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Permit (118) CITY OF TIGARD ik °ka MASTER PERMIT ill z .' COMMUNITY DEVELOPMENT %/®` �5 -- Permit#: 8/17/2 7-00218 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2017 TIGARD Parcel: 2S106DA04100 Jurisdiction: Tigard Site address: 13035 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 41 Project: River Terrace East, Lot 41 Project Description: New SFA. 11/20/2017: REPRINT permit to add 3rd bathroom. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 562 sf Garage: 456 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 562 sf Right: 3 Detectors: Total: 1221 sf Value: $162,204.69 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 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: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1221 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: $22,772.16 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throu R 95 -101-0090. 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: T✓r- - Permittee Signature: YiG" / e)" " 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. FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter TI G,t€,D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION FROM: Nichole Thorpe ,C,l\! 1V { 7 COMPANY: Polygon Northwest ' i l .•» }R - PHONE: 360-989-4204 By: pi-v\ RE: 43049, 13041, 13035 13023,1-31311 SW 169th MST2017-00216 (Site Address) (Permit Number) River Terrace East Lot !J (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 0 Additional set(s)of plans. 3 Revisions: plans and bulletin 3rd bath 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): Avi yi/0/4 A)/11 el/1/27 REMARKS: Please pay fees owed with Trust Account. FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes 0 No Fee Description: Amount Due: $ v1) $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 INCITY OF TIGARD MASTER PERMIT ii. COMMUNITY DEVELOPMENT Permit#: MST2017-00218 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2017 T t � �° 9 Parcel: 2S 106DA04100 Jurisdiction: Tigard Site address: 13035 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 41 Project: River Terrace East, Lot 41 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stones: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 2 Second: 562 sf Garage: 456 sf Front: 12 Smoke Dwelling Units: 1 Third: 562 sf Right: 3 Detectors: Yes Total: 1221 sf Value: $162,204.69 Rear: 10 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 2 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 3 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1221 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: $22,699.13 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 Smay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. G Issued By: BG- ( ` %�/� Permittee Signature: Ste _ 4- J'i .G. 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. Building Permit Application j_Q 7 9/ A'voiiitial RECEIVED FOR OFFICE I SE O\II Citi' of Tigard Received Permit No.: 13125 SW Hall Blvd.,Tigard,OR 9722AA Ay 2 5 2017 Plan Revie�.�P� �S rw0_�-a)/ 2/� Phone: 503.718.2439 Fax: 503.598.1M' DateBy: ! Other Permit ,) u, 9 N � r J r ��/7 �i[/1 TIC, R n Inspection Line: 503.639.41758CITY OF TIGARD Date Ready/By: /`�� C 7urs: 1 see Page l2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Metho J SupplementalInformation -,'L- , /,/4‘f .. » 3.. - � �� ..^ r . ._. � �` .v�� . M � , r " s";=� �� a�� .: aK � ' � � �� o-`� � �' °n� . . _. ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the ,,A.,it - work indicated on this application. dwellinga.„ ❑Commercial/industrial. ,. ... .Y ._..� 1 Valuation. -and 2-family ❑Accessory building 'LMu1ti-family Number of edrooms: j 6a)ao it ❑Master builder 0 Other. Number of bathrooms: /► 7 s' .� ••s ' li q.d '.. . Total number of floors: J O 7 -,,,,t,,,,,,,,:,,,,,,,, . , 3 Job site address: 305- s v - ' (at ANew dwelling area:`7.24, ;quare feet City/State/ZIP:" _ Garage/carport area: I,cjp square feet�'C 2 Suite/bldg./apt.no.: Project name ]�.� i e (Q Eax---– Covered porch area:1••g`"'YY square feet c/'a Cross street/directions to job site: 1�' v'� Deck_area: ;quare feet 9 V7 Othersttruc urge area: 7 square feet �tt�� ll° € ire Subdivision:12.00f–rp f—TGra� 60 I Lot no.: u ' 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 equipment,materials,labor,overhead,and the profit for the r . s 31 ;t work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet • t 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: Wit ''' . ,..: �- _ '' � etz r ya'."i �€ � Business name:Polygon WLH,LLC " Structural plan review fee(or deposit): Contact name:N G 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 marl :ziA z 4 r - r; �`'. r, x , ,,t- 1 '� �'L Commercial and residentialprescriptive installation of .t'�� Pad � a ��se� �''� G : ,r�r�7 , '�, �4 ��-`, ,. •, 4, ,- • . , s,. c.1 : .„,..:•:, 1,` ., ” : :- roof-top mounted Photo Voltaic Solar Panel System. X 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 Iwithin 180 days after it has been accepted as complete. Print name: *Fee methodology set by Tri-County Building Industry Niaspie Date Service Board. I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4 13T(11 2/COM/WEB) Mechanical Permit Applic .FFOR OFFICE SE O\LV I E City of Tigard Received DateBy: /,r ,� :t ° 13125 SW Hall Blvd.,Tigard,OR 9722 yy Plan ■ Phone: 503.718.2439 Fax: 503.598.19 `a Y' 71Date/By: Other Permit: Inspection Line: 503.639.4175 late Read B 3nils: Bt See Page 2 for TIGARi> mac. Internet www.tigard-or.gov Et -� gp...7rw i�dfied/Metb�: Supplemental Information B4�iLDINt., a.ai4 is rI PP 3.. r ;t4 u}C t J'CX6 E`9,5r Ct 9 i w .:.—P 1� 0 4} t s x yrs <`.,�, . � 4 k l �6 d ilit. »ru"fJZ,Zittf;�a:A VS :.:,'.1rn.:.s ,4.. ,..•��e c L i.1tiil!t��.w "3Sks.2y:.4 : r �J' ®New construction 0 Addition/alteration/replacement Mechanical permit fees*are based on the value of the work p performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. xacT `Cyd,y� ¢ C2{eO � Iab ,ls �.£ 5. ,a 1 VaiUC $ V 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedel information use checklist tgi Multi-family 0 Master builder 0 Other: Description Qty. f Ea. I Total },t !'� r>> t t av;�� .n i 4 4 V r. Heart cooli �. G- ',n. .. R � t�. 4 tP@ k `�R�' r .e�6 �'J:W6�"May s'3.;,;Sc:, rF� .,a,.., '�-'� � >g: Air conditioning 1 46.75 46.75 rob site address:{3n 5 SVS is,ott A Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name:River Terrace EastDuct NDS 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 1 23.32 Other: Subdivision:River Terrace East I Lot no.:1..1 I 2332 Other fuel appliances: Tax map/parcel no.: Water heater 2332 Flue ventforwater heater or gas 1 33.39 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplacefnsert 23.32 Chimney/liner/flue/vent 23.32 � . .. .� , �-t ..w�`Yx -is4'�rt""4... Other: 23.32 �. �.,a1 Etat '.>�r �eR Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Manch Road Clothes dryer exhaust 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 1 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 4 23.32 '.e� l 9 r u� bitOther: • 2332 AL1. Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for first four,S4.03 for each additional Contact name:Nichole Thorpe Furnace,etc. 1 Address:703 Broadway ST Suite 510 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace 1 Range 1 E-mail: Nichole. Thorpe aQpolygonhomescom Barbecue ' Z. g : i; ':c t Clothes dryer(gas) Business name:Pro Heating and Cooling Other Address:2095 NW Aloclek DR Suite#1103 Subtotal City/State/ZIP:Hillsboro OR 97124 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)443-5692 Fax:(503)941-5075 State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 — days after it has been accepted as complete. Authorized Signature: , p/, //� Fee methodologyset by Ili-County Building Industry Service Board Print name:Nichole Thorpe Date:8/15/2017 t:riuildinglPennitiMEC_PenniApp_040t 13.doo 440-4617r(t 1/02/COM/WEB) • • EVE :: :: Electrical Permit Application FOR OFFICE Lei:ONLY City of TigArd AUG I 2011 Received ?omit fi:/145I- l7 0, f,F 13125 SW Hall Blvd.,Tigard,OR 97223 Plea Rsvisw Phone: 503.7182439 Fax: 503.5t�9py Of i i 17 r i i ` rata 11 G I.R- Inspection Line: 503.639.4175 41,l dr. i^t 1 ,;/,`Z t f'"."'.' Ready Date/By: H See Page 2 for Interact www.tigard-or.goV I i3 t'� NotiSed/Method: Supplemental Information .s � - 'f:�1i4i .�:i ,§4�.�:g;�N=� z�- . .�F'! �+�'Ya. 41.5 x��- . 4� ,�.lire t .. �.., :s -� c� x, . c � .,�na xa� yam. ��x 5 � :,at; ®New construction 0 Addition/altetation/replaeement Please chock all that apply(submit i sets of plans wrtams checked): ❑Demolition 0 (J er. 0 Service or feeder 400 amps or mors ❑Building over tbrae stories. where the available fault current 0 Marinas and boatyards, *.'-:f4"r ' -*Ati474"dei ,N,�S.T."_F i,T-. r r E 10.1-e, ` .- '''1 t\`t ;? exceeds 10,000 missal 150 volts or Q Healing buildings' J i-and 2-family dwelling 0 Commercialitidtistrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps thrall other inaiaitatioas. buildings.• KMulti-family 0 Master builder 0 Other: ❑Fire pump. ❑Installation of ISO KVA or <;L -a f.' i''4fi=t-70.,--.0 a ,t2:....*.:.: •. ?1 M- ca."t OHmerseatcysystem. larger separately derived Job#• Job site address: 13 03 � A 0 addition of newmore.motor load of system. • �� .. 70011E or more. �••.�••."E•',`I-Z""I-3", CSty/State/ZTP Tigard,OR 97224 ❑Six or more residential units. oowpeney. DBealth-oarefeoltities. ❑Recreationalvehicleparka. Suitelb]dgJapt#: Project name: ,i4hry.''7,ft, •ot fe,'Cos+. 0Haxordoru locations, El Su ytv voltage more than 0 Service or feeder 600 amps or more. Cross street/directions to job site: A 5 :•a Aerctfpdoa t ots. I Each ( 'Total s - _ New residential single-or multi-family dwelling unit Subdivision: p�`r.l fan/ ( e. -(A(4' � .j- Lot#: LI 1 Includes attached ga rage. 1,000 sq.ft Tax map/parcel II: R Es add i500 left or portion 4 sq. p 'on 33.92 1 c-:� . :_- s . mei )t .•txe�t'tt G Fh k `* G.T" ,�u V:7ge ^s'- - 'e Limited energy.residential (with above sq.ft) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.It.) e. Renewable Energy 0 See Page 2 5=w v,, 1�5 :s i 3 C�7 rr,) ( 4 .,,''-':'' � hE'x6 H;.I ,,,±4--:-...'14,-':A-.45t, , Services or feeders installation,alteration,and/or refutation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps W 133.56 2 • Ci /StatelZlP:Scottsdale,AZ 85258 40l amps m 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 55226 2 Temporary services or feeders installation,alteration,and/or Email: 'relocation _ Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I • intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: . 401 amps to 599 amps 168.54 2 > h ,.- ;, zv �r T �--�';',$V-'1' '''..4-•F „...- •ti, ' •- -, , Branch circuits-new alteration or extension per panel ,�',! ,?',4,M r f J_...-V Vi�EitteT i14';',$V-'1''�✓°, d,'4 s."-P--;r o-0i w,.c rgitp `..;� .H 2-`` ,--..,'?i t r e • 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:NI riAl e giA B.Fee for branch circuits without . sAddress: d ! 1 it. branch ori fee,first 56.18 2 City/State/DP:Vancouver,WA 986:I Bach add')branch circuit 7.42 2 • Miscellaneous(service or feeder not Included) Phone:(360)695-7700 - I Fax::(360)693-4442 Bach manufactured or modular 67.84 2 dwelling,service and/or feeder Email: k(,i i tit 41 / '""ice . 11 a ►A a.to Reconnect only 6724 2 _ ._r,�._.. . 34e cls_ 7-._",,�'._ r Pumpor tmcacie i�" � ``""+ �ti r� . � c ��.�, .- �� ,�`,,-r-c Sats 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Address:6101 NE St Johns Rd Signal tcircuit-Cs)or extension. 0 See Page 2 2` panel,alteration,or extension. CitylStataiZ]P 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 Fax:( ) Investigation(1 lsmin) 90.00/hi- 1 Industrial plant(1 lir nun) 78.18/la Email:bdanielsQagwensa.corn inspections for which no fee is 90.00/Lr CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Inc:: 44968 .. listed 4 hr min :Suprv.Electrician signature,required:''''''''' ---7-3-----"". t J•f'f4.�- ,... Subtotal: . Print name: Joan P Albert •. Date: 4/26/2016 0 Plan Review Required(25%ofpermit fee): ti _ State surcharge(12%of permit fee): ".•• Authorized signature -.j -- TOTAL PERMiT FEE ;'l'S This permit application expires if a permit's not obtained within 1a0 ,i;.;, Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. w;+,rile' - ' Number of inspections allowed per permit - i ;V:,,::>'t-•SBuOfiiis1Permhs‘}7.0 PumitApp ELR.11ts.doe acv 05/17r4015 440.44151()1/05fco14/vrES f Plumbing Permit Appliteat•it�E , I E f Building Fixtures AUG1 �� n _ FOR Illi 1( 1: 1.-;,1 t)\l } City ofTigard G .3 2017 Rbceived Permit ko:, S �7 // 7 ?' p VDale/ '13125 SW Hall Blvd.,Tigard,OR 97D OF ivi fA Plan RevieK 1Phone: 503.718.2439 503.59 Other Ptrpit No.: Inspection Line: 503.639.4175 Tit; 11 huts10 Set Page 2 forInlernet WWw.ii -or. oY dA+tc hod:l � q � atay: Supple Mtatn Information 1 irkfi ".17w4• RY4.:* ICK14�5:" G"i > . 5i* y1)-4 t 153 New construction ❑Demolition For special irrjormarion use checklist. Description I Qty. I Ea. ! Totnl j 0 Addition/alteration/replacement Q Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ; : : "` {^*xn gKlA::,':Vr n� QRY' ' . 4 sr ', ,� `a ;,p�i_ �:' SFR(1)bath 1312.70 land 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath I 500.32 ❑Accessory building ;Multi-family �___; [ Master builder Each additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.IL) Page 2 3 : ,w Z w ` "r A rm61a x044 4 ar '�"'y`r- � ,"S t ��a'' ��>e�1 n Fa,� �� Yea a., •.�,. t.s.1�.�`,''..�•� � .+7 Site utftitiesr ' 4 J lob site address: 3 D SWIV014 (.� Catch basin or area drain 18,76 City/Stale/ZIP:Tigard,OR 97224 l { v Drywctl,leach line or trench drain J8.76 Footing drain(no.linear ft.: ) Page 2 Suitelbidg apt.no.: Project name: - i 1�f.��f,+(�lA�f.�^'EG�S Manufactured home utilities 50.03 Cross street/directions to job site; Manholes 18.76 ---1 Rain drain connector 18.76 f Sanitary sewer(no.linear ft.: 1 Page 2 • Storm sewer(no.linear ft.:•___1 Page 2 Water service(no.linear R.: ) Page 2 Subdivision:,ij..j ex- (-e_ x^c. /e_ ,.'-- Lot no.: L.I. I Fixture or item: Tax map/parcel no.: "1t� t Backflow preventer I 31.27 01''r x�.:,1, w "-l- • t` g'°7ii7. ,., 4 'a. .m't �'; y a^'r t4.- `,`tTt- l Backwater valve 1 12.`31 j 3141 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 - Ejectors/sump 25.02 ' EXansi ti .. u` gK '4i ! :rk4ia, t :.,. p on tank 12.51 Manu::ADPL Land Holdings;LLC Fixture/sewvercap 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 - 3 Phone(602)694-4031 Fax ( ) Ice maker 2 -..._.� ► t 't 1.. ,�s f-- ` 4,3 '{` i r is :ae p aW a ,, ,,,t. intcrz„enior/ case trap 25.02 1..01 1 Business nun*:William Lyon Homes,Inc Medical gas(value:$, ) Page 2 1 1v5 Ut\1�.� Printer ; 12:51 _._.___,___I Contact name; i) Rddress.~^�n^� f" Roof drain(commercial) 12.51 I 1 V 7 C AJC ll� ST .511 �j S1Mc'hasin/iavatot 25.02 City/State/ZIP:Vancouver,WA 98660 J Solar units(potable water) 62.54 I Phone:(360)69'¢-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail 1()AO ' LA 0 0 ' i 1 1 A i ' A T Urinal 25.02 t .,.1.:1'-17::.,,,.,•,--,11...4'4:S::.•'''',-:rL .* -:1';; tt4i:-7q i.' M • Water ebner 25.02`'. Rt T 0a4 ¶d.tY `: . water healer 37.52 Business name:Alliance Plumbing LLC • Watcrpiping/DWV 56.29 1 Address:146 W Historic Columbia River Hwy Other: 25.02 . City/State/LIP:Troutdale,OR 97060 Subtotal 1 Phone:(503)4923490 Fax:(503)912-6438 Minimum permit fee: $72.50 ofi CCH Lie.:184601 �/ Plumbing Lie.no.;P8732 Plan review(25% permit fee) - State surcharge(12%ofpennit fee) Authorized signature: TOTAL PERMIT FEE !j Print name:Robert Dishmen 1 Date:5/23/2016 Mk permitapplication expires.Ira permit iu net obtained within!:m days atter N has been mooed as eomplera 'Teo methodology set by Tri•County Building Industry Service Board - t. ruldineNnaiov't.aru•PenmtArp.doe terot,t 44e-4 lar(taouCOM,wettf 111. City of Tigard 111 r COMMUNITY DEVELOPMENT DEPARTMENT I TIGARD Building Permit Review — Residential w Building Permit #: SU/-2 - 00,g( r Site Address: ISOZ5 5t0 i 6 cc} 4v E Project Name: R c jo - r- , Eq 4- Lot #: 4 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Ylre t0 dl 1(E— t,�t)_ u 1' PR, ittleKceA Lo4-S 3q 9o, Lt, 4243 riff Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ No g Yes,See River Terrace Review Addendum Attached Site Plan Elements: LSI ree(3)copies of site plan Wxisting structures on site [ Site plan must be on 8-1/2"x 11"or 11 x 17"paper ["Footprint of new structure(including decks)with finished LtDrawn to scale(standard architect or engineer scale) floor elevations North arrow ,,L.,9,_,,��Utility locations&easements(required for new and additions) Site address,project or subdivision name and lot number f idewalk/driveway approach ErApplicant information(name and phone number) Location of wells/septic systems Lot dimensions and building setback dimensions 'Existing trees to be retained with drip line,and tree quare footage of buildings to be demolished �protection measures Lot 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) [ Street names Property corner elevations(2 foot contour lines if more than *Storm water quality facility required if>1,000 sf of 4 foot differential) impervious area is created or replaced. al& Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified RI No Received: ❑ Yes ❑ No V Public Facilities Improvement(PFI) Permit: PR 2O I(o-00094 Required: ❑ Yes,applicant was notified ❑ No Applied For: 61 Yes ❑ No,stop intake Eil Land Use Case#: P DR2.c•IG-0000i • PO 132o15-0oo0G • SUB23 V -00001,1 L�J zoning. 'R—7 Cp t) i Required Setbacks: Front 11... Rear 10 Side 3 Street Side O Garage 30 Landscape Requirement: to % ')pry O?o 31 N Lot Coverage Maximum: 50 % Qi}ct Ntlit Building Height: Maximum Height Actual Height 746zt Visual Clearance tak Sensitive Lands: ❑ Yes ❑ No Type 4 Urban Forestry Plan Conditions "Met"j n or to issuance of building permit Notes: O i GvvtciAlovts plAl..0 —00001 & C452_016 —o 000 4 t1cW'Q 4Io1- --A Nei— I Approved By Planning: 3i4g6,02,"* Date: (P/6,/17 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPerrnitRvw RES 051617.docx A. Building Permit Submittal Original Submittal Date: Silk C/0 Site Plans: # 3 Building Plans: # ) Building Permit#: Enter building permit#above. Workflow Routing: Planning C."Engineering n''Permit Coordinator 7: Building Workflow Sign-off: ' Sign-off for Planning(include notes from planning review) Route Application Documents: r Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. 7 Building. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes:, By Permit Technician: • ,f �, Date: 6/11/7 Engineering Review Slope at building pad: i % ❑ Conditions "Met"prior to issuance of building permit 0 Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes " 4 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 Yes ' yz No ❑ NOT Approved by Engineering: Date: Notes: rw'ir G -c,nUI- i Q -- To (5.4Agif Approved by Engineering: Date: l') Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit 75:3Approved,NOT Released: illt/Z--Date:w//7 0Notes: 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: - . 7 SDC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A ' ❑ N/A Tigard Trans SDC: Yes Parks SDC: , Yes ❑ N/A LIDA 0 Yes ,, N/A OK to Issue Permit APPby 3.7".roved Permit Coordinator: *Date: I �/12-- I:\Building\Forms\BldgPennitRvw_RES 051617.docx City of Tigard o COMMUNITY DEVELOPMENT DEPARTMENT TI G A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: I;2)035 Sk/D 1 V 1 AME. Project Name: gto Voice &Asir Lot #: y ) (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 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 ft. deepBalcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min.2 ft., 6ft.wide Gabled dormer C� ❑ ❑ �/ �' 2.Eyes on the street:a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: n.S •/a (For 5-p eX) 3.Entrances:At least one entrance must meet both of the folloying standards: Er i Max. 8 ft. setback from longest street-facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: 'Yes ❑ No If yes,all the following apply: 2/15 sq.ft. min. [IOne street facing entry 2'12 ft.max.roof above floor of porch Cl 5 ft. depth min. E "30%min.porch roof coverage 4.petailed Design:All buildings shall include a min. of five of)he following elements on all street-facing facades: Lir 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 ❑ Roof eave min. 12 inch projection Q'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. l 'HOrtzontal 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 closer to front or side lot line,than longest street-facing wall. [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) 2'12-foot-wide garage door El 40%max. of street facade Cl 50%max. of street fa ade with 7 detailed design elements Notes: — • •. 'Pt u's so rr/ &IAA . A. s L /IA! U. !► L D Q►• Approved By Planning: % �1 Date: 6/‘ 17 I:\Building\Forms\B1dgPermitRvw RES RT 062216.docx Plumbing Permit Application Site Utilities FOR OFFICE USE ONE% City of TigardReceived /#2., 7 / 71 w 13125 SW Hall Blvd.,Tigard,OR 97213 v i 1 Date/ By: � I//� Permit No/11,5 �/7 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review „1 Inspection Line: 503.639.4175 Date/By: / f/4t//' /� Other Permit No.: T 1 G A RD p Date Ready/By: ® Internet: www.tigard-or.govd Notified/Metho / i l.L4-o%, tuns: SupplementalSeePage2 Information TYPE OF 'WORKFEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. ❑Addition/alteration/replacement 0 Other: Description Qty. Ea. Total New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(l)bath 312.70 0 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ® Multi-family SFR(3)bath 500.32 0 Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler(1221 sq.ft.) A;lel,. Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 13035 SW 169th Ave Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: I Project name:River Terrace East Footing drain(no.linear ft.:_) Page 2 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.:41 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF (1'O Backwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Permit# Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 bio PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 Garbage disposal City/State/ZIP: 25.02 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51. Eg APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 Address: 146 W Historic Columbia River Hwy Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units (potable water) 62.54 Phone:(503)492-3490 I Fax: :(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman allianceplumbing.net Urinal 25.02 a@ CONTRACTOR Water closet 25.02 Business name:Alliance Plumbing,LLC Water heater 37.52 Water piping/DWV 56.29 Address: 146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lic.: 184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: �� J�/ State surcharge(12%of permit fee) TOTAL PERMIT FEE /34. Print name:Gavin Thomes I Date: 12/6/2017 I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I\Building\Permits1PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities. Qty. Fee(ea) Total Square Footage:' Permit Fee: Footing drain-151 100' 50.03 0 to 2,000 $121.90 2,001 to 3,600 $169.69 Footing drain-each additional 100' 37.52 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52Penult Tee:ValfhttOi>i Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Fee� ) lbl each additional$100.00 or fraction thereof,to { the Inspections or Fees and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 .50adfor thenal$first $10 000.00or iand$1.54 forf which o fee is specifically indicated 90.00/hr each o (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Other Fixtures: I I I 1 Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type , Fixture Type for Replace/ ' Plan Review for Plumbing Installations Work Performed: Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower 0 Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Dishwasher -Commercialoas defined in OAR918-780-0040. D -Domestic 0 Medical gas and vacuum systems for health care facilities. Drinking Fountain ® Any multipurpose fire sprinkler system. Eye Wash 0 Any complex structure as defined in OAR918-780-0040. Floor Drain/sink -2" 3„ Submit 2 sets of plans with any of the above. -4„ Car Wash Drain Isometric or Riser Diagram Garbage -Domestic-non-food ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Rec.Vehicle Dump Station Comments regarding fixture work: Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: if the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal haps://allianceplumbing-my.sharepoint.com/personal/gavin_alliancepluml2ng_net/Documents/Documents/Fire Sprinklers/RT/City of Tigard Permit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13035 SW 169TH AVE, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00218 Inspection Type: Inspector: 240 Exterior shearwall David Young Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13035 SW 169TH AVE, BEAVERTON, OR, 97007 October 31 , 2018 at 10:49:08 AM Record Type: Record ID: Residential - Master Permit MST2017-00218 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 80 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13035 SW 169TH AVE, BEAVERTON, OR, 97007 October 31 , 2018 at 10:59:57 AM Record Type: Record ID: Residential - Master Permit MST2017-00218 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Note: no A/C Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13035 SW 169TH AVE, BEAVERTON, OR, 97007 November 1 , 2018 at 1 :18:42 PM Record Type: Record ID: Residential - Master Permit MST2017-00218 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Note: no A/C Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13035 SW 169TH AVE, BEAVERTON, OR, 97007 November 6, 2018 at 3:10:37 PM Record Type: Record ID: Residential - Master Permit MST2017-00218 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Corrections completed Final erosion control passed Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor