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Permit (126) CITY OF TIGARD MASTER PERMIT :' COMMUNITY DEVELOPMENT Permit#: MST2017-00114 Date Issued: 04/17/2017 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB16200 Jurisdiction: Tigard Site address: 13158 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 162 Project: River Terrace Northwest, Lot 162 Project Description: New SFA. Building/unit 3.1 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 105 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 646 sf Garage: 497 sf Front: 8 Smoke Dwelling Units: 1 Third: 633 sf Right: 0 Detectors: Yes Total: 1384 sf Value: $183,356.23 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 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fu rn>=100 K: 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 1384 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: $23,354.75 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 OA 952-001-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: � /rilfi��.��Z�wPermittee Signature: Srl_ i//�7"�� � CfLi ��J 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. r, Building Permit Application `J . ` , (Q , Resj4entia FOR OFFICE LSE ONL1 City of Tigard ! , ' , :': Received `J g r � � DafeBy,••,/2-O /7 ��1 PermitNi.Ifffr,20/2��viry 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review,` '•i e •� /7- at, • S " Phone: 503.7182439 Fax: 503.598.1960 := , 4 e.Date/By: "►i ')0 - 1'7 Othe<Permi (C�0-�1 TIC:i R D Inspection Line: 503.639.4175 Date Ready/By: �// yH J I H See Page 2 for Internet www.tigard-or.gov .'lbtifed/Method 7 f /7.&' J Supplemental Information L ®New construction 0 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,.aid the profit for the ._ — work indicated on this application. Valua1-and 2-family dwelling 1:3Commercialfmdustrial tion.J$33�C$�4 4/) o Accessory building Multi-family Number of b ooms: ❑Master builder 0 Other Number of bathrooms: 3 ...� �- -,-.,i.----.--i....__14.15.10_7=m-.14:-.:;g1-......„,4,6,..,Q � ,. _-� - Total number of floors: ? j $ g Job site address: 13 I CjB 5\.\1Nu,N Yql I-e,r1 OZe, New dwelling area: ' `J`3y ,/square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: L C f v.square feet 6 33 SuitelbldgJapt no.: 3 l Project name:River Terrace Northwest Covered porch area: 9t9 square feet 6 4 6 Cross street/directions to job site: Deck area: 9 Q ,/ square feet 1, r Other structure area: 9 Q ,/ square feet Subdivision:River Terrace Northwest Lot no.:I(Q L P 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 r n� 7' ��'y# A '`ilwork indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet E_ec,f.,.- , i- -- t17.. ; . "=- - rd itit � -4 , Number of stores: - �� �-; '---4 „ e. "iw__ '�• -L:ln4x� _-�:: _.L. t amu;rer,_t Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/Z1P:Scottsdale,AZ 85258 Existing: Phone:(602)6944031 Fax( ) New: .l',. s, . .... .. . . ::"G., • 7Er-'. _--- . ._ . - ,+_.H� . :- w��- . .�� :: : A °" ri „ -U1 - .07. Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) _ E-mail:Angela Grajewski®polygonhomes corn 't;si.4" -k _ Commercial and residential prescriptive installation of -J-ca � ' `- '? ;,77._::37,4-7:+-- -...7.1:.:a -£,,,t ,X ,A 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/LtY:Vancouver WA 98660 Permit Fee(in! les plan review $180.00 and administrative fees): "Lone:(360)695-7700 Fax(360)6934442 State surcharge(12%of permit fee): $21.60 _ B lic.:207247 Total� fee due upon application: $201.60 • , This per>�It application expires if a permit is not obtained Authorized signature: within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: '/241(0201y Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitA.pp.doc 02/24/2011 440-4613T(11/02/COM/WEB) A Mechanical Permit A pptieati0 � ��� � � 1(31(0111(c t sl o'i ', City of Tigard .*' -eceived Date/By: 1111 13125 SW Hall Blvd.,Tigard,OR 97223plan Review a Phone: 503.718.2439 Fax: 503.598.1960 A n n 1 7 C-U U Date/By: Other Permit: Inspection Ltne:.503.639.4I75 Date Ready/By )uric: l l•see Page 2 for - 71GnFZb Internet: www.tigard-or.gov CITY OF TIGAR�D Nodfied/tvlethod: Supplemental BUILDING DIVISIgO► y��} y .� ::;,'.r 1 a Y 'L "lir.fi�hr'+C'.r''•,.Ft: , } , 4 ":Y!'cw '�q..r ,moo 'J4,. G ..,+w'ifi t �?�, '7,), t, 1u E.4 f"' • : 'j r K �n4.3hJ,Iy't F.i"«41..6.!,' f 1.'.�gt9�°'1''''.‘2,�# '' l'''''50#::';':* _Yg y��4� ��` x , t E, 'r�b''`t"��Q Eg�.t'*ZG +.� �a�. tc i ,i+l,�, +e}` :-U ve�,.;,^4. "S^ e work .-�� ,� '� 6`• Mechanical perrrlit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit - 4 °IPS r.'iMOVI` 4Ti y�l'*r," Value $ �� x� xm )'. t ', , .a ,' ,, °.• La` i P ElFw $F.i.-it.t% t`dtt� `'J' t :5.--:PFA O 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ®Multi-family 0 Master builder 0 Other: Description Qty.. Ea. Total . . e ,. .. ,�.� M ...,�,� ,�,. �s:• x i. ri. �"&`,� n.. Heating/cooling: '� ', ,r R J. ' ) rr iW"' i rf 31 qj,, Vis-z< OA r+ix��-4: 3 ' 4, Air conditioning 46.75 Yob site address: y f'(� S Y A ik, ,r' j(Nt, Furnace 100,000 BTU(ducts/vents) 46.75 City/State/UP:Tigard,OR97224Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.:3,1 J Project name.]jMW_t l / N /I(fr S 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 [ 23.32 Other: 23.32 Subdivision: kt:,J,y 'fic tArf NI tq/ ct' Lot no.: i tpZ Other fuel appliances: Tax map/parcel no.: Water heater 23.32 r ,• }a� rx, ' D t :Lr :")71 ''Gr ' C r•} -, . " Gas fireplace/insert t 3339 ' v ,---:',---',-',F' :'- . ''n' ," ' ' ,'- - ' .i'-.''''';,Y, ::� Flue vent for water heater or gas new home construction fireplace 23.32 Log lighter(gas) 2332 Wood/,-get stove 33.39 ' Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 v as P , m t � ;,� f.. OYhei 23.32 r r'''!" t l;s E 4 I� '7 " r•._, '.. .,."c....--- ---__: 7 *74"---" 1'''15' '.' Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen t e.ui.ment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attic erawlspace fans 23.32 r": 7. ::37aG .`, E ::::17.,:- >..,. f n ,x.,_.: siii' a _,v2T ;a_._wCOther 2332 .. Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for first four;$4.03 for qach additional Contact name:Angela Grajewski Furnace,etc. Gas heat pump Address:109 East 13th Street Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693.4442 Fireplace 1 Range t E-mail:Angela.Grajewski@polygonhomes.com • Barbecue Clothes dryer(gas) Business name:Andersen Mechanical,Inc. Other: i r U It ire° >iI.5?E� ° 3'9_^ .Mi„I. ' 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 This permit application expires if a permit is not obtained within 180 e j / days after it has been accepted as complete. Authorized signature: , / , * Fee methodology set by Tri-County Building Industry Service Board Print name:Nichole Thorpe Date:4/17/2017 Ifeuildi*Permits\MEC_Permit 04o113.doc 440-46171(1iFO2,WM B) Electrical Permit APp11catiR EC E I V E D FOR OFFICL USE ONLY IL City of Tigard V Received 7 Date./131 13125 SW HaII Blvd.,Tigard,OR 472.21N p R 1 7 2.O I Plan Review Phone: 503.7182439 Fax 503.598.1 Ban - inspection Line: 503.639.4175 Ready Dete)By Ea See Pa e 2 for T1GhRD lnlemet wwwtngard orgev CITY OF TIGARDO� N,tdeart�rti„d ® Supplemental lnfarmatlon ,” —i '• "' -' D-",' 4'�.;. A tV;;' 5 W-4.76 � �_ ,.��•�.��' M...', a"� Y r•�ayL. it e. T' �.�x.}.54 't.":7411.' rx4 .t ..; '.,�ra ..yam _ .' ... ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): D Demolition 0Other: D Seroies or feeder 400 amps or more D Building ever three stories. where the available fault current 0 I ffari nus and boatyards. Z' .—..,r:vt ,s`,`_,-rc"-� .-'rwti `'3t2;1e37,_S_� . sT y x;r.,. ,iqt 4-.tij1 exceeds 10,000 amps at 150 volts or Ci Floating buildings. 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building fess to ground,or exceeds 14,000 D commercial-use agricultural !i Multi-family 0 Master builder 0 Other: cps forallother installations. Installation _ �,^� _ yam. y D Fico pump. D of 150 CCVA or -r: .t1-a D.,"':>—+'S6a l :VIO :fa .> ,,??'C }.�, r'i ❑Emergencysystem. larger separatelyderived Job# Job site address 0 Addition of new motor load of system. i IN a /, 4 Y1 r-, / 140HP or mom. City/State/Z1P:Tigard,OR 97224 0 Six or more residential units. occupancy, D NAaUh care facilities. D Recreational vehicle parks. Suite/bldg./apt#: l 1 Project name.R,;,R,;,0",..- '.0 yrar9 Neriuvo ©liarardons locations. D Supply voltage for more than D Service or Seeder 600 amps or more. 600 volts nominal Cross street/directions to job site: Dermiptoa I Qtr. I Rash Total r, New residential single-or multi-family dwelling unit Subdivision:1evractiVt• # includes attached garage. Tax map/parcel#: 1,000 sq.500 or less 11.111111111111 t�S, yr i.r"-�Ai:•r= • •Plumbing Permit AnnlicatinC t Budding Fixtures . . , ,. - , . • . .. . EIVFD . ." .. -.. . . • ..... .... • ,,•-• .r,. .•City of Tigard • APR 1 7 2017N.. ReeeNs . . . •:pcmgt -.. . ... . •• . , • 13125 SW Hall Blvd.,Tigard,OR 97223 Nan Review • ( " ' ,,,,,,_ ' • . ..Phone:'so-7.182439 Fax: 503-5943PR OF TIGARD DatelB:r• Other Pennft No.: r,‘, ,, ,) 'Inspection Line: 503.639.4175 BUILDING DIVISION pale RiadY/BY; Jude. El See rage 2 for ' ' Internet: www.tigard-or.gov Notified/Method:, Supplemeettal Information 7417:i747%,:: ...,,A,,,x,„%aptisokoieus„-wave..:=0,-...", .. -4....-...-4;1;74, ,40-g;11.4'itvi,',Iiirovic..4: --7Atikiiiii-i.:.!,a,.'A-4!-:,:•••,.... ,..-.,- '. -I ,w.*„.....1- .,,,-.,...,., -..t...,-.,,,,.,..,..,,,,,,,,,,,-„.... .„,.,....,. .-.......„ .......„„,...,....„....„ .,.....,.v4.L'S/d4.:,,.....trro:'.1.Ai.4...:: ft.kki ..1'..+,O'ii"*1..4,,'1,i..;•,.,11 in.,:jr.,'„U:,...-_, MI, ,.,...„.,..„,i..,...„ ,;:11,.:',.. • L P...,...:,,... .:- i 01,1ew constructinn , 0 DeMolition Far special information ase riterklist Description ( Qty. I Ea, 1 Total -0 Addition/alteration/replacement 0 Other:. New 1-2-family dwellings(includes 100 IL for each utility connection) I ;,";-,W::P:1,-,4'.4':147,4,-.ZI‘rijki:07i4r0f4lifilieflOrin'tt.; k., ''',:.'40•4''. ,*-4.,,,,Z7•••.'• SFR(I)bath .31230 '1 17-and Zanily dwelling 0 Commercial/industrial SFR(2)bath 437.78 . 1 .._ SFR(3)bath ‘ 50032 . ,U• Accessory building XMultizfamily - " Eat%additkinal bath/kitchen 25.02 ...... aster builder 1:3 Other: . Fire Sprinkler( sq.IL) Page 2 • 1 4'•`''itir'F-145!e"•-••tal.41-A2:;4'.'''.1;.;.,,I': '1.-.*:•14,'Vl-74'el,f,Y.V.:47.Xi" .. ;,,tcallitr4..i She utilities: -----1 Catch basin or area drain Jth Oe 4.4drffss: /3)513 sv.i tAAJA0e/(6)1( e.. k firtar_e _ • - 18.76 1 1 Drywell,leach line,or trench drain 18.16 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 SuiteibidgiapL no.: 3.) 1 Projectname;. ',..:4 • A , . . ' Manufactured ho,„„toities 50.03 Cross street/direr:dons 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 • i 4 ,,,, Water servie.a(no.linear ft.: ) Page 2 Subdivks„4-4/)?..l‘r•fir 1 tYrati, aLlenlihteti-- Lot r':111/ Fixture or item: Tax roeplparcel . Backflow pieverder . ( 31.27 ,..--,1:•t:-.*.,.:,:A.,.•,a'. i.‘,,-,-f.',,,,,,--,,,---- -;',4,,,,,..:' ,--,.%.....,,'...'... ...- ,j„,b,;?,,,;?„-.,_i..*,,,,f,,a,.,,-.-4.1.,,,„;:....;:le:..4.,..7.?•;., Bite/p.*1er valve I 12.51 ''.;,",'•74' ;','"i„,:e--.••••:-:•:•'"•:::::t'f:F-c4;: •"•;4•A"Z••?'•'-''''''',4-1..':'-P.''.4. ..,'•:•:'&'•,4' •t.fr',',7.`='; :Vt4,?•.4.1''''''''•"it:-iWi:',47:•••-• • • ' ' Clothes washer , 25.92 • . • • • Dishwasher 25.02 .... . .• . , . • " ' - .. - ••••-•- n:king fountain 25.02 . . . .. . „ " • . , •- - • ... .. . EjeetOrs/sump . . . 25.02 :::C".•:.•:".;',!..:R:t;•:-',TYS.--'''';'•-'•'•v,..:;;'•'••'i:i;4-,P"!:"-I-e:IV41?.'.;.;:,'.;i;•.*.t':„44.5;f':,.!:.''•Az:,:;,iokjii' ;'.,,,;;,•':•.q.,',ji,Ai,ig,414,',,,...,,..f. ,••Lt• : EXpansicin tank 12.51 .. . , _ ...- . -... . ... ., . . ,. NaitiMADVL-Land Haldings;Lie ,• Fixture/sewer:cap 25.0'2 , . . . . • • ..,,,_.E - Floor drain/floor sink/hub 25.02 . Address:7600 Doubletree Ranch Road • •. - , .• , • Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose b% 25.02 ..... • .,., Phone:(602)094-404 Fax ( ) Ice Maher 12.51 , •i..-...e7.E.7-, ,,;77.41i1A77:,,Kf-F7,,i,7,,„3, Iniirceptor/grease trap 25.02 •.•,..:...-•...;,.‘..4.•,...•,...-....,..,_.•,:„.,:.•.:..,..,.. ..•$::::,,,,e.t,,,,,z,g,.. ii.th4,-....,;,-,•-•.Lf.,...,k,-„,, ...,„,„.43,41.:41,::firto.:.• ;%.1•14.1.-1,:." Business r*rdb.:Williatit Lyon Homes,Inc idedictil gas(value:$ , ) Page 2 ; --... . .. . . ... . . • - ' •- .• ' - Prinier 12.51 • !Continftt,name:.Angela Crikiewalti ' . • -H Roof-drain(commercial) .• 115 1 Addmas:10E*$)th Street . Sink/basin/lavatory •. • 25,02 I .City/State/ZIP:Vatie'ouver,WA 98660 Solar wits(potable water) 62.54 • Ph0/1e:04H:6951700 ,Fax :(360)693.4442 Tub/shower/shower pan 12.51 ,B-mail:Angela:Grajewski@polygonhontes_com- Urinal 25.02 `-7.r,r,.7717,;:'7--':';-1-'-;.•:.'- 11, . Water Gic6et 25.02 . Water heater 37.52 Busineis*het 4.1:firitiiellumbing ILC •• .. Water piping/DWV • 56.29 AddreSs:.1116 W111fajoiic Columbia River Hwy Other; 25.02 • . •City/State/ZIP:Troirtdale,OR 97060. Subtotal . .. . PhOtiel(503)491400 Fax (503)912-6438 •- • Minimum permit fie:572.50 CCB L10Plan review (25°./aofperrnit fee) • 4.18460.. Plumbing Lk:no.:PB732 • . . . ..,, .. , .. State surcharge(12%of peril*fee) . Auguirized.signature: • • • TOTAL PEIHAIT FEE _ . . hint nestle:itoliert•Dfihntan Date:5/23/2016This permit applkation expires if a permit is not Obtained within 180 days •. . . ... - , after it bis been accepted as complete. *Fee Methodology sea by Tri-County Building Industry Service Board _ bittuileineermitaNgagi-PeraittAyndoe ioletios 40-e5leT(loroziWWW.11) } K / ' City of Tigard IIr COMMUNITY DEVELOPMENT DEPARTMENT C T l c A R fl Building Permit Review — Residential -, k L'-,,L'+4.:- A ...s rR_e,,.§,-i-L7 ,-,,$,$..-.%13k -. $""$ggai,a X.iiago,r.Gtt.Kd`,-oe,:ee oo.,Y? P.?G,. !. , ,6t,, =`afXY Y._. e "z;,.T'*. ,i. `.E4dr.a t+.k. Building Permit #: /`7S C / 7 —O9// Site Address: t gJCe ,L /1,44e _; 'ice ��ert-c 2C.e _ Project Name: 0ifer- ' e'rco� /Uo LL Lot #: _ 2 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 4U-eGt) S'i (,- '-a nilc ift.„ .1 nit erify site address/suite#exists and active in permit ystem. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Si : lan Elements: /I ree(3)copies of site plan Ik) g structures on site FA tte plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished brawn to scale(standard architect or engineer scale) door elevations rth arrow FA tility locations(required for new,may apply for additions) rte address,project or subdivision name and lot number ation of wells/septic systems pplicant information(name and phone number) F3. :sting trees to be retained with drip line,and tree Lot dimensions and building setback dimensions .rotection measures t area,building coverage area,percentage of coverage and Y1 treet tree size,type and location • 4•ervious area(applicable if R-7,R-12,R-25&R-40) Street names 11 roperty corner elevations(2 foot contour lines if more than r 4 foot differential) lean Water Services—Service Provider Lett r(lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilit Improvement(PFI) Permit: equired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake /and Use Case#: J6bi2O <— S Y K.-- u)) oning: de-1Q (P1 ) rizRequired Setbacks: Front 5 Rear ,� Side O Street Side Garage c2O andscape Requirement: .:;27 Lot Coverage Maximum: 00 ^ � uOilding Height: Maximum Height vYR" Actual Height E ','isual Clearance ri asements 11 k ensitive Lands: ❑ Yes No Type LvA Urban Forestry Plan ❑ Conditions `ri "pri rto issuance o bdin. permit Notes: --:0,�1Jh6;4;' // ' 1 oy- i �� /11471-' IS,ksgi Oce Approved By Planning: ; 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 I f y Building Permit Submittal Original Submittal Date: a2. J e) / - Site Plans: # Building Plans: # �, Building Permit#: [J 'Enter building permit#above. Workflow Routing: E rPlanning g'Sngineering u- Permit Coordinator --D—Building Workflow Sign-off: E-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. c2"Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: / Date: /' 7 7 _yin Review Slope at building pad: _i conditions "Met"prior to issuance of building permit -- de:›f ❑ 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 by Engineering: Date: Notes: Approved by Engineering: irge ,6/ Date: __.,„V...-z/,/ 7 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 pproved,NOT Released: Date: 3/2-)/ r-4---- Revisions c 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: n es ❑ N/A / Tigard Trans SDC: :Yes ❑ N/A Parks SDC: es ❑ N/A OK to Issue Permit ( Approved by Permit Coordinator: / Date: f � I:\Building\Forms\BldgPernvtRvw_RES_091216.docx w t • City of Tigard 111 41 COMMUNITY DEVELOPMENT DEPARTMENT 1 TIGARD River Terrace Building Permit Review Addendum Building Permit #: A'ls-, , j/ 7 — cO 2`/ t Site Address: / / (c') /1/12— 1yt_e_ ""-;72Q ;t Project Name: i ar `77e�- ce A3 'r�i 1 J'-1-- Lot #: /cp6 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist ct Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? 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 ffset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6 .wide Gabled dormer 1=1 111 CI -Of--- 0 2. Eyes on the street: a minimum f12%of each street facing facade must include windows or entrance doors. Percentage Shown: /9% / rear: J1-1-70 3. trances:At least one entrance must meet both of the folio g standards: ri Max. 8 ft. setback from Ion t street- facing wall Parallel to street,angle no more than 45° from street, or o en onto porch Entrance opens to a porch: Yes ❑ No If s,all the following apply: sq.ft. min. 0 n street facing entry ft. max. roof above floor of porch n 5 ft. depth min. 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 ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projectionf El oof offset min. of 2 ft. Roof shingles either tile or wood able,hip or gambrel roof design f ❑ oof pitch oriented south min. 500 sq. ft. /Horizontal lap siding min. 3-7 inches wide.- n Vg Accent siding min. 40%of street facade V Window trim min. 2 1/2"wide by 5/8" deep f ❑ 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. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No oser to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one): [-=1 ay 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 abov the garage that faces the street with a min. area of 12 sq.ft. W. the (Check one) 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: .—-= Date: I:\Building\Forms\BldgPermitRvw_RES_RT_°62216.docx I Plumbin! Permit Application Site Utilities R C ;'v'E ri FOR OFFICE USE ONLY City of TigardI Received Date/By: ��l'J�(�// n� - Permit N 111 IN 13125 SW Hall Blvd.,Tigard,OR 9 `I,' �Ci7722 S r�1 -ez/pi C Phone: 503.718.2439 Fax: 503 Tq 19�p Plan Review ! F . ,„1 Date/By: 7-/d-17 446 Other Permit No.: Inspection Line 503 639 4175 T 1 G A R D l i p I :)j y i` Date Ready/By: lulls. ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: / Supplemental Information Tiit . ®New construction 0 Demolition For special information use checklist ❑Addition/alteration/replacement 0 Other Description- Q . Ea. Total ty. New -2-family dwellings(includes 100 ft.for each utility connection) ..,,s ...ate ,Y ..,��,. SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler 1 84 sq.ft.)0149,1- Page 2 ,I<Q18 t'Y t # , t • ,,,, J� p ( O /- �' � �= Site utilities: Job site address:13158 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.: I Project name:Northwest River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.:162 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 TBackwater valve 12.51 Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2017-00114 Drinking fountain 25.02 Ejectors/sump 25.02 ., ,.., y �Y?.r Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Polygon Northwest 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 " ' /llkwt � !- WI 77 i /' P ',;;;;11(11„;;M: Interceptor/grease trap Page 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) 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 I City/State/ZIP: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 •• . •• 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) /� . _Z� State surcharge(12%AEf permit fee) EE Authorized signature: / ��� TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name:Gavin Thornes Date:7/3/2017 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\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 S em >< up�ress><on st s qara Footing drain-18'100' 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 *' 'mwaY 6 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 (Ob �, ''*/*, r o each additional$100.00 or fraction thereof,to \Ca \ Y` s l f! _ *� ',.�. ,,,.. 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*. Qnauhty I►y txtar Ype y t f t "` `� g , ns Fixture a for x ... ,, . .yp Plan review is required for any of the following. WorkPerforoied C,Nwedl , eltiea Please check all that apply. Baptistry/Font Bath -Tub/Shower 0 Any new commercial building with water service 2"and -Jacuzzi/WhirlpoolTub/Sower greater,except systems designed and stamped by licensed 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. • Ate. , _. `. 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/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and 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 Pqmit.doc Mechanical Permit Application FOR OFFI( L 1 sE ONL' City of Tigard ' D r. /� / !PIrlirMa=f1MIMMI.-- 13125 S W Hall Blvd.,Tigard,OR 97t.23 . , Pian Review Other Permit: 503.718.2439 Fax: 503.598.1960 Date/By; Inspection Line: 503.639.4175 C r. 0 r7 4 7 Date Read/By: See Page 2 for 7 1 G,�I;17 Internet www.tigard-or.gov s i+ Notified/Method: 11111 Supplemental information '11.,'C. y Z rC" q-T .Gz r}� r- t 'r 4' 1. r ........:,.r_,_ tlVleehanr .+:m2 F, .T ,::�..,0%-(<'-':(,/ s : y ' °1a;':.,.'4.s. yy ' r" ical permit fees*are based on the value of the work 0 New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit Value $ ' ... f .....__iE., .,... ,...... 1i ... t.,. r ...._z..z .:_ .. ....._ 4tivo_..iP.,. .`aa.1.. C-L�w _ _ r.d _�i .__._. .. -�...T. 1 . .. x t_._5f�7i:1"1.':::-`,.:r,.,a...._r ',1r r r, •.. ?.._,,,ri..�,.._..�ty 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building �_.. Yue, For special information use dtecklist ®Multi-family 0 Master builder 0 Other: Description I Qty_ I Ea. I Total s 1 , 4-1.'-' 7 �.r-,'G C- ' '3 t t rh",C i .L 6, r ., Heating/cooling: . z ._ .... ,;,� _4',.'-''._,F .__, :rx.,,. ....,.., ` .,. . _..,..:_ T.,,4 Air conditioning 1 46.75 46.75 Job site address: V-6t 941 Nitwit T,,,J rcicc,,„_ Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP:Tigard,OR 97224 ''"" J Furnace 100,000+BTU(ducts/vents) 54.91 - 2 Heat pump 61.06 Suite/bldg./apt.no.: J I V ( 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 1 2.3.32 Subdivision:River Terrace Northwest I Lot no.:ILO, Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 Gas fire lace/insert 1 3339 e y t;J i ski. i vty.. _2.F e'. ,.� P :1-:"4,,,��s >✓_�...:*w s...:[.,.. W.w t-..-,� ..._._,_.�.E .. � ,..._.. _.. . . z ..-..,__ ._. .....,__ Flue vent far water heater or gas Contractor Change fireplace 23.32 Log lighter(gas) 23.32 tv isr'uocot 14 Wood/pellet stove 33.39 Wood fireplace/msert 23.32 Chimney/liner/flue/vent 23.32 t N^+•fe. '1>t ..i V . . v�F '', 11:,'41.xi .. TIr. .tj Y i >. EIl_� -'1.''''':.1 ..' . r, Other: 23.32 ,t.• . . z _. r �`.� ;r ' -: -' s t -� 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 1 3339 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) • 4 , 23.32 Phone:(602)694-4031 . Fax:( ) Attic/crawlspace fans 23.32 17".;-:;':::, rift, ti ' „ < 4 E� 4 li r Est t Other. 2332 . _..,... '":41:.•!`',,L. .., . :', ._.�r:.�_...�.,:, . „.,'„_ri' . tiR _..._ ,,'";,;_I•;11 Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for first four,$4.03 for each additional Contact name:Nichole Thorpe Furnace,etc. 1 Gas heat pump Address:703 Broadway ST Suite 510 Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater - Phone:(360)695-7700 j Fax::(360)693-4442 irepiace i Range 1 E-mail:Nichole.Thorpe®polygonhomcs.com Barbecue s k ''II-1.7.`,24'..r'''' .N. c, t1-T;!;� [ i s J .{ a c T' ' Clothes dryer(gas) Business name:Pro Heating and Cooling,INC F "3a '''7.-:',','A. Address:2095 NW Aloclek DR Suite#1103 Subtotal City/State/ZIP:Hillsboro,OR 97124 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)4435692 Fax:(503)9415075 State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within I80 /�� days after it has been accepted as complete. Jjt Authorized signature: r`�--V " Fee methodology set by Tri-County Building Industry Service Board Print name:Nichole Thorpe Date:9/19/2017 r:VBuiidingiPe mitAMEC_PennitApp 0401I3.doc 440.46170(I1/02ICOM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13158 SW AUBERGINE TER, SHERWOOD, December 1 , 2017 at OR, 97140 9:41 :27 AM Record Type: Record ID: Residential - Master Permit MST2017-00114 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: 13158 SW AUBERGINE TER, SHERWOOD, December 7, 2017 at OR, 97140 11 :01 :37 AM Record Type: Record ID: Residential - Master Permit MST2017-00114 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: 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: 13158 SW AUBERGINE TER, SHERWOOD, December 14, 2017 at OR, 97140 2:41 :35 PM Record Type: Record ID: Residential - Master Permit MST2017-00114 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Corrections complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13158 SW AUBERGINE TER, SHERWOOD, January 10, 2018 at OR, 97140 12:29:25 PM Record Type: Record ID: Residential - Master Permit MST2017-00114 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Glue cleanout body left front. Provide required fire separation at 3" dwv in garage. Table R302.6 No ac 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: 13158 SW AUBERGINE TER, SHERWOOD, February 15, 2018 at OR, 97140 7:00:27 AM Record Type: Record ID: Residential - Master Permit MST2017-00114 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Moisture content form received. Vapor barrier form received. High efficiency lighting form received. Insulation certification checked. Blower door test report checked. Correction from previous inspection complete. C of 0 issued. Violation Summary: Inspector Contractor