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Permit �, CITY OF TIGARD MASTER PERMIT 11:':, COMMUNITY DEVELOPMENT Permit#: MST2016 00484 T cl AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2017 Parcel: 2S106DB17200 Jurisdiction: Tigard Site address: 13230 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 172 Project: River Terrace Northwest, Lot 172 Project Description: New SFA. Building/unit 5.3 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 37 Bathrooms: 2 Second: 562 sf Garage: 453 sf Front: 8 Smoke Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes Total: 1221 sf Value: $161,423.52 Rear: 5 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 2 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 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: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 3 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 Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1221 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: $22,829.73 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. Y.0 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. _ r • / /, ./,G Issued By: A - ' Permittee Signature: ,jrr_ iG eci �(�Gl 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. z Building Permit Applicatio -m 7.7.4.1 ItECEIVEP D - FOR OFFICE 1 SE O\Ll City of Tigard Received / Permit No �/ `J g DateBy: ///7/ ' L 7 /7S/ c/1 7CeV III ll 13125 SW Hall Blvd.,Tigard,OR 97223 q I R I Plan s Phone: 503.718.2439 Fax: 503.598.1. 6.01 T r '4RD Plan Review: 1, . j C other Per /ic€".�(�11'O"V�75C%:7 �t. .�,,l� Inspection Line: 503.639.4175 ., V A l Urll. Date ReadyBy: jos H See Page 2 for Internet: www.tigard-or.gov BUILDING� r Notified/Method:`,1A / ' Supplemental Information Ell& i� DIVISION -..4___ ..� .-� .:; LAS r ,:', '.r a^ •c. ,`--.^sµ-^ .. tea- tee--ter c'u- rt�:. ®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,and the profit for the �` a . - - "s work indicated on this application. --)i' ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation:` 1�a3 $ I " ❑Accessory building ®Multi-family Number of bedrooms: 7� 0 Master builder ❑Other. Number of bathrooms: -z . , ,r 7,-,,,„.,, .,t(a'„z ,s i,1 ` t ` Total number of floors: i 7 ti- Job Job site address: /3 22,0 T S f i'!� 1 vc e �ne�l New dwelling area: I21,I square feet City/State/ZIP:Tigard,OR 97224 J Garage/carport area: 1 Q-5 square feet 4' ` Suite/bldg./apt.no.: S . I Project name:River Terrace Northwest Covered porch area: J '2$3uare feet,c Cross street/directions to job site: Deck area: 12_ square feetq -7 Other structure area: square feet 7 Subdivision:River Terrace Northwest I Lot no.: 1.72... 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 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 :¥z mac ; �: � :c ,e,; • • �, ; .--7- 7 7r. '::�- 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: L- •� E�.::z�v� , .� - " , 1!. a .(, r`C p3. l€ €a y 17fFl J4� ' 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 City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com ��" �� - , Commercial and residential prescriptive installation of � e , at 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 lic.:207247 �/� Total fee due upon application: $201.60 Authorized signature: �/ i This permit application expires if a permit is not obtained ��„J��11/moo within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: Qi/ q11 J *Fee methodology set by Tri-County Building Industry ! 1�! Service Board I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) o ... CEDE Mechanical Permit Applic.' r_r 1 pit t)1 Ft( 1 t �t_i iN t.1 1 City of Tigard asIIMIZIONOMIM I:Neat13125 SW Hall Blvd.,Tigard,OR 971 Y ' Phone: 503.718.2439 Fax: 503.598.1989 C r 1 2 O O DateaRevietiv Other Permit: 3 1 i ;, '- Inspection Lick"503.639.4175 CITY OF 1 G A�I! Due RcaaylBy runs: 0 seinen Iter InterneC www.tigard-or.gov InI�T tifitdlMethod: SapplMotatatlatanoatuw G. Oil ®New construction ❑Additionsaitetation/repiatxtnent tvlechanical permit fees*are based on value of the work performed Indicate the value(rounded the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,?rverhead,and profit a, !;& ,,,: _ t `X pF t t31:"l-T '1'OIt4 i ,al, a1 Ii?li'3v`yCi4L aloe S :z V ❑1-and 2-family dwelling 0 Comnmercial.ftndustrial 0 Accessory building For special Wo on checklist, ®Multi-family 0 Master builder 0 Other: Description Qty. Ea Total ,, V' *S11t 'FG►Ii1t>fA'TIt AI k I :" :g Heattorictatin : Atrcandrttantng 46,75 Job site address 1323 0 SW Pik V'-U/[l yri tole. fle Te a cv Furnace 100,000 BTU(duetutwxs) 46.75 City/State/ZIP:Tigard,OR 97224 J Furnace 100,000+BTU owns/vents) 54,91 3vite/btdg lapt no.: .73 Project Warne: Heat pump .; 61,06 hitt 1 ry'ar� '�1A3i Ductwork 23.32 Cross street/di;cetions to job site: Hydronic hot water system 1 2332 Residential boiler(radiator or hydronic) t 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. i 46.75 Flue/vent for any of above 1 23.32 Subdivtsion. ti . y fe ry4GC NorthwwAf Lot no.: 11 i Other 1 2332 Other fuel appliances: 3 Tax map/parcel no.: Water heater 1 23.32 "' 1 �. `• . bF XP170N:„Vp W0123+; '•, ✓r:` Gas fireplace/insert 1 ' 33.39 Flue vent for water heater or gas i new home construction fireplace j 2332 Log lighter(gas) 23.32 Wood/pellet stove i 33.39 Wood fireplacefinsert 1 23.32 Chimney/liner/flue/vent 1 23.32 „;,4,•,•.-,-*,,;„r;” m '''''''''.3'''''''''k �e ,, 0.4, � Other: 2332 ' ...<... ..' ` v _ ' "' Environmental exhaust and ventilation: Name:AD VL Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road equipment 33,39 . Clothes'dryer exhaust 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, LI toilet compartments,utility rooms) 23.32 Phone:(603)694-4031 Fax:( ) ttie/crawIspace fans i 23.32 ', '; , A .... ... er; a. .iCOh' 0 a«hOther: 2332 Business name:William Lyon Homes,lot. Fuel piping: $14.15 for first four;$4.03 for itch additional Contact name:Angela Grajewski Furnace,etc. Address.109 last 13th Street Gas heat pump a Wall/suspendCity/State/ZIP:Vancouver,WA 98660 Water heater unit heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace E-mail:Aa Range 1 gela.Gt a,�ahomes.com Barbecue. ? ..,..: a , !'e a t f ..:.. ,,1 2 . } *r'/X .. Coulee dryer(gas) Business name:Andersen Mechanical.Inc. Other. i Address:16285 SW 85n Ave Subtotal City/State/71P:Tigard,OR 97224 Minimum permit fee, 90.00) Plan review(25%of pemit fee) Phone:(503)992-6663- I Fax:(503)536.6615 « gra (t2%of pc nit fee) CCB Iia:1!68214 TOTAL(12%of T FEE T permit apptieatiea expire if a permit is not obtained within 1710 Authorized signature. days a*er it teas bees accepted s complete. • Fee methodology set by TO-County Bm1tdi Industry Print name:Angela Grajewski I Date:8/22/16 1 SmuxBosxd i;iitii4a0esm C_P App_o4or13.4ot 440467TH)iQ27COALR«a} Electrical `i . . • �'�rtnit 1� R�I4 I rids(it I i( i I •,I ()\1 1 City of Tigard ri111111111111111111111 Permit it/lc _ / —tete)r:p 13123 SW Hall Blvd..Tigard,OR 97223nn T 11 2 016 ��. '"'' Phone 503.718.2439 Fax 503.598.t 919 � '117 Inspection Line: 503,639A175 eats REIMil intend: www.ugnd-orgov CITY OF IGARD N : . .. _ _ 4d%wa....,.a- 3iea„>,tt�_ ►- New construction0 Addition/a teration/replac ement Planeclteck ail that apply(submit a sets. plans whams checked) 0 Service or feeder 400 amps or more 0 Building over dna stories 0 Demolition 0 Other where the avertable fruit current O Mannar sed boatyside. a .....:1,7,_ u'.7.:!:'—:.a 7 V„a,' exceeds 10,000 at SSO wits or ❑Floaun and 2-family dwelling 0 Commercial/industrial 0 Accessory ry building lessto emend,or exceeds ia.oao 0 Osettnerciainse.gsiatiemal amps fcr all other iestallations buildings. W Multi-family 0 Master builder 0 Other D Fire pump. ❑installation of 150 KVA or ' ' , a, , ,1.1.,° . ; '` amu" z ,.. CIEmageacy*Item- larger separately derived ❑Addition of new motor load of system, Job 40: Job site address: 0 SW it. k i'1 " 10011P armory, 0"A-,-E';-i-r,"1-3", City/State/ZIP:Tigard,OR 97224 ' O six or more facideneretia 0 vehicle . Iw' 0 Had8n re facilities.s Suite/bldg./apt.0: Project name: ,/ V e _ VV ❑Hazardous locations. 0 Supply vofage for more than 0 Service or feeder 600 amps or more, 600 valta laalaual Cross street/directions to job site: nefcrwicse Qq.�. tree, Tani • New residential single-or multi-family dwelling unit. Subdivision ;Li 'i • ' A ee IV vJ Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq,ft.or less ( 16834 4 i Limited anergy,residential 75.00 2 (with above sq.ft) Limited energy,multi-family - residential(with above sq.ft.) 75.00 2 Name:ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Address7600 E Doubletree Ranch Road Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 City/State/ZIP:Scottsdale,AZ 85258 201 amps to 400 amps 133.56 2 Phone:(602)694-4031 Fax:( ) Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 70!. Over 1,000 amps or volts 552.26 2 Owner signature: - Date: ,- �-, Temporary services or feeders installation,alteration,and/or Business nam:William Lyon Homes,Inc 200 amps or less 59.36 1 Contact name:Angela Grajewski tot aergns to 400 amps 125.08 2 Address:109 East 13th Street 401 amps to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits-new,alteration,or extension,per panel Phone:(360)695-7700 Fax::(360)693-4442 A.Fix for branch circuits with above service or feeder fee, 7.42 2 Email:Angela.Grajewski@polygoohomes.com each branch circuit . .. B.Fee for branch areedts wrehord Business name:alsmeda electric branch circuit 56.18 2 Address:3415 Ae 44th Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZiP:OMR RI I, ®fZ ..7.-/ Each manufactured or modular 67.84 2 dwelling,service otdior feeder Phone:(503)3192192 Fax:( ) Reconnect only 67.84 2 Email:solarpdx@me.com . Pump or irrigation circle 67.84 ' 2 CCB Lie.: 199188 Electrical Lic.: c923 Suprv.Lic.: y f7/S Signtor outline lighting 67.84 2 Suprv.Electrician signature,required: signal circuit(s)or limited-energy , Print name: k:k. Z�oav' .. Date: Z3 panel,alteration,or extensian. �Page 2 Z~, Each additional inspection over allowable in any of the above Additional inspection(i hr min) ' 66.25/br Authorized signadue: 1 Print name: Dete�� �/ investigation(t hr min) 90 0 fn iNa�_ FA5 doe Raw 06/1713015 He-4615T IIV5/L'O54W - Plumbing Permit Applicatio R I : Building Fixtures }tar. 1)1 1 11 i 1 ti 1 ()\1 N City of Tigard 1116 Reaitxd Permit hio_t-jS7'.a,/c...�L?Cr/,/I PaBY• 13125 SW Hall Blvd.,Tigard.OR 97223 ply Review Cather permit No.: Phone: 503.7181439 Fax:=503.5981 Y OF TIGARD Date/Sy: y RI See Page 2 for Inspection Line: 503.639.4175 i D Date Ready/By: Supplemental for Internet wwwttgard-orgo* p1lL r1NQ ( ► tfieNMethod � t�x ��'�' ° �-_ ,. For special information use checklist New construction ❑Demolition Description i Qty. 1 Ea I Total ❑ 1 312.70 � � SFR(2)bath Addition/alteration/replacement ❑Other' New 1-2-family dwellings(includes 100 R for each utility connection) 4 rw SFR(I)bath ��:-E� � °� gee et � �,� ar� �.., ro° .�� f 437.78 I-and 2-family dwelling ❑ ommercialfindustrial SFR(3)bath --j-)' 4,„ 500.32 Multi-family Accessory building ilEach additional bathJkiuhen 25.02 Q Master builder 0 Other- Fire sprinkler( sq.ft.) Page 2 k Site utilities: - �` ler r� t� data s � r, . . . 18.76 .�_- w = 2 y,, Catch basin or arca again Job site address: 23() S� On�,Yr�jW. -terrace, Drywell,leach litre,or trench drain 18.76 City/State/ZiP:Tigard,OR 97224 V Footing drain(no.linear ft.:_) Page 2 Suiteibldgiapt.no.:S,3 ( Project name:ilive,y7Trraczi.giv,1 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 ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 _ Subdivision: v�/ I enure.. ( Lar no. , fixture or item: Backflow preventer 31.27 Tax map/parcel no.: 12.51 Backwater valve . �' t' a; tl ',, . Clothes washer 25.02 7 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 .i '''-4 ' ., 'Kl, t s"; e tri Expansion tank 1/51 ,.. ,r .K .�. x,� :,. = . .<. ..3., .. Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLCFloor 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 i Fax ( ) Ice maker 12.51 Phone:(602)694-4031 k _ s .,::,,,,,.,5;::;‘,1;;;," _ Interceptor/grease trap 2502 -. :< Medical gas(value:S ) Page 2 Business name:William Lyon Homes,Inc 12.51 Primer Contact name:Angela GrajewSki Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 (potable water) 62.54 Solar units City/State/ZIP:Vancouver,WA 98660 . - I Fax::(360)693-4442 Tub/shower/shower pan 12.51 Phone:(360)695-7700 Urinal 25.02 E-mailAngela.GnJewsk�pulygonhomes.com t° Q Y 2502 c .; - , , rr . t.yo waterheater37.52 Business name:Alliance Plumbing LW Waterpiping/DWV 56.29 Address:146 W Historic Columbia River Hwy Other: 25.02 Subtotal City/State/Z1P:Troutdale,OR 97060 Minimum permit fee: $7250 Phone:(503)492-3490 Fax:(503)912-6438 Plan review (25%of ecpermit fee) CCB Lic184601 Plumbing tiPB732 State surcharge(12%of permit fee) Authorized signature: c.no.: TOTAL PERMIT FEE I Date:5/23/2016 l This permit application expires If a permit is not obtained within 180 days Print name:Robert Dishmaa after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board I:lBw''idmg4Fa nil$'LMtl-PamitAppdoc 1*101159 440-•46161(I0/O2ICOMIWEB) v. City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT 1 T 1 G A R D Building Permit Review — Residential �'. 4o* 3 - ._:s;+- Ys.- « i' ; t: t , .. _ . iaav :- staAinxitcaa , :y . .mss:.:: Building Permit #: /yr77,2-t,r6. 0e)tAf7 Site Address: /S230 , `O7 r Project Name: ei er ct /,/rroki% 4 i--- Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: AM) f,4 V( erify site address/suite#exists and active in permits tem. R ver Terrace Neighborhood: ❑ No 9a Yes,See River Terrace Review Addendum Attached Sit Plan Elements: 10. ree(3)copies of site plan 0 'sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished I[Q r rawn to scale(standard architect or engineer scale) ;oor elevations ridorth arrow Yi Utility locations(required for new,may apply for additions) to address,project or subdivision name and lot number ;Ni ii cation of wells/septic systems ve pplicant information(name and phone number) If 0 \,: ,ting trees to be retained with drip line,and tree Lot dimensions and building setback dimensions . otection measures t area,building coverage area,percentage of coverage and ► eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names OP6roperty corner elevations(2 foot contour lines if more than 4 foot differential) lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified V No Received: El Yes CI No Public Facifiti$Improvement(PFI) Permit: Required: V Yes,applicant was notified ❑ No Applied For: V Yes ❑ No,stop intake Zand Use Case#: P,),e d g U,�c '1c= c 2 2 yam' Zoning: ,f-/ç' P1 Required Setbacks: Fron Rear Side 0 Street Side /CO Garage ,.�,(Landscape Requirement: .Q GJ Lot Coverage Maximum: —f % Building Height: Maximum Height Agg Actual Height _37- iI isual Clearance sements 0 ensitive Lands: El Yes 121/NoType Urban Forestry Plan Conditions "Met"p�'or to issuance of building permit / Notes: atIciosiy?g �/ Jbp<�r A fxe,7,14 IistAvo .Q . Approved By Planning: c==:: _...--:---C-----.. 0./Y, Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES 0912I6.docx P. Building Permit Submittal Original Submittal Date: /O/////A. Site Plans: # ' Building Plans: # 3 Building Permit#: Enter building permit#above. Workflow Routing: El'Planning is - Engineering L 1 ermit Coordinator luilding Workflow Sign-off: EY Sign-off for Planning(include notes from planning review) Route Application Documents: Er 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: By Permit Technician: 42152:49Zei-i-e---- Date: ///7//,4. M t. ,,Is .l*,:R:3' v _a.L>_.;L:., ` m. -9_ "` - x"i X36`i.-A" .l`n+. 7&#.4..J. Uk4,it 1" `k L.'x }.a a,n4 NdiL Engineering Review clope at building pad: _ onditions "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 ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No LI NOT Approved • E-. _'neering: Date: tair Notes: C.,,,,i,,,00r ,.„„......i,,ri, /:� Approved by Engineering: ,/ L. 2' Date: ii—Z 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 ❑ 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: W-.,DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: 15 Yes ❑ N/A Parks SDC: Yes ❑ N/A 7' to Issue Permit � I1/ 1 1/. pproved by Permit Coordinator: date: I:\Building\Forms\B1dgPermitRvw_RES_091216.docx • City of Tigard 111 III COMMUNITY DEVELOPMENT DEPARTMENT I r 1 c A R D River Terrace Building Permit Review Addendum Building Permit #: kr7S 7;7. t/6 - 0e y°�X Site Address: 1323(' a) 49jq�j ` c Project Name: #t,iVPr -77-ei�,� k,�'S' Lot #: l (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist" t Design Standards (18.660.0701): 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. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch minft. deepkai Gabled dormer ft. deep min. 2ft., 5 ft.wide min.2 ft., Eft.wide ❑ ❑ 0 0 2. Eyes on the street: a minimum of 1Z% of each street facing facade must include windows or entrance doors. Percentage Shown: /4 6 70 3. F}ntrances:At least one entrance must meet both of the follo g standards: (�1/Max. 8 ft. setback from ion st street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes 0 No If es,all the following apply: sq.ft. min. Vne street facing entry ft.max.roof above floor of porch vs, ft. depth min. %min.porch roof coverage 4.petailed Design:All buildings shall include a min. of five of�he following elements on all street-facing facades: Lj overed porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep Igifiall offset min. 16 inches 0 Dormer min. 4 ft.wide 01 Roof eave min. 12 inch projection W oof offset min. of 2 ft. ❑ Roof shingles either tile or wood V Gable,hip or gambrel roof design 0/Roof pitch oriented south min. 500 sq. ft. ❑ -lorizontal lap siding min. 3-7 inches wide LiA Accent siding min. 40%of street facade V Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep O Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: Ilycloser to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one): ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. iiMay 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) El 2-foot-wide garage door ❑ 40%max. of street facade vr 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ct:›-<,____"---- Date: :/l� J I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13230 SW AUBERGINE TER, SHERWOOD, October 31 , 2017 at OR, 97140 10:00:11 AM Record Type: Record ID: Residential - Master Permit MST2016-00484 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13230 SW AUBERGINE TER, SHERWOOD, November 3, 2017 at OR, 97140 11 :16:17 AM Record Type: Record ID: Residential - Master Permit MST2016-00484 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. A/C installed at this time. Note: provide electrical permit for A/C added after passed electrical final prior to building final. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13230 SW AUBERGINE TER, SHERWOOD, November 6, 2017 at OR, 97140 12:58:08 PM Record Type: Record ID: Residential - Master Permit MST2016-00484 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed Water pressure = 50 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13230 SW AUBERGINE TER, SHERWOOD, November 13, 2017 at OR, 97140 12:23:35 PM Record Type: Record ID: Residential - Master Permit MST2016-00484 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 Plumbing Permit Application Site Utilities RECEIVED FOR OFFICE t SE ()NEN D- City of Tigard Received �7/f!_ (` /� permit No [ �)/ ,rop/F(ii ill II 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 15 2017 PlanReview e: S`/ t!1► l J �f (, I Phone: 503.718.2439 Fax: 503.598.19 DaReview�/ / Inspection Line: 503 639.4175 Date/By: /^'!O-�7 /4 G� Other Permit No.: TIGARD CITY OF TIGARD DateReady/By: ` i _Allis Internet: www tlgard or gov Ju ® See Page 2 for RUII f(NG;PIVJ$ION Notified/Method ���� �,. i Supplemental Information T pE4F 1 ®New construction 0 Demolition For special information use checklist Description Qty. Ea. Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) g* b13lIi oI1T,Lti1 `11 SFR(1)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ElAccessory building ®Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler(1,221 sq. 2 4O$ 10Ii TIO*At� WAT 1 Site utilities: li g ft.)r:((� Page Job site address: 13230 SW Aubergine Terrace Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 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 ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.:172 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 EIl'TIt�4 , , . , ac water valve• B k 1 12.51 ,.. ....: ,.,. ;',.,---4/'.:AClothes washer Multipurpose Fire Sprinkler System 25.02 Dishwasher 25.02 Permit#MST2016-00484 Drinking fountain 25.02 Ejectors/sump 25.02 '''.f * p R 'l' i t ❑ Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 70® A it4,I NT , .: .,,.. , , , N Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 Roof drain(commercial) 12.51 Address: 146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/Z1P:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 + � 1©rr Water closet 25.02 Water heater 37.52 Business name:Alliance Plumbing,LLC Water piping/DWV 56.29 Address: 146 W Historic Columbia River Hwy Other 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lic.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) /��C� / State surcharge(12%of permit fee) Authorized signature: i > ) TOTAL PERMIT FEE Print name:Gavin Thomes Date:3/15/2017 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Sitpp pi ts ,' 1 .1,' keg } alk.., 74444r4-0,41.00:: 3 " . Footing drain-Pt 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems Water Service-each additional 100' 37.52 44- "„, "` Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for 2 ea Total each additional$100.00 or fraction thereof,to �i''''''' 441.0134(01," , �, , .,, ; ,:.. and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Ffrr P �llgItlal pnsQuanty by Fixture Tyl a1e� � Fire Type fur lie Plan review is required for any of the following. WorltPerfgrmed: 0490., Ad` d ° Relocate, Please check all that apply. Baptistry/Font Bath -Tub/Shower 0 Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" 4„ (tti`I i �.,, t.o, selflagll m ,...:., Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lay -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothesincrease of sewer EDUs,a sewer permit will be issued and WatererExtractor Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pe2mit.doc