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Permit (61) CITY OF TIGARD MASTER PERMIT -II.. COMMUNITY DEVELOPMENT Permit#: MST2017-00146 ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/22/2017 Ti � 9 Parcel: 2S106DB06100 Jurisdiction: Tigard Site address: 13286 SW APPLE GROVE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 61 Project: River Terrace Northwest, Lot 61 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2229 sf Value: $274,261.21 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 Catch Basins: 0 Bckflw Prevntr: 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 add9 500 sf: 4 201-400 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 asin Y Other: N Other Description: Ecom p 9 BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2229 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: 602-494-4031 PHONE: 360-695-7700 FAX: Total Fees: $32,142.76 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.23444../44.7, / Issued By: .. Permittee Signature: Sers e%z- I Call 503.639.4175 by7:00 a.m.for the next available inspection date. P This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. s.Buildmg Permit Application RE aE. /E L o CU FOR OFFICE I SE ON LI. City of Tigard CCC 2 U 2).016 D i-// //7 /I Permit No ST�:O/?00/t/G III 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review I Phone: 503.7182439 Fax: 503.598.196 , r r. DateBy. �l " • �`� Other Permit:�J616� 7..6613 t.( I. t<<,R, Inspection Line: 503.639.4175 i Date Ready/By: JAS ® Seer P"a�ge'2 for Internet: www.ti d-or. ovUILD!NG y F r Notified/Method: /Pd/7 f '' Supplemental Information ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the r -� ti t * ,-:,-,--e,1 =� -,_ , .4. ' a Work indicated n this application. 1� � .. � &J t$ C i c �h i t - ' "" " mss. • ,,�•rf��,'L, , � ,,�M,-,�•.; ���n x ,,. .���-�- ��- ,�� . :,��-�...�.a„R� Valuation. L j `, ® 1-and 2-family dwelling ❑Commerciallmdustrial 9 (�,(p1 a-)Lf A).c I r(, 0 Accessory building ❑Multi-family Number of b ooms: ❑Master builder ❑Other Number of bathrooms: 3 *� en N,�r�' -._.::: ;,,U',/ r��a ,r k A ,a ��. c Total number of floors: 2. d 6 Q CJ Job site address: il j1 r ?EMIL New dwelling area: 121' square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 380 square feet Suite/bldgJapt.no.: Project name:Ri ,er ' . ow Covered porch area (p(IIqu� : are feet j a.s 1 Cross street/directions to job site: Deck area: square feet 97s. Octure area: f J J square feet ; da 3 t4E a ka 4 [ k. .4LN.$5 °i tiFi"I A ` Subdivision: f \)..e . W 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 T a � �T equipment,materials,labor,overhead,and the profit for the k h �tl aT -s y : � work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet . 7Number of stories:..x�'�� '�ae_ 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-?°�..-,....,,,<n;.�..,»<..,....,4.�,. ,�. ,,.r .._..e. - .�..s. .:ytav ...,-- ...�- --.� 5 . ^l fL .c. d,m� ..T (,, - -� ^, - swr.�.z z;'. aa..,��a.: m„h 6A..«�N�.r ,s4' 1.„1,„..,z,';',, .� ;��At'`n-�'. Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13'Street -- Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) -; E ..----z-, F �, r ,. �'t£7,,,I., >f', ed E-mail:Angela.Grajewski@polygonhomes.com Commercial and residential prescriptive installation of _ - ' 1- r R %c-'n„' - x ,x„ 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 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): CCB lie.:207247 Total fee due upon application: Authorized signature: J�.�1 This permit application expires if a permit is not obtained (/►11 r5oilvivr within 180 days after it has been accepted as complete. Print name: _ Date: *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical PermitApplicatitm„ 1 F.4 2,1 ,�/ I(JR ttiIIt I I NI ItvI ti City of Tigard ""' Permit Na, II 13125 SW Hall Blvd„Tigard,OR t/ a ' r• `I ' '`' _ a ,_e _.. p,..--",—.,„,.,.• Other Penult Phone: 503.718,2439 Fax: SU3.59$:195{! ' i;;;;,4;;::".: , :,.,,,t, .Inspection Line: 501639A175 rr n ,_ qI 's r;1 Date Resdy.�y: km. H Ser Page 2 for Internet: 11•awv.tigard-or.goti Notifiedimetad Supplemental Information f.? � .4 r `-• 'ti,a„.+slr :. f-1--,44—.,'42'4,-.4.t' s 2. t ?''; �-.`r; . M .ilii #4 nJ ���fi permit are based the value of the work ®New construction 0 Additioniaiterationitepiacernent performed.Indicate the value(rounded to the n areal dollar)of all 0 Demolition 0 Other. mechanical materials,equipment,labor.otcrhead.and profit. r�y_� I ,, Value:5 1-and 2-family dwelling Q Commercial/industrial 0 Accessory building Far sprdaffafarmalion sae checklist fulti-family 0 Master builder 0 Other: Description 1 Qt),-. r En, 1 Total u t, ,.,--S. a -«.:,t. r r '',1',-,.;""-:-,4',7..":. i'<': -' '•a•r,. .'-' •neatinphuolenE: rs, -.,,,:.='IS''',am ,-,--,-,...'-=.'-2-,{Is€ s 4:.k.-,: ?z-:L Air conditioning i 46.75 Job site address:/3 Z� St� le rive Tt /. Furnace 100,00013TO daars'cmu) ` • 46.75 City/StateILIP:Tigard,OR 97224 ! l/r V Furnace 100.000fOTU(drrctshventsl • 54.91 I lest pump 61,06 Suite/bldg./apt.no.: Project name:lawn-Teyruee.004--1-tnvJe ff-Duct work 23.32 Cross street/directions to job site; Il<dronic hot wafer system 23.32 , Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 1 23.32 Subdivision:kity*T,intUCP N y i 1 le ri— Lo1 no.:lp' Other. 23.32 ` t` Other furl appliances: fax map/parcel no.: Water heater 23.32 dies- ,-;,,,,,,,`,,,z,;,..,.:� a,„r ea -� s, _ t tom, »� A••_� ; '''‘^',.'" 1"..i�'s:'i Gas ftrepiaceAnsert j 33.39 s , . ,, ...J.rS r.�4 * •jam`s,,. ,. 3 � Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Woodfpellet stove 33.39 Wood fireplace/insert 23.32 Chimncyninednuelvcnt 23.32 e ' .,--15,-,.- - '-: Other23.32 ' n• z.-.r r �;,r t z3 -, ti, ,I y,du -` - ^=- :, i -, .e>-:,, . " 'F''`* ?s`_ Environmental exhaust and ventilation: Name:Polygon'.VLH,LLC Range hoodfother kitchen equipment ' 33.39 Address: 109 East 13'sStreet Clothes dryer exhaust I 33.39 • City/State/ZIP:Vaaeouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility moms) Lk 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 � A',,,,-11; ,�4\.•"i4N-7'1,,, -4T40K. , .111`,�t� e- "'� vxOher. 23.32 Fuel piping; Business name:Polygon W L11,LLC 514.15 for first four.51.03 for each additional Contact name:Wfrh01•e Thorpe, Furnace.etc. i Address:109 East 13th Street Gas herr pump Wall/suspended/unit healer City/State/ZIP:Vancouver,WA 98660 Water heater , Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace 1 E-mail: Range 1 4. 1 0 ii is e-1,0, 60 k.4 ( t Barbecue s t y ..x � : P s a K 4 r t ,' - , 4 Vt . - g.;t.•:3?^-:: Clothes diver(gas) Business name:Apex Air LLC `Usher *- ,tr,t ltr .e i;;r r li - ::, '`'' Address:18004 NE 72"Ave Subtotal CityiState/ZIP:Vancouver,WA 98686 Minimum permit fee(590.00) Plan review(25%of pamit fee) Phone;(360)342-0109 Fax:(360)326-1769 State surcharge(12%ofpermit fee) CCB lie.:203034 TOTAL PERMIT FEE 1 This permit application aspires ifa permit is not obtained within lad 1 days after it has bent accepted as complete, Authorized signature' ' Fee methodology us by TrnCo,my building Industry Service Boatel Print name y Date: 4•/1.0,..- i l 7./t,..i",rioitdingsPematVM _Paeradtpp tWit 13 doe 410d6s7T(11.011t:QAi.'Wr•.ni i ;t id jt#' ' 1 ik.: 0- i . EIectrical Permit Application ;'\. .1, FOR OFFICE r_SI 0N1 City of Tigard received 1,1 13125 HalB ,Tigard, 7Dar�B Permit k: ' Phone:SW 503,71l82439lvdFax 503 OR 598923t6t ►: - iiiiiiiiiii 12cut edPe„in it!!... TIGARD Inspection Line: 503.639.4175 i c Internet www.tid-or. y "'-' ' `` . oath'Datrlly lurk See Pagel for a ` 1 go Notified/Methad Supplemental Information . -- - ._. `3- A4-9,`h. '.l-tx,-' x -..- .Eu.,` -: `k:•- 7:0-N '1 : 4-1. ®New construction 0 Addition/alterationtreplacement P `& ..4lease check ell that apply(submit 2 sets of plans wruems checked): ❑Seivies or feeder 400 amps or more ❑Building over three strities. ❑Demolition ❑Other where the available fault current ❑laminas and boatyards. s'',..,-,--,i4:-..-' -- := *=,^3- L riikiil 0) t � h: ql �. z .;." 11 -=�e,s- -Y exceeds 10,000 amps x1150 volts or Q F7oatirtg buildings. ®1-and 2-family dwelling 0 Commercial/iridtistrial D Accessory building lass to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family ❑Master builder 0 Ohm amps for ail other installations" buildings.• KVA or ' " `:1,...i2",‘!-7-..----,,:,,,:-. 7-1"1:;.-7,..0Nr:5,+ k''E�`P:7e _e r r _ prim P• ❑installation of150 derived =� '` 0- �.�•:�,�r. �n'a-a��� ❑Emergency system. larger separately Job#: Job site address/32& SWfipple /�,� -�^ 13 Addition ofnaw motor load of system 6 it t ci / , 100HP--we. City,e'. IZIP:Tigard,OR 97224 0 Six or mom residential unitsoccupancy. 0 Health-Dare fanilities. 0 Recreational vehicle parks. SuiteibldgJapt,#: I Project name:;t\,,c40.1-,G 1‘1�L4� ❑mamrdora locations. 0 Supply voltage for more than 11"4114 ❑Service or/ceder 600 amps or mom. "volar nominal. Cross street/directions to job site: Er Description Qty. Each Total New residential single-or multi-family dwelling unit. Subdivision: v /.._ .L` , .4L4 Lot#: / Includes attached garage. Tax map/parcel# 1.000 sq.ft.or less ti 168,54 r.1 _.-:,;•• •=7-•-.---- ---,,,3;17.-- 1---•::-7.f6�'. +,1.2: a t'� l6-01 r?�e' R d fi -- t ft residential 1111 Oa Fa.add+1500 sq. 3392 if u _ 4 .', Limited energy (with above sq.R) 75"00 Limited energy,multi-Family 75.00 residential(with above sq,ft.) ❑See P _e 2^ t<r1LiL � � . ?��tiae Renewable En F sJ a`a nFdn 5 -s .= � �� i Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 • Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 City/State/ZIT:Scottsdale,AZ 85258 401 amps to 600 amps 200.341 1I 2 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary 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 S9.36 i I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701, • 201 amps to 400s �P 125,08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 & ?" ._..i•-,,,,,:•;:241--a i7,1u• „o '-c:- ty ; --Ali30za 0-I ' :. Brancheircuits-new,altzration,orextension :er:anal A Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 1115.111// Contact name: A/IchoIG `"7'1 ojeric each blanch circuit B.Fee for branch circuits without Address:109 East 13th Street service to feeder fee fust 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone:(360)695-7700 • I Fax::(360)693-4442 Miscellaneous(service or feeder not included) Each manufactured or modular 0- 67.84 WY 67.84 2dwell•' service and/or faderEmail a � • / /% r- I/ ra ' „ aor11111 ©t ;� ? rt1r,c cy n- . Pumpim'gationcircle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 /.w: Address;6101 NE St Johns Rd panel,alteration,S'�`Irp` ° 1 extension.dr � El 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) 66.25/hr Phone:(253)320-1657 I Fax:( ) Investigation(1 hr min) 90.0W hr Email:bdattiels@gwensa.com ons Industrial plant(1 hr min) • 78,18/hr Inspections for which no fee is s. CCB Lie.: C1158 Electrical Lic.: 208174 ( Suprv.Lic.: 44965 speciS listed('hhrmm190.00/hr p ' • -' , required: eY � . _- fee. ._�...__ _,- ” Suprv. • Electrician signature, Subtotal: Print name: Joan P Albeit •- Date: 4/26/2016 ❑Plan Review Required(25%of permit fee). El ---J..__ State surcharge(12%ofpermitfie): *'i'••••-. Authorized signature: C.- +� - TOTAL PERMIT FEE: '''`' Print name: Bill Daniels This permit application expires if a permit is not obtained within ISO rt Date: 4/26/2016 days after It baa been accepted as complete '`"'``` ��dp+SlP�a>�ZC PamuIAPPEL/.ERb doe aev 06/17/20/5111 + Number of inspection allowed per permit }'�.';; - 440 diri(7IlOLCOMlWEa i 1 3 g ti Plumbing Permit Applicafi6 �� 4-,z. ' A.L; Building Fixtures Cityof Tigard Iii,'\ `' 1';1: Received Permit No.: N_. 13125 SW Hall Blvd.,Tigard,OR S . . Plan Review Phone 503.718.2439 Fax 303119$; - u ; , b ,v;% Jen Other Permit No.: Inspection Line 503.639 4175 7 s s ,1 1� t�f„.„--1, '"' a�a,� a�r, Datelteadyl9y nee: LEI Sae Page Z for Intranet www ngard or gm p ,� g s ti �, Notified/Method: od. Supilemmlat Information :cp- err' ,4 ,,, y ,VA 67g7k f:t i •�`+J 'Lim`- l,- ih•'Y_r"k ._ ..:".• ` 4-' I s, '' -:' --1-' - -;. ---e, -It, ��4 New construction Demolition Fur spedal*Proration use checklist Description I Qty. Ea 1 Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 R.for each utility connection) , „ __ i.-,-.s t r eJ i_e' t e +s 4 T1ti•. wt r rc ,;,,15,,z,....4.1,_,-„.., SER(1)bath 312.70 el 1-and 2-family dwelling I Commercial mdushiat SFR(2)bath 437.78 SFR(3)bath I 500.32 ®.Accessory building 0 Multi-family Each additional bath/kitchen 25.02 El Master builder 0 Other Fide sprinlder( sq.R) Page 2 '•,-:=:-- _xL :i e7,;•i r a„2u.} i c (,Vi sit `'t. n p° f r `lay Site utilities: � n�� Caleb basin or area drain 18.76 Job site addrrss CSO `v" pie, GroJt Tr o-'' Drivel!,leach line,or trench drain 18.76 City/StatetZIP:Tigard,OR 97224 "�� Footing drain(no.Iinear IL: ) Page 2 Suite/bldg/apt.no.: Project nametiJ�GY'rACGJD t 1fl 1e *- Manufactured home utilities 50.03 Cross street/climatic=to job site: Manholes 18.76 Rain drain connector 18.76 I, Sanitary"sewer(no.linear IL: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear IL: ) Page 2 Subdivision: 'V 4 'r -a Lot no.: Fixture or item: ct N�wcs-F- to Tax map/parcel no Back>Inw prcventer 1 31.27 • _-U»l .. -£ rk.,. :..» -,fy- ,- BaOkWater valve 1 12.51 .: , . °.. b�r =� "r' 57:�-r -`t r7 ? :Z.7:.. :'.rte Clothes washer 25.02 Dishwasher 25.02 a Drinking fountain 25.02 Ejectors/sump 25.02 - r,›..-4.ry .. s y n ` < > • Expansion 12.$I -- • Name:ADVL Land Holdings,LLC Fixttue/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax( ) Ice maker 1231 ,,` , •, , ., , `. mai • • i §tx'�� intetceptot/gease trap 25.02 1_,,,,,...„7„, .. ?„1•1.! v......�_ tip^ a.,, , ..t_.. . ._ Business name:WilliamLyon Homes,Inc Medioat gas(value:$ ) Page 2 Primer 12.51 Contact name:01 GY_0( ''Ifi 0yre Roof drain(commercial) 12.51 Address:109 East.13th Street Sink/basin/lavatory 25.02 City/Stste/ZIP:Vancouver,WA 98660 Solar units(potable water) 6234 Phone:(360)695=7700 ( Fax:(360)693-4442 Tub/shower/shower pan 12.51 1JrB-read., .4, i t 11. / ' ;r 1,a a ►1 •14 Water 25.02 ;� T '-- y _ .'7.••'''2'1.7•:: ,w - Water closet 25.02 ,a,:.�:' t - .t.,..-:'..._ .a a?,;r,• K.,,Y � , 4• '`-r :'f �' '' :s Wader heater 37.52 Business name: �.i `�4,1..A.,' v1, ,t-fit t- Water piping/DWV 56.29 Address: T.(I. $'0D(1 otA Other: 25.02 City/State/ZIP: 5T, e 404 tom- 491!31 Subtotal >� i1Minimum permit fee: $72.50 on Rhe.ttTP-ii. -1$4S-' 1411 Fax-com Q-'g,i-$ Plan review(25%of permit fee) CCS Lie.: J!3-1 Plumbing tic.no;P ki3y State surcharge(12%of permit fee) Authorized signature: ,Ai'Sirc."4., A TOTAL PERMIT FEE Print name:64"f*' 14..� Date•'_3 b I refer permit application aspires ma permit a co complete. within IRO days �!I/� �. alter kinks been accepted u eompkh. *Fee methodology sot by Td County Bedding Industry Service Board. 1:18uildieePemirwLMU4i'amitApp4oc 10+01/09 410461611t0/02/COM/WEB) R J City of Tigard • a COMMUNITY DEVELOPMENT DEPARTMENT IIIII r r c A u o Building Permit Review — Residential 1.1,,.. ..,--c.T., .k,,_ _,.., 1t tb ,4,4„` c u.;gi' Kms.- .. Building Permit #: /P5720/ 7-00/11C0 Site Address: / Q% t.) 42a ' (-730v-e., .-��� , Project Name: e, ee , e.) ,e.sp Lot #: 6/ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: J..g1,J erify site address/suite#exists and active inermit stem.em. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Si - Plan Elements: 1 PA, ree(3)copies of site plan MIA ting structures on site 1,:ite plan must be on 8-1/2"x 11"or 11 x 17"paper EI Footprint of new structure(including decks)with finished ii rawn to scale(standard architect or engineer scale) i oor elevations Orth arrow Imo+ tility locations (required for new, ite address,project or subdivision name and lot number y!J' cation of wells/septic systems may apply for additions) pplicant information(name and phone number) U;! _ sting trees to be retained with drip line,and tree •t dimensions and building setback dimensions r r ection measures �[4 Lot area,building coverage area,percentage of coverage and 7 reet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names llitProperty corner elevations(2 foot contour lines if more than 4 foot differential) `t. lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): 21 equired: ❑ Y s,applicant was notified 1CJ No Received: ❑ Ys CI No Public Faciliti s Improvement(PFI) Permit: Required: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake Land Use Case#: me.,2O/g � Qo,c ��, ontng. E/<2 ( P' ' �/ C Required Setbacks: Front Rear .j 0 Side Street Side �1Garage *„2 0andscapqent: o`2O rr. e Requirement:ot Coverage Maximum: Building Height: Maximum Height ok Actual Height ,' isual Clearance v. Easements b en skive Lands: El Yes No Type Y4 Urban Forestry Plan ❑ Conditions "Met"�prio�'to issuance ofbuilding ermit ,� Notes: (_._??/741' A7HC �c/f .1 Imor per/0/71 kge,wi '1/4Approved By Planning: ` ,,di Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\BuildingWorms\BldgPennitRvw RES 091216.docx r z. Building Permit Submittal Original Submittal Date: `L/10 //4 Site Plans: # 3 Building Plans: # 3 Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering 14-12ermit Coordinator J-171 Building Workflow Sign-off: Z Sign-off for Planning(include notes from planning review) Route Application Documents: [XEngineering: (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: 10,//7 Date:By Permit Technician: En; neering Review Slope at building pad: 0 �i� a 011111P onditions"Met"prior to issuance of building permit--, d v ❑ 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: 0 Yes 0 No LIDA Facility on lot: 0 Yes 0 No 0 NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: ti:Zil 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ 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: DC Fees Entered: Wash Co Trans Dev Tax: 3l,Yes.1:5(a 0 N/A J Tigard Trans SDC: ► es 0 N/A ?gsParks SDC: ; Yes 0 N/A / OK to Issue Permit .7 , /,''� Approved by Permit Coordinator: 4kate:(/ ` I:\Building\Forms131dgPermitRvw_RES_091216.docx s City of Tigard 1111 q COMMUNITY DEVELOPMENT DEPARTMENT 11 T GARfD River Terrace Building Permit Review Addendum Building Permit #: Site Address: /SQ .-90 'lid? Qrn C Project Name: _4(i �Y'616 -- �t g. -- Lot #: (' / (New dwelling=subdivision name;Addition 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. Porch min. 5 t. deep Balcony w/access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft.,Eft wide ❑ ❑ El El 2. Eyes on the street: a minimum of 2%of each street facing facade must include windows or entrance doors. Percentage Shown: 1 6270 E7 3. ntrances:At least one entrance must meet both of the follo g standards: Max. 8 ft. setback from longe street- facing wall Parallel to street,angle no more than 45° from street, oro en onto porch Entrance opens to a porch: Yes ❑ No If es,all the following apply: 4/5 sq.ft. min. ne street facing entry 2 ft.max. roof above floor of porch 5 ft. depth min. 30%min.porch roof coverage 4. tailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: overed porch min. 5 ft.wide x 5 ft. deep R essed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches ❑ ormer min.4 ft.wide Roof eave min. 12 inch projection oof offset min. of 2 ft. El Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ oirizontal lap siding min. 3 7 inches wide ❑ Accent siding min. 40%of street façade indow trim min. 21/"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep El Balcony min. 5 ft.wide x 3 ft. deep with inside access El Attached garage is 35%or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Set i,cks: Ny, closer to front or side lot line,than longest street-facing wall. El Yes No. If No (Check one): !1 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. Widt : (Check one) ❑ 2-foot-wide garage door El 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: . (f Date: I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13286 SW APPLE GROVE TER, SHERWOOD, December 14, 2017 at OR, 97140 9:53:04 AM Record Type: Record ID: Residential - Master Permit MST2017-00146 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Correction complete Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13286 SW APPLE GROVE TER, SHERWOOD, December 13, 2017 at OR, 97140 1 :44:09 PM Record Type: Record ID: Residential - Master Permit MST2017-00146 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor