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Permit (105) CITY OF TIGARD MASTER PERMIT Permit#: MST2016-00403 COMMUNITY DEVELOPMENT Date Issued: 01/30/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106 D Jurisdiction: Tigard Site address: 13153 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 43 Project: River Terrace Northwest, Lot 43 Project Description: New SF BUILDING Floor Areas Required Setbacks Required First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Stories: 2 Bedrooms: 4 Smoke Height: 24 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 8 Detectors:mke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Total: 1858 sf Value: $229,929.17 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 SF Rain Storm Sewer 100 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 0 Drains: Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Tubs/Showers: 3 Garbage Disp: 1 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!500 sf: 3 201-400 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Square Feet: Class of Work: Type of Use: Type of Constr: Occupancy Group: 1858 NEW SF VB R-3 Owner: Contractor: Required Items and Reports(Conditions) WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC 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 VANCOUVER,WA 98660 PHONE PHONE: 360-695-7700 FAX: Total Fees: $30,530.04 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 952-001-090. 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: '�47 Llt/-19—77G /V/ 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. tion �ll G� / \., Buii.di g Permit Applica (, -i? .E EIV - *.7: / FOR OFFICEI-SLO\11 / �7�jq �j '08.5_����.�'1 - {� Received /4/7//14 / /F4 ::: itNo��l�©��['✓"'�V7i✓JCity of Tigard __ Datdve7,1 13125 SW Hall Blvd Tigard,OR 97223 FL b 0 3 z O 16 Plan Revie i 1 0 �, Perini � {]�� �� Phone: 503.718.2439 Fax: 503.598.1960 DateBy: ` j,,;,. ii H See Page 2 for �^e Date Ready�BY g Inspection Line: 501639.4175 CITY TY ( TIGMD Notifc&Method: //lis /7 .cel SupplementalInformation ---';1 I' P� E -i , Internet: www.tigard-or.gov a�-, ; e I .I ry �,,,,�,L • c/� 6� 6 . kms--'^ c'. �1 ,.,�...� t “2„,"--L''.2-' }_ ! _ —_ - `�" Permit fees*are based on the value of the work performed ® Demolition construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ❑Additionlalteration/repiacementer F ti: work indicated on this application. s r " ;r.;?-''�,... ,. .. Valuation: i �. ® 1-and 2-family dwelling ❑Commercial/industrial Number of bedrooms: I--\ 9) 9 ac ❑Accessory building 0 Multi-family Number of bathrooms-.'-'2:k3 ❑Master builder. ❑Other . ,g-9S' - e Total number of floors: 2 Job . ad - t �G T� �4<� I New dwelling area: ' -} square feet Job site address: /3/S3 _jet) -/ — '--- � L'7-� feet Garage/carport area: "t.. l square Soerwood,OR 97140 ^n� square feet Project name: Covered porch area: \ q Suite/bldg./apt.no.: 1 J Cross street/directions to job site: Deck area s1 square feet Other structure area:/ 'a square feet • 5 ( a', its e 4.1� '3-` 4v 1 _sk ytttfi3if ,-,— - Lot no.: , 3 Permit fees*are based on the value of the work performed. Subdivision: I Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no equipment,materials,labor,overhead,and the profit for the work indicated on this application_ :: ,;� x. , Valuation: New Single Family Detached Construction Existing building area: square feet New building area: square feet I,_ n ,' �2 v; Number of stories: Type of construction: Name:Polygon WLH,LLC Address:109 E 13'StreetOccupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695 7700 Fax:(360)693.4442 Ne `,.. ^.. .„ - :' g .i , ,.zW ii - vx7 avim ,..+ � � . .3r, , —Y'4 p _ if- u �� fRi,�- ., [.. . .� —r�Jx . a ➢ Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109 E 13'Street Total fees due upon application: City/State/Z1P:Vancouver,WA 98660 Amount received: Phone:(360)695.7700 I Fax::(360)693.4442 E-mail:maggie.gordon@polygonhomes corn Commercial and residential prest.-nptive installation ofw ''-' -. -' * P-''°` P - ',-:=,f,v'"„;� r.--.. -T == roof-top •mounted PhotoVoltaic Solar Panel System- Submit two(2)sets of roof plan with connection details Business name: C / 4/,9i77 t y041 1-ktiES `Ales and fire department acct ss,along with the 2010 Oregon Address:109 E 13th Street Solar 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: li° within 180 days after it has been accepted as complete. ( *Fee methodology set by Tri-County Building Iz'a°stry Print name:Maggie Gordon I Date:1Z/11/15 Service Board. 440-46137 11/02/COM/WEB) I:\Building\Permits\BUP-RESPermitApp"doe 02/24/2011 ( - 4 eatti Mechanical Permit Appli ' 'FDIIIIINIMMIIIIMMIIIIIIIIIIII Received City of Tigard �e'Qy= Permit hntfS.c2 ,E'J y(.ti)-!V3II .. i 13 t25 SW Rall Blvd.,Tigard,OR 97223 GB 0 3 2016 t Review Other Permit: Phone. 503 718.2439 Fax: 503.598.1960 tSatetBy: �. See page Z for l otion Line: 503.639.4175 1 pp , a° llatc ReadglEty: cart fnfareuannu t i is ) iter l E 5 S k ,%G s 8" 4>oettie thi thud Supplemental Sa jnFtrtlCt w'ww tagard-CK Ct}v i •y Pk M �� a x a a a a, a t $ ‘;"4'''''.1°14-141.41"- s' 14' �t. + c" swx.'-':)` ,t~t„ rt'w,' F,. 4 °',.bra'a'''#' � ''''' ay a` . w:,`�.''''''F.'-' ' ."t. .'a. y ,� � �,,r�z,�„_.��";.�..�.. ��_ �.�, �=� � Mechanical permit fees"are based on the value of the work N New construction Q Addition/alteration/replacement performed.indicate the value(rounded to the nearest dollar)of all mechanical materials_equipment labor,overhead.and profit. Demolitiont}ihCr Value:S .'"'i '", 7...'4';';'',,''.,"`"14,5%.7, -. -syr InVv do - ,,,,a ,t„ ":^s m: El 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far'spedalInformation 14secheek/1st 0 Other: Description I Qty. I Ea. I Total Multi-family 1eatiagfcoaliag Master builder 3 x _ ate. Air conditioning ` 1 t 46.75 75 .r ti,.+z Z ^�,x.'"k .�. +E.. x,a... .i�x., .." _ Job site address i i /1 V� s N. �r l Furnace 100,000 BTU{dudsfvcin) 75 �� O Q1-1 )' ( Furnace 10(1.000+BTU tduct5tvcntsl 54.91 CirylStateiZlP: 61.0 l � fleet pump Suite/bldg./apt.no.: Project name:River Terrace Duct work 23.32 Hydronic hot water system 23.32 Cross street/directionsto job site: Residential boiler(radiator or E hydronie) 23.32 Unit heaters(fuel-type.not electric), in-wall.in-duct,suspended.etc. 46.75 1 Flue/vent for anv of above 23-32 Other: 23.32 Subdivision.River Terrace Lot no.: Other fuel appliances: Tax map/parcel no. Water heater 23.32 �, X. c .:. "�' t ,.g', 3339 a : . „ ,-5.t.,:,;.,..:4....,..-t',_ Floe vent for crater hearer or ass � �,� ��,�". � . ,a _ �, ,.1-.0 ,�.. 23.32 fireplace HVACLug lighter(gas) 23.32 Wood/pellet stove: 3339 Wood fireplace/insert 23.32 Chimreyitinertfluetvent2 23 3'r 1.4: :41-31°:' 23.32.. .,-Y ''. Environmental exhaust and ventilation: ...........�•' � Range hoodfolher kitchen 33.39 }lame:Polygon equipment Address:109 E tau`St.Suite 200 Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms. I 1 23,32. _.. € City/State/ZIP:Vaiitcouver,WA 98660 toilet compattmcnts,utility rooms) Fay( ) AtticicrawlspaCe fans 2332 I Phone:{40586-7790 Other. 23.3_ - .��� ,<. .� �� � ,. Fuel ptpiag: _. Business name:Apes Air LLC 614.15 for first four:33.03 forettch additional Contact name:Stasi Hay Gus teat pump Address:2210 W.Main St.Suite 107-272 Wallis-Impended/unit beater City/State/ZIP:Battle Ground,WA 98604 Water heater fireplace P#one:(368)3424109 I Fax:is(360)326-1769 Range E-mail:arae xairto com a Barbecue ' PE z Clothes dryer(gat), Apex Air LLC :, ;"i 1 f} art;' z a a. g3 1 Business name:A Subtotal Address:220 W.Main St.Suite 107-2/2 Minimum permit fee(S90.00) l City/Slate/ZIP:Battle Ground,WA 98604 Plan review(2.5%of permit fee) Phone:(360)3424109 Fax (360)326.1769 State surcharge(12%of permit fee) -TOTAL,PER IT FEE --- r CCB lie.:203034 f This permit application«gtres?f a permit isnot obtained within 180 days after It has been accepted as campiedo.. • Fee methodology S?4d by 7 ii t aete'rY Suiltfing fnderarry Service 13c aicl A7--------"""‘^* uthorized sign,Sign;;� �; � ��''� i � IPrint name:Stasi bay Date:1/28/20161 I atadmi+resv:lEe rensit,pp_tear i3 doe 440-4Mr7'r(1IItO'5 <4 , , R AVE . 13(5t' d FEB €� 2016 • endl lal s x 1 SWW14a lvd. Tgard,OR 0 lex- t m, //" YQ`3 Phone 5033 7162439 Fate 503. `` ' tMy itan[hnv • 59��� �,,,3�"` u � Y`ts� %b. I}alrlBy neWted;Pomait R: e SAT S tnspecno L3aea`,503 639.4175 S i i r" r t 5, i s lntemeh w w t ard�ntgott ,-- �* y° ' nit Et s ? t 'S PaguaTot g S„iytkmtnotat Tafarn,af+an la,•�S't b.S�l'rt2rH5` x' ,„ �, 1�,�,,, �"" s LI as that nvpryts tleas°retinewitiotnie e : ❑DCmnjitian ID 00= t1device-urReav4naampam-mare ElHaiknageVirthreeporirs, >` where aye avaital[ic fauttewrient LAT 4/ tIF IP 7.1 ON ekra 1$18 i 3 kTxmias ea, 8,-.+rrls, 1-and 2-family l dwelling a r33e TSe waft of Ci neatiapuaaalags ttn$ [�COvimerciai/utdustiial [�Actssttybulldtn kx:ioaundar«ttiutstAptlD ❑ aamtitaiat.uteagt•cuaurat a ❑Mali[family Q Master builder [3 t3t4rar. fraaotherlestellatims: Iskiy„gs- OFirepnaep or J08':SITE 1P% `ORAMATiwN AND i)GATf0l4 DEmcrseae Llargerst arin*driv d lab 9Y tatty larger stearin*derived Tobsite address t C {{ OAddittan oracle-motor toad of sysktn. • 4 is �' 3a0HFortttora O"A; t."i 2;"13p, Crty/Stat elZTP:&hetvaad OtZ 9TlQt1 ' l7sizormoro:utdential was nuaAamy. ' 1:11leaatt-care facilities, QRaen tatawut vehicle nada, t Suite/bldg./apt.if: I iaCG3ttit ti3a3e: ❑1- arsw„T location& ❑fly voltage format Wart l7Sertzee.ar#aedarrib6 amps armeta. Cross stteedrlirectlaps to job site: ban vats netraust,- 8 SC11t p11M o8cdioloo I 1 p.m 1 road 1 Subdivision:Rivet Terrace Ne residential single.or multi-family dwelling telt. i bed garage, Lot il:-�I Ea oder'540 ft,o 168:34 Tax m p1Aarcd#; 7 004 R strteas t3CS£RI3�Fl(P1A OF WON L se portion 33:92 1 1 New Single Family 6imsred energy,nutdcnbat ttviat altavesq,- 75,00 2 Limited energy,multi-family residential,(with above sq-R:) - 2 �' '1dLR ! Q T[N4t9`C !RenewableBeetgy Cl See.ge2 Name olygon Homers - Services orfeeders iostaitation.alteration.nmMor reloca6 on 200 ampsor,tess 100-70 2 Address:109 E 13a'St 201 maps to 400 amps 333 Ci /State/ZIP:Vancouver WA 98660 40f amps la 600 amps 20034 2 Phone:�3�0}695 7740 601 maps to 1,000 amps 901.04 2 a I Pax:( ) Over 1.000 amps DI volts 552.26 2 Panail Temporary services or feeders installation,alteration,and/or Owner installation:This Installation is beingmade on property r0amps o F peaty that t Deva which is not 200 amps oaten 59.36 3 intended for sale,lease,rout or exchange,according to ORS 447,449,670,and 701, 201 Owner signature: neaps to4007254$ 2 C:1� Date: 401 amps to 599 gams 1111 168,56 2 ®'ApPL[CAN C ' Ct3N1ACC$i ;St3Ai Branch circuits—new,alteration,yr extension,Per Papa Business name:Garner Electric Washington,LLC +i:Fee tort>)anch c'v atiia with alovesorvitx w fceriartee Contact name:Bill Daniels real,brand,t cua 712 2 Address 6101 NE St Johns ltd; B.Fee for blanch circuits withart savieeorfeedtr fets,first branchcircuit SK.tS: g City/State/LIF:Vancouver WA 98661 Each mill art circuit 7.42 ` Phony(253)320-1657 2 ::( ) /41seebtaneetrs(service or feeder not indirdet Each manufactured or modstlar Email:bdanielstgwettsa.carn dwrltiagsytvitcatxlrorfeeder 67.34 2 t GONiItACIZ#K _Reconnect only 6784 2 Business name;Garner Metric V!'as€lington:i ti; Pump'a irrrbaboncitcic 6724 z Sign prowline lighting €x7,84 2 Address:6101 NE Stinting ltd Sign®!cdtcitit(s)orlintitadetaKay panel,alteration,Deadens C7 Sec i'igc42 City/State/ZIP:Vancouver WA 98662 FacI additional inspection over allowable in any olthe above Phone:,� 3}3ti/651 Additional insPution(1 lir mai) 56.23/by r I Fa ( ) 1nve46gatlon(I beano) 90,00/hr r Email':hdanlcis yeb3a,cam indarnialplatu:ll'tvmin) ( 78.12/hrfi CCB Lie,:C1158 1 Electrical Lie.:208174 I Sttprv.Lie,:44965 apcea tecamtruy lls for ed wltialt ntx is 90.Ot9br Suprv.Electrician signature, weed- req L� f E1 C17ttGAE !ll Rlt? NE Printname loan?Albert !�. Saafotat: pato:9l i 11th ❑Plan Rorlety Required(25% f lmmuftioX Stade surcb rge(12%ofpyntit eo ) Authorized signature: r Tt) t • I Print name:1311Daniels_ Dale; g�" k - 3uradr><Yt+fiexfiaatol[earsTArtapirP41ettti+natebts3aa..r2»•i:bantsa 'al .1 to I days alter it has been exempted es complete: ( ri9attdixatVernsas3A,C_ryL7loRh ,r+R_EieEapFksrr36(t?Lo}.5.... f ltumberofimmpactionsallowYed-perperai +<o rets rtl latslcrravtYga' 7 gg t • I l e Pfunibing Permit Applicaittiu ev.r Building Fixtures AA k.„11,....,,.....4`11 4 `f, City of Tigard ria 13125 SW Hall Blvd-,Tigard,DR 9 :I v 3 2 0 6 Received PisaReview O 103 I Phone: 503.718.2439 Fax:503398.1960 Dete/Br Other Permit No.: ame O See Page 2 for Inspection Line: 503.639.4175 a "'q,'; r 3 r` iiY a !) Date l dy/By: Internet www ngard-or gov �`'•1 i br3ti�Met�d Permit No S �_Q Su •ieaunW idnrmatioa -y^+5.q t A Er . ' -g -"kss L % = . ' q E tis i-,'_ �. z�."�, R ""r'mP+' xs�+ ��t'`'.:1:. ce, „� r^,� °'� ,,�°.a .�x:+ ]� '-fir'.� �r"`��""'�*� ...orf `�..� v �-. .- '=ter.I�.. a -: .:. �°,'.+, CI New construction ❑Demolition For special information ass checkfat. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 R.for each utility connection) n =, ..:<-a t -.- ` l s 6�Ei z�4 .°F l - ffi om.., - �.�' � . 3 ':2�-'�� SR(1)bath 312.70 SFR(2)bath 437.78 Cl and 2-family dwelling • Commercisllmdnstrial: -SFR(3)bathj 500.32 ❑Accessary building' CIMulti-familyEach additional bath/kitchen 1 25.02 ❑Maser builder 0 Other: Fite sprinkler( sq.ft.) Page 2 'x- ., 1,1L'-'-'.' i e'& v'8 5 i'''::::.-V:'"H 5 '.kr ! , a t°i .Site mow": ` �.,^�...`..�:.�,. � 2 - '3.^�.,+ Y .,. ..` r "kaw, okv'""Y' ... �..._L�,r basin alea Sob site addresx / ?,1 S2) S,A f , 1 e,Tt1 'u ca - ,Catch leaomh line, trench drain 18: 5 City/State/ZIP:Tigard,OR 97224 v y Footing drain(no.linear R: ) Page 2 Suite/bldg./apt.:no.: I Project name:Northwest River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Northwest River Terrrace , Lot no.:L47, Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 - , .. Backwater valve y 12.51 Clothes washer 25.02 ilAW0t \-Lle- CI la i Dishwasher 25.02 Drinking:fountain 25.02 E e:nes/sump 25.02 ''':;',.,f.21:-:.:::::', 2.,- ,i ..,Fs , .;- .��x, 4 p ,;.i.;-..;7:-;--7:;:g.,::-' Ej jon.181* 12.51 Fixture/sewer rap. 25.02 Name AD'V'L Land Holdings,LLC Floor drain/floor sink/huh 25.02 Address:7600,E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP::Scottsdale,AZ$5258 Hose bib 25.02 Fax: Ice maker 12.51 Phone (6b2)694-4031 47' -� (-�: ) k 1 _ Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name William Lyon Homes,IncPrim1231 Contact name:Angela Gr"ajewsk Roof drain(commercial) 12.51 Address 109 East 13th Street Sink/basin/lavatory 25.02 City/State/LT:Vancouver,WA 98660 Solar units(potable water) 6254 Phone:(360)695-7700 I Fax::(360)693-4442 TUblshower/slower pan 12.51 Urinal 25.02 B-marl:Angela.Grajeweki(gpolggonhomes.com Kaiei closet 25.02 BusinessWater heater 37.52 4 i tt,.. , ...i.. ' o'ls Water.piping/DWV 56.29 11 �r7' Address: Q•o; ' �� , $-{,� -other: 25.02 Subtotal City/State/ZIP: $T. e 44A4 ei . q'�13'7: - Minimluit permit fee;-$7250 Phone - E�~ nil Fax (C }�l++'j�,7" {t �� Plan review (25%ofpermit fee). CQB Lie 61312,_ Plumbing Lie.im State sum, (12%ofpermit fee) Autborizedsignature: TOTAL PERMIT FEE '..f / p - T app szpim if**permit.3s not obtained wanin 186 daps Print IIam� 6� folic. j to t4_ Date. "�6-C 1� it lus been as eomp1eh *Fee methodology set by Tsi-County Building Iadusfy Service Board I;V uibr permit tl-Pmt»tpppaoe 10/01/04 440.4616r(t0 WWEB) City of Tigard 111 a COMMUNITY DEVELOPMENT DEPARTMENT -' g Building Permit Review — Residential TIGARD Building Permit #: /ti-Sr /-0/ b — C2C''/ -3 Site Address: /S/C:5 ) / iL2earrirthig ,— Project Name: e/V.Qr �rkocQ - I:u'.gi-' Lot #: z....i." (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 4.,) ) gie_ erify site address/suite# exists and active in permits em. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Sit Plan Elements: (h ree(3)copies of site plan sting structures on sitee plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Vawn to scale(standard architect or engineer scale) or elevations rth arrow Utility locations o (required for new,may apply for additions) t2tte address,project or subdivision name and lot number ll!'/,cation of wells/septic systems �''4 sting trees to be retained with drip line,and tree plicant information(name and phone number) Lot dimensions and building setback dimensions protection measures t area,building coverage area,percentage of coverage and 171 eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) eet names Property corner elevations(2 foot contour lines if more than 4 foot differential) Oklean Water Services-Service Provider Lette (lot platted prior to 9/10/1995): 0Pequired: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No Public Faciliti Improvement(PFI) Permit: V Yes,applicant was notified ❑ No Applied For: es ❑ No,stop intake lequired: and Use Case#: P,bP‘20/c7- A 00C- •SY(. ©/S 7- WI/Zoning: e-/ ,b) Required Setbacks: Front Rear 0 Side `'' Street Side f/f.Garage 3 Landscape Requirement: cQO % V f Coverage Maximum: 00 cyo woilding Height: Maximum Height _0_419- Actual Height (2Q III1 iisual Clearance IV Easements tal ensitive Lands: ❑ Yes No Type 0)9( Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit 1 /11 . / Notes: �t�1? 0 `S ter, � ��ir _ �P/7+2i7` >SsI.