Permit (212) CITY OF TIGARD MASTER PERMIT
: COMMUNITY DEVELOPMENT Permit#: MST2018-00178
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/26/2018
T i "''� 0 9
Parcel: 2S106DA11600
Jurisdiction: Tigard
Site address: 16650 SW SNOWDALE ST
Subdivision: RIVER TERRACE EAST Lot: 117
Project: River Terrace East, Lot 117
Project Description: New SF.
BUILDING
Floor Areas Reauired Setbacks Reauired
Stories: 3 Bedrooms: 4 First: 1259 sf Basement: 735 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 3652 sf Value: $441,392.36 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 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 TvueS 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>=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: 7 201-400 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
Ecompasing: Y
Other: N Other Description: p g
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 3652
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Geo Tech Required Prior To
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 Pour
STE 1 2 Ersn Cntrl 503-639-4175
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $37,014.43
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 • R 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: Q4/ /170.°6/e`9-7761'"
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.
, L 0 --V k. \-1
Building Permit Application :,�
Residential 1JIPR 2 0 ZC/1' FOR OFFICE USE ONLY
City of Tigard Ty iGPI 7 eived / y '�
�J g ��1 1r �eY: �/ Permit N 5!/�t.�}'
v 13125 SW Hall Blvd.,Tigard,OR 97223 l " Ian Review // Q
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: U Other Pe `�� / 7
Ti GARD Inspection Line: 503.639.4175 IIIIIDate Ready/By: /r„. ixr Jurist Ei See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 7//// Id 1 i Supplemental Information
i fi'9/ -- Vic%cY60A/
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 thsro t or
CATEGORY OF CONSTRUCTION work indicated on this application. ��
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ -.ea
❑Accessory building 0 Multi-family Number of bedrooms: E,{ti(i 5. `
❑Master builder 0 Other: Number of bathrooms: !! t
oJOB SITE INFORMATION AND LOCATION Total number of floors: 3 (1// (p
n \
Job site address:I(p 0 SD S vOw Ci/; Ip 3-\--- New dwelling area: c square feet / (0S`' )
City/State/ZIP:Tigard,OR 97224 W l� Garage/carport area: 0 square feet l
Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: 12. square feet 73` -
Cross street/directions to job site: Deck area: 2—P6
square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CIN.CKLIST
Subdivision:River Terrace East Lot no.:/ /7 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 to fee schedule)
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 lic.:207247
Total fee due upon application: $201.60
Authorized signature:/4�/7^�� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application FOR 01:1:1('L t'SE OyI_t
lig City of Tigard
Received Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223
• . r Plate Review Other Permit.
• Phone: 503.718.2439 Fuc: 503.598.1960 1)ate-By: .
T i t;A It D Inspection Line: 503.639.4175 • Date Ready.By: lurk H See Page 2 fur
Internet: www.tigard-or.gov Notif,cditvlethod: Supplemental Information
I
' TYPE:Or WORK COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
Mechanical permit fees*arc based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment.labor,overhead,and profit. _
Value:$
CATEGORY OF CON3TRt)GIiON RESIDENTIAL E•QUIPIVIENT/SYSTEMS FEES* -
,.8,1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Forspecial Information usecheekllsr.
I I Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION,AND LOCATION Neaten(;/cooling;,
Air conditioning I 46.75
Job site address:\ +�'I J i/ SW SYZ1,�- . ,te, Furnace 100.000 BTU(ducts/vents) I 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(duets/vents) 54.91
(teat pump • 61.06
Suite/bldg./apt.no.: Project name: Ri-w.e ' Te,t+lrc*ee. 'F' +' Duct work 23.32 _
Cross street/directions to job site: Ilydronic 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
p� L Lot no.: i Other: 23.32
Subdivision:
JG Ike �ek''-t' !e....., �—�,�TOther fuel appliances:
Pi
Tax map/parcel no.: Water heater .jL— 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
El PROPERTY OWNER 0TENANT Olh. 23.32 -
Environmental exhaust and ventilation:
Name: ps DVL Lv j4D IS nr,) ` Range hood/other kitchen
equipment 33.39 •
Address: 1(p®D '. 1 ou.i) -M /r i. Vj oai Clothes dryer exhaust i 33.39
City/State/ZIP: B1 A I O •,, 1 t eY" Single-duct exhaust(bathrooms,
^_ toilet compartments,utility rooms) Li. 23.32
Phone:'O0-1t'4-4 " ?` Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT.PERSON Other: 23.32
Business name:Polygon WLU,LIC Fuel piping:
$14.15 for first four;S4.03 for each additional
Contact name: k)1 rI\f)\R.,.11/\(')Ype, Furnace,etc.
Address:1O By (AAr, ,,"-,/,1 z� S1 0 Gas heat pump
""" Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range I
E-mail: I _ Barbecue
. ,._ .-00 'RtIC"TOR, Clothes dryer(gas)
Business nae:Apex Air LLC Other:e:
?NIp`Er'
Address: 18004 NE 72'd Ave Subtotal
City/State/ZIP:Vancouver,WA 98686 Minimum permit tee($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: i l y Date: 4•11./4..
I10uildinecrmils.\ttC_PennitApp 040113.do, • 440-4617(11;0'COMAVEDI
--------- .:. wxarwtna.l>L uu1-aucuu.vula _> x�.,� a0 -_ -
s Ot 61t'ir" and Received w�J d s' a y fes. t ni n :, ` -•'`
fL q )7atelDy:
Permit II:
13125 SW Hall Blvd,Tigard,OR 97223
fe , ' Plan IBevienv
Phone: 503,718.2439 Fax: 503.598,1960 Related Permit U:
1 Date/By:
E Inspection Line: 503.639,4175 Read D
?�'1GARD'± y ate/By; ,)oris; i?See Page 2 for
r- _,_._._.� Internet: www.tigard-or.gov Notified/Method: I Supplemental Information
®New construction []Addition/alteration/replacement Please check all that t � i chcke�).:
p apply(submit 2 sets of plans ti4/itemaaheeked):• ,
❑Service or feeder 400 amps or more 0 Building over three stories.
Q Demolition 0 Other:
r,-=^'tr h ;.i,;.,;:y;,<;_;tlr;.,,_ ,.. y where the available fault current ❑Marinas and boatyards,
- r-Zi5 s•.. .. _..:,,,,�.._ ..,Q.[Z_,.:...l;,:rCOI�SI2t[•T��P1,Q��•i',: .. .,T.>r+i,t!r , i'.ct:i;, exceeds10000ampsat]50voltsor [J
;•�:..::: � a t� ,,, .n,:;'?i{°i; i:E?� , Floating buildings,
❑X 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural -
am
ps for all other installations. •buildings.Multi-family 0 Master builderOther: ❑Pira pump,
0 Installation of 150 KVA or _
,. , ruIA:;_•sLJ .W# Ny ORfIQJQ0TOl' ; :J.M•,-.`:.; ?,- :! ❑Energenoysystem• larger separately derived
Job#: I Job site address'' (.070S ^ , DAddition of new motor load of system.
S \S,J'�.3`-'^tOuf/ IMP ormore. ❑ A'>,"E","I-2","l-3'
City/State/ZIP;Tigard,OR 97224 I Six or more residential units. occupancy.
0Heatn;-care facilities. ❑Recreadonal vehicle parks.
Suite/bldg./apt.##: Project name: R\ex- ,tryacit..Ea j,_ ❑Hazardous locations. ❑Supply voltage for more than
Service or feeder 600 amps or more, 600 volts ttommel.
El
Cross street/directions to job site: ,1,:.,,:
Description I Qty. I Each I ,Taint I l,*.
New residential single-or multi-family dwelling unit.
Subdivision; ?n(J 'kh g_ ' 4' I
I Lot II: I 1 In eludes attached garage.
Tax map/parcel##: 1,000 sq,ft.or less 168.54 4
.. :>.4;<=,;itN :,, r•: Ea.add'l 500 sq.ft.or portion 33.92 1
. . .':+1��'•���?':.��Li .., R�..�r'�...KIk.T',b1V;a0w���r> < ;'::
- .- ,,. : ,:. ... . . •. . ,:�ti '.`r'..•i. Limited energy,residential.
(wills above sq.ft.) 75.00 2
Limited energy,multi-fatally 75,00 2
residential(with above sq.ft.)
, . YEQ _ "p . _ " <r;{ A i" t . � - _ SReernveiwbolrofeeders installation,al0teaStieoe nP,aged 2/o
r relocation
Name:, .\DV -, _t1i.' Y 4 _ l _1 200 amps or less 100.70 2
Address:'r , 1 i i , , II u,' '`�/ r �� 201 amps to 400 amps 133.56 2
C 401 amps to 600 amps 200.34 2
City/State/ZIP: )f „,1 0.,I e l AT. 2 Sc3 601 amps to 1,000 amps 301.04 2
Phone: 01.. (` . Li Q?Jl 0 pax:( ) V . 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 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 1 2
Owner signature; Date: 401 amps to 599 amps 168.54 2
-'.rI jr/';- :�a;� �p3;°i., ,t•s '-;'�'(ili:i�'t .:;:�i(+:j ^t;zti�iyt- - - :i' _
a,�..,>3d;t6''-' ":l`er f 1 1'� Cir �''s' ';', `s u Zt">E ':,;;:%r;�: Branch circuits—new alteration r
�`•� r ..�.,a�.._,....)'d..�%:... �,:,i;��:;•,c::4.ik.•..:z:.::,'s�'�.'.r.�Sii�F; �.�'4Qr1��1,Q�',,r�C�„",CiN%.?•:•:,.:,.`.: A.Fee forbranehcircuitsu�ith 'o extension,per p'usel
Business name:Polygon WLH,LLC above service or feeder fee,
7.42 2
each branch circirContact name: '3\Cvr� O c`-' B.Fee for branch circuits without
Address: 10', T6�Ut branch it feeder fee,fits{ 56.18 2
•1A.1� S`� S\���..�� branch circuit
City/State/ZIP:Vancouver,WA 98660 Bach add'l branch circuit 7.42 2
Phone:(360)695-7700 Pax:: 360 693-4442 Miscellaneous(service or feeder not included)
Email: t����� A ' '�' r 4 dwBaelling,service and/ored or r feeder
67.84
6i`ti:r0 it r :Yt,,"++�,;e�rr ::,; ,•.a.•���..����,,..�, _ „,,l ,S^ Reconnect only 67.84 2
„ .'-a$t." i.•. ..g - ;n:; }.::L:n,, . rC..•�' '•'i'-.�.'n' .- ;ru`•: R;Lr':'T3+f,';":;,:`-•y`-
"' :r. r.°•: t,r_ ...rt n r.�..�:� ibti>�.-.i'. -oi�_„ •.,i::i• t.i�f i'3o
•-F- •• - . ..- .tt'.i,!::•;'.-... Pump or irrigation circle 67,84 2
Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2
Address:402 Valley Ave NW Ste 106 Signal circuits)or limited-energy 0 See Page 2 2
panel,alteration,or extension,
City/State/ZIP;Puyallup WA 983'71 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66,25/lir
Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 lir min) 90.00/hr
Email:bdaniels@gweusa.coin Industrial plant(i lir min) 78.18/hr
Inspections for which no fee is
CCB Lie.: C11S8 Electrical Lie.: 208174 1 Suprv.Lie,: 44968 specifically listed(/z hrniln), 90,00/hr
Suprv.Electrician signature,required: ;ilk 4 ..3` A ', :i t;
Subtotal:
Print name: Joan P Albert Date; ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature; - •TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 130
Print name; Bill Daniels Date: days after it has been accepted as complete.
* Number of inspections allowed per permit
I:1Buildingwermits1nrc pennitApp nLR nRB.doc Rev 06/17/2015 440.4615T(11/05/Cobf WEB
Plumbing Permit Application
Building Fixtures
City of Tigard Received Permit No.;
INq 13125 SW Hall Blvd.,Tigard,OR 97223 '' Plan Rev
Phone;.503.718.2439 Fax: 503.59.8.1960 Plan Review Other Permit No.:
Date/By:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Iu is: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE:OF WORK FEE*,SCHED,ULE
For special information use checklist
®New construction ❑Demolition
Description I Qty. 1 Ea. 1 Total
El Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
- CATEGORYOF CONSTRUCTION -Pa _.. SFR
1)bath 312.70
SFR(2)bath 437.78
i I-and 2-family dwelling ❑Commercial/industrial
SFR(3)bath 0 500.32
❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02
El Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB s1m.INFORMATION AND LOCATION Site udlides:
Job site address: k ke(9S �� t j ite_ ,, Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name:. (?\Jeer '��r�ot�., 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.: __J Page 2
Water service(no.linear ft.: ) Page 2
Subdivision 12,WQX TQJi.Y.acle_. ,.r.- Lot no.: / 11 Fixture or item:
Tax map/parcel no.: Backflow preventer i 31.27
Backwater valve 1 12.51
DESCRIPTION OF WORK
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
-�
PROPERT?S(OWNER I TENANT.."° Expansion tank 12.51
Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)694-4031 Fax:( ) Ice maker 12.51
APPLIOANT • ^'.❑ CONTACTvPIatio Interceptor/grease trap 25.02
Business name: ,t i Medical gas(value:$ ) Page 2
PUT l`�fl 1lVlset.1l�.s�_a Primer 12.51
Contact name: 1J' .(T/�(I p _ Roof drain(commercial) 12.51
Address: 53 (�1(O�.U)".�`�3 t s, 0 Sink/basin/lavatory Mu,WA/f / 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) / 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/sbowerpan 12.51
E-mail:. c,�nD Urinal 25.02
N1 Gino le T VoNkh �`^ i"_'S (i rr Water closet 25.02
CO�CTOR ._ L .. .
Water heater -' 37.52
Business name: G.4 , �y*1) nW�� Water Pi WV 56.29
A .� piping/DWV
1
Address: ,.15. 6 or, clip, Other: 25.02
City/State/ZIP: ST, P Q""1 ( rt 11131 Subtotal
^
Phone: t�3.-$4s - 14t1 Fax:(Al%..7g,1-1?,i1/0 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lie.: 18.4.13-m_ Plumbing Lic.no.P 11
State surcharge(12%of permit fee)
Authorized signature: 7 TOTAL PERMIT FEE
Print name: fiut w kid Dater-3b---I b This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:1BuilddglPermiratPI.MU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: A j F7 /7r
Site Address: I o(0 Sv J Souv ct Sfir- -r
Project Name: 'R-AVer- T-entre c - Lot #: \ \7
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: I\JS1 2—
Verify site address/suite# exists and active in permit system.
lK River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
Three(3)copies of site plan P. xisting structures on site
Site plan must be on 8-1/2"x 11"or 11 x 17"paper E1 ootprint of new structure(including decks)with finished
,taDrawn to scale(standard architect or engineer scale) floor elevations
North arrow Utility locations&easements(required for new and additions)
XSite address,project or subdivision name and lot number Zidewalk/driveway approach
XApplicant information(name and phone number) Location of wells/septic systems
SLot dimensions and building setback dimensions NEExisting trees to be retained with drip line,and tree
NO-Square footage of buildings to be demolished protection measures
›sLot 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) treet names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Ye No
4 foot differential) If yes,is a storm water quality facility shown? No
,EN.Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: E Yes,applicant was notified X No Received: ❑ Yes ❑ No
kPublic Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified „No Applied For: ❑ Yes ❑ No,stop intake
T1 Land Use Case#: PD122 QkU9— ( Do I
Zoning: i2-=1 CPID)
3, Required Setbacks: Front g Rear ' 0 Side 3 Street Side NA- Garage 20
,E:Landscape Requirement: 2,0 %
.eSL Lot Coverage Maximum:
• Building Height: Maximum Height 1\17k- Actual Height ±
NA-Visual Clearance
Sensitive Lands: ❑ Yes X No Type
Urban Forestry Plan
XConditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: 111.0 C n Date: 5130(IS
Revisions (after Building Submittal only) J Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPernritRvw_RES 061417.docx
Building Permit Submittal y�
Original Submittal Date: - AO (
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: Planning C<< ngineering Permit Coordinator Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: ngineering: (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: � „ ,� Date:
Oz/71----
En;ineering
Review
Slope at building pad: 515
O
Conditions "Met"prior to issuance of building permit
Easements (encroachments) per engineering conditions of approval and plat
,Or Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes El No
Assess Water Quantity Fee in-lieu: ❑ Yes ErNo
LIDA Facility on lot: ❑ Yes p No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: j44 (Ov Date: 1--•
Revisions (after Building Submittal only) Reviewer ate
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
Cl 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: Cia.Yes ❑ N/A
LIDA ❑ Yes ,. N/A
OK to Issue Permit
Approved by Permit Coordinator: � ,,,, Date: ( (2c.I'CS
I:\Building\Forms\B1dgPermitRvw_RES_061417.docx
City of Tigard
111‘ I N COMMUNITY DEVELOPMENT DEPARTMENT
T I A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: Rap SD SUFI Sri rvnrdal e s-p- e+-
Project Name: R.\Vey Tenrccc-e ens-A-- Lot #: 1 Ii
(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? LI..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.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide
❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors.
Percentage Shown: 19%
3. Entrances:At least one entrance must meet both of the following standards:
XMax. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: E Yes ❑ No
If yes,all the following apply: )S25 sq.ft.min.
One street facingentry12 ft.max.roof above floor of porch
.� �
fa--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:
Covered porch min. 5 ft.wide x 5 ft. deep A Recessed entry area min. 5 ft.wide x 2 ft. deep
jS<Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
.EiRoof eave min. 12 inch projection ❑ Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood YLGable,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
❑ 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 ❑ No. 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)
❑ 12-foot-wide garage door X 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: AICN6 emd,ru Date: '7.)0 l8
I
I:\Building\Forms\BldgPermitRvw_RES_RT_12141 7.docx
I
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
16650 SW SNOWDALE ST, BEAVERTON, April 15, 2019 at 10:43:26 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2018-00178
Inspection Type: Inspector:
299 Final inspection Jeremy Burrows
Result:
PASS - CofO
Comments:
Final erosion control approved.
Moisture content form received.
Moisture barrier form received.
High efficiency interior lighting form received.
Blower door and/or duct test report received.
Insulation certificate verified.
C of 0 left on kitchen counter.
Violation Summary:
Inspector Contractor