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Permit (39) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2018-00122 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/12/2018 Parcel: 2S106DA11200 Jurisdiction: Tigard Site address: 16790 SW BIRDSONG ST Subdivision: RIVER TERRACE EAST Lot: 112 Project: River Terrace East, Lot 112 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1254 sf Basement: 735 sf Left: 3 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 8 Smoke DwellingUnits: 1 Detectors: Yes Third: 0 sf Right: 3 Total: 3644 sf Value: $440,210.96 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100 K: 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 Group: Square Feet: NEW SF VB R-3 3644 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: $36,998.60 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 /.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: Permittee Signature: �L✓ / / G� . 7-7C 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. - La—Z 11Z Building Permit Application RECEIVED Residential p 9 FOR OFFICE USE ONLY MAR 2 0 2 O 18 Received City of Tigard Received Ll �(� l�,'% PmmitNoAt57:1Ufr_p0R4 0 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGA iD plan Review Phone: 503.718.2439 Fax: 503.598.1&6Q'ILDII�G DIVISIt��fDate/By: �� ' otherPermits �g�G// TIGARD Inspection Line: 503.639.4175 ee��vv Date Ready/By: 1 Juris: H See Page 2 for Internet www.tigard-or.gov Notified/Method: p� eef Supplemental Information •/` .9/1 /1/./ 1Z7 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 ElAddition/alteration/replacement ElOther: equipment,materials,labor,overhead,and the profit for th , , CATEGORY OF CONSTRUCTION.. work indicated on this application. ll tin Z!(--, ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: 7 JOB SITE INFORMATION AND LOCATION Total number of floors: y 1 p to LX _1C Job site address: ` (1- N 0 Sw II r'dso n G S� New dwelling area: , • • square feet `�SS (1) City/State/ZIP:Tigard,OR 97224 J Garage/carport area: y(p square feet `'L5 L Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area square feet —7' S"-- Cross street/directions to job site: Deck area: 1 74 square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace East Lot no.: / 1_ 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 0 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* (Please refer to fee schedule) Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) 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 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 $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: $201.60 Authorized signature: `� / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) F I Mechanical Permit Application ,) FOR OFFICE E1SE ONLY City of Tigard Received Tigard Date!Byt Permit No� `(2, // �c2 1312..-5 SW Hall Blvd.,Tigard,OR 97223 -).0 7 n '2:1 ri n ?ifs r7S 1� i Phone: 503.718,2439 Fax: 503.598.1960, I>, I c3 LL"." PlanRevica Olher Pennil. Dale/By: TIGARD Inspection Line: 503.639.4175DateReady/By: Jon, H Sec Page 2 for Internet: www.Iigard-or.gov Notifiedrivtethod: Supplemental Information 4 TYPE OF WORK COMMERCIAL FEE'SCHEDULE - USE CHEC'KLIS'T 0 New constructionMechanical permit fees'arc based on the value of the work 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment.labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* .'� _ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far special information use checklist. 1 I Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOC:AT1021i Heating/cooling: a Air conditioning 1 46.75 Job site address:\�"1C.\ C) c.:,,,,i,.), `.{' 3t (V Furnace 100.000 BTU(ducts/vents)�' i 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000-+BTU(ducts/vents) 54.91 Ileal pump 61.06 Suite/bldg./apt.no.: Project name: `\ter Te, rie_'Ev.s - Duct work 23.32 — (:'rots street/directions to job site: tlydronic 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 1 23.32 Subdivision: t 11,/e,t' 1, .. i_ . Lot no.: I \7.... Other: 23.32 Other fuel appliances: fax 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(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® ()Met:OWNEROther: 23,32 0 TENANT Environmental exhaust and ventilation: Name: pDVL (` 9 t r Range hood/other kitchen��.►�1 equipment 33.39 Address: 1(oOO 1 F t J o111blPi1Y rz/ 1az.-v C.,l/0 V.,oQ-4 Clothes dryer exhaust 1 33.39 City/State/ZIP: Sl A a e it pc2 .� Single-duct exhaust(bathrooms. `�A ' AGa 1 �- toilet compartments,utility'rooms) Li'- 23.32 Phone:(001 tg°&y-'tT1u) Fax:( ) Attic/cnmwlspace fans 23.32 El APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Polygon Will,LLC Fuel piping: 514.15 for first four;S4.03 for each additional Contact name: I c\/'\o _11rN,OtM� I 1 ,' furnace,etc. Address:10 BV G AA e,,, ,e S1 Su k i, O Gas heat pump ^�"�'J �1 "rV l/ Wall/suspended/unit heater City/State/ZII':Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace I E-mail: 1 Range I Barbecue CONTRACTOR Clothes dryer(gas) _ Business name:Apex Air LLC Other: MECHANICAL PERMIF FEES' Address: 18004 NE 7214 Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 Fax:(360)326-1769 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB tic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized Signature: • Fee methodology set by Tri-County Building Industry Service Board Print name:"--17. Date: ei•/1•/tr I AnuildingVPcnnhtO EC_PemiitApp 0401m3.doc .10-b6ITT(1110?/CO%t,WE13t : .3':tbw.t-A .$-` -0 e.°A'0 i_ j� O F WEVT- re 5r r-Wim City . Received ci 'r 13125 SW Hull Blvd.,Tigard,ORF 97223 DntelBy Perms!N f j �d3.�.aal Phone: 503.718.2439 Fax: 503,598. 960 , r, „„,)1/4 V Plan Review E Inspection Line: 503.639.4175 /. i' \ i c) L tl i Dale/By; Related Permit#; MIRReadyDate/By: Auris: CI See Page2 fur r___.,:_��..-_,. Internet; Www.tigard•or•.gov Notified/lvlelEtod; f3:a. .�":':;`�.A-'a�x..�`t'7j« .'µ'"` Yi4?f,`'r''i',r�- t, ��.;.;ttal`, ` n( .. . ;.,,, - ._r..,;•<. Supplemental Information ... :C'd".!•+,;,,};:..r'4.:t'i 'eri• '}�•,` ` t'ry` ,.,;r�''� '! ;*t;'- c,?r:�}t;:� ®New construction rr-•--}1 ,. . .:r ��,'�• ... .�:`;.,,:����.�.�•VYIrN,.r�V:a"_ :'�`=,;;rt. �:•., t-tAddition/alteration/replacelnent Please check all that a. l ...• e: ' )'I$;`"'"r+ apply(subtnit�sets of plans w/iteme shacked): El Demolition 0 Other: ❑Service or eeder400 amps or more j]Building over three stories, where the available fault dueflt 0Marinasa and boatyards•Mi• h : ;ra Li _ 0 tS$661U*4ti� f , r'10 o- exceeds 10,000 amps at 150 volts or ❑Floating buildings, ©I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ID Cotnmerolal-use agricultural 0 Multi-family . • ,]Master builder 0 amps for all otherinstallations, buildings. Other: tesla `'i' ^�?`�ti1I�{?�as�•��..: ,•s7U$_?, .�J•�.�N.. ..,;t:,•: ,-,. _ ❑Fire pump. 0 Installation of 150 KVA or K"' t4 .,•`•^. 'OR1.4�.41 QN:A :1JQ,t~•.4 f;Jj �.,:.._; ❑Emergency system' larger separately derived 4, Job Job#: Job site address. �1 S.� 1 V �, (^� ❑Addition of new motor load of system. � i • J _ t001IPormore, ©"A>,<E",'1-2","1_3 City/State/ZIP:Tigard,OR 97224 0 Six or snore residential units. occupancy, Suite/bldg./apt.#; T El Health-care facilities, ❑Recreational vehiele parks. I Project name: 2\Ji w U,„V,r's,, �- ❑Hazardous locations, 0 Supply voltage for more than .Cross street/directions to job site; q service or feeder 600 amps or more, 600 volts nominal, •IlcrcriPticn " ':;.... :,i"•'.ti`s,"- < f New residential single-or multi-family dwelling unit�0tat Subdivision: t�wor'�Qhm_ 4, I Lot#: 4 � Includes attached garage. 4 Tax map/parcel#: I,000 sq,R,or less ::h.., _ ,a3rra z4`. Ea.add'1 - ,•:. AC I.,,,:....,•1P.I+'0ORLP0.15.t O Y�//�* r'•:x .500 sq, s or portion 33.92 Limited energy,residential (with above sq,It) 75.00 Limited energy,multi-family i qty. i residential(with above sq.ft.) 75.00 .,�,;.„tt; Q !i , - E7� :rt.° •ri'i.(}'' 1;;=� �i:i`;';}::F', -=�i- RenewableEtler. #C r:-: x „ .. ;a:a., r. See 1'a:e Z D Name: Services or feeders installation,alteration,and/or relocation )v ► c,1 1-V� 200 amps or less tall 100.70 _0 i y/ l� 201 amps to 400 amps kA.,I �l I A � A 133.56 _© Address;' ;i , I City/State/ZIP: f ,��t i 1n .'152.5(e) 401 amps to 600 amps - 200.34 _© �A �^,t `?t 1 Y'S 601 amps to 1,000 amps III 301.04 Phone: (pfJ . f nc 1 (,.1 1,^17 l Fat:( ) Over 1,000 amps or volts 552.264 �E Email: v� "Y "�lJJ Temporary services or feeders installation,alteration,and/or Owner Installation:This installation is being made on property that I own which Is not 200 amps or less intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 ampsto 400 amps 55.06 1 Owner signature: p 125.08 2 tre,,.Y ;fi t�1 ,! ,Y Date: 401 amps to 599 amps 168.54 2 in%7ti3��'J''4�ji;��:#t4$^ICI '•f 1?1�5`lt+i' .I'{*�i, ,:��`5:1.:'1.,:.;:{r:i'i1 Sk%`..i'•^A�"`�j>>�. -•�-• :�: .•.': ' 'm'..,`m,,, •• .• t.;«,.,. ::ii!?,:;sfi.:t,rr;3;i'e;;1,,rc .; QN o t $ „c 13rnnell circuits-newv alteration r ' -.:`.: .;��.._�`,�� 0`l�f;:<�;•,'::; `.. > o extension, r er panel A.Fee for Urancll circuits tPith Business name;Polygon MEI,LLC C above service or feeder fee, Contact name; each branch circuit 7.42 2 �,"°► 1 U t B.Fee for branch circuits without Address: ?J i�� frt service or feeder fee,first - 10 branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'!branch circuit 7.42 2 Phone:(360)695-7700 1~ax::(360)693-4442 Miscellaneous(service or feeder not included) Each manufactured or modular ' 647.89 IIIIIIIECLII ID 2 se rvice and/or feeder\CA,/),k) p ' 1 la � ' �er-'tJfReconnect only; tty4t "kmy<:a0. ...: K0: � ':t+h3 ;i ; t7s, a: i 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)or limited-energy • 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 Phone:(253)872-6051 Additional inspection(1 hr min) 66.25/hr Fax:(253)872-1801 Investigation(1 hr miu) 90.00/hr Email:bdaniels@gsyeusa.coin Industrial plant(1 hr min) 78.18/In CCB Lie.: C1158Inspections for which no fee is ElectricalLie,: 208174 ( Suprv.Lie,: 4496S specificallylisted r 90'00/hr (/hrnhin Sll 1'V.Electriciani i'•` .�T.W. ,`• 1 `, ,, 6 3-:-:c.,r.�,,.> p signature,re ,.0, . G� =,>v 3trL CT tIG`' t wired: l .r��„�.ti I i ti:: ;. Print name: Joan P Albert I Dabtotal: te; ClID Plan ReviewRequired(25%ofpennitfee): - State surcharge(12%of permit fee): Authorized signature; ---d----_-.:=.---.=.7.-.....—.....:::_,----- •TOTAL PERMIT FEE: IPrint name; Bill Daniels This permit application expires if a permit is not obtained within ISO I Date' days after it has been accepted as complete. I:\SuildioglPormitslLLC PermitA CLEC nRE,doc Rev OG117/2015 * Number of inspections allowed per permit, PP 440.4615T(t 1/05/C0b1WE Plumbing Permit Application Building Fixtures City of Tigard Received Permit No.; 111 I r 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By; 'yIs'��-00/0? Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By; Othcr Permit No.: T I G AR D Inspection Line: 503.639.4175 Date Ready/B Internet: www.tigard-or.gov y: Anis: QJ See Page 2 for Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE New construction For special information use checklist. ❑Demolition P l 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 CONSTRUCTION SFR(I)bath 312.70 ® SFR 2-family dwelling FR(2)bath 437.78 Cl❑Commercial/industrial SFR(3)bath 500,32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 El Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: I 1401CI 0 ,SeA�.. a S-1 Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 � C� Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no,: Project name: (weir 77p,tr++��VV�olGf...__Ea±_ 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 2,,J— Tei>1r.acte. Lot no.: �'}'- la_ Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 DESCRIPTION OF WORK Backwater valve I12,51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®PROPERTY OWNER ID 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 El APPLICANT 1:1CONTACT-PERSON. Interceptor/grease trap 25.02 Business name: P�' 1 4 , , r ^ Medical gas(value:$ ) Page 2 l`)`l --".1 l mss. 12.51 Contact name:N;�, ( Primer Address: a3 ` Y Roof drain(commercial) 12.51 f GlO b t 5 ��� Sink/basin/lavatory ,.i,A 1 / 25.02 City/State/GIP:Vancouver,WA 98660 Solar units(potable water) / 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02E-mail:. \c)1110 Le 1�0 �-01 ( ` , es.(1�� Water closet 25.0?CO CONTRACTOR Water heater 37.52 Business name: G�–,� i�,yy/b 1\\,,C\� ,,� e- Water I m �jP�P� �� 56.29 Address: p,o. s –1a Other: 25.02 City/State/ZIP: S'r'i P 4.44.4 0.t.L 4'11(31 Subtotal Phone:(SO. fir " –$ ' 1' t i Fax:(11,1,.-,7Q 7 4 J,� Minimum permit fee: $72 50 + + C Plan review (25%of permit fee) CCB Lie.: tt.4/ � Plumbing Lic.no.Pb al State surcharge(12%of permit fee) Authorized signature; TOTAL PERMIT FEE Print name: fc-i–£+(f F ) Date: —36 1 j., 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. IAL'aildingVicralits LMU_Pcrmi',App.doc 10101/0° 440-4616T(10/02/CO.M/vEB) City of Tigard r .74COMMUNITY DEVELOPMENT DEPARTMENT I T,GEz r� Building Permit Review — Residential ABuilding Permit #: 77-7,,0/r'D 0/2.2, Site Address: fo7g0 SN 131Ydson s1ree- Project Name: P-WeAr T, "1- Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Nj S(L erify site address/suite# exists and active in permit system. R River Terrace Neighborhood: ❑ No 'if Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan Wxisting structures on site )RtSite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished t)rawn to scale(standard architect or engineer scale) floor elevations )orth arrow Utility locations&easements(required for new and additions) ,Site address,project or subdivision name and lot number idewalk/driveway approach ,'Applicant information(name and phone number) Location of wells/septic systems Lot dimensions and building setback dimensions (\Fxisting trees to be retained with drip line,and tree 1V4.quare footage of buildings to be demolished protection measures Jot area,building coverage area,percentage of coverage andtreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) treet names ' roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? e ❑No 4 foot differential) If yes,is a storm water quality facility shown? "EWMI No Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified Xf,No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified lgr No Applied For: E Yes ❑ No,stop intake Land Use Case#: PD t2-2-oiu-woo) ,IcrZoning: K='1(' j —E,Required Setbacks: Front 1d t Rear ',i::.,)‘ Side 3 Street Side JA— Garage 1 NI—Landscape Requirement: Lot Coverage Maximum: % ,'Building Height: Maximum Height Niel— Actual Height 3S 1\44-Visual Clearance / ' X Sensitive Lands: ❑ Yes 1CTo Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: , c Approved By Planning: itiv,,e/'i "`4`. Date: (2 /i S Revisions (after Building Submittal only)) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPermitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: "542o/i Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: P"Planning ,❑ Engineering .. Permit Coordinator j] ..Building Workflow Sign-off: Sign-off for Planning(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: Date: By Permit Technician: / /i it ` i�,_ ��i .- ..�- /fir .. a , Engineering Review e at building pad: q Slop D .� 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 O''No Assess Water Quantity Fee in-lieu: ❑ Yes e No LIDA Facility on lot: ❑ Yes leNo Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 111 Approved by Engineering: ,A ��'pi ' Date: A (i3 Revisions (after Building Submittal only) Reviewer ate Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved vimimus 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: 1St Yes ❑ N/A Tigard Trans SDC: k Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: A - v 1— UL- Date: " I:\Building\Forms\B1dgPermitRvw_RES 010118.docx City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT i TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: Il01610 Sr) BIrdSo- S1ie-e± Project Name: R.\ve it —j-eXece, F Lot #: Wi - (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?5Yes ❑ 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. 2ftwe ., 5 ft. idmin. 2 ft.,Eft.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: 1 S°10 3. Entrances:At least one entrance must meet both of the following standards: Larallel 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: 5yes ❑ No If yes,all the following apply: )425 sq.ft.min. One street facing entry Lgr12 ft.max.roof above floor of porch -0-5 ft. depth min. gr30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep 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 XRoof 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 ❑ 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 El Bay window min. 5 ft.wide by 2 ft. deep El Balcony min. 5 ft.wide x 3 ft. deep with inside access Cl 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.XYes ❑ No. If No (Check one): El May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. El 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 440%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: /6".46 Date: L If I 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 Tr •n mi a s ttal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Allyson DATE DEPT: BUILDING DIVISION 81OZ ? g FROM: Nichole Thorpe 3 COMPANY: Polygon Northwest 14 PHONE: 360-695-7700 By Ail RE: 16790 SW Birdsong St MST2018-0012X,2 (Site Address) (Permit Number) River Terrace East Lot 112 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 0 Additional set(s) of plans. 3 Revisions: A8 pages due to overlay issu 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. FO OFF ( �3 E USE ONLY Routed to Permit Tec ian: Date: �j 7iZ Initials: ,#,k Fees Due: DI Fee Description: Amount Due: VA)--- $(0,7 } Special Instructions: Reprint Permit(per PE): ❑ Yes No n Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 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 Tran mi l Letter tta $11 T i l i;i k n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Dianna DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVE. FROM: Tom Dicianno APR 1 0 2013 COMPANY: Polygon Northwest —•,--Or :\lc .y)-- PHONE: 503-577-4160 By: RE: /t 7?()b ))t1 P/RP3(sPcb MST201 (Site Address) (Permit Number) 94-5r River Terrace Lot 1" _.„,,,.tr, )161° (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: . .t :i.^.•,r.a..11 e, ,ri. :r t . :Irt, A„er .M., ,1 '� ' ",x:7 , eon: MIV?n, rte.'. 3 ., 0 Additional set(s)of plans. 0 Revisions: _ _'1. 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: 1-Aa. 6 0MD A-r(iI) if,:4.4..z PE p lGl) _1 .tA ��Hetes >.., tart saff "'v� . . :a„ '„..'` jta Routed to Permit Technician: Date: Initials: 4 ►i/j,� Fees Due: Yes ❑No Fee Description: Amount Due:° V $ , v $ Special Instructions: Reprint Permit(per PE): E Yes l No n Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16790 SW BIRDSONG ST, BEAVERTON, November 26, 2018 at OR, 97007 2:09:00 PM Record Type: Record ID: Residential - Master Permit MST2018-00122 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