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Permit (24) CITY OF TIGARD MASTER PERMIT ' COMMUNITY DEVELOPMENT Permit#: MST2017-00005 Date Issued: 03/20/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB00500 Jurisdiction: Tigard Site address: 13545 SW CALABASH TER Subdivision: RIVER TERRACE NORTHWEST Lot: 5 Project: River Terrace Northwest, Lot 5 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 625 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1017 sf Garage: 418 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 1642 sf Value: $204,162.32 Rear: 0 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: 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 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: 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 Y Other: N Othcr Duc,ui ipliu,r. - — Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1642 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: $30,766.82 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / ,�/C _ d ,f—io/1 C,i e' --i7C?Ad Issued By: t✓ ViPermittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. A Building Permit Application LOT 5 Residential RECEIVED FOR OFFICE USE O\L1 City of Tigard Received / Date/By: // 7 y,r Permit N S j;20�'7-'00005 0 ilii 11 13125 SW Hall Blvd.,Tigard,OR 97223 S E p 1 2016 Plan Review -7 1 11 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: �.� `�Perr> �/�' 2O/.7 �tiG Y T 3 G A R D Inspection Line: 503.639.41758-� p q t 1^q Date Ready/By: .suis: H See Page 2 for Internet: www.tigard-or.gov ! a J ! L9 NotiSed/Method: Supplemental Information BUIWING DIVISION sorRISSAMWeat,,y:-[-"}ice -;"s y. g t< _ c E 4 o a4 T* +4 :=.. ... -� " s-s �"Y: -t "L *.d,utta%— "" �� 3 k-h �§ ! �pix "" Y ,zPG�$ gs�.��. .'f'.3. k^Ti ®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,an'the .ropt for the r y. A � IMIC 21L Vllig ?�kfsit a a 5i'�a " ' work indicated on this application. ( L.x '7 ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ I r ❑Accessory building ❑Multi-family Number of bedrooms: l.4 ❑Master builder ❑Other: Number of bathrooms: 3 �- � �` -� ~` Y`�'� # Total number of floors: Job site address: 1354 S b W C Qloa5 a I,r(O ce New dwelling area: i t p 42 square feet 6�' City/State/ZIP:Tigard,OR 97224 v"`� Garage/carport area: 1.4 1 Q) square feet Suite/bldg./apt.no.: Project name:River Terrace Northwest Covered porch area: 2y square feet 1 f (- S' Cross street/directions to job site: Deck area: square feet b 2 Other structure area: square feet Subdivision:River Terrace Northwest Lot no.: 5 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 atfWZ'V1 * �pRI 'a ' work indicated on this application k £ Valuation: $ Existing building area: square feet . New building area: square feet gawt �� „.u, �' a.,,''"^ 's",, .--. �1"r4 t 0 # �` ��' ,= 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: ""� '-x`4' 4 .j.--'�� ��` i.� "`e j0.l .ffi s.,f '�-'t �.,�r r. `� '" E Ii. ' Si '"`t' `- t ` . = .�'-,<n rm.� �o,:�sa. .ka;,3-_...:a" ,�.*_: S`r�, '.°3=.�. sem.�-.. �'`s=,. 'a 4. . , s-,.x:aa'�.- h � ""z _ .. Business name:Polygon WLH,LLC :: . L O " ` ; 1 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 Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com . , w_ • 4 �1. .: : -rte: � ,. >„ ¢ x�. � Commercial and residential prescriptive installation of __._;,, i.,,..fry: N .. !.' .1 s . t V . .,1,43 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: $201.60 Authorized signature: a of t oThis permit application expires if a permit is not obtained �l % �/ /f within 180 days after it has been accepted as complete. p. nom, *Fee methodology set by Tri-County Building Industry Print name:Angela Grajewski Date: 6 pa Service Board. I:\Building\Pemiits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE l SE O\L1 City of Tigard RECEIVED Date/Eled Permit NqE� IN ' 13125 SW Hall Blvd.,Tigard,OR 97223 y 57;20/2 C L!LCZ SEP 1 2016 Plan Review = Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I G n RD Inspection Line: 503.639.4175 Date Ready/By: res: H See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information t ° : e -e . [�?zi€: pmt.t st. r Aihrai- Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit ❑Demolition ❑Other: -, r . tam ` K -, V ue:$ ❑ 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� l" r .� t �� ts � mss Heating/cooling: � �„ �.��� ,, , . �w _ g� ��° �� �»° . : Air conditioning 46.75 _. Job site address: 13 S �\N1 C D.1&'Oo6V) exaAcC. 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 I 23.32 Subdivision:River Terrace Northwest l Lot no.: Other. 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 , _ t Gas fireplace/insert 1 33.39 Fx �r•.e � � , �b �_ 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: 23.32 _._ "„ � :4- Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 1 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) 4 23.32 Phone:(602)694-4031 Fax:( ) Attic/rawispace 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 I Range I E-mail:Angela.Grajewski@polygonhomes.com Barbecue , �� ��Qtax � � e,�,. a E Clothes dryer as �� er , � �, ," �' dry (gas) Business name:Andersen Mechanical,Inc. Other. Address:16285 SW 85th 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 lie.:168214 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 74,A days after it has been accepted as complete. Authorized signature: tiyij * Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski gDate:8/22/16 I:\Building\Pennitu\MEC_PenaitApp_040113.doc 440-4617T(11/02/COM/WEB) Electrical Permit Applicat>' l FOR OFFICE USE ONLY City of TigardcReceived Permit gt..,,�"i c�i' Dee<) 11 - 13125 SW Hall Blvd.,Turd,OR 97233 L P 1 2016 Plat,Review Phone: 503.7182439 Fax: 503.598.1960 Date/B Related Permit it; Inspection Line: 503.639.4175 CITY OF T G/A tR D Ready Date/By: kris: H See Page 2 for T 1 GA RDIInternet www.tigard-orgov BUILDINGDIVISION Notiaed/Method Supplemental Information -- ='M. .• $'. .... Gw�.--...,Y_; .. ^ (. ,:,`..-`.'"-..' iii` AxJ"'� vu: .=�. tih:l_=. r ` �{" �ti.•2'�.F N New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition 0 Other: where the available fault etarent 0 Marinas and boatyards. 7 "=' t --- s �- exceeds 10,000at 150 volts or Floatingbuildings. ..r �.�.- : �. .-�. ��`�€��'�CtA.��1T� a - s= _ .�,a.� amps ❑ N I-and 2-family dwelling 0 Commercial/i ndtistrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings.• ❑Multi-family ❑Master builder 0 Other: ❑Fite pump. ❑Installation of 150 KVA or x --- - i v.`--- _ - _' ❑Emergency system. larger separately derived L ..: f3ilIC Ql =cif �:•.._-_.�.. ; - ��: „a.�� .r.,.. .:. .-�.�r_�'.._T`�`5;=����='= or more hal units. 3S`_1 S-S /�� �T ❑Addition of new motor load of system. Job#: Job site address: 1 looflP or more. ❑"A”.`E':`1-2">"1-3"• ❑six residential occupancy. City/State/ZIP:Tigard,OR 97224 ❑lieatth-care facilities. ❑Recreational vehicle parks. _ _ Suite/bldg./apt #: I Project name.. ❑Service o r locations. ❑Supply voltage for more than �� `���u/- !' ' 'r'�� ❑Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: -Y - ' r r S"t..B[87D_L_ = =. Description _ _ I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision:A " 4' 7rr .. - ,i/v (PTJ I Lot#: S Includes attached garage. I,000 sq.ft or less 1 168.54 4 Tax map/parcel#: _ Ea.add'I 500 sq.It or portion 33.92 1 �= 1aS¢ Gf Et Limited en residential -- , .--� ,.,.._...��,_^�. .:., �'�`--�` '- energy, 75.00 (with above sq.ft.) Limited energy,multi-family 75.00 residential(with above sq.R) _ �,- Renewable En CI See P:_e 2 © �., J - .. .- =ti"'� " 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/ IP: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 Emat1: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 I 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 168.54 2 Branch circuits-new,alteration,or extension,.er.anal 4` cL ma _� •' ! ti� c 3 A. •Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits without Address:109 East 13th Street service or feeder fee,fust 56.18 branch circuit >—lt�r_�ltlttlttttslt�sea City/StatelZlP:Vancouver,WA 986.0 - . . i.......... -. ; "'�—i"" _ Miscellaneous(service or feeder not included) Phone:(360)695-7700 . ' I Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:Angela.Grajewsld®polygonhomes.com Reconnect only 67.84 2 _ :y a . _ M. P-Ci- i ,qs , �"t' y -`., '9 =gri -.i'Ma Pump or irrigation circle . 67.84 i8 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 Signal circuits)or limited-energy Address:6101 NE St Johns Rd panel,alteration,or extension. 0 See Page 2 2 City/State/71P:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 6625/hr Phone:(253)320-1657 I Fax:( ) Investigation(1 hr min) 90.00/br Email:bdaniels@gwensa com Industrial plant(1 hr min) • 78.18/br Inspections for which no fee is 90.00/hr CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lic:: 4496S s• chic, listed h hr min _ Su rv.Electrician signature,required: " i ' ....•-: a Subtotal P � .req :2�•.� i� i� Print name: Joan P Albert •- Date: 4/26/2016 ❑Plan Review Required(25%of pemtit fee): State surcharge(12%of permit fee): Authorized signature: L_ — '::-----" TOTAL PERMIT FEE: This permit application expires if a partials not obtained within 180Re I Print name: Bill Daniels Date: 4/26/2016 days after it has been accepted as complete. * Number of inspections allowed pea-permit $� I:laulldinelPermits\ELC PermitApp ELR EIIE.doc Rev 06117/1015 440-4615Tpu105/CoWWEa , - Plumbing Permit Applies Building Fixtures City of Tigard yy, E P 1 2 016 Received Da Y Pe�itNgr�yS 7 t`l i 7-t 2ea?.. w 13125 SW Hall Blvd.,Tigard,OR 9 Plan Review • III Phone: 503.718.2439 Fax: 503 4.e l-i T o F t$ j AR ,) flay: Other Rama No.: Inspection Line 503.639.4175 �ye g3 ,, Date y/By )ante E gee Page 2 for l ! •t> Internet www trgard or go is y\( ti t S?1 Non Su,.lemmata'Inform ^' „�;�� :. r �, `� � . a ,., �e w+:•�.alio p� � a .0 New construction •Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(mcludes 100 ft.for each utility connection) :se e, ..a A` a c SFR(1)bath 312,70 ►a4 1-and 2-family dwelling IlCommercial/industrial SFR(2)bath 437.78 ❑ SFR(3)bath, ` 500.32 .Aceessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other. Fire sprinkler( sq.f3.) Page 2 , ''.:Z..:•.`•,..'-'i,'t t` _ €`i a-!! a .- s g i '-Lr Site utilitldt Job site address: 135L1s SvJ Ush 1 exy i Gault basin trr axes• dt�in 18.76 City/State/ZIP:Tigard,OR 97224 Drywall,}each tint,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 Project name:Northwest River Terrace Maaufactuzed home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear R.: ) Page 2 Subdivision:Northwest River Terrrace ] Lot no.: 5 Fixture or item: Tax map/parcel no.: Backflow prtventer 31.27 ; s Backwater ~tri e3: 'd x' valvae 12.51 ' '014 ° clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 , , tank Expansion 12.51 � r tal � s ; , m •: Name:ADVT.,Land HoldLags,LLC F er rap 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:(` ) Ice maker 12:51 -7 •• -, ... 1 Interceptor/grease trap 25.02 Business name:William Lyon Homes,inc` Va l-gaa(valor$ ) - P 3 Primer 12.51 Contact name:Angela Grajewsk Roof drain(cam) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIF:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Tublchowerlshowerpan 12.51 Urinal 25.02 E-mail:Angela.Grajewskl®polygonhomes.cont . d v attt closet 25.02 Water beater 37.52 Business name.' 6,4.6 V ' ‘VL --5.,f Waterpiping/DWV 56.29 Address: p.IS.+ 6.: C?{ „ Other. 25.02 City/State/ZIP: ST, P 4 a 1101 Subtotal_ / tj Minimum permit fee: $72.50 Phone:+;�.a`43--8(st- 141 1 Fax: i ( i Q'..e.ia,e1-',1 Plan review(25•%of permit fee) CCB Lie.: 6141312, Plumbing Lic.13o State surcharge(12%of permit fee) Authorized signature: - TOTAL PERMIT FEE t jj! P application exp Ifs permit 6 Dot obtained within ISO days Print name: 6+[+A/L U)1k.Q. Date:g_ -1 b after It has teen aece ted as complete *Fee methodology set by Tri-County Building Industry Service Board. akstaldmg\PexmitstiPUv1U-Ptemitapp.doc t0141109 440-461611101MVCCONWffi) 4 City of Tigard liga COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G A RD Building Permit Review — Residential ,w Building Permit #: /`t'f o/ 7 - C)E)005 Site Address: 13545 S LA/ Cato-hash "leer. Project Name: R;,-e.r -re rru c.e 1.1 u✓-(-trwif Lot #: S.- (New "(New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: (v 2 (-0 SFR - cl k-kc t d- • Ar Verify site address/suite# exists and active in permit system. L"River Terrace Neighborhood: ❑ No 2Yes,See River Terrace Review Addendum Attached Site Plan Elements: AT-Three(3)copies of site plan ,Existing 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 tVtDrawn to scale(standard architect or engineer scale) floor elevations North arrow `. Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot numberocation of wells/septic systems .'Applicant information(name and phone number) Zxisting trees to be retained with drip line,and tree hrLot dimensions and building setback dimensions protection measures [ tot area,building coverage area,percentage of coverage and ,ErStreet 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 e-No Received: ❑ Yes ❑ No kr-Public Facilities Improvement (PFI) Permit: Required: frYes,applicant was notified ❑ No Applied For: .?K"Yes ❑ No,stop intake 'Land Use Case#: PP R acs 15 -00°° S ar Zoning; e- t 2 p p -_ W Required Setbacks: Front i d, Rear $ b Side 3 Street Side -- Garage 3 Nt Landscape Requirement: g 0 0/0 Lot Coverage Maximum: 3a oxgr Building Height: Maximum Height Actual Height C$ Visual Clearance R" Easements kt Sensitive Lands: ❑ Yes kl No Type 0Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit otes: M CR.,A" Go A8 i 4-i civi +nrii y (ch c tc) pe'mi 1- I JJ( &i cit.,. Approved By Planning: a- Date: ( U -(3—(co Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: 7////c.' Site Plans: # j Building Plans: # 2 Building Permit#: ,Er Enter building permit#above. Workflow Routing: 2 Planning I-Engineering El--Permit Coordinator a--Building Workflow Sign-off: l]–Sign-off for Planning(include notes from planning review) Route Application Documents: J.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: /%'/7 Engineering Review 6❑ Slope at building pad: ,i7/e onditions "Met"prior to issuance of building permit ,r-- / ❑ 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: 2 Date: (t'"/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 pproved,NOT Released: 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: 'IDC Fees Entered: Wash Co Trans DevTax: es El N/A Tigard Trans SDC: 'es ❑ N/A Parks SDC: ❑ N/A a)K to Issue Permit yYes roved byPermit Coordinator: Date: 3/1/1/°--- I: /1//T PP �� I:\Building\Forms\BldgPennitRvw_RES_091216.docx • City of Tigard 1111 COMMUNITY DEVELOPMENT DEPARTMENT iliP1 T I G A RD River Terrace Building Permit Review Addendum Building Permit #: /7--C77,20/7 )iC 0 ' Site Address: 135+5 St-t.1 CoI4-b&JTRtn- Project Name: R; vt✓ Tema a 1J cl S 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 El 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 ❑ CI CI ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: la 9 t'/ 3. Entrances:At least one entrance must meet both of the following standards: i ivlax. 8 ft. setback from longest street- facing wall Si-Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: l'Yes ❑ No If yes,all the following apply: X"25 sq.ft.min. kOne street facing entry -8r12 ft. max. roof above floor of porch ft. depth min. RI 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 ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep g Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide ."Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft. n Rnnf shin lac eithr'r til"or wood -- $ ---- - - Pi"GuL1C,1>ip or gxmbrcl roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street façade Window trim min. 2 1/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing El Bay window min. 5 ft.wide by 2 ft. deep El Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade /'Garages and Carports:May face the front or side lot line on a corner lot. t ' Setbacks: No closer to front or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): at ❑ 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: C,Q C G.i)n.ge, Date: U - l 3 - I b I:\Building\Forms\BldgPermitRvw RES RT 062216.docx RECEIVED Mechanical Permit Application FOR OFFICE ESE ONLY City of Tigard NOV 15 Z017 Received Dattil3y: /74_5 /7 ..0e:/"--- Pc-it N,vili 7-.2o/7-0aoos` . - 0125 SW Hall Blvd..,Tigard,OR 9722,3,f,„_,,,i.OF r ICARD Plan Review 1111 2 I Phone:. 503.718,24:39 Fax; 603-598,1(titt 1 `i U.' i ',,i Datellbc: otht.r Nrn0 TIGARDInspection Lne,: 503.-639g,4o175 rll - t"ii 0 C.:()N Dote Ready/Sy: hitiv ESee rme2 trIntenet: wwwlinardory BUILn 3) 3") ' Notificditsiethod: Supplemental Information -','::::','1 ,1:::.';10.;;',-:4-11: 1g111:,--.-17%•=?.;:4-f_ifft :ittiltis,,4-7@:;7-f.,,r4,;. ,t.. ..Z,i72i;,'',:t7.'-iZe:7 :;:-.. .41141g,ce*,,,VETV-f,Alq,10.f444;,:i1AFV1iX.IZW,Tt'r Mechanical permit permit fees*are based on the value of the work 0 New construction CI Additionfalterationireplaement performed.Indicate the value(rounded to the nearest dollar i of all 0 Demolition 0 Other: mechanical materials,equipment,labor.overhead,and profit. . , _ ., .. Value;$ ,---eAttGoRV,Orediartt.tfettow,:•:',-,,•,,,,-:::,-;---,:]-,:t,--,----,3,. .,,,,-:••-,, ,- - - ,•-•,-_-- --,- _ •- ---- .._••_•-.. •, wnt. ius ...,_ ...,...,._____. . ., )2(1.and 2-family dwelling El Commercialiindustrial El Accessory building For spedul information use eiteckact, Multi-Itunily 0 Master builder 0 Other: Description Qty, Eit., _ Total _., 44)ItS1i*OSEOlt,S.4itotif, tiieiilitilit.:?1 :!;;,;: -:, T., 7,-Z.:: , litatittectmling: i ,,....„. ie.- ' - — • Ait conditionine ) 46.75 Job site tiddress: j,5)LI J . , . e-vmr, SiAl e.a t,I 6 iy,fsh r ' Furnace 100.000 BTU Minents) ., CitylStaterZIP:Tigard,OR 97224 Furnace 100.000-t BTU id /veins) 54.91 -- - ,, F leat pump 61.06 Suiteibldglapt.no,: Project name:R.1\fey TeAy-nce_moritAlwejt__ ouo work. 23,32 ' Cross street/directions to job site: livdronic hot water system 23.32 4 .. ,. — Residential boiler(radiator or hydronic) 23.32 _ Unit heaters(fuel-type.not electric:), in-wall.imduct,suspended,etc. 46,75 Flue/vent for any of above - •I'' 23,32 1 Subdivision: qf r reNyacti 1,1 Ofilnuje,S-i--- Lot no.:S Other --- Other foci appl_iances: 23,32 Tax map/parcel no.; Water heater -, ,:1:11. ,:,', :: .. -ATIZK,*.ii,Tiriklo,.e.-.:81("011 ,7i7.73-Fs', : ,-€,.',1':•'--iij,i'.7,7.I't.T !, (,as firct•lacelinsett 3 — 3.39 t/ QnbraCtlY CiVka-n1 r C ' .' ' Flue vent for water heater or gas , fireplace 23.32 IIVI $-r1011'600°S- , Log lighter(gas) Wood/pellet stove 23.32 3).39 . 1 Wood fireplace/insert 23.32 ChimneVliner/fluelvent 23,32 .:: :23,32- ,J';-C'440PX1-(Tr-61* n7C.;fj.f.t:'- '-':':'-',.':: ,-?.17-':-:•;:::---,,--.•:•;.'41:11...E,S.ANT,4'--:,:' ,..--: :-,i,-j]-_,, Other: . - Environmental exhaust and ventilatton: i Name: i _ , L.44, , Range hood/other kitchen equipment ' 33.39 Address .223ad— Clothes dryer exhaust I 33.39 Single-duct exhaust(bat hmorris, City/State/ZIP: Sc.Ditistiet,t,c_. pa, El -is-b , . . toilet compartments.utility rooms) 9 23.32 Phone:IfinI-10/4-14()2)I Fax:( ) , Anieferawlspace fans 23.32 ‘u.'... _, .., ..' • A.„_...1,...._, , ,.. .......„._,____....., , __, „., acoxi,Act,frit,s0,i,4--;!---,..::,-:- .:cnber _ 23_32 Fuel piping; 13usinWI ess name:Polygon 11,IL(. „ 514.15 tor first four;54.03 for each additional Contact name:Kli onNe --n,,cw_r, ,. Furnace.etc. ,, , I Address: 1VD [3 Iroeveku-r--11 sk. s'-ih-----c"tc) Gas heat pump , - Walltsuspendediunit heater City/State/ZIP:Vantouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail N;-1 -1 -7) 10`1,PIC i_LOVIPr-0 oPt 440.1_..thQDL=. Barbecue c7rfAerOk'±-;f ':?;,,.•:::::,, -_-'-i,-,', -'?::4. -.5z-,T.'.0.1.:..gl .;,-0.::f-''f':':: (lOtho drtver(885) t, Business name:Apes Mr EEC Other: -,,'. ,.--:•-::!-:--,- ttifiAMANK4,.F•gRdtiliTnEsf-K___.,,, .. ; ,. _ Address:18004 NE 72'd Ave . Subtotal City/State/ZIP:Vantouver,WA 98686 Minimum permit fee Plan review(25%of permit feel Phone:<360)342-8109 Fax:(3601326-1769 _ State 5urehargc(12%of permit fee) CCB tic.:203034 4 _ TOTAL PERMIT FEE This permit application expires it a permit is not obtained within in° days atter it has been accepted as complete. Authorized signature.: • • Fee meehudoto,,o .-ti by Trk:ourity flifilding Industry Svtkice hoard Print name: I I^ 44 13atc: 4.0.it... - I WhitliiittglhatnItiNUe,hermitApp,..0401 II do.: 41340 1 71(9 INVCOMMEn) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13545 SW CALABASH TER, SHERWOOD, OR, July 10, 2017 at 10:21 :44 AM 97140 Record Type: Record ID: Residential - Master Permit MST2017-00005 Inspection Type: Inspector: 320 Plumbing rough-in David Young Result: FA I L Comments: Plumbing rough in just started, work not complete, not under test and not ready for inspection. Investigative fee applied for scheduling inspection prior to work being complete. R109.3 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13545 SW CALABASH TER, SHERWOOD, October 27, 2017 at OR, 97140 10:28:51 AM Record Type: Record ID: Residential - Master Permit MST2017-00005 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Correction complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13545 SW CALABASH TER, SHERWOOD, October 27, 2017 at OR, 97140 10:28:14 AM Record Type: Record ID: Residential - Master Permit MST2017-00005 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13545 SW CALABASH TER, SHERWOOD, October 26, 2017 at OR, 97140 10:32:02 AM Record Type: Record ID: Residential - Master Permit MST2017-00005 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Provide correct address on house for inspection. Address on house 13454, address on permit is 13545. Hot water temp appears to exceed 120 degrees. All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13545 SW CALABASH TER, SHERWOOD, October 26, 2017 at OR, 97140 10:30:17 AM Record Type: Record ID: Residential - Master Permit MST2017-00005 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide correct address on house that matches permit. House posted 13454, permit is 13545. All else appears ok. No ac installed at this time. Violation Summary: Inspector Contractor