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Permit (80) CITY OF TIGARD MASTER PERMIT q Permit#: MST2017-00305 COMMUNITY DEVELOPMENT Date Issued: 11/22/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S12/2017 500 Jurisdiction: Tigard Site address: 13085 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 35 Project: River Terrace East, Lot 35 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 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 Y Other: N Other Description: Ecompasing: 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 0.,.4R 9 -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. .4110104 .,-• Permittee Signature: ©A� . i© / -f�0'✓ Issued By: • ." 9 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. M Building Permit Application 1 --C)7— -3 S RECEIVED 4 I A, " I OR OFFICE l Sl:ONLI �jf� City of Tigard JUN 14 2017 1Ved 3 /7 " PermitNo. 5 0 7 `�OJ&5 ,71 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /�B `'' Phone: 503.7182439 Fax: 503.598.199� Date/By: mer Permit. Inspection Line: 4 503.639.4175Fax: 5 L8-Y OF TIGARD Date ReadyBy:• zg://��• � (/( t�u;s ® see page�forn"'CO I i C } 11BUILDING DIVISION Notified/Method: < � �'t— Supplemental Information Internet www.tigard-or.gov ��fLAd , _& '--",t E" 'f'� .T v a �"3s ....7`-,,,,,:‘,--�,: Y e�ygrrp �" I+e4�}:d t*y��„;` cE1t�ae t� r„ g, k Y L' ," i d �.. ,: 2 Y ,54:2::::21±....L7: _ zs�vu.u.:u,..-F x"`'72:1? "...1,-..—w It e- Fc. �_� .: _..=.„, . :-..x,�<.,.u.;?:.wx ;a..,,.s{se�.ru....�'a.���-L.,. �.�..`S.+iia"Pv..re` �usa.w.m�Lw .t-�'a s`` - ..-� .:.:.ur .:»+3� .u'�'.d-'x'"..ua _,. ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the ,.., e , f ,. ? work indicated on this application. -.�,� ,. .� .'. Valuation: ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building 0 Multi-family Number o bedrooms: j 11 J C r 0 Master builder 0 Other: Number of bathrooms: 42.441 }i , ..�, 3 f�- !, :/`�i*Iii � � , 13(.2._Total number of floors. i D I C O Job site address: , f ' ' New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 " ,' Garage/carport area: q�n square feet 6Q Suite/bldg./apt no.: Project name: FA/6r Terrace. Eas`I' Covered porch area: ' 2....1516._. square feet S Z Cross street/directions to job site: Deck area: �'Z square feetro Other structure area: ' square feet + '` Qi `,,..,!,_1.):.-s;.' :,k.4Z 2' f 1 '�i ,'As' 43,v,�, " Subdivision (s{X Terrace- f- Lot no.:'�� Permit fees*are based on the value of the work performed.. Tax m aP P no.:/ 1 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the i . {1 ; 'T work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet Ep 53— '' n" :p qa ,,„..f-cx -- ..,—✓m ',_ - : p `j t '- ,'--V,'-, {'' �� 4 -- wn-�� "�`.,. Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/StatPJZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: Business name:Polygon WLH,LLC ���� Structural plan review fee(or deposit): Contact name: J, FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received — .am'. E mail N( 0 ` its I t t,4% �/ t 4 1 14,z I10 Commercial and residential prescriptive installation of :- - > � ° i _ _ ; " roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist 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: $201.60 Authorized signature: This permit application expires if a permit is not obtained �J t{ /414..., within 180 days after it has been accepted as complete. riCh 11yylo Date: *Fee methodology set by Tri-County Building Industry Print name: �' r`� �/7�� Service Board I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440/-4613T(11/02/COM/WEB) - ,-.1 Tv-i t,i. 7-,,tt , -t,., RV 1 ti if t —I) y„,...,4„,..'„, , ,..,,..'.d... , , Mechanical Permit Application 1-01Z OFFICE USE ONLY City of Tigard 0 C I 2 6 /011 Received Date/By: Permit No.: !PI "11 13125 SW Hall Blvd.,Tigard,OR 97223 , Plan Review ' g Phone: 503.718.2439 Fax: 503.598.19t17 0FT16:Aik:„ Dateigy: Other Permit: . TIGARDInspection Line: 503.639.4175 -" ,.. nat`Read' Judy. See Page 2 for Internet www.tigard-or.gov C otifiedimed: Supplemental Information rmation ......,„..._..._..... .. „...... .. . „......., ....,„......,.,.. ....„ .,.,.... NY.3)m.iii.J,iliiilii-1. 41,:itiT. *O .titi'...,.,.:;tx--,-.5 :-;,'::i.c00440..:. w44;;F. Fr,..:.- pPE:;- .!,:.•vsg..c-opc..,:1444s7.1.!:4?-.1.: . Mechanical permit fees*are based on the value°film work Egj New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. _ Value:$ %,::-Ai.r24t:11:6i. ..5,t..eg-tEdoilyote:,;:-00N--sijitis&fio:isi,,,p,,,...:*c-,5Y;:,14v2:-,..-,Ii!.2;L!:!,,v, :: .,,,,,,,,-. --.. ,------.. - ------ ----— ... : -,----= .' " ' ' ''g''' ,$143R11:14-P;$719F.41T4F07W.:1PV.02T.k:: El 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total tai5::?'.Y4Oli:griti.,i$;itkiii,i,afildN4i,t,:-X:6:ahok;:;;,i!ifg:L-t.,':-:._AgHeating/cooling: Air conditioning 1 46.75 46.75 Job site address: , sw \iocitto pot, . 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 Suite/bldg./apt.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 hydnmic) 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.:).F..) Other fuel appliances: Tax map/parcel no.: Water heater 2332 ltK10$1170 0Y:WOW Gas fireplace/insert 1 3339'0;4AIli3 . Flue vent for water heater or gas IVI, "\-1 ZVI.- 0030S" fireplace '. 2332 Log lighter(gas) 23.32 Wood/pellet stove 3339 Wood fireplace/insert 2332 Chimney/liner/flue/vent 23.32 Other 23.32 ,:.•001*41*:i.:08/lIg*;. ,i!'.1:::4;!: l' :'i.V.;::i'ir':''..':Y7.4-" ,1P.:*;71T.I.Al'r.:!.,: U;:*.' -;: --4i-''''. 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 % 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, tk toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans — 2332 j.. ....; 01."!!FELIgi!Xt.*i41040'74: :.--tl"::iqi-7 :•'::''. :"1:!7,:::g:":..":b':-0*-4i'.:.i0.4*'l,.1'-!Ei,:;::::::.:::'i:. Other: 2332 Business name:William Lyon Homes,Inc. Fuel piping: 514.15 for first four;$4.03 for each additional Contact name: II CA(1 ok.e,--11A0yVe, Furnace,etc. 1 Address:1t-3) Mariu1/4)al -...\--- Su j.k.c. cl 0Gas 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 , 1 E-mall:11 1 GtA 0 kt. ;11.-\tit OV/QT,rie pb\ki9r)(\li3ONIcF • CZY) Bel CO heeue , 1' #01*?i7.,: : .i,-;-;';:'.14 , . .--:;:-.:179,-. :;..: !'i:!-'c:': Clothes dryer(gas) Business name:pn wx\-IT,01 krcl ,i'0r 0\tr,,, -r ii\L Othe .. _ _ .. .. . .. _.. . . . . .... . '.. ....4; -E,...',,r.. .100A0V-4,1*RIArt 40'':(-.:':.-:•:;::::t;:f...:.:::ri,:..:::::;. Address: tU)C16- W \DAD ),,q,, ,Pro SiAk‹, 11.b1 Subtotal City/State/ZIP: •-- SV)N(t) ()\i_. LA 1k ... I Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:56)3)443. siok-L, Fax:6 ll' ) 011-\I- cO1S- State surcharge(12%of permit fse) CCB lic.:2_061 COI TOTAL PERMIT FEE This permit application expires ifs permit is not obtained within 180 • ... days after it has been accepted as complete. Authorized signature: ,1412 ,, / vi * Fee methodology set by Tri-County Building Industry Service Board Print name:Ake%d it.:—.11 1),(12e— Date: - IlluildingTemtits\MIX_PermitApp 040113.doc 440-4617T(11/02/COM/WEB) , , , R ._.,,4,, L.,1 V ECF1—‘11* Electrical Permit Application4 . FOR OFFICE USE OIL' CT + b 2(_1/ City of Tigard QReceived Permit Dates . u 13125 SW Hall Blvd.,Tigard,OR 9 -a Cl 4 l) p Review ': 3 Phone: 503.7182439 Fax: 503.5 .1 1 1 t_I h DaWB : Related Permit 1: Inspection Line: 503.639.4175at% nix€�' Div a^'it, 'Read Date/By:: 7u is: Page for TIGARD Internet: www.tigard-or.gov .a4 Aii<7 , y y See 2Inf NotiSedMlethod: Supplemental Information 4:..r :,... , .(a ;4-a i_.. ,- r. h,. - f `.3.h '48��.�-,"�_:F.- ,maz -n -2A1- �y, ',- rhamhi �� i�4� .e��47� 7 .+ka4 'A e El New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of pians write=checked): 0 Demolition Other 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current ❑Marines and boatyards. 7 ,,_ e 3 :�":.C.' U.�fi 1.,'!'i..,7:.-„-V'4f ,Kit,€i q -: , ,„'-xY '124 exceeds 10,000 amps at 150 volts or QFloating buildings. ®1-and 2-family dwelling 0 Commercial/indtistrial 0 Accessory building leas to ground,or exceeds 14,000 0 Commercial-,nee agricultural amps for all Other installations. buildings.• 0 Multi-family - 0 Master builder 0 Other: ❑Fin pump. 0 Tn't llation of 150 KVA or 1^ 'Y ? le :' ^g '4,-.=,.--4'*' Q i © • A•--."'•' c ❑Emergency system. larger separately derived 4 3 0° . \1 D pat., a p 0 Addition of new motor load of Job#: Job site address. V v 1"lel V loolaF or more. ❑"Av,.s�,�1_z^,�1_s°, City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Reoreational vehicle parks. Suite/bldg./apt.#: I Project name: iV ei f- Tp'n�/t-y, .g ❑Hazard=locations. El Supply voltage for more than [ {� ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: -- r:w e mss•-ni -• e K q'E_. tea., Description L Qty. l Each Total New residential single-or multi-family dwelling unit. Subdivision: ('J.e Li1ra r T e (Q_ fN'E,) c.�- I Lot#:—5S- Includes attached garage. Tax map/parcel#: i 1,000 sq.R or less I 168.54 4 5 Ea.add'1500 sq.R or portion ` 33.92. 1 3'' #-.-, k_ ,-a`: S r"a✓ ),., ••t i1. :0:; "., %6.f �; �x-' le=a " 3 Limited energy,residential75.00 2 I I JfW 1 OOlOS (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ''c a 1-03 x'? 1s1F,.0 t `„;,;�. j.2. ,s0 r•-*A aN_4" . j 1 RenewableServicesor feeders Energy 0 See Page 2 or feedeinstallation,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 20034 2 City/State/ZIP: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 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 168.54 2 sem` � S " w�r�F�t' � 3ji+.}Ix , ',}4?:�',3"_." F;L, r�tle, €e-�'1 b?2s Branchcircuits—new,alteration,or extension,per panel _ A.Fee for branch charts. with Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7.42 2 Contact name: ('itch O k,Th 0i B.Fee for branch circuits without 03 �r i'`� e t St 1 service or feeder foe,fust 56.18 2 Address: J 1 l D branch circuit City/State/ZIP:Vancouver,WA 98660 Each add''branch circuit 7.42 2 _ Miscellaneous(service or feeder not included) Phone:(360)695-7700 • ' ' I Fax::(360)693-4442 Each manufactured or modular 67.84 2 qdwelling,service and/or feeder Email: Nie 4Li t l 44. a _I•( i Pm ,,, 1�- Reconnect only 67.84 2 i -f1 1 t: �'• 1 .e©6 ti f ti�5 G) ,,,� k-�y'§ 5;-„i .,--1-i vis-' Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Signal cirnuh(s)or limited-energy ❑ See Page 2 2 Address:1(. D'7 Ua1�n ,l Mro`k,c,. \ S �,p, `D /1 panel,alteration,oreapensitm City/State/ZIP:'p �", 1 1`� ��-V V�� 1- \�J�! Each additional inspection over allowable in any of the above (�y 11f�(}�, W Additional inspection(I hr min) 6625/hr Phone:(253)320-1657 + Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels@gweusa.com Industrial plant(1 hr rain) —• 78.18/hr Inspections for which no fee is 9000/hr CCB Lk.: C1158 I Electrical Lic.: 208174 I Supra.Lica: 4496S crfic listed /s hr mm � � ; s:rf . ti :tagrig.o-itA J3Lta sx� ;,3 : Stprv.Electrician signature,required: l P., I ,i . Subtotal: Print name: Joan P Albert Date: 4/26/2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): --.''''-----C---- TOTAL PERMIT FEE: Authorized signature: - This permit application expires if a permitls not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. * Number of inspections allowed per permit. :i•'.;1:1ButldirelPermitslBLC PemdtApp SLR TIRE.doe Rev 06!17/2015 440 4615T(11/05/COtfrwna Plumbing Permit App licata �?,( ',i Building Fixtures i� �� Received City of Tigard y. Penni!No.: Ilt.,.- 13125 SW Hall Blvd.,Tigard,OR 972 J ,,f,. I) Plat,Review Phone: 503.718.2439 Fax: 503.5 .: i by L � y eIBy; Other Permit No.: T 1(`,\1`O Inspection nspec ionwLiinYerigard o 9 4 1 5 'g'.i g v �i”:'�r ' �T I S t 'k tate ReadyiBy: hada 63 see Page 2 for Notified/Method: Supplemental Information ®New construction ❑Demolition For special information use checklist Description 1 Qty. I Ea. I Total 0 Addition/alteration/replacement ❑Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) j CATEGORY.OF CDNSTfRUC17ON - SFR(I)bath 312fi0 ® I-and 2-family dwelling 0 Commercial/iindustrial SFR(2)bath 437.78 SFR(3)bath ( ' 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB *i.9RMATION AND, LOCATION Site utilities: Job site address: I'3U V J SU,1 t 14� _t, Catch basin or area drain 18,76 1 . Drywell,leach line,or trench drain 18.76 1i ~City/State/ZIP:Tigard,OR 97224 a Footing drain(no.linear ft.:) Page 2 Suite/bldg./apt,no.: I Project name: p.AV�r Tema e- 4 C ' Manufactured home utilities 50.03 Cross street/directions to job site: 1_ Manholes 18.76 . Rain drain connector 18.76 . Sanitary sewer(no.linear ft.:_,_) Page 2 Storm sewer(no.linear ft.:_) 7 Page 2 Water service(no.linear ft.:,___) Page 2 • Subdivision: (\jeA- 1'f ('e_ fps-+- Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ; • Backwater valve 1 12.51 r ,. DFY6CRiRT[ON=UF-WORK' -; .' ., . Clothes washer 25.02 ri_ 3 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® }%)*O -; :1- ti TEN u+rr.: Expansion tank 12.51 t Name:ADVL Land Holdings,LLC Fixture/soviet cap 25.02 Y Floor drain/floor 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 t-7 ./...: 00 k p nso' interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 Contact name Primer 12.51 1 �f,t�tz. n t�x'�e, Roof drain(commercial) 12.51 Address:103 aro al Sk-S.�n.k �� Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 J Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 al 25.02 E-mail t 1 1 A ► Aki, " .. 97�t N\ u-, . (Y) ater closet 25.02 JJ rm W � - - 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 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lic.:184601 Plumbing Lie,no.:P5732 Plan review (25%of permit fee) - State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name Robert Dlshman Date 512312016 This permit application expires If a permit is not obtained within ISO days after Wats been accepted as-complete. •Fee methodology set by Tri-County Building lmiustry Service Board. 1.10aadineormitalPt:Mt1•PermitApp.doe 1ev0109 440.4ar6T(1o/02/COMIWEB) City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT C TIGARD Building Permit Review — Residential 3 .f6.4i:A.,.,.a1� ,E ,,-„:-.,,,,,,. 4:. ��:.eF _ ._ .-it it ,:r� :. .: Building Permit #: M,577.0/7—G030 Site Address: 4 O -90 /('9,44 f .e Project Name: &✓-iy-- � mce. -.-./S")-- Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review - / / 0 Proposal: MA) -S'"Y- k - 7g7/4// ._. (T4Cl eo/ �(1na '" `/ (J Ltd erify site address/suite# exists and active in permit s stem. River Terrace Neighborhood: ❑ No V Yes,See River Terrace Review Addendum Attached Sine Plan Elements: Igi ree(3)copies of site plan j 111 .sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper It Footprint of new structure(including decks)with finished P awn to scale(standard architect or engineer scale) ,00r elevations V, ► orth arrow 1121 inky locations&easements(required for new and additions) n S' a address,project or subdivision name and lot number S .-walk/driveway approach .plicant information(name and phone number) J °cation of wells/septic systems %a dimensions and building setback dimensions 0 e;'sting trees to be retained with drip line,and tree 11 ,uare footage of buildings to be demolished yrotection measures VA Lot area,building coverage area,percentage of coverage and ,__, eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) 4AStreet 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? 1I, es ❑No lean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): 11' �,'#, w i / equired: El Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilitie Improvement(PFI) Permit: F��O, — equired: [t2 Yes,applicant was notified ❑ No Applied For: yes ❑ No,stop intake tvyR and Use Case#: PIie,2G7 — O1 / 2Z// O/(.,-40 l/. PZEo0 ' aOOv `e ,)-.2S -,�. TA 'e.uired Setbacks: Front ,Q Rear Side I treet Side arage 2 andscape Requirement: C Lot Coverage Maximum: 06 0,0 ill �vuilding Height: Maximum Height Actual Height isual Clearance la '-nsitive Lands: ❑ Yes No Type It Urban Forestry Plan ❑ Conditions "Met"prior to issuaL c3f buil ng permit J Notes: C7T'1,G�'//IUYt C l/ 7Jii 12Wim'' '7`-2) -/j1?/;L- isC O ric..e Approved By Planning: ...�� -�- ,,; Date: rd / )- - Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal w r Original Submittal Date: r`r/l/7 Site Plans: # Building Plans: # Building Permit#: �yEnter building permit#above. Workflow Routing: Planning [// ngineering 715ermit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: P"Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 7 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: /,, / By Permit Technician: j� it 21.i.���! Date: d2.5177 Engineering Review c� lope at building pad: 4 / 0 ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat 1 .'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ...ErNo Assess Water Quantity Fee in-lieu: ❑ Yes .0-No LIDA Facility on lot: ❑ Yes _1:1--No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 1/4 /4k. kJ i Date: e//,5/i7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit — pproved,NOT Released: iWt ol'i tiwv � ��"�a Date: V/ L I Z 4 ' otes: GQ/rat*w MCAL - Rt- ILI2t I11 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 111N/A Parks SDC: !(i7r Yes ❑ N/A LIDA ❑ YesV/A LKI—ADK to Issue Permit A r. , Approved by Permit Coordinator: A��� •(,V� `O&�f(.i Date: 14-Mil'? I:\Building\Forms\BldgPermitRvw_RES 061417.docx • City of Tigard e COMMUNITY DEVELOPMENT DEPARTMENT 11111 C TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: z_____ -0F �/J /Z974 Project Name: c- 7-7rr.2ce Lot #: C, (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? V 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 Gabled dorm ft. deep min. 2ft.,5 ft.wide min.2 ft.,6ft.wide El ❑ ❑ El 2. Eyes on the street: a minimum12%of ach street facing facade must include windows or entrance doors. Percentage Shown: 6./, 0 3. trances:At least one entrance must meet both of the foll g standards: Max. 8 ft. setback from longest street acing 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 Cl 12 ft.max. roof above floor of porch O 5 ft. depth min. El 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 El :ecessed entry area min. 5 ft.wide x 2 ft. deep ❑ -fall offset min. 16 inches I Dormer min.4 ft.wide 12 Roof eave min. 12 inch projection ❑Woof offset min.of 2 ft. El Roof shingles either tile or wood 0 Gable,hip or gambrel roof design ❑ oof pitch oriented south min. 500 sq. ft.i ❑horizontal lap siding min. 3-7 inches wide Accent siding min. 40%of street facade ) Window trim min. 2'/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 closer to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one): 0v< 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 the (Check one) 12-foot-wide garage door El 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: `------„,4,y- Date: e�/�/7.._ I:\Building\Forms\BldgPermitRvw_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 I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVE) .. i r•_ DEPT: BUILDING DIVISION 70 FROM: Nichole Thorpe ,,° .. . COMPANY: Polygon Northwest (.11911/1 PHONE: 360-989-40204 By: ICY\ T W tl s- c)630 RE: 13059,13067,13073 13085 3093 SW 169TH ___-- ._ _:��;;LM (Site Address) 'ermit l um,' River Terrace East L a t" 35 (Project name or subdivision name and lot numocri 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 ; /0/e__ U' / 69A/47 FOR OFFICE USE ONLY Routed to Permit Technician: Date: J )— j 4 - J 7 Initials: Fees Due: 14 Yes ❑No Fee Description: - : e. Special Instructions: Reprint Permit(per PE): Yes ❑No ❑ Done Applicant Notified: Date: Initials: IABuildingWormsgransmittalLetter-Revisions.doc 05/25/2012 Plumbing Permit Application Site Utilities r I" FOR OFFICE USE ONLY City of Tigard Received Date/By:t! NI �� 7 / 7 /f� Permit No/j[e /�__cod 13125 SW Hall Blvd.,Tigard,OR 97223 DEC72 cc- .114 Phone: 503.718.2439 Fax: 503.598.1960 fPlan Review 7 Inspection Line: 503.639.4175 Date/By: 14- -r -40(11Other Permit No.: T I G A R D P Date Ready/By Juris I ® 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 ❑Addition/alteration/replacement Description I Qty. I Ea. I Total ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 El1-and 2-family dwelling 1:]Commercial/industrial SFR(2)bath 437.78 EIAccessory building ® Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: / Fire sprinkler(.sq.ft.)4dGZ as. Page 2 JOB SUE'INFORMATION'AND LOCATION Site utilities: Job site address: 13085 SW 169"'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 Lot no.:35 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION O WORK. Backwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Permit# Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25 02 0110 PROPERTY OWNER 0 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 Phone:( ) Hose bib 25.02 Fax:( ) Ice maker 12.51 ►+ APPLICANT El 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 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman/allianceplumbing.net Urinal 25.02 CONTRACTOR Water closet 25.02 Business name:Alliance Plumbing,LLC Water heater 37.52 Water piping/DWV 56.29 Address: 146 W Historic Columbia River Hwy Other 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lie.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: ��J State surcharge(12%of permit fee) TOTAL PERMIT FEE Print name:Gavin Thomes 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. 1:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty.. . Fee(CO Total Square Footage VermLit,Fee: 50.03 0 to 2,000 $121.90 Footing drain-1S1 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' 37.52Valuation: _ 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 (a Taal each additional$100.00 or fraction thereof,to Other Inspection . City. and including$10,000.00. Inspection of existing plumbing or for $10.001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $3$379.50 for thenal$first $2 ,00or0.00iandth$1.45 for to hours(minimum charge 2 hours) and including$50,000.00. Reinspection Fees 90.00/hr 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum plan review for revisions each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Other Fixtures: I I I I Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Fixture Type for Replace! Plan Review for,'plumbing Installations Work Performed: Capped, Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -DrivepThru ❑ New exterior plumbing site utilities for any complex structure Dishwasher her -Commercialoas 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. Car Wash Drain Isometric or Paser 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-my.sharepoint.com/personal/gavin_alliancepluml5�tng_net/Documents/Documents/Fire Sprinklers/RT/City of Tigard Permit.doc 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 . it 11 2 Transmittal Letter T I G 1,R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DAT_____411EQVIVE1) DEPT: BUILDING DIVISION AUG 14 2017 FROM: Angela Grajewski CITY OF TIGARD IN COMPANY: Polygon Northwest DIVISIO' PHONE: 971-212-2144 By: RE: 13093,13085,13073,13067,13059 SW 169th Ave MST2017-00304 13093 SW 169TH, LOT 34 (Site Address) MST2017-00305 13085 SW 169TH, LOT 35 River Terrace East Lot 34-38 ! MST2017-00307 13073 SW 169TH, LOT 36 (Project name or subdivision name and lot number) MST2017 00308 13067 SW 169TH, LOT 37 MST2017-00309 13059 SW 169TH, LOT 38 ATTACHED ARE THE FOLLOWING ITEMS: Copies: 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 Pe i echnician: : ))-' f 77 .tials: Fees Due: Yes ❑ No Fee De 'ption: Amo _4 ue: 3 J71.- j3 w- $ $ $ $ Special Instructions: Reprint Permit(per PE): Yes ❑No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012