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Permit (228) CITY OF TIGARD MASTER PERMIT III is COMMUNITY DEVELOPMENT Permit#: MST2017-00479 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/03/2018 Parcel: 2S106DA08300 Jurisdiction: Tigard Site address: 16943 SW SNOWDALE ST Subdivision: RIVER TERRACE EAST Lot: 83 Project: River Terrace East, Lot 83 Project Description: New SF. BUILDING Floor Areas Reauired Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2914 sf Value: $353,627.76 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 Rain Storm 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 Tvaes 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: 5 201-400 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 2914 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $35,129.29 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 503.232.19872or 1.800.332.2344. Issued By: / ' • Permittee Signature: �!V �4-1 e%'� Cf 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 4-0T--- ' *-3 / - �h �v7; ,, FOR OFFICE I.SE()NEN /) 2,«.,t4W3 k , Received !/ City of Tigard :Piana:,„ejER-;iy, iv �1 �2 Permit No.� " AUG ^ • II • 13125 SW Hall Blvd.,Tigard,OR 97223 U 8 2017 ew 1&� d Other Permit:9444/&/7 Z fs ' Phone: 503.718.2439 Fax: 503.598.1960 � O y� Inspection Line: 503.639.4175 Date Ready/By: 1 i 's: H See Page 2 for P t t t °r / ��'� Supplemental Information f t�, t n Internet www.tigard-or.gov C.t y t ,.. .�. Notified/Method./2./2/ / 7 y-- pP i.�t.l t L t a - 7 s... s,` ...t"tP 6--/'J it_ A/'Cl 1' _ 0 Demolition Permit fees*are based on the value of the work performed. ®New construction Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the ,, work indicated on this application. rte,. e� w.,:. � m. e� ,,.Si, •„,w..�o-,��.a•m �Yam ss.z;u�r"' � "TA�. ,�.o” Valuation: $ ® I-and 2-family dwelling 0 Commercial/industrial Multi-familyNumber of bedrooms: 14 3i �' j a:7 — ❑Accessory building 0 3 ED 0 Master builder ❑Other: Number of bathrooms: Total number of floors: 2 337 $ :w,c'. t ii , �- � d t �' .,. _., tea.m'`5 �— , �t.. � ,.. ` >. .. �r.��' Job site address: I (o i 5 5w S r c dcoe. New dwelling area: 29 I LI square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: l.N q1 L.4 square feet Suite/bldgiapt.no.: I Project name:River Terrace East Covered porch area: L11L,square feet 16 6th Cross street/directions to job site: ,hciaiDeck area: square feet,aq.2 Other structure area: square feet - *P ill€ 44;,z:r.,-. ... ktu , Subdivision:River Terrace East I Lot no.: Q3 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 - ;„ - » work indicated on this application. � � Valuation: $ Existing building area: square feet New building area: square feet � ,1;,r e�� a 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:( ) � *tY ; r� Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address' 03 broac I _ _ L Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received Phone:(360)695-7700 I Fax::( ) ftt � f ' t tt E-mail Nichole Thorpe Commercial and residential prescriptive installation of ��s ,� � �• ��F,,_� � e a,?��� Y � �� ,�, ; 2--,1,'�� t,r�_�_ �,- roof-top mounted Photovoltaic Solar Panel System. sa•d..3h .,_.,.>-�v,u<,.,.,.,.,+`�de+�,'.,,,,,,.”e-••••••; ,�>r�n .r 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:1 u3 ( YO Qdi W cu S- a . S I b Solar Installation Specialty Code checklist J 1,kePermit Fee(includes plan review $180.00 City/State/ZIP:Vancouver WA 98660 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: $201.60 ��1�— Thiswipermit0 days expiresaef a permit is notobtained Authorized signature: within 180 days after it has been accepted as complete. Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 l/02/COM/WEB) A ' - Mechanical Permit Application,-: ,':', -:.: City of Tigard acccillin11111111111.111111 1.'40T/it WisZS 7C-2C-7/700i129" IN . 13125 SW Hall Blvd.,Tigard.OR 97223' ' : , . in ii,,', , • ' ' Phone: 503.718,2439 Fax: 503390-1961) , . T i G A R D Inspection ifne: 503.639.4175 riite Ready:13y: ituit fel Sec No 1 for Internet: www.ligard.or.gov Notified/Mohod: Supplemental Infermatian '..,-.--•!,,:::.-_.:1.!4';'74ff;'Fjil':!4'-..i':,',-,!;-4 ;427,2,i1..t .'......,',.',-5'Tit&eitWottii,f'•'q'TiT.:t':,114;t2,..;:;•.;: i;;;;,.::,,'4?",i.V,!;:K--...b115.kt:g:;*4 +N510:94**-,1aAL*1*40.0tt.411*-00:440$;:iN..'•: Mechanical permit fees*are based on the value of the work I21 New coustruCtion 0 Addition/alteration/replacement perfirmed.indicate the valid<rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor.overhead.and profit. Value:5 .--•':-.'..•:...J.:'; 4 *k ..4...0 *3..0C44., .*.-0t00$ 1r-g--;INF'411!:g.-4.41, ..'jg;',W. ifilfijiti91,1W *--tf ' ''--- - - •-..•-,--,-.-- ,-,..---_- 1?, 4RPATEMS:F.,P_ES. -_:',',F.i:.::::.:--.antl 2-family dwelling 0 Commercial/induStrial D Amnon,building rar special information use chadtlist 1 Multi-family 0 Master builder 0 Other Dewription I Qty, 1 13.4.. 1 Total „ 40ii',.4tte-7**041-0101st::::Atoi.--:****towii-...4.-.:!zg-k,g;ij ;i:p:.• An!zfillitaiuonmnW."11.ng; , 1 46.75 — - Joh site address:1 tiA ti3 sv3 s()0,Akia le..Qs4._. Furnace 100.0001311J(doctskents) I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU Poets/vent* _ 54.91 . Heat piattp 61.06 Suite/bldg./apt,no.: I Project name: •-•iVer Te,rrAce_enSi Duct-work 23,32 Cross streetAlireetions to job she: Flvdronic hot water system 23.32 Residential boiler(mtliator or hydrottie) 2332 Unit heaters(fuel-type,not electric), , in-wall.in-duct.susitendecl,ele. 46.75 Fltic,Vent for any of above 1 23,32 Other Subdivision:. (2...j4(fr TtiVrtAte.-E..C1.S4— I Lotno B . "" 1331 Other fuel appliances: Tax map/parcel no.: Water heater ,;I-- 23.3z :;i:j=gg;,,,V,. „.4k.;;MtiT.-::: ; 1!014:V:*':(ii0e:e.,:T.M.;',A-'6fAV2,ilii ,j,:ig.,,g.':;:".40f:, GU fireplaeelinsed 1 33_39 " flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 2332 Wood/pellet stove , 33.39 Wood firtmlacetinsert 23,32 Chimney/liner/flue/vent 23.32 Oth2332 i**4174.:."-OVStfc2-2i.gi.5: 4;;''.,:l.t'::: :!'t',;-:,:-.:.13-,',#$*Str4A:',.q,::.,1 ,: ',';',i.:-7,4 .- -- , --, - • •,' '''''''' ' :.... Environmental exhaust end ventilation: Wanie: PtDV L- l_a nd -I-hi-lir-19El LL.C— Ilona hood/other kitchen • equipment f 33.39 Address 1 V 00 E -1)011191e,-tv* Zeknrin (2, a_ci Clothes drver mhaust • , 1 3339 _ CitY/StaiciliP! co-tts dalc. ,PQ (.(7) ?.5$ Single-duct exhaust(bathrooms. toilet compartments.utility moms) 1-+ , 23,32 Phone:t i 2.nn (,,,aq...ur,-21Fax ( ) Atticicrawlspace fans 2332 s:.1".. 7.-',. !,`"!.... ...„ , .. - _„ . , .-„. .. , . „. ..„ ,.,„ 1 2332 APPLICANT/L'-'' Pl:,f:-.",i'.-.,:,:.-- .---•i'i"'-'.-::'i--,0:CONTACT-PERSONA.:',---',2:--• Other Fuel piping: BiSines's name: W i I I i am Ll or) tionIes itiNc. $14.15 for first four;um for each itilattiontil . Contact name: fj i c,1,101.e.--nrion-lt_ Furnace,etc. , 1 Gas heat pump Arkimss:T1 DI c6roackwajA s..k_ skak. V0 ,Wallisuspendediunit heater , City/StateIZIP:Vancouver,WA 98660 1 Water heater • Phone:(36(3)695-7700 I Fax::(360)693-4442 Fireplace 1. Range '1 E-mail:. C I I,' • A i Ili 01. Dt e S.rbtyl Barbecue -4;.',i'i';.:-4';-,5:-T-,'::(-.'1„';4::!..- :!-':',-„:71.k,:t?,.--,• [-. 1.POS :...,. i '-',,'.f-'-;:: :..,!-":!'• S',.c,:i:,i.iiQg54 ::;.-.i;.,;-1,i-... `r- -Clothes dr)vr ism) Other: Business name,:Apes Air LLC :IV::,:f i.11:'72 ."':.'".140,0,49CAt nitifift :Hf,-i.i-.'-.1. -'.1 Address:18004 NE 72"Ave Subtotal City/State:ZIP:Vancouver.WA 99686 ,V_ Minimum Permit fee(S90.0°) Man review(29.4,of permit fee)• Phone-,(30)3424109 I Fax:(360)326-1769 State surcharge(12%of peditif fee) CCB lie.;203034 TOTAL PERMIT FEE This permit application mores ira permit is not obtained within tin) day-salter it loo heti netelond angora** Authorized signature: * Fee methadolow so by Id-County Building indesuy Service Board IPrint neater' il ,i''—''•%. / 1 Date: 4 ti.a,.. i IluittintiPtrwit,MECitennizArir240111 dm 4-06-4i,i'd 4 I In::$41)%1WFS1 r Electracap PeIr nit Apr&acaftdo% roti ozi�ze-,v47O, riji y ri City o Tigard . Received ffiff r' 13125 SW HallB1vd.,Tigard,OR 97223 Date/B ' tS Phone: 503.718.2439 Fax: 503.5911,1960 Plan Review . 1DateJB: Related Permit#: 11 GAR Inspection Line: 503.639,4175 Ready Date/By rads: Q See Paget for ,„. 0 Internet: wwivtigard-or.gov Notified/Method: d: Supplemental Information M�A `'41a :T,: q:�9 .'. gkit : :F�ise..-V.:i:L�'.WilVi,�a>lii.;l'± i' <<i�'t:s<`�IiAi � s 'r?.ik:f ;r:El New construction 0 Addition/alteraton/replacementPleasecleakalltiatappty(submit�sets of plans w/temaschecfa); _. ❑Demolition0 Other: 0 Service or feeder400 amps or more ❑Building over three stories, wherethe available i�bltfaultaucrtnt ❑Mar3msand iwal mss.-tfcViD;;:,-.'-x YK>i;u[ 4 . 0fi 1litso�►. � . '• g ,»u ;1i7.'`,;�irigi:=;.r OXCeeds10,000ampsat]SOvolts or ❑Ficatingbuildmgs. ®I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agrieldlea t amps for all other installations, •buildings. - Multi-family 0 Master builder Other: i ❑Fi>r pump. 0 Installation of 150 RVA or:; ' -t "na�(71�§�� 0., ' .d ....i9:3.':; ?‘A -' -*A:,::. •:in.-3 i ❑Emergenoysystem' larger separately derived ❑Addition of new motor load of system. Job#: Job site address , A‘W e iODBPormonk 0"A","E,"1-2,1-3, City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy, ❑Healtheazefacilities. ❑Recreatiooalvehicle padcs Suite/bldg./apt.#: Project name: PP ' i c ace, &sir. ❑Hazardous Locations, ❑Supply voltage for more than Cross street/directions to job site: Q Service or feeder 600 amps or more. 600 volts nominal. Ikseripnon i Oh. I inch I Total I / New residential single-or multifamily dwelling unit Subdivision ver Terrace. Lot#: ` includes attached garage. Tax map/parcel#: 1,000 sq,ft or less 168.54 4 fax mgds K 4 r:vl n6 r ;; a':' Fa.add'i 500 R.or portion 4 33.92 i^:4'..- {i i:x,.`;4iti 1, ' o:,,,,. W 0 ICF`. :'r'i:'t: :,rr i'::11 _.... . ..:;fix °'-�`':•�: Limited energy,residential (with above sq.R,) 75.00 2 • Limited energy,multi-family _74=1144 n c ��/� �, residential(with above sq,ft) 75,00 2 4• €...2 +1,t�.V!76k 44Ci <::4ems'.!: r"4 z�44 i/ :;jth:011:R'!'ia 't;.;g, i i; ltenewa111t:Energy ❑See Page2 - ''` Services or feeders installation,alteration,and/or relocation Name:, A , I r .'11 toi A 200 amps or less 100.70 2 Address::`1 I „ , xr t 201 amps to 400 amps 133,56 2 . I� \�tt d c1�♦2_. �i_�s 401 amps to 600 amps 200.34 2 City/State/LIP:' •, ,,,c&tE.i ... 'S2�[3 601 amps 30L04 2 Phone: amps to 1,000 •2, Le L}p?)I Fax:( ) Over 1,000 amps or volts 552,26 2 Email: ' Temporary services or feeders Installation,alteration,and/or • relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 intended for sale,lease,rent,or exchange,according to ORS 447,4.49,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 1 2 a�'7a. ,w10-0-_,,,,. pi r': .'<44 +�:c='t., igti ,,t ••n;,o:E>v,, iglu i'-•I. a r,, I3raneheirettsi- w, aeration or .e: ,._.4473 •441„i s�Qen�i'ra+ .x,•'i•�. •.N<�tii�-:���:; ne a! , extension,per panel A.Fee for brancdt oircu'ts with Business name: k 1, t..1/..k .t awki _% \, above service or Seeder fee, each branch circuit 7.42 2 Contact name: J ,e...'t'1,\oj 1 `' B,Fee for branch circuits without Address: 1 1 yl•lpd service or feeder fee,first AlbI a, A S ..Ai branch circuit 56.18 2 City/State/ZPP: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 Email: ( ` �, `�.r� ^ 1i Y\ dwelling,service and/or feeder 2 m" 'er r � C 1,E..t. ert1-) .`•, ':?t:)'\I �tw,;w.,..< ..r., Reconnect only 67.84 2 •: s, il}^"',r< 1 w.,` y H=:„ 4;;;';.>:ii.-} 5 Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:402 Vttlley Ave NW Ste IQ6 Signal circuits)or limited-anergy • panel,alteration,or extension ' CI See Pagel 2 City/StatnJ 1p'Puyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(1 lir min) 66.25/hr Phone:(253)872-6051, Fax:(253)872-1801 Investigation(1 hr min) 90.00/hr Email:bdaniols@gweusa.com Industrial plant(1 hr min) 78.18/}x. InsCCB Lie.: C1158 Electrical Lic.: 208174 $ 1ections r which no fee is 90,00/ Suprv.Lie.: 4496S speciiicall listed(%humin hr rv.Electriciansignature,req _.'�L� �a� at' ':ti.•s.< :T.= K!'' , required: / ;t:,:n••,. ,�; j� i._:gr=r;? it:. i Subtotal: Print name: Joan P Albert • Date: 0 Plan Review Required(25%of permit fee): State surcha rge(12%of permit fee): Authorized signature: ./0.1....---- — -- TOTAL PERMIT PRE: — Print name: Bill Daniels This pormttapplication expires if a permit is not obtained within 180 Date: days after it has been accepted as complete 1leuild * Number of inspections allowed per permit. ieleeredunit.0 PusultAna MR BaE.doo Rev 06/11/2515 440-4615f0l/05/C0ki/wEa I Plumbing Permit Application Building Fixtures luR 01 1 1( 1' t sl: Uv.l City of Tigard Received N . ■ 13125 S W Hall Blvd.,Tigard,OR 97223 Penult No. Date/By /`157ge/7..00 c/2 Cf Phone: 503.718.2439 Fax: 503.598.1960 D to/ny:Review Date/By: 011ier Permit No,: 1I It Inspection Line: 503.639.4175 Date R Internet www.tigard or.gov �/By: kris: See Page 2 for Notified/Metbod: Supplemental Information '''...-1,.. , . . .. , . . _ FF:E-"561�,ADT,fi)*,;'a;;w;',,,•::,".':J::....:.:....:,c4 ®New construction " 0 Demolition For special information use c/teekilet Description ( Qty, ( Ea. J Total ❑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 ®I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 •❑Accessory building 0 Multi-family SFR(3)bath 500.32, ❑Master builder Each additional bath/kitchen 25,02 ❑Other: Fire sprinkler( sq.ft.) _ Page 2 'JOB SITE INFORMATIO]4 AND"LOCATION'. _ Site utilities: • Job site address:( Li 5s w s�l 01n J rt- Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR1197224 ""'Yr Drywell,leach line,or trench drain 18.76 - ..1.... Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: g (-fir - v'&'e.. Eets-1- Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_J Page 2 Storm sewer(no.linear ft:,) Page 2 Water service(no.linear ft: ,) I Page 2 Subdivision: (2_,Nr"I-exvZa.je_,. . A.- I Lot no.:P3 Fixture or item: - Tax map/parcel no.: BaldciIow preventer I 31.27 DESCRiFfION 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)694.4031 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 + -�-y� Primer 12.51 Contact name: es-ho{t I l l0i'VL` Roof drain(commercial) 12.51 Address:'1o1 Dai �o1 j c k Su A ,t5'\D • Sink/basin/lavatory LA101/01/S/2-1 / 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:41\ I Cho t W-1'� e @ p�tigoAnal cnhne s.r.-brY1 Wer zs.o2 CON I'RAtR J Water closet 25.02_ Water heater 37.52 Business name:Malmedal Enterprises Inc. 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 Lie.:102535 Plumbing Lie.no.:34-276PB Plan review (25%of permit fee) Authorized signatiire. t'►, - �� 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 after it has bees accepted as complete. `Pec methodology set by Tri-County Building Industry Service Board. Llnuildiog\Pennits\LMU.?ennitApp.do°10/01/09 440-4616T(I0Po2ICOM/WEB) x City of Tigard Iwa COMMUNITY DEVELOPMENT DEPARTMENT li I T I G A R D Building Permit Review — Residential Building Permit #: , 5/1,00 - 004-(.. Site Address: 161N3 S\„1 Sj' ,, a t C)-. Project Name: k jery AR C 0,4- Lot #: 83 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Iv t r Cc/NW-IN,. u S F R ierify site address/suite# exists and active in permits tem. �,l River Terrace Neighborhood: El No IWYes,See River Terrace Review Addendum Attached Sit Plan Elements: ee(3)copies of site plan ItCPxisting structures on site Ii .ite plan must be on 8-1/2"x 11"or 11 x 17"paper [ Footprint of new structure(including decks)with finished 4 prawn to scale(standard architect or engineer scale) or elevations E>Forth arrow It�dU 'ty locations&easements (required for new and additions) d to address,project or subdivision name and lot number L,��dSidewalk/driveway approach [i plicant information(name and phone number) f`f�.ILocation of wells/septic systems L�Lot dimensions and building setback dimensions t'��r,�Existing trees to be retained with drip line,and tree "' quare footage of buildings to be demolished p otection measures ot area,building coverage area,percentage of coverage and rUtyeet tree size,type and location L /impervious area(applicable if R-7,R-12,R-25&R-40) Lta"Street names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? LJYes E No 4 foot differential) If yes,is a storm water quality facility shown? E ,,4=No r1 Clean Water Syrvices—Service Provider Letter(lot platted prior to 9/10/1995): artot � }equired: R'Yes,applicant was notified ❑ No Received: CI Yes ❑ No A� `" Of Public Faciliti s Improvement(PFI) Permit: 14.1 USC Required: [Yes,applicant was notified CICV No Applied For: Yes CINo,stop intake nd Use Case#: eV 2o16-oodb 1--, PFL Z oi _moo0 ,,,������//// ,IU/Zoning: L equired Setbacks: Front g Rear 10 Side 3 Street Side v g Gara e 2,0o �I.andscape Requirement: Lo % O dLot Coverage Maximum: go CI Building Height: Maximum Height A Actual Height 21,3 27VVisual Clearance R %ensitive Lands: ❑ Yes a No Type g Urban Forestry Plan ❑ Conditions "Met"priortoissuance of building permit L Notes: l-ondW- Tr 0- , v& pf-q-ar- P rtrni•j- idSVal(C. Approved By Planning: CeM Date: I 1-ii-17 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw REs 061417.docx F a Building Permit Submittal Original Submittal Date: 87/7 Site Plans: # — Building Plans: # 3 Building Permit#: nter building permit#above. Workflow Routing: Planning engineeringLermit Coordinator / Building Workflow Sign-off: Sign-off for Planning(include notes rom planning review) Route Application Documents: [ -Engineering: (1) copy of permit application, (1) site plan, (1) building plan and / original plan review routing form. la"Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: J , �J By Permit Technician: 'A�il/C Date: 6l �`�J/�7 44, Engineering Review Er Slope at building pad: (VP ET-Conditions "Met"prior to issuance of building permit ---• e.„&„,..4 t5 1 1-1&+..J S 1.14144 err [2' Easements (encroachments)per engineering conditions of approval and plat [Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 12'--, /No Assess Water Quantity Fee in-lieu: ❑ Yes Ltdo LIDA Facility on lot: E Yes L�1 No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: (4 • KS g£2 Date: /2 - 7 -) 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved Cl 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: SDC Fees Entered: Wash Co Trans Dev Tax: 11.0 es ❑ N/A Tigard Trans SDC: '1'1-- es ❑ N/A Parks SDC: *''Yes El N/A LIDA ❑ Yes )g°'N/A rOK to Issue Permit Approved by Permit Coordinator: Date: / 71/ `/-7----- I:\BuildingWorms\BldgPermitRvw_RES_0614 17.docx 7—I:\Building\Forms\BldgPermitRvw_RES_061417.docx City of Tigard r CO111111 R MMUNITY DEVELOPMENT DEPARTMENT TIRD River Terrace Building Permit Review Addendum Building Permit #: Site Address: 16 IN 3 SQ S,bWd„kc ,c1,. Project Name: K;\,,- Trrict Easi- Lot #: g3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist i t Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? LTJ Yes El No 1.Articulation: a minimum of 1 element per each street-facing façade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 t. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ai( ft. deep min.2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer El 0 0 0 2.Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: 2,0 j j 117 3. Entrances:At least one entrance must meet both of the folio g standards: M/Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: FYes ❑ No / Iff//yes,all the following apply: 2 sq.ft. min. G27, street facing entry EV12 ft.max. roof above floor of porch 111I1 5 ft. depth min. 1240%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: LE/Covered porch min. 5 ft.wide x 5 ft. deep gRecessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches ❑ Dormer min. 4 ft.wide LIE Roof eave min. 12 inch projection Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood al/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 lErWindow 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: No closer to front or side lot line,than longest street-facing wall. ❑ Yes E No. If No (Check one): ❑ lay 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) 2-foot-wide garage door ❑ 40%max. of street façade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: cia4L___ -1Z-( Date: I - L I-17- i:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx :\Building\Forms\BidgPermitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16943 SW SNOWDALE ST, BEAVERTON, September 19, 2018 at OR, 97007 12:26:45 PM Record Type: Record ID: Residential - Master Permit MST2017-00479 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16943 SW SNOWDALE ST, BEAVERTON, September 27, 2018 at OR, 97007 9:52:30 AM Record Type: Record ID: Residential - Master Permit MST2017-00479 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Corrections completed No A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16943 SW SNOWDALE ST, BEAVERTON, October 4, 2018 at 9:54:14 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00479 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows 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