Permit (33) II ,, CITY OF TIGARD MASTER PERMIT
.' COMMUNITY DEVELOPMENT Permit#: MST2016-00445
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/10/2016
Parcel: 2S106DB09400
Jurisdiction: Tigard
Site address: 17342 SW AMELIA ST
Subdivision: RIVER TERRACE NORTHWEST Lot: 94
Project: River Terrace Northwest, Lot 94
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 978 sf Basement: 814 sf Left: 3 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1251 sf Garage: 368 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 3043 sf Value: $365,690.59 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
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 Temo 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: 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: $34,088.62
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.
Issued By: Permittee Signature: /1.,7 �L. ' e '4f"
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.
L 0T 9
' Building Permit Application / , 0
Residential RECEIVED
FOR OFFICE USE ONLY
of Tigard Received ///gAb ..-�� �j
City g DateBy: ///g7��jr✓ d Permit N �/r��4+��1'1.�� /,./:5-
114
13125 SW Hall Blvd.,Tigard,OR 97223 C Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 E P 1 2 016 Date/By: i ' 7" J Other Per [ /�y � --G°j�J
T I G/�R l� Inspection Line: 503.639.4175 a Date ReadyBy: r Juris: H See Page 2 for f` F
Internet: www tigard or.gov ! Notified/Methodtj ,ej Supplemental Information
RUILDINGa_ ,..,��_ ,..,.dl�.: v. ,�,.•�e ��� .-a� d...a, _ ,._� `w,.t.. p �,,c.arr.�.�<z':,�.. xa:�,,`>, is _s.--. .� .-;::8 wr-,t..<..,....t a..r.>._...-k�b a„.� �.,,�.,_, ,'�i.....�r>.t.wmA..y..":
®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 0 Other:
� � � � �� � � � �� �4 � equipment,materials,labor,overhead,and the profit for the
;, work indicated on this a lication.
, R 3�ORY[Ir)ft l� � t. PP
vt
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: t) $ -}��
❑Accessory building ❑Multi-family Number of bedrooms: 14
0 Master builder ❑Other: Number of bathrooms: b
i
< v - lsRr�51 `I F 1R�r b `A i oiai '`_ Total number of floors: 3 Li
J_.„.qtr. .7 ..<. s,<$' T'" ..S?....x..b....c,.z..b.. �.......:"SF';.. „.j ...ss.. e _,..,.. . . :. _ ..,„ _�.__.e....
Job site address: 11 12 S`N' f\fflC1 ;/1 S' . New dwelling area: 30L1 square feet
City/State/ZIP:Tigard,OR 97224 v v l, ' ut A v 1 Garage/carport area: 3 ve, square feet
Suite/bldg./apt.no.: Project name:River Terrace Northwest Covered porch area: 1476,4, square feet 1€ !
Cross street/directions to job site: Deck area: _i 1.V ill square feet q 7 IP
Other structure area: square feet g 1 14„
4 t I 4€ V eW*.hcr
Subdivision:River Terrace Northwest Lot no.: 9 L Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no
equipment,materials,labor,overhead,and the profit for the
AftWAPTAMEMRftwato. < . �',s r ? 1"'I :€pl 'U i'131 E , work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet '
Number of stories:
u�Ta3,r'. T'.,.aa..e...� ....._.....tC.�£v3'^°'�"' $'fcd..,x...�.: i ,..r..... ���P,'�u,. F.��e�%.Y3F" ..,�..�k ,.CT"?.:aTx«?�.'<�'S...
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 gg Fax:( ) New:
.`"`agaga.�ztx L d_ " it' 2'k" r� e '�tT riira �- tin Y *� s
E';W< t;'. p ;.a .,. ,",t 46 + Tib,- m:�:
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:Angela Grajewski
FLS plan review fee(if applicable):
Address:109 East 13th Street
City/State/ZIP:Vancouver WA 98660
Total fees due upon application:
Amount received:
Phone:(360)695-7700 Fax::( )
E-mail:Angela.Grajewski@polygonhomes.com v ,- -� �
vow }e,:q.. �, gr,.. - _ t � � Commercial and residential prescriptive installation of
_ 6.44t- ..tJ.. . _ 4., .. ° _' � �. .; 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 lic.:207247
Total fee due upon application: $201.60
Authorized signature: c� ' This permit application expires if a permit is not obtained
within days after it has been accepted as complete.
Print name:Angela Grajewski Date: Fee methodology set by Tri-County Building Industry
Jo
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1
Mechanical Permit Applicaon .b,a FOR OFFICE 1 SF 0\1.\
City of Tigard FIVED Received
Permit Ncylif e,/6�0,9445
IN ' 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
I Phone: 503.718.2439 Fax: 503.598.196 E P 1 2016 Date/By: Other Pmt:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov Crry ot liciARD Notified/Method: Supplemental Information
t_wIDNC` DiViSLON
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
r ini."-,:-., Cars, a w; . m Value $
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
- : Heating/cooling:
Air conditioning 1 46.75
Job site address: 17912 U V c�A, (1\v li r •a S\ 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
Subdivision:River Terrace Northwest I Lot no.:4y Other. 23.32
I Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
�,' Gas fireplace/insert 33.39
: : " t�r, 1 ® ''', p
` �° "`� EEi��� �� 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
• 3- ��
a a $ tRt : :.• ° f 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 I 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
r h. 5M;37: 7. a c7c7 7, 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. I
Gas heat pump
Address:109 East 13th Street
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
. A wClothes dryer(gam), , w . _
Business name:Apex Air LLC Other
Address:18004 NE 72°d Ave � � ��� � � ��� i
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%
o of permit fee)
CCB lic.:203034 TOTAL PERMIT FEE
t This permit application expires if a permit is not obtained within 180
tAlijletf144
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)
VEDElectrical Permit Applica 1I FOR OFFICE USE ONLY
City of TigardReceived
1. 2016 Permit 5 /� `1 y
1111 ,. 13125 SW Hall Blvd.,Tigard,OR 972 P Plan Review RelatedPeratit :
Fax: 503.5
60 _- Date/B .
Phone: 503.718.2434 $.�B r
Inspection Line: 503.639.4175 LATY Y 0�' I ir ffl LJ heady Date/By: milt. H See Page 2 for
TIGARD
Internet www.tigard-Or.gov Notified/Method: Stipplementaiinformation
� � I ( i IIN
-
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Braiding over three stales.
Demolition _• 0
man build boatyards.
Other where the available fault current and
c=P4,-- .�: 14 *v `-:- `"-..:Ca=* exceeds 10,000 amps at 150 volts or Q Floating buildings.
.;�-- - =`. N��y gam.+ � .��•�:�,�w,�.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
®1-and 2-family dwelling 0 Commercial/iridustrial 0 Accessory building amps for all other installations. buildings.•
0 Multi-family _ 0 Master builder 0 Other ❑Fire pump. ❑Installation of 150 KVA or
=;_ -_ _ ❑Elect-6'2'Y system- larger separately derived
���= - =`fid
- _�vs`� - - :i�F€IUTA`ll�ll�Ash _.. . ...._....-..:...
/imam/: ❑Addition of new motor Ioad of system_#: Job site address: 113 1.1 . S f i!►laM a �� Ad i ti or fne ❑
❑Six or more residential units. occupancy.
City/State/ZIP:Tigard,OR 97224 / ❑Health-Gate facilities. 0 Recreational vehicle parks.
suppty for
Suite/bldg./apt#: Project name: 1 /erl// 6� �/�r Ifaardous locations. 1:3600 volts nominal-more than
❑Service m feeder 600 amps or more.
Cross street/directions to job site: *Stf'" - - ::W u•'
Description I Qty. I Each I Total 1 •
New residential single-or multi-family dwelling unit.
Subdivision:r�..f(,,, y - . J 71,vsc'J Lot#: 1 u Includes attached garage.
/ 1.000 sq.R or less ' 168.54 4
Tax map/parcel#: Ea add']500 sq.ft.or portion S- 33.92 1
• _`- 15 � `1" 'r_ .-- r 7 _":7-I Limited energy,residential
r = —_ .� 75.00 2
(with above sq.f_)
Limited energy,multi-family 75.00 2
residential(with above sq.ft)
- Renewable En ❑ See Page 2
'" --a4�P Q' l R �fV1i y 1-: UN - � .:- 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 Road 401 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
Rmni]: 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 2i&I� � ,,�-� _ •- .„�q Branch circuits-new,alteration,or extension,per panel
; • - q r?: ' 0 _�
- A.Fee for branch 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
service or feeder fee,fust
56.18 2
Address:109 East 13th Street 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 6784 2
dwelling,service and/or feeder
Email:Angela.Grajewsid@polygonhomes.com Reconnect only 67.84 2
��- f,. .1,, €we _ - Pump or irrigation circle 67.84 2
Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2
Signal circuits)or limited-energy ❑ 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) 6625/hr
Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(]hr min) 78.18/hr
F.m,il:bdaniels@gweusa.comInspections for which no fee is
90.00/hr
CCB Lic.: C1158 Electrical Lie.: 208174 Suprv.Lica: 44965 specifically listed(1A hr min „.
xtc >f-S *4rFS
Suprv.Electrician signature,required: „ / _. ..- . - 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: 71- -----------
-
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 par permit
.I:laaildinglPermiu'.SLC PermitApp ELR ERE_doc Rev 06117/2015 440-4515T(11/05/COM/WEB
IVED
Plumbine Permit Applicatio E
Building Fixtures I(IK ()1 1 1t 1 1 `l 1)"
City of Tigard N n V 3 2016 Received Permit No.:
III le 13125 SW Hall Blvd.,Tigard,OR 97223 y�g(�pq�g� Plan Review
I Phone: 503.7182439 Fax: 503.598 9 `S l l t� D Date/By: Other Permit No.:
I Inspection Line: 503.639.4175 a Ready/By: runts: ® See Page 2 for
Internet www.tigard-or.gov BUILDING DIV'S1O sio6Cied/Metbod: Supplemental Information TYPE OP WORIEIJ L.�:.
FEE*8 Iltiri)a
®New construction " ❑Demolition For special information ation use checklist
Description j 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
.:• SFR(2)bath 437.78
® llin
1-and 2-family dwelling 0 Commerciadustrial SFR(3)2bath 50032
❑Accessory building 0 Multi-family Each additional batll/ldtchen 25.02
❑Master builder 0 Other. Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION'AND LOCATION Site utilities:
'
Job site address: / 7L(J e-_ f Catch basin or area drain 18.76
6That7-/Z \)w �' - Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name:vA,\IT'e vv(At,N wf Manufactured 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.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: vt,/Th(`(tx, NO'CV\W 'r Lot no.:-•l Li Fixture or item:
Backflow preventer 31.27
Tax map/parcel no.:
Backwater valve t 12.51
DESCRIPTION OFWORK
Clothes washer 25.02
Contract/ C LU'
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
®.`PROPERTY OWNER I Expansion tank 12.51
_ � TENANT 25.02
Fixture/sewer cap
Name:ADVL Land Holdings,LLC
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
Medical gas(value:$ ) Page 2
Business name:William Lyon Homes,Inc 1251
Primer
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 Tublshower/shower pan 12.51
Urinal 25.02
E-mail:Angela.Grajewski@polygonhomes.com Water closet 25.02
CONTRACTOR " Water heater 37.52
Business name:Malmedal Enterprises Inc. Water piping/DWV 56.29
Address:PO Box 207 Other. 25.02
City/State/ZIP:Banks,OR 97106 Subtotal
Minimum permit fee: $72.50
Phone:(503)324-0759 Fax:(503-)324-0580
Plan review (25%of permit fee)
CCB Lie.:102535 Plumbing Lie.no.:34-276PB State surcharge(12%of permit fee)
Authorized signature: a_-- clr TOTAL PERMIT FEE
Date:04/15/2016
This permit application expires if a permit is not obtained within 180 days
Print name:Carolina Malmedal after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:16uitdiogtpermits\PLMU-PecmitAPPdos 10/01/09 440.4616T(10/07/COM/WEB)
City of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
71 1
T I c n R D Building Permit Review — Residential
Building Permit #: /`r-jjr& -, 00 r�%S
` Site Address: /9'81-/Q SJ4J /5'621a 3
Project Name: _Aver. race4t% - Lot #: 92/
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: ✓ J 87=
erify site address/suite# exists and active in permitstem.
River Terrace Neighborhood:,(V
❑ No U Yes,See River Terrace Review Addendum Attached
Sis,e Plan Elements:
ll xee(3)copies of site plan ': sting structures on site
11
te plan must be on 8-1/2"x 11"ori 1 x 17"paper II Footprint of new structure(including decks)with finished
t/i I,rawn to scale(standard architect or engineer scale) oor elevations
orth arrow tility locations(required for new,may apply for additions)
to address,project or subdivision name and lot number cation of wells/septic systems
pplicant information(name and phone number)
0 'sting trees to be retained with drip line,and tree
Lot dimensions and building setback dimensionsprotection measures
t area,building coverage area,percentage of coverage and treet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) treet names
Property corner elevations(2 foot contour lines if more than IAn
4 foot differential)
Niklean Water Services—Service Provider Lette of platted prior to 9/10/1995):
Required: ❑ yes,applicant was notified rNo Received: ❑ Yes ❑ No
176 Public Faciliti Improvement(PFI) Permit:
V/equired: itYes,applicant was notified ❑ No Applied For: 1Z(Yes ❑ No,stop intake
and Use Case#: Tba� "� _ x " s ' _
�� � r_ z.� j S L���2C iS� ��c�l,�'�
Q Zoning
Required Setbacks: Front Rear /Q Side Street Side NA )��arage cQ/)
Landscape Requirement: .Q0 % N/19
0 Lot Coverage Maximum:tis(it
wilding Height: Maximum Height OA Actual Height S
/ ii
isual Clearance
A Easements
ftensitive Lands: CI Yes "No Type
qa Urban ForestryPlan
El Conditions " et" . ;or to issuance o building permit
Notes: -0- & Ari ` /. i ice' ._ rt/�? 'AO ,"di . _ . '
Approved By Planning: — i
(z:: ::-.7(-- --- 44--"--
(_
' Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building Worms\BldgPermitRvw REs 091216.docx
Building Permit Submittal
Original Submittal Date: 9//`
Site Plans: # _7
Building Plans: # _.3
Building Permit#: enter building permit#above.
Workflow Routing: ['Planning Engineering ❑1rmit Coordinator D-13nilding
Workflow Sign-off: 42"Sign-off for Planning(include notes from planning review)
Route Application Documents: C2-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
eBuilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: L% % t1 -- Date: "VV/
/,
_ .. 1. -Vagi,,, ,, �t ,- .:yam _..
Engineering Review
ocSlope at building pad: ,,z,„.
onditions "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 Approved by Engineering: Date:
Notes: _r -40 A.", .# .. /,/, At i� JP,--.; .1(4, _4
Approved by Engineering: / Date: if.- fZ
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved D 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:
et7nDC Fees Entered: Wash Co Trans Dev Tax: -Yes ❑ N/A
Tigard Trans SDC: S- Yes ❑ N/A
Parks SDC: '!"' es ❑ N/A
221it3K to Issue Permit
Approved by Permit Coordinator: Date: J/
77-1/
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
A 7.
City of Tigard
11 II COMMUNITY DEVELOPMENT DEPARTMENT
C .
TI G A R E River Terrace Building Permit Review Addendum
Building Permit #: /1$j �'/ - 06 1 VS
Site Address: / 5`171Q S) ,92 1a
Project Name: River rfo ,ibi- tAz,s L` Lot #: 94/
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dis ict 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. 5 t. deep Balcony w/access 2 Window Projection Vertical Wall Offset a Gabled dormer
ft. deep min. 2ft.,5 ft.wide min.2 ft.,6ft.wide
❑ El El ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: /02 `/c
3. ntrances:At least one entrance must meet both of the foll ' g standards:
ivp
Max. 8 ft. setback from lonst 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 les,all the following apply: (?sq.ft.min.
[ ne street facing entry ft.max.roof above floor of porch
VA.
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:
b��( overed 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 ❑ ormer min.4 ft.wide
Roof eave min. 12 inch projection I d oof offset min.of 2 ft.
❑ Roof shingles either tile or wood VJ Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. 0 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 comer lot.
Setbacks:
Ncloser to front or side lot line,than longest street-facing wall. 111Yes No. If No (Check one):
May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
ay 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)
0,1'2-foot-wide garage door CI 40%max. of street facade
V50%max. of street facade with 7 detailed design elements
Notes:
_za _h_4,(0._
Approved By Planning: `=="—" 1777
, lt— Date: c2
I:\Building\Fortes\BldgPermitRvw_RES_RT_031416.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17342 SW AMELIA ST, BEAVERTON, OR, 97007 May 19, 2017 at 10:22:26 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00445
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
Remove debris in front of panel and garage outlets for inspection.
Install cover on AC dis connect box, laying on ground.
Remove closet doors set in front of bedroom outlets for inspection.
No AC 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:
17342 SW AMELIA ST, BEAVERTON, OR, 97007 May 22, 2017 at 2:18:51 PM
Record Type: Record ID:
Residential - Master Permit MST2016-00445
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
Correction for AC disconnect cover laying on ground not done. Disconnect box not
whether resistant rated without cover.
Investigative fee for re inspection applied for scheduling re inspection without correction
being complete. R109.3
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17342 SW AMELIA ST, BEAVERTON, OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2016-00445
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS
Comments:
AC not installed
Violation Summary:
Inspector Contractor