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Permit (49) CITY OF TIGARD MASTER PERMIT 11''- COMMUNITY DEVELOPMENT114 Permit#: MST2017-00013 T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2017 Parcel: 2S 106DB 13500 Site address: 17438 SW FOREST HOLLOW ST Jurisdiction: Tigard Subdivision: RIVER TERRACE NORTHWEST Lot: 135 Project: River Terrace Northwest, Lot 135 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1108 sf Basement: 812 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front 8 Dwelling Units: 1Smoke Third: 0 sf Right 3 Detectors: Yes Total: 3316 sf Value: $397,470.59 Rear 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays:Y 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 10 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 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'I 500 sf: 6 201-400 amp: 0 201-400 amp: 0 P 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: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: Square Feet: SF VB R-3 3316 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: $34,787.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 4 Issued By: 7 //Y/4/./„�� Permittee Signature: 5r1' dill h�a 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 Application 1 , "` i, i U� S Permit + ' i;t, lla FOR OFFICE ISE O\LI City of Tigard 11F L 0 2 016 Received IL . 13125 SW Hall Blvd.,Tigard,OR 97223 Y �Y / ����- Datem j Permit N S /7 s Phone: 503.7182439 Fax: 503.598 1960 _. `) Plan Review)V ) A . ) pher P d/7,000/e2 Date/By: D T 1 ci,ti R Inspection Line: 503.639.4175l;;?Date Ready/By: auris: See Page 2 for Iltemet: www.tigard-or.gov t ,. '-�'1 lNotified/Method:�/y//7 H Supplemental Information hyss - x - ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the « a w Y" € ' � � 4 ` '`"-;• work indicated on this application. 9-7 41 ® 1-and 2-family dwelling 0 Commercial/mdustrial Valuation: ❑Accessory building 0 Multi-family Number of bedrooms: i4 ❑Master builder 0 Other: Number of bathrooms: 3 , :. � " 1 s,s e ,,:„ Total number of floors: 3 7 �� � � �� tie .� .33163 7 �� .,gpa .z.. �� Job site address: \ .� — ` New dwelling area. ''''50412) square eet City/State/ZIP:Tigard,OR 97224 Garage/carport area:3 e5 square feet Suite/bldg./apt.no.: I Project name:Ri,itr-je,trractw Covered porch area: g5;quare feet J a 9 h Cross street/directions to job site: Deck area: I y square feet) I © g Other structure area: square feet 1 1 a. < 1z 4 *• ?'9tt `3. 'W'. ,"s� `' Subdivision: - """� v-J-TrApr(ce, IQ , Lot no.iS- Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the , ,, , " . : �4,1:: 1,,,,,,,!:P; work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ��� ��'� � "�ng�' lil Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: Business name:Polygon WLH,LLC to ,- & ";" ' , $� Structural plan review fee(or deposit): Contact name:Angela Grajewski Address:109 East 13th Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application Phone:(360)695-7700 I Fax::( ) Amount received E-mail:Angela.Gralewski@polygonhomes.com " _ � ` " :,;:.--1„ �. Commercial and residential prescriptive installation of - -=:-'4_...---‘'..---' » . � ., roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): CCB lie.:207247 I Total fee due upon application: -ized signature: R J„l(1C This permit application expires if a permit is not obtained (// ✓ �j l via within,180 days after it has been accepted as complete. -IP- Date- *Fee methodology set by Tri-County Building Industry Service Board. .nits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) eitECEiiVEi);„,:z.,,, Meehanical Permit Application Railli11=111=111111111111. ,ved ., , . Coli.zsowf,Twitgar,d.d. M Phone: 503.7111.213h4. Ti DR.97223' AN 172 1i 17 PllinkeY:'"‘ .19 "K' s"'"Vrtv-()E TIGARD Da14.44Y: Inspection Line: 503,639.4175 Date ReadyiBY: Internet: www tigard-or.gov 1, , ...., . ..,v 1 Norifienrhtenurch Permit No:. Other Pmmir. huik 121 set Pftv 2 ror BUILDiN,_,Di ISION Supplemental intormariorr , 1—....7-t'',' ta.... '-'-...7.:'.1,47'-,r i:S„::7,,,,-,„'.-7:'4.,)ts,:,`,4•z, :.,''', '''C'' :,--.1,L ,a.,47F.YYCI:47•24.4.44":fggi-, ZI-•Cib-,Wf,I;t..-44,!4:74".r.kv,.v-ep-..r--,..1,,•,5-M-'l' . ' '' mechaniew pcnnn rc„..t based on the value of the work 21 New construction 0 Addhionialterationlreplacement performed.Indicate the value(r)unded to the nearest dollar)of all 0 Demolition 0 Other mechanical materials.equipment,labor.overhead.and profit. latiM"'- '''''.4`..;,:.., ^g--;;„.;-s.,,e**;_y;tt6.;,,f:r4S.'J,;•.;',; t.,,k.',-..I.L...1,LILY.....', .l.s.4,.;.1.:,^;,:,:--N"-.5.4,,..;;wd4.0.--,.--.',-, an-,,c.,--,1:1,-.4..,.yl.,,,,;c t t..,,,..T..,,1 .11,1„g:V,k-../J: -"t ,. ,,2:1,,, •-,,.•.„-,3 0 1-and 2-family dwelling El Commercial/industrial 0 Accessory building For speck!Infromeadon arc acarat El mow-family 0 Master builder Description 1 Qv. I En. 1 Total El Other: , , ,:V:e.jiii..,;V-1,,a'z.wti'j$a- zz AnirearndrSitioninnir 1 46.75 Job she address41 q 38 51,) fires.t itblibof 51— Furnace 100.000 BTU(ductakents1 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace)00.000+BTU(duets/vents) 54.91 ,. Heat pump 61.06 Suite/bldg./apt,no.: ProjeCt narnz Rikkelirrivt Nefrriutut- Dict wad( 23,32 Cross greet/directions to jab she: Hydropic hot water system 23.32 Residential boiler(radiator or bydronic) 23.32 Unit heattrs(fuel-type,not electric), in-walt in-duct,susPeuded.etc. 46.75 Flue/vent for arm of above 1 23.32 Subdivision:m a, T / ct, .at AA.-A.0 1."-- 1 Lot no.:/ ficrOr Other mei spultences: _ 23.32 Fax map/parcel no.: Water heater a 23.32 - ' -,^,'"--:,--• Gas fireptace/insert vem fol.wale,haw or gas 1: 33.39 fireplace 2332 Log linker(gas) , 23.32 Woodipellet stove 33_39 Wood fircplacennsert 1 23.32 ChironmIlinerfilueNent 23.32 itP.--,i--...-., l',3,".1,4"i"X,'''.7.";''''',/^.:"•:'7,;-4. """:.7'.^,-;;,';V4'4 7,1...';f-il4: -1,t, :5,,,-er:tefirt4';'-',%-.:...'-rri,W (*her 23.32 ,f';'-'^.-U":",-.'":,':_i.-,-44._“,-:";7:4:11,5,1,'fq.---;,`.'''--"-.4.-.'t, •P-1,,,,s,,`-!--?:;:'."..L.,..,,-;,::::`a,_4,lz,..,,,-.:1.-..-:::L'.. .-.5,-.1,..cf._ Envimmetitiet exh„,51.,,,,„Atthtfiett: Name:Polygon WL/I,LLC Range hood/oilier kitchen I 3339 equipment Address: 109 East 1.3th Street Clothes dryer exhaust 1 CitytStakt/ZIP:Vancouver,IVA 98661) Single-duct exhaust(bathrooms, toilet compartments,utility rooms) LI- 2132 Phone:06069547W Fax:( ) . Attielmowispace fans 23.32 -)::i ,,,,_ , ,,,,„. , „.:-,,,,„,, ,,,,,,..„,„,,,,, > ...„ „.,,,,,,,i-1:7111%,,;,_:;,-r.,,,,,,:,,;.....r..,i,,,.--t:,,,,-;`,•,:`-'-'7'14..i.,'"..1`11%.7:-'''',`-il ,. Other: 23.32 ::)R....,,I,:.,41:‘'' '1.4T:f,1",.'',...`2,LAtZ.f. :,!',-*:;,`:-.-.LC''.•:--='''.:&f.'1.-A.,.;.;Y%^.L.r.,-'jg1,6.r,g,..''.,I•1,7-,- ,-.;.;..., r..,...A.:....,-...',. -Fad . Business nrane:Polygon Wi...R,LLC $14.15 Ibt fird four;$4.03 for each additional Contact name:Angels Grajewski Furnace.me. ' 1 $ Gas heat Dump Address;109 East 13th Street WaWsumentled/unit heater City/State/Z1P:Vancouver,WA 98660 Winn beater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace I Range I E-mail:Angela.GrajewskirrOpolygonhoinescom swbccv, :' '':?''-}. .- :7 --19-7-7•jr- : -''' i' clothes tinfer(mks) "''':,,'-' ,.,-:..-.. '.:'-f.3-.--....,,_,=_.7212.11:•,z..",.--,:.2.!,,,-/J.-.-1,,,-...,--,....:-14,1›.....,:... -- ..,1,!...-_-,;..--,...2.:t,-.L.,„.,,,,,,_,,,...:4,, Other. Business name:Apex Mr LLC Address:18004 NE 72"Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit the(S90.00) Plan review(2616.of permit fee) Phone:(360)3424109 Fax:(360)326-1769 State surcharge(12%of pamil fee) CCB lie.:203934 TOTAL PERMIT FEE This permit application aspires lig permit is not Obtained within 180 dayF atter it hwt been accepted as complete. Authorize.d signstture• --- * Fee methodology sea by Tri-County Building Industry Service Beard Prim nomer-170R 1 I Date: 4-II-it,.. I - IlEtnlidersereemlistMEC_ParritApp_NW it*so 440-'4tt7(i fin2OM1WS81 Electrical Permit Application -,017 Fo12 omcE USE ONL City of Tigard DFB 13126 sw I1aQ a1va.,Tigard,Ott � � I GA R'� ;��, 1'h>re: 503.)182439 Fax: 503.59 . ntyg , Related Pamrit ray brspection Line: 503.639.4175 Yp p� a T^''I y JA \• ady nata/By. td See Page 2 for 11 GA r www.tigard-otgov �� try ' mod S pplementsllnfonnatlon . :,,: �'� -•�N3 •_y,-.;v:, <?a'''..-.+ ,��= �.�1�C'?.^" 3'�i �°�1.. t-�--^F�*. ,j.�.,rz'��'�'r'., ,�� s-;�.a � ;�..'r'C j`�v �4�t a .�-„s s;r"�•.�;-� ®Naw construction ❑AdditionIs teration/rc lecement Please c1 eek all that apply(sabmft1 acts of plant wlttema charted): ©Demolition ❑t � D Service or fcedm 400 amps or some D Building ova tires slocia. $ y r wheys the available fault current D):farinas and boatyards. '.' r=` s C1 N a at...1,-_5.,5-.7°:°1:11:1:c 5 Es a sl �3;1e�rk(i7� c „,, r-�r a v_ eXceetts 10,000 amps a1 l50 volts or [jFloating bwlthn s p4 I-and 2-family dwelling ❑Commerciai/nidustrla( ❑Accessory building m ground a:exeeeda 14,000 D Cotnmerctal-nae agrieult at Multi-ftsmity ❑A4aStGr builder 0 O > �r an ogtm roamnatioas bn�7ding.. ❑Fuse pump. ©hsttallatian of 1 so xvAor c til .moo go" ;2 r o�aS r F e ; w = DEmetgaacysystem. larg<rseparatelyderived Job#: Job Sire 8ddress ////r��,,�� Caw +,t �.{- D Addirim ofn w motorload of gym. City/Statt/lIP Iii ard,OR 97224 D six or more msidential units. oco�rpenoy. D1iaeUh-oars r t utiea. D Reci ationsi vrUielepadea. Suite/bldg./apt#: Project name:f4 y -T �.-Dl ora toaalioas. D Stgrply voltage inr more thud ��"'V s ©Ssrvloo or feeder•600 amps or mora. bOD vdts nominal. 'ross SfreCt/dlrecttons to job sitC: 3 � r:*h s !Ail�h ;y t ri nasr tgtcc DL,. 1 Each Total /f y/_ y� hlew residential single-or multi-family dwelling unit Subdtvlsion:la \j?4� 17 i&a. G�/�.j[ Lot#:l 1�OCDsq ltorless prng� 166.54 4 Tax map/parce1# .. r ..) - .A..1,� E� �� 5,.-.id-l.k� .._ -s •��fl, +_, Li uteri .tetideaial (with abo re tq.tt.) Lumited energy,multi-family 75 t� 2 residential(with above s4•fl.) Renewable En ��...""::!. 1a o :ti ny'.:7,`4"':--3-Lt-E':1 .'1-a;;' : '-5C,„t'-f- 2 ;t-r-- 20-0:' .� ` - Services or feeders installation,alteration,and,relocation Name:ADVL Land Holdings,LLC 200 amgrs or less i00 70 2 Address:7600 E Doubletree Ranch Road 201 tangs to 400 utraps 133.56 2 401 amps to 600 amps 200.34 2 City/Sl tePQP:Scoftadak,AZ 85258 601 amps to 1.000 amps 301.04 2 Phone:(602)694-4031 i Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders lnstrllation,alteration,and/or Email: _relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: • 401 amps to 599 amps 168.54 2 ., -� t ,y F y-a Branch circults—new,alteration,or extension,perpanel v:Cf-a,.J rif ' 5C 9�C,:_-'- �''-'°., "`"--;? i-r'sY ,t`, ..s s'c3 ,� t 1�� tk.c`''''' �.. �'fl`''i _"''""'-' p A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee. 7.42 2 each breach circuit Contact name:Angela Grejewslti B.Fee for branch circuits withotd Address:109 East 13th Street service her*er 'first 56.18 2 branch ciscnit City/State/ZIP:Vancouver,WA 98660 Each add')branch circuit 7.42 2 (service or feeder Phone:(360)695-7700 ' ' ' 1 Fax::(360)693-4442 Each anaau£a�ut ued or noduiarr not included) Amen.Angela-Grajewski@polygonhomes.com dwelling.servkeandlorfeedex 84 2 Reconnect only 67.84 2 , , Z. _ •- 'w; .---.7--, ,,a _e�F 3._._. v - 2.-•?'-:;.. . -'' = Pump m irrigation coria 67.84 2 Business name:Garner Electric Washington,LW Signor outline lighting 6724 2 4«,„. Signal circuit(s)or limited Address;6101 NE St Johns Rd panel a radios or radsasion. 0 See Page 2 2 City/State/DP:Vancouver WA 98661 Each additional inspection over allowable In any of the above Additional inspection(1 hr rain) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 br min) 90.00/hr Industrial plant(I hr min) • 78.18/br Rtmul bdaniolsegweusa.comInspections kr which no fee is CCS Inc.: C1158 Electrical Lia: 208174 Suprv.Lica: 44968 , ;,,.x._ listed hr .1 t. Suprv.Electrician signature,required; 1 , •• ' - Subtotal. T~ . Print name: Joan P Albert • Date: 4/26/2016 D Plan Review Rsquircd(25%of potmit fee): 0-.: r l State surcharge(!2'/ofpennit fee): .,; Authorized signature:_. =.�- - TOTAL PERMITFEE: :. ' This permit application expires Ifs parmitis not obtained within ISO Ife;'111':-;; Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. #e;ie;:[ A� • :,';VI, * Bomber ofinspections allowed per permit. .. -�iAiituadinePermMELC PenzitApp Etit EREatoc Rev06/1712015 44046157l11N$lCnld/IYb-8 Plumbiw Permit Applica ""SIVE Building Fixtures '2_017 City of Tigard p ;:.e Permit No.: 13125 SW I Iail Blvd.,Tigard ie of i ,t�A Play Review 11 Phone: 503.718.2439 Fax: 503 •. •• may. Other Permit No.: Inspection Line: 503.639.4175,BUIL °,"ap 1''i 7 Dade _ 2 ter Internet www.tigard-or.gov U 1 R�5 11 v s' d SI till keit: s Sec Page- I Taranmalioa ®New construction fl Demolition For'pedal Werntefmn use cFeckT Description I Qty. I Ea. { Total ❑Addition/alteration/replacement ©Other. New 1-.2-family dwellings(includes 100 it for each utility connection) •CATEGORY OF CONSTR.ticTION' SFR(1)bath 312.70 ®1-and 2-family dwelling ❑Conunerciaipndustriai SFR(2)bath 437.78 SFR(3)bath I 50032 ❑Accessory building Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 . ;OH SITE INFORMATION MW IA)CA110N . Site atiilties: site adds 74738 SW 44Z,. tSt Catch basin or area drain- i 8.76 CityfState/ZIP:Tigard,OR 97224 Drywall,leach line,or wench drain J 8.76 Footing drain(�.imear R: _� Page 2 Strite/bldg./apt no.: I Project name: A/t..Y Tota(L Manufactwed home tdilities 50.03 Cross streel/diirections to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear it: } Page 2 Stone sewer(no.linear ft.: ) Page 2 Water service(no.linear ft: ) Page 2 Subdivision: Lot no: Fixture or item: � �Y� Nvrttlw:� • �J� . 