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Permit (183) City of Tigard w E 1,1111 COMMUNITY DEVELOPMENT DEPARTMENT TIGlz n Building Permit Review — Residential .,.,, ,_,,E��.y,y,:.,::.�..:.7a;;%; ur ,..r�:..rAi.«n :. ._....:..4_s,.'}'Ciik 1.__TOr?:Gy.nt.... . A,_ -.r.....�IS� .s 1 i,..a..... +41..,... . Building Permit #: /1.S i /U -• p p /4,/ Site Address: 11410 SAN AllieI jU Si-. Project Name: PAver T-erre+c.R... j\/ortv-,we.s }- Lot #: ope (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review �^ Proposal: �l E'J�t/ /2 L- S 7`L /�'6 fe t/ � -(7z&& '7"` 6 �p. ( Verify site address/suite#exists and active in permit system. y`'' River Terrace Neighborhood: ❑ No 4 Yes,See River Terme Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan $Existing structures on site Site plan must he on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations North arrow .(Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number Station of wells/septic systems Applicant information(name and phone number) ❑Pltsting trees to be retained with drip line,and tree ,Lot dimensions and building setback dimensions protection measures XLot area,building coverage area,percentage of coverage and Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) ,'Street names I' /Property corner elevations(2 foot contour lines if more than 4 foot differential) Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified 0 No Received: 0 Yes 0 No /E Public Facilities Improvement(PFI)Permit: Required; ❑ Yes,applicant was notified El No Applied For. 0 Yes El No,stop intake i ,Zi;Land Use Case#: f DR (.tJ rs... 00005 , SO 2.00 S - 00 005 i zoning. ief Required Setbacks: Front i Z Rear ,o Side 3 Street Side B Garage Z 0 0 Landscape Requirement 2,0 % Lot Coverage Maximum: S0 % ,Building Height: Maximum Height N/A Actual Height 23' S Visual Clearance fC.r Easements gSensitive Lands: 0 Yes 0 No Type ,i Urban Forestry Plan 0 Conditi ns "Met"prior to issuance of building permit Notes: Oriiri7 r)J to b.e me fi f tl-Z)'' +0 i ES t'c'i arc. O- P ai• c�-i n 9 pQ.rm -tom . Approved By Planning: (/j 0 ttni? 6 r (t ieLt2_ t tom- Date: /C3 h/ r /14 Revisions (after Building Submittal only) 1/7Reviewer Date Revision 1: 04 Approved 0 Not Approved i`1 19-1-"‘.-N. 1,1„---<_, -U 2/ 1 Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved MJF' -¢..v t S t 0 h S 0 r't, Cor re mo v c.,l 0 t- t {l 1:\Building\Forms\BldgPermitRvw RES_091216.docx F-,--0►�"f-/ S'f r�-�� 'fi _ . Building Permit Submittal Original Submittal Date: W p , Site Plans: # 3 Building Plans: # 3 Building Permit#: Ei"Enter building permit#above. Workflow Routing: Er-Planning 10- Engineering -'Permit Coordinator ( uilding Workflow Sign-off: C3"Sign-off for Planning(include notes from planning review) Route Application Documents: ()-Engineering (1)copy of permit application,(1)site plan, (1)building plan and original plan review routing form. IR.-building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: �'� By Permit Technician: " I'T 71' 'V7 -- Date: /��-���r6 Engineering Review 4tSlope at building pad: & Z Conditions"Met"prior to issuance of building permit a ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot 0 Yes 0 No ❑ NOT Appro a by Engineering: Date: Notes: C � ck 17 4f ?/J 'i1 411#4. Approved by Engineering: _ Date: ./ (..: Revisions(after ilding Submittal only) Revs a p Date Revision 1: Approved 0 Not Approved 5-7-17 Revision 2: Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved S Permit Coordinator Review 1'14. 0 Conditions"Met"prior to issuance of building permit ,,,,-.1 ❑ Approved,NOT Released: Date: . Notes: 2 Revisions (after Building Submittal only) ~ Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant e l 3 Revision Notice 3: Date Sent to Applicant :7tj C Fees Entered: Wash Co Trans Dev Tax: es 0 N/A Tigard Trans SDC: Yes 0 N/A 4 ,,s Parks SDC: Yes 0 N/A 1.. o Issue Permit Ap oved by Permit Coordinator: Dat • / 1f .1 /g/1 1:\Building\Forms\BldgPermitRvw_RES 09I216.docx Building Permit Application L 0 T 9 g Residential RECEIVEDFOR OFFICE l SE ON LI 1 City of Tigard Received , 1,1 . 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 1 2016 Date/By //!� Permit N s; ,��,--��Plan .,,,,y RRe ieview Phone: 503.718.2439 Fax: 503.598.1 Q Date/By: f 1 - d-.'C Other Peri(,(�;�j/6--©OS 70 TR,ARI) Inspection Line: 503.639.4175 t iTY Or 11 �p\R[) DateReadyBy:l v Juris: H SeePage2for Internet: www.tigard-or.gov [3 6J 1 LD I N G fl€` f S!1�Pl N Notified/Methodff'//Gs /4,0 /I t" Supplemental Information .t!\ sszz ,`� ,-,5lw ge �t"mi tr': s _. . 'FR.$, ;4.-''' c `' $li 4 s �tv`a,4111,,ki A al E' ?; ®New construction 0 Demolition Permit fees*are based on the value of the work performed. 0 Addition/alteration/replacement Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the „i -,044.0-44/#'...-,e r'0 3)'�1 k cF l.,«.:a ,� x �� r �6 work indicated on this application. �'' } o "R® 1-and 2-family dwelling 0 Commercial industrial Valuation: 37 i i fl $ 4�-���Z JW ❑Accessory building 0 Multi-family Number of bedrooms: 14 ❑Master builder O Other: Number of bathrooms: 3 r-pt-- ,-;..- ' ; f'''''� 1*1 c & Wrb 41e1 P t r c � Total number of floors: 3 '" ,ei .r ,"1. as �' s =�a' . .. '-Xt m -a, _ i Job site address: I 1 `"1 10 5\Nptinp1 ,n s}. New dwelling area: 30 square feet City/State/ZIP:Tigard,OR 97224 1't t�+lrllJl �+1 Garage/carport area: 4 square feet Suite/bldg./apt.no.: I Project name:River Terrace Northwest Covered porch area: Li'), square feet i 6. Cross street/directions to job site: Deck area: 189 square feet i aS q Other structure area: square feet':..3,.S' Subdivision:River Terrace Northwest I Lot no.: Cle, Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: i mem t materials,labor,overhead,and the profit for the ,:,,1.-_,F:,.,,`,,.‘:._*..,.',4t,,,, ,,,,,,,,,,...",',,,7.,',4'_.,.,,j.:::.,,,,,,,1,',.v ,4,.•,t .-4c'::,Io,,4,,'‘/,._,,,,::48,...,.'4:"4',.,,-,,,;, ,,,,5. i1.:, ,.,,,, sd a 'z }aca+ �.1. ; &"t! .. : i �r4 3a�. A �.', 'r"#xu^'"'"3i wx �r G ^4• k eqU p ."•, ‘,117,,,,,,,,,,.,,,,,,,,.,,,,,,, .,,, ,.v...,..,,,,,t,,, e, :,,„,,,4,4::,,4,,,,,,q,:-4-,,,;.,-.,,-,-,:r., , ti p. F g. id' • Y .,..., „r ., ,,,:,.!::, t, .,�w%:l`•;- a v,Y >y � Y-.t work indicated on this application. Valuation: $ f i Existing building area: square feet New building area: square feet .... ...,t�;,A� ,�.., �`.F,�o _' ... . , �� ,, : . ,s>t ;�G-�.., � k . '�����. Number of stories: a... Name:ADVL Land Holdings,LLC Type of construction: Address:7600E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: �,w "�°" �`� �. ), :t4 ., }'..g ai: n t i,' cLiEi?+aSYa• s i-- Business name.Polygon WLH,LLC Contact name:Angela Grajewskl Structural plan review fee(or deposit): m FLS plan review fee(if applicable): Address:109 East 13 Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 j Fax::( ) Amount received E-mail:Angela.Grajewski(a�polygonhomes.com � V .t4, 1 f� ??� ,, Y , � , . , � s Commercial and residential prescriptive installation of a .ria . t$ ` :' . 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 lie.:207247 Total fee due upon application: $201.60 Authorized signature: t.....,,,P4.4( 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: *See methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11IO2/COM/WEB) y . CITY OF TIGARD MASTER PERMIT rill '- COMMUNITY DEVELOPMENTPermit MST2016 00449 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/17/2016 Parcel: 2S 106DB09800 Jurisdiction: Tigard Site address: 17410 SW AMELIA ST Subdivision: RIVER TERRACE NORTHWEST Lot: 98 Project: River Terrace Northwest, Lot 98 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1259 sf Basement: 735 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right 3 Detectors: Yes Total: 3652 sf Value: $437,149.39 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 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: 6 201-400 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 3652 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY POLYGON WLH LLC 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 ATTN GAST,FRED VANCOUVER,WA 98660 109 E 13TH ST VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $35,761.99 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: < -. /2)45:44 .c1'1� Permittee Signature: (7/V /61re' . 770 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. • Buildin g Permit Application L v T 7g Residential FOR OFFICE USE ONUS- Received permit N r g Date/By: /� / ej/ ,,IG'C1 el v/5 City1,Ih of Tigard ��,(� ■ 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 1 2016 Plan Review7�. n Phone: 503.718.2439 Fax: 503.598.1910Date/By: � Date/By: ' - $-) Other Per i.C,eac 6--®y=i 70 Inspection Line: 503.639.4175 en Y f 1 1 G r '.' Date Ready/By: ^ - Juns. H See Page 2 for TIC A R Is Internet: www.tigard-or.gov BII LI 1 r 'I / sr+INotified/Method/04 /�° `0 - Supplemental Information 1 9' `' t x,s k,i-gg. ` ." i "� s x a .;x,3tr+..a `'" $x .F'w, -= kF L. 4 "',s n, ,,,y : r Ili CIT'# a x `' r y ,, 3.tl� RE` 1,3T 1,, �11 ...A 1 'D 31�IG ,;; c ..., x.<... ��.., s„E, .,fir �_. ,nom_ . ..>s',�* s ;�r��.�^. www•. .. . ... .. .......�s� .a,,. .. _ <...>� ,. _ �.�; .,-.ter.. -.. _.` x..-.,Tr .� kEl. ,. ,. .. ..er;, r �^.: x �n �.*.v ®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 tR - _ a work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation:'I. 7 j i i I ag $ "�-���'`fJbO W / r ❑Accessory building 0 Multi-family Number of bedrooms: C.., ❑Master builder 0 Other: Number of bathrooms: 3 s E >[�g } y p Total number of floors: 3 a Y taller* 1 37-.� . •..,......-»..<=x ..s..P., .. A i�a.3'v. .,...... ._..:,.. .:_ .._<...C.._. .,3.0.,..X ...._ .....,. ,"4,_ ._" e ..a _F._ .ti x., na.s Job site address: l 1 "1 10 5v pill-10A New dwelling area: 30 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: LA( square feet Suite/bldg./apt.no.: Project name:River Terrace Northwest Covered porch area: (41, square feet I 6 sc Cross street/directions to job site: Deck area: 1 B) square feet i as.q Other structure area: square feet'?3,,s' RA...0QuntuyinAtmota*RealatsFqxer4„,,a4sTIE Subdivision:River Terrace Northwest Lot no.: Cie) Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the ! - o4,"i ” As ; um to � rO m rg work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet 'd 0 11 �,r t ( zU x Number of stories: i:�"� &.rs... .,r....:...,-�__,�isis�mc=ter.. -...�......._.4 .: .....,z,u,... .. _ .. . .x._.. � ... .dtb 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: z K *r, � a Itir,, LT Il s t f ❑ C'fl A1uL : ,,,11501 `` i � p �/ 4},, � s�.._r`�,::,��.. �+:•, ,'"�,_.�..a� '�:��. :-��-�..,_�. . . a,«seE �, , r ...�s _ ..:x.. � .. e, .,., a��r� � 4,�sv..um�13�� �' y �'.-`'�o�fr Mte Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) m rt � -P�+S E-mail:Angela.Grajewski®polygonhomes.co . . rte..= r:, ., ,...,n ..rfo. 4 i .m�� • 't ksw A Commercial and residential prescriptive installation of 4 M .i,g L s st: _. _ .4 � 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 lie.:207247 Total fee due upon application: $201.60 Authorized signature: ' This permit application expires if a permit is not obtained .t.....„,..P4,141j within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: `4 13.'' *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • • Mechanical Permit Applica g FOR OFFICE 1 SE ON City of Tigard V r ° Received Permit No/tiff /C'_00%`/ 11111 '11 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review C Phone: 503.718.2439 Fax: 503.598.1960 S E P 1 2016 Date/By: Other Permit: TI G;1 R D Inspection Line:"503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov CFI-y i. 3 + i Notifed/Ivlethod: Supplemental Information s is.tr° wm1 tr 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 ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. 177-1 : t = � a,qts '' • • o-a tit t � • ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family ❑Master builder 0 Other: Description I Qty. I Ea. I Total • - ' :„;� - ' ^ Heating/cooling: lA, • Air conditioning 1 46.75 Job site address: 1 1 L , SN v X(IV F, ka st 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/bldg./apt.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.:Re Other. 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 € ; it r w s 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 fueplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 a� s �: �: ' - ••"E �" -.• 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 ' 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 :;''''77Other: 23.32 Fuel ping: Business name:William Lyon Homes,Inc. $14.15 for 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 t Range I E-mail:Angela.Grajewski@polygonhomes.comBarbecue -, iF ,,is° ' YL Clothes dryer(gas) Business name:Apex 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 lic.: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: t7d,/j/tetffrt6 PA, * Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski Date:8/22/16 I:\Building\Permits\MEC PermitApp_040113.doc 4404617T(11/02/COM/WEB) Electrical Permit Applicat .P,, ` ./ �� FOR OFFICE USE ONLY x City of Tigard mea Permit A`: /1 7 fe, aC1 V Y 9* 13125 SW Hall Blvd.,Tigard,OR 97221 EP 1 2016 Plan te/B . 21111 2_ ' Phone: 503.7182439 Fax 503.598.1960 Dale/lit. Related Permit a: Inspection Line: 503.639.4175 CITY .03- a i P; Ready Date/By: Jurir. H See Page 2 for TIGARD lntemet www.tigard-or.gov Bur It rte, o Notified/Method: Supplemental Information ._i7 �� -- . . - .�-�' 13-77 '�'?: �.,�,c." '4 � w<i:-rx-4-..,.,,:-:.-1.3^:.e- --r.iSat-_ ,.. 7:. -�� '.__a•�.r ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wfitems checked): 0 Service or feeder 400 amps or more 0 Building over three stdries. ElDemolition ❑Other where the available fault current O Marinas and boatyards. '.A' • G(}. _... amps0 gbuildings c ���, �`•r�`�'a.',� ( _ *�• � :� exceeds 10,000 at 150 volts or Floatin builain ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building lass to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings.• ❑Multi-family - 0 Master builder 0 Other 0 Fire pump. Olnstallation of I50 KVA or _ ___ O Emer tem. larger separately derived --`��. _ geOCY� = F.iY 01�tr ..;,:�� irn:�,��.,=aY.-<,a,�...�,._.__�, _._:_-_,_..,,_____:.w .... ;_.' /_V,�,_.�� -' ./�._...._.>-�.:-_ Addition of new motor load of Job#: Job site address:11 Ll�� .S W Al I ISM v�^Sl,l 0 IOCEP or mora.m 0 system." " O Six or more residential units. occupancy. City/State/ZIP:Tigard,OR 97224 Oliaaith-rare facilities. 0 Recreational vehicle paries. Suite/bldg./apt#: Project name.. / ® �,¢J ❑Iiaardans locations. O Supply voltage for more than �f l/m-- -Cricae6/1/6 t hw� 600 volts nominal- ❑serviceto reeder ti00 amps or more. Cross street/directions to job site: = .,4 *4T r r -.��.-.,.�, � ,u K fi=r:_�cr-.s�_7.� . Description I Q4'• I •Each I Total I New residential single-or multi-family dwelling unit, Subdivision:Ates,--rev-4a, i tt,PtJ Lot#:9$ Includes attached garage. I,000 sq,ft or less 1 168.54 4 Tax map/parcel#: 3 92 -= - .ci._ 1„�... -, -.-�_ -,:,,1�. :.,.,_ .. residential 75.00 2 _ Eat add'150D sq.ft.or portion3 1 �`�" �5 n-" �'a'`- ^Y=�^:�� Limited en (with above sq.R) Limited energy,multi-family 75.00 2 residential(with above sq.ft) Renewable Energy ❑ See Page 2 _� : b.- :,.__. -.:=- -u Services or feeders installation,alterafiou,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 5936 I intended for sale,lease,rent,or exchange,according to ORS 4-47,449,670,and 701. - 201 amps to 400 amps 125.08 2 ' Owner signature: Date: 401 amps to 599 amps 16854 2 Branch circuits-new,alteration,or extension, i er panel ' '" - 3 a ---...,�i" .= .,..-..-,:s.--4,-. ..--- _-..,- : 4, ?Gi O A.Fee for branch circuits with • 1 Business name:William Lyon Homes,Inc. above service or feeder fee, 7A2 2 i each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits without service or Address:109 East 13th Street branch cuit feeder fee,first 56.18 2 1 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)693-4442 Each manufactured or modular 6784 2 dwelling,service and/or feeder Email:Angela-Grajewski@polygonhomes_comi Reconnect only 67.84 2 _-- _ 1,. -�� -�- f="� � o�a�,� Q _:����7-'''::''`...,--'s ."4- �- `��= Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC • Signor outline lighting 67.84 2 Address:61011E St Johns Rd Signalniteration orexteed limited-energy 0 See Page 2 2 1 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) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels®gweusa,com Industrial plant(1 terrain) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 01158 Electrical Lic.: 208174 Suprv.Lica: 4496S specifically listed(h hr min) -. �:-4.: ;.�,.;.ti .. iriii 222 .-.�.,..,: :��-:> Suprv.Electrician signature,required: t•A Ad �.6- - :- Subtotal: Print name: Joan P Albert •- Date: 4/26/2016 0 Plan Review Required(25%of permit fee): State surcharge(12%ofpermit fee): �s��1 TOTAL PERMIT ret: Authorized sineure: - - 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:18uilding1PermititELC PermitApp ELR EREdoc Rev 06/17/2015 410-4615T(11l05/COMlWEB RECEIVE. Plumbing Permit Application Building Fixtures N(1V 3 2016 1( R 011it I I ,,r 0\i l City of Tigard ��o ## y g�q �Received No/475r(2014,ix yy- u 13125 S W Hall Blvd.,Tigard,OR 9RZa�, TIGARD pian Review OtherPermitNo.: s Phone: 503.7182439 Fax: 503 �gl't t �� ,},,Date/By: Taos: B See Page 2 for Inspection Line: 503.639.4175 lilt�V G Z l 1 '`' "1' Internet www.tiand-or. ov $ g NotifiedlMetbod: Supplemental Information TIPS t;'F.W F.E,V SCI EDUL S ®New construction . El Demolition For special information me checklist Description I Qty. I Es. I Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 IL for each utility connection) CATEGORY OF CONSTRUCTION. SFR(l)bath 312.70 ®1-and 2-family dwelling 0 Commercial/mdustrial SFR(2)bath 437.78 SFR(3)bath , 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 ahs Fire sprinkler(_sq.ft) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /-7 U 10 S Y V Ilk 1 g Catch basin or area drain 18.76 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:cb 1:e, NvJ 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:I?�J tl✓"�._ __w.�__ Nlk'vI\ __�Ai- Lot no.:q I Fixture or item: Tax map/parcel no.: Backflow preventer f 31.27 Backwater valve 12.51 DESCRIPTION OF.WORK • onlT(�U/ C 10 t Clothes we25.02 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 I Fax:( ) Ice maker 12.51 : ®-APPLICANT Il 0 CONTACT PERSON Interceptor/grease 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.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 CCB Lie.: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: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. I:l5uiid'uggPennitdPLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WE11) C City of Tigard 11111 n COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: /"./S.i c /L, 0 0 '`V 2 Site Address: rizi10 S'`n/ A e I i c/1 S 1- Project Project Name: PA V e r T�rrrot c e. No rtin Wes,1- Lot #: 13 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NeNV eN & F R � 1M( Verify site address/suite# exists and active in permit system. y" River Terrace Neighborhood: ❑ No 4 Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan ❑£-Misting structures on site I'Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished (Drawn to scale(standard architect or engineer scale) floor elevations //North arrow .Utility locations(required for new,may apply for additions) /Site address,project or subdivision name and lot number Singuation of wells/septic systems /Applicant information(name and phone number) i1ing trees to be retained with drip line,and tree ,Lot dimensions and building setback dimensions protection measures X1Lot area,building coverage area,percentage of coverage and JZStreet tree size,type and location impervious 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) Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No /E1 Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake „e5LandUseCase#: Pizz's" X0005 , SU132.Ois -- 00DO i' f Zoning: f 7 ZI Required Setbacks: Front t • . Rear I o Side 3 Street Side 8 Garage 2.0 Landscape Requirement: 2,0 % Lot Coverage Maximum: % Building Height: Maximum Height (4/A Actual Height 27" c 7 Visual Clearance Easements % Sensitive Lands: ❑ Yes ❑ No Type ,S Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: i7 On cLiln )i tv b=e Met' T riv ' i S S tJti(\1Z. O V a1c-Lin9 Perm "i-s - Approved By Planning: 440 r147..c.._ /3 i (t c.L - -A- Date: it:,// Z 'it' Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved 1:\Building\Forms\B1dgPennitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: 17///p Site Plans: # 3 Building Plans: # 3 Building Permit#: 0—Enter building permit#above. Workflow Routing: Er-Planning l Engineering Permit Coordinator E F-tuilding Workflow Sign-off: R.-Sign-off for Planning(include notes from planning review) Route Application Documents: CD-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: <f}.. .741-17, r le Date: Ij/�� Engineering Review Slope at building pad: Cao oX 4 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 by Engineering: Date: Notes: ,' -0/► ,.0 !_ e0., - it sl► .0.0 /; /ri .a► ! " ..t Approved by Engineering: Date: ___ V� 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: C Fees Entered: Wash Co Trans Dev Tax: l\ es ❑ N/A Tigard Trans SDC: i Yes ❑ N/A Parks SDC: Yes ❑ N/A K to Issue Permit Approved by Permit Coordinator: Date: )/ 91/1' I:\Building\Forms\BldgPermitRvw_RES 091216.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TI G A R D River Terrace Building Permit Review Addendum Building Permit #: /V 77:, e)/6 --- 00 V4/ Site Address: Il'it o S W p, meg i at S f. Project Name: 1Z Nte.c Ter rz-4(rz IV°t1 r•W W e s 1- Lot #: 6 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1): Is the project subject to the plan district design standards?,'Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing 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 Wall Offset a ft. deep min.2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer ❑ ❑ gyp( ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1 7 / 3 3. Entrances:At least one entrance must meet both of the following standards: Parallel to street,angle no more than 45°from street, ,Max. 8 ft. setback from longest street- facing wall LQ P or open onto porch Entrance opens to a porch: /Yes ❑ No If es,all the following apply: 25 sq.ft. min. One street facing entry /12i 12 ft.max.roof above floor of porch /5 ft. depth min. /30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min.of five of the following elements on all street-facing facades: 4:Covered porch min. 5 ft.wide x 5 ft. deep 'Recessed entry area min.5 ft.wide x 2 ft. deep f`Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide vt Roof eave min. 12 inch projection Roof 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. ❑ Horizontal lap siding min. 3-7 ft.wide ❑ Accent siding min.40%of street facade /Window trim min.2 1/"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑Attached garage is 35%or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. ❑ Yes/2(No. If No (Check one): May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. /May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door 40%max. of street facade ❑ 50%max.of street facade with 7 detailed design eleme s Notes: Approved By Planning: .M ` io Date: /O h f i l f 6,7 I:\Building\FormsBldgPermitRv, RES RT 031416.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17410 SW AMELIA ST, BEAVERTON, OR, 97007 May 30, 2017 at 2:59:25 PM Record Type: Record ID: Residential - Master Permit MST2016-00449 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Seal penetrations in mechanical room floor, Duct work not connected in mechanical room by AC lineset. Not ready for inspection, work not complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17410 SW AMELIA ST, BEAVERTON, OR, 97007 May 30, 2017 at 3:21 :16 PM Record Type: Record ID: Residential - Master Permit MST2016-00449 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: 17410 SW AMELIA ST, BEAVERTON, OR, 97007 June 7, 2017 at 3:11 :05 PM Record Type: Record ID: Residential - Master Permit MST2016-00449 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street trees not per approved site plan, per Monica there is enough in the canopy to cover missing trees. Moisture content form received. Vapor barrier form received. High efficiency lighting form received. Blower door test report received. Insulation certification checked. Contractor to provide positive connection at deck landing post to beam connections. Roofer finishing front overhang repair. Violation Summary: Inspector Contractor