Permit (42) •
,, CITY OF TIGARD MASTER PERMIT
ICI I COMMUNITY DEVELOPMENT Permit#: MST2016-00521
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017
Parcel: 2S106DB18100
Jurisdiction: Tigard
Site address: 13306 SW AUBERGINE TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 181
Project: River Terrace Northwest, Lot 181
Project Description: New SFA. Building/unit 7.2
BUILDING
Floor Areas Reauired 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
DwellingUnits: 1 Detectors: Yes
Third: 562 sf Right: 0
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
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: 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
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 OA' 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: j 1 Permittee Signature: /v r /QL=fe r77eAJ
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.
1
Building Permit Application I_O 7 /
7 , t ';
t I OR(HA I( L Sl O\Ll
City of Tigard R '°� y / ,(•
IN � > � Date/By. ,..,2// � Permit Nqf��/`�/�,r "��'i��
II
il 13125 SW Hall Blvd.,Tigard,OR 97223 IJ l-1 1 x Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: JZ- la- 1 6 Other P k/ / i' 9'y__3
i-
l( ,R D Inspection Line: 503.639.4175 'c' Date Ready/Br ,A %/,///� Juris: H See Page 2 for
Internet www.tigard-or.gov Notified/method/2/(77/F /A.`-f+'— Supplemental Information
/1-7,971.. ('e/2 5
z, ,.<,..,-;�
®New construction 0 Demolition Permit fees*are based on the value of the work performed
❑Addition/alteration/replacement ❑Other. Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
" –24'0%,�A -i h ( .:, work indicated on this application.
its�iG,M,tT,t�d ,xsa,k ,.. n�,,,z '„w,»� wv�a. s' r'€ � —
❑ 1-and 2-family dwelling 0 Commercial industrial Valuation: 3 $ ti -10.0A7ill
❑Accessory building ®Multi-family Number of bedrooms: 2
❑Master builder 0 Other Number of bathrooms: 2_
h_ ,; � f ... E a ;,,,,,,,„-,,,-„.< , ,., .�. Total number of floors: 3 /
z.s.,�,. ,.,.a+�ca �_ _ _u ..,.�..., fi.�ew;.�arsa.z.m..� s,w�� t�ra�� 'f._: ...,� ..� e
Job site address: ! Co S pit`�C yrivae Te n/1 c- New dwelling area: 120• square feet
City/State/ZIP:Tigard,ORT 97224 W'I` '►l l �l Garage/carport area: Sip square feet
Suite/bldg./apt.no.: ----1, I Project name:River Terrace Northwest Covered porch area. ..1, square feet
Cross street/directions to job site: Deck area: —72 square feet :S
I s+structure area: a square feet
Subdivision:River Terrace Northwest l Lot no.: lei Permit fees*are based on the Yvalue of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:
ergequipment,materials,labor,overhead,and the profit for the
� � �, •�� 7� �� �i v� �,� ��.,c � ~.'"---17 �� �� work indicated on this ...lication.
Valuation: $
Existing building area: square feet
New building area: square feet
`zFs ,• , , g a „ »; '-'",:;:r.„,:;..,,,. €..„ Number of stones:
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::( ) Amount received
E-mail:Angela.Grajewski@polygonhomes.com
:3 �� ��_ � Commercial and residential prescriptive installation of
r»» - • 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.:207247
A /� Total fee due upon application: $201.60
'iorized signature: �/ \,/af(f `t - This permit application expires if a permit is not obtained
111///VVV/®o within 180 days after it has been accepted as complete.
e:Angela Grajewski I Date: gial)it *Fee methodology set by Tri-County Building Industry
Service Board.
