Loading...
Permit (265) i 1 City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT 114 T 1 G A R D Building Permit Review — Residential Building Permit #: ri S`7..,29/ , -- Op VI9 Site Address: 11'103 SO A .,,e,(1 cc. Sl-. Project Name: }R', ie r -re rm.c_t t'J o•--Ik t.,.) er 4- Lot #: o`i (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N e Li SFR. - a e 4-6 d . Verify site address/suite# exists and active in permit system. q4. River Terrace Neighborhood: ❑ No X Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan Existing structures on site ('Site plan must k on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished kDrawn to scale(standard architect or engineer scale) floor elevations IN-North arrow N'CJtility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number ,BThocation 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) iijStreet names ..41 Property corner elevations(2 foot contour lines if more than 4 foot differential) Cit Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified IW-No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: I Yes,applicant was notified ❑ No Applied For: [(Yes ❑ No,stop intake IV" Land Use Case#: -*PDR .2.015 - poops / Su-t, ao (5 - 0006 $ JR" Zomng: R 7 PD 51, Required Setbacks: Front 12. Rear I,p Side 3 Street Side ` Garage . o g"Landscape Requirement: czo % E Lot Coverage Maximum: Bo % Building Height: Maximum Height t\J pc- Actual Height . Visual Clearance Easements J` Sensitive Lands: ❑ Yes 11"No Type Urban Forestry Plan 06 Conditions "Met"prior to issuance of building permit Notes: (vt,t,ek piar,nirt.c1 Coad:-l;u✓i 4..)-q1 pri u✓' -h per 4- 1rs“..ar.c..e . Approved By Planning: l C.ktA-14. , C ck;,••t,,, Date: l l- I q -1 S0 Revisions (after Building Submittal only) viewerDa['fl e Revision 1: Approved ❑ Not Approved i�2'2i Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved \Building\Forms\BldgPernutRvw_RES_091216.docx s - f Building Permit Submittal Original Submittal Date: //////s, Site Plans: # 9 Building Plans: # ..3 Building Permit#: [ Enter building permit#above. Workflow Routing: �'Planning er Engineering Permit Coordinator C uilding Workflow Sign-off: 2'Sign-off for Planning(include notes from planning review) Route Application Documents: ,[2'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Jai Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: N __ Date: -//'i!/C') Engineering Review . 0 'Slope at building pad: - c)0 a onditions"Met"prior to issuance of building permit .---- 7-- . Easements (encroachments)per engineering conditions of approval and plat ,,Water Quality/Quantity Facility: 1 Assess Water Quality Fee in-lieu: ❑ Yes .1 No Assess Water Quantity Fee in-lieu: ❑ Yes Aff No LIDA Facility on lot: ❑ Yes .ErNo ❑ NOT Approved by Engineering: Date: Notes: //,^,w, / Approved by Engineering: /1,l 4) . Date: /k. / t 6 Revisions (after :uilding Submittal only) Reviewer Date Revision 1: ti Approved ❑ Not Approved 4447;) 0'Xi t7 Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit?ieP Approved,NOT Released: 4Date: i r 4 -/ii� 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: ►�� es ❑ N/A Tigard Trans SDC: ai Yes ❑ N/A Parks SDC: ::: Yes ❑ N/A A y OK to Issue Permit Approved byPermit Coordinator: 1 / Date: 11(30 i le PP / 349/1q I:\Building\Forms\BldgPermitRvw_RES_091216.docx l • City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT :111111 •T I G A R D River Terrace Building Permit Review Addendum Building Permit #: �� j(, -pp Site Address: I `7 SFO 3 51...1 /- 1 i o S-1-• Project Name: 2;vet 1 rract_ KJo.i-Ruts f Lot #: 1 o`b (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?JR-Yes ❑ 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. 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 15 ' ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: Ve, 3.Entrances:At least one entrance must meet both of the following standards: WMax. 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: j}-Yes ❑ No If yes,all the following apply: 4"25 sq.ft.min. f(One street facing entry .[f"12 ft.max.roof above floor of porch '5 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 facades: EN-Covered porch min. 5 ft.wide x 5 ft. deep -Recessed entry area min. 5 ft.wide x 2 ft. deep e Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide k"Roof eave min. 12 inch projection .11-Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood INT-Gable,hip or gambrel roof design El Roof pitch oriented south min. 500 sq. ft. kFHorizontal lap siding 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 ❑ Bay window min. 5 ft.wide by 2 ft.deep El 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. Tr 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) El 12-foot-wide garage door El 40%max. of street facade ►.1 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: C (�ci.A:.y- Dare: 11- /S 7:\Building\Fotms\BldgPamitRvw_RES_RT_062216.docx 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 Mt Tran mit s tal Letter 7111 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 b « FROM: Angela Grajewski COMPANY: Polygon Northwest left— PHONE: 971-212-2144 By. RE: )71-103 Sknl bore .i A SC /1451-34y— 004'6 (Site Address) (Permite River Terrace Northwest Lot i flt2) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: opies Description: Copies Descriptio ,,., �\ 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 ' v ; ... � � � � �"OR .OFFICE ONLY ,'. �y � �� Routed to Permit Technician: Date: 3 .2'j /� Initials: ��' Fees Due: Ikes ❑No Fee Description: Amount Due: y y yz.. ,. Q C. $ aa- ��' $ $ Special Instructions: Reprint Permit(per PE): Yes ❑No Sone Applicant Notified: Date: /(j//7Initials:/4i• I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 1r CITY OF TIGARD MASTER PERMIT 111- : COMMUNITY DEVELOPMENT Permit#: MST2016-00489 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017 Parcel: 2S106DB10800 Jurisdiction: Tigard Site address: 17403 SW AMELIA ST Subdivision: RIVER TERRACE NORTHWEST Lot: 108 Project: River Terrace Northwest, Lot 108 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2229 sf Value: $271,136.41 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 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 add9 500 sf: 3 201-400 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 2229 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 One Hour Fire Rated Eaves 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 Required both sides STE 1 2 Ersn Cntrl 503-639-4175 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,124.54 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throug OAR 952-001-1090.�YYou�mmay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: r -& v-e._ �il.� +911 'L /Cj Oi'i.� • Permittee Signature: i 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. r , Building Permit Application i--. D/ /. 5ir II _,4 — t W /G�/,/ �,, ff / A`w:.•,, iif, f1 FOR OFFICE t SL O \L1 City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 0 C T 1 1 2 016 DazeBy: // ����' permit No ry�Z/��/v"--`) �76/ Plan Review / a.' , ) te/42,J/4`e(O - III I Phone: 503.718.2439 Fax: 503.598. ¢S�. DazeBy: ��Permi !.I C,,� !> Inspection Line: 503.639.4175 (j1 I V OF TIGARDDateReadyBy: ,, �� ry,J j J�u;s: H See Page 2for Internet: www tigard or gov BUILDING DIVISION Notifed/MethodJ// •cif>° Supplemental Information K /L- /` /C l I;k # "ye & � A, � , : aL ®New construction 0 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 Eler Other ,�F � � k 2 equipment,materials,labor,overhead,and the profit for the � work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: ( !�7 J! j3 Number of ms: 0 Accessory building 0 Multi-familyCZ 3 0 Master builder 0 Other: Number of bathrooms: : „,;4,�t , „�� . i i ;E;: Total number of floors: M Job site address:/7L/ SW Amelia St New dwelling area: 2 0 8 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 3160 V square feet Suite/bldg./apt.no.: Project name:River Terrace Northwest Covered porch```` ����'�""area: square feet Cross street/directions to job site: Deck area:f J3 8 square feet Other structure area: square feet tii l ;Ea t , tGls-+ Jt;IL #mi ilf.' Subdivision:River Terrace Northwest Lot no.:}0(5 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the ” ' F work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ", ° .-7-7,, `T` -1:51 Number of stories: • 1. Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLSplan review fee(if applicable): Address:109 East 13th Street pp )' 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 ��y �' ,T. r �" 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 and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review and administrative fees): $180.00 Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lit.:207247 Total fee due upon application: $201.60 Authorized signature: / frAThis permit application expires if a permit is not obtained ✓✓✓✓✓✓ �����111111 within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: *Fee methodology set by Tri County Building Industry /10 Service Board I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) RECEIVED Mechanical Permit Annlication , 1},: i TI I „ I I ,,1 (1\I City of Tigardgl NOV 2016 > /. L�j Dately Permit urn.�`7 / C/!c: �f0 / 13125 SW Halt Blvd,Tigard,OR 97 plan Review Phone: 503.71$2439 Fez 503s9Ll lTY OF TIGARD D }: Other Permit, Inspection Line: 503.639.4175 BUILDING Q����,,,„DoteReady/By: i H seePaae2for Internet www Ndified Supptemeatat infermatiaa ._��� -� ,fr ^=fi- r�i «r�' ,*prow. _ --':`.r.° ti °-'*, �`, II —');Ii'''.--' C;,s�•�'�`' -c--9 _�.f"t.a �?,;..It J rpt �� t �.> �'� err. Rr ^� , �e f S€ .+ a''; i ,�,` '�c� a ..ee.e'�::- a - Mechiaical permit fees+are based on the value orate work ®New construction 0 Addition/alteration/replacement performed.Ind"icystc the value(rounded to the nearest dollar)of ail ❑Demolition 0 Other mechanical materials.equipment,labor,overhead.and profit. _ .~ Value $c; ; 5 r S�`, 1 - _t.,. e -a. o .Y E.st A 3 .: .� ` .-• ,‘--,_,,;:7A,--,.,:� ,t"'r=='r rS eawY; � rd ' :-t;.--._ - ---Vag . r.t . ate❑1•arid 2-family dwelling ❑Commercial/industrial ercial/industrial 0 Accessory building For spetidbrjnrmartonaiechecklist ®Multi-family 0 Master builder 0 Other: Description ( Qty. 1 Ea. ( Total .__�. 3 ._.;._r} +._F.i' 1 1ri( 1,` ` tE,rx,_-,is[0f 5f --.r Heating/cooling: krialln=: Sob site tutdttcs: y Air conditioning I 46.75 j vv 'art 11 .4. r Furnace 100.000 BTUfduets'Ants) r 46.75 City/State/ DP:Tigard,OR 97224 Furnace 100000t BTU(deets'vaas) 54.91 Suitt lbidglapt no.: Project name: , Heat pump 61.06 A`t L. . Dunt work 2332 Cross street/directions to job site: 1lydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Link hors(fuel-type,not electric), in-wall,in-duct suspended,etc. 46.75 p�/►�� © f:luehent for nnv of above , 2332 Subdivision r4+ �/�3d � ` Lot no. {.. Other: 13 32 Iv Other fret xpPiianeax Tax map/parcel no.: Water beater 23.32 a E a € ,i Gas fitet accur 33.39_ .Z__.�_L�� g�a1 _. ._ �__ �,.; L�u��;��A�� - ._._..- Flueventforwaterheaterorgas ! fireplace r 2332 Loft tighter(ass) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 2332 China neyfiinertilueivent 23.32 cT :-..2 s !i.c 7- [7 T A e•- r .tn .Other 23.32 M Environmental exhaust and ventilation: Name:Polygon Wills LLC Range hood/other kitchen Address:109 East Le'Street equipment ' 33.39 Clothes dryer exhaust I 33.39 CityiStatefLIP:Vancouver,WA 98660 Sink-duet exhaust(bathrooms, s) toilet compartments utility morn 2332 Phone:(360)695-7700 Fax:( ) Aftic(CrawlspaGC fans23.32 2:7.:',7 -:,:i Tt e}.—... �.t€ .,.®. . ._�,....n�='.,s `f ��,,.� F ty` t.x 7 �-t °thec 2332 Fuel plain= Business naune:Polygon WL1i,LLC. $14.15 for Tied four.54.03 for each additional Contact name:Angela GrajcwskiI Furnas;etc. Address:109 Emt 13th Street Gas heat hump WaWstispendedhtn t heater City/State2[P:Vancouver,WA 98660 Water hater Phone:(360)69S-7700 Fax::(360)693-4442 Fireplace Roa E-mail:Aogela.Gra jevtlklgpoonhomeaeola>Sg � Barbecue k e ' t r � _�_. , �-5E _ clothes dryer(ges) Business name:Apes Air LLC Other: a r 7 t ' c GY P 3 4-.1.-,:-!4-.1.-,:-! 'ice . ... 0 Address:18004 NE 72"1 Ave Subtotal v, I City/State/ZIP:Vancouver,WA 98686 Minimum Permit fee 090.00) ) Phone:(360)342-8109 Fax:(360)326-1769 Plan review(25%of permit fee) State aarcharge(12%ofpermit fee) CCB TOTAL PERMIT FEE This perntt apptieadon ecpkea ifs p it Is notobtained within 180 dns alter it has beer aecrptedas complete. Authorized signature' • Fee methodology set by T-Coenty Building industry Service Bawd kiYYis D:ete: R•14•lt.. I ttH fharrefemat Me P4onHApt 04011-I Ow 440-46171(11JOVCOMRYF.n) RECEIVE[ . °:‘ Electrical Permit Application FOR Ort ICE IST_0\1.1 City-ofT�gard NOV 3 0 2016 ,ted p ;t# 13125 SW HallBlvd..Tigard,ox Dme/B --ri is/6 'LZ)y, ' Phtlna 503.7182439 Fare 503.5 OF��U��B RelatedPetmit#: T]ii,1cD Inspection Line: 503.639.4175 BUILDING DIVJS/0N Reedy Date/By: rerir: 0 See Page 2for Interact www.tigard-or.gov Notified/Method: SapplameotelInformatton u....-;_ ,. ?�E rw1'! W+ ---'iy ,.. .. 4-'-' " ' --'�§t r' .=r-�a _ it ::^'': :RRrc:' ®New conduction 0 Addition/alteration/replacement ?lam check all that apply(submit 2 sets of plans wiitems checked): ❑Demolition Q Other: ❑Service or feeder 400 amps or mom 0 Building over three stories. where the avafiabie r' t loabud boatyards � a��a"� -_ -FI�, "�z;i1i � tiiA�YCc () _ _ _ ': r �__' exceeds 0000 ampsat1SO volts or El Floating ®1-and 2-family dwelling 0 Commer nial/iadlistrial 0 Accessory building less to ground,or exceeds 14,000 ❑t;ommereiel-nae agricukaml ❑Multi-family ❑Master builder 0 Other: > for df other iosmaatiortt lastbuill aliogs.. T - ❑Fuc pump. ❑Installation of 150 KVA or a,_ ' Ss"s-r% att..,„,,,,s td;a`1 i(o.J,':',:et;r so.ti , -"- r,'a ,,..,`1' 0Emcgeneysystem. larger separately derived f, s Job# Job site address - t 0 Addition of new motor load of system. it'{-03 sw re., IOOHPormore. ❑"A;E;"I-2',`3-3', City/State/ZIP:Tigard,OR 97224 ❑Six or mom residential urns. occupancy. 0Heath-nam&cittties. ❑Reaeationdvehicle parks. Suitclbidgiapt#: I Project name: v. -"rearosk'N ONezardoca locations. 13supply voltage for more than ❑Service mfeeder 600 amps ornate. 600 volt*nominal Cross street/directions to job site: Tm";- ._ Dascrlpdan Oh. Bach, I Total • New residential single-or multi-family dwelling unit. Subdivision: T kte0 uj I Lot#: (u Includes attached garage. Tax map/parcel#: 1 Ba.add' R portion33.92 "` t.J� !S I i u .0) X9,:17; J`�_ 3.- 4:y : =-1 Limited lenergy residential 7s 00 I68 54 4 1 (with above sq.IL) 2 Limited energy,multi-family 75.00 2 residential(with above sq.R) tea a u) t -6:4511,9).- -" :-.1. .{.lti -. ---4;7:1-=';------' -a0:i_At" s' Y = SReewasbolre:enders instllation,al❑teraSe nP,aganed/2o r relocation Name:ADVL Land holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 errµs to 400 nips 133.56 2 , am City/StatrJLIP:Scottsdale,AZ 85258 401 amps to 600 amps200.34 2 601 amps to 11,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 55226 2 Ell 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 i 59361 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 I 2 >4E ,41 .,ice .:�r :} ,•;i n ii,- Til , r ` Branch circuits—new,alteration,or extension, er panel i — — A.Pec for branch circuits with , Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7.42 2 t Contact name:Angela Grajewski B.Fee for branch circuits without 1 Address:109 East 13th Street beanies or fender he,fast 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Bach R&Mbranch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • ' ' I Fax::(360)693-4442 Each manufacaued or modular dwelling service and/or feeder 67.84 2 Email:Angela.Grajewski@polygonhomes.com Reconnect only 67.84 2 i:•_ _.. F .lam) _ 6)7c ' _- _ :r!-_----f: - Pump or ungalion circle 67.84 2 Business name:Garner Electric Washington,LLC Sip or outline lighting 67.84 2 palftd,alteration,or C7denSlOn. Signal cirarh(a)wlimi6od Address:6101 NE St Johns Rd 13See Paget 2 City/State/ZIPVancouver WA 98661 Each additional Inspection over allowable in any of the above i Additional inspection(I hr ntia) 66251 br Phone:(253)320-1657 I Fax:( ) Investigation(I hrmin) 90.O0/br Email:bdaniels®gweusa.com brdlrsbltdplaotp hr min) • 78.18/hr Inspections for which no fee is CCB Lie.: C1158 l Electrical Lia: 208174 Suprv.Lica: 4496S s listed i4 brink) MOO/hr " Suprv.Electrician signature required. :At,' al Subtotal: Print name: Joan?Albert Date: 4/26/2016 0 Plan Review d(25%of , Acquits pandit fee): _ State surcharge(12%ofpermit&z): s Authorized signature: -moi-- -�. —y TOTAL PERMIT FEE: 0'.. This permit application expires If a panels not obtained within 180 s z> :.,Print name Bill Daniels Date: 4/26/2016 days after It has bean accepted as completes y'r iF ` Number ofinspectioasallowedperpermit<.t�'•:.i9aadgetpene{yAgC PamltApp aLt�meliaoe Ray- 4+a4stsT(ttmsroanva7® cC.�t i to:': x py K , Plumbing Permit ApolicatCEIVEDi3g Building Fixtures NOV 3 0 2016 t u1: t)1 I l( i 1 til 1)\1 ) City of Tigard �3 Reeeive D Permit No.:/`1.Si +/6_ea q ' 1312sSWIffaliBlvd,Tigard, OI`TIGARD Pim Red I Phone: 503.7182439 Fax: NG DIVISION DatdBy Other Permit No.: I ; i 1, Inspection Line: 503.639.4175 Date Ready/By: hair: B See Page 2 for Internet www.tigard-or.gov Notified/Method: �/pp /� {�,/�,��/ _ Supplemental Information ., 1!^.. ... ..i-*4)F,7Te ..i...,.......... ,,...,.:!..:.,..:-.:*:i:::...„,-.: ":.PW'.i41#614*,; :.:...3.i-:..' G_: i:jr..3 ®New const uedon Q Demolition For special i,foreratiaa use checklist lacement 0 Other. Descriptionw 1-2-family L Qty ( Ea Total ❑Addition/alteration/re P New 1- family dweliiugs(includes 1008.for each utility connection) . -... . CATEGORY OF CONST$DCIION• SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commerciallindusirial SFR(2)bath 437.78 SFR(3)berth I 50032 ❑Accessory building 0 Multi-family ❑Master builder Other: Each additional bath/kitchen 25.02 Fire sprinkler(_sq.ft.) Page 2 • ".JOB"SITE INFORMATION AND LOCATION Site utilities: •Job site adrhuss: tl L1O 2 SAN) IR e// , ,0SI- �h basin or area drain 18.76 v v , 'lu/`^"\ Drywall,drain line,or trench drain ■ Page 2 City/State/ZIP:Tigard,OR 97224 Suite/bldg./apt.no.: Project name: \J -e �(�--Nvo Footing Manufacturedhome(nolinear ft s_ 3 utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_, Page 2 Storm sewer(no.linear ft: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: i C.ire&C-R, Lot no.: be, Fixture or item: Tax map/parcel no.: Backflow prevents 31.27 " " DESCRIPTION OF.WORK • ' " . . Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 .0 i'ROPERTY OWNER . . 1" • p TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cep 25.02 Address:7600 E Doubletree Ranch Road Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 •• ' ;, Igt,APPLICANT . . _ 0 CONTACT PERSON: Interceptor/grease trap 25.02 Business name:William Lyon Haines,Inc Medical gas(value:S_) Page 2 Contact name:Angela Grajewski Primer 12.51 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.Grajewsldtagpolygonhomes.com Urinal 25.02 . CONT'RACTOR , • Water closet 25.02 • • Water heater 37.52 Business name:Malwedal Enterprises Inc. Water piping/DWV 56.29 11 Address:PO Box 207 Other. 25.02 a City/State/DP:Banks,OR 97106 Subtotal Photo:(503)324-0759 I Fax (503-)324-0580 Minimum permit fee: 572.50 CCB Lie.:102535 Plumbing Lie.no.:34-276PB Pin review(25%of permit fee) State surcharge(12%of permit fee) Authorized signature: _[-� TOTAL PERMIT FEE �''�" Thu permit application expires Ita permit is not obtained within 180 days z Print name:Carolina Malmedai Date:04JL5/201b I atter it hu been accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board_ 1:113uitdwg4PamhAPLMU•PamilApp-doe 10/01/09 44e•46l67)eA2/COM/WEa) k 4 i C . E 9 IIIIICity of Tigard C COMMUNITY DEVELOPMENT DEPARTMENT • TIGARD Building Permit Review — Residential Building Permit #: /yCi j6 - OoV 9 Site Address: lNo 3 S v,J J - €.(; d. SA-. Project Name: f ; ye r - e rraLc-t. N or-{-k,,i es 4- Lot #: I 0 3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: IQ et...) S F t2 - d e-(-6eliv L , Verify site address/suite# exists and active in permit system. g1 River Terrace Neighborhood: ❑ No pZi Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan Existing 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 AitJtility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number ,2tocation of wells/septic systems Applicant information(name and phone number) -E Existing trees to be retained with drip line,and tree ,ELot dimensions and building setback dimensions protection measures , Lot area,building coverage area,percentage of coverage and ftrStreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) , Street names .V Property corner elevations(2 foot contour lines if more than 4 foot differential) Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified f'No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: N"-Yes,applicant was notified ❑ No Applied For: [(Yes ❑ No,stop intake .kr Land Use Case#: PDR ..U15 - 0o005 , SuP) o?u (5 - ouvpe .C)' Zoning: R- 1 PD ef-Required Setbacks: Front j 2 Rear I 0 Side 3 Street Side _ Garage V Er Landscape Requirement: a p % Nr Lot Coverage Maximum: Bo Building Height: Maximum Height g N.//Pt Actual Height 1 Visual Clearance ,'"Easements ka` Sensitive Lands: ❑ Yes kJ"No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: Ivy pia.-wt i n e, C0,44`.4-;u4 ..191 p ri u✓ -b per .v.i 4.- i ss t�r.C.0 . Approved By Planning: CIC tV:.••.-1 Date: l I— 14 -lc. Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved \BuildingTormskBldgPernutRvw RES 091216.docx I Building Permit Submittal Original Submittal Date: /0//%//k, Site Plans: # .9 Building Plans: # _3 Building Permit#: ff.-Enter building permit#above. Workflow Routing: ®'Planning Er Engineering E Permit Coordinator [ uilding Workflow Sign-off: G2'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 riginal plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: � � _ Date: ///9//6, Engineering Review �{ 'Slope at building pad: 0 .220 ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: 1 Assess Water Quality Fee in-lieu: ❑ Yes ALJ No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes ZrNo ❑ NOT Approved by Engineering: Date: Notes: /,,A I Approved by Engineering: l"6 i , U U . Date: / /221(4, 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 APP roved,NOT Released: Date: 't 4 o 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: ►�� es ❑ N/A Tigard Trans SDC: di Yes ❑ N/A Parks SDC: i Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: Date: 117312 24 ke I:\Building\Forms\BldgPefl itRvw_RES_091216.docx a r Il City of Tigard i 111 l 1111COMMUNITY DEVELOPMENT DEPARTMENT T l A R D River Terrace Building Permit Review Addendum Building Permit #: ,17j6 -Qp Site Address: 1`7 V 3 5l.J A-vv,e(i a- 51• Project Name: R i ve r Terrac,L Nin,44t1.4 Cr f Lot #: 1 0 t6 (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?,CR'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 ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1 , 1 Ve, 3. Entrances:At least one entrance must meet both of the following standards: Parallel to street,angle no more than 45° from street, , Max. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch: 'Yes ❑ No If yes,all the following apply: ,V25 sq.ft.min. (One street facing entry 12 ft.max.roof above floor of porch rgr5 ft. depth min. il"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: CR-Covered porch min. 5 ft.wide x 5 ft. deep khRecessed entry area min. 5 ft.wide x 2 ft. deep 8 Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide k"Roof eave min. 12 inch projection Roof 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. "'Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade [ Window trim min.2 I/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. PC-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 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: (' 0 0,t.,.A- Date: (1- i S -{to I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17403 SW AMELIA ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00489 Inspection Type: Inspector: 115 Electrical service Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17403 SW AMELIA ST, BEAVERTON, OR, 97007 June 29, 2017 at 12:13:32 PM Record Type: Record ID: Residential - Master Permit MST2016-00489 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: 17403 SW AMELIA ST, BEAVERTON, OR, 97007 June 29, 2017 at 12:08:29 PM Record Type: Record ID: Residential - Master Permit MST2016-00489 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Provide support for AC condensate line to hub drain per pipe manufacturer requirements. 4' maximum at 80 degree temp rating. All else appears ok. AC installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17403 SW AMELIA ST, BEAVERTON, OR, 97007 July 3, 2017 at 12:07:34 PM Record Type: Record ID: Residential - Master Permit MST2016-00489 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Correction from previous inspection complete. Violation Summary: Inspector Contractor