Permit (65) CITY OF TIGARD MASTER PERMIT
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COMMUNITY DEVELOPMENT Permit#: MST2017-00094
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2017
Parcel: 2S106DB01200
Jurisdiction: Tigard
Site address: 13550 SW CALABASH TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 12
Project: River Terrace Northwest, Lot 12
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 628 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1017 sf Garage: 418 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right 3
Detectors: Yes
Total: 1645 sf Value: $207,178.67 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 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'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 Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1645
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: $30,799.81
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throu h OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
ry
1
Issued By. `f. ` Permittee Signature: ‘24/ - / L/L 17-70/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
` 9Z,
Building Permit Application L_- 0 T I
ResidentialFORFOR OFFICE LSE ONLY
City of Tigard SEP 1 2016 DateReceived
/By: /Cf�J Permit N ye jam, _paw
Iiii • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.19(IT Y r �`IAD DateBy: 3-'J 3-) 7 -f/ Other Per , 277/'7-etyyky
T I G A R D Inspection Line: 503.639A 175 Date ReadyBy: 4 7uris: H See Page 2 for
Internet: www.ti and-or. ov I�D NG �f# _ON Notified/Method:' /��42Supplemental Information
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®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
W S 4
� 4� r$x�� ��. � ,, e ,� mwork indicated on this applica'on.
laggitigagaft _in a
® 1-and 2-family dwelling El Commercial/industrial Valuation:aO7, . . $$ •
Number of bedrooms: (�
❑Accessory building ❑Multi-family
❑Master builder ❑Other: Number of bathrooms:
t '� e s £'` 1 5 �INEH1� AND T;,t)C+�ON'` Total number of floors: 7 ao 6 3
Job site address: 13 mD b W (,(X k f Jj 1 e r'1'a(e New dwelling area: f(jL quare feet
City/State/ZIP:Tigard,OR 97224 """�” ` Garage/carport area: 14 ( D square feet
�
Suite/bldg./apt.no.: Project name:River Terrace Northwest Covered porch area: square feet j O i 7
Cross street/directions to job site: Deck area: j Li Li-, square feet 6a 8
Other structure area: square feet
Subdivision:River Terrace Northwest Lot no.:12 Permit fees*are based on the value of the work performed.
1 Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:
materials,
overhead,and theprofit fit for the
rf i � ji 14 FEtpR � a ` i wok indiaedonhis application.
, Valuation:
$
Existing building area: square feet
New building area: square feet
, .. ., yr t _. .:: :t g .`. .1 of ._.. - 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:
�4..r u. "'gam-r� , .ritt.?.e..z,..i ?.s.v �. ,
: �� PI�f' � `„4. 'F� E z' t'ERS`Lf151 �� ; EV
`.rr'��s�,3.4 �. .-.zP..e.. .�.s.'..1's. __car ,-�,.. ..:,�,.... .. .,. �'�rr.rt`�:'a.�� mss- -t r-�"` .. � ,+�1:1004.041000-1
1+�- -n
:.x. �lea-a^. �rN_� �� Iw�"'""` g§a-`s E3s�,�€ � .R'i'"::',77
{`�! d xR rL f"- �' l6 .
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
Phone:(360)695-7700 Fax::( ) Amount received
E-mail:Angela.Grajewski®polygonhomes.com #0� ,, . � . � ..
� . ,.: -, .
� � � 2. � Commercial and residential prescriptive installation of
' ,t,_.kr <.. . _. ,_ x _ 4.p,... ". . " 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.
fCity/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
LCCB lic.:207247 Total fee due upon application:L....x:14i $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as.complete.
Print name:Angela Grajewski Date: dd
/��]�0'I I, *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1
i
Mechanical Permit Application RECEIVED
FOR OFFICE 1 SE O\L1
- City of Tigard SEP 1 2016 Received
IN ur Date/By: Permit No•A!'r', -i t O9 r
13125 SW Hall Blvd.,Tigard,OR 9722,,}, 7 J
Phone: 503.718.2439 Fax: 503.598.1 TY T fAPlan Review
Inspection Line: 501639.4175 3 t � n DateBy.
Other Permit:
TIG 1 R D �tJ't,D J D(, fl i!/I S O N Date Ready/By: Juris: H See Pae 2 for
Internet: www.tigard-or.gov Notified/Method: g
Supplemental Information
^vim ..1 'S ... t .1 1 , Grp. G`& gD .S
®New constructionMechanical permit fees*are based on the value of the work
0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit
Value:$
�wMx,„ tv.+�e`�&rt��tae��.,c�. � �,. � .�"���`,� �,_„ �.,..�`� ��;�:� �;•�rT� �ns, ;,, ,�� z��rr �,,
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessorybuilding g For special information use checklist
®Multi family 0 Master builder 0 Other: Description
I Qty• I Ea. I Total
��� �- ��, `��. ��` ,� € e � Heating/cooling:
° n � ., �E t e e � � C t�t'� � � �
Job site address: Q� A n \/� ,n �[�' A^Q "' Air conditioning 46.75
3 J✓`/ Vv ��+�.N 3\ ! 1 tylraC., Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/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 f 23.32
Subdivision:River Terrace Northwest I Lot no.: 12_, Other 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater
23.32
i
' 91' ¢ Gas fireplace/insert 33.39
new home construction Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
•
23.32�, Other:x 'EIa : -z
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, t
toilet compartments,utility rooms) '"1 23.32
Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32
`� � -” ,w7 747747:F571:-R71:1^i3 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 f
ela.Graewski Range I
E-mail:An j
g @polygonhomes coni
y Barbecue
'' t s ; ' t i ��g, Clothes dryer(gas)
Business name:Andersen Mechanical,Inc. Other:
Address:16285 SW 85th Ave � 1� , � � R , �
Subtotal
City/State/ZIP:Tigard,OR 97224 Minimum permit fee($90.00)
Phone:(503)992-6664 Fax:(503)536-6615 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.:168214 TOTAL PERMIT FEE
/� //' ' V, .)
This permit application expires if a permit is not obtained within 180
/XI_J/-h/�—�� /�/�'y days after it has been accepted as completeAuthorized signature: (I %Jir - = 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)
RECEIVED
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard SEP 1 2 016 Received
N . , 13125 SW HallBivd,Tiaazd,OR 9 �i Date/13 ' r
Phone: 503.7182439 Fax 503.5l&U OF r1GARD DPian view Related Permitiit;
Inspection Line: 503.639.4175 ti {� • ry! ReadyDate/By: Jurir.
TIGARD '��ILLl��#E. '1S�I������ H SeePage2for
Internet: www tigard-or.gov Notified/Method: Supplemental Information
- _ � �e_,_.`. 0 ��/�,= tWegr. mac-,,, ;?
PlumbingPermit Applicati i
CI VEU
Building Fixtures
City of Tigard SEP 1 2016 Received
'f 13125 SW Hall Blvd,Tigard,OR DatelBy Peimii NW—(7,a20/2—CD 05Y
• Phone: 303.718 2439 Fax 503 t.} ' T I GAR D Plan Review
H t,:l 11 Inspection Line:.503.639.4175 B 1 J l LD I N(' D IVf S t O N Date atelRe Other Permit No.:
Internet www.tigard-or.gov �r 7n &See Page 2 for
"�` *� x' � `�10d' &Pp #at inhumation
0 New construction Demolition
For special i+rfornaation use checklist
1111 Addition/alteration/replacement Other: Description I Qty. J Ea. ( Total
New 1-2-family (includes ftutility connection)
.., '':1�� >, t -'.. .w. SFR(1)bath 2,70
dwellings ins odes 100 for-each
1211-and 2-family dwelling NI commerciabinrhtstrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑ABtCSanly building ❑Multi-farmly
Each additional bath/kitchen 25.02
0 Master builder
❑Other:
Fire ( sq.R) Page
sitentmtlarc
Job site address: g ?` --D Sin► • ( i s hT eice Cato,ba or a deam 18.76
City/StatelZlP:Tigard,OR 97224 Dryell,leach liiu,or trench dtaia 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 drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear&.: ) Page 2
Water service(no.linear ft: ) Page 2
Subdivision:Northwest River Terrrace l Lot no.: 1 2 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
� �° € r°*-;-:-=- Backwater valve �, 12.51 1
` a ..° clothes washer
25.02
Dishwasher 25.02
Drinking fountain 25.02
�� 171 k Ejectors/sump 25.02
=mom' ����,', �'.�_. � � Expansion tat* 12.5E
Name A13VL Lund Holdin gs,LI C Floor sewer cap 25.02
Floor drain/floor sinkJhnb
25.02
Address:7600 E Doubletree Ranch Road
Garbage disposal 25.02
City/StatelZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)694-4031 Fax:( ) Ice maker 12.51
„,,,,-,,. ..,::,-"El ks a: sA 2° Interceptor/grease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2
Prim
Contact name:Angela Grujewskier 1251
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 I Fax::(360)693-4442 Tab/showalshowerpan- 12.51
E-mail:Angela.Grajewski@polygonhomes.com 25.02
� Water closet 25.02
' "._.:.'f.7_'___,-.. ..”. __-�' Water heats
37.52.
Business name: t 4, . ‘x.,11.-Svivi, Water piping/DWV 56.29
Address: f).Q, 1.,coc, 01.A. Other:
_ 25.02
City/State/ZIP: 5 - p644ort, f 1 i3/ Subtotal
Phone:(5b3 r BiA— 1'4t1 Fax:(41i V'-74 , ,1 Minimum permit fee: S72.50
CCB Lie.: Plan review(25%of permit fee)_
na„c, Plumbing Lie.no. surcharge(12%.of
V .,_ j permit feu)
LQ,rt l+(r
Authorized signature: y�..,�`-.. TOTAL PERMIT FEE
Print tante:t +fAtt° )..,,,14._e____ Date —gib—fir, 1 Yids pts application expires R a penult it not obtained vrfthin Ise days
atter h has been accepted as complete.
*Fee methodology set by Tri-Coimty Balding Industry Service Board.
tlaualding\PamiMPLIAU-PermifApp.doc 10/01t09 44O-4446i twoucomiwEBj
11111 City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T G A D Building Permit Review — Residential
Building Permit #: /1S-7;W 7 - 9/'Q 95
Site Address:
l SS-S7) ?it'> <a/a7 . reeve .
Project Name: r/
.rrge Ajo tr.z°sgL"' Lot #: Q
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal:lZ(/ k1
Verify site address/suite#exists and active inPermit s tem.
rei River Terrace Neighborhood: 0 No tG Yes,See River Terrace Review Addendum Attached
Sitt Plan Elements:
ree(3)copies of site plan
�4,.sting structures on site
itVIIIe plan must be on 8-1/2"x 11"or 11 x 17"paper tT Footprint of new structure(including decks)with finishedraven to scale(standard architect or engineer scale) 1•or elevations
Vii4
orth arrow 7h Utility locations (required for new,may apply
for additions)
address,project or subdivision name and lot number �'i ;
to ation of wells/septic systems
pplicant information(name and phone number) ��'„s sting trees to be retained with drip line,and tree
•t dimensions and building setback dimensions .rotection measures
F1 Lot area,building coverage area,percentage of coverage and �I treet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&i R-40) treet names
Property corner elevations(2 foot contour lines if more than
4 foot differential)
1lean Water Services-Service Provider Lett (lot platted prior to 9/10/1995):
pequired: ❑ Yes,applicant was notified M No Received:
l Public Facili ' ;elms, rovement F P ❑ yes ❑ No
P (P I)
,Required: Yes,applicant was notifiedernut:❑ No Applied For:
y����I`� Yes El No,stop intake
and Use Case#: ,(� r /.� ("wog
Zoning. _ ' ,`,/
i/R
equired Setbacks: Front
Rear 3 Side .3 Street Side OP' Garage 3
igi„,4Landscape Requirement: QO
VJ Lot Coverage Maximum: %
uilding Height: Maximum Height A "/
B
It isual Clearance ctual Height (40
Tiasements
ii/E
U
SensbitiveForestrLands:Plan
1Z( Typ
Yes 0 No //
e Lai /1424ti l i.7 `iii-
ran y
❑ Conditions "Met"prior to issuance f uil..,g permit
Notes: Ondillion' c' - // 77,14- pp Oc- 7 )
Approved By Planning: =' w---,,,. --.
xi At ._. Date:
Revisions (after Building Submittal only)
Revision 1: CI Approved CI Not Approved Reviewer Date
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
MBuilding\Forms\BldgPennitRvw RES_091216.docx
Building Permit Submittal
Original Submittal Date: 9///./7
Site Plans: # 3
Building Plans: # 2
Building Permit#: Er-Enter building permit#above.
Workflow Routing: C--Planning -Engineering [ Permit Coordinator uildtng
Workflow Sign-off: CySign-off for Planning(include notes from planning review)
Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan,(1)building plan and
•ginal plan review routing form.
Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician:
c J- _ Date: 23//6//7
Engineering Review
Slope at building pad: ,� ��
onditions"Met"prior to issuance of building permit • l
❑ 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 ❑ No
❑ NOT Approved by Engineering:
Date:
Notes:
Approved by Engineering: _ 2 Date: 0r14/7/7
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
Permit Coordinator Review
O Conditions"Met"prior to issuance of building permit
❑ 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:
.S(DC Fees Entered: Wash Co Trans Dev Tax: ies ❑ N/A
/ Tigard Trans SDC: Yes ❑ N/A
( Parks SDC: Yes ❑ N/A -�
NrOK to Issue Permit 3/16,) y'dam
Approved by Permit Coordinator:
Date:
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
.
City of Tigard
II a
COMMUNITY DEVELOPMENT DEPARTMENT
c River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: / . ( Et°) CaLAcaS)A
Project Name: ea � ,p - ���"2c"�--
m- ,-rc . Avori`/1r cLot #: /Q
(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? V Yes ❑ No
1.Articulation:a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element requir d for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min, 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 minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: /G//Te.
3. trances:At least one entrance must meet both of the folio g standards:
Max. 8 ft. setback from long
or open onto porch street- facing wall IP Parallel to street, angle no more than 45° from street,
Entrance opens to a porch: Yes 0 No
Ifs,all the following apply: / m
/One street facing
en
vf325
ft.sqmax..ft. i
ro.of above floor of porch
5 ft. depth min. 0%min.porch roof coverage
g
4. etailed 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 0 Recessed entry area min. 5 ft.wide x 2 ft. deep
tzDJVUall offset min. 16 inches ❑ Dormer min.4 ft.wide
Roof eave min. 12 inch projection oof offset mm. of 2 ft.
❑ Roof shingles either tile or wood U able,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. I. orizontal lap sidingmin.3-7 inches wide
facade❑ Accent siding min.40%of street fa
� 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
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35%or less of street facade
5. Gare_ Id Carports:May face the front or side lilt line on a corner lot.
Setbacks: �,/('I A
No closer to front or side lot line, .- longest street-facing wall. ❑ Yes ■ ► f No (Check one):
❑ May extend up to 5 ft.if there is a covere• :-• .orch and • ._e .oes not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is part . . o- 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 ❑ 40%max. of street facade
max. of street facade with 7 detailed design elements
Notes:
Approved By Planning:
Date: f2
I:\Building\Fomu\B1dgPermitRvw_RES_RT 062216.docx
Mechanical Permit A.np scat i [ FOROFFICE►��,f Sk �3:Y
........ .
Itnxr4^cd `+ LYCnliil N � .
City of Tigard UC1- 9 2017 I)a,,,,o:44/9//7 S X0/7-GCC
Ph '! L3i25 SW Ilan Blvd.,Tigard.OR 97223 y wan Review
• Phone: 503.718.2439 Pax: 5O3.59R.1c i OF TIr+ARD r)atct iy. Other Permit:
•
71GAttD Inspection kine: 503.639.4175 r�,t'+ DIVISION
p� t DaleReady111y: litxSs, H See Page 2roc
:Internet: www,tigard-or,gov� BUILDING DIVISION NotifedMclttod_ Supplemental Information
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' tvidehaWe'lpermit Tees.are haiedati the value of the work
l New construction 0 Addition/alteration/replacement performed,indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials.equipment,labor,overhead.and profit. .
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1-and 2-family dwelling 0 Comtncsrcial;irciusirial 0 Accessory building for airdird1npnrmri1iurr^rtsrcheckfts
Multi-family 0 Master builder 0 Other: Descriptio~~ Qty. I Ea, Total
-c „ IS s' as rc ' g t uwiIlealing/cool.in
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: -, - .: +- M W , m_ _ . ;1r , '"r" Atrcandititning -----1---4-677T-
Joh
4673
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site addri:ss` • 3 + ell. s ,It 4.4 __..__ ' Furnace IMAM 23TU(dacrrivonts). 1 46.75
City/State/ZiP:Tigard,OR 97224 ` 1 Furnace 100,000+13W(ductatvental 54.91
' Heat pump 61.06 .
Suite/bldg./apt.no.: Project name: P- ,r ' 40 „ I i , Duct work23.32
Cross streetldirections to job site: ::tlydrunic hot water system 23.32
Residential boiler(radiator or
hydrornie) 3.332
Unit heaters(fuel-type,not electric),
in-wail,in-duct suspended.etc. 46.75
Flue/vent for any of abtn'e Y 23.32 ,
.-- -� Other. 23.32
Subdivision: �` `�.t_ a Lot no.: __ __'
��I�It'� � IL f)thc __rfuelappliances:
Tax map,parcei no Water heater 23.32
,i' zy - ' ,x ii ...:,.-.,.- al,,-` y +�ty , 4.00.. r lit4Ii L s ft i
tins fire rlaccii strt33.39
OY . �. 4a1^- xe,y�. l t«:t,.4 3K"Y✓ttfat} .s rx: , r' t. _
. ..:
Floe vent r9r Y i water heater or gas
If Ir_a 0- fireplace . . 23.32 .
Log lighter(gas). .• . . 23.3:2„
- Weadlpellestove 33.39
CV / !traCi r C { / p
Wood firgdace/insert ' 23.32 :
Chimneyilinerffiue,'vent 23.32 •
Other
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,„.„, . .-....,0 .a. „•e,„off ssmaua_.., , C"�= -.. ..
Environmental exhaust Ands"Cntllatian.
Name:Polygon WLII,LUC Range hood/other kitchen L
- -_ ecgtipmentw, 33,39
Address:1D s 6roG[� M.)ni..\ S't•".., . ..c,_ 'J\O �Clothesdryerexhaust t 33.39
C it'./StatefZtP:Vancouver,WA 98660 Single-duct exhausi.(bathrooms,
µ_ _toilet compartments,utility rooms) . 23.32
Phone:(360)695.770G Fax:( ) _Atticierautsj e fins , 23.32 •
413A-r , *y utas11 x r 3 Other: 23.32
Fuel piPinz
E3ustrc s name:Polygon MAI,
S14.15 tar first~our,.54.03 for each additional
Contact name:q,�-`�t.._.«.y«.9 tgl,t ... - Furnace.etc. I
9 p Gas heat pump •
Address: � ^' k--e-
S � �O ., 1 heater 0 w �u Wall/suspended/unit endctifunit ovate _
City/State/ZI1'::Vancouver,WA 95660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Cireptace
,__,,....„.... -._.___.. Range I _
E-mail:
� wC. � - ,o t AY 'Q C rOx eatbce
got = 1: -re^ > A ,.....-.4.: 6 , sp��- " gd0 o Clod dryer er(om s)
.rr �t.e_ 2,4%r� . w7c ,. i.ac.- , ,wv,. r
Business name:Apex Air LLC Other;' t �; .
,....- �n - " g re et Lam'._"� -2-11.- c a"0
Address:18004 NE 72"d Ave Subtotal
City//StateiZiP:Vancouver,WA 98686 Minimum permit fie(540.00)
-•--- Plan.review.(25%of permit fee) .
Phone:(360)342-8109 Fax:(360)326-1769 Slate surcharge(12%of permit fee)
GCB he.:203034 _ TOTAL PERMIT PEE
�_ --- - ----- "-This permit application expires ern permit is not obtained within 180
days after it has hese+accepted as eamp1e$es
Authorized signature: ' Fcuu methodolr!gy set by Tri-County lhiilding fnd:tsuT Service Beath
i i'ran! t risme:'"I 1 e\.. * ,_ _.. Date: 4.l i-1 14. _ „I
1,41,m4iag',i'c,,,,i,;NtuC,.rrn+ithr,p_o4Cr:t3&+c 4014617r 0 lora_Y,yr till rs8i
Plumbing Permit ApplicatiotiECEIVE
Building Fixtures i oiz oi,Hur. i si: o\ ,i
City of Tigard OCT 9 2017C441?-Permit
�..Received /e/11Date/9y: /e� / 7 `'`47v PermitN9(11 7- i7 coo1y
u 13125 SW Hall Blvd.,Tigard,OR 97223 p Review
II Phone: 503.718.2439 Fax: 503.59arit OF
1114
II GARDDate/By: ober Permit No.:
i s i;A Rt.) Inspection Line: 503.639.4175 BUILDING D IVI S I G Date Ready/13y: brit: Ei See Page 2 for
Internet: www.tigard-or.gov 'd Notified/Method: Supplementallnformation
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E'QF•WORIC• ''` ''" :�'1!%Et`..SCl�DG1?i�.:::r�:,`}.::�;` �/":. .:',,..s
®New construction: For special in ormadion use checklist
Description
❑Demolition
Description I Qty. I Ea. ( Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 It for each utility connection)
CATEGORY OF CONSTRUCTION' . SFR(1)bath 312.70
® I-and 2-family dwelling 0 Commercial/industriai SFR(2)bath 437.78
SFR(3)bath 1 500.32
❑Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other Fire sprinkler( sq.ft.) Page 2
JOB,SITE INFORMATION`AND LOCATION Site utilities:
Job site address:13550 'N �Oi (, T e)(CC Ce Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/Z1P:Tigard,OR 97224
Footing drain(no.linear ft.:_•_.J Page 2
Suite/bldg./apt.no.: I Project name:Q-�f Te� cc_1.,1‘),5 Manufactured home utilities 50.03
Cross street/directions to job site: a- 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 It:__•J Page 2
Subdivision: e. t • uJesi-- I Lot no.:/2 Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27
AEscRIP1i'iiON OF.`WORK Backwater valve + 12.51
Pmay- /� Lt Clothes washer 25.02
A 1' 2 i 1 `0 Dishwasher 25.02
0 i.A1 .[t ('/ �(]�„ Drinking fountain 25.02
""' "� Ejectors/sump 25.02
'PROPERTY OWNER 1 0 TENANT Expansion tank 12.51
Name:ADVL Land Holdings,LLC Fixture/sewer cap 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
0.APPLICANT . ❑ CONTACT PERSON. Interceptor/grease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: 14c_ho 191f'0 Roof drain(commercial) 12.51
Address:1 Q�a (��.tJQ` S� S¼ : kt Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
t Phone:(360)695-7700 Fax::`(3�69)i669-3--4442 Tub/shower/shower pan 12.51
E-mail:.1\1d1i�®tt, Q �1 (aid `�'`i1.n�e� ,C��{Z Urinal 25.02
'"- v" �-J Water closet 25.02
�� /� Water heater 37.52
CONTRA OR
' Business name:Malmedal Enterprises Inc. Water piping/DWV 56.29
Address:PO Box 207 Other: 25.02
City/State/ZIP:Banks,OR 97106 Subtotal
Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50
. CCB Lie.:102535 'Plumbing Lic.no.:34-276P13Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE -
Print name:Carolina Malmedat Date:04/25/2016 This permit application expires it a permit is not obtained within 180 days
after it has been accepted as complete.
`Fee methodology set by Tu-County Building Industry Service Board.
I:duilding\Permits\PLMU•Permitnpp.doe 10/01/09 440-4616T(10/02/COM/WEn)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13550 SW CALABASH TER, SHERWOOD, OR, October 4, 2017 at 9:49:30 AM
97140
Record Type: Record ID:
Residential - Master Permit MST2017-00094
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:
13550 SW CALABASH TER, SHERWOOD, OR, October 4, 2017 at 9:48:47 AM
97140
Record Type: Record ID:
Residential - Master Permit MST2017-00094
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:
13550 SW CALABASH TER, SHERWOOD, OR, October 4, 2017 at 9:47:46 AM
97140
Record Type: Record ID:
Residential - Master Permit MST2017-00094
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Water pressure = 70 psi
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13550 SW CALABASH TER, SHERWOOD, OR, October 11 , 2017 at 9:52:09
97140 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00094
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - CofO
Comments:
Final erosion control passed
Street tree certificate received
Moisture content form received
Moisture barrier acknowledgement form received
High efficiency lighting form received
Insulation certification verified
Blower door and/or duct seal test certificate received
C of 0 left on counter.
Violation Summary:
Inspector Contractor