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Permit (48) CITY OF TIGARD MASTER PERMIT III -1 ' COMMUNITY DEVELOPMENT Permit#: MST2016-00491 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017 Parcel: 2S106DB17500 Jurisdiction: Tigard Site address: 13254 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 175 Project: River Terrace Northwest, Lot 175 Project Description: New SFA. Building/unit 6.1 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 Yes Dwelling Units: 1 Third: 633 sf Right: 0 Detectors: 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 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: 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'l 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1384 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $23,352.61 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 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. , ,fir' !� I / Issued By: r _, Permittee Signature: e4/ /- Z--/(s'977QA/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application , _ _ ,,,,,,,,., , . E 7 I / - 41 — / (0 Wgi.:114:iiii4In '''-'?t ,i 7;1ft _4 ,, c 1-A FOR OFFI( E ISE ON 1.1 City of Tigard Daisy--. //// // � s � '' Pet x9r?f.S /,6-e0119'/ 13125 SW Hall Blvd.,Tigard,OR 97223 (.]U T 1 1 ?016 0 16 Plan Lew . Other Permit�G�i�p7G1�(c� jy�/ I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: , j x.i- , Ins ection Line: 503.639.4175 z`,f-,1). .0k, ' ..q;0" Date Ready/By. Jwis: H See Page 2 for 7 1 G F D pr, z Notified/Method: Supplemental Information Internet www tigard-or gov r-•;:,. rz a �"e,� .;cx€: F.:�..,.d�N ;'i sk r_'L�_, »�`. .tea", ,rte 4.I i ,,:.�"„ `� `3?°vc � °z"s. . _.__ :=..;.. x ��s,� _ .,z: �+--� ,�'�`s, .. ��,: � ' . ups::�• _ = ®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 0 Other: equipment,materials,labor,overhead,and the profit for the �� M�- `�. g , E� �� work indicated on this applicati 4� � r i a b Yt e`, , E � - �: ".t � ,s ", � , , �, ri. f, �.� 4 Valuation:I,s10 794 n V , 4.)... ❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building 0Multi-family Number of bedrooms: ij • ❑Master builder 0 Other Number of bathrooms: 3, �� .. b Total number of floors: i 8 9 I Job site address:/ 3 Su s 11�rg V 1 Y TUQ C2 New dwellingarea: square feet City/State/ZIP:Tigard,OR/97224 W��" Garage/carport area: t4cri square feet 63 3 Suite/bldg./apt.no.:(J,[ I Project name:River Terrace Northwest Covered porch area: --71544 square feet 6 L}6 Cross street/directions to job site: Deck area: j� ) gss'7-7_ square feet I 05 O km re arrea: I ` square feet Subdivision:River Terrace Northwest Lot no.: l 7S- Permit 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 ,ros �`e t a , ., work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet a. •A''_ 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: ( ) �� ,£ ,&� �"�* ' - s' ,__ ` ter, E-mail:Angela.Grajewskl@polygonhomescom °" �� " `" a, ti� � � - � �� • Commercial and residential prescriptive installation of "•.„;;•,`,'4•'-2,. <, : ti ' r� .,•• roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 A ,J Total fee due upon application: $201.60 Authorized signature: , i JV � • This permit application expires if a permit is not obtained ��„///vvv l within 180 days after it has been accepted as complete. L Print name:Angela Grajewski I Date: q) O J(( _J *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) I Mechanical Permit Applicatiu Ei E „y ',4 City of Tigard Received DanAly: Permit No.:/17,S. /6:,—00 I/9/ 13125 SW Hall Blvd,Tigard,OR 97223 / �• Phone:503.718.2439 Fax: 503.598.1960 OCT 1 7 U 16 Plan Review Other Permit: Inspection Line:'503.639.4175 Dale etc Dat¢lttadyrBy: Juriz 0 See Page 2 far Interact 4tww.tiga rd or.gav I n H 51 .f;1'-1,4 '..,41:114,.1,I etifediMethed: sappl6n +o eniat laferation 1 ERCIAL FEE' � r �� ' � ,. .tan .. Crar�.. New constructionMechanical permit fees*are used on v ue a work El Addition/alteration/replacement performed Indicate the value(rounded u18re nearest d011ar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,irvenccad,and profit ' SRX tAB SS Y C Y ..:: ;l fill;)}i~I 7rrA3,aEountzs�J r s ❑1-and 2-family dwelling 0 Commercialrmdustriai 0 Accessory building For special moa err'dun rist. ®Multi-family 0 Master builder 0 Other: Description t sty. Es. Total Job site address: /77 Air conditioning: 46,75 `� SW 1 bC4,,(,A T �L1f _ Furnace 100.000 BTU(duets/vents) 46.75 City/State/ZIP:Tigard,OR 97224 J Furnace 100,000+BTU(duera+>ou) 54.91 Heat pump i 61.06 Suite/bldg./apt.no.: to,, Project name: gii1lfX YYQfp XS. r Ductwork ! 2332 Cross street/directions to job site: Hydronic hot water system 2332 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), 1 in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 1 ' 2332 Subdivisimiktr Irervh'C Wo t iiweq- Lex no.: , Other. 2332 '7� Other fnet appianm: Tax map/parcel no. Water heater i 2332 - ` D7, -7.. tnni;a- r-o is .': ` Gas fireplaceiinse t r ` 33.39 Flue ventfor tivatct heater or gas i new home construction fireplace i 23.32 Log lighter teas) ~,! 23.32 Wood/pellet stave 1 3339 Wood fireplace/insert 1 23.32 Chtuutev/hncr/flue/vent : 23.32 y< s r �,.� Other, 23.32 . .� , l`t �. ,�.sz � '1 ', _: iNsio Environmental exhaust and ventitatine: Name ADVL Land Holdings,LLC Range bood/o her kitchen equipment P 33.39 Address:7600 E Doubletree Ranch Road • Clothes dryer exhaust I 33,39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility roams) y 23.32 Phone:(602)694-4031. Fax:( ) Attictrawispace fans 23.32 ;, "`:'.,47:;„',::::::-'4'04421:,'S'', 4.__A, , € ,, slma ; *.n. I::** A ` Mel: 23.32 Business name:William Lyon Homes,Inc Fust piping: 514.15 for tient four,54.03 for each additional Contact name:Angela Grajewski Furnace,etc. I Address:1119 East 13th Street heat pip -- Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater t Phone:(360)695-7700 Fax::(360)693-4442 Fireplace ! , Range E-mail:Angela.Grajewskic polygonhomes.cont Barbecue ::s „s' :7 s i s:4 a i l Clothes dryer(gas) ,.µ Business name:Andersen Mechanical,Inc. l IRI;, t a,t w 1 x ti t s t ;Z A Address:16285 SW 85°Ave >ahtotal City/State/ZIP:Tigard,OR 97224 Minimum permit feci(S90.00) Plan review(25%of minnit-fee) Phone:(503)992-6664 I Fax:(503)536.6615 , State surcharge(12%of permit fee) CCB lic.:168214 I OPAL PEILkir T P£E This permit applfation expires if a permit 6 net obtained within 180 days after it has bees aeeeptei complete. Auih signature: " Feema6odoigy set by Tris-antty Burl ,idi Industry Serene Spent Print nameAngela Grajewski. Date:8/22/16 I YerstApp_O4a113:doc 44004637r(itro^vtO34/WEB) 1. '.• Electrical Permit Application City of TigardReceived 0 C T 1 1 2 016DatearPermsµ1ys�- 2/��'D0179/ 13123 SW Nall Blvd_,Tigard,OR 9722.3 Plan Review . Phone: 5017182439 Fax: 503398.1966 ;.y, i, �_- Daterg�r Related Permit if Inspection Liner 503,639,4175 1 I s.1k..,-1,-,0)- Rmdy may: Anis 85 Set Page 2 far Internet www.tigard-ot,gov 04 rt" ,j, f .t' d: Supplements'Wormed= z t. �_ New Construction 0 Addition/Slterationireplacement �cha�c:dim sooty(submit 2 ads• plans w + )- D Sums or retest 400 amps a more D Building over three stales. ❑Demolition ❑Other: where the available fault current D M utas%and boatyards. a ; c p e'"2:-...17. F ..... T. -,a_... exceeds 10,000 amps a1 SO volts or 0 Floating Maldinp. Ny and 2-family dwelling 0 CommerciaVindusttiai 0 Accessory building fessto gid,or exceeds 14,000 D Commercial-use aWicultar t amps for all other installatirau. buildings. 'i4 Multifamily 0 Master builder 0 Other: D Fire pump, D itiar1nticn or 150 KVA or ,- • -.-._ f g i.. i'�:?<:;.,7�, ' DEmergency .. largerseparately derived 3z5 bW Ra rgine Terr °Addition er a of new nota lad of . Job#: Job site address/ lootmore, D"A',"E".-1-2;-1-3", D Six or more residential units. City/State/ZIP:Tigard,OR 97224 0 Recreatiotud vehicle pada.eacareaes. Suite/bldg./apt.H: V I Project name: fZtV fur✓„re JV i V DHazardous locations. Ds Su yowl formoll dot ❑Servs or feeder 600 amps or more Cross street/directions to job site: , . ' . . 7 Deacriptka Qrs.., r Taal. • ��/(Vitil r New residential single-or multi-family dwelling unit. Subdivision i”'ece N V V Lot 8:/J ZS Includes attached garage. 1,000 sq.A.or less 1 168.54 4 Tax map/parcel H: " . , '. :., Es.add'1500 .A.or 1 33.92 1 .• x �r.m�,�_.��t . � sq. portion Limited energy,residential 75.00 2 (with above sq.fl.) Limited energy,multi-6=0y 75.00 2 .• .u.,.u�>- — ...ry arc. :H aa,e..:y.;1'rro, Name:ADPL Land Holdings,LLC Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Address:7600 E Doubletree Ranch Road 200 Imps or less 100.70 2 City/State/ZIP:Scottsdale,AZ 85258 Phone:(602)6944031 I Fax:( ) 201 amps to 400 amps 133.56 2 Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature: Date: ,„r,, Temporary services or feeders installation,alteration,and/or A „.„ - :., i,'°� �" s 1 d relocation Business name:William Lyon Homes,Inc 2o0 amps or less 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,per panel Phone:(360)6954700 ! Fax::(360)6934442 A.Fee for branch circuits with above service or feeder fee, 7.42 2 Email:Angela.Grajewski polygoohomes.eam an each branch circuit , B.Fee for branch circuits without �_. x �. : .a 1 .�; service or feeder fee Flea 56.18 2 Business name:aiameda'electric branch circuit Each add,branch circuit 7;42 2 Address:3415 ne 44th Miscellaneous(service or feeder not included) City/State/ZIP:- filryt 1a//B/Z /47 74.2-i3Each manufactured or modular ti7.84 2 dwelling,service andlor feeder Phone:(503)3192192 Fax:( ) Reconnect only 67.84 2 Email:solatpdx@me.com Pump or irrigation circle 67.84 " 2` CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lie.: Lf f7/5 Signor outline lighting 67.84 2 Suprv.Electrician signature,required: // Signal cirenn(s)or limited-tong, see .t y°,- /C:Ile. ret, I Date: c/&?//i Pte•alteration,or extension. age Z Print �O Each additional inspection over allowable in any of tie shove Autho[ized Additional inspection(1 hr min) ' 66.25/hr Print name: �,. DateS� Jar ' t on(I hr min) 9o,0Q'ht t'� ax_ PSA„i7t8.doc aevo6'17J:�OiS M .�.[1 o-e6liTtlIJOMCOWEa 4 • Plumbing Permit Applicatiol , i 5 x E i 1 til. ()k 1 f( 1 1 ",1 ()\I 1 Building Fixtures 13 ��(..T, I 1 Z015 Recenxd Permit Din:/ 5 X/( C2(9 f9f , City of Tigard Date/By:- 13125 SW Halt Blvd.,Tigard,OR 97223 Plan Review Other Permit No.: j Phone: 503.718.2439 Fax: Sa3.59>j':?%�1 , M � ",,,),1- - DatelBy:_ �' Dare Ready`BY )mss Supplemental SePage f f for 1 Inspection Line: 503 639.4175 )I,Naofied/Methoda ermatieo i e tntemct www Ugard-or goy ill $� s,i'� �� ,�(e 1't i .i. For dei informationinformationrase checklist. 1 � New construction ❑Demolition Description ( Qty. ( Ea. ( Total ❑Addition/alteration/replacement 0 Other New I-2-family dwellings(includes 1100 R for each utility connection) U * `-1 SFR(1)bath 1 312.70 � �„ � ,., �,� ,, .r� •A.,,,,,-,-_,„,.,_,. ��.,�_._�,h ‹,., _ SFR(2)bath 437.78 I-and 2-family dwelling 0 Commercial/industrial SFR(3)bath 500.32 1 Multi-family 25.02 �Accessory building Each additional bath/kitchen ; ❑Master builder 0 Other Fire sprinkler( sq.ft.) .. ,7A Site utilities: Page 2 t �� - :k.. 9. C� is�; � tea.,.. . Job site address: / Z S� S,`°'� p Catch basin or arca drain W vYq} �QC� Drywell,leach lint,or trench drain 18.76 City/StateIL1P:Tigard,OR 97224 V Footing drain(no.linear ft.:_) Page 2 I Suite/bldg./apt.no.:I./t I I Pro' name: t' 50.03 3� �V��✓�. Manufactured home utilities Manholes 18.76 Cross street/directions to job site: 18.7b 1 Rain drain connector i Sanitary sewer(no.linear ft.:,_) Page 2 Storm sewer(no.linear ft.:__.) i Page 2 Water service(no.linear ft.: ) I Page 2 Subdivision:/2 Vey'y /ervat . i Lot no.:fl Fixture or item: Backflow prevents 31.27 Tax map/parcel no.: t ,,. .5 ,, Backwater valve 12.51 u , i e O .E; .`., 25.02 : �, r � _ � ..�Y h� _ a � Clothes wastuer Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 . c; . ,c ,' v ' ,t k v� Expansion tank 12.51 ' a t • ^ ,�...a. .jog e'�w", , :�x 25.02 - � Fixture/sewer cap Name:ADVLrLand 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 maker 12.51 `i Interceptor/grease trap 25.02 t. he 4. ._§ Page 2 (. �� ;,.. h. Medical gas(value:S ) Business name:William Lyon Homes,Inc Primer 12.51 I Contact name:Angela Grajewaki Roof drain,(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 Solar units(potable water) 62.54 City/State/ZIP:Vancouver,WA 986611 _ 12.51 I Fax::(360)693-4442 Tub/shower/shower pan Phone:(360)695-7700Urinal 25.02 E-mail:Angela.Grajewski@Pulygoakomes.com Wataclasct 25:02 1 � �, �r �..� '', N'...,: Water heater 37:52 Business name:Alliance Plumbing LLC Water piping/DWV 56.29 - 25.02 Address:146 W Historic Columbia River Hwy Other: Subtotal City/State/ZIP:Troutdak,OR 97060'' Minimum fee: tal Phone:(503)442-3490 iiii, /,,,,,..._ Fax:(503)912-6438 Plan review permit of permit$72.50 CCB Lic:184601 Plumbing Lia.no.:PB732' State surcharge(12%0 of permit fee) TOTAL PERMIT FEE 1 Authorized signature: { Date:5/23/2016 ) Tess permit Application expires if a permit is not obtained within ISO days Print name Robert Dishman aur it has been accepted as eomptete• *Fee methodology set by Tri-County Building Industry Service Board IMunctingU'aautiista+nl-Oemiiappdoe 10/01/09 440-46i6T(10/02/COMWWEB) 1 City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT II rlcaRo Building Permit Review — Residential Building Permit #: /`7_,S7.20/6, -- CO q 9/ Site Address: 13? 5 4 S V.1 A.i4,12.+e r c) nr, Te eye.,u.- Project Name: 12i',',rte- Te rrc..L.e, (\i o,r-4in,,.,e s+ Lot #: 7S (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: [J t?t,) se- A- -ock,.ci Dir Verify site address/suite# exists and active in permit system. gs- River Terrace Neighborhood: ❑ No JT'Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan )2 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 k"brawn to scale(standard architect or engineer scale) floor elevations [,@'North arrow gf Utility locations(required for new,may apply for additions) Site 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 artt of dimensions and building setback dimensions protection measures kiLot area,building coverage area,percentage of coverage and C Street tree size,type and location impervious 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) kr Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified R.No Received: ❑ Yes ❑ No g Public Facilities Improvement(PFI) Permit: Required: 'Yes,applicant was notified E No Applied For: jy-Yes ❑ No,stop intake Al Land Use Case#: ?DR. 420(5 - b00051 ,Sv-l3abtS-OOoo8 1? Zoning: R -d 5 Pt) [ I Required Setbacks: Front g Rear C Side 0 Street Side — Garage aZ 0 AD Landscape Requirement: oZp % - a.ceir....I ig Lot Coverage Maximum: % , a c. Building Height: Maximum Height 0/N Actual Height Visual Clearance gEasements Sensitive Lands: ❑ Yes [(No Type I Urban Forestry Plan +■ Conditions "Met"prior to issuance of building permit otes: 6 ?iar4rlin odnd,I-i v.-1s x-07 9 ÷ 37 rcW. f - be. ' t fri .r -(-a per- ;1-- iScladd hcI . Approved By Planning: ekaA-4-- (.ec„ -- Date: I ( - kit -((o 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 4 Building Permit Submittal Original Submittal Date: /0////4) Site Plans: # /// (75 Building Plans: # Building Permit#: []enter building permit#above. Workflow Routing: E'3'Planning [ ngineering 0--Permit Coordinator wilding Workflow Sign-off: I-'Sign-off for Planning(include notes from planning review) Route Application Documents: Er-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. aBuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: �� '--. Date: ///9�/,C Engineering Review 7Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Zr Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes .T No Assess Water Quantity Fee in-lieu: ❑ Yes erNo LIDA Facility on lot: ❑ Yes ,No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: /14114L 129, Date: 11[ $ /t.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 yApproved,NOT Released: * fate: HA-106 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: il,SDC Fees Entered: Wash Co Trans Dev Tax: )'es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: ,Yes ❑ N/A / POK to Issue Permit Approved by Permit Coordinator: diP"--Date: ///3 o/2 I:\Building\Forms\BldgPermitRvw_RES 091216.docx ., R City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT 1114 T I G A R D River Terrace Building Permit Review Addendum Building Permit #: C/ 7;20/6 — 06 V9/ Site Address: 13a 5,4 S tn3 A- -be r 5; A c- Te rrvA cf.-- Project Name: R', Ver Ter(Ok.CA-- N 0r41,AvUes f` Lot #: I'7 5 (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 min. 5 ft. deepBalcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer kO' [X El El ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: )1 "a5/, / i Vie 3. Entrances:At least one entrance must meet both of the following standards: v.Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: A Yes ❑ No If yes,all the following apply: Jg1 25 sq.ft.min. a One street facing entry X 12 ft.max.roof above floor of porch N'5 ft. depth min. f23 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: IN-Covered porch min. 5 ft.wide x 5 ft. deep al Recessed entry area min. 5 ft.wide x 2 ft. deep 0 Wall offset min. 16 inches ❑ Dormer min.4 ft.wide ik Roof eave min. 12 inch projection ."Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood 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. Vci 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) ,Er12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: C;klA4.• Cec;.- - Date: l/ - q-(to 1:\Building\Forms\B1dgPennitRvw_RES_RT_062216.docx Plumbing Permit Application r D Site Utilities 1 ECEIVE • FOR OFFICE, I.SE ONLY City of Tigard MAR 15 2017 Received (tee. wii 13125 S W Hall Blvd.,Tigard,OR 97223 Date/By: / t r f/7 ,g Permit N;?;,/,/5172.6)/6--0?)L/?` I` Phone: 503.718.2439 Fax: 503.598.1 Plan Review t.[1 ( r Inspection Line: 503.639.4175 r Y U� TIGARD Date/By: L!^/6)^/7 4Qn Other Permit No.: TIGARD P BUILDING DIVISION Internet www tigard or.gov i°ns TSE OF ,. ' Date Ready/By iffI � ee Page 2 for Notified/Method: {/ / SupplementalInformation ®New construction ❑Demolition For special information use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement El Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) L"ATI UIt ( CON R t N�` '` t.„ , SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler(1,384 sq.ft.)dq., Page 2 `° '' JOB $ 'l ORt N t 17f>101 Site utilities: Job site address: 13254 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.: 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.:175 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#MST2016-00491 Drinking fountain 25.02 Ejectors/sump 25.02 �� 1'IPilt1OWI �•�" �"'_.w' ��I °= � Expansionansion 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 " ® •AP .N ❑.. � 4 IxF,I 14t Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 Roof drain(commercial) 12.51 Address:146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax: :(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 r, Water closet 25.02 Water heater 37.52 Business name:Alliance Plumbing,LLC Water piping/DWV 56.29 Address: 146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lic.:184601 Plumbing Lic°no.:PB732 Plan review (25%of permit fee) /�� State surcharge(12%of permit fee) Authorized signature: / �--�' 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. 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: ` r Residential Fire Suppression prtession S stems sitivtui ' , � `��' kv�'� Tas t' " ° ti `"77 .. Footing drain-Is`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 !)114-104:62.54 ' '' '' i, , .,_ 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 , c each additional$100.00 or fraction thereof,to� � r and including$10,000.00. n* ea.,r- , Inspection of existing plumbing or for W $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 ., ' vie ° o>t P.ubh g 41ta1latt4!ns Fixture Type for iteplacetPlan review is required for any of the following. WorkPerformed: :. Capp` Askted _1etocatc Please check all that apply. Baptistry/Font 0 Any new commercial building with water service 2"and Bath -Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. Car Wash -Each Stall -DriveEach Stall T0 New exterior plumbing site utilities for any complex structure Cuspidor/Water oirator 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. 3" Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food that meet the qualifications above. Disposal -Domestic-food related -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 Pqmit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13254 SW AUBERGINE TER, SHERWOOD, OR, August 14, 2017 at 1 :12:24 97140 PM Record Type: Record ID: Residential - Master Permit MST2016-00491 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Seal penetration in mechanical room exterior wall at moved air intake. Check microwave venting, appears to be blowing back into room. Label net aggregate length of dryer vent. M1502.4.5 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13254 SW AUBERGINE TER, SHERWOOD, OR, August 14, 2017 at 1 :14:01 97140 PM Record Type: Record ID: Residential - Master Permit MST2016-00491 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: AC installed. Violation Summary: Inspector Contractor