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Permit (45) CITY OF TIGARD MASTER PERMIT 19 II ' COMMUNITY DEVELOPMENT Permit#: MST2016-00493 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017 Parcel: 2S 106DB 17700 Jurisdiction: Tigard Site address: 13274 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 177 Project: River Terrace Northwest, Lot 177 Project Description: New SFA. Building/unit 6.3 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 36 Bathrooms: 2 Second: 562 st Garage: 453 sf Front: 8 Smoke Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes Total: 1221 sf Value: $161,869.92 Rear: 5 PLUMBING Sinks: 1 Water Closets: 3 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!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 1221 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: $22,693.73 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 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: f'4�' f1 .. Permittee Signature: /G� /p 4;/ n'f.r 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. w Building Permit Application - '�l � '1 ^/ FOR OFFICE FSE O\L1 IilCity of Tigard r, i1 ReceeBv�y �� �7 �4' A ' Permit Nf��/6 "% II • CV'73 13125 SW Hall BlvdTigardOR 97223 l tu Dat, PinRee 8 �LotherP ' � C vveI Phone: 503.718.2439 Fax: 503.598.1960 Date/By: - TC; :DInspection Line: 503.639.4175 Date Ready/By: Juri3H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information v 'g e�'"'r & i`z•g �, '" -�' �:." E � `�."�- ,x7 'r5 '"mom't .ros�. 3 •e--r'" _vu�'artx Wiz"-'- ,�; , . ,rte : -,:.r;�". z e r o €E �.&'€e, v asp 'z5'a"?P.�., ma ,• % �� ¢ @ $. t „ ®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 work indicated on this ... • 13po" .�����s. ..�r,'�a�a..����,�.,� i���, i i, s,.as •. ' �� ,:�. .}," a ,a, «.��� ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: • $ S ❑Accessory building ®Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: Via. - �� � qua .:� Total number of floors: ....se.4,..��c�::..".e,�:"....:a �.�.e..�..� .+';�?v'N.a�cs�.:��e Job site address: ttve New dwelling area: P square feet /32� S ��!!�� ����e Terrace _ City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet S Suite/bldg./apt.no.:(p,3 I Project name:River Terrace Northwest Covered porch area ` square feet s -a Cross street/directions to job site: Deck area 7' -a square feet Other stru *-e aVeea7 square feet Subdivision:River Terrace Northwest I Lot no.: / Permtt 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 � t � � k � ;e; , work indicated on this a•.lication. Valuation: $ Existing building area: square feet New building area: square feet ��. Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)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.Graiewski@polygonhomes.com Commercial and residential prescriptive installation of ' 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 //� Total fee due upon application: $201.60 Authorized signature: �/_ 1 ` This permit application expires if a permit is not obtained ���///VVV�.p 1 within 180 days after it has been accepted as complete. Print name:Angela Grajewski I Date: q Jv v it(0 _1 *Fee Semethodology ard set by Tri-County Building Industry rvice Bo I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 't a '' N nr4T Mechanical Permit Application c^ I()lt c)1 1 It: 1- 1 't�-0>".I ti City of Tigard Rind 2016 t>a Y Permit Nn. l�it, -61 �i'13 . 13I25 SW Hail Blvd,Tigard,OR 97223 Plan Rtvie►t' t. Phone: 503.718.2439 Fax. 503398.1960 Other Inspection Line: 503.639.4175 ,,, • .1 ''',J.i may' Permit; Internet: www.tivardsrr,gov n-0.. ''. - A z .. Bate 'rd-'': AxisSi Sec Pe=efor 1QanfrediMethod firpplmentnl Information ,.. �:..4'��-�",r"�..Ka�+ ,'+°."�~��i.:; �{._T1�.��:'SPO '00::-,'".4341• F; -: ,Yr _...., a , New construction / Mechanical permit fres•am beset on th value 0;;;;7,..-1C4 ❑Addition/alteration/replacement alteration/replacement ❑NewDemc oast ❑Other pcifortned.Indicate the value(rounded tote nearest dollar)of'all mechanical materials,equipment,tabor,bverbead,and profit. ,, ._ ► 5 Valu..S i ❑1-and 2-family dwelling 0 CommercialTmdustrial 0 Accessorybuilding ®Multi-family 0 Master builder ' ForapedatGr�o�ton est checklist. Other. Desaiption ()ty. Es. Total n 4*'i 7F 1 TlOiul l#i;::, 2�7E, , Heaihug1.(71112: rob she.address: /)Z I L/ SW' f'fU b Te, ae� Air.conditianing: 36,75 Furnace 100,000 BTU(ductsi Wilts) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducra enu) I 54.91 SuitePoldg lair no.: r prtij w�',�,�. Hear p 1 61,06 1 df.r TE?�ar P- �1J[lt Ductwork € 2332 Cross s reetkiirections to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) = 23.32 Unit heaters(fuel-type,not electric),, in-wall,in-duct,suspended,etc. i 46,75 Fluthent for any of above ! `'x Te rvgc. NulrtliweSI- Lot no.:!77 ° : Subdt'visiort:�► Tax map/parcel no.: Other fuel appliances: 1 Water heater i .32 s"' f DP yI'CION` :6—* Gas fireplace/insert33,39 new home construction hon Flue vent for water heater or gas fireplace 1 23.32 Log lighter(gas) a: 2332 Wood/pellet stove 1 33.39 Wood fireplace/insert i 23.32 Chimncyilincrffuelvent 1 23.32 Other: 1 2332 _ t am Y .ae ,-_ 4:41T Environmental exhaust and ventilation: Name:ADVL Land Holding,LLC Range hood/other kitchen Address:7600 E Doubletree;Ranch Road equips 33,39 Clothes;dryereudtaust I 33.39 City/State/ZIP:Scottsdale;AZ 85258 Single-dud exhaust(bathrooms, toilet compartments,utility rooms) , 23.32 Phone:(602)694.4031 Fax:( ) Atticla f , ,� ,. ,� lxvaispace fans 23.32. 4 ` aifOther � �� �..�-: � <�,���,� �, `� 2332 Business;name:William Lyon,Homes,inn Fuel piping: S14,15 for brit tour;$4.03 for Mach additional Contact name:Angela Grajewski Furnace,etc. . I Address:109 East 13th Strut Gas heat pump 1 City/State/ZIP:Vancouver,WA 98660 WalUsuspended/tttiithcater Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace E-mail Angell.GrajewsStt&olygonhomes corn Range Atigtt-, ;,*4,V ''''' '17.r..*; r �. a Barbecue 1 F ,,.._, �1 ^ ,114.. _aa PINTI. - Gothes dryer(gas)' I Business name:Andersen Mechanical,Inc. Other 1 Address:16285 SW 85°Ave Subtotal City/State/21P:Tigud,OR 97224 Minimum permit fee" 90.00) Pl c:003)997-6664 I Fax:(503)5364615 Plan review(25%of pe mit fee) State surcharge(12%of permit fee) CCB lie.:1682114 `` TOTAL PERMIT FEE This permit applimtion expires if a permit h not obtained within 180 Authorized signature: days after it has bees secs ted a complete. Ftt:tnethodoloey set by Tri-County Boildirl Industry Service Bared Print name:Angela Grajewski Date:8/22116. 1 t.aelksainrem6t+t nc_PamitApp_mun13:doo 4404617T(I1/021c0Wtt'ES) 4 w. lectr+cal Permit Application i t lit (), i I( I I ., I ti City of Tigard 0 C T 1 1 201b 11111111111111111111Permit#/1/57 -61/4•-'-‘)0 .9_3 13)23 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax 503;598.1,960 s k, "".^l .. inspectiion Line: 503.639,4175 r _ .Int dy ley, 1.311 Internet: www.tigaM.or gov h. i a r ;,,is,.-`-,Noti$adtMataod: NO ttesc�tr New construction o Addition/alteration/replacement tersecheck-all-that apply(submit 2 sus of pleas wader's checked): °Service or feeder 400 amps or more 13 Building over trot stories. ❑Demolition [3 Other w6ae the available fault current Q Mantras rod bostyat& ,1E 4 earwig 10,000 amps at 130 vdis or ❑n°/1"45 buildings. 1-and 2-family dwelling 0 Commercial/industrial a Accessory building toss leo pound,a exceeds 14,000 O Commarcisi-reit agiicoltuai amps for all other instellationsinstallations, buildings. _I M inti-family 0 Master builder 0 Other: ❑Fire pump. ❑installation of 150 KVA or r.' vteau ..r. : ..