Permit (148) CITY OF TIGARD MASTER PERMIT
III 111:'.-, COMMUNITY DEVELOPMENT Permit#: MST2016-00481
[GAS D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2017
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Parcel: 2S106DB17000
Jurisdiction: Tigard
Site address: 13220 SW AUBERGINE TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 170
Project: River Terrace Northwest, Lot 170
Project Description: New SFA. Building/unit 5.1
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 91 sf Basement: 0 sf Left 0 Parking Spaces: 0
Height: 37 Bathrooms: 3 Second: 646 sf Garage: 500 sf Front: 8 Smoke
Dwelling Units: 1 Third: 633 sf Right: 0
Detectors: Yes
Total: 1370 sf Value: $181,979.98 Rear: 5
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
Drains: 0
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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!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 1370
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: $23,459.62
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. You may obtain a copy of the rules or direct questions to OUNC by calling 503.22332.1987 or 1.800.332.2344. .,[
Issued By: ieb,i6e..dyterrixikeeiot
Permittee Signature: Jt GL &.e_7- •061
Call 503.639.4176 by7:00 a.m.for the next available inspection date.
p
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
. RECEIVE )1.• a
` FOR OFFICE FSI, O\1_1
City of TigardReceived k' , Permit No f
OCT X 1 2 016 Date/By. // /7 X06-0;2006 7
: ig 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review tfa l �/-"`ev 14
e Phone: 503.718.2439 Fax: 503.598.1960 DateBy: ji -d a j ( Other Permit: / M'
�- �� Inspection Line: 503.639.4175 CITY OF TIGAR Date ReadyBy: / iwis: ® See page 2 for
Internet: www.tigard-or.gov BUILDING
yd T� I sr n f', Ci��jotified/Method�Z///� Supplemental Information
13tJ V N9�711ii A /G, /L!-_-_,,f�
`• A a� {""z'zr 3..'d c q'9�,a''.: �',.rt�' su �,,:, ;x"'` °s .. a�r >r""
. y ,, 'F . .t✓.,.` lt� is
a ��� �, �s.; sem^ .. "� �, ��� �.;, ..� --xp - �'�a�:r�§s M a>s.• � .�1 ��":
®New construction 0 Demolition Permit fees*are based on the value of the work performed.
❑Addition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
�'S✓ F sof '`�, 0 '� �* °� � work indicated on this application.
❑ 1-and 2-family dwelling ❑Commercial/mdustrial Valuation: ��eT $
❑Accesso Number of bedrooms:
ry buildin 4~
g ®Multi-family
❑Master builder 0 Other: Number of bathrooms: 3
� �"���� , � �� � � t�������$s �� � � Total number of floors:
Job site address: 132_ S pi 11 I/10 vri IQ T�VY/t New dwelling area: (25 0 square feet
City/State/ZIP:Tigard,OR 97224 W�JC 'rC 1 Vl Garage/carport area: GJ'O j) square feet () 3
Suite/bldg./apt.no.: S,' I Project name:River Terrace Northwest Covered porch area: .J� .square feet 69 6
Cross street/directions to job site: Deck area: 93� square feet q
tli�
Or sot liichtre area: square feet l
to i , = -• l4 l e
Subdivision:River Terrace Northwest I Lot no.:I 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.:
E �� .. equipment,materials,labor,overhead,and the profit for the
�
. A . 1F-> ۥ
• a mi ` v work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
¢ `� � '174 ;7W : ,: ' , 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:
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:Angela Grajewski
FLSlan review fee(if applicable):
Address:109 East 136 Street p
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Amount received:
Phone:(360)695-7700 I Fax::( )
E-mail:Angela.Grajewski@polygonhomes.com � , -, w;� -
� � _ - Commercial and residential prescriptive installation of
ya�.:�.:.-.:..' e_a : ,. as`�caam3 � f" n¢` Sii� �w+. .`¢;F�� r.
��»;� ���� � �,�,,� 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/ � `t - This permit application expires if a permit is not obtained
��V Je.O,/ it
within 180 days after it has been accepted as complete.
Print name:Angela Grajewski I Date: *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)
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II
Mechanical Permit A plica i t CEIVE -
F(}i2t}1FEtEl51:oat l
City of Tigard &moved _ G
, 13125 sW Hall Blvd.,Tigard,OR:9?223Permit tau.:/y�Sr'�o��`d�q l�
g- Phone: 503.718.2439 Fax: 503,598.I%0 OCTC T 2 016 Pian ly:
teal Line: 501639.4175 y: C Pewit:
,.<< CITY CSF TIGAR�
Interneta igard or,gov Date
itesdylEly:° am 0 Page 2 far
Notified(Method Sup cntat Information
BUILDING DIVISIONl
:iii �, j ' G Pf aI'�
,� !r' �- COMMERCIAL FE �1,#�i_"��'t��kk`
o New construction 1a ......, Mechanical permit fees*are based on the value of the work
❑Addition/alteration/replacement
�Demolition performed.Indicate the value(rounded to the nearest dollar)of all
0 Other mechanical materials,equipment,labor,Overhead,.and profit.
,.. T� OF cON TRU: . : ., Value $
0 1-and 2-farm/ .W„ � RESIDENTIAL ;a�I � aVi
2-tinnily dwelling �0 Commerciatt"tndustrial 0 Accessory building For sPeckti e:formate n ass c*ee Azar.
P 4 Maki family ❑Master builder ❑Other Description Ory, Ran Total
Z71) SW Airconditioning
Job site address: i�j �^
f ✓ 1.bey,tile 1 e l(v(�� Furnace 100,000 BTU uhiews crus} I
City/State/ZIP:Tigard,OR 97224 d Furnace 100,000+BTU(diets is
Sttitelbldg rapt nu:' S.I Project naitte: / ' Heat pump
' i / /, .' h(l1/ , Ductwork
Cross stcee#t'ditcctions to job site: H drank hot water stem
Residential boiler(radiator or ,,
hydronic)
Unit heaters(fuel-type,not electric),
in-wall.in-dues nded,etc.
3 Fluetvent for any of above I 2132
Subdivision:P .�Y' 1e nrcia Nurthw ,s - Lot .: rUl pier.
2132
Tax map/parcel no.:: Other fuel appliances:
�� Water eater 23.32
h
_ r" _ n REM14 'riOF WaRK Gas Preplactiinsert 3 I(
3-,34
new home construction Flue vent for water heater or ens
fireplace i 2332
Log lighter(gas) 23.32
Woodipellet stove 1 33.39
Wood fireplace/insert 23.32
ChirrtncvJiinerlfluefveat
23.32
11 r -r ` —t;472-'. I
Other:
Environmental exhaust and ventilation:
Name:ADVL Land Holdings,LLC Range hood/Wier kitchen
Address:7690 E Doubletree Ranch Road equipment 3339
Clothes dryer exhaust I 33,39
e City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms,
J toilet compartments,utility rooms) 1 23.32
Phone:(602)694-4031 Fax:( )
Articrxawftpace.fans 23.32
•
' ;;;, ' u .-- a§ - A PERSON, Cther 23.32
Business name:William Lyon times,Inc. Fuel piping: _
114.15 Mr first four 54.03 for each additional
Contact name:Angela Grajewslti Furnace,etc. ta
Address:109 East 13th Street Gas heat pump
City/StatetZ1P:Vancouver,WA 98669 V4'allJsuspeirtdunit heater
Water heater c
Phone:(360)695-7700 Fax::(360)693.4442 Fireplace
Range ,
E-mail:Angels.Grajewsk' )poIygouhauies.rortt
x. " , -O to c Barbecue
p
. . Clothes diver( ) t
Business name:Andersen Meehan__-,lnu.
t hlwer
Address:16205 SW 85Avis CA$:2Y I' ,.
Subtotal
City/State/ZIP:Tigard.OR 97224 Minimunt permit fee($90-00)
Phone:(503)992-6664 I Fax (503)936.6615 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lio.:168214 % TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within ISO
Attrhotizal signature: •-`..-, days after it has been accepted as complete.
' Fee methedoiogy ser try Til-Datta} ldi Industry SCINIte lard:
Print name:Angela Grajewski Date:8122116
L'auildingWertmaiMEC_PerrtstApp_040113 4o4 440-443311113fl2ttt?!4,"ik78)
,
Electrical_Permit ApplicatioRECEIVED _ .. ,u t„ ,If 1 ,< ()NI ,
City of Tigard Perna t/'fSi /G , c/a /
13125 SW Hall Blvd.,Tigard,OR 97223 n C T 1 1 2 016 Plan Review
_
Phone: 503.718,2439 Fax 503.398.1960
Inspection Line: 303,639,4175
CITY OF TIGARD Nati'od: /aria ��
Internet www.tigard-or,govk�n{;�Eell
:,_-,
.„r „�,� -'-'vdim .:..`®.ate s .om� �_ _. .,,<-,T"-, . � r „ r� - r
.x ,-
- New construction 0 Additionlalterati nireplacement liaise .�an apply(submit 2�• plans wf s
❑Service or fender 400 amps or more 0 Building over dace stories.
0 Demolition ❑Other: _ where the available locale saran ❑Maims and boatyards.
--- ,000 amps nomog bulldm s.
� r '�... ¢ .. ,��.. '..'�.��. � . sw. exoc�st0 at50vok5a ❑
1-•nd 2-family dwelling ~0 Commercial/industrial 0 Accessory building iess to wend,or exceeds 14,000 O Commercial-sae agricultural
naps for all other installations: buildings.
. Multi-family 0 Master builder 0 Other: 0 Fire pump. 0Installation of ISO KVA o
�.- x ' p b t m , 17-' s ❑Emergency system, larger separately derived
❑Addition of new nota how of system.
Job 0: Job site address: W SW /t . Oa, i a - 100fP or more. O"A”,-E","1-r,"1-3”,
Ci /State/ZIP: t O six or more residential units. .
City/State/ZIP:Tigard,OR 97224 O Hedtae facilities. 0 Recreational vehicle parks.
Suite/bldgJapt.0: 5.1 Project name: if V , /, e _ (Ai
❑Hazardous locations. 0600 v aaupply an'for more than
O Service a feeder 600 amps aa
more,
Cross street/directions to job site: "ffi' :7-''''S-
pexripyw Qi.- Each- That •
New residential single-or multi-family dwelling unit
Subdivision '4 . ' i ee N a Lot 0: • Includes attached garage.
Tax map/parcel#; 1,000 sq,ft.or less 1 168.54 4
- _-_-i- - ,;:,,,,._::7-1,-,c,„-,.T ,' w :73,„:,r b .. '-a:IT,.:.: Ea.add'i SOO sq.R or portion a IN 33.92 t
Limited energy,residential 75.00 2
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.R)
Name:ADVL Land Holdings,LLC Renewable Energy O See Page 2
Services or feeders installation,alteration,and/or relocation
Address:7600E Doubletree Ranch Road
200 amps or less 100.70 2
City/State/ZIP:Scottsdale,AZ 85258
Phone:(602)6944031 Fax:( ) 201 amps to 400 amps 133.36 2
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 701.
Over 1,000 amps or volts 552.26 2
Owner signature: Date:
� . Temporary services or feeders installation,alteration,and/or
a �; ` f .�,,? � i� e �''�d _>• relocation
Business name:William Lyon Homes,Inc 200 amps or less 59.36 1
Contact name:Angela Grajewski 201 amps 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)6934442 A.Fee for branch circuits with
above service or feeder fee, 7.42 ?
Email:Angela.Grajewski a®polygonhomes.com each branch circuit
B.Fee for branch circuits wiihoffi
36.111 2
Business name:alameda electric branch circuit
Each add't branch circuit 7.42 2
Address:3415 ne 44th
Miscellaneous(service or feeder not included)
City/State/ZIP:gill* f:;, 1, Q/a ag, .Z / —Each manufactured or modular
67:e4 2
dwelhng,service ander feeder
Phone:(503)3192192 Fax:( )
Reconnect only 67.84 2
Email:solatpdx ilme.com
Pump or irrigation circle 67.84 2
CCB Lic: 199188 Electrical Lic.: c923 Suprv.Lie.: y f71,5
Signor outline lighting 67.84 2
Suprv.Electrician signature,required: Signal cireui�s)or limited energy
panel,alteration,or extension. 0 See Page 2 - '
Print name: ii,; 2400•, C Date: 23� - .
Each additional inspection over allowable In any of the above
Authorized Si Additional inspection(1 hr min) 66.25/hr
Print name: . DateS�23/I i in'' '(I hr min) 90,00/hr
i I t ua,EaE.doc Rey 0611913OIS 440-46151111/OS'C EW -
Plumbing Permit ApplicaltECEIVEil
Building Fixtures i t)i: 1,t ii, i 1 ,1 (,\l1
City of Tigard r Rem�xd Permit Nfl.:Ot9Si�C'/ '1,1C�9e/
13125 SW Hall Blvd.,Tigard,OR 97Qd3 T 1 1 2 016 " '
Plan Review Other Permit No.:
SI
Phone: 503.718.2439 Fax: 503.598.1960 Date/By;:
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready`By: Ions B see Page 2 for
Internet www tigard-or goy. Nottfied/Method c
Supplemental Information
Demolition For special information use checklist
� New construction 0Ea. I Total
Description { Qty. I
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 It.for each utility connection)
..: spa ,:---1111'6:;''''e, r SFR(1)bath 312.70
I-and 2-familydwelling0Commercial/industrial
--o� 431.78
Comm ...0 .: .�_ x
"" SFR{2)berth
ercuaUindustrial
SFR'(3)bath 50032
hlutti-famil
9 Accsory building Y Each additional bath/kitchen 25.02 -
Master bw'lder ❑Other /
Fire sprinkler( sq.I) Page 2
.,•,,,4,;,,c:. . °s-. o-7--, �.w . s €ate=.r ,; ..... C , r<� *, site utilities:
S� f)�l R,YO)VV�. 1errace, arch basin or area stain 18.76
lob site address: 3 � 1 Drywell,leach alike,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: S r` Project name:�V•�/7✓V 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.Iinear tt: ) Page 2
Water service(no.linear ft.:^) Page 2
Subdivision:/v,Q4/ /ervae I , v v Lot no.: . 0 Fixture or item:
Backflow preventer 31.27
Tax map/parcel no.: �,; Backwater valve 12 51
;q44 a , Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
13. �.- s i'` t" 4y Expansion tank 12.51
'` a ,' ,I^ - e.. -> 25.02
° Fixturclsewer cap
Name:ADVL Land Holdings,LLC
Floor drain/floor sinIcharb 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 ( ) la maker 12.51
",, -- ::-,4tx ; -G yeInterceptor/grease trap 25.02
' Medical gas(value:S ) Page 2
Business name:William Lyon Homes,Inc 12.51
Primer
Contact name:Angela Grajcvvski Roof dram,(commercial) 12.51
Address:109 East 13th Stmt Sink/basin/lavatory 25.02
City/StatefZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
Urinal
25.02
E-mail Angela.Grajewski@polygonhonves.com 25.02
„ .�,. Water elos�
� .e s, " 37.52
, �^ ; _ ,v, . .a�-�. . :� Water treater
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: $7230
Plan review (25%ofpermit fee)
CCB Lic.:184601 Plumbing Lic.no.:P13732
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
This permit application expires if a permit h not obtained within ISO days
Print name:Robert Dishman Date:5/23/2016
after it has been accepted es complete.
*Fee methodology set by Tri-County But7ding#tuksstrr Service Board
1:taiulding5Pennitiir MU-PermitAppdoe 10/0109 44o-4616T(IO/c21COMtWEB)
1
1 ,
City of Tigard
•111
a COMMUNITY DEVELOPMENT DEPARTMENT
16
T 1 c A lz n Building Permit Review — Residential
Building Permit #: frif7;7--e/6, 0 0V /
Site Address: /QQ 3f ) �e
Project Name: eiver rrV Al/(314A-,tg7L- Lot #: /3- )
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: ( f�
7erify site address/suite# exists and active in permit 90stem.
R River Terrace Neighborhood: ❑ No V Yes,See River Terrace Review Addendum Attached
.Sit/Plan Elements:
[Q ' tee(3)copies of site plan 0 sting structures on site
he plan must be on 8-i/2"x 11"or 11 x 17"paperFootprint of new structure(including decks)with finished
VP rawn to scale(standard architect or engineer scale) i oor elevations
!TAidorth arrow Ya Utility locations(required for new,may apply for additions)
to address,project or subdivision name and lot number f% ��cation of wells/septic systemspplicant information(name and phone number) sting trees to be retained with drip line,and tree
LoVt dimensions and building setback dimensions rotection measures
t area,building coverage area,percentage of coverage and Pi eet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) Street names
"Property corner elevations(2 foot contour lines if more than
4 foot differential)
0 lean Water Services-Service Provider Lett (lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified V No Received: D Yes ❑ No
12
Public Faciliti Improvement (PFI) Permit:
Required: V Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake
41-and Use Case#: P,bre ♦is-7- O 1, � ) 3
voi Zoning: kle_J Q ,b j
Required Setbacks: Fron' do Rear 5" Side 0 Street Side < Garage QO
Id/Landscape Requirement: cQo
0/0
ern Lot Coverage Maximum: -f
itt(Building Height: Maximum Height NM Actual Height 37.
03 isual Clearance
Easements
Itensitive Lands: ❑ Yes No Type
Urban Forestry Plan
❑ Conditions "Met"/ p�or to issuance jjof/building permit /
Notes: a7c osiv/.Y sf / mei ibJIIJr i ifxecimx »sr ce .
Approved By Planning: ,A,;-i Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
Building Permit Submittal
Original Submittal Date: /®/////Jr>
Site Plans: #
Building Plans: # —3--
Building Permit#: E "Enter building permit#above.
Workflow Routing: {B Planning Engineering L 'ermtt Coordinator u ilding
Workflow Sign-off: Er.Sign-off for Planning(include notes from planning review)
Route Application Documents: a 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: — Date: ////7,46
Engineering Review
Slope at building pad:
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 ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved b ngineering: Date:
Notes: ... --ze
Approved by Engineering: WI ) Date: -
Revisions (after Building Submittal only) Reviewer Date
Revision 1: Cl Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
:r .
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:
""SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
// Tigard Trans SDC: Yes ❑ N/A
Parks SDC: frYes ❑ N/A
rOK t• "ssue Permit
p-,,-•ved by Permit Coordinator: ,# i 'Y Date: /1/ 1(/ .'
i
10.-------- -4/ / f
I:\Building\Fons\B1dgPenuitRvw RES_O91216.docx
n
I
City of Tigard
'IIN COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: Af-C— p6 -- 0 P ��7`
Site Address: /3 0 fit) 5 / ep Ter-
Project Name: 'elver 7' o ce itOo 5 Lot #: /7-0
(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? 9d 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 min./5 ft. deetal p
ft. deep min. 2ft., 5 ft.wide min. 2 ft.,Eft.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: /4 6770
0
3.Mntrances:At least one entrance must meet both of the follo g standards:
ax. 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 ❑ No
If j/es,all the following apply: sq.ft.min.
,,,
b�'�( ne street facing entry ft.max. roof above floor of porch
5 ft. depth min. 30%min.porch roof coverage
4.petailed Design:All buildings shall include a min. of five ofthe following elements on all street-facing facades:
/Covered porch min. 5 ft.wide x 5 ft. deep (Recessed entry area min. 5 ft.wide x 2 ft. deep
Wall offset min. 16 inches ❑�,/Dormer min. 4 ft.wide
041 W
Roof eave min. 12 inch projectionRoof offset min. of 2 ft.
El Roof shingles either tile or wood V Gable,hip or gambrel roof design
0/Roof pitch oriented south min. 500 sq. ft. ❑ylorizontal lap siding min. 3-7 inches wide
Accent siding min. 40%of street facade V Window trim min. 2 1/2"wide by 5/8"deep
El 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 El Attached garage is 35%or less of street façade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
N closer to front or side lot line,than longest street-facing wall. ❑ Yes VJ No. If No (Check one):
eay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
May 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)
0}2-foot-wide garage door (11 40%max. of street facade
50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: �'�� OF
Date: i f
ce,
1:\Building\Forms\B1dgPermitRvw RES RT 062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13220 SW AUBERGINE TER, SHERWOOD, December 1 , 2017 at
OR, 97140 10:44:56 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00481
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS
Comments:
No A/C installed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13220 SW AUBERGINE TER, SHERWOOD, December 1 , 2017 at
OR, 97140 10:44:56 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00481
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS
Comments:
No A/C installed
Violation Summary:
Inspector Contractor
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Mil � �e" al TOO tt' e `,,„ �:*„,, $�... ,,, "- .
s�
Footing drain-1 100' 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 S stems:
Water Service each additional 100' 37.52 ' it
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
Q (e each additional$100.00 or fraction thereof,to
f her, nSpc tiolr� q i' - .., , 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*.
Quantity by Fixture Tyles -
.
• k '''''''ritfil Restitlyfes ! bll ll
Fixture Type for Rep Wet Plan review is required for any of the following.
Work Performed: ! Cappel` Added a Rel ate
Please check all that apply.
Baptistry/Font
❑ Any new commercial building with water service 2"and
Bath -Tub/Shower
-Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial ❑ 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.
4" 45oiliafx • lr s g> m
Car Wash Drain CIIsometric 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/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washerincrease of sewer EDUs,a sewer permit will be issued and
WaterrExtractor
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 Pgmit.doc