Permit (63) CITY OF TIGARD MASTER PERMIT
r 2" COMMUNITY DEVELOPMENT Permit#: MST2017-00145
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/22/2017
[ i11�° 9 Parcel: 2S106DB06000
Jurisdiction: Tigard
Site address: 13272 SW APPLE GROVE TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 60
Project: River Terrace Northwest, Lot 60
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
DwellingUnits: 1 Detectors: Yes
Third: 0 sf Right: 3
Total: 2229 sf Value: $273,680.89 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
0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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 add'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
Other: N Other Description: Ecompasing: Y
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: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $32,152.24
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 1.800.332.2344.32
Issued By: /�� �� ( Permittee Signature: �r e?;?3 e-e- er.
Call 503.639.175 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.
f Building Permit Application
RECEIVE!). )y LL
0 . •t i roR OFFICE t sE O\Ll
�r 1 hr : 202016
City of Tigard D�teMY: H 1'1/17 /i j Permit N°M47;20/7—D0/Y.S—
II 13125 SW Hall Blvd.,Tigard,OR 972 IT& ('L .LI x; f.) Plan Review „-,.7_ ether Per'm;—:c� f ��3�
C Phone: 503.7182439 Fax: 503.598.1%t Date/By. J f/ i
Date Ready/By: Juris: 0 See Page 2 for
TICS R 1) Inspection Line: 503.639.4175 UIL 1)G DI 'L 1011 NotiSed/Method:-S 'd /2 /� Supplemental Information
Internet www.tigard-or.gov .91L '/16../C.
� R
. u � �'" Permit fees*are based on the value of the work performed_
®New construction 0 Demolition Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the
s24 fir€ ," F work indicated on this application. +� G •
�.d...� c ( � .� „a raw` _a J 3 V 'O
�, ,u _ _ . ”. Valuation: •
®�1-and 2-family dwelling ❑Commercial mdustrial 1�
Number of ooms:
o Accessory building 0 Multi-family
❑Other Number of bathrooms: 90
❑Master builder 2. a6O q
, �- � �� � �` °� `� Total number of floors:
���"' New dwelling area: square feet
M Job site address: I Sw i , ( 1—N.. . re Yra� ���
City/State/ZIP:Tigard,OR 97224 i'` Garage/carport area: 360 square feet
N) Suite/bldg./apt.no.: I Project name:1�,iq,� �in'ace_ NM Covered porch area: quare feet )a S J
Cross street/directions to job site: Deck area J 3 g square feet q
O e area: ) LJ- square feet
Subdivision:19_4\W' ' I Lot no.:un Permit fees*are based on the value of the work performed.
1� `�� 1V Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
7� �: work indicated on this application.
Via, m „ . 4 ,, 4 € , - ,' ; "
�.
,-�<w,w ...,,y>.,. », �,.«.�� ,,� .,.-,.w.� A..m�mn�»., ,.: .,,,,-
Valuation:
Existing building area square feet
1 ' ' New building area: square feet
' x r .,:-4°...1,:_.'..:
� '4 h ie 1 �§..,�
„�� � � �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 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 I Fax::( )
E-mail:Angela.Grajewski(a3polygonhomes.com
Commercial and residential prescriptive installation of
•� roof-top mounted Photovoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name:William Lyon Homes,Inc and fire department access,along with the 2010 Oregon
Address: 109 East 13th Street Solar Installation Specialty Code checklist.
Permit Fee(includes plan review
City/State/ZIP:Vancouver WA 98660 and administrative fees):
Phone:(360)695-7700 I Fax:(360)693-4442 State surcharge(12%of permit fee):
I
CCB lic.:207247 Total fee due upon application:
This permit application expires if a permit is not obtained
Authorized signature: R 1n/1-e e l tvla within 180 days after it has been accepted as complete.
(//l 1 yJ al
l r I *Fee methodology set by Tri-County Building Industry
Print name: - I Date: Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
i' ��k,j.9.(_ '7 .t.
Mechanical Permit Application1 ftk()1lIt t. I til tt\l .5-, < ,fir
City of Tigard x ` ", '?' ,' ReceivedPermit hn./`7 261/7--eco/5
13125 SW Hall Blvd..Tigard,OR 97 ,, , , 1 . . Prov itettiea'
' Phone: 503.718.2439 Fax: 50339!1 j 4 i_;4 t�. ,_t,4 14, : Dateiir fkber Penni!.
1 . , ;11 Inspection Line: 503.639.4175 n.:. H Ste Page 2 for
Internet: www.tigard-or.gov 4., i;* 14, r', . .. _ >� .'si,_)` a ed:Method: Sappkmeatal Information
_Y,*
xhanital permit t are based on the value of the taut:
0 New construction 0 Additionfaitcrationrrrplac ement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials.equipment,labor.overhead,and profit
Value S
h.,. = y' .7. ,R Y _t c"�lr - - l x -fr .1." a'' 75 '''''0 " 34-*;',,,
..-.h+ F
:�+t'vi�".,.�+�r�+�'0. ,q �,�..eaF ,ra .a, 'SKr a, D� tai ,d,jt s,
V.,1-and 2-family dwelling 0 Commercial industrial 0 Accessory building For*Mal Information irse ci erldlaL
luta-family 0 Master builder 0 Other, Description 1 Qty. ( Ea. I Total
:� ,_- Heatingictmliag:
qR.. p .. '� `" Air conditioning 46.75
LJob site address 13171 SvJ hpple ("rove Terre Furnace 100.000 BTU(ducts,tals) I 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100.0004 I3TU(doer Jvcnts) 54.91
Beat pump 61,06
Suitcibldg.lapi no.: Project name: p\v" c.- o'( Awe 'ITUci work , 23.32
Cross suectldircctions to job site: Hydronic hot water system _ 23.32
Residential boiler(radiator or
hvdronic) 23.32
Unit heaters(fuel-type.not electric),
in-wall,in-duet,suspended.etc. 46.75
t �'-n�t to 1
Flue/vent for any of above 1 23.32
Gh(OILe, (VUY ij ,JC. T— t Uttar. 2332
Subdivision'Pt( Lot no- Q�
.G" Other fuel applianeea:
Tax map/pareel no.: Water heater , 23.32
>" ' " --:V.' - f : > Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 2332
Log tighter(gas) 2332
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chirnmwilineolludvent 23.32
------'=-------- 23.32
.. c f'a x t€ , Ft r s tii ? ; 4. .,r r i.' , ,1 'her'
_I- - r , 4,--- - # , .- , .._ ----
Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen '
equipment 33.39
Address:109 Fast 13't Street Clothes dreerexhaust J ;.3 39
CityiSiate/Z1P:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments.utility moms) L1) 23.32
Phone:(360)695-7700 Fax:( ) Aitie/clawlspace fans t 23.32
?ifilits 4 : A-y ters. kYg -;<1 a.. ,p .+r '.:It' ;'"k„---'''-'4'. Other 23.32
Fuel piping:
Business name:Polygon W LH,LLC
514.15 for rust four S4.03[preach additional
Contact name:Ah Gh0k T h Vpp Furnace,etc. _ I
Address:109 East 13th Street r i"'' Gas heat pump
Wallisuspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace I
�� /! Range
E-mail,A., l 13 i Ail Ei+ Au) 4.. .�w 11 Barbecue
:,.:41-3., ; 5?8 �k u` r Yt'4 s € ,a;,_ rs 2., _ < r.: Clothes diver(gas)
Business name:Apex Air LLC Ot .' g.k
Address:18004 NE 12"Ave Subtotal
City/State/ZIP:1'ancouver,WA 98686 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone;(360)3424109 Fax:(360)326.1769 State surcharge(I2%ofpermit fee)
CCB lie.:203034 TOTAL PERAM(T FEE
This permit application evicts 1fa permit is not obtained within ltie
days after it hoz been accepted as complete:
Authorized signature: ' Fee mcthedolna set by Tri-Crsmty'Building industry Service Heard
Print named/N •-f Date: 4.11.g,
ino.Rdiapsp.w.w!!C-PsranitApp Not LI doe k10-16S 7T(I I102iCOMPVtdr)
I
h...!Aar:LC.i., .., 1.,r
Electrical Permit Application FOR, FOR OFFICE USE ON IA'
V'l'-'i a - S / (,' Received
City of Tigard ReceiDatiuved
.
riSfareffffirrEni
• 13125 SW Rail Blvd.,Tigard,OIC-0,22#?' , x. F=�
ew
' ■' Phone: 503.718.2439 Fax 503:39811960- "i ' r ' X ' neteB PlanRem Related Permit if:
Inspection line: 503.639.417+ Inds, 65 See Pa
T1Gi1HD, `�" r �+i , s.i "�' Ready ge2for
hdeiner www llgard-or.goV k i ua:l _� e '0 � Notifred/Method: Supplemental Information
---.4--,-,z'- , a- i d4L LP;7i.; Jr }:kI" .4.,,:'.. ` - ,y ::„Ii.::z _`5 i "a'.'" to
®New construction El Addition/alteration/replacement Please check e8 that apply(submitll sets of plans wftems checked):
❑Demolition 0 Other: ❑Service or feeder 400 amps or more ❑Building oven three stores.
,',4'47_))1.4•Y where the available fault current ()Marines and boatyards.
w",-;.:•••:',/..,--,:•4: . z.t ) 1,70i,�(H�Zo7`Z -`"3 . � ,� exceeds 10,000 amps at 150 volts a
()Floating buildings.
®1-and 2-family dwelling 0 Cornmercial/indtistrial 0 Accessory building lase to ground,or exceeds 14,000 ❑Commercial-use agricultural
estips builder 0 Other:
❑Multi-family j]Master' uother installations. beihlinga.•
❑Fire pump. ❑Irxstallation of 150 KYA or
-A",— ::- .; .-t'.--'a '.''WfittingtegagiNSMIte,qatMtaltto
MI a a 13Emerganeysystem' larger separately derived
0 Addition of new motor load of system.
Job#: Job site address
1_ L dr,e ll G►i/' 10011Pormom. ❑
0 Six or more residential units. occupancy.
City/State/ZIP:Tigard,OR 97224 �j ❑Nealth•oare facilities. 0 Recreational vehicle parts.
Suite/bldg./apt.#: I Project name:;C a\ y1 e, (� rvi, , ($ ❑Emeniona locations. 0 supply voltage far mom than
f� 1►t r ❑Service or feeder 600 amps or more. 6�wits Hommel
Cross street/directions to job site: :g � i'+e 0.,i; _i-2i r` ^ . '^, -
Deratedea Qtr. I Hach 'Total •
p� New residential single-or multi-family dwelling unit.
Nor ItyroA .4— I Lot#:(j0 Includes attached garage.
Tax map/parcel# , 1,000 eq.R or less 168.54 4
Ea add'l 500 sq.ft.or portion 3392 1
? Limited energy,residential
(with above sq. 75.00 2
L
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
!N<E.441 t , Renewable Energy 0 See Page 2
u•L! " 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 a to 400 133.56 2
401 amps to 600 amps 20034 2
City/State/ZIP:Scottsdale,AZ 85258 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!own which is not 200 amps or less 59,36 1 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670 and 701. 201 amps to 400 amps [ I 125.08 1 2
Owner signature: Date: 401 amps to 599 amps 168.54 2 •
»``+/ay K1.• §`;" t, - ; pal„; erc-i c ol-r- - Branch circuits-new,alteration,or extension, er panel I
A_Fee for branch circuits with
Business name:William Lyon Homes,Inc. - above service or feeder fee,
each branch circuit 7.42 2 ,
Contact name: j� oIe 7liotiryy B.Fee for branch circuits withwrt f
Address:109 East 13th Street I l �G. service irfeeder fee,first 5618 2
branch circuit
City/State/ZIP:Vancouver,WA 98660 Each add')branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 • I Fax::(360)693-4442 Each manufactured or modular
67.84 2
Emaildwelling,service andPorfeeder
/ G. I/ /f l ./ a i
-.._. J4 Reconect only 67.84 2
,-.0:7,-7----_::: . £c� Ewe ,.<_ „ ,� „
Pump or irrigation circle 67.84 2
Business name:Garner Electric Washington,LLC • Sign or outline lighting 67.84 2 ,
•`^..0 Signal circuit(s)or limited-energy
Address:6101 NE St Johns Rd ❑See Page 2 2 i
panel,alteration,or wdwrsirm.
City/State/LLP:Vancouver WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 6635/hr
Phone:(253)320-1657 Fax:( ) Investigation(1 hrmin) 90.00/hr
Email:hdaniels@gweusa.com Indttstrialplant(l Morin) 78.18/hr
Inspections for which no fee is
90.00/hr
CCB Lic.: C1158 Electrical Lie.: 208174 I Suprv.Lica: 4496S s, t5 listed 'A brink)
Suprv.Electrician signature,required:
Print name: Joan P Albert •- ' .22/12 jDDate: 4/26/2016 ❑Plan Review Required(2$%of permit fee):
e-- --. State surcharge(12%ofpermit fee):
Authorized signature: -
--_ TOTAL PERMIT FEE:
This permit application expires We permit is not obtained within 140
Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete.
”' • Number of inspections allowed per permit
{v` 7 V.
13aunding1PermitslELC PeunitAp' r..a ERE.doc Ito/06/1740)5 4404sIS7111/a5/COwwEa
Plumbing Permit Applicati h 'J ' 4 ;-',
Building Fixtures
,ti P1 i ), ,
City of Tigard ?emit No_:/13 7.-761 t/7-t2t/9$
:� 13125 SW Hall Blvd.,Tigard,OR 97723 ph,Review
It Phone: 503.718.2439 Paas 50359*.> f►.'a' e.s x'1'C. .Ducal' Dother Pcmur No.:
1 Inspection Line: 503.639.4175',1, ,,, ift"r' D Reedy/By: Jack: RfSerPage 2for
Interne: wwW.ngatd-orgov T-1 ,t ', , 4 t.ti, Noofed0 4ethck So,.lemeotaiInformation
t- 4 ..� 1 _ _4r�.to uF c fi; °-Z-'t...:t fps_ __ ,i..
E3 New' construction Demolition For special information use checklist
Description I Qty. ( Ea. I Total
❑Addition/alteration/replacement. ❑Other. New I-2-family dwellings(includes 100 ft.for each utility connection)
t L x T 7i..TrJG,:,,,y-, -,T;('‘';t vim" I h•( } . F. ,r SFR(l)bath 312.70
}- SFR(2)bath 437.78
€141-and 2-family dwelline I.. l Commercial/industtial
SFR(3)bath ' 500.32
D Accessory building ❑Multi-family Each additional bath/kitchen 25.02
E3Master.builder ❑Other: Fire sprinkler( sq.R) Page 2
`r z i?J -iei, ill:?,•Z::- '.tis ``v r - ' Site utilities:
- FVia ,r: . x �
Job site address:/3Z7 Z &.'J �e V r It-1-,,,�p� Catch basin or area drain 18.76
�+ Drywall,leach line,or trench drain 18.76
City/Statr/ZIP:'Tigard,OR 97224
Footing drain(no.linear 11: ) Page 2
Suite/bldg/apt no.: Project name.Ritle fltr f ACC Ng rthWeS1- Manufactured home utilities 50.03
Cross Street/directions tojob site: Manholes 18.76
j
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:11„ Ver Tt_i v-a re. 14 tN-{ , -f-- Lot no.:U Futureor item:
Tax map/parcel no.: Backflow prcventer i 31.27
1 12.51
n : ` Yvt =t e '`et ,�. x' ' rBackwatervalve
z'
Clothes washer 25.02
Dishwasher. 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
•
tl ,4 a7 Eicpanal 12.51
i,''-'4_�Sc i r i,>/,. 5 i , _ -` tet :x �....�&.3;' t tis. ;t-„ Ontsnk
Name:ADSL Land Holdings,LLC Fixturelst war 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)694-40311, Fax:( ) Ice maker 12.51
,-7,-; ''''.4'1'3:,..''.:,./‘-L--...,;!.--,..:- ...„.- ' : L , E ' F 2 tittereepiar/trcase hap 25.02
__ n , d. ?c_ � c'./_ .:fir ,_a , I-
Business name:William:Lyon Homes,Inc Medical gas(value:S ) Page 2
Primer 12.51
Contact '�v/y"yRoof drain(commercial) 12.51
Address:109 East 13th Street
Sink/basin/lavatory 25.02
CitylStaWZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 I Pax::(360)693-4442 Mb/shower/shower pan. 12.51
Urinal 25.02
&"r' �,1 ► i/ 1 /. (t / • s 11 -6hd Water closet 25.02
'-.L.,:11 j? _.'3^:; 9.y,e'. ',' f �s'a -: : '' - { Water beater 37.52
Bukittessnam(e�: G.. fQ��PV)\J',�VLG„{1.4 NSE 7147Ar--- Waterpipirtg/DWV 56.29 s
R-' ' a'"�Cr al 1 25.02
Addrecf: �, o�. Q Subtotal
City/State/ZIP: S'y, e G (t}r,C, q'7 t g"7 - brmimrm permit fee: biota
2.50
??hone;car.43'2344' 140 Fax.(11(...'70.'7-$Jib Plan review(25%of permit fee)
CCB Lie.: iglina",_ Plumbing Lie.no. 11 - State surcharge(12%of permit fee)
Authorized signature: ATOTAL PERMIT FEE
print name:Si-#.411_ fy U) a_. Date: -31)-(1: rids permit application expires if a permit is not obtained within 186 days
after it has been accepted es eompietie.
*Fee methodology set by Tai-Coney BBm7dinglndustry Service Board.
t
1:`9uBdrgTeradaPL/ft1-Peutft ppdoe maniio9 440.46167(10/02ICOWW8n)
1
3
t
City of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
111111
II
r c A x o Building Permit Review — Residential
Building Permit #: Lj , (J —,,
Site Address: /?)-Q?Q 'it) 4,./e, ( vve 7Rc
Project Name: _ :_ `kg et.. '' " iJ 1. eS' Lot #:
&0
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal:
erify site address/suite# exists and active in permit stem.
River Terrace Neighborhood: ❑ No !1 Yes,See River Terrace Review Addendum Attached
Si•- Plan Elements:
,,
FL ree(3)copies of site plan 1.4
ting structures on site
!L:ite plan must be on 8-1/2"x 11"or 11 x 17"paper J Footprint of new structure(including decks)with finished
FA rawn to scale(standard architect or engineer scale) oor elevations
/4orth arrow I4 tility locations(required for new,may apply for additions)
to address,project or subdivision name and lot number I EJ .�•cation of wells/septic systems
pplicant information(name and phone number) Via:! sting trees to be retained with drip line,and tree
VI/ a dimensions and building setback dimensions ection measures
1"i Lot area,building coverage area,percentage of coverage and N. reet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) Street names
Property corner elevations(2 foot contour lines if more than
4 foot differential)
til can Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
equired:121
ElY ,applicant was notified 1CJ No Received:
Pp ❑ Ys El No
Public Faciliti s Improvement(PFI)Permit:
Required: Yes,applicant was notified ❑ No Applied For: Ye Yes ❑ No,stop intake
Land Use Case#: illt,C.Q01 " S; Qo, '&1I e sle5
onmg: lQ ("1.6
Required Setbacks: Front Rear /0
Side 3 Street Side i .)1/1.-Garage 2 0
�andscape Requirement: 2O
ot Coverage Maximum:
:uilding Height: Maximum Height ,A Actual Height
til i'isual Clearance
ace
TA Easements
Lit r.ensitive Lands: ❑ Yes /No Type
TI Urban Forestry Plan
❑ Conditions "Met"prio5'to issuance ofuilffding ermit
Notes: eat/dill/Vic ,J// /.fit,././ .oar. 'AS /S�S"G
v�.�-ter/
Approved By Planning:/' Date: /"
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
r
Building Permit Submittal
Original Submittal Date: /Z/I 0/KK0
Site Plans: # 3
Building Plans: # 1
Building Permit#: Enter building permit#above.
Workflow Routing: Planning C5.-Engineering I Permit Coordinator '"Building
Workflow Sign-off: I.Sign-off for Planning(include notes from planning review)
Route Application Documents: LrEngineering: (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:
•
By Permit Technician: Date: �/, , 2
En_ "neering Review
Slope at building pad: 9'4 �'
Conditions "Met"prior to issuance of building permit / �/
❑ Easements (encroachments)per engineering conditions of approval and plat
El Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes El No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: _ 4L Date: 4,47z/-/ 7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: El Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: .OP,..L.. es ❑ N/A
Tigard Trans SDC: !iYes ❑ N/A
Parks SDC: \ Yes ❑ N/A
rOK to Issue Permit ,/
Approved by Permit Coordinator: Date: ) y
I:\Building\Forms\BldgPermitRvw_RES 091216.docx
IL
•
City of°Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
111i
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: � 3
Site Address: /3:›9 ‹ `9c) 42/1:1?e Qzve 7?r
Project Name: 41/-er ` ,2 _. t A,{Z Lot #:
(New dwelling=subdivision name;Addition Alteration=last name of owner)
Planning Review of River Terrace Plan Dist ' t Design Standards (18.660.0701):
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.
Porchmin. 5 t. deep Balcony w/access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft.,5 ft.wide min. 2 ft., Eft.wide Gabled dormer
❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: /. (3V)
itrances:At least one entrance must meet both of the follo g standards:
ax. 8 ft. setback from longt street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entr nce opens to a porch: treYes ❑ No
If es,all the following apply: 5 sq.ft. min.
ne street facing entry ft.max. roof above floor of porch
5 ft. depth min. 30%min.porch roof coverage
4./)l)etailed 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 Recessed entry area min. 5 ft.wide x 2 ft. dee
Vg4all offset min. 16 inches P
❑ ormer min. 4 ft.wide
Roof eave min. 12 inch projection /Gable,
offset min. of 2 ft.
❑ Roof shingles either tile or wood hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑yorizontal lap siding min.3-7 inches wide
❑ Accent siding min.40%of street facadeindow trim min. 2 2/2"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 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.
Setb cks:
N closer to front or side lot line, than longest street-facing wall. 0 Yes No. If No (Check one):
May extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch.
0 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)
❑ 2-foot-wide garage door 0 40%max. of street facade
50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: c"
._..__. Date: Mr
I:\Building\Forms\Bldg'ermitRvw_RES_RT_062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13272 SW APPLE GROVE TER, SHERWOOD, December 13, 2017 at
OR, 97140 1 :09:41 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00145
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Water pressure = 50 psi
Violation Summary:
Inspector Contractor