Permit CITY OF TIGARD MASTER PERMIT
1114 ii
COMMUNITY DEVELOPMENT Permit#: MST2016-00240
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/08/2016
Parcel: 2S106DC06600
Jurisdiction: Tigard
Site address: 13762 SW SABRINA AVE
Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 66
Project: Polygon at West River Terrace, Lot 66
Project Description: New SF
BUILDING
Floor Areas Reauired Setbacks Required
Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1744 sf Value: $241,312.89 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
0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<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'l 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 SF VB R-3 1744
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 2 1 hour fire rated eaves are
SCOTTSDALE,AZ 85258 required at fire place
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $30,459.27
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 OA 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: t -'� f Permittee Signature: /V /Y?/." 77o"/
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 Ap lication _ , Z.( " S /' 1
_ ;'.•
EIVED
rir
Li: FOR OFFIC I_I SF ONLY
City of Tigard . U N 0 7 2016 De 6� „(.6(.4....-••-‘13mnmitN SIA/1.. �6' �a %'
13125 SW Hall Blvd.,Tigard OR 97 Plan Revie ti te010 j eel
/9,z Other Perms 'v✓�.
' Phone: 503.718.2439 Fax: 503. r IC' Date/By: b J / j 1 _
i 4l iA,�� � ra / / loris: H SeePage2for
TICi;RI, Inspeenon Line: 503.639.4175 pp �q9y, G/� t�°� 9 iaa gycm!! nn� Date Rdimeth : (�}� ,�-,(�
Internet: www.tigard-or.gov z '�p�LJ€#°�5 4 V P a�1 O V NohSed/Method ( }t �O ft Supplemental Information
®New construction ❑Demolition _..__ Permit fees*are based on 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
} . ... t :
%. work indicated on this
application.
2lK ; � . s ^4i: Wina 1. g;Z-17Valuation: $
j_i_.
® 1-and 2-family dwelling ❑Commercial industrial )il/ 1- _
"_'I 1.
Number of bedrooms:
❑Accessory building ❑Multi-family
❑Master builder. ❑Other. Number of bathrooms:...42S.....1 ^ �`�]
k.t't a 7 r �k•f g,, i 4, 1 '. t Total number of floors: 2 a i b /
Job site address:1nigt_StAl5 Jfl net / t 'e I New dwelling area: square feet
City/State/ZIP:Sherwood,OR 97140 Garage/carport area: k.:(1:5 square feet
Suite/bldg./apt no.: Project name:Polygon at West River Ter Covered porch area: 4 C square feet 939
Cross street/directions to job site: Deck area: (7) square feet*30e
Other structure area: ', square feet
•
Subdivision: Lot no.CA, 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
,. P 74t mMt .t " ,�� _£ ;� ' .,` work indicated on this application_
New Single Family Detached Construction Valuation:
S
Existing building area: square frit
New building area: square feet
`-7.,, .s„ `i Number of stories:
Name: L)fl �� '�� Type of construction: r
—
u L
Address Do
' nX a .1i, t r
�� . Occupancy groups:
City/State/ZIP. ► , d-1 '2.. z52 Existing:
Phone: W I Alt Li el Fax(360)693.4442 New:
', r-�. tee *:�• ._._._.rte-z-7,.4sr'�:3 -_ -''''','==— ,� -7,� -..c
Business name:Polygon WLH,LLC t»i" � ""Xzrm
Structural plan review fee(or deposit):
Contact name:Maggie Gordon
FLS plan review fee(if applicable):
Address:109E 136 Street
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660
Phone:(360)695.7700 I Fax::(360)693.4442 Amount received
E-mail:maggie.gordon@polygonhomes.com . €€ a i � , '::::-:;.,',.',..7-7,1.1,==,
Commercial and residential prescriptive installation of
C_ _ f- a .� „ -_,_ ,-a K a4� rooftop mounted Photovoltaic Solar Panel System.
Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:109 E 136 Street 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 lie.:207247 $201.60-
Total fee due upon application:
Authorized signature: giro ei This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I IP *Fee methodology set by Tri-County:Building Inaust y
I Print name:Maggie Gordon Date:1T/11/15 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) _ -'.
Y L
Mechanical Permit Application IIMIIIIIIIIIIIEIMICIIIIIIIIIIIIIIII
City of Tigard R E I V D Peanut t+io/1:�'r�17j6.2949..v24(t)
13 225 SW Hall BlkKt„Tigard,OR 97223 matt Review
" rt, Phone: 503.718.2439 Fax: 503398.196€2t7aaetBy, Other Penn>it: i
\it 0Inspection Line: 503.639.4175 J U i� 0 7 2 O 16 : Date Ready/By: ,wis Fa ser Page 2 for
Internet: ww°w.€tgard-o€.gov Notified/Method: Su
-,... pptrtnmttt laWranatitaaf
43 i.* Y.Y., ''' r ...' 'h t t.F 1 i:,
Mechanical permit fees*are based on the value oldie work
to New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all,
Q Demolition 0 Other: , mechanical materials,equipment;labor,overhead.and profit, '
'` ... 7 r , 3ci Valor S
I-and 2-family dwelling 0 Commercial/indastrial 0 Accessory building For special Information-use titentlist
Q multi-family 0 Master builder 0 Other: Description Qty, Ea, 1 Total
''k ,, 4,*** , , "° ;Fat „:2 - .. ,-Y' tttating/cool10Z
`'' �/ D Air conditioning 46.75
Job site address:1'11/2 SVv (b1 1 e Furnace IQt3,t 3 BTU{chartsventsl 46.75
City/State/ZIP: sL 'u,�od, 0 1-'\-I 0 I ; Furnace 100,000+BTU(dnc.events) 54.91
l ,,�.�� 1l::atpuntp f51,£�i
Suite/bldg inlet.no.: IProject name:.. 1\ L-� - 3• t Duct work 23.06
32
Cross sireettdirections to job site: ���Y n A-,'17c� Hydronic hot water system23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric).
E in-+°all,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision:River Terrace 1 Lot no,::lV'A Otho 23.32
V' Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
* tactlntscrt 3339
f
.,,,'4'!',,,::.'j:.--4,,„-4-t;'
x, �' '' �.-.';ate. .z .; ?S,S. ��;a Gas li''tP. .�.' �, i "' s -��� "'�
Flue vent ate heater or gas
11 V AC 1 fireplace 23.32
Log lighter€gas) 23.32 I
Wood/pellet stove- 33.39
Wood fireplace insert 23.32 ,
Chimney/liner/flue/vent 23.32
..; .3 * a ''''''''''''''''...,--4"''''''''','- Other: 23.32
=! _ �,„. .�_< ._� '
. � ' .4� v� q �•
Envlrteemeetat axhattst and vrntRation:
Name; �V -! , I , Range hood/other kitchen
Address:'`� n '^
Ili, 'equipment 33.39
1(0O OtilIO.e a /'�y Iu!k� (4 / `Clothes dryer exhaust 33.3x3
( City/State/ZIP: a a Ir(r/ Sing 'true€exhaust(bathrooms,
IM-C. [_y (r L/ toilet eo pa 1ments,utility rooms) 23.32
= Phone:(4 '].� ,/ i.,/(A Fac:( Attickrawlspace fans 23.32
r'ft ., n '''f a ,i s Other: € 23.32
BuSittess name:Apex Mr LLC Fuel piping:
514.15 for Aral faun 34.03 for each additional
Contact name:Stud Way Furnace,etc,
Address:22T0 '.Maio St.Suitt 107-272 Gas heat pump
Wallisuspended/unit heater
City/State/LIP:Batik Ground,WA 98604 Water heater
Phone:(360)342-8109 Fax:;(360)326-1769 Fireplace
Range €
E-mail:stacib apexairto.coet Barbecue
;;
,�, '.. ...: i E t.ig .._ ��F'`{i ` ,*7 l'°.ti a . i1 f1Q1heS dryer(gas) _......
Business name:Apex Air LLC tither
�; Wlta..- ,�k �.,�. . t. .�rD . o ,.
Address:220 W.Main St,Suite 107-272 1 Subtotal
City/State/21P:Battle Ground,WA 98604 Minimum permit fee(590.00)
Plan review(25%0 of permit fee) '
Phone:(360)3424109 Fax:(360)326-1769 State surcharge(12%of permit fel)
CCB lie,:203034 . [ - - TOTAL PERMIT FEE €..�
' This permit*pptiration expires if a permit is not obtained within i80
days after it bas hem aecepttd as mumble.
Authorized signatur: ` • Fist mettrodolIndustry set by Tri-County Building Service Board
i Print name:Stasi hay f Date:1128/2016
t‘11uildimi%P.t.newatEC_PcnnitAW„04O1€3.doe 440-4617T i r t I ERY_'c0M AER
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'. Phone 50311'0.2439 Fax 503:555'gap ED
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Coos freetlrtgectionsto ibsite E] ert7eea:feeder600 ,xmar& 00 ao,nangl
an�mion t<a,, . Garb j Tod ;4:
Ne31�b idenazi single•i r multi=fs falba dtge#T1ng vo1E
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t Of#F/,rn Irutaties aNaclgf goat
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Ii,stili ,,,,,„ 4.r,rpatt on 33-9y 1
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II A f/akfambrtas 10070,"
/19 2
s � '� 44-tw 1o400nmps to336 3:
A I_ s A01to }amPs Z063)" 2
a /4j dt1J qui),.Jc 3 ooO anYps 30184 2
JPhOttcr(QOZ- 7�J/ fats.{` ) i�0 crooks s �s; 2
Bide-it:. Teuipersrry services or:[eeders hieetaltatiaa,siIteratton anilfor
relocation
4±vsterrisstalln lip This installation is being u adc on Proph Shat'T t,r which•is not 200 on �Or less, 59.36 I
nttonded ffr sate,lei*rend or excbatfgc, carding to OltS 7 =1a9,670,mutX4,1. 2p1 a, s 0.400-snips 125 as :
C)Wncr sigrtatilre, Date: ! II
801 mime t0.)99040 7816. 't:
x � r _ %CiUI T r PERSON EniACL attcuits—etc tatfi t#on=orextei sion, erpanel
. . . A Pec iu,,,..„rdi cuctiits arch
Business'naane trni�,e. ecfrric W si iiigaFaa,11LC atiavcserv,ix orfccdorfee,
eadr:btaaoi,tatix&t. 7.42. 2
Ct,ttia t3 ame,l dI Daniels n £eefioa br?tacia srsi{ts3rirTr er
Adche ,1fli b'k. oJans,Rii secaicxoi fixilerYec fist 56:15
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. /StateTZIP Vancouver WA 956 ii1 Eaeli itiranch+p#rea#t; 147 2
Ph •253) 20-J 57 Pax:;( ) 12
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_- saianotkepsi:spemodutar
7'irails bdanieta�giveusa.eotn dxgitin8 icr ai,droriaskr fi28►
ltecmnnec2ont" 2
1,14'�k ... LQIU(li?CiL21 l' tip it trrcgatttin�i,c18; 6734 2
Bu_ .,.s atne Garnier Electric Wasft rtgt0st:LLC: igeorud ,eligfiting 6154
Jot te& 01. 11 S, t�ahtu I1d r t e s}brtorr,tvd trcrgy
panbt,.-a .,-..oacr:!ctcusitvo 1�Seepage- 2
41ty dP Vancouver%Y4986b7 Eat addtii0an13i,sptct#Nn jiver altos{$We7i,airy o!the above
I'bone 3 0X57 Fax:( ) (1£tiiiin).. 9,0.OWi
email bad' t 1r,dorial iF�} ) 7$181 hr
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, .BrluitilmbeninggFPixermreits ApplicationEcEtv ED
City of Tigard JUN 07 2016 Received Pemni NoN.J7 -0/6-00,,2-1/0
. 13125 SW Hall Blvd.,Tigard,OR 97223 ppalantriBYRevi:e,,,,
'.: g ' Phone: 501718.2439 Fax: 503.598.1,9401-v -- -
111
°V ("GARD Daterty: Other. Pennit11°': 2
Inspection Line: 503 639.4175 l./1 1 1 ,., ,t\no I 1-1 Krparte Ready/By: futiN. RI Set Page for
Internet www.tigard-or.gov 0 LD Mi ')1'''.'''"-/ 1,roedfmed.d:, , _ „,..,supplemental TarprmatitT,,
';' ,
111For special information use checklist
New construction II Demolition
Description I Qt Y- I La. I Total
[]Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
-:-- ,.-.`•v....-v,e.,,, '4-'.'" 5r4 , .,'*;-%-,'"'''',,,,,:''''''‘,„'" ''',,,,, :,...t`'" .1..Z0 s;.tie,'rv,:i.----2,,,,,1",..7 -• SFR U)bath 31170
01,75,F0i;,,k.„,„:,:aq,„;•47.74,-''.k....;,-V-P'' 4„,'''',"'.'"°.,, 11:1,,,,,:',41:,441:'4., i'.r-,7,,,,r4':' !.'., ..,'4-
'rI ' ' '' ' ' ' - II SFR(2)bath 437.78
1-and 2-family dwelling Commercial/industrial
SFR.(3)bath i 50032
D Accessory building El Multi-family Each additional bath/kitchen 25.02
0 Master builder El Other: Fire sprinkler( sq.ft.) Page 2
-:'xf--,-.'t:,:rzgey,zwrfxfispexkwmTrT- : „,,,,v IFIWIEVMPtkirkif,7:ia Site utilities:
\'',,,,4"'' . -la,id-'0- -' -- ' - '' Catch basin or area drain 18.76
Job site address:131692_,S\jkl STri ro r tvu ri Drywell,leach line,or trench drain 18.76
City/State/ZIP: k I),,)0 c), c) k-t. }-k 1 (----) Footing drain(no.linear ft.: ) Page 2
Suite/bldg/apt,no,: Project name: Pal L96y-1 CA- V1/4.).-efk Manufactured home utilities 50.03
Manholes
Cross street/directions to job site: 1;1\.,,,,....(---ceigce 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear It: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: 1 Lot nolotp Fixture or Item:
Tax map/parcel no.: Back-flow preventer 31.27
---, - -, -4c--'-..--,..z.- 7---, re. ,,,,,-..'• - -;01,.,-.„, Backwater valve 12_51
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
..H-v7tV1-?-':":1, Expansion tank 12.51
r.. ' ..,fir' , sa‘z.... ..1., ... • F, ciacwer cap
25.02
Name: il!POW "7rjra loIMIIIIIMIIIIrrvsimrrvumi Floor drain/floor sink/hub 25.02
Address: 41Nrilni. 1.11 . a ' 1 f..,ir au r..,..c.oPlut ilia ink/rk am Garbage disposal 25.02
.-r,j,--,.r...-,..
city/sweat>: ,\ (.,6 -Nmf , acifigkimm;1 Hose bib 25.02
Phone:( / -•"' •4g1 7 Pax: II op V)ej -- 4L-M[ Ice maker 1231
25.02
Medical gas(value:$ ) Page 2
Business name: Kv....- t- l'.>11.,..L.,x.r\V-ii v-.1 t Lk,. f Primer 12.51
Contact name: if\kei Yle V4- 4-k-irY'S l ''t''''03 ' Roof drain(conunercial) 12.51
Address: t> ty4., 1"),--7 c) Sink/basin/lavatory 25.02
City/State/ZIP: .,:;,..e qv-1A-4\A el-)0s-0 Solar units(potable water) 62.54
Tub/shower/shower pan 12.51
Phone:rill ) ,gC).1.,p - q'(ST3 Fax::( )
Urinal 25.02
E-mail: K., ' ' _to Ildlit 0-11-1 0...041, a..,s-is . _.- ,,,, water doset 25.02
Wr.S7,,T,Z7,r14,V*31,7„7,7:i7,14,1,W6,33747.74%;4$4,-4,7-7". 37.52
-.7 ."','",i;.‘ri."'Y'-'4.rel -,',.>-),,F,-,,,',0,..p.r,-....„,,,,e1 A.-••.,,,,t,NA.;.;....,- -,,,,, v• -.-44. ,-4-',.... ',,,',...::,-,,',I, water heater
Business name: p( ,,- Water piping/DWV 56.29
Address: i'D ti5 D-..k 13-?z Other: 25.02
City/State/71PSubtotal
:.._ 1.- shaaysi OR,
7
r; 9' t.- )k)
Minimum permit fee: $72.50
Phone:(91/) f!JI -1.113 Fax:( )
Plan review (25%of perrnit fee)
4 A
CCB Lie.: 2 D(6r -el- 2„._ Numbing Lic.no ..I Jo 2_
)t ,- State surcharge(12%of permit fee)
Authorized signature: / TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 189 days
Print name: (\Via ji‹. 144,-,„r t-1/0",...i.f, Datil ac)/jefri,„ after it has been accepted as complete-
' r *Fee methodology set by Tri-County Building Industry Service Board.
IABuildinte,Parnits\PLMU-PcmitApp.d,x.10/01/09 440-4616700/02,COMAVES)
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v"
City of Tigard
~ COMMUNITY DEVELOPMENT DEPARTMENT
II ■
T l c n ri n Building Permit Review — Residential
Building Permit #: ittt.S 7 /, --- y®
Site Address: / %Q 3,46,,/,,, f
Project Name: fPpw� 9� ,7) col P r�ice-{` -7" Lot #: __
(Ne ng=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: / -60ie.
7ier
erify site address/suite#exists and active in permits stem.
4� River Terrace Neighborhood: ❑ No V Yes,See River Terrace Review Addendum Attached
Sit Plan Elements: ,
ree(3)copies of site plan 54 sting structures on site
"'Kite plan must be on 8-1/2"x 11"or 11 x 17"paper 11 ootprint of new structure(including decks)with finished
Vrawn to scale(standard architect or engineer scale)
vjyt
or elevations
rth arrow or
locations (required for new,may apply for additions)Efie address,project or subdivision name and lot number •
I� • ation of wells/septic systems
V .plicant information (name and phone number) IV rosion control(including drainage-way protection, silt fence
IP .t dimensions and building setback dimensions d sign,location of catch basin,etc.)
1 .t area,building coverage area,percentage of coverage and reet names
ervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location
roperty corner elevations (2 foot contour lines if more than FiWating trees to be retained with drip line,and tree
4 foot differential) protection measures
Olean Water Services—Service Provider Letter of platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified C No Received: ❑ Yes ❑ No
Public Facilitie Improvement (PFI) Permit:
Required: yes,applicant was notified ❑ No Applied For: es ❑ No,stop intake
,,__,//
and Use Case#: P / (D2-71/ S.' /Z3, _0/1S--- (.? )ae
Zoning:
Oetbacks: Front is Rear 0 Side Street Side /VA Garage 3
Vandscape Requirement: Q
wof Coverage Maximum:
ilding Height: Maximum Height OA Actual Height CQ S
ICO Clearance
11J Easements
tiensitive Lands: ❑ Yes t14 No Type
Urban Forestry Plan
❑ Conditions "Met"prior to issuance of building ermit /
Notes: t'%i1( f ion`S 4�%'�-� // 7t�t%� 71`. `ri ,73 1 { - / r''-�,,lr/
Approved By Planning: --""gil -d Date: t I
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved Cl Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\Fonns\B1dgPermitRvw REs 0121I6.docx
i
r
Building Permit Submittal
Original Submittal Date: 077/,
Site Plans: #
Building Plans: # 3
Building Permit#: Et-Enter building permit#above.
Workflow Routing: 42'Planning .#2-Engineering 1ermit Coordinator wilding
Workflow Sign-off: i 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: 42.,'.111111r#:--- Date: /l�//
Engineering Review
,.41Slope at building pad: ��
❑ Conditions "Met" rior to issuance of buildingpermit
p
❑ 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
❑ NOTA prov b Engineerin : Date:
Notes: c - 1tGr,•
Approved by Engineering: feZ Date: 1/'-/L��
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
Approved,NOT Released: /��� � Date: lj 2-074,
Notes: Cnc"-`---`
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: ) PSes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: )k,Yes ❑ N/A
OK to Issue Permit /I
Approved by Permit Coordinator: //1 � Date: .:7-��/
1:\Building\Forms\B1dgPermitRvw_RES_012116.docx
1.
.
City of Tigard
1111 li
a COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #: /7:17—A9/6 --'0U 2X0
Site Address: /S9(ec2 L(.) ,. ,0 % i1Ae_
Project Name: i v. , ,i z _e,--- .- co `, Lot #: (e
(Ne(Ne
d ,ti g=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist ct Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards? VYes ❑ 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 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
CICICI ❑
2.Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: pts %
3. .ntrances:At least one entrance must meet both of the folio g standards:
(�/Max. 8 ft. setback from longest street- facing wall1° 1 arallel to street,angle no more than 45° from street,
gor open onto porch
Entrance opens to a porch: /Yes ❑ No
If s,all the following apply: 6,5^sq.ft.min.
Ene street facing entry ft.max.roof above floor of porch
ft. depth min. 30%min.porch roof coverage
Vvered
tailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
porch min. 5 ft.wide x 5 ft.deep CI Recessed entry area min.5 ft.wide x 2 ft.deep
VI/Wall offset min. 16 inches ❑ ormer min. 4 ft.wide
0 Roof eave min. 12 inch projection ,Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood IL/J Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑yorizontal lap siding min. 3-7 ft.wide
❑ Accent siding min.40%of street facade VWindow 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
i
. . : • •es and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or si.e . ' e,than longest street-facing w. Yes ❑ No. If No (Check one):
El May extend up to 5 ft.if there is a c.,; -d front •: and garage does not extend beyond the front porch.
❑ May extend up to 5 ft.where the gara.- .art o ; o-story building and there is a window at the second story
above the garage that faces the s , with a min. area of 12 sq. .
Width: (Check one)
❑ 12-fo. •• •e garage door ❑ 40%max. of street facade
i 1%max.of street facade with 7 detailed design elements
Notes:
Approved By Planning: '' '"-----'----7--- . Date: " I
1:\Building\Forms\BldgPermitRvw_RES_RT_031416.docx
Plumbing Permit Applicatio44 -(
Building Fixtures
SEP 1b 2016 Received
City of Tigard / 7 DateTRY ",--0._ Penult No.: M g 2.)(fe,.Do 240
: / es' /
III II 13125 SW Hall Blvd.,Tigard,OR 9724 -1-v(-1!.:, i p,':..‘,A:,:::::',.,','.". Plan Review
Phone: 503.718.2439 Fax: 503.54. , 0,4,, -,' ;:`......,,'', Date/By:
other Permit No.:
InspectionLine: 503.639.4175 1::','•U;'in-A-#1: ..-4 -.-7:, '..-. '•f''''''..- ,i'i••--f. ‘.'•' Date Ready/By: Juris: ia See Page 2 for
1 i t i.1 R D Internet .tigard_or.go, Notified/Method: _,., S!..?rell.ntl1
!!!.717ti7.1.mnp&miiip,
AlfalilliM4,1455143:14r513'"74T:HaritiblinOlreigirtftlifeilktg 411Napjifirejlilp1111101;2:::1:,,,c1 :,•44,,,,,;.1.?, , 44,61.10„jkln„:;VEES„ZkElitj
'''.4F;,Ig4'rAf•Mgitff't•WiiRIEIAai-Mlt:W 9-'frA• t•,,,,p-tii•t;iiit,--lirr!iii-,Rigq'itRlr,iA••.,-'2'4,Ph=+=RiEiQrdHq.r'.F.v."'''',,,, ' '''" '-'•----- . n e checklist
For special a:forma:to use kT, New construction L.-Demolition
Description I Qty. I Ea. I Total
0 Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection)
SFR(1)bath
'EZIIIfoinfmipaaerstN.;:F:17rrjixtitA'::::;;i;ilq2atijortgaiiistaimm, 312.70
1-and 2-family dwelling , Commercial/industrial SFR(2)bath 437.78
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
v , miitojieiiaoq site utilities:
`,74.10145::#1:; ####Thusill .
/,. s Catch basin or area drain 18.76
Job site address: 1:"211.01.., L5Lk) so_uri(14_, e.,
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
liaet:r Footing drain(no.linear ft.: ) Page 2
Suite/bldgiapt.no.: Project name:Nesetslost River Terrace 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
Pb[3.4 or) ' cLt" Aka-t" Water service(no.linear ft.: ) Page 2
Subdivision: • - , . ver Terrrace Lot no.: (e(0 Fixture or item:
Tax map/parcel no.:
Backflow preventer 31.27
Backwater valve 12.51
...1,,,r ,,,,,,a,
rigeillitakit.'?A :;., :::4t::i'i'.,::::.,,,,-„11::;.1,1$1.7.t.1:.&;‘4',,,,,::;:;,-.antifillif54,249 gm-mieffqn,'t•"-.'''&''''''' Clothes washer 25.02
e4.- 25.02
Dishwasher
/
Drinking fountain 25.02
Ejectors/sump 25.02
,
r#######ei#1-##%,#7::.i.11,..ii,:•-.#'':""J-f./s10-1#7=7;#7-r1."7,414411#141E14:,l:3AR3E1iMIT#Ti-..r.ft:TEf.intrgr####114-116.2'1
Expansiontank 12.51
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
.11V1-'1-4`8e1-11MIZttir9i#71)."1111:,!:-#Vitfl',:lFilirliMigitiii Ifiligif Al'"'ZTVi;'Zt't-Tr.:irlittitf latercePt°rIgre"e traP
i
25.02
medical gas(value:s )
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/LIP: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.Grajewski@polygonhomes.cons
Water closet 25.02
P/#1121i####.#################TA#v#:#06 ##--0,--,s##qs#ti:'# 6-11,4•:"AiNiNgmElialffitiok,aVilmiTIEIAI55.0N144, Water heater
37.52
Business name: ,44 i?L4,,,,wv1) .4-6rovw71.4.4.-- Water piping/DWV 56.29
Address: Other: 25.02
City/State/ZIP: ST, e 4.,A .orc... cilSubtotal
Minimum permit fee: $72.50
Phone:(,St#3,-,$(4."^ 1411 Fax:(tii V ./ 1
- ...
4?11A)
Plan review (25%of permit fee)
CCB Lic.: 18131,3., Plumbing Lic.no.P15 ( 311
State surcharge(12%of permit fee)
Authorized signature: :caA)41/4,) -014041..° . TOTAL PERMIT FEE
Print name: Si'fA/f,._ kvi4..e, Date: --3 b- This permit application expires Ifs permit is not obtained within 180 days
after it has been accepted as complete.
...
*Fee methodology set by Tri-County Building Industry Service Board.
1:18uildinglPennitsTLMLI-PermitApp.doc 10/01/09 44046161*(10/02/COWWEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13762 SW SABRINAAVE, SHERWOOD, OR, March 22, 2017 at 11 :20:54
97140 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00240
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13762 SW SABRINAAVE, SHERWOOD, OR, March 23, 2017 at 11 :51 :48
97140 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00240
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
Corrections from previous inspection complete.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13762 SW SABRINAAVE, SHERWOOD, OR, March 23, 2017 at 12:02:00
97140 PM
Record Type: Record ID:
Residential - Master Permit MST2016-00240
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13762 SW SABRINAAVE, SHERWOOD, OR, March 22, 2017 at 10:56:32
97140 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00240
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
AC whip not installed.
No power to range, not plugged in.
Not ready for inspection, work not complete.
Violation Summary:
Inspector Contractor