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Permit (50) CITY OF TIGARD MASTER PERMIT III to COMMUNITY DEVELOPMENT Permit#: MST2016-00520 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017 Parcel: 2S106DB18000 Jurisdiction: Tigard Site address: 13296 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 180 Project: River Terrace Northwest, Lot 180 Project Description: New SFA. Building/unit 7.1 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 103 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 646 sf Garage: 499 sf Front: 12 Smoke Dwelling Units: 1 Third: 633 sf Right: 0 Detectors: Yes Total: 1382 sf Value: $182,349.71 Rear: 8 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 2 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: 2 201-400 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 SFA VB R-3 1382 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $23,398.19 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA:95 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. l. Issued By: , ` Permittee Signature: '141 *"'"9-7,4-;/e-01-77e',11/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ` Building Permit Application � � � � , 0:= T FOR OFFICL CSL O\L1 City of Tigard ?� Received // Jh6 _ Permit N9'`�57 /6, e o5:2 0 ' ig 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �% Phone: 503.718.2439 Fax: 503.598.1960 ?€ Date/By: � OtherPennttSGG�La�/�—009.2a2—'� lc, I) Inspection Line: 503.639.4175 a Date ReadyBy /�; 7uns: H See Page 2 for Internet: www.tigard-or.gov ' Notified/Me /thodY / Supplemental Information 4-1S �ticuu�..�� �;���e ,�� � ��a •� t�i�,h� ��. � ,�'" ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the =�t`'; Rwork indicated on this a CatlOn. p s G$ €hz 1 �i�k'hcnSxFu A :' ,4 � � �6� �il5 r YA<.a�'F*„yYb7� `YYP`„v.3,�`�4ws�f4r�wyn:tSvwRa4M<N�Tz� �}�e..6� .�a•.,nr art`d5 d: A�$�b�„�'iSgrsi:.Fm ,�ban .�+, `.t�E�B� ❑ 1-and 2-family dwelling 0 Commercial/mdustriaI Valuation:18a�11C'� $ i`� ❑Accessory building ®Multi-family Number of bedrooTTms: 113 .. tWir ❑Master builder 0 Other: Number of bathrooms:3`\a j II) ,� „� �, � �� Total number of floors: er �ar.s...�..,........ �, uk..a: �:�.v"'t•���:`"`s�„< �: r���;;�,�.....,�.. ,.«..�.Ems.. „rte W.��.�;�..•,. Job site address: ` 11�(�p�'�14 T'e riQ New dwelling area: i 3 2 square feet City/State/ZIP:Tigard,OR 97224 W1J� 1 Garage/carport area: L.. square feet 6 3 3 Suite/bldgJapt.no.: 1 1 I Project name:River Terrace Northwest Covered porch area: -R11-14}') square feet 61 6 Cross sheet/directions to job site: Deck area: C9 27 square feet 1 03 avr J Other stru area: •3 square feet 2� Subdivision:River Terrace Northwest I Lot no.: i UfJ Permit fees*are based on the value of the work performed. Tax map/parcel no Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the t t � work indicat@d on this application. Valuation: $ Existing building area: square fest 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 FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com g b � � 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 Total fee due upon application: $201.60 Authorized signature: j �,/ This permit application expires if a permit is not obtained �, ,AJVV JaQ 1 within 180 days after it has been accepted as complete. // *Fee Service methodologyBoard set by Tri-County Building Industry ql Print name:Angela Grajewski Date: pi/ ! IC! I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • 3-11 0 § z q' Mechanical Permit A plicae" `. ,.ti P ,�?li�,ll It ► I ``l:F,\l v � City of Tigard Received ' OCT1 �. 2 01 > Y Ptmnit t a.:fit j 13125 SW Hall Blvd,,Tigard,OR 97223 Plan.Renew ��'"C1 'ZCl 503.71$2439 Fax 503.59$146{) Other Permit: t. ion Line: 303.639.4173 DDate Re Inspection Date ReodyrBv; 744r Ei!Sec Page 2 for Internet www.tigard-or.gov ) r , � Noti SuPplIonentdtlAforoafion w ,i ..r�`: ; ' ,z; i,z: w,Q ' g a A "COMMERCIAL 3rEE ;Ys�9E3pEflil� i`iG iEit`� ��New construction Mechanical permit fees*arc based on the value of the work " 0 Addition/alteration/replacement Demolitionperformed.Indicate the value(rounded to the nearest dollar)of all 0 Other. mechanical materials,equipment,labor,Overhead,and profit Itt .,`.. '1Et:(111X GltlSitQl�t w Value.S t R51FJ >, TdllI x. ❑l and 2-family dwelling 0 Commercial/industrial 0 Accessory building Faspedal brlorm ion its checklist ®Multifamily 0 Master builder ❑Other Description C`ety. Ea. Total � !; ItKMk7 tt3N D'�Tp1sl 1leatlagJeoolimg i Air condittortmg: I 46,75 kbSite add, : /419((° Job City/State/ZIP:Tigard,OR 97224 SW ne. 1 eX O _ Furnace 100.000 BTU(ducts veins) 46.75 Furnace-100,000+B'1'U(duets/vents) i 54.91 SttitelbkdgJapt tro.: 1 i U Projectname: f ' Heat pump 61.06 slit Ductworkt 23.32 Cross street/directions to job site: Hydronic hot water system i 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 1 23.32 , snbdivisoa `J{r Tervr�t Nvvfilnu eq�-- 1-4411°.: if), enter 2332 Other fuel appiianceo Tax map/parcel tut: .�x ��'"`�, : � � � a Water eater 33.39 , h � 23 32 �, D SGRTP 1701�yUF SVORK Gas fireplace/insert new home construction Flue vent for water[seater organ fireplace I 2332 Log lighter(gas) 23.32 Wood/pellet stover 33.39 Wood fireplace/insert 1 23.32 Chitnn-,'",./,,,n',..-.`7. cylt'merIfluelverat 2332 Cher2332` § ��, �' �. ,,..6 . fi / �.. .-s Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen j Address:7600 E Doubletree Ranch Road equipF 33.39 . Clothes dryer exhaust 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, eM-+ Phone:(602)694-4031 Fax toilet compartments,utility rooms) , 23.32 ( ) Attic/crawlspace fans I I 23.32 7.,. It o_a. , 11T�x41 .d41474 001`11,4�1z 41, OthtT. 2332 Business name:William Lyon Reines, no Fuel piping: 51315 far first fear;54.03 for�ac6 additional Contact name:Angela Gntjewski Furnace,etc. Address:109 East 13th Street Gas heat pump City/StMeIZ1P:Vancouver,WA 98668 Wali/stupended/unithcater Warr heater t Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace E'inai7 Angeht.Grajewakt®polygonhomescam Range Av ., Barbecue ii4 o .�� a a < - , Clothes dry"(gas)as) I Business name:Andersen Mechanical,Inc Other: - Address:16285 SW 85th Ave !,. :., .° Subtotal City/State/ZIP:Tigard,OR 97224 Minimum permit fee 90.00) Phone:(503)992-6664- I Fax:(503)536-6615 Plan rev w(2595 of pt mit fee) CCB lie:168214 t state (12%of permit fee) I TOTAL PERl1jT FEE This Permit application expires if a permit It not obtained within 180 Authorized signature: ide( days ager it tai bees aecepte complete. * Fee methodology set by Tit-County Bwldin Industry Smite Board I Print name:Angela Grajewski I Date:8/22/16 l 3 lau`26niffenetiteSdECytrmitAFp ii' 440t13:4o, 440-teirrtt02/tostwom Electrical Permit Application- , - �„ ` . i ()Hut I II t I .-,1 f1t1 s City of Tigarti -= �III� ,•� Z _ _ • 13.123 SW Hall Blvd.,Tigard 97223 U i:;1 i ?016 �Review Phone: 503.718.2439 Fax: 503.59$1960 Dateta inspoctio Line: 501639,4175 503639.4t75 Ready Dat By EeEi§aM Internet www.tiprd-or,gov Hatifiedimetbod: try New construction 0 Additiontalterationirepiacernent Manche&all that apply(submit 2 sets• plans why ): ❑Demolition ❑Other ❑Service or feeder Opo amps a more CI Building over dace stases where the available fault current Q MNi=and bony** _ .,:, ,., w a .1',12..:-:::::-..7,17,- ,...,,_ � ., ,000 sea at 150 volts or _ ,." :� �. „ : �' a.,„�.,-. exceeds l0 amps ❑Floating buildings. 1 i-and 2-family dwelling 0 Conunercialtindustrial 0 Accessory building less to gid,or exceeds 14,000 0 Commercial-use agricultural amps for all ocher installations s , CI 0 Master builder 0 Other: Fire pwnp. . 0lhnatatlhmon of 150 KVA or separatel . 6• _ ..,',)..".• ': „ ' ' .„'„ .. ". „ ❑Addhion► i an. largerlargerY derived � anew mala toad of system. Job#: Job site address:/ 2"i bW %1. i. i •i - 100HP or more, 0"A",-r.-1-r.-1-3-, r 0 six air more rdentid units. occupancy. City/State/ZIP:Tigard,OR 97224 [3 Health-care fswGties. 0 Reaeationai vehicle paries. Suite/bldg./apt,#: 1, Project name: ,1 V , e - (AlCI Hazardous locations 0 Supply voltage for more than V v ❑Service a feeder 600 amps or more, 600 vohc mai"- Cross street/directions to job site: T� . a , "mom. Dere iudsa Qq. Each Tate • New residential single-or multi-family dwelling unit Subdivision ; ,, , ' 4 ce N vtJ Lot#: . Includes attached garage. Tax map/parcel#: 1,000 sq.fl.or less ( 168.54 4 -- — - ' !r' ` ` y, x •' „ . ., . Ea add''500 sq.a or portion 1 33.92 1 Limited energy,residential 75.00 2 (with above sq.IL) Limited energy,multi-family 75.00 2 ',;„ € - -, residenu8l(with above sq.ft) Nath:ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Address 7600 E Doubletree Ranch Road Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 City/State/ZIP:Scottsdale,AZ 85258 201 amps to 400 amps 13336 2 Phone:(602)694-4031 Fax:( ) Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature: Date: t d *,` 0 Temporary services or feeders installation,alteration,and/or . .. .:,.e t ® .� n ,b '� at [712 a, ::, . relocation Business name:William Lyon Homes,Inc. 200 amps or less 59.36 1 Contact name:Angela Grajewski 201 amps to 400 amps 125.08 2 Address:109 East 13th Street 401 amps to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits new,alteration,or extension,Rer panel Phone:(360)695-7700 Fax::(360)693-4442 A.Fee for branch circuits with above service or feeder fee, Email:Angela.Grajewskipolygonhomes.com each branch circuit 7.42 2 B.Fee for branch circuits without - . service or feeder f t`ust Business name:alameda electric branch circuit 56.i 8 2 Address:3415 ne 44th Each add'ltrench circuit 7;42 2 Miscellaneous(service or feeder not included) City/State/ZIP:SNIP ft 1, - d I Z 67 a.2-I Each manufactured or modular Phone:(503)3192192 Fax:( dwelling,service and/or feed er67.84 2 Reconnect only 67.84 2, Email:solatpdx@o me.com _ Pump or irrigation circle 67.84 , " 2' CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: tf'71 S Electrician signature, Sign or outline lighting 67.84 2 Suprv. required: / Signori tern on or limi auon«gy Print name: K j 1L -p� Date: e?1 panel.alteration,or extetssion. Page-2— 2.:' Each additional inspection over allowable in any of the above AU2}aori2ed Additional inspection it min) 66.25;br Print name: Dates �/ Inveshganorh(I hr min) 90,00/}i i I rA� c_ Fxaaoc tteYowarr�ots 4ao+atsttttmsrcoatsw Plumbing Permit Application. , -' u Building Fixtures1()1: ()1 1 1( 1 t ',1 Ci\1 \ t)CT A. 1 f ti R ih cceii d City of Tigard DatrJBy. 13125 SW Hall Blvd.,Tigard,OR 97223, , . -, an Review a.Plan Phone: 503.718.2439 Fax: 503.598.1960E - � f�/gy' Inspection Lire: 503.639.4175 f • lie Ready//By: Jori:: B See Page 2 for Internet: tilt No./../....(7, IE5,1 Other Pamir No.: www.tigard-or.gov or gov NouGeJMethad � 5appteraentaE Information 9 ni Demolition ors information use checklist <New construction Description ; Qty. I Ea I Total 0 Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 ft.for each utility connection) t y rant -s w 'e` as � � SFR(1)bath 312.70 ooti. SFR(2)bath 437.78 1-and 2-family dwelling 0 Commercial/industrial SFR(3)bath • 50032 build" Multi-family I:1 Accessory mg Each additional badetitchen 25.02 Q Master builder 0 Other Fire sprinkler( sq.ft.) Page 2 _' w•. r 1 ; . t r •t" e E"..,,-,......ser-0, tr *` .;, Site utilities Catch basin w arca drain 18.% Job site address:/4,91,, SAN p e,Yg►V1e. terrace Drywell,leach line,or trench drain 18.76 • City/State/ZiP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg.apt.no.:-1. I Project name:t24V4'7--t ry , ftAlManufactured 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:�2,V i e�r/nj(i Lot no.: g D Fixture or item: Backflow preventer 31.27 Tax map/parceI ta.: Backwater valve 1 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 �.... `, r )� �� Z� 2 !s �`'. � ' ��� Ex ansion tank 12 51 m � , � x�, ,�3 .� .�a _ Fixture/sewer cap 25.02 Name:ADVL Land HoldingsLLC 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)694-4031ax ( ) Ice maker 12.51 F *gi„# ..,-.••",,--.' `:., 4 it s , A .; Interceptor/grease trap 25.02 Medical gas(value:S ) Page 2 Business name:William Lyon Homes,Inc12.51 Primer Contact name:Anglo Grajewsld 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 Tubishowerlshower pan 12.51 Urinal 25.02 E-mail:Angela.Grajewski@polygoahotnea-cam- 25.02 _ g .� Water closet 1. • ''r ,; 4 37.52 . .;. Water heater . Business name:Alliance Plumbing LLC Water piping/DWV 56.29 Address:146 W Historic Columbia River Hwy Other 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:Phone:(503)492-3490 Fax:(503)9124438 Minimum permit fee: $7250 : ` Plan.review (25%of permit fee) /(itiiiiv1",... CCB Lie.:184601 Plumbing Lic.no.:PB732 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE I ' Date:5/23)2016 This permit application expires if a permit is not ohhtired*ithiu 1811 days Print name:Robert Disitmaa after it has been accepted as complete- 'Fee Fee mdhabtogyset by Tri-County Building industry Service Board. 1:\BuildutePermrtali'MU-PemitAypdoe 10/01/09 440-4616T(IGFO2ICOMtWSB) City of Tigard II " COMMUNITY DEVELOPMENT DEPARTMENT T c A uD Building Permit Review — Residential 4, FR ..et,2-.3,,6,..,.,,71,,,;,,,,,..744::f SkKs,..&Su^_*V.x•F'5=srv' _,—;-':Assam d.lx,esJI..,,i, 4,A..-;..Y _4 4 a-....ftYAM.4,.3M a,: 6e, ,,,V0:3 t-4;p^y+3s.:v+:=„,..,s"+4':`.. Building Permit #: /t/-5-77.2-0/6:) - 040 Site Address: tae q(e a) -7?-i: Project Name: ever 7,raa, (A) iver f-- Lot #: igO (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 4., 3F,4 lie erify site address/suite# exists and active in permits tem. R ver Terrace Neighborhood: 111 No Yes,See River Terrace Review Addendum Attached Sit Ian Elements: fee(3)copies of site plan �' sting structures on site e plan must be on 8-1/2"x 11”or 11 x 17"paper ►Footprint of new structure(including decks)with finishedraven to scale(standard architect or engineer scale)rryf}bor elevations Orth arrow Utility locations(required for new,may apply for additions) to address,project or subdivision name and lot numberp t cation of wells/septic systems VAplicant information(name and phone number) .sting trees to be retained with drip line,and tree Vyot dimensions and building setback dimensions g[otection measures Lot area,building coverage area,percentage of coverage and 41A eet tree size,type and location )Anpervious 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) p1lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified jNo Received: CI Yes El No IQ] Public Faci1i ' s Improvement(PFI) Permit: /Required: rt Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake and Use Case#: AN e� � �� SL��CJfS�'_ C.:7)06 9, /2-/Q Required Setbacks: Front /Q._ Rear e Side Q Street Side Garage cgQ Landscape Requirement: 2C7 of Coverage Maximum: kidi Building Height: Maximum Height NM- Actual Height Si II.° isual Clearance VA Easements ensitive Lands: ❑ Yes No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit 9 Notes: ail / Y L h2)itS'A// Le %1 t. 'J poor- "71) `--€ANO ' 1' g'lkJf)c%e Approved By Planning: _.�' , Date: jc2AIThito_ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw REs o91216.docx Building Permit Submittal Original Submittal Date: 7,//4 Site Plans: # Building Plans: # J Building Permit#: g--Enter building permit#above. Workflow Routing: 0-Planning ffrl,ngineering ❑'Isermit Coordinator a ding Workflow Sign-off: Ig-"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: By Permit Technician: Date: /1.7 // Engineering Review �,/ Slope at building pad: t,, ❑ aA 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 Q No ❑ NOT Appro ed y Engineering: Date: Notes: Approved by Engineering: /dz. 27 Date: /y--/Zj 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: es 0 N/A C" Tigard Trans SDC: Yes ❑ N/A Parks SDC: frYes ❑ N/A OK to Issue Permit 7 2--/)'LS°/4"" Approved by Permit Coordinator: 4//0 Date: I:\Building\Forms\BldgPemiitRvw_RES_091216.docx 1 r City of Tigard III COMMUNITY DEVELOPMENT DEPARTMENT 1IGLD River Terrace Building Permit Review Addendum Building Permit #: A/S j,,2 076, ©0 -5-';2-0 Site Address: / Q% SO 4 €e •-7 , Project Name: file r -e� a cAg--714lutist- Lot #: MO (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist r' t Design Standards (18.660.0701): 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 dorm ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facin facade must include windows or entrance doors. Percentage Shown: Fin J j fee, % 3. trances:At least one entrance must meet both of the follo g standards: Max. 8 ft. setback from longest stree facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: ❑ Yes No If yes,all the following apply: ❑ 25 sq.ft.min. ❑ 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;he following elements on all street-facing facades: ❑fG'overed porch min. 5 ft.wide x 5 ft. deep . Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches F ormer min. 4 ft.wide F VJ Roof eave min. 12 inch projection/ *,? p .oof offset min. of 2 ft./G,jj�� � ❑ Roof shingles either tile or wood tF Gable,hip or gambrel roof design F+1 ❑ .oof pitch oriented south min. 500 sq. ft. . ❑ orizontal lap siding min. 3-7 inches wide T ccent siding min. 40%of street facade r L indow trim min. 2'/2"wide by 5/8"deep Fi/ Window recess min. 3 inches for all street facing p ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony mm. 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 !1d No. If No (Check one): M❑ ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ay extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ -foot-wide garage door 1:1 40%max. of street facade 50%max. of street façade with 7 detailed design elements Notes: Approved ByPlanning' --,—� Date: _____Zcg/diltt2.._ I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx Plumbing Permit ApplicatioI ECEIVED Site Utilities MAR FOR OFFICE USE ONLY City of Tigard MAR 1 5 2017 Received 3lf 0 Plan R / Permit NoA�sT/x//�,...4, 5"-Z„) 13125 SW Hall Blvd.,Tigard,OR 97223,1111 Plan Review o_` 774/ f ss Phone: 503.718.2439 Fax: 503.598.14/ai1TY OF TIGARD Other Permit No.: Inspection Line: 503.639.4175 BUILDING DIVISION Date Re �(-Jo-J7 qG(n TIGARD Date Ready/By / /�7 itk"- Juris ® See Page 2 for Internet. www.tigard-or.gov od 1/ l/ Supple Notified/Meth ,,, . ,13,,,e' z . •,• ,,,,: ', fi ;. r V:. FEIN+* S 11E E Supplemental Information ®New construction ❑Demolition For special information use checklist Description I Qty. I Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) OirgGoity,40 collsi of fi SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ElAccessory building ®Multi-family SFR(3)bath 500.32 0 Master builderEach additional bath/kitchen 25.02 0 Other Fire sprinkler(1,382 sq.ft.) Page 2 " 'JOB 'ESIRP#M I 1410119N- , ; Site utilities: Job site address:13296 SW Aubergine Terrace 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/bldg./apt.no.: I Project name:Northwest River Terrace 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: 1 Lot no.: 180 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 ,'. _.u.D)--"'-‘7""- IP t£1N `•'.' . ;, ' Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2016-00520 Drinking fountain 25.02 Ejectors/sump 25.02 0 O.` : "' OWNER y ' `?tfNiiiiT:ti Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ... s *® AL 1 N „ 1 ,, i C`ONTAPERsON ! Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 - Primer 12.51 Contact name:Robert Dishman Roof drain(commercial) 12.51 Address:146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 ' COITRAc R , Water closet 25.02 ,,,-. . ,„ ' Water heater 37.52 Business name:Alliance Plumbing,LLC Water piping/DWV 56.29 Address: 146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lic.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) � State surcharge(12%of permit fee) Authorized signature: - r---/ 4.... TOTAL PERMIT FEE Print name:Gavin Thomes Date:3/15/2017 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site tilt ' gee .. _ x'16e« r ei ", mt Footing drain-1"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to 000,. lisatI, f � IItia�tl< ; ,„ ', 4 , and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. <. Qua$ity by ixttire Type F e`` 1 "Pl alar hit P S, s Fixture Type.for Plan review is required for any of the following. Work Pei-forinedt. Calved_:, Add .Relocate,,..' Baptistry/Font Please check all that apply. ❑ Any new commercial building with water service 2"and Bath -Tub/Shower -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. ''"----e. -.a4,.. .e ,,C )r'D ri Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: if the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pqmit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13296 SW AUBERGINE TER, SHERWOOD, OR, August 30, 2017 at 9:29:55 97140 AM Record Type: Record ID: Residential - Master Permit MST2016-00520 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 55 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13296 SW AUBERGINE TER, SHERWOOD, OR, August 30, 2017 at 2:15:00 97140 PM Record Type: Record ID: Residential - Master Permit MST2016-00520 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Ac installed. All else ok. Violation Summary: Inspector Contractor