Loading...
Permit (100) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00400 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/30/2017 Parcel: 2S106DB04000 Jurisdiction: Tigard Site address: 13185 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 40 Project: River Terrace Northwest, Lot 40 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 1858 sf Value: $228,975.69 Rear: 0 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: 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 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: 4 201-400 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 1858 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY POLYGON WLH LLC 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 ATTN GAST,FRED VANCOUVER,WA 98660 2 One Hour Fire Rated Eaves 109 E 13TH ST Required both sides VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,521.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: / ' Permittee Signature: 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 (� fM . , I , RI FOROFFICE l 51=()NEI 1 ® iii'; �' p -yam al Received /go 4 4 - Permit14 'X ; /4j thilb6 ` 74 City of Tigard FEB Q 3 2016 Dater � J 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review t Cp -35 pier Penni-60W rJ/ —.oo g Phone: 503.718.2439 Fax: 503.598.16i-1Y OF"i 1 G' D Date/Date BRyadyI ' � I i� ..r) J... H see p�a`Fg�e 2 feosr Tic,;{ t, Inspection Line: 503.639.4175 B' i t LD I N G D!V S 1 O N —No NMeth //cj" ,ms ' Supplemental Information Internet www.tigard-or.gov •J 4 s`3 L J y f R�+ z- -i d/L- 'Ai 6-/E Permit fees*are based on the value of the work performed ®New construction 0 Demolition Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other" equipment,materials,labor,overhead,and the profit for the -- t, work indicated on this applicati- _ - i { v t s �.s L p r i ts=y'r.1.-'' 1 • , ® 1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms: 0 Accessory building 0 Multi-family Number of bathrooms`:>3.5,i 0 Master builder. I 0 Other (.1 33�,,w t -CS Total number of floors: 2 ( 1 New dwelling area: � t ,..I" � square feet Job site addres �� b ���' G/STN,. r/ -v City/State/ZIP:Sherwood,OR 97140 Garage/carport area square feet {2� °n Covered porch area: I3 square feet 113 Suite/bldg./apt_no.: I Project name: h Cross street/directions to job site: Deck area: square feet /a q Other structure area: ', square feet Subdivision: I Lot no.: ye' 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 - ^ 1 work indicated on this application. Valuation: S New Single Family Detached Construction Existing building area: square feet New building area: square feet � � , g ,� : Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 E 13th StreetOccupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing. Phone:(360)695 7700 Fax(360)693.4442 New: ° Zea% d - - � ....f1,--` ' k � „� - -F17"'�� i � ,s�fi _ r-. -,. - _ -r .1 �+ rte^ .N-;"n k� xr� , r .,.. Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13th Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received Phone:(360)695.7700 I Fax::(360)693.4442 -;,--,12,-',,r7 .-„Lr';?,atm `" >c"-':?1,-V--47:.:.-77-7::'1=--72- , ,- jµ .2,- Email maggie.gordon@polygonhomes.com "-" 1,— ": 1 '"7 i Commercial and residential prescriptive installation of .t 3 -' v ryT ._. ` � f V-Vc lT"2 , _zE}•t� p' r L `_ roof-top mounted Photovoltaic Solar Panel System. t �,cS Submit two(2)sets of roof plan with connection details Business name:�ey:gon<N+.4 fi T /�1/97.„� 4,/ J A/C- and fire department access,along with the 2010 Oregon Address:109 E 13th StreetSolar Installation Specialty Code checklist_ Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 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 This permit application expires if a permit is not obtained Authorized signature: V within 180 days after it has been accepted as complete*Fee methodology set by Tri-County.B4ildmg lndushY 'lint name:Maggie Gordon Date:1T/11/15 Service Board. ilding\Permits\BUP-RESPermitApp.doe 02/24/2011 440 4613T(11/02/COM/WEB) Mechanical Permit Applicatialn IIIIIIIIIIEIEIMSMIIIIIIIIIIII Received . Permit N0/%45732-076 -6704/00 ipilCity of Tigai d- Deicer. I3 t25'SW knit Bivd.•TigardRECEIVE Plan Review Oilier Outlast: !" Phone: 503.7 t 8.2439 Fax: 503.598.1960 oatciBy. I coon Line: 503.639.4 i 75 FEB 2016 Date ReodylBy _' e Ed See Page 2 for i I t i i ) nSt1e t" D Notified/Method; [ 5aPtitemtsiat Iuformstiot5 lnterrtct: p-Wcsr,tFgdrd-�r.!✓4V [ i;41 .Gl;allYlER �Bl* _� . J ,.:. ,, ,< 3s le i " � .' :..: Mechanical permit fees*are based on the value of the work ig New constriction 0 AdditiontalteratiOn/rt:placement performed.Indicate the value(rounded to the nearest dollar)of all Et 0 Other: mechanical materials_equipment,labor.overhead.and profit.DemolitionValue:S . - r ^a.- "" �'1 ,�% Yt " a-,a .g.,^{' £ x a : rF f a, a4 t s ,.a �Y� £ , 6 ` � saws.�. A.,., ;.•••:-,77.-!'7.. `. A'u Yr .:.�.. .. .S...Y,.. .✓.z+,.. a _. �r,.yr�-�Fu,.„,�'Ar�'EC`:,., e HS�kG.F .R,,..� .,. IZ I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Forsprd tnfornurtion arse r*ec*list GI Multi-family /3/ ' D Master builder 0 OtherDescription Qty. Ea. Total :0 ( _ . Heating emmling . � � A .� a"4'-'1 .'"'''''''''''''"'''',.' �... �..�-�_.., .r s.. ,� ,..w. Aircomb.ioning .vH.�.� �.. i 4675 max, 1 /� 1 J 46.75 Job site address: - • it Furnace I00,000 BTU(ducts/vents) Pa w em Ail ip El Furnace 100,0011{6Tt31dncuty(ducts/vents) 54.91 City/State/ZIP: t • Heat pump 61.06 Suite/bldg./apt.no.: Project name:River Terrace Duct work 23.32 Cross street/directions to job site: Hydronk hot water system 23.32 Residential boiler(radiator or hydronlc) 23.32 Unit heaters(fuel-type,not electric), in-watt.in-duct.suspended.etc. 4675 Flue/vent for any of above 2332 Other: 23.32 Subdivision:River Terrace I Lot no.: Other fuel appliances: Tax mals/parcel no.: 2332 heaterWater 23.32 .�, fireplace/insert - Flue vent for water Dater or gas HVAC nictitate 2332 -_ Log Buhler(gas) 23.32 Wood/pellet stove 3339 Wood fireplace/insert 23.32 t;lrirnnevllineriflue/vcnt 2332 tkher 23.32 ...„, > : s .1` „ ::EveNi � .- _.• "o-vra --'• Environmental exhaust and ventilation: Name:Polygon Range hoodlother kitchen equipment _ .. 33.39 Address:109 E 13n`St.Suite 200 Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, City/Stare/ZIP:Vancouver,WA 98660 toilet compartments,utility looms) 23.32 Phone:(42506-7700Attic/crawlspace fans 1 2332 Qom, 23.32 Fuel Pining= Business name:Apex Air LLC S14.i5 for first four;54.93 for each additional Contact name:Staid Hay Furmnacc etc. Cas heat pump Address:2219 W.Main St.Suite 161272Wall/suspended/unit heater City/State/ZIP:Battle Ground,WA 98604 Water beater Phone:(360)3424109 Fax Fite :(360)326-1769 Range E-mail:stscilrfapexaireo.eom Barbecue i e,w ` ' Clo;fit dryer(Ras) Business name:Apex Air LLC Other ::,?..v.,, r e -1" `" Address:220 W.Main St.Suite 107-272 r. Snt>totat Minimum permit fee(590.00) City/State/ZIP:Battle Ground,WA 98604 Plan review(25%of permit fee) d Phone:(.360)342-8149 Fax::(360)326-1769 Stott surebatgt 4l2°Yo of pemtit fez) i TOTAL PERMIT FEE .. F CCB lie.:203014This permit sppihatisn expires if a permit isnot obtained within 180 . days after'it has been accepted as complete. s! .- Pet methodologySet try TrrCoanty Building industry Service Board - Aitthrsrized sigrsatirr �� r . _ r ; Print name:Staci bay Date:1/28/2016 I'basila \Pcrinits'r tEC_Pcfllit,tipp_04n 113 doe 430-46177 t I G i'1lf}i5,' "t- F , F conical Permit HcaffCE.IVF_D rc1t tri r�c ti:t h C o, Tird2016 ' p 13125 SW Flail Blvd,Tigard,OR 9 �� 3 D8e/ay Pervaitd �`' f, �� �/ Phatta 503.71&2439 Fax: 503. _ Review LteiB, ttclMcd.Permit tiInspe : Blanc 503.639.4175 0 )(.�ARt E Set Pagel for 11 ‘R1 RstdyDdelBY: IYAz Internet www ogardwr goo i R 311 I"1 j at 1�i�°i(1 ?lr .:ducted. Sn ia... 1 TnfnrmeNdu i` i1 .YRX Or wort - sr PIAN R,E3'II *41,1',;r, i �e Newconstttiction 0AMditionlaireradoWreplacement Nome theca nithat apply(submit aeatsnrplintaw rcatecheck st IIDemOlstiou 0Other EiServiseorretaadooampsurmore 13 ceding over threestor s. 3 whew the available faultesmeni a Minions rad bpatyc.& • . ,, ,C,,,,_ 1ATECO,It74r,OEtOrSilU ON ! execeds10000ampsat150volts or [7 Plo*emgbruaidrnp. 0 i and 2..fanti.ly dwelling 0 ConunerciatYmdustz al 0 Accessory building leo b g ds er exeeede l4 ooh p to mmeretst-sue apieutterat ©Multi-fantiE sop reraitotherlestntluons. lactim. . y ❑'Masterbuilder ©Otter: ❑Fieepuma. Eliouvttatteaaf1soKYAor 30$S1TY'101000aiiAT1orq Aida# LOCATION DEntcrgmmysyataa, larger aeearardydr ived Sab 0: I Sob site address: r, } —,--- f DAddition oinew,notartoad or system. 1 ,-E notA in It1 10011Parmere. D A:"E;"IR;"13". City/SMte/ZIP:Sherwood OR 97/4#1 d Sec or more residential units, moony. Olisattb,cans facilities, Ddeeseagonat veld.leparl n Suite/bldg./apt 0; Project name: Elklaradous locations. (1lyvoltagefarmoreikon El septic*er femisr600 amps ormwe. 60°vita nominal. i. Cross street/directions to job site: "FEE SCt iU1 ; otattbuton 1 ons. 1 Para i Tate/ l d. New residential single.or multi-family dwelling Smit. Subdivision:River Terrace Lot 0; Lt includes attached garage. Tax map/parcel#: I,O sq.R or less 168.54 4 i3ESCt 1PI1d?I?l OP E f3tt1G Ea.add energy, sq.IL°mortice 33.92 1 1 ,. Lmitedenergy riesidenlial New Single'Family (with abtmeaq,it.) 7S.tNs 2 Unused energy,multi-family ?5.00' 2 resakatial(with above sq.IL) PROPERTY 41WN13R Renewable Energy Q See Paget t Li`"TE1dAr4T seroices or feeders tnstd1tatiosi,alteration,elicitor relocation Name.Polygon Homes 200 swap oriels 10070 2 Address:109 g13tbSt tot maps10400nmps 13356 2 CrtylStatc/ZIP:Vancouver WA986Gfl 401 amps to 600 amps 200.34 2 • 601 amps to 1,000 amps- 301.04 2 Phone:(360)695-7700 Fax:( ) over 1,000 amps or volts 5 .26 2 Email Temporary.ervica or feeders installation,alteration,auttror relocation Owner installation:This installation is being made on property that I ohm which is not 200 amps or less 59.30 1 intended For sale,lease,rent,„or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125A8 2 Owner signature: Date: 401 amps to 599amgs168 54 2 APl!L1CAhiT CONTACT PERSONBrancht:irenits-sew, A.Fos foralteration,or extension,per panel tooth comets with Business name:.Garner Electric Washington,LLC aboveservieeotr rfce. Contact nate:Bill Daniels s branch circuit 7.47 ? B. .Fee for branch circuits withouts Address:6101 NE Si Johns Rd service lir feeder reg first brunch circuit 56.18 2 i s ClrylStatc/ZIP::Vancouver WA 98661 Fac#tatklltrranaltcircuit 7.42 2 K Miscellaneousservicearfeeder not included) Phone:(253)320-1657 Fax::( ) Eaermanstlewad or modular Email:Idtutlei dwelling,sr,rviccand/or feeder 67.84 2 s�weusn,com Reconnect ! 6724 2 -._ _ .COCf1'RALTOR Poem or irrigation arty 07.84 2 a Business name,Garner Electric Washington,LLC Sign or outline lighting 6724 2 Address:6101 IVC St Johns Rd Signal cite shd m pt or Panel.alteration,or extension. "SeePagt Z 2' City/State/ZIP;Vancouver WA 98661 Each additional inspection over allowable in any of the above Phone:(233}334 Y6S7 Fax: Additional inspection(I trade) 66.25/hr investigation(1Irma* 90.00/hr Email:bdanieis veusa coo Lada iatpiatn(l Or min) 78.18/Or inspcztirn s forwhich no feels CCR Lie.: 01158 Electricallic.: 2208174 Sttpry Lie.: 44965 epoci6cattytisrcd{htemitt1 90.tlothr r l Suprv.Electrician signature,required; > CiNTCAik{'ERAl1T`FSC ; y (�� it / L-'eSubtotal:, µ � Printname:Joan P Albert Date: ai>i kko ❑`Flan RoriewRequittsd(2StY`ofpermit fee); "? State surcharge(12%of permit-fee) Authorized signature TOTAL PERMITFEE. Thin tum*Attdicaddan expires ifs permit fa Dot*allowed within too 1 Print name Bili Daniels Date: }t o0 l dap'atter it bas been excepted as completes • 14ne bee of inspections allowed pe penal: 5 .larmith�Ef.R;,EriEdoa Rer,4Wt71sU7S a40.aA13T(r} O3tdWEp: y,. I i t 1 „1 , Plumbing Permit ApplicatioRECEJ VE1) - Building Fixtures NOV 3 2016 City of Tigard Received 71 Date/By: Permit Noll/tcnd0t1i)-0 01.4 00 13125 SW Hall Blvd.,Tigard,OR 97224'1'y("51. 1 1(: RD plan Review Ddier Pamir No.: I Phone: 503.718.2439 Fax 503591960 ,z , f., „ Dato/BY: 1 i m Inspection Line:.503.639.4175 rads: la See Page 2 far BUIL', ,,A; Di)1)1t)t',Dee ReadY/BY:. Se u lementai wormadon_ inb:m5t: www.tigani-or.gov ;-„, ,--:,..,: ,-' ,, :::::::, ,,,11,;-•-.;::7:,-,..4:,...!:4'-` e,VIYI, Ctii'i.::r1,4111-..:,1-,:t,, .-A.,:-;,-',..4-,.-1::-,v-i '-----'-'4---4;;;;;,,Liinf;;;ation use cuatrist. 0 New construction III Demolition Description I Qty. I En- I Total IIII Mon/replacement III other: _, _ New 1-2-family dwellings(includes 100 ft.for each utility connection) --"' '';'-'-"'. ..:''''i'''',I'''-"z:V.--. 'f.-"if.i,,-','"'"';;;,„,,,.,.`,:„.zp SFR(1)bath 312.70 -1'''-4.'Ll:'-9;"-'-'•-'7“7'7'''''-`-'"'''''--- ' - -r- - - . -- ' SFR(2)bath 437.78 es,r4 1-and 2-family dwellm' g II Commercial/industrial SFR(3)bath I 500.32 I:1 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 Job site address: / Itis-.. ‘1,,j AUJ be V-61S (%je J 1 rrir-O-C-I) - Drywell,leach line.,or trench drain 18.76 City/State/Z1P:Tigard,OR 97224 Footing drain(no.linear ft.:_____) Page 2 &lite/bldg./apt.no.: I Project name:Northwest River Terrace Mrmufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rein drain connector 18.76 Sin:diary sewer(no.linear ft.:_.) Page 2 Storm sewer(no.linear ft.:___) Page 2 Water service(no.linear ft.:. ..) 1 Page 2 Subdivision:Northwest River Terri-ace 1 Lot no.:40 Fix-tore or item: Backflow Few:aster t 31.27 Tax map/parced no.: Backwater valve 1231 ...),.:4,0 ,r''.74:1117-::::i''..;:','-, iNV( It. ( i 6 e-- Dishwasher 25.02 Drinbng fountain 25.02 Ejectors/tarmp 25.02 12.51 .„ . , '',-.1'1- *.:: -'`-''..... :"..,,,.e.12.-:'.Z.,.,!,-.s:.,-.1-..,.-b.L.-1,::n •,; .-It•4,---,- - ---- -0.-- - - sanzeisewet c 25.02 ap _ NW=ADVL Land licildings,LLC Floor drain/floor sink/hub25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Ice maker 12.51 Phone:(602)6944031 Fax:(, ......„. ) erlifttase trait f 25.02 ;,::::-13-: •:,,":...',...,::, ,,.-::%-;,,,:,:r....z.:---t,..1::::.z."::;:i,5i,:::-f'-:',7:::,.L.4.-z;"1:4,,7::2,52..° ..:_:L.'-'., 1:'". Medical gas(value:S ) Page 2 Business name William Lyon Homes,Inc Primer 12.51 Contact name:Angels Graiewald Roof drain(commercial) 1251 Address 109 East 13th Street Sinktbasin/Lwatory 25.02 ty/State/Mt Vancouver,WA 98660 Solar units(potable water) 62.54 Ci Tublshcrwer/shower Phone:(360)695-7700 pan 12.51 Fax::(360)693-4442 Urinal 25.02 E-mail:Angela.Grajewski(gpolygonlsomes.com water closet 25.02 '-- - - t.!.13'r':.1.'-‘..‘41t: '-',=?7,.' 7 '-•-..-•' --'''' -' ,?. water heater 3732 Business name: 64-1, t‘A., . .k.c .r.SuAirr'--1-0.4.--'" Water piping/DWV 56.29 Address: p.o. 3..org of.a. I Other: 25.02 I Subtotal Cy/SP 5,-. e4,,,,, ad,.... c1113-7 _ .permit fee: S7230 Phone:(5b.51-8V- 1f-U-1 Fa=(-E ..la l ./.11° Plan revie" w (25%of permit fee) CCB Lk.: /*Linn-. Plumbing Tic.no.pb 63q _ State surcharge(12%of permit fee) -I 5: Er41, -C)Lii' .-''''' TOTAL PERMIT FEE Authorized signature: This application enlists tts a permit is net obtained within ISO days Print fteree: S÷St/t. W k.e--- Date& e.&1)-"I 10 atter ft has been accepted as complete. . *Fec coelbodolna act by Tat-Downy Building inclusay Service Board 1:113culthoetftrmitittlIgtU-PerraitApp.doc 10/01/09 440-46161110/021C014/WE8) III d City of Tigard 1.14 a COMMUNITY DEVELOPMENT DEPARTMENT 2 T 1 c A R n Building Permit Review — Residential Building Permit #: si'l:co/6 - 00 Viae) Site Address: tg/e. g1 e.6P ,,,w -er- Project Name: re/V-er -rerk2Ce itkrltx? 7 " Lot #: 1710 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 1..Gt 3 gle- 1/v/ erify site address/suite# exists and active in permit stem. River Terrace Neighborhood: ❑ No r4 Yes,See River Terrace Review Addendum Attached SityPlan Elements: VVree(3)copies of site plan 'sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) or elevations V orth arrow (Utility locations(required for new,may apply for additions) e address,project or subdivision name and lot number II!'A cation of wells/septic systems Ig V t dimensions and building setback dimensions plicant information(name and phone number) sting trees to be retained with drip line,and tree protection measures Lot area,building coverage area,percentage of coverage and 015Keet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) ViStreet names Property corner elevations(2 foot contour lines if more than 4 foot differential) PJ `lean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): /Required: E Yes,applicant was notified t No Received: ❑ Yes ❑ No ublic Faciliti Improvement(PFI)Permit: 4equired: V Yes,applicant was notified ❑ No Applied For: 12/Yes ❑ No,stop intake and Use Case#: P,UPoC(/s A r/C"' S'I( 2O - -0/Zoning: e_/02 b]) Required Setbacks: Front Rear o Side "� Street Side A f Garage 3 (/Landscape Requirement: cQC7 1!J of Coverage Maximum: 00 wilding Height: Maximum Height -A�/ Actual Height (QS—I& I/ t*sual Clearance Ir. Easements ," ensitive Lands: 111 Yes No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: O�Yl4'k; U.TL// .2).ei'ht- pJ70' r pe/72r71 lS.cl iLe Approved ByPlanning: Date: dor PP � Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1 I:\Building\Forms\B 1dgPermitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: v2/-3//i6 Site Plans: # '3' Building Plans: # 7 Building Permit#: 0--Enter building permit#above. Workflow Routing: 421-Planning at-ngineering `fl Permit Coordinator H-13-uilding Workflow Sign-off: .B Sign-off for Planning(include notes from planning review) Route Application Documents: E 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: 0(f);;WeiZ.- t we Date: /e/e//., Engineering Review XSlope at building pad: ��❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approv•d b Enginee '- :: Date: Notes: _--•. , —__ f• ,i s ,yam=D . : t ,..,_-h Approved by Engineering: ie : 17 Date: ,/i--,/�--45. Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: /Date: 2°/1.2 /q°Notes: 7 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: )rt-Yes ❑ N/A ( Tigard Trans SDC: Yes ❑ N/A Parks SDC:IQ /Yes ❑ N/A )I:\BOK to Issue Permit / pproved by Permit Coordinator: I ate: //G 6)/1— I:\Building\Forms\BldgPermitRvw_RES_091216.docx uilding\Forms\BldgPermitRvw_RES_091216.docx r City of Tigard v COMMUNITY DEVELOPMENT DEPARTMENT ill m T l c A R D River Terrace Building Permit Review Addendum Building Permit #: /t/S7.2r/C, c?O /a Site Address: Ag/e 't' ) yhQ r Project Name: K/ver � ta ci' AJ'f 4 } , 7-- Lot #: 1716 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distr,Yct 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 t. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ CI ❑ ❑ 2. Eyes on the street: a minimum of 12%of etch street facing facade must include windows or entrance doors. Percentage Shown: r.SV V 3 . ntrances:At least one entrance must meet both of the follcyeGing standards: iMax. 8 ft. setback from longe street- facing wall ��Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes El No If s,all the following apply: V5 sq.ft. min. ne street facie en 2 ft.max.roof above floor of porch ft. depth min. 0%min.porch roof coverage 4.$tailed Design:All buildings shall include a min. of five of . e following elements on all street-facing facades: overed porch min. 5 ft.wide x 5 ft. deep 11 Recessed entry area min. 5 ft.wide x 2 ft. deep 1 all offset min. 16 inches ❑ ormer min. 4 ft.wide Roof eave min. 12 inch projection V : .of offset min. of 2 ft. ❑ Roof shingles either tile or wood II Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ rizontal lap siding min. 3-7 inches wide El Accent siding min. 40%of street facade Window trim min. 2 I/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing El Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access El Attached garage is 35% or less of street facade es and Carports:May face the front or side lot • e on a corner lot. Setbacks: No closer to front or side o - an longest street-facin 'wall. ❑ Yes ■ ► .. f No (Check one): ❑ May extend up to 5 ft.if there is a cover-. . t .orch and - -.le does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part o . : .-- •r building and there is a window at the second story above the garage that faces the street wi + ; . area of 12 sq.ft. Width: (Check one) El 12-foot- '•- •arage door ❑ 40%max. of street facade ■ :'o max. of street façade with 7 detailed design elements Notes: Approved By Planning: `- � M Date: /2 I:\Building\Forms\BldgPermitRvw_RES_RT_0622 I 6.docx