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Permit (34) 1 ICITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2018-00110 T I t;A II D13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/14/2018 Parcel: 2S106DA10900 Jurisdiction: Tigard Site address: 16842 SW BIRDSONG ST Subdivision: RIVER TERRACE EAST Lot: 109 Project: River Terrace East, Lot 109 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 948 sf Basement: 799 sf Left 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1130 sf Garage: 368 sf Front 8 Smoke Dwelling Units: 1 Third: 0 sf Yes Right 3 Detectors: Total: 2877 sf Value: $348,829.97 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 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 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 G NEW P yrou p Square Feet: SF VB R-3 2877 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 SCOTTSDALE,AZ 85258 required before the footing PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $34,951.52 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. L�/, .4111r7, Issued By: � _ � -��- Permittee Signature: 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. • y / 7 tO1 ' Building Permit Application , (�/� Residential MAR 2 0 2018 FOR OFFICE USE ONLY City Of Tigard Received / ` // rrDate/By: y e `/ Permit No.:�,/ T 13125 SW Hall Blvd.,Tigard,OR 97223�1TY OF TIGARD �""S/ ��`�d Phone: 503.718.2439 Fax: 503-590M—DI NG o,visin D By ew Li —J Z—)< Other Permit: sG`A.20/F- 6490,4( T 1 GA K D Inspection Line: 503.639.4175 Date ReadyBy: 7uris: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method:- /7� -4/)� ✓ �� Supplemental Information t-i,.9L NC Cafe}tr TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑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. \'® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: it 3 13 Li 1O 11 , ❑Master builder ❑Other: Number of bathrooms: 2 o JOB SITE INFORMATION AND LOCATION Total number of floors: 3 J ,L s- ry.\ Job site address: v 8 41 �� a\(o S. � N--- New dwelling area: 2.S11 square feet 7 ` , City/State/ZIP:Tigard,OR 97224 Garage/carport area:...":51.1 36isquare feet Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: 33 square feet ) ) 30 Cross street/directions to job site: Deck area: 'Me square feet q 4 8 Other structure area: square feet -7 q 9 REQUIRED DATA:COMMERCIAL-USE CHECKLIST J Subdivision:River Terrace East Lot no.: I l'(i� 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 i- BUILDING°PERMIT FEES* Business name:Polygon WLH,LLC (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address:109 East 13th Street 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* CONTRACTOR Commercial and residential prescriptive installation of 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: 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 ` Authorized signature: � / 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 Print name:Nichole Thorpe Date:06/16/2017 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE ISE O\L\ Ci of Tigard ( YReceived g Datul3y: Permit No.: 1 „ 13125 SW Nall Blvd.,Tigard.OR 97223 Plan Review ' E Phone: 503.718.2439 Fax: 503.598.19b4-) F �^rE fi DatuB): Other Pennil. T I G A R.D Inspection line: x03.639.4175 f 't'J Date Ready/13y: Luis 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ' TVI'z Ail.*ORK . CQ.1 1FIERC1AL''FEEe SCHEDULE:- USE CHECKLIST Mechanical permit fees*are 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:$ GAT6t,ORY,OF CONSTRUCTION RifCTIOIV RESIDENTIAL EQUIPMENT/SYSTEMS FEES' — ,K1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Fur special Information use checklist = I I Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total Jou SITE'INFORMATION AND LOCATION', • /leafing/cooling: Air conditioning I 46.75 Job site address: 0St_.V.L SW 13-tct-13-0(-)Gt S�— I 46.75 J � Furnace 100.000 BTU Luctctvenis) City/State/ZIP:Tigard,OR 97224 Furnace I00,1H)0+BTU(duets/vents) 54.91 Iteat pump 61.06 Suite/bldg./apt.no.: Project name: Rtvtr Te rc ee.-Easy Duet work 23.32 Cross street/directions to job site: I lydronie hot water system 23.32 Residential boiler(radiator or hydronie) 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 Subdivision: lvei�-re / lE s,,tr- Lot no.:/O Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WQRK, ; Gas fireplace/insert I 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 int PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: r'D rI L Lomat j-i-D d‘ s I re Range hood/other kitchen i oh 33.39 Address: `1(o®o f)nwbtP>1ri:.i �(�, _i/ kcOaC\ Clothes dryer exhaust I 33.39 City/State/ZIP: Sc_-ksd�,�% imp-1 (,525 Single-duct exhaust(bathrooms, Y-` V toilet compartments,utility rooms) LA- 23.32 Phone:ip01 1.0914..I—407Ii. Fax:( ) Attic/crawlspace fans 23.32 El APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:Polygon W[,11,LLC 514.15 for first four:S4.03 for cacti additional Contact name: ti i O/,\�0\R„ Orpp Furnace,etc. Address:1O BlDvtJ�JI S.V.tt(t�j t^'1,0 Gas heat pump r V �V 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 .,_ „ .LONf(ACTOR Clothes dryer(gas) Business name:Apex Air LLC Other: I P n�` Address:18004 NE 72"d Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit tee($90.00) Phone:(360)342-8109 Fax:(360)326-1769 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.:203034 • TOTAL PERMIT FEE This permit application expires if a permit is not obtained within UM days atter it has been accepted as complete. Authorized signature: - • Fee methodology set by Tri-County Building Industry Service Board Print name: y Date: 4.11.14- - 1 lnuildlog\Permits 2 WF.C_Permit.App_04011 i.doe 440461 Tr(1 1(0JCoM,WGn) ` •a.s-w.y .0 ,v4 L4JlJ1 WA Sl • r, , J1r IW---y—uuruu •.. -v: im, 0: Zb,, r!t! It If w _ �1 Glints of Tigard A P P 1 gni{3 Received Permit'J. t,;I 13125 SW Hall Blvd.,Tigard,OR 97223 t'' , Phone: 503318.2439 Fax: 503.598.19607 ) Dlan cviety Related Permit N: Date/By; A Inspection Line: 503.639,4175 r ,I ReadyDate/By: O.See Paget for Pool Internet: www.tigard-or.gov �...) ` ' Notified/Ivletbod: lads: Supplemental Information - :-,397 k :i 'E' r :i^ ,:r%.:: '%% ••vF,:,r,Y• . ..vim , ,....... .,.,..�.{?:� ;.�'. ;'ti;;`r'< :t J New construction ❑Addition/alteration/replacement Please check all that apply(submit2 sets of plans'tv/iteme checked): ID Demolition ❑Other: ❑Service or feeder 400 amps or more 0 13eilding over three stories, =.an-ro i,a t1.:;:•tis;, «.. t ,:. ,., ,,: :{:: where the available fault currant 0 Marinas and boatyards, 4gp - •13V:rC• \:`t,` (•` N� �l f' lY :"fij iF.Y-.h:>�1::` l:T'` •'ii-lr...:.. . ....... ..1���:���i,''��:�„��i�al�;,�,���;>i7QR.,(,+::., .. .,,••, :,.cir: - ;'.�cF exceeds 1Q,000 amps nt 150 volts or ❑Floating buildings. ®I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building` less to ground,or exceeds 14,000 0 Commerolal-use agricultural - ❑Multi-family . • El Master builder Other: amps for ail other installations. •buildings. tt- to ,.___ S_ ❑Fire pump. 0 Installation of 150 KVA or _ '7013= :'�'t .. ;';.';::='ui�Igi: =`.. ., r FOI2h •I A1V ii)ti Ere eno ... . .,..,.,.���.i!S�..r-.,.....a.��'.�J�•..:....-.QG:I�`j'�'Qj�.;.::•it �.'=�.' f���'•'•`�'::. :`?i'; ❑ n rg ysystem, larger sep'irately derived Job#: f Job site address:i be j j ❑Addition ofnew motor load of system. I f La. S\ til ircIS eno1001IP or more, ©••A,> E„ 1_z., 1.3„ - City/State/ZIP:Tigard,OR 97224 0 Six or more residential writs. occupancy, Ell -care facilities, ❑Recreational vehiolaparka. Suite/bldg./apt.#: Project name: Rue -ityy ce,-ei- ❑Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: 0 Service or feeder 600 amps or more. 600 volts nominal. +:•?9:;, ::.1,01e;�r.Q91"kT> ? ':a•t:•, ':'t;.i;S .a.i ::�1;,"> int^�''i':.... : �` it;Ci� Description •* I Qty. i• Each•.,;i-'�Totnt ::I� New residential single-or multi-family dwelling unit Subdivision: tZae r'reivraee_ I Lot#: Includes attached garage. Tax map/parcel#: i 1,000 sq,R.or less 168.54 4 }zr ,;^;r. :: ,1:•r.Fr_ ,: .;ii �:: Ea.add'l 500 sq.R.or portion 33.92i'i1 . . 'n�.- .�?„t,......,l )ti?.�'eS,...,.....•�',r.�..,...,?WQ�TC. •::>:', ,:"i•',,... Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75,00 2 residential(with above sq.ft.) °t: "' t '+ i,;t :Y'?:':r;,r- :n•..= Renewable Energy ❑ See Page 2 #.7 ,..._, : ,..,. I„1!idt`it•.•:,:;..<.:,Y�,Q,. ., .....,;,.., ., �:;'[].,'Pi!FI� = ?;i� .:i;,...,<` Services or feeders installation,alteration,and/or relocation Name:. fU Ii r Jilt 200 amps or less 100.70 2 Address:' ,, •• I & , 1 I \tL �� �,d 201 amps to 400 amps 133,56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: P 'YkkSc, ( P.' I to7 11352.511 601 amps to 1,000 amps 301.04 2 Phone: 1001--UCS 14.-U(03. 1 Fax:( ) C7 . Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or • relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 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 r 5c,sir :=3; y ;:t : ,r,I,;,i t,: ,-r:>i a:.t,• ,:>:- } t. ..�-,.r Tirnnch cir — y;:a.3..vJ,=}'",ng ;'''"�" ,"�,,. ,; :;t: „ ;, ON •s;�° cults ncrv,alteration,or extension,per panel . .. , ,1�:�„/�„t,�ti,.,,:'.5. is".,..rii:'4:.;i�::tti;i'CF�.7�. :..�'Q;:.ff,TU�T;�$�,lY `'.:?,.,:��i A.Fee for breach circuits tPilh Business name:Polygon WLH,LLC above service or feeder fee, 7A2 9 Contact name; W` ,r,_alt Feehobranchbncircirc '�,-1 +t`p,�r B.Fee for branch circuits wftitotr! Address: y� /t�.R . . r C C M,0 service or feeder fee,first 56.18 2 1�� 'J��td�lJ � J� branch circuit City/State/ZIP:Vancouver,WA 98660 j Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)6954700 Fax::(360)693-4442 Each manufactured or modular � t 67-84 • 2 Email: CAA° A :� 1(L S ,cel r Rdweceolnlinngec,tseorvnYice and/or feeder 67.84 2 : "rknttgf- :: i�• <. d ,� °�.1WvaY - ? 'tli(; 1 Pump orirrigati0r67.84 circle 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67,84 2 Address:402 Valley Ave NW Ste 106 Signal circuit(s)or limited-energy 0 See Page 2 2 • panel,alteration,or extension. g City/State/ZIP:Puyallup WA 98371 Each additional inspection overallowable in any of the above Additional inspection(1 hr min) 6625/lir Phone:(253)872-6051 Fax:(253)8724801 Investigation(1 hr min) 90,00/hr Email:bdaniels®gweusa.conl Tlldnstrialplant(l lirtrda) 78.18/hr Inspections for which no fee is CCB Lie.: C11S8 Electrical Lie.: 208174 I Suprv.Lie„ 44965 specifically listed(%z brmtn 90,00/hr Suprv.Electrician _�( r '�,j; :y?,. i::+F,U ,C`TC `yr :3 I r ".S"';,: ;.ti-'`: psignature,required; i'% ,t 11 I , I-1 e.�-.- =i;w,' ,;... Subtotal: Print name: Joan P Albert Date: 0 Plan Review Required(25%of pennit fee): > State surcharge(12%of permit fee): Authorized signature: /....___ —d, 'TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name; Bill Daniels Date: days after ithas been accepted as complete. * Number of inspections allowed per permit, iBBuildinglPernrit3l6LC PeonilApp_rst2 131R6,doc Rev 06/17/2015 440,1615T(11/05/CONI/WEB • Plumbing Permit Applic -. Building Fixtures City of Tigard h 1 5 0 Received at Date/By; Permit No.: 13125 SW Hall Blvd.,Tigard,OR Q7223 Plan Review Phone: 503.718,2439 Fax 503. 81960 Date/By: Other Permit No.: TI G A R D Inspection Line: 503.639.4175 Date Ready/By: furls: Bl See Page 2 for Internet: www.tigard-or.gov Notified/method: Supplemental Information TYPE':OF WORK FEE*,SCREDULE For special information use checklist ®New construction ID Demolition Description I Qty. I Ea. I Total •` ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTIONSFR(1)bath 312.70 ti 1-and'2-family dwelling ❑Commercial/industrialF SFR(2)bath 437.78 SFR(3)bath i 500,32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 :TOB SITE INFORMATION AND LOCATION' Site utilities: Job site address: t 3342 S�1 \ea cY', S Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 t �`-J( Drywell,leach line,or trench drain 1836 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt,no.: Project name: (2,,,\)eir'�•pAr+,- �,--��--�I--�4f!a -}- 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 r2..�Jeer- 'T"'PJYY,GC,,e,E-6,5,÷- Lot no.:b 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 ® I1kOPERTY OWNER I O'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 EITAPPLICANT 1:3 tbimci.P.ERSON Interceptor/grease trap 25.02 Business name: c-n Medical gas(value:$ ) Page 2 u �� 1 �� J k Primer 12,51 Contact name:N i c�► .- :�{�p_ Address: i" Roof drain(commercial) 12.51 b3 (3YOC►wo. 5 I- s - SI 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: 1 v 10-0\"� \G�b to T ( r r A Urinal 25.02 1 T l � Water closet 25.02 ..., .. CO CTTOR... . sy ....i r« 3 Water heater 37.52 Business name: G.4 li#',Wj')1\k, ,t-Syv - Water piping/DWV 56,29 Address: ),is. $., elp, Other: 25.02 City/State/ZIP: ST, P494,AA t q'-(,131 Subtotal Phone:(e503.-$ ,r ('Ui Fax:(41.7 V.."+11d J- 4 J1' Minimum permit fee: $72.50 r Plan review (25%of permit fee) CCB Lic.: 18.53-7,2_ Plumbing Lic.no.Pb ( e) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: t tut., ...Ike._ Date:s- d I I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:1BuildinglPermiu;PLb1A-PcrmitApp.doc 10/01/09 440-4616T(10/02/CO.A4/WEB) City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R oI . . 71 . Building Permit Review — Residential Building Permit #: z'' , -7-2.0_ ____:_a21/,_�$ O Site Address: (l,Q641 S Dir ,&t Project Name: RNer reArace, AS-- Lot #: %c (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N.c,NJ c Verify site address/suite# exists and active in permit system. Iiitr River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: � Ihree(3)copies of site plan xisting structures on site '0 ite plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished M Drawn to scale(standard architect or engineer scale) floor elevations Ii arrow XUtility locations&easements(required for new and additions) ite address,project or subdivision name and lot number idewalk/driveway approach Applicant information(name and phone number) N ocation of wells/septic systems of dimensions and building setback dimensions Existing trees to be retained with drip line,and tree IJfquare footage of buildings to be demolished rotection measures of area,building coverage area,percentage of coverage and ' Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) `Street names iv.rProperty corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? II'4 e No 4 foot differential) If yes,is a storm water quality facility shown? ❑ 7e> No XClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified NZ No Received: ❑ Yes ❑ No f'.'ublic Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified No Applied For: PP ❑ Yes ❑ No,stop intake Land Use Case#: PDQ Z 0 1(12.-ODOo 1 Zoning: R----i CFI)) )SrRequired Setbacks: Front 6 Rear to Side 3 Street Side N IA Garage 20 -E' Landscape Requirement: 2.0 % Lot Coverage Maximum: 6 O % -7 Building Height: Maximum Height 1J lik Actual Height t2 isual Clearance Sensitive Lands: ❑ Yes IR-No Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: 111Approved By Planning: 6 �,, Date: L4 2 Revisions (after Building Submittal on 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: 3 / (i Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning engineering C xrmit Coordinator ;± >Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: 7Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. T7Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / Date: G Y By Permit Technician: /L,, , /,/ / ��� ✓ l / c— Engineering Review A 0 a -4E---Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ,2Water Quality/Quantity Facility: -Er Assess Water Quality Fee in-lieu: ❑ Yes -E N0 Assess Water Quantity Fee in-lieu: ❑ Yes ErNo LIDA Facility on lot: ❑ Yes 4.2"'No ,Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Pk. t t.,Q, Lc.� 1 Date: 4/eVi t3 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: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: X Yes ❑ N/A LIDA ❑ Yes /V, - N/A OK to Issue Permit Approved by Permit Coordinator: 0 Dater/4 ({ I:\Building\Forms\BldgPermitRvw_RES 010118.docx City of Tigard ° COMMUNITY DEVELOPMENT DEPARTMENT !NI ■ T I G A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: 1 942 SAN f)j Ci Project Name: CZNOr Taretco, al,St Lot #: I Doi (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.070.1.): Is the project subject to the plan district design standards? El Yes El 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 ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 13°/p 3. Entrances:At least one entrance must meet both of the following standards: -Parallel to street,angle no more than 45° from street, .-Max. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch:, Yes Cl No If yes,all the following apply: 25 sq.ft.min. li-One street facing entry 12 ft. max.roof above floor of porch 5 ft. depth min. 30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: JS-Covered porch min. 5 ft.wide x 5 ft. deep ) Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min.4 ft.wide ,Roof eave min. 12 inch projection Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood ,'Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. _Horizontal lap siding min. 3-7 inches wide El Accent siding min. 40%of street facade ❑ Window trim min. 2 1/2"wide by 5/8"deep El Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep El 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.V'Yeslo. 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-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) El 12-foot-wide garage door El 40%max. of street facade 050%max. of street façade with 7 detailed design elements Notes: Approved By Planning: V�i Date: 1- l2(N.j I:\Building\Forms\B1dgPermitRvw RFs RT 121417.docx ` City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16842 SW BIRDSONG ST, BEAVERTON, November 19, 2018 at OR, 97007 12:35:50 PM Record Type: Record ID: Residential - Master Permit MST2018-00110 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: 16842 SW BIRDSONG ST, BEAVERTON, November 27, 2018 at OR, 97007 1 :25:22 PM Record Type: Record ID: Residential - Master Permit MST2018-00110 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Corrections completed Final erosion control passed Street tree certificate received 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