Permit (41) Y CITY OF TIGARD MASTER PERMIT
i COMMUNITY DEVELOPMENT Permit#: MST2016-00494
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017
Parcel: 2S106DB17800
Jurisdiction: Tigard
Site address: 13280 SW AUBERGINE TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 178
Project: River Terrace Northwest, Lot 178
Project Description: New SFA. Building/unit 6.4
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 36 Bathrooms: 2 Second: 562 sf Garage: 453 sf Front: 8 Smoke
Dwelling Units: 1 Third: 562 sf Right: 0
Detectors: Yes
Total: 1221 sf Value: $161,869.92 Rear: 5
PLUMBING
Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 2 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
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 3 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'l 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 1221
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: $22,693.73
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 95 -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: e e Permittee Signature: /,,I7 =4z ,e) e/" .
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
.. e.. FOR OFFI(L FSI,O\l.'
•
Received
City of Tigard Dec Ve //% /4, PermitNo, s, '/6 d0V 1
.114
II
ag 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review C)Pc `� CI 917Phone: 503.718.2439 Fax: 503.598.1960 �� /011; Date/By: ,
( AF
Inspection Line: 503.639.4175 Date Ready/By: **a_421• , Other PermitH Juris: See Page 2 for
G
Internet: www
.tigard or.govF 4 „ft Notified/Method: Supplemental Information
;:max �':�^ter �' � �. s � '��� �.�a � ,� �'? : � ���:.rak� `�'"` � d-.�c ;."•"�" � 6- "".�, "1'.,w^4`i s. � ��ae�r����.
2a •�`� .a`,'��8 ;., .a-p4 g � <: ��r � x�k �;:.:r �5 €`"a.•°'� $'�Ss't 8 .k� f�> ,�•�k��$� � 8 � :n�¢ f #�_>�?�
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
r3 �„g �,�, �"' `�' �' Ea 1�- work indicated on this aPP
he••• `t �� �r � � r�
❑ 1-and 2-family dwelling ❑Commercial/mdustrial "
❑Accessory building ®Multi-family Number of bedrooms: 7,
1:1Master builder ❑Other Number of bathrooms: '
f � *�a � i� �� Total number of floors:
G a � .�"�,•t� ,.'s, ,.. s. M�"
Job site address: 31 W1180 S t 1� e g'�' Te race.. New dwelling area: t��` _ •uare feet
City/State/ZIP:Tigard,OR 97224 V Garage/carport area: square feet
Suite/bldg./apt.no.: tp,4 I Project name:River Terrace Northwest Covered porch ar-.• >iz= O square feefS
Cross street/directions to job site: Deck area: square feet 1
•
er stru - area: square feet
Subdivision:River Terrace Northwest I Lot no.: /78 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
� F�,>: � „`� work indicated on this a,•lication.
Valuation: $
Existing building area: square feet
New building area: square feet
a 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
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
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Amount received:
Phone:(360)695-7700 I Fax::( )
E-mail:Angela.Grajewski@polygonhomes.com
� z > 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 Siecial 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
A Total fee due upon application: $201.60
Authorized signature: , i L'//�,, C� • This permit application expires if a permit is not obtained
i.,Jv Jap within 180 days after it has been accepted as complete.
