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Permit CITY OF TIGARD MASTER PERMIT Permit#: MST2017 00139 COMMUNITY DEVELOPMENT Date Issued: 09/21/2017 T( t.R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB07300 Jurisdiction: Tigard Site address: 17402 SW CLEMENTINE ST Subdivision: RIVER TERRACE NORTHWEST Lot: 73 Project: River Terrace Northwest, Lot 73 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1248 sf Basement: 735 sf Left: 3 Parking Spaces: 0 Height: 31 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 3649 sf Value: $436,790.17 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 500 sf: 7 201-400 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3649 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Geotechnical Inspection STE 1 Required before foundation SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $35,787.04 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 95 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987`23,, or 1.800.332.2344. .. Issued By: Permittee Signature: c a-gah 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. t Building Permit Application :.62- '7 t_ , / • ResIdentaI RECEIVED FOR OFFICE t SE ONLC) r �/� q Received L/ /1 Oft Permit N7a'4 JTAd/7 W / City of Tigard 6 - Date/By: ` 1,1 . 13125 SW Hall Blvd.,Tigard,OR 97223 APR 2017 Plan Review 3 j7 Other Permit �ZO(��� e Phone: 501718.2439 Fax: 503.598.1960 Date/By: ,21 Ready/By: ±�^ Juris: 0 See Page 2 for TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD NotiSed/IvlDate Readyethod: /Z�t`�/ 4' f SupplementalInformatlon g BUILDING DIVISION Internet www tigard-or ov o- "ice '< t.,,". "< l ®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. ii .t - .,, ., �t361750 .. . - .-: ..�., <. .., _, Valuation: ® 1-and 2-family dwelling 0 Commercial/industrial f Y , Number of bedrooms: L..f 0 Accessory building 0 Multi-family Other Number of bathrooms: ❑Master builder 4. . y,,, / x 1.-=,-, : Total number of floors: ^ - • ' i m ,a 1 I' "dt` s t g ': 1° New dwellingarea: �� a feet �` �� 1n in 3(,q:1. Job site address: i 7 i 2 air `VMAN L City/State/ZIP:Tigard,OR 97224 �i/ Garage/carport area: �+l L1 3quare feet j ,d7;, ,��-ace_ N Covered porch area: I square feet Suite/bldg./apt.no.: I Project name:'P� aP/1,r �.�^ Cross street/directions to job site: Deck area: )76— v v square feet)a/4 Other structure area: square feet "MS i - 6,I 1 r°i [ C] S Subdivision:4,, .(('TA(1('oce N I Lot no.:19) Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no equipment,materials,3 work indicated on this lappli ation overhead,and theprofit for the r` :€ JAZ a $ _ c4;7-5:'474.41 � � .... Valuation: Existing building area: square feet New building area: square feet 1.- std `., d e" = k . �`-'� , $ �.._ _.1t K , 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)694-4031ax ( ) New � (602)694-4031F ax: _.. s s . -, n � fiY�"5+ $!ri£S:.'..... ,.. :sem ', .`-•' Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)6954700 I Fax::( ) � 41: ara� » °� ,`_ V, :�� ''',deet E-mail:Angela.Grajewski@polygonhomes.com Commercial and residential prescriptive installation of ,,. ;3 - '3 - M10 Ila , a roof-top mounted Photovoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:William Lyon Homes,Inc and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review City/State/ZIP:Vancouver WA 98660 and administrative fees): Phone:(360)695-7700 I Fax:(360)693-4442State surcharge(12%of permit fee): h I CCB lic.:207247 Total fee due upon application: This permit application expires if a permit is not obtained Authorized signature: )��c n 1 {-�1 within 180 days after it has been accepted as complete. Vf i 1 ` Ul�l ` 1 I *Fee methodology set by Tri-County Building Industry IPrint name: - I Date: Service Board. ' I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) t t r Mechanical Permit Application 1 (i[tfilli{ ii `,4 t1\1 Roxived Permit t:n: City of Tigard Date/By 13125 SW Hall Blvd.,Tigard.OR 9.223` Plan Re,tieu' Other Penne, 004 '� Phone: 5©3.718.2439 Fax: 503 598 1960 nstdB: n Date RtadyB): fora B See Page 2 for Inte et: Line: 503.639.4175 NaifiodMfethod: Sappiemeatat information ' tntemct tvlvw Itgardtur goy = v.l t 'i 4 t.'Mel s"'' -t.-" '. ,'74, -0, 1.i-,:4,4r ' ,t �, Wit.a. {, r a; r t. :r ,x, .:, _ r .+_.F,.• ' . " Mechanical permit fees are based on the value of the work ❑Additionialteration1replacement performed.Indicate the value(rounded to the nearest eviler)of all ®Der construction mechanical materials.equipment.labor.overhead.and profs ❑Demoliaon 0 Oilers Value:l p t`-�-1'11.-Z7-47,„•,,,--..;).5:7:-.;. rs ? -,E 4 EFQ;-11 r'',-5.4-1-1- .1.", '-"r.'= ".. . .. t -.tl:.x+ _c s .._:.. ..r..,. . For sprdal7uformaflon use ckeckGai 1511.1-and 2-family dwelling 0 Commercia(.•'industrial 0 Accessory building Description Qtz'. Fa total Master bulkier [J Other Bulb inial Heat(n&cr nlG i 3 "•'-'-'-''',;-,;--.--4 j 1 E s __14—;-.. f_ Z 'it;-;‘,4c.'-'..i OQ�i........:—..,„,. n...: -@.,,„,. t A,: �'' ` .. Air conditioning i 46.75 I lob site oddness: Li , � t A 115'5 F,c[i Furnax l0t►.lx►0 BTU(dacEs� atst 46.75 Furnace 100.000+BTU tdEaaemafi 54.91 City/Stale/ZIP:Tigard,OR 9722) Heat pump 61.06 Suitetbldg.lapt.no.: I Pmjeel name:{Z�V'Y Terrace,ONit11Ve X3.33 rtDuct work 23.32 llydranic hot water system Cross slrecUdireetrotts 1D job site: Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type.not electric). 46.75 in-wall.in-duet;suspended.etc- Fluclvent for any of above 1 2332 t , Other. 23.32 Subdivision:�v{,r T((f Cr Ivoilnvjcs-i - I Lot no�� Other fuel appliances Water heater 23.32 Tax map/parcel no.: 33.39 l t°`&:: . Gas fireplace/insert nsert art ,. ..�z ',' ail..'o`:g ► F r 1a. -s •sols Flue vent for water heater or gas fireplace 2.1.32 1..og lighter(Bas) 23.32 Wood/pellet stove 33.39 Ward firep1ecdtnsctt 23.32 Chimnsy/linerfflu0vent 2132 23.32 o` ,. u ;:' ( k ."+ ak' 9 PF r --'•-•-•:---`-'-.".•*---`-- �M1e� }�--' ' x a x. o i'' "�_.,,• .� r _-i-i- .. - Environmental exhaust and ventilation: 1 Range hoodiether kitchen Name:Polygon W1,11,LLC equipment 33.39 rl eidreifi 109 East 13A Street Clorttt.Jn'rrexhaust _L 33.. single-duct e�hausi(bathrooms.CitytStalt%7_1P:traocotrvgr, `A 98661( toilet compartrncnts,utility rooms) 23.32 Phone:(360)695-7700 =: . paw( ) Attidcmwlspace fans 23.32 i hR .a _, t<, 4 2Ei3� , y.. rf — , . 4i-_.-.3xgo:,_ her 2332 • Fuel piping: Business name:Polygon WLN,'U.0 51,.1$for first four,S4.03 for each additional Contact rname:e: IJfr hok (Jr'0, rna pe Furnace.de_ I Gas heat pump Address:109 East 13th Street , Wafltstispended/writ heater City/State/ZIP:Vaoeoevex,WA 98660 Water heater Fireplace i phone:(360)695-?7/00 I Fan::(360)693-4442 1 Range t E-mail: , -, G 1[ _ �.� P` (4- ,r,;fit fi ,�-.iPL ,14,„,„'t , r` ,4,..,,,Y,,, ,,,::_-:.3„4,..-.-,_,1-;,.-_.. Clot rt'cr( as) s> ;^ x Air LLC ` Other t c ; �a Pc *;:, i Business narite.Ape ._._ ,' r. Sub lota) Address:180041E 72'd Ave Minimum permit foe($9 total I tu City/StatefLlP:Vancouver,WA 98686 Plan review(25%of permit fee) Phone:(360)342$f09 I Fax:(360)3264769 Stale surcharge(12%of permit fee) TOTAL PERMIT FEE CCB Ga 203034This permit application=pus's iia permit is opt obtained within 180 days afterit has been accepted at complete • Fee methodology set by Tri-CoEntty Building Industry Soviet Board Authorized signature: Print name 1 I Date: 4•Pt.1+... )lAuitdiapU4rndaa`.'dE{'_Perenl.4.r?_tHU1136ec 4!0-r517r(a vocommuit y` t . ' ) .. Electrical Permit Application FOR OFFICE LSE 0\11 - n ' I 1; Received Permit 0: City of Tigard „n.,'` 1 Dards : 13125 SW Hail Blvd.,Tigard,OR 97223 Plan Review Related permit 8: Phone: 503.718.2439 Fax: 503.598.1964 Dam Inspection ek nivrvW '503.639.4175d-or }i Ready DatdBy. Tarter. Supplemental file Panefire k a ae2Information T 1 CIA R D go Noh0ed/Ma .-q_ 1 .. '.t om a,.,-',-t v 5"- _"Cam• 9Y' -...-. .- 't'.r lhod t� � �.- '-?�a�,�,a azoe�232�_� `�=:'S� ���,�• '" ��'� t��"• Please cheek all that apply(submit 2 sets of plans wlnetns checked): ®New construction ion 0 Other Addition/alteration/replacement 0 Service or feeder 400 amps earnest ❑Building over three stdries. ❑Demolition C3 Other where dm available fault current 0 l:�farnas and boatyards. F4 > e.--=.1."ei r1:4�'1•'+X15i_t 5 47 AO if01F ?'_--.: = r ' a _ Plumbing Permit Fixtures Application Building Received Pond(No City of Tigard Date/BY. 13125 SW Hall Blvd.,Tigard,OR.97223 is Plan Review Other Pcani1330.: 71 I Phone: 503.7182439 Fax: 5033 1960 DatdBy: i e i� ILine: 503.63. ..y v,. ; ' r �d.� . lode n+tsSee Pac1tar Internet www.tigard-or.gov No66edMo . Su 1emmts!Warman ' ' Yui �e "i--t.c' a 7 ' , ^'• ar: - ,�.� , r�- �t� . rs .t-,, E�.�t ��=v �x _ _ - , 1 , . = -L s :, 4 ` POP SP�fIifOr7k07�0 Demolition Description I Qty. Total Ne>?v constructionau3ludes 100 ft for each utility connection) ❑Other: New 1-2-tamuly dwellings C ❑Addluon/altereno3l/teplacement L t i e. -,o awe r j- rrr, , 2 .s 4 n ; FR(I)bath 312.70 S r.-ry rSFR(2)bath 437.78 1-and 2 fanoly dwelling 111 Commercialkidustrial SFR(3)bath I 50032 El Amory building ❑Multi-family• Each additional bat(►Ildtcl,en 25.02 0 Master builder 0 Ota- Fire sprinkler( sq.ft.) Page 2 • --, s : _site utilities ..1._:` ,,r:a-.z,) r i..t a 2 I, taz r...14. e, ..0 r 01 _0. 4 1 g.76 .A,...;,-, ..__. = ,y., Catch basin or area drain Job site address: / �� t rnei�1 ice•S Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.Iinear ft.: ) Page 2 � Manufactured home utilities 50.03 1 Suitrl6ldgJapt.no.: I Project 11ame.RlV(,�Ll"'('O0O NpY I!n W�''�' 18.76 . ManholesCross street/dirxtions to job site: 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 I �Ot no.:�� Fixture or item: Subdivision: .t`VCit' TPlr,r�� Pori-iv/Jr-ft- Fixtutiseke o item:ter 31.27 Tax map/pared 110 -Backwater valve 1231 . . `` - ... ,._ `. " Clothes washer 25.02 Dish Washer 25.02 Drinking fountain 25.02 Ejeccoit/sump 25.02 ...a-a n Ei PEPion 1227[ 1231 _ t-err c d ) f•''�t�.L'''.:-..---'1,!. .i ,: a i i o; f- 1 2}` ,:,•:-_-... Fixture/sewer cap 25.02 Name:ADVL Land gnidings,mc Floor drdio/floor sink/hub25.02 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal25 02. Hose bib __ City/StaWZiP Scottsdale,AZ 85258 Ice maker 25.0 1 Phone (602)694-W3I Fax ( ) i - 5� In iereeptor/grease trap 25.02 r r :fN� t s r" €cter1 ��`3,e Medical gas(rtalne:S . ) Page2 Business name:Wifliara.Lyon Horses,Inc pier 12.51 l' '�/j/ y 12.51 ea x Vie:I"i al0 to •�0s 96 Roof drain(commercial) Siekkosin/IamtorY ,J `� / 25.02 Addt`ess.109 FasE 13th Skeet 1.1'2.54 Solar lura(potable water) City/State/ZIP:(6 !Z':Yrtnoouver,'WA 98660 Tub/shower/shower pan 12.51 Fate:(3t�0)693.4442. 25.Q2 Photic(960)695-77D0 Urinal B3na14 .A ► i 4, r 1 r • • k it.._ ; Wats closet � 25.02 ae-.14 f e, ...1 ° ��' Water heater ' --- 37.52 s.s' r r _ -. , v_ / tf� LD%Net 56.29 Business name �G4:15t wW11d- i M- Water piping/DT/ �/ Otte 25.02 Address:. Q•6, .8,-004 "i A Subtotal City/StatetL.W: 5T, T 8 1 arc, 11131 - Minimum permit fee: x7280 (3-0.1,---Stat- 1,L i Faic( i V*0,14 -4 nO Plan review(25%of permit fee) Kleine: / 1''Y� i �` . CCB Lie.: lef 312.` Plumbing Lie.no.3b (0. State surcharge(12%of permit fee) ���y TaTAi;PERMIT FEE Authoritied signaturez t; /��k V`^r-' ``'' / _ This permit aPPllc>fion expires if a permit is riot obtained within 180 days f�f.IJ ,� ��L-� , DatL -� ''Y.J after it has bads acceptedit n complete. Bored. I Print n2me:.� *Fee methodology set by Tri-CouotY Building Industry iutendtatoomimet 10/03/09 4404616truVancOMMea0 Plumbing Permit Application . . . . BuildingFixtures RECEIVF.0 City of Tigard Received Permit No.:: - - 1, _: 13125 SW:Ha11131vd.,Timed,OR oriz3M AY 1 7 2017 }.,;„;' ,:,.;,,•,,. . Phone:.501718.2439 Fax: 503398.1960 pima . orherPwroir NO.:. . ._ -- Inept:disk link 503.6394175 CITY OF TIGARD PacRadrft* Aing: 1.ig Sei rage i ter I 1,, \M''‘ • Intetnet warw.tigard.or:ov : • h, a a, Norifiedimerbon :c.:'::::-,.... -•- .-•4•:-:---,'-`,V.7'.,!,:'?.---'.;', 7.,.7::',,,f1,-.7 .7,;:-,"7777,7,,,,',4,-.Y-7-4.T.'5,W,T.:'f'.. .,747,4.7:131,',4,4,.":::.,,,,:::;Z:',.::,''cicfrf).,",:, ','R;-..,Y.72r..i,j'.4,7:-.7;::'%T',--T'-'3:: i''P7C'•'%V' Ir';'-17'n-'.7.77:-..'Sf''''Cli:',- -'1)-7' .`.,,i,'',:1,------.;.:!..:`'i,'1,:.%:':,,,,:Y-:,::7'.--;=L-N-i'.:,7;5,,::::::,.nS,',:-:-;i:;, ',',:g:Ytt,''!,',";,...2.S.:i'l,"'r.r.V.:4,2.,'.1:;C:ri le,`'.4:;,;i:C-7'..; _ct,,:;:j..;:e..:" i,ti1.1.: ::•4,71:,;:...i.';''''''',1C-2.'''''',.'It*'.•%:=2:;.-4:- ..1v4."-';'•-";::"..:f:ij,"al'e.74'.:'.'1:1.5j-47?-Z.---%7 Forwecial inforittationiise thekrist. 'ao Newton:a:ruction . . II Demolition DDandelion I Qty. I Ba. Total Addidon/..alterationlresplemenent 0 Other Rawl-2-iandly dwellings(includes 100 ft.for each utility comiection) 4.-.. ., 7,,-.;;-, . ,:'*--,•..: .'9,.. SFR(1)bath 312.70 .,•-.---.;.,,_-.4-iTr.:...,..-.!.•,r'',--,"': .-.'-',:-".'-'-',-.:.'-..;',`4-,-a.."-;.5;K:f.V.:r. ..L...+,t72.2,..i.,:2;cF::-.:z..,..-,::i:.-:;:-=,...'.:-:-,:•;r:::-.:•:.---;;5::- __' •• SFR(2)bads . 437.78 !.:tt 1-sad 2-fanilly dwelling III Comsnankillitalistrial SFR(3)bath 500.32 0 Aneossory building . 0 bbill‘famlly Each additional bath/kitchen 25.02 El Maiter.builder 0°Mar:. . FiM sprinkler.(.___sq.ft.) Page 2 giteugggen or area Main 18.76 Job she address: vit402. svj ocove,ntivIc. at- Catcb basin . Drywall,leach line,or trench dram 18.76 .C4/State!ZTP:'Tigard,OR 97224 Footing drain(no.linear ft.: Page 2 :SnliOldmilpt.no:: Pmjectnamv g i V e r7trra(e thetidtAICS1 Maradeefined home Whim . 50.03 Ortisi stMetidirectices,to job site: .1401'13es 18.76 RaiidriMemmodor 18.76 .. .... • _ . • - ; . ' Sanitary team(nO.linear it.:..____) Pap 2 Storm setver(no.linear ft.:____) PVC 2 . . . . • • Water tervice(no.linear ft.:____) I Page 2 Sur PlVf#r Tt rrat.0 NOrrkake4+. I 14t ilw 13 - Ittire*r itelt; llaeldlbw prevanter 31.27 Tart insikaniel mi.: . - . . ' - .-; . Back/miter valve 1231 ':::;:,.. .7.::-,-,:.....:_,---2:1:.:-.-,:-.-'.•..:.,,.:1‘- ;,--1.," . (Xodies washer 25.02 - Dishwasber . mai Ster flea 1-- d+r-. .__.. _ - ...- - 25.02 PACT11 11 '''ti2)Pi Pri4iggf00411152 25.02 *actors/sump. 25.02 :-..F.:,,,-.7.7,:,-77,-, :::.:,t;-,:::::::_:,173:-.,;;-:±,,,,":73:7_27-5177: 75'',FIT..7.,,,...7:17-7.:,7Z r.-7;F:.. .7:',..:,-F.:7•,-7-7,7..7,',7:77.2.7. t*rocipsOn tank 0.51 , '.,.. ----,ILL:.:f5..-'::',---,_f:1:7.t.c 2 r.,:.:,........r.,1.-. .,...=':‘;'!:,:;.t_„1,,4;s:.:,:.•-&::::t`a;IE:..,1-.:!:;:,4;- _,,,LIR,p,,_-_.:.--. ,-,,";:t..--.L:,----::-.7'.-,,',.--1,'----. . ... • • • ...- . fixturelsewer cap 25.02. *gable Ate&Landlioldingi,LLC Fled drain/floor siakilarb 2102 Address:7600 RDoubletree Ranch Road aarbagedisposal 25.02 City/State/t1P:.Seottsdale,AZ 8.5250 HOse bib 25.02 . . F1199Pi.:(601)0944101.- Fax ( ) list maker 1231 ,...-,,.,,,,.... -:-I ,''• -',.t:: . , , ., , , i .;'''.ri!,-F-::, ..:„--•... ,', ,-- .-i-1,=-5';',:',-- -':.:'.."•:,-; htertelPrifFellse oF i25X - - • Medical gas(value:S . ) Page 2 _Business namm William:Lyon ao.mes,Ir.ee ftiler 12.51 o !4.05P.: 01 r6Thro‘rpe- Roof&rife(cortunertial) 12.51 Addre#1.99.E.0.1f. 1.*b Stieet ., Sinkkombillovatory 25.02 CitY/StateiziP:'Vancouver,*A•98860 Solar units(pedahle water) 62.54 ?Wei(300)6554106 FM:t(360)893-4442 Tub/stiowesisbower pan 12.51 Urinal 25.02 ko.laillzL • ,i 4 . . . i 4. 1 th. 1.11. I , ,4.4. erns. ,.4,..., _,.,,....,,..,„..., wata.,, , . 25.ta. ,-:-..,..-.-::.,..,:77,-,..-,-;_v-..-:„..,.7:7.5.:::::-,....;.: 7'...',-,,-:;.;;-:::il'..7 -',--,-'7 ',‘,-•-•-,-;-...0_,.....„•... ., ..... ,.-.,.--...:4'"."...,;,::,, •:..,,::, ' _-2,:••••-_LLL-....,':-12-,:i:;';..1-1"_121-:-.:1 -i.-:-.-4": '±-2._•=a7'..:n...«...jA..:1.::. -..r-t :::.,,.;-,..--::-:;1,:,...,,L.,.: water heobr 37.52 Iiesbiesanamm .6.4t..6 ttv. .vk,cir-Seimir 2.,A4- ''191tforpipint#D91V 56.29 **Ai:, P•o,,...t-4,4> 01.2. ,-Other: 25.02 :al.F.1314042): 5:7',, e 4,4 Oft. ql 131 . i .,Subtotal Mm:ar permit fee: 372.50 (SO*'•e$V' 14141 I Fax:(.4.111 V w4 121:4°An° ma mica, (25%of Meath fee) CCB Lk Letira- ' I Phall-bkdiLle,Mph .634.1 State surcharge(12%of*Malt fee) Authorized sigraily!a: k'`II failkP'(/ . a ZIolt4 ...-4""--n-. TOTAL P.ERWTFEll - • Thu peewit applicanwo aspires if a peewit is dot atotilsod*Wand days I,iii.iitlidatei.6 _tut_ Ft wkeL__. .1 pat4.7.,,i0-tied - ;mi.it his hem arkepted es'eorrialeti. *Fee enwhodology ase by Tri-Coaaty 13adias indastry Sravios Boaal MikniebeenzlibffaqUikunitApp.doc 10/01/09 440-4616100/02kMAAVEM 4, City of Tigard III " COMMUNITY DEVELOPMENT DEPARTMENT I T 1 c A u o Building Permit Review Residential Building Permit #: 7—,, 3 Site Address: 2 - Project Name: iev-&/-- ' ? ce A Lot #: --7--.5 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 4,440 -21i erify site address/suite# exists and active in permits stem. 0,07 River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Si Plan Elements: ree(3)copies of site plan ! ^A sting structures on site v.site plan must be on 8-1/2"x 11"or 11 x 17"paper %Footprint of new structure(including decks)with finished U drawn to scale(standard architect or engineer scale) 'oor elevations 0p1 orth arrow ► tility locations(required for new,may apply for additions) e address,project or subdivision name and lot number J �cation of wells/septic systems A plicant information(name and phone number) ':t sting trees to be retained with drip line,and tree t dimensions and building setback dimensions erotection measures area,building coverage area,percentage of coverage and Ti street tree size,type and location • pervious area(applicable if R-7,R-12,R-25&R-40) ►/Street names Property corner elevations (2 foot contour lines if more than 4 foot differential) 7Recelg an Water Services—Service Provider Lette of platted prior to 9/10/1995): equired: ❑ Y ,applicant was notified Nol ived: ❑ Yes ❑ No Public Faciliti Improvement (PFI) Permit: /Required: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake 4 01/Land Use Case#: f QL)/ = // 1/,� j!"60616 10Vning: P' (Pb) ^-� [eequired Setbacks: Front d Rear /Q Side , q �Street Side , Garage 2O andscape Requirement: c C) of Coverage Maximum: CP Building Height: Maximum Height .•--/ Actual Height Qat® �> c2 isual Clearance iTA asements ensitive Lands: Yes CI Type �Q 7 c /„� ai c�/1 Urban Forestry Plan t/ — , ezn7c or-- ✓e - ❑ Conditions " t"pri�'r to issuance of b,' �g p rmit 6 �/ Notes: I'(LP'/$o7,A-2 S'P// , r'J �)r !n'i✓T 1 c ai'c r Approved By Planning: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved LRevision 3: IIIApproved ❑ Not Approved l:\Building\Forms\BldgPernutRvw_RES_091216.docx sr Building Permit Submittal Original Submittal Date: lift,1(7 Site Plans: # Building Plans: # Building Permit#: Enter building permit# above. Workflow Routing: Planning El Engineering >19' Permit Coordinator �fuilding Workflow Sign-off: ,] Sign-off for Planning(include notes from planning review) Route Application Documents: -Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. , Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: __,H4— By Permit Technician: Date: Y��h Enineering Review Slope at building pad: /,2 �� `conditions "Met"prior to issuance of building permit ltifiG Easements (encroachments)per engineering conditio s of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes ❑ No Assess Water Quantity Fee in-lieu: El Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 1117fDate: 44/1-17 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved EIMMISEEZMIMEEZZIMEMAW .. � z Permit Coordinator Review El Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: I4C Fees Entered: Wash Co Trans Dev Tax: yes ❑ N/A Tigard Trans SDC: ( Yes El N/A Parks SDC: Yes ❑ N/A i. K to Issue Permit t i Approved by Permit Coordinator: Date: p4/_ it,�� a �1 I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard el III COMMUNITY DEVELOPMENT DEPARTMENT C T l G A RD River Terrace Building Permit Review Addendum Building Permit #: Site Address: /WC).(. gk) (/PA ?nom S71- Project Name: vet-- ` - Lot #: (New dwelling=subdivision name;Addition Alteration=last name of owner) Planning Review of River Terrace Plan Dist ' t Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 t. deep Balcony w/access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6ft.wide ❑ ID min. ❑ 2. Eyes on the street: a minimum of %,of each street facing facade must include windows or entrance doors. Percentage Shown: (:?: i3. ntrances:At least one entrance must meet both of the follo • g standards: Max. 8 ft. setback from long t 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 s,all the following apply: 05 sq.ft.min. One street facing entry ft.max.roof above floor of porch 5 ft. depth min. 30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five o e 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 all offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection ❑ oof offset min. of 2 ft. ❑ Roof shingles either tile or wood l Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of street facade Window trim min. 2'/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 façade 5. Garages and Carports:May face the front or side lot line on a corner lot. Set acks: N closer to front or side lot line, than longest street-facing wall. ❑ Yes No. If No (Check one): May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ 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 ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: �' —__ -- - .4Date: + < I:\Building\Forms\BldgPern,itRvw RES RT 062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17402 SW CLEMENTINE ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00139 Inspection Type: Inspector: 399 Plumbing final Allyson Armstrong Result: FA I L Comments: Corrections are not complete. Recall only when corrections have been completed. An investigative fee will be assessed for scheduling the inspection prior to work being complete Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17402 SW CLEMENTINE ST, BEAVERTON, March 21 , 2018 at OR, 97007 10:40:23 AM Record Type: Record ID: Residential - Master Permit MST2017-00139 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: 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