Permit (100) Iiii CITY OF TIGARD MASTER PERMIT
Permit#: MST2016 00401
COMMUNITY DEVELOPMENT
Date Issued: 01/30/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB04100
Jurisdiction: Tigard
Site address: 13169 SW AUBERGINE TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 41
Project: River Terrace Northwest, Lot 41
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 628 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height 24 Bathrooms: 3 Second: 1017 sf Garage: 418 sf Front: 8 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors:
Total: 1645 sf Value: $206,541.67 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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: 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'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 Y
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1645
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: $30,064.80
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling
503.232.1987 or 1.800.332�4.2344.�
Issued By: Permittee Signature: ,� •751 /2��� 'C'",,"
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.
Bui dingy Permit Application
/ IJ
FOR OFFICE l:Sl:Ool 9
Received /e/7110
�/�/�� (� Permit No t/ "a 9o/
City of Tigard ll 2016 DatelBy. i1/ /qK F.r
13125 SW Hall Blvd.,Tigard,OR 97773 FEB Plan Review l( Other Permis f� ►/6"`( -�
14 Date/Sy: -1;‘,7 Iuris: I H See Page 2 for
Phone: 5n Line:.5 39 Fax: 503.598.1960 0 Date Ready . Et SeSupple Page 2 Information
TIC,;R D Inspection Line: 503.639.4175 - � ` J7
t� PO Note Rca ethod S
Internet www.tigard or.gov L) L ) i co )6 1 1 L ft— 1/lJ6/E
._..
_ = '_.`-` "` Permit fees*are based on the value of the work perform
ed
"`� �� ❑Demolition Indicate the value(rounded to the nearest dollar)of all
®New construction
equipment,materials,labor,overhead,and the profit for the
❑Addition/alteration/replacement ❑�� q. t work indicated on this application.
�, E-5 P.,,® ,,� ;.,'.4.',` -_,` .-iym -- ,, Valuation:a Q . j5
® 1-and 2-family dwelling
❑Commercial/industrial Number of bedrooms:
❑AccPtsory building ❑Multi-family Number of bathrooms:
❑Other
❑Master builder ;,,,,,, a ,, Total number of floors: 2 j '�' �0 C9 ,3-
4- i 1" i`la ,P ,4. 4 a square feet
;'T ire-._w N_ I New dwelling area: h l __ X5 q
Job site address: v ;!G y ..�zjbel✓ �/�LZ _ t - L- Crarag� port area ���i g square feet
L---
City/State/ZIP:nSoerwood,OR 97140
Covered porch area: ��� square feet
Suite/bldgJapt no.: , Project name: \ti
Deck area: square feet 6.. . .
Cross street/directions to job site:
Other structure area: 'I square feet
Lot no.: 1-// Permit fees*are based on the value of the work performed
Subdivision: Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
x - workindicated on this ap is application.
r ni:SnY LValuation: S
New Single Family Detached Construction Existing building area: square feet -
New building area: square feet
.- �� $ � Number of stories:
� �� of construction:
-,��sl°�r a� aB �r�� i: � ,.��. , c-j�"" , .-
�: Type cons 'on:
Name:Polygon WLH,LLC
Occupancy groups:
Address:109 E 136 Street
City/State/ZIP:Vancouver,WA 98660 Existing:
Phone:(360)695 7700 Fax:(360)693.4442 New:
. .-
�� 3 >- D'7 -,a �- a ' , c ='
a� ,...,,,,-1,---§,-, . v ,, k- -a, r7_ —. cr_ :_1...',,,,,,,,4._,..,...-..f,,_, 9 , ,x ....,•.a. rf. mf;n:�i a.e «... -.,`„ =47.--,..:I.:3--- -.-----5,-.::-,,
,m.
