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Permit (70) IN2 . II CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST201700026 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/10/2017 Parcel: 2S 106DB 14600 Site address: 17369 SW FOREST HOLLOW ST Jurisdiction: Tigard Subdivision: RIVER TERRACE NORTHWEST Project: River Terrace Northwest, Lot 146 Lot: 146 Project Description: New SF. BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 4 First: 978 sf BRequired Required 0 sf Left: 3 Height: 26 Bathrooms: 3 Second: 1251 sf Parking Spaces: 0 Dwelling Units: 1 Garage: 380 sf Front 8 Third: 0 sf Smoke Right 3 Detectors: Yes Total: 2229 sf Value: $274,261.21 Rear 10 Sinks: 1 PLUMBING Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Lavatories: 5 Dishwashers: 1 Rain Drain: 1 Urinals: 0 Floor Drains: 0 Sewer Lines: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 SF Rain Storm Sewer: 100 Water Lines: 100 Drains: 0 Wa Footing Drain: 0 Ice Maker: i Hose Bib: 2 Bckflw Prevntr: 0 Catch Basins: 0 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Furn<100K: 1 Hoods: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders 1000 sf or less: 1 Branch Circuits 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 p 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: SF VB Square2 Feet: R-3 2229 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 Fire Rated Eaves-Both 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 Sides STE 1 SCOTTSDALE,AZ 85258 2 Ersn Cntrl 503-639-4175 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $32,250.76 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 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: " t C2 ei —_. Permittee Signature: 61/V '.�G.-/C' 77e'' Call 603.639.4175 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. i Building Permit Application /--\V 1 �17 )Li 2 0 2.0i0 �‘ FF OR OF FIC l SE ()NEI City of Tigard ( ' ' ' Received 13125 SW Hall Blvd.,Tigard,OR 972p40!:t PlaRev I /� Permit 1‘1°'t(�^)���^7 ./A1 s Phone: 503.718.2439 Fax: 503.598.19 Plan' Review P� i), ,,)� Inspection Line: 503.639.4175 Date Re �• % j '7/ �a Permit:51 4420 r � � Internet www.tigard-or.gov Date ReadyBy: ® See Page 2 for Notified/Method: /i/7 ,/4i' / /rl Supplemental Information `.:t�,.,u..w«w. �..ix 'ALF.,._R...._a.�.:,. s -. Kj-s 3 CF s e .�..k d l . ..� ,.....ate ;. t.t.q". . a - d 'c3,k k '.'m" r € '..'2'''.::::1.-:6^:1-1.11; :,'51'.:"i" : :-' ®New construction . u the ❑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 ❑Other equipment,materials,labor,overhead,and the profit for the �,. ....�Mo z - E -` “ '' g: a l'-' i k r , � �' 2 '' work indicated on this application ® 1-and 2-family dwelling 0 CommerciaUmdustrial Valuationfl /411-9.14q -L 0 Accessory building ❑Multi-family Number of bedrooms! -� 1j� I ���❑Master builder 0 Other - t- . Number of bathrooms: .� .� _ .'7:' 4 ...__. ! �..�.,rca. .��..._..,,�.�::. ,......e �sr Total number Of 1lO0IS: � ��' �, Job site address: • New dwelling area: .....,14_,,' '�a9 square feet City/State/ZIP:Tigard,OR 97224 Suite/bldgJapt no.: Garage/carport area: JO square feet Project name:4? ,�' , . Nva Covered porch area:t(p1/4A,. ; uare feet n Cross street/directions to job site: q p Deck area: square feet 9 7 C )1S1�structure area: i square feet Subdivision:.) _ `` `W ; �. � Lot no.: i 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, r }� � ,- _ and the profit for the �. o • p work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet 4 �� r ., .17 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 Phone:(602)694-4031 Existing: Fax ( ) a<; � New: ,.. :."It;' e L.2`' c "4....L.- "-- ,--t,,,,,,-',- ,J s1 r ; : aBusiness name:Polygon WLH LLC Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 13th Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount received Angela.Gralewslu/� of onhomes.com CSP Yg `, t, , ) -,'- r% � it -.-,,z-.;,..;-,,,. E-mail: � fi ,e h s h Commercial and residential prescriptive installation of , � ' ` roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details Address: 109 East 13th Street and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review Phone:(360)695-7700 Fax:(360)693-4442 and administrative fees): CCB lic.:207247 State surcharge(12%of permit fee): Total fee due upon application: Authorized signature: (Alas This permit application expires if a permit is not obtained :'_— O�l,{'�(PX within 180 days after it has been accepted as complete. Print name: _.> --. I Date: I *Fee methodology set by Tri-County Building Industry Service Board. I:\BuildinglPermits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applic 1* 1 , CEIVED . .. Rtzeived - . ,Cdy of Tigard ruddily: CZOIMISEM 71.--- 13125 SW Hall Blvd..Tigard,UR 97223 k A A , 4 2 0 17 tr. Phone: 503.718.24n fax; 503.598:196001-i i • .. .2 ...it,:ir . , °Etta Permit. Inspection Line: 503.639A175 Internet: www tigard-or.gov CITY OF TIGARD ND:=.1);,..: in er See Page 1,for . Suppkateatat Informanon E3VILDING DIVISION 3 fr-7927rt-AVP f-Slei, .,'' '''4't,,rFrrri'VMai V+":-,',7,..;4,0 t:Tti,-Z'71'It;t21-1:ri .t*'67:.'W. :- r.7.74=7,--- Mechanical permit arc based on the value of the work 0 Z New construction 0 Addition/alteration/replacement performed.Indicate the value(rotmdcd to the nearest dollar)or all Demolition ID Other: mechanical materials.,,ui meat.labor.overhead.add • .fn. 4,-*A„Zo4:141-4y,-! %PeCt•fii,i.4).:WR14;:'.' .40- ''‘'‘,:.----»''''40wsge'''"Ie :1-- r ."‘': p... EP.'1,''1 -i:•' IN-x-T,---7---,7,7r.. 7.741•7:‘,-3111111!11111111!.1.-a i , L •P'2 .5 -Pr,e ......om,--t,r,.41- -tr.c .-.i2a4stvti.,4A',-4.4.N.-.-ii,e- 90.1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building forvedal information use accilisa I Multi-family 0 Master builder 0 Other 1=t11111 Qiiy. Itall Ott! tL4f: "fs,•:!:)...;:Z:?c.n,Gfl-t9:• 1:;.O..S.ftkR:Ql.::,q'6:::.g: S14:1...',. ?A:t.S 'LL `L"-'''411"lj. iimexteamm Job site address:/724 r SW reS-r-i- i ii Ow Furnace 100,000 BTU ducts/vents) am 46.75 MIN City/State/ZIP:Tigard,OR 97224 Furnace 100.000+131V tdartssvems1 rtnemomilliallirEll1111111 61.06 MN Suitenddelapt,no.; Prpiect Imunc:141trierractOor-thwes+ Duct wod..11.11111111111111111111111 MEMO Cross sued/directions to job site: If diode hot water serlem 111111111M11111111111111 Residential boiler(radiator or 111121111111 drenic Unit heauus tfuel4Y0e-"electric)* 11111,1111111 in-wall in • sus,-Oct etc- Flue/vent for anv of above ille 2332 MN Subdivishm:WV(Ttrrota Nftriintmcc I- I Lot no.:114ip Other Otherfi,eia,fuel a lianeem MINITE11111111111 Tax map/parcel no.: imiumpumummm......1711111111Mmem...11111111111 AJ;It:Til;P)j.4. -L.%, ,11:$1.6'.',1*A4*4,'.j-V:i$ '''''"''''LL'' '' '"..44LLIulimolliiiiIMIIIIMIIIIIIIIMIIWIIIIIMMIll we.'"-ir'• =iii 4--'---- ''- "L'''-' - - ------'-'` "' ' Flue vent for water heater or gas Illpgali lillifnINV.11(1 5 ' ce i P i lirili III/ IMMUMMIN1111111.1 Wood/ Ilerstove EIENIIIIIII 33 9 MI Wood n -• cefinseri - . 23j2 ,......- -- — Chink, nineerfluetvent 1111111111111111111N . IMMInumnimalli 23.32 NM 6ek16.1:feir,le;triZEX4ri,litti;112:314.Q'tg Etwinn,n,„tai exhaust and yen/41410w Name:Polygon VI'Llfg.LLC Range hood/other kitchen 1111E1E11 ,ui•Mein Address.109 East 13'h SI reti innoiraliimisin Clothes dn,cr exhaast ---. CityiStatc/ZIP:Vuneouver,WA 98660 Single-duct exhaust(bathroOMs. toilet co unlit• MIMI Phone:(360)695-7700 nall11111111111111111111 rtrIMMMINIMINIIIIIIM Ercl.75-0.; AFV7,-Mk-TqUPTirooms rr. T.FAW Other 11111111WIENIMIIN Contact imam ,tho it 1 1 . S14.1s for first four 54.03 for each additional Er2:22:2221 farnace.etc. 11111111111111N Address;109 East 13th Street IMEITMEamin111111111111111111111111 Want ,-dednudt heater 11111111111111111.1 City/State/ZIP:Vancouver,WA 98660 Wafer heater IIIIIIIIIIIIII Phone:(360)695-7700 Fax::(360)693-4442 ........_.__rMlffffll111111111 .... iinmainamm 4 .,94 __,„ ,, , rrwi.m.............rIIIII._IIIIIIIIIIIIIIIIII 2:5-L,-.L -, aY. ....._-,1.-g.tum....millimmi• Other 111111111111111111111111 Business name:Apes Air LLC ficw.-r:'zIn).-zi:.oli--:-.:Trc,. .,7:..M..,:1°'T.,-..„„.;4;, ..A Address:18004 NE 72"Ave Subtotal IIIIMIIIM City/State/Z1P:Vancouver,WA 98686 Minimum• mit fee 390.00 IIIMIIIIIM=MZnrntraL........._IIIIIIIIIM Phone:(360)3424;109 .1 Fax:(360)326-1769 State surcharge(J2%et-permit fee) 11.1.11. _......_-_—... CCB lie.:203034 TOTAL FERMI FEE This Permit unollattiorturpfres If a permit ix run obtained within 11111 dey4**leek lies hetet ateeepted ar complete. Authorized signature' • Pet methodology trt by Tri-County beilding Industry Seiviee Swett - Print namerTZTA. */ i Date: 41• roluiranotmuswer_r.,i;iApp_oavi 13 doe 446-10(IT 111/021COMAVF31) • • Electrical Permit ApplicationRECEIVES • FOR of1IC'E C SE O\l,'k` City of Ti and MAY �o ( Received J`?S7' • /3125 SW Hail Blvd.,Tigard,OR 9 t / Cj 06,71 ' Phone: 503.7182439 Fate 503.59811 [?r OF TIGARD tc it u Inspection Line:.503.639.4175 BUILDING DIVISIO ,., y httemri et www ttgard pr goy to See Page 2 for IIIIIIIIIIIIIII Suppleanental Ldonnation r � n �V ` /,4 4:6;j :-aet 'Av0;'',1'-',V��t��,a*�7',45a.��l i�Ta_.,,_� h.►�<New construction 0 Addrhan/alterattan/replacemeat Fleece deck all that apply(submit 2 sots of pians Wheats ohedred); 0:Den2olition ❑Other: D Service or feeder 400 amps or more 0 Building over coerce stth ies, C-&-''''.2-,-. 1.2:1=-,.-.2.t.35ft)...:4-23014!4A,/.30-6 .t‘-'s'3 fj`"571 L where the available teak current DNtsrinas and boatyards. _ - (`_ ,-g.:.7 k.?,<. " exceeds 10,000 amps at 1 SO volts or ❑Ploadng buildings. ii 1-and 2-family dwelling 0 Commercial/ilidtistrial 0 Accessory building leSS to sem,or exceeds 14,000 D Commercial-we 0 u!h family ❑Master builder ❑Otheramps for all other intonations. buildings.. aviculture! ,"`rk^ ,1,Z .I 4; 3�.1,s . _a R5 t a t' t r=•---u- One pump. 0101.04m largerseparately of lSO rKVA or ived rt c�`t� Ar' `(i" [Xe"t tir µ y DTimergeacy system. separately derived Job#: Job site address: ° w�j '0 at- `,/ow D Addition of new motor load of system. YY / (/W �,' ]OOHP ormme. D..A..�.,..i_Z,'1.3', City/State/ZIP:Tigard,OR97224 DSix ormons residential units. occupancy. Suite/bldg./apt.#: I Project name:Q.at rr i c Yirace Notiinaie5i-- DHaamheare el6png' D SupplyReeteatio voltage vehicle parks. Dllaundor,s bastions Q supply voltage$r more tharr Cross street/directions to job site: D � Adm son amps mora 600 volts Hommel y ST`` 4 te:,, : sHr Y it ITE, J i, Daatonon Qls. Rath 'Tom'_ Subdivision: iY� New residential single-or multi-familydwelling . Y.._ / �, t, t�! Lot# i Includes attached garage snit Tax map/parcel# 1,000 sq.R or lessA i 68.54 4 s a _ = '� Yix It _i_ Y� rg dry '=;,--&.,95,-.7,---- Ea.WI 500 sq.R or portion 13392 �j��}� n -0 (1 ^. F `R� Limited energy,residential I I/ [lO `r (with abovesy.R) 75.00 2 Limited meta,multi-family residential(with above sq,ft.) 75.00 2 r x,;a. =-4 N 1.`t.L :Z.--?WI; ,,.:.- ',xv; r"F '-4 ``,v1 v,`n.'< Renewable Ed „ .�,� �-S; � ��9�-�_ .s m'�i' ❑Sec PAge Z Name:ADVL Land Holdings,LLC Securers or feeders installation,a!teration,aati/ar relocation 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 City/Sta erL PP:Scottsdale,AZ 85258 401 amps to 600 amps 20034 2 601 amps to 1,000 amps 301.04 2 _ _Phone:(602)694-4031 , ,Fgm;(, ). . . _Over 1,000 amps or volts 552.26 Ema 2 il: Temporary services or feeders installation,alteration,and/or Owner installation:This inslallerion is relocation intended for 1 being made on property that I own which is not 200 amps or less 59.36 e, ease,rent,or exchange,according to ORS 447,449,670,and 701. • 201 amps to 400I Owner signature: amps 125.08 2 c�:-� +7 ;.G�sw K L r r�� s crit �� Date: 401 amps to 599 aoaps 16854 2 + � `ae,3 G� , ;t:...K.,. .,:m 4.,y Yk5.1. ".* Stanch crrcuita-nets,alteration,or extension, er panel Business name:William Lyon Homes,Inc, n.Pee for branch rfee a wire, above service or feeder The, I Contact name. if each branch circuit 7.42 2 B.Fee for branch circuits without Address:109 gat 13th Street service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'i branch circuit 7A2 2 Phone:(360)695-7700 Fax::(360)693-4442 Miscellaneous(service or feeder not included) 1 Each manufactured or modular Email, a A i. rL 4 1 dwelling,service and/orfeeder b7.84 2 7 E*E -- I ]J � ,/_.idl ,1A. aid a -ri @ 1: I0c ^)a i -"'x"'f N..- "�ti Pump or k iptianty 67.84 2 z. .. a pump or irrigation circle 67.84 Business name:Garner Electric Washington,LLC2 sign or outline lighting 67.84 2 Address:6101 NE St Johns Rd Signal ei> (s)or Limited energy panel,alteration,or extension. D See Page 2 2 City/State/ZEP:Vancouver WA 98661 Eacb additional inspection over allowable in any of the above Phone:(253)320-1657 Additional inspection(1 hr mitt) 6625/br Fax:( ) Investigation(1 hrrttin) 90.00/hr Email:bdardeista�gweusa.com industrial plant(1 hr min) • 78.18/hr Inspections for which no fee is CCB Lia: C1158 1 Electrical LIe.: 208174 I Suprv,Lia: 4496S specifi•- listed '4 listed 90,00/10 Suprv.Electrician signature,required: _I /1 i/ `I�•- , : '5.-i.:l-."`�C f1f2°'t['`'1 H Subtoal: �v-,,w '� Print name: Joan P Albeit • Date: 4/26/2016 0 Plan Review Required %of (?5 permit fee): `` .; Authorized signature: - �^ State surcharge(I2%ofpennit fee): - - - T TOTAL PERMIT FEE: °'` expires pet not obtained within 180 ; Print name: Bill Daniels Date: 4/26/2016 This permit applicationtif T;;:, -- nays after it bas been accepted as complete ``";,",ylaW6tnglPe"aiul5i!_ParadtAPY. fidoe Revo6/19�tor5 ' ?dumber ofinspectionsaibwedperp� .4'�'.i:'`•i;+ 440-161$7010/COM/WEB .. Flumbine Permit Aeolic TE. CEIVEL) Building Fixtures i t)I; O1 1 1c I I tiE. 1)\I 1 City of Tigard iI' h 201/ Raze 13125 5W Ball Blvd.,Tigard,OR 97 !^ PamitNoYVS2 �� 'j�) Phone: 7182439 ax: 50 Pias Review n Insp ction503 503. Fne: 503.639.4175 dot t T V1-Y� �t � Dmd9r: otlwrPermitNo.: Internet wwwtigard.or.gov BUILDING UI V I SIONNrrlc Re/Metbod R+ r r""'' I 0 See Paget for •,•%v`a.:: .::,.,,, .. _vg,.* ,;.. ..,. , �P mtet tuition ®New consdructitm :'ter:.; . , .,,.:::_:.7�g� ...... . , �.� ..r,;:.:�: 0 Demolition For spedal*formation ase checklist ., 0 Addition/alteration/replacement 0 Other Description 1 Qty. 1 Ea. 1 Total New 1-2-tinnily dwellings(includes 100 ft.for each utility connection) .':'. ` .. ` •• •CATEGORY'OF N• • SFR(k)bath 1a l-and 2-family dwelling312.70 ❑CommCefiiavrmausaal SFR(2)bath g 437.78 ©Accessory buiIdin ❑Mold-family SFR(3)bath 1 50032 ©Master builder p Other.. Each additional bNb/kktchen 25.02 Fire sprinkler( ,sq.R) Page 2 non•SITE. INFORMA'IICiN'AND'LOCATION' Site utilities: Jab site address"73/0,3s tbre f- e tJ/n i 1 Sf Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywall,leach line,or trench drain 18.76 SvtteJbidgJapt no.: 1 Project name:144erTLtP Nrr1"'"`74t FManuooting drain(hno.omlie utilitiesnear ft.:,_ ) P50.03age 2 Cross sOreet/direcnons to job site: f�nued Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 f Storm sewer(no.linear ft.: ) Page 2 Subdivision f V ei1/ r 4- Lan no. Water service(no.linear ft.:, ) Page 2 \ Aal4 4.• 1 Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 DFSCIIZIPTfON OF WORK Backwater valve S 12.51 .- . ���45124-13- 01/24$r�/a Clothes washer 25.02 I+L ie!{,� Dishwasher • _ 25.02 Dunking fountain 25.02 Ejectors/sump �.:T'itOPERTY OW(VER Q YEN25.02 an tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Address:7600 E Doubletree Ranch Road Floor drarn/floorsink/hub 25.02 City/State/ZIP:Scottsdale,AZ 85258 Garbage disposal 25.02 Phone:(60z�94 4031 Hose bib 25.02 Fax:( ) lee maker ®APP 'CANT12.51 ❑ CONTACT PERSON Interceptor/greasenrap 25.0202 Business name:William Lyon Homes,Inc Medical gas(value:$ __-) Page 2 Contact nam � e le lhPim 12.51 Address:109 East 13th Street Roof drain( ) 12.51 City/State/Zi1?:Vancouver,WA 98660 Sink/basin/lavatory 25.02 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tnb/shawcdshawer pan E tnat7i: 2 Olt' 12.51 01a P` l / •h i Lit .0.II Urinal 25-02 C ,. Water closet 25.02 Business name:Malmedal Enterprises Inc Wafer heater 37.52 Address:PO Box 207 Water prping/DWV 56.29 Other City/State/ZIP:Banks,OR 97106 25.02 Phone.:(503)324-0759 Subtotal Fax:(503-)324-0580 Minimum permit fen: $72.50 CCB Lie.:102535 I Plumbing Lic.no.:34-276113 Plan review (25%of pdmit fee) Authorized signature: C__-___,---_,_ State surcharge(12%of permit fee) Print name Carolina Malnieda! --- TOTAL PERMIT FEE Date:04115/2016 1 This permit application teapires if:permit is sot obbligati within 180 days atter tbu been accepted as complete. `Fee methodology set by Tri-County Building Industry&:vice Board. t.'tBuatrAf pe ttlPtMU,PamdApp doc 10ro109 44446167(I0tl C0WWEg) - v. r IIICity of Tigard m COMMUNITY DEVELOPMENT DEPARTMENT T i c A u o Building Permit Review — Residential Building Permit #: M S7;..1.,0/7-- 000,2 Site Address: 1--)�jjLCI sw Thre+ iAD Iltw Slr-e -t Project Name: Liver Terrace Noctnwest Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) �� Planning Review Proposal: i f C\J SQL nek) r-4 t - --ellek pASto (.7)-oter Verify site address/suite#exists and active in permit system. ,ESCRiver Terrace Neighborhood: Cl No Yes,See River Terrace Review Addendum Attached Site Plan Elements: IY[Three(3) copies of site plan 1 Site plan must be on 8-1/2"x 11"or 11 x 17"paper xisting structures on site of Drawn to scale(standard architect or engineer scale) fl0000r leva elevations structure(including decks)with finished North arrow 1 Utility locations(required for new,mayapply for additions) Site address,project or subdivision name and lot number I/ ocation of pp y wells/septic systems i 1rpplicant information(name and phone number) Existing trees to be retained with drip line,and tree ot dimensions and building setback dimensions protection measures k.i.ot area,building coverage area,percentage of coverage and XStreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Street names , roperty corner elevations (2 foot contour lines if more than 4 foot differential) V Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: El Yes,applicant was notified No Received: ❑ yeS ❑ No Public Facilities Improvement(PFI) Permit: Required: El Yes,applicant was notified No Applied For: ❑ yeS ❑ No,stop intake 1K Land Use Case#: PpQ-20ts GQ5 `r'Zoning: (Z—( ?_ ( P9 Required Setbacks: Front 3 Rear I O Side -j` Street Side N Garage Landscape Requirement: 0 %o /� g Lot Coverage Maximum: 10 Building Height: Maximum Height N k Visual Clearance (� Actual Height 4-2.71 Easements Sensitive Lands: ❑ Yes V No Type Urban Forestry Plan 14 Conditions "M,et""prior to issuance of building permit Notes: P\-1 C,�/VIG( 15 J411/1 b(, Yyv ?nu( —) IssutL1.Vl(..i. Approved By Planning: Arjai i 0.1./.4 Date: 1 12 Revisions (after B ilding Submittal only)! Reviewer jat Revision 1: Approved ❑ Not Approved - _C--,,404/6' Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPennitRvw_RES 091216.docx at v Building Permit Submittal / Original Submittal Date: lA/2i bf l C Site Plans: # 3 Building Plans: # 3 Building Permit#: 0. nter building permit#above. Workflow Routing: 'i Planning P Engineering Permit Coordinator7—Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: ,1 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: ���/J'/ By Permit Technician: ��, L s./%.�''�� Date: Engineering Review 21 Slope at building pad: ei Conditions"Met"prior to issuance of building permit 7 4it/ ■ 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: El Yes ❑ No LIDA Facility on lot: 0 Yes El No Date: ❑ NOT Approved by Engineering: Notes: •� Approved by Engineering: el/ j7 Date: ROer Date Revisions (after ilding Submittal only) � / Revision 1: Approved El Not Approved 77'/ Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit2 7 3'674) Approved,NOT Released: ate: 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: DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A l Parks SDC: Yes ❑ N/A K to Issue Permit `� , Approved by Permit Coordinator: Date: '7` I:\Building\Forms\BldgPermitRvw_RES_091216.docx w City of Tigard 111COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: VI S(pC1 SvJ fjxes+ \\ut1DVJ cctreej- Project Name: G-We r Terrace Noon/N/A-I- Lot #: t (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?,Yes El No 1.Articulation: a minimum of 1 element per each street-facing façade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer El ❑ El 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: t y t/o 3. Entrances:At least one entrance must meet both of the following standards: El Parallel to street,angle no more than 45° from street, Max. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch: Yes El No If yes,all the following apply: X25 sq.ft.min. One street facing entry ►A 12 ft.max. roof above floor of porch 5 ft. depth min. a 0%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: kCovered 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 El Dormer min. 4 ft.wide ,'Roof eave min. 12 inch projection ORoof offset min. of 2 ft. ❑ Roof shingles either tile or wood ZGable,hip or gambrel roof design El Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade ZX/indow 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 ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ 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: No closer to front or side lot line,than longest street-facing wall.lg.Yes El No. If No (Check one): El May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. El 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) El 12-foot-wide garage door ❑ 40%max. of street façade 504)/0 max. of street facade with 7 detailed design elements Notes: Approved By Planning: ' /A•s J p , A Date: 2 I:\3uilding\Forms\BldgPermitRvw_REs_RT_062216.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. 11 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT r A Transmittal Letter T i G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE DEPT: BUILDING DIVISION � D APR 3 2017 FROM: Angela Grajewski CITY 01= DIVISION BUILDING DIVISION COMPANY: Polygon Northwest PHONE: 971-212-2144 I By: ,, _ RE: 17369 SW Forest Hollow St MST2017-00026 (Site Address) (Permit Number) River Terrace Northwest Lot 146 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 0 Additional set(s) of plans. 3 Revisions: .4eek 0 Cross section(s) and details. 0 Wall �° �ys�� bracing and/dr lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. add dtrk to terrain pa74)-0 i i 1 ii 13 Routed to Pe it Technician: \ Date: . �, ""' `� 04 Fees Due Yes � ay' � � Initials: ❑No Fee Description: Amount Due: A A * $ $ Special Instructions: Reprint Permit(per PE): IX Yes I ❑No Applicant Notified: ,,�] Done Date: Initials: IABuilding\Forms\TransmittalLetter-Revisions.doc 05/25/2012