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Permit (36) CITY OF TIGARD MASTER PERMIT IN COMMUNITY DEVELOPMENT Permit#: MST2016 00447 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/10/2016 Parcel: 2S106DB09600 Jurisdiction: Tigard Site address: 17380 SW AMELIA ST Subdivision: RIVER TERRACE NORTHWEST Lot: 96 Project: River Terrace Northwest, Lot 96 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 978 sf Basement: 814 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1251 sf Garage: 368 sf Front: 8 Smoke DwellingUnits: 1 Yes Third: 0 sf Right: 3 Detectors: Total: 3043 sf Value: $366,136.99 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 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 Fum>=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'500 sf: 5 201-400 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 3043 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: $34,096.97 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. 41, Issued By: Permittee Signature: ®Xi (54P�'G./e4Z e o 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 o T g6 . Residential RECEIVED FOR OFFICE USE ONLY - City of Tigard Received 1N '� 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: ///�/c, (if' Permit N �/ ./ Lr229y 7 Phone: 503.718.2439 Fax: 503.598.1960 SEP 1 2016 Plan Review G` Date/By: J I- "1' i C JJ Other Permi�4,/ � 06 A QP6 , uis: H See Page 2 for Inspection Line: 503.639.4175 Date Ready/By: V�Tt RD CITY OF fGAR Notrfied/Methodff //t' ii JInternet wwwtt azd or ov Supplemental Information IiGVe /C. /9-4:6�1 - . fi f` g € `al Y rF4 � a '� � r6 �� � � : . . ? . a4sz aS- .oEra.a4i. .„ - „ „ ®New construction 0 Demolition Permit fees*are based on the value of the work performed. 0 Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all F. equipment,materials,labor,overhead,and the profit for the 4 3fa , 'i'i:11', I31r al.A1. s work indicated on this application. staS,, F-F„ e- r ® 1-and 2-family dwelling 0 Commercial/industrial Valuation36/ )3( $ ❑Accessory building ❑Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: e0 40 10 d c'� h + a�, r l _ y �R� � Al Ii,. I,tJ Total number of floors: yy� �.'+z. ...W .....ugh -w,. &.._, th�.....s ...k...... ! � ..xAF�._..... I"73oO S �� �� m : Job site address: \t� print Lin C� New dwelling area: 3 DL , square feet City/State/ZIP:Tigard,OR 97224 v" l�Lia Garage/carport area: 3(06 square feet Suite/bldg./apt.no.: I Project name:River Terrace Northwest Covered porch area: I f,t.4 square feet Cross street/directions to job site: `B �1/� Deck area: square feet Other structure area: square feet ' it+I 7A1 1.iia1�tf WCK SI' Subdivision:River Terrace Northwest I Lot no.:9 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 c ? 1 equipment,materials,labor,overhead,and the profit for the ..� F; t E . z * 1 ' ''�#'?l tz�1r �` '°` '� � ' ,- work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet VSs-�� YB IVM p,� 3 { i%T 4 c x r c ; t, F.,,, �_. �—�--�-�_`� � � Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy p y groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax ( ) ,.r�� -c s .. ,.,Q... 33 New 1 �i ere/0 A; f , 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: � x� E-mail:Angela.Grajewski@polygonhomes.com . o- i rt t: .,w Commercial and residential prescriptive installation of ,, c "`' '' as ` ` `=a. -c- - ;;_ • - ag< i V.4im 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 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 Total fee due upon application: $201.60 Authorized signature: ' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name:Angela Grajewski I Date: g' IIt, I *Fee methodology set by Tri-County Building Industry Service Board. I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , Mecianical Permit Application FOR OFF ICE I SE OyEv � Received City of Tigard DateBy: Permit No /t-.(117 : 4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan= �EP 1 Phone: 503.718.2439 Fax: 503.598.196 Dat 2016 Date/BBy:y: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date ReadyBy: Juris: H See Page 2 for Internet: www.tigard-or.gov CITY 1Ge A D Notifed/Method: Supplemental Information 3? 6 u _ .: �1 Mechanical permit fees"are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit ❑Demolition ❑Other: Value:$ q ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedoi information use checklist ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea I Total Heating/cooling: 3 � - * BaP , T t ; t' ," I' F'- t: M 1. r. i . Air conditioning 46.75 Job site address: 1-8' • SW 11('Ar a S1 Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP:Tigard,OR 97224 v Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldgJapt.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 I 23.32 Other. 23.32 Subdivision:River Terrace Northwest I Lot no.:9 V Other fuel appliances: Tax map/parcel no.: Water heater 23.32 a= Gas fireplace/insert33.39 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 q Other 23.32 � kEnvironmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust ` 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single duct exhaust(bathrooms, VI toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 r° . t�� Other: 23.32 v `fie,, Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. I 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 I Range ' E-mail:Angela.Grajewski@polygonhomes.com Barbecue £ t --.- t Other: Business name:Apex Air LLC --„ m :u L4 q Z, Address:18004 NE 72°d Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: Angela Grajewski Date:8/22/16 g I:\Building\Permits\MEC PermitApp_040113.doc 44046171(11/02/COM/WEB) Electrical Permit RIED FOR OFFICE USE ON LY City of Tigard n Received Permit 0:/yc7 %7/ e'C)`/vl" - 13125 SW Hall Blvd.,Tigard,OR 9722$EP 2016 Plan Review 11 Phone: 503.7182439 Fax: 503.598.1960 Date/3. Related Permit it: Inspection Line: 503.639.4175CI OF x U 1" i r Rdy DatelBy: Aids: H AuSee Page 2 for TIGARD �•� '°t ea Notifred/Method =% �... •_.Supplemental em:.,entalInformationIternet www tigard- tgov 1 rILDI `G' V- `tN " � _. _ _ ,_ '''''''-''t', _ ste�Y- esrF : ir �` _��-`�: s"l '' -- � �gt: «mo ;. ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wiitems checked.): ❑Swvice or feeder 400 amps or more D Building over three stories. • ❑Demolition El Other: where the available fault current i]Marinas and boatyards. y - 'Z'S-F=„1-M- - exceeds 10,000 at 150 volts or Floatin buildings• C.4 1-and 2-family dwelling 0 Comm ercial/indlistrial 0 Accessory building in to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. bindings.• ❑Multi-family - 0 Master builder 0 Other O Fire pump. 0 installation of 150 KVA or ....�- --awlfivsw_isw- - .__ . -TI.��jo_.. �� "� pice9 Emergency system largerseparatety derived 1� _ A �� �� ElAdditioo of new motor load of system_ Job#: Job site address: 1/V�1`'•�\ A S tooliP or morn. ❑"A^,"s',"1-2;"1-3r, El Six or more residential units. occupancy. City/State/Z1P:Tigard,OR 97224 _ Qgeaith_care faciimes. 0 Recreational vehicle parks. Suite/bldg./apt#: Pro Project name:Alfa-• /arra //phwe4 r Haxardons locations. Q Supply voltage for more than J600 volts nominal ❑Servi ce or feeder 600 amps or more. Cross street/directions to job site: Y-'~ =•= �Str » _ -'— ' - Description t Qtr. t t 1.•.. • New residential single-or multi-family dwelling unit. Subdivision:/.1;10,-r reta, A/W / pi f- Lot#: clo Includes attached garage. 1,000 sq.R or less 1 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 3392 1 -�;-��°"`•�" "'-'�llE5 �,� :3 '= ... -..�_ Vie_ Limited energy,residential �.� , "-:,�' mar ..,.-.. ... .� ,=.`^�a�:r>..�..,.... (with above sq.ft) J 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) =1.i „ , __ r,., .„ Renewable Energy ❑ See Page 2 -.1- ©��a,�� ���'��w��.�= V��, � ��`�`"�����= 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 20034 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 552.26 2 Temporary services or feeders installation,alteration,and/or Finail: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 t 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: 168.54 2 • _. :4- ;, ,• e _ f" 1WW _ new,alteration,or extension,per panel Date: 401 amps to 599 Branch circuits a d��.':..... .'.._ :�..._� �...xs �� "'-�� •�-sem'_::-,"7...:'-':IW'' ar branch circuits with '=` A Fee f 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 Address:109 East 13th Street branchcircuit der fee,fust 56.18 2 1 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 . dwelling,service and/or feeder Email:Angela.Grajewski®polygonhomes.com Reconnect only 67.84 2 =' •: "< = €.©,.:4•4-. v `-,-, 3; Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 • Signal circuit(s)or limited-nergy 0 See Page 2 2 Address:6101 NE St Johns Rd panel,alteration,or extensicm- City/State/ZIP: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) 90.0W hr Email:bdaniels®gweusa.com Industrial plant(I hr min) • 78.18/hr inspections for which no fee is 90.00/hr CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lick: 4496S specifically listed('f,hr min) '• - aim-sunii:.:,.-Y''..•r4•u-a_..c...a_.,-., • •-,,----.5..�`I�i ,en;s d•.� �.••-.�P� „,.x. Suprv.Electrician signature,required: ` �,: i� `• Subtotal: } Print name: Joan P Albert •- Date: 4/26/2016 0 Plan Review Required(25%of permit fee): — State surcharge(12%ofpetmit fee): Authorized signature: -.._ TOTAL PERMIT Prl;: 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 : I:1BafldinglPer nsdR.0 PeneitApp EU ER _doc Rev 06/172015 440-4515T(1I/05/CONUWEB Plumbing Permit ApplicatiRECEIVEI) Building Fixtures 1()1L 01 l k( 11 'l O\11 City of Tigard N O V 32016 r Permit No.: Date/BIII u 13125 SW Hall Blvd.,Tigard,OR 97223 y� Other Permit No.: 1 Phone: 503.718.2439 Fax: 503.5V 4 OF TIGARD �enR�ew Inspection Line: 503.639.4175 p� trF {spy DDate Ready/By:atelRy. ia Page 2 for I`' 'I'I' Internet: www.tigard-or.gov BUILDING DI V ISWI Notifed/Meli>od hri�: S p�meutal Information ,. . ._ TYPE OP WORK .:.:... ., '.:.... .,._ .fit'Sc'HEn'I klist ®New constriction " 0 Demolition For special information use chew 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 Commerciallindustrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other. Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 11 2,30 S YV trA c^ - Catch basin or area drain 18.76 v Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no.: Project name:I(2.,,vW 1 e w- ,N\i4 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 Subdivision:e1Jvrcel%(`( , Nof'rnwr.4'- Lot no.:Q 1p Fixture or item: Tax map/parcel no.: t' Backflow preventer 31.27 : . , * t DESCRIPTION OF.WORK Backwater valve 12.51 ��1T� C I'1 Clothes washer 2.5.02 Ul kilt Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®-PROPERTY OWNER 1 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 I 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: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.Grajewsld@polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Malmedal Enterprises Inc. Water tPmgD 56.29 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 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 if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU•PemtitApp.dos 10/01/09 440-4616T(1002/COM/WEB) City of Tigard • v COMMUNITY DEVELOPMENT DEPARTMENT 11/4111 II T l c n R D Building Permit Review - Residential Building Permit #: tiS772076 (20 97 Site Address: /;. 3e() -S24) ;r ilio) 34 Project Name: i/ r- ` ---�-r-rac leii., _- '71-- Lot #: (7(C (New dwelling=subdivision name;Addition or Alteration=last name of owner) C Planning Review Proposal: ) 5 ie vc" erify site address/suite# exists and active in permit stem. River Terrace Neighborhood: ❑ No Ud Yes,See River Terrace Review Addendum Attached Si Plan Elements: 7j tee(3)copies of site plan I.sting structures on site te plan must be on 8-1/2"x 11"or 11 x 17"paper ►I Footprint of new structure(including decks)with finished TA Prawn to scale(standard architect or engineer scale) oor elevations P yorth arrow tility locations(required for new,may apply for additions) to address,project or subdivision name and lot number 0 cation of wells/septic systems pplicant information(name and phone number) (fisting trees to be retained with drip line,and tree Vr of dimensions and building setback dimensionsotection measures Lot area,building coverage area,percentage of coverage and ,Cr..,f�treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) [ Street names Property corner elevations(2 foot contour lines if more than 4 foot differential) tiiiklean Water Services—Service Provider Lette of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes 0 No Vet Faciliti Improvement(PFI) Permit: Required: 'Yes,applicant was notified ❑ No Applied For: PP VJ Yes ❑ No,stop intake 4and Use Case#: 7-be - .016:-.---- � z✓I J ce(6 o�%S—c�L S re/Zoning. T /-3 Required Setbacks: Front a Rear /0 Side Street Side 4,9 Garage Landscape Requirement: Q0 % � 0/Lot Coverage Maximum: 0 Building Height: Maximum Height A-4Actual Height Q6,13 11 ‘ I! isual Clearance Y4 Easements U ',ensitive Lands: ❑ Yes TifNo Type r Urban Forestry Plan ❑ Conditions " et"orior to issuance.4building permit Notes: (---eril (.9 y // fit,e 21a ' ✓ Approved By Planning: -_ _ ,� / Date: a Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved 1:\Building\Forms\B1dgPermitRvw RES 091216.docx sr- Building Permit Submittal Original Submittal Date: 7///b Site Plans: # Building Plans: # 7 Building Permit#: C'Enter building permit#above. Workflow Routing: ETPlanning {'"Engineering [Er-Permit Coordinator if'`Building Workflow Sign-off: ©" Sign-off for Planning(include notes from planning review) Route Application Documents: Et. Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. ff-Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: �1 f - Date: ///::.-574, Engineering Review Slope at building pad: /d7 L�Conditions "Met"prior to issuance of building permit El Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes El No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Appro a• b Engineering: Date: Notes: ,�, =' . ,,,.. .r. ." de., .0,4„,i. Vii . _. `.�. - Approved by Engineering: Date: /%i-% - 43 Revisions (after Building Submittal only) Reviewer Date Revision 1: CIApproved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: CI Approved CINot 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: DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: ,(17.1w Yes ❑ N/A O to Issue Permit pproved by Permit Coordinator: 41/4Date: ,/ /9117t=9 I:\Building\Fonns\BldgPermitRvw_RES_091216.docx S City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 6 r r c A RD River Terrace Building Permit Review Addendum Building Permit #: it/57;2076 --,M 7 Site Address: t 0 3 /74 Project Name: Rive rro ✓ 364A-c'S71— Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Das ct Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?Pr Yes 0 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.,Eft wide Gabled dormer ❑ 0 ❑ ❑ 2.Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: /Q. CCA 3. ntrances:At least one entrance must meet both of the follo 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 Iftes,all the following apply: sq.ft.min. VOne street facing entry 12 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 façades: ICovered porch min. 5 ft.wide x 5 ft.deep Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches D)ormer min.4 ft.wide Roof eave nun. 12 inch projection oof offset min.of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 ft.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 ❑ 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: N closer to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one): 1 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) 2-foot-wide garage door ❑ 40%max. of street façade 50%max. of street facade with 7 detailed design elements Notes: Approved pP B Y Planning: t !`- Date: _Zahcah_te_ I:\Building'Forms\BldgPermitRvw RES RT 031416.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17380 SW AMELIA ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00447 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17380 SW AMELIA ST, BEAVERTON, OR, 97007 July 17, 2017 at 11 :13:15 AM Record Type: Record ID: Residential - Master Permit MST2016-00447 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. No A/C installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17380 SW AMELIA ST, BEAVERTON, OR, 97007 July 18, 2017 at 3:33:51 PM Record Type: Record ID: Residential - Master Permit MST2016-00447 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 received. Note: contractor to add blocking for exposed railing screws at lower deck landing. C of 0 left on site with contractor. Violation Summary: Inspector Contractor