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Permit (134) a CITY OF TIGARD MASTER PERMIT 91 = COMMUNITY DEVELOPMENT Permit#: MST2017-00247 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/31/2017 Parcel: 2S106DA14500 Site address: 16609 SW DESCHUTES LN Jurisdiction: Tigard Subdivision: RIVER TERRACE EAST Project: River Terrace East, Lot 145 Lot: 145 Project Description: New SF. Model home. BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 4 First: 1128 sf Basement: 0 Repacred sf L Height: 24 Bathrooms: 3 eft: 3 Parking Spaces: 0 Second: 1445 sf Garage: 385 sf Dwelling Units: 1 Front 12 Smoke Third: 0 sf Yes Right: 3 Detectors: Total: 2573 sf Value: $301,834.29 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Urinals: 0 Tubs/Showers: 3 Sewer Lines: 100 SF Rain Garbage Disp: 1 Water Heaters: 1 0 Storm Sewer 100 Water Lines: 100 Drains: Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 0 Catch Basins: 0 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Natural Gas Clothes Dryers: 1 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Furn>=100K: 0 Gas Outlets: 4 ELECTRICAL Residential Unit . Service Feeder . Temp Srvc/Feeders 1000 sf or less: 1 Branch Circuits . 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 P 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: SF VB SquareFeet: R-3 2573 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required items and Reports(Conditions) 109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $32,927.33 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 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. Issued By: �Z�C,r�_.. /1 Permittee Signature: G° i'QL �r /��� 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. a Building Permit Application L_(2 Li S.— Residential RECEIVED ED FOR OFFICE I SE ONLI City of Tigard MAY 2 5 2017Deceiv a 7//iPermit No.;41,c7:40/2 y2c�� 1,1 'a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review, -y�/e //f�� Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD Date/By: es�a D Other Permit: S41'�-�`E �/��2/, Inspection Line: 503.639.4175 Date Read /B �� Juris: 0 See Pae 2 fo'r/ TIGARD p BUILDING DIVISION Notified/Method: 7 7 SupplementalInformation Internet: www.tigard-or.gov 1►r r ., x' ° Ftp' y !,-,•tAter&WIMAIW AZ e '� `" 1'r ' - '41 '. r F Q ffi t t r , ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the t ' t work indicated on this application. Valuation: 30 I/83 ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: 3 e q � t � ,„., � t i o�i t�' s �o.'�:�s � Total number of floors: 2.4 49..q4" $ a< Job site address: I 'd ( Q 1 SW D(s c ii it f(-c I/j 1AL, New dwelling area:S 7 square feet City/State/ZIP j3 /,1 i �n Or_411 j Garage/carport area: ;`3—square feet aj�/ � I e_- Suite/bldg./apt.no.: 4 Project name ] (,e Covered porch area: /.square feet , 11 s Cross street/directions to job site: (�' Deck area: I S Jquare feet ' I1/4Oy Other structure area: square feet t1'€1€ r , tt ° is i Subdivision:Foot_--r- r a_ 6044-- Lot no.:I LIPermit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ':'4,-;-4.2.4.4*;'- t a✓. i '4 'i ii a +.t t a «� - work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet :A�,i;V it t am , 1 a ::p1 3 Number of stories: : ,.v..1 au+ w %o., o r.z.1,._'- .z- :a, .x. .x,._„ .,: ai : ,q z,, .., .,.. 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: ^'^ �/\, N t.�1/t��, ` ' " FLS plan review fee(if applicable): Address: 109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received: E-mail: • : 1 t t , , - Commercial and residential prescriptive installation of g .:' ' ` " ,,p ;'-. 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 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: " / / This permit application expires if a permit is not obtained / within 180 days after it has been accepted as complete. Print name: �) a Date 5 + *Fee methodology set by Tri-County Building Industry 1":G�� ] � c 4 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4 13T(11 2/COM/WEB) Mechanical Permit AnnlicatioF ,ICEIVEliaimigimussimm City of Tigard14_ permit,.../757----- v 2_490.,'/7 13125 SW Ilan Illwi..Tigard.,OR 97223 UL 2 e) 2017 rrateman Phone: 503.718.2439 Fax: 503.598.1960 Datolty. other remit inspection Line: 503439.4175 CITY OF TIGARI: °ale RImb'faY, to fa See Page 2 Ow •Internet: www.tigard-or.gov Notitiedimethod: Supplemental Inferroation 31511,DING DIVISION , Mechanical permit foes*art based on the value of rite work El New construction 0 Addition/alteration/replacement Ferfonned.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other; mechanical materiahcauipment labor.overhead,and profit. • Value:S . - A r Zrt''4,.., ::•il,' ,.". . • r.-,17.?4•.:-..-1,cA*--1..;.-, -i,;:irt,---1.-.-',,,,,V-gr- • - - - . • , - - .- e...,,w4--,- - ` ,:q.).4•.- ;-`2,7;:k.---,-(:,-P;'"i•Va''' ,::f,V,,,,.--,:-,4_,12:;.-Z,:),7,,,,,C.-C:S.,.,"117jYri-3 "<gfl"'i.44r:N,J,,OY-5-'-rt:-ii-‘4,,,,L't',''..is"''''. 's•''''.''' IK1-and 2-ramily dwelling El Corrunercialfindustrial 0 Accessory building for spedet Information use citeckliA Multi-family 0 Master builder 0 Other; Description I QV; I Ea. I Total 4,-,„1.-v,,,,,:,,,--=4-41'-;;!,,,;74..?,,,i,..'''.,'1.. ..!r__"*1 C:7-f4F-`,=,fi-,t1.'v-,%.,- 1-..;.0 rts.„:-,,t-_-riv-qt,t,.«,,,Z,.,,,,..,.1,1 :: 4:,•7-4.,7, "coding/tit/46AV Air coo:lid-0mm I 46,75 Job site address: 1 ,pip I)9 <SvJ Des ch u-ks I _.K) Furnace 100.000 BTU tilucts,veits) I -46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.0004 BTU tductrAvnis) 54.91 Heat pump 61.06 Suite/bldg./apt,no.: I Project name:Kver-Trace. ,(-is-k— Duct work 23.32 . Cross street/directions to job site: livdronie hot water system 23.32 Residential boiler(radiator or k hYdronic) 23.32 Unit hearers(fuel-typc,not electric), in-wall,.in-duct,suspended.etc. 46.75 Flue/vent for any of above j 23.32 Other: Subdivision: g- er Te,rra CA......CAM- I Lot no.: LI _ Other fuel applistutes: 23.32 Tux toop(pateel no.: Water heater ' - 23.32 5•::'.::,,A-1,.:;;As;:','..'3-.: .- ,- , - - .`ji.;V'-L').c.; , ,Y.:,-,,!. .---,3f,--, -..r.-..:.,--,-,,--',:- Gas ffmrdnedinsert 33.39 Firm vent tbr water heater or gas • fireplace 23.32 Log Olter(gas) 23.32 — 'Wood/pallet stove 33.39 Wood fireplace/basest 23.32 Chismtewlitterlilucivent 23.32 . ., • Other: 23.32 •,,,,,--:•*-•••..--„,..- - •,. , s4...,s7,--s,....... --•_...-„,t.4-0;,-,...7,0P,•r,., vo-s,,,,,,,--„1,4,.....,..•••.- „,........-....- ---..‘,...1.-..qc •,......•,-1. „....,2,-.......74ts.V44,4-..,•:V....4.E.,...L.,.e...."ilat.:5,.L•,7-4...v..;....:.- _-&-....,,-. .-,,4,1....ttar -,S"-. -....^:? Eitireantentat"muse and vend/mien: Name:Polygon WU!,1...1-C Range bind/abet kitchen e9uiornent I I 33.39 Address: .-ID 3. gri)CiCAWASI.4 st S\ak-ed CAO , Clothes dryer exhaust ( 33.39 City/Sate/ZIP:Vancouver,WA.98 1 460 J Single-duct exhaust(bathrooms, toilet compartments,utility rooms) /-4. • 23.32 Phone:(360)695-7700 Fax:( ) Attichrawbracc rays 23.32 --;,... .-t -,,,•:;,;(1.7. , . 71)1,;011 .1,.. . -';:;-'1frri'",'"i'',%fc ,-:i'-.7---.:,' ,;:,'T',-; .,x,., ,-,„:- Other 23.32 • L.,,,,..z,.!.'....-..-r-_,-.„.::.,, ',..t1-..".-,-- 1 .,ed:I. ";....,utsli.--?3'fiLif.',1-._.3.,t.',;.i.,.., _=-1.......:-':"r 7,....-:.-re..•-_-::-__.1.::-.',:r. Filet pinion:* Business name:Polygon W111,Ilk S1435 for first four;S4,03 far tacit ackthionel Contact name: 0‘C,V)de,"PnoYve, Furnace.etc. I Address: -11)'5 R rhariu)61,-9 sk- S‘I.A.irc, 6 11) Gas heat Pumil i Wallisuspeadecifunit beater City/State/ZIP:Vaneouver,WA 98660 J Water heater Phone:(360)69S-7700 I Fax :(360)693-4442 Fireplace I • Range 1 13-mad:a ) I, • . ii ,g1, ( $ ta II I kit • aA •Dillbeeue `;t ?' '-'''`""" ',::.--,-;-::::,-„,ft::,,,,::: Clothes dryer QM/ i Other: Business name:Apex Air LIC ..--7•''''',.•:;1: g.';':. i';','-,1`a`-2,S..r'f-2 -1; tt .,,2I[-. 44-.4):',zi'f'. Address:18004 NE 72J Ave Subtotal , City/State/ZIP:Vancouver,WA 98686 • Minimum permit fee(S90.00) Plan review(25%of permit fee) Phone:(360)3424109 17a (.360)326-1769 Stale sorchollfc(12%of perstlit fee) CCB lie.;203034TOTA.L PERMIT FEE ' This permit application empires W a permit is not obtained within ISO • • der titter it has het*ampler]as me:wide. . AuthoriZed signal * Foe methodology set by Tri-Cremly BuUclios Mduttry Service Rrind - -- Print maw.rTieiL I • pate. 4-11-It.- lAtluildintaPetroileMEC_PcmilNip.,040113 doe 440-es trr(1 trescotearran . wECFIVEI . . . .. Electrical Permit Applicatio t rori OFFICE 1_SE ONL) City of Tigard ;, ,�' 2 Received Permit s i -o® ��7 13125 SW Hall Blvd.,Tigard, I) U �) �e� • OR 97223" Plan Review Phone: 503.718.2439 Pax 503.598.1960 ne: , DaWB : Related Permit it: T I GA 11- Inspection Li503.639.4175 CITY Y O f T I KD Ready Date/By: lid= lff See Page 2 for Internet www.ugard.or.gov Notifed/Method Supplemental Information =3- as1"it y4 u.5 q'1D-1 t 4-1.1.11;-"_=4 :};i:vv:;if... a' "_."*.l..q.+i^L..7 5- : -.ii '7 ` ,- °w'va ,t vr4 r �. "e 'fi,,-,. ®New construction 0 Addition/alberation/replacemen- Please check all that apply(submit?sets of pleas wriitems checked): ❑Demolition 0 Other: ❑Service or feeder 400 amps or more 0 Building over tines starves. where the available fault current ❑l:Uarines and boatyards. 4Y4-.. -'r'h 1 £ ;.i .ye.r r?..;'3--A,..0N, l*,oak _.if.6-410� ,{ .max .0` r�t ;.,..: ,', exceeds 10,000 amps at 150 volts or []Flossing buildings. ®1-and 2-family dwelling ❑Commerciatlaidustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family ❑Master builder 0 Other ❑Firer for ail other installations.. insbuildings.. Fire pump. (]installation of 150 ICVA or -�, 4' V/•° ''?:-ma x '•&:;�'[ ii.o ' �,t;,,-to_f �- NyArv,", �`i ❑Emergency system. larger separately derived Job#: Job site address: 09 S PeS L,V lu- ❑Addtiion of new motor toad of larger 100BP or more. ❑"A",5","2-2", 1-3", City/State/ZIP:Tigard,Olt 97224 0 Six or more residential waits. occaPenoy. ❑Health-care facilities. ©RecreationaFvehicle parks. Suite/bldg./apt.#: J Project name: Q 1v e.l(--Te ccr—e r�i.- C)Hazardous locations ©supply voltage for more than ❑Service or feed 600 amps mom 600 voila laminal Cross street/directions to job site: t " b? Deaceiettoa Qty. I loth I Total 1 • New residential single-or multi-family dwelling unit. SubdivisiK on: 1 eI.'f TtAreare_. ._-As-i-- 1 Lot#: l li s Includes attached garage. Tax map/parcel#: 1,0 Ea.ad� ass t 7 .{ •. .'�,7`a ' 3 ;1 •-'6:41 .(8,1 T:t-6'''piAi�,.,r';I1.a r3 3 3 r s-y Limited energy,residential or 76854 4 500 33 92 1 � u_ ? s (with above sq.IL) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) y.4 = "1:. ,[. p4. 1'r 'ns~,. 0 ,:" -,,,,,i,',11..,:-. -. -:' ' rt 'i (-'1711 1SertIIvti:wceas6ioer feeders installation,al❑teraw4t[ioE nP,a4aned/Zo r relocation Name:ADPL Land Holdings,LLC 200 amps or less 100.70 2 , Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 13336 2 401 amps to 600 amps 200.34 2 City/State/HP:Scottsdale,AZ 85258 60]amps to 1,000 amps 30I.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts i 552.26 2 Temporary services or feeders installation,alteration,and/or Entail: . relocation Owner installation:This installation is being made on property that I 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 125,08 I 2 Owner signature: Date: • 401 amps to 599 amps 168.54 2 µ q `. b"r, n i ,� r-,----,-,,,,,,,..-.,,,,,..,„,,,1� yoYy fr s ty ^1. pw'''. ,, .: S Branch circuits-new,alteration,or extension,per panel ,....,_,17-',:,,,,,„..-„,„.....,..,,,,�xK_ ., ...,t ,, 14_,z., Y� ;-: -. ''',,, „ A.Fee for branch*wits with Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7.42 2 Contact name: (� 1 c y� �,� uc B.Pee far branch circuits without Address: 1 C`t���- rt._ O S 'Skuft E5 ) serviaoorfoederfee,ftrsi 56.18 2 %V t(`��,(r biauc7l cireitit City/State/ZIP:Vancouver,WA 98660 Bach add'l branch circuit 7.42 2 Miscellaneous(service or feeder not Included) Phone:(360)695-7700 ' ' Fax::(360)693-4442 Each manufactured or modular Email: dwelling,service and/or feeder 67.84 2 At: 4.. Iii i Ai `.- t�,�y 1 f... out' h ,,a A„ Retoasnect only 6724 2 -.-,Q-~,-: -- '`' - 3 ' ago7n i.,% u <L E v ° .."-./'_4,--_. Pump or irrigation circle 6724 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 r,: pignal chinks)) limited-energy Address:6101 NE St Johns Rdpanel,alteration,or n,or extensi . 0 Sex Page 2 2 City/State/ZIP:Vancouver WA 9$66I Each additional Inspection over allowable in any of the above Additional inspection(1 hr rain) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(I hr min) 90.0W hr Email:bdatiiets(t�gweusa.com lndtakrialplant{]hr min) 78.I8lhr inspections for which en fee is 90.00/hr CCB Lic.: CI158 [ Electrical Lie.: 208174 J Suprv.Lica: 4496S ' listed %lir min) Suprv.Electrician signature,required: ' " • _ A /t - .�'I7 • Subtotal: Print name: Joan P Albert • Date: 4/26/2016 ❑Plan Review Required(25%of permit fee): ' _ .- State surcharge(12e%of permit fee): Authorized signature: - --- TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 k. Print name: Bill Daniels Date: 4/26/2016 days after it has been accepted as complete. t� * Number of inspections allowed per permit tel'enoits1SLC PertnitApg.AR-1zRS.doe Rev°6117/2°I5 4404615T(im/o5/COM/WEB ECE1VED Plumbing Permit Application Building Fixtures 1iL 2 6 2017 City of Tigard Received Permit t3 ✓ • 13125 SW Hall Blvd..Tigard,INIs�e3 4 f a DaterHY: S/e l�7 100,02�7 g ' Phone: 503.718 2439 Fax: 96 1 Plan Rev;ew 'p�( DING pai,/gy; Other Permit No Tlc;lli:n Inspection Line. 503.639A%illi ING D iSlurv, Dau Rea B Internet: www.tigard-or.goJa7 1 t ' " 1 ; dY o Ions l See ent 2 for Notified/Method: Supplemental information iin�tl TYPE OF WORK FEE'SCHEDULE ill New construction ❑Demolition For special information use checklist ff---II 0 Description I_ Qty. I Ea. [ Total [J Addition/alteration/replacement Other: New I-2-family dwellings(includes 100 ft.for each mills:connection) Int Y g ❑Commercial/industrial CATEGORY OF CONSTRUCTION SFR(I)bath' 312.70 )-and 2-famil dwellin SFR(2)bath 437.78 IDI SFR(3)bath 500.32 El Accessory building ❑Multi-family Each additional bath/kitchen 1.3 25.02 Master builder 0 Other: Fire sprinkler p ( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: l U t p 09 St A 1 \I� v\ eS i t. Catch basin or area drain I g.7 V 1 4 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: Manufactured home utilities 50,03 Cross street/directions to job site: l t• Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.._) V Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft. ) Page 2 Subdivision,River 'T p 61 c+ 1 Lot no.:t 4s- Fixture or item: Tax map/parcel no_: 1J' Backflow preventer 31 27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25,02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank 12 51 Name:Polygon WLH,LLC Fixture/sewer cap 25,02 Address: Floor drain/floor sink/hub 25,02 0 3 b.. 8 , i_ __ ► - .A . Garbage disposal 25,02 City/Stale/ZIP:Vancouver,WA 98660 Hose bib 25 02 Phone:(360)69t5-7700 Fax:( ) Ice maker 12.51 !d!APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$`) . Page 2 *I �+���� Primer 12.51 Contact name: iV A z Roof drain(commercial) 12.51 Address:1 O2, BrcodwaLl f st�L.1-e y Sinklbasin/lavatory 25.02 ' City/State/ZIP:✓Vancouver,WA 98660 1 Solar units(potable water) 62.54 Phone;(360)695-770{0 � Fa(x::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:�1�btv. IY\Q JD(tri __ 1n_.En Urinal 25.02 j Water closet _ 25.02 ���,,, CONT R Water heater Business nanse:- L, ,,,,,,,„1,,„s ti37.5262 r� Water piping/DWV 56.29 Address: 0.&.7 ��jj i /�(� j Other 25.02 City/State/LIP: 'Mt:* OE_ 1'701 I Subtotal Minimum permit fee 572.50 Phone: q 104 L Far( } CCB Lit.: ,201 Plumbing Lic.no.: O ���S� Plan review (25%ofpermit fee) ;! State surcharge(12%of permit fee) Authorized signature:1j�' t�_ ,_y /-1---c- TOTAL PERMIT FEE Print name:ea/l I /10,1&k/ �i,� Date: This permit application expires if a permit is not obtained within 180 days r �^ aver it has been accepted as complete. .Fee methodolo8y set by Tri-County Building Industry Service Board '._ I Budding:Permtb\PLMt1.PeoniApp dos 10.2411419 4.U.4,la'440.44i6111mo2/COtf:Wttal S City of Tigard IIIn COMMUNITY DEVELOPMENT DEPARTMENT I TIcARo Building Permit Review — Residential Building Permit #: MS7 Zo/7--1/002(17 Site Address: 16 601 51.0 D G--S -H 41 5 L)J Project Name: p.Iver T.eX1rcKk. Ects - Lot #: )145 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 5 F--P- (1'v)cc)e i ko v e- oVZ(3) Verify site address/suite# exists and active in permit stem. U LV/River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan IIi xisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper M Footprint of new structure(including decks)with finished VDrawn to scale(standard architect or engineer scale) floor elevations 'North arrow 'Utility locations&easements(required for new and additions) [Site address,project or subdivision name and lot number [Sidewalk/driveway approach [Applicant information(name and phone number) Location of wells/septic systems gLot dimensions and building setback dimensions Existing trees to be retained with drip line,and tree 0 OlSquare footage of buildings to be demolished protection measures 4IALot 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) eStreet names [Property corner elevations(2 foot contour lines if more than NfiStorm water quality facility required if>1,000 sf of 4 foot differential) �� ""impervious area is created or replaced. OIL Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified A No Received: ❑ Yes ❑ No i Public Facilities Improvement(PFI) Permit: PnI„(7l6-00 Required: ❑ Yes,applicant was notified ❑ No Applied For: f/Yes ❑ No,stop intake 2' Land Use Case#: R-2014,-pC)00(; �RZc 5-occ‘) 5UgZ016o-octQy Li Zoning: "4-4.5 ( 17 p) dRequired Setbacks: Front `2 Rear to Side —5 Street Side S Garage 20 Er Landscape Requirement: 20 C( Lot Coverage Maximum: So chk Building Height: Maximum Height Actual Height Visual Clearance McSensitive Lands: CI � Yes ,' No Type e• Urban Forestry Plan (a Conditions "Met"prior to issuance of building permit Notes: ouk..1.0vl ,-tti covtcP, .,oils c:;, - PD RIC'\6-0o001 c-5U B-2-0(6- oCOOL] Qom, �1 d� v- � k--- fl� � 1/10'6-N.1/10'6-N.G.1/10'6-N.G.O0�1 �T MN, / Approved By Planning: Date: (p f 2..2_11-7 �� 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_051617.docx • • Building Permit Submittal Original Submittal Date: SIA S //) Site Plans: # Building Plans: # Building Permit#: I Enter building permit#above. Workflow Routing: ¢b Planning ES.Engineering [Permit Coordinator ,Building Workflow Sign-off: p Sign-off for Planning(include notes from planning review) Route Application Documents: I Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 97 Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ,e/1��/�.1e:-_�a1 ; ,ADate: - ()N.) / Engineering Review 5i ,OVSlope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ 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 ,Q No LIDA Facility on lot: ❑ Yes 'fir No ❑ NOT Approved by Engineering: Date: Notes: t 4 iil,I7c -fi'C/L-7/ /now 6-4 eCkds-7?2-t-t-TI2g-VVI— le' l'& • •• • /4.44,r X72 Gi el$zfrY Approved by Engineering: AI (V/1.-- Date: , 2..,li ( 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit proved,NOT Released: /�G WDate:b/ !"" otes: 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: 1721"i'es CI N/A Tigard Trans SDC: /� Yes ' ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes P"N/A OK to Issue Permit /1 7- Approved by Permit Coordinator: Date: '/2'.> I:\Building\Forms\BldgPermitRvw_RES_051617.docx City of Tigard n COMMUNITY DEVELOPMENT DEPARTMENT 111 TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: ` .6)09 SW 1.)E5cWA'N-5 L� Project Name: 1)...Nem' SSA Lot #: \4 j 5 (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? NrYes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep Gabled dormer ft. deep min. 2ft.,5 ft.wide min. 2 ft., 6ff `'`ode NJ ❑ ❑ L"J ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 14°1° 3. Entrances:At least one entrance must meet both of the folio/wing standards: _/ Ll Parallel to street,angle no more than 45° from street, i Max. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch: 12/Yes ❑ No 1 If yes,all the following apply: LJ 25 sq.ft. min. g‘/One street facing entry Er/12 ft. max. roof above floor of porch 5 ft. depth min. g 30%min.porch roof coverage 4. DetailedDesign:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep (Recessed entry area min. 5 ft.wide x 2 ft. deep [ 'Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide LJ Roof eave min. 12 inch projection [ "Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood g Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade Window trim min. 2 1/2"wide by 5/8"deep ❑ 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 loser to front or side lot line,than longest street-facing wall. ❑ Yes TX No. If No (Check one): 5 May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. L/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 11175'0`)/0 max. of street facade with 7 detailed design elements I'l.elo Notes: Approved By Planning: ,� ,�/L Date: (f f 2 z ((1 I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx