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Permit (92) II " CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00404 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017 Parcel: 2S 106DA02200 Jurisdiction: Tigard Site address: 13201 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 22 Project: River Terrace East, Lot 22 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 115 sf Basement: 0 sf Left: Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 646 sf Garage: 543 sf Front: 12 Smoke DwellingUnits: 1 Detectors: Yes Third: 633 sf Right: Total: 1394 sf Value: $187,339.23 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 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: 0 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 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 1394 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY POLYGON WLH LLC 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 ATTN BAKER,JASON VANCOUVER,WA 98660 703 BROADWAY ST STE 510 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $23,226.90 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 0 A' '01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. I 9 ew . / / Issued By: / - Permittee Signature: 77On+ 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. Y 'uildin Permit Application Z__Jo -T-- 22 A , t s i ) FOR OFFICE 1S ONLI Received !' / permit No.: City of Tigard JUN 2 2017 DateBy: lf/ (�/� / r IN 13125 SW Hall Blvd.,Tigard,OR 9/223 Plan Review '_al Other permit: /.,4 / ) !`/? �l� 1 • Phone: 503.718.2439 Fax: 503.598.1960 -, �O'f// Jt� t ,,`t- d t ihi it Date/By: iuris: H See Page 2 for Inspection Line: 503.639.4175 Date ReadyBy: ,� I i G I; p Supplemental Information Internet www.tigard-or.gov I�- ��V DIVISION V6 S I�N Notified/Methodlrr�� /7 it. C oG- , n� .. g .. a nyf� s 7N # � Itt .11 9 "� .� R `1e °2Ef,4,s„, . ..-c -. 0 Demolition Permit fees*are based on the value of the work performed. ®New constructionIndicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the a 1 .� T 1., CS. ; work indicated on this application. Valuation: $ I t phi 1-and 2-family dwelling ❑Commercial/industrial�/`_ q ..7, (�Multi-family Number of bedrooms: L ❑Accessory building Number of bathrooms: 0 Master builder ❑Other: = 2. Total number of floors: 1 q 37 1 : ,,„ et qty _, v. � -.,. ` Job site address: `3 7 L I Svc t low Ne. New dwelling area: 13 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: r 6 L square feet Suite/bldg./apt no.: I Project name:River Terrace East Covered porch area: g`Q are feet 646 Cross street/directions to job site: Deck area: / Q ` square feet I‘ l'et%J4strrdc�hue area: a square feet ' ,. e t iia 4 5y A-4, eat Subdivision:River Terrace East 1 Lot no.:21 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the 6,. ' y ;'%t SlifikalAtAl work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet 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: € ::: _ is ^,;:,--,-;::2-,,:-..: :::',‘a�i,4 W .�� a s � 5 °� P i354,b.' t .d; 7 ba , .,rte'.' '— ''=--..—' ''v - >_ r ��aa"�” im' ,� a :".'".� _.. ��..,„,;.4�.: ",. Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 I Fax::( ) ,•., w- „ 19g2 E-mail:Nichole Thorpe � � 7, r Commercial and residential prescriptive installation of ' 2 e t N V q f =d 5i x � roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver WA 98660 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: $201.60 Authorized signature: ` / rriThis permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard ; Received INri 'I13125 SW HallBlvd.,Tigard,OR 97223 D�elBy •11 Phone: 503.718.2439 Pax; 503.5981960; Flan Review / EI TI G ARD Inspection Line: 503.639.4175 , tate/By. Other Permit: Internet www.tigard-or.goV Date Ready/By Itas: S See Page 2 for Notified/Method ,�,,� Supplemental Information N. a.�� —.�"�;•`-•.'v,?`���'�-u't �tn�-,�'Fp,�+1,.flt�'-H'O= i:�+ffS �.�,3�''�'-`1 ,'� '�;*i.-_.4=.`_:�_;?.,�-..:� -�r,'-'/�7_��. ��Yy F. - '�•,,.,�- - ..'_'.,.,,�:s„_-._ .. x> -• : �__ = ,Y.illt-i.:i .e .*°.�.,x79. ++'.Rv"1nFs.:rFLE .Cd.#�,3I)lali94'; 1 - ®New construction 0 Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other mechanical materials,equipment,labor,overhead,and profit SI ixi-. CAC�50O ";CONStiJCT01lj �f: _f ? -.¢ - Value,$ 1-and 2-family dwelling 0 CommerciaUmdustrial ' ' 0 Accessorybuilding $—"�' 'Multi-family 0 Master builder 0 Other: For special information use Jieckliat Description I Qty. I Ea. I Total 0.1-1.-141V. .�':P< J0.r,_ __ : Ok �k -7--�, _IWA kt Heatin coo Air Job site address: I 3 1 Cs•w ''AA p�Fog 1 46.75 46.75 W 11v� Furnace 100,000 BTU(duct/vents) 1 46.75 _ City/State/ZIP:Tigard,OR97224 Furnace 100,000+BTU(daas/vents)- 54.91 Suite/bldg./apt no.: I Project name:River Terrace East Heat p 61.06 Duct work 2332 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 2332 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 1 2332 Subdivision:River Terrace East I Lot no.:Z _ Other: 2332 Tax map/parcel no.: Other fuel appliances: nA+�.yy,,� �=• =.1',i '"i i:''. Water heater 2332 .'•,i''yat3-.. '-L ia.:7 u+' x"..``iii..C jekOli.4014 -',.',cyW:.f:+h.:.4,''{,:s:f.`i:fi ::r.r*,�: iiiiti!i'l • ..-.- ¢r a •.::.=;(y4.s;.._y;; -...1 5entfor water 1 33.39 :,; (,� Flue vent for water heater or gas `q fireplace 2332 Log lighter(gas) 2332 Wood/pellet stove 33.39 • Wood fireplace insert 23.32 Chimney/liner/flue/vent 23.32 �,_-, �- t- ,-..,:..»:... Otho. ::* _'. '�__:I'ItOPER UE1t?" ;fi>;r; .{ ;3; ,`'= tA�*t`` r '� 2332 1'),. Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road equipment 3339 City/State/ZIP:Scottsdale,AZ 85258 Clothes dryer exhaust t 3339 Single-duct exhaust(bathrooms, D Phone:(602)694-4031 Fax toilet compartments,utility rooms) 2332 Attic/c rawlspacefans 2332 er;_ s ,r ' PLG�V7 ' ,; :u . . ;Q CN ,?F (*,:4. "' Oth . 2332 Business name:William Lyon Homes,Inc, Fuel piping. Contact name:t\-1,al D 1P n Ovjp Furnace,X4.15 for first four;54.03 for each additional _ ,v , , �yil.. 1 Addressl0) M &,t/t `S� St , , r Si 0 Gas heat pump City/State/ZIP:Vancouver,WA 98-66"0 uM`' V Wall/suspended/mitterheater Water heater Phone:(360)695-7700 '�f� n Fax.:(360)693.4442 Fireplace 1 •E-mail 1 GVt6e.i ,-I roti p R� 1 .7 `` C �� t 1/-�I�tYle t • Barbecue P..i.-` `,,Ruf7.1;.-s'a r''•A'`�5e-.E°,�".i..- "'' •!:,,3=;rutirt• 'r=;._'.; i1J.k:�'^'.g Clothes dryer) Business name Nob ��l c op\tnr f Other: g A Address: ��(�� IV W . �A� to r-'� 11�i 1��� ;0.� -: Ctl 'u' S a. :�a.,_.. y, (ern j t i {-1 1 S)b , 0 C1 ti..,-1 . _^u._._ e 0) City/State2lP: r� � Minimum permit fee($90.00) Phone:903)4 j 3 �( 'L I Fa rC 13) CA`\ ". fl to Plea review(25%2of permit fee) CCB lie.: a —rl�! l) `j State surcharge(12%of permit fee) �"l col TOTAL PERMIT FEE - ` This permit application expires if a permit is not obtained within 180 Authorized signature:ilio er- days after it has been accepted as complete IPrint name:'`�„d/e..--h 11„", ryl"vV J l Date: * Fee methodology set by Tri-CountyBmlding Industry Service Board ItBul1diaeeermitsl. CC?mei[An°040,113.docVT t,'e 4611-4417T ft 7/(MK`.AM/lVRR1 Electrical Permit A plicatio t '�f Tigard FOR OFFICEUSEONLY Received li, 's 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B . Phone: 503.718.2439 Fax 503.5981960 pian Revievr Inspection Line: 503.639.4175. Date • TIGAItD Ready 7uri� Internet:•www.tilsard-or.gov ed: $See ental for -.':,-.`'. -'-7:" r�.✓ sj a r- ��`'� c Supplemental Information firSs, _•- �j5,:-.zf..:%1- 4.1�f; ---4. '.l:'^4 'ri* '�' �, ®New construction 0 Addition/alteration/replacement lacement m a Pl ase el ck-s ��c{ s is l e 0eP Please eherlc all thatapply(submit 2 sets of plans wlltams checked): Demol on ❑Other ❑Serviceor feeder 40D amps or mon 10Building over three stories. sr , ? i� �� Mv/y c X ���0-1:00T. ys y where the available fault current ❑Matins and boa -and 2-family dwelling " r' exceeds 10,000 amps at 150 volts or [[Floating buildalge $��/'' y 0 CommCommercial/iiidllstrial0 Accessory building less m ground,or exceeds 14,000 ❑Commercial-use ""� B f ly ` ❑Master builder 0 �- amps for all other installations. gs. or K ;:F ;'` .:_s'':-q:.Ba e�Yse;d Et to cr,Pt'-tla a— igi ,-.-, Dna ❑largelsepaoflSDIrived ._- b•..,,. `'. �� '" �.:,...---5,-,4._. system. eP 1Y Jab# Job site addre�^t 2/) e ❑Addition ofnesv motor load of separately derived t {,( • ! C1 100BP orators. �� Q.A„,. "I-2”,X1.3 3 �:Tigard,OR 97224 ❑Six or more residential units, occupancy. Suite/bldg./apt#: I Project name:give*,"�"• CI Hazardous facilities.1 0Supplytioltaveformoreth (��� • supply voltage for more than Cross streetJdireCtions to job site: ❑Service orfeeder 600 amps or more. 600 volts nominal. Y _.i7_.ate 77- 'i'3Y, a 4 N: 4.7,1 =-.:7S'-'7.' - , .. Da don , ®�4, R • Subdivision: ' New residential single-or multi-family dwellin unit. (' , ., 1. , , I Lot itLi. Includes attached garage y B T � # 1,000 sq.ft.oriess 11111 168.54 4 ax t.12-';'-''- f r a �t 7 n4�t � : .i 6 ) Ba add'1500 sq.ft.or portion 33.92._ 1 ~r` Limited energy residential ■ with above at.ft75.00 2 Limited energy,multi-family ,...-2,:.:: �','.�?'ar_s!�.�`•-� '�,� -�.� ;-� tz-4-�- _ Renewable lwith above sq.ft III 75.00 2 b Sees or feeders Installation,atteratfo, and/or relocation Name:ADVL Land Holdings,LLC 200 ami or less in 100.70 2 Address:7600 R Doubletree Ranch Road 201 amps to 400 amps 111111 13356 2 City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 200.341111112 _ Phone (602)694-4031 f 601 amps to 1,000 amps 301.04 2 I Fax:( ) Over 1,000 amps or volts 11111 552.26 Email: 111111111 Temporary services or feeders Installation,alteration, 2 Owner installation: This installation is being relocationand/or Owner installation: sale,alease,ren or �made on property ow which is not 200 amps or less - 59.36 _ 1 Owner dsignature: rexchange,according to ORS 447,449,670,and 701. ' 201 amps to 400 amps - 125.08 _ 2 Date: 401 amps to 599 amps 1 _ >� a �., --� _ 6854 3< Lm"7� r o _ 2 Business name:William yw t�� o ��:�0 ' 2` B n fur breach o]rocite alteration e tion or extension, 'er •and William Lyon Homes,Inc. above service or feeder fee, III � : Nih o� , each branch circuit 7.42 1111 2 �� Itt`�` �`v B.Fee for bran4,000. ch k{,, S« b circuit fee,fast111 56.18 ■ 2 Address: City/Stats/ZIP:Vancouver,WA 98660 Each add')branch circuit -NIZEI_ Phone:(360)695-7700 Miscellaneous(service or feeder not included) 2 Fax :(360)693-4442 Bach manufactured or modular Finail 1 ' �idwelling,service and/orfeeder 67.84 2 { a ' l� �J A,r 0 S 534 Re�necr onlY :.; ' P��ffsl',3':�k r. , - 67.84 2 Business name: )' " Pump or irrigation circle 67.84 2 Garner Electric Washington,LLC Signor outline lighting 67.84 i�vJ S�,� , t j Signal CiAddressStaterLtp; p �� � Panel, Q,goor e�asioa� ❑ See Page 2 r 2 (,�{l��J r r 'A' C 1D,?J� ' Each additional las.action over allowable In an of the above Phone:(253)320-1657 y t�• t'" `-� Additional inspection(I hr min) III 6625/br Fax:( ) Investigation(1 hr min) �, ■ bdanlels(a ePvensa.com Industrial plant p hrmin) RN 78.18/hr Rural lii COB Lie C1158 Electrical Lie.: 208174Inspections torwhiehno fee is Suprv.Liti: 44965 listed(:S hrmia ' SuFn' Electrician signature, '/ - - required 'g(A A r� a r 15' li I N 3:c! t r :1-�S� 3 - i Subtotal: � `' Print name Joan?Albert Date 4126/2016 ❑PIar1 Review Required(25%of permit fix); • Authorized signature: _ — -----7.7—:::—� Sista surcharge(12%ofpermitfer): TOTAL PERMIT FEE: i Pitt name: Bill Daniels Data4/26/2016 This permit application expires If a petmitls not obtained within IED "' hs days after lthas been accepted=complete. ',M. wIABundinnIPe,mit r.0 Paomitbpp ECM MA=Rev o6/Iv2o15 440-4615707/05/COt Nnmheroffnepaotioas allowadpurp Plumbing Permit Application Building Fixtures 1'O1Z OH It[ ESE t:3\L'S City of Tigard 1 , , ' Received >� i�.;f -- �� 13125 SW Hall Blvd,Tigard,OR 97223 ter: �o�c7 f� � ? ;t ' Phone: 503.715:2439 Fax 503.598.1960 • ' 1Du �_- • natwsy: OiherPerahitlso.: i r, [ Inspection Line 503.639.4175 . Internet www.tlgard-Os gov oath aY hO Ivan H see page l frac _.any;- •-: '- ' a; _ 11oci6edRiidhed:._ _ '. Sapptementatlnforrnatien - ''4�•-.�. 7...i, lig 3cr.... 'to _ !' q.�_ s t .2•�a' 4: 1f.134G:'~ ®New construction 0 Demolition ,For speckd kformationirse checklist p AdditionJslterationh ep1acetneat ❑per Description l Qty. 1 Es. J Total .;-;-%::: ,,: :d �_i New 1-2-family dwellings(includes 100 R.for each ut8it ecernection) • :4•.•�-+ 3,- .i111;ektEe✓Ii•.::QF_GYf C:[ 1►/'o '. ..� .` ..:v.- SFR(1)bath ! 312.70 j _1-and 2-family dwelling 0 Coahmercial/mdtsstriai SFR(2)bath 437.78'. .- i p Accessory building .. • �hrlulti-family • SFR(3)bath ti 500.32 . . Each adrTitional baddLitchea • 25.02 Ci Master bui#der.' ❑Other Fire sprinkler( sA-ft), Page 2 1 -n, = ' ;a B - A dU TA'219:*:'4. .:.•> ..:6 '10_p"•:._.: Site utrrdties: I lob site address: l3L0 I ' SkN i IDO Oft), (a.�i.' Catch basin or area drain 18.76 '. City/State/ZIP:Tigard,OR 97224 v DrD4leech line,or trench drain 18.76 ' .. Footing drain(no.linear ft:_) Page 2 w Suite/bldg./apt.no.: Project name: tVe r(Qin re. oManufactured home utilities ' EWA- 50.03 . Coss street/directions tojob site: Manholes 18.76; Rain drain connector 18.76 _ Sanitary sewer(no.linear ft.:__) Page 2 • Storm sewer(no.linear ft.:____} s_ Page t ' -Water service(no.linear ft: PageP2 . Snbdivlsioe ,�r ••Ce c� S no 2� Ftxturc.or item: Tax map/parcel no: Backflow prevents I ° 3L27 • . :....,_-. .t ;.;.: .,f-.7* i iigaiiR7'fi3if.teiiiiiiii • . • .. .Backwater valve •r 12.51 Clothes washer 25.02 • Dishwasher . . 25.02 Drinking fountain 25.02 ' Ejectors/sump ' 25.02 .j. a,, n'p :;!,t, _:4'yp f - i �`¢+i.::•,-, - Expansion tank . •s Name:ADVL Land Holdings LLC • Fixtmesower cap 25,02 Address:7600 E Doubletree Ranch Road Floor drain/floor sink/hub 25.02 - Garbage disposal 25,02 City/State/ZIP:Scottsdale,AZ 832558Hose bib 25.02' Phone:(602)694-4031 Fax:( ) Ice maker I2.51 :w .L" ^ _ : - ‘..:'::•••••4\:"''.." / Y' ..-:i.";.! lnteteePor/greasetrap 25.02 r-- Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 Contact name:4Q\ (c h ole.Tc�j y�� Primer 12.51 Address: t t)3 ( rho.�A., )! , C`SA- Roof drain(commercial)aiafl 12.51 �O in/lauatttty 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) . 62.54 ' Phone:(360)695-7700 ' Fax::(360)693-4442 Tub/shower/shewerpan 12.51 : E-mail:: ` 4 ' 14. 1 is - /`‘ Ic 11(01 Urinal 25.02 - q:'ar t . f<e i. "e t v f ,s • „.. •. .7' ••• i,,,:,.., Water Watercloset . 25.02 ' Business name:Alliance Plumbing lie Water heater 37.52 9 Waterpiping1DWV 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)912138 Minimum permit fee: $7230 CCB Lie.:184691 Plumbing Lie.no.:Pi373? Plan review(25%ofpeicnit fee) ' Authorized (12%ofpermit fee) , Mt AL PERMIT FEE Print name:Robert Mannar' Dates 5/2 2026 4 This t apNiea expires ita•penult is ant obtained within ISO days after Irian been untwited es annulate. 'Fee methadaingy sat•by Tri-Courtly Building lawny Service Board 13taaadinatermesIPIMU•MmltApp,doc iambs 440.46i6TIUS02lC0MtWEal City of Tigard 1114 I' COMMUNITY DEVELOPMENT DEPARTMENT lZ TIGARD Building Permit Review — Residential Building Permit #: /k // ) ,0,0 440 y Site Address: 1 S 2-0 IS vli I -nn o Project Name: (. .i\i T .T-c(U_ G) S t-- Lot #: `Z Z, (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: f ewv 5P-R- / P-R_71 Verify site address/suite# exists and active in permit system. 7 River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: ?three(3)copies of site plan ung structures on site i1Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished ,,�//brawn to scale(standard architect or engineer scale) floor elevations yJNorth arrow "RItility locations&easements(required for new and additions) Site address,project or subdivision name and lot number idewalk/driveway approach ..Applicant information(name and phone number) oca wells/septic systems Lot dimensions and building setback dimensions 4;1•Eeristing-trees to be retained with drip line,and tree Square footage of buildings to be demolished protection measures ,r (Lot area,building coverage area,percenta.- .f coverage and ,Street tree size,type and location impervious area(applicable if R-7,R-1-, R-25 R-40) 21Street names [(Property corner elevations(2 foot contour es if more than >1,000 sf of impervious area created or replaced? s o n/ 4 foot differential) If yes,is a storm water quality facility shown? ❑ No izr Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified Received: ❑ Yes ❑ No Rf Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake VLandUseCase#: f DV2CRO-- 00001 , SUB 1-0il® '000041 7Zoning: a Z s f Required Setbacks: Front 12_ Rear 5. Side 0/3 Street Side 3 Gara e (p -2_0Landscape Requirement: Q % g 3 /If Lot Coverage Maximum: 6 0 0 Building Height: Maximum Height W V /A Actual Height 3 Z1 Visual Clearance Sensitive Lands: ❑ Yes No Type RI Urban Forestry Plan . 1 Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: /1/1 0/1."--� Date: 10/ I I / I 1 Revisions (after Building Submittal only) Reviewer Revision 1: ❑ Approved ❑ Not Approved Date Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: C.e1 0 Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning 7 Engineering 7 Permit Coordinator Building Workflow Sign-off: Sign-off for Aanning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / / _ , i By Permit Technician: /�� ��L ti/i", G I --- Date / `/7/ Engineering Review at building g pad: /0 / ❑ Conditions "Met"prior to issuance of building permit D 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: 0 Yes d No LIDA Facility on lot: 0 Yes pi No 0 NOT Approved by Engineering: Date: Notes: Approved by Engineering: la/ V,lrl. to,, Date: i b 2,Sr 1 7 Revisions (after Building Submittal only) Reviewer ate Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit � Released: /I'/ Date: 10/, ( App roved,NOT Re 1 otes: 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: 0 N/A Tigard Trans SDC: PP Tigard ❑ N/A Parks SDC: ►i'Yes 0 N/A LIDA 0 Yes N/A r 0 OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES_061417.docx IN City of Tigard : COMMUNITY DEVELOPMENT DEPARTMENT g TIGARD River Terrace Building Permit Review Addendum E _ Building Permit #: Site Address: Zo I S w. I , c) 441 A Project Name: fi.i Ver Te c t. .. ecti f (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: 2. Planning Review of River Terrace Plan District_/ Design Standards (18.660.070.1.); Is the project subject to the plan district design standards?,L�1 yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a ft.deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabledh oEl ,z1 ver 2. Eyes on the street: a minimum of 12'70 of each street facing facade must include windows or entrance doors. Percentage Shown: 3. Entrances:At least one entrance must meet both of the following standards: yjMax. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, Entrance opens to a porch: 46 Yes ❑ No or open onto porch If es,all the following apply: /gil )414 One street facing entry 25 sq.ft. min. ef 12 ft.max.roof above floor of porch 5 ft. depth min. /30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: vsCovered porch min. 5 ft.wide x 5 ft. deep gi Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches /Roof eave min. 12 inch projection Dormer min.4 ft.wide Roof offset min. of 2 ft. ❑ Roof shingles either file or wood � Gable,hip or gambrel roof design 0 Roof pitch oriented south min. 500 sq. ft. Horizontal lap siding min. 3-7 inches wide 0 Accent siding min. 40%of street facade 0 Window recess min. 3 inches for all street facing �Window trim min. 2 1/2"wide by 5/8"deep dow ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Atta0 Bay ched garage ris 35t%or leess of street y 2 ft. facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall/ Yes r. 40. If No (Check one): 0 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. Wi3th: (Check one) 412-foot-wide garage door 0 40%max. of street facade r 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: /x-.Z.. t/\_.— Date: %C7 r/ I:\Building\Forms\BldgPermitRvw_RFS_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13201 SW 169TH AVE, BEAVERTON, OR, 97007 June 26, 2018 at 11 :30:42 AM Record Type: Record ID: Residential - Master Permit MST2017-00404 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 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13201 SW 169TH AVE, BEAVERTON, OR, 97007 June 20, 2018 at 10:43:58 AM Record Type: Record ID: Residential - Master Permit MST2017-00404 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 65 psi Violation Summary: Inspector Contractor Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard a, I* a ` Received w 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By 6.2 y i� ..1544,,L,_ Permit N L/ 1111 i Phone: 503.718.2439 Fax: 503.598.1960 i; ;,t �`t y , ;J Plan Review `�Z ����j��/ Inspection Line: 503.639.4175 Date/By: ��)/j L� Other Permit No.: T I G A R D p Date Ready/By. Internet: www.tigard-or.gov )/7 /,er lues I Et See Page 2 for x4 t Notified/Method. J Supplemental Information TYPE #F WOR a" w) ' � ;" ®New construction IA ill t F FEE* SCHEDULE ❑ Demolition For special information use checklist. ❑Addition/alteration/re p lacement ❑ Description ( Total Other: � Qty. I Ea. New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building SFR(3)bath 500.32 ❑Multi-family ❑Master builder Each additional bath/kitchen 25.02 ❑Other: JOB SITEINFORMATION AND LOCATION Fire sprinkler( sq.ft.) Page 2 Site utilities: �/g74 Job site address: 13201 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 Cross street/directions to job site: Manufactured home utilities 50.03 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no,linear ft.: ) Page 2 Subdivision: Water service(no.linear ft.: ) Page 2 I Lot no.:22 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION O WOIiR Backwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25 02 Permit# MST 2.o 1i - 0040 y Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 2 :® PROPERTY OWNER [ , ❑ TENANT Expansion tank 25.5 12.511 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 Phone:(360)695-7700 Hose bib 25.02 Fax:( ) Ice maker r t APPLICANT12.51 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 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:Gavin@AlliancePlumbing.net Urinal 25.02 CONTRACTOR Water closet 25.02 Business name:Alliance Plumbing,LLC Water heater 37.52 Address: 146 W Historic Columbia River Hwy Water piping/DWV 56.29 Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lie.:184601 Plumbing Lie.no.:PB732 Plan review (25%of permit fee) Authorized signature: > •.- :-.17State surcharge(12%of permit fee) Print name:Gavin Thomes TOTAL PERMIT FEE Date: 1/22/18 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. 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/W EB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Util�lt es Qty. Foe tea) Total . Square Footage: Permit Fee: 0 to 2,000 $121.90 Footing drain-I 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-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.each50 for the first additional$100.00 0or00 and$1.52 for fraction thereof,to Qty: Fee(ea) Total ' and including$10,000.00. Other InSpeetioxis ©rFees _ _ 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 charge-1/2 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. $7 2.00 and (minimum plan review for revisions 90.00/hr $50,001.00 and up each4additional first $$100.00 00or .00 fraction thereof.$1.20 for (minimum charge-1/2 hour) Subtotal: Other Fixtures: 1 1 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/FontPlease 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 uspidor/Water DishwasherAsoirator-Commercial Das defined in OAR918-780-0040. ❑ Medical gas and vacuum systems for health care facilities. Domestic Drinking Fountain ® Any multipurpose fire sprinkler system. 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" 4>, Car Wash DrainIsometric or Riser Diagram Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food rd relyted that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lay -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 1 Urinal haps://allianceplumbing-my.sharepoint.com/personal/gavin_allianceplum12ng_net/Documents/Documents/Fire Sprinklers/RT/City of Tigard Permit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13201 SW 169TH AVE, BEAVERTON, OR, 97007 June 26, 2018 at 11 :30:42 AM Record Type: Record ID: Residential - Master Permit MST2017-00404 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor