Permit CITY OF TIGARD MASTER PERMIT
- COMMUNITY DEVELOPMENT Permit#: MST2016-00524
Date Issued: 01/05/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB18400
Jurisdiction: Tigard
Site address: 13322 SW AUBERGINE TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 184
Project: River Terrace Northwest, Lot 184
Project Description: New SFA. Building/unit 7.5
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 103 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 32 Bathrooms: 3 Second: 646 sf Garage: 499 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 633 sf Right: 0 Detectors:
Total: 1382 sf Value: $182,349.71 Rear: 8
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100
0
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 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'500 sf: 2 201-400 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 Y
Ecompasing:
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SFA VB R-3 1382
Owner: Contractor:
WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE PHONE: 360-695-7700
FAX:
Total Fees: $23,166.69
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through t 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: t ,� '' """e.__- Permittee Signature: , Ar )/4Cy
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application 1-O% lc?
ResidentialFOR OFFICE l SE()NLN
City of Tigard 1-1; 1 x, �U 1�i
Received /.2/'7 /(' Permit No/ S7 /42C252�
III III 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review '
_ Phone: 503.718.2439 Fax: 503.598.1960, Date/By: �,` ha,- ] 6 OtherPermi jtl�, i/..z'O9-� -
TI
( A F D Inspection Line: 503.639.4175 '' Date Ready/By: Jur s: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method:�41 �P Supplemental Information
„ _ d ie— def
smai•41 3P
7. .a l i • t t l t' •
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
�� e t = work indicated on this application.❑ ( y
❑ 1-and 2-family dwelling CommerciallindustriaI Valuation: ga`31J,C�$ I ' ,.�J'J'
❑Accessory building Z Multi-family Number of bedrooms: //
❑Master builder 0 Other: Number of bathrooms: 3
„.i------,3•!.0,.;,,, ; , t t t. Total number of floors:
3 ig $)
Job site address: '3� S pi at t yrivi e is rYa c New dwelling area: I bb� square feet
City/State/ZIP:Tigard,OR 97224 ` •` Garage/carport area: 1 14019 square feet 63 3
Suite/bldg./apt.no.:-1.S I Project name:River Terrace Northwest Covered porch area: '�f� f) square feet 6146
Cross street/directions to job site: Deck area: q3square feet i 0 3
Other `Nctu e�a`rea: Ci 3 square feet
sOiNt
',:f:./z, ✓@ # - t, Wit{ l
Subdivision:River Terrace Northwest I Lot no.:0-I 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
1' t `• ; _' w work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
t ;. ,q ,,e,,,„ - ,;.,_ 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:
' °i t11'. ' l ,,e,„,
t . 1
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
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
Commercial and residential prescriptive installation of
P` 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
A //� •
Total fee due upon application: $201.60
Authorized signature: , e �/ 1 `� This permit application expires if a permit is not obtained
L/`1/w/ �o l within 180 days after it has been accepted as complete.
Print name:Angela Grajewski I Date: qwvI *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
M r I
• Mechanical Permit Application 1<}1z }r 1 1( i t �1_0.!t ti
City of Tigard 1,,,,
~r (' Received
Date/By:
Permit N n.: 1.-( -0/6-60_5-02y13125 SW Hall Blvd.,Tigard,OR 97W'` i
Phone: 5017182439 Fax. 503.598.1960 Pia Renew
Inspection Line: 303.839.4175 I)ateBy OtherPertait:
Intern= www.dgard .goy Daze Tuns; See Pate
NlatNotified/Method: Sappi neatal?atelier
Information
,.a ,,x!-- --.: ., ,tea. >t ;'..- it ' ' s,s x ' -.1,-.-...iniad pen IL-FEEa. based Jt $
performed.Indicate the value(rounded tq the nearest dollar of all
Mechanical tt fees*arc based on the value of the work
®New cotistntetlon 0 Addition/alteration/replacement �.
❑Demolition 0 Other. mechanical materials, 1
�� equipment.
S �,
.� � ..��0 � ��rT i and profit.
o 1 and 2-family dwelling 0 Comrnerciatrindustrial 0 Accessorybuilding .
®Haiti-family. 0 Master builder Forspea�rt information r c�raatt�
0 Other Description
City. Ea Total
�; > ' 1 Ri4Tl117QId .0,A Heating/cooling:
Job site address: .1 Air conditioning: 48.75
V V p"t(b[ _tile.Texva s Furnace 100.000 BTU(duets/vents) ( 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,0004-BTU(ductatvants) 54.91
Striteibtdg iapt no.: 1 ProjectDame: I/ ' Heat pump 1 61.06
it i, _' bl itl/ . tri Duct work _ I 23.32
Cross stret/dicections to job site: Hydronic hot water system l 23.32
Residential boiler(radiator or
hydronie) I 23.32
Unit heaters(fuel-type,not electric), I
in-wall,in-duct,suspended,etc. I 46,75
_Ruche tt for any of above , 23.32
ia Subdivisio rt 4q.Y Te rvgrt NO r t illW �1— Lot no-: B� Ot 23.32
' Other er'fnd app[iaacat:
Tax map/parcel no.: W
'''''404g!.,'''<;"":'?;';' r r>� .,... Stet Cater.
h
'' N, • � , ; ...*;W'''' -'71'j10N t)F '4V'O - �r Gas fireplacerinsert • 33:39
Flue vent for water heater or gas
new home construction
fireplace 1 2332
Log lighter(gas) I 23.32
Wood/pellet stove 1 3139
Wood fireplace/insert 1 23.32
Chimncvflincrifluelvcat a 23.32
; ' 'e i� : . >$ ,t , . :a t 3' , ._ ,:., .,Iia Other i 2332
Name ADVI.,Land Holdings,LLC Environmental exhaust and ventilatiorit
Range hood/other kitchen j
Address:7600 E Doubletree Ranch Road
equipment 33,39
Clothes dryer exhaust 1 33.34
City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms,
toilet COM par[mCMS utility roornsl 23.32
Phone:(602)694-4031 Fax ( ) Atticicrawispare,fans 1 23.32
�; ' .. < ,,,;,, .: z. r r x r p fi(tt Other, 2332
Business name:William Lyon Homes,inc. Fuel piping: k
s14.15 for first four;54.03 for tach additional
Contact name:Angela Grajewski Furnace,etc.
Address:109 East 13th Street Gas heat pump i
City/itate/ZIP:Vancouver,WA 98660 9r'aWstrspended/ernithoater
Water heater _E
Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace
E-mail: Range
Angela.Gtxjewakia' lygonhomes.ecom
Barbecue
> tt. ig, 6> 2 .� tlr'-':.'• 1 £" Clofihesdryer(gas)
_, ��` ., .fir. �:
Business name:Andersea Mechanical,Inc. Other i
Address:16285 SW 85*Ave '. � ER " '°
Subtotal
City/State/ZIP:Tigard,OR 97224 Minimum permit feu 390.00)
Phone:{583 9926663 Plan review(25%ofpr�rmit fee)
I Fax:(503)536-6615
y R'4 State surcharge(12%of fee)
CCB 1it:.:168214 TOTAL PET FEE
This permit application expires if a permit le not obtained within 180
Autiizad signature:
days after it has been accepted complete.
* Fee methodology sat by Tri-County&nidi 'Industry Service Boxed
I Print name:Angela Grajewski I Date:8/22116. J
PBuilcratiPermitemEC_PenmicApp_046113 dos
<44•i6173'(t1i02tC(?14Per,Ea}
q
Electrical Permit_Applicat on
III
City of Tigard l elt
13125 W 11ai1 Blvd.,Tigard,OR.OR. 472X3 i , /,,w h ri' /S � __ 2
Plan Review
MOW. 501718.2434 Far 503.598.1960 7. Rdaad Parmrt:t;
Inspection Line: 503,639,417$ 01 ser Paige 3 for
Into :. www. trd-or,gov
'':•5''','' � /Pn4
x- � � . n„ 3a^� , � : <' p' '. ...1:',,,, ::' ,',:'''--_=,""-..,._„,,,,„,,,. .‘
..,,.
* * ”'
Ci New construction 0 Additionlalteration/replac ment Please cluck all that amply(submit 2 sets. plats wrteems c keds"
Dt moliticut Uther DSavior or feeder 400 amps or more O lbn ag ro.tea sten s.
� wit re the available fault curium D Morias and boatyards.
r � � exceeds 10,000 amps at 150 volts or 0 Phuong baddinp_
_ i-and 2-family dwelling 0 Commercialfindustrial 0 Accessory building kis to p>und,or exee>eds 14,000 D Com
asps far all other installations buildings.
Multi-family ❑Master budder 0 Other: O Fire pump. 01 of i So KVA or
.; a«
,: 'a i ' 0 Emageaacy wainget dexived
Jots#: Job site address: Z �W /�� D A+iimon of: ,a load of sy
�uII,LI.xaineTerr IOOHPormore, 0"A","E"«»1_ 1-3«
City/State/ZIP:Tigard,OR 97224 U D Sire or more residential wits. v.
7-� AI D Hedth.cae facilites. 0 Recreational vehicle parks.
Suite/bldg./apt.#:i,� Project name: 74V .iT Y/1('e lV YV 011arardwaslocations. DSapplyvoltagefax> than
D Bovied a feeder 600 amps or moon, 500 vola nogaaaat.
Cross street/directions to job site: ' 7:''
—:771:-'-'7:-.;:e.:6'
-
Dneas> a 0r1. tack Teti! ti
New residential single-or multi-family dwelling unit.
Subdivision .P,,r T +rare N vtJ Lot#:169 Includes attached garage.
Tax rtla►plparccl#: 1,000 sq,R.or less I 168.54 4
,.. ,.,y' :ter;,. ' : : '. . Ea,add'1500 sq_ft or portion I 33.92 t
Limited energy,residential 75.00 2
(with above sq.ft.)
Limited
eF energy,multi-family ulti-family
7500 2s-:•7°'7: ��: w1-� -:.;:::::.-,17:5 :4-7-"- oresidential(with
above
sq.
ft,)
Name:ADVL Land Holdings,LLC Renewable Energy 0 See Page 2
Address:7600 E Doubletree Ranch Road Services or feeders installation.alteration,and/or relocation
City/State/ZIP:Scottsdale,AZ 85258 200 or less 100.70 2
Phone:(602)694-4031 I Fax:( ) 201 aunts tn400amps 133.56 2
Email: 401 amps toamps 600 200.34
Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.
Over 1;040 amps or volts 552.26 2
Owner signature: Date:
« t g. r� x Temporary services or feeders installation,alteration,and/or
i '7 relocation
Business name:William Lyon Homes,Inc 200 amps or less 59.36 l
Contact name:Angela Grajewski 201 amps to 400 amps 125.08 2
Address:109 East 13th Street
401 amps to 599 amps 168.54 2
City/State/ZIP:Vancouver,WA 98660 Branch circuits—new,alteration,or extension,Per panel
Phone:(360)695-7700 i Fax::(360)693-4442 A Fee for branch circuits with
above service or feeder t'ee,
Email:Angela.Grajewskpoiygonhomes.com each branch circuit 7.41 2
�. �- . „ R.Fee for branch circuits without
° : _„ ..,.....,-.__;;° 1:::::f.-.4.-4service or feeder foeforst
,
Business name:*lamed*electric branch circuit 56,18 2
Address:3415 ne 44th Each add'ibranch circuit 7:42 2
Miscellaneous(service or feeder not included)
City/State/ZIP:Arnie itsrvl Jo?��/z. /4, MZ-/3 Each manufactured or modular
dwelling,service aullor fader 67.84 2
Phone:(503)3192192 Fax:(
Email:sols Reconnect only 67.84 - 2
rpdz@me.com
Pump or irrigation circle 67 84 2
CCB Lie.: 199188 Electrical Lie,: c923 Suprv.Lie.: /f7/...5
Suprv.Electrician signature,required: Sign or outline lighting 67,84 2
SPrint name: fj ,, pine circuit(s)or limited-energy
/ }}�� >"" / ❑ Ser Page 2 'a
k.,i , Dale: $/&3/1' pal.aiterouiom;or exrecti n g
Each additioaal inspection Durr allowable is say of the atoovt
Authorized signature: Additional inspection(I hr min) 66.23>'hr
i Amor
Print name: r Dates/&,,3/,, investigation('hr mut) 90 00:hr
Ilkeld }t'ane�u3 ,C_ eLa E&E.dce Rev OWI7M15 e.u-ta15Ut tns,cow+wsa
,
r
Plumbing Permit Application
Building Fixtures 1.)C ; - 2015
City of Tigard ,; - Recei4xad
Permit No."'-7,5-7326-,76
13125 SW Nall Blvd:,Ti Date/By: �rs`�
raid,(3 97223 Plan Revrev
IN
' Phone: 503.718.2439 Fax: 5>t.i4$i960'- ' ata °ther Permit No.:
Inspection Line: 503.639.4175
l r. ateeayoPage 2
s
Internet: www.tigard r. ov NotiFcdntethd: Supplemental
iatarmatiia
,..1% . _ 4 Of WOR x_ ', . , sa t
ID New construction 0 Demolition For special informdiion use checklist
Description 1 Qty. 1 Ea. 1 Total
Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 IL for each utility connection)
SFR(I)bath 312.70
I-and 2-family dwelling otnmercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ulti-family 1
Each additional bath/kitchen 25.02
❑Master builder 0 Other Fire sprinkler( sq.ft,) Page 2
i4"'"-... 10/// -'/ ,' ` ,g,, Site utilities:
.Fes,.,>' _.rr .,... ... .i 9,,,z4'<,i o..�,,
Job site address: Catch basin or area drain 18.76
/ 3ZL SAN ?yob e,. -terrace,
City/State/Z.1P:Tigard,OR 97224 Drywell,leach hoe, trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldgiapt.nn':—/•S- Project name:titVWv yr/ ,' ' Manufactured home utilities 50.03 _ ,.
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18,76
Sanitary sewer(no.linear ft.: ) Page 2
Stone sewer(no.linear ft.: ) Page 2
_ Water service(no.linear ft.: __) Page 2
Subdivision:AV e iya t Lot no.:/0 ' Fixture or item:
Tax map/parcel no.: v Backflow preventer 31.27
/ _ Backwater valve 12.51
." Clothes washer 25.02
Dishwasher ' 25.02 W 1
Drinking fountain 25.02
Ejectors/sump 25.02
. ttimtT = Expansion tank 12:51 .
Name:ADPL Land Holdings,LLC Fixture/sewer cap 25:02
Floor drain/floor sink/hub 25,02
Address:7600 E Doubletree Ranch Road
Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258How bib 25.02
Phone:(602)694-4031 Fax ( ) Ice maker 12.52
/%%o ti Interceptor/grease trap 25 02
Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Angela Grajewski = -- 3
Roof drain(commercial) 12,51
Address:109 East 13th Street
Sinktbas n/lavatory 25.02 i
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.Grajewski( polygonhomes.com Urinal 25.02
>'/ ^mile' t,t1. Water'closet 25,02
E .
a
., � Water neater 37.52
Business name:Alliance Plumbing LLC Water piping/DWV 56,29
Address:146 W Historic Columbia River Hwy Other: 25.02
City/State/ZIP:Troutdale,OR 97060 Subtotal
Phone:(503)492-3490 Fax:{503)912-6438 Minimum permit fee: $7250
CCB Lic.:184601 Plumbing Lic.no.:PB732' Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: s l/ TOTAL PERMIT FEE ` I
Print name:Robert=Dishman Date:5/2312016 This permit*potation expires if a permit is not obtained trithia 180 days
after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board
1:iauitdingTornit,'eLMtJ-WumifAppdoc 10/01/09 440-4616T(10/02/COM/WER)
City of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
IIIIi
T 1 c A RD Building Permit Review — Residential
m'. tae 3 ?.k,s-1,,,-,,,,,i,..;-,,,:.s hit..-...1.„,..a„,,,,,,,,,—=_. ,,..,1 ,, a.E` a_.,i,,,,,. :,i,,,,,,,,- i..iir_.., 51,..-4_,w2tns.,44,.Rt.tikk»tlE-a316,1.i6.^4.e..,.-Z,=. :ati.i33;.:
Building Permit #: /`i-3-7-- -6r/6 00_C;,27
Site Address: / S3D2A -1'
Project Name: £'ver 7--erra ive r/-- Lot #: /el/
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: ✓V40 SF/4
erify site address/suite#exists and active in permit s tem.
R River Terrace Neighborhood: ❑ No A Yes,See River Terrace Review Addendum Attached
Sit lan Elements:
ree(3)copies of site plan sting structures on site
e plan must be on 8-1/2”x 11"or 11 x 17"paper I Footprint of new structure(including decks)with finished
yawn to scale(standard architect or engineer scale) or elevations
rrr orth arrow Utility locations(required for new,may apply for additions)
to address,project or subdivision name and lot numberp t cation of wells/septic systems
Viipplicant information(name and phone number) ting trees to be retained with drip line,and tree
Viyot dimensions and building setback dimensions ..otection measures
Loot area,building coverage area,percentage of coverage and Ti eet tree size,type and location
pervious 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)
IPCleanWater Services—Service Provider Lett (lot platted prior to 9/10/1995):
till-equired: CI Yes,applicant was notified PiNo Received: ❑ Yes ❑ No
Public Facili ' s Improvement(PFI) Permit:
Lequired: rtYes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake
and Use Case#: A6
�0/0/
Zoning: t2—/ Pb)
Required Setbacks: Front A.? Rear `9_ Side O Street Side 8 Garage cQQ
riLandscape Requirement: 7O %
Fei Bof Coverage Maximum:
uilding Height: Maximum Height _Mi4 Actual Height 51
Rl ' isual Clearance
!4 asements
`i1'.ensitive Lands: ❑ Yes IL?J No Type
eA Urban Forestry Plan
❑ Conditions "Met"prior to issuance of building permit
Notes: jrl el/h;Dt t� LS'/ /l LC 77.4,11- prat-- 3 .�lvl4 l s-Sl c.1f1 *
Approved By Planning: ..-
Date: it skilit a_
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES 091216.docx
f
Building Permit Submittal
Original Submittal Date: /0////
Site Plans: # 3
Building Plans: #
Building Permit#: CEnter building permit#above.
Workflow Routing: 8'Planning 'Engineering E rPermit Coordinator gilluilding
Workflow Sign-off: 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
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: ,,,z/74L,
Engineering Review
Slope at building pad: .07.4e)::
7�
t?Conditions"Met"prior to issuance of building permit "Zell// r,
❑ Easements (encroachments)per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 4L Date: Z2-(2-/Z)
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:
rSDC 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 byPermit Coordinator: /Mi/
Date: 77-ji i/7(4"
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
d a`
City of Tigard
1111
ia COMMUNITY DEVELOPMENT DEPARTMENT1
1
TI G A RD River Terrace Building Permit Review Addendum
Building Permit #: /ys 7,2o /6, --e2ps 7'
Site Address: - S')&) /9/,(12.6-- `✓l.e -Ter
Project Name: /►ie - ej .. L_„Ar,^ 4 - Lot #: Al
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Distrjt 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.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min.2 ft.,6ft.wide Gabled dorm
❑ ❑ ❑ ❑
F 4- e...
2. Eyes on the street: a minimum of 12%of each street facin facade must include windows or entrance doors.
Percentage Shown: I /
g ��l' = i i n t”: ` v
3. trances:At least one entrance must meet both of the follo g standards:
(, J Max. 8 ft. setback from longest stree facing wall Parallel to street,angle no more than 45° from street,
g g 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
❑ 5 ft. depth min. ❑ 30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five ofhe following elements on all street-facing facades:
0/Covered porch min. 5 ft.wide x 5 ft. deep „ Recessed entry area min. 5 ft.wide x 2 ft. deep
all offset min. 16 inchesF
Fn 9 ormer min.4 ft.wide F' ie
i�1 hoof eave min. 12 inch projection' r. 'oof offset min. of 2 ft.
❑ Roof shingles either tile or wood I A Gable,hip or gambrel roof design F+J
❑yoof pitch oriented south min. 500 sq. ft. . ❑ orizontal lap siding min. 3-7 inches wide
V ccent siding min.40%of street facade indow trim min.2'/2't wide by 5/8”deep F-4-ie.Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one):
M❑ ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
ay 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)
UI -foot-wide garage door ❑ 40%max. of street façade
50%max. of street facade with 7 detailed design elements
Notes:
_Is24111.e._
Approved By Planning: t. - Date:
1:\Building\Forms\BldgPermititvw_RES_RT_062216.docx
Plumbing Permit Application_
E^EI"ED
Site Utilities RECEIVED
FOR OFFICE USE ONLY
City of Tigard MAR 15 2017 Received
Date/By: /-! / 4, Permit No.
11111 41 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review)�y` /7 � � � �
S Phone: 503.718.2439 Fax: 503.598.10 Ty OF TIGARD Date/By: !-!D-17 AGS Other Permit No.:
Inspection Line: 503 639.4175 BUILDING DIVISION
TIGARD Date Ready/By .turfs ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method:
� Supplemental Information
e. 1 YPE OF ; � , FETE;'*'SCHEDULE
0 New construction 0 Demolition For special information use checklist
Description Qty. Ea. Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATT GOT (Ol)A I II "tI6N' 1'7SFR(1)bath 312.70
❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
0 Accessory building ®Multi-family SFR(3)bath 500.32
❑Master builderEach additional bath/kitchen 25.02
0 Other
:.. Fire sprinkler(1,382 sq.ft.) Page 2
JOB SITS 1 O12M TII 1 tl4 ,([ TII*„ -' 'A1/4, Site utilities:
Job site address: 13322 SW Aubergine Terrace 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.: ) Page 2
Suite/bldg./apt.no.: I Project name:Northwest River Terrace Manufactured home 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: Lot no.: 184 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
v -, 4E r1 OF, Backwater valve
12.51
Clothes washer 25.02
Multipurpose Fire Sprinkler System
Dishwasher 25.02
Permit#MST2016-00524 Drinking fountain 25.02
Ejectors/sump 25.02
;
sae TPiri Owrint ❑"TENANT • Expansion tank 12.51
Name:Polygon Northwest Fixture/sewer cap 25.02
Address:
Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
a
' ;® APPLICANT SIT" ' 0 QAITA IT80 Interceptor/grease trap 25.02
Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2
Contact name:Robert Dishman
Primer 12.51
Roof drain(commercial) 12.51
Address: 146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02
City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54
Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51
E-mail:robert.dishman@allianceplumbing.net Urinal 25.02
' ' oNT Water closet
y'� (]��, yam. 25.02
Water heater 37.52
Business name:Alliance Plumbing,LLC Water piping/DWV 56.29
Address:146 W Historic Columbia River Hwy Other: 25.02
City/State/ZIP:Troutdale,OR 97060 Subtotal
Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50
CCB Lic.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee)
/ State surcharge(12%of permit fee)
Authorized signature: L�� TOTAL PERMIT FEE
Print name:Gavin Thomes Date:3/15/2017 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
.: ,t, f(aa Total
ri t 3,` -ono*, Felc» 4
utlte .
Footing drain-151 100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Peeve each additional$100.00 or fraction thereof,to
tletdspigllas C1 F + S " and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
Quantity lay;Fixture Type ate:::. vie� + r ll blln a t lai .
h ..
Fixture Type for Replace! Plan review is required for any of the following.
Work Performed: Capped lidded Relocate
Baptistry/Font Please check all that apply.
❑ Any new commercial building with water service 2"and
Bath -Tub/Shower
Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic ® Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
- sit*Itrfr or$Jsf Dil am
Car Wash Drain El or riser diagram is required for new buildings
Garbage -Domestic-non-food
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
\\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pqmit.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13322 SW AUBERGINE TER, SHERWOOD, OR, September 11 , 2017 at
97140 12:20:40 PM
Record Type: Record ID:
Residential - Master Permit MST2016-00524
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:
13322 SW AUBERGINE TER, SHERWOOD, OR, September 11 , 2017 at
97140 12:19:20 PM
Record Type: Record ID:
Residential - Master Permit MST2016-00524
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Seal mechanical room penetration at return air duct, and gas line. R302.5.3
Provide net aggregate length of dryer vent. M1502.4.5
Violation Summary:
Inspector Contractor