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Permit
MASTER PERMIT 1,1 ,� CITY OF TIGARD tPermit#: MST2016-00576 COMMUNITY DEVELOPMENT Date Issued: 01/30/2017 TIC ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB04600 Jurisdiction: Tigard Site address: 17261 SW GRANITA LN Subdivision: RIVER TERRACE NORTHWEST Lot: 46 Project: River Terrace Northwest, Lot 46 Project Description: New SF BUILDING Floor Areas Required SetbacksRequired 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 YesDetectors: Dwelling Units: 1 Third: 0 sf Right: 3 Total: 1858 sf Value: $229,972.51 Rear: 0 PLUMBING Trays0 Rain Drain: 1 Urinals: 0 Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry y ' Storm Sewer: 100 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Catch SewerBasins: 0 Water Lines: 100 Drains: Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 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: 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 Y Ecompasin All Other: N Other Description: BUILDING INFO Group: Square Feet: Class of Work: Type of Use: Type of Constr: Occupancy 1858 NEW SF VB R-3 Owner: Contractor: Required Items and Reports(Conditions) ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC 4175 3- Ersn Cntrl 500639- BY FORSUM,MICHAEL 109 E 13TH STREET 1 1 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 Required One Hour Fire 639-both RatedsiaEaves STE 1 es SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,584.29 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 952-001-0010E 52-0011 0110 t I ough 0 ego•- law 0090f eYou may obtais you to llow the rules n a copy of the rules opted by the Oregon Utility or direct questions to OUNC by callingfication Center. Those rules are set forth in OAR 503.232.1987 or 1 800.332.2344, Issued By: � ` 1 r J Permittee Signature: ©/1/- i- CSC/ e Al Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application C"� n5 rfrr ' RECEIVED FOR OFFICE. l SE()NIA Received + ,r W X/ /� PermitNo City of Tigard Date/By: / r � 11��'tJl0 1 13125 SW Hall Blvd-,Tigard,OR 97223 FEB 0 3 2016 Plan Review x+/2//7 7.774, er p € f6- qi c Phone: 503-718-2439 Fax: 503.598-1960 Date/By: �� -Tout lel See Page 2 for T t c,,,R t? Inspection Zine: 503-639.4175 CITY OF I GAR U Not fiRea iethod: / J Supplemental Information Internet www.tigard-or.gov BUILDING DIVISION /! ,�, '/i. './6/t--- ❑Demolition Permitfees*are basedd on the value of the work performed_ ®New construction Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement ❑Other equipment, materials,labor,overhead,and the profit for the work indicated on this application. . - Valuation:4aq Cr7k$ I ® 1-and 2-family dwelling ❑Commercial/industrial y Multi-family Number of bedrooms: H 111 Accessory building ❑ y Number of bathrooms 3 111 Master builder ❑Other " .- z ''f7,"tr4y :a. g�{�4 '`l'-,-4,1.---.2 .7.,,,n-{ ,r'.--F&.' ' Total number of floors: 2 C9$ " ht I New dwelling area: ' square feet Job site address: -7074,/ 54) /,ani 145 --� ,•„- City/State/ZIP:Sherwood,OR 97140Garage/carport area: square feet Suite/bldg./apt-no.: Project name: c\�,J-- Cvf ` Covered porch area: square feet Cross street/directions to job site: Deck area: qD square feet Other structure area 'a square feet p.?t6& 4 } �,.. ' Y I y_."1'''''2( e 7- :- ,-SR' X" Subdivision: Lot no.: 47f4 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 tit'-:. ', .E' r ; :;� , r - work indicated on this application- �_ : ^ :: g ., em , '----:---..-7'-,. ., .--;:`, , Valuation: $ New Single Family Detached Construction Existing building area: square feet New building area: square feet ` tea< ,,�f:IZ eT:;,3r:; . 7t:R!;: .Zl `Vf Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 E 13`h StreetOccupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing. Phone:(360)695.7700 Fax(360)693.4442 New: L , ,€z. ' 4 ,.- ar N� , F"'G V ,V- _ 7 - was -t7,..7 .rf r.vf:.- ;',- =" T'-i 7 Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109 E 13th Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received_ Phone:(360)695.7700 I Fax:.(360)693.4442 0 E-mail:maggie.gordon@polygonhomes.com :1 '. ,,,,� Commercial and residential prescriptive installation of A �"? ' '4 '4:: r r� p '� L roof-topmounted PhotoVoltaic Solar Panel System. Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:109 E 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver,WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: S201.60- Authorized signature: V , This permit application expires ifa permit is not obtained within 180 days after it has been accepted as complete Date:12/11/15 *Fee methodology set by Tri-County Building Industry Print name:Maggie Gordon Service Board 1:\Building\Permits\BUP-RESPermitApp-doe 02/24/2011 440-4613T(11/02/COM/WEB) • , , -, I Mechanical Permit ApDlicatit E I,U' I OR 01 1 It I. 1 N1.()ZL1 ^� City ofTigard EE) Received Dateiey: R..:uit No/11,5,76/6....00✓! 4 III 13125 SW Halt Blvd.,Tigard,OR 97223 Plan Review r: Phone: 503.718.2439 Pax: 503.598.1960 FEB 0 3 2016 Date/By: otber'Permit: t: t,t,7 Inspection Line: 503.139.4175 Daae Ready'=Riy: lurk.' 6d See Page 2 for (ntetttet. Www.tkgardElr.gtlY ci-r' OF TIGARD }:aifiedtmethed: 5uppkmeatatinformation Mechanical permit fors"are based on the value of the work El 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 a x� Value:S yyyy kA « .rtptea t ,e ;� r ,,,,,,,g...,,,,,,-, - .,,, . a ��-40- -f .,.. ; �: 1„ ; µ " A. 121 I-and 2-family dwelling 0 Commerciall•industrial 0 Accessory building Far special infarnuaien use chac*IIat []Multi-family 0 Master builder 0 Other. Description Qty. Ea. Total a4. Ntttiapfcooling .� ���.. : - . � ` n it txtndi inning / 46.75 Job site address: 1 U�v `ai`-e Furnace 100.000 BTU(ducts/vents) , 46_75 , City/State/ZIP: 1\ C)111. 0 Furnace 100,000{BTU(ducist�'rnts) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:River TerraceDuct work 23.32 I Cross street/directions to job site: flydronic hot water system 2332 Residential boiler(radiator or t hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall.in-duct,suspended,etc. 46.75 _ Flue/vent for any of above , 2332 Subdivision:River Terrace 1 Lot no.: l_,\l Other 23.32 T Other fuel appliances: , Tax map/parcel no.: Water heater . 2332 m _ i i >' t ......4--....).1-'"'*..---- c R , , Gas fkreplacelinsrt 33.39 .ta,._, .e. _v. ,.. ,,.� - Flue vent for water heater or gas 11VAC t fireplace . 2332 Lag Vintner teas) . 23.32 Wood/pellet store i 33.39 _ Wood fireplace/insert 23.32 nevllincr/fl ent Chem uely 2332 Other 23.32 .1. C'!. 6:1: ,e ,$ x .. - ' _ y , , Environmental exhaust and ventilation: Name:Polygon '. Range hoodlother kitchen equipment . .. 3339 Address:109 E 13th St.Suite 200 Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms. City/State/ZIP:Vancouver,WA 98660 toilet compartments,utility rooms) 2332 I Phone:(425)586-7700 Fax:It ) Aitickrawlspace fins 23.32 `r` :ta i54:-.71;!,,,,!.$41,, O her 2332 ;. .. Fuel pipit: Business name:Apex Air LLC 514.15 for Last four;34.03 for each additional Contact name:Stahel Nay Furnace.etc. Gas heat pump Address:2210 W.Main St.Suite 107-272 wanisskspendedtunit beer City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)3424109 k Fax is(360)326-1769 t=tireplaec Range E-mail:stacib®apexairen.com Barbecue .i 4 is o A. Clothes dryer(gas) _ r`3. �. fir,. �.- & Business name:Apex Air LLC ,p4' a .1,.0,:r: g y, I Address:220W.Main St.Suite 1.07-272 . . Subtotal City,/State/ZIP:Battle Ground,WA 9860414nnimnurn permit fee(590.011) Plan review(25%of permit fee) Phone:(.360)3424109 Fax::.(368)326.1769 State surcharge(12%1 of pertktit fie) ' TOTAL PERMIT FEE — .- CC13Iic.:203034 .if Thio permit application expires if a permit is not obtained within ISO r days after h bas been accepted ax r�tntptet t Authorized signatu . r.' f- r Pet methodology'set by Id-County Building Industry Service Beard Print name:Staci hat f Date:1/28/2016 I'+ks+it a ltsiMEt£ermit tpp f34at 13 doe 440-4417T{I t:R"i"•.FCfat4.?<i'[B1 r RECEIVED l C3�caI I ll"1 Lbl 1 ` �> r¢ ' Q 2016 ;� w 13125 8%011111344,Tip OR 97 7 t7asiitvlaiv waft, P,'C',4,...,14.-.4:&1r �`"" � Pirml0 5°3718.2439 Fdor S 1GACTeD s: Related Permit R • �,`,ttD tion Lille 345.63 Rcadl I]atdBy: r W Grgant�nr )ILDINC; DIVISION ,�«! > e z� rau- Sopploweofor rofermut€en N>lv-sxutstflctban Q Adtcialraltterst£t3tilre(d F' BCBtIIetEE Fleasts5aekallGafadjTsuhm&2sFplaruwJ:iegrscheckaat: j�DrxoolIhrut 'Otirer' - LiSerwcaartceder400amp*ormere ClBwtdimsewer Show stories. I. e avhcm Meavm•able reekerorent ,13AT a0�(t aJ 3:01S11211.0aTf�!)iI 0Flarrnaxamtdik5s- *. r - exceed*1aa„upset t54 tions or '.[i Flcatio;lsu�dings. < i-and3faaai£ydtveiling fl Cotiaiirerclallindustiial ❑Aevesaor building res*loRroandorezceer/si4�o )1t•mmeraiat-asengrcati9rai QlvtnNttamtly Ql4lasterbn£tder owner-Feu tmiteling*.. 0 Other CJFir pump.: E3 lertaihdicucri RKYAor j 'JO$, Tt'inti O*ALI.tIIOP4 AND L61„A TIQN t] mcr ae ' dab t+: oon?or more. Yob site address: y 0AddlOwa anew motor load sys sapaietetp dweed i' CItY/Statera):Sherwtrad Olt 97140 t •' `" ~°l"' ice ) Sixarm+mrosidaafiatuaUs oP pt?'sst_';. 1 113da1W care fadnfiet 171lsasahoaat vehicle parks, Snitr/bldg.lapt#: l Project name: L1lna dwatooafron*. 13sanely vo]tage6rmarerlian, Cross streethlireetians to job site d Ssn;ca Drfcader60a maps or rrwra . 6a1a volts rwaaaaL BCCI " weiStaUoe I tits. 1 Fat 1 Tiu 1 . New residential single:or matt)-family dwelling unit Subdivision:River Terrace I Lot if:4 Lo rnelndes attached garage- Tax maplparccl it: I,aQttaq.ft or fess 168.54 4' DESCRIPTION 01?WORE Ea addl.500 sq.ftt..°roottiee 3392 1 E!*rtdd energy,realdeRtial New Single `amtry (with abovesq.114 25,40 s Limned anew multi-fovea). T5 00 2 resided€lat(udd)above sq.IL) •- = P ii>Lm,,€3t - 4-•-i:•1'G.,.... 1T Renewable Ee y II SeePage 2 j • Name Polygon Reales $ecvices or fee lers instntlation,alteration,md/er"retocation is 2.00 amps Or le a 100.70 2 Address'109 E I3t St 241 amps 10400 amps 133,56 2 ItyfStalctLtP:Vabicouvev WA 9SG6t} 401 snips tob44ntrfps 200 342 601 anrpst01,000amps 301.04 2 ; Phone:(360)695.7700 1 Fax:( ) Over i,±30*amps orwars 552,26 2 '' Email; Temporary services or feeders installation,alteration,and/or Owner installation:This installation is beingmade on propertyMoe/diem intended for sale,Cray rentg Sthat r awn which is not' 244 snaps or less 5936 1 e; r, or exclan q aocordi to ORS 447,449 670,and 701. 201 amps to 400 amps 725.48 2 Owner signature: Date: • 401 aanpsto599amps 168.54 2 +�,,IPtLCcAy ©CONfACC I'EIISflN Branchrarensts'—new,alteration.orester/slim 'erpanel Business name Garner Electric Washington,LLC A.poo rorbranchrirari#s n/ abovesenece or Feeder Re. Gbnlact rramr;$i1C Daniels each branch cirrmlt 7.42 2 B.fee for branch cireniolemma Addles:6101 NE St Johns Rd serslca rirfeenerfee is t 56.18 branch 6'1214.1kC£tylState/Z£P:Vancouver WA 95661 Each add.]branch circuit_ 7.42 2 Phone:(253)3204657 hTisec neer•a(sen4eeorfeedernotIncluded) Fay:( ) EachrnanaFaeturtslarmodular Email:bdanlels®gweuse.eom dwelling,scavlxmnvorf«s1a 61.84 2 Reconnect Oil17 57.54 , CpNTjiAG3 2 € • Pwnp or-irrigation circle 67.84 2 Business name:Garner Electric Washington,LLCSign oroaxifneliglitiag 67.84 2 Address:6101'NEStJohns Rtl Swell. s)orlimrsed-energy Pallet 2ftmatioa,orextension. [13eePfige2 2 GitylState lAp:Vancouver WA 911661Sic*8ddidona)Inspection over atonable In any of the above PI Additional inspection(1 hr info) 66,2f/hr Phone:(253)3291657 (Fax:( ) i wisagadan(1 hr min) 90.00tl' Email:bdanielstgtyeasa,com indtajratplant(1Ivnrio) 78.18dbr CCB Lie.: 01158 f Electrical Lie.: 208174 ' I Super.Lie.: 44965 Inspections thr wbich1i mtu)s aprirpllY (S's7ffmin) 90i10dhr Supe.Electrician signature,required: (-' l r >< IthioT1 .rS Print name: Joan PAlbert sabiolal: " I Rate:t 1 Ci Pian Review Required(25%ofpennit ibis): $feta surcharge 1241 of ' 1 t gb(. palmic dee): I Atnftorized signature; 7YYrALPERM1Ti?S C J Date: �,1� 4J l Accepted�aefablainMaiEiln 180 1 Print mune B£tt Daniels ) d dd permit apploarem pafW ft hes burr, complete. 1. € 2:Ssa3d'sVlr�am�sffiECaoaAl4.P 1E.dw a++ostt7.2oLS 4m"6 ' NamberariaspaidicnsaUowed paam"t. 6tSf{f lAtsrCa3vwEp I I i P r : I ;i. . ,...„. ,,, i `P Plumbing Permit ApplicatiflVU ' ,-.4-----, Building Fixtures City of Tigard NOV 3 Z016 Received 1• 1., 13125 SW Hall Blvd.,Tigard,OR 97z2,3 , Penult N°":/1-02 /6-cVS7c.„ Phone: 503.718.2439 Fax: 503.590 , ! , other Pennit No.: InspectionLine 503.639.4175 _ ,- .r,,5: Date Ready,sy: Jerk lig See Page 2 for Internet www-Itard-01-40v 13t111,.„:;,if,c,, ,:J,, , , ,,[..thINodfiedimethod: Su •hunantal information ''''-'--•-.; -:44- '; ;=7'..:-.,-°:'-tv.,:-::'t:;40,4):4's'-',',i-ka!,.).-',4-fg,4",t-'4•7' ---,t--.41.--,4,',••'.•,-,:=5.(!*.Y..-4;ii ?,.'Z't-,'-'''.1-1.-W•.;--..-'9'.,.4"'%°::,,,i4;-:.'':---,--ItiL2.,::4'?'--"--:'7.t,..-=-X1:-..zFt4i,:'-17.7,74.444 C4 New constmctkat El DemolitionFor special information ace thealist. Description I Qty. I Ea. I Total 1:1 Addition/alteration/replacement 12 Other: New 1-2-family dwellings(includes 100 R.for each utility connection) 117;'''''''--7-325 ::::76--:-:''-'74';':`°;''''.01:'r4:Zir 1''''••• ••-i 0 i";,-0:(E'2,-Zt:c&-.; -. .6i-'-i,',',,%;, ...;;;;......7.• SFR(1)bath 312.70 ,...,.. •.- 0 1-and 2-family dwelling • comerthavinthiguith SFR(2)bath 437.78 SFR(3)bath 1 500.32 El Accessory building El Multi-family Each additional bath/kitchen 25.02 El Master Wilder El Other: Fire sprinkler ____sq.ft.) Page 2 --.:;,-4'.,-',1-:•?..! ':?:-''-.....„-..-..--f4'ffi+,••"-1,r77,-1.-c:TN.,•::',71•31-'176 - -1,91--7-0-a -----1,-3-'4i.:•,:tv.,:,---,'-,ec,",;,--,, Site utilities: - , - • - - -•••• --'"---.'-"4'''''''''''''''',-.- 1 t-L';''''''' ,U.S.A.,,i,''`''.'; ',',.. • -r".=::.:43.-Ir,:r: Job site address: n 2id I S\/\.1 c)r ax.1,t_a_ LiAlv2_, Catch basin or area drain 18.76 Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Northwest River Terrace Miumfactunx1 home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear it:_J Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear 11: ) Page 2 Subdivision:Northwest River Terrrace Lot no. l _ 4 y Fixture or item: Tax map/parcel no.: Backflow preventer1 31.27 iiuiv _ a 12.51 25.02 A fi i nrit, Dishwasher 25.02 Drinking fountain 25.02 4eetorskannp 25.02 '..5 .:::,..;',i::7-<,;'%f.:0-)1;:77:4j-cjifiY'Rig-iit7;rit:. ,,j,7';',i`•-'.'et..3. ,•:;-iNI_';‘4:7,, Expansion tank 1231 Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sink/hub 25.02 Adtiress:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ---:-:'Ir.":'::.• ,.•.:',`' ,,,, '-i:::7-c-::',5•-q'.--7'.,,:',1;:si.':-.4'1.:i * :I 1:h:.:,..:,-,:::•tfii--..--,-,-,,,i::'-'z,=,•.'`'.