Permit (28) 11111 CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2018-00054
T I G A I<I 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2018
Parcel: 2S106DA09500
Site address: 16793 SW BIRDSONG ST Jurisdiction: Tigard
Subdivision: RIVER TERRACE EAST Lot: 95
Project: River Terrace East, Lot 95
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1128 sf Basement: 0 sf
Left 3 Parking Spaces: 0
Height: 27.5 Bathrooms: 3 Second: 1445 sf Garage: 385 sf Front: 8
Dwelling Units: 1 Smoke
Third: 0 sf Right 3 Detectors: Yes
Total: 2573 sf Value: $314,647.85 Rear 10
,
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0
Y 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
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Catch Basins: 0
Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 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
p 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: Y
Ecompasing:
BUILDING INFO
Class of Work: Type of Use:
NEW Type of Constr: Occupancy Group: Square Feet:
SF VB R-3
2573
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: $34,217.60
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.
-4.1Issued By: ,fj� Permittee Signature: rA ^�
Call 603.639.4175 by 7:00 a.m.for the next available inspection date. o,�� //,rii
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
• Building Permit Application
LOT 7 c-
Residential i ,�gE FOR OFFICE ISE ON EN
City of Tigard
� ��,P "�9 Received �� {�
Date/By: 2 / /T "AO_ o.:itg /ijf,rr_ Permit Ny/CJy j/
N 11 '0 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 8 2017 Phone: 503.718.2439 Fax: 503.598.1960 DatePlanBRey:view a 100 7
x Other Permi,
Fe lf)
i- ,
TiGARDInspection Line: 503.639.4175 , f —� Date Ready/By: ' G' Juns: RI See Page 2 for
Internet: www.tigard-orgov :.. Notified/Method: , /y Supplemental Information
° "q , ;= I Aywt Its; + to
®New construction 0 Demolition Permit fees*are based on the value of the work performed. $
0 Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overheatthe_pIfi for
p k t work indicated on this application. ill iW
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ' d
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms: 3
err
. t ? ' 1 l e• 4 4 Cr; "1 Total number of floors: Z 2 l5S
Job site address: , 9 1(-• ' New dwelling area: 25'. square feet ,ity5
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 36,5 square feet `1'i 4
Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: 9.1 square feet
Cross street/directions to job site: ,�,., m` 15'Zt square feet
Other structure area: square feet
Subdivision:River Terrace East Lot no.: 9 5 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
l 1' t$ ° � ' x ' y �, work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
l„ t 'g _ 1F ' 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:
..
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:Nichole Thorpe
FLS plan review fee(if applicable):
Address
Total fees due upon application:
X10- broad
City/State/Z1P:Vancouver WA 98660
Phone:(360)695-7700 Fax::( ) Amount received:
kj.atE-mail:Nichole Thorpe l `av ty
it " mit Commercial and residential prescri Eve installation of
- y _ u .. ' 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:103 iJact W cuiS_- Suticc. S,D 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 lie.:207247
Total fee due upon application: $201.60
Authorized signature: /�,�,� _9 -/4 This permit application expires if a permit is not obtained
�'(/W_-/2 within 180 days after it has been accepted as complete.
Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB)
,
. .1. ., ?{117
Mechanical Permit Application ' " FOR OH-It l'. I SE()NIA
City of Tigard
74
_ , , Datwor. permit Nseys5/7„26/...f-t)e)0_5"/w 33125 SW Hall Blvd,Tigard.OR 97223-i' -- ' - , ' plan Rmie,,, - •
I Phone: 503.718.2439 Fax: 503,59 .83960 Theitly: Ober Permit:
Tit,A R ttopectiD on Line: 503.639.4173 ' Date Riendytfiy: ittri,, i til s.1+4%02 Ow
Itneract: www.ligardier,goe Hetificd,94etheti: Supplemental Information
...,
..,,,.;:).',,, ,:AT.,42.7.2.,-4"T.Ziri .,i.',.5'/:,..-S.Y-1-';?:".i'r,Vlifiiiie.:e4j27*Vkii::',-".:,±-• -"iiF14?,'!1: :•4..ii-;;f•lii'f...7-,•17, .-Vig-iAli-:i'.--',-1•-fl ''''',•-;:::::41.—.)404104.)#f:1-.$0404,4+4t400.,k0tE..410.;*-i._-:
47"''''''''':'1"''''''''L'*• - —"--'-' --• '..1"-''''''''''`''''''''''''''''. '' .'--''--1-'''''-' Mechanical permit fees*are based on the value of the work
10 New construction 0 Addition/alteration/replacement performed,Indicate the vehre(rounded to the nearest dollar)era
0 Demolition 0 Other: mechanical materials.equipment,labor.overhead.and wilt,
Value:5
.itii ...37,...1,..,,,.,.,,,;...;;,,:.iii.,._,..4„,,..;,...,,j,_sri.7,.„ ,.;,:-,„ : _,. ,,iiitastiu.tbtiokasiitisitmii,
..Y,:l::-. :.1;•":..f • VIiOilt*OPRX-1:?Efi,c.0N5M ot,L.,,,-6..,.a)1,,,t-...r,:v.:.-1,5-44-..:=1,4-,,, :!-*...._._,.. - ,...:;,„.:. k .,-, ...,....,......ytEat,./„,,,,.:...,,.
W.and 2-family dwelling 0 CommercialfinduStrial 0 Accessory building For special Wartnation use checAllst
1
Multi-fandly 0 Masterbuilder 0 Other: Description Qty. I Ea. Toed
if.ii$ii:,atteiii-tii*UlliSS::.:;-.04t:ii:ti.,eiiiiii,hiti,7#::20--7Mi,i'!' i
o R!sthg.dier).lii:
- Jbsiteaddlestitil 93 :• U raaslians)
k 46.75
46.75
--' City/State/ZIP:Tigard,OR 97224 Furnace 10(1000+BTU klitaolvents1 54,91
I lea Penn) 61.06
Suite/bldg./apt,no.: Project name: R....tNitr 1-tircmce_ex,s+ Duct work 23.32
. Cross street/directions to job site: Hydronic het‘vttler symem .2.1,32
Residential boiler(radiator or
hydretiie) 23.32
, .
Unit beaters(fuel-type,not electric),
in-wall in-duct,suspended,etc. 46.75
Flue/vent for any of above 1 23,32
, ' „ • r- " Oilier
Subdivision . Ri.teir 1-e)nrate‘ .0,,s-1- 1.ot no.:9 D
Other fuel appliances: 73.37
Tax map/parcel no.: Water heater 23.32
g:'i',t'4h-.i.':'• Y:F-'a''", :':•-''i-V•::'iJ;:;-Si;!j!t:: *l'etiiiz4,:'Oi:(,::*ii4t(:;t!%i:',ij',.'t_,i::f.ifoA-g6-;',it':-lP,:i.,cg Gas fire911"99sert- , ( 3139
Flue vent for water heater m gas
fireplace 23.32
log lighter(gas) 23.32
33.39-
- . -•- - ••--
Wood/pellet stave
Wood ftreplaceAMsert 23,32 . .
Chimney/liner/flue/vent 23.32
2332
l'o1*k791*--0Y*000r10:'::'.:_.ii:s..iikait: ;1:3:AN*$:t'1';''1N ..'i'l: Environmentat exhaust and ventilation:
Nanie:hi)V I_ Let nd ii0Hin3siLLC- Range bood/other kitchen
equipment (
Addre55 1(j 00 E-,b0u.191e:trt-e. R-ounc30 cZsixt,d, Clothes dna-exhaust
_ . ' 1
1 33.39
City/State/ZIP: CO-1-t5 dale RI A?.) ""):St;
1 . Single-duct exhaust(bahreonts.
toilet compartments,utility moms) I-1- .. 23.32
Phone: (,pO2 Lo614-4ptFax:( ) , Attiacrawlspace fans 23.32
•' :••;-- :'...!':'''''';•itiioKtotioi4.:4:11,,.;: r,]::::::f_,; :.:::i ..:.,1:4:..]..2.. .a 661,11,x0.!,00.4)$A:•:::,,....mi Other 23.32
. ••-- •,..,,L.-:„ .....- - '• — Fuel piping:
Business name: W i I 1 1 Ivy) Lion homes itjac_
514,15 for first four:St,03 for each additional
Contact name; is.3‘cvlove, Furnace.etc. J
- Gas heat Puna
Addrrm:In cl...oactwc1/4„..).4 si.._ ska.k.. .1,c)
Waillsuspendediunit beater
,
City/State/ZIP:Vancouver,WA 98660 3 Water beater
..
Phone:(360)695-7700 Fax:;(360)693-4442 Fievlace (.
Range 't
6-maiL'Ali chrile aorptg DoiLievabooles.C.Prri - Barbecue
:.-1.:'•!iiifi'.•-;:tF----./f-TIP-4-7'.:'-'i,!.'"4R.:•,..1::4'ii.',i;. .4-p..;;•:::::Li.ki," clothes dryer teas)
. .. .
Businms name:Apes Air LLC Other:
•, /.1tigtitik0.71 FT110:1'."1•:',',
Address:18004 NE 72"Ave
Subtotal
City/StataZIP:Vancouver,WA 98686 Minimum permit fee($90.00)
, . Plan review(25%of permit fee)
Phone:(360)342-8109 Fax:(360)326-1769 State surcharge•(12%of permit feel
CCB Be.:203034 4
.
TOTAL prRNI1T VICE.
This parish application rapiers ir a permit i‘ant obtained within tiro
days after it has been accented as somptete.
Authorized signature: - * Fee methotiolouy se by Tri-Ontnty Building Industry Service Beard
.......---*.
Print name: I tiolL I Date: 4.p7.It,..*
imkaarmy.la,,,,,ii,,frnic.retatatim.)34,2113 4,, 44646 i 7 t t twATAST017,11}
Electrical Permit Application ;. j
liOROMICE iI,5E ONLY d
(City o Tigardi Received
Ii 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B
1,1
C Phone. 503.7182439 Fax: 503.598.196Q Dat�B Plan fete
Rev
Related Permit it:
Inspection
Lina: 503.639.4175
ate/By:
tarts. Et See
Pagel
for
T1 iggov No66ed/hdeaod Supplemental IInformation`ez . :z:_rM ';ktg70R1t . < yLe.f% i3 ,• t .. ��`�':: tw�: •� .i^l `>: •. �tll74A ^ g�
i®Newconstruction 0 Addition/aIteration/replacement Please cheek all that apply(submita
sets of plans iv/items checked):
❑Demolition [�Other: • 0 Service or feeder 400 amps or more ❑Building over three stories,
:s r a r- ••tI< ,. .µc, .: where the available fa
-.r- . .<.AVIEW':r>ti:td`rl. ifteaf,ka ' }T ,i 0.Viii.k.. >,-.i h1; g'NI::: et
t160vot t ❑Matingbldboalyards.
:••:: t "k `:'""' ""` •-`'' `r%*•�kC'-•t%:.-'.:{�3u S:`?!r9.x:yi:=i`s:t.'::t'-'ss;;3 exceeds 10,000 snaps at 150 volts or UFloati» buildin
Ej 1-and 2-familydwellingg gT
0 Commercial/industrial 0 Accessory buildingless to around,or exceeds 14,000 ❑commerolat-use agricultural
❑Mufti-family ❑Master builder Other: amps for all other installations, •buildings.
•.�'.;�'`��.�'`,�„r.-.;`�k7�.�-�. a_ , (} •t� ,Y�., h� ;,. _•.._ ❑Pire pump. ❑InataOationof150RVAor
eS a 'Io .X �:`"agiiii.•'•ti '% '.!'•;;'t::t; ❑ agenoysystem' larger separately derived
Job#: Job site address (� �� j (}y �� ❑Addition of new motor load of system.
U(1-i Sp.. t( r S I001IPormore. 0A','E,"1-2;1-3",
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
Suite/bldg./apt.Ja t# ❑nth-care facilities. ❑Recreatimmlvehicle parks.
$ P I Project name:P NVQ r It mace.E�+str-1 ❑Hazardous locations. ❑Supply voltage for more than
Cross street/directions to job lite: l El Service or feeder 600 amps or more. 600 voile tmnunal,
`iY.1 :i'i t '•i•`Sy�. �iiYr++3 l y ».)'i':
Dercrip
tisn I Qts'. I Bash I.. Total• I ..
Subdivision
New residential single-or multi-family dwelling unit
�v�- T2 ren re. • -}- I Lot#:-)r�5 Includes attached garage.
1,000 sq.
Tax map/pat cel#: ft.or less 1 168.54 4
�='`_ 'acct#: `f z .`r r iQ ` ':a .i. Ea.add'I 500 s ft.or portion 433.92
Limited energy,residential
(with above sq,ft.) 75.00 2 •
Limited energy,multi-family
a jet �{ residential(with above sq.It) 75.00 2
`�.`c�-- o"!�.'.�F8A91'.F 4�'•?%1}'.A`+:'+�w-,'s:''•'-�'.'5's';z t�1 '! !>] :K^`t,';s.,,:�ti yZ 0..„, Renewable Energy O See Page 2
ss''..�' - - a:''N '” •' <••'•i Services or feeders installation,alteration,and/or relocation
Name:, (D V f aril /_ ♦ 100.70 200 amps or less
L. I Yi 2
Address::l I OO T' Dl t i,b'' w...__.‘,
R ^ 201 amps to 400 amps. t33.56 2
`+'�+ , �yG ^ . l�-t]Ol�l 401 amps to 600 amps 200.34 2
Ci /State/2W:' �S.d�C S(�r,0.de.E its soy r amps 30L04 2
Phone: 601 to 1,000
�(1 j7 -L}p 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
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. amps am 201 to 400 59.361
Rs 123.088 2
hOwnersignatu e: _ Date: 401a 168
x amps to 599 amps � 2
f'': w+1:`:t t-ga+ 24 `.t tig��'neri'.t-rsi=ii'Ia°F.t.i t..,..h •-•.<•:.;
Plumbing Permit Application '
Building Fixtures tc)R of rlt I t ',l t»l ti
City of Tigard Received
IIIII + 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By; Permit No, 7T 2 v�LvC?���9/
■ Platt Review
Phone: 503.7182439 Fax: 503.598.1960 Date/By: Other Permit No.:
�. I t Inspection Line: 503.639.4175 Date R
Internet: www.tigard•or,gov eady/ y: Juris: H See Paget for
Notified/Method: Supplemental Information
®New construction ' 0 Demolition For spedel i jorntation use checklist
Description I Qty. f Ea. I Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft for each utility connection)
CATEGORY OF coNSTRz1CnoNI'• .. . . SFR(1)bath 312,70
®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437,78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
❑Master builderEach additional bath/kitchen 25,02
0 Other: Fire sprinkler( sq.ft.) Page 2
: 'JOB SITE INFORMATION LOCATION•. Site utilities:
Job site address:itp-19 bc dtcalqCatch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywall,leach line,or trench drain 18.76
- _ Footing drain(no.linear ft: ) Page 2
("
Suite/bldg./apt.no.: Project name: �,i(.. ,y' Te VQce_ t itsi- 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:_J Page 2
Subdivision: Il;g{ir-•'mate_'_ ..11- 1 Lot no.:0 ¶ Fixture or item:
Tax map/parcel no.: 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. • ❑ TENANT . . Expansion tank 12.51
Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road
Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258
Hose bib 25.02
Phone:(602)694-4031 Fax:( ) Ice maker 12.51
®.APPLICANT . .. 0 CONTACT PERSON- Interceptor/grease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2
Pri
Contact name: f e h o k. TND L Romer 12.51
r Roof drain(commercial) 12.51
Address:1D (3\e-C cls wool (, sI S\D-t- SU ASink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 J Solar units(potable water) 62.54
Phone:(360)p 695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-man:,I V i C h o i WA n P_ Ol( e11hOcne s.rzt11 water closet 25.02
' . CONTRA OR •J
• Water heater 1 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)3240759 Fax:(503-)324-0580 Minimum permit fee: $72.50
CCB Lie.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee)
State surcharge permit fee)
Authorized signature: TOTAL
PERMIT FEE
Print name:Carolina Malmedal Date:04/25/2016 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:iEuildineerm tdPLMU-Pem itApp.doe 10/01/09 440-4616T(10/02/COM/WEB)
IN
City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R o Building Permit Review — Residential
Building Permit #: /uS r,2Q i =O(O0,5-1-1Site Address: 16-1-'1 Sw Q,,L of &f.-
Project Name: Rivcr lerracc (44 I- Lot #: iS
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review II __
Proposal: U'�T'1'V 111r• v - Atv SEK
Verify site address/suite#exists and active instem.ermit system.
Y
River Terrace Neighborhood: ❑ No D'Yes,See River Terrace Review Addendum Attached
S,iit�ee Plan Elements:
Ild ree(3)copies of site plan L�� sting structures on site
Gt��$ite plan must be on 8-1/2"x 11"or 11 x 17"paper [ Footprint of new structure(including decks)with finished
D awn to scale(standard architect or engineer scale) or elevations
orth arrow tility locations&easements(required for new and additions)
.ite address,project or subdivision name and lot number (,:Sidewalk/driveway approach
[ pplicant information(name and phone number) %i .cation of wells/septic systems
ItAL'Lot dimensions and building setback dimensions P. xisting trees to be retained with driline,and tree
SAuare footage of buildings to be demolished __pp/rotection measures P
Dritot area,building coverage area,percentage of coverage and g‘et tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) IVStreet names —,!/
[ 'Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? [ 4es ❑No
li4 foot differential) If yes,is a storm water quality facility shown? ❑ No
Clean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): r
/Required: 1=1Yes,applicant was notified 2No Received: �P vedwl
❑ Yes ❑ No laNA vsg
Public Facilitie Improvement (PFI) Permit:
/Required: 2Yes,applicant was notified ❑ No Applied For: IY Yes ❑ No,stop intake
Dr/Land Use Case#: eogzOb-OvoOl
Zoning: K-1 VD)
1E/Required Setbacks: Front g Rear i 0 Side 3 Street Side 1(/4- Garage L o
R'/Landscape Requirement: 10
FV/Lot Coverage Maximum: 80
0/0
VBPA.
Height: Maximum Height i�A. Actu
1,.,p al Height Z jl.S
Visual Clearance
Edd/Sensitive Lands: ❑ Yes liNo Type
Ltd Urban Forestry Plan
❑ Conditions "Met"prior to issuance of building permit
Notes: i :v mf 10riw' 4 6,0 J„i evr.j4 iss,ri ice
Approved By Planning: .X "`^ Date: 1-31- I,
Revisions (after Building Submittal only)) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\BuildingTonns\BldgPermitRvw RES 061417.docx
Building Permit Submittal e
Original Submittal Date: . /4// 7
Site Plans: #
Building Plans: #
Building Permit#: b► -nter building permit#above.
Workflow Routing: ! lanning 7 Engineering ?--Permit Coordinator ,..--- Building
Workflow Sign-off: le' 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.
2 Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 111 eG i��/ /7�� —
By Permit Technician: Date: l
Engineering Review g 7o
2"Slope at building pad:
El Conditions "Met"prior to issuance of building permit
El Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes 41 No
LIDA Facility on lot: El Yes ,12(No
pi/Final Plat Recorded:
❑ NOT Approved by Engineering:
Date:
Notes:
YV
/,,, 2 0' '� g
Approved by Engineering: +-`u1L �� Date:
Revisions (after Building Submittal only)
Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
El 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:
7.0
SDC Fees Entered: Wash Co Trans Dev Tax: es El N/A
Tigard Trans SDC: Yes El N/A
Parks SDC: Yes ❑ N/A
LIDA El Yes r N/A
OK to Issue Permit 4S-
JiApproved by Date:
Permit Coordinator:
I:\Building\Forms\BldgPermitRvw_RES_010118.docx
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 16113 SW eirkdAy Sl.
Project Name: k ivr Ttrnloc Gad F Lot #: 1 S
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist 'ct Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards? 2 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. deepBalcony w/access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
❑ ❑ ❑ ❑ Ci2i'/
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 15.0/
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 ❑ No
If s,all the following apply: 'sq.ft.min.
ne street facing entry 2'12 ft.max.roof above floor of porch
LJ 5 ft. depth min. 0%min.porch roof coverage
4.petailed Design:All buildings shall include a min. of five of tjae following elements on all street-facing facades:
rE Covered porch min. 5 ft.wide x 5 ft. deep ecessed entry area min. 5 ft.wide x 2 ft. deep
Erffiall offset min. 16 inches ❑pormer min. 4 ft.wide
D Roof eave min. 12 inch projection oof offset min. of 2 ft.
❑ Roof shingles either tile or wood IL/Gable,hip or gambrel roof design
1:4:oof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
Accent siding min.40%of street facade ❑ Window trim min. 2'/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 ❑ No. If No (Check one):
❑frIay 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)
❑ 1'2-foot-wide garage door ❑ 40%max. of street facade
CV 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: 1. Lei Date: 1— 1—ig
I:\Building\Forms\B1dgPermitRvw REs RT 121417.docx