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Permit (103) CITY OF TIGARD MASTER PERMIT t ''i Permit#: MST2016-00059 COMMUNITY DEVELOPMENT Date Issued: 01/30/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1060001801 Jurisdiction: Tigard Site address: 13184 SW APPLE GROVE TER Subdivision: RIVER TERRACE NORTHWEST Lot: Multiple Project: River Terrace Northwest, Lot 56 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: 32 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke Yes Right: 3 Detectors: Dwelling Units: 1 Third: 0 sf Ri 9 Total: 1858 sf Value: $229,972.51 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: 0Bckflw Prevntr: 0 Footing Drain: 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 Y 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 2 1 hour fire rated eaves are STE 1 required SCOTTSDALE,AZ 85258 PHONE PHONE: 360-695-7700 FAX: Total Fees: $30,533.09 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. le Issued By: itJ / - Permittee Signature: 677.7/517,/,1-/(/,�-SCI 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. Goy - ass/> Building Permit Applicatlan .— .Cl FOR OFFICE L SL O®i 1 �r a - 1 .-_,_,„,, D ved / 9 /0 ega,, PumrtNu ctr, 4 r" v gly \ City of Tigard / 111 13125 SW Hall Blvd_,Tigard,OR 97223 _ _ Plan Review`jj ] f Orb&Pamit�` �'�©��j -190.09 Phone: on Lin : 503. Fax: 503.598.1960 U i Dat`eRRR By: / I -knir H See Page 2 for Inspection Line: 503.639.4175 DateNotiRe/Method: / 1. /7 ��' I Supplemental Information T1c ., l Internet www.tigard-or.gov CITY t i a D — ,/f1 >/V6/ _u u. Permit fees*are based on the value of the work performed New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the Addition/alteration/replacement ❑ � indicated on s _ on work this ap•lication_ `.� c � t - � wo ® 1-and 2-family dwelling ❑Comrnercial/mdustrial Number of bedrooms: j"I 0 Accessory building ❑Multi-family Number of bathrooms: 0 Master builder 0 Other 8 , S' _ - 6; �-,- 1P ,-4s,...-....-, Total number of floors: 2. C„ I New dwelling area: , U"1 square feet Job site address:/Arir,9 SwItav,/e (T„,,IpG C�/ Garage/carport a 11 square feet �' � r/ City/State/ZIP:Sherwood,OR 97140 `� Project name: Pro R� Y l.i Vl� Covered porch area square fit 0q Suite/bldglapt no.: I 1 Cross street/directions to job site: Deck area: CD square feet g6 9 Other structure area: ', square feet • r ;€ 0 £ �' .F .�.,'.. .r"'W i . ''',01-14s.;,-'t:;..• Lot no.: S� Permit fees*are based on the value of the work performed. Subdivision: Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for thePworkindicatedon this ap em 4:1'.7.-.7':. ',,,,,,:,±1 .i �,�r :�.� , € ie: @ 0 t°'�)���4. ,' �:�+� .-�'-"`iE�P..._.. �,,r� a- � � �'_ p c� . $1+,.a+�r+°+� ,' Valuation: S New Single Family Detached Construction Existing building area: square feet New building area: square feet ?- -- Number of stories: W,I 1.7177 LL61iv s Type of construction: Name:P.45..F1'LII,LIQ �i b L V �'717� 1 Occupancy groups: Address:1E City/S Existing: Phone:(360)695 7700 Fax(360)693 4442 New kt �� e' Vi -11;9:;',.q,:727:-. 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/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)695.7700 I Fax::(360)693.4442 __ Email:maggie.gordon@polygonhomes.com pofygonhomes.com Commercial and residential prescriptive installation of -' ,, c , "-,,1,--,-.,' :-_-_-.,--- -a-----7- -,,,----,---_--,_:.: _ ., roof-top mounted PhotoVoltaic Solar Panel System. � _ -,,,,L,'-'-----`-'''',-.- - -:—'1[..1 Submit two(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 13”Street Solar Installation Specialty Code checklist Permit Fee(includes plan review $180.00 City/State/L1P:Vancouver,WA 98660 - and administrative fees): Phone:(360)695.7700 I Fax (360)643.4442 State surcharge(12%o of permit fee): 521.60 _ Total fee due upon application: $201.60-- Authorized signature: taip lie.:207247 — This permit application expires if a permit is not obtained within 180 days after it has been accepted as completes j *Fee methodology set by Tri-County.B ing dIndustry I-7 t name:Maggie Gordon I Date:1T/11/15 I Service Board 440116137 11/021COM/WEB) • 1:\Building\Petmits BUP-RESPennitApp.doc 02/24/2011 ( � 1 0 • 4. Mechanical Permit Application City of Tigard ; :, -- - ---',, PennitNe-Aff7;2evb-ver—s-5; II13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review gi.• Phone: 503.718.2439 Pax: 503.598.1960 ,,--, 0 - 1r 4 r DateiTty: Met Permit: Inspection Line: 503.639.4175 ri-_-_i ,‘,.; 'a t_uio Date Ready-illy: suds: la See Page 2 for Internet: viNvw.tig,ard-or.nov . . ,- ,,. •.,-r-, NoliftediMetluxt: Supplementat totem:tine -1:-:-::'t.j4.:: :::':',1i4f:, ;.i4z.fli-;:tiii-Tiaksi.7tif**Z.fotV'Tss!!"..ft.;'-:..-Z1!ci,SOPt.,-;' :i4:il," .:-C'.• ';'.,.ii.";;;COOSi Egrtlittiknle:414ifilk1W14fititift -':,?,, Mechanical permit fees*are based on the value of the work El New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials_equipment labor,overhead.and profit_ Value:S ..?.:.•:::.; ;C:';'"Plef4:71,..•45,kNitr -r*--'49.., ..-- ittii.V.ia :A710:41fgi.: 1;:p.m.i Ssin•'•;'.; i'•'% , , ., '•',-"" ,--i. ',--. ,-..-.---•..,.:i. -,- El I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far special Won:union use c*eeklist 0 Multi-family 0 Master builder 0 Other. Description I Qty. ) Ea. I Total Air conditioning , 46.75 Job site address: kri) 5 c),_,3 0 cnov-to -c_e_( Furnace 100.000 BTU idurtsNents) ) 46.75 City/State/ZIP: Op a:\e QR Cril\._Cp 6 N9X-L Furnace 100.0004 BTU(doersivalts) 54,91 Heat pump 61.06 StliteibldgJapt.no.: Project name:River Terrace fl Duct Duet work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronie) 23.32 Unit heaters(fuel-type.not electric), in-watt in-duct.suspended,etc. 4635 Flue/vent for any of above 23.32 23.32 Subdivision:River Terrace Lot no.:5...p Other: Other fuel allPrialleas: Tax map/parcel no.: 4z Water heater 23.32 itleareror gas -r•;;";:;:tt.4„?.?,:ii7"."',:i7 , -,:iP.41',44101:TIVI.•.'iT ri,i;:l4.1t^y.t',.,1:40.,'-';:ii:,4445viiIV144:4-**.A.,.to**(, Gas firePlacaliasai 3339 - HVAC fireplace - 2332 Lori liehtcr(gas) 2332 Wood/pellet stove 33.39 _ Wood fireplace/insert 23.32 Chiretney/linerfiltiefvent 23.32 v,,,, Other E 2332 T'''''.;','I_Vi•:tia,;';,'.i":t'i s'iri,i;.-AriliFi-.%;4;;4:4,::-'rialiii.' :';',;;S%',.,:,riiket'iI:44.,„.,;er.„,-.:i:404...-',:i - ,Fi:IR;f';',',..,,,..t. '14,x4.•''''44', °7;1:'''''''''‘'''''.1'-`, '''''';'?"'"1:''''', '41:.''' ""4,''..,---"-°'t"'''''''.'"'''"-:"..'"'' '4-''''''' nvirouniental exhaust and ventilation: Name:Polygon Range hood/ether kitchen equipment 33.39 Address:109 E 13°St Suite 200 Clothes diver exhaust 33.39 , City/State/ZIP:Vancouver,WA 98660 Single-duet exhaust thathmonts, toilet compartments,utility rooms) 23.32 Phone:(4 )586-7700 Fax:( ) Attleicrawlspace fans 2332 Fuel*piny. Business name:Apex Mr LLC , SI 4.15 for first tour;54.03 for each additional Contact name:Staci Hay runtime.etc. Address:2230W.Main St.SuiteOas heat pump 107-272 , , Wall/suspended/unit heater ' City/State/ZIP:Battle Ground,WA 98604 . Water heater Phone:(360)3424109 I Fax:!:(360)326-1769 Fireplace ' . - Ran= E-mail:stacitdgapexairen.com Barbecue 44,.,w,.,,,N0,...,..::.-L,_..N..-3.7„3,,....-,4:,,,:-;11,..4..,A,„„4"Y"..,t-1- .-3.1.4;:„,".1::::.-,•";-....11,4'::".-.1;ii.07:•10'44:-.4..; .'" .'6*.ortt°,:"-87 . Clothes dryer(gas) Other. " Business name:Apex Air LLC . 64.0';"''':i":;":'AP'''Pcf•il'4.Vol.''°;',Vi,'17;1.*.-''."'''','i '!'''''777.ii'7. -4".'::::;J!:..l'i. Address:220W.Main St.Suite 107472 , ; Sabtotiti . City/State/ZIP:Battle Ground,WA 98604 Minimum permit fee(590.00) ,• Plan review(25%of permit fee) Phone:(360)3424109 1 Fax:(360)326-1769State surcharge(12%of permit fee) I CCB lie.:203034 i . . - - - ; - TOTAL PERMIT FEE This permit application expires if a permit is not obtained'Within igg days after it has been accepted as complete. Authorized Si_ .= ,... / 4 Fee methodology nd by Tri-County Building indusuy Service Board IPrint name:Staci hay k...,/ I Date:1/28/2016 I I kil.iitksi,PssmilWAEC PamitApo 040 t 13 doe 440-46I 71'4 t IATVCONINME4 1 reef CEI "el ft. aliitc4tt OD. i=E l 9 r ?016` cal, rt�a(F (Ail City f3 ' aPQI 1te �} ` t `eentt 7tt� e c Q�44 132E"flat Blvd,Tigard,OR 9722,3 I,'" t t �pactaavi .: Phone:5037182433 Erm:503.598„4960 li Refeled Pernik A. tt R,, Inspection tine 503.639.4175 Ri d Datothe 1 t 3ser's002ror s Intact www ti,,.�,,,,,,�.,{{toC w NottgedRdethed: E^+K.:: >'^ Sgpskesscntai tnferr nfico i. I r,^ A: r,,r;Worm x= ' l ! R 1 1'' 0 New cons(netion Q AdditionfalrcradoWreplacement' `please cheek all that apply(whelk s ssrs orpl?as ivideres'nheeked): 13 - : 1:13or a or) WImps or more El8m'Mmowouee;lode floifroll ;lodes.Q }ye' ) oenp baW�+ •n , u ; exceeds ooopssr9s or tmtntsfioitdi RI and 2-family dwelPng 0 Combtercial/industsal 0 Accessory building toss w groundur essears 14 1.t]CO,m%uri.t m se apjicalNaal amps ta'attother instaltations, 6111414,- j Q.Mutti-farmty Q hfaster builder Q other Onepump. Olosteibtiaeefl50KVA:cr- ' -' 30$SITE,lNooD ATiEN AND LOCArfOr4 0Emerfeoey'system. tugerraparerwydenua Job 3.`i: Job site address. < I1\ {1 t= CI" 0 Addition or new motor or eydam Y iAj{, jlli tOoHFormwc 0"A E."13", 1 ", City/State/ZIP:Sherwood OR 99140 ❑Sb'ar atareresideatial wits !4 Y 0tteai -exg6ctities: C3Racrea6tstgtveflictaparla: Suite/bldg./apt1k project name: []ltecardcustocatlatu.: �1supply Yatlarafor rrwratlmar ©soviccorfeeder 644ampsarawe 600wltsnomrmL CYuas street/directions to job site: \ amass= 19tr. I caw 1 Tette 1 =_ Neill single or multl-fanity`dwellingwolf Subdivision:River Terrace Lot# (. fact-Ides attached garage `; 3.,0 0sq.ft orless' I 168.54 4 Tax tnap/parcel _ La mitt 1"504 sq,ft.orpgttion 3393 ! DESMIPT1014'OF WO/11f Limited energy,residential i 75.00 i,' New Single Family (with above sq.it.) Limited energy,muiii-family 75.00 2 residential(withabove sq.It) �' ❑ !L*N4t4f Renewable Energy 0 See Page 2 tat Pit(IP T%';OWr4ft Services or feeders Installation,alteration,anther relocation Name:Polygon Homes 200 amps or less 100.70 2 w' Address:109 E 13'4 St 201 amps 1a 404mr ps 153.56 2 401 amps 10600 amps 200,34 2 City/State/ZIP:Vancouver WA 98660 601 onyx to 1,000 amps 301.04 2 Phone:(360)695-7700 Fax:( ) Over 1,1300 amps ervaits 552.26 2' Email: Temporary services or feeders installation,alteration,ander relocation Owner installation:This installation is being trade on property that C own which is not 200 amps or less 59:36 I intended for sate,lease,rent„or exchange,according to ORS 447,449,670,and 701, 201 agtipsta400amps 12508 2' I Owner signature: Date: -. 441 amps to 599 amps" 3.58,5+1. 2' R s APPrxCANT l CONTACT PERSUrV Stanch circuits-new,alteration,or extension,per panel A.Fee for branch maants frith: ' 'Business name:Garner Electric Washington,LLC aholeservtce or feeder fee, eaoit ch a rcuit 7.43 3 i Witch Contact name:Bill Daniels it.Fes rorbranch circgitsrraboar se-vitx drfeedtr Fee,-rpt ` Address:6101 NE Si Tohns Rd 56.18 2 1S ttrrlill City/State/ZiP:Vancouver WA 98661 Each add')trash circuit 7.42 2 ' Miscellaneous(service or seeder not included) Phone:(253)320-1657 Fax::( ) Each manufactured or„nodular dvtdling,ssrvrce error feeder 67.84 2 Email:bdaniels(ggweuen.com Raconeectonty 5784 2 i CION 1L%CTOR i'wnp or irrigation circ a 67.84 2 Business name:Garner Electric Washington,LLC Sign orcutline lighting 67M 2 Signal eiteoitts)to limited-energy Address:61U11VE5tJohns Rd panai,atterdlon.orextcnsion.. 0 3rePage2 2 I' /Stat •Addh additionnt Insspect€on Durr aliogabte in spy of.11w above ty efZTf:Vancouver WA 98651 Phone; Inspection(1lrrrnin) 662Sihr (253)3204657 Fax:( ) Inv«stigadon(1 hernia) 90.00Vhr i Industrial-plal1t 1 br ink Email:bdaniels@giveusa.com { } 7>j 181hr Inspections for whiohiso fee is 90.00/hr i. CCE Lie.: 01158 Electrical Lie.:208174 ' Suprv.Llc.:44968 specifically hated(54 hr min) i 1 7 i h Eize.rtitoSL.1Pi:t 4I,It_1 t&s, I Supre.Electrician signature,requited: �. �i Fr .{..,C. Subtotal: I Pr`*ntname:Joan PAlbert Data:aittinDPin R2y1ew7{equired(259trofptantitfee): State Sarc(surge.(I2% of penult fee): Authorized signature: f .- .. TOTAL PSIUs STPEE: t TMs Pt ialltsppncritart spires lie perm*Is oat obtetata 1141hin 180 t Print name:Bill DanielstV` ti ltiwll 1 Date: dspi after it Ina bash aregslstl as eompkte, - r Numberofinspeeriontallowedper.permit. 1:WalleisilemoitOMC PenekAPPtR_ERr:doo ti r.ONt7Ffat$ 440401 frilliS4CiatiratiEn j 3 Plumbing Permit Application RECEIVED Building Fixtures NOV 3 2016 f1fi',,c its-ODOS1 13125 City of Tigard pigard,OR 97223c,, Permit Nn. AS 1/11 II PPhone:SW�718.24 9l Blvd. �Pax: 503.5 8.:la6QT(OFTIGARDDate/'s` O1herPumallo..: on Line: 503.639.4175 . R loris: RI See Page 2 for :; :» internet www.dgard-or.gov BUILDINGDIVISI'f���.a Ssp.laauentallafanuanoa - �,haw � ..�,.. ..__,„,4._,:af a ' "� ' '447', 114 New construction ■ Demolition Fors I irrfcrnrs+tiarse dee isa Description Qty, I Es. I Total ❑Addition/alteration/replacement El Other: New I-2-family dwellings(includes 100 ft.for each utility connection) s SFR(1)bath 312,70 e SFR(2)barb 437.78 1+� 1-and 2-family dwelling III Commercial/industrial g (3)bath I 50032 Accessory building ❑Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other _ m . ~&� Fire sprin&ler sq. I Page 2 v� ' ''':°44" a = � .. „ site u ilities Job site address:l Su) l.l', ri kie.'i-,�r- � Catch basin or area drain 18.76 L/' " leach . or trench drain 18.76 �� Dryw� �. City/State/ZIP:Tigard,OR 97224 Footing drain(no.Iinear ft.:_ Page 2 Suite/bldgiapt.no.: 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.: . w, . no.:SC? Future or-item: Backfow preven • ter 3 .127 Tax map/parcel no.: Backwater valve 1251 a s , g t . ,da -- Clathes washer 25:02 Contra-kir , Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 t� - Expansion tank12.51 ?6��-',.;°.,�4,•': -c f 3.' -":,:_41,,k -",'„G - _ Name:ADVL Land Holdings,LLC F' sewer cap 25.02 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 � � hitercep#ar/greagetrap 25.02 ,*--A`°r' ---,..`.. ,i. ". ,53„6 ;rrv;:, ;,`3,,tt:..-w,:, ,'� -m.:: -, Business name:William Lyon Homes,Inc Medical (value:$ ) Page 2 Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street S nk/hasinhlavatory 25.02 City/Stare/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 'tlub/sbowerishower pan 12.51 Urinal 25.02 E-mail Angela.Grajewski@polygonhomes.com watercloset 25.02 :•` . : l c 4 Water heater 33.52 Atrsine"/2ame: G47..i 1 l+t/ ' K. d` Waterpiping/DWV 56.29 a� Other: 25.02 Address: •CI. $:� � Subtotal City/State/ZIP: ST, e 44.4 art. (11 t3'7 Maim=permitf Phone:(Sag/r S te`- 1'U1 Fax (41i�t V"'-vial-IP IT)) _ $72.50 '' Plan review (25%of permit fes) CCB Lie.: it ,,,, Plumbing tic.no.; 401 State surcharge(12%of permit fee) I Authorized signature: TOTAL PERMIT FEE ?A 1} This P appikstina'e pure`if a permit B net obtained within 180 days Print name: tot/C. 1103 -36 atter it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:1Busidiogltkimits1PLMU-Prsmit4pp doe 10/01/09 440.46taritoimicOttit'E8) 1 City of Tigard i lir COMMUNITY DEVELOPMENT DEPARTMENT I T I G A K D Building Permit Review - Residential Building Permit #: /75 fold/(© -0 00 ...C2 Site Address: /3/J/71 se, j ,pk ve_ -Mr- Project Name: t/ver ` -er/1C:e v 64,- / uesl— Lot #: (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /V eit:) i gVerify site address/suite#exists and active in permits stem. River Terrace Neighborhood: ❑ No Il4 Yes,See River Terrace Review Addendum Attached SyPlan Elements: Vyliree(3)copies of siteplan 96;A sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper U ootprint of new structure(including decks)with finished raven to scale (standard architect or engineer scale) or elevations FaForth arrow ISI LJ i 'ty locations (required for new,may apply for additions) e address,project or subdivision name and lot numberl , ation of wells/se tic s 5 stems P .plicant information(name and phone number) 7 rosion control(including drainage-way protection,silt fence IP , dimensions and building setback dimensions sign,location of catch basin,etc.) ot area,building coverage area,percentage of coverage and reet names pervious area(applicable if R-7,R-12,R-25&R-40) mreet tree size,type and location roperty corner elevations(2 foot contour lines if more than ,.A sting trees to be retained with drip line,and tree 4 foot differential) protection measures f lean Water Services-Service Provider Letter of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilitie mprovement(PFI) Permit: ' -quired: [ Yes,applicant was notified ❑ No Applied For: i Yes ❑ No,stop intake V,and Use Case #: /'2t6)Q-:// : G L i � ��‘'Kec2)AS-(')L0'r �oning: R-,/a etbacks: Front p Rear Q Side '`''' Street Side opr Garage 3/6,V/Landscape Requirement: Q ot Coverage Maximum: -f. ) °A 11 Building Height: Maximum Height 14/1Actual Height pa, , bll l't'isual Clearance R asements ensitive Lands: Yes ❑ No Type / Yp 1/��-e �_f-, ' Cern..)- - I Urban Forestry Plan C�.fz2//� 1:11et"Conditions "Mrior to issuance of building permit A7-.. Notes: C,//kw..? ime '71 ix me:4 L m r , -2ts-mi / Sjfc lc� _ v� Approved By Planning: C. ,`--_,_„`-- Date: S- ,, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Forms\BldgPennnitRvw RES 012116.docx f Building Permit Submittal Original Submittal Date: �/2 572 Site Plans: # Building Plans: # -- Building Permit#: 2"-Enter building permit#above. Workflow Routing: [''Planning 8-'Engineering hermit Coordinator [C--Building Workflow Sign-off: Ei—Sign-off for Planning(include notes from planning review) Route Application Documents: 11.--Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 2"-Building: original permit application, site plans, building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: I !r Date: .:2/25716 Engineering Review >2ir;lope at building pad: �Q El Conditions "Met"P rior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes El No Assess Water Quantity Fee in-lieu: ❑ Yes El No LIDA Facility on lot: El Yes ❑ No - - — flute Condition remain unmet that are required prior to issuance of bldg. permits. Approved by Engineering: 67G J Date: „0�� —� Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: El Approved El Not Approved Revision 3: ❑ Approved El Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit PP roved,NOT Released: 4r— Date: 3/81/ Notes: JG Llli41/r 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: .7-6%es ❑ N/A Tigard Trans SDC: es ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit / Approved by Permit Coordinator: 4rDate: // 51/?— I:TuildingTonns\BIdgPennitRvw_RES_012116.doc /?'I:\Building\Fonns\B1dgPennitRvw_RES_012116.docx City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT 1 T I G n R D River Terrace Building Permit Review Addendum Building Permit #: /1_17-020/6 e)(p 5-5,s Site Address: • 43/s G f ,s= 42711, give -7-ex.- Project Name: EfY"-,4' ei-r cr��vV dt-ilk ,e,v. _ Lot #: `j-4, (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1): 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 fte min. 2ft., ft.wide min. 2 ft., Eft.wide Gabled dormer,�( ill R 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: 0-(AO C4 . ntrances:At least one entrance must meet both of the follo mg standards: li 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 s, all the following apply: sq.ft. min. ligpne street facing entry ft.max. roof height above porch IJQ 5 ft. depth min. 30%min. porch roof coverage 4. Wetailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: vered porch min. 5 ft.wide x 5 ft. deep all offset min. 16 inches CI ' -cessed entry area min. 5 ft. wide x 2 ft. deep rG pormer min. 4 ft.wide Roof eave min. 12 inch projection : •of offset min. of 2 ft. ❑ Roof shingles either tile or wood y Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. C❑ rizontal lap siding min. 3-7 ft. wide CIin Accent siding m . 40%of street facade Ild Window trim min. 2 '/z"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft. wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall.fa]1 es IP1X. If No (Check one): 0 Ray extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. kiay 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) ON-foot-wide garage door p%max. of street facade max. of street façade with 7 detailed design elements Notes: Approved By Planning: c �� � Date: / 1:\Building\Forms\BldgPennitRvw RES RT 012116.docx Albert Shields From: Albert Shields Sent: Monday, March 07, 2016 4:44 PM To: Maggie Gordon (Maggie.Gordon@polygonhomes.com) Cc: Tom Hochstatter Subject: River Terrace Northwest, Multiple permits Maggie, here are eleven more that are going on Hold as "Approved but Not Released" pending completion of required conditions of approval. Albert. MST2016-00051, -00053, -00054, -00055, -00056, -00057,-00059,-00060, -00063, -00064, & -00065. 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13184 SW APPLE GROVE TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00059 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: No AC at this time Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13184 SW APPLE GROVE TER, SHERWOOD, August 23, 2017 at 10:25:01 OR, 97140 AM Record Type: Record ID: Residential - Master Permit MST2016-00059 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Water pressure = 50 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13184 SW APPLE GROVE TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00059 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS Comments: No AC at this time Violation Summary: Inspector Contractor