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Permit (57) IlIiiq CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016 00420 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/27/2016 Parcel: 2S106DB08700 Jurisdiction: Tigard Site address: 17431 SW SABRINA AVE Subdivision: RIVER TERRACE NORTHWEST Lot: 87 Project: River Terrace Northwest, Lot 87 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: 24 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2229 sf Value: $271,627.45 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: 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: $32,124.13 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling , 2503.232.1987 or 1.800.332.2344. /® Issued By: `� .... Q4V ,6 /(��,%� V,'/Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. t Building Permit Application L. 0 3 Residentiali.".7-ft../t1 (� • `, a...,�, FOR OFFICE USE ONLY City of TigardReceived l C ■ 13125 S W Hall Blvd.,Tigard,OR 97223 s P 12 0�6 Date/By: MAI/4, 4:441-- Permit Permit 5 6��Q f C� Plan Review � Phone: 503.718.2439 Fax: 503.598.1960 // Other Pe /r�q� �,$- Z � � Date/By: �(7—pZ`...�b r`��G �+G'J7�T T 3 G A R C3 Inspection Line: 503.639.4175 CIF t f" l t 9, Date Ready/By: ` �/' Juris: H See Page 2 for Internet www.tigard-or.gov s 6 I t. j r^a�'.�, f b a :w s )�,Notified/Method:C{� to,p 4, � Supplemental Information 1,c-. ,4,11t167 r E— Y k . 2It•:."t 't'' i g tT ,i t 3., c v 'Q }k y�'sY.:rtk�.t`s` a *. (may P a �,s-Gr fttS Y 4 w4.$- i '� j� .. ,A,, "x e e #Ji' it � h r'l �t�"�' �� � hK'.�`..:� '3"�" 3�'l� ^�'t�111���-. F �. -.`�".�:..-*€a. � ._.��"�,x?f",°, g ._.•, ..�,,� �n:��� ..,.,� r.x.,.. ,. ..a...F. � .x.s .. z ;..��: ,k�t�_., a .. �T;���� ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the t a931�,' T work indicated on this application. l : _u 11 ® 1-and 2-familydwellingValuation:�'�,j f-x �-j$ �)`F-�. 0 Commercial/industrial �oC/ '�`� 1 D Accessory building ❑Multi-family Number of bedrooms: q 0 Master builder ❑Other: Number of bathrooms: F Jc B$ 9R ei'11 f31 .41�11I C 1'I3H `i 'r ` - Total number of floors: 2 9 Job site address: 1143 I S\Mhr1./11A/�, Lt New dwelling area: 2 ... l square feet City/State/ZIP:Tigard,OR 97224 'J 1 Garage/carport area: 3 4`�C?,(> square feet Suite/bldg./apt.no.: Project name:River Terrace Northwest Covered porch area: (w square feet j c)..... - I Cross street/directions to job site: Deck area: square feet(`1 -7 Other structure area: square feet ' } ix . . Subdivision:River Terrace Northwest Lot no.: .] Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all 41 q �� equipment,materials,labor,overhead,and the profit for the 1_ . ,,' '4� 4_ work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet 1 N �- kl �' ttom.: ;. �, _.�: ,..._ � .Viz...~ at. Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Don bletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax ( ) . ,...:six$,.. , g^ $b 4 .a :, *a^- 'sr ,.,x¢'k.f a .�.:a k _ New: tt F".:. .�.�,..�_a d� i .�..tEil a ,.t i'�a ..lf,t..�e i 'a' o Q ,-u gam twi Business name:Polygon WLH,LLC �� ` � _: . Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 13th Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount received: �� � ��_ E-mail:Angela.Grajewski@polygonhomes.com 7"'1 t .4 ,' : , a i 4TE T g.454 F; f , ak } ° '44 ow0 Fr Commercial and residential prescriptive installation of ""' roof-top mounted Photovoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th 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 lic.:207247 �/� JTotal fee due upon application: $201.60 Authorized signature: e�►,�bi This permit application expires if a permit is not obtained C within 180 days after it has been accepted as complete. Print name:Angela Grajewski I Date: $1' /ik *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . Mechanical Permit Applicatiorn4 v.% Received FOR OFFICE SE ONL1 I F ,:t ,t City of Tigard Date/By: Permit 14°C717-41261/6 004420 II 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 1 2 016 Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Inspection Line: 503.639.4175 rry Date Ready/By: TIGARD kris: El See Page 2 for Internet: www.tigard-or.gov „ • Notified/method: Supplemental Information rY3H1 '1111 Tre° ° ","„;?-,-IC.144,11:11,,TcrIx31,-(V;41/ 7.:',Jari47:=4t =Liitkt4jj—fr:nr5:%DZR;anaaj-NCqZt''grtffu-AEe meacai;ai;;;Tlife;s.are based on the V;lue4it; ;Tc New construction Li Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit Value:$ ° :51 -.;1;11:5LiS,41 [3] 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist o Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total , ; , , 7.7U7•117,,Fc17:-:T„. ' Heating/cooling: Air conditioning 1 46.75 Job site address: /7L13 $\tj S 0,t,<INA rs-Ni e, Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:River Terrace Northwest Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 1 23.32 Other 23.32 Subdivision:River Terrace Northwest I Lot no.:67 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 - • Nprii Gas fireplace/insert •'di.. 33.39 Flue vent for water heater or gas New construction HVAC system fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 "'" •- = 23.32 Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen 1 equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) '1 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 - . - Other 23.32 Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Gas heat pump Address:109 East 13th Street Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue IiJi• - - •r- iIIIIIIIii . iII1III Clothes dryer(gas) ‘„ , Other Business name:Apex Air LLC Address:18004 NE 72mi Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 ••• • days after it has been accepted as complete. Authorized signature: 1/4,4_,6iev6,,, 4 Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski Date:8/22/16 I.\Building TermitslMEC_PennitApp_040113 doc 440-4617T(11/02/COM/W1EB) Electrical Permit Applicati© ' � ' §t ,I FOR OFFICEUSE ONLY i Id City of Tigard Received rirff - 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 1 201E Plan Review 11 Phone: 503.718.2439 Fax 503.598.1960 Date/B Related Permit 0: Inspection Line: 503.639.4175 -mak- ... rt Ready Date/By: kris: H See Page 2 for TIGARD tl #1. 6 otfredMehodInternet www.tid-org°V Supplemental Information q1 .TLt ' ` a - `s__, .._.-r- f � .-r''''=:'l.:: '. r+v.. . -0.16.-MY--, � e -_fir.ac_a: � �-�'vFi.- . _rk "ttrvP � �^h_ x � e ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three strides. El Demolition 0 Other. where the available fault current 0 Marinas and boatyards. _.Y _ � rT+-O @ ittl ,: -_ exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®I-and 2-family dwelling 0 Commercial/indlistriai 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family . ❑Master builder 0 Other 0 Fire pump. ❑Installation of 150 KVA or T= s=:.-.^=x -- - --_ - "i - _ --_ -- - - ❑Emer tem. larger separately derived aC'IY:. .. �,1T" _" _g'v 'oC[ ria-''_ _ f Job#: Job site address 11 EN--..7 ,---. C/j pMit/i. ❑Addition of new motor bad o '`w't' +v 100HP or more. ❑larger se atel eriv City/State/ZIP:Tigard,OR 97224 0 Six or more resilitntial units. occupancy. �� ❑Htxaith este facilities. ❑Recreational vehicle parks. •Suite/bldg./apt.#: Pro Project name:ig�- ��rt// j to /4/611f161/041— `does 1°°ati°°s CJ Supply voltage for more than 1600 volts nominal. 1 ❑Service or feeder 600 amps or more. Cross street/directions to job site: '"- fCl l gf }-'; ` Description I Qty.y. I .Fath i Total I • New residential single-or multi-family dwelling unit. Subdivision:/7.1W f 7,P4- j Ni/N114t4Mf f Lot#: Includes attached garage. 1,000 sq.ft.or less ( 168.54 4 Tax map/parcel#: _ Ea.add'I500 sq.ft.or portion '2 3392 1 �.. - ..._Yee _. s=K> �— ._— -_ �� _ ��-";�-3"�--�ll�5,.�,..... = E� ... ��... �.-=" Limited energy,residential - - =�:" .'��.��.' = ;,.� (with above sq.ft.) j 75.00 2 Limited energy,multi-family 75.OD 2 residential(with above sq.ft) _ Renewable Energy CISee Page 2 , t 'r` '=�M ---�'•�'_ . Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 40]amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 snips 30I.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 55226 2 Temporary services or feeders installation,alteration,and/or Email: . relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 1 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 amps to 599 amps 16854 2 • - �r� �r Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with i Business name:William Lyon Homes,Inc. above service or feeder fee, 7A2 2 each branch circuit i Contact name:Angela Grajewslti B.Fee for branch circuits without service or feeder Address:109 East 13th Street branch circuit fee,first 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add')branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • ' Fax::(360)693-4442 Each manufactured or modular dwelling,service and/or feeder 67'84 2 Email:Angela.Grajewski®polygonhomes.com Reconnect only 67.84 2 ' �,_` ii e',d Ft r'11 0. -'msrµ ."x `_ Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Address:6101 NE St Johns Rd Signal t(s)or limited-anergy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hrmin) 90.00/hr Email:bdaniels®agweusa.com Industrie/plant(1 hrmin) • 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: C1158 Electrical Lie.: 208174 I Suprv.Lie:: 4496S specifically listed(h ) _ ,, rt,,ry - es roe Y., Suprv.Electrician signature,required: Subtotal:M Print name: Joan P Albert Date: 4/26/2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee). • Authorized signature: �r�_ E -_-- '> TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. * II Number of inspections allowed per permit. ::`I:t&ufding\PecmirsItEX PermitApp_ELR ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB 'Plumbing Permit Application y .. ....... Building Fixtures xy ,� i ..,,,',:::::, -i , ,,i; (H I I( , ',, t,\1 1 SliCity of Tigard c Perm*No./2f"%7j/ 'OQ%2O I 13125 SW Hail Blvd.,Tigard,OR 97223 SEP P i. 2016 pket RAN. Phone;503.7183439 Not: 503.598.1960 Date/By: Other Permit No.: Inspection Lite: 503.639.4175 ,;#( t 3.1..,. t ,' °" Doe Ready/Y: . rur,s. Hi See Page 2 for internee www tigard.r gov $ /1$ :1 i? . .. ,n. Notified/Method:_ . S.pp emental Information ,...--..ErSZ., age:-7 . ' : . W ' gi, a ,�•"-• .Stnrt f -,—, s•F ®New construction 0 Demolition Far special nrfortero2ios ase checklist Addrttonlaiterattod lacernerttOros ton i t I Ea. I Total rep 0 Other New 1-2-family dwellings(includes 100 R for each utility connection) Com: C�. ,�, �': r ,,t'Y aF�; ria c ; -=;14.,;,14. - ;�,� SFR{1)bath 3I2.70 ®I and 2-fancily dwelling p 0 Commercial rtal SFR(Z):bat}t 437.78 SFR(3)bath I 50032 Accessory building Cl Matti-family Each additional balJkitchen 25.02 ©Master binder Q Other F�'spiinkler(_sq.ft.) Page 2 - ,.: , �� y� �a� ,.�' :.� „ ,i,:iiirisif}, site amities: kb site address: 7 Li 3 W 5 c hri ria A Catch basin or area drain 18.76 Drywdl,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 t Footing drain(no.linear it.:_� Page 2 Suite/bldg./apt.no.: I Project name: tQ UerT (Qrp 0 et *si- Mmtufactured home utilities 50.03 A { Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear It.: ) . :Page 2 Storm sewer(no.linear IL: ) i Page 2 'rf�{' �{,, O,,� Wane.service(no.linear R:_) Page 2 Subdivision:i Ytil l'eiVc e. N xi Avjesk I Lot no.: g—J Fixture or item: 1 1 Tax maplparcel no.. Backflow preventer 31.27 Backwater valve 1 = 12.51 gr 25.02 > Clothes Dishwasher 25:02 Dnntuttg fountain 25.02 ' EJaxorsfs imp 25.02 � s -7-7-::,'Ct o Expansion tank 12.51 . Name:ADPL Laced Heldings LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600E Doubletree Ranch Road - • Garbage disposal 25.02 City/State/ZIP Scottsdale,AZ 85258 Hose bib. 25.02 Phone:(602)94.4031 Fax:( ) Ice make 12.51 . 47.t': � 7 e t �`"_- -ns"` Interceptor/grease trap 25.02 Business name:William Lyon:Homes,Inc Medical gas(value:S ) Page 2 Fruiter 12.51 Roof drain,(commercial) 12.51 Contact nine:Angela Grajewski Address 109:East 13th Strset, • Sink/basin/lavatory 25.02 City/State(AP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tublshowerlshower pan 1251 E-mail Angela.Grajewski®polygoabome .coin Urinal 25.02 § Wtuer closet 25.02 Water'heane 37.52 Business name*Warn*Plumbing LLC Water pipitrg/DWV 5629 Address:146;W Historic Columbia River Hwy Other 25.02 t ty/StateIZIP:Troutdale,OR'97060' Subtotal .. . Phone:(503)492-3490 (s03)d92 3490 Fax:{503)412-6+138 Minimum permit fee: 57230 CCB Lac.:184601 Plumbing Lie.no.:PB732' Plan review (25%,of permit fee) State Authorized signature: age(12%of permit fee) TOTAL PERMIT FEE This person application expires if a permit Is not,M shed within leo days Print Harcus~Robert Dishtnan Date 5i23i2016 atter it has been accepted as complete. *Fee me hodalogyset by Tri-County Building.Industry Service Board. L•iBugt erm [,MU-Peratitapp,doc 10/01(09 4404616T(1 2lCOM/WEB) / City of Tigard Iii COMMUNITY DEVELOPMENT DEPARTMENT IIITIGARD Building Permit Review — Residential Building Permit #: /7--C-77 .20/6 _ oe 9..20 Site Address: / 1--/3/7 Sk) 2,247;1,2 44140. Project Name: 1— /l`2f' '�rraCQ !11fJl�lc.rPS`� Lot #: e(New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /(/�� •�'IT'� erify site address/suite#exists and active in permit stem. i2(/V Pi River Terrace Neighborhood: ❑ No Ia Yes,See River Terrace Review Addendum Attached SiVPlan Elements: ree(3)copies of site plan l:/�sting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"papervg fL Footprint of new structure(including decks)with finished prawn to scale(standard architect or engineer scale) or elevations orth arrow LIOUtility locations (required for new,may apply for additions) 0 to address,project or subdivision name and lot number cation of wells/septic systems .o plicant information(name and phone number) f fisting trees to be retained with drip line,and tree dimensions and building setback dimensions rotection measures Lot area,building coverage area,percentage of coverage andeet tree size,type and location 'ropervious area(applicable if R-7,R-12,R-25&R-40) LI�Street perty corner elevations (2 foot contour lines if more than names 4 foot differential) gOlftlean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): yrequired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No ublic Facili ' s Improvement (PFI) Permit: Required: yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake IZ/Land Use Case#: /6,ble�015-7 U� ' c tf,&3 QOiS c ue viz:,ning.• � (P2) � �/J Required Setbacks: Front 0 Rear /0 Side _S Street Side Garage Q7 26/Lot Requirement: cQL7 VJ Lot Coverage Maximum: 3O VB Building Height: Maximum Height ! %/ A g NA Actual Height Q(p�?j wl isual Clearance Easements 7' ensitive Lands: 11:1Yes No Type 1t2 Urban Forestry Plan ❑ Conditions " t"priorr to issuance of building`> permit Notes: 7D G/,?// j,wJ /?fir i u1-- /�� /c Approved By Planning: (-��� - Date: /O//P// Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: 9`//c_' Site Plans: # Building Plans: # 3 Building Permit#: 0-Enter building permit#above. Workflow Routing: [Planning Engineering Q'Isermit Coordinator J wilding Workflow Sign-off: P.-Sign-off for Planning(include notes from planning review) Route Application Documents: 2"Engineering: (1) copy of permit application, (1) site plan, (1) building plan and 9riginal plan revirouting form Building: original ew permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: /01//6 Engineering Review 4Slope at building pad: ZZ 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 Approv-d by ngineering: Date: Notes: r r. .60- 41.:1%- fii grim/ - —e Approved by Engineering: /lam Date: /2 --/49-144, 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: DC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: k' Yes ❑ N/A P'gYK to Issue Permit Approvedby Permit Coordinator: Date: >0/I I:\Building\Forms\B1dgPermitRvw_RES_091216.docx i 1114 City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT 11GA- River Terrace Building Permit Review Addendum Building Permit #: "if 7,2c7/6, `"OO 1/4-6 Site Address: / 271S/ 3j) Ae_ Project Name: iJ.P'- ricoc . / ) J— Lot #: 7 - (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distr t Design Standards (18.660.070j): Is the project subject to the plan district design standards? V 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 deepBalcony w/access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide ❑ ❑ ❑ 0 2. Eyes on the street: a minimum of 12%of etch street facing facade must include windows or entrance doors. Percentage Shown: /4/ e e,jd 3. trances:At least one entrance must meet both of the fojloyhng standards: tilt' Max. 8 ft. setback from longest street- facing wall /Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No y,� If y [I s,all the following apply: sq.ft. min. V5ne street facing entry 12 ft.max.roof above floor of porch Vft. depth min. V30%min.porch roof coverage 4. 