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Permit (38) CITY OF TIGARD MASTER PERMIT li-0 COMMUNITY DEVELOPMENT Permit#: MST2017-00140 T-l I:1; i;i-r 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/21/2017 Parcel: 2S106DB07400 Jurisdiction: Tigard Site address: 17476 SW CLEMENTINE ST Subdivision: RIVER TERRACE NORTHWEST Lot: 74 Project: River Terrace Northwest, Lot 74 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1108 sf Basement: 812 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3316 sf Value: $397,470.59 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 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: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<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: 6 201-400 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 3316 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: $34,829.02 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ,, Issued By: �i Permittee Signature: (- `"I''' L�/" /eaV/r/A? Call 503.639.4176 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project Approved plans are required on the job site at the time of each inspection. ' Building Permit Application 1 D LC Residential R CEIV FOR OFFICE LSE O\Ll Received Permit No.: City of Tigard APR 6 y 2017 Dacey: �i(( 17 I // 17.Oft 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 7Q g Phone: 503.718.2439 Fax: 503.598.19¢0 Datemy 6'a i '.l Other permit: 7- /�f Inspection Line: 503.639.4175 �+ITY OF TIGARD DateReady/By: / ��,. Juns: H See age2 or TIGAFD BUILDING DIVISION Notified/Method: I i' Supplemental Information Internet: www.tigard-or.gov b-71/'/ G-- / j � `' ', .s L `'' @ l 't �G 5:ii8 k a& F `;°$'` s., _ ; � t , 9 yip � � .,:s. u 1 � _ . ' u Permit fees*are based on the value of the work performed. ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the 74:114 ; -7tir6K work indicated on this application. �. ° Win , - Q .;,-V:: -,, , ,. ,, ._ > ... Valuation: 3 7 Li 70 ® 1-and 2-family dwelling 0 Commercial/industrial I , ` j Multi-family Number of bedrooms: l{` -- -� ❑Accessory building 0 y I I 0 Other: Number of bathrooms: 0 Master builder3 gl "rt-;" � p I .mak. Q lte 1 Total number of floors: s370 I `Job site address: 17 y7 ll/ al\I ktrAt011at New dwelling area: 331(1, square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 3S5--3Qsquare feet Suite/bldg./apt.no.: Project name:Ri�.ex „era"? e,fr(,�& NW Covered porch area:'ISF/ :quare feet )3 96 Cross street/directions to job site: Deck area: ' / J square feet) 1 0 3 Other structure area: / square feet Si? , �ei t [ ••• .,,„...,,—,..1.--..=,-,t,===--,SgL,131v1CI = :r': ..2 4n, ',,,, t., =s:?'S '.' -,...J't a, p� , Lot no.: 4 Permit fees*are based on the value of the work performed. Subdivision:Y�v ����(�� t\3*...) Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment, materials,labor,overhead,and the profit for the pmen >; a '''''W'''''''-')..27 r 41, ` V work indicated on this application. `, Ash.3t -E #'s ,I. cm>.6 6 t6, s r; .7''`",. ,,„;-w Valuation: $ Existing building area: square feet New building area: square feet `,--....1-7Et.,r t �a .� 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 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::( ) - -/-6",-7;,---t :,--- '. t ?v--:-,.':.,. r---..:-.2++++,----<=-+--,--,—§ ,p4-,..