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Permit (95)
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00408 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017 Parcel: 2S106DA02600 Jurisdiction: Tigard Site address: 13169 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 26 Project: River Terrace East, Lot 26 Project Description: New SFR. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 240 sf Basement 0 sf Left: Parking Spaces: 0 Height: 31 Bathrooms: 3 Second: 562 sf Garage: 294 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 560 sf Right: Detectors: Total: 1362 sf Value: $170,032.44 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 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 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 1362 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $23,077.57 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 R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: - jlG —.. Permittee Signature: /1i /��/ '�1�C� 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 , 7----Z. Z.; e 1 I D FOR OPACE I SE ONL1 ir City of Tigard JUN 2 2 2017 Date/ReceivedBy: !b / 17 4 III PermitNv s em„G'Oga It . 13125 SW Hall Blvd.,Tigard,OR 23 Plan Review Other Permit: `/C/�/ `�`�_may 7 Phone: 503.718.2439 Fax: 503.598.1960 i r�; ., .:,,,,,-, Date/By: Ila.0 017— i '" `) / ,e7 Inspection Line: 503.639.4175 •, F- �`' r Date Ready/By. t„7 .,7 Judy: H See Page 2 for I 1( `.E:i i ;-a- Yl i`b'.' ) NotiSed/Method/6'/ / Supplemental Information Internet www.tigard-or.gov Permit fees*are based on the value of the work performed ®New construction 0 Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other. equipment,materials,labor,overhead,and the profit for the =R �" • work indicated on this application. .�: .. Valuation: $ V V i` V t-and 2-family dwelling 0 Commercial/mdustrial 9. Multi-family Number of bedrooms: '2, i 7 X11 O 3,• / ❑Accessory building Y � O�• 0 Master builder ❑Other: Number of bathrooms: �r C � � ''Ii-i' >� ,� Total number of floors: 13 6� 168 6 Job site address: /3 0 1 SV J 'w New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 29 quare feet s/O Suite/bldgiapt no.: l Project name:River Terrace East ja, Covered porch area: 141.c.square feet s 6a. Cross street/directions to job site: Deck area:n7 '1 c� square feeta(.�sO OtheS strt�c fr(area: 7 square feet Subdivision:River Terrace East , Lot no.: ) ( 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 � - O , xf work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet -- 3,,- 7 1 ' Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: hone: 6 b 'S it t �;. ' v, tz § ' 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::( ) z i- E-mail:Nichole Thorpe -„: L " Commercial and residential prescriptive installation of . -'�xY{ -,-; 0 r roof-top mounted Photo Voltaic 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. 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 lie.:207247 Total fee due upon application: $201.60 Authorized signature: ` / 0;,,,.7.________ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Service Board. I:\Building\Pem its\BUP-RESPermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received Date/By: Permit Not457;26,it 7,.../2114,47, il 13125 SW Hall Blvd.,Tigard,OR 97223 ' Plan Review I Phone: 503.718.2439 Fax 503.598.1960 Date/By: Other Permit Inspection Line: 503.639A175 ;. ' El - TIGARD Date Ready/By: Ina': See Page 2 for Internet www.tigard-or.gov ' ' ' ' Notified/Method: Supplemental Information 7.0.14;Mgriligftrat_1*".4*TWAtiVIMIaMeN aVilli.0144-Wit*.V.:C404.44PP.S.VW1g**7 Mechanical permit fees*are based on the value of the work El New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ ,„,,_.,"AF14-)4,1 •areg,- .7.- 1-','-'ati-G-70'..etit/iSik-E0tiiiP--qeir)14: -"IcW"'4 . .:`-'---"nraTAT-"- -..."'-'..-itisrili --- ------ - ,....:-.•1%-,..-..„.7w.........1,-- 6-i„.„.„-......,...,::0-1....... .;...., ,.-• .-„,•-:.:4- .......,74:?.54k,i„,--4„.,4-, , 4tRt•lagiD_,,,_..f,EQuip . •sysrEnsmEs;d:4*1.1 1-and 2-fmnily dwelling 0 Commercialimdustrial El Accessory building For gleeful information use checklist (Multi-fnmily 0 Master builder 0 Other: Description Qty. Ea. Total it-Viin_421*17.54001.:ftWif-07:01:00el:P1.*Ws4451-gdiRig V. neatingicmang: Air conditioning 1 46.75 46.75 Job site address: (3 to-9 sw ‘u aro, fl‘Nie, Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 SuiteibldgJapt no.: 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 Lot no.:2.1p Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ::;-14-kg:Afgafe'igMgStt.3.0*Tridif.4***5,;L:1::::.42k4V4::14AVAFS-1 Gas firePlaeermseit 1 33.39 Flue vent for water heater or gas M,S11: '-- -011_60 40.8 fireplace 2332 Log lighter(gas) 23.32 Wood/pellet stove 3339 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 *7•E:4' ;:18e-:' ii4*4";;I:**107.:. .'ifWE1E:171*sit':ItTMA-5.1 EnvironmentalEnvironmental exhaust and ventilation: 2332 Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 1 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust t 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, Lk toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax( ) Attic/crawlspace fans 23.32 04T ';;:e;t:tilf ;Lr--reOk140.11140145t4qt!Li:.Tij Other. 23.32 Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for first four;$4.03 for each additional Contact name:W i C Dk,11A0fVe Furnace,etc. 1 ' Address:11M MVAAA i al k -t- Skki,)& SID Gas heat pump Wall/suspended/nnit heaMr City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Far:(360)693-4442 Fireplace 1 - Range 1 ,_„_____E-741.::AO i CAA 0 -Zit ONerVe;;EINAV rhiy\V-OfYIeS .r ZVI Barbecue ,Fi:S511-'!:..t.4. 4•Yi;',".iiiiid:.!;.;7:.!:•W_ -,c4.6"f4f.;i,f.:4.:: :i• ,nk.?,q0:::,::-.41W-;:tpt:;! clothes dryer(gas) Busines.s name:pin vvzion olyi Qt)0\in,, j Ir- -r Other: :'t#13.:N::S: r::;*l'btIjt*tRW'fVr•g 4-;.-:1::2' Address: ri..DC67 t\M •1Pij\ )ktq P(1 SW)k C, k .01 Subtotal _ City/State/ZIP: kkilSbbcp, i kyQ__ q- 1 LYI Minimum pczmit fee($90.00) Plan review(25%of permit fee) Phone:5 )qt.o. soil, Fax:611)oti-\1. sb-17" State surcharge(12%of permit fee) ... CCB lic.:'Lb q 001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: thC4-- Ata-rat„.10--- * Fee methodology Beth,'Tri-Coxmty Stulding Industry Service Board Print name:Ak t',./4 ij/4..,71 j) Date: Date: Illuildino‘PermitinARC PennitAnn 114n1 i eine eart_eprIT Pi 1 inlInniantran% Electrical Permit Application FOR OFFICE l IST ONLY, - City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 Date/13Phone: 503.7182439 Fax 503.5981960 Plan Review Inspection 503.639.4175. DatdS. RdaterlPexatit#: TIGItItD ReadyDate/By: ICI See Page 2 for tigard-or goy NOOdFz.eO Supplemental!i'foInformation- uss _ Z _4, £ .: O�;aaat ;� �-�ta�C �-�� 3 ��, > �x®New construction 0Addition/alteration/replacement Please check all that apply checked): ❑Demolition 0 Other: ❑Service or feeder 400 amps or more ❑$ uiLoverthree atx es where the available fault current ❑17atinga aid boatyards.o : - 3 o - _xi:--,..,7 xexceeds 10,000 amps at 150 volts orQFloatiogbuildings. .-and 2-family dwelling 0 CommerciaUiridtishial 0 Accessory building less to hound,or exceeds 14,000 ❑Commercial use agricultural cl Multi-family ❑Master builder 0 Other amps fax all other installations. tmr7dings . -�- �' F I ❑FIre CI Installation of I50INAor 4-M.,, V.4WA— --ru=t°iasZia ':6 4.7..3 `t ,Sx ❑Elm!'8eacy system Job# larger separately derived Job site addre. 0 Ad niton of new motortoad of system. City/State/ZIP:Tigard,OR 97224 100i4P or more, ❑"A",'E••,"I Z","13 ❑Six or more residential units. occupancy. Suite/bldg./apt#: Project name: ❑Heattk-etre facilities. ❑Recreational vehicle parks. vele-1.- I Im - ❑Iiarnrdons locations. 0 supply voltage fnrmore the' Cross street/directions to job site: • ❑Service or feeder 600 am.. ormom. 600 volts nominal i:3`7;s -r—E.0 ; • Deacriptlon Ob. geek Total New residential single-or multi-family dwelling unit. Subdivision: r., ,.. i , Lot# 7 1/1 Includes attached garage. Tax map/parcel#: "`f' 1,000 sq.R or less ( 168.54 4 z � _ '° a 00 sq.$or portion � 3392. 1 K Ba.add'15 �:_.�z< u -~ =a Limited energy,residential (withabove sq.ft-) 75.00 2 �- above sq 5.00 2 Limited energy, Family residential(vn o $) 7 1 g,R° : 11Zg:7-7x2+ .?w7....`=tri �r x a '-ref' Renewable Energy ❑ SeeP `"°u Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC • 200 amps or less 100.70 2 Address:7600E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 20034 2 601 amps to 1,000 amps 301.04 z Phone:(602)694-4031 Fax ( ) Over 1,000 amps or volts 35226 2 Fr^a7: Temporary services or feeders installation,alteration,and/or Owner installation:This installation is beingmade onrelocationamps o intended for sale,lease,rent,or exchange, property that I own��is not 200 amps or Iess 5936 t 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 Vii ,. ,-,_ - yi„�;,_--.--.-...--,-,,,,..,-IL,-a� ,f�------,z_ A �:,rye y-,Ys Branch circurbran is-new,alteration,or extension,per panel Business name:William Lyon Homes,Inc. A aboveo service circuits wee, service arfealea foe, Contact name: A. 1 ', IL' each branch circuit 7.42 2 B.Fee for branch circuits without Address: $3 I_ s service orfeeder fee,fust S 1 JIA'Al- , S l'D branch circuit 56.18 2 City/State/UP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone:(360)695-7700 Fax::(360)693-4442 4 Miscellaneous(service or feeder'not included) Each mamifactured or modular Ems: A / dwelling,service and/or feeder 67.84 2 i/ a AL 1.1 ,G r 1 I II la Reconnect only 1;-:� sem: '7L5iT�'}i ri r 7,)".". -_ 4 t 67.84 2 Business name:Garner Electric Washington,ILC • Sunup or r outline lige ion carie 67.84 2 Sign ine lighting 67.84 2 Address;c ! , Signal circuit(s)or limited-end _. t•\ . S _ i '. / panel,alteration,oreatension ❑ Seerage 2 2 City/Statehm' ' 1 - .r Each additional inspection over allowable in any of the above Phone (253)32p-1657 Additional inspection(1 hr mit) 6625/hr Fax:( ) Iavestigation(1 hr min) 90.00/hr Rrnail•bdaniels@gwettsa,com Indusuiatplant(l hr min) • 78.1S/hr CCB Lic.: C1.158 Electrical Lic.: 208174Inspections listefor d 4hn men is 90.00/hr S�rv,LiG; 4496S • Tie listed lxhrmin) i._ tixE'7�5rim A 13E i at , . zS11prV,EIect[tC18nsignature,mcluired. —_Vit.J A , Subtotal:name: JsanP Albert • Date: 4/26/2016 ❑Plan Review Required(25%of permit fee): := _� 1 _ State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: I. Paint name: Bill Daniels Date 4/26/2016 This' permft application expires If a perms is not obtained width'ISO >•it.`.,_.._ u+stPamimlELC P days after it has been accepted as rnmpleta iiA:ic a eppBL&ffitlidoeRev11611712015 * Nnmharafmape�touieaIlowadp�permti 440 46157�11/OSlCCdywgg I Plumbing Permit Annlieatiot Building Fixtures Citi of penult pro.VV-7,2/7-00/, iv 13125 SW Hall Blvd,Tigard,OR 97223 Phone: 503.7182439 Fax. 503.598.1960 pian RC1"Daterly; Other.Permit No.: T i Gr,rt 0 Inspection Line: 503.639.4175 Date Ready/Br; hats !8 See Internet vkt�tvtigerd-or.gov Page 2 for M ethod: Supple:matte Information .0 .5:. : Yom'-• ;Alt-'S • F ? ;1St lip - ::::_ •.:, :-.7.1:' _ _ --'`p. -`r'.Ffv •:.'t'ti...', :t i..' •�_ - .. ` . ®New construction 0 Demolition For special fgformationuuse checklist. .Description ( Qty. 1 Ea. 1 Total D Addition/alteration/replacement =�.. ...: .. _... : .s..❑Other .:..,. . ;t';•_#:•- New 1-2-family dwellings(includes 10011.Cor each utility connection) -• Ty ;_ :-` -5;:-..;:�Guge iR <. r C1i * ;.:i�o-:�1: - _-: SFR I bath 31270 _1-and 2-family dwelling 0 Commercial/industrial - SFR(2)bath • 437.78 ', D Armory bttlkding *Multi-family Silt{3j bath- 4 5oa.32, ❑Master builder.' . : Each add'it'ional bath/kitchen 25.02 :. z 1. D Other: Fire sprinkler-1__�f) Page 2 `", a$: :�7 ` t 1.111Uit A.-1141. ,. .:' Site'lades: J Job site address:` l-t l SAN I I'+n civ ' �� Catch basin or area drain • 18.76 . City/State/ZIP:Tigard,OR 97224 ' Dtywelt,leach line,or trench drain 18.76 • _ Footing drain(no.linear ft.: ) Page 2 •Suite/bldg./apt.no.: Project name: f a Ve r Te n i E.�6) 1-- Manufactured home utilities 50.03 • Cross streeddirections to job site: I i ^� Manholes 18.76, Rain drain connector ! 18.76 Sanitary sewer(no.linear ft.:_) Page 2 ' Storm sewer(no.linear ti.:,_) Page 2 Water service(no.linear ft.: ) Page 2: Subdivision: ItiX Tix &S.1--- i of no jv P"urture ar item: - Tax map/parcel no.: Backflow preventer 131.27 12 51 :s•'.•,.:'3. 4111. '6.'". tDESCRIPTI�N E-WQRIC-• BacScwatervalve 1 i i Clothes washer 25.02 Dishwasher 25.02 • Drinking fountain 25.02 - Ejectors/sump 25.02 `�, i.:"--.-;1 c --r;:,• . E.t.i. N1Mf T-: Ex-Pension tank 12.51 Name:ADPL Land Holdings)LLC Fix /sewer cap 25,112 Floor drain/Bora•sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) ice maker 12.51 `.gta% r: - , latereePter187rase trap 25.02 - Business name:Miriam Lyon Homes,Inc Medical gas(value:S ) 2 - Contact names DIa Primer 12.51 , +�1 (��� 2• `^ �^� Roof drain(commercial) 12.51 Address: 1 3 170 §:k-Sat-e- Sb inilava ry 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 • Phone:(360)695-7700 ` Fart:(360)693-4442 . Tub/showerishowerpan . 12.54 : E-maii:,l 1 �if ll A� 17 C JlfYl Urina25.02 471 k:4:IX ,. "e ,w11.74.17,,;'-V.. , - •r n ...' Water dead25.42 : - 37.52 Business name:Alliance Plumbing LLC Water.piping/l)WV 56.29 Address:146 W Historic Cohtmbia River Hwy Other. 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $7230 CCB tic.:184601 Plumbing Lie,no.:PR732 Plan review(25%ofpetvait fee) Authorized signature: 4 ,,,,l,„.. Statesurcharge(12%of permit fee) TOTAL PERMIT FEE Print name:Robert Disbman Date:5/23/20€6 This permit application Maims Ifa-perraltis not obtained Within ISO days after its been anceptedasremplem `Fee methodology set'by Tri-County Building Industry Service Board. t lBd em ?uns 1J&U•PerndtApp4oe 100/09 4404616T(la/02/COM?WEa) City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT : C TIGARDg Building Permit Review — Residential S r, ,it4S3. .cf • ."i%.__; ,.-_,,t4,- ;va.r33ae,411 4 i. ,yy.�,. :z.4,2,,,,,,>_ Building Permit #:• S7 /7-- 00 / ;(II Site Address: L 3 16 c1 S .k", 1 6 GI eut 01 v-t. Project Name: ( Wes Terra/Ce -Ec45 t Lot #: 2. (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N CivV .c.Fiz yr,Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ No 1VYes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan tm sgstructures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations North arrow Utility locations&easements(required for new and additions) Site address,project or subdivision name and lot number Sidewalk/driveway approach Applicant information(name and phone number) •B-beetrtion of wells/septic systems t dimensions and building setback dimensions gxees to be retained with drip line,and tree Square footage of buildings to be demolished 2Strmeteetc tion measures lot area,building coverage area,percentage of coverage and tree size,type and location impervious area(applicable if R-7,R-12, :O; R-40) treet names t4'rofperty diffcorner elevations(2 foot contour es if more than >1,000 sf of impervious area created or replaced? ❑ No WA- oot erentiaIf yes,is a storm water quality facility shown? Yes ` /A No Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): (Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No jai Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ie Yes ❑ No,stop intake 7 Land Use Case#: P 1) g Z<) 1C9 — 00 001 J e- 11b - 00001 7 Zoning: 12..2-S 4 Required Setbacks: Front i°Z Rear 5 Side 0/ 3 Street Side 3 Garage '2,0 Landscape Requirement: 24) % - 47 Z Lot Coverage Maximum: '(T X Building Height: Maximum Height N/A Actual Height 3 A Visual Clearance Sensitive Lands: ❑ Yes ❑ No Type VUrban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: .1 in...."—S— Date: 1 CY I I / 11 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\BuildingWorms\BldgPermitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: 6/ Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: PlanningEngineering C7Permit Coordinator Building Workflow Sign-off: Sign-off for P anning(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: Jill By Permit Technician: �,/�� _ � 'if.A l _ A Date: _. Engineering Review C/ Vi Slope at building pad: ' 6 0 ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat yWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes (Z No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: 0 YesG No 0 NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance of building permit Date: k.:7/4�/17-- ijipproved,NOT Released: 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: YDC Fees Entered: Wash Co Trans Dev Tax: 0 N/A Tigard Trans SDC: I% es 0 N/A Parks SDC: 'a Yes 0 N/A LIDA 0 Yes 1N/A '► 0 K to Issue Permit Approved by Permit Coordinator: 4Date: I t/t yA--- I:\Building\Fonns\BldgPeI1 itRvw_RES 061417.docx litCity of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: 13 I Co c1 40 S vv 16 c1 11,1 Cetv-e_ Project Name: R i\P i T C al Q. &(4 S t Lot #: .Z (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.L): 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 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 Gabled dormer ❑ ❑ 7 ❑ . 2. Eyes on the street: a minimmm of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: 7. Lg 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street- facing wall to street, angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes No If es,all the following appy: PAd 25 sq.ft. min. One street facing entry /12 ft.max. roof above floor of porch /1'"5 ft. depth min. 30%min, e orch roof coverage g 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep 0 Recessed entry area min. 5 ft.wide x 2 ft. deep XWall offset min. 16 inches ZDormer min. 4 ft.wide Roof eave min. 12 inch projection Xi Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood OGable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide AAccent siding min. 40%of street facade Window trim min.2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing 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: No loser to front or side lot line, than longest street-facing wall. 0 Yes o. If No (Check one): May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ay 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. Width: (Check one) /12-foot-wide garage door 0 40%max. of street facade Z 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: TV) O it ve. �, Date: 101 I 1 /17 I.\Bu0ding\Forms\B1dgPermitRvw_RES_RT_062216.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter TI G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RE _ • L DEPT: BUILDING DIVISION ,. k 761 FROM: Nichole Thorpe COMPANY: Polygon Northwest PHONE: 360-989-40204 AP__ RE: 13159,13167 13169 13175,13181,13189 SW 169T1 •-",� 1112;Thl a(Site Address) (Permit Numbe River Terrace East =7 et a.-. Lot 2 (o Q 5Tzd( 7-QQy©s) (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: j 2— L). — )- Initials: Fees Due: Yes ❑No Fee Description: Amount D : . S Hr (CV: r..- $ $ $ Special Instructions: Reprint Permit(per PE): _❑ Yes _A No ❑ Done Applicant Notified: /U; c&-- Date: /ZIa/�7 Initiais;,4 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: 13169 SW 169TH AVE, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00408 Inspection Type: Inspector: 399 Plumbing final Chip Barnett Result: PASS Comments: Previous corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13169 SW 169TH AVE, BEAVERTON, OR, 97007 June 13, 2018 at 11 :10:49 AM Record Type: Record ID: Residential - Master Permit MST2017-00408 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13169 SW 169TH AVE, BEAVERTON, OR, 97007 June 20, 2018 at 12:39:38 PM Record Type: Record ID: Residential - Master Permit MST2017-00408 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Correction complete Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13169 SW 169TH AVE, BEAVERTON, OR, 97007 June 15, 2018 at 11 :04:09 AM Record Type: Record ID: Residential - Master Permit MST2017-00408 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Correction completed. Violation Summary: Inspector Contractor Plumbing Permit Application Building Fixtures , ` FOR OFFICE USE ()NEI' ilk . City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 3 Date/By: w� /� ,!), Permit Nq/ $7 j pp 7_ a y Phone: 503.718.2439 Fax: 503.598.1960 I,,N 2 ?018 Plan Review 4 j T I G A R D Inspection Line: 503.639.4175 Date/By. r� j i ti� Other Permit No.: Internet: www.tigard-or.gov , 11.,-i 0, 4 44 .,page Ready/By. /� lurk 7' See Page 2 nr '' dtified/Method. ,ec TYPE OF :WORK /� Supplemental Information BUILDING `. ON 'EEE* CHEDULE ®New construction 0 Demolition For special information use checklist 0 Addition/alteration/replacement 0 Other: Descri,tion •t . Ea. Total New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath ® 1-and 2-family dwelling 312.70 ❑Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 0 Master builder Each additional bath kitchen 25.02 0 Other: JOB SITE"I FORMATION AND Fire sprinkler(1 .; sq.ft.) Page 2 Job site address: 13169 SW 169"'Ave. Catch basin or area drain 18.76 • City/State/ZIP: Tigard,OR 97223 Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: Project name:River Terrace East Footing drain(no.linear ft.: ) Page 2 Cross street/directions to job site: Manufactured home utilities 50.03 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Subdivision: Water service(no.linear ft.: ) Page 2 Lot no.:26 Fixture or item: Tax map/parcel no.: Backflow preventer 31 27 DESCRIPTION WORK Backwater valve _ 12.51 Multipurpose Fire Sprinkler System Clothes washer _ 25.02 Permit# M ST20117- 00110% Dishwasher 25.02 Drinking fountain 25.02 ►r® P1tOPERT Y OWNER Ejectors/sump 25.02 TENANT' Expansion tank 12.51 Fixture/sewer cap 25.02 Name:Polygon Northwest Address:703 Broadway St.Suite 510 Floor drain/floor sink/hub _ 25.02 City/State/ZIP:Vancouver,WA 98660 Garbage disposal 25.02 Phone:(360)695-7700 Hose bib 25.02 Fax:( ) Ice maker API'1 CAPUT 12.51 ❑'CONTACT PERSON " Interceptor/grease trap _ Business name:Alliance Plumbing,LLC 25.02 Medical gas(value:$ ) 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/ba ts lavatory 25.02 Phone:(503)492-3490 Solar units(potable water) 62.54 Fax::(503)912-6438 Tub/shower/shower pan _ E-mail:Gavin@AlliancePlumbing.net 12.51 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 City/State/ZIP:Troutdale,OR 97060 Other. 25.02 Phone:(503)492-3490 Subtotal Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lie.: 184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: "---7Z State surcharge(12%of permit fee) Print name:Gavin Thomes TOTAL PERMIT FEE Date:1/22/18 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-Permit App.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 Su I s ression S stems: Qty.; Pee{Oa)... Total S•care Foota,,.e: . Permit Fee: Sitt1111a�e - oto 2,000 $121.90 Footing drain-151 100' 50.03 $169.69 2,001 to 3,600 Footing drain-each additional 100' 37.52 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and treater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas S Stems Water Service-each additional 100' 37.52 alua n: . Perm it P"ee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.each additional for the first nal$1 0500 or00 and$1.52 for f action thereof,to Other •inspect ns or Fees tY,, Fee ""Total; and additi n $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 90.00/hr each additional$100.00 or fraction thereof,to which no fee is specifically indicated and includint$25,000.00. (minimum charget hour) Inspections outside ofof normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for each additional$100.00 or fraction thereof,to hours(minimum charge 2 hours) 90.00/hr and includint$50,000.00. Reinspection Fees Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Other 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 naaesl Replace/ Plan Review for Plumbin! Installations Fixture Type for Capped Relocate Work Performed- Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower ❑ Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drivepor ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water DishwasherComore as defined in OAR918-780-0040. -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. DFountain 0 Any complex structure as defined in OAR918-780-0040. Eyeinking Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. 4„ Car Wash Drain Isometric or Riser I)ia t ram DisposalGapoga -Domestic-non-food 0 Isometric or riser diagram is required for new buildings -Domestic-food relateddethat meet the •ualifications 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/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_allianceplumlIng_net/Documents/Documents/Fire Sprinklers/RT/City of Tigard Permit.doc