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Permit (47) 1,1 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00495 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017 Parcel: 2S106DB17900 Jurisdiction: Tigard Site address: 13284 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 179 Project: River Terrace Northwest, Lot 179 Project Description: New SFA. Building/unit 6.5 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 105 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 36 Bathrooms: 3 Second: 646 sf Garage: 497 sf Front: 8 Smoke Dwelling Units: 1 Third: 633 sf Right: 0 Detectors: Yes Total: 1384 sf Value: $185,074.87 Rear: 5 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 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 1384 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $23,196.10 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR• -101-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: O� -- Permittee Signature: �� !T�i 1p /l,52-:7-7 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. n _i/ l Building Permit Application ,- t. '. l �� e {' Wits,:iiiil FOR OH-I(L FSL ONLI City of Tigard ! C 9 n ' ria s ////9//(� 444—ed Permit x9/,�T•2J/6 'GAP '95 iiii ■ 13125 SW Hall Blvd.,Tigard,OR 97223 ,- `"� Plan Review' �j _ Other Permit u/ .2,,C,-CO//e) Phone: 503.718.2439 Fax: 503.598.1960 r ., , ,,r DateBy: 1,'a$-I c 11 Inspection Line: 503.639.4175 - Y Date Ready/By: Juris: H See Page 2 for T I(,A 1;11 Notified/Method: Supplemental Information Internet: www.tigard-or.gov i,. �..,� t- -.�r s`�` " �`,.:.�.,?.a � .;� ^�•��F." °':, _ 'F�<F+�`�" "., '���"r'f�,.3. :i'E -?���� azF,,,. �."'.�4� e "" +=,.o' ' ""' �„,��: o.�� - ..r{��'> �,,��'�w t<.. t °"� ,W fid.°• �e � x�� �,�, ..,. n- 3 w�. a �.� s, �� a, ! � �h S€ � d ,��z-�[ f"��. ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the '- • work indicated on this application. 4�n,u»� o Vis:✓ , „ ^M' ''': �- _ �" ' .;, s ./ ' l'3 I1 e( Ip �1� ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: O Accessory building ®Multi-family Number of bedrooms: 3 ❑Master builder 0 Other Number of bathrooms: 3 - -4 - ,7'-` - `` — - • '' ' " Total number of floors: 3 128 Job site address: /37,, Sl y VT \ Tj?rya(,Q-. New dwelling area: I Lj square feet City/State/ZIP:Tigard,OR 97224 W�l Garage/carport area: Lion square feet 6 3 Suite/bldg./apt.no.: (p ,S— I Project name:River Terrace Northwest Covered porch area: quare feet `i'G Cross street/directions to job site: Deck area: j 14 square feet +! os- OV er structure area: ) , square feet r 4.4.1-54-,041v.-: ' F lig 014;44:0 4. Subdivision:River Terrace Northwest I Lot no.:1 79 Pennit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no equipment,materials,labor overhead,and the profit for the � � � �- ��F ��� ��`,�1 � �y�� ;77''''.'%",' .,:72" "7 work indicated on this application. , Valuation: $ Existing building area. square feet New building area: square feet -7,2. �� " ' "� P ` � = �" �'- l � 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 Amount received: Phone:(360)695-7700 I Fax::( ) E-mail:Angela.Gralewski@polygonhomes corn Commercial and residential prescriptive installation of _ •tomW .I. n � , ' roof-top mounted Photovoltaic Solar Panel System- , ° Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 � - Total fee due upon application: $201.60 Authorized signature: L.,21.1?�./ `1 - This permit application expires if a permit is not obtained t41(11t / within 180 days after it has been accepted as complete. Print name:Angela Grajewski I Date: / /� 1P *Fee methodology set by Tri-County Building Industry /// Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • ' � , Mechanical Permit Applica ' i )Z II II, l i v�I.t ,.. , City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 Inspection Line:Phone: 24 39639.41 503.198 i 9btl �, i i ? 1 h Plan tteview ,. NotePBr tuba Permit: Date /Bv' )wis Internet www.tigard-or.gov S Seo Page l2 far r Notified/Method: Sappfemeatat latannanan .' . e � i', a l - /4E4. El`.fiC r1i'1 <� ii 444„ a ds ! . 1R14. performed.Indicate the value(rounded ®New construction [j Addition/alteration/replacement ddidOt3laltetBtioAlTcplacement Mechanical permit fees•are burnt on tlx value of the work 0 Derriolition 0 Other. mechanical materials, the nearest dollar)of all equipmesn,labor, and profit Y _tip - 2,."' T» _ t Value:S ❑i-and 2-family dwelling 0 Cornmercialrutdustrial 0 Accessory ®Mulri-family. 0 Master builder building Fel:pedal Information rsr�e�Ttetzffst 0 Other. Dcsraipdon City. Es. Total TIEttQ�t rot: 11Y ) :,. (134 m ,_ Hatht cacti Aircrmdtttaing. 1 46.75 Job site address: / LSL4 SW �! 1 '�bed�i� 1�tr�,� Furnace t00.A00BTU(d��ceanims) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(dsctstvems) ) 54.91 Ststeibidg/apt Ito: .� Projectname: fHeat pump £ 61.06 e I /, _, citt1 . - Ductwork } 2332 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or I hydronic) i. 23.32 Unit heaters(fuel-type,not electric), l in-wall,in-duct,suspended,etc. i 46.75 Flue/vent for any of above 23.32 etl>a: Subdlvislon:Vi4Pir re newt Northwe 1— / e/ Other _ 2332 Other fuel appliancedt Tax map/parcel no.: = ;.. '''..,'1,t.'''''',;11!'-:"1.,‘,.!!:Z- Watenc�aae�ri 33. �� '� b I P lik4.4 �OK Gas freplaiesert 3 9 nav Name construction Fl a vent for water heater or gas i _ r. lace i 2332 Log Iighter(gas) g 2332 Wood/pellettstove 33.39 Wood fireplace/insert I 23.32 Chimneviliner/Swevrnt I 2332 . ,e '.. a t3tlfer; t 23.32 " x.__-, Environmental exhaust and Yentitatioii. Name:ADVL Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road equipment 33.39 • Clothes dryer exhaust 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, <i" toilet compartments,utility rooms) 23.32 Phone:(602)04-4031 Fax ( ) Attic/crawlspace fans i 2332 :a ®. _ tt „ ,.. ,. ,ig, O ::.. 1 .. . . , l0 t her 23.32 Fuel piping: i Business name:William Lyon Homes,Inc. r 514.15 for first four;54.03 fore ch additional Contact name:Angela Gra jewski Furnace,etc. Ji Address:109 East 13th Street Gas hem pump I City/State/ZIP:Vancouver,WA 98660 WalUsuspended/unitheater Water heater Phone:(360)695.7700 Fax::(360)693-4442 Fireplace E-mail:Angela.Grajt wskirckpohrgonhomes.eom BRangearbecue ; :'.e, ,, .° - . 20, . -r: ao hes drier(gas) Business name:Andersen Mechanical.Inc Other oe� 85 Aye 1:34%1:46d::',1 *1* fi + .'z ,, __. Subtotal .g Address:16285 S City/Static/ZIP:Tigard,OR 97224 Minimum permit fee $90.00) Phone:{593 992-6664 ,Fax:(503)536.66155 Plan review(25%of paemit fee) State peirttit fee) CCB Ha.:168214 TOTALor PEPJ. FEE This Permit appliciti expires if a permit not obtained within me Atttb prized signature: days after it has bora accepted complete. • Fee methodology set by Tri-County Builth Industry Service Board Print name:Angela Grajewski Date:8/22/16 , i c kAMEC_erniitApp o4otl3:do, 44o.46l7r(i t.'aacOMlwna) Electrical Permit,Applicatio1a�� ' 1 iw ui i ii 1 i ,i u\i ti City of Tigard Received 13123 SW Hall Blvd,Tigard,OR 9722iJ t• A I ?[111 aae�e ir�q Plane_ 503.718.2439 Fax: 503.598.1%0 Inspection IJne 503,639.4175 'i i �y ply: hide ,�j w,. ��e� Internet www.tiprd-or,gov Nad6ad+t hod: �;;.:�.ig i.4ii.L:++l e . . tiO ..;,�,� :m� ,�.�� �.. • �..._._�R,,,�..m.,���d , gym New construction( 0 Addition/alteration/replacement P check�ail grapply isittiMit 2 sets• plans wtiterns-ebeckedy CI Demolition ❑Other 0 Service or feeder 400 amps ix more 0 Build es mdime e steles. where the available hook dmremt CI Manus and boatyards. . :.•,,.. „ .. ,°� ,r ;...',.;.7, -...:�. ;� , I, ,;; T�. �t,_y�z exceeds 10,000 amps a<193 vols Or CI•"^'.^"a bwlldtings. tees to ground,of exceeds 14,000 CI Commas:WI-use agricultural and 2-family dwelling 0 Commercial/industrialAtxessory building amps far sic other installations, braidings. Multi-family 0 Master builder 0 Other: 0 Fire pump. 0lastailation of Iso KVA or ;«. �a_„„; 'w ❑Etmergescy syBdm, Urger separately derived Job 4: Job site address:/3Zgt/ W Pf uooeraine Tern O IDOHP«more.Addition tmover iced s)s more. 0"A',°'E”."1-Z -1-3", City/State/ZIP:Tigard,OR 97224 Q six or more facilities.idemtid units. © vehicle parks, gJapt ( Project name: givvrjJ- fe_Al ©Hca ons locations Suite/bld #: � I _ ❑Hamrdous bcaeons. 13 supply voltage for more than Service or feeder 600 amps or more. 600 volts b°tA - Cross street/directions to job site: a Datripttw Qty. Each Tad • New residential single-or multi-family dwelling unit Subdivision Tf,YVAee N tAf Lot#:/76/ Includes attached garage Tax map/parcel#: 1,000 sq.11.or less ( 168.54 4 . ., -. ' a 1,,€ .' :„: ., Ea add'I 500 sq.ti or portion I 33.92 I Limited energy,residential 75.00 2 (with above sq.B.) Limited energy,multi-family : residemtial(with above sq.R.) 75.00 2 Name:ADPL Land Holdings,LLC Renewable Energy 0 See Page 2 Address:7600 E Doubletree Ranch Road Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 City/State/ZtP:Scottsdale,AZ 85258 201 amps to 400 amps 133.56 2 Phone:(602)694-4031 I 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 447,419,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature Date: �: Temporary services or feeders installation,alteration,and/or relocation Business name:William Lyon Homes,Inc 200 amps or las 59.36 1 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, panel Phone:(360)695-7700 l Fax::(360)693-4442 A.Fee for branch circuits with above service or feeder fee, 7.42 ? Email:Angela.Grajewsk@)polygonhomes.com each branch circuit B.Fee for branch circuits withmd ,. ;a. 1 9 ,_ = service or feeder fee,Fust Business name:alameda electric branch circuit sb.ls 2 . Each midi branch circuit 7,42 2 Address:3415 ne 44th Miscellaneous(service or feeder not included) City/State/ZIP: R7rviI J,ia is, 7.2..../3 Each manufactured or modular 67:84 2 dwelling,service andl«feeds Phone:(503)3192192 Fax:( ) Reconnect only 67.84 2 Email:solarpdx®we.com Pump or irrigation circle 67.84 2 CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: Lf f7/.5 1 - Sign or outline lighting 67.84 2 Suprv.Electrician signature,required: / Signal circuil(s)or tinned-eaevgy Print name: k,J /2.00,,....C, Date: S/jJ/4 Pte.alteration,or extension Cat 2' Each additional inspection over allowable in any of the above Authorized t1i Additional inspection(1 hr min) ' 66.25/hr Print name: .,,r`,.- ' Datr��2,3�� pmvcsdgatiai((hrnun) 90.00 hr t� ELR„iRE.doc Rao O6t17130I3 40.46157(11N3e0OM4W> - - Plumbing Permit Application Building Fixtures City of Tigard Remd Pettair No.:i�/Sj '/�-CiG� may: 1 Si 13125 SVP Hall Blvd.,Tigard,OR 97223 '�(-1 1 � ��J�� Pim Review pts permit No.: Phone: 503.718.2439 Fax: 503.5981960' Date B Inspection Line: 503.639.4175 •• € Date RcadptBy: tuna: B See Page 2 for Internet: www ttgard-or gov Date Rd ciy/Byd Supplemental Information NT It �� ' ,.� �� -xw ,^,.a. is�',� � : � .,. �fr; M.�',w� u�-w + �.� .gym e ,,, "-, Demolition Far spedal nfon»Mionusechecklist New construction ❑ Ea. Total . Description I QtY• I I g 0 Addition/alteration/replacement ement ❑Other: New 1-2-family dwellings(includes 1,00 R for each utility connection) i ' w ,A r, ai* cts �'� .tt� ') SFR(1)bath 312.70 . ?e a, ..�`p a €.„�,..:2. ,,t.,, .:, . .�,..;4-,t,...'.'-‘,5,,,-„ . s,„,,,,v.-.. ,-,-,z-,,,A,_ .azo., .:'. + SFR(2)bath 437.78 i. 1-and 2-family dwelling 0 ommercial/industrial SFR(3)bath 50032 Accessory building �! ulti-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 ' e r ;"',f'1,-,r)4 � t t , '��`°° '° ; .� ` Slte utilities: y�,� Catch basin or area drain 18.76 I Job site address: /• e s'I 1301)tAtc ue. -terrace,. V , Dryweil,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 i Suitelbldglapt no.: li , ' Project name:�V-ev/ L i ►ai eJ J W Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 i. Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no_linear ft.: ) Page 2 ^�q Water service(no.linear ft.: ) Page 2 Subdivision:/',e,r- /,oryq� Lot no.:/ ! 1 Fixture or item: Tax map/parcel no.:: Backflow preventer 31.27 Backwater valve 1 12.51 i / Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 "' -- -1.'''.1,4-,,:1:-,-,,,-T74-.‘:, e ,a " '� r Expansion tank 12.51 Fixture/sewer cap 25.02 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)694-4031 Fax ( ) Ice maker12.51 - . -,, a r `c _.. »6 1Merceptorlgreasa trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 Primer 12.51 Contact name:Angela Grajew ski Roof drain(commercial) 12.51 I Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tubtshowerlshower pan 12.51 Urinal 25.02 E-mail:Angela.Grajewski@Polygonhomes.com- Water closet 25 02 Water heater 37.52 Business name:Alliance Plumbing LLC Waterpiping/DWV 56.29 Address:146 W Historic Columbia River Hwy Other. 25.02 City/State/ZIP:Troetdak,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)9124438 Minimum permit fee: $72.50 1 Plan review (25%of permit fee) CGS Lic.:184601 Plumbing Lic.no.:PB732 State surcharge(12°10 of permit fee) .... Authorized signature: 4,,, TOTAL PERMIT FEE 1 Print name:Robert Distiman ' Date.5/23/2016 This permit application if a permit is not obtained within 180 days expires after it has been accepted as complete. *Pee methodology set by Tri-County Building Industry Service Board r-lBuadirtgSPumitsa't. J-PauitApp doe 10/01/09 440-6i6T(10/0]comtwEa) 4 City of Tigard 111 COMMUNITY DEVELOPMENT DEPARTMENT I T1GARD Building Permit Review — Residential Building Permit #: ��57" 2c1/ --CC V9,5 Site Address: i 3 A 84 S vi itk c ,1>e.rc)i ►-►e. 1'e ler etc-A— Project Name: •,v Le' '("e ,,,,- e„ NJ ae-- ,,,e..s-F Lot #: 17 1 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 14e cJ SF a-- chef Verify site address/suite#exists and active in permit system. g- River Terrace Neighborhood: ❑ No a'Yes,See River Terrace Review Addendum Attached Site Plan Elements: 2iThree(3)copies of site plan Existing structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper [Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations LNorth arrow lUtility locations(required for new,may apply for additions) ['Site address,project or subdivision name and lot number gliocation of wells/septic systems IIVApplicant information(name and phone number) Existing trees to be retained with drip line,and tree leLot dimensions and building setback dimensions protection measures TLot area,building coverage area,percentage of coverage and CStreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) NStreet names ['Property corner elevations(2 foot contour lines if more than 4 foot differential) [ Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified N'No Received: ❑ Yes ❑ No FS Public Facilities Improvement(PFI) Permit: Required: Y Yes,applicant was notified ❑ No Applied For: jy-Yes ❑ No,stop intake M Land Use Case#: ?®R avl5 - 00005/ Su-e, c2o5-000c,$ ! Zoning: }g -d 5 P0 I Required Setbacks: Front g Rear 5 Side 0 Street Side — Garage a 0 X Landscape Requirement: a o % - 0. ...{ St Lot Coverage Maximum: % - a G}.ti&,{ _ Building Height: Maximum Height t•l/Pr Actual Height Visual Clearance gEasements I$`Sensitive Lands: ❑ Yes C 'No Type N' Urban Forestry Plan °Conditions "Met"prior to issuance of building permit 'totes: ?i Lttrirfl el acsrtdr-1-i j c- c>) d" 44.3 7 iYVt r4- mL It pr-i ie- tb rC.r' e I-* l sit,' d,1..6elCI • - Approved By Planning: oh17,,A,t",b Date: /(- Y—Ro 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 Building Permit Submittal Original Submittal Date: %'// / Site Plans: # Building Plans: Building Permit#: 13--"Enter building permit#above. / Workflow Routing: [ Planning Er/Engineering L 'ermit Coordinator L7 Building Workflow Sign-off: Efi 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 f original plan review routing form. LI Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: ///9//,6 Engineering Review Gj Slope at building pad: 6 ❑ 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 Approved by Engineering: Date: Notes: Approved by Engineering: i(,L//,(//.— Lc—) Date: // S/4 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: Date: /V2 7//6. 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: ,2Yes ❑ N/A Tigard Trans SDC: iiWYes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit (l(((l Approved by Permit Coordinator: Date: ///307/4" I:\Building\Forms\B1dgPermitRvw_RES_091216.docx y INICity of Tigard Il COMMUNITY DEVELOPMENT DEPARTMENT 1 T 1 G A R D River Terrace Building Permit Review Addendum Building Permit #: �"l_fr n/& -Oe Site Address: i 3a 8( - S J Ak bery i,lq T-erru cam._. Project Name: R i ver Tie-y ci kid✓-l-1,tAie .r-- Lot #: t 9 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.0701): Is the project subject to the plan district design standards? ❑ Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch thin. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min.2ft.,5 ft.wide min. 2 ft., 6ft.wide Gabled dormer It n� ' CI ❑ r 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1-7 ",o/ 17 7 3. Entrances:At least one entrance must meet both of the following standards: Parallel to street, angle no more than 45° from street, 0.Max. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch: A Yes ❑ No If yes,all the following apply: Ji 25 sq.ft. min. .CE"One street facing entry Ifs[ 12 ft.max.roof above floor of porch N'5 ft. depth min. f Xj 30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep .ki-Wall offset min. 16 inches ❑ Dormer min.4 ft.wide 1?Roof eave min. 12 inch projection I$Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood 131 Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of street facade ❑ Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ 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. >1 Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) , i**.12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: CJ„ e,`�^• t C.G Date: 11- tf-((® I:\Building\Forms\BldgPermitRvw_RES_RT_0S2216.docx �' i Plumbing Permit Application Site Utilities RECEI\IED FOR OFFICE USE ONLI City of Tigard Received 4 - 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 1 5 2017 Date/By: 3//c..././4? / Q Permit N ��cyG��i u�� Phone: 503.718.2439 Fax: 503.598.1960 Plan Review` / "tel Date/By: /-/0-/7 ,L�G(n Other Permit No.: TIGARD Inspection Line: 503 639 4175 CITY OF TIGARD Date Read /B Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method v` / 7 Juris Supplemental See Page 2 for „ i 4 P 1 Information l � ❑Demolition .,. ,.�"'" �; „, �` ,.•F. `"• '3 � H;�111t1Jt,.P. ', �'� „ ®New construction For special information use checklist Description Qty. I Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) i CA't'1E4ORVSI E)",1 eCTIQN r.. SFR(1)bath 312.70 El1-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler(1,384 sq.ft.) Page 2 011,Sitf NFO ,IV A' 1" i I, A` ON x, ? ,'.• Site utilities: Job site address:13284 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.: 179 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve . >. , ,.�� 13��iIP'i111�1 bF���=- 12.51 Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2016-00495 Drinking fountain 25.02 Ejectors/sump 25.02 POOPOTY OYVI' .IER .gr .EN Ex ansion tank 12.51 I .aN P Name:Polygon Northwest Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 ^Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 A pLI „. Ac� AC p �. � ;.. Interceptor/grease tra .., ilA: � � �. P 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 a er c oset wt I 2s o2O R 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) -----77 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.doe 10/01/09 440-46t6T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: * „nom ea t F�. Footing drain-1s`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 .., 4 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 otli Q'� 44e(ea) ,, o # each additional$100.00 or fraction thereof,to �lF# tO�� �.. ., „ . 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 Fxture 'ppe „ # 1i R ��, s r 1, ,o R `1':� _ 7 h Fixture T fvrRellaeel CappedRterte ,, Plan review is required for any of the following. tlrk 1}erfgrnnetl, Please check all that apply. Baptistry/Font Bath -Tub/Shower 0 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 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. 4° „iv, Js)tdril er iRgra im ',.. 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 Pedmit.doc City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT 71 <<,n lz Building Permit Review — Residential 1iS ,*c_,-:-t:.,,,r;.+r urki>.'avirrr..t.A-F..A.,:aai`u'd r .,404:z Ukiksiit.w at,..—e eld4:i,A':t,:sw Avi:i %:ssie .+e _- _ tafla v li Building Permit #: sti,5-77,20v& —00 9S Site Address: r i a sti S tAi l4u..brr-4)i rsc- Te rraLA- Project Name: FN.,v tr' Te rr'c.c_,e. NI ø - J e.s t Lot #: 17'1 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review l Proposal: We cJ S� U�- ZtC.l12� .c��.Pv 7 -.71 .I j1 L Verify site address/suite#exists and active in permit system. 1 River Terrace Neighborhood: ❑ No Ar-Yes,See River Terrace Review Addendum Attached Site Plan Elements: Z(Three(3)copies of site plan fisting structures on site 141Site plan must be on 8-1/2"x 11"or 11 x 17"paper (Footprint of new structure('including decks)with finished }'Drawn to scale(standard architect or engineer scale) floor elevations (North arrow PEUtility locations(required for new,may apply for additions) asite address,project or subdivision name and lot number Location of wells/septic systems Applicant information(name and phone number) Existing trees to be retained with drip line,and tree Ikl .t dimensions and building setback dimensions protection measures IrLot area,building coverage area,percentage of coverage and IStreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) (Street names I%rProperty corner elevations(2 foot contour lines if more than 4 foot differential) II' Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified 5t'No Received: 0 Yes 0 No Er Public Facilities Improvement(PFI)Permit: Required: terYes,applicant was notified 0 No Applied For. Yes 0 No,stop intake Ik Land Use Case#: POR. a0t5 - 60005/ SV-13c26t5-00oo8 I zoning R -,15 PD Cia Required Setbacks: Front is Rear 5 Side 0 Street Side -. Garage a O ,E0 Landscape Requirement. a o % - a c m..s.l fRt Lot Coverage Maximum: % - a G-i-....AA Building Height: Maximum Height rl pp Actual Height 2 Visual Clearance N. Easements CEr Sensitive Lands: 0 Yes I 'No Type ' Urban Forestry Plan C?Conditions"Met"prior to issuance of building permit )tes: 6) Pictrtninel rlancii-ii J•-l..i '1: -C.) 41 d• 4 3 7 rvut„r i- ix. tyle -I pri I/ 1-1 p er"' '1-- l dtJ t ..G n C.c . Approved By Planning: CAC44,,,,... Date: /1- Y—Po (o Revisions (after`Bilding Submittal only) �� Review r- ,, to Revision 1: J Approved 0 Not Approved ---_�. -'_\�� 02. Revision 2:///❑ Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:1Building\Fonus\BldgPe[mitRvw_RES_o91216.docx Building Permit Submittal Original Submittal Date: /'// / Site Plans: # Building Plans: Building Permit#: (i-Enter building permit#above. Workflow Routing: E- Planning Er-Engineering [a-Permit Coordinator Building Workflow Sign-off: (r Sign-off for Planning(include notes from planning review) Route Application Documents: r2 Engineering: (1)copy of permit application,(1)site plan, (1)building plan and original plan review routing form. L Building original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: - .- Date: ///9//,6 Engineering Review aj Slope at building pad: ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes / No Assess Water Quantity Fee in-lieu: 0 Yes /No LIDA Facility on lot: 0 Yes / No 0 NOT Approved by Engineering: Date: Notes: Approved�Engineering: � Date: /1f 6 Revisions(after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved • Permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit pproved,NOT Released: Date: /0./!60', 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 )gqDC Fees Entered: Wash Co Trans Dev Tax: ,Yes 0 N/A Tigard Trans SDC: ,Yes 0 N/A Parks SDC: Yes 0 N/A OB to Issue Permit /9I/` Date: Approved by Permit Coordinator: I:\Building\Fonns\BldgPemutRvw_RES 091216.docx 1 FOR OFFICE USE ONLY—SITE ADDRESS: / eA get c_ This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ■ Transmittal Letter T i G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE I* DEPT: BUILDING DIVISION "a; ',ill/ FROM: Angela rIGARD BI COMPANY: Polygon Northwest ' 1Nly 1 PHONE: 971-212-2144 B / I. RE: 13284 SW Aubergine Terrace MST2016-00495 (Site Address) (Permit Number) Northwest River Terrace Lot 179 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: �I 1..�`�', opies: Desc +� ,. ... ,rye ` -7" '"- 0 Additional set(s) of plans. 3 Revisions: plot plan- Tree update 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. ALAIV g- OFFS tE Routed to Permit Technician: Date: Initials: Fees Due ❑ Yes N Fee Description: Amount Due: ?"*- .h' $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: Initials: l\ ✓Lir-( vi`)r.( 51Yr y1/ a *-11j ' ccifr_ "to 1/)/4‘..m cal` holo Sr>Jz. I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13284 SW AUBERGINE TER, SHERWOOD, OR, September 6, 2017 at 97140 11 :25:19 AM Record Type: Record ID: Residential - Master Permit MST2016-00495 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed A/C installed Violation Summary: Inspector Contractor