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Permit 1,4 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00187 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2018 Parcel: 2S106DB02100 Jurisdiction: Tigard Site address: 17255 SW HOLLY RIDGE LN Subdivision: RIVER TERRACE NORTHWEST Lot: 21 Project: River Terrace Northwest, Lot 21 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: 25 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: $271,136.41 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 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: N 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'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 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: $32,133.54 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 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: , � ��e / 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. a Z.--Or )q Building Permit Application ' = RECEIVE II pE FOR OFFICE t 5E O\Ll City of Tigard MAR 2 8 2017 D s 57i cel/7 ! j permitNo.:14 Up )/7 13'125 SW hall Blvd.,Tigard,OR 97223 Plan Review Y7N !v6 Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TI GARD Plan Re: Com- 1 ' j 7 Other Permit: ��of 7— /6 , r i c ^,iz I) Inspection Line: 503.639.4175 BUILDING DIVISIO Date Ready/By. Juris. ® see page 2 for (v Internet: www.tigard-or.gov Notifed/Mettbo4(V/ '�7 Supplemental Information '/e o iC �/ / C Lc _ • -,*,,,,-.1.1 K �.s[ Fs e �4 Y^ is ,_... . � - rad — �. .®Newconstruction 3� L. �x.3❑Dae2muolitiron� M.w > a,,.. Permit fees*are based on the value of the work performed ❑Addition/alteration/replacement ❑Other. Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 3 `;'�` work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrialf Valuationa7i 3 G $ ❑Accessory building 0 Multi-family Number of berms: 14 I ❑Master builder ❑Other Number of bathrooms: 3 SrH+kyEA x�dg bmf. _.. .... -, � � „ ,a, c� , _z �, 609 a . Total number of floors: " �p (10 Job site address: n% SW 11 4,..g./1/4 t /�, p New dwelling area: 'L'Z square feet City/State/ZIP: y Y� Garage/carport area: 3$O square feet Suite/bldg./apt.no.: I Project name:River Terrace Northwest Covered porch area: . square feet j 1.4- Cross street/directions to job site: Deck area: 33 8 square feet 9 p 8 Other structure area: square feet Subdivision:River Terrace Northwest I Lot no.:2,' Permit fees*are based on the value of the work performed. r Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ��-..- , t ' i' t t " e ` work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet AD%1VIII;.,:illnd'HOrdiri7:L7CL'' sa . Numberofstories: Name: 46' 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 Yg n WLH,LLC � �., s Structural plan review fee(or deposit): Contact name:Nichole Thorpe in FLS plan review fee(if applicable): Address:109 East 13 Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 .I Fax::( ) Amount received: E-mail:Nichole.Thorpe@polygonhomes.com _,. _ ? x , � Commercial and residential prescriptive installation of �� �� �� - � � roof-top mounted Photovoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details ... :...... and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 _ State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 ' Authorized sigiha 4,; '/ .,rThis permit application expires if a permit is not obtained - :within 180 days after it has been.accepted as complete. Print name:Nichole Thorpe Date:3/14/2017 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , Mechanical Permit Applicatirmat litECEIVED City of Tigard Received Dieell3v Pamil Nn4S72•01)--Vat? 13125 SW Hall Blvd„Tigard,OR 97223 MAR 2 8 2017 man Review Phone: 503.7111.2439 Fax: 503911.1960 Detelly Other Peoria Inspection Line: 503.639.4175 CITY OF TIGARD Date Rea40ar ton. la Set Pagel fur Internet: wweard-or.gov BUILDING DIVISION NattfiedIlethed: Supplemental btformation ' '''• - " ' ' 't a- .'-' a'''a'i',,,-) ','-' t.'Z''n'i,' i 41 ' <,..., -'.:it<4;;'7:: :'55::nf 15a;6:e53,iti7.5N;k1A;i::::?T*2:1,74‘.:1 :A4:tii::,4i**s*:*'-:';*':t::11'i",f --'w'Y'''''1."-L''-;"° '''';'rn.'".1',N•-,: '• : `0:,---1.` "-,' ,'t-",, '‘, - --,,-t Mechanical permit fees*at based on the value of die work r. New construction 0 Additiontalterationfreplacemerit performed.indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other; mechanical materials,equipment,labor.overhead,and profit, Value:$ :4<''''''' ,P--...0'.,,,..„,....aisyl,-,-..,-,r,a,.. '.",°.,414...31,k;Alik ,',1.,,askri„.,,,,=-...4torli'ea, ,'....,1.2', 17,,.,...:...:.,-,--,-•9...„,,,s.,„ P.;,,,,,,,, ,, .....,.,-,:,,, .,„,, or,,. ,, ,..,..,,,,:.. Abe •and 2-famtly dwellmg Commercial,industn Accessosy tiding For special hiforinistioie ale cirectfist ° Aulti-family 0 Master bulkier 0 Other Desert-09a [ Qty, I Ea. 1 Total . ' 'routing: 1 %-..244.-44v%i.r.:;./*";,‘",.::-.;t:Z1 i'.!.;:-,:t','i---.i..,',,',,'";,.ti,i;.' ;,:r";';`:10:44,r7 4,°':,;;t0,,„,, „;;;L*,'„• ;;,.4,l, n"unt ir .Z.P. ,. .oz.Wairaw.7,-,..4.,...,•:; candniog I 46.75 Job site address:n15S S\N ) ' \aiNQ.... Furnace 100.000 BTU(4ucuivents) I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.0004 OW(4nosx•ents) 54.91 Heat pump 61.06 Suite/hldg./apt.no.: 1 Project name 2Wer itnract, MOft1Awe_it Duct work 23.32 Cross street/directions to job site: Hydronk hot water svmem 23,32 Residential boiler(radiator or hydronic) 2132 Unit heaters(fuel-type,not electric), in-wall,in-duct suspended,etc. 46.75 Flue/vent for any of above I 2332 Subdivision; -1\jl'--re e ,retAC- N - al ilnk >eS-t.- Lot no:2. ‘ Other: Other fuel appliances: 23.32 Tax map/parcel no.: Water heater 23.32 ,,, .,,, ,,,, . - • , -,--- ,. ,„,, , , . 1 33.39 '17:•e*::-:141::nat:=P;*:Ct:i:45;"4,'V ',71'17:-424,177-';•lit".":117*. Gas ThePiseelinsert fireplace 23.32 Loa lighter(gas) 23.32 ,, Wood/pellet stove 33.39 Wood fireplace/insert " 23.32 Chintneylineriflue/vern 23.32 her. 2332 ,;:,412.'q1,2v',fi:A.t. a-lir1-7V,kfPi.I;le,:.,„-- "•:;;:i7 71,*r:V,.;•S`P:144- :4':wail";'44P'L'''''''''''''" * Environmental exhaust and ventilation: Name;Polygon'WEB.EEC Range hood/other kitchen _ 211.1ipment 33 39 Address' 109 East 13°Street Clothes dryer exhaust I : 33.39 City/State/ZIP:Vancouver,WA 95660 Single-duct exhaust(bathrooms. toilet oampanments,utility rooms) 1-** 23,32 Phone:(360)695-7700 fax:( ) Attic/crawls/tam fans 23.32 IT*-,,,,--1,,44,,,,,:ns,-7,..7•141-.'-41•.,./.-'•6:;;Vv-t',-ry-,it:,leizei,- ,--,,,i'ir' -'''''f;''?"'' ' ,: X ,,,,, ,. ,, nthd-r.'. ' 2332 ' - Fuel pipinz Business name:Polygon Will,LIC 514.1S for first four 54.03 for each additional , Contact name: I\I I do OIL-Thovve, Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98460 Water heater Phone:(360)695.7700I ay..F --•(360)693-4442 Fireplace Range E-mail:A 4 ' . II .14 Of /mho e .,..,..., All Barbecue Other gilii*:::1;f:kt;4:itij!,:'l'f-:::::',ifIAI:°-6A, ''.3%,614 Sg.4.:1451,1,Vgiti ilkitt•liMANA1.5' Clelks d/Yet 4C.as) Business name:Apes Mr LLC ,,,:. Address:18004 NE 7274 Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee(590.00) Plan review(25%of permit fee) . Phone:OW)342-5109 Fax:(360)326-1769 State surcharge(12%of Kona fee) 4 CCB lie:,203034 TOTAL PERMIT FEE This permit application expires if*permit it not obtained within ISPAuthorized signature' * Fee methodology set by Tri-ecnney Building Industry Serviee Board Print namerrne‘ I Date: 4-ii 1",11104itteMEC_PevntApp I3A**, 4 46-461 7T g 1 liel,COMAVER) Electrical Permit Application RECEIVE r FOR OFFICE [:SF ONLY' City ofTigardlMAR 2 $ 2017 Remi Permit#%.4 001 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.7182439 Fax: 503.598.1960CITY OF TIGARD Date/B Related Permit II: TIGARD Inspection Line: 503.639.4175 BUILDING DIVISIO I Ready Date/By: lurk: El SeePage2for Internet www.tigard-or.gov Notified/Method: Supplemental Information ,._.. - _�VI��x-.`-•+-�"�--.i.; -ja-`rL` _V3_-- -=�-i��iFvVl'7.^'.'�C-`r .�` . ,.. W...R:tt.�.^X:ti•::i ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wfnems checked): ❑Dem0litian ❑Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. :441 1 t S l j K--;:17.&;;; -:_7:,---,',- _y exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family ❑Master builderamps for all other installations. buildings. _ _ 0 Other: 0 Fire pump. 0 Installation of 150 KVA or y-�� _��..-.� ;�-� _`'.1?l�U1�=��'��- =LFO}�', - - - 0 Emergencytem. largerseparatelyderived ..�,..._,.;s;..,Y.,.,_H-.,z.:,-,F,+��:.:...,.._.-, R �.w,.. - �.. .. -_ � -- �J.� ❑Addition of new motor load of system. Job#: Job site address/72,55 SW 1 t )I L r `N*;;C19 /LI/l�' `�.e 100HP or more. ❑••A","E,,,`I_2","1_3", City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. 01-kWh-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name:give rT�YYG� l�l(] ❑Hazardous locations. ❑Supply voltage for more than Cross street/directionst`r ❑Ser`ice or feeder 600 amps or more. 6�volts nominal. to job site: TaglatalAWFISMAWORESartOW' Description I Qty. I Each 1 Total New residential single-or multi-family dwelling unit. Subdivision I2AvC1( ie./VY-6V-t9 Nart�•,f Lot#:Z\ Includes attached garage. Tax map/parcel#: 1.000 sq.ft.or less 168.54 4 Ea add'l 500 sq.ft.or portion 33.92 1 W.Y 4 ` ` . ` ;. .' Limited energy,residential (with above sq.ft.) 75'00 2 Limited energy,multi-family 75.00 2 residential(with above sq,ft) �. Renewable Energy ❑ See Page 2 � 7''� ,° :sac > 7, '. ... ..g Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 40]amps to 600 amps 20034 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 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 Branch circuits-new,alteration or extension per panel ter' `. a Irv.. -oFI'PrA-CF�3'ERSO .p "`�""^-^ � 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�I t cA 16 it i"Nyl� B.Fee for branch circuits without }1'' � service or feeder fee,first Address:109 East 13th Street branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)166,9'5\-7700 • ` I Fax::(360)693-4442 Each manufactured or modular Email.N I Cf {V 1 e I Y ,� t 1,� M,, /� �n� dwelling,service and/or feeder 67.84 2 y, .k 1 w 1 a.l) 1 l Reconnect only 67.84 2 . 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 Address:6101 NE St Johns Rd panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) I, 6625/hr Phone:(253)320-1657 Fax:( ) _.. Investigation(1 hr min) 90.00/hr Email:bdaniels@gweusa.com Industrial plant(1 hr min)' 78.18/hr Inspections for which no fee is CCB Lic.: C1158 Electrical Lie.: 208174 I4496S specifically listed(%. mm) v Suprv.Lick: iii 9000 hr Suprv.Electrician �.. u . _ k w,r.,� .D • p signature,required: Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): !' State surcharge(12%of permit fee): Authorized signature: :___"" TOTAL PERMIT Fes: 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. s Number of inspections allowed per permit `I:1BmldinelPeonitslELC PermitApp II.R EREdoc Rev 06/17/2015 440.4615T(1I/05/COM/WEB , PYuinbina Permit Application Building Fixtures RECEIVED clic ulllc i l ,: O\I.l City of Tigard Received Date/By. u 13125 SW Hall Blvd.,Tigard,oft 97223MAR 2 8 2017 Permit No.://4522,0/2_00 Phone: 503.718.2439 Fax: 503.598.1%0_ PIS`Review • Inspection Line: 503.639.4175 9CI9I Y OF TIGARD Date/By: Other Permit No.: ' 't' \R I Internet: www.tigard-or.gov BUILDING DIVISION Date ed/MeBy. Aids: la See Page 2 1for NotifiedlMetbod: Supplemental Information .. :.: TYPE-OF-WORK- FEE-*SCHED ice!= ®New construction 0 Demolition For special information use checklist Description I Qty. I 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 1500.32 0 Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION _ Site utilities: Job site addresst7 Z Ej r 0 1 1 ck e Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 9722224" I t v11y� Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no.: Project name:n Ney it rNiel/twat-(.Q Niel/ 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: V\1.Wftyy-xtN o f wes.}-- Lot no.:"'�` 1 Fixture or item: Tax map/parcel no.: 1 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve i 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®.PROPERTY OWNER 1 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 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 f Fax:( ) Ice maker 12.51 El APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William LyonoHomes,Inc Medical gas(value:$ ) Page 2 I c(Vla..C. Wino 9t, Primer 12.51 Contact name: 1®/ U l Y`UV(1J Roof drain(commercial) I2.51 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::t(3360)693-4442 Tub/shower/shower pan 12.51 E-mail: I Ich()V . I Fl-V e � X111 li )ts-.e ()'(Y1 Urinal 25.02 N v .. CO CT Water closet 25.02 Water heater 37.52 Business name:Malmedal Enterprises Inc. Waferi m WV P P g 56.29 Address:PO Box 207 Other 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 CCB Lic.:102535 . 'Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: _, TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 . ' This permit application expiresif 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. I:\Building\Pmnits\PLMU-PennitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) a t ' City of Tigard 11111 I q COMMUNITY DEVELOPMENT DEPARTMENT T l c;a u n Building Permit Review — Residential Building Permit #: 4457-2,42(7,00/37 Site Address: 171.56i'.. kloalf QT-DC4& LN Project Name: ' 1"v124' ‘40.,!Yc cs 't\jW Lot #: 2 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: J Q k) SFR /Verify site address/suite# exists and active in permit stem. Lig River Terrace Neighborhood: ❑ NoLi h rYes,See River Terrace Review Addendum Attached GPlan Elements: ree(3)copies of site plan xisting structures on site L'Site 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) floor elevations EiNorth arrow C4Jtility locations&easements(required for new and additions) i Site address,project or subdivision name and lot number LJ Sidewalk/driveway approach i)L pplicant information(name and phone number) 1 ocation of wells/septic systems ot dimensions and building setback dimensions # Existing trees to be retained with drip line,and tree �fluare footage of buildings to be demolished protection measures [lP of area,building coverage area,percentage of coverage and V treet tree size,type and location impervious area (applicable if R-7,R-12,R-25&R-40) r.Street names V Property corner elevations(2 foot contour lines if more than t torm water quality facility required if>1,000 sf of 4 foot differential) impervious area is created or replaced. Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified '14No Received: ❑ Yes ❑ No e Public Facilities Improvement (PFI) Permit: V r,t'1Q 17- Required: E Yes,applicant was notified E No Applied For: N Yes ❑ No,stop intake V Land Use Case#: PTV-2015—C;C OB ❑ Zoning: . 12 (VD) ❑ Required Setbacks: Front il. Rear IC.) Side '5 Street Side 8 Garage '20 ❑ Landscape Requirement: 2C) % ❑ Lot Coverage Maximum: 80 t Building Height: Maximum Height Actual Height Visual Clearance Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan 11/conditiQns "Met"prior to issuance vf building permit r Notes: E�CIi.16��-%©AS Pt 'L-cA 5- CCAS s-1-,)1 Gni 4049 J Approved By Planning: % .1/4"4 „lik Date: 5/ (7 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 • 1 w Building Permit Submittal Original Submittal Date: 3 441717 Site Plans: # 3 Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning ? Engineering "Permit Coordinator )J Building Workflow Sign-off: 71'Sign-off for Planning(include notes from planning review) Route Application Documents: rEr 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: Mt 0 e Date: /777/7 Engineering Review �e'Slope at building pad: Conditions "Met"prior to issuance of building permit v /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: 111Yes ❑ No 111 NOT Approved by Engineering: Date: Notes: Approved by Engineering:.....P Date: j.; -.-1 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 2', Approved,NOT Released: Date:'6 d` ' 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: El SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes El N/A LIDA ❑ Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: I ate:9/18,4 7— I:\Building\Forms\BldgPermitRvw_RES_051617.docx a' f INCity of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT T l c A R D River Terrace Building Permit Review Addendum ,k VIIIIMMUlh. "4 Building Permit #: Site Address: r1155 .5Lo 1©W/ 1DGE LN Project Name: l S\t- v %-eXtrctc,e. Kk3 Lot #: 2:\ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Disti"ct Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? [Li Yes El No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a / ft. deep min. 2ft., 5 ft.wide min.2 ft., 6ft.wide Gabled dormer IRIEl ❑ Ni ❑ 2. Eyes on the street: a minimu of 12%of each street fai._ façade must include windows or entrance doors. Percentage Shown: . 'c(c � ) (7 'fo(5 tae. 3. Entrances:At least one entrance must meet both of the foll g standards: '—' Parallel to street,angle no more than 45° from street, iMax. 8 ft. setback from longest street- facing wall 1 or open onto porch Entrance opens to a porch: iJ Yes ❑ No --// If yes,all the following apply: L� 5 sq.ft. min. L`7 One street facing entry LJ 12 ft.max.roof above floor of porch Eff5 ft. depth min. P'30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: k2rovered porch min. 5 ft.wide x 5 ft. deep KRecessed entry area min. 5 ft.wide x 2 ft. deep lei,Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Of Roof eave min. 12 inch projection [oof offset min. of 2 ft. El Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. El Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street façade ['Window trim min. 2 1/2"wide by 5/8"deep El Window recess min. 3 inches for all street facing El 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: N2,closer to front or side lot line, than longest street-facing wall. El Yes g No. If No (Check one): rLI May 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) ❑12-foot-wide garage door ❑ 40%max. of street facade P 50%max. of street facade with 7 detailed design elements if 1'4 Notes: Approved By Planning: 1 ,..:A�; , Date: 5121 f/ I:\Building\Forms\BldgFermitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17255 SW HOLLY RIDGE LN, SHERWOOD, August 15, 2018 at OR, 97140 1 :57:04 PM Record Type: Record ID: Residential - Master Permit MST2017-00187 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: 17255 SW HOLLY RIDGE LN, SHERWOOD, August 20, 2018 at OR, 97140 9:45:39 AM Record Type: Record ID: Residential - Master Permit MST2017-00187 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: 17255 SW HOLLY RIDGE LN, SHERWOOD, August 20, 2018 at OR, 97140 9:47:05 AM Record Type: Record ID: Residential - Master Permit MST2017-00187 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Duplicate inspection scheduled by contractor, plumbing final passed at previous inspection on same day. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17255 SW HOLLY RIDGE LN, SHERWOOD, August 20, 2018 at OR, 97140 9:48:49 AM Record Type: Record ID: Residential - Master Permit MST2017-00187 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Fireplace not working. All other mechanical appears ok. No ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17255 SW HOLLY RIDGE LN, SHERWOOD, August 22, 2018 at OR, 97140 1 :17:04 PM Record Type: Record ID: Residential - Master Permit MST2017-00187 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17255 SW HOLLY RIDGE LN, SHERWOOD, August 22, 2018 at OR, 97140 1 :40:28 PM Record Type: Record ID: Residential - Master Permit MST2017-00187 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 No A/C installed. C of 0 left on counter. Violation Summary: Inspector Contractor