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Permit (8) q CITY OF TIGARD MASTER PERMIT 111 s= COMMUNITY DEVELOPMENT Permit#: MST2016-00043 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 2S1060001500 Jurisdiction: Tigard Site address: 13464 SW BEACH PLUM TER Subdivision: RIVER TERRACE NORTHWEST Lot: Multiple Project: River Terrace Northwest, Lot 201 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 101 sf Basement: 0 sf Lett: 0 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 646 sf Garage: 547 sf Front: 12 Smoke Dwelling Units: 1 Third: 635 sf Right: 0 Detectors: Yes Total: 1382 sf Value: $183,956.18 Rear: 10 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 Tb /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: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 3 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 addl 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-2 1382 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $22,682.07 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 AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / Issued By: Permittee Signature: OA/ 1.9--AZ,/e�T7OA Call 503.639.4176 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 ;:m�'11'l N ` Buildin Permit Application [o 7 2O( .._.- .E� � RECEIVED D A ,� ..- r Pam�tNo.: =�-- City of Tigard y �� , 3 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review _/ ,' other Permit: _ 1rd®,. ' ' Phone: 503.718.2439. Fax: 503.598.1960 FEB 1 6 2016 Date/13 - Juris: Id See Page 2 for Inspection Line:: 503.639.4175 Date Ready/By: ,--,�-�� Supplemental information. T f C' -f) CITY OF TIGARD _NohSed/Method � Q Internet www.tigard-or.gov - -'-` ` " Permit fees*are based on the value of the work performed ®New construction 0 Demolition Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 0 Addition/alteration/replacement 0 Other: work indicated on this application a a,� ki- �- �9i : .4,grin•, Valuation:16`i 04 s wr— 0 94%4 _iili 44 and 2-family dwelling ❑Commercial industrial Number of bedrooms: ca 0 Accessory building Number of bathrooms: ❑Master builder ❑Other: Total number of floors: 3 ':x._ - "- , (� I New dwelling area: L.552.. square feet Job site address: 19j q 1 pLk 5w Bety a'J m �� r� -f....., 5\1-4-Garage/carport area: square feet6 `3 City/State/ZIP:Sherwood,OR 97140 J Suite/bldg./apt.no.: j Project name: Rt square feet(Q C� n � Covered porch area: � 4 4 cti Cross street/directions to job site: Deck area: it_.:_ Is square feet )O Other structure area: •i square feet Lot no.:(..... 0 1 Permit fees*are based on the value of the work performed Subdivision: Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the work indicated on this••.lication. _4_ _ _ ,9 — Valuation: $ New. i• + Construction Existing building area square feet 5�Tr . New building area: square feet A40.66-L d ME 1-0.1 - Number of stories: - . ' /- L V L�4ivi f &1iN 6s 44,eType of construction: Name:Polygon WLH,LLC _ Address "' r`h _` � Occupancy groups: \ City/StateExisting: Phone 11110J695.7700 Fax(360)693 4442 New: - ; -,-:.--,-,-.-,=-;,-,,,-,z,''7,- --1,----- l f • 7;,r _ r� >- t t r i P •- tq � i J- HBusiness name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon k• FLS plan review fee(if applicable): Address:109E 13t°Street Total fees due upon application: CiTy/StateJZIP:Vancouver,WA 98660 Amount received: r Fax::(360)693.4442 = - �,� Phone:(360)695.7700 I E-mail:maggie.gordon@polygonhomes.com Commercial and residential prescriptive installation of Elk t74-'..72.".— 'Ll.=:--::':-' ' roof-top mounted Photovoltaic Solar Panel System. `-,-- t� Submit two(2)sets of roof plan with connection details Business name��l3�a-3 .8,.L1� Gv/�-L��� L�D� n�"MSS/ ��� and fire department access,along with the 2010 Oregon Address:109 E 13`�Street Solar Installation S.ecial Code checklist Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees : Fax:(360)693.4442 $21.60 Phone:(360)695.7700 1 State surcharge(12%of permit fee): �h CCB lic.:207247 Total fee due upon application: $201.60 YJl1`� This permit applicalion expires if aa permit is notobtained Authorized signature: /IVwithin180daysafterithasbeenaccepted as completes I *Fee methodology set by Tri-County,Bu ding Industry Print name:Maggie Gordon ( Date:1Z/11/15 Service Board. VBuilding\PermitslBUP-}ZESPermitApp.doc 02/24/2011 440 4613T(11/02/COM/WEB) �- ,ti € ilectnleiiPermit AagP.nczfnmii ).a rcr>; {� k 1 1 iii 6 TO acrdE l nad` [mow (, II '.{� ���I� 'D:trJBy:. &nail m: p)s- _ 0/y WV tt3 �. cl 13125 SW Hail Blvd,Tigard,OF.97— . PlanReviety `��Lam/ ' g , Phone:503.710.2439 Fax: 503.590.1960D=te/By Related Permit ", Inspection Line u•503.639.4175 FEB 1 U 2016 Readypate/By_ surfs: 6 ScePage 2for T I G A R D• Internet www.tigard-or gov 4aHfied/Mt[bod Sepptamente1 Information • TYPE OFwart OF T„.,. liu t ® fR . New constructionp 0 tldditionfaltt �� e ,}���1 Please cheek a0 dull App1y(submit..Zsets otple u wt tens checked.): _ ❑Service or fader 400 amps or more: 0 Building over this,stories: ❑Demolition ❑;other: - - where the available faultetmenl ❑Marinas.nod boatyards: CATCOOtetr:OFCONSTRIICIIOFj' creeds 10,000 amps ai150volts or ❑Ftostmgtuildings. 111-and 2-family dwelling 0 Commercial/industrial 0 Accessory buildingbuildings_to ya6uod,orcxc cds 14,000 0Commercial-esu agdaltural I ® amps focal(otherinstellations. ildings_ I t�Multi-family 0 Master builder 0 Other: pFnepump. Ir(lestallalionof150x1fAor S Y system• larger separately derived SO$'STfB lit/FORMATION AND 113C�T[0It1 C1Emer eoe I I �� l�Addttionofnesvmatorloadof .system_ Job 8: Job site address: 0 [.J�1� UV/ Own)or mote: D'A","E","1 3,"1.3• Li 1_15ix or morresidential units, occupancy. i City/Stete/2TP:Sherwood OR 97140 ❑Health cars!._:--;ties, Qiiecreationai vehicle parks: J Fs l_„/ .erre D ['Supply voltagefor morelllan Suitr/bldg./apt!l; Pro ccs name: 1 \`l }1;,a. C:l..'C �� ❑Hazardouslorations, - ❑Service or feeder 600 amps or mote. 600 vo7e5_naminaI. Cross street/directions to job site; FEE Ste-MOULT!: . _ - - nemintlee IOh r Earl, 1 Total I a New residential single or multi-family dwelling unit. Subdivision:River Terrace Lotry:;c> ( Uncleds attached garage 1,000 sq.ft ar less J168.54 4 Tax map/parcel#; Ea.ndd'l 500 sq.ft.or portion , 339 I OESCR1PFJ&N 01?WORE Limited energy,nesident;eiS,pO 3' Nein: m•%1�% 7CJ-a�L 1 (with abovesq: LiLimited enelty,multi-family 75.00 2 , residential(with above sq.R.) .- - RenewableEnerfiy Ci See Page 2 ® Plt0 ERIY/OWNER �: ll TENANT Services or feeders Installation,Microfilm,and/or relocation Name:Polygon hones 200 amps or,fess 100.70 2 Address:109 E113t St 201 amps to 400 amps 133.56 7: 401 amps to 600 amps 200.34 2 Cily/Stale/ZJP:Vancouver WA 98660 601amisto1,000amps 301.04 ' 2 Phone:(360)695-7700 Pax:( ) Over 1,000 amps or salts 55126 2 • Temporary servicesarfeeders toeM MMion,alteratiion,and/or Email; relocation Owner installation:This installation is being made on property that l own which is not 20b amps or less 59.36 ,1 intended for sale,lease,root;or excbange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 1208 2 OWneisignahtre: Date; . 401 amps 10599 amps 10054 2 i�.1PPLICANT ❑ CONTACT PER50N Br stitch circuits—new,alteration,or-t tgpsion,per panel A Pea forb�anch circuits with Business name:Garner Electric Washington,LLC aboveeetyice or feeder fee. 7.4'2 2 eaeii butte[[r:trcuit Contact name;Bill Daniels s,Pe lithronch circuits Willem Address:6101 NG 5t dans ltd service tt fecdcr fee;first 56.15 2 branch fir nit . City/State/Z1P:Vancouver WA 98661 h a ld'itilanch ciradt 7.42 2 , - 1►fi'is'et'llancoU"e4;tervfcaorfeeder notinctnded)- Pllonce253 320-1657 t ) Fax::( ) Glt inantttheNred oc modular' 67.8¢ 2 Email;l daniels[aigweusn:com dwelling,service and/or feeder Recronnecon)y 67.&4 2 COIYTitAC alt ' { Pump VTMai:tttMMiele 67.84 2 Business name Garner Electric Washington,LLC Sign or ardp±etighting 6704 c Address:6101 NE St dohns Rd Stdn•al cughil(s)or[:[[died eit{irgy El ScG"1 age-2" 2 panel ett rahon,orextension, _ t ttyJStetrJZIP:Vancouver WA 98661 •Each riddrtconal inspecfion over alterable in any_of above . Addition[litsppet1ntl(1 hrrInin) 66,25/hr : 1 Pinene(253)320-1657 FaX:( ) InrrsSganon(1 br min) 90.00/11r Ethan bdaniels@gweusa,com .14,4440 Plot('hr min) 7$.18/hr . � C Inspections for which no fee is OLie.;'C11S8 '� .E)e. . cal Lie.: 208174 Suprv.Lie.: 4496S specifcafyllsted{i'ihrmin) 90401 iv r 8"A _ _ ELECTRICAL PERMIT FEES Spry.Ele.cttician signature,required; [rapt/ t �J o ` Subtotal: i Print[lame: Jon?Albert Date; a jt!k / D Plan Revietiv Rcntrtrid053'a of permit fee): r.---~�'� State sorcliarge,{12•h ofpemtit fee):• III. Altfllortzeil;slgtla4tre:"" / • TOTAL PERMiTFEE: T is pennil appl ea ion expired lin permit is not obtained Within 180 P �7iitt1larne BiliDan1C1S Date: � ^J p • days After films been accepted iseomplcts. Iaeustara1Pemtitoviic imniutpp nLR eitEave 1tw06f17Y.tol$ 441.46 TST(fi/t[JICO.M/NE0 27nmtierafiuspectionsaliatvedperpmnic • r 7 Mechanical Permit Application City of Tigard Received tett CEIVED DateMy in ST,: o�<o- y3 13125 SW Flan Blvd..Tigard OR ± Plata Review- Phone: 503.718.2439 Fax: 503-59..l t Date:By- Other Remit Inspection Line: 503.639,4175 Date Really€liy: tugs- r Pa illyk 162016 . gexfar Internet: www.tigard-or.gov FEB Notifiediktethod, pptarmeatal"4atotmatarts It OF TIGARD TY*IS- "t' DIVISION C914111[18Rt .L FU . .,• LL - � '^ Mechanical permit fees*are based on the value of the work ®New construction ❑Addititttttaltcration/replacement performed.Indicate the value(rounded to the nearest dollar/of alt Q Demolition Q Other mechanical materials,equipment.laborrovencead.and profit. Value:S CATzco*Y 4f C,01 YR. t_Icrit)hl g - ,_. -g 1614` 1 ( I-and 2-family dwelling 0Commercial/iindustrial. 0 Accessory building For special Wonna onusee*eckl#a Multi-family 0 Master builder 0 Other: r Description Qty. Ea. Total • 'OBI SITE r1!llr►itarl= lvu cc�rcaiv Heatingjerroling: z �: (y, r� . Air conditioning 46:75 Job site address: ?)1..-\�� .1v^' I,/�pC� I�i � ` Furnace 19t3.Qt14 BTU tdtrctsfveatt) 46.753 City/State/ZIP: �"�,�Od, DR Cl -`q 0 I Furnace 100.000+BTU(ducts/vents) _ . 54.91 , no.: me:v � beat pump 61.06 Suite/bldg./aptPruect naJ �LL� J^er rl/.�cp _ Duct work 23.32 Cross street/directions to job site: q ( 1.). Hydronic hat water system 23.32 Residential boiler(radiator or hydronie) 23.32 Unit heaters(fuel-type,not electric), in-wall.in-duct,suspended,etc. 46.75 Flue/vent for ant of'above 2332 Other Subdivision:River Terrace Lot no.: VC ` 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 .nrSiCRI os OFi WORK 3339 4. Gas fireplace/insert insert Flue vent for water hearer or gas H VAC fireplace 23.32 Log lighter{gas) 233.32 Wood//pelleett stove 33.39 Wood fireplace/insert 2332 Chimney/liner/flue/vent 23.32 tii !RUPis[ t)Vl!PlER I t ' .. D-TENANT - Other ventilation: 23.32 • Environmental exhaust andatio : Name:Polygon Range hood/other kitchen Address:109 E 13`r St.Suite 200 equipment 33_39 Clothes diver exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(425)586-7700 1 Fax ( / Attic/crawlspace fans 23.32 r . ` . . .., ' 0-2,CCgttrAClPERSON' - Other: 23.32 Fuel pipings Business name:Apex Air LLC S14.15 for first four;54,03 for each additional Contact name:Staci Hay Furnace,etc. Address:2210 W.Main St.Suite 107-272 Gas sus pump Wall//suspended/unit heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)3424109 Fax::(360)326-1769 Fireplace Rance E-mail:atacihii apexairco.com Barbecue ,. °h t ';AO ;a " Clothes dryer(gas) Business name:Apex Air LLC h` At11010101t 4 FIE ' Address:220 W.Main St,Suite 107272 Subtotal City/State!L:IP:Baffle Ground,WA 98604 Minimum permit fee($90.00) , Plan review(25%of permit fee) Phone:4360)3424109 Fax:(360)326-1769 State surcharge(12%ofpermit fee) CCB lie.:203034 - _ - TOTAL PERMIT FEE ----- - / This permit application aspires if a permit is not obtained within 180 g-------"-, days after it has been accepted as complete, Authorised signatur : ,•, ` "7" Fee ncrhadotttt y set by Tri-County Bustling Indy stry Seri Board Print name:Stasi hay / Date: 1/28/2016 1 1 rr.tJ.n4.,Psnui1s liEf PemiitApp_owit P.doc 440-izsa1T t t i O7.'COMtWEB r _ Plumbing Permit Application Building Fixtures RECEI eiv G V •'' City of Tigard Dateray: Ptrmit Na.-/ 157 /t-t100 it s l 3125 SW Hall Blvd.,Tigard,OR 97223 Pian RExiew Phone: 503318.2439 Fax: 503.598.1460 FEB 1 b 2016 DateBy OtherPemiltlto.: Inspection Line: 503 639 4175 Date Ready/Dy: Jens See Page 2'for 1 I C,A RD Internet www tigard-or goo �* I 0 -:i 1 itied Method: Supplemental information :^ # .,t a: v�4 b'c ti $117' .< _i*,..t`. s;6... .:h..7,- "rf:.-:-,p. Y.-., r .A :5" '�,, '•,, S 5�q, -v-.� .�,Y,t �*k.•r:�S vx[e.>e' d,-.x<rc.,p.`w`"*b l+.�.:.;.rr^= ,.. . , Fur special infonuatiun use checklist New construction :Demolition Description ( Qty:. r. Ea. ( Total Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft:for each utility:connection) '40. ;, F ..r a c s. ' - r 4-t -: � °',. `. - bath 312.70-. s�� >C x,IYi' �^ � 0. u,..�g itl ibt;..,fi'�a.., Y.z_.�-y�5< . T.r `*ss __. ... .. _ SFR tea, _. SFR(2}bath 937.78 1-and 2-family dwelling ,:11 Commercial/industrial D SFR.(3)bath 500.32, ��--yAccessory building 0.-Multi-family Each additional bath;lritchen 25.02 El]Master builder 0 Other: Fire sprinkler( sq_11.) Page 2 z�"'` ,�'3Pi ..x' e P 0 3Stia]q -8 - s, ".:?•;.tI•, $lt Ch basinUnliti _ Alardrain Y:F M. ,:. Catarea 18.76 kb site address: 1 -Ill ¶ e7earin Plum Terroce. Orywell,leach line,or trench drain 18.76 City/State/ZIP: '5\Q 1 0 0 A OR ql-1 - r) Footing drain(no.linear ft.:_) Page 2 Suitelbldg.fapt.no.: Project name: 1:;21:1_, e� e e'( CC€ Manufactured home utilities 50.03 Cross street/directions to job site: n Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft:„) Page 2 J Storm sewer(no,linear ft.: ) Page 2 Water service(no.linear ft:._) Page 2 Subdivision: I Lot no.: c ) 0 1 , Fixture or items Tax map/parcel no.: Backflow preventer 31.27 . :. . Backwater valve 12.51 ,t * ae ? � 7i: Clothes waaher25.02 f-e_1 M‘)i-h , p 1Lk-Im iAIDishwasher 25.02 Drinking fountain 25.02 Ljectotslsump 25.02' s r a s� R ?1! :,,, .- z Expansion tack, 12.51 121'. +4�> ,. .. . . Name: Y p l / L)- 'Fixture/sewero .cap 25.02 ((}�.�� Floor drain/floor sink/hub 25.02 Address: } ,j .� ,. i J - 25..02 l` /' j Garbage disposal City/State/ZIP: \- Cl -A o�)v-ei'1 l�` A q s' 1i1u11 'L/) Hose bib 25,02 Phone (3i 0). Vf ` '1 V Fax GD �/'}]) `'l`'l�-l(L� Ice maker ,i"; .tti s,a f S , ..-,?r 1ntcrceptorigrease trap 25.02 L., Medical gas(value:$. ) Page 2 , Business name:: 1-"t...i r ,,'.wrV"'3"t=}' i Lam- 1 ra L-k.`C.. Pruner 12.51 Contact name: tVI. ')_1 V.1-1„,..42.^..--' .:, . i- Roof drain(commercial) 12.51 Address: .it,) D4. t").)-if.) - Sink/basin/lavatory 25.02 City/State/ZIP: ''"1.A-Ps.i' ""I-) Solar units(potable water) 62.54 Tub/shower/shower pan 12.51 Phone:R')� ) e1� Fax:;( . . . Urinal , 25.02 : Email 1 i---1..#1._4,4-r 5c..Ia Yw t� rY'x=�'i� ��Y�` Water closet. 25.02. .=` r ,y r s, ti ;ti Pao R` 4: M X 4 h '.` Water heater 37.52 Business name: k.,1-1--1 f'. k1-'s r':d.err Pt LA.ii�" i}v3. .> Water piping/D W V 56.29. Address: : t D,,-1.1, 1. -7,cam" Other: 25 02 City/State/7IP: ,5hL2--,,,✓',' OR_ 9,--7.tzo Subtotal Minimum permit fee: $72.50 Phone:(911) 1`01,41 ,q113 Fax:( ) Plan review (25%of permit fee) CCB Lic.: ,C)(1) 2A2:-,,,,,,,w, , PIumbing Lie,aoPES f 6.62... • State surcharge(12°4 ofpermit,fee) , Authorized signature: _ • TOTAL PERMIT FEE This permit application expires If s permit Is not obtained within 180 days Print name: ..v< krc 'iftlietf, Dat{ a-9//I r after it has been accepted as complete. *fee methodology set by Tii-County Building Industry:Service Board rAtruildiugiccmics,ristu-PcnnitApp.dur 1010009 440-46tbT011112=COMAVEIIj i 71 ■ q City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T l G A R D Building Permit Review — Residential Building Permit #: ins 7- 0/10--Ck,T3,ti3 Site Address: 1 3 zI ( 4 5v Be ccvh, P1 LI rr- Te.-,rr Project Name: R.kvtr Te rralc Nord+wei-f- Lot #: 2- 01 (New dwelling=subdivision name;Addition or Alteration= last name of owner) Planning ReviewZ Proposal: rl, S 2 ROvV h o r'Y) e ©10L___ l 1 v11E_ er- Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No Yes,See RiverTenace Review_iddendum Attached Site Plan Elements: /Three(3) copies of site plan "BEaisting structures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper ❑Potitprint of new structure (including decks)with finished /Drawn to scale (standard architect or engineer scale) floor elevations /North arrow pttility locations (required for new,may apply for additions) Site address,project or subdivision name and lot number $t'bcation of wells/septic systems ZApplicant information(name and phone number) , Erosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions design,location of catch basin,etc.) Dot area,building coverage area,percentage of coverage and Street names impervious area (applicable if R-7,R-12,R-25&R-40) ,'Street tree size,type and location /Property corner elevations (2 foot contour lines if more than existing trees to be retained with drip line,and tree 4 foot differential) protection measures SZI Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: E Yes,applicant was notified E No Received: E Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: / Yes ❑ No,stop intake jZI Land Use Case #: PO 2 201 S -O00O S , St1,3 Iz 1 S - oa008 i S LIZZO 1S-'000D‘, 12f Zoning: P.,-12- izr Setbacks: Front '2 Rear 9-0 Side d Street Side 410 3 Garage ?,p / Landscape Requirement: '2,t) % Lot Coverage Maximum: 9 V 0,0 Z' Building Height: Maximum Height N/A Actual Height 3-7 —Visual Clearance E Easements HSensitive Lands: ❑ Yes E No Type C Urban Forestry Plan 10 onditions "Met"prior to issuance of building permit Notes: Con a;11-09 r1S OU+S-1-01 h 1 1 ` ilfHa o b-e Old- ►O( ""o Pe-cell IT- Approved ece lIT- Approved By Planning: 'R- Vim---, Date: 2. / 1 ( / I �Q Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\B IdgPennit Rvw_RES_0121 1 6.docx Building Permit Submittal Original Submittal Date: _01V/Ci/Co Site Plans: # Building Plans: Building Permit#: nter building permit above. Workflow Routing: arming ngineering L`1-I'ermit Coordinator L 'l�uilding Workflow Sign-off: L�}' -off for Planning(include notes from planning review) Route Application Documents: [3gineering: (1) copy of permit application, (1) site plan, (1) building plan and orial plan review routing form. LU�Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: 42A2 Engineering Review ,B Slope at building pad: -3 ( 2 ❑ 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 Zr No Assess Water Quantity Fee in-lieu: ❑ Yes k1 No LIDA Facility on lot: ❑ Yes ,No ❑ NOT Approved by Engineering: Date: Notes: CCx—lb au-`•s P/1-1tTrl— `7t (SSv>: Approved by Engineering: /yl,i k , (9. Date: 5./ /iRevisions (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 — 3 8 fop II_ • I ove I, OT Released: � _ . , Notes: ZeoN ;44' Aere,;ie..e ,ae& _ 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: ,ISA'SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: ?2'Yes ❑ N/A to ssue Permit Approved s/14, Approved by Permit Coordinator: II ate: `/ = r-- I:\Building\Fonns\BldgPennitRvw_RES_0121 16.docx a -.,. City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT s T I G A R D River Terrace Building Permit Review Addendum Building Permit #: ,,,,57-4,76 A- coo 113 Site Address: / 3 q 6 4 s W Gees v%, PI v-i-, Teri- 1 Name: R' Terra Le, W Of* vv-es-+ Lot #: Z 01 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.I). 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 nun. 2 ft., 6ft.wide Gabled dormer 21* ❑ ❑ ) ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: / 0 3. Entrances: At least one entrance must meet both of the following standards: 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: 725 sq.ft. min. f Cr One street facing entry X12 ft. max. roof height above porch Cr 5 ft. depth min. X30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: 71 Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft. wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide 'Roof eave min. 12 inch projection P.-Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 ft. wide 'Accent siding min. 40% of street facade Vi Window trim min. 2 1/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: N closer to front or side lot line, than longest street-facing wall. ❑ Yes 12/No. If No (Check one): May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. XMay 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) 7 12-foot-wide garage door /e 0 +-I,4 el ❑ 40%max. of street facade .2(50% max. of street facade with 7 detailed design elements Notes: Approved By Planning: 41 C P7 1-7,0, 6 it Date: 1) 1 (o / 7 6 1:\Building\Forms\BldgPennit Rvw_RES_RT_012116.docx Albert Shields From: Albert Shields Sent: Monday, March 07, 2016 2:37 PM To: Debbie Adamski; 'Maggie Gordon' Cc: #Building Permit Technicians Subject: RE: River Terrace Northwest Rowhomes Hi, Maggie,Thanks, Debbie. Right, I have these five permit applications in front of me right now and was about to send you a note, Maggie, that because there are multiple conditions that have not been met I will put these applications on Hold as"Approved but Not Released" until the conditions are met. Please let me know if you have any questions about this. Albert Shields. From: Debbie Adamski Sent: Monday, March 07, 2016 2:33 PM To: 'Maggie Gordon' Cc: #Building Permit Technicians; Albert Shields Subject: River Terrace Northwest Rowhomes Hi Maggie, I was just starting to email you on these. You are correct, I don't think we notified you with the permit numbers and fee amounts. Sorry about that. Below are the permit numbers and the amounts. The permits are being forwarded through the review process. It looks like engineering has finished their review and they are on to Albert Shields, our Permit Coordinator. We are proceeding with the reviews but it appears that there some conditions on the land use case that will need to be met before Albert will allow issuance of these permits. You may want to check with him to see what they are, so you can work on those while we are doing the building review. Albert's contact information is albert(Wtigard-or.gov or 503-7182426. MST2016-00043 Lot 201 13464 SW Beach Plum $751.34(online)/$750.00(check) MST2016-00044 Lot 202 13470 SW Beach Plum $751.34(online)/$750.00(check) MST2016-00045 Lot 203 13478 SW Beach Plum $751.34(online)/$750.00(check) MST2016-00046 Lot 204 13486 SW Beach Plum $751.34(online)/$750.00(check) MST2016-00047 Lot 205 13494 SW Beach Plum $751.34(online)/$750.00(check) Debbie Adamski Senior Building Permit Technician City of Tigard I Community Development 13125 SW Hall Blvd.,Tigard, OR 97223 503-718-2450 From: Maggie Gordon [mailto:Maggie.Gordon©t olvgonhomes.com] Sent: Monday, March 07, 2016 2:13 PM To: Debbie Adamski; #Building Permit Technicians Subject: FW: Rowhome Debbie—I don't think we've seen plan review fees to get this going in Building? Thanks 1 Plumbing,Permit APP"eati°1tECEIVE1) Building Fixtures i f,k U i i I' 11 ' I (1\1 N City of Tigard 2016 Y l cl jl '/ % , Pamir No:1'`S �V'060474 Inspection SW Hat(Blvd:,Tigard,OR 97223 Nov A �y p 17dr• / ✓ Phone: 503.718.2439 Fax: 503.59'�� TIGAR� Other No.: Line: 503 639 4175 Date Ready/By: Jura. � � __ NcH See Page 2 forn Internet: www Ugard-or goo t 1 6;1 T NotifedlMetlwd SI 5appkmrntat Information c C New construction 0 Demolition For opecial infer: on use checklist Description { Qty I Ea. I Total 0 Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 ft.for each utility connection) .. . .Y . .1. a-.. .F,., <r u. - g ,. ` 1. � SFR(1)bath 2.70 31 and 2-family dwelling ❑Commercial/industrial SFR(2)bad) 437.78 SFR(3)bath 1 500.32 Accessory building Multi-family Each additional badVkitchat 25.02 Q Master builder 0 Other. Fire sprinkler( sq.It) Page 2 1' }, rr' �e;3 i a :771- 4 : Sit:utilities: lob site address: 84/011 SWCri��_PI u Te 4c F- Catch basin or arca drain 18.76 Dryweil,leach tine,or trench drain 18.76, City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project nam.- �' � �44.4,C,�{��, N O�f�A11�IGs� Manufactured home utilities 50.03 Cross'street/directions to job site: SCA- ' //, / Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:___) Page 2 L t_Ci/ , Water service(no.linear ft.:_) I Page 2 Subdivision --bill te, g� ru t L.ot no.. Fixture or item: Tax map/parsel no.: Backflow preventer I 31.27 :,, ;, p\ Backwater valve 12.51 ttt.. • °.."=a . r -r.. ti s , a . , ,,v,'., _- Clothes washer 25.02 l ttraCf Ur__C1YV.- Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 t r,� . ,s. . ` . ' - Expansion tank 12.51 : n 3' ; r . �u ..Y�9a Name:ADVL Land Holdings,LLC Fixturesewrcap Floor 25.02 nklhub 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 ..� >.fr . - a ,,ut .e . : Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:5 ) Pate 2 Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 136 Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:Augeta.Grajewski®Polygonhomes.com Urinal 25.02 ` � 25.02 .? ` ' xr `, � Wster heater 37:52 Business name:Alliance Plumbing LLC Water piping/DWV 56.29 Address:146'W Histone Columbia River Hwy Other 25.02 City/State/Z1P:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)9124438 Minimum permit fee: S72.50 CCB Lie.:184601 Plumbing Lie.no.:PB732 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Robert Dingman Date:5/23/2016 This permit imputation expires ifs'permit is mot obtained within 180 days after it bas been accepted:as;complete "Feu mdhodalogy set by Tri-County:Building Industry Service Board I:teuildingtPermita\PLMU-PeinutAp doc 10/01/09 440.4616T(10/02/COM/WEB) Plumbing Permit Application Site Utilities FOR OFFICE USE ONLY City of Tigard +I Received M r x j� 3 41 11111 13125 SW Hall Blvd.,Tigard,OR 972 Date/By: -1 /l' Permit No.: C(X / _ n E Plan Revt ��-""'" Phone: 503.718.2439 Fax: 503.598. 0 � „A$- y" i I� Inspection Line: 503.639.4175 Date/13y: ( / Other Permit No.: T I G A K D Date Ready/By J Internet: www.tigard-or.gov i� (� (;"� Notified/Method:Supplemental Information ®New construction `� ��_ s` , ' E*.S LE ❑DFii�dt I' e For special information use checklist p 0 j i c.,1-1...N Description Qty. Ea. I Total ❑Addition/alteration/replacement • DING t G �' New 1-2-family dwellings(includes 100 ft.for each utility connection) C T) GOI i CONST ! N • SFR(1)bath I I 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building ®Multi-family SFR(3)bath 500.32 o Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler(1,382 sq.ft.) Page 2 JOB SITE. F'9I TI I ,'A,ills LOcAT'o Site' Site utilities: Job site address:13464 SW Beach Plum Terrace Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: I Project name:NW River Terrace Footing drain(no.linear ft.: ) Page 2 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 Page 2 Water service(no.linear ft.: Subdivision: I Lot no.:201 Fixture or item: _1 Tax map/parcel no.: Backflow preventer 31.27 DlEalCRIPTTION' Ili~'WOR Backwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 e-"ritoiEj OWl4) R '-- cy-TrAANT ',' Expansion tank 12.51 Name: Polygon Northwest Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 F 1City/State/ZIP: Garbage disposal 25.02 _ I Hose bib 25.02 Phone:( ) Fax ( ) a P CAPS 1 Ice ma er 12.51 k ` ❑. T T l°E�ttN Interceptor/grease trap 25.02 i Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 Address: 146 W Historic Columbia River Hwy Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 I Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 ?lC �n; , _ Water closet 25.02 Water heater Business name:Alliance Plumbing,LLC 37.52 Water piping/DWV 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)912-6438 Minimum permit fee: $72.50 CCB Lic.:184601 I/ Plumbing Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: ( -�7•/..._____J State surcharge(12%of permit fee) TOTAL PERMIT FEE Print name:Gavin Thomes Date:8/9/16 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. L\Building\Permits\PLMU-PermitApp.doc 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: Off ' 1Fee Cea) Total Scllist F'oilotag . Pei ni t ee .. Footing drain-1s'100' 50.03 0 to 2,000 $121.90 37.52 2,001 to 3,600 $169.69 Footing drain-each additional 100' 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' e., , 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 a „ each additional$100.00 or fraction thereof,to Utter Iins ►et �+�l or F >5• f o and including$10,000.00. 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 of 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. $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for 90.00/hr Additional plan review for revisions each additional$100.00 or fraction thereof (minimum charge-1/2 hour) Subtotal: 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 l n`R;evie I4 r P 1 nsM1 <. Fixture Type for Replace/' Plan review is required for any of the following. Work Performed: Capped Added Relocate Please check all that apply. Baptistry/Font 0 Any new commercial building with water service 2"and Bath -Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. Car Wash -Each Stall ❑ New exterior plumbing site utilities for any complex structure -Drive Thru Cuspidor/Water oirator as❑ defined in OAR918 780-0040. Dishwasher -Commercial Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink -2" -3,> lhagrant Car Wash Drain El Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food that meet the qualifications above. Disposal -Domestic-food related -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pgmit.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 Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECE DEPT: BUILDING DIVISION RECEIVED CCT172016 FROM: Angela Grajewski CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212.2.1.44 RE: LIc - 13464, 13470, 13478, 13486, 13494 SW Beach MST2016-00043 LIU ir'�, Ltd L1 Plum Terrace (Building 11) '" ,/ ✓ s/ (Site Address) (Permit Number) orthwest River Terrace Lots 201-205 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 0 Additional set(s) of plans. 0 Revisions: 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 3 Other(explain): Spaced deck detail as requested by feld inspector REMARKS: Please pay fees owed with Trust Account. 17Co 0^/ r;:zo J6,-00010 oak- �, O .kFCE USEO*V ':;'7 45 Routed to Permit Technician: Date: )0- j 9 - ) Initials: Fees Due: pYes ❑No Fee Description: Amountue: I9A IL Pe•v ,ea $ 94 , cam) '� y $ G' Special 1--(--&-6 i 5 OA/ i'YS-��tj b -_000 V.�3 Instructions: Reprint Permit(per PE): ❑ Yes No ❑ Done Applicant Notified:,471fc 1r-- Date: /V//t:. Initials I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13464 SW BEACH PLUM TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00043 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Correction complete - builder installed area drain left side of structure. Collected High efficiency lighting form Moisture content acknowledgement form Moisture barrier acknowledgement form ETO site inspection certification submitted separately for entire building. Left C of 0 on the counter Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13464 SW BEACH PLUM TER, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: FA I L Comments: Fireplace work not done. Violation Summary: Tel: 503.718.2439 Inspection Date: December 7, 2016 at 11:14:37 AM Record ID: MST2016-00043 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13464 SW BEACH PLUM TER, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00043 Inspector: Chip Barnett Contractor