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Permit (45) CITY OF TIGARD MASTER PERMIT 1111 1t: COMMUNITY DEVELOPMENT Permit#: MST2016-00530 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2017 Parcel: 2S106DB12100 Jurisdiction: Tigard Site address: 17494 SW SHADOW TRAIL ST Subdivision: RIVER TERRACE NORTHWEST Lot: 121 Project: River Terrace Northwest, Lot 121 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 978 sf Basement 814 sf Left: 3 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 1251 sf Garage: 400 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right 8 Detectors: Yes Total: 3043 sf Value: $367,118.75 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 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 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 3043 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 2 Geotechnical Inspection STE 1 Required before foundation SCOTTSDALE,AZ 85258 3 One Hour Fire Rated Eaves... PHONE: PHONE: 360-695-7700 Required one side only FAX: Total Fees: $34,152.45 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. �j� Issued By: /'�(/ -7-4(-- Permittee Signature: /V ,° 277)‘—/e'977c 4/ 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. Zuilding Permit Application Z--0 / �° i.., I� ��enRECEIVEDFOR OFFICE l SE ON Ll City of Tigard Reeved 13125 SW Hall Blvd.,Tigard,OR 9722 C T 1 1 2016 Plan Review/c>2/7//41 Permit 194/.501,6 ,71 �7/ / 216°70 I Phone: 503.718.2439 Fax: 503.598.1960 Plan / ,�7�l / DateBy: la-z--7- )6 Other Pere` 0/4i—et 7 7 TIC;,,„I) Inspection Line: 503.639.4175 Y O I1 7A R D Dae ReadyB rd /�//� Juris: SupSmaBne ta2 no rmationInternet: www.ti ardor. ov BuiLoING Dvisiorq NotifedMetho ®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 J ❑Addition/alteration/replacement ❑Other ) ".,--.7,��� � equipment,materials,labor,overhead,and the profit for ,e tl� Q � '- r ,r,-.. .° ?� .3 -r , ` r' .• work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: S. 0 Accessory building ❑Multi-family Number of bedrooms: ' L $6 7, � 1 Q r 0 Master builder ❑Other. Number of bathrooms `'� U , ' x ` - i Total number of floors: Job site address:/7`7 9y SW Shadow Trail St New dwelling area: '�0,..f3 square feet City/State/ZIP:Tigard,OR 97224 4)0 Garage/carport area: ytpjp,square feet ' ,u�` Suite/bldg./apt.no.: Project name:River Terrace Northwest Covered porch area: 1J" 4 square feet 1.16- Cross street/directions to job site: Deck area: square feet q 7g Other structure area: 14b square feet $) 9 , C k. t . .-,c,::,.,..--;k:. `::-9- Subdivision:River Terrace Northwest Lot no.:/D Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the :' ,.6.;_,---, lya --f; s . - work indicated on this application. Valuation: $ Existing building area square feet New building area: square feet .,‘',.•,,:i.,-,,,-7,- E0.' ', r °7ii! 7 7 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 Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 13th Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount received E-mail:Angela.Grajewski@polygonhomes.com �`, r K� N, � � ,� ' `'" � �� Commercial and residential prescriptive installation of re F `- I ' : :_- :!_ 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 - Total fee due upon application: $201.60 Authorized signature: }1SZC ( ' ' / 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: /a� / *Fee methodology set by Tri-County Building Industry / ServicemBoard I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ,, Mechanical Permit Appheating,- .,-,.f,--i'. 4-1/7:::t1 11111111111111111111111=11111111111111111. iittL4, ..71 '-,City of Tigard Pemit N*S11614)-0057)0, li_, : .31.SW Hall Blvd..Tigard,OR 97223 ,, c, t'Qs )(ii.„ pi Review ' . Phone: 503.718.2439 Fax: 503.598.1960 Ai wieman p: Other Permit :- inspection 1.ine: 503.639.4175 _ Inv I Oat Rendy/Ety. 3.ii I Z See no 2 for Internet: www.tigard.or.gov 0... "i 1(3,t\r‘ILI-uotiffeestashort. Supplemental tatennatiaa CI" y : -,,/kcIcAq .Y., ,V''.?'-,17,--"-T--4'-''''-;"-"';-,f.-i',',''''F4i:',:::',7-'n'I.,r--'ir;SP'-'::',,a-',''''): :.l'''''''?-7.:,-•;4-N...4 7.;,:tr'S.ri,.4,?...-,'? . Pit:,.r-,';--4.4.,,4S-i 4,fe . .:,•7--,1-tatl-la.-s.,i:L-i_.1.1-;411, 1illz Mechanical permit fees*arc barrel on the value of the work Igj New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all O Demolition 0 Other: mechanical materials.enuipmenk labor.overhead.and profit. Value:$ .Nr.,,,,,,.,1,..,!.:,..,,,,,,,e„.,,,,,:!...7,.i.,, :,.c,,,-.•,.. " . ,W ? ' " Ll1:1'iliV:?'` ,-.,-..... -,--..,, .1- — -''''''".-..:• '-i-,"'-'......, .....-,., '''. o ..7. ., i'''''''':'+'''''''l''''''' ''''*'.4-'''`:-'..''' ''',.;',.t--:;-,a,;ft. '<i:`,,,I.k,!,,,,,‘_;P:.. ...2.4',11147.4::1.-'14---r-,,414.',1?_4•:.°Gt,,,t1imYil. f5it1-and 2-family dwelling 0 Cornmercialfinduslrial 0 Accessory building For sPedar Worporadon we diedas. stviulti-ramity 0 Master builder • Q Other Description I Qty. I Ea. I Total 171'4'7, t`,.... -•••••"•i; 4.':rrY -.-=; .•• .;P:'15' :*..1...- j'ar."'';''1, :r`k•";,-!;, :'-;(6.;.i,‘f.?"-Z,44, .50 -.•,11.,..,-.7:-.' Helgtinekoldblez Air condilionlu I 46,75 'Inb she addressi 1 14(4111 SW &big r6ui St: FUMEZ 100.000 071.1 ouetskents) I 46.75 City/Stale/ZIP:rigard,OR 97224 Furnace 100.000+811)(45colherus) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name:A.11a-Tarctre.,0 OrliAujes,\-- Duct Walt 2332 Cross street/directions to job she: 14whonic hot water systerrt 23.32 Residential boiler(radiator or hydronic) 2.3.32 link beaten(fuel-type,not electric). in-wall ist-dur;suspended.etc. 46.75 Flue/vont for env Of above I 23.32 ' — Other; 23.32 Subdivision rla-IVer if rtraC— FJ O11 -i- 1 Lot 110.:1-2A Other fuel*Polishers: Tax mapfparcel no.: Water heater 23,32 .*nr1.3.----.77...-17•-••••-•-• ''-'7--,:::.7,7.77--,`,:-,--.--4•74.-?;-';;;,-.,,7:,rpriL::,1!:',7'2'1, -",:,t,?:-:,r1r,z,!:',71•71 ,:ir,7".7-7,-;,- Gas fireolaaafinsais ,e';,.i`i:-..L.7. .1,7.- -....,1.-1'. --:i`‘.;::,i',.,S.;,''ii=-:.:a:•?^/.4.L.,.'"!-:,`..4,;';`,L.';'-',1,-i.,'-',.-/-11..',.;'. 1 33'39 ' ‘..,:-.,'•" 00 05 -...t ...-;.. Floe vent for water heater or gas Bitola= 23.32 I.4t8 lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireolacelinsert 2332 Cltininevilintrilluervent 23.32 • • . Other S',L7:;:'.• ;"P.,`2.,''-'7' ii.;:::Z. 00 'T'F;t4V: - '..:h : 23.32 govironattow tritaustkad yentas ion: Name:Polygon WLII,1.3.4 flange hood/other kitchen 1 equipment 33.39 Address: 109 East 1311'Street Clothes dryer exhaust 1 33.3t) City/StatefZIP:Vancouver,WA 96660 Sinate-duct exhaust(hathonuns, toilet doropertrrsents.,utility rooms) 1-4- 2332 Phone:(360)6954700 Fax;( ) Attiebnawitoscc inns 2332 ,-.-,,,,.i4.7.-...-.77-7,..r c•-•:. ',.:;,=,,:.:;7::-„...,-,:_7::-.,-;-7,-,:-.7,,,:,--;7.7-r-A7,1 -:::',-:-.741.-t-i-,,,--,7,71";-77,5.*--7-;:-..1,7<",i,7,;::%--;:::,- fs,7:= Other 23.32 :,-,-.;:.-- ,,„-.„Z`-.... ,-.."-4`.7"..' ':''...`...1,',.z."..2.',1,,L-:,-,:.,...,,,,,,:---E,,,,-,,...Ja.t,',,,..-..`,1 n.'-.,,,,,..,:-:•!...-1,. .....:=..:.:v:— Fuel PIPIM Busioess name:Polygon Vir'Llt,UGC 814.15 for first faun 84.03 for each additional Contact name:.Angela Grajewski Furnace,cm. I Addras7 109 East 13th Street Gras hen porno - Wallfsnspendedfunit heater City/State/ZIP:'Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace ii Ranee E-mall:Angels.Grajewskpalygonboines.com Barbecue ' c•'- ',1,•;-'''.. ..- ,_ ...,:',ii•••'''''''..YZ';14::;"1 :47';';::::-!:4:''...j*2-'7:- :.-:1.--;2'. .7±' :-:',f.:1-:',',T-, Clothes titYer(ahs) Business name:Apra Mr LLC • Other: -,.7.2. .. ;,...r..1:.:,:;';':.s..,'„if)I':,.,'f-s.,?•:„. - -•;::;:l -,:L.:,‘.;:''':-.C•.'L'...,•,`:.'-'-1-::••1,: ,...-A;'. Address:111004 NE 72"Ave Subtotal CityiStatcalP:Vancouver,WA 98686 Minimum permit fee(S90.00) Plan review(25%of permit fee) Phone:(3601342-8109 Fax:(.360)326-1769 State surcharge(12%of permit fire) CCB lie.:2(13(134 / TOTAL PERMIT FEE This permit application expires Ifs permit is ant()hoisted within tan days itiltwit hos*tet accepted a$vo **. n - 'Authorized signature' * Fee Incritosolov lot by Tri-C,e'unty Building Industry Serviet Beard 'Print stanterl171/4 1 I Date: 4.I'7.14.•• muikevproais,m s c_retaitANLoom 13 dm 4446117(11012.CO.MAMS) r Electrical Permit Applitaticala -- ;•;•;::: rO1c O1 rzcl USE o1 Y at of Tigard r 2 g 9 016 n Received ►. r ► a11' 'i 13125 SW Flail Blvd.,Tigard,OR 97223 \-E 1 JB . • ' Phone: 503.718.2434 Fax: 503.598.196 , 'id., 1�-{ D$,J3• Cli Line: 503.639.4175 ,( tit ' c}{^� r. 11.1. 111. IMIIIIIIIIIINIIIIIIIIII izl see Page 2for TIC;irtt7 Internet www.ttgard-or.gov ! '• € u1l t,••94•� r—. Supplements/information _ _ 1.,-nom,...-� „_�,.`L��.eR ,-!.'6:� 7 -. z ..,: _°i. ;t:-.,. .n,. 31`�0 i 7§$7",C Vi ar�'#'� ®New eoflstruetian 0 Addition/alteration/replacement Pieria check all that apply(sub alta sets of plans w/items cheated): ❑Demolitionother o Service or feeder 400 amps orrtore 0 Building over dune stories. where the available fault current ©Marinas and boatyards. .=3! 1a'' : a ' 3rt ."+r i�.l' y!.L: 0,i-6141•51 r..j tfir i tine;+ ;. -".; i... . 0,00 excacds 10 sates at 150 VDUs or ( Floating buildings. ®1•and 2-family dwelling 0 Cornmercial/indtistrial 0 Accessory building !Basta ground,or exceeds 14,000 D Commerdai-ase agricultural ❑Mufti-family , amps for all otter iasfanaiions. buildings.• y ❑Master builder Q Other. DFue pump. ❑Installation of 150 KVA or •t'-'"----'''''")^:, '4.---)'''''4' I''[i',+`u4,''t r s . er" i'o1 ,acct It •-it-pi--,---c„,.h 3i '' 0Emergency systa Iagotseparately derived D Addition Job#: Job site address/70V S\N Shad nilT ea, Si-. ° system. f new motor loss of D„A,">s,,."1-2"."1-3", /Sta#e/ZiP Tigard,OR 97224 D Six or mom residential units. occupancy. City . ❑Reoteationat vetdck l�Hoalth-csoe facilities. SuitelbldgJapt#: Project name.QI���.'r Q�j4 )c c - 0 oma locations. 0 Supply voltage for more than ©Service m feeder 600 amps or morn. 600 voUs'mini' Cross st eet/directions to job site: -.t i a-4,;1 1i `F ra.��# � d ,,• ". PeseriDtton _ Qtr. Earl Total • New residential single-or multi-family dwelling unit. Subdivision:i21i .r-rewate wri.tvlesfi Lot#:!U Includes attached garage. Tax map/parcel#: I,00D sq,R m less i 168,54 4 p Ea.add'l 500 sq.ft.or portion C 3392 1 t '''''S'U--1,=-7; -s" 2 ✓, =r 1 ? Ci:at cfspV2E:3;ta)a�as`_ ,:_ .> - .r.-,;.,i,. xr limited energy,restdentlal 7500 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.it.) y _ Renewable Energy ❑ See Page 2 -,1?:, �..:a lY f'.�."7��„�7_•_3� 0•_f..,?1�4.1 , Cf'7-:tin- xy,..,r0 : c 4 l r x -s?a •.,",..� � �+ fix.<��. �:�,;.,� ,�--tea,-�,.�� ..� Services or feeders Installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 20034 2 City/State/l.IP:Scottsdale,AZ 85258 601 amps to 1,O0/amps 301.04 2 Phone:(602)694-4031 j Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner Installation:This installation is being made on property that I own which is not 200 amps or less 5936 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 antes to 599 amps 168.54 2 -r,5 -1 . .. x tiyV, `. *:yam .. Iy , >y]:i 5d if KV t 1• •Wi�,;,i ' f Braman circuits--new,alteration,orextension, rpanel e ..- .-... r ` '--��:'i5 A.Far for branch arcuils with Business name:William Lyon Homes,Inc. above service or feeder fee, 742 2 each branch circuit R Contact name:Angela Gra jewski E.Fee fbr branch circuits without service or Address:109 East 13th Street branch ait feeder 'Shat 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax::(360)693-4442 Each manufactured or modular dwelling,service and/or feed67.84 2 s• Email:Angela.Grajewsld@polygonhomes.eom Reconnecty 67.84 2 7 4,�Tt;6) f acne 4 � 3,, r _`. 4 67.84 2 ,�.� _ _ � _ • = � .. _ . .. Pump or Irrigation circle Business name:Garner Electric Washington,LLC ' Signor Mine lighting 67.84 2 n, Signal circuits)or limited energy D See Page 2 2 Address:6101 NE St Johns panel,Rd p ,alteration,or extension. Ci /StateJZLP Vancouver WA 98661 Each additional inspection over allowable in soy of the above Additional inspection(1 hr min) 6625/hr Phone:(253)320-1657 I Fax:( ) Investigation(I hr min) 90.00/br use coon industrial piant(I hr min) • 78.18/hr Email:bdaniels@gwensa.com Inspections for which no he is — 90.00/hr • CCB Lk.: C11S8 Electrical Lie.: 208174 Suprv.Lica: 44965 ;, listed(ii hrmin ...• ....... �" .iii-9 a r ,� ]��- moi_.=i*33�fr?tG {a<1 4 3 r ��:� r .� t}�=: Supra.Electrician signature,required: ;rt,A I ♦ ,,,,u .. Subtotal, '• Print name: Joan P Albert Date: 4/26/2016 D Plan Review Required(25%of permit tare): •• p � State surcharge(12%of permit fee): t:`ii,K v-- ---y TOTAL PERMIT FEE: r i:':,; Authonz' ed signature: This permit epplirafiea expires if a panatela not obtained within 180 -`.1{; t Print name: Bill Daniels Date: 4/2612016 days after It buns been accepted as complete. ;;,Y:ir,j` * Number of inspections allowed per permit. - e�Vel til•1&dldiaalfenaltAEtC.PecaitAppji1R ERE.doo Rev 06117/2015 4•10.461571x1 M/WEn i Plumbing Permit APPlicatii - Building Fixtures cult?: Turd iaEE 2 + ?_Q16Received M tP apl Ci Of �s>r Permit No, ST��� r) _� 13125 SW Iia!!Blvd,Tigard,OR 97223 t i.0 1 , ,, an VICW Phone: 503.7182439 Fax 503,598.1 i § ., , 7, rS1111Anir,t OtherPemitNo.: - Inspection Lne: 503.639.4175 rode Et See Pape 2 fortiFrInternetwww.dgard-or_gov Supplemental Information tt tNfi /RMb ®New construction ' fl Demolition For'pedal Inforeraaierruse checklist. Ne ❑Addition/alteration/eplacement 0 Other: New 1-2on Qty. ( Ea 1 Total 2-family dwellings(includes 100 ft.for each utility connection) . •••CATEGORY OF CONSTRUCTION'" .. SFR(1)bath 3!2.70 I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ©Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other. Fire sprinkler(_,n_,sq.ft.) Page 2 ' • ••• - • • •:.'$OB SITE INFORMATION-AND-LOCATION•, ':' Site utilities: _ Job site oddness:, !g Li s\O $y\ac,ib1s l rod,-, `". Catch basin mama drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywall,(each Fine,m trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suiteibldgie9t.no.: Project nerve:2 ire r Tema Nadi/we Manufkctured home utilities 50.03 Cross str'eet/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:„r,.) Page 2 Storm sewer(no.linear ft.:_____) Page 2 Water service(no.linear t: 1 Page 2 1 Subdivision.'I,iv x 1-MA e N orthaves 1-- j 1 Lot no.: j 7 M1 Fisture or item: Tax map/parcel no.: 1 Backflow prevent= 31.27 • ' DESCRw-rioN OF.WOR>ic • - -Backwater valve 1 12.51 . . Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25,02 Ejectors/sump 25.02 V • . r"•pROPsRtY O*NER , 1 • Q.TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/bub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25,02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 I Fax:( ) lee maker 12.51 ® APF 1GANT . . in CONTACT PERSON: Interceptor/grease trap 25.02 - Business name:William Lyon Homes,Inc Medical (value:$ ) Page 2 Primer ' 12.51 Contact name:Angela Gr ajawaki 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 Tab/shower/shower pan 12.51 E-mail:AngeiaGrajewald®palygonhowmes.coUrinal 25.02 Water closet 25,02 CONTRACTOR , • Water heater 37.52 Business name:Maimed')Enterprises Inc, Water pipinglDW V 56.29 Address:PO Box 207 Other: 25,02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)3244759 I Fax:(503-)324-0580 Minimum permit fee: $72.50 CO3 Lic.:102535 'Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: C..,--...........4::: TOTAL PERMIT FEE I Print name:Carolina Maim tidal Date:04/25/2016 This permit application expires if a permit ls not obtained t+tthin ISO days after it las been*tempted as complete. 'Pea methodology set by Tri-County Building Industry Service Board. 1:15uiidiagtaattdPLMU•PamitApp.doe 1Ol0e/09 44O.46167O0/02/COMIWEa) rEl: City of Tigard 111 " COMMUNITY DEVELOPMENT DEPARTMENT I T 1 c A R o Building Permit Review — Residential Building Permit #: #44I-7;20/& —OO$5,.3 0 Site Address: / z-/91z s7 ) it) / S4. Project Name: , '/i/.�,r '7-1ram c�dOrA S7L Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: AieW 3P-1 erify site address/suite#exists and active in permit stem. ver River Terrace Neighborhood: ❑ No V Yes,See River Terrace Review Addendum Attached Si/Plan Elements: 0/Three(3)copies of site plan ;t. 'sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper I. ootprint of new structure(including decks)with finished Frawn to scale(standard architect or engineer scale) or elevations orth arrow Utility locations (required for new,may apply for additions) Pid e address,project or subdivision name and lot number 11!��cation of wells/septic systems .plicant information(name and phone number) 03I'A 'sting trees to be retained with drip line,and tree 'E ;.t dimensions and building setback dimensions otection measures VA Lot area,building coverage area,percentage of coverage and Of,S'treet tree size,type and location ppervious area(applicable if R-7,R-12,R-25&R-40) Street names roperty corner elevations(2 foot contour lines if more than 4 foot differential) jllean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes El No i ublic Faciliti s (P Improvement F Permit: /Required: DV Yes,applicant was notified ❑ No Applied For: iYes ❑ No,stop intake Vand Use Case#: }b e.20 , - %' 620 Roning: 12--3 ( equired Setbacks: Front r Rear /0 Side ,3 Street Side s Garage f andscape Requirement: 20 of Coverage Maximum: 00 cy. utlding Height:iL 6,7g3 Maximum Height as / Actual Height j 11 �isual Clearance sements ensitive Lands: CI Yes No Type Urban Forestry Plan ❑ Conditions "Met"htior to issuance of building perrm Notes: 175 ,...4_2 h I e jvt J , ,nev- 77 4- r4 R.CLiayle.'..e__ Approved By Planning: , Date: „Q/s--ht,,, Revisions (after Building Submittal only) Reviewer Date t Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPemiitRvw RES 091216.docx s , I Building Permit Submittal Original Submittal Date: /0//////;Ca Site Plans: # Building Plans: # .3 Building Permit#: 0—Enter building permit#above. Workflow Routing: Cr-Planning [ Engineering ©"Permit Coordinator ❑wilding Workflow Sign-off: R.-Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and ,/original plan review routing form. L' Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date': /,2/�./;6: Engineering Review Slope at building pad: ❑ onditions "Met"prior to issuance of building permit p-7--- r El Easements (encroachments)per engineering conditions of approval and plat El Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: El Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 14Z— D Date: /1`/ -/A Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: 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: Yes El N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: t. Yes ❑ N/A OK to Issue Permit (IC? Approved by Permit Coordinator: Date: 711/14/4° I:\Building\Fonns\BldgPermitRvw_RES 091216.docx t City of Tigard ■ a COMMUNITY DEVELOPMENT DEPARTMENT IIII T I G A R D River Terrace Building Permit Review Addendum Building Permit #: /1 /6 -- ')pc-3 o Site Address: /. y 9' gtd SAaiil() / Sk- Project Name: A9i',pr- -Terwc e A )r4 es-71- Lot #: /Q J (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distfict 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. deepBalcony w/access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ F1 2. Eyes on the street: a minimum of 12% of each stre t facing facade must include windows or entrance doors. Percentage Shown: v/21-: /Q e/c SM(e: 1Q% 3. trances:At least one entrance must meet both of the follo ng standards: 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 es,all the following apply: 25 sq.ft. min. One street facing entry ❑ 12 ft.max. roof above floor ofp orch 11Z15 ft. depth min. ❑ 30%min.porch roof coverage 4.petailed 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 p joii.Wall offset min. 16 inches F 0 pormer min.4 ft.wide Or Roof eave min. 12 inch projection Ft SI f I'oof offset min. of 2 ft. F.4-.S ❑ Roof shingles either tile or wood & Gable,hip or gambrel roof design F/S ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of street facade (Window trim min. 2 I/2"wide by 5/8"deep F./. g ❑ 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: Noloser to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one): ay 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) 0 1 -foot-wide garage door ❑ 40%max. of street façade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: � L_ � Date: ///364 I:\Building\Forms\BldgPermjtRvw REs RT o62216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17494 SW SHADOW TRAIL ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00530 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 55 psi. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17494 SW SHADOW TRAIL ST, BEAVERTON, October 23, 2017 at OR, 97007 9:59:13 AM Record Type: Record ID: Residential - Master Permit MST2016-00530 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide slope away or approved drainage swale right side, and rear between ac and patio. R401 .3 Provide missing diagonal brace under deck. Remove debris from upper crawl space, including debris covered by plastic vapor barrier. R408.4 Provide guardrail protection or change grade at front porch side exceeding 30" in height measured 3' horizontal. R312.1 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17494 SW SHADOW TRAIL ST, BEAVERTON, October 23, 2017 at OR, 97007 9:58:37 AM Record Type: Record ID: Residential - Master Permit MST2016-00530 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Ac installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17494 SW SHADOW TRAIL ST, BEAVERTON, October 24, 2017 at OR, 97007 10:48:42 AM Record Type: Record ID: Residential - Master Permit MST2016-00530 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Corrections completed. Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement 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