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Permit (35) CITY OF TIGARD MASTER PERMIT ,111 COMMUNITY DEVELOPMENT Permit#: MST2016-00546 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2017 Parcel: 2S106DB11400 Jurisdiction: Tigard Site address: 17358 SW SHADOW TRAIL ST Subdivision: RIVER TERRACE NORTHWEST Lot: 114 Project: River Terrace Northwest, Lot 114 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1248 sf Basement: 735 sf Left: 3 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 3649 sf Value: $436,276.81 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 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: 6 201-400 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 SF VB R-3 3649 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 1311-1 ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Fire Rated Eave at fireplace PHONE: PHONE: 360-695-7700 FAX: Total Fees: $35,786.42 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344..8 jpile / Issued By: `J . Permittee Signature: 7 1.e!^C''` Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Z._0 7-- // it;iiiaiiiitAi RECEIVEDFOR()EH( ISE 0\L1 City of Tigard Recei�ea 11 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 11 2016 Date/By:/://104, �` Permit No j_57 // Phone: 503.718.2439 Fax: 503.598.1960 Plan Revie}�' f� Da 3�t � r lc, .R D Inspection Line: 503.639.4175 Date/Re +1 010- 1 g ocher Fermi (r��ir/� .r Internet: www.tigard-or.gov r,,� Y C�� �LL� pf,� DazeReadyBy. (. ® Notified/Method/�,/7 ]oris: I S See Pagel for BUILDING DIVISION Supplemental Information ®New construction 0 Demolition Permit fees*are based on the value of the work performed. 0 Addition/alteration/replacement Other: Indicate the value(rounded to the nearest dollar)of all � �� epla t n w � "� � equipment,materials,labor,overhea `��—�n7d�the m t for work indicated on this application. �.. q ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: ❑Accessorytion 0 builder r-, � Number of bathrooms: � , �� 2 u: r . t, Total number of floors: 3 9. Job site address: SW Shadow Trail St `3 ]$ New dwelling area: 3044 / square feet City/State/ZIP:Tigard,OR 97224 Suite/bldg./apt.no.: Garage/carport area: LI b y square feet I Project name:River Terrace Northwest Cross street/directions to job site: Covered porch area: l.!Z square feet ' Deck area: ,60' v,Q square feet k.LI Other structure area: square feet 3 Subdivision:River Terrace Northwest ' : t , a,i-,,,, t i r I Lot no.:11(� Permit fees*are based on the value of the work performed. Tax map/parcel no.: 11 Indicate the value(rounded to the nearest dollar)of all s equipment,materials,labor,overhead,and the profit for the work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet t ffi a ;T zti,„Ivit Number of stories: Name:ADVL Land Holdings,LLC Address:7600 E Doubletree Ranch Road Type of construction: City/State/ZIP:Scottsdale,AZ 85258 Occupancy groups: Phone:(602)694031 Existing: Fax:( ) New: . ..;t� ac^ , WLH,LLC , Business name:Polygon . Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 13th Street FLS plan review fee(if applicable): ity/State/ZIP:Vancouver WA 98660 Total fees due u on p application: C Phone:(360)695-7700 I Fax::( ) Amount received E-mail:Angela.Grajewski@polygonhomes.com -; xCommercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details Address: 109 East 13th Street and fire department access,alongOregon the 2010 Ore on Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review Phone:(360)695-7700 I Fax:(360)693-4442 and administrative fees): $180.00 CCB tic.:207247 _ State surcharge(12%of permit fee): $21.60 Total fee due upon application: $201.60 Authorized signature: � 1 This permit application expires if a permit is not obtained I Print name:Angela Grajewski within 180 days after it has been accepted as complete. I Date: ‘ii -Ki L I *Fee methodology set by Tri-County Building Industry I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 ! I M Service Board 440-4613 T(11/02/COM/W E B) • . , l - Mechanical Permit Ai licaBECElirE.D uun 111111111=1111=1111111111111111111. .City of Tigard 722DEC 2 8 2016 riald: . ' •Pe"nit NWIST2bikP-00 tIO -714..,--7' „ ;13125 SW Ilall Blvd..Tigard;OR. 93 pin Review . C34 , :r Ehtme: 5°3318.24" Fax.: 5'39801TY OF TIGARD 1" I Mlef8Y Other Permit: ) .inspecilon tint: 503.639A 175 ....., uste pesoloyz ram: I.0 See Pao 2 ter 1 •\•.r•• Internet: wWw.tigardmr.gov BUILDING DIVN ISloNotificaimelicut suppreareatat intormatiou .. ..",,,,11.:::-.0?;::;:f.'n'a:-..ej•I',.. " ..'•,f4•;'...... .',1,`-':,..Y,:,it.Z.1,4•"..:`•'P2.`.,Yt";..1.4.-:";-•4iii..9:E17 .; ',.';:t••••"5.•."•')."'RVI.fr".•-"513--? :,'1. •--;"1••'""-'''-'''''-'"••••"'''"''"'-''''''.":';'- '•'''''••'••-'''''''''"--''''''''''''' ''''''''"-•'''.-•th'!"'' ''.4. - Mechanic:110mM foes*arc baled-Mr Me valne of the svork .18)New construction El Addition/alteration/replacement performed,:alone the value(mended to the nearest.dollar)of all 0 Demolition ID Other: mechanical materials.equipnumt labor,overhead,and profit. Value:$ ;rt.::Wi:2:r.,:f•-f••::•-T;-2-•:.',':',.•;Z::•::',IV41,......,Vn:Si.)a-Oi.t?..7'.1ATZ,'%7•1,i1:7=-';* 5 :,---- --:---Y-:,,E1'.•-,,,,t•:•••1•:,...,i07-r.•.E.••7-1:,>•)=, • .-' L•i- 4-4 -4 PIN I*and 2-family dwelling 0 Commercial/industrial 0 Accessory building ' . ' FM-ipneini Woimation si,Mez6eAliit. 1 Multi-family 0 Master builder 0 Other Description I Qty. I Ea. I Total ':,lsC.•';',T:r:7i,i -..:T?.'1:?i•;.;';:7:T:,nT.Tq,r:.::•.'f:ar.7::T.:;4.-f7'7•NT.'7ff't•'',•:'- :.- -.3!tf7•.iF•7:•Tf3:•••TJ'••- : Ht4tn.ate"iiiirt '''''' '''''' "-----"'" ''-'1-'''' '' Air conditioning I 46.73 Job site address:/73578 sw slim i%d rali st, , Furnace 100.000 BM(duos:vents) . 1 46.7$ City/State/Z1P:Tigard,OR 97224 Furnace 100.000+0711 iductsrvenwS • 54.91 Heat pump 61.06 &Ulu/bldg./VI no': 1 Project nalniliAgr Teorle-r-NmrtlAtAks.i.- Duct work 23.32 Cross street/directions to job site: Hydrank hot wata system 23.32 • Residential boiler(tudiator or •hydronie) 23,32 link beaters(rucl4ypt.not electric), in-wall,in-durst,suspended.etc. 46.75 FineiVern fur any of above I , 23.32 : 23.32 Subdivision gwerlexract.. Nori-huk.si- Lot n°•:1 it./ OtherOther fact appliances: Tax map/parcel no.: Water heater• 23.32 '-,;:•:.- *:i•..iTar.,.;;T::Z.,f'i•:.P..'-:,;:'-:-:::Y7-: 7-T , „-,z: 7.Fi-ri2.4.7,;i ounrcbiac,einscrt 1 -•---- -- '—- --- ---- --' -- --- '•— Flue vent for water hearer or gas fireplace 2332 Log lighter(gas) 23,32 • Wood/pellet stove 33.39 Wood&cuter:a-insert 2332 Chimney/lincrifluelvent 23.32 Other' ' 23.32 ::".-i'::74"-•E:••.: `7.`...:-•,..,ig'44:1•.'-`4:....?. . .;!:•11:-.s-4i;A:Y;•ii-q.,-55!E.11e41-41•-••'-'4:r•-•''''••i'' l'•4-'1!i'••,:`'.-N-P••22• ':;: •":::'''''' '' -• -'-- •-•••'''''''---'•- • '- ''''•-•-•-• ''-•-•-••''"- r•-•-• &wire:mental exhaustand ventilation. Name:Polygon WLIL LLC Range hood/other kitchen I equipment 3339 • Address; 109 east 13th Street . .Clothes dryer exhaust I 3339 CityiStatetZiP:Vancouver,WA 98660 •Single-duct exii4kisl(bathroom's, ( ..,V ,5 • toilet compartments;Utility rooms) -2.3,32 Phone;0601695410 Paz:( ) Attickmwispact fans 23.32 • , ,,,!,,: . ;:!;'4 ,. 71.:7:1 :: : . ::7E,i'''''' ',:..::,'..::: :1',: ',.:.;.i Other: 23.32 Business name:Folrgon WLH,1.1.,C . $14,15 ihr first four:$4.03 for each additional Contact name.:Angela GrejewSki Furnace.cm. i Address;109 East 13th Street Costa:pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 90660 Water beater PluMe:.(360)695-7700 I Fax::(360)693-4442 Fireplace I Range E-mail:Augela.Grajewski*polygonbornes.com Baktwo ;.••::aWA-,--•.:Ln?:•ii:i.'E:3,:;''',-.; i:.•:71.--::Y-:::-..;gii--.0756:c• ---r•r:;177.L477: 27..-P.CY• .5... .•Mj...••5r.i:;::°-'1; thibus dlur(ens) °then ' iltisiness name:Apex Air LLC • i_•:,•,-.L•••!.. :;•:::, ...: ,,..), .2._'.'-•-!•-•i.•I:Lt.;:f.l..L••'.2. :IZ=r;.7•,•:, , Address:10004 NE 72thi Ave Subtotal City/StateiZiP:Vancouver,WA 98684 Minimum pewit fec($90.00) Plan review(25%of permit fee) • Phone;(360)3424109 Fax:(360)326-1769 State suiclunt( 2%of Permit fee) CCB lie.:203034 TOTAL PERMIT FEE. Authorized signature: 011*FeePerrnmegrodett2P1)ogyllk:fter'seit"hy:11"ksPinsti•Cb"gtoltratallyecePiP"Cldedlingt tsas"ludbuitnrarP7r Strvilled:thileba}n3180 'Print name: tie1/4 I Date: 4-11-1C0. ..... . Muitdinervax1103,W.e3ettnicApp_0401t3.doc 44c-rorrt I lotriiCOMPAU) RECEIVED . Electrical Permit Application COR OFFICE USE ONLY City of Tigard l�E C 2 2016 74 - 13125 SW Hall Blvd.,Tigard,OR ' p. Datems : ���/�► r�J 6• " Phone: 503.718.2439 Fax: 503.5' i� i �t,� i NH°' Ar 111 iD Inspection Line: 503.639.4175 BUILDING UILyINniR1 LS d/ ePene2fofFGii1internee www.tigard-orgoV Supplemental information L.,civ ,.._ ,_<.r ":a asj : Y-64 FQ_ ' ,i,- at.,,�Kr1" :`, r' , 1r'c.;.�-.�F. ,rG'4-?,";, '3 c•':' i y ®New construction 0 Addition/alteration/replacementtt Please cheek all that apply(submit 1 sets of plans w/aems checked): ❑Demolition 0 Other 0 Service or feeder 400 amps or more 0 Bullringover three maim.where the available fault current 0 Marinaand boatyards. d Z .'t .. .. :V.c ;(IN',. `S X{G.3`t`: :04u)a : ,,t_ r ; a exceeds 10,000 amps at 150 volts or (lHeating buildings. t7,t 1-and 2-family dwelling 0 Commercialruidtistrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Malt[family 0 Master builder 0 Other amps for all other installations. buildings.• n tion ofISOKV . 1-.4,i, "t `'0 s'- @8;- s-'..,..E-::Fi Q p?q i rev.; .fi t�"?a 2x -,4 `� r- 0 Pump stem. ❑Larger fa A or .. ': a� axrEmergency=Y hcger sepmmtely derived Job#: Job site addres : 0 Addition of new motor load of system. X73 • Svc ShadiwTroA t Io0]iPormore. ©Six or more residential units. oxupaney. City/State/ZIP:Tigard,OR 97224 0 health-cele facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name.!bye r-etract4 Northwest- Ct fzarardoas tor:esons O s\tpply voltage for more thou 0 Service or feeder 600 amps minors. 600 volts nom• meI Cross street/directions to job site: ,.r..° a w vii , _v - -fi .1- Deseripdoa I Qty. Lace Tots) .;: New residential single-or multi-family dwelling unit. Subdivisio13:1ZiarTerrace Nor*ttA.ieit" Lott 1y Includes attached garage. Tax map/parcel#: 1,000 sq.R or lass i 168.54 4 _ Ea add`I 500 sq.ft.or portion t 3392 1 ?„✓'' a y, _ a:j.-- -1 �7. '$t:1(.S ”, ,4 e Irv- r1^r . _X�J ?� s�,c 9) toss zh x Limited en residential 75.00 2 (with above so,ft.) Limited energy,multi-family 75,00 2 residential(with above sq.ft.) ., ..": 0 SeePage-Ar_tz"' ` .i( 16.fK`? CP- Z4btaa4',c:.i;a„,�S„,-14,1,-`e)'''fi -_z70t.,}'L-.r”-a £'F,„vServices erEfeneurs installation,alteration,and/of relocation Name:ADVT,Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 133.56 2 • 401 amps to 600 amps 20034 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 atens 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. ' 201 amps to 400 amps 125.08 I 2 Owner signature: Date: • 401 amps to 599 amps 168.54 2 �`,;_. 1 "+ .�' ”i. ..ii n -141 . , ."� ..a. Branch circuits-new alteration or extension, r panel .,, ;�..:��,... .:u�'e.:;�sa,. "�f°S"+����l+af>07•�`?le/ a�i�7 �1.a�a�,..-�r..:.�;i• + , t A.Fee fol branch Circuit with Bush:less name:William Lyon domes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Angela Grajewslri B.Fee for branch circuits without 4 Address:109 East 13th Street service or feeder fee fust 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add)branch circuit 7A2 2 ' Miscellaneous(service or feeder not included) - Phone:(360)695-7700 ' ' I Fax::(360)693-4442 Each manuThaured or modular Email:Angela.Grajewsld@po)ygonhomes.com dwelling serviceand/or feeder b7.84 2 :',' "1-, Y Rec�ontmet only 67.94 2 O .W],a`f N"�„CtfP,t:V; ` ';.tm - -212F fir s r Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC ' Signor outline lighting 67.84 2 `",: Signal circuit(.)or limited-energy Address;6101 NE St Johns Rd pane(,alteration,or extension. 0 See Page 2 2 ^ City/StalelZlP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)320-1657 I Fax:( ) Investigation(1 hr thin) 90.00/br Email:bdaniels(�gweusa.com industrial ptant(1 hr min) • 78.18/hr inspections for which no fee is 90.00/hr CCB Lie.: C11S8 I Electrical Lk.: 208174 Suprv.Lica: 4496S s y ,t bated wiambi r`4s .*1'1,i t)7. fllc,,idfs� ...�!J43EaJ} z4 r 4t, Suprv.Electrician signature,required: f - f! •-... Subtotal: V:: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): r'`r — State surcharge(12%of permit fee): ai: Authorized signature: __ " —" 'DOTAL PERMIT FEE: ; : This to application iresifa r !:t Print name: Bill Daniels Date: 4/26/2016 t ys after It has been acted as not ate. within 190 ''i - • Number of inspections allowed t Y:yw`Y.i8uiidtn55Permitsl6l,C YermltApp_ELA„BRydoe Rev 06/17/2015 44046151r11/05/t0M'lwga t Plumbing Permit Applicata t f.i EC F i Building Fixtures IIIIIIIIIIMIIMIIIIMIMIIIIIIII ,. Ci of Tigard DEC 2 8 2 016 Received ,�y 13125 SW Hall Blvd,Ti DateJBy PamitNo.�/)�` �t rj�( f t� Phone: 503.7182439 Fax: 503.59 223 PlanDateReview Other //t �1 �+/f' ►f J�Y� Inspection Line: 503.639.4175 y ,g p �y� y P No i t i..:\K f) Internet: Line: g 03.639.41 BUILDING D I V I S I O M&e Readdmy .is: Et Sec Page 2 for : ov Notified/Method: tal Into �j±�p ��p Supplemental ntoation T®1JewcollstracaertR. � ". ..:..,.;: .,.6SGIi'ERE•� "..,,;- ,�_•_,,:'..:;i,.,;: 0 Demolitrlon For special informant*useche k Q Addition/alteration/replacement 0 Other. Description I Qty. I Ea. 1 Thud New 1-2-family dwellings(includes 100 ft for each utility connection) . . ,' ••CATEGORY'OF COTNSUUJCTUON' : . . SFR 0)bath 312.70 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR )bath 500.32 Each additional batb/kitcben 0 Master builder0 Otm.: 25,02 Fire sprinkler( sq.ft.) Page 2 . .. 'JOB SITE INFORMA'.TTOR AND LOCATION Site utilities: Sob site address:113% S\V s G, ow• r�04:11-. Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 f Dryweil,teach line,or trench drain 18,76 Suiteibldg./apt.no: Projectname: -�^�,,,,�� Footing drain(no.linear ft,:__ ) Page 2 ►/.er t r 1 Ge ND Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 1&76 Sanitary sewer(no.linear ft.:_J Page 2 Storm sewer(no.linear it.: ) Page 2 •''''ff Water service(no.linear ft: ) Page 2 Subdivision:R1 -" � Q(� N oY' w es f- Lot no.:i t`4 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ' DESCRIPTION OF-WORK. : : . . , . Backwater valve j 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®•J'ROPERTV OWNER . I, 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Address:7600 E Doubletree Renck Road Floor drain/floor sink/hub 25.02 City/State/ZIP:Scottsdale,AZ 85258 Gar1 disposal 25.02 Hose bib 25,02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ...',1•.:. fk•APl'LjCAN,C , • Q CONTACT'PERSON• Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S,"__.) Page 2 Contact name:Angela Grajewski Primer 12.51 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 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:Ange a.Grajewski®polygonhonses.com Urinal 25.02 . _ ' •. CONTRACTOR Water closet 25.02 Business name:Mahnedal Enterprises Inc ' Water heater 37.52 Water PiPineDWV 56.29 Address:PO Box 207 Outer. 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 / Fax:(503-)3244)588 Minimum permit fee: $72.50 CCB Lic.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) � + State surcharge(12%of permit fee) tr,, Authorized signature: ,,^ TOTAL PERMIT FEE Print name:Carolina Malmedal Date:0425/2016 1 This permit application expires if a permit is not olrtalaed within 150 days anter it has been accepted as complete *Fee methodology set by Tri-County Building Industry Service Board. IABoildin PanmhsiMidU-FerrnitAyp.doe 10/01/09 440.4616T(10/02/CoMagg9) t a City of Tigard !PI a COMMUNITY DEVELOPMENT DEPARTMENT 0 T 1 c A R D cBuilding Permit Review — Residential Building Permit #: 1 7 7 e /6, — 005-4/6 Site Address: 11356 SW S1.1600\1\1 Tra►is St. Project Name: R��-er Ter race No(-Hsi-- Lot #: \L (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N.eW S� Verify site address/suite# exists and active in permit system. SE. River Terrace Neighborhood: CI No . Yes,See River Terrace Review Addendum Attached Site Plan Elements: -8rrhree(3)copies of site plan xisting 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 ,brawn to scale(standard architect or engineer scale) floor elevations North arrow Utility locations(required for new,may apply for additions) -ErSite address,project or subdivision name and lot number t'Jcation of wells/septic systems pplicant information(name and phone number) ► Existing trees to be retained with drip line,and tree , Lot dimensions and building setback dimensions protection measures �.I_,ot area,building coverage area,percentage of coverage and Q�lStreettree 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) Q Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified IR( No Received: ❑ Yes ❑ No ISI Public Facilities Improvement(PFI) Permit: Required: Yes,applicant was notified No Applied For: X Yes ❑ No,stop intake Land Use Case#: PDR-2DIS — / 5li,6oc/c 1:23 Zoning: Q---1 (\PD Required Setbacks: Front Rear 10' Side 31 Street SideGara e 1 Landscape Requirement: �0 % ' g .El Lot Coverage Maximum: s Building Height: Maximum Height N)) A Actual Height *2_9 ,1st'Visual Clearance .J(A . Easements )1Si,' Sensitive Lands: ❑ Yes X No Type AUrban Forestry Plan N Conditions "Met"prior to issuance of building permit Notes: Coh t tons sYvttt ice rYle+ ?nor -to perm 1.4- t ssucuvice A Approved By Planning: "_._ ^- 1411111110101r- Date: A pm! i Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 091216.docx s r Building Permit Submittal Original Submittal Date: /o/1p G. Site Plans: # 3 Building Plans: # 3 Building Permit#: gEnter building permit#above. Workflow Routing: JO'Planning ;1—Engineering 8—Permit Coordinator • Building Workflow Sign-off: 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 •ginal plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: -+ - , Date: /!.. -/;")//j By Permit Technician: Engineering Review 7Slope at building pad: ....0,7.4e 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 Approv• • •y Engineering: Date: . Notes: , ,� a . " Approved by Engineering: dZ...17 Date: /Z-(lj--i 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 / Date: I a -1 G-( S� .ZApproved,NOT Released: �L l��tv� Notes: NOf- r e.CCCLS-e d. ID e- (v L - K-i rvi 0c_Mil I t 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: EISDCFees Entered: Wash Co Trans Dev Tax: CO Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A eParks SDC: 'Yes CI OK to Issue Permit pproved by Permit Coordinator: / f Date: WI ;- 1:\Building\Forms\BIdgPermitRvw_RES_091216.docx City of Tigard INq COMMUNITY DEVELOPMENT DEPARTMENT 0 T I G A R D River Terrace Building Permit Review Addendum Faimmtv Building Permit #: /-fSr,P-c1/6 -.- Site Address: 11350 SW Shadow �f"rG�tIS Str>%fi Project Name: .R\veY Tevra.ce ot v vi -1 Lot #: 1 H (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 Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ CI ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 13.1% 3. Entrances:At least one entrance must meet both of the following standards: Aq-1IGIax. 8 ft. setback from longest street- facing wallI'arallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: .it"Yes ❑ No If yes,all the following apply: 25 sq.ft. min. .®.One street facing entry l 12 ft.max.roof above floor of porch ,S(5 ft. depth min. ,IR'501)/0 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 ,IRI-Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide ❑ 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 facadeXlindow trim min. 2'/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.., 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) ❑ 12-foot-wide garage door 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ����� A IL//...4 Date: . I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx FOR OFFICE USE ONLY—SITE ADDRESS: 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 R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Angela Grajewski AUG 2 3 2017 COMPANY: Polygon Northwest PHONE: 971-212-2144 BY.-�,� RE: 17358 SW Shadow Trail St MST2016-00546 (Site Address) (Permit Number) Northwest River Terrace Lot 114 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: = i ription:.. "41 ZYe 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. O ,,SFT CE ONLY , Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yesp- r-No Fee Description: Amount Due: O: Special Instructions: Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: ,V,L ��) Initials: /air I I t ivt/2/An wii/ !z- litizfr./ J Ud 61)Z 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: 17358 SW SHADOW TRAIL ST, BEAVERTON, September 14, 2017 at OR, 97007 10:37:03 AM Record Type: Record ID: Residential - Master Permit MST2016-00546 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17358 SW SHADOW TRAIL ST, BEAVERTON, September 20, 2017 at OR, 97007 10:25:33 AM Record Type: Record ID: Residential - Master Permit MST2016-00546 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17358 SW SHADOW TRAIL ST, BEAVERTON, September 21 , 2017 at OR, 97007 1 :41 :31 PM Record Type: Record ID: Residential - Master Permit MST2016-00546 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Correction completed Water pressure = 50 psi Violation Summary: Inspector Contractor