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Permit (40)
CITY OF TIGARD MASTER PERMIT IllCOMMUNITY DEVELOPMENT Permit#: MST2017 00179 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/21/2017 T[ �'"" g Parcel: 2S106DB06200 Jurisdiction: Tigard Site address: 13312 SW APPLE GROVE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 62 Project: River Terrace Northwest, Lot 62 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $257,161.78 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywall-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: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2078 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 STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $31,752.03 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 40.1) ^% ;2g, sCP Permittee Signature: G'w%/,//a/4.�CI L, Call 503.639.4175 by 7:00 a.m.for the next available inspection date. �'� This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. V. .Bu�$rtiaina Pt.Prn11t AAP `' " .; .; iication �..;� �� .,,���.��_d • ts L.—so -1— ap 2, yuY�aa. � FOR OFFICE 1 SE O\Ll ° . ° DEC 2 0 2016 I ves y i; Permit Nei, 1r. City of Tigard D. i • I , plan Review & Other Permit: r y ^/T lig 13125 SW Hall Blvd.,Tigard,OR 97223 r `. Date/B J,1116. p See page 2 for ■ • Phone: 503.718.2439 Fax: 503.598.1% a i '' Date ReadYBY: ` (sr; -, i w ,-,,,t, 21 See Page 2 Information <°r�s r, �� �� Inspection Line: 503.639.4175 I `1 S , ,, Not,Scd/Method T n Internet www Ugard or gov ,� .. . ,.v. .., .❑ �°�~' ;.,.. `= �'� '"�""'"" Permit fees* are based on the value of the work perform ed. u ., ruCtionto .. .. a� Demolition�-��- Indicate the value(rounded to the nearest dollar)of all ®Nu.ew con...._�,strucequipment,materials,labor,overhead,and the •rofit for the ❑Addihon/alterahonreplacement te❑ �Mier' -,�z -� , - ; � ,` work indicated on this application. Z ti � , .a �^''-'Z'''." Rt��` �.` K —�.» .ad,F. �auValuationl_agartil gllkIIIMIIIIIIII ®1-and 2-family dwelling 0 Commerciallmdustrial Number of b-• ••ms: 0 Accessory building ❑Multi-family Number of bathrooms: ❑Master builder 0 other ' 1I� Total number of floors: 2 ' =� • i` -74 i � a �� d square feet site v _ e'er ' a �• New dwelling area: ' 11 • ( _y Job sitaddress: /� JW ��J_ � Garage/carport area: Ate square feet by City/State/ZIP:Tigard,OR 97224 „ ``, Covered porch area: /O ;pare feet Suite161dgJapt.no.: Project name:l�l .� • `V V _ square feet Cross street/directions to job site: Deck area:. '" .c -_ square feet Oth structure area:\)1/4.) Lot no.: I Permit fees*are based on the value of the work performed. Subdivision: U Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the map/parcel no work indicated on this a••lication. Tax �-� � � ���-�.�. -�- t„ zgx Valuation' Existing building area: square feet New building area: square feet � �Asp Number of stories: Type of construction: Name:ADVL Land Holdings,LLC anc p Occuancy groups: Address:7600 E Doubletree Ranch Road Existing: City/State/ZIP:Scottsdale,AZ 85258 Phone:(602)694-4031 � a r :k--.7,-;17137,7:;577- ` .: - : r TAT,,...1:1?.; ,. 1!/ a eF '. :€y \ a. c--2-"- ' s _ " ; ..«' ; , ; - Structural plan review fee(or deposit): Business name:Polygon WIZ,LLC Contact name:Angela Grajewslri FLS plan review fee(if applicable): IIIIIIIIIII Address:109 East 13th Street Total fees due upon application: City/StatefLlP:Vancouver WA 98660 Amount received , �, �.,.g4f � •r��«* �'i Phone:(360)695-7700 � E-mail:Angela.Grajewski@polygonhomes.com Commercial and residential prescriptive installation of g '- roof-to mounted PhotoVoltaic Solar Panel System. �-� —� �"'� _ Submit two(2)sets of roof plan with connection details s s,I with the 2010 Oregon and fire department access,along Business name:William Lyon Homes,Inc Solar Installation S,ecial Code checklist. Address: 109 East 13th Street Permit Fee(includes plan review and administrative fees : ; City/State/ZIP:Vancouver WA 98660 State surcharge(12%of permit fee): Fax:(360)693-4442 Phone:(360)695-7700 CCB lic.:207247 Total fee due upon application: This permit application expires if a permit is not obtained Authorized signature: (AIas Lau__ fyI PX within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry _ - Date: Service Board. Print name: � _.-- I:\Buildineermits\BUP-RESPemutApp doc 02/24/2011 440-4613T(11/02/COM/WEB) • I 1 L, a `' _ } -, ({lli(ik (It E f til tf�11 Mechanical Permit A tication yl,/ i ; /! i Received " 4/4" °0 a City of Tigan! tt>,t� >` 13125 SW Hall Bl% .,Tigard,OR 972x2.3 1- q G a , a ' other fltni: Phone: 503.718 2439 Fax: 503.5981960',. k hole 0 Set Pact 2 for Inspection Line: 503.639.4175 ,i.,.,,„c leo Dmc Ready%t1Y: SupplementalStPI2 forermadoa ? n ':' ,`0,:' Notifitaikiettwd lnicmM: wa�v.ligard-or _ "'"t':21*" � 4'." -." `ii. .,r, 5 i t,, -.-r'._. - s ."Sa .',7rr hneTtc ure�eam.�a.-^--- �-0....., c� �£ ' � ,r .e) - x e•- Mochanical{term:fixs•arc based on the slue of the wcWrt: ;'-r;'..,. performed.Indicate the value(rounded to the nearest dollar)of all 018I DNear construction 0 Oth irinn�niterutioru'nep)acement mechanical materials. •ui•mcn labor u%erhead.and tofu. 0Other. Value:$ :.7.t. ❑Demolition ({. �-'"` s:€s �,+ _ ��.x*�t 7'�'�a tip �6 A 1 t� { � �'�. G�•"�.'.TS* sxy�� -f -s..3"��.� FarsprdarTirfornruHou use checklistOulu tutr»I) 1,1-and 2-family dwelling 0 Commercialftndustrial ❑Accessory building nest ion Qt) t Tata! 0 Master builder 0 Other; ._. Htatia�.c141. 11.111: `� 2�' T s � 2� Airconditiortin_ NUM 46.75 ,,' -Ws-t' x.4N 7 e F"v t =S -.�r i • farms �x vxx a rs t+ • _.,. . III lob site address: 111) , , It4.7iFurnace 100.000 BTU ducts'veatsl _ City/State/ZIP:Tigard,OR 97224 Furnace 100.0004BTUtductstvausi 54.7i NMI 61.06 ��r Heat 23.32. Suite/bldgJapt.no.: Project name: F .0•r e c" N u� � Duct work 23.32 Cross street/directions1 i•drank hat waters stemdircetions to job site: Residential boiler(radiatarar . 2332 hvdronic Unit beaters(fuel-type.not electric), . 5 in-Hall,in-duel sus•-ded.etc. 46.7 4632 Flue/vent far an•of above IINI Other. U 23.32 Lot era:'/ Other fuel■ Nantes:v{,r a /, \ 11111 .a Water heater !. Tax map/parcel no 33.39 a; ;t., a;z'.....1.'.."1::=� Gas fire for °G" - L` I r I is^ t s S,,t r r ',Z7 .k.t. -r: _, t Flue vent far water beater or gas 11• f 23.32 -..lace INN 23.32 I . tic)It ICC �� Wt.(• stare 23.32 Woad 6—lace/insert Chimp inerfftue/vent 2332 Other: 23.32 './' .:..'"*-7--"r, s :. rl Rl '''';`,"':A_, " ^ ' ' ._. Environmental exhaust and ventilation: 1 Y.'.,�. .�t�_� .�__ �'�'•� -:�. � . Range hoodloeher kitchen Name:Polygon 1►'LH,1 LC, c.ui•meat 33.39 Clothes*inter exhaust INN 33.39 Address; 109 East 13's Street Single-duct exhaust(bathrooms* INI toilet con ailments,unlit^moms) 23.32 CitS Siatc/ZIP:Vaneuuvtr,WA 98660 23.32 Fax:( ) Attie/crawls• co fans MINIPhone:(350)695 7700 } Other. r 2332 4 't roc to . Y "�a ia ¢ •t� Furl i in Business name:Polygon‘VLH,LLC $14.15 for first four.54.03 for each additional Furnace.etc. 11111 MinContact Minn: It 1 114 1 f Gas heal m Address:109 East 136 Street Wail/stir--dcdlunit heater 111111 Water Water heater Cityt,StatetZIP:Vancouver,WA 913660 Fi •race Phone:(360)695-7700 Fart::(360)693-1442111.11111111110 Kan. •_ E-mail: i 1 0 9 -�f FiP / .4 / II 1 l� Barbecue �= i�a r� < W r �"' �'°r"` '` t.,lothos dm.,( s Mill r+. E C.1,--5,..-7.,:7;,:..." ? ea, re . . rt . �.. ,crss.i:.x _ -"t --- '"T'r-'1,f - ..''�``' i lk"` f i' '`- r '> z• , Business name.Apex Air LLC Subtotal Address:18004 NE 7Y°Ave Minimum permit fee($40:00) City/State/7,1P:Vancouver,}VA 98586 Plan review(25'%of permit fee) t Phone:(360)342-8109 Far::(360}336-1759 State surcha:c(12%ofpermiI fee) TUTAI.PERMIT FEE CCB tic.:203034 This permit application expires If a permit is not obtained within MO days;tier it has hoot accepted as complete. • Fee methedoloo sot by Tri-County Building Industry$orrice Board Authorized signature: Date: 4.et./L— Print name. 1/� Y .uWGlrr(Iim2,COMi cal t`Auttdmerr pile PetmilApp ours U arc M. Electrical Permit Application FoR OFFICE USE ONL'i' City O Tigard ,r Received ii `J f g .vit2l` '` ` Received . 77 13125 SW Hell Blvd.,Tigard,OR 97223 Plan Review Related Permit R: ' Phone: 503.718.2439 Fax 503,59$-191([0; b . Daws: Inspection Line: 503.639 4175 a- a - t ReadyDate/B Juni: ®See Page 2 for '`,- Y TIGAILDInternet www.tigard-or.gov ^ `"1 '' �K f'-'; Notified/Method: Supplemental Information ®New construction 0 Please check all that apply(submit 2 sets of plans Whams checked): Other: Addition/alteration/replacement ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition Q OOther where the available fault current 0 Marines and boatyards. _`1c-� -� tx "), e-0; c,n`y`a ti a i(6-d(j}a€',_' 3a i I. _ _ exceeds 10,000 amps at 150 volts or ❑Floating buildingx less to ground,or exceeds 14,0[10 ❑Commeruel-use agricultural ®1-and 2-family dwelling ❑Con erciaUindustriel ID Accessory building amps for all other installations. . building' A.- 121 Multi-family - 0 Master builder 0 Other ❑Fire pump. ❑lnatallation of 150 KVA or C ;Z,-_,,Z_ •'''to s;. :W .d -WOAFti I . 0 .06"4^-}-x` . X ❑Emergency system. larger separately derived �• - � ❑Addition of new motor toad of sYfe • %11... Job#: Job site address: Am te (,Trr(c, G , 100iiP or more. ❑"w"'E,"1-2 -1-3-, ❑Six or more residential units. occupancy. City/State/ZIP:Tigard,OR 97224 ❑Haan-Dere facilities. ❑Remeetionel vehicle parks. �v iy-c 4 J� y� ❑Aamrdoas kwations. ❑Supply"tinge.for more than Suite/bldg./apt.#: Project name: �, „1 y�,� 1 60o'oils nomnal. 1 tl s ❑Service or feeder 600 amps or more. Cross street/directions to job site: 7 'j Besai.don I! • L New residential single-or multi-family dwelling unit. Subdivision:11-1\10('-rG`rf (''n/� JfJ 4 Lot OZ. Includes attached garage. 1,000 sq.R or less I 168.54 4 Tax map/parcel#: Ea add'!500 sq.R or portion i 33.92 1 #,.. `` , 1- -a,'"',...17.6g_.4) 1,`.0 '1: e) `, r Limited energy,residential 75.00 2 (with above sq.fL) Limited energy,multi-family - 75.00 2 residential(with above sq.it) - Renewable Energy 0 See Page2 ' :2%•11,.:6)i i2q� v `•4_V- C;10'.--4t-"=4i4 Services or feeders Installation,alteration,and/or relocation ..�: _:-�: a !�`� -� x, _ Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 201 amps to 400 amps 153.56 2 Address:7600E Doubletree Ranch Road 401 amps to 600 amps 200.34 2 City/State./ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 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 Date: 401 amps to 599 amps 168.54 2 Owner signature Branch circuits—new,alteration,or extension,per panel 9 F'v, -_-aa -1Fjp - a n.4 > �_y 1��;��:,��•i i� ,�, �� A.Fes for branch circuits frith Business name:William Lyon Homes,Inc. above service or feeder fee, 742 2 I // each branch circuit I Contact name: Lch i)] or pe B.Fee for branch circuits without i -Thorpe service or feeder fee,first 56.18 2 Address:109 East 13th Street blanch circuit Each add'l branch circuit 7.42 2 City/State/ZIP:Vancouver,WA 98660 Miscellaneous(service or feeder not Included) Phone:(360)695-7700 ' • ' Fax::(360)693-4442 Each mmntdactured or modular 67.84 2 dwelling,service and/or feeder Email ,Aft G.s IA i ►1 / a / }I/,� -A/ Reconnect only 67.84 2 vs '—a°_41/. 'e% 67.84 2 ��., ei ht�rY�1e�,��:�. z+:ra `� �� Pumporirrigationeirrle Business name:Garner Electric Washington,LLC 'u' Sign or outline lighting 67.84 2 ,-: Signal cireuit(s)or limited energy ❑ See Page 2 2 Address:61011 VE St Johns Rd panel,alteration,or extension. t Each additional Inspection over allowable in any of the above City/State/ZIP:Vancouver WA 98661 Additional Inspection(1 hr min) 66.25/hr Phone:(253)320-1657 (Fax:( ) Investigation(1 hr min) 90.00/hr Industria)plant(1 hr min) • 78.18/br Email:bdanlels®gweuaa.com _ Inspections for which no fee is 4000/)u r CCB Lic.: C1158 1 Electrical Lic.: 208174 Suprv.Lica: 4496S s rfi d %4 hr�) " liste • a .ssy5y ve ' t74.'-_,...f:4•-_--,-,-, r Suprv.Electrician signature,required: L J1/ ei f Jz ....;: . Subtotal: Print name: Joan P Albert •- Date: 4/26/2016 ❑Plan Review Required(25%of pemtit fee): State surcharge(12%of permit fee): ..... j i, - :;-'� TOTAL PERMIT FEE: y,;:._, Authorized signature: This permit application expires if a permit Is not obtained-within 180 .i'>'':; Print name: Bill Daniels I Date: 4/26/2016 I days after It has been accepted as complete. ..2,".f.,:'1,;: • Number of inspections allowed per permit ' `�`lieauGng1Permin\TLC PemntApp BLit ERfi doe Rev 06/17/2015 4404615T(11/05/COM/WEa -11%3 fav-:: I Plumbing Permit Application Building Fixtures 1 City of Tigard s Received Warily: 114,, 13125 3W Hall Blvd.,Tigard,OR 972231 nee Review Other II• Phone: 503.718.2439 Fax: 503.59$196`0 d , _ x Dodgy. Permit No.: Inspection Line. 503 639.4175 r r ti ,, Date Ready/By t t Internet www.tigard-or.gov fT t Notified/method: Su. tereentat Informative For special information use checklist ���New construction I Demolition Description I Qty. ( Ea. I Total 111 Addition/attention/replacement New 1-2-family dwellings(includes 100 ft.for each utility connection) •Other: Y, j- SFR(1)bath 312.70 c _- ,--'F 7. .---:-t-----!_z-;1'Ei +lit . e ;-sh.. f , x..1...-„, g (2)bath ff437.78 �� 1-and 2 family dwelling 0 Commercial indust ial SFR(3)bath 150032 0 Memory building ❑Multi:family Each additional bath/kitchen 25.02 ❑Master.builder ❑Other: Fire sprinider( s(1.ft-) `ti '4" ;;e ,-7--,n et•y r`°rc i•e�, T'e `'p :`�.rs "�e y�i�,Ei�i� ��', „�.n Site utilities:s1 Catch basin or area drain 16.76 1 SvjJob site address: Apple, GroJt 74.�/1(`ta Drywall,leach line,to trench dee in 1 City/State/ZIP:Tigard,Olt 97224 1 Footing drain(no.linear ft: ) Page 2 Suite/bldg./apt.no.: I Project flame,R11((, Ie fCC NwOnvi:c Manufactured home utilities 50.03 Cross slreet/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear it.: Storm sewer(no.linear R: ) Page Water.service(no.linear ft.:_) Page 2 Subdivision: ' `Ve,,r .a , ,ms, Lot no. at, Fixture or item: Back tow preventer 31.27 Tax map/parcel. no Backwater valve .• 1111 12_51 ''-z -- , :. r-t er-. t s G€m. OP? e` < =` .•s-- . Clothes washer25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectort/sump 25.02 _ -`i°# rt; ?,,,R6'i:::-, 4 Expansion tank 12.51 Fixture/sewer cap 25.02 ► Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road (garbage disposal 25.02 City/StatrJZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax ( ) Ice maker 12.51 -,„..-,c-,-,. ' " ,L J -'l .,1..-...i 3- r Intctceptodgrease trap ' `z..'-‘E:-..V.:11 - . ; ` + . e _ ,. _. Medical gas(value:S ) Page 2 Business name:William Lyon Homes,Inc pee 12.51 • Contact name:01 olio(e 0j/1/e, Roof drain(commercial) 12.51 Address:109 East 13th Street "• 1'_ Sink/basin/lavatory 25.02 City/State/ZIP:'Vancouver,WA 98660 Solar units(potable water) 62.54 Pax : 360 693-4442Tub/shower/sh0wer pan. Phone:(360)695470012.51 I ( ) Urinal 25.02 Water closet 25.02 B-sioaeii ., l 1, (.,�,. ►r • .•• f , v ••• �, ,, . x t'6).,,r `�,'►:_.,..2,__,., �+'z,;v;,,w ..t -. ..41.-- Water beater 37.52 Business name: €.4-1, v�WW\!'\x, ' '170,4 piping/DWV 56.29 � - Address:: P•6'. $• Other:CIA Snbtob2 - CityJStatelZlP: s'' Q (� t31 Minimum permit fee: 572.50 r •'hone S'''.a ' 14L1 Fax:(11 p'191'4 ler Plan review(2.5%of permit fee) ® 0 CCB Lie.: ' ,1 Plumbing Lie.no; '1 State surcharge(12%of permit fee) ` TOTAL PERMIT FEE - Authorized signature: ,8�1S1J1!"ti/ p� This permit application expires U a pamlt ia riot cbtalned within 180 days Print name:Si'L!V 1�.I'L� I Date:g '�t! lb I * alter it has rues accepted as complete Fa metbodologi+set by Trr.Coanty Building Industry Service Board. marsh PawibfPLMN-pe mi k4,40e 10101/09 440-4616100/02/COM/Wills) l „, v ) c v- ) City of Tigard ” COMMUNITY DEVELOPMENT DEPARTMENT :II III T1cARi) Building Permit Review — Residential Building Permit #: AA ST-1,0/7- 2C2/71 Site Address: `133\2 SW 199 L alz.NiE"1-6.QQACE Project Name: 'V,c44v i-erM,Ce 1Vl Lot #: (4,2 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: ri 5F(1-- ❑ Verify site address/suite# exists and active in permit system. [!River Terrace Neighborhood: ❑ No L'Yes,See River Terrace Review Addendum Attached Site Plan Elements: ree(3)copies of site plan 11) sting structures on site ,/Site plan must be on 8-1/2"x 11"or 11 x 17"paper u Footprint of new structure(including decks)with finished M yawn to scale(standard architect or engineer scale) or elevations orth arrow [ Jtility locations(required for new,may apply for additions) S to address,project or subdivision name and lot number ocation of wells/septic systems ['Applicant information(name and phone number) Kitxisting trees to be retained with drip line,and tree RiLot dimensions and building setback dimensionsrotection measures [IOt area,building coverage area,percentage of coverage and �treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Ni.J Street names El6roperty corner elevations(2 foot contour lines if more than ¢Storm water quality facility,if>1,000 sf of impervious 4 foot differential) area is created or replaced. On site plan: ❑ Yes ❑ No Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified It No Received: ❑ Yes ❑ No V Public Facilities Improvement (PFI)Permit: —/ Required: ❑ Yes,applicant was notified ❑ No Applied For: Est Yes ❑ No,stop intake Lid'Land Use Case#: P012- A* ,0000A ' j,1 ?j'2.�'I 00005 gr Zoning: t 2 (p 0 R equired Setbacks: Front a Rear \d Side _-3 Street Side Garage' Lel Landscape Requirement: '2.( % . Lot Coverage Maximum: it Building Height: 0/0 Maximum Height Actual Height IE Visual Clearance 0 Easements e Sensitive Lands: ❑ Yes ❑ No Type L Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: „,,,al -FA.,i Date: .r5// / l 1 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES_042017.docx X S Building Permit Submittal Original Submittal Date: /Z/)L(7// ' Site Plans: # 3 Building Plans: # 7 Building Permit#: 7-Enter building permit#above. Workflow Routing: 121'Planning * Engineering 4'71"Permit Coordinator Building 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. 5. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: *141 - Date: //7 Engineering Review Slope at building pad: g O Conditions "Met"prior to issuance of building permit pr.11‘l' ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes i No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: ,4 17 Date: 5_:z�:� 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 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: SDC Fees Entered: Wash Co Trans Dev Tax: `,des ❑ N/A Tigard Trans SDC: (�` Yes CI N/A Parks SDC: �'Yes ❑ N/A LIDA CI Yes ..Q%N/A 4 OK to Issue Permit107-W/,'/F— �� Approved by Permit Coordinator: Date: .. I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT T I GAR D River Terrace Building Permit Review Addendum Building Permit #: Site Address: iSsis Sid; PWL k Project Name: `j2.ivt. '` vctce, ki\i Lot #: 6,2 (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 façade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep Gabled dormer / ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6,t.wide ® ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: VS -]clic.) 3. Entrances:At least one entrance must meet both of the following standards: LjG 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: lJ Yes ❑ No If_yes, all the following apply: '25 sq.ft. min. 12/One street facing entry V12 ft. max. roof above floor of porch 12r:5 ft. depth min. 130%min.porch roof coverage 4.petailed Design:All buildings shall include a min. of five of he following elements on all street-facing façades: gi Covered porch min. 5 ft.wide x 5 ft. deep ©/Recessed entry area min. 5 ft.wide x 2 ft. deep rifWall offset min. 16 inches ❑ Dormer min. 4 ft.wide WI eave min. 12 inch projection NtRoof 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. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street façade 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: N closer to front or side lot line,than longest street-facing wall. ❑ Yes [!4 No. If No (Check one): rr/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 façade 311 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: 67./"A'''''' �/41Date: .3/140 I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx 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 411 2. Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED APR 3 2017 FROM: Angela Grajewski CITY Of TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 BY: RE: 13312 SW Aubergine Terrace (Site Address) (Permit Number) River Terrace Northwest Lot 62 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 0 Additional set(s) of plans. 3 Revisions: deck' 0 Cross section(s) and details. 0 Wall bracing and/4 lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. add d4ek due to terrain frvii0 Caure USE 41k Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑No Fee Description: Amount Due: :14:feU. $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: Initials: L•\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 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 71 Transmittal Letter T ;G A p. n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED APR 3 - 2017 FROM: Angela Grajewski CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 By: /# RE: 13312 SW Aubergine Terrace (Site Address) (Permit Number) River Terrace Northwest Lot 62 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: b F4.:.',.,: -:-.: ,-,, . es „ e ^i to , ,C $ ltescr pfiolr Dcy , 0 Additional set(s) of plans. 3 Revisions: dec'c O 0 Cross section(s)and details. 0 Wall bracing and/ lateral anal 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. add desk due to terrain frt./1 0 Cover Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑No Fee Description: Amount Due: :.,� Aga '' a $ Special Instructions: Reprint Permit(per PE): ❑ Yes n No n Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13312 SW APPLE GROVE TER, SHERWOOD, February 15, 2018 at OR, 97140 1 :07:46 PM Record Type: Record ID: Residential - Master Permit MST2017-00179 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 55 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13312 SW APPLE GROVE TER, SHERWOOD, February 15, 2018 at OR, 97140 1 :07:04 PM Record Type: Record ID: Residential - Master Permit MST2017-00179 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13312 SW APPLE GROVE TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00179 Inspection Type: Inspector: 699 Mechanical final Allyson Armstrong Result: PASS Comments: No AC at time of mechanical final Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13312 SW APPLE GROVE TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00179 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Correction complete Collected ETO site inspection certification High efficiency lighting form Moisture barrier acknowledgement form Moisture content acknowledgement form Left C of 0 on the counter Violation Summary: Inspector Contractor