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Permit CITY OF TIGARD MASTER PERMIT :.. COMMUNITY DEVELOPMENT Permit#: MST2016-00387 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/17/2016 Parcel: 2S106DB06900 Jurisdiction: Tigard Site address: 13395 SW PUMPKIN VALLEY TER Subdivision: RIVER TERRACE NORTHWEST Lot: 69 Project: River Terrace Northwest, Lot 69 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: 26 Bathrooms: 3 Second: 1251 sf Garage: 385 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2229 sf Value: $269,685.86 Rear: 10 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=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: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY POLYGON WLH LLC 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 ATTN GAST,FRED VANCOUVER,WA 98660 2 One Hour Fire Rated Eaves 109 E 13TH ST Required both sides VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,308.41 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 throu h OA' 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: e7/17 �i /�'C.'J70,1 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 Perri" .� - FOR OFF1(I_ l Sl Oo1 1 t,s* ReceivedS/<_?(//-9 /_ PermitNo �`�Q4/4-- ` -`City of Tigard OR 97223 '-L-B 0 3 2016 Plan Revi �Sic)/c' If�il 4 114 13125 SW Hall Blvd.,Tigard, fU _ ) [ ' Other Pnmi 1>ateBy: €, CithtunsI 0 See Page 2 for Phone: 503.718.2439 Sax: 503 598 1960-y € Daze Ready/By: .417, Inspection'Line: 503-639.4175 ( . 3 V # ,,, ,; "+ '' A P Supplemental Information TIC':;F h Internet www.tigard-or.gov r t!I i p,r s' J1,-,.,.v !; NotiSed/Method ���/{/hpf� , C - ''—' Permit fees*are based on the value of the work performed- "` ---------- ----7---"'----2--------L � ❑Demolition Indicate the value(rounded to the nearest dollar)of all ®New constructionn ❑Addition/alteration/replacement 1:11 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. ..� -r�.-'-i- .....-'i ,� ---------'': .., G. -4...;-,-e-11,...,-"..P—A---A.., valuation. _ _c ,, c �J Y ® 1-and 2-family dwelling ❑CommerciaUmdiistria] Number of bedrooms: C.)Accessory Multi faintly Accessory building Number of bathrooms:..."2-3..., ❑Other / [j ❑Master builder 6. ., d��: �� Total number of floors: 2 1 / v ,�> ,� Yj 'r 1 New dwelling area: Q;1\ square feet Job site address: J33ys fl✓. "Atepr' '1r //4A,..10 4//v 3:07/%00-r:/ /%fit f _ " Garagcarp e/ or[area: "2),o. square feet City/State/ZIP:Sherwood,OR 97140 '• square feet 1 a Covered porch area: ♦ • 4 1 S Suite/bldg./apt no.: Project name: 'k,\;\J Deck area: QD square feet' 7 Cross s eet/directions to job site: r Other structure area: +i square feet Lot no.: �f 7 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 application_ Valuation: S New Single Family Detached Construction Existing building area: square feet New building area: square feet .,` --,'"-:-W---:=---" - ,z� E 7-f.--17.- � rlWeirryi - , �t�� . a Number of stores: Type of construction: Name:Polygon WLH,LLC Occupancy groups: Address:109 E 13*Street City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695 7700 Fax(360)693.4442 New: -- _i 4'`.x..`' 'y ` .,. ':- ```fi .--i---6, o- ;°j"4"-(=-'-';'-'-' '''. > `c.`; �1,,�_. -ti ro c- . , • � ,a�q',..--,:m.41.-_4,..-4-,•,',0,.-_,,-..-...:., fTt t � .. .hw- _ - _ »%z-,ca»Y"&4.'� ��r�,„F,:-:,-vrv-..,,...,a.,..,..-�,-.,, ,s>, 5 , ...,.,'cam r;' �. �='-"n- Business name:Polygon WLH,LLC 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 Amount received Phone:(360)695.7700 Fax: :(360)693.4442 . E-mail:maggie.gordon@polygonhomes.com Commercial and residential prescriptive ll installation f anon o - i-4 , '- ,,-,ar -'--=`-'7,`L a.,. roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name: n e(,&C LL/ `-f L/©/I /1/27' 3 /AZ, and fire department access,along with the 2010 Oregon Address:109 E 13th Street Solar Installation S,"tial 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 CCB lic.:207247 Total fee due upon application: $201.60 This permit application expires if a permit is not obtained Authorized signature: V within 180 days after it has been accepted as complete I *Fee methodology set by Tri-CountyBudding Industry I print name:Maggie Gordon Date:12/11/15 Service Board_ I:\Building\Permits\BUP-RESPermitApp. dot 02/24/2011 440 4613T(11/02/COM/WEB) , ,y REa ll v F 17) 0. Electrical Permit.. ,,, l43ica. nc�p 0 201G > City o/T11gaIt -t 13125 SW flail Bttdo 11Prd.Oji r>nd8r Forma / .>'T''t'j�j,. )� `.'. Phone:5U391$.2439 Fax: 503.5 r e i` €i 7 4 Ptaaitavuw Rctarertpemai I ' itapecnon Lobe 303.639.4175 r2 t l 1 s r i s'i, i N. ib ejBv- 21 SaaPa0e336r Tf�� Tnhmer munvL or v NOtifSdrbfcthod tI� go smentntrnrornratroa QA+dttion/aiteratioglreplacement s ell S�Neer tmristtgatron � . Csei ie or roede-400 ora 8• ' nodes. oOen0lhtt QQ where ec aaftabla kultetmeni ©Maxiasad 1 �, .. 1 0 . OF1J1IUON r tes1a,aiamonsw150sansar OF ies . �i i-and 2 family dwelling El Commercial/industrial ©Accessory building less w araand,are s 14,000 ❑ m,mersial-+ae wparai i.7F5repura oneel rtona¢ems. rxa'ttbtse.. Q Muni-oral, Q Master builder CI other p , .w" Ii�urlatruaorlSn�UAor SOB Sift ihl #IATuOV AND LOC,raTION ❑Frnergenaysvaom, (ercersepunietYaerivad 0Addition ornow nwtor Toad or sysiear. lob P; Job site address �� gg y �f? , t r l i°�1 i,Iri illi into botu....... EI"A","4"';'•3 :"1.3", City/StmetZIPIsherwood OR 97140 t7socarmorarasrkatiatunits + of eY• i:Inc nN-oere retinues. hate cannon Wide pada. Sttitetbldglapt.'0: project name lldaaar,iouatonafieus Cls>rpptr,»isasefxmarkitrsn Cross str directions to job site: L ssrvi�of cue i Gi a mcae suu vnr,a noa�„as. 1 nrsasoli: I oft.-I a4th I saes I+' Nein residential single.or asniti-Fam ly d yeling troft ' Subdivision:River Terrace 1 Lot#:Li)lA Includes attached gnn7igc, Ta ma parcel 1,000 eq.ft or less j 158.54 4 Ea mai 500 sq.tt orponien t3 33.92 I ," IDESCRTITP OF'WORN - Limited energy,residential 19ev1 Sfngle Family frith abovesq.lIL) 7504 '- Limited eaet€Y.multi-family 75.00 2 msldentiat(with above sq.R.) Renewable Energy Cl SeePsine 2 1Po oR gR 73SlriJEl Q�ErAr9E Servtcesorfeeders installation,alteration,and/or relocation Name: p fletnes 200 amps orless 100.70, 2 Address:109E 3 3iA St 301 009316040: mts to<00 amps 133.5& 2 401 manors to l amgts 200.34 2 . City/StateIZIP:Vancouver WA 98664 601 amps io 1,000 atttps 30L04 3 Phone:(360)695-7700 Fax:( ) Over 1.000 or softs 552,26 2 Email' Temporary aeri'lces or feeders installation,alteration,andior i relocation i Owner installation:This installation is being made on property that 1 own which is not 200 ams or less 59.36 ' l i intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08. 2- Owner signature:: Date: 401 maps to 599 amps 1613,54' 2 ''. ApplAt.Aptr 1 Q CUNTACT FE sor4 Branch circuits—new,alteration,or ezteasian, r panel nmb A.Foe fort:lamann mak Business name:Garner ElectricisWashington,LLC aboveservice orfeeder fee, 24,, 2 each branch circuit Contact name:Bill Daniels B.Fee far branch d euits-artkmit Address 6103 NE St Johns Rd aIXl7Ce orfheda tee,first 56.18 2 branch cfrcnll , City/State/ZIP:'Vancouver WA 98661 Eachadd ibraochrucort 7.42 2 laststellaneous(service or feeder not included) Phone:(253)320-1657 Fax: ( ) di mannfactszted oc ne 6784. 2 - dw•elling,.sorviceand1orYader Email:bdaniels@gweusn.com Aeconneetonly _ 6784 2 COI Cr04 Y O orlai tarp gafron arck 67.84 2 Business name:Garner Electric Washington,LLC Sign roman=lighting 67.84' 2 Addtc.ss.6101 NEStJohnt,Rd Smaa1 s}arlimitedeaat Cl SetPage2 2 alteration,or=tension, City/State/ZIP:Vancouver WA 98661 -Each adrEtfonal inspection over knowable in any of the above Additional inspection(I-Ionia)' 6¢,33111 r Phone:(253)320-7657 Fax:( ) Investigation(l brM n) 90.01/1 lir Email:bdaaieist)gwausa;cane Industrial ptma(I hr moa) 24 fidla Inspectimuinrw dehIle fee is F.COB Lie.: C1158 Electrical Lie.:208174 Suprv.Lie.:4.46S specifically listed(31fir ram Y4M°11u Suprv,liiecuisien signature,required: k ,jv i7 L'YRt AL,"`pE Sribw#ai: Print ttatne loan P Albert' Date: of r 1��iA Cl Pianitevfew Regrtlrre(25°%rof pamlt fee}: Stale surcharge fl2t4,ofpcmati t r Authorized signature: TOTAL PERMIT FM This Permit appliestiota expires ora Permit'is hal obtained:within ISO ;'. Print nom:Bill Daniels Date: k fB' rraysaiteritnes teen secepteaatcomplete. ; I -' • Numbetofirrspediaatatlatvedper peon''s. t.taondraplPem$nt5Lc wriethr9>:t ktRE•doe Aso 06/17.1015 oto-AetSr(uncs cava t'. t 1 r 1 i I , I Plumbing Permit Application Building FixturesAL----cHvFri City of Tigard Received Permit ircy�lS i6, --00 343 4 13125,SW Hall Blvd.,Tigard,OR 97223,FB 0 3 2016 Plan Review111 lif Other l'cmut No.: Phone: 503.718.2439 Fax: 503.598.19'6 Datr/Sy: Otis: Ti �?age 2 for inspection Line: 503 639.4175 i i 4 t Date ReadyBy. 1 i t .'�I:D '-' ° _ Notified/Method: 5u�•iemental information Internet: wwW.tigard-0r goy ! o- r "=' , ,-, ""' ' For specsl information use checklist. am New construction ma Demolition Description I Qty. I Ea. I Total ■ Addition/alteration/replacement U Other New 1-2-family dwellings(includes 100 ft for each utility connection) �• �. � SFR(1)bath 312.70 ,, * 'ir d �. . € ,y, sea ,4a -:.''',11°.--'-"-T--5-W, Al 3FR(2)bath 437.78 al t-and 2-family dwelling Li Commercialfindustrial SFR(3)bath ] 50032 D Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other Fire sprinkler( sq.ft_) Page 2 --- Catch basin or area drain 18.76 Job site address t e �'� U,Q.L/ � Drywell,leach line,or trench drain 18.76 City/State/ZIP f _Out Uc 0R, (A1-lu(�-/rye Footing , Suite/bldg./apt.no.: Project name: j 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 SCNVer(no.linear ft.: ) Page 2 Water service(no.linear ft: ) Page 2 Subdivision: I Lot no.:U-q Fixture or item: Tax map/pared no.: - 12.51 i. !° of t f. i Dishwasher 4 4 s ,. P, Pf 1�.-.°. n 75.02 Name: P'u' 11� _ - .. 25:02 Address: 1 1 l r \ fGarbage. ® 25.02 City/State/71P: J t�( i, T1 Aa I I L/ Hose bib 25.02 ■ � I. • , Ice maker 12.51 Phone: case trap 25,(32 Is'ttcrcepfor;a -F; va ... : . s 1•,_ ,.. ftW4 medical gas (value:s ) ® Page 2 Business name:. .V- l-"t-t+"f.1 .. ;.) V)I Lk..X.V\ ''1 V \ U\.e.,_ primer12.51 - Canntactname: 0._y'i .. t',i 143- 4'tf-;:4N' -,' . ercial) 12.51 Address: . .. -or i rye City/State/ZIP: �y e ch av LSolar units(potable water) 62.54 Tub/shower12.51 Fax:: Phone:Al I ) 1p ' g3 ) tf 25.02 E-mail: tL -1 t't a O i* /-4.• * 25.02 ci -. ;p ,- x f - 4 heater 3752 Business name: 14,1-1-4 t k_.n-,./-.4-4'\ € 1.4k Y tlr Zt tit( - Water piptng/D W V 56.29 �-} Other. ®.. 25.02 Address: 77 �. Subtotal Gly/StaterriP:G 1-.0 aha," ) OR- O Minimum permit.fee:. 172.50 Phone:(9"}i) .b' 01,./t/ jg Fax:( ) Plan review (25%of permit fee) CCB Lie.: ,.( Z-- Plumbing Lie.no State surcharge(12%of permit fee) _ Authorized zed signature: k • - TOTAL PERMIT FEE r This permapplication ezph•ea tf a permit K not obtained within 188days IBoard_ -_ Print name: I Da ager it hos been accepted as complete. _` '� �f *Flee methodology set by Tri-County Building Indushy Service Board t; gcnlita.;ELVis-8caritApp.doe 10431/09 4404515T t 10:'02 COM!W E B) a , t Mechanical Permit Anuli ' Rate/Bit Permitt4°,71-57-A4/6.'-003 7 cn 1111111111 111- City of Tigard tJaie3By: - . t3125 SW Hatt Blvd.,Tiga€d,OR 97223 a cp n 4 c Plan Review Ottrcr Permit Phone: 503.7181439 Fax: 503.598 19 B 3 .u i ,B - t ( tion Line: 501639.4175 • Date Readvi8y: Vis' !i?! See Page 2 for t i i i k.) ns e Ntotit edimethod: Supplement Information Internet: w�-sta ttgard-or eov ��� , i, ri^ f.g< , ,� ,. 1:k *010t Mechanical permit fees"are based on the value of the work New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all Other mechanical materials,equipment,labor,overhead and profit. El Demolition Value S e# hs f"` �t g0 :;',•:,,:;-,,,:-::-:„.41-j:14:7:2'''''::-::,C} Ysf SPfG 3 � ,,` ..,kms:$-i El I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For speriatinformation use cheekIu CI Multi family 0 Master builderEa. Total ❑OtherDescription Qty. r -itaif#:6t .M ii* . • Air c:cinditiotiling / 46.75 ing: ell .. r Job site address: crj + J !� Furnace 160,00€}BTU tdustslverts) j 46.75 City/State/ZIP: TO QA, (D I tFurnace 100.0O +BTU tduc&venrs} 54-9T Heat pump 61.06 i Suite/hIdg.iapt.no.: I Project name:River Terrace nto Duet work 2132 H dsxrnic hot water system 23.32 I Grass street/directions to job site: Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type.not electric), in-wall in-duct,suspended,etc. 46,75 r Flue/vent for any of above 2132 Other 23.32 Subdivision:River Terrace Lot no.: I d Other turf xpptutncrs t Tax map/parcel no.: . W=ater heater 1 23.32 2332 �., �. ..s^xu^ .. 4- s... e,r : ;:� :.:* :;;,,,,,i,. Gas't-ire ace/insert .. g,, 5 4......til - & -a " -. ���r t _..�, •�',_�.,.. �-�., - ""..` ..�- '°' ,..� ,.'" •� - Flue vent for watt=heater orgas ` HVAC 1 fireplace 2332 Log lighter teas) 23.32 • Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chirnney/Iineslfluclvent 23.32 ;4.,•''.---7--"21"i''',.4.4 e.'" �$ 11E g � ?3.32 ; City of Tigard IN . II COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R D Building Permit Review — Residential ,k, Building Permit #: /7,57020/42 — 00 3? 7 Site Address: t35 SW PL.LmPKih V'a llelj T-r. Project Name: Paver Tey ra Ck, NW Lot #: ( .063 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 1JJ g. Verify site address/suite# exists and active in permit system. 1, River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: 3RThree(3)copies of site plan VOExisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper IIFootprint of new structure(including decks)with finished ,Drawn to scale(standard architect or engineer scale) floor elevations North arrow 'Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number f'Location of wells/septic systems Applicant information(name and phone number) V1®Existing trees to be retained with drip line,and tree Lot dimensions and building setback dimensions protection measures Lot area,building coverage area,percentage of coverage and VIStreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) VStreet names Property corner elevations(2 foot contour lines if more than 4 foot differential) IS Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified 1ST No Received: ❑ Yes ❑ No X Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified M No Applied For: E Yes ❑ No,stop intake El Land Use Case#: DR 101 -occDS Zoning: 2-1 LPD ,gt Required Setbacks: Front 12 s' Rear WI Side 7j Street Side - Garage 20' 2 Landscape Requirement: 20 % 0 Lot Coverage Maximum: a Building Height: Maximum Height ±2.91 Actual Height VP-- Sit Visual Clearance ❑ Easements NI Sensitive Lands: ❑ Yes %-No Type C' Urban Forestry Plan Er Conditions "Met"prior to issuance of building permit Notes: M COAdlfia(1S 6(a,k1 tO6 Me+ Qrfo —to t .CLAG1r1CIL Approved By Planning: ii ll ,to„. . ' Date: (=lip, Ila Revisions (after Building Submittal s ly) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: �Z/3/7 Site Plans: # 3 Building Plans: # 3 Building Permit#: C "'Enter building permit#above. Workflow Routing: Ig''Planning Er-Engineering O'Permit Coordinator C�'�uilding Workflow Sign-off: 12'Sign-off for Planning(include notes from planning review) Route Application Documents: 0'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: . v 'CSL Date: /7/4 Engineering Review lope at building pad: /7z) ❑ 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: ❑ Yes ❑ No ❑ NOT Approve, by ngineering: Date: Notes: _ �. err AO' s�'i /A10 v 4 / Approved by Engineering: 6(4 Date: "en 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: 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: C4-SDC Fees Entered: Wash Co Trans Dev Tax: [4 Yes ❑ N/A Tigard Trans SDC: $ Yes ❑ N/A Parks SDC: ®' Yes ❑ N/A OK to Issue Permit o k 4.0 't SS - S k.4 -( c . Approved by Permit Coordinator: C.QA ,LQ Date: l b- - I b I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard lig COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G A R D River Terrace Building Permit Review Addendum Building Permit #: NS7 2j , - Cep 317 Site Address: k33g5 Sv\J ?um\)lZ-11/1 \DAWN Ter. Project Name: Fzwer T-nrracNv\1 Lot #: (001 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?, Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing façade 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 ,� ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: _ 2`3'0 3. Entrances:At least one entrance must meet both of the following standards: ❑ Max. 8 ft. setback from longest street facing wall "g Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: 14 Yes ❑ No If yes,all the following apply: ,,l 25 sq.ft. min. -N.One street facing entry 12 ft.max.roof above floor of porch tSr5 ft. depth min. 30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: „.&-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 igr Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood CgGable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of street façade .Window trim min. 2 1/2't wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. IR 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 façade 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: OA ♦, Date: 19 Rp I:\Building\Forms\BldgPermitRvw_RES_RT_062216.do cx Plumbing Permit Applicatl1EEI IVB Building Fixtures ink i1z 1>k 1 It 1 k �l ()\t ) City of Tigard N 0 U 3 2016 Received C/ / / /, ,, Pamit No.:R .oo JVi 13125 S W 1{a(1 Blvd, OR 97223 Pan Revie lw III i Phone: 503.7182439 Far 503CIITOFTIGARD Date/By: otberpennirNo.: Inspection Line: 503.639.4)75 Date Ready/By: rids: I B See Page 2 for Internet www.tigardocgov BUII DING ._, _ ,., . . oL6ed/Aletbod. app N ' coli Information :i:'.....,:.:, FEE' -.... ..',.-, ...:4...X'. ®New construcfien ❑Demolition Forspecial information me chaclrlat Description 1 Qty. 1 Ea. 1 Total 0 Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 IL 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 • SFR(3)bathI 50032 ❑Accessory building Multi-family❑ Each additiceal bath/kitchen 25.02 ❑Master builder 0 Other. Fire sprinkler(_sq.ft.) Page 2 .IOD SITE INFORMATION AND LOCATION Site utilities: h or Job site address:! �/J %Q VIA ( 04 A UOtUl'kink ell,leach basinareadrain 18.76 line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suit&bldgJapt no.: I Project name Aver Tama OW Manufactured home utilities 50.03 c Cross street/directions to job site: '^ Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft:_J Page 2 Storm sewer(no.linear ft: ) Page 2 Water service(no.linear it: ) Page 2 Subdivision /-l nK/ //✓7� � �t�wef a1-- Lot no.i�v Cj Fixture or item: Tax map/parcel Backflow preventer 1 31.27 DEESCRIPTION OF-/W]ORK Backwater valve ` 12.51 Contact( C hV�chow- Clothes washer 25.02 1 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®.PROPERTY OWNER I 0 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/StatefZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ®.APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical (value:$ ) Page 2 Primer 1231 Contact name:Angela Grajewski Roof drain(commercial) 12.5I 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:Angels.Grajewaki®polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR . Water heater 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 5629 Address:PO Box 207 Other. 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)32 Minimum permit fee: $72.50 4-0580) Plan review (25%of permit fee) CCB Lic.:102535 Phnnbing Lic.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: C -(= . TOTAL PERMIT FEE , Print name:Carolina Malmedal Date:04/25/2016 after permit application expires ifs permit is not obtained within 180 days after it bas been accepted as complete- "Tee omplete•Fee methodology set by Tri-County Building Industry Service Board. Mwld1n PamittPLMU.PaudtApp.doc 10101/09 440-4616r(10B02.COMMFB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13395 SW PUMPKIN VALLEY TER, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00387 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Arc fault breaker for master tripped, won't reset. No further inspection done. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13395 SW PUMPKIN VALLEY TER, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00387 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Mechanical closet full of construction debris, appears power washers on site moved all material inside closet. No access for inspection. No inspection done at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13395 SW PUMPKIN VALLEY TER, March 29, 2017 at 11 :00:43 BEAVERTON, OR, 97007 AM Record Type: Record ID: Residential - Master Permit MST2016-00387 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: 13395 SW PUMPKIN VALLEY TER, March 29, 2017 at 11 :04:43 BEAVERTON, OR, 97007 AM Record Type: Record ID: Residential - Master Permit MST2016-00387 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No AC installed at this time. Violation Summary: Inspector Contractor