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Permit (152) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2018-00111 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/18/2018 Parcel: 2S106DA11000 Jurisdiction: Tigard Site address: 16824 SW BIRDSONG ST Subdivision: RIVER TERRACE EAST Lot: 110 Project: River Terrace East, Lot 110 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1105 sf Basement: 812 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1427 sf Garage: 385 sf Front 8 Smoke Dwelling Units: 1 Third: 0 sf Right 3 Detectors: Yes Total: 3344 sf Value: $402,764.45 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: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 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 Fum>=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.'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 Group: Square Feet: NEW SF VB R-3 3344 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 A geotechnical report is STE 1 required before the footing SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $36,141.14 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: �I� � �/® I Permittee •Signature: �� rP�"4./e�%lcl�" 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. 4 LO HO Building Permit Application CEV Residential MAR 2 0 2018 FOR OFFICE USE ONLY Cl ' of Tigard Received � g CITY OF TI AAD Re eine 4-/ Permit No. .11111 a 13125 SW Hall Blvd.,Tigard,OR 9722 [ 4/ /�, �j STi 7-Acv.E ) ii - t $Ian Review j �� q _ Phone: 501718.2439 Fax: 503.598.1ADV1 .DII C IVII ate/By: 9 " j ) ; Other Permi`.k' �C�Cyy�<.S TI G A K D Inspection Line: 503.639.4175 Date Ready/By:�� ��s Juris: Ea See Page 2 for r—V Internet: www.tigard-or.gov Notified/Method: /� �t� Supplemental Information &77,41/1___ A//et(-7107.- TYPE OF WORK = REQUIRED DATA:1-AND 2 FAMILY DWELLING ®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 the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ',..N ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ `/ (\(-\--\ ❑AccessorybuildingNumber of bedrooms: i '�„y J 7 64 0 Multi-family � I J 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 3 a-7as Job site address: 1 U Col.q -\,N.1 13jw' , sic- New dwelling area: 3344 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 3 square feet Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area:---,3,1 square feet Cross street/directions to job site: Deck area: ZOe) square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHI CKLIST Subdivision:River Terrace East I Lot no.: I�bDI 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 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 Existing: Phone:(602)694-4031 Fax:( ) New: - ® APPLICANT" 0 CONTACT PERSON ' BUILDING PERMIT FEES* Business name:Polygon WLH,LLC (Please refer lo fee schedule) Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address:109 East 13thStreet City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount received: E-mail:Nichole Thorpe PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof planwithconnection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review and administrative fees): $180.00 Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 Total fee due upon application: $201.60 , A/44_______ Authorized signature: `/ ' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicatio sl- r# . y 4, City of Tigard Received _ �l •t C/['1 11 2()19 Date/By: Permit N��� `/'G 7 /// II 'a 13125 SW Hall Blvd.,Tigard,OR 97223 F!I +( c5 t I U � Plan Review Phone: 503.718.2439 Fax: 503.598.1960 . t /B : Other Permit. > I . Inspection Line: 503.639.4175TtGARn al a_ -i ,. Date Ready/By: hris ®See Page 2 for Internet: www.tigard-ot.gnv 9 g l' r 1(IotiftcdRvtethod: I Supplemental Information TYPE or,WORT: COMMERCIAL FEE SCHEDULE_ US8 CHECKLIST Mechanical permit fees*arc based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor.overhead,and profit. _ Value:$ CATEGQRXOF C.144TRU(TIUIV RF.SIDENTIA.LEQUIPMENT/SYSTEMS;FEES* __ IS(I-and 2-family dwelling 0 Comnierciallindustrial 0 Accessory building .— For special information use checklist. - ( I Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: ` �� Air conditioning I 46.75 Job site address: \ S7 j4 SVS �\c- Sor-tOy 3f— Furnace 100.000 BTU(ducts/vents) I 46.75 City/Slate/Z1P:Tigard,OR 97224 Furnace 100.000-f BTU(ducts/vents) 54.91 heat pump 61.06 Suite/bldg./apt,no.: Project name: -( -Ea I�I?.r 4Pi��� f .r�}` Duct work 23.32 Cross street/directions to job site: Hydronic 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 l 23.32 Other: 23.32 Subdivision: JweAr-re od,t iF 5 Lot no.:a' Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert I 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter(eas) . 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 BSI PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation: Name: PDVL(Lomat fu'd t SAS 11 � Range hood/other kitchen I 1, `� ,� equipment 33.39 Address: 1900O ' D�`PA1`f e., 1 . iA a _ Clothes dryer exhaust I 33.39 _ City/State/ZIP: SC,Ot'-ksdct,l f,2. (,?,, 2,s-e, Single-duct exhaust(bathrooms, f► toilet compartments,utility rooms) 23.32 Phone:if,,02,- y-. 3 t Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT rl CONTACT,PERSON Other: 23.32 Business name:Polygon WLII,LLC Fuel piping: $14.15 for first four,S4,03 for each additional Contact name: I C\ o _ 'fl'1,orVe Furnace,etc, Address: 6 t e J Z,..(- Su 1%...6O Gas heat pump 10 V ByJ1G1 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 ,.. ,."z i 'C_ ). Yt7 '1'_R Clothes dryer(gas) Other Business name:Apex Air LLC ,. I lINIOAI:P.ERDt IT lie. Address: 18004 NE 72"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 tic,:203034 TOTAL PERMIT FEE - This Permit application expires if a permit Is not obtained within 180 days after it has been accepted as complete. Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board Print name!'-'177-N. ., Date: aj•/7•/(, 1lnuilding/Pe,mit,8lEC_PermitApp_040 I 13.doe 446-4617T 1 I I/02/COM/W FM I v „----n .,.x xuJ, --L-1. lIN,-64'a4Y M i - -. : ..._ „l. t Cid. ofTigard Received �js� /yam r//1 al itc� Date/By: Permit Iii_ v ,,i 13125 SW Hall Blvd.,Tigard,OR 97223 A l I 1 3 ?l)18 Plan Review r% Phone: 503.718.2439 Fax: 503.598.1960-s' 's Daie/By: Related Permit ii: )'ICARD, Inspection Line: 503.639.4175 i ; < ; „;;,„1...,',`- Ready Date/By: Saris: I Ci See Paget far Internet: www.tigard-or.gov °.•*i i Notified/Method; { ^nt,y Supplemental Information Mwr'�''' .t' pig• ,::(5.;.. 4 -•• ? .101,d }is�•a Y i3 H t. �-�'•. .�+ ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories. -.7.11.m _Y” S,t,,; .a,;,;a;, ,., l where the available fault current [i Marinas and boatyards, ;i F r 'h ;> Wit: :_C'`fi ;1 �•:, ••�-, ,,.>�w'-�;:;�:-<, .--. •,�...•9�-.,....�:....,Q....k�.i�':�-..•4.f'•,�X,Qt�•.i•i., .• ..>.}y,.,Glf;:: ...........'i,;;i exceeds I0,000amps ntlSOvolts Or LI Floating buildings p I^and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural = ❑Multi-family builderamps for all other installations, 'buildings. 0 Other: ❑Fire pump. 0Instatlation of 150 KVA or ..: . .... :v3; :'•/.40,1\S1T;v�•YNI 0-040.tit 1VI 1J+ ,0 .:; : :q ❑Einer env system, r :'•-,:::.,.:: :,.....,r-.,....)"�•�'....., Q,..k�,.',4i`I•. .,z ..•,..:,•': t: 8 Y Y larger ;� ❑Addition of new motor load of system. Job#: J'Job site address: I to8-2S"v.3- l`7�r 1001IP or more. ❑ A", E„"l-2,'1_s City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy, ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: j \\II ❑Hazardous locations. ❑Supply voltage for more than Project name: V P����aC�Eac� ❑Servide or feeder 600 amps or more, 600 volts nominal, Cross street/difections to job site; y r�, g/� i�� y.i: `:i:;, i'j`:�1,a�+:sSV.4J i ,NJ'+... i•:Mr':1`':l• Description 1 Qty. 1 Each 1 Totnl !*: New residential single-or multi-family dwelling unit. Subdivision; boor --imer iCz, S„1--- I Lot II; Ito Includes attached garage. Tax map/parcel#: 1,000 sq,ft.or less 168.54 4 ::.,;;; .:ah ; __ i. .. a f:.1..:;,:.: Ea.add'/500 sq.ft.or portion i1( 3192 1 .•'ti`t:3.=' „t�:5 r'Yi+:tl i�:+ 500-UP /�+,-,WO, y y ... >..............:5:'-4T..t'r... j:.. iM,,4;�N,V L�li'�j,�`,�:I+l1C,�:,:Y.Yt4/�li::�i:.:.;:':.�.:'''.::1 i:.:/,�.�:`� • � r. . . .. •, . Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ::irtii'!...__, . Renewable Energy 0 See Page 2F` N, ° kpTO „r 'aR . . :. N, " i's.ri"; ;`k', Services or feeders installation,a[feation,and/o r„location Name:' : 1w _ .t.. Ci1 i ` i 200 amps or less 100.70 2 • Address; /I , \(�I I r�� i— 201 amps to 400 amps 133.56 2 401 amps to 600 amps 20034 2 City/State/ZIP: Cir- .ice{e.i A t1452,5Q 601 amps to 1,000 amps 301.04 2 Phone: Un—'—'(OqL4 "t031 Fax:( ) V . Over 1,000 amps or volts 552,26 2 Temporary services or feeders installation,alteration,and/or Ismail: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168,54 2 .t4i'S;�'i:A,,i`=�r�'•. in ,:{•.,,.,•rt•„ :."}zii:i.!; il4`'i u`.'•�u:•: - ;.-S•...1s,`. :i5'i Brunch circuits—nev alteration, r ..•*:e:3:4��?x"rrr.;t..��plT�+�r's„r�.Tp`t" :.....:.ii'S;ti•i:?'•.cr::;:vit+ct�`'. ''QN`,[ (,} .4}?T�.."Ol�l":i � ..::, new, o extension,per panel •.�..,.. �"-�'• " ,`'`""�''.'" A.Fee for branch circuits WA Business name:Polygon WLH,LLC above service or feeder fee, 7.42 0 each branch circuit Contact name; \cAfo}Q1 ` B.Fee for branch circuits without ` service or feeder fee,first Address; 10-2, I�� p t J�- �� �D branch circuit 56.18 2 City/State/ZIIP: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 67.84 • 2 e tnc se e and/or feeder Email: c/ lVt1 . r ! ' : Y is • Reconnect only 67.84 2R :�:Teri3yns kr :„.,..5, -,.•. iP : I ¢^0a „ w ; iQ Pump or irrigation circle 67.84 2 Business name;Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address:402 Valley Ave NW Ste 106 _ panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP;Puyallup WA 9$371 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90.00/hr Email:bdaniels(gweusa.coni Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90,00/hr CCB Lie.: 01158 Electrical Lie.: 208174 I Suprv.Lie.: 9496S specifically listed(A hrnin r " `i.. /, F (M - 0.: Ei iSuprv,Electrician signature,required: r ( / / ti' .. Subtotal: Print name: Joan P Albert 'Date; 0 Plan Review Required(25%of permit fee): -- r__> .-- State surcharge(12%of permit fee): ..--~ Authorized signature: / �- •TOTAL PERMIT FEE: F This pursuit application expires If a permit is not obtained within 180 Print name; Bill Daniels Date: [lays after It has been accepted as complete. * Number of inspections allowed per permit. IaluildinglPern itsl5t,C PennitApp_BLRt i1w.doo Rev 06/17/2015 440-4615T(11/05/COU/WEE Plumbing Permit Application:,;-4 L1111- Building Fixtures APR, I3r,; A18 City of Tigard Received PermitNo�f7 7kf-etvly 14 a 13125 SW Hall Blvd.,Tigard,OR 97223;,,,1 1 ° i ,,• t ,DateBy: Phone: 503.718.2439 Fax: 503.59$; ~;;r ,, P .k Plan Review r p 1te/By: Other Permit No.: T 1 G A R D Inspection Line: 503.639.4175 " Date Ready/By: lulls: 91 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE# SCHEDULE'. For special information use checklist ®New construction ❑Demolition Description I Qty, I Ea. I Total - ❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION. , SFR(1)bath 312.70 5=--- SFR(2)bath 437.78 rE 1-and 2-family dwelling ❑Commercial/industrial SFR(3)bath t 50032 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder El Other. Fire sprinkler( sq.ft.) Page 2 JOB-S1T,tr INFORMATION AND LOCATION. Site utilities: Job site address: Catch basin or area drain 18.76 t �� �'( Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 �\\Je �'.�f Suite/bldg./apt.no.: Project name:: r lfoict ± 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 1 Je l- -g-,e jrro,e.e,> r1--- Lot no.: I I 0 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 DESCRIPTION OF WORK . Backwater valve ) 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0PROPERTY.OWNER, I .0.TENANT : Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 la APPLICANT ❑ CONTACT PION- Interceptor/grease trap 25.02 Business name: pb' Medical gas(value:$ ) Page 2 n\ c - v, 1 _Primer 12.51 Contact name:.1 V �t kYOv"? Roof drain(commercial) 12.51 Address: 1,(56 F5YOC wow))"S t S, � O Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 4 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:. � l VL 1 CGkno lo1 r Urinal 25.02 1 V �1..� ��" `^1 Water closet 25.02 GLL COR Water heater 37.52 Business name: G.,4-:_b \Op, �Vl - y�g. - Water piping/DWV 56.29 Address: f).C C . $ ox) _1� Other: 25.02 City/State/ZIP: ST, C1 oto gilt,/ Subtotal Phone:(5D3 r^$(dS.- 1411 Fax:(,j1 t--7g,7►V 11,1) M»1�um permit fee: $72.50 + Plan review (25%of permit fee) CCB Lic.: 1$5 31)_-, Plumbing Lic.no. 63 , State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: sq-CUL -( This permit application expires if a permit is not obtained within 180 days tiV�. D 1�'lL Date:g Jl!-ilo after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:1BuildmglPermits1PLMU-PcrmitApp.dne 10/01/09 440.46t6T(t0/01/COM/WEB) ` City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A x o Building Permit Review — Residential Building Permit #: /k5rdv/T -C7Q Q /fl Site Address: 16$0 Siinz ,C Project Name: I��,rcr' Irnt(t 'T Lot #: 110 (New dwelling=subdivision name;Addition or Alteration=last name of owner) it Planning Review Proposal: 'kkk) S r i IS�X�erify site address/suite# exists and active in permit system. LU/River Terrace Neighborhood: ❑ No E Yes,See River Terrace Review Addendum Attached Sit Plan Elements: e ree(3)copies of site plan ,i sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper L�Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) or elevations rth arrow utility locations&easements (required for new and additions) IrVite address,project or subdivision name and lot number ®/Sidewalk/driveway approach plicant information(name and phone number) �Loocation of wells/septic systems [ 'Lot dimensions and building setback dimensions Wecisting trees to be retained with drip line,and tree 'SSuare footage of buildings to be demolished p tection measures [ tot area,building coverage area,percentage of coverage and �zeet tree size,type and location [ pervious area(applicable if R-7,R-12,R-25&R-40) treet names -,�(/ Property 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? ❑ lNo dClean Water Services—Service Provider Lette of platted prior to 9/10/1995): trild w�" quired: E Yes,applicant was notified Ild No Received: E Yes ❑ No Public Facili�ti Improvement (PFI) Permit: vie- Required: [P Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake [nd Use Case#: ?PRLo16--oo001 Zoning: 1 , `3' in LK'Required Setbacks: Front g Rear 10 Side 3 Street Side j/A- Garage 2? © I" ands cape Requirement: ©/Lot Coverage Maximum: go [ /Building Height: Maximum Height VA Actual Height 76.S l visual Clearance R'/Sensitive Lands: ❑ Yes VI-No Type 1V/Urban Forestry o estry Plan Conditions "Met"prior to issuance of building permit Notes: L/ Approved By Planning: C4iatk. Date: 1-9-1? Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: /,20 (7--- Site Plans: # _ Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: PlanningEngineering p'Permit Coordinator Building Workflow Sign-off: Sign-off for Itanning(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. Notes: By Permit Technician: �� , iI ,>/ Date: Ll '0, Engineering Review 0 I� ,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 fEr No Assess Water Quantity Fee in-lieu: ❑ Yes Er No LIDA Facility on lot: ❑ Yes fa-No /Final Plat Recorded: `❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: /ik 1 Vt. 1); ' Date: 4 Ft ! g 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: DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes p N/A 1 OK to Issue Permit Approvedby Permit Coordinator: ge7Date:4J'/f 1:\Building\Forms\BldgPemiitRvw_RES 010118.docx City of Tigard IIIs " COMMUNITY DEVELOPMENT DEPARTMENT T I G A RD River Terrace Building Permit Review Addendum Building Permit #: Site Address: k'11 S ()s a .S.oSi- Project Name: RA- TZ9cra.(L Cal V Lot #: 110 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist' t Design Standards (18.640.070.7.): Is the project subject to the plan district design standards? LJ Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer / ft. deep min. 2ft.,5 ft.wide min. 2 ft., Eft.wide ©/ ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: (g.2 / 3. EEnntrances:At least one entrance must meet both of the folio g standards: R Max. 8 ft. setback from lon est street- facin wall IlL' arallel to street,angle no more than 45° from street, g g or open onto porch Entrance opens to a porch: ❑ Yes ❑ No �� Iff s,all the following apply: L�J'25 sq.ft.min. g Cyle street facing entry �], 1} ft.max.roof above floor of porch LE 5 ft. depth min. '30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: [2 j9overed porch min. 5 ft.wide x 5 ft. deep III/Recessed entry area min. 5 ft.wide x 2 ft. deep �iY,�Vall offset min. 16 inches ❑-- Dormer min.4 ft.wide IsXRoof eave min. 12 inch projection 1104 of offset min. of 2 ft. ❑ Roof shingles either tile or wood D'Gable,hip or gambrel roof design ❑ l,Zoof 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 1/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ 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 If No. If No (Check one): ❑ )lay 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) ❑ p-foot-wide garage door ❑ 40%max. of street facade • 50%max. of street facade with 7 detailed design elements Notes: rr �7 Approved By Planning: i1 eve `i Date: -y'I d I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16824 SW BIRDSONG ST, BEAVERTON, November 19, 2018 at OR, 97007 12:38:57 PM Record Type: Record ID: Residential - Master Permit MST2018-00111 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16824 SW BIRDSONG ST, BEAVERTON, November 20, 2018 at OR, 97007 2:39:44 PM Record Type: Record ID: Residential - Master Permit MST2018-00111 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Corrections completed 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: 16824 SW BIRDSONG ST, BEAVERTON, November 20, 2018 at OR, 97007 2:39:47 PM Record Type: Record ID: Residential - Master Permit MST2018-00111 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Corrections completed 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: 16824 SW BIRDSONG ST, BEAVERTON, November 28, 2018 at OR, 97007 2:16:27 PM Record Type: Record ID: Residential - Master Permit MST2018-00111 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel 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