Business name:Polygon WLH,LLC Structural plan review fee(or deposit):
Contact name:Maggie Gordon FLS plan review fee(if applicable):
Address:109E 13t6 Street Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660 Amount received
Phone:(360)695.7700 I Fax::(360)693.4442 w �`•�
4 �''- .H.,
E-mail:maggre.gordon@polygonhomes com Co�ercral and residential prescriptive installation of
f ' roof-topmounted PhotoVoltaic Solar Panel System-
Submit two
rrT_, on details
m � � ��-� Submit two(2)sets of roof plan with connection
Business name-,-kelygmeertE;r.Lr 4,..,,C.4,/qrj t y) i1/4/VE3 PVC., and fire department access,along with the 2010 Oregon
Address:109 E 13`6 Street Solar Installation S••tial Code checklist
Permit Fee(includes plan review $180.00
City/State/ZIP:Vancouver,WA 98660 and administrative fees :
Phone:(360)695.7700 I Fax:(360)693.4442 State surcharge(12%of permit fee):
$21.60
$201.60
CCB lit.:207247 Total fee due upon application:
This permit application expires if a permit is not obtained
Authorized signature: ta4
within 180 days after it has been accepted as complete.I *Fee methodology set by Tri-County.gudmg Industry
Print name:Maggie Gordon
Date:12/11/15 Service Board
I:\BuildingTermitslBUP-RESPermitApp.doc 02/24/2011
440-4613T(1 l/02/COM/WEB)
1
Mechanical Permit Applicat '1-1 t
City of Tigardatt`E3y.: Permit uo.; S7 .vc,iretti
p/
111 Platt
13125 S W Hall Bdvd.,Tigard,OR 97223 I-FB 0 3 2016 Plau Eteview Other Peratoit:
• r Phone: 503318.2439 Fax: 503.598.1960 Date/By
Inspection Line: 503.639.4175 i a d p '-'A ° Mate Ready/By: Vis• 5d See Page 2 for
i i :1 CITY. p e; Sn ental Information
Internet W ww.tigard or.gov s I Y NaiCredtt 4efhnd; i PPS
.>
.:' ..,- .. �-l"�`� '`�= �..`` i htxhanical permit fees*are based on the value of the work
121 New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials_equipment labor,overhead.and profit.
.s,r °,.
Value:S
', ' •,�.-., .. ,_5�. c...�..,aaw,• v±.,, s.w`+-,,,<eP+..ws, .w su.w A 1."A *St ;ij g 4 S a : #, its Wit .
0 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far spedal Wynne:ion use rkerhtist
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
a Y xm" fleahaglcaOItag
I�A 46.75
ttw ic.s, w,�� ^ . .«,^. itkir 4illtfditlEtnin£ ` _f
job site address: ` )LL `t (ND -� 11'LO ^. Furnace 100.000 BTU(ductss/vents) I 4675
City/State/ZIP: t - R Furnace 100.000+8TU(ducts/vents) 54.91
Heat pump 61.06 1
Suite/Mg/apt.no.: j Project name:River Terrace fl Dud work 2132
I Crass street/directions to job site: Hydronc hot water system 23.32
Residential boiler(radiator or
hydron ) 2332
Unit heaters(fuel-type.not electric),
in-wall.in-duct,suspended,etc. 46.75
Flue/vent for anv of above 2132
�` \ Other • 23.32
Subdivision:River Terrace Lot no.: ) Other fad*Ppliaaees:
Tax map/parcel no.: Water heater 1 23.32
1: V i fires f t !insist 3339
a5a 1 is xr
'_ "• .. .. . .g.., Flue vent for coated heater or gas
,.P
t2332
HVAC fireplace :
Log Heiner(~gas) 2332
Wood/pellet stove 33.39 ,
Wood fireplace/insert 2132
inner/f1
Chueinr:v ' ue/venc
2132
F a,. sta
e l s • t` ‘ 2332
' ', _ - "'
Environmental exhaust and ventilation:
Name:Polygon Range hood/other kitchen
- equipment 3339
Address:199 E Ian`St.Suite 209Clothes diver exhaust 33.39
_. _..
City/State/ZIP:Vancouver, Single-duct exhaust(bathrooms.
WA 98660 toilet compartments,utility rooms) 23.32
1 Phone:(425)586-7799
Fax:'( ) Attic/crawlspacae fists 23.32
Other 23.32
'= Fuelp€Ping
Business name:Apex Mr LLC situ rot-pro lour;54.03 for each additional
Contact name:Staci Hay Furnace.etc.
Gas heat pump
Address:2219 W.Main St.Suite 107-272Walllsuspended/unit heater
City/State/ZIP:Battle Ground,WA 98604 Water heater
Phone:(360)3d?-8199Ranste
1 Fax',:(369)326-1764 fireplace
E-mail:stat.'tlt®apessirtOtOm Barbecue
x= g }ni< :�a .
Clothes dryer(gas/..
Business name:Apex Air LLC " 4.%.,fi e t. tV t ir.a i r a'
Address:220 W.Main St.Suite 107-272 , Subtotal
Minimum permit fee(596.66)
City!StaielLll":Rattle Ground,WA 98604
Plan review(25%of permit fee)
Phone:(360)342-8109 1 Fax.;(360)326-1769 State surcharge(1296 of permit fee)
- _ - TOTAL PERMIT FEE ..___._.
CCB lie.:203034 a This permit application expires Rs permit its net obtained within ISO
,,�` days atter it bas been accepted as r 9aaplet
Authorized si r ,i ` 4�.f y / f ` Fee methodology see by Tri-County Building industry Served Board
f
Print name:Sind hay Date:112812016 l
I lloiltimglrmtits,l4MEC PtataltApp 646113 doe 440-4637T4t t. COM Wta}
1,'11,111:
. ,
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,Big....ctri 1 Perrnaca
lincatil'''1—EB 0 3 2016 'l'"1-'"'''' ' ''''1'.1":\I 1 11
' ' City of Tigai'd l'en_ _ ____ __
Ti--x". 13125 FirDell 0144,Tnt4oRaIN 0 P f (4 Mt) PittiUiiityr " -
6, ' Phone:501710.2439 Fax:503. ' „ '',.r,,I f- kizhAtruy; l'olated Pc""It'''''' 1
inspection Line:503.639.41751Q 1 11110,1N,1(7.:`, t,,L),1,r,.-,1 k„„1,...17...dy rmssy: toriz El smPansil tor
" i GAIW 1 rnet:
Intewivw.tigurd-orL
.zov Rairtaithod: sappseosentattoniroistion
-;.! •,.1.041/. i ..;r,, ' ,,l,,i14,211rE OF wggfc. - ' -.'' -,' ' -- `,1.'"' ,'Itill'AN:* W.,":--
,
114 fle•Weenstic1i00 13 Additiotifulteradouirepiacenieut rlos#44eck.su.that-am*($611101446 4r0101444511not added.):
0 iiMo4 or ,.8,‘, 400atopr or mor* 0 tia.48Ngtoetrtitote4ones.
1:3'7,11Pgin?:.1—TKitiPiltICri:V4161:--1°A.thert70t'colOrrt- 'tiet-tti' tii . - ,,xotodsthciO4,000„„pa 4u'aisu x0111,, 1:9:41,,,61glr,-hob°415*ntsw - 1.
01-and 2-l'attilly dwelling 0 Comintercialfindustsial 0 Ancesioty building lenrtemunit nreunaeds 14.009 13 oyninerumi-use usual , i
amps fora Other hisionsions bui8iipp. i
[3 iduiti-fataily 1:1 Muster,buiider 0 Odter: Elfirepouns El loststlafiou of 110 XV A or
.14:ilt strit01DOM4100 AND totieAtiorl DEIntrit4114Y sYstem. larger separately derived
, 13 Addition or 110W taotar load of system. '
L!„b site address: V-‘)
‘ ...) 0 six or otor*residestiel molt occupancy
City/State/ZIP:Sherwood OR 97140
I:Illegal-oars facilities 0 fteereatiorial vrhir.le pada.
Sititalbldr,./apt.#: Elliaradous losatians. EI stimay wince Sarmore itlan ,
. Prctiec name: El Strvieu or fr4drs 600...4.---s or mom 600"10 nominal
Cross street/directions Joints site; ', ' "trE SCOEDT„tiLE
, ottertotha 1 Orr. r ..,. I TuId l ._
Alen,'residential single-or multi-family dr/citing unit
Subdivision:River Terrace I Lot#:4\ Includes attached garage.
1
' 68.54,000 sq.ti.or less I 4
[
Tax map/parcel8: \
Es,addl 500m.ft.or portion 33.92 I ,
DEscRrp14314 Op'AVORtf. Limited energy.residential
N 75.00 2
(sdth abovesn.0) J
Mew Single Facially
thdited.energi,multi-fant0 75.00 2
residemist(with nhove.sn.ti.)
Renewable Enemy 13 84mPage 2
'
'4 nor "maw OWNER 1 13 ISIV/sPIT , ..' - ,- - - • StiViet.5 or feeders installation,alteration.mid/or relocation
Name:Polygon llontes 200 amps Or lass 100.70 2
Address:109 E 136 St 201 amps to 400 amps 133.55 2, i
.i
401 amps to 600 mnps 200.34 2
City/State/ZIP:Vancouver WA 98660
601 amps to 1,000 snips 301.04 - 2
Phone:(360)695-7700 Fax:1 ) Over 1,000 amps orvolts
552.26 2
Temporary services or feeders installation,alteration,auditor
Email: relouttion ,
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59,36 1 i
intended for sale,lease,rent or=bang;according to(IRS 447,449,670,and 70L 71/1 amps to 400 amps 125,05 2
Owner signature: Date; . 401 amps to 599 amps 16054
. 2
] CONTACT PERSON
Branch circuits-mew ra
altetion'or exMitsion'per panel
, 121 APP. L1CANT 1 -C . .' . -
. A.Fce forb;Roch circuits with ,
Business name:Garner Electric Washington,LLC aborcservice or feeder fim,
74.52
each branch circuit . •
Contact name:Bill Daniels B.Fee for branch circuits satAour
service*Feeder fee first
Addmss:6101 NE St lidins lid '
branch circuit 56.18 2
ciwistatclzm Vancouver WA
98661
E-ach eddi branch circuit 7A2 2
laiisecitalicout tserviee or feeder not Indteded)
Phone:(253)320-1657 Fax::( ) Each.maatuiltaturodix modular ,
67.84
. dwelling,sorvicoanclior feeder 2
Email:bdanie,Isiggweon.corn
Reconnect only 67.94' 2
.,.. . cottruAcroR, , Pula or isrtatiQn circle 67.84 2
IBusiness name:Garner Electric Washington,LLC Sign or outline lighfing 61.4 2
Signal cirenil )or iintitedenettW •
Address:6101 NE St Johns ilii El Seeagel I P
Par0A.,01TeratiOrt,or ontonsinot. 2
•Bleb additional Inspection over attawahlo in ao),of flit-above
City/State/ZIP:Vancouver WA 98661
, Additional inspectitin(i Itrmin) 66.Z/ht
Phone:(253)320-1657 Farm( ) iniestigatien(I hi-nun) 90,00/ht
kiting:dal plant(I fir gill) 78.18/br
Email;bdaniels@gwelisa.com
Inspectiesis Ear-which tiaras h •
. 90.00/lir
CCB Lie.; CI158 I Electrical Lic.' 208174 - Supry Lie: 4496$ so . .
zcitivatiy u.sted(wheatta)
' Pah_
Suprv.Electrician signature rquirtd• etil t1 If e iablotai"
s v .
Print name:Jaaa P Albert • Date; pit 1 kti) El Plan Raitiew Required P454 of penult fee):
/ - Slate 544 e( of
pcmiTit-t4
, ,
Authorized signature.; -' .
This Psalm applindiun cradles If a Perusitts sorvlitalued%Wallin ISO
Print name:Bill Daniels Date: ‘ 'actto dnriatter it WO bt;eeoccepted as complete.
t_,,
- • tioraber atiospe4tiotasitorved psr.wait
raatteipamitAatcramkApe_flumloc R0'6611112°,5 4404615T(IttiSCOMM55
.,1. .
...
r , Fjvcii, i,..?v,„9„,
Plumbing Permit Application
Building Fixtures tv 0 V ; ?_016 Rem
City of Tigard Permit No.1� 4' 0 04 p 1
13125 SW Hall Blvd.,Tigard,OR 97Z f v 5, ,7-,,1 Pbin Review
71 f4 t n .4 t q', OE6aPcmit No.:
Phone: 503.718.2439 Fax 503598 DatdBY:
Inspection line: 503.639 4175 I t I :, i I't j', 1+)nlu. RdY/BY Inns. I B Ser Page 21nr
1 w
I Internet ww tigard-or.gov `� '.` c itenfie4MedmctSa "alienist information
7 " .:. F ..7,,,,,,,x::::,,,,„„,,,
"gym ,."mai t ,
For medal information use dead
�� New construction • Demolition Description I Qty 1 Ea. I Total
❑Addition/alteration/replacement ❑Other New 1-2-family dwellings(mcludes 100 ft.for each utility connection)
wx' 7,:t5,-
, fe4":'F,:;
k « i,.,; * SFR(1)bath 312.70
� r., ��k�;'M.fi w� gr �'f k �- � : '`,'"�',:
rte �,.t .. �.., x
E � + SFR
(Z)bath 437.78
►o� • Coamsercial/nrdustrial 500 32
1-and 27Y SFR(3)bath,
E Accessory building ❑Multi-family Each additional bath/kitchen 25.02
❑Master builder ❑Other. Fire sprinkler(____sq.ft.) Page 2
- - xw ; 7::'
M a Site ntlldee
�: -..� �: rf, ' � SH; - � :`'-.�ee,-ry6, n b�k�� :-,.- ms� ��
, 18.76
�e Catch basin or area drain
Job site address: I 1()9 Sv'J ( & X ' Ai,Tti t D . DrYwell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2
Suite/bldgfapt.:no.• I Project name:Northwest River Terrace Manufactured home utilities 50.03
•
Cross street/directions to job site: Manholes 18.7618.76
Rain drain connector
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision:Northwest River Terrrace 1 Lot no.:q 1 Future or Item:
Backflow preveater 1 31.27
Tax map/parcel no.: Backwater valve 1251
�� � � � � -���- 35.02
iirIn=-„_ -�' '`. �_no �� • _Clothe*wartier'
l' V C r Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump. 25.02
.. Jr 'mow,. r . � ,:::: 3” , - ,=:-.' Expansion.tank
1251
�:-r•"--: -
n- � , ;s ,• s r.4s ;�5 r � Fiume/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/StaWZIP::Scottsdale,AZ 85258 _
Hose bib 25.02
Ice maker 1251
(6ti2 031 ax E ) Intotreptoss'
Phone )694-d F1grease Imp 2.52
.. ,.x-..e-, .--.x Medico
: �• �"�` �_.,� , . A�, -� Page 2
Bus» nand William Lyon Homes,Inc Primer 12.51
Contact name:Angels Grajewski Roof drain(commercial)
12.51
Addles=109 Fact 13th Street ... ..... . . . .
Sinkibasin/lavatory 25.02
Solar units.(potable water) 62.54
City/State/ZIP:Vancouver,WA 98660 1251
Fax:; 360)6934442 Tub/shower/shower pan
Phone:(360)695-7700 Urinal 25.02
E-mail:Angeh.Grajewsld(polygonl es.eom W ted closet 25.02
r s: RT _> Water beats. 3752
Business name V�3" LL ' 1M,cet' V f Water piping/DWV
56.29
Other: 25.02
Address: Q.0- 6.,„, 01A - Subtotal.02
g1i31
City/State/22P: $'r'. e� arc, — 1,� ►petm�t rr�: s7z.io _
P; --ars- nil Fax ,Q..- a�
Plan review per of permit fes)
CCB Lie. l f 3 e- Plumbing Lie.ab. kat/ Ste age(12%of permit fee)
,I TOTAL PERMIT FEE
Authorizedsignature: �, i(� Pew iPP esP tf a permit is not obtained within Ille daps
,mw it hos been a as complete.
> 6÷Vit. r1k I nate�U 8 -1 b
Fee methodology set by Tri-County Bmld+o8 lmdmnY Savior Board.
L• pQ TLMU'p ppdoc 10Dt/04 44446tagtoic2rC7osowEal
1
r
City of Tigard
:11q 41
COMMUNITY DEVELOPMENT DEPARTMENT
I
TIGA.1z D Building Permit Review — Residential
Building Permit #: S��,,20/ -•-- Q 0 1/p/
Site Address: /3)(J C _S'Z) ALE x7er
Project Name: 1, J
Project �ii/2T �/Tc��,2 w ��.��" Lot #: `7/
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: 'Vat-) g/ ')
J erir site address/suite# exists and active in permitstem.
rxfi
River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached
SityPlan Elements:
(e ree(3)copies of site plan ta 'sting structures on site
'fe plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
awn to scale(standard architect or engineer scale) or elti
✓ orth arrow IUtility locatievaonsons (required for new,may apply for additions)
e address,project or subdivision name and lot number 111 A cation of wells/septic systems
plicant information(name and phone number)pt
• '4'sting trees to be retained with drip line,and tree
Vt dimensions and building setback dimensions ,yrotection measures
Loot area,building coverage area,percentage of coverage and VJS eet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) VStreet names
Property corner elevations(2 foot contour lines if more than
4 foot differential)
tu `lean Water Services—Service Provider Lette (lot platted prior to 9/10/1995):
0Pequired: ❑ Yes,applicant was notified t No Received: ❑ Yes No
Public CI Faciliti Improvement (PFI) Permit:
V Yes, applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake
lequired:
and Use Case#: P, ‘20/c:41, 00c -'(,'l2Cj 01)(AC3
IQ Zoning: e-i cQ 11.b
Required Setbacks: Front r Rear O Side `'' Street Side AM.Garage 3
[/Landscape Requirement: cQO 0/0
//
I% of Coverage Maximum: %
Building Height: Maximum Height/ Actual Height cp
0 sual Clearance
Easements
ensitive Lands: ❑ Yes No Type
Urban Forestry Plan f44
❑ Conditions "Met"prior to issuance of building permit
Notes: -/.` . ' /. / • /L � 0lJi.JT IS I �Y
I
Approved By Planning: ,, ,Z Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPennitRvw_RES_0912I 6.docx
s
I
Building Permit Submittal
Original Submittal Date: c3/4-
Site Plans: # 3
Building Plans: #
Building Permit#: 42-Enter building permit#above.
Workflow Routing: 8-Planning C1.-"Engineering CSI ermit Coordinator C- wilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: Z'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
riginal 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: /e7/ 44,,
Engineering Review
/�J Slope at building pad: 2!;
❑ 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 0 No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Appro ,-d e y Enginee • 1.• Date:
Notes: _rior i __ter �.- .,it-„„A, i /r i� ; - / .L) -1
Approved by Engineering: gZ f7 Date: ,/p l ) --fly
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
Approved,NOT Released: Date: /12/7// ,....
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:
SDC Fees Entered: Wash Co Trans Dev Tax: 0 N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes 0 N/A
(5:20K to Issue Permit
Approved by Permit Coordinator: if, Date: V/ -/4
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
City of Tigard
III 'I COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c R o River Terrace Building Permit Review Addendum
Building Permit #: t/S7a2p/6, -- CSO VO/
Site Address: /S J/Q tai Ai �y� 7f
Project Name: / / r �. r,c.e 2 4 i g ' Lot #: 4/
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Distract Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards?rei Yes ❑ No
1.Articulation:a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 deep ft. deep min.2ft.,5 ft.wide min. 2 ft., Eft.wide Gabled dormer
❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: cQ3. 70
3
. ntrances:At least one entrance must meet both of the folio , g standards:
iIl Parallel to street,angle no more than 45° from street,
or o en onto porch
Max. 8 ft. setback from lon st street- facing wall
En ance opens to a porch: Yes ❑ No
If es,all the following apply: 5 sq.ft. min.
5/6ne street facing entry �2 ft. max.roof above floor of porch
ft. depth min. 30%min.porch roof coverage
4. etailed 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
0 all offset min. 16 inches ❑ Dormer min. 4 ft.wide
Roof cave min. 12 inch projection ❑ oof offset min. of 2 ft.
❑ Roof shingles either tile or wood able,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. horizontal lap siding min. 3-7 inches wide
❑ Accent siding min.40%of street facadetil indow 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
. • ! . .es and Carports:May face the front or side Jot line on a corner lot.
Setbacks: Pr
No closer to front or site e, than longest stre t-facing wall. ❑ Yes ❑ No. .-• eck one):
❑ May extend up to 5 ft.if there is a . . - -d front porch and .. oes not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is part • -.,.o-story building and there is a window at the second story
above the garage that faces the street i - . mm. area of 12 sq. .
Width: (Check one)
❑ 12-fo. ...e garage door ❑ 40%max. of street facade
0%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: / e Date:
1`\Building\Forms\BldgPermitRvw_RES_RT_062216.docx