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Permit (10)
CITY OF TIGARD MASTER PERMIT 'E'� ' '• COMMUNITY DEVELOPMENT Permit#: MST2018-00284 • VISDate Issued: 11/04/2019 Tt GAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 i 1 ®/C. '249 Parcel: 2S106DA14700 • Jurisdiction: Tigard Site address: 13140 SW 165TH AVE Subdivision: RIVER TERRACE EAST Lot: 147 Project: River Terrace East, Lot 147 Project Description: New SF. 2/13/20: REPRINT to add 334 sf deck and deck cover. 4/29/20: REPRINT permit to correct number of sinks to(2), (1)kitchen and(2) butler's pantry sink. 5/16/2020: REPRINT BUILDING Floor Areas ReauiredSetbacks Required Stories: 1 Bedrooms: 4 First: 2860 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 18 Bathrooms: 3 Second: 0 sf Garage: 684 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2860 sf Value: $387,427.40 Rear: 15 PLUMBING Sinks: 2 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckfiw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y - Hoods: 1 Other Units: -.._ _ 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: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-800 amp: 0 401-600 amp: 0 601-1000 amp: 0 801+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 SF VB R-3 2860 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 1 Hour Fire Rated Eaves VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $36,540.21 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 52-001-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ° )z�/� Permittee Signature: 0`✓ /4�e'/(1�7 �U l Call 503.539.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application ` , FOR OFFICE USE ONLY City of Tigard B EI V ED RCe1°� Permit No.: MST2018-00284 III " 13125 SW Hall Blvd.,Tigard,OR 97Z23�� Date By:e4 /7{7 j Phone: 503.718.2439 Fax: 503.598.1960APR 2 9 �QZQ Date/By:Plan Other Permit: T 1 c n e n Inspection Line: 503.639.4175 Date Ready By: lads: ® See Page 2 for Internet: www.tigard-or.gov CITY OF /jam TIGARD Noti6ed/Method: �� �Cf/)� Supplemental Information -iNG DIVISION , �t— Al�.f— i TYPE OF WORK COMMERCIAL FEE*SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑ Multi-family 0 Master builder ❑ Other: Description Qty. Ea, Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 13140 SW 165th AVe Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 1 61.06 Suite/bldg./apt.no.: I Project name:River Terrace East Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:River Terrace East I. Lot no.: 147 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 add mini-split to MST201$ 00284 Flue vent for water 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 ® PROPERTY OWNER I ❑ TENANT Other. 23.32 Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:William Lyon Homes,Inc, $14.15 for first four;S4.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway St Suite 510 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax:;(360)693-4442 Fireplace Range E-mail:Permltsubmittals@taylormorrison.eom Barbecue CONTRACTOR Clothes dryer(gas) Business name:Performance Insulation&Energy Services Other: MECHANICAL PERMIT FEES* Address:13939 SW Tualatin-Sherwood Rd. Subtotal a, A VC, City/State/ZIP:Sherwood,OR 97140 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)707-6078 Fax:( ) State surcharge(12%of permit fee) -7, 3,3 CCB lic.: \q c L}l4a TOTAL PERMIT FEE ..,,pt j'.j This permit application expires If a permit Is not obtained within 180 medays after It has been accepted as complete. Authorized signatur �1 * Feethodology set by Tn-County Building Industry Service Board Print name: ' n V S��y� �p Date: 04/29/2020 Electrical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVE Received DateB : V 7, Zs; 40 Permit#/t1sr o,f-oD. 74 v 13125 SW Hall Blvd.,Tigard,OR 9 3 Plan Review G.' Phone: 503.718.2439 Fax: 503.598.1960MAR 6 2020 Date/B : Related Permit Si: Inspection Line: 503.639.4175 Ready Date/By: Jam RI See Page 2 for TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF TIGARD TYPE OF WIR4(1 DING-DIVISION PLAN REVIEW E New construction ❑Addition/alteration/replacement Please check all that apply(submit2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition El Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION 6 exceeds 10.000 amps at 150 volts or 0 Floating buildings. ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system, larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 131 L4 0 ((p H I OOHP or more. ❑^A', s,"1-z 1-3', City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: East River Terrace ❑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:East River Terrace Lot#: /i/7 Includes attached garage. !( 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'/500 sq.it or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 Change contractor on MST Zo I Cif -Ob2%4 Limited above sq.ft.) mited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 ® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: Polygon WLH,LLC 200 amps or less 100.70 2 Address:703 Broadway St,Ste510 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 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 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 El APPLICANT 0 CONTACT PERSON Branch circuits-new,alteration,or extension, .er panel A.Fee for branch circuits with Business name:Polygon WLH,LLC above service or feeder fee, each branch circuit 7.42 2 Contact name:Tonja Morris B.Fee for branch circuits without serAddress:703 Broadway St,Ste.510 branche it feederitfee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'I 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: permitsubmittals@polygonhomes.com polygonhomes.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 i/ Business name:Alameda Electric Sign or outline lighting 67.84 2 Address:3415 NE 44u Ave. Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Portland,OR 97213 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:(503)319-2192 Fax: ( ) Investigation(I hr min) 90.00/hr Email: solarpdx@me.com me.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.: 199188 Electrical Lic.: c923 I Suorv,Lie.: 48715 specifically listed OShr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: 7G Subtotal: Print name: Kirk Rood Date: 05/09/2019 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: /c.r 16 /7 p� TOTAL PERMIT FEE: This permit application expires If a permit Is not obtained within 180 Print name: Kirk Rood Date: 05/09/2019 days after it has been accepted as complete. • Number of inspections allowed per permit. I:\Building\'ermits/ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(1 I/05/COM/WEB Plumbing;Perniit Application Building Fix turel RECEIVED Rimmulimmaiiiiim City Of Tigard p Received t �/ � ZO20 Date/By: . �/tT.��t� fYt� Pc mitNp ���j Q i3125 SW}fall Blvd.,Tigard,Olt 9771iIAR 6 ��— • Phone: 503.718.2439 Fax 503.59'8.1960 Pia°Revi°W Inspection Line; 503.639.4175 CITY OF TIGARD Omer Permit No.: Tit, .tcl' in, www.tigard.orgov,, BUILDING DIVISION .Dabs Ready/By. hen` Suppleme Secntal nlornetloa TYPE OF WORK PEE' SCHEDULE El New eons-traction Demolition For rpeeks:injormedon use checklist. Description 1 Qty. I Ea, I Total ❑Addition/alteration/replaceinent 0 other. New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION :SFR(1)bath 312,70 1e161•:and 2-famity dwelling 1 D Commercial/industrial SFR(2)bath . 437.78 0 Accessory building 1 Multi•family SFR(3j bath 50032 Each additional bath/kitchen _ 25,02 t f Master builder 1 ❑Other. Fire aprinider( sq.ft.) Page 2 JOB.SITE INFORMATION AND LOCATION .Site utilities; Job site address: 1,81446 j r(O Catch berm of aria drain 18.76. - Drywall,leech line,or trench drain 18.76 City/State/ZIP:Tigard,OR 9 224 :Footing drain(no,linear ft.:_) . Page 2 Suitdbldg./apt.no.: 1 Project tame: kt t'-(..r.vcc x.5 .ii 7, Ivtenufacmred home utilities 50,03 Coss street/directions to job site: Manholes 1376 1 Rain drain connector 18.76 ,Sanitary sewer(no,linear ft.:Y-,) Page 2 Storm sewer(no.linear R ) Page 2, -. - Water senrice(no.linear fL:,. :..) Paget -.. Subdivision'ALVet- '--cause C Sk ' '2- Lotno.:ly'1 2_,Fixtnre or Item: Tax map/parcel no.: Baekflow preventer 3127 DESCRIPTION OF WORK Backwater valve 1251 .02 n- 1— 26 g— dozgt f Dishwasher Clothes washer 25Dishwasher25.02 t ry-v/6-k---7 . co.,( 'fin- - Drinking fountain 25.02 1 Ejectors/sump 25.02 ® PROPERTY OWNER 0 TF.NANr Expansion tank 12_51 .. Name:Polygon WLH,LLC I Fixture/sewer,cap 25:02 Address:703 Broadway St.,Ste 510 Floor drain/floor sink/hub 25.02 Cartage disposal 25.02 City/State/ZIP:Vancouver,WA98660 Bose bill 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 Eg APPLICANT ❑ CONTACT PERSON Interceptor/grease trap _ 25.02 Business.name:Polygon wL.H,LLC Medical,gns(value.S_ ) page 2 Contact name:Tonja Morrie 1 Primer 12.51 Roof drain(commercial) 12,51 Address.703 Broadway SL,Ste 510 Sinlcbaem/lavatory 23.D2 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695.7700 1 Fax::(3611)693-4442 Tub/showerishowerpan 12,51 B-mail:pertnitsubmlttals®polygonlomes.cam Utz 25.02 • : Water closet 25,02 ` CONTRACTOR Water heater Busi ess Dame;//7_ 1 L Wate[piPmgO 37.52 .. - 56.29 Address; 0 a0 v-'; Other. 