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Permit (44) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2018-00067 13125 SW Hall Blvd.,Ti Date Issued: 04/03/2018 ifi�Ak[� and OR 97223 503.718.2439 9 Parcel: 2S106DA09700 Jurisdiction: Tigard Site address: 16819 SW BIRDSONG ST Subdivision: RIVER TERRACE EAST Lot: 97 Project: River Terrace East, Lot 97 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1259 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 29 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2917 sf Value: $353,022.21 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 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: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 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 2917 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: $35,140.35 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtainaia copy of the rules or direct questions to OUNC by calling 503.232.1987.2or 1.800.332.2344. Issued By: ..-6,4**Aji'//�i Permittee Signature: STS' fi21,Pu Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. �B1lail'ding Permit Application 7 4 d 2tentlal FOR OFFICE L SE O\L1 Cl of Tigard Received / permit No. Ei- 1,1 13125'SW Hall Blvd.,Tigard,OR 97223 AUG 8 2817 P1 V1eW / ` /v(;V �i$r, _ I. Phone: 503.718.2439 Fax: 503.598.1960 . Date/By: 2 1 "' Other Permit:S i 2® k J Y.� 0 fj 7 t"1 Ci A F D Inspection Line: 503.639.4175 Cr, E Date Ready/By: Jurist El See Page 2 for Internet: www.tigard-or.gov BI:t-D. ,. ...n<:. ��'a Notified/Method: ,-4J4/ Supplemental Information f S fI t * � ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overheap4 applerofit for the 3 • , .# k. .. 4 ,. . ;,.. ,}t. work indicated on this application. s. " p(D 2Z '' ® t 1-and 2-family dwelling 0 Commercial/mdusial Valuation: ❑Accessory building ❑Multi-family Number of bedrooms: 0 Master builder ❑Other: Number of bathrooms: '' ys,..,i-j.TiplAn:4-,, ,f,ofet4.0146.&.60,0ileitiiiCp.,:,;11014j;;i:;014. Total number of floors: 346 Job site address: lt/B 5v,,1 c o Sof\ New dwelling area: (1 square feet (Z6 City/State/ZIP:Tigard,OR 97224 J Garage/carport area: ( 1 square feet 1 Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet i lrr r lk:17.4 : Subdivision:River Terrace East Lot no.: 9 i Permit fees*are based on the value of the work performed. Tax map/parcel no.: 1 I Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 1 t= g k • work indicated on this application. Valuation: $ Existing building area square feet New building area: square feet I .6%1 ° 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.10-6 brOac 0 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 -- - Amount received: Phone:(360)695-7700 Fax::( ) E-mail:Nichole Thorpe Commercial and residential prescriptive installation of ' roof-top mounted Photo Voltaic 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 'J rO Qc W nr U Sk auk,. Sib 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.