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Permit
ipli44 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00031 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/10/2017 Parcel: 2S106DB15000 Jurisdiction: Tigard Site address: 17303 SW FOREST HOLLOW ST Subdivision: RIVER TERRACE NORTHWEST Lot: 150 Project: River Terrace Northwest, Lot 150 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $256,492.18 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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 Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Moos: 1 Other Units: 0 Furn<100K: 1 Vents: 0 r000stoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service der Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-)@u amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'500 sf: 3 .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 2078 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Fire Rated Eaves-Both STE 1 Sides SCOTTSDALE,AZ 85258 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 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. 1 � _ Issued By: - Permittee Signature: /�� ��je �l 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. 1_ 0, T / S-D I , (Building Permit Application : ', � a i OR OFFICE 1 SE O\1.1 y d 7Permit 1%1°, 4i776,2-e2 City of Tigard Dateive i f /7 r7 UUl�3, iii " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review . —fri Other Permit. � ��- •• I Phone: 503.718.2439 Fax: 503.598.1960 �i '1j' •� Y �-N RA JuliE ® See Page 2 for Inspection Line: 503.639.4175 ate Ready/By:T 1 C: } I) p g P f F I Ufied/Method: /7 Supplemental Information Internet www.tagardorgovUIJ1 �S M5 �. construction Permit fees*are based on the value of the work performed. tgl New ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the `t 7, , !'"'' 1 • „ E i rr work indica on this application. r , , m ''',;„f,-.> ° g , � ,�, ..' ,,,,t.,,,:',4": Valuation: ap ‘ ty g a li ® 1-and 2-family dwelling 0 Commercial/industrial JI Number of bedrooms: o Accessory building 0 Multi-family Other' Number of bathrooms: o Master builder 'L d l-}S $ �- ����: Total number of floors: (`J:• `E '',.------,1-61-,• � i at,a t ... square feet r s._ ".e..e« .....d..._�. . .w.�...W. _ x.��._....w.�..r..... �" ..etw�.:._�.� .�n.'s ems (� New dwelling area: LO Job site address: \ �1 t(� — � City/State/ZIP:Tigard,OR 97224 Garage/carport area: 31613 square feet Suite/bldg./apt no.: Project name:1�,; .Gr�' OW Covered porch area:12)1D square feet I j 30 Cross street/directions to job site: Deck area: square feet 9 it 8 c.v._ Other structure area: ) square feet t'' a p: t Vie.i ti 8 Subdivision: Lot no.: ) Permit fees*are based on the value of the work performed. U • Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the 7 j - work indicated on this application. €Aar Valuation: $ Existing building area: square feet New building area: square feet ��-_ ,, , , - 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: _* ;�$, 4 ,. -: ---.: axi I t i t E " ' 'V Ott a ,...,- Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) E-mail:Angela.Gralewslu@polygonhomes.com Commercial and residential prescriptive installation of fiN� E ' h l� - 1 roof-top mounted PhotoVoltaic Solar Panel System. - Submit two(2)sets of roof plan with connection details Business name:William Lyon Homes,Inc and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review City/State/ZIP:Vancouver WA 98660 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): CCB lic.:207247Total fee due upon application: This permit application expires if a permit is not obtained Authorized signature: R In(15 „ i Lv, within.180 days after it has been accepted as complete. VI 1 1" l I *Fee methodology set by Tri-County Building Industry IPrint name: _ l Date: Service Board. I:\Building\Permits\BUP-RESPemtitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . Mechanical Permit Applic ''''''' —11-.'" ME-LEIN/Et : toR 011111 1 s•1 11\1 1 •City of Tigard Reeeiyed remit Ma:. 13125 SW Hall Blvd-,Tigant,OR 97223k it AV b zo 17 ma Review - ' ir;• Phone: 503.718.2439 Far: 503.598.190P' .. . - ' -- •Daierii,:-.-•.-.-.,......• .. 011141 Vomit. , . . _ • Inspection Line: 503.639.4175 /um lil See Page 2 for 'Internet www.tigard-or.gor Supplemental information ,•,..7... , , I . ........,. ...,.,, .‘ --....,..- ,,,7",:, ,,4,;•.;- ,,, ,..i....., ,$),...,:-.1..; 1::re).-,0,:'I.•i 44 F se, ,;,,•• .....d I.:Le i'i P+4-- t t• .0 P••;e 01''.• ',1 •"'•.t• 1,..,'',..:•:',;:!i;vr'e:,',.";;"1"', .',..7:,ni:?..t.''''Ii5,:'.-t•':';.4';''.•/.1,.„..,i' '''');,^.6..k4*,.5::ii';;.r.,g'",,,,-,7•,,,•,,,IL-ata::-.•i--,„%,-,4,7,.. ' '^- '"'"‘'' -'-' ''''''''''• e ''' -•• '..-",','"' "---,•.— .,' BUILDING DM l',,t ."..kiter , ' - '. -- '- •• -- — P--- —-- -- - '.- - -' Machartical permit fees*arc based on the value of the work 1E1 New constniction 0 Additiortialterationfreplacement performed.Indicate the value(rounded to the nearest dollar)of all El Demolition 0 Other: mechanical materials.equipment,labor.overhaul-and mord. .. .,..,-. .,,,4,:-..,,,,,... .1.,-,;•,-4,..•?i•--7-4. ---,•.s.,.•,•.•',:.”. - -'o'....;.— '-'1—:-', ,,,',..*•4-;4....''':kl*''''"A -.'. ...::--4 4,..,,,..,--,,,,..4:.,7,,,, ,..i...44,.,..t?'„,......„,,..:.._,9.,,,Kc.,,!.,,..„.,- ,..,.11.,:144, ,:t...E.--1. ,.4,1V.,:;;I:,*.'44.A..."•'.''':''1%7, ., ,•;;I:•,41;7:::,."4:,..,,w.,1.4 ,,/ .''''.i'.,Kilffi?,,i.i-A4.,-•:4-- ;,::;z..:'.>ii::::"Zfg 9,I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For:pedal Information MSC Cfleartit 1 Muld-family 0 Master builder 0 Other: Description Qty. 1 Ea. 1 Total 1,..,..;::%Y.-z-121,-z.;..-•:......r,:- ;..-if,i','-,?... ;,-,.-.7.-.21.,:.;,..-;.....i-.,--...., c.--.17.„„3.i,iii..;,-,,,,,7,1",,,,,,z....;:-..,c;4.1,1r4I.,,„1 .^...,',. Heat1arlepOling3 .5.t..--1•.'A.,..k.', zi.,./.-1.:,••••,,. --- - '--- Air ounditiomnk 46.75 Job site oddress:/7 03 SW For , ir pi'miff- Furnace 100.000 BTU(ductslYisus1 I 46.75 City/SteadZIP:Tigard,OR 97224 Furnace 100.000+BTU tdurisiyemrl , 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: RIAtrielTACt Obf-thvJes+- Duct work 23.32. Cross street/directions to job site: llydronie lust water system _ 23.32 Residential boiler(radiator or hydronie) 23.32 Unit heaters(fuel-type,ma electric), in-wall in-duet.suspended.etc. 46.75 , Fluekcnt for:me of above 1. 23.32 rs• , 4- Stib4ivisi°n;11-1VeX 1 efraCt, 14(4)(Akviks I- I Lot no.:/SD Other: Other fitel appliances: - 23.32 , Tax map/parcel no.: Water heater 23.32 .-''q.T.,,.:.",,•','-.-5.-,'•;4.:;,:;.f2.4',";?.':','•'„ 15i-'f,,'r;:: i':)..7%;',,Y,:.t t.;.. . .,•;1:7,,,,;-', ,••?:-.((1.1,tN,N'. Gas fireta4firrr n15411 h 1 33,39 11451.1411 —00_151 re: water cater or gas 2332 Log lighter(gas) 23.32 Wood/pellet stove. 33.39 Wood firtatlacclinsert • : '-'• 2332 Chitin 2332 ''"''''-` - ''''"-:'-'4'14'$----'- '''',.Y.I :..,- ...-...,,,..i.,-Tc ';.,„,,...;7,,,, s;.,, „.,•,,,i-.1,.,,. Other, 23.32 •''''' 'S...-1.-::7•-r''',.'„!.:•.,:".,•/,'-e';;''r,,,A,SI.V.'41:5,',11,-2..efif, 4.=',-4..?,,,---.,,,q,,-,,,f e-',..e-.A'-''',!... k,fl v1,-tz"----1..z"-.-',-,,s Ti..C.`• Environmental exhaust„d venal:taw , - Name;Polygon WU',1.1.0 Range hood/other kitchen 1 equipment 33.39 Address:109 East Le Slicer Clothes dryer exhaust I .13,39 CityiStateiZIP:Vancouver,WA 98660 Single-dnet exhaust(bathrooms, toilet compartments.,utility moms) Lt 23.32 Phone:(360)69S-7700 Fax:( ) Atticicrawlspaet fans 33.32 . .T` ''•‘t;11::-.1•••, ..T.P:L-V'..'.0414.,; -;-7,'-' 14-,I'v-'4, ik rtfifrol,f,r4 ; 1--Talv-1--,.--tp.1.1.4-i,4 Other 23.32 • Fuel piping: Business minim Polygon WLR,[LC $14.15 tor first four;$4.03 tor each additirinal Contactn ...... eq.Can'te I.e. Furnace.ate. Gas pump Address:109 East 13th Street heat Wall/suspended/unit heater City/State/ZIP:Vaneotreer,WA 98660 Water heater Phone:(360)695-7700 I Fax::(3(s0)693-4442 Fireplace II . Range E-mail 1,1 k . i A I, 0, r . AL ,,,,, 1 4 A ):11, i a Barbecue .::7•;;;;:i":±7'...-":2''''-''..:, .Z:..."‘"•:'''_..!:-:-17 -:.'-'4.:±;.:4:-;:',;:;',rZi:rni,;.5Z-ggiA:gfr;Falt7;-"Z't3.:'LZ.7.3:::,EZ:71'.7. :(3001m dry"(g") Business OREM:Apex Air LIC Other: '-`4•*•." -,: "' F` '.i.? );-.-,i.-.)::j5-'5iV L:,..0,.4..,:,-,...q Address:18004 NE 72"4 Ave Subtotal City/State/ZIP:Vancouver,WA 98686 114ininwin permit fee(590.00) ' Pfau review(25%of permit fee) Phone:(360)3424109 Fax:(360)326.1769 Stale surcharge(12%of permit fee) CCB lk.:203034 / TOTAL PER841T FEE 1 This permit application expires ire permit knot obtained within tan days whet-It has beta accepted as complete. Authorized signature: • Fee methodology set by Tri.ceuray Building industry Service Dowd _ Print nanterTrT"‘ •1 Date: ,of•11./C..... tinuildirtrrectrettV4EC jemiitApp NM 13 doc 40-V1;n rtnnaleown'Fin Electrical � t Permit AppliesE r(ilz OFFICE€isr oNlA- Cl '17f Tigalyd1 r `°d Permit 0: 13125 SW Hall Blvd.;.Tigard,OR 9722 f`1r. sl - Pian Review •.. . _.::.. .. I "Phone: 503.7182439 FaX 503.598.1960 latedPermit 0: Inspection Lille: 503.639.4175 �� OF ,,l 1P Reedy Date//3y: hiiim at See Page z for TtGII 1) �.l f ix II mod l fied/},lethod: Supplemental Information Intetnek www tinsel-or gov 2r 1�, a°4 n, _ —' �:. c t-i..M r ' ,Xt.. :7: �'..- Y M l' -04.A Lt i^ : -; '. �-TY.y �. ,� r"f�n�,,��N} -�.n�t�.}a z@�.�,, a; <Sx -'�-... � ..,.�3� „s „cel•' ,_ .i'aF�r: ir'v �.a?,,;� ".ska i_�.: ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans Wilms checked) 0 Service or feeder 400 amps or snore 0 Building over throe strides. 0 Demolition D Other: where the available feels emrent O minas and boatyards. 4...--,„„::W,:::5: •y;;y F z.t, ;, o,1:?1.CA.i.,74.Ey,a ,1:0*, :.i ..::" -yR„. ' ., exceeds 10,000 amps at 150 volts or a Floeuus buildings. ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building toes to ground,or exceeds IOW ❑Commercial-use agricultural amps for all other installations. buildings.• ❑Multi-family - 0 Master builder 0 Other: OFire pump. ©Instalation of 150 KVA or 'f3x!c .wf: sl; s ''` 41it g..-'741:65"&',1-41,,I,: fZ4,7 k V ;rf -A'Mk OF.mer> Y*Yaw'. largerseparaelyderived "�t 0 Addition of new motor bad of system. Job#: I Job site address:f 13t SV V 1 1ST' 13 i 10011P or more 0 Six or more residential units. ocuupam. City/State/ZW:Tigard,OR 97224 f� C3Itealth-one facilities. CI Recreational vehicle parks, Suite/bldg./apt#: [Project name:Q.IVt rl f riaCe itVJK S'f- O E loci"'",, C7 supply vohagn ser mom than I O Servix or feeder 600 amps or amore. 600 voles enmioaL Cross street/directions to job site: '''` 1s F t, !',;a d;1'~, `- o'zl,i ,'M:' ” '`1 Descrietiem Qty. Bach Tot . New residential single-or molts-family dwelling unit. Subdivision:R. rretract j�O4,t les Lot#:'SD Includes attached garage 1,000 sq.R.orless 1 I68.54 4 Tax man/parcel# Ea.add'1500 sq.it.or portion 3392 1 A Limited energy.residential 75.00 2 5TuP 7 .O n 31 (with abovesq.tl.) Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy El See Page 2 r, _ 5„ a..a fi r ,.;D:T," .. :'"4' ,.x" 1> au<Y1)-1: 1: . Y Plumbing Permit Annlica a t . �/ nq Building Fixtures "MAI•... b 2017 I crit 011 It I I 'I O.i 1 . City of Tigard Y l3F TIGARD al PamitNo.; 13125 SW Hall Blvd,Tigard,OR Other p�No: M Phone: 503.718.2439 Fax: 50 INN DIVISIO' 'Phai 3 waw Inspection Line: 503.639.4175 Date Ready/By: Juds: Eli See Page 2 for Internet www.tigwd-or.gov Notified/Method: Supplemental laformetion New 0Demolition Formula!Woma n,*use check�SL ® Description I Qty. I Ea, 1 Total ❑Addition/alteration/replacement 0 Other: New 1-2-f1mlly dwellings(includes 100 8.for each utility connection) ..:.:',:,‘:••••-,.�: '. •`. •.CATEGORY•OF C819S[R1JC';E'ION' • 'SFR(1)bath 312.70 SFR(2)bath 437.78 ' ®1-and 2-family dwelling 0 CommerciaV,ndustrlal • SFR(2)bath , 50032 ❑Accessory building 0 Mull-family Each additional bath/Jdtchen 25.02 ❑Master builder ❑Other Fire sprinkler(..-_sq.ft.) Page 2 .. • ' JOB Srr INFORMATIONAND'UICATION Site utilities: Job site te address: T`j• • 1-B_+ SW ji C5 f !L hIt Ai� Catch basin or area drain 18.76 ��( ll Armen,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224oject , -( . Footing drain(no.linear ft.: ) Page 2 I Sulte/bldgJapt.no.: 1 Prname:P'( r (cm) Nar' S'- 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 Storm sewer(no.linear ft.: I Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:1244 1 i. . JM'i,1 AJ . �k' i Lot uo.:.2 Fixture or item: Backflow 3127 Tax map/parcel no: Backwater valve 12.51 '��DERn 1'1ON OF WQRK. , • Clothes washer 25.02 :..--• f V i. {w Dishwasher.., ,..,,:-_,....r. _ :„- _•.; 25.02 • _..... _ _. Drinking fountain 25.02 Ejectors/sump 25.02 1 TENANT Expansion tank 12.51 ®" R01 OWIQER I Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sink/huh 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/LW:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694.4031 I Fax:( ) Ice maker 12.51 0 CONjf'ACr'PERSON I�cep8T�trap 25.02 e:. .APP){:ICANT Medical gas(value:S ) Page 2 Business name:Wiliam Lyon Homes,Inc Prhner 12.51 Contact name: 11 p rArt 1•110(VL, Roof drain(commercial) 12.5I Address:109 East 13th Street V, P' Sink/basin/lavatory 25.02 City/State/ZIP.:Vancouver,WA 98660 Solar units(potable water) 62.54 Fax::(360)693-4442 Tub/shower/shower pan 12.51 Phone:(360)695-7700 Email hOtc �A �Jnia�a a (aj . Jttel Water closet 25.02 25.02 Water heater 37.52 • Business name:Malmedal Enterprises Inc. Water piping/DWV 5629 Address;PO Box 207 Other 25.02 Subtotal City/State/ZIP:Banks,OR 97106 Minimum permit fee $7250 Phone:(503)324-0759 Fax:(503-)324-0580 Plan review(25%of permit fee) CCB Lie.:102535 "Plumbing Lie.no.:34-276113 State surcharge(12%ofpermit fee) Authorized signature: C.. - (..2 :t•- TOTAL PERMIT FEE This permit application expires if a permit Is not obtained within ISO days Print Warne Carolina Malmedal Date:f14/L5/2t116 atter it bas been accepted as complete. apex methodology set by Tri•County Building Industry Service Board• L•a e1PLMU•PenniiAppdoe 10/01N9 440-4616TtI0.01/COM/WEB) t INCity of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ Building Permit Review — Residential TIGARD Building Permit #: MS M0 ( ?--- cW 3 Site Address: 1-1303 SW =roccs+ tiolltovJ Y t' Project Name: p-AN/c(T-errace Nf or v'l. c t Lot #: 150 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review 4,- -Aril 1\1f 1Al lS - * �>yY r- — pc74'2 Carre 1 Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ No X-Yes,See River Terrace Review Addendum Attached Site Plan Elements: grhree(3)copies of site plan Wxisting structures on site Site plan must bs.on 8-1/2"x 11"or 11 x 17"paper footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations forth arrow .Utility locations(required for new,may apply for additions) _Ntite address,project or subdivision name and lot number Location of wells/septic systems 'Applicant information(name and phone number) 'fisting trees to be retained with drip line,and tree :a .et dimensions and building setback dimensions protection measures U of area,building coverage area,percentage of coverage and ,treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) >CCtreet names ,Property corner elevations(2 foot contour lines if more than 4 foot differential) V Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified VX No Applied For: ❑ Yes D No,stop intake g Land Use Case#: PDQ2as—ODD C S • Zoning: Q-12 CP D_) . Required Setbacks: Front S. Rear Ip Side 3 Street Side A Garage ') R Landscape Requirement: 20 % N/A- Lot Coverage Maximum: g� N Building Height: Maximum Height n1/A Actual Height*2.T} X Visual Clearance RI Easements Sensitive Lands: ❑ Yes iL No Type T .Urban Forestry Plan VI. Conditions "Met"prior to issuance of building permit Notes: X11 Cor eh-I1 ons S YyAl1 Ice Md`p n r 1'o Issue 'C1z, Approved By Planning: /�1.AI.,i ' Date: 1 Iz-. (1 , Revisions (after B ilding Submittalonly) Reviewer ate Revision 1: Approved CI Not Approved Revision 2: CIApproved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_091216.docx 5 Building Permit Submittal Original Submittal Date: /a 41i 4 Site Plans: ## I Building Plans: ## Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering gtsPermit Coordinator $uilding Workflow Sign-off: Sign-off for Panning(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: ByPermit Technician: • /� .��_ ,` L .. 1� Date: [ .. h 7 / Engineering Review Slope at buitegera :onditionsprior to issuance of building permit ,f1 .7--,etiz/ 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 ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: fZ JI Date: / 3f 7 Revisions (after Building Submittal only) Reviewer _ Date Revision 1: Approved ❑ Not Approved ,1 1f�,,, /,+ Revision 2: Approved ❑ Not Approved T Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit pproved,NOT Released: el1Date: 1730/)q---- Revisions � )r 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: C Fees Entered: Wash Co Trans Dev Tax: 6.."1111es ElN/A (NODTigard Trans SDC: es ❑ N/A Parks SDC: es ❑ N/A OK to Issue Permit / / ?Approved by Permit Coordinator: 4/07-Date: I:\Building\Forms\BldgPernutRvw REs 091216.docx A City of Tigard IIa COMMUNITY DEVELOPMENT DEPARTMENT River Terrace Building Permit Review Addendum TIGARD ,w: Building Permit #: Site Address: 11303 a -tunes+ t \ i J ' Project Name: g\\iCr Ter racy 1\101-n WtSt Lot #: 150 (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?XLYes ❑ 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 Vertical Wall Offset a Gabled dormer Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide g Cl ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 3%) ) 3. Entrances:At least one entrance must meet both of the following standards: Parallel to street,angle no more than 45° from street, ,k-Max. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch: "I'es ❑ No If yes,all the following apply: ''25 sq.ft. min. One street facing entry ,K12 ft.max.roof above floor of porch -5 ft. depth min. .K.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 -Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide XRoof cave min. 12 inch projection gRoof offset min. of 2 ft. ❑ Roof shingles either tile or wood .Gable,hip or gambrel roof design El Roof pitch oriented south min. 500 sq. ft. IRHorizontal lap siding min. 3-7 inches wide El Accent siding min.40%of street facade indow trim min. 2'/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 Cl 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 El 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 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: Date: L ('_ii r7 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 I ' " Transmittal Letter IN :(-,,\p I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DATE Ii4EELE� �V DEPT: BUILDING DIVISION G E_ APR 3 2017 FROM: Angela Grajewski CITY OF TIGARD BUILDING DIVISION COMPANY: Polygon Northwest PHONE: 971-212-2144 By. RE: 17303 SW Forest Hollow St MST2017-00031 (Site Address) (Permit Number) River Terrace Northwest Lot 150 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS y'# �w r. 0 Additional set(s)of plans. 3 Revisions: deck' p4fj`o a fe. Wall bracingand/or'lateral analysis. 0 Cross section(s) and details. 0 Y 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 pail O mower Routed to Permit Technician: Date: `72-7,j 7 7 iv Initials: Fees Due ❑ Yes ❑No Fee Description: Amount Due: /-...6,1s rL /)z,97..; / -Ce/ J $ 90. r1Z) sOzi— kka $ a E - A`yw 31 % $ 0 V x, eY -<4 _4 $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ 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: 17303 SW FOREST HOLLOW ST, BEAVERTON, November 20, 2017 at OR, 97007 12:48:51 PM Record Type: Record ID: Residential - Master Permit MST2017-00031 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Water pressure = 45 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17303 SW FOREST HOLLOW ST, BEAVERTON, November 28, 2017 at OR, 97007 10:40:11 AM Record Type: Record ID: Residential - Master Permit MST2017-00031 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17303 SW FOREST HOLLOW ST, BEAVERTON, November 15, 2017 at OR, 97007 11 :30:37 AM Record Type: Record ID: Residential - Master Permit MST2017-00031 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor