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Permit (82) CITY OF TIGARD MASTER PERMIT Ilk __ y COMMUNITY DEVELOPMENT Permit#: MST2017-00308 Date Issued: 11/22/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DA03700 Jurisdiction: Tigard Site address: 13067 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 37 Project: River Terrace East, Lot 37 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 240 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 31 Bathrooms: 3 Second: 562 sf Garage: 456 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 560 sf Right: 0 Detectors: Total: 1362 sf Value: $177,262.50 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 RainStorm Sewer: 100 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvoes 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'l 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 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Audio& Ecompasing. Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 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: $23,186.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987` or 1.800.332.2344.4. 1� 1 'if Issued By: �'�r "' _ - Permittee Signature: CIA/ �'"l" 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. j �' Bu kling Permit Application 1~C) � � • tgrirtIV RECEIVED City of Tigard Rece1 •7 Di`ed Permit No. .11 13125 SW Hall Blvd.,Tigard,OR 9722JUN N 1 4 2017 Plan Review.�re� '� �'/��`3l ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 'g- _< -k. )7 Other Perm'tg //"2 1.26,/ i ,}` Inspection Line: 503.639.4175 CITY OF TIGARD' Date Ready/By: Jam: H See Page 2 for Internet. www.tigard-or.gov BUILDING DIVISION Notifed/Method:`//Z.4) /7 (FA" Supplemental Information - ,j`/L /1//C 46-- 171 _ ..> py 7rx5 � ...x. 1.37--- 7:77.--•:7:17-!.. :--,-77: �r�- �-,: � ��` �^'77 "�T, ��"�E�,.� Wsx g�.�,„,, r -r�.. -�-:r. Sa 6 ro. :1 ;1.3 r„-t-P`i-.. j : i` -.F.Ii *,.PT,. " ,`.'t @-.k' d t` € '-,, r it_ -t ,s as - i P a t , ; fs .��., .Tfi_ n;i, e, `...- . ,.,.... - u..._.` rn„-.1 r ... '' e..raw�rv. ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other. equipment,materials,labor,overhead,and the profit for the r " work indi ed on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Val ❑Accessory building 0 Multi-family Number of bedrooms: I2... ,-1-1 .� c, Number of bathrooms: / " ❑Master builder ❑Other. �j h,,t t s `" ,- t.,- -,-,,r-,,:%,./7a ,4.."-t_1:5• Total number of floors. 1 13 ;1 _ p g ) Q Job site address: /36(409 sw 1 , f _ ' New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: Lis-Lo square feet 4cop - Suite/bldgJapt no.: Project name: 'Q 11 Ver- - , , �.4 Covered porch area:) square feet Cross street/directions to job site: r Deck area: 2, square feet 41,140 a. Other area 7 2, square feet Subdivision RIV{,r.T' rtes.-511.8i- Lot no.: �� Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the .' i ` � F ',. ' "_;� work indicated on this application. .,,�w�...>„_.,�e�- ..��,•„m.,�,.,,�,mak �s,«M `��`��.•„� DJ:�" '.� ':u��. �� �� Valuation: $ I Existing building area: square feet New building area: square feet 7-'7:— ><,:- f1::.ti,;-;;,i5:,c:;: b, � °',- A� �,-<,, itt,:, , = & 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: Business name:Polygon WLH,LLC O Structural plan review fee(or deposit): Contact name:N rvno t y•'�" 1 FLS plan review fee(if applicable): Address:109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received E-mail: N( 0�* IA r ^ ►,► ,.)1 A + i, i. -:-----1---:--- � 9��. k Commercial and residential prescriptive installation of -- - Pr ", -" z '-, -- >5 : 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 lic.:207247 Total fee due upon application: $201.60 Authorized signature: ' / / This permit application expires if a permit is not obtained r within 180 days after it has been accepted as complete. Print name:iv/ Ch l�Y.ly Date:J,�/�f *Fee methodology set by Tri-County Building Industry V f.`� CY! !�� Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 �4 1 -�r E > IllMechanical Permit Apph+ 1�it'''. FOR OFFICE USE ONLY City of Tigard Received ' Permit No.: 1111 ■ 13125 SW Hall Blvd.,Tigard,OR 97 ,1 4 a'' 1/-11 i' Plan Re view 1; Phone: 503.718.2439 Fax: 503.598.1960 bate/By: : Inspection Line: 503.639.4175 �� 1 �� j� � � AateBy: ��Permit i ;i. TIGARD p `t v � � +�_ -� DateReadyBy: brit: 61 See Page 2 for Internet: www.tigard-or.gov a µry , ti a �, Notified/Method: Supplemental Information - TXPE OF WORK:= ' , COMil4ERC3AL FEE* $t*D4 �---.�,. _....,. . :USE CgEGIQ.IST, lacement Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. '-'4'-'''"'"•''''''''''''''''''""_.. CATEGORY OF,i ONS1RUCTiO1�I z Value:$ . .- . ,, '..'•__. _ _RESIDEIV3'[ALEQTJIPMEIVT/SY., ® 1-and 2-family dwelling 0 Commercial/industrial hec sSEES' ' ' ` 0Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total ? r .,JOB SiTE INFORMATION AND LOCAB'ION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address: I• ()i.yJ S� W`I n 0l'P'1 Nei Furnace 100,000 BTU(ducts/vents) 1 46.75 _ City/State/ZIP:Tigard,✓✓ OR 97224 Furnace 100,000+BTUtiucts/vents) 54.91 Suite/bldg./apt.no.: Project name:River Terrace East Heat pump 61.06 - 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 Subdivision:River Terrace East Lot no.:3"'1 � 23.32 1 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 7 DESCR_IPTION OF WORD 3 : Gas fireplace/insert 1 3339 M�•�-^^�� ��,,t^^�� �p Flue vent for water heater or gas J 1 W t 1' Q T31 66 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 2332 PROPERTY OWNER ❑ 23.32 Other• " " ` Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road equipment 3339 Clothes dryer exhaust % 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) • 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 ai; PPL1CANT i:-:!.-:.....5;,:- .,.,❑`CONTACT PERSON _ Other: 2332 Business name:William Lyon Homes,Inc. Fuel piping: ,^ $14.15 for first four;$4.03 for each additional Contact name:N`C Y l 0 ,�Orpe Furnace,etc. 1 Address:7p, M(�a t. -\-- Swl.k. C10 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace 1 - Range E-mail4v)(ik0tL �1 T4,o e b t cT • MI Barbecue 1 ', _ OR - - Clothes dryer(gas) Business name:Piro Vp eti aye\ Qi C i tv ^-r Other: vi ' l Vt rJ4 t{r ,i .7w.... KICALYERI�IIT'FEota Address: q ( C 5- N* PAo0, Suul ‹, WI Subtotal City/State/Z/IP`:' \,5V) '&)� `\\ J`^ Minimum permit fee($90.00) O�) `t 4� Fax.t5 )O,L .. i� Plan (25%of permit fee) Phone:� �0- S� State surcharge(12%of permit fee CCB lir.:2.n 001 TOTAL PERMIT FEE I This permit application expires if a permit is not obtained within 180 �I ,�,�j days after it has been accepted as complete. Authorized signature: D o�o�vL • Fee methodology set by Tri-County Building Industry Service Board Print name:NI 41'/-7 lo Date: I:\Bui1ding\Pennitstc Pe mitApp_040r1Ir3.doo"m,'J�'r 440-4617T(11/02/COM/WEB) I, . r. f {, £I .,.11 ply .. .--.. - Electrical Permit Applicata :'.FOR OFFICE USE ONLY City of Tigard ... 4/ / i l'!1 t' Data Permit g N 'I 13125 SW Hall Blvd.,Tigard,OR 9'T22� ° Plan Review Phone: 503.718.2439 Fax: 503.598196QDawg . Related Permit it: Inspection Line: 503.639.4175`' t z)'" 1 A i A .€ ReadyDateBy: mels: 0 See Page 2for TIGARD Internet: www.tigard-ot.govSupplemental Information -c o Ti(11)j cel Notified/Method ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition 0 Other: - ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current ❑11farinas and boatyards. •rzx�s' a 3 s c.Z`+a46T:. 4*-_� - L e m , , tz4 " . exceeds 10,000 amps at 150 volts or QFloating buildings. ®1-and 2-family dwelling 0 Commercial/iiidiistrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for alt other installations. buildings.• ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or ` ,,T,o;„E , y'e , ioa•,F ,.. 0:gena o t,r r e_ p -`, '.? lx `"• 0 Emergency system. larger separately derived ' 0 Addition of new motor load of system. Job#: Job site address:1301/7 S JJ \kQO pat IOOHP or more. 0"A",E","a-2^,'1-3,', City/State/ZIP:Tigard,OR 97224 1:1 Six or more residential units. occupancy. Mean-care facilities. ❑Recreational vehicle parks. Hazardous locations. ❑Supply voltage for more than Suite/b1dg.Japt #: I Project name: ; 'Tema,�� �'a Q or more. 600 volts nominal. "-�'t Service or feeder 600 amps Cross street/directions to job site: z!'' r 14 l -; Description I Qty. I Each I Total New residential single-or multi-family dwelling unit. Subdivision: fz4`der TO. ae p` ',t r-}- I Lot#:. .--1 Includes attached garage. Tax map/parcel# L L�'' 1.000 sq.ftorless 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92. 1 «;x( _- ;(6 r� ,t-S s t."�_. ,�. u A 4 a ` *;i 3:'- '°4= Limited energy,residential /14 STU 11 '. tJ AU30 (with above sq.i ) 75.00 2 (V( Limited energy,multi-family 75.00 2 residential(with above sq.it.) Ira 0 a a "r,F ,1 s,, A,-4 z"X754; ,' ,, -v- 53-. ,, ,.;*, r - Renewable Energy ❑ See Pale 2 '1`' _ '',` :''1d'- ' "` :fit _ AA ',-- - � :-' ' Services or feeders installation,alteration,and/or relocation _ Name:ADVL Land Holdings,LLC - 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 CityJStatelZlP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 55226 2 Temporary services or feeders installation,alteration,and/or Email: •- relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. • 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 16834 2 w*''.W'-.- �i'�' g A"—r 1.-..:f r: 1 r' F ; Y Fj t i t?5•.:7 may 8 ,.',,,s Branch circuits—new,alteration,or extension,per panel _ 7 i � A Fee for breach circuits wide Business name:William Lyon Homes,Inc. above service or feeder fee, Nich(ACM ori Fee for branch circuits without 1 cJc St S ` service or feeder fee,fust Address; [J0�7 S\D branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add')branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' • Fax;:(360)693-4442 Each manufactured or modular 67.84 2 / dwelling,service andlor fbeder Frani ( 6 a ! /0) ♦ meS 4 Reconnect only 67.84 2 At C fY' y •5- -.:cwt 1 tir cue r,'."-' `,7 3 t,!; , c``` Pump or irrigation circle 67.84 2 ,.+'S". �.5. - _ .. 9 � 1 ,0 �l-� i4�y+ .. Yki. Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 r~' Signal cimuit(s)or limited-energy Address:t 1.4(:).2._ v al,k`, Q�t�k1, \ S L(J`�p \CV) panel,alteration,ore tension. 0 See Page 2 2 "�J t �" Vv 1` �. J Each additional inspection over allowable in any of the above city/state/ZIP: pu fall,1p1 W e3� I Additional inspection(1 hr min) 66.25/hr Phone:(253)320-1657 1 I Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels(a3gweusa,com Industrial plant(1 humin) 78.18/hr Inspections for which no fee is CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lite: 4496S ecific listed %hrmn) 90.00/hr Suprv.Electrician signature,required: 'n ' .� ' .� 1 p., .�J�,.� '....=: Subtotal: Print name: Joan P Albert Date: 4/26/2016 ❑Plan Review Required(25%of pemiit flee): e--.7 ..____ State surcharge(12%of permit fee): Authorized signature: - - � TOTAL PERMIT FEE: - This permit application expires if a permit is not obtained within Igo Print name: B1111 Daniels Date: 4/26/2016 days after It has been accepted as complete. "` * Number of inspection allowed per permit °E:'rt'43aIlili g\Pecm¢i\RLC PennitApp EGR Eltfi doe Rev 06117/2015 440.4615m1/05/COWWE9 it Apphca. 0 r x , e x f t Pin mbingPermg - -4 Building Fixtures 1 OR OH 1( F 1 SI. (1\I-\ , City of Tigard 1:3 0. reran No.: . N.., 13125 SW Hall Blvd.,Tigard,OR 9' t - A a 4 rgg,�`4'. Datell3Pian Review Phone: 503.718:2439 Fax: 543.,t9 ,�'• .rte Niogy; Other Permit No.: Inspection Line: 503.639.417'8gr�`�(T t,s -,,5 a t'i ,r s � Date Ready/By: heir 1 H See Page 2 forTiCAi' Internet: www.tigard-or.gov ,, ,; t :< i �c . ,, Notifed/Method: Supplemental Information p > TSD OF WQRI E. FEE!:StREMILE ®New construction 0 Demolition For special information use checklist Description I Qty. 1 Ea. 1 Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection} j - CATEGORY i CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR.(3)bath t ' 500.32 : ❑Accessory building 0 Multi-family Each additional bathlkitdlen 25.02 0 Master builder ❑Other Fire sprinkler(, sq.R) Page 2 " 3 }JOB f il).INFORMATION AND LOCATIONSite altos:Job site address 13 o W l Svc l (Q C r" i-,(.e, ,. - Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 �' `` �- DrYwCli,leach line,or trench drain 18.76 Footing drain(no.linear ft.:„_,.,_) Page 2 Suite/bldg./apt.no.: I Project name: -iV1 r Tfirrel i.e..Eo&4- Manufactured home utilities i50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:•,_,•) Page 2 Storm sewer(no.linear ft.:_) Page 2 rL1l�eir Te c&Ce_ F..pS+- l 3. re Water or service(no.linear ft: ) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 ve I - DESCRIPTION-OF-WORK' Backwater vat 12.51 NI C - `;, Clothes washer 25.02 J1 Wn, - / Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 :,I I"!( OWNER . -. `I' IAN"f' ' - Expansion tank t2 51 Name:ADVL Land Holdings;LLC Fixture/sewer cap 25,02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Raflch Road - Garbage disposal , 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax( ) Ice maker 12.51 y "F - ;0,a, ,• interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer • 12.51 - Contact name: \�hae..�� - Roof drain(commercial) 12.51 Address: C3 yboctpo Sr -S& (--c, S\O Sink/basin/lavatory 25.02 1 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan , 12.51 Y E-mail 1 I ` .- . IA 1 .vy anal 25.62 _ . ��� hs ''�"-/ Water closet 2S 02 ,_ 1 Water heater 37.52 Business name:Alliance Plumbing LLC Water piping/DWV 56.29 Address:146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 I Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lic.:184601 441///Cv - Plumbing Lic.no.:P$732 Plan review (25%ofpermit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Robert Dishman Date:5/23/2016 This permltappi-application expires int accepted In neo obtained within 180 drys After films been acxepted as complete. *Fee methodology set-by Tri-County Building Industry Service Board. 1.\Duliding\PetmitslPLMtl•PamBApp.dot 10/01/09 440-4816T(10102/COM/WE8) City of Tigard .71 4. COMMUNITY DEVELOPMENT DEPARTMENT T1cAR Building Permit Review — Residential Building Permit #: S7 p/?.- F Site Address: / O( , /0 /( 44 , g Project Name: "✓ � 6( -��S 9-- Lot #: — (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Ai/Gt) -S'/t't.42 - e,../)///4_._ ,-9-74 el e2-C____107,/:y----- 47 i ermsPerify site address/suite#exists and active in it stem. ,�,/� River Terrace Neighborhood: CI No Lid Yes,See River Terrace Review Addendum Attached Sits Plan Elements: lQi ree(3)copies of site plan �1 'sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper M Footprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) oor elevations 7 ► orth arrow i tility locations&easements(required for new and additions) IAS' a address,project or subdivision name and lot number 174S.. walk/driveway approach V splicant information(name and phone number) 3Ih cation of wells/septic systems IF .t dimensions and building setback dimensions 0 e''sting trees to be retained with drip line,and tree Hi uare footage of buildings to be demolishedprotection measures rI Lot area,building coverage area,percentage of coverage and Vg eet tree size,type and location )inpervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? !s ❑No 4 foot differential) If yes,is a storm water .uality facility shown? II es ❑No Clean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): 4 i '�� h) < ' G� Pequired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No ublic Facilitie Improvement (PFI) Permit: _ equired: UP: es,applicant wasas\notified ❑ No Applied For: ILS yes Cl No,stop intake Ifand Use Case#: /�L�/�c �J � � �Z� QQ _ IIS oning: E-�" _.y,�h _ P-Q� � / PZ,eN2o,cs-.: a000 co 4e•uired Setbacks: Front Rear 6— Side treet Side 4—Garage (, ' 'andscape Requirement: C� % �� Lot Coverage Maximum: —0 (J ni 0, PI uilding Height: Maximum Height Actual Height sual Clearance la -nsitive Lands: CI No Type 1►, Urban Forestry Plan ❑ Conditionsns/"Met"","�prior to issuaL of buil g permit J Notes: L.�)Yt�'//�t�Yi.0 5 // 7Ji111PCYf' -71,) -/,nl/7L l'S�= hC-e Approved By Planning: —- �� t. --- Date: o/// - Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal / // Original Submittal Date: !.�`lgi6(7 Site Plans: # Building Plans: # 3 Building Permit#: Enter building permit#above. r Workflow Routing: Planning err 16-Permit Permit Coordinator 'Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: /By Permit Technician: ' // - 7 . Date: 77770 ./:E!' gineering Review c p Slopeat buildin ad: It gp ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat 7 Water Quality/Quantity Facility: , Assess Water Quality Fee in-lieu: 1:1 Yes ,er No Assess Water Quantity Fee in-lieu: ❑ Yes Z No LIDA Facility on lot: ❑ Yes )121'No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: ,t K Do - Date: g 6 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit pproved,NOT Released: rlg 7- c Date: r/'i /� otes: �'.Pl+r1GQ l� S r -e4— — �I (2c fl 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: es CI N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: e le Yes ❑ N/A LIDA ❑ Yes E!f' N/A SOK to Issue Permit p Approved by Permit Coordinator: 7(k,C�,l/l� Date: 1\\24`fl I:\Building\For ms\BldgPemmitRvw_RES 061417.docx City of Tigard III COMMUNITY DEVELOPMENT DEPARTMENT C TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: / /O/ 7. ) /1e -2 � Project Name: -6"X:2 ce - ---7L- Lot #: - (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distrt Design Standards (18.660.070.1.); Is the project subject to the plan district design standards? Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element 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 dorme ❑ ❑ ❑ ❑ 2. Eyes on the e street: a minimum of 1)%of each,street facing facade must include windows or entrance doors. Percentage Shown: / CX j 3. trances:At least one entrance must meet both of the folio g standards: Max. 8 ft. setback from longest street- cing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: ❑ Yes No If yes,all the following apply: ❑ 25 sq.ft.min. ❑ One street facing entry ❑ 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: ❑ Covered porch min. 5 ft.wide x 5 ft. deepcessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches/CV Dormer min. 4 ft.wide Roof eave min. 12 inch projection 0 oof offset min.of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design O oof pitch oriented south min. 500 sq. ft. horizontal lap siding min. 3-7 inches wide Accent 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 ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No c ser to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one): ❑ ay 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 e garage that faces the street with a min. area of 12 sq.ft. Wi h: (Check one) 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: —� -----------....„v472/_. Date: r / I:\Building\Forms\B1dgPermitRvw RES RT°62216.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 an smittal Letter T t G A R rD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION . FROM: Nichole Thorpe V 12077 COMPANY: Polygon Northwest PHONE: 360-989-40204 By: RE: 1305. 13067 13073,13085,13093 SW 169TH (Site Mir- (Permit lumber- — ) 3i River Terrace East Lot (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 - //V rei2 X02 ttAi/TS ©v FOR OFFICE USE ONLY Routed to Permit Technician: Date: j ) _ J ( - ) Initials: Fees Due: fJ Yes ❑No Fee Description: Amount Due: _ Pi e V •: $ V /1 (I-1r J� vs 14 14 $ jnt Special Instructions: Reprint Permit(per PE): E511 Yes D No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 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 14 g• Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DAT DEPT: BUILDING DIVISION AUG 14 2017 FROM: Angela Grajewski cj'I1'OFTIGARD I1ILDING DIVtSIO' COMPANY: Polygon Northwest PHONE: 971-212-2144 By. RE: 13093,13085,13073,13067,13059 SW 169th Ave MST2017-00304 13093 SW 169m, LOT 34 (Site Address) MST2017-00305 13085 SW 169TH, LOT 35 MST2017-00307 13073 SW 169TH, LOT 36 River Terrace East Lot 34-38 (Project name or subdivision name and lot number) MST2017 00308 13067 SW 169m, LOT 37 MST2017-00309 13059 SW 169TH, LOT 38 ATTACHED ARE THE FOLLOWING ITEMS: Copies: 3 Description: Copies: Description: 0 Structual Detail sheets Additional set(s) of plans. 3 Revisions: included 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. (plans were submitted with out structual detail sheets) FOR OFFICE US ONLY Routed to Permi echnician: J)-' 6 tials: Fees Due: Yes ❑No Fee De 'ption: Amo _Iue: 3 4 ' .=vc‘r, $ ) $ $ $ Special Instructions: Reprint Permit(per PE): Yes No Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13067 SW 169TH AVE, BEAVERTON, OR, 97007 May 15, 2018 at 9:28:25 AM Record Type: Record ID: Residential - Master Permit MST2017-00308 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Collected High efficiency lighting form Moisture content acknowledgement form Moisture barrier acknowledgement form Air leakage test report Left C of 0 on the counter Violation Summary: Inspector Contractor Plumbing Permit Application Site Utilities FOR OFFICE USE ONLY �, n City of Tigard ,_ 7 v , c. Received q 13125 SW Flail Blvd.,Tigard,OR 97223 Date/By: <�l?70 Permit Nr"6r /1(> e.. 1111 _ Phone: 503.718.2439 Fax: 503.598.1960 Plan Review ,t--- /`t/< Ins No.- Inspection Line: 503.639.4175 4ate/By: a- .. �C (� Other Permit No.: Ti GA RD p Date Ready/By: 7uris 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method. Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist 0 Addition/alteration/replacementDescription I Qty. I Ea. I Total 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(l)bath 312.70 0 I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building ®Multi-family SFR(3)bath 500.32 0 Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler(J*2317'sq.ft.)1360)- Page 2 JOB SITE INFORMATION ND LOCAlt'ION Site utilities: Job site address: 13067 SW 169th Ave Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: I Project name:River Terrace East Footing drain(no.linear ft.: ) Page 2 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Subdivision: Water service(no.linear ft.: ) Page 2 I Lot no.:37 Fixture or item: fax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORBackwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Permit# Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 It PROPERTY OWNER ', 1":) TENANT Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25 02 Address: Floor drain/floor sink/hub 25.02 City/State/ZIP: Garbage disposal 25.02 Hose bib Phone:( ) Fax:( ) 25. Ice maker 12.51 I,..1 APPLICANT 0 CONTACT-PERSON Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 Address:146 W Historic Columbia River Hwy Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 I Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishmannallianceplumbing.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 Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: /1/4.---7 -.-1.-.77State surcharge(12%of permit fee) TOTAL PERMIT FEE Print name:Gavin Thornes I Date: 12/6/2017 I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440.46!6T(10/02/COM/W EB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: . Residential Fire Suppression Systems: Site Utilities, Qty. Fee tea) _ Total Square Footage: . Permit Fee: . oto 2,000 $121.90 Footing drain-151 100' 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 $72.50 for the first$5,000.00 and$1.52 for Fee(ea) Total each additional$100.00 or fraction thereof,to Other InspectionsorF Qtyand including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Ad (minimum plan review forrevisionseach additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: I Other Fixtures: I 1 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 Fixture Type forReplace! Plan Review for Plumbing Installations Work Performed: Capped', Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower 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. Dpi ra Thru ❑ New exterior plumbing site utilities for any complex structure Di Cuspidor/Water-Commercialoator as defined in OAR918-780-0040. DishwasherD -Domestic 0 Medical gas and vacuum systems for health care facilities. Drinking Fountain ® Any multipurpose fire sprinkler system. Eye Wash 0 Any complex structure as defined in OAR918-780-0040. Floor Drain/sink 2" Submit 2 sets of plans with any of the above. -3" . .. Car Wash Drain Isometric ol Riser Diagram Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-foodmial-frelated that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains , Oil Separator(Gas Station) Rec.Vehicle Dump Station Comments regarding fixture work: Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal https://allianceplumbing-mysharepoint.com/personal/gavin_allianceplumlS2l'ng_net/Documents/Documents/Fire Sprinklers/RT/City of Tigard Permit.doc