•21f,,,.. IntercePtorigrease trap 25.02 Medical gas(value:$ ) Page 2 Business nam.=William Lyon Homes,Inc Primer 12.51 Contact name:Angela Grajewaki Roof drain(commercial) 12.51 Addresx 109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax:;(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 &mall iingehLGriljewski@polygonhoines.cons 25.02 Waterbeatar 37_52 Business narne: 64-.1 tIA, . wt.cv--SaAr r_P.Ae.--- Water Pining/DAN 56.29 Address: p.O. 6,0x, 01D. Other 25.02 City/State/ZIT'. 5T. e 4-04 0-et- q/131 _ Subtotal Ph°ne:(Sol-•Ste- 1411 Fa=11 -70.1-.r.rr - Minimum monis fee: $7230 ISO days ot aho CCB Lic.: 1841312,.._ Plumbing Lic.no.pb igyl ___ Plan review (25%of permit fee) Authorized signanue: :hatt r)Wfifr' '---_ State surcharge(12%of permit fee) Firint name: sq.tut. tyke_ Dates_36_4 tpeappaon a pe 3 TTOTAL PERMIT FEE his rmit lictiexpires If rmit is ndned wfthin after it has beta accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:1.13talErrePemilsIPLARI-PecoitApp.doe 10Kti/09 44046161(10/02/0:04/WEB) g' .16 City of Tigard p COMMUNITY DEVELOPMENT DEPARTMENT ih T I G AMR D Building Permit Review — Residential Building Permit #: /47,5 /t - tip. '7 Site Address: /92( / ,SLO �, 2/ / 2 _. Project Name: ZUer /-,- A or- C.tzs/ Lot #: 1-71(to (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /140 , le v erify site address/suite#exists and active in permit stem. V River Terrace Neighborhood: ❑ No V Yes,See River Terrace Review Addendum Attached Sit Plan Elements: I /Three(3) copies of site plan isting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structureg decks)structure(including with finished rawn to scale(standard architect or engineer scale) .or elevations orth arrow Iti tility locations(required for new,may apply for additions) ite address,project or subdivision name and lot number �JII! cation of wells/septic systems f ? Vpplicant information(name andphone number) �1!I ting trees to be retained with drip line,and tree ot dimensions and building setback dimensions fotection measures Lot area,building coverage area,percentage of coverage and reet tree size,type and location npervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations (2 foot contour lines if more than 4 foot differential) O :lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): /kequired: LI Yes,applicant was notified LNo Received: ❑ Yes ❑ No Ild Public Facilitie mprovement(PFI) Permit: Required: V Yes,applicant was notified E No Applied For: PP /Yes ❑ No,stop intake ,lA and Use Case#: i �� o"ZQf j= )\�1� " ser f/s-cryeyi Ua7oning: — /Q ,U) :�Y UQ Required Setbacks: Front Rear 0 Side Street Side Garage Pr/Required Requirement: ,QQ % �� g �� VZot Coverage Maximum: ? —0 cyo Building Height: Maximum Height 04 Actual Height os--'6,,B IJ, 4 isual Clearance 1I Easements r/ 0)ensitive Lands: ❑ Yes lj�d"No Type Urban Forestry Plan ❑ Conditions "Met"trior to issuance of building permit Notes: eekl �Sl . Le Mei- pvr-- 'A ria- ) ,..S74.?/IC.ca Approved By Planning: 41111 """.. ' ice,/ Date: . 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\BldgPemutRvw RES 091216.docx 0 ti Building Permit Submittal Original Submittal Date: 02-/3PS" Site Plans: # 3 Building Plans: # 3 Building Permit#: ®''Enter building permit#above. Workflow Routing: a-Planning [iLEngineering Er"ermit Coordinator ELBuilding Workflow Sign-off: C3' Sign-off for Planning(include notes from planning review) Route Application Documents: El 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 4, % Date: ./.;2/ 3./1A., .. n,sans.; d, s a Engineering Review __— Slope at building pad: /f •-------- --- ❑ Conditions "Met"prior to issuance of building permit_4/X / ❑ Easements (encroachments)per engineering conditions of approval and plat �B" 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 Approved by Engineering: Date: Notes: Approved by Engineering: 4/ j7 Date: ,7 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 RECEIVED ❑ Conditions "Met"prior to issuance of building permit FEB 0 3 2016 pproved,NOT Released: _ otes: 61JUUS NG D V) cON Revisions (after Building Submittal only) Sy1/4 `I S0 Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: . ,r/�" Jr' /` Revision Notice 3: Date Sent to Applicant: .t.., G L ‘ 24,0 SDC Fees Entered: Wash Co Trans Dev Tax: Vii.Yes Tigard Trans SDC: 11- es Parks SDC: Yes K to Issue Permit �,� Approved by Permit Coordinator: /✓%VQ D-ate: ii) Oil?-- I:\Building\Forms\BldgPermitRvw_RES 091216.docx a, City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT III C r 1 c A R D River Terrace Building Permit Review Addendum Building Permit #: 7 0/6 .- &2S7k Site Address: / Q / $ n 11 Le Project Name: jiuV..e,� 1 „ Lot #: _4L , (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist4li Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?VYes ❑ 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. ft. dee Balcony w/ access 2 Window Projection Vertical Wall Offset a p 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 each street facing facade must include windows or entrance doors. Percentage Shown: i. a C/ 3. E ances:At least one entrance must meet both of the follo g standards: ax. 8 ft. setback from longes street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No Is,all the following apply: sq.ft.min. lL mne street facing entry . /12 ,� ft.max. roof above floor of porch f� 5 ft. depth min. 1a 30%min.porch roof coverage 4.fetailed 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 ❑ 'ecessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches 'P p ormer min. 4 ft.wide Roof eave min. 12 inch projection 7, ' .of offset min. of 2 ft. ❑ Roof shingles either tile or wood I/. Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑yorizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40% of street façade VWindow 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 . • . • •es and Carports: May face the front or sidell t line on a corner lot. Setbacks: I No closer to front or side lot i -, .an longest street-facing wall. ❑ -: 5 o. If No (Check one): ❑ May extend up to 5 ft.if there is a covere. ?• .orch • . garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is .. - . a two- .- .uilding and there is a window at the second story above the garage that faces the stree a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foo .'se garage door ❑ 40%max. of street façade 1%max. of street facade with 7 detailed design elements Notes: Approved By Planning: l " Date: /%///e I:\Building\Forms\BldgPermitRvw_RES_RT_o62216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17261 SW GRANITA LN, SHERWOOD, OR, July 19, 2017 at 9:37:12 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00576 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17261 SW GRANITA LN, SHERWOOD, OR, July 18, 2017 at 11 :28:46 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00576 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 40 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17261 SW GRANITA LN, SHERWOOD, OR, July 19, 2017 at 9:39:06 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00576 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17261 SW GRANITA LN, SHERWOOD, OR, July 19, 2017 at 9:32:50 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00576 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor