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Permit (74) qCITY OF TIGARD MASTER PERMIT I!, COMMUNITY DEVELOPMENT Permit#: MST2017-00294 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2017 Parcel: 2S 106DA02900 Jurisdiction: Tigard Site address: 13147 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 29 Project: River Terrace East, Lot 29 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 101 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 646 sf Garage: 547 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 633 sf Right: 0 Detectors: Total: 1380 sf Value: $186,029.93 Rear: 5 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: 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 VVoodstoves: 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: 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 1380 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 STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $23,342.22 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 thro OA:I-001-1090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. +' 0. "" ON ' "" '', C --77C -V/ 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. i `Building Permit Application 4, r - RECEIVES FOR OFFICE I SF O\Ll City of Tigard Rived VT /7 / Permit No.*s)/l O / 13125 SW Hall Blvd.,Tigard,• JUN 14 2017 Plan Resew ,1 / �a per �, �/J ' Phone: 503.718.2439 Fax: 5 Date/By: S . �) —) 7 5% 2 2/7-z2 7 T Inspection Line: 503.639.4175 CITY OF TIGARD DNaotetifReeda/MdyByd://///7/17 ..4; y' furs: S®upSpeemaega2l for rmationI I Internet www.tigard-or.gov OV BUILDING DIVISION ".--- - - �ad ' �&fib ��rt54 � Fs ;' `, a SiF �aP .x. ... .......... 'a.x a .....,.:;.'— -„`., '' xis... -' -' x..E..'.----';---"L''''''-''' --';- az&1.e. .€ ,''—'—' '.^ w .,..;;;;.c .,..:-. . ..-t ... . .. ..a,:.' a."•=. ®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 i',, t ' i t, k - _ E i' t ll work indicated on this application. ® 1-and 2-family dwellingValuation: ❑CommerciaUmdustrial 0 Accessory building 0 Multi-family Number of bedrooms: - 1 8 6 J Oma 0 Master builder 0 OtherNumber of bathrooms:: -, '~f';'' t '° 4� 7:•i%'''''` aF 6 Total number of floors. s Ls i c Job site address: / I,V 1 i r _ -_ 'l ' -- New dwelling area:13 Ng()square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: S� square feet 3 3 Suite/bldgJapt no.: Project name: Voir 're(IYQGG Covered porch area: —! n square feet 64.6 Cross street/directions to job site: Deck area: Y' square feet '�It Other structure area:• square feet • Subdivision Rio. -Teri ctcc-Ea,si- Lot no- l 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 b --„..t-,---. ',--, -` `”- , -, - 6 ;�` work indicated on this application. Valuation: $ I Existing building area: square feet New building area: square feet �a� 'i�' `t 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: Business name:Polygon WLH,LLC ��� �` � � N,W`� Structural plan review fee(or deposit): Contact name: 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 Email ki( 0 * IA 1 lC A ►► Ll1 1 11 111 '-' . -: - '." —_ �'- r , - Commercial and residential prescriptive installation of - `- ' ., �a ,.- w roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:William Lyon Homes,In; 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•dministrative 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: �Ji Ch die / YYie Date: t'7 *Fee methodology set by Tri-County Building Industry /" .v V'—�"� �e��f Service Board I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) RECEIVED Mechanical Permit Application FOR OFFICE USE OINI.r City of Tigard OCT 26 2017 Received Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 1 II Plan Review Phone: 503.718.2439 Fax: 503.598.19%0f f j OF T I G A R D Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 �p}�t , s ate Ready/By: Juris: 61 See Page 2 for Internet: www.tigard-or.gov � lil i� I V SI{_ �'-otified/Method: Supplemental Information TYPE OF 3iiitui f` sFEE* SCHED a ,, :; C01�lERt�Ak. ULE .ITSECTlECIQ.iST .: performed. (roundeddollar) Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement Indicate the value to the nearest of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. - CATEGORY OP CONSTRUICTIO/4 F Value $ _.:.: ... .... .. IDENTIAL EQUn'MENT>Y SYSTEMS FE ®1-and 2-family dwelling 0 Commercial mdustrial ❑Accessory building For special information use checklist ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total :i �; JOB SIrrE INFORMATION AND LOCATION _ Heating/cooling: . , ._--,: _ Air conditioning 1 46.75 46.75 Job site address: (3(y1 Svc 'i n 0�'1 pot, Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 lV ' ," Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:River Terrace East Ductwork 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 1 23.32 Subdivision:River Terrace East Lot no.:2,1 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTIONOF WORK r ." Gas fireplace/insert 1 33.39 h Flue vent for water heater or gas MS"� t, U 01.°k`) fireplace 23.32 t Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 . ® PROPERTY OWNER .; .'",:':.:...'''.i ❑..TENNANT. d ventilation: 23.32 Other Environmental exhaust an Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment I 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust L 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) n 23.32 - Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 2332 — ' j$I,APPLICANT *: .-.❑ CPPIT.A.CT PERSON Other: 2332 Fuel piping: Business name:William Lyon Homes,�^ Inc. 1� '�p S14.15 for first four;$4.03 for each additional Contact name: I C Y L O 1 V t O I y1l e Furnace,etc. 1 Address:1 ail t Sv sip Gas heat pump 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:AO 1 c,kol� 1 YI.A ,l„� („�fl.(,,y . Barbecue y COT CTO .. .- �. R _ -`i: Clothes dryer(gas) Business name:(�M V 1`l`�,t"1 a ^ COOI,n( ;"'";,v) — _ -U�F N W . , �� t MECH. ...CAT PERI�IIT FEota Address: Subtotal City/State/ZIP: r, hA , 1 Minimum permit fee($90.00) *� Plan review(25%of permit fee) Phone:503)443,. 4 Fax:613) of 1 SVI s State surcharge 2%of permit fee) CCB lic.:10/,1 001 TOTAL PERMIT FEE _i This permit application expires if a permit is not obtained within 180 /�/� ,,�jdays after ft has been accepted as complete. Authorized signature: t�%� 'e///o✓� * Fee methodology set by Tri-County Building Industry Service Board Print name:A/614 die....--11(}' 1"� Date: " T:1Building\Pennits\MEC PennitApp 040113.doc 440-4617T(11/02/COM/WEB) _ . 1 RFCEIVED ) Electrical Permit Application , 2„ . , 7 FOR OFFICE USE ONLY fj1 0 ?[11 City of Tigard Received Date/B . Permit#: 1114 11 13125 SW Hall Blvd.,Tigard,ORefpt i OF TIGARD Plan Review • 1 2 Phone: 503,718.2439 Fax: 503.30.1960 DataBy: Related Fern*ti: Inspection Line: 503.639.4175 IMMIE Ei SeePage2 for TIGARD li 06:1/Method: , Internet mAgard_or.go„ BUILD1NC D Ivi.SION Re:43)2143Y: Supplemental Information 7=',:t- Z---,4- 6,,.;t::•:-Zt-l-rtTX.4'..: 01,11WV-IVOSO--- -.-ig4 - -- .:W. N.:1;':F' 411'54;3X24-47Y410Vi- -.4.'3/14;4.g'a-;:f. ing=g',54.''' - New construction 0 Addition/alterationfreplacernent Please check all that apply(siihmit 2 sets of pians w/iterns checked): . 13 Service or feeder 400 amps or more D Building over&TPA stiries. 0 Demolition 0 Other: where the available fault current 0 Urchin and boatyards. ':;i-Y:-.- Q'W'T'r. -':'-t::"--'gr:..'::"c-rA5:,:,et,-0'i..Walfa,t.N qr...:07pAWALIA)3Fq:_;;:;--':- -::„*.•,,k-1&•%-. exceeds 10,000 amps at 150 volts or 0Floating buildings. El 1-and 2-family dwelling D Commercialliridtistrial El Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. . buildings.• 0 Multi-family -- 0 Master builder 0 Other: 0 Fire pump. 0 hutallation of 150 KVA or 0 EmergencyV°em. - 0 Addition emotor load of larger separately detived system. Job#: I Job site address:131141 kp. \tool* pat, 10011P or more. City/StateMY:Tigard,OR 97224 0 Six or more residential units. occupancy. 01-lealth-earc facilities. 0 Recreational vehicle parks. Suite/bldg./apt#: I Project name:gi\ach,-Temn2(....e Earri_. 0 H2zardous location& ,-,r1 SuPPIY voltag!thr more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: •5:,;''-e)K1';-ei-A5.-; :a:;'-f•Vt-iY:IA•,-,---•'-. 1-:±a'.....'4•7:41'.. '' Description I. ots- I Each''.1 Total • • New residential single-or multi-family dwelling unit. Subdivision: IC--,1-17kle r Tttret 0'- -Eo,s+- 1 Lot#:1.9 Includes attached garage. 1.000 sq.ft or less j 168.54 4 Tax map/parcel#: Ea.addl 500 sq.ft.or portion 1 33.92 1 - -;., _, g:'1'',1-8EMAjrkeq--t-M--54'.•'-`75'i'r-47 *, t Limited energy,residential 75.00 2 1/1511,0 n - 002,9 (with above sq.ft) Limited energy,multi-darnily 75.00 2 residential(with above sq.ft.) Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC S200 amps or less 100.70 2 , Address:7600 E 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 or volts 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 amps 168.54 2 .....,,,,7„.14,,,,,, ,i,-;,,[,i_%.,;',410 e,A,,,,11.-..s•;-,,,,:1,,,,i4y,,,- .„..;:,.4-c.,:z.17r,v,-.6,0-i,r,r, ,,,alri4.;..{:ia,,v3-_,424., AB.ranet circuits-new,alteration,or extension,per panel Business name:William Lyon Homes,Inc. aboveservicecircuit ceor eder fee, 7.42 2 each branch contact name: (Ji ch ok,7110rik, B.Fee for branch circuits without service or feeder fee,fast Address: 1 03 27nyxclwakA st Su:AA.t.„ D branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 4 Each R&M branch circuit 7,42 2 .. Miscellaneous(service or feeder not Included) Phone:(360)695-7700 ' '.' Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or fbeder Email;; 1 e hp 6. 1 tit 0 J 4_,411 me Iii Reconnect only 67.84 2 ',.;f1''';:11:-P=77''ir'•'''', 1;2: 7'.--if;.-rti4:,,TA.ilt,-Fac^.";t'•-eYra--;,•.,-i-,-..--•--,c,*".:',..:---1-,'dv-'7.-r.- .4.-7;_-='-,:•-!.1•:,.. -.' Pump or inigation chic 67.84 2 Business name:Garner Electric Washington,LLC ' Sign or outline lighting 67.84 2 .1... Signal circuigs)or Addressi _ ikLi j \4-e,\ \„)\3_1 ,k..x\.-e-, \UP pEaanceh,aadtedriattioonna,lorilniemsxptieteencdst-iieoonnn.e rover allwaIngea2ny of he abov2 City/State/ZIP:'PR k!caw p 1 kx.4;.. Cl e'n 1 Additional inspection(1 hr min) 66.25/la Phone:(253)320-1657 1 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) • 78.18/br Email:bdaniels®gwensa.com Inspections for which no fee is 90.00/hr CCB Lic.: C1L58 Electrical Lie.: 208174 Suprv.Lice. 4496S specifichl listed A hrmin -?-t---- -•&.*- 91•11•;161.,,t•a7,_iJ 013.3115fltiaW•,•741-3,.:-V, Suprv.Electrician signature,required:7::;:atil ." — lic.,,, --s•-••:-- Subtotal: Print name: loan P Albert •• Date: 4/26/2016 0 Plan Review Required(25%of permit fee): • <--- - — State surcharge(12%of permit fee): :', ---•"" Authorized signature: .-.r-7---41 -ilin.-- ---- - TOTAL PERMIT FEE: ::. -- This permit application expires if a permitis not obtained within 180 i•,, Print name: Bill Daniels Date: 4/26/2016 days after klutz been accepted as complete. * Number of inspections allowed per permit ....liv.,.. ;.,•i• x\DaildingTermits'OEX PartoltApp ELI?.ER.Paloc Rev 06,17/2015 44114615T1If05/COM/W2B 1'04.. Plumbing Permit Appltca, _.1A � ,��IIVE1) Building Fixtures l OR 01'1 I( 1: t SI O. 1.' City of Tigard 0 C.( ?_U RDal By. permit No.: i Al111 13125 SW Hall Blvd.,Tigard,OR 97223 Dn Plan Phone: 503.718.2439 Fax: 503 0 ' TI G t� Datdy Review OtherPermit No.: Inspection Line: 503.639.4175 T 7 G n A[7 T 1 Date CteadyiBy 7uric B See Page 2 far Internet www.ugurd or.gov ull f is�y ) -* Notified!tdetirod: Supplemental Information SCRE r FEES' 13t11� 0 New construction 0 Demolition For special Information use checklist Description j city. 1 Ea. 1 Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGOIi'Y.`OF CON ST1111C`CION SFR(I)bath 312.70 , _ ® 1-and 2-tinnily dwelling 0 CommerciaWmdustriai SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bathlkitchen 25.02 0 Master builder 0 Other: Fire sprinkler{ sq.ft.) Page 2 :,.JOB 1PNFORMATION`ANu.LOCATION Site utilities: Catch basin or area drain 18.76 Job site address: I3 `i.{ S� ( t 0 City/State/ZIP:Tigard,OR 97224 b Drywett,leach tir►t or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no.: ` Project name: Iver TQjn171 f P.€044-- 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 �1 X Telfa.Ce_ f `- Lei Water e e(no,linear ft: ) Page 2 Subdivision: l T Lot no:: Fixture ar hear: Tax map/parcel no.: Backflow preventer i I 3127 Backwater valve12.51 DESCRiR t[ON Olt WORK Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 ***T3(Q**1 : 1 - TEr1ANT ; tank . Expansion 12 S Name:ADVL Land Holdings,LLC Fixturelsewercap 1 25,02 Floor drain/floor sinkthub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 ' Phare (602)694-4031 Fax ( ) Ice maker • 12.51 ...1 ;i> 1otioY lnte for/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer 12.51 . Contact name: h,�'1a21l1� Roof dain(commercial) 12.51 Address:'1b2 S)S& Lf._vO Sink/basin/lavatory 25.02 f 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 Urinal - 25.02 E-mail • : . Y.r. . . . m Wates coset 2502 Water heater 37.52 Business name:Alliance Plumbing LLC Water.pipineDWV . 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 pem it fee: $72.50 CGB tic.:184601 41:tipt/... Plumbing Lia no.:P8732 Plan review (25%of penult fee) State surcharge(12%of permit fee) , Authorized signature: TOTAL PERMIT FEE Print name:Robert Dishman Date:5/23/2016 This permit application expires If*permit is net obtained within ISO days after U has been accepted as caa►plere. *Fee methodology set by Tri-County Building industry Service Board. 1.11Muein Torr suPLMI)rermuApp.doe 10ai/09 440-4616T(10/02ICOM/WEB) City of Tigard III 'I COMMUNITY DEVELOPMENT DEPARTMENT I T I c a R o Building Permit Review — Residential Building Permit #: /uS720f 7' Qj,,),9 q ' Site Address: / /2-R- 00 /( 14 ,"%' Project Name: /2--(0,24— -7-eiycve-e. E:qL Lot #: c- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review / / Proposal: f�2/,�) 5('7 ff'—h fly__ /-CL_Di� V VJ Verify site address/suite#exists and active in permit stem. irt River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Sits lan Elements:f sit ` ree(3)copies os plan / 5sting structures on site *Footprint of new structure(including decks)with finished oor elevations ite plan must be on 8-1/2"x 11"or 11 x 17"paper yawn to scale(standard architect or engineer scale) illorth arrow VA tility locations&easements(required for new and additions) o address,project or subdivision name and lot number II Sidewalk/driveway approach plicant information(name and phone number) Ill .cation of wells/septic systems Lot dimensions and building setback dimensions r Il*sting trees to be retained with drip line,and tree • ►ll s,,uare footage of buildings to be demolished otection measures VA Lot area,building coverage area,percentage of coverage and 4!J •eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) II Street names in Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? LVJYes CI v 4 foot differential) If yes,is a storm water quality facili shown? ❑Yes No Olean Water Services—Service Provider Letty (lot platted prior to 9/10/1995): LA / (/ "✓P'/ oJ11-1- Required: 1=1Yes,applicant was notified V No Received: 1=1Yes 1=1No aa-e_. Public Faciliti Improvement(PFI)Permit: r/�.C�/Lp c,-.equired: `0 Yes,applicant was notified GINo Applied For: [Z1 Yes 1=1No,stop intake Viand Use Case#: p))P2 rf - ©00) / 6,Q l(�—(�(�a Zoning ife)--- A�� 42- c- P.0 , equired Setbacks: Front Rear �' Side treet Side N Garage �� andsca e Requirement: (� p q o� /Lot Coverage Maximum: Building Height: Maximum Height 0ii- Actual Height fl' isual Clearance !1ensitive Lands: ID Yes L►d No Type 5:ipt Urban Forestry Plan ❑ Conditions "M "prio to issuance of buil g permit Notes: t / On..,j S'>�k�// nit - CJ r- 74 /71- SSCkQP7c-P_ Approved By Planning: -C\ Date: 0'2" -- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: /r/ /7 Site Plans: # 3 Building Plans: # 3 Building Permit#: VEnter building permit#above. Workflow Routing: :arming L�Engineering Permit Coordinator /e"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. r- Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / e- By Permit Technician: li �` L L La,/iL��/ Date: F7 r o Engineering Review o� .1 Slope at building pad: 0, fi 1/6 /e ❑ Conditions "Met"prior to issuance'.f building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Er No Assess Water Quantity Fee in-lieu: ❑ Yes )'To LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 144(taj] _ Date: e/ 17 I 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: rot Date: �f otes: �� /e°/ 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: .40 N3 SDC Fees Entered: Wash Co Trans Dev Tax: ►': es ❑ N/A Tigard Trans SDC: Ci Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes 7N/A OK to Issue Permit J Approved by Permit Coordinator: Date: 11/j f I:\Building\Fonns\BldgPermitRvw_RES_061417.docx go . City of Tigard III ' COMMUNITY DEVELOPMENT DEPARTMENT 1 T I G ARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: /- 712-/ — 7 /( Q e_ Project Name: 01�..ere,,,,,e Lot #: cam_ 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 façade 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 deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ CICI ❑ 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: /2"/-- qe 3. trances:At least one entrance must meet both of the folio , ng standards: Max. 8 ft. setback from longe street- facing wall SII 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. 1 ne street facing entry V(21.5/24t.max.roof above floor of porch TA 5 ft. depth min. V30%min. porch roof coverage 4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: L ] Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ Tall offset min. 16 inches ❑ P ormer min.4 ft.wide Roof eave min. 12 inch projection 1► P oof offset min. of 2 ft. ❑ Roof shingles either tile or wood TA Gable,hip or gambrel roof design ❑ ' sof 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'/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: ❑ 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. 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: _ �," Date: Mr I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx ms-T4-C.)\--; - FOR OFFICE USE ONLY-SITE ADDRESS: I \L \ CS\. l\C V'Nie- 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 • • Transmittal Letter T i G A It 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 14 201' FROM: Angela Grajewski ctPI Or TIGA D COMPANY: Polygon Northwest � � � (]�" PHONE: 971-212-2144 BBy: QST).© l7-00„,?9 RE: 13147,13143,1313 7,13129,13107 SW 169th Ave ,2 c � (Site Address) (Permit Number) -2 River Terrace East Lot 29-33 JOts (Project name or subdivision name and lot number) 30/ ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description, Copies ; T)escr4P. tion:`; . . 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) FOlt F ICE USE ONLY �: Routed to Permit Technician: Date: Initials: Fees Due: n Yes n No Fee Description: Amount Due: $ Special Instructions: Reprint Permit(per PE): I I Yes n 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: 13147 SW 169TH AVE, BEAVERTON, OR, 97007 May 24, 2018 at 8:43:54 AM Record Type: Record ID: Residential - Master Permit MST2017-00294 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor Plumbing Permit Applicati t:� ,r` .- Site Utilities e3'7 FOR OFFICE USE ONLY City of Tigard DEC 4-4 2017 Received III 13125 SW Hall Blvd.,Tigard,OR 972 Date/By: I�./7/I? Permit No. g Plan Review �ST�G/7-� C Phone: 503.718.2439 Fax: 503.59A.,1960' / ' AG/ Inspection Line: 503.639.4175 �) Date/By. a/i pi 6 Other Permit No.: TIGARD p Date Read /B Internet. www.tigard-or.gov Ready/By. /� T tuns I 0 See Page 2 for Notified/Method �f TYPE OF WORK Supplemental Information fL FEESGIIEI3UL I New construction ❑Demolition For special information use checklist. 111Addition/alteration/replacementDescription Qty. Ea. Total El 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 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 11 Multi-family SFR(3)bath 500.32 El Master builder Each additional bath/kitchen 25.02 ❑Other: Fire spr ities:.(.1138Ysq.ft.) /3 Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:13147 SW 169"'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 _Lot no.:29 Fixture or item: fax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Permit# Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 CO PROPERTY OWNER I ❑ TENANT Expansion tank • 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 City/State/ZIP: Garbage disposal 25.02 Phone:( ) Hose bib 25.02 ) Fax:( Ice maker 12.51 ►;1 APPL ICANT 0 CONTACT' PERSON Interceptor/grease trap 25.02 1 Business name:Alliance Plumbing,LLC I Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 Address: 146 W Historic Columbia River Hwy Roof drain(commercial) 12.51 L 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.dishmanallianceplumbing.net Urinal - 25.02 am 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 Lie,no.:PB732 Plan review (25%of permit tee) Authorized signature: P-----7...,/71.-_-.3State surcharge(12%of permit tee) t name:Gavin Thornes TOTAL,PERMIT FEE � J 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. ,Permits\PLMU-PermitApp.doe 10/01/09 440-4616'4(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: site`Utilities = , . p•e,(a)_ , Total Square Footage: rmit:Pee: n to 2,000 $121.90 Footing drain-1S1 100' 50.03 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-ist 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation; Permit Feet 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.each additional for the first$100 000orf a0 ction thereof,to $1.52 for Qty, Fee(ea) Total and including$10,000.00. Other Inspections or Fees 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 and including$25,000.00. (minimum charge1/2 hour) Inspections outside of normal 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. r 0 Additional plan review for revisions 90.00/hr $50,001.00 and up $7ch 42.00 fti thenal first rst$$100.00 000.or 0iandthere$1.20 for ad(minimum charge-1/2 hour) Subtotal: Other Fixtures: I I 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 ' Fixture Type for Repla4el Plan Review for Plumbing Installations Work Performed: Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower 0 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 or ❑ New exterior plumbing site utilities for any complex structure Cu Dishwasher her -Commercialoas defined in OAR918-780-0040. Dishwasher ❑ Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Eyyinking DFountain Any complex structure as defined in OAR918-780-0040. e Wash El Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" 4" , Car Wash Drain Isometric or Riser Diagram Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-foodrelatedthat meet the qualifications above. -Commmerciaal-food retlated -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 increase of sewer EDUs;a sewer permit will be issued and Water Closet Toilet fees assessed for the sewer increase must be paid before the Urinal haps://allianceplumbing-my.sharepoint.com/personal/gavin_allianceplumt52'ng_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: 13147 SW 169TH AVE, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00294 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13147 SW 169TH AVE, BEAVERTON, OR, 97007 May 30, 2018 at 11 :19:39 AM Record Type: Record ID: Residential - Master Permit MST2017-00294 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 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13147 SW 169TH AVE, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00294 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor