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Permit CITY OF TIGARD MASTER PERMIT 2 ' COMMUNITY DEVELOPMENT Permit#: MST2018-00103 T G,ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/18/2018 Parcel: 2S106DA10500 Jurisdiction: Tigard Site address: 16904 SW BIRDSONG ST Subdivision: RIVER TERRACE EAST Lot: 105 Project: River Terrace East, Lot 105 Project Description: New SF. BUILDING Floor Areas Reauired Setbacks Required Stories: 3 Bedrooms: 4 First: 1108 sf Basement: 812 sf Left: 3 Parking Spaces: 0 Height: 26.5 Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Yes Right: 3 Detectors: Total: 3316 sf Value: $400,117.85 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Bckflw 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: 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: 6 201-400 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 G NEW p yrou Group: Square Feet: SF VB R-3 3316 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 2 Geo Tech Report Required STE 1 Prior To Pour SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $36,059.01 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 OA 52-00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / Issued By: / , Permittee Signature: � �G-!e 1e,dti 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. f b L 7..... \, 0 5 ' Puilding Permit Application Residential , ilvo _ FOR OFFICE USE ONLY :11111111 City W Tigard •eceived g �� !��/I V 13125 SW Hall Blvd.,Tigard,OR 97223 2 Date/By: / •ertnit No.,:,, - Phone: 503.7182439 Fax: 503.598.1960 MAR R 2018 Plan Review �+' �4 ` Date/B : $ Al A Other Permit: / T I G A R D Inspection Line: 503.639.4175 CITY I Y O F.govd i� ` � / —��,,�� Internet: Line:g 3.63 .41 Date Ready/By: 7�,, Julie: H See Page 2 for pry! DI Notified/Method: 7/3/e Ii, 3UIe.DINIG t..J NISI N Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all 0 Other: equipment,materials,labor,overheat ,,t d ke Q prqut f j CCATEGORY OF'CONSTRUCTION work indicated on this application. I `TE:ItpS23— / ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ❑Accessory building ElMulti-familyNumber of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors:3 2^-J D I Job site address:I ' ^l j b� c„Jv V n l 1? 4S C New dwelling area: 331 square feet t-s% V\' City/State/ZIP:Tigard,OR 97224 G J Garagarea: square feet ` 1 O Suite/bldg./apt.no.: I Project name:River Terrace East Covered porch area 0.41111square feet Cross street/directions to job site: Deck area: imp in. square feet Other structure area: 23Z square feet Subdivision:River Terrace East REQUIRED DATA:COMMERCIAL-USE CHN CKLIST Lot no.: 1 DT Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER I, 0 TENANT 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 Phone:(602)694-4031 Existing: Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH,LLC (Please refer to fee schedule) Contact name:Nichole Thorpe Structural plan review fee(or deposit): Address:109 East 13th Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Nichole Thorpe PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR 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 Address: 109 East 13th Street and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review Phone: and administrative fees): $180.00 (360)695-7700 Fax:(360)693-4442 CCB lic.:207247 State surcharge(12%of permit fee): $21.60 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complet Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , ,.. . Mechanical Permit Applicatilti ''',-- i ii—r-, llt'OOFFICE [SE 0\t \ !'t"'7•`-?:6-" .q ::', Received Bey City of Tigard Date/ : g/e6/1- Ar44/4- Pcmill Vtc-77-0/ef-'—e0/03 :11111 111 13125 SW Hall Blvd.,Tigard,OR 97223.j1 n I ,1 .?n 1 Other Permit 0 Plan Review a Phone: 503.718.2439 Fax: 503.598.1960' ' `- 1-u'u Date/By: T i„Ay:D Inspection Line: 503.639.4 175 , Date Ready/By• Juris RI See Page 2 for Internet: www.tigard-or.gov GI I'Y Jt' '....7,A ftt.: Notiliedifvlethod: • Supplemental Information :3 W. i'liNIC:, ;k7-1t,:, TYPE OP WORK COMFACIAL FEE* SOIEDUI..18 - USE CHECKLIST Mechanical permit fees*are based on the value of the work C.4 New construction ID Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other mechanical materials,equipment.labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION --- ItESIDENTIAL EQUIPMENT/SYSTEMS FEES* .---:- .,-. and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. I Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total Heating/cooling: . JOB SITE INFORMATION AND.LocArtoN . Air conditioning i 46.75 Job site address: 1 pccok..f 5v\s, t-x)..1 .01,,s_or\ „.\... Furnace 100.000 BTU(ducts/vents) I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000-1 BTU(ducts/vents) 54.91 Ilea!pump 61.06 Suite/bldg./apt.no.: Project name: g,,(.6,r. Toty-ctep,' 4'&k" Duct work 23.32 — Cross street/directions to job site: I lydronie hot water system 23.32 Residential boiler(radiator or hydronic) 23,32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above I 23.32 Other 23.32 Subdivision: !a We*.-re k\ro,c e...., -F_cLc,..fr- Lot no.:/OS" Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 ' Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 _ Other: 23.32 Igl PROPERTY OWNER I 0 TENANT Environmental exhaust and ventilation: Name: P4 DVL LaAct tbicikAls us , . Range hood/other kitchen I equipment 33.39 Address: 1(000 F Doubte.iree.teo-rciA kana4 Clothes dryer exhaust I 33.39 City/State/ZIP: Sc j:.*.kscietle, fl.'2_ (2) 2,sB Single-duct exhaust(bathrooms, toilet compartments,utility rooms) - ° 23.32 Phone:t9 01-1)014_4Q'6 ' Fax:( ) At tic/crawlspace fans 23.32 - E3 APPLICANT , 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:Polygon W LH,LLC S14.15 for first four;$4.03 for each additional Contact name: 0'1 r/V\Ote,.ThOY1)e/ Furnace,etc. I Address:111) 15y0M Akvil z...t Su ilrez ST) Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace I Range I E-mail: 1 _ Barbecue ,,-,:„ :.,C43NTRACTOR, , Clothes dryer(gas) Other: Business name:Apex Air LLC ',,,z "'--,..141CIIANI - M. CAL FEJLSe Address:18004 NE 72'd Ave Subtotal City/State/ZIP: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 fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Date: days after it has been accepted as complete. Authorized signature: - * Fee methodology set by ni-County Building Industry Service Board ••••••••••••----- Print name: I 4.11.it...... 1\BuildingtPamils,MEC_PermitApp_040113 du: 440-46171(11102/COMAVEM . r '—i 77th F-1 F City of Tigard ,i t't. r t' Received .'`� e� xT �a�a >. eLS Date/By: Permit!E: r 4i ' '° 13125 SW Hall Blvd.,Tigard,OR 97 3A i %�% _iF. -V i ® Phone: 503.718.2439 Fax: 503.5 t . �•d 1Y f r' R"d Li, Plan Review °x, s kite rDate/By: Related Pcnnit ii: v..;.,. ;4:.--,-,,, ,-:-:,1 Inspection Line: 503.639 4175 e l i -5 a ;. i , .Ready Date/By; ,runs; t_ Internet: www tigard-or.gov la See ental for Notified/Method; �,��5s; "�''�•.-_.^,-�`P`5i;:'�"��x3;<�' =:ti•(j�:i�s,•,rii., �.:t,�, _ 'ir Supplemental Information ..-...-,-ah,:c�i.¢c.__k:,,..':i,;ci:•:r5'!•:+£:'-€: .YF.•:g 1't,�`g,QAIfi:::,':Y:1°4':...;- `,ij:' .`;::r: ®New construction .<=s,....7(tr,,�;,li�?t, 't':,:��,::Y..;,::.. ,^• ❑Addition/alteration/replacement :cheek . 't ip las:.:: `tn of `ked) ''': Please afl that apply(submEt�sets of plass d/itemsohecked): 0 Demolition 0 Other: D or feeder amps or more ..,-. ..._., where the available fault current El Building over three stories. ;t.. ...r,-r.,�,... . :-r:.:,::C T f?Q : .Q'u`C)1N�4,,`,Ik'�7(S1F O;!1ii;i.`i ;,:'t::; ;:i : ❑ loaiingbudbcalyards, ®1-and 2-family � `""1"'`�'�'`i�l+'''`;'�.+.•� i:?�i'•,•'•;?j exceeds 10,000 amps at 150 volts or ❑Floating buildings, Y dwelling 0 Commercial/industrial 0 Accessory buildingc:lless to ground,or exceeds 14,000 D Commercial-use ial-use agricultural _ amps for all other installations, •buildings.❑Multi-family ❑ Vaster builder 0 Other: pump• 0 Installation 150 CVA or ;_K4 ¢a40:O.FlinmCaNTO1Alv3T4( OIy}; '. i: -.,::' ; ❑Emergenoysystem. lagerseparately derived Job#: Job site address; ,D 0\4 � ❑Addition of new motor load of system. 1 Sir— 10011P or more. City/State/ZIP:Tigard,O12 97224 J Q Six or more residential units. occupancy, Suite/bldg./apt.#: ©Health-ear°facilities, ❑Recreational vehicle parks. I Project name: 12 N r�' .mace, ac,4- OHazardous locations. ❑Supply voltage for more than Cross street/directions to job site; ©Service or feeder 600 amps or more, rr600 volts nominal. 'i`:'itr`.i t:ti,f:Y -2 i.+::':�'f :li} :0:i.u. O: ):3:: _ Description I Qty. Such l.,''Total �;I Subdivision: {� New residential single-or multi-family dwelling unit. "I�� T't'/�(I�Ot(.e• tos-t I Lot II: 10S. Includes attached garage. Tax map/parcel#; 1,000 sq,R.or Less 168.54 4 ;.c,,,v1 .;>s,t:T .•> Ea.add.]500 sq.R. ;,•s...;3!`::,,,,_.,a 1tt;..,,;:;s,;;:<X? 5, RfrTION;OI.tW' 'TC:>•.. :v or portion 33.92 1 . .'. .. `4?,>Ci..- ' . .. , . ... Limited energy,residential (with above sq.R,) 75.00 2 Limited energy,multi-family c M1iY; J t_ .�` .ter residential(with above sq.ft.) 75,00 2 ;,a..,...,�;)>°tit() .�R O z°`fi•,';c, ;.s,:. ,,�: ;t----- Renewable f.'i+,�. .,Ri...d f=;, 4`'.r:•.t.'i .=.1<�•� .z!(':r�...n . is .rP.,.•t £}Ll:tr.=:'•;i;�'r.�i)'�'.a�.',S: Energy ❑ See Page 2 Name: " Services or feeders installation,alteration,and/or relocation P SAL.-'u-WJ Y)i I 200 amps or fess 100.70 2 Address:' l i , 'l� 201 amps to 400 amps 133.56 2 P— 1 401 City/State/ZIP: SGA.-•„i a,1 A _ ,lr3 5•y 5 amps to 0 amps m201.04 2 �A v �r�r �t matt 11 I L� G 601 amps to 1,000 amps 301.04 2 Phone: 11102—.W 14—j i 03 ti Fax:( ) • Over 1,000 amps or volts 552.26 2 Email: "1 Temporary services or feeders installation,alteration,and/or Owner installation:This installation is being made on property that I own which is not 200aamps or less intended for sale,lease,rent,or exchange,according to OR447,449,670,and 701. 55.08 1 201 amps to 400 amps 125.08 2 Owner signature; ;rM1,�^,let-a�:a��r, •"_Y Date: 401 amps to 599 '=i:a;;.,_.>4 �•-r:•�'� ,e" ^:{'"ll�;i?:•-,'rlri�r���1;. :t�;:Jfct ,,.,...t.:, amps 168.54 2 I• ...e.tx,,.t: .._ ,k.it �:...:1:° : ,.. ;..::: Bran • =''. �:t'.�:,'•:••::�,�`��z::;i•;c•;5<<it;; .�`t.�L2Q1!P„��,Q�`,:;?�it�ON:i+.� :,,?,:; ch circuits—new,alteration,or extension,per panel Business name:Polygon WIZ,LLC A.Fee for br i eit circuits n e, above service or feeder fee, Contact name; a�� each branch circuit 7.42 2 e11nD ejlr, B.Fee for branch circuits without Address; 2J 6�n „Aujouti service or feeder fee,first '+ 5\�•� o branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 J Each add'l branch circuit 7.42 2 Phone;(360)695-7700 I Fax;;(360)693-4442 Miscellaneous(service or feeder not included) Email: ,������ Each manufactured or modular '�,,,n �Adwelling,service and/or feeder 67.84 2 rz;-i ail:, r.'—i,...\cA/1. :..•g,°t,.r.,vu4fa.. „7 rktrikhomeS< , ,: • ; ',;,!_,.f Reconnect onlyw ..11r•1.t, i<+' : �,>�Srs`u r_. Y:�.?,�;iL .,;,it, , ' r,,: r;; 67.84 2 r; at;:° }v.,,,>', ';`ftt,,'it':`.i:>:i i'.?u.`:+':i,''<s:r`t::,; Pump or irrigation circle Business name:Garner Electric Washington,LLC 67.84 2 Sign or outline lighting 67.84 2 Address:402 Valley Ave NW Ste 106 Signal circuit(s)orlimited-energy • panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP;Puyallup WA 98371 Each additional inspection over allowable in any of the above Phone:(253)872-6051 Additional inspection(1 hr min) 66,25/lir Fax:(253)872-1801 Investigation(1 hr mitt) 90.00/hr Email:bdaniels@gwettsa,com Industrial plant(1 hrinin) 78.18/hr CCB Lie,: C1158 Inspections for which no fee is Electrical Lie,: 208174 I Suprv,Lie,: 44968 specifically listed(%:Itrntttt) 90,00/hr Suprv.Electrician / Y.=t ' '-- ;-i ' x:„ItS..:µ;%. �.r; ... p signature,required; crafty P/ �f e.., 5 '.'" • •..Li. :.... . t., ;? Print name: Joan P Albert I DaSubtotal: te: 0PlanReviewRequired(25%ofpenuitfee): --� State surcharge(12%of permit fee): Authorized signature; / •TOTAL PERMIT FEE: Print name: Bill Daniels This permit application expires if a permit Is not obtained-within 130 Date: days after it bas been accepted as complete. L1BuildfnglPormitsrHGC Per,nitApp n>a 8kE deo Rev 0017/2015 ° Number of inspections allowed per permit, 4'0.4615T(t i/05/COtvgwan Plumbing Permit Applicatio ". „ ,� ..V LL. 1,, Building Fixtures ',r, HI �, i .3 .t. City of Tigard Received Y 13125 S W Hall Blvd.,Tigard,OR 9711;13 5 Y ,U, .1,':. ,`N a ,1 •a,, Date/By; Permit N J7 t e),e`o3 C Phone: 503.718.2439 Fax: 503 l "i "t+ '* w 3 t ,Plan Review �� i�0 ;^ .l t,:•:�3 Date/By; Other Permit No.: Ti G A R D Inspection Line: 503.639.4175 Date Ready/By: Suris: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE*SCHEDULE ElNew construction ❑Demolition For special information use checklist Description I Qty. I Ea. f Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTIONSFR(I)bath 312.70 ®1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 - SFR(3)bath 500.32 D Accessory building ❑Multi-family Each additional bath/kitchen 25.02 Master builder El Other: Fire sprinkler( sq.ft.) Page 2 .11OB SITE INFORMATION AND LOCATION :: Site utilities: Job site address: t X101'")L ,5y j�`�rr1 \n S� Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 1� �t Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:,___J Page 2 Suite/bldg./apt.no.: Project name:. Vx 1,P�V.ojet, n .+ Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision \1QX' T.eArr�.e,Ea,5.}--- Lot no.:t oc 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 ®•PROPERTY,OWNER Expansion tank 12.51 J. TENANT .,. -. 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 ®i4 APPLICANT ❑,.CUNTAC 'PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:S ) Page 2 Po n-, i1 1 tom... Primer 12.51 Contact naame:-�J 1 f {-rp..`� Roofdrain(commercial) 12.51 4 l l Address: jYo VIC%11n)"Q,V� J5t S, tQ, U Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(36(1)693-4442 Tub/shower/shower pan 12.51 E-mail: N1 GV\Ole 0 01 V '� Y)e r Urinal 25.02 i�.+ Water closet 25.02 CO CTOR� -` , , •,, ,_ ,. Water heater 37.52 Business name: G.4-6 4,1,1,0)3�G .4-G.4-_.6 Water piping/DWV 56.29 Address: p.o. Bic, GipsOther:Other: 25.02 City/State/ZIP: Sr, e 44AA etre_ 11131 Subtotal Phone:(S03•-•$(is- I'4L1 Fax:11v -+'1d 7-�i� Minimum permit fee: $72.50 Plan review(25%of permit fee) CCB Lic.: !Op 1 5�� Plumbing Lic.no. . State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: •/-iolft- 1W 14,e, Date:g-36-IL.- 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. 1:18 dldiagtPermistPLMi1-PrnaitApp.dac 10/01/09 +10.9616T(t0/02/COM/WEB) 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. 111111 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal ansmittal Letter T l c� A It n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Dianna f / DATE ' .I v rm , E f) DEPT: BUILDING DIVISION APR b 2018 FROM: Tom Dicianno (fiTy Of JGA J COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 503-577-4160 By_46::-)11,1_ RE: , MST201g—000 H ieii j (Site Address) L .' (Permit Number) River Terrace ''`'T m sr a o t '- 000'0 to- Bis mss GUIS- oo y a lot f- (Project name or subdivision name and lot number) Bvu/r9TN 1 O9- UO3(a8 /4741 ATTACHED ARE THE FOLLOWING ITEMS: 1- T 511T /67-1C3-- , Copies: Descriptio : ' Copies: Description: 0 Auditional set(s) of plans. 0 Revisions: r__.r___ 0 Cross section(s)and details. ��0-- Wall bracing and/or lateral analysis. 0 Floor/roof framing. 7" (5 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: s: . SFO OFFICEUSK ONLY Routed to Permit Techni ian: Date: I Initials: Fees Due: ❑ Yes Ne Fee Description: l Amount ue: $ 4 � 5 h $ Special Instructions: Reprint Permit(per PE): [' Yes ❑No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 11114 I ® COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: /l 57 0/ 8-'0003 Site Address: 16701 �W 8,•4s.,;,�y �'1- Project Name: g. v- juretv.. L a5 i- Lot #: lac (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Iv tv 'F YZ LU/Verify site address/suite#exists and active in permit sstem. al/River Terrace Neighborhood: ❑ No [ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: Three(3)copies of site plan 'sting structures on site Lids plan must be on 8-1/2"x 11"or 11 x 17"paper L1Footprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) or elevations rth arrow L�1i*ty locations&easements(required for new and additions) address,project or subdivision name and lot number B Sidewalk/driveway approach Ble,_,_,A plicant information(name and phone number) 7i cation of wells/septic systems ULot dimensions and building setback dimensions [xisting trees to be retained with drip line,and tree r •uare footage of buildings to be demolished �(otection measures 11 Lot area,building coverage area,percentage of coverage and LdSeet tree size,type and location rripervious area(applicable if R-7,R-12,R-25&R-40) WStreet names D‘ roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? [ 'es ❑No 4 ff of differential) If yes,is a storm water quality facility shown? ❑*AD No g Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: / ' j ui �' ID/ q ❑ Yes,applicant was notified �No Received: ID Yes ❑ No Public Facilitie Improvement(PFI) Permit: _/ `�'{ Required: R'Yes,applicant was notified ❑ No Applied For: I1G Yes ❑ No,stop intake g/Land Use Case#: POR 7 -0000i "RV oning: r\-3- O) equired Setbacks: Front g Rear I 0 Side 3' Street Side 04 Garage Zo �,/Landscape Requirement: LO % L11 j of Coverage Maximum: g [ Building Height: Maximum Height 3 h Actual Height Z0. -S 4/Visual Clearance g T Sensitive Lands: L7' Yes ❑ No Type Gv.I ,S. sere-R.J.- A-rt.: L IV Urban Forestry Plan ')Conditions "Met"prior to issuance of building permit otes: (nitt h2'"i 1--, ti- µi- � i� ' U✓i�j {^; F(�y1' �7� vAn�CI 'Approved By Planning: /44,4/Lkff �,A Date: 3"il'1g Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved El Not Approved I:\Building\Forms\BldgPermitRvw RES 061417.docx Building Permit Submittal ' Original Submittal Date: 3 t Site Plans: # Building Plans: # Building Permit#: PJ "nter building permit#above. Workflow Routing: i Planning engineering "Permit Coordinator ud�g Workflow Sign-off: P: Sign-off for lanntng(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. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. sv Notes: By Permit Technician: /�� Date: Engineering Review q Slope at building pad: El Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat 7-Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes �' No Assess Water Quantity Fee in-lieu: ❑ Yes k7 No LIDA Facility on lot: ❑ Yes No 7/2 //:," Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: �•l.(.i V 2 6✓ I Date: 27 �� `i Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved El Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review conditions "Met"prior to issuance of building permit El 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: XSDC Fees Entered: Wash Co Trans Dev Tax: I Yes ❑ N/A Tigard Trans SDC: ![4 Yes ❑ N/A Parks SDC: •11 Yes ❑ N/A LIDA El Yes ( N/A OK to Issue Permit �) Approved by Permit Coordinator: Q Date: (2I I:\Building\Forms\B1dgPern itRvw_RES 010118.docx City of Tigard 1,1 a COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: I69o"-( SJ i, z1,1iii ,C1 Project Name: tfWjurot CAs 4- Lot #: 105 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist. t Design Standards (18.640.0701): Is the project subject to the plan district design standards? Ltd 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 mm. 2ft.,5 ft.wide min. 2 ft., 6ft.wide Gabled dormer/ CI 111 CI Gd" 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1g0/ 3. Entrances:// At least one entrance must meet both of the follog standards: U/1VIax. 8 ft. setback from longest treet- facing wall 1d Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: es GI No If y5 ,all the following apply: q. s ft.min. ne street facing entry al ft.max. roof above floor of porch 5 ft. depth min. 30%min.porch roof coverage 4.I tailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: overed porch min. 5 ft.wide x 5 ft. deep LE/Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches ❑ Vormer min. 4 ft.wide Roof eave min. 12 inch projection CJd/R,00f offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Ijoof 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'/a"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: E( No closer to front or side lot line, than longest street-facing wall. CI Yes Lel No. If No (Check one): ❑ ])iIay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade ta(50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: j4i1 ( Date: 3-2_3-q I:Building\Forms\BldgPermitRvw_RES_RT_121417.docx FOR OFFICE USE ONLY—SITE ADDRESS: MST QO\CS"(i)\QT \ q( � 17� 'ec'\cs-c, n 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 IN 'fit Transmittal Letter I !, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439•www.tigard-or.gov TO: Dianna /, f/ y .J DATE ' tirfiVEll t DEPT: BUILDING DIVISION APR 5 ?018 FROM: Tom Dicianno cirri'()ig'TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 503-577-4160 By` - RE: s„,,0 MST201g-0009 LI tat r, (Site Address) (Permit Number) a' m51 Znft-000443 tat-r4 River Terrace fr (Project name or subdivision name and lot number) M51y a ��� . AM./41.# didragingittildt .44E-lei ATTACHED ARE THE FOLLOWING ITEMS: 13..0 /051-c261/-Oo iO3 !ter A Com,.: Deserlistail ` :' CSI lee ' ;4'7 7,77-7777-1 0 Additional set(s)of plans. 0 Revisions: r_,,.r___ 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. ,.ir i 0_ Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: _ - . _ ..__ __ Routed to P Technician: Date: r/ f Initials: ' Fees Due: !d Yes n No Fee Description: Amount Due: 4....,4,,,.:!..,c.:;:. , `� co t -Iir' i. / � ,. rL.At $ LIS - Special Instructions: Reprint Permit(per PE):� 0 Yes (No 0 Done Applicant Notified:ilbeihtE Date: y 4.04e— Initials I:\Building\Fonns\TransmittalLctter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16904 SW BIRDSONG ST, BEAVERTON, November 20, 2018 at OR, 97007 2:39:40 PM Record Type: Record ID: Residential - Master Permit MST2018-00103 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Note: no A/C Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16904 SW BIRDSONG ST, BEAVERTON, November 21 , 2018 at OR, 97007 2:14:21 PM Record Type: Record ID: Residential - Master Permit MST2018-00103 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Note: no A/C Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16904 SW BIRDSONG ST, BEAVERTON, November 29, 2018 at OR, 97007 9:55:44 AM Record Type: Record ID: Residential - Master Permit MST2018-00103 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed. Water pressure = 75 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16904 SW BIRDSONG ST, BEAVERTON, December 6, 2018 at OR, 97007 12:07:56 PM Record Type: Record ID: Residential - Master Permit MST2018-00103 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