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Permit (254) N. ewetI City of Tigard IIIIa COMMUNITY DEVELOPMENT DEPARTMENT m T l c A R U Building Permit Review — Residential Building Permit #: /` .S T r/c -- 0053,,,E Site Address: 6 44 5 5 (S tn) 4-1-ane.(;w C4- Project Name: "R•i vt r- -Cerra c.L._ )1/410,-441.1.4 Ls-4- Lot #: 1 OS (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: s!c, S F e4-0c4"41-4-. ( 'Verify site address/suite# exists and active in permit system. j 'lltiver Terrace Neighborhood: ❑ No X Yes,See River Terrace Review Addendum Attached Site Plan Elements: ?Three(3)copies of site planExisting structures on site .i 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 adNorth arrow DiUtility locations(required for new,may apply for additions) RS-lie address,project or subdivision name and lot number 'Location of wells/septic systems SrApplicant information(name and phone number) Existing trees to be retained with drip line,and tree IV.Lot dimensions and building setback dimensions protection measures g(7Lot area,building coverage area,percentage of coverage and RIStreet 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) arC1ean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: El Yes,applicant was notified No Received: El Yes El No X Public Facilities Improvement(PFI) Permit: Required: Ar.Yes,applicant was notified El No Applied For: '4'es ❑ No,stop intake Er Land Use Case#: pDRaot5 -00005/Su_B aOt - 00002 Zoning 1?-`7 FA Required Setbacks: Front i a Rear (p Side 3 Street Side — Garage a O Landscape Requirement: .2 0 ba-Lot Coverage Maximum: 8 0 % ,Or Building Height: Maximum Height t/1 A Actual Height Visual Clearance LR'Easements t Sensitive Lands: ❑ Yes ki No Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: cif- G iva-i-(j u a4 - (G vt►-„► n el pr-; a✓ -k l,,e i ,-.. ; 4- j TS u..61vlG2 . Approved By Planning: alik4.14-- a . CCAt.rit�o Date: (/ -/.( -Ho Revisions (after Building Submittal only) Reviewer Da e Revision 1: Approved ❑ Not Approved ' 2' Revision 2: 0 Approved ❑ Not Approved Revision 3: El Approved 0 Not Approved w Building Permit Submittal Original Submittal Date: /01///),a Site Plans: # Building Plans: # ,...,, Building Permit#: ErEnter building permit#above. Workflow Routing: 42" Planning E Engineering E} emit Coordinator CS—Winding Workflow Sign-off: .J Sign-off for Planning(include notes from planning review) Route Application Documents: (.Engineering: (1) copy of permit application, (1) site plan, (1) building plan and �,roriginal plan review routing form. I2 Building. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: / By � Date: /�'�rt/� B Permit Technician: `�--�'7.tr�C' Engineering Review Slope at building pad: -/- (Cionditions "Met"prior to issuance of building permit _.. ��7."-. ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes El No Assess Water Quantity Fee in-lieu: ❑ Yes 0 No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: IM' Date: /Z--/.z✓6 Revisions (after Building Submittal only) vtewe Date Revision 1: AApproved 0 Not Approved Y.da3 2s7 Revision 2: C7 Approved El 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: rIes El N/A /l Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes El N/A pOK to Issue Permit Approved by Permit Coordinator: Date: / N/1.)-/-2'° l l dirk 3/29/I — 1:\Building\Forms\BldaPermitRvw RES 091216.docx ti City of Tigard H COMMUNITY DEVELOPMENT DEPAR'T'MENT T 1 G A R D River Terrace Building Permit Review Addendum Building Permit #: /-/S7,2-0/6 •-d25`3J Site Address: X 14 5 5 St,...) A►`.Gl► Com(-• Project Name: v Te Nor kwes -4-- Lot #: (oS (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? g 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 Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 13 • 7 °l o 3. Entrances:At least one entrance must meet both of the following standards: Parallel to street,angle no more than 45° from street, XMax. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch: IX Yes ❑ No If yes,all the following apply: g25 sq.ft. min. One street facing entry 5r12 ft.max. roof above floor of porch I�5 ft. depth min. K30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep VRecessed entry area min. 5 ft.wide x 2 ft.deep i Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection g Roof offset min. of 2 ft. El Roof shingles either tile or wood PZ( Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade YrWindow trim min. 2'/z"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 150%max. of street facade with 7 detailed design elements Notes: Approved By Planning: (-'44- Q . Date: //-/'-/(' 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 Letter T I 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 1 i FROM: Angela Grajewski : y COMPANY: Polygon Northwest PHONE: 971-212-2144 By/el RE: ► y cJ5 SVS la ftel &r fAsm.,,1%,0 00S33 (Site Address) (Permit Number) River Terrace Northwest Lot t OS- (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: copies: Description 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 Routed to Perm' echnician: Date: Fees Due Yes : 7 Initials: ❑No Fee Descripti � I � ,�<0 � *� � / Amount Due: '6 2 \n;eu rp ( r.t y $ t S A 2 A � Special Instructions: Reprint Permit(per PE): Yes ❑No ❑ Done Applicant Notified: Date: Imtlals: I:\Building\Fonns\TransmittalLetter-Revisions.doc 05/25/2012 , ,, CITY OF TIGARD MASTER PERMIT •7 COMMUNITY DEVELOPMENT 1/111Permit#: MST2016-00533 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017 Parcel: 2S 106DB 10500 Site address: 17455 SW AMELIA ST Jurisdiction: Tigard Subdivision: RIVER TERRACE NORTHWEST Project: River Terrace Northwest, Lot 105 Lot: 105 Project Description: New SF BUILDING Floor Areas Stories: 2 Bedrooms: 3 First. 948 sf Reauire`aas Rem_ Height: 24 Bathrooms: 3 Basement: 0 sf Left: 3 Parking Spaces: 0 Second: 1130 sf Dwelling Units: 1 Garage: 380 sf Front: 12 Third: 0 sf Smoke Total: 2078 sf Right: 3 Detectors: Yes Value: $254,617.30 Rear: 10 Sinks: 1 Water Closets: 3 PLUMBING Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Tubs/Showers: 3 Floor Drains: 0 Sewer Lines: 100 Rain Storm Sewer: 100 Urinals: 0 Lavatories: 4 Dishwashers: 1 Garbage Disp: 1 Water Heaters: 1 SF Footing Drain: 0 Ice Maker 1 Water Lines: 100 Drains: 0 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Catch Basins: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tv — oes ------_ Air Conditioning: Y Vent Fans: 4 Natural Gas Heat Pump: N CloOth Dryers: 1 Hoods: 1 Oth Furn<100K: 1 er Units: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder 1000idsf or less: 1 --- ma Tesrvc/Feeders Branch Circuits 0-200 amp: 0 0-200 amp: 0 Ea add9 500 sf: 3 201-400 amp: 0 W/Svc c Fdr: 0 201-400 amp: 0 W/O Svc Mid Home/Feeder/Svc: 0 401-600 Fdr: 0 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 Other: N Other Description: Vaccuum System: N Garage Opener: N All Ecompasing: Y Class of Work: BUILDING INFO Type of Use: Type of Constr: Occupancy Group: Owner: Square Feet: NEW SF VB R 3 2078 Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL BY F E DOUBLETREE RANCH RD 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 STE 1 VANCOUVER,WA 98660 2 One Hour Fire Rated Eaves SCOTTSDALE,AZ 85258 Required Both sides PHONE 3 Geotechnical Inspection PHONE: 360-695-7700 Required before foundation FAX: Total Fees: $31,759.01 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 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 bygonwill 952-001-0010 through• P the ns to O C by Notificationn03 2 Center.187Those rules are set forth in OAR 9 R 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. a '-1 Issued By: ��j Permittee Signature: %ff �6/e W Call 503.639.4175 by 7:00 a.m,for the next available inspection date. V 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 0 / /Q Ls--- „64-frilt t,--- RECEIVEDI OR OFFICE l SE ONLI City of Tigard Received ��s 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 1 DateBy: �� l {.1�. tet' .Permit N /o�£'�(rr 3_S _ Phone: 503.718.2439 Fax: 503.598.1960 2��6 Plan Review /� +�� s� Date/Sy: j A.— J'^ Je. Other P / " /f r'/ 1 I c,„R t) Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By kris: H See Page 2 for L Internet www.tigard-or.gov BUILDING NotiSed/Method:�2�J/�/. DIVISION IQ N Supplemental Information 181 V d/�. r. '...„L''..;,:::.".,_ !'c. ,°*, `,' : `' ;,..*: �n ..a ? „ ''-j'71-'-- al'',!2',' .:.. ` ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Other Indicate the value of all szi 0 Addition/alteration/replacement ( �� equipment,materials,rounded to the nearest dollar) als labor,overhead,and the profit for the Q ; � ` � � `" : r 1� ' , , work indicated on this application. •-.. ® 1-and 2-family dwellingValuationu ❑Commercial/mdustrial /"6' 7g ❑Accessory building ❑Multi-family Number of bedrooms: ilI ❑Master builder 0 Other: Number of bathrooms: . . • Total number of floors: Job site address:/7 IA-5—SW Amelia St New dwelling area: 1 n7-i, square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: q B! square feet Suite/bldg./apt.no.: I Project name:River Terrace Northwest Covered porch area: IVO q square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet Subdivision:River Terrace Northwest I Lot no.:/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 equipment,materials,labor,overhead,and the profit for the i,''�' : . ) , � , t,:;:::1:-L' work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ,?,.,!"• ':::-/ � ';'. : Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/Z1P:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: Business name:Polygon WLH,LLC . N , , - 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.Grajewski@polygonhomes.com �� ,�' , �, � " � , • � �� Commercial and residential prescriptive installation of roof-top mounted Photovoltaic 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: $201.60 Authorized signature:` / ( / This permit application expires if a permit is not obtained �i �(/ f,, within 180 days after it has been accepted as complete. Print name:Angela Grajewski I Date: /'�S / I *Fee methodology set by Tri County Building Industry / Service Board. I:\BuildinglPermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application `City of Tigard F r 8 ?01R ren eta:/` —.)- -13125 SW Hall blvd.,r►eard,OR 97223Dufat /+ca—2Q �- Plena: 503.718.2439 Faz 503.598. / ,: } .. i?atue ReviewMau Other Penult; _inspection tine: 503.639.4175 •�,,1;t '� a, x 3 11 .4 ) �Readyfa �,;s• ;ntenict: N'W W'.tlk+ard-0r. ov �., g-y .r, :^ r r 1I Set PAP 2 iOr + .. T ; i 'I1!C. ;l 1 tl ;,S s 1k hu'u'ra14 Supptementat tarorrnarioa :p* -.4' c? ' t:it -' t,. 4:ai,--`,-.;$,,, ii3,44;,:', i r ^4: .T u p5� ,k1 x "6- jai � r - a r 1 ✓"a y��cl.:: • 4�...� w+r✓ „... .... � 7^ e.,:..�� wr � � ^-�a J� ..._. °•� -sec.3 .a._:x.�.s��#v.=,%.,.,-�f.'�vF- .�} sic‘.�trL�t ®New construction x^ Mechanical pan*fees*arc based on the value of the work 0 Addition/alteration/replacement El Demolition1�a+ned-karate the value(rounded to the nearest dollar)of all ❑Other: 'mausolea!materials extuipment,labor.oved iced.and profit. '-1.-S.yG�p -z..-<-4.:.:•.•...-- R. �1----,-,-,,- '4' -6 .d: ,l' '4 '1 Value:J s._ ::.:u. a 'h_,y '47---�' F rye' ,FTM ` F� F 4 n'' ,'.;1`P -.4 • ,,r'......%,-...-",:;,,,,, 7. 1.and 2-family dwelling 0 Commercial/industrial 0 Accessorybuilding orsped ajonnadx£ hzd9a ?��a•' ForspodmtbrJonrratlar use `Multi fammlly 0 Master builder 0 Other Description I Qty. 1 Ea. 1 Total tr ' :' , ,r '1 1'': .._ i ,`il± -/':= ,\:ILTf?`:,,'� h ['Cr< c `-Ir; ileatbtako11C yMr conditioning t 16.75Job site address: f 5v3 Rv�/tl D tU S1— Furnace IKON orU(ducts++d�) t 46,75 City/State/ZIP;Tigard,OR 97224 1 1 iPumnec 1001.000+BTU(duatovec t • 54.91 Suitefblllg„lapt,no,: ProjectnamBeat pump 61.06 Net-Terf e_iv a we meet„ark 23.32 Cross stnxUdirections to job site: Hydranic hot water system 23.32 Residential boiler(tadiatoror hydroma) 2332 Unit boaters(fuel-typo.not electric). in-wall,induct suspended.etc. 46,75 f uckentCmaayofabove I 23.32 Sabtiivisinr Ir ALL.• /at ..R. i Lot r►o: eta 23:32 Other fu Tax map(parcerl no,: el atpnlFa versa Water heater L4--'4:'±'_xx,_.. _ .e5. l'......«.,a.apr� � ,4- ��sT_F✓_.., c. J .k _ ?.,.�•s.__.; ysaS fitMplaeC�tieft I339 Flue vert for Nater hater or gas fireplace 23.32 Log lighter(Ras) 23.32 Wogdlpelitt dove 33.39 Wood ilrepb e9nsrat 23,32 Cbirnnevninednuefvent :3.32 s F � u c r fVii �4 ��+ d {L. � f 1 L ? �� .Oth o : 23,32�- ; ',.-• _ , r. 3_., , w.; , .j, � ,�." i Ay � T Eavity>aroeataltxhaest and ventilation: Name:Polygons W1.11,LLC Range hbodfatherkitchen Address:101 East 13`'Strict equipment 33,39 Clothes drver exhaust 1 33.39 City/StatefP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, Pbwte ( � ' Fate toilet wmpatments,utility moms) Li 23.32 ( ) Atticierawlsmtec fang L., C ;. x 23.32. * Y� �. ,"x h. ; � t 2332.�_,.iG '. ,._ iFadtpeBusintasara e:Polygon WLN,LLC Contact name:Anela G $14.16 for nest four;54..43 for each addinanat g inijtarski Furnace.etc. 1 Address:109 East 13th Street Gas!Mat pump City/State/2T:Vancouver,WA 98660 WidUSUSPCKidedfUlgt heater Wee'heater Phone:(3601695-7700 (Fax::(360)693.4442 Fire pine 1 E-mahl Arrgeht crajmrrski ralygonhomes.co a Range Barbecue r 7 Clothes O Business name:Apgt Air ,LC _Q,. _. Address:18004 NE 72"d Ave :'' ! ..L r� Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit foe(SMOG) Phone (369}342-SIB9 Fax (369)326-1769 �nreview(25%ofpermitfee) State sute30argn(1t%gf permit fiat) CCB tic.:203034 TOTAL PERMIT FEE 1Lir perm&[ppttatioa extdres lie pavrlt grunt oblates.within ISO Authorized si days silder it bas heir accepted as earapiete Fac ma�akrlog}' by Tri Cotmf,Brdlding lndnsiryr 5entioc t3uud I Prinrnitme„. t I { I Date: 3 .19•go. Electrical Permitil . _i _, . . :?:: Application City of Tigard OEC E�; 8 2 Q i G Persalt 4' S'rr�0/("VO.5- 3 13125 SW Ball Blvd.,Tigard,OR 97223` Plan Review ' Phone: 503.718.2439Fax: 503.598,19 y: Related Permit is ' ( s /• p r�' 'Inspection Line: 503.639.4175 s sa: ,11' Ready> Y• s See]age2 forTsC ;:Jlntemet WWwtigrd-ot.goV v resod; Supp ental information s ®New COnSStrUc io7 ❑Addition/alteration/replacement Please cheek k all that apply(cubmit2 sets of plans w/Iiems checked): ❑Demolition 0 Other D Service or feeder 400 amps or more O BwOdiag over three stories. wham the available fault mortal Oadadoes and _:`�=x<,.kt.SL:'�ri1^h`t-il ff.C?V . ;_ J 4 ;,,-„ � exceeds 10,000amps ai150volts or 0F70atingbwildmgs. ®1-and 2-family dwelling 0 Cornmerctal/tndtistdal 0 Accessory building lass to mesad,or exceeds 14,000 O Commercial-use agricultural 0 amps Our a0 other installations. buildings.• Q Multi-famll El Master builder _ 0 Fire pomp. Dl�allation of ISO KVA or a n �?,,,,', fn '., „. `1-.1/ P•4 1`.,"*P 'o c 1 '..a.s(e," ,3:1 =? ';11-- OB t y em. fiber separately derived Job#: Job site address:l Z S 1 r mous&, t 0 Addition more.form=overload of system. ` lOD1iP or more. 0"A",-r.,-1-2-,"I-3'; City/State/Zr Tigard,OR 97224 ❑Six or more residential waits. ooatlpa oy. OHeauh•eaefaeiiities. 0 Roommional vehicle perks. Suite/bldgJapt#: I Project name:I tr`ra `et`tel []c Q J� �Ci O Hazard=1ocatioas. 0 supply voltage fin more than " servIae or feeder 600 amps or mole. 600 void nominal• Cross street/directions to job site: ""m , 4 t- t , i -- •ILL-A, f '-r;v 1>ra 1 Qtr. Each Tietal New residential single-or multi-family dwelling unit. Subdivision fiAlof brace.N 1aftlr+W skt-- I Lot#: /0s- Includes attached rage. Tax map/parcel# 1,000 sq.&oricss 168.54 4 Ba.addl 500 sq.ft.or portion 33.92 I Lim led energy,resitlea 75.00 2 (with above sq.ft) Limited new,multi-family 75.00 2 residential(with above sq.ft) r A 'Wit-i.. Ffi a ,?A' -- --". .-'a""` ``x" z' P I4 4 s� Z Serveices ore feeders IasfaIteflon,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 to 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1.000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 55226 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 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps I I 125.08 2 Owner signature: Da1e: • 401 amps to 599 amps 168.54 2 ` „2y ' - n4 " >�rz of ± q s B Frcecor branch arcit;Rion,or extension,per panel�• at--• . r Business name:William Lyon Homes,Inc. above service or feeder coq 7.42 2 eaeh branch circuit Contact name:Angela Grajewski B.Pee for branch circuit *Mout:asit *Mout4 Aservice or Seeder fee,first Address! East 13th Street 56.18 2 brach circuit City/State/ZIP:Vancouver,WA 98660 . Each add'1 branch eau* 7.42 2 Miscellaneous(service or feeder not Waded) Phone:(360)695-7700 ' ''' I Fax:(360)693-4442 Bach manuuca red or modular67.84 2 Emaii1:Angela.Grajewski®polygonhomes.com dwellingcervicaardorf der Iteeenneetonly 6724 2 F?0c>: ` . - ”;- r - Pump or Irrigation circle 67.84 2 Business name:Garner Electric Washington„LLC Siga or outline lighting 67.84 2 4«,:. Signal circull(s)orlirclted Address:6101 NE St Johns Rd panel,altttatiom,o r extension. I]See Page 2 2 City/Stain/7H:Vancouver WA 98661 Each additional inspection over allowable In any of the above Additional inspection(1 hr loin) 6625/hr Phone:(253)320.1657 Fax:( ) Investigation(1 brmia) 90.00/hr Email:6daniels®gwensa.com kldustrislplant(1� +) • 78.18/hr Inspections for which no fee is 90.OW Lr CO3 Lie.: 01158 I Electrics!Lis.: 208174 Salary.Lie,: 4496S , .. ., listed 34 in mia Suety.Electrician signature,required:^ ' � 1 I ;� ;e •.-.. Subtotal: ,•'' Print name: Joan P Albert Date: 4/26/2016 D Plan Review Required(25%ofpemoit fee): C<<i' State surcharge(1296 ofptumit the): z.-.11%'‘‘. Authotxzed signature: � --. TOTAL PERMIT FEE: ?il; ;:' perms pp expires iter pantile not obtained within 180 •:4�.::= 7:'7ds Ea application :$'_:: Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. `v.til * Mnwberoflaspectioneallowed per pamn -' :7•laa6triordrermktlZe_Perualtee ET.TJERE.doe Rev 06/174015O1S 440-4615711/05440-461440-4615711/05/COM/043/3k.t., . l Plumbing Permit Appitcau1 sa f-tb„.Lifi. . . _ . Building Fixtures City of Tigard1)E i..-r. b .(L1 2016 Rodr4 Pcztuit.li°-:/ -(.7-c,20/6'06.5-33 . 13125 SW Hall Blvd.,Tigard,OR 97223- '... ' • Phone 503.718.2439 Fax 505981969- i:'.'7 ,.,,..,:.,_'1.RiT) Date/B. Odes Permit No.; InspectionLine. 503.6394175 '''-' ,-- - nee kiiadyfiar iusio SI See Page 2 far ..,Internet warw.tigard-or.gov t.- 17-MTV C 7,or' 7 -rk,', Notified/Method: '-' •plentental Information 1-;:;; 11 V':,--' '',.'f;1:,-,:',;;;-4'"-!:,:f.',•,:i'-'W,'P.4,;ti7-„1-:47z,ti*.41,7',-,Y4.5.iesiii4-71.:-;_fgiiit'ip:Af.--a!Llip., li,V,,,,3,,siti,,,g-f :4- 4-'-;i-le.5,.':,rtt.11-7..,2,01,-;;,c,s,f;,it,'",,,--;w6iy.g.:-5,-v.`6: C•1 New co(Istrued.= s Demolition For apecurl checklist infornwOors au Description I OlY. I Ea. I Total 0 Addidettialtetadonireplatentern 0 Other: New 1-2-fandly dwellings(includes 100 ft.for each utility count:Mina) '''''; ',--;:•'' '..--,`:-;C::::"--Z-- .1#11-"':: 7----:''''''':'''f':;;;,4,.;(7711.:21tt117A &147..4:-,, ,,:7?..:....41: skit(1)bath 312.70 SFR(2)bath 437.78 •1..r and 24mily dwelling 111 Commemiali-nidustrial. - S'it(3)halh i 500.32 E3 :Acce.tasorYbzuldin. g CI Multi.family Each addidonal bathAtitoben 25.02 - 0 Masterlaider DO . Fire k ler(____sq.ft.) Page 2 ii---'•, -.2•474`;'3'.." ;, Site utilities: Job She address: 17 tic sv4 i ,I irk ..2b basin or area drain Drywall,leach line,or nerch drain 18.76 18.76 City/Standar:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 •St*n?ldriaPt no.: . . Roject tiame:I P '%r' tXV' ; , 1 A manaseturedhomeutilities 50.03 dross streethlireedons to job site: Manholes 18.76 .„. Rain dtain connector 18.76 . , . . .. .• •' . , Sanitary sewer(no.lin=ft.: ) Page 2 ptslm.sewer(no.linear ft.:____.) Page 2 • • - . • Water'Service(no.linear ft.:. ) Page 2 Subdivki97*pity.-re neAct.. ti)/Muk-s 1-- Lot no.: 1 b 3- Fiztnre or item: Backilow prevonMr -1 • 31.27 Ten inaepanzi nti.: . . Back vaive i 12.51 YL.:,"i'.:;:.:-.2.i,,,-..f,.:„,,,.',',15-: -.:1.1`.!,„fifri.:•',i;-„0.;; :ft..16-71f1W:TA5'412.76g2. -fg22-.7 . -.'t"-•7•4, 25.02 • 25.02 • .Drocit* g fountain 25.02 . . . • Ejeotordanrefy25.02 .. - --„,,,,,,.._.,,,,..,-,-,,••...,,,,,,,...,-.1. •.-.7,7,„.„,,,....r.z,,,-,;,?, ....--„,.;.2•••••.....7. -,•„,..,&„z)„..;••.;1.1,,..-1-4.;,:f,•••47,1•,:,ii.•:-...,:-.zz-„,•,,,,..:Kt-i-,-,...,,,j....,,:::".• El:panel=Mak 12.51 'i••••.,..;:i.-i,•,....,•••:".,.,.•.t...,•:.:z'f_::.,..o•gr..y,:i(11:7.: 1:e.;'::.,,,ir,',,,,,t4+-4:•41-::,-4,'5-'ili,,::,'.1::,,,,,,,,,, :;•: ,,.,,s...,.;s;..t....7',,,&y,,,.7.;.,-;...;',j.,,,,,f, 25.02 Name: l.sini iltildings.LLC . Rent draiailloor sink/hub Addrets:76tIO' DtiuMetree Ranch Road Garbage'disposal . 25.02 .. •dity./Statetali Scottarlalet AZ 85153 SoillAbn 2.5.02 Phone:(602)6944031 Fax ( ) let maker 12.51 . •:... ,..• •• •• ''•".''''•••'''',, :••:-•••:.:1i''..7:i,;:''F,•-;'•,:.••';"-,,:-,q•••:::: 4.•:'• ••••, :'":.;•';''::1.11,1'•'n 7'-':'..."---:. :-','", ".-,,iiTW‘;''', 7'T• VelixOtterigceate tteP 25,02 Afecraxi'gas(value.3 ) , Page Z Studoess Amax NY.0111nallaat ODMesOinc - • • Pinler , 12.51 COlattnaPe;A9a1.4*Gr4011014 cala(commercial) 12.51 Addt#IF.1951**POI SIO0 . . Sb*Ibuslallavatory 25.02 ditiiSiitoith Vaistouver,"*A 93660 . ,gobs'oohs(potable water) Moist:.*45 695-7/03 I Far:(360)6934442 Tab/shower/shower part 1231 Urinal 25.02 liplauliA.Bgela•GraieWsiclepolygoahosues.com 25.02 .•••,,---.--..•..-;.s,, ,,-,•.-.'...-" ,.:2.-,-".,••,..,..„.„.„:?7,:a.•„-::::)..m--;:.•;•;-,--...,, ,-5.,-:,......"-,1,,,,-_--J-;:;,,,•.:?,‘„-_,7,±:.--,q.::.:::,,,-';'.-_-: Q.!-f. Waterbcat 37.52 IttlifOesti;acte;' .G4-3 t kis !:kr. ,1_40,8„ 24,te...,. ., *der Pilibigli)WV 56.29 . •Add"4"- 1)!ct,• „643‘ alA Other: , 25.02 ' :cis . 5r, Pet oft- . gel•‘31Subtotal , • Miniongo pariah fie:.572.50 .PhotiO 3.,,-Sf*S'-' (41,1 ,Fax (1-1 V.-19.1-1*IP - Plan review (25%of permit fee) •Cci$Lie,: I931L . 31.lo-. . • P41.1044 1.3 ;04b. 6311 Stare seiehargo(12%or*mit fee) . ..... Authirtizedsignaturc:- . ' S;tirkt -q-C)O.Pee`"---- ToTAL FEEiAri FEE _ ... . . • This permit- application orphYs it aping*is not obtained edible ISO nape ,P•rinl,i10310; ,,Sifr totit... rp.w14_e____ Da, 162-36-1 to liner;it hat beAt tieeetriaa I.CCiiiiilete. ' - Fee methodology sc.;by Trir.,omdy Building bubetty Service Board. lABundinvematift.NU-PeontApecne Int* 44040161(10/02/cOi6/WEB) I , IIICity of Tigard g ® COMMUNITY DEVELOPMENT DEPAR'T'MENT T 1 G A R D Building Permit Review — Residential Building Permit #: / "c 7 ' 3,3 r , Site Address: -Iy-S S LA) 4?-0-,e,l;w C4- Project Name: -r^ tyer tofret C;___ )1j or-4411.4 s- (New dwelling= e oowner) subdivision name;Addition or Alteration=last name Lot #: S Planning Review Proposal: Net.) 5 c (4e,4-ac(ne4, iklVerify site address/suite#exists and active in permit system. fktiver Terrace Neighborhood: ❑ No X Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan ,2fxisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"' paper oo tprtnt 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 Applicant information(name and phone number) 'Location of wells/septic systems I Lot dimensions and building setback dimensions protP'Exisection trees to be retained with drip line,and tree Lot area,building coverage area,percentage of coverage and measures impervious area(applicable if R-7,R-12,R-25&R-40) VStreet tree size,type and location Property corner elevations(2 foot contour lines if more than Street names 4 foot differential Or Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ar No Received: ❑ Yes ❑ No or Public Facilities Improvement(PFI) Permit: Required: ayes,applicant was notified ❑ No Applied For: Land Use Case#: ► IA-'�'es 0 No,stop intake DRa,UtS -oow 5 Su.3 ao1SS - po00 8 A.'zoning: R- 'Pip Required Setbacks: Front 12 Rear p Side 3 Street Side — Garage a 0 Landscape Requirement: a o o/o ta'Lot Coverage Maximum: 3c.) .Building Height: Maximum Height s Visual Clearance Actual Height EN'Easements IV—Sensitive Lands: 0 Yes kr Urban Forestry Plan No Type Conditions "Met" rior to Notes P issuance of building permit {-- rt.k; n un tt-- Cl — ► (Ain.set 1 n kr-.; d✓ L�� Sd (.l.dtMtG.t. . ' " 7e/ �v' r T Approved By Planning: -A�`- a • u• Date: Revisions (after Building Submittal only) �' —�� Revision 1: 0 Approved 0 Not Approved Reviewer Date Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved 1:\Building Wonns\gldgPermitRvw RES_091216.docx r a Building Permit Submittal Original Submittal Date: /0 (f / Site Plans: # Building Plans: # permit#above. Workflow Routing: 42- PlanningEr-Engineering Building Permit#: Q"Enter building ®-1/ermit Coordinatorig Workflow Sign-off: •1; Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy ofpermit application, (1) site plan, (1) building plan and original plan review routing form. 2/Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: �' I 1�'�"� ate By Technician: 1. — D y Permit Engineering Review Slope at building pad: .. + J� N� I cr onditions"Met"prior to issuance of building permit _�. ,"` ❑ Easements (encroachments)per engineering conditions of approval and plat 0 Water Quality/Quantity Facility: 0 No Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 Yes Date: 0 NOT Approved by Engineering: Notes: YAW' Date: /7—/�:/� Approved by Engineering: Date Revisions (after Building Submittal only) Reviewer Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit Date: ❑ Approved,NOT Released: 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: Wash Co Trans Dev Tax: Tigard Trans SDC: Yes 0 N/A SDC Fees Entered: (I Yes 0 N/A Parks SDC: Yes 0 N/A OK to Issue Permit Date: / -• 1.)— � ' Approved by Permit Coordinator: 1:\Building\Forms\B1dgPermitRvw_RES_091216.docx City of Tigard III • p COMMUNITY DEVELOPMENT DEPARTMENT : m River Terrace Building T I G A R D g Permit Review Addendum ddendum Building Permit #: As7 � Site /C � ��-'� Address: ��45S S Project Name: . �`�` .0— ' v t c Teri—. N (New dwellin o r 4-111.4 S Lot #: g=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards Is the project subject to the plan district design standards?yi Yes 0 No (18.660.070.1): 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 in 0 m . 2 ft., 6ft. wide Gabled dormer 0 0 0 2. Eyes on the street: a o tniiumum o 13 . 12/0 of each street facing facade must include windows or entrance doors. Percentage Shown: 7 la 3. Entrances:At least one entrance must meet both of the following standards: XMax. 8 ft. setback from longest street- facing wall XParallel to street,angle no more than 45° from street, Entrance opens to a porch: Z Yes 0 No or open onto porch If yes,all the following apply: 5e One street facing entry f25 sq.ft.min. 5 ft. depth min. Dr12 ft.max. roof above floor of porch 1g30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all stree - overed porch min. 5 ft.wide x 5 ft. deep t facing facades: kr�C Recessed entry area min. 5 ft.wide x 2 ft. deep a Wall offset min. 16 inches Roof eave 0 Dormer min. 4 ft.wide min. 12 inch projection 0 Roof shingles either the or wood Roof offset min. of 2 ft. Xi 0 Roof pitch oriented south min. 500 sq. ft. Gable,hip or gambrel roof design ❑ Horizontal lap siding min, 3-7 inches wide ❑Accent siding min. 40%of street facade 0 Window recess min. 3 inches for all street facinDerWindow trim min, 2 1/2"wide by 5/8"deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access 0Bay window min. 5 ft.wide by 2 ft. deep 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.Lyes 0 No. If NoCheck one): 0 May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. 0 May extend up to 5 ft. where the garage is part of a two-story buildin an above the garage that faces the street with a min. area ofg d there is a window at the second story 12 sq.ft. Width: (Check one) 0 12-foot-wide garage door I50%max. of street facade with 7 detailed desi� 0 40%max. of street facade Notes: elements Approved By Planning: \FmuBldgPermitRvw_\ Date: //'/T - RES_RT_062216.docx i I:\Buildingo City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17455 SW AMELIA ST, BEAVERTON, OR, 97007 July 26, 2017 at 12:11 :13 PM Record Type: Record ID: Residential - Master Permit MST2016-00533 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