Permit (13) ilii �, CITY OF TIGARD MASTER PERMIT
11_ ' COMMUNITY DEVELOPMENT Permit#: MST2016 00065
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/04/2016
Parcel: 2S1060001801
Jurisdiction: Tigard
Site address: 13426 SW SATSUMA AVE
Subdivision: RIVER TERRACE NORTHWEST Lot: Multiple
Project: River Terrace Northwest, Lot 76
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 32 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Yes
Total: 2229 sf Value: $270,834.42 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0
Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add']500 sf: 3 201-400 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 2229
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: $31,384.48
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / �ff1/ /'(✓C•9-%ok/
Permittee Signature:
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.
g /
' Building Permit Application G-- C�/ 7l, LS o29 __
ry _
it ._- v,„, GOR oI-FIC: l tiL oo►
Received '• PermitNo. - "lilt --,-
City of Tigard ,, ,(:. Date/BY:v,/o., //a heir r �'f
11111 13125 SW Hall Blvd.,Tigard,OR 97223 § €� U'v Plan Review it / other Pami ff/ �d'i4 et 99
Phone: 503.718.2439 Fax: 503.598.1960 DateBy. l �b Ips
Inspection'Line: 503.639.4175 ,- '4 4 i t ~ s,-d Date ReadyBy: H See Page 2 for
TIC,:;f I? i. i 1 - ' ^i1) Notified/Method:l U//�0^ �1.�+' Supplemental Information
Internet: www.tigard-0r.gov t � 'ie.. 6C&"--
Permit fees*are based on the value_of the work performed
®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other equipment,materials,loverhead,
onea
and theprofit for the
1pwork indicated on this application.
)-I
® 1-and 2-family dwelling ❑Commerciallmdustrial
Number of bedrooms:
❑Accessory building 0 Multi-family
Number of bathrooms:"14,3
❑Master builder ❑Other / Q
- p r - ifs : a.f i. i'v iK � - '',' " Total number of floors: 2,i.9, s Ci 0 1
te,; __ d s
/3#1 ( fw 4V-....40,,,94 New dwelling area: square feet
Job site address: - 7, � �
City/State/ZIP:Sherwood,OR 97140 Garage/carport area: !j�v) square feet
Suite/bldg./apt.no.: Project name: .. t.e.1- t......: it Covered porch area: ‘D square feet 'as 1
Cross street/directions to job site: Deck area: square feet 9 7 8
Other structure area: ', square feet•
Subdivision: Lot no.: 74. 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
6,1,7.72; ,,,_"--,'..;.,-,-_I `'� f 1 � � ; - 4 work indicated on this application.
Valuation: S
New Single Family Detached Construction
Existing building area: square feet
New building area: square feet
° P ria �:i �Wr<-'-W� .._'�. Number of stories:
a Tem -.
Name 1'ulyguu WLH,LLC /9-.64i/ --71/ /9-eL&/A/GS 41-11 Type of construction:
Address:109-E-14-S' t ee! Occupancy groups:
City/State/7l1-V, wna.v -,_wi,;l$6F1) Existing.
Phone:(360)695.7700 Fax:(360)693.4442 New:
:.. t4.'rt. p S �1�n^.'3`+.e1r�'•"yN`^ • 7 ,.'- Edd p�:ii' F 9f ' s : r ' 3 C1 r 3
- 4,.-,�.C'"-,' j --.:4 -sr.�
....r. 'a'ms-..,.uJaW.tm>,,'. .... ...,-�...r.-.m,..-.-.......-.-....,. cM- .<.>Kut
Business name:Polygon WLH,LLC Structural plan review fee(or deposit):
Contact name:Maggie Gordon FLS plan review fee(if applicable):
Address:109 E 13th Street
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660
Amount received_
Phone:(360)695.7700 ( Fax::(360)693.4442
E-mail:maggie.gordon@polygonhomes coin C glal _p
" ro
y 1 ��'I)-:-FI 1- -, rz - ----1'°:',.''..
f
ommtet and residential prescnptive installation o
.� . �... .__�.P-,,. �.-- ---_ ,..� -"� a_t_ �.��- ,-� �-�;.S..".. - �.�_�-- ref-top mounted PhotoVoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name:. , 4.//(1,/ /moi „),,,,A) 1/y_ /iVG 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
ity/State/ZIP:Vancouver,WA 98660 and administrative fees):
hone:(360)695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60
13 lir.:207247 i Total fee due upon application: $201.60--
horized signature: �i ! This permit application expires if a permit is not obtained
i within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County..Buiidmg Industry
name:Maggie Gordon Date:12711/15 Service Board.
ding\Pennits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
c
4 e
Mechanical Permit Applicatioa. ' .,, ',4 IIIIIIIINIEIIIIIIIIIIIIIIIIMIIII
City of Tigard Wie Received ly: knit No.=/t _C rAfYr 6-'00041.5
N.....• 13125 SW Hall Blvd.,Tigard;,:QK.9+,72.11 l.0; Ptah Review
Phone: 503.718.2439 Fax: St}3 9 t6b0 t}ate,By: OtherPenmt:
e ,,l:;i) Inspection Line: 303.639 175 tate Ready/By: lois fd See Page 2 for
Internet: vo.vw.tigard-o[`eo'v' hainecitMethed; Suppiemental tntortaatioa
tea' = Mechanical permit fees"are based on the value of the work
tg New construction 0 Addititoivalteration/repla(Xillent performed.Indicate the value(rounded to the nearest dollar)of all
Q Demolition 0 Other: mechanical materials.equipment.labor,overhead.and profit.
, a � ValuC S
,� 1" *-"`'�$' , .,„> ,,,;....,-•,--:. a" 4.a.v �1^ "4. ms`s • ,' n. ..r € '.f t3 is,3�i : fie ...,,..
El I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For•spedattufo►.,ration use rheriiitst
CI Multi-family 0 Master builder ❑Other: Description Qty, Ea. Total
r Heating/roo11n A1
H -. <x $ f l l� T .,ry ., Air conditioning 46.75 _-
.p 1
^01. -1?
Joh Site address: lJ"_ � Furnace 100.000 BTU(dn�cislvents} J 4675
City/State/ZIP: -\Q, ,k,D OK Q 1 n e Furnace 100,0004-BTU(ducts/vents) 54.91 _
Heat pump 61.06
Suite/bldg./apt.no.: Project name:River Terrace f Duet work 23.32
I Cross street/directions to job site: Hydronic hotwater system 23.32
Residential boiler(radiator or
hydropic) 23.32
. Unit heaters(fuel-type,not electric),
in-wall in-duct,suspended,etc. .. 46„75
i flue/vent For any of above 2332
Other: 2332
Subdivision:River Terrace 1 Lot no.: /�
T Other fuel appliances:
Tax map/parcel no.: • Water heater 23.32
„,, t t, t t t Gas fireptacr watzt a33
m t ,. „,.� > •. - w• .�. � Flue wart for caatelheasrr or gas
1 fireplace 2332
HVAC
Log Iinhter(gas)
23.32
Wood/pellet stove: 33.39
Wood Fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
.. ,,.. ,:�",. ,, .: . ._ .4 . ,�, �� . . exhanat and ventilation:
�}�; 2332
. _ Environmental
Name:Polygon Range hood/other kitchen
it 3339
Address:109 E13ra St.Sputa 200 Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,WA 98660Single-duct exhaust(bathrooms.
toilet compartments,utility room) 23.32
I Phone (425)586.7700 Fax:I( } Attieferawls faits i 23.32
O�� _ to ln n� a �� e7!' � e:, Other 2332
,, piping:
Business name:Apex Air LLC Sl4.15 For first roar;$4.03 for tach additions)
Contact name:Staci Hay Furnace.etc.
Gas heat pump
Address:2210 W.Main St.Suite 101-272Wall/suspended/unit heater
City/State/ZIP:Battle Ground,WA 98604 Water heater
Phone:(360)3424109 Fax:;';:(360)326-1764 Fireplace _
Range
E-mail:staciingapexaireo.com Barbecue
N r r ; n ; . c•lothes dryer(ass)
f Other:
Business name:Apex Air LLC . i i ” F I .a :f +s ; . ;'::: i
Address:220 W.Main.St.Suite 107-2/2 Subtotal
Minimum permit fee(•540.011}
C iiy/StaiefZtl":Battle Ground,WA 98604 Plan review(25%of permit fee)
Phone:(360)3424109 j Fax:x(360}326-1769 State surcharge(12%of permit fee)
. - _ _ •; -TOTAL PERMIT FEE_ .. — t
CCB lie.:203034 i This pm.itappr.on.expires if a permit is net obtained within 180
/ days alter It has been accepted as complete.
Authorized rig . . . :r/ ,C ` fico methodology set by fri Camh'Building to stry Service Board
Print name:Stied hayDate:1/2812016 i
I suilgrawigc PcnuirAur 84RI LI dec 444464 77 4 t litat't r.a'n' l
•
0
'
• 0
r,1( 'r.0r$001/ 0
B/ectri"1 Peril'it A ik2'-4.1 _ ,., ,n, 1 i-r14'-, 1 1- ____ , __a ,_,..
[--,--Q 9 ' Juk3 L -
Cui2itys sOwit;railgBivrcidTigard OR 97223 L-'') '''i , , fookm*Ian itoimn". , PerInwil 4;cmit gi.fc.€247 4''?) 4"--•
,
-
i.,.. Phone:503 7102430 Feac 503402 4'00 , , 0--: : •
t ‘r
1/1
M011001100 400:.503.639475.,„ ..:aajlY Dale/0P 1.0 lit get 1'0(307 Soo
""' ' ' l ilanff....rlfkletiloit SaPPIOntaid falbro'dan
'""'' ' hiteilIct 0/1.VW.dgard.Or.gOV ::,1„
's-C.",,,,,,,,'t••4 ' .-,',,,- `v.'-o' '-'•""
TY'g OR 14174R
,,14 New' .iistrticti"' In' b Additontai,...,,,,,,,,,,....., „,....,:ileek idi 1141 oply tiutnat 2 at,atoms. acated):
Sonic*or tooder400 amps or woo 0 Boiling ay.:waste oosrint.
Ei Demolition CI Other: lawk faulti.a, ti.mayinnom boty4,4,
'CA ' aersts 10 000 ampszt 150 volts or El floating tooldlegs,
Et--,*Z-Z, '''-, , - -.1:00011V,4)F C4)r930t/C17°HA---- '
P14 Co trial.use 2g
I-and 2-family dwelling Q CominerciaLtinclustrial 0 Accessory
bui ding m14e to giOnir Or:-. .000 Cj icullutalka .
1
aMPS fOr Ot6r litSt0WWWW. WIMP- .
Dmuul-tanily EJ Master builder 0 Other: 1'3Rn:rev, ID lartmantim if i SO KVA or .,
JOE=grrE"4PROiltirLialloPt MVO UOCAT(ON IlElnofe.ty system. a,r ap
Ingkortvarat. sly derived
,
1J Jtiori oro.w molar loa o
Jab g: job site addre„ss:
r
, .
V
occupancy.
cx
LIS Or more rcottlectial 01043.
City/State/ZB':Sherwood OR 97140
011ealuicans reciantes. 011ecialtiouat vvlicleptak.$.
-
CIllataxdoos loontioits, El dui:ply voltage.far molt I1Fa
4
SulteibidgiaPt 4; Prajet name.; Elsow-itm or ioeder600 armee. 680 valet voml"s1
Cross staret/directions to job site:
' ... PEE Sea,ignilig
samriaaane 1 oar.r FAA i
New residential single,or nauld-ramlly dwelling wit.
Subdivision:River Terrace 1 Lot iii-3 a Includes attached garage.
to
I,000sq.It or less I 16154 4
Tax map/parcel#:
Ea.adril 50° orpottion 33.92 1 .
DESCRIPTR344 OP VI/ORIC. Limited nem,seoldcalial
Newj 75.00 2
tenth above so«11.)
Slagle Family
Limited ,cauhr-fittralv
erwrgy
- 75.
00 2 €€
residential(with above so-It) t
l
Netter/able Energy 0 Scektee 2 a intoparry OVitrfert I Li TENANT strokes or rod -s installation,alteration,ana//or relocation
Nanse:Polygon Romeo
200 unlls ur less 100.70 2
201 amps to 4110 amps 133 2
:5)04
itddiess;109 Z 13*St
401 amps 10600 amps 200.34 2
CitY/StatetZIF:Vancouver IVA 98660 gni„tan to 1,000 amp 301. 2
• t
Phone:(369)6954700 I Fax ( ) over 1.0lio amps or volts 552,26 2
P
Tern orary serviees or ladders installation,alteration,and/or
Email:
relocation
Owner installation:This installation is being made on properly that f own which is not 200 amps or less 50.36 1 I
intenckd for sale,lease,rent,oe-e.gcbange,according to ORB 447,449,670,and 701. 201 amps to 400 Mans 125.08 J 2
Owner signature: Date: 401 amps to 599 amps 168.54
2
" APPLICOT 1 LcoNTAcr PERSON BAr.aFsnechfoeribrreotudcmhrnmewt
her
ation,or extenon, er Panel
BusinessnameGaraerimbicwashingtues
LLC
abovcse.roicer or tectier rec.
eac,it branch circuit 7.42 2
Contact ammo:Bill Daniels
S.Fee ror branch eircWas wartmer
vica or
feeder ret,rot 55.1S 2
Address:6101 NE St Jtalins Rd
sa
branch circuit
Each add'I braucheircuit 7,42 2
atY/State/ZIP!Vancouver WA 98661
Miscellaneous(service or feeder notindraded) r
Phone:(253)320-1657 Fax::( ) Eacbananoraconed or modular
2
. dwelling,servireandrm feeder
Email:bristaileleglgwensra„corn
67.84 2
iteconnect only
CONTRACTOR ' 1
Pump
"iniP11°"cimIc 677042
4 2
Business name Canter Electric Washington,GLC sip ormaline nuaring 6
' Signet shooks)or ilinited-energy . .,
Address:6101 NE Stlahlts Rd
me
. Cl See Isage2 m,etreradon,or exte051031, _ '
,
City/Site/ZIP:Vancouver
'garb Aden/lona)inapeclion over allowable in any algae above
iVA 98661
( n I
IS/lir 66
Additional inspeetitin I hrmi)
Phone:(2.5:t)320.1657 I Pax( ) investagedo— ' n(i lat-aelti) 9040.11a
7$_181 hr
1141.064 plant(i Irmo)
Email'brionletsrtgaverma.com
• -
inspeetiansfervilaiched fee is ,„,„„,.
.
CCBL1 C1158 I Electrical Lie.: 208174 - I Suprv.Lic.:4496S , AccificallY Intel(WM eult) ''''''
' ' ''%,..,nti,igedilo PERIVWFlans ,
,
Supra.Electrician signature,requited; _•t-L?„ viol i if i-le,c_I--
1, P,
. ,
Ptint name:Joan P Albert Date; ail.ills OP Requital(2514 of Penult Rte): ,
---
I
Authorized signature: 7 — - . Ist sul4larlDTP6(1A1/2%,P°P(RMITP4141 tPE.Efte)::
Print Dao.eis
nome•14111 Dana
e1 a
thde4 \ ct plane , nod batt 14
1 application to fr a perm* ob hate within um
ilayi After it 112$IlItti.itte-Opitd OS C011ipitte.
4 . i
,
11 i lib.
Number of lespeetiorts allowed per pealed. I t
k
.....
huits141141NnottslliK.p.m.)1ApkEGR 011r..doc am 051111301$ 448.46/six tits/Om/wen
I t
• ,
i
t
Ii
;
i
Plumbing Permit Application•_`
Building Fixtures Ic)l2 OIl I( F 1 SI ()r1.1
` _r1 c -,i.n
City of Tigard t '`� Received
INn 13125 SW Hall Blvd.,Tigard OR 97223 Date/By: Permit No.:
• Phone: 503.718.2439 Fax: 503.598.`'196Q' r Plan Rev'ew Other Permit No.:
Date/By:
r H t;\I n Inspection Line: 503.639.4175- Date Ready/By: Jan,: ®See Page 2 for
Internet: www.tigazd-0i.gov Notified/Method: Supplemental Information
• FEE'SCIIED
®New construction ❑Demolition For special infornmllion use cherklrst
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION" • SFR(1)bath 312.70
®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building ❑Multi-family SFR(3)bath 500.32
❑Master builderOther: Each additional bath/kitchen 25.02
0
Fire sprinkler( sq.ft) Page 2
JOB SITEINFORMATION'AND LOCATION _ Site utilities:
Job site address: v� � ✓ Svi -jQ o s l o U`. y��A J1 Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 ��^�' V `` (�{� Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldgJapt.no.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision:Polygon at West River Tern-ace Lot no.:rlte Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
. ' . DESCRIPTION OF.WORK Backwater valve i 12.51
(Ann?)( C Clothes washer 25.02
�� ° Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
.:PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02
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 I Fax:( ) Ice maker 12.51
®.APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Angela Gra jewski
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
E-mail:Angela.Grajewski@polygonhomes.com Urinal 25.02
CONTRACTOR Fater closet 25.02
Water heater 37.52
Business name:Malmedal Enterprises Inc. Waterg/i m WV
P P D 56.29
Address:PO Box 207 Other. 25.02
City/State/ZIP:Banks,OR 97106 Subtotal
Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50
CCB Lie.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
IPrint name:Carolina Malmedal I Date:04/25/2016 I This permit application expires if a permit is not obtained within ISO days
atter it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:1Building/Permits\WLMU•PumitApp.doe 10/01/09 440-4616T(I0/02/COM/WEB)
e • A
City of Tigard
,711 COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Residential
Building Permit #: /lST"-- 20/6 --. ®CS'
Site Address: /5% 3W `c /15102-
Project Name: 'j 7--r foC ii � ,7L Lot #: 794'
(New dwelling= subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: A,1 ) 'fIe
Verify site address/suite# exists and active in permit s tern.
Ltd River Terrace Neighborhood: ❑ No L(d Yes,See River Ten-ace Review Addendum Attached
Sit Plan Elements:
hree (3)copies of site plan ;II
*sting structures on site
to plan must be on 8-1/2"x 11"or 11 x 17"paper IzeiIT/Footprint of new structure(including decks)with finished
raven to scale (standard architect or engineer scale) oor elevations
)orth arrow Utility locations (required for new,may apply for additions)
te address,Eproject or subdivision name and lot number ��'1: ation of wells/septic systems
Applicant information(name and phone number) 1 Erosion control(including drainage-way protection,silt fence
Vt of dimensions and building setback dimensions esign,location of catch basin,etc.)
Lot area,building coverage area,percentage of coverage and treet names
impervious area(applicable if R-7,R-12,R-25&R-40) 7i reet tree size,type and location
Property corner elevations(2 foot contour lines if more than \N ;�"sting trees to be retained with drip line,and tree
4 foot differential) protection measures
rjeklean Water Services-Service Provider Lett (lot platted prior to 9/10/1995):
•equired: ❑ Yes,applicant was notifiedLiSi No Received: ❑ Yes ❑ No
IE Public Facilitiy Improvement(PFI) Permit:
'equired: Vr 'es,applicant was+ notified ❑ No Applied For: 'Yes El No,stop intake
1. and Use Case#: PbEc2 S—* 0000, SU6,26 - C.` OC 9e
oning:
Setbacks: Front Ja Rear /5 Side Street Side Garage ���y�-�
/ � � � g yCl.o�
V/ Requirement: ..20F of Coverage Maximum: - ' �}
3uilding Height: Maximum Height IQ/Pi Actual Height c2V 3 /j
aiVisual Clearance
„Visual
6ensitive Lands: ❑ Yes ❑ No
TYIJe �%�.;?‘"tee C_'i11J7cly-"
lir Urban Forestry Plan C 7/ 3 PiL
CIConditionnss"Met" rior to issuance of building permit �
Notes: C.�?)/7e,7 c1i ,/r9Lr'c•71-- .& /h12.4i b,r A , i - , g.'46_20,CQ
Approved By Planning: - w ,�� y Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\Fonns\BldgPennitRvw RES 012116.docx
Building Permit Submittal
Original Submittal Date: 27 9/'
Site Plans: # 3
Building Plans: #
Building Permit#: tenter building permit#above.
Workflow Routing: [ i Tanning ErEngineering P-15ermit Coordinator Ca--Building
Workflow Sign-off: f e'Sign-off for Planning(include notes from planning review)
Route Application Documents: P.—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:
0 °/,r Date: moi' ,
By Permit Technician: d , ,r
Engineering Review
/Slope at building pad: .00:❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: C] Yes ❑ No
❑ NOT Appro •d -.37 Engineering: Date:
Notes: .,_.ter _ 1/ Vi !. — .>�f� ��;Ar//Off
Approved by Engineering: /�,�., Date: ,.0_ ?---d.[.
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: 4,7rDate: //i
4
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
, DC Fees Entered: Wash Co Trans Dev Tax: 'es ❑ N/A
Tigard Trans SDC: ( Yes ❑ N/A
Parks SDC: Yes ❑ N/A
A /0.-OK to Issue Permit �/�
Approved by Permit Coordinator:
-pproved
1:\Building\Fonns\B1dgPennitRvw_RES_O 121 1 6.docx
City of Tigard
III a COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #: S7",22-€,/(.� — 0 0 0 6.5-
Site
.Site Address: /3 Sem S. aoa /A,'e
Project Name: „'j'vpc- T c itk it.xeS7i' Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review River Terrace Plan District Design Standards (18.660.070.1):
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 t. dee Balcony w/access 2 Window Projection Vertical Wall Offset a
p ft. deep min. 2ft., 5 ft.wide min. 2 ft., Eft. de Gabled dormer
❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: /S---3
v
trances:At least one entrance must meet both of the folloy ' g standards:
3. Eax. 8 ft. setback from longe, 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 y s,all the following apply: y/;sq.ft. min.
e street facing entryUgl ft.max. roof height above porch
U 5 ft. depth min. 30%min. porch roof coverage
4. I)'etailed Design:All buildings shall include a min. of five o f tjxC following elements on all street-facing facades:
olovered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft. wide x 2 ft. deep
gall offset min. 16 inches ❑ D rmer min. 4 ft.wide
Roof eave min. 12 inch projection TO t .of 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. ❑ rizontal lap siding min. 3-7 ft.wide
❑ Accent siding min. 40% of street facade 'indow 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:
Nccloser to front or side lot line, than longest street-facing wall. ❑ Yes {L.I4o. If No (Check one):
y extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
ay extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
a
above the garage that faces the street with a nun. area of 12 sq.ft.
Width: (Check one)
01 -foot-wide garage door ❑ 40%max. of street facade
0%max. of street facade with 7 detailed design elements
Notes:
,-
Approved Planning: �- //�/�
By � �.. Date: ..,2 � Li,
1:\Building\Forms\BldgPennitRvw RES RT 012116.docx
Albert Shields
From: Albert Shields
Sent: Monday, March 07, 2016 3:23 PM
To: Maggie Gordon (Maggie.Gordon@polygonhomes.com)
Subject: River Terrace Northwest, MSt2016-00064, -00065
Maggie, here are two more that are going on Hold as"Approved but Not Released" pending completion of required
conditions of approval. Albert.
1
Albert Shields
From: Albert Shields
Sent: Monday, March 07, 2016 4:44 PM
To: Maggie Gordon (Maggie.Gordon@polygonhomes.com)
Cc: Tom Hochstatter
Subject: River Terrace Northwest, Multiple permits
Maggie, here are eleven more that are going on Hold as "Approved but Not Released" pending completion of required
conditions of approval. Albert.
MST2016-00051, -00053, -00054, -00055, -00056, -00057, -00059,-00060,-00063, -00064, & -00065.
1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13426 SW SATSUMA AVE, BEAVERTON, OR, April 6, 2017 at 11 :46:13 AM
97007
Record Type: Record ID:
Residential - Master Permit MST2016-00065
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
No AC installed at this time.
Violation Summary:
Inspector Contractor