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Permit (93) 114q CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00406 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017 Parcel: 2S 106DA02400 Jurisdiction: Tigard Site address: 13181 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 24 Project: River Terrace East, Lot 24 Project Description: New SFA. 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 Dwelling Units: 1 Third: 560 sf Right: Detectors: Yes 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 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 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 0.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. f 1 ' r '"1// Issued By: Ll,� ' Permittee Signature: (� 1�C1� 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 L--*0 T aZ Li ' e City of Tigard Received Permit No.' `J g Date/By: i 0/7 7/ / t3LW)/ (�C/G 11,1 41 13125 SW Hall Blvd.,Tigard,OR 723 J U N 2 2 2017 Plan Reviec. , Other Perini 0_0.335- 13:10 ./Ji\�z Phone: 503.718.2439 Fax: 503.598.1960 Date/By: J O -O-L,7-17 "G/.-✓5- 44 Inspection Line: 503.639.4175 Date Ready/By: r / Jaris: H ee age 2 for 1 IC,;',I:n p t''�1' ' Notified/Method:)1/.0-1�7 Supplemental Information Internet www.tigard-or.gov r }i'�!z ;s l C i 4-14 Ah e. C t "', `>_ ;27T fi t'3 7r mom' t i TE ',' ?`G- �`�„_.�e l IVE—F e'. ,s t 3`d ,b t cA P�;n+zz `,,,P,E7„s str Permit fees*are based on the value of the work performed. ®New construction ❑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 .�__ 5p ,� 4 o- '.":ii. work indicated on this application. . . Valuation: $ i-and 2-family dwelling 0 Commercial/mdustnal ❑Accessory building MuIGi/o-family Number of bedrooms: 2 � 02 a Number of bathrooms: ❑Master builder 0 Other: ,: g' t' l : ' '` Total number of floors: l.3 La!166 6 Job site address: 13/8/ SV V t W 6trin New dwelling area:` 1% square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area:' `�—� �i],uare feet [`6 C) Suite/bldg./apt no.: I Project name:River Terrace East izi Covered porch area: square feet 5 6. Cross street/directions to job site: Deck areas -7.2. square feet a9 0 Other struc"elafir e 7 _ square feet s' "` s t (Y} R, Subdivision:River Terrace East I Lot no.: 24 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 �, 'E " r work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet 0 �� oi, 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: g 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::( ) � � EmailNichole Thorpe - II:; Commercial and residential prescriptive installation of � r' , ;� � iv roof-top mounted Photovoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:William Lyon Homes,Inc 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: $201.60 Authorized signature:- ` / 0;,...17...........___ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard . % '' D •r PeanitNo.: /1•7_57-241/7,cie 4/06 : 4 13125 SW Hall Blvd.,Tigard,OR 97223 11114 Plan Review • Ill Phone: 503.718.2439 Fax 503.598.1960 Other Penult Date/By: Inspection Line: 503.639.4175 , TI GARD Date Ready/By: mg: 13 See Page 2 for Internet www.figard-or.gov Notified/Method: Supplemental Information 1,--tieg-Wr': AO" Se,.e....,..-vvIeT ..,. ,:.10„,;,..„,,, --zvl.ii...,:tz. ,,I-Ilikivtillyi.W.,,,t_At:4 ,ft:•_0141A.P-441..0.1746-,g2--9X1T07.114;:74,17§7 "FT. -4,- - Mechanical permit fees*are based on the value of the work Ig New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other. mechanical materials,equipraent,labor,overhead,and profit Value:$ :4iVeM-5114-76Vr,;74-tk'tt§Tsk4§gfilg;*A*Wkfrafi*:egib:A-Mi, pz,,,,,.ty.sp.--...ft-z... ,..,::_rapp---mstip-----•-In-67ms-----t4syart, _, 1-and 2-fsmily dwelling 0 Commercial/industrial 0 Accessory building For spedal information use checklist 1R/Multi-fami1y 0 Master builder 0 Other: Description I Qty. I Ea. I Total 'Al•-; 7-1'gg:160:4M#.0$1040-#44.N.;*it.440: .61-0.fWatP4egtg Realingiewling: - ... . Air conditioning 1 46.75 46.75 Job site address: j ( j ) sw t.pert.ii Ne„, Furnace 100,000 BTU(ducts/ ) 1 46.75 _ City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 _ Heat pump 61.06 Suite/bldgiapt no.: Project name:River Terrace East - Duct work 23.32 _ Cross street/directions to job site: Hydronic hot water system 2332 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 2332 Subdivision:River Terrace East Lot no.:19 Other fuel appliances: Tax map/parcel no.: Water heater 2332 •••:•.4:41e.tAfFt'4WTZ. iktitlik-..iii.*•4:**0*-f :.-4.31!...V 4414 Z:gii-,4iTi Gas fireplace/insert 1 3339 Flue vent for water heater or gas imsrmil-;60q-CIL0 fireplace 2332 Log lighter(gas) 23.32 Wood/pellet stove 3339 • Wood fireplacermsert 23.32 Chimney/liner/flue/vent 23.32 2332 .0.41q1:50};:1Z9PAI-CV9*-,"" ;Y:::• *:;--"s4-Cl".732;•Well:::1 •Environmental exhaust and ventilation: 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, i L toilet compartments,utility rooms) -1 2332 Phone:(602)694-4031 Fax( ) Attic/crawlspace fans 2332 .4';''AV14-Orli:04.7.:COTTO: ?.. .ty.:ET:e0;1510•00.:FM§Yrnis:!li Other 2332 Fuel Piping: Business name:William Lyon Homes,Inc. $14.15 for first four;$4.03 for each additional Contact name:Wi CVI oce,IWOliVe Furnace,etc. I Address:110 01 kt Skkiit< SI 0 . Gas heat pump Wall/snspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax:(360)693-4442 Fireplace 1 A ,1 — Range 1 Einal:AO 1 CAA 0 Q.- IMW/Qt.iltpinir\hDPIrle •i..13 YI Barbecue 51›:::i'ell-:*'',J.i..V:5_,:4•;T:J:F.:1:01',N,_ 44 ;:44ii., ,-5i'A::-.%c.-4':::Atk...U;-:', Clothes drYex(gas) Business name:mo ,, axv1 „ock,„),, --,..v),_, j irr- -I Other. :,-4A.D:.ft 4*-. F4E5'5.:4,ri;:i•;.••:7':i''':.':.'i Adaress: ELOCi,5- NM . \ \QI2,A Ori Skilf f. al Subtotal - City/State/ZIP: 1A-AS bb(D •()V__, (i ik L)-1 Minimum pemak fee($90.00) Plan review(25%of permit fee) Phone:5t-6,4q3.. 9A 1_, Fax:(SI- ) (AL\I' SMS— State surcharge, (12%of petmit fee) _ CCB lie.:loci 001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: 144C4,0,47://.... * Fee methodology set by Tel-County Building Industry Service Board Print name:M 44 0/ A osp , Date: Muiltravepeamks\MEE PermitAvo 040113.doc 41411.4617T(11N17/1"11WW17111 Electrical Permit Application Fol OFFICE USE ONLY _ City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 mozorA Phone: 503.718.2439 Fax 503.598.1960 Daa8ettll3 . Related Permit k: Inspection Line: 503.639.4175. TIG.1iRD ReadyDatc/13y: kris: to See Pagel for Internet •www.tigard-or.gov Notified Method `.�- -•- ... Supplemental pptelemeatal Infosma•4oa � 1 � � � M�L� �`�f�"'�;�� '� -a �� 3;� �t� '-r--, �:�v �, �,•�\1�.'l6,zar �r-� ,��A; ��- ,.-4 New construction 0 Addition/altemtion/replacelent Please check all that apply(sulurat2 sets of Elms w/ltems checked): 0 Demolition 0 Other: • ❑Service or feeder 400 amps or more ❑Buildup over three etudes. :±_,,4';,-`4';-V-0,---_:- v„ VIr j g-hike O3 Ell. ` i- where s 1e.00 available fault outcast ❑Floating and dings.boatyards. -and 2 family dwellingexceeds 10,000 amps at 150 volts or [[Floating baildiags. ❑Commercial/iridlistrial 0 Accessory building less in gid,or exceeds 14,000 Q Common.-Lai-use agricultural Mph Y ❑Master builder 0 Other414 amps for all other installations. . braidings.• 150 ICVA of 47.:-1‘ " jsj;' as _0; •lc a f. 1 c R► so ❑AP epump QlagersePardit Yderived tin 1�.,� A u..'�l.p§., � 'nt�;�, e,� •�'�,��:�"_ ❑BmergancY system• Largs separate$•derived Job# Job site addrec1 `�l p,- p ❑Addifroa of new motor load of system �" '1Q ►"" pa ed 10013PorMOM. 0"A","B",`1-2","1_3", City/Statt,/ZIP:TtgSrd,OR 97224 ❑Six or more residential oniu. occupants Suite/bld J t# Oneaith-cam facilities. ❑Recreational vehicle parlor. gap I Project name:give„..7 ,nom„ e, ❑gymlooatroas. ❑supplyvolfagafurmorethan Cross street/directions to job site ❑Service or feeder 600 amps or Vmore.. 600 volts nominal DescriptionJ r v Oh. Bach l_ Total . New residential single-or multi-family dwelling unit subdivision tU J -E61.5+--�,( •�•�'"a�',Q. Lot#} 2)—./ Includes attached garage. Tax map/parcel#: 1,OOo sq.R rrhess f 168.54 4 ?iT- �,!.7-.;-411.A1 0 )►F � �6 ; � — F.$addl500 sq.R or portion i 3392 1 t xv Limited anergy;residential (with above sq.#t_) 75.00 2 Limited energy,multi-family residential(with above sq.it.) 75.00 2 �7; ---WIia 114,193 "i,q'n_'-;.L.36 ' t 1- N 3 ,_ 1 Renewable En -� 3 r •-��.:.iw�� ���ab� �.�:�°=��' �:.; � ❑ SeaPage2 Name:ADVL Land Holdings,LLC • Services or feeders installaiiontaitrration,and/or relocation Address 7600 E Doubletree Ranch Road 201 200amps or less 100.70 2 amps to 400 amps 133.56 2 City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 200.34 2 I 601 amps to 1,000 amps 301.04 2 Phone:(602)694.4031 Fax:( ) Over 1,000 amps or volts 552.26 2 Frnar1' Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on intended for sale,lease,rent,or exchange, property�I own which is not 200 amps or less 5936 I according to ORS 447,449,670,and 701. • 201 amps to 400 amps I I 125.08 2 Owner signatureDate: 401 amps to 599 amps 16834 2 �, - ; Branch circtals- ,-. � sD4`re1�3�ii�TL v1e�z : L Kt `,'.^;.,.''n' �-s a'��'I};�XC4,0)lei��,J 1�.,o��_'F�'i•,U nen alitratl0n,or eXtWSionipar panel Business name:William Lyon Homes,Inc. '�'above service " ` sorfeeder fee, tltact name: �'r each branch circuit Co7.42 2 h o1 T t'1 lJ B.Fee for branch circuits without Address: 3 St Shservice or feeder fee,first 8 11 branch circuit 2 City/State/ZIP:Vancouver,WA 986604 it \w 56•1 Each add'l branch circuit 7.42 2 Phone:(360)695-7700 ' ' I Fax (360)693-4442 Miscellaneous(service or feeder not Included) Rrnail�, ��� and/or feeder 2 Each mamrlectured or modular 'e 4 t444,_ p 0 1 f r..•._ PS 3. Re Reconnect GAY 6784 ._:, -F` ,,, a 7�n P R:s 2``P,- ,_ K .-. ?%-::::::';''',17i'' : Pumpor arra 67.84 2 f' on circle 67.84 2 Business name:Garner Electric Washington,LW Signor outline lighting 67.84 e_. Signa2 Address: 4 07 \I 11 n ,, N,„txpA_. C jo � ' panel,Iterationrollks)or=tension.- I 1 �-CiyJ �v� \v� S lay t�n panni.alteration,or e>deosior,. Et See Page z 2 City/State/ZIP:' u -`fes Each additional inspection over allowable in any of the above Phone:(253)320-1657�a 1 J e3 Additional inspection(1 hr min) 6625/hr ) Investigation(1 brmin) 90.00/br Rrnail bdaniels[a)gwensa.com Industrial plant(I hr min) • 78.18/la CCBLic» C1158 + Inspections for which no fee is Electrical Lk.: 208174 ( Suprv.Lica: 44965 s.. '4,listed renin) 90.001 hr Suprv.Elect/aka ct/a n e - r i3X p 1 ., 2su j?: a ., 14-1_11, -..-- • subtotal: ,,�. Print name: Joan P Albert ' I Date: 4/26/2016 ❑Plan Review Required(25%of permit fee): • ------ State surcharge(12%of permit fee): Authorized signature: - TOTAL PERMIT FEE: Riot name Bill Daniels Date 4/26/2016 This penult application expires if a permitls not obtained within 180 days after''••! 1Bll,tgglPemim • Number ofinep !silo�s been = as complete 3.:% tpp_1�8 BRSdoc 8av 06/17/2015 4404615T(11J05/cohf/prgg Plumbing Permit Application Building Fixtures City.of Tigard Permit No.:/fS7 '/2_4,,w, ' 7,1 ..• • 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.7182439 Fax 503398.1960 • Pi"Review Date/By: OtherPermitNo.: Inspection Line: 503.639.4175 TIG R .-s '' nate Beady/Br ' luau H See Page 2 for Internet: vrt4`w.tigard-orgBY Notified/Method; Supplemental Information • '.!' ' ':.. •t C j*q• -a-Ir. ::",.tr.:1:7•-.X7.5:.*:•••::.•t..1: 7..1.4:z a 1• . } .. s - .. .• u,. �.t:,y._s.: y_-•n.+:•b.•..ra .'a�.. �'..'•�':'��W�`�"•ian-..w .. - "...___: ,.... i�_�.•��:=•=.':.;� �1.1 pd���i:•R .}tVLrCr- ®New construction ❑Demolition For special Wfomrailan iese checklist. -❑Addition/alteration/replacement {fir Newe1-2-family { Qty. Ea Total -famU'dwellings(includes 1411 ft,.for each utility connection) ='� - tf_:,_ 3r oih d!{>i 1 CtI'I(19� E� w r,x".t „ SFR(1)bath 3I2.70 I-and 2 family dwelling 0 Commercial/tndustrial SFR(2)bath 437.78' .. ❑Accessory building ) Multi-family SFR{3}bath 4 50032 t ❑Mostar builder. . : Each additional bath/kitchen 25.02 =; � :$r 0Other Fae sprinkler(_____sq.ft.). Page 2 I ��, - tSs'q--•�.-. •���1d :C;KA'T .,�~`_': ' Site utilities: Job site address: 13 l 6 i ' SVS I lip �(P� Catch basin area drain 18.76 . IN-4P`" Drywell,leach line,or womb drain 18.76 City/State/ZIP Tigard,OR 97224 Foxing drain(no.Linear R; 1 Page 2 • Suite/bldg./apt no.: # Project name: RIW.trTeArril r.P.Eas-i- Manufactured home utilities 50.03 . Cross street/direct"ions to job site: Manholes 18.76; Rain drain connector 18.76 Sanitary sower(no.linear ft.:,__) . Page 2 • Storm sewer(no.linear ft.: 1 Page 2 .Water service(no.linear ft.: ) ' Page 2 : Subdivision: ? J fir• T . . E -- Lot no 2 j.. _ Future or item: Tax map/parcel no.: Backflow preventer . 1 ° 31.27 t.':; i,,�f. - <, "DE9QiiP f t�11f I V!'QRT S Badwater valva I, ; I2.51 _ '- Clothes washer25.02 • Dishwasher 25.02 . Drinking fountain 25.02 Ejectors/sump 25.02 ,.�:� * r ` _ `l-1 f, i'e- . f.':' ,;:i Expansion tank 12.51 t Name:ADPL Lund Holdings;LLC Fixture/sewer cap I 25,02 Address:7600E Doubletree Ranch Road Floor drab/floor sink/hub 25.02 • Garbage disposal t 25.02 City/State/ZIP:Scottsdale,AZ 85258 Soso bib 25.02 •pp Phone:(602)694-4031 Fax:( ) L los maker I2.51 . ra.., `�5 ,. a`.. _ ',I., - i.-' ' �cr,pyp ?5!�'T. ...f„,-,1;: Inter' 25.02 Business nam=William Lyon Homes,Inc Medical gas(value S ) Page 2 < Contact name:A�`j A-Nae.,, • Primer 12.51 • Roof drain(co Address'1 Q3 TDO %Lt'lJ k-5.r� .,1-e... 0 • . S iasin/lavitsntercir 12.52 ator3' 25.42 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) . 62.54 . Phone:(360)695-7700 ` Far:(360)693-4442 Tub/shower/showerpea 12.51 E-maiF:a l ' 1 •o " �� j�r�p(' (_0(\f) Urinal 1 25,02 -:. 0_•. ' y _ , . �' `• .--•W Yater closet 25.02 �`S-a •fig Y' - a: � ',ia.. �/� Ty• '"2�:•�svrFS._Ti ,.... '.,j.,�,Fs � iM {:, Y-!` � - �'F'' I :..:: wtiter:hester • ' 37.52 Business name:Alliance Plumbing LLC Waterpipingll3WK 56.29 • Address:146 W Historic Columbia River Hwy Other [ 25.02 City/StattiZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 I.Far(503)912-6438 Minimum permit fee: $72.50 CCB Lie,:1846014/91.„, 1'ltunbing Lk,no.:P8732 Plan review(25%of permit fee-) Stec surcharge(12%of permit fee) , Authorized signature: TOTAL PERMIT FEE Print name:Robert Disshmen Date:5/23/2016 This PPTtPl expires Ifrpermltis not obtained willtin 180 days . *leer itIsis beep Accepted exrciimpleoe' *Fee methodolo r setby Tii-Coutdy Building Industry Service Board 1.18uikbogniermiieTIMU-PermitAppeloc 10worm09 440 461er(ra/e21CoM/wEBJ City of Tigard 7 COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: 7A -7--,2.0/7- Q2ga Site Address: ( .31 0 1 S vv 1 0 G) el") 01 kre, Project Name: iz V 4 Term €cis 1— Lot #: 241 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review.U Proposal: N 0-i'Ai £F a Verify site address/suite#exists and active in permit s stem. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan DExiatirng structures 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) I�Site address,project or subdivision name and lot number Sidewalk/driveway approach /Applicant information(name and phone number) ❑Location of wells/septic systems AIL°t dimensions and building setback dimensions gi�ees to be retained with drip line,and tree Square footage of buildings to be demolished yrotection measures /Lot area,building coverage area,percentage of coverage andtreet tree size,type and location impervious area(applicable if R-7,R-12, ra: R-40) trees names Property corner elevations(2 foot contour es if more than >1,000 sf of impervious area created or replaced? Li o Nth 4 foot differential) If yes,is a storm water quality facility shown? Yes No zit Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Wlf\ Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No XPublic Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: e Yes ❑ No,stop intake l Land Use Case#: 1 P 2 io ICD - 00 001 i e =)b - 00001 7 Zoning: E7S Required Setbacks: Front t'Z Rear 5 Side 0/ 3' Street Side 3 Garage '20 4 Landscape Requirement: 2,0 % 3— JLJ Lot Coverage Maximum: la0 % X Building Height: Maximum Height IV/A Actual Height Visual Clearance Sensitive Lands: ❑ Yes ❑ No Type ( Urban Forestry Plan ,al Conditions "Met"prior to issuance of building permit Notes: �y�, Approved By Planning: ' '� l ("-/"\-----‘ n....--s- Date: ICY I I l 11 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved I:\Building\Forms\BldgPernvtRvw_RES 061417.docx Building Permit Submittal Original Submittal Date: 6a)--/!7 Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planningengineering rmit Coordinator Building Workflow Sign-off: p Sign-off for P mm�g(include notes l'from planning review) Route Application Documents: -Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 61 Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By04rn Permit Technician: / - Date: (070/2 Engineering Review /.0 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 /— No Assess Water Quantity Fee in-lieu: Cl Yes / No LIDA Facility on lot: ❑ Yes ? No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved MEW Permit Coordinator Review El Conditions "Met"prior to issuance of building permit pproved,NOT Released: // Date: i62(2S i` - 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: DC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: ►: es ❑ N/A Parks SDC: FA" ❑ N/A LIDA ❑ Yesl/A c>bOK to Issue Permit Approved by Permit Coordinator: Date: t//��t I:\Building\Forms\BldgPermitRvw_RES 061417.docx City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT 1111 T1cARl '' River Terrace Building Permit Review Addendum Building Permit #: Site Address: 1 I j J E v/ 10°I G\ve. Project Name: R 1 ''.r Te C 21 uz. & 4 S t Lot #: 1 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? Yes El 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. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft.,5 ft.wide min.2 ft., 6ft.wide Gabled dormer / ❑ El 7 ❑ 2. Eyes on the street: a minim m of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 17 4 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street- facing wall Parallel 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 +0 0P ,25 sq.ft.min. One street facing entry /12 ft.max.roof above floor of porch ff5 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: ❑ Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ,Dormer min. 4 ft.wide XRoof eave min. 12 inch projection Roof offset min. of 2 ft. El Roof shingles either tile or wood OGable,hip or gambrel roof design El Roof pitch oriented south min. 500 sq. ft. ❑ 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 El Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access El 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. ❑ Yes C9io. 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) 712-foot-wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ill Cl//\.'.Z, Date: 1 ° I r /I 1 IABuilding\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 T f G, R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISIONS `" a � "" FROM: Nichole Thorpe i�! V `1 COMPANY: Polygon Northwest • tg a` ' t PHONE: 360-989-40204 I By: ., RE: 13159,13167,13169,13175 13181 13189 SW 169T1 - (Site Address) 'ermit um I er River Terrace East Eot 2-3 28* Lot 2-1 M 572_00 -- 0090 6 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: I Description: Copies: Description: 0 Additional set(s) plans. of 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: ) 1.— lt. _ � - Initials: Fees Due: E] Yes ❑No Fee Description: Amount Due: PI rev-. $ 4 �-~ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes 9No ❑Done Applicant Notified: 4 610 l C Date: /2/P, 7 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: 13181 SW 169TH AVE, BEAVERTON, OR, 97007 June 13, 2018 at 11 :32:32 AM Record Type: Record ID: Residential - Master Permit MST2017-00406 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: 13181 SW 169TH AVE, BEAVERTON, OR, 97007 June 20, 2018 at 12:40:22 PM Record Type: Record ID: Residential - Master Permit MST2017-00406 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Corrections complete Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13181 SW 169TH AVE, BEAVERTON, OR, 97007 June 13, 2018 at 11 :32:25 AM Record Type: Record ID: Residential - Master Permit MST2017-00406 Inspection Type: Inspector: 699 Mechanical 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: 13181 SW 169TH AVE, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00406 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 : i..- 1'� , FOR OFFICE USE ONLY City of Tigard Received 13125 S W Hall Blvd.,Tigard,OR 972239. 3 4 Date/By: „„,..z. /� Permit Ni/...Y5,--c„2„,,,,7- 9.(9.,,04..„ 11111 II Phone: 503.718.2439 Fax: 503.598.1960 'ANI.:n� 9. 3 ?hi? Plan Review �A/ T I G A R D Inspection Line: 503.639.4175 Date/By: L(/j�! /�G C Other Permit No.: Internet: www.tigard-or.gov t " 4' ` : :;t Read ied/M/Bethod / / /i� NotifJuris: H See Page 2 for ' TYPE OF WORK lig I) zyj 'i 'j' Supplemental Information ®New construction 0 Demolition For special information use checklist Qty. 0 Addition/alteration/replacement Description Ea ❑Other: . 1 Total New I-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 0 Accessory building 0 Multi-family SFR(3)bath 500.32 0 Master builder Each additional bath kitchen 25.02 0 Other: JOB SITEINFORMATION ANJJ LOCATION , Fire sprinkler(meq,ft.) Page 2 Site utilities: /3(,j;Z,., Job site address: 13181 SW 169th Ave. Catch basin or ar a'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.:24 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 Permit# SIA$T2017- 00406 Dishwasher 25.02 Drinking fountain 25.02 in Ejectors/sump 25.02 PROPERTY OWNER C( TENANT Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Address:703 Broadway St.Suite 510 Floor drain/floor sink/hub 25.02 City/State/ZIP:Vancouver,WA 98660 Garbage disposal 25.02 Phone:(360)695-7700 Hose bib 25.02 Fax ( ) Ice maker 0 APPLICANT' 12.51 0 CONTACT PERSON Interceptor/grease trap 25.02 ) Business name:Alliance Plumbing,LLC Medical gas(value:$ Page 2 Contact name:Gavin Thomes Primer 12.51 Address: 146 W Historic Columbia River Hwy Roof drain(commercial) 12.51 City/State/ZIP:Troutdale,OR 97060 Sink/basin/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 Lic.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: 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. I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616-r(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Q y, Fee ) Total .Square Footage . Permit.Fee: ' ��� l.�tllltle5 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' 37.52Perini Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for- each additional$100.00 or fraction thereof,to Qty. Feria}- Total and including$10,000.00. ©Hiker nInspections, Fees Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for 90.00/hr each additional$100.00 or fraction thereof,to which no fee is specifically indicated 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 each additional$100.00 or fraction thereof,to hours(minimum charge 2 hours) 90.00/hr and including$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: I Other Fixtures: I I 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 Replace/ Plan Review for Plumbing Installations Fixture Type for CaPpe1 Added Relocate work Performed: Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower 0 Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Aspirator ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Dishwasher -Commercialas defined in OAR918-780-0040. Dishwasher ❑ Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose tire sprinkler system. EFountain ❑ 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. -3" •Car Wash Drain Isometric or Riser Ilia,ram Garbage -Domestic-non-food ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic-food rd related that meet the qualifications above. -Commercial-food -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 Closet Toilet increase of sewer EDUs,a sewer permit will be issued and Waterfees assessed for the sewer increase must be paid before the Urinal https://allianceplumbing-my.sharepoint.com/personal/gavin_allianceplumtng_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: 13181 SW 169TH AVE, BEAVERTON, OR, 97007 June 18, 2018 at 11 :03:56 AM Record Type: Record ID: Residential - Master Permit MST2017-00406 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: FA I L Comments: 1 ) finish weather stripping at front entrance and garage man door. 2) fix hole in garage ceiling where light was moved, seal all wiring penetrations. 3) complete deck ledger attachment per approved set of plans. All other building final appears ok. Violation Summary: Inspector Contractor