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Permit (81) CITY OF TIGARD MASTER PERMIT - COMMUNITY DEVELOPMENT Permit#: MST2017-00102 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/08/2017 Parcel: 2S106DB15500 Jurisdiction: Tigard Site address: 13110 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 155 Project: River Terrace Northwest, Lot 155 Project Description: New SFA. Building/unit 1.4 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 240 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 2 Second: 562 sf Garage: 294 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 560 sf Right: 0 Detectors: Total: 1362 sf Value: $170,032.44 Rear: 5 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 2 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: 3 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 Temo 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 1362 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: $22,936.40 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�� O -90,1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987/ ora1.800.332.2344. Issued By:��JC 4.c..-952- , Permittee Signature: G� �"iG-/C' 7e Call 603.639.4175 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. • _ j3 �0 I c- — i�uihiin� Permit Application Residential t, FOR OFFICE LSE O\Ll City of Tigard y / //7 Pe tNSr raze/ DG'/O 711 m 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review�� f Other peimit�J Li/��f�/��67/�vZ Phone: 503.718.2439 Fax 503.598.19 00 Date/By: Inspection Line: 503.639.4175 Date Ready/By. U ' Jurir. H See Page 2 for T 1 G:a h D Internet www.tigard-or.gov Notified/Method /'�7 �.b Supplemental Information }/ E I € �� a -� .Irk ®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 f work indicated on this application. Lt — 1-and 2-family dwelling 0 Commercial/industrial 17 , 0 Number of bedrooms: 0 Accessory building ►: Multi-family ❑Master builder 0 Other Number of bathrooms: 5 ax 4 Total number of floors: Z.46 Job site address: I O 5 fiu, ' yg) ' I tir&C' New dwelling area: j 3 c.a. square feet `: City/State/ZIP:Tigard,OR 97224 Garage/carport area:a 91.;. square feet S 6 0 V Suite/bldg./apt no.: Project name:River Terrace Northwest Covered porch area: 1 L square feet_r C . ' Cross street/directions to job site: Deck area: 7 square feet414 0 Other structure area: 7 ' square feet Subdivision:River Terrace Northwest Lot no.: �� Pernnit 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 r. g„ F . s ;"```- - i Awork indicated on this application. ‘,,,,,,,,.:„7„„,,,,,,,,, 71.9,-.,...; .'moi`-"YM •: Valuation: $ Existing building area: square feet New building area: square feet - ri :• ..-:1 ",.....-.---14..-EipmvAg-F- , . Number of stories: �' ,..tx .'€ E �.al; us x -- �;,,zm,��,�r�„� �=�z �; .=.-k.�� ��� `r : Name:ADVL Land Holdings,LLC /4„1%'L-L./ • I- QA/ ri Type of construction: Address:7600 E Doubletree Ranch Road /0 -` Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 09'/i/C`' r ' I:g- Existing: Phone:(602)694-4031 Eff2E11111111111111161 New: _ -m9 ^ e 1 ”—"tom" '4 .i - �� . `-- Fi _tl „" ,d t `'---"'' ` x1''-_ j.--..-14 zw'' p ,f � - ., 41- . *• r.. ,.. - . a� �' �.*,-4 , 7 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/Z1P:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) R- lt, €t 0)1 =fir •. t . ate*^ E-mail Angela.Grajewski(4)polygonhomes.com �� �� �� Commercial and residential prescriptive installation of gy m.f = �f d, :r 1 --"` t 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. City/State/ZIP:Vancouver WA 98660 PermitFee(incl administrative e� $180.00 and^'-one:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 _ B lic.:207247 Total fee due upon application: $201.60 P • This permit application expires if a permit is not obtained Authorized signature: / within 180 days after it has been accepted as complete.4 /��l� — `Fee methodology set by Tri-County Building Industry Print name:Angela Grajewsld Date: '/z'`f niZoly J Service Board. \ I:Building\Pennits\BUP-RESPemmitApp.doc 02/24/2011 440-4613T(1`11'/02/COM/WEB) Mechanical Permit Application FOR OFFICE C.SL ONLY C�+ City of Tigard EC__ Permit 11, a 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review I 11 Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: Inspection Line: 503.639.4175 Date Re. T!G A.F>; APR 17 2017 Date Ready/By: EI See page 2'for ' Internet: www.tigard-oi.gov Notified/Metbod: ® Supplemental Information CITY OF TIGARD _ Y x f p.. k"3f q,"�u. �iY:. x U rf '�F Y rot f k ,3J ,i. a�PF 74. op .7-7,5ff,-4,. --�, 'c-�7,.t¢1, �`1 °>3r.7r!� ilii!i�. min&.L 8 k' @ x f' .�'r a'r= :N� -R-gi �"u�'�,}:�. a:. ..t341:-5 :2-3-- F'x Ent E,-a4tk. ..:�L e.-, ,. ^i.&-a`32'�'.'.y. "" " 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. c, ,rU..... "w*rf.kqb ,16" E _Qr..pt `:) a 0 7 2 P t!b; g ;��"" � 4F " � ; � 'r r•w �A � �i - , 4y,d;: SF, „Y•' °.'�,.�t., -4, ❑ I-and 2-family dwelling 0 Commerciai/ndusrial 0 Accessory building For special information use diecllisl, igi Multi-family 0 Master builder 0 Other: Description I Qty. Ea. Total t r.`k a ¢'e ', -„f.v. "� .4.`,4,...^...4;:;•,..,;,••.,,,,-,4,4,-; Heating/cooling: 1 :1 rt - a Cl ,-1,„ q FtS L4� b�.�,l@� (�.� 6 7C4Q•(„2,;•,,,-(4,'-¢� r ;d) tt Air conditioning 46.75 � Job site address: / 1 11 S� A ben31(1L rrw Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 1OD.000+BTU(ducts/vents) 54.91 apt. 5lrite/bld ./ � Heat pump 61.06 g no.: t t Li I Project name. {VOI"�„►O��� A(� S{' Duct work 23.32 Cross street/directions to job site: t V 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 j 23.32 Lot no.: i Subdivision: �ra y tylca j g 1 ^. . �-- Other: 23.32 �J- f Other fuel appliances: Tax map/parcel no.: Water heater 23.32 A' `^ rai:2 F-T ;3^4,� 17.5k;(:h 1�t'r 1 �a'�'F�'Z' b✓�},..",- .7.-11,,,,,:,� �. ,+ ' '�� .�s 7 n��T r Gas fireplace/insert33.39 new home construction flue vent for water heater or gas fireplace 23.32 Log lighter'(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 x r.1. .-�F,p �+ ,i4! 4f .h ` K .,,, �'ery -�`;,>.K' i \ t ;ssg Other: 23.32 u n ±i fC} r ,�__• i _._ k— ...__ _ Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road equipment 33.39 Clothes dryer exhaust i 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) LA 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 C-;":„., 'a i -,,,::"-F Fqi ',..,4.51',. , Ig!: ,•1." 1. t'k.;.f r r,gq,a,, „-t}V 1.1,-,tG7`(," ,.. ; . Other: 2332 Business name:William Lyon Homes,Inc. Fuel piping: 514.15 for first four;54.03 for Teti additional Contact name:Angela Grajewskl Furnace,etc. Address:109 East 13th Street Gas heat pump . Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-'1700 I Fax::(360)693-4442 Fireplace t Range E-mail:A ela.GraJews ' 'gonhomes.com Barbecue C 1 ,Clothes Business name:Andersen Mechanical,Inc. Other: *� �ti. k b l� .t t `2, ,r( " n`t 2 ":16285 SW 85ei Ave _. __ _. �, ,, .� — �dw Address • 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(12%of permit fee) CCB lie.:168214 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within I80 1/11.4., / days after it has been accepted as complete. Authorized signature: Li + Fee methodology set by Tri-County Building Industry Service Board Print name:Nrchole Thorpe Date:4/17/2017 1:1BuildinglPerndtslMEC Perr itApp 440113.doc 440.4617T(11/02/COM/WEB) Electrical Permit ApplicatioIRECE ` 'e FOR OFFICE USE ONLY • City of Tigard I�G V G V C Received Permit r ,c, _ /7 /O 2 Iili 13125 SW Hall Blvd.,Tigard,OR 97223 Datdt3 7 "C; Phone: 503.7182439 Fax 503,598.1960(ArR 1 12017 DaPlaReview DatNB : 1.1 G,t Rp Inspection Line: 503.639.4175 Ready Date/By: NM ®See Page 2 for Internet www.tigard-or.gov CITY OF TIGARD Notfed/Method: Supplemental Information .z.r 4��Ahf A. �'„<._i�Y-.. �� evens -�".. '?� -.;f--.�'. 'i:st���?_•.a..�/ �,:'v,v"' '�....i�'7,:::c;a�4A,.�"�`.�'x*RC.:.r` :.20i^.�]���.`� 1.0,t<.:::n,.,- :.,....-6,-„ r. �.,. t . ' ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/Leets checked): { D Service or feeder 400 amps or mots D Building over three starlet, 0 Demolition ❑Other where the available fault current ❑?:farinas and boatyards. ". %a'"- r e-: .; (' t ...ii a_T�,>«+a=d i i"aatl 0 4A b4s;, ?' y ":, ar exceeds 10,000 amps at 150 volts or ❑Floating buildings. 1-and 2-family dwelling 0 CommerciaUiiidtisttial 0 Accessory building lass to ground,or exceeds 14,000 D Commercial-use agricultural Multi-iamil amps for all other installations. buildings. y 0 Master builder 0 Other. D Fire pump. ©installation of 150 KVA or , a,--,MIT ", , a .`;;', .°a`r 1 y� "�sy "'r D Em sec stem separately derived > ��f� ��• L �. ',•�. ...�.�-�,,,��;F,�t ���..a ':.�Y'�' erg YsY larger Job#: Job site address:/31/0 S If ere fly ernes El Addition of new mater load of system. I001iP or aero. City/StaWZJP:Tigard,OR 97224 ] !i Six or more residential units. o P�oY• _ ©Health-care facilities, D Recreational vehicle parks, Suite/bldgfapt.#; , Project name,R.,40/1 ' i 4r_ , ,. ► ©Hazardous locations. DSupply voltage for more than D Service or feeder 600 amps or mom. 600 vola nominal. Cross street/directions to job site: -:s Description' Qty. Each Total New residential single-or multi-family dwelling unit. Subdivision:�i ev Ter a a e f ac $t— 1 Lot#:/ Includes attached garage. Tax tnap/parcei# 1,000 sq.ft.or less 1. 16$.54 4 c y p ✓ �t o f x e o T ;f 5� z , Ea•add'1500 sq.R or portion 3392 1 _1,:::., _,. . _ .< .,, 0 _5:x/11%; + )i ,;:zd- i �c ' /alibied energy,residential (with above so.R.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.It) 1, �t—u S € t �, Renewablt Energy D See Page 2 2 ,-- titv.-. :Ii.ir.r f'a_R ..*,- 'd^' $= t .?.?11::;p= 24.?a l� \ ?�� w....,-`,ixY.c h' Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 • City/State/ZIP:Scottsdale,AZ 85258 401 amps to ,600 amps 200.3412 1 60l amps to 1,000 amps 301.04 2 Phone:(602)694-4031 J Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders instillation,alteration,and/or • relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 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 as to 599 amps 16854 , 2 sums ry n l 5 E�Sy:a L"a6�." 70 ..6-„ti,,,,„,,,- i ,--,,,,,,,i^1 a yl.;.v , Branch circuits—new,alteration,or extension,per panel , - A.F�For hranclt circuits xttlt Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7,42 2 Contact name:Angela Graiewski B.Fee for branch circuits without service • Address:109 East 13th Street tea mcucuit feederf`e first56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' Fax::(360)693-4442 Each mmonjbctured or modular 67.84 2 Email:Angela.Grajewsid@polygonhomes.)comm dwelling,servlooaadlorftxder `yrt v.. M_ y N. '1S,*tib ti��`�yl'l_HA'J•�j10 O5Nx} ..:-Illi:' < "r'S g.'6,,-*I'. R only 67 84 2 -...> - . , Pump or irrigation circle67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 •{^+-:• Signal cinarit(s)Or limited-energy Address:6101 NE St Johns Rd panel,alteration,or extension. D See Page 2 2 City/State/71P:Vancouver WA 9866E Each additional Inspection over allowable in any of the above Additional inspection(I lir min) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hernia) 90.00/hr Email:bdanlels@gweusa.com Industrial plant(1 hr min) 78.18/br Inspections for which no fee is 9000/hr CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lic.: 44968 specifi • listed %hr rain ^Snprv.Electrician signature,required: "- 4 '...,: _ Subtotal: • Print name: Joan P AlbertDate: 4/26/2016eqp ): 0 Plan Review Required(25%of permit fee. f _ __ t State surcharge(12%of permit 8;e). t.. .4Authorized signature: "� " •-•--•--=:.- - TOTAL PERMIT FEB j :,.41.,,,-;`i This permit application expires if a peratitls not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. :}y ': " Number of inspections allowed per permit i.fnalleinaTermitslffi.C�,1 ermdtapp,JS.R ERB.doc Raw 06/3 7/2015 440.4615111 i/051CX)M/WEB 3 • Plumbing Permit Application Building Fixtures RECEIVEDi )It Iii r U.t t',, ().i.l City of Tigard Reooit¢APRtl _Faro!'t49M- C7 -//7-M,/Qa.Z. 13125 SW Nall Blvd;,Tigard,OR 97223 1 7 2 017 amiBy: Plain Review Phone:.303.718.2439 Fax: 503.598.1960TY OF TIGARD nasrrBr. OtherPmnitNo,: Inspection tine: 503.639.4175 D0k Riad 1 r 1 r, ,!..t;s : y/By: loris. El See Page 2 far Internet: www.tigard-or.gov BUILDING DIVISION Nolificd tahoct: si:pplemeenal Infennacwu tieF<i»3S.tt i�� .+.r.AY�*��> �_�'�uGt,Et� an,•r ..*P5t1�;.t�c't�'a:C �r���A:123L g'*°��� MVg'irit..xwa1*.`.• '""...� .._ ..... ... r ,New construction 0 Demolition For special infornrarlon use checklist- t Description . Qty. 'j E$. 1 Total 1 ©Addition/alterationireplacement 0 Other:- New 1-2-family dwellings(includes 100 ft.for each utility connection) 1 • .... t :s h r a N ,� > t?t o SFR(I)bath 312.70 ' 'i .».� :.w. ,. .. , 1-and 2-family dwelling CI Commercial/industrialSFR(2)bath 437.78 SFR(3)bath 1 500.32 El Accessory. building Multi=family -- Each additional bath/kitchen 25.02 I faster braider Other Fire sprinkler(_sq.ft.) Page 2 -, 7 *' ?. 7 7.,-,-i...,..?.-,..'t +,., ;'. 'T ::,?-a Site aNtities: Job site addrtxs. f 3110 5 V V k Oe'r t f 19irt (aC-F - albasin or area drain 18.76 1 City/State/ZIP:Tigard,OR 97224 ti 1,leach line,or trench drain I8.76 _ Footing drain(no.linear ft.: ) Page 2 5uitelilldglapt.no.: %t Project name;i �fey. ,� J*1�� 4 M ured home utilities 50.03 .Cross stteet/directions! to job site: Manholes 18.76 E Rain drain connector 18.76 1 Sanitary sewer(no,linear.ft.:_^) . Page 2 9 Storm sewer(no.linear It; ) Page 2 ; I Water service(no.linear ft.: ) Page 2 Subdivision�V'n' 1�CraAc,e j h,,,/er-1 Lot no.:I Fixture or item: Tax map/Pagel no.:. Backflow preventer .1 31.27 v a.''4f .5 r"` ^.fdi •8•x.r s - 4 27 7•• i3adci later.valve , 12,51 Clothe washer 25.02 , - . . . Dishwasher 25,02 . '__. . Drinking fountain __ 25.02 EjeCtorslsump 25.02 t.-:-.4.:27.-,.., , - ,. ,i -, l s ,,:,.,.*1„:-..,,,,,,u, �v59 & ,t, .�-r • ,- . Exeatntoank 1251 .•.:,. , -t , ,;� ,,. i .'e` '1, .„...•r ,..:-.r., e•,-r. ,,,,,.t.-,z4,-.1-:. n .. ` • Hallie:•ADVL'':l.and flirldinga;LLC . Fixture/sewercap• 25.02 Address:7608 E Doubletree Ranch Road • Floor drain/floor sink/hiib 25.02 • Garbage disposal 25.02 City/StatefZ1P;Scottsdale,AZ 85258 Hoar bib - 25.02 Phare:(002)694-403) Fax ( ) Ice maker 12.51 .- rp s , -, t tc(;z..err:.f 4 � a c 't p t r. �v } .i €nierocptorigcase trap 25.02 ' ��, Business*net Willian Lyon•Homes,Inc Medical gas(value:S ) , Page 2 . . i "' Primer 12.31 l Contiret,nampi.•Angeli Grtjewski Rea-drain(commercial) 12.51 Alidres5:.199 Esat ISIS Street Sink/basin/lavatory . : 25.02 City/State2IP:V ncetWer,WA 98660 Solar units(potable water) 62.54 j Phone.(360)-695-'7700 Fax::(360)693-4442 Ttib/shower/shower pest 12.5; II E-assail:°Apgeht:Grajewski( polygonhomes.com• Urinal 25.02 l I - } x Water claret . 25 oz x - Water heater 37.52 Btlalnessnante=Hila! atilimbhrgLLC Water_pipirm/DWV 5629 Address:146 W HHisioric Columbia River Hwy (cher: 25.02. I City/StatetZIP:Troistdak,OR 97060 Subtotal _ Ph'oftia.'(503)492-36'90 : Fax:(S03)912}6438 Minimum pernnit fee: S72.50 CCB tics•484601 Plumbing tic.no.:PB732 Plan review (2i°�:ofpexm+t fee) Authorized signature: State surcharge(12%of permit fee) lure: . TOTAL PERMIT FEE I Print name:Robed R(sli•man 1 Date:5123/2016 This permit epptiaitan expires it permit is act obtained*Mean 180 days atter It has beta accepted as complete. "Fee methodology set by Tri-County Building industry Service Board _ 1:VaildiitTerolitM tibPor utApp.doc 1001/09 44646t6T{i0/02 COMIWEB) { alb' City of Tigard II41 COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGAx p Building Permit Review — Residential ,a _ Building Permit #: /91_,S-772 0/7 -y ( t,/'L> .-- Site Address: 15110 ,,c /ice,?r.. fi • > r4 zcz Project Name: l Over- '��720<.,? 44,7014ktLot #: /S---S— (New SS—(New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: � . &a / .,: C PE; (t-;,ichenA_e erify site address/suite# exists and active in permitystem. triRiver Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Si Ian Elements: ee(3)copies of site vlplanattng structures on site to plan must be 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) i oor elevations rth arrow II tility locations(required for new,may apply for additions) ite address,project or subdivision name and lot number ation of wells/septic systemspplicant information(name and phone number) 0' :sting trees to be retained with drip line,and tree o f dimensions and building setback dimensions s .rotection measures Lot • area,building coverage area,percentage of coverage and ��I treet tree size,type and location •ervious area(applicable if R-7,R-12,R-25&R-40) Street names Ca roperty corner elevations(2 foot contour lines if more than r 4 foot differential) \tel lean Water Services—Service Provider Lett r(lot platted prior to 9/10/1995): .112 equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facili s Improvement(PF]) Permit: / equired: Yes,applicant was notified ❑ No Applied For: '(Z Yes ❑ No,stop intake and Use Case#: � t2 CV, -7- 00_2(; ae, 1S #R� g R-JQ (PA) equired Setbacks: Front j Rear ,� Side O Street Side arGarage �t0 andsca a Requirement:p q ,e,2(.7 0/0 Lot Coverage Maximum: 00 uilding Height: Maximum Height NM Actual Height E k isual Clearance IA asements n � ensitive Lands: ❑ Yes No Type ►al Urban Forestry Plan ❑ Conditions `�'pri9r to issuance o buildin, permit Notes: // J7 //`jUa�15r p�e)r- ' � t'� /ssGf�dl Approved By Planning: `"'..- - , Date: -4/1 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES_091216.docx .,,r¢ t Building Permit Submittal Original Submittal Date: ,,,,,,27:2.0//a. Site Plans: # ,_3 Building Plans: # S Building Permit#: I —Enter building permit#above. Workflow Routing: 9—Planning -9''Engineering 1ermit Coordinator L T uilding Workflow Sign-off: g--"Sign-off for Planning(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: a — _ Date:y/ey, 2 By Permit Technician: � k_,..gSiiti ib d6t1u.-�f ..'*.AN.: 75 iLfe .. a3: IVIR,Ka,3 $3' l2M1..... V=`_f± X-� .s -htieggzlq _. s.a' '....,..if=o-z..t i -2tAgKF 2.2.2i"r=„•=' Engineering Review f . — lope at building pad: oma/ �l onditions "Met"prior to issuance of building permit / L% ❑ 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: 44 zy Date: .0.../44/7 Revisions (after Building Submittal only) Reviewer Date Revision 1: D Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit proved,NOT Released: fe ate: ,3 1 Z1G-- 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: c'h:TDC Fees Entered: Wash Co Trans Dev Tax: , 'Yes ❑ N/A Tigard Trans SDC: 7'Yes ❑ N/A Parks SDC: EYes ❑ N/A K to Issue Permit pproved by Permit Coordinator: Date: / yhi1 I:\Building\Forms\BldgPennitRvw_RES_091216.docx City of Tigard II COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G n x D River Terrace Building Permit Review Addendum Building Permit #: /17:S7-,2 c "7 --- /0 -2-- Site Address: 11/0 SO j ` nl „ Project Name: '�/„er "� rc e /t7 u zt - -'Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist ' t 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. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled do r ❑ ❑ ❑ ❑ r: -P--. 2. Eyes on the street: a minimum of 12%of each street acing facade must include windows or entrance doors. Percentage Shown: /A �'/d/ t2-/- (Q 0 V 3. trances:At least one entrance must meet both of the follo g standards: Max. 8 ft. setback from longest stre 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: ❑ 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft.max.roof above floor of porch ❑ 5 ft. depth min. ❑ 30%min.porch roof coverage 4. Detailed Design:All buildings shall include a mim of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep ❑ ecessed entry area min. 5 ft. de x 2 ft. deep ❑ all offset min. 16 inchesormer min.4 ft.wide vieV Roof eave min. 12 inch projection ❑ oof offset min. of 2 ft. ❑ Roof shingles either tile or wood able,hip or gambrel roof design'� (A❑ oof pitch oriented south min. 500 sq. ft. horizontal lap siding min. 3-7 inches wide ccent siding min. 40%of street P4Vindow 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 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): ❑ ay 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 he garage that faces the street with a min. area of 12 sq.ft. Wi the (Check one) 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements ` Notes: Approved By Planning: 041,.....„ Date: _,3_/::::71/17 -- ' I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx Plumbing Permit Applic' Site Utilities �� FOR oH.Flcr I. oLi City of Tigard JUL 6 2017 Received 13125 SW Hall Blvd.,Tigard,J7223 a Date/By: ����/�/�G Permit N%�i(s�} ��Y>t'��t;� Z ( p Plan Review 66 �( Phone: 503.718.2439 Fax ����GArl p Date/By: 7-iD ->7 Other Permit No.: Inspection Line: 503.639. �L�1N� rl T I( ARDDate Ready/By Juris: See Page 2 for Internet: www.tigard-or.gov ��fS'®� Notified/Method 27/ WOSupplemental Information ®New construction 0 Demolition For special information use checklist Description I Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) \ ,u 44 F yk ! A '.i. SFR(1)bath 312.70 ❑ 1-and 2-famil y dwellin SFR(2)bath 437.78 g ❑Commercial/industrial 0 Accessory building ®Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 0 Master builder 0 Other: .. �. Fire sprinkler(1k395q.ft.) Gt Page 2 s, . ,rit i 4iiiii/ili tz t ' /� :. 1 Site utilities: Job site address:13110 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.: 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.:155 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 p t Oit :� Backwater valve 12.51 ,, _ .. .*•7 , - . ,.. '';'': :'''''7'1'' Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2017-00102 Drinking fountain 25.02 Ejectors/sump 25.02 r w p OWISI 1l�\ 1 ; �', %''''1"..'W''', 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 i Ill * lki,f s Interceptor/grease trap 25.02 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 f lO1� R•,`^ Water closet 25.02 0..> ���___ t _I .. _ • ,. Water heater 37.52 Business name:Alliance Plumbing,LLC Water piping/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 CCB Lic.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) �--/� l State surcharge(12%of permit fee) Authorized signature: i� N 7 �J 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. L\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information +, Fee Schedule: Residential Fire Su s s ression Systems: tit '"; Footing drain-1S'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 3 Storm&Rain Drain-1st 100' 62.54@'"a' Ti $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 r each additional$100.00 or fraction thereof,to � e � . • .. . ! 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*. uAntityWlxt ` V , + . Fixture Typeftlr K Plan review is required for any of the following. Ca rl drt 1Reta at0:.:.; Please check all that apply. Baptistry/Font 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 Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings 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 *Note: If the fixture work under this permit results in an Washer-Clothes - 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 Pgmit.doc Mechanical Permit Application I oft orrice t_sr ONI_l City of TigardEiw' / �i11 r1SWHall BlvdTigard,OR 97223 Sr-'p0 .�iCOME Phone: 503.718.2439 Fax: 503.598.1960 : Other Permit: on Line: 503.639.4175 Date Re Inspection P- t'1 G F D -_ternet: www.ti d-or. oV Date ed/MeBy: Ed See Pagel for g� g ' Notified/Method: Ira Supplements!Information 1 -17;1 * ¢ } .- tNc � fr� t ` n - ' �y k x s. . i, , t ,� . 'r` tk a r i .c + .= , Ytit =—t�t -.'f 5--z.— �1y2' . . �N. - . .. . `.' 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 ❑other: mechanical materials,equipment,labor,overhead,and profit. Value:$ tf F E t- ',. -'--" J C F f�-JLt, ]C. -- .Y 5.,Ek :`.-`. 5� . �. 4 24-ai ' � r y[ �_ , ;__i.... - —....-;N. ..,.._. ....."-.1---"z.4-•-"--"'-'"---4'=----"--'-'"-- ... ,.. .C. .,..[.._.t.-.'"--. _. .....L . )rr � t s F h11d1P El 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building .:,. For special Information use checklist, ®Multi-family 0 Master builder 0 Other: Description I Qty. I Ba. I Total ' t,rt•t r i m � yt t t-,it l i t s"r� COY nes Heating/cooling , ,.. . t _ Air conditioning 1 46.75 46.75 Job site address: ' 14. iiii,`Il,AA i , 4i . ' Furnace 100,000 BTU(ductsIveats) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: l Project name:River Terrace Northwest Ductwork 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydropic) 23.32 tie" beaters(fuel-type,not electric), in-wall,hi-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 4' : ' iY',1 m ,s,,-.7,4,. Gas frreplace/insert 1 33.39 Flue vent for water heater or gas Contractor Change fireplace 23.32 - Ll � 11; %Ail .i Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplacefmsert 23.32 Chimney/liner/flue/vent 23.32 jL•r ?x7'� X 4 4 a_.. - t C' ♦ 1T ,} : c . ti l_ _. ic_...frJ... > Othe: 23.32 _,,,__ .. __ _ , _ _ ue.. w•_i. 4r rzw •_ ,'•,-•"-'''''--", '.--.2'• _- 0.-; 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/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 Phone:(602)694-4031lar Attic/crawispace fans 23.32 it'' c F afc'titi: t .,,,,,',.9-',-•,;-,',,:t.P rC+t :�a�TE'i� •: Other: 23.332 Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for dist four,$4.03 for each additional Contact name:Nichole Thorpe Furnace,etc. 1 Gas Address:703 Broadway ST Suite 510 heat pump Wall/suspended/unit heater City/State Z1P:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 —_ rmeptace ` ___.,.___._ 1 .-- Range 1 E-mail:Nicbole.Thorpe®polygonhomes.com Barbecue ' z .- ::,,7•-•:.7 ij Y ;57,:.', l' `'7, k r % '''''.„7:::2=j--„-- Clothes dyer(gam) Business name:Pro Heating and Cooling,INC Other: { „� .� ._'>.. „� 1 :- was �._ ? :: Address:2095 NW Aloclek DR Suite#1103 Subtotal City/State/ZIP:Hillsboro,OR 97124 Minimum permit fee($90.00) Plan review(25% Phone:(503)4435692 Fax:(503)9415075 of permit fee) 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:��Ve.-a-Ar---- * Fee methodology set by Tri-County Building Industry Service Board Print name:Niebole Thorpe Date:9/19/2017 I:\BuildingtPermitslMECOermitApp 040113,doc 440-46171(1 1/02/COUVWEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13110 SW AUBERGINE TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00102 Inspection Type: Inspector: 399 Plumbing final Allyson Armstrong Result: PASS Comments: Water pressure = 39psi ** AC installed after mechanical and electrical finals were complete. A separate permit for electrical and mechanical required and approved inspections prior to building final. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13110 SW AUBERGINE TER, SHERWOOD, January 26, 2018 at OR, 97140 10:54:14 AM Record Type: Record ID: Residential - Master Permit MST2017-00102 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13110 SW AUBERGINE TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00102 Inspection Type: Inspector: 699 Mechanical final Allyson Armstrong Result: PASS Comments: No AC at time of mechanical final Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13110 SW AUBERGINE TER, SHERWOOD, February 15, 2018 at OR, 97140 12:18:37 PM Record Type: Record ID: Residential - Master Permit MST2017-00102 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed 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 verified C of 0 left on counter. Violation Summary: Inspector Contractor