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Permit CITY OF TIGARD MASTER PERMIT ,1111 2 COMMUNITY DEVELOPMENT Permit#: MST2016-00548 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2017 Parcel: 2S 106DB 11600 Jurisdiction: Tigard Site address: 17394 SW SHADOW TRAIL ST Subdivision: RIVER TERRACE NORTHWEST Lot: 116 Project: River Terrace Northwest, Lot 116 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1128 sf Basement: 812 sf Left: 3 Parking Spaces: Height: 30 Bathrooms: 3 Second: 1445 sf Garage: 385 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: sf Right: 3 Detectors: Total: 3385 sf Value: $402,989.12 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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: 1 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: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add.'500 sf: 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 3385 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: $34,971.50 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 hOOA�f 952-001- 90. You may obtain a copy of the rules or direct questions to OUNC by calling �5p03.232.1987 orr�1.800.332.2344. Issued By: 6rL,.0 Permittee Signature: IO �! l /C977e 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. Bui ding Permit Ap licatio 0 7-- G7 �� s de a ? ECEIVED FOR OFFICE l SE ONE1 Cityof Tigardeceived Permit N . g 0 C OCTT 11 2016 i z�iY�/��- �`/.Si�/6 �-t�C�-�`�e III 111 Date/By: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ! • Phone: 503.718.2439 Fax: 503.59ARD Date/By: Q- ) C Other Perms �� ��j 1�' t t,„R D Inspection Line: 503.639.4175 {i�� tt g� DIVISION !!ppy�^`'' Date Ready/By: T/J� �" hurls: H See Page 2 for Internet www.tigard-or.gov )ti d �� i,� t.+ Y 1s�FS X117 Notified/Method:i�r1��7 t1 Supplemental Information a � �µ1 -n,1, i fir"' .� , n. . ' s !° ,,k ,`c ad [E ,0 8€ i ®New construction ❑Demolition Permit fees*are based on the value of the work performed.ce Indicate the value(rounded to the nearest dollar)of all t Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,qn�d t_he pro or;1� �.! a K' , � - T „ ��- work indicated on this application. L( 'j- -1 (�(j!+.', �� i• G��& � t � �� �. � �ff� �t �� f � � aPP j Q >r�✓�s3 e .., .�ah.:x &��a1M1.'iwt.NnR�dW kWKK��:k�.`�s�,b?�.✓.rldr.�� s'sN��� 0.5�nki3N � �`�1�� isR� 1 ® 1-and 2-family dwelling 0 Commercial/industrial Ck Valuation: $ t 0 Accessory building 0 Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms��` Total number of floors: 3 ��'� (� Job site address: 1 1371/ SW Shadow Trail St New dwelling area: 339,5' square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 3.i ,5 square feet Suite/bldg./apt.no.: I Project name:River Terrace Northwest Covered porch area:_441A._ square feet Cross street/directions to job site: Deck area: i to C square feet Other structure area: square feet Subdivision:River Terrace Northwest I Lot no.: j l Q Permit fees*are based on the value of the work performed.Tax map/parcel no.: Y �-f Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ,r , 3 (� t work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ,' ;6a . ,t, 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 131h Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received: g J @P yg ' � : T E-mail:An ela.Gra'ewski of onhomes.com , �. Commercial and residential prescriptive installation of '1 ,', < ".