Permit (122) iyqCITY OF TIGARD MASTER PERMIT
2' ' COMMUNITY DEVELOPMENT Permit#: MST2017-00186
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2018
Parcel: 2S106DB02000
Jurisdiction: Tigard
Site address: 17247 SW HOLLY RIDGE LN
Subdivision: RIVER TERRACE NORTHWEST Lot: 20
Project: River Terrace Northwest, Lot 20
Project Description: New SF. HOLD C of 0 until approval of street trees by planning
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2229 sf Value: $271,047.13 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
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 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 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: $32,136.44
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.
,,"" Z24.-z,
Issued By: '' ' Permittee Signature:
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.
i
1.
Buildin Permit Application RE IVE FOR OFFICE rst oN►-N
' t' �� ° �` Permit No.:
r 1 Eew
MAR 28 2017 ,lvdTigard,0R 97223 pla : _ Page 2 for
It I Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD ateReadyBy: P r/ ,:i4111111111111 Supplemental Information
Inspection Line: 503.639.4175 BUILDING DIVISION Nohsed ethodlC
r <;,� t? ti ard-or.gov ft.- /✓1 e � �
Internet WWw g -- v 3x4 a 'aav� : 6 h e i ss -,-?:..y.:::„:. .,
",.�. �-y-14,� R�`�,' 9r�-" ��i� .._ ��.� �� , ��,�" -��"`,:,� .� "' performed.z «�� ; �.,, - Permit fees*are based on the value of the work p
N, _ O Demolition Indicate the value(rounded a the nearest dollar)of all
®New construction equipment,materials,labor,overhead,and the profit for the
Other plication.
lacement0 work indicated on this application. rr.
Addition/alteration/replacement eP �` ��� �> u r � �
:, :-— s, t� % %as K`n ,",. Valuation O T t ,i�R
M
� ,` ,. . ^°�.'_.�� ��� �•�.� :� � 0 Commercial/mdustrial
dwellingNumber of bedrooms:
® 1-and 2-family 0 Multi-family 3
building Number of bathrooms: - O •
Accessory 0 Other:
Master builder Total number of floors: 2,
_> �,��� � �=� � ,e ` area: 1.2" square feet
�u - t: t is i'i t E New dwelling
��� L O. i: � -�� Garage/carport area: square feet
Job site address: square feet a$
City/State/ZIP: Covered porch area: �s - ��
Project name:River Terrace Northwest ,3 square feet
44. Suite/bldg./apt.rcstreet/directions
/ cti Deck area:
job site: square feet
Cross street/directions to Other structure area:
"� ��$ �t t � � erformed.
,� Lot no.: ' Permit fees*are based on the value of the work p
1``+ Subdivision:River Terrace Northwest Indicate the value(rounded to the nearest dollar)of all
equipment materials,labor,overhead,and the profit for the
Tax map/parcel no.: �,,: work indicated on this a.plication.
Valuation:
, � � _'-ea. square feet
Existing building
1_ square feet
_.--- New building area:
Number of stories:
t at ,1 i Type of construction:
Name:ADVL Land Holdings,LLC Occupancy groups:
Address:7600 E Doubletree Ranch Road
City/State/ZIP:Scottsdale,AZ 85258
Phone:(602)694-4031alli WV,,,,,,,,
a° : � ,- :A , y
IL�� .�-
L Business name:Polygon MLA,LLC Structural plan review fee(or deposit):
applicable
FLS plan review fee(if app
Contact name:Nichole Thorpe 111111111111111
Total fees due upon application:
Address:109 East 13th Street Amount received
111111111111111
Vancouver WA 986 `°'`� L
: IIIIIIIIIIIIIIII
City e:(360)6 98660 , `� Dir:
Phone:(360)695-7700 installation of
e 1 onhomes corn Commercial and residential prescriptive
E-mail:Nu' ''Thorp @Po Yg " �
System.
' r -��� -'-' - roof-top mountedsets PhotoVoltaic of roof plan with connection details
y � ` Submit two(2) with the 2010 Oregon
r :a ` ` L and fire nseaccess,along
�ne" Lyon Homes,Inc ""
Business William Solar Installation Special Code checklist. $180.00
Address: 109 East 13th Street Permit Fee(includes plan review
and administrative fees
permit fee): $21.60
Phos :(360)6 Vancouver WA 98660 State surcharge(12%of p
Fax:(360)693-4442 $201.60
Phone:(360)695-7700 Total fee due upon application:
permit application expires if a permit is not obtained
CCB lic.:207247 This PP complete.
< within'ISO'days after if"has been Building Industry
- *Fee methodology set by Tri-County
Date:3/142017 Service Board.
