Permit (57) CITY OF TIGARD MASTER PERMIT
: 1 ' COMMUNITY DEVELOPMENT Permit#: MST2018-00095
T r c;A 1.11D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2018
Parcel: 2 S106DA09400
Jurisdiction: Tigard
Site address: 16749 SW BIRDSONG ST
Subdivision: RIVER TERRACE EAST Lot: 94
Project: River Terrace East, Lot 94
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 27 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 2909 sf Value: $352,111.41 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
Bckfiw Prevntr: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 0 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 1
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 2909
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: 602-494-4031 PHONE: 360-695-7700
FAX:
Total Fees: $35,121.35
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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
•
Issued By: /./..e#C4 4", ,� Permittee Signature: x'z- / jA�,�_,t,tcr ,-
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. v
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
i
Building Permit Application 40
6-
Res, denti i1 FOR OFFICE l SE O\L1
City of Tigard 2r� 1 Received FAk Permit No �j `'Q
AUG C 17 Date/By: 3 ( .9,dee��OK//F')c.V55—
,71 III 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review_ 2 r(CoPhone: 501718.2439 Fax: 503.598.1960 i i' s .;0 Date/By: eIrJV l Other Permit:S/462a F
T I G A R D Inspection Line: 503.639.4175 B iJi 0''i L(3 DI 1 k N Date Ready/By: � ` .suns: 13 s: See Page 2 for
Internet: www.tigard or.gov Notifed/Metho ./ t// — Supplemental Information
E771/1_. A/0'('f'Z'I. E=,
Z 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,overhead,and e profit for s_.•.1,14,
f work indicated on this application.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 35 1t��
v
ko 0 Accessory building 0 Multi-family Number of bedrooms: 1
0 Master builder 0 Other: Number of bathrooms: 3
' 44-" Total number of floors:'� )?)1 .3
Job site address: L llli 4C SW c61(aso(1, St New dwelling area: La q square feet i GS-45
City/State/ZIP:Tigard,OR 97224 Garage/carport area: L.(a square feet 1 tstf
Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area square feet l
Cross street/directions to job site: Deck area: ��"'"`''�' ','_ square feet
Other structure area: square feet
; I I 1 '[ i r pmt ral
,a .tx -_,.- •„• ;Z_;.;.:;..
Subdivision:River Terrace East Lot no.:9 L4 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
,,,,,,, ,,,,,,,,,k,,,‘ ,..'i �, i 1 e :44 ' work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
-, '< t 54 • M ,,, N V 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:
4", .':-,`-; ,, ,4.';; ` ,"� �'� .. I t s;I €
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:Nichole Thorpe
Address.103 �ro _ FLS plan review fee(if applicable):
< 0
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Amount received:
Phone:(360)695-7700 Fax::( ) oW
E-mail:Nichole Thorpe
Commercial and residential prescriptive installation of
tD> > _. 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: 1 u r0 QC U3�} t-J-) Sk (vu.*(_ S IT) 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 'Pv//427& This permit application expires if a permit is not obtained
f/ 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)
Mechanical Permit Application ' V as 'a, ?017
City of Ti rd •t c,Qi,xi
lig • 13125 SW Halt Blvd.,Tigard.OR 91223 ,1, :; 1'crttrh t1 �raft / -'1 %S
n Phone: 503.718.2431 Fax; 503.598.1960 , DetptHySew Other Permit:
T 1,;a it i7 Tttspaxion Gine: 503.639A 173 i7 its Brad}:t? feuds ,
Internet: w'�w.tigard-or gow } Supplemental
P tree
Notified/Method:
Snpplraarntal Inionaration
,' i 0 4, ... 4. - . .. V`. ..:.,:. "` ;_, ,.•0,. Z',.r 5371fi!!1<,'tP.�,(`lA4_4rEEI'.��E11rCtTrE_. #SgG7tT4t.1i`T.-
10 New construction Mechanical permit ties*are based on the value of the work
0 Addition/alteration/replacement performed,indicate the vltre(mended to the nearest dollar)ofafl
0 Demolition Q Other: mecltanicctl materials.egah'ntent.labor.overhead.and profit.
Y
aloe 5C`ATEGPRYOF O STR CflON-' ;
''''''''''''''''Y'''''''''....4''''''''
.: ,.- . ,.: 3fSIDF14 AQ1v.IP
r' E1A#5 00 . $
K'l'•and 2-family dwelling 0 Commer'cialhndustrial 0 Acce:.ssory building For special in formutiun use tkerklist
I Multi-family 0 Masterbutiderr 0 Other. Description fix, i a Total
201 Ile II� FORbtATIO1tf ID LOCA'1'ib'+i' T - Ilts�tinWventinx:
lab site add_css:I�,y ,,, 1 Air conditioning t 46.75
y (I til S Furnace 100.0000 BTU tilucti+oittis) { 46.75
City/Stine/ZIP:Tigard,OR 97224 Roosts 100.000t.BTU ldnets+vent;:.) 54.91
Suite/bldg./apt.no.: Project name: I�.`to 1r ' ]lest pump 61.04
Duct work 23.32
Cross streettdirections to job site: Hydronie Trot water system 23.32
Residential boiler(radiator or
hpdmnia) 23.32
Unit hatters(fuel-type,not electric),
inwall.in-duet.suspended,etc. 46.75
Flue:'vent for any of above • ( 23.32
_ Other 23.32
Subdivision:.(2W.e_r- Tvweace• ..tsSA-- Lot no.:9
Tax map/parcel no
Other furl anPlianres:
...� .. ... .. Water heat.�
23.32.324 . - . nEs Urtto''-,OVW0J0i E - +r • Gasf acn,et I 3339
Floe vent
for Water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
• WoodCttet stove 3339
Wood fireplace/inert 23,32
Chimncyllinerlfiuevvent 2332
' ..,f PRROPERn OWNER r .. .: C1".TELA r� ,. : tither: 23.32
1� Environmental exhaust tot ventilation:
Nanie: V L- Land l'kl}It� S'LLC, Range hoodtother kitchen ( •
equipm1 1p Do E-DOl,1 Clothesrenl
Address: �1 �!�1S d33.39
dn-cr exhaust ( .. ..33.39
City/StaterZn?: Scotts c ctk +pct.
?57 5) Single-duct exhaust(bathrooms.oo
toilet compartments.utility rooms) LE _23.32
Plume:s 19 OZ (01(4 '"1_t 143 i1 F ( ) Attic�zrawtspaee fans 2332
�I
01MPL,1CA!'t l.`'' _.�;: .1:1'.CON .40. Pt RSo'� Other: 233.32
13usuttxs name. W( Ili 041'Y1 L ( l NJi Y 1� PAC. Fuel piping:
Contact name: riY t��� ' S14.15 for fired lour,$103 for each additional
-
Contact
t? o . Furnace,etc. 1
Address:'..LD1 1Jr0a. CO- Cies bees p ndta
J S� S�l,� �� Wgtt?suspendcd'unii pester
City/State-21P:Vancouver,WA 98660 Water heater +
Phone(360)695-7700 Fax::(360)69.3-4442 Fireplace
-matt Liv,Ck1 X11! Rance 1
.6 a♦ ei Barbecue
. , ,._.. .r.:j Chuhes 'tY(gas)
Business mune:Apes Air LLC other:
Address:18004'"JE W Ate
MAi17 AL P)E 1AlIT F€ES*
Subtotal
CitytStalcrlP:Vancouver,WA 98686
Minimum permit foe 4910(t)
Phone:(360)342-8109 Fax:(360)326-1769 Plan review(25%of permit fee)
State surcharge(12%aperitif*rev)
CCB Be::203034 TOTAL PERMIT FEE
This permit apphcafion_spires iia permit Stt not obtained within lila
days after it hap bees accepted as complete.
Authorized
Signature: Fee mettKx4otagr vq by Tri Cttuntt tiuildiai Industry Service Berard
Prim name: ± Dale: 4•it?.!4»
IUY•iitito*Nonit:rtEt',Ninth A t401ndte 446-tv171130:4.1"Al M}
Electrical Permit Application 1,O OFJCE air oisiii
'' 'c, !' ''' Receives
�j Cary of Tigard -''s - midi:, ; Permit ly1.S7Jr l'f1egl..-,
w 13125 SW Hall Blvd.,Tigard,OR 97223
g; -; Phone: 503.718.2439 Fax 503.598.1960 s. : ; Related Permit#:
? Inspection Line: 503.639.4175 Ready Date/By: runs: td1 See Pagel for
c, Internee www.tigord-or.gov Notified/Method: Supplemental Information
- .�,^i-4--,A17-.g0 ,xa�
S �.X _� F,.f'!. g. i ^ a ti iufi; ..iErW: :x�:
•.Y. .: ii,):iFP �� ^Ai '.h:eAli.4
7lri'
®New construction ❑Addition/alteration/replacement Please ehe9k all that apply(,uhtntta seta of pleas w/itemoohcked):
❑Demolition Other:
0 Service or feeder 400 amps or more 0 Building over three stories.
11 D r:;:,{ ��* x• •4 where the available fault current ❑Marinas and boatyards.
y` +ring riP,k-'tic-.•`jy`..` t0` 4`'_ **11 OIQ+;?,'.y-.f�•'a'`s�••i,`a%''.,=, ;'i,=!s t?`,. •?„1"cili exceeds 10,000 amps at 150 volts or ❑pleatingbuildi s.
. .. :- age,
ECJ I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 commercial-use agricultural
❑Mutti-family • ❑Master builder Other: amps for ail other installations. •buildings, •
r .q,r,., _ _ ❑Fire pump. l7Installatonof150KVAor
-K t ';est%:".:ri.f.401 •': 1„rF(� •T(Ty Al 5 014T;l 1SfAk!;:,, . '•r. - IJF.mergenoysystem. larger separately derived
Job#' Jolt site address:' /1�(4 i7, ❑Addition of new motor load of system.
V 6{t *- 100HP or more. CI WYE”,,"1-2","1-3",
City/State/ZIP:Tigard,OR 97224O Six or more residentiai units occupancy.
❑Health-care facilities. 0 Recreatoual vehicle parks.
Suite/bldgia t#: Project name: OHarardo�tocetious CI Supply voltagefor more than
p 1Ver Trance,Ea s4-
Cross street/directions to job site; yCIService or feeder 600 amps,or more. r'�600 voile nominal.
Description I Qts I Each I Total .•I .
New residential single-or multi-family dwelling unit
Subdivision:41/4kr T- YC&Ce. €0s-k— Lot#:9+4 Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 1 168.54 4
_ .}:•• j>;tv l ;fit•" x , .. Ea.add'l 500sq. portion t..-1. 33.92 1
ft.or
...s'tkl _ .. -•1 +` t ,-s`•1:4P '1:Ats?.1 .rt;WQ Ki'l: ti. , . -.:,..`1:I,t:', , . Limited energy,residential
(with above sq,ft) 75.00 2
Limited energy,multi-family 75,00 2
residential(with above sq.ft.)
rya "ri .'.,;off !;,A r.»0 ,x ,f i 4 a, !k1�;::;: s;q. ,: :;.:� �_,: RenetvabloEnergY D SeePage2
/� .a rr:+g:t o•. c.: •"1' a`.3 :''` ?,3'•: Services or feeders instafation,alteration,and/or relocation
Name:, l-D V L— Lana ]J„Q,aim C amps or less
V t 1 ` C-i� 200 100.70 2
Address:: I n OD D���i„(�.l �y t201 amps to 400 amps 133.56 2
`t' rlls��t �-,n 401 amps to 600 ataps 20p 34 2
City/State/ZIP:' a� -sc cU'L l F\Z 'C�S2 601 amps to 1,000 amps 301.04 2
Phone:tont-•�(i�L(-1.. 62,1 Fax:( ) Over 1,000 amps orvolts 552.26 2
Email:
a ' 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 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
3s i ` 4 t A54t'^•Yt' :6:-+itipi i j Q t jr 2.z.$ir; Branch circuits—nets alteration,or
is '�t ����„�� d{k ;:t..;, ?<<tLt�t ci•fil a, � o extension,per panel
A_Fee for branch;Lel
with
, Business name: .J / /L 1 DA tilEINN� above service or feeder fee, 7.42 2
Contact name: V �,�1�,,`wr Ll t 1 "d t k—S i�� each branch circuit
N h \l��Th0 B.Fee for branch circuits without
Address: ��1 �a �.' I ' e.� ' 1 :A e^1 service or feeder fee,first 56.18 2
•"3 I ► xW 1 ¶1 Swim_ - . branch circuit
City/State/ZIP:Vancouver,WA 98660 J Each add'i branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax::(360)693-4442 Each manufactured or modular
Email: cn
dwelling,service and/or lbeder 67-84 • 2
e 1,�`1 .;r tI Reconnect on
't:�'•:c"gx•,k'� -�r �. .+. ra :sae (}.,'�_°r~•�iY:-yse;:......rry only 67.84 2
m, `r 1:L-':I o� x,t- ,.u..,-.ix,rr..�.';,'F r s Pump ornTigatio 67.84 2
L.1 _ •i �Lfib:•+�`m''�. .,:L g,"5t",:�}In:fir, .a�•,.v.•:�;z�:�sti;.�+..r;;lafE`2��t.
. . ,.�,,., ., n circle
Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2
Address:402 galley Ave NW Ste 106 Signal circuits)or limited-energy 0 See Pae 2 2
• panel,alteration,or extension. g
City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25!hr
Phone:(253)872-6051 Fax:(253)872-1801 Investigation(I hrmin) 90.00/hr
Email:bdanlels®gweusa.coDn htdnsirlatplant(1ltrmin) 78.18/br
Inspections for which no fee is •
Electrical Lic.: 208174 I Suprv.Lie,; 44968 listed�1:hrmin
90.00/hr
CCB Lic.: C1158
ro '
�:} i .i i.,;. XrI. 7::q�.?;:[,
i
Suprv.Electrician signature,required: f � Ye.,c i- Subtotal:
Print name: Joan P Albert I Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: -- TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within ISO
Print name: Bill Daniels Date: days after him been accepted as complete
'' Number of inspections allowed per permit.
1:1EuldieglParmitslnLC PumitAPP ELR_ERE•d99 RaviMlt 12013 440.4615T(11/05JCOI,pWEa
. . •
•
'' r r ,
,, t7
Plumbing Permit Application , ,, '
Building Fixtures
Ci of TigardReceivedPermit No
III a 13125 SW H� Hall Blvd.,Tigard,OR 97223 • DanReview
dy
II Phone: 503.718.2439 Fax: 503.598.1960 P Other Permit No.:
I
i ,n Inspection Line: 503.639.4175 Dare R
Internet: www.ti and-or, ov Ready/By: > S SeePagel for
g 8 Notified/Method: Supplemental Information
.;:44':1:(.2,..!.-.;,,:;.::::...'/.,-.: :.�E WOJt#E ,.. ::.. r.SEl1F1D •,.• .,{;yxVy
®New construction • 0 Demolition For special Information use checklist
Description I Qty. I Ea. I Total
0 Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft for each utility connection)
•• • • • CATEGORY'Op CONSTRUCTION' , , SFR(1)bath 312,70
®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
building • SFR(3)bath t 500.32
❑Accessory 0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other
Fire sprinkler( sq.fl.) Page 2
". 'JOB SITE INFORMATION'AND LOCATION•. • Site utilities:
t+n Lig n S� b'Y,d S4 S` Catch basin or area drain 18.76
Job site address:t 1X -1"i '�"
Dryweil,leach line,or trench drain 18,76
City/State/ZIP:Tigard,OR 97224 /.Ir -^{' Footing drain(no.linear It: Page 2
Suite/bldg./apt.no.: Project name: g,I i[ into cc. �_ 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 It:_) Page 2
Subdivision: gi\-tr'rte QCc,'F..0...SA- I Lot no.:CI t.{ Fixture or item:
Tax map/parcel no.: Backflow preventer I 31.27
' DESCRIPTION OF.WORK : •
Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
El pROPENTY OWNER • I • ❑ 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
®.APPI;ICANT . .• 0 CONTACT PERSON. Interceptor/grease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:$-) Page 2
Contact name: C hO e D L Primer 12.51
_tr---
.
Address:�•0 I" Roof drain(commercial) 12.51
�,�c1�iJa� St SU 11.{��0 . Sink/basitJlavatory �p�Y / 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
' 2R �
Urinal 25.02E-mal:. UI :hol2 i1/1 1p�o1t g �h )n e4.rbArl
Water closet 25.02
' Water heater e..2_,er 37.52
Business name:Mahnedal Enterprises Inc. Water piping/DWV 56.29
Address:PO Box 207 Other. 25.02
City/State/ZIP:Banks,OR 97106 Subtotal
Phone:(503)324-0759 Fax:(503-)324-0580
Minimum permit fee: $72.50
Plan review (25%of permit fee)
' CCB Lie.:102535 plumbing tic.no.:34-276PB State surcharge(12%of 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:1Building\Permits\PLMU•PermitApp.doc 10/01/09 440-0616T(10O2/COM/WEB)
....7.7
IN City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Residential
Building Permit #: AS ()/F Gnej,s"
Site Address: 1(7-f-1 ci \hi r s`+11f
:c.
Project Name: .\ jz;Y-rsct L ac i- Lot #: I Lt
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: (..dn) ruG s,1. ;;t ni i SFYZ
yerify site address/suite# exists and active in permit system.
R" River Terrace Neighborhood: ❑ No EB Yes,See River Terrace Review Addendum Attached
Sit lan Elements:
ree(3)copies of site plan ,,_ sting structures on site
Ste plan must be on 8-1/2"x 11"or 11 x 17"paper L�'t'ootprint of new structure(including decks)with finished
IJD wn to scale(standard architect or engineer scale) _fj r elevations
rth arrow L`1Utilt locations&easements(required for new and additions)
I �� ty
LJ"Sidewalk drivewa approach
' e address,project or subdivision name and lot number / y pp
fttlrplicant information(name and phone number) 11-17,4Lpation of wells/septic systems
RWL'ot dimensions and building setback dimensions 2txisting trees to be retained with drip line,and tree
Aquare footage of buildings to be demolished protection measures
!Etat area,building coverage area,percentage of coverage and [ S/feet tree size,type and location
' pervious area(applicable if R-7,R-12,R-25&R-40) R'Street names
[ Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? 17)(i-es�ILINo
4 foot differential) If yes,is a storm water quality facility shown? ❑"dkNo
D Clean Water Services—Service Provider Lettefr(lot platted prior to 9/10/1995): If 0tiostd (....•.14
y.equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No .�U )t,�
lei Public Facilities Improvement(PFI) Permit:
Required: V Yes,applicant was notified ❑ No Applied For: 0/Yes ❑ No,stop intake
Land Use Case#: PO Loi 00124 L
[ Zoning: K- 0_00)
DEI Required Setbacks: Front Rear 10 Side 3 Street Side Garage 21.e)
LI ,andscape Requirement: 0/0
`
I:Viof Coverage Maximum:
[,Building Height: Maximum Height 3 S Actual Height 27-
IV Visual Clearance
IU ensitive Lands: ❑ Yes L2' No Type
5/Urban Forestry Plan
[2 Conditions "Met"prior to issuance of building permit
Notes: U an N flit, sk 'c r�.ta Qw 417 t , hrn.�tJ.," 6 �,i , KI- ritL �k Si�C F� .�{ a1- um yrtin{� .
/Approved By Planning: -evvvvi"l-'- Date: '3--L}-(y
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_061417.docx
Building Permit Submittal
Original Submittal Date: C5V/i
Site Plans: #
Building Plans: #
Building Permit#: - nter building permit#above.
Workflow Routing: A'Planning Engineering 'p,..Permit Coordinator Building
Workflow Sign-off: IR Sign-off for lanning(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.
l 'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
•By Permit Technician: _/ Date: �� /(F
Engineering Review (/ 7
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 No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes �No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
f�Approved by Engineering: kit
Date: yi 2-7/7(
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
Conditions "Met"prior to issuance of building permit
❑ 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: eixYes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: EYes ❑ N/A
LIDA ❑ Yes W N/A
OK to Issue Permit L,,
Approved by Permit Coordinator: AOp' Date: 3I2:8
I:\Building\Forms\BldgPermitRvw_RES_010118.docx
7
City of Tigard
Iii
COMMUNITY DEVELOPMENT DEPARTMENT
III 11
T l A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 16 1-99 S i girdcO, SI-
Project Name: R,\Ar TirraZc �a6 I-- Lot #: 9(1
(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? IV 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 t. 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
❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 2t•Of
3. Entrances:At least one entrance must meet both of the folloyving standards:
IaX. 8 ft. setback from longest street- facing wall 1-1d 1 arallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: ilYes ❑ No /
If yds,all the following apply: [ 5 sq.ft.min.
,� One street facing entry 2, 12 ft.max.roof above floor of porch
Lits ft. depth min. L1"30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades:
Covered porch min. 5 ft.wide x 5 ft. deep FSS Ld'Recessed entry area min. 5 ft.wide x 2 ft. deep FA'
❑ all offset min. 16 inches 0 Dormer min. 4 ft.wide �
[2 Roof eave min. 12 inch projection r`,c ❑ R of offset min. of 2 ft.
❑ Roof shingles either tile or wood LSI Gable,hip or gambrel roof design F.
❑ Roof pitch oriented south min. 500 sq. fi ❑ Horizontal lap siding min. 3-7 inches wide
Accent siding min. 40%of street facade F/J ❑ Window trim min. 2 1/2"wide by 5/8" deep
❑ Window recess min. 3 inches for all street facing ❑ $ay 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 3
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 Lfd No. If No (Check one):
eIay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
ay 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 [U )%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes: C r tr j of
Approved By Planning: JDate: 3--L0-1 F
I:\Building\Forms\B1dgPermitRvw REs RT 121417.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
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
`� a N
Transmittal Letter
T I G n RI) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Planning Department. DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
MAR 2 0 2018
FROM: Nichole Thorpe
CITY Off.T'•.iARD
COMPANY: Polygon Northwest
PLANNING(ENG EERING
PHONE: 360-989-4204 By: )4--
RE:
�RE: 16749 SW Birdsong Street
(Site Address) (Permit Number)
River Terrace East Lot 94
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
I Copies: I Description: I Copies: I Description: I
0 Additional set(s) of plans. 3 Revisions: Plot Plan- Wrong Plot plan
0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis.
0 Floor/roof framing. 0 Basement and retaining walls.
0 Beam calculations. 0 Engineer's calculations.
0 Other(explain):
REMARKS: Please pay fees owed with Trust Account.
FOR OFFICE USE ONLY
Routed to Permit Technic'an: Date:
Initials:
Fees Due: ❑ Yes No Fee Description: Amount Due:
$ a
Special $
Instructions:
Reprint Permit (per PE): ❑ YesNo ❑ Done
Applicant Notified: Date: Initials:
I:\Budding\Forms\TransmittalLetter-Revisions.doc 05/25/2012
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16749 SW BIRDSONG ST, BEAVERTON, September 24, 2018 at
OR, 97007 10:43:45 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00095
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:
16749 SW BIRDSONG ST, BEAVERTON, September 24, 2018 at
OR, 97007 10:43:45 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00095
Inspection Type: Inspector:
199 Electrical final Jeremy Burrows
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16749 SW BIRDSONG ST, BEAVERTON, September 27, 2018 at
OR, 97007 10:33:26 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00095
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.
Violation Summary:
Inspector Contractor