nits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application ,, 1<w 01 1 R I 1 '.l�.00.,1 ,
1Phone: 3 W Hall
wd,OR 97221
City of Tigard rtl ::hJ '/Gy-z90� /
3 5
Fax: 503.59$,.1960 plan Review
Inspection Lite: 503.639.4175
'$x Other Permit:
Internet w•ww.tigard-or.gov ��r . I. 7 n q i 6 {ReadyarAnis: El Ser Pace 2 for
r.. g `e�`..;� *0, t. r .W gi p �l . Feer k .E4f,, teff )9th
., s,.,,D� 3`?n� ' .'z ., 2'� S te."ere value
. ✓;';
New2,91 construction 0 Additionsalterah#xthrt tlacenic it Mechanical permit fees*arc based on ibo value of the work
❑ entali performed.Indicate the value(rouged to the neatest dollar)of all
0 Other: mechanical materials,equipment,labor, rverhead,and profit.
b e i....Sik�4.if�llR .N b
�.,..� : ,... 0,�C i'RYf ., 14.1 ' ,>, a5 ,value,
S �
❑I-and 2-familydwellingr re , „.„.i33�1L EQUIP 1Fil!3 C >:iF ,
0 Commercial'mdustriai 0 Accessory building For
®Multi-family 0 Master buildeinformation
0 Other: Description Oty. Ea. Total
8 , , � �>0>13y4,71+TF( Mi1ITU�t `D, ,04 2i. c�rolinp: i
Air conduranmg 1 4635
Job site address: /317 DLO SW Fes,.�y tile_TeAeYa Furnace 100.000 BTU(duucut°rvems) I 46.73
City/State/ZIP:Tigard,OR 97224 r' Furnace 100,000+BTU(doetsivents) l 54,91
Heat pump Suitelbidg lapt nes: 1 .Z Project name: 06
gl�f r TPYyars tmcr t 23
Cross street/directions to job site: Hydronic hot water system l 23.32
Residential boiler(radiator or
hydronic) s 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct.:suspended,etc. I 46,75
Flueivent for any of above ti I 23.32
subdivision:144-eY TVervgrt Wovt hwegt- Lot ::r 5 I Other:
Other fuel appliances:
Tax map/parcel no.:
32
3 A D)E RInii*i:'iF ifi --T,'-'''''OF'O• Gas ftreplsee/insert • 33,39
. Flue vent for water heater or pa
new home construction fireplace t 2332
Log light(gas) 23 32
Wood/pellet stove ° 33.39
Wood fireplacefinsert t 23.32
Chimney/liner/flue/vent 23.32
f)ther: I 2332'.0i.:.4..:24'., s �` :.. , � A
Euvieonmeatal exhaust sod veatlatioth
Name:ADPL Land Holdings,LLC Range hood/other kitchen
Address:7600 E Doubletree Ranch Road and=
33.39
• othes d exhaust 33.39
City/State21P:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, .
toilet compartments,utility rooms) ,, 23.32
Phone:(602)694-4031 Fax ( )
Attictcra>:vlspace fans 23.32
` 1:„ ® S._ 47 u: .,',3ii .: **a `„PE Qty a" Other. 123.32
Business name:William Lyon Hemet,IncFuel piping:.
514.15 far treat rouri 54,03 for tach additional
Contact name:Angela Grajewski Furnace,etc. I
Address:109 East 13th street Gas heat pump i
City/StateJZIP:Vancouver,WA 98660 Wait heater Wall/suspended/unit beaux _`
Phone:(360)695-7700 Fax::(360)693-4442 FireplaCe
Range
E-mail:Aagla.Grajewslri®po)ygonhomts.com
Barbecue'
; ;1.0, 1', X1.1 _b aa a lba&Far(P,as) 1 1
Business name:Andersen Mechanical.Iuc. Outer l
Address:16285 SW 85"Ave _ Subtotal
City/State/ZIP:Tigard,OR 97224 Minimum permit feet$90.00)
Phone:(503)992-6664 I Fax:(503)536-6615 Plan rev (25%of p etit are)
i State surcharge(12%of pejrmit fee)
COB lie::168214 TOTAL FERN/1T FEE
This permit application expires if a permit it sot obtained within 180
Atdbotized signature: days after It has been accepted complete.
• Fee methodology set by Tri-Courtly Building Industry Source Board
Print name:Angela Grajewski Date:8/22116
J
IABuiidi eraitellECjemeXpp_04att3.4oe 4404617T 01182rt:Qh£'WEa)
Electrical Permit Application +- R ', Y I t est i ii I I( t I 'I (I\I1
City of Tigard Received
DatdBv;
r
13123 SW Hall Blvd..Tigard,OR 97223
Phone: 503.718.2439 Fax 503,598.19600C T . I I)1 h
Inspection Line: 503.639.4175 Reedy Datelty: Ms
interne[: w'ww.tigud'or<gov :s oda tr.t,i...i.ii
.,, "vwa,�,
laned eek ilthat apply(subunit a sets• plans wineries ebeekect
fa New construction 0 Addit►4nlalte ,tSceritenfP
D Sorrier or feeder 400 amps or more ❑Bnildiat ova alae ease[.
0 Demolition ❑Other where me available fault current D Manila and boatyards.
I
I 7,�� � .
'.,; may ,„_, �,�> ::� ;:.� 'weak 10,0110 amps at I"vo&s or CI F1al16eg braidiais•
Iless to pound,or exceeds 14,000 D Commercial-ase ag is 1
_inial 2-family dwelling 0 Commerciallindtistrial 0 Accessory building naps for all ober installations, buildings.
:4 Multi-family 0 Master builder iJ Other: ❑Fitt pump. D 1nsWiusion of 150 KVA or
r ', ''* ,7-7,,..p.,''',7,-;:,"-:--' - «. DE7u largerseparately derived
m_ - %, mc` ", .. .» , < ' _ ' D Addition ofne w motor load of D system
Job#: Job site address /1i / SW /t_ OA, i g ' "A-,"E"."1-r,-1-r,
I00HP or more.
r D six or more residential units. oecopancy.
City/State/ZIP:Tigard,OR 97224 0)104thore facilities. 0 Ren renal vehicle parks.��/ ❑Hazardous locations. 0 Supply voltage for more than
Suite/bldg./apt. : Project[tame: ,f V'. /, 1 - V V 0 Service or feeder 600 amps or more600 volaa n011t1ml
Cross street/directions to job site:
p qN Cm Each Tetat •
New residential single-or multi-family dwelling unit
Subdivision iiii.it 'A ' ' A re N vtJ Lot ii: J Iodides attached garage.
1,000 sq.ft.or less t 168.54 4
Tax nap/parcel
— # '' Fa.add.150o sq.ft or portion I 33.92 1
Limited energy,residential 75.00 2
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residemiai(with above sq.ft.)
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 100.70 2
City/State/ZIP:Scottsdale,AZ 85258 13336 2
201 amps to 400 amps
Phone:(602)694-4031 Fax:(
401 amps to 600 amps 200.34 2
Email:
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 55216 2
Owner signature: Date: Temporary services or feeders installation,alteration,, lterat and/or
.4i-i .e'er" iq ere 6-1 ,413t1 relocation
,��.
Business mune: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 13th Street 401 amps to 599 amps 168.54 2
City/State/ZIP:Vancouver,WA 98660 Branch circuits new,alteration,or extension,ger panel
Phone:(360)695-7700 Fax :(360)693-4442 A.
Fee for truits with
above service horrfeeder fee,
7.42 ?
Email:Angela.Grajewski@lwlygonbomes.carn
each branch circuit
, B.Fee for branch dirties without
.... - '.; a, ._.. 3. •' _, 11 _ = service or feeder fee,first 56,18 2
brand[circuit
Business name:slanted*electric
Each add.'branch circuit 7:42 1 2
Address:3415 ne 44th Miscellaneous(service or feeder not included)
City/State/ZIP:AMIN t' 1„ ®/Z 07 az./ Each manufactured or modular 67.84 2
dwelling,service andior feeder
Phone:(503)3192192 Fax:( ) Recomreca only 67.114 2
Email:solatpdx{}a me cont e Pump or imgation circle 67.84 " 2
CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lie.: it Q7/..5 Signor aniline lighting 67.84 2
Suprv,Electrician signature,required: Signal circuits)or limited-energy ,' .
pend,alteration,a exterrsion. D Sea Page 2
Print rtetrK: �� Date: Z�� Each additional inspection over allowable in any of the above
Additional inspection(t hr min) 66.25/br ' ,..
Authorized signature: ,
err r (1 hr min) 40,00 hr
Print name: r DeteS" z...3 /
hNi►:tecarrs:a c BtR PXt aloe Rev 06fI7=1 5 MW515111ImS4C0.WWE$
Plumbing Permit ApplicatiOlt =
11,k (ii II, i 1 ,1 ().1 ..„gi Building Fixtures
Permit No.://.7i%xf --00_51,2/1
CBy ty of Tigard !i(..T 1 1 7,016 R1 ve
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit No.:
Phone: 503.7 8.2439 Fax: 503.598.1960„, v. :, I3atelBy:. -� �,,,;i. B�Page 2_fer
Inspection Line: 503.639.4175 - Date Ready/By: iii See Page 2 farermatioo
Internet: www ttgard-or gox Noaficd/Me h°d
t - ; - � ; , _ i '��-
», . yam , t ' ,Ata,'`1, qtr i �
For special information use
checklist
Q DemolitionEa. 1 Total
_<New construction Description � Qty.
❑Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 1'00 R connection)
each:utility mnection)
�� {4s SFR(1)bath 312.70
• t #4 :es it 4t.`,1-,., ._. . r 437.78
��?"..��,.� �.. :.�. �5�„�•, ��:^ .. .s....:A,: ,_� .:, ...,. SFR(2)bath
_ I-and 2-family dwelling 0 Commercial/industrial SFR(3)bath 1 50032
0 Accessory building Multi-family Each additional badifkitchen 25.02
0 Master builder 0 Other' Fire sprinkler( sq.ft)
Page 2
Q Site utilities:
s a ,•, � "-'',.t'',t -fi#'":517.‘:17,2-7(7'1,-i-� (a *11°W''- �'� � 18.76
��_ � 4 - ., . .- - b ... ,m� .-. n or arca drain
_ `,' � Catch bas..
lob site address: Bard,0 9 4 r)vvt �Ya1 rrQC� Dryvvell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 /V Footing drain(no.linear ft.:_) Page 2
Z 1 Pro name: V Manufactured home utilities 50.03
Suite/bldg./apt.tto.:�. 3
Manholes 18.76
Cross street/directions to job site: 18.76
Rain drain connector
Sanitary sewer(no.linear f.:,_) Page 2
Storm sewer(no.linear ft.: ) 1 Page 2
Water service(no.linear ft.: ) 1 Page 2
Subdivision:rives /e41 t ,Ivy v 1 Lot no.:ie l Fixture or item:
Backflow preventer 31.27
Tax map/parcel no.: Backwater valve
€ e 12.51
. , ,, ,
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
R
n € t :r Expansion tank 51
12.
xa ' �� � s .m,, .d� ,� ". .� :� .. .s., Fixture/sewer cap 25.82
Name:MEWL Land Holdings,LLC Floor drain/floor sink/hub 25.02
Address:7600E Doubletree Ranch Road Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose,bib' 25.02 --1
Fax ( ) 12.51 a
944031 lee maker '-J
Phone-(602)6 '� Interceptor/grease trap 25.02
.,. mat r
''' ' .., .. - k , .... .. • cal gas(value:$ ) Page 2
Medi
Business Heine:William Lyon Homes,Inc Primer 12.51
Contact name:Angela Grajeayski Roof drain(commercial) 12.51_ a
Address:109 East 13th Street Sink/basin/lavatory 25.02 '
,:. 62.54
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water)
Tubfshower/showerean 12.51
I Fax::(360)693-4442 `
Phone:(360)695-7700 Urinal 25.02
E-mail:Angela.Grajewski@pulygonhomes.eom closet 25.02
. . 1 37.52
Water
- � Water
heater ;
. .,mom � . �-,,.,�, .._ .. ��,. k, -�
Business name:Alliance Plumbing,LLC Water pipingiDWV
56.29
25.02
Address:146 W Historic Columbia River Hwy Other:
Subtotal _
CitytState/ZTP:Troutdale,OR 97060 Minimum permit fee: $72:50
Phone:(503)442-3490 Fax:(503)9124438 Plan review (25%of permit fee)
CCB Lie.:184601
Plumbing Lie.no.:PB732/ State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE I'
f,// This peeto[t tlpptleatlnra expires 1f a permit is not obtained within I80 days
Print name:Robert Distrmsn 1 Date:512312016 atter it tats been accepted ss complete.
'Fee methodology set by Tri-County Building Industry Service Board
118uildingtPermitS,Pt,MU-I'«micAppdoe 10/0IN9
440-4616T(10142/COMt WE6)
s
City of Tigard
® COMMUNITY DEVELOPMENT DEPARTMENT
ill g
T 1 c tt o Building Permit Review — Residential
Building Permit #: /`7S7-720/6 - 003- --e--7
Site Address: /33 ) ) rLe ` 4
Project Name: ever 7--C,1-1717c 0iue 1- Lot #: Jc
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: A)et4) SF/1-
Verify site address/suite#exists and active in permits tem.
R ver Terrace Neighborhood: ❑ No V 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 finishedraven to scale(standard architect or engineer scale)
or elevations
orth arrow Utility locations(required for new,may apply for additions)
to address,project or subdivision name and lot number F) :cation of wells/septic systems
splicant information(name and phone number) 0 ':� sting trees to be retained with drip line,and tree
hot dimensions and building setback dimensions , otection measures
Lot area,building coverage area,percentage of coverage and if Street tree size,type and location
iknpervious 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)
liilean Water Services-Service Provider Lett (lot platted prior to 9/10/1995):
equired: CI Yes,applicant was notified Lett,
Received: ID Yes CI No
�[J Public Facili s Improvement(PFI) Permit:
equired: Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake
and Use Case#: /6Q_Cl�
V zoning 12-I (P.6)
Fr/Required Setbacks: Front i',R Rear 8 Side (9 Street Side 0 3arage 620
Landscape Requirement: 2O
0/0
of Coverage Maximum:
Building Height: Maximum Height - Actual Height ':_,. /
M_
MI ' isual Clearance
F4asements
VIIensitive Lands: ❑ Yes No Type
cik
Urban Forestry Plan
❑ Conditions "Met"prior to issuance of building permit
Notes: (n h ,s'hv/f �--S—. p - ' ) f�-e/Jw//- j. via.,16e
Approved ByPlanning:PP _46/I.,/_ Date: Q
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
V
3
Building Permit Submittal
Original Submittal Date: /6/j/ /J
Site Plans: #
Building Plans: # 3
Building Permit#: Q.—Enter building permit#above. � //
Workflow Routing: [Planning Engineering C1 hermit Coordinator 1E1 wilding
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
?fi.ginal 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: ( 2 Date: ./',2,/
-._,,,r!,,' ,,--.,,A L. -==,. 47...",;.',Z,..-,-- .. 1 -1 26 .6-.w ld- ,tea.- . . al,W R
Engineering Review
Slope at building pad: "1',.7‘
❑ Conditions"Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approve by ngineering: Date:
Notes: A i I/d� .ice 4//chr7f1
Approved by Engineering: W4 ,) Date: .-
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved 0 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:
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Z=1 Yes ❑ N/A
Parks SDC: c-{4-Yes 0 N/A
>70K to Issue Permit
Approved by Permit Coordinator: ate: /2---/2---/?-0/Ce
I:\Building\Forms\BldgPerniitRvw_RES_091216.docx
•
a
City of Tigard
1111 a COMMUNITY DEVELOPMENT DEPARTMENT
g
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: /47-SWC — (2e,5,--3/
Site Address: /550 S)& er , ler
Project Name: Pilfer erno ,�4 It es Lot #: /
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist 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.
Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dorm
ft. deep min. 2ft.,5 ft.wide min.2 ft., 6ft.wide
❑ ❑ ❑ ❑
F
2. Eyes on the street: a minimum of 12%of each street facin facade must include windows or entrance doors.
/� i�
Percentage Shown: , l %i` /Car: flp tyi
3. trances:At least one entrance must meet both of the follo g standards:
Max. 8 ft. setback from longest stree facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: CIYes 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:
❑fGovered porch min. 5 ft.wide x 5 ft. deep /Recessed entry area min. 5 ft.wide x 2 ft. deep
rall offset min. 16 inches F ormer min.4 ft.wide F'°g
Roof eave min. 12 inch projection Fi-g_ oof offset min. of 2 ft.
❑ Roof shingles either tile or wood L A Gable,hip or gambrel roof design 4-
0)toof pitch oriented south min. 500 sq. ft. . 0 orizontal lap siding min. 3-7 inches wide ,fir
2 ccent siding min.40%of street facade lindow trim min. 2'/z"wide by 5/8"deep �� 00r
Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
El Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street façade
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. El Yes IJd No. If No (Check one):
May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
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)
❑ L-foot-wide garage door El 40%max. of street facade
50%max. of street façade with 7 detailed design elements
Notes:
-1 , /
____L/i hie_
Approved By Planning: —......z. A, Date:
I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx
Plumbing Permit Application
Site Utilities RECEIVED FOR OFFICE USE ONLY
City of Tigard Date/B Received tIi
13125 SW Hall Blvd.,Tigard,OR 97223MAR 15 2017 y. «lll� / S/off/tv-On (
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: W1Permit N_10-/7 A G(n Other Permit No.:
Inspection Line: 503 639.4175 Date Read /B
T]GARD p Ci I Y OF TIGARD
Internet: www ti ard or ov L Juns ® See Page 2 for
g g SUJI,DING DIVISION Notified/Method ��/( /� Supplemental
T 1 E Wa
. ... E1* SCiI 1WL1 me
a Information
®New construction 0 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)
a
a . Y,eA 'Etl,,t, R `E CQNS1'RUTt"'T� ,.6 SFR(1)bath
��• i . • 312.70
❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building ®Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler(1,209 sq.ft.) at Page 2
JOtt 1TTEz- II'ORMA11(}N.;�L C tnO , Iii, Site utilities:
Job site address: 13306 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.: 181 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51
Multipurpose Fire Sprinkler System Clothes washer 25.02
Dishwasher 25.02
Permit#MST2016-00521
Drinking fountain 25.02
Ejectors/sump 25.02
` ,a iRepE Y� R 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
;`I �i ie*ii- ,, ..,, t o ipatio Interceptor/grease trap 25.02
te 7 � �._
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/Z1P: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
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)
4--.-;----7/.___J
�� State surcharge(12%of permit fee)
Authorized signature: 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.doc 10/01/09 440-4616T(10/02ICOM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Footing drain-15'100' 50.03 0 to 2,000 $121.90
2,001 to 3,600 $169.69
Footing drain-each additional 100' 37.52 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 141a0i* � �.
62.54 �.,�;. � ��v
Storm&Rain Drain-1st 100' $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
VX-
each additional$100.00 or fraction thereof,to
q s f!�; > 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
each additional$100.00 or fraction thereof.
(minimum charge-1/2 hour)
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 tstallation
Fixture Type for Replace' Plan review is required for any of the following.
Work Performed; -- CappedAdded keleeete' Please check all that apply.
Baptistry/Font 0 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 Z 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" 11� C ' `, if . in . .
Car Wash Drain 0 Isometric 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 increase of sewer EDUs,a sewer permit will be issued and
Water Extractor
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 Pe2mit.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13306 SW AUBERGINE TER, SHERWOOD, OR, September 6, 2017 at
97140 11 :44:02 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00521
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:
13306 SW AUBERGINE TER, SHERWOOD, OR,
97140
Record Type: Record ID:
Residential - Master Permit MST2016-00521
Inspection Type: Inspector:
199 Electrical 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:
13306 SW AUBERGINE TER, SHERWOOD, OR, September 11 , 2017 at
97140 11 :55:20 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00521
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
Fp installed as noted on previous correction.
No ac installed at time of final mechanical inspection.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13306 SW AUBERGINE TER, SHERWOOD, OR, September 15, 2017 at
97140 7:13:07 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00521
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - CofO
Comments:
See inspection dated 9/14/17.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13306 SW AUBERGINE TER, SHERWOOD, OR, September 14, 2017 at
97140 3:18:46 PM
Record Type: Record ID:
Residential - Master Permit MST2016-00521
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - CofO
Comments:
Final erosion control approved.
Street tree certification received.
Moisture content form received.
High efficiency lighting form received.
Blower door test report checked.
Insulation certification checked.
Correction from previous inspection complete.
C of 0 left with contractor on site.
Violation Summary:
Inspector Contractor