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Permit (118) CITY OF TIGARD MASTER PERMIT t •`� Permit#: MST2017 00184 COMMUNITY DEVELOPMENT Date Issued: 11/21/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB01700 Jurisdiction: Tigard Site address: 17175 SW HOLLY RIDGE LN Subdivision: RIVER TERRACE NORTHWEST Lot: 17 Project: River Terrace Northwest, Lot 17 Project Description: New SF. BUILDING Floor Areas Reauired Setbacks Reauired Stories: 2 Bedrooms: 4 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height 24 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 12 Smoke Detectors: Yes Dwelling Units: 1 Third: 0 sf Right: 3 Total: 2078 sf Value: $252,028.18 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 0 Storm Sewer: 100 Drains: Catch Basins: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2078 Owner: Contractor: Required Items and Reports(Conditions) ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC 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: $31,742.25 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 R 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. k'>U/--e—le--1Issued By: 1''— Permittee Signature: C7A1 �‘- /6�77o� 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. Building Permit Application L- O7 /-1 It ,, °, i RECEIVEU FOR OFFICE l SE O\Ll Ci of Tigard AR 2 8 2017 DateBy: Permit 14 `J g Received��j.-/�-( 17 �J i�T1 ,/)—�j/Fit 1,, . 13125 SW Hall Blvd.,Tigard,OR 972M Plan Revie (/ w( '/�� i Phone: 503.718.2439 Fax: 503.59 DateBy: �—�)— )1 � Other Permit �,/4)07-0�J 1�. Inspection Line: 503.639.4175 OF TIGARD Date ReadyBy: runs: H See Page 2 for rrt''r {' p g g BUILDING DIVISION d/O,,�j/I? Internet: www.ti ard or. ov NotiSed/Metho Supplemental Information off Ai•C !tr res s x`, �,� a ' c,s, ', Asa F z.:p--r,3 ':"'i -, _+w" ,,t,- .. - ,�;- . r, _ -, ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other. equipment,materials,labor,overhead,and the profit for the "'• -32: !� � work indicated on this application. ® 1-and 2-family dwelling ''. _ii ❑Commercial/industrial Valuation: ❑Accessory building ❑Multi-family Number of bedrooms: .3 ❑Master builder 0 Other: Number of bathrooms: 3 , , ° " 72;:t t' , ',,,:41,-,'37. Total number of floors: Z, a 4, 4 Job site address: 17 lis- Syq 119, 124/` - Lam New dwelling area: 2,0-1 e, square feet City/State/ZIP: Garage/carport area: 350 square feet ,v jSuite/bldg./apt.no.: I Project name:River Terrace Northwest Covered porch area: ���' "�"" ++++ square feet $1 30 nCross street/directions to job site: Deck area: square feet q y Other structure area: square feet Subdivision:River Terrace Northwest I Lot no.: 1 7 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet t gat=c 4V 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:Nichole Thorpe FLS plan review fee(if applicable): Address:109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Amount received Phone:(360)695-7700 I Fax::( ) E-mail:Nichole.Thorpe@polygonhomes.com terms � � � � Commercial and residential prescriptive installation of =mac,,, , • ._,L_„_„:_4, - ,,'•,-;:- .1f-±:,;),,,:_.,„,_:,,,,„. e_ z __ ` : 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.dministrative 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 signatur . / This permit application expires if a permit is not obtained /' within 180 days after it has been accepted as complete: Print name:Nichole Thorpe Date:3/14/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) p MechanicalftPermit IVED City of Tigard gi 13125 SW Hall Blvd, Tigard OR . — * rk I 2 8 20 °thaPuma 17 : Phone: 501718.2439 Fax: $03.5 • !' Inspection Line: 503.639A I 75 Internet: www.ttgard-or.gov CITY OF TIGARD Duddy Plan ltroew Datelir ge:te cady/tly. Nottfietintdetbad: Pennit NieR47;;Acit 7,_001,ry t Supplentratal Information BUILDING DIVISION - les-ts...sw,sAss,,,,,,.c.,va,,z,.,a,,, s,. .ed.,,s,A,-.as-.,s.s,,gsgas„zc,tt,,zs-sa,„u..cs,sa,s4,4.z„,...c.:,oe.a,,..,:e•s,s,fs,ssss,sL.,t,ss. mecuanical permit fees,are based an the value of the went 1:4 New construction 0 Additionfalterationtreplacernent performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Othermechanical materials.equipment,labor.overhead.and profit, „ . . . .0.„ _ -,,,-, •- '.- ..- - . - . , ,... . Value:S `:7.4.4"1:;:iN Al.".-.144°,:',4+4,1611;,,lis,,!.;ii,,, ,',,A4,4:44,4'•„,,,4„,,ty ',..,---,,,,,,,.-,,,,,--: ,..„-4,,,,,,-;,,,--:77,ta :ts-!.-- '1;L.,;,,. :..,.i,.'R-;0 v't I':a.''''A ,',.-4;:f.4, ,..f. /. :... r.,,,V%ig,.'). WI' -and 2-family dwelling 0 Commerciallindustrial 0 Accessory building For spode,&firmation use riterifist. I vlulti-family 0 Master builder 0 Other Description Qty I Ea. I Total ''*;','---1''$''.41;* 4,1,7`.-:,a44.4.- '-i, t, -e?r;•„‘„•.4,,,',..i‘,`,. ,,,;,, -..,4,-,:c.,-,..f,.‘,..r-ir,v,-,.,,,,.. „,,7-,-,,,..,..‘r,t.,-,44,44,:,,,,,,.., ticatingtrowitz 0,,-,. ',-ar...zese.i.::;olk,-....54,,',.nfL-,..;:kAw.,,,,,w,..,1k-AktK,i,sigs...x.dvw.titze&elzult Air condi- ••in I 46.75 Job site address:11 I1S— SVJ iily--kkinkrde- 1.0.11e- . Furnace 100.000 BTU iduetaivents) I 46.75 City/Stateal P:Tigard,OR 97224 Furnace 100.000+BTU rouosvents) 54.91 Heat pump 61.06 Suite/bldg./apt,no.: I Project name 244ergotN(.•)ek.1iNkme-s\-- Duct work 23.32 Cross street/directions to job site: 14ydronic hot water systein 23.32 1 Residential boiler(radiator or hydrotric) 23.32 Unit heaters(fuel-typ&not electric), in-walk in-duck suspended.etc 46.75 Flue/vent for any of above 1 23.32 Other. 23.1' Subdivision:P-WerTe•reace,Nal iAnk ve,,..t- - 1 Lot no.: ' Other fuel tinolinneeg Tax map/parcel no.: Water heater 2332 !td..44,e''.1r41,:21:6',:;gol:',7a;.+Zi,!-C.2,',.,.::ii.O.itra!t144,461.14i1,.... .721'<ratiiii:ilisaAaii,-..61aktiN117:442,2 ' - ' - - ' ' - - Fine vent for water heater or gas fireplace 23.32 Loa lighter fees/ 23.32 . -- Wood/pellet stove 3339 Wood fireplaeefieseft 23.32 Chironevlinerlfluelvent . 23.32 Eaut23 32 ?•;--c4....`,41-,:'".,:''`,2 t :,,•!-'4',;.7,,i'''' ';'4.,,t,-,1'.1,1,-:''''.tt.*.Y.4-6,4*,--1„.047,1.,,it, /,-,,),!,-",;,%,,,,,,,t,,,,.=:-.R31-..:,'?‘-:, ettamestat exhaust and enit vtiaion: Name:Polygon WI.II.LIC Range hood/other kitchen 33)9 Andress: 109 East iP Street Clothes dnor exhaust I 33.39 City/State/ZIP:Vancouver,WA 98460 Single-duet exhaust(bathroom& toilet compartments,utility rooms) 4 2132 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans , , 23.32 0'1?-'.• 041 3-:..VO"ther , 2332 Fuel pipin : Business name:Polygon WLH,LLC S14.15 for first four;S4.03 for each additional • Contact name: 1\11 C)i)ovt--cv\ONrcx Ftifilitee.CSt. I , GU,heat pump Address:109 East 13th Street Walitsuspentktdfurtit heater City/State/ZIP:Vancouver,WA 98660 .,water heater Phone:(360)695-7700 Fax .(360)693-4442 ' - Fireplace 4, I Range k • E-mail: i 41 ' . LI I 44- 01 /41110 le , Ai B.becut Other: 1 Business name:,Apes Air LLC Address:18004 NE 72 AveSubtotal City/State/ZIP:Vancouver,WA 98406 Minimum permit fee($90,00) Plan review(25 of permit fee) Phone:(360)342-0109 I Fax:(36.0)326-176.9 . State surcharge(iri,of ivtr,it fee) CCB tic.:203034 TOTAL PERMIT FEE Thia permit appilation empires ifs permit is not obtained within 1110 - days after it has been aerated as Authorized signature' Fre mothodoloo tut by Ira-County Building la:Wary Service Board Print name:7170 %. 1 Dale: 4-11-It,... rauildimprenviirMEC_ParttlApp.P401 13 toe 440-4e I 7T itI1107-COWWIDIO Electrical Permit Application. FOR OFFICE USE ONLY City©f Tigard 1"'[ Received e�a ,li�• III13125 •SW Hall Blvd.,Tigard,OR 972 AR 2 $ 2017 te/B : Related Permit ii: Phone: 503.718.2439 Fax 503.598.19':'t. Date/15 . Inspection Line: 503.639.4175Ready Date/By: Juric H See Page 2 for TIGARD Internet: www.tigard-or.gov CITY OF TIGARD Noti5edRvtethod Supplemental information L tpING DIVISION ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stdries_ 0 Demolition 0 Other: where the available fault current D Marinas and boatyards. : sas,'1 `ry`.._' .a�-r. ` fr ►1`"'= --.. -."""• exceeds 10,000 amps at 150 volts or Q Floating buildings. ^''�` ������.,,, less to ground,or exceeds 14,000 ❑Commercial-use agricultural ® 1-and 2-family dwelling 0 CommerciaUilidiistrial 0 Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 installation of 150 KVA or ��,, .r ,.. y t 0 Emergency system. larger separately derived `�"-�;:�.. .s;�e� 1i14fx4.':11I"'.Ns=_� :._.. -w _....r .... ... = �_ �,. .. ate• .� 4- .,,,,,:,.�..,,,�=-r_„_..z. _r„.. ::_..�.,_ ❑Addmon of new motor Load of Job#: Job site address:,1 ItS Sw• (tt /� LAN 1o01.1P°r more- __"'� ❑Six or more residential units. occupancy. City/State/ZIP:Tigard,OR 97224 ❑Health-cme facilities. ❑Recreational vehicle parks. p ❑Hazardous locations. 0 Supply voltage for more than Suite/bldg./apt#: Project name l`�VCI'TCY1�GIt Q. 600 volts nominal. N 0 Service u feeder 600 amps or more. street/directions tolob site _ <.r� r. Cross stree .�” � V Description V I Q4'• I Each I Toed New residential single-or multi-family dwelling unit. Subdivision I2Avtr I mace, Nod" wjjej+ Lot#:Cl Includes attached garage. 68.54 4 Tax map/parcel#: 00 sq.ft.or portion 133.92 1 1000 sq.ft.or less :t _-;:. Q ", ' --:*:.,-.:-:,,..,„,,;;;:_4,...,..-.,1.=-,-5.0 .-_--.--ALimited energy,residential :T� ��^�"a- -`=�.=: ��5(�Q1 ,�.,�..�-. .. w 75.00 2 (with above sq.R) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 - ,-`ass ,`© sptr";it ass°._,-I `' r-`'" _ _ _ -�� �'�r4 -�' Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Address:7600 E 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 Fax:( ) Over 1,000 amps or volts 552.26 2 I 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 5936 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. • 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 �_ ii SQ Branch circuits-new,alteration,or extension,per panel ' ..,'47-=-.. "-,-.,-=,.,-4.,:-..04 . ". cf s'- -. -cs"_.. ----* - _ A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name 1 VY 16 I,e IhB.Fee for branch circuits without F service or feeder fee,first Address:109 East 13th Street branch circuit 56.18 2 Each add')branch circuit 7.42 2 City/State/ZIP:Vancouver,WA 98660 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • ' I Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email N I ch OI-e Tilno, , t - t40,...1_ h .0 ANY)• `` ' Reconnect only 67.84 2 r- 5x ' ' A. , , l".a�- .74* A Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy D See Page 2 2 Address:6101 NE St Johns Rd panel,alteration,or extension Each additional inspection over allowable in any of the above City/State/ZIP:Vancouver WA 98661 Additional inspection(1 hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) • 78.18/hr Email:bdaniels@gweusa,com Inspections for which no fee is 90.00/hr specifically listed('h hr min) CCB Lic.: CI158 Electrical Lic.: 208174 , Suprv.Lica: 4496S _ :•=. Suprv.Electrician signature,required: ,4(.A . Alt 1 . Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee):.. F State surcharge(12%of permit fee):. . -,+ ':-.--.7------', TOTAL PERMIT FEE: Authorized signature: -. -; This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. * Number of inspections allowed per permit :::'I:1BuiidmglPmn"KsVELC PermitApp SLR FRE-doc Rev 06/17/2015 440-4615T(1I/Oi/COM/WEB [ZnitAPPlicafiECEIVED Building Futures i OR u11I( F I t)`1 ' Received City of Tigard MAR 2 8 2017 may; Permit No ��(J 7_00/■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review '" / • • Phone: 503.718.2439 Fax: 503.59105 f OF TIGARD Date/By: Other Permit No.: '`' n Inspection Line: 503.639.4175 BUILDING DIVISION Date ReaReady/By. 7uri,: 65 See Page 2 for Internet: www.tiardor. ov g g Notified/Method SuppfementalInformation Tagg.w ` scout ®New construction " ❑Demolition For special information use checklist Description 1 Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION' SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(-sq.R) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:I1 ns SNI Hill h„drj.P �ne, Catch basin or area drain I8.76 City/State/GIP:Tigard,OR 97224 1-t `�" Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:fL,U1)/ It ItriaCe No ARS+ 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:ILVl, I/,Tract 1V Of jV€5--- Lot no.: n Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 DESCRIPTION OF.WORK Backwater valve 1 12.51 • Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®.:PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031I Fax:( ) Ice maker 12.51 ®.APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 �I Primer 12.51 Contact name: 1� littatOV9C 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 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail: N ICh i)(e .�`h-D( @ ck o�,hl�mes.c h, I Urinal 25.02 v v Water closet 25.02 CONTRWCT0fRi Water heater 37.52 Business name:Malmedal Enterprises Inc. WaterP�P P�r in WV - 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.:34-276FB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: G „ TOTAL PERMIT FEE Print name:Carolina MalmedalDate:04/258016 This Permit application expires ifs permit is not obtained within 180 days - after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\PermitstPLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard 7111 i q COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: 7//5-51.00-00/Fel Site Address: a 175 fw iioily 13pC& lAkIL Project Name: '(Li VeYv'rtc4, U 9JL Lot #: 1 7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A &:12. ,/Verify site address/suite# exists and active in permit„, system. LN' River Terrace Neighborhood: ❑ No 2/Yes,See River Terrace Review Addendum Attached Sit Plan Elements: �p ree(3)copies of site plan /1i __gxististructures on site Ii4ite plan must be on 8-1/2”x 11"or 11 x 17"paper otprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) or elevations Q'Torth arrow L"JUtility locations&easements(required for new and additions) Lite address,project or subdivision name and lot number 7I Sidewalk/driveway approach flpplicant information(name and phone number) N'1' ocation of wells/septic systems lr Lot dimensions and building setback dimensions 11 =xisting trees to be retained with drip line,and tree %ft•uare footage of buildings to be demolished /protection measures ihi Lot area,building coverage area,percentage of coverage and 5/Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) /Street names `LI'/Property corner elevations(2 foot contour lines if more than 1)1.torm water quality facility required if>1,000 sf of 4 foot differential) im.ervious area is created or re.laced. X11' Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ' I No Received: E Yes ❑ No Public Facilities Improvement (PFI) Permit: 1:75-.7C Required: tlrJ e�`i q ❑ Yes,applicant was notified ❑ No Applied For: d Yes ❑ No,stop intake Q/Land Use Case#: 'p DW 2015 -G`cco 9 L Zoning: P--- j2 (PP) Er Required Setbacks: Front 12.. Rear 10 Side 3 Street Side g Garage go /Landscape Requirement: ,.2.0 % I Lot Coverage Maximum: 90 Building Height: Maximum Height Actual Height 2/Visual Clearance ll: Sensitive Lands: ❑ Yes E No Type dUrban Forestry Plan Q' Conditions "Met"prior to issuance of building permit Notes: Ccsvl ci t 1—tC)krS c iAhlund isq,c Approved By Planning:,/ i .ADate: ,/`Z.Z/ I7 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_051617.docx • Building Permit Submittal Original Submittal Date: Sly/f7 Site Plans: # Building Plans: # Building Permit#: r nter building permit#above. Workflow Routing: 11:- PlanningEngineering t Coordinator 2[1.,.Building Workflow Sign-off: L Sign-off forPlanning(include notesfromplanning review) Route Application Documents: (Di-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and i original plan review routing form. 'p •Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: r“..-4/6(>•14,/,- Date: c72 if//7 Engineering Review Slope at building pad: /// ^_� 1101.Conditions "Met"prior to issuance of building permit✓ l f 4‘7.°°' 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 D NOT Approved by Engineering: Date: Notes: Approved by Engineering: 14` Date: --/ 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 �/�� /:'Approved,NOT Released: / fr "ate: 4- 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: DC Fees Entered: Wash Co Trans Dev Tax: Aq4 es ❑ N/A Tigard Trans SDC: ® Yes ❑ N/A Parks SDC: Yes 1=1 N/A LIDA ❑ Yes N/A 4 OK to Issue Permit .4Approved by Permit Coordinator: Date: zr efl-I— I:\Building\Forms\BldgPermitRvw_RES_051617.docx /he 4"/) l✓ • City of Tigard p COMMUNITY DEVELOPMENT DEPARTMENT 11111 a TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: n5 AoLL 21 1-k) Project Name: .-SW°Tt` Ce Lot #: 1 7 (New dwelling=subdivision name;Addition or 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 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 ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: rAtI 1?) 011 kl'a.Yard 3. Entrances:At least one entrance must meet both of the following standards: Coax. 8 ft. setback from longest street- facing wall ❑ Parallel to street,angle no more than 45° from street, 2/ or open onto porch Entrance opens to a porch: L/Yes ❑ No If yes,all the following apply: Q225 sq.ft. min. R/One street facing entryLff 12 ft. max. roof above floor of porch CV5 ft. depth min. R/30%min. porch roof coverage 4.petailed Design:All buildings shall include a min. of five ofjthe following elements on all street-facing facades: L Covered porch min. 5 ft.wide x 5 ft. deep Eldi Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches El �,{Dormer min. 4 ft.wide eG oof eave min. 12 inch projection CJ oof offset min. of 2 ft. ❑ Roof shingles either tile or wood Lr 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 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. Setbacks: N closer to front or side lot line, than longest street-facing wall. ❑ Yes LVNo. If No (Check one): Mi May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. g/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 2/50%max. of street facade with 7 detailed design elements 11710 Notes: Approved By Planning: #66 A Date: 5022/.17 i:,Bui.ding,Forms.idgPermitRvw_REs_RT_06.6.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17175 SW HOLLY RIDGE LN, SHERWOOD, May 15, 2018 at 11 :55:23 AM OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00184 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. 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: 17175 SW HOLLY RIDGE LN, SHERWOOD, May 14, 2018 at 11 :05:03 AM OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00184 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17175 SW HOLLY RIDGE LN, SHERWOOD, May 14, 2018 at 11 :04:07 AM OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00184 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17175 SW HOLLY RIDGE LN, SHERWOOD, May 18, 2018 at 12:15:10 PM OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00184 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor