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Permit (20) 11,,,, CITY OF TIGARD MASTER PERMIT J''e COMMUNITY DEVELOPMENT Permit#: MST2017-00043 • Date Issued: 02/14/2017 - [GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB13000 Jurisdiction: Tigard Site address: 17347 SW SHADOW TRAIL ST Subdivision: RIVER TERRACE NORTHWEST Lot: 130 Project: River Terrace Northwest, Lot 130 Project Description: New SF.4/12/17: REPRINT to add patio cover. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2229 sf Value: $273,591.61 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 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: 4 201-400 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: OTR SF VB R-3 2229 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 2 Fire Rated Eave STE 1 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,285.08 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;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.�23J4. �/.-7♦� /u. • Issued By: .�tIL/ .. .1,.,i4 .i"..,'! Permittee Signature: ' t_ L�/ ✓/`i e / 7 C i 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. FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Tr n mitt l Letter III a s Tt � 7 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED APR 3 2017 FROM: Angela Grajewski CITY OF TIGARD BUILDING DIVISION COMPANY: Polygon Northwest PHONE: 971-212-2144 BYE '" RE: 17347 SW Shadow Trails ST MST2017-00043 (Site Address) (Permit Number) River Terrace Northwest Lot 130 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: C+ Ole:s: , De4G 4 .4#1 o1 D scr1 t1o11: .,.' 0 Additional set(s) of plans. 3 Revisions: -d /04,7i-40 e .r 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. add geek-due to 19terrain' pa'?4,s',0ma c j1 � (4 „/, „,,,„). .,I,.(< ,,,! ,moi,:,FQ®, _ .. EONLy/,,, ';4 %/ ., Routed to Permit Technician: Date: U - )© ,, - Initials: Fees Due: `4 Yes No Fee Description: ount Due. 1 1.4 r. pj re�: ew $ -4---Y�, ' l q ivy ; i $ n ,,7,:,4,/,-, $ Special Instructions: Reprint Permit(per PE): .A Yes ❑No J Done Applicant Notified: Date: y�(3//l Initials: A31_ I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 ,I I City of Tigard 1111 N COMMUNITY DEVELOPMENT DEPARTMENT ■ r►c n h u Building Permit Review — Residential L4f aEi'h::464.L.440iel.Yi?Yii6'"'M i..iI N i•Ef h .•Y1i ...:- . *(: h'613ivi F'}1-idL4l',:l.t Qiomitil.t.Z. *i 6141Y ini t4 Building Permit #: /V.S 2'720 / 7 - 00 0 4/3 Site Address: R a gdci --77.4./1--77.4./1 .c417 Project Name: // -Th-A2_ ,116riGij's Lot #: 4/2)0 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: ,leu) SPS- -74 /Wit) rte--rim& 1a1e _eGvr ' erify site address/suite#exists and active in permits tem. W River Terrace Neighborhood: 0 No 1!d Yes,See Ri'verTemace Review Addendum Attached River Si Plan Elements: ilighree(3)copies of site plan It '.:sting structures on site Site plan must ht on 8-1/2"x 11"or 11 x 17"paper r ootprint of new structure(including decks)with finished "( wn to scale(standard architect or engineer scale) 7•or elevations t Orth arrow r'Utility locations(required for new,may apply for additions) e address,project or subdivision name and lot number sJ #+ ation of wells/septic systems .licant information(name and phone number) ■ '►, ting trees to be retained with drip line,and tree V /0 t dimensions and building setback dimensions rotection measures FA Lot area,building coveragearea,percentage of coverageand t tree size, and location type vpervious area(applicable if R-7,R-12,R-25&R-40) t names 0' roperty corner elevations(2 foot contour lines if more than 4 foot differential) Agtlean Water Services—Service Provider Lett? (lot platted prior to 9/10/1995): equired: 0 Yes,applicant was notified i No Received: 0 Yes 0 No Public Facihtiy'Improvement(PH)Permit: equired: V Yes,applicant was notified 0 No Applied For: Yes 0 No,stop intake Use Case#: / — s7 .cu21!)7�C^ )O 5and iR-3 ( teuired Setbacks: Front 00 Rear 10 Side 3 Street Side e - Garage eQQ ttactilidscape Requirement: 0 0 .t Coverage Maximum: WI Al i1i v. :uilding Height: Maximum Height Actual Height ...2C., S ►I isual Clearance Easements :. sitive Lands: 0 Yes 12<lo Type 7 Urban Forestry Plan 0 Conditions"Me 'prior o issuance of b f permit Notes: M-2 � 1 J-e j iJ poor- ` eoi2!7c. /SsixaeC=e..- Approved By Planning: Date: .-4Revisions(after Building Submittal only) ppewe� Revision 1: evi Approved 0 Not Approved ve C JP-ty-ces ' 'i Au k141atRevision 2: ❑ Approved ❑ Not ApprovedJ Revision 3: 0 Approved 0 Not Approved 1:\Building\Fors\BldgPennitRvw_RES_091216.docx r 4 Building Permit Submittal Original Submittal Date: /2720//fo Site Plans: # Building Plans: # ..3 Building Permit#: B*Enter building permit#above. Workflow Routing erPlanning E ngineering B"Trermit Coordinator lalrilding Workflow Sign-off QSign-off for Planning(include notes from planning review) Route Application Documents: engineering. (1)copy of permit application,(1)site plan,(1)building plan and original plan review routing form. Iuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: //.3ci//7 — X31^ '."IIi. ,�. ..... :.', moaria=aeuaii: iozwa.s -sw/F - ?' "I.'.R"= VIAliL:.30 L.ik.IC, .?': Engineering Review 0 Slope at building pad: 70‘ Conditions"Met"prior to issuance of building permit ❑ 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: Approved by Engineering: AIL, , Date: /..-3:1.---/ 7 Revisions(afteruilding Submittal only) r Date Revision 1: Approved 0 Not Approved At $1,-/7 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved • Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit pproved,NOT Released: �4 Date: 1/�i J1 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 ( 1C2SDC Fees Entered: Wash Co Trans Dev Taxes 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: Yes 0 N/A D OB to Issue Permit v/0-- Approved by Permit Coordinator: -/1/7?"--- ,/, ,0„IA A 7 L•\BuildingWorms\BWgPe mitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17347 SW SHADOW TRAIL ST, BEAVERTON, September 1 , 2017 at OR, 97007 11 :41 :09 AM Record Type: Record ID: Residential - Master Permit MST2017-00043 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 45 psi Violation Summary: Inspector Contractor