11-November (2) IIp CITY OF TIGARD MASTER PERMIT
I . COMMUNITY DEVELOPMENT
Permit#: MST2017-00267
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/03/2017
Parcel: 2S106DA04600
Jurisdiction: Tigard
Site address: 16894 SW FRIENDLY LN
Subdivision: RIVER TERRACE EAST Lot: 46
Project: River Terrace East, Lot 46
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 2 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 2229 sf Value: $271,136.41 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: 1 Water Lines: 100 Drains: 0
Bckflw Prevntr: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 4 201-400 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
2229
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660
STE 1
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $32,133.54
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 throu.•0'R 952�-00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
IF
Issued B �% ` � ` (2 e�eJ
By. �� Permittee Signature: / C. y %lC /`
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.
. ,
1___..0 t" 1--/G
Building Permit Application
RECEIVED FOR OFFICE LSE ONLI
City of Tigard 2 2
Received 7 / / I / Permit No.- s�)n/�—Cf/)�a7
JUN DataB : /�(/
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �y
Phone: 503.718.2439 Fax: 503.598.196Q Y i BARD DateBy: ' '` Other Permit:`�^C'G , KJ �
1.13t Inspection Line: 503.639.4175 I`rr 1, Date ReadyBy: Juris: H See Page 2 for
Internet www.tigard-or.gov #PV+ 'OI Notified/Method: Supplemental Information
m
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
r--+fig t 51 s' ff $ € work indicated on this application. , 13�
q..°„ a,. K7, . a �: ;, " Valuation: $
® 1-and 2-family dwelling ❑Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
�I y g, to a e q'�a a g Total number of floors: '(//11�,VV
tiP� va � a ;i3 �` ins'
Job site address: , oils a New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: s ware feet ask
Suite/bldgJapL no.: Project name:River Terrace East Covered porch area: qua CO(6
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
` � 1 8 d t q, 4 rt f • ' ��' n8 4
Subdivision:River Terrace East Lot no.: inns 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
re �g a ` ` � work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
e 9 -1 * Number of stories:
t.-
Name:ADVL Land Holdings,LLC Type of construction:
Address:7600 E Doubletree Ranch Road Occupancy groups:
City/State/ZIP:Scottsdale,AZ 85258 Existing:
Phone:(602)694-4031 Fax:( ) New:
-- .,Z. � ..,... ce, <, I s . MET�r.:-, x
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:Nichole Thorpe
FLS plan review fee(if applicable):
Address:109 East 13th Street
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Phone:(360)695-7700 Fax::( ) �
Amount received:
E-mail:Nichole Thorpe �
err �� ; �- -- Commercial and residential prescriptive installation of
�-.: ="° ; � k � -7? roof-top mounted PhotoVoltaic Solar Panel System.
Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 109 East 13th Street Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
CCB lic.:207247 Total fee due upon application: $201.60
Authorized signature: / W� This permit application expires if a permit is not obtained
iiL �,, ` � within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Date:06/16/2017
Print name:Nichole Thorpe Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
•
1,4
Mechanical Permit Ai plicatib r '-d' t46.4t'''
FOR[)Fhi(i l SE OILS
City o *riga rd Rech.-
thucB}:
P4Mit .6/15 TGd 7'00076
.
1I .* 13123SW Hall Blvd.,Tigard.,QR 9fl23,1J(: $ rn17
Plan Setiele Phone: 503 7182439:
Fax: 143.5981960 e: '', ,'' )
Uine,1l, Other hermit:
l A r D Inspection Lini5036394175 C171.1!, i
aturintamct. www.tigard-or.gov
7.)1(1.'3„:j " Nota Notified/Method; SupplementaItfo
rmatien� tTGri, _ . .
•
Viii h t t_..-t i '. c+3 40,s4,0f fc1A.L Ai; t uHl*'V,FI'+? ;MYP.!2 Pry�
®New construction (�Atidith nlafteta€it nfr Mechanical permit fees*are based on the value of the work
Slacetpeill perforated.indicate the value(mended to the nearest dollar i of all
[D Demolition 0 ether: mechanical materials,equipment,labor.overhead.and pesft.
2 4.CI},2`E(O.RY"aF -aa Rot -'moi_.' { i -
e
,.: �....;` 1tFSCD.EtK�tA�rl: . ,"1:",153 STi&'�lS PF<F.$w :,
71 1-and 2 fatmtly dwelling 0 Cetmmercialtindustrial 0 Accessory building For sped nlbrfonnat'ion us'rehrcAust.
I Mttlti-farm .
y 0 I<d�tcr builck:r 0 Qtiscr: Description
,. . . . Qty. 1 Ea. Total
2QS SIT 11K �}Rblt $ill t A Iv'[1=L43C i?O' 1kt hi%1$+1lsS;
Stab silo atidre�s Air Conditioning _46.73
149 L1 3v 'Fin merry � Furtiae 100.000 BTl.iiduet,.. rts} 46.73
City/State/Zit:Tigard,,Cilt,97224 Furnace-100,00(+BTU fidr»es is) 54.91
tune/bldg./apt.lafst ub.: Project tiaitte } Beat ' - 6 1.06
K lV•er.- -,..G O. + Duct work - _ 23.32
Cross sheet/directions to job site: fl dronic hot water system. 23.32
Residerniaf boiler(radiator or
hvdronic) ' 23.72
Unit heaters(fuel-type,not electrie), r
in-wall.in-duel suspended..etc. 46.75
•
Fitteivent for any of above 1 23.32
Subdivision.I.i Wei �. Lot no.:-.141 • t tther: X3.32
Y ET' ��.51- 1j/ Other fuel appliances!
Tax map/pure)no.: Water heater 23.32
.._-} , .' role u ID*9.i :VVOl(t t Gas Fireplacefittsert 1 33 9
_ :3
a ,St LL 1 kl-"�JIJ � fireplace
cct for water hater m gas
ltreplace 23.32
.Log tighter(gas) 23.32
Woutifpellet stove 33.39
Wood Breplaconnsert 23.32
t' timreyillnerlfiuct ent • 23.32 •
PRt)PERT',A OWNS. _ :.. 0 T1 i>33\I • ,;:. 23.32 ,
other
Em ironmental exhaust sad ventilation:
Name:'ft D V. L-+ .✓1d - D lel t 5 r l.)L Runge hand/other kitchen
Addsss 6 ! 1
1(P OD. ODiA . k .P_ �.,Lrtc,I ! D LcI Clothesdiverexhaust 33.39
Citv/State/ZIP: f 33.39
el iA t, il, ( "'LS 5ingte duct exhaust(katthraams, LI
0�, r For( }.
toilet annpartments,utility morns) 23.32:
Phnne (y (P61 b3 i Atticierawlspace fans •
23.32
0 A_PP(.I�:AN2 _. . 13sE'[)1L"`ACTi'> 1M Other
23.32
Business name 1t(, Nyes Jccr Fuel Piping:
�N i I am l�o S14.15for ilrst tbnr,34.03 far each additional.
Contact name_
art ' I. 4(.i Furnace,etc.
Address: It 1 • ` .r kb)• t R, ' ' Gras heat pump
fit}f5tstelZl}>:Vancouver,WA 98660
Wallimispendedfunit heater
Wnica heater
Phone:(360)695-7700 Fax::(360)69312 Fireplace _
>-mail k 4 ► t ip i .A to • i n 1
.: .. .a: . . _.7. . � � - ( _ .
_ e
Glt+tltrs drr�er sptsi
Business name,:Alien.Air LLC Other:
Address.:18004 NE 72nd Ave
.ME #h7CA4l°ERMfl YE€S" ' :
Subtotal
City/Stale/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00)
Phone:(360)3424109 Fax:(360}326-1769 Plan review.(23°o of permit feel
State surcharge(12%of permit fee) • •
CCB lie.:203034 TOTAL PERS(lT FEE
. - • - This permit appiicatien expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature:
* Fee met 40100 nd by TO-County aull4itts lndufitry Service Board
Print name: I I^ 1 Date; 4.#'7.1't.
i.lBisltlm e.,,xitnAite pe.it.0.}p401 t3 doe 4.44-46[77i t laybtrtitcriii
ei �S P
Electrical Permit Application
d N City of Tigard J L 1 2$ all/?.? FOR OFFICE use ONLY
13125 SW Hall Blvd.,Tigard,OR 972 plarerBReeeiv Femu t /l-S7" /�- CY.�
Phone: 503.718.2439 Fax: 503.598 / s's,�� Plan Review
Tdr j ��• Related
tedPermit!;InspectianLine; 503.639.4175 ?ReadyDate/By: Jurist
HSee IG/RD= Internet WWw.tigard-or.gov [ Noti6ed/MetbodSupplemental Ifor
nfo
rmation
®New construction 0 Addition/alteration/replacement Please check ea thai per` to
apply(aubnut 2 sets ofpiaas'Atom checked):
❑Demolition ❑Other: D Service or feeder 400 amps or more i]Building over three stories.
E'a ` 0 5?i {oSgS ,z where the available fault current ❑Marinas and boatyards.
®�-and 2-familydwelling _ 7 3 " • exceeds 10,000 amps at 150 volts or Q Floating buildings.
0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 Q commercial-use agricultural
❑Multifamily ❑Master builder 0 Other amps for allotter installations. buildings..
r —J.,. ex�p• «"ma D Fire pump. El Installation of 150 KVA or• y e �9i8L-k tµa
❑Emergency system• larger separately derived
Job#. Job site address: �S� ry..p„�11 �� D Addition of new motor toad of system.
t I 1 If i l 100FiP or more. (]"A•=,'B"."1-2,,"1-3",
City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy.
Suite/bldg./apt.#: Heatth-oazs facilities. D Recreational ve tioleparks.
I Project name:giver "�'e tte_e �E(_�c Deus locations. D Supply voltage formore than
Cross street/directions t0 job Site: +— ❑Hca m dee 600 amps or more. 600 volts nominal
_,-- sem"` a19 .:Eft .4`f`. ; q�_. � ,,,
Description Qty. I a- ta
New residential single-or multifamily dwelling unit.cad r
Subdivision: t ,�J,e r e rrz .e. 'E�+ I Lot#: (. to Includes attached garage.
Tax map/partxl##'' V 1.000 sq.R or less j 168.54 4
Ea.add'1500 sq.
R. portion
^�..��V-. h. �. .�,i`�€r tf tl_o O?; s ` Limited energyresidentird 33.92 1
/►1 J LSi! / otr�� 1 (whit above aq.R) 75.00 2
/��
Limited energy,mufti-family
residential(with above sq.$) 75.00 2
# (tel' �it `b 'k3Mxrr1 ��y '� �at �t� Renewable Energy ❑ SeePage 2
Name:ADVL Land Holdings,LLC
�2- `` ="' - Services or feeders Installation,alteration, d/or relocation
200 amps or less t 100.70
201 amps to 400 2
Address:7600 E Doubletree Ranch Road
133.56 2
City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 200.34 2
Phone:{602)694-4031 601 amps to 1,000 amps 301.04 2
I Fax:( ) Over 1,000 amps or volts 552.26 2
Emat1• Temporary services or feeders installation,alteration,and/or
Owner Installation:This installation is beingproperty that I own which is relocation200amps or
intended for sale,lease,rent;or exchange,according� to ORS 447,449,670,and 701. •not 1 amps to I00ess 59.36 2
Owner signature: 201 amps 400 amps 125.x8 �
Date: 401 amps to 599 amps
168.54
Branch circuits—new,alteration,or extension,per panel
Business name:William Lyon$owes,Inc. Fee for branch rfeeder
wed,
above service or feeefee,
Contact name: !V i t.h ole n,net n each branch circuit 7.42 2
J ry B.Pee for branch circuits without
Address: -row,, �� St e', , service it feeder fee,first
r ��L + �`'� ��� branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit
• 7.42 2
Phone:(360)695-7700 Fax:• (360)693-4442 Miscellaneous(service or feeder not included)
Each manufactured or modular
Ematl, I D D • pi YIPS
dwelling,
Re onnet only
and/or feeder 67.84 2
v 4
EI ?.a ,K'5� fi; §£ t 67.84 2
Pump or irrigation circle 67.84 2
Business name:Garner Electric Washington,LLC Signor outline lighting 67.84
2
Address;, . . 1 1 a�� �y - Signal circuit(s)or limited-energy
V S panel,alteration,or extension. D See Page 2 2
a1e/
Pm.v0_11141.)JJJ Each additional inspection over allowable In any of the above
City/State/ZIP:
Phone: 320-1657 1r Ci OS
I Additional inspection(I hr min) 6625/hr
V./11Fax:( ) Investigation(i hr min)
90.OtUhr
Email:bdanielsQgwensa.com Industrial plant(1 hr min) 78.18/br
CInspections for whichno fee is
Electrical Lic. 208174 Lie:: 44965 s ally listed hr min) 90.00/hr
CB Lic.: C1158Suprv.Li
J • • balSury Electrician signature,requn•ed: M . subtotal:name: Joan P Albert •-
'�s w•
Date: 4/26/2016 0 Plan Review Required(25%of permit fee):
Authorized si • State surcharge(12%of permit fee):
gnatare: , yam-----
TOTAL PERMIT FEE:
This permit application expires If a porndtks not obtained within 180
Print name: B171 Daniels Date: 4/26/2016trims t°') days after been accepted as complete.
ARandingtReuaasEE.0 PermitAppELR.EILEabe Rev D6f17/2015 440.46157(11/05/COM/WEg * Nnmbnrofinspections allowed per permit
'::j=
i.
Plumbing Permit Applicati ;. '' ' ;` ,x {d` n i
Building Fixtures x)12 Oi l i( l SI t)\i
City of Tigard ,j l i u r 1(I 1 r, Received
:� n 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No/1,457,261//-4/0,76;7
Phone: 503.718.2439 Fax: 503 19Bp y,' a ti3,,t is M) Dl y.Review
T I l i r1 h n Inspection Line: 503.639.4175 Other Permit No.:
Internet www•tigard-or•gov t ' Judo: 81 Sce Pe S for
-
r; s Notified/Metbod• %l
et
Information
.. ... * -•'''''-- . Ma.: - .; _: ..:..:IrEF.-k.a�i� t:,:.:.�'r:Yv.' .i-',',��,:
El New construction T)L " " ` <:+
[j Demolition For specie!information use checklist
❑Addition/alteration/relacemern Description I Qty. I Ea. -
p ❑Other: I Total
New 1-2-family dwellings(includes 100 ft,for each utility connection)
.. CATEGORY OF CONSTRUCTION." SFR(1)bath 312.70 r
®1-and 2-family dwelling 0 Conunercialindustrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
El Master builderEach additional bath/kitchen Y5.02
0 Other: Fire
sprinkler( sq.ft.) Page 2
'JOB SITE JNFORMATION AN!) LOCATION _ Siteatilities:
Job site address: 11.Aa y C\i,i R;tne , L(1,(\-e--.
Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 v Drywall,leach line,or trench drain 18.76
Suite/bldg./apt.no.: I Project name: ��Je r Footing drain(no.linear ft.: ) Page 2
T(i�a-�"�-EuS4 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
Storni sewer(no.linear ft.:• ) Page 2
Water service(no.
.linear f : ) Page 2Subdivision: n.V1x. 7-um c� fiS.- ILot no.:41
f Fixture or item:
Tax map/parcel no.:
Backflow preventer - I 31.27
. • . DESCRIPTION OF WORK- Backwater valve 12.51
Clothes washer 25.021145710 11 00?191
•
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
®•PROPERTY OWNER ' . 1_ • 0 TENANT Expansion tank
12.51
Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02
Address:7600 E Doubletree Ranch Road Floor drain/floor sink/hub 25.02
City/State/ZIP:Scottsdale,AZ 85258 Garbage disposal 25.02
Hose bib 25.02
Phone:(602)6944031 Fax:( ) Ice maker
®•.APPLICANT15.0
1
0 CONTACT PERSON; Interceptor/grease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2
a
12.51 name:7VI eh Ofell0 yx, Roof drain(commercial) 12.51
Address: D UTA1 '•`a1SySw*C Si 0 Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
t�
I - Urinal
0icAr\0k e_ e Doi o mP , .CAM
E-mail
CONIRACTO Water closet 25.02
Business name:Malmedal Enterprises Inc. Water heater 37.52
Water piping/DWV 56.29
Address:PO Box 207
Other:
25.02
City/State/ZIP:Banks,OR 97106 Subtotal
Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50
CCB Lic.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) ,,
Authorized signature:
G State surcharge(12%of permit fee)
TOTAL PERMIT FEE
Print name:Carolina Malmedal Date:04/25/2016 This permit application expires If a permit is not obtained within 180 days
atter it has been accepted as complete,
*Fee methodology set by Tri-County Building Industry Service Board.
I:1BulidingTermits\PLMU-PermitApp,doc 10/01/09 440.4616T(I0/02/COM/WEB)
r
City of Tigard
p COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: MjT0/2..00. 7
Site Address: IL0M4 &W cine►id Ill Letvle-.
Project Name: River Tet race S-k- Lot #: L+-Lp
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: Nev' s-
Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: El No .'Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
Three(3)copies of site plan '::Existing structures on site
,,Hite plan must be on 8-1/2"x 11"or 11 x 17"paper :Footprint of new structure(including decks)with finished
.Drawn to scale(standard architect or engineer scale) floor elevations
„NiTorth arrow .�IJtility locations&easements (required for new and additions)
Site address,project or subdivision name and lot number ..idewalk/driveway approach
Applicant information(name and phone number) ilkilkocation of wells/septic systems
of dimensions and building setback dimensions Fxisting trees to be retained with drip line,and tree
„IXSquare footage of buildings to be demolished protection measures
.ot area,building coverage area,percentage of coverage and Street tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) .Street names
) Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Yes ❑No
4 foot differential) If yes,is a storm water quality facility shown? ❑Yes Vo '/
- . Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): poi
Required: CIYes,applicant was notified No Received: CIYes CINo We'
lir Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified No Applied For: CI Yes CI No,stop intake
IA Land Use Case#: pp72 tip—cOOD
.Zoning: Q-1 ( p p)
Required Setbacks: Front E5' Rear 10t Side Street Side N 1A_ Garage 2d
.Landscape Requirement: 9.0 %
Lot Coverage Maximum: so %
. sr Building Height: Maximum Height 0(A Actual Height 2q
.321:,Visual ClearanceJ
Sensitive Lands: Yit Yes No Type 1.„c* \IA1uw i/f l"}-011'
A( Urban Forestry Plan
JR Conditions "Met”prior to issuance of building permit
Notes: CbrGt ItlIAC SVYA l I IX. W prior -to l rst nc.e .
Approved By Planning: 'viA („ l i
--� - - �t Date•
II
Revisions (after Building Submittal onl Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: El Approved El Not Approved
Revision 3: ❑ Approved El Not Approved
I:\Building\Forms\BldgPernvtRvw RES 061417.docx
w
Building Permit Submittal
Original Submittal Date: 6(A2-)/7
Site Plans: #
Building Plans: #
Building Permit#: i nter building permit#above.
Workflow Routing: r Planning ngineering ermit Coordinator Building
Workflow Sign-off: i 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:
747/By Permit Technician: / / Date: o
Engineering Review �'J
Slope at building pad:
d
❑ Conditions"Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
,[Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yes 'ff No
Assess Water Quantity Fee in-lieu: El Yes "n- No
LIDA Facility on lot: ❑ Yes .12--No
❑ NOT Approved by Engineering: Date:
Notes: LJA1T fD✓1— !`) 6* Btom' T / 5iJ4
Approved by Engineering: /14((GZ L .• Date: 7 / 5 /7
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
pproved,NOT Released:N)ik
Date: 9-/I Vb'��
otes:
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: ... 'es ❑ N/A
Tigard Trans SDC: Illi es ❑ N/A
Parks SDC: Yes El N/A
LIDA ❑ Yes rN/A
K to Issue Permit 11 Wig--
Approved by Permit Coordinator: /frDate:
I:\Building\Fonns\BldgPennitRvw_RES_061417.docx
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
IN. I.
T 1 GA RD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: I teibc q S\Al itevetiti tztYLe.
Project Name: g-NeQ_ TP•12-12ACC, iS-t Lot #: 41p
(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?'i Yes El No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min. 5 ft. 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
❑ El El El
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 2290
3. Entrances:At least one entrance must meet both of the following standards:
Parallel to street,angle no more than 45° from street,
OMax. 8 ft. setback from longest street- facing wall
or open onto porch
Entrance opens to a porch:jst Yes El No
If yes,all the following apply: .25 sq.ft.min.
One street facing entry X12 ft.max.roof above floor of porch
X5 ft. depth min. $+30%min. porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
Covered porch min. 5 ft.wide x 5 ft. deep ARecessed entry area min. 5 ft.wide x 2 ft. deep
Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
JO;Roof eave min. 12 inch projection ;Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood . Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. El 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
El Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
El 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.
Setbacks:
No closer to front or side lot line,than longest street-facing wall Yes ❑ No. If No (Check one):
El May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
El 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)
El 12-foot-wide garage door El 40%max. of street façade
50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning:
AMO ��� L Date: 7((o(i-16.docx