Permit (39) CITY OF TIGARD MASTER PERMIT
= COMMUNITY DEVELOPMENT Permit#: MST2016-00522
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017
Parcel: 2S106DB18200
Jurisdiction: Tigard
Site address: 13310 SW AUBERGINE TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 182
Project: River Terrace Northwest, Lot 182
Project Description: New SFA. Building/unit 7.3
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
Other Fixtures: 0
Drywell-Trench Drain: 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'l 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
Other: N Other Description: Ecompasing: 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 A' G 2-001-0090. 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� / /f�f7v�
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- 6 7- /62-
y1FOR OFFICE l sE OM.)
City of Tigard Received
a�7 4, 4 /�'l..s // ry
c,1, DateBy �. Permit No. � ���c+s�
I
'I 13125 SW Hall Blvd.,Tigard,OR 97223 1 I. �.'!' I Plan Review Other Perm �f� J�f'�1 t� �
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: j a j�,• 1
i.i(,,RI, Inspection Line: 503.639.4175 Date Ready/By: Jens: H See Page 2 for
Internet: www.tigard-or.gov t Notified/Method: Supplemental Information
;r»v 3,. - :::‘L'-/:,.1-
f °R�a4 ':
P : ? �^� ,,,:15' � -- ¢ �is" s— r; r � � � r� ; s� d�¥ ',5� ' 'IV� � 'n =
®New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and the profit for the
,�.{ > Ea " ----'4-
-� a�mwork indicated on this application.
.�p , k 3 « s' —tomP ,'''. - Valuation: w $
—v]\)
❑ 1-and 2-family dwelling 0 Commercial industrial
❑Accessory building 0 Multi-family Number of bedrooms: 2
—war_
❑Master builder ❑Other: Number of bathrooms:
ari�� a �',;"•":7,- a c Total number of floors:
.$i ce ,.�. .."P_h � » _- - -- c .....
Job site address: I ')C) S fl !�'W.i t t i 1 Tera CQ- New dwelling area: I square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: / square feet
Suite/bldg./apt.no.: 1,3 I Project name:River Terrace Northwest Covered porch area: V/ $ square feet
Cross street/directions to job site: Deck area: square feet :s'
Other structure area: 7 0,1 square feet
Subdivision:River Terrace Northwest I Lot no.:i 62 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
—— t € _. � work indicated on this a..lication.
Valuation: $
Existing building area: square feet
New building area: square feet
'' _
3 ;a, e ars ' �,it « Number of stories:
Name:ADVL Land Holdings,LLC Type of construction:
Address:7600 E Doubletree Ranch Road Occupancy groups:
City/State/ZIP:Scottsdale,AZ 85258 Existing:
Phone:(602)694-4031 Fax:( ) New:
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:Angela Grajewski
FLS plan review fee(if applicable):
Address:109 East 13th Street
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Phone:(360)695-7700 I Fax::( ) 6 Amount received:
Email Angela.Gralewski@polygonhomescom .-' .,v- a yz U_
°P a Commercial and residential prescriptive installation of
• t A'° .4 �
�; ...�, � �° � 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 S.ecial 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.:207247J/� _ Total fee due upon application: $201.60
Authorized signature: �/ �,/ This permit application expires if a permit is not obtained
k. ., t 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)
,
f,
Mechanical Permit Application. _ .
City of Tigard ameived
Date/Br int .:/iff,2e/6-Oa.s:,7,2--
13125 SW Hall Blvd.,Turd,OR 97223 ,r-
E- Phone: 303.7182439 Fax 503.598.1960 U�U-r L 1 plan Review
DazeBy: Other Permit: ?.
, , .,• Inspection Line: 503.639.4175
bate dnsy tuns: 121 see Page 2 for
Internet ww .tigard w.gov
°. Notified/Method: Suppl eatat Informafon
v y„'N,•��.r.: ,�'f ;0'44'''''''11"'''''
4.�...: '�h{. �i,.�.,�74' . �`v�-0 e 4,,,,,,14:-, � ��, 4LU3ifiS�Rl.[!1L �, i�V� ,,���gl k:'
t Mechanical permit fees*are based on the value of the work
®New construction
0 Additionaltcrationlreplacement
❑Demolitionperformed.lndira2e the value(rounded ht the nearest dollar)of all
0 Other. mechanical materials,equipment,labor,Overhead,and profit
X G
�•
w01-and 2-family dwelling 0 Conunerciatrmdustrial � Accesso�building Fwa�d�bilk/ma/ion 144 checklist
; Multi-family 0 Master builder Other
Description (4v. Ea. Total
' r 0,:1 446 `.7(?l IleatingieooMn2:
Job site 8tidtess �30 SW ��-t� Air conditioning: 46,75
I 1 ')be 40301e.
V XYZ V .T j Furnace 100.000 BTU(duets/vents) 46.75
City/State./ZIP:Tigard,OR 97224 d Furnace 100,000+BTU(ductsr i ts) 54.91
Suite/bldg./apt.no.: 14 Project name: it ' , / Heat pumpi 61
,06
a f 1.11 i . . Ductwork I 2332 IIIII
Cross street/directions to job site: Hydtonic hot water system
Residential boiler(radiator or
hydronic) i 23.32
Unit heaters(fuel-type,not electric), i
in-wall,in-duct suspended,etc. £ 46.75
Flue/vein for any of above I 23.32
Subdivisi :154-CY-ie newt aorth weq�— Lotno.: 1152 Other 23.32
Other fuel appliances: 3
Tax map/parcel no Water heater
.32
if t DESCItYPTTON O*Oigi,C h` s<, I
. Gas fireplace/insert • 33.39
F
new home construction Flue vent for water heater or gas
fireplace j 2332
Log lighter(gas) 1 2332
Wood/pellet stove I 3339
Wood fir placeluuert i 23.32
Chimney/liner/flue/vent
23.3? .
AB�
w;^ _�.. r,',/1.,:!;:,„;".,7,-,,....2:;:.'4i L .. 1%*: I,, e c� �� Other; : 23.32 ...
”v� At
�'`' Environmental exhaust and ventiisdor�:
♦'L Land Holdings,LLC equipment
hood/other kitchen
Address:7600 E Banbletree Ranch Road • 33,39
Single-duct
ingle duct r exhaust
exhaust 'MilliIFECIIIIIIIIMI
CitylStatelZIP:Scottsdale,AZ Single duct exhaust(bathrooms,
toilet compartments,utility rooms)
Phone:(602)694-4031 Fax:( ) Attics rawlspace fans fi 23.32
col . . zi.,,, ,Nt .a h i1,G OO"�170',1*t s i k: Other s 2332
Fund piping:
Business name:William Lyon Homes,Inc.
514.15 for first four,S4,03 fortad'additional
Contact name:Angela Grajewski Furnace,etc. _ 9]
Address:109 East 13th Street Gas heat pump i
Wall/suspended/unit heater i
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
E-mail: Range
AngewGrajcwski®polygonhomes.rom Btbecu5
k'_ x i I.44 ,?r— e, ,4 , �. Clothes do er(gas)' I
Other: I
Business name:Andersen Mechanical,Inc
XilAddress:16285 SW 85th Ave :,..,,'
Subtotal
City/State/ZIP:Tigard,OR 97224 Minimum permit feek'S90,00)
Phone:(503)992-6664 I Fax:(503)536-6615 Plan review(25%of pa xnit fee)
State limit )
CCB lie.:168214 « TOTAL PERMjT FEE
7)( "Tis permit application expires if a permit it )snot obtained within 180
Authorized signature: days afterbees accepted complete.
= Fee methodology set by Tri-County Building Industry Service Board
Print name:Angela Crajewski. Date:8/22/16 i
a
t. „Peefeaane.peart3:doe 4444617e(1lJJ02,COM/SVEa)
Electrical Permit Application , t I:()I , 11 i , ,, (),I 1
City of Tigard ;;c i a i Cl (i 1+ama iVjl-C ,%776/6''c/S t3
13123 SW Hall Blvd.,Tigard,OR 97223' e ��
Phone 503.711.2439 Fax: 503.398.1960 ,: ►-.-
EZIZigl
Inspection Line: 503,639,4175 Ready poesy: Mia ' Ste Page 2 ler
Internet www.tiprd-or.gov mad: gloom/eta!brisrmatioa
=' New construction 0 Addition/alteration/replacement tie check an that apply(submit 2 mss of plans wirimas checked)
O Service or feeder 400 amps**more D Burrs over dam stories
❑Demolition ❑Other:
.
where dm available fault await 0 Marius rmd boatyards.
a x :c- os r ' :.' recede 10,°00=Ps as 150 oohCI or F°61iag pt
boildio .
i and 2-family dwelling 0 Commercialtindustriat 0 Accessory building less to ground,or ens 14,000 0 Came.V,pdtu at
amps far A other installationsbuildings.
U Multi family 0 Master builder 0 Other 0 Fire pinup. 0Installation of 150 KVA or
r v <� r ❑Emergency syuem. larger separately derived
❑Addition of�w motor toad of system.
Job 0: lob site address* ♦ 0 SW I1. h i a - 100or more. 0"A",-E"."1-2-,"1-3",
City/State/ZIP: e D Six or more resideutial units. oed1P '-
Tigard,OR 97224 D 1leaibctae tacllitier 0 Ronal vehicle paries.
Suite/bldg./apt 0: 7, Project name: ;/ V , e - D ltarardous locations. D Supply voltage for more than
O Service or feeder 600 amps or more. 606 voles 0061081.
Cry street/directions to job site: '
n Qq. ext. Tint •
New residential single-or multi-family dwelling unit.
Subdivision LI *4 - ' A /ce N vI. Lot#: -_ ro9 Includes attached garage.
Tax map/parcel H: 1,000 sq,fl.or less i 168.54 4
9 lea,add'1500 R or 1 33.92 I
,....a _.a-�r�o„� f. z a. ' ✓.' ., :.�-�,,....�-.�,. .�, . tee .... 99. portion
Limited energy,residential 75.00 2
(with above sq,ft.)
Limited energy,multi-fansily 75.00 2
, residential(with above sq.ft.)
Name:ADVL Land Holdings,LLC Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Address:76410E Doubletree Ranch Road
200 amps or less 100.70 2
City/State/ZUP:Scottsdale,AZ 85258
Phone:(602)694-4031 Fax:( ) 201 amps to 400 amps 1x3.56 2
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.
eTemporary services or feeders installation,attention,and/or
2„,.,,,L-_, ,11 ; i relocation
Business name:William Lyon Homes,Inc. 200 amps or less 59.36 t
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 Fax::(360)693-4442 A.Fee for branch circuits with
above service or feeder fee, 7.42 2
Email:Angela.Grajewskkgpolygonhomes.com
each branch circuit
-• B.Fee for branch circuits without
, a< _.. ? �� „_ service or feeder fee,first
56.18 2
Business name:alameda electric branch circuit
Each t4d'Ibranch circuit 7.42 2
Address:3415 ne 44th
Miscellaneous(service or feeder not included)
CitylStatePLIP:PBS R fa, , ir/Z 4 .2.-/ Each manufactured or modular 67.64 2
dwelling,service and/or feeder
Phone:(503)3192192 Fax:( )
Reconnect only 67.84 2;
Email:solatpdx@me.cotn
Pump or irrigation arcle 67.84 2 '
CCB Lit:.: 199188 Electrical Lic.: c923 Suprv.Lic.: y f 7/,$
Signor amine lighting 67.84 2
Suprv.Electrician signatrue,required: Signal circuit(s)or limited-energy
panel,alteration,or extension. 0 See Page 2 3 >
Print tname: i klJ4%/1 Date: t? � Each additional inspection over allowable in any of the above
A
AttTfloFi2s d ddttionai inspection(1 hr min) } 6625/br
Print
investigation(l hr mm) 9°o0/hr
141ltit.0 PrR eloc Rey 06(1753015 440.4615TR.11/051Cowiwaa -
Plumbing Permit Application., ,
Building Fixtures I t)h O k I H i t ,l ( i
II Date/By:
ate/B: Palmi Noe 1/ ,-- 25-„ ..I
13125 SW Hall Bt d.,Tigard,OR.97223'-d 11 `0 pine Re:
Plan Review . Other Permit No.:
Phone: 503.718.2439 Fax 503 598.1960 Date/By
June. El Ste Page 2 for
Internet: Line: 503 639 4175 Date Ready By Sappletaeetal information
Interact www ggard-or got NdtfiedlMtihod
t o, For special information use checklist
01<New construction 0 Demolition Description ! Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
' t4N ( ) 312.70
' y E a t ' 4 ti.,t". . 1 r `« „, ,,.� ,y SFR l 118111
SFR(2)bath 437.78
_ 1-and 2-family dwelling Q ommercial/industriaf SFR(3)bath 1 50032
Multi-family25.02
�Accessory building Each additional bath/kitchen
❑Master builder 0 Other Fire sprinkler( sq.ft.) Page 2
i s €,E r at cam" his • �-4 tts ' Site utilities: 187
w 6
.._A• Catch basin or arca drain
Job site address. /33/) 5\N1 15041 tyq� -terrace, pryyell,leach litre or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 V •
01 Footing drain(no.linear ft.:_) Page 2
Suite/bldgJapt.no.:,, ) , Project name:f\e// L YY 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.: ) j Page 2
Water service(no.linear It:^) L Page 2 --
Backflow iJ�/ I ervat Lot no.: Fixture or item:
Backflow preventer 31.27
Tax map/parcel no.:
v
,z•, Backwater valve
�' ;; 1 , -'z,Y ` washer
1 12.51 .
° ° Cie>Rhcs 25.02 :
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
; �9. Expansion tank 12.51
D
m .€ �< g ureJsewercap 25.02
�< F{Xt
Name:ADVL Land Holdings,LLC Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)694-401 Fax:( ) -1
Ice maker 12.51
-
u s t `� 'g ': Interceptor/grease trap 25.02
r
Medical gas(value:S ) Page 2
Business name:William Lyon Homes,Inc Primer 12.51
Contact name:Angela Grajewaki Roof drain(commercial) 12.51
Address:109 East 13th Stmt. Sink/basin/lavatory 25.02
CityJStatclZlP:Vancouver,WA 98660
Solar units(potable water) 62.54
693-4442 Tubfshower/shower pan 12.51
Phone:(360)695-7700' i Fax::(360 1
Urinal 25.02
E-mail Angela.Grajewski(lpolygonhomes.co°° Water closet 25.42
f_ 1.
�_-, F, °,e � <_ � �. , Water heater 37:52
Business name:Alliance Plumbing LLC Water pipingirWV 56.29
Address:146 W Historic Columbia River Hwy Other: 25.02
Subtotal
City/State/ZIP:Troutdale,OR 97060
Minimum permit fee: 572.50
Phone:(503)492-3490 Fax:(503)912-6438
„,
Plan.review (25%of permit fee)
CCB Lie.:184601 Plumbing Lic.no.:PB732 State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE 1
5/238016 This penult spot:soon expires If a permit is not abtaiaed within 180 days
Date:
Print name:Robert D soman alter it bas been accepted es complete
*Fee methodology set by Tri-County Building industry Service Board.
I:\BuildingtFamitAPLMtl-PmeitAppdoe 1010109 440-46t6T(1O1621COM/wEB)
City of Tigard
1111111 III
■ COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A RD Building Permit Review — Residential
Building Permit #: �'/S i/6 --60.5,2�2
Site Address: /35/0 Siu '?,r;
Project Name: ve- '-7?-,irnie, duet f— Lot #: Jeo'�
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: A)() SF,
erify site address/suite# exists and active in permits tem.
v(V.
River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached
Sit Ian 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
yl%rawn to scale(standard architect or engineer scale) or elevations
itorth arrow Utility locations(required for new,may apply for additions)
e address,project or subdivision name and lot number �' :cation of wells/septic systems
Jplicant information(name and phone number) a sting trees to be retained with drip line,and tree
ot dimensions and building setback dimensions . otection measures
Lot area,building coverage area,percentage of coverage and I/ reet 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)
Inifklean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
) Pequired: ❑ Yes,applicant was notified PiNo Received: ❑ Yes ❑ No
ublic Facili ' s Improvement(PFI) Permit:
equired: 1 Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake
011-and Use Case#: YI Q0j(fl 9c- LfA(-,2O/s--'-- Y)OO 9
V' Zoning: 12—/Q
0I Required Setbacks: Front 1q Rear 3 Side 0 Street Side g 3arage 670
1 Landscape Requirement: 7O %
Bof Coverage Maximum:
uilding Height: Maximum Height _MA Actual Height /
+111 ° isual Clearance
rA E. ements
0l°.ensitive Lands: ❑ Yes No Type
Urban Forestry Plan
❑ Conditions"Met"prior to issuance of building permit
�r �+
Notes: Can c /1ril_ i y S' �/ Le /R-�'f poo '7)) t-ene/74 A 4.2-ne%e .
Approved By Planning: Date: /r _ /��
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\BldgPemtitRvw_RES_091216.docx
Building Permit Submittal
Original Submittal Date: l0//,�
Site Plans: #
Building Plans: # `j
Building Permit#: ®'Enter building permit#above. ,�
Workflow Routing: B'Planning '0`Engineering Permit Coordinator LJ iiuilding
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:
ByPermit Technician:
___..__. Date: /'1�?/ '
.-1.�_:. .- ,c.,-.2.1,. .....t£ _.. .3 & _ � 112 -.. ,, ., '. f: x <tS > �T f_
Engineering Review
Slope at building pad: 7�/ ts, --/—
Conditions "Met"prior to issuance of building permit ,4,i,
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 Approves by ngineering: Date:
�Notes: _o _.ir._ sr i�40y� — rf1tll�
Approved by Engineering: idG .....7 Date: z_Z , _
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Eipn
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:
DC Fees Entered: Wash Co Trans Dev Tax: Px
GI N/A
Tigard Trans SDC: SS-11-Yes ❑ N/A
Parks SDC: Yes ❑ N/A
rOK to Issue Permit
Approved by Permit Coordinator: Date: /7-704(‘'
41‘'
I:\Building\Forms\BldgPernutRvw_RES_091216.docx
f
City of Tigard
III Il
COMMUNITY DEVELOPMENT DEPARTMENT
i
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: /'7--S 7320/6 --003 ,A�
Site Address: J`3SI° SO v 9/,( ec ,,,Le7
Project Name: 1�V(r i ��'� 7i mgt- Lot #: /(.9.<
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Distr t Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards? Yes 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.
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.,Eft.wide Gabled dorm
❑ ❑ ❑ ❑
F
4 g-
2. Eyes on the street: a minimum of 12% of each street facin facade must include windows or entrance doors.
Percentage Shown: lymL: r3 eA/. je.(24 : `e
3. trances:At least one entrance must meet both of the follo g standards:
tit' 8 ft. setback from longest stree facing wall Parallel to street,angle no more than 45° from street,
g or open onto porch
Entrance opens to a porch: CI 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 ofe following elements on all street-facing facades:
❑ 'overed porch min. 5 ft.wide x 5 ft. deep /Recessed entry area min. 5 ft.wide x 2 ft. deep
rll offset min. 16 inches) �ormer min. 4 ft.wide F`L g.
Roof eave min. 12 inch projection F*g. v 'oof offset min. of 2 ft.R
❑ Roof shingles either tile or wood RI Gable,hip or gambrel roof design F+IP
❑yoof pitch oriented south min. 500 sq. ft. . El orizontal lap siding min. 3-7 inches wide
rgi A ccent siding min.40%of street facade F indow trim min. 2'/2"wide by 5/8"deep r+0
P5 Window 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 No. If No (Check one):
ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
/VI
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)
04-foot-wide garage door CI 40%max. of street facade
tir50%max. of street facade with 7 detailed design elements
Notes:
_Is_242llez__
Approved By Planning: ® r A / Date:
C\Building\Forms\BldgPermitRvw_RES_RT_062216.docx
Plumbing Permit Application
Site Utilities RECEIVED FOR OFFICE USE ONLY
City of Tigard MAR 15 2017 Received //'
Permit No.:
114 13125 SW Hall Blvd.,Tigard,OR 97223
Date/By: i>/(Q/1 �$7) [C,- o 5-l.Z
9 Phone: 503.718.2439 Fax: 503.598.1 Plan Review /
M Y OF TIGARD Date/By: 1--/0--/7 A L 67 Other Permit No.:
TIGARD Inspection Line: 503 639 4175 BUILDING DIVISION Date Ready/By: Juns H See Page 2 for
Internet: www.tigard-or.gov .741/117
J /
' J,p yeah c Notified/Method: ( �[ ��
d/Me
,t. �; , �, ' `' �� i. � �'ll!�IE��8�T1I7L� �'
SupplementalInformation
// New construction ❑Demolition For special information use checklist
Description Qty. Ea. Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
cA' cott''' Ov c stgucti s1 SFR(1)bath 312.70
0 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
0 Accessory building ®Multi-family SFR(3)bath 500.32
❑Master builderEach additional bath/kitchen 25.02
❑Other: Fire sprinkler(1,209 sq.ft.) ;, Page 2
41111•;SITE IIY1+O I TION .4341)'CAtIol z Site utilities:
Job site address:13310 SW Aubergine Terrace Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name:Northwest River Terrace Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.:182 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
' Backwater valve
12.51
Clothes washer 25.02
Multipurpose Fire Sprinkler System
Dishwasher 25.02
Permit#MST2016-00522 Drinking fountain 25.02
Ejectors/sump 25.02
14 1!RQPERTY OWNER ma: tT1 ANT Expansion tank 12.51
Name:Polygon Northwest Fixture/sewer cap 25.02
Address:
Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
® Apitick'r e 0 c9NTAc f ly,, Interceptor/grease trap 25.02
Business name:Alliance Plumbing,LLC Medical gas(value:$ ) 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
' 9IIS'T t T00. :' Water closet 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'J'LMU-PermitApp.doc 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:
"Total
lt �ltt1 ,- 3 y,9,,,,,',.. rei ' I )rC�EC. � � �r
, ltst
... ; ,
z ,x
Footing drain-1s'100' 50.03 0 to 2,000P $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' 37.52i• *
• +n nit IiiltIt'.''.4,-,',,- • z
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
tilos) 2•Tota each additional$100.00 or fraction thereof,to
tCt C11C";F't'± '''''-410.t 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 l�f P 1 > g it lalI
Fh* re Type for Reptase/ Plan review is required for any of the following.
Womixt
kPerformecl.".. Capin ' RefteeftPlease check all that apply.
Baptistry/Font El Any new PP y
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 ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial ❑ 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.
-3"
4„ ,,, fI iwiiic ' 1ser t ,,
Car Wash Drain I=1Isometric 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 Pgmit.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13310 SW AUBERGINE TER, SHERWOOD, OR, September 6, 2017 at
97140 11 :55:08 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00522
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:
13310 SW AUBERGINE TER, SHERWOOD, OR, September 11 , 2017 at
97140 11 :33:43 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00522
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
Ac installed.
Violation Summary:
Inspector Contractor