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Permit (73) - CITY OF TIGARD c MASTER PERMIT COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit#: MST2017-00018 Date Issued: 05/10/2017 Site address: 17435 SW FOREST HOLLOW ST Parcel: 2S106DB14200 Jurisdiction: Tigard Subdivision: RIVER TERRACE NORTHWEST Project: River Terrace Northwest, Lot 142 Lot: 142 Project Description: New SF BUILDING Stories: 2 Bedrooms: 4 Floor Areas First: 978 sf Require_ dkg Re�— Basement: 0 sf Left: 3 Height 25 Bathrooms: 3 Dwelling Units: 1 Second: 1251 sf Garage: 380 sf Parking Spaces: 0 Third: 0 Front 8 Smoke sf Total: 2229 sf Right: 3 Detectors: Yes Value: $273,591.61 Rear: 10 inks: 1 Water Closets: 3 PLUMBING Washing Mach: 1 100 Laundry Trays: 0 Rain Drain: 1 Tubs/Showers: 3 Floor Drains: 0 Sewer Lines: 100 Urinals: 0 Lavatories: 5 Dishwashers: 1 Garbage Disp: 1 Water Heaters: 1 SF Rain Storm Sewer: Footing Drain: 0 Ice Maker: 1 Water Lines: 100 Drains: 0 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 Natural Gas Heat Pump: N Clothes Dryers: 1 Furn<100K: 1 Hoods: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Furn>=100K: 0 Gas Outlets: 4 ResideResideUn_t ELECTRICAL Service Feeder 1000 sf or less: 1 TemSry pc/Feders 5 0-200 amp: 0 Branch Circuits Ea sf or 0 sf: 4 0-200 amp: 0 W/Svc or Fdr: 0 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 W/O SvGFdr: 0 401-600 amp: 0 401-600 amp: p 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 Other: N Other Description: Vaccuum System: N Garage Opener: N All Ecompasing: Y Class of Work: BUILDING INFO Type of Use: Type of Constr: Occupancy Group: Vg Square Feet: NEW SF Owner: R-3 2228 ADLV LAND HOLDINGS LLC Contractor: WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL BY F E DOUBLETREE RANCH RD 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 76STE 1 VANCOUVER,WA 98660 2 Fire Rated Eaves-Both SCOTTSDALE,AZ 85258 Sides PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,248.63 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 days. ATTENTION: Oregon law requires you to follow the rules adopted byOregonAll work will 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.Mir more the 180 the Utility Notification Center. Those rules are set forth in OAR Issued By: fes/ '1- _.. Permittee Signature: Ail . 4L l6 . 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 Application t' i , .: IJ_C)7 / /'2_l City of Tigard FOR OFFICE t SE O\L1 liii [�j^(' 20 ( Received i 13125 S W Hall Blvd:,Tigard,OR 97223 P 'i F Plan R • Permit Ng. <-y ee)0 f� Phone: 503.7182439 Fax: 503598.19d6EH Plan Review • l.h� "'/�'`����" /`'�i7 2F ' z+:.� eR • -a r, Offer Pani /� `2 27e9 r7 Potion Line: 503.639.4175 Date Ready/By: loris. ® See Page 2 for TIcr',h[ Internet www.tigard-or.gov x} , rs t: rr, 1, Notified/Metbod f. Supplemental Information ®New construction 0 Demolition Permit fees*are based on the value of the work Indicate the value(rounded to the nearest dollar)performed. ❑Addition/alteration/replacement 0 Otherured equipment,materials,labor,overhead,and the profit for the s"- d C { t k s iwork indicated on this �� ,�r � application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: I R: yt� ❑Accessory building 0 Multi-family Number of bedrooms:v,, 1111-M _„�+fAl, nrrill 0 Master builder 0AOther � Number of bathrooms: s � Total number of floors: Job site address: 17(,��� � • "_ __ - a � q ltd New dwelling ar . Z�square feet City/State/ZIP:Tigard,OR 97224 1 SuitelbldgJapt no.: �.� Garage/carport port area: !� - , square feet Project name:Ri ,fir N`• t Cross shreet/directions to job site: Covered porch area: .1"115.4;q feet Deck area: )3 1.. square feet a .er structure ..t�a:1 square feet Subdivision: / v , illiikilliMilli\ . ,. ' . k 3 e U g ioIIIIIIIIIIIIIIIILot no.: Permit fees*are based on the value of the work peed. Tax map/parcel no Indicate the value(rounded to the nearest dollar)of all f " �' ' ` r, � ,a - equipment materials,labor,overhead,and the profit for the work indicated on this a.. ti lioation. Valuation: $ Existing building area: square feet r New building area: square feet Number of stories: Name:ADVL Land Holdings,LLC �" Address:7600 E Doubletree Ranch Road Type of construction: City/State/ZIP:Scottsdale,AZ 85258 Occupancy groups: Existin Phone (602)694-4031 Fax ( ) g: ,�. ., 4; am -'i., =:1: ?f7,2):711-01`1*',P E` 77g3�d �8 -- v �� � � � "�Business name:Polygon WLH,LLC Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 136 Street FLS plan review fee(if applicable): 1111111111111111 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 Fax ( ) Amount received. E-mail:Angela.Grajewski@polygonhomes.com �...,..: .,� ' ft'..3f,,.° ^- ''-,- t, �. -s.., "-- Commercial and residential prescriptive• ^- .� � r.�......a .,.,u z-s wx.` -,r _.._-_. rr aw ro dinstallationlSystem.of Business name:William Lyon Homes,Inc roof--top mounted Photovoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Address: 109 East 13th Street and fire department access,along with the 2010 Oregon City/State/ZIP:Vancouver WA 98660 Solar Installation S.ecial Code checklist Permit Fee(includes plan review Phone:(360)695-7700 Fax:(360)693-4442 and administrative fees): CCB lic.:207247 State surcharge(12%ofpermit fee): ' Authorized signature: )��C Total fee due upon application: VI 1 ✓ I l 4 *This permit application expires if a permit is not obtained Print name: -__'"_' _ ,_ within,180 days after it has been accepted as complete. Date: Fee methodology set by Tri-County Building Industry Service Board. I:\BuildinglPermitslBUP-RESPermitApp doc 02/24/2011 440-4613T(11/02/COM/WEB) - Mechanical Permit ApAlite_c ,ORM Et( 1 I SI OM \ • City of Tigard EIVED ESIIIIIIIIIIIIIIIIIIII . _ 13125 SW lien Blvd.,Tigard,Olt 97223k A A v 1.„ 2017 _ Phone: 501718.24)9 Tax; 503.598.194W .... -;'? -•-,... . -,• IES11111.1111111111111111111 inspection Line: 503.639.4175 how IN see Page 2 tor Internet mow tlgard-or.gos CITY OF TIGARD likkaIIIIIIIII stippir,...t.i Intorntorkto .. ., ,,, ..Tit:•4,,. .,. .:1.:,...,:07,-,,,..;.."- . ..efref -114-,:;;;;_,e,t. 1.„4_0„c i7t,ces..,-•ar%,,,...,....1:1sed.-_,00nt;; 0100.trifie_ ,t;.ork " ILDING DIVISION e Ea New construction 0 AdditiotValtcrationtreplacement perform-xi.Indicate the value(rounded to the nearest dollar)°fall 0 Demolition 0 Other: mechanical material&equipment.labor.overhead.and profit. Value:$ -Tr-,-:`,..,,,-,,e:s:,,,..",,,a.j3,:,:t-c,.-0,."et: , •,.i. ;;;;;..;,:-.)70..4---ttt,v-;,'' .4't •-rt '4`1..,:'4,;' ,..:t.). .' ;;A:A1 .4 I....,...0..,1-, ;* •, - a-7.f..1,4,:a;4.,,.,1;t .1;:,,,,,Lf,:-:=„0 i 4;4,1-.1.: K..11X.,,1,,S. L',At% .Top..,,,,:te e!g 94 I.and 2-Family dwelling 0 Commercial/industrial 0 Accessory building For special Inform:0km Ise checklist I Multi-family 0 Master builder 0 Other: Description ] Qty.] Ea. I Total t1W- 114----J. . 'j.:',.,,:1;','"'=-‘Er-rraif.:i!.:1'; , -;,Vr.t.4'itag.. .*.1,.,`-tgt A"i7c061::fttioranlineg: 4615 Job site address:1 1 r'eS 1 0 Furnace 100,000 BTU(ductiATots) 46.7$ City/State/Z1P:Tigard,OR 97224 Furnace 100.000413Th Icincoslocout 54.91 Heat pump 61.06 Suite/bldg./apt no.: I Pmject//atm:Ri+Itrie ITACt 0611-iiiuJed- Duct work 23.32 Cross street/directions to job site: 14ydrunic hot water sTsictrl 23.32 Residential boiler(tadhttor or hydronic) 23.32 Unit heaters(fuel-type.not electric), in-wall,in-duet,suspended,etc. 46.75 Flucivent km Iowa above I. 23.32 Other 23.32 SUbdivision:kaa ' iffroia NkiiiitAkif- I Lot no.iloott, Other noel aPptiances: Tax map/parcel no.: Water beater 23.32 '-,..-.. ,,,,,--., ,"---.',....t.--'--.• ..'•",-fe" ,l'rTli•-;--, i,,Itl,i?t',e-':.(;t -.t, ,4rt,.-: ,-.4.,''.:"T:P,-C.7,z4,. Gas fireplacefinsen I 33,39 ',„.-."--4,-;;:-.;_;...-.:-.:--.4.0;--',;.;:;‘,'-cp.,-,'-•,'t.,2,:t..-,,!.,1..t.:-L! ''''':'." ',-V4.....,<.•_q,. -. . ' 'qua vont for water heater,rps I II . $ I ii a fireplace 23.32 Log lighter(gas) 23.32 Woottellet stow 33.39 --4 Viacci-firiiiicelthiert ''' 23,32 , 23.32 Cbirrtnevirtneoffitievent 23.32"4„;,,,,,,„-,,..,,",y-;,-i,,_ ;,,i;,,,'„:1-,-;,-,k-i.1---, ;:-,....,•,z,vt...,,t.,i,--_,"-t,.,-4,yz'..*Ar -- .".-.--Ve.t,t,-J-•--,-;,.r.‘---'''''' .Officr' , •.L ...t, 2"::-'''t.:f.,,, .:r.-.-Vii-i..1,,,,i''::.?-1,:;i 1:::Kti.qt'.41i.iilirteS...141.tlYte'S. ),-.W.Y.tt-Ln:2`.. ..-41s::::.all Envinnun„ui cxhs„t„a„ntifatiow Harm Polygon WLH,ILC Range hood/other kitchen I 33.39 equipment Address: 109 East 1P Street Clothes dreer exhanst i 33.39 . .....i _ City/State/ZIP:Vancouver,WA 98660 Single...duct exhaust(bathrooms, toilet compartments.wilily moms) 4 23.32 Phone:(360)693-7700 Fax ( ) Attickrawlspace tuna 2,3.32 ..„., . ,....,, ,_%.,,...1.,, •-., .,„:„911•4‘1,- -. ,,, -.-,,,,,,,,:,,,,-(_ e,.,' other: •,,,--<,"' *-....! ', 23.32 Fuel piping: Business name:Polygon WLII,LIC $14.16 for first fours$4.03 for each additional Contact munp:I\I i(.41 0 It, moot, Furnace.etc. 1 Gas heat pump Address:109 East 13th Street WallfsttsperidedAtuft healer City/State/ZIP:Vancouver,WA 98660 Water treater Phone:(360)695-7700 I Fax :(.360)693-4442 Finset:we II Range k , , ,• . , , 4 E-maili i II 0 411 dr, ,i A 1i ill Barbecue !.,,,:i'1,-;.i.f=::,--,,•.:-i.:,;;:..;i'-...,,,,57:::::;tt,I.:!TS-.4-:;:VT7.ej.,,;.:(,:',L,(Ze:I..1', .'*i,.;:::::tfizN'Tg:::;;Plf 3-arl;:, Clothes dryer(gas) Business name:Apex Mr LLC 74',,:zr-P3',::::'.-.,:•t-`i..,;,',.!,f,,7„-, i.k.d,,....".1':'(.0 M.1‘,„Lei,...'i 4.'s,'4.*,,,,tif __ _ Address:18004 NE 72"Art Subtotal City/StatefLIP:Vancouver,WA 98686 Minimum permit'fee(590.00) Plan review(25°Io of permit fee) Phone:(360)3424109 Fax:(360)326-1769 Slate surcharge(12%of permit fee) • CCB lie.:203034 ....74 TOTAL PERMIT FEE This Permit 4PPliattlauctitirts lro Permit is not obtained within I so days afterit Imo been accepted as complete. - Authorized signature' * Fee methodology net by Tri.Couoty!Inkling industry Service Board Print name, tek. Date: s P . I suil4ingtA.04istwit_PessnitApp NW II&0 440-4617r(11/02/C014fivriV) PECEl ::r? Electrical Permit Applicatio ran OFFICE.LSE 011,E City of Tigard MAY b 2017 mit:/157:2er7-c)e)c)i _ - 13125 SW Flail Blvd.,Tigard,OR 9.7223.. .. • Plan Revive ,. . p` Phone: 503.7182.439 Pax: 503.598.1 ¢��OF TIGAR•: Da, IicciaitedFermi:a: Inteeilet: www.ti ard-Inspection Line: c gov75 I�� TT &Metho Supplemental Information Ed So Page 2 for r}G` BUILDING C)1�IIS9-�dn ,on.; idillIlIl r y7-r.4`3; ..Ia1' V. , T 7.,.i -•'-f r-',5 ,e,.. fi, `coq ,. :r H r' 4 2, .,..; ®New construction 0 Addition/alteration/replacement Please 4leck aS that apply(sabmltt.1 sets ofplsas wide=checked): El Demolition 0 Other: whale Service or feeder 400 amps or mom 0 Building over three strides. whale the available faoR current 0Marinas and boatyards. ,'., +_' '?-{-- , HcYp IL•,,V0t_�'1'1 1 ti'y. &t1.t..110)•,),-,,,,,_4 . r r_ exoaeda 10,000 amps at 150 volts or °Floating buildings. ®1-and 2-family dwelling 0 Commercial/i ichistriat 0 Accessory building alta to wound,or excess 14,000 C I Commercial-use asriadmrat 0 Multi-family Cl Master builder 0 Other Fops for all installations. initdi . ❑Firs pump. ❑installation of 150 KVA or ?....g0,..-2`,',-' e�•e''.s..;.,.. c'd`P f! .6S,aZ Y .'{ f l j`-.. ":3 '��x :`- lr.^ O Bmergeuoy system. larger separately derived Job#: Job site address: I l I p�� J 0 Addition an.„motor toad of - ✓e " 7 / '(JW S'� ]oDHP cruors. ©••A••,••b••,»1 2�••1-3�, City/State/ZIP:Tigard,OR 97224 O Six or more residential wile Pani• �}. ONealtb-nue facilities. 0 Recreational vehicle parks, SuiteJbldgJapt#: I Project name:P.i*rTerJa&Q ,(.iv11vCS.` Q ou ccadons. OSuppty.�ouagatrmomthan ❑Service or Seeder 600 amps or mora. 600 volts nominal. Cross street/directions to job site: r ' 1; ,,1:?^'T1^D trvfµ M me: 3 ., 2;; n aerlpoon I Qty. 1 ,rade Total • New residential single-or multi-family dwelling unit. Subdivision:Rier.Ice i1cC .N Wes-- Lot#:/i42 Includes attached garage. _ Tax map/parcel#: 1,000 sq.ft.or less 1111 16&54 4� ,. � ,,t »:c "i.� �` I y. � �; �V Ea.�d'I SOO sq.R equation 1 c::,-- r uta*t= ' 1J.4-.f., `% _ _- Limiter)energy,residential III 'P[r1"7 /1 r 6I It (withabwexi•ft •75" all 2 J/j�J F O Limited energy,multifamily 2 residential(with above sq.ft) " ';-3.--:--''' ':.1.'•17.• i� 'a E '''•� ..., 2. 1f1: l- rx-' ti.. Renewable En i .. ,. s�i r x Services or feeders tostallatlontalteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZTP:Scottsdale,AZ 85258 601 amps to 1.000 amps 301.04 2 Phone:(602)694-4031 Fax:( _..,.) Over 1,000 amps or volts 55226 2 • Temporary services or feeders installation,alteration,and/or Email: • relocation Owner installation:This installation is being made on property that I own which is not 200 amps or Less 59.36 I intended for sale,lease,rent,or exchange.,according to ORS 447,449,670,and 701. 201 steps to 400 amps 125.08 2 Owner signature: Date: . 401 amps to 599 amps 168.54 2 ;s U. i may` i G . .4{ ;�y�µrE '?: y 1� J�r�a 6 F'£l� .;j`sj3e:Lr • Branch circuits-new alteration,or extension ler and A.rm Far branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, all m ' each branch circuit 2 Contact nae. Ir h1p (VT)( B.Pee for branch circuits wfthma tJe !Y`� service ox feeder fee,first Address:109 est 13th Street branch circuit 56.18 2 City/State/Z1P:Vancouver,WA 98660 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • Fax::(360)693-4442 Each manufactured or modular ' dwelling,service and/or feeder - 67.84 —-~—�-�2 Email. tom; J 1.n. • —(I rte` v.,',r) 10,,s, _if! L�'' pumpnect 4103Y or itngatloncircle I� 67INN1iiEO 12 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 +,•,E. Signal circuit(s)or limited-energy 0 See Page 2 2 Address:6101 NE St Johns Rd pane,alteration.or extension City/State/ZIP:Vancouver WA 98661 -Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.2.5/hr Phone:(253)320.1657 Fax:( ) Investigation(1 brmin) 90.001hr Email:bdanie(s@gweusa.com Industrial plant(1 hr min) 78.181 hr Inspections for which no fee is 90.00/hr CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lica: 44965 s ` listed 14 iter Snprv.Electrician signature,required: '1t•4 oft 1 , ••• . Subtotal. Print name: Joan l?Albert Date: 4/26/2016 0 Plan Review Required(25%ofpermit fee): ':' """ _ State surcharge(12%of 1� _ - permit fee): 4';.',' TOTAL PERMIT FEE: Authorized signature: � ""�~ /...;. This permit application expires ifs permit is not obtained within 180 1i.' Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. - ^5;;• . • Number of inspections allowed per permit 3F.;?_ ag1P44rreiteA6tC PanatApp SLR ERS.doc Rev 06117/7015 44046t5TOYDS/COM/WEB , I Piumbine Permit Analica toEIVErl Building.Fixturesul . .0 immommemmiimm : City of Tigard Received Date/Br Permit No.itli.7:.,/e/7.-cloacf" .. t3125 SW Hall Blvd,Tigard,OR 972231‘11AY b 2017 Iii Phone: 503.718.2439 Fax: 503.5i114914 OF T A D PlanRcview R Date/By Other PeffRii No.: r Inspection Line: 503.639.4175 V I l 1 .`.',,,,.,' r,'19/1 flit . - Jed.: 63 See Pap 2.for Supplemeatal Information . ' '"'' Internet www1I8aati-040v BU1LDINU LJI V!Ski I wucNotiseduReadY/Setbodr: .j'...: . -.; .. :.: . ;no*4AF skoiiii..:.::„ . . „ ..,....: ..:i• ...j., , :.f..: , :.2: ,:-...... :::.:.•Frs4 iiiiiiittat .. CEI New construed= 0 Demolidon For spade,14*mo:ion arc cheellist‘ Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 it for each utility connection) :i!-.:•:•.:.,..:: ... .-:•,, •CATEGORY OF cceisngtenoN. : . ' SFR(I)bath 312.70 El 1-and 2-family dwelling 0 CommerciaYmcbstrial SFR(2)bath 437.78 SFR(3)bath A 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(_____sq.it) Page 2 : • '1 ;,., L. .: :. .,f9B strE INFORMAITON AND LOCATION ". ; : ' Site otilitics: Job site addrchess: /71135-...co/foresf-mow cy-- Catbasin or aTeitin dra Drywall,leach line,or trench drain 18.76 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Prnieet nerne:Pisttr Te Craze 1,1(r4l4UJeci-- Manuftscturecl home utilities 50.03 Cross street/directions to job site: Manholes 18,76 Rain drain connector 18.76 Sanitary sewer(no.linear it: 1 Page 2 Storm sewer(no.linear ft.: ) J Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:14\...._,,L yj-LW1142....._,-1-- Lot no.: Fixture or item: Bar-Id/ow prevenier 1 3127 Tax map/parcei no.: • • Backwater valve 12.51 ; ....L . •• • DESCRIPTION OF.WORK. , : . , • Clothes washer 25.02 ....„16.140_ 01116 Dishwasher . . . - 25.02 . Drinking fountain 25.02 Ejectors/sump 25.02 ,M.pROPERTY OViNED . 1 0 Triurrr Expansion tank 12.51 Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZEP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) lee maker 12.51 - Ii CONTACT PERSON: Interceptor/grease trap 25.02 • Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 Primer 12.51 Contact name:ygitire licloryt Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25. City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 623402 I Phone:(360)695-7700 Fax::(360)693-4442Tubishcrwer/shower pm 12.51 1.52a ......11: thchait illontit9palapatClfyy) Urinal Water closet all25.02 25.02 • • , CO 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 tic.no.:34-276PB State surcharge(12%of permit the) Authorized signature: .... '''Sc TOTAL PERMIT FEE 1 Tbis permit application expires if*pernsit is sot obtaised within NO days Print name:Carolina Mahnedal Date:W25/2016 I after k bas been accepted as complete- +Fee methodology set by Tri-County Building Industry Service BMA. _ lAllatfisOPernitAPLIAU.PernatApp doe 10/01109 440-4616T(10102/COMMEB) 5' City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT III T 1 G A R D Building Permit Review — Residential Building Permit #: C1 _C 77:2- )/7 013 Olg Site Address: 114135 &N 'rest -1-}olIcyv at- Project Name: 124 k r Trite NO(1\' sk Lot #: 1 Li 2 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Nc W S--12.- -71-- APO real," -E pfic CCArt ig Verify site address/suite#exists and active in permit system. XRiver Terrace Neighborhood: ❑ No ' Yes,See River Terrace Review Addendum Attached Site Plan Elements: ,Three(3)copies of site plan IVEndsting structures on site 'Site plan must be on 8-1/2"x 11"or 11 x 17"paper Xootprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations ,North arrow MI tility locations(required for new,may apply for additions) ASite address,project or subdivision name and lot number /16 .cation of wells/septic systems applicant information(name and phone number) (xisting trees to be retained with drip line,and tree i,ot dimensions and building setback dimensions protection measures ?grLot area,building coverage area,percentage of coverage and Street 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) Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: E Yes,applicant was notified )E1, No Received: E Yes ❑ No .. Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified A No Applied For: E Yes ❑ No,stop intake XI Land Use Case#: PM2015-0occ j a Zoning: R-1 CPD) Required Setbacks: Front S Rear LO Side 3 Street Side N( Garage 2.0' Landscape Requirement: so Al Lot Coverage Maximum: 80 'Building Height: Maximum Height N/A— Actual Height ±2G1 Visual Clearance eIR Easements AtR Sensitive Lands: ❑ Yes No Type Urban Forestry Plan k Conditions "Met"prior to issuance of building permit Notes: `I ant , Via[I IX YYtLf ') tgcankc.0 . Approved By Planning: Date: i !Fin Revisions (after B ilding Submittal or y) Reviewer to Revision 1: Approved El Not Approved -- - Revision 2: /❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 091216.docx 0 Building Permit Submittal Original Submittal Date: /2/.2c,/(c) Site Plans: # 3 Building Plans: # Building Permit#: ®–Enter building permit#above. �- Workflow Routing: C3 'Planning E Engineering H'PeLI Builrmit Coordinator ding Workflow Sign-off: I -"Sign-off for Planning(include notes from planning review) Route Application Documents: JLEngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 2--Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Ailk lf -Ie- --..., Date: /76//� Engineering Review � ope at building pad: ___,..c._ _" °Conditions "Met"prior to issuance of building permit if� l -7,/ ❑ Easements (encroachments)per engineering conditions/of`a'p`p`roval 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: 7---17-- Date: (-j�� Revisions (after uilding Submittal only) Revri ate � 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 ►:i pproved,NOT Released: ate: /A �/ 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: NI' es ❑ N/A Tigard Trans SDC: '!- es ❑ N/A Parks SDC: Yes ❑ N/A 1111a€40 / to Issue Permit Approved by Permit Coordinator: Date: 1/le- I:\Building\Forms\BldgPermitRvw_RES_091216.docx • V 111111 City of Tigard IN u COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum rp Building Permit #: /tl.F,._(j /7 _ �0e,/CP Site Address: 14 35 TDre ► ll0 S Project Name: PkVeN Lot #: ' ru" � w-c�� 1�2 (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 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' ft. deepVertical Wall Offset a Porch min. 5 ft. deep n.2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer mi ❑ 0 0 0 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: ' p 3. Entrances:At least one entrance must meet both of the following__ standards: .knax. 8 ft. setback from longest street facing wall ..1 arallel to street,angle no more than 45° from street, Entrance opens to a porch: A 'es 0 No or open onto porch If yes, all the following apply: One street facing entry 25 sq.ft.min. !.1.: ft. depth min• 12 ft.max.roof above floor of porch .30%min.porch roof coverage 1711 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 ecessed entry area min. 5 ft. wide x 2 f. dee Wall offset min. 16 inches p 'Roof eave min. 12 inch projection 0 Dormer min. 4 ft.wide 0 Roof shingles either tile or wood Roof offset min. of 2 ft. 0 Roof pitch oriented south min, 500 sq. ft. Gable,hip or gambrel roof design ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street façade �endow trim min.2 1/2"wide by 5/8"deep j ❑ Window recess min. 3 inches for all street facingT`�' 0 Balcony min. 5 ft.wide x 3 ft. deep with inside ❑ Bay rndow min. 5 ft.wide by 2 ft. deep access 0 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.XYes 0 No. If No (Check one): 0 May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the frontorch. 0 May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second sto above the garage that faces the street with a min. area of 12 sq.ft. r5 Width: (Check one) 0 12-foot-wide garage door elements •K50%max. of street facade with 7 detailed desi� 0 40%max. of street facade Notes: - Approved By Planning: A; r� l ' Date: I:\Building\Forms\BldgpenngRvw_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. 114 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T,G A€z D 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 COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 BY: RE: 17435 SW Forest Hollow St MST2017-00018 (Site Address) (Permit Number) River Terrace Northwest Lot 142 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: P es , ition . . ; - : ,,Copi s pt on ' ; 0 Additional set(s) of plans. 3 Revisions: -4eek. V 0 Cross section(s) and details. f \v ����' 0 Wall bracing and/o 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 ue to terrain patioems,- 1 ) y- �� %*. Routed to Permit Technician: Date: t4 - 1 9 - j 7 Initials: Fees Due Yes ❑No Fee Description: Amount Due: Ai •�� *-iii;* *; � �� $ F ** a $ ...: $ Special Instructions: Reprint Permit(per PE): Yes I rj No N 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: 17435 SW FOREST HOLLOW ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00018 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 45 psi Note: low pressure on hot side of pedestal lay. All other plumbing ok Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17435 SW FOREST HOLLOW ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00018 Inspection Type: Inspector: 699 Mechanical 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: 17435 SW FOREST HOLLOW ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00018 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Corrections complete Insulation certification present Collected Moisture content acknowledgement form Moisture barrier acknowledgement form ETO site inspection certification High efficiency lighting form Left C of 0 on the counter Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17435 SW FOREST HOLLOW ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00018 Inspection Type: Inspector: 699 Mechanical final Allyson Armstrong Result: PASS Comments: Mechanical final already approved. See January 3rd inspection. Violation Summary: Inspector Contractor