- ` rn. E-mail:Angela.Grajewski@polygonhomes.com Commercial and residential prescriptive installation of F � - a �' e. u , . - „ -, roof-top mounted PhotoVoltaic Solar Panel System. �� ���'s` ,. �. � ��`,,u.max::-_,.,4---r„-...40-4,7. 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. Permit Fee(includes plan review City/State/ZIP:Vancouver WA 98660 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): I CCB lic.:207247 Total fee due upon application: This permit application expires if a permit is not obtained Authorized signature: ,V'(15 O tV'a within 180 days after it has been accepted as complete. r *Fee methodology set by Tri-County Building Industry Print name: - Date= Service Board. ' I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • , � r • Mechanical Permit Application.,, . _ 1 OR t,i 1 It i. 1 1/4,1 1)11 1 City of Tigard Received pemul NA; DadBY 13125 SW Hall Blvd..Tieard.OR 97223 `', 19ne tic, Phone: 503.718.2439 Fax: 503.598.4.961) -= ,x ',away:. Other!moil: Inspection Line: 503.639.4175 ,< -- Internet: www.tr d-or.ov Date edtmeBy: h„,..,, s 4e Pane 2Information supplemental t 3 :-..-„1„..,L.447-;-:-,- --,:,55--,.- -;:___,-,4. ,tea. a tc. cF }-V: r +z",ir ',r' e ' e e. C t a raj y.+Ya... .a�'1 �.y00. . Mechanical permit fees*are based on the value of the wort: ®New construction 0 Additinn/alterationfrepiacement performal.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials.equipment,labor.overhead,and profit. :'• < Value:S i ++ tr a x• 1� . a e s� �# � rf t. �...- .. e-- .a.r. � -you � . 7'-1-and 2-family dwelling 0 Commercial industrial 0 Accessory building For special Information pmchecttist fulti-family 0 Master builder ❑Other: Description ! Qty I Ea. ) Total _`,"-:tic 't-3xr-T-1 , -t tt t 3- o't;,'G e w S 4amu' . Beating/coornz: xe'-'."-:'.3- --,';'-,' -�._� '.. -f--'sea--.a.� .4:�re.r: ' Job she address: , c_- , Air conditioning _ ' 46.75 lin(i' sN (Ae I lt✓nilnt. Furnace 100.000 BTU(duastventxt , _I 46.75 City/Slate/ZIP:Tigard,OR 97224 Furnatte 100000+BTU idnetsrventsl 54.91 I. ttpt no.: Project ttarrtc Hent pump 61.06 i Suite/bldg./apt.' R e t Te ctc�. V t V�� Dacl work 23.32 Cross streWdircctions to job site: ilydronic hot water system 23.32 ' Residential boiler(radiator or hvdronic) 23.32 ,. Unit heaters(fuel-type,not electric), in-wall,in-duct:suspended.etc. 46,75 t i� Flue/vent for any of above 1 23.32 Subdivision:pot(TOrentr Morrkuics — Lotno.: 14 her: 23.32 Other feel appliances Tax neap/pared no Water heater �' 23.32 F, Pia y- ",.z„ ."-- - e .` x,,. ,,. . i-4"" -'."17--x,;�. - ---1'--,1-':x1€1 .. '.r C: i1 r .t'� c 1-:v ---ils.4,--*I t$: r s' Cas CrcptacdtnseA 33.39 — Flue veal for water heater or gas fireplace 23.32 Loa lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 2332 p Chimncyliinerttluelvcnt 23.32 ,";`:'- '... ''i-'F.l•: ` ..s.41.-9:?t. 'rf-**45.- -rt -'d?-c,.',x.:. .'t t"•.'moo ':"L-.'cl:',r' ,-*;ti.. °thee: 23.32 Environmental exhaust and ventilation: Name:Polygon WLII,LLC Range hoodlother kitchen equipment ' 33.39 Aeldress:1119 East 13's Street Ctorttesdi diver exhaust I :13.39 Cityl itatc/Z1P:Vancouver,WA 98661.1 single-duct ekhaust(tothrormts. toilet compartments,utilii•moms) t-4) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crntvlspaet.fans 23.32 + ? ; `ir-` € t rio t A.. 4'... rr: ,:„. i ill w# r ,10- °0, ti1 other. 2332 Patti:40o ; Business name:Polygon WL11,LLC 514.15 for first four:$4.03 for each additional Contact trame: / hole Thorpe FurnacC.cl Address:109 East 13th Street Gas heat pump Wall/stispcnded/unn healer City/State/2T:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Ran E-rttatl i lit O oiiC . � 0.4 44� I Barbecue f a Y{'...*_---Z::::- F , 4 -'3. :-, .FC EX' e R',:4-: t.. �"..0•c' .,,. ,4'yt'„:"s . Clothes dryer(gas) Business netite:Apex Air LLC Other: Address:13004 NE 72i0 Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) t Phone:(360)342-8109 j Fax:(360)3264769 Plan review(25%ofp it fee) State surcharge(12%of permit fee) CCB lie.:203031 TOTAL PERMIT FEE mix permit application expires lfa permit isnot obtained'Millie.IRO days afterit has been accepted as complete. Authorized signature: * Fee methodology an by Tri-Courcy Building Indust!),Service Board Print ntuner"T rh I Date: 4.11-r 1nufdiard'o nitatAttr_Pao,t.4,pp 410113 doe .W.-t517T t t:D?X'ONOWFA) 1 1 . Electrical Permit Application FOR OFFICE ISL ONLY r ', 1' Received City of Tigard D Parnell PI 13125 S W Hall Blvd.,Tigard,OR 97223.: ; Phe Review Phone: 503.7182439 Fax 503.5911 1960,:' c DaWlB , Related Permits: Inspection Line: 503.639.4175 r r ReadyDate/By: hair. 0 Sea Page2 Or TIGA"D Internet www.tigard-or.gov Notifed/Msthod: Supplemental Information _ ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans Wilems checked): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Dtmolition ❑Other wham the available fault current 0l farinas and boatyards. f,.,---`2:-::,3 ,z --Z ----,c'•5• 45-:=:‘16.10,7v':,!el (r) -'" _ »�3- j exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®1-and 2-family dwelling ❑CommercialTuichislrial 0 Accessory building lass to pawl,or exceeds 14,ODO 0 Commercial-use agricultural amps for ell other installations, buildings: 0 Multi-family s 0 Master builder 0 Other. 0 Fin pump. ❑Installation of 150 KVA or -7.7,'!,;..,':-.r.. "''..k- fi, 's•,9 i1. is 181 1�u 1).4''1,,1`..E T-*i . _ W1, 0 Emergency system. larger separately derived Job#: I Job site address 7 l q,SV4 \ e, . Fano of rww motor load of system. 10011P or more. ❑"A",B","1-2""1-3>• CitylStatn'ZlP:Tigard,OR 97224 12 Six or mom residential units. occupancy. OBealth-nae facilities. ❑Recreational vehicle parks. Suite/bl J t#• I Project name:?'aai ffe "e. tidy%u ❑iarardeiu brca60114. ❑Supply voge for mon than Q Service orfeeder 600 amps Gramm. 60 voltE nominal Cross street/directions to job site: rte i.*A; '7•:,..-/s.' _ -F i �M:.- - 4';,� �r Desofattan I Qtr. I Each -Teed e New residential single-or multi-family dwelling unit. LL, JALSubdivision: � L_ JAL -I-a •� Lot#: Includes attached garage Tax map/parcel#: Iasq.R osiers 168.54 -® Fa.add'1500 sq.ft 33 or portion 33922 i=3 1 2Z 6.4•11:7:.10 C 47. g ^ 'RU's. Limited energy,residential (with above sq.R) 75.00 Limited energy,multi-family 75.00 residential(with above sq.ft) Renewable En- '4 0 SeeP .e2 'L -� aAL-Co `s raF � _'--. • 2::'Er,y qg`1`= )- Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 carps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 60]amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax•( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Entad . relocation Owner Installation:This installation is being made on property that I own which is not 200 amps or Tess 59.36 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps i l 125.08 21 Owner signature Date: 401 amps to 599 amps 168.54 2 Fa, 0,A("'`?? �, �,,'n .i �v-xzur i„,oi�f„,5-,„K.,a Branch circuits—new alteration,or extension .er,anal i- .. . •.=- -- -- A.Fee for branch circum with Business name:William Lyon Homes,Inc. above service or feeder fee, . 7 42 .© // Contact name: //1 v/P 77j Oi'p, B.Fee for branch circuits without sAddress:109 East"13th Street t Y'r branch or circuit fee,first 56.18 2 hranch cilc»it City/State/ZIP:Vancouver,WA 98660 Each ndd'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' . . I Fax::(360)693-4442 Salt manufactured or modular A dwdlin, service and/or f 67.84. 2 Erna / G a �I,1 „,, /r J T A �I I Reconnect only 67.84 _© .F.,..„..,,,,,,.., cr A , e -.r� •_ • 77---,T,-.7...-•,,„*,_. Purr$r or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 „>: Signal clmult(a)or limited-energy Address:6101 NE St Johns Rd panel,alteration,or extension. 0 See Page 2 2 City/Stata/LII' Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I lir min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 bruin) 90.0W hr Industrial plant(1 hr min) • 78.18/br Email:bdaaielsta�gweusacom Inspections for which no fee is 90.00/!u CCB Lie.: C1158 Electrical Lie.: 208174 I Suprv.Lia: 4496S specifically listed K healer) :; Suprv.Electrician signature,required: S'•4 •.. atl� 9/'A_-A Subtotal: . _ Print name: Jost P Albert Date: 4/26/2016 ❑Pisa Review Required(25%of permit fee): :`::: ":----7 State surcharge(12%ofpermit fee): i :: - �� Authorized signature: TOTAL PERMIT FEE: L ---""" This permit application expires If a permit is not obtained within 180 '1V-::!1-: Print name: Bill Daniels Date: 4/26/2016y da s after It has been accepted as complete. * Number of inspections allowed per permit },...;:i; 'L1asedmslPermenELC PerndtApp ELK ERRdx Rev 06117/1015 44046151(1]/05/COM/WEB 45 tb•Vt1 f Plumbing Permit Application -`•'' - ' Building Fixtures City of Tigard y'`; 7 n?( Received Permit No.: II13125 SW Hall Blvd.,Tigard,OR 9722 •.,:; , r • :: ?btu Review !-" Phone: 503.7182439 Fax: 503598./960: _0 -,a ..-i DD,,,,s Other Permit No.: hispection Line: 503.639. 41 Fill See Page 2 hr 1 t ;1 Internet www.tigard-orgov75 d ... -- ---r N fied/Me4md.' rndr Sup temental Information T x +.i `�n7,7', ',r,_..N-'." l.I'^i.�._ )..'t. `�wr..:3: --P-4,--- --r--� {t 'r '-1.. ,-.,, _-41 .t 4 .AGI ,r1-i � s= ? `;,.l 02 1t w t oansiruuction 1 Demolition For special information use checklist. Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft for each utility connection) - M j� t'7<n1:A•tn c ej°aiFr t.flr'Z'f'> '# ;Z: ''x5-,g,'''` SFR(1)bath 312.70 =. . r. .. _ SFR(2)bath 437.78 114 1-and 2-family dwelling I Commercial/wdustrial SFR(3)bath I 500.32 ❑Accessory building ❑Multi-family Each additional bat Itchen 25.02 .0Masterbuilder 0 Other. Fire sprinkler( sq.ft.) Page 2 I s_A- : . 4+<,at tee r'tit� -.arc yL?uta, '.0",J.-1,"41-P,)',.`•-•:•"i" -` �, Sitsutltiltes• Catth basin or area drain 18.76 Job site address: / �'1 7� 1rriQ,Sn'lw.S Drywall,leach line,or trench drain 18.76 City/State/ZIP:T1gar'd,OR 97224 "� Fooling drain(no.linear ft.:_) Page 2 Suite bld no.: I Project name.12,We 1GP'�i ce, (Jby-t r e, Suite/bldg./apt W 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: L.\/(X '.a id vjef..- Lot no.: Ashore or Item: Tax P/P Backfowprcvcnter ( 31.27 K ieirrrs e rc5c`c� a ^ _Backwater valve ( 1251 �z =- t-:rte 1 Clothes washer 25.02 Dishwasher 25.02 Tkiniddg fountain 25.02 • Ejectors/aump 25.02 • _i . vi`' Ei on tat* an Fixture/sewer cap 25.02 Name:ADPL Land goldiugs,LLC Floor drain/floorsink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/Statc/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031: Fax:( ) Jce maker 12.51 .:4f::::`-(;#5'''' ''',111c, 3 7 �� -< Y r _c;K ff '- , 'li r:'F.;,.'i- 'a ,- _Interccptor/grease trap 25.02 . Medical gas(valve:$ • ) Page 2 Business name~Wittlam.Lyon Homes,Inc Primer - 12.51 . C°11133°" nemee:01 Gli U(Q 'Thorpe1Oy"- Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar Units(potable water) 62.54 Plionr.(360)495-7700 I Par:(360)693. 442. Tb/showeishower pan 12.51 Urinal 25.02 + .I ► ' • !d 1 e i i l• a IA a f Water closet 25.02 J •, 7 s �7 -' 37.52 t yf�* �_-,*�%'!L. r. :PJ�e ... -- ,, ;," ' r Water heater Besides§menu:' -j Vt`+t�WVDvi. .4--$0,4 Watcrpfping/DWV 56.29 i Other: 25.02 Address:. Q.o+ .$'°f�Ct �A t - City/Stat ZIP: S T', e t,'4+e4 (gi'L i 1131 Subtotal Minimum permit fes;: 57250 Phonal0703-1.4S- 14L1 Fa=(17 t"''a1-4..1.14) Plan review(2.5%of' - permit fee) cal Lic: !i1 Plumbing tic.no, (3L - State surcharge(12%of Permit fee) - Author-lied signature: �� TOTAL PERMIT FEE /h-I/_ This permit application expires if a permit is net obtained within I86 days Print saner.6-/-f-111_ ��� Dater_3 t! I k7 after it has been accepted as complete. *Fee methodology sea by T iCounty Building Industry Service Baud. 1:18~eauti1Pt.MU-PamitApp.doe IWO3 MA 4404416 0V-COWW WE8) I Plumbing Permit Application Building Fixtures RECEIVED City of Tigard Iteceised 972-21v1AY I. '7 2017 t'aie/Br PeozattSo.: • 13125 SW.Hall 131vd.,Tigard,OR Pisa Review • OiherPermit No.: .. ' Phone: 503118.2439 Pax.: 5033984M DatatBr. Inspectien Line: 503.639.4175 1.;I Y OF TIGAHD Date Readydity: knit: 121 See Nee 2 Ser • Internet ivWw.tigard,or.trov BUILD! D S -1 ikdriedimedia: _.' •kmaistal Information • I.,..7-'7.-t.ii..11.:{Ssri:T-A.::,, ,.;;:ii2i3P,-;;Y .134. 3.-.:', .. :-47..,6j..,,,..•5.4s,....‘j,,;,.tz:1 ,:j1 . 1a:-.LI:--41,-,tk,i:,_20.j:*. 6 New construction 1 Derndition Desdiption IQty. I Es. I Total 0 Additiontaltetationtreplacetneut D Other Neva-2-familY dwellings(includes 100 it.for each Why connection) '•.'.:•,:;";:,';%*.•1: ',,,--'-73:'-7::., ,':•••••-'," - :•1:17. .,•;•,-1-,5.f;.„,`;.1-:-,-.,. ,.-:-.7.1;-r',71,1'1,,i:',':::•,',,,?..;:•V :'';E:•., ,t; •SPR(1)bath 312.70 437.78 C:4 1-and 2-litoikr dwelling 1111 Commentieldndostrial wit P)hadi 3F4(3)bath 5042.32 0 AcCessory traRcling 0 Maitfunily Each additional bath/kitchen 25.02 1:::1 Mester.builder 0 Oat= . Resprinklart_sq.ft.) Page 2 TTP7X.ff.11':•''. :.7.1f; r27:i gitef6,lide rai... Job site address: li 1 ---* -eMe.," 'Dr alta drain 18.76 Ihriell,lear.h line,or trench drain 111.76 City/Stat/ZIP:ligard,OR 972.24 • Footing drain(no.linear it.: Page Srdtedcltig./apt.no.: 1 Project name.g i iier 76tracis Mo1i4Wer1 mandar:tined hone utilities . SIOIIIIIIIOIIIIIIIIIIII Deist stteet/directions_tp job site:.. Manholes 18.76 Rat-drain' connector 111.76 . . . Sanitary Sewer(no.linear . ' St9133?sir/Pr(10".4rtnear ft: ) Palie 2 . . - Viabsr riertilce' (rio.linear ft.:.......) Page 2 Subdil*F PI\ft r-re r ratt NO rtklAkat Lot riariti Fillure or item: ' 13ackflow prevent& 31.27 Tax WV/parcel no.: 12.51 Clothes waSher 25:01111111111111111111111 • A 1114 in 4 • / di (WA! er ffeatcv-. ..... . Disivoesthee .25.0.1111111011 fl.--00NDDrinking roe irl. . . tjectori/suetP. 25.02 . . . . . '-'j-';'7=7:1J-:.jf,I7J-'•C-5---:'.,=1:?::-7-7,--71:::,;---'.;:'-?-.:'15.--:'!TTL•-?, ti75j4,1.2.77.7.F--,;;177.f?.:,7 : 04ansion tankC li51 25.02. 140/664-divi,Land Holdings,LLC Floor dtairi/lloOr sink/hub 25.02 Address;7600 E Doublatrie Ranch Road Garbage.disposal 25,02 . City/Stateitili:Scottsdale,AZ 85258 Hose bib 25.02 • P4icliF0004401. Far( ) Ice maker. 12.51 7,7;:.:.- :-'7--.;.;-;,..-!;-,,, T.7_,,f-.7-.-..1-72 .1.•:-.7.,,--,;•S: 7,--I'' 71-.,,`:,.!7'.--',.";::.-,.., ---;-" 1----:,-.r:'-'-,,':':',I::"' IlitercitlitgrittnOse UV 25,44 , Page 2 :Business name;William Lyon VOW;Inc POlger 12.51 Contact name: hi i cko Vellirlorpc Roof drain(conanatcial) 12.51 Address:109*find 13th Street , Shittbasintlevatory 25.02 diti1Sta1e/VP:itaitoouveri*A 98660 Solar Oldie(potable water) 6254. PIK00.(364).69547°D Fax::(360)693-4442 'llthislioWalshower pan Urinal 25.02 E-mail: A • I.4 I 4 ti' fie P 7 0 254.1113111111111111 - Water beater III VIIMIIIIIIIIII ttu"st''Iune:' 64- 1 .n4- 0,41/ 7,4te.---- 'iiiaterpiPing/DWV 56.29 ,• Address:- .o, $-69‘ 01.0 Other . 25.02 clOyStato/01 S.T, ()Java\ arc. ell t,S1 . . Salspotal Phone:(50.3 'r It 4t- Kri Palc 611 t'121-4...11,0 wanum permit fem. S'7230 Plan reyiew(25%of permit fie) (:03 1,ic;: igifm . Plumbi4t-ic.n6. 1 kali State stirclintIP(12%ofpettnii fee) Autlitidzed sigrrittum ,, .. , . , . . ryAlio -" ,.._._. + 113CC4t TTALP.134(1T PRE . ..Print harnet S+Vii- :.°Wk,./2.-.. riot&mitred witairrue days Didc2"7'36-it, 1""mit appikifir,i72:,If a.Perritt, , , .. *Fee methodology est by Tri-County Bolding Industry.Service Board. etwediog‘namsowLtstiieroitApp.me 10/01/09 440431 6/04002/COM/WIM 3 f City of Tigard w COMMUNITY DEVELOPMENT DEPARTMENT 11111 ■ T l G A RD Building Permit Review — Residential Building Permit #: 44 • —Q / p Site Address: /9z/W .?j{,) C? /, D."- i111/i7 . Project Name: ,f1'/v.e1-- ' frcoee J jeS Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /Lied �, /erir site address/suite# exists and active in permit s stem. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Si Plan Elements: tee(3)copies of site plan W ':+'4sting structures on site VA site plan must be on 8-1/2"x 11"or 11 x 17"paper ,II Footprint of new structure(including decks)with finished U •rawn to scale(standard architect or engineer scale) 'oor elevations 0f)':PA orth arrow 7/ tility locations (required for new,may apply for additions) e address,project or subdivision name and lot number J .vocation of wells/septic systems A plicant information(name and phone number) ? sting trees to be retained with drip line,and tree t dimensions and building setback dimensions srotection measures area,building coverage area,percentage of coverage and U street tree size,type and location • pervious area(applicable if R-7,R-12,R-25&R-40) II Street names Property corner elevations (2 foot contour lines if more than 4 foot differential) fie. an Water Services—Service Provider Lette of platted prior to 9/10/1995): equired: ❑ y ,applicant was notified N(lo Received: ❑ Yes ❑ No Public Faciliti Improvement(PFI) Permit: /Required: Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake and Use Case#: I)/ 2O/S'= '.O �J.s-= RC1 '' i l� t� roning: P- bequired Setbacks: Front Rear '0 Side Street Side Garage ,20 0 andscape Requirement: oQC) of Coverage Maximum: ' % , BuildingHeight: i7 lg Maximum Height Actual Height isual Clearance [I/ asements v(E ensitive Lands: Yes El No Type ,Q ,)— c �r Urban Forestry Plan 42-/1-31--- cve7 ek kr.�J%U' 1 61 El Conditions " t"prt r'.11to issuance of di}igrnii� 72bNotes: ( Jllt'/�7G1lo2' S., / Approved By Planning: —�-- i.y/ i� Date: —.... 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 091216.docx r IR Building Permit Submittal Original Submittal Date: tf/6`/7 Site Plans: # 3 Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning ,'Engineering 1'"PPermit CoordinatorBuilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) / Route Application Documents: p'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: /1By Permit Technician: Date: 1-7/4///7 Engineering Review /�J Slope at building pad: /13 d...... f'—''�~/ Conditions "Met"prior to issuance of building permit e97 l ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: pdt. _P______ Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ 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: C Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: !(.Yes ❑ N/A Parks SDC: Yes ❑ N/A m _____--- OK to Issue Permit ,�� Approved by Permit Coordinator: Date: v°" ,i I:\Building\Fonns\B1dgPennitRvw_RES_091216.docx n f w City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT ilkC TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: /1.7419 S. C. - /j7'in:e &?J Project Name: _deiv f- ` -, ,2C' Ag, Lot #: 9--2-/ (New dwelling=subdivision name;Addition Alterationn =last name of owner) Planning Review of River Terrace Plan Distr. 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 mi5 dee Balcony w/ access 2 Window Projection Vertical Wall Offset a p n. ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 2%of ach street facing facade must include windows or entrance doors. Percentage Shown: Q C/ 3. trances:At least one entrance must meet both of the follo ' g standards: Max. 8 ft. setback from longe t street- facing wall Parallel to street,angle no more than 45° from street, or o en onto porch Entrance opens to a porch: Yes CI If es,all the following apply: i q.ft. min. if e street facing entry ft.max. roof above floor of porch t. depth min. 30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five of e following elements on all street-facing façades: Recessed entry area min. 5 ft.wide x 2 ft. deep overed porch min. 5 ft.wide x 5 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 woodable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. horizontal lap siding min.3-7 inches wide 0 Accent siding min.40%of street facade Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Set acks: N closer to front or side lot line,than longest street-facing wall. CI Yes No. If No (Check one): yMay 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) foot wide garage door CI 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: --`�`----- - ' ,...:044Date: / • I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx