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Permit (100) f 0.- U CITY OF TIGARD MASTER PERMIT a; COMMUNITY DEVELOPMENT Permit#: MST2017-00461 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 12/19/2017 Tt.L 9 Parcel: 2S106DA01100 Jurisdiction: Tigard Site address: 13273 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 11 Project: River Terrace East, Lot 11 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 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 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 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 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 9 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.j .4/C/Issued By: .( Permittee Signature: `cl' �1 ,5Gh 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 Zo Tl e cP i eIItial •' .• FOR OFFICE USE°\I} City of TigardReceived UG 9 /Ary v I17 Date/B R Permit No�/ _ 'Y� 13125 SW Hall Blvd.,Tigard,OR 9722 P1anReview _ • Phone: 503.718.2439 Fax: 503.598.1e64 i ,- Date/B : Other Permit: T I G A R D Inspection Line: 503.639.4175 ?,` 'N J Date Ready/By: ' udigirJuris: age or Internet: www.tigard-or.gov U l J7 '' L) 4° "r 4 a Notified/Method:/ / // - Supplemental Information 1L 1Ce'e) 9 $ .... .. h ,4 ❑Demolition Permit fees*are based on the ®New construction value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the � � "` work indicated on thvs application 1-and 2-family dwelling 0 Commercial/industrial Valuation: ❑Accessory building Multi-family Number of bedrooms: 2. 0 Master builder3/ �p 3 0Other. Number of bathrooms:3 `°I 4:— Ott Ifa 5� A Total number of floors: 2 1 6 7 7 Job site address: ( 7)1 L� 1 New dwelling area: /226 square feet City/State/ZIP:Tigard,OR 97224 1 ,v Garage/carport area: L Snl square feet ra Suite/bldg./apt.no.: Project name:River Terrace East 3 fi Covered porch area: square feet 5ii Cross street/directions to job site: Deck area: 7 ) square feet '? AQGJC avlt•y Other structure area: 72 square feet R g t i # i b 1• e - ah m :x Subdivision:River Terrace East - �r �' '� kit*Lot no.: 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 tiqltVgelt* u a, equipment,materials,labor,overhead,and the profit for the o . i ", work indicated on this application. Valuation: $ Existing building area: square feet gNew building area: square feet f Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy p y groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax: ) d Business name:Polygon WLH,LLC #11�.. :. Contact name:Nichole Thorpe Structural plan review fee(or deposit): Address: —103 Ban�' ,` Sk- Su Ake_ Cj l v FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount received: E-mail:Nichole Thorpe ,� € C I g -� `, Commercial and residential prescriptive installation of :, r; roof-top mounted PhotoVoltaic Solar Panel System. Business name: D A I LN '1 ( � Submit two(2)sets of roof plan with connection details Address: } Q 1 A-5*-'c C' and fire department access,along with the 2010 Oregon D 03 U�w0J � r)LA -(- � Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660➢ Permit Fee(includes plan review and administrative fees): $180.00 Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 _� Total fee due upon application: $201.60 Authorized signature: / - / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Date:06/16/2017 Service Board. I:\Building\Permits\BUP-RESPemiitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application;,I 3 -): 2017 FOR OFFICE USE ONLY City of Tigard Received „_,..,* ",: - , , , ''' Date/By: Pencit*STAY7—ot)AI '11 13125 SW Hall Blvd.,Tigard,OR. /2.4i . , :- • 111111.1 Phone: 503,7182439 Fax 503.598.1960 Plan Review Dateay: Other Permit: Inspection Line: 503.639.4175 TIGARD , . Date geadyy: Mc: 1 0 See Page 2 for Internet www.figard-or.gov Notified/Method: Supplemental Information VtitliVSIITAIMARF#T.--Cfkiti)W4,50-441,36211114,,Vai Mechanical permit fees*are based on the value of the work 0 ED New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all Demolition 0 Other: mechanical materials,equipment labor,overhead,and profit -C-4042-4-4.-,Wir-M4,4WPWA-taiifs#7..5tretiOti,4A1-40gli:V4,-1:1 __ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedal infonnation use checklist litMUlti-family 0 Master builder 0 Other: Description I Qty. J Ea. I Total *77;14:MINO:#_;*070"05:iW§KAT*VO4-ttqe:WV-ZOArT7-:(61-gi Reatingiewling: Air conditioning 1 46.75 46.75 Job site address: 1.32:15 sw worth ivei Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name:River Terrace East Duct work 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 Other: 23.32 Subdivision:River Terrace East I Lot no.:t t Other fuel appliances: Tax map/parcel no.: Water heater 23.32 lt:47.***0.**5:1,:744.10:4-1: MiNfOl Gils fireP/acermseit , 1 3339 Flue vent for water heater or gas fireplace 2332 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ATVet:**31***0040141R.: ,deTv-E;:t- i,',Fit:FAiwo-ip',41, -o.:*i E°thn ec.onineutal exhaust and ventilation: 2332 Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment • I 3339 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust t 3339 City/State/Zip:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) q 2332 Phone:(602)694-4031 Fax( ) Attiekrawlspace fans 2332 tVORI$1.:f3i*PV•1‘Ott.*:',i.:WL','.: i'-e. i.7.PY;I:3-6000-Wor4::-.0s::::`::-'11;; Other: 23•32 Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:I i CM be,—ThOlTe Purim-J. etc. 1 Address:11D-.6 240,01)4A)°V11 k -t- ati‘k‹ SI O Gas hem pump Wall/suspended/unit heater City/State/LP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax:(360)693-4442 Fireplace 1 .B- ange mall_ AO i CAA 0(e..... M/ 1k.j. 1 Nril Obkry\IrvOnlej . c.,.tyy) Barbecue ::::;ft-;!: -71.:.0",•*;.;; ;!....: 4"--).,•: •1:-!6-,-.- -CtiaA;:44Y.: :::?::t,S,-V-4::;--'::-;-4r1 ;:j Clothes drYer(Ps) Business name:PrOV\0001 WI Q:Oiltnr . Other. ,Z.04.-.'3:KT:f.....7.:3,1: iittEgV.V..;,-"2-i Address: e)-1)CiC I\\}\/ \ Ok"1 .Pci it If 1‘01 subtotal City/State/ZS?: tkilStOVI) i (ii t 13-1 Minimum permit fee($90.00) Plan review(25%of permit fee) Phme:563D) q1I Fa):(S/13) °11-\I'' SInS" State surcharge(12%of permit fee) CCB lie,:2_01 DC)) TOTAL PERMIT FEE This permit application Sxpires if a permit is not obtained within 180 days after it has bees accepted as complete. Authorized signature: JAL_ .6 .., -4 * Fee methodology set by Tri-Connty Building Industry Service Board Print name: /6,ki id.t.:11 I Date: j IlituildinalPermitrKMFIC PermitAnn n4f)171 in Aen_a4vrr r,,minntalurmn Electrical Permit Application ',„ ' 2 u 1 7 FOR OFFICE USE ONLY - City of Tigard II 13125 SW Hall Blvd.,Tigard,OR 97223 ; § Phone: 503.718.2439 Fax 503.598.1960 Datrii3" . RelatedPermit ik , Inspection Line: 503.639.4175. Ready Date/By: la See Page 2 for T/G'''''', Internet•www.tigard-or.gov Notifies:Method; 11=1111 Supplemental Inform adon -'1.I.'-.'ri-r:rt,it.---'-;-'-.=.::;•':"•:_, -.:(Ti?„-.7-,-, •-i-4.,-,c-,- ,W45-:ia'3i-:ILk.A`'''ttike],-57-'-'•,,t•:';'t-:-1:: -`•1=f•-. 2.1 S-•-•'1,7. -.-- -.,- ''''',1-;i3,-, :i.V:-. 1---=-r,,,„.-if ..AtISCW„tfkir..,%.‘,-,!.1.,- -_V.;.:4,,'.:-.:±&•.- -4..;1:-. 0 New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wil;nis checked): ['Service or feeder 400 amps or more 0 Building over throe stades. 0 Demolition 0 Other: • where the available Emit current El Unless and boatyards. ki-;-:':=;tr- --_14,-, -;-;•Lk-;:`:---;.''.11•c2.:10 4ficellV.•14/14-iY15.1_46-MTILOV't;14.-7-,- -2-,".= -7:17:- -,1 exceeds 10,000 amps at 150 volts or IZI Floating buildings. -and 2-family dwelling 0 Commercialfindistrial 0 Accessory building less to ground,or eaccoods 14,000 0 CommerciaL-use agricultural amps for 4 other installations. . buildings.• :tiklvlulti-Thmily -- 0 Master builder 0 Other: Orin pump. 0 Installation of ISO KVA or •-it:•-••• -•- •y-:-,C,IK-----71-w.':41.s:-•'.11•_•;jp-rr'r!an.rqt:Ti-cigrigki%a-0 1•;'."a.Tktr.i. ••••4-7,`a-ia•z -1:::_ EAdP•m=qstera-new m load of larger separately derived system. Job#: Job site addre.71:34.1 S\NI \ ,o-t" pige,, ID six ors==side:anal amts. occupancy. City/StatetZJP:Tigard,OR 97224 Orioalth•oaretaatrities. 0 Recreational vehicle parts. Suite/bldg./apt.#: I Project name:give„...-7 (...e ectr_f_ us locations 0 Supply voltage for more than or feedor 6c,0 amps or r,,,,Th. 600 volts nominal. Cross street/directions to job site: Description ity. UM - Total * • New residential single-or multi-family dwelling unit. Subdivision: fa,Ctrer Tara ce. 'Ects-1- 1 Lail 1 f Includes attached garage. — L000 sq.it or less 1 168.54 4 Tax mat3Iparcel#: Ea.addl 500 sqft.or portion I 33.92 1 '''''-':-.-=';Si'-'1'''.--4--430:P •'•-=',---' •••,IIJE".: 11.71dpigatc -Pi;&- .1--LKY.4'Ar.,,---- :*-1.-N Limited ener8Y.residential — 75 .. (with above sq.ft.) .00 2 . , Limited energy,multi-8=11y 75.00 2 residential(with above sq.ft) l'i-•,P.g..-V•Y'M ilf3)ii''irin'ti-41W1:_ni.t-cre',Wri3--.'r.7a[V.-11,--iX-MI.IZ. ,..rs-1::::::'---, •-••.-7,-,, RenewableoEnergy 0 S installation,alteratieemand/orrag, e2 Services rrelocation _ Name:ADVL Land Holdings,LLC . 200 amps or less 100.70 2 _ , 201 amps to 400 amps 133.56 2 Address:7600 ID Doubletree Ranch Road 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale.,AZ 85258 301.04 601 amps to 1,000 amps 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 stops or less 59.36 I 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 ---f4=;•, ----7-*--'F4P--\.•n3--10'-',1. --.7. -,-r•vt"±-'-;K-Y,,.tr,-;y2,2,'A7'fli,,'Z'1,V,',.t-. t.`tfPi:y-W.,,-.-- -i.,_,?,- A.37t,1eleibranmut-nelv,alteration,or extension per panel Business name:William Lyon Homes,Inc. above service or feeder fbe, 7.42 2 each branch circuit Contact name: klich ole,711 firpt B.Fee for branch circuits without - senice or feeder fee,fast Address: 1O? 13,roacuAia.A4 St Stk-L. S tD branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 u Each addl branch circuit 7.42 2 Misrelloneons(service or feeder not included) Phone:(360)695-7700 • '•. I Fax :(360)693-4442 Each manufactured or modular 67.84 2 - dwelling,service andfor feeder Email:; 1 I 6;ill 0 .E., 0 il I ii4A.,4 0 OMP . 1 k Rea 0 n n e a t only 67.84 2 r'-'7•I;r2---''ZL1.--2-'''.---2:---Tr tr-'7.--i--.,---44-T•e:EIK•-•-=‘?--7PIZ t,'". •••-.,_-JA.- ..I.,.3?-1.„zs---;y,',.5,--,-,,r ,-„. .-_.'i pomp or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC ' Signor outline lighting 67.84 2 z.... Signal circuit(s)or limited-energy _Address:"4 02_ \J ..X.\k4 c \-\e_,k,,1 k_k)v S u:A.to, Ittp panel,alteration,or wnension. D See Page 2 - 2 Each adcritional Inspecdon over allowable in any of the above City/State/7H:'pt,tualti4p-; wor Re3 ) I Additional inspecdon(I hr min) 6625/hr Phone:(253)320-1657 1 i Fax:( ) Investigation(1 hr min) 90.00/hr Industdal plant(1 hr min) ' , 78.18/hr 0 - Rtnufil bdaniels@gwensa.com Inspections Ex-which no fee is CCB Lie.: C1158 I Electrical Lk.: 208174 Suprv.Lice. 4496S -.4. listed 4 hr rail) 90. 0/hr ' -- 77.f.-" i.- 71f4VkY114 , --5,-'_'-'7?S'-‘, Suprv.Electrician signature,required:: 1177.t.. 7 -15: •‘; . Subtotal: Print name: Than P Albert •• • Date: 446/2016 0 Plan Review Required(25%of permit Ste): .• e--- State surcharge(12%of permit fee): • -""`"W•1—glilii • TOTAL PERME - ..:,. Authorized signature: - IT FE: ,.:: ;•.; This permitopplienton expires if a piandtis not obtained within In- Print name: Bill Daniels Date:, 4/26/2016 days after It has been accepted as complete. lik * Number of inspections allowed per permit :::':10:113nRdinglPessnicaLC_PernAtApP_ELR_EREdoe Rev 06/17J2015 440-4615 DTUDDCOLPWPas Plumbing Permit Application '; ',,,.,:n:1, Building Futures ,,,,, t 'C 1:012 01.1 IC L 1 S!. K3Nl_'t ' City of Tigard =' rear*FIn.: 13125 SW Hall Blvd,Tigard,OR 97223 'j s/ /7dyF,y It Phone: 503.7182439 Fax 5035D98.f960 Review - ate/S. OtherPennit Noy T I c,R I� Inspection Line: S03.639.4175 Internet www.tigard-or.goP DateReady/Bbuck El See Page 2 for _ CJs,.„ s_ :rr.c • Notified/Method: Supplemental Information .. ^�Y°-i, h•.s.�+. G}.�c.. ..._ .. .. $� ... ,t .. ... .�_ .7z ,v.._ , f4• t•,avmv= x!F•!Iri is *: *y� � . • ®New construction ❑Demolition ::ForspecialInformation use checklist Description 1 ft. 1 Ea. i Told 0 Addition/alterationhrplacemeent 0 Other: "-- �-� ,•...- + r New i-2-family dwellings 1'ma}udes 100 ft.for each utility connection) • M . i::' 't.-_;.•;�:;;s;.;: 312.70 ';=c-`�� ' �• - ••:v..�:_• .. .. G1V',�::. •:.•.•Rst:�...;�.� .•:t..'�� SFR I bath -I-and 2-family dwelling 0 Comtnercialumdustjia1 SFR(2)bath 437,7&; _• ❑Accessory building ,Multi-family SFR(3)bath , 4 50032 : 0 Master builder ' ❑Other. Each sddrEfortal bath/kitchen 25.02 ;s r Firesprielder�_g9•R•), Paget '*4V. ty: :t j_', Site utitifses: Job site address: 01,13 SW 1(O t , (.,i� Catch basin or area drain • 18.76 City/State/ZIP:TigardOR 97224 ` !�► Drywcti,leach line, trench drain 18.7& Suite/bldg./apt no.: Project name: • Footing drain(no.linear ft.: ) P 2 Suite/bldg �.IV�.r VAT](.e, '-i- _ Manufactured home utilities s 50.03 , Cross street/directions to job site: Manholes 18.76; J Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 _ Storm sewer(no.Iinear ft.:,__) ^ Page 2 Water service(no.linear ft.:,__ ) Page Subdivision: 12_,A Ar �' .(e_ f„C-1.� 113"°:.no.. 1 ' -I Ff tune or item: 2 Tax map/parcelt __no.: ` •�",� t - Backiowpreventer 1 31.27 °4 i 3: . -; L T _`.iii-r 3t lrt[IL315i•O. Woiti-.: x ; .. • _.'.••• Bywater valve 1 12.51 . Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25-02 z ', . Ejectors/sump 25.02 14 , ;.',i{;.-:-ispoi*iftoc:a ,..� 44,- . :I:: ....;.,;':;%-t_,r `LEd1;Nk.::::>" `• Expansion tank . .�` :+w EI2.51 Name:ADVL Land Holdings;LLC Fixturelsewer cap 25,02 Address:7600 E Doubletree Ranch Road For drain/floor sink/hubJ 25.02 City/State/ZIP:Scottsdale,AZ$525$ Garbage disposal 25.02 Dose bib 25.02 II Phone:(602)694-4031 Fax:( ) t ,.,R.r�;,_ x_„ _,,.,.. ... Ice maker 12.51 •'1:,i : ;, •."••: .- :•4 - = : ' . Interceptor/grease trap 25.02 Business name:i"Alam Lyon Homes,Inc Medical gas(value:8 ) Contaetnante: .1irhi�te. Primer ' Address:'I 63 �� wo 1 r, 'S .-_ Rif drain(commercial) 2 `-J �l �� _siinllavatt>ry 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 : Fax::(360)693+4442 Tub/shower/showerpan 12.51 ■ E-mail: 1 I /i ■I 1 11+ 17� i ,� .� Urinal 25.02 - t � C 1lM .-. -'4'4cf� x. •• . .-. 71.74,1,:..1.4,:,::._•. . ..,-. • •. i^"f"- Water closet 25.02 -Business name:Affiance Plumbing•LLC Water:heater 37.52 ' Wald•.piping/DWV 1 56.29 Address:146 W Historic Columbia River Hwy lathes 1( 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fa (503)912-6438 &t imumt permit fee: $7230 CCB fie 184601 Plumbing lac.no.:28732 Plan review(25%ofpermit fee) Authorized signature: Statesurcharge(1298 of permit fee) Print name Robert D"esfurun .. TOTAL PERMIT FEE Date;5/231201 pernaltapplicabou Lzplea Ira perudt is nut ebtained within 1111 days after Blies been accepted es templet*. *Fee meihodalegy sar•by Tri-Cony Building industry Service Board. t11bullinglnemltePL3 )•pocmitAppdoe Ioo1K19 tyr o ) City of Tigard 1111 " COMMUNITY DEVELOPMENT DEPARTMENT 1 T 1 G A R D Building Permit Review — Residential Building Permit #: ,' 7,,Z(2/ ' - f ( Site Address: 7-g `. /b 9411/e/N6& Project Name: '' ' -Or- �‘ eaS' Lot #: 17---- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: AA) Cr 44 lC' tQ 0A .u iS: Verify site address/suite# exists and active in permit stem. IV River Terrace Neighborhood: 0 No M Yes,See River Terrace Review Addendum Attached S' e Plan Elements: ree(3)copies of site plan : :sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper Y Footprint of new structure(including decks)with finished , yawn to scale(standard architect or engineer scale) i•or elevations orth arrow ►I 'ty locations&easements(required for new and additions) e address,project or subdivision name and lot number idewalk/driveway approach splicant information(name and phone number) I ifi,, ation of wells/septic systems l •t dimensions and building setback dimensions 'fasting trees to be retained with drip line,and tree II.7,,are footage of buildings to be demolished otection measures I!Lot area,building coverage area,percentage of coverage and 11p S eet 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? Yes ❑(o 4 foot differential) If yes,is a storm water quality facility shown?, 0 es LVJN• an Water Services—Service Provider Let r(lot platted prior to 9/10/1995): r/IVVe,' A) cofI f equired: ❑ Y ,applicant was notified 'l/J No Received: ❑ Yes ❑ No Public Faciliti Improvement(PFI)Permit: p, a/ ' cY ci Required: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake nd Use Case#: PPQ!')l i'P — ô1, .0r<.,( '�n/to'07)©2 PI),0oC. 1e VI,Zoning: P C�r Front Rear Side Street Side Garage Re aired Setbacks: g dVi( q S� ice/ Landscape Requirement: c2 0 of Coverage Maximum: '/° 1I Building Height: Maximum Height - Actual Height it )(isual Clearance A, ensitive Lands: ❑ Yes dNo Type Ltd' Urban Forestry Plan ❑ Conditions “Mej"prior to issua ce�of building peri Notes: �397D2 ��' � ?f7- ,g.g ,74 _ Approved By Planning: �— /,/ Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 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: Site Plans: # Building Plans: # 5 Building Permit#: nter building kermit#above. Workflow Routing: lanning Engineering hermit Coordinator �� Building Workflow Sign-off: p. 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. ein Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: _ Date: Engineering Review 61/ Z1 Slope at building pad: ❑ 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 eNo Assess Water Quantity Fee in-lieu: El Yes * No LIDA Facility on lot: ❑ Yes ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: L ( /710/7 Revisions(after Building Submittal only) Reviewer Revision 1: El Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved Cl Not Approved Permit Coordinator Review Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions(after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: t5D,Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes LSI, N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I2-4't (, I:\Building\Forms\BldgPemiitRvw_RES_061417.docx liIlCity of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT i T I G A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: _---7Z,-----,27-___ c k`) /(7q,44 /A1 Project Name: �i1,..,,. �a G-� S``,— Lot #: 7/ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?‘2I Yes 0 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. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide mm.2 ft.,6ft.wide Gabled dormer 0 0 0 0 2. Eyes on the street:a minimum of 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 folljwing standards: Max. 8 ft. setback from long street-facing wall Parallel to street,angle no more than 45° from street, gg or o en onto porch Entrance opens to a porch: Yes 0 No If es,all the following apply: sq.ft. min. ne street facing entry 4/2 ft. max.roof above floor of porch 5 ft. depth min. n,30%miporch roof coverage Ietailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: overed porch min:5 ft.wide x 5 ft.deep Recessed entry area min.5 ft.wide x 2 ft.deep DWall offset min. 16 inches 0 �ormer min. 4 ft.wide Roof eave min. 12 inch projection LT Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood 0 Gable,hip or gambrel roof design 0/Roof pitch oriented south min. 500 sq. ft. ❑ rorizontal lap siding min.3-7 ft.wide Accent siding min.40%of street facadeTV Window trim min.2'/2'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 0 Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 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: Nloser to front or side lot line,than longest street-facing wall. 0 Yes I No. If No (Check one): o : 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. W (Check one) 0112-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ate: ,�I J, D99- I:13uilding\Forms\BldgPermitRvw RES_RT_031416.docx FD ThisOR formOFFICE is recogUSEnizedONLY by most— buildingSITEAdepartments 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. „I City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter TI GA 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 l 1 i "r (Ali FROM: Nichole Thorpe CITY OF TIGARD COMPANY: Polygon Northwest BUILDING D VISIO�` PHONE: 360-989-40204 J By: RE: 13293,132 ,13273259,13247 SW 169TH (Site Address) (Permit Number) o. 13 - River Terrace East -r -,9-=T `T 1/ -- (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: Via,— r - ri Initials: l Fees Due: a Yes ❑No Fee Description: Amount Due: 1 )4r P1c..>ti i'-' v; e , $ 90 $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes LIANo ❑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: 13273 SW 169TH AVE, BEAVERTON, OR, 97007 August 9, 2018 at 1 :03:09 PM Record Type: Record ID: Residential - Master Permit MST2017-00461 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13273 SW 169TH AVE, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00461 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: 13273 SW 169TH AVE, BEAVERTON, OR, 97007 August 13, 2018 at 10:37:37 AM Record Type: Record ID: Residential - Master Permit MST2017-00461 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed. Corrections completed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13273 SW 169TH AVE, BEAVERTON, OR, 97007 September 17, 2018 at 10:32:25 AM Record Type: Record ID: Residential - Master Permit MST2017-00461 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control passed Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor Plumbing Permit Applicati IV Building Fixtures } p FOR OFFICE I. ONLY City of Tigard FEB 6 '4018 Received •r Ill 11111 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: ,22/7/41-- Permit No.:47ST'.r/JJ-�7 7rj/ Phone: 503.718.2439 Fax: 503.5t19�/®�TIGARD Plan Review / "--���lll v` v f/ K� Inspection Line: 503.639.4175 Date/By: o0/1 e460Other Permit No.: TIGARD T ��VISION DateReady/By: Juris- ® See Page2for Internet: www.tigard-or.gov U1LDING V Notified/Method. Supplemental Information TYPE OF WORK • FEE*'SCHEDULE' ®New construction 0 Demolition For special information use checklist. E]Addition/alteration replacementDescription I Qty. I 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 ® I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 0 Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler(1,221 sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 13273 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 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: 11 Fixture or item: Tax map/parcel no.: Backflow preventer 31 27 DESCRIPTION OF WORK Backwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Dishwasher Permit A5-r2017- oo4(pl 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 li4 PROPERTY OWNER I - 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/Z,1P:Vancouver,WA 98660 Garbage disposal 25.02 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 PI APPLICANT 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 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: ;?�) State surcharge(12%of permit fee) TOTAL PERMIT FEE Print name:Gavin Thomes Date:2/5/2018 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: Pee Total Square Footage Permiti " ee- " 50.03 0 to 2,000 $121.90 Footing drain-151 100' 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' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Permit',F : 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 each additional$100.00 or fraction thereof,to Other Inspections or Fees 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 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. $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Additional plan review for revisions 90.00/hr each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: IOther Fixtures: 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 C0 New exterior plumbing site utilities for any complex structure Dishwasheruspidor/Water Aspirator as defined in OAR918-780-0040. -CommercialD -Domestic 0 Medical gas and vacuum systems for health care facilities. Drinking Fountain ® Any multipurpose fire sprinkler system. Eye Wash 0 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 . IsometricOr 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_alliancepluml52ing_net/Documents/Documents/Fire Sprinklers/RT/City of Tigard Permit.doc