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Permit (75) CITY OF TIGARD MASTER PERMIT RI COMMUNITY DEVELOPMENT Permit#: MST2017 00295 Date Issued: 11/21/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S106DA03000 Jurisdiction: Tigard Site address: 13143 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 30 Project: River Terrace East, Lot 30 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height 32 Bathrooms: 3 Second: 562 sf Garage: 456 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Total: 1221 sf Value: $161,646.69 Rear: 5 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 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 UnitService 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: 2 201-400 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 SFA VB R-3 1221 Owner: Contractor: ADLV LAND HOLDINGS LLC VNLLIAM 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 STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $22,789.64 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: r ate— Permittee Signature: O/S-1 /- /6�r7c 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. Building Permit Application LO 3 0 I.OR OFEK E I SE 0\L1 City of Tigard Date/BY I 7-/r /7Y. PennitNc77)o/7 Gbit l� 111 13125 SW Hall Blvd.,Tigard,OR 9722)U N 1 4 2017 Plan Review 1 �Permi Phone: 503.718.2439 Fax: 503.598.1960 DateBy: $ ' •) -17 1t4�77„, „, Inspection Line: 503.639.4175 CITY OE=TIGARD Date Ready/Sy. /� J7 ions: la See Page for I i c '>> i> Internet www.tigard-or.gov BUILDING DIVISION Noti&ed/Method:� Supplemental Information /c. "it circ e_... ,..._ .,,...4e....�.,.....,. w -m" �v`z'-"dw�.�;.z» '° : ,5 , , '--a r- , wteas t-� ��ur,,4..-..:-u:.1L.,...;_..,,..,.,.,�,..�.,,�•:s.,,..E��1".®., ®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 ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the '. . st,: � work indicated on this ,.••lication. ' g�f 9; � w ,y tine ':�2:(7; - � � nw, ., k�n..; � M'� ����,� ���.�-�t- %, � ``� �MEQ-. .�,axi,; ® 1-and 2-family dwelling IDCommercial mdustrial Valuation: t ���IJ�as1 ❑Accessory building 0 Multi-family Number of bedrooms: J 6 1I b (,T a. o Master builder 0 Other: Number of bathrooms: `t "i ``�s i f {�� Total number of floor ' a ) 6 77 Job site address: VV i i i _ *IA- ' - New dwelling area:1221 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4 S( , square feetC Z Suite/bldgJapt no.: I Project name: Q j Vt'ir 're rrract. Covered porch area: 1.4 ■ square feet S C a Cross street/directions to job site: r Deck area: 1 square feet q"'1 s).../.. 443‘,.../ Other structure area: square feet Subdivision Riv{X Ter ac, f- Lot no.:>0) 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 -t ^n 61 f fis x' c :E.---- .-- 'a �" ts..' r F'F'- work indicated on this application. .. . . ,, , , Valuation: $ I Existing building area: square feet New building area: square feet ::::7-7-17-7' y � 1 � aiCiT,dam :" 1 � �� - 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: h �e -.:1_,',-_17'^—,J° , s� <?O'`.-"-f.' - t €�S �`" ��-�g Y,.�� � � ��� �* f l�7, \� � ESS� �rt �x „` '�3 �� S #_.wa'�-..?meg•-�'`':��.... ��,.;.�.�.m3. � ''�14., � a� S .��� �m�' ��; Business name:Polygon WLH,LLC ..%, `x ,.` :,t.,;',.. :447:,,,,,'4"7- "° .,3,4 ° ,moi .�»' t—,-0 Structural plan review fee(or deposit): Contact name:t3 1 lin r fl' lin" 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 I Fax::( ) Amount received: A i N ,L , k ftp c X Email N i 0 s I A i I� %� 11t / 1 4 I te rP 1I 1/ lid z rf ',,.r--'„ - �: � �, .�7", 7N�� - Commercial and residential prescriptive installation of f- ''{ .;: ''' :: s � ''''',P;--..--7: roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Ince 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: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: I'Ch /�//14n470/1311°----- YY. Date:/ �t /'? *Fee methodology set by Tri County Building Industry /„ '` f"� lam///i l Service Board. IAB>igl ermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(Il/02/COM/WEB) CEIVE11) Mechanical Permit Applica FOR OFFICE USE ONLY City of Tigard 9 ; D � Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 U�1 d { - 11 Plan Review Phone: 503.718.2439 Fax: 503.598.1960Other Permit: TIGARD Inspection Line: 503.639.4175 C1Y At' O SAD Date/BY: Date Ready/By: Jude: H See Page 2 for Internet www.tigard-or.gov T)c i TNotified/Method: Supplemental Information i__ t ; :i TYPE OF WORx .: ,' C1AL'FEE SE'L,3r.CKI.IST OMi1tER 'T..SCHEDUIF, V,.. Mechanical permit fees*are based on the value of the work ►�/New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. ..... ._. Value $ y "F � : 2 C.1. ORYYOFCOIlSTRIC1IO m .. � ;RESIDET�LE41A3E hiZSTE13S FEES'- ,, ®1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea Total JOB Slid INFORMATION.AND 3 OCATION Heatinglcooling: _ conditioning 1 46.75 46.75 Job site address: 13 1 L13 SO 'to �v Furnace 100,000 BTU(ducts/vents) 1 46.75 _ City/State/ZIP:Tigard,OR 9722411Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:River Terrace East Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 2332 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:River Terrace East Lot no.:3p _ 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 r o`.;sa .'DESCRIPTION'OF WORK . :. _ ,. Gas fireplace/insert 1 3339 . •�A � n - Flue vent for water heater or gas l�17(A f-D 011)s- fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 PROPERTY OWNER . ❑_TENANT.:. t 2332 _ er• Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 1 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust % 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 1 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans _ 23.32 .; �A1PLCAN 1 W . - , „ . .❑ CONTACTEROis `. Other: 2332 Fuel piping: Business name:William Lyon Homes,Inc $14.15 for first four,$4.03 for each additional Contact name:IV i CVA 0 .e,01 Aorc , Furnace,etc. 1 Address:`t' V t uO4CWJ 0t1 '' 1�5- S sip Gas heat pump 1 ( Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace 1 �� Range 1 E mail 1'GIA 01� o � �,M,el .C/611 W I l Barbecue N C OlI� ` Clothes diger(gas) Business name:FYI)�o( 41'9 �WA Q�(k "'J i � Other. (}fir— '�2,w,`t ,"J (��� 1. '�` ::.:.::-::•:::::,,::.•T:'•• MECi101S. bPERA3I1'FEFS* Address: ���1 1 1` W 1,��/t u 5 i k c ,1 - Subtotal City/State/ZIP: 11Sb �{L k,�i Minimum permit fee($90.00) O�)�T » ���` �+�)� � �� Plan review(25%of permit fee) Phone: (�,(4 Fax: -1 .. State surcharge(12%of permit fee) CCB lic.:2OGi�0�SS 1 TOTAL PERMIT FEE t This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: . 4 * Fee methodology set by Tri-County Building Industry Service Board Print name:Nl L�A a/,:%1 (y 'J Date: IAlluilding\Pelmiu\MEC PennitApp_0401113.doc"11` 440-4617T(11/02/COM/WEB) RECEIVED Electrical Permit Application0,, 2$ 9 01 FOR oFricE-USE ONLY City of Tigard Receives Permit t 13125 SW Hall Blvd.,Tigard,OR 9 T' OF I G A D Plan ew C Phone: 503.718.2439 Fax: 503.59q�.1 0 q c� �y gam Related Pennit it: TIC./tRD Inspection Line: 503.639.4175TILDi s 1Vk'illi'" ReedyDate/By: Jona: 1 SeePage2for Internet: www.tigard-or.gov NotifedlMethod: Supplemental Information => -���� ,f ''7K4TW 13a9,lf.!C : _";- 4%„'f 71;„.4.?iu..'} `PeL`1;.2 'E''��s.:;.=Nr.•c ��%,4W�E//!3�'�x��3Ttla...! "vA`Z`3p)a i.4LQ:' ®New construction ❑Addition/alteration/replacement Please check all that apply(subunit 2 sets of plans w/ltems checked): ❑Demolition ❑Other ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current 0 Marinas and boatyards. ...,..,•..,r.2.'a. ? ,-_x`'y ._by i 74 i .tip Si F:1 O . .�,..--,•:_- _,-,,,,,4---..:'--_--4,-.1exceeds 10,000 amps at 150 volts or Q Floating buildings. ►I4 1-and 2-family dwelling ❑Commerciailindlish ial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural for other inatanarons. buildings-• 0 aita ngs.❑Mu1ti-fmiy ❑Master builder 0 Other ❑Fire pump. ❑Installation of 150 CVA on -- ` o it d ' yds .err,--o it . _r o-t"'t1 i cam - ..'`-' ' n`' 7` ❑Emergency system. larger separately derived Job#: Job site address:J 3 Iy 3 Svc• \'A0* pat ❑IOOHP o ofoewmotor load of system `.t' 100iIP or more. (,.j•'A•,,b,',"1_2","1_3", City/State/Z2:Tigard,OR 97224 0 Six or more occupancy.residential gaits. occupancy. ❑Nealthmarefacilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: I Project name:give*, Tp.�p _(_e Oo. 0 Service locations. 0 Supply voltage for more than `tea f t� ❑Service or feeder 600 amps or more 600 volts stoning Cross street/directions to job site: Description I OIY. I Bach Total New residential single-or multi-family dwelling unit. Subdivision: 'g r Te-Irare- ET y �Lot#: Includes attached garage. _ Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 y n''- _ ,�--;- .s ,r'!.a.xT i 0o_c ` '4t u k.. _ Limited eneraddl 500 sq.es ft. er portion 3392. 1 a _- _ :} energy residential }� (� (with above sq.R) Li75.00 2 MSTUn- DnZq ) mited energy,multi-family . 75.002 residential(with above sq.it.) boa i �. 3. - sxa' _ „lam fa � a� Renewable Energy ❑ See Page 2 .,_= _ vi � }.. - _ Services or feeders installation,alteration,and/or relocation _- Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps orvolts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: . 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 snips 168.54 2 - Si) sk>a x r� r q tz.. if,qt,. �ur�, e Branch circuits-new,alteation,or extension,per panel _ ���"�' �- A.Fee forbranch circuits write Business name:William Lyon Homes,Inc. above service or seeder fee, Ni cho��0 Feu►orbrancitcirc 7.42 2 Contact name: B.Fee for branch circuits without ((�'� ,_ ` { 1 , service or feeder fee,fust Address: 103 l)rUricl wa\ S 1 SS�'C�+ SID branch eincnit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' ' ' Fax::(360)693-4442 Each manufactured or modular 6724 2 Email '1 e, la L ( pi ;,4_ p Pme dwelling,service and/or feeder 67.84 2 Email; ,� 1 :Y,t . , N-1 ,.•.. ' -0,r fa t cv c ,. 1 7 - -_ , Pump or iaigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Signal circuits)or limited-energy Address:‘'407_ \j o.A1 i , , \j'y /1 panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: p (� �io► i ` J Each additional inspection over allowable in any of the above (��Q.l,�t4 p' t f 1 Additional Inspection(l hr min) 66.25/hr Phone:(253)320-165'7 Fax:( ) Investigation(1 hr min) 90.00/hr Frush:bdaniels@gvvensa.com Industrial plant(1 Irisin) 78.15/hr Inspections for which no fee is listed(%hr mm) �' CCB Lic.: CI15S Electrical Lie.: 208174 J Suprv.Lie.: 4496S speclfi � 0V_g W_ Suprv.Electrician signature,required:' ,,?.4-j l( / '• Subtotal: Print name: Joan P Albert - Date: 4/26/2016 0 Plan Review Required(25%of permit fee): .— v — State surcharge(12%of permit fee): Authorized signature: "-'� - `� TOTAL PERMIT FEE: "-�' This permit application expires ifs permttis not obtained vrithin 180 Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. — * Number of inspections allowed per permit `I:1BuildiogIPemits\II.0 PenrdtApP_Et.R ERE.doc Rev 06117/2015 4 0-4615T(1I/051COM/WEB Plumbing Permit Applicat xI , :.,� / ' Building Fixtures I OI2 0111 It 11 1 SI. ONI.\ OCI 26 bill City of Tigard �t� fRyate/B'yam: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 010 ` , .t . Plan Review Phone: 503.718:2439 Fax: 503 T Date/By: OtherPermitNo.: T c;n:t l7 Inspection Line: 503.639.4175 41111� G _ 1 Date ilea i)ln ma H See Page 2 for Internet: www.tlgatd-or.gov is J NotifiedFMdMd: Supplemental Intermatien T OF WORD - ' FLE!� ECR! LE: 0 New construction 0 Demolition Description For special iafornwtif n use checklist. I Total o Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY iOF CoNSTIt17G 'toN SFR(I)bath 312.70 . ® fern 1-and 2- ily dwelling 0 Commercialfmdustrial SFR(2)bath 437.78 : ❑AccessorySFR(3)bath 1 ` 500.32 building 0Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other. sq. ) Page 2 _ , : . Fire sprinkler; ft.) ::_ : :308;iiitis,t INFO1t1V[ATION'.AINND LOCATIOI!T -. Site utilities: Job site address: I 3 1q.b k1.1 t LN°MI ftJ, Catch basin or area drain 18.76 . City/State/ZIP:Tigard,OR 97224 1 , " Dell,leach line,or trench drain 18,76 I Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: lank r Texv Ce_�+.1- Manufactured home utilities 50.03 Cross street/directions to job site: 1 Manholes 18.76 . Rain drain connector 18.76 Sanitary sewer(no.linear ft.:-:--,-) Page 2 Storm sewer(no.linear ft.:_) } Page 2 1 3D Water service(no.linear ft.: ) Page 2 • Subdivision: X c� e l}Q�-c�"`�- Lot no.: Fixtureor.ar item; Tax map/parcel no.: Backflow preventer l 31.27 DESCRIPTION OB wORK Backwater valve 1- 12.51 .._. . ' Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ` :® *O!' t. : (3.`fk211AN'f:: .- Expansion: • .�. . tank 12.51 Name:ADVL Land Holdings;LLC Fixture/sewer cap 25,02 Address:7600 E Doubletree Ranch Road Floor drain/floor sink/hub 25.02 Garbage disposal . 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 ' Phone (602)694-4031 Fax ( ) Ice maker 12.51 - . . 25.02 • _-;,`:,-1: ;14;014-4.54.1k7.., . • �•�;h,'�p;Ri�q'V lnterocptor/grease trap Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: \ (G� \ok� pn)p - Roof drain(commercial) I 12.51 y� Address:163 1?)-roc Jw sk--c telt.i-e-- � i Sink/basintlavatary 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 . Tub/shower/shower pan 12.51 E-mail: Urinal • 25.02 1 . i 1g ► 1•• n � .f l� , } w,� _ � `��. tSi 2502 �, _ `wat�olaset 6 • Water heater 37.52 Business name:Alliance Plumbing LLC Water.piping/DWV . 56.29 Address:146 W Historic Columbia River Hwy Other: 25,02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 , CCB Lie.184601 Plumbing Lie.no.:PB732 Plan review (25%of permit fee) State surcharge(12%of permit fee) , Authorized signature: TOTAL PERMIT FEE Print name:Robert Dishman Date:5/23/2016 This permit applialian expires If a permit is net obtained within 18D days atter it bas been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. 1.1auadi Petu,I oPlaWfennitApp.dot 10/010 440-4614T(10/e2/COMIWEB) City of Tigard IIIa COMMUNITY DEVELOPMENT DEPARTMENT is TIGARD Building Permit Review — Residential Building Permit #: �//A ST)-017- d c— Site Address: /g/171' 00 /(e / / -L Project Name: f'V,Or- -T-P,�a Ce Es-7/--- Lot #: 0 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NA) -7V le— Lda(Illy__ ,2-74_Cit-LO/C Verify site address/suite# exists and active in permit stem. kr River Terrace Neighborhood ❑ No Yes,See River Terrace Review Addendum Attached Sits lan Elements: `[ ree(3)copies of site plan !. sting structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper T Footprint of new structure(including decks)with finished yawn to scale(standard architect or engineer scale) I oor elevations orth arrow VA tility locations&easements(required for new and additions) ie address,project or subdivision name and lot number II Sidewalk/driveway approach plicant information(name and phone number) II i.cation of wells/septic systems Lot dimensions and building setback dimensions II figisting trees to be retained with drip line,and tree • al s+,uare footage of buildings to be demolished rotection measures V1 Lot area,building coverage area,percentage of coverage and Prieet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) eet names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? l Yes ❑ t 4 foot differential) If yes,is a storm water .uali facility shown? ❑Yes No 0° lean Water Services—Service Provider Lett(lot platted prior to 9/10/1995): Y /t7 '/ 14-9 equired: O Yes,applicant was notified V No Received: IDYes ❑ No Ug-e__ AU Public Facilitiis Improvement(PFI) Permit: pr/<O/CP— az 9 J 4ndUseCase#: quired: ` 1 Yes,applicant was nP1)/2,-2•/e_0 - 0000/ tified ❑ No Applied For: (L1 Yes ❑ No,stop intake P1)/�r/ " 00 ! C:Z i(e �d n vg/Zoning:'Zoning: t -� p.6) .. -4 /` 2 P� equired Setbacks: Front Rear s Side O treet Side Garage Q10l andsca e Requirement: p () o� > of Coverage Maximum: 00 Ti Building Height: Maximum Height Nip- Actual Height III0 isual Clearance !l .:sensitive Lands: 0 Yes [ No Type IIV Urban Forestry Plan ❑ Conditions "M "prio�to issuance of buil�g permit l Notes: ( a(knit� S'l// !it LIdr 7?� 1/ ;s $GP_ Approved By Planning: Date: 0" - Revisions Revisions (after Building Submittal only) 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: fel Site Plans: # Building Plans: # Building Permit#: building Enter permit#above. Workflow Routing: Planning cl: 'Engineering "Permit Coordinator 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: By Permit Technician: t Date: 77///‘ . Engineering Review ❑ Slope at building pad: S 76 ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat .a-Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes /No Assess Water Quantity Fee in-lieu: ❑ Yes f L2(No LIDA Facility on lot: ❑ Yes /No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: /2j I kii_ 1,....). Date: 8 /,/i 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 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: ci Z....74--<-c--c.-) /�� �Gl" Date: r/ `-7). - Notes. Celeal KS V-na-- tkL L1 IZoi(1 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: 2:1/ DC Fees Entered: Wash Co Trans Dev Taxes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: (© Yes ❑ N/A LIDA ❑ Yes 7E1'N/A XOK to Issue Permit Approved by Permit Coordinator: le/L6( v Date: )I0I I I:\Building\Forms\BldgPermitRvw_RES 061417.docx City of Tigard .114 q COMMUNITY DEVELOPMENT DEPARTMENT 2 • TIGARD River Terrace Building Permit Review Addendum ,g p--, ,,_.,,.,:.,-,xK; _.„-., .tt ....3. .,1eua dc:372 e..e,; #4,24i t aue-er* ,7:zei;. v» % i-S,". ;. .».. ,._;:x y-„..,,- Building i,.,-Building Permit #: Site Address: / /12-i3 10 4 l/_ Project Name: O/-..er �-P��`� �z 71- Lot #: C/ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist 'ct Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? V 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 deepBalcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min.2 ft., 6ft.wide Gabled dormer ❑ ❑ El ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: /21„ C/, 3. trances:At least one entrance must meet both of the follo g standards: Max. 8 ft. setback from long street- facing wall Parallel to street,angle no more than 45° from street, or ope onto porch Entrance opens to a porch: Yes ❑ No If s,all the following apply: sq.ft. min. ne street facing entry421t.max. roof above floor of porch F 5 ft. depth min. 30%mm.porch roof coverage 4 . etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ZL?] Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entryarea min. 5 ft.wide x 2 ft. deep p ❑ydall offset min. 16 inches ❑ ►ormer min. 4 ft.wide Roof eave min. 12 inch projection IG 'oof offset min.of 2 ft. ❑ Roof shingles either tile or wood 1/ Gable,hip or gambrel roof design ❑ sof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide P 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: N closer to front or side lot line,than longest street-facing wall. El 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. Wi. : (Check one) 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ---__ - _ l�ri Date: I:\Budding\Fomes\B1dgPennitRvw_RES_RT_062216.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 111TransmittalLetter T t G R rD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION 1 4 70-1 Ti FROM: Nichole Thorpe COMPANY: Polygon Northwest ts 5 pM PHONE: 360-989-40204 By. el RE: 13107,13129,13137, 3143 3147 SW 169TH .,�±_ _ ��,.r<<■�r�,..._ (Site Address) - ermit lumber t SHiatraZt River Terrace East L '; (Project name or subdivision name and lot number) (V\6-r Zoo- QO z,a S ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 0 Additional set(s) of plans. 3 Revisions: Bulletin, Plan Sets 0 Cross section(s)and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing.g 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. Adding 3rd Bathroom Option - , v/ /2/c a/Vi 3 e/1/47 FOR OFFICE USE ONLY Routed to Permit Technician: Date: ) , J C— j"") Initials: -4 Fees Due: Yes ❑No Fee Description: Amount Due: I l r ,PJ vk rtV eA, - $ 90 - $ $ $ Special Instructions: Reprint Permit(per PE): Yes ❑No ❑ Done Applicant Notified: _ Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13143 SW 169TH AVE, BEAVERTON, OR, 97007 May 24, 2018 at 8:42:08 AM Record Type: Record ID: Residential - Master Permit MST2017-00295 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor cx\ )- ` - FOR OFFICE USE ONLY-SITE ADDRESS: A�J1� SV s OLS VArN 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 114 Transmittal Letter T i c,A,R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED AUG 14 2017 FROM: Angela Grajewski CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 By: X57 .o 17-G3 RE: 13147,13143,13137,13129,13107 SW 169th Ave `')5- (Site Address) (Permit Number) River Terrace East Lot 29-33 706 (Project name or subdivision name and lot number) 30/ ATTACHED ARE THE FOLLOWING ITEMS: Copies . Description: , Copies: 1 Description: ` ;'v 0 Structual Detail sheets Additional set(s) of plans. 3 Revisions: included 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. (plans were submitted with out structual detail sheets) FOR OFFICE USE ONLY 41, Routed to Permit Technician: Date: Initials: Fees Due: n Yes ❑No Fee Description: Amount Due: $ $ Special Instructions: Reprint Permit(per PE): n Yes n 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: 13143 SW 169TH AVE, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00295 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor Plumbing Permit Application Site Utilities -:y FOR OFFICE 11SE ONLY City of Tigard r Received 13125 SW Hall Blvd.,Tigard,OR 972b�'"�v j 7 Date/By: /off/i 7/i , Permit N,9 l 7j ro��,c Phone: 503.718.2439 Fax: 503.598.1960 Plan Review �lOt(/ Inspection Line: 503.639.4175 Date/By: ( _ -(� Other Permit No.: TIGARD p Date Ready/Bv Internet: www.tigard-or.gov /6,F- �Juris I S See Page 2 for "° ° -� -� ��� - Notified/Method ��,� J Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist ❑Addition/alteration/replacement Description Qty. Ea. Total ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR El Accessory building (3)bath 500.32 ®Multi-family ❑ Master builder Each additional bath/kitchen 25.02 ❑Other: JOE SITE INFORMATION AND LOCATION Fire sprinkler(1,221 sq.ft.) i,1„-.1;13-- Page 2 utilities:Site utilities: Job site address: 13143 SW 169th Ave Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: I Project name:River Terrace East Footing drain(no.linear ft.: ) Page 2 Cross street/directions to job site: Manufactured home utilities 50.03 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Subdivision: Water service(no.linear ft.:_) Page 2 I Lot no.:30 Fixture or item: 'Fax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OFWORK Backwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Permit# Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 Ft PROPERTY OWNER 1" 0 TENANT Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Address: Floor drain/tloor sink/hub 25.02 City/State/ZIP: Garbage disposal 25.02 Phone:( ) Hose bib 25.02 Fax:( ) Ice maker El APPLICANT12.51 ❑ CONTACT' PERSON Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 Address:146 W Historic Columbia River Hwy Roof drain(commercial) 12.51 City/State/ZIP:Troutdale,OR 97060 Sink/basin/lavatory 25.02 Solar units(potable water) 62.54 Phone:(503)492-3490 I Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail: robert.dishman@allianceplumbing.net Urinal 25.02 CONTRACTOR Water closet 25.02 Business name:Alliance Plumbing,LLC Water heater 37.52 Address: 146 W Historic Columbia River Hwy Water piping/DWV 56.29 Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lie.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: -7-7L__.) State surcharge(12%of permit fee) I TOTAL PERMIT FEE Print name:Gavin Thomes Date: 12/6/2017 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. I:\Building\Permits\PLMII-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site'Utilities , Qty. F edea) Total Square Footage: Permit Fee: 50.03 0 to 2,000 $121.90 Footing drain-l'100' 2,001 to 3,600 $169.69 Footing drain-each additional 100' 37.52 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54Medical Gas Systems: Water Service-each additional 100' 37.52Valnatitm: ermIt '' e: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.each50 for the first additional$100.00 or f action thereof,to Other l;�spect0 and$1.52 for i�ns,or Fees , Qty. , Fee:(ea) Total ' and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge1/2 hour) and including$25,000.00. Insections outside ofnormal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge—2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. .0 a $1.20 Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for thenal$first $0 000ora 0i an hereof.for (minimum charge—1/2 hour) Subtotal: Other Fixtures: I I Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Replace/ Plan Review for Plumbing Installations Fixture Type for Capped Added Relocate Work Performed. Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Dishwasheruspidor/Water Aspirator-Domestic ❑-Commercial as defined in OAR918-780-0040. Medical gas and vacuum systems for health care facilities. ® Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918 780 0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. Car Wash Drain Isometric or Riser Diagram Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings -Commercial-food al-foodelrelated Disposal -Domestic-foodthat meet the qualifications above. related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor Closet-Toilet increase of sewer EDUs,a sewer permit will be issued and Water fees assessed for the sewer increase must be paid before the Urinal https://allianceplumbing-my.sharepoint.com/personal/gavin_allianceplum12ng_net/Documents/Documents/Fire Sprinklers/RT/City of Tigard Permit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13143 SW 169TH AVE, BEAVERTON, OR, 97007 May 30, 2018 at 11 :19:39 AM Record Type: Record ID: Residential - Master Permit MST2017-00295 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: 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