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Permit (256)
1 * .s.'lb City of Tigard 1114 COMMUNITY DEVELOPMENT DEPARTMENT ■ Building Permit Review — Residential TIGARD Building Permit #: ti-f7;20/C.7 20/x, DO.53 2_.: Site Address: 1-114-1q SW Ml✓'Lt k sr Project Name: River T-CYccic . NOM- vect- Lot #: I p'4 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: tJevsl KT 12. "Verify site address/suite#exists and active in permit system. Er River Terrace Neighborhood: 0 No IS Yes,See River Ten-ace Review Addendum Attached Site Plan Elements: .12•Three(3)copies of site plan ( sting structures on site Iirgito plan must ix 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 forth arrow ,l tility locations(required for new,may apply for additions) ,gite address,project or subdivision name and lot number Mitocation of wells/septic systems .o.pplicant information(name and phone number) /Existing trees to be retained with drip line,and tree ►a Lot dimensions and building setback dimensions protection measures 4 Lot area,building coverage area,percentage of coverage and treet tree size,type and location impervious area(applicable if R-7,R-12,R-25 Sr R-40) Street names A l.J'roperty corner elevations(2 foot contour lines if more than 4 foot differential) la Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified -8 No Received: 0 Yes 0 No ' Public Facilities Improvement(PFI)Permit Required: 0 Yes,applicant was notifiedNo Applied For: 0 Yes 0 No,stop intake E"Land Use Case#: PDC21/016 -C0005 ,l zoning: R—'1 tP D) ,.54 Required Setbacks: Front 12.1e Rear to Side 3 Street Side Garage 20 -tLandscape Requirement 2D 121 Lot Coverage Maximum: OD )FirBuilding Height: Maximum Height N/A Actual Height •r Visual Clearance ›—Easements Ar Sensitive Lands: 0 Yes X.No Type AUrban Forestry Plan Conditions "Met"prior to issuance of building ma Notes: Mt CnW S V t 1 'OG 1 t a ( - o tssu irtc..Q . Approved By Planning: 'A.-.) I.0 ,L Date: `3I (<P Revisions(after Building Submittal :nly) Reviewer f Date Revision 1: X Approved 0 Not Approved Jill' ,,1 1-4 )7 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved 1 .r14, Building Permit Submittal Original Submittal Date: /p///� is Site Plans: # Building Plans: # _3 Building Permit#: frEnter building permit#above. Workflow Routing. EF-Planning G igineering ffrPermit Coordinator El-Building Workflow Sign-off: ErSign-offfor Planning(include notes from planning review) Route Application Documents: a--Engineering: (1)copy of permit application,(1)site plan,(1)building plan and original plan review routing form. Quilding. original permit application,site plans,building plans,engineer and Ibeam calculations and trust details,if applicable,etc. Notes: By Permit Technician: cJ .c. _ Date: / /Fj// (4,3 Engineering Review �/ Slope at building pad: ��i,:b 1"-- ��� �� 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: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes ❑ No LPDA Facility on lot 0 Yes 0 No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: JO& 17 Date: /2-/Z-- j Revisions(after uilding Submittal only) R9iewer is Date Revision 1: Approved 0 Not Approved el '47 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 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?ii10 0 N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes 0 N/A OS to Issue Permit PPY roved b Permit Coordinator Date: /1"/A L 74/6 p- .%IN •.,• VI,_._._,.,,,—vs--- ---. MIL* ,,....,.t,---- L City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT INi T G RD River Terrace Building Permit Review Addendum IA Building Permit #: r-1 f T O/ .y 00.5-3,1.... Site Address: til-n'9 svi A J\ ,t Pc JT Project Name: 12rver T-e r fate NutN(-eSi- Lot #: 1 04 (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 standardses 0 No 1.Articulation:a minimum of 1 element per each street-facing façade 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. deepBalcony w/access 2 Window Projection Vertical Wall Offset a ft deep min.2ft.,5 ft.wide min.2 ft.,6ft.wide Gabled dormer Rfl 0 ❑ ❑ 0 2.Eyes on the street:a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: Z% 3.Entrances:At least one entrance must meet both of the following standards: X 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 If yes,all the following apply: K25 sq.ft.min. ,One street facing entry Air 12 ft.max.roof above floor of porch ft. depth min. 30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min.of five of the following elements on all street-facing façades: ...14 Covered porch min. 5 ft.wide x 5 ft.deep Recessed entry area min. 5 f.wide x 2 ft.deep Wall offset min. 16 inches 0 Dormer min.4 ft.wide R'Roof eave min. 12 inch projection 0Roof 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. 0 Horizontal lap siding min.3-7 inches wide 0 Accent siding min.40%of street façade . Window trim min.2'/2"wide by 5/8"deep ❑ Window recess min.3 inches for all street facing 0 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: No closer to front or side lot line,than longest street-facing wall.EYes 0 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 0 40%max.of street façade A 50%max.of street façade with 7 detailed design elements Notes: Approved By Planning: ,ii / I;,(0 i '/ Date: AlifikV______ 1:\Bm5dimcTorma\B1dgpamitRvw RES RT 062216.docc I FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal 1 Letter 1141 T t G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION ^Y: FROM: Angela Grajewski 3 COMPANY: Polygon Northwest 14 PHONE: 971-212-2144 By: / RE: 11919 S rnl klc� St MSlhly DO�Z (Site Address) (Permit Num River Terrace Northwest Lot [ bLI (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING 11•EMS: I Cees , script on. �w�, Titi , ,„ 0 Additional set(s) of plans. 3 Revisions: deck 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. add deck due to terrain 42 `O ; f EVE ONLY -...- ,, , . .. E ,... ,�t.. Routed to Poet'echnician: Date: 319.77/7 Initials: Fees Duees ❑ No Fe Description: t c _ /� 10 Amount Due: 0 l $ 's — V $ ' , j/ i% ` , , a $ Q $ Special Instructions: Reprint Permit(per PE): es ❑No E2Done Applicant Notified: Date: '11,j/f 7 Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 ,� CITY OF TIGARD MASTER PERMIT t COMMUNITY DEVELOPMENT Permit#: MST2016-00532 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017 Parcel: 2S106DB10400 Site address: 17479 SW AMELIA ST Jurisdiction: Tigard Subdivision: RIVER TERRACE NORTHWEST Lot: 104 Project: River Terrace Northwest, Lot 104 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 0978 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 12 Dwelling Units: 1 Smoke Third: 0 sf Right: 3 Detectors: Yes Total: 2229 sf Value: $271,047.13 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays:Y 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 0 Water Lines: 100 Drains: 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 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: 4 201-400 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: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: NEW TYPe of Constr: Occupancy Group: Square Feet: 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 Geotechnical Inspection 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 Required before foundation STE 1 SCOTTSDALE,AZ 85258 2 One Hour Fire Rated Eaves Required PHONE: PHONE: 360-695-7700 3 Ersn Cntrl 503-639-4175 FAX: Total Fees: $32,134.44 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 OA 01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. i Issued By: 1 , /, Permittee Signature: 'Al 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 /...,O7 /0 zi �. o o RECEIVED FOR O1,1-1( E CSEONL1 City of Tigard (�(� Reeeivea ■11 41 13125 SW Hall Blvd.,Tigard,OR 972'15 T 11 2016 Dan R • a M,s. Permit N�r£/��j /6,_o�� 3 Phone: 503.718.2439 Fax: 503 U9�60., Plan Revie T"' �1 t7 Inspection Line: 503.639.4175 ��1 I o r 1'GA R D Date eadyBy: ��P •;•• 1` �L7 y�= Internet www tigard-or gov BUILDING DIVISION ,j2- /7 /0 ; m S See Pent 2 for Notified/Meth � Supplemental Information B ®New constructions "-!:-- -::;.w.;.:T.-.:t€ ,. a.�,t e :. 0 Demolition Permit fees*are based on the value of the work performed. El Addition/alteration/replacement Indicate the value(rounded to the nearest dollar)of all ���io ` t Other equipment,materials,labor,overhead,and the '' , � a ,' � � rhe� work indicated on this application. profit for the M ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ f r ❑Accessory building ..�•n�� � 0 Multi-family Number of bedrooms: M ❑Master builder o Other: Number of bathrooms: ' �� : t s �� Total number of floors: 2 Job site address: 7 if SW Amelia St New dwelling area: I square feet City/State/ZIP:Tigard,OR 97224 Suite/bldg./apt.no.: Garage/carport area: 40 square feet Project name:River Terrace Northwest Cross street/directions to job site: Covered porch area: square feet Deck area: square feet Other structure area: square feet Subdivision:River Terrace Northwest O 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,and the profit for the ,�>��"� � �- .; , ,-;,-,-;.7.;;; �. `� i � work indicated on this ... Valuation: $ Existing building area: square feet �, New building area: square feet � � • a„ � E7),;x` ' , ' . Number Of stories: Name:ADVL Land Holdings,LLC Address:7600 E Doubletree Ranch Road Type of construction: City/State/ZIP:Scottsdale,AZ 85258 Occupancy groups: Phone:(602)694-4031 Existing: Fax:( ) New Business name:Polygon WLH,LLC t t Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 134 Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) E-mail:Angela.Gra ewslu p yg � Amount received: J of onhomes corn � .- • ff �� Commercial and residential prescriptive installation of Business name:William Lyon Homes,Inc • roof-top mounted Photovoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Address: 109 East 13th Street " '"--- and fire department access,along with the 2010 Oregon City/State/ZIP:Vancouver WA 98660 Solar Installation S.ecial Code checklist. Permit Fee(includes plan review Phone:(360)695-7700 Fax:(360)693-4442 and administrative fees): $180.00 CCB lic.:207247 State surcharge(12%of permit fee): $21.60 Authorized signature: / Total fee due upon application: $201.60 A This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date: 4 *Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski I:\Building\PermitA3UP-RESPermitApp.doc 02/24/2011 440-4613 T(11/02/COM/WEB) • ann ^ E ' "Mechanical Permit AN_,..,— :rCity of Tigard t c,t,c r f {c i r s iili 13123 SW Hall Blvd. Ti DEC 20 Tigard,OR 47223 , 503.218wd34 Fax:503. rt, Pyran Review >, Phonic ictioa Linc: 503.639.4175 i 011T,'rs,3�' nata+ay 'Internet: www.tigard.or.gov tieseRtimett hat BILED/1\i3 lix 011.)1 uE x: s .,z �...arr�...:._ ,=;Ti- f,°. ^�+"-"''�" 'v7 y a..'."-cEiq. ,tet -w -2.•cT✓'; •run "�;c'ss--7,2 r �7t �. `Y' P KSI} 'constructionac :t"�.:...ESC ''t.....-"'�FC�e"'v ...+�:aY a`�. .,k�'v.,..nc�.'�.,...� -y s �.: a-c.!`•••�`�".:�. `.5.�...�."*:�,.L�a ai7�„� ��}tW [ Addtttonraltcrotionitsplaeemeat Mechanical permit fres+are based on the value of the Isdicatc the ratue(roun dewd to the nearest d o. llar a falt❑Demolition 0 Other: rkthantcal rnsuersa labor.overhead.and ftfll.E, D - s_ t E:nl " '^ 671 , ,"rd2:Family dwelling ❑CamiacialAndusr al 0 Accessory building FasptddlrrP' arsd6akpse oifamily ❑Master buler ]Other Desert , n 417 lall1122311 r....t.,.: .:W,v..c.i�,,-.,, t r .^ZiZi:: 1'.i-. r:�k F c�c"Fj:..:^c'as`e' - :' xt'Y 1 :g. •ezr ., Jab mitt address: i 11 `A t w ., vv ;Atli . ft Aircwnditiuni 111111112571111111111 City/State/VP:Tigard,OR 97224 n[tsace 10(1 00 um fdaasr,reras) �� � Suite/bldg./apt. furnace 100.000+erre artts 1 �M1� dg./apt.no.: Projtut,tan, ► - Cross street/directions to job site: � art l/VJe Duet wozk 61.06 t .runic hot water system ��� Residential boiler(radiator or drum Una[heaters(fuel. pe no[earn). �� l-i fitwaft, dui etc Subdivisiur r Finehent for ant,of above IIIIIWIIMIIIIIIII Other. 1111111111M111111111111 Tatem steel no.: Other tact . 1.1111111171111111.1111 iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii;; ; IIMa:,•,fao.. , iilE x tit $ i gy -; F1aeveru•far wale•htSt+C1'yr! !Milliiiiiiiii W.,, }.dove W,.. a ,iace,, t •Ir t��'..:7,'' -',.2.-.:',:-j lR --,:r`-7-'7.75,1-' -,:r �, .1-' ,7 4,7 < f 47.5 nr 7 = s��2 a tom{ �L''!'a' �. _s.3 ? F c} i tri77,j � Name:Polygon MM.LLC ,w ,..--...•s Environmental exhaust and ventilation: hangs hbodfothcr kitchen 11111,1111111� ui. eat 1.1111 CifylSiate2Tp.Vancouver,WA 48t;6p "• ' �� 33.14 3ingtC dart oxbowsl utilit orooms (360}695-7700 toilet "• � .citta[ rooms Ir Business Polygon WLR LIC .. --, `� � e y`N� ' Omer �� ("anise[name_Angela CrajewwskF $14.15 ker first fours 50.03 for each additional Address;1109 East 13111[Brix[ , •, ��� 111111111 City/State/ZIP: :mcowver,WA 98660 WV .-._,.....a,n heater �� Photic:(360)695 7708 Water heater Fats:(360)693.4442 �„ I��� llIlIlli C-mai1 An�gela.Grajewsk id ornes.cam ��� IEMTMIIIIINIIEIINIIIIIIIIIMIIIIIIIIIIIIMII Business t _,.. � `�' _ .�� Clothes ranine. Air LLC u Other11111111111111111111. Addis:[14(f$d]VE7Y'tAvt -, 7-7',;---7---7-i,.;, , ,WA 98686 �' GfylSta�te/E1p Vancouver, ni = 1 Pham (ss0j 3fix-$ra4 minimum pent*fee($90.00) 11111111111 Fane(364)326-1:764 CCB lie.:203034State , Swat._ , S 1111.1111 TOTAL PERMIT FEE 111.111111 Authorized signat : *This peJpd�i doaacp&vstt;i uixastoirwoed,.iit,;aiso daps idatrir bas bee*serepte0 as ample*. Print name Fee eneffiodoiogy+set by Tei-Cooney Otalding Mem?Sonnet Beard t:, � "'��� pule: 4'41.14-` Rall6+49 f$1113 dx 40-164711tvomo wattsI .. . Ititil'e Electrical Permit 4A. ,tea .• . . .. AnpHeatian City of Tigard r; 8 20 1.0R 01 ICE tsr_oNt,) 13125 SW Blvd,Hard,OR 9776{1 Wa"""�1 Phone 503.7ig2439 Fax 503.$9f` . Inspection n Liae: 503.639.4175 ` , t�< a -` TIC; 1,D Inspect wont 5 3.or. i li y �a i r !,.1, ". Ready SY a ^,i a 3, , " 1knGed/Metlrod lig Sea Page 2 for s .x: �i Supplemental Information 1-T, . 5.1. .t�hJ��till ' alN. Z.�^s tr'sr-r,�-'-a•�:- �;•r ®New construction 0 Addition/alteration/replacement t m }P o�4c` ' (mih tt" `p D Demolition 0 Other 03x10 au that apPJY(wbmit 2 sets Wile;w/11noc etxoice�• °Service or tbeder 400 amps or more 0 Btnldi ig oversea r�' +f f? .a5 y .: 3 where du rmast&fault einem °Mann.m and El i-and 2-family dwelling D Con mercial/uidtishisl "` " W- was MOO s exceeds a 1 ,000 Q Q� buildings. 0 Accessory building teat to 0 slid-family D 1 builder ❑Other: buildings. ! .or exceeds 14,Ooo ❑t:mamereiat-nee sgricnlpnai amp. CJInatehation of ISO KVA or v ��r iti t ani �4 h '+� a�a� • = for adoNrorrasbIlatioos. . Job#: Job site ad. ti � �����.'y,r °+�Y��. �'fly detived �a✓ are '� • /. ° otaiH oroawro.motor load ofN City/State/21P:Tigard,OR 97224more❑Six or ore n:sidentiel units. ° ',' ''I-z""1-3a ateuPlokaY 600 Suite/bldg./apt Project name s e)r- 03ilealthwece iheitities. °R al vehicle parks. Cross street/directions 1 f A-. i L U uile t 1 °FFamiaooa tocat;oac I7 saPpty voltage for weft*onsections to job site: °Service or heft 600 • or mom, volts rumba 17:7-7-7 1-1'1 1 l�FI)jr-'8[;'—il' sh�'Z..^Ili Subdivision / New residential single- `� r►1fe. 1 G( r or multi-family dwelling unit.''�� Tax map/ptirccl# Ali/ � Lot�• p Includes �Rttacb ga ° _F`` r ,,,. • re-_ a,, f_,,,— =-,.�`�,^, ��`, Pa•edd�l5°D sj.R.or P3Itim til11111111=111111111111113 ' w1 united energy,residential �� Whit above,,.ft, 75.00 Ma Limited energy,multi-A=4III -D �,_-y 'kj Mie 4 residential with above',.5, 75 4'w. 4,.. t�.�!1" � �.i � (. � '3'�'S1.�.t�• `rtT'� l"'3"G '��-.• li �� <L..•_, + �il'a {� u q RenewableEn, i ❑Seep - 2 _" Name:ADVL Land Holdings,LLC Services or feeder&installation,alteration and/or relocation 200 amps or less - 100 70 amin Address:7600E Doubletree Ranch Road ��n 201 mass to 40o"Vs City/State/ZIP:Scottsdale,AZ 85258 • 401 amps to 600 amps 200 �Q Phone:(602)694-4031 Fax:( ) Over,•, to ampspso amps � �[3 Email: i ono or volts Temporary services or feeders installation,alteration, Owner installation:This installation is being made onn relocation and/or intended for sale,lease,resit,or exchange,according to ORS449,670,and 701.notch is • or less � s.o Owner signature 401 amps to 599 amps b mug �Q ���,,art, r �,�,. � ,$, Date401 amps to 599 amps - `�" a� ZtM5: 3 ..-F!R's o t r `R fj: �r Branch circuit t-i=s altered"'°I.a tension , ,asci Business name:William Lyon Homes,Inc. .'��''_ x"��" '�`� °w'� mss' A.above for branch circuits Laird"' Contact name:Angela Grajervsk! �0�°service or feeder fee, itammi each branch circuit Address:109 East 13th Street B.service or branch cktautsV tthorA branch the* 111911111 CiiY/StatualP:Vancouver,WA 98660 Fath tall branch**et* Phone:(360)695-7700 • Fax:.(360)693-9442 1KfsceAaneons service or feeder nr n �© Email Angela.Grajewsld@polygonliotnes.com ���� _ '�_'i"' ' � Business name:Garner Electric Washington,LLC a y _-,-....::--,-L-._,2,!_,,,,-,_-_-] Pmuop or nngaboa circle �© Address:6101 NE St Johns Rd or nonuse lighting - 2 cittatfl(s)or owesie e!- vresctgtsion 13 See Page 2 mmul Each additional ins on over allowable In an of the above City/Slate/ZIP:Vancouver WA 98661 Phone:(253)320-1b57MMEIIIIMIIIIIIIIIIIIII Additional inspec tion(I brmin) 66,251hr Mi' v r nr 9000/hr 11111111Btail:bdaniels@gwensa.com Buatrii1Plant l tIhrm1l0 i1111>Ew Cal : C1158 Electrical Lie.: 208174 Inspections for which no fee is Ci• „ � 3uprv.Lie.: 4496S listed Junin III 90 0 0" -- i 4 , rFl ( E es r a ,1.. t' Supra.Electrician signature,required: � dO /4. : inummumil t Print name: Joan F Albert Date: 4/26/2016 . : °Pian Review• , C2.5%of, it t feee)) ,'s t Authorized signature: "�`--'4111111111"7-` State surcharge(12%of,-„ fat): 1.11111111111 1DTAL ERMIT M: .111:::1, Print name: Bill Daniels Date: 4/26/2016 111111111111 T�permit appiteation expires if germanes ohebea— within ,.+ days after it list been a 0.,f„ 'il,.% iuldn>btpe�a,> �, APY.,k�RERB.daRmeWt7rzots * Number of �6prodasaempiete. ., _ µp g6isr� amPeesaliowedperp - ,........,9, Plumbing Permit Application Building Fixtures DEC t 8 201F , .111111111111111111111111111111111111111. . 71 . City of Tigard Rec:eived , --. • ' 1317S SW Hall Blvd.,Tiga,oi,Olt, 07223: I. 1, ,...' 1 1,. "„A‘''''.' Dabili141. , Pearl'NV't-S;7370/6--oo.573'?- . - - Flan Review '• I Phone 503/182439 Far 543419NIPSIE t,4r,'-' 7)T r 4 Q , -,,, Datertly: OttesPoinit No.: hapectioi:Lin' e: 503.639.4175 rf,../-t,t- -&')cl 1 i.-'; I-,$ - 1,t th', Due Rdy/By: Jrsiif See Page Inteirma Www.tigard-or.gov Nortfoxidsetantk ..-,....,,,f :-.,..,,,,,,,-.1,-e..-,1---;,:otvg.z-2,:,.4.z,<,, ,,,,Li,;we,:I','c.'.15AT1trte'r„-,'S...-&,...'rf:17,°:-. .....1.,--',e-'1'.'",- "-;,.-.--:,',..4,...-,'"•:"f,'„, 1,14 -,p17,SI.1:4,4`..V N A 1 SI 1,.'y,;:r,,. ..,.',.:.1.-44„,,44,;.4 '*'-",,',,...7.-.-:": CI New construction 111 Demolition For sPecid Wonsurtion are checkral. Description I oty. I Be. I Total 0 Addition/alterationtreplacetnent 0 Other New 1-2-family dwellings(includes 100 ft formal utility connection) . SM.(1)bath 312.70 SFR(2)bath 437.78 I .1-.-and Zanily dwelling 0 Commercial/industrial. SFR(3)bath i 500.32 0 Aecissory building 0 Multi...family Each additional hathddtcben 25.02 El Master.builder 0 Other: Fire sprinkler Page 2 Job site address: 1'7 411 ri. St Catr.h basin or area drain 18.76 Drywall,leach line,,or wench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear it: ) Page 2 SI*MdrAlit no: • • Project name:iRmr -GrYoc L ) law Manufactured home utilities 50.03 Croas'streetkiire Worts plc&silo Manholes 18.76 Rain drain connector 18.76 . . . , • . Sabha*,scorer(no.linear ft: ) P 2 . , Storm sewer(no.lincstr It:____) Page 2 • . • • . .. . , Watts Service(no.linear ft.:. ) Page 2 Subdivision 1.4\kr rto-Ace,_ tx,bi tAftwa 1- 1-43 n°41 OH _Fixture or Item: Tax mapharcel no.: 1 Backflowprewater -I 31.27 '-;:;:,... . '---1:1'')S 07Ff'7.5V:4:7,'''D",f.i-Fr'SiZ,. . . ',:::;?'4'.7:'1.7''''';' f 12-si I 25.02 - • . • . .„.. DIshivesbei 25.02, • Diptmtain 25.02 4ectors/sump 25.02 . . . 41).00mi/wk 441 . 1 Fixture/sewer tap 25.02 /4attC A.1)ViatitAti ti0Iclititif Li.,C noii chain/Sow sinklbub 25.02 .Ailthets:7600, Doubletree Ranch Road Garbage'dispc?sal 25.02 CSOStateiZIP:Scotisdalet AZ 85258 Nose.hti 25.02 .0.),°Pe:'(614)6440.31 Fax:( ) Inc maker 12.51 i;7:-:T. 7,-.7; q. hitent:ePtorlgteate trap 25,02 ----- ' thelicqtglia(Tahiti S ) Page Z Business tillntg Wilkataloott Homes,Inc . _ , ..thiler 12.51 C0111#0011!the orlier(d4 Itoofdrain(commercial) 12.51 A.dth!'14.141091.*# .3.0 Street. . . . Sinkfbasiallevatory 25.02 CifyigiateiZfit Vantouver,WA 98660 &dal'ththe(P.Otable water) 62.54 l'hnite:(000)695-7709 J•Fax:(360)693-4442 Tab/shower/shows pan 12.51 Urinal 25.02 Waterbcat •BrPail:AngebArk(i*Eid@PabV°11!iolges441n . ':,':":,-,:,:: :;:,,-,,:::: .:7•,.',:il:',,-::,,-"..,;:,:.,F;',Z;:;,7,-.*:-Vi.''.':''.::',:".=',7:-.:1 -':.,.."'-:-:,...,;;',::;::::::-:.:,_,*:,:'-'-',:.'173 . 4 3732: -• • . : • 13tialtlestriathe:' 64.3 t . . .:kcre- ovir 74-7 *elerPiihm/DWV 5629 .AddrePaPe 0.t t'f))4 QtA Other: 25.02 :034skterPs: 5r, P444 ar;. 41131 ' Subtotal then&I(c0.9.*-.64$''' 14t1 PIM(11 191-4'ritt Minimum pramit fee:-$72.50 !Ian=View (25%of Permit foe) , Plumbing X...!.11441‘.. 'kaiStale surcharge(12%of*unit ke) Amite/42:0d signature:- IttiPOt .q:DLIO "' "•.-- . l TOTAL Mk&ME' . ,prim:Mime:6÷4..11.i.. riti)14...e.-- . . , .1 Data-,.36•,-1 iv 1 Tilf$Pedt aPPlies*Pelihre.s 4:1•Pertt:t,4,10.44r0 within 130 thys *Fce mabodology cd.by tri-Conay Balding Industry Semis):Bond talituadinVemitAMMU-PenteitApp.dats 10/03109 4404610(100./COMPAPES) IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII -- ....-1,, ik City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit Site Address: Project Name: I-1 1-1 � &� A El. = NI (New dwelling— -e • C e' d v V e -1- Planning g—subdivision name;Addition or Alteration= Lot #: ( (� — g Review- Proposal: last name of owner) -�— Proposal: NQW tz 'Verify site address/suite#exists and active in Er River Terrace Neighborhood: permit system. ❑ NO .ETYes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan Site plan must be on 8-1/2" Q�v. 'hewn to scale(standard architect or en x 17" 'T s g structures ru site � paper engineer scale) ,. -Footprint of new structure(including decks)with finished L''1�Torth arrow floor elevations mite address,project or subdivision name and lot number ►� Jtca locations(required for new, '. pplicant information(name and phone n may apply for additions) � ocation of wells/septic systems ��Lot dimensions and buil umber) ding setback dimensions �1 -xisting trees to be retained with drip line,and tree Lot area,building coverage area,percentage of coverage and protection measures impervious area(applicable if R-7 ,R-12,R-25 .Street tree size,type and location roperty corner elevations(2 foot contour lines more than iiii Street names ) �^ 4 foot differential -n" Clean Water Services-Service Provider Letter(lot platted riot Required: 0 Yes,applicantp was notified .E No e x/e0/1995); '� Public Facilities ImprovementReceived: Required: (PFI) Permit: 0 Yes 0 No 0 Yes,applicant was notified Er.Land Use Case#: No Applied For: A Zoning P1)9-0016X05 0 Yes 0 No,stop intake ' --I PI A-Required Setbacks: Front L equine e Requirement: 1 e, Rear ID P % Side 3 Street Side Lot Coverage Maximum: % N !�R-40) ZO - g Height: Maximum Height t. 1.1...8-____ 8r. Visual Clearance Actual Height $ AZ-Easements AR-Sensitive Lands: Urban Forestry0 Yes Plan No Type iiii'Conditions "Met"prior to issuance of building�g pernut Notes: 't Il/,' i 1 ( AA / *t:. 0 Approved By Planning: ' Revisions (after Building Submittal�nly)17411 , / I ' Date: C 31 10 Revision 1: 0 Approved ❑ Not A Reviewer Revision 2: 0 Approved Approved Date Revision 3: 0Not Approved 0 Approved 0 Not Approved I:\Building\Forms\gldgPermitRvw RES_091216.docx Building Permit Submittal f� �, /` Original Submittal Date: # 2-- Site Plans: Building Plans: # —"Z— permit#above. Building Permit#: '`Enter building Permit Coordinator Building ®''Planning ©'Ingineeringreview) Workflow Routing trSign-off for Planning(include notes from planning (1)building plan and Workflow Sign-off: 1 copyof permit application,(1) site plan, Route Application Documents: i-2--Engineering:plan review form. plans,engineer and original plan emit a lication,site plans,building C�''tuilding: original permit app beam calculations and trust details,if applicable,etc. �` Date:Aelb �� � / Notes: �� r Permit Technician: B xmit ... £.v�.m .. Engineering Review at building pad: 40 /Slope Conditions"Met"prior to issuance of building permit--,,t, Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: 0 No Assess Water Quality Fee in-lieu: 0 Yes 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: Date: ❑ NOT Approved by Engineering: Notes: Date: � , Date Approved by Engineering: Reviewer Revisions (after Building mittal❑on1yN t Approved Revision 1: 0 Approved0 Not Approved Revision 2: 0 Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit Date: ❑ Approved,NOT Released: Notes: Revisions (after Building Submittalonly) to Applicant: Revision Notice 1: ate Revision Notice 2: Date Sent to Applicant: Date Sent to Applicant: Revision Notice 3: Yes 0 N/A SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: 0 N/A Parks SDC: Yes OK to Issue Permit by Approved /VA )' 7-4 6 Date: Permit Coordinator: 1:43uildineForms\BIdgPermitRvw_RES_091216.docx City of Tigard • q COMMUNITY DEVELOPMENT DEPARTMENT IIIII T I GA R D River Terrace Building Permit Review Addendum Building Permit #: s-r Site Address: • 4 , k1 P Project Name: River T r rage ott-hni -}- Lot #: p (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards18.660 Is the project subject to the plan district design standardseS ❑ No ( '070 I)' 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. Balcony w/access 2 Window Projection' ft. deepVertical Wall Offset a Porch min. 5 ft. deep min.2ft., 5 ft.wide min. 2 ft., Eft.wide Gabled dormer ❑ ❑ ❑ 2. Eyes on the street: a 12% ❑ • minimum of of each street facing facade must include windows or entrance doors. Percentage Shown: _ _________12___:-IL/0 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, Entrance opens to a porch:)(Yes CINo or open onto porch If yes,all the following apply: One street facing entry 25 sq.ft.min. ft. depth min. kS 12 ft.max. roof above floor of porch 30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on Covered porch min. 5 ft.wide x 5 ft. dee all street facing facades: P Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ,Roof eave min. 12 inch projection ❑ Dormer min. 4 ft. wide ❑ Roof shingles either file or wood Roof offset min. of 2 ft. GI Roof pitch oriented south Gable,hip or gambrel roof design min. 500 sq. ft. 0 Horizontal lapsidin g 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 ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside ❑ By window min. 5 ft.wide by 2 ft. deep 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 s above the garage that faces the street with a min. area of 12 sq.ft. coed story Width: (Check one) ❑ 12-foot-wide garage door 50%max. of street facade with 7 detailed de ❑ 40%max. of street facade Notes: _ elements Approved By Planning: 'L/i, ./ i I:\Buiiding\Fotms\Bl P 1g 1 Date: /��/ dg ermitRvw_RES_RT_062216.docx E FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT l11 i _ Transmittal Letter e I c,n it n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov • TO: P:,..6....e...":4_,,,,_ L; 4°1' � D l ATE RECEIVED: 1 DEPT: GEV FROM: b 1M D LC-I$Ivwo Q11 0- COMPANY: ?Du(6o iv N IA) G��1G A Q G } P PHONE: 6 0 3`5 7?-`f 14 v ,w��DlG�' RE: /7479 Sw C .�t it t`iSI-- ,/6 )5-3 2. (Site Address) (Permit Number) 12.-FN)tL LD-1,- 1c) 4 (Project name or subdivision • e and lot,ember) • ATTACHED ARE THE FOLL' I G ►+ MS: m Copies: Description: Copies: Description: a.g Additional set(. +f plans. Revisions: p. Cross section(s) and det.' s. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain : REMARKS: •• , Zf'.Y , F4 OFFICE USE ONLY q°; Routed to Permit Technici 7//q1/7 Date: Initials Fees Due: ❑ Yes o Fee Description: Amount Due: '- - , $ , $ Special Instructions: Reprint Permit(per PE): ❑Yes No ❑ Don Applicant Notified: Date: ?(/d,7 gyp _ i. /fir-,-. Initia s: I:\Building\Forms\TransmittalLetter-Revisions 061316.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17479 SW AMELIA ST, BEAVERTON, OR, 97007 July 25, 2017 at 11 :15:43 AM Record Type: Record ID: Residential - Master Permit MST2016-00532 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Correction from previous inspection complete. 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: 17479 SW AMELIA ST, BEAVERTON, OR, 97007 July 25, 2017 at 11 :11 :59 AM Record Type: Record ID: Residential - Master Permit MST2016-00532 Inspection Type: Inspector: 399 Plumbing 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: 17479 SW AMELIA ST, BEAVERTON, OR, 97007 July 26, 2017 at 12:00:15 PM Record Type: Record ID: Residential - Master Permit MST2016-00532 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