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Permit (79) ,� CITY OF TIGARD MASTER PERMIT !PI t COMMUNITY DEVELOPMENT Permit#: MST2017-00304 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/22/2017 TIGARD Parcel: 2S106DA03400 Jurisdiction: Tigard Site address: 13093 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 34 Project: River Terrace East, Lot 34 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Reauired Stories: 3 Bedrooms: 2 First: 321 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 31 Bathrooms: 3 Second: 646 sf Garage: 543 sf Front: 12 Smoke Dwelling Units: 1 Third: 637 sf Right: 0 Detectors: Yes Total: 1604 sf Value: $211,218.93 Rear: 5 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1604 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: $24,002.81 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throug R 952-001-00 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: C- Permittee Signature: (IA/ ,0r'/C f--76-A) Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application , k °��$ r RECEIVED FOR OFFICE l SE ON IA City of Tigard Date/By:Received 3 (7 Permit N 5 ,.Cbg 11 13125 SW Hall Blvd.,Tigard,OR 97223,,ii U N 14 2017 Plan Review Other Permit: Phone: 503.718-2439 Fax: 503.598.196D Date/By: 13 7- 4 ?'"/),,75--7 Inspection Line: 503.639.4175 DateNotiSReadyBy. kris. Pi See Page 2 for c; ,�;i, P CITY OFTIGAFD ed/Method/�/?� /� Supplemental Information Internet: www.tigard-or.gov BUILDING DIVISION b--A/° L. /ti/ Ir eg , , 2:.-�'��..,,,, El 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 0 Addition/alteration/replacement 0 Other. equipment,materials,labor,overhead,and the profit for the .,> s work indicated on this application. Valuatio ® 1-and 2-family dwelling 0 Commercial/industrial r5tit°16115as 1 oZ if 0 Multi-family Number of bedrooms: 2 0 Accessory building3 ti-` i❑Master builder 0 Other Number of bathrooms: ,r A Total number of floors I G 04 act " 6 gat i ,.( i e • New dwelling area: �y_ square feet Job site address: , V V ■ i _ ^� City/State/ZIP:Tigard,OR 97224 ''T, Garage/carport are•�1`- square feet G3 Suite/bldgJapt no.: Project name: g Ver retYQee Ea.St Covered porch area: square feett j, 6 Cross street/directions to job site: Deck area: 9 3 square feet 3 a.1 Other structure area: . square feet L',";-e•-'5,:'-'i r6k Ys" Yi',-:2 $'}f.32 g €'s,s:=3 s' -.iso .� � • . ..:,;;'� P? €7w �v Subdivision Rv{X•Ter {. -t- Lot no.. ( Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the ' 1 , i -'=-2,,'S'":" '=1- " work indicated on this application. Valuation: $ I Existing building area: square feet New building area: square feet Number of stories: Name ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: =� -:re'7 2€ 3 ., ' '4---i t to a , t':,F � z , ;-? � a �.-�e��M:�-�:;�` e�3•�,�_ .•'•-=',;'-'-'- �,...s,.�.....��.._'.r�. ..,...,x,__ � y `-i- � e'ro ,:" � 'Y° ,..,�.1'.-:: ez�- E � d tea_ �,� -_,x�,.,.�.�.,.�,.,'�..��,.,,,,�.,r:,.�A„nc..M;t.• Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name: 1y\Olkuli Iln 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::( ) A Y [Cay f _ , te C2; E-mail N( U s I ^I to-i 1 I J 1 1!A 41 4 Commercial and residential prescriptive installation of i -:.:''f „ - f ; ,1- s' 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 within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: f I C e / 006 iI Date:�e`��� Service Board. I:\Building\Pennits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) 1 )-:',.I', Mechanical Permit Apphcat FOR OFFICE,:USE()NIX Cityof Tigard Reee"ed � 0 f !� fir ) i�j� DatelBy: Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 9722 t Plan Review • 11 Phone: 503.718.2439 Fax 503.598.1960 Other Permit: R a r a ,,� '� �x ° a'� Date/By: T I G A R D Inspection Line: 503.639.4175 �l.,, a } } a z" Date Ready/By: loris: H See Page 2 for Internet www.tigard-or.govMa ;11, t 1= ` Notifiea/Method: Supplemental Information :: Vf'g OII:WORK _ -r. a '._.COMMER�CIALtFEE* SG ED'IR.E USF CBE•i2-1. IST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. _RE Value: CATCOY OF CO iST1tUCTOl ' . ,y SIDEN�IAI,EQunME NJSXaTEMS FEES_ ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total _ JOB S1TE 1NFORIUATION.AND LOC...... Vit. Heahnco oling: 46 75 ,._ . Air conditioning 1 46.75 Job site address: P90 CP) Svc kuorth A.. fi Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 I ,�' 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 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.:3y Other 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 Ft Gas fireplace/insert 1 3339 _, . - . DESCRIPTION`OF WORK . ... .:.. . . . Flue vent for water heater or gas ((S VI.— D(� 1.� fireplace 23.32 t-` 'L Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 l PROPERTY OWNER ❑ TEANT 23.32 Other Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 1 3339 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust t 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 2332 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans _ 23.32 � APPLICANTS -;; Other. 2332 --. -� ;❑ CO� CT.:PERSOhi Fuel piping: Business name:WilliamLyonHomes,�^ Inc p $14.15 for first four,$4.03 for each additional Contact name:N 1 CV\0,..e, 1V\OCQ'li Furnace,etc. 1 Address:1p) {}l,('(� al 5 Sw.k- - SID 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 0 AnU1L 9 e, )D C�t t�YY1. 1 1 E-mail:-mall �� � ��y � Barbecu�y OR Clothes er(gas) Business name:Pro wpc\ C��''� Other. "� 1l MECHANICALrF.uirrrFEES' Address: LOC4< Nv,,i r (�, �,(' �`,' � tol Subtotal City/State/ZIP: SVa'•D k t_v� \VLd I u"" Minimum permit fee($90.00) O� L4 .. W � ' Plan review(25%12of permit fee) Phone: ) -1 OD) Fax: 6 ) .. State surcharge(12%of permit fee) CCB lc.:1061 W) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 f/-4 days after it has been accepted as complete. Authorized signature: t�' �! Fee methodology set by TriCounty Building Industry Service Board Print name:jf 4t t) —11 I 0,/ii►2e- Date: I:1Building\Patmits EC PermitApp_040113.doe �"'' 4404617T(W02/COM/WEB) . RECEIVE : Electrical Permit Application FOR OFFICE USE ONLY City of Tigard }-1/1( Date/8 . Permit ft: 114 '° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • 2 Phone: 503.718.2439 Far 503.598.1V,4 Tv oftlt T 1 r A Date/By: rifffilf Inspection Line: 503.639.4175 'k 11 t t - 7" ''"-• Ready Date/By: Mr 10 See Page 2 for TIGARn ---, Internet: www.tigard-or.gov ' 'r ).'1 NG MVS ( ,fi . naavuthod: . Supplemental Information ... t A d',11_'I'Y 1,r re'4.k-Wfiregg'':::.7W,g7 li New construction 0 Addition/alteration/replacement Please check all thrrt apply(submit 2 sets of planswas=checked): 0 Service or feeder 400 amps or more 0 Building over three Allies. 0 Demolition 0 Other: • where the available fault current 0 Moines and boatyards. 147,.., j,"-';.4,`.".e- :.- ",•, - klMlf,r-ol"gi:fgi.'._11121,791kP•`ilii f)ti,AIN.A.•;;':':7a.'.'""M-4,1 ,f1.-- ,.!,t; exceeds 10,000 amps at 150 volts or 0 Floating buildings. rEI I-and 2-family dwelling 0 Commercialliridistrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. . buildings.• 0 Multi-family ••• 0 Master builder 0 Other: 0 Fin pump. Li Installation of ISO KVA.or i.VCI:: tc.;,,‘,4, **- :: 13 ElnergencY sYstem• larger separately derived 9 Addition of new motor load of system. Job#: I Job site addressl 30/3 w vkloctift pat, 10011P or more. 0 Six or more residential units. occupancy. City/State/ZIP:Tigard,OR 97224 El Health-owe facilities. 0 Recreational vehicle parks. . 0 Hazardous locations. 0 Supply voltage for Suite/bldg./apt#: I Project name:giveA,--1-"yr,(...e E.,,,cf. more than 0 Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: --IPA'T,:61.11.1.gttj.';',L,••ts.:`7•',,,;1 ?-*4.2,-r• f. Description I Qtr. I nth Total . New residential single-or multi-family dwelling unit. Subdivision: tz4 '4-er T -TA(A9- EP-S+- I Lot#:Z Li Includes attached garage.. .000 sq.ft.or less [ 168.54 4 Tax map/parcel#: 13a,add'I 500 sq.it or portion I, 33.92 1 A,i'LI.ola• 1.-10.0'MrAr W-, -'Te.W051_ Limited energy,residential 75.00 2 IA SI"VO n-0 CACA-1 (with above sq.ft) Limited energy,multi-family 7500 2 residential(with above sq.th) Renewable Energy CI See Page 2 T-0-414i :*;•32:=7_ZR-Ze.,z,_,--.,- -:,.-r.$-P40"- 5 .7,";-- -.7:Y.K.4t` 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 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 552.26 2 Temporary services or feeders installation,alteration,and/or Email: -. relocation Owner installation:This installation is being ma.de on property that I own which is not 200 amps or less 59.36 I 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 Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name: MI ch 01.61-11orpt B.Fee for branch circuits without service or feeder fee,first Address: 103 ly-orx_ctlAicl ist Sa',4,k4, S ki) 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 and/or feeder Email,, i V6. i L pa t PS . ,ta Reconnect only 67.84 2 •il,fv=;-....--,T-1.,.;•4,:-,-:-..- -1'=-*ieqtYti-1-<;,2 ,',G);,- 'i:,---------------,-;-,-f--i?5,- --;__.)7,--..-4--,..,: -.,, Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC ' Signor outline lighting 67.84 2 4.... Signal circuit(s)or limited-energy Address:kti 02- \.14Mt9 i)'Ve.k•-1\i\ i ...k\-e-, ki:kp mei,alteration,or extension. 0 See Page 2 2 Each additional Inspection over allowable in any of the above City/State/ZIP:'plk uall.14 pi V*.. ges-i 1 Additional inspection(I hr min) 66.25/hr Phone:(253)320-1657 1 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) • 78.18/hr Email:bdaniels@gweusa.com Inspections for which no fee is CCE3 Lin.: CH58 Electrical Lie.: 208174 ...j Suprv.Lio.: 4496S .. . - listed 4 hr min 90.00/hr Cttzr.,t7-„r'F"-V-.44,, _. .. .. Suprv.Electrician signature,required: -S±alt=fif.,c,- t---..--, , Subtotal: Print name: Joan?Albert •- I Date: 4/26/2016 0 Plan Review Required(25%of permit fee): --".• .--- _ ... State surcharge(12%of permit fee): ... - ---. '....'::: Authorized signature: -- TOTAL PERMIT FEE: This permit application expires lie permitis not obtained within 180 "!. Print name: Bill Daniels Date: 4/26/2016 days after it bas been accepted as complete. * Number of inspeotians allowed per pe=it IAButidiuglPeradeVIC PetinitApp_,ELB.ERIdoc Rev 061171201$ 440-4615711/05/COMMES Plumbing Permit Application '�, ,� Building Fixtures 1. lz UH lr 1-. ISI. (3'vI.l City of Tigard 0 C 12 ` 201, it No.: 71 1■ 13125 SW Hail Blvd.,Tigard,OR 97223r. Man Review Phone: 503.718.2439 Fax 503.598 I V OF ! ,f},1 elBy: Other Permit No.: Inspection Line: 503.639.4175 BUILDING''aRI See Page 2 for T i t,A R t� g- 11 -, 'Reaud161 : >u� Supplemental Information Internet www.tigard.or.gov ;EWE OF WORK .. . � FEE;�S�:t:CE13ifl,i: ®New construction 0 Demolition For special information use checklist Description I Qty. ( Ea, I Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes I00 ft.for each utility connection) CA7E+GORY'OF CON;TRt1C11ON SFR(I)bath 312.70 . --1 ® I-and 2-family dwelling 0 Commercialfindustriat SFR(2)bath 437,78 SFR(3)bath I 500.32 : ❑Accessory building ]]Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(,_sq.ft.) Page 2 ' 708 1 INFORMATION A1NiD LOCATION Site utilities: 1 Job site address: Svc t 1p (� Catch basin or area twain _ 18.76 I !i Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear R.: ) Page 2 Suite/bidg apt.no_: I Project name: (2.tVV it Tfin ii f e_Ea'-'- 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 R.:T} Page 2 Water service(no.linear ft.:) Page 2 Subdivision: 1--,veli Temeacc EAs - I Lot no.:. 1.4 Fixture or item: Tax map/parcel no.: Backflow preventer t 31.27 ',..6 -OF WORK Backwater valve I 12.51 .._ ESClothes washer 25.02 51- 01! (011ot Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 `C1r744IT2.: - Expansion tank 12.51 Name:ADVL Land Holdings;LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposer! 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 Primer 12.51 . i Contact name:/0\c_hre..1 Roof drain(commercial) 12.51 Address:I b3 BOC Il cu C` ' S) silt.,k \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 ' Hilal ° 25.02 E•marl \ _ lnh - .(om A t t 1--„ a �w�� t P water closet 25.02 . ., .. • Water heater 37.52 Business name:Alliance Plumbing.LLC Water.piping/DWV 1 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)4126438Minimum permit fee: $72.50 CCB tic.:184601 Plumbing Lic.no.:PB732 Plan review (25%of penait fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Robert Dishman ' Date:5/23/2016 This permttapptetilon expires if a permit is not°brained within ISO days atter Mats been accepted as eamplete. *Fee methodology set by Tri-County Building industry Service Board. 1.0uidingWmnitAPLt+iU•PsnsitApp.doc 10101109 446.4616T(SO02/COM/WE8) s r r. City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT IN C • T 1 G A R D' Building Permit Review — Residential Building Permit #: 445p.0/7"0-030q Site Address: / 0 cog -9/0 /62 qA Az(° Project Name: e-41;/-e -- c --es i— Lot #: 31-72 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review / el 0 Proposal: Aie(4) .S'/Yt k _ 7 ili q74 2' � ) s p erify site address/suite# exists and active in permit stem. itif River Terrace Neighborhood: 0 No Yes,See River Terrace Review Addendum Attached Sic Plan Elements: D 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 FA Footprint of new structure(including decks)with finished IP awn to scale(standard architect or engineer scale) oor elevations N ► orth arrow I d tility locations&easements(required for new and additions) rA S' a address,project or subdivision name and lot number A S'. walk/driveway approach .plicant information(name and phone number) El 00„cation of wells/septic systems ifjr of dimensions and building setback dimensions 0 t°'*sting trees to be retained with drip line,and tree Ill�uare footage of buildings to be demolishedyrotection measures VA Lot area,building coverage area,percentage of coverage and V .eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) iV Street names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? i s ❑No 4 foot differential) If yes,is a storm water .uality facility shown? 17 es ❑No Olean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): � ✓�' ' i / � - Pequired: ❑ Yes,applicant was notified k>A No Received: CI Yes ❑ No ublic Facilitie Improvement(PFI) Permit: equired: es,applicant wasasnotified ❑ No Applied For: yes ❑ No,stop intake tv(R and Use Case#: f���2G7 i— h1 ,` �Z/G�Q o rr oning: P-'9- s/ !_� -A. - e••aired Setbacks: Front Rear Side treet Side /girt—Garage andscape Requirement: C) /o rALot Coverage Maximum: F36 ..1 uilding uilding Height: Maximum Height Actual Height Isual Clearance lansitive Lands: 0 Yes No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuan e o buil g permit Notes: (T)Ytld'/3DYt,c -CA..7-// / ; Poi' -74 -./7)1 7L >SS42,1GQ Approved By Planning: .. ��f Date: Siori / 2 7 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\BidgPermitRvw REs 061417.docx Nr S Building Permit Submittal Original Submittal Date: `! Site Plans: # __ Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering `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. 7 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / ,� / By Permit Technician: aa/� ../2 /�:,sor Date: 3//2 Engineering Review 6 -Slope at building pad: 0 ❑ 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: ❑ Yes No LIDA Facility on lot: ❑ Yes ,ErNo ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: /14(lit., (,- t Date: 2 /(,E), /7 Revisions (after Building Submittal only) Reviewer ate Revision 1: El Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ����'O �'/�G��� Approved,NOT Released: G'w�r.�J�4.-L Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: rPSDC Fees Entered: Wash Co Trans Dev Tax: e'es ❑ N/A Tigard Trans SDC: P'Yes ❑ N/A Parks SDC: .P'Yes ❑ N/A LIDA CI Yes /'®.�T/A ►� q K to Issue Permit Approved by Permit Coordinator: Date: /1//&// --I:\Building\Forms\BldgPermitRvw_RES_061417.docx I' City of Tigard IN " COMMUNITY DEVELOPMENT DEPARTMENT IGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: 3 6 /7. q-/-,4 - Project Name: / 6'722 Lot #: ,,,_.', 2-/— (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distr t Design Standards (18.660.070.L); Is the project subject to the plan district design standards? Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a Gabled dorm ft. deep min. 2ft., 5 ft. wide min. 2 ft., Eft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum o 2%pf eac, street facing facade must include windows or entrance doors. Percentage Shown: /f0. e d� 3. E 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. deep ❑ ecessed entry area min. 5 ft.wide x 2 ft. deep ❑ all offset min. 16 inches VDormer min. 4 ft.wide Roof eave min. 12 inch projection ❑ oof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design • oof pitch oriented south min. 500 sq. ft. ❑,Iorizontal 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 closer to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one): V❑ 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 the garage that faces the street with a min. area of 12 sq.ft. Wi. : (Check one) IIA 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: — Date: toriO D/ 1:\Budding\Forms\BldgPermitRvw REs RT 062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13093 SW 169TH AVE, BEAVERTON, OR, 97007 May 15, 2018 at 9:44:49 AM Record Type: Record ID: Residential - Master Permit MST2017-00304 Inspection Type: Inspector: 699 Mechanical final Allyson Armstrong Result: PASS Comments: AC installed Note: Check garage for fire separation at soffit bull nose corners. Holes need sealing to pass building final. Violation Summary: Inspector Contractor FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building depai tments 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 1,11111 " Transmittal Letter T I G A RD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DAT !41:.,12 al, DEPT: BUILDING DIVISION AUG 14 2017 FROM: Angela Grajewski CITY OFTIGARD BUILDINGDIVISIO' COMPANY: Polygon Northwest 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 169T", 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 Perini echnician: 111. -: I)-' ) 6 -- Jr •'tials: Fees Due: Yes n No Fee De ption: Amo ue: 317ir p $ ) $ $ $ Special Instructions: Reprint Permit(per PE): Yes No I I 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: 13093 SW 169TH AVE, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00304 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Correction from previous inspection complete. Moisture content form received. Moisture barrier form received. High efficiency lighting form received. Blower door test report checked. Insulation certification checked. C of 0 left on site with contractor. Note: after hours inspection for C of 0 added at contractors request. Violation Summary: Inspector Contractor Plumbing Permit Application Site Utilities i''',.,',,:,-77 y ., FOR OFFICE USE ONLY .1111 City of Tigard DEC t� 2 n i 7 Received w 13125 SW Hall Blvd.,Tigard,OR 97223 I Date/By: / �� zr Permit No.: Phone: 503.718.2439 Fax: 503 598.196p' t Plan Review L< 7� _� �/ // TIGARD Inspection Line: 503.639.4175 Date/By: • -o2ii_� C�l Other Permit No.: L., v .1 Internet: www.tigard-or.gov ""` ' '°`" ' Date Ready/By: Notified/Method: orris_ Supplemental3 See Page 2 Informationnr TYPE OF WORK ®New construction SCHEDULE ❑Demolition For special information use checklist 0 Addition/alteration/replacement 0 Other: Description t . Ea. Total New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION, SFR(1)bath _ 0 I-and 2-family dwelling 312.70 _ ❑Commercial/industrial SFR(2)bath 437.78 0 Accessory building El Multi-family SFR(3)bath 500.32 0 Master builder Each additional bath/kitchen 25.02 0 Other: JOB SITE INFORMATION AND' LOCATION Fire sprinkler(i�3I1 sq.ft.) ;/` �,/ Page 2• Catch basin or area drain 18 76 Job site address: 13093 SW 1691h Ave City/State/ZIP:Tigard,OR 97224 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: Watereerice(no.linear ft.: ) Page 2 -- Lot no.:34 Fixtureo or item: "lax map/parcel no.: Backflow preventer 31 27 DESCRIPTION OF WORK Backwater valve _ 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Permit# Dishwasher _ 25.02 Drinking fountain _ 25.02 ►;® PROPERT4 OWNER Ejectors/sump _ 25.02 0 TENANT Expansion tank 12 51 Name:Polygon Northwest Fixture/sewer cap _ Address: 25.02 Floor drain/tloor sink/hub 25.02 City/State/ZIP: Garbage disposal 25.02 - 1 02 Phone:( ) Hose bib Fax:( ) 25. Ice maker 12.5151 21 APPLICANT $� CONTACT PERSON Interceptor/grease trap _ 25.02• Medical gas(value:$ ) Page 2 Business name:Alliance Plumbing,LLC Contact name:Robert Dishman Primer 12.51 Address: 146 W Historic Columbia River Hwy Roof drain(commercial) _ 12.51 City/State/ZIP:Troutdale,OR 97060 Sink/basin/lavatory 25.02 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax::(503)912-6438 - Tub/shower/shower pan _ E-mail:robert.dishman@allianceplumbing.net 12.51 Urinal 25.02 tCONTIt4CTOI 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 (TB Lic.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: f-----z__,-7State surcharge(12%of permit fee) LPrint name:Gavin Thomes TOTAL PERMIT FEE Date: 12/6/2017 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 10/01/09 440-4616T(I 0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su. ,ression S stems: . . ;Qty`. Fee'(eal TMtal ual"e' ©q> « . Penult,Fee: ,' Site gdrUtilities1" 0 to 2,000 $121.90 Footing drain-151 100' 50.03 2,001 to 3,600 $169.69$233.20 Footing drain-each additional 100' 37.52 3,601 to 7,200 Sewer-Sewer-each 37.52 1st 100' 62.54 7,201 and treater $327.54 Water addisional 100' WService-1st 100' 62.54 Medical Gas S stems: 37.52 ' �llttati i>�i:, permit F Water Service each additional 100' Minimum fee$72.50 e. 62.54 $1.00 to$5,000.00 Storm&Rain Drain-eachst 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Storm&Rain Drain- additional 100' each additional$100.00 or fraction thereof,to tesQ ty;, Fee:{ea) Total and includin.$10,000.00. Qtbeon ofe ectons or 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 minimumwh infee is:e-1//2 hour)indicated ■ and includin:$25,000.00. -1/2 ■ $379.50 for the first$25,000.00 and$1.45 for cour:e 90.00/hr - $25,001.00 to$50,000.00 hours Inspections outside ofar normal business each additional$100.00 or fraction thereof,to Nouns minimum charle 2 hours 90.00/hr _ and includin:$50,000.00. Reinspection Fees $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Additional plan review for revisions 90.00/hr each additional$100.00 or fraction thereof. minimum chane-1/2 hour) Subtotal: Other Fixtures: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Qnanti b Fixture T i e Replace! Pian Review;for l lumbin CappedRelocate Installations FixtureType for Added Work Performed' --- Plan review is required for any of the following. Bastist /Font � Please check all that apply. Bath -Tub/Shower ❑ Any new commercial building with water service 2"and Jac Stall --= greater,except systems designed and stamped by licensed Car Wash -Each SStallll _ engineer. -Drive Thor ❑ New exterior plumbing site utilities for any complex structure Dishwashers• Aspirator as defined in OAR918-780-0040. -Commercial === ❑ Medical gas and vacuum systems for health care facilities. -Domestic --- ® Any multipurpose fire sprinkler system. EreE e W Wash sFountain --.. ❑ Any complex structure as defined in OAR918-780-0040. - Floor Drain/sink -2" --- Submit 2 sets of plans with any of the above. 3° 4' --- Car Wash Drain --- Isometne or reser Dia Tr ><n Garbage -Domestic-non-food - ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic-food relatedd related - that meet the •ualifications above. -Commercial-food -- fri .-Industrial-food related --- Ice Mach./Refri:.Drains - Oil Separator Gas o) R ==- Comments regarding fixture work: Rho.Vehicle Gam•Station tion --- Shower -Gang 1 -Stall Sink/Lav -Non-food related ==- -Bradley -Commercial-food related -_-- -Service Swimmin: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_allianceplumng_net/Documents/Documents/Fire Sprinklers/R'T/City of Tigard Permit.doc