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Permit (82) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00101 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/08/2017 Parcel: 2S106DB15400 Jurisdiction: Tigard Site address: 13102 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 154 Project: River Terrace Northwest, Lot 154 Project Description: New SFA. Building/unit 1.3 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 Drywell-Trench Drain: 0 Other Fixtures: 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 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: 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 0 952-ry 1-0090. 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: Permittee Signature: � �� -7 7� 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 -.. Z.___.0 ii Residential FOR OFFICE LSE ONLY 4-L-f S ' Received , City of Tigard DateBy 3//x//7 t Permit No/7:17;20/7-.60/0/ IIIa 13125 SW Hall Blvd.,Tigard,�R 973 Plan Revi —t other permi�i L/c %/�"��,Q�/ Phone: 503.7182439 Fax: 503.598.1960 DateBy. -a:7/ 7 T 1 G A F D Inspection Line: 503.639.4175' '" Date Ready/By: C/,j/�� 1165: H See Page 2 for Internet www.tigard-or.gov' Notifed/Method:J7 Supplemental information 6747 d/G. / 6'/E— ,.;,, •- . .-„,44,....-..„4„.. „4_.a .�: ° . €s �F e` k1. ::"._lt7 >,fi.� E :...._ ®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 . t €. C - work indicated on this application. 1-and 2-family dwelling 0 Commercial/industrial Valuation $ ,Ql 4) ❑Accessory building Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: Rr � —4 .' 1. Total number of floors: '` � New dwelling area: / square feet Job site address: I U/� 5� 1 1u �(O( ,t�(�P. 11 3 6 e�, City/State/Z1P:Tigard,OR 97224 Garage/carport area:a q 1+ square feet 6. (o Suite/bldgJapt.no.: 1,2) Project name:River Terrace Northwest Covered porch area: ) -1... square feet4S c a+ Cross street/directions to job site: Deck area: '7 a square feetall,O Other structure area: 1 a square feet Subdivision:River Terrace Northwest Lot no.: I�l..I Permit fees*are based on the value of the work performed Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the € �," "1 Q ,ate work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet � t t r` . £ Number of stores: t' !'',.t. - -i-:'2'.."-- vte -..'2-a—„F_3 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: 3-- P '.s .-- 4 .1aQ111T � .,. —.. >?![ 3 te .C.,.. FYe i . ' 7". Business name:Polygon WI.FI,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/EJP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) E-mail:Angela.Grajewski®polygonhomes.com m a. Commercial and residential prescriptive installation of Mme '_�_ ' " --. -,..1--01-1,,,,--T ,', _; ,1 roof-top 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 arlministrative fees): "-'ne:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 _�B lic.:207247Total fee due upon application: $201.60 Authorized signature: ' This permit application expires if a permit is not obtained c.....„944( • within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: 12.I1'nw I'm i 1l'J-i `Fee methodology set by Tri-County Building Industry Service Board. L-\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application �+ 1-012 01i lc l;l sI O i City of Tigard EC E IU E D Received Permit rro�y //C7 !p, 13125 SW Hail Blvd.,Tigard,OR 97223 y /S� /� 'r'� APR 17 2017 Dates mew Phone: 503.718.2439 Fax: 503.598.1960 y. Other Permit: 'TIGARD Inspection Line: 503.639.4175 Date Ready/By: Surfs; 0 See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION i rT'. -- 'z `' ,< ur. .� ,.c cam",y k ''S5 4 7ZIP gk Digo ¢ ' ,tit 3 y: r6,114, -,.,,,�` c,4541, ; �,4s Y t`r L vWvt U v 3"` 'f v �. F r1P ,. ,, ..�,C"n, i r`1 ,4:;xVV44k- iti4' .;fti,,A�rr tgi.,,zt a�,.,a r ...:;mr t,!!�5,—, �N ..,..�cA.,n, .,-��.-.-�a�..-t...... .,r. is `.'": E, =aYL"�`�` " ""' "r" "� `y' i "" '°""' Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit t tErx � x m ¢- r�, ; ' r s L ,I e r,r� t ro i Value:$ rYs:a�' _. .,`;�t�. ?. '' z.,iffits'.' ''P. ' .4,,,I.rc'-,-4 J3..h 24;k s,` ...1,zt.:::: .. t ifi'i..o?a.k �.i. <n ii 1� t.t t`r, E i E ?EI N `9i4,f4-56s,,5,,,,,w�n? 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For speaor information use checklist ®Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total ] ti 'ixW F -7,„„ ' Ft ,Y `i' e t'i �r F��7 `F :` 74, r k a0,., Heating/cooling: 24;7,4,g....... > � - e/xai'�f� ,. : � � t t e - t t a� r.� c.5_,,. M.. .. �.�. . .. ��.� C'��','z*�",aa:...._.^A�w a '�t��`a3' is..���;� cs :, s�,�>�. 6'3 .� �'v�R�.„i,� .<' Air conditioning 46.75 Job site address: . t t f i Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldgiapt no.: Project name. y- Duct pump 61.06 //' (Uf.� i 0i>trt! � Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or bydronic) 23.32 Unit heaters(fuel-type,not electric), in wall,in duct suspended,etc. 46.75 Flue/vent for any of above I 23.32 Other. 23.32 Subdivision: ? ` i Aw t" Lot no.: , Other ttilei appliances: Tax map/parcel no.: Water heater 23.32 i,i Gas ,M. r` ':-.-:>-'''.:)t '---';'.,}_ . �i'''''''''''I's-3 ..._�� L-----• ' ."_o Flue e for 33.39 Flue vent for water heater or gas new home construction fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood ftreplacelinsert 23.32 Chimney/liner/fluelvent 23.32 Otho: 2332 ..wU ,Ei Z�` r-_ rs s � a _tt _crrIiy' 'K.A 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 t 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) LA 23.32 Phone;(602)694-4031112111111 Attickrawispace fans 23.32 *.,,.� ,....t? f ' ._ i,,. _ ,. . ._, xit a_... t ...,E..N°. ,rrwti7/ -.., `: Other 2332r, ...x5 '' . , ..N ;'.. .ma.. J, }i ,- +„ .��:. Business name:William Lyon Homes,Inc. ael ping. S14.13 for first four;$4.03 for tech additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range 1 E-mail:Angehi.Grajewski aapoiygonhomes.comt • Barbecue r r s 1� . : e s ,� Clothes dryer(gas) Business name:Andersen Mechanical,Inc. Ode Address:16285 SW 85th Ave Subtotal City/State/ZIP:Tigard,OR 97224 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)992-6664 Fax:(503)536-6615 State surcharge(12%of permit fee) CCB lie.:168214 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: , * Fee methodology set by Tri-County Building Industry Service Board Print name:Nicbole Thorpe Date:4/17/2017 I:tBuildinglPermitslMEC PermitApp e44113.doc 440-461T£(11/02/COM/WEB) , Electrical Permit Application '` rC D Folz OFFICE USE ONLY City of Tigard RECEIVED G xedved Permit '1`757:,,,267/ j�// • 13125 SW Hail Blvd.,Tigard,OR 97223 Plan Review a " Phone: 503.7183439 Fe-x: 503.59$.1M R 1 7 2017 Date/Date/ft : Related Permit 8: _ Inspection Line: 503.639A175 Ready DatelBy: El= Ql See Pagel for 'i GARP, Interact www.ti gard-o>gcty } TIGARD 23olrGed/3detfrod Supplemental Information ;Z _ _:'�'= ,cx: > '.. n - iar3ne il-at, -.5. ,wn.a,mie. ®New construction 0 Addit on/alteiatton/repiacemeat Please check all that apply(submit 2 sets ofplmu w/Items checked): 0 Demolition Q Other: where Service or feeder 400 amps as more 0 Building Dues three stories. where the available fault current []Matins and boatyards. ;;;;1&`,4:,:......-1 .4417,,,,, NN . s H E, t(a,, .. ;' .es' exceeds 10,000 amps at 150 volts or ('C Floating buildings. I-and 2-family dwelling 0 Corltmt rcial/itidtistrial Q Accessory building less to ground,or exceeds 14,000 mm it-use aiiculturai amps uall other installations, n;taia !/Mut-family 0 Master builder 0 Other J Fie.pump. 0 Installation of 150 CVA or . ....A?,,,,,,,,Warao ,_a 0,1 tepti _ `q..z, ".' € `s.r ' ©Eaaergency system. larger separately derived Job#: Job site address/3 3(6 S W jl iy� r etlay Addition of of motor load of system. ' + 666 `� t a""'� 100HPormore. ❑••A•',••E••,"1_2","l_3,,, City/State/ZIP`Tigard,OR 97224 13 Six or more residential units. 0UP Y. 3 ❑Heal&orae facilities. 0 Recreational vehicle packs. Suite/bldg apt,#: If Project name.,`i.of T r�e 0 WX © dons Iocabo�. ID Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nommal Cross street/directions to job site: ,:-r d?'. , , Desaripnoa Qtr. 1 Earl, Thar R New residential single-or multi-family dwelling unit Subdivision: _ig xte�r Tevr a�c"e, r� tj S I Lot#:« includes attached garage. 1ax p�til#: r A 1,000 sq.R or less t 168.54 4 " Ea.addsq.ft.or w , t,C -roc-45 Ri4I h V.-4R r4AM ad,'f, 3a r�Y :14'` ,, 75.00 500portion 33.92I 1 ,� � S t a 'i ,_ _,-� �. Limited energy,residential (with above sq.ft.) 2 Limited energy,multi-family 75.00 2 ` residential(with above sq.ft) ,,, Renewable Energy E3 See Page 2 .v-( .- a" tt:t .` �^• S.-�,41 . i- r 'T'' y� .� k:n ,s Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E Doubletree Ranch Road 201 133.56 2 • 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 _ I Fax:( ) Over I,000 amps or volts 552.26 2 Email: "lei tporary services or feeders installation,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 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125,08 2 Owner signature: Date: • 401 amps to 599 amps 168.54 21 i a i `�„, +� 4 Jt tG��'s414.0.:,,,:e47.,,, '"':e 'Y”', „,,, ,, tlr� ,• 4, 4.. Branch circuits-new,alteration,Or extension,Tier pan et "•,c„:2 ��..�...''� 'cu--#-0�a, . ...+a�Sd= .1,- ...«'•,,,,,24e...-. 41. � r..x'...1as4`.- iN, . A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder tee, l• T42 2 each branch circuit . Contact name:Angela Grajewski B_Fee for branch circuits without Address:109 East 13th Street servicebranchclieni feeder fee,first 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each sdd'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phonc:(360)695-7700 • . ' Fax::(360)693-4442 Bach manufactured or modular 67.84 2 dwelling,service and/or tbeder Email:Angela.Grajewskt®a polygouhodtes.com Reconnect only 67.84 2 F.., ,r ,:. S4',X0)�,".f.W.'e < ,. 4 ..5.y- 4 F r Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC • Sign or outline lighting 67.84 2 '',^•: Signal circuits)orlimited energy Address:6101 NE St Johns Rd panel,alteration,or extension. 0 See Page 2 1 2 City/State/ZIP:Vancouver WA 9$661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr Phones(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr • Email:bdaniels@gweusa.com Industrial plant(1brmin) T8.18/hr Inspections for which no foe is 90 00!is 1 CCB Lie.: C1158 Electrical Lic.: 208174 J Suprv.Lie.: 44968 s tally bsted h hr mm Suprv.Electrician signature,required: IJ-P , .. t a z riJ:i W3 7 t i ; z142:.c". �k=m e, e ms _ i ::: ./ Subtotal: ' ,',. Print name: Joan P Albert Date: 4/26/2016 ' D Plan Review Required(25%of permit foe): ,i!'.:;. .' — State surcharge(12%of permit fee): ?;-. Authorized Amore: -� TOTAL PERMIT FEE: r;5; This permit application expires if a perming not obtained within ISO Print name: Bill Daniels Date: 4/26/2016 days after it has bean accepted as complete ;;%>, * Number of inspections allowed per permit `•: 1.Bufthe melte ELc„pe tdapp EtRfiR.E.dec Rev 06/17/2Dt5 440.46151(11/O5/GOM/WEa 4. Plumbing Permit Application R�CE�vED BuildingMitaries t(ri: c'i! i ;( t t yi. om") City Of Tigard Received Permit NO.! !S ic20/7'o00 y Iiiii 13125 SW Hall Blvd.,Tigard,OR 90 R 1 7 2017 Platt mew • 6" Phone::.503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.; i + .`i ,a> 'Inspection Line: 503.639.4175 CITY OF TIGARD Darn ltca iy1Bi. " Ju. See Page 2 for I Internet: www tigard-orgov ' ('� ry�� Notified/method: Supplemental Information I ygr Fru i:.�^:/is +"� s4'` +�� r ,A4,'�� �`,� w. t 'af;i' ti.�•tL is�y� w ar•,�r« t.ar .si tit'•.-0P,Pi; _ '' .ori:.'iS74 d }: �r�,a u;r,+f -�fi..'"i,d `% W ro°^=. i•<irvf;,.�° at**1�� .�c�. ....... l . . .'1 ®New constriction 0 Demolition For'pedal"lnfernrario,uaecheektist .Description ( Qty. ••I Ea. I Total t Q Addition/alteration/replacement 0 Other -New 1.2-family dwellings(includes 100 It for each utility connection) I e yi :1 x' ks4'Y"cY� ,",O..K: "s .. ..?lla.-4%,-4,f ' SFR(I)bath 312.70 1-al: 2-fancily.dwellrng Q Commercial/industrial SFR(2):bath 437.78 Q Accessory building / 'Multi,f'aruily SFR•(3)bath ` 500.32 Each additional badekitehen 25.02 Master bmlder ❑Other Fitt sprinkler("__sq,ft.) Page 2 • t r ss>* o: ,i .ti?C e 14ic„L `st " _ # Site utiliticr . . i Job site addryss: ; JV L v\{ Muer 1" -r`,ei`. Dryw basin nr ch arca drain 18.75 • City/State/ZIP:Tigard,OR 97224 g y Drytveli,teach lint,or bench drain 18.76 r f Footing drain(no.linear It.: r) _ Page 2 Suite/bldg apt.no.:/, 3 Project[tarns:, k w •!- ,, res No #--wird home utilities 50.03 1 .Cross street/directions to job site: Manholes , . . 18.76 1 Rain drain.connector 18.76 I Swiitary sewer(no.linear.ft.:,,,__) Page 2 • Storm sewer(no.linear fl_:,•__-;l Page 2 •' •Water service (no.linearlt.: _ ) Page 2 Subdivision tf,j ftyroitt, N acs-1- tno.:/ Fixture or item: . ' Tax maplpinel.no.:. Backtklw prevcntu 31.27 • `"r r 1 .�`�''''' '� fc.` ,te-t.tar p-..,-.Za 1 e ste-i 33•..y*t,,,,r, p,s4 'Decimeter valve 12,51 Clothes washer 25.02 . Dishwasher 25.02 •• Dririkirig toprltain •_ 2502 Ejeetors/semp ... .. 25.02 , J e k g F, { :, 4 u r x� fisa a F t Hex Exptnsion tank. • 12.51, , { ri ' *3 • e-; cap 25.02NameiADViLand holding E .c Fxrtrdewer floor.drain/floor sink/bub 25.02, Address:7600 E Doubletree Roach Road - tiarbagedisposal 25.02 City/State/ZIP;Scottsdale,AZ 85258 •. Hose bib 25.02 • Phone•('087)694-403) Fax ( ) *Maier 12.51 �'?�M r k •x ':: =4 �'kvr`^ ��„.' > E E•� 1 n•'�' } 1[ttcnxptOdgrease trap 25.02 ... •3. d,r:•c,a :��..:. u: v�.YCe.W...w., =,,., ..u "a .. `54'3±r. .:v : 3'5`.n..,....,.i or_'��+..:`' i Business nye William Lyon Homes,Inc Medictii gns(value:$ ) Page 2 t. ... Roof-drai 12:31 Cotctact,italtw:r#ngeli Gtaje�vski • - : n(comma ci4) 12.51 Address:80'Eaat j3Ui,Street Sink/basini1avatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54. . Phone:(300)'695-77110 Fax::(36$)693-4442 Tub/shower/shower pan 12.51 E-mail Aageia:Grajewsic@poiyho gonm.s.eom Urinal 25.02 • adWater closet 25.02Y+ 1 t�LtSiv '.'4 's;i1 � :.�':" .. Y•A 3� i 1ii. 0- ,,f.c ,mlc'..3.,74 'tx4zu;;,s�.. :... v...,.=. wow honer 37.52 Wates in WV 5649 l3tts»te imide A1ttte F'lambrag LLC Dip g/D Address:14$W IRistoric Columbia River Hwy Other` 25.02 . • CityfState2lP:Tioutitalc,OR 97060. . . ., Subtois$ • PFioi e.(503)492-M9O Fax:(503)912-6438 Minimum permit fee: $72,50CCB Lia '18 60)` Plumbing Lia no.:3'5732 Plan review(25%.ofpertrmit fee) State sorcaiarge(12%ofpetinit fee) Autborized.signatime: TOTAL PERMIT FEE 1 Print dame:.Robe!t• s6tnan Date:5/23/2016 ibis permit application expires lea permit Is not Obsoleted within ISO days Mier it has been accepted as complete: *Fee methodology set by Tri-Comfy Building industry Service Board 1:19u11diiietimhslfLMU.pmttdtgypdoa 10/01/09 440-46147(I 0/02.COSNWEB) or City of Tigard q III COMMUNITY DEVELOPMENT DEPARTMENT ■ TIo Building Permit Review — Residential '9. . S ,x..FL'ku_, h...e..,,,,.-. ,,,, ,*a--:,.n -T% ' "Y t`SS .$.k.Ptd4 .,..m,,- .,w,. a` ;..1:..a :4..54,A 2.Na'3.::' Building Permit #: /Lis%=7(Y/ 7 l&0/e)/ Site Address: / 'o Q f 9,4A _. /it.e --Terrcle2t Project Name: Over- .�,nor� At},r 1,L Lot #: /s—z/ S zf (New dwelling=subdivision name;Addition or Alteration=last name of owner) / Planning Review . �" 'L ��, Proposal: /1J ) S'i &— c.: C.�to (/'- 'icAL'i MA erify site address/suite# exists and active in permit ystem. River Terrace Neighborhood: No Yes,See River Terrace Review Addendum Attached I/ lan Elements: ree(3)copies of site plan g structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paper SieFootprint of new structure(including decks)with finished raven to scale(standard architect or engineer scale) oor elevations rth arrow tility locations(required for new,may apply for additions) tte address,project or subdivision name and lot number . ation of wells/septic systems pplicant information(name and phone number) V:sting trees to be retained with drip line,and tree Lot dimensions and building setback dimensions .rotection measures t area,building coverage area,percentage of coverage and LTA treet tree size,type and location • ..ervious area(applicable if R-7,R-12,R-25&R-40) Street names ri roperty corner elevations(2 foot contour lines if more than r 4 foot differential) 71ean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No ublic Facili • s Improvement(PFI) Permit: equired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake jai and Use Case#: A6Eao d ... CL ez46 oning: R--/Q (P ({Required Setbacks: Front Rear ,Lc--- Side 0 Street Side Garage 0 andscape Requirement: 7O Lot Coverage Maximum: wilding Height: Maximum Height A.)43— Actual Height It k isual Clearance /4 asements ii I'ensitive Lands: ❑ Yes 14 Type LTA Urban Forestry Plan ❑ Conditions `I n p "pri9r to issuance o budiermit Notes: J1 �/ �9;' // ✓Ic)Y' A J�% 17L /5� .04 ce r Approved By Planning: ,.,- Date: _40/ 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\BldgPennitRvw_RES_091216.docx I w Building Permit Submittal Original Submittal Date: 72/26)AO Site Plans: # 3 Building Plans: # 3 Building Permit#: 8--Enter building permit#above. Workflow Routing: 0-Planning engineering EF- ermit Coordinator &uilding Workflow Sign-off: C}—Sign-off for Planning(include notes from planning review) Route Application Documents: O'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: :lat By Permit Technician: 7 7e' Date: /e7 En• ' eering Reviewc-"' id lope at building pad: /A /' f�� #Conditiof'prior to issuance of building permit 1b / • 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 0 No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: ,L, _27 Date: ,--/y�./7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/_;/- !II /A !II�1 K to Issue Permit pproved by Permit Coordinator: Date: X-1 i/ I:\Building\Forms\BldgPemiitRvw_RES_091216.docx City of Tigard Ihir COMMUNITY DEVELOPMENT DEPARTMENT 11 T l c D River Terrace Building Permit Review Addendum Building Permit #: /17if % '/ 7 - oeve/ Site Address: /g/40,: so -ira?G .. Project Name: `'i/ r "�-e �. /�t Lot #: ,c----V (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 ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: --1-z)-n-1--, /A /e/ eecar czQ�! ��e. ntrances:At least one entrance must meet both of the follo g standards: 3. 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 min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep ❑ ecessed entry area min. 5 ft. de x 2 ft. deep ❑ all offset min. 16 inches Dormer min.4 ft.wide f' Roof eave min. 12 inch projection ❑ oof offset min. of 2 ft. CI ; 1 ��, Roof shingles either tile or wood able,hip or gambrel roof design'�!'1 ( ❑ oof pitch oriented south min. 500 sq. ft. horizontal lap siding min. 3-7 inches wide Accent siding min.40%of street facades Vindow trim min.2 '/2"wide by 5/8"deepfi, ❑ 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: Date: ___ Ag1/7 "' I:\Building\Forms\BldgPermitRvw_RES_RT_0622I 6.docx 1 Plumbing Permit Applicat ,,, Site Utilities FOR _„ ,..„ l`SE ONL1 Up/ City of Tigard J U L 5 2017 Received Date/By: 7/ /� Permit No�(C ,/��t J1/O/4 13125 SW Hall Blvd.,Tigard,OR 97223 y �'�J�Q'E/ V / Plan Review Phone: 503.718.2439 Fax: 503.59C1i9�i11 1"aii �(!� Date/By: .....1 ,^1 0-l 7 4Other Permit No.: T I G A R D Inspection Line: 503 639 4175 BUILDING DIVISION Date Ready/By: b �fYJus ® See Page 2 for Internet www.tigard-or.gov Notified/Method 77; Supplemental Information rmation 41'PE W s * D ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) .amt -, ,.. R''' �• t ! T SFR(1)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 ❑Accessory ®Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( q.ft.) 130,2 �" Page 2 dos I i ' Uiti1 ! Site utilities: ft- site address:13102 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: I Lot no.: 154 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 viii O , O Backwater valve 12.51 ' '44444Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2017-00101 Drinking fountain 25.02 Ejectors/sump 25.02 '4'M:0 'owM R 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 ;,• �� F ,,.. m!, ,,, , • „ • <P i 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 t , /� Water closet 25.02 ya er heater..ti tea„ .. •'''''''''' W t h to 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 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lic.no.:PB732 �/ State surcharge(12%of permit fee) Authorized signature: 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. I:\Building\?ermits\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 Suppression S stems: Footing drain-15'100' 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 , u«• �n t � i. 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 I each additional$100.00 or fraction thereof,to Other ,. .,.0 , tbFeS 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*. itdnttty by mature Type \AA Fixture Type dor Plan review is required for any of the following. Work Perfored:. Capped - ,Aqk4dedcat " Please check all that apply. Baptistry/Font Bath Tub/Shower ❑ 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 ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic Z 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 o e 1; _g• g 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 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 Pedmit.doe Mechanical Permit Application ` FOR OF IC 1 t S1�()NI 1 Ci of Tigard • �. Received � City Date lar ' i 13125 SW Hall Blvd.,Tigard,OR 97223 C i_p n 0 c 2,17 Flan Review -_ / Phone: 503.718.2439 Fax: 503.598.1960 Da1e/gy: Other Permit: 1 1 G n R D Inspection Line: 503.639.4175 Date Ready/By. See Page 2 for Internet: www.ttgard-or.gov NotiSed/ Method: ® 0 Supplemental Information _... } . { 2w + ._.,PGrI��; Q�� G C" ^1. �-j---4, � ti'- ~---�=-"e i�z. Y rl ufJ' ii;,....c'146#si,1E L'dti ar L 11E+,`E Mechanicalpermit fees*are baswork ._.. on the value of the coo >.4 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 $ , ,.�' tt ,P�'e'z•5i,, C f�t) fii., ticis t: ; t } '.1 f z h . c^ .T , •� ,.,� _,„ m^-` ❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special Information use a ed:list. ®Multi-family 0 Master builder 0 Other: Description 1 Qty. I Ea. I Total a-!.';',1'',/,'„ ,)? ISR ik!':,:l-,,,,„',74 -Qlt1, Fns Pa c,.i�f''f�O t ;.3: ; Heating/cooling: « �,... . .. , . ._ �_.,w Air conditioning 1 46.75 46.75 Job site address: [ t�� S i1 114e.T,e rya,.R., Furnace 100,000BTIJ(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 V_ Furnace 100,000+BTU(duets/vents) 54.91 � Heat pump 61.06 Suite/bldg./apt.no.:'1'J I Project name:River Terrace NorthwestDuct 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- : in-duct,suspended,etc. 46.75 Flue/vent for any of above 1 23.32 Subdivision;River Terrace Northwest I Lot no.: t 5y Off' 23.32 Other fuel appliances: Tax map/parcel no.: Water beater 23.32 s �^ i... !,` -7ra 4 t6�` `r��n�a�. 4> r17,77:7 7. 7, ' n m Oas fire lacinsert 1 3339 Flue vent for water heater or gas Contractor Change fireplace 23.32 ti )l ' n - o0'O 1 Log lighter(gas) 23.32 ' t Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 r ,i':::',:..--..,.j a E•1 i k I I, 6'1 Al '5 s •G, ... t 1.=a T ,fir b '!t ,1 •, ;, s• VCAt1411'iOn. 23.32 ..'. ._ ...:.t i ,.-..A„r.__ ,. Environmental exhaust and : 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)694-4031 Fax:( ) Attic/crawlspace fans 23.32 4.lt r ri,' '',,--:"1:-,---�. 6 tt vx -4 ,'.4eu' ,'',7-1C..',.' '' '2;,:,-,,'� er 2332 ...r :,--?11,....,.., .. � . L,,..M,' a>....._�.rz_..aw+..'.,.rW� .. .....„ .. . ..., .nw.. . r,�. Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Nichole Thorpe Furnace,etc. I Address:703 Broadway ST Suite 510 Gas heat purnp Wall/suspendedlunit heater City/State/ZIP:Vancouver,WA 98660 Water beater Phone:(360)695-7700 _ I Fax::(360)693-4442 "Fireplace Range 1 E-mail:Nichole.Thorpe®polygonhomes.com Barbecue -":2_2:_,:',,.y,. w_dzi.__..r ,,,i.....::fit„ ;I��e4'ru-� :.1���_ _.,:Z,._�,,,-_.__ .Y -`:-.1,.-:,,,i_.�k:__ Clothes dryer(gas) Other: Business name:Pro Heating and Cooling,INC „ i ' = r .' Address:2095 NW Aloclek DR Suite#1103 Subtotal City/State/ZIP:Hillsboro,OR 97124 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)4435692 Fax:(503)9415075 State surcharge(12%of permit fee) CCB lic.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it bas been accepted as complete. Authorized signature:#4;e114 :L-4/t * Fee methodology set by TriCounty Building Industry Service Board Print name:Nichole Thorpe r Date:9/19/2017 L•tBuildingWermits\MBC PamitAppp040113,doc 440.46171(11/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13102 SW AUBERGINE TER, SHERWOOD, February 1 , 2018 at OR, 97140 9:30:35 AM Record Type: Record ID: Residential - Master Permit MST2017-00101 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Correction complete Collected Moisture barrier acknowledgement form Moisture content acknowledgement form High efficiency lighting form Street trees will be verified by planning at close out of sub division ETO site inspection certification to be submitted separately for the entire building Left C of 0 on the counter 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 :1 _ " 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 RECEIVEP DEC 182017 FROM: Nichole Thorpe CITYOF- 11 o i COMPANY: Polygon NorthwestUILDIN1Urm PHONE: 360-989-4204 By RE: 13102 SW Aubergine Terrace MST2017-00101 (Site Address) (Permit Number) River Terrace Northwest Lot 154 (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 w F . 1 City of Tigard III COMMUNITY DEVELOPMENT DEPARTMENT • ■ Building Permit Review — Residential 1 R,A l:l) Building Permit #: f%1/ 7- 4()/e/ Site Address: / /Q Q ,S)Av lid:Zit, �erraCt Project Name: eke,-- •-7'�irior- Ai0144 Lot #: /S— (New dwelling=subdivision name;Addition or Alteration=last name of owner) /// Planning Review Z Proposal: /4)&0 -.9c,ii &- -2g/Mip._. a..2714(2k9e KULVienA,) Jerify site address/suite#exists and active in permitystem. eg River Terrace Neighborhood: 0 No - Yes,See River Terrace Review Addendum Attached Si' 'lan Elements: ISI • ee(3)copies of site plan `/: t;•. structures on site 'I:ite plan must be on 8-1/2"x 11"or 11 x 17"paper FA Footprint of new structure(including decks)with finished I ►4 yawn to scale(standard architect or engineer scale) d oor elevations rth arrow L4 tility locations(required for new,may apply for additions) tie address,project or subdivision name and lot number v �� tion of wells/septic systems ILoplicant information(name and phone number) IV i.ting trees to be retained with drip line,and tree t dimensions and building setback dimensions •rotection measures t area,building coverage area,percentage of coverage and '1 trees tree size,type and location v7pervious 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 dtfferen ! ° ean Water Services-Service Provider Lett• (lot platted prior to 9/10/1995): 'equired: 0 Yes,applicant was notified vi No Received: 0 Yes ❑ No I II Public Facilt Improvement(PH)Permit , equired: Yes,applicant was notified 0 No Applied For: Yes 0 No,stop intake d Use Case#: ibe20 2L �2arS/2-/Q5txxx, 0 Required Setbacks: Front ,4 Rear Side Q Street Side J/JGarage a.,90O dscape Requirement ft90 FA •t Coverage Maximum: 80 0/0o •uilding Height: Maximum Height AY - Actual Height -1,"1' isual Clearance ri ements It i �'ensitive Lands: ❑ YesNo Type '4 Urban Forestry Plan ❑ Conditions` 'pri�r� to issuance o bujlding permit Notes: Ueila'/7Atlic # i �c1✓- ieetAft-/-* /5Se 4Ce Approved By Planning: Date: ET Revisions(after Building Submittal only) Reviewer ate Revision 1: Approved 0 Not Approved iWA r 12.1174 i�+!417 mfl W o t ^ 1 Revision 2: 0 Approved 0 Not Approved 1 Revision 3: 0 Approved 0 Not Approved I:\Building\Fors\BldgPerntitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: /7/2e AO Site Plans: # 3 Building Plans: # .Y Building Permit#: E Enter building permit#above. Workflow Routing. EYPlanning [3—Engineering [V �,ermit Coordinator iuilding Workflow Sign-off Sign-off for Planning(indude notes from planning review) Route Application Documents: ErEngineering. (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. 1 Notes: By Permit Technician: er Date: 3//l,"i//2 En!. ' eering Review i lope at building pad: 400V Conditions"Met"prior to issuance of building permit seb • 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 ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 4L Date: „i-/44/7 Revisions(after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit 0 Approved,NOT Released: Date: 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 0 SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 0 N/A Tigard Trans SDC: 0 Yes 0 N/A Parks SDC: 0 Yes 0 N/A ,47 K to Issue Permit proved by Permit Coordinator: Date: J i/ I:\BuildmglFcnns\BldgPermitRvw_RES_091216.docz City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13102 SW AUBERGINE TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00101 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS Comments: No AC at this time Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13102 SW AUBERGINE TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00101 Inspection Type: Inspector: 399 Plumbing final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13102 SW AUBERGINE TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00101 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor