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Permit (55) CITY OF TIGARD MASTER PERMIT IN - q - COMMUNITY DEVELOPMENT Permit#: MST2016-00418 Date Issued: 10/27/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S27/201 8500 Jurisdiction: Tigard Site address: 17473 SW SABRINA AVE Subdivision: RIVER TERRACE NORTHWEST Lot: 85 Project: River Terrace Northwest, Lot 85 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 Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2229 sf Value: $271,047.13 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 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'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 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: $32,126.44 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling Y 503.232.1�98�o' ' � a7or 1.800.332.2344. // Issued By: � Permittee Signature: 'At 1974'4' 'y 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..o r g 5 0 I , Residential RECEIVED FOR OFFICE USE ONLY City of Tigard Received p ill ■ 13125 SW Hall Blvd.,Tigard,OR 97223 SEF 1 2016 Date/By:�(1�0 �� Permit N � j� Q�l�� ' I Phone: 503.718.2439 Fax: 503.598. Plan Revietbi �JLL,l/ `'/ 3 Q! t i, -) DateBy: 10 ^Z O • J C Other Permit ' 6.o`/ ff T l G Q R D Inspection Line: 503.639.4175 1 y' .,1 ! 3 g os e i Date Ready/By: Juris: H See Page 2 for 1© Internet: www.tigard-or.gov I r q I , t *� C)M Notified/Method /�r �+ Jr I /G" G�/�rCs � �,�'�f/^ Supplemental Information n �..*r ro`v.:;4.. .t#_.'' .gat : w .� -' =-4,hys„ `� `,kit-£-atm F:l..� ' t�°n"> :r `3 i rt� z x s:..,.�: � .6,fe�.,�e. ..^ac: ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the JhKE fN"= = M ` , 'r p ., 4 ,.. ,. work indicated on this application. ... ��_. .z+ e_ ...."=�4 �. ..,.* �i*` :moi :.. a ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: 0 i y�b � I ❑Accessory building ❑Multi-family Number of bedrooms:t� I. ❑Master builder 0 Other: Number of bathrooms: x Ib 1E (Rk �I . a .Tr� � % Total number of floors: 2 a 9_ � . . Job site address: I i y 1 3 Sv\l ri Soth /�/�, Nit New dwelling area: 22N,9 square feet City/State/ZIP:Tigard,OR 97224 J 1,lA Garage/carport area: yap square feet Suite/bldg./apt.no.: Project name:River Terrace Northwest Covered porch area: I v+4". square feetL� Cross street/directions to job site: j;12:,,c- Cross l Deck area: j 3/./.- square feet cp Other structure area: square feet 1 8 Subdivision:River Terrace Northwest ?•-)S. 7S P_. fees* -`�' work performed. no.: l 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 >t equipment,materials,labor,overhead,and the profit for the . ig `- 4 x ' ., 13ES 0 `V # 4 ; t work indicated on this application. gmfAmta Valuation: $ Existing building area: square feet v�, New building area: square feet Itli_ �. _ w_ X40> . . . sr .mo00 , W Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy p y groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax ( ) N _ t-.�=WittatVe"tri � � ^' 4 '4 tgate tl y.C r' li)1 1a '2 lla 7 ear Business name:Polygon WLH,LLC r id _ ,,,.,, , Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 136 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 E �� t ' ' , t a ..�-.�.ak. � wyi . �� Commercial and residentialprescriptive installation of .&,,,,R-Mk..:,..:..-4:!.. ` - " _az li', s�17 F : 214 <t ` 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 $180.00 Phone:(360)695-7700 and administrative fees): I Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 4Total fee due upon application: $201.60 Authorized signature: bi This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name:Angela Grajewski I Date: J2. /f(, I *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB) ,Mechanical Permit Applic !I—I-1 FOR OFFIt SE OyL City of Tigard C. CE Received _ - Date/By: Permit No. 20 IN 13125 SW Hall Blvd.,Tigard,OR 97223LL� $i �6 00�/f� Plan Review Phone: 503.718.2439 Fax: 503.598.19611[P 1 2 016 Date/By: Other Permit: Ti G A R D Inspection Line: 503.639.4175 Date Ready/By: 7uris: Internet: www.ti azd-or. ov CITY (� y i 1`l See Page 2 for g g O F i i k hii i Notified/Method: Supplemental Information r3ilLDftJ( 11/1.' (- ,1 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 1=I Demolition ❑Other: Value $� �� R � W , R @' � 3 /..;:,:t,55.1:1:!; ;;;-,:, fA , 1.P ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessorybuilding g For special zzzfnrznntiozz use checklist ❑Multi-family 0 Master builder 0 Other: Description • Ea. 1 Total �i'�n�KR�r.�i��e '�`:�• ,,,�,e�� � �,F�.�.-'' �'€� � , € & ?p s�'� �a`��` �- .''s HCflting/COOling: . Air conditioning 1 46.75 Job site address: ( I'7� S� s 0o1C c Furnace 100,000 BTU(ducts/vents) ( 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldgiapt no.: I Project name:River Terrace Northwest Heat pump 61.06 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 t 23.32 Subdivision:River Terrace Northwest I Lot no.: es Other 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 a .4 4 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 Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen 1 equipment 1 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust I 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, I toilet compartments,utility rooms) `'1 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 1: h, 1 i -,' Other. 23.32 Business name:William Lyon Homes,Inc. Fuel piping: $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 Clothes dryer(gar)� rar �� � � Business name:Apea Air LLC Other. Address:18004 NE 72"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 Authorized signature: /V days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski Date:8/22/16 I:\Building\Permits\MEC_PermtApp_040113.doc 440-4617T(11/02/COM/WEB) , Electrical Permit Applicata FOR OFFICE USE ONLY /���77 City of Tigard SEP 1 2016 Received . Permit 6'. ltlJ7', i/F .o Vii 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.7182439 Fax: 503.59vEi 0I Sf DtelB . Related Permit fl: Inspection Line: 503.639.4175 Ready DaterBy: kris: la See Page TIGARD- 3U!LDh (� ;b1I1S;ON Notified/Method: Supplemental Info rmationInternet www.tigazd-OLgov a µ �.�� v ...._,:.:r` ily =amu x: -_..-:fi ®New construction 0 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 stories. Q Demolition 0 Other: where the available fault current 0 Marinas and boatyards. 12, s e . exceeds 10,000 amps at 150 volts or Q Floating buildings. ®1-and 2-family dwelling 0 Commercial/iridtistrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural 0 amps for all other installations. buildings.- ❑Multi-family 0 Master builder Other. ......<.. . .. . . .�. _ 0 Fire d pump. ump.fnew m otorioad of ❑Installation of 150 KVA or � .°�=�t4iit; :_.771SLMY3Ii4-71Q- & �[�1� 0` - �� - ❑Emergency system_ larger separately derived system Job#: Job site address:nylb ‘,‘,/ ./ (a / Vli ...ormore. ❑ A",`> ."1-2 -]-3. City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-case facilities. 0 Recreational vehicle panics. •Suite/bldg./apt.#: Project name:{ b / y e,/ter .t h,,,„d f- Hazardous locations Q Supply voltage for more than ' g Service or feeder 600 amps or more. 600 wits nominal Cross street/directions to job site: - SDL7L -= -L-W. --1:-M41- Description I Qty. I Earl. I Total 1 New residential single-or multi-family dwelling unit. Subdivision:/ .1 0jj/r,Qi-ete_t. j rt1/11L P/J Lot#• Vs Includes attached garage Tax leap/parcel#: 1.000 sq.ft.or less 168.54 4 Ea add'l 500 sq.ft or portion 3192 1 Qw, s.:� T Limited energy residentialj 75. 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft) Renewable Energy ❑ See Page 2 _-zf �.�_. err, z,,,, ,,: �=��€ .x'>� s.=.-..�-:=:� 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 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 60]amps to 1,000 amps 301.04 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 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 amps to 599 amps 168.54 2 "" ""- '- - i a 0® _ x- SO Branch circuits—new,alteration,or extension,per panel W-..4:404-.M.#1.-:.V._. >- -" *..A = A.Fac for branch circuits with i Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 i each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits Without service or Address:109 East 13th Street branch circuit eder fee,fust 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'I 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 dwelling,service and/or feeder Email:Angela.Grajewski@polygonhomes.com Reconnect only 67.84 2 '', r 75- 1 5 r�-5�-' cAli';'-!re ya9.1E-s- 7,- T'.cam. 7 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 Signalel, leer circuit(s)or extension. ❑ 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(1 hr rain) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels@gweusa corn Jndustrial plant(1 hr min) - 78.18/br Inspections for which no fee is 90.00/hr CCB Lie.: C1158 Electrical Lic.: 208174 Suprv.Lica: 4496S specifically listed(4 brain) _ 4 Suprv.Electrician signature required: .4(.A Ad 9� . . . Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): e"--- — _ - State surcharge(12%of permit fee): Authorized sigtmt,lre: c_-__________-------------- TOTAL PERMIT F..h : 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. Number of inspections allowed per permit. I:'Reflding1PenmitddSSC PermitApp—EL1t ERE.doc Rev 06/17/2015 4 0.4615Tt1I/05/C0hf/WEB Plumbine Penult -Applicata E Building Fixtures 1 (,k t„ , ,, , , ,,i t,..# 1 City of Tigard SEP 1 2016 i<Inti•�S�" '/F� i . 13125 SW Hall Blvd,Tigard,OR 97223 ,�. ,,, 1:,488/5"11,.....,Y:. Phones 503.7182439 Fax 503.5#S ( )1 t r L' ba-Te-13;::- Inspection , Other Paarit No.: Line: 503.639.4175 11 21.I L I a(3; ,..' i t t r Date Ready/sr rum H See.Page 2!on Pmn lnkrirct www. d-or. t �` tlgar I Notified/Method: Supplemental Information _<New construction 0 Demolition For spedal iiyannofiaw arse ekeekrut Desc New p Addition/alteration/replacement 0 Other: NNew 1-2� Qty. 1 Ea. 1 Total # 1-2-family dwellings(includes 100 tt for each utility connection) f4ai .,` ``a oc,n ` i:yP. ,` ., • SFR(l)bath 312.70 ® 1 and 2-family dwelling 0 CommercialPndstrial SFR(2)bath 437.78 SFR(3)bath 1 50032 ©Accessory building 0 Multi-family 1 ©Master builder Q Each additional batter kitchen 25.02 i Other fvrsprin cler( sq.R) page 2 , � , ,' -; � -,7-17-i7;',:, a1". Site utilities: / j,� �; Imp._, lob site address: ! 1)5 W Sabra not_ �L Catch basin or arca drain 18.76 f CitylStats/ZtP Tigard,OR 97224 Dryer,trach tine,or trench drain 18.76 Footing drain(no.linear 11: ) Page 2 ; 8 Suitelbidg/apt no.: I Project name:'tQ�ilte( 1exrare I"Ot tt vies Manufactured home utilities 50.03 I Cross'stteet/dtremions to job site: Manholes 18.76 Rain drain connector 18.76 iI Sanitary sewer(no.linear ft.: ) Page 2 = Sloane sewer(no.linear ft.:__) Page 2; Water service avicx(no.linear fL: ) page 2 Subdivision:! no.: p1��i'� 1'ei'(�r(i(,Ct✓ lV(�("1 V1,(i'W` I Lot g --. Fixture oritem: Taxmapiparocl no.: Backflow preventer 3127 r ,. 7• �-:; a 1,', :" Backwater valve -1 , 1251 s :. Clothes washer , 25_02 _. Dishwasher 25:02 Drinking fountain 25.02 EJectp ... 25.02 m f� Expansion Inuit 11.$1 Fixture/sewcrcaP 25.02 Ntririe ADVL Lied Ntridiags'LLEX Floor drain/floor sink/hub 25.02 Address:7600E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Plicate:(602)694-4031 Fax:( ) Ice maker 12.51 . 