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Permit (258) E t, City of Tigard 14 Ili COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: /`1.5 i'moo/6 — 005' ( Site Address: f e l) j SVS Amf4j S+, Project Name: 'R,\k'Y T-er1ace 1\10C'l'lrllr.- Lot #: ( I I (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NCV1 SF R (/ v) erify site address/suite# exists and active in permit system. -q River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: Trhree (3)copies of site plan existing structures on site ite plan trust be on 8-1/2"x 11"or 11 x 17"paper gPootprint of new structure(including decks)with finished brawn to scale(standard architect or engineer scale) floor elevations ,Ial•iorth arrow Utility locations(required for new,may apply for additions) _ ite address,project or subdivision name and lot number 111) ocation of wells/septic systems ,Applicant information(name and phone number) IAC Existing trees to be retained with drip line,and tree Lot dimensions and building setback dimensions •rotection measures Lot area,building coverage area,percentage of coverage and *treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Street names roperty 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 ❑ No Received: ❑ Yes ❑ No 124' Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: pD122-01Cj-a-ro .3Y:i1' zoning: R--1 ( PD) -Required Setbacks: Front S Rear 10 Side Street Side r•1[A_ Garage 20 , Londscape Requirement: t Coverage Maximum: a Building Height: Maximum Height N'pr Actual Height-' 1 .lZ Visual Clearance Easements Sensitive Lands: ❑ Yes - No Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: COMtiVinS Pu - P')C " prnoY -vD t'- r rn 0- iscUCUACe Approved By Planning: AI�t k:A u. I J si Date: t I,F2-t IV Revisions (after Building Submitta 0 nly) eviewer Da Revision 1: X Approved ElNot Approved / 4..../4..../ 2 7'" 11 Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw_RES_091216.docx T Building Permit Submittal Original Submittal Date: /O`// /k Site Plans: # Building Plans: # 3 Building Permit#: (E'Enter building permit#above. Workflow Routing: SI-Planning Q-Engineering —Permit Coordinator Cl-Bt'ilding Workflow Sign-off: ErSign-off for Planning(include notes from planning review) Route Application Documents: P'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:". Date: //AV/4 En ineering Review 4 Af Slope at building pad: ❑ 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: ❑ YesJ No Assess Water Quantity Fee in-lieu: ❑ Yes '1 No LIDA Facility on lot: ❑ Yes -EKNo ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: OA I ICK... Date: I2/, ( Revisions (after uilding Submittal only) eview Date Revision 1: Approved ❑ Not Approved dq ���7 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: \?flDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: 1; Yes ❑ N/A Parks SDC: ( Yes ❑ N/A OK to Issue Permit K // Approved by Permit Coordinator: Date: i //fr/1 „e-(//v----- 3�zi/ip— I:\Building\Forms\BldgPermitRvw_RES_091216.docx t s 71City of Tigard iti■ COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A K D River Terrace Building Permit Review Addendum ,w. Building Permit #: /157-1,20/6 - ors-/-p, Site Address: 1-13 -1 Svc/ AVe lel StY l-, Project Name: P-Wer Tama NO011\1\it + Lot #: ) 1 V, (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 standardsKYes El 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. deepBalcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer X CI El El Cl 2. Eyes on the street: a minimum 2"t of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: aD 3. Entrances:At least one entrance must meet both of the following standards: ,Max. 8 ft. setback from longest street- facing wall A-Parallel to street, angle no more than 45° from street, or open onto porch Entrance opens to a porch: ❑ Yes ❑ No If yes,all the following apply: .. 25 sq.ft. min. . One street facing entry + 12 ft.max.roof above floor of porch ,k-cft. depth min. W 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. deepecessed entry area min. 5 ft.wide x 2 ft. deep ,& Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide 3kRoof eave min. 12 inch projection _N.-goof offset min. of 2 ft. El Roof shingles either tile or wood able,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. , iorizontal lap siding min. 3-7 inches wide El 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 Cl 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 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. 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 ❑ 40%max. of street facade 50% max. of street façade with 7 detailed design elements Notes: Approved By Planning: Al ,i6 cj2 4_- Date: ` '1 1 �/ I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx 1 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 Nle 2 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: /1331 SW ftfliCtSf MS120l (Site Address) (Permit Number) U� co River Terrace Northwest Lot I I (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Coie: P .�s���pri©ice' � � � } � v Cc� es�,��: Descr>lptia>n fes,,,_. ' �� 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 ' FOSm F CEE ONLAY Routed to Permit Technician: Date: 3 7 /7 Initials: Fees Due: [ c5 ❑No _Fle Description: . Lam. //4/ii Amount Due: Z -v),) Special Instructions: Reprint Permit(per PE): 2 Yes n No Fi5one • Applicant Notified: ? S Date: LIR//) Initials: /4 I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 IN ,� CITY OF TIGARD MASTER PERMIT It' ,, COMMUNITY DEVELOPMENT Permit#: MST2016-00516 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017 Parcel: 2S106DB11100 Jurisdiction: Tigard Site address: 17337 SW AMELIA ST Subdivision: RIVER TERRACE NORTHWEST Lot: 111 Project: River Terrace Northwest, Lot 111 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $253,947.70 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 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: 3 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: 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 2078 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: $31,725.38 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 0 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: e/(1 .4 - Pe=/e'977e " 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. NIF filu'ilding Permit Application — 0 i / I ) �.� w>�n4 RECEIVED� � RHOR orrlcE Ise oNL) City of Tigard Received `J g Date/BY: //./Se �� Permit No.f!�Ia�,(p�GzS, 13125 SW Hall Blvd.,Tigard,OR 97223 0 C T 11 2016 Plan Review '� �^ / = Phone: 503.718.2439 Fax: 503.598.19�Q D��gy. )a--2243w 6–� Other Permit/�(1/t o �(Q--C1�7 ,� T IC,:\r n Inspection Line: 503.639.4175 CITY O F TI GAR D Date Re ddyBy: Z /� ,!, Auris: H See Page 2 for Internet: www.tigard or.gov BUILDING DIVISION Notifed/Metho' / /�{ Supplemental Information r I/ 6.#4, —5 pro& : •- . i '°j% -e�' T-.7: a t� '`'s n�, H pq -4 . .fix E " � ' e @ G�rvl �`' t �4 e ;;a ®New construction El Demolition Permit fees*are based on the value of the work performed. El Addition/alteration/replacement ❑Other Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the o t for the . �� � � ' ���� � work indicated on this -5 on.icati �.� It 7 ® L/in 1-and 2-family dwelling 0 Commerciadustrial Valuation:3 Z����7/1 t ''-if ❑Accessory building 0 Multi-family Number of bedrooms: 3 ❑Master builder 0 Other: Number of bathrooms: of /77,77 x A 2_ 3 € 1 , c s€ Total number of floors: Job site address:/7361 SW Amelia St New dwelling area: 2.0-146 square feet iiC ty/State/ZIP:Tigard,OR 97224 Garage/carport area: 3`50 square feet e Suite/bldg./apt.no.: I Project name:River Terrace Northwest Covered porch area: I 0 square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet F� 't•:;-i i 1;° a t A Subdivision:River Terrace Northwest I Lot no.:0 I 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 -' ys ',7t:77:::``-:47 � work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet � T `t 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 FLSplan review fee(if applicable): Address:109 East 13th Street pp )' Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com ' � �Ex si Commercial and residential prescriptive installation of • '' •-4ill .z�• > €� 1, liI J 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 $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: $201.60 Authorized signature:/ / 1,(_A This permit application expires if a permit is not obtained ���////// �w�w within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: / *Fee methodology set by Tri-County Building Industry qksl/ Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit APP11Ca i. t,f CEIVED i (11:CHI 14 1 t •.; +l\I 1 City of Tigard Permit i.o.: 13125 SW Hall Blvd..Tigard,DR 97223 NOV 3 0 2016 y` Peart keviex• Other Permit: k•' Phone: 503.718.2439 Fax: 503.598.1960 Date1Ay; -Inspection Line: 503.639.4175 CITY OF 9 iG i`( ` Dia Reedy/By. 1.4 et SetPagel for Internet: www.tigard-or.gov BUILDING D i R! i 1 r Ndi<ed od Supplemental Information F ,,- - 3'g.,,a.7'£r _3:,',. t.SCJ,,a -k4,`-1)1.4. ' '^ ':s^"='.A_. ,. _ .-�. -=�. F.. °4 '•. °` z_d ..%)„,,t; �", ., 1�e nk_ . - Mechanical petritit fees'are based on the value of the work ®New construction 0 Addition/alteration/iv-placement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials.equipment,labor,overhead.and moat. Value:$ - -``-,4-...',-4.,,--,,----°-- -a• `. r.f ,. -,- :. .a amu. 4 -t,V t!,--,0 s Z---*r+ ,0,4, y l ti4,, i-l-. .>, , ,Fic'<z �'}=T.46?-,.. 't — ..1 1'v-1 .a/7:711-: t Z 'd.T.vt ,,l..,Y rt —t ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far special Information sae checklist ®Multi-family ❑Master builder 0 Other, Description ( Qty. I En. I Total h Ti t 7[51,14.j 2?,r c r it`iV2'"--q-t s ?,t_'`` ` _ _..'.-`-=-- Hattmi*ooting: ! 33 7 S ) Q)JJ)a..Si Air Furnace 1 t 46.75 Job site siddt'css: 100.000 dITU fdaetshaat[si 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(ducts/vents) 54.91 Suile/bldg apt.no.: Project[tame n p` NUJ ` ` Duct workpum61.063 I�t��evT2�a.�.2 .I�V•1 Dac(work 23.32 Cross street/directions to job site: Uydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit Motets(filet-type,not electric), in-wall,in-duct,suspended.etc. 46.75 Fluchtnt for any of above , 2332 Subdivision Ak L�onrIA C tJ k/Y f Lot no.: /` ' Other 73 31 Other tel appliances: 'fax map/parcel no.: Water healer 23.32 ,-.- -.„,,-F::51--;"* � ;--- b'E "1' 4 :t: Fs,T.. Gas lircplacc/rscrt 3339 "r'; s r- r , i:-r. �- y- -. . Flue vent for water hater or gas fireplace 1 2332 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fircplacdinsert 2332 Chimney/iner/fuetvent 23.32 , Ulifct 2332 4' i .�' ` % ;-,-,-,11;',,----1,-',16.=,- -;,-;-.. ` � Li �" �a 1 £ "+ '== t , -a •.°k -x' '`".� ; - '_ «Ρ'^_-" - r " Env/roameotat exhaust and ventilations Name:Polygon Wf.H,LLC Range hoodfothci kitchen equipment I 33.39 Address:109 Emit 13'Street Clothes dryer exhaust 1 33.39 City/State/ZIP:Vancouver,RSA 911660 Single-duct exhaust(bathrooms. toilet compartments,utility moms) 4 23.32 Phone:(3609S-7700 Fax:( ) Attictc+awlspace Buts 23.32 --.1'1-4 ;71id F is r "-`' �� - 2Cti t"t -'lfst`''` 1'f,};ss Y:z` � tither. 2332 _� � « m Y t m_ r Fuel plpinv Business name:Polygon WLH,LLC 514.18 for rust four.S4.03 for each additions[ Contact name:Angela Grajcwaki Furnace.eta 1 Gas Address:109 East 13th Street mum WalUstisptndcd unit heater City</State2IP:Vancouver,WA 98660 Water heater f Phone:(360)69S-7700 1 Fax::(360)693-4442 Firwtaoe Range , E-mail Angela.Grajtwskl polygonbomeLcom Barbecue . >-_;,e tl g:-1,-,•.\''-e, f Clothes dryer(gas) i OtturBusiness name:Apex Air LLC 1 F tt 1. $4 f - i L L 7�5� '-. ,4-: --.4 f Address:18004 NE 72"Ave Subtotal City/State/ZIP:Vancouver,WA 9$686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax (360)326-1769State mtrdtarge(12%of permit fee) CCB tic.:203034 TOTAL.PERM.tT FEE This permit application expiry ifa pinch isnot obtained within 150 dohs sfterit Gas been accepted as complete. Authorized signature' - . Fee methodology am by Tri-County Building industry Service Boardf. ` Print name •f Date: 4•Pi•R. 1 L. i' lvhi1diageootitr? PtrnMppO40113d' lis-totrrtsbo2icowwFat R i f Electrical Permit Applicatio FOR all ICL L:sr oil City of Tigard NOV 3 0 20161 permit 1trlatedPermit it: 13125 SW HallBlvd.,Tigard,OR 97223 plea Review • Phone: 503.718.2439 Fax 503.5986911y®�Ti f�Ai Datd$ . Inspection Line: 503.639.4175 BUILDING ip f ReadyDate/By: ham @ Sea Pagel for 11Gitit D Internet www.tigard-or.gov BUILDING DB?1JSI ,' citinediMeth0dSupplements/Information •OWN WW*A.teMIS MN ®New tonsttuefion 0 Addition/alteration/replacement Please check all that apply(submit/sets of plans wlitems checked): O Satyr'.e or renter 400 amps or more O Building over three Wrists. ❑Demolition 0 Other: where the available fault current 0/amino and boatyard'. .A� _Q a 0)N.� 't __ T :, =needs 10,000 amps at ISO volts or ❑Floating buildings. lg 1-and 2-family dwelling ❑Commercia1/indtistrial 0 Accessory building lass to Found,Of exceed'14,000 ❑Commercial-use aerie'Aural amps for all other installations. buildings.- ❑Multi-family •- 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or •, .-.4;•;,-Z-41/_14 ems: iii;& •e e'1(GA 7!e3 i_1t1 d 0,,i, " .",y{`-^ s r OEmetgmoysyatam. larger separately derived lob#: Job site address l 331 S*) a ID Addition of new moor toad of system. mow ermom. ❑"A'�'fi"."1-2"."13", City/State/ZIP:Tigard,OR 97224 o six or mom residential units. occupancy.' ❑Haellh-carefaoilities. DRaxceliousl hide parks. Suite/bldgJapt# n : Project name:f Wty-1 arras.N W O Hazardous locations. 0 Su"y m voltage nominal- Crossr more than O Service or feeder 500 amps or mom street/directions to job site: 5- c, ' .,, ",-: 0t.ak 3 - - Demind oa Qtr. Each Total •. New residential single-or multi-family dwelling unit. Subdivision:iz4avrToviALL N u.) Lot#: r I J Includes attached garage. Tax tnep/parccl#: 1,000 sq.ft or less ( 168.54 4 Ea.WI 500 sq.St or portion '. 33.92 1 f= t l :�1 r-1 43 0c:1-1.0V!A Ai - ` ; Limited enemy,residential (with above sq.R) 75.00 2 Limited energy,multi-family i residential(with above sq.ft) 75.00 2 Renewable Energy O See Page 2 -v ,491.9).Jchs-a"kc--." - _ -, T="------ 7 'T'''- - z Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 . 401 amps to 600 amps 20034 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 30I.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 € intended for sale,lease,rent,or exchange,according to ORB 447,449,670,and 701.2 • 01 amps to 400 amps 125.08 12 € Ownerslgnaturc Date: 401 amps to 599 amps 168.54 2 r v7t X -'yi " i r _ ,. t TI0/> l tti -., Branch circuits-new,alteration,or extension,per panel ,--- ^ -s .r�_. - - A.Fee for branch circuits with i Business name:William Lyon Homes,Inc. above service or feeder fee, 742 2 each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits without 1 Address:109 East 13th Street servicebranch or fee'first t 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • ' I Fax::(360)693-4442 Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:Angele.Grajewsld@polygonhomes comRe only 67.84 2 i _ F t) '1t13r ^/T<r -- i-':31---''='-:-, - Pump or inigatum chyle 67.84 2 Business name:Garner Electric Washington,LLC Sign or mane lighting 67.84 2 1 4,,:. Signal einar6(a)or limited-energy OSee rage t 2 i Address:6101 NE St Johns Rd panel,alteration,or extension. ag CitylSttibelllp Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 6625/br Phone:(253)320-1657 Fax:( ) Investigation(1 humin) 90.00/hr Industrial plant(1 hr min) • 78.18/hr F Email:bdaaiels@gweusa.com Inspections for which no fee is CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lie.: 4496S '' listed %hr min) 30 lir '< - .,. =z`I ,IT 0/r a y<<tcht-3 _l * Suprv.Electrician signature,required: :J( 4 44 • •• Subtotal: Print name: Joan P Albert _I Date: 4/26/2016 0 Plan Review Required C25%of permit fee): l'!.,.. l - State surcharge(12%of permit fee): `i' -s--- - TOTALPBRMtTFEE "1%,. Authorized signature: -- thi: :` This permit application expires If a permit Is not obtained within 180 "``"' Print name• Bill Daniels Date: 4/26/2016 days after It has been accepted es complete. .-0/:a::,, • vs=:itt, - * Number ofinspectionsallowedperpemrit t Ma-46157(1Ua5/C�Ow� . < .. and6161pe+maslII.0 PermitApp ta1.k 1rltSdoa aavoNl7l1a15 ':i.t ° Plumbing Permit Appli 'EIVED Building FixturesN V 3 Q 2010 1 01,4Oil !r 1 1 �I l l\1 1 City of TigardyReceived Permit No.: ,IN,� 13125 SW Hall Blvd.,Tigard,O F T I G A R D Plan Review • Phone: 503.7182439 Fax xi _ Daws Otber Permit No.: Inspection Liao. 503.639.417$ G DIVISION paw Raady/gy, 7wic ®See Page 2 for I I`' 1'1) Internet www.tigard-or.govNotified/Method: Supplemental tatonmatioa .y-, _ T :L'024*F'WORt- : - : 'IrEE- SCRE VLZ. �4- - 'c;4 G. .4:-: '..:' ®New consfivction [j Demolition M -:: ;' For special information use Description I Qty. I Ea. I Total ❑Addition/aiterationhsplacement 0 Other. New 1-2-family dwellings(includes 1008.for each utility connection) •CATEGORY" OF QONSI RtJC TION". SFR(1)bath 312.70 01-sad 2-family dwelling 0 Commercialfindustrial SFR(2)bath 437.78 SFR(3)bath f 50032 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(___sq.ft.) Page 2 ' JOS SITE INFORMATION AND LOCATION • - Site utilities: i Catch basin or area drain 18.76 Job site address: I 1331 s\ A s Drywell,leach line,or trench drain18.76 City/StateJZIP:Tigard,OR 97224 Footing drain(no.linear it.:____J ■ Page 2 all Suite/bldgJapt.no.: Project name: teox\je rTegye ce__OW Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 t Sanitary sewer(no.linear 8.:-J Page 2 Storm sewer(no.linear it: ) Page 2 Water service(no.linear R: ) Page 2 Subdivision: [�rr( Ni Lot no•: Fixture or item: Tax map/parcel no.: Backflow prevent= 31.27 31.27 i • .' - DESCRIPTION OF.WORK - Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 I 1. ®i►ROPEwIT OWNER - • I" cl TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor draia/fioor sink/hub 25.02 Address:7600 E Doubletree Ranch Road1 25Garbage disposal .02 I City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031Fax:( ) Ice maker 12.51 I •- - ;- ®.-APPWCANT . - I C] CONTACT PERSON: Interceptor/grease trap - . 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S_) Page 2 I Primer 12.51 s Contact name:Angela GnjewakiRoof 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 Tubhhowerlshower pan 12.51 4 Urinal 25.02 a E-mail:Angela.Grajewski@polygoahomea.com Water closet 25.02 • . -• CONTRACTOR , • • Water heater 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 56.29 Address:PO Box 207 Other. 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324)759 Fax:(503-)324-0580 Minimum permit fee: 572.50 Plan review (25%of permit fee) - CCB Lie,:102535 Plumbing l.ic.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: (,,... TOTAL PERMIT FEE Date:04/25/2016 This permit applirs,tton expires if a permit is not obtained within ISO days } Print name:Carolina Malmedal I after it hes taco as as complete *Fee methodology set by Tri.County Building Industry Service Board. L%auacu permits LMu.PeraitApp.doo 10/11A09 440M6162(iCN1/COMAYFB) 114 ) r wous 1 E City of Tigard RI COMMUNITY DEVELOPMENT DEPARTMENT I T c A R o Building Permit Review — Residential Building Permit #: /"IS7 2O/6 -- 0037 (, Site Address: I l 2)f Svc Aivloitat S+. Project Name: RWCY T-eY lace 1x11 - Lot #: ( I I (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NCw SF R ►_/) erify site address/suite# exists and active in permit system. = River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: , KIThree(3)copies of site plan 4Jxisting structures on site ,ASite plan must be on 8-1/2"x 11"or 11 x 17"paper Xfootprint of new structure(including decks)with finished ,Drawn to scale(standard architect or engineer scale) floor elevations ,forth arrow Utility locations(required for new,may apply for additions) site address,project or subdivision name and lot number Ilii ocation of wells/septic systems )Applicant information(name and phone number) JV Existing trees to be retained with drip line,and tree / ,Lot dimensions and building setback dimensions .rotection measures XLot area,building coverage area,percentage of coverage and *treet 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) NClean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No N' Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified E No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: PDt22015-(t Cj )Si' Zoning: R---1 ( Pt)) Required Setbacks: Front S Rear 1 0 Side Street Side NPA_ Garage 7 ii , Londscape Requirement: t Coverage Maximum: bp Building Height: Maximum Height t\JI A' Actual Height t...2:1 .iSit Visual Clearance l{ Easements ..1St Sensitive Lands: ❑ Yes No Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: COM thOckS MAI 19e- mrk pr i ar -b Perm ll' 1SCUCLV\CR Approved By Planning: A7At i:A D. CA: Date: 1, Zt Revisions (after Building Submitta 0 nly) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_091216.docx 4 P Building Permit Submittal Original Submittal Date: /p,////k Site Plans: # 3 Building Plans: # 3 Building Permit#: ®'Enter building permit#above. Workflow Routing: [-Planning Q--Engineering Lam-Permit Coordinator wilding Workflow Sign-off: -Sign-off for Planning(include notes from planning review) Route Application Documents: f2-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. LVBuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: flk - / Date: /11:99//4 En ineering Review 4 01 Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit El Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes eleNo Assess Water Quantity Fee in-lieu: ❑ Yes '(No LIDA Facility on lot: El Yes --EKNo ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Al( Vit— G� Date: 17 V ( 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 El Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: 1;' Yes ❑ N/A Parks SDC: E Yes ❑ N/A OK to Issue Permit // Approvedby Permit Coordinator: Date: I ""/i / /fr I:\Building\Forms\BldgPermitRvw_RES 091216.docx 4 City of Tigard 7114 " COMMUNITY DEVELOPMENT DEPARTMENT T l c A RD River Terrace Building Permit Review Addendum Building Permit #: tib- X20/6 — OO52 ,, Site Address: f331 SW AMetAGI s-Y€", Project Name: "2-\\)01 Tar Nps(- l\Nt + Lot #: 'l V, (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer X ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum a um of 12% of each street facing façade must include windows or entrance doors. Percentage Shown: l D 3. Entrances:At least one entrance must meet both of the following standards: „X-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: .. 25 sq.ft. min. .One street facing entry ,t 12 ft.max.roof above floor of porch ft. depth min. , 30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: ,'Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep 'Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection 1oof offset min. of 2 ft. ❑ Roof shingles either tile or wood able,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 façade ❑ 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 ❑ 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.A-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 façade 7(50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: PTYW 444--- Date: ` 1,11\,/ I:\Building\Forms\B1dgPermitRvw_RFS_RT_062216.docx 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17337 SW AMELIA ST, BEAVERTON, OR, 97007 July 17, 2017 at 9:25:21 AM Record Type: Record ID: Residential - Master Permit MST2016-00516 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17337 SW AMELIA ST, BEAVERTON, OR, 97007 July 18, 2017 at 3:47:23 PM Record Type: Record ID: Residential - Master Permit MST2016-00516 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. Vapor barrier form received. Blower door test report received. Insulation certification checked. C of 0 left on site with contractor. Violation Summary: Inspector Contractor