2$.02 City/State/ZIP `al`je!t d 116 1' Subtotal Phone:( 7;//ll 2,,3 fo.I)4/ Fax: . Minimum permit fee: 572.50 i O 3 t-1$fl g ,... Plan review (25%of permit fee) CO3 Lie.: f7 Plumbing tic,no.• ����• _.. - State surcharge(12%of permit fee) Authorized signature +.5,---- TOTAL PERMIT FEE Print name:B!l , I /{4 f'e_ //4..6,11 Date: This permit appiicatloa expires If a_permit is not obtained within ISO days after it him been uebpted incomplete. `/j? `Fee methodology set by Tri-Couuly Building Industry Service Board. 1. 1.nut P •PnmirAppdoc l0l0Ins 440Je1aT(I0/(VCOr Mtn) CITY OF TIGARD �sk. 1� ; MASTER PERMIT 14e COMMUNITY DEVELOPMENT ,. r y �< d1 Permit#: MST2018 00284 TICARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11l04/2019 Parcel: 2S106DA14700 Jurisdiction: Tigard Site address: 13140 SW 165TH AVE Subdivision: RIVER TERRACE EAST Lot: 147 Project: River Terrace East, Lot 147 Project Description: New SF. 2/13/20: REPRINT to add 334 sf deck and deck cover. 4/29/20: REPRINT permit to correct number of sinks to(2), (1) kitchen and(2)butler's pantry sink. BUILDING Floor Areas Required Setbacks Reauired Stories: 1 Bedrooms: 4 First: 2860 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 18 Bathrooms: 3 Second: 0 sf Garage: 684 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2860 sf Value: $387,427.40 Rear: 15 PLUMBING Sinks: 2 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 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: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 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: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mid 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 SF VB R-3 2850 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 1 Hour Fire Rated Eaves VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $36,471.82 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 thro OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 7503.232.1199877oor 1.800.332.2344._ ,,/ Issued By:�i1 ) 6'�/Yl.� (c -L� Permittee Signature: v� `57 EJ/C1/ 770'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. City of Tigard IN i COMMUNITY DEVELOPMENT DEPARTMENT Ti c A ,1, Building Permit Review — Residential f Building Permit #: a- .�t °:. �. Site Address: i S 1 p c w 1 q (a S 44-► A v-e. Project Name: a.i Y'er "re f( Gct S t- Lot #: 19 7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review il a/-.<AH0 ; Proposal: IV QAJ Sr K 't,Vl ip I" a(c0- hl e- pril{c1-i1ATh cce.c.01 tjiiii (kr'U r-I- )1441,-.Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ No 0 Yes,See River Terrace Review Addendum Attached Site Plan Elements: ree(3)copies of site plan tasting structures on site Site plan must bs on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished n I rawn to scale(standard architect or engineer scale) floor elevations d rA North arrow • tility locations&easements(required for new and additions) VOSite address,project or subdivision name and lot number Sidewalk/driveway approach i4AApplicant information(name and phone number) 1r7iz,,ation of wells/septic systems t/ ILot dimensions and building setback dimensions $Existing trees to be retained with drip line,and tree $Square footage of buildings to be demolished protection measures ✓ Lot area,building coverage area,percentage of coverage and treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) t/ Property corner elevations(2 foot contour lines if more than >1 000 sf of impervious area created or replaced? Yes ONo 4 foot differential) JZ( If yes,is a storm water quality facility shown? /it.❑Ne cSt1Q 71 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified 0 No Received: Public Facilities Improvement(PFI) Permit: 0 Yes 0 No(IV / Required: ❑ Yes,applicant was notified 0 No Applied For. 0 Yes 0 No,stop intake Ff Land Use Case#: P D (2_2.0 t(o — D Ooti I, S U 61,,01 Se. _00O a 9 A?I'S Zoning. K 41. Required Setbacks: Front 12 Rear Side ca ' Street Side hf f f Garage 'Z.-0�c Landscape Requirement: 2.1, /,u Lot Coverage Maximum: v _ yi Building Height: Maximum Height Ffi Visual Clearance Actual Height 7f Sensitive Lands: 0 Yes ,ZI No Type P_1 Urban Forestry Plan Conditions "Met"prior to issuance of building permit otes: &o("l G{.,l'I-'1v()S be re)'2..'1 p rl ?r ` j t S S U(it l( ... Approved By Planning: I" l Q/V\,� tr' -.—_—:--- Date: !Q/ 1 p/ l t� Revisions (after Bu' ing Submittal only) C Revision 1: Approved 0 Not evi er Date Approved Revision 2: 0 Approved 0 Not Approved `S Z� Revision 3: 0 Approved ❑ Not Approved 1:18uildingTonns\BldgPennitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: �` Site Plans: # 3---- Building Plans: # Building Permit#: 0' Enter building permit#above. Workflow Routing: COY Planning R' Engineering 0' Permit Coordinator 0 Building Workflow Sign-off: [ Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. 0 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: Date. IC)kIULt 1 By Permit Technician: Engineering Review ; ©' Slope at building pad: I . ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat 0..Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes ❑ No LIDA Facility on lot: 0 Yes 0 No ZI Final Plat Recorded: Date: 0 NOT Approved by Engineering: Notes: Date: ��` ; � ° r / . Approved by Engineering: ! . e�. Date Revisions (after Building Submittal only) Revision 1: 0/Approved 0 Not Approved ? Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review K Conditions "Met"prior to issuance of building permit Date: 0 Approved,NOT Released: 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: 5 Yes 0 N/A Tigard Trans SDC: :l Yes 0 N/A Parks SDC: Yes 0 N/A LIDA 0 Yes 54 N/A .2./�7-io /AL OK to Issue Permit � '�' It Approved by Permit Coordinator. ^ 1:\BuildingWorms\BldgPernutRvw_RES 010118.docx CITY OF TIGARD MASTER PERMIT ! '~ COMMUNITY DEVELOPMENT Permit#: MST2018-00284 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/04/2019 Parcel: 2S106DA14700 Jurisdiction: Tigard Site address: 13140 SW 165TH AVE Subdivision: RIVER TERRACE EAST Lot: 147 Project: River Terrace East, Lot 147 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 4 First: 2860 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 18 Bathrooms: 3 Second: 0 sf Garage: 684 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2860 sf Value: $379,444.80 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 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: 6 201-400 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 SF VB R-3 2860 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 2 1 Hour Fire Rated Eaves PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $36,354.65 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 througr •AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987` or 11.800.332.2344. Issued By: Permittee Signature: 67 Aj 6)-70,e,67� 77eAdf 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. LCY-\ \ \--+ R Building Permit Application . �. IVED ResidentialAUG 1 3 Z 01 r FOR OFFICE USE ONLY Received ` - City Tigard �j �D`ate/By: I�t `� Permit No.: "Ca )\�..(�(c 4 13125 SW Hall Blvd.,Tigard,OR 972231 CITY QI + � ;. Ian Review yl l '�A�O"'� Phone: 503.718.2439 Fax: 503.598.196 fiy f;JJy 4� 1 Z. 19 Other Permit \- 4\ TIGARD Ctc— Inspection Line: 503.639.4175 BUILDING DIVIS C .t xeadyBy: S/'S/ Juris: I H See Page iz for Internet: www.tigard-or.gov NotiSed/Method: _„.../,e. Supplemental Information 91 e- t'I/6-®N' TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING_' ®New construction ❑ fees*are based Demolition Permiton the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application.371 I ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ I (. C�y ❑Accessory building 0 Multi-family Number of bedrooms: L f ! l 4 ❑Master builder 0 Other: Number of bathrooms: .3 l n� Total number of floors: - 5k-f(4 JOB SITE INFORMATION AND LOCATION Job site address: l'31 40 3vJ k V 511\ e, New dwelling area: Z$IpQ square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: (114 square feet Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: square feet Cross street/directions to job site: Deck area: square feet // IAVPXCCV-WIT10". 331-1 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace East Lot no.: I y'J Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet El PROPERTY OWNER 0 TENANT 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: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH,LLC (Pleosprefer tofee schedule) Structural plan review fee(or deposit): Contact name:Jolene Smith FLS plan review fee(if applicable): Address:703 Broadway St,Ste.510 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway St.,Ste.510 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: $201.60 Authorized signature: Oil ....----1i This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Jolene Smit Date:7/27/18 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB) t 'LIE r Mechanical Permit AnnIlcatio E P+ 7 I flu()Ft it t. .0'ss 1.N City 131 Tigard Itemised- isnot ho /o20/(1'!/0 r 13125 SW Hall .> 97223AUG 1 3 201: t]xtelllt Tigard.OR Phone: 50s Fax: Sft3,598. gave ch tacit: Inspection Line: 503.61394175 , 8 f`"A - , 1•a t 1(xAill) � i�� Ftp": gi2tor Internet: www.tt rd-or. uv my r � r t Ad,'tlethnd: supplemental Infatuation *ictifi ;,,. ; T I3'E f3E 41(gRTi 3 1; , E* 3CEfY4RILE-USE CI E€KLIST Mechanical permit fees*are based on the value of the work BimNew construction 0.Addition alterationfrcplztcement performed.Indicate the value(rounded to the mutrest dollar)of all Q Demolition 0 Other: mechanical materials,equipment.labor,overhead,and profit. Value:S CATEGORY OF CIWST RUCflON .RESIDENTIAL E$L1PMF1T SAST4PES I-and 24anaily dwelling 0 Commercial/industrial 0 Accessory building For special information ase checklist Mutti-family 0 Master builder 0 Other: Description 1 Qty. I Ea. Total Restin TOR SITE INFORMATION AND LOCATION Contin C � Air conditioning I 46.75 Job site address: r�'LA(� Jw , J`"n' � Furnace 100.000 BTU(ductsvents) ' 46.75 Cityr'State;• IP:Tigard,OR 97223 v Furnace 201.E BTU(dcters%rants) 54.91 61.06 Suite/bldg./apt no.: Project name: IVer�t/Q p. Heat p 23,32 Y�'AtPI � � Ductwork 23.32 Cross street/directions to job site: Hvdronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Una heaters(filet-type.not electric), in-wall,in-duct,suspended,etc, . 46.75 Flue/vent for any of above 23.32 Subdivision: Zli 1.,(Ack- Lot no.: Other. . 23.32 ' � ! �+� ` Other furl appliances: Tax ttmaprparcel no.: water heater 23.32 ' DESCRIPTION OF woItx (Cress firePlheelelsed 1 33.39 Flue vent for water heater or gas fireplace 23.32 Los lighter(/ ) , 23.32 , Wood'pcllel stove 33.39 Wood f replacefinsect 23.32 Chimnevfliner<Queivent 23.32 PROPERTY OWNER 0 TENANT Other 23,32 0* {{��p�.p, ,�,p �[ 1 / Environmental exhaust and ventilation: Name' Ti0V 1- V.atk f_Hv(cihrpSi 1fWC, Rangeo/other kitchen / 3339 Atidrese;lip00 tiovitil6Clothes dryer exhaust f 33.39 ' Ci at /ZIP: r Single-duct exhaust tbathr&nns. ��'`J L ♦ toilet compartments,utility rooms ` 1/4,_ 23.32 Phone:(360)695-7700 Fes. ( ) Atticcrutslspace fans 223.32 APPLICANT 0 CONTACT PERSON Other I 23,32 Business nom. Fuel piping �0, fl(1 ,L� tl,t�✓ 514.15 far first four.:x.,.93 for a additional Contact name: •„i4. 5o A- SM t Furnace. , Address:`l 0 3 b�dpJo S� Sk S'0 Cies lit ; Wrild'suspendedfunit heater ityState/Z,IP:'Vancouver,WA 98660 Water heater Phone:(360)695-77000 Fax::(360)693-4442 Firsmiace Range I E-tr ai I ADIrY to ikSk. pm.�isit`� a� , a�trl911\n,or( -5 •C b(Y) I v CONTRr! Clothes dryer(gas) Business name:Apes Air L[ Other MEC:TNICAL PERMIT FEW Address:18004'sit 72*'Ave Subtotal C"ity/State.'7IP:Vancouver,WA 98686 Minimum permit fee(S.W.00) Plan review 125%of permit feel 1 Phone:060)342-8109 Fax:(360)3264769 State surcharge(12%of permit feel CCB lie.:2TOTAL PER5IIT FEE This permit application emboli if a permit is not obtained within 180 dais after it has hem accepted as complete. Authorized signature: • For rnethndnlog;%sin M Ttt ;Itinidem mdeary°Service Board Print :: ''l Date, 4- lit.f4, l'amracioq.,,'cnlos•mrC verso (ism dons 44..4•,'77” ._ :.1r',l wi:tu leetrieal1 Pe rmxi.. ca .�p phht oiin Q j City of Tigard nn rr Received Permit(i: / -yam y L p H U G J L lJ �ate/By: / 1�7.;7 i A -a a ,,, A r�> .. 13125 SW Hall Blvd.,Tigard,OR 97223 �S 1 r etan Review N .i Phone: 503.718.2439 Fax: 503.598.1960 Related Perna[#; Ji De/By A, Inspection Line: 503.639.4175 CITY'OF TIC ate/B 171 See Page 2 for TIGARD Internet www.tigard-or.gov Notified/Method: kris: Supplemental t(('� y •s, �� ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans items checked): ❑Demolitl0n °Service or feeder 400 amps or more °Building over three stories. Other: v:.m-z ;:,::, where the available fault current 0 Marinas and boatyards. 14.1 = T _ G V:101�6=, _.<�.s-- t�•,...:�.::::: :�:�,-,-.:: exceedsl0,000atl50voltsor __._,�-......,:.._,... :.. ...__.._..,����:.'':::: i<:."'.: !;;;`;:a `;; •. amps0 Floating buildings ®1-and 2-family dwelling ❑Commercial/Industrial ❑Accessory building less to ground,or exceeds 14,000 °Commercial-use agricultural amps 0 Multi-family • 0 Master builder other installations. .,.;. ..;.::: ...::..,�:::;:.:..::: ., Installation OKVA for all 1 0 pump. ° t do 5 or JOB :r:; ..:......:. ..,:. ...:... -.,.. ��.:�1E,5ORlbI`1t►.TF_)rT:Al!ID.:LiQ,('1`I'ION.r:r:;.. :;':" .'::",.'�::�.:t l�Emcrgencysystem. larger separately derived Job#: Job site address: ('2 (go S•w 11.5"t' fr Q ❑Additioo mf oewmotortoadof system. € �(7 l t`r" IOOHP or more. �"A","E","I_Y>,"13,', City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bidgiapt.#: Project name:;Roo(-re 1ia ere ' '.{. °Hazardous locations. ❑Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: ,.•.... _ Description -I Qty.,i:..• ."Each +. .'Total I e New residential single-or multi family dwelling unit. Subdivision cLAV\,tr Tei .S Lot#: 1 141 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less I 168.54 4 ..._:::....:: ... ....... .. .. ........ n 339 1 .Ta; ;.: .>:::`:,:;;A ; CR1PTIOIV>'QF`WORK Limited energy residentiallo 75.00 2 t (with above sq.ft.) a Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Aq:'PQiR;; Renew able Energy 0 SeePage2 4' ;L.__ 'P{,,,'CX 0-*151ER `. •�-(3.4 .1**N'F _'•:::;I:• 5 Services or feeders installation,alteration,and/or relocation Name: A D 4 L Land aic S � 200 amps or less 100.70 2 ; Address: 14a 00 ,g Dottbke. Ge, . 201 amps to 400 amps t 33.56 2 " ' 401 amps to 600 amps 20034 2 City/State/ZIP: 5 n r -1,1-,'1/, e , p2r1S13 601 amps to 1,000 amps301.04 2 Phone:(360)695-7700 t Jam^ :( ) 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 r intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 1. Owner signature: Date: 401 amps to 599 amps 168.54 2 . ;.,;.,:: ;: t;::`,;;%;::'-;.;;,:;_ r..,..::.:.,.;.,... :,2,[o;•::;:, Branch circuits— .._�.._: -�_t�=�A�PiJ3ICANT:,:�. a;:`;;:. -,:::;:.��:,, - <GO' new,alteration,or extension,per panel `" ""��"`-""•- A.Fee for blanch circuits with Business name: p p 4A,) t)!1 Ii4tA i;� above service or feeder fee, 7.42 2 n + each branch circuit Contact name: �0 J� B.Fee for branch circuits without Address:"71 CsL C Siservice or feeder fee,first V®3 iOj L $\t) branch circuit 56.18 2 r. City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(set-vice or feeder not included) Phone:(360)695-7700 Fax::(360)693-4442 _ Each manufactured or modular Email:9vrmib 'LAN..., and/or feeder G7.84 2 C�A��11p,, ,, dwelling service : 4x1`)V, yrt�cztitutioetyli)ont_S, Reconnect only 67.84 2 • G. k.;may; - . ,.r-=.,.. .,,....-:.... . ..+ ....<... -.. Pump or irrigation circle 67.84 2 I Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:402 Valley Ave NW Ste 106 • Signal circuit(s)or limited-energy © set Page 2 2 panel,alteration,or extension. City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90:00/hr Email:bdaniels@gweusa.coin Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.: C1158 Electrical Lie.: 208174 I Suprv.Lie.: 4496S specifically listed(th lir min) 90.00/lir Suprv.Electrician signature,required: .. ....: ..-•...•_ . - .. =..: .:-.•: Subtotal: Print name: Joan P Albert I Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: I TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: days after it has been accepted as complete. * Number of inspections allowed per permit. L1BuildiaglPermitslELC PennitApp ELa BRE-don Rev 06/17/2015 440-4615T(1I/o5/COIAAVEB 3 1, • b Plumbing Permit Application 1 ItECEIV ll) Building Fixtures 81111.IIIIIIIIIIIIIIIIIIIIIIIIM AUG 1 3 201 Received 71City of Tigard Date/By: Permit No.:."-ffr,,Z.f/cf---eV.„4.,(-"7 q 13125 SW Hall Blvd.,Tigard,OR 97223 1 L'. Phone: 503.718.2439 Fax: 503.5981960' TV rDiamteRBeyv:i• ew Other Permit No.: Inspection Line: 501639,4175 1 1(1ARD liii,DfNG DI V!!'bate I...ay/Br Juris: ra See Page 2 far Internet www.tigard-or.gov Notified/Method: supplemental Information TYPE OF WORK- - '- -,:.- --- ,- - -f-„ -- ' FEE*SCHEDULE For special information use checklist. ZINew construction Demolition Description I Qty. 1 Ea, I Total D Addition/alteration/replacement E3 Other: New 1-2-family dwellings(includes 100 ft,for each utility connection) CA1EGORY OF..CONSTRUCTION :1 4 ,Ti., -, , SFR(1)bath 312.70 C SFR(2)bath 437.78 1-and 2-family dwelling 0 Commercial/industrial SFR(3)bath I 500,32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft) Page 2 JOH SITE INFORMATION AND LOCATION ---- ' Site utilities: Job site address: \3‘405\0 LDS-WI Pr•he, Catch basin or area drain 18,76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt no.: I Project name:,v4x,r Te-rrixte-E04"1-- Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18,76 Rain drain connector 18,76 Sanitary sewer(no.linear ft: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: V-\\Ive lie -ate -F(f 4— I Lot no.: \LnFiantre or item: ' Tax map/parcel no.: Backflow preventer 1 31.27 ..,.-- -1)ESCRono./4 OF- WORK - - _ --, Backwater valve 12.51 • t Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 • , i r-i .„......._...“..... , - , Expansion tank 1151 ,PROM, TY trOVNER - ' - I - -1---1-11x4Aza - Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 APPLICANT- ._ _ 0 CONTACT PERSON- - IntervePWrigrease trap 25-02 Medical gas(value:$ ) Page 2 Business name: ?tAkNeyx‘ w i Li ILL., Primer 12.51 Contact name -3,0\eto smtwi Roof drain(commercial) 12.51 Address: 1 b s pzotie..61,,,, s A-suji.c,(..-s-‘o Sink/basin/lavatory titu at'Aill / 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)6934442 Tubishower/shower pan 12.51 Urinal 25.02 E-mail:\)i)renet.SVklbMatrAA-S-e-%1‘i t.if.)VI.Oini. C/301 Water closet 25_02 3732 Business name: Gt1.-- i? A,k4eft„,el\X„C\Tt--5-reAS 34/1.4.— Water piping/DWV 5629 Address: p.6. 6 ox, of.2. Other: 25.02 City/State/ZIP: 5-1-, e44,4 arc_ qii31Subtotal Minimum permit fee: $72.50 ,, Phone:(5b3.-'SlitS.-* 141,11 Fax:(11 V..at"741--47.1100 fee) Plan review (25%of permit CCB Lie.: 18113-7,aPlumbing Lie,noct wig State surcharge(12%of permit fee) Authorized signature: 5root, 17,L44,..40"............._ TOTAL PERMIT FEE Print name: S÷Vit,.. F)W 14.. .._.. Date: ....3 t)....1 b This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fec methodology set by Tri-County Building Industry Service Board IMuildinecrmits‘PLIvIU-PermitAppAoc 10/01109 440-4616T(}0/021COM/WEB) illCity of Tigard '`t COMMUNITY DEVELOPMENT DEPARTMENT .:, _., t Building Permit Review — residential Building Permit #: ,`-i- GoSS_ (;L Site Address: ISI lo Ct.,/ I (a +1.1 Gw..„. Project Name: ai fir- Te t r c¢.. C--GI 3 i- Lot #: 19 7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NJ QAA S c K. egi Verify site address/suite# exists and active in permit system. � Jr ` River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: ZI'hree (3)copies of site plan Site plan must be on 8-1/2"x 11"or 11 x 17"paper /Footprint?E xisting g structures on site raven to scale(standard architect or engineers le) �floore evationsw structure(including decks)with finished /North arrow /Utility locations&easements (required for new and additions) f4Site address,project or subdivision name and lot number A hcant information(name and phone number) Sidewalk/driveway approach f21LpP ❑L,ation of wells/septic systems ot dimensions and building setback dimension's /Existing trees to be retained with drip line,and tree "8'Striare footage of buildings to be demolished protection measures /Lot area,building coverage area,percentage of coverage and impervious area(applicable if R-7,R-12,R-25&R-40) Street treeStreet names type and location es /Property corner elevations(2 foot contour lines if more than (>1,000 sf of impervious area created or replaced? Yes ❑No 4 foot differential) If yes,is a storm water quality facility shown? cSud Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: El Yes,applicant was notified ❑ No Received: Public Facilities Improvement(PFI) Permit: ❑ Yes ❑ No Ie / Required: Cl Yes,applicant was notified El No Applied For: El Yes ❑ No,stop intake K Land Use Case#: PD (-2016 — OOop l, SU >201c,, _0000 9 0 Zoning: (L y. S Z. Required Setbacks: Front 12 Rear V S 3 Street Side NA Garage 2.0 Landscape Requirement: 4 Lot Coverage Maximum: b 0 % )) Building Height: Maximum Hei ht ViVisual Clearance g S Actual Height 7f Sensitive Lands: ❑ Yes Z No Type Z Urban Forestry Plan 'tConditions "Met"prior to issuance of building permit otes: cAnd ifi-tv,ns be i - -- pn-1)r +-0 1 S s UGt r Ig Approved By Planning: Nd 6/\/\:- , v\--....', Date: 10/ I 0/ l B Revisions (after Building Submittal only) Revision 1: ❑ Approved ❑ Not Approved Reviewer Date Revision 2: El Approved El Not Approved Revision 3: El Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: g l\3.1kC Site Plans: # Building Plans: # Building Permit#: Cr Enter building permit#above. Workflow Routing: C(Planning CS' Engineering El' Permit Coordinator Er Building Workflow Sign-off: E 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. [' Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: Date: i1.�k1�.t1� By Permit Technician: �$ Engineering Review ❑' Slope at building pad: ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: 0 Yes ❑ No LIDA Facility on lot: 0 Yes 0 No Final Plat Recorded: Date: CINOT Approved by Engineering: Notes: ❑ Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: D Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved a. _. Permit Coordinator Review KConditions "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: 5 Yes ❑ N/A Tigard Trans SDC: '.'t Yes ❑ N/A Parks SDC: ' Yes ❑ N/A LIDA ❑ Yes A N/A OK to Issue Permit Oe ( , Approved by Permit Coordinator: Afp,00 �,,'�- Date: (a 118 tE I:\BuildingFonns4BldgPermitRvw_RES_010118.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A RD River Terrace Building Permit Review Addendum Building Permit #: K)S-T aQ - ( ALA Site Address: [3I 4V S VAI 1 Os -l'(n GI‘re Project Name: 1lAVz°X Ter len c:.., Ens t--- Lot #: ( 41 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.070.L): Is the project subject to the plan district design standards?,'Yes ❑ No , 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min.2 ft.,6ft.wide Gabled dormer 0. ❑ ❑ i6 A 2. Eyes on the street: a minimu mof 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 3. Entrances:At least one entrance must meet both of the following standards: X Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: 'Yes ❑ No If yes,all the following apply: 25 sq.ft.min. One street facing entry 12 ft.max. roof above floor of porch 5 ft. depth min. f/ 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: Vl Covered porch min. 5 ft.wide x 5 ft. deep 7 Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches gibormer min.4 ft.wide Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood ZGable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. `Horizontal lap siding min. 3-7 inches wide /Accent siding min.40%of street facade %Window trim min. 2'/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. ❑ YeseVNo. If No (Check one): 7 May 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. Width: (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: n/l, \9/ \. �-- Date: 10 /U /I °to I:\Building\Fomes\B1dgPermitRvw_RES_RT_121417.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 Transmitt l a Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION FEB 06 2020 FROM: rn 012-eIS CITY OF ,_ COMPANY: 000 t /YLBS BUILDING Lriii t PHONE: 560 -%1 - 1$= By C RE: 131y0 lld5 7N4 Nvv mST zotF- D o 2- t Site Address) (Permit Number) Uc-� Tie 616- 1?- /1/7 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 3 Revisions: l� ci* _. Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): 11 REMARKS: l.� LLE '�'t /J CT—0 3 � Ivy 4 - 53 FAA5&P FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑Yes ❑No Fee Description: Amount Due: $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: Initials: I:\Building\Fonns\TransmittalLetter-Revisions 061316.doc FOR OFFICE USE ONLY- SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmit tal Letter 1111 TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION iltZUt tit' ' ; . FEB 0 5 2020 FROM: 7NJ A MOUES CITY Of- 1-/ =;.9 D 0 l-Ivm.�S BUILDING i ifsh) COMPANY: ..----RL� PHONE: 3(o0 "%l b - `11300 BY RE: l3NO 1.(05'IAA tkV \ST Zoi . 002.84 Site Address) (Permit Number) (Project name or subdivi 'Qj; 1 e s .a..0 b- ATTACHED ARE THE FOLLO\\ �� , TE ' Copies: Description: 1 opies: Description: Additional set(s) of plans, 3 Revisions: h�eCt- Cross section(s) and de-.ils. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: --- u.l. T I tJ C1"-0.S .f M A - 53 s 6-2 rP,or r r- cioro f -6 a, c= t 7` - 1 }j.6 ca e ,,/ p 1 • cic___ 4-- - L _ 3t-4 tb FORO FILE USE ONLY Routed to Permi echnician: Date: Z !0 ZOZp Initials: Fees Due: es ❑ No Fee Desc 'pt. n: Amount Due: /1- /\ (�P.c/4`�.I/J v $ Li $ $ Special Instructions: /.// Reprint Permit(per PE): Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions 0613 16.doc A.