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Permit (59) CITY OF TIGARD MASTER PERMIT . COMMUNITY DEVELOPMENT1111 Permit#: MST2017 00043 TRA D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2017 Parcel: 2S 106DB 13000 Jurisdiction: Tigard Site address: 17347 SW SHADOW TRAIL ST Subdivision: RIVER TERRACE NORTHWEST Lot: 130 Project: River Terrace Northwest, Lot 130 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2229 sf Value: $271,047.13 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: 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 Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group:Y Square Feet: OTR SF VB R_3 2229 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 Eave STE 1 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,134.44 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 free_ 0. You m-y obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: i Permittee Signature: ( e" gi),// 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 ? � F ) l- L 3 FOR OFFICE sLoNL1 City of Tigard =i. 2 0 2016 Re e,Bed // /7 PermitNo/ylra20/7 eta°9:3 13125 SW Hall Blvd.,Tigard,OR 97223 1.,.k!' I,, ,t Plan Review t Other Pe �' ��' ����� Phone: 503.7182439 Fax: 503.598.1980 ;. F4.�cr_ €if DDate/By: Ii T RI, Inspection Line: 503.639.4175 r s n , x r ,. Date Ready/By: /-7 Ju,ie ® See Page 2 for Internet www.tigard-or.gov - i `w " d ... Notifed/Method:0' I / Supplemental Information , ,9/1_ -;7- ,sem 7-w z� a^�"' � f,'"'......' �,,.�*^ •.�,.�`� 't^c ��rn�"�a �-..: $ --� .: t-C'-"'7- a .v. ®New construction ❑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 work indicated on this application. f° .,-'S . ria ; k ^� 4• xE.a;. , .� .«�k ® Valuati Z 1 13Qt / 1 41 1-and 2-family dwelling ❑nCommerciallmdustrial j 4 ❑Accessory building 0 Multi-family Number o bedrooms: ❑Master builder 0 Other Number of bathrooms: ° Total number of floors: -2_ oq Job site address: ANW11SEIMMirklEra.IM New dwelling area: fl Wisquare feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 36D square feet Suite/bldg./apt no.: Project name:R; ' . Nvv Covered porch area: quare feet Cross street/directions to job site: Deck area: 2 T square feet -1 7 Other structure area: square feet Subdivision: v - Lot no.: $ Permit 'ees*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 work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet i,j1�"�4 --� � 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: c..u���,-..A =cam ,� �r°�� �`�`;� � �� t7' 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@polygonhomescom _A s Commercial and residential prescriptive installation of ^`7."" t' —��� PSystem.f-to mounted PhotoVoltaic Solar Panel ��E-�'k_•„*„z,,,...< �.� � x< >� � „ ve,..�.��z:t� .�g� ter: roof-top 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 lir.:207247 Total fee dueuP on application: Authorized signature: This permit application expires if a permit is not obtained nL(vwithin 180 days after it has been accepted as complete. Print name _ Date- *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) RECEIVED Mechanical Permit Application I Itit()1 1 it 1 t 1 ttNI 1 a Citynof Tigard AN Hall Blvd 'lizard,OR 97223 Plan Revisw Phone: 503.71L2439 Fix: .503.598.1960 Otlict Penult Inspection Line: 503.639.4175 CITY 1 ?017 Y TIGARD internist: www tigarti-or_gov Rectivad i .bWtuwEer - • Datelly: _ 017Oldc ReadYik Notified/Math:4: Permit Nn A./....cf:i2c//2....wei .3 jw". I lau Se Pnetalt trfaralstioa BUILDINC.-DIVISION 4 4L,',7",,‘",`%:_14'ai.7c;i7.1:t.L%•":ji,.- ,*-",i v 4i:I ::::C:,'.'elt,':,A', , Mechanical permit tees'-are based on the value 0 Trite work El New construction 0 Additionialterationfreplacement pr./forme indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other mechanical materials.equipmcaL labor.overhead_and profit. Value:S . ....... 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far spacial Information an aewidist El mutd.fainity 0 Master builder 0 Other Description 1 Qty. 1 Ea. Total s---, .4 Reatinflicooting: :.."*„..--,. ..it..",s,,,X.4.;A- -s-,:,,-,g,-*,,i'--*.kei.5.141.(k;144.--. e. !-',.q.o.',,l'f:sz- ,1•41;.;::i'$;j4",i:P4'-'/74:3•":14--'il-t&-, Air conditioni„ 1 46.75 Job site address: /73c/7 sA S 0 J rut 5 Furnace 100.000 BTU(dactskents) I 46.75 City/Slate/ZIP:Tigard,OR 97224 Furnace 100.000+BTU iducishienui .54.91 61.06 Suite/bldg./apt.no.: Project namc:Rilitr 7iiryhtte N Celli itd air . — pump , 2332 Cross streardireetions to job site: 1-twin:mit het water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit,heaters(fuel-type,not electr)c), in-wall,in-duct suspended,Inc- 46.75 Fluchcan for anv of above 1 23.32 ' -- Other: SUbrINISI":.Plye,p-Te,vioxu, 144i11410611— 1 Lot no.:130 2332 Other fuel appliances: Tax map/parcel no,: Water heateri 23.32 I: 3339 fireplace 23.32 Loa lighter 000 23.32 Woodfhellet sum 3339 Wood fire i 23.32 ,Chirrineyrrmerfnuervent 2132 23.32 'ill•i4Y:''S.3''af';2-fi".:14,i;-. 21',4.r:.1S1';,, ,l'-'-‘,:Zei,g.•''AEitli'f:•?:.:k1:2tat...-SISZat*Fii&,L, 11. .;-"- E„frounatutat„himst and„routio„ Name:Polygon WLIi,LLC Range koodfother kitchen 1 attar/meta 33,39 Address:109 East 134 Street • Clothes dryer exhaust I City/State/ZIP:Vancouver,WA 911660 Single-duct exhaust Oath/corns. t 1 tone;compartments.utility rooms) ""T 2 332 Phone:(360)69S-7700 Fax:( ) Alticfcrawlspace farts 23.32 ..,4„.---..,. t-I-J.„-li,,,'.v.-1-:1,',4`.2".-...,"„,-•",-.^..-.,,i---,-..; W.. ,, .-, .... ,. .,;.1"..i..,....'%'' Other23.32 Fuel pilau; Businessnarne:Polyvin WL11,LIC SI 439 kw first faun 81.03 for each iulditiona1 Contact turtle:Angela Grajewskl Furnace.etc. cos heat pump Addnuic 109 East 13th Street Watifsuspendedfunit heat= City/Stare/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 • Fireplace I Remo - E-mail:Aagelsi.Grajmvski0polygonbotuas-cone Bartimire . - ..•,..,.:2-.,,,;';2=7..,,g',1;,''.--,c,I*-..,..1•.., 1„,i':r• 1. 'i- •:3,:"..,444•,,'.T:,-;;..-!E- 6" Cloth=diTer(as) Olfiert Business lame:Apex Air LE.0 • Address:18004 NE 7rd Ave :::-.'-'1-:--- gt-'1,;f•:-.Y;i?-1,1;:j.i.,:',A"!..-2--7,3,1_,':-,,a7„,-1...,„,:42,15,,,,.:1„,,,,~•' Sabtona • City/Slate/ZIP;Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit Ie) Phone:(360)3424109 Fax:(360)3244769 State surcharge(12%of puma lite) • CCI lic-:203034 TOTAL PERMIT FEE This permit application expires Vik permit is net obtained within DUI days atter it has heat accepted AF cataptcha Authorized signata • • - ' Fee methodology scs by I'd-County Building Whistry Service Board IPrint name:• f took 1 , Dale: 4./ii -/4. - I toaa.ssaalfernaeraoc,Pannuekoset ci doe 4446 in•(11/02/COMAVE13) RECEIVED • Electrical Permit Application roti OFrlCE LSE ON L1' City of Tigard i A N 017 Received Permit /''jS%�G1/7'120t741,--; poe1sv: 13125 SW Hall Blvd.,Tigard,OR 9 Related Permit 4 III V ' Phone: 503.7182439 Fan: 503.x58 tI�.FIl p`1 iGARD lei I • • Inspection Linc 2 tor T3Gi.R0 interact www.tigard..,.,503.639.4175 , UILDINC=PIVISIOIN NedodfiedUct d 7mte_, ( Sopide0 Seemenhtinforreadea .. cmc,, .,, ;, 5- i -....`.r .0. .�,4.�� _ _Ue-:. ', ; _ .. _'''. .4":''' ''''';', A' 4 ++ a > .c '1,!,13 .:�..J "._9 ..',� f.7��ci. "`-Fa i '�.`' `, ' n� C ia:. xf .�..;' s� r`^E '�`� '� ,�«�bir Sl*�'-'div r. .m'a�}`'?,3X''`"'i ®New construction 0 Addition/alteration/replacement Please chock au that apply(submit;sets of plans wiuems checked); Demolition Other: ©Seavit: or feeder 400 amps or more 0 Building over three st 3 im. where the avatlablc rank current ©Mvfarinas and boatyards, 'ihr. ,X*,. 17 zt 'c7;3 rt:; vi;7% 4_, ?'i'`'n;,f C 4 a L-y'r g-tE.rt is h„ r_ exceeds 10,000 amps at IS0 volts or 0 Floating buildings. K 4 1-and 2- dwelling oss to ground,or exceeds 14,000 ❑cammarciai.use agricultural family g 0 CoCotnxnerctalrtridlestrial 0 Accessory ❑Multi-family ❑Master builder ❑Other for all other installations. OFicepump. ❑Installation of ISD KVA or ,.ms=s cs s '-` Y;t--t6l`,%e a icy Q a'6.9 L":"a `PT;,r':1`3 r:4...c --we- 31.,.3.r- 9 Emergency system. larger separately derived Job it: lob site address/7317 w Trams s 100 Addition mom.f may tooter load of system . / , 1oo11P Dr mora. O"A","r',"1-2".`1-3^, City/State/ZIP:Tigard,OR 97224 ❑Sia or more residential units occupancy. Eillealth-aero facilities. O Reutatioed vehicle parks. — ❑Supply voltage for more than Suiteibldgdapt#: Projectname: 1144v _ma ."t}' ar}Yi ■Hazardous locations. 0Service arSeder600amps ormore. 600 volt,nommaL Cross streel/directltnls to job site: ,. !'5 A, e ,..M.4r£,,�.3� „-ft St'�hS1 G F�L � �::���,•' -,':'8T/;"‘''----1,-,`; �Descrietlea oy. Reek Total New residential single-or multi-family dwelling unit. Subdivisi°41VIAC rr,oraa, lthetbWes.f-- I Lot is /J) Includes attached garage. Tax map/parcel !� 1.000 sq.ft m Sees 168.54 4 -,-J , A.. ,? �' ,.-.situ�.ti"CTt;Zr.,.1-foo)\t'�.� ..1 c,o,;i,1,.`;'*•xs, .4 •g"Sz'��ir`'s3-,.. Ea.a dl 500 sq.ft.or portion 33.92 1 t Limited energy.residential (with above sq,R) 75.00 2 Limited energy,riufti-filthy 75.01 2 residential(with above sq,ft.) Renewable Ea x ' 1,, :(u , l,�r3i)-Ay,'3 t=moi ° ' r < . s�Pa:0 Ci13,41 a t `., der D StePage2 w .w_. Services or feeders Installation,alteration,and/or relocation Name:ADPL Land Holdings,LLC 200 crops or kiss 100.70 2 Address:7600 E Doubletree Ranch Road201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 303.04 2 Phone:(602)6944031 I Fax:( ) Over 1,000 amps or volts 552.26 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 I I 1 intended for sale,lease,rent,or exchange,according to OILS 447,449,670,and 701. 201 amps to 400 amps 1 1 125.08 2 Owner signature: Date: • 401 amps to 599 amps 168.54 2 r� ,4 ,4 > ; ai.. "',,,err,.,11z ,. zx1 7 ,,o r'' Ftp". :-0ty .4 Branch P ci ranch cit w'alteration,or extension,per panel Business name:William Lyon Bomes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits without service or feeder fee,first Address:109 East 13th Street branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • ' [ Fax::(360)693-4442 Each numuliounrd or modulo . Small Angela,Grajewsltu(apolygonhotnes.com dwelling,service and/or Heiden 67.64 2 Reconnect only 67.84 2 i;t" -s .- ,e':',1-41.,,,,N tt..::L 1,,,,s. . - .-,-,.2,-,--',.". _'- Fi'''-=';'`. .r Ptanp err irrigation c cele 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 , Signal circuit(s)or limited-energy Address:6101 NE St Johns Rd panel.alor extension. ❑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) 66.251 br Phone:(253)320-1657 1 Pax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels@gwensa.cont Industrial plant(l hr min) • 78.181 hr Inspections for which no foes is WOO/l • aCCB Lk.: C11S8 Electrical Lic.: 208174 Suprv.Lie.: 4496S listed 14 in min Sn11rv,Electrician.signature,required: �,�/ "'7`:.y` a,;;;z'2 c".11. b O 1,', ? .,p 4a,Ti, r? u4.7f1"1 Tait/ (P.r T '. Subtotal. Print name: Joan P Albert • Date: 4116/2016 O Plan Review Required(25%of peanut See): er '--, _-- ^ State surcharge(12%of permit fee): :y: � Authorized signature: TOTAL PERMIT FEE: i",. C This permit application expires a permit not o btained within 180y=i;:t Print name: Bill Daniels Date: 4/216/2016 days after It has been accepted as complete. irz is - e.�'•�c'.°''i`�'i. ' NumberofinspectiomarlDwedperpermrt `y;'trs:t;,:.i 'lttarld3nslPermk il.C„�aparhApp-�Lk IItEdpu Rev Dbll7hOrs 44a t613TQ317PSJCOMJsth?6 lt EC IVED Plumbini Permit Annlien E Building Fixtures 1iN : + ?1117 lzesei.ed /�5� /f�1�1�0y3 City of Tigard y Pamir No: 13125 SW Hall Blvd.,Tigard,OR 97 Permit a Phone: 503.7182439 Fax 503.59GR I7ato/BwOther Inspection Line: 503.639.4175 JI ] I�{Dlr�y Internet www.ti or v BUILDIi :DIVI.3 1014 "'": S SaePanaltar g� •$o tlbod So mental Ialormafion ®New constuctionfl Demolition For a edal information erre cheek Description ( Qty. 1 Ea. 1 Total Q Addition/alteration/replacement 0 Other. 1 New 1-2-family dwellings(includes 100 8.for each utility connection) -CATEGORY OF CONSTiti3C8TON' SFR(1)bath 312.70 ®I-and 2-family dwelling Q Commerciallmdustial SFR(2)bath 437.78 SFR(3)bath I 50032 ©Accessory building ©Multi-family Each additional batb/kitchen 25.02 ©Master builder 0 Otho: Fire sprinkler(__sq.ft.) Page 2 '' ¢OB SrTE INFORMATION AND'LOCATION . Site utilities: Job site address: /17/11 Sw Shad �D 1(&4 1 T Catch basin or area drain 18.76 DrywCity/State/ZIP:Tigard,OR 97224 ►1�C �1,lea�+line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no.: l Project name:1�)c-•it "k fl f.t, fJ d--' Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: j Page 2 Storm sewer(no.linear ft.: ) Page 2 '�{ •,,, 1_ Water service(no.linear ft.: I Page 2 Subdivision:ei ivoy �1ived Lot no.:I ) Fixture or Item: Tax map/parcel no.: Backflow prcventa 31.27 DESCRu 110N OF WORK. : • BackwatrA valve [ 12 51 Clothes washer 25.02 Dishwasher 25.02 Drinling fountain 25.02 Ejectors/sump 25.02 El,)'ROP3 R1V OWNER i, • p TEAANT Expanses tank 12.51 Name:ADVL Land Holdings,LLC Fixture/ser 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) lee maker 12.51 ® APP CANT .. ❑ CONTACT PERSON• Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.5I Address 109 East 13th Street Sink/basidlavanory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tob/sbower/sbowcr pan 12.51 E-mail: r Urinal Angela.Grajewski(®polygonhomes.com 25.02 Water closet 25.02 • CONTRACTOR , • Water heater 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 56.29 Address:PO Box 207 Other: 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)3240759 Fax:(503-)324-0580 Minimum permit fee: 372.50 ' CCB Lic.:102535 Plumbing Lia no.:34-276113Plan review (25%of permit fee) Stats surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Prim name:Carolina Mahnedal Date:04!25/2916 atter n has bean accepted as complete. 'Fee methodology set by Tri-County Building Indust)*Service Board. 1.•180i(ugTernis\PLMU•PamitApp.doc 10/01/09 440.46167110/00/COMlWEn) o IIICity of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT I T 1 c A o Building Permit Review — Residential .i..a_+_ aq-. a.. t•a #.sq� � .rc�d tw'+3,�`ti:�` ' .:=ze3uw�Y6�:.5=d St?'..a..,.-.2rv.F � "_'S<t:; ,.4 ..h`.y..j�rt -_ Building Permit #: /VS/ .20 / 7�., — ®o a 4/ Site Address: t`7?`4'Z au gkc1lOk, - /1 .c/-: Project Name: /fi '-r ,-rl /Ue tues7' . Lot #: ) C (New dwelling /`J � g=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal:() PICTerify site address/suite#exists and active in permit sem. River Terrace Neighborhood: ❑ No 1i Yes,See River Terrace Review Addendum Attached Si Plan Elements: liree(3)copies of site plan r. "sting structures on site tie plan must be on 8-1/2"x 11"or 11 x 17"paper r. ootprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) v oor elevations orth arrow &Utility locations(required for new,may apply for additions) address,project or subdivision name and lot number t PA .cation of wells/septic systems ..licant information(name and phone number) U :7,sting trees to be retained with drip line,and tree Y of dimensions and building setback dimensions rotection measures r.Lot area,building coverage area,percentage of coverage and eet tree size,type and location pervious 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) APtlean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified (fid No Received: ❑ Yes 1:1 No Public FacilitiImprovement(PH)Permit:E(. . equired: t Yes,applicant was notified ❑ Noc.". Applied For: If'•d/ PP Y^ess�� ❑ No,stop intake nd Use Case#: /6/1 ',S'-4 ''' r.S� ��7U c C�)t:. .)093 Ooning: /2- Pb ��t. equired Setbacks: Front die Rear 0 Side /...5) Street Side Garage c„2a � andscape Requirement: of Coverage Maximum: go Fr uilding Height: Maximum Height AA Actual Height S-- �' FA isual Clearance pid Easements pasensitive Lands: ❑ Yes l7 No Type E Urban Forestry Plan ❑ Conditions "Me "prior o issuance of buil.' : permit Notes: t; �r \)' i' ad r- ISSN . Approved By Planning: Date: - � Revisions (after Building Submittal only) Reviewer --_ (" Datete Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPernvtRvw RES 091216.docx I Building Permit Submittal Original Submittal Date: #/2-/20//0Site Plans: Building Plans: # 3 Building Permit#: ®'Enter building permit#above. Workflow Routing: Planning [1 ngineering [tet Coordinator EF1Tirilding Workflow Sign-off: .Sign-off for Planning(include notes from planning review) Route Application Documents: [E,.-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. O'''-guilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 41 A Date: //.. eV>7 Engineering Review ,P.%Slope at building pad: 7 xConditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat El 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: L, Date: /..-.37--/ 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 ❑ Conditions"Met"prior to issuance of building permit :'Approved,NOT Released: �� "ate: / *1 fa 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: SDC Fees Entered: Wash Co Trans Dev Tax: 2Yes CI N/A Tigard Trans SDC: ( _ Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit - Approved by Permit Coordinator: 1 Date: _/il/-- ----- I:\Building\Forms\BldgPemutRvw_RES_091216.docx * City of Tigard 'I COMMUNITY DEVELOPMENT DEPARTMENT Ili a T l G A R D River Terrace Building Permit Review Addendum Building Permit #: S`72 / ? — Cil)0 `/ Site Address: i —:95171.7 . ,Ca.) g/ /7-s-i. / 3 Project Name: PA/.er 7,.irr Jot. 5 JL. Lot #: /36 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist . t 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. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide fV? 0 min. 2 ft., 6ft.wide Gabled dormer00 't 0 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. ' Percentage Shown: j1: P 7j / �)C /ii'S c j /ta 3. trances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longe street facing wall 0 Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: VYes 0 No If es,all the following apply: dJ5 sq.ft. min. f g entry2 ft.max.roof above floor of porch 5 fnet. dstreetepth ac miin 30/o 3 ° min.porch roof coverage 4. etailed Design:All buildings shallinclude a ' . of five of e following elements on allstreet-facing facades:Covered porch min. 5 ft.wide x 5 ft. deep j7' Recessed entry area mi . 5 ft.wide x 2 ft. deep f all offset min. 16 inches ❑ Dormer min.4 ft.wide Roof eave min. 12 inch projection . ] ❑ oof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design- tS ❑ oof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide Accent siding min. 40%of street facade f ALid Window trim min. 2 I/2t1 wide by5/8" ee ❑ Window recess min. 3 inches for all street facing ❑ Badp '� 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. Se acks: S closer to front or side lot line,than longest street-facing wall. ❑ Yes 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. Widt • (Check one) ❑ foot wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: mss ' " c-,;4,,,- - Date: J�Q270 I:\Building\Forms\B1dgPermitRvw_RES RT 062216.docx