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Permit (41) CITY OF TIGARD MASTER PERMIT illCOMMUNITY DEVELOPMENT Permit#: MST2016 00448 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/10/2016 Parcel: 2S 106DB09700 Jurisdiction: Tigard Site address: 17396 SW AMELIA ST Subdivision: RIVER TERRACE NORTHWEST Lot: 97 Project: River Terrace Northwest, Lot 97 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: 28 Bathrooms: 3 Second: 1251 sf Garage: 668 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3043 sf Value: $379,079.59 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 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 5 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: $34,252.21 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ` UC v' / cK 7.12-77"-C---- . Permittee Signature: 47' " ' /e'.;,"r17e4V 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. • t _ L_ 07 `i Building Permit Application Residential V FOR OFFICE LSE ONLY City of Tigard Received ,,�y Ili " 13125 SW Hall Blvd.,Tigard,OR 97223S EP 1 2016 Date/By: / � �� *f!• Permit N7'YJ% /�_ ��� Phone: 503.718.2439 Fax: 503.598.1960 Plan Revie Inspection Line: 503.639.4175 Date/By: II-1- 1 Other Pere j/ �0 T 3 G 4 RB p DIY F 1 R¢ ;.ARD Date Ready/By: Internet: www tigard-or gov s `, %�� ' Juris: H See Page 2 for 1 a x ti p 9 r i 1/v C 9 Nofified/Method 6r� �I b 1 N, kl �' /�' �/ i Supplemental Information 711 „r a �:. `3 e �` - a r ®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: equipment,materials,labor,overhead,and the profit for the q�E ss� i5 d 'zg i filk` HWQN NM f, t work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation:31`� $ ❑Accessory building J ❑Multi-family Number of bedrooms: Li ❑Master}builder Li Other: Number of bathrooms: 3 gsfo �- __.._. s 11-o *O* bN a L"[)CATI[3r3 number of floors: ,.z.s '`' Total Job site address: 17 39/tY a Sw rn u New dwelling area: "3043 square feet�1 UI V City/State/ZIP:Tigard,OR 97224 j 3( Garage/carport area: C) square feet Suite/bldg./apt.no.: I Project name:River Terrace Northwest Covered porch area: I"Zy square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet Subdivision:River Terrace Northwest O� 1� . Lot no.: "� 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 . . equipment,materials,labor,overhead, ad,and the profit for the x t v iAi im� tim ' € work indicated on this application. 1 <r _ _4 ,,, �,.. : . � ,4 �Y ` Valuation: $ Existing building area: square feet New building area: square feet 1_.: v._x.* •f� Ek. _ 4 _ 4... * °0 "`_ * ` 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 Phone:(602)694-4031 Existing: Fax ( ) New: ' 1111 1 PI r1 11X11 4kl•, M ari € i t LFig yr f Business 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: E-mail:Angela Gralewsk►@P Yg of onhomes coin ' stesufww et �� Commercial and residential prescriptive installation of `` '4, .` r - - -1M 1 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 Phone:(360)695-7700 and administrative fees): $180.00 J Fax:(360)693-4442 CCB lic.:207247 State surcharge(12%of permit fee): $21.60 Total fee due upon application: $201.60 t......,p01,14( t Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name:Angela Grajewski I Date: 6- I J J *Fee methodology set by Tri-County Building Industry Service Board. I:1Building1Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . Mechanical Permit Applicatilr 1 i? - Received FOR OFFICE ISE O\LI City of Tigard Date/By: Permit N., 13125 SW Hall Blvd.,Tigard,OR 97223 cc � /" ce, ye = Phone: 503.718.2439 Fax: 503.598.1960)E P 1 Z Q� Plan Review 6 Date/13y: Other Permit: T 1 G A R D Inspection Line: 503.639.4175 B y r Date Ready/By: Jun.: H See page 2 for Internet www.tigard-or.gov ka li t ,1 ,,-',;g,.< Notified/Method: Supplemental Information _ _e tst A ; . - : Mechanical permit fees#are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit Value:$ .Au g,: ttti gee.., r- #22 ° t >. 1 t i:814$411.E "�,�; � '� , "•a„.7.4,171%_ ,,', ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special informailon use checklist ❑Multi-family 0 Master builder 0 Other: Description I Q . I Ea I Total �7; miP, , 1 t. i t;72,-4,Jif< t, ���ti il Heating/cooling: c,A1( Air conditioning 1 46.75 Job site address: / U V vMe ast Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt 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 Oth Subdivision:River Terrace Northwest I Lot no.:6/ er 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 I , 'A t . N � Gas fireplace/insert 1 33.39 - -" ` Flue vent for water heater or gas ' New construction HVAC system fireplace 2332 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 -, t Other: 23.32 Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 1 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust I 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 -;-„,:f G0, a 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 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 l Range I E-mail:Angela.Grajewski@polygonhomes.com Barbecue t'':;',:" .��� ., ,� �� .ti��,'.;"f- L e ����' � Clothes dryer(gam) 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 lic.:203034 TOTAL PERMIT FEE t v 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.1Building\Permits\MEC PermitApp_040113.doc 440-4617T(I 1/02/COM/WEB) �E � ; Electrical Permit A licat v _ i FOR OFFICE USE ONLY City of TigardReceived c n , t 13125 SW Ball Blvd.,Tigard,OR 97223 E r 1 2016 Dalt CESPAZZEIF Phone: 503.7182439 Fax 503.5{8-r 9''8�.1960 Date/B Related Perntit ii: T I GA RD Inspection Line: 503.639.4175 i-1' of, i !t,..-;Ai-iii) y: Iu Ready Date/By: H See Page 2 for hamlet: www.tigard-or.gov gu , 1-)11,,r, .4 l , a re'/1',! Notified/Method: Supplemental Information ==yam - ;,_._,a Ors t--? . c— t'r__.:' --'tet = _ :..e.' -alViMar ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plansw/Uems cheated): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition El Other: where the available fault current ❑Marinas and boatyards. ,a -- 'Ys - r=-r- `t•owsyc "' 9ro-T--, s -.1,"'--,-A _ exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®I-and 2-family dwelling 0 Commercialliridustrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. bat7dings.• ❑Multi-family ❑Master builder 0 Other ['Fire pump. ❑Installation of 150 KVA or Y. - ,..�a_�-. z, <ea `Ol ••�-��: - - - _ -- ❑Emergency system- larger separately derived ,. - aCaia sl is --..i =- -. �'`mss"-.e,��,_.�..:..,.=.�.1,�.:_.__....., _>,�'1-�_...... ....._._.. � .:,�;��vy��'.:';r?_ []Addition of new motor load of system.#: Job site address:f l' l(� SQL/ } / q, f l00HP or more. ❑ City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑Health-ome facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: ..---- Project ect name:�l /�'/1c �/�(- El eons locations. ❑supply voltage for more than ( ❑Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site D[ ^ B=OO_= Description . . -.-l Qty. l Each I Total New residential single-or multi-family dwelling unit. Subdivision:/"t. � /j 7 � A�// to t Mi•f i Lot#: 1 C)1 Includes attached garage. ess 168.54 4 1 tar portion Tax map/parcel#: Ea oda 500 33.92 PX-.: 1:- ."--'- ''''':::::700-----.:;6. -1 ;.1 _ = 5-?., .�- 11 :©`..'-;;',1-;;;7.;.1 ,-;. ,---. TM _ energy,residential . _ (with above sq.ft.) I 75.00 2 Limited energy,multi-family J 75.00 2 residential(with above sq.ft.) _ _.. Renewable Energy ❑ See Page 2 . -M :NN _'* NxMx s feeders installation,alteration,and/or relocation --. Servicrs orfe d 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 601 amps to 1,000 amps 30I.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or . relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I 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 168.54 2s } s V Branch circuits-new,alteration,or extension,Per panel _M1 1 _A-P'....="'-^�='=.-* :?a.... 7-. " rte;•"� °®>- : .�, 1 '` A.Fee for branch circuits with i Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit h Contact name:Angela Grajewski B.Fee for branch circuits without ', Address:109 East 13th Street service or feeder fee,fust 56.1 8 2 blanch circuit City/State/ZIP:Vancouver,WA 98660 Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' Fax::(360)693-4442 Each manufactured or modular dwelling,service and/or feeder 67.84 2 j Email:Angela.Grajewski@polygonhomes.com Reconnect only 67.84 2 -- —` "": a a 0`6' e°'0 ` i-• Pump or irrigation circle 67.84 2 1 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Address:6101 NE St Johns Rd Signal circuit(s)or d�nergy 1:1 See Page 2 2 . panel,alteration,or extension. City/State/ZEP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr thin) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdauiels@gweusa.com Industrial plant(I hr min) • 78.18/hr Inspections for which no fee is 90.00/>u CCB Lic.: C1158 Electrical Lie.: 208174 Suprv.Lic:: 4496S specifically listed('h hr min) - - �� 'd� �; F=w- ;:� �i��` •�-R :gin 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): Authorized si y TOTAL PERMIT EKE: 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 s::�I:lnuadinglPermitARLC PermitAppUR ERE_doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Plumbing Permit Applicatio GENE Building Fixtures 1()K Ul I I( I I •I (I\I 1 City of Tigard N 0 V 3 2016 ReceivedPermit No.: a 13125 SW Hall Blvd.,Tigard,OR 97223 I Phone: 503.7182439 Fax: 503.59 i�6lr• ir y Plan Raw Other Permit No.: Inspection Line: 503.639.4175 Y 1 T 1 tG'QttJ Date/BY: l 1,, ',I:I Date Ready/By: Juric ® See Page 2 for Internet www.tigard-or.govT otincdlMetbod Su mental Information BUILDING i�I�Ji I)I ' PPk TYPE OP WOR1E•: .,., ) !-5 . ®New construction " 0 Demolition For special information use checklist Description I Qty. I Es. I_ Total 0 Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION" SFR(1)batt 312.70 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-familySFR(3)bath , 50032 Each additional bath/kitchen 25.02 0 Master builder 0 Other Fire sprinkler(___sq.R) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: %7 3q0 S YV mine.L rA Q Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 J Drywell,leach line,or trench drain 18.76 ` Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no.: Project name:I� ��W ityyr N1 4 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 It: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: vorrQ o.,c, Nhrtnwt✓s - Lot no.:Q, Fixture or item: Tax map/parcel no.: Bim*preventer31.27 _ DESCRIPTION OF WORK Backwater valve 12.51 OnT C k�f(Jl kt Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 .:PROPERTY 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:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:Angela.Grajewski@polygonhomes.com Urinal 25.02 CONTRACTOR Water closet 25.02 • • 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 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: 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. 1:\Buildiing\PennitaLMU-PamitApp.doc 10/01/09 440-4616T(10102/COMIWEB) N City of Tigard IIn COMMUNITY DEVELOPMENT DEPARTMENT C T1cAuo Building Permit Review — Residential Building Permit #: /1.S.j,2o/6 --- 00%9/ Site Address: j 1 jq (a S'W Aevl e h&I S t Project Name: PA e r reArrct uz. NO r-1-h vve s l- Lot #: GI 1 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: (SI NV F R V�(. Verify site address/suite# exists and active in permit system. 1� River Terrace Neighborhood: ❑ No /e Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan BExisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished /Drawn to scale(standard architect or engineer scale) floor elevations /North arrow Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number EfErtation of wells/septic systems /Applicant information(name and phone number) ❑Existing trees to be retained with drip line,and tree /Lot dimensions and building setback dimensions protection measures /Lot area,building coverage area,percentage of coverage and Street tree size,type and location impervious 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) fZ Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake 1Land Use Case#: PO$ OL-5 .n 00005 , SSUO'2,01S -- 00 0013 XJ,Zoning: (47 Z Required Setbacks: Front ( .Z Rear t o Side 3 Street Side 8 Garage 0 Landscape Requirement: Lot Coverage Maximum: SV ,Building Height: Maximum Height N J A Actual Height 213,s 0-Visual Clearance ,,(Easements Sensitive Lands: ❑ Yes ❑ No Type ,01 Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: `On&rni,r)! to b`e rri h I- p��` i s S L/ (\ o f- !�ai' Jdi'n r9 p rm if . Approved By Planning: 440 0.1 .. et l 0J-CtitA- Date: 10// Z // 4 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: 9/:// Site Plans: # _5 Building Plans: # _ ? Building Permit#: g--Enter building permit#above. Workflow Routing: [ Planning 12 Engineering C 'ermit Coordinator a-8uilding Workflow Sign-off: ®'Sign-off for Planning(include notes from planning review) Route Application Documents: E-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: MIlk By Permit Technician: r '- Date: ///7,//:‘,, Engineering Review /Slope at building pad: i it' 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 Approv•d •y Engineeri Date: Notes: �y, „. > �.. ' '..`I, i I► .40.,M iii/ ar 1 < = .4' Approved by Engineering: AIL` J Date: 11-11—A Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ 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: DC Fees Entered: Wash Co Trans Dev Taxes ❑ N/A Tigard Trans SDC: �j Yes ❑ N/A Parks SDC: �`�" Yes ❑ N/A 14)OK to Issue Permit Approved by Permit Coordinator: ate: P(?-7/1 I:\Building\Forms\BldgPermitRvw_RES 091216.docx City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT II I TIGARD River Terrace Building Permit Review Addendum Building Permit #: /7:57,20/6*----OZ)VVI; Site Address: i 1?9 b S W Amegi al 5..+- Project Name: IV`Px- rer^vz-4 cc I°U rile)we.S i- Lot #: C.. `7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District 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 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min.2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer 7 0 ❑ / ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1 °Z 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street- facing wall /Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: 'Yes 0 No Ifes,all the following apply: X 25 sq.ft.min. One street facing entry �12 ft.max.roof above floor of porch 4 5 ft. depth min. j;2'30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: All Covered porch min. 5 ft.wide x 5 ft. deep terRecessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches 0 Dormer min. 4 ft.wide /Roof eave min. 12 inch projection Roof offset min.of 2 ft. El Roof shingles either tile or wood ArGable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40%of street facade Window trim min.2 '/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: No closer to front or side lot line,than longest street-facing wall. ❑ Yes/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. /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) 12-foot-wide garage door ❑ 40%max. of street facade AI50%max. of street facade with 7 detailed design elements ElNotes: Approved By Planning: M S'1n.ti, e. `I o c . c2i.t Date: 10/i Z.1 1 67 I:\BuildingTorms\BldgPermitRvw RES RT 031416.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17396 SW AMELIA ST, BEAVERTON, OR, 97007 June 14, 2017 at 2:03:17 PM Record Type: Record ID: Residential - Master Permit MST2016-00448 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Not ready for inspection, work not complete. FP apart for painting. Re schedule when work is complete and ready for inspection. R109.3 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17396 SW AMELIA ST, BEAVERTON, OR, 97007 June 21 , 2017 at 11 :02:26 AM Record Type: Record ID: Residential - Master Permit MST2016-00448 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17396 SW AMELIA ST, BEAVERTON, OR, 97007 June 14, 2017 at 2:20:15 PM Record Type: Record ID: Residential - Master Permit MST2016-00448 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17396 SW AMELIA ST, BEAVERTON, OR, 97007 June 14, 2017 at 2:24:45 PM Record Type: Record ID: Residential - Master Permit MST2016-00448 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: 17396 SW AMELIA ST, BEAVERTON, OR, 97007 June 20, 2017 at 7:59:58 AM Record Type: Record ID: Residential - Master Permit MST2016-00448 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved sidewalk and approach inspection prior to building final inspection. Violation Summary: Inspector Contractor