„,a^ a«�. ¢. rtE �.w -b¢.,:m"k:: .'''''..::::;':::-.1:'. -a.m<..+ n.>+. 0GAQgmCy larger Job : Job site address` a ❑Addition of new motor tad of system. W /(. is. i x IoOilPamore, ❑"A",-s "1-2"71-3 City/StateiZ1P:Tigard,OR 97224 ' O Six or more residential miss. occupancy. O Health-care facilities. 0 Raawtiond vdricle parks. Project name: I V /, e O H ordow locations. 0 Supply voltage for more deur Suite/bldg./apt.i1: /, W O vice or feeder 600 amps or more, 600 volts nom Cross street/directions to job site: x x Dmcrlatl.. Ow. Each rave • New residential single-or multi-family dwelling unit. Subdivision ;Li ,, . , A /ce N vi lot 8: ' Iscisdes attached garage. Tax map/parcel#: 1,000 sq,ft.or iris ( 168.34 4 .:M! .a ', ,. 2, . it s - Ea add'I 500 sq.ft.or portion I 33.92 1 Limited energy,residential 75.l) 2 (with above sq.ft.) Limited energy.multi-family 75.00 2 residential{with above sq.ft) Name:ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Address 7600 E Doubletree Ranch Road Services or feeders installation,alteration,and/or relocation City/State/ZTP:Scottsdale,AZ 85258 '"'�� 100.70200 2 201 amps to 400 amps 13336 2 Phone:(602)694-4031 Fax:( ) Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that 1 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. Owner signature Date: Over 1,000 amps or volts 552.26 2 �> �, - r -- �� Temporary services or feeders installation,alteration,and/or ` i $° relocation Business name:William Lyon Homes,inc. 200 amps or less 59.36 1 Contact name:Angela Grajewski 20l ams to 400 amps 125:0$ 2 Address:109 East I3tb Street 401 amps to 599 amps 168.54 2 City/Star/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:Angell.Grajewskigtpolygonbomes.com each branch circuit S.Fee far txanch circuits without Business name:alameda electric branch circuit 56.18 2 Address:3415 rat!44th Each add'lbranch circuit 7.42 2 Miscellaneous(service or feeder not Included) City/State/Z1P:mit i97 f J. ®JZ 4 d -/ Each manufactured or modular 67.84 2 dwelling,service andior feeder Phone:(503}3192192 Fax:( ) Reconnect only 67.84 2; Email:nolatpd t(g}ate corn Pump or irrigation circle 67.84 " 2 CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: y(7/5 Sign or outline lighting 67.84 2 Suprv.Electrician signature,required: panel.alteration,surran or=tenst 0 'Page 2 .r Print retiree: Ie i k Zt�oc/C Date: L3 ' Each additional inspection over allowable in any of the above Authorizer, Additional inspection(I hr min) 66.25/hr si.7..-- � / Print name: - ^' Dates q X3 1 lo (1 hr mm) 40>00'hr i I tom_ ' EtR„RRE.dec Rev 06!1712015 440461571111D51CCOttwt • a Permit Applicati0 = 'A� Plumb><___� nom___ w• `- ilii ill I It f 1 ,1 t)\i l Building.Fixtures q ?n V( Reaitxd Pc No/c�OI --{'-e4/73. j SICity of Tigard )( ` 1-1 t+ may: i 13125 SW Hall Blvd.,Tigard,OR.97223 Plan Review Other Permit Na.: 2 ter Phone: 503.718.2439 Fax 503 598.1969 DateBY- rix r Juris. S scull f inspection Line: 503.639 4175 0 Dare Ready.Bp ftp Information r Nagfred/Mdiwd Internet wwwtigard-orgor '� a k��� .,,. f ,-.114., For special information use checklist _i New construction 0 Demolition Description 1 Qty. 1 Ea. I Total ❑Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 ft.for each utilityiconnecnon) rkrr1t. a.F��- •; h4: SFR(l)bath i 31270 k FR(2) bath 437.78 y ,, I-and 2-family dwelling Commercial/industrial SFR 0)bath I 50032 ❑Accessory building Multi-family Each additional bath/kitchen 25.02 Other Are sprinkler(' sq•ft.) I Page 2 ❑Master builder � , r ', T t ' Site utilities: �� MCatch basin orarca drmn 18.76 Job site address: /327Y S"- r)vvr .t vYgl rraCe Dryweit,leach line,or trench drain 18.76 City/State/71P:Tigard,OR 97224 Y Footing drain(no.linear ft.:_) Page 2 Manufacture!home utilities 50.03 Suite/bldg./apt.no.: ( , 1 Project name: `/._,V P / Manholes 18.76 Cross:street/directions to job site: 18.76 Rain drain connector Sanitary sewer(nolinear ft.:•_) Page 2 Storm sewer(no.linear IL: 1 Page 2 Water service(no.linear it:_) Page 2 Subdivision:Ave,,,, /enyaee I )v v Lot no.: --Piston,or item: Backflow preventer 31.27 Tax map/parcel no.: Backwater valve I 12.51 t t i. :_ . a% ,L, Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sutnp 25.02 V 1F ^" • ,7�� Expansion tank 12.51 .; s '''..Z''' -° - .- - 25.02 � �, , � � �:. . .:�,* � ,:.. ,�� , Fixtin+tJsewer cap. Name ADVL[and 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 Ice maker 12.51 ; Phone:(602)694-4031 Fax ( ) 2 .5 . , c z 2:7m Interceptor/grease trap . . - , . ,. . ;,,..' = .: . (value:S ) Page 2 Medical gas Business Warne:William LyonHomes,Inc Primer 12.51 Contact name:Angela Grajetvaki Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Tub/shower/shower pan 12.51 Phone:(360)695-7700 Fax::(360)693-4442 Tu25.02 Urinal E-mail:Angela.Grajewski@pulyg°ahornea.cam Wa ci 5.02 .x: s 37:52 , . .�.. , �"� Water heater Business name:Alliance Plumbing LLC Water piping/DWV 56.29 Address:146 W Historic Columbia River Hwy Other: 25.02 Subtotal City/State/ZIP:Troutdale,OR 97061) - Minimum permit fee: 572..50 Phone:(503)492-3490 Fax:(503)912-6438 art,_ Plan review {25°!0 of petinir fee) Plumbing Lao;no::PB732' Statesurcharge{12%of permit fee) CCB Lic:184601 TOTAL PERMIT FEE _ 1 Authorized signature: This permit applicx6oa expires if a permit is not obtained within 180 days Print name:Robert Dishman Date:5/23)2016 after it xbas been accepted as complete- -Tee ompiete-Fee orehodalogyset by Tri-County Building Industry Service Board. 11Bw1d'inatPermitaVLIAU-t`umitAppdoe 10/0109 440-46t6T(10102ICOktlwEa) 1. City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT 111 i TIGARD Building Permit Review — Residential Building Permit #: /lf r /6 •- D6 79.3 Site Address: j 3 A 74 --e.e e)i PAC- —re r r et(—A-- —ProjProject ect Name: t v tri -r rr e., NI 0e-_4-tn�,e..5. Lot #: j 17 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: jJ e ,,J S 0-{ -z•the i• • Ur Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No DirYes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan Existing structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper [VFootprint of new structure(including decks)with finished 'brawn to scale(standard architect or engineer scale) floor elevations [North arrow RiUtility locations(required for new,may apply for additions) [tSite address,project or subdivision name and lot number Ziocation of wells/septic systems Applicant information(name and phone number) Existing trees to be retained with drip line,and tree All of dimensions and building setback dimensions protection measures Lot area,building coverage area,percentage of coverage and I treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) NStreet names AfProperty corner elevations(2 foot contour lines if more than 4 foot differential) kr Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified 1N'No Received: ❑ Yes ❑ No a Public Facilities Improvement(PFI) Permit: Required: 'Yes,applicant was notified ❑ No Applied For: N-Yes ❑ No,stop intake Ni Land Use Case#: ?DR. o2c $ - Zoning: R -d5 Po NI Required Setbacks: Front g Rear 5 Side 0 Street Side -. Garage a Landscape Requirement: o20 % - G,(Av.‘..1 R Lot Coverage Maximum: % - a G r Building Height: Maximum Height N p, Actual Height ,E.Visual Clearance Ni t\ Easements [2'Sensitive Lands: ❑ Yes V No Type N' Urban Forestry Plan ("Conditions "Met"prior to issuance of building permit `otes: 6 Putt'Ir,- / Od c ;ii J✓i-i co) 9 c- 43 7 rev-Li 4- �e -f- fel ♦r -f t. pcam- . e 1- isuu..6bic.e . Approved By Planning: C t - ji:, Date: (J - 41-I(, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 091216.docx F Building Permit Submittal Original Submittal Date: /d//A� Site Plans: Building Plans: # Building Permit#: l-Enter building permit#above. Workflow Routing: a-Planning .❑' Engineering ©Permit Coordinator E Building Workflow Sign-off: align-off for Planning(include notes from planning review) Route Application Documents: [i Engineering: (1) copy of permit application, (1) site plan, (1) building plan and riginal plan review routing form. Ell Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: -110' / •1_77-&— Date: /l/i'9//.6 Engineering Review ,iar 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: ❑ Yes 'No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes ,0' No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: /f ikC LC'• Date: /( /.6 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 ,46ipproved,NOT Released: tiAtLate: 1'/2//eg" 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: es ❑ N/A '"'"""" Tigard Trans SDC: es ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit / Approved by Permit Coordinator: /i'i ate: i// (W l4' I:\Building\Forms\BldgPennitRvw_RES 091216.docx R 111 City of Tigard H COMMUNITY DEVELOPMENT DEPARTMENT II r l c A RD River Terrace Building Permit Review Addendum Building Permit #: /$$ i// - Ce, V73 Site Address: ) 3.4. 71 (t,J 4i - ;, e- Te rrec c.R.- Project Name: f i vt ye,rau.. Wdr.i-hides j-- Lot #: 1 -7 7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1): Is the project subject to the plan district design standards? ❑ Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a n�" ft.lddeep min.2ft., 5❑ft.wide min. 2 ft., 6ft.wide Gabled dormer Al fyirtar ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1 7 'Yu/ 17 °/u 3. Entrances:At least one entrance must meet both of the following standards: yxi Parallel to street, angle no more than 45° from street, I ,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: 25 sq.ft.min. .0'One street facing entry X 12 ft.max.roof above floor of porch 0'5 ft. depth min. IX) 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 ❑ Wall offset min. 16 inches ❑ Dormer min.4 ft.wide 0 Roof eave min. 12 inch projection [ Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood CR-Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. L$I"Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of street facade ❑ Window trim min. 2'/2tt 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. X 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. El 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) ,W12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: C.4 J 7 , OA' 0_6.4., Date: )I-q -1 b I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx Plumbing Permit Application Site Utilities RECEIVE I FOR OFFICE USE ONLY City of Tigard /Received / / Permit MAR 15 2017 DateBy: 3 `t c/I? t 5-).0t C.-a9Lt?3 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.196Q., Date/By: y-I O- /7 4 C.in Other Permit No.: Inspection Line: 503.639.4175 UITY OF TIGARD TIGARD Date Read/By: Juris B See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information iftW WORK - CHEDEI E � FEE* S ; ®New construction ❑Demolition For special information use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) • . A'I"VttY OF CQNS'I`TY4siC'I'10N SFR(1)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 CI Accessory buildingSFR(3)bath 500.32 ®Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(1,221 sq.ft.)at.. Page 2 40g"SITE FOIES iT44 fi r 'ION i a;z Site utilities: Job site address: 13274 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.: J Project name:Northwest River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: 177 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 � •t . D T1Q OF WORK '",%,,,l'El' . .. Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2016-00493 Drinking fountain 25.02 Ejectors/sump 25.02 ►4 'PROPERT"i E71I 0 TENANT..;• Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ate® -Al*L cAivr ❑ C4*1 p Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Robert Dishman Roof drain(commercial) 12.51 Address: 146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 Water closet 25.02 • •CONTRACTOR,'� -,-,*,,, , ,�, • Water heater 37.52 Business name:Alliance Plumbing,LLC WaterPip 1 to DWV 56.29 Address: 146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lic.no.:PB732 ^ �---�/ State surcharge(12%of permit fee) Authorized signature: / '/`.) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name:Gavin Thornes Date:3/15/2017 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-Permit App.doe 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site ties r,;174, ' Qty. a :„(eaWotal 1 ,.,. a ,F ..Pe . • t,F Footing drain-1'100' 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 $, , 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 7.10, 0411 F°#4?). ( each additional$100.00 or fraction thereof,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 (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*. by Flxtt Type . Plan 1 v.f r ' i Fixture Type for , ,Rep Plan review is required for any of the following. . tir Perforn+ecii` C'aP 'Added ' oea ` Please check all that apply. Baptistry/Font pp y' 111Bath Tub/Shower Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ 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" • i Car Wash Drain e`t For L r Diagram Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings 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 PCmit.doc 1. City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT j i �.!G,� p Building Permit Review -- Residential - kFdu..xr3S."..,:YA.„tix,-•.i_. ;r:M.-.R_.^lt...::;'tCulik,Yeak4s4>1, a3sfxr;:c-J,:d+'.;:tr�:vaar.8a:+►7Gel,*eht..,s.;i.:Draak,:t.4eioif,..eisrAni6w:i'i'ao:iser. Building Permit #: /7f T i6 - 06 V93 Site Address: !3 a 74 s tn.! At...bcrcii ne. Te rra LA-- Project Project Name: i2i;v t✓ Te rr.c..,c_,e, 1I or- , t e.s t Lot #: I ? 7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: e i..) 5f 60-h"A cht4 • S♦ _/_ I ', AA • At Di/Verify site address/suite#exists and active in permit system. f River Terrace Neighborhood 0 No ki'Yes,See River Ten ce Review Addendum Attached Site Plan Elements: Three(3)copies of site plan sting structures on site 121Site plan joust on 8-1/2"x 11"or 11 x 17"paper EktFootprint of new structure(including decks)with finished 'brawn to scale(standard architect or engineer scale) floor elevations IAINorth arrow IQUtility locations(required for new,may apply for additions) ItSite address,project or subdivision name and lot number 'Location of wells/septic systems P Applicant information(name and phone number) ,'Existing trees to be retained with drip line,and tree r. .t dimensions and building setback dimensions protection measures riot area,building coverage area,percentage of coverage and LrStreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) IRStreet names Property corner elevations(2 foot contour lines if more than 4 foot differential) GJ' Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified R.No Received: 0 Yes 0 No Er Public Facilities Improvement(PFI)Permit Required: 'Yes,applicant was notified 0 No Applied For: Yes 0 No,stop intake Land Use Case#: ?DR. 42015 - O o d 05/ S uz 0.2 015-OO o o$ ktZoning: ig -d 5 PO ; IR Required Setbacks: Front g Rear 5 Side 0 Street Side Garage aZ 0 Landscape Requirement•. a 0 % - 0.4,6.e.,i _...rIit Lot Coverage Maximum % - a c.-6+.4 _ Building Height Maximum Height pi p, Actual Height Visual Clearance N. Easements (2'Sensitive Lands: 0 Yes ( 'No Type ' Urban Forestry Plan °Conditions"Met"prior to issuance of building permit `otes: eik ilann.n fand•--iJ✓li 4:‘-'c>) -) 9 d- 37 114.4.4.!4- be. rA f priir- th p cr-�.1- I Scl LL6 rt Cf . Approved By Planning: CALLIL 0�f�r�- Date: //- it-110 Revisions (after B ilding Submittal only) Review�r ate Revision 1: ;1�( Approved 0 Not Approved \� � _ Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BidgPennitRvw_RES_091216.docx 3 Building Permit Submittal Original Submittal Date: 10/1J6, Site Plans: # Building Plans: # 1 Building Permit#: it,J,Enter building permit#above. Workflow Routing: [-Planning Engineering ®''Permit Coordinator B Building Workflow Sign-off: align-off for Planning(include notes from planning review) Route Application Documents: ['Engineering: (1)copy of permit application,(1)site plan,(1)building plan and al plan review routing form. In Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: `61471-714---X'"" "U71-714-- Date: 4/29/26 Engineering Review .a Slope at building pad g 1° ❑ 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 ErNo Assess Water Quantity Fee in-lieu: 0 Yes $No LIDA Facility on lot 0 Yes ..2 No ❑ NOT Approved by Engineering: Date: Notes: W Approved by Engineering: /ii f kto LC,9, Date: IC16 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit proved,NOT Released: /4�%v mate: /// /�ed" Notes: Revisions(after Building Submittal only) Revision Notice 1: Date Sent to Applicant Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant SDC Fees Entered: Wash Co Trans Dev Tax: es 0 N/A IV Tigard Trans SDC: Yes 0 N/A Parks SDC: 7Yes 0 N/A OK to Issue Permit Approved by Permit Coordinator: arr--- ate: it/ /10-14. I:\Building\Fonns\BldgPermitRvw_RES 091216.docx FOR OFFICE USE ONLY—SITE ADDRESS: /3a 7 Ll 542 This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DAT B•1::' !! I DEPT: BUILDING DIVISION na FROM: Angela Grajewski Ci + l'GA D COMPANY: Polygon Northwest r41 _ : `$ il,rDIVISION PHONE: 971-212-2144 By: RE: 13274 SW Aubergine Terrace MST2016-00493 (Site Address) (Permit Number) Northwest River Terrace Lot 177 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: !Op-Ip(iC 44,1 ... 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. a-aaa USE O y „ Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes �" l�O Fee Description: Amount Due: $ $ "` \\ * $ ,?4 $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: Rertei --n rd, re v i 5 rd 61 j'z ,40 7 ' h '/ Ii7 `°/ke r et 7- d Ao 6 i 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: 13274 SW AUBERGINE TER, SHERWOOD, OR, August 22, 2017 at 12:33:34 97140 PM Record Type: Record ID: Residential - Master Permit MST2016-00493 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13274 SW AUBERGINE TER, SHERWOOD, OR, August 23, 2017 at 10:39:55 97140 AM Record Type: Record ID: Residential - Master Permit MST2016-00493 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Install missing switch plates in upper level bedroom removed for repair. AC installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13274 SW AUBERGINE TER, SHERWOOD, OR, September 6, 2017 at 97140 10:59:16 AM Record Type: Record ID: Residential - Master Permit MST2016-00493 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13274 SW AUBERGINE TER, SHERWOOD, OR, September 6, 2017 at 97140 10:56:01 AM Record Type: Record ID: Residential - Master Permit MST2016-00493 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Violation Summary: Inspector Contractor