Print name:Angela Grajewski Date: q i‘ -1 I *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Apply do t t 1 t)1t t,1 I I( 1 t �1-ON! 1 i
Received
City of Tigard "__„ > roraa*No.: //_s- /6—pl)`!%
13125 SW Hall Blvd.,Tigard,OR 97223
Plan i:• Phone: 503.718.2439 Fax: 303.398. Date/By:R w Other Permit:
Line 503.639.4175 IJ l T ?01 )
i E, Inspection Dare ReadyiBy; ruriz 83 SO Page 2 for
butane; www.tigard-or.gov •, _ NotifiediMethod: Supp!aeatai Information
,x L --> ' > V's„ms.::> ,� - _a, Y 9t{':iv y :z- ..•• o�..oy. tl t to
��(.ylfl�3FE£�;SC'IiED
Axl,'`,�S.F-,� ..��” � � x.� � ..e , s a a„
Ivlecltanical permit fees*are based on the value of the work
_ New construction 0 Addidonialtetation/r ptaccment performed.Indicate the value(rounded t6 the nearest dollar)of all
❑Demolition 0 Other mechanical materials,equipment,labor,Overhead,and profit
Valu
,k€i 4 y,,. - RY,F,E ONS ,0!,',..;,5',;"1. , - , -.... , A AAgElt 1 truog
❑I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special formation rise drec$tfsr,
®Multi-family 0 Master builder 0 Other: Description
Oty. I Ea. I Total
gi M7 Tm **: ::: Q1rlti ,i, Heaiimgrcotdirtg i
Ai
conditioning 1 46.75
Job site address /3 SW IV`11r t 4v 1Ae 1 T^ (WILP Furnace 100,000 SW(ducts(ducts/vans) 46.75
City/State/ZIP:Tigard,OR 97224 1 Furnace 100,000+BTU(duets/vents) 1 54,91
Real
A
Suite/bldg./am.no.:( Project name: !/ ' . r A t _, I�f11 A . in Duct wirkI. 23.32
Cross street/directions to job site: Hydton c hot water system i 23.32
Residential boiler(radiator or
W
hydronic) i 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. , 46,75
Flue/vent for any of above 23.32
Subdivisio: Jtr it rvt �C NO r ti WeA Lot no.:17 g 23.32
Orherfad app[iaaees: 3
Tax map/parcel no.: Water heater
.32
-= ,`V ` , iw bFSC 7P77,7b14:ki'Wo - Gas fireplateiinsert . 33.39
Flue vent for water heater or eats
new home construction fireplace 23.32
Log lighter(gas) 1 2332
Wood/pellet stove 1 33.39
Wood firepla nsert a 23.32
Clmmepllincalucivent 1 23.32
'1 .4 %a .d,4€r ` "; t'° * Tr- g : 7.4:%5. ,,, ?'..„,c _;.. '' Eiler 1 23.32
N"""` Environmental exhaust and ventilation:
Nam=ADVT..Land Holdings,LLC, Range hood/other kitchen
Address:7600 E Doubletree Ranch Read equip 33.39
. Clothes dryer exhaust i 33.39
City/State/Zip:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms,
toilet compartments,utilits<rooms) 23.32
Phone:(602)04-4031 Fax:( ) Attic/crawispace fans f 23.32
' ; Other
,.'aa »� ,. � , ..,,,�i,6i �� � /�� ���. 2332
Business name:William Lyon Homed,Inc.
Fuel piping: t
514.15 for first hour;S4.03 for ash additional
Contact name:Angela Grajewski Furnace etc,
Address:109 East 13th Street Gas heat pump
Wall/suspended/unit heater ,
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693.4442 Firephice
Email:Angela.Grajewski@'polygoahomes.coin Range
Barbecue'.
r::.r to'e'. s. ..s VIr >.3 1 ',..!;aviitir'.20 aorlles drvcr gas) i
Business name:Andersen Mechanical,Inc.
.. ...._ "u4+`P, z... max,.&.� M1�kyk `..` ux.
EN-
Address:16285 SW 85°Ave ... iY,,, ,.KSubtotal
City/State/ZIP:Tigard,OR 97224 Minimum permit feekS90.00)
Plan review(25%of ptmit fee)
Phone:(503)992-6664 I Fax:(503)536-6615 State surcharge(12%of pen,it fee)
CCB lic.:168214 TOTAL PERMIT FEE
This permit application expires if a permit 8 not obtained within ISO
days after it has beta accepted complete.
AUS signature: * Fee methodology set by Tri-County Builth 'Industry Service Beard
Print name:Angela Gra jewski. Date:8122/16 i
i.. Jreod'eApp_04a113405 3
. ,
•
Electrical Permit Application ' ,()111( 0,1 \
City of Tigard 0- I 1 1 7rir ..,„,.,,,,,..„„,allill1111Mlf!!111/MIIMZ211111
13125 SW Hall Blvd.,Tigard,OR 97221
Phone: 501718.2419 Fax: 503.598.1960 . ..1=12111111111111111111MIRMIEZ=1/1111Mr=
Inspection Line: 503,639,4175 ',._ '. 1: : " ' , `'.,:':!%Ready Dated3r twig
Internet www.tigard-or,gov FAEFIfEESI
i New construction El Addition/alteration/replacement i;kaWchedc-441-111at apply(atibmit sets, plan whiten;Checked)
°Service or feeder 400 amps or more 0 Building over dam atones
0 Demolition El Other where the available finilt current 0 Menne mid boolyerds
, ' ' ' ' 'I';:, .:'--,.::;,;,..:'''''' ,..7:17-•T 7: '...''.,:7.,''.1',z:, ; ',,I, ..4..d.10,000 amps a 150.415. a Flouting buildiuP'
..,:, I-and 2-fiunily dwelling 0 CommerciaVindustrial 0 Accessory building lew to mend,or exceeds 14,000 0 Commerciid-ase agricalnual
amps for an other installations buildings.
Multi-family 0 Master builder 0 Other: 0 Fire pump 0 instillation of 150 KVA or
0 Emergency system huger separately derived
system
Job 8: ,
t..1 •
Job site address:it. iroft vv it. 0, i .1 ' - 10011P or more 0"A",-E"."1-2","1-3",
i 0 Six or more residential units. occupancy.
City/State/ZIP:Tigard,OR 97224 0 Health-carfacil13 Recreatimud vehicle parks.
e ities.
Suite/bldg./apt.0: (.1, Project name: ,/ V4 4 e - (A/ 0 Hazardous locations 0 Supply voltage for more than
0 Service or feeder 603 amps or more. 60°volti"Ili"-
Cross street/directions to job site: -7.-•. -7::-.7._:,:i.°:.. ....' 7-::-.` '----7-7. 2...
DescriPtice Om. Lads Tad •
New residential single-or multi-family dwelling unit.
Subdivision fi , , - A ,et 1\1W Lot/I: j. Includes attached garage.
Tax map/parcel#: 1,000 sq,ft or less ( 168.54 4
' - ° '-' °--- ° . :-:.-:—..;,..','" 7...., .:1'7.-7‘.:'• -.:.-1:, , . - : :' - - '':''... Ea.addi 500 sq.ft.or portion 1 33.92 1
Limited energy,residaitial
75.00 2
(with above set.IL)
Limited energy,multi-family 75.00 2
Name: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
Phone:(602)694-4031 Fax: I 201 amps to 400 amps 133.56 2
(
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 30L04 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:
° - -.---- --, -- , , -,-,-‘-----, -,---..----,-:,—.. . ,...„.-.....v.,,..r..„."1-...,..-,w..,,,,,,„ Temporary services or feeders installation,alteration,and/or
....` ..........-.....,....,;:....?.i ...=..,c.:-..-i.,;.--::-,:;;;.1,,°,1vv.;n.V,Li....E.1411iW.-.1;,.Z,.'g..:112,'.., ==.4.1, relocation
Business name:William Lyon Homes,Inc. 200 amps or less 59.36 I
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,per panel
Phone:(360)695-7700 Fax::(360)693-4442 A.Fee for branch circuits with
above service or feeder fee,
742 2
Email:Angela.Grajewski@polygonhomes.com each branch circuit
, , . , ,
56.18 2
Business name:alamedielectric branch circuit
Address:3415 ne 44th Each addl branch circuit 7.42 2
Miscellaneous(service or feeder not Included)
City/State/ZIP:saw R, J„ ifia 07 .7-/ Each manufactured or modular
61184 2
dwelling,service anther feeder
Phone:(503)3192192 Fax:( ) Reconnect only 67.84 2,
Email:solarpdx@me.com
Pump or irrigation circle 67.84 " 2
CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: yr7/..5 - ,
Sign or outline lighting 6714 , 2
Stqxv.Electrician signature.required: siva circuit(s)or limited-enagy in &"__.._ 2
Print name: ki k ,oe,.,<„ Date': ziAll panel,alteration,or extension. "' Page
Each additional inspection over allowable in any of the above.
iAdditional inspection(1 hr min)
Authorized s:,....,p .
i I Print name: ---‘------- ' DateicjZ3/7-1 Investigation(1 hr min) 90 00/iv
11wilantwensuntn.C.„ _aut ERS.Ox Res 06117130IS 440-4161511111051CONVWE3 .. .
lication�4
Plumbing Permit App Building Fixtures Fixtures i()R t,i I H i 1 ,l t).1 1
g ) Received /7Si 1/�''�'P�/
II
l��.l � � ,_741 �itNo.:
City of Tigard DareBy:
13125 SW Hall Blvd.,Tigard,OR 97223 Place Renew 97.
Other Permit No.:
Phone: 503.718:2439 Fax: 503 598.1 ruin it Page 2 for
Inspection Line: 503.639 4175 L1arc Ready:By Supplemental fatermatioo
Internet: www tigard or gov f S a , # .otsft+Mthod
c *n '',_ ''14#414''' ''''' ''''''''te � 1 kkI 8il ...- f ti
,.w_.. For , oaf in ormatiaa diSe clrec+fffst
C. New construction 0 Demolition DescriptionQty. Ea Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 R for each utility connection)
SFR(1)bath 312.70
- r- 1£ of oP. .>ae w k:4-1„ .,. ,3 w
.�,., .,.....�� �y.w, 9e�� ,. SFR{2)bath 437.78
ommercial/industrial SFR(3)bath
_ 1-and 2-family dwelling ❑ 500.32
Multi-family25.02
❑Accessory building Each additional bath/kitchen
❑Master builder 0 Other Fire sprinkler(____sq.ft.) Page 2
- Site otilities:
t� 1. � ' s t . l' 18.76
��... ,.`' ��: p,�� •._ z Ay��,,��.. � y,, � `' r� Catch basin or arca drain
Job site address: /32� S\N1 p)1M I t,yr. 1 GIfaC� prywelt,leach line or trench drain 18.76
City/State/LiP:Tigard,OR 97224 V Footing drain(no.linear It:_) Page 2
Suitelbidgiapt no.:L."� ) Project name- V�/ � Manufactured home utilities 50.03
18.76
Cross street/directions to job site: Manholes
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:,__) Page 2
Storm sewer(no.linear it:_ ,) Page 2
Water service(no.linear ft.:____) Page 2
Subdivision: kie /e-vvai e Lot no.: r Assure or item:
Backflow preventer IMI 3127
Tax map/parcel no.: Backwater valve 12.51
e, - • '
' - . , - , t . Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
a . < ,,,,r,; ' 1, - '. Expansion tank
12.51
`s et_'..--:::-.:,.„,-4,t , 4:�, ; ,, ""° Fixture/sewer cap 25.02
Name:ADVL Land Holdings,LLC 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 1
1 Fax:( )
Phone:(682)694-403. Ice maker 12.51 25.02
e ase trap
.>a c r Interceptor/grease
.. • - . a,'' ,v gas(value:$ ) Page 2
Medical
Business name:William Lyon Homes,Inc Primer 12.51
Contact name:Angela Grajew+ski Roof drain(commercial) 12.51
Address:109 East 13th Street S trk/basinnavaury 25.02
Solar units(potable water) 62.54
CitylStatetLiP:Vancouver,WA 98660 12.51
1 Fax :(360)693-4442 Tub/shower/shower pan
Phone:(360)695-7700 Urinal 25.02
E-mail:Angela.Grsjewski@Po1Y8oahomess-mn Water closet 25.02
: .mss ; _ 37.52
. . Water heater
Business name:Alliance Plumbing LLC Waterpipirag/DWV 56.29
25.02
Address:146 W Historic Columbia River Hwy Other:
Subtotal
City/State/ZIP:Troutdale,OR 97060'
Minimum permit fee: $72.50
Phone:(503)492-3490 Fax:(503)912-64438 Plan review (25%of permit fee)
Plumbing Lic.rlo::PB732`
CCB Lie f 84601 State surcharge(i 2°10 of pe rmit fee)
Il
Authorized signature: TOTAL PERMIT FEE
1 nit perish application expires If a permit is sot obtained within i80 days
Print name:Robed Disburse { Date:5/23/2016 after it tats been accepted as complete
*Fee methodology set,by Tri-County Building Industry Service Board.
I:1Bw'Iding malt PLMU'Pe Appdoe 10/01/09 440-46t6T(10/02FC0MlwEa)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
11111
T1cARD Building Permit Review — Residential
�' ka 9.t:Via; e3+lb,wq as �.,,.._ .,._.� ,.$ms:o':tiaLk,'m..a✓aa r�. vz�.as�r��.tvcr'Yci$",,.`w,�y t1 c y, -
Building Permit #: /7-S- /6 Ge j9,
Site Address: 13 ;1/4$0 S tA.1 A(A-Se + ,�� �-�r,."__
Project Name: 1 v Le" Te r,, e- Lot #: (`7 8
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: N e,J SF .
Verify site address/suite#exists and active in permit system.
gr River Terrace Neighborhood: El No f rYes,See River Terrace Review Addendum Attached
Site Plan Elements:
reThree(3)copies of site plan fdExisting structures on site
Site plan must be on 8-1/2"x 11"or 11 x 17"paper [ Footprint of new structure(including decks)with finished
kbrawn to scale(standard architect or engineer scale) floor elevations
[ North arrow ®Utility locations(required for new,may apply for additions)
ESite address,project or subdivision name and lot number gfr,ocation of wells/septic systems
Applicant information(name and phone number) Existing trees to be retained with drip line,and tree
1 of dimensions and building setback dimensions protection measures
gLot area,building coverage area,percentage of coverage and LStreet tree size,n'P a 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)
kr Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified k No Received: ❑ Yes ❑ No
iRT Public Facilities Improvement(PFI) Permit:
Required: 'Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake
Al Land Use Case#: ?Dick .2 0 L S - 060 u5/ S u-i3 oZ 0 t5—Op o o g
Zoning. 5 Pp
Ni Required Setbacks: Front g Rear 5 Side p Street Side Garage a 0
, I Landscape Requirement: opo % _ u r,4-1.-4,�
Lot Coverage Maximum: % _ a 4`,,`‘,A
Building Height: Maximum Height l 'f Actual Height
Visual Clearance
7 Easements
X Sensitive Lands: ❑ Yes [(No Type
Cg Urban Forestry Plan
()Conditions "Met"prior to issuance of building permit
`otes: 6 Pi ct.nft r/t aI U Yl C(i J,-1 4 3 7 11441A1 4- be ret e f ,-i r e-
-(-b ComtjYN e f- I .Sc,J ckei el
Approved By Planning: C4%1L Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
Be
Building Permit Submittal
Original Submittal Date: /0///p.,
Site Plans: #
Building Plans: # C�
Building Permit#: "Enter building permit#above.
Workflow Routing: [Planning '2 Engineering C7 Permit Coordinator uilding
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: ['Engineering: (1) copy of permit application,:(1) site plan, (1) building plan and
original plan review routing form.
E B/ uilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 4 04. Date: ///1'��i6
Engineering Review Z
J;;]•-'Slope at building pad:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
,0` Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes D'No
Assess Water Quantity Fee in-lieu: 0 Yes 'Er No
LIDA Facility on lot: 0 Yes 'B -No
O NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 4 ikiE, Date: // g
Revisions (after Building Submittal only) Reviewer ate
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
O Conditions "Met"prior to issuance of building permit
Ph'Approved,NOT Released: /61/7Date: tt/ t//4
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:
[F6DC Fees Entered: Wash Co Trans Dev Tax: I' es 0 N/A
Tigard Trans SDC: ►f- es ❑ N/A
Parks SDC: Yes 0 N/A
( OK to Issue Permit
Approved by Permit Coordinator: Mr-Date: /1 A 6i7-°f4
I:\Building\Forms\BldgPemvtRvw_RES_091216.docx
City of Tigard
"71 1 COMMUNITY DEVELOPMENT DEPARTMENT
T l c A RD River Terrace Building Permit Review Addendum
Building Permit #: ri.S j /6 - pO Y9y/
Site Address: 1 3a 80 s(n.) r-: (vie, T rr�c.c._
Project Name: Rive/- Te tra Nur--1.i eJ .- Lot #: 1-1 $
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.660.070..1.):
Is the project subject to the plan district design standards? ❑ Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a
kr �� ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
r EX ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 17 */o / i i °Cti
3. Entrances:At least one entrance must meet both of the following standards:
At Parallel to street,angle no more than 45° from street,
0,Max. 8 ft. setback from longest street- facing wall
or open onto porch
Entrance opens to a porch: A Yes ❑ No
If yes,all the following apply: Jgi 25 sq.ft. min.
.Nt- street facing entry NI 12 ft.max.roof above floor of porch
N-5 ft. depth min. 1:4 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
IN-Roof eave min. 12 inch projection ilr Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood LR"Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. I$Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street façade ❑ 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. 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)
,iV-.12-foot-wide garage door ❑ 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: U,f,uDate: i i -q -((o
I:\Building\Forms\BldgpermitRvw_RES_RT_o62216.docx
Plumbing Permit Application
Site Utilities RECEIVED FOR OFFICE USE ONLI
City of Tigard Received
REAR 15 2017 Date/By: ,kffPermit No.
III ill 13125 SW Hall Blvd.,Tigard,OR 972 �� �7 /�t ri�l�C GUU�y
Phone: 503.7182439 Fax: 503.598.1960 Plan Review
Date/By. '1�I D--/7 A 447 Other Permit No.:
Inspection Line: 503.639.4175 Date Read/B
TIGARD CITY OF TIGARD y.
Internet: www.tigard-or.gov y p
_ uric See Page 2 for
BUI�,DING DIVISION Nohfied Method �(' �) Supplemental Information
., , '--,',04" TYP :W ' ,. , ;d :s r IV*,,
SCHEII`1TJ4.
®New construction ❑Demolition For special information use checklist
Description Qty. Ea. Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 tl.for each utility connection)
� f cU TiliJCc, N W.= ,. SFR(1)bath
312.70
fuA'1"f� �.
❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building ®Multi-family SFR(3)bath 500.32
0 Master builderEach additional bath/kitchen 25.02
0 Other
Fire sprinkler(1,221 sq.ft.) Page 2
4,OB' 1 atiO#1V TJON AN ''..1,,,,,,,, Site utilities:
Job site address:13280 SW Aubergine Terrace Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
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: I Lot no.:178 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
} + Backwater valve
• ,. !.�. �, b )Fl�fi� `�`�.... 12.51
'_: . .. - Clothes washer 25.02
Multipurpose Fire Sprinkler System
Dishwasher 25.02
Permit#MST2016-00494 Drinking fountain 25.02
Ejectors/sump 25.02
PRiiPE T
�. 0044B MN/0i* 41' Expansion tank 12.51
Name:Polygon Northwest Fixture/sewer cap 25.02
Address:
Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP: Hose bib
25.02
Phone:( ) Fax:( ) Ice maker 12.51
,,,C41 4.*ANT. ; :' k CI vpiTActmEI li Interceptor/grease trap 25.02
Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2
Contact name:Robert Dishman Primer 12.51
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
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)
Authorized signature: �1 State surcharge(12%of permit fee)
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.doe 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:
1f50.03f
rttlitre ,,, a r .
Footing drain-1"100' 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
Qther peC n o 041 Ttiox1, 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
each additional$100.00 or fraction thereof.
(minimum charge-1/2 hour)
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*.
Quantity:by Fixture Type o l`� >l IIIc a is .
Fixture Type for Reptatei Plan review is required for any of the following.
Work Performed; _?rapped: Re to
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 ❑ 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.
7:Ift
Car Wash Drain
Garbage Domestic-non-food ❑ Isometric or riser diagram is required for new buildings
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 Pgrnit.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13280 SW AUBERGINE TER, SHERWOOD, OR, August 30, 2017 at 9:19:07
97140 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00494
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:
13280 SW AUBERGINE TER, SHERWOOD, OR, September 6, 2017 at
97140 11 :10:16 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00494
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
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