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Permit (45)
71 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00155 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2017 Parcel: 2S106DB13900 Jurisdiction: Tigard Site address: 17495 SW FOREST HOLLOW ST Subdivision: RIVER TERRACE NORTHWEST Lot: 139 Project: River Terrace Northwest, Lot 139 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $254,617.30 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group:Y Square Feet: NEW SF VB R-3 2078 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 Fire Rated Eave 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175 STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $31,759.01 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952952 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.23,4x4. / Issued By: -r7f� �� // /�� /c✓T J'jC'!V r.----- Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application 1 L____ 0 / 3 7 7__ VP en , Q, lint It ' ■ RECEIVE , FOR OFFICE I;SE ONE)" Cityof Tigard Received ��jJ /' n I g Date/By:`I x,//7 ....t . Permit N/ L V/7�6U l "� 13125 SW Hall Blvd.,Tigard,OR 97223Plan Revie g APR 2 0 2017 Date/ III II By:503.718.2439 Fax: 503.598.1960 S• � �" 7 Other Fermi //' '�-- �G�O i i t.z L R, Inspection Line: 503.639.4175 Date Ready/By: / anis 121 See Page 2 for Internet: www.tigard-or.gov CITY OF TIGAND Notified/Method: //� // Supplemental Information BUILDING DIVISION. l 11 x= �, z ® t 1:21 ®New construction ■ Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ■ Other: equipment,materials,labor,overhead,and the profit for the 21 t = Q r t J. work indicated on this application. Z , _ ■ Valuati011 6 J 6)y$ 2.--2-1:11 ■ , , hm Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: 3 t : t y t 1 t - t Total number of floors: ��g rr / -I� ,x..7 1 i ticu! — New dwelling area: '$ square feet c3 Job site address: City/State/ZIP:Tigard,OR 97224 r "�► Garage/carport area: 3 square feet Suite/bldg./apt.no.: I Project name:River Terrace Northwest Covered porch area:Ilk square feet 7 J 3 0 Cross street/directions to job site: Deck area: square feet 9 4 Other structure area: square feet Subdivision:River Terrace Northwest Lot no.: • 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 equr ment,materials,labor,overhead,and theprofit for the 1 1°• fl t t: '' work indicated on this application. r Valuation: $ Existing building area: square feet New building area: square feet " - f t, t IA A ,. ,- Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: , Business name:Polygon WL 4,L , Structural plan review fee(or deposit): Contact name ,1 i ,ii' _ FLSplan review fee(if applicable): Address:109 East 13th Street Pp )' Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 Fax::( ) Amount received: E-mail:Nichole.Thor of onhomes.com f t f 77- Commercial and residential prescriptive installation of 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 administrative fees): Phone:(360)695-7700 I Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature. fich This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. PrintI name:Nichole Thorpe e Date:4/17/2017 *Fee methodology set by Tri-County Building Industry Service Board. iing\Permits�3UP-RESPemiitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) .... , Mechanical Permit Aonlicalk ECEIVED IIEIIIIIIIIIIIIIIIIIIIIIIIIIIIMMI Received City of Tigard moday: t7„.57-,-70/7-it7/5-5 ' .13125 SW Halt Blvd.,It 0R 97223 "1 Av L 9 ni7 Plan Review Phone: 503.718 1439 Fax; 503.598.1960 IVif-11 t) c-u L( • • Dategy: ••- . . Other Permit, inspection Line: 503.639.4175 Date Rcisthilly. haw 1 et gee pane 2 tor Internet wv"vtigatd-or.gov CITY OF TIGARD Notified/Method: Supplenteatel information B I I G PIVISION . .,,... -.[-, r'i•,.-..,-.7-,vi.----::-..v.,. .i!:,.., 4- , ,,: ;- .,, -''''''.'''''-'''.'‘71'-'''''''' '.',...t'' ---,'''':::.;72e '"'''171'.,17-7-ii''''Frt,' ,.di,,Z,r,?..t;Z:f;'.;•:,",;;„'z':".n. 6:2-.. V.,aAk,;... ,. e.-.1,-.,- ,,:...,,,,,,-,, -., .. , , ,.., ...al.:1=.'„ ,,,.-. ,'-z-‘- -:-. '‘- ''-'4""--. ' -'" -' ' '''''.* ' '''''... Mechanical pennit fees*are based on the value of the work DA New construction 0 Addition/alteration/replacement perfornithl Indicate the value(rounded to the nearest dollar)of all mechanical materials.equipment.labor,overhead.and profit. 0 Demolition 0 Other Value:$ '- ' „..:,4,--;,4-7:-,.--..:cii....tv...,7;f:4--70-- •-4---,,-,,;:•;-$4,14iit; f,..1 .tirs-, e7',-.0:64-^Z,,.11.17.-. .e-)4,,,i.;i;- ,,,• . ,..., ..1,%. ,,,,,;.. ,.,,,,,nji, i,,,,,N.i.: ,,,,r.:„.,L 4-• -k.;.f. ,c .4,..:4-..,..,:--t..•-•,-- -ze,-,,,,,,,,,,..4,. ..-.,-1::„ ,,, ,c,.,......g , J, ..,, .,. .__,.. ,_.....--5, .,. . . _ .„ , .. .,..,s, , ,,, _,., .., ,..,_ .„4„ „, I..and 21amily dwelling 0 Commercial/industrial 0 Accessory building Par spedof!elongation Ric diemtlist 1 Multi-family 0 Master builder 0 Other; Description I 41Y- I Ea. I Total .:*, .3.....-„•.:•••, - .-- '• - '• Ileatinakel0011M „.....,,,:,•-••••-,....,'-4 i',7,-:,i'Y'-''':..7',...,' ''r.','V' FT.i'V'i,',I•c,... ff",,"‘ti'v,i'ivi"V,,,,'-t„..ii,.,,6;.,-, ;;:t5,..,*:`f,-14s..,,1,tfk'll . tto--1_,--,./...5,:: :,,,,,,z4,,,,.....,-,..z-l',,:,,zr,,,,,,;,&, ,'.4,-..'...,,,,,m-----4,•z,,,..-1.-.^:,t,r.....,.-z-a .1.....o..1....r..a....-.,,,. Air comitform 1 46.75 jeb siletdditsss: /79q5-SA/ Rre.rie //9//010t/ ,.Furnace 100.000 BTU(docteventi) City/StatefL1P;Tigard,OR 97224 Furnace 100,000f BTU Ouctsivamo 54.91 Heat pump 61.06 Suite/bldg./apt,no.: I Project P;Ikierierree ObYthlkjeCi- Duct work 23.32 Cross street/directions to jab site: I lyclronie hot water system , 23.32 Residential boiler(radiator or bYdrotticl 2332 , • Unit heaters(fuel-type,not electric). in-wall.in-duet,suspended.etc. 46.75 Flue/vent for any of above l• 23.32 Other 23.32 SUbdivisitml:•Ilatilf Piract,N6r-kinimccf- 1 Lot no.: X, Other fuel*polio ace= Tax map/parcel no.: Winer beater 23,32 , Gusfi-Pkwnwri 1 33,39 ..-.:::'---"2... ,,7cfz -..,r,-7 lLtaf);-'.•-1!-,,d4..-t,':;1/4.,,,....-A.,!1,12.1:,.e., :r.z.4.,,,,,,,,,:_',4;,-ez..... .- ,-,:-.-z,-,_,....,--0.-7.,,,.„-...., Flue vent for water beater OT gas fireplace 23.32 Loa lighter(gas) 23,32 , -- - Wood/pellet stove . _ - . . ,• -, -- Wood tireplareitimext 23.32 Chitnnevflinerifludvent 23.32 23.32 '-•./.-'.W.'''.a.:-t.....:'',:i1)-7;'...4a,.4.:1)'-;f.i:'. 4,?•,.fd-*it.17-4:k&rip..4111441.1Lb1-.-.1-2•Atf. :-:4-,1-.V1 Eiwirt,„entat exhaust and ventilation: Name:Polygon WLH,MC Range hoodfothcr kitchen equipment 33.39 Address:109 East 13th Street C:lothcs drver exhaost .. II 33.31 , 1 Single-ditet exhaust thathrtxmis„ CityiStateal P:Vaneouver,WA 98660 Milo compartments,utility moms) 4 23 32 Phone:(360)695-7700 Fax:( ) Auieferawlspare tims 23.32 her h -,3=c,&.;::.'''.,,-=':.-...;:;',..-,-,---;'1;1V-;:'t-i'it:sli'',"tl-ir.:ar,-,-*•o.„-, •-,,,?.4.=.4'''iv i'A'irtz17. 1-':11.TTI,':4-1it.9f,,e,:e Ot • 2332 . P 02. Badness name:Polygon WLH,LLC $14.15 for first fours$4.03 for each additional . Con111100.ednam 1,1„ ' FurTmet.cic. 1 Onsiteat pump Address:109 East 13th Street Wall/mispendedfunit heater CityiStategAP:Vancouver,WA 98660 Water heater Phone.;.(360)695-7700 I Fax:.(360)693-4442 Fireplace I Range I e-mail i.' LI IA 1, 0, r ,i. ,,,, A A iji, Id __ Barbecue e=1•11;:v-A.-- ,:*!..7.1,%„47rv,:i!„-741:..f.:'fflq,!': Clothes dryer(pas) Other Business name:Apex Air LLC Gi"''''--.4C, • ...,q cf`.-!,'.'.;t7-':I:,.;•:41.t7q ',.?:.--_;';.1.1A1c,?1,--''...,,:-Kt Address;18004 N% 72 Ave Subtotal City/Slate/ZIP:Vancouver,WA 98686 . Minimum permit fon(390.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lid.:20.3034 / TOTAL PERMIT FEE This permit applkation expires Ira permit is ant obtained within tan days**exit his been accepted As complete. Authorized signature: Fee motbodolou re by TrtCcoosty tioilding Truhrstry Fret-vice Omni IPrim name: t"N. *.t I Date: 1-autklingiremite.S4EC_PgraglAr6 94a111doe 40-76571(1 wovcohinvral . Electrical Permit ApAlicati+ CEI el FOR oFITJCr 1 SE ONLY City of Tigard MAY b 2017 t Permit 0.17.‘'r i7—C4)/55' 11114,, 13125 SW Hall Blvd.,Tigard,OR 97223 Pian Review htdate.-Pora��i#: Line: N Phone 50439 Fax 503.598.190—®F-rir A DaltiB . Inspection Linc 503.639.4175 CAT T Reedy Date/By' toastiU:.i>.h me[:haewwwAgard- gov BUILDING ®MSI® l"ltedMethd: . .•_•: x a s v. .3. "7—Rc` '7 ..re ry—,t 'rX-''.,- err ,-:;,. -z.1.,,,,,,,,-..+::::.,k� ,41 ,\16,,r.2- ,:v4.,7 .'...w.. )1:4 New construction 0 Addition/alteration/replacement Please chuck all -that apply(submit z sets ofplaaa wrtaa:a checked): ❑Service or feeder 900 amps o snore 0 Building over three stories. ❑Demolition ❑Other where the available[salt current ❑Marinas and boatyards. �; e s -Vic): ,l•.s`$�F laJ41-.6) t x;_ii£•C 00 j' :;"r 5, ;. , ?4;i',;' ` exceeds 10,000 amps at 150 volts or Q Floating buildings. `z` -an '_ "' lass to ground.or exceeds 14,000 ❑Commercial use agricultural 1-and 2-lentily dwelling ❑Cotnmerciailiridtisttiel 0 Accessory building amps for all other installations. buildings. ❑Multi ntly 0 Master builder 0 Other ❑Fire pump. O Installation of 150 KVA or ., e c e r w,, , • ❑Bma•Seecy system latter sePeretely derived * , �H � 1i0 o ;.cam l�• �bAx/� f. si ,ry. ',,inew Job#' ?7 q�SY•' l p l ©Addition or ore. or toed of • Job site address ! I / 1001iP or more. ❑ Ci /State/ZIP:Tigard,OR 97224 El Six or more residential nits. occupancy. tty ! ^�.p �(� ,{. ❑Health[-ons fatalities. ❑Recre•ationalvehicle parks. j Q.1Vt r1 e r {AC f t Yl s 1 Ol•Iasitdoas bcations. ❑Supply voltage fol mora[hunt SUitelb3 #: �Project name: �' ❑Suvicc er feeder 600 amps or mora. 600 wits nominal. Cross street/directions to job site r,+•. ^ .,;35-12 :9I'?t 615'3 .:K* `,,. ' Laeristoe- qty ,sReek Teat • ��r /V�{� �r-� fJ� New residential single-or multi-family dwelling unit. Subdivision:Ri�terr ( trt[.f[ Kt.n artwcJ�l Lot#: 13-/ Includes tloOsq Rwkssr�� 16854 4 Tax map/parcel# Pa sdd l 500 sq.R.or portion 33.92 1 7:9„ ; 1'.1:.Tla;vt�t9(0i;:f1_r. te),:14 r ' +F'. i ?__ Limitedenergy,residential 75.00 2 x ' (with above sq.R) Limited energy,multi-ram:0Y 75.0D 2 residential(with above sq.ft.) Renewable Enetgy ❑ See Page 2 ‘-:32;-'1:'1';''''P -1L161a s, .'�,-102' ';,�`'.L-, F .. x'11[ YAK'f-`" ~` Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 • Address:7600 E Doubletree Ranch Road 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1000 amps 301.04 2 Over 1,[100 amps Or Volts 55226 ._ 2 ,.. tope:(602)694031 Fax:( _. ..._). }. _ ..... " - 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 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670;and 701. 201 amps to 40o amps 125.08 2 Owner signature Date 401 amps to 599 amps 168.54 2 .1 >e, y- A';ei„ , ,tea "-3n Xc s uy Y�u A 1- BrFa ro branch-drumaration,Or extension,per panel Business name:William Lyon Nome,Inc. above service or feeder fee' 7.42 2 each branch circuit Contact name. �'vat]1 B.Fee for branch circuits without or feeder fee,first 56.18 2 Address:109 ast 13th Street branch circuit City/State/ZIP:Vancouver,WA 98660. Bach add')branch circuit 7.42 2 Mlseehaueous(service or feeder not included) Phone:(360)695-7700 ' . ' I Fax::(360)693-4442 'Each manufactured or modular 67.84 2 dwelling,service and/or seeder Email i 1 I1 1, �L 4 1‘,J t j 1, t 1.11 Reconnect only 67.84 2 =s� a +' EJ.r -',c) -:' `" ,. ` t. Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting _ 67.84 2 4rv. Signal circuit(s)or limited-energy 0 See Page 2 2 Address:6101 NE St Johns Rd panel,alteration,or extensitsr Each additional inspection over allowable in soy of the above City/State/ZIP:Vancouver WA 98661 Additional inspection(I hr mitt) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 br min) 90.00/hr Industrial plant(1 In.min) 78.18!hr Email:bdaniels@gweusa.eom • Inspe tions for winch no fee is 90.00/hr CCB Lie.: 01158 Electrical Lic.: 208174 Suprv.Lica: 44965 s. listed 'h hi We Suprv.Electrician signature,required: k jai A{ p 1....r: [1f' .... Subtotal. Print name: Joan P Albert • Date: 4/26/2016 ❑Plan Review Requited(25%of permit fee): ''; State surcharge(12%of permit fee): .•' .--- - TOTAL PERMIT FEE: _...• Authorized signet= 5uez:.• This permit appgrASou expires ifa permit is not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days steer it has been accepted as complete. _;ri:,,,; ' Number of inspections allowed per permit ,''�`17t i,�;\:I•tallvd Ma.{61 11/DFC0109 ser 'sr;�",::; inblPeanh{�kS.CrAppI•yk SRE.doc ltsv 06/f 712013 m 1 , Plumbing Permit ApPlicatifiECEIVED Building Fixtures• MAY b 2017 IMIIIIIIMIIMIIIIIaIIIIIIIII : ;, City of Tigard y OF Receive Pernik N v"!J�v�Gy/,l.L'/s5 ■ ' 13125 SW Phone: 03.87182439 Tigard,Fla03.5OR 48!1'960' V ' A D Pianiteview Other Permit No Inspection Line: 503.639.4175 BUILDING [ IVISIOI i�eadyrsr. .lode, al Ste Page 2for Internet: www.ogerd-orov Noti6ed/Metbad '�• •ulaformation , . . [IDetroli6on For special irljommtorruse dieck Total .,New construction -Description I Qty. I Q Addition/alteration/replacement 1 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ..:;,.::::....: : CATEGORY OF CUNSIR#TC1401!!• .. SFR(1)lath 312.70 SFR(2)bath 437.78 r; 1-and 2-family dwelling 0 Commercial/industrial • SFR(3)bath i 500.32 ❑ABY building 0 Multi-fmnilyEach additional bathndtchen 25.02 ©Master builder 0 Other: ' Fire sprinkler(__._-sq.R) Page 2 . 'pls.SITE INFORMATION-AND LOCATION Sitt utilities: t! 1•' Catch basin or area drain 18.76 Job site address '?� r /I, It O S� DryweB,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224Footing drain(no.linear ft.:,) 2 • SuitelbldgJapt.no.: I project name:RI�.er Te rake Nn ,t 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 S.: ) Page 2 Water servicc(no.linear ft.: ) Page 2 Subdivision:i '\({,)/ .--P. L._ k Jilt . k- Lot no.: ' -Fixture or item: Back:ow preventer I 31.27 Taxmap/punct no.: Backwater valve i 12.51 DESCRIrTION OF R'01.K: , : ' Clothes washer 25.02 __. Dishwasher - - 25.02 ; ,, .. w Dining fountain 25.02 Ejectors/sump 25.02 1 0 TENANT Expansion tank 12.51 �I.�ROPEit1'1r OR'I'iER ' . Fixture/sewer+cap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone(602)694,4031 Fax:( ) Ice maker 12.51 lnterceptor/grease trap 25.02 .'®.APPLICANT 0 CON{IACT PERSON; Medical gas(value:S ) "- Page 2 Business name:William Lyon Homes,Inc Primer 1251 Contact name: is 1 p h k-nrio j'n{', Roof drain(commercial) 12.51 Address:109 East 13th Street v'- Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Fax::(360)6934442 Tnb/showlshower pan 12.51 Phone:(360)695-7700 Urinal 25.02 � E-tnail�_- o �V�yv , d/f t a A 1111 .1.,1 Water closet 25.02 C Water heater 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 56.29 Address:PO Box 207 Other. 25.02 Subtotal City/State/ZlP:Banks,OR 97106 Minimum permit fee: 572.50al Phone (543)3 t4�l59 Pax:(503-)324-0580 Plan review (25%of permit fee) CCB Lic.:102535 'Plumbing Lia no.:34-276713 State surcharge(12%of permit fee) Authorized signature: c , TOTAL PERMIT FEE I This permit application expires if!permit is net obtained within 180 days Print name:CaroEina Malmedai Date:04lL5/2016 ` after it has been accepted as complete. *Fee methodology set by Tri•Coumy Building Industry Service Board. k liuldi sippaitUPUW-Pam»App dee 1001/04 440-0616T(10/02/CO WNEa) 1 E IIICity of Tigard I COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R D Building Permit Review — Residential Building Permit #: 44 57 (7_00/53-- Site Address: 17 9- cis S t J Fo rt_s f /--k i o t a s4 . Project Name: R`,vt r, -re rrcic;, (New dwelling=subdivision name;Addition or A t ration=last name of owner) Planning Review Proposal: 1\11 vv ci e. ec cixe d .-F R R . Verify site address/suite#exists and active in permit system. L1 River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum AttacLothed#: /3 Site Plan Elements: Three(3)copies of site plan Existing structures on site aL Site plan must be on 8-1/2"x 11"or 11 x 17"paper L'Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations allorth arrow 'Site address,project or subdivision name and lot number XJt<ltty locations(required for new,may apply for additions) �3Location of wells/septic systems LL'Applicant information(name and phone number) Existing trees to be retained with drip line,and tree [PLot dimensions and building setback dimensions protection measures [ tot area,building coverage area,percentage of coverage and [Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) [.Property corner elevations (2 foot contour lines if more than street names 4 foot differential) k" Clean Water Services–Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No CA-Public Facilities Improvement(PFI) Permit: Required: N'Yes,applicant was notified ❑ No Applied For:or: Yes ❑ No,stop intake IV Land Use Case#: P 9-2)1, -�ccf j I ' Zoning: -7- A'Required 7- A'Required Setbacks: Front OA Rear (,) Side 0 Street Side p Garage Q Landscape Requirement: U "Lot Coverage Maximum: ejO . Building Height: Maximum_ Height 4s Visual Clearance---pyo� g —� Actual Height -" P' Easements 1 siri, P�C{C X S' \nip V -�ID II tmay) �Y14V.P`� C , ,Sensitive Lands: ❑ Yes X. No Type Urban Forestry Plan 1' Conditions "Met"prior to issuance of building permit Notes: CYl i h` ming l ►�� k. Yrs f pn br io i ss uce.n4 . Approved By Planning: 4i 4, ti 120 Date: '1 Revisions (after Building Submittal only) Revision 1: ❑ Approved ❑ Not Approved Reviewer Date Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw RES_091216.docx I A Building Permit Submittal�/ Original Submittal Date: !/ U/i 7 Site Plans: # Building Plans: # 3 Building Permit#: Enter building permit#� C above. Coordinator "—Building Workflow Routing: 'Planning Engineering l Workflow Sign-off: 'Sign-off for Planning(include notes from planning review) Route Application Documents: j' Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. i2 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: Date: L` By Permit Technician: i4, �4,. v%�� Ir %�� /26/17____ Engi ening Review ..-----.. V Slope at building pad: , d�� I 4, onditions "Met"prior to issuance of building permit cpT EA" / ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes El No Assess Water Quantity Fee in-lieu: El Yes ❑ No LIDA Facility on lot: El Yes ❑ No Date: CINOT Approved by Engineering: Notes: / Approved by Engineering: ( Date: 5—P--f, yy Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of building permit Date: CIApproved,NOT Released: 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: rDC Fees Entered: Wash Co Trans Dev Tax: , es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A K to Issue Permit /q/1Ye: Approved by Permit Coordinator: 4t, - I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard i " COMMUNITY DEVELOPMENT DEPARTMENT r l ARD River Terrace Building Permit Review Addendum tk, „+ .. .x ,rte• ,`.„y ..- Building Permit #: Site Address: i 4 5 5 AJ 'Forest -}ia1itw st. Project Name: 9\/t VerraCe NO Mc+ Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? ❑ 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 dormer x El ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facingfacade must include windows or entrance doors. Percentage Shown: )f ' I l.{.MO /Sete- , 13 1A. 3. Entrances:At least one entrance must meet both of the following standards: 1-4 Vlax. 8 ft. setback from longest street facing wall eK Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: igLYes ❑ No If yes,all the following apply: Z25 sq.ft.min. One street facing entry eh-12 ft.max.roof above floor of porch 5 ft. depth min. IS00%min.porch roof coverage t4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: irCovered porch min. 5 ft.wide x 5 ft. deep ,KRecessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches ❑ Dormer min. 4 ft.wide 0 Roof eave min. 12 inch projection ;Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide El Accent siding min. 40%of street facade .;Window trim min. 2 1/2"wide by 5/8"deep El 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.X'Yes El No. If No (Check one): El May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade X,50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: eAsk .` 1 ^ : (1 .� A _;.. Date: L+i 1:\Building\Forms\B1dgFermitRvw_RBS RT_062216.docx t City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17495 SW FOREST HOLLOW ST, BEAVERTON, January 17, 2018 at OR, 97007 12:32:57 PM Record Type: Record ID: Residential - Master Permit MST2017-00155 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17495 SW FOREST HOLLOW ST, BEAVERTON, January 17, 2018 at OR, 97007 7:12:31 AM Record Type: Record ID: Residential - Master Permit MST2017-00155 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Correction complete, led bulb damp location rated. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17495 SW FOREST HOLLOW ST, BEAVERTON, January 16, 2018 at OR, 97007 3:30:20 PM Record Type: Record ID: Residential - Master Permit MST2017-00155 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide damp location trim or luminaire rated for damp location in tub/shower zone for upper level main bath. NEC 410 All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17495 SW FOREST HOLLOW ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00155 Inspection Type: Inspector: 199 Electrical 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: 17495 SW FOREST HOLLOW ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00155 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Correction complete Collected Moisture content acknowledgement form Moisture barrier acknowledgement form High efficiency lighting form ETO site inspection certification Left C of 0 on the counter Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17495 SW FOREST HOLLOW ST, BEAVERTON, February 13, 2018 at OR, 97007 1 :42:45 PM Record Type: Record ID: Residential - Master Permit MST2017-00155 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Grade in rear yard and left side yard not to code, ground slopes to house. Ground to slope away 6" in 10' or have approved drainage swale. R401 .3 Note: appears some water proofing was done at left side yard location. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17495 SW FOREST HOLLOW ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00155 Inspection Type: Inspector: 399 Plumbing final Chip Barnett Result: PASS Comments: Violation Summary: Inspector Contractor