>�%IL Approved By Planning: , Date: ____q_74Z___iiiro Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw_RES_091216.docx r •. Building Permit Submittal Original Submittal Date: W3/. Site Plans: # 3 Building Plans: # Building Permit#: Center building permit#above. Workflow Routing: 2"-Planning '0`Engineering Et Permit Coordinator •13uilding Workflow Sign-off: O'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 ,orig,inal plan review routing form. LJ Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: /d 7 /k:, Engineering Review fr Slope at building pad: e ❑ 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: 0 Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes 0 No ❑ NOT Appro , s •y Engine-ri • Date: Notes: � .11 i ./ Approved by Engineering: �L Date: /2,—fQ--44 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved innemarsommuismeniummemenswp Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: Date: "oA� Notes: f 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: (W1'Pes ❑ N/A Tigard Trans SDC: ,yes ❑ N/A Parks SDC: 'Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: Date: 1/i// I:\Building\Forms\B1dgPernvtRvw RES 091216.docx li ./ 1,111 City of Tigard I a COMMUNITY DEVELOPMENT DEPARTMENT T l A R o River Terrace Building Permit Review Addendum Building Permit #: --C 7j0/C 690 -ate Site Address: /S/S'.SA) � Project Name: ` /1r"e- 7 of ce 47 tt}e.S]-- Lot #: " (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist ' t Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?yrt Yes El 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. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min.2ft.,5 ft.wide min. 2 ft., Eft wide Gabled dormer CI ❑ CI ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: - S.%v 3. trances:At least one entrance must meet both of the follcyt • g standards: Max. 8 ft. setback from longe street- facing wallft 0 Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No Ifs,all the following apply: 11/sq.ft. min. U 4 ne street facing entry ft. max.roof above floor of porch V 5 ft. depth min, V30%min.porch roof coverage 4,. etailed 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 Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches El ormer 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. orizontal lap siding min. 3-7 inches wide CI Accent siding min. 40%of street facade /Window trim min.2 1/2"wide by 5/8"deep El Window ❑ Ba ow 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 • • . • .es and Carports:May face the front or side t ' e on a corner lot. Setbacks: s'� No closer to front or si.e • ' e, than longest street-facing wall. ❑ Yes ■ ► .. f No (Check one): ❑ May extend up to 5 ft.if there is a - •d front porch and : .:e does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part ••-:.., o-story building and there is a window at the second story above the garage that faces the street ' • . . area of 12 s.. Width: (Check one) ❑ 12-foot- ;:- garage door ❑ 40%max. of street faca.e •'/o max. of street facade with 7 detailed design elements Notes: Approved By Planning: �` Date: 12 l I:\Building\Forms\BIdgPermitRvw_RES RT 062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13153 SW AUBERGINE TER, SHERWOOD, OR, June 13, 2017 at 3:21 :29 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00403 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No AC installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13153 SW AUBERGINE TER, SHERWOOD, OR, June 13, 2017 at 3:14:58 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00403 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Master tub not sealed to deck.310 All else appears ok. Water pressure 42 PSI. Violation Summary: Inspector Contractor