Permit (95) CITY OF TIGARD MASTER PERMIT
' COMMUNITY DEVELOPMENT Permit#: MST2017-00098
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2017
Parcel: 2S106DB01600
Jurisdiction: Tigard
Site address: 13490 SW CALABASH TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 16
Project: River Terrace Northwest, Lot 16
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1858 sf Value: $232,467.49 Rear: 3
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
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: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1858
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: $31,284.01
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 0 952-'01-0090. 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: 6,/1/1 ALC'r:Z.�"
/ 7e1(/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
ii
• t Building Permit Application
L (/ T ` 6
Residential EE FOR OFFICE ISE ONLY
City of Tigard 4 Received 41 /7 ,� . Permit N �7--70/7.,toQTF
114 _ DateBy:
■ 13125 SW Hall Blvd.,Tigard,OR 97223 S SEP 1 2016
Plan Review 3 1 7
Phone: 503.718.2439 Fax: 503.598.1960 Other Perini / �t
Date/By: ,r20/2'®e0Pce
T I G A R D Inspection Line: 503.639.4175 Date ReadyBy: Juris: H See Page 2 for
Internet: www.tigard-or.gov ITY OF 8 ,' Notified/Method: '7' /�7 Supplemental Information
BUILDUs'JG DIVISION 6:�.f/L ,f-A.7,7
e4. :` :g 3't ` "i` .zo ,int s a x "`s r te a'„ . rat
a '
���"'G.s� ,.a.�' ..,_�". r.`�'S,.�..�;^.�_ .' ,...sz-:�.,F*f..n..-.ih._,r -i.,. ,,.a.. ,,'�'.,,_;v A ,s.'�. ,. .�' °�.. �t.i �` � ����s..e�.;.� ���...��� xx.
®New construction I ❑Demolition Permit fees*are based on the value of the work performed.
„ �a it Indicate the value(rounded to the nearest
arest dollar)
of all Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and theprofit for
r the
i, ; a •. a � f b EsW work indicated on this application.
fivMggal - I .e'M narVE � . �
® 1-and 2-family dwelling ❑Commercial/industrial Valuation:X30 J 3$ z-3-1-0%
-}-)
❑Accessory building ❑Multi-family Number of bedrooms: U
❑Master builder ❑Other: Number of bathrooms: 3
sps' dt o oc* IU ri11VIlr "tR Total number of floors: a aaq
Job site address: 13 410- 5W C ouLatoishGI ►e rrac New dwelling area: l 89? square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 43-1 square feet
Suite/bldg./apt.no.: Project name:River Terrace Northwest Covered porch area: i'`v n U j
square feet O 4 9
Cross street/directions to job site: Deck area: 7 square feet $0 9
Other structure area: square feet /
Subdivision:River Terrace Northwest Lot no.:(tp 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 hand theprofitfor
Xn a 5 equipment,materials labor,booverhead, the
7. r �� � iiir 3 r_; work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
„F r,_ . .:_x `� ,s.__ _.. �. z,. _,a
Name:ADVL Land Holdings,LLC Number of stories:Type of construction:
Address:7600 E Doubletree Ranch Road Occupancy groups:
City/State/ZIP:Scottsdale,AZ 85258 Existing:
Phone:(602)694-4031 Fax:( ) New:
;1,5.17'" ' 4. 114 rzsib , Syz . te.ftfr. Gly�I'EI-t- it iis
3
i • �., E1 e
�'- � t � a--ae" .�_�]�.,.,0d .%l�b � r__�-G .sbw .^H ]*aiMi xd '� C' itt" - f _ r.. .NWAlfriABusiness name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:Angela Grajewski
FLS plan review fee(if applicable):
Address:109 East 13thStreet
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Phone:(360)695-7700 Fax::( ) Amount received
tit,a ,tom � l
E-mail:Angela.Grajewski@polygonhomes.com `` , 4,.„ . :f...i.... .:,
�es� 'r-
1, ES
f-' r f x -- - k 7 -o r , • Commercial and residential prescriptive installation of
to 1 ge .�s f
�,.�� _ �.. .�n. ,. ��-� .._����; ,w __, fir.�-,�� 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.
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: c.......441 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: e' da /1 *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)
,
,Mechanical Permit App1ical�,i �,_ g . FOR OFFI(E l SE O\L)
City of Tigard Received Permit No.: 2 c
?p C . 13125 SW Hall Blvd.,Tigard,OR 97223 -Ck�01�
1 Plan Review
Phone: 503.718.2439 Fax: 503.598.1966]EP 2.016 Date/By: 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 ! +.+i� x A7
CITY 1..)�' a � � eady y:
. Notified/Method: Supplemental Information
99 r 4�a,?"' C"+ t+�° a s
3LjILD N .,,9 flak S1 :S11
{lt-. i1 ! o-'''. m".re e al a
` Mechanical permit fees*are based on the value of the work
Z 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
t � : x.�,."s: ;.; ��. f N n r-,,..;,,s2.-''' .&P�52�',frdrF i�t m,K uy'-+.:7.
❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist
®Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
' s : C " F-,- i4,:::Z.:-;:::;:i--77.<2;:,- Heating/cooling:
c `�/n�n ,,» Air conditioning 46.75
Job site address: i/✓'7 /l``��am +
�� %Ai T t 1
j 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.: 1 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 I Lot no.:1+ mer 23.32
Y Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
i ;" Gas fireplace/insert 1 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
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, 1,
toilet compartments,utility rooms) "I 23.32
Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32
} 7 '',',.. --',F-..;-';':-','.,•:-:-.---..!,0:,: ,..;''''' 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
Fireplace Phone:(360)695-7700 Fax::(360)693-4442 Fire P
Range 1
E-mail:Angela.Grajewski@polygonhomes.com Barbecue
R '''1::::::,1 . R Clothes dryer(gas)
Business name:Andersen Mechanical,Inc. Other.
Address:16285 SW 85th Ave
Subtotal
City/State/ZIP:Tigard,OR 97224 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)992 6664 Fax:(503)536-6615
State surcharge(12%of permit fee)
CCB lic.:168214 TOTAL PERMIT FEE
.2<1.,1 ,tri
ij
� • This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
VA
* Fee methodology set by Tri-County Building Industry Service Board
thorized signature:
name:Angela Grajewski
g J Date:8/22/16
Permits\MEC_PermitApp_040113.doc 440-4617T(I 1/02/COM/WEB)
Electrical Permit Applieata # FOR OFFICE USE ONLY
City ofTigard SEP 1 2016 ` . riffigNIMENAMI
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.7182439 Fax: 503. Q F gg p •tr fi i Darn$. Related Permit II:
"' b 6 ,s'r'Y t.a Jurir. See Pae 2 for
Inspection Line: 503.639.4175 gg ,��r,-., a� ! ,,.-< Ready Date/By: g
T1GARD Internet: www.tigard-orgov E g"' ° Notified/Method:
Supplemental Information
�-:�-g::''. $ _.0 ��Cl�"�..`�it=sr. r W""zz:. ` •�._--=3iaM1` � � �'a'�..=,`:: l.r.
®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 0 Building over three strides.
❑Demolition ❑Other where the available fault current 0 Marinas and boatyards.
=icewrf:. c ? dOlOWITI (} ( 4 *.7:_.,.`7. 1..":"4...4,4,- exceeds 10,000 amps at 150 volts or QFloating buildings.
®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building mesa to mauna,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.•
❑Multi-family - 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
Ait= "" - - - —""`l _ -__ -` - 0 Emergency system. larger separately derived
- :`-'J. _t31 �TION=^����E��i` 01�T_>:'�. _ _ __
Job#: Job site address:mg D S%\I ch'Thr'Thrace— Addition of new motor load of
map... ❑`A",`1;">`1-2"-`I-3".
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: /...6,,,,,� lt/�f a,th - Cl Hazardous locarions more titan
•
❑supply voltage for moeir
1 ❑Service or feeder 600 amps or more. 600 volts nominal
Cross street/directions to job site: W--- r—V
Description I Qty- I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision:/ 'I -r A, /!/'y-?tdiv Lot#: t `i' Includes attached garage.
Tax map/parcel# 1,000 sq.ft or less 168.54 4
_ Ea add'l 500 sq.it or portionL. 33.92 1
i ,`` IfZittj§S„ w j O.t _'. ,-14,;;.--..i.1 .- -7.r:1;:;,7,77-751M1. Limited energy,residential
(with above sq.ft.) 75'00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
� • Renewable Energy ❑ See Page 2
..` O E � > .•'��`�.. 11-7 - M —*s ` 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 20034 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 installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 r
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 16834 2
. -`,, �. 4s`._-;_ M s<K: p V;:- ¢ :-4 Branch circuits-new,alteration,or extension,per panel
` :'''':-'-''-4'''-"'°6':'9''.-�` e � = .'6E`W l-_--014^ A.Fee for branch circuits with '
I
Business name:William Lyon Homes,Inc. above service or feeder fee,
7A2 2 °
each branch circuit
Contact name:Angela Grajewski B.Fee for branch circuits without ggI
Address:109 East 13th Street b + feeder fee,fust
ranch circuit 5638 2
City/State/ZIP:Vancouver,WA 98660 Each add'!branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 - Fax::(360)693-4442 Each manufactured or modular 67.84 2
dwelEmail:Angela.Grajewski®polygonhomes.com Reconne,nect rvlceand/orfeeder
Reconnect only 67.84 2
1 x_s -;;5:3��� ,-. 1"e4�.9 e= _ -440"..:•_. Pump or irrigation circle 67.84 2
Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2
Address:6101 NE St Johns Rd Signal circuit(s)oaon or limited-energyxe . 0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(T hr min) 66.25/hr
Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:bdaniels@gweusa.com industrial plant(1 hr min) • 78.I8/hr
Inspections for which no fee is 9000/hr
CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lica: 4496S specifically listed Ch hr min) 4
Suprv.Electrician signature,required: fi/ r l Subtotal:
Print name: Joan P Albert •- Date: 4/26/2016 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: -''-4______;___._-------
TOTAL PERMIT FEE:
_--- ._------- This permit application expires ifa permit is not obtained within 180
Print name: Bill Daniels Date: 4/26/2016 days after it has been accepted as complete.
* Number of inspections allowed per-permit
4•''1:1nwfdinguuecmir\H.0 permitAppELR ERE.doc Rev 06117/2015 440-4615TQ1/05JCOM/WFB
, • Plumbing Permit Application
Building Fixtures , V
City of TigardReceived
' 13125 SW Hall Blvd.,Tigard,Tigard,OR 9723..i.P 1 2016 Y
ReviewPlan
PermitNo %/f
7 C/
2;;.
.{f
c9,iIIIPhone: 503.718.2439 Fax:503598.1960 es Other Petwallo.:
C0�Y Uin RAHt
11,, 1':hInspection Line:.503.639.4175 - a = l Datee adye : See P 2 for
Internettgacd6or got ia1� � Notified/method: � �Sappiemaatal Iafarnuloa
,i �� ' ''.'.i.„-,:'.,',...7,.,41:::,..5.„'
■ � i r �::::!:: :,,1.1:j
1tib-
k40-1 New construction Demolition
Description Forspaecial infDriAohoR Qty.
I Total
111 • .aa a .a :: .,,-, • a New 1-2-family dwellings(mcludes 100 It for each utility connection)
' 7, t a SFR
(1)bath 32.70scl
437.78
' 1-and 2-family dwelling ■Commercial/industrial SFR(2)bath
SPR(3)bath ` 500.32
0 Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other. Fire sprinkler( sq g,) Page 2
�a :`tet s t 116::'",:'. i,t r sSite ntaides
Job site address: I otsw S(nT Thio ce Catch basin or area drain ® 18.76
City/State/ZIP:Tigard,OR.97224 �ywc leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: 1 Project name:Northwest River Terrace ivianufactured 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 it: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision:Northwest River Terrrace , Lot no.:1 W Fixture or item:
Tax map/parcel tto.t Backflow preventer 31.27
.: r Backwater valve t, 1251
clothes washer 2.5.02
Dishwasher' 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
i• ;,a 7 ExPaaiion tank 12.51
tYL Land Holdings,LLC Futntrelszwer cap- t
Floor drain/floor sink/hub 25.02
Address: 01 E Boubletree Ranch •a :a
Garbage disposal 25.02
• Scottsdale,
• hose bib. ... 25.02
Phone: i I Ice maker 12.51
IntercePt°r/Srease traP 25.02
name:Business Homes, MCdieal ga3(v$IItE $ ) Page 2
Primer
name:Contact
Roof drain(commercial) 12.51
' East 1311a Street sink/basin/lavatory 25.02
/RI':Vane.oirver,WA 98660 Solar units.(potable water)
•uonis i Tub/showershowerpan 12.31.
Urinal 25.02
E-mail:AngeLt.Grajewskl@polygonhomeacomWater claret25.02
, e , # . ..� Wafer heater 37.52_
Business name:: (_J k) , . ‘'i ..t.-504, r.— Waterpiping/DWV 56.29
Address: p.6. 6.: 01,2Other 25.02
City/State/ZIP: 57', e44,4art, q113-1 Subtotal
Phone:�3 r a - 14`1 • Fax:(11 V”'larj..$ }'" Minimum permit fee: $72.50
CCB Lie.: 31a, Plumbing Lie.no.;� 11 Plan review ( of permit foe)
State surcharge(12%of permit fee)
Authorized signature: ISta 1 ATOTAL PERMIT FEB
Print name: t +f.IJ'� 1 ,4„e_ Date:l.� 6-I This permit apply a�n expirese permit b not wlthia 1 days
accepted u complete.
*Fee methodology set by Tri-County Building Industry Service Board.
k1HmWmg\PernatslPt.MU-PenrritApp.doc 10/01709 440A616T(1O/02fCOM/WEB)
)111,
is
City of Tigard
'I COMMUNITY DEVELOPMENT DEPARTMENT
1111 ■
T GA R D Building Permit Review — Residential
Building Permit #: / 772c /7 6 1)
Site Address: /. 17190 ..S'Lt) �cag&-gL
Project Name: ie/ver Z ,ram ko k ,i Lot #: 4
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: k1 ) '
Verify site address/suite# exists and active in permitsysterri.
pi River Terrace Neighborhood: El NoIV Yes,See River Terrace Review Addendum Attached
Sint Plan Elements:
EIIA iTh
ree(3)copies of site plan 10 sting structures on site
Footprint of new structure
ite plan must be on 8-1/2"x 11"or 11 x 17"paper (including g decks)with finished
iiraven to scale(standard architect or engineer scale) ;•or elevations
ylii9cTorth arrow it Utility locations (required for new,may apply for additions)
to address,project or subdivision name and lot number 1'i-: ation of wells/septic systems
pplicant information(name and phone number) NI t,a sting trees to be retained with drip line,and tree
vi t dimensions and building setback dimensions otection measures
Lot area,building coverage area,percentage of coverage and treet tree size,type and location
54)
pervious area(applicable if R-7,R-12,R-25&R-40) Street names
L Property corner elevations(2 foot contour lines if more than
4 foot differential)
t1lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified M No Received: ❑ Yes ❑ No
ll 1 Public Facili ' s Improvement(PFI) Permit:
e aired: Yes,applicant was notified ❑ No Applied For: Zes ❑ No,stop intake
and Use Case#: P. Q O/,c-e:6X)C.— — LLA tS ("WO�3
Zoning. _ )" �3
0/Required Setbacks: FrontE.:3Rear 3 Side , Street Side g Garage
0/Landscape Requirement: ,Q0
,Lot Coverage Maximum:
wilding Height: Maximum HeightActual Height
in Visual Clearance �'
Vl •asements
II ,ensitive Lands: ❑ Yes iNo Type
PA Urban Forestry Plan
❑ Conditions "Met"prior to issuance of/buil.'.g permit
Notes: arrril ijzon` S SA.�/
I Approved By Planning: �,.,_. `` - -, .. , 2� j
Date: �--�
Revisions (after Building Submittal only) Reviewer
Date
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\B1dgPennitRvw_RES_091216.docx
,„,, 4
Building Permit Submittal
Original Submittal Date: #///w
Site Plans: 5
Building Plans: #
Building Permit#: a Enter building permit#above.
Workflow Routing: lg.-Planning tLEngineering Er-Permit Coordinator [ wilding
Workflow Sign-off: I Sign-off for Planning(include notes from planning review)
Route Application Documents: D--Engineering: (1) copy of permit application, (1) site plan,(1) building plan and
original plan review routing form.
Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
` Date: . /7e//7
By Permit Technician �
Engineering Review
Slope at building pad: .24 ,Y�'�
'Conditions"Met"prior to issuance of building permit-fir *,x /
O Easements (encroachments)per engineering conditions of approval and plat
O Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes 0 No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No
LIDA Facility on lot: 0 Yes 0 No
0 NOT Approved by Engineering: Date:
Notes:
AL/2Approved by Engineering: Date: 141/7
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
inswisaffismissimoraw
Permit Coordinator Review
❑ 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:
C Fees Entered: Wash Co Trans Dev Tax: (Yes 0 N/A
Tigard Trans SDC: �D Yes ❑ N/A
Parks SDC: Yes 0 N/A
OK to Issue Permit l L.�e
Approved by Permit Coordinator: Date: 3 [®
I:\Building\Forms\BldgPem itRvw_RES 091216.docx
v
IICity of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
I
TIGARD
River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: /31/90 SL() C_..�a/c7.hczPL f...r7(17.00
Project Name: ' g, - :crae-e.. ,ur- is-eC71— Lot #: / 4
(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 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., Eft wide Gabled dormer
.I#E711,k.4' .icke.,
III
0 CI
2. Eyes on the street: a minimum of 12%of e ch street f cing facade must include windows or entrance doors.
Percentage Shown: Pant, S��' ,j sick',. iq c+
G /v
3. Entrances:At least one entrance must meet both of the follg ung standards:
Max. 8 ft. setback from long t street- facing wall jur`/(Parallel to street, angle no more than 45° from street,
or o en onto porch
Entrance opens to a porch: Yes ❑ No
If es,all the following apply: 5 sq.ft.min.
ne street facing entry x2 ft.max.roof above floor of porch
5 ft. depth min. 9y"—'"/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�%,�-s' ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
all offset min. 16 inches .rS ❑ Dormer min.4 ft.wide
JOI Roof cave min. 12 inch projectionfA ❑ oof offset min. of 2 ft.
❑ Roof shingles either tile or wood y
g Gable,hip or gambrel roof design'
❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide
❑ Accent siding min.40%of street facade Window trim min. 2 I/2"wide by5/8"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. Gara. 1 d Carports:May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or side lot line, .- i longest street-facing wall. ❑ Yes ■ ► . 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 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
• •/o max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: /1
;�` Date: A2 i.
I:\Building\Forms\BldgPe`nitRvw_RES_RT_062216.docx