Permit (78) CITY OF TIGARD MASTER PERMIT
Ili q Permit#: MST2", .. ..
COMMUNITY DEVELOPMENT Date Issued: 03/08/2018
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 3/08/2 A08500
Jurisdiction: Tigard
Site address: 16914 SW SNOWDALE ST Lot: 85
Subdivision: RIVER TERRACE EAST
Project: River Terrace East, Lot 85
Project Description: New SF.
BUILDING Required
Floor Areas Required Setbacks _.---
Bedrooms: 4 First 1254 sf Basement: 735 sf
Left: 3 Parking Spaces: 0
Stories: 3 Smoke Yes
Height: 28 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 8 Detectors:
Dwelling Units: 1 Total: 0 sf
Right: 3
Total: 3644 sf Value: $443,165.01 Rear: 10
PLUMBING Urinals: 0
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 100 SF Rain Storm Sewer: 100
0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: Drains: Catch Basins: 0
Water Heaters: 2 Water Lines: 100 gckflw Preens: 0
Tubs/Showers: 3 Garbage Disp: 1 Backwater Value: 1
Footing Drain: 0
Ice Maker: 1 Hose Bib: 2 Other Fixtures: 0
Drywell-Trench Drain: 0 Other Fixture Units:
MECHANICAL
Fuel Times Air Conditioning: Y
Vent Fans: 5 Clothes Dryers: 1
Heat Pump: N Hoods: 1 Other Units: 0
Natural Gas Gas Outlets: 4
Furn<10oK: 1
Vents: 0 Woodstoves: 0
Furn>=100K: 0
ELECTRICAL
Service Feeder Temp Srvc/Feeders Branch Circuits
Residential Unit 0-200 amp: 0 W/Svc or Fdr: 0
0-200 amp: 0
1000 sf or less: 1 W/O Svc/Fdr: 0
Ea add'I 500 sf: 6
201-400 amp: 0 201-400 amp: 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
Gara a Opener: N Y
Audio&Stereo: N
HVAC: N Security Alarm: N Vaccuum System: N g Ecompasin Alll
Other: N Other Description:
BUILDING INFO Square Feet:
Type of Constr: Occupancy Group:
Class of Work: Type of Use: R 3 3644
NEW
SF VB
Owner: Contractor: Required Items and Reports(Conditions)
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC
1 Ersn
BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 2 Asn Cntrlh report is 503-639-417575ited
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 before the footing inspection
STE 1
SCOTTSDALE,AZ 85258
PHONE 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $37,025.62
eis permit is issuedorsubject
approved the ro edeplans. Thsopermitdin willthe Tigard expire ifworknis'pal Code, State not started withinf 180 daysty Codes issuance, all other applicable
is law. All
work will 180
be done in ATTENTION:
Oregonce PP
952-. AT0E throe *AReYou may follow the rules
copy of the adopted
directthe Oregon Utility questionsto OUNC by calling 503.232.1987 or 1.800.332.2344.
fication Center. Those rules are set forth in OAR
952-001-0010 throng A
Ai la�`� Permittee Signature:
Issued By:
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.
L 01 5
$ iilding Permit Application_ t
t FOR OFFICE USE ONLY
` Residential J l r\1 n ���� Receivedj�� PermitNo`` '- ��` �/
City of Tigard ! `U V V Date/By: /
'� 13125 SW Hall Blvd.,Tigard,OR 97223. - �gr� Plan Review , f , '' Other Permit: 111
.4 I_%
7,1
6q '�-Y r } �►1 t * Dates NM Jus: H See Page 2 for
Phone: 503.718.2439 Fax: 503.598.19 l + 1►ate ReadyBy. SupplementalInformation
Inspection Line: 503.639.41756� � 4 ���11�'S��" Notised/Method 'z �� �y _
T I G A RD Internet: www.tigazd or.gov 6-•-fj„ 9/� `,9 L
RE• QUIRED DATA:1-AND 2-FAMILY DWELLING
TYPE op V►'ORit��.' •
. . <. � � � � � � � Permit fees*are based on the value of the work performed.
®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement
Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF.CONSTRUCTIOIsl= Valuation: $ '� .
ill 11
® 1-and 2-family dwelling
0 Commercial/industrial Number of bedrooms: T�j ,
❑Accessory building 0 Multi-family
-- ,......
❑Master builder 0 Other: Number of bathrooms: � 3 o •
Total number of floors:
JOB r�jEppgiNA INFORMATION AND LOCATION - New dwelling area: ., '. square feet
Job site address: i A Asquare feet
Garage/carport area: I
City/State/ZIP:Tigard,OR 97224
Project name:River Terrace East Covered porch area:I In square feet
Suite/bldg./apt,no.: J , 60 square feet
Deck area: ` _ �
Cross street/directions to job site: square feet
Other structure area: s q
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
IIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Lot no.: Permit fees*are based on the value of the work performed.
Subdivision:River Terrace East 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 a..lication,
DESCRIPTION OF WORK".: Valuation: $
`� , Existing building area: square feet
New building area: square feet
1111111111111111111111111111111111111111.111111111111
Number of stones.
0 TENANT- :
��PROPERTI' OWNER" Type of construction:
Name:ADVL Land Holdings,LLC
Occupancy groups:
Address:7600 E Doubletree Ranch Road
Existing:
• City/State/ZIP:Scottsdale,AZ 85258
( ) New:
Phone:(602)694-4031 Fax: BUILDING pEg�'I'FEES*
APPLICANT {3 CONTACT PERSON Plrase re er to ee schedule
Business name:Polygon WLH,LLC Structural plan review fee(or deposit):
Contact name:Nichole Thorpe FLS plan review fee(if applicable):
Address:109 East 13th Street Total fees due upon application:
City/State/ZIP:Vancouver WA 98660 Amount received:
Phone:(360)695-7700 Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM.FEES*
E-mail:Nichole Thorpe Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name:William Lyon Homes,Inc and fire department access,along with the 2010 Oregon
Solar Installation S.ecialty Code checklist,
Address: 109 East 13th Street Permit Fee(includes plan review $180.00
_
and administrative fees):
City/State/ZIP:Vancouver WA 98660 $21.60
Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee):
Total fee due upon application: $201.60
CCB lic,:207247
/ This permit application expires if a permit is not obtained
Authorized signature:` within 180 days after it has been accepted as complete.
�/ L_ L �� *Fee methodology set by Tri-County Building Industry
Print--- Date:06/16/2017 Service Board.
name:Nichole Thorpe
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011
440-4613T(11/02/COM/WEB)
Mechanical Permit ApplicatioittE
CiEt\la • FOR OFFII F I SE ONE\
City of Tigard a...iii,id
ci7).e-ii r-c.t.6411
t - 13125 SW Hall Blvd..Tigard,OR 97223 ri 17 Pion Review
'n! Phone: 503.718.2439 Fax: 503398.1960 NOV 0 . 2-0
TIGARD inspection Line: 503.639A 175 (cc -ri(-4.aqr, mi.Rook'Hy 1-`0". 63 See Page 2,tar ,
Internet: www.tigard-or.gov CITY 11--n- 1'‘.."'" StailioliMehod: Sappittatestat Information
C3U1LDiNC-) J
ryiviq‘ r p,,, _
• ',,--- , ,'.. ,:,..,.-;; - mt OE'Wok*:-,- , •' - . .-- • • .i ,-''commraciat,rxr SCHENitt-USE CHECKLIST
Mechanical permit fees*are based on the value of the work
2 New construction 0 Addition;alterati(mtreplacentent performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials.equipment,labor,ovetitead.and profit,
Value:
CATEGORY Or CONSTRICrioN . . , ,. '" . ,
' , .. •' :Rrs,IDEN11ALpQtIPMENTISVSTENIS.FLES*
and 2-family dwelling 0 Commercial/industrial 0 Accessory building For medal.information use(*edit's!.
I Multi-family 0 Master builder 0 Other; Description I Qty. Fa. Total
' licati iroolin -
- - . -'-, • ' ;OK SITE INFORMATION AND.LOCATIONE,: . .' , , ,
- ' • - - ' ' Air conditioning 1 46,75
Job site address:\vci ti..} s\A 5n ovudetie_ sk--
. . Furnace 100.000 FM Watts,.ents) I 46.75
City/StateiZIP:Tigard,.OR 97224 Furnace 100.01**BTU Mactsivents) : 54-91
' !teat pump 6L0%
Suitellidgiapt.no.: Project name: R.:\v.er -rtlyecce...Elam_
Duct work -
, 23.32
Cross street/directions to job site: itydronic hot water system 23.32
Residential boiler(radiator or
Ilvdronic1/ 13.32
„
Unit heaters(fincl-type,not electric),
in-wall in-duct,suspended,etc, 46 75
flue/vent for any of above t 23 32 I
Other 23.32
Subdivision: (244.e.,,- --c-. ),,,,race-go,s1-- Lot no:(e..)
• Other fuel appliances:
Tax map/parcel no.: Water heater :;2*-- 23.32
33.39 5
Flue vent for water healer or gas
fireplace 2332
Ion lighter(gas) 23 32
. Wood/pellet stove 33,3
Wood fireplace/insert 23,32
Chimitcyllinertflockein 23.32
' • . Other
23 12
PROPItRTIr OWNER.. 5. " " : ' 0 TENANT'. . • :
' ' Environmental exhaust and ventilation:
Natitc: ptDV L- LeLyNd HD Hinclsi/Lc Ranee hood/other kitchen
equipment t 3339
Address' -1ii 00 6 -Dolliole,tr -e, R..0,nc\r), 12A-)ri,cli Clothes dryer exhaust 1 1 33,39 „
City/State/ZIP! CO-1-1-3 ck, I p al tp..P,-)c.a. Strigle-duct exhaust(bathrooms. I i
toilet compartments.utility rooms) 1 1.--1- 2332
Pisene:-'(f)o 2 (00(4-t-to;‘ , Fax:( ) Attic/crawl:space fans ;
I 2332
, : •
• •
I
APPLICANT - - - ,' a CONTACT PERSON ,
• 'Other 1 2332
•
--
Furl piping:
• t 1
Business name: W 1 i cLyyl L.>ion ktrnes Itl.Nc..
MAAS for first four S4e.3 for each additional
Contact name: /1/43‘cAn ove.--Dnof-\-)..e_ , Furnace.etc. I .
, Gas hem pump ,
Address:10-6 si.. svi.‘„c. ...yo
Wall/susperided'unit heater 1
City/Stmt./ZIP:Vancouver,WA 98660 I Water heater .
Phone:(360)695-7700 , Fax::(360)6934442 Fireplace I.
Ranee 51
• F-mail:,
Nich pie --"hOrK.640A14,1(41,24Q0ELCLan Barbecue 1
. • • • •
• , : ECM . R , , , ' ..; . , 1 Clothes dryer(gas) 1 ,
,.Other
Business rune:Apex Air LLC < - • .- MECRAN'ICAL PERMIT vErs.
Address:18004 NE 72"Ave Subtotal
City!State:ZIP:Vancouver,WA 98686 Minimum permit fee tS90.00)
. Plan review(25%of permit feet -1
Phone:(36013424109 Fax:(360)326-1769 1 State surcharge(12%of permit feel ‘,
CCB lie.:203034TOTAL PERMIT FEE
- This permit application expires if a permit if,not obtained*nixie 180
• days after it has hen accepted as complete
Authorized signature: - * reenter:hod/am so by Tri-Cmmy 3uil4mt2 ItIdiNtry Straltx TiQatd
.......""'"a'..'
Prim name. I 4,0‘ 1 I Date: 4.11.14. I
1,B,...,,K4,17!,,,Pons,N.MEC Pvamkrr i?-4W i"z do:. .11.41-...1.:7 i.
'thr
Electrical Permit pplcain0 r ox.orecE13SLON Y
-f •
E- -_._ - —
j City of Tigard0 2017DE€iew
`'1 13125 SV Hall Blvd.,Tigard,OR 97223
.
Phone: 503.718.2439 Fax: 503.598.1 p.v, „ 'r Date/B : Related Perna[it:
Inspection Line: 503.639.4175 1 1 O ' ' ' w:-��, Ready Date/By: Suds: i See Page 2 for i
•TIGARD; Internet: www.tigard-or.gov BUILDING f Iv s Notified/Method: Supplemental information r
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
• 0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. 1
..:-::r2::`ss';:': - .: . - . : , . exceeds 10 000 ampsat Ise volts or ❑Floatingbuildings.
- .-� �O1VS172U 'I'[Q < - - -.....,...
...;+.::aa: ..,..,,.__.. . ..... . :. ATECORY(1F..::-C._ .. .. ... .
o`" less to ground,or exceeds 14,000 ❑Commercial-use agricultural I.
®1-and 2-family dwelling 0 Commereia/industrial 0 Accessory building aorps for ail other installations. buildings
❑Multi-family • 0 Master builder 0 Other: 0 Fire pump. 0
Installationtioof 1y 0 KVA or
..,......._.__...•JOB.,.:..,.:_ -._..:_.•..:.....:....:.... derived
`A :L':C"TTQ', _ ❑1?mergencysystern, largers separately
;,.-.. :..::::::.:_:,.::..:::._::79B;;SI;FE,�INFORMATI6N...1!iD.._Q..A:.:....N.:�.:..;_` `: :.`: .::<:_ :. ;,;, .. f load f
• ❑Addrtron o new motor oa o system.
Job#: Job site address:l I0 C111-1 SvJ SAO 1 k j .]e s-- IOOHP or more. ❑"A". E,"1-2 "i-3"• a
0 Six or more residential units- occupancy. 1_
City/State/ZIP:Tigard,OR 97224
i31ealth-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: 1�1`r r it
o`race,a ❑Hazardous locations 13 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 vas nominal.
tojob site: ;.'FEE SCHED.(ILE °:;;Vg:t::':, <:-.
Cross street/directions , <'°;_`�s� �' -;.:; .:...: ..,: .- g
'Description I Qty. I Each I Total I .
New residential single-or multi-family dwelling unit. .
Subdivision:czAger Te,0(Ice_ SA— Lot#:(6S- Includes attached garage.
1,000 sq.ft.or less 1 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion k49 33.92 1
_ : .: ;_...._..:: ; :.:,.,pESCBPTIbNQFWQt.,...:.'. :.;>,..,:::';; _,;:.;:,,::.,:,:`: Limited energ
y,„sideutial 75.00 2 ;
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
:-:, Renewable Energy 0 See Page 2
:;._,,.;...,. r. . :<;, ....:';',.,;,:.:...:. TENANT:; '<:.:;:' :;.<.;: and/or relocation
`� �®:il'R_QECR•CY:,O�'S!N,lirl<2 ;_.•;<;.::.�-.; .:.... ... :...... ... 0. .-. Services or feeders installation,alteration,
Name:, AD Iv L L i v\ gr. 40_, C. 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2 !
Address::1 LO DD "a bC' io\ r e IZ-Oatd
401 amps to 600 amps 200.34 2
City/State/ZIP:' W.l pa_ igS"2--SP) 601 amps to 1,000 amps 301.04 2
1 Over 1,000 amps or volts 552.26 2
Phone: 2--64.14.—uTO�l Fax:( ) Temporary services or feeders installation,alteration,and/or
Email: . relocation - _ I
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
Date: 401 amps to 599 amps 168.54 2
Owner signature: I
w.:,<:,-:.,..-, ,:- ;:.,. a :.._..........::.:r :._......,.:..., - tt rextenst . panel_ _ _,_; ._ - Brandt circuits nerv,alters ono on per a
...... ._:,.; -.E1pi°IiIGANT,.:.:_::...:... .-ff: ::.:,:�:5�r;;�„CONTACT�1''.�RSQhi'<<`: '=;` i :1:11
....-,r ,®n..,-w ,._. .. .._. . . nl A.Fee for branch circa is tvr
Business name; \A l t, 1(LA -��(A }A} i%(1,(1• above service or feeder fee, 7.42 2
V” 1 `— each branch circuit
Contact name: V 1 biD,,e_ F 1 10B.Fee for branch circuits without
�0- J? l)C %►'w S r ' A CA, service or feeder fee,first 56.18 2
Address: � �JyC, branch circuit
City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax::(360)693-4442 Each manufactured or modular 67.84 • 2
dwelling,service and/or feeder
Email: N;Candi Reconnect only 67.84 2
_ 2
r
0
,._.:.,_::. _... -�.. -:...,.:-...,........-.,:.,.. ;• : � - circle 67.84- or irrigation
i
.: ...,--,...r... -,� ,:�,..,.. ... ,......._:.._ :._- ...�,_.. .. .. ..:L -.,. , . _.. Pump tg
. : ....
Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ Sed Page 2 2
Address:402 Valley Ave NW Ste 106 • panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:Puyallup WA 98371 Additional inspection(1 hr min) _ 66.25/hr
Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:bdaniels@gweasa,com Inspections for which no fee is
specifically listed(Vs hr min) 90.00/hr
CCB Lie.: C1158 Electrical Lie.: 208174 Suprv.Lie.: 4496S .,specifically
F,I,EC i IiI AL_ PE1fr1P ; P+s
Suprv.Electrician signature,required: , ` i p/ he Subtotal:
Print name: Joan P Albert Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
Authorized signature: / �'�
This permit application expires if a permit is not obtained within 180
i Print name: Bill Daniels Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
L-1BuildiuggPermits\ELC_PumitApp ELa uRE.doe Rev 0017/2015 440-4615T(11/05/C014/WES
i
Plumbing Permit Applicat E1 E
Building Fixtures NOV 0 7 7017 telt ()uric r t sr ()NIA
City of Tigard EEew
Permitiii ■ 131SWHallBlvdTigard,OR9 Yo - ftGP -1 • Phone: 503.7182439 Fax: 50 _ 1_1',1;11'i r'
����'�INS�, `.J DateBy: Other Permit No.:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE:OF WORIt FEE*-SC1IE7)LJLT
®New construction . 0 Demolition For special information 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
®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 ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: .0C1'l) ^
\C , �!� a Catch basin or area drain 18.76
v v" Drywall,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: g,ik-tr 1.--e1/VQcc. Efts- 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 It: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: 7 J-QN-- T. '(,e..., oS-1r I Lot no.:fi:.;,s- Fixture or item:
Tax map/parcel no.: Backflow preventer 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
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:William Lyon Homes,Inc 12.51
Primer Medical gas(value:$ ) Page 2
Contact name:
j\I[C ho I-. Th D"t. R-
Roof drain(commercial) 12.51
Address:.10 D a vn ou.) ST Su Akt,SW) Sink/basin/lavatory 1,4 n1 AP-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:.I V C h Qir& t 1utn,JI t-nh�1P S,( 1 Urinal 25.02
� Water closet 25.02
CO OR �`
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 Lic.no.:34-276PB Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: C.._ 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 been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:1Building\Permits\PLMU•PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB)
c
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
IN ■
T 1 c A R o Building Permit Review — Residential
Building Permit #: //iCs7d-01I'--005--/2-
Site
-C LSite Address: \ 12C►1L ,S'N (Sow er► 'r-All
Project Name: g\\ICY \-eti'YG0 `J� Lot #: OS
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: tJev R
A,Verify site address/suite# exists and active in permit system.
Dil River Terrace Neighborhood: ❑ No As Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
. Three(3)copies of site plan \)4_xisting structures on site
.. Site plan must be on 8-1/2"x 11"or 11 x 17"paper eV ootprint of new structure(including decks)with finished
- raven to scale(standard architect or engineer scale) floor elevations
North arrow . 1111 tility locations&easements (required for new and additions)
Site address,project or subdivision name and lot number )Sidewalk/driveway approach
Jpplicant information(name and phone number) (\/,Location of wells/septic systems
lot dimensions and building setback dimensions N► ]Existing trees to be retained with drip line,and tree
Si/Square footage of buildings to be demolished 11-protection measures
, ot 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) Street names
i$roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? OY s�■No
4 foot differential) If yes,is a storm water quality facility shown? ❑Yep' WA'o
.)' Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified gl. No Received: ❑ Yes E No
.Ei Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified X No Applied For: ❑ Yes ❑ No,stop intake
,,1S Land Use Case#: PD9.2clt.--c- )i
Zoning: R LP D
Required Setbacks: Front t Rear 101 Side 31 Street Side r(IA Garage 2i.D1
/3:1- Landscape Requirement: 20
&Lot Coverage Maximum: So %
❑ Building Height: Maximum Height J[A- Actual Height
Visual Clearance
Sensitive Lands: ❑ Yes IX No Type
Urban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: AM& _ _. s i2 Date: 111911)e)
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: E Approved E Not Approved
I:\Building\Forms\BldgPermitRvw_RES_o61417.docx
Building Permit Submittal
Original Submittal Date: 16 lit
Site Plans: #
Building Plans: # _3
Building Permit#: Enter building permit#above.
Workflow Routing: Planning engineering IPPermit Coordinator .,2 Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
9 Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 7
By Permit Technician: / / ,e Date: ,
Engineering Review 4:1°Slope at building pad:
Ok-C.
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yeso
Assess Water Quantity Fee in-lieu: ❑ Yes .LI No
LIDA Facility on lot: ❑ Yes �No
..121/Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: /"v gat—- (A-) , Date: l 8
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:
7
SDC Fees Entered: Wash Co Trans Dev Tax: Yes El N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes en, N/A
OK to Issue Permit
Approved by Permit Coordinator:
Date: i72,M �
I:\Building\Forms\B1dgPermitRvw_RES_010118.docx
S
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
III
T I G A RD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 1U%61 9 SWSfCuJF-11,C,, S1yee-f
Project Name: 2-Aver (-7a ;E Lot #: 05
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards?4 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 Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide
❑ El ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown:
3. Entrances:At least one entrance must meet both of the following standards:
-Parallel to street,angle no more than 45° from street,
, Max. 8 ft. setback from longest street- facing wall
or open onto porch
Entrance opens to a porch: . Yes El No
If yes,all the following apply: 25 sq.ft.min.
aOne street facing entry As12 ft.max.roof above floor of porch
. 5'ft. depth min. X30%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
*Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood ..Gable,hip or gambrel roof design
El 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
❑ 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 El 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.
Setbacks:
No closer to front or side lot line,than longest street-facing wall.,Yes ❑ No. If No (Check one):
El 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 )440%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: k ) Date: (f 241 / j
I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx
FOR OFFICE USE ONLY—SITE ADDRESS: �` L(
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1111
Transmittal ansmittal Letter
r, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: Dianna/-fil-sci,/ DATE DEPT: BUILD IG DIVISION tifTV Fd D
APR b ?O18
FROM: Tom Dicianno cm 'OF TIGARD
COMPANY: Polygon Northwest BUILDING DIVISION
PHONE: 503-577-4160 By:iT
RE: C sf MST201$-00044 lut 7-7
(Site Address) (Permit Number)
River Terrace
fi ,rls� Zo«- 000y3 ��
it;
(Project name or subdivision name and lot number f Iv.
804 A?&Ai msrao»-00 348 icy-4k
ATTACHED ARE THE FOLLOWING ITEMS: eas4t /057(2511 7601 3 let /0
C ; :1 D c ' ::
0 Additional set(s)of plans. 0 Revisions:
0 Cross section(s)and details. 0 Wall bracing and/or lateral analysis.
0 Floor/roof framing. Basement and retaining walls.
0 Beam calculations. 0 Engineer's calculations.
0 Other(explain):
REMARKS:
?T:
Routed to Permit Technici : Date: Lf /� Initials:
Fees Due: El Yes o Fee Description: / Amount Due:
Special
Instructions:
Reprint Permit(per PE): [] Yes .(No E Done
Applicant Notified:4//,t ate: 9/.3//x' Initials: A47"51'
[:1Buiiding\Forms\TransmittalLetter-Revisions.doc 0525/2012
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16914 SW SNOWDALE ST, BEAVERTON, October 9, 2018 at 9:11 :14 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2018-00042
Inspection Type: Inspector:
199 Electrical 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:
16914 SW SNOWDALE ST, BEAVERTON, October 11 , 2018 at
OR, 97007 12:02:44 PM
Record Type: Record ID:
Residential - Master Permit MST2018-00042
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.
No A/C
Violation Summary:
Inspector Contractor