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Permit x r� CITY OF TIGARD MASTER PERMIT 111 I COMMUNITY DEVELOPMENT Permit#: MST2017-00103 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/08/2017 Parcel: 2S106DB15600 Jurisdiction: Tigard Site address: 13114 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 156 Project: River Terrace Northwest, Lot 156 Project Description: New SFA. Building/unit 1.5 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 321 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 646 sf Garage: 326 sf Front: 12 Smoke Dwelling Units: 1 Third: 637 sf Right: 0 Detectors: Yes Total: 1604 sf Value: $199,815.58 Rear: 5 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 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 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 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 add!500 sf: 2 201-400 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 SFA VB R-3 1604 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 STE 1 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $23,594.90 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. // Issued By: �1 3L — Permittee Signature: d� `o e-/ ' 7e2r- Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application - .: LOT /S 60- ' ' Residential FOR OFFICE l SE ONLY Cityof Tigard Received 3�/c / p�;t S7 /7 _e/eve G g DateBy 13125 SW Hall Blvd.,Tigard,OR 97223 - 0 pian Review �� Phone: 503.7182439 Fax 503.598.1960 1hte sy. 3x37..11;4411 ! .kJ °tba permit 4l �L' Inspection Line: 503.639.4175 Date Ready/By. jy/�� J • H See Page 2 for TIG.4 R D Notified/Method / Supplemental Information Internet www tigard-or gov ' ....:.t-*: !� - "1go -i,--47,4-;:p..-e-1 EF €1 e i • -_5--' "yfi` _ . f.— .! _:r_.if...,...--, ssu•— .--_, ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the G' # ) . s t E e:5 ..,,;:t..- -4.4=-,r7,.!-;41.,4_;:z Valuation: sated on this application.$ S k' di on: — 1-and 2-family dwelling 0 Commerciallmdustrial ❑Accessory building Multi-family Number of bedrooms: a. o Master builder 0 Other: Number of bathrooms: .:��-.�,��F a- g -£- ` Total number of floors: 0 -1 -~ �,,,5� >~ _5- _., �� Job site address: 13 1` � Newdwelling1 5 'hubs Yoh(' 1�frOkC� area: ! 6 0� square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 3 a 6 square feet 63-7 /Suite/bldgiapt_no.: I Project name:River Terrace Northwest Covered porch area: i 3 square feet 69,6 Cross street/directions to job site: D�var ,7 q 6 square feet '1 a) Other structure area: 9 6 square feet iy�-� yam+ ��w irt-.ks-±- �.-�->>. ' _STs __ + _ , _'=5 .. �__ . _ — Subdivision:River Terrace Northwest Lot no.: I 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 h T '2 f =- _ workm on this application. 7,= I , yn.�- 1,4m.....:, .--..„ ., r-0-.j-5-f- di Valuation: $ Existing building area: square feet New building area: square feet ��-� � Ci. .ti• F 't'�1 ���_y�_�_ ,*,-�Qif- Number of stones 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: 'i -=.ttla. s rrT .'i"`n-sw�^�-r-Ei}_" ..` r _ .. �,.. . c Zai,01 Y , ,_._.5-y-,--} �1 . Business name:Polygon WLR,LLC FT Structural plan review fee(or deposit): Contact name:Angela Grajewsld 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:( ) W."--.:, ng_ _ E-mail Angela.Grajewski®polygonhomes com _ ` .- :T!`. .--;,-,-. ..- = . ..---;‘!--_v---tCommercial residential prescriptive installation o f ' i " � i _"° e4j k " ::l4 ; _._ T y roof-top p mounted PhotoVoltaic 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 $180.00 and administrative fees): "--me:(360)695-7700 Fax(360)6934442 State surcharge(12%of permit fee): $21.60 __.B lis.:207247 (......."4,6( . Total fee due upon application: $201.60 Authorized signature: • This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: s2�1(I 1 T `Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicata ECEIVE® 1:012 OFFICE. U SE ONLY City of Tigard Received APR 17 2017 Date/By: PermitNo/1 ..260/7_.e19/03 711 't 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review C Phone: 503.7182439 Fax: 503,598.1960 CIN OF TIGARD Date/BY' OtlrerPermit: TIGARI3 . Inspection Line: 503.639.4175BUILDING DIVISION DareReady/By: IN RI See Page 2for Internet: www.tigard-or.gov Notifted/pMetbod: Supplemental Information d ;,.e : #*I'..:64:, F # os.t u "i 1 ,t sd c V C :W,77,..s,.a .y4' 4- G��I°; i 7t tt.P'11,v 4Jj��� C_ t it I fl.� 'i t,;:t ^c o..�a,, t, t ^f., ~��--z rrj�,�„+ 'i4" �':�",'� }.�,''".�..: � .� �,n9 �t���S 5`''���" *'" 3t� �^'J7°�" :?t a`x .�,���r .rz.,f .. .�».,. , J`�A � xt_a-,.r: F?.,sa., �. �c.:."�; Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit ° . tj. Value $ itti 'f pr; , "fg.:.vr- u '� . c, n w t 1� ss r t:SJ '.1 " v'Ktfmoi, r s ilrr ._z � kx � ,,ah _Wim= tiw � � s � H.2_s Yf,d .. � .a l 'o :, P rt i --;: .7 � 4t _'". a. 'x"— : ,twW.3.. .7!",t vi�°4.Jl1,'R'-""t-,,, 11c2;*t a te7. ?:' -a . s4ritn,• ❑ I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist 13 Multi-family ❑Master builder ❑Other: Description [ Qty. I Be. I Total it ;cj 'w,'a�-.4' .t�:r.6. 'E'.itt'r tcilc-;;` t.fig•! i(,4,`r :n6Jr Enk�5 ?.,:'-il-4 ' `t f Tt"t, Heating/coaling: Air conditioning 46.75 Job site address: /3'// s w RU,her icvd"Tz yrarb Furnace I00,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat p p 61.06 Suite/bldy/aPt.no.: /. Y iProiect namegU(� /et�4JGL N S� Duct work 2332 Cross street/directions to job site: Hydronic hot water system 23.32 ' Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 1 23.32 Subdivision: E'JtY' I CIelretU 1 441WAI— I I.otno.:' Other her 23.32 �Y Other fuel appliances: Tax map/parcel no.: Water beater J 23.32 : his T wt, t 1 ` p.)JA`s r x I e, s. .7:-�° F] F ..-;.,,,:.7',3' 3': '. "- , t 7' Gas fireplace/fmsert r 33.39 .w_.,- 2..,.» . . i... :, ,,.,, , 4, . : .._ ..�,.�....,.._ s r ...,t.,..+ Flue vent for water heater or gas new home construction fireplace 23.32 Log lighter(gas) 23.32 — _ Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 --.,,c-',".",'„,,, 1yFt { • ti 4 t G a eI 23.32 a "' ,--;. - R '- . Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust I 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attic/cmwispace fans 23.32 .,f:_ ; >Mt.3-i t'); °.1. .k,..,s_..__., aix�?. _Ez t. :1.)J. -. r ';,;> r�17, hai..i ." Other: 2332 Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for first four;$4.03 forch additional Contact name:Angela Grajewski Furnace,etc. „II Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 ( Fax::(360)693-4442 Fireplace I Range t E-mail:Angela.Grajewski®polygonhomes.com • Barbecue b'1' a t'. vG t' . t ..7.','.r *t '� c'yr'•,t i : ..$, cx. Clothes (Sas) Other: Business name:Andersen Mechanical,Inc. , r , '. , a rt't f -1L ', �.; U Address:16285 SW 8S' Ave Subtotal City/State/ZIP:Tigard,OR 97224 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)992-6664 Fax:(503)536-6615 State surcharge(I2%of permit fee) CCB lie.:168214 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 ' days after it has been accepted as complete. Authorized signature: ��,. . * Fee methodology set by Tri-County Building Industry Service Board Print name:Nichole Thorpe Date:4/17/2017 UtSuiidingTermitAJ C PunnitApp 04o1r3.doc 440-4617T(11/07/COM/WEB) • Electrical Permit AppliAC E l V F D FOR OFFICE USU.oM.x City of Tigard Received Date/13 Permit ii-/`1S/v /2—CO/03..';, N13125 S W Hall B1vd.,Tigard,OR 97AP R 1. 7 2 017 Plan Review Phone: 503.7182439 Fax: 503.598.1960 DaarlB_ Related Permit fi: Inspection Line: 503.639.4375 CITY UI- I?C:ik1-1D ReadyDetdSy: ]uric. E7 See Page 2for 2 3(/It n katrana www.tior •g04 BUILDING DIVISIONNnh&ediMethod Supplemental information if-r;', .;:.r'f• '. . �:+��y{ Q `OIAA�gr iSy�VitLJb1f _..:i�G[�• �t H,'''" .ui t7+'u;ar{ n i-..-.:..,1 nr As�t.. *, :���p ®New construction ❑Addition/alteration/replacement Please cback a that apply(submit/sets of plana w/items checked): 0 Demolition ❑Other D Service or feeder 400 amps or more D Building over three stories. where ho available fault cement D Marinas and boatyards. 1374:7;,-, �ai r g4e a ' ; ._t„iraV15i1it ie -ilti # rw� .:1 exceeds 10,000 amps at 150 volts or ❑Floating buildings. I-and 2-family dwelling 0 Cornmercial/nidustrtai 0 Accessory building Inns to ground,or exceeds 14,000 O Commercial-use agricultural !i Multi-family ❑Master builder 0 Other: amps for all other installations. buildings. ���� ❑Fite pump. Q Ittwallation of 150 KYA or 1,--' ti t � i i F e._a: ,w�h x:,}5 ':* DEm en tem. tar /catch derived � . ,wu , v8 OYsT's braes Y S V V t�s L ice, l em D Addition of new motor toad of system. Job#: Job site address:l3l/Y t Jvr g aaL , loatlP or more. []"A,.,•yEi•,,"1.2T,uI.3^, City/State/ZIP:Tigard,OR 97224 ! Six or more maldentiel units. O4ipaocY• �J'"'� 't _ Dlleattb-oare facilities. ©Recreational vehicle parks. Suite/bldg./apt.#: � Project name R..%tl'LV I L 1 r C�L� C�'A,0r• Cl Hazardous locations. D Supply voltage:for more than D Service or feeder 600 amps or mote. 600 volts nominal Cross street/directions to job site: Description r Q . 1 rash ivau .� 1. • New r si gle- Subdivision: iNiev rekr •GCt, d,J hWe s,h— I l'":/S10 t#: 1 Incl des attached dRgaraor multi-fatally dwelling unit. ( ` v" ! 7 Includes attached ra a 3,700d')R et-Jess Hi��� Tax map/parcel#: Ea. 0 eq.5f. sq.ft or portion ',.;:t-'1,:t-- -'4-'.5.11-' , r Mr'a't, c:a t>� ''rr `,} . vox bra r'. s., Limited energy,residential 75.00 IIII/ (with above sq.R.) Limited energy,multi-family + residential(with above sq.ft.) 5=„t_,::.:_.�,I6 13?, "rt 1,..a:1s �' ` t' `s�,I" --r�'�� s:" "'-�'"•,+- --�' �.a�,c'g.. Renewable Fin n A ■ . �� ,_s -" `` k' Services or feeders installation,alteration,and/or relocation ADVL Land Holdings,L.LC 200 amps or less 100.70 2 00 ( Double ,., 201 amps to 400 amps 133.56 2 • 401 amps to 600 amps 200.34 2 Ai':Scottsdale,AZ 8525S 607 amps to 1,000 amps 30I.04 2 Phone:(6t t Over I,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 5936 I • intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 1 125.08 1 2 Owner signature: Date: 401 amps to 599 amps 16834 2 Branch circuits—new,alteration or extension,,er,anel a A.Fee for branch circuits with i Business name:William Lyon Homes,Inc. above service or feeder fee, r each branch circuit 7.42 2 Contact name:A.ngela Grajewski B.Fee for branch circuits without Address:109 East 13th Street bervice or feeder fee,first 56.18 2 breach circuit City/State/ZIP:Vancouver,WA 98660 Bach add'lbranch caulk 7.42 2 Miscellaneous(service or feeder not included) t 695-7700 r Each manufactured or modular 67,64 2 dwelling,service and/or feeder Angela.Grajewski@polygonhomes.comReconnect 67.84 2 t 1_ �. , ._.._,__- 3{» _t_ 7`?k, lC,(O,l s t ,4'L•r 1,E .0::, .a ?v w y � Pump or irrigation chole 67.89 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Signal sir uit(s)or limited-energy Address:6101 NE St Johns Rd panel,anemia;or extensitnt. D U . Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66,25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 brain) 90.00/hr 1 Email:bdanlele@gweusa.com Industrial plant hrmin) • 78.18/hr t Inspections for which no fee is . 90.00/hr CCB Lie.: C1158 Electrical Lic.: 208174 J Suprv.Lie.: 4496S s• lasted Min rain i, Jli �_., ..,,_' , issia i.a..0�...'-- 11'7Te�ii...`9d°Ji.''X ; ',,fir• s,,=.,{2 Suprv,Electrician signature,required: ' E; i�(in tiT eItl� 11 �!I( 1 :: Subtotal: Print name: Joan P Albert Date: 4/26/2016 Q Plan Review Required(25%of permit far): State surcharge(12°/of permit fee) Authorized signature: •-- ---• TOTAL PERMi'1'FEE: This permit application expires if a perm/Cis not obtained within 180 `,'' Print name: Bili Daniels Date: 4/26/2016 days after it has been accepted as complete. _ >'.' * Number of inspections allowed pan permit ; je}•;::`. 1:19utidliter'amsit*tttC_PerndtApp ESL ERE.doe Rev 06/17110/5 440461 ' h37'i17Po51COM/VYEa ) • Plumbing Permit AnulleatIRECEIVED Buildlig Fixtures i'OR 1)1 I li i t s..l. 0\1 N APR 1 7 2017 Received - cuy of Tigarci Penult Nolti,crc,21;1/.7,,0/0-3 : Damilly. IN_.,--:. : 13125 SW Hall Blvd:,Tigard,OR 97221-., ii9164 OF TIGARD Plan Revima --- --I Phone:.503.718.2439 Fax: 503.59 , ' Other Permit No.: . . inspectionliite: SO3.639.4175 BUILDING DIVISION D24613.Y. i 11,,, '.i,l) Date ReadytiSy: 'lurk. la See Page;for 1 Internet: www.tigard-or.gov Notified)Method:,. . Supplemental information I •If iz'ry.-Ajigt:1":''4%,_.#-.,:.43.0k,,',;:f.,'..•--‘n.77tfit 2-.0.,;‘,''',4,41',Y,4,.',717X.-.'5,04,.;Zg ,'.#',.•:!-1','.4i'itic.tgr04143 77.",''- 'z'-'1-1---''...''''.itt.'-'-.':-; :?.,,I.:,....:-•:,..:'.;,-• .. ..."4, .:•;-,-".':.4.= - '''''''',-'''''''...; ,S-17...z4 -,,,,''''' .-..-,::.._.. >...e:,--7.v.',,,a‘tle....*:...,....: ,,,riPtrif71-..'41.,:,-14 n*,,Zygras,:,,,,,Attr,-,,,,,a,i,g,-/.. '-,,,,,,,iii:',+1..., .,..;............i:q:'',.,.. ",:, '','•-',.'--.'•. . '1 r4LNew construction 0'Demolition . For spal ma edinfortion aterhecklit. s , Description I Q . I Ea I Total 1 a Additionlalteraticmfreplacement 0 Other:. New I-2-family dwellings(includes 100 It.for each utility connection) I sFit(')bath 312,70 i 1..MO 24tunily dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)barb : 1 50032 . 1 O Aecessory building Irulti-family Each additional bath/kitchen 25.02 -.4.4ttCr builder C:1 Other: Fire sprinkler(____sq.It) Page 2 • t %,,,,,,,.2,..;,--riz.--7-. ,:-.'.-:•";.*-,"41,.''..:','‘''---,'':—..'"' tiily -E.''-:. . i.C- .il.--(t--.,.'-,-:-• ',:4.:44ft=1**A iit' till' • 1 .4.3,,,'.1.-.t47:i•I`..,f."1"F'-f•-ft'''''.V.:(.`$•...%:, ,t,I4,;:,.•,', •:.,..1,,.:,,,,,,,!P,q,,:!.-%4:,.t.•'.,1..r:o.''.,-, r.-4,".‘.t.'_140f." e 0 I les- • Jth sY°ac.ldress' 3 ft./ Ski4 inc,r.li m.. ttratc_e - Cat.eh basin or arca drain 18,76 1 i Drywell,leach line,or trench drain 18:76 CitY/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: I Page 2 1 •SuReihid8API-no-:/tS.. Project name, 44 64r- 1-04/4/4 NorAift'oreti—Matudadured home utilities 50,03 Cross strectMire0erie 4%10 site: Manholes 18.76 I . 1 Rain drain connector 18,76 • . .. . . . Sanitary sewer(no,Onear.ii..:„„„_,) . Page 2 II . Storm sewer(no.linear IL: ) , Page 2 . I . . . . , • _ Water service(no,linear IL: / Page 2 ' . . Subdivi!inn 19...41frjr 1-tyrA4e, Narilnacc-1-- I Lot no.:i Slof Flamm or item: Tax.map/parcel TiO.: Backflow preventer 1 31.27 , ,-44*k,:',I...6",`,:f1,:"A.:V4',::',.?-t,-,`„F;i:i.Z.,1.*,t-2.kt'l.,,O.:inrkia•'''•- •",:.--„Vcii-21-43-4,V.:;:4-:::IPI 'Back-Water valve 1 12.5! t 25.02 - • — Clothes-washer. -•" • Dishwasher 25.02 - ..„. . . . . . • Drinking fountain , 25.02 . .. - ... .. . E*e.eistfolP 25.02 ..... - ... .. . it.FIti:-2.-.-:, "rt.,,,.•,:-.).:;41...",:,iii,,,,---,,,,-.4.V.,,,f,. .'141: z'',3::, ',`, ,,,;1!'"-' ..-1,..,..q• ,c,,,',..'“,...:','',,,:.,'-,-. Ek ,,,,t012.51 n tank i -,,-•:,,,,4;--,..',,,i"" ,,•.,,,.--,'4;,..1,i:.0...,1'',,,,t'1',,,rt-tp;:s^,-tt.tt.to ..tr.t,!,,,t'oscAt,litt t''t).,1 St 0 r",tf'te' ''-t'''t S'''t.: l'"""' • _ liatriMADVI.;-Lnisd Holdings,Lir . Fixtmeisewer cap . 25.02, . • pkior din/floor sink/hub 25.02 . Address:7600 E Doubletree Ranch Road —1 Garbage disposal 25.02 City/State/ZIP:,Scottsdale, Z . . 25.02 85258 Hose bib . . . . Phone-(M2)694-4911 Fax ( ) ice maker 12,51 ___,T i,",',45;14.;',.!,il';'-ft.:::::-C'a...7,sr.,"„i7,..CS-,:', ,,,;.'il,'„:-;'i,-„,;;R•t:iir,.:4:',' 10?"',AftY7,4,... itt't'i,iir-i.;.-ig'-'fz:',..-c:,''!..teis;f4:',. wiereet.MY/grease lreP 25,02• ii . . Business name:William Lyon Homes,lac Me(mel gas(value:$ ) Page 2 , I . . • • - P.rinier . 1231 Comet narne:Angela Gnijetisski . . ...I Rciofdrain(commercial) .12.51 'Address:.10 Ea..st 1)10 Street •. . Sink/basin/lavatory • 25.02 ! I City/StaugZ1P:Vancouver,WA 98660 Solar units(gettable water) 62.54 . ........ , , Phone:( 60)6954100 Fax::(360)693. 442 Tub/shower/shower pan 1231 02 E-mail:Angelaralewski@polygoahontes.Com Urinal 25, 1 -e71;'.."- --.,;' ,itv-i•.-""`67.:',47.'471s.,-;'-,,vcniT,t,!-r,:!'.4.774'AT-14: . Water closet 25.02 4' ''' -',6..f- k!,Z- a- L.,t- r.i?-, aLi,k1.1,..f.„,."'3 • Water heater - 37.52 - Bailinika*net rkillifiiliimbing LLC .. Waterpiping/DWV . .' : 56.29 Address 146 W Historic Columbialtiver Hwy Other: 25.02. . - City/State/ZIP:Troutdale,OR 97060. Subtotal . . Ph otiei(503).40i4Fax 496 :(S03) 12-6438 .. .Minimum permitfee: $72.50 ... . . Plan review (25%of permit fee) C93 Lic.:;18460! . Plumbing Lie.no.:PB732 State surcharge(12%of permit fee) Authorixed„sigitature: TOTAL PERMIT FEE _. . Print partia kehert DiShman Date;5/2320I6 Tilts permit spplicilion expires If a permit 1r not*Wined*Rhin 180 daya Mier a has bees secepted as convict& *Fix methodology set by Tri-County Bedding Industry Service Board _ Valuadiailyermitmatu.pearamoo.doe tom ta9 440 46061 City of Tigard d COMMUNITY DEVELOPMENT DEPARTMENT 1111111 ■ 1 RD Building Permit Review — Residential '-, _ - b.r,., .}�� ,Y-3.. a;i,te.h.�ux;s .0 .:vRr rw :b, ik,_z-, s,kiawc'm:. .�EM19Y3 '�«�v�..:s.k..: :r,.4. ...,?r,�.. +r it.. Building Permit #: X1,57 26)/ 7 —Ud/c Site Address: / >/ i 7 E'r.. 'h, -herr a Project Name: ife -- 7 o /VOT Lot #: /s Ce (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review /- /� Proposal: /tn t) S'i C�- '4 1// c�: (2/LP60/111nA?___.) c. erify site address/suite# exists and active in permitystem. 62, River Terrace Neighborhood: ❑ No -,VJ Yes,See River Terrace Review Addendum Attached Sielan Elements: ree(3)copies of site plan lfts�ting structures on site to plan mustb&on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished yawn to scale(standard architect or engineer scale) d oor elevations rth arrow �/ tility locations (required for new,may apply for additions) tte address,project or subdivision name and lot number ! �4 ation of wells/septic systems Applicant information(name and phone number) ,. .sting trees to be retained with drip line,and tree Lo�( t dimensions and building setback dimensions .rotection measures t area,building coverage area,percentage of coverage and d1 treet tree size,type and location .ervious area(applicable if R-7,R-12,R-25&R-40) Street names ftt 'roperty corner elevations(2 foot contour lines if more than r 4 foot differential) taRlean Water Services—Service Provider Lett r(lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No VitPublic Faciltt Improvement(PFI)Permit: /Required: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake 0 and Use Case#: J6,�,ea© 5e-,7622c, R-/Q P6 I Required Setbacks: Front _/,670- _ Rear ,...c--- Side 0 Street Side !.- Garage cQ andscape Requirement: 7O Lot Coverage Maximum: 00 wilding Height: Maximum Height /049— Actual Height ,"isual Clearance rAl asements R0 �'ensitive Lands: ❑ Yes No Type ►aa Urban Forestry Plan ❑ Conditions `M'pri9r to issuance o building permit Notes: 4i/ti/ho2- :c' d r„,,,,,-- } /2e.-0,7/-- Ge Approved By Planning. . Date: ,1/-:7--/1-7- Revisions -:7--/1-7-.Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BIdgPermitRvw RES 091216.docx Ir Building Permit Submittal Original Submittal Date: 7;7:7'2 c//,6 Site Plans: # 7 Building Plans: # Building Permit#: Er-Enter building permit#above. Workflow Routing: g—Planning 0PEngineering L9—Permit Coordinator Gilding Workflow Sign-off: a—Sign-off for Planning(include notes from planning review) Route Application Documents: U_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: By Permit Technician: /(0✓ - - � Date: 3//e,/7 rte 4 M;,4 , Engineering Review 030eSlope at building pad: ilt; J conditions "Met"prior to issuance of building permit -- i*r /r ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes 0 No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: dk--27 Date: 0.--/ v 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved WIEEMEMEMEMEMIER Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit 122pproved,NOT Released: ate: /itf'2r� otes: 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: COSDC Fees Entered: Wash Co Trans Dev Tax: WA'es ❑ N/A Tigard Trans SDC: or es ❑ N/A 1 Parks SDC: Yes ❑ N/A OK to Issue Permit (Approved by Permit Coordinator: 0---- Date: 4/4//47 I:\Building\Fonns\BldgPermitRvw_RES 091216.docx City of Tigard 1,1 . COMMUNITY DEVELOPMENT DEPARTMENT T c Ro River Terrace Building Permit Review Addendum Building Permit #: /`7J7 2-o / 2 on i ) 3 Site Address: /3/,17L 30 /91-4.i. ,, Jrr&c. Project Name: .�y- VCt /UV- ,S. Lot #: l c w (New dwelling=subdivision name;Adds on or Alteration=last name of owner) Planning Review of River Terrace Plan Dis 'ct Design Standards (18.660.070.1.): Is the project subject to the plan district design standards. Yes ❑ 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 dorm ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide El ❑ ❑ ❑ Ae- 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: -17)071-: /7190 I ,, -: 1 4 3. trances:At least one entrance must meet both of the foll ' g standards: Max. 8 ft. setback from longest stree facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: ❑ Yes No If yes,all the following apply: El 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft.max.roof above floor of porch El 5 ft. depth min. ❑ 30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep ❑ tecessed entry area min. 5 ft. 'de x 2 ft. deep ❑ all offset min. 16 inches 1t Dormer min. 4 ft.wide " VRoof eave min. 12 inch projection f,-- oof offset min. of 2 ft. CI Roof shingles either tile or wood /able,hip or gambrel roof design f� Elroof pitch oriented south min. 500 sq. ft. horizontal lap siding min. 3-7 inches wide r"— VWindow trim min. 2 1/2"wide by 5/8"deep Via. ❑ 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 El Attached garage is 35%or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one): ❑ y 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. Wi : (Check one) 12-foot-wide garage door El 40%max. of street facade El 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: - Date: 3/ 1� - 1:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx Plumbing Permit Application Site Utilities I VE City of Tigard J U L 5 2017 Received 7(5-P/A- Permit No i,ic?o/?��/Q� g 13125 S W Hall Blvd.,Tigard,OR 97223 DateBy: "G�/ Dan 7-!0��7 4c-42 Phone: 503.718.2439 Fax: 503.598.1960 n Review ' CiTY 1 Other Permit No.: ',OF DPl T 1 G A R D Inspection Line: g 03 63 84175 j+.�L) , 1 r) Vii I �,Ipate Read/B lues ® See Page 2 for P I Internet www tr and or ov Notified/Method:7R/2 yam!/ Supplemental Information ®New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) rA t ) i �F°4's eo /1 \v \ir SFR(1)bath 312.70, .... , . , ,,A, a ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 11 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fires sprinkler / a P (.L3'i2 sq.ft.) !60'4 Page 2 a, .,. . J, SITE,,,,,,,_.,z,,,,,, 4 ^�t . Site utilities: Job site address:13114 SW Aubergine Terrace Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Northwest River Terrace 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.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.: 156 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 • ,, . Backwater valve 12.51 �" I31H: .'""• 1 r N , s,.t , •... .v.... c?.... ,,,ix� ., Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2017-00103 Drinking fountain 25.02 Ejectors/sump 25.02 6 'f 1 yy ti 4 Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 Interceptor/grease 25.02 � ��t ��Il;�' f�,ji � ,�` r1.c " t'I�I�C)N - trap Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Robert Dishman Roof drain(commercial) 12.51 Address: 146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 77 , � ��� t� : l�� ' . I. \ Water closet 25.02 ,7,''.1"/;,-;," ' , , ,, .. , w ;. '"'', "ea.,* .. Water heater 37.52 Business name:Alliance Plumbing,LLC WaterPip r rn DWV 56.29 Address: 146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lic.no.:PB732 Authorized signature: �, ) State surcharge(12%of permit fee) TOTAL PERMIT FEE Print name:Gavin Thomes Date:7/3/2017 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire .. .... .: .n.. , � D .•' � Su .ression Systems: Ate "��/ \ ' • \ " Yu . , ,444, Footing drain-151 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for ..,:• z e(e each additional$100.00 or fraction thereof,to SIC" �t t I* O ll S �� ' and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge 1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. 446114!:,Glte'l,PrT �r , i w i . l� t .m w„l t:,0 I ' Fixture Type for, R Plan review is required for any of the following. WorkPeiurmed Capped ASI %,.1041 Baptistry/Font Please check all that apply. Bath Tub/Shower 0 Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-foodgr q Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pqmit.doc Mechanical Permit Applicatitap ... w., ..r.., ., FOR OFFICE t Sl:0\l City of Tigard Date/Br „../11=11111111 IN, • 13125 SW Hall Blvd,Tigard,OR 97223 Plan Review Phone: 503.7I8.2439 Fax: 503.598.1960 SED ca s i/' Date/By: Other Permit: T 1 G,\is D Inspection Line: 503.639.4175 Date Ready/13y: ITE k7 See Page 2 for Internet www.tigard-or.gov -, Notified/Method: Supplemental Information Com, t Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ .. _ � . .. } _._'''‘I''''''.':._.., f1 ` L , iF .t..' ¢ __» _ u _ ., .r . � , =k r __4.c::x...0z ..�t.�,._.__w ��d._r_r-_ _� b . �wrk } � L r i �� 1Im - r54i'S .w. . ❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For specie,information use checklist ®Multi-family 0 Master builder 0 Other. Description I Qty. I Ea. I Total }} - ,7 Heating,/cooling: dt , _% . n, i 1 .:'�'l,.J. L'ik L.�Ltiji.:7 ' C E. 6ij_—� ..,1% r , .< ,.� ,.n7 ” � "Y � ' x: Air conditioning 1 46.75 46.75 Job site address: NO !1i t, i I i /. P Furnace 100,000 BTU(ducts/vents) 1 , 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.:1 ,5 Project name:River Terrace Northwest Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system . 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 1 23.32 Subdivision:River Terrace Northwest Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 L717::--i..; ;, : .r i > ` a� r r ' -'; 'a (las fir lace/insert 1 3339 Flue vent for water heater or gas Contractor Change fnrllace 23.32 .� r iiLog lighter{gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimrney/liner/fluelvent 23.32 ' 'p,e 5<. , e, fk -,1- '. t .5r o _iv,42, r „r Other: 23.32 __,..-.: u------..r „_. , ---7-,--.--'-' . '-','- .r—� ..=-1:_=,a u1,'---x-=-7. fes._ _u__:..--: Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 1 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 1 33.39 City/State/LT:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 Phone:(602)694-4031 Atticierewlspace fans 23.32 ..:".:,':"''t t '''.'2;..."---‘'n'',. r ', a e . p71 r t -c :-' ,L: , ther: 2332 O Business name:William Lyon Homes,Inc Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Nichole Thorpe Furnace,etc. 1 Gas Address:703 Broadway ST Suite 510 heat pip Wall/suspended/tmit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 fireplace Range 1 E-mail:Nichole,Thorpe@polygonhomes.cornBarbecue { ''r t ji ti t 1 .y t { t:_ x^" -` Clothes dryer(gas) Business name:Pro Heating and Cooling,INC Other . 74 76 d Ct` Z sF 1 i,h_, ,r. ,�11- 1.2.,: Address:2095 NW Aloclek DR Suite#1103 Subtotal City/State/ZIP:Hillsboro,OR 97124 Minimum permit fee(590.00) Plan review(25%of permit fee) Phone:(503)4435692 Fax:(503)9415075 State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized Signature: " Fee methodology set by Tri-County Building Industry Service Board Print name:Nichole Thorpe Date:9/19/2017 1:\BuildingVermiu\MEC PennitApp 040113.doc 440-1627T(11/025COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13114 SW AUBERGINE TER, SHERWOOD, January 4, 2018 at OR, 97140 10:56:56 AM Record Type: Record ID: Residential - Master Permit MST2017-00103 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Water pressure = 40 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13114 SW AUBERGINE TER, SHERWOOD, January 4, 2018 at OR, 97140 10:57:59 AM Record Type: Record ID: Residential - Master Permit MST2017-00103 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed 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: 13114 SW AUBERGINE TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00103 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Collected Moisture content acknowledgement form High efficiency lighting form Moisture barrier acknowledgement form ETO site inspection certification will be submitted separately for the entire building. Violation Summary: Inspector Contractor 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 111 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 CE DEC 1 8 2017 FROM: Nichole Thorpe CITY OF 1,i.GA-J COMPANY: Polygon Northwest 13UILDl D1Vm`` PHONE: 360-989-4204 BY: RE: 13114 SW Aubergine Terrace MST2017-00103 (Site Address) (Permit Number) River Terrace Northwest Lot 156 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 0 Additional set(s) of plans. 3 Revisions: plot plan- Tree update 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. FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑No Fee Description: Amount Due: 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 COMMUNITY DEVELOPMENT DEPARTMENT IN Building Permit Review – Residential 116 ARD Building Permit #: /1S 7'.2e/ 7 —Ud/0 3 Site Address: J&114/ �� d ti:ae ut,c -e/l'QzC.Q_ Project Name: elver- -"Tei j��e j��G Lot #: r'-"-. (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: �-erA) S'> &- ', / c.d./24,0e C 12(erify site address/suite#exists and active in permit tem. River Terrace Neighborhood: 0 No Yes,See River Tenure Review Addendum Attached Si 'Ian Elements: ' II ee(3)copies of site plan `i. •-••• structures on site 'A:tte plan must be on 8-1/2"x 11"or 11 x 17"paper II Footprint of new structure(including decks)with finished /A raven to scale(standard architect or engineer scale) •oor elevations rth arrow II 'ty locations(required for new,may apply for additions) tte address,projector subdivision name and lot number w rt. .tion of wells/septic systemsplicaat information(name and phone number) 0 0 ling trees to be retained with drip line,and tree Vot dimensions and building setback dimensions •rotection measures Lt area,building coverage area,percentage of coverage and 'i treet tree size,type and location ous 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 differen !i can Water Services-Service Provider Lett• (lot platted prior to 9/10/1995): 'equired: 0 Yes,applicant was notified vA No Received: 0 Yes 0 No Ti Public Facili •' s Improvement(PFI)Permit: legaited: Lyes,applicant was notified 0 No Applied For. ' yes 0 No,stop intake , 4:nd Use Case#: P20 2^ -� ning: 12-1Q (Ph)r� / equired Setbacks: Front _ Rear „..c". Side 0 Street Side Garage OE •dscape Requirement 2O FA •t Coverage Maximum: 0e, % i uilding Height Maximum Height A3/49- Actual Height TS isual Clearance i '1 asements 111 �'ensitive Lands: 0 Yes No Type Lli Urban Forestry Plan ❑ Conditions` 'prii�,r to issuance buj permit 1 Notes: k;evi '/ X15' o /fabe- 9 1y- /SS41ICe .. .....„..Approved By Planning: Date: /` /).9- Revisions(after Building Submittal only) Reviewer Date Revision 1: ,jk Approved 0 Not Approved t,,-rev&et pe x i 2.l l��l0 �wt t 2,)I%1(1 Revision 2: ❑ Approved 0 Not Approved 1 Revision 3: 0 Approved 0 Not Approved I:\BuildingWonns\BldgPcnnitRvw RES 091216.docx e • V Building Permit Submittal Original Submittal Date: 42/2 et//i6 Site Plans: # 7 Building Plans: # -3 Building Permit#: B'Enter building permit#above. Workflow Routing. 12'Planning 13--Engineering L9—Permit Coordinator +I--Bdlding Workflow Sign-off: a—Sign-off for Planning(include notes from planning review) Route Application Documents: D.-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: By Permit Technician: ZA: fr"<--- Date: .3//d//2 Engineering Review Slope at building pad ligt conditions `Met' prior to issuance of building permit -- r. ef ❑ Easements(encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: 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 0 No 0 NOT Approved by Engineering Date: Notes: I-, Approved by Engineering. Date: Revisions(after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit proved,NOT Released: ate: I /1„.(;'3t'— otes: 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: LSDC Fees Entered: Wash Co Trans Dev Tax: "'es 0 N/A Tigard Trans SDC: ci es 0 N/A Parks SDC: ►.i es 0 N/A OB to Issue Permit Approved by Permit Coordinator. Aria( Date: 4/4//47 1:\Building\Forms\BldgPermitRvw_RES 091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13114 SW AUBERGINE TER, SHERWOOD, December 26, 2017 at OR, 97140 10:16:53 AM Record Type: Record ID: Residential - Master Permit MST2017-00103 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed Violation Summary: Inspector Contractor