Print name:Nichole Thorpe
IABuildineermits\BUP-RESPermitApp.
doc 02/24/2011 440.4613T(1l/02/COM/WEB)
$�(#3'ifttit 1 1 �i El�lS
Mechanical Permit Application vED ,, Permit NAL( : 0 -0v1 ,�
CityofTegarc CE
1.31.25 SW Hall Blvd.,Tigard,OR 972223 6'1 See Yage y inr
lnsern 5flLin : 503. Fax: Si13.59E.1 IVIAR 2 8 2017 p g ,. tsllafarrn.t
ion
Inspection Lina: 503.639,4175Igil
3 t:f `1+� -
Interna: www.tigard-or.gov CITY OF TIGARD
B ► ■ or17t- r ; ► on the value of the wort.
" : s n,:vvie.-doe-dvitireenuut am*.avi, f. �.' Mechanical permit fees are based
m 0 ddition;aiterattcan.teplacement performed.Indicate the icates. value rouldedtc overhead.the
r and est dollar)of all
0��E New-construction 0 mechanical
Demolitioni fit
Other 04001 4 E«„v, ,. , *.�%''.,„,4..„- ,-- 2• i i i.€1'`3 •: -' ,•M, l y t...,0
^:„ .. r 9 "'S: B E r: ,. ., - ;.,.. fr�P ttt ,' ',IiiJt.
if-
For
eehi
Commercial/industrial mmercialfindttsuial 0 Accessory building 5` T`ttal
and 2-family dwelling 0 «ie ion
0 Master builder 0 Other
I viuiti-fatrtti} -
1, ;t' A A'A+ ' Air erfttdttrghtn .
1111111 at'r-75 N
bs a ,-,3..•3...r � �
NM
< �: Furnace 100.000 BTU okienivents 4 1
Sob site address: Mal\ IIA .. '... i. ,. ' Furnace 100.0004 BTU taucte�4` ” mil
61.1/6
Suite/bldg./apt,
LIP: nTo.: tt,OR 9722
V t t1 1 A . ' S Duct work IIIIIIIEMIIIIIIIIII
Suitt:ttt#d8.{apt,no: Project,'zuutt�c � H=arot+ie hot water�°stcrn IIIIIMIEIIIMIIIIIII
Rcsidexrtial boiler(radiator or � m
Crass street directions to job site; drank)
Unit heaters(fuel-type.not electric/. III 11111
s1b.75
in-wall.in-d sus*- ,�u.,e . � �
Fluelv�ent for an•of above
Clther.
,i,,,.... Lot no.: I Other furl a 'fiances:
is11111111105111111111111
III" 33.39 1111111111
Tax mtr 177:ei no.: _. ; „'- ;-
ruxu. Flare vent frs a attx heater err
sas
f; :la* rlliTillMIIIIIIII
Woodd Ilet stove ,,.. 111111111111111.1111
Wood fire>lace/insert
Chi /lincr°/llueh'ent aliligniallilli
F %�-.._ k L �' RC Ie .k ` Zlundtl
„ t.''''"---'
�� z...'''''9- �*? x� 2.. Environmental veuatan
ssz
RangelitSL>dlCstlaCt kitchen � '.
Name:Polygon W1.11,LLC e ui menu
Address° 109 East 13''street 11111111
11111111111111121111111111111111
— ____- -.--- Single xluet exhaust;baihrvo+r
toilet
eom #.rtments,utild rooms/
City Mope:(3 0 6;S'anenat tr.SS's 91ib60 Attic crawls�> fans �'
Mitigiliiilli
—,..- (36q)4,77,,7U0 ,."""' r',,T. : other, 1
.7t,,,,—,, , ,� . int$ � Y'sb t s
i:t,t 5 for first four;54.03 for each additional
Business name:Polygon WIN,ILC •t
Frtrnace,etc. !1■yf�
•
Contact name: �� A , k ii ti., 11111111111111111111 i
111111111111111111
IIIIIII
Address:109 East 13th Street
Wails -�•.„ unit hatter ��mom
City/StatefllP:Vancouver,WA 98660Fi u
phone:(360)695-T700 Fax::(3 60)693-3442
111111111111111111111
E-trail: l ■/ 11. Clothes d •et` ' 11111111111N11111111
��
` i' tither ,'
Business name:Apex Air LLC Subtotal
Address;18004 NE 72.4 Ave otal
)vlinianuns permit fee(ubt
Plan review(25%of permit fee)
IIIIIIIIIIIIIII
C'tiyr'StatelZTP:Vancouver,WA 98686Plan
surcharge(12°'s of permit feed '�
CPlone.(360)342-Stfl9 Fax'1360)326-1769 TOTAL PERMIT'FEE 1111111111111
TUlmpermit application expires if a permit is not obtained vdthia 180
CCB lie.:203034day's after it T bas been accosted as complete.
et by Sri BneTxtY Service._. . Fee raet e
Authorized signature:,_ i
Print name: €'€(ttf2�(lA1Yit1
l'al.9 'sts^tar_PennstApp CAW 13 sac
I
Electrical Permit ApplicatiO
'RECEIVED FOR OFFICE USE ONLY
, Received
City of Tigard Dania rffilEMITIMM
ill 4 13125 SW Hall Blvd.,Tigard,OR 97223 AR 2 8 2017 PlanReview Related Permit#:
Phone: 503.718.2439 Fax: 503.598.19 Dam • [ See Page 2 for
Inspection Line: 503.639.4175 CITY OF TI CARD Ready Date/By: Jars age 2 Information
TIGARDg NotifiedR+�tethod em
Internet wwwtigard-or. ov BUILDING DIVISION Supplemental
c tom'.-.v 'a•-.'Sc{�X.'-�'^.rLN;+'�'..-+'x' _ _ 8 ... "t���.�"_L"^�"`-µa'sn
4
®Nom,constructiOn 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wfitems checked):
O Service or feeder 400 amps or more 0 Building over three stflries.
❑Demolition
ition ❑Other: idseavailable
0fault c
0
boatyards.
Marinas and
w
?MyF _ 7R ' � Mi- � 5A Y � r- . -' t oaam 150 volts or QFloating buildings.
®] 1-and 2-family dwelling 0 CommerciaUuidtistrial 0 Accessory building less to ground,or exceeds I4,000 ❑Commercial-uso agricultural
amps for all other installations. buildings.
0 ❑Installation of 150 KVA or
❑Multi-familyMaster builder ❑Other: ❑Fire pump.ency tem. larger separately derived
�.. 0 sYm
;,.. .:.�,,._..,:.-..�... ,_ .� motorload of
- ��(1�=�1�>~�� - new
:._�;,s•�;�t,��r:;•:,f=-�*-=�_�= .�; �r=_�. . .,... ,_ _..._.._ ❑Additionof
_.w�-1 7 1 .#011 _ � 100HP or more.
lab#: I Job site address: L occupancy.
0 Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP:Tigard,OR 97224 0Health-care facilites.
Hazardous locations. 0 Supply
ulyvoltage for more than
Suite/bldg./apt.#: I Project name:NP lr'��,1(r(,(� N a(��UJeS`; 0Service or feeder 600 amps or more. 6 volts mnominal.
SuiteJb
Cross street/directions to job site: tr- 'i.',,,: -." _
DescrlP[ioa Qty Each Total
New residential single-or multi-family dwelling unit.
L � Lot#:7A) Includes attached garage.
Subdivision I�vtY I{jt(1(a(� n 1 1 v(�( hrtV��T 1.000 sq.ft.or less A. 168.54 4
Tax map/parcel#: �. . ;_,� �.� Y---.. _ ._ nal 33.92 1
Ea.add'1500 sq.ft or portion
i.
t2 ..
® v r`` Limited energy,residential 75.00 2
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable
Set Page 2
: -*;4,;.:,, Services or Energy
feeders s installation,alteration,and/or relocation
=� :=�` - 200 amps or less 100.70
2
Name:ADVL Land Holdings,LLC 201 ampsor 400 amps133.56 2
Address:7600 E Doubletree Ranch Road 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
City/State/ZIP:Scottsdale,AZ 85258 Over ,000 amps or volts 55226 2
Fax:( ) _., .: . .
Phone:(602)694-4031 Temporary services or feeders installation,alteration,and/or
Email: relocation
200 amps or less 59.36 1
Owner installation:This installation is being made on property that I own which is not_ 125.08 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 201 amps to to 400 00 ampss 168.54 2
Date: per panel
Owner signature: Branch circuits—.new,alteration or extension,
W-< 4-o --• ''; 4, CE''3°IItSO �. A.Fee for branch circuits with
��.�� 4- - �" above service or feeder fee, 7.42 2
Business name:William Lyon Homes,Inc. each branch circuit
Contact name VY 1
N`^,_6t
� � B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address:109 East 13th Street branch circuit 2
City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7,42 Miscellaneous(service or feeder not included)
. Fax::(360)693-4442 Each manufactured or modular 67.84 2
Phone:(360)695-7700 dwelling,service and/or feeder
Email.N ichol-e 1ln ,t i - p v\ f C) Reconnect only 67.84
• 6- it a'e-V7,7-11.0,�—. ~-� = Pump or irrigation circle 67.84 2
Business name:Garner Electric Washington,LLC
'��' � =�-� �- ��" _ � - Signor outline lighting 67.84 2
Signal circuit(s)or limited-energy See Page 2 2
panel,alteration,or extension.
Address:6101 NE St Johns Rd Each additional inspection over allowable in any of the above
City/State/ZIP:Vancouver WA 98661 Additional inspection(I hr min) 6625/hr
Investigation(I hr min) 90.00/hr
Phone:(253)320-1657 I Fax:( ) • 78.18/hr '
Industrial plant(I hr min)
Email:bdaniels®gweusa.com Inspections for which no fee is 90.00/hr
i Suprv.Lie:: 4496S specifically listed(%hrmin) b
CCB Lic.: CI158 ` Electrical Lic.: 208174 == _. -x. •�3 .-•..D ."
J. , u :
Suprv.Electrician signature,rethured: - ,,j,�.� I!- * i
Date: 4/26/2016 ❑Plan Review Required(25%of permit fee):
Print name: Joan P Albert • State surcharge(12%of permit fee):
—---�. ,TOTAL PERMIT FEE:
---� , within ISO
, — r
AuthOrlZed Signature: I T his permit application expires if a permit is not obtained
Date: 4/26/2016 days after it has been accepted as complete.
Print name: Bill Daniels Number of inspections allowed per permit
Y:11iui1dinglPermiCsVII.0 PermitApp II.B):RE_doc Rev 06/172015
440-4615T{1 t!05/COM/WEB
Plumbing Permit Application
Building Fixtures RECEIVED ! (1R 01 I I( I 1 'I (1\I.1
City of Tigard MAR 2 S 2017 Received
Date/By: PermitNo.: $7 '.o/7 do/
13125 SW Hall Blvd.,Tigard,OR 97223 -;•Plan Review 111 p Permit�Aii//No.:
■ Phone: 503.7182439 Fax: 503 59Cj�61e OF TIGARD Date/By:
1 ,\ 1 Inspection Line: 503.639.4175 BUILDING DIVISION Date Re /By: hues: ® SeePage2for
Internet www.tigard-or.gov Notified/Metbod: Supplemental Information
TYPE OF.WORIf r. FEZ! SGBEDVL&
®New construction " 0 Demolition For special informafion use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION' SFR(1)bath 312.70
ID 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 1 500.32
0 Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler(_sq.ft._) Page 2
JOB SITE INFORMATION AN!) LOCATION _ Site utilities:
Job site address:117,1-11 Svc "�""6 t +� /j 1 Q Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 LLLL� `f/�^"� Drywell,leach line or trench drain 18.76
Footing drain(no.linear ft.:_J Page 2
Suite/bldg./apt.no.: Project name:RA\leyit rpl,ct N0 t'ARS+ Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_,) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision:p..), J,( tp war messi--- Lot no.( Fixture or item:
Tax map/parcel no.: Backflow preventer I 31.27
DESCRIPTION OF"WORK Backwater valve ( 12.51
Clothes washer 25.02
Dishwasher 25.02
-
Drinking fountain 25.02
Ejectors/sump 25.02
®.PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road
Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)694-4031 Fax:( ) Ice maker 12.51
Z.APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
•
Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: 0 i f Vilt 11ANyt 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
Urinal 25.02
E-mail: N Ic h()le .p oto e dio>1nomts.c inn
Water closet 25.02
CONTRkCTOWWater 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
Plan review (25%of permit fee)
" CCB Lic.:102535 Plumbing Lic.no.:34-276PB
-
State surcharge(12%of permit fee)
Authorized signature: C_- TOTAL PERMIT FEE
Print name:Carolina Malmedal Date:04252616 This permit application expires if a permit is not obtained'within 18Q days- `
atter it has been accepted as complete.
•Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
4
1 •
City of Tigard
71r COMMUNITY DEVELOPMENT DEPARTMENT
■
T r G A R D Building Permit Review — Residential
Building Permit #: 44 5�.._ /. .._-00 t
Site Address: +7 '2 ' S tiOILLI iLTDC.
Liq
Project Name: r ` 7t. ce, Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: Q\:) 5PTZ
2 Verify site address/suite# exists and active in permit system.
"River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
'Three(3)copies of site plan 1A+ xisting structures on site
Rite plan must be on 8-1/2"x 11"or 11 x 17"paper T.Footprint of new structure(including decks)with finished
Drawn to scale(standard architect or engineer scale) oor elevations
orth arrow tility locations&easements (required for new and additions)
IJ Site address,project or subdivision name and lot number 1J Sidewalk/driveway approach
[ pplicant information(name andphone number) JG'
ocation of wells/septic systems
klLot dimensions and building setback dimensions Tei Existing trees to be retained with drip line,and tree
i,__,(//Square footage of buildings to be demolished protection measures
2Lot area,building coverage area,percentage of coverage and giStreet tree size,type and location
*ripervious area(applicable if R-7,R-12,R-25&R-40) IldStreet names
Property corner elevations (2 foot contour lines if more than A'storm water quality facility required if>1,000 sf of
4 foot differential) impervious area is created or replaced.
r' Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified Il No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit: ',]2 j 5.- it-1-
Required: E Yes,applicant was notified ❑ No Applied For: - Y Yes ❑ No,stop intake
Land Use Case#: P DR2101 j OC)
aill Zoning: '-'1-2-(Pv)
Er Required Setbacks: Front / 2 Rear 10 Side 3 Street Side 8 Garage '7
2/Landscape Requirement: 20 %
LJ Lot Coverage Maximum: 80
Building Height: Maximum Height Actual Height
!T Visual Clearance
It! Sensitive Lands: ❑ Yes ❑ No Type
[a Urban Forestry Plan
(Conditions "Met"prior to issuance of building permit
Notes: Cs;% I •5 o PDQ?C\S--CC 5 core Cu4soY7 c)%. 19
Approved By Planning: �.- , _ Date: Sri(7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\BuildingForms\BldgPermitRvw RES 051617.docx
1
Building Permit Submittal
Original Submittal Date: 3/.L nit?
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning ?i Engineering Permit Coordinator 7r1 Building
Workflow Sign-off: p' 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.
Q'Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: / /
By Permit Technician: "ea / ir Date: 1)..ce1/7____
Engineering Review gjf
.-`
Slope at building pad: •••........- �/
zr,Conditions "Met"prior to issuance of building permit do/
/11 Easements (encroachments)per engineering conditions of approval and plat
/ffi 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
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 4L. 2 Date: 5.:7_14:—/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
0,4PP /� �
A roved NOT Released: , ""1Ja": 5/5$73/i
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: ►' es ❑ N/A
Tigard Trans SDC: Pi Yes ❑ N/A
Parks SDC: Ti Yes ❑ N/A
Alf LIDA ❑ Yes 7N/A / 1 Sr/
%"OK to Issue Permit .,/ yfir
roved byPermit Coordinator: ' /4% Dat
' PP -
I:\Building\Forms\nldgPermitRvw_RES_051617.docx
a
City of Tigard
.1111 COMMUNITY DEVELOPMENT DEPARTMENT
c 1 GA R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 0 2.47 5W ioLl-i) 1211,CE L 0
Project Name: V Nee-re-A t3 Lot #: 20
(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? P/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
V ft. deep min. 2ft., 5 ft.wide min. 2 ft. I6ffttf wide Gabled dormer
❑ ❑ 'IJ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: i 1—®il,
3./Entrances:At least one entrance must meet both of the following standards:
['Max.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: gYes ❑ No
If yes, all the following apply: 115 sq.ft.min.
l(One street facing entry 12 ft.max. roof above floor of porch
Y�J ft. depth min. il 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
I� Wall offset min. 16 inches 1=1 Dormer min. 4 ft.wide
Roof eave min. 12 inch projection !eRoof offset min. of 2 ft.
❑ Roof shingles either tile or wood C1Q 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 VWindow 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 .To. If No (Check one):
E/May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
E(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
ft,/J 50%max. of street facade with 7 detailed design elements Lfr(o
Notes:
Approved By Planning: gt?.Yk pa Date: 5/n//('7
I:\Building\Forms\B1dgPermitRvw RES RT 062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17247 SW HOLLY RIDGE LN, SHERWOOD, August 16, 2018 at
OR, 97140 11 :24:13 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00186
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS
Comments:
A/C installed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17247 SW HOLLY RIDGE LN, SHERWOOD, August 20, 2018 at
OR, 97140 9:44:40 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00186
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17247 SW HOLLY RIDGE LN, SHERWOOD, August 20, 2018 at
OR, 97140 9:43:38 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00186
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
Ac installed.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17247 SW HOLLY RIDGE LN, SHERWOOD, August 27, 2018 at
OR, 97140 12:16:28 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00186
Inspection Type: Inspector:
299 Final inspection Jeremy Burrows
Result:
PASS - CofO
Comments:
Corrections completed
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