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Permit (27) lihiCITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016 00446 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/10/2016 Parcel: 2S 106DB09500 Jurisdiction: Tigard Site address: 17360 SW AMELIA ST Subdivision: RIVER TERRACE NORTHWEST Lot: 95 Project: River Terrace Northwest, Lot 95 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 948 sf Basement: 799 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1130 sf Garage: 377 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2877 sf Value: $347,057.56 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 Drains: 0 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<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: 5 201-400 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 2877 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: $33,721.26 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 Oj;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: /� � - r y Permittee Signature: ��L� r�i�e/��/�d"ti 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. D ` Building Permit Application L OT 7 S . S a Residential RECEIVED FOR OFFICE USE ONLY City of Tigard FOR 7 14 'N 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: ift3/0Permit Nier7.5 7,20/4,..et,CJ 94, Phone: 503.718.2439 Fax: 503.598.1960 SEP 1 2016 Plan Review Other Pe / f Date/By: )I' i - � cIsi �LZ' /�lJl'� 6 T t G A R t3 Inspection Line: 503.639.4175 Date Ready/By: 7uris: H See Page 2 for Internet www hgazd or gov CITY OFTIGARD D Notified/Method If Q/C r } ,,.. .. ......._ . .. ._.,_.. .<.:,.., tt..3Supplemental up.plmentalInformationUlDIN DIVISION �� �6/ na��* f � �TQ �11tMattYr ' .i _ ��y4 "�? ` . �A3M . 4E e ,,,, r ,. ri .= c.nfitii§. . .N �.tsu,. ..�dF,,�r. . . ,._z z,, 4„,,,,,, 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 ❑Other: equipment,materials,labor,overhead,and the profit for the e � ¢:.s ATtGOR `OKAtO TIO yYffi .� work indicated on this application. 0 1-and 2-family dwelling �Commero- ndustrial Valuation:,341,0,c 3$ 3 t... .jt ❑Accessory building ❑Multi-c y Number of bedrooms: 3 ❑Master builder O Or* Number of bathrooms: 3 £f4 22d ; m` 011 i<TEx= 'lak< 'iT LHI "`- , Total number of floors: 3 3a Job site address: \--IbW O 5`N ��E�p in New dwelling area: 2.611 square feet City/State/ZIP:Tigard,OR 97224 �I�+ IATA Garage/carport area: 311 square feet Suite/bldg./apt.no.: Proje- River Terrace Nom vest Covered porch area: square feet ! )30 Cross street/directions to job site: Deck area: Lift) square feet 4 Li Other structure area: square feet 7 9 9 Subdivision:River Terrace Northwest Lot no.:9 5 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 _ equipment,materials,labor,overhead,and the profit for the MittPf.,{!,_ ,.4, , > ,4.;f zIVIVI' ` " ig z work indicated on this application. 0554,147,1. Valuation: $ Existing building area: square feet New building area: square feet zat, 44 l' f arigi " r � n Number of stories:,i t4.: !.1 .�, r 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 ( ) New: t.;ic-LyrtsjgrF3 ' zsY t� �� Ai €��0� � i1l �rF �"�s iir �s�; ,Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski Address:109 East 13th Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Amount received: Phone:(360)695-7700 Fax::( ) E-mailAngela Gralewski@polygonhomes corn ter, t '� itiS11 ,0;a %' .?�. �:r , ,,1.4 ,»t A44-A < , � $ e® � WWF £ f Commercial and residential prescriptive installation of ° ' � f f..,.. s . _gia roof-top mounted Photo Voltaic 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 /� Total fee due upon application: $201.60 Authorized signature: w� ► This permit application expires if a permit is not obtained �� within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: 6- I fo *Fee methodology set by Tri County Building Industry Service Board. I:\BuildinglPermits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(1 1/02/COM/WEB) Mechanical Permit Application_ ,� _ FOR OFF1cF tSE OyLI City of Tigard Received Permit No• J'---G��fa vy L 114 ill 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review _ Phone: 503.7182439 Fax: 503.598.1960SEP 1 2 016DateBy: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/13y: Juris: 21 See Page 2 for _ Internet: www.tigard-or.gov 01- IaD Noifed/Method: Supplemental Information Mechanical permit fees'are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit Value:$< Y. ,�� k !.au ..��c�. ��"�ul�w��.°�s� .° ,3�€ E lo- €. 5 1:42 8 , � v;;:.“sa �� "$ �§5t;:sem 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea I Total .;rg� _ a Heating/cooling: o,. »x ' � "'- Air conditioning 1 46.75 Job site address: 113tI0 SW r a Sk Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldgJapt.no.: I 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 I 23.32 Subdivision:River Terrace Northwest I Lot no.: q Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 -" e"' Gas fire lace/insert I4 .'''' '' : . i Flue vent for water heater or gas ` 33.39 New construction HVAC system fireplace 2332 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 r. Other: 23.32 2 Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen 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, UV toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 .a tI e t':5..t, 5 Other: 23.32 Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for r first four,$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. I 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 I Range 1 _ E-mail:Angela.Grajewski@polygonhomes.com Barbecue .' . ; a : '3::;---,-11,.'...i. ..::,-;.,...,::::: Clothes dryer(gas) Business name:Apex Air LLC Other: tt -' -'4, to r 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 lie.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 7 days after it has been accepted as complete. Authorized signature: ► Fee methodology set by Tri-County Building Industry Service Board g J Print name:Angela Gra'ewsld `���/� Date:8/22/16 I:\Building\Pens its\MEC_PennitApp_040113.doc 440-4617T(11/02/COM/WEB) Electrical Permit Applicat `� FOR OFFICE USE ONLY City Tigard 2cc E P 2016 ReceivedDate/By: Petmit 014757;17/6 -I(y eV& 1111 131SW Hall Blvd.,Tigard,OR 972e - Phone: 503.7182439 Fax 503.5 19 Q Date/By Related Permit it: Inspection Line: 503.639.4175 I I OF- 1 I le s,A D Ready Date/By: Jamie I H See Page 2 for TIGARD lntemek www.bigard-or.gov BuiLoirof: Sit/( i F1r t0 Notified/Method: Supplemental Information ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans Wilms checked): . ❑Service or feeder 400 amps or more 0 Building over three shines. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. r :s:;•:-- ...... " I f. ,*"` exceeds 10,000 amps at 150 volts or ❑Floating buildings. .5;m ,- -s ST : f)., •_'_ .s:Y -.� , v ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. barldings.• 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. Q Installation of 150 KVA or > �^^ `ice 4— -_ ---_- 0 Emergencysystem. larger separately derived ..-. ;�•���..., ���.�7tI1i�SL'1�<� �TF19I"�:TI'N=`�1T'��'O�,e1 '1�>�:��-- = - ..:_ t0Q.,_.....�_.._.._.,..<.-_...� ��-`-=....._....._..-... t load of system. Addition of new motor oa Job#: Job site address: n34,0 Swf a S fi or more. ❑ City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. 13 Health-ogre facilities. ❑Recreational vehicle packs. Suite/bldg./apt#: Project name:. .,,,,,,77/5,,, �vr+Vl4►/P�r' ❑Hoz ftdons locations. 1]Supply voltage for more than 1 ❑Service W feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: `A-- v rl °` "" --ii 1 Description I Qty. I Each I Total 1• / New residential single-or multi-family dwelling unit. �f Subdivision:/`�I,f re 4a /(/ • ( gri Lot#: 01s Includes attached garage. A/ v L,000 sq.R or fess I 168.54 4 Tax map/parcel II: V- � Ea.add'i 500 sq,ft or portion y 3392 1 0. :-._.- `.':.. .._._ t .._ Limited with.bosresidential 7500 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft) t __, h. ., , ., p .,,_ > Renewable Energy ❑ See Page 2 ": Q.ssli',1, Ii= ;'' �,_._1,,, }}0;-4 -1.- :_.. 1•[..I1..`11-x.- 2471 .r.. `Y-' M14� 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 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 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 16834 2 -.-.. .,,� g --�-- --7 - •-- Branch circuits-new,alteration,or extension,per panel r - a :•''t"l vtf FPS 0.--v--7.. - :, .- - - ..;a:.:-.,.44'.. --: :,,•:.5.-,- --..��•�-_�-•'�'"�� � � � 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 Address:109 East 13th Street service ch feeder fee,first 56.18 2 cuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • Fax::(360)693-9442 FA..h manufactured or modular 67.84 2 dwellEmail:Angela.Grajewski@polygonhomes.com Reconnect and/or feeder 1Zecomiect only 67.84 2 . . ©4 ts' e o „ a--_ _, Pump or irrigation circle 67.84 2 Bt+siness name:Garner Electric Washington,LLC • Signor outline lighting 67.84 2 Signal circuits)or limited-energy Address:6101 NE St Johns Rd panel,alteration,or extension. ❑ See rage 2 2 Each additional inspection over allowable in any of the above City/State/ZIP:Vancouver WA 98661 Additional inspection(I hr min) 6625/br Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/br Email:bdaniels@gweusa.com Industrial plant(1 hr min) • 78.18/hr Inspections for which no fee is 90.00/lir CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lica: 4496S specifically listed(f hr min) __ _4 R rim - 1 � vim _. °__�� ."3�'i�.-':fie�{y�;�,.'..v��iH'S �-�- �'i'�1" tj-. _'v'Xr'' Suprv.Electrician signature,required: `4(. / /) Subtotal: Print name: Joan P Albert Date: 4/26/2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): i Authorized signature: TOTAL PERMIT 1:r,'.t;: 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:1 BuildinglPermits\II.e PemutApp ELR EREdoc Rev 06/17/2015 440-4615T(11/05/coWWE13 RECEIVED Plumbing Permit Application Building Fixtures NOV 3 (2 016 1()1 (111 , F 1 "I ()\[ , ■ L`�3t W Hall Blity of vd.,Tigard OR 9 Received 'a OF TIGARJ �Y' Permit No.: II Phone: 503.7182439 Fax: 503 .$L6I'IjNG DIVISION BBy:tew OtberPermit No.: 1 1 i ,\ \ i Inspection Inc.L503.639.4!75 • i T�;% Dam Ready/By: ]oris: RI See Page 2 for Internet www.tigard-or.gov Notified/Metbod: Supplementallnformation -OF Wim- ... --. FTE* 'JJ, ®New construction • ❑Demolition For special informawion use checklist Description I Qty. I Ea 1 Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION" SFR(1)bath 312.70 CO I-and 2-family dwelling 0 Commercial industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑Accessory building 0 Multi-family Each additional bath/Idtchen 25.02 ❑Master builder 0 Other. Fire sprinkler(_sq.R) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /j Jlg e) S i V fteltac t Catch basin or area drain 18.76 St Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no.: Project name:I \te4r itwrg . ManufacturedVJ home utilities 50.03 Cross street/directions to job site: 1_- Manholes 18.76 Rain drain connector 18.76 • Sanitary sewer(no.linear It:_____) Page 2 Storm sewer(no.linear ft: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: � ,' �,,,,r��, Nk),f''rnw{� Lot no.:g- Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 _ DESCRIPTION OF.WORK Backwater valve 12.51 Of d C i1l� Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®.PROPERTY OWNER I. 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/geese trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer 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 Tub/shower/shower pan 12.51 E-mail:Angela.Grajewslri@polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Malmedal Enterprises Inc. WaterP tPalg/D WV 56.29 Address:PO Box 207 Other. 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 CCB Lic.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) 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. I:\BuildingTermiudPLMU-PemutApp.doe 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 11111 T l c R o Building Permit Review — Residential Building Permit #: ti__7--- 0/& -- 06}ej j Site Address: /- O 24) ni, fla Si Project Name: ver- , face 4.,26,44„.6.&-- Lot #: C; (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: ✓ )&I) s. ---,e /flerir site address/suite# exists and active in permit stem. riRiver Terrace Neighborhood: ❑ No LJd Yes,See River Terrace Review Addendum Attached Sis,e Plan Elements: ree(3)copies of site plant ��sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper II Footprint of new structure(including decks)with finished rt ►,rawn to scale(standard architect or engineer scale) oor elevations ri orth arrow tility locations (required for new,may apply for additions) lil te address,project or subdivision name and lot number i).4cationof wells/septic systems 1pplicant information(name and phone number),„ �I'i 'sting trees to be retained with drip line,and tree Lol t dimensions and building setback dimensionsprotection measures t area,building coverage area,percentage of coverage and reet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) [Street names Property corner elevations (2 foot contour lines if more than 4 foot differential) taiglean Water Services—Service Provider Lette of platted prior to 9/10/1995): equired: E Yes,applicant was notified No Received: El Yes ❑ No �Zl Public Faciliti Improvement(PFI) Permit: ��Required: V Yes,applicant was notified ❑ No Applied For: z Yes ElNo,stop intake and Use Case#: j� ,� r (91.7a;6; -CG'ffl 2C%S7—��C 1 S A Zoning: ( PJ ) Required Setbacks: Front g Rear /0 Side 3 Street Side /LIM/ IMGarage Ca, ],Landscape Requirement: QQ Lot Coverage Maximum: Building Height: Maximum Height /A /I Actual Height (Visual Clearance 4UEasements ra) ensitive Lands: ❑ Yes /No Type Urban ForestryPlan El Conditions " et",lin or to issuance o building permit Notes: (- %1 Gild j.V ,.. /k0// j�t,ea1 r'fb — '? �2J* ).S•s Ce____. Approved By Planning: ,ADate: 9 Mr Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved El Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: El Approved El Not Approved I:\Building\Forms\B1dgPermitRvw REs 091216.docx Building Permit Submittal r 3 Original Submittal Date: g///c Site Plans: # ,3 Building Plans: # _'3 Building Permit#: 'Enter building permit#above. �� Workflow Routing: 412-Planning ' LSEngineering Permit Coordinator tf Building Workflow Sign-off: g'Sign-off for Planning(include notes from planning review) Route Application Documents: :B'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Er Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: <())115;776-&)--1-e.- Date: 1/2// Engineering Review Slope at building pad: //<d ®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: ` .r rr ! /ifr,r. .v .. rd.c r Approved by Engineering: ______ Date: /1-4-0 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 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: 2SDC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A ( Tigard Trans SDC: 'Yes ❑ N/A Parks SDC: ['Yes ❑ N/A 7OK to Issue Permit Approved by Permit Coordinator: Date: /i/ I:\Building\Forms\BldgPermitRvw_RES_091216.docx k City of Tigard IICOMMUNITY DEVELOPMENT DEPARTMENT Q T I c A R D River Terrace Building Permit Review Addendum Building Permit #: /fS7; /(, OO 'r'Co Site Address: /93‘,&'6 & 6, 1 ,a c it Project Name: R%e Lot #: `7-erre ✓�,��;�- rsf- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Das act Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? Yes Cl 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. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 t. deep ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6ft.wide Gabled dormer CI ❑ ❑ ❑ 2.Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: IQ_z/%d 3. trances:At least one entrance must meet both of the foll. . g standards: in � d Parallel to street,angle no more than 45°from street, Max. 8 ft. setback from long t street- facing wall or open onto porch Entr ce opens to a porch: Yes ❑ No If s,all the following apply: sq.ft.min. /One street facing entry ft.max.roof above floor of porch 1�V 5 ft. depth min. 30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of4 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 1oofall offset min. 16 inches ❑pormer min. 4 ft.wide f eave min. 12 inch projection offset min.of 2 ft. 0 Roof shingles either tile or wood 0 Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min.3-7 ft.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 Cl Attached garage is 35%or less of street façade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: Ny'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. Vi4 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) 052-foot-wide garage door CI 40%max. of street façade 0%max. of street façade with 7 detailed design elements Notes: Approved By Planning: - ` 8 Date: Al I.\Building\Forms\BldgPermitRvw_RES_RT_o31416.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17360 SW AMELIA ST, BEAVERTON, OR, 97007 June 13, 2017 at 3:48:05 PM Record Type: Record ID: Residential - Master Permit MST2016-00446 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Provide approved inspection for sump pump prior to plumbing final inspection, see previously (2) failed misc. inspection results. 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: 17360 SW AMELIA ST, BEAVERTON, OR, 97007 June 13, 2017 at 4:07:35 PM Record Type: Record ID: Residential - Master Permit MST2016-00446 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No AC installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17360 SW AMELIA ST, BEAVERTON, OR, 97007 June 13, 2017 at 4:13:51 PM Record Type: Record ID: Residential - Master Permit MST2016-00446 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Remove screen from dryer vent. M1502.3 All else appears ok. No AC installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17360 SW AMELIA ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00446 Inspection Type: Inspector: 699 Mechanical final Chip Barnett Result: PASS Comments: Previous corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17360 SW AMELIA ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00446 Inspection Type: Inspector: 399 Plumbing final Chip Barnett Result: PASS Comments: Previous corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17360 SW AMELIA ST, BEAVERTON, OR, 97007 June 21 , 2017 at 11 :20:46 AM Record Type: Record ID: Residential - Master Permit MST2016-00446 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