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Permit (70) • 4CITY OF TIGARD MASTER PERMIT 1011 • COMMUNITY DEVELOPMENT Permit#: MST2017-00024 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/10/2017 Parcel: 2S 106DB 14400 Site address: 17405 SW FOREST HOLLOW ST Jurisdiction: Tigard Subdivision: RIVER TERRACE NORTHWEST Project: River Terrace Northwest, Lot 144 Lot: 144 Project Description: New SF BUILDING Stories: 2 Floor Areas Required Setbacks Bedrooms: 3 First. 948 sf Basement: 0 Required Height: 25 Bathrooms: 3 sf Left: 3 Parking Spaces: 0 Second: 1130 sf Garage: 380 sf Dwelling Units: 1 Third: 0 sf Front 8 Smoke Yes Right: 3 Detectors: Total: 2078 sf Value: $256,492.18 Rear: 10 PLUMBING Sinks: 1 Water losets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 rivals: 0 Tubs/Showers: 3 Sewer Lines: 100 SF Rain Garbage Disp: 1 Water Heaters: 1 0 Storm Sewer: 100 Footing Drain: 0 Ice Maker: 1 Water Lines: 100 Drains: Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Catch Basins: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvoes 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 Tenders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 Ea add'I 500 sf: 3 0-200 amp: 0 W/Svc or Fdr: 0 201-400 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 Other: N Other Description: All Ecompasing: Y Class of Work: BUILDING INFO Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB Owner: R-3 2078 Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC BY FORSUM,MICHAEL Required Items and Reports(Conditions) 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 9 E 13TH STREET 1 Erse RatedCntEaves503-639-4175h STE 12 Fire Eaves-Both SCOTTSDALE,AZ 85258 Sides PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $31,864.90 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••,R 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. r' Issued By: ;-6'1"-t----- Permittee Signature: �'1_• r-,e7)�/e/ C,""f 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. , V j Building Permit Application fl( ° ,� 4 ° a 1,i 1,D y 4i 1O12 OFFICE l SE O\L) Ci of Tigard., g .is Received i � s fW g 4fli ? ib DateB . ti 13125 SW Hall Blvd.,Tigard,OR 97223 Y l ��9 7 Permit x 5���l�--l.Y g Plan Revie ' s Phone: 503.718.2439 Fax: 503.598.1960 ( h g I1 .,,,i2„,,, , I Other Permit:5& ' _ �,, Inspection Line: 503.639.4175 4 ' Dates . 7"1 c, ;F.I> Date Ready/By: } as �./ !' 7u1: H See Page 2 forInternet www.tigard-or.gov 1;�I r f"*t f1 ,� ''''/ n� ., z � lntifiedQvethod: < �( j' �� Supplemental Info rmation E /G. A, /'' k': .y. ' .Me..t ti.e�.�.a.....a���::.;'.,..xe.. , :'-* .-.''',_...:.. 11 :..' ::.:-jL.. . ,=-'s "' 4:11µ �'" e r 1s -r '::*:• "1 L ,_.:,-,:n—,,.a1 ssx ."��"fi.k'''..w.,.:tEa: yw .� �..." ," "zm:," ;" i g (_�¢„�� �� `, `, .13 ®New constructionr or ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the 4r -, „ M r , - 4::,,i'".1.'''''')—!0'"?ri ` "� c, t k 1, • work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: ff ! ❑Accessory building 0 Multi-family Number of bedroom: i as'a 1 99.:11 41 0 Master builder 0 Other- Number of bathrooms: ,- r- 1, t 1 ' s e, f - Total number of floors: 2. ali 6 8 Job site address: 1 ) ii � ltd � New dwelling area:'K]/116 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: J-3e{ square feet Suite/bldglapt.no.: Project name:112.i �ilr�'.6 _ NM Covered porch areal d quare feet j f 3o Cross street/directions to job site: Deck area: square feet C, 1 u8 ay../ Other structure area: 1 ) 117 square feet Subdivision: / U ' . W Lot no.: 'gall Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 17)F, .i;} p- a , M work indicated on this application. Valuation: $ Existing building area: square feet New building area: squar a feet Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/StatefLLP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax ( ) New: Business name:Polygon WLH,LLC s ' . ,�£,� 2 -a;;; �M Structural plan review fee(or deposit): Contact name:Angela Grajewski 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 E-mail:Angela.Grajewslu of onhomes.com .r # ti �� GAP Yg - - � 7 Commercial and residential prescriptive installation of ,. °- __ E ' '� ;,, � : roof-top mounted Photo Voltaic 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 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): CCB lic.:207247 I Total fee due upon application: Authorized signature: iW 1„�C This permit application expires if a permit is not obtained l/1' ✓ {"vo, within 180 days after it has been accepted as complete. Print name: _ Date: *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPemiitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit ApplicRE,CEIVED i on t fri i ,4 1 i ,, (1\1 N 4 City Oct Tigard 'cciv'xi EMMIIIIIIIIIIM b ZO1 I' tlaidnr ' "Il Prne:S5W03"11118.B114114.-1FlittlartV;3k59987tP . Oktiqr Permit, . Us-poetical Line; 503.639.4175 apt OF TIGARD Dam R 1181611.111111.1each liall 0 See Pate 1 far -Internet: wwwrigard-or.gov F.:.:9TUTT-frZ7TAW:i7- ZBUnii"...: -DIANNGZ1,71MTASIO-1,;7;;;;Z*1444c411;14 : ''''3-''',IM,i, ..V=4:7:1•MISr;:;17;17.MMIMI ht""Nti" Atechanical permit fees*are based on the%Mille of the work 18)New construction 0 Additiontaherationtreplacement perfonned.Indicate the value(rounded to the nearest dollar)ofali 0 Demolition 0 Other: mechanical materials. ,,u" matt.labor.ovc , and rofit. FerAPV:z- ri:71 ,1: 5177,47re-WrirrtarTtlY-7*M1.,,,v$&.-- -,e2 ,„I ,11 .,21211111111111111111111111111111111 .ezv,,,t,..4,:ta ,---,,,...',7..:1.,...,-,..,-v:.:-. ,,ci...,:•-i.,,,,:-.,..:,,,..,. -4-Z.44,...t..4fL- y.s.---11:-.4.1 ,"-:-... ... 41-'61•-:.44- ,- ,L,.41,a-r7frr,11.ti et,,crritZt 47,,, arl:t.L.Mt, 1-and 24amily dwelling 0 Cotnrnerciaftindustrial 0 Accessory building re1k-1 Multi-family 0 Master builder 0 Other: iiirp .....m...................._______Descri.ion Qty. Ea. Total '-'—, r'''r-," -'''',r'''LlnP.7*W&*"---.T.1"5.9- - 7p,'''''7,:'4-7"--'" " <-.•c,,,4,,,,,a.-..,*, wil 41m...............11111.11111 _ .I.`-q--,.iT.:.,-.--'---?, Job siic addltss: rammilipinman."--' Air conditionin a a 46.75 Furnace/00.000 13711 daemons) a OlirEllam City/State/ZIP:Tigard,OR 97224 imimmummonei............_Furnaca 100.000+13Thi darts:Now IIIIII 54.9i MN Suite/bldg./apt.no.: Project name: ?- r ,rra - i th c+- alk-ii—ailummennomanii 61-06 MI 1.4 Duct work Cross sued/directions to job sire: II'citonic hot water sVateM 1. 2,33/ 11111111111 Residential boiler(radiator or It,dronic) IIII 23.32 all in-wall,1.3ttitbm:Lanett. 713'po.,21i.a:nceetT. kl, 11111,1111111 Flu vein for any of above 1111INIM11111111 . IMIIIIIIINNEIIININEIIIIIIIMM subdivision: r‘lexTA I., II_ I A V4k. Lot no.:EMI 0 Our fuer a *Winces: Tax inaP/Parcel no.; Water heater 1111111Mailli 'LT:777-..;:;17.;:::Z7:777-?;7::Z47'17,TIMV-4-V,,WWIRTR:Ti (;"ST 'laceinscri lila 33.39 Mill. Man 1 1 3., w iiiall1111111111111111 L. I..„,,„ ...5) 1111111111M — Wood if ,lace/insert 23.32 '•-- — --' Chinmewlinerlfludvent allinmang gr.-„,,,.:„,,,-.--„,,,...--„--,,,,r;•_,., ..-7,--..rc71.4:r7",,,r4T',. -m-3,,,,w,,.., ....72:•uv.,,,,,,-.5,'"-,r,-'T''+''4V'w.,,-,1,.-7-,-"," Other- allIMMIIIII -", Environmental exhaust and ventilation: Name:Polygon WLIL IL.LC Range hoodfother kitchen NEM c,al,mem Address; 109 East 13"Street . C tothcs drver exhaust 3.39 CityiStatetZIP:Vantouver,WA 98660 Single-duct exhaust(bathro;ns, toilet coin- mews,milli,moms meffillill [ham 040$95:7700 fZZMIEIIIIIIIIIIIIIIIIIII Attic/crawl cc tans SIMIIIIIIII *,i,-,.- ---e-,-';',x•.."-C..,.",,.;TTV-'1'.A.n7._T1 c5;t7i, V.,‘,.-;::::77,1";."1"-.W..774,jr" r•-ir4-7.77- 74.17 MI11111111 T.-?--.,:::::: :.ii%q4q,Yq-,! aj%.i;17X.6:iti . 7-6,11-,' .,,,4•1•,• ,,,z..1 ,r.1..et.;K_- 40 Bustnen name:Polygon Mil,LLC $14.16 for first tour:$4.03 tor each additional Contact 081/W ith te, i 1 ....____________112r111111111111111111111111111111 Adthess:109 East 13th Street Gas lieimemimmionliall1111111111111111111 wani.,—dod/unit Water 11111111111111111111 City/State/ZIP:Vancouver,WA 98660 water heatcanniminimmall11111111.11.11111 Phone.(360)69S-7700 Fax::(360)6934442 IrMNININIIIIIIIIIIIIIIIIII111111111111111111111111 nwrimminmanulrill11111111111111111111 11111i....11111 g=-47- ' CI*1144 diVer 11111.1...11.11111111 A 13 tssineas name: pex Air LLC Met: 11111111111111111111111111 KTIT:'11-r-t,74,r;7.-LVIZTiM,Kre-MTit:TMIZU Address:18004 NE 72"Ave Subtotal aIIIIIIII Phone;(360)3424109 Fax:1,360)326-1769 11321311:2111 „,,,iiint.pe.„0 fie(swim ........__mas Plan review 25%of pamit(cc) 11111111111111111 Slate surchn a(12%of permit fee) MI= CCB lie.:203034 TOTAL PERhitT FEE illnliall This permit application expiets if s permit is not obtained within Igo days*flag(has been accepted as complete, Authorized sitmanire• , . rte methodology set by Tri•Covety Banding Mdestly Stemer Board _ EZEMEMEIREMEIN t,ttandingTookstiatEr PartitlApp Gall LI doe 446-4Ot7t(iverxx:twwEn) Electrical Permit Applicatit . i OR I�TFICE 1 SE ONLY. 2017 Received /1315.W rBlvd. Tigard;OR.91223P0A . � ` Phone: 503.7182439 Fax 503.598.19-69/ -} �+ Plan Review T 1 G i T l� Inspection Line: 503.639.4175 C4 OF 1' -i' t Ready y Relafen Parti iii lutemel www.tigard-os,gov ^finDIV i Z)1 .N� 0 Sue Page/InformationSupplemental ®New eonStrtloti0n Q Addition/alteration/replacement Please cheek all that apply(sttbmita2 sets of plans w/umns checked): ❑Detnolifiml Q Other: service or feeder 400 amps or more 0 Building over three sto'Yies. r� Y where the available fault current ❑marinas and boatyards. exceeds l0,000atmpaat IS°volts or E Pioatingbultdaags, ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building WS to gid.or exceeds 14,000 ❑Catnmerctal-use agricultural ❑- , , pry`s va_yY, nx• , l . amps for all other installations, buildings.,Mulctfamily 0 Master builder ❑011er: Drive pump. LI humiliation of's°KVA ore v:r�, o ❑Stringency system. larger separately derived Job# Job site address 7140S-5I ❑Addition of new motor load of system- CS''" ) 1 ,(�S roorlP or more. 0"A„,S”,"E 2' 1-a„, City/State/ZIP:Tigard,OR 97224 Q six or more residential units. oocupanoy, Stt[t�bi CIReatth-Dare facilities. Cl Receationat vehicle pinks. apt,ti: ' Project name:bit r�rave A,1{e`l e S� 17l'lasarelons locations. ©supply voltage for more than Cross=tat/directions to job site: 1 rave 1�11��vVVUV•tYI sVt t1ee or feeder 600 amps or more. 600 voib nomiaai 2164•40°4 Qty. 1 Bad- Total Subdivision:(� New residendal single-or multi-family dwelling unit. 1�ot�/ IA Lot#: Includes attached garage. Tax map/parcel1.000 sq.ft°Hess 161.54 4 Ea.add'/500 sq.8.or portion rip 33.92 1 -.i� 7 ._.,. . ,-..s..�,-�'� "�3;t,C1 y2r,,s Shy.. -_ � �,.s-, J f a L DW(�-( :. s: Limabove .ft.) tial (with above so.ft) 75.00 1111 Limited enery,multi-family 7500 Rer a dente Eo al(with�above sq.ft.) ❑ SeeP r,e Services or feeders installation,alteration,and/2or relocation Name:AAVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road tot amps to 400 amps 133.56 2 • City/State/LIP:Scottsdale,AZ 85258 401=Ps to 600 amps 200.34 2 `+yy :( x, 94-4031,:.•. FOX: 601 amps to 1.000 amps 301.04 2 !. ) Wee-1,000 amps or volts 55226 2 Email: Tempora services or feeders iiistallatioq,attenition;and/or Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease rent,or exchange,according to ORS 447,449,670,and 701. 201 turps to 400 Owner signature: Date: ants 125.082 401 amps to 599 amps 168.544 It �' ax, r:. r] ,c o,.A�k``'C�c `�7 ��•��o � ''��"-; cvcuits wtrh 2 BAFenehdrbresranichw extensi” , r.anti iBusiness name:William Lyon Homes,he. above service or feeder fee, 742each branch circuit namevolt B. Fee for branch circuits trtshout Address:109 est 13th Street service or feeder fee brat A brunch circuit 1111111111 City/State/ZIP:Vancouver,WA 98660 Bach add'(breach circuit 7.42 2 Phone:(360)695-7700 • J Fax (360)693-4442 Miceellaneous(service or feeder not included) ggEach manufactured or modular Email 1 V • 1 4 / t dwell• : service and/or feeder 67.84 2 �.:..r _ r ti s t 1 4 .�, t i 1 _�—� Reconnect only �© 67.84 _.` =.� ., -'� .-...2, •_�?Y'= b... Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67,84 2 •Address:6101 NE St Johns Rd Signal circuits)or landed-energy penes,alteration,or ex easitm. O See Page 2 2 City/State/Z1P:Vancouver WA 98661 Each additional inspection over allowable in any of the above Phone:(253)37A-1657 Fax: Additional inspection(1 hr min) 6625/hr ( ) Investigation(1 la min) 90.00/hr Entail:bdaniet.p.gwensa rota Industrial plant(1 hr min) 78.18/hr for which no fee CCB Lic.: C1158 Electrical Ltc: 208174 Suprv.Lir.: 44968 st>: chons lista/ Fr tarn s 90.00/hr :,:•.�. f� YtSuprv.Eecrican si 1atre,req ired: W Ad Su b,.i to. tj al:3 a Print name: Joan P Albert • Date: 4/26/2016 ❑Plan Review Required(25%of permit fee): Stam surcharge(12%of permit fee): signature: TOTAL PERMIT FEE: Authorized it , Print name: Bill Daniels Date: This permit application expires if a permit is not obtained within 150 4/26/2016 days after it has been accepted se eom ate. :s1 ' rope per permit .:::E:;'. �eAe '`P' tApp EftE.doe amend/17/201S nd/17/201S Number of• ctioas allowed :,, 4<D-161S1O1J05/C6MAir$Q Plumbing Permit Annlica VV .Building Fixtures ^^ �}q- IIIMIIIIIIIIIMIIIIIIIIIMMIIII :. City of Tigard MP �ll I j Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 y Dao Rev Phone: 503.7182439 Fax: 503.i�I{I i V�7� ��Li P Review Other Permit No cn air&o115BUILDING DIVISIONDae : lurk: Si See Page eung for InternetNom; _Supplemental Information _ ',.:,:..',1.:4.1.1:;,..: CY% ...... :`R"+!�Farr'V+".'►ii+r?4'CF"`.. ,_ ........ .... .� .. : i'.F+' �Q6V V � oi�{ .�ItlO''t.::.'.' ":�„.:s:. .. : ®New cnstruction . ❑Demolition For spaded for on rite checklist Description I Qty. I Ea. i Total ❑Addition/alteration/replacement 0 Other New I-2-family dwellings(includes 100 ft.for each utility connection) •CATEGORY OF CONSTRUCTION' • SFR(1)bath 312.70 ®I-and 2-family dwelling 0 Commercial industrial SFR(2)bath 437.78 • ' SFR(3)bath t 500.32 o Accessory building ❑Multi-ftunily Each additional batb/kitchen 25.02 0 Master builder 1 0 Other: Fite sprinkler(__sq.ft.) Page 2 _ , .•�iOB SrTE INFOEMATiON'AND�LOCATION _liteutilities: rob erre address:./7(10r 5w For<ct mJ IIo o tf Catch basin or area drain 18.76 . Drywell,leach line,or trench drain 18,76 City/State/ZIP:Tigard,OR 97224Footing drain(no.linear ft.: ) Page 2 Suitc/bldgJapt.no.: 1 Prgieet name:f i r Te rrute. IJP c-I- 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 Sturm sewer(no.linear ft: ) Page 2 Water service(no.linear ft.:,.._) Page 2 '' Subdivision:i vr4,r/ e, L. ► liiii i 4' Lot no.: Fixture or item: Tax map/parcel no.: Backflow pests' I 31.27 Backwater valve i 12.51 '} , • . • DESCRIPTION OF'WORK. . Ai( Clothes washer 25.02 -fitle] � .M.2 J-..,,_ ,_ -.�_. Dishwashrx - • - •.• •. . _ 25..02 _-, V... Drinking fountain .25.62 Ej Fswnp 25.02 .®, Opg[OY OWNER • _ ' 1 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sower cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road ,. Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 I Fax:( ) Ice maker 12.51 ®.APP BAN F Cl CO1tmier PERSON i lnterceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S. ) Page 2 Primer 12.51 Contact narne�* l' 1v� t -Roof drain(commercial) - 1 12.51 Address:109 East 13tb1 Street v` Sink/basin/lavatory 25.02+ City/State/ZMP:Vancouver,WA 98669 Solar units(potable water) 62.54 Phone:(360)695-7709 Fax::(360)693-4442 Tnb/sbowcr/shower parr 12.51 � Urinal 25.02 E-mail: IC 7Ik •{*n Dt?oC NIP S f Water closet 25"02 0 Water heater 37.52 _ Business name:Malmedal Enterprises Inc. Water piping/DWV 56.29 Address:PO Box 207 Other= 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324.0580 Minimum permit fee: 572.50 Plan review (25%of permit fee) CCB Lie.:102535 'Plumbing Lic.no.:34-276PB State surcharge(12%of permit fee) C„-----.------ Authorized signature: [ (7.--:. • TOTAL PERMIT FEE - Print mete:Carolina Malmedal Date:04/25/2016 This permit application expires If a permit is not obtained within 180 days after h bas been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. _ Mayikruqacnnits1PLJAU-PenneApp dm 10*1/09 440-4616T(1OA7/COM/WEB) e R City of Tigard 11111 d COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: ST,A.Ut;.,- Dd v 1.zi Site Address: 11405SW (-)ki{ t 1.( V Si - Project Name: icear \\ID rlvegt Lot #: t, (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: JCV'J Sfig— r'lO,,i rad,/'" iii .1_, / i., " . i J Verify site address/suite#exists and active in permit system. ..i River Terrace Neighborhood: ❑ No J.Yes,See River Terrace Review Addendum Attached Site Plan Elements: , hree(3)copies of site plan xisting structures on site .. Site plan must be on 8-1/2"x 11"or 11 x 17"paper gFootprint of new structure(including decks)with finished - Drawn to scale(standard architect or engineer scale) floor elevations IN/ North arrow ` rUtility locations(required for new,mayapply for additions) .....lite address,project or subdivision name and lot number pp y ocation of wells/septic systems ,NApplicant information(name and phone number) xisting trees to be retained with drip line,and tree NNLot dimensions and building setback dimensions protection measures cI,ot area,building coverage area,percentage of coverage and tg,Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) 'Street names _Na'roperty corner elevations(2 foot contour lines if more than 4 foot differential) lk—Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified � �i o Applied For: �" Pp ❑ Yes ❑ No,stop intake `Z Land Use Case#: Pp 9-12ACrOC r•G, R Zoning: i2-"",.-1 ( P D) i Required Setbacks: Front e Rear 10 Side 3 Street Side NA__ Garage 20 A Landscape Requirement: ?� .I' Lot Coverage Maximum: bp ❑ Building Height: Maximum Height -7 �i� Actual Height I -ra'Visual Clearance Easements igt Sensitive Lands: 0 Yes X No Type Urban Forestry Plan -Conditions "Met"prior to issuance of building permit Notes: 1 lt1iG►1S Slim!I f Irl fur' ISSLIAn ct . Approved By Planning: A, ILLA j 1.0-041-1Date: \ q LF1 Revisions (after 'Ming Submitta only) Revie Revision 1: Approved 0 Not Approved -..›4 � ate B r/t— Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\BuildingTorms\BldgPernvtRvw_RES_091216.docx s Bulding Permit Submittal Original Submittal Date: /, /, Site Plans: # Building Plans: # Building Permit#: ■: nter building permit#above. Workflow Routing: 'L" Planningigineering )Si—Permit Coordinator Ei` dig Workflow Sign-off: I Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: //),c))/ /� / � Date: )/ By Permit Technician: �1 , / .�/, i:��'%�/�. Engineering Review i Slope at building pad: ■ onditions"Met"prior to issuance of building permit .(T',Oj ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes El No Assess Water Quantity Fee in-lieu: ❑ Yes El No LIDA Facility on lot: ❑ Yes El No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: J, Date: �- zg__,, ,t Revisions (after uilding Submittal only) p er (4ate —/ Revision 1: Approved El Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: 0 Approved El Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit d NOT Released: Date: 1-50 � �pprove , 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 El N/A (e Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A _* OK to Issue Permit Approved byPermit Coordinator: te: -j/ /i I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT T 1 GA RD River .Terrace Building Permit Review Addendum (Nl Building Permit #: Site Address: j SW 'vat Kpttov\i s. TC Project Name: �tv&r Tar-au Nof-M - Lot #: [ -I (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.L): Is the project subject to the plan district design standards?'Yes El 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. 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 [3 ❑ ❑ El 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: IA,"L7O 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: El Yes El No If yes,all the following apply: 25 sq.ft. min. One street facing entry 12 ft.max. roof above floor of porch �LI 5 ft. depth min. 30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep AtRecessed entry area min. 5 ft.wide x 2 ft. deep gWall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection Roof offset min. of 2 ft. El Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. Horizontal lap siding min. 3-7 inches wide El Accent siding min. 40%of street facade El Window trim min. 2 1/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing El Bay window min. 5 ft.wide by 2 ft. deep El 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 closer to front or side lot line,than longest street-facing wall. ❑ Yes.. 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) ❑ 12-foot-wide garage door El 40%max. of street facade ›r50°/0 max. of street facade with 7 detailed design elements Notes: Approved By Planning: :Cot _A S i i Date: I lel I1 I:\Building\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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT INI 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 RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Angela Grajewski APR 3 2017 COMPANY: Polygon Northwest CITY OF TIGARD yg BUILDING DIVI£ION 7/6/•._ PHONE: 971-212-2144 BY: RE: 17405 SW Forest Hollow St MST2017-00024 (Site Address) (Permit Number) River Terrace Northwest Lot 144 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: , D sriptioa. / f ,,. V.< t p err .,, .Ds ption', ....,. , 0 Additional set(s) of plans. 3 Revisions: deck `a ePi, 0 Cross section(s) and details. 0 Wall 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 desk due to terrain . 4.,_ \`\. o, s :•• OFFICE tiWONLV,74 .. , i Routed to Permit Technician: Date: 9-- a0- ) 1 Initials: if) Fees Due:- Yes ❑No Fee Description: Amount Due: r �' ) r)r p) ci ccs , Qv/ \ 44 f i g,.. -Nwe $ $ :..ti...s`i. /.�.�'�k�i? ,-*` • t. $ Special Instructions: Reprint Permit(per PE): XI Yes n No X Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17405 SW FOREST HOLLOW ST, BEAVERTON, November 22, 2017 at OR, 97007 1 :49:40 PM Record Type: Record ID: Residential - Master Permit MST2017-00024 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed Violation Summary: Inspector Contractor