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Permit (107) CITY OF TIGARD MASTER PERMIT : I COMMUNITY DEVELOPMENT Permit#: MST2017-00468 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 01/10/2018 rlc,;�r<r_� s Parcel: 2S106DA01800 Jurisdiction: Tigard Site address: 13219 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 18 Project: River Terrace East, Lot 18 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 101 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 31 Bathrooms: 3 Second: 646 sf Garage: 543 sf Front: 8 Smoke Dwelling Units: 1 Third: 633 sf Right: 0 Detectors: Yes Total: 1380 sf Value: $187,008.87 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 1380 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY ST STE 510 703 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: $24,269.68 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: AZ0S/�.OikAt- ;?0. Permittee Signature: �rr 16O 75a 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. r Building Permit Application L07-Ir .,, , R I tkIItial, R v FOR OFFICE USE O\LY City of Tigard Received Date/By: ermit No.: III13125 SW Hall Blvd.,Tigard,OR 972WU G 2 2 2017 Plan Review`� °L?l��` � �S /2i1j� �/�� 2 Phone: 503.718.2439 Fax: 503.598 9160 .m Date/By: J ,�•,� �� �Permit:`;��'�/� V�7 T l G A ,l7 Inspection Line: 503.639.4175 q' r - TPA r i 1 Date ReadyBy: • 7uns: ei See Page 2 for Internet: www.tigard-or.gov BUIDii i DiV3iO � Notified/Method: /1-5 �t 4. Supplemental Information PI/4iii- dIegeI-e" _ i C° . a B I -.4 I G i P D z l :.- ,q4,<,,' * Orr l F �. t, Z 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 ❑Other: equipment,materials,labor,overhead,and the profit for the `f work indicated on this application. . _ �...;�.,. _ Valuation: $ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building FA Multi-family Number of be746--z-ppi#3.. 'ti drooms: / 871 0O g ❑Master builder 0 Other: Number of bathrooms: 3 r I !I P$ `l'r 411, f : Total number of floors:3 ie Job site address:/3-ii -I SvJ L i p C Ne., New dwelling area: tf, C) square feet City/State/ZIP:Tigard,OR 97224 `+' Garage/carport area: S 14:.; square feet c.3 3 Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: 8?square feet C,14 6 Cross street/directions to job site: Deck area: 9C square feet J 0 1 Other structure area:Qi C square feet _ a as l ,a ! t A. q € 3 t Crr ;',.a_* ,64,,a «i,+ � .,a _�fi� 00 Subdivision:River Terrace East Lot no.:I e, Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the Z 46 !g ply* ! 10k4- � work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet Nia " ,� 3� c s�' =VNumber of stories: ;ick � � 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 Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address: 7 03 ,d,3CJl11 Si" SU„i-e- s k City/State/ZIP:Vancouver WA 98660J Total fees due upon application: Amount received: Phone:(360)695-7700 Fax::( ) E-mail:Nichole Thorpe ,‘ #,_',, , * � �, �',�4,f, ,Wat'' t I � ,r ,, _, Commercial and residential prescriptive installation of ;.., ._. .__A� „ „u... ,. _. �n��,,� �c__._.. w�..a �,4; 3_" ,�,�r roof-top mounted Photovoltaic Solar Panel System. Business name: p 0( Lti '�� Submit two(2)sets of roof plan with connection details Address: "� IQ clW St ' `�u� 0 and fireIdepartmentaSpecialty Calodeng checklistwc s 2010 Oregon �7j l� � `✓` Solar Installation S ecial Code 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 lie.: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. * I 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) , Mechanical Permit Application , 1 (-; c, '',n 17 FOR OFFICE USE ONLY .. _. i 0 City of Tigard Received ' Date/By: Permit No.../7_917cl/7_.00 9 ,, II li 13125 SW Hall Blvd.,Tigard,OR 97223 . Plan Review : I Phone: 503.718.2439 Fax 503.598,1p60• '; Date/By: Other Permit Inspection Line: 503.639.4175 , TIGARD Date Ready/By: Mc 0 See Page 2 for Internet www.tigard-or.gov Notified/Method: Supplemental Information s-0.-ki'Pjc'W041-WWWitIltaIttkViblikr.,67-45.ratitC-2-P. PAWINI.f:Oi:-W AV.ql*:.*JOAX.Lt*t'l$0.#.b-A-.C4,4W4_t.gkgftiZ:"-k: .:aul:C?:StrAal A .;•;'7 -_,_....-2,4,..w.ti.v.i.. ...-, •,,,,,.rs.,:..,,..... :::: vq....-._eAt*Tiratge.4...ICUSid"..24%40ern:! Mechanical permit fees*are based on the value of the work 131 New Construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 12 Demolition 0 Other. mechanical materials,equipment,labor,overhead,and profit Vahm:$ -40.W.1:,,,./.niViftrt'biti.,--itiOR----Vifitf r-CORSTR—TigilikP"..- .4.44--.. "gi•ftV''ZP:-.VA .s.F'..1.--ka-iii&-w•-'---law •••••••-'•'------'''''W'' 7--'"'''s• — • 3....r"—',-,Kr'--------- ---4-----' -- -- - ..1-`-'''-'5-'- :--?-...-.'''' ;i7kit:_, _ ..:...... . ....'._Eaug'-,.....sYs.:Mistgs,t;.,.fk 1-and 2-fRrnily dwelling 0 Commercial/industrial 0 Accessory building For special Information use checklist 'IR/Multi-family 0 Master builder 0 Other: Description Qty. Ea_ Total '-tifqg2gg-gaX.'g_Atkkt-ETtt",r4.Wfktl:0K*ita,441'%Wtgfita WitilAV Heatingimling: —--- Air conditioning 1 46.75 46.75 Job site address:/321or s,,,, ‘Utirtil Nei Mims=100,000 BTU(ducts/vents) _ 1 46.75 _ City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump _ 61.06 Suite/bldg./apt no.: Project name:River Terrace East Duct weak _ 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 ...._ Residential boiler(radiator or hydronie) 2332 _ Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 1 2332 Other. 2332 Subdivision:River Terrace East Lot no.: le, Other fuel appliances: Tax map/parcel no.: Water heater 23.32 :7,-.9a.:,;1447011.14:fiftRIL4,:-;V*41*-TiOil...9:1*.01:it-tVA.VA.C,74'4,40-;:diN Gas firePlacermeart 1 33.39 Flue vent for water heater or gas fireplace 23.32 _ Log lighter(gas) 2332 Wood/pellet stove 3339 Wood fireplace/insert 23.32 • Chimney/liner/flue/vent 23.32 , Other. 2332 'itl.trir;-.410.10***19,W**.e:Rt;;, e•:*::04Ifissiii -1214:14AT‘:: .!4'5.:;44te.'fi 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, toilet compartments,utility rooms) i'k 2332 Phone:(602)694-4031 Fax:( ) Attiacrawlspace fans 23.32 ;:::;i4rY41:247:10::flttAlft.';'fa --''.:7::1•".:.':.."....''';[1:61*T40:W9ii.: 4:P.i Other 2332 el Business name:William Lyon Homes,Inc. Fupiping: 514.15 for first four;54.03 for each additional Contact name:t\ k ed VI Ok,11A OfVe Furnace,etc. 1 Addvess:11 VI) MatAA-MAI 1/451- •Skkj)t< SI 0 . Gas heat pump WalVsuspendedhmit heater City/State/ZIP:Vancouver,WA 98660 Water heater . Phone:(360)695-7700 Fax:(360)693-4442Fireplace 1 Range- — E-Illeil:_ lki 1 C'h ke,' :TA OV/IOVACIP4(101INACY •(,,t)(Y1 Barbecue 1 ;i•t1::.7-... . l' ,r... -q4Kjiez'f•':':`:1::f'!E.,;'. .-'.-1-'-iilrfef-.tj Clothes chYer(gas) . . Business name:Pn\f•\fOl00 kityl QUO\1n3 I-r- Other: :1:W-31.1iiilitaacter irra:* :;,??.:i Address: PLOCIF W •)N\ Okt. DiSuilk c, \, .1 Subtotal%r-g; CCity/State/ZIP: -.;1V)brtt &W_,• C-i k ki.j , Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:5p))44_( ... Skp41Pam /1)) 't)t I:\‘''' cb1S-- State surcharg,e(12%of permit fee) . CCB lie.:2061,0, TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: /144e( 7:ar..1520--- * Fee methodology set by Tri-County Balding Industry Service Board hint liame:10 41 6 le__.Th tWile_. Date: 1:\BuildinglPennitANEC Penal=040113.doc 4404617T ft um/ram/wpm Electrical Permit Application , , FOR OFFICE USE ONLY - City®f Tigard Received 1372s S Hall Blvd,Tigard,OR 972 3:: DatesRev. �` r Plan i agrAil ' a - Phone: 503.718.2439 Fax 503.598. 96D - `DatNB .ew Related Permit#: Inspection Line: 503.639.4175. Read Date/B . TIGARD y Y s SeePageZfor Internet:.wwwtigard-or•gov Noi�fied/method: NM !TS; entallafonnadon -.a _-'1.- a'S >s .�' R-' ®:71.� -�--'Y� M!.1 . A -.? "z -/u Ua r • f i - L .a' a. � i -F.....•.,.rr- .� `_.�,��� � �a. �- o- ,.,h '���.2:. ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plass wrttems checked} ❑ Moe or feeder 400 amps armory Bulding over three stories. ❑Demolition 0 Other: where the available fault current ❑Marinas and boatyards. 7:-. 4,3-,:.,! ir,-i-, ,tij ' -4igty' to_z6y )-`',,-*a. .d� ._S r4�*-y`� ..2:-.. exceeds 10,000 amps at 150 volts or °Floating buildings. and 2-family dwelling 0 Commerciaititidusfrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial use agricultural amp, • - _ V.- for all other installations. buildings.'41Multi fmlly 0 Master builder 0 Other 0Fire pump. ❑Installation of I50 KVA or' x� sr � �iJo:'� daLs s . ��,.oV�Y:`.; ,'Y ©v y-4.€t !=• -,v- N� 34?` ❑Emergency system• larger separately derived Job#: Job site addrer C ❑ on afaew motor load of system. J ! 100HP armor. 0"A",`0i","1-2","I-3•', City/State/ZIP:Tigard,OR 97224 13six ar more residential units. occupancy. ❑Health-care Smithies. 0 Recreational vehicle parks. Suite/bldg.apt.#: I Project name:geek''i' ❑Hazardous locations. ❑supply voltage fbrmore than `tea r't 1....e `�"zt ID Service or feeder 600 amps or mom. 600 volts Hommel Cross street/directions to job site: Desc:tidos QtY. Each Tobi . • New residential single-or multi-family dwelling unit. Subdivision T (�j ,'',ter Te rr e.. *660 _ L,ot} /,D_ Includes attached garage. 1� l 1,000 sq.R arless � 16834 4 Tax map/parcel# _ Ea.add'1500 sq.f.or portion I 33.92. 1 t4--' - -.. `['nom ,Is a�,rel T-4-_6 ft4 f°a.- � rx k M- Lmrrted energy,residential (with above sq.ft) 75.00 2 t— Limited energy,multi-family 75.00 2 residential(with above sq.it) a;1/4r�x;I. �<a e l al1� i_ fi • r t `>te { Renewable Energy 0 See Page 2 e �Si-, services or feeders installation,alteration,and/or relocation Name:ADYL Land Holdings,LLC 200 amps or less 100.70 2 Address:76001L Doubletree Ranch Road 201 amps to 400 amps 13336 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 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This jnoalTstion is being made on property that I own which is not 200 amps or less 1 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 >�el'V_ ; r „ r r Dr, a u rs;. 4, ,' ,, A•Fee for branch circa with tion,or extension,per panel Business name:William Lyon Homes,Inc. above service or feeder the, 742 2 Confect na1 Vme: t each bmnch elrcuit !ch o�T n� C+A& - B.Fee for branch circuits without or feederAddress: {1 D3 3 a S\1. SS vU71branchecttonee it f 56.18 2 City/State/71P:Vancouver,WA 98660 Each addl 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 Finah, f dwelling,service andlorfeeder , 1 t � 0 D o ,,, A mP s ask Rsoemnect only 67.84 2 r r, Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC • Sign or outline lighting 67.84 2- .r._. Sigoa1 clmut(s)or limited-energy Address:t 4 DL \J A J .e. S 1J S 1�1,�t P, cup panel,alteration,or extension. ❑ See Page 2 2 C / fit; `�fEach additional Inspection over allowable in any of the above Phone: 253 320-1G57 Q•it't J Wilt- 6; Additional inspection(1 hr min) 6625/hr ( ) Fax( ) Investigation(1 brmia) _ 90.00/hr Email•bdaniels®gwensa.com Industrial plant(I hr min) 78.I8/hr Inspections for'Aldine fee is 90.00/ir CCB Lie.: C1158 Electrical Lie.: 208174 Suprv.Lia: 44965 listed('A Emir Suprv.Electrician signature,required:JJ! P.r -_.'.- Bubtotal: Print name: loan?Albert Date: 4/26/2016 ❑P1aa Review Required(25o%of permit fee): it State surcharge(12%ofpermitfeer): • Authorized signature: - — TOTAL PERMIT FEE: Print name: Bill Daniels Date: 4126/2016 T7nsintdays�afoerIthan sbeenIf acceptitis dant pita, �►ithin180 ., accepted as wmpleEe ggi••`ssEsuldUgtPersa s _PermuApp ELkE ktim Rev 06117/2015 4404615'DU/M/cOMMEB * Number ofinspections allowed per permit rah. Plumbing Permit Application °; `' ,,, _ Building Fixtures FOR O1 1=IcU t SF. Oy1.3 � � City of Tigard • • Permit Hoz %;/7:ton " • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Phone: 503.718:2439 Fax 503.598.1960 g8e�`�a� Oth rPemitNo.: Ti F 1i R Inspection Line 503.639.4175 Dam Beady/BBy: " lune 13 See Page 2 for Internet www.tigard-or.gov Notified/Method: Supplemental information CO New construction 0 Demolition For fon aure checklist. Description 1 Qty. { Ea. 1 Total ❑Addition/alterationlreplaoemeiit 0 Other. New 1-2-family dwellings('includes 100 R for each utility connection) 1 rte. . t_. 11f� ;(?TaiiLC'[#$1w SFR(i)bath 3I2.70 (2) 437.78', _1-and 2-family dwelling 0 CornmercialTmdustrial SFR bath • • •❑Accessory building $Multi-Family SFR(3}bath 4 500.32 ; Each additional bath/kitchen 25.02 1 ❑Master builder.' 0 Other: 1 _ Fire sprinkler[__,_,sq.tl.). Page 2 • ( = t :-:JiiB'1t2� ' 'fd0N 11 Site utilities: lob site address: r 32,1 1 ' SN} (i I 00+1, I1 ''`-i?J Catch basin or area drain I 18.76 . City/State/ZIP:Tigard,OR 917224 U Drywall,leach line,or trench drain 78.76 • _ Footing drain(no.linear it: Page 2 • Suite/bldg./apt no.: Projerx name: tVe r Te.r 1 f•e_ 4-- Manufactured home utilities 50.03 . . Cross streeddit!ections to job site: Manholes 18.76 c i Rain drain connector j 18.76 • _ Sanitary sewer(no.linear ft,: ) , Page 2 • Storm sewer(no.linear ft.:_) Page 2 - 'Water service(no.linear ft.: ) Page 2- Subdivision: RAW"- T ,(e__ f 4---• Lot no.; /6 ' F xtirre•ar item: Tax map/parcelno.: r Backflow preventer • ' 31.27 mss`-'... rt:rt; .• II,ACiiiRTit3I1i•4317::WQftTi' _ •f .Backwater valve - , 12.51 ' Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 7;-7-t' r'. ,: Or ''', y ,art .��,, y ;;,::; _ r,.�i4: A1�Pf-:•':'� i;• ans ; iontank 4 I2.51 Name:ADPL Land Holdings[LLC Falun/sewer cap 25,22 Address:7600E Doubletree Ranch Road Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/StatelZ1P:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)644-4031 Fax:( ) Ice maker t 12.51 ."--7..::::.T.04.6. .« n, t .. . --..,55!, bttenxiitorigtrasetrap 25.42 Business name:William Lyon Homes,Inc 3.9edical gas(value:S ) Page 2 Primer i 12.51 Contact name;rc,Nr\ z Roof dram(commercial) 12,51 Address:1 ?)-roodpool' A- �0 3ft/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 - Solar units(potable water) . 62.54 Phone:(360)695-7700 ' ' ' Fare:(360)693-4442 Tub/shower/shower pan • 12.51 1 Email,,idle, ,.0 ' ]vi.t) ' . 7\�.!} �"m th"3.: Urinal I 2502 r z ,' -: ... irater closet 25.02 - _.,...-.7,:...77.1.2-..4- '"5 ., -.,�, Net _ '• ,.iM•e,°0•`-m ,., i- : :. .. . Water:hemu 37.52 Business name:Alliance Plumbing•LLC Waterpiping(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)9124438 Minimum permit fee: $72.50 - Plan review (25%apeman fee) CCB Lie.:184601 : Plumbing Lis.no.:PB732 State surcharge(12%of permit foe) Authorized signature: ititvu.s.. TOTAL PERMIT FEE • Print name:Robert Dishmsn Date 5/232016 Thh pe m@apiRca ion expires l a penult is not obtained[within IPA days atter kites beta attained ssxomplete. 'fee methodology sct•by Id-County Building Industry Service Board. t.DHaadmglPermItent.Ui. Ap toe matte, 440.4616T(iOanIcOM,WE8) City of Tigard ‘,„... , 71i " COMMUNITY DEVELOPMENT DEPARTMENT I T I G A R D Building Permit Review — Residential Building Permit #: 4z cy p-- ii Site Address: / tel 1 'u /6 94A /5/. __ /. __ Project Name: eiVe 7 - L.,,(' -- Lot #: i (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A-1/40 ----C/Ly. - /l eh()!2( le(l2f I- 27 erify site address/suite# exists and active in permit stem. River Terrace Neighborhood: ❑ No 0Yes,See River Terrace Review Addendum Attached Sit 1an Elements: Phree(3)copies of site plan ,''•sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper U Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) oor elevations 4'4 orth arrow tility locations&easements(required for new and additions) te address,project or subdivision name and lot number VJSidewalk/driveway approach NJ pplicant information(name and phone number) :: ation of wells/septic systems la of dimensions and building setback dimensions ■ A sting trees to be retained with drip line,and tree I1:a uare footage of buildings to be demolishedotection measures 74 Lot area,building coverage area,percentage of coverage and 1/ treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) ifir Street names Property corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? LJ Yes ❑INy 4 foot differential) If yes,is a storm water quality facility shown? g ❑Y sLIYNo 4klean Water Services—Service Provider Lett r(lot platted prior to 9/10/1995): y ` f " 416 equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No La Public Facili�ti Improvement(PFI) Permit: PF,,1o'�6) e�6)60 e9 /Required: Lid Yes,applicant was notified ❑ No Applied For: 12 Yes ❑ No,stop intake and Use Case#: / /"?.. C-)/(.e— 30C)/ 0/Zoning: /— !"8 Required Setbacks: Front Rear s5— Side C) Street Side N Garage O 0/Landscape Requirement: .2 [1J Lot Coverage Maximum: R") -01�y,BBuilding Height: Maximum Height —Ok Actual Height ��- 0.kisual Clearance ;ensitive Lands: ❑ Yes No Type li Urban Forestry Plan ❑ Conditio "M "prior to issua e ofb ding permit Notes: 011 � _c7 ,S'// 9 r 4 ,�L.e,,t iY /-c 1101'C I �v . Approved By Planning: — /, /A- Date: 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 Building Permit Submittal `� Original Submittal Date: _EZ. 117 Site Plans: # Building Plans: # ___,...f Building Permit#: nter building permit#above. Workflow Routing: Planning 'Engineering C ptrmit Coordinator 'Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: 7 Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. r7 Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: / r / ` /4 ,e1 _,_ Date: /14 )/ /7 Engineering Review [Slope at building pad: ' O'Conditions "Met"prior to issuance of building permit &nIr7 i riO . --f k g`4 v‘+�t Ld r;asements (encroachments)per engineering conditions of approval and plat E Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Ca-No Assess Water Quantity Fee in-lieu: ❑ Yes E to LIDA Facility on lot: ❑ Yes 2-No ❑ NOT Approved by Engineering: Date: Notes: bt7'!µ(JS 1-0 R re IAA E-- Re4;4- Te yr lrjt...a� Pt/LL..,r Approved by Engineering: ,g,5t{- Date: f 2 • If--17 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved Cl 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: DC Fees Entered: Wash Co Trans Dev Tax: O. Yes ❑ N/A Tigard Trans SDC: ►i'' Yes ❑ N/A Parks SDC: eYes ❑ N/A LIDA ❑ Yes R N/A OK to Issue Permit ?i42 Approved by Permit Coordinator: Date: /.1--/P2-/l I:\Building\Forms\B1dgPermitRvw_RES_061417.docx • City of Tigard p COMMUNITY DEVELOPMENT DEPARTMENT I T 1 GA RD River Terrace Building Permit Review Addendum Building Permit #: Site Address: '° ° ( 9- 2 A r Project Name: e�7 -7--erpa Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist ct Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 fif. deep Gabled dormer ft. deep ❑ min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide ❑ ❑ ❑ 2. Eyes on the street: a minimutpof 12%of each street facing façade must include windows or entrance doors. Percentage Shown: ,v/a 3. ntrances:At least one entrance must meet both of the follq . g standards: j Max. 8 ft. setback from Ion t street- facing wall Parallel to street,angle no more than 45° from street, or op n onto porch Entrance opens to a porch: Yes ❑ No Ifs,all the following apply: /5 sq.ft. min. ne street facing entry 2 ft.max.roof above floor of porch 5 ft. depth min. 30%min. porch roof coverage 4. etailed 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 ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches ❑ P ormer min. 4 ft.wide viP Roof eave min. 12 inch projection /goof offset min. of 2 ft. ❑ Roof shingles either tile or wood [1Q Gable,hip or gambrel roof design • oof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide gi Accent siding min. 40%of street facade ❑ Window trim min. 2'/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one): Day 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) 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: IIIIIIIIIWF Date: ///, / - I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx Electrical Permit AprolicatiRECEIVED FOR OFFICE USE ONLY Cl O Tigard Received 44Z_ t� `J f g Date/By: S�II� I� Permit#// %tel/7`C�G�� ' III n 13125 SW Hall Blvd.,Tigard,OR 9722 AN .4 Z O Plan Review Phone: 503.718.2439 Fax: 503.598.19 Date/By: Related Permit#: TIGARD Inspection Line: 503.6394175 �p Ready Daten3y: kris: 0 See Page 2 for a Internet: www.tigard-or.gov V +�g��g��71�""' Notified/Method: Supplemental Information TYPE 0 U1 G U19`SIO PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition ID Service or feeder 400 amps or more 0 Building over three stories. ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SIT1E. INFORMATION AND LOCATION 0 Emergency system. larger separately derived r �I /��t� � ❑Addition of new motor load of system. Job#: Job site address:` s 100BP or more. 0"A","E","1-2","1-3", - City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:River Terrace East 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision:River Terrace East Lot#:/8 Includes attached garage. 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel#: Ea,add'`500 sq.ft.or portion P 33.92 1 DESCRIPTION OF WORK Limited energy,residential y ( (with above sq.ft.) 75.00 2 S(7 t ' " "rl� 7�/ Limited energy,multi-family 75.00 2 CO'(1\(ra.Ci Ot; residential(with above sq.ft.) t®uV PROPERTY OWNER 0 TENANT Renewable Energy 0 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/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ® APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:William Lyon Homes,Inc, above service or feeder fee, 7.42 2 each branch circuit Contact name:Nichole Thorpe B.Fee for branch circuits without service or feeder fee,first Address:703 Broadway St Suite 510 branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l 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:Nichole.Thorpe@polygonhomes.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Sunlight Electric Inc Sign or outline lighting 67.84 2 Address:2804 NE 65th Ave Suite D Signal circuits)or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(971)222-5758 Fax:(360)326-9660 Investigation(1 hr min) 90.00/hr Email:sunlight.incl@comcast.net Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 172549 Electrical L' : c230 Su rv.Lic.: 1793 specifically listed CA lir min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required. 414-"' Subtotal: Print name: Chester Garrett / ' Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Peter Kozarez - Date: days after it has been accepted as complete. * Number of inspections allowed per permit I:Building\PermitstELC PermitApp ELR ERE.doc Rev 06/17/2015 440-4615T(11/0S/COM/WEB City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13219 SW 169TH AVE, BEAVERTON, OR, 97007 July 18, 2018 at 10:26:15 AM Record Type: Record ID: Residential - Master Permit MST2017-00468 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 70 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13219 SW 169TH AVE, BEAVERTON, OR, 97007 July 18, 2018 at 10:25:42 AM Record Type: Record ID: Residential - Master Permit MST2017-00468 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed. Note: range not installed at this time. Will verify at building final. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13219 SW 169TH AVE, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00468 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: 13219 SW 169TH AVE, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00468 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received 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: 13219 SW 169TH AVE, BEAVERTON, OR, 97007 July 26, 2018 at 12:17:32 PM Record Type: Record ID: Residential - Master Permit MST2017-00468 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received 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 Plumbing Permit ApplicatioRECE1V I) Building Fixtures FEB2018 FOR OFFICE USE ONLY ity of Tigard [ CDReceived/ 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By. 7 �� f Permit No. I IT� ��� �% ice�J� Phone: 503.718.2439 Fax: 503.59 Plan Review Inspection Line: 503.639.4175 ( DateBy - -/ 466) Other Permit No.: TI G A R D p Date Read /B Internet: www.tigard-or.gov BUILDING DIVISION y y Juns: H See Page 2 for Notified/Method. Supplemental Information TYPE OF WORK FEE* SCHEDULE New construction ❑Demolition For special information use checklist 0 Addition/alteration/replacement Description Qty. Ea ❑Other: . I Total New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath - 312.70 ® I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building ❑Multi-family SFR(3)bath 500.32 ❑ Master builder Each additional bath/kitchen 25.02 0 Other: JOB SITE INFORMATION AND.LOCATION Fire sprinkle 2 sq.ft.) Page 2 Site utilities: /Ike) Job site address:13219 SW 169TH Ave Catch basin or area drain 18.76 City/State/ZIP: Tigard,OR 97223 Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: I Project name:River Terrace East Footing drain(no.linear ft.: ) Page 2 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: Water service(no.linear ft.: ) Page 2 I Lot no.: 18 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK. Backwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Permit# M5120t7- 00 14,3Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 Co PROPERTY OWNER ❑ TENANT Expansion tank Name:Polygon Northwest 12.51 Fixture/sewer cap 25.02 Address:703 Broadway St.Suite 510 Floor drain/floor sink/hub 25.02 City/State/ZIP:Vancouver,WA 98660 Garbage disposal 25.02 Phone:(360)695-7700 Hose bib 25.02 Fax:( ) Ice maker ►.d APP>i ICANT 12.51 © CONTACT PERSON Interceptor/grease trap 25.02 ) Business name:Alliance Plumbing,LLC Medical gas(value:$ Page 2 Contact name:Gavin Thomes 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 I Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:Gavin@AlliancePlumbing.net Urinal 25.02 CONTRACTOR Water closet 25.02 • Business name:Alliance Plumbing,LLC Water heater 37.52 Address: 146 W Historic Columbia River Hwy Water piping/DWV 56.29 Other 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lie.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: �" -3-71____,I State surcharge(12%of permit fee) Print name:Gavin Thomes TOTAL PERMIT FEE I Date:2/5/2018 I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information . Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty lee metal Square'Footage: ' ' Permit Fee: oto 2,000 $121.90 Footing drain-151 100' 50.03 2,001 to 3,600 $169.69 Footing drain-each additional 100' 37.52 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service- 1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to Qty: Fee(ea) Total and including$10,000.00. Other Inspections i�r Fees ' , Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge 1/2 hour) and including$25,000.00. Inspections outside ofnormal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Ad (minimumal plan review forhrevisions each additional$100.00 or fraction thereof. (minimum charge-]/2 hour) Subtotal: Other Fixtures: I I I Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Replace/ ' Plan Review for Plulmbing Installations Fixture Type for Capped Added Relocate Work performed; Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower 0 Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drivepor ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Dishwasher -Commercialoas defined in OAR918-780-0040. ❑ Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. DFountain 0 Any complex structure as defined in OAR918-780-0040. Eyeinking Wash 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 0 Isometric or riser diagram is required for new buildings -Commercial-food al-fooddree Disposal -Domestic--foodrelatedthat meet the qualifications above. lated -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_allianceplum12ng_net/Documents/Documents/Fire Sprinklers/RT/City of Tigard Permit.doc