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Permit (44) CITY OF TIGARD MASTER PERMIT II Permit#: MST2017-00139 COMMUNITY DEVELOPMENT Date Issued: 09/21/2017 -f-E t t1, .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 RainStorm Sewer: 100 0 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 add'I 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`22332..1987 or 1.800.332.2344. 0 .. Issued By: Permittee Signature: C etrph 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. 4 ' t Building Permit Application '67 7-S L.,_. ` / Residential RECEIVED FOR OFFICE 1_SEONLl City of Tigard — Reee'°y 6` /1 17 - Permit N sy >J7- I 3 Y Iii4 1 hone S50 Hall Blvd.,Tigard,OR 97223 8.19 APR 6 2017 Review )3 j.� Other Permit54,4420 17-01 C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: 7,7 i / 0, suns: H See Page 2 for TIGAFD Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: LG/If �' f Supplemental Information e7'79iL /ll//G6/eG E S "s^_ 41 '` cz < 4�'I 8 i ! € 1k-l@ pias€a, C . Permit fees*are based on the value of the work performed. ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the �, �� .' . , t- t f - work indicated on this application. / (� ,w ., � e .•g , _ ._ : f ''' ,_n .' ,= v„:._..,. Valuation: LID-6-901.5- _ Lta 6� 79 0 ® 1-and 2-family dwelling 0 Commercial/mdustrial Number of bedrooms: 4 0 Accessory building ❑Multi-family 0 Master builder 0 Other: Number of bathrooms: ,�" 4 4 .•4,, . .`9 - Total number of floors: 4-1 , ? v Job site address: 1 7 12. c. J 1.ei (l€'1\1 a, New dwelling area: 30491 tare feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4ko(4 square feet Suite/bldg./apt.no.: I Project name:ld�i J.e -I eArra & NM Covered porch area: lot 91_,quare feet ) 6 6 6 Cross street/directions to job site: Deck area: )7,S— square feet)ay Other structure area: square feet t ! illi' , + .. i, .. Subdivision:VA,v' ` fArC Ce. ...3\)•.) I Lot no.:1) 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,labor,overhead,and the profit for the ;E R ~E" t ;ire' _` work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet .i g ;7411,-`c!'- `74=A -0411.4:',/-7- 7- t >-. Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: q ..- � a s �' Ear ,R54, - . Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 136 Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) E-mail:Angela Grajewski@polygonhomes com ' ""°' '" �� , {' Commercial and residential prescriptive installation of �� -� � �� �'� � � _ , 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. 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): CCB lic.:207247Total fee due upon application: Authorized signature: � j� This permit application expires if a permit is not obtained V/l(L al t!K within 180 days after it has been accepted as complete. Date: *Fee methodology set by Tri-County Building Industry Print name: - Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) t t Mechanical Permit Application i ON ill 1,{ I i 'Ni {,\I 1 Cityof Tigard Received T'en+rit Na. �� �'„ Dare/Br • 13125 SW Hall Blvd.Tigard.OR 97223 ' Plan Review gi Phone. 503.7182439 Fax 5113 598.1960 l ateB.; Other Permit. Inspection Line: 503.639.4175 p a ;BI.; 1<ais ®See Page 2 tar Interact: ttvfw.tigard-or.gov NatifiodrAtethad Supplemental larormatioa a v x,14 - lf c�N't q-aeeZc .E �. .•� Qy - -� -':..,'� � `� Mechanical permit feat are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materats.equipment.labor.overhead.and profit- �r-. ' r'-4, 6,, C-4,..-' S'sF-. . .eGt;"n'...". ..' s r, S ey 25-..�I s�.b 'fe, f" "` i •1-and 2-family dwelling 0 Commercial/industrial 0 Acces.ory building Far specidlrformrdion rise checklist (ulti-family 0 Master builder 0 Other, Description I Qty, I Fs. I Total ;issue , , ,-.--;4,-'f,t 'y ' t t ;,,4 "i-, Heating/cooling Eve,'+ y 1p i 1t�Fi f• .E,•.('Lely 'z (3177^. Cmc:r'6, '..A., .-,-.4:-.,-.. ..,5... . , _. - • Air conditioning � 46.75 Jots sii address: y Z � lefY\ec lee, Furnace 70(1.000 BTU(ducts:waist ( 46.75 I City/StaterZIP:Tigard,OR 97224 Furnace 100.000+BTU tdactrsverust 54.91 i•leat pump 61.06 Suite/bldg./apL no.: Projeel name:P--.1\10(Terrae-e.(\ A A\ *k '`Duct work 23.32 Cross street/directions to job site: 1 v I lydrenic hot water syste n , 23.32 Residential boiler(radiator or hvdronic) 23.32 Unit healers(fuel-type,not electric), in-wall in-duct;suspended.etc. 46.75 Flue/vent for any of above 1 2332 Subdivision lion(�(��1(-Q r N,v�„,�AWGS-L Lot no:-.12) Ola 23.32 ` Y` f 1 Other fuel appliance= Tax ntaplparccl no Water heats { 23.32 2 a'' ; e k e f .'?-.:44,:i y , Gas fire laa�nscrt 1 33.39 �` .x a- ? .' t 'i�f� tom_ �-�° ati,re. p Flue vent for cats heater or gas fireplace 23.32 Log lighter(gas) , 23.32 Wood/pcafet stove 33.39 Wood arcideoziimscrt 23.32 Cbimnsy/lincrfflu&vent 23.32 `Y ,k I „3 i r 7F .'-''',, i2.-',.'1--P• +n' ,ars t ,,-.. ..•••:,t-.!•i.,::, �, e a _3 "'-e:,z c ism; �'r 23.32 Environmental exhaust and ventilation: Name:Polygon VILHlr LLC Range hood/other kitchen l equipment 33.39 :address:109 East 13'sStrect purttrs dryer exhaust _L 33.39 City/StalciZIP:Vancouver,WA 98660 Sin:It-duct exhaust(bathrooms. toilet compartments.uu1t y moms) LA) 23.32 Phone:(360)695-7700 Fax:( ) Attidcranlspace fans 23.32 7 '-' ,' s `t ''-4-q_�'.` r '= . 4`,':4`t:;.':',-,r-4'.rI kej N-u"-.,r.V i /1;r• C,.^`1,-,,,,..". Other, 23.32 i Fuel ping: Business name:Polygon WLH,LLC S1415 for loaf tour,51.03 for each additional Contact name:IMiehoI e —awe,yap Furnace,etc. 1 Address:109 East 13th Street F" Gas heat pump Waufsdspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-'4442 Fireplace 1 Range 1 E-mail: G a 14 - CI i' (f err ,r 0) I 44 1 Barbecue s N-x "� _ r$7i•,e°'� r» cwt r ty t` F A *V-' ',; ; a• Clothes dryer(gas) Business name:Apex Air LLC ()ileii'l.-:-.-:T7,...,-z-:: :'-,::',,..--":::'IS---6C,:q::,-ii. /- Address:18004 NE 72'd Are ~Subtotal 3 City/State/ZIP:Vancouver,WA 98686 Minimum permit fee(590.00) Plan review(25%of permit fee) Phone:(360)342-8109 I Fax:(360)3264769 State surcharge(12%of permit kc) CCB lie.:203034 TOTAL PERMIT FEE This permit apprtwtlon eapins Ua permit is not obtained wilhin IN days aftertt has been accepted as complete. Authorized signature: • Fee methodology ad by Tri-Courcy Building Industry Somice Bond Print,(tuner .I I Date: 4.l9./C•• l'Ruitdiatt34mrin.ME{_PeesitA1pM0ir3dat 41lrr 1iT(1I,V2!('OM•'A ) r ' a EIectrical Permit Application Fuit OFFICI LSE ON1,1 C'ity C Tigard ' Received f ; Daide :: Permit d: 'a 13125 SW Hall BlvdTigard,OR 97221311 l plan Review Phone: 503.718.2439 Fax:'503.5911.. 1941),; ; DeteB , Related Permit tic 11Gii1tD Inspection Line: 503.639.4175 -.. i a. <'. ReadyDate/By: )uric HSee Page 2for Internet www.tigard-or.gov r, .-. } - r ,,,,s Notificadetbod Supplemental information _ F`{;..r,, AJ-�v5._;.•u�.. -�-. s-w- 2!937 � �--r-,.�!i.:"5 •fat - --.r,v .-:�y4.:•s��y ®New construction 0 Addition/alteration/replacement Please check ell that apply(submit'sets of plans wfrlems checked): El Demolition ❑Other - 0 Service or feeder 400 amps or more 0 Building over three striries. wL ce the available fault cumeut 0 Marines and boatyards. `- u Jn) ri* ;3V ;tic Stitt €g- 076k=7; z ti3x.. 3y. T: exceeds 10,000 amps at 150 vols or ❑Plowing buildings ®1-and 2-family dwelling 0 Cotnmercial/iridtistriat 0 Accessory building less to gel or exceeds 14,000 ❑Comwesuiai-use agricultural ❑Multi-family - ❑Master builder 0 Other: Fla for ail other installations. lnstabuildiationgs.. ❑Fin pump. ❑Iiutalatimn of ISO ICVA or ticartratek?".2riiii.:A:-Ela' eT m; •t F'•.SIB ‘;a.e 1 g v t` _"•. OBmergencysystem. largo 1 derived Job#- Job site address:1'� .' S \Q IMd,/��f�p • 0 Mditioa of new motor load d. h seam • n.�1 IGr, �r 1o0HP or mom. O'a".'�", City/State/ZIP:Tigard,OR 97224 0 Six or mom residential units. occupancy. QBealth-oesafacilities. 0 Reereationel vehicle parks. i Suitt/bldg./apt#: I Project name: t Ik1,1 Q Hazardous locations. Q sappty voltage Sm more than I `� 1 6n f"� QService orfoeche600amps ormom 600volbnommaL j Cross street/directions to job site: r'. P?; ;; .2 l.y. r;4t t y4 - ff Hesedptbn Qtr- Back Total • p� New residential single-or multi-family dwelling unit. Subdivision:410( � r-quoc .}-- Lot#: , 5 Includes attached garage. Tax map/parcel#: t 1,000 sq.R or less r 168.54 4 Ea.ad500 sq.ft.or portion , 3392 d'l1 -=:riA , - f i=itl gglA``4;.0 ;4; 4 _' "A Limited energy,residential or• (with above sq.R) 75.00 Limited energy,multi-family 75.00 residential(with above sq.ft) ... Renewable R ere eEn a 0 SoP :e2 Iii,-;.5‘.1-.4J, . {7.'vedic---4 ;-s z ti� Yj Seri 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 to 400 133.56 2 401 amps to 600 amps 200.34I 1I 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: reformation Owner installation:This installation is being made on property that I own which is not 200=Ps orless 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.J1 201 amps to 400 amps 125.08 2 Owner signature: Date: - 401 amps to 599 amps 168.54 2 £ , Branch circuits—new alteration,or extension ,er,ane! ''''";:";K."-E-;- ,La.!V ids _.a�sx 1`"Cr-":-'-'''''''' .; ''u. 1F t : L„r N3'a• a - _z,. - `-�' A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service orii•eder fee, ! tach branch circuit 7.42 2 Contact name:Nith o f/f �OIp. B.Pet for branch ciratits without I 'YY''�-- service or feeder fee,first Address:109 East 13th Street branch eiteuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add1 branch circuit 7.42 2 Miscellaneous(service or feeder not included Phone:(360)695-7700 • • ' I Fax::(360)693-4442 Each manufactured or modular 67Email' dwell',_ seryl and/or feeder ox 2 .4 *+a // / go t• /, a / /,i 11 Reconnect only 67.84 _© ,. _ ..