Loading...
Permit (56) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT71 Permit#: MST2016-00424 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/03/2016 Parcel: 2S106DB09100 Jurisdiction: Tigard Site address: 17371 SW SABRINA AVE Subdivision: RIVER TERRACE NORTHWEST Lot: 91 Project: River Terrace Northwest, Lot 91 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: $269,695.33 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'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 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: $32,109.16 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 R 95 -'$1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 1 Issued By: r. P/ 71-C—' Permittee Signature: e.4/ -74/24/e1-7-7,r41 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. , . 4 9 Building,. .. Permit Application Lc i / , Residential _E FOR OFFICE L SE ONLY City of Tigard SEP 1 Received 1 . 14 '� 13125 SW Hall Blvd.,Tigard,OR 97223 DR ea /0 r� �� ,�� PermitN ���--e0 9d- Phone: 503.718.2439 Fax: 503.598.190Plan Revigw ) C Other Permit J W i^ °,,;; T Lir l i,,2,1:).16,.-,r. DateBy dy/By: / 2 f o C✓G!> �s�-% T I G A R D Inspection Line: 503.639.4175 "t`$ + Date Read B kris: I"'31'` ;' Ready/By: 42/ ' Supplemental See Page Inf Internet: www.tigard-or.gov BUILDING t � , p, p�Notified/Method: �Z I� ���� Informafion ���.��� ��� 2�'`r��€, b� ���,«s` .a s z �M � � F� � c � s�` rx „� '�- � ,£.z'- �t rzz x.'xv�.c:<.. '`�w,t&., .`e":`i.n. a:, r r * Q ,. -. F.':t -.y re ... F'e ''"x .tee ., .-d« � ...�,-r d_a�a�::�n_. ._ �..v.. Z New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit fit for the work indicated on this application I1A CR' ir1lTfix ®1-and 2-family dwelling ❑Commercial/industrial Valuation: �c) C2 -'°'2 ► ' - a -41 ❑Accessory building ElMulti-familyNumber of bedrooms: ❑Master builder ❑Other: Number of bathrooms: jOI Sl T:TO li t1,TIt Ill �'116�"I'3i[l 5 , . Total number of floors: Job site address: 1137 SW Sa hri(\ct g„r D New dwelling area: 22.I 1 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 360 square feet Suite/bldg./apt.no.: Project name:River Terrace Northwest Covered porch area: )2, jsquare feet Cross street/directions to job site: Deck area: "� square feet Other structure area: square feet ...1C , LDA`' ,; c Tss'Ei b ,.�� Subdivision:River Terrace Northwest Lot no.: of 1 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 Ag,I :' . equipment,materials,labor,overhead,and the profit for the ag its K '`" Ri 1i-1 CN,tirrj(?l z ii i I 4 �`r work indicated on this application. Valuation: $ Existing building area: square feet ��yyy�� New building area: square feet ° .z., s;e,, _ . ...WI mitt < ±,+:%,`.:. ..v � r nV 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 ( ) New: 11110:*d^ 1111111t 0as41:11 iwkeigli p @ l � . �! -a, yw r Business name:Polygon WLH,LLC ? 9 # Structural plan review fee(or deposit): Contact name:Angela Grajewski 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 Fax::( ) Amount received: t.,='z`.a.v`au'ai'v"g3."3y".,.:a ;:'fftr jf s+f 4'n . :i E-mail:Angela.Grajewski@polygonhomes.com 9ila� 4'. ig$E F , ' ' r",, �`4 �, `r , .. Commercial and residential prescriptive installation of f d ER�� Ti - roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 /'�//f Total fee due upon application: $201.60 Authorized signature: J���='jThis permit application expires if a permit is not obtained ? ( within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: 8/34ik *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE tSF ON LI City of Tigard FIF Received r - ,.-'' y Permit No. J i;C'f,Fr 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 C 1 2016 Date/By: Other Permit: Inspection Line: 503.639:4175"` TIGARD J Date Ready/By: ruris ® See Page 2 for Internet: www.tigard-or.gov CITY OE I r Notified/Method: Supplemental Information • "s§' Via[;,0 -59' . Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit Value:$ ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea Total Heating/cooling: � ly �.:Pr R ' Air conditioning 1 46.75 Job site address: l 731 ( 5\0 S 01/4,100m Furnace 100,000 BTU(ducts/vents) % 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: 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.:q' Other. 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 •� . i _ f , Gas frreplace/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 equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Atticicrawlspace 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. Gas heat pump Address:109 East 13th Street Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue ` Clothes dryer(gas) Oth Business name:Apex Air LLCM Address:18004 NE 72nd 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 _ This permit application expires if a permit is not obtained within 180 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 440-4617T(11/02/COM/WEB) Electrical Permit Applicatio � F FOR OFFICE USE ONLY r City of Tigard Received Permit#'./`1SZ4 �1/6 —00/14?�f EP 12016 DanR 13125 SW Hall Blvd.,Tigard,OR 97223�jPlan ReviewRotated Permit#: Phone: 503.7182439 Fax 503.598.1960 Date/13 . Inspection Line: 503.639.4175 dd t• Ready Date/By: hoist la See Page 2 for Internet www.tigard-or.gov TIGARD p t . c�"\?`1L. Notified/Method: Supplemental Information i f.� (.. 1 F � , ®New construction 0 Addition/alteration/replacement :j''''''''5'47: 1-7:.-__.w.�� x+• ma , - " ..r�' =x...: _ ��. =;�=r=_.S=�:�:...r�:>_. ... .— «.�:a��_;..:x Please check all that apply(submit2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. Demolition 0 Other: where the available fault current ElMarinas and boatyards. _ .. _ tin rx "� =-" exceeds 10,000 amps at 150 volts or ❑Floating buildings. y` less to ground or exceeds 14,000 Q Commercial-use agricultural ®1-and 2-family dwelling 0 Commercial/iridtish'ial 0 Accessory building amps for all other installations. baild;mgc. Multi-family - 0 Master builder ❑_mei: 0 Fire pump. QInstallationof150KVAor 0 - - �..:��=`';_:............ .. .. Emu ie larger separately derived _�:�=�..3=;`��","�_��'�xr�, .. _ �]3? �_..,,._ .,._.. x`-=�'*.~��:<:'„��=-� ❑Addition ofnew motor load �m- Job#- Job site address: 1- 31 �J`& (ot, Rji, 1001-1P or more. ❑"A,"E,"1-z^,”]-s", 0 Six or more residential units. occupancy. City/State/ZIP:Tigard,OR 97224 ❑Healthcaore facilities. 0 Recreational vehicle parks. i- ❑Supply voltage for more than //r-ra't� h�fl Hazardous locations. Suite/bldg./apt.#: Project name: l j/{/f r C/ V Ur i t'I6✓Pi6' 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: •0W *u..: e 4YEach I Total DescriPtioa � Q4'• I I •� New residential single-or multi-family dwelling unit. %J_ f 7p„t,.�� e //-,t-f.t i rt Lot#: q 1 Includes attached garage. Subdivision:[`'t �!t /�/ �t ✓ ( 168.54 4 I,000 sq.R an fess Tax map/parcel#: _ Ea add'I500 sq.R or portion . 3392 1 >z��_:.� y =Ate_`�,� � �t „� -��= = Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft) _ Renewable Energy Q See Page 2 o-a4 OIELM _� .,. w"' WW L+'N 1'`.- =` 1 Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 - Address:7600 E Doubletree Ranch Road40l amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 60]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 Email: 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 125.01 2 Date: . 401 amps to 599 amps 168.54 2 Owner signature: _ per panel ' -� �-�, Branch circuits—new,alteration,or extension, "W41%'''' '.":115 - � � �-- `�-"`�� �� Off' �,,, _rt.: a A.Fee for branch circuits with j Business name:William Lyon Homes,Inc. above service or feeder fee, 7A2 2 each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address:109 East 13th Street branch circuit Each add')branch circuit 7.42 2 City/State/ZIP:Vancouver,WA 98660 Miscellaneous(service or feeder not included) Phone:(360)695-7700 . . ' Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling.service and/or feeder Email:Angela.Grajewski@polygonhomes.eom Reconnect only 67.84 2 -- i 1 Y sy a yg_i_We- -1Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 . Signal circuits)or limited-energy 0 See Page 2 2 Address:6101 NE St Johns Rd panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP:Vancouver WA 98661 Additional inspection(I hr min) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/br ' Industrial plant(1 hr min) • 78.18/br Email:bdanlels@gweusa.com Inspections for which no fee is .hr . CCB Lie: C1158 Electrical Lic.: 208174 Suprv.Lica: 4496S specifically listed('h hr min) ":'.7 ,43%43*—' `" 23 .•� iii.'Mai,:_= ;.-.7,.4x..1* Suprv.Electrician signature,required: .l/ R1 A 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 rrr: 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. 1 I:ButldinglPermi sui..0 PermitApp ELR ERE.doe Rev 06/17/2015 440-4615T(11/05/CotNWEB fi '.. 0 • Plumbing Permit Application �bF: Buildinggii Fixtures �. -71 i()I; ',, ' I, ' �' "•' ` =Id City of Tigard ter Permit No.:/LJ5�o2p/( " ��a2 13125 SW Hall Blvd.,Tigard,OR 97225 E P 1 2 0�6 Picot Review Phone 503.718.2439 Fax 503598.1960 Other Permit No.: t7�ate/By.. Inspection Line: 503.639.4175 CITY O F 1 ; ��R K•) r a See P 2 for MSC Readp�By � Internet www.tigard-or.gcn 1^y It .y;r ° , , Notified/Method: Supplemental Information t,�,�.t tet,. % dt Demolition Far al arj awethect(ist New oonsirut hal ElDemolitionQty. 1 Ea. f Total 1 ©Addition/alteratiodteplacement 0 Other New 1-2-family dwellings(includes 100 R for each utility connection) d �r �� ;` 312.70 � fe�'���"�` baa � <� '� r ., '`�' �. M _ � SFR(i)� ® 1 and 2 .. . :. family dwelling 0 Consmercial/mdustrial SFR(2)bath 437.78 SFR(3)bath 1 50032 Q Armory buikfmg 0 Multi-faintly ; Each additional b }t/kitchcn . 25.02 D Master builder Elm. F e sprinkler( s4.ft.) Page 2 ' .. . `e'It-I,. & € .,,, d � " � Site Utilities: Iob site address: 511 tili S i na 1 'v L Catch basin or area drain 18.76 Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing linear drain(no.lineaR: 1 Page 2 Suite/bldg apt..no.: I Project name:-Q ng`i\QXTeXiC Le. 0 o ww es t 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 Wa et service(no.linear R:_) Page 2 Subdivision:;thi,Qii l,eilYCtC IVQx 1 i. 5 I Lot no.:9 I Rainreoritem: 1 11 1 Backflow utter 3127 Tax map/parcel no._ 1 12_51 .rt. ,= ��' „f- 1 Backwater valve s Clothes washer 25.02 , Dishwasher 25.02 Drinking.fountain 25.02 Ejectors/sump _ 25.02 ' -1-...,-,-,"-,.:,---- t x4 , Expansion tank 12.51 fix-:- Fixture/sewer cap. 25-02 Name:ADVL Land Heldutgs LLC Floor;drain/floor sink/hub 25.02 Address:7600E Doubletree Ranch Road Garbage disposal 25.02 City/Stat/ZIP Scottsdale,AZ 85258 Hose bib.: 25.02 I Phone:(602)6944031 Fax:( ) Ice maker 12.51 ' . : -; t o L g _ Interceptor/grease 25.02 4 �g Medical gas(value:S ) Page 2 Business name:William Lyon Homes,Inc :Printer 12.51 Contact name:Angela Grajewski Rofdiain,(comrnacial) 12.51 l Address 109 East 13th Street: • Sirdt/basin/lavatoiy 25.02 i City/State/ZIP:Vancouver,WA 98660 Solar refits(potable water) 62.54 . Phone:(360)695-7700 Fax::(3611)693-4442 Tub/shower/shower pan 12.51 E-mail:Aagela.GrajewakI®polygonhomes.cam Urinal 25.02 W�c clat;et 25.02 .,.. �;.-T, 37.52 Business naMm Alfiadce Plumbing LLC Water,piping/DWV • 56.29 , Address 146;W Historic Columbia River Hwy Other: 25.02 City/State/ZIP Tro>atdak,_OR 97060 Subtotal Phorne!(503)4923490 Fax:(503)9124438 Minimum penis fee: 572.50 i 44, Plan review (25%:of permit fee) - 1 CCB Lacs 184601 Plumbing tic.no.:PB732 State surcharge(12%of permit fee) . Authorized signature: TOTAL PERMIT FEE a This permit application espies Ka pexmh is act ob aided**Rain 190 days Print naris Robert D'eshman Date:5/23/2016 after it ksa been accepted as complete. *Fee asethodologyset by Tri-County Building Industry Service Board IAButkrati Perima'LMU-PutSAPPdoe 10/01109 4404616T(IO12ICOM/WEB) 1 le City of Tigard • ■ COMMUNITY DEVELOPMENT DEPARTMENT 11111I T 1 c A R D Building Permit Review — Residential Building Permit #: /7,57;2e7/6 - j309cy Site Address: /7j Si Si- 7040 . Project Name: aer '7i-r ce j o 7L Lot #: 9l (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /WO SFR cRierify site address/suite#exists and active in permit/stem. River Terrace Neighborhood: El No V Yes,See River Terrace Review Addendum Attached Sit Plan Elements: _ V ree(3)copies of site plan sting structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper IT Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) or elevations orth arrow LYlUtility locations (required for new,may apply for additions) Oe address,Uti)epproject or subdivision name and lot number cation of wells/septic systems plicant information(name and phone number) iii 'sting trees to be retained with drip line,and tree Lt dimensions and building setback dimensions rotection measures ot area,building coverage area,percentage of coverage and L eet tree size,type and location tpervious area(applicable if R-7,R-12,R-25&R-40) CldStreet names 'roperty corner elevations(2 foot contour lines if more than 4 foot differential) t11klean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified Igi No Received: ❑ Yes ❑ No Trg Public Facili ' s Improvement(PFI) Permit: Required: VI Yes,applicant was notified Cl No Applied For: V Yes ❑ No,stop intake /,Land Use Case#: /Je2o>c= 0041c- K6Qo1 : Y) £ Ig/Zoning: !? (1 b) Required Setbacks: Front de Rear /0 Side 3 Street Side /4 Garage , 2O Landscape Requirement: QtY 0/0 Oil Lot Coverage Maximum: e, g 94/,4 ,, Building Height: Maximum Height Actual Height �� Vilf\ isual Clearance VEasements 0 °.ensitive Lands: ❑ Yes ENo Type it Urban Forestry Plan ❑ Conditions " t"prior to issuance fof building` permit ®® Jl Notes: o S%42/1 Le )97,27`' , - "77J n'L/74 /tsktoire. t� Approved By Planning: -- `" - Date: /O///// 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\BldgPermitRvw RES 091216.docx iit Building Permit Submittal Original Submittal Date: ,'/(v Site Plans: # 3 Building Plans: # 3 Building Permit#: (12" Enter building permit#above. Workflow Routing: Er-Planning ©—Engineering ['ermit Coordinator Ci—Building Workflow Sign-off: G;l•-"Sign-off for Planning(include notes from planning review) Route Application Documents: 13"—Engineering: (1) copy of permit application, (1) site plan, (1) building plan and ,p riginal plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: /?//,(//6 Engineering Review Slope at building pad: ..2'Zh ❑ 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 No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Appr r, ed b, Engineering: Date: Notes: ...r. -- r irot_ i i.r 1 Approved by Engineering: 4-.22 Date: „67--/49_4X Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 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: SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: lZiOsies ❑ N/A qOK to Issue Permit Approvedby Permit Coordinator: Date: ' 1°/' I:\Building\Forms\BldgPemiltRvw_RES_091216.docx f City of Tigard IIN COMMUNITY DEVELOPMENT DEPARTMENT RD River Terrace Building Permit Review Addendum TIGA Building Permit #: /77r/(G 0 0 4/4 Site Address: /�9-3 -1 So . i22 ,�'�'lf� Project Name: /L/V. c_ `Z./s x�2.. ✓ .)o 'J- Lot #: (- / (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distr t Design Standards (18.660.070.1): Is the project subject to the plan district design standards? Vg 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. dee Balcony w/ access 2 Window Projection Vertical Wall Offset a P ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: /Q 47c' 3. ntrances:At least one entrance must meet both of the foll • g standards: Max. 8 ft. setback from long t street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No Ifes,all the following apply: 5 sq.ft. min. vf /One street facing entry '4 IV 2 ft.max.roof above floor of porch 5 ft. depth min. 30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: overed porch min. 5 ft.wide x 5 ft. deep of entry area min. 5 ft.wide x 2 ft. deep atall offset min. 16 inches ❑ Roof eave min. 12 inch projectionormer min. 4 ft.wide Woof offset min. of 2 ft. ❑ Roof shingles either tile or wood P 1 Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade Window trim min.2 1/2"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 0 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: Nq/closer to front or side lot line, than longest street-facing wall. ❑ Yes No. If No (Check one): IQay 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) ❑ 2-foot-wide garage door ❑ 40%max. of street facade `[2'50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: .,,m. Date: Oa) I:\Building\Forms\B1dgPerm iiRvw_RES_RT_062216.docx Plumbing Permit Applic 1 s 1 CEIVED Building Fixtures NOVa� q City of Tigard N 3 2 016 PI / / //c,. 9-Z\.. Permit No.:i1/)s T7jo(i/ 'c13125 SW Hall Blvd,Tigard 0 9 1' ypA�p f"t Y W II Phone: 503.7182439 Fax: 5 1' i l Yi ;J Date/By: Dir i'amit No.: Inspection 503.639.4175 1 ,: �aPa�2for twwwngaror.gvBUILDING DIVISION ohfMebdSupplemental Information ®New construction ' fl Demolition For gredal irafonrraden 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(I)bath 312.70 ®l-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath I 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other. Fire sprinkler(_sq.R) Page 2 JOB SITE INFORMATION AND IOCA11ON Site utilities: Job site address:/75)1 CM spa 0 Oa, iiki.,1 Catch basin or area drain 18.76 ' Dtywell,leach line,or trench drain ■ 18.76 City/State/ZIP:Tigard,OR 97224 _ l,,.p 4- Footing drain(no.linear ft.: Page 2 Suite/bldgJapt.no.: Project name: v\kr T'[p V(OL -. N V vManufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear it.: ) Page 2 Storm sewer(no. p linearWater service(no.linear ft: ) Page 2 Subdivision:'Vit\tor .oiy fd ..L Ni�t\/",Wts' Lot r�.:9/ Fixture or item: Tax map/parcel no.: Beddow prevent 1 31.27 . • DESCRIPTION OF.WORK. Backwater valve 12.51 (� Clothes washer 25.02 (ON rl-bc\ l\O•t Dishwasher 25.02 , Thinking fountain 25.02 Ejectors/sump 25.02 ®. ROPERIY OWNER I 0 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 ®.APPLICANT . 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Angels 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. 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: $72.50 Plan review (25%of permit fee) CCB Lie.:102535 'Plumbing Lie.no.:34-276PB State surcharge(12%of permit fcc) Authorized signalise: G TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 This permit application expires N 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. I:1Buiid'uglPetmitslPL.MU•PetmitApp.doc 10/01/09 440-4616T(11t02/COM/WFB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17371 SW SABRINAAVE, BEAVERTON, OR, June 5, 2017 at 10:16:33 AM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00424 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Correction from 2 previous failed final electrical inspections not done. Investigative fee applied for re scheduling final inspection with work not complete and ready for inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17371 SW SABRINAAVE, BEAVERTON, OR, June 7, 2017 at 3:27:48 PM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00424 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: 17371 SW SABRINAAVE, BEAVERTON, OR, June 7, 2017 at 3:29:03 PM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00424 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Correction complete from previous inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17371 SW SABRINAAVE, BEAVERTON, OR, June 14, 2017 at 2:39:06 PM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00424 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. Vapor barrier form received. Blower door test report received. Insulation certification checked. C Of 0 left on site with contractor. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17371 SW SABRINA AVE, BEAVERTON, OR, June 1 , 2017 at 12:05:11 PM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00424 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Secure box and FMC under kitchen cabinet. 300.11 Bathroom lights hanging from wire nuts in master. Not ready for inspection, work not complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17371 SW SABRINA AVE, BEAVERTON, OR, June 1 , 2017 at 12:08:35 PM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00424 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Provide approved UL listed tape for microwave venting. M1601 .4.2 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17371 SW SABRINAAVE, BEAVERTON, OR, June 2, 2017 at 10:16:16 AM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00424 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Corrections from previous inspection not done. Investigative fee applied for scheduling re inspection prior to work being complete and ready for inspection. R109.3 Violation Summary: Inspector Contractor