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Permit (110) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00471 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2018 Parcel: 2S106DA00700 Jurisdiction: Tigard Site address: 13319 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 7 Project: River Terrace East, Lot 7 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: 30 Bathrooms: 3 Second: 562 sf Garage: 294 sf Front: 12 Smoke Dwelling Units: 1 Third: 560 sf Right: 0 Detectors: Yes Total: 1362 sf Value: $171,837.96 Rear: 5 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1362 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $24,237.50 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 0 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: G./1"/ 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 /--%0 4040441 FOR OFFICE USE O\Ll City of Tigard AUG 2 2 2017 DateBeY /(,,x-J12 G� �r67cl7- /y Permit No.: it It13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 2 Phone: 503.718.2439 Fax 503.598.19Q7' i ".;D Date/By: J 11' g ,Other Permit'5�,�� j/"�'��j,;f� I I C A F 17 Inspection Line: 503.639.4175 >, i Eli, [s e r fJ Date Ready/By: r y �� a-1 - ions: H See Page 2 for o �' ` Internet: www.tigard-or.gov Notified/Method: if/Z Supplemental Information 4 ®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 ¢ work indicated on this application. 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 1 S8, } n� ❑Accessory building Multi-family Number of bedrooms: ' , Iv�7` I, $37�- ~• ❑Master builder 0 Other: Number of bathrooms: � ,u,,a , w "' Total number of floors: 166.6 • � f 4 4 R l kg a s. tK ., l & , L ,_ ' ,Na" % ..:-. a ate, _^,e" Job site address: 1313`q SVS [++')6 NC New dwelling area: 1,3_ a square feet City/State/ZIP:Tigard,OR 97224 ` Garage/carport area: a� 4 square feet 4S9�j 0 Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: I square feet L Cross street/directions to job site: Deck area: 7a. square feet R.s1.10 Other structure area: 7a square feet Subdivision:River Terrace East Lot no.:1 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 ... .. i Nr...., . , . indicatedequipment,materials,labor, overhead,and theprofit for the ' ;'t ' ' ItU� 'V# - work onhisaliation 413-1-'. . ; , a. a� � ,Awr,, .�_ k V .4t., y -- Valuation: $ Existing building area: square feet New building area: square feet t..� e" ��`� - .-i.i�:�:. M �, 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 s ¢ "" Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address::'7 03 ban O9 s...\- SU Ake. S I.0 Total fees due upon application: City/State/ZIP:Vancouver WA 9866 Phone:(360)695-7700 Fax::( ) Amount received: iiitAilefwa-1 f f t l Email:Nichole Thorpe Commercial and residential prescriptive installation of Ott : .,, : fe roof-top mounted Photovoltaic Solar Panel System. Business name: @� 1-1Submit two(2)sets of roof plan with connection details 0I t '�`' and fire department access,along with the 2010 Oregon Address: 103 Brt aclWact �� � � o 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: $201.60 Authorized signature: / / -/ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • v rt c,', 2017 Mechanical Permit Application-- ' ' '. FOR OFFICE USE ONLY City of Tigard '.::i i *-c ' ,' : , - ,‘•'; ' Received Permit No.: IIIIm 13125 SW Hall Blvd.,Tigard,OR 04223':`'3 , '' '' : ' ,• plaramiew : ll Phone: 503.718.2439 Fax 503398.1960 bate/By; Other Permit TIGARD Inspection Eine: 503.639.4175 , Date Ready/ity: ME 0 See Page 2 for . Internet: www.tigard-or.gov Notiae:PMethed: Supplemental Information V-ti„Le"71,f-Prjrierg.pfl..15*,,,NO. till*I3:"::ort+463-1-%/4-12 ,11•Wa.511:41:41 *L. -VP'1.4*-4-.' ---,GIatt."‘—N".-.0.4.061-., ....611., 5,....Q..-1S-r._,,'''''-"'=adnr, ...„_. ._,,2:EN4. Mechanical permit fees*are based on the value of the work Ei New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other mechanical materials,equipment,labor,overhead,and profit Value:$ a5tte.M.I4r-44-A-t47.°*.. WA- $-.411.:JOKifig4SOF•rtieM A.7-71-AAA#14,44'.. Al.,U0:4011;1:4:4tigi•Oge,:riirk I-and 2-family dwelling 0 Commercialimdustrial 0 Accessory building For spedal information use checklist 5(MUlii-fmni1y 0 Master builder 0 Other: Description Qty. Ea. Total !Viiglit.V0t4W9i-gieRalitTlit4544-#.64-4A/Paik4VVIRIAM.%0 tEi ,T*-• Heating/cooling: _ ._ Mr conditioning 1 46.75 46.75 Job site address: /S3 ley SW kt.0 fifth A. Furnace 100,000 BTU ducts/vents) 1 46.75 City/State/ZIP:Tigard,0R97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt no.: Project name:River Terrace East Duct wcak 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 Flueivent for any of above 1 23.32 Other: 23.32 Subdivision:River Terrace East Lot no.:.-T . Other fuel appliances: - Tax map/parcel no.: Water heater 2332 1 3339 ::::::M.'•:01-f-e0Ftgatg.)S.45,e4Iiiil'f ...t11,- ;14A414:4W0,:Zi FiGasuefirePventifaaaior insert heater or gas . . fireplace 23.32 . _ Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 A 2332 7lilsiftXTgOit°11*.tr- titiffi :;':::;- 4.!'Ylt. ;::16A";1:;1:1;••71:Elqi'rl : e•tt ; Environmental exhaust and ventilation Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment I 3339 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust t 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, 1 L toilet compartments,utility rooms) 1 2332 Phone:(602)694-4031 Fax( ) Attic/crawlspace fans 2332 ::7;-414ttnikialcitthi:C0*.C:4".. : -• . ••!".4, 1;:r."1---615$14eiYiS704:;: :::::t1; Other 2332 piping: Business name:William Lyon Homes,Inc. Fuel $14.15 for first four;$4.03 for each additional Contact name:1\)-1 CA/ e ir\Orkr.).e, Furnace,etc. 1 Addreaa:11 tl, MOSW 9 S\-. S\ki•A"C SI 0 Gas hear 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 &meth AO 1 CIA Me, 7-1/1! i tlEpblirprIbON.V. 7 t-,/.0 1.1 Barbecue .1J::'.1;%E?!•!:139:41.1:;: ::'.:i-A. 47:E.12 ".7:!..-.! IS. -04, *4i::2;We::;-----.:-•!: :S:;.!7ii;F:-If!'iakff1-JC;! Clethee drYer(Pe) Business name:pn kry.etil odry,1 QDD\IN , Alt:riii.,kr:AilitRicer4Egt*r-g Address: q jyks- N)\NJ . 5,0;k1 p6 Ski,j Vicf -\1.01 f Subtotal City/State/ZIP: khISVArtt ()A(L. 4M.' \V)...) 1 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:99D)1.41.A3... 9141. Fax:(S15) GI I-\I- cb-IS-- State surcharge(12%of permit fee) CCB lie.:').0DDI TOTAL PERMTT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: ./14 irarisr--- * Fee methodology set by Di-County Bidding Industry Service Board Print llarne:Ak 44 6/e_.:11(W17(_ Date: ,. . • I.,J'y C; 1:, 2012 • • •••-• ------, Electrical Permit Application FOR OFFICE USE ONLY _ - - - - - City of Tigard ,,.,.' '' ' '11 ' DakeiBReceive4 Permit fi:13125 SW HAI Blvd.,Tivird.OR 97223. ' ' phaR,,,iew a' Phone; 503.718.2439 Fax 503.598.1960 Date/t3 . Related Permit ik Inspection Line: 503.639.4175. Ready Date/By: kris; Seerage2 for TIGARD infeinet.www.tigard_orsov Notified/Method: Supplemental Inforrea4on li,',.,==':. ..r.45:-:;;'...ii.3-,-- -7-44,-,-----:.`Z-V.riM-WAP ji g*---)i-'( ,::1.1g,, --;-...*"1"-T-- .*.5.;"".:? .?-"4.-,t-i-4 - 4-'`V.V.0.17.1,N76;;C4X41.-E:k1,•':3 "-L---.31:-'.=.43t:-.e h.-1-- rg New construction 0 Addition/alteration/replacement Please check all diat apply(submit2 sets of pbas ye/items checked): El&mica or feeder 400 amps ormore 0 Building over three atones 0 Demolition 0 Other: . where the available fault current 0 14,rinas and boatyards.4:?-:... -1-.4t".= exceeds 10.000 amps at 150 veils er CI P102011S buildiags. ,,-and 2-family dwelling 0 Commerciallitithistrial 0 Accessory building less to ground.or=earls 14,000 0 Commercial-use agricultural amps for all other installations. . buildings.• 4.11gult-fsmi1y , 0 Master builder 0 Other: 0 Fire pump. 01nstalla1ion of 150 ICVA.et' :4`,Ti40 ci.•aitta .f.';'$I'-'1*A4-5 .,,,4;:: Ed EAdm2:7fsYsnevitem- r load of Isrger sePararelY derived system. Job it: Job site addre7/3.;1 di \i,,1 Wortiq 'IN e,, 10,0111'or mom. 0 Six or more residential units. occupeneY• City/Statz/ZJP:Tigard,OR 9722,4 0Realtheare facilities. 0 Recreational vehicle parks. SubalbldgJapt,it: I Project name: -ve'---Te.vv-iu6e eAci- Em-..rdoori-f=i 0 621090P!:nitageonfirf:.mre than amps or more. Cross street/directions to job site: Descr1ption Qty.] Zech I Total New residential single-or multi-family dwelling unit. Subdivision: jukter Teitrett,.. Ecs-h I Lot* -7 Includes attached garage. ' — 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel it: - Ea.add'1500 sq.ft.or portion I 33.92. 1 Limited energy,residential 75.00 (whit above sq.ft) 2 Limited energy,multi-family 75.00 2 residential(with above sq.it) _ „.____,_ Renewable Energy Ci See Page 2 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/Z11':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 made on property tail own which is not 200 amps or less 59.36 1 inteaded for sale,lease,Mt,or exchange,according to ORS 447,449,670,and 701. • 201 amps to 400 amps [ 125.08 7 - Owner signature: Date: • 401 amps to 599 amps 168.54 2 1:.----•:-..:,- ---':„..'.,----,t,V'-„ViTg-OT_tit-.V.7`,4i,:.`.L,.+.,,,,-..--;'_.1-,3;;:"-f; .-Y'._li),EViSp' Itti: `,-,-„-Th-pliiM.-,71*--;`,- ---, Branch circuits—new,alteration,or extension,per panel Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 each branch circuit 2 contact name: hi I C h D le,Th 0 rim, B.Pee for branch citcuits without senice or feeder fee,fast Address: 103 2)-rOactwavi St Suak-t, 17) branch circuit 56.18 2 City/State/72: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=tattered or modular 6714 dwelling,service and/En-feeder 2 Bmw71:;AL I Id kilt. a. ,t •1 I (11P I Reconnect enlY 67.84 2 ---_,-3Z:foniA,,V.9.:-75;31'E----1,,,7",- --..",-. -.••'-:,--.7-'A.-'4: --'clf-',L4-'*,4,,..-X,';',17:--;„; Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC ' Signor outline lighting 67.84 2 /.... Signal drceit(s)or limited-energy ) u:A,e, ‘Up panel,altratitm,cc extension. CI See Page 2 2 Each adonal inspection over allowable in any of the above L'L' City/State/ZIP:•p,,,ice ,,-i Di tAsipt. Cht,3 I Additional inspection(I la min) 662.5/br Phone:(253)320-1657 1 1 1 I Fax ( ) Investigation(1 br min) 90.0Whr Industdal plant(/hr.min) . 78.18/hr P.mvel.bdanielsgrvense.com Inspections for whichno fee is 90.00/hr CCB Lic.: C1158 Electrical Lie.: 208174 Suprv.Lie.: 4496S .e4.• . listed h brink ._ „_, . ........ ;,.7,".T.,,,2;i-Z,-.- ..r., --,it. rif-3,14'''-J1,irtl-Fll'al , ... -..: Suprv,Electrician signature,required:Lagili.pz ei.,„,.._,t_. .. . Subtotal: Print name: Joan P Albert •• ' Date: 4/26/2016 0 Plan Review Required(25%of peamit fee): .., State surcharge(12%of permit fee): signature: TOTAL PERMIT FEE: '.::';•; Authorized - - -`77- This permit application expires if a permith not obtained within ISO Print name: BM Daniels Date: 4/26/2016 days after it has been accepted=complete. * Numberafinspeotions allowed per permit 3.:i..1":113undingTensitiMCIernitApp_ELP.EMU=Rev 06/17/2015 440.4615T(11/0:4CObV4VER lif...i-...:% Plumbing Permit Application x 2017 Building Fixtures s j w, ; City of Tigard , =s i ` ` ''S'its p tNa: Ili --u 13125 SW Hall Blvd,Tigard,OR 97223 tyatfltBr , -. ' Phone: 503.7182439 Fax: 503.598.1960 Plan OtherPermitNo.: T t G ,P inspection line: 503.639.4I75 1)ate Ready/By; ' halo H See Page 2 for ~ Internet w .tigatd-or.gov Notd6edfbfelbod: Supplemental pplemea[s1 Information:mr,-r� .$�'n., T ift ::-!...,...1.7.:.:4:3 - =^w ••' .z sem"--..:.h ,8.*4Vti:-,- ` ®New construction 0 Demolition For special fgjormatian'nse checklist ❑Addition/alteration/replacement 0 Other: - Description Qty. -e Ea I Tzati � New 1-2-family dwellings('maltkctes 100 IL.far each utility connection) -.;`L;-:__ ;lir- •1t, GORfs-`UF lit`:0»_.,•:'..•V,:t'.'i• SFR(1)bath r�•;� --f 312.70 1-and 2-family dwelling 0 Commercialrindustrial SFR(2)bath • 437.78 ' ❑Accessory building" jg(Mul i-family SFR(3) 500.32 0 . _ Each additional bath/kitchen 25.02 ❑Master builder. 0 Other: Fire sprirttdert sq.R). Page 2 1 •- -* ' e ,JOB; $ IA''C[(l!1(T'•% I A7•101 ......:::•!,•,:. Sitentidittes: Job site address]3311 � lip n Orth1.� Catch basin or area drain I 18.76 . City/StalerLIP:Tigard,OR 97 224 �'+ 1 ` Dryvrclf,leachline,or trench drain 18.76 ' Suite/bldg./apt.no.: Footing drain(no.linear ft: ) Page 2 I Project name: R)VQ r Term re..EWA- 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.:_) Page 2 ' ' 'Water service(no.linear ft.: ) Page 2- Subdivision: t ,$J ear -re "cox _ �.p_ Lot no.:1 _ Fixture-or item: Tax map/pa tno.: Backflow preventer I 31.27 ` 1:i. �"+';y ',4.7.._'IIFBCft Pj'ipN*,WhHK .. '' Backwater valve 1 I2.51 padres e~asiter 25.02 Dishwasher . 25.02 Drinking fountain 25.02 �; Ejectors/sump 25.02 . .',''t,;T1 s 'D ,nJ°'> ,: 1t. •t. r 0 17241i-;2:-.-- _ ':" Expansion tank I2.51 Name ADPL Land Holdings;LLC Fixture/sewer cap 25,02 Address:7600 E Doubletree Ranch Road Floor drain/floor sinklhub 25.02 Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 852558 Hose bib 25.02 Phone(602)694-4031 Fax:( ) Ice maker 12.51 :. '7`': . r' `. .''" - :.i-: f '»o a,, ' ;: : lnlemePtiar e trap _ 25.02 • Business Warne:William Lyon Homes,Inc Medical gas(value:S } Page 2 • • Contact name; ' i�2�1,11��. Primer 12 51 ,,,,p Roof drain(commercial) 1231 Address:i b3 l•-roocL/�J s)r S..&IL i-c, c� - . S in/lavatory 25.02 City/State/71P:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)593-4442 Tub/shower/showerpan 1231 . lhinE-mail:' 1 1 " . '1 1 to . 11 VVt '��1 S •C-,P01 � - 25.02 !ity.i e er •g-y.*'..-A, :, .7--4 s ',:',V_• -. .,y. - s`.-:s- Waterddoset 25.62 . .. -. Water:heater • 37.52 , Business name:Alliance Plumbing LLC Waterpiping/DWV 5619 Address:146 W Historic Calumbin River Hwy Other~ I 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 I Fax:(503)912-6438 Minimum permit feu $7250 CCB Lfa 184601 Plumbing Lac.no.:P13732 Pian review(25%of permit fee) 144, State surcharge(12%ofpermit fee) , Authorized signature TOTAL PERMIT FEE , Print ttmtte Robert Iks60i#n Date 5/23x3016 This pa'mdapPttcalian expires if s permit is not obtained within lie days *her It has been aced as complete. *Fee methodology satiny Tri-County Sodding industry SaYiCe Board. t tDuadisg>naadfa1tr13.SJ PenmttApp doe Waft 440.4et6T(iWtaliCOMNi'ES) City of Tigard IIv COMMUNITY DEVELOPMENT DEPARTMENT 2 T 1 c n lz o Building Permit Review — Residential Building Permit #: �/f(S j ? - 004-(7/ Site Address: / 1C ,S)//o ili6e_ Project Name: L V' vee___ .- Lot #: _a_ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: f --smog' ie - 4/7,2,_eg' a /2 ae tini`7'/ _' LIQ erify site address/suite# exists and active in permit stem. Z1 ver Terrace Neighborhood: ❑ No IV Yes,See River Terrace Review Addendum Attached SPlan Elements: ree(3)copies of site plan ,to 7.°.sting structures on site �Ve plan must be on 8-1/2"x 11"or 11 x 17"paper lam.Footprint of new structure(including decks)with finished Vpi rawn to scale(standard architect or engineer scale) oor elevations orth arrow . •ty locations&easements(required for new and additions) e address,project or subdivision name and lot number Sidewalk/driveway approach V,pplicant information(name and phone number) la A cation of wells/septic systems Z . dimensions and building setback dimensions Fisting trees to be retained with drip line,and tree l are footage of buildings to be demolished rotection measures M et area,building coverage area,percentage of coverage and treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names fi roperty corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Yes D o 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes No 11 lean Water Services—Service Provider Lette. (lot platted prior to 9/10/1995): Pff 3V y i t&) c I GLS equired: ❑ Yes,applicant was notified I! No Received: ❑ Yes CI No 4 Public Facili,�tt s Improvement(PFI) Permit: P /QMP—O ! Required: Yes,applicant was notified ❑ No Applied For: ilYes ❑ No,stop intake N4and Use Case#: P.,�k 'Q.01 — f VJ Zoning: --' b) Yandscape equired Setbacks: Front JRear ,S."-- Side 0Street Side i3/ .-Garage ��Requirement: 16.....ur Bof Coverage Maximum: uilding Height: Maximum Height - Actual Height 3 'Visual Clearance III sensitive Lands: ❑ Yes ❑ No Type NJ Urban Forestry Plan ❑ Conditions "Met"prio to issuance of touildingrrmit Notes: riTh4 113v S'' ,-CA.7 // 1?1 - "oh, y44 p,/�wt/j� /SS'G(c (� 0 Approved By Planning: Date: 7 jrar Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPennitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: /2-21/7 l-= Site Plans: Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning M Engineering p,-Permit Coordinator wilding 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: i' Date: Engineering Review .-Er Slope at building pad: 12- ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat rrWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: D Yes �No Assess Water Quantity Fee in-lieu: ❑ Yes /2 No LIDA Facility on lot: ❑ Yes J2--No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: I( fi /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 ❑ Approved,NOT Released: 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: SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: ' Yes ❑ N/A Parks SDC: -k-Yes ❑ N/A LIDA ❑ Yes -Nt"N/A OK to Issue Permit Approved by Permit Coordinator: A-(7r b61 - Date: WI-) 1:\Building\Fonns\BldgPennitRvw_RES_061417.docx a City of Tigard IIIIN COMMUNITY DEVELOPMENT DEPARTMENT i T c u o River Terrace Building Permit Review Addendum Building Permit #: Site Address: 11 /9' (&) JL?qu/1 .e_ Project Name: "Mer �. TO Cel --- Lot #: 7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dista Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? ligi 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 ❑ ❑ ❑ ❑ 2.Eyes on the street: a minimum of 12%f each street facing facade must include windows or entrance doors. Percentage Shown: /-4- 1 ° a 3. ntrances:At least one entrance must meet both of the follo ' g standards: LTJ Max. 8 ft. setback fromParallel to street,angle no more than 45° from street, longest street- wall or open onto porch Entrance opens to aP orch: ❑ Yes Qd 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: O 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.977 pd Dormer min.4 ft.wide Roof eave min. 12 inch projection ❑ oof offset min. of 2 ft. ❑ Roof shingles either tile or wood 0 Gable,hip orambrel roof design � ❑ oof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide Il Accent siding min.40%of street facade 'Z1 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): ❑ Iay 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. W : (Check one) V12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: t____Approved By Planning: .--_ _ �@ Date: ll l 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 a T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISIONR tf,EIVF ;6 ?Oi8 FROM: Nichole Thorpe CI II' OF 1G-' RD COMPANY: Polygon Northwest 1 PHONE: 360-989-4204 By: (k / RE: t 33Yoe- MSil_p n- �4 l Site Address) (P River Terrrace 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: p\puns cLnd lou.I)e- n 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. 3rd batt pV\W1 111S Of D 1 pounlYj - FOR OFFICE USE ONLY Routed to Permit Technician: Date: — J 1— f Initials: -tr Fees Due: A ] Yes ❑ No Fee Descri tion: Amount Due: 1•S J r d°1 rc.v t a - $ ) 3 S Special Instructions: Reprint Permit(per PE): ❑ Yes No one 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: 13319 SW 169TH AVE, BEAVERTON, OR, 97007 October 17, 2018 at 10:03:00 AM Record Type: Record ID: Residential - Master Permit MST2017-00471 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 65 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13319 SW 169TH AVE, BEAVERTON, OR, 97007 October 17, 2018 at 11 :52:51 AM Record Type: Record ID: Residential - Master Permit MST2017-00471 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: A/C installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13319 SW 169TH AVE, BEAVERTON, OR, 97007 October 19, 2018 at 8:55:45 AM Record Type: Record ID: Residential - Master Permit MST2017-00471 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control passed Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13319 SW 169TH AVE, BEAVERTON, OR, 97007 October 19, 2018 at 8:55:25 AM Record Type: Record ID: Residential - Master Permit MST2017-00471 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor Electrical Penner A ' F ° `0. a i- iAI Cat�orii flit(till/ I. (51:OyI.) ' City of Tigard la 2 3 /O18 Received �� �. r 13125 Stv Hatt Blvd,Tigard,OR 97>�3 uB �/1.'!►7 Phone: 503.718.2439 Fax: 503.59 d0°t` kik =' PoisanlMew Related Permit#: l;,,+,r t) Inspection Line: 503,6394175 q r s I r t•a ',",'.,: Ready bate/By: t! rd-tx oY lateattet www ga g Notified/Method: See Page Z for � � Nottfi Supplemental Information ►' New constructionAddition/alteration/replacement �' � ' - - ,�' , i�✓3t.�,``� -. Q Addition/alter tion/replacement airifflpPlease check all that apply(submit 2 sets of plans writems checked): 0 Demolition 0 Other, �] 0 Service Or feeder 400 amps or more 0 Building over three stories. .. - ti "c e s { whale die available fault current 0 Marinas and boatyards. e - S�v-�t exceeds 10.000 ampsat 150 volts or (�1-and 2-family dwelling 0 Floating buildings. 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all ll other installationsbuildins.QMuiti-fanrly 0 Master builder (gym ❑Fire0 Installation n of 1S0 KVA or� 1`1 ra l `,Vii,�€ t! 1, aa 0 Emergency system. larger separately derived Job#: Job site address: �� CI Addition of new I S5I el Sw T motor load of system. City/State/zIP: r�e,�,� �y�` � �'V�.. 100HP or more. ©=>p^••6.,••1.2„•.i•3,. ''.CJ.�Y�s[�]�ti• . �0 ❑Six or more residential units. oecupancy. ❑ • n _ Health-care facilities. ❑Recreational vehicle parks_ Suite/bldg./apt.#: Project name: T 1t v•54— I?E;f, E ❑isbez us locations. ❑Supply voltage 61r more than Cross street/directions to job siker (�_ � ❑Service or feeder 600 amps or more. 600 volts 5001i 151 'mc.* zcsAb �S New residential single-or multi- dwellingirminit© Subdivision: .t 1Z1I et ,- it.piGe I Lot#: 7 Includes attached garage. Tax map/parcel#: 1,000 sq.ft,or less III168.53 4 Fa.add'151 sq.H.or portion 4-.5-,;--=',„-, .*,-, .-� , 33.92 1 �1,�`� _ �,, Limited energy,residential 1111 `- �-- • �+�e Ta [)/i"� with above ... ft. 75.00all 2 = Limited energy,multi-family residential(with above sq.It.) 75.00 2 'a' ` 5'� 7 ' a Renewable End m See Pa c 2 Name: t� � w � `� Services ar feeders Installation slLertian,and/or relocation ADV L L.j i 11 p t.rJ,sw1►S I LLC C. 200 amps or less 100,70 1 2 Address: —410 Op E,.. Demyi.E. I e f apociLIc.t (� 2Q1 maps w 400amps I°3.54 2 City/State/ZIP: pll S bilis, Z 28 6 t O ' 4ti 1 amps to 600 amps 200.34 2 Phone:flea?..} tog g+-X031 �D 661 amps to 000 amps II 301.04 2 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or Owner installation:This installation is beingmade on relocation Intended for sale,lease,rent,or exchange, property that I own which is not 200 amps or lets 59.36 1 accordingto ORS 447,449,670,and 701. 201 amps to 400 amps 125,08 Owner signature: [}tie 401 ampsto 599 amps2 eo �ack 168.54 2 � ., c y Branch circuits–new alteration,or extension,per panel Business name: .,u� 145µis A.above ch deeds with J rTo j��,1� t L`,� above service or feeder fee, Contact name:"To Y�..l 1 C I��1�LQ each branch circuit 7.42 B.Fee for branch circuits without Address; 1 O ci fAs T I 311ts` service or feeder fee,first 31 ` branch circuit 56.18 2 City/State/ZIP: V A,..f a 00 Vele- >, 98660 Each addl branch circuit 7.42 2 Phone:(9)3) CJ'�.� - £ i I p I Fax:•:( ) Each manufactured (service or feeder not included) Email: �� . I y a,tn t 1 O •p e _ dwelling,serstfac ce aand/or feederar 67. 2 84 s .< •C.Ot� Reconnect only . i .:k ms 1 67.84 2 Business name:Three Phase Electric pump or irrigation circle 67.84 • 2 Sign or outline lighting 67.84 2 Address:11490 SE Jennifer St Signal citctiit(s)imliminal energy Panel.alteration,or extension. ❑ See page 2 2 Each additional inspection over allowable in any of the above CitylStatet2[P:Clackamas,OR 97015 Phone:(503)908-8058Additional inspection(1 hr min) 66.25/hr 1 Fax:(503)762-1823 Investigation(1 hr min) 90.00/hr Email:permits('a threephaseelectric.caw Industrial plant(1 ler min) 78.18/hr CCB Lie.; 162368 Electrical Lie.: 3-332CInspections for which no fee is Suprv.Lie.: 3398S stxxtCcail listed 4 hr nun) 90• hr Suprv.Electrician signature,required: G�s.tzc2r ' .�t• ;s I ';4" 01;';�ta Print name: DennisWelch Subtotal: Date: 0 Plan Review Required(23%of permit fee); itState surcharge(12%of permit fee): TOTAL PERMIT FEE: j Authorized signatu*sr This This permit appliead a fres if a Print name: Gail Evans I Date: ha permit is not plate.d within 1110 days ager&has been steepled as complete. I Stn7dag`d'amas`Ett,rwm6vt _t p o spy t; t3 " Number of inspections allowed per permit. 4404615111 1 tt15:'Ct3MtwF,B PlumbinPer g mit Application - City of Tigard Page 2 - Supplemental Information Residential Fire Su$ ,ression S stems: Fee Schedule: Total ;Siuare'Foota a e: Permit Feet Qty . F- {ea} . $121.90 Site gdrain-1"100'" " 50.03 0 to.2,000 $169.69219 Footing drain- 2,001 to 3,600 $233.20 Footing drain each- additional 100' 37.52 3,601 to 7,200 62.54 7,201 and treater SeSewer-1 eacht additional d0' OM Water- addis100' 62 54 Water Service-1st 100' Medical Gas S stems: F Water Service-each additional 100' NM Valuation: Permit Fee: to$5,000.00 Minimum fee$72.50 Storm&Rain Drain- st 100' _ 62.54® $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Storm&Ram Drain-eeach additional 100' each additional$100.00 or fraction thereof,to Qty ' Fee,(ea) 'Total and includin:$10,000.00. Othero ins existing plumbing ng Fees $10.001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for Inspection feeof is pes plumbing for 90.00/hr each additional$100.00 or fraction thereof,to minimumwh inis se—1//2 hour indicated ■ and includin• $25,000.00. ■ 00.00 $379.50 for the first$25,000.00 and$1.45 for chune e 1/2 90.00/hr $25,001.00 to$50,0 Inspections outside of normal business each additional$100.00 or fraction thereof,to Nouns minimum share 2 hours) and includin t $50,000.00. Rei Add 90.00/hr $742.00 for the first$50,000.00 and$1.20 for spec Additionalplan plaa n review for revisions $50,001.00 and up 90.00/hr each additional$100.00 or fraction thereof. minimum char:e 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*. Quanti b Fixture Replace/ Plan Review for Plumbin Installations Fixture Type for Calved Added Relocate Plan review is required for'any of the following. Work Performed;- -- apply. Baptist /Font �� Please check all that a 1 -Jacuz Bath -Tub/Shower 0 Any new commercial building with water service 2"and -Tub/Shower ower Lool —=— greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru --= ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator -- as defined in OAR918-780-0040. Dishwasher -Commercial -- ❑ Medical gas and vacuum systems for health care facilities. -Domestic MI. MN ® Any multipurpose fire sprinkler system. Drinkin:Fountain =-- 0 Any complex structure as defined in OAR918-780-0040. Floor Drain/sink -2" --= -4„ 11111110--- Submit 2 sets of plans with any of the above. 4„ —� Isometric or Riser Dia,ram Car Wash Drain — Garbage -Domestic-non-food 11.1111111 11111111111 ❑ Isometric or riser diagram is required for new buildings 11111111 Disposal -Domestic—food related -- that meet the ualifications above. -Commercial—food related --= industrial-food related ==— Ice Mach./Refri_.Drains Re Separator Gas Station ==— Comments regarding fixture work: Rec.Vehicle Dump Station MIN Shower Shower -Gang --- -Stall Sink/Lav -Non-food related ==— 111111111 -Bradley -Commercial-food related === Service Washer _-- n:Pool Filter MINN *Note: If the fixture work under this permit results in an er -Clothes Water Extractor MEI--- 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 lumbin -my.sharepoint.com/personal/gavin_alliancepluml5�ing_net/Documents/Documents/Fire Sprinklers/RT/City of Tigard https:/lalliancep g Permit.doc