /C'!""ter 909 ' Phone: 503.718.2439 Fax: 503.598.1 6PI` OF TIGARD Date/BOP Other Permit. TIGARD Inspection Line: 503.639.4175 U I LD I N `, Date a B � �� ��/ / for Internet: www.tigard-or.gov ��!° � -� Ready/By: if/ ,.4 2 Aids: I S SeePene1 Notified/Method: /` �dt Supplemental Information x. ::ti -fE:m, .; t :z.: _, .E�O.1E` r.. r Ys, 3.,=. f'a`."�„ s .. y ��" r`'�'- a' S � r n s.�-,:Y� � F.,f, 3sb�t t rR.e...�:i e Y w�..� Y T.2.a �,.g. & o-.c 4:.. ..I ..... ®New construction ❑Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all _ equipment,materials,labor,overhead,and the profit for the I* work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: 3//)Lj 3 2�1 ❑Accessory building Number L I ' ❑Multi-family3 of bedrooms: 3 0 Master builder 0 Other: Number of bathrooms: wE f "llkt p q4:� -, . i wA 1.n T ' _ ' . Total number of floors: 2 Job site address: 113" SW S br A� Prue New dwelling area: 2.015 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 380 square feet Suite/bldg./apt.no.: I Project name:River Terrace Northwest -� Covered I porch area: �J square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet Htln. ltl;: - 1SE , Subdivision:River Terrace Northwest `l °��'�` g��- -�� I Lot no.: el V Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all �i�� n equipment,materials,labor,overhead,and the profit for the ,.:. ",. 5 .t , i'Se T,11QAI,,iV:4,�Clo. u,. ffi. "'ter #_ r yam," u^•°. work indicated on this application. Valuation: $ Existing building area: square feet New building area: quar e feet atilatilfairs ... ._,a it,, .<.i_. ,.., : &i. 2, ter..r4 1? 42. Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 ., Fax ( ) ;^ Newa x PCA e� 44' f0 ASk 4+ " �" DI t ftei x :fivY � r . r ft _ sn a rBusiness name:Polygon WLH,LLC Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 13th Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: '�". r- - - - .+...s'^' Yui Email Angela.Grajewski@polygonhomes.com `-` t ;� "}` s4a , wow` , "� � 3 o f ,,- o tow. Commercial and residentialprescriptive installation of :4,..,;"::!..:4-.S.� xe .. . 4 rooftop 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 Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review and administrative fees): $180.00 Phone:(360)695-7700 I Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 4�/�/',/ Total fee due upon application: $201.60 Authorized signature: �'�l l/1`�►,� � fAd r'M/yj�_ This permit application expires if a permit is not obtained Cwithin 180 days after it has been accepted as complete. Print name:Angela Grajewski I Date: $j�//� I .Fee methodology set by Tri-County Building Industry Service Board. 'Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applica I FOR OFFICE t SF 0\1_1City of Tigard ReCe7ed Permit N9 S77/C,aO )9 .15 .Iev 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 1. 2016 PlaPlan n RReview - Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T 1 G A R D Inspection Line: 503.639.4175 CITY OF TI GA R CD Date ReadyBy: Juris: ® See Page 2 for Internet: www.tigard-or.gov U+ (n TIGARD IS 10 # NotiSed/Method: Supplemental Information 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 Wit- �t ;:. - #i ` , III $, b' : ® 1-and 2-family dwelling 0 Commercial/industrial � i � 0Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other. Description I Qty. I Ea. I Total ^' : �� „._ t ' 4 t . .IB t Heating/cooling: ;- tt. • �, gip . -', " ,,•4 ,� Air conditioning 46.75 Job site address: '�; S W S a��`�n/e C. Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 �1 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldgiapt.no.: I Project name:River Terrace Northwest 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 , 23.32 Subdivision:River Terrace Northwest I Lot no.:qb Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 - -nr, �. ,•. .''''''-'"'/-'4) 8'—'7:' , 1 # 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 Other: 23.32 Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen 1 equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust l 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 Other. t -''r ... r 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 Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com o' �1: Barbecue ti i .„2:`,:',:-%:,' 1= i ' . Clothes dryer(gas) Business name:Apex Air LLC Other: Address:18004 NE 72°d Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE LA,16-/ _ This permit application expires if a permit is not obtained within 180 a/i days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski Date:8/22/16 I:\Building\Permits\MEC_PermitApp_040113.doc 4404617T(11/02/COM/WEB) .na+ t:NED Electrical Permit Application FOR OFFICE USE ONLY SEP 1 2016 Received T �� �y ' City of Tigard Dares Permit W 1111 13125 SW Hall Blvd.,Tigard,OR 9 sc: Y OF TIGARr Plan Review Phone: 503.7182439 Fast: 503. Date/13 Related Permit S: Inspection Line: 503.639.4175 ��E G D I V� j Ready Date/By: June H See Page 2 for TIGARD Internet: www.tigard-or.gov Notified/Method Supplemental Information '�^-�' -'�s'a.,-,-'''''-.= _,_.: iy`: -- ;: R-Zll- 5�,�--c-.s=t;�'c --- a- W-.�..,; s=t-c ei J :n© 9 �' ..a. mow" ®New construction El Addition/alteration/replacement Please check all that apply(submit 2 sets of pines w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. Q Demolition 0 Other _ where the available fault current ❑Ivlati»as and boatyards. `s `Writk: )WW:CGarl�°^� Q g buildings. � � exceeds 10,000 at 150 volts or f7oatin ®1-and 2-family dwelling 0 Commercial/iadtistrial 0 Accessory building less to ground,or exceeds 14,000 Q Commercial-use agricultural 0 Multi-family ❑Master builder 0 Other Q Fire for all other ins[allatioas. baticlintio pump. QInstaliation of 150 KVA or _ = _ _- Emer tem_ derived �;- _ _ _ ❑ separatelydon d t)�BwSt�'?� f[(1Vl':�[�I'l�`' ��O �Fd1�C��� - - - SAY sS's larger ran ;=��:=rTdT�.. _ .. ?t3_._ _ 1-.._'._Cn..fj:�/-.J . <._.. >- Job#: Job Site address: �' V 1l �M��1 Ave. ❑Addition of new motor load of sYs 100Titi or more. ` eriv CIty/$tate/ZIP:Tiga[d,OR 97224 ❑Six ormore residential units. occupancy. �� Health oma facilities. ❑Recreational vehicle packs. Suite/bldg apt.#: Project name:.t 1/0r / r ,p6� w4-- ❑ mous locations• Q Supply voltage for more than Fy ❑Serviceor feeder 600 amps or more. 600 volts namiaaL Cross street/directions to job site: M' = t :-`:egg- . Description I Qty. l Earh Total New residential single-or multi-family dwelling unit. Subdivision:/7.1,70-- firZ,� .-a.. /rY/ 411Mil— Lot#: <I0 Includes attached garage. Tax map/parcel#: v �s portion 3392 1 1000 sq.R or 1 1 54 4 .- - _. b` e- sur ... 6 ;;:---7•'::: .--;': .7' -it:Y L500ersq.es or - � - - ---.. :. �;'''�-�-'�"-V� Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75-00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 ==�'` — O �� u `.- `�.� = ' 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 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 55226 2 Temporary services or feeders installation,alteration,and/or F.mail: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or Less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. - 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 16854 2 tor., y6._�-��, - ^- - w � , Branch circuits-new,alteration,or extension,per panel , ` X ,.s % ?�cr �5d A.Pea for btanclr circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits without Address:109 East 13th Street service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • ' ' Fax::(360)693-4442 Each manufactured or modular 67.84 2 Email:Angela.Grajewski@polygonhomes.com dwelling,service and/or feeder Reconnect only 67.84 2 t " a.e°�g 'c'.4° � v - .- -` Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Signal circuits)or limited-energy Address:6101 NE St Johns Rd panel,alteration,or extension. 0 See Page 2 2 City/State✓Z1P:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels®gweusa.com Industrial plant p hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: C1158 Electrical Lie.: 208174 Suprv.Lie:: 4496S specifically listed(F hr min) _ � - �'o °e Suprv.Electrician signature,required: f-� «y � �� r .� Subtotal: '• Print name: Joan P Albert •- Date: 4/26/2016 0 Plan Review Required(25%of permit fee): <-------------",, State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized signature: - This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. * Number of inspections allowed per permit_ :�IABund1110CMIRAELC PennitApp ELK EREdoc Rev 06/172015 440 4615T(11/o5/COWWEB • < ' Plumbing Permit Ap lica Building Fixtures i ''R "1 i i` 1 1 ,-,1 ,,•, , giSEP 1 2016 Received ' City of Tigard Date/ Permit Permit No.:/�.S7f/', 12,v� 13125 SW Hall Blvd.,Tigard, O F T 3ALp Review Phone503.7182439 Fx: 54.1 Other Permit No.: Inspection Line: 503.639.4175 ' L NU DIVISION! s Dme Resdy/By hsis: H see page iter Internet www.tigard-or gov Notified/Method: Supplemental Information V ;a . o . . af sea . ' „ New construction D Demolition For special infanndiasaaeeltechlat Description Qty. 1 Ea. I Tota ©Addition/aitcration/replacernent 0 Other: New 1-2-fam0y dwellings(includes 10011.for each utility amnectionl 41 -• r a. ti s e g -r-:. . SFR(1)bath 312.70 ' ® 1 and 2 family dwelling 0 Commercial/industrial . SFR(2)bath 437.78 D Ay buifdISFR(3)bath ( 50033 :ng 0 Multi-family Each additiond baddkrtchen 25.02 D Masterbuilder D Other Fn<t -Ier(-sq.f) Page 2 *4 ,»«r. .«� �.m: ...a �, � » "2«"" baa-.,, r t c �,r it � €2 Site utilities: )ob site address. `� 1iJ SCLiori y Ave, Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigiird,OR 97224 Footing drain(no.linear ft.:__) Page 2 Suite/bidgiapt no.: I Project urine:'f VeY reAriar..2 0 tJm1 5t. 1 :Manufactured hortte utilities 50.03 Cross'stteet/directions to job site: Manholes 18.76 Rain drain connector 18.76 Smeary sewer(no.linear lt.: ) . Page 2 Storm sewer(nes linear fL:_J I Page 2 , Water service(no.linear f1.: ) Page 2 Subdivision:1 .J(ItXY� O(1&IA1f.,Sk . I Lot no.: t/ Fixture or item: F 1 Backflow enter 3127 :. Tax map/parcel no.: Pry' =, Hackvvata valve 12.51 CloUtes washer 25.02 Dishwasher 25:02 Drinking fountain 25.02 Ejectors/sump 25.02 "` p --7.",•7'-4-,. 1x~ " :: Expansion tank 12.51 � � ��� � � 1 Fixtutrlsewtr 25.02 Name:ADYL Land Holdings,LLC Floor drain/floor sink/huh 25.02 • Address:7600E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib:: 25.02 1 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 il _' . ' d , A`--_ r • r _ irlitrceptor/grease trap 23.02 Business name WilGaar Lyon Homes,Int Medi 12.51 ( value S ) Page Print Contact name:Angela Grajewaki Roof drain;(commercial) 12.51 Address 109:East 13th Street: 1 5irdt/basintlavatay 25.02 City/State/ZIP:Vineonwer,WA 98660 Solar wilts.(potable water) 62.54 " Pham(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail: eta:Gra' ehoroea.com +� J�>�PelY)re Urinal _ 25.02: Water claret 25.02 ..,„_=_,..,_ _ :.._ .,oma ,n =� .x ri' Water.heater 37.52 Business name:Alliance Plumbing LLC Waterpiping/DWV 5629 Address 146:W Historic Columbia River Hwy Other 25.02 City/State/ZIP:Troutdale,:OR 97060 Subtotal Minimum permit fee: 572.50 Phone.(563)492-3490 : Fax:(So3)s12.6d38 ! 4fivi., „ .... Plan review (25%at pennit fee) CCB Lie::184601 Plun>bing Lic no.:PB732 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print namC Roliect D s4man Date:5/23!2016 This permit application expires if a permit is not obtained within 180 days after h has been accepted as complete *Fee methodology ser by Tri-County Building Industry Service Board I: u0diiigrermlisBM.1MU-PemitApp:doc 10/01/09 440-4616T(10/MCOM/WE50 .A 4 City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A RD Building Permit Review — Residential Building Permit #: /ti-S-7- 2,,e9'' /4, --0/ %;Z,:3 Site Address: /' `33 Sly S kiho� Project Name: aer ` -eCr&Ce Gc k 71 Lot #: "AO (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /WO S e FIVveIerify site address/suite#exists and active in permit stem. Ri r Terrace Neighborhood: CI B� Yes,See River Terrace Review Addendum Attached Sit Plan Elements: Pr el (3)copies of site planla:,4 sting structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper IP Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) or elevations 4fIce rth arrow [ Uty locations(required for new,may apply for additions address,project or subdivision name and lot number cation of wells/septic systems ) plic.ant information(name and phone number) to fisvrii ting trees to be retained with drip line,and tree t dimensions and building setback dimensions rotection measures Lot area,building coverage area,percentage of coverage and CIreet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) LIAStreet names 'roperty corner elevations(2 foot contour lines if more than 4 foot differential) t l lean Water Services—Service Provider Lettyt(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: CI Yes ❑ No Public Facili ` s Improvement(PFI) Permit: Required: V Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake and Use Case#: Ab,eQ OD " Gf 3Qo1S - 606")R IVJf Zoning. t (Pb � h l Required Setbacks: Front 3 Rear /0 Side ` Street SideGarage t,20Landscape Requirement: o2G'� % � 0Lot Coverage Maximum: 00 (Building Height: Maximum Height '�/i'4 Actual Height ����II isual Clearance Easements �/0ensitive Lands: CI Yes No Type (� Urban Forestry Plan ❑ Conditions "et"prior to issuance/of building/> permit Notes: Jjl�3i s' G%k,2// y!1 fL7` nlJr `7 /JN.ti- /SStito-n! Approved By Planning: - A Date: /Off/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPennitRvw RES 091216.docx A io Building Permit Submittal Original Submittal Date: /V 4�cs Site Plans: # Building Plans: # '2"? Building Permit#: LSI Enter building permit#above. � Workflow Routing: [ Planning Engineering ermit Coordinator L�Yfiuilding : ,, Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and o al plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. otes: Date �� By Permit Technician c �'�--- ,, Engineering Review Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes N.o Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approv;d b Engineering: Date: Notes: '. d. [! � S r/, �' '..T,i/ �... • Approved by Engineering: ttfA.P Date: J,r�fQ-(j , Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved ��. ��., ,ter. � n�.�_ .., �,�, •„r. . , T-�r_... ,_� . r ti•. ... e. x�. _ : _ __. Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: 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: DC Fees Entered: Wash Co Trans Dev Taxes ❑ N/A Tigard Trans SDC: Fre Yes ❑ N/A Parks SDC: fl Yes ❑ N/A 4[7OK to Issue Permit Approvedby Permit Coordinator: dileate: /12/7tVt . I:\Building\Forms\BldgPermitRvw_RES_091216.docx One street facBatyingentry®f 2 ftmaxroof above floor of orch Tigard M COMMUNITY DEVELOPMENT DEPARTMENT s 11 River Terrace Building Permit Review Addendum TIGARD Vf%, Building Permit #: / 2rf -601/42.3 Site Address: / -,31;3 SO i22 �'%'1/"" � Project Name: /�,/V-e.- '7.�i ,Q A�.10 s'�- Lot #: C() (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan D str t Design Standards (18.660.070.1): Is the project subject to the plan district design standards? 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. ft. deep Balconft.y wd/ access 2 Window P5roft.jectiidone Vertical Wall Offset a Gabled dormer eep min. wmin.2 ft.,6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: /' . 3. ntrances:At least one entrance must meet both of the follcy�ing standards: Max. 8 ft. setback from long street facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: " Yes ❑ No If es,all the following apply: /250 .sq.ft.min. 5 ft. depth min. porch roof coverage p 4.Detailed Design:All buildings shall include a min. of five of e following elements on allstreet-facing facades: overed porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep Rall offset min. 16 inches ❑ ormfer min.4.ft.wide oof eave min. 12 inch projectionoof offset min. of 2 ft. ❑ Roof shingles either tile or wood V able,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade Window trim min. 2 1/21 wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: N7'closer to front or side lot line, than longest street-facing wall. ❑ Yes No. If No (Check one): ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. 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) D/2-foot-wide garage door ❑ 40%max. of street facade Vi 50%max. of street façade with 7 detailed design elements Notes: i Approved By Planning: c Date: O ill_______ (:\Building\Forms\BldgPerm itRvw_RES_RT_062216.docx ll ECEIVED Plumbini Permit Applcati Building Fixtures NOV 3 2016 Receiteli!llj G, IIIIIIIIIM Al City Of Tigard Date/By l- / 1� -K PermR No. . 13125 SW Hall Blvd.,Ti OR � D) OO L 3 • Phone: 503.7182439 FFax: 503. ��i1 T GA ;J D� v Other Permit No.: Inspection �gov75 BUILDING DIVISION °meReady/By : fa SeePage2for Notified/Metbod: Supplemental Information ;.FEE-!-Stjo*DUii. ;' ®New construction - (]Demolition For special information use checklist Description ( Qty. I Ea [ Total 0 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 Commerciallmdustrial SFR(2)bath 437.78 SFR(3)bath ( 50032 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other Fire sprinkler(_sq.It) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address/7 t557) c VV 3A)0 in nA, liV ' Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State2lP:Tigard,OR 97224 p'r �,.p ,^f Footing drain(no.linear ft.: ) Page 2 Suite/bldg/apt no.: Project name: VAR.,r T-P V (OL -. N V YManufactured home utilities 51103 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_____) Page 2 Stonn sewer(no.linear ft: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:'V kir(, 1 GP..t. N WLj� Lot no.:q 0 Fixture or item: Tax map/parcell`no.: ! Backflow preventer 31.27 DESCRIPTION OF.WORK Backwater valve 1151 Clothes Vwasher 25.02. � n' Q rto�C >, na�e_ Dishwasher t Drinking fountain 25.02 Ejectors/sump 25.02 ®.PROPERTY OWNER • • + ❑ TEiNArrr Expansion tank 12.51 Name:ADVL Land Holdings,LLC FixtureJsewtr 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 I Fax:( ) Ice maker 12.51 ®..APPLICANT 1 ❑ CONTACT PERSON Interceptor/greaseInterceptor/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) 12.5I 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. Water piping/DWV 5629 Address:PO Box 207 Other. 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: 572.50 Plan review (25%of permit fee) CCB Lie.:102535 'PlumbingLic.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: j TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 This permit application expires if a permit is not obtained within 180 days after it bas been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. 1:1aa1m PetmiutPt tr1U-PemritApp.doc 10/01/09 440-4616f(10/02/COM/WEE) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17383 SW SABRINAAVE, BEAVERTON, OR, June 7, 2017 at 3:20:24 PM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00423 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Corrections from previous inspection complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17383 SW SABRINA AVE, BEAVERTON, OR, June 1 , 2017 at 11 :49:30 AM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00423 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Remove screen from dryer vent. M1502.3 Provide UL listed tape for microwave venting. M1601 .4.2 AC installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17383 SW SABRINAAVE, BEAVERTON, OR, June 2, 2017 at 10:13:32 AM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00423 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: AC installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17383 SW SABRINA AVE, BEAVERTON, OR, June 1 , 2017 at 11 :50:46 AM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00423 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Breaker for cadet heater and dishwasher off in panel. All else appears ok. Violation Summary: Inspector Contractor