7::: ,: >, •1'g , -,,; i,t �� � inerceptoilg rease trap 25,02 !Medical (value:S ) Page tfarnet'WgEiaitd Lyon Homes,Inc Medical gas 3 Contact name AngelaGra ski Prima 12.51 J� Roof drain(commercial) 12.51 Address:109.East 13th Street.: 5irtli/basitrdavmtaey 25.02 .... City/State/ZIP:Vancouver,WA 98660 Solar tants(potable water) 62.54_ Phone:(360)695-7700 Fax::(360)693.4442 Rib/shower/shower pan 12.51 E-mail:A, ela:Gra'Jnhomes.com °= n►> iPyfa Urinal 25.42 Yr �: W closet 25.02 Watex healer 37.52 Btlsit>ess iltelIC Alliance Plumbing LLC Water pipi WV 56.29 Address 146:W 11toric Columbia River Hwy Other 25.02 City/State/ZIP:Troetda$e,:OR 97060 Subtotal Minimum fee: S72.50 Phone.:(503)492 3490 ' :Fax:(503)91Z-6438 permu CCB i tcs 184601 Plumbing ,ie.no.:PB732 Plan review (23"Je:ofpennit fee) Authorized_signature Stade surcharge{12%cfprimal fee) TOTAL PERMIT FEE Print mine Robert Dishman Date:5/23/2016 This permit appGaiPaa expires Ifs penult Is not oartaiaed widaa 180 days after it has been accepted as complete. *Fee methodalogyset by Tri-County Building Industry Savior Board. liBuacrrcigtram 7t. amitApp.doc 10m1/09 440.46t63110/02JCOM/L c City of Tigard 11 COMMUNITY DEVELOPMENT DEPARTMENT III T 1 c R D Building Permit Review — Residential Building Permit #: /fsj,2t7 Site Address: /9.1-13-5 Sui,) S7 cAs6 fi o . Project Name: aer ` r,,Ce UC i-Af &/- Lot #: es- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /1.G) . F,€ 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 rr Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) .or elevations orth arrow tL Utility locations(required for new,may apply for additions) IWAI to address,project or subdivision name and lot number 10 cation of wells/septic systems .plicant information(name and phone number) ��isting trees to be retained with drip line,and tree t dimensions and building setback dimensions rotection measures Lot area,building coverage area,percentage of coverage and [ eet tree size,type and location Ppervious area(applicable if R-7,R-12,R-25&R-40) 1 Street names roperty corner elevations(2 foot contour lines if more than 4 foot differential) tJ`ftlean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified Pf No Received: ❑ Yes ❑ No Public Faci1i " s Improvement(PFI) Permit: Required: g Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake Land Use Case#: > bee .0/�= 00(-M—"" SGf13Q01S - C DR V Zoning: to (762)) of,Required Setbacks: Front 0 Rear /0 Side _ Street Side Ay/I-Garage c2e) FLandscape Requirement: 62e) % Lot Coverage Maximum: 3l) % ra Building Height: Maximum Height A)/4 Actual Height �c3 f:D.--i/ I. isual Clearance 7 Easements J) fr.ensitive Lands: ❑ Yes Z.No Type i Urban Forestry Plan ❑ Conditions "No"priorrto issuance of building`> permit ® Notes: ' 7/(4'767.S.' -c:4,2// Le Xpp_.. 1- jl:epr `7) 1 ,/'71-- /S'\5 :211 e Approved By Planning: -- ..�--- `' ' - , ' ! Date: /o///// 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\BldgPermitRvw RES 091216.docx o 1 Building Permit Submittal Original Submittal Date: ////f, Site Plans: # Building Plans: # .L? Building Permit#: Ki Enter building permit#above. Workflow Routing: G]—Planning 42---Engineering e 1 ermit Coordinator [ wilding Workflow Sign-off: GJ.--Sign-off for Planning(include notes from planning review) Route Application Documents: C-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and � original plan review routing form. 2t Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: e)./C2947-7' a _.. Date: /e2A,7 Engineering Review Slope at building pad: A fA ❑ Conditions "Met"P rior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes No Assess Water Quantity Fee in-lieu: El Yes No LIDA Facility on lot: ❑ Yes No El NOT Appro e. by Engineeri :• Date: Notes: - y ,� d. w ar�•J Approved by Engineering: *3' Date: /©-/9..b Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved El 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: Ps/es ❑ N/A Tigard Trans SDC: E??Yes ❑ N/A Parks SDC: Yes ❑ N/A ric to Issue Permit Approved by Permit Coordinator: Date: /01/14`4 I:\Building\Forms\B1dgPermitRvw_RES_091216.docx h City of Tigard 1111 W COMMUNITY DEVELOPMENT DEPARTMENT r I cA RD` River Terrace Building Permit Review Addendum Building Permit #: /ir 7'. ./-0/6 - Dd r7//cF- Site Address: /711?-3 $L.C) jy22 Ale — Project Name: kitier /(J Lot #: 95 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distr t Design Standards (18.660.070.1): Is the project subject to the plan district design standards? V1S 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 ft. deep Balcony w/ access 2 Window Projection Vertical WallOffset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6f.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12°/q of each street facing facade must include windows or entrance doors. Percentage Shown: /Q‘/D intrances:At least one entrance must meet both of the foll ' g standards: ax. 8 ft. setback from long t 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 yes,all the following apply: 5 sq.ft. min. figiOne street facing entry , /2 ft.max.roof above floor of porch lid 5 ft. depth min. lid 30%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: hovered 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. ❑ 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): 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) ❑/ foot wide garage door ❑ 40%max. of street facade rif 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: C= ---___=_____-- /O////)(e 1:\Building\Forms\B1dgPermgRvw RES RT 0622]6-docx Plumbing Permit Applicata E __. Building Fixtures City of Tigard N 0 V 3 2016 DReceivellilli , �T PermitNor lJ'0O�f!6 111 - 13125 SW Hall Blvd,Tigard,OR p �� Cf. / � l • Phone: 503.7182439 Fax: 503. 9� 'TICAR �� Other Permit No.: Inspection Line: 503.639.4175 Internet www.tigudorgov BUILDING DIVISION N7ateod6edMgeadyg /ark. ® See Page E for Supplemental Information ®New construction . ❑Demolition For special information use checklist Description I Qty. I Ea, I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRRUCI'ION' SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath ( 50032 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Otha7 Fire sprinkler(_sq.ft) Page 2 JOB SITE INFORMATION AND LOCATIONSite utilities: Job site address: /7 y7 3 S VV Soon not Catch basin or area drain 18.76 /'V�' Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 _ ��( Footing drain(no.linear ft.: ) Page 2 Suite/bldgiapt no.: Project name: �j` ,r T-e � 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 2 Subdivision:' ll Jij WO!.F N Wt j*r Lot no.: oj� Fixture or item: Tax map/,arcel`no: Badcflow preventer 31.27 . . ' • DESCRIPTION OF.WORK. . Backwater valve 12.51 � • Clothes washer 25.02 (01V6rWCIRO,•NI Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®.PROPERTY OWNER • I 0 'TENAN'T 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:S ) 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-marl Angela.Grajewski®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-)324-0580 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.:102535 Plumbing Lie.no.:34-276PB State surcharge(12%of permit fee) Authorized signalise: TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 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. 1:113uidiralPetmitstPt.MU-PeemitApp.doe 10/01/09 440-4616T(1Ml2/COM/WFB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17473 SW SABRINAAVE, BEAVERTON, OR, June 2, 2017 at 7:06:14 AM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00418 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. Vapor barrier form received. High efficiency lighting form received. Insulation certification checked. Blower door test report received. Note: remove insulation from fresh air intake. Rake grade at rear by porch for required slope away from house. Violation Summary: Inspector Contractor