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Permit (108) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00469 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2018 Parcel: 2S106DA00500 Jurisdiction: Tigard Site address: 13335 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 5 Project: River Terrace East, Lot 5 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 321 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 646 sf Garage: 326 sf Front: 12 Smoke Dwelling Units: 1 Third: 637 sf Right: 0 Detectors: Yes Total: 1604 sf Value: $201,914.94 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 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 Times 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!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: 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: 602-494-4031 PHONE: 360-695-7700 FAX: Total Fees: $24,965.84 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: P- t , Permittee Signature: "� /47e.1-7-7e70 V 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. s-- . Building Permit Application -07-- . s en is '`r7 i' 4 77,0 ` FOR OFFICE CSE O\Ll City of Tigard 2Received ++�� Date/By: /1 2 //17 d Permit No.:4 7 /,66gq�,4} .11111 f 13125 SW Hall Blvd.,Tigard,OR 97223 G C Plan Review i— I T / Other Permit:��L� /�—�JO�"�'/L Phone: 503.718.2439 Fax: 503.598.1960 Date/By: i v Inspection Line: 503.639.4175 Date Ready/By: / Juris: a See Page 2 for T t G A R I7 Notified/Method: 1 /7j1 �%'r Supplemental Information Internet: www.tigard-or.gov tse>�%. z� _ °3, ;:,i ,.--" `. rE`id ii._ A/f t.fI c'I-% F 1. :::'� °.,, < . :g ` {€ ,, ' zikvt ' l y 1 I l 9a 9 t , 44 ®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 Viµ. e f l"'ag L t) f i� work indicated on this application. -6043 -II 1-and 2-familyValuation: $ dwelling ❑Commercial/industrial t ❑Accessory building [Multi-family Number of bedrooms: 2. ao 1 61`5'.9 EI Master builder /❑Other: Number of bathrooms-,R 30 .trio4a-miise4tiaa6,-;,--„--ifq Qat t;" 1 t°; A ;` ;�; Total number of floors: 2 Job site address: X335 Svc 1 W vl Ne., New dwelling area: 1 60 4 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: ..).°4•• b , square feet Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: 1 n1,quare feet Cross street/directions to job site: Deck area: ck square feet,a.1 Ali structure area: fi� square feet ® E 1` Amo 1 -r E °g 3 Subdivision:River Terrace East Lot no.: 5 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 t''aIG equipment,materials,labor,overhead, the profitt for the - „ .t l l x 614 t3e i ' z, F_,t - work indicated on this application.- i � Valuation: $ Existing building area: square feet New building area: square feet 'ti y� » t ii W - �N ri >> . T , , 6V 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: tit',w A i 4 . - x+.40.,„4,-,%:.4-10 , `” sakes" . 1. 3 I... �'t I„a:,` a,9n' ' ,,z Business name:Polygon WLH,LLC '";' Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address: 703 &maJW/j11 SSU A} . S\0 O1 Total fees due upon application: City/State/ZIP:Vancouver WA 9866 Phone:(360)695-7700 I Fax::( ) Amount received: .4. E-mail:Nichole Thorpe • h •, c ,, s. . ,,,. -x r- -- q -. P Commercial and residential prescriptive installation of o . e ,, _,. 4 a. ,. ,, _ roof-top mounted PhotoVoltaic Solar Panel System. Business name: I 1 ai KJ LH tj L Submit two(2)sets of roof plan with connection details C' and fire department access,along with the 2010 Oregon Address: 1( > 13y#Wam `S j.- I su.A. .. 5 1.) Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 9866 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: $201.60 Authorized signature: � / –/ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) L ".,''4••:-.4 ' ..-...-lic-r'., Mechanical Permit Application FOR OFFICE USE ONLY i' l..0,/ .,0.), 2017 Received City a Tigard Date/y: Permit No.: 1111 4 13125 SW Hall Blvd.,Tigard,OR 9122,8 i ,y- .,, - ; 2 Phone: 503.718.2439 Fax 503.59X1.160 '-:. '; ' ':: -,--', bathay: OtherPermit Inspection Line: 503.639.4175 -•, ' '. - • : '' '' -'. ,' Date p,ady/By: TIGARD Iris: El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information r:V:44,71WareleIZMAti4.*:4`5001111414t3S..0*Waig.4a-E4 '.i'C:914:KEjt :;*IW4'''':C"ILT`k4:7?"-P-S:F' ---•--14" ' Mechanical permit fees*are based on the value ofthe work Z New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit Value:$ rghT02-ifunRer;..Ot-gt-ttri3g, .10#0.7*Rge..V9NOW*I'lttFii;-*. :---7.f:Jr' AWL*"''- PMMY '- - -=','''''"''''•-' ..: 1-and 2-Thrnily dwelling 0 CommerciaYindustrial 0 Accessory building For:pedal information use checklist '1 (Multi-fsthily 0 Master builder 0 Other: Description Qty. Ea. Total _ ,t-74-.74.-t-VW,310Kr... .'gfikr-trisr -46-Wiff..,,wlast--,34.:g*:-.: Heating/cooling: Air conditioning 1 46.75 46.75 Job site address:1 333 SW \119 Oftil p‘..,,t, Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:River Terrace East - Duct work 2332 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 Other: Subdivision:River Terrace East . Lot no.: 2332_G - , Other fuel appliances: Tax rasp/parcel no.: Water heater 2332 :,;',04:*V"---. ,:m:ti-r.t4;;I'''&-_,Ilikittiriiptilv-oi iikiiik4.•';',.:$1.4.:f,`°=,-,iE...el.in:7;:i.1.,.g':1:4,-,:.;at Gas fireplace/insert 1 3339 Flue vent for water heater or gas fireplace 2332 — Log lighter(gas) 23.32 Wood/pellet stove 33.39 • Wood fireplacermsert 23.32 Chimney/liner/flue/vent 2332 1S:100Y1123324.0% K.':. - - -**--' 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 3339 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, 4 toilet companments,utility rooms) 2332 Phone:(602)694-4031 Fax:( ) Attic/crawispace fans 2332 13-COTAMITABP11;*4?. ':4' Oth 2332 Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for first four;$4.03 for each additional '.. Contact name: I cArl -11AoncX Furnace,etc. 1 . AddressfrpypaotAAjoi 5t- S\u:k(- Si 0 Gas heat pump Wall/suspendedhmit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Far:(360)693-4442 Fireplace 1 Range 1 E-mail:AO 1 Cik t I il'. MEW=i=111 Barbecue 15';`•::7N.:rftZtl,;;;. --'.. !$, ' _.6....1 !: 2: 4.:'.17r-i..:'...,-.t.',;,:...--..V.!:%1.7.t':5-Jki.'a,:a,:7 Clothes drYer(gas) Business name:pn v No% kyyl QIN(4 vvitnri rPir\C, Other :4-t-;.-Q1.-etz7NocksotAfttlitprs--:„,,,4.:.,;.-2:i Address: rLD°15- \}4 •Pc\ OSV.-, 0( Skkilk< 1 kn Subtotal City/State/ZIP: 1-hiSiDVD (W ,. TA VU)1 lemimum pennit fee($90.00) Plan review(25%of permit fee) Phone:9)-6)4.43. 9141, Fax(Si' ) ak 1-\1''' cfn S--- State surcharge(12%of permit fee) , - ; CCB lie.:loci DOI TOTAL PERMIT 14'.01, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: 444,e4,V4r...10--- * Fee methodology setby Tri-County Building Industry Service Board Print name:t0 44 0 te_,---h ovw, Date: 1 . .......-.........-...—, • Electrical Permit Application ?w' �' 017 of OFFICE. -. -OFFICE LSi O1' FOR LY City of Tigard 1__ Permit# Iii"4't 13125 SW Flail Blvd.,Tigard,OR 9722'3 Phone: 503.7182439 Parc 503.598.1960 ate/. Related Permit fir TIGAItD InspoctionLine: 503.639.4175. Read Date/B . hum age2for Ready 1" seep Internet.www.tigard.or.gov Notined/hfethod: Supplemental Information • } :£_ ':'1- :-- -,1' 0'a1n'i:6- -ii *h* s.• 1',n 1. ' P.'-' -: ; ,.:' hr :*--Z- �..,1 tC V.rxV = .-.zt ar4s. ®New construction 0 Addition/alteration/replacement Rinse check all that apply(submits sets of plans w/llsms checked) ❑Service or feeder 400 amps or more 0 Building over three shaies. ❑Demolition ❑Other' WI=the available fault current Narinas and boatyards. "` ` -- . -i- 11. -g "� a�-1<_ -ter) ©?rte- . 1 axcooeds 10,000 amps at 150 volts or [,[Flowing buildmga -and 2-family dwelling 0 Commereiai/indtistrial 0 Accessory building less to ground,or exceeds 14,000 ❑commercial-use agricultural amps for all other iastaliations. buildings,• Multi family 0 Master builder 0 Other _"`':-•, ��:"=-4�.[pa::,'"- u�'Zi.�6�-.r��o `;��� r� iK � , ❑Firt pump. ❑rnwaIIatsoa of 150 KVAor L 1 ..:aT 3�, - ©,r sP�,r 'µ'Vi' - ❑Emergency system. larger separately derived Job# Job site addreF^ ❑Addition afnewmotorToad of system. J J W !�� pat.,a 1001iP or mare. ❑"A","B","1-2","1-3; City/StatelaF:Tigard,OR 97224 ❑Six ormore residential omits. occupancy. }� ❑Heatth•oare facilities. 0 Recreational vehicle parks. Suit/bldg./apt.#: I Project name:t�••i\/Cy 'j" i t!-e Es r-t_ O Hazatdoms towhoas C1 smppiy voltage-formore than �--�4Y'f` ❑Sraviae orfeeder f00 amps ormom. 6�volts nommnat. Cross street/directions to job site: 1� Description Qr>•. J Each 1 Total _ New residential single-or multi-family dwelling unit. Subdivision: f z kte r �D% �CQ- 'L'„ +- .1 Lot# s•" Includes attached garage. I'�r L LLQ ' L000 sq.8 or 168.54 Tax map/parcel# 4 rtrk`h, -•z l 4, -fie'di � ? r Ea,Limiaddted energy, sq.es deor portion l 3392. 1 L ,> - „e st` Iamited energy,residential (with above sq.R) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq,ft) ; rNsy,l` J,'-�� ; L � = _� F � sr Renewable Energy ❑ SeePage2 Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State Z.ZIP:Scottsdale,AZ 85258 601 amps to 1,0011 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps orvolts 55226 2 Email: Temporary services or feeders Installation,alteration,and/or relocation Owner installation:This installation is being mgril•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 ';:,,..<-----C z_13 Rie,ilk?4rI'----ti R':S -:14.E.1 'S ,t h,•10 '4, y,r3 ':,::_,;..e--,T Branchcrrcults-new,alteration,or extension,per panel . _ ...- A.Fee far branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 t- each branch circuitContctname:: (Ji hO1C, l7i B.Pee for branch c� tits without seror feedet fee,first Address: 103 (n al S . Slk' it) branch 56.18 2 City/State/22:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 • Miscellaneous(service or feeder not included) Phone:(360)695-7700 • ' ' I Fax::(360)693-4442 Flach manuihcaued or modular Rmarl t I� / ' i�Ps dwelling,service and/orfeeder 67.84 2 4 r,,,, s* Reconnect only 67.84 .;;;7V-T" .2;4:7`17: 1- a y t7T�L'£_•� 7r5�4,s-. - ti r r r Y 2 Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC ' Signor outline lighting 67.84 2 r"' signal circuit(s)or limited-energy Address:t L j Di v Q,,`k {N r o 1,A , ,(y per,attention,or extension. ❑ See Page 2 2 City/State/ZIPt:'b a�L.� �v t..1y(J E5 additional Inspeefion over allowable in any of the above u 10.11)4 r '� CØ ) I Additional inspection(I hr min) 6625/hr Phone:(253)320-1657 1 Fax:( ) Iavestigation(1 hr min) 90.00/hr Remail•bdaniels@gwensa.com Industrial plant{1 hr min) • 78.IS/hr Inspections for whichno She is CCB Lic.: C115S Electrical Lia- 208174 s Mc= listed h berme 90-00/hr , Sirprv.tic: 44968 ( Snprv.Electrician signature,required: • 27111 `..•. = y '(`�L ala Subtotal: Print � .3'llbtOtal: a Print name: Joan?Albert Date: 4/26/2016 ❑Plan Review Required(25%of permit fee) l. State surcharge(12%of permit fix): AuthodwA sigaattre: ----_ TOTAL PERMIT FEE: This permit application expires if a pen tis not obtained within Igo _,• Print name: Bill Daniels Date: 4/26/2016 days after It has beat accepted as complete. gt�: * Numberofinspaetionsallowed per pennii .Z11BoildhglPetmitAELc PenaitApLEIB miSdoc Haw 06/17/2015 440-461ST(1I/05/COM/W55 Plumbing Permit Application J` % 2 017 Building Fixtures , °,� City of Tigard pe�mic No.: lir.-- • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review _ Phone: 503.718.2439 Fax: 503598.1960 OthalamitNo.: T 7 G.A R O Inspection Line: 503.639.4175 Date Rady/By Attic IS See page 2 for - Internet ww^w.dgard-or.gov N Sepplementst Information a, s - , ..:'.• J•�•i'�} .-T•L•: :9'.'.r.. ..-.":?:i/r i if (,, x--. ..- .. =•. .--......: ---i... .yy.f�, a.+Er.-..... -. q � � r .., �� .�LJG:-' " ®New construction 0 Demolition For speetollaforrnafon ure checklist 0 Addition/slteration/replacernei+t Description l Q '. I Ea. I Total Other: New 1-2-foully dwellings(includes 100 ft,for each utility connection) •_ 5CA (i •;( L{ , ;:tt.; ' '- = SFR(I)bath 3I2.70'- 5, -,_..' ..:::4,; , .,, i , i'. 7 ..: ; _1-and 2-familydvelii'lg Commercial/industrial SFR(Z)bath 437.78' ❑Accessory bulid'mg j Multi-family SFR(3)bath 5(10 32 a .14; Each adtirot al bath/kitchen 25.020 Master builder. Other: Fire sprir#der{^_s} ). Page 2 -r - ., `11::-$:140-11.- .ro ****-00411414411-77. 3':4iii . Site"lei= site address: 13335-7- ((a"1'•' �( Catch basin or area drain gi 18.76 . °- t " ' Dryweli,leach line,or trench drain ° 18.76 ' City/State/ZIP:Tigard,OR 97224 • i Footing drain(no.linear ft.:) Page 2 Suite/bldg apt no.: i Project name: RiVe.r Tex �f•t? t/ 'T _ Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76; - Rain drain connector 18.76 _ Sanitary Sewer(no.linear R.:._.) - Page 2 Storm sewer(no.linear ft.:_) Page 2 -�^ c c� & - 'Water service(no.linear it:^_, Page 2 : Subdivision: R,.1 1 ex S - Lot no.; 5 - Fixture-or itenw. - Tax map/parcel no.: Backflow preventtr - 1_ 3I17•. ;''S,;i' i t T_`Dit6CRil�i lU1�P l WQ Backwater valve j 12.51 Clothes washex 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 •y;VEktip!' a ijfit` 1 i ..-.*--'7' `i T- '; Expansion tank I2.51 Name:ADVL Land Hol ingsl LLC Fixture/sewer cap 25,02 Address:7600E Doubletree Ranch Road Floor chain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 :,„ ; ...'.._ - n,': . .. :. •t . r : Interceptor/grease trap 25.02 MI . Business namer William Lyon Homes,Inc Medical gas(value:S ) Primer Con tame;the-V\Dle. Roof drain(con ntetoial) 12.51 Address'163 5 BYO 5 - .n l-e, 0 inilm'abarY 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-77(30 Fax:(360)61933-4442 . Tub/show r/showerpan 12.51 E-mail:: I k li • ll i, 11► •1k.. OrN3 `tS•r , waterUrinal 25.62 . -f'�u' :mak-'. ; •'.� • ma ,'''••� � water closet :ME 25.02 • - Water:hemer 37.52 Business name:Alliance Plumbing•LLC WabxpipinglDWV 56.29 Address:146 W Historic Columbia River Hwy Other; 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phoney(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $7230 1 CCH 1:.X.:184601 4d,_ Plumbing Lie.no.:P13732 Plan review(25%of permit fee) Authorized signature': a Statesurcharge(12%of permit fee) , TOTAL PERMIT FEE Print name:Robert Dishman Date:512312016 This permit-application expires if a peratitis nal obtained edible ISO days after itbasbeen atmasgoa leu. *Fee methodology set*Thi-County Bonding Industry Service Board. 1.16uUdioglItermim'PLMU-PermitApp.doe 100009 44446 1 T(18t4ycOM/WEE) I I City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT N T 1 c A It D Building Permit Review — Residential Building Permit #: //tS7-- -0/7-Q()4{6', Site Address: / g` ,S)//0 /OA /51Y-e— Project Name: % /V-ef- -"-- Lot #: .c.- (New S(New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review / Proposal: A S/d- k 2n, 1 ( -7440/Le DQ (,l/2U`7" Lld erify site address/suite# exists and active in permit stem. ver Terrace Neighborhood: ❑ No (4'1 Yes,See River Terrace Review Addendum Attached Sit Plan Elements: C ree(3)copies of site plan 'co:`'sting structures on site lZ' to plan must be on 8-1/2"x 11"or 11 x 17"paper ►'Footprint of new structure(including decks)with finished frawn to scale(standard architect or engineer scale) oor elevations orth arrow . 'ty locations&easements(required for new and additions) 5rte address,project or subdivision name and lot number t'Sidewalk/driveway approach 2..pplicant information(name and phone number) cation of wells/septic systems o dimensions and building setback dimensions fisting trees to be retained with drip line,and tree 0 are footage of buildings to be demolished protection measures IT of area,building coverage area,percentage of coverage and V treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) CJ Street names VProperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? UYes ❑lo 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes No Il lean Water Services—Service Provider Lette' (lot platted prior to 9/10/1995): 1.-- /'/?JV" ' _60 c 1 U equired: ❑ Yes,applicant was notified @ No Received: ❑ Yes ❑ No // � ' .12(Public Faciliti s Improvement(PFI) Permit: � �� �1 C "" ,_/Required: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake N and Use Case#: Pbk ( — ) j ,,,,,,,,Zoning: f--�� 1 ) Required Setbacks: Front `2 Rear ,S--- Side 0 Street Side Iv( Garage 43,20 liebi andscape Requirement: Bof Coverage Maximum: uilding Height: Maximum Height 49-- Actual Height s((/ 0visual Clearance • sensitive Lands: ❑ Yes ❑ No Type Ni Urban Forestry Plan ❑ Conditions "Met"prio to issuance of � uil g rmit Notes: �i; (�t�� { �Ca � �� 74) � 4 /-- ,S'fc.24C� Approved By Planning: . . 11- , Date: /EH 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\BldgPennitRvw_RES 061417.docx J 1 Building Permit Submittal / Original Submittal Date: /2.2—b? Site Plans: Building Plans: Building Permit#: Enter building permit#above. Workflow Routing: PlanningEngineering 'Permit Coordinator Building Workflow Sign-off: 7 Sign-off for lanning(include notes from planning review) Route Application Documents: ) Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 44/i �y,�✓' Date: /1.7//7 Engineering Review(2- 2 C7 Slope at building pad: I U ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ,ErWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ,a-No Assess Water Quantity Fee in-lieu: El Yes ,0' No LIDA Facility on lot: ❑ Yes ,ErNo ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: /14 LA—) _ Date: I ( O/17 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: JcSDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes N/A 1OK to Issue Permit Approved by Permit Coordinator: IIi 4 j/ 1.L/l. Date: `ZI� I �i I I:\Building\Forms\BldgPermitRvw_RES_061417.docx r City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT i T►c A K D River Terrace Building Permit Review Addendum Building Permit #: Site Address: - 3C--- (0 6 ()A J Project Name: �r ---,'Toa i Ems -- Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Disttii Design Standards (18.660.070.1): Is the project subject to the plan district design standards? lig 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. / o Percentage Shown: a 3. ntrances:At least one entrance must meet both of the follo ' g standards: LU Max. 8 ft. setback fromParallel to street,angle no more than 45° from street, longest street- acing wall � or open onto porch Entrance opens to a porch: 0 Yes qd No If yes,all the following apply: 0 25 sq.ft. min. ❑ One street facing entry 0 12 ft.max.roof above floor of porch ❑ 5 ft. depth min. 0 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 0/Recessed entry area min. 5 ft.wide x 2 ft. deep • all offset min. 16 inches Roof cave min. 12 inch projection 0/Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood 2 Gable,hip or gambrel roof design 0/Roof pitch oriented south min. 500 sq. ft. ❑/I-Iorizontal lap siding min. 3-7 inches wide Ilg Accent siding min.40%of street facade M Window trim min.2 1/2"wide by 5/8"deep ❑ Window recess min.3 inches for all street facing 0 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. 0 Yes No. If No (Check one): ❑ .‘ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. Or/ 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. Wed : (Check one) 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: — 0 Date: it ' 1:1Building\Forms\B1dgPermitRvw REs RT 062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13335 SW 169TH AVE, BEAVERTON, OR, 97007 October 31 , 2018 at 11 :00:03 AM Record Type: Record ID: Residential - Master Permit MST2017-00469 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13335 SW 169TH AVE, BEAVERTON, OR, 97007 October 31 , 2018 at 11 :00:06 AM Record Type: Record ID: Residential - Master Permit MST2017-00469 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Corrections completed Note: no A/C Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13335 SW 169TH AVE, BEAVERTON, OR, 97007 December 17, 2018 at 10:56:17 AM Record Type: Record ID: Residential - Master Permit MST2017-00469 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections from previous inspection complete. Note: re-install fire suppression sprinkler cover in kitchen at patched ceiling. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13335 SW 169TH AVE, BEAVERTON, OR, 97007 December 17, 2018 at 11 :01 :46 AM Record Type: Record ID: Residential - Master Permit MST2017-00469 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Water pressure 50 psi, plumbing final approved. Final erosion control approved. Moisture content form received. Vapor barrier form received. Blower door test report checked. Insulation certification checked. C of 0 left on site at kitchen island. Violation Summary: Inspector Contractor Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Qty. Fee{ea) Total Square.Footage: „ Permit Fee: Site Utilities _ o to 2,000 $121.90 Footing drain-Is' 100' 50.03 2,001 to 3,600 $169.69 Footing drain-each additional 100' 37.52 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54Medical Gas Systems: Water Service-each additional 100' 37.52dll�atit) : 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 each$72.50 for the first nal$1 0500 orf a0 ction thereof,to d$1.52 for Qty. Fee ' "Total and including$10,000.00. Other Inspections�►r Fells : �. 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 Go and including$25,000.00. Inspections t outside off normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge—2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up each2 additional 0forthe first $50,000.0 $100.00 000.or 0iand$1.20 ofor (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 Fixtur4 Type Fixture Type for Replae Plan Review for Plumbing Installations Work Performed» Capped Added lelucate 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. D ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator irraa toorr Das defined in OAR918 780 0040. Dishwasher -CommercialMedical gas and vacuum systems for health care facilities. Domestic ❑ ® Any multipurpose fire sprinkler system. EyeWashng Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" 4„ Car Wash Drain Isometric or Riser Diagram Garbage -Domestic—non-food ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic—food relatedd related that meet the qualifications above. -Commercial—food -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lay -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor Closet Toilet increase of sewer EDUs,a sewer permit will be issued and Water fees assessed for the sewer increase must be paid before the Urinal https://allianceplumbing-my.sharepoint.com/personal/gavin_allianceplumb2'ng_net/Documents/Documents/Fire Sprinklers/RT/City of Tigard Permit.doc Electrical Permit Application ' ' -''5;i1---p City of Tigard 1 U[. 2 e Z 018 x , d 1312511,. 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' �j.��Il��S��►� Tigard,OR 97223 Plan Rewew Phone: 503 718.2439 Fax: 503.598.19✓t i i + ,i.-" , ?- ' out: : Related Permit e: ,,,t,tt,, Inspection Line: 503.639.4175 Internet: www,tigard-or.gov t l'i s dt : ' r '.,steady d/Meth-o Axis; fig See Paige?for �� ttionfiedlMethod Supplemental information ! ►_ New construction M �, 'b- , ".:.,11.4=1-40= `,1,:4,..,./444.41i �,>• Q Addition/alteration/replacement 1 n check all that apply(submit a sets of plans wlitems checked): 0 Demolition Other ,s yr'Service or feeder 400 am or more 1% 0 Building over three stories. �ucosi / •here the available fault current 7" -' . , ' st t' r w; �i 0 Marinas and boatyards. 0 I-and 2-family dwelling 0 Commercial/industrial 0 Accessoryb ° :� exceeds 10,000 amps at 1S0 volts or 0 Floating building,. �• less to ground,or exceeds 14,900agricultural �QMulh-fart) amps for all other installations. 0 Commercial-use Y 0 Master builder 0 Other: Installation � T i�: e :��,, Z t ���t, „ c yv t€ 's "i�21', � w [Inc pump. 0 of d SO dCVA or : 0 Emergency system. Job#: p rger separately derived Job site address: 13335 St.) 11197 kvE. ❑Addittar of new motor load of system. 100HP er more. City/State/ZIP: 6Ehi��.��G ' A 0O,} 0 Six or more residential units, occupancy. Suite/bldg./apt.#: proname: _ ❑Health-care facilities. 0 Recreational vehicle parks. �"� IL V�rYL 1 Hazardous loeatirrm. 0 Supply voltage for more than Cross stria t/direCtipnnnS to job site: - IS Service or feeder 600 amps or more. 600 Valls nominal. iL•4l�'Q c, ,„:t is ' ®A Subdivison' n New residential single-or multi-family dwelling unit. iZ 1�A gest tit.piGE 1 Lot#: C Includes attached garage. Tax map/parcel#: 1,000 sq.n.or less 168.54 4 � .:. i} r t �a e ., Ea.044'1300 sq.11.or portion 33.92 I /'10� i'(O it... .oriucl Limitedenergy,'.11.) tialIII ; l• '� with above < li:) 75:44allill 2 Limited energy,multi-family } Q 6 4' residential(with above sq.d1.)11713T7 , 5.00 2 7 i ° t Renewab): n=_v ■ See Pa•e 2 Name: Abv Services or feeders installation,alteration,and/or relocation Address:A Vv L I-A7..l,6 N'D 1..A 114(..s 1 LLC. 200 amps or less 100.70 ! 2 -*to OO �` Dem.f LE. TQ...QF f,/or>LLC.(rF 241 amps to 4600 atups 133.36 MI 2 Cit o'State/Zfp: gLC S -0 601 42:11 01 amps to to 1,0 amps 204.34 2 Phone:( leo?.) 1094-4031 Fax;( ) Over 1,00000pso III551.26 2 amps or volts 552.26 Email: Temporary services or feeders installation,alteration,and/or � Owner installation:This installation is beingmade onrelocation intended fiat'sale,lease,renor e according property that I own which is not 200 amps or less 59.36 I exchange, to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 Owner signature 2 Date: 401 amps to 599 amps 168.54 2 ; ..5 life:, Cis �, .�._ � . b2 e.�:t; •°s ... Breach circuits-new slteratio, or extension. . r'anti Business name. ��� r A.Pec for Branca circuits with M'ES 1 W]...t-1 ',Lc- above service or feeder fix, Contact name:-T ,� ) each branch circuit ■ 7.42 .� f O KA i J 1 C.1 A'j /4 Q B.Fee!br branch circuits withatr! Address; i service or feeder fee,first branch circuit 567.42 .18 City/State/ZIP: V qij c Da)vele_ to P. 9$Lo 60 Each add'd branch circuit Phone:{��} Each Miscellaneous service or feeder not included y Each manufactured or modular 1'7 - ii 1 I/O I Fax:':( ) Email "LSM . A 1 10.11 O *p ♦ _ C dwelling service and/or feeder ■ 67.84 �� � � 01Ar1 c : R Pump or only 67.84 IIIIIIIIEI or irrigation Circle67.84 Business name:Three Phase Electric 2 Sign or outline lighting 67.84 Address:11490 SE Jennifer St Signal circtiii(s)or limited energy a panel,alteration,or extension. 0 See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP:Clackamas,OR 97015 Phone:(503)908 x058 Additional inspection(1 hr min) 66.25/hr I Fax:(503)762-2823 Investigation(1 hr min) 90.00/hr Email:permits(,#hreephaseelectr ic.com Industrial plant(1 hr min) 78.18/hr CCB Lic.: 162368 Electrical Lie.: 3-332C Supiv.Lic.: 33985 Inspections for which no fee is 90.00/hr n s ecifieally listed }I hr min Suprv.Electrician signature,required: Gat ru tre>1124"4-.- n` ,.� e. : ►'4 4 1 :— N ' Print name: Dennis Welch subioiaa: i Date: 0 Plan Review Required(25%of. fee): �' State surcharge(12%of permit fee): Authorized signatu ,- f TOTAL PERMIT PEE: I Print name: Gail Evans This permit application expirres it an permit's not obtained within 180 Date: days after it bas beta accepted as complete. I�itd'mts3�r+taiu ELC PermitApp[s1.R„pttE.,d°e gyy 0617/2015 " Number of inspections allowed per pemilt. 44046 I ST(111/5 tom was