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Permit (263) City of Tigard v COMMUNITY DEVELOPMENT DEPARTMENT t: Building Permit Review — Residential TIGARU Building Permit #: f7Sr:7c/t' Dd���� Site Address: fl �1 s� �IY1 l�. s Lot #: �� Project Name: Beer 1 y z CP NO' W? ' (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N-e�l 12 Verify site address/suite# exists and active in permit system. ..Si-River Terrace Neighborhood: ❑ No ) Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan hintxisting structures on site .Site plan mut I&on 8-1/2"x 11"or 11 x 17"paper (Footprint of new structure(including decks)with finished 45Drawn to scale(standard architect or engineer scale) floor elevations North arrow Utility locations(required for new,may apply 1 for additions) Location of wells/septic systems 'Site address,project or subdivision name and lot number Y'�xisting trees to be retained with drip line,and tree �(r�pplicant information(name and phone number) rotection measures .1%V-of dimensions and building setback dimensions p „ Lot area,building coverage area,percentage of coverage and gStreet 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) A Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified XI, No Received: CI Yes ❑ No Public Facilities Improvement(PFI) Permit: Applied For: ❑ Yes ❑ No,stop intake Required: ❑ Yes,applicant was notified `i4 No Land Use Case#: )02 2015-00ooS ,IS Zoning: V`--1 P Side Street Side N Garage Z� ]'Required Setbacks: Front Rear \� Landscape Requirement: 20 L Lot Coverage Maximum: 1.11 Actual Height l"3'Building Height: Maximum Height Visual Clearance gEasements Er Sensitive Lands: ❑ Yes 51 No Type .iZ Urban Forestry Plan Conditions "Met"prior to issuance of builidine16 � n� Ld1SKa Notes: 'NU C(/Y1d.thUY1S is t nce Approved By Planning: N -- Date: i I 117/I 40, Da e Revisions (after,Building Submittal on ) R viewer. Revision 1: Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\BuildingWorms\BldgPermitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: /0///,:, Site Plans: # 3 Building Plans: # _3 Building Permit#: 9--Enter building permit#above. Workflow Routing: CPlanning 8"Engineering Et-Permit Coordinator ❑"building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: g 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: f� By Permit Technician: .�l/� ,0 4 ____ Date: /7/7/4, Engineering Review - Slope at building pad: kj ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat 2"Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes .er No Assess Water Quantity Fee in-lieu: ❑ Yes -Er No LIDA Facility on lot: ❑ Yes ..g-No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: /h II{ . LL), Date: /1 /1.6 Revisions (after Building Submittal only) /view Date Revision 1: ) Approved CI Approved I�� Y� </ = 17" Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ,Approved, NOT Released: /0/1/ e: '1/.8/`t i 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: ?Eft Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: 7t.g)YeS Cl N/A OK to Issue Permit Approved by Permit Coordinator: A- Date: /24r/143 - I:\Building Worms\BldgpermitRv RES 091216.docx .4 ' � . City of Tigard ° COMMUNITY DEVELOPMENT DEPARTMENT ■ River Terrace Building Permit Review Addendum TIGARD Building Permit #: /(7S7-9-0 - 00 `/9c) Site Address: \ 1381 SVJ ikMf\tc Shrc Project Name: g\\Jer T-errace NDy ""? Lot #: ko9 (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?ryes ❑ 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 Gabled dormer Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide �' ❑ ❑ ❑ ❑ 2.Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 13 •?5 3. Entrances:At least one entrance must meet both of the following standards: _'arallel to street,angle no more than 45° from street, "Max. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch: 15-kles ❑ No If yes,all the following apply: ;:&25 sq.ft.min. One street facing entry 12 ft.max.roof above floor of porch IFIr5 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: Covered porch min. 5 ft.wide x 5 ft. deep .Recessed entry area min. 5 ft.wide x 2 ft. deep .'Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide X`Roof eave min. 12 inch projection Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood g 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 ❑ Window trim min.2 1/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall,tYes ❑ 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 elements Notes: X611 Approved By Planning: � I ..� i►./ . Date: \Building\FormsBldgPermitRvw_RHS_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. 71 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT , 4 = Transmittal Letter T I G A R rD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION , • .,..t. ` - ; FROM: Angela Grajewski COMPANY: Polygon Northwest PHONE: 971-212-2144 BY: RE: 1-13 1 SW l�me-Ld,c+ St MSTLOI -004jo (Site A dress) (Permit Numl er) River Terrace Northwest Lot (Project name or subdivision name and lot number) ATTACHE])ARE THE FOLLOWING ITEMS: -,,,,i S.. . es`crliphi ' ,gay x 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 ! il: ox ©FFc SE ONLY l Routed to Perm' echnician: Date: 3-0? - / Initials: A Fees Dupe Yes ❑No Fee Description: . 6eic_ Ig 4 Amount Due: X' � j 2 \i‘rfal- Quer\ l�.a/C $ L f5" 7 Special Instructions: /� Reprint Permit(per PE): S [V Yes ❑ No eDone • Applicant Notified: 5 Date: 1/?1/7 Initials: l'A-1 I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 q CITY OF TIGARD MASTER PERMIT `- COMMUNITY DEVELOPMENT Permit#: MST2016 00490 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017 Parcel: 2S 106DB 10900 Jurisdiction: Tigard Site address: 17387 SW AMELIA ST Subdivision: RIVER TERRACE NORTHWEST Lot: 109 Project: River Terrace Northwest, Lot 109 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stones: 2 Bedrooms: 4 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height 26 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $252,028.18 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 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 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2078 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 One Hour Fire Rated Eaves 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 Required both sides STE 1 2 Ersn Cntrl 503-639-4175 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,728.25 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ` Issued By. �'�' Permittee Signature: em/ AG jes'.9-7C7�L' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application i-v/ / 0 7 '';'ilifiiiii RECEIVED City of Tigard Reeeivea g 0 C T 11 2016 Dater // /9 `4 ,,,7 permit No/ T2e7/6_po99'o iiii '1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598,4 6 , 7 DateBy /1-aR -1 C Other Permirsec/�,V/4.--e`J!�`JS' Inspection Line: 503.639.4175 L-+'i I�` ( fl 1A(`t D Date Ready/By: �/ � / ® See Page 2 for T1,,,,k1) g g BUILDING D JIS O �B / AY-Y----- 5: Internet: www.ti ardor. ov � � � Notified/Method: � Supplemental Information ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the ' • ,: 34 , `;,-i,,- ; 7,1 rr � <s .,: , , . '*, ' work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation:D 1 48$ 2 6 I 44/ 0 Accessory building ❑Multi-family Number of bedrooms: 14 '` 0 Master builder _ ❑Other: Number of bathrooms: Z a : � W : 17.: ' R. -�� Total number of floors: 2 o.,0-7 8 IaLi Job site address:Jl'2 7 SW Amelia St New dwelling area``27�pr' square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 280 square feet Suite/bldg./apt.no.: e l Project name:River Terrace Northwest Covered porch area: 4 y square feet 113 0 Cross street/directions to job site: Deck area: I square feet 9 Other structure area: square feet �€ Ate€ `�� :i �• '- • Subdivision:River Terrace Northwest J Lot no.:101 Permit fees*are based on the value of the work performed. Tax map/parcel no.: 4 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the "R ,--s - .. � E •� work indicated on this application. �.��,-�, �;�, €`�� ��. �� �s „"�- �« »„ �� ate ,,, Valuation: $ Existing building area: square feet New building area: square feet � �.. - 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: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLSplan review fee(if applicable): Address:109 East 13th Street )' City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax: : ( ) Amount received E-mail:Angela.Grajewski@polygonhomes.com �_zti� �_ �. ',' ' , ,,. , � s Commercial and residential prescriptive installation of -,, . „• � , � _ .- 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 �f Total fee due upon application: $201.60 Authorized signature:„.....„4 / i �� This permit application expires if a permit is not obtained v jjit.- l,, within 180 days after it has been accepted as complete. Print name:Angela Grajewski , Date: {'9-f // � *Fee methodology set by Tri-County Building Industry �/ l LrJ Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , Mechanical Permit A pnlicati � t r)k t r i t I( i l 41 t 0,1 1 City of. Tigard Pc mtu h .. i 13125 SW Hall Blvd..Tigard,OR 97223 / /� v �/C� Phone:503.718.2439 Fax: 503398.1960 I`1 n V 3 2016 mss. Other t'a,rrit. inspection Line: 503.639.4175 y �j Date R, y13y. Inti, H See Pace 2 for Internet www.tigard-or.gov CITY OF i IGARD Nanta Beret od Supplementallatormotioa BUILDING DIVISION Illi f ' _ „ ., Y p„, ^ ra�b,L7cc' -a -moi `t '' - d_ti'r.; ".-e x-" .= �...i,,, t�" r=m ,...' .. .. g� " Mechanical permit fees*are based on the value()Nile work ®New construction ❑Additionfalteration.{replacement perform :I.Indicate the value(mundcd to the nearest dollar)of alt ❑Demolition 0 Other: mechanical materials equipment,labor,overhead.and profit. Value $ v� ----1..-:,-- rte:--s-.:---- -. "-:<a; tt`-':-1.-'—V=s„jg-- �t r u _+..-.. _ ' = -;a; Y4.. � i „4:.4,1,1,, T. , r �.-' _ =L ,t# ,ii'.c i;,...1j-......2-1i114...,14' 4 N acs err 'K...•sE 7_ ❑ I-and 2-family dwelling 0 Commercialfmdustrial 0 Accessory building Far spade!!afannatlon sae checklist, ®Multi-family 0 Master builder 0 Other: Description I QV. I E . i Total y. s z ;+ 6• s: t 1 , t.y r r irt- „ i,--,,,,-4 t inti#- A HestlaP/erWtingr ' 46.75 Job site a11��, V V 1�jn � Sc Air conditioningaddress:s: Furnace 200,000[3TU(dadaivcrts) IF 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTt,(ducls/vaas) 54.91 . Heat pump 61.(16 Suite/bldg./apt.no.: Project name: latqt 'reiryxttD .1 \�1►.) Duct wort; 23.32 Cross street/directions to job site: iiydronie 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 itaLqfjci—fjonact, J Lot no,:tbCol Other 23.32 Other feel appifaaees 'fax map/parcel no.: Water beater ., 2332 tri i.,. - . ‘',1-_:” t t , E.i F CIT'*if * it �"', . y r-""'"' Gas fiicplatxlinscrt 3339 Flue vent for water heater or gas fireplace I 2332 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood freptandinsest 2332 Chimney/finettguehtnt 23.32 *Rwt Y *Y Jc��t < ,: t x 6 r , jt-4t,,, ' sy P. e t ` OihCr 23.32 `::-..„, „..7.,-- ., &--x =}_=-_ 2 -- �� 4-- ,�^ b». Euviraameetal exhaust and ventilations Name:Polygon WL11,LLC Range hood/other kitchen Address:109 East 131"Street equipment ' 3339 Clothes dryer exhaust I 33,39 I City/StateiZEP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility moms) Lt 2332 Phone:(360)69$-7700 Fax:( ) Attic/ciasvispaee fans 2132 -;`,--i-;-,,- x 1,-! rt=e :-'1,,,,i-';Fie .•'.-‘1.-„t-i•€ il,,, 47.' r.":, Other. 23.32 Fuel.pipitav Business name Polygon WL13,11,C $1435 ter first four,84.03 for each aidititional Contact name:Angela Grajcwski Furnace.eta. I ( Address:109 East 13th Street Ons heat tromp $ Wall/stispendedlunh heater City/State/ZIP:Vancouver,WA 98660 Water heater I Phone:(360)695.7701) 1 Fax::(360)693-4442 Fireplace i Ronne E-mail:Angdja.Gra ewski alpoiygonbomeai s eoI Barbecue rt:-.-t: k S.fit -.:',C`' ' £ Clothes dryer(gas) Other: 1 Business name:Apex Air LLC Address:10004 NE 72's Ave Subtotal <. City/State/ZIP:Vancouver,WA 98666 Minimum permit fee(590.00) ? Phone:(360)342-8109 Fax:(360)326-1769 Plan eharevrgcew(22%5%of permit fee) State atucltargc(1210 of permit fee) CCB lIe.:203034 TOTAL PERMIT FEE _ This permit application expires ifs Permit is not obtained within 180 £ days afterit has bent accepted as complete. Authorized signature' - • Fat enethcdology set by Tri-County building Industry Service Board Print name. Y Dale: 4 11-it. I ' 1 Inundingtfao it* rc P )tArq_4ter U Oft 440-4617111 i/e2/COMMall - RECEIVED .. . . .... Electrical Permit Application FOR Oil ICE LSF O\Li City of Tigard 1\10V 3 Q 2 016 ReceivedPumie t: .STS/ -co t!C II i 13125 SW Hall-Blvd.,Till , ti Plan Review Phone; 503.718.2439 Floc 5 ! a. 9�F fug }�'itlu Dma/a • RelatedPemdttk 1nspecti0n Line: 503.639'41 B U I LD I N G DIVIS C I O N Ready DeteJ6y: Fur r H See Pagel for T]v;1 le D Internet www.tigard-or.goV Notified/Method: Supplemental Information ®New construction 0 Addition/alteration/replacement Please cheek all that apply(submit 2 sets of pleas w/items checked): ❑Demolition 0 Other ❑Service or feeder 400 amps or more 0 Building over three atdries- whore the available fault current ❑)farinas and boatyards. : : . -- �a exceeds 10.000 amps at 150 volts or ❑Floating buildings. 01-and 2-family dwelling 0 Commercial/indtist iai 0 Accessory building loss to ground,or exceeds 14,000 ❑Commercial-use agricultural maps for all other installations. buildings.• ❑Multi-family ❑Master builder 0 Other: ❑Fin pump. Olnstallation of 150 KVA or ' r' -,, _7'ru`.z1,oi:„.s 3.:',--e, are t7 o A ,ell -ji�-�, ."f- w ,, `mbx€A'i 0 Emergency system. larger separately derived m. Job#: Job site address:1-PRO \) e ❑1001 Addition more. o e.w mote toad of " a. � 10011P or mom. ❑"A","5"."1-2:"13". City/State/ZIP:Tigard,OR 97224 0 Six t more residentialccess. Sonat vehicle tics. ❑liaatth sure facilities. 0 Pa - Suitc/bldgJapt#: Project name:RivtrT-e..r . ,14) ❑liazardmo locations. 0 Supply�v vol ID tage tor more than ❑Service orfeeder 600 amps m more. Cross street/directions to job site: S` ;, e,l: a:. ri mi 4: - f4.1 Desedpnoa OSP I Each *Total • New residential single-or multi-family dwelling unit E Subdivision:Vrj TovaLL N W Lot#: t t. 1 Includes attached garage. Tax map/parcel#: 1,000 sq-R or less 168.54 4 Fa add'l 500 sq.R.or portion 33.92 1 .: L__ _...,__� :i:1^e':3 i li tam,,t:_`6 T ' . «" t€;4__• Limited energy,residential (with above sq.R) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.&) _ Renewable Energy ❑See Page 2 z_ ''° l�:iL�� a 'sl. -r^1. y D?.U.'''e 0/k`'-. ` __- Servicesorfeedersinstallation,alteration,and/orrelocation Name:ADVL Land Holdings,LLC 200 amps or less 10170 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 1 2- City/State//ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 I Phone:(602)694-4031 + Fax:( ) Over 1,000 amps or volts 55226 2 Temporary services or feeders installation,alteration,and/or Email: •. relocation Owner Installation:This installation is being made on property that I own which is not 200 snips 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 it;,,,-. 1>.Y sr Branch circuits-new,alteration,or extension,per panel •� -�.-- ��� -.. AFee for bre»clh circuits tvfth Business name William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Angela Gra jewski B.Fee for branch circuits without ; service or feeder fee,first 56.18 2 Address:109 East 13th Street branch circuit City/State/ZIP:Vancouver,WA 98660 Bach add'l branch circuit 7.42 2 _ i Miscellaneous(service or feeder not Included) y Phone:(360)695-7700 • ' Fax:(360)693-4442 • Each manufactured or modular 67.84 2 • i Email:An eln.Gra ewskl l onhomes.conl dwelling.service and/or feeder g 3 Yg Reconnect only 67.84 2 t a. .i Pump or iaigation chyle 67.84 2 i Business rune:Garner Elerctie Washington,LLC ' Signor outline lighting 67.84 2 i r,,.,,. Signal cirwh(s)or limited-energy ❑See Page 2 2 Address:6101 NE St Johns Rd panel,alteration,or extension. City/State/LIP'Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.251 hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email: Iodbdaaiels®gwensa.com m plant(1 hr min) • 78.18/1w Inspections for which no fee is 90.00/hr CCB Lie.: C1158 Electrical Lic.: 208174 Suprv.Lia: 44965 ;firm listed h brim i sk 'nlr"- 1tt!Eit7-1Jt ;-.-a?*,)eiti`i'�I_C- - 4 Suprv.Electrician signaittre,rtxltared: /�="731::.R '.,.. Subtotal: ," Print name: Joan P Albert I Date: 4/26/2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): !iii.;:•:. •. _ TOTAL PERMIT FEE: Authorized signature: r� •••4_•_________......- 4:..-..i4 L--^'`^� This permit application exphrer If a permit is not obtained witbia 150 =l i Print name: Bill Daniels I Date: 4/26/2016ay accepted complete. d safterlthasberaac ted as a Nambarofinspmtioaselloxrodperpermit c `LBaad0/gPemhmCParmitPp doe Rev0407f2015 410.461570I/DS/COM/Wz e<:, e� r i - F. i , Plumbing Permit Application RECEIVED Building Fixtures t in< 01 l It N1W 3 Q 201 City of Tigard Received r '-i +l\i ti Permit No.: lir. / ,,'C/6 1Z19a 71 i 13125 SW Halt Blvd.,Tigard,OR 97223 CITY OF riGm RE1,i:w Phone: 503.718.2439 Fax: 503598. : Other PermitNo.: Inspection Line: 503.639.4175 !�-®��� ��� ` i o _.. /BY Juni: ®Sec Paye 2 for Internet www.dgard-or.gov Notified/Method: SupptemeetalInformation • -"•; '.urs :....- ,, -01e`�'Ssa4a"S,..4•,.. I _,.-' .; .,,.: :.:.. /.. .. ,. ®New construction ' ❑Demolition For spedal information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 1008.for each utility connection) .::'. :• .- •.' --CATEGORY'OF CONSTRUCTION'•• SFR(1)bath 312.70 . . igi l-and 2-family dwelling 0 Comme:rcial/rndustriai SFR(2)bath 437.78 SFR(3)bath I 50032 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other. Fire sprinkler(_sq.8.) Page 2 .10B.,SME INFORMATION AND LOCATION - Site utilities: Job site address: /7 5) S*) A N�{�() j r Catch basin or area drain 18.76 City/State/DP:Tigard,OR 97224 R' _ Ali,leach ling or trench drain 18.76 ¢¢ Footing drain(no.linear ft:_, Page 2 1 Suite/bldg/apt.no.: Project name: tf-NlAri-e} ra...-e,00 Mellufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft:_-J Page 2 Storm sewer(no.linear ft: ) Page 2 Water service(no.linear ft:, ) Page 2 Subdivision: f2.. t em I t.,UY'CA.0 R., 1\)Vsi Lot no.:t Fixture or Item: Tax map/parcel no.: Backtiow prevent= I 31.27 . ' DESCRIPTION OF.WORK • . . - Backwater valve i 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 t ®1ROPERtY OWNER . " I. ❑ TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC F 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 8.5258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 . ®.APPL[CANT . . . . 0 CONTACT PERSON.. Intl rceptorlgrease trap 25.02 i Business name:William Lyon Holies,InMedical gas(value:S_) Page 2 Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 III Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 I Phone:(360)695-7700 Fax. (360)693-4442 Tub/shvwalshower pan 1251 E-mail:Angela.Grajewald@polygonhomea.com U 25.02 Water closet 25• .02 . q I:ONTRACTOR Water heater 37.52 I Business name:Malmedel Enterprises Inc. Wates piping/DWV 56.29 t., Address:PO Box 207 Other. 25.02 h• City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 I Fax:(503-)324-0580 Minimum permit fee: S72.50 Plan review (25%of permit fee) ;' ' CCB Lie.:102535 Plumbing tic.no.:34-276113 , State surcharge(12%of permit fee) Authorized signature: C,.......-- TOTAL PERMIT FEE Print name Carolina itfalmedat Date:04/75R0I6 I This Pelt eppiiation expires if lame permh is not obtained within 180 days after It hes been accepted as complete "Fee methodology set by Tri-County Building Industry Service Board. I:{ttundleglPermiAPLMU•PermitApp.doe 10/01/09 4404616T(10/02/COMAv®) 2 4I City of Tigard p COMMUNITY DEVELOPMENT DEPARTMENT T l G A R D Building Permit Review — Residential Building Permit #: /XS 00 4/%6 Site Address: tT g1 s vi Atnn IA s-r.0- Project Name: RWer -r-croce NoftW?Si' Lot #: 10°I (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 14{W VrL Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: RThree(3)copies of site plan herVxisting structures on site .Site plan must be on 8-1/2"x 11"or 11 x 17"paper X1Footprint 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 ,ocation of wells/septic systems Applicant information(name and phone number) Yxisting trees to be retained with drip line,and tree �T of dimensions and building setback dimensions protection measures Lot area,building coverage area,percentage of coverage and gStreet 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: E Yes,applicant was notified $, No Received: 1=1Yes E No ..[Sr-Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: p0\2 2D\5-DOCOS ,TE. Zoning: -, V) 2r Required Setbacks: Front 8 Rear 10 Side Street Side N/ - Garage Landscape Requirement: 2l] % Lot Coverage Maximum: so 0/0 Building Height: Maximum Height 1J J \ Actual Height Visual Clearance Easements Sensitive Lands: ❑ Yes 51 No Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit M Notes: t ()r41 (/Y1.S tYM1t `nom pile( 1(URA 111-c-c Approved By Planning: a — Date: III/LIR Revisions (after Building Submittal on ) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: /4/////0 Site Plans: # '9 Building Plans: # _ 3 Building Permit#: Center building permit#above. Workflow Routing: (}"Planning ErEngineering B'Permit Coordinator wilding Workflow Sign-off: [ 'Sign-off for Planning(include notes from planning review) Route Application Documents: g' Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 0/Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: < L ?"'1 ___. Date: //1/7//(.., Engineering Review .0'Slope at building pad: ❑ 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 EC-No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes ...g---No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: A ik6.. LC). Date: // "--06R (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 pproved,NOT Released: 6:t : /// '/it•- / Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: /6)Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPemiitRvw_RES_091216.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT !PI I TIGARD River Terrace Building Permit Review Addendum Building Permit #: "71-7--,9-1.9/ - 00 e/� Site Address: Sv.1 A 1i \tq Project Name: g\\Jer T-errac' NDr v4?s-t- Lot #: 1,09 (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?igrYes ❑ 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 Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 13 •5 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 or open onto porch Entrance opens to a porch: )'Ines ❑ No If yes,all the following apply: ):&25 sq.ft.min. One street facing entry 12 ft.max.roof above floor of porch 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: Covered porch min. 5 ft.wide x 5 ft. deep .Recessed entry area min. 5 ft.wide x 2 ft. deep - Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood 1 Gable,hip or gambrel roof design El Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade El Window trim min.2 1/2tt 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 façade 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 ❑ 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 12'40%max. of street facade El 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: 40 Date: II-1. 1:\Buildmg\Forms\B1dgPermitRvw_RES_RT_062216.docx t City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17387 SW AMELIA ST, BEAVERTON, OR, 97007 July 7, 2017 at 1 :28:20 PM Record Type: Record ID: Residential - Master Permit MST2016-00490 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Provide missing strainer in master shower. OPSC 404.1 Fix hole at base of main bath tub, left side. Not sealed to floor. 310.4 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: 17387 SW AMELIA ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00490 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17387 SW AMELIA ST, BEAVERTON, OR, 97007 July 12, 2017 at 1 :53:14 PM Record Type: Record ID: Residential - Master Permit MST2016-00490 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