-, f;ci-i t,;zc, e1,i z t r ) .+?�' Pump ur irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 `•.ti,. Signal circuits)or limited-energy Address:6101 NE St Johns RdQ See Page 2 2 petrel,alteration,or eldauiat. City/State/ZIPVancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.0W hr Email:bdaniels/Qgweusa.com Industrie/plant(l hr min) • 78.18/hr Inspections for which no fee is 90.OW hr CCB Lie.: C1158 Electrical Liie.: 208174/ f�" Suprv.Lica: 4496S specific listed hr min .A A-Y•f t! 7• // __ k;'-w z- C )a5�y-�::T�f u_t�-'S 2lHN;'J -�.z?.'9 • S11pty.Electrician signature,required: r-relhly :: Subtotal: Print name: Joan P Albert Date: 4/26/2016 0 Plan Review Required(25%of permit fee): :: _ Statesurcharge(12%ofpermit Ste): Authorized signature: TOTAL PERMIT FEE: 'S This permit application expires if a permit is slot obtained within 180 1 Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete ;a:s'•lissad • Number of inspections allowedperpemit nliWamasIII.0 PermdtApp • SLR FRE-dx Rev 0 611 7/20 1 5 MlN6t5T(11/05/COMIWEa 1 11. r' a _ Plumbing Permit Application Building Fixtures ,, k , City of Tigard Received Permit No.: i 13125 SW hall Blvd.,Tigard,OR.972231 p7sa Review Other pmt No,; 71 4• Phone: 503.7182439 Fax: 50359$1960 Daum . 7vde See Page 2 for Inspection Line 503.639.41751., , ,- Dara Y l ' 1> Internet www tlgatd-or goV 14oti6ed/Method _r t _ Su lamp-Mal Informadoa , } n_ ( - [ice t t A ---7-.;.3,;--:-..,,,..71--,-.:.4 .-4,4,1* _ -.` :.-,4:-. -:-.,,---2,--rim:..--z„t 4o-,,,--1✓-s.,,{ _ '-•t -._ a "_'''� Far weds,information use clt 1pL g''' construction III Demolition Description 1 Qty, I Ea. I Total ❑Addttmn/alteranonJreph►cament 0 Other New 1-2-family dwellings(includes 100 ft.for each utility connection) _ -.--. ...,6,--.r-In-i-,114.,,,,, ` SFR(I)bath 312,70 r• ; -. '_ Y`�, ``•° . -- SFR(2)bath 437.78 ��� 1 and 2—family dwelling 11 Commercial/industrial SFR(3)bath ' 500.32 0 Aecessory builcfmg ❑Multi-family Each additb.nal bath/kitchen 25.02 ❑Master builder 0 other: Fire sprinkles(_sq.ft.) Page 2 = `m�"' 3' '� ,y sl e e r— = i -tr Site utilities: ; syen it '_ s� Catch basin or area drain 18.76 Job site address: / \,k) t ' Q,1n IN.P.,S Drywall,leach line,or trench drain 18.76 City/State/71P:rgard,01197224 Footing drain(no.linear ft.:-J Page 2 Suitt/bldg./apt no.: I Project name f inert-t rice, Npy({if)WManufactured home utilities 50.03 4 Manholes 18.76 Cross street/directions to job site: 18.76 Rain drain connector Sanitary sewer(no.linear it:_, Page 2 Storm sewer(no.linear ft.:_J Page 2 " Water service(no.linear!t:_J Page 2 • Subdivision: `UC.r 1"ex�rd�G 3 t rt tt.W CJ* I Lot no.:�7 Flrtore er item: 31.27 Back/low prevcnter Tax map/parr-el no Backwater valve t 1231 , •.y'1-11;1- .:.:1-1.--l;4 i T ._ Clothes washer 25.02 Dishwasher 25.02 Drini:ieg fountain 25.02 Ejector:/sump 25.02 L =a-1 Edon hat 12.51 f3!:',1-.:::1.)-1'.--;:',Ir'f::t"tt n'-,t•.''' af..a u; -.; -Fiaaaciacwer cap 25.02 Name:A1)yL Land Holdings,LLC Floor drain/floor sink/hub 25.02 . Address:7600 E Doubletree Ranch Road Garbage disposal 2502 City/State/ZIP: bib 25.02 LIP:Scottsdale;AZ 85258 Phone:(602)694031 Fax ( ) "Ice maker 1231 25.02 , ..4,-.124.,,,,-,..„...,•_cr -1 ict� i r f Inaceptor/grese trap y ,3r _it • }„ ; < ,, L, .. . , Medical gas(wine: J ) Page 2 Business name:'Wlllistn.Lyon Homes,Inc ?timer 12.51 Corttact name: l dip 0y 9e Roof drain(commercial) 12.51 i" Y" Sink/basin/lavatory t twiSYZ) / 25.02 Addtiss 109 Easf 13th Street . Solar turns(potable water) 62.54 dy/State/ZIP:Vancouver,WA 98660 rlyib/showetJshower pan 12 51 Mont?.(3b0)69$470I Falc:(360)693-4442. 25.Q2 Urinal g7nutik, .I 1 1 - I r • • V,,,7.-,,,--t-,, � Water closet 25.02 7.:.-g. t' la `r Y _-`n ;:,..1::::---,,-R•!-:-:-',_;, Watertenter 3132 Business name:• 6,4—,_6tJ j vu ,r-Sv A' - Water piping/DWV 56.29 n �. 25.02 Address. Q frc Subtotal -City/State/ T � (g�C• A+1i : 5T. iitsi - ..�,/� nimam permit fan: S7250 Acne It( --SUS— 1411 Fa'c(• 7'V—"'»1,1' Fv Plan review(25%6 of permit fee) � CCB Lic.:• Plumbing Lie.noRts cog" State surcharge(12%of Permit fee) IOTA}::PERMIT'FEE e Authraixed sirmane ; tp —T htt permit application espiret if a pe:mlt is riot oMaised within in days I.Pant naulb Bi" �rL� I Date —)b I atter it y been acceptedai as Industry v *Fee mattwdobgX ter by Tri-Comity Braiding r Service sorra. /,, Lib dee 10+03/09 440-4616TflwrelOOWsion 1 Plumbing Permit Application . . . . Bantling Fixtures RECEIVFD City of Tigard Remind ?met No.:' • • • --- 13125 S _Wadi Blvd4 TIS'aill,OR 97223h/lAY 1 7 2017 ThaerBY: '- Plat:Review' • Phone:593.718.2439 Fax: 503398.1960 talent . DtherPerTIAL No.:. lnipeatiOn tine: 503.639.4175 CITY OF TIGARD Dee _ _Reseymi- _____ Internet wWw.tlgard-or.gov : c. ' btaanugssan,64 :111'w I Rgi,:te Palle 2 trr loan .'',,::;•2-:',.-,-,,:,...;:-:,:si=„,: ?;: 1..z.Vii.g,7X.:,4 .iii- . * 4.:::,'''''';',1"17.;?-7,'"%---:::-..,:'''-"i'%:-'i'-'ti:r?,'. .-7'-:,•41,2-"-7-'fil'i.i.- -kr,' - Nowcoasicuction IIII DepatIon For:sPocial inionitirtion iise checklist Description I Qty. Ea. i Total 0 AdditionlalteeationfreplaceMent CI OtherNew 1-2-fandly din:Mugs(includes 100 ftfor each utility connection) '..-. .f. (1;-.M ";-.-'• -t.' ' '' ' -,'H'''''-:,•''' '..\--,.'..:;.,?'-'... .7,r..--. .7.--...,.:-. .,9;,- SFR(1)bath 312.70 SFR(2)'bath . 437.78 .0 1-and 2-Faciily dwelling N CommercitiVindintrial ' SFR(3)bath 500.32 0 Accessory building' . 0 Multi-family Each additional hathAritchen 25,02 O Master b** . 0 Other:. The sprinkler(.___sq.ft.) Page 2 .. .1,,::•5',,M.",''':7"75...::;;•":-M-V=r7-g4.77.17:3.fitri'7. 0'ni:"S„NV-7.:17R:Ig7':IT Site.litilitiel" Job site address: 11 O SW CreoveArvilk, at- Catch basin or area drain 18.74 Drywall,leach line,or trench drain 18.76 City/StatettIP;Ilgani,OR 9722A ,. Footing drain(no.linear it.: Page 2 ,_, ,Suitnehldgiapt.no-- _I Pmject num'/4 i ye r7rdtraCe HD1414Werf Millufeutiired borne utilities . 50.03 Cross street/directions to Job site: Manholes 3.74 Raindraineonnector 18.76 _ . • - ,- • • Sanitary sewer(nolinear ft:_J Page 2- . Stoun rawer(no:linear tt.:.____) Page 2 • . . . . ...... Water Service(no.linear it.:____) Page 2 SubdiVis.44 prnir-1:f r rat?. NO rtiOlit-ti- L4 6°-: -15 'Pak inigikanici mi.: . . , ilackfinw pm-vaster 31.27 ... •:',..:::R:. :.:..,-:::::::::.- --,:-_-..--,1-, '-ia'..-7'..7‘7'.0: -Iti'<f-t6;IK-VM)T"--•:;::::: .:§7:!ji-.:--,':-:'...'''--.'..".'.:::-...*::_-.] ::;:: Backwater valve 1231 111 1 25.02 iff it') .&. 0 Dna] &ter {-leGI tle ' i - .___. Dishwasher . .23.02 McTzi /14S111)11 '''( CP Px44,14foogain 25.03 ., tiectorrAump 25.02 _ . . . . :''',7c.:.::::-',:-..--.,-,.•-,',.::-,yiT::,-..:::-.:-: -•'":;:i'W;'.;:7'7.,::::::',7.-•::.:,:':-'---,--;:i'-.7,-:: :':--I.,:;.:::1,'z l'.e----;••'':,.-"=:-.,.:'%,..,', '...;;-:. Expansion bulk. 0.51 25.02. Natee.:;ARVI,Land Holdings,LLC Fixture/sewer esP Floor chainilloor sink/hub 25.02 Address:7640 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:.Scoteniale,AZ 85258 Hose bib 25.02 P.419-FP:-:6,f#)69.44403. Fax:( ) lee maker. 12.51 ,:.',:it.''',: :;.:::::'.--.:r:.::'-:'YT.,-gi-,.-_--.T;,i;:-;;!•::::::±1:1.r. 5;-']C....:'.:'.'--4-!;•'-3V,''.ffifk;;..1.-::5-i.4:1!::;4- -:'%.1j!:.i'":::.:;:: :::: 111"Igrfitaase iTaF 25,02 . • Medical gas(vislisec$ ) ' ' Pages Rosiness mow VV-iiiPm Lyon Homes,be. 1.'ritilge 12.51 C6004.06.10.1 Ni GIA o kr.510,r9e. , Roof&sip(commercial) 12.51 Address 109 Eas13th Went .. Sink/baths/lavatory 2502 City/State/ZIP:Vancouver,W98660 Solar units(pOtable water) 6254 nte.00i"0.04695-7700 Fain:(360)643-4442 Tubiailowaisbower pan 1251 25.02 14:P/.6111''' ', . ..44, .. • . II 18 ec- /. r , 1..-Lial 1:4 . 25.02. r:'-..'.. -;,3.,-",-''J-.-:::.t-,'!..- --..-7-,F;,--,:_-_,;-:.-=',--"..-'?-•:.-,:!,2_: _::,fs ..4,...[..i-.12::::*,.:....:,:,-!:',i'5:14:-7•-•:.-::-,,,, ....••::,-...,.a.:f!,: ,,f,F,. ,a,„"---- -7Ceoes, I 37.52 Rosiness name .644 ts 1,4,,.. . %.ic, .4-- a.,,frtove 7.. 'iiir afar piping/D'iyV 56.29 Address: ‘oftt* Of ' Other: 25AZ CitY./Stge4g; ST., e44,4 art, . (3113-7 . . . .Subtotal x: _PiltUt*(343.,-.S4t- 14L1 Fa (11 4/a11 . 10 Minim*permit fee:..37230 . Fls9 teTiaw(25%of neunit fee) , CO 1.,le.4 1.8131a_ . . Plepting-Lie,on.Pb. -kaq - State Mir:Urge(12%of 9*Mft fee) Authorized signature: 1;4t ---- TorAL gEOOT FS - ,i"iiPli6okei:6+-ttit_ 0 kw 14.0_,... ,. ndt POW*sPeititt.ss exP.It!Stis-PWS,Ultts.ult at.ttahnd Withlitile days 'Merit has biiiiL occupied is ameba% *Fee methodology set by Tri-County Building bitinitty Service Bona tiBiulditeSsioninnlirdieuittAppriot 10iO3/89 44046161(10XiitOk4/BSS) 11 111 City ®,f Tigard a COMMUNITY DEVELOPMENT DEPARTMENT Il T1cAuo Building Permit Review — Residential Building Permit #: `, , "7,1P. 3 Site Address: ` �6Q �9ij (7 1i t 1 — Project Name: /v-� ' arc,2Ct. j ,J. Lot #: 5-3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: - 4 jek,vz( � erify site address/suite# exists and active iner p trot Xtem. River Terrace Neighborhood: El No V Yes,See River Terrace Review Addendum Attached Si oPlan Elements: —_ t ree(3)copies of site plan ':2�sting structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper IA Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) 'oor elevations •orth arrow ►I tility locations(required for new,may apply for additions) e address,project or subdivision name and lot number J:io cation of wells/septic systems A plicant information(name and phone number) t:l': sting trees to be retained with drip line,and tree of dimensions and building setback dimensions erotection measures area,building coverage area,percentage of coverage and VA•treet tree size,type and location • area, 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) 1g an Water Services—Service Provider Lette of platted prior to 9/10/1995): ic2(ftg16 equired: ❑ Y applicant was notified No Received: ❑ Yes ❑ No Public Faciliti Improvement(PFI) Permit: equired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake F rkLand Use Case#: P,b� 1%S'(Pb)- O c , �62,•-n .,�/S 16068 Ooning: P- �—�'c S� equired Setbacks: Front Rear Side Street Side Garage ,20 011 andscape Requirement: cQ) % of Coverage Maximum: i % Building Height: Maximum Height "----11 Actual Height Qg �� c I isual Clearance STA asements ensitive Lands: Yes ❑ No Type 40/0— c eti k /- . cvnel Urban Forestry Plan V n1 � ❑ Conditions t"pry rl1to issuance of b, '` g pit-mit ) Notes: C llld/�7G)IA.S' SAW/ 111/a priC)r /`T S` , r ip- Approved By Planning: ':Z=:: --'"^ ,_, te Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved El Not Approved Revision 3: 0 Approved El Not Approved I:\Building\Fonns\B1dgPermitRvw_RES_091216.docx r. Building Permit Submittal Original Submittal Date: L//(,((7 Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning ❑ Engineering >e 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. ) ' Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: G� /� ,�!/„t '""" �,/ By Permit Technician: 'l�J'L,ti(. Date: "fh En ineering Review Slope at building pad: 7,1; --�— conditions"Met"prior to issuance of building permit ©p Cj r —LJ Easements (encroachments)per engineering conditio s of approval and plat El Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El 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: .ifj---i2tDate: 4--/1-/7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved EmzeimmomisummEgazzEm- 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: 1,6C Fees Entered: Wash Co Trans Dev Tax: Yes El N/A Tigard Trans SDC: ( Yes ❑ N/A Parks SDC: Yes ❑ N/A « /tE K to Issue Permit 11 Approved by Permit Coordinator: Date:• 41 / ./ u�� V(el° Q 60," CT I:\Building\Forms\BldgPermitRvw_RES 091216.docx ti IIICity of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: /72.70'q `S7kt ) ekit An e._ \S:74? Project Name: 'j1„er ` O f 2 A}eZ.71-- Lot #: 'j (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 ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer CI ❑ ❑ ❑ 2. Eyes on the street: a minimum of %,of each street facing facade must include windows or entrance doors. Percentage Shown: /?*- °A) 3. ntrances:At least one entrance must meet both of the follo ' g standards: ax. 8 ft. setback from lostreet- facing wall Mnn 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: 5 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 rRoof eave min. 12 inch projection 0oof offset min. of 2 ft. ❑ Roof shingles either tile or wood Oil 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 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 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 c Notes: Approved By Planning: e- ,/ Date: I7 `, I:\Building\Forms\AldgFermitRvw_RES_RT_062216.docx