Permit (19) ipli . , CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2016-00599
Date Issued: 2017
03/20/
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 3/ 0/2017 00
Jurisdiction: Tigard
Site address: 13565 SW CALABASH TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 7
Project: River Terrace Northwest, Lot 7
Project Description: New SF
BUILDING
Floor Areas Reauired Setbacks Required
Stories: 2 Bedrooms: 4 First: 633 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1017 sf Garage: 418 sf Front: 8 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 1650 sf Value: $204,974.24 Rear: 3
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Tvoes 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'l 500 sf: 2 201-400 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 CRRtr Descrr�Han:
Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1650
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: $30,774.64
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: Permittee Signature: ().A -7)-7()"/74-./er
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.
LO -�
Building Permit Application / 7
Residential FI
" VE FOR OFFICE USE ONLY
Received �l�
City of Tigard DateBy:� / ��� ;�r,/� 'ermitN�j5%�'�`llfee t �5 /
" 13125 SW Hall Blvd.,Tigard,OR 97223 S E p 1 2016 Plan Review S . Other Pena I J�L% (.�/ z �/O
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: j 1
Inspection Line: 503.639.4175 y` /�p Date ReadyBy: Juris: H See Page 2 for
T 7 G A R D p t OF %'yi�E Notified/Method:—j/f�//7 4� Supplemental Information
Internet: www.tigard-or.gov ���� OENG OfuISION � /L .�--
!: x
tiliv–t„. x,`o' `moi`.'w`.`1,h t.s: - , ` L3 �'k N "+c���^ 'a a , p.1D 3+-1rA�1►3 � w F 7.4
®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 ❑Other: equipment,materials,labor,overhead,and the profit for the
a r it V g 1 x ' work indicated on this application.�
/ Vf
® Valuation:d. '7 1-and 2-family dwelling ❑Commercial/industrial / '
Number of bedrooms:
JS' g
❑Accessory building ❑Multi-family 4
❑Master builder ❑Other
Number of bathrooms: 3
`; Total number of floors:
, 4 3 c ` E: ' R it1 ',Ctl<11. _ "., _ `. . •._.._ ' dwelling area: ( square feetO
New we ing j ��
Job site address: 1350- sw �jQv�1NIJV s ! 'e,fira e —
City/State/ZIP:Tigard,OR 97224 Garage/carport area: q 16 square feet
Suite/bldg./apt.no.: Project name:River Terrace Northwest Covered porch area: 2.0 square feet J 0 1 7
Cross street/directions to job site: Deck area: square feet 633
Other structure area: square feet
E s t iI2 11 7ST
Subdivision:River Terrace Northwest I Lot no.:1 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 the profit for the
£M i M N itrti-WilagataPPITAAlrp A l g work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
m k £ i >_. R Sxas ' ` V SW` Tt t ` €
Number of stories:
." �: g; *,� .�IM: ..� e .f_ pA� ,_t> * ? a ..., _<k .. ._ t _
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:
Uz e .l 'g s».<T,3 -.._.` Y sit' s:..p., .€i,,' 8 cel, ^:4-ti - - , 1 `44 0.s, £,` ate,;;
a4. v,.. a fl. psi. ..,.a zY€ a e 3+;- I i r,:. , 1 a k a?ig
,..a,2 .,�--s-s. .,.; ro, _ _ _ ,,, ;,.., ... -. <u asA d -r ter`°.1*.., Wigb4'+f-.
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 ( ) reaft �
r� °
E-mail:Angela.Grajewski@polygonhomes.comL .. .�,. c . a:& r :
f , -. ' oCommercial and residential prescriptive installation of
t t ;4 ,.` A. roof-top mounted Photo Voltaic Solar Panel System.
Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 109 East 13th Street Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
CCB lie.:207247 Total fee due upon application: $201.60
Authorized signature: (.......44/4a/e146dThis permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Angela Grajewski Date:
*Fee methodology set by Tri-County Building Industry
�' Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
I
4
`Mechanical Permit Application FOR OFFICE 1 SF ONLI
City of Tigard RECFIVEDRecei°ea
_ PIWI Review
: Permit NV-7.5%70/4/
1,1 . 13125 SW Hall Blvd.,Tigard,OR 97223 -V05
Plan Re
Phone: 503.718.2439 Fax:
; 035981 p 1
2016 Date/By: Other Permit:
Inspection Line: 503.639.4175TIG1RD
Date Read B Juris: H See page 2 for
Ready/By:
Internet: www.tigard-or.gov 1 A,-y NotiSed/Method: Supplemental information
ITY OF
;�"�,:s ° r , sit ' `€' @` :I ,4
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit
er �'`„ Value:$
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist
Multi-family 0 Master builder 0 Other: Description I Qty. I Ea_ I Total
e �," =.� ,.� � h � a �a Air conditioning 46.75
Job site address:
r65-10 \N.\ 1 x\00,,3 n-surface, Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt no.: I Project name:River Terrace Northwest Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above ( 23.32
Subdivision:River Terrace Northwest I Lot no.: Other. 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
Gas fireplace/insert 3339
Flue vent for water heater or gas
new home construction fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other. 2332
W`' "" Environmental exhaust and ventilation:
Name:ADVL Land Holdings,LLC Range hood/other kitchen t
equipment t 33.39
Address:7600 E Doubletree Ranch Road Clothes dryer exhaust I 33.39
City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(602)694-4031 Fax:( ) Attic/crawispace fans 23.32
Other: 23.32
Fuel piping:
Business name:William Lyon Homes,Inc. $14.15 for first four;$4.03 for each additional
Contact name:Angela Grajewski Furnace,etc.
Address:109 East 13th Street Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace f
Range
E-mail:Angela.Grajewski@polygonhomes.com Barbecue
•5� .,m : .g Clothes dryer(gas)
Business name:Andersen Mechanical,Inc. Other.
K ,'
Address:16285 SW 856 Ave
Subtotal
City/State/ZIP:Tigard,OR 97224 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)992-6664 Fax:(503)536-6615 State surcharge(12%of permit fee)
CCB lis.:168214 TOTAL PERMIT FEE
V24,0/ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: 914
* Fee methodology set by Tri-County Building Industry Service Board
Print name:Angela Grajewski
gDate:8/22/16
I:\BuildingTermits\MEC_PermitApp_040113.doc 440-46171(11/02/COM/WEB)
4 1
Electrical Permit ApphCati IVE FOR OFFICE USE ONLY
City of Tigard 1 C Date/ReceiBy: Permit#:/` �J jV-pr(,, --do599 9
- 13125 SW Hall Blvd.,Tigard,OR 9722 E P 2 6 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#:
T 1 G ARD Inspection Line: 503.639.4175
CITY \
TI( R
Ready Date/By: JhairH See Page 2 fur
Internet www.tigard-or.gov 1 Notined/Method: Supplemental Information
: mss-_;t�-� _ Iia ,__;.> r �1 - ' ?. '� �:xvtr_
DIVISICN
_ 7±
��. -;�� .� 'y _ .:`<'.�:+'"��' _ -^=nom-- _- _.+:�a�^tc�-:: S-.>YJ�•.�Y�-;•� t m..;_i.�5.�-•_:„���-_--
- -
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wilier=checked):
0 Service or feeder 400 amps or more 0 Building over three stades.
❑Demolition ❑Other _ where the available fault current ❑Marinas and boatyards.
-: �-- i 1 0.57 4 *:`, 4� exceeds 10,000at 150 volts or Floatin buildings.
<��..::.��,- �� l�;;�.CO CTG sem --�s � amps ❑ g
®I-and 2-family dwelling 0 Cornmercial/indlistrial 0 Accessory building lass to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings,•
0 Multi-family • 0 Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or
_ ''-"�-` '^- - -- - _- = Em stem- largerseparatelyderived
.���u�.,._�::��--���.=`=3 T1Vf1['t�i�1�= ^EO�•e ���,� - - �y Sv
Job#: + Job site address: I C h J�{r`�'- ❑Addition of new motor toad of system_
J Kee looi-IP or more.
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt #: Project •
name:�, /.6y-race.M''1hw S ❑eons locations. 13S00 volts
Supply vnom for all more than
❑Service m feeder 600 amps or more.
Cross street/directions to job site: 5 OP LV -r_' - -4
Description I Qty. I Each I Total Y ,*.
New residential single-or multi-family dwelling unit.
Subdivision:A,-✓e y-r, n/„/- ,,,,,i- I Lot#: 1Includes attached garage.
'V 1,000 sq-tt.or less 1 168.54 4
Tax map/parcel#:
_ _ Ea add'1500 sq.R,or portion 3392 1
Limited energy,.residential 75.00 2
(with above sq.R)
Limited energy,multi-family 75.00 2
residential(with above sq.ft)
fc
Renewable Energy ❑ See Page 2
. <ag ' - Y> • '' _
- '=_ -`AV . -rx
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/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2
Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner t :•• being made• on property t•. • r which is riot200 amps or Iess 5936 I r
intended • - or exchange., to ORS • 670,and• i 201 amps to 400 amps 125,08 2 '
• E
Owner Date: 401 amps to 599 amps 168.54 2
- e ® _Branch circuits-new,alteration,or extension,,er .and6
A-Fee for branch circuits with
name:Business William Lyon Elomes,Inc. above service or feeder fee, 7.42 2
each blanch circuit
Contactname:n B.Fee for branch circuits without
Address: I service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:Vancouver,WA 9866UiYlia, .r..
Miscellaneous(s
ervice or feeder not included)
Phone:(360)695-7700 - Fax::(360)693-4442 Each manufactured or modular
67.84 2
dwelliEmail:Angela.Grajewsld®polygonhomes.com Reconnect wily
and/or feeder
Reconnect 67.84 2
ap'8q-tip _ ,: =,a
Pump orarngatuon circle 67.84 2
Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2
Address:6101 NE St Johns Rd pnelSignal circuits)or limited-energy x e . ❑ See Page 2 2
panel,alteration,or extension.
City/State/LIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 6625/hr
Phone:(253)320-1.657 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:bdaniels(a3gweusa.com Industrialplant p hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lic:: 4496S specifically listed C;4 hr min)
� ?r'1,! • 'E F- -? = y
Suprv.Electrician signature,required: •. - Subtotal:
Print name: Joan P Albert Date: 4/26/2016 0 Plan Review Required(25%of permit fee):
_ State surcharge(12%ofpermit fee):
Authorized signature: -- -----—�” TOTAL PERMIT Flt
This permit application expires if a permit is not obtained within 1S0
Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete.
* Number of inspections allowed per permit
:1:SBmldinglPermitssEL C PerndtApp_ELR FRY-doe Rev 05/17/1015 440,1615T(11/05/COM/WEB
•
PlumbingPermit A licati
Building Fixtures
IIS
City of T' and .
,IIN 14 13125 SW Ball Blvd.,Tigard,OR 9722 E P 1 2016 Permit y f7 / . per
Plan Review
a Phone:503.718.2439 Fax: 503 otherPcnnitNo.:
Inspection Line: 503.639.4175 l T ,Oy r fiGrif� { .
1 i,l (1 Internet www.tigard-or.gov I i 1I e.q s I I�3!�E NOti6eQ/M hem�1 w �Vi i etl�odt 121 see rage
entai r
haomtai Information
F2 New construction ■Demolition For special information use checklist
Description I Qty. 1 Ea. I Total
1 Addition/alterationplacementIIIIa l New 1-2-family dwellings('includes 100 ft.for each utility connection)
: ?'' i•. s 1 vy SFR(1)bath 312,70
SFR{2)bath 437.78
❑ SFR(3)bath ` 500.32
►4; 1 and 2-family dwelling IllCommercial/industriai
Accessory building ❑Matti-family Eaeb additional bath/kitchen 25.02
❑Master builder
Rt ❑Other:
srAFre sprinkler
( sq.ft.)
Page 2
d 4 n�� 'ini,� W:e t4 . �
-..y., SiteniilltJesc
Job site address: ( S J Cas k .S hTeXYQ Ce Catch basic or area drain 18.76
Ch/State Tigard,OR 97224 Drywall,leach lira,or trench drain 16.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Northwest River Terrace Manufachusd home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.Iinear ft.:_j Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision:Northwest River Terrrace , Lot no.: - Fixture or item:
Tax map/parcel no.: Backflow P_> 'enter 31.27
- Bk�vater i+an� t, i2.31
Clothes washer 25,02
Dishwasher' 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
'� .i 1• s g~ t i,''''''''' asp. Evanswn tank 12.51'
Namm ADVT., Future/sewer cap- 25.02
Floor drain/floor sink/hub 25.02
Address: t Doubletree Ranch Road
Garbage disposal 25.02
Scottsdale, Hose bib 25.02
a Ice maker 12.51
,.. pv Y 9w
Intaeeptor/grease trap 25.02
Business name:Wlmam:Lyon Homes,Inc
Medical gas(value S-- } Page 2
Primer 12.51
Contact name:Angela 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 lFax :(360)693-4442 Tublshowerlshower pan 12.51
E-mail:Angels.Grajewski®a polygouhomes.com urinal 25.02
Water closet 25.02
Business name: 37-52
' 64-1 1, ' ‘Nk ..4- l%- Watcrpiping/DWV 56.29
Address: P.f1• $-ox, op, t Other 25.02
City/State/ZIP: S-r. e tQ�nt, q1 t31 Subtotal
Phone:(,,5b3-Bot- Iciti Paas(G rt V"►"199,1''" '', /Q' Minimum permit fee:$72.50
CCB'Lie.: h54/312_, Plumbing''Lic.tut '" Plan review (25of permit fee)
State surcharge(12%of permit fee)
Authorized signature: 1:Yti5c$ a TOTAL PERMTTFEE
Print name: 6+fAjt Ft Lok_e___ Date. .a., This permit applicationit haexpsires if a permit isas mmpslot obtained within 186 days
alter txen aaepted kte.
*Fee methodology set by Tsi.Cotmty Building Industry Service Board.
L•lBmlermeermitslPLMU-PanxitApp.doc 10/01109 44046162(tO/02lCOWWE8)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Q
T 1 c A R o Building Permit Review — Residential
Building Permit #: /\1-‹132o/6.., -- c) _.5"-9'9'
Site Address: 17DSLO9 S CA In t/9ah - ,t--r ,c-
Project Name: 121ier TCA"ICI Cf; N c h--)yti<Cc-1- Lot #: -7
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: 'hiJJ ,c 9-
:0 Verify site address/suite# exists and active in permit system.
N. River Terrace Neighborhood: ❑ No $ Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
Three(3)copies of site plan , =wig structures on site
41/61'Site plan must be on 8-1/2"x 11"or 11 x 17"paper 'Footprint of new structure(including decks)with finished
n D rawn to scale(standard architect or engineer scale) floor elevations
i orth arrow 51 Utility locations(required for new,may apply for additions)
n ite address,project or subdivision name and lot number II' •cation of wells/septic systems
N pplicant information(name and phone number) t xisting trees to be retained with drip line,and tree
KrLot dimensions and building setback dimensions protection measures
. tot area,building coverage area,percentage of coverage and Atreet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) Street 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 No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: E Yes,applicant was notified 'f5g No Applied For: ❑ Yes ❑ No,stop intake
V Land Use Case#: P D 1`-2D1 Cj-- o15
-IQ Zoning: l C_p p
(;Required Setbacks: Front Rear Side 3 Street Side Garage
.k Landscape Requirement: 2.0 %
liEc Lot Coverage Maximum: %
'g Building Height: Maximum Height ( Actual Height t"21
Vr Visual Clearance 1
.K. Easements
....Ki, Sensitive Lands: .2- Yes ❑ No Type 11M) \i/31,L4r V7( 0I- t
Urban Forestry Plan
Conditions "Met"prior to issuance of buildinpermit
Notes: C6 11�L'l1 \S 411 toe`Y - yl'la it, 1,SSLtLLtri(. '
Approved By Planning: tij id?(2,4.. Date: 12,)1 j'+(p
Revisions (after Building Submittal 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
w1 4
Building Permit Submittal
Original Submittal Date: 9///fr
Site Plans: # '?
Building Plans: # 3
Building Permit#: El-Enter building permit#above.
Workflow Routing: [ -Planning Engineering C-Permit Coordinator [ —Building
Workflow Sign-off: Er Sign-off for Planning(include notes from planning review)
Route Application Documents: B' Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
E'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Z ` ' 4
Date: / /A-//
Permit Technician:
Engineering Review
Slope at building pad: _22j
°Conditions "Met"prior to issuance of building permit Nom, ;
,, Easements (encroachments)per engineering conditions of approval and plat
/CJ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes II No
Assess Water Quantity Fee in-lieu: ❑ Yes 11 No
LIDA Facility on lot: ❑ Yes 11 No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 74/ j)) Date: jZ� 1,,�j
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
d❑ Conditions "Met"prior to issuance of building permit /03\A roved,NOT Released: Date: 1
rr'7PP
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: Yes ❑ N/A
/ Tigard Trans SDC: �aYes ❑ N/A
Parks SDC: Ni Yes ❑ N/A
'I: $K to Issue Permit
Approved by
�%/�
r ved Permit Coordinator: /;/�"' Date:
�/11"1---->-
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
City of Tigard
1111 COMMUNITY DEVELOPMENT DEPARTMENT
T l c A RD River Terrace Building Permit Review Addendum
Building Permit #: C1..5�at a/6
Site Address: \ 55 3 iS CA Vi 1,944 Th ccc.
Project Name: 2.\\J( Jl caLe 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?'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.
Balcony w/access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
❑ ❑ ❑ ❑
2. Eyes on the street: a minimum pf 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: )3 1)
3. Entrances:At least one entrance must meet both of the following standards:
.. Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: °Yes ❑ No
If yes,all the following apply: A 25 sq.ft.min.
.1^^.1.One street facing entry 12 ft.max. roof above floor of porch
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:
,.Covered porch min. 5 ft.wide x 5 ft. deep .N—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.
n Roof shinglea either the or wnnrl � bl ba p or 11 bi
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
El 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 wall. ❑ Yes° 1 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 facade
050%max. of street facade with 7 detailed design elements
Notes: C r
Approved By Planning: /Oka�� i r _ Date: t5( I4)
I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13565 SW CALABASH TER, SHERWOOD, October 26, 2017 at
OR, 97140 11 :29:31 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00599
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS
Comments:
Water pressure 60 psi.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13565 SW CALABASH TER, SHERWOOD, October 26, 2017 at
OR, 97140 11 :28:54 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00599
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
Panel not labeled correctly, kitchen lights and garage outlets not on same circuit.
Breaker marked garage plugs, not garage plugs, it's garage lights and kitchen lights, and
not arc fault protected.
Correct breakers, and panel labeling. 110:22
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13565 SW CALABASH TER, SHERWOOD, October 27, 2017 at
OR, 97140 10:25:33 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00599
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
Corrections complete.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13565 SW CALABASH TER, SHERWOOD, October 27, 2017 at
OR, 97140 10:25:52 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00599
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide slope away from structure 6" in 10 ` or approved drainage swale, north side at
neighboring patio area and front under bump out. R401 .3
Seal fresh air intake penetration in mechanical room.
No ac installed at this time.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13565 SW CALABASH TER, SHERWOOD, October 27, 2017 at
OR, 97140 10:25:52 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00599
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide slope away from structure 6" in 10 ` or approved drainage swale, north side at
neighboring patio area and front under bump out. R401 .3
Seal fresh air intake penetration in mechanical room.
No ac installed at this time.
Violation Summary:
Inspector Contractor