31.27' Bae Tax map/pa cel na.: SCSow prevent= DESCRiPT10Td Decimator valve 12 51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 a2'ROPERT'Y OWNER . , 1 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixtur sewer cap 25.02 Floor drain/floor sinic/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/StatetZlP:Scottsdale,AZ 85258 Bose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 :.• Z.APPj:ICANT 0 CONTACT PERSON: Intuceptot/grensc trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value S ) Page 2 Primer 12.51 Contact name:Angola Grxjewski 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 Fax::(360)693-4442 Tub/Shower/shower pan 12.51 E-mail:Angela.Grajewsid@polygonbomes.com Urinal 25.02 Water closet 25.02 . CONTRACTOR , Water beater 37.52 Business name:Malmedal Enterprises Inc Water plping/DWV 56.29 Address:PO Box 207 Other. 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-) Minimum permit fee: $72.50 324-0580 ' CCB Lie.:102535 Plumbing 1:1c.no.:34-276I0 Plan review(25%of permit fee) State surcharge(12%of permit fee) Authorized signature: C„ TOTAL PERMIT FEE ( This permit application expires if a permit Is rot obtelaed within 180 days Print name:Carolina 1Vlatmedal Date:04/25/2016 ! after it has been accepted as complete- .Fee methodology set by Tri-County Building industry Service Hoard. islamf i, pemdt.OPuauPermitApp,dee lwote9 44e4616T(10/oZIcOWWEa) v. City of Tigard IN a COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: Si",? /7 - e)0/„3 Site Address: 114 SW Fofts�- *gam Project Name: 12jer -renme Nv w 4 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: ' Planning Review Proposal: Woo/ 512.— Verify site address/suite#exists and active in permit system. Al River Terrace Neighborhood: 0 No VI Yes,See River Terrace Review Addendum Attached Site Plan Elements: -Three(3)copies of site plan 'Site plan must be on 8-1/2"x 11"or 11 x 17"paper IN:Fooof �xisttng structures on site , I-Drawn to scale(standard architect or engineer scale) floore levationsw structure(including decks)with finished North arrow ,"Utility locations(required for new,may apply for additions) XSite address,project or subdivision name and lot number ipphcant information(name and phone number) �'l.ocation of wells/septic systems "Existing trees to be retained with drip line,and tree m. of dimensions and building setback dimensions E` •t area,building coverage area,percentage of coverage and Stre protection measures impervious area(applicable if R-7,R-12,R-25&R-40) Street tree esine,type and location Property corner elevations(2 foot contour lines if more than Street names 4 foot differential) l' Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ yeS 0 No IR Public Facilities Improvement(PFI) Permit: Required: 0 Yes,applicant was notified No Applied For: ❑ Yes 0 No,stop intake " Land Use Case#: piDQ-2.0,5_ oS .k Zoning: R----1 cm))Required Setbacks: Front g RearSide igr �� 3 Street Side (vA. Garage 2_01 Landscape Requirement: 2D % tg. Lot Coverage Maximum: 8D .12" Building Height: Maximum Height M -Nt Visual Clearance Actual Height 121 la-Easements a Sensitive Lands: 0 Yes Igfil No Type .i" Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: DAV tfitw1S Sieve II 10e n pnw •+t 1scUhhe-t . Approved By Planning: I r-, 4 Revisions (after Building Submittal nly) Date: 2�2� I ( Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw RES_091216.docx Building Permit Submittal Original Submittal Date: /,/; 3/1 Site Plans: # 3 Building Plans: # 3 Building Permit#: 8'Enter building permit#above. C�''�3uilding S S . Workflow Routing: Er Planning E. Engineering 9-Permit Coordinator Workflow Sign-off: a Sign-off for Planning(include notes from planning review) Route Application Documents: 0'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: r0. By Permit Technician: Lre T i, T.�. - Date: 0//7 Engineering Review —$Scope at building pad: .. U / ./ '�� 0 onditions"Met"prior to issuance of building permit d` ❑ 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 Date: I=1NOT Approved by Engineering: Notes: / Date: Approved by Engineering: Date /12:__42_-- _ Revisions (after Building Submittal only) Reviewer 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 > Approved,NOT Released: t Date: ..?/)/?'- 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: (( Yes ❑ N/A Parks SDC: Yes ❑ N/A Mt K to Issue Permit �����,�Date: qitie?,---- Approved by Permit Coordinator: / /, I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A R DRiver Terrace Building Permit Review Addendum Building Permit #: /-7_,C7:20/7 — Site Address: n 3e SW Project Name: 2 Ver T- ace Narnnw-est Lot #: = (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1): Is the project subject to the plan district design standards?X Yes 0 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 ft. deep ft. deep min. 2ft., 5 ft.wide Gabled dormer 0 min. 2 ft., Eft.wide 0 0 0 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street facing wall Parallel to street, angle no more than 45° from street, Entrance opens to a orch: or open onto porch P XrYes ❑ No If yes,all the following apply: lit One street facing entry 25 sq.ft.min. 5 ft. depth min. '12 ft.max.roof above floor of porch *30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: Covered porch min. 5 ft.wide x 5 ft. deep X.Wall offset min. 16 inches Recessed entry area min. 5 ft.wide x 2 ft. deep lir Roof eave min. 12 inch projection ❑ Dormer min. 4 ft.wide tkR 0 Roof shingles either file or wood oof offset min. of 2 ft. 0 Roof pitch oriented south min. 500 sq. ft. Gable,hip or gambrel roof design Horizontal lap siding min. 3-7 inches wide 0 Accent siding min. 40%of street façade 0 Window recess min. 3 inches for all street facing ❑ Window trim min. 2 '/z"wide by 5/8"deep 0 Balcony min. 5 ft.wide x 3 ft. deep with inside ❑ By window min. 5 ft.wide by 2 ft. deep access 0 Attached garage is 35%or less of street façade 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. 0 YesX'No. If No (Check one May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front`'porch ho a 0 May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second sto Fes. above the garage that faces the street with a min. area of 12 sq.ft. ry Width: (Check one) 0 12-foot-wide garage door .X50%max. of street facade with 7 detailed desi� 0 40%max. of street facade Notes: elements Approved By Planning: 41A �'- - Date: I Zq j is I:\Building\Forms\B1dgPermitRvw RES RT°62216.docx