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Permit (102) �. 3 CITY OF TIGARD MASTER PERMIT 2 COMMUNITY DEVELOPMENT Permit#: MST2017-00462 T[ ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/19/2017 Parcel: 2S106DA01200 Jurisdiction: Tigard Site address: 13259 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 12 Project: River Terrace East, Lot 12 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: 30 Bathrooms: 3 Second: 562 sf Garage: 456 sf Front: 8 Smoke Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes Total: 1221 sf Value: $163,630.89 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 Rain Storm Sewer 100 0 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 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 Ecompasing: Y Other: N Other Description: 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 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: $23,947.64 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or A‘Z. 1.800.332..22344. �(Issued By: / Permittee Signature: `!/�G6/{ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application • ite4de'iitiii. FOR OFFICE I SE ONLY City of Tigardrp�II II rr Received /1 2? j Permit No: 7'13125 SW Hall Blvd.,Tigard,OR It il Date/By: Plan Review r Phone: 503.718.2439 Fax: 503 598.1960 Date/By: ,a,lb Other Permit:c/4Qc _�72 e^ T I G A R D Inspection Line: 503.639.4175 Ci i i ;e a�� Date Ready/By: Anis' H See Page 2 ofof J J Internet: www.tigard-or.gov BUILD NG v1::;;CN Notified/Method: I i/7 (7 4/ Supplemental Information L3M L-E ❑Demolition Permit fees*are based on the value of the work performed. f', R @ t It 6 s® 46 ®New construction Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the , �' � # 4� ; `' x$i . .. $ . work indicated on application. , 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ ty� El Accessory building Multi-family Number of bedrooms: 16 3 , 340 ❑Master builder ❑Other: Number of bathrooms: 15.� 1p „-,01 Q 0 l3 s -� �t 16 7 7 Total number of floors: 2 Job site address: f Gl SW ( New dwelling area: / 1 square feet City/State/ZIP:Tigard,OR 97224 �/Garage/carport area: i �l _ square feet —Ca Suite/bldg./apt.no.: I Project name:River Terrace East ft Covered porch area: iii lsgq/uare feet _5 6 - Cross street/directions to job site: Deck area: y� square feettlq 7 Other structure area: / square feet R • te Subdivision:River Terrace East I Lot no.: Z 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 _, sx �. equipment,materials,labor,overhead,and the profit for the ; O '. V; , l work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet n V 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:( ) t•%74 7:-!4' f pb$h 1� 6 New: t �• Business name:Polygon WLH,LLC Contact name:Nichole Thorpe Structural plan review fee(or deposit): Address: ,SA- FLS plan review fee(if applicable): 03 Broach A)tSU A� S�D Total fees due upon application: City/State/ZIP:Vancouver WA 986601 Phone:(360)695-7700 Fax::( ) Amount received: E-mail:Nichole Thorpe =8 t may • ,t ' � 7Y. Commercial and residential prescriptive installation of _. , P . ,� ,,, v; .e ;; a roof-top mounted Photovoltaic Solar Panel System. Business name: j)O t I l m V i LN + AJI 1 t Submit two(2)sets of roof plan with connection details Address: L �c o and fire department access,along with the 2010 Oregon b3 E w0_L 1. O 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: $201.60 Authorized signature: / • This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Date:06/16/2017 Service Board. I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) !Electrical Permit Anplitea rola City®f Tigard geed FOR OFFICE USE ONLY R 13125 SW Hail Blvd.,Tigard,OR Ji22,` Plea R r Phone: 503.7182439 Fax 503.598.1960 e�ew Inspection Line: 503.639.4175. DatrJ$. Related Permit#: TIGARI) ReadyData/By: Jerk SeePage2for bntemet•www.figard-or.gov Noh8ed/Method j:r � Supplemental Iaforma600 ®New constructionAddition/alteration/replacement .. �, • . �; ;, �`�'�;�r��c+��a�� ,;�� 0 Addition/alteration/ lacement Please check all that apply(submit 2 sets ofplaas w/ttems checked): 0 Demolition ❑Other: DService orfrader400 amps or more ❑Building over tine ds. v �, � } where the available fault current rte _..� r,' ,i V e 9!`'t+y -?i t ❑Madman and boatyards and 2-familydwelling " oxoeeds 10,000 amps at 150 volts or [�Floating buildings g� ❑Commercialinidustrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-me agricultural AltMulti-family 0 Master builder Other: amps for all other installations. buildings.. _atJ � � aa pump Inslso v:. e .e ii`Fi( pe _© •-•••..;,',.--43---=---•' r�k CIEmerency systemlerger separately derived Jab# ( 7ob site addins C ' 0 Addition of new motor load of system. ! 10,0EPormons. ❑A",'E","I2,"1-3", City/ ��IP:Tigard,OR 97224 12 Six or more residential units. occupancy. SuiidbldgJapt#: Proact name: � 011mill-care facilities. i]Recreational vehicle path. givor r 6.e �i O Flazardoas locations ❑Supply voltage&u more than Cross street/directions to job site: ❑Service aiaedot 600 amps ormore. 600 wtts nomi�t Description Qh. Zeds 1 Total ( ,7. Subdivision: (LiverNew residential single-or multi-family dwelling unit. - Thera cp. -E -t— I.t,t# I2 Includes attached garage. Tax map/parcel#: T 1.000 sq.S or Jess 1 168.54 4 Ea add'I500 " _ � �;�c $-a � ,af .„, x -z-"',- Y' Limitedenorgy,sq. demd ' 3392. 1 (whit above sq.ft) 78.00 2 Limited energy, r'" 'fit,^�".}+ T�. °3 ,.�1 hta�.i ate � '� <`c.. ._ .�' ...:sf^ir:";. �.... . Rencw'dblGFit(with t},� multi-family _ 7$00 2 _ _,,-_ ; -",r� .,> rA� es Y Q See Paget Name:ADVL Land Holdings LLC Sexviees or feeders Installation,alteration,and/or relocation 200 amps or less 10030 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 s City/Stet/72P:ScottBdale,A7,85258 401 amps to 600 amps 200.34 2 Phone:(602)6944031 � Fax 601 amps to 1,000 amps 301.042 ( ) Over 1,000 amps or volts 55226 2 E1: Temporary services or feeders Installation,alteration,and/or mai Owner installation:This installation is beingmade onrelocation0amps o intended for sal Lease property thatl 01'`��is not 200 amps or less 59.36 I a ,rent,or exchange,according to ORS 447,449,670,and 701. ' 201 amps to 400s Owner signature: ' 125.08 2 Date: 401 amps to 599 amps 16834 ` _'( t 7.,.4-'"_;14. l .c, „,L,,,,,,- ,1k.51.� ,,ter, Braeech circuits—new, alteration or extension,`• �!��-� �� + � et panel Business name:William Lyon Homes,Inc. A Fee for a raneh circuits wear Ni L above service or feeder fee, Contact name: N1 rll Q�Th each branch circuit 7.42 2 1� y q, B.Fee for branch circuits without Address: 103 f 3i O JCc a l A St 5;t -t, S t V br circuit fee,fust J 56.18 2 City/State/EP:Vancouver,WA 98660 Each add'i branch circuit 7.42 2 Phone:(360)695-7700 Fax :(360)693-4442 Miscellaneous(service or feeder not included) Each manufactured or modular Fmnri , / dwelling,service and/orfeeder 67.84 2 r 11 t MP * Reconnect only 67.84 2 -� �� '� 07,E re � �'�—�..��i 1,':”} Canter Electric Pump or irrigation circle Business name c Washington,LLC 67.84 2 Address; _ Signor outline lighting 67.84 2 QZ Signal citcuit(s)or limit&energy `loakk� i Z�+•� k iV S LO � \ panel,dictation,or extension. Q See Page 2 2 C' /Steta/ZIP:' J _ n3` ?J Each additional Las U (1 hr s a over allowable in a of the above Plicae;(253)320-1657 I��tt�p{ � I Pax:( ) i Additional inspection(1 hr min) 66?5/hr Investigation(1 hr min) 90.0W hr Fmsril bdaniels®gwensa.com Industrial plant(I hr min) 78.181hr ��. inspections sons forwhich no fm is ; ' 90.00/ hr Le CII58 Electrical Lie.: 208174 Siprv.Lie 4496S ificrtly listed hIsrmia) " f4L �31x[i '��d•l F•F de S�a s*z- - Suprv,ElStt2eI$a signature,required: •4 ' [ � .�'.._;:» lsubtotal: Print nye: Joan P Albert •• Date: 4/26/2016 0 Plan.Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: -' -- TOTAL PERM3T FEE; ,iPrint name: B171 Daniels Date 4126/Zfl16 This permit application expires if a parotitis net obtained within 180- days after It lint been accepted as complete. ::F.i. — * Number of perp _.. a ne PemirtMo Eta.=doe Rev 06/17/2015 4dt1.a6tSmTmsrrtir.tnuaa inspections allowed ... Plumbing Permit Application ' i :, "- 2 0 17 - • Building Fixtures , , •. - . :11111111111111111111 City of 7 • Tigard . Datooy: Penait No.:/vs 4,,,70y 2_00 tit,2_,,11,,.. 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.7182439 Fax: 503.598.1960 " Dattey; OtiverPerrait No.: '..--- Inspection Line: 503.639.4175 TiGARD Noe Ready/By: ' Jude SI See Page 2 for Internet: www.tigard-orgov Netifieddriodied: S -piementsi Infesination -, _. _.. :...."--2' ±' . - - fitt 1ltak..:.7!4,7:1,;:.•:<71::.: ::'•:::•;Z:,1,- ;:.:'..::;:::•,•::::.if ' .::•.; ...i,-,71.:',. :t. .51•;%};E:ELi_fc(gigg)t*,•... IZNew construction 0 Demolition For special irefonttedienitse checklist ' Description I Qty. I Ea. I Total -, 0 Addition/altemtionfreplacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ,f...v....-,...,.e:w::. , '4-- -, SFR(1)bath...tr:•:.:j SFR(I)bath 31270 ' ' f.•'-'_74-4,''.:J i:--.11:---:V i'....-17.f P,:,_ -!'-!•si',4-'..-.: ...:..,..:, ::rt.'".,...4-:,-•:"'• ' :-'-'77;* ....,J• . . _I-and 2-family dwelling 0 Commerciarmdustrial SFR(2)bath 437.78 : SFR(3)bath . -. if - 50032 :, 0 Accessory btrikling , Multi-family ; Each adffitional bath/kitchen 25.02 0 Master builder 011fier: Fire sprinkler( sq.ft.) Page 2 ' ir _ 1%:IVIiitiirietItifj-iiiee."‘:--!- .2,- Site winks: J Job site address:.1.3159 kNi t to Orth, (\•,J{,,, 1 Catch basin or arca drain , 18.76 . Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 . . Footing drain(no.linear ft.:___..) Page 2 Suiteibldg/apt.no.: Project name: 12Aftr Teinu te_EaS4-- 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 IL:____} Page 2 Water service(no.linear ft.:,___J Page 2 : Subdivision: RANI-eir TemaxceEps-1- Lot no.: 111. Fixtureer item: - Tax map/parcel no.: .Backflow preventer • II $ 31.27 : 1 :".'-jf:::.11.*.e,C.50,75t1F;V.11'-:W•-ari 12 --4.' : -::-- . .:- • : . .51 , Clothcswnther 25.02 Dishwasher : 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 -4 4-,--j*,;141141***01441EVZ, li... ---; :.7 :, .trli2446.i: ::::•*;:k I:, ': ExPansinn tank 1 12.51 Fixturelsewer 1 Name:ADVL Land Holdings;LLC cap 25.02 - Floor drain/Boor sink/hub 25,02 Address:7600 E Doubletree Ranch Road ___ Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 852.518 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 , i 'paitivift: . ...11,: Interceptor/grease Imp 25.02 Medical as :S Business name:William Lyon Homes,Incg (value ) Page 2 Primer 12.51 Contact name;if.J\c....11-N We.:\li-VUDe_ . Roof drain(commercial) 12.51 Address:I D3 BYDoctuoicul s-A-sJ,A,- 1-c, svO • . Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 : Fax::(360)093-4442 Tura/shower/showerpan 1231 ,::,'-,•,-:.:,:iti41:4-Z5V.?,i..41;:;"i,,i:,,,',y- : , :i:.. ...:':' -:..1`7.4:' S. - Walarheater , 25.02 . 25,02 37.52 Business name:Alliance Plumbing LLC : ; ' Waterpiping/DWV 56.29 Address:146W Historic Columbia River Hwy Other: 25.02 City/StaterZIP:Troutdale,OR 97060 Subtotal ' , _ - Phonc(503)492-3490 Par(503)912-6438 Minimum permit fee: 37230 'I Plan review(25%ofpemrit fee) .CCB Lie,:184601 Phanbing Lic.no.:PB732 Statesurcharge(12%of permit fee) Authorized signature: 4/4.... TOTAL PERMIT FEE Print num Robert Disbman Dater 57732016 This permit application snares if a permit is mit obtained*Mkt IN days sifter Him beta accepted as compleet. i *Fee methodology sot-by Tri-County Building industry Service Beard i 1.114clidingiFermitsIPLMWormitApp4os 10/Mice 44-46i6Tittrie1JCOWNEEI r J City of Tigard 1114 g r COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: Site Address: /g,,2g? )A / / ' P,PMP Project Name: �� ' �-r �‘69 / la 4 Lot #: /l/ ew dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: AA) -C-'� 41__ cCie liit t J erify site address/suite#exists and active in permit stem. M River Terrace Neighborhood: ❑ No Qd Yes,See River Terrace Review Addendum Attached S• e Plan Elements: hree(3)copies of site plan sting structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper YA Footprint of new structure(including decks)with finished �rawn to scale(standard architect or engineer scale) 1•or elevations arrow ►� 'ty locations&easements(required for new and additions) esplicant e address,project or subdivision name and lot number idewalk/driveway approach information(name and phone number) ikeif4 ation of wells/septic systems net dimensions and building setback dimensions 'i sting trees to be retained with drip line,and tree MIT,. are footage of buildings to be demolished otection measures ►!Lot area,building coverage area,percentage of coverage and M eet tree size,type and location P ervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? 11dYes ❑ o 4 foot differential) P If yes,is a storm water .uality facility shown?, ❑ es MN. C an Water Services—Service Provider Let r(lot platted prior to 9/10/1995): `vp1VtA /i& corte t - --_ equired: ❑ Y ,applicant was notified No Received: ❑ Yes ❑ No Public Faciliti Improvement(PFI) Permit: pp// a/ ci Required: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake and Use Case#: l�J PcQe I lQ d1, �' .,ts,2nito-C�o P.2),P ��iS Zonig ,2 - R� Required Setbacks: Front 0 Rear ,S"--- Side 0 Street Side Garage�Q' Landscape Requirement: c. 0 of Coverage Maximum: 15:9?) '/o WI Building Height: Maximum Height 1\) - Actual Height '�j Fisual Clearance Sensitive Lands: ❑ Yes dNo Type Ltd' Urban Forestry Plan 0 Conditions "Me prior to issua, ce of b .ding permi Notes: i j ' I11 -, Vii_ *0 Al i Approved By Planning: /r✓ Date: • Revisions (after Building Submittal only) --_� Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 061417.docx Building Permit Submittal l , Original Submittal Date: f,2-.2-/f/7 Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning '_i' Engineering L2r 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. 12 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / By Permit Technician: �� A, /,�u�ii.iii. Date: 6l/�)7�7 Engineering Review o/ Slope buildingpad: 0 /0 P ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes `C� No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: WA.t Kes-- Lt.) & Date: f 1 I3.6 17 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review kConditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: , SDC Fees Entered: Wash Co Trans Dev Tax: Ic Yes ❑ N/A Tigard Trans SDC: 4 Yes ❑ N/A Parks SDC: , Yes ❑ N/A LIDA ❑ Yes itZ N/A irk OK to Issue Permit Approved by Permit Coordinator: 4AA0 iA,r,0,111i Date: (2k 117 I:\Building\Forms\BldgPermitRvw_RES_061417.docx City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT 11111II T r c A R o River Terrace Building Permit Review Addendum Building Permit #: Site Address: ----7,g 7 c PO // c4 1e/7/�(I Project Name: Q ),/,.�, /Irj ce_ 7 -67-s-7---- Lot #: /Q (New welling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist ' t Design Standards (18.660.070.1): Is the project subject to the plan district design standards? Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element requir d for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. ft. dee Balcony w/access 2 Window Projection Vertical Wall Offset a p ft. deep min. 2ft., 5 ft.wide min.2 ft.,6ft.wide Gabled dormer ❑ 0 0 0 2. Eyes on the street: a minimumJof 12°/ of each street facing facade must include windows or entrance doors. Percentage Shown: /. ,S e 3. trances:At least one entrance must meet both of the fon wing standards: Max. 8 ft. setback from long street- g facin wall jL Parallel to street,angle no more than 45°from street, g or o en onto porch Entrance opens to a porch: Yes ❑ No IzcIfes,all the following apply: 5 sq.ft.min. ne street facing entry /2 ft. max.roof above floor of porch viO 5 ft. depth min. U 30%min.porch roof coverage 4./Detailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: �1C�1 overed porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft.deep 0A/all offset min. 16 inches ❑ ormer min. 4 ft.wide Roof eave min. 12 inch projection VRoof offset min.of 2 ft. ❑ Roof shingles either tile or wood 0 Gable,hip or gambrel roof design ❑,Roof pitch oriented south min. 500 sq. ft. ❑yorizontal lap siding min. 3-7 ft.wide Accent siding min. 40%of street facadeWindow trim min.2'/z"wide by 5/8"deep ❑ Window recess min.3 inches for all street facing 0 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 loser to front or side lot line,than longest street-facing wall. 0 Yes ILJ No. If No (Check one): Ltd May extend up to 5 ft.if there is a covered front porch and garage does not extend porch. th d an beY front 0 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. Wid : (Check one) 12-foot-wide garage door 0 40%max. of street facade 0 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: � _ _�// l Date: ///( Il3- I:\BuildingWonns\BldgPermitRvw REs RT 031416.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 = Transmittal Letter T I G I R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE.,' MEI) DEPT: BUILDING DIVISION NOV 1 4 2017 FROM: Nichole Thorpe CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 360-989-40204 By: RE: 13293,13285,1327 ,13259J3247 SW 169TH (Site Address) (Permit Number) River Terrace Eastz ems— z_o j (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 0 Additional set(s) of plans. 3 Revisions: Bulletin, Plan Sets 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. Adding 3rd Bathroom Option FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: Nr] Yes ❑No Fee Description: Amount Dud: 1 }-fir Plc Ce f: c.✓ $ gO ✓' $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes j]No ❑ Done Applicant Notified: /We G Date: / 2//v//7 Initials: +m ✓ LL 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: 13259 SW 169TH AVE, BEAVERTON, OR, 97007 August 9, 2018 at 12:45:02 PM Record Type: Record ID: Residential - Master Permit MST2017-00462 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 70 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13259 SW 169TH AVE, BEAVERTON, OR, 97007 August 13, 2018 at 10:47:58 AM Record Type: Record ID: Residential - Master Permit MST2017-00462 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13259 SW 169TH AVE, BEAVERTON, OR, 97007 August 9, 2018 at 12:46:22 PM Record Type: Record ID: Residential - Master Permit MST2017-00462 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor ll) Plumbing Permit Applicatio>R EIVE Building Fixtures FOR OFFICE LSE oNLv FEB 6 2018 City of Tigard Received .��/� •IN 41 13125 SW Hall Blvd.,Tigard,OR 97225 OF TIGARD Date/By: 02/// Permit Nq S j�`�f�®�J/� Phone: 503.718.2439 Fax: 503.598.1.9 Plan Review / / t9 Line: 503.639.4175 (� ate/By: /22//e 4.6 Other Permit No.. TIGARD InspectionBUILDING DI'VISIO. ate Ready/By. toils: H See Page 2 for Internet: www.tigard-or.gov Notified/Method Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist ❑Addition/alteration/replacementDescription 1 Qty. 1 Ea. I Total 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 11 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ElAccessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler(1221sq.ft.) Page 2 JOB SITE INFORMATION"i'AND LOCATION Site utilities: Job site address: 13259 SW 169TH Ave Catch basin or area drain 18.76 City/State/ZIP: Tigard,OR 97223 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 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 Subdivision: Water service(no.linear ft.: ) Page 2 I Lot no.:12 Fixture or item: fax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OFi WORK', Backwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Permit# tA$1.:l 1-1.- 004(o l Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 SI. PROPERTY OWNER 1 0 0 TENANT Expansion tank 12.51 • Name: Polygon Northwest Fixture/sewer cap 25.02 Address:703 Broadway St.Suite 510 Floor drain/floor sink/hub 25.02 City/State/ZIP:Vancouver,WA 98660 Garbage disposal 25.02 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) ice maker ►.� APPLICANT 12.51 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Gavin Thomes Primer 12.51 Address:146 W Historic Columbia River Hwy Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 I Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:Gavin@Allianceplumbing.net Urinal 25.02 CONTRACTOR Water closet 25.02 Business name:Alliance Plumbing,LLC Water heater 37.52 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 Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: �f ,:-.771,__,.....? State surcharge(12%of permit fee) //-- TOTAL PERMIT FEE Print name:Gavin Thomes I Date:2/5/2018 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\PLMU-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• Fee(ea)' Total. Square Footage: ' Permit Fee: r Footing drain-1s'100' 50.03 0 to 2,000 $121.90 37.52 2,001 to 3,600 $169.69 Footing drain-each additional 100' 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' 62.54 Medical Gas Systems: Water Service each additional 100' 37.52 Valuation: Permit Fee: 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 $72.50 for the first$5,000.00 and$1.52 for or each additional$100.00 or fraction thereof,to ` Fees Fey(tt} Total Other tnspections� 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 charge-1/2 hour) and including$25,000.00. 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. 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Ad (minimum plan review for revisions each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: I 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 Replace/ 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 ❑ 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 Dishwasherus Cuspidor/Water Aspirator-Commercial as defined in OAR918-780-0040. ❑ Medical gas and vacuum systems for health care facilities. -Domestic Drinking Fountain Si Any multipurpose fire sprinkler system. Eye Wash ❑ Any complex structure as defined in OAR918-780-0040. Floor Drain/sink -2" 3„ Submit 2 sets of plans with any of the above. 4„ Car Wash Drain Isometric or Riser Diagram Garbage -Domestic-non-food ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic-food related -Commercial-food related that meet the qualifications above. -industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Rec.Vehicle Dump Station Comments regarding fixture work: 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 https://allianceplumbing-my.sharepoint.com/personal/gavin_allianceplum15I5ng_net/Documents/Documents/Fire Sprinklers/RT/City of Tigard Permit.doc