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Permit (53) CITY OF TIGARD MASTER PERMIT rilli 411 COMMUNITY DEVELOPMENT Permit#: MST2016-00169 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/08/2016 Parcel: 2S106DC05600 Site address: 13735 SW 172ND AVE Jurisdiction: Tigard Subdivision: WEST RIVER TERRACE Lot: 56 Project: Polygon at West River Terrace, Lot 56 Project Description: New SF BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 3 Required First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front 12 Dwelling Units: 1Smoke Third: 0 sf Yes Right: 3 Detectors: Total: 1744 sf Value: $219,579.26 Rear: 0 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 10 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 0 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N 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 1000 sf or less: 1 Branch Circuits 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'500 sf: 2 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 P 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: NEW SF VB p Square Feet: R-331744 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 2 1 hour fire rated eaves are required both sides of home PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,250.52 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 •'R 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. &AlIssued By: 9 i A C�j,�.. P ' / ` " ermittee Signature: "7X'/ 6/C 9-7-70,\ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application u FOR OFFICE 1 SE()NEN X4.1 City of Tigard � ��y c ,01...6 .tri, f-Ci- - / ,-J40 r� 13125 SW Hall Blvd.,Tigard,OR 97223 t Y` a ��lu Plan�Rev�'ew Z� 4 OtberPermit3j /�i ,7, ;IN Phone: 503.718.2439. Fax: 503.598.1960 Date/By: �4l Inspection'Line: 503.639.4175 (7 4' Daze Ready/By: -inns: H See Page 2 for /' T I CT R h " Notified/Method Supplemental Information Intemet www.tigard or.gov ��L 1 - ` .` • "' --'s ` Permit fees*are based on the value of the work performed. ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and the profit for the - work indicated on this application. ., �.� ,i-,:c-:,3'4,,,,,,. - us ' .�_ w Ne .1Pi�-."; 7,, .....ft- ....: '.,•_-_,,,. ,.. -. .. ..�. w..a ..-,... ValllatiOn:a �t� .ss ��^ �. ® 1-and 2-family dwelling ❑Commercialfmdustrial / )YY��'' Number of bedrooms: ❑Accessory building ❑Multi-family Number of bathrooms: ❑Master builder ❑Other ::• 7' Total number of floors: 2 a.I c. 7 i�� 5W "n_ � I New dwelling area square feet Job site address: _ City/State/ZIP:Sherwood,OR 97140 Garage/carport area: �2 square feet J Suite/bldgJapt no.: Project name:Polygon at West River Ter Covered porch area: square feet C 1 Cross street/directions to job site: Deck area: ..,),.J square feet 7 ,, Other structure area: fi square feet Subdivision: Lot no.:Stp 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 . r : ,'4„i §.J` ainQx -if0J { , K .,. work indicated on this application. .`_'' a F -.3fw.+ . P`'�22 a,.:w4Rcs6-vwi.aYM+%e t., ,.-z.-.o-- . ws. „..vs-v, valuation: S New Single Family Detached Construction Existing building area: square feet New building area: square feet �„ -,.. . , -fi-E_ ;` Number of stories: Name: 4 DLII ii c / Type of construction: Address: / 1. /It . ,A 1, '-1 L/. .1 AL r.I. Occupancy groups: City/State/ZIP:' e , • / Iir �, p Existing Phone (a P It, Fax60)69 (3 34442 N _ •- k� 0- ;:f .. ..-.. .€�vt i, 8,. H { .s � -„,, ...E Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee Of applicable): Address:109E 136 Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)695.7700 I Fax::(360)693.4442 r, E-mail:maggie.gordon@polygonhomes.com Commercial and residential prescriptive installation of , m ,l - , ' zo i roof-top mounted Photovoltaic Solar Panel System- e:-•P-olygou v t'T.H,7 T e. 0/Lt/ r7 L„- eA11-1--dr-/C S /A t "(� Submit tw�op(2)sets of roof plan with connection d Business nametails and fire department access,along with the 2010 Oregon Address:109 E 13th Street Solar Installation Specialty Code checklist Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees): Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): $21-60 1.14-GCB lic.:207247 Total fee due upon application: - _ _ --$201.60-- This permit application expires if a permit is not obtained Authorized signature: Vwithin 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Bu dil l sdu m Print name:Maggie Gordon Date:12/11/15 Service Board. I:\Building\Permits'BUP-RESPermitApp.doc 02/24/2011 44046131(11/02/COM/WEB) A . ' " Mechanical Permit Application City of Tigard _ . ' : '. acctivod c 13125 CW Hall Blvd Tigarti,OR 97223 ' - ' - thlicA3Y' Perma Ne5"°:Igell6-C)67/6" i - - , Flan Review go Phone: 503.7181439 Pax: 503.598..1960 ii.....,-,-' 0 ",. 2.c1',b Dateitly Other Penn& Inspection Line: 503.639.4175 I Date Readylly Atriv fri See Pagel for Internet: wi.mtigard-oriov " - Mechanical NolifiediMetho& , Supplemental Information 1 b. New construction 0 Additionlalteration/replacement - perforated.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other mechanical materials,equipment.labor.overhead.and profit Value;S -,=;;-:,•'..f:.".„'-,',-..,.;--- -:;j,-,:ii-,?•,:41-1?-';';';',i1:tirGA*(I'04---t-7.641rm'''''''Ct31)tR44t1)tTf'''''''''--';;ERitr•gt';'''.'4,':,44%"ifig..'-'4,4e4itt.:1/,':14:,,rz „,..,..., , ,,,,,,, , ,. ., .. , ,,,,-....•,„7-.--,...„.•,„...„-,„....,,,,....,„,„,,,,,,,,,,*.„„,,,,,..„,,„,....,„...„.„...„,,,,,,,,-,,„,„:„.„,..-x-e---,,-, 4-A-,,-"".:•c'''://' l'AIR'I' ..,.."...1.-!•:''!..1.;:-..•,...1.7:•)„.!..).,'"113:`1;!,!-A::::::....,1417, , Et i-and 2-family dwelling 0 Commercialiindistrial 0 Accessory building For specird Warms:fox use cheekita I El Multi-family 0 Master builder 0 Other Description • Qty. Ea, I Total '•,''i'•",I.!...,.....^:',1::-.1.:A;;;.;4.:;!:.ii:": "::.:.:*iii /W-I-'II'' '—':44RXRiGA:113,6H),i'l:iil, "4":',"•:•'.'4,t;64V,4.•:.1:1",'";:e' Ile*tinite°ling: I 46.75 Job site address: •-511 35 stAl n2lertfr\ie Furnace 100,000 BTU fditetsivento 46.75 • City/State/ZIP: 5"\..(i.A--'k)...1-0,-.)A. C)K C ' -\ -J 0 Furnace 100,000+Bit)frinetsrvcres) 54.91 ileat pump 61.06 1 Suite/bldg./apt no.: Project name: Po 1\ t3,y---) cj__ ujo,..}-- _ I i Duct work 2132 : 1 Cross street/directions to job site: LQ,( ‘3,,e4(.... ) itydronie hot water system , 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type.not electric). in-wall.in-duct,Rivet:der!,etc. 46.75 1 Flue/vent for any of above 23,32 - Subdivision:River Terrace Lot no.:SIs0 . Other , 23.32 Other fuel appliances: Tax map/parcel no.: Water beater . 23.32 1 ;41'-':4)•-i;'i4L-4.*•#.4:;',1`,4f;" tial; „;, ."'"" ..'0 .;1:I.;I::: 't',14:ll'I'4:,'I'itigl Gas fireplacelinsed 3339 Flue vent for water heater or gas HVAC I fireplace , 23.32 Log lighter(ass) 2332 Wood/pellet stove. - ' 33.39 . Wood fireplacelinsen 23.32 Chimney/liner/flue/vent 23.32 :•.:.,-;..,:;:i_,'".".;,::-.;';-:4 - --',%': '!..;.:',6 1-;: : .; i';i r' ill,7,4014.4- 1-',: jvcrirtliii7.14::; 4: ',4&52.1'41P'029 Other 23.32 ":::: :1•".iz-.:-..,1"i.;,-,;:;:,,,,,;`,,,..-'.-,--44 ''.-121',---‘1w4d-'""''`-387iia11:14 7/71m7'''": 1"a01:4" '""1-"`-'°*:= Environmental exhaust and ventilation: Name;leff)1A/Lallei_ sdt tic Range hood/other kitchen equipment 33.39 Address:"1tez00 00 19 / iLaxrite,. V2A%$.9A Clothes dryer exhaust 33.39 City/State/Z1P:'SCA / ' 4' bS'2,V5 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 i Phone: / —Chi, .I-, Fax:'( ) Attic/crawlspace fans 23.32 :.1117,ii.-,-4-7,'",:0'1,4::..-„IfilhatiVi =•":"'-:,,1.-,-.-4.I.,aii-"-it'''.ii.r';';''''i;'.'4-r44.--;‘="a`-l'.'t.Ir;•1."Vi.-'",II,'•:'"" Other : 2332 „'"--•:/-.*:::,;,..tt-14=e-•,(/11../..:.--„,,,."•..,..4-;4-:" ,:=1Wsrelfg..•'„'"..'''',4'4'',,,%"."',,`''.41-°::''''. 7-; ,,e,:k,,,,.„i,"'...,,...'....kli", 4.1.:4:fi,S-:'.4:'44 Fuel piping: Business name:Apex.Air LLC S14.15 for crest four;114.0.1 for etch additional Contact name:Sind Hay Furnace,etc. ". Gas heat pump • Address:2210W.Main St.Suite 107-272 Wall/suspended/unit heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)342-8109 ' Fax::(360)326-1769 Fireplace ' . Range E-mail:staeihr*apeastirco.com Barbecue . s„..-..... ::.11,i-lt.i.,:ili:eil:•,&,4rillill:;.14:111 ;i::- ! z clothes drYer(gas) • Business name:Apex Air LEC , Other: , , ,..•::;:":1!.V1)1.47",;..,:e\•:";Tiei:';:i',...:•;re!,i'4';'14':1:';§4-::';'7.1:2:'',',':::.?::;;:sio:.tfS'$'''Si Address-.220 W.Main Si.Suite 107-272 Subtotal City/State/ZIP:Batik Ground,WA 98604 Minimum permit fee(S90.00) , . Plan review(25%of permit('ee) Phone:(360)3424109 1 Fax:1360)326-1769 State surcharge(12%of permit fee) : I 1 CCB lie.:203034 / - -- - TOTAL PERIVIIT FEE . f , I • This permit appfication expires if a permit is ant obtained**hit 180 'F ' Vb. ''''''' :' • days after it has been accepted as totoplett Authorized signat ,-. - ' •• / /1 #' ,I • * For methodology set by Tri-County Building ltidostry Service Board I IPrint name:Mac;hay Date:1/28/2016 I I ItsoiletinteiNaniszWIEC PowitApp.,64at 13 don 440-4617T I I 1.161'CONVWF.1313 4f2SS*dd ,L41..Y,411gard,,*9`1223 PG4ne 503�1ii`39 tax.'SO3.59Q.I46b' i 1 1^ izctated Pomrtt :; • q� 3 6301173 f �'1C RL) ; t a m s iC dit tho tuns 1 L�I4cPngc Yov �tWJICI A t1i8�td-Qf ]tAtl" r""d fGWOd i S4iiin®Glmt'I ormc-aan 211 + t�trn ,Q of not treedon rep acetncnf' rtp 2 - b at'#tnlrn"C s sc 3 �s4, on m 0 boj3enoIthon er "inme k4ot1�un rys4 s: e '0, ��W70f1 7 ; ' xN S1 yr, kOsaSo aobiT. .0sic] mm � ,, ,, nr60. t'sslo .arr easla0 ommarn 4 eagriu Ura a ll a uIyd*tt.rg roearaudustnfiAccs0,7141Pg -",,vh'u!: i ; sft..4hett� n. E�tdmg.�MR � i] a$enll�r �Chr: E %pmp ❑IssllaHad of 131%3A or ^ 3t 7„15T1161x.0 ' M)L 1E T1 . ' • E � e1.ata xiya ri.+za dnrr raaroga aFt4a usiteadr ° S 'r,•t da -reo,Jab •1.66moJ A 1 3 sec Otmrrstderfai toiEs, a GyltatelZTi E.--.40 -0-64ood 478 t ❑HeaNworetrM irusa'iaeWdep4 IJutHarndoloraiiiss. flslppyeimora.tnSuteifg/apt. ` �Pocct name • h l© ert4xarfxlrrooaopsortate ti�Yo7sbmma, ira53. 4eeffcon,03.0 Sit t r e - r+i+�nd.d Oh ] r"ottt ) rorr4:'j . y � an1. I e or'eidt f ii li}dtg6lfft raaif Subtttxisron 12rvet'Terrace'. J L0ta13('� 1nc�rr{ 4ttachrd,grtrag- 1 Pa 3 AOQari.tt arless i itib p d • .Ea adtt'.)Aiy rr.or aat 'fa- 4$1,?..: f GRtilsiden eY1�euai 150'' 3 t,004110amrly t'with•abo4e443I ,Ltmed enerR;+ ttft (amrtr , ats 4(4)4,4,44i(hibli#4 It.) 7500 2. - > . L::: ., Re�bt Eue £3SrePaget r r . . „ T, T 5avtiu3r ustds tahoa,aitrohon a>i o refacificH�LLa . fV �� aP { W7 U' 2 Arl ry / it ' ' f .I. :./ f... at ,.. • • 2 .y�i7 r, _ f nt00:011 T0f04` ,. �J'"� *?' ' �i V✓� fit { a npsor pofts 55226, ' Temporarjservicesorleeders:tittialiation,itfeiatiori,andtar FII. refocahan Owerjnstatia€ton: is instadtation is being made on properfy+;hat[=own which•is not' - 20,0 or I#.#". „•• 50.56.. r tit l Fsaje,lease,_rent or cxcbange,:according to 0.AS 447,449;67Q,.ai)47,O!1, 2oi snips Io ,sayts 1?S 01C; .:4';', l neitigliebitr Date' 401 amps;to'S99ampt „ 158,54; 7'. AP,PI;[Cd3itT ,ED',0)mer PERSON Siabeb errcuifs-nests a'iteratfon,ort exension,ger pane). Ltsts feedreFee,$tarnesacat [ —erRlact1c 4Yahingto f LC ' 74� 2„,, , Coto:40-taufe BiilDaniels a FxTorbiahshdr«iitxlrnfirmt roliii-iifetda"reGed- •• 2M 6107 A,-, .ddlnbiaacharcint . .5618 . CtY/Sta ZIP Vancouver WA 98661 1 3bisnoheucnit. 7:12:: 2 Plron { Miseainneein aer*e br=reeda.abtin lndet4 3211657 Fa1t;:{” t r>iat)erfaonu> e mtrdui Email bdan€eta(�gwrerrsuevm "'.> dxelrtog:iacittcsndtor:rnoder' 6.1.84 2 € : ,, , ,r COtf ' _ nmp%crngatfms e654 :„.. ..Btstib Garr Electric Waehmgtoa,L,1C: oradrefightne 67.84 : g 0.$04,arcuts)of Yateg •Lgeiae22111 N SEaatsTv t44aterasou,tyrstarifna g Cit d ta6�J IPS anenuver `A 4866 Eaeds illirffitiii tospecfion Averatto.*ila cln srfg n1 t#re aim** , Aildtiorn f4ottf lir=thin} •frb2SJYr III* 3�Q„.,.T tax.( ) Ttrre m {t brnpt . 90.0W £mall bdaiil Lr iutitatpianttJ brmin) 7$dtt7br fnsp”:--it 'a+3rio"hual'eb ceStic `7j58 ElsctricalLict 208174: • S' 9o40t1,r tem LiC: d4. . e6rait� #� atJ Sitgiri�B t bait Stgrlg rc1 required; itrlftntat. Print nasi Joan P A1br f Dabs / 11� II 7"iari:iterie`iY fiequireG{35Y.##f pi:tmu 'efk fe ge rrt. sir t> thorfzedstgn:Ytn ' TAF�T ' y-U TGn pts 01.C.pprrca#4,0Kfrar tftt paror[th eses obralat A!'ilt m 180 Pciutnarne;;Brit aniels Date: V. r a.rsefer1ttt.:l :**-44**!tci; . kTaraheratrapsegfins a loweii pPa pttadr !M.#4 ?�t !Ana: E:+tba tisros!r i$ 4saesrsi#dtis/t $ } Plumbing Permit Application Building Fixtures City of Tigard Received Permit No.: 13125'SW Hall Blvd.,Tigard,OR 97223 i', :,; „a t- '' pan Rev S� /6.��/� -11 .: Plan Review Phone: 503.718.249 Fax: 03.598.1960 Date/By: : Odu iNardi No.: hth.. Sec Page 2 f ,i, 3Inspection Line: 503.639.4175 DateyfR Me$hYi: Sup laments}for Info rmationf1 f,Llntemet www.tigatd-orgov o II Par special xformadion use checkfisL New construction II Demolition Description I Qty. I Fa ( Total El Addition/alteration/replacement 1:3 Othet New l-2-fasn ty dweittngs(includes t W tt eachtorutility connection) � a ":1.-Pis _ R(1}b �° SF adi 312.70 . SFR(2)bath 437.78 II 1-and 2family dwelling I Commercial/industrial SFR{3}bath 50032 II Accessory building !Multi-family Each additional bathftcitchen 25.02 ❑Master builder El Other: Fire sprinkler( sq.ft.)- Page 2 Job sire address: 9 w S rn • 1.8.76 City/State/ZIP Vlt r ,10 o A o(--- _ ct- -'1.,I rywellleach or trench drain ® 18 e 2 — Footing, . , ,. 1 page2 _ Suite/bldg./apt.no.: 1 Project name: Q i3Y1 (it 1> 50,03 Cross street/directions to job site: 18.76 18.76 Rain drain connector Sanitary sewer(no.lirtear fL:____) Page 2 Storm sewer(no.linear tt:____) Page 2 Water service(no,linear ft.: ) Page 2 Subdivision: I Lot no.:S( o Fixture or Item: 31,27 Backflow preventer 12.51 Tax map/parcci no.: valve tt �.• me sA"-,11=0,4,144;!„.1t g _ „ , � 4 Backwater 25.02u SFk p1 ii1 , 12.51 25.02 Drinking fountain Ejectors/sump 25.02 a ' NFA F' .� 25.02 Name:: A p Lan,' / / i.! Floor .. 25:02 Address: A i_/ I ori i / ire disposal ® 25.02 City/StateIL1P: . / /, ll0 •ib4ffFb*11/IIIIIIIIM 111111 25.02 ,P1:77:::.,,,,,,,,,,,!:,-,44..,,,,,,..:„,,,,,,,,.. _ ax ,D l01 �r 12 51 1 `1 *te . t_, ;,� a 25.02 ® Page 2 Business name: V...1..--1.4 t",V.„ y-N I L.k-..nr\V'il t ,e L.,L Primer Contact name: t\',.yv1 ,,'L i4 '-'t"',r'^s`r , mmercial) 12.51 Address: PD, (y,4_ 1 Sinidbasin/lavatory 25.02 City/State/ZIP: / a-e..ci-.),A'%/ Q , 0S Solar units(potable water) 62.54 Phone:ell ) .• ( ' '3 Fax::( ) /• ® 12.51 Urinal 25.02 E-mail: - . 040 r i • �, ,- -i 25.02 ffi P -} ,..V q," 1. 37.52 Business name: 1,--, l r u XYa t",i t'! 1)1(i2.1'�'llr'til i _ Water piping/l3W V ® 56 29 Address: Y'U� ISD- 1''7 -1zOther 25.02 City/State/ZIP: y..CX' et,ty-1' C"JL Subtotal C Minimum permit fee: $72.50 Phone:(-I )i) ' ' Fax:( ) Plan review (25%of permit fee) CCB Lie.: 2,0 - 22- Plumbing Lie,noFei I - State surcharge(1251.of permit fee) Authorized signature: / ' TOTAL PERMIT FEE Print name: , j ) This permit applkzdun expires if a permit is not obtained within 180 days. r a (ri '., . ,``, f, 1 Da { t/� after it has been accepted as complete. €€€ *fee methodology set by Tri-County Building Industry•,Service B yard- :G1BuiidingTanits;PL.Lii'-Pcariwpp.duc 10/01/09 X40-46i.6T(I0/02ICO.MiWEB} City of Tigard IICOMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: /t/.57.2a/Cv -- 0/C, , Site Address: 13135 SVS 1l2rr ANP, Project Name: PolyVn a1- We'd- RWei—Vet face. Lot #: 56 (NeWelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: new S Ierify site address/suite# exists and active in permit stem. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Sit Plan Elements: Tjriree(3) copies of site plan xisting.structures on site We plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished 'r�r wn to scale(standard architect or engineer scale) floor elevations th arrow Utility locations (required for new,may apply for additions) Se address,project or subdivision name and lot number •cation of wells/septic systems V plicant information(name and phone number) u Erosion control(including drainage-way protection,silt fence t dimensions and building setback dimensions sign,location of catch basin,etc.) of area,building coverage area,percentage of coverage and street names )pervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location VProperty corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures $'Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified —$'No Received: ❑ Yes ❑ No -B-Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified -B'No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: P R2O1 - /Zoning: -7. etbacks: Front 1'2' Rear 0� Side 3 ` Street Side Garage SCI Landscape Requirement: 2O % 1 Lot Coverage Maximum: g Q 0/0 'Building Height: Maximum Height Actual Height isual Clearance Et/Easements -"Sensitive Lands: ❑ Yes $ No Type rban Forestry Plan Vtj Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: L Tim LeanYbae) Date: 4120, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Forms\BldgPermitRvw_RES_012116.docx Building Permit Submittal Original Submittal Date: /1Z/ /k, Site Plans: # Building Plans: # '3 Building Permit#: "TEnter building permit#above. Workflow Routing: Planning Engineering O'Permit Coordinator C wilding Workflow Sign-off: Er—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: By Permit Technician: gra/ ,A f . ' Date: g72 9//�, Engineering Review Slope at building pad: /1a IOConditions "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: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approv d bEngineering: Date: Notes: 6 ,r„,3 1o1 7 �` // itr7-,fr / Approved by Engineering: 1/ J3 Date: „5".:___0'.._./46 Revisions (after Building Submittal only) • Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved Cl Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review Conditions "Met"prior to issuance of building permit Approved,NOT Released: C. Date: S -4 - Notes: ESV G cexci 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: kr Yes ❑ N/A Tigard Trans SDC: g Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: Date: 1:\Building\Forms\BldgPennitRvw_RES_012116.docx • City of Tigard III COMMUNITY DEVELOPMENT DEPARTMENT ■ River Terrace Building Permit Review Addendum TIGARD Building Permit #: ..5?" / °CV& Site Address: t3135 SW t-72n8 Ave. Project Name: Potgauh x-,- Wes}- River Terrace, Lot #: % (Ne d lling=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? gi Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Nil ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 2Gtl/o 3. Entrances:At least one entrance must meet both of the follong standards: -Si Parallel to street,angle no more than 45° from street, Max. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch: dYes ❑ No r/// I es,all the following apply: sq.ft. min. "One street facing entry ft.max. roof above floor of porch M 5 ft. depth min. 30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five ofjChe following elements on all street-facing facades: 0/ overed porch min. 5 ft.wide x 5 ft. deep V p�Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches ❑ Dormer min. 4 ft.wide VRoof eave min. 12 inch projection 0/Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood M Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40% of street facade NJ 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. 01\e' Setbacks: tD"'s No closer to front or side lot line,than longest street-facing wall. ❑ Yes ❑ 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. ❑ 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: Z _T1 Ify1 L6f,rba Date: y \2.1\ 16 1:\Building'Forms,B1dgPermitRvw_RES_RT_031416.docx Plumbing Permit Application Building Fixtures Hi-I r- . 0 1) City of Tigard SEP 1 b 2016 ReceivedDatelB . t&/el /to 174 - Permit No.: itgtOlii.06 I(0q 1111 li 13125 SW Hall Blvd.,Tigard,OR 97223 1••••• Nan Review ' a Phone: 503.718.2439 Fax: 503.5918N1915()If 0 F .yi G AR LI Date/By: Other Permit No,: 1 1 t i \iz 1) Inspection Line: 503.639.4175 v.--''''-':0 --s s 4 g e'• r. .5 req Date Ready/By: Juris: 21 See Page 2 for • Internet: wvvw.tigard-or.gov ti li.i 1 1....US I•'.4%-;'• ,--•' ' °•--'"i'''';' Notified/Method: Supplemental Information l'Ar It'"Fiver01".6'314ailfr: -'3*9'..'1';7."'7.5'-911104416155F-Rig-11741100"Air," ag-cVgltataaititgodiVV'Wt:':i '',',..i'i74astfafitAigtdESVE 4wstiii ,t:::: .....,,,,R,:- , Far special information use checklist. New construction I Demolition Description 1 Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) •••''''''''''''''''""1"'""""'''''4'*'"4"'"•'''''"'"'""n'Or'''''''''f''''''''''''"-',"'"*"‘*-"4"'"-a"'"'"*".'APPOPIsaTsiesionfoRgiA4 MiSFR(l)bath 312.70 lallaitatittP!„.2. ,,•.'",I-i.!" .,,7,,t',•i„,. "th,,,,:f....!ii;I:iii.-:;.1,:1-24JAIIIRiller;lailikalititilita 1-and 2-family dwelling t] SFR(2)bath 437.78 Commercial/industrial 0 Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 "",,..'111%-21;;IrtAn.,,tnsm-J1"-kiiii,v,,,s,-4,1****,,,,mmam"" *E'-mi-, "-,,, --:-.':;u:-4","•,-.',,,,,,,,_,K.,iiv.;:.4-!-,,,,i,d:"-s,:v03.,e......,,,; „„:7,,,,..,,„,,,,,,..H.._„„, -16iligpsfswslisff,tssi4IVA i..i..f,•s*E..4.",*,:••1.-,-;i,:i',,.•a Ls,''E.'vsi;o:qi'.' .,:i:Ctk.;.IVABiaaligiEltiiiiiatt Site utilities: Job site address: 13735 6 frti /i 2,10/ -4 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.: Project name:Valeta River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain comector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:____) Page 2 Ca" WeSt Water service(no.linear ft.: ) Page 2 Subdivision: , '.'im River Terrrace Lot no-• 5 (0 Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: 00101,,-,--Ampainifrimir,n17= =yr,E= 1;=,:=3,!=rtt..:.?,=:0,1.tilsigaigitikApAlletvigtizt, Backwater valve 12.51 Froff#11,ZEGAR4514-Thal.:A.,=*.. ",1==?1=4i*'=L'.•* "=•=1;1:*.s=•••==i7,===.i=1=4,,,..•.=01=lfotit54111A145'14=:111Nnr11451.. Clothes washer 25.02 CtletastrQVCI-D'r 4 Dishwasher .. 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 04441115:1; 2111/$0011;21F.,,11 ;e15...10profi;,ozetillyir tifint;'!"* Clii2"411016 lj•r: Expansion tank 12.51 "i"ATIAIR•D*1`..-:',';',gl'44‘;'-'1):"1.,-••,:"."'..:,-;',"*.:4-"•••",,,'•';',,',..71113sitairlS'igisigElswItlIA:".Y.....;•••7.,.4';',..„'2','tntit-0,•orratt;'-irag Fixture/sewer cup 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 . Phone:(602)694-4031 Fax:( ) Ice maker 12.51 m=7,51.L1101Xxxlqiet.7,-..,--=•=4":::,.., "010,,pomeramEihmqi rilip=1:4=,esrg ii..1:: , ItOlar.i# Interceptor/ easetrap 25.02 17iliti":41714.,i4-1,!-'!•"'!•:!''''''' IL'.e..''Mialiginiiiitt'r litagf!fW i'..o:a;14s,,,.': 'i'4:,::tt,`ASSI, Medical gas(value:$ ) Page 2 Business name:William Lyon Homes,Inc Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:Angela.Grajewsld*polygonhomes.com Water closet 25.02 11'111=1116.1':1131R1-121•76-1,,Lit'x*stieoro=1,741-4-r-r.-1,1 = ==•'-'=;-..--==,""mnilar-z";*===c-ii•Awq=514-,itvm..4101.A.,==,,,,Hi==r0,,,E,,„„L„,,,,,,,,, . . :=4=:4==4*.TEF•F*?*"="--ifimikAlkikalekdresig=1,::=":'":..1.,..A...1.=';,..;„,',J.11111WM,14-0,1firiiimmigyargiglokOholitungt Water heater 37.52 Business name: 6,44 k)kkAN)* NNVok.4.--Syyse 31/14,„,_ Water piping/DWV 56.29 Address: 9.0. Other: 25.02 City/State/ZIP: 51'. P " Oct- q113-7 Subtotal Minimum permit fee: $72.50 Phone:(303.....8 4‘.... 11,4i1 Fax:(till V.at-7a,i...,60 1.7,0 Plan review (25%of permit fee) CCB Lic.: 1813-10._ Plumbing Lie.no.pb 4041 State surcharge(12%of permit fee) t Authorized signature: .***10 fill -0tAjoo""*.-.....„...„. TOTAL PERMIT FEE Print name: ,S.1.-fA,/f_ Pr u)14,..e, Date: -36-I le, This permit application expires Ifs permit is not obtained within ISO days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. IABuildingTerrnits1PLMU-PermitApp.doc 10/01/09 4404616T(10102X0MtWEB) 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13735 SW 172ND AVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Note: no AC installed at this time. Violation Summary: Tel: 503.718.2439 Inspection Date: January 30, 2017 at 12:03:58 PM Record ID: MST2016-00169 Inspector: David Young Inspector Contractor