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Permit (52) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00014 T j GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2017 Parcel: 2S 106 D B 13600 Jurisdiction: Tigard Site address: 17456 SW FOREST HOLLOW ST Subdivision: RIVER TERRACE NORTHWEST Lot: 136 Project: River Terrace Northwest, Lot 136 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 978 sf Basement: 814 sf Left 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1251 sf Garage: 368 sf Front 8 Smoke Dwelling Units: 1 Third: 0 sf Right 3 Detectors: Yes Total: 3043 sf Value: $365,690.59 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Bckflw Prevntr: 0 Catch Basins: 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'I 500 sf: 5 201-400 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group:Y Square Feet: NEW SF VB R_3 3043 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 Fire Rated Eaves-Both STE 1 Sides SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $34,125.62 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 9 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �C 'iGekia( Permittee Signature: CL� a [L�G� 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. --0—,;'(—' t -1 Building Permit Applicat•i o , " `` ' U /3 ice' 1 , Hi_.r" f IA FOR OFFICE1SEO\LI City of Tigard Received C //7 476.7' vi`1 . /7-- O/9. Stijl'ilill 14 ��, 'd ,� a{e+� DateBy. / Permrt N.: 13125 SW Hall Blvd.,Tigard,OR i f' t t plan Review ff ' qq��11 ti Phone: 503.718.2439 Fax: 503x �p a �''! Pan Rel /- � 8-) c pe J� / 69e,C1/=? Inspection Line: 503.639.4175 q'..' ` Date Ready/By: ��� auris: H See Page 2 for Internet Eine -or.gov Notified/Methodv` (/f Supplemental Information 4--7iiefG 1A./6-/ ' e ,� .- xt wr j '-s - -r—r c -sr s�, za �G..,,�x:�. ' ;,, r �� £ - ro;; ®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 �� 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the ' work indicated on this application. .v �" E� 3i„�c�,,..c �^�t�5 _,F�k�.r'a.,w.A'. ,+ ds 9. j� � �^�^ Valuation: s3/I1' ✓ ' �3 b J "4973 ® 1-and 2-family dwelling ❑Commerciallmdustrial �r +r, ` ❑Accessory building 0 Multi-family Number of bedrooms: L•`� ❑Master builder 0 Other: Number of bathrooms: 3 1'7 7 xT A; s r � i qa ;&, t : . Total number of floors: —) 14 Job site address: 7 , it ' \t1 _ New dwelling area: 31y1 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area:"Zki$ square feet Suite/bldg./apt.no.: Project name:Ri .tr.-' . NW Covered porch area: ib ;quare feet Cross street/directions to job site: Deck area: ' it-1 square feet Other structure area: ii0Kquare feet ;')Fri-4;I mo i": c;'a Subdivision: / U ' k Lot no.. ', 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 �P P equipment,materials,labor overhead,and the profit for the -, - -; � fei- T,,,,-,,, - , �7 work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet V - fi tPC:',/'.:::-:. '' �..:_ ,r,. • 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: ' t < ;lin,- ( + r �z ; : �t'4" ����;s1tk=3"3§� sa" 7 r MT161;P: 6,,, 67-777g: ���7-2's, .,�:. Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Gtajewski FLS plan review fee(if applicable): Address:109 East 136 Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) ix •I (1)''F ,-: fig , ,r, , f EmailAngela.Grajewski@polygonhomes.com - - -.-- - . _- - ._- 1 : Commercial and residential prescriptive installation of � � � � �� , s ,:4, �v,,� : ' ,, .p, , �2, ,,,, - roof-top mounted Photovoltaic 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 lic.:207247 otaeeue upon application: Authorized signature: nC This permit application expires if a permit is not obtained 14✓ f��PX within 180 days after it has been accepted as complete. Print name: _ Date: *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPemritApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) RECEIVED Mechanical Permit Application IIIIIIIIIIIIIIEIIMMMMIIIIIMI City of Tigard AN 17 ?Jill ge°'''vcci- Permit No: Rotelly: ,_. 13125 SW Hell Blvd..Tigard.OK 9721.33 ' Plan Review Phone: 503.7183439 Fas: 503.5913.1Act„, ,,- 41,1.1 t(1 4 14#1 Dually: Oder Permit, Inspection Line: 303.639A 175 t....„1 I 1 tre I..11.5/1 Rif Dm*Ready/sr . I id StePagr2for .-., Internet: n•ww tigard-or.gov ,. ,,,-.. .,,,,.--,,-....-,v.,Noti6ed/Methat Supplemental Incorniatien BUILDINs_, 2dVisityN ..,;*,,,L..,-1.P„.41:4.2*.,_,,Dlit,. .. ..f ii:y..11-:(-Q;;;I..vrii.,..,,,,,,t,A.,1:1--4-t.1,,:,#A.:Afii,, ,,,...,,,: 40%16 *i*Jggiii—ft:,2',..._;•'-.--sz,L7,.fi•I'..::'7,'-:-.r,‘",i.`,,„:,..,:i, ••••";4' 4,„,.,:"- Mechanical permit fees*arc based on the value unlit work IF14 New construction LI AdditionialteratiOnfmplacement performed.Indicate the value(rounded to the near=dollar)of all 0 Demolition 0 Other: mechanical materials.equipment.labor.overhead.and Profit. Value:$ I:::,-;:ii-:•"`4,t-^Agiitf.:7144':::',.'11!;14-1-ATS: - 'TA'. ‘ t‘i:::.,tr.. t,t-L,4--'---:1444';...:..,'''''',;;":4,. '.'„,,t1,-.1,;10,1-.4:r.v., k(,-,'40.3****001*Vie, CI l.and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedaf Information sae checklist. ID Multi-family 0 Master builder C3 Other: Description I Qty. Ea. { Total ,iii...,4,..,„_,4:x.4%,1‘;-:;,..W43•;-:-'="4,"':r Pi''.4 r,14,—,11'f:,,,,C,'i t iii-C-t:', k";'..k: *='c;'--''''''''':- .S59F...,' " Heatinrit"iiiirl 'Y 7i;e..«,.-.V.,'S.,.7...-"--.1‘z"."''',-,,,,,,,..,4-'-.1.-,..,,,), ..,,,,•4--.4.1-.'t,U-,-Z..4,,,,-,. -4,,,I,..;,;Al...,, '.."'4'7"-.1..,-.. ,,1-, Air conditionint I 46.75 Job site address; 17 , 5v\I es-I tib)kni 5t Furnace 100.000 871.1(dtiastvems) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+811.1(dectsivento 54.91 Heat pump 61.06 &Ale/M.5API'n°'; 1 Pmjeci name:R.0r lernire NOrtivAlair- Duct work 23.32 Cons strectidirections to job site: H3rdronie hot water system • 23.32 Residential boiler(radiator or hydronic) 2332 Unit healers(fuel-type,not electric), in-wall.in-duct,suspended.me. 46.75 Flue/van for any of above I 23.32 Other: 23.32 Subdivision:glikr-Teileact, ishatwjeft— Lotlux:I 3to Other fuel appliances: Tax mapfparcel no.; Water header 2132 - ',.e,•3', ..".:.;''':', .,4'4:' ' .- G"fircpiwleiinsmt I. 3339 ' • Flue vent for water heater or pa fireplace 2332 Log Oehler(Ras) 2332 • Woodipelletstove 33.39 Wood firtmlace/insen i 2332 Cbirnnevnineellueivent 23.32 t'i.'"'-"2,,"'':'''',"%,,.'.. l'')',--i'f'17‘,,'-'11k:',..`i-rl,''',','•'- ':•4 0 '1.-Z11"^7'.,";+,',".:',.::;:i:7 7i-p'-';'i'""`P":-.:‘-÷V,*:',T',=A- 2332 ,...4-0 -_ , .• .N...4,-....3...",... ,,, •,..,-.,, ,,..,,, „„„„_" ,.7-,-,-,%,,,-.,,, -,.4,-.;",-6 r!.r ,, %.-!,,') Einkortoltursi exhaust ond ventatom: Name:Polygon WILELLC Range hood/other kitchen 1 equipment ' 33.39 Address: 109-Rest IP Street • Clothes dryer exhaust 33.39 — City/State/ZIP.Vancouver,WA 911660 Single.duct exhaust(ii;throonts, toilet compannientsutility rooms) 4 2332 Photicz(360)6954700 fax:( ) Attichaawlspee fans 23.32 23.32 Pad pipipv. BusinesS nom=Polygon WLH,LLC 51435 kr first four;54.03 for r addithrosi Contact name:Angela Grejewsld Furnace.do. Address:109 East 13th Street Gas heat pomp WaWstispendtatfunir heater City/Statealp:Vancouver,Wit 95660 Water heater Phone:(360)695-7700 I Fax::1368)693-4442 . Fimolaes I Range 1 Email:Angela.Grajewski@polygorrhornmcom sathcaw Other Business name:Apex Air LLC .?..4.1-t:r Ein:42. . ,41',,,7;Z.::1,3 Address: 15004 NE 72'4 Ave Subtend City/State/ZIP:Vancouver,WA 98686 Minimum permit fee(390.00) Plan revkw(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 Slate surcharge(12%of permit fee) CCB lie,:203034 TOTAL PERMIT FEE Authorized signature' *Thre.e e permiteteodaPettPogyie:Iire7biyt7Thaarik:outibeeill:altyaccePtangji isasTnnstd7totstrybl*PI:Servite71"celarin 1d8t1 Print admer-T I et. 1 _ Date: 4-II-A. I , torz/.._____ i k8uillit914ftWAISANIEC.,PaketitAtp&MI Lid= 440-4617T(I 1/112/COMAVESi 1. III City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: S 77,7e,/7 — 0 00/�� Site Address: f'- 540 SW Tcce - i}ol1Dv.) Sr. Project Name: . '4er T xra.c e ND+l y est- Lot #: l 30 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: JCV Spy Nt Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: El No NI Yes,See River Terrace Review Addendum Attached Site Plan Elements: , Three(3)copies of site plan Vetxisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper XFootprint of new structure(including decks)with finished 'U Drawn to scale(standard architect or engineer scale) floor elevations NI North arrow XUtility locations(required for new,may apply for additions) vi Site address,project or subdivision name and lot number MiLocation of wells/septic systems Applicant information(name and phone number) WExisting trees to be retained with drip line,and tree of dimensions and building setback dimensions protection measures 4IN1.1,ot area,building coverage area,percentage of coverage and :Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) XStreet names Property corner elevations(2 foot contour lines if more than 4 foot differential) Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified gl, No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified W No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: B)R25—p( )C Zoning: 1?-1 (A'(') Required Setbacks: Front S Rear to Side 3 Street Side N/h- Garage 7_0' '6r Landscape Requirement: 20 TE Lot Coverage Maximum: 8 ) % Building Height: Maximum Height N/-Pr- Actual Height t 2ft Visual Clearance Easements )54 Sensitive Lands: ❑ Yes V No Type 4.14 Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Cordrhols *1M toe ene--F- pfusr -tu (gSyta n Lc Approved By Planning: Date: 12,1 24 lice Revisions (after Building Submittal nly)) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_091216.docx RFCEIVED EIectrical Permit AoAIicatiouFOR OFFICE USE o'1.v- ,i AN 1." '?017 City of Tigard Received lit p; ✓ 13125 SW Hall Blvd.,Tigard,O 4` t r Phone 503.7L8 2439 Fax 505 lfi� �' �p =� �°'�RC7Q°° Inspection Line: 503.639.4175 ;j ,rr r, R >„Related Fermat 8. 2 for TIC'Is i:D. hdeIDet wPrwtigardor.gOY BUILD".aI1"? . NISI( i N� j5applsmm0 Sea hlloformsbn ' .^7', x 4-4 ;1 .r!.,� ??.i'r'.'' ,.` '4 * ',:t-F-4.414, s"-x:;: '4f41 4.11:a'2 •'01tn _ ®New construction 0 Addition/alteration/replacement Please c all tine apply(submit 2 sets of plans wlitema checked): [l Demolition El Other: ❑Service or feeder 400 amps or mom 0 Building over three strides. ¢W Y r) 'Jwhere the avar7able halt currant 0 Marines and boatyards. z , ii,o& [b•i� }.vt 1g�- -E ti:- .y iF,, .r z..,-2.1*--;'4:.Z.:-..-:, exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®1-and 2-family dwelling 0 Cornmercial/iiidtistriai 0 Accessory building less to ground,ar exceeds 14,000 O Commercial-use agrieulural 13 Multi-family El Master builder' 0 Other: ems for all other installations, 1nnaings - ❑Faepump. ❑Ltamllalion of 150 KVAor -f-, 1, z'1 oatitzi a e':,S.-!-Z kr a P. (GJN:1 Pim 1 o'..7...:'1-44-$ F?v. ','.i`' ?`. 1�t'X+ ❑Smergeocy system. large separately derived Job#: Job site addresl7 � 544 3`I �)�St- ❑100 lima of OTO.new motor load°f system. I - tt►viv J ]o011Potaton. 0"A",'$"."1-2"."1'3^. City/State/VP:Tigard,OR 97224 ©Six ormonresidential oohs p�cY p�f. •�^ ©Haaifh••oree facilities. El Recreational vehicle parka Suite/bldg./apt#: Project name: Z. �y .T y OI vume'tDs locations. se:vroa ar feeder foo amu Of or mon OD e volmore thea Cross street/directions to job site: mo-: It ''4 ,A', ii 1 5 r' 1,, ar;,i} :- Deseriodon Qtr. I Red, Total Subdivision:gv,U - Tia A/�/�wal-- ) Lot#:1• ''j� . New residentialttah single- multi-family dwelling g unit. ,y i ✓t,P Includes attached Tax map/parcel#: 1,1100 sq.R or lessA 168.54 4 r ?r° rl 7/ a ror:t a irz ,a n r� ,s*. Ea.ade1500sq.ftorportion 33.92 1 -= C 0,r� 1, .gam' . f _�rf t..., -_ :-V -- Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy;multi-family 75.00 2 residential(whir above sq.ft) rau:,v1,14,1,71 ,+1i97:n a t f 4w4i -1;:4."- ,-' ,s ,.u:t' -, 1,.r,4 sex- tT, t Renewable Energy El SeePage2 • Services or feeders ins(aitatlon,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 �'+� 133.56 2 401 amps to 600 amps 200.34 2 City/State/LIP:Scottsdale,AZ 85258 -601 amps 101.000 amps 301,04 2 Phone:(602)694.4031 1 Fax:( ) Over 1,000 amps or volts 55226 2 Temporary services or feeders installation,alteration,and/or _tel: .. relocation Owner installation:This installation is being made on property that I own which is not 200 amps or lessj 59.36 1 intended for sale,lease,rent,or exchange,according to ORB 447,449,670,and 701. 201 ems to 400 amps ( 125.08 2 OW=Signature: Date: • 401 amps to 599 amps f 16854 2 _ r. ,-s .1..�t � 51.1 . ,-? r""'? "';.,x, #r-'�?i ir; c r: a',} o, ,„.. -47p„,; Branch circuits—new,alteration,or extension, panel .r.n•. .1---''''' A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fa. 7,42 2 each branch ciicuk Contact name:Angela Grajewski B.Foe for branch challis without ' .Address:109 East 13th.Street er tea,first 56.18 2 City/State/VP:Vancouver,WA 98660 Each add'!Latina circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • '.' I Fax::(360)693-4442 Each marnfactwed or modc9r Email'An els.Gra ews duelling.serviceand orfeeder 57.84 2 g f la®polygonhomes.com Reconntet0* 67.84 2 - w - - ,. Pratgr orinriga0oa circle 67.$4 2 Business name:Garner Electric Washington,LLC Sign or outline lighting - 67.84 •2 `«•: Signal el ult(s)or limited-enemyAddress:6101 NE St Johns Rd - pard,al'temtion,or anaasion. O See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr Phone(253)320-1657 Fax:( ) Investigation(1 brmin) 90 oabr 1 Email:bdaniels@gweusa.com Industrial pleat(1 hr min) • 78.18/hr Inspections for'which no fee is 90.001 br CGB Lie.: C1158 Electrical Llc: 208174 Suprv.Litz: 4496S , listed„ '* Suprv.Electrician signature,required: e' j , `� k,_ —- ti._ Subtotal: Print name: Joan P Albert Date: 4/26/2016 (J Plan Review Required(25%of permit fee): l:r. . ~ State surcharge(12%ofpermit fee): ri?: -- ?'t';:• Authorized signature: �' TOTAL PERMIT FEE: .t?:., �' .,—... ---- This permit application expires if a permit is not obt+rined vrithin 180 .Fr ta;: :R.:::f IPrint name: Bill Daniels Date: 4/26/2016 y days after It has been accepted as complete a x( " Number ofinspeetioncallowedper psamit `r'Ms0 C Pecmitapp_i3&ERNdoc Ray 06,172015 44W6tsranoS/COmAttaa RECEIVEI) Plumbine Permit Application Building Fixtures JAN 1 '7 z( l l IIIIIIIIIIIIIIEIIIIIMIIIIIIIIIII City of Tigard a. Permit No.: . 13125 SW Hall Blvd.,Tigard,OI( 2 O19 1IGA ;,) Pl moo, . • ■. Phone: 503.718.2439 Fax:.503.5981 p / SI p�� Other Permit No.: Inspection Line: 503.639.417 II1` � 'DI i'iSION Date Ready/WY: t-oic: 0 Sec Page 2for Internet: www.tlgard-or.gov Nates.lobo : Supplemental Information •1.'1�.t..�lc.yi: .f"� .•�. rye/ ( .�.. ... .l:r ti":.i k nom, LIZE . .y,,;...�.. .. ... j'iX.:,"Y�•. Q ...w'.r. - y 3.w-�. ' _r.OaarOilnpa.:. ef�::r ..�.%f:;n'.ve•� ®New construction Q Demo/Won For special iclfbr rt Ilse Description ( QtY. I Ea. L Total 0 Addition/alteration/replacement 0 Other. New I-2-family dwellings(includes 100 tt.for each utility connection) • • •CATEGORY OF CONSTRUCTION' .. . . SFR(1)bath 312.70 El I-and 2 family dwelling 0 CornmexciaVin dustrial SFR(2)bath 437.78 •©Accessory building 0 Multi-family SFR(3)bath 500.32 fad►additional bath/kitchen 25.02 ❑Master builder 0 Other Fire sprinkler L_,_sq.R) Page 2 ' JOB SITE IINlFOitMATION'AND.LOCATION . Site shiftiest • Job site address:t3J„ /1 Sv4 0 r Catch basin or area drain- 18.76 City/State/ZIP:Tigard,O 97224 Drywetl,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Svite/bldg/apt no.: { Project name: AVtic 1:01/01(4 '-- M3ttufacnued home utilities 50.03 Cross street/directions to job site: Manholes I8.76 1 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 _ Storm sewer(no.linear ft.:, ) Page 2 Water service(no.linear It; ) Page 2 Subdivision:ti_‘IpReLeigtct, a/ wA f Let no.:!Mot Fixture or item: - Tax map/parcel no.: /v /V BatdCtlow preventer { 31.27 . DESCRIPTION OF'.WO181C • : • Backwater valve t 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectom/sump 25.02 _ ®.pROPERTE OWNER • , ' I Q TENANT Expansion tank . _ 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 dose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 - �.AITI:1 CANT a COIeI'rAer 1?ERSON• Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas{value:3 _) Page 2 Primer 12.51 Contact nameAngela 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 Fax::(360)693-4442 7'hbishuwer/shower pan _ 12,51 E-mail:Angela.Grajjewsld@polygoebomes.eom Urinal 25.02 Water closet 25.02 • CONTRACTOR , • Water heater 37.52 Business name:Mabe tidal Enterprises Inc. Watesp'pisg/D r WV 5629 Address:PO Box 207 Outer: 25.02 • City/State/ZIP:Banks,OR 97106 1 Subtotal Phone:(503)324-0759 Fax:{503-)324.0580 Minimum permit fee: 372.50 Plan review (25%of permit fee) CCB Lie.:102535 •Plumbinglic.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: C_....- -•., ITOTAL PERMIT FEE Print name:Carolina Malmedal Date:04125/2016 1 This permit application expires if a permit is net obtained within 180 days atter it has bees accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. L11wldug.P otttsPLMU.PerroitApp.doc 10101/09 4404616t(1e122CONYWEB) r r Building Permit Submittal Original Submittal Date: ' //7 Site Plans: # 3 Building Plans: # Building Permit#: ®—Enter building permit#above. Workflow Routing: Planning +Engineering 'B;I ermit Coordinator LrlCuilding Workflow Sign-off: EL-Sign-off for Planning(include notes from planning review) Route Application Documents: g-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: jrie Date: ,07/ 7 Engineering Review lope at building pad: „�. ❑ onditions "Met"prior to issuance of building permit �j 611— 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 0 No O NOT Approved by Engineering: Date: Notes: Approved by Engineering: df Date: (--,—,/7 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved 0 Not Approved Revision 2: 0 Approved El Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance of building permit Approved,NOT Released: /'4 6ate: )/7 ��/9-- Notes: _Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: RevisioNotice 3: Date Sent to Applicant: ?;3gDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: 11- Yes ❑ N/A Parks SDC:34 Yes ❑ N/AOK to Issue Permit22" Approved by Permit Coordinator: "'Date: /is/r// I:\Building\Forms\BldgPermitRvw_RES_091216.docx II II City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT I T I G A R D River Terrace Building Permit Review Addendum Building Permitti� tit. w #: /47-S-27,2 /� � � ���/Y Site Address: ilLiao -. 0YQS+ i0110,N Sk- Project Name: Zwer TcY race, Nrortrwe 4- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: '7j�p Planning Review of River Terrace Plan District Design Standards (18.660.070.1.); Is the project subject to the plan district design standards? Eg 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. Porch min. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer 1:1 ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: C.5.'l `o 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street facing wall . 'arallel to street,angle no more than 45° from street, Entrance opens to a porch:.porch:K Yes ❑ No or open onto porch If yes,all the following apply: 025 sq.ft.min. �`LOne street facing entry Nr12 ft.max. roof above floor of porch .LAS ft. depth min. gr30%min.porch roof coverage .4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: WCovered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches ❑ Dormer min. 4 ft.wide .Roof eave min. 12 inch projection ❑ Roof shingles either tile or wood I:K�Roof offset min. of 2 ft. ❑ Roof pitch oriented south min. 500 sq. ft. Gable,hip or gambrel roof design ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade '91-Window trim min. 2 1/2tt wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing El Bay ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35dow min. 5 t%or lesse by of street 2 ft. 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.$rYes ❑ 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. ❑ May 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) ❑ 12-foot-wide garage door ❑ 40%max. of street façade Xi 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: AUS / ‘i#_ 11 Date: 1 ` 11 �ZG2.12_6(_I:\Building\Forms\BldgPermitRvwRES RT o62216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17456 SW FOREST HOLLOW ST, BEAVERTON, December 18, 2017 at OR, 97007 11 :36:59 AM Record Type: Record ID: Residential - Master Permit MST2017-00014 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17456 SW FOREST HOLLOW ST, BEAVERTON, December 18, 2017 at OR, 97007 11 :36:16 AM Record Type: Record ID: Residential - Master Permit MST2017-00014 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Water pressure = 45 psi Violation Summary: Inspector Contractor