• t' �,b," 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 Oregotr 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 Total fee dueuP on application: $201.60 Authorized signature: l_...2 ( /1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: / / ' / *Fee ethodology set by Tri-County Building Industry Q ServicemBoard. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , Mechanical Permit Applicalln-t-,,r-I t 6-1°-tn 1 UR Of i 14 I 1 1/4,1 OM 1 .•kat7.1 I CV Roctivcd- • amity of Tigard ..Dataily: IP f)0rd4C. Permit NoMST1b1 ...'- 0 '14..„,- ; 13125 SW Hall Blvd,.Tigard,OR 97223 8 Phone: 503.7113.2439 Fax: 5°3-5911196°D E C 2 2016 PlaDaincifir; iew Other Permit, Inspection Line: 503.639A175Date ReadyfOr. • .ga Internet: www tigard-or v crry OF-TiGPS-11) NDigiediMethod: Strpplemental Information ii, ..- .,!,_.‘,',,, nr ! , ......r ',1;----..7 e-::---..-n-,r"-'-',.,*-r,-• .--,-.:' . -.*"":, •k-;-,s .4' *...., ....,;;f-4:1W:t.,''-:-.-7,-, :::,V:3;;:t,:1::-Q-,77.;;;Z:pti.I. ,,Ti-11,,:: 1,7•7_,,tr.,174N3-siv".;Zt..- Pli=f,'"'-<'.'.'''''-*--;OI!"'";.',:-V":- '''.:'7"5--`•16,,4,-.4•?...X:i1-`,.,'"..L-ile;',:-'-,:g.Z.e.,i,'"::,-1, 14,-',:•:virk. ,,s..c.`-'+;,k,.9..--.414/1,1w, ...` Mechanical permit fees*are based on the value of the work 23 Ncw construction U Additionialteraficmfreplacement performed_indicate the value(rounded to the nearest dollar)of ail EI Demolition 0 Other mechanical materials.equiptnent,labor.overhead,and profit. Value:$ ''''''''''''7-7-''.:-‘'";--''''''''''''''''''.'C''''."-T'.;,;,:7"•;‘:',"-c-'4.'''.-4---• t'',.,':' r ,-/...x'fz7,;‘,.i.,:-.„-':.-S..k ,•:.fr ,,. fi(1-and 2-family dwelling El Commercialtiodustrial 0 Accessory building Far special Information ome checklist tvluiti-fitpitily 0 Ivlasier buitile:r 0 Other _Description I Qty. 1 Ea. 1 Total .,-,..,.....'`...-4-',---,,. t--,,,,,-,.'''''''''‘'' ,, ,..- 0'"..F : -,..'-1.-'..::;','e.',f‘..'jr-A.'.--- ,3,.. ,,:t; Healingit001101V --* t-gL•,.'&.-.1t---eer, ,_'2.:z.,:..S.,_' ,,,. ...i2:::-. .71.-f.-, Air conditiminx I 46.75 bb sile addres$17.3SV S S 1r b IA)TrOut,I Sf: Furnace 100.000 BTU(ductevinits) 1 46.75 „ City/State/ZIP:Tigard,OR 97224 Fumace 100.000+13113 t/ivents) 54.91 , Heat pump 61.06 Suiteftsidg.fapt.no.: I PR)ject nan/C141/46tr TerraCe-• Ortk41.1k-Sot Thal work . 23.32 Cross street/directions to job site: Nydronie hot water system 23.32 Residential holler(racriaior or hydronic) 23.32 Unit heaters(fuel-type.not electric), , in-wall,in•duct,suspended,etc. 46.75 Flueivent for any of above 1 23.32 , Subdivision gWer Terrace. NI octiwkie.4-1- I Lot no.:Itt pOilier; Other fuel implhusern 2332 Tax map/parcel no.: Water heater -23.32 '.;,.. . ,IV,h=,•=4,==,Yr= ,,,,,-;..-- t.,-.:--...,--...„,,-.,_:...,...,t 4-,,_,-,.,, 3339 fittagaco , 23.32 Log Witte(gas) 2.3.32 Wood/pellet stove • 33.39 Wood fireplace/Insert 23.32 ' Chlmnevninrailludved 23.32 . . 23.32 9,`:1-4‘i-4-';'7':'5.:',.,..,:iff;:i.,:::',,r.. .--.,,:f.::I2-a...c..1-6,isf,-,:tlirt.:::;:i;'::.L;'-3b...11-7,';'9.'$,',.;:ii:"";,::11---...,?-'• '`,:,..,:',,,,,. Eon...c.f.,csimwt"d vtutfttion, Name:Polygon WL11;1-LC Range boodlothcr kitchen I, coulotnect 33.39 Address; 109 East tr Street ' : Clothes dryer exhaust 1 33.39 CityiSlateal P:Vancouver,WA 98660 Single-duct exhaust(bathrooms, ' toilet compartmentk utility rooms) _Iji" 23.32 Phone:(360)695-7780 Fax:( ) _Atticierawlspact fans 23.32 , :•;-;.--ki•-::::••:::g3,-,:-'..•-•7'.-f'..:...-:--&':.-1:-i•l':••=:.--,i--•-.‘:•-'-'1.,'f,.;:f::k,41,-52:::f.'-;--.',,',..1i/,/lqi:4,,t*:,•-.fi4 ::::',- ,,,, -.:, ••',1„, ,,,.7-•:„:4-:;•-..:1, er: , 2132 Feel'Aphis', Business name:Polygon WL11,Lie $14.ts far first foist:$4.03 For rich sddidonat Contact mune:Angel*Grojewski Furnace.etc. I I Address::109 East 0th Street (las heal Pim* • Wallisitspendediunit heater City/State/ZIP:Vanr.ouver,WA 98660 Water heater Phone:(360)695-7700 j Fax::(360)6934442 Fireplace -1 Range t E-mail:A.ngeli.Grajewskie&polygouliornes.cont Barbecue ":4;:2,..- :.--'-':,71::7•:';,:F,'-',:,,-±7,:•:::_,::.--.•,,',:-`.•-!,''',.'117,,-;,":5,-,,,--IFiT:-1:-.V--,',‘:'zr.1::-L-f-7'‘'-'::',7,:::'7,:=:::'::;::-:!::-..7-_:-.7.7-.-7,-:::7. dog=(Inn.:(gas) Business name:Apex Air LLC • Other •%; '••''' '- - i.:'.'i..!;;•'-r':' t'.: "'-`1-'•-•:::'S.•:`L':!,:.- -•:.'71 .1'..:•.':.1•;I: Address;18004 NE 72.Ave Subtotal City/Stale/ZIP:Vancouver,WA 98686 -Minimum permit fee($90.00) Plan review(1.5%of permit tee) • Phone:(36013424109 Fax (360)3 .1169 State wane(12%of permit fix) CCB lie.:203034TOTAL PERMIT FEE Authorized 5iglatum41°12a4"---- This permit application expires If a permit is not obtained within 180 • da,vs=twit has been aempted ex wwnPleir- '• Fee methodology set by Iii-County Building Industry Service Board 'PTint nattier...T.72-k / Date: 41.11-11,.. i AttiiidieotraeomEr_re:Ai:wpm Ls doe 446-$60T(I ifirdathiN/PB) Electrical Permit Apnlidatie� ' '' fOR OFFICE.USE ONLY City of Tigard C1 EG 2 8 016 nom` ►, / 13125 SW 13s1t Blvd,Tigard,OR 97223 DEC aevi.w Phew: 503.7182439 Fax 503.59 t * DatdB_: Inspection Line: 503.639.4175 °` ? f k a Ready DatdBY: /MI0 See Page 2 for , T IC'A.) a Supplemental Information Interact www.tigard-or.gov 1,I �? $ , 0 6 NotF[iedlMethod carp 1 { :',7:--;--", '":'.7:::-;-7 3-M h :l ;:�, c`3r; k e;,,,,,`.'`5 F+, 'r ,,-,:. k��. . r, .;.„�,'�`.':,-- .'a- "t ,PC. . • ,I. 0-. �' -.'lL k-'� ,.• . �.�. ! � _ „ .�.. ��t£". '.�+�:� a: ®New construction 0 Addition/alteration replacement Phase cheek ell that apply(submit 2 seta of plans wineros checked): 0 D Service or feeder400 amps or mom D Building over three stories. 0 DemolitionOther: where we available fault=ma ❑Dfati+me and boatyards. ,dY',,' A sz { r`L t f',f z • 1.c'{6)•: nkF y X54. r . -°. r x X ,V k exceeds 10,000 ampsat150volts or (�Soatia*buildings. ®1-and 2-family dwelling 0 Cotnmercialfi idttstrial 0 Accessory building ass to ground.or exceeds 14,000 0 Commercial-um agricultural amps for all oiler installations, baildiags.• ❑Multi-family ❑Master builder 0 Other: C JPite pump. D Installation of 150 KVA or h %? ail''?:a^i "'.g4(tib tt.:.:a A w;at . c., 4.5,' t•.',a;;; ,;Vg .'i 0 Enter6tmcY system. larger sepam ly derivad ' .Y-P 'ger .. ©Addition of new motor load of Job#: Job site address f-PM SW S had y jlriul S't". looxp or more. D"A".E",`1-2"."1-3". City/State/71P:Tigard,OR 97224 D six or mom resfacilities. units. occupancy. vehicle �y� ,,�.t�'�� DT1eatth-ou.fiecitities. D r� Suite/bldg./apt 4: Project mune'1.we x T[fl 1-QCe Nor r r s3 esi- D oug locations. D supply voltage for more thanD Savioe or feeder 600 amps or mot.. 600 volt nolalaa• Cross street/directions to job site: ',ATY: , ; :'-. .`�;d r..,-i NFA iT�'" neraiotlom Qtr. I Roth Total 1 ...... New residential single-or multi-family dwelling unit. Subdivision:R Tty NortintlAlest- Lot#.l 1 + p Includes attached garage. `7 1,000 sq.R or less 16834 4 Tax map/parcel 0: Ea.add'l 500 sq.ft.or portion 33.92 1 a 'r M ?,, .._ 174.L 1-ad}31 '37,"AaJal;},.j ` r, { < 'C .ti' Limited energy,residential 75.00 2 (with above sq.ft) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renehvable Energy 17 See Pal c2 �z *.0,,,,, 4,-1--4,i£?, 4.r.`4,-,,y,wtu-., . ,d,, .--..,�_ ,•!r,^. •fid•LJ'kf ( �';i,"xr .' ..' -:' •- " Services or feeders Installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E Doubletree Ranch Road 201> to 400 133.56 2 401 amps to 600 amps 200.34 2 City/Statc/ZdP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders iostaliation,alteration,and/or F {l: relocation Owner Installation:This installation is being made on property that I own which is not 200 amps or less 1 59.36 I 1 • intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. ' 201 amps to 400 amps 125.08 2 Owner signature. Date: • 401 amps to 599 amps 168.54 2 • � ,.. � . •: " Branch circuits alteration,or extension, r panel -c, 71-. >e --��,E�•k<v..,i rvM1 . S�, .max ...^t:,,,yw3,,>rryp�it , 7x u, .l. „.,*, ,i : A.Fee for brooch circuit with i Business name:William Lyon Homes,Inc. above service or feeder fee, 742 2 I each branch circuit Contact name:Angela Grajewsld B.Pee for branch circuits without n service or feeder fee,first 56.18 2 Address:109 East 13th Street branch circuit City/State/21P:Vancouver,WA 98660 Bach addl branch circuit 7.42 2 Miscellaneous(service or feeder not included) l Phone:(360)695-7700 I Fax::(360)693-4442 Each araauaacwred or modular 67.84 2 dwelling,service and/or feeder Email:Angelaarafewski@polygonhomes.com Reeennoet only 67.84 2 g.-`` c'1 is .)- ! . 13,x" 3 ,i. 5 ..'; "z` Pump or litigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 ; K,,: Signal eircuit(s)or iunitod-energy e7 See Page 2 2 Address:6101 NE St Johns Rd pend,alteration,or extension. Each additional Inspection over allowable In any of the above City/State/ZIP:Vancouver WA 98661 _Additionalinspection(i hr min) 66.25/hr i Phone:(253)320-1657 Fax:( ) lavesdgatiol(1 hr thin) 90,00/hr Industrial plant Email:bdaaielsugweasa,compoc (whicb ao ism k 78.18/hr 1 Insr 1 listed hr min 9000/hr CCB Lic.: C11S8 Electrical Lie.: 208174 Sultry.Lice: 44965 ; Suprv,Electrician signature,required: � Y // pd,^ A ,}.Q,,(_,,f -" • Subtotal: 1 Print name: Joan PAlbert Date: 4/26/2016 ❑Plan Review Required(25%of permit fee): l r State surcharge(12%ofpernrit tae): i }i• - -"-.:-'-" TOTAL PBRMtI'FEE: 3 i.ktI v'., Authorized signature: - - - ,;t t '!'his permit application expiry if a permit Is met obtained wards x80 • ` ,tPrint name: Bill Daniels Date: 4/26/2016 days after it has been accepted as complete, I „r::ski: * Numbeofinspectionsallowed pout:mit. ; `t. A<0-4615T{}}RSiCOM/WEB i,..-';',•-•' 8allaltettoahs157.0 PenaitApp_EGB�AE.doc Ray 06/17!2015ii . , Plumbing Permit Auplica ' ,f''" Building Fixtures i'V • IIIIIIIIIII=MIIIIIIIIIM city"Tigard �1 EC. 2 2016Received Penult rlo. III • 13125 SW Hatt Blvd.,Tigard,OR 972?3pi= f LU'W�[ ■: Phone: 503.7182439 Fax: 503. , ., r,rRy1e" Pq lr i i Inspection Line: 503.639.4175 t Y 0I"' i i t l �,� DateReady1BT Jam: - Bl See Page 2for Internet: wwwligard. r.gov s �y I;�,a( DVI O N i ono cip setZI �„��LV Supplemental Information r ts;', El New canshuction ' 0 Demolition For spode'lnforr nation use cheek G Description I Qty. ( Ea. j Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 S,for each utility connection) , .• .. ••CATEGORY.'OF 1NSIRUCTION•• : . . SFR(1)bath 312.70 Ef I-and 2 family dwelling 0 Commerciallndushfal SFR(2)bath 437.78 SFR - ❑Accessory building 0 Multi-family (3) ' 1 50032 Each additional bath/kitchen 25.02 Q Master builder 0 Other _ Fire sprinkler( sq.ft.) Page 2 :. ',1CiBi SrrE INFORMATION`AND•LOCATIOON _ Site utilities: Job site address: / l j f q SAN sy\oicthu.s Uralt i Caton basin or area drain 18.76 City/State/ZIP:regard,OR 97224 Drywall,teach Zine or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project narne:R 1iie Y TfAcace NDyttWkst Manufactured home utilities 50.03 Cross street/directions to job site: I Manholes . 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear IL:„___,) Page 2 Storm sewer(no.linear ft:. ) Page 2 Water service(no.linear ft: ) Page 2 Subdivision.Rise T�lYAtt N Ortklr vies t- I Lot no.:1 I t Fixture or item: • Tax map/parcel no.: Backflow preventer ( 31.27 AESCRIPIION OF.WORK. • Backwatervalve j 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®.PROPERTY OWlvltdt ' , • 1 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLCFixture/sewer cap 25.02 Address:76001;Doubletree Ranch Road Floor drain/floor sink/hub 25.02 garbage disposal 25.02 City/State/Z1P:Scottsdale,AZ 85258 Diose bib 25,02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 •' • • : •_4.APPLICANT .• 0.0 CONTACT PERSON: co1 8r a trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 Contact name:Angela Gra jewski Primer 12.51 Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatoiy 25.02 City/State/ZIP:Vancouver;WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/showerpan 12.51 E-mail:Angela.Grajewaklolygenbomes.com Urinal 25.02 � 'Rr1CTOR Water closet 25.02 coN• ; ' • Water heater 37.52 Business name:Malmedaf Enterprises Inc. water pepiasiDWv ' 56.29 Address:PO Box 207 other. 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Minimum Phone:(503)324-0759 Fax:(503-)324-0580 permit fee:372.50 t fee) • CCB tic.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) �, ...(:::::N State surcharge(1 %of PERMIT FEE Authorized signature: `,�,,.._._-•- TOTAL PERMIT FEE Print name:Carolina Mahnedat 1 Date:04/5/2036 ! This permit app&ealion expires if a permit is not obtained within 110 days sifter it has bees accepted as complete. *Fee methodology set by'FriCounty Building Industry Service Board. 1:i3U dbglPendtsln.MEhPere tApp.d°e 10/01/09 440.46I670052/CQMWEB) .a City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 1 c a R D Building Permit Review — Residential Building Permit #: Site Address: 3 `fit 5 kki c,d v-e d S4- Project Name: `, v Lot #: i 1 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: W e d e-{-a C.e4Q S FF • Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ No C,ld" Yes,See River Terrace Review Addendum Attached Site Plan Elements: giThree(3)copies of site plan ,Existing structures on site kSite plan must be on 8-1/2"x 11"or 11 x 17"paper .Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations 2North arrow Utility locations(required for new,may apply for additions) D Site address,project or subdivision name and lot number )2-Location of wells/septic systems Applicant information(name and phone number) grExisting trees to be retained with drip line,and tree [tot dimensions and building setback dimensions protection measures fi Lot area,building coverage area,percentage of coverage and 2,treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) ►:1 Street names tp Property corner elevations(2 foot contour lines if more than 4 foot differential) Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: E Yes,applicant was notified 1 --No Received: ❑ Yes ❑ No X, Public Facilities Improvement(PFI) Permit: Required: f Yes,applicant was notified ❑ No Applied For: AT Yes ❑ No,stop intake k Land Use Case#: p D R a o {5 - c 3 /S uB i,20 15 - 000 S .r"Zoning: R - P!� „ Required Setbacks: Front 1,1_. Rear j p Side 3 Street Side Garage v a Landscape Requirement: O k- Lot Coverage Maximum: ,?) 0/0 3uilding Height: Maximum Height N/ Actual Height QS .,P"Visual Clearance k-Easements Sensitive Lands: ❑ Yes No Type 0 Urban Forestry Plan 40Conditions "Met"prior to issuance of building permit otes: µ 2t P( vi4--i c)-`j �s i`yr. 4-10 er,-a, if j ss LK.Cc n c.2_ Approved By Planning: �—-"' --- Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPennitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: 70/`2//k Site Plans: # ____3_ Building Plans: # Building Permit#: EPEnter building permit#above. Workflow Routing: 0--Planning [ Engineering ErPermit Coordinator a-Building Workflow Sign-off: L-Sign-off for Planning(include notes from planning review) Route Application Documents: U.-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 91-4—m Date: 4, V/>/ xm, x •: . . gip; En,ineering Review • Slope at building pad: /77 *Conditions "Met"prior to issuance of building permit „ell �_.� ”of ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: E Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: D 3) Date: Z Z,6—JA Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit .Approved,NOT Released:IDate: Notes: Moo Could;I--;; v i 1 a2ci / lid 1 (40; ci: b it J,JJ'F 4/L -{-u ii i<v- Pe,/ /115'/ILLILY; 1 " 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: 124 SDC Fees Entered: Wash Co Trans Dev Tax: ® Yes ❑ N/A Tigard Trans SDC: [a Yes ❑ N/A Parks SDC: ] Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: Date: i/�/i ?-- I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard o 'I COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: '7.S7 /6 56' Site Address: ) 13`J( 6 LJ 5 H o_d e i a<; I S Project Name: R', v ,, -Fe(r-6 cizIQf of 41,tojeJ 1-- Lot #: /1 P (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. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide .K. ElEl ❑ ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: ---t. E (,:<Y0 3. Entrances:At least one entrance must meet both of the following standards: ti 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: . Yes ❑ No If yes,all the following apply: 11?25 sq.ft.min. ki One street facing entry kr 12 ft.max. roof above floor of porch k'S ft. depth min. k"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 kr 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 6,g-Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide E Accent siding min.40%of street facade 'Window trim min. 21/2"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.,14'Yes El 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 EQ'50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: 0u'"u ((.t,G,),A-,J Date: it -,.?/- /l7 I:\Building\Forms\BIdgPmnitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17394 SW SHADOW TRAIL ST, BEAVERTON, September 25, 2017 at OR, 97007 3:10:25 PM Record Type: Record ID: Residential - Master Permit MST2016-00548 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: No power at range as noted on previous failed inspection. Gfci does not appear tripped, all breakers appear on. No further inspection done. Investigative fee applied for scheduling inspections prior to work being complete and ready for inspection. R109.3 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17394 SW SHADOW TRAIL ST, BEAVERTON, September 25, 2017 at OR, 97007 3:11 :34 PM Record Type: Record ID: Residential - Master Permit MST2016-00548 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Work not complete at microwave vent as noted on previous failed inspection. Investigative fee applied for scheduling inspections with work not complete and ready for inspection. No further inspection done. Violation Summary: Inspector Contractor