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Permit (261) i I Iii i II City of Tigard COMMUNITY DEVET OPMENT DEPARTMENT �;A��i, Building Permit Review — Residential Building Permit #: ti-S73.2.0/ (, -- D06-13/ Site Address: 17ci-q I SW AM cc-1'i a, 34-• Project Name: R;of r" 'Ti'.,rya,c2._ No I-441 w e s+ Lot #: i 0 3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N 4. .5f d „ , ..a.. Ar Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: 0 No ArYes,See River Terrace Review Addendum Attached Site Plan Elements: I;rThree(3)copies of site plan ,xisting structures on site ®Site plan must he on 8-1/2”x 11"or 11 x 17"paper gFootprint of new structure(including decks)with finished .f 1Drawn to scale(standard architect or engineer scale) floor elevations Nom you' Jtility locations(required for new,may apply for additions) giSite address,project or subdivision name and lot number Xocation of wells/septic systems ( Applicant information(name and phone number) , xisting trees to be retained with drip line,and tree Tot dimensions and building setback dimensions protection measures *tot area,building coverage area,percentage of coverage and Mtreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Attreet names I roperty comer 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: 0 Yes,applicant was notified L1No Received: 0 Yes 0 No ,'Public Facilities Improvement(PH)Permit: Required: jcii'Ves,applicant was notified 0 No Applied For: .rYes 0 No,stop intake ig Land Use Case#: T'P1 avt5 - 0oo05/ Sur3 42045 --00oo8 XI Zoning: IR _ , a Pu ,IR' Required Setbacks: Front 8 Rear (0 Side 3 Street Side 8 Garage .20N3-Landscape Requirement: a D % a Lot Coverage Maximum: e 0 Nip, VS Building Height Maximum Height —" Actual Height )e4e.-;4)r 1 u i or Visual Clearance I $a'Easements .i.Sensitive Lands: 0 Yes kt No Type Urban Forestry Plan °Conditions"Met"prior to issuance of building permit otes: & Pi an, n5 cana.'.4;v✓u - .1-ci a-- -37 ,a,,-c, rut r4.4.4 A . pG,csi~ Le, r tt or MK.P d b1 pl4.r►nec' r74/ CG "f lidu..*r+C*.. Approved By Planning: ,� Date: Revisions (after Building Submittal only) RAeviewer Da e Revision 1: tlit Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved uMa..:1a;«..\c.....A0Irl..De..w;.D...., DCC AO 111K a,.,... Building Permit Submittal F a Original Submittal Date: 42/.6r/c., Site Plans: # Building Plans: # ..3 Building Permit#: ID-Enter building permit#above. Workflow Routing. 8'Planning (-1ngineering Q-Permit Coordinator wilding Workflow Sign-off: 0-Sign-off for Planning(include notes from planning review) Route Application Documents: ErEngineering: (1) copy of permit application,(1)site plan, (1)building plan and 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: _____.<4 -PA---- Date: /',2-/A fv Engineering Review 0 Slope at building pad .7�� aConditions "Met"prior to issuance of building permit 4A( // • 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 Approved byEngineering: Date: � �� Notes: Approved by Engineering: 42 Date: /Z-1,G�-/A Revisions(after Building Submittal only)%Approved �!Datte�eis Revision 1: pproved ❑ Not Approved f ..g"'_05.•17�..g"'_05.•17 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 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 kyS DC Fees Entered: Wash Co Trans Dev Tax: es 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: r Yes 0 N/A rOK to Issue Permit Approved by Permit Coordinator. Dat ! i 4 1:\BuildiugTonns\BldgPermitRvw_RFS 091216.docx � w .4 City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT River Terrace Building Permit Review Addendum TIGARD Building Permit #: /is ice/) - . 00,5-3/ Site Address: I /it ell 5 W Pana, — 54-• Project Name: RI 4 e r Te ctia_., jJ r4- je,z f Lot #: I o 3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.!.): Is the project subject to the plan district design standards?.t Yes 0 No 1.Articulation: a minimum of 1 element per each street-facing façade 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.deepBalcony w/access 2 Window Projection Vertical Wall Offset a ft.deep min.2ft.,5 ft wide min.2 ft.,6ft wide Gabled dormer -fryer( 0 s;de, x • 2. Eyes on the street:a minimum of 2%of each street facing facade must include windows or entrance doors. Percentage Shown: c).fa v e -creit s; 3.Entrances:At least one entrance m st meet both of the following standards: R"Max. 8 ft. setback from longest street-facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: 'Yes 0 No If yes,all the following apply: IR-25 sq.ft.min. Fe"One street facing entry Er 12 ft.max.roof above floor of porch 54-5 ft depth min. l 30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: s 4 F °Covered porch min. 5 ft wide x 5 ft. deep 4 a Recessed entry area min. 5 ft.wide x 2 ft. deep S4 et Wall offset min. 16 inches 0 Dormer min.4 ft.wide Igl Roof eave min. 12 inch projection 5 F ['Roof offset min.of 2 ft. S 4 F 0 Roof shingles either tile or wood $�._ lE9 Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq.ft. ' ❑ Horizontal lap siding min. 3-7 inches wide ❑Accent siding min.40%of street facade r ga Window trim min.2'/a"wide by 5/8"deep ❑ Window recess min.3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft deep ❑ Balcony min. 5 ft.wide x 3 ft.deep with inside access 0 Attached garage is 35%or less of street facade 5.Garages and Carports:May face the front or side lot line on a corner lot Setbacks: No closer to front or side lot line,than longest street-facing wall. Yes 0 No. If No (Check one): 0 May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min.area of 12 sq.ft. Width:(Check one) 112-foot-wide garage door 0 40%max. of street facade f 10%max.of street façade with 7 detailed design elements Notes: Approved By Planning: -- ! . f, Date: /Aar 1 1:1Buildiog\Forms\B1dgPermitRvw RES_RT 062216.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 144 _. Transmittal Letter U i G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE L • F ',$�° DEPT: BUILDING DIVISION MAR 2 2 2017 FROM: Angela Grajewski csi �, COMPANY: Polygon Northwest PHONE: 971-212-2144IMI RE: I Si C\I SW) r th �eta �Wp-bc3 3 ( ) (Permit Number) River Terrace Northwest Lot t 02) (Project name or subdivision name and lot number) ATTACH 14 0 ARE THE FOLLOWING ITEMS: 3esi '��aP><es. Ptton'r `r -4i 1,1 <1C4><e,it nbesipiion ,41,4t � ;f= : i 0 Additional set(s) of plans. 3 Revisions: deck 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. add deck due to terrain �. _ .. �. ._, ..e...-�.,.. ' » 0.R• ,4 § Routed to Pe it Technician: Date: 73-di -- Initials: Fees Due i1 Yes ❑No Fee Description: 'cl.. ` T, 7 Amount Due:ie fi I/2, V' i4A /GA`tb—) $ 'f�"-"A--- A- = 3 $ $ Special Instructions: Reprint Permit(per PE): 6,bi Yes ❑No $Done Applicant Notified: Date: t/h/i 2 Initials:A-------- I:V3uilding\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARL� MASTER PERMIT t - COMMUNITY DEVELOPMENT Permit#: MST2016-00531 Date Issued: 01/05/2017 T1ciARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106D610300 Jurisdiction: Tigard Site address: 17491 SW AMELIA ST Subdivision: RIVER TERRACE NORTHWEST Lot: 103 Project: River Terrace Northwest, Lot 103 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 02 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 03 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 08 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 03 Detectors: Total: 2229 sf Value: $271,716.73 Rear: 010 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 0 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: 05 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 01 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: 01 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!500 sf: 03 201-400 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 Ecompasing: Y Other: N Other Description: 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 2 Fire Rated Eave STE 1 3 Geotechnical Inspection SCOTTSDALE,AZ 85258 Required before foundation PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,924.10 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 0 '10090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. � ,�0/ Issued By: ,'_f/ - ,�f Permittee Signature: iAi" PZ./d-t• -776) " 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. Permit ApplicationL- . O1 LD3Bu><ld><ng aicint• •t RECEIVED FOR OFFICE ISE ONLI g OCT11 2 016 ReceivedeJ( s CityIII of Tigard Rcet !J, /CEJ 42r-• PernntN �Si r� �7 j is 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review (��,Qn 1 ether Permi �4�` - �f y Phone: 503.718.2439 Fax: 503.598.} `` r� �y DateBy: ` l` 1�1 r Of: l iGARD T7 Ci A R D Inspection Line: 503.639.4175 BUp' SI(�(�� Date Ready/By: Juris: Ea See Pae2for gy: Internet: www.tigard-or.gov I ®�f�i D IVI `� Notified/Method: Supplemental Information a f -.,; z. y C is4 V t gi . ll , lCi tl. ®New construction 0 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,, work indicated on this application. j 7 'i 1 f G ,ihril (so .._ -" _ ..,. Valuation:® ' 1- itand 2-family dwelling ❑Commercial/industrial $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: i.,..C.5"--..' _-� t 1 t Total number of floors: 'Z Job site address: !7 4R f SW Amelia St New dwelling area: 2.ZL1, square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: ,3e0 square feet Suite/bldg./apt.no.: I Project name:River Terrace Northwest Covered porch area: I Loi-'' square feet Cross street/directions to job site: Deck area: 1 square feet Other structure area: square feet Subdivision:River Terrace Northwest I Lot no.: i U3 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 m a t work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet 4- t , " Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: t twoomt t tt 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 I Fax::( ) ' t s a tg E-mail:Angela.Grajewski@polygonhomes.com '"" Commercial and residential prescriptive installation of a r t t 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 lic.:207247 � ► `-/il Total fee due upon application: $201.60 Authorized signature: ( This permit application expires if a permit is not obtained ✓ y/ 1 within 180 days after it has been accepted as complete. Date: L *Fee methodology set by Tri-County Building Industry Print name:Angela Grajewski / Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , RECEIVE') Mechanical Permit A lication 1 ok(1H I( 1 I \I tt\I City of Tigard 08IJEC 2016 ReCeived pereqty: Pcrmi"4"":1475/ 67/6--o0.5'3/ II_- :. 13125 SW Hall Blvd.,Tigard,ORA/2,A t i ,..tr. ,,...e. :Phone: 503.7111.2439 Fara 503..iMIN Of iGARI) :Tare* °the-Penna. .., ;Inspection Line: 503.6394175 Ana' a See rage 2 tor Internet: " t48/*°44w BUILDING DIVISION Z71:71441:a: suPPleniental inform-00a i,t;.,,..c,,...,,r,...1.:,,,,,;„,„,..,:,.,r,,,,ft.,,,,i.,,,,,.4„,..7.,.... rs,,,,,;„.:, iiti....,,,„,..0,1.„,,,,,,,,,it ,7-.,:rs.,,y,.,,Fr;`,1.)-,.!,'41-,,,,,',.1,;',: i•-;';'iN",‘C4r--4i:--`7";'` .,k6.,442,-:44:,N.e.,1,S4-,14.:;:-';`',..:f^t:-`44.1;1'--!'g5 6j t;t"Lf''6'X'''S'aigti Mechanical penult fete-arc based on the value oldie work la New construction 0 Addition/alteration/replacement performed.IntRcate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other mechanical materials.*Ointment.laboroverhead.and profit Value:$ 1 ....,:ri,,,'I-z.,- ,:-.4. ....,and 2-family dwelling 0 Commercial/industrial 0 Accessory building it;*eclat 1r:formatters ase akeekfitt. 413104amily 0 Master builder 0 Other Description I Qty. I EA. i Total Eii:.5711:i7:7-77- .T.-::;.:•77-71.1: 5-11..',3.7A7Z3Z1.Zia:Y. E' r472:-.C.7. .,1:::::rotiontgarg: 1 46.71 kib wile addicss: I ilf. v\I PrrAtUa Tr Furnr,eti100,000 BTU(oeusvents) 1 4635 City/StateiZIP.'Tigard,OR 97224 Furnace 100.000+BTU(ductriverast 54.91 61.06 SuileibldgJapt.no.: II "ell nam OA fete-TeriCe—NioattluJe Dtlucaeft:17 23.32 Cross streelfdirections to job site: Hydronie hot water system 23.32 Residential boiler(radiator or hVdronic) 23.32 Unit heaters(feet-type,not electric). it-watt.in-duct,suspended.etc. 46,75 Flue/vent for any of above 1 23.32 Other 23.32 Subdivision ) tr- .i 4 , Ala ..1 Lot no,: 0 Other firel appliances: Tax'mapfparcel no.: Water heater r".-=Fv,'-,'". —7-----17---:..,,,,,„-W-nWrY':--`7*.:771-.47-Wcri:k,57-i.:A1---..?,fr•?,,,,,"ti-T,74.-f•=r-n.'„'71'7.'4';',.M''' pas fireplaceinsert 2331;3: / I Flue vem for water heater or gas fireplace 23.32 Log lighter teas) 23.32 Woodtpetict stove 33,39 Wood fireplacerInscrt 23.32 Chitnney/liner/flueivent 23.32 Othat 23.32 fa;&:,t:"::f:',1;4.'.. ,,,:i....]:k:.',,;-:,',V,:.;.:4)1•4K.7:,,,,S.:1'.E.;;,/,:il,,.'ss .31744'.:1.'tf.;.C.,i'' 'r:.'L::-'---: ''-':-'11 Environmental zehaust and ventilation: I Name:Polygon WL11,LLC Ramp hoodiothet kitchen equipment 33,39 Address:109 East 13*Street Imo MIN Clot -doter exhaust 33.39 City/Stale/Z1P:Vancouver,WA.95669 Single-duct exhaust(bathrooms, toilet compartments,utflity rooms) 1-1 2332 Phone:(360)69S-7700 Fax:( ) Anicicrawlspace thns 23.32 23.32 Pad piniam Business name;Polygon WIJI,LLC 51435 toy that tour:54.113 for risteb addifinesol Contact name:Angela Grajewski Furnace,etc. Gas heal Address:109 East 130,Street Puma Wallisussendedfunit heater City/State/Zip:Vancouver,WA 98660 water heakr Phone:(360)695-7700 I Fax::(360)6934442 freplace Range E-mail:AngAla.Grajewski@polygonhomettnin Barbecue L - -:= I::: - ',S.'''," T - c ) aotiosdowiga) Otlom Business nate:Apex Air LLC Address:18004 NE 72"Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee(S90,00) Plan miew(25%of permit fee) Phone;(360)342-8109 I Fax:(.360)326-1764 State surcharge a 2%oFIxnall She) CCB lie:203034 TOTAL.PERMITFEE Authorized signature' - :ntisso:nrmetalto8dodPPlical"liogrer,setriebyste:ba*Pb"rt-CounbeenitatyacttPledP74,11:41sIttiatroH":""4"P":Sen,":81150 Prim name. f". / ,, rieszi/ I Date: 4./1.14. I paumino.„1,04Ec_pc...a4pp_04 I 11 dcc 44a46trro voicomiwEB) r RF • 1.rt rt. + i Electrical Permit Application FOR OF Fit-i:Uel ONE,% illCimigiumemminimmimilimiontIZZEMEZIEffinil v TiMrd [)E C 8 2016 a 13125 SW Hall Blvd.,Tigard,ORN # Dates ' Phone: 503.7282439 Fee 50301440 �d A D s, : inspection Line: 503.639.4175 x , ReadyDate/B:?I, RL SpSeePaee,21 . NMI .douhiternetww tigard-orgovBUILDING 3 DIVISION � ®New construction 0 Addition/alteration/replacement Please check all tbat apply(submit 2 sets of plans w%items checked): 0 Dematicm El Other: 0 Service or feeder 400 amps or more n Building over throe stories. na } 'Gr N when the available holt current n Marinas andboatyards. .. ar 1. n 1__'..a;? 6.)M4.r 14i-7li(a) i'•7 - :>>, exceeds 10,000 mops at 150 volts or ❑Floating buildings. Ei 1-and 2-family dwelling 0 Commerctal/uidiistrtnl 0 Accessory building leas to ground,or exceeds 14,000 n Commercial-me agricultural ❑Mani family Q Master builder 0 Other: amps for ail other installa�tiocs. . buildings.• ©Viae pump. nlmWlation of ISO KVA or z:n a= '*•',,Y, ,,"'.a 2 0 5,e,t•`tut•y .a z tyt o t 4yv1 n o r .-1- ax rft,,zps,, :ii.:/,',,,4,-.,13,1t.;1.44 0Smergancyquail. larger eeparatslyderived Job#: Job site address:/ 44 I S r q 0 Addition anew motor toad of system. �q, 1o01iP or more City/StatC/ZIP:Tigard,OR97224 nSix ormore residential units. occupancy. nHeefth•oare facilities. ID Reaaationai vehicle parks. Suite/bldg/apt#: I Project name:11*r Tayette,N i�(i we lt�• n Hazardous locations, n supply voltage for more than Crass street/directions to jab site: r[ �V U►1 Yl ll Service or feeder 600 amps or more. 600 volt nuchal. De {'�a Description Qb• I Tot Bach Total 'eJ r New residential single-or multi-family dwelling unit: , Subdivision It rtifrace o.Li weAt- I Lot 0, f✓'� Includes attached garage. Tax inap/pareel 0: Y l 1.000 sq.ft.or less4 168.54 4 r. �!n c �i as 7 Ea.add'1500sq.ftorportion 33.92 .z _l:1 :i cat� ,-,( d ',;? -x• i :• � � � .��'--n'�, Limited energy,residential 75.00 2 (with above sq.fl) Limited energy,multi-family 7500 2 residential(with above sq.it) 11::.; 'e-`4-9..RV-X•• Sf':',� a':q^x-'4 fi : ' y L�i'llv'33°(:4;decd,;: Y ReneneEECl Se Service* abtor feedersne installation,alteration, ePage2 and/or relocation Name:AWL Land Holdings,LW 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 City/State/ZtP:Scottsdale,AZ 85258 401 amps to 600 amps 20034 2 601 amps to 1,000 amps 301.04 1_2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders Installation,alteration,and/or relocation Owner Installation:This installation is being made on property that I own which is not 200 amps or leas 59,36 I 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. ' 201 amps to 400 apps I I 125.08 I 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ' rx `" tsa7i ,t3*+6�! a Wi,,ern} -y otzex 1, cam r N e i zz BraneL demerits-new,alteration,or extension,+er panel A.Fee for braridt cizcults with Business name:William Lyon Homes,Inc. above service or feeder fee, t each blanch ecru ult 742 2 Contact name:Angela Grajewski E B.Fee for branch circuits Wilford Address:.109 East 13th Street service or fader fee first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each addi branch circuit 7.42 2 Phone:(360)695-7700 I Fax : 360 Miscellaneous(service or feeder not included) ( )643-9442 Each manufactured or modular 67.84 2 Email:Angela,Grajewski@polygonhonaes.cont dualling service and/orfceia Y CT r: � h;: Reconnect only 67.84 2 , Pump or lmgafwn circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Si•tr.:. Address:6101 NE St johns Rd Gtoalgs)or i6nited energy 0 See Page 2 2 panel,alteration,or extension. City/Stste/ZdP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection Phone:(1.53)320-1657 Fax:( ) Investigation (1 hr mini) , 66.25/hr 1lation(I hr thin) 90.00/hr Email:bdaniels(r gweusa.co>a lndsffiiria1plant(1 s) 78,i8/hr Inspections for which no fee is • CCB Lie.: 01158 Electrical Lic.: 208174 Suprv.Lie:: 44965 betel hr90.00/hr i mm S fw.Electrician signature,required: '', 11,,/ k =, ''---1'.. 1::-;:-�4 Subtotal. ;. Print name: Joan P Albert Data: 4/26/2016 n Plan Review Required(25%of permit fee): .'s r State surcharge(I2%of pemait fee): t ., Authorized luta; "•.`--42i� -_.... • signature: TOTAL PERMIT FEB: ';:` Print name: Bill Daniels Tb permit application expires If a pe It fs not obtained within 180 ',,-,,i1:!,1, Date: 4/26/20I6 days after ft has beau accepted es complete. y..:1 1:HtuOsiropenotsomc Pemdtapp„,ELR,PRB.doc Rev 06/17/2015 15 11 • Numbarofiospactioaaa8owedporpumit Wi',,„„ 41W6 11; /ttVlbM/WSB • Plumbing Permit ApplicationECEIVED Building Fixtures DEC 6 8 2016 •t_. Ci4 of Ti13 gard i„, ,. ,„ ,,,, Reacirl PemtliNo,:,-4f77,2er/61201. f 13125 SW Hell Blvd.,Tigard,OR V,71.131' kJ V t 2 ty A tt.0 ;12; ' .. ' . Phone: 503.718.2439 Par 50MI9 IOther Perrot No.: - Inspection Line: 503.639.4175 5ENG DiViSiON .a.' pReadYMY: Aviv 121 See 1,age2 for • , Inteinet: vAvvi.tigard-or.av Notifieftfethed: .,.•.. - .• information A,St.7A'L:'-'1;a'AZi..1- 5=W-'4i.=,,A5.,- .4:, -.47,:a,-;i1Yst ',,-i:-,T-....=?..tim,:rzr',''' ,,v;I:A4‘;', :'''''::e;;:5-1,41:tijk-`4". CI New construction si Demolition For special hsforssalion we checklist Description I Qty. I Ba. 1 Total 0 Addition/alteration/replacement 0 Other New 1-2-family dweMags(mcludes 100 It.for each utility connection) 4. - SER(1)bath 312,70 .1..and 2-Thmily dwelling 0 Commercial/industrial SFR.(2)bath 437.78 SFR.(3)bath I 500.32 19 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Masterbuilder 0 Other:. , ‘ _ firCspdiikler(.____sq.ft.) Page 2 Site"Mel" Job Sitaaddress: Lig I i 4 Sit Catch basin or area drain 18_76 Drywall,leach line,or trench drain 18.76 City/StaterZIP:Tigard,OR 97224 , Footing drain(no.linear it: ) Page 2 Suite/bldg./apt.no.: , _ I Project mune:1P4Ve,ri-efract, NnirfilLA_*fi-- menufttetutedbeme utilities 50.03 dross strecticiirections!.o job site: 1vItnibotes 18.76 Rain&eh(connector 18,76 Sanitaty sewer(no.linear ft:__) Page 2 Strum.sewer(no,linear it:, ) Page 2 • . • . Water-Service(no.linear ft: ) Page 2 Subdivisior 9,4\fey TenrAce_ tk,Lq.Nx_________.__ .- ii...... ..___we, .. Fixture or item: Tit*mapkiarcel no.: Backflow. premier .., 1 31.27 z -g -":Tzz.'z-,tijx,':IOM',7IaFr,;,ai.-T':-f,-.T?' '':Z-'--F7-;-'57:'-.jr - ' Backwater.;`,..-77. Backwater valve I 12.51 25.02 .• . .. DishInashei 25.02 ,Driikhhig fountain 25.02 " - Ejectorsleutn# 25.02 ,f;"-1,4-.14,-?Pri3;1:0;_t;;:):::011afC,3::'4_1- ..;:';5:4-1r--64ki:3- 1::•-g. 'j,:lkZj'I..:7 : :;1-';:i•'- ExPaamt• utak 12.51 .._ Fixturecap 25.02 Nettie:ADVLIausd Holdings,LLC /sewer nor*Ma/floor shdc/hub 25.02 ' Address:7600 E.Deubletree Ranch Road Garhage disposal 25.02 dti,tstatiaw;Scottsidate,AZ 85258 . *salt* 25.02 01.9PP:..(60i)694*6i Far( lee maker 12.51 7-77.,t----,',7,-..7,:i=.1...1.' -'7=7.47:7,-,-.7.-:',F:--",'''':'--;---Z7:77,--•--727 r' .-::'!:',:-..7,i,:':k 7i--7:7C-.*F-.77 ---.i,:',7,7"2,'"7-. IrtferbePtorigrIale IraP 25,02 _L-:12:::.;:,_:.....z_.L..1:r1L::;-`,.: :.( T.L.:. .",--',....::I,F"._.-I -.2..,..::!=.-17•` ).,....:L4,',.%L.:L..,,•=4':....1 1.Z , • lifeskoallas(value:S ) Business name:*ilthimlyen*mei,Lae . . , . Pikqef 12.51 " Co.nott_valne,:„A44090 dr9J9*,914 • Roof*lin(commercial) 12.51 Address:109 Reht 1.301 Street. Sink/basin//avatory 25.02 •CifyisiatemikNancouver,WA 90660 .S9lar'unIt5(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 • Urinal 25.02 li. latlAligelaariOlvdckgPOIYgOltli01001401n 25.02:!.=.•;..,:.:, .,. . ...,..,, ..,1---;-4-.1.-.',-,--+,,,-,-*:' ,`,,,. .;-','; .'...-i'''',': _--, L,..1,".;..2.2-'..'-,' `,1,.',.',L''l`,1'..,:-±,----- !-',.::=',":-,Tr ''Y ..,:- Wow hazdei 37.52 '23141.Dasf name:- -. - / it tititIV.krirt'SVAir 1.1)444.- *aterViPirIFIDWV 56.2.9 **Os:- P'0 t .A-0x4 ai.O. Other. 25.02 ' ,(34/StatiAai: S7\ ()ay.), are_ • 31431 Subtotal 1.4167101(e570.'86t' 141:1 Pax:(11la r.14b Ati'D lvfinhmun permit' fee: $72.50 Plats review (25%of permit fee) ICCII.Lic,: 1614131A. ' M‘zalbiag Upno Pb wq . State surcharge(12%of permit fee) AOKirizedsi ' ' . vi:COt btOfr TOTAL PERMIT PER riin!Thime:Si.4:41t. 6wk.e, pileetion if nal/is not°Wafted vathin 180 days Pet4"'36''''I to ""1"1""'" 117a pe :4i.....vta seerairlete. *Fee methodologysot by Tri-County Building Industry Service Hoard lealuildirez\PasaitsTDOU.PermitApp.doe 10101709 440-4416T(10/07/COM1WE3) 111ICity of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: Site Address: 1741.-c/ S hn . Project Name: --1�-�Q 1` 34-. t. (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: l 0 Planning Review Proposal: .,eL 5F Verify site address/suite#exists and active in permit system. fiver Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan ®Site plan must be on 8-1/2"x 11"or 11 x 17"paper Existing structures on site Drawn to scale(standard architect or en °Otprint ofnew structure(including decks)with finished North arrow engineer scale) floorelevations Site address,project or subdivision name and lot number v ty locations(required for new,mayapply for additions) vocation of wells/septic systems pp y kApplicant information(name and phone number) rd Kot dimensions and building setback dimensions xisting trees to be retained with drip line,and tree Lot area,building coverage area,percentage of coverage and protection measures impervious area(applicable if R-7,R-12,R-25&R-40) j treet tree size,type and location Lfroperty corner elevations (2 foot contour lines if more than tret names 4 foot differential Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified NO Received: ,Public Facilities Improvement(PFI) Permit: ❑ Yes ❑ No Required: es,applicant was notified cgi ❑ No Applied For: Land Use Case#: F�� �V l� _ Yes ❑ No,stop intake X Zoning: 00005 5ut3 �v15 -- t��® A? Required Setbacks: Front 8 Rear (o Side �"Landscape Requirement: a p % Street Side Garage ..,?0 a Lot Coverage Maximum: e 0 1!1 A Building Height: Maximum Height ^- Visual Clearance Actual Height �' i- ,Erfkr in 'R•4 Easements Sensitive Lands: ❑ Yes 41 Urban Forestry Plan No Type °Conditions "Met"prior to issuance of building permit otes: i . . . ' >i v1 - X37 .. .r a rL. rwf- rn .. rl s(--- be., Approved By Planning: rte,- '4,- -fp ... ,� sit kc a.+c: . �''�� Date: �� Revisions (after Building Submittal only) /��� /L�) Revision 1: ❑ Approved ❑ Not Approved Reviewer Date Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\BuildingTonnskgldgPermitRvw RE3_091216.docx 1 Building Permit Submittal 42 /C-)Original Submittal Date: # Site Plans: # Building Plans: #above. Building Permit#: [ F Enter building permitg hermit Coordinator 0 - fi g Q•'Planning ngtneering Workflow Routing: (include notes from planning review) Workflow Sign-off: Q-Sign-off for Planning Route Application Documents: ErEngineering: (1) copy of permit application, (1) site plan, (1) building plan and riginal plan review routing form.Indi building plans,engineer and Building: original permit application,site plans, beam calculations and trust details,if applicable,etc. Notes: Date: /, C Technician: By Permit - - �. ��� r. �.e x .�x Engineering Review o Slope at building pad: - / / Conditions "Met"prior to issuance of building p ermit , r f ■ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: 0 No 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 YesDate: ❑ NOT Approved by Engineering: Notes: Date: --.,• '�' Approved by Engineering: Reviewer Date Revisions (after Building Submittal only) Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Approved Revision 3: 0 Approved 0 Not r _ Permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit Date: ❑ Approved,NOT Released: 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: 0 N/A DC Fees Entered: Wash Co Trans Dev Tax: ?' es 0 N/A Tigard Trans SDC: 0Yes Parks SDC: Yes 0 N/A OK to Issue Permit / , 1 �f� Approved by Permit Coordinator: Date: 1:\Building\Forms\BldgPe tRvw_RES_091216.docx City of Tigard 4 COMMUNITY DEVELOPMENT DEPARTMENT IIIIII T I GA R D River Terrace Building Permit Review Addendum Building Permit #: /`1 tS ) 5-3 Site Address: -7 it Co 5 UJ Project Name: Rty e t- -re i, u___ Mor c s 1- (New dwelling subdivision name;Addition o e ation=last name of owner) Lot #: 1 0 Planning Review of River Terrace Plan District Design! Standards (18.660.0701): Is the project subject to the plan district design standards?41 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. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep �� ft. deep min. 2ft., 5 ft.wide min.2 ft., 6ft.wide Gabled dormer s;de. x ❑ ❑ 2. Eyes on the street: a minimum of 2%of each street facing facade must include windows or entrance doors. Percentage Shown: Py . of/e v e � 3. Entrances:At least onete tr entrance m st meet both of the following standards: Max. 8 ft. setback from longest street facing wall 'arallel to street,angle no more than 45° from street, Entrance opens to a porch: Ji-Yes ❑ No or open onto porch If yes,all the following apply: CR25 sq.ft.min. tia-One street facing entry .®"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: S i C ihr Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep s r Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide 'S C' 2:1 Roof eave min. 12 inch projection ` ❑ Roof shingles either tile or wood 5 F C1'R°of offset min. of 2 ft. ❑ Roof pitch oriented south min. 500 s ft. S fi 051 Gable,hip or gambrel roof design q. ' 0 Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade r Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. dee 0 Balcony min. 5 ft.wide x 3 ft. deep with inside access GI 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.q Yes 0 No. If No (Check one): 0 May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. 0 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) X12-foot wide garage door ❑ 40%max. of street facade &' 0%max. of street facade with 7 detailed deli. elements Notes: Approved By Planning: - f Date: ____145: - I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. 111 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 1 i,n lz a 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: � C_ 1 wA2Q.1iA �`( �t.thpaa,f-DATERECEIVED: DEPT: RECEIVED JUL 1 1 2017 FROM: l p rn-NC-1 s4,1 0 PO CITY OF TIGARD COMPANY: i DLI be N Ntt) BUILDING DIV, I• PHONE: 5O 3 377 q(6,0 /7 uy. . ..1. RE: / /zf 9 l C j9t.a.. - ''Sr-ae/Cp-co 5-23/rte ess 'ermit `um.er (Protect name or subdivision name and lot er illi 4 ATTACHED ARE THE FOLLO ING IT S: Copies: Description: Copies: Description: Additional set(s) plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. 4t: Other(explain): t. REMARKS: , ,*� 6 -� x. µ" FOR OF ICE USE ONLY ki Routed to Permit Technic'an: Date: ?//(r /7 Initials: l Fees Due: ❑ Yes o Fee Descnption: Amount Due: _ ' $ $ t Special Instructions: ,�( Reprint Permit(per PE): ❑Yes �.No ❑ Done Applicant Notified: Date: 7 i 5i/ 7 l 6 , 16/7 -wt Initialei )eJj I:\Building\Forms\TransmittalLetter-Revisions_061316.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17491 SW AMELIA ST, BEAVERTON, OR, 97007 July 18, 2017 at 3:10:32 PM Record Type: Record ID: Residential - Master Permit MST2016-00531 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Remove dryer vent screen. M1502.3 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17491 SW AMELIA ST, BEAVERTON, OR, 97007 July 18, 2017 at 3:07:07 PM Record Type: Record ID: Residential - Master Permit MST2016-00531 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Breaker tripped for entry and main level bath, not resetting. No further inspection done. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17491 SW AMELIA ST, BEAVERTON, OR, 97007 July 19, 2017 at 9:53:16 AM Record Type: Record ID: Residential - Master Permit MST2016-00531 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17491 SW AMELIA ST, BEAVERTON, OR, 97007 July 18, 2017 at 3:12:53 PM Record Type: Record ID: Residential - Master Permit MST2016-00531 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Lower level WC not sealed to floor. 310.4, 407 All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17491 SW AMELIA ST, BEAVERTON, OR, 97007 July 19, 2017 at 11 :03:16 AM Record Type: Record ID: Residential - Master Permit MST2016-00531 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor