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Permit (36) CITY OF TIGARD MASTER PERMIT INCOMMUNITY DEVELOPMENT Permit#: MST2016 00523 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017 Parcel: 2S106DB18300 Jurisdiction: Tigard Site address: 13316 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 183 Project: River Terrace Northwest, Lot 183 Project Description: New SFA. Building/unit 7.4 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 85 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 2 Second: 562 sf Garage: 456 sf Front: 12 Smoke Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes Total: 1209 sf Value: $159,937.77 Rear: 8 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 2 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 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: N 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: 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 asin Other: N Other Description: Ecom p g: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1209 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: $22,666.67 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: % sc-7Permittee Signature: ZIA) 114)t-/& ZI 1 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 4 `Building Permit Application L 0./ / City of Tigard Received /.2/7 �a Perm;tNo r f 7 2/6.. 2o5 3 Nall 13125 SW Hall Blvd.,Tigard,OR 97223 :�I I e. 4 �- Plan Review Other Perm(7�5?1t,-00r,�?� II Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ,et'p1, 6 Inspection Line: 503.639.4175 Date Ready/By: (4 Juns: H See Page 2 for Internet: www.tigard-or.gov Notified/Method:/2/rf f� Supplemental Information f` ,x' s�^`•"1 h»"' t a; �`. �```;;• -.;:--.7;s, sw:c,'`'-,'` .7 a„"'^,.M'.. M - t , ..,- ,,: ` ,`� ' qt' {�' {p,» °'yam," ? ..$ "d k kE$ �� cr� '¢ ®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 ❑Other. equipment,materials,labor,overhead,and the profit for the , ,` t�� work indicated on this application. .3., ❑ 1-and 2-family dwelling 0 Commercial mdustnaI Valuation: C c 7 $ S I ❑Accessory building ®Multi-family Number of b edrooms:: 2 ❑Master builder ❑Other 2>t- Number of bathrooms: � � �' � Total number of floors: Job site address: f �' ^ S Ft11�(�p vript ie T rva Q New dwelling area: I� /1� square feet City/State/ZIP:Tigard,OR 97224 Wlly J ,`` Garage/carport area: 1 4 L ] „ square feet s[a Suite/bldg./apt.no.: 1,(..1 I Project name:River Terrace Northwest Covered porch area:g �o1'e square feet C a. Cross street/directions to job site: Deck area: "12 square feet other strtrucmre area: Q... square feet FAL,{' b-_,fi _ ,5 €=s{ . '-I° 4 - - .. Subdivision:River Terrace Northwest I Lot no.: I63 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 N „ N r 1 . � i 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)6944031 Fax:( ) New: ter fr` ',5:2',,,,,;::;;:: 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: Amount received: Phone:(360)695-7700 I Fax::( ) E-mail:Angela.Grajewski@polygonhomes.com � .� �. ,° � �.�v ;g Commercial and residential prescriptive installation of '�d .,t ✓ w fir t ,`: r4 �'63_- __ .. _ � �. . rooftop 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: $201.60 Authorized signature: - This permit application expires if a permit is not obtained k...„41/314/(1/1.4&‘ within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: I *Fee methodology set by Tri-County Building Industry —J Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) I ! f Mechanical Permit Applicatjatt ; ", l OR 01 r it 1 1 `1 (0.1 City of TigardReceived Datel3y: 'le°/�S /6-0‘25;72 ' 11 "'R 13125 SW Hall Blvd.,Tigard,OR 97223 Flan.Review e Phone: 503.718.2439 Fax 543.548.1969 r j i 2 r;16 Dare/By Other Per ionLine:503.639.4175 ,l i, Date Readying: 7udz id see Page 2 for Internet: NWw.tlgzrd-or.gov 21IXifiZdlMethod; Supptc'meataiInformation Mechanical permit far"arc basad on th value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,kwerhcad,and profit Value:S £ y. .,.. NI.;WR8S1117X-Mttt*2PR. T EX$TElifi , 01-and 2-family dwelling 0 Cotmnercial'industrial 0 Accessory building For specialInfornnetton rubchectlist. ®Multi-family 0 Master builder 0 Other: Desaipt mt Coy. La. Total a5. ; 73,,3164: ',.: lT*1:;g,,: : , Hea*121cadi/4; i lob site address: + ' ^ c " Air conditioning i 46.75 l l U/ SW 1 beJ �lI'Ya_c,Q Furnace 100.000 BTU(Ousts/wars)) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTI)(ducts/vents) i 54.91 61.06 ' Suite/bldg./apt.no.: �.�PPojectname Q►��rTYya�xr pump I 2332 Cross Street/directions to job site: Hydronic hot water system I 2332 Residential boiler(radiator or ! hydronic) 1 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. i 46.75 Flue/vent for any of above 1 ' 23.32 S,> isiat:`Zjk Y- Iertlitt Northwe 1— Iotno.IPj� Other2332 Other fuel appliance= I Tax map/paruxl no. Water beater t 23.32 '" s'� a� iiK4 tTPTION OF4SYO Gas fireplaceiinsert 1 ` 3339 « ` Flue vent for water,heater or gas new home construction fireplace 1 23.32 Log lighter(gas) I 2332 Wood/pellet stove 1 3339 , Wood fineplansert I 23.32 C'ltinuxy>'lintriflttrlvent 1 23.32 Other" $ ' a i algr vxd2332 Eulroamentahebastanventliattat: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment Address:7600 E Doubletree Ranch Road 3339 ' Clothes dryer exhaust 33,39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, I toilet compartments,utility rooms) , 23.32 Phone:(602)694-4031. Fax:( ) Atticicrawlspaee fans 23.32 ,. t ... " r r'ar . i t4 14i 1? 117 ;t Other. I 2332 Fuel piping: Business name:William Lyon Males,Inc. S14.15 for bust four,$4.03 for ch additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street tont pump Wal isuspended7unit heater /- City/State/ZIP:Vancouver,WA 98660 water heater t Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:An Gra3ewskiColFgoahomes�m Barbecue °... .°mak.,,, + H z_A Clothes dryer(gas) i , Cather Business name:Andersen hechsnical,Inc. i Address:16285 SW 85n Ave uhtotai City/State/ZIP:Tigard,OR 97224 Minimtun permit fc4590.00) Plan review(25%of ptmit fee) Phare:(543)9924664 � net:(503)536-6615 State surcharge(12%of pe mid fee) a CCB lie.:168214 TOTAL PER:1T FEE This permit application espiree if a permit Cwt obtained sritbin ISO A signature: days atter it has bees accepted complete. • Fee:tnethodology set by Tri-County Buildiro Industry Smit Baud IPrint name:Angela Grajewski Date:8/22/16 I: i J u s App soll3.doe 440.461*1'0tto21Ca7N WEB) Electrical PermitApplication i 1 ,,i( ui I I( 1 i ,I (),I i.:, City of Tigard Received Pante On .---20 /CP—0 ).5;13 Datelfiv: 13123 SW Hall Blvd.,Tigard,Olt 97223 , , „ Phone: 503,7182419 Fax: 503.5941960- - - " - '' ' IIRIIIIIIIIIIIIIIIIIIIIEIIII - -- -- Inspection Line: 503.639.4175 . Ito*Date/By: Asia Internet www.tipni-or,gov NotitiadiMethod: EiCeEREIEN New oonstruction 0 Additionialtenttion/replacement Please-check all that apply(sidiWit 2 sets. phew whims checked): 0 Service or feeder 400 amps ormote 0 Staling ova three stance El Demolition E.:1 Other m _, Where the available fault current 0 Marinas and booryards : - -. - - - ' 1,-;..`„ .--,--..-2...Z.,;,--• '''':.:1,...T,,T,1 7'1 77i:::.- :,,... : ,---ii .....d.10.000 imps at 150 volts or 0 F10116118 buikkfilt -and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultinal amps far all other tastalinions buildings. W Multi-family El Master builder 0 Other: 0 Fire pump. 0 installation of 150 KVA or : - ,.'• ,' ' ',:- -•.,:)..:;-;.-'. i' ,I:.-::.'1.`„;.:72-:,''',;.,:i‘,-,-1:7'' '''*„' ''' °Emergent"'573ter& larger seprately derived 0 Addition of new motor load of system. Job#: Job site address: ' / W :IL ot i A - - 10011P or more, 0'`A",,"E"."1-2”,'1-3", w 0 Six or more residential units. occupancy. City/State/ZIP:Tigard,OR 97224 0 Recreational vehicle pada. 0 Health-care facilities. SuitelbldgJapt.#: -7. Project name: ,I V , i tAl oasz.dois locations 0 Supply voltage for more than A " '''' - CI Service or feeder 600 amps or more, 600 v*6 wining, Cross street/directions to job site: New residential single-or multi-family dwelling unit. Subdivision ,Lii °, • • A ,ce 1\J til Lot 4: sif‘p Includes attached garage. Tax map/parcel#: i,000 sq.ft.or less 1 168.54 4 1 Limited energy,residential 75.00 2 (with above 54.ft.) Limited energy,milti-family 75.00 2 --• .-- ~-''''-'• ,. -''..'„' •C*4---e..42:*---1:-:Z:i.,'• , '-;.....x,,,,,---;''.-i°,:- . 7,'„Ii,„.,,, ,.::_.-;,-. -..„. residen"(with ab°ve sq.iL) ....... Name:ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Address:7600 E Doubletree Ranch Road 200 amps or less 100.70 2 City/State/ZIP:Scottsdale,AZ 852.58 20i amps to 400 amps 13336 2 Phone:(602)694-4031 Fax:( ) Email: 401 amps to 600 amps 200.34 2 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 1,000 amps or volts 552.26 2 Owner signature: Date: ° --- -- ,---,-„-..--• - ,- ..- -,,:--,v -7-------,;,----,7- ---T.----1-.-....„--,0,-,,-.„....-,,,,,, <cm, Temporary services or feeders installation,alteration,and/or '. c.-_...-,,,,,,,r '-,:!,,,-.':',..1,-L:z C..°:i.,!.'---,^%.'';,-.L„t-z'..-6-.‘i,f-J-Qi,irtit4.e,AL/1,-.2ii.-Wc2;4.:44:i7.1,'',..'' '‘.5.'-• lif: relocation Business name:William Lyon Homes,Inc. 200 amps or less 59.36 I Contact name:Angela Grajewski 201 amps to 400 amps 125.08 2 Address:109 East L3th Street 401 aims to 599 amps 168,54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits-new,alteration,or extension,krer panel Phone:(360)695-7700 Fax::(360)693-4442 A.Fee for branch circuits with above service or feeder fee, 742 2 Email:Angela.Grajewski@polygonhomes.com each branch circuit 5618 2 Business name:alameditlectric branch circuit , Address:3415 ere 44th Each arid"!branch circuit 7.42 2 Miscelhtneons(service or feeder not included) City/State/ZIP:NM* ii, 1„ 0,/2_ 47 s - / Each manufactured or modulrf 6184 2 dwelling,service wurdior feeder Phone:(503)3192192 Fax:( ) •Reconnect only ' 67.84 2. Fanall:solarpdxfilme.com . Pump or irrigation circle 67.84 CCB Lic.: 199188 Electrical Lk.: c923 Suprv.Lic.: yr7/5 Sign or outline lighting 67,84 2 Suprv.Electrician signature,required: signai circuit(s)or limited-energy Print name: .h,/it. -p,c,../C, Date: 41A511 ;mid.alteration,or extension 0 See Page 2 2 Each additional inspection over allowable in any of the above Autianizedsi7..-- Additional inspection(1 hr min) 66.25/hr - PrinL....2Lname „....p...„,..---1 ---- Dat371.2,3//-tt Investigation(1 hr mm) iwwwiwaftweettc_ • _Ell EitEdoc Rey 0641712015 440-3615R I liOSCOEWWE$ Plumbing Permit Application I Oh 011 k I tin OA11 Building Fixtures City of Tigard j , i i. Receisxd Permit No. ."-- c.'//6-Z2195:2k ' . >>i, 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit Na.: Phone: 503.7181439 Fax: 503.598.196Q Date/By, s it Page 2 for Inspection Line: 503.639 4175 Date Ready/By:111 Supplemental for Internet: www.tigard-or.gov Nntdedltutcti,od ,X u 9l'. .:` y.>:>:ei. ._ ' - _off &: .'s z� ki.,».r .,v- <. ..,. r:. nuse cheCwtst w ..-.: fpr.." QAI t7t QrlrfAti'A _ u�< Total i C New construction 0 Demolition Descri•'on s*t IIII La. ❑Other New I-2-family dwelli : (includes 100 It for each utility connection) ❑Addition/alteration/replacement plaoarment e - 'Mr-4'4'4.,_ � '.. SFR(1)bath 31270 w '2e f_ � as ' as�t ; 437.78 I-and 2- 1y dwelling ❑ff ommerciatiindustrial SFR(3)bath 1 50032 0 Accessory building p. iuiti-family Each additional bath/kitchen 25.02 TT ��„ ❑Master builder 0 either:, Fire sprinkler( sal.ft.) Page 2 ttt ^< iki : x ,-.-.74,, R e ''t.,.,': , � zSite attet Catch basin o r area dram 18.76 Job site address: / ita S\►v POO .t1(oV rrac.e.,, Dry,,ven.leach line,or trench drain 18.76 Footing drain(no.linear ft.:,___) Page 2 City/State/ZIP:iP:Tigard,OR 97224 ^� 50.03 SuitelbldgJapt_no.:-7,Li 1 Project name:124V-e4/I e�. Manufactured home utilities Manholes I8.76 Cross street/directionsto job site: 1 8.76 Rain drain connector Sanitary sewer(no.linear f.:._.) Page 2 Storm sewer(no.linear ft.:. _) j _ Page 2 1- ►►//jj�'' // ►��q/ Water service(no.linear f.:____) 1 INIPage 2 fgl V /ervott e r_' ' 1 Lot no.:,53 Fixture or item: 31.27 Subdivision: Backflow preventer Tax mapfparcel no.: Backwater valve 12.51 s,: 4 t r c, E ' ;. •.. . , :.. Clothes washer 25.42 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 tat' 0- '''''"'°4 Exansion tank irt,� z . ' '° r- 1?.51 a� gs* � i � - �"�` �, d�r �< .. _,. Faxtuesewetcap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sink/hub 25.02 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib Ice maker 12.51 H Phone:(602)694-4031 Fax ( ) 25.02 "°ao g Interceptor/grease trap a. a . -s . . � Medical gas(value:S ) P e 2 _.. Business name:William Lyon Homes,Inc Printer 12.51 Contact name:Angela Grajewski Roof drain,(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 Solar ruins(potable water) 62.54 City/State/ZIP:Vancouver,WA 98660 Tub/shower/shower pan 12.51 Phone:(360)695-7700 Fax::(360)693-4442 25.02 ' Urinal E-mail:Angela.Grsjewsk�Polygoahm oes.com water closet oset 25:02 ,"1-4.`t,. w - z.. `' ® 7: .r - Water heater 37.52 ... 1, 56.29 Business name:Alliance Plumbing LLC Water:piping/DWV 25.02 Address:146 W Historic Columbia River Hwy Other: Subtotal City/State/ZIP:Troutdale,OR 97060 Minimum permit fee: $72.50 Phone:(503)492-3490 Fax:(503)912-6438 Plan,review (25°/a of a etrnit fce) CCB Lica:184601 Plumbing Lic.no.:PB732 State surcharge(12%of pe►mft fee) TOTAL PERMIT FEE ,iiilk Authorized signature: -This permit application expires if a Perrrtit is cot obtained within 180 days Date:5123/2015 atter it has been accepted as complete. Print name:Robert Dishman *Fee methodology set by Tri-County Building Industry Service Board 440.46t6T(10R2/COh''Ea) 1:18wId3ng4FsrA,itsPLMU- Aypdoe IO/OtAo9 . City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT IIII T 1 c A R n Building Permit Review — Residential Building Permit #: /`7S 7--,26)/ --0(2_5;23 Site Address: /33)49 9k) -7?-4 Project Name: eVer , e:oaiun -' Lot #: 9 ��l (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /1.1/40 Sim, ii erify site address/suite#exists and active in permits tem. vT R ver Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Sit; lan Elements: IE Y ree(3)copies of site plan Fli 4 sting structures on site 1f . e plan must be on 8-1/2"x 11"or 11 x 17"paper L Footprint of new structure(including decks)with finished T. !drawn to scale(standard architect or engineer scale) or elevations �7A orth arrow Utility locations(required for new,may apply for additions) e address,project or subdivision name and lot number �' :cation of wells/septic systems Voplicant information(name and phone number) 'h;sting trees to be retained with drip line,and tree 1t dimensions and building setback dimensions rotection measures Lot area,building coverage area,percentage of coverage and Y4 eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) ' Street names yr Property corner elevations(2 foot contour lines if more than 4 foot differential) Fill7tlean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified 011 No Received: ❑ Yes ❑ No !2) Public Facili ' s Improvement(PFI) Permit: equired: IYes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake and Use Case#: 4P Zoning: 12-IQ jZE=� Fr/Required Setbacks: Front /..2_ Rear 0 Side CO Street Side g Garage Q0 PIAI/Landscape Requirement: 2(7 /o �Bof Coverage Maximum: % "uildin Height: Maximum Height _NIA Actual Height NI ° isual Clearance F� asements ensitive Lands: ❑ Yes EKo Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: an JAM Y S'Ao// Le /hi //� p11G1i'' ' 3 ? el7N/71- !a l is-e Approved By Planning: ‘41 . ,._., ,,�:` Date: 62®f Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\BuildingTorms\BldgPermitRvw RES 091216.docx tea, Building Permit Submittal Original Submittal Date: /e///�A' Site Plans: # Building Plans: # Building Permit#: –Enter building permit#above. Workflow Routing: LI--Planning E--engineering —Permit Coordinator O''13uilding 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. luilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: OF By Permit Technician: l ' 7! 4.4,Date: A ��7� Engineering Review /L'J Slope at building pad: 26/1 /Conditions "Met"prior to issuance of building permit 4)o El Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Cl No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: Cl Yes ❑ No El NOT Approve by ngineering: /j Date: Notes: 4z -1yti� 4 frier / 417,417,172--- Approved 4&i 4 Approved by Engineering: ) 7) Date: , ' Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved El Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit El 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: ai)C Fees Entered: Wash Co Trans Dev Tax: ,i'es 1:-.1 N/A Tigard Trans SDC: !� es ElN/A Parks SDC: ii Yes El N/A rrIK to Issue Permitoved by Permit Coordinator: Date: 7 2/1.17-6( '� I:\Building\Forms\BIdgPernutRvw_RES_091216.docx • r City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT TI c A lz D River Terrace Building Permit Review Addendum Building Permit #: H. ,jet/6 00.5;2 Site Address: /95/4 ,94, "ke� ✓l.e hh Project Name: jly..er �Ce ,.- Lie -- Lot #: Jig (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distrt Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?V. 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 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: Fra# J h, ,f '&f /f `e 3. trances:At least one entrance must meet both of the follo g standards: Max. 8 ft. setback from longest stree facing wall en 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 ❑ 5 ft. depth min. ❑ 30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five ofjhe following elements on all street-facing facades: ❑ overed porch min. 5 ft.wide x 5 ft. deep ecessed entry area min. 5 ft.wide x 2 ft. deep A all offset min. 16 inchesormer min. 4 ft.wide �4 0 Roof eave min. 12 inch projection F11- rI 'oof offset min.of 2 ft. ❑ Roof shingles either tile or wood 7% Gable,hip or gambrel roof design F+P- ❑ 'oof pitch oriented south min. 500 sq. ft. . ❑ orizontal lap siding min. 3-7 inches wide � [T ccent siding min. 40%of street facade indow trim min. 2'/2$wide by 5/8"deep F�'1 TA recess min. 3 inches for all street facing p ❑ 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 a24. 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. 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) L1 -foot-wide garage door CI 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: �_rW5r Date: 2 1 C\Building\Forms\BldgPermitRvw_RES_RT_062216.docx Plumbing Permit Application RECEIVED Site Utilities FOR OFFICE USE ONLY City of Tigard MAR 15 2017 ed l�[/7 /A Permit NASTXD/G` S73 lig 'm 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: - Phone: 503.718.2439 Fax: 503.598.190BITY OF TIGARD Date ByPlan aew Other Permit No.: TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION ^��_� � CGU Date Red/Meth ill(/� Juris See Page 2 for Internet: www.tigard-or.gov Notified Method: Supplemental Information TYPE op-W4)o .. FEE* SCH11fI LE . ®New construction ❑Demolition For special information use checklist Description I Qty. Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEG tli;OF,CON SFR ] bath 312.70 0 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 El Accessory buildingSFR(3)bath 500.32 ®Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(1,209 sq.ft.) CP Page 2 '7''' JOB SITE 1111 )1 3 'toN AENSite utilities: Job site address: 13316 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.:183 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 1(JiES ;18IP'1'IUNL33 �O� v Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2016-00523 Drinking fountain 25.02 Ejectors/sump 25.02 ; .'PB',OPERT R ;.Adsl'T Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 =F = ►;e APP11* `1 . ff# TAc'r P ONn Interceptor/grease trap I t 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Robert Dishman 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 Water closet 25.02 .. s ,0 , i" '', x ... .x. , 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 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lic.no.:PB732 / State surcharge(12%of permit fee) Authorized signature: �!._J 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: Sllt 'Utt # X`e tage. Pe"'r� *F , 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 Valir aal z1 ; Permit`Fail \\ • 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 r .ttes �4eal each additional$100.00 or fraction thereof,to otherlopeatt _• !"- 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 by Fixture Type 7,t "A)U for PIU bin{ &a Fixture Type,for Rept Planreview is required for any of the following. Work Performed; CatiFed Added;,- Relocate, Please check all that apply. Baptistry/Font Bath Tub/Shower ❑ Any new commercial building with water service 2"and 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 ❑ 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. -3" 4„ metric or Peril ram Car Wash Drain ❑ Isometric or riser diagram isrequired for new buildings" Garbage -Domestic-non-food g 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 Washer-Clothes *Note: If the fixture work under this permit results in an 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 Pegmit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13316 SW AUBERGINE TER, SHERWOOD, OR, September 6, 2017 at 97140 12:07:04 PM Record Type: Record ID: Residential - Master Permit MST2016-00523 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: No A/C 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: 13316 SW AUBERGINE TER, SHERWOOD, OR, September 6, 2017 at 97140 12:07:37 PM Record Type: Record ID: Residential - Master Permit MST2016-00523 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 60 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13316 SW AUBERGINE TER, SHERWOOD, OR, September 11 , 2017 at 97140 12:03:53 PM Record Type: Record ID: Residential - Master Permit MST2016-00523 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No ac installed at this time. Violation Summary: Inspector Contractor