Permit (135) CITY OF TIGARD MASTER PERMIT
IN .4
COMMUNITY DEVELOPMENT Permit#: MST2016-00474
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/30/2017
Parcel: 2S106DB05200
Jurisdiction: Tigard
Site address: 13150 SW APPLE GROVE TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 52
Project: River Terrace Northwest, Lot 52
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: $230,540.61 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
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: 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:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1858
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: $30,538.67
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 952-101-0090. 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: r / r *TC -- 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 - 1icatiou L.0 / �
,� ii FOIA O FICh 1:5L ONLI
L5 „��ts RECEIVED ��y
Received / Perm�tNy '� GNU IV-
City of Tigard - 1>a�ar. �� r0� ,gp� �y uv
1.11111 13125 SW Hall Blvd-,Tigard,OR 97223 FEB a 3 2016 Ptah Revi ,//�//� Other P i g/��j`L/V� 4✓- �/
Datc/By /y/ 1 y Viz: H See Page 2 for
Phone: on'Lin : 5 39 Fax: 503.598-1960 DateReadyBY g
Inspection'Line: 503.639.4175 CITY OF TIGARD NotiBcd/Method: / j�//7 - Su pplementallnforma6on
TIC,; I? Internet www.tigard-or.gov r
BUILDING DIVISION
—, _ , _ _- - Permit fees*are based on the value of the work performed-
®New construction
❑Demolition Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
, work indicated on this application.
s. �_ '--t, ..--t '4-f7S® '`2 " - ' ': ,.,. 't.!, r t?, - ; rf.,' ValllatlOn:������'� $
® 1-and 2-family
dwelling ❑Commercial/industrial Number of bedrooms: L
D Accessory building ❑Multi family
0 Other Number of bathrooms:
❑Master builder Total number of floors- 4
ttjil.r z a -t:_To'j. - LIQ 'F`3--a� OLUzi _:v"' k,r-^=,st-..- 2 / p���"'"
F €- z a tf ,„-----=,--,...--.--__..
I New dwelling area: 1 square feet
Job site address: /3/jr,e, ,j4) it �r0`e ' ' "701-e,-
�'! Garage/carport area: 1 ! � square feet
Suite/ ,---
City/State/DJ':t Sherwood,OR 97 I - Y 1\k� �-{
Y 1 1 Covered porch area: � square feet
SuiteJbldgJapt no.: I Project name:.
Deck area: square feet
Cross street/directions to job site: 'I square feet
Other structure area:
Lot no.: Permit fees*are based on the value of the work performed-
earest dollar)of all
the n
(rounded to
Subdivision: Indicate the value
Tax map/parcel no.: s equipment,materials,labor,overhead,and the profit for
the
work indicated on this application_
..w Valuation: $
New Single Family Detached Construction Existing building area: square feet
New building area: square feet
' - V _ Number of stories:
Type of construction:
Name:Polygon WLH,LLC
Occupancy groups:
Address:109 E 136 Street
City/StatetL1P:Vancouver,WA 98660 Existing'
Phone:(360)695 7700 Fax:(360)693.4442 New:
4'-'''-'7.-''.'---r..--*'.- . --- r � --.1 . .. s .--'77-'--
3`-- -, .,. -.s-_.,. t.
- '''-r---- -'-';'".t_ a -__ , . _ . ,f,-,_:-.:.:-.; - .F '.du5cViar
Business name:Polygon WLH,LLC Structural plan review fee(or deposit):
Contact name:Maggie Gordon FLS plan review fee(if applicable):
Address:109E 136 Street Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660 Amount received
Phone:(360)695.7700 I Fax::(360)693.4442 ,-- �M✓_
E-mail:maggie.gordon@polygonhomes_com Commercial and residential prescriptive installation of
it `- x _-_.1.2-:"-7,-,---.-------..--,..-:----.,.-_--,-1- F , _ ,sroof-top mounted PhotoVoltaic Solar Panel System.
Submittwo(2)sets of roof plan with connection details
Business name:Polygon WLH,LLC and fire department access,along with the 2010 Oregon
Address:109 E 136 Street Solar Installation Specialty Code checklist
Permit Fee(includes plan review $180.00
City/State/Z1P:Vancouver,WA 98660 and administrative fees):
Faxc(360)693.4442 $21.60
Phone:(360)695.7700 I State surcharge(12%of permit fee):
CCB lie.:207247
Total fee due upon application: $201.60--
This permit application expires if a permit is not obtained
Authorized signature: tV
within 180 days after it has been accepted as colmplete-
4d
*Fee methodology set by Tri-County.$ g mdust7y
i print name:Maggie Gordon
Date_12/11/15 Service Board.
1:\BuildinglPermitslBUP-}tESPennitApp.doc 02/24!2011
440-4613T(11/02/COM/WEB)
4 r
Meehanecai Permit ApnlicatiRECEIVEDNIMMEiniiiiiiiiMili
City of Tigard Received Permir 14a.lLl5 '/(v'QDif7Y
tray:
III 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 0 3 201 i Pun Review
Phone: 503.7181439 Fax: 503.598.1 960 DateBy: Oils Permit:
;, Inspection Line: 503.639.4175 CITYOF TIGARDraseReaciyti3y: Js &[ See Page2for
Internet: www.tigard-or.gov BUILDING flik/I PO t°t,e B Naified Method: Supplemental Information
�R� D1t3 � il:Lffi'£
_.;` �` 5�-t-` -` y' . -s. . - ... Mechanicalfees*are based on the value of the work
��.,N•... �,. .., _.. � permit f
121 New construction ❑Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all
Demolition 0 Other: mechanical materials_equipment.labor,overhead.and profit.
n S ^tar � .i. 1. ..k... .:
Value:s
-- � 3 u a : a0t .' '`c .- - w "
" . . i . . k ' . M : br Yy, .m.yk«i��, � .fr, ... , :� "a .s:€. ;e . 94 atr nJ:,‘,..;.:,,
d
„ .,,:. re +'.....
El I and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far special information use ckedass
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total ,
-..< x ,a a > � s �:: '� t'; eatittp,/coolie
` k a� _,. ... � .... . :'° Air conditioning 46.75
Job site address: V J`„-' 11�� [i�(''')/ Furnace 100.000 BTU tdnc siv«ns) 46.75
City/State/ZIP:State/ZIP: % D Q _.. •1\ Q Furnace 100.000+BTU 4dncavrnts) 54.91 a
Heat pump 61.06
Suite/bidgJapt.no.: Project name:River Terrace n to Duct wort: 23.32
Cross street/directions to job site: ti dronic but water system 2332
Residential boiler(radiator or
hydronic) 2332
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for anv of above 23.32
Other: 23.32
Subdivision:River Terrace Lot no.:
Other Cart appliances
Tax maplparcel no.: Water heater 23.32
insert 3334
_ r`�:.et i s: t 4�r � ., �$ Gas fireplace/insert
-' ,a ,:: a . -. -, •,i,.,: :.. ... ,. , Flute vera for ciazer heater or gas
HVACfireplace 2332
I
Log lighter(gas) 23.32
Wood/pellet stove: 3339 -
Wood fireplace/insert 23.32
imneyll nett/ nt 2332
2332
,1",,,,.-31:,:(..z:',. 'F ' a` =7.t..--,.'","'N....;:"
( ."�. ., _ ,.. , clot Ervin amer>tsl eshanst sod vestl1atiorc:
Name Polygon Range hoodfother kitchen
equipment 33.39
Address:109 E 13°SL Suite 200Clothes dryer exhaust 33.39
City/StatetLIP:Vancouver,WA 98660Single•ductexhaust(bathrooms,
toilet compartments,utility rooms) .. 23.32
Phone:(425)586-7700 Fax:`;( ) Afielcrawispace fans 2332
0. .' �. , ,it + Other: 2332
�_., Fad Pining: ,
Business name:Apex Air LLC st4.15 for first four,54..03 for each additional
Contact name:Staci Hay Furnace.etc.
Gas heat pump _- �.
Address:2210 .Main St.Suite 107-272 CYalltsuspcndedlunit heater
City/State/ZIP:Battle Ground,WA 98604 Water heater
Fireplace
Phone:(360)342-8109 ' Fax:':(360)326-1769
E-mail:stacib€®apexaircn.COm Barbecue -
, 7
°;i h Clottrcs d er etas)'.
Other
Business name:Apex Air LLC .,- s,' r .? '4'''''''.i f' , , ` kr.
Address:220 W.Main St.Suite 107-2.72
klinirnutn petmsY fee(590.00}
C ity. rate(Lfl":Battle Ground,WA 98604 Plan review(25%of permit fee)
Phone:(360)342-8109 Fax. 360 326-1769 State surcharge(12%of permit fee) l
f )
! -TOTAL PERMIT FEE m
CCR lie.:2113113 4 d' This permit appliesempires ifs permit is net obtained wittier ISO
r days after it has been accepted as compute.
Authorized si yd 4 ` Fee htetho'dolegy set by Tri-County Building industry Service Board
IPrint name_Strut"t hay Date:1128/2016 I
4 IlroriefirtirPcratiterMEC PcrnitAppfC40113doc 440-46€7r4I Mr.Ct34fttEZ)
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RE .I E re
> rya FCQ 0 3 216 n ,,,;tr „70/d '130f`
73125 Sw Roll Blvd Tigard OR 97233 Pt i alta v
It'
T'h0ee:S62 Ti$2$39 FsSt:St}�.5 p, a r h� R 1-z.dated irtmit L
,12G.,s'<t) Inspection 503.639.4175 S.i i�t.;ZP'� R X etBy: raric- til Em3'adn2ra?
Rtarttat t vt3foroy BUI DING D�' i �0,�eh d "°d:
Eby Sopptaa'tnlat Is;formnoaa
,b,;ts.wb '
� ,. ,.xrebTR(Dt'11'U•RR, • .,: .£ PIAT tf 'IrfStYy
� •
1TCiiinstritciiaa 0 Addihonfilteraria✓replacement -Pl teSeehellaial applythibreh seu ofplan5 vfissetsehGultislr,
Q 1).001011t1700CDthet: 11sttvttearfec{tar40 ampswmaw Ina/144,eoverawe slones.
,� - 'whcra the avj1Abla faults gaspt U Marinas and b?atyards:
< ,,,, ,2cgrti o #3z� crotj : ,_ .., =xoads lacooasups al 150 volts er 0 EkolInatiollainas.
KO 1-and 2 fama!;dwelling d Commercial/lndustrsal 0 Accessory building kss socn'd,nraitz«fs 141
4
e CI Coam44441.4,4agrk Rhea!
QMulh f>miiy Q Masrerkuildet amprloranothcrtrstaasrpom. boddfagr.
Q Other: ❑rir};urap. 13 tastrilmttou t>f JO KVA or
JOB SITE 108ORMAT1ON ATdtf LtitAff014 CiEmerscncy system, to
gsrsepa,suty derived
Ott d: 1011 site address: -�„ a{.:* ^� }g�{ fi bsj l —1—( f{ �., 0Addition otdcw+actor toad or *stand.
^' t i., 7"�d11+j, .#4 A.. i �'.1.. 100 Pnrume, 1 A. ` �,�1-r,°thy^..
City/Stae/ZIP:Sbet-wood OR 9719(► 5 t3 or more ces deats3 amts. occupancy.
Oneahh•etaFacilities. rinecieaEkwat.vehicle parks.
SniteibidgJapt.it; Project nettle: Clflarauaooslocations. 13Supply voltage far team ih8n
❑Satma or kothr600 amps ix tea¢. 600 vans nominal. r_
Cross street/directions to lob site
_ Pa'SCti[TE►1 ..
uucinaau 142/5 `l 5,rh I vow I i
New residential single.or mottt4'aryfy dwelling emit: `
Subdivision:River Terrace I Lot il:m--`�} Includes attached
Tax map/parcel8 !,000 R brfcss 16854 4
Ea add t 500 sq_it.eroodion 3392 I i
,- ,.t.t DESCRIPTION OF'WORK Limited tnergy,residential
New Single Family tvvithabove sq,ft.) 75.00 2 a
Limited energy,utoltt-Fatuity 73.00` 2
residential(with aq ft.)
t 'PRUP6RT•Y r344 i 1{ i 2'EP1k1+lT Reneweb1e Energy 0 SeePnge2 r
Services or feeders Installation,aft Ian,and/os-reloration
Nsnie 1'otygan.Homes 200an"onless 1°0.70 2 ,
Address:109 E 136 St
7r11 amprte4lltlamps 133,56 y
City(StaterLIP:Vancouver WA 98660 901 amps ta 600 amps 20034 2 1
601 amps to 1,000mnps ' 3,41.0€ P.
2 k
Phone:(360)695-7700 Fax:( ) Over 1,1100 amps oreolts 1 552.26 2 i
Email; Temporarpservices or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being Blade on property that 1 own which is not 200 amps or less 54.36 7 t
intended for sale,lease,rent;or exchange,=oiling to ORS 447,449,670,and 701, 201 ams to 400 sips 126.00 2
Ownor signature: , 401 amps to 599 amps 16054
-' APl'L1G/f`itifC CON7ACf PERSON Branchcircuits-new,alteration,orextension,p,erpanel
A.Fee for branch coves with
Business name:Garner Electric Washington,LLC above service or finder fee
each branch circuit 7.42 2
Contact name:Bill Daniels B.rector branch arcnits rrrthout s
Address:6101 NE St Johns Rd •
service tirfexdex t first Sb,t s 2
brands einwit
CltyfStatc!ZtP:Vancouver WA 98661 Eoclr edd'i brands cirealit 7.42 2
Phone(253)320,1657 Fart:;( )' Titistellatieous(service orfeeder not included) t,
Each aenofachorT or modular 61.84 2
Email:bdaniels@gweasa.torn dti seyviceatxltot fender
8econnect only 67.84 2 r
.,. CONTRACTOR
Ptngp ar erization circle 67.04 2
Business name.Garner Electric Washington,LW Sign or outline lighting 67,84 2
Address:6101 NE St Johns Rd
Signal citcttit(mj or tinuted energy Q See l'dge2 2
panel,^iteration,or;e derision. i
City/State/ZIP:Vancouver WA 98661 Each additional.ln pectioa neer atiorrsb a In any of lie above
Additional inspecdcn(1hrmin) 66.251 In
Phoney.(253)3201657 Fax:( ) Invcstigatlon(1brinks) 90.09/hr
Entail:bdanietsgweusa,com ltNtakraiplarc(1 is min) 7&18lhr =,
inspections for which on Scott
CCS Lie.: C11S8 ElectricalLic,: 208174 Suprv..Lie,: 44965 soceinealtylbreed(e6Jil'nio) 94.o0/hr
k ' , P'^ 4,,q J i Ci7CICAG PE-Sublohatr `:." t
$uprv.Eicsdtitaan sigaatrue,required,
1(f �'�G(Jl' .
Print name loan P Albert Snblmtal
Date: ill l� L3Ilan RevkviRequired(25%ofpc penult ): T
�? �.. Siete sarchargg(12,4 of rerun fee): '
Authonzedsignature: / • TbTALPE1t ill*Fa« l.
•: This penult applkstiar•e�shes if i 4arroit is aoC ohral sed Wilkie lap j l.
Print name:BillDanteis Date: dnysarteciY6asi,ara aeeepttdaswrepttta II#
' Nmaberofinspestionealowedper penmt t
tlet0ktag1?emens1ELCPs,,BA➢V_EtirjltELoes Roe Will/201S 440.451 AD LAStC0#wED { l:
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Plumbing Permit Applin ` �� 'i ,
Building Fixtures
City of Tigard f' ,�� ?0116Received
Permit No.;1$7 2o/ ' 1)0 y7/
13125 SW Hall Blvd.,Tigard,OR 9 piee Raw
I Phone: 503.718.2439 Fax:S03.5t1/1,1 °Y ° .i;.N tOther Patna No.:
Inspection Line: 503.639.4175 _.a ,,. -` Date Read bola 0 Seep 2 for
I c 1 Internet www.tigard-or.gov a z r r 1 NotifiedtMethod: 0.lamented Information
- a ' �a =ate s: y; �t, w,,. ,', S 3 . � f r
t--..1 New construction III Demolition
For special information use check d
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection)
�, SFR(1)bath 312,70
ie SFR(2)bath 437.78
-d 1-and 2-family dwelling m CommerciaVindnstrial
SFR(3)bath I 500.32
❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02
O Master builder 0 Other: Fire sprinkler( sq.R.) Page 2
� � �� . a;,a tr. 4.r•r , a,g --,..t site utilities,
5. -:.; catch basic or drool
18.76
Job site address: 1 315/), S w prpp . Gv-04e,T?_Ar‘r(.(2 Dt wan,1each flim nr wench drain 18.76
City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2
Suitrlbldgiapt.no.: I Project name:Northwest River Terrace Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision:Northwest River Terrrace , Lot no.:Si Fixture or item:
Tax map/parcel no Backflow preventer 1 31.27
Backwater vaivc 12.51
'
25:02
�h �"�° godtes washer
1` C
_ Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
s _., ,.:": �. a. �s;-,..4: Expansion tank 12.551
Name:ADVL Land Holdings,LLC scuta cap 25. 2
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road Garbage disposal 25.02
City/State/ZIP;Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)694-4031 Fax:( ) Icenraker 12.51
r r . Interceptor/greaseeeap 25.02- € t° r ' c�Q . �
Business nam=William Lyon Homes,Inc Medical gas(value:$ ) Pagel
Primer 12.51
Contact name:Angela Grajewski 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 I Fax::(360)693-4442 Tub/shower/shower pan 12.51
Urinal 25.02
E-mail:Angela.Gra]ewski@Polygonhomes.com
Water closet 25.02
�.�� „� � - 4. > "a-, `;rha T.� Water heater
3752.
Business name 14, . 1N,c'r" Waterpiping/DWV 56.29
Address: p.o. $••elc, Gli , k Other: 25.02
City/State/ZIP: ST. e4,44,4 art, '11(31 Subtotal Phalle:( r$ t1441,11 Fax.(ell V.0/al-4.�`r1 f�t' tvfinimum permit feeS72.50
(ell Plan review (25%of permit fee)
CCB I.ic: ,, Plumbing Lie ncs L1 State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
7 (f This permitappikation expires if a permit is net abtsin d within 180 days
name:e: 6+f.t!€. PnW14..e_ Date: -3 Ito atterIt hos been accepted escomplete.
�/ *Fes methodology set by Tri-County Building Industry Service Board.
leOnldinePer i 2U-PemitApp.doe 10/01/09 440.46161(10J01C30'WWE8)
1
City of Tigard
RI
COMMUNITY DEVELOPMENT DEPARTMENT
ill e
TIGARD Building Permit Review — Residential
Building Permit #: f`1 S-7-2C7/6 -F Oa fly,
Site Address: LS/2) ,q,C) p& C7afVe r:
Project Name: // r Terve" 4)62-74“.4q-- Lot #: `-.-7R
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: &WO RPP,
Virerify site address/suite#exists and active in permits tem.
V River Terrace Neighborhood: ❑ No V Yes,See River Terrace Review Addendum Attached
Silk Plan Elements:
ree(3)copies of site plan pIIi, sting structures on site
VA site plan must be on 8-1/2"x 11"or 11 x 17"paper l?I Footprint of new structure(including decks)with finished
4►/ II rawn to scale(standard architect or engineer scale) loor elevations
9 Orth arrow VJUtility locations (required for new,may apply for additions)
11LlVI
iii:ite address,project or subdivision name and lot number Id bá,cation of wells/septic systems
pplicant information(name and phone number) Ole; ring trees to be retained with drip line,and tree
ci
of dimensions and building setback dimensions otection measures
Lot area,building coverage area,percentage of coverage and Vreet tree size,type and location
Prpervious area(applicable if R-7,R-12,R-25&R-40) treet( names
operty corner elevations(2 foot contour lines if more than
4 foot differential)
Olean Water Services—Service Provider Lett r(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
Q/Public Facili ' s Improvement(PFT) Permit:
/Required: Yes,applicant was notified ❑ No Applied For: [t Yes ❑ No,stop intake
P ,QlJiS-00 "
t� i . ,ID S= r�0�
Zoning: P-9 CPI) ca? '/q(J
�f Required Setbacks: Front Rear CD Side ,-3 Street Side O( _ Garage '?
(L] Landscape Requirement: 2c) % �!!��
/Lot Coverage Maximum: o-
Building Height: Maximum Height 1 Actual Height (2:242I.Visual Clearance
Liaill Easements
i
Mr ',ensitive Lands: ❑ Yes No Type
YA Urban Forestry Plan
❑ Conditions " et"p or to issuanc ofrbuildingil> __ permit
)o1 ci
Notes: 7 S,L//..Zt' /nil. ei()a - 7i.) "i7- 1.94,./://-- i. zea/iC. c,
Approved By Planning: "w, ',./A Date: /6/(oke
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPennitRvw REs 091216.docx
Building Permit Submittal
Original Submittal Date: '�/`3//p
Site Plans: # 3
Building Plans: # „.5
Building Permit#: KI-Enter building permit#above.
Workflow Routing: [Planning Engineering Permit Coordinator 1 *-1uilding
Workflow Sign-off: 0-'Sign-off for Planning(include notes from planning review)
Route Application Documents: a-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
��original plan review routing form.
''f Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 4)--j;V2di-1Q- Date: / /C /,
. '.�.6 ..:^, v5" �,... f35sx4v 'F Y 'is", . , u s"..rv.. ' ^`"- , ,'z$u3§; .c ...
Engineering Review
Slope at building pad: ntig
0 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 Approve. b Engineering: Date:
Notes: �:_ y �� ...i .i r[�+. iiii,s,- .. _ /71.
Approved by Engineering: AL I, Date: //--x>—�Zy
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 L � �"
proved,NOT Released: /�bG�4// Fate: i//47)1/4,
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:
)DC Fees Entered: Wash Co Trans Dev Tax: 'es ❑ N/A
Tigard Trans SDC: N.I_ - es ❑ N/A
Parks SDC: g! Yes ❑ N/A
yOK
to Issue Permit �/��
Approved by Permit Coordinator: 7�'d liate: ///r/("7"-
;
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I:\Building\Fonns\BldgPermitRvw_RES_091216.docx
,
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
f
r c R o River Terrace Building Permit Review Addendum
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Building Permit #: NS ;2/7/6, -®0'i7V
Site Address: /g/S7) Sk) ,pp1 (57r2Ne Ter
Project Name: ,61/-er- r.2.6e AIWA G S7'Z' Lot #: ��
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist 'ct 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 t. deep ft. deep
CI min. 2ft., 5 ft.wide
❑ min. 2 ft.,6f.widck, Gabled dormer
CI
h� f
.�
2. Eyes on the street: a minimum of 12%of each.street facing,facade musti dude windows or entrance doors.
Percentage Shown: , • //• 63% / S'i f ca/f-)6
3. trances:At least one entrance must meet both of the folio g standards:
t7t
Max. 8 ft. setback from longest street- facing wall 'M 1 arallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes ❑ No
IVs,all the following apply: 5 sq.ft. min.
5ne street facing entry P2 ft.max.roof above floor of porch
ft. depth min. I2 30%min. porch roof coverage
4. etailed Design:All buildings shall include a min. of five of the 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
0 all offset min. 16 inchesf
❑ Dormer min. 4 ft.wide
Roof eave min. 12 inch projection'� P oof offset min. of 2 ft.,
❑ Roof shingles either tile or wood VGable,hip or gambrel roof design
❑ 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 1/2"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. . -s and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or side lot a , ...n longest street-facing wall. ❑ Yes ■ ► .. f No (Check one):
❑ May extend up to 5 ft.if there is a covere. :. .orch and •. .t e does not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is par • o- i. .wilding and there is a window at the second story
above the garage that faces the street ... a min. area of 12 sq.ft.
Width: (Check one)
❑ 12-fo. .'se garage door ❑ 40%max. of street facade
i 0%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: .--, Date: _
I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx