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Permit (84) CITY OF TIGARD MASTER PERMIT I COMMUNITY DEVELOPMENTIIII Permit#: MST2017-00100 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/08/2017 Parcel: 2S 106DB 15300 Jurisdiction: Tigard Site address: 13090 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 153 Project: River Terrace Northwest, Lot 153 Project Description: New SFA. Building/unit 1.2 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 Dwelling Units: 1 Third: 560 sf Right: 0 Detectors: Yes Total: 1362 sf Value: $170,032.44 Rear: 2 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'I 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 throu QAR 952-001-0 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. f _ Issued By: /�'�'G-�-=--- Permittee Signature: 2'/ '/'��-1t'977O� 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. gurlding Permit Application - ' Z-0 / C-13 - Residential FOR OFFICE I SE O\L1 „_ iI /1II City of Tigard x//11Received /7 Permit Np�./5 //-'OO/C Ili - 13125 SW Hall Blvd.,Tigard,OR 97223 ,` Plan Review3-41.3- •� Other Peimi�cGii� �/Q`je1�CJ Phone: 503.7182439 Fax: 503.598.1960 Date/By. 3- - 1 7 Inspection Line: 503.639.4175 ate ReadyBy. / inns 0 See Page 2 for T I G A P D p ': Notified/Metho4j �/� � '' Supplemental Information Internet www.tigard-orgov gov _ ._ __ .... c–}s: z...___ y3...... ;::„...f40.#..._ .. em.. ..._.....-�-�..._ _... _.. ®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 0 Addition/alteration/replacement 0 Other' equipment,materials,labor,overhead,and the .v. . ..__. . ._. . x :.:. '.-2g-11:5-,47-7,-="-7,---":;- 1- = valuation: $ ti for the a work indicated on this application. 4t a 1-and 2-family dwelling ❑CommerciaUmd )70 032111 Number of bedrooms: 0 Accessory building 91Multi-famil y Number of bathrooms: ❑Master builder 0 Other: r n i-- r —;'ffit >, Total number of floors: 16�J 6 Job site address: 13 OO\0 5W fikii YG3\(1P I err'ace_ New dwelling area: 1 3 b square feet /City/State/ZIP:Tigard,OR 97224 Garage carport area:al I+ square feet s 60 Suite/bldg./apt no.: I 7 Project name:River Terrace Northwest Covered porch area: J Z square feet' 6.1. Cross street/directions to job site: Deck area: 7a square feet wit, Other structure� area: 7 1 square feet , t€ems,,t.kA NfB'.iR >It ° . Subdivision:River Terrace Northwest Lot no.: I$ Permit fees*are based on the value of the work performed. $2.) Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the L ` S1fi'ai ' work indicated on this application. 4 Valuation: $ Existing building area: square feet New building area: square feet ra° -tj . fX ` -. i - ` .t., Number of stories: .___7„:---,-.--„05-_,-, fax 6 "; ,t, .�, ter . : 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: l,.,. x-'h,.' 4 ,. � sk t —r w< t i i`-"-` r—yr —" 1$3 i 3 IL 1lrs €''_�� Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13f°Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax:( ) > v tF -ms ,f u,a " E-mail Angela.Grajewski@polygonhomes.com _-.--,,,,,--.:-.1.7.7r-."7" ..:. _ "" , - „� 7. Commercial and residential prescriptive installation of n_'• E t? roof-top mounted PhotoVoltaic Solar Panel System. _. Submit two(2)sets of roof plan with connection detail¢ 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 Ci /State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 t3' and administrative fees): "'eine:(360)695-7700 Fax(360)693-4442 State surcharge(12%of permit fee): $21.60 - B lic.:207247 Total fee due upon application: $201.60 This permit application expires if a permit is not obtained Authorized signature: within 180 days after it has been accepted as complete. Date: !Z'1t/1 i�l l n Fee methodology set by Tri-County Building Industry Print name:Angela Grajewski yr l� Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application 1 OR OFFICE t SE()NEN — / City ofTigard Z3 EC E I\I E D pRaeet`g Permit No.;/l_c/,- `e'/7-C.•)0/0a II 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review Phone: 503.718.2439 Fax: 503.598.1960Date/By: Other Permit: T i G f,i2 D Inspection Line: 503.639.4175 APR 1 '1 2017 Date Ready/By: El Sec Page 2 for Internet: www.tigard-or_govCITY OF I D Notified/Method: ilia Supplemental information 11 .>.�...c�a+ i ` • 4,,-; E,39'1',}1 t1,tpi-,00--;418,;;••6 3:2 ,"�7pePt, -,4. ;,.2:,:61.ti � ea* iSknPIn d�J. z1'I: � rnuafm.. Ka1�„' IF :? aMecarialpmitfoes0*arebaadonthevalueofth�work , ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit F c ° s n �r ., Value:$ ” . s e„lei `;,,:;.' ':i J E i, s.f f ,..•&U,�n.€� . r•t,' .I e St•. ._. 1,..-,...:;E.,r•:' .- s�'•,.7 2:1''~,.. z�,.�e w r��, "Y5>-a `, �'",7 f p:: __ r sr ,�+ltt ,,,4C,1 G'€,f t1rdt i,t, '`,-`41.,,`,et.t' tJ'r , ......_e_v„Ml.s"r._:.ese�..�.,, .._.._�,__.._ � .,w1'.ra.�......._...me ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ►i Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total 5z.r?n.u";t*'ir,,ei'tt1. `4. wk . rg NC �� �4y C .n ss t . � .byi1 , Heating/icooHng Au candiionng 46.75 Job site address: P O c W Atbellnt1Crrar . Furnace 100,000 BTU(duets/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/vests) 54.91 . 'rDcpo m06 Suite/bld J no.:i•2_ IProject name� v( vi fGZ. N Lf flUSS{ Duet it 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 I 23.32 Subdivision: !– d l tyvtif p 14 .�.�1,A/ert Lot no.:15-3 �� 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 � r 'F' , t� .i r let� i�'? "� '``�.. -',.1:,,_ 1_,;::,...L.-i–,1----,:,'.'.i',,11, Gaefirepla�nsert 1 33.39 .... ._.�. :w_.. �. �M , ._.__ Y ., b » . - 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 Chiuutey/liner/flue/vent 23.32 Other 23.32 f ,p,,t . 'rt �*� 1»p rt5. g' t a z a I ( k' tt .'l -kr-.1t21 :;`=.1r _�__r r r. _ _H�__, .1 _ t_=_�.. ._ ._ w = �_ �--_. Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Don bletree Ranch Road Clothes dryer exhaust 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 44 23.32 Phone:(602)694-4031 Fax:( ) Attickaawlspace fans 23.32 ., 1f, t ;;t5c. l., ... r_.._»»mo 3i_'''P'..:-..,.,..1 i_ 7, h, i . '',;`iwr,. Other: 2332 Fuel piping: Business name:William Lyon Homes,Inc. S14.15 for first four,$4.03 for Tch additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZTP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace I Range I • E-mail:Angela.Grajewski@polygonhomes.com Barbecue t t { r4;t.1"2 6 -Z.,::,.. ..1.`.1'-',1-`'''' ` ti °Wiles dryer(gas) Business name:Andersen Mechanical,Inc y _ r... Otter :. :lie „' -r . 7._ r ,j^ ,ice Address:16285 SW 8511'Ave Subtotal City/State/ZIP:Tigard,OR 97224 Minimum pennit fee($90.00) Flan review(25%of permit fee) Phone:(503)992-6664 Fax:(503)536-6615 State surcharge(12a%of permit fee) CCB lic.:168214 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 / i days after it has been accepted as complete. Authorized signature: i , * Fee methodology set by Tri-County Bwlding Industry Service Board Print name:Nichole Thorpe Date:4/17/2017 11BuildirtglPermitsWiEC PermitApp.040113.doe 440-46171'(I 1/02/COWWEB) Electrical Permit lilpplit'ARECEIVED F-OR OFFICE USE ONLY City of Tigard Recei1 ry Dai Parma 13125 SW Hell Blvd_,Tigard,OR 971 1 R / 2017 Pian ReviewIli "�/ C/����C7d ' • Phone: 503.718.2439 Fax 503.598. 60 pang : Related Permit k; Inspection Line: 503.639.4175 Ready Date/By: racist iS See Page 2 for 11GA1tD lntsmet uNw•tigaid-e?r.gov CITY OF TIGARD blotifiedMkthod; Supplementallnformabon .ulgl•N _ -- ,. t?' zi _'��+�' ol-.4:v.7:24,..-40:44-,--cam^ � -,.-, '�--. s, --;-,,z,', i.,,,:.7fi IL'" '7y:.d.i.,ss`` n,.r a�` ;gam ®New construction 0 Addition/alteration/rcplace ment Please check nal that apply(subnit2 sets dills=w/uems checked): F 0 Demolition [)Other. 0 Service or feeder 400 amps or more 0 Building over three states. where the available fault current 0 Marinas and boatyards. 1 :45;71-41.5.1:.-44_,7,.'...:'_h a.-.-).1.l.54::::::4 41,E a/r F1.01.4.:r" `mss.' ?T 2-- ?? y Y exceeds 10,000 amps at 150 volts or Q floaneg buildings. I-and 2-family dwelling 0 Cotnmercial/iridustriai 0 Accessory building lass to around,or exceeds 14,000 ❑commercial-use agricultural amps uall other iostallatko. bml!4 Multi-family 0Master builder 0Other ❑Fire pump. Q Installation of 150 KVA or ,-_ • .-_ ':'•'' a I ": a_tom'.fa r•. 1:i i,t=•ki1.t? 't.t: , ' a ❑Emagency system. larger separately derived Job#: Job site address' �j I S{w{ P 1 ln.raItt,`^ems,,Q Addition of new orator Ioad of system. ® �V �asevil� ,LL. 1 '�"`'G„t 10011p ormoro. ❑"A",E","1-2'."1-3". City/State/ZIP:Tigard,OR 97224 Six or more residential units. occupancy. _ ❑Health-caro facilities. ❑Recreational vehicle parks. Suite/bldg.apt,#: !..Z Project name,R,titte 1'yrear4' ` > yX( QHsandons1waGans. ❑supplyvottigeDarmorathan ❑Service or Seeder 600 amps or more600 voila nominal. Cross street/directions to job site: 4�; '. ,':b. al,ry xk i_F " , jk h' Dcscdedett Qty Rech Toes ^ New residential single-or multi-family dwelling unit Subdivision:p4ey -ebY".t, fa4I4,,4 , 1- I Lot /3 Includes attached garage. Tax map/parcel#: 1,000 sq.R or less t 168.54 4 rf sy a c:a fps as�i'sUT-0:f4 -1, P7,716-:-.V-Y-'- '-`4:' ,rk Ea,add'1500 sq_R or portion I 33.92 1 _%:= .. _ 0 . , >11 Limited energy,residential (with above sq.ft_) 75'00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft) : f `b° tit.l:"5--' :L?:4 :'',- .:11-.",. ."4~';' ('42. 11' 441',, > '['''''''''''.%'- e Services or feedsEnergy ❑ See Page 2 4 ,` a or feeders installation,alteration,and/or relocation _ Name:ADVL Land Holdings,LLC 200 amps or less I 100.70 2 Address:7600E Doable tree Ranch Road 201 amps to 400 amps 133.56 r 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 Fax:( ) Over 1,000 amps or volts 552.26 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 59.36 i 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 16854 2 :-5 k" '-'" >;a Y�"�e�'€'_b �-7'x.sty' .� .f 'o e tJ i e r 7 e mak'' Branch circuits—.new,alteration,or extension,per panel -... ��sxr<< , ., � .,, , A.Fee far branch crcuits wfrlr Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7.42 2 Contact name:Angela Crajewski B,Fee for]ranch circuits without Address:109 East 13th Street service or feeder fee,first $6.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each addl branch circuit 1 7,42 _2 Miscellaneous Phone:(360)695-7700 • • I Fax::(360)693-4442 Each manufactured (servicerfeeder nor included) modular . thanking,service and/or feeder 67.884 2 Email:Angela.Orajewski®polygonhomes.com Recommet only 67.84 2 w -,_,y _. , .,,.:-- irt ;l,C "AR,1 .- - 5 dot:'1;e ,. .gTi' Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 -•..,•.:. Signal c s or lmited-en Address:6101NE St Johns Rd panel,alteration,or extension. 0 See Page 2 , 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/br • Phone:(253)320-1657 Fax:( ) Investigation(1 hrmin) 90.00/hr 1 Email:bdaniels®gweusa.com Iadtuirielplant(1 hr min) • 78.18/hr Inspections for which DO fee is 90.00/hr ? CCB Lie.: CI158 Electrical Lie.: 208174 J Suprv.Lie.: 4496S ' listed CA in min Suprv.Electrician signature,required: ' ' • Subtotal: Print name: Joan P Albert Date: 4/26/2016 Q Plan Review Required(25%of permit fee): r State surcharge(12%of permit fee): i :1iv: �_ i'i;,: TOTALPER1vf1I PEE: ,x. Authorized signature:' :•r.�;... This permit application expires ua permit Is not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days atter it has been:accepted as complete. ..g;; ,. '^ Number of inspectionsaibwedperpermit J;s��:r: `. 44046r57171/a5/COMtWEa j nuc'•,;::•1:tBulid&,glPermiblyLC PeraatApp IfLR�REdac Reva6/f711015 Ptunibin_*Permit Application nc Ix ® Building Fixtures ,(),: (), i 1( i t 1. 0\J.\ Receive d City of Tigard > 3 Permit No S1Ev 2__64iC1C !!13125SW,Hall Blvd:,Tigard,OR97 R1 r 2017 Plan Review Other Pamir No.: Phone::.503.718.2439 Fax: 503.59,$IO tTitAHDp��g} Inspection Line: 503.639.4175 t Date ReadylBy J„ris. ®Ste Page 2 ter ! " t ' Internet www.tigard•orgov BUILDING DIVISION N 4ehod SuppkmrntWttarormation G ,t -. ..•er' �, 7' 4 .d �,i a•.'1r 14:', n tit t 'rtY4["tr .g>, >.5 ,. R}L �,� , `i :.:. 7!1v "y +�i-' 514 f.Tr a .. 4',5.,,. ,a 6 r $en'aa+ r ...- �tL %-:• 1 -, !-4 +Y h.":.k :4,FiP,ann „. ..�„.,...'S Et Newconstruction ©Demolition For special infornmoonuse checkist , ,Description I- Qty- '1 Ea. I Total. • ci Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 it forte utility connection) , ',fir .se <,s i,P,..'.e14.1:51-1- ti g i �:.`r 4}•e" ,6 , - SFR(I)bath i 312,70 1 i-and 2-family dwelling 0 Comrnercial/rndustrial SFR(2)bath 437.78 . SFR(3)bath • l 500.32 j]Airy building uiti4famity Each additional bath/kiwi:en 25.02 aster builder ' D Other Fire sprinkler t sq.ft.) • Pagt 2 `(A4:#5,4,-,..,!..44,7,....,..-:-.-,,,° rks f '" a" c`e� - - Site utilities: I• c aM , sty /��^ �`� � Catch basin or area drain � 18.76 1 Job site address: 0 0e,r,Ix .1 tits 11 Drywe11,leach line ar trench drain ]8.7fi i C'ity'/State/ZIP:Tigard,OR 97224 Footing drain(no.linear it:_,) Page 2 , 1 Suite/bldg./apt.no.: . Project name: l �. Jty 1",c,nevizzt}YhAManulitdurod home utilities 50.03 Cross 3tieet/directions to job site: Manholes 18.76 1 Rain drain connector 18.76 I Sanitary sewer(no,linear ft.:,,,,_„-) Page 2 • Storm sewer(no.linear ft_:._._:1 i Page 2• i Wafer service(no.linear tt:__,_) Page 2 •Subdivision I IT•fir`tt ptr, N ,44(-1' ' Lot ria.:153 Fixture or item: Tax mapl}ancel.leo». Backfow.peventer i 31.27 , e�-., , . ',..-k., �. t "N° (3'1;vater valve I 12.51 l>.;t""�l k.� 1 5':: 4 };-' ..'",.44 4.0 i..t4i�•5t', 4 1` C tt : =v.. ' 4•1:A-, I c Clothes washer 25.02 Ctishwasha 25.02 - . Drinking fatntain 25.02 Ejectors/sump 25.02 ,, > .. ' o. 5 " o:; "' �4 . • Expansion tank12.51 k. at ,e t a.. `�� t„ a t .3 • Name ADVL Label HoMingu;LI.Cxsurr/sewcr sap 25.02 - Hoar draiWtfoor sink/hub 25.02 Address;7680 E poubketrec Rauch Road Garbage disposal 25.02 City/State/21P:Scottsdale,AZ 85258 . Hose bib 25.02 - 1 Phone:(642)694.403) Fax:( ) la Maker 1151 . d qt.. . - +r ,7 ,,. -t icrccptor/grease trap 25.02 w a 't-° -Y; S� 3.,1 " t�.�rt..r}F ''� 'a'r sx'=b�,6 i t�4'�. t 5 r1n Business*Me;:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 . , Primer 1?;51 . ' • Contact,ilame:'An la Gra _ski j Roofdrain(comirterciai) 12.51 Address: 09'Esst 13tii.StreetSink/bnsira1avatory 25.02 t City/State/ZIP:V*ncouVer,WA 98660 Solar units(potable water) 62.54 . Phot e:(360)1695:7704 Fax::(360)6934442 Tub/shower/shower pan 12.51 E-mail':Angelst.CraJemski(a�poIygonhomescone Urinal 25.42 r. . ! , . Water closet 25.02 . ., • "/, kfi,_ r, _ .., _ , . eN., , ;4 $,-.. t ,:_ ,. -. Wsier rata 37.52 ,• 130311 i:ss*net Aiiiii a t''ittmbing LLC - Water piping/DW V 56.29 Address:-14.6 W)11000e Columbia River Hwy Outer: 25.02 • •City/State/ZIP:Trotd44lc,OR•97060. ., Subtotal , Minimum pcsmit fie: $72•.50; Phone:m.1)492-3490 Fax (503)-912-643$ Plan review (2555 :ofperinit fee) CCS Lica 1$460 / Plumbing LIa no.:PB73$ - State surcharge(12%of pc:t iit fee) Authorized signature: TOTAL PERMIT FEE This permit apptk*hbn tallies It a"permit is not attained within ISO days Print Rotiet t Madman Date:5/23/2016 atter N§n been accepted as complete *fee mehodotogy an by Tri.Coutny Building indastiy Service Board I:laiiiidiiigPPamita'PLMU•PamitAyp.dot 10/01109 44o.4616T(I01421COM/WE6) 91 • City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT 1 T 1 GA tt D Building Permit Review — Residential k„z....,,E .e.xu.^z. .;.,.A,_-k .,s,SY. :w.�ina„, .,x> z..c.z��.Y.+ ss :. wa'_. —; .,,i.a,,_,-Rs..seh_,ok+.,- :u,iedr,-;sa rsa n. L,.,:::-. Building Permit #: r"7.57 c277 -• Cie/O e Site Address: / 6?a �/0 d`' ?Gr, 4'a .-TerrQZc.� Project Name: ii � r- '7 c /or-7-f 4 Lot #: /, (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: • (--' s4)61) —9)(_. 61— 4-41/7 ..74c2L01. ,12,icht- )77&.e erify site address/suite# exists and active in permit ystem. i/River Terrace Neighborhood ❑ No - ] Yes,See River Terrace Review Addendum Attached Si lan Elements: ee(3)copies of site planfVf\ is�ting 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 systems Applicant information(name and phone number) ii �'.&'sting trees to be retained with drip line,and tree Lo14��( t dimensions and building setback dimensions protection measures t area,building coverage area,percentage of coverage and Y/ treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names t1 •roperty corner elevations(2 foot contour lines if more than /4 foot differential !. � lean Water Services—Service Provider Lettr(lot platted prior to 9/10/1995): 'equired: ❑ Yes,applicant was notified ! No Received: ❑ Yes ❑ No VA Public Facilit Improvement(PFI) Permit: /equired: Yes,applicant was notified ❑ No Applied For: 'V Yes ❑ No,stop intake Rand Use Case#: / 2pit: og: , -/Q 6 equired Setbacks: Front Rear ,S.--- Side 0 Street Side arage ,12,20 andscape Requirement: 7O Lot Coverage Maximum: 00cyo wilding Height: Maximum Height AV/I— Actual Height ''isual Clearance ri asements 11 I'ensitive Lands: ❑ Yes No Type lV Urban Forestry Plan ❑ Conditions " .e3"pri9r to issuance o t ui dingy permit Notes: L ,%1C1/hOi.�la' h d ear-- 7; ����t� is' sGt.-=t.d1C=c� Approved By Planning: Date: __1-5/a/if.* 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\BldgPermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: /Z/2cl(,6 Site Plans: # —f Building Plans: # ? Building Permit#: [ --Enter building permit#above. Workflow Routing: lI Planning [ Engineering Permit Coordinator ®_Building Workflow Sign-off: - 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 Bal 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: . ��. Date: A77 Lu .f1ss` .- r -; .,.. ..-. _.x� €dd "< :AM.ri M -=' :. L LL-' - _ 'i.:.. Engineering Review6 Slope at building pad: 72 Conditions "Met"prior to issuance, building permit -- 4107------ ,41.-------/ 0 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 0 No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: ) doZ) Date: ''" Revisions(after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit pproved,NOT Released: Date: 3/1.4. f f•)-- 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: :121IPDC Fees Entered: Wash Co Trans Dev Tax: '1:7• es ❑ N/A Tigard Trans SDC: ► •Yes ❑ N/A Parks SDC: {es El N/A 74K to Issue Permit pproved by Permit Coordinator: A Date: 4 /P l:\Building\Forms\BldgPermitRvw_RES_091216.docx ,w z City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 0 TIGARD River Terrace Building Permit Review Addendum Building Permit #: .S'i /7 - D c7/0 t Site Address: /30,0 i2GF ,�rc?C� Project Name: `v r t7C2 �d�u Lot #: /c (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 façade 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 do7r ❑ ❑ ❑ ❑ r 2. Eyes on the street: a minimum of 12% of each street f cing façade must include windows or entrance doors. Percentage Shown: I/+ ; • 0 a , QC) l e. 3. trances:At least one entrance must meet both of the follo ng standards: 197‘ 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 façades: ❑ 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 inchesDormer min.4 ft.wide v?0(7 Roof eave min. 12 inch projection ❑ oof offset min. of 2 ft. ❑ Roof shingles either tile or wood G ��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 façade Vindow trim min. 2'/z"wide by 5/8" deepffr ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street façade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. ❑ Yes No. If No (Check one): ❑ 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 façade ❑ 50%max. of street facade with 7 detailed design elements Notes: ---.., Approved By Planning: ------- ;"' Date: „.". Mr--*. I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx Plumbing Permit Application Site Utilities ECEI\ PD FOR OFFICE USE ONLY lc JUL J' I I 5 2017 d 7/r7/77 /1' Permit No.: ����-�J/ City of Tigard Received �f 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Other Permit No.: Phone: 503.718.2439 Fax: OF503.598CMY ';!(;;ARD Date/By:n Review 7�����7 � Inspection Line: 503.639.4175 BUILDING DIVISIONDate Ready/By: /w,,/,/,_ sEi See Page 2 for TIGARDInternet www Ugard or gov Nottfied/Method Supplemental Information ormation 0 Demolition For special information use checklist ®New constructionDescription I Qty. Ea. Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) t 1 a ' ' fir, a ' ", ' SFR 1)bath SFR(2)bath 437.78 ❑ 1-and 2-family dwelling 0 Commercial/industrial 500.32 SFR(3)bath ❑Accessory building E1 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler X30 sq.ft.)/3�jZ4 Page 2 r Olt `:)1 `i1 ii3,• 1 ' e Site utilities: Catch basin or area drain 18.76 Job site address:13090 SW Aubergine Terrace 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.:153 Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: Backwater 12.51 Clothes 1 Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2017-00100 Drinking fountain 25.02 Ejectors/sump 25.02 ' Expansion tank 12.51 �..� . »a Fixture/sewer cap 25.02 Name:Polygon Northwest 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 v ' 4 K Interceptor/grease trap 25.02 v,..,. ,, '� - � , ., , * n - 2 Medical gas(value:$ ) Page Business name:Alliance Plumbing,LLC 12.51 Primer 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 Urinal 25.02 E-mail:robertdishman@allianceplumbing.net net _ ... iv1 p ater close 25.02 w' . a ; .. °4' '' ' . 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 503' 912-6438 Minimum permit fee: $72.50 Phone:(503)492-3490 Fax:( Plan review (25%of permit fee) CCB Lic.:184601 I Plumbing/ Lie.no.:PB732 State surcharge(12%of permit fee) Authorized signature: 1--� L.JlTOTAL PERMIT FEE LPrint name:Gavin Thornes 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:\l3uildingWermits\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-1'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 Sewer-1st 100' 62.54 3,601 to 7,200 $233.20 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 37.52 Water Service-each additional 100' Medical Gas Systems: " Storm&Rain Drain-1st 100' 62.54 '' lli ,, µ �' ...u, Storm&Ram Drain each additional 100' $1 00 to$5 000.00 Minimum fee$72.50 37 52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for d€ Inspection of existing plumbing or for each additional$100.00 or fraction thereof,to and including$10,000.00. which no fee is specifically indicated 90.00/hr $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for (minimum charge—1/2 hour) eachadditional50000 or fraction thereof,to Inspections outside of normal business and including$25,000.00. 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*. at uifitit by lxtur � � Fix** ypc for z sib . ,-- ..., " Work rerft rid Cam. A ed „6Acitte Plan review is required for any of the following. Baptistry/Font Bath -Tub/Shower Please check all that apply. 0 Any new commercial building with water service 2"and -Jacuzzi/Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator greater,except systems designed and stamped by licensed engineer. 0 New exterior plumbing site utilities for any complex structure as defined in OAR918 780-0040. Dishwasher -Commercial El Medical gas and vacuum systems for health care facilities. Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain El 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. Car Wash Drain Garbage -Domestic-non-food ❑ 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 Peimit.doe Mechanical Permit Application- --, .> , ,., 1 OR OrricE i_Sr 0\1.1 City of Tigard Date/By: (.�v JAI irlEINIMIRM :, - ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.7182439 Fax: 503.598.I960 r- e.1 ts / z.,IJ i ' PYaa RevBy:iew Other Penult:Aate/ i E{. \!t n Inspection Line: 503.639.4175 Date Ready/By: Iw+s: la See Page 2 for Internet www.tigard-or.gov ? NotiSed/Method: Supplemental Information 7::::''''' a,-vr--7-;.. °( t1 : ;,� . rt a �+5::,,`'� i a. z f . F_t7ifu xt� ��t.-f;61-ii---�I `te,tili4t J. �, ,i4.4,..a(. P r K.S., x ._.._.,s s,,z,u.,... -ti.._�. �...�....oi..rn.. ,s�N.�.c.�.,�,.w..a+_c.:h' an ., ®New construction i 4Mechanical permit fees*are based on the value of the work 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. r Value:$ it C C k ;43}14 8 { :\f V r� q;�.f '.y,J . t~ ,: f 1 µµ T �b - 4. ems..t '''''"----4-'' u :_.1.,.e...:: .. ...2:'.. .... :. ,_....,.t.; CY... !,2.,. . ...,.:,_. I :tb 4 f kJ 1 ` `P 37 ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ®Multi-family 0 Master builder 0 Other. Description , Qty. I Ea l Total t S i 1 s1 a T� yf E C ftp( a�._ERCP G�S ��jN-� t 2, Heating/cooling: l.�,� SAir conditioning 1 46.75 46.75 Job site address: 11 e ` ftl. Ar 0 1 , - ► , Furnace 100,000 BTU(duers/vents) 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.: EMI Project name:River Terrace Northwest Duct work 2332 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydropic) 23.32 Unit heaters(fuel-type,not electric), in-wail,in-duck suspended,etc. 46.75 Flue/vent for any of above 1 2332 Other: Subdivision:River Terrace Northwest Lot no.: I 2332 Other fuel appliances: Tax map/parcel no.: Water heater 2332 ::-..,1;;;._;":;-' A r ��, E t i i 7 i aiY't;r� riw , 'T Gas fireplace/insert 1 3339 ...., �, _lti ,. . �._ : ..._.. -.•.... r ---_.-_.W.. Flue vent for water heater or gas Contractor Change fireplace 2332 LoRlighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/Iiner/flue/vent 2332 t.;',"-,"--, 4 ty � S SM t ..'_ ijr;-: - a Other: 23.32 --r- <^ K � •• {�°,1»_ ---t<— '''''-`-i.`",_ ::''' '''''- •'� ..`— 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 3339 City/State/ZIP:Scottsdale,AZ 85258 Single duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 Phone:(602)694-4031IEMIMIIIIIIIMIMll Attic/crawlspaee fans , 23.32 >.... ... •.c---_,/,,7,7 .- 3 t'8 r r h'.it '_Zx} i Other: 2332 .' , _ �; .' },�:,m:-.•, 1 .,f..iu .�z. .,.ti, ,.Y, .. , ,7.77.7.,.w. Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for first four;$4.03 for each additional Contact name:Nichole Thorpe Furnace,etc. 1 Address:703 Broadway ST Suite 510 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 E-mail:Nichole.Thorpe®polygonhomes.com Barbecue , .i.,;!:::-�.� �__,_z,_ ,......w��.:.�._...�v_.�_n�tik...�L�. `���."� .. ,..�'. ._ ,�..._`r Clothe�(�) Business haute:Pro Heating and Cooling,INC Other 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) CCI lie.: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: . Fee methodology set by Tri-County Building Industry Service Board Print name:Nichole Thorpe �� Date:9/19/2017 I:1Buitding'PctmitAMEC PermitApp 040113.doe 440-4617r(11/021coM,VEE) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13090 SW AUBERGINE TER, SHERWOOD, February 1 , 2018 at OR, 97140 9:29:53 AM Record Type: Record ID: Residential - Master Permit MST2017-00100 Inspection Type: Inspector: 399 Plumbing final Allyson Armstrong Result: PASS Comments: Water pressure =38psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13090 SW AUBERGINE TER, SHERWOOD, February 1 , 2018 at OR, 97140 9:30:12 AM Record Type: Record ID: Residential - Master Permit MST2017-00100 Inspection Type: Inspector: 699 Mechanical final Allyson Armstrong Result: PASS Comments: Correction complete 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: 13090 SW AUBERGINE TER, SHERWOOD, January 26, 2018 at OR, 97140 10:36:08 AM Record Type: Record ID: Residential - Master Permit MST2017-00100 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: 13090 SW AUBERGINE TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00100 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Collected Moisture barrier acknowledgement form Moisture content acknowledgement form High efficiency lighting form ETO site inspection certification Left C of 0 on the counter Violation Summary: Inspector Contractor