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Permit (117) CITY OF TIGARD MASTER PERMIT 11111'7'tr : COMMUNITY DEVELOPMENT - -k: ` , . 1. Permit#: MST2017-00217 - Date Issued: 08/17/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 4 Parcel: 2S 106DA04000 Jurisdiction: Tigard Site address: 13041 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 40 Project: River Terrace East, Lot 40 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 Dwelling Units: 1 Third: 562 sf Right: 3 Detectors: Yes 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 Rain Storm Sewer: 100 Tubs/Showers: 2 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: 1 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: 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. ATTENTI• • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-001i roue d'52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232..1199877ror 1.800.332.2344. /// Issued "�• �r' - Permittee Signature: �/ �L"/e7'097o " 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 IL w Transmittal a Letter T t G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED DEPT: BUILDING DIVISION 'S` - .. FROM: Nichole Thorpe v, COMPANY: Polygon Northwest ' ' ' t-, ' PHONE: 360-989-4204 By:et f)(11 RE: 43O4 13041 SW 169th [_ MST2017-0c)l„t`� (Site Ad or . (Permit Number) -i'�— - River Terrace East Lot '/ (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): /4/ iO/L `l A/ 75 0Aa- REMARKS: Please pay fees owed with Trust Account. FOOFFICE USE ONLY Routed to Permit Technician: Date: ll 1 ii ri Initials: Fees Due: ❑ Yes ❑No Fee Description: Amo t Due: ,00 y Iti°, ,,,,„k__,... $ $ Special $ Instructions: Reprint Permit(per PE): _ ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\Fonns\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT f COMMUNITY DEVELOPMENT Permit#: MST2017-00217 ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2017 T t t g Parcel: 2S106DA04000 Jurisdiction: Tigard Site address: 13041 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 40 Project: River Terrace East, Lot 40 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 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 Tubs/Showers: 2 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: 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 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ,e(• Permittee Signature: crc 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 G D T 4/0 hx bal ?� RECEIVED doe City of Tigard Date/By O l/7 PermitN 57).0/7-00. /7 III 13125 SW Hall Blvd.,Tigard,OR 97223u Ay 25 2017 Plan Review-^ O1yer Permit: Phone: 503.718.2439 Fax: 503.598.196tl Date/B - +- /L _ - Inspection Line: 503.639.4175 Date Ready/By: a pip Jurist H See Page 2 for T 1 C ;:.-- CITY OF TIGARD Notifed/Methodd' �5/7 '' Supplemental Information Internet: www.tigard-or.gov BUILDING DIV1SiON ®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 � .* ,, work indicated on this application. ga r : it cy..{ 61-a � , f>- -:'':',:.8 2e��" Valuation! ') f r43 g,i j cm a„if -and 2-family dwelling 0 Commercial/industrial { t n 4�' Number of bedrooms: 2 ❑Accessory building Multi-family o Master builder 0 Other Number of bathrooms: Z V e' R ' ffi e:A Total number of floors: 3 !6 7 7 ,, - �� ; a e �t� �� art,. . Job site address: I 30A 1 sv' I . .e, New dwelling area: square feet City/State/ZIP: �.e4%/�?�eM O On 1 Garage/carport area: s square feet‘ a m Suite/bldg./apt.no.: Project nat i ,� (,e ea"s" Covered porch area J q Y square feet466 Cross street/directions to job site: 11''""`` ppeck area: ', J_ .;quare feet 9 7 pc.ok Grew Other structure area: 7 _ square feet ttt III e ,t l : ,, °i ;d. Subdivision: �p)�T Grri G� 6644 Lot no.: 40 Permit fees*are based on the value of the work performed. "V' Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the ., . t sz Vr sAt , work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet :> �� : ;a T" r. R 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: 'z:-711' . �4. a x. q5 z t �., N i t`v @i "- [4,-:!',,=.544,... e.,,,-...v ,J4-�= -`-= . Y�,. ' y...-. - r. Yom A.TA-a4 ��.�r�`i,-r Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name; wi:it Y V FLS plan review fee(if applicable): \A Address:109 East 13th Street `^� r_ — - V Total fees due upon application: A City/State/ZIP:Vancouver WA 98660 - Amount received Phone:(360)695-7700 I Fax::( ) E-mail: V , . 0 t7 L ..�1 f � '1` ' , ° Commercial and residential prescriptive installation of �' , 7 � z---;:Al',-.3--; '- ,-7 r,��'1, <7,°47.''' , '`a , 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 1 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: / / This permit application expires if a permit is not obtained LA:` , / within 180 days after it has been accepted as complete. Date *Fee methodology set by Tri-County Building Industry Print name: L� , f �j�l DatService Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 4404.13T(11 12/COM/WEB) t Mechanical Permit APPli FOR c)ri Ic 1 1fii () 1; City of Tigard , Deceived Perm;t N9. 13125 SW Hall Blvd.,Tigard,OR 97223 eBy /7 o2/7 Play Review Phone: 503.718.2439 Fax: 503.598.19pC 1 �G � 2017 Date/13y: Other Permit: T I G:.,p):, Inspection Line: 503.639.4175 Date R y/By_ Jurls: H See Page 2 for Internet www.tigard-or.gov O F f l#q AA t) Notified/Method: CITYSupplemental Information 'JiSIf i ;:-- s.:.•:':!.:- 't .r �,.t Ai eP S 1 i s---� .r •.�,• .---,•,-./4• ,,,J1 6 ;;r4 G t- E}+! d t4-4. 4 C 6!.'."`4 sv. v .:� �,, 4.� a q.. L qk`�c,* i.x i & Hca C�:r4 c t t e� rA Fr . e ''Ft a L�..r..C..' �.-t�. "�'" �f . - t'fa -s.J d.... �'v.�-"t�,�iSr.�.....;..,,..xL;,,.hs wrear.,:.-.: w�w�lr� w..s"'�..s ���...,�vS. .�...u..:._}�,a.-.y�,x. . � �r �. Mechanical permit fees*are based on the value of the work ►;4 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value .: • •_-, 2 --I� ^ tG � -•-ii `' h4s i`'.f..:;.•'2,-.4,i.".;‘,7-2:;27.-,'. . .r,; '4 f�& +u',?' .- Gr9 €r66"L1CMa1:-:,," .:�.v -. 'e,u Eh �kM=:,,0t1t+ ,,,o.CE �t3zp `t�mif .\x. .� r -, 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building • For:pedal informofton use checklist lic Multi-family 0 Master builder 0 Other: Description I Qty. I Ea I Total s ::.6 ut , 7��5A-tIi (t,( h r 2ZU ,?tiri ,_,...a s f c•8. AHireacting/ ndiconlining: 1 46.75 46.75 Job site address: (3041 SW 1 in FINit, Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/veats) 54.91 Suite/bldg./apt. no.: I Project name:River Terrace East Heat pump 61.06 Duct work 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 Subdivision:River Terrace East I Lot no.: Other: 23'32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 .t ~irt -.4-05y ` e-r: v RECEIVED Electrical Permit Applidation FOR OFFICE USE ONLY _ City of Tigard AUG 1 S 201/ Received ?omit 0:/11,57—A2/7-l2)7 ate/B . lit 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.7182439 Fax 503.59Jy OF T(,1,.....4ARD r.='!". ri=fri Mop:elicits Line: 503.639.4175 iia.1 Fil Sea Pagel for Supplemental Information 1 I GA'''L',. Internet www.tigard-or.gov BUILDING r)IN i c-','C.,l'• 24RediframethodDedar: :i--:-.---..,_f:::=,:-,.;:'•i`.:5----;?;-,12.-...,.:3- --q-..-:.:i--,,,?,,,I,V.0;,1.3.:i..z.44,-;•,-il'.;.,W,I, ,;,t,;.,..,,,v:,,,,,,-.41,1-4-6_,- tirostivartr,,t,A.„,,,,,-trl.:4-,.;,,-:-...4.,7,g.,e.„1.,,,.„,,*.„.,,R,1:.,,,,,,,..10t.,i 0 New construction 0 Addition/alteration/replacement Masa check ell that apply(submit 1 sets of plans wfiterns checked): 0 Service or feeder 400 amps or more 0 Building over three stckies. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. .- •/ 4;'ari:41-,'6 ,..1.p,,,RZ,-0111-,3W,11..320xite;,..4.,=_il,,;,?:,- ,-.17rg-L'_`..4 exceeds i0,000 amps at 150 volts or 0 Floating buildings. J 1-and 2-family dwelling D Coramercialthichistrial D Accessory building leas to ground,or exceeds 14,000 0 Commercial-use asrkulunal amps for all other installations. . buildings.. Multi-family -- 0 Master builder 0 Other 0 Fire pump. 0 Installation of 150 KVA or E--,,P-;:%.,,,,.. .‘- --'i'Ai .-1,1#.7,-,..if-.. :611itC1'4}Wt4PTY7:-.c..0-..117,-0 . 7.:•7; 0 EtnergewY Vglem- larger separately derived 0 Addition anew motor load of system. ' Job#: ' Job site address:130 Li 1 3V1/41 I Villi - 1001114 or more. 0 Sin or more nuddential units, oompanoy. City/State/ZIP:Tigard,OR 97224 0 Health-cern facilities. 0 Recreational vehicle parks. ,_ Suite/bldg./apt 4: Project name: Ridey....7.-42,.yekft,...Eoc+_ 0 Hazardons locations, 0 Supply voltap for MOM than CI Service or feeder 600 amps or more. 600 volts lorodosi Cross street/directions to job site: .. •;•;-•35A:1';;;;;.'A--,&.,-.?,0,:.0 9., ititrA ti_ Description I Dry. I Each Total * . New residential single-or multi-family dwelling unit. Subdivision: NI tA/ if"rAre. ros....i— 1 Lot#: %f) Includes attached garage. 1,000 sq.ft.or kss , 1 168.54 4 Tax map/parcel 4: Ea.add'I 500 sq.ft.or portitxt 1 3392 ' 1 Limited energy,residential 75.00 2 (with above sq.tL) — Limited energy,multi-family 75.00 2 residential(with above sq.ft.) _ Renewable Energy Cl See Page 2 -•'Y'.-:r-':i'''''-i-''-,-,'-';'t?:.g-lt•I.-•Skl.?=,-rl--I'rJ-.t.'-'ri'-jaV:/'..t•7- ' ':''at'-,r-•: •X:=7-•''''- ''..•'''''‘.-.:-''-`:',71•••I'' 4',1-''''',. --2--•.;----1:--••=17:•;',-"•'''-4-••- Services or feeders installationoilera(ion,and/or relocation Name:ADVL Land lioldings,LLC 200 amps or less 100.70 2 s to 400 amps 13156 2 Address:7600 E Doubletree Ranch Road 201 amp 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: ' relocadon .. ... Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 . intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. ' 201 amps to 400 amps 125.08 2 ' Owner signature: Date: 401 amps to 599 amps : 16154 2 , zd....-1.1......,21-1..,,,-.E.... ...a.,- ;,--_:..s,. ..Ds-n .r.. ..,,,, ...-,42.-.:s1-4.. .a.'..4,, ,,,q2:::•sz.,-,. .2224•4.-.i A.Fee for brood limas with 1 Business name:'William Lyon Homes,Inc. above service or feeder fee, 7.42 2 2 each branch circuit 1 Contact name:Nt ciAO le..1-11 0 4.', B.Fee for branch circuits without ; Adriress:ln f3T-Dadvi i , i-c. 0 • service or feeder fee,first brawls&mit 56.18 2 City/State/nP:Vancouver,WA 986:I Each addl branch circuit 7.42 2 • Miscellaneous(service or feeder not included) Phone:(360)695-7700 • •' ' Fax::(360)693-4442 Each manufncluntel or modular 67.84 2 dwelling,service and/or feeder 1 Email: LIOMINIA at ' 1 41 as . 4.iiReconnect only 67.84 2 E,TTz,';-itl;-)72.Eia7L-%ifZT' Pump or irrigation circle 67.84 2 Business name:GarnerElectric Washington,LLC ' Sign or outline lighting 67.84 2 e„, Signal cirradt(s)or limited-mug/ I Address:6101 NE St Johns Rd panel,alteration,or extension. 0 See Page 2 2 1 Each additional inspection over allowable in any of the above City/State/ZIP:Vancouver WA 98661 Additional inspection(1 hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr - Industrial plant(1 hr min) ' 78.18/hr 1 Email:bdanlels@gweusa.com inspections for which JI0 fte is 1 90.00/lif CCB Lic.: C1158 Electrical Lic.: 208174 I Suprv.Lie,: 44965 ...i5r.al listed %hr tab% :. ,..,: s"114-?e..%EtY•01t,,,I t ItiSi, TiS.5,1;. .?2::,:4,Ws: StiPrv.Bleetridell signature,required: . "MA. • 4iiir Li-_,_-, ""- . Subtotal: i'• Print name: Joan?Albert •- Date: 4/24/2016 0 Plan Review Required(25%of permit fee): . !...:,:,•,... State surcharge(12%of pen:nit fee): --Authorized signatureTOTAL PERMIT FEE: .',1:...:•:;•. : ..- •- This permit application expires Ira permit Is net obtained within 180 ;;Y;!:1, Print name: Bill Daniels Date: 4/26/2016 days atter it has been accepted as complete. * Number of inspections aBowed per permit. . ...., l.A8uildirlePtnritsTLC_PannIt4pp_ELR ER.E.doe Rev 0617/2015 440461ST(11/05/COWWEB AT4,17:. F:?.. :i':.•,, -- i • Plumbing Permit APPIicatiR Building Fixtures # " MR, 01:1-ICL l Si. ON i..‘ iVitti City of Tigard (� �5 !Q / e higoc` y p«mit rro. /S7:2e9/`7' ✓•fit 13325 SW Nall Alvd.,Tigttrd OR 97223 Plan Review _ 1 e ti Other Permit No.: Phone: 503.718.2439 Fax: 503.5tin + z k [)ai t ^ t Inspection Line: 503,639.4175` r t 1..7 stat ,.. y Anis Id See Pae 2 for j ptxt a- t j�r`"e��Dart Read}!Bv $ t ,1 s 3 Supplemental information. T t c r' Internet www trgart!-or•gov ����.���� .-j °� ° Wottfiadfifethad. 9p 'r „..t4, Cwt 5 kt'` j a � .gs 'nJ2 {t- -4`'5.,, 4.sJS,-r1 r -w .i rvyi 1., t,a 7. *'10.4 °•t�+O y y�r � • a+ t du+fl � ; i .�i'+ +��;.:•�a�. •�`.' ''�. 'n'�${4 �� w�, ... f+..i..?1�.:.: _ .%i`�.... _. � =fi ,. For special nformaQon use checklist ®New construction ❑Demolition Description j Qty. i Ca. I Total ©Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft,for each utility connection) i --;:i. s Iti iiI 4ViVeiO�e; {1 .•IRce+i SFR(11 b� 312.70 I %' • t,.,. e , ,,,,,., .. .. , . _,.. SFR(2)bath 437.78 I-and 2-family duelling 0 Commercial/industrial SFR(3)bath t 50032 ©Accessory building Mlulti-family Each additional bathlkiteben 25.02 1. Q Master builder 0 def: Fire sprinkler 1 sq.ft.) Page 2 +r } '7,1010. 010:00"01.1$110019440 v4k k.-.. R*Y.k•' �'k^ M 1 .:1- ter' WOW; "� + x$110 �..4�7tf!,� Site utilities: + ejlb 'w; fix, ,.a�.1 � ( Catch basin or area drain 18-76 ; Job site address:130 l .n S`� �qft � Drywell,leach line,or trench drain 18.76 •. aityl5tatdZlP:Tigard,OR 97114Footing drain(no.linear It,: 1 Page 2 Suite/bidg./ept.no.: Project name: 2 i ems• f_e tprek i_�:agt--- Manufactured home utilities 50.03 Crossstreeli'direetions to job site: Manholes )8.76 _ _1 Rain drain connector 18.76 i Sanitary sewer(no.linear ft.:• ) Page 2 Storm sewer(no.linear ft.: } Page 2 Water service(no.linear ft.:. ) I Page 2 Subdivision:` ♦ Lot no.: Fixture or item: ____# ��LP_ I -Y1C"�a f P �" Backflow preventer I 31.27 Tax map/parcel no rt t; y },. 04 � :1 t,"'"i ? l ti r zkriyd ,FBackwater valve 1 12.51 `trir_ 7 J;( . i.Y V.V.A.; .• .,, t • 25.02 Ciothts washer 25.02 Dishwasher 25,02 Drinking fountain J 25.02 Ejec x+ y � �?o 1. atmision tank rs/sump 25.02 ,�u "r.� 12,51 qq{tt' ,A',::a- -••1,,,:-,-,fit -p1 4 't „,.• ' g..t 1�r 'C' 'a.'r rlt•tt iL.: yM7.1:512 4;", ,t, Ca,6:� .. 2 �.,.- 25.02 �1 Name:ADVL Land Holdings;LLC Fixttrre/sewer cap • Floor drain/floor sink/hub 25.02 ___ _ __ C3arhagc Address:7600 E boubfetYcc Ranch Road. disposal 25,02 _w•_ 1 City/State/ZIP:Scottsdale,AZ 85258 Nose bib ��� __� 25.02 Phone:(642)694••4031 Fax:( ) Ice maker - 12.51 - 271.7.p; nF t 114 ',17` *Da s',;66aY interceptorigrease trap 25.02 Business nude William Lyon Homes,Inc Medical gas(value:S_) Page 2 `' Primer 12:51 --1 Contact name: VY,Q�Q, I� Roof drain(commercial) --72711�� Address. D Sink'basin/lavatory 23.62 I Y�oadw T St.�.it�. �� X03 6 �, City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 ~ Phone:(360)695-7700 1 Fax::(360)693-4442 Tubishowcr/shower pan 12.51 ,,`,, E1rina! 25.02 E-mail.1v t V{t iU ' . tit 0 p t ,0, el. ./. ad,' - A & 5.02 t i . .. .-.. stet Glcrset 2 ,.r. . . �,•1 ..N4..,:: -�: •-4.�. .•,,,,, ,, Water heater 37.52 ! Business itgtnt:Alliance Plumbing LLC t Water 56.29 •-1 Address:146 W Historic Cdlumbia River Hwy Other: 25.02 City/StattZWP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 1 Plan review (25%ofpermit fee) 1 CCB Lic.:184601 /14,1L/' iPlumbing Lie no.:P13732i State Suroltarge(t2°10 tsf perrnkt fee) _ 1 Authorized signature: TOTAL PERMIT FEE .- Print name:Robert Dtshmkn � Date:5/23/2016 Tris it expires if a permit ie not obtained within I$0 days after it has been accepted as complete "Fee mothodology sat by Tri-Comity Building Industry Service Board I^.naitaner«mirea+t.atueelmrnp.ao.WO srsr(;aWOntAwar) .o. ( City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 111 T l c,Al o Building Permit Review — Residential 457, Building Permit #: 57-01.00—60,z)7 Site Address: J?04( 5th 1,c-t i AV E Project Name: R i T-eIGS ) s Lot #: yQ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review ` _ ,, Proposal: nr¢° dl (5` :Au) X1,1 Ct(e. Il la its iQ ✓(GPS (Lo'�S 3?, `io, y I, `f2143 v Nie Verify site address/suite#exists and active in permit system. rcrrRiver Terrace Neighborhood: ❑ No L9' Yes,See River Terrace Review Addendum Attached Site Plan Elements: INc 'hree(3)copies of site planxisting structures on site v'Site plan must be on 8-1/2"x 11"or 11 x 17"paper C'Footprint of new structure(including decks)with finished 2/Drawn to scale(standard architect or engineer scale) /floor elevations ['North arrow ,,L.T,J__,/�Utility locations&easements(required for new and additions) 1Yrsite address,project or subdivision name and lot number l Sidewalk/driveway approach FrApplicant 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 demolishedprotection measures Lot area,building coverage area,percentage of coverage and M�,�, Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) LYStreet 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. NIA Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified 10 No Received: ❑ Yes ❑ No C1 Public Facilities Improvement(PFI)Permit: ?F12o ( -00084 Required: ❑ Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake RI Land Use Case#: P DWI() 6-Oosoc\ • PD(31.015CUoOC ; SUg20‘Co—0oo014 L�J Zoning: 'R-7 CP b, Ji C'Required Setbacks: Front «,,, Rear to Side 3 Street Side 8 Garage 1,0 Landscape Requirement: 2,© % `Pori O zso i Lot Coverage Maximum: 80 % Act ,o, Building Height: Maximum Height Actual Height MIA-Visual Clearance Sensitive Lands: Yes ❑ No Type 4l Urban Forestry Plan (L54 Conditions "Met"jrior to issuanceofbuilding permit Notes: dll'I- V�t coV�Q1'AimessVD12.1.DI6 _'O0OO & Sld132‘)16--0 000 4 inewe. 1404- WeP Nei- Approved >iApproved By Planning: 90 Date: (o((p /17 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approvird ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 051617.docx Building Permit Submittal Original Submittal Date: g/mss// 7 Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning 9 Engineering -Permit Coordinator )'building Workflow Sign-off: 7 Sign-off for iflanning(include notes from planning review) Route Application Documents: ngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. C.—Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes:, ' /SA- ole",;(1(7 By Permit Technician: Date: ` �`l7 Engineering Review dl LVSlope at building pad: O ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat La-Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes ' No Assess Water Quantity Fee in-lieu: ❑ Yes " ? No LIDA Facility on lot: 0 Yes W"No ❑ NOT Approved by Engineering: Date: Notes: kJU` 7-- &4TC ui & ---9-44.6-x_ ?t) (5U1 Approved by Engineering: 101 1-- Date: 6 /IV Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved , Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit J ) Aroved,NOT Released: Q/1,/ ate: �`/3/ / 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: es ❑ N/A rs Tigard Trans SDC: Yes ❑ N/A Parks SDC: 'a*Yes ❑ N/A � -) LIDA ❑ Yes ?N/A /I�J—�OK to Issue Permit ( Approved by Permit Coordinator: Date: 31) 5,/' I:\Building\Forms\BldgPermitRvw_RES_051617.docx City of Tigard o COMMUNITY DEVELOPMENT DEPARTMENT ■ TI G A u o River Terrace Building Permit Review Addendum Building Permit #: Site Address: 1309 1,,) LG 9TH ANIE Project Name: (,Z Terycice Lot #: y 0 (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? grYes 0 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 IV ❑ 0 QY 6' 2. Eyes on the street:a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1.S •/h (For 5-p ie.x) 3.Entrances:At least one entrance must meet both of the folloying standards: iiMax. 8 ft. setback from longest street- facing wall LJ 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: {15 sq.ft. min. Er One street facing entry g 12 ft.max.roof above floor of porch E 5 ft. depth min. g/30%min.porch roof coverage 4.petailed Design:All buildings shall include a min. of five ofjhe 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 ❑ Roof eave min. 12 inch projection C..1E/Gable, offset min. of 2 ft. O Roof shingles either tile or wood L'7 Gable,hip or gambrel roof design O Roof pitch oriented south min. 500 sq. ft. QrHorizontal 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 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 façade 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 0 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. ❑ 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) Er12-foot-widegarage door 0 40%max. of street façade ❑ 50%max. of street fa ade with 7 detailed design elements n1 Notes: 24[et:trtipA +raw /t6WIPS, c isvi t�gVl y Yvte-A- G5 txP'C'I�sc. ah7ve- re 1p,AN Approved By Planning: ")&24),4fi Date: (p4. I:\Building\Forms\BldgPermitRvw_RES_RT_o62216.docx Plumbing Permit Application Site Utilities FOR OFFICE USE ONLY City of Tigard y r Received •INI • a �( Date/By: I/�/ 7 / �4 Permit��/) Z/ 13125 SW Hall Blvd.,Tigard,OR 97223 l _ Phone: 503.718.2439 Fax: 503.598 1960 r Plan Revtew Date/By: i,/,�1/ 9/J 7 Azz, Other Permit No.: TIGARD Inspection Line: 503.639.4175DateRead /B Internet: www.tigard-or.gov Ready/By: is H See Page 2 for Notified/Method: ���' ill Supplemental Information TYPE OF WORK FEE* SCHEDULE .l New construction ❑Demolition For special information use checklist. Description Qty. Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)_ CATEGORY OF CONSTRUCTION • SFR(1)bath 312.70 I:31-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler(1,221 sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 13041 SW 169th Ave Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:River Terrace East 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.:40 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Dishwasher 25.02 Permit# Drinking fountain 25.02 Ejectors/sump 25.02 ►Z1 PROPERTY OWNER 1 ❑ TENANT Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ei APPLICANTE( CONTACT PERSON Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 - Contact name:Robert Dishman Primer 12.51 Roof drain(commercial) 12.51 Address: 146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:Alliance Plumbing,LLC 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 Lie.: 184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: �/ State surcharge(12%of permit fee) TOTAL PERMIT FEE 13G,5-z, Print name:Gavin Thomes Date: 12/6/2017 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. 1:\Building\Permits\PLMU-PermitApp.doe 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 Qq.' Fee(ea) Total Square Footage: ' Permit Feet Footing drain-1S1 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 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' 37.52 Valuation: ' Permit Fee: 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;ea) Total each additional$100.00 or fraction thereof,to Other ins Inspections or Fees and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (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. $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Additional plan review for revisions 90.00/hr each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Other Fixtures: 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 ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool Car Wash -Each Stall greater,except systems designed and stamped by licensed -Drive Thru engineer. Cuspidor/Water Aspirator ❑ New exterior plumbing site utilities for any complex structure Dishwasher -Commercial as defined in OAR918-780-0040. -Domestic ❑ Medical gas and vacuum systems for health care facilities. Drinking Fountain Z Any multipurpose fire sprinkler system. Eye Wash ❑ 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 Disposal -Domestic-food related ❑ Isometric or riser diagram is required for new buildings -Commercial-food related that meet the qualifications above. -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 Urinal fees assessed for the sewer increase must be paid before the https://allianceplumbing-my.sharepoint.com/personal/gavin_allianceplumlIng_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: 13041 SW 169TH AVE, BEAVERTON, OR, 97007 August 27, 2018 at 2:35:17 PM Record Type: Record ID: Residential - Master Permit MST2017-00217 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13041 SW 169TH AVE, BEAVERTON, OR, 97007 August 27, 2018 at 2:34:43 PM Record Type: Record ID: Residential - Master Permit MST2017-00217 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13041 SW 169TH AVE, BEAVERTON, OR, 97007 August 29, 2018 at 8:48:34 AM Record Type: Record ID: Residential - Master Permit MST2017-00217 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Water pressure = 65 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13041 SW 169TH AVE, BEAVERTON, OR, 97007 August 29, 2018 at 3:21 :32 PM Record Type: Record ID: Residential - Master Permit MST2017-00217 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