Permit (36) CITY OF TIGARD MASTER PERMIT
= COMMUNITY DEVELOPMENT 11
Permit#: MST2016-00492
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017
Parcel: 2S106DBI7600
Jurisdiction: Tigard
Site address: 13262 SW AUBERGINE TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 176
Project: River Terrace Northwest, Lot 176
Project Description: New SFA. Building/unit 6.2
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 Yes
Dwelling Units: 1 Third: 562 sf Right: 0 Detectors:
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
0
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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 TVDes 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'I 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:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY FORSUM,MICHAEL 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660
STE 1
SCOTTSDALE,AZ 85258
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 Act 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: 77-1-71-<._.„ Permittee Signature: ,"f1 /'L /et e-77e7
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.
wt 1
Building Permit Application C— I
d k d w�
�� ,r FOR OFFICL I SE 0\1.1
City of Tigard ltec:rd /4 off/6-et/97.2-
'h
`, g DateBy /� � Permit N ..
� 13125 SW Hall Blvd.,Tigard,OR 97223 Q C T 1 1 7 016
e Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 De/gy J.a 8- -� Other Perm /E ,? �(c'LAG/C?
R,n R D Inspection Line: 503.639.4175a /. 2 9 t' Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov "``' Notified/Method: Supplemental Information
i'4� � Y,�`k+�.� ? �� �' �.G� 5. .�A £
e. 'ta'y 3 w+ 4
,����. . ;x�w�;� r��s���. �'���tt �, �"�. "�y��� '�T" r mow
®New construction 0 Demolition Permit fees*are based on the value of the work performed.
0 Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
` ; F ', work indicated on this application.
❑ 1-and 2-family dwelling 0 Commercial/mdustrial Valuation: 0 SrialLajoili
❑Accessory building ®Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
xf �� ansa j t � ra Total number of floors:
..,; ' lati......r.� ., ,.c.,, .,..,..e,r u.Zg .,.....Ere.^a�.e •
Job site address: STeiNew dwelling area: • isquare feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 57D square feet
Suite/bldg./apt.no.:l.P 2 I Project name:River Terrace Northwest Covered porch are.._ , ,.quare feet -6
Cross street/directions to job site: Deck area: square feet 9 7
NI;structure area: square feet
Subdivision:River Terrace Northwest I Lot no.: /) 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
Hca work indicatgd on this .. lication.
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
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 Fax::( ) Amount received:
E-mail:Angela.Grajewski@polygonhomes.com Pe _
-• -� s Commercial and residential prescriptive installation of
� � ., roof-top mounted PhotoVoltaic 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 S.ecial 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
16/
Total fee due upon application: $201.60
Authorized signature: tVitidt This permit application expires if a permit is not obtained���„JJJ���I within 180 days after it has been accepted as complete.
Print name:Angela Grajewski I Date: 9l3-0 fi ' e oard.
Fee ServicmethodologyBset by Tri-County Building Industry
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Applica� , _ p ). lr)lt Oi fit iI orI_Ovi.l
City of Tigard ed
r Pmmut 1:a 5 'CO/ -
13125 S W Hall Blvd.,Tigard,OR 97223 ,, ,-r r`
Phone:503.7182439 Fax: 503.598.19 1 �' '1 C' PlanReview Other Permit.
Inspection Line: 503.639.4175 t#_,. Date ReadyiSy: Jw;x 63 See Page 2 for
Internet wsvw.tigard,or.gov . r ?VoefiedtMethod: Suppltme■mi Information
®Neto construction Mechanical permit Das;are baud on tle value of the work
0 Addition/alteration/replacement performed.Indicate the value(rounded tit the nearest dollar)of all
❑Demolition 0 Other mechanical materials,equipment,tabor, verhead,and profit.
Il tue:1tak'T AY�F� t l t jgOro► I
❑I-and 2-family dwelling 0 Commercial/industtial 0 Accessory building For spedat brforrnw)on rest checklist.
®Multi-family 0 Master builder 0 Other: Description t tv. Ea. Total
1 $`llti 0.I;f t11:10,r 4,,I.fGA'I3 ; Heatingtetwling: 1
�, . .. �.. _ �._ ., •s,..,,
Job site address:: ) Art costd'stiortittlt 1 46;75
1'7(/L SW NAii i'�Tma c� Furnace 100,000 BTU(dueaav�eets) 46.75
City/State/ZIP:Tigard,OR 97224 J Furnace 100,0004 BTU(aceta/ ems) t 54.91
iapt no.:: Project name: Heat pump 61.06
Suite/bldg./apt.
�Z1��y�QrvQ��e txcrj Ductwork _ 2132
Cross seta/directions to job site: Hydronic hot water system 1 2332
Residential boiler(radiator or ;
hydronic) ; 23.32
Unit heaters(fuel-type,not electric.)
in-wall,in-duct,suspended,etc. ; , 46.75
FluetVent for any of above i ' 23.32
Subdivisi«r:rE i=/ Te apes Nortilwegt- L.ot ria: /.7(0 Odor: 23.32
Other fuel applianeea:
Taxol l no.: Water beater E 23.32
iti7E IP'I'ION J WORT f I�' ,' Cas fireplotxiinserc r 3339
Flue vent for water heater oris
new home construction fireplace t 2332
Log lighter(gas) _. 2332
Wood/pellet stove 1 3339
Wood fiteplace/insert 1 23.32
Chimney/liner/flue/vent 1 23.32
! �` °`T ? t ;' 23.32
.. , . VP 7ti ilia
` "- ' "`` Enviromtnemtai exhaust and vcn limits
Name:ADVL Land Holdings,LLC Range hood/other kitchen
equipment _J 33.39
Address:7600 E Doubletree Ranch Road • Clothes dryer exhaust 3339
City/State/ZIP:Scottsdale,A/85258 Single-duct exhaust(bathrooms, Li
toilet compartments,utility rooms) _ 2332
Phone:(602)694-4031 Fax ( ) Attic/crawlspace fans - 2332
„w ig73... ..-.. i..aCONIAAC P (——*lei r ¢tiler: f. 23.32
Business name:William Lyon Homes,inc Fuel piping:
51.4.15 for first four,$4.03 for ench additional
Contact name:Angela GrajewSkl Furnace,etc.
Address 109 East 13th Street Gas hetet pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater `
Phone:(360)695-.7700 I Fax::(360)693-4442 Fireplace
Range
E-mail:Angela.GrajewskiCpolygonhomt s.cont ,
Barbecue'
. ,. 1 .., m�. .A..,. .Icrat741.41Clothes dryer(gm) l
Business name:Andersen Mechanical,Inc Other t
'tr.
Address:.16285 SW$5u Ave Subtotal
City/Stated/IP.:lipid,OR 97224 Minimum permit fen 590.00)
Plan review Phone:(503)'992-6664 I Fax:(503)536-6615 Stats surcharge(12%of 5%of h fee)
yepermet fee)
CCH lie.:168214 TOTAL PERL!4 T FEE
This permit application expires if a permit Is not obtained within tat
days after it bss bees accepted s complete.
Authorized signature2 * Fee methodology set by Tri-County Building Industry Service Board
Print name:Angela Grajewaki Date:8/22/16 i
t i _ernitAppfi46t13.doa 440463?r{O1JoicOWWxat
,n,
•
E'lectrica1 Permit Apphcatl ' s ' i nail t,i 1 It I I .1 (ivI.1
City of Tigard M111111111111111111 Pcnud iriS7e2-v/6 -00 y9?-.
13F3)2S SW50Hall
7 l Blvd..
Tigard,
3 9723 1 1 1 _?_f17h
-
Inspection Line: 503,639,4175 z . ; � '' ' *; >�r
Internet www.tiprd-or.gov 4 �' � t 1i e thdethod: Ei2!
.fir
ta New construction 0 Acbiditiantai ret,..,..
Plwe odreu4d d1 tlnae apply(submit 2 tea plans Where; )-
0 Service or feeder 400 amps or more Q ti
Building ova me stories
Q Demolition ❑Other
where the available fault muscat 0 Manes tad boatyards.
• ..
, ,... T � .��J� 7. . '-.. exceeds IO,D00 asa ps 150 oohs or ❑Fk+atimg bolldiage.
•and 2-family dwelling 0 Commerciallindustrial 0 Accessory building less to mound,or exceeds 14,000 °Commercial-use assiculrmat
amps for all ether installations, buildings
►'. Multi-family 0 Master builder 0 Other. ❑Fite pmop. 0lnaauadao of 150 KVA or
J.:- .. , - � � � *" ' � ::i- : ax ..a:,:_., DEmageeCy�tem_ larger separately derived
.
: / • 0 Addition of new motor load of 'yea'
Job : Job site •
1. 5 /t. h. i a 100HP or more, 0"A-,"E".-I-r,n-3",
City/StaterLIP:Tigard,OR 97224
I 0 Six or more residential nines, occupancy.
iiealthcm facilities. 0 Recreational vehicle parka.
SuitclbldgJapt 4 /t Project name: 1V / e Y v fr / ❑Haardous locations. 13 Snppiy voltage for more than
IDService or feeder 600 amps or more, 600 vola naaieel
Cross street/directions to job site: 7 ' ,.
neaeripdaa Qty. rae4 Taal
New residential single-or multi-family dwelling omit.
Subdivision ,Li '4 ' ' i CC N Ig Lot 1: L / Includes attached garage.
Tax map/parcel#; 1,000 sq.ft.or less ( 16$.54 4
„ ,, .. . l a add'i 500 sq.ft or pardon ( 33.92 I
Limited energy,residential 75:00 2
(with above sq.IL)
Limited energy,multi-family 75.00 2
-` residemial(with above sq.R)
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 wraps or less 100.70 2
City/State/ZIP:Scottsdale,AZ 85258
201 amps to 400 amps 133.56 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:
Temporary services or feeders installation,alteration,and/or
7/,...;17.,:::,1::::,,i1- /4, X2 '&L 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 snips 16$,54 2
City/State/ZIP:Vancouver,WA 98660 Breach circuits-new,alteration,or extension,per panel
Phone:(360)695-7700 Fax::(360)6934442 A.Fee for branch circuits With
above service or feeder fee. 7.42 2
Email:Angela.Grajewski)polygonhomes.com each branch circuit
a B.Fre fa breach circuits withrra
_,. €_!,aa .. '__ .. , M ., t,., _4.: service or feeder fee,First •
Business name:ahtmeda electric branch circuit 56.28 2
Address:3415 ne 44th Each add'(branch circuit 7.42 2
Miscellaneous(service or feeder mot included)
City/State/ZIP:DINS e'2 J, ,12. 447 .2—/ Each manufactured or module 67.84 2
dwelling,service
Phone:(503)3192192 Faserviceeuul'or feeder
Reconnect only 67.84 2
Email:solatpdx@me.com -
Pump or irrigation citric 67.84 .2
CCB Lido.: 199188 Electrical Lie.: c923 Suprv.Lie.: y(7/S sign xoutline lighting 67.$4 2
Suprv.Electrician signature,required:
panel,alteration,
exited-energy
Print name: k,k p� Date: z panel.alteration ru extension. ❑See 1Page 2 7V ,p
Each additional inspection over allowable in any of the aboves
Authorized iii / Additional inspection(1 hr min) 66.25:hr
I Print name: i'--""—` ', Date s- I�j Investigation(I hr min)
90 00/hr
ttlaW4Sat;Yaerialla.C- EtA„PAEdre m.r06li7;20t3 MO-4613T1.1rID5tOI.taWEmi
Plumbing Permit Application -i 4
` ws, }til: ilk 11( i I •••1 (0,i !
Building Fixtures /ySii��d� �
Recerixd Permit Na
City of Tigard
'�it 1 t>Aceiw
13125 SW Hall Blvd.,Tigard,OR 97223 kj(, ! maimeview Oche Permit No.:
Phone: 503.718 2439 Fax: 503.598.1960 r k DetetB},- r,,,� it Page 2 for
Inspection Lite: 503.639.41754,,,,, ',;- 't Hate Ready:By, Supplemental information
Internet:Igi
www.tigard-or.gov Nota },,- ``y
T:"; C+„
�„ x�i S qui 1`w��
a.." yg $�.. �Y $. •,mFor spedalatjormatton usc'ckecltltst
New cotistntction 0 Demolition Descriptio I Qty. I Ea. i Total
0 Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 R for each utility connection)
SFR(1)bath 312.70
fir-r. i�'"%i -s ..€ i f SFR(2)bath
437.78
I-and 2-familymercialtindustr
dwelling, 0 ial SFR(3)bath 1 500.32
C]Accessory building Multi-family25.02
Each additional batlilkitchen
C3 Master builder ❑Other Fire sprinkler(_sq.ft.)
Page 2
1' *' �`, Site utilities:
� Catch basin or arca drain 18.76
Job site address: /31/31/./2,� SV1/4) r)o VYglA terfut, Dryweli tech line or trench drain 18.76
V
City75tatetZ1P:Tigard,OR 97224 '•' Footing drain(no.linear ft.:__.) Page 2
1 ,i•2_ I Project name:' V.e''T?j/Ya&J!)V. Manufactured home utilities 50.03
5uiielbldgJapt.no.:V�• r "
Cross street/directions to job site: Manholes 18.76
o 18.76
Rain drain connector
Sanitary sewer(no.linear ft.:•__) Page 2
Storm sewer(no.linear ft.: 1 j Page 2
1
'�7� Water service(no.linear IL:^) Page 2
Subdivision:Aviv 1 yyaJ l of no. ! /L fixture or item:
Backflow preventer 31.27
Tax map/parcel no.: Backwater valve 12.51
,_ s '.-' t:•�. „.. A Clothes washer 25.02_
Dishwasher 25.02
Drinking fountain
25.02
Ejectors/sump 25.02
Expansion tank 12.51
; -r,-'
*-..,&,1,
,.-.. �. ... Fixture/sewer cap 25.02
Name:ADVL.-Land Holdings,LLC Floor drain/floor sink/hub 25.02
Address:7600 E Don bletree Ranch Road Garbage disposal 25.02
Hose,bib
City/State/ZIP:Scottsdale,AZ 85258 2
?5.15.001 '
Phone (dfl2J694-403.1 FaxIce maker
( ) 25.02
T Interceptor/greasetrap
i
: .,,. , Medical gas(value:S ) Page 2
51
Business name:William Lyon Homes,- Inc Primer 12.
Contact name:Angela Crajevvski12.51
Roof drain(commercial)
Address:109 East 13th Street. Sink/basin/lavatory 25.02 ,
Solar units(potable water) 62.54
CitylStatePZiP:Vancouver,WA 98660 - � 12.51
Fax::(360)693-4442 Tub/shower/shower pan
Phone:(360)695-7700 Urinal 25.02
I n
E-mail:Aagela.Grajewsk�Po Yftohomea.com 25.02 Wats closd
„i7"0"r, g
r _ ., Wawheater
31:52
BusinessAlliance Plumbing LLC 56.29
Water paping/DWV
Other' 25.02
Address:146 W Historic Columbia River Hwy Subtotal.02
City/State/ZIP:Troutdale,OR 97060' - Minimum permit foe: 572.50
Phone:(503)442-3490 Fax:(503)9126438 Plan review (25%of permit fee) `
CCB Lie:18+1601 Plumbing Lie:no.:P13732 State surcharge(12°!u of permit fee)
- TOTAL PERMIT FEE
Authorized signature:
-This permit tpplicatian expires if a permit is�t obtained within 180 days
Print name;Robert Dishman I •
Date:5/23/2016 after it has been accepted as complete.
*Fee methodology set by Tri-County Building industry Service Board.
I18wlditigSPsxmiteV'LMU-t°amitAppdoc I0I0II09
44O.4616'r(10/021COM1 WE8)
d
IIICity of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
e
rlc RD Building Permit Review — Residential
rG
fe,4..aRi l.�a. -.sw,.err Y:.t*i Wiz_ v,1„.x'1'nY:.a0<—lk.,.:"dgi.it �1 '�2 ,]v A,is.44.aN7P.._i-..-s .1.,bair f., ,..z i; YAEytt..r:.;.�t"Yv..13C.d.=aa.'4444.A: `*L.4➢'43".e#?c.•kL,.t.-
Building Permit #: 75r, / , ---00 c 9
Site Address: 13 A(vA S t ALLA,e.rc)a n
Project Name: •t v t,.' Te re.-0.4_e. NI Uv-- ,J e:.,s+ Lot #: 1710
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: N e c,,,) SF M-0,d4Z.3
Verify site address/suite#exists and active in permit system.
,1 River Terrace Neighborhood: ❑ No f r'Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
ZThree(3)copies of site plan Existing structures on site
Site plan must be on 8-1/2"x 11"or 11 x 17"paper D'Footprint of new structure(including decks)with finished
lDrawn to scale(standard architect or engineer scale) floor elevations
t,*North arrow NIUtility locations(required for new,may apply for additions)
[Site address,project or subdivision name and lot number Location of wells/septic systems
Applicant information(name and phone number) Existing trees to be retained with drip line,and tree
of dimensions and building setback dimensions protection measures
ArLot area,building coverage area,percentage of coverage and ! Street tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40)
Street names
[Property corner elevations(2 foot contour lines if more than
4 foot differential)
I ' Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified k No Received: ❑ Yes ❑ No
E Public Facilities Improvement(PFI) Permit:
Required: 'Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake
Eki Land Use Case#: PDF 4.2UtS - OOOUS/ Su.2, �otS-0000s
Aa Zoning: g -d 5 P®
Lt Required Setbacks: Front g Rear 5 Side 0 Street Side Garage aZ D
R1 Landscape Requirement: cpo % - a c.6.4..1 .....--
k Lot Coverage Maximum: % - a 4 4,-4,01
.010 Building Height: Maximum Height Nit\ Height
Visual Clearance
gEasements
Dr Sensitive Lands: ❑ Yes E 'No Type
Nr Urban Forestry Plan
OConditions "Met"prior to issuance of building permit
otes: 6 PIannen el h:nd; i Jn s o) 9 d- 4 3`7 MALI 4,- J?L ry c f- P,-i e-
ll e
er , " 1 Sin U..h Kt CS .
Approved By Planning: e. r u
__ �� C .r.+e.. Date: ( ( — —( (,p
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_091216.docx
Building Permit Submittal
Original Submittal Date: %D/////
Site Plans: # 3
Building Plans: # —7
Building Permit#: [.rEnter building permit#above.
Workflow Routing: a"Planning ZLEngineering 5-Permit Coordinator E""linilding
Workflow Sign-off: ['Sign-off for Planning(include notes from planning review)
Route Application Documents: a-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
o al plan review routing form.
lir Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: f�
By Permit Technician: d� , yz.x. Date: ///y//,6
,_".v,...,,e ',„ x,. ..n ARL. "L 1 w:_ +2. :._..a..$ ...:. Z. _1.,. fe:3<TM.S..ve..._ :/' s. Y ,,,.: :ae� Y.D,. ,;,3' ,it,, _i-.02. ass 'sir:
Engineering Review
Slope at building pad: f ?o
❑ 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 J No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: �likt 0 t Date: 6t /2.4/ ta,Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 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: ate: /t/1e//0
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:
L, SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: /?/3-t)J71C"'
I:\Building\Forms\BldgPermitRvw_RES 09121 6.docx
City of Tigard
.71 'I COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: i 3 a to a S kJ Au,Joe rr ; „ e P-�c� C-A..
Project Name: R-; ver T.t.e cam. NJ ,��,,„Ai e r 1- Lot #: f b
(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.
Balconyw/ access 2
Porch min. 5 ft. deepWindow Projection Vertical Wall Offset a
Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft., Eft.wide
-fin- rig ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: i7 0Jo/ 1"/ °la
3. Entrances:At least one entrance must meet both of the following standards:
Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: $Yes ❑ No
If yes,all the following apply: J;g3 25 sq.ft. min.
a One street facing entry I 12 ft.max.roof above floor of porch
N'5 ft. depth min. N3 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 E5 Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood (-Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. g Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street facade ❑ Window trim min. 2'/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. )6 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)
,Rr12-foot-wide garage door ❑ 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: CADate: //-K (t®
I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx
Plumbing Permit Application
Site Utilities RECEIVED FOR OFFICE USE ONLY
City of Tigard MAR 15 2017 Received 3 �.
DateBy: `/ Permit No ,./y�[��j
RI 13125 SW Hall Blvd.,Tigard,OR 97223 s, f6, ,tet r (,\
:III a Phone: 503.718.2439 Fax: 503.598.1 Plan Review L
�40i Y OF TIGHRD Date/By: ""/7 A G 67 Other Permit No.:
Inspection Line: 503 639 4175
TIGARD BUILDING DIVISION Date Ready/By: funs ® See Paget
Internet: www.tigard-or.gov
y g for
Notified/Method i i J�(J' I Supplemental Information
A E OF WkRK ... ! -4 ,,,FEE S:t1EDULT
r�
®New construction ❑Demolition For special information use checklist
Description Qty. I Ea. Total
❑Addition/alteration/replacement ❑Other:
New 1-2-family dwellings(includes 100 ft.for each utility connection)
cAtE oRti*Ort 4 litUC'f ? ' ,,i SFR(1)bath
.,.. 312.70
y g ❑
❑ 1-and 2-famil dwellin Commercial/industrial SFR(2)bath 437.78
❑Accessory building ®Multi-family SFR(3)bath 500.32
❑Master builderEach additional bath/kitchen 25.02
❑Other:
.IOI ,aI Fire sprinkler(1,221 sq.ft.) Page 2
1 g14O'1U1 lQ LO ,4'I J1�I Site utilities:
Job site address:13262 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.: 1 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.:176 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
p s£C"l 1pyt'I+�t" 1"+ Backwater valve 12.51
Multipurpose Fire Sprinkler System "x Clothes washer 25.02
Dishwasher 25.02
Permit#MST2016-00492
Drinking fountain 25.02
Ejectors/sump 25.02
►4 PROP R`t Y C'Iwi tEII; .. ''
'"' 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
® .APPticAN"9 Cot4TAct PFRSt51Y 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
--:'-'7'1 TIcipi . i. Water closetoset 25.02, ;5V
Water heater
Business name:Alliance Plumbing,LLC 37.52
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: �c--{ L_�
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.
t:\Building\Permits\PLMO-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:
,,e ptY lee l )', ,Tal iquar I t e:%, 4 )flitY
Footing drain-P'100'100' 50.03 0 to 2,000 $121.90
2,001 to 3,600 $169.69
Footing drain-each additional 100' 37.52 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
4:4lll`tIltSie�I<)ikerIlit" ty. debt€a , i each additional$100.00 or fraction thereof,to
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 b Ft:turee Type. _ z; ja 1 f ' ltd, i n*tkjiIs ,
FtxttrreType fur ,'. Replace// Plan review is required for any of the following.
ork'ferfwmedi ', Capped. =Added elo at ... Please check all that apply.
Baptistry/Font D Any new commercial building with water service 2"and
Bath -Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool
Car Wash -Each Stallengineer.
-Drive Thru ElNew exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial ❑ 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.
-3"
Car Wash Drain ❑ 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 Pe2mit.doe
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13262 SW AUBERGINE TER, SHERWOOD, OR, August 15, 2017 at 12:39:48
97140 PM
Record Type: Record ID:
Residential - Master Permit MST2016-00492
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
No AC installed at this time.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13262 SW AUBERGINE TER, SHERWOOD, OR, August 23, 2017 at 10:28:20
97140 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00492
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
Corrections from previous inspection complete.
Violation Summary:
Inspector Contractor