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Permit (53) CITY OF TIGARDIED MASTER PERMIT COMMUNITY DEVELOPMENT II 5Permit#: MST2017-00012 Date Issued: /2017 02/14 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 214/2017 300 Jurisdiction: Tigard Site address: 17392 SW FOREST HOLLOW ST Subdivision: RIVER TERRACE NORTHWEST Lot: 133 Project: River Terrace Northwest, Lot 133 Project Description: New SF. 5/17/17: REPRINT to correct plumbing fixtures to add laundry sink from original plans. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1259 sf Basement: 735 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3652 sf Value: $437,262.04 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 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: 2 Water Lines: 100 Drains: Catch Basins: 0 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 Tvoes Air Conditioning: Y Vent Fans: 5 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: 7 201-400 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3652 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 Geotechnical Inspection STE 1 Required before foundation SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $35,507.04 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 0 R 952-001-"13—e----- 00��0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.3332.2344. [f�- Issued By: 13—e-- Permittee Signature: e// (9-/ 'Ct '// 3 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. CITY OF TIGARD 'n,+rh M •',` MASTER PERMIT `£ _ /7 Permit#: MST2017-00012 COMMUNITY DEVELOPMENT �� a 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2017 iftliF•Z Parcel: 2S106DB13300 Jurisdiction: Tigard Site address: 17392 SW FOREST HOLLOW ST Subdivision: RIVER TERRACE NORTHWEST Lot: 133 Project: River Terrace Northwest, Lot 133 Project Description: New SF. 5/17/17: REPRINT to correct plumbing fixtures to add laundry sink from original plans. 5/22/17: REPRINT to add additional water heater. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1259 sf Basement: 735 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 3652 sf Value: $437,262.04 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: Catch Basins: 0 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<10OK: 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: 7 201-400 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: Square Feet: NEW SF VB R-3 3652 Owner: Contractor: ADLV LANDHOLDINGS LDINGS 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 Geotechnical Inspection STE 1 Required before foundation SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $35,771.62 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 952-001-0o-0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2334�44..v Issued By: .G(+/4 / Permittee Signature: $ ? �iL�,Ivlil r� 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. plumbing Permit APPbC2uli E C E g V E Rmammiimmiumt Building Fixtures City of Tigard MAY 1 7 2017 gmeived Permit No.: Ili ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other permit No.: I Phone: 503.7182439 Fax: 503.598) TY OF TIGARD Dndiar: Inspection Line: 503.639.4175 BUILDING DIVISION Dam Scatty/Sr Uric w. id SeerTfoorrorasatioa Internet www.tigard-orgov NotiSedrMerhod: Supplemental.. '.rasa N:,•.. Demolition For spedal Worn:ellen use eheek&aL ®New construction I] Description I Qty. I Ea. I Total Addition/alteration/replacement 0 Other. New 1.2-family dwellings(includes 100 ft.for each trdilly co> on) SFR(1)bath 312.70 _. -CATEGORY OF CO)e ;IC3'ION' SFR(2)bath 437.78 ®1-and 2-family dwelling I] SFR(3)bath 500.32 ©Accessory budding 0 Multi-familyEach additional batMdtchen 25.02 ❑Master builder 0 Other: Fire sprinkler(ami.I•) Page 2 . • ' . iOB'SITE INFORMATION''AND LOCATION '. . • Site utilities: • ,`/ �y`y�p r Cab r area drain 18.76 _lob site address:' /33671- y� V ! V' ` s r i1 A� �'(� ' ywett,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:&_/pr to rr # rl,r. ... Manufactured home utilities 50.03 v'�` holes 18.76 Cross street/directions to job site: Man11.76 / Rain drain connector Sanitary sewer(no.linear g.:___) Page 2 Storm sewer(no.linear it: I _ Page 2 , • Water service(no.linear a.: ) Page 2 Subdivision:p A/er it truCe. iVortYtv,°, Lot»o.:l 5 _Fixture or item: Backflow pit-venter 31.27 Tax lnap/partael no.: Backwater valve 12.51 ` • D�I4 OF'W';. • • Clothes washer 25.02 0 all UY)A..J I,./i.v' INGI"W �ulshwather , 25.02 Drinking fountain 25.02 25.02 0 TENANT Expansion tank 12.51 ® a I name/sewer cap 25.02 Name:ADVL Land Holdings,LLC , Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch • d Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ:cv,`: Hose bib 25.02 lee maker 12.51 Fax:( ) Phone:(602)694-4031 ❑ CONTACT PERSON Interceptor/grease trap 25.02 • Medical gas(value:5_) Page 2 Business name:William Lyon:oases,Inc Primer 12.51 Cauaet name 4 /k Amite Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/barsin/lavetciY 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Fax::(360)693-4442 Tnb!sbawrs/shower parr 12.51 Phone:{360)695-7700 -�,�yy� /� t Urinal 25.02 E-mail: Mc,hdf£..1//"' I^ IC IU4W14f�/Y)Yr-elle �Water closet 25.02 CON'I'SA / . Weber heater 1 37.52 Business name:Mahuedai Enterprises Inc. Water piping/DW V 56.29 Address:PO Box 207 Other. 25.02 Subtotal Beaks,OR 97106 Minimum permit fee: 572.59 Phone {503}324-0759 1 Fax (503-)324-0580 Plan review (25%of permit fee) ' CCB Lie.:102535 Plur lag Lic.no.:34-276PB State surcharge(12%of permit fee) _ Authorized signature: /+ TOTAL PERMIT FEE C_••' I Date:04/152016 1 Thispermit apptfeAOos expires d a t ermit b ant obtained, la 110 day. Print name Carolina Malmedalafter it baa been accepted es complete. 'Fee methodology set by Tri-County Building Industry Service Bond. ltBu5dsieremitstPLMU•FaaMApp"doc 1010)409 440-4616T(I0/07KOM ) CITY OF TIGARD MASTER PERMIT 1.1.• '; COMMUNITY DEVELOPMENT Permit#: MST2017-00012 Tt(J R° 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2017 Parcel: 2S106DB13300 Site address: 17392 SW FOREST HOLLOW ST Jurisdiction: Tigard Subdivision: RIVER TERRACE NORTHWEST Lot: 133 Project: River Terrace Northwest, Lot 133 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1259 sf Basement: 735 sf Left 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 8 Dwelling Units: 1 Smoke Third: 0 sf Right 3 Detectors: Yes Total: 3652 sf Value: $437,262.04 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Y 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: 2 Water Lines: 100 Drains: 0 Footing Drain: 0 Ice Maker: 1 Bckflw Prevntr: 0 Catch Basins: 0 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N P 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: 7 201-400 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 G NEW P yrou Group: Square Feet: SF VB R-3 3652 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: $35,507.04 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 A mayy obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1,800.332.2344. Issued By: �yy4-�� Permittee Signature: 5/-T' C�(� !! r/ 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 Applic 1 ��1 VE 11 L.v7 3._e . t .num FOR OFFICE l SE O\L\ City of Tigard 0 010 DateBy:/S//7 L— Y6 S ice/7-000/.z. 1, 7 Received / Pecmit N . 1j 13125 SW Hall Blvd.,Tigard,OR 97223P1anReviEv�^)7 IapSury/� �i�f� ''! s Phone: 503.7182439 Fax: Qt I ) g `QQ`, Date/By: 1117 funs: ® See Page 2 for 7,� ,Fz�, Inspection Line: 503.639.E h, n h, ,,._ Date Ready/By: J B Internet www.ti d-or.gt�A L 1'e . 1 L"S,�I p� Notifed/Metbodz"'/ f 7 Supplemental Information ,:-- x -z'---.7-,:f,::!,. q -f. 777-7—c." " 7:::-; '� :?, 1 T.r-..^-.�--a ,,.tri" �;� � � �., a via. �`��aha� �� � � � � Stu¢�^� �16s-� Fia1 ®New construction ❑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 indicate�onthis application Valuation: ( 4y ® 1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms: 4 3'1 i a6 a.-it alit 0 Accessory building 0 Multi-family ❑Master builder 0 Other: Number of bathrooms: (� /' � f € € to e L Total number of floors: 3 .d `7 j 11p Job site address: 7 ;" , �� ' will _ `„ New dwelling area square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4 vy square feet �. Covered porch area uare feet r Suite/bldg./apt.no.: Project name:Ri ,fir � . N 4 Z 'q ,6(7 Cross street/directions to job site: Deck area: —11b5 1 V 9 square feet as 9 Other structure area: square feet 7 36- c ,' t lie ro4i Subdivision: U� W Lot no.: a 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 theprofit for the - : t:74..4,,,, ,' � za�,. work indicated on this application. r m �„> �''' -4—*'** —*u� .,.tea: *'* � - Valuation: $ Existing building area: square feet New building area: square feet - x� .. . '' .xr ..: i g: . W Number of stories: Gi ' e '1'-' '' .s : ' 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: - , r:;. -- ., C u '� , �Tt Ea &2 `c a. `P`e - 7:7: .x' ! 9 I ,P .6,11--f.,:e::Vi. Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) E-mail:Angela.Grajewski@polygonhomes.com Commercial and residential prescriptive installation of ` ' E ` roof-to 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. Permit Fee(includes plan review City/State/ZIP:Vancouver WA 98660 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): CCB lic.:207247 Total fee due upon application: ` This permit application expires if a permit is not obtained cAtin,5 I A.A.tvttr withi11180 days after it has been accepted as complete. Date: *Fee methodology set by Tri-County Building Industry Print name: Service Board. I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) RECEIVED ' Mechanical Permit AppIica.tion tl;lR 1)f 1 It 11 1 'f. t)\l 1 City of Tigard J N 1 `1 2 017 may- Pct+nit>s� - 13125 SW Hall Blvd..Tigard.OR 97223 Plan Review Phone: 503.718.24.'+9 Far.: 5°3398.1 y a 7� Other Permit 'fns ion lane: 503.639.4175 E RIt�I` /hs P� Date Readyti'tly: Ault •.r.,,.-....},T. �,r, .T,a:,w x ,maµ'n.`k�i? ,;;e'';.h� '+J,'C t8,xr.°. S ` `.`Z!;i:"ia•.t'rc:.,. .5'-l' ;9'',..,:.4:"-"`-.rti'•.' "�".. R,.&f: .. I& See Page Z for Won= wwwligard-or.goMethod: Supplemental info rmationBUILHti Vi7IONf� _ L} ac r+ . ' ' 0 0, Mechanical permit fees*are based on the value of the work ®New construction 0Addition/alteration/replacement performed.indicate the value(rounded to the nearest dollar)oral] ❑Demolition 0 Other mechanical materials.cuuipment.labor.overhead.and profit. Value. r<re41 ,r tivaft b- � ane. ..h'"46'P.,x,-' ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Forspedat*formation asrcheektbt ®Multi-family 0 Master builder 0 Othen Description 1 Qty. 1 Ga. Total E e$A�` r ,. .t='^- .�e'w.'.`..y.Y'"c"`..�`�_si�r..k Htatip leDo inp: lob she address: i-I 3Pi2. 5V\ RreSt I(O int. s Aix' 0o BTU tducta'eats) 1 6.75 City/State.2IP:Tigard.OR 97224 Furnace 100.000+BTU Nuclei cntal 54.91 q�� ,.. '_,t_ Heat porno 61.06 Suitelbldg.'apt.no.: Pmjcot Dame:Rhkr er1'YYr{ Noel Ytwat Duct.work 2332 Cross street/directions to job site: lfydronic hot water system 23.32 - Residential boiler(radiator or hydrenic) 23.32 Unit heaters(fuel-type,not electric), in-wall in-duct,suspended.etc. 46.75 Flue/vent for any of above 2332 Subdivision:12l}6y1,6,1 4G Jiffy 1-- Lot no.:j Other 23.32 !/r`''^� Other foci appliances: fax map/parcel no.: Water heater 23.32 Cas fiieplaee(insan E 33.39 ltle MOFrtiY`water-eater Or gas fireplace 2.3.32 Leg lighter(rte) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert I 23.32 Cbimneydlinedfiue/vent 23.32 M r 3 a7r, er Met: 23.32 , t Jit s�'. Envlraamental exhaust tend ventllad iAa: Name:Polygon WLUU,LLC Range hoodlothet kitchen Address:109 Rest 13'1Street equipment ' 33.39 „ Clothes dryer exhaust ! 3!.5h City1StateJZ1P:Vancouver,,W4 98660 Single-duct exhaust(bathrooms. toilet oompartniems.utility moms) -" 2332 Phone:(360)695-7700 Fax:( ) Atticicrawispacc that 33.32 Other 23.32 Fuel pipings Business name:Polygon*i1'L1I,LLC 514.15 for Brat four.51.03 for tacit additional Contact name;Angela Grajewski Furnace.etc. I Address:109 East 13th Soret teas haat PIM Wall/suspended/unit heater City/StatcfZ1P:'Vancouver,WA 98660 Water heater Plume:(360)69S-7700 I Fax::(360)693-4442 5 Fireplace I Range I E-mail;Aage1a.GrajewskiSpo1ygonhames.com Barbecue Clothes drvcr(CAO Other Business Mane:Apex Air LLC Address:18004 NE 72"Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit the(590;00) Phone:(360)342.8109 Fax:(360)326-1169 Plan ce a peew(12%e of p t fee) Slate surcharge(It k permitoffee) CCB lie.:203934 TOTAL PERMIT� This permit appliatioa expires tf a permit is not obtained within tial days atter it has been accepted.as eempkte. Authorized signature' • Fee methodology sti icy Tri-County Deciding Industry Service Boni Print thane: 1 n .( Dale: 4.Pt-1 fr !'ftaimstp..004Er_pt.dAlgi WDrt3.*a 44t-16t7rftl752/COt,VWFa3 Electrical Permit Application FOR OFFICEl.;SE ONL1' City Of Tigard JAN 1 's 2017 Received 13125 Sw Ha11 Bivd.,Tigard,OA 97223�Q� Plan Review Pbtlnc: 593.7182439 Fax: 503.37 Y ( rt&D9 ' I 1 G!,i?U Inspection l ine: 503.639.4175 6 g ady ply 7arie Sea Page 2 for Intemet www.ttgard or gov a• r r, W N Not1Sed/tdatiod: Supplemental Information 1 w.',,.,?t x>V �� � T..'Ts' Ac N:. !10'-t •`.} ..+L' -.r.=',- ,y,' '�` .' ;r"'1�' i * " t � "`at:717.0 ®New consh'uction ❑Addition/alteration/replacement Please check an that apply(submit i sets of plans Wilms checked): 0 Other: D Service or feeder 400 amps remora D Building over throw stories. a Demolitionwhere the available fault cuaaut Q 7:4atiaas and boatyards. c am'^h zal:M r� Pr.: SCFE_i ?_?r ° "" g n. ~c' exceeds 10,000 amps at ISO volts or Cl Floating buildings. ®1-and 2-family dwelling 0 Comm ercial/uidtistriel 0 Accessory building less to ground,or exceeds 14,000 D eowmeroiat-use agricultural amps for eU otter installation. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pomp- D installation of 150 KVA or sa;i�'rz`r�����"t� "c 4�1�i��'[ �."�w, „��'::>o'�° t`' OEmsystem lar derived y, ergaxy � y Job#: Job site address/1;12,5N I t/i s 4Jfl u St- 10ORion etoew molar[cad of system. ' t loOHP ormore. ❑"'A",`B","7 Z","1-3", City/State/Z1P:Tigard,OR 97224 I�Six or wceo residential units. occupancy. ©Bealtt-oaK�ailifias. °Recreational vehicle parks. Suite/bldgJapt#: Project name:g4v ' ',P �',/�t„ {►Cl Id Boas tooa6ons. ❑ mforai mom Item '^i V{ ❑Semi or feeder 600 amps*more. 600 voIts Cross street/directions to job site: �� ���? :ill"h��{ �.:u��•°�,�:;'�_vs {Description Qtr. I Bari Total 1 •"1 �v,c 7 ALL Nl✓ liAle- ) New residttacb single-or multi-family dwelling unit Subdivi�on: Lot*: Includes attached garage. Tax map/parcel# 1,000 eq.R mien 76854 4 7 M i f 3.":2i 7�o e i� !,:?a Y =z s ,. - c ♦, Ba.add750Dsq.ft.orportion •(/j 33.92 1 .united enargy,residential (with,above sq.ft.) 7500 2 Limited energy,multi-ihtttiiy 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Pagc 2 Services or feeders installation,alteration,and/or relocation _ Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/StateIZ1P:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694.4831 I Fax:( ) Over 1,000 amps se volts 55226 2 Temporary services or feeders Installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own•which is not 200 amps or less 59.36 1 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 16854 2 F�ti�F t f £ r F �X Branch circuits—new,alteration,or extension, panel A.Pee for branch cirwiLs with Business name:William Lyon Homes,Inc. above service or feeder fee, t each branch titcuit 7.42 2 Contact name:Angela Grajewski B.Pee for branch circuits wilhoidservice s Address:109 East 13th Street branchort abetder fee,bast 56.18 2 +City/State/ZIP:Vancouver,WA 98660 Emelt add')branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 - . ' J Fax::(360)693-4442 Rad manger:t ned or modular 67.84 2 dwelling serviceendloribeder 8nnail Angela.Grajewsidgpolygonhomes.com g y 67.84 2 e y� E C r e >,e)c' x_ Pump or X00 circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Address:6101 NE St Johns Rd pannal ehwti )or wanton. 0 See Page 2 2 panel,alteration,or exteasitQl. CitylStatelZll':Vancouver WA 98661 Each additional Inspection over allowable in any of the above Additional Inspection(Ihrrain) 66251 hr Phone:(253)320-1657 Pax:( ) Investigation(I hrnlin) 90.00/br Email:bdaniels(a�gweusa.com Indltatrialplant(l hrm61) • 78.18/lu Inspections Sar whichno fee is 40 pp/br CCB Lic.: 01158 Electrical Lic.: 208I74 Suprv.Lie.: 44965 s• lined 54 iambi 2 • 1; ' Vie'. Suprv,Electrician signature,required: ' ♦( 6,64- Subtotal: Print tame: Ioan P Albert Date: 4/26/2016 D Plan Review Required e%of • Cis ptlrQlit fee): State sun:beige(12a%o ofpennit See): Authorized si TOTAL PERMIT PEE: �.a�::•;: goahlre: 111111.1.- This permit application expires if a permit is not obtained within 180 •.!;•r°:` Print name:Bill Daniels Date: 4/26/2016 days after it has been accepted as complete. i•: ZaRT;•1, . Number afinspections al[ovrodparpetaul z•,rs�y`, oldiuS> pmaitApp ELR,_PRG.doe Rev W17/205 44e•46151'(11ASH:OFNwEH Plumbing Permit Applies ion lECEIVED Building Fixtures JAN 1 ' 2017 i ok ()i r lr 1o1.� City ofTigard Pamir No.: 13125 SW Hall Blvd.,Tigard,Oi O T IGARJ 1,81 Phone: 503.7182439 Fax: 503 0 Other Permit No.: Inspection Line: 503.639.4175 U1Lpi 7 DIVISION rwReady/83, AMU is SeePage2for Internet: www.tigard-or.gov$a Noli6ediMetbad: i Supplemental Information f•i:.{-�.5't•'tls' - ..n. .. -. �.. .t .. • ..-. p� 4.QQ�����..}}������{{ • S.r.... •x.F..Kr_�Y ®New constriction 0 Demolition For special lgjomm6on use checklist. Description I Qty. I Ea. € Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 8.for each utility connection) • • •CATEGORY OF mNSTRwwci1oN' , • SFR(I)bath 312.70 ®I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi--famBy SFR( ) ad bath 500.32 Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(-__sq.it) _ Page 2 JOB-SITE INFORMATION-AND LOCATION. . Site:utilities: Job site address:f ori s Catch basin area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State21P:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: gtVex'itricaw (J '-- Maned home utilities 50.03 Cross street/directions to job site: Manholes 18.76 ' Rain drain connector 18.76 Sanitary sewer(no.linear tt: I Page 2 Stone sewer(no.linear fk: ) Page 2 Water service(no.linear ft.: ) I Page 2 Subdivision:e ,t/"} ,n� r, Offt-bi Lot no.:11-5 Fixture or item: Tax raapiparcel no.:m-cam t fvU�7 Yl Badc9ow preventer ( 31.27 DESCRIPTION OF. K-WOR : •- Backwater valve ( 12.51. Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 t ®•)'ROPERTlx OWNER ' ( © TENANT Expansion tank _ 12.51 Name:ADVL Land Holdings,LLC t[ Fixture/server 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 85i58 Hose bib 25.02 Phone:(602)694-4031 I Fax:( ) lee maker 12.51 ®.Arri..4.CAN•T .• (*] CON('TACI'PERSON• bnerceptorlgrease1t trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:5 ) Page 2 Primer 32.51 Contact name:Angela Graf ewski 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 Tublshowcr/shower pan 12.51 E-mail:Angela.Grafewsld@polygoahontes.com Urinal 25.02 Water closet 25.02 CONTRACTOR • Water heater 2)-2* / 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 5629 Address:PO Box 207 Other. j,,qu.,J A/21 - 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: 572.50 CCB Lie.:102535 'Pluming Lie no.:34-276PB Plan review(25%of permit fee) State surcharge(12%of permit fee) Authorized signature: C, � TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 Ibis perm&application expires if a permit is new obtained within 180 days after&bas been accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board. L Bulidirglp nehrIPLMUJ'ne hApp.doe 10101/09 440-4616TQceSICOMIW88) 0 City of Tigard e COMMUNITY DEVELOPMENT DEPARTMENT i ITIGARDBuilding Permit Review — Residential uilding Permit #: f`7 S j /7 066/�te Address: 1`1 7 1 ,U .1=-C'I--e5+ E�t:�t I CA v Si- roject Name: 1Rwe v TeV-�,�-�(e, N Lot #: (2)(New dwelling=subdivision name;Addition or Alteration=last name of owner) lanning Review oposal: �evv &T12-'Verify site address/suite#exists and active in permit system. ..St River Terrace Neighborhood: El No 611 Yes,See River Terrace Review Addendum Attached Site Plan Elements: iNlThree(3)copies of site plan IAExisting structures on site ,gSite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished 1 Drawn to scale(standard architect or engineer scale) floor elevations North arrow ` 'Utility locations(required for new,may apply for additions) , ite address,project or subdivision name and lot number '-Location of wells/septic systems Applicant information(name and phone number) *Existing trees to be retained with drip line,and tree AtLot dimensions and building setback dimensions protection measures ,rot 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) ,Street names roperty corner elevations (2 foot contour lines if more than 4 foot differential) tEi" Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No g Public Facilities Improvement(PFI) Permitt:c I7 Required: ❑ Yes,applicant was notified - No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: PD122p5—oxo5 . 1-Zoning: 2_-1 (p D Z Required Setbacks: Front c3 Rear to Side 131 Street Side N/ Garage 20 Landscape Requirement: Lot Coverage Maximum: SD 0,0 Building Height: Maximum Height NIA Actual Height ±2Gl ...8:'Visual Clearance 21 Easements 1 Sensitive Lands: El Yes Xr No Type ,Nt' Urban Forestry Plan X Conditions "Met"prior to issuance of building permit Notes: C l,Arluns (Will 5)G Vnt-f pnd►/ i I gt,ta exce Approved By Planning: iV ...4 l . ,/i Date: (L(e 12 24 II Revisions (after Building Submittal on y) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: El Approved El Not Approved I:\Building\Forms\B1dgPermitRvw RES 091216.docx r .. Building Permit Submittal Original Submittal Date: /W.:2-c/./7 Site Plans: # 3 Building Plans: # Building Permit#: [-Enter building permit#above. Workflow Routing: Planning El- Engineering Permit Coordinator ui1ding Workflow Sign-off: FWSign-off for Planning(include notes from planning review) Route Application Documents: a Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: P 'Ar r C, __- Date: �.5/�'7 Engineering Review ape at building pad: a,, 0❑ Conditions "Met"prior to issuance of building permit v 1 ___.../"./ a- ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: /1_, Date: — Zirf Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ,NOT Released: ate: rAPProved es: ///1 /1 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: rSDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: - Yes ❑ N/A K to Issue Permit r //APPby Approved Permit Coordinator: /4Date: l((fr-/ /'i--_. I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT 114 T 1 G A R o River Terrace Building Permit Review Addendum Building Permit #: /VS 7;2 7 _ OC20/.2--- Site Address: j ;q2_. Sol �t2>res- i 1c: I I Gt‘i �. Project Name: l ' iLP� a'C'�'Yci(e. NtA( 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?;grYes 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. Porch min. 5 ft. deepBalcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ 0 ❑ 0 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 15, no 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street facing wall 12 Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch:,, Yes 0 No If yes,all the following apply: ,25 sq.ft. min. A One street facing entry --12 ft.max.roof above floor of porch 1"5 ft. depth min. '30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: a-Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep ."Wall offset min. 16 inches 0 Dormer min.4 ft.wide ❑ Roof eave min. 12 inch projection Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood X.Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade ❑ Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade 5. 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 wale Yes. tNo. 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 facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: 'v/At VOQ.( - Date: 12, set I up I:\Building\Forms\BldgPermitRvw RFs RT 062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17392 SW FOREST HOLLOW ST, BEAVERTON, November 9, 2017 at OR, 97007 10:40:54 AM Record Type: Record ID: Residential - Master Permit MST2017-00012 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: 17392 SW FOREST HOLLOW ST, BEAVERTON, November 9, 2017 at OR, 97007 10:36:40 AM Record Type: Record ID: Residential - Master Permit MST2017-00012 Inspection Type: Inspector: 699 Mechanical 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: 17392 SW FOREST HOLLOW ST, BEAVERTON, November 15, 2017 at OR, 97007 11 :12:24 AM Record Type: Record ID: Residential - Master Permit MST2017-00012 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Water pressure = 50 psi Violation Summary: Inspector Contractor