-&1442& This permit application expires if a permit is not obtained 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\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . ... . ' .,,, ......... . .. . ... ,...,i,i .., Mechanical Permit Application ' FOR()FH( F. 1 SE()M.'S City of Tigard ,,,„ -.,:- - ' . . ,p4wivcd Pcnn'114°,9:57,2cv,i-Vtla6 7 13125 SW Hall Blvd.,Tigard.OR 97223 • ' - Plait ReVieW a Phone: 50171112439 Fax: 503.598.1960 thunitly: Other Permit inspection Line: 503.639A175 thh-•RcariyiBy: 3064 I RI See Page 2 for TIGARD Internet: w-ww.truard-or.ger Notified/Method: Supplemental Information S'44-01CPW:.:":1*Ef:$00..01iittKili.t1..04414$1.L'i- - Da New construction 0 Additiontalterationireplacement perfomuni Indicate the wine(roodal to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead.and Profit. OF Value:5 ,,.,, ...„.,„..,„..„.„ .. e•-•g:'4•;4'.: 4:1,qi.;".4'hliV.-:.'0;iiitoli*2- -Oti*.060:00A44;:int,le0.4:1*. '' ' ja* '‘::' . kl:and 2-family dwelling 0 Cormuercial/induktrial 0 Atxosory building For iperial inform:km use chedlist J hfulti-farrilly 0 Masterbuilder 0 Other: Description . I Q . I Ea. I Total 404 tr4P--,( .4 $1...OR.. 4.010i ':-::480::wiktittioilj:*, 14 coed- A67611! ::::g: 46,75 Joh site address: I(11 (ci so,i ta) (As oiri St-- „ France 100.000 BTU fdro unaasivenrs) \ 46.7$ City/State/ZIP;Tigard,OR 97224 J Furnace 100.000+BM Oloctsfsenen. 54.91 . , . Suite/bldg./apt.no,: I Project name: P _ Duct-work Heat pump 23,32 . 61.06 Cross streetiditections to job site: Hydronic hot water system 23.32 . , Residential boiler(radiator or hvdronie) 11.12 Unit heaters(fuel-type,not electric), in-wall.in-duct,suspended,etc, 46.15 Fluclvent for any of above I 2312 13.32,....„ o. ,,-- ' Other: Subdivision;.Rte_— Ttitrlate 'Ea, — Lot no.; 9—1, . Other fuel appfiances: Tax map/parcel no.: Water heater ,.'?--.-23.32 ''';',11:45..•-!-..1. .--;''''..f"1.:, .•'';;"::li.2.•;:trZ.4.:f?: .-llt4kItith01-4,'..:9C*01*.:4'..4:q?'''i*V14it V:R:g1P:I.:kii. Gas firePlaaalasart 1 33.39 Flue vent for water heater or gas • fireplace , , 13_32 . , Lug lighter(gas) 23.32 .. .. . .. . Woodtpellet stove 33.39 Wood fireplacefinsen 23.32 chimneviliner/flucArent 23,32 - ... .. , - . 2332 ....:''.'.'..rc;.)..:',1.2100•90)..*OW*ERN:K ''''1.:::ii14:4;.;:fir'. ::: ::-;171-4E8. ''' . Emintamental exhaust and ventilation: Nanie: fkl)1/L. Land lit)l-lincisi LI-C- Range hoodiather kitchen eqtripmerd ( 33.39 Address: 1 if 00 E..bou.t,le.-t-y- Rrvir 'pad Clothes dryer oshaust ' -- 1 , 33,39 City/State/ZIP: SCOitS CtCL1C. i PC1 $ "?5'; smgm-tham commit(bathroom, Li. toilet compartmerus,utility mins) 23.32 —. Phone:t(p02. (1,14_1.4.0t Fax:( ) Attic)erawlstrace fans 23.32 . '...•;- :4-014e,;k*:V,:::: W .'.4:).:',' !::','. 1:;:.,..:::ita,76*t:*0.0:0:i*O*':,;ri:-..,„:: 4 Other: 2332 • Fuel plainer Business name; W i 11104Y) Li on tioryies it,i\c_ S14.15 for first four:S4-413 for each Aidditioind Contact name: t,j VI at-WI Dr\If._ , Furnace,etc. J . . . Ga$heat purr Address:rl Cl- (3roa4Loc4.).1 SA- SuiAt . WaWsusgendediunit healer City/State/ZIP:Vancouver,WA 98660 4 Water heater , Phone:(360)6954700 I Fax::(360)693-4442 Fireplace t „ ' Range '1 &Ina:` • 4 i , g 0 PA: #1 rDkir3.104)^13 , Burae"e 4, ,±-1?:$7.7,.':-:,':'.2•-'1,i,,'.:N.& 1*:?:::::',.i,:.J.. . -,:: ,,f.::::!4..Fizq84: :::!'fi. :,ii-'. .'-'?! Clothes drytt teas) Other: . Business name:Apex AIr LIX PERMIt--4--..---.-...• ..... . - - .- , ...,,:.r: ..-,,,.... _ ...-, FEES* Address:18004 NE n”Ave Subtotal City/State:Z1P;Vancouv _er,WA 98686 Minimum permit fee($90.00) . .. Plait review(25%of permit(tat) Phone:(360)342-8109 J Fax:(360)3264769 — State surcharge(12%ofperrnit fee) . • CCB be' -,203034 - TOTAL PERM IT FEE This permit application expires ira panuil is not abtaititii withal 11W • _. days atter it has been accepted as complete. Authorized signature: * Pee metbodoloa set by Tri-Cnunty Building Industry.Servicc Board 1 Print hanterVd71/4 1 ., Date: 4.il.14. 1 1 thuiichagAtuaitiMEC,retinhAttt.040117 44c 446.4t.+1.7f f tel:Pcr.fmAvEri) Electrical Permit.Ahnca ,-,Fay-oI nzc�>,rs Qtr& City of Tigard Received '! 13125 SW Hall Blvd.,Tigard,OR 97223 DaIt Phone: 50ah 3.718.2439 Pax: 503.595,1960 Plan Review fns eeifon Lfne: 503.639.4175 Datd3• Related permit#; TIGARD' p Ready Internet www.tigard-or.gov Atha Notified/Memod; i�See Page 2 for ?s c .r Supplementallnformation ®New construction - .ai•��:n�t.{..:..F:?,.::.t�3 ;...�t r: .� . . . - - 1...•f. ��,)v:; :t.85 ry�t�. .err ��'.::.. � _L:: ';'i,.`. tion ❑Addition/alteration/replacement Please:< .: ap apply plans``t?`7h ' s;: cheek all that apply(subrnitg seta of plans�v/item&ohcclmd): ❑Demolition f.;,.§_< rb. s ❑Other: El Service or feeder 400 amps ornfore 0 Buildingover threw :'f Sp' (' ?"i#:f: 'r wirer°the available stories, ®I-and 2-family dwellingg' 'l `:j}: " Yi' ❑Floating buildings.boatyards,s and �::��>'s�;Y exceeds i0,D00 amps at 150 volts or Y 0 Commercial/industrial 0 Accessory building fess to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family 0 KVA or ;:t MuM tis, jyt'- K _ Master builder Other: amps for all other installations, •buildings, i.:: at::,as t:: ') D;fir ' One pump. 01 ? rA O 'A " OEmergenoysystem, rgerseonof15d nyad Job�• Q�T�i�•�,ci"•-�:;�'�'�:�i y�;;.:: Job site address: larger separately derived / • ` ❑100I flon of nary motor load of system. City/State/ZIP:Tigard,OR 97224 1�r 1Doxp or mom, p A',•E;"1-2",•1-3 0 Six or more residential writs, ocotrpaney. Suite/bldg./apt#: Froject name: 0 Healthcare facilities, 0 Recreational vehicle petits. P-I J y Ttr` ace. E'�,YI,,,i' °Hazardous locations. 0 Supply voltage for mere than Cross street/directions eet/directions to job site; 1 Cl Service or feeder 600 amps or more, 600 volts nominal, ,'J w1C1,11 Ali , +�iA.'.',Yi'Sfi R.•i - •3''; 'g;;F -�'0' •y; Dual.lion r '®®© Subdivision: ( J2tr T2 Yll'a ce� I� Lot#.110 New residential single-or multi-family dwelling unit. Tax map/parcel#: 7ncindes attached garage. :3?;i a.; �}t� a - 1,000 a sq,ft,or less !68,54 _Q ',,; >s..arc* y e s? :e Zl g 'i� 'tQ?tt t1){TC«":ti: i;:, '> : Ea.add'1500 sq.ft.or portion e' _� : ' . , . Limited energy,residential 111 75.00 -© with above•..ft. Limited energy,multi-family 75.00 El witabove•4,1t, Alt:, t_S 7.7,V,:'r f„ ` `r 9i"r• ?• s`'.+':haw•r:jcF �j•:7^:.. .d . l:?'t;$v 5.�:}%}?;�..:,, 'ir::�y t.!,v 61CSilt:i'ug.153;f2?: Services Renewable Bite {, 0 Sce1P •e2 . Name:, D Services or feeders installation alteration and/or relocation to Land tai 5... C-. 200 amps or less - 100.70 _© Address::",W DD E. b6t j,hh ' ', ,�.�� w f_ ,!) 201 amps to 400 amps. Milan Cfty/State/21P:' 2S�L1 ��Ate, Pa„ C��j 401 amps to 1,000 ,0 amps - 20034 _© Phone: �•.�,� 46;1 ( O1,00000 to mpsormps 111111111E1-© ��-•`—'"�•4-.M- Fax:( ) Over amps orvolts Email: Temporary services or feeders installation,alteration,and/or Owner installation:This installation is beingmade on propertyrelocation intended for sale,lease,rent,or exchange,according to OR447,,449,670,and 701 not 200 amps or 400 _ 59.36 �© Owner signature: 201 amps to amps M ,s (�t°" '1 ' ,icy,,t.�,i c,;:;, n Date: 401 amps to 599 amps 168,54 �© ' ' .�r.:zi ^:::Y:. -. s;�" K";'?' t'e• ` Branchcireurts–notiv alteration extension _ e; �L' ...�.'� »;tilt,.��.Ci''tQ �+.w..a'• ��QN'.:;s:�5� 1? � n ,er,Anel Business nam IVO i t'o( '� Fee for blandr chnnits with Contact name: I-4-' above each branch service or feeder fee, 7,42 bida— B.Fee for branch circuits without Address: --110- il7t Z,�,.„ w thorrt DaC S _Sl'' service or feeder fee,first City/State/ZIP:Vancouver,WA 98660 branch circuit 57.442 I Each add'1 blanch circuit 7 2 _© Phone:(360)695-7700 I Pax::(360)693-4442Each manufactured or modular Miscellaneous service or feeder not includ r Email: ` 1 111' 11 �/� i 1 fin.. service and/or feeder ■ 67.84 E fa i'', ,.''''':'W-,.i h,". :: oN,1,::-o .x:..a,• , ' !kg Reconnect y -� r ,;i6tOl Ytt'iai.dJilvs`�h`•�.. a.i iia t'�•.•t.`r 9r l6...rµy only �� ;la`:ice.;k,., Ptnnp or iregallon circle _© Business name:Garner Electric Washington,LLC 67.84 Sign or outline lightinglimm 67,84 Address:402 Valley Ave NW Ste 106 Signal circuit(s)or limited anergy _Q • ,,.,.e alteratio. or extension. 0 SeePage2 111111101 City/State/ZIP:Puyallup WA 98371 Each additional ins.ection overallowable in an of the above Phone:(253)8724051 Pax (253)872-1801 Additional inspection(1 br min) NE 66.25/hr _. Email:bdaniels Investigation(1 hr min) 90,00/hr _■ �giyeusa.c0 In Industrial plant(1 termite) - 78.18/hr '■ CCB Lk.: C1158 Electrical Lie.: 208174pections for which no fen is �_�._•-• I Suprv.Lie.: 4496S •call fisted hr min ■ 90,00/hr II CCB Suprv.Electrician � ar signature,required, .�6.'' a 1_' +� t tel' i 14 p '`,/;i: .. {:; L fit' • ::i-•r.':'x::::�..-', Print name: Town P Albeit Subtotal: IIMIIIMI Date: ©Plan Review Required(25%of permit fre): l State surcharge(12%of permit fee); Authorized signature: �''�— TOTAL PERMIT FEE: Min Print name: Bill Daniels This permit:viatica flan expires If a permit is not obtained within 1s0 Date: days after idles been accepted as complete. Llnuildiagl4erannallI C lbmritApp MR 13}16-dog Rev 06/1712°13 • Number of inspections allowed per permit p 440 461Sf(l pts Ay/ga C ���tt Plumbing Permit Application Building Fixtures IOR 01 11( 1 t 1_ (1,1.1 City of Tigard Received III 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit Noy/7f7 /5 � p-Cela,7 • Phone: 503.718.2439 Fax: 503.598.1960 Plan Review IIC,ARD Inspection Line: 503.639.4175 Date/By: Other Permit No.; Internet:www,tigard-or,gov a ed/MeReady/ y, lurk I 0 See Paye 2 fo Notified/Method; Sn 1 m r -c" „-,..c ;.TY,PEPO1r•Weloi ..... pP a ental Infermaden ®New construction Q Demolition For special infornurfon use checklist DescriptionI Total Q Addition/alteration/replacement 0 Other: Qty. Ea. New 1-2-family dwellings(includes 100 ft for each utility connection)_ •, ..•..' `.. .• ' CATEGORY 01? CONSTRUCTION' . . SFR(1)bath 312,70 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 Q Accessory building 0 Multi-family SFR(3)bath 50032 0 Master builder Each additional bath/kitchen 25.02 ❑Outer Fires sprinkler Pn (--s4.fL) Page 2 • .:,. JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:'(,(/ 5 t t1 ..vj ires� t.y Catch basin or area drain 18,76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18,76 Suite/bldg./apt.no.: I Project name: ` Footing drain(no.linear ft: ) Page 2 i� p,r 1 e_VYace... E' 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 Subdivision: �1�-e/--"r �-C� A-- Water eserviceoitem:(no.linear ft.:_) Page 2 -C i Lot no.:91 Fixture or 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 ®ptOPERTY OWNER • Q TENANT . Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Address:7600 E Doubletree Ranch Road Floor drain/floor sink/hub 25.02 City/State/ZIP:Scottsdale,AZ 85258 Garbage disposal 25.02 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker • 12.51 ' gi APPLICANT [I CONTACT PERSON• Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$_) Page 2 Contact name: 4\17E-hp!L T1 Drp,G Primer 12.51 Address: 0i t3(1)aa Roof drain(commercial) 12.51 St S �� Sink/basin/lavatory l.AztN6/90 / 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:.Wjrhole ±gnnw \t rh�nes.0-011el Urinal 25.02 C R Water closet 25.02 Business name:Malmedal Enterprises Inc Water heater ,,?...........1./ 37.52 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: $72,50 CCB Lie.:102535 Plumbing Lic,no,:34-276PB Plan review (25%of permit fee) Authorized signature: State surcharge(12%of permit fee) TOTAL PERMIT FEE Print name:Carolina Maimedal + Date:04/25/2016 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete, *Fee methodology set by Tri-County Building Industry Service Board. L18uiWingWermits\sLMu.PermitApp.doe 10/01/09 440.4616T(IoM2/CoM/w8B) City of Tigard .II " COMMUNITY DEVELOPMENT DEPARTMENT T 1 cAu D Building Permit Review — Residential t: Building Permit #: __ ► -- Atr� Site Address: ( 6 8 1 q S W 6 it d i or),, Si-. Project Name: (>z.lvV Tem ems 4. Lot #: q 7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N .0\A) SF a Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ No ,izi Yes,See River Terrace Review Addendum Attached Site Plan Elements: ?Three(3)copies of site plan -B$iisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations North arrow Utilitylocations&easements(required for new and additions) Site address,project or subdivision name and lot number ,Zidewalk/driveway approach Applicant information(name and phone number) G-besation of wells/septic systems ,Lot dimensions and building setback dimensions ElEmisting trees to be retained with drip line,and tree quare footage of buildings to be demolished protection measures Lot area,building coverage area,percentage of coverage and MStreet tree size,type and location /Property area(applicable if R-7,R-12,R-25&R-40) Street names XJProperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Yes ❑ 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes al o� �- Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No 4 Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: P9(2- SOf l' •-° 0000 1 7 Zoning: yiRequired Setbacks: Front l 2, Rear f 0 Side 3 Street Side (6) Garage 2,07S Landscape Requirement: 2/0 % { ,21 Lot Coverage Maximum: Yn (l % jir Building Height: lMaaxiimv um Height IV/►1Q Actual Height 29 EI—Visual Clearance I:htensitive Lands: ❑ Yes ❑ No Type pUrban Forestry Plan gConditions "Met"prior to issuance of building permit Notes: Approved By Planning: (VI..`d'`^ - Date: g 3/ ( 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\BldgPennitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: ;7474f; Site Plans: # Building Plans: # Building Permit#: \• nter building permit#above. Workflow Routing: 45 Planning engineering nit Coordinator 7:;k-Building Workflow Sign-off: S Sign-off for P anntng(include notes from planning review) Route Application Documents: \ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and • , t original plan review routing form. wilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: - �' /, ByPermit Technician: " 4Wk(% Date: _z// 1.-4-- Engineering Review 8 / Slope at building pad: / ❑ 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: ❑ Yes X No Assess Water Quantity Fee in-lieu: ❑ Yes Ani No LIDA Facility on lot: ❑ Yes ,No ❑ NOT Approved by Engineering: Date: Notes: t.`.Approved by Engineering: igt 11?-4 W . Date: lit(o a Revisions (after Building Submittal only) Reviewer ate 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: SDC Fees Entered: Wash Co Trans Dev Tax: X Yes ❑ N/A Tigard Trans SDC: Yes . ❑ N/A Parks SDC: &Yes ❑ N/A LIDA ❑ Yes ;gt N/A lg OK to Issue Permit �Q Approved by Permit Coordinator: -til' Date: 22i)1 t I:\Building\Forms131dgPermitRvw_RES_061417.docx City of Tigard ' g COMMUNITY DEVELOPMENT DEPARTMENT i T I G A R D River Terrace Building Permit Review Addendum Building Permit #: MST-20 `c6.- 000(n Site Address: , Vi 1 q SW (3;r,' c o n fi• Project Name: U.lY .r T€rroi cc.._. f c t s-F- Lot #: 9 (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? 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 ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6ft.wide Gabled dormer 0 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: { 'a 3. Entrances:At least one entrance must meet both of the following,� standards: 'Parallel to street,angle no more than 45° from street, gi Max. 8 ft. setback from longest street- facing wall ,�J or open onto porch Entrance opens to a porch: Yes 0 No If yes,all the following apply: V25 sq.ft.min. 1 One street facing entry ,12 ft.max.roof above floor of porch 75 ft. depth min. V30%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 ,zi Recessed entry area min. 5 ft.wide x 2 ft. deep 7Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide /I Roof eave min. 12 inch projection Roof offset min. of 2 ft. 0 Roof shingles either tile or wood „Zi Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide 0 Accent siding min.40%of street facade /`1 Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35%or less of street 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. 0 Yes FIN°. If No (Check one): May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. May extend up to 5 ft.where the garage is part of a two-storybuilding 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) 0 12-foot-wide garage door ,g40%max. of street facade 0 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: AA 4/ "....__ —:---- Date: I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16819 SW BIRDSONG ST, BEAVERTON, October 15, 2018 at OR, 97007 12:02:50 PM Record Type: Record ID: Residential - Master Permit MST2018-00067 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows 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: 16819 SW BIRDSONG ST, BEAVERTON, October 15, 2018 at OR, 97007 1 :17:09 PM Record Type: Record ID: Residential - Master Permit MST2018-00067 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 70 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16819 SW BIRDSONG ST, BEAVERTON, October 18, 2018 at OR, 97007 11 :03:53 AM Record Type: Record ID: Residential - Master Permit MST2018-00067 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Correction complete Violation Summary: Inspector Contractor