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Permit CITY OF TIGARD MAIN STER PERMIT IillIt, COMMUNITY DEVELOPMENT Permit#: MST2017-00030 Date Issued: 05/10/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB14900 Jurisdiction: Tigard Site address: 17315 SW FOREST HOLLOW ST Subdivision: RIVER TERRACE NORTHWEST Lot: 149 Project: River Terrace Northwest, Lot 149 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2229 sf Value: $273,591.61 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvpes 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 Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB 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 2 Ersn Cntrl 503-639-4175 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $32,243.13 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 thro h OAR - 1-0 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. .4t*r ,¢fir, C'n /7� Issued By>� v Permittee Signature: " �/ ' 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. Z-07 / Building Permit Application RECEIVED Li f,• s f, €fig FOR OFFICE ISE O\Ll City of Tigard [' 0 a .2 S /7 fie! r+, 7 7 1 Permit No.• 'yy,7 II11 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie �/�^C I Phone: 503.718.2439 Fax: 503.598.1 ' (OF TIG ARD DaleBy. ca-16-7- 1 other Permit:54AeA0/7U49 Inspection Line: 503.639.4175 Date Ready/By: r ���333 Jens[ H See Page 2 for I 1 c::h i) P BUILDING DIVISION W SIOI Notified/Method: -7z;...(/ -f//7 Supplemental Information Internet www.tigard-or.gov !i�€J 9 y11S" r P A Y.t suT 1� �1``i A/ . /.. 4,0d6;16"- __ a m #, ,'' , z "..t� k � ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the v s: J e '&C} , €tF r :.- ,.7? , work indica on this application. Sde' �e.v , F LiG 1-1 _* 1-and 2-family dwelling ❑Commercial/industrial Valuation: illQ ; 1.1..ca `� e„M,.'7 ❑Accessory building 0 Multi-family Number of bedrooms: 4 i „s7 3, .S'9 , 0 Master builder 0 Other: Number of bathrooms: 3 /y :,-.4 a a.Y "_✓13 r ° ' a,l €€ y -v, "• Total number of floors: 2- a9)la 6 a9 Iv 1 Job site address: I ` Slj fl it5\-- 1-k-t‘kow T...„1- New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 38to square feet Suite/bldg./apt.no.: I Project name:Rider eArr NW Covered porch area l ;quare feet i a.1/4s-1 Cross street/directions to job site: Deck area: ) a l+ square feet 9-2g OthoPtr er structure area: 's square feet 1 ate.: T,.J-,a - 3:1.44: ,W t44 ,,.I.,>..��. e )�. Subdivision:V_4\jTc.vv'oce t\.)\ I Lot no.:1 461 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.. equipment,materials,labor,overhead,and the profit for the } 0 - '' Y I ``v :: ..:i5:',-:.:,' 1::.,..1• work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet r '7.--- - , ' .: k ' a l'70 € 'i 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: . _ , fr;:«,..r 3 #fir »„ �',, ;' y.. s y r T” + ..,'.�..x„ /ce F. °' rE f 1 �4 ” � : 1 . k ,fi`,6:5 „t,.« ,, ,.u " 3---,. Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received Phone:(360)695-7700 I Fax::( ) _ E-mail:Angela.Grajewski®polygonhomes.com , Commercial and residential prescriptive installation of € , ` t .,,, _ 2_,.._T ,_i_ ,' , 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 oaeee on aPP Authorized signature: C This permit application expires if a permit is not obtained 115 ✓ fv►�Y within,180 days after it has been accepted as complete. mimmimmy, Date: *Fee methodology set by Tri-County Building Industry Print name: Service mit a \BuildingTermits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit APAlica#i �.,�r City=of Tigard 1`� Dateilly: icnai<ri�/ys /7-�j - C� 11 13125 SW Hall Blvd.,Tigard,OR 97223 1 i 2 :.._ 2 111 ., Pisa Review -Phone: 503311,2439-Fag: 1960 MAY R. Datc'gy: l , ., ; inspection Lena: 503.639A 175y Date Reatt,:4iy;. ha;:' to Stehle 2 Cor Internet: www.tigard.or.gov CITY OF t IGAR.,n Nenifsedr'Mcthod: Supplemental information 1 a 1 ItIVI ION »l s ,,. Ir., ti ..„F-)4,444..,. In . -,,,L, eta" .,.j,, .,. „, ' Mechanical permit fees*arc bawd on the value of dm work ell New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other nice:haaieal malexials.equipment.labor.overhead.and profit. A�•ovalue:s r s •� . ` F� , ,4,:, cV,L" _;�4� P-a':e"S «r. w i'.r �;�`.�lGYw:. ekl~Li pir_ ,2�` i` " • Riiir tT- ;:t\ .af t_c ..),;!,:?^ . A,',. . z.ig ti'% I-and 2-family dwelling 0 Comme ciai:industrial 0 Accessory building Forspedd tajormortas naechecklist I Multi-family 0 Master builder 0 Other Description Qty. I Ca. I Total x r kx s s a it 4 Heating/cooling: .v t t C yFf:-.&:::.r.:7 c ^7 I fP 1 r t f.-4:4 Y e7—'l'2 5 .t. yri yr '�S�. .4','41 _ Jo, ... 9, ......�4r . _�._.,.:.n__.. -. ._....::e_v .t.,,.c,»_ u:.-r' • Air conditioning 46 7] b site address a er ' o 1 t LJLAJ Flmaaee 100.00013T(7 Ldtadfe'entsl 46,75 e City/State/ZIP:Tigard,OR 97224 Furnace 100.0(g1.4317 tdutlstvenist ,, 54.91 , Suite/bldg./apt.no.: Project name: Heat pump 61.06 Suite/bi ,I1 i�crTerraceNar-�h S+- 1)ref„ k 23.32 Cross street/directions to job site: t•tydronic hot water sysiem 23.32 Residential boiler(radiator or hvdronicl 23.32 Unit beaten(fuel-type,not electric), in-wall,induct,suspended.ate,. 46.75 �/ p�/`�p/ ry,�.{��/"���j� ,�r J`/'J/J Flue/vent for env or above �• 23.32 SUbdivision:..Vokti TiA 1 utC? N.^ J*■vJ c t 1 Lot oo.iy / Other, 23.32 Other fart appliances; Tax ruap/parcel no.: Water healer . . 23.32 _ kr r - u mar- .ic ties fiicpl er water • I 33.39 ..xs. rxr,^_ ,1:;-''._. .. s�-ma.ry ^.f.e . n.��.t.�;c. s� =rte`- Flue vent 11 r water heater or gas M/I i 11 ` 010 60 Frreptace 23.32 Log liebier(sas) 23.32 Wo_odfpcilct stove• 33.39 a. -• ,.- -.... .. ...� .." -.- _..,._ �"':K ortd'tircpiscclinscrt- .._.. . 3.32 -.'"------'7‘ ,M. . 2 Chitnneviliner/fluc/vcnt 2132 s < w Othnr: 23.32 ,•-z•;z.t,.,u s ,° '1 r.,:-Z�-n. r�.1, l7;-ii,.n�+�,n lx ::1 h:".K''rtb.' , -;d ti..t :.1'. Environmental tabs ust and ventilation: Name;Polygon WL/1,LLC Range hood/other kitchen equipnt 33.39 Address:109 East 13'Street t�1 meClothesdrvcrexhaust ___ 1 33.39 _M 1 City/StaleIZ1P:Vancouver,WA 90660 Singlo.duct exhaust(bathrooms, toilet compartments,utility moms) 4 2332 Phone:(340)695-7700 Fax:( ) Attic/rntulspacc.fans 23.32 ,, <t� ;1 Other, 23.32 { `.,wa,..... ._.�... °:E�':,��kt;��� ���t �� �!t�:�t��.{�rQ��-t.'��u�a'�'��:: 5a � , Business mune:Polygon WLR,LLC Furl AI> s c 514.18 for first four.54.03 Tor tarp addiheinat Contact name:a i00Ire, 1 t+ Furnace.etc. I Address:109 East 13th Street Oat beat pump Wallisuspcnded/unit heater City/State/ZIP;Vancouver,WA 98660 water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace 1 Range 8-rraail t, 1 1 111 0, el' LI, ,i, A Aim #Si Barbecue maws ''. ; ry,: 1 q 9.. f f •� 3 h9':t . .. f Y ,n L14ta1M.de er�as) .f,,,,-,_--7f..,.;:',.::-.7:' �� � .. ,.. -. .c,. J—.