'i etailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: overed porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep ErtyVall offset min. 16 inches ❑ P ormer min. 4 ft.wide Roof eave min. 12 inch projection LE t.of offset min. of 2 ft. ❑ Roof shingles either tile or wood f/. Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks:N closer to front or side lot line, than longest street-facing wall. ❑ Yes No. If No (Check one): extend u to 5 ft.if there is a covered front orch and ara e does not extenP p g g d beyond the front porch. //lay 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 above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) -foot-wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: i ,IL, Date: ___10144____ t:\Building\Forms\BldgPermitRvw RES RT 0622I6.docx EIVEP Plumbing Permit Applicati r'tEC Building Fixtures N O V 3 2016 City of Tigard g p d A y Dain l 1. 7 /(r,eceived /- 1 Permit No. S ribt f�-.� vo II, - ■ 13125 SW Hall Blvd.,Tigard,OR� ��,T 1 Ifi >l Plan Review �J Y ■ Phone: 503.7182439 Fax: 503.5 p�gy. Other Permit No.: Internet Inspection ��go75 �UIL �I�GDIVI ) �;,: � � f,�ngav : c : SI See -?:"..:,11.;.-..,:,,:•'%..,:-.7--. ± !SCBeEDI c ``. ®New construction - 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/eplacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) . -.CATEGORY OF CONSTRUCTION' SFR(I)bath 312.70 ®I-and 2-family dwelling 0 Commerciallndustrial SFR(2)bath 437.78 SFR(3)bath 150032 ❑Accessory building 0 Multi-family - Each additional bath/kitchen 25.02 ❑Master builder 0 Other Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION ANA LOCATION Site utilities: Job site address: I C� 3(U d nook, . 'V r -' Catch basin or area drain 18.76 1 / Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt no.: Project name: p.,1 kr T.P r f . N vi Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_J Page 2 Stolen sewer(no.linear ft:, ) Page 2 Water service(no.linear ft: ) Page 2 Subdivision:'ridt 4„j fily01.� N WGf\ Lot no:e1 Fixture or item: Tax map/parcel no.: Backflow prem 31.27 - . DESCRIPTION OF-WORK- Badrwaisr valve 1251 • Clothes washer 25.02 (fin-IV/id-Of-CIA°, t, 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 Fax:( ) Ice maker 12.51 ®_.APPLICANT . [] 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 jews)ti 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) 6234 Phone:(360)695-7700 Fax::(360)6934442 Tub/shower/shower pan 12.51 E-mail-Angela.Grajewski®polygonhomes.com Urinal 25.02 Water closet 25.02 •- CONTRACTOR Water heater 37.52 Business name:Malmedal Enterprises Inc. Water pipinlWV 56.29 Address:PO Box 207 Other: 25.02 City/StateIZIP:Banks,OR 97106 Subtotal Phone:(503)3240759 Fax:(503-)324-0580 Minimum permit fee: $72.50 CCB Lic.:102535 plumbing Lie,no.:34-276PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: C� P TOTAL PERMIT FEE Print name:Carolina Malmedal Date:0425/2016 This pmt application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I.-tBuildmgTermits\PLMU-PaudtApp.doe 10/01/09 440-4616T(10/02COM/NE6) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17431 SW SABRINAAVE, BEAVERTON, OR, May 22, 2017 at 2:45:17 PM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00420 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: AC installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17431 SW SABRINAAVE, BEAVERTON, OR, May 24, 2017 at 11 :15:17 AM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00420 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor