Permit (226) CITY OF TIGARD MASTER PERMIT
1114 . .4
COMMUNITY DEVELOPMENT Permit#: MST2017-00478
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/03/2018
Parcel: 2S106DA08200
Jurisdiction: Tigard
Site address: 16911 SW SNOWDALE ST
Subdivision: RIVER TERRACE EAST Lot: 82
Project: River Terrace East, Lot 82
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1108 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2504 sf Value: $306,002.95 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 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 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'l 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
asin
Other: N Other Description: Ecom p g: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2504
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: $34,055.69
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 throug 4AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: , Permittee Signature: C7'r} s�P� �G��",�Lj�"✓
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.
f I
4
,Bluff cl•
ng Permit Application LO a ��
. **�c FOR OFFICE I SE O\Ll
xx
Y t..-1.-A ,. Received
City of Tigard Date/By I' /7 ��1 ggg Permit N P.217-O 9'12 f
I 13125 SW Hall Blvd.,Tigard,OR 972 . G Q 20!7 Plan Review /1 Other Permit S II 1O3
= Phone: 503.718.2439 Fax: 503.598.1* 0 C U I/ Date/gY Ja"'T
57
Inspection Line: 503.639.4175 Date Ready/By: r.,/, f ,Suns: H See Page 2 for
TIG:;--17 ` - ) Notified/Method: /7 Supplemental Information
Internet. www- and or ov Eta E �h . ;. - &?1 t-" w , t Et` '
'' n';';'''''''' ': ;9':‘ ''^(1-:),445' - ," -: ',=': 1 t -� .
- "^* .tea, �- �r,•�, � r ,.
0 Demolition Permit fees*are based on the value of the work performed.
®New constructionIndicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
f , X7'7: �� work indicated on this application.
SLF
(gi 1-and 2-family dwelling 0 Commercial/industrial 3bG1 _ O
Number of bedrooms:
k, 0 Accessory building 0 Multi-family ^
o Master builder 0
Other: Number of bathrooms: 5
* Total number of floors: a '$ $9
EFTL � �� � WM Fs ...a'4ki': ., a, .... = •.n.«. 3. � .` SL,.,.s'..
Job site address. )� a' • 1- v New dwelling area: 7-150.4 square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 385 square feet
Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: 15 U square feet 13 9 6
Cross street/directions to job site: Deck area: `+ square feet i J 08
Other structure area: square feet
'-,:t„
ice€"-'i ,i C '2 ` I -4 " 4
Subdivision:River Terrace East Lot no.: 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
1,., . q ,m 1 E , 1= ^ work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
;.(r, o w e, 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:
............_ .�.w.�s�..c.�I'" - ,,,---7_` .-,b ;.ten.-::11... ...---y—L--d.2.. ay.» ...: �x� ' ',w1'�....'. ,f,,t '}:° P ;.,, 1.
Business name:Polygon WLH,LLC Structural plan review fee(or deposit):
Contact name:Nichole Thorpe FLS plan review fee(if applicable):
Address•1O3 cyr Dock . _ _
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Amount received:
Phone:(360)695-7700 Fax ( )
i r ui1 *•
E-mail Nichole Thorpe e f . eR 4 # :1:
.711,3 Commercial and residential prescriptive installation of
'�- , e �';;- .' - 1. -Y` 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: al Qci • b Solar Installation Specialty Code checklist.
Permit 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 lie.:207247 Total fee due upon application: $201.60
Authorized signatures%1 lghThis permit application expires if a permit is not obtained
�� within 180 days after it has been accepted as complete.
Date:06/16/2017 *Fee methodology set by Tri-County Building Industry
Print name:Nichole Thorpe Service Board
I:\BuildinglPermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
,
., ., - : -,/i,... ,
Mechanical Permit Application. ' FOR OM( it I SE.(1\1.1
.
City of Tigard ,, : Permit No.40,7sr,77.e/7...voyzf
It " 13125 SW Halt Blvd.,Tigard,OR 97223
omn Review
: a
Phone: 503.7182439 Film 503.598.1960 DateillY: Giber Permit:
TRAD inspection Line: 503.639.4175 Date Radyttly: iori RI FAV Page 2 tor
Internal: www.tigartl-or.gor 'Notified/Method: Supplemental Information
:-? ..-ii.•LI.- ft:',;;Vli-13ZIre.'.-;N.4 .1?,..::;.::'-::?,:"Ilkii?E.1.-'0:. .e4:Ng-'.;;A:,:;4?:-?!
Mechanical permit fees*are'rased on the value of the work
ID New txmstruction 0 Addltionlatteration/replacentent perfumed,Indicate the wine(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor.overhead.Mid profit,
--- . .-, --_,, : : Value:$
'-''i'.::: .•,:-.:7:'ii'':'.P41:.'b&';'r":FiiZIt;/Ai'j*ti.#1,?'':.1)#Y(;O,i4.:E(O'O.0o*-:,:O:f10,:r.:i, ,' 4-:-4,r,,,,,F:6,,,..: .:_
Ki..and 2-faintly dwelling 0 CommercialfincluStrial 0 Accessory bantling ref special information use cher41131.
I Multi-fatnily 0 Master builder 0 Other. Description I Qty. I F:t. 1 Total
Vit-.:F4iiiiiief*iii.**.iiiii00..X**-i**.tio5Wfit]ziogNtig.-1,:v: ilkpaing; ,
--
Air conditioning I, 46,75
Job site addros:(WO(I I \i‘) snou,40 je Sc-
Furnace 100.000 BTU idactskrutts) I 46.7$
City/State/ZIP:Tigard.OR 97224 Furnace l00.000 BTU biectritenta) 54.91
float Mull , 61.06
Suite/bldg./apt.no.: Project name: a-iNitr Te,rmice...East Duct work 23.32
Cross street/directions to job site: livtironic hot water systetn 23.32
Residential boiler(radiator or
hydronie) .. 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duet suspended,etc. 46.75
Flue/vent for any of.above I ;1132
_. .
Other 13.32
Subdivision:•Ri44A- TeAfrace.'E.asl- Lot no.:B 2_
Other fuel applistaces: .
Tax map/parcel no.: Water heater 23.32
,;q;.,;iij.L,;-..:/q,.:i .,::.,,!Ati,-;; 25::U,'4,i.1.?--:;:•:;:t.:‘,-:!11.00.'010*..16141:0C*6**i:,',;;P:;':W'itgli.lig:06.M;!!$ GIIS firePh" "fini 33-39
line vent for water heater or gas
fireni
see 23.32
Log lighter(eas) 23,32
Woodliellet stove 33.39
Wood firepiacermsen 23.32
Chimney/liner/fluchrent 23,32
2332
rkcii'E'Rtt O*Nta''''''''''''''''''''.''''':''F. .4.'..---Etlrik/.....tt.4,,,,i,:.:.7.,,...,,,,,r..,..:,;,...,!:
Nanie:P(DV tr. La r\d HO klIn9E i LI-C- Range hoodlother kitchen
equipment (
Address: 1 i,00 £-Doutole_A-re., fLO,nc...\r‘ pacj Clothes dryer exhaust i 33,s9
chystakrap: coitscict_teR7 ..)_54; Single-duct exhaust(bathrooms.
g - toilet•compartments.utility morns) Li- _23.32
Phone:t(p1)l (1c4.i.....4)3 Fax:( ) Attic/crawls/tau fans
._, 23.32 •
• :''': *lOtttliilit3;: -.1•:':-:'.:7".1::;.1..1: ::.:,-5 .-.:,..-,:::,..T:5,...cr.tiiiitkft4;iiiiiiiiZV:::$4, Other 23.32
Fuel pipinu:
Business nume: William Lyon tionncsTaNc_
. .
St4.15 for first faun S4.03 tor emit additional
Contact name: 0 i cAti Die. y)ofile_ '" Furnace.ale. 1
. .,
Amfess: CrOodu3i0,,,it Si- SvjAt SIO Gas beat multi
WallIsuspendcdfunit heater
City/State/Z1P:Vancouver,WA 96660 4
Water healer .
.
Phone:(360)695.7700 Fax::(360)693-4442 Fireplace . . . I•
Ranee '1 _
,
E-mail;r A 0 pi- ? plq calocatiii ____ Barbecue
:fj:.:4"44'.:',';.:_-;K::E'•'-. ::::k!:i.'1..'-•.-:•:*;;.!:it':-. :'•::!--,A•.1.-, 1.; ' Cir7 C.;..7:.14:: ,Th:•::..„1:14 ...',;T',-0:?_,..2.:_;..!"::r,z,4,:- :;::..:*.•- Clothes dryer(gas)
Other:
Business name:Apes Air 1.1,C
2::•17;;?,..'i•-•.,1:::',.'„ .1,':'..'.MECHAP0Dektt
Mdr-msx.:18004 NE 72"Ave
Subtotal
, .--
City/State:ZIP:Vanentreer.WA 98686 Minimum permit fee($90.00),
_ ..... . _
" Phtn review(25%of permit fee)
Phone:(360)3424109 Fax:(360)326-1769
State surcharge(12%of email fee)
CCB 1k;203034TOTAL PERMIT FEE
- This permit application expired ire permit is mu obtained within um
Mos Ahern kw been accepted as complete.
Authorized signature' . ' Feerrathottoleay set b)•Tri-Ceanty Building Industry Soviet Based
Print name: teN, .( 1 Dale: 4-i/.a..
pa,..03.0p.i.,:,..MEIC,Pomit Apt Not 13 Jac 44fs-iirl17111,12)COM V1413
,
Electrical Permit Ampincatio m "('1.3 , :.'40.1z--0010E[7}4r 081S
City oflTigalyd Receives
"I' 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B : iiiiiiiiihii��%r�sll�firSL4K.�E�
I Phone: 503.718.2439 Fax: 503.598.1960 Plan Raview Related Permit#:
T I G A RI3! Inspection Line: 503.639.4175 Ready Date/By: Jurrs. i7 See Page2 for
> Internet: www.tigard-or,gov Notited/Method: Supplemental Information
r r"
ix •:av._a ;��:vtw%� .•;3'"1 T"• ��, `, "'��:rj::;u`(.i4:; : ;i.J,+.�i'.f•:,:. _
o-• . ..;;'fiffi ••i YLIAtn}?Rr. QRTtr.,.:).e;{cid::f,-5: ;•: `'i'i': :='r_i, 'csi• -t-.,;. �{.;g::�: ::rs�;S:�^..0::TIT
u�•.... ?r•},.r. ,i:a .: ':'i'...^4•.:'':�...+•:i.;.>hi:Yis`lj �s>.al!.-.✓f1•::i�;cy:•^r»`,h�X14= :'S•'i's`.•'i Vit+
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of
plans w/itema checked):
0 Demolition Other: ❑Service or feeder 400 amps or more 0 Building over three stories.
g^i1<r ;.t/i} slid�� „`F`.;y > , _,,., o, :i: ;�>a;:.rt.�:yKy�j.' where the available fault current ❑Marinasandboatyards.
= 6 -ioxit '_...f•; :�:Sr:'::g't.;-.:',::?2 '''ici,, exceeds 10,000 amps at 150 volts or ❑Floating buildings.
®I-'and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
0 Multi-family • 0 Master builder Other: amps for all other installations. •buildings.
t ulti-�`c•.Ig l t1' ri: ,....,..._..:>. n;:,•.. Q 1 :. :,.,. . ❑Fire pomp, 0Installation of 150 RVA or
.}. , ., :-. .$=3�+^ 'ry WIWRic OJN:A .119 Wi.,,Go1i`1•;•>. ❑Em s stem.
1�..-_. ._i :'�••��c�'.='::?:;:: er8aaoY Y larger separately derived
JobSoSite address:
b ❑Addition ofnew motor load of system.
#:
1�1 '' SVS/ oWC 100HPormore, ❑A:"E,"1-2;"1.3,
CitylStatelZiP:Tigard,OR 97224 ❑Six or more residential units. °cogency.
❑Health-care facilities. ❑Recreational vehicle parks.
Q Supply r voltss formore than❑Hazardous locatiSuite/bldg./apt.II: Project name: Ivey-Terrace Earn_.
Cross street/directions to job site: ll Service or feeder 600 amps or more, 600 volts nominal,
,Wii'3.'.ti:.{.Angi': rs1 �.onf'•�'.�.XKAwaY:'';'i� ;as
Description : I Ota t Each ( Teem ...I
New residential single-or multi-family dwelling unit.
Subdivision:1Likter T-eyrace, •ps-}-- :eL.a.ot#:_CV_ includes attached garage.
1,000 sq.8.or less
t 68.54 4 map/parcel#: Ea.add'10sq.ft.or portion 3392 1e a ` rni •tl �sAQ T b 4 , Q I : :c:s<:. . - .;-,, :.
Limited energy,
residential
(with above sq.ft,) 75.00 2
Limited energy,multi-family
residential(with above sq.It.) 75.00 2
y , .S �. �`'~r�.L�.R.r D�7t�71 's'a�5:t f,Tr„-�'tt'fcr�'��'i` �,•'fi.. .;%f'�* .,ft' T.' ii',~Gj i%.0`i': Renewable Energy ❑See Page 2
j'� ”' '`•c Services or feeders installation,alteration,-and/or relocation
Name:. A I/I- 1-0..M t lcI t(yl S I LLC_ r n 200 amps or less 100.70 2
Address::'(DOD EN)t dole-kyr-1.,,r l t3 t1C.�'1 201 amps to 400 amts 13356 2
City/State/ZIP:v' �,, ,,,,y�,,� ,l e. � �f � �r� �•-�_ 401 amps to G00 amps 20034 2
��L-1-0,?-)1
t �Z. 1752 Jl.J 601 amps to 1,000 amps 301.04 2
Phone:cO0 2.___ ,01.4_�O ( 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 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
RA.Wiagi -Q:+!.m`•:i *_ 'twii'.?:i :.K}Vi;••.. s:;45fiti yx..„:-Qr; `rr Branch circuits-new alteration or extension '-exPanel A.Fes for brhmch circuits iPirh
Business name: ] N G^ above service or feeder fee,
V"���« `" l 7.42 2
Contact name: S1-1-' each branch circuit
N► D °�ThO B.Fee for branch circuits without
Address: \ �nckai W %-- m c-0service or feeder
Subroach circuit foe,first 56.18 2
City/State/ZIP:Vancouver,WA 98660 b . Bach add'i branch circuit 7.42 2
Phone:(360)695 7700 Fax 360 Miscellaneous(service or feeder not included)
(360)693-4442Each manufactured or modular 67.84 2
tUt,,f> rt � dwelling,service and/or feederEmail: , J , r ,ry " , ^ tel:,C, : Reconnect only
67.84 2
.tt-� °; s � .x !.4i•gg.h,-,;,,,;?._a f;Z,.., 4..i, 8}ib,i,{?.X �Ys �. ;
Pump or irrigation circle 67.84 2
Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2
Address:402 Valley Ave NW Ste 106 Signal circuh(s)or limited-energy ❑See Page 2 2
panel,alteration,or extension. g
City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above
Additional inspection(1 br min) 66.25/hr
Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90.0W In
Email:bdanlals@gweusa.wnt Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee
CCB ice.: CI158I Suprv.Lic.: 44965 ! listed hrmla s 90,
Electrical Lic.: 208174 Ty, y 00/hr
signature, �i'''''•-v.,,j°:t•11`. ( ,�c�4_ 3 'i.n`1` s,,w,
Suprv.Electriciansi [1,aJ li P 1�// r`::`r:t
t T t K Subtotal:
Print name: Joan P Albert I Date: ❑Plan Review Required(25%of permit flee):
-
State surcharge(12%of permit fbe):
Authorized signature: '"'_- — TOTAL PERMIT PEE:
This permit application expires If a permit is not obtained within 180
Print name: Bill Daniels Date: days atter it has been accepted as complete.
# Number of inspections allowed per permit;
LLBuildingVermitADLC PennitApp BLit BREdoe Rev 06/17f2013 440.46IST(ll/05/CO},S/WBa
•
Plumbing Permit Application
Building Fixtures l{)R (Ii , lc ,: t Sl: OM
City of Tigard • Eew
PermitNo.: 7;2e)/7'.DO713125 SW Hall Blvd,Tigard,OR 97223 •
n Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.:
1-i t�A r n Inspection Line: 503.639.4)75 Date Ready/By: Tuns: H See Page 2 for
Internet: www.tigard-or.gov NotiBed/Method: Supplemental Information
..;:'6:::::::1'411.4;:;/.-,-.:„.-::'•,: ,
. .. . ... . TI('PE�F•.�E'tJRtF�•i' . . -.,.::1::-::.-,,--,.: :FETE-"^.S6i#ED �•%�. ,14,-:'a '.` R:
®New construction • 0 Demolition For special information use checklist
❑Addition/alteration/replacement 0Other. Description I Qty. I Ea. � Total
�TepNew 1-2-family dwellings(includes 100 ft for each utilitxconneetion)
• ' •CATEGORY OF GONSTRUCPION"• .. , - SFR(I)bath 312.70
®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
o Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25,02
❑Master builder 0 Other: Fire sprinkler( sq.R) Page 2
.. •• • .. .JOB SITE INFORMATION"AND LOCATION•. • .- Site utilities:
Job site address:1 W q I I S W I) do - s-'•'- Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 +"� Drywell,leach line,or trench drain 18.76
,r Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: P,(Y.e.y' -re.War e. F Z+ Manufactured home utilities 50.03
Cross street/directions to job site: (� Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no,linear it:_) Page 2
Storm sewer(no.linear ft: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision �iV-ty--TQ y ( .. .G,s� I Lot no.:®) Fixture or tem:
I
Tax map/parcel no.: Backflow preventer I 31.27
• Backwater valve 12.51
DESCRIPTION OF..WORK j
- Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0.PROPERTY OWNER • . ' I. • cl 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
®-.APPI:I[CANT .: 0 CONTACT PERSON' Interceptor/grease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:$!) Page 2
Contact name: eie h O It. I t 1 D G Primer 12.51
r Roof drain(commercial) 12.51
Address:10 3Y DGle1 VJO(i 1 C 4 SU lv S'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
1 urinal 25.02
E-mail:,1Vlehole i HTW ( e@pt)\( C C
h �es.0-6m
• • poll Water closet 25.02
OR Water heater ` 37.52
Business name:Malmedal Enterprises Inc. Water piping/DWV 56.29
Address:PO Box 207 Other. 25.02
City/State/Z1P: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 pennit fee)
Authorized signature: .4:1 ' •
TOTAL PERMIT FEE
Print name:Carolina Maimedal Date:04/25/2016 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
1:19uildinglPennils\PLMU-PemutApp.doe 1D/01/09 440-4616T(10/02/COMtWEB)
City of Tigard
14 COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G n R D Building Permit Review — Residential
Building Permit #: c p-0/7" 00 41-7r
Site Address: ROOM &VJ cSn04c0,1,6 S1-c.
Project Name: vvo( "�-�°�r (.Q - -- Lot #: g2--
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: ew S
Verify site address/suite#exists and active in permit system.
.IN" River Terrace Neighborhood: ❑ No Nt'Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
ree(3)copies of site plan 144xisting structures on site
Site 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
-orth arrow futility locations&easements(required for new and additions)
iSite address,project or subdivision name and lot number dewalk/driveway approach
Applicant information(name and phone number) ocation of wells/septic systems
XLot dimensions and building setback dimensions existing trees to be retained with drip line,and tree
quare footage of buildings to be demolished protection measures
of 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) ›t5treet names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? WAY-:47 No
4 foot differential) If yes,is a storm water quality facility shown? lI /• No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ZN No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified -No Applied For: ❑ Yes ❑ No,stop intake
X Land Use Case#: P;2,Dt((J_ OCOO
Zoning: R= LP1:5)
X Required Setbacks: Front g Rear V) Side 3 Street Side N f t Garage 20
,Landscape Requirement: 20 %
X Lot Coverage Maximum: g 0 % , f
Building Height: Maximum Height IV/k Actual Height
AVisual Clearance
ZS1 Sensitive Lands: ❑ Yes No Type
Urban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: i & A (/(_ Date: 1(_44_11_7___
Revisions (after Building Submitt. only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES 061417.docx
4.
Building Permit Submittal " , .
Original Submittal Date: _ 617/7
Site Plans: #
Building Plans: #
Building Permit#: !' nter building permit#above.
Workflow Routing: Planning Engineering piPermit CoordinatorBuilding
Workflow Sign-off: i Sign-off for Planning(include notes from planning review) /
Route Application Documents: I 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:
By Permit Technician: /d ,a_ �, �� Date: Ir
Engineering Review
%lo" pe at building pad: 3.'3
h' c�onditions "Met"prior to issuance of building permit Cc' ,inn-3
LTJ' Easements (encroachments)per engineering conditions of approval and plat
U"—Water Quality/Quantity Facility: (7.e tom k
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: .Z,..,A
Date: /2/7// 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: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
C Fees Entered: Wash Co Trans Dev Tax: ►' es ❑ N/A
Tigard Trans SDC: kr,-Yes ❑ N/A
Parks SDC: ..' Yes ❑ N/A
LIDA ❑ Yes N/A
Ap(>9OK to Issue Permit
proved by Permit Coordinator: 414Date: /�-- 1�- / 3
1:\Building\Fonns\BldgPermitRvw_RES_061417.docx
N
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
IN
River Terrace Building Permit Review Addendum
TIGARD
Building Permit #:
Site Address: 11090\ \i\J sintAt\( ,L? ,
Project Name: -\\J-er Tema act Lot #: S2
(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?vgyes ❑ 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 Gabled dormer
ft. deep min. 2ft.,5 ft.wide min.2 ft., 6ft.wide
❑ ❑ 0 0
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 'toot n
3. Entrances:At least one entrance must meet both of the following standards:
ax. 8 ft. setback from longest street- facing wall 'I'arallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Y es 0 No
If yes,all the following apply: A25 sq.ft.min.
One street facing entry 12 ft.max.roof above floor of porch
Ial 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 :Recessed entry area min. 5 ft.wide x 2 ft. deep
g Wall offset min. 16 inches 0 Dormer min.4 ft.wide
'oof eave min. 12 inch projection ► 'oof offset min. of 2 ft.
O Roof shingles either tile or wood 2 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 0 Window trim min. 2 1/2"wide by 5/8"deep
O Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 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. 1
Setbacks:
No closer to front or side lot line,than longest street-facing wall. ❑ YesNo. 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.
O 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)
O 12-foot-wide garage door 0 40%max. of street facade
X50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: Allmj O' (/(� Date: 1 1 i l/[17
I:\Buildiug\Forms\BldgPermitRvw_RES_RT_062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16911 SW SNOWDALE ST, BEAVERTON, October 1 , 2018 at
OR, 97007 10:45:55 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00478
Inspection Type: Inspector:
699 Mechanical final Jeremy Burrows
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:
16911 SW SNOWDALE ST, BEAVERTON, October 1 , 2018 at
OR, 97007 10:45:46 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00478
Inspection Type: Inspector:
199 Electrical final Jeremy Burrows
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:
16911 SW SNOWDALE ST, BEAVERTON, October 3, 2018 at
OR, 97007 1 :27:18 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00478
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
Note: No A/C installed
C of 0 left on counter.
Violation Summary:
Inspector Contractor