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Permit (72) , CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit*: MST2017-00023 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/10/2017 Parcel: 2S106DB14300 Site address: 17419 SW FOREST HOLLOW ST Jurisdiction: Tigard Subdivision: RIVER TERRACE NORTHWEST Project: River Terrace Northwest, Lot 143 Lot: 143 Project Description: New SF BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 3 First: 978 sf _ Repired Basement: 0 sf Left: 3 Parking Spaaces: 0 Height: 24 Bathrooms: 3 Second: 1251 sf Dwelling Units: 1 Garage: 380 sf Front 8 Smoke Third: 0 sf Right: 3 Detectors: Yes Total: 2229 sf Value: $273,680.89 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 WashingMach: 1 Laundry Trays: 0 Rain Drain: 1 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Urinals: 0 Tubs/Showers: 3Sewer Lines: 100 SF Rain Storm Sewer 100 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Footing Drain: 0 Ice Maker: 1 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 Natural Gas Clothes Dryers: 1 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Furn>=100K: 0 Gas Outlets: 4 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: 3 201-400 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: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2229 Owner: Contractor: ADLV LAND HOLDINGS LLC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 1 Fire Rated Eaves-Both 7600 E DOUBLETREE RANCH RD STE 1 Sides SCOTTSDALE,AZ 85258 2 Ersn Cntrl 503-639-4175 PHONE: 602-694-4031 PHONE: FAX: Total Fees: $32,242.24 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95 -4"1-0090. 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: i*.; ' % Permittee Signature: /Al w,z./eine 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. -- / Building Permit A 1' .,; 1 r ';ill l G—.,C/ / Appl• ffi li City of Tigard i' -1, 2 211 Received FOR OFFICE t SE ON LI 13125 SW Hall Blvd.,Tigard,OR 972 4 I A �. r DateBy, r/%r+0/lie , Permit No.,/��" Phone: 503.718.2439 Fax: 503.598.19'60 ° •' Plan Review �fe•c/ />' : c ;1 i' tion Line: 503.63Fax: 5 gq j?i k Date/By: p2- 7-) 1 41 Other Permit: �j�Q/� yZ, f Date ReadyBy �� / Juris: Page}for [/WsZ Inspect- www: 503. 3 gov .41 Not fiRead ethod: ti I SupplementalInformation "I�iL 1A/ rfG r.a...- �'�; >yt_.___,,,,,„;._,,,,,1-, x { 8 f. ''{z s -sfc '7 ®New construction �„,:Ac� O Demolition Permit fees*are based on the value of the work performed. 0 Addition/alteration/replacement Omar Indicate the value(rounded to the nearest dollar)of all �� � �� � -,t77 equipment,materials,labor,overhead,and the profit for the '."' 11 h 'e-t,-t.€( ` t j -e work indica- i .'plication. ® 1-and 2-familydwelling2.0 0 _• e. . `, 0 CommerciaUmdustrial Valuation: l PO 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 4.17 3 ; G2 , 0Other: Number of bathrooms: 3 Q , , €t n� r t" g t P F p � -17•77;47.771 -3,--'$ Total number of floors. 1 -f Job site address: hd MINN k �1 I _ New dwelling area: Z I square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 3(30 square feet Suite/bldgfapt.no.: Project name:Rj NM Covered porch area ---fff���Jq feet lac Cross street/directions to job site: DecktLarea: f 3 8 square feet 9 7 g (5thertstru'cture area: I 19... square feet Subdivision:./ � � �;ilf � , i t s�.� n �„ , r; Lot no.: 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 _� sr , equipment,materials,labor,overhead,and the profit for the ca•'s r} 'va- " ' � d,,.. . � work indicated on this application. Valuation: $ - Existing building area: square feet New building area: square feet ._ ..,x.. • _ _ 7 � b ,i1.2:c:1, Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing:Phone:(602)694-4031 Fax ( ) New:£ c Business name:Polygon t tlttt �� WLH,LLC J. , -. , ,r.',, E ,, ': ": ..:..":,,Q Business Contact name:Angela Grajewslu 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: E-mail:Angela Gralewslu of onhomes coin CSP Yg _. � -' l‘F:-.'-'. .." ` `:1 , ....f, ..,_.,. 2r---,-.: „z: �{u Commercial and residential prescriptive Ve IIIStallatlOn of_ .=mss _ �=_ . _ �h.'e�� 's 2 � • , t '1'',:,;;:r:. m, 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: ai'rJ n�1 C This permit application expires if a permit is not obtained ^"��f 1 within 180 days after it has been accepted as complete. I Print name' _ Date: *Fee methodology set by Tri-County Building Industry Service Board. I:\BuildingTermitslBUP-RESPermitApp•doc 02/24/2011 440-4613T(11/02/COM/WEB) I a typp4Mechanical Permit A Heat r%mvED ,(,,, ,„i n 7 1 \t 0\1 , ‘.11.••I Received ei of Tigard oweay, ik""b1 ,-e/7-4 4 a2_3 13125 SW lien Blvd_Tigard,OR 97223 kA AV L. 2017 Plan Review • — ;•,- Phone: 503.718.2439 Fax: 503.598.1960-NIA 1 "3-•- oaks. ' •• -'-• °11"Permit' .. .. - . ., Inspection Litre: 503,639.4175 maim: www.tigard-orgov 1 47 Pita'2 trformason .----,4":; ,:r.77`. .:L.P:',"?41..-IfVf`r-7--M(1,1=',V;IC"•V"9-74""'"r"'W'''F',73i."- , .17.,,,r7 .0.:Y.F7' y7,, ,;r,ni'%'",.5V,Z.Z.e.:,41,,, ernr4:44.19zco,,,,Irvedlreftm R.:;,:_,,,,i,!;,, ,,,,,,,,,,,::::,..w-,,72:::,:„..r.ciit,,,,,„,,,..„?.,:)...04f,„,a7. ,:,•-, . , , ,•,-,, ,, ,..a.„, t.,.*,...a4,_•,......--,,,-_•.,,i,,,......, -.,-4,_-4.5.,-,-4,-,.4.. ...... ..". Z CITY.I ON GF TDI IGV Al SRI(5)'• , 6iaiaIMIIIIIII in 0 ID New construction 0 Addition/A 'on/lento ent per7ormedh2nica.lIndiesitte thesvaluebatrounrediht:tt 7ukrnfetcdov'llar}of all Demolition Dot aminsechaaical materials.- u. merit labors overlie , and ro fit. iffE&g:Ale•''aM7..27:titlistMIMITIVAMIATX41242-,Mti ':IEW•.".-,M*4--, t ATM 717.',57-7 ,721'::,,c01, -Act,............i..u... - -.4..e.q.,. ..3,A,.. 90.I-and 2-family dwelling 0 Commercial/industrial 0 Ace ssvry building ulti-i , ily 0 Master builder 0 Other: r.serl,ion Qty. annintal Z-75SF'Tt,TlFnr:''17r;1.7;7-tVZ:T. T:7-WV Ab.emu,illthliiiiiirSIUMIII Job sue address: MILVAIIr=ilriMX1N'a1111M FurnaciP00.000 BM ductumuentst 2......111111115111a..._1111111111 City/StateIZIP:Tigard,OR 97224 Furnace 100.0004.BTU ideciliveraci .1111 54,9/ MIR MIMI 61-06 MI Suite/bldg./apt.no.: Pmject name: , r Ord ' i is .-s+ Duct,,,,del111111M111111111 ANI Cross street/directions to job site: ft . onto hot water s'stem 1111111rall an RUnit r pi dhe ri ne akbt Car:b3„u:1:14not:eel r lc t magi Flue/rem for any of above nallarglaill Sitbdivision: P klex A i it 1, IA Lot no.:UM C4hcr laafirtnallill Other fuel* ,Vane= Tax map/parcel no.: Milnallinillinimillinalinill El.q.,?47-:;-al-,-fial;*7:41::';;T,P1711 - 7,57MY.Z3RD6W-3,i7Ali gas il i-cr, --oh , IIHIIECIIIIIIIIII Erb iirnmeiriximumiimminimm fi,...,ventor Ismer ea er or g a s 111111,1 MI .o. li er ,) 11. 1M111111111 i.kulkeIdiri "is = Chioutesoiardnuetvera ___111111111._111211 rinlic-27,r,:7- 7:77-7:;77,wil , :tvi,wr-c-97, _.....,,,... 0.,,g...,-,....,..,,,,,,:,_!:,.-..-t-_:.,,..±....1.-11,., g,;INV ftit:, 1;:•,A„,A, ,17,-1,7-•7-e.p..4.-7. --f4itwilTi--i7, ,,, 15E7nvi1ron1m111e1ntal exhausand ventlatiomn:Name:Polyon MILLC mummill111111 Range hood/other khchen UM= tit.mem Address:109 East le Street 98460 M. ------ cubes dn'er exhaust _ City/StritealP:Va'louver,.WA Single•duct Worm/(bathrooms, toilet coin ailments,unlit moms Phone:(360695-7700 Attic/craw,. • fins allertglialini 65?Mia.:711fl.Wt*Vflil-7';1413akfiTfqr4151Wia7:517;314 frmisaii°ther: allini"111.111111 Susiness name:Polygon WLII,Lit' Si4.141 far Orat four;$4.03 forelock aditifirinal Contact name: * I I larffilkill1111111.1111111111 _.4 ezc:Ixa...a-. ,usillatglIIIIMORINIIMNIIIIIIIIIIII Address:109 East 1.3tb Street arimmiemm..............____ 1111111111111111 11111111 City/State/Z1P:Vancouver,WA 98660 - ,=,-.-..1•4.4Lut_iragmenimm111111111111111111111 Phone:(360)69S.7700 Fax;:(360)693-4442 mm........____ffif-MasiagsiirimrilllIlliIllIllIlliIl anramminimmill1111111,111111111111 . ,ti IA i, 1 Ai .4,, 4 A ),IA 1 II pritimpisimmom......______12111111111111/11.11111 V.:;-T1"5'-:-.::'-4•-•'1:,'":':y;F;-'..j '::. ;4:,1'":--r;:,li 'e''"6.1,', 1-,:'''_'•-: ,,,`-:•, `Z;''',17-,;A=''''':':4:5'7 .7' ,,,u,aaxxitfmxagmmalIllaIIIIIIIIIIMI -..,..._._,_-,,,,._:,,,,-...,-; •,--,-•.;_;--...,,,,;,.. .z•,rJJ.,-,. ..f..-.•:=-zz?2r-1.52- E'ia4.'rz'.A:-Ar.Y.,,,,- ,.. ' Other: IIIIIIINIIMIIIMIMI liminess name:Apex Air LLC t-41-1).--,..-:::,, rv,'''' '''-.11,k• :','.,2',V'',T--F--,77W-T.-\!1"MvA.4 —•-..;±'!?--2-.... .'...i,",.ri..4...,4... .4.--.1.- ,,,,,,e='%14.-,..,Vit;.:S;1:,..„c±ikt At,., Address:18004 NE 72"Ave Subtotal illalin Minimunt permit tee $90.00 allallill e saran o(12%of period fee) 1111.1111 Phone;(360) 20%343424 " 1 Clistal TOTAL PET2M-1.T.FEE This permit-application expkes VA permit is mat obtained within tan tills sitar It his hem accepted as eomplete- Authorizrx1 signaturei_ ., * Fee methadoloff set by Tri-Covnty floildins;admin.service Print name. A Date: 1 VhsildirtiMmaiistMEr„Permit:0,r*WI U cW 44646{77(f 1/C4COMAVE11) ... i Electrical Permit Aiplicati 1JEC_ E rut(01 USE SE ON.Lx 1 :: Cityof Tigard MAY b 2017 1eoeived 13125 SW bled Blvd. • ,.3 tgard;OR 97223 Date/B . Permit R`.t't-fs%;20 7'L`}Zt oi:J�3 Plan Phone: 503.718.2439 Fax: 503.5910 !OF TIGARD DDae/B" RelatedPermit/4 TIG 11it> Inspection Line: 503.639.4175 lmetnet wwwtigard orgov BUILDING DIVI IQ' :gid brie H SuPage afor a r.. -n Sepplemeatal iofennatioa ?�._.n_...�., -a y��`''`u���a x,isoq ."4"C���r"a',.r�'%i3 `g---4:d f?f^J i_i' S iv� 4.=v'rq srmx,4 5`.1''.. .'. ®New construction 0 Addition/alteration/replacement Please cheat all tma apply(submit 2 sets ofplaas"stems checked): 0 Demolition 0 Odder: 0 service or feeder 400 am or more Ps O Building over three a dries. tst:, 'a* '''''"•.'''',..':,f±-, F.•"r_-...P frac jU � tb g(�1c:9-',7,7:-,."' where the available fault current ❑Marinas and boatyards. 1Di l-tend 2-familydwelling _ • .`:"'. y exceeds 10,000 amps at 150 volts or Q l oetiag bolidtags. 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 p Commercial-use agricultural ❑Multifamily ❑Master builder 0 Other um all other installations. buildings.. 7to^s. ;:c� 4,.. r ; ,(?�-.i�? Y: "[�`,6' ,G.L�'i�G r:v:r _ 0..-v Jh•-.�N; Y...� prim pump, Li Installation of 150 KVA or .1,X „ � ,;'-" p Emergency system, larger sepa ly derived lob#: I Job site address:f El Addition ofaew motor load of syskar 1 y � S ►r�S�'" ���s 1ool1P�maa. City/Stale/ZIP:35gard,OR 97224 ❑Six or more residential units. oocupaeay. p efAcilities. PRI:crcationalvchicleparis,Suite/bldg/aot#: I Project name:2EdrirrACP 1400/. J, ❑ Ons baatiow. ❑Supply voltage i mora than Cross street/direction to job site: l3 Service or!baler 600 amps or morn. 600 suite noniron!. ]`f,�.rLi= srtU-�ti. -*C;-�°'��.�ra'1rl -�-'r.�-,',..',',1',--;:',;'. }44 Darsipdoa �. Qty ''act Total Subdivision: ���yy Nen'residential single-or multi-family dwelling unit, ,t`1_,. a (,. � 1 Lot EE: Iercludesatiacbed;stage. TeX map/parcel#: 1,000 sq.R.or less 168.54 rte^ s�,• •_ �_ 6,a t rfcif t'T; 3p',aJ .. 'z "sc + 'z Ea.add end maiden l r 3392 AIC �� —`1 kportion withabatro �.R 75.00 —© Limited energy,multi-family r _ residential(with above sq,ft) 7500 �© 1..�'.' ._+=�,.c. >�3� J�C {))nfe,j:} 4 t-/' Jti r--e• ".5 ti t .:�.-P-T- lienewa6le En �_.17:2F-;-.1 -�' :�'- i `� : 751 ©See P,: 2 Name:ADVL Land Holdings,LLC Se slices or feeders Installation,atferation,and/or relocation 200 amps or leas 100.70 2 Address:7600E Doubletree Ranch Road 201 amps tO400 amps 133.56 2 City/.h,atgPLll'p:Scottsdale,A Z 85258 401 amps to 600 snips 200.34 2 601 amps to 1,000 amps 30].04 2 I'ho¢?i� 2 94-4�3I Fax f ),._-. (aver 1,0 1 _ mps or volts 552.26 2 _ maid: -Temporary lir feeders installation,alteration,and/or - Owner installation:This installation isr00amp o being made on property that I oven which is not 200 amps or less 5936 l intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 alrips 125.08 2 Owner signature: Date: 401 snips to 599 amps 168.54 n K c'iY ..r,5 r -dam` ,.ki v d ?,„,,,,,:i.,,7,..„,-*,4�. 4 of t k-. `... �. 2 err?-..;..� rte}o�N��a�:�,1,e , ;���' Branch cireuife-new alteration or extension ,anal S Business name:William Lyon Howes,Inc. A,Fee for brace r feeds fee, above service or feeder roe, �`v each breach circuit Confect name. i B.Fee for branch rirenits without Address:109 est 13th Street service arfexder Pee feat branch clrrwit 5618 2 City/State/ZIP:Vancouver,WA 98660 Each add')branch circuit 7,42 2 Phones:(360)695-7700 Fax::(360)693-4442 noels(service or feeder not included) Each manufactured or modultu 67.84 E� i I ale . 1 t ' „ r ij s bah onlyRecanneetwell lcuartd/orrtader 2 4 Z .�__'` . .F N r, -'- j _e ^-'.-^.-•-,�.E—.s-- un 67.84 �© j � P arlryi .�.- _� ..--� neap litigation clysis 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline Lighting 67.84 2 Address:6101 .1-,.. M;St Johns Rd Signal circuit(s)or limited-energy 0 See Page 2 penal,atttxatio�or wagon. a8 2 City/State/ZIP:Vancouver WA 98661 Each additions)inspection over allowable in any of qts above Panne:(253)320-1657 Investigation nve tig ti iaspectioa(]humin) 66?SJhr Fax:( ) lnvestigatfon(]brmint) 91t011/br Entail:bdaniels(g�gwensa.com ladustrie]plant(3 hymin) 78.I8/hr CCB Lie,: C1158 Electrical Lie.: 208174 Su rv.Lic:: 4496S 19IIs far which uw fee is ps -i5c• listed hyalin) Suprv.Electrician signature,required: "Mal► -i� I- . _ t, / ?]..trwin Print name: Joan P Albert • Subtotal: :...4.4,44, 4/26/2016 p Plan Review Require d(2596 of permit fxe): ”: Authorized ---------::_-_ Slatesurcltarge(12%ofpemritftx): n j?; sTOTAL PERM T FEE: w L 1: Print name: Bill Daniels : 4b16 21rs permit appllcndon expires if a permit is not obtained within 180 days aftorh has bmea accepted as complain =" f'''�SBuSidrrelParaiuulCP ' Numherofiaspectioasedowedperpelmit I',-?5i r;.` +rattApP.BLILERE,doc amo6ll�nols 4r0-46ts 7 - I Plumbing Permit Applica.tiop V ED Building Fixtures 13125 SW Hof all Blvd.,Tigard OR 91023 "� �0 17Iteseived ReviewPlan Permit No. S j ,/7._006 ?3 Phone: 503.7182439 Fax: 503.598.196Q C gy. Other Permit No.: Inspection Line: 503.639.4175 CITY L 1 t �0 ��� See I` Inte411et: www.tiger"r1" ^ !O^( Dote ed/Mak astir S plemens2for L! ®'N,7®�����! 1'� Noti6ed/Mclhod: _ Supplemental Information ' .te ,�.. V'<s•• > " 'js"+F•rr?.Yir� 'i.. . -;.:=•;: •:•a'+r/a•i. *•';�J::. z :I New construction • J Demolition For special infora*thOn use checklist.. 0 Additionfalteration! lauement ❑Other. 1-Description Qty. I Ea. Total rep New 2-family dwellings(includes 10012.for each utility connection) . ` . .. •CATEGORY OF CONSntuCTION• . • SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ' ❑Accessory building 0 Multi-family SFR(3)bail ` 500.32 Each additional bath/kitchen 25.02 0 Master builder 0 Other: Foe sprinkler(..,_sq.ft.) Page 2 • .„ , JOB,SF'IE INFORMATION"AM)-1.0 ATION Site utilities: • -Job site address:/ /11 t tj 5W myes'-f HollowS Catch basin or area drain 18.76 City/51ateIZEP:Tigard,OR 97224 DrywetE,leach line,or trench drain 18.76 Footing drain(no.linear S.:• 1 Page 2 Suitee/bldgJapt.no.: I Project name:RI*Y Tc fl-cure N0(4 Y f.i- Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 -Rain drain connector 18.76 Sanitary sewer(no.linear it:^) Page 2 Storm sewer(no.linear ft.: ) Page 2 r _ _,f � �`� Water service(no.linear ft: ) Page 2 Snbdfvision:�UC,Y (�i f uj•�,��- { Lal no_ � Fixture or Item: Tare map/parcel no.: Backflow preemies- ! 31.27 I ' . DESCEIPTION OF WORK : Backwater valve { 12.51 0t� f 1�� � clothes washer 25.02 L �G (.. _ __ Aishvvashea _ 25 02 Drinking bunts; 25.02 Ejectors/sump 25.02 .181.9!ROFER1'Y OWNER • . " 1 D TEIHANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer 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)6944031 Fax:( ) Ice maker 12.51 •®.APPLICANT . li CONTACT PERSON- Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas{value:$ ) Page 2 Contact name: Primer 12.51 Comta ��chat Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/StataZI.P:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700L '[9liAlCFe,f11 Fax::(360)693-4442 Tub/showex/showr pan 12.51 E-mails AChOk 1WCn(ndiii*VT OM urinal 25.02 I Water closet 25.02 • " • ' . 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 I Fax:(503-)324-0580 Minimum permit fee: $72.50 CCB Lie.:102535 'PlumbingLic.no.:34-27618 Plan review (25%of permit fee) State surcharge(12%ofpermit fee) Authorized signature: C.,......- --c: ' TOTAL PERMIT FEE I Print name:Caroline Makurdal Date:04,25/2016 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete "Fee methodology cel by Tri-County Building Industry Service Board. _ 1:1BuiliringTermits‘PLMU•PmalAppdoe IWW1/09 440.4636T(10102,COMM'E6) e City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT I T r c A R 1, Building Permit Review — Residential Building Permit #: Site Address: 119 .• SvV Tor-ess�- •N011cxv - Project Name: vier (New dwelling=subdivision Addition or A�eS�eration=last name of owner) LOt #: ' 3 Planning Review Proposal: SUV' ,&T-12-- -f Ari A ... V°Verify site address/suite#exists and active in permit system. r5KRiver Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan Site plan must be on 8-1/2"x 11"or 11 x 17" aer %- 'usg structures on site P P Footprint new structure(including decks)with finished ►�Drawn to scale(standard architect or engineer scale) floor elevations V� orth arrow Site address,project or subdivision name and lot number N Utility locations (required for new,may apply for additions) ,� plicant information(name and phone number 'cation of wells/septic systems p �� xisting trees ao be retained with drip line,and free •t dimensions and building setback dimensions ��-.t area,building coverage area,percentage of coverage and 'rotection measures impervious area(applicable if R-7,R-12,R-25&R-40) Street tree eize,type and location .Property corner elevations(2 foot contour lines if more than 03 street names 4 foot differential .R Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: E Yes,applicant was notified No Received: ❑ yeS ❑ No Public Facilities Improvement(PFI) Perna : Required: ❑ yes,applicant was notified - No Applied For: ❑ yeS ❑ No,stop intake -Land Use Case#: pi) A-Zoning: •- p p • Required Setbacks: Front C.4 Landscape Requirement: %-f� Rem Side Street Side �� Garage to Lot Coverage Maximum: /o ❑ Building Height: Maximum HeightNliA_ Actual Height t___2Q- 1.1.Visual Clearance VEasements Sensitive Lands: 0 Yes K.No Urban Forestry Plan Type ,S'Conditions "Met"prior to issuance of building permit Notes: 0 J ,A Approved By Planning: Revisions (after Building Submittal o 41') Date: © `r Revision 1: Approved ❑ Not Approved . PtRevie , at 04��- Revision 2: 0 Approved 0 Not Approved f Revision 3: 0 Approved 0 Not Approved I:\BuildingTonns\BldgPennitRvw RES_091216.docx f 4 Building Permit Submittal lO� # 0— Original Submittal Date: Site Plans: # .5 Building Plans: Building Permit#: "Enter building permit#above. En eern Pr-Permit Coordinator < ��g Workflow Routing: 2:1-Planning g Workflow Sign-off: ,Sign-off for Planning(include h applicom ation, plan, (1) building plan and Route Application Documents: �]' Engineering: ( ) copy permit original plan review routing form. le'Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: % / Date: By Technician: ,�. � .. v . y Permit � Engineering Review Slope at building pad: r Y � 0 onditions "Met"prior to issuance of building permit , r s ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: 0 No Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 Yes Date: ❑ NOT Approved by Engineering: Notes: /MN Date: -- —" Approved by Engineering: • Date Revisions (after Building Submittal only) Rev} �. e Revision 1: if Approved ❑ Not Approved [ Revision 2: Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit j 1-1-1 Date: ?approved,NOT Released: 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: es 0 N/A Tigard Trans SDC: 7Yes 0 N/A Parks SDC: Yes 0 N/A :IPA',K to Issue Permit , it Date: 11:_ "-------: Approved by Permit Coordinator: I:\Building\Forms\BldgPermitRvw_RBS 091216.docx t. City of Tigard . COMMUNITY DEVELOPMENT DEP ' ARTMENT 1111 T I G A R D River Terrace Building Permit e Review Addendum Building Permit #: Site Address: Project Name: \\J�� �S P` � � Y (New dwelling e N c i it 'S g—subdivision name;Addition or Alteration= Lot #: Planning Review of River Terracelast name of owner) ��� Is the project Plan District Desi subject to the plan district desi Standards (18.660.070.17—): — Is 18.660.070.1.); design standards?)&yeS ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that element required for lots with over 60 ft. of street frontage shall be provided has 30-60 ft. of frontage.An additional Porch min. 5 ft. deep Balcony w/access 2 Window Projection every 30 ft. /Kr 0ft. dee 1 Vertical Wall Offset a I' min. 2ft.,5 ft. wide ruin. 2 ft., 6ft. wide Gabled dormer 2. Eyes on thestreet: a ❑ 0 Pes on t howe: a D must include of 12%of each street facing facade • windows or entrance doors. 3. Entrances:At least one entrance must meet both of the followin ). VMax. 8 ft. setback from longest street- facing wall g stan dards: Parallel to street, angle no more than 45°from street, Entrance opens to a porch: A-Yes CINo or open onto porch If yes,all the following apply: 'One street facing entry ••k25 sq.ft. min, ft. depth min. ,a12 ft.max.roof above floor of porch �30%min,porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facie fa ,Walloffset min. 16 inches8ecessed eng c� X Covered porch min. 5 ft,wide x 5 ft. deep ades: Roof Save 'area ' 5 ft. wide x 2 ft. deep min. 12 inch projection ❑ Dormer min. 4 ft. wide ❑ Roof shingles either tile or wood Roof offset ❑ Roof shingles esoried south � of 2 ft. min. 500 sq. ...'Gable,hip or gambrel roof design ❑Accent pitch ft. siding min. 40%of street facade ❑ Horizontal lap siding min. 3-7 inches wide El Window recess min. 3 inches for all street facing El Bay ❑ Wrnwin thin min.2 ft. wide 2 ft. d epee Balcony�• 5 ft. wide x 3 ft. deep with inside access window min. 5 wide by 2 deep ❑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, n est ❑ May extend up to 5 ft.if there is aacove ed front porch street-facing wall. ❑ yes,� ❑ May extend up to 5 ft.whe the of IfNo (Check one): garage does not extend beyond the front porch. above the garage that faces the street garage as part of a two-story building and there is a window at the second story Width: (Check one) min. area of 12 sq.ft. ❑ 12-foot-wide garage door 50%max. of street facade with 7 detailed desi• ❑ 40%max, of street facade Notes: _ elements Approved By Planning: ri1L1 /�/ i1' I:\Building\Forms\B1dgF�itRvw RFg RT 062216.docx ' Date: 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 Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED APR 3 2017 FROM: Angela Grajewski CITY Of TIGARD BUILDING DIVISION COMPANY: Polygon Northwest PHONE: 971-212-2144 By://t— RE: Y:RE: 17419 SW Forest Hollow St MST2017-00023 (Site Address) (Permit Number) River Terrace Northwest Lot 143 (Project name or subdivision name and lot number) ATT ACHED ARE THE FOLLOWING ITEMS Copies: es 11 ,., .. ... .. PAiC iaDestni on: . \ . . 0 Additional set(s) of plans. 3 Revisions: 4eek fia{j 0 C.ekreir 0 Cross section(s) and details. 0 Wall bracing and/or 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 ddue to terrain 9. s Routed to Permit Technician: Date: 4 - ap - j Initials: -jt Fees Due: gi Yes ❑No Fee Description: Amount Due: $ 90 9,),Hr }'alar, t'ev,,ew Y $ $ \\ / Special Instructions: Reprint Permit(per PE): Yes ❑No Done Applicant Notified: ate: 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: 17419 SW FOREST HOLLOW ST, BEAVERTON, November 28, 2017 at OR, 97007 10:55:42 AM Record Type: Record ID: Residential - Master Permit MST2017-00023 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed No A/C installed Violation Summary: Inspector Contractor