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Permit (266) CITY OF TIGARDII MASTER PERMIT COMMUNITY DEVELOPMENT Permit MST2016-00517 ll Date Issued: 01/05/2017 T [c.;Atx 0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ` L�/ Parcel: 2S106DB11200 Jurisdiction: Tigard Site address: 17319 SW AMELIA ST Subdivision: RIVER TERRACE NORTHWEST Lot: 112 Project: River Terrace Northwest, Lot 112 Project Description: New SF. 4/3/17 REPRINTED to add patio cover. 5/18/17: REPRINT to add additional water heater. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1105 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1427 sf Garage: 385 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2532 sf Value: $305,648.75 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: 2 Drains: 0 gWater Lines: 100 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: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2532 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY POLYGON WLH LLC 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 ATTN GAST,FRED VANCOUVER,WA 98660 109 E 13TH ST VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,988.62 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days, ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0' .. You may obta' a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: / ' c j/ a �.. Permittee Signature: rlZ� / // Call 603.639.4175 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. Plumbing Permit Atanlicag0 ECEIVED Building Fixtures City of Tigard 11 y Received # Pmmtt xo,�J/ ` ) RI 13125 SW Hell Bivd.,Tigard,OR 9 rY 1 7 2 017 '> �/`' 7 �•f u 47 O1( -((X' 7 view Phone: 503.718.2439 Fax 503 Daresr c�tPlaOdie Permit No.: Inspection Line: 503.639.4175 LII OF TI GAR D Date Rey/Br roar ®see Page 2 for Internet: wwwtigardor.gov BUILDING DIVISION NotirredtMethat SuPldemeaullnformatioa iVpp,A, ply; w �: �:. n+:4 New construction 0I]eanolifion + For spelWJormant+stheckila Description I Qt I Ea. I Total ❑Additionlalterationlrepiacement 0 Other. New 1-2-family dwellings(includes 100 si for each utility Connection) :.:: . •CATEGORY*OF CONSTRUCTION' : .. SFR(I)bath 312.70 ®I-and 2-family dwelling 0 CommerciaUnadustrial SFR(2)bath 437.78 _ SFR(3)bath 50032 ❑Accessory ry building 0 Multi-family 2102 Q Mutes'builder D Other: Fore sprinkler(,__sq.ft.) Page 2 _ • ••. : JOB SITE INFORMATION...AND LAC4 TION.. Site clOthies: Job site address: /7,319 svi pnituzi si-- Catch basin or area drain 18.76 , Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard,OR 97224 Footing drain(no.linear ft.:_J Page 2 SuitelbldgJapt.no.: Project name:& ey !?'f Nis�y,,v+t- Manufactured home utilities 50.03 Cross street/directions to job site: �=W Manholes 18.76 Rain drain c o:mentor 18.76 Sanitary sewer(no.linear ft.:_.,J Page 2 Storm sewer(no.linear R: 1 Paget Water service(no.Linear ft.: ) Page 2 Subdivision:g fiver_(e -ao.. 00(1140-es-/- Lot no.:1 t Fixture or Item: Tax map/parcel no Backflow parader 31.27 QF• Backwater valve 12.51 /', i �1 U / /;� 4/ ,�� Clothes washes 25.02 G Con . tt4i fr DY)A i a-f e Y hoku Dishwasher 1 25.02 • /rl S l��- W S f ( Drinking fountain 25.02 Ejectors/sump 25.02 © =Wry Expansion tank 12.51 Land Holdings,LLC Name:Min Land cep 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 _ City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694.4031 I Fax:( ) Ice maker 12.51. ®•.APPIUcANT 0 COTACT PERSON Interceptor/grime trap • 25.02 Business name:William Lyon fHomes,Inc M gas(value:S ) Page 2 Primer ,Contact nameW/t k //1 mire (commercial) 1251 Address:199 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360) fC 695-7700 /� I Fax::(360)693-4442 Tnb/shower/shower pan 12.51 Urinal 25.02 E-mail: M Mfe.7)%r s' f c ifl omni cj'm Water closet 25.02 . CONTRACTOR • ' Water heater ` 37.52 Business name:MaImedal Enterprises Inc. Water piping/DWV 56.29 Address:PO Box 207 Other 25.02 City/StairlZJP:Banks,OR 97106 Subtotal Phone:(MO)324-0759 Fax:(503-)324-0580 Minimum pernit fee: 572.50 Plan review (25%of permit fee) ' CCB LIc.:10295 Plumbing Lia no.:34-276!8 State surcharge(12%of Admit the) Y Authorized signature: a- TOTAL PERMIT FEE Print name:Carolina Maim:dal Date:04/2512016 This per°°`0 application after b acceptedres II a permitas comof obtained within ISO days •Pee methodology set by Tri-Caunty Building Industry Service Soul LuBuntlitstPermitAPLINIi.PmmaApp.doe 10101/09 440.4616?ODKVCOMIWEB) ttv II ill City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ T l c A R D Building Permit Review — Residential Building Permit #: /7S-7-0.2c7/6 00-5-7 2 Site Address: i ;3 i I S c,J nle..-1 ; ct.. -54-- Project fProject Name: R.i e r (Q(V C O NJ o(-wtw 0.1 f _ Lot #: //e (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: k1 e cid-a a (A. SF (( LVerify site address/suite#exists and active in permit system. IY-River Terrace Neighborhood: ❑ No NrYes,See River Terrace Review Addendum Attached Site Plan Elements: ,JThree(3) copies of site plan ,BExisting structures on site [ Site plan must kg on 8-1/2"x 11"or 11 x 17"paper gFootprint 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 ,2tocation of wells/septic systems CApplicant information(name and phone number) Existing trees to be retained with drip line,and tree .®'Lot dimensions and building setback dimensions protection measures fi'Lot area,building coverage area,percentage of coverage and 1 Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) ,Street names Cproperty corner elevations(2 foot contour lines if more than 4 foot differential) .Er Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified J 11lo Received: ❑ Yes ❑ No 12i'Public Facilities Improvement(PFI) Permit: Required: K-Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake Pr Land Use Case#: P OR a 015--00005 / izj3 DooOFs N-zoning: R - -7 P D Required Setbacks: Front IA Rear 00/0 Side 3 Street Side 0 Garage e ki"Landscape Requirement: (;)0 1 Lot Coverage Maximum: 8o % .12rBuilding Height: Maximum Height N/( Actual Height 'Visual Clearance Easements [ Sensitive Lands: ❑ Yes No Type ..i Urban Forestry Plan `?Q Conditions "Met"prior to issuance of building permit otes: I4 6/.4- PI 0.h h.( n r- Co.A d '--i u 4 c%)-`i p r, o c _}•. p- c-r.; i SS tk a.-,c."2.• • Approved By Planning: N L _ CC�„,.,;.., Date: I(-.3 I I Revisions (after Building Submittal only) Reviewer Da Revision 1: "Approved ❑ Not Approved Alt' a l Revision 2: ❑ Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPemutRvw_RES_091216.docx vr ar } Building Permit Submittal Original Submittal Date: /p/////, Site Plans: # 3 Building Plans: # 3 Building Permit#: s?"Enter building permit# above. Workflow Routing: 0—Planning ErEngineering DPermit Coordinator L}'Butlding Workflow Sign-off: EY-Sign-off for Planning(include notes from planning review) Route Application Documents: I -Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. -EfBuilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: .r:V ' _._ Date: 1/3�/A, Engineering Review •17 ,,[Slope at building pad: 10 ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ,Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 2r.-No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes ,,a'-No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: #►4 (In,. w • Date: l2 i 6 Revisions (after Building Submittal only) eviewer Date Revision 1: AApproved ❑ Not Approved ......z. ... Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ 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: E 4161r C Fees Entered: Wash Co Trans Dev Tax: Yes CI N/A Tigard Trans SDC: `�_Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: /01Date: /?///fr /d IABuildingFonns\BldgPermitRvw_RES_091216.docxia --. /2--f// — vs. / „ a City of Tigard 71 " COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum ventammis Building Permit #: / $7P //, --Do.5/ 7 Site Address: I.7 3 i 1 5 tri P ry-x6 cc S4- - Project Name: R.,v-e,- le((a c.c... klo(41 we Lot #: I Id. (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?. &°es ❑ 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. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep Gabled dormer ft.deep min.2ft.,5 ft.wide min. 2 ft.,6ft.wide CI CI5r ❑ 2.Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 6V-+ ' /5. S vka 3. Entrances: At least one entrance must meet both of the following standards: NrParallel to street,angle no more than 45° from street, NMax. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch: '6,.1 Yes ❑ No If yes,all the following apply: ENt25 sq.ft. min. ki One street facing entry X12 ft.max. roof above floor of porch J5 ft. depth min. ki'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: ,Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep gWall offset min. 16 inches ❑ Dormer min.4 ft.wide [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 inindow 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 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. Ci Yes El 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) Cl 12-foot-wide garage door ❑ 40%max. of street facade P(50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: 0_1\4. e,..u.,, � Date: I I- 3.l - I (c I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building depai nuents 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. 11111 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ; 4 • 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 FROM: Angela Grajewski "'` " '' COMPANY: Polygon Northwest PHONE: 971-212-2144 BY. RE: /73/of SIA/ fyYk St 1\161-7,0ll40- DOS11 (Site Address) (Permit Number) River Terrace Northwest Lot 11. (Project name or subdivision name and lot number) .`ICTACHED ARE THE FOLLOWING ITEMS: u�© i" esc`ripti©ln : cr F , ,.� :� _ Cape �. A N� 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 z Routed to Permit Technician: Date: ..— 2..7) -_ J I Initials: ) Fees Due -Pj Yes ❑No Fee Description: j� l7, Amount Due: 1: or $ $ Special Instructions: Reprint Permit(per PE): -----J Yes ❑No P=Done Applicant Notified: Date: �//3//7 Initials: Ai- I:IluildingWorms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENTIN Permit#: MST2016 00517 TIARA 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017 Parcel: 2S106DB11200 Jurisdiction: Tigard Site address: 17319 SW AMELIA ST Subdivision: RIVER TERRACE NORTHWEST Lot: 112 Project: River Terrace Northwest, Lot 112 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1105 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1427 sf Garage: 385 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2532 sf Value: $303,104.27 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 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 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: 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: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2532 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY POLYGON WLH LLC 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 ATTN GAST,FRED VANCOUVER,WA 98660 109 E 13TH ST VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,840.95 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 '+A' •52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. . Issued By: , . Permittee Signature: �� /77%66/� � 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 L c 7 /Z RECEIVES OR orrl(r I sr oNL) City of Tigard f CT 1 1 2016 n %/.5� ' PermitN7 /4-4, ' %7 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review �j� `/ s Phone: 503.718.2439 Fax: 503.5 DateBy: JO�. Other Permr ?4K /E�`�0` �' } t� Inspection Line: 503.639.4175 ' I B g-� g DIVISION �!r/ g Date ReadyBy: f _//e, �« Juris: H See Page 2 for Internet: www.tigard-or.gov B U l LD I N G D 3�P I S I O N Notifed/Method:/ �(> Supplemental Information 4 ,11 /r..r e' rz/S ®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 ❑Other equipment,materials,labor,overhead,and the profit for the ,s .1 ' 3 work indicated on this application. ® 1-and 2-family dwelling ElCommercial/industrial Valuation:3 J j 0-T $ X072 1— ' 1 lfl ❑Accessory building ❑Multi-family Number of bedrooms: (� ❑Master builder 0 Other: Number of bathroomss 3 Total number of'leers:oors• Z �i Q 1 7 Job site address:/7101 SW Amelia St New dwelling area: 253 Z square feet City/State/Z1P:Tigard,OR 97224 Garage/carport area: 3t( square feet Suite/bldg./apt.no.: I Project name:River Terrace Northwest Covered porch area: 31 square feet 1 41 Cross street/directions to job site: Deck area: square feet OS"— Other s^Other structure area: square feet Subdivision:River Terrace Northwest I Lot no.://2 Permit £ diap fees*are based on the value of the work performee d. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 6.: t 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/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 FLS plan review fee(if applicable): Address:109 East 13th Street 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 w �� �� Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained �/ `vv ►►1(((/// ��, within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: 67 / ' Fee Servicmethodole Board.ogy set by Tri-County Building Industry /10 I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applica> dl I 1 t-i; (ii 1 l i i 1 ,, uN.s , City of Tigard tRecei'Y Fenno ho; 13125 SW Hall Blvd.,Tigard.DR 97223 NOV 3 0 2016 p,a,t eeview Phone: 503.718.2439 Fax 503598.1960 p Other Permit: inspection Line: 503.639.4175 CITY ��n��d�1 Date a .igy_ res J la see Rage 3 for Internet: whsw.ligard or.goc u �i 9 11 Ndiliedtt«fe iod 1) Suppiemedal Information • -, i�4DIVISION il= S -_ x-- t`-. s---n --- . ---- ..- -`r -- .r_:F-t-`. -e ^..g•.- �_. - Mechanical permit fees'are based on the value of the work.. ®New construction 0 Additionialterationfrcplaccmcnt performed.Inflame the value(rounded to the fleetest dollar)of all Q Demolition 0 Other. mechanical materials,cquipmctd,labor,overhead.and profit. } .z "F-r :-"'s {._.w.wi ••,-;---,•, ft-r Y..'`4z xa -s' Valeo:$ -^ x 4 ..r : -- ,-- j.. ,1- "„-.f-- x --a " ' ,''''''''''''''-$:''''- —,-* t__• �,;rr r amt +rte Cc?al I d`i.:: t -, ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For medal tafurmattoa tiledkeatlst ®Multi-family 0 Master builder 0 Other: Description 1 Qty. 1 Ea. ( Total ,. 'T' i...,� :i`) ;Y: I E i F rel-,-i-i'i CSF' t tt sl,.. ,--,alas. . n. HratinglaiMinV 7 3/9 W f\-1\1\03,o„; S T Air Furnace 100.i0g I. 46.73 Job site address: 100.000 B1'U{dnashrtnlxi 46.75 � City/Stale/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name Iatgtv're rYt►.e..n .10v` MunDuct work p 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(nadiatorot hydronic) 2332 Unit heaters(foci-type.not electric), in-wall,in-duct,suspended.etc. 46.75 1 Flue/vent for any of above , 2332 Subdivision r I)✓ !(r u 11j I Lot no.:") Other. 2332 Other fuel appliances: 1 t Tax map/parcel no.: Water heater 23.32 » Y -. :.r -- -s.a\(r e1 ," i --x„,,,..,..22-,..,..1„,-, aL'',..1.-;.'.. GAS fientf r water 33.39 Ftue vent for water beaux or gas fireplace , 1 23.32 Log lighter(gas) 23.32 Wood/pelletstove 33.39 Wood fireplatailinsert 23.32 Chimticy/finer/llu tivent ' 23.32 14".1.‘t4.:; ;-=.)1 X r {C zC f€t .yj fir' —tr�"„j,` 1 '-x. t. ;, Environmental 23.32 __7 F4 :i'•'•11- c'.1--442''':1F11;44 -4:'4 . - Environmental exhaust and ventilation: Name:Polygon WLH,LLC Rapge haat/other kitchen eqAddress:104 East IP Strctr Clothes drnt ( 33.39 Ctotltcs dryer exhaust I 33.39 City(StatefZ(P:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility moms) 4 23.32 Phone:{360)695- 700 Fax:( ) Attic/crnwlspa ee fans 23.32 s r u l4 i,b 11.5 _ w.. ;.}-_,"::;,f- . c;t a ami` ,_1 . Other 2332 Business nulla:Polygon WLH,LLC Fuel plpite>s S14.16 for fust four.54.03 for each additional Contact name:Angela Craje:saki Furnace.etc. 1 f Address:109 East 13th Street Cray heat trump t - WalUstispcndedlunit heater t City/State/ZiP:Vancouver,WA 98660 water heater r Phone:(360)645-7700 I Fax::(360)643-4442 Fireplacei - r` Range E-mail:Angela.GnjerrakigpolygonhomeLcoia B enhocuc �_.... , -°- --- rae..°_`,_ `a .s - Clothes dtyer(gas) Business name:Apo Air LLC Address:18004 NE 72”Ave Subtotal City/Slate/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(22%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surehatgc(12%ofpor»tIt fix) CCB lie.:203034 TOTAL PERMIT FEE This permit application moires ifs permit Is aat.obeained within ISO love sftrer it hat been accepted*:complete. % Authorized signature' r Fee methodology net by Tff-County Building Mushy Service Board i; IPrintnatnel .j Date: 4-li-IC. 1 I tftundirlAtanurr4 i'pmaApq+aa1 it 4m 44t-4a171'(1I OVOOMRt'F.8) .RECEIVED . ' .. .. ... .... Electrical Permit Application rolz DITN l Lsr O\L1 City of Tigard N 0 V 3 0 Z016 ReceivedPermit 111 i 13125 SW RallBlvd.,Tigard,OR 97 rt_, y..� Plan Ravi"' Related permit 8: " Phoo 503.7182439 Fax 503,59 Oh a i ! "i r 4 U Datwa lo>pection Line: 503.639.4175 3 U I LD'Nl f /l4 ,e,s' '>Ready DatWBy: Jule: E1 sea Page 2 for T I G!.to L� Internee www.tigard-or.goV t ' Notl6edlMedwd Supplemental Information _ - = ry.,,>�' -z t•d�" W±,,•/'2 3 � -•n:z-= �':V �- 3", :+YS`o,a-.-;�T:;54.6.4'''''-'af-4-1-A..s,ti"; .:>.; "amu- -ij ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 seta of plans wlttems checked): ['Service or feeder 400 amps or mom 0 Building over three stades. ❑Demolition ❑Other where the available fault current ❑lvfadnes and boatyards. '• ,° ,_-_ _ 1 .' il-_a ttK6)47-.e 'rdi Y(a1'v r _ Y'-." : ` exceeds 10.000 amps at 150 volts or ❑mowing buildings. ®1-and 2-family dwelling ❑Commercial/uidtist ial 0 Accessory building rasa to ground.or exceeds 1000 ❑Commercial-nae agricultund amps for all other iusla➢ations. buildings.- ❑Multi-family 0 Master builder 0 Other: ❑pine pump. ❑Ltstallation of 150 KVAor v-q . n' 1-rl•—foi;�.ax ti;.S •.(P.. cW2-ti re a '--'" ATZ-17nY.r i ,, ❑Emergeoeysystem. larger separately derived m. Job II: Job site address/7;lot S' 'n t 'a fit- 0 JOOR Addition of new motor load of "Asys " ` IOOIIP or mom. ❑A':'�`;"1-2".`1-3'. City/State/ZIP:Tigard,OR 97224 ❑six or more residential units. occupancy. ❑Hmltb-care facilities. ❑Recreational vehicle mutts. Suitebldg apt#: Project name:Rive-r-T.cj - j NW ❑Hazatdonslocatios. ❑Supply voltage for mom than ❑Service or feeder 600 amps or more, 600 volts nominal. Cross street/directions to job site: Y ,_ , a _ in rt F ~ _' Descripdsn 1 Qty. I Sark I Total • �^ New residential single-or multi-family dwelling unit. Subdivision:Vi.�, ,�1 A� �0, Lot#:j 12 Includes attached gauge - 1,000 sq.tt or less I 168.54 4 Tax map/parcel#: Ea.add?500 sq.ft.or portion 1.4. 33.92 1 .:,,",--7, . . i1MCt1i 3u 1'; ,? defend = .mak_' '. Limited energy,residcmtial 75.00 2 (with above sq•ft.) Limited energy,multi-family 75.00 2 residential(with abovesq.8) i � ---f-'id^ � Renewable Energy ❑See Page 2 L =1- al 'r. !'u . k, . '� y' -, ' - 1'. v a '` nz Services or feeders installation,alteration,and/or relocation Name:ADVT..Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 to aero amps 133.56 2 401 amps to 600 amps 20034 2 City/StateJZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 1 Fax:( ) Over 1,000 amps or volts 552.26 2 1 Temporary services or feeders installation,alteration,and/or i Email: . relocation Owner Installation:This installation is being made on property that I own which is not 200 amps or lessi 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 70I. 201 amps to 400 amps I 125.08 + 2 Owner signature Date: 401 amps to 599 amps 16854 1 2 t` .1� ,p.� ,^s - _ t Yfr �, Branch circuits-new,alteration,or extension,per panel r = A.Fee for branch cireuila with , Business name:William Lyon Homes,Inc. above service or feeder fee, 7A2 2 each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits without Address:109 East 13th Street service feeder fee,first 56.18 2 y 1 branch cimtarit City/State/ZlP:Vancouver,WA 98660 Bach add'I branch circuit 7.42 2 1 Miscellaneous(service or feeder not included) 1 I Phone:(360)695-7700 • I Fax::(360)693-4442 Each maaufacuued or modular 67.84 2 Email:AngetaGrajewski®polygonhomes.com Rnsaid)?eadtorfaeder • Reconnect only 67.84 2 -r ,n h t;e ^01 --1-..--_.---:--__-- .3..I7.73, , •=1.--------z-- pump or irrigafioo chafe 67.84 2 1 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 4,.. Signal cheeks)or limited-energy Address:6101NE St Johns Rd panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 br min) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 briar) 90.00/hr Email:bdaniels®gweusa.com Industrial plant(3 hr man) • 78.181 hr Inspections for which o foe in 90OtYhr } CCB Lie.: C1158 Electrical Lie.: 208174 Suprv.Lic.: 4496S a ' listed hr min .-. - 7 '. ?,:iV =c.L1 S Its Jl• .i 1-r L7 tat- -_i.-k x.c---•.:.' rf- r Suprv.Electrician signature,required: ' - - . l W.- Subtotal: Print name: Joan P Albert •- J Date: 4/26/2016 0 Plan Review Required(25%of permit fee): I --' '- — State surcharge(12%ofpermit fee): ' Authorized signature: TOTAL PERMIT FEE: 1 it This permapplication expires if a permit is not obtained vrithin 180 Print name: Bill Daniels Date: 4/26/2016 days after Ohm been accepted as complete. 4;r+`.: * Number ofinspactionsallowed per permit rc:•�•"�iBeildi ePuma+laC PnmitApp SLR HRSdoc Rev 06t17/2015 440-4615T(tLtSicoWWna ;l G,-i•*i xt.ktR Plumbine Permit Anplica uEIVED Building Fixtures t c,r m i It i 1 ,i (0.1 City of Tigard NOV 3 0 2015 D /.By Permit No.: i 13125 SW Hall Blvd.,Tigard,OR 9 ■ Phone: 503.7182439 Fax: 503.5 OF r i G ARt DadBw Other permit No.: I 1 ,I, Inspection Line: 503.639.4175 U I L0NG o lvi s l O` Dat:Rradymy. hub: 0 See Page 2 for Internet: www.tigard-orgov NotiScd/Mabod: _ Supplemental Information New construction C! T • ❑Demolition For speaul irferrrra:3en use chICkilst Description I Qty. I Ea. 1 Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 it,for each utility connection) -' CATEGORY'OF coNsrEt crioNi• : SFR(I)balk 312.70 rg CommerciaVindustrial SFR(2)bath 437.78 l-and 2-family dwelling 0 SFR(3)barb 1 50032 ❑Accessory building 0 Multi-family - Each additional bath/ldtchen 25.02 ❑Master builder 0 Other. Fire sprinkler(__sq.ft) Page 2 'JOB arm INFORMATION AND LOCATION Site utilities: 1-7"vi - ` T i in 'Vl J ` Catch basin or area drain 18.76 Job site address: \ Drywell,leach line,or trench drain 18.76 City/State/LIP:Tigard,OR 97224 Footing drain(no.linear ft:_, J Page 2 Suite/bldgJapt.no.: Project name: tt,t\k/►r'-eprit -e-N W Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft:r) Page 2 i i Storm sewer(no.linear ft: ) Page 2 I 'I Water service(no.linear it: ) Page 2 Subdivision: '`�►i� i r ci,j . Ni vV.....1 Lot no.:I j 2. Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 . Backwater valve :I12.51 : i. - • DESCRIPTION OF.WORK : • Clothes washer 25.02 Dishwasher .. 25.02 Drinking fountain 25.02 Ejectors/stmrp 25.02 ® ROPERTY OWNER • I. 0 'TENANT Expansion tank 1231 • Fixture/sewer cap 25.02 i Name:ADVL Land Holdings,LLC Floor drain/fioor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 I Fax:( ) Ice maker 12.51 CONTACT PERSON- Interceptorlgrease trap 25.02 Medical gas(value:S_) Page 2 Business name:William Lyon Homes,Inc Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 e City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tublshowedsbower pan 12.51 I 25.02 Urinal 25• E-mail:Angela.Grajewsld@polygonhomea.com 25.02 t' Water closet . - CONTRACTOR . • Water heater 37.52 Business name:Malmedal Enterprises Inc. Water pipingDWV 5629 t Address:PO Box 207 Other 25.02 City/State/ZIP:Banks,OR 97106 Subtotal I Minimum permit fee: $72.50 Phone:(503)324-0759 Fax:(503-)324-0580 Plan review(25%of permit fee) CCB Lie.:102535 PNumbmgLic.no.:34-276PBState surcharge(12%of permit fee) Authorized signature: ('^__ TOTAL PERMIT FEE z Date:04/25/2016 1 This per's application expires K a permit is not obtained within ISO days r Print name'Carolina Malmedal after it has been accepted as complete "Foe methodology set by Tri-County Building Industry Service Board. t blauddu Pamitemiu.Pemdtappdoe iMIO9 440-4616T(10/02/COM1WEB) t t r s City of Tigard 1,1 • 'I COMMUNITY DEVELOPMENT DEPARTMENT T l c A R o Building Permit Review — Residential Building Permit #: /73-712e7/6 -- 40psj 2 Site Address: 1 73 1 1 S A rne_1 ; cc S4- Project Name: R',,,e r L j e 0-ack, Ni 0r-wtuiv. f- Lot #: i/c). (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: ki e cle 4-a a1/44 d SF (L_. Verify site address/suite#exists and active in permit system. gir-River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: .f Three(3)copies of site plan ,2 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 C Drawn to scale(standard architect or engineer scale) floor elevations [ North arrow eUtility locations(required for new,may apply for additions) [Site address,project or subdivision name and lot number 2,ocation of wells/septic systems [ Applicant information(name and phone number) , 'Existing trees to be retained with drip line,and tree dCJLot dimensions and building setback dimensions protection measures tot area,building coverage area,percentage of coverage and [ Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) ,Street names C1Property corner elevations(2 foot contour lines if more than 4 foot differential) I Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified N'No Received: ❑ Yes ❑ No Pi Public Facilities Improvement(PFI) Permit: Required: 11rYes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake Land Use Case#: PDRaoi5--C?UooS f c OOli CV Zoning: R - -7 P D / S`�13 do is v Required Setbacks: Front la Rear of, Side 3 Street Side 14 Garage c [Landscape Requirement: �)0 0/0 gleirgitc. ft-Lot Coverage Maximum: 80 OA .'Building Height: Maximum Height N/ Actual Height [ r Visual Clearance Easements EWSensitive Lands: ❑ Yes No Type Urban Forestry Plan ('Q Conditions "Met"prior to issuance of building permit otes: etL,4- PI0.h ( r11 Co;Ad ; u,4 .)-`j pr, ' -I-6 p, Approved By Planning: 0A� eat-1.-A......- Date: I(-,1 l -/6 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\B1dgPennitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: /l1`////f Site Plans: # 3 Building Plans: # 3 Building Permit#: ©''Enter building permit#above. �..,. ��//.- Workflow Routing: C�Planning Engineering QPermit Coordinator L��iuilding Workflow Sign-off: [ -Sign-off for Planning(include notes from planning review) Route Application Documents: Er-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. -Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: --(1(21P174,744e----- Date: 1/.�// Engineering Review •17 ''Slope at building pad: 0 ❑ Conditions "Met"prior to issuance of building permit D Easements (encroachments)per engineering conditions of approval and plat ,Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ,ENo Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes ,0"--No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: kL MI- w • Date: /2-/ 1 6 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: E"C Fees Entered: Wash Co Trans Dev Tax: :I'es LI N/A Tigard Trans SDC: Yes El N/A Parks SDC: (Yes ❑ N/A (1°OK to Issue Permit Approved by Permit Coordinator: /I/ Date: /?/////fr I:\Building\Forms\BldgPermitRvw_RES_091216.docx a City of Tigard p COMMUNITY DEVELOPMENT DEPARTMENT T l c A R D River Terrace Building Permit Review Addendum Building Permit #: / $7P-o/C, -00:5'/ 7 Site Address: I7 3 I 1 5 LTJ rY r ct. Project Name: .v.e r --C e ✓a CA_. &OMAtAieJ 1- Lot #: i (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?. Yes Cl 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 El ❑ El ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: etikUleeeti 15. S u/ry 3. Entrances:At least one entrance must meet both of the following standards: LMax. 8 ft. setback from longest street- facing wall 'arallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: kfYes El No If yes,all the following apply: g'25 sq.ft.min. e One street facing entry X12 ft.max.roof above floor of porch ft. depth min. ki'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: ,Covered porch min. 5 ft.wide x 5 ft. deep .kiRecessed entry area min. 5 ft.wide x 2 ft. deep Ikr Wall offset min. 16 inches El Dormer min.4 ft.wide INrRoof eave min. 12 inch projection ['Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood EN-Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. El Horizontal 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 El 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. 11+7 Yes El No. If No (Check one): El May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. El 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 El 40%max. of street facade V50°/0 max. of street facade with 7 detailed design elements Notes: Approved By Planning: =a Date: I l 3 - I (c I:\Building\Fonns\B1dgPermitRvw RES RT o62216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17319 SW AMELIA ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00517 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: AC not 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: 17319 SW AMELIA ST, BEAVERTON, OR, 97007 July 17, 2017 at 9:30:56 AM Record Type: Record ID: Residential - Master Permit MST2016-00517 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. No A/C installed at this time. Violation Summary: Inspector Contractor