-: ,. ,...a:- .� .. 1. 'sir.. Business naive:Apex Air LLC Ohm: Pt , Address:180(4 NE 72"Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permil.fee($90.00} Plan review(25%ofpermit fee) Slate su Phone:(360)342-8109 I Fax:(360)326-1769 surcharge(1..%�e of permit foe) CCB tic.:203034 TOTAL PERMIT FEE - This permit application expires ire permit is not obtained within 1110 days atter it has been accepted as complete. Authorized signature. *' Fee mcahodoingq'set by T .Cnonty tlmlding industry Service Hoard _ IPrint name. (ex, •( Rate: •/?•/C� �� rvfiidegttro=ittWIEC_Pes,itAiq,otot r1 aflc 41046 En(t s ummi wIn) . Electrical Permit Applicat ' FOROFFaCi.t:SE ONl.? City of Tigard apt i�' b 2017rziffsztagosna Received Date/i3 . -•. 13125 SW Halt Blvd.,Tigard,DR 9722'3' ,� , ... PlutFevidv+ •._.. Phone: 503.7182439 Fax 503.Stializ.ry OF"�'b� >� . - Ir,,;tn Inspection Line: 503.639.4175 l..rt? I ( ReedyDntdgyNam la See Page 2for s lnremex NRYw.tlgsrd-or.gov BUILDI � 1 ° Kfatifiedt sslwd: 3apPkmental Information ;7:- Il 1 1 N s 11 jrt:.��.. __ v x:,'35 .^v,. M ie 1 . C#4T.,.Hryx`We?. 7 `1 Y3 Y:. ''-+-;75L-. `1 i ser 14 New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets ofplaas w/items checked): ❑Demolition ❑Other: 0 Service or feeder 400 amps or mors 0 Building over three stories. where The available fault curroat D Marinas sad boatyards. , zx icer` ;1,:10_:t s:i,V,70, .Z,. 6 6'... ,x[;-1 f(ate•:•, 5 fi rexceeds 10,000 amp s at 150 volts or ❑Floating buildings. ®1-and 2-family dwelling ❑Commercial/iridtistriai 0 Accessory building Ism to ground,or exceeds 14,000 D commercial-use atrioulturat • ❑Multi-family 0 Master builder 0 Other: t for all aha installations. buildings. � s c�:x•--� :�'s+ � � ❑Fite pump. Cl Installation of i 50 KVA or 'v i4 a i i-r"Lt o l e:1"s Y x p_.'"etc- 4(0 t r t'' . :r �,r s, D Emergency system• larger derived Job#: lob site address:' 3/ SA) I rest /I 1/11 a 1 __ D edition ofoewmaorload of system. L I`fI VV/ t�r+v 10011P„mom. City/State/ZIP:Tigard,01197224 0 six or more residentiel unite. occupancy. ((���` 01lsatfh-care facilities. D Recreational vehicleparks. Suite/bldg./apt apt.#: l Project name:KJV{rTt mace 140(1!V�*-IL C3 B' OtB tncations. ° °ra t an D Service or Sander 60D amps or mom 600 oils nominal Cross street/directions to job site: 14 .;.g hwicttoa QV. Bad Total . n New residential single-or multi-family dwelling unit. Subdivision:i`1 ie N + Lot#/Cl/ Include attachedt.or easgarage. 4 Tax map/parcel#: ILI 168.54 .ft. 33.92 above with . th i_.C 05:‘-t4,, •< ',As,)A -i( . '' - '4',-;-: Ea ares dr polportion1 (rr) 17— 1030 Lirnited energy,residential ( th aqfNI t. " 2 Limited energy,muiti-farrtily residential(with above sq.ft) 75.00rii 2 ro< �cp',a t rr �:,ti em, RenewableEn ■ - .)a 1_t '._w agil-0 " . -'`' Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 • 401 antlers to 600 amps 200.34 2 City/Stara/ZIP:Scottsdale,AZ 85258 607 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 .._ ._-,:r_.. ___ .. .Fax:(..._ ). ...-,,..... . .y -- Over 1,1100 amps or volts 552.26 , 2 Email: Temporary services or feeders installation,altercation,and/or • - relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. • 201 amps to 400 amps 125.08 2 Owner signature: Date: • 401 amps to 599 amps 168.54 2 ; ` �7 3,�f' '1.. ELS :',Z k '` L'Jho oi,,If t,e t51 :i;).ani ., ';f Branch circuits-new aiterafon or extension, r an '`,.%.:-.--;-:''....--:, •`; � A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 42 all 2 : Contact name.Wit VI&Ill w B.Fee for brand circuits without service or feeder fee,first Address:109 est 13th Street branch circuit56.18 2 City/State/ZIP:Vancouver,WA 98660 Bach add')branch circuit 7.42 2 Phone:(360)695-7700 ' Fax::(360)693-4442 (service or ular feeder not included)62 i 7,84 Email 4 dReco int,service and/or feeder i♦ 1 ► ►• !i , f ^:IA. ., ►.� i 7.s a Recotmt ct only 2 w ?o1�'i F ? G} ,.."--,^-,,- pub or Irrigation circle 2 Business name:Garner Electric Washington,LLC ' Signor outline lighting 67.84 2 `w= Signal circuit(s)or limited energy Address:610119E St Johns Ltd Pani alteration,or extension. 0 SeePage2 2 City/StaterZ>P:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66225/hr Phone:(253)320-1657 I Fax:( ) Investigation(1 hrmda) 90.00/hr Email:bdaniels@gweusa.com Industrial plant(1 lvmin) 78.18/hr j Iris ons for which no fee is CCB Lics: 01158 . I Electrical Lie.: 208174 Suprv.Lica: 4496$ • m listed A hr m 90 00/hr Y eke.,�-`'S �_ . " .P+�SiT.Jr�li ertNt- ,'N'x'• „ n'4.F`.: Suprv.Electrician signature,required: ,j�_y a'� •.1..' Subtotal: _.. 1_ Print name: Joan P Albert Date: 4/26/2016 D Plan Review Required(2596 of permit fee): .'•:;•;!.. e" - Stele surcharge(12%of permit fee): ail+, Authorized signature: � � � TOTAL PERMIT FELE: '•':c\= This permit application expires ifs permit is net obtained within 180 ='°`•:•t Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. - 4:::;111{,„ ' Ifuniber of Inspections allowed per permit. • :4,,,i,:; :addingutimisMat Pernimpp Mk EE.doe Rae 06/17/2015 4404615111l esaxdA Es .,-kf.,..,,:c . Plumbing Permit AQpli t Building Fixtures ,� 2011IIIIIMIIIIMIIIIIIMIIIIMIMIIE ._ City of Tigard gviF�. p«mit NaiC?/7�G �Z) G� •. 13125 SW Hall Blvd.,Tigard,OR • Phone: 503.738 439 Fax 50 '�: )F TtGARD t4anRtview OtherFitnnitNo.: Inspection Line: 503.639.4375 �1�f.�1��' Ready/By: huiE; H tieePage2for Internet: uywuv.tird or.gOv Notified/Method:Bcd/Metbod SLpFienaatat Information For special btformolien use checkliat 0 New construction ©Demolifwn Description I Qty. I Eu. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft,for each utility connection) .CATEGORY OF C':QNSTR[3C37<OTl' ; . . SFR(l)bath 312.70 Commercial/industrial SFR(2)bath 437.78 ' ®1-and 2-family dwelling 0 SFR(3)bath \ 500.32 El Acqessory,building ❑Mrhl-family Each additional bath/kitchen 25.02 o Master builder , 0 Other: Fire sprinkler(_sq.ft.) Page 2 • ,. •: ' "JOB site address f V �SITE INFORMATION AND•LOCATION Site utilities: f l 3 l! s, _j res+ ' l I IM!(a, Catch basin or area drain 18.76 Drywall,leach line,or trend:drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_J Page 2 Suitdbtdg./apt.no.: 1 Project name:gtI V leante NOttitUe C{- Manufaeturedhome utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 r Sanitary sewer(no.linear ft.:__) Page 2 Storm sewer(no.linear ft: I Page 2 I Water service(no. .linear ft.: ) Page 2 Subdivisio :P + nr �( i .J7nk La nFixture or item:Bacidlow prevent= . 27 Tax map/parvel no.: • DESCRWIION OF WORK- Backwater valve S 12 51 .. awns washer 25.02 -4•.11.45124-1-1-7-01Z0_.._ - DisMvashtd - 2502 Drinking fnunraun 25.02 Ejectors/sump25.02 ®xltorEFry pivivER © I Expansion tarot 12.51 Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Read Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 55258 Hose bib 25.02 Phone:(602)694.4031 I Fax:( ) ace maker 12.51 -. ®.APPUCANr - ' 0 CoNFACT PERSON Interceptor/grease trap 25.Page Medical gas(value ) Business name:William Lyon Somers,Inc Primer 12.51 Contact name: NiciAte, t+1Roof drain(commercial) 12.51 Address:109 East 13th Street U Y Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/sbowerlsbowerpan 12.51 Urinal 25.02 E- ail OJLiry/ ry v� ntAnnc?,f1' n Water closet 25.02 �-_-. Water heater 37.52 Business name:Mahnedal Enterprise 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 fec: $72.50 Plan review (25%of permit fee) CCB Lie:102535 Plumbing Lie.no.:34-276PB State surcharge(12%of permit fee) • /+ Authorized signature: [ : TOTAL PERMIT FEE Date:04/25/2016 This pcnuh application expires if a permft is not obtained within 180 days Print name:Carolina Malmedalatter it hes been accepted as complete- *Fee methodology set by Tri-County Building - Industry Service Board. I:18adurglPennits\PLMU.Pa aitAppdoe 10101/09 440A616T(10W2/COMIWEE) IMINIONIMIO Ilk I City of Tigard 1111 q COMMUNITY DEVELOPMENT DEPARTMENT 1 TGA-RD Building Permit Review — Residential Building Permit #: .44S TAO/?-0()230 Site Address: 1 N5 SvcTTA-CS-k- \--kaD N s-tr -F Project Name: ?Aver T-Priacee Nor li 1N -j- Lot #: \14=1 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Neve WV—. 7 /w ,--deo/` -eleck ev-hO coviof' Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No 1Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan Existing structures on site JRtSite plan must be on 8-1/2"x 11"or 11 x 17"paper g Footprint of new structure(including decks)with finished 'brawn to scale(standard architect or engineer scale) floor elevations ,(North arrow VUtility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number q4Location of wells/septic systems .(Applicant information(name and phone number) \OPExisting trees to be retained with drip line,and tree 'Lot dimensions and building setback dimensions protection measures Lot 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 ,Property corner elevations(2 foot contour lines if more than 4 foot differential) li' Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No VI Public Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified NO No Applied For: ❑ Yes ❑ No,stop intake gi Land Use Case#: P '2-0\ --- 5 IS Z5oning: R`12 ( P1)) Required Setbacks: Front Rear co Side 3 Street Side Nf, Garage Zo Landscape Requirement: ?�'C� % Cad- pnvak Lot Coverage Maximum: SD % -1-vit_c4- Building Height: Maximum Height uv/j- Actual Height *29 ''Visual Clearance gEasements VSensitive Lands: ❑ Yes 4 No Type 1g Urban Forestry Plan Z Conditio s "Met"prior to issuance of building permit Notes: \1 MIA IttioS Sb YA 1,1 ° rcL Prlo{-to l SSL.Acka 4 . Approved By Planning: jt;_k A 10'4 Date: \ l2\ 17 Revisions (after B ilding Submittal '■� ly) Reviewer�/.� ate El 1: Approved Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES 091216.docx w Building Permit Submittal Original Submittal Date: IA f)c'f f'.. Site Plans: # 3 Building Plans: # 3 Building Permit#: '- nter building permit#above. Workflow Routing: Planning Engineering Lermit Coordinator Building Workflow Sign-off: n"Sign-off for Planning(include notes from planning review) Route Application Documents: 21 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: 4A ./By Permit Technician: ,, ;L,t. ./i,. ....)2"....iDate: . , Engineering Review Slope at building pad: __..... ("Conditions "Met"prior to issuance of building permit 40.1:1 ❑ Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes Cl No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 4 .J Date: /.7.75.17 Revisions (after Building Submittal only) R wgr Date '7 Revision 1: AApproved CI Not Approved p .- Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: Date: /A 02i ?-- 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: 7Yes ❑ N/A Tigard Trans SDC: .5,Yes ❑ N/A Parks SDC: Yes ❑ N/A ►;;l/K to Issue Permit Approved by Permit Coordinator: / Date: r 6. -- I:\Building\Forms\BldgPermitRvw REs 091216.docx R • City of Tigard 11111 1 COMMUNITY DEVELOPMENT DEPARTMENT T I G A RD River Terrace Building Permit Review Addendum Building Permit #: Site Address: 11315 5 -Thr-es+ t&o11ov•J S-tre-f- Proj ect Name: 2- Je r Te Mc ' YKNe s1-- Lot #: \49 (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?IkYes ❑ 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 Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide k ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: t2-°/o 3. Entrances:At least one entrance must meet both of the following standards: VI AMax. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: IX Yes ❑ No If yes,all the following apply: '25 sq.ft. min. 121 One street facing entry 1812 ft.max.roof above floor of porch g-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 façades: Covered 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 ❑ Dormer min. 4 ft.wide P 'oof eave min. 12 inch projection ., Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood XiGable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade Window 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. Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade 0%max. of street facade with 7 detailed design elements Notes: Approved By Planning: 7 ( V J 6k Date: 1 I:\Building\Forms\BIdgPermitRvw_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 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 APR 3 2017 FROM: Angela Grajewski CITY OF TIGARD BUILDING DIVISION COMPANY: Polygon Northwest PHONE: 971-212-2144 By: RE: 17315 SW Forest Hollow St MST2017-00030 (Site Address) (Permit Number) River Terrace Northwest Lot 149 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: ,' opies: escriphpn crip Il�ol 0 Additional set(s) of plans. 3 Revisions: tterk g479;08 cGvr."1 0 Cross section(s) and details. 0 Wall bracing and/ok 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*ek.due to terrain paipo /Four Routed to Permit Technician: Date: . - Initials: Fees Due: ' Yes ❑No Fee Description: Amount Due: kir P) C,n reV ic,W $ $ $ Special Instructions: Reprint Permit(per PE): ® Yes ❑No IN Done Applicant Notified: ate: Innitials: 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: 17315 SW FOREST HOLLOW ST, BEAVERTON, October 25, 2017 at OR, 97007 10:05:58 AM Record Type: Record ID: Residential - Master Permit MST2017-00030 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17315 SW FOREST HOLLOW ST, BEAVERTON, October 25, 2017 at OR, 97007 10:04:38 AM Record Type: Record ID: Residential - Master Permit MST2017-00030 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 45 psi. Violation Summary: Inspector Contractor