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Permit (56) CITY OF TIGARD MASTER PERMIT : '. COMMUNITY DEVELOPMENT Permit#: MST2017-00009 T((AP D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2017 Parcel: 2S106DB12900 Jurisdiction: Tigard Site address: 17375 SW SHADOW TRAIL ST Subdivision: RIVER TERRACE NORTHWEST Lot: 129 Project: River Terrace Northwest, Lot 129 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 25 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: $271,136.41 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 Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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 of or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 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 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 Eaves-Both STE 1 Sides SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,133.54 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. Issued By: Az4 !� c2iPermittee Signature: ,57°70,57°707pilko4(.7.1.-?,)p., 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. Ii>lrild><ng Permit Application ). , 1 ,-, _r /..L) ilpZ., W11, FOR OFFICE t 5E O\L1 Cityof Tigard C 7:' 131SW Hall Blvd.,Tigard,OR 97223 it t �` � (tj 1 evie� ��� Permit No �� ��-- )C� 8 Phone: 503.7182439 Fax: 503.598.19¢ a Date/By: )"1.1- ) 1.1 Other Permit)j�WG,2?/2 , 7. D 11 Inspection Line: 503.639.4175 .s 1 4 y, i a'ti i1 Date Ready/By: G laris: Sl See Page 2 for Internet www.tigard-or.gov 5 ,g Notified/MethodoZ d,//7 µ Supplemental Information , i, ok �a'3, ,„ `,, (9/4-—„:::,i7,77. 7:717,77:77, 'N6,- 77a ---7—: f r-' T:7- ;a �1:„G r-7-77fl� 4 - i r:!'tM7 v17: s aiz r m ;, - ? gT .:-Z :-.1 ,„ ®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 8 ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the r� , � �= �, � work indicated on this application. � n -. �; � 3a�t.. - �i t-s Igi t aPP a� (/ W �:�vw.. ,-u,� ��,�w` ;�,,��r , ��- �;��^;:;"a��.; »��� ?a, �;��'=sem, S. ® 1-and 2-family dwelling 0 Commercial/mdustrial Valuation: JAN ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other. Number of bathrooms: 3 / pry ��� �� 't ` ¢a, in§ w k ^i '�:'"�`_ ,R ` Total number of floors: ?l4, !C7 1-.., .rr.,. -, - � � 1 n .i,. , Job site address: Ia) S'N) 5" j,-,-,,,Ai Sfi New dwelling area:2 dI square feet City/State/ZIP:Tigard,OR 97224 v Garage/carport area: '3M) square feet Suite/bldg./apt.no.: I Project name:Rids'e 'ale_ NM Covered porch • .! - qu ; are feet Cross street/directions to job site: Deck area: S�`' square feet Other structure area: square feet Subdivision:rbtwAr TINY-oce, � I Lot no.:11.9 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 @SN t '' bv� N, work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ~: j, 6 r ahrj 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: ,..- ,1 -- � amu_ w Business name:Polygon WLH,LLC �,,. £,`= -jr,„ 41n' 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 Phone:(360)695-7700 I Fax::( ) Amount received: 5 to t"Vis,# Gp � 'rTeV E-mail:Angela.Grajewsla@polygonhomes.com �� * ,, Commercial and residential prescriptive installation of . '.. '' % . , -a� 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. 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: Authorized signature: (//J,,�1 This permit application expires if a permit is not obtained I tC! { x Qwithin 180 days after it has been accepted as complete. I Print name: ' _ Date: *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Petmits\BUP-RESPemiitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . ..RECEIVED • Mechanical Permit Application I t,l,t,t l 1( 1 ! ,I r,til ti City of Tigard JAN 1 7 ?017 z "minis No.; 13125 SW Hall Bleb..Tigard,OR 97223 Pian Review Phone; 503.718.2439 Pax: 503 598.1960 �-} Tg /�A �� p B,a (AlEcr#Merin. Inspection Litre: 503.639,4175 CITY O iIE]rt1�r/ tJatcRcady9By: Stair ScerP:8r2for Internet' Www,#igard-or.gov oEificaimetbnd Supplements(2.inforrnarioa BUILDING I��SI�DN�` 'tw,"J t f}��\'SC'a4rr< ,' ." '.�."?`a`',e " ,'.eft t yy "t a ;+ .. ,e,., .-, * .,-',,> y .. t - 1 aP G E ?'-1'. 461 t'l y � µ1 . t .,4. ®New construction 0 Addition/aitctation9+eptacemettt Mechanical Hermit rtes"arc based on the tame of the wort ❑New petfboneti"indicate the value(rounded to the nearest dollar)of all [}Other: mechanical materials,equipment,labor.evoncmad.and profit. Value: - g;4r�# war 3 "I.41. ,� .r:S,a;a I x _c .2, t 'tat '•;•`-a:4:;-5:-----1.-'-'-'4'''''"-',. ,w�2 <a,4 t4• c� -r r k-- 'ti,,- { s . �., ,x . w,- . 5 h�.'���2..-�..�.:i.,�n�%..G �g-.{,1,,w(E,12:.^TE°�F,nw: Y�;.;��t.�w.x,�;6u �h:x�4 ❑ I-and 2-#"stony dwelling 0 Conunercialtindustrial ❑Accessory building ®Multi-family 0 Master builder rY ForrpadattaJ»rmoNonxsceJFedtat v� ❑Other. Description 1 Qty. I Ea. 1 Total sT s, r. pa �:r )�r 7r ,t x'1 m bti E 'zt.,v! J t: [�ra A� 'a! '"',,,,o'-'''', may ResllnWeoolirEr •� ^� �+ • Air conditioning I �;,7i Joh site address; !3 f 7 SA S i/ 1 taws Furnace 300.000E [i(duastvems) I 46.75 City/State/ZIP:Tigard,OR 97223 Furnace 100.000+BTU(duc oyeato 54.91 Suite/bldg./apt.no,: Projca ttamc: Heat ptanp 61.06 ROI,•J errAte /�1 M►r sf" Duct wort; • 23.32 Cross strcctfdirections to job site: Hydrant hot water systetn 23.32 Residential boiler(radiator or bydronic) 2332 Unit heaters tfucl•4ype.not ehou•ic), in-wall,in-duct,suspended.etc. 46.75 y/_ Fiueh'ent for any of Above I 23.32 Subdivision:(2,1,/�,0-7:011/�l�- s/il l lhl/ Lot no.J'iC 23.32 +r�^ f" Other fuel appliances: Tax neap/parcel no Water pester 23.32 9 to ''''''-'4''',4(Y".:9'....,..:%1'''''.:172'':'' ` ry`','r :2. t,.. *t t 11'i.FSJ+`.',2 - 7; ,: -.;� ti, ' x;st:`Yy...'''.,i,�'- t'i+ac fi ct watt. 3339 ...... .,...�eumass..�'..ash.,,u�~�sa,...�_�n ^ <s,,.c...m: .'�.ry.::3rxa&...1...v:.a�� Flee vent rot'water beater or pts ~fireplace 23.32 Log lighter(gas) 23.32 Wootl(peU ct stove 33.39 Wood 6reptamiinsert 1 23.32 Chintgey?linedfluc/Yctd 2132 ^ ?: °e ' F tNth-it,-iti a Q+her: 2332 .. - ElaYtraaraaatattxhanstand vtntllattioq: Name:Polygon Vi9Gil,I.t.0 Range hoodlother kitchen Address: l#I9 East l3`"Street eguiprnent t 33,39 Clothes dryer exhaust• i 33.39 City/Stale: OP:Vantoaver,W.4 98660 txmrSingle-duct exhaust(bathrooms,s, _ toiletpattntenis.utility moms) L"�' 2332 Phone:(360)695-7700 Fax ( ) Antct s claw farts .32 „x��,_ _v_et €L ,u,,ill a,.. .°af .:.x �a....,`,.i a JCF,-- .✓[J r;,,-Jik �:.. t 1 y .`'`_ Other �� 2 2 Business name:Polygon WI.11,LLC Fad plu m $14.15 for fiirrkfour,$4.03 fur r additional Contact.ua :Angela Grajewsld Farts ce Cie. Address,:109 East 13th Street Gas heat puurtrt Wallfsteapnidediunit heater CityiState/Z..1P:Vancouver,WA 98660 Water beater Phone:(360)695-7700 I Fax::(360)693-4442 Fimplace _ 1 E-mail:Angeht.Grajewsitlgpoly'goohomescnm R x - kt _ e &f1. e,.s, 1t3 (gas).rE-•,,`.'i7—.., L_. s .:r , u, ._z2 fx,,..! ,:5.- _. ._, ,..,__ _o3ther:3tsint55 name-.Apex Alt LLC ---- mmmmmMMMMM.l............MlI.M.MMIIIIllIII17I Address:t 8004 NE 72"4 Ave _ t a r i z F y: 14;-1r Subtotal �CitylStatefZll':Vancouver,WA 9$666 Minimum permit fee($90:00) Phone (368)342-$109 Plan ttvicw(25%of permit fee) Pax:(360)326-1.769 State surcharge(12%of pump ebbs) CCBJ.ic.:203(134 TOTAL PERMIT FEE This permit application twins If to permit is not obtained within tate days after it has been amepted**complete. Authorized signature: 1' nee methodology set by Tri-County Building Industry Service React Print name— 1 Date: 4"lit•14.• I - t tmdtdinsferatha '_t1emMpp rani ts,aoe .4410-461.77 il lie22+toi vwasi EEE Electrical Permit ApplicationFOR Of OFFICE LSE ONV\ AN 1City of Tigard `i " ' Q 17 Received 13125 SW Hall Blvd„Tigard,OR 97 tr�era Phone: 503.71$.2439 Fax 503.59 719y5yot Y OF gTIGAR1) TiG/,,,D Inspection Line: 503.639.4175 3UILLJ T113$V1MIV, r illedMahod.• MEM ta Supplemental for otznatioa intesret: www.tigard-orgov rr u , E ---_. TZi,> o ;1 z, s .�-•'�S.c9- �.57.-r ;,5: •'sri.,• 'r t C7- �,..c. :.7sv!,-: .:. ,-Ire-c,kj.r '1.( Ufa rij,-r'j W,et:` a. D New constrUctionAddition/alteration/replacement Please check all that apply(submit 2 sets of plass whims*baked): ■Demolition . s s 0 Service or feeder 400 amps or more 0 BuIltbng over tome atnliss. Other: where the available halt entreat 0 Marinas end boatyards. i Vii.;., $-_, s ',r'''.;Et .,", ','Z,,5J 1 igig ..._,t„lc-(.0-NA ';,_:_ . , ,_i,X2,4-.2:,,.: fs;1 exceeds 10,100 amps at 150 volts or CIF-looting buildings. El 1-and 2-family dwelling 0 Cotnmercia1 intllis4rial 0 Accessory building less to ground,or exceeds 14,000 O Commraviel-ase agricultural amp0 Multi-family0 Master builder 0 Other: ID poall otter installations. buildings-Installation of ISO KVA or p�',40,41 1.1”,-, .coxes,i.near 4i! a;tti 'T,I,.y T(kJ"14 . e :%.r"t ..ax's r cam. ".",-. __ ©Eme:gancy system, lar&er separately derived Job#: Job site addrest'737�' 3'j J j!' � y 43 0 Addition of new motor load of syst"A",". 100111+or store. El"A","E;"I-2"."I-B", City /Z?P:Tigard,OR 97224 0 six or more residential units. oY• ©Health-aan facilities. 0 Raareational vehicle parks. Suite/bldg./apt.#: Project name:1244v .'F. L7Jfamrdmxs locations. 13 supply voltage for more than t ❑Service m feeder 600 amps or afore. 400 volts nominal- Cross street/directions to job site: ?a r.�_" :fly 1, A zt 3i DrS.Si ,2I n a h y`7ri4.'t ti; r s.4 4a r Description Qty. Barb 1 Toed 1 • New residential single-or multi-family dwelling unit. Subdivision: Lot#: UtiV rP.pyat� IVi�✓1�iJwell— 11.E Includes attached garage. Tax map/parcel# 1,000 sq.R or less 168.54 4 Ea add'I 500 sq.it or portion 3392 1 ,:ii r s z _?"'' 7..„ . a-.1.0,:a 1.,.n ,,trll )a3 v : t"1,:i.; , xr°-""-'n Limited energy,residential (with above sq.ft) 75.00 2 Limited energy,multi-family 7500 2 residential(with above sq.ft) Renewable Energy 0 See Page 2 `^-1 u. -taa f u1 3+ 1.17,- ;.`1!01, e' .'a :,-i ;:: ',7; x:n:r- , v k r ,"'.:4'-',T,-''3e Services or feeders installation,alteration,and/or relocation Name: i Boldings,LLC 200 amps or less 100.70 2 1, 201 amps to 40D amps 133.56 2 - Address:7600 Z401 amps to 600 amps 200.34 2 .AI Scottsdale, 601 amps to 1,000 amps 301.04 2 Phone:(6! ! Over 1,000 snips or volts 55226 2 Temporary services or feeders Installation,alteration,and/or Email: relocation _ Owner installation: .•made on property ,.. 200 maps or less 59.36 1 intended' r for sale,least,rent or exchange, • s • •' i and 701. 201 amps to 40D amps 125.08 2 •• Date: 401 amps to 599 amps 168.54 2 'v s •..4k,,1-r .1. z>.,;- :s a.-, 6 q !:.sf,1)14.r!,r1W.7:!..C..igljglr14.% Branchcircuits-new,alteration,or extension,per panel Business name: A,Fah for branch circuits wrrh William Lyon Ilomes,Inc. above service or feeder fee, each branch circuli 7.42 2 name:Contact B.Pee ler branch ehcuits without iservice or feeder fee,firstiirldressi 9 Eitst 13th Street branch circuit 56.18 2 City/State/71P:Vsmcouver,WA ! Each ''add 1 branch circuit 7.42 2 Miscellaneous(service or feeder nor included) Phone:(36i 695-7700 + .Each ream natured or modular dwelling,service and/or feeder 67,84 2 „:t .@,, „ -Recomtlaonly 67.84 2 ^^?:s^ i,t.- _ ,n,r`''.. E.tl i i ��� k `y ? ,, „`. -,,,:. .41,p-,'',.',:,-;',..:-E'.. ..1:1Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Address:6101 NE St Johns Ind Signal cimardor limited energy ❑see P e 2 2 penes,alteration,or extension. City/State/ZIP:Vancouver WA 98661 Each additional Inspection over allowable in any of the above Additional inspection(1 hr min) 6625/br Phone:(253)320-1657 Fax:( ) Investigation(1 Iambi) 90.00/hr 1 Email:bdaniels@gweusa.com eusa.com Indtlstrieipffiut(i hr min) • 78.18/hr Inspections for which no the is 90.00/In CCB Lic.: CL158 Electrical Lic.: 208174 Suprv.Lia.: 44965 a listed 15 turnip) Supra.Electrician signature,required: . . , 14 P�(..,. Subtotal: N Print name: Joan P Albert Date: 4126/2016 0 Plan Review Required(25%of permit fee): — i'l:: — State surcharge(12%ofpermit fse) 'c y — � TOTAL PERMIT FEE: _•:: Authorized signature: b•,';,;;'' This permit application expires Ira permit is not obtained within I80 si 1.I: Print name: Bill Daniels Date: 4/26/2016 days atter It has been accepted as complete. +s-1:q,: C Number of iaspeaionsaltowedper peewit ii t; .-r,�.;.;;,Barak rgVermasi6LCC PeaulApp FLI�IiRS-doe neo o6r17/201$ 44aisrsr(11/05/r3wvrHe \I•;.. t ECEIVEP Plumbing Permit Applicati 1 Building Fixtures ,i.A N 1 7 ?017 IIMIIMIII=MIIIIIIIIII City Or Tigard ReceivedPermit No.: - 1,1 _,_ 13125 SW Hal[Blvd,Tigard,OR OF I UiR s Phone: 503.718.2439 Fax: 503. D No.: inspection Line: 503.639.4175? ?I DIVISION C TONTate ,�. - ge [' Internet www.ngard-or.gon v1L a_': 3 7l 0.1 Nu d/MaLod: Inds: Su SerPe 2Inf _ .vize", Supplemental Information ;i: .,.-,A..e« .441440\W*Art.a:.•.... ... .. ....• r......!.....i:::....,,f w - . • .EEEe'. tom` }�. .3't':'�'-�n.i.d.4.% • ®New construction ' Q Demolition For specsal fnfommteon use checklist Description I Qty E La. I_ Total ❑Addition/alteration/replacement ❑Other New 1-2-family dwellings(includes 100 ft.for each utility connection) • • .:• .,CATEGORY OF QONSIR. C'3ION• SFR(1)bath 312.70 01-and 2-family dwelling 0 Commercial industrial SFR(2)bath 437.78 • SFR(3)bath I 50032 ❑ Multi-fare. Each additional bath/kitchen 25.02 ❑Maw builder 0 Other. Fire sprinkler(om_sq.ft.) Page 2 BOB,art lNFO1tM*.nolti AND LOCATION . Site utilities: Job site address: /7375- ,std Shacto4,41 Co i! SrCatch basin or area drain 18.76 City/State/ZW:Tigard,OR 97224 Drywen,teach line or trench drain 18.76 Footing drain(no.linear ft: ) i Page 2 Suite/bldg./apt.no.: ] Project name: Vt ie r-r rr - N rth- tanufaaured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear It:• ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:, ) Page 2 Subdivision:gratt A/_r/pr Lot h_/'Z Fixture or item: Tax map/parcel no.: 1 vt�l�1�1 Backflow preventer Ij 31.27 DESCRIPTION OF WORK : ' • Backwater valve ( 12 51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®')'ROPERTY•OWNER 1. © TENANT Expansiontank 12.51 Name:ADVL Lend Holdings,LLC Fixture/sewer cap 25.02 Address:7600 E Doubletree Ranch Road Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib _ 25.02 Phone (602)694-4031 I Fax:( ) Ice maker 12.51 ®•APP1JCANF 0 CONTACT PERSON: Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 Primer 1231 Contact nameAngela Grajewslri _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) 6254 Phone:(360)695-7700 Fax::(360)693-4442 Tublsberwer/shower pan 12.51 E-mail: Uril Angela.Grajew•ki®polygonbonres.com 25.02 Water closet 25.02 _ CONTRACTOR , Water heater 37.52 Business name:Malmedal Enterprises Inc. Wer piping/DWV 56.29 Address:PO Box 207 Other: 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 CCB lac.:102535 Plumbing lie.no.:34-276P8 Plan review (25%of permit fee) C.,,,-------„,(Z > State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE 1 Print name:Carolina Maimedal Date:04/25/2016 + This pew application expires ifs permit is not obtained within 180 days after it has been accepted as complete 'Fee methodology set by Tri-County Building Industry Service Board. L-16uld lVemitdPLMU•PanitApp.doe 10/01/D9 44046167'(10/02ICOWWEa) N 11111 City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential c. , Building Permit #: /`'lSi f/ 7 - faeoe 2 Site Address: 11 15 6'4 & JTr- t t &ice t Project Name: 12-Wj?( .1-afeitCe NO 1'VNi - Lot #: i 2J l (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: rim/ 6,1?/ jgr Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ No )(Yes,See River Terrace Review Addendum Attached Site Plan Elements: ,�1 . i'hree(3)copies of site plan 11 xisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished )rawn to scale(standard architect or engineer scale) floor elevations _6I4orth arrow %Utility locations (required for new,may apply for additions) .Site address,project or subdivision name and lot number tWocation of wells/septic systems splicant information(name andphone P number) ME.xisting trees to be retained with drip line,and tree .t dimensions and building setback dimensions protection measures Blot 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 foot differential) Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No T Public Facilities Improvement(PFI) Permit: Required: El Yes,applicant was notified I<No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: PDP-213G— )5 36 Zoning: 9--1 (yD) Required Setbacks: Front 5 Rear ID Side Street Side Opt. Garage 2.0 XLandscape Requirement: 2e2 % Lot Coverage Maximum: • NBuilding Height: Maximum Height Opt Actual Height f-2 w Visual Clearance Easements Sensitive Lands: ❑ Yes V No Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: —�`.�'�'l iris &V lit f i kz. 4)n r s uc Approved By Planning: 1 3 kik_ Date: � ► `�I �t Revisions (after Building Submitta a nly) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 091216.docx � r Building Permit Submittal Original Submittal Date: / /r7 Site Plans: # '?> Building Plans: # Building Permit#: LI Enter building permit#above. Workflow Routing: a'Planning ®-"Engineering E--Permit Coordinator wilding Workflow Sign-off: Q'Sign-off for Planning(include notes from planning review) Route Application Documents: 4:1 Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Er Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: y//7 Engineering Review ❑ Slope at building pad:prior 0:7; /i onditions "Met" to issuance of building permit a f /�F ❑ 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: /___jjDate: 7.-X---/r 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 PP roved,NOT Released: /'/3 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: SDC Fees Entered: Wash Co Trans Dev Tax: 2'es ❑ N/A Tigard Trans SDC: ziYes ❑ N/A Parks SDC: ,1'Yes ❑ N/A Pa OK to Issue Permit 1 Approved by Permit Coordinator: 41/C Date: //OW'l I:\Building\Forms\BldgPernutRvw_RES 091216.docx • v r City of Tigard H COMMUNITY DEVELOPMENT DEPARTMENT r 1 cA RD River Terrace Building Permit Review Addendum IIIIMIRISERNMIIIKOR Building Permit #: 2 C 7 2.C7/7- 0 d O 2 Site Address: n ai5 so) 5 wAcw-irci ii &Ter* Project Name: Wor Tcrra .f, Kbith WeSf- Lot #: 0...9 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.0701): Is the project subject to the plan district design standards?,aYes ❑ 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 ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimu of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: (4/n 3. Entrances:At least one entrance must meet both of the following standards: .- Iax. 8 ft. setback from longest street- facing wall 'Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch:...-I!KYes ❑ No If yes,all the following apply ,..f 25 sq.ft.min. NOne street facing entry ..1 12 ft.max. roof above floor of porch `' "5.ft. depth min. .N10%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ,,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 ❑ Dormer min. 4 ft.wide 'Roof eave min. 12 inch projection Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design 0 Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide 0 Accent siding min.40%of street facade "'Window trim min. 2 1/2"wide by 5/8"deep 0 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 wall. 0 YesVo. 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 .e15C50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: k4% 4 l 0: I, Date: 2 _41_ I:\Building\Porms\BldgPermitRvw RES RT 062216.docx