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Permit (62) CITY OF TIGARD MASTER PERMIT " '! "' COMMUNITY DEVELOPMENT INPermit#: MST2016 00419 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/27/2016 Parcel: 2S106DB08600 Jurisdiction: Tigard Site address: 17445 SW SABRINA AVE Subdivision: RIVER TERRACE NORTHWEST Lot: 86 Project: River Terrace Northwest, Lot 86 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 33 Detectors: Yes Total: 2078 sf Value: $254,617.30 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 1 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'I 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 2078 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: $31,747.01 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �i` Permittee Signature: 0 /496/(',..t7--/c i� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. „,.Building Permit Application L. 0 a Residential RE ,g FOR OFFICE t SE ONLYz City of Tigard Received / _ '� 13125 SW Hall Blvd.,Tigard,OR 97223 _ Date/By: �/ ///k ,4L— Permit Ngt:f . f/-0 J�/9 _ s E t 1 2016 Plan Review I ` K% '7 Phone: 503.718.2439 Fax: 503.598.1960 u Date/By: Q --01�- C T Other Pert(.�� �����7 T 3 G�R Q Inspection Line: 503.639.4175 �, OF C € � �s” Date Read B v 7 Internet: wwW.tigatd or.gov ° v� " Ready/By: /4/ Juris: I H See Page 2 for a b Notified/Method: C 1h' 9 4 3 I F t r": Supplemental Information 'gym f . a Y�„2 dA: �`»,.u^f "`�"tSTAV,� ;, �,,E #..; �3'; s$..;'' k2t ...? - d_ eTt : ,. >_. } rv.. Y .hinry- n.._at 3.. ,sI..l'F F --, '.k ... ;, ;.,,.,_... t:,. .�... �.a r =ix�'� .�,:', � ������t� is fti ®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: d a equipment,materials,labor,overhead,and the profit for the � � �� ' work indicated on this application. ® 1-and 2-family dwelling 0 Commerciallindustrial Valuation:ail" $ . 0 Accessory building 0 Multi-family Number of bedrooms: 3 ' 0 Master builder ❑Other: Number of bathrooms: _..i r --_, . .. .: IIk�'iI( '._, s C: M Total number of floors: 2 a( ► Job site address: fl `I L45-- S Y V S hr•'tm t New dwelling area: ' �y) s uare feet �J V q City/State/ZIP:Tigard,OR 97224 Garage/carport g arport area: 360 square feet Suite/bldg./apt.no.: I Project name:River Terrace Northwest1(J V Covered porch area: (f square feet 1 '3 0 Cross street/directions to job site: / Deck area: square feet 9.8 Other structure area: square feet 9 Subdivision:River Terrace Northwest I Lot no.: ti&o o^ f t � �1 0- . 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 a 3 _ equipment,materials,labor,overhead,and the profit for the - 4 , „, .,,,� , g��� `^r �,a4 �.� .i work indicated on this application. Valuation: $ Existing building area: square feet # New building area: square feet l ; w , t: 4 t 't y[ " i '. .� : �" i 4 ? � r Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax ( ) N.. F ... y. a k� rte. :.WAtf :e�;� j. �., " r 18R,11,4 ', a�. E � rz Business name:Polygon WLH,LLC i t t k, a' 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 I Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com , -. r " ;' f- ,k4WellW��' > SI s itt' : Commercial and residential prescriptive installation of ` �` ""$m feb' I roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details Address: 109 East 13th Street and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review Phone:(360)695-7700 and administrative fees): $180.00 I Fax:(360)693-4442 CCB lie.:207247 State surcharge(12%of permit fee): $21.60 J�/�/I�/ Total fee due upon application: $201.60 Authorized signature: `'f/9/eriod bi This permit application expires if a permit is not obtained J within 180 days after it has been accepted as complete. Print name:Angela Grajewski I Date: S/'�/rj, I *Fee methodology set by Tri-County Building Industry Service Board. I:1BuildingTermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) I Mechanical Permit Application Folz OJ FIC E 1 SI()N LI City of Tigard ' 4 v ' Received : Permit No./iT /!—Oa Oaili 9 13125 SW Hall Blvd.,Tigard,OR 97223 / (r✓ = Phone: 503.718.2439 Fax: 503.598.1960 1 Plan telly Review Other Permit: Inspection Line:-503.639:4175 J E 2016 T 1 G;\R D p Date Ready/By: Mris: 1 See Page 2 for Internet: www.tigard-or.gov c i i.4 ( , 2._) Notified/Method: Supplemental Information e :1 € . " al .f t Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit 0 Demolition 0 Other: � sa Value:$ 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder ❑Other: Description I Qty. I Ea. I Total a- ., :' "� � � Heating/cooling: ; € g � Air conditioning 1 46.75Job site address: /7( /S SW' UI p Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name:River Terrace Northwest Dui 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 Subdivision:River Terrace Northwest I Lot no.:e n Other 23.32 J Other fuel appliances: Tax map/parcel no.: Water heater 23.32 t, 1 , _ Gas fireplace/insert 1 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 Other: 23.32 •�`: '' ' ''''''.--'7.:-.2'''''' _ Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen 7 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) 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 ii Other. 23.32 -:::,"..4::%:- as �; , Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for first four,$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump 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 77' �`� Clothes dryer(gas) Business name:Apex Air LLC Other: Address:18004 NE 72°d 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 lic.: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: * Fee methodology set by TriCounty Building Industry Service Board Print name:Angela Grajewski C�/C) Date:8/22/16 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) ,� ., d a,rte I l Electrical Permit Application �' k V' F Z,1 FOR OFFICE USE ONLY City of TigardReceived 13125 SW Hall Blvd.,Tigard,OR 97223 S E P 1 2 016 Pian Review Phone: 503.7182439 Fax 503.59p� a Dataft. Related Permit is Inspection Line: 503.639.4175 _ 'e '' - Ready Date/By: huh: H See Page 2 for TTGARD, Internet www.tigard-or.gov ..�(.1 ., .I ` ? ,, ,1 Notified/Method: Supplemental Information •a_"� ~:=S o -s...:0;71.. ..,, y,":`,;,=-.s_-,` e _.. mac-.=�.,`>rt ,�_.... -7-'' ,,y=!�r c,�m.;�- .,-C- ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans Wilms checked):V QDemolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three strias. _ _ where the available fault current 0 Marinas and boatyards. OSS ? —VF ' a`kWrdWAf — exceeds 10,000 amps at 150 volts or ❑Floating buildings. r I-and 2-family dwelling 0 Commercial/indlistrial ❑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 ❑Fire pump. ❑Installation of 150 KVA or 1 `' __- ❑Eer tem,�ms== ismsUSbt�"_ �� _f�%l __ ;- - ; - -Y ❑ goo Yomotor load of lar ger separately derived system. Job#• Job site address:!, 14s--S� �� , t 100BP or more. ❑"A",E"."I-2","1-3", City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-Cate facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:. � . 46 yya � �/�r Hazardous locations. ❑supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: T==;'r'� Of '.. Y :3. -"=�=' ` ' Description I Qty. I Each i Total --r-; New residential single-or multi-family dwelling unit. Subdivision:AWAY'Y'rirre, Alert4(,tprj Lot#: e54' Includes attached garage. Tax map/parcel#: 1,000 sq.ft or less 168.54 4 Fa add'l 500 sq.it or portion 33.92 1 r-•,- _-. .: `� D COr. .'- ...�..,' -t :,:::--^"` ' - Limited energy,residential h''�a�:..-.�:.. . �:_,.--�-. (with above sq.ft) J 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft) _ Renewable Energy CISee Page 2 ©l s. = -` 4 S---- M- 1 2 T_.- r' .: Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 552.26 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 Iess 59.36 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 snips to 599 amps 16854 2 • ;, ":=t -a .��..1 s 71-7 -"-S--°-T4'..--7.-"4'.a Branch circuits-new,alteration,or extension,per panel -.-.,:mfr - i:..5,'ws- _ _._.. 5� '�! . C() .,yy' - A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits without Aservice or feeder fee,fust Address:109 East 13th Street 56.18 2 branch circuit City/State/2/P: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 67.84 2 dwelF.mail:Angela.Grajewski®a polygonhomes.com Reconnect and/or feeder Reconnect only 67.84 2 -4?`` .i-J-441.-617.6 , :` 9 -' a- Pump or inigation circle 67.84 2 Business name:Garner Electric Washington,LLC Siga or outline lighting 67.84 2 Signal circuit(s)or limited energy Address:6101 NE St Johns Rd panel,alteration,or extension ❑ See Page 2 2 City/StaterZlP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.0W hr Email:bdaniels@gweusa.com Jndustrial plant(1 hr min) • 78.18/hr Inspections for which no fee is 90.00/hr • CCB Lic.: C1158 Electrical Lic.: 208174 I Suprv.Lic:: 4496S specifically listed(F hr min) : �t -rte Suprv,Electrician signature,required: ,Act.A_ _ Ad I Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): - _ State surcharge(12%of permit fee): 1 —_�, TOTAL PERMIT Ebb: Authorized signature: ./-c________, ___- ....------- ___ _ �- _ Print name: Bill Daniels Date: 4/26/2016 This permit application atter expires if permit is anot obtained within 180 • days after It has been accepted as complete • Number of inspections allowed per pamtit _:-..-;!; i :',.I:\Bulding\Prnaite\ELC En,,,tApp ELR mEdoe Rev 06/17/2015 4404615T(11/05/COM/WEB j ylUmbin2 Permit Application Building Fixtures i ,,; k E ( i, H i l t, i 1 ,1 4,1 gi City of Tigard Permit N')/711' 0/6 190 r//> 13125 SW Hall Blvd.,Tigard,OR 972 `p 1 2016 Plan Rte,„ Phone; 503.7182439 Fax: 503.5981960Other Permit No.: Inspection Line: 503.639.4175 - "),:r. a y �eRe'. Orr,�`q a S °@ "; ` o�,. Date Rtad9!BY: lurk $See Page 2 for Internet: www.tigard.or.gov ,, -.,:1, . ' ... s, . ..., 4 � Notified/Method:._ r5ap >I��locomotion lit�.� ' t^ .411�� t :�6_ � �4a "� figi-wr tl ::::a . g ! s'zc 1 J New construction 0 Demolition For spedat informatics aeserherkust. Description 0 Addrtion/alteration/replacanent 0 Other: New er: l4 Q. Ea. Total 1-2-family dwellings nga(includes 100 for each utility connection) , : , , e, P ` s r ,, '-'11'� SFR(l)bath 312.70 , �-. �n� ®1-and 2-family dwelling 0 Commercial trial SFR(2)bath 437.78 1 ©Accessory butld'ing 1 0 Muhl-family SFR(3)beth' i 50032 d I ©Master builder 0 Otber Each additional bath/kitchen 25.02 - ' .n fire sprtnkter�_sq.ft.) Page 2 : ' '�+_; +._,�'z ,..< ,;z� w,. ``�� �'`.,� w� ..��;r�el�,,�,,:f::Q.�7*; + , `_D �.� site ntriities: i kb elle S Sabrina.nt�- L Cateit basin or area drain 18.76 11 DryweftCity/State/Z P:Tigard,OR 97224 leach tine or trench drain 18.76 1r1d y, Footing Aram(no.linear R: ) Page 2 Suitt1 giapL no.: I Prove«name:NVeirTot-face I i O�es� Manufactured home utilities 50.03 i Crossstreet/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear lt.: ) Page 2 Storm sewer(no_linear ft.:_ ) i Page 2 Water service(no.linear IL: ) Page 2 Subdivision:1pi‘ltfltyYetee., N o-`-iAW - I Lot no.:e(.+' Fixture or item: Tax map/parcelno.:. n Backflow preventer 31.27 .,v- Badwater valve � 1251 s�2su '" r' 'r� ,:x : "m.� terfseme,. u,at':9, ,. " 5es' wm - a .. _ Clothes washy 25.02 ' Dishwasher 25:02 Drinking fountain 25.02 , E}ectors/sump ..... 25.02 C Expansion tank 12.51 , Fbx /uresewer 2102 Naive:ApV'L Laid Holdings;LLC . 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 1 Phone•(602)694.493i Fax:( ) _ Ice maker 12.51 :.7,j , a.,` < Aa.�; in terctptor/grease tr�� 25.02 Business nailer~'William Lyon Homes,ISM Medical gas(value:S ) Page 2 1 Contact name:Angela Gt aieWski Prima 12.51 RoOf drain(commercial) 12.51 Address 109 East 13th Street, rusk/basin/lavatory 25.02 City/State/ZIP:Vaal ver,WA 98660 Solar units(potable water) 62.54 . Phone:(360)695.7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail: ela:Gra' Urinal AuC Iew'ski@potygoalwraeacam 25.(12; % Watc � 25.02 yd✓.nom k � lt,„s��i��� .;*W:r;�'m � ,. "ea �'t.,�i3ft'�v ,''^hsfiSG ^* �KBta' 37.52 . Business mon=Alliance Plumbing LLC Water piping/D56.29 Address 146;W Hitdorie Columbia River Hwy Other 25.02 City/StaterLIP:Truutdak,.OR 97060 Subtotal Phone.(503)4923490 4itiii"... Fax (503)912-6438 Minimum permit fee: $7250 CCB Ltc�184601 Plutr�mg iic.no.:PB732 Plan review (25%of pelmet fee) : Autliorind_sipnaUie: State surcharge(12%ofpermitfee) ' TOTAL PERMIT FEE Date;5/23/2016 This permit application expires if a permit is net ob(sined within 180 days Print'natrie Robet t Diatomsafter it has been aoeepeed as complete. *Fee mdhodalogysei by Tri-Cormty Building Industry Service Board 1:1Butidingtra tApp.doe 10/01/09 4404616T(10/02/COWWEB) City of Tigard ® COMMUNITY DEVELOPMENT DEPARTMENT 11111L T I G A R D Building Permit Review — Residential Building Permit #: S'j'c,2 t /G, — DQ z//,' Site Address: / 'i S" SA) -S1706th ,2 . Project Name: v-er- '- --toce 6- ,5< Lot #: g ,, (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /1/44) SFR iVerify site address/suite#exists and active in permit stem. River Terrace Neighborhood: ❑ No V Yes,See River Terrace Review Addendum Attached Sit Plan Elements: V ree(3)copies of site plan ;..-sting structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper IF Footprint of new structure(including decks)with finishedIprawn to scale(standard architect or engineer scale) or elevations Torth arrow [ Utility locations(required for new,may apply for additions) �te address,project or subdivision name and lot numberIre cation of wells/septic systems plicant information(name and phone number) ��isting trees to be retained with drip line,and tree iikr t dimensions and building setback dimensions rotection measures Lot area,building coverage area,percentage of coverage and g reet tree size,type and location Ppervious area(applicable if R-7,R-12,R-25&R-40) LldStreet names roperty corner elevations(2 foot contour lines if more than 4 foot differential) t1iklean Water Services—Service Provider Lettgt(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified 1g No Received: ❑ Yes ❑ No Public Facili ' s Improvement(PFI) Permit: Required: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake and Use Case#: Abet201 S=' 0C-4',M--. U Qois= 60e10R0/Zoning: ( b VRequired Setbacks: Front g Rear /0 Side 3.' Street Side Garage Landscape Requirement: QC7 0/0 (Lot Coverage Maximum: —erg Building Height: Maximum Height N% Actual Height / f// EIsual Clearance asements •.ensitive Lands: ❑ Yes IK{No Type 7 Urban Forestry Plan ❑ Conditions " t"prior to issuance of building permit Notes: 4 74)7 2// zru227`® ll;,r `A -A. /:S'' ire. Approved By Planning: - !,; Date: /O/f/,I Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPemutRvw RES 091216.docx w Building Permit Submittal Original Submittal Date: 9///J2 Site Plans: # 3 Building Plans: # Building Permit#: Enter building permit#above. / Workflow Routing: Planning `Engineering Permit Coordinator t�Building Workflow Sign-off: 0' Sign-off for Planning(include notes from planning review) Route Application Documents: ,12. 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: ..dit i Date: /p////,6 Engineering Review Slope at building pad: ,.. 2;9 ❑ 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 Appro ed y Engine ng: Date: e�, Notes: S �6" /5.. oae— Approved by Engineering: Date: !/J 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 El 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: SDC Fees Entered: Wash Co Trans Dev Tax: 0.0 es CI N/A Tigard Trans SDC: ' Yes ❑ N/A Parks SDC: r Yes ❑ N/A Er OK to Issue Permit Approved by Permit Coordinator: Date: w/ ' 9 4 L\Building\Fonns\BldgPermitRvw_RES_091216.docx di,. R City of°Tigard 111 COMMUNITY DEVELOPMENT DEPARTMENT I TIGARD River Terrace Building Permit Review Addendum Building Permit #: //t/S7–,2_0/6, - czy 9' Site Address: l94/z/g"' 3k) Svb,h22 ntfe– Project Name: iirc3eA jelg Lot #: --- -(7—. (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distr t Design Standards (18.660.0701): Is the project subject to the plan district design standards? Vi 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. t. 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 facade must include windows or entrance doors. Percentage Shown: 13- Ye 3. E trances:At least one entrance must meet both of the folloyfing standards: Max. 8 ft. setback from long st 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 s,all the following apply: 5 sq.ft.min. TK/One street facing entry chi ft.max.roof above floor of porch 5 ft. depth min. %min.porch roof coverage 4. rr etailed Design:All buildings shall include a min. of five o the following elements on all street-facing façades: IF/ overed porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ all offset min. 16 inches ormer min. 4 ft.wide Roof eave min. 12 inch projection 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. Cylorizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of street facade re 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): ay 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) I ❑Ltd -foot-wide garage door 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: - Date: 0 1 I:\Building\Forms\BldgPermitRvw RES RT 062216.docx Plumbing Permit Applicati r l`"'°C"" Building Fixtures N O V 3 2016 i O R ()I I I( I I ,1 ()NI 1 City of Tigard l f 7 /4, Perms No.:M S tZ Uo_�1q 1 114 13125 SW Hall Blvd.,Tigard,OR OF TIGARD Plan Review W I Phone:503.7182439 Fax: 503.5 8 p Date/By: Other Permit No.: Inspection Line: 503.639.4175 BUILDING DIVISION Dale Ready/By: rm;s: ® Sas Page 2 for Internet www.tigard-or.gov Notifed/Metbod: Supplemental Information ®New construction - fl Demolition For special information use checklst Description I Qty. I Ea. I 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 ®I-and 2-family dwelling 0 Commerciallndustrial SFR(2)bath 437.78 SFR(3)bath ' 50032 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other. Fire sprinkler(_sq.ft-) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: / i,i (VV S(AJIOin(lot &i,�' Catch basin or area drain 18.76 / Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 _ _) Page vi- Footing ^f Footing drain(no.linear ft.: Suite/bldgJapt.no.: Project name: Vj\J'r Teo-aut. N V Y 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 Subdivision:'ridaU-TWocil t... 1\1klit 1Wt r Lot no.: Fixture or item: Backflow Tax map/parcel no.: l 31.27 • . . DESCRIPTION OF.WORK• Backwater valve 12.51 . .. . (fin �� //�y�• Clothes washer 25.02 r�W C�• 1\� � 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 Pier 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZiP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693.4442 Tublsbowerlshower pan 12.51 E-mail:Angela-Grajewski(4)polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR _ Water heater 37.52 Business name:Mabnedai 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-)324-0580 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:102535 PhmtbingLie.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Carolina Malmedal Date:0425/2016 This permit 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. teull'ug1PermitstPLMU•Pe+mitApp.doc 10/01/09 440-4616T(10a2,COMIWEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17445 SW SABRINAAVE, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00419 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17445 SW SABRINAAVE, BEAVERTON, OR, May 22, 2017 at 2:53:13 PM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00419 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Seal penetrations in floor of mechanical room. R302.5,11 Seal line set penetration thru foundation vent. R408.2 Violation Summary: Inspector Contractor