Permit (49) 114 q
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit*: MST2017-00096
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2017
Parcel: 2S 106DB01400
Site address: 13530 SW CALABASH TER Jurisdiction: Tigard
Subdivision: RIVER TERRACE NORTHWEST Lot: 14
Project: River Terrace Northwest, Lot 14
Project Description: New SF
BUILDING
Floor Areas Required Setbacks
Stories: 2 Bedrooms: 4 Required
First: 809 sf Basement 0 sf Left: 3
Parking Spaces: 0
Height: 24 Bathrooms: 3
Second: 1049 sf Garage: 437 sf Front 8
Dwelling Units: 1Smoke
Third: 0 sf Right: 3 Detectors: Yes
Total: 1858 sf Value: $230,592.61 Rear: 3
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0
y Rain Drain: 1 Urinals: 0
Lavatories: 4
Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100
Tubs/Showers: 3SF Rain Storm Sewer: 100
Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1Catch Basins: 0
Hose Bib: 1 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
Furn<100K: 1 Other Units: 0
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
P W/Svc or Fdr: 0
Ea add.'500 sf: 4 201-400 amp: 0 201-400 amp: 0
P 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: Y
Ecompasing:
BUILDING INFO
Class of Work: Type of Use:
Type of Constr: Occupancy Group:
NEW SF VB P Square Feet:
R-331858
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 2 Fire Rated Eaves-Both
SCOTTSDALE,AZ 85258 Sides
3 plywood both sides of shear
PHONE: PHONE: 360-695-7700 wall 2P3
FAX:
Total Fees: $31,233.48
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 9 -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: Li/v .%�.,,,�a/0e-/e 71t/
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 L_I. C / „,
Residential ESI ' FOR OFFICE CSE ONLY
City of Tigard Received
'i 13125 S W Hall Blvd.,Tigard,OR 97223
Date/By: .,,3//�J,/7 Permit N ..
1,1 E P 1 2016 QST /7"G� 76
g Phone: 503.718.2439 Fax: 503.598.196 Plan Review,'
Date/By: 3-�),5.' 1 _i-r Other Permi z7. y 7
ex
ie ,�Inspection Line: 503.639.4175 Date Ready/By: / Juris: I H See Page 2 forT1GARD CITY OF IIGARNohfied/Method:-/ ' `7 ''''''°Internet: www.tiazd-or. ov Supplemental informationBUILDING R FS h ?v
®New construction D Demolition Permit fees*are based on the value of the work performed. _.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other:
equipment,materials,labor,overhead,and the profit for the
,,.vt ax gr g. t £ +' i F
IY, ¢ work indicated on this application.fi F 't A�GPAW � #�
® I-and 2-family dwelling 0 Commercial/industrial Valuations' OSS 9
D Accessory building '"T
❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms: 3
zl ii 51 l(I�TI+ ILiVlJ1 i A it)E A` y
e _`, .._ f4 [)B Total number of floors
13ED SW T �._
Job site address: C n,�WASh I D r'raCe New dwelling area: /1(3 square feet
City/State/ZIP:Tigard,OR 97224 uVWv ,Y 1 1, NAL Garage/carport area: LI square feet
Suite/bldg./apt.no.: I Project name:River Terrace Northwest '`
Covered porch area: 8 O�. square feet J Q y
Cross street/directions to job site:
Deck area: square feet go 9
Other structure area: square feet
Subdivision:River Terrace Northwest Lot no.: I 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
� W *. _ 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
.,. `� .�_.... ....� _.. �`x1 10,111,1210~1,11111 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 ( )
4 z 1i " 4; .i4,14t New:
Business name:Polygon WLH,LLC :�� � rur�
Contact name:Angela Grajewski Structural plan review fee(or deposit):
Address:109 East 13th Street FLS plan review fee(if applicable):
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 I Fax::( ) Amount received:
E-mail:Angela Gralewski@polygonhomes.com
s:, �0 `i t-tt* - : Commercial and residential rescritive installation of
l ` " `°• _-' ._ .. M 5:? roof-top mounted Photovoltaic Solar Panel System.
Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details
Address: 109 East 13th Street and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review
and administrative fees): $180.00
Phone:(360)695-7700 I Fax:(360)693-4442
CCB lic.:207247
State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: c....4.41 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name:Angela Grajewski 4/e(44d Date: / jji, I *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
i
Mechanical Permit Application_ FOR OFFICE l SE 0\1.\
City of Tigard I Received ,may
- Date/By: Permit Ne-Vt 0 /7— Co 6
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 SEP 1 2016 DateBy: Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov �` /'�/�j�('� y y
CITY ��. 6 �\�l"1l�L,a NotiSed/Method: Supplemental Information
r 1 # k.°fR
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Y '' "�� w ,, Value:$
❑ 1-and 2-family dwelling 0 Conunercial/industrial 0 Accessory building For spedvi information use checklist
®Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
p-� .ar4,' n-.
Er»b az�.,�� r
¢ �'•� � --..�•
� ��'��'wtSe' .fir,#r'. �r•'+
AHieractoi�ndictioonliinng
:
I 46.75 site address: / , 3J VAv1 ► 0Y5nTurroie,
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name:River Terrace Northwest Heat pump 61.06
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 I Lot no.:/y Other 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
v i' ¢ Gas fireplace/insert ' 33.39
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
Environmental exhaust and ventilation:
Name:ADVL Land Holdings,LLC Range hood/other kitchen
Address:7600 E Doubletree Ranch Road
equipment 33.39
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/crawlspace fans 23.32
7a` Y „ - CI,p-' P t1° ra ! r Other. 23.32
Business name:William Lyon Homes,Inc Fuel piping:
$14.15 for first four,$4.03 for each additional
Contact name:Angela Grajewski Furnace,etc. 1
Address:109 East 13th Street Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace 11 i
E-mail:Angela.Grajewski@polygonhomes.com Barbecue
.1[',,� ` ".',' s
"" t 'r:',4
R -4':-;'''S; 2 j.,-;-,:i dryer(gas)
Business name:Andersen Mechanical,Inc. Other.
Address:16285 SW 85th Ave
Subtotal
City/State/ZIP:Tigard,OR 97224 Minimum permit fee($90.00)
Phone:(503)992-6664 Plan review(25%of permit fee)
Fax:(503)536 6615 State surcharge(12%of permit fee)
CCB lie.:168214 TOTAL PERMIT FEE
44
AO
° �• This permit application expires if a permit is not obtained within 180
/4//�� days after it has been accepted as complete.
Authorized signature: 11 /IC * Fee methodology set by Tri-County Building Industry Service Board
Print name:Angela Grajewski Date:8/22/16
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
ii
� 1 : ::
Electrical Permit Applicati FOR OFFICE USE oil i
- City of Tigard ((�E P
13125 SW Flail Blvd,Tigard,OR 97223r 2016 Permit kVIST /�'GJCC�%\�j
Plan Review
Phone: 503.7182439 Fax 503.5 DatrlB Related Permit it;
Inspection Line: 503.639.4175 11-n9 O TIGARD Read Date/B kris.
TIGARD. Y Y� lr3 SeePage2for
Internet www_tigard-OLgov BUILDING DIVISION
I VI S t O p t NotiSed/Method: Supplemental Information
z.�4r,.,. rt.. 7Fe`rFIQ rj+.e A "..,�M7 VTr;"--`t V—a-Fa it 22*.A1:._..MM:M--',_-�.,-...
® , �. -. �''u��¢c...1+�.,x•,�-",�...�' ...cx" .,rx.�,;- ...-_ . .._F-..���=�`�_-'l'=:sTi��IYL"�-,Q�EU-: `'�-�*.'�*�:�'_�a�.-s`�',"
New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wIitetns checked):`
❑Demolition Q Service or: feeder 400 amps or more Q Bw7ding over three stdrins.
:::;.1i:;:=,:::,;..1::..i
❑Other_ where the available fault current
:..�a..�t��.-- tvfarinas and atyard
,:.x:74-..; '_i A rokwo s tro . :r la bn s.
i.,
���-�'' .���_� „-.fin,,��,� exceeds0,00 amps at 150 volts or ❑Floating buildings.
®1-and 2-family dwelling ❑Conunercial/iridlistrial 0 Accessory building less to gound or exceeds 14,000 ❑commercial-use agricultural
❑Multi-family foother mstallahoas.
❑Master builder ❑Other �'
���,,, __ ❑Fire p Q Installation of 150 KVA or
..�:�s;:-�.:r-s"-.,,�.�.. T.-."�-r'..:,_.,,.15.'.1 °� 0 - ��•Q'� - - _ _'_ --
- _-...,...__ .-.:.. _-,..Q�= 1t. '�0�,�% =��(-.,_.' -2c.-._,_ QEmerBencYsystem. Lvgersepatstelydarived
Job#: I Job site address:73530 ./ 11/�'1 L T i- ❑Addition ofnewmotortoad of system
v / l U h 1.!Y 1001IP or more. ❑`A;`E;`I-2;`1-3';
City/State/Z1P:Tigard,OR 97224 ❑six or more residential units. o P�eY•
❑Health-care facilities. Q Recreational vehicle parks.
Suite/bldg./apt#: Project name.. ��J QHaardous locations-
CI
Supply vol
J :�jita lir-raze /1ltfr I V i1titti rPP y ase for mon than
Cross street/directions to job Site: Q Service or feeder 600 amps or more. 600 volt,nominal
Description Qty. � Each I Total 1
New residential single-or multi-family dwelling unit.
Subdivision: f ��.- a / „{„�P f Lot#: '(„j Includes attached garage
Tax map/parcel#: I.000 sq.ft orless 1b8.54 4
_ Ea add 1500 sq.R.or portion 33.92 1
_ t. 2, — -
�u -a,:_�- Limited energy,residential 75.00 2
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft)
0 � Renewable Energy Q See P
=1 &4 ER --1W-44::--- -:7--,. ,r' :ss - N age 2
.. Services or feeders installation,alteration,and/or relocation
Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2
Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Scottsdale,AZ S5258 601 amps to 1,000 amps 301.04 2
Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 55226 2
Email:
Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. - 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
o- u O-- t -- .,„.....---aa.,...: - �' 2=<- iii.,,: Branch circuits—new,alteration or extension, er panel
= - �"-'_`` .'':'� A.Fee for branch circuit,with
Business name:William Lyon Homes,Inc. above service or feeder fee, !
each branch circuit 7.42 2
Contact name:Angela Grajewski B.Fee for branch circuits without '
Address:109 East 13th Street service or feeder fee,first j
branch circuit 56.18 2 +{
City/State/ZIP:Vancouver,WA 98660 Each add')branch circuit 7.42 2
Phone:(360)695-7700 ' I Fax::(360)693-4442 EachMiscellaneous(servicectured or lcer not included)
dwelling,service and/or feeder 67.84 2
Email:Angela-Grajewsld®polygonhomes com
Mcr -.-
Reconnect only
67.84 2-
0Y a 0 g E;k2 - 7- :' Pump or irrigation circle 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,alteration,or extension. Q See Page 2 2
City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above
I Additional inspection(Ihtmin) 66.25/hr
Phone:(253)320-1657 Fax:( ) Investigation(I hr min) 90.00/br
Email:bdaniels@gweusa.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lica: 4496S specific�Ilsted(F hr min) 90.00/hr
SupryElectrician signature,required: —. l� "Is" ,'.,T,it 1 "t. ,..:,,17&..4,*.
.�1/ /'. � :. tI
f Subtotal:
Print name: Joan P Albert Date: 4/26/2016 0 Plan Review Required(25%of permit fee):
-----N -
State surcharge(12%of permit fee):
Authorized sipi time: `�� .� `^-3TOTAL PERMIT FEE:
This permrtapplication expires if a permit is not obtained within 180
Print name: Bill DanielsI Date: 4/26/2016 I days after it has been accepted as complete.
• Number of inspections allowed per permit
`I:111mldinglPecmit 5II.0 PennitApp ELR ERE.doc Rev 06117!2015 440-4615Tt11/1/CoWWEB
Plumbing Permit Application
Building Fixtures RECFIVED
Received
Permit No.
14 113125 ty W Hall Tigard.,Tigard,OR �nz3S E P 1 2 016 ✓15% /7-CSC 9�
■ Phone: 503.718.2439 Fax: 303.598.1%0
papa/By Other Permit No
r k \:l,;j� P on Line: 503.639.4175 CITY Oh I I GAR i,) DateReady/By: ran 6i See Page 2 for
Iatcmc
tigard
www. -orgov a NoufieB/Method Supplemental Iaformatioa
`e a'3 x-�e,, .+� E'er
CI New construction 1 Demolition Par information t use checklist
Description ) QtY. I Ea. 1 Total
0 Addition/atteration/replacement 0 Other New I-2-family dwellings('includes 100 ft.for each utility connection)_ -• s' & ° e ¢ . SFR(I)bath 312.70
=4 1-and 2-family dwelling ■Commercial/industrial SFR(2)bath 437.78
SFR(
3 bath
❑Accessory building ❑Multi-famiily Eachadditional bath/kitchenj25 02
❑Master builder 0 Other. Fire sprinkler( sq.ft.) 1 Page 2
l : , • Site utilities:
Jab site address: ZJ V S V. l Sh i Q/1�a Catch basin or area chair 18.76
City/State2lP:'Tigard,OR 97224 Drywall,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Northwest River Terrace Manufactured home utilities
50.03
Cross street/directions to job site:: Manholes 18.76
Rain dram' connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_JPage 2
Water service(no.linear ft.: ) Page 2
Subdivision:Northwest River Terrrace l Lot no.: ) IA
Fixture or Item:
Tax map/parcel no.: Backflow preventer 31.27
- . .. . a ' a t e ' Backwater valva t, 12.51
Giothes washer
25.02
Dishwasher 25.02
Drinking fountain 25.02
25.02
h � �, : t - � ' EExpansion tank 12.51
a a
Fixture/sewer
Name:ADVL Land Holdings,LLC cap 25.02
Floor drainJBoor sink/hob 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
! zntetceptorJgresse trap 25.02
Business name:Wllliam Lyon Homes,Inc- Medical gas(value S ) p 2
Primer 12.51
Contact name:Angela Grajewakt Roof drain(commercial)
12.51
Address:109 East 13th Street Sink/basin/lavatory 25.02
City/State/LIP:Vancouver,WA 98660 Solar units(potable water) 62.54.
Phone:(360)695-7700 ' Fax::(360)693-4442 '11th/shower/Mower pan 12.51
E-mail:Angels.Grajewsk(apolygonhomes.com U 25.02
E ' , Water bastes 25.02
//++ � ter. fid- a., 37.52
Business name �:7i1" _ ' 1', 1.-__ r -^ Water piping/DWV - 56 79
Address: P.Cl•+ 6, G. Other. 25.02
City/State/ZIP: S'"`, e oft, gel(31 Subtotal
Phone:(Soil.-23(4-- 1'41 Fax:(fir}V.. *toa/-4)yj Minimum permit fee: 872.50
1g41312_, t t ' tJ Platt review(25%of permit fee)
GC$'Iic.:
Plumbing Lie.no. �j
Authorized signature: ,j State surcharge TOTAL of permit.fee)
j, p i co PERMIT FEE
Print name ! 'PAH— W14,..e____ D '4—36"' b petu application expires if a permit 1s not obtained within 180 days
after it has been accepted as complete.
*Fre methodology set by Tri-County Building Industry Service Board.
tinn`tiansTainitste[ham.ermiuippdoo moues 44e-ssisroomiCAWwEa)
4
City ofTigard
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 GA R D Building Permit Review - Residential
Building Permit #: �S _ < � =---� _ __ __c�7 dw6
Site Address:
i S- � _S-7/0 'a`a y roc.
Project Name: eVim. -7--
-era Ce AJt d_/�i/!� L
(New dwelling=subdivision name;Addition or Altt name of owner)
on=las Lot #:
Planning Review
Proposal: ktutu 1'
VriVerify site address/suite#exists and active in permit s tem.
River Terrace Neighborhood: ❑ No
l/1 Yes,See River Terrace Review Addendum Attached
Siyt Plan Elements:
ree(3)copies of site plan p� .
1i sting structures on site
Viriltie plan must be on 8-1/2"x 11"or 11 x 17"paper Ti Footprint of new structure (including decks)with finished
rawn to scale(standard architect or engineer scale)li)4 .or elevations
Worth arrow Ti Utility locations(required for new,mayapplyfor additions)
ile address,project or subdivision name and lot number V'i-. anon of wells/septic systems
Virpplicant information(name and phone number) 01'I i sting trees to be retained with drip line,and tree
•t dimensions and building setback dimensions .rotection measures
f U Lot area,building coverage area,percentage of coverage and VA)Street tree size,type and location
.., pervious area(applicable if R-7,R-12,R-25&R-40) treet names
L Property corner elevations (2 foot contour lines if more than
r 4 foot differential
(` 1lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified M No Received:
IV(Public Facili s Improvement(PH) Permit:
❑ Yes ❑ No
p
/Required: Yes,applicant was notified ❑ No Applied For:
'j!y� ^Q O/`� Yes 0 No,stop intake
and Use Case#: 16 f� x) ;- _
�0/Zoning: _ �! ��.f��%���
equired Setbacks: Front
Rear 3 Side 3 Street SideGarage
Landscape Requirement: c O % 7 r
( Lot Coverage Maximum: 00
12 Building Height: Maximum Height
•, isual Clearance �> Actual Height Q��
T4 Easements
(N1 + ensitive Lands: ❑ Yes
TAI No Type
Urban Forestry Plan
❑ Conditions "Met"prior to issuance f uil a•.g permit
Notes: 01/10/7401' C' -S%lam// inri!I ppi.),--- '4)
Approved By Planning: _
Date: ( ./11----7...
Revisions (after Building Submittal only)
Revision 1: CI Approved ❑ Not Approved
Reviewer Date
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
Building Permit Submittal
Original Submittal Date: j//#
Site Plans:
Building Plans: # .3
Building Permit#: EI Enter building permit#above.
Workflow Routing: (Planning Engineering
hermit Coordinator 9`lfutldtng
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: EI'Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
.0'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: ���.�/
ByDate: .�/��/7 -
Permit Techtucian
Engineering Review
lope at building pad: .�
6s,
onditions"Met"prior to issuance of building permit o
❑ Easements (encroachments)per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 0 No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No
LIDA Facility on lot: 0 Yes 0 No
❑ NOT Approved by Engineering: Date:
Notes: /f
Approved by Engineering:
/>t V Date: ,..—/4/4 7
Revisions(after Building Submittal only)
Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
antamsavonwinuswaw
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
0 Approved,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:
\i?i41)C Fees Entered: Wash Co Trans Dev Tax: es 0 N/A
Tigard Trans SDC: Yes 0 N/A
Parks SDC: r Yes 0 N/A
rOK to Issue Permit �� ��
Approved by Permit Coordinator:
Date:
1:\BuildingWorms\BldgPermitRvw_RES_091216.docx
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City of Tigard
4,
COMMUNITY DEVELOPMENT DEPARTMENT
.111 a
l c A RD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: / ç3 ) St ) CL/2.hcos>{�
Project /� �,""^',�=�.
Name: ver .rr .� A�� lS-/- LOt #: /
(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? 1Pri Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing façade 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 t. 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
0 0 0 0
2. Eyes on the street:a minimum of of each street facing facade must include windows or entrance doors.
Percentage Shown: .1(.12 '/
3. ntrances:At least one entrance must meet both of the follo • g standards:
Dtiye
Max. 8 ft. setback from long t street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entr ce opens to a porch: Yes 0 No
If s,all the following apply:
rine street facing entry sq.ft.min.
,
ft.max.roof above floor of porch
IF. 5 ft. depth min. '! 30%min.porch roof coverage
4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
overed porch min. 5 ft.wide x 5 ft. deep 0 Recessed entry area min. 5 ft.wide x 2 ft. deep
ifiri
all offset min. 16 inches 0 Dormer min.4 ft.wide
Roof eave min. 12 inch projection ❑ •oof offset min, of 2 ft.
❑ Roof shingles either tile or wood
❑ Roof pitch oriented south min. 500 sq. � Gable,hip or gambrel roof design
ft. ❑J'iorizontal 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 0 Bay
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35°/ or ledow min. 5 ft.widess façade
of street
5. Gara_ ,d Carports:May face the front or side lqt line on a corner lot.
Setbacks: �i P
No closer to front or side lot line, longest street-facing wall. 0 Yes 0 ► .. f No (Check one):
❑ May extend up to 5 ft.if there is a covere. .orch and y ;_e does not extend beyond the front porch.
❑ May extend up to 5 ft.where thearaisart . : ,o-
g ge P building and there is a window at the second story
above the garage that faces the street • • . area of 12 sq.ft.
Width: (Check one)
❑ 12-foot ;: - garage door
P I%o max. of street facade with 7 detailed design elements ❑ 40%max. of street facade
Notes:
Approved By Planning: --, y /r'
Date: A2
I:1Building\Forms\BldgPermitRvw_RES_RT 062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13530 SW CALABASH TER, SHERWOOD, OR, September 21 , 2017 at
97140 9:56:45 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00096
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS
Comments:
A/C installed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13530 SW CALABASH TER, SHERWOOD, OR, September 21 , 2017 at
97140 9:55:54 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00096
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS
Comments:
A/C installed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13530 SW CALABASH TER, SHERWOOD, OR, September 22, 2017 at
97140 10:40:13 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00096
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
CNCL
Comments:
1 . Remove test plug from kitchen sink clean out, tape and tighten plug.
2. Plumbing final approved with correction.
See previous inspection with correction dated same day, 9/22/17.
Violation Summary:
Inspector Contractor