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Permit (101) CITY OF TIGARD MASTER PERMIT 114 °�' ! ' COMMUNITY DEVELOPMENT Permit#: MST2016-00402 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/30/2017 Parcel: 2S106DB04200 Jurisdiction: Tigard Site address: 13161 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 42 Project: River Terrace Northwest, Lot 42 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 1858 sf Value: $229,972.51 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 RainStorm Sewer: 100 0 Tubs/Showers: 3 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 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: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1858 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 2 One Hour Fire Rated Eaves Required both sides PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,806.06 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• ,001-0.90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1..8800.332.234 Issued By: `f ~t Permittee Signature: / /974/ f�'," / /(7 T 44.. �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. ---,,------1,4,..,-fling Permit Application BuilFOR OFFICE l SE()NEN C � E.. ry Received (� Penmt No �� +f&d 40 ii�U^-' r City of Tigard l� y /d 7//r 1,1 13125 SW Hall Blvd.,Tigard OR 97223 FEB ® 3 2016 1.:1,:n y eWi/y)1,) 4 �erP tsa (6_et° ,) ' Phone: 503.718.2439 Fax: 503.598.1960 a Juris. H See Page 2 Col- ' 503.639.4175 CITY Of- (SAID DazeReadyBy: supplePenealInformation -TIC:;i:I> ! �3 -` �r ti S?CN Nota cd/Method.//Z%//� ' Internet: www.tigard-or.gov fi _ 41 ,�� -. Permit fees*are based on the value of the work performed. ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ❑Addition/alteration/replacement ❑Other: workindicated on sapplication. j_� 41,..� ; �3 � s this ���``J� Valuation: / e�tfld ❑Commercial/industrial / l' ® 1 and 2-family dwelling Number of bedrooms: ❑Accessory building ❑Multifamily Number of bathrooms: ❑Master builder ❑Other: 9 ,, �9 Total number of floors: 2 „ , r-. � 3 ,: a t "��a" ti `3 a" , feet I New dwelling area: square Job site address: /3/4/ ji.t). ,44,th/ %.rG 77%.#7,0 to r i , square feet Garage/carport area: L1 City/State/ZIP:Sherwood,OR 97140 square feet f, w f 1- ei \n„) Covered porch area: / q ' o LJ — Suite/bldgJapt no.: Projet name: ^Cw — (� , Deck area: ,A. square feet S l /s-- Cross street/directions to job site: Other structure area: f/ square feet a • I Lot no.: 9� 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 3 work indicated on this application_ Valuation: $ New Single Family Detached Construction Existing building area: square feet New building area: square feet �� R V4 ,€ r`- r 1; Number of stories: Type of construction: Name:Polygon WLH,LLC Address:109 E 13th StreetOccupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695 7700 Fax(360)6934442 New: -�— - ` air a 0 11 T r , ;L � f l® rU..e adT'� __�. .. 'za.."`.. ..._.. x ... ,,,, ,,.e"F...,.,.-o.,...�-:,5�, �- � 4�, �h� �,w�,&� .�4- Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109 E 13th Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)695.7700 I Fax::(360)693.4442 .� E-mail:maggie.gordon@polygonhomes.com Commercial and residential prescriptive installation of �-�- � , ----'��',�¢; " �� ' � : y l . roof-top mounted PhotoVoltaie Solar Panel System- �� ..' `` . �`, -.' `"�`�` .� � Submit two(2)sets of roof plan with connection details Business name:P�;' Cf'L 1,l L�C/J PVC' and fire department access,along with the 2010 Oregon Address:109 E 13th Street Solar Installation Specialty Code checklist_ Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 andadministrative 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 This permit application expires if a permit is not obtained Authorized signature: V within 180 days after it has been accepted as complete. I *Fee methodology set by Tri CountyBuildmg Industry Print name:Maggie Gordon I Date`12711/15 Service Board 1:\Building\PeimitslBUP-1tESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 4 4 o , 4 Meeltanical Permit Applica ' i'' CIFIVF:r) 11111111111111111M1111111111111/1111 City of TigardDate:By: !INI13125 SW liall Blvd..Tigard,OR 972-13 FEB03 2_016 Plan Review Peneit No..ylij 7.•-•_ti/I,_evva.,2_, r Phone: 503.718.2439 Fax: 503 598.1960 Date/By: Other Permit: Inspection Line: 503.639A175 • •-i-, ,o •i 1.',- 1,?1,ir,..1L,. Date Readyilly: .kiciv. 0 See Page 2 for Internet: www.tigard-oneov kft l. ',-,'t ' '' ,,•.:--;,-,.i , Noitiecithfetbed: I Suppieniestat tefonniatien 441:.**-0:1",,::4;i1.0i;44:::).-i:iiig;;;,ii?.',..Vii:Sli.:;:::1':1 Mechanical permit fees*are based on the value of the work Eil New construction 0 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. iiic,..4 ,' , ,,,,g.' '..z-vyw,,47', • ,, ,-.zv ,,- Value:S ..La,...r.m...lawuw.:„.,. .4.3!„..,-,54.2.,,4-,..-g,...T ,,,,,,,,—V-..e,?,,,,, ,,,,;37.,1,-,:e.,,,,,t41- kja,.;•,:,w,,,,,,:: ::::!..,:,! ',,,;,,,,,,4 T1:1'-IS...4`f 1.11C,WIR4STIW•,1q:;,,:.:7r, 0 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far spedal talarattalaa use clieralfst Ci multi-family 0 master builder 0 Other: Description • I Qty, I Ea. I Total .....,::"'kg;'•.tkVi..,;:.*).4. 4.!,..'"'IP.,*.4.-*::tIT:Ig*I#.*:, ,: ,5SSSS. , 3oi,vv. He.tiagfrowiar i Air conditioning / 46.75 Job site address: \' 'kq)\ 63°3 A-11\ft A Furnace 100,000- BTU(ducts/vents) ) 46.75 City/Statc/ZIP: TO(€- i oR ilk.:1* Oc9xl, I Furnace 100,000+BTU(ducts/vents) _ 54.91 Heat pump 61.06 SuitelbldeJapt.no.: Project name:River Terrace nt Duct work 23.32 I Cross greet/directions to job site: Hydronk hot water system 23.32 Residential boiler(radiator or hvdronic) 23.32 Unit heaters(fuel-type,not electric), in-wall.in-duct.suspended.etc. 46.75 Flue/vent for any of above _ 2332 Subdivision:River Terrace I Other 23.32 Lot no.: -( Other fad aoPtisitcel: Tax map/parcel no.: Water heater Gas fireplaceor /Insert -..4-.:K.:-.11.:,1V, :;',..—c.--t--"--;;:cv:?.;,-,4t: ;! I;. ,• ':=-='--:-.........:;;,:'.17-74:4-.;*1,0,:'-''':,..",=,``;',t.,..,".::,..7..:...r, 23333.320 , i Flue vent for water heater gas HVAC ,. 1 grtPlacc . 2332 Log linhter(eits) 23.32 Wood/pellet stove; 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 2132 Other ,:;;; -,-,--t:4;,;`,.1 ",`7,l';',1;4Z••";!-Vit'Iri77":.`i1.4-44.t-r 4 ;:tij'4 j. , -1,.,,,.-1-Titlf.:‘44 , 23.32 '''.''''' '''' '-'." Environmental exhaust and ventilation: Name:PolygonRange hood/other kitchen - equipment ,, ,. 33,39 Address:HO E I30 St.Suite 200 Clothes dryer exhaust 3339 ICity/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms. itoilet compartments,utility rooms) 23.32_ i Phone:(42S)S86-7700 Fax:( ) Attiacrawispace Pans _ 23.32 4.t.7s;taTi'r.t.,.:4;Qtr7414g 14.* Other 23.32 Fuel Wilke: Business name:Apex Air LLC , Sla.t 5 for first loon$4.03 for each*dditionikt Contact name:Steel Hay Furnace.etc. Gas heat pinto . Address:2230 W.Main St.Suite 187-272 Wallisuspendediunit heater City/State/ZIP:Hattie Ground,WA 98604 , Water heater ' Phone:(360}342-8109 fax:::(360)3264769 FirePhiCe . . Ranee E-mail:stacill@apexairco.com Barbecue ,:.i...„....01.2‘,2..,,. e4 -.4..-13..1. 4,--•,;:k.:46.,4-i:.cvaif.f.,;; a ohes doer(ass) .. Business name:Apes Air LLC , Other. . ,,,ki.-?-r2.*,•,;(;:ir-';-;-•1:1'i cf.i'fl-1 ft-1 iii',..i.:=7;-I' i ii'2V.:-...4-',',..4.e4.**,'-1,^21*,',wa` Address:220W.Main St.Suite 107-272 : : Subtotal City/State/11P:Battle Ground,WA 98604 , Ivintimunt parnit fee(S90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:1360)326-1769 State surcharge(12%of permit fee) -TOTAL PERMIT FEE I ccs lie.:203034 , , This permit application expires ifs permit is not obtained withia 180 ......!', days idler It has been accepted as complete. , Authorized signature! ; ,.../ 4 or,: . Fee triethoihtlogy tel by Tri-Countyl3uilding industry Service Boattl ta., ....- ,...f ,,. : ; Print wane:Stud hay : I Date:1/2812016 1'illuildmi,PerraitsWEC PemitApp imat 13 il,ac 440-4617T1I titsVCOMAVE8 , t oEcFivED a..ff_ca >i ita ; irai° . x ataaiired C3 of 'iggrd FEB 0 3 7016 tom: fig / .,-- ° 0e 1115*gall$ivd,Tard,(3R 91223 Ptaa[RctiQary 4_ Phone 503.7 182439 lax:303. " 60 , }fig }lctateri Panic#: i tnspretion tine.503/9:4173 .d'f 6 L 5at'Taa2 fon _ "T1 sRT1 intoner www.tig:ld.otgor X11 iiiiirn i';, lark. .soppip#4*,thoor,ong ',, - 1PB D.E.,--V-4.t.,OC` Pi`.,ART it rfFMF Pt New conshucfitui [] tin/replacement aieas4t 4u,r,i. 34t "ott4. ,oia441_ 0Serene orraider 400 m ormHna f�Pa6gvr Mita ponds es iQ Demolition Other beh ''''ntaarefaabrmdbaatpvds.$fiYryt W , S k 011 O.F,'Ct04artiLteriON . ..ra,dsiil, MOP,i't TM)witsca. 1:3Pl40gg101rl(n8a '' fEj I-and 2-family dwelling 0 Counnerc aUindustral ❑Accessory building ren w sremra e,*dotas 14,000 cgn„ ;a1,,ie eukoral D$ufttfatnily ©;14fasterbtitatx Qt3lter CarnpafofaOdthcriasra0atioas. I iidags. a FirepamP. _ f imtallatimvf150KVAor ., JO*:sirs:itleo httrio Ai4D LOCA1'i014 Clamarteotysystemu. inner scparatclyde9uxri ,: aysteot. tJOBg: Job siteuddrr s: } lln'ii�l 1 � CAddn }4AiPawomorc.rnewmotorlwnnr ..4"."E'',"14”,14'', CitylState(ZTP:Sherwood OR 97140 0 S}trar anuaresideatiat thin. 'x ❑nee th-eara rachides 0 Ramsationai vehicle paths: ;¢' Suite/bldg./apt. : Project name: Eitalardouslocations, El Supply soltaga fermata thm 4 CiSlavic*orfaedorantamp ormora. 600 aolta nominal, Cross street/directions to job site: EEE Scta4P.Dig, naicApana 1 oh, i `amu I Vasa f'•' Nets residential single-or andel-family dwelling unit. Subdivision:River Terrace Lot 17: Includes attached garage. Tax map/parcel#: 1,009 sq.ft.or less i 168.54 4 ELadd'1500sq.It orportlon n 33.93 1 r 1)ES Tf$3N Or W if Limited energy msidenlial 1 73.E 3 E New Single Family (with above it) Limited eaergy,imulti-family 1 residential jsvth above sq.IL) 75.00 2 ;_ t1wpirat 1Q TENANT N# Renewable burn}, 0 Set it e 2 pp Services or feeders installation,alteration,end/or relocation Name:Polygon names 200amps arlessG 100.70. 2 I Address:109 R 13t1'St 201 amps to 400 amps 133.56 2 401 amps to Eek)Gipps 200.34 2 City/Sege/ZIP:Vancouver WA 98660 601 amps to 1,000oarps 3Ai. fif , 3 Phone:(360)695-7700 Fax:( ) aver 1,000 amps or volts 552.26 ; 2 Email: Temporety services orfceders insiafatfon,alteration,and/or relocation Owner instaflatlon:This installation is being made on properly that I own which is not 200 amps orless 59,36 i intended formic,lease,cart,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 Amin f 125 00 2 Ownersignatutu: Date: 401 amps to 599 amps 168.54 2 031 APPi rC 1NT I '0 CONT.cr pEllsom Branch dreaits-new,alteration.or esteusloa,per panel A.Fee(or blanch circuits Iran Business name:Garner Electric Washington,LLC above service or feeder fr.e.- 3 each brancttcircuit 742 2 Contact name:Bill Daniels B.Fee for branch circuits ao1Irant g Address:6101 NE St Johns Ra se-crater sir feeder fcc,that s6.18 broach dmilii City/State/ZIP:Vancouver WA 9866) Each add'd branch drank 7.42 2 Misccllancops.(serviceor feeder aotinclnded) Phone:(253)320-1657 Fes::( } Each mmtufactered or modular 57.84 2 Email:bdanielsQgweusu.com dwellieg,aervrcesndfor feeder` CONTRAL7OR Rcrxrnor tn$ iy 67 84 2 Pump or irrigation circle I 69 84 2 Business name:Garner Electric Washington,LLC sigt or mtrlinclightieg 67.84 '2 Address 6101 NE St Johns Rd Signal circidt(a)orliimite d-coo:ay ❑see;Pago2 2 a pond,aiteratioo,or.extpOon, r City/State/Z1P:Vancouver WA 98661 Itach adhtional inspection overaltotyable in spy of the*here i Additional iaspecelai((1 hr min) 66,25/hr Phone:(253)32o-1(6.7 Fax:( ) iavesdgation(I hr Bain) 90.00Ihr Entail:bdaniels@giyeusa,cam lndusie>alplsnt(t hrmht) 78.18/4r ki4P4FlionsforvAlichnofeeis 90OOthr COB Lie,:C1158 Electrical.Lic,: 208174 Suprv.Lie.,: 44965 $P tadtylisted(ybrmin) , ;Ili prv.Electrician signature,;requirod C / , pf subtotal:. Print name: Joan P Albert Elute: ail�vi. 0 Plan Review Required(25%of prinlit fee): Stale surr4tacge(12%i ofpennit tee): Authorized signature f TOTAL PER/ TFE6: Print name: Bill Daniels Date: } t 1 T t permit application tapirs,It a l e mitts Dot obtained within t80 l Ld t 1 days attar it has bean aadPtadescomptet, • Nureberothapeet`e sseowtdpet-permit. rtelideartramaaELC_r ka EUR.crnE.aaa ReN 013r1742615 atatsutii t eerier nveo I a i P i , ao ,Plumbing Permit AppliiI _ Building Fixtures City of TigardNOV2016 Rendved Permit No: A S +n y0/1102 13125 SW Hall Blvd.,Tigard,OR 97223 Y 'V I Y 111 Phone: 503.718.2439 Fax 503598] t ! ,.'a 1 $.„ DaedBR � oil=Permit No.: Inspection Line 503.639.4175 „ Due Reudy/By: retieRI See Page 2 for u Internet: www Stgard'orgov i i IT 1 I ���fv� 1:11, ) ,t t) � SPPIement*tereneenee; 7 : :- a.-d:�:''•'*''"'?"�.�-4e-,-;7&17-5.,1,,,:t` x i :::: .1:1. ""�t.::"' ^s -.f;'F" ..-.:341 .t`e'a .. .,.,...-.a III Demolition For information u ►. New constrtrdion Description dteekilat I Qh'. I Ea- 1 Total ❑Addition/alteration/replacement ❑Other New 1-2-family dwellings(=ludes 100 ft.for each utility connection) rk -" &_ �..-..,,4-.z.,,,„t � •e 1 i .,it:r, `,,¢:7 � 4 . SFR(1)bath 312.70 SFR(2)bath 437.7 ►_1 1-and 2-famay dwelling 1 Commiercialtindnstrial, SFR(3)bath 1 50032 ❑Accessory building ❑Multi-wily Each additional bath/kitchen 25.02 ❑Master builder ❑Other: RC spruilda(_sq.ft.) Page 2 mss z� "�- ; i f� �'.0 'rg3 . L- H elegy >.'s-�.,; Site ut�iitllt: u "`, Catch basin or area dram 18.76 Job site address: '271 tD , I `.1`ki 1110)0c1‘11.to. Q ii . Ihywell,leach liter,or moth 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 drainconnector 18.76 Sanitary sewer(no.linear ft.:__) Page Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_____) Page 2 Subdivision:Northwest River Terrrace Lot no.:-1 L Future or item: 1 Backflow on-venter I 31.27 Tax map/parcel no.: 12.51 � ��m �- , Backwater valvL 1. . a' ,�..;� :_7 � `A 3_ 1 = ', " 25.02 clothes washer On l/err W -C, � Dishwasher 25.02 Drinidng:fountain 25.02 Ejectors/sump 25.02 7 , .. ;,�•i`' .a ien.tank 12.51 , ix Fture/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$5258 Hose bib 25.02 . Phone:(602)694-4031 Fax:( ) Ice maker 12.51 or/greage trap 25.02 r Mgr a " t " 1 Medical$8S(Valve:$ ) Page 2 Bosss name;William Lyon Homes,IncPrim12.51 Contact name:Angela Grajewiki Roof drain(commercial) 12.51 Addttist~109 East 13th Street Siolrlbasin/lavatory 25.02 Coity/S :Vancouver,WA 98660 Solari nits(potable water) 62.54 Phone:(360)695-7700 1Fax: .(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail,Angey,Grajewakkgpolygonbome5.com Water closet 37.52 Business name:° 1 .4-_6 it tt,:,. . sitc •i" Yi►aterpipinglDWV 56.29. Address:. Q.e. S-c9c, of.D. OtherOther25.02 CitY/State I.IP: 5T. e4-04 a i is"I: Subtotal Maim=permit feet.57250 p) ''a 14t1 Fax (11 v'w 7 .1Plan review (25%of permit fee) i Plumbing L no. MB:Lic: It 31 _ . kgst State suicharge(12aloofpermit fee) i Authorized.signature: TOTAL PERMIT FEE This Per a1p �P If a peen*is not attained within I= Print names t T fj.v W 4.. Date g-36 1 p arts it hes been accepted on complete. t *Fee methodology set by TA-County Building Industry Service Board. L• 10/01/09 4404616100/03JGoWWES) 1-, City of Tigard 114 COMMUNITY DEVELOPMENT DEPARTMENT T 1 cAx n Building Permit Review — Residential ,. ,v ,:^.& „-.._i ,:*, ..,,,...-.S.,,,,,,,,,,.4. g. . .g.,",,,,,,.,,,„.,,.:.,,a,.,, S.- V.V.,,-sem, s”. a i ,,. ,.. z r,. ,.,, . a.t - a,.,xa> ,..,e, :: Building Permit #: /`1S/" /6 - 00 yob.. Site Address: /Site `9,0 ' Z /- .r Project Name: ke/V-er- T/Toc:e /�..,. luc,, i- Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /,moi g ie_ penfy site address/suite# exists and active in permits em. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached SityPlan Elements: ree(3)copies of site plan , 'sting structures on VySite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Oawn to scale(standard architect or engineer scale) or elevations rth arrow Utility locations(required for new,may apply for additions) e address,project or subdivision name and lot number Pi I'A cation of wells/septic systems plicant information(name and phone number) • '� sting trees to be retained with drip line,and tree t t dimensions and building setback dimensions protection measures Lot 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 'IPProperty corner elevations(2 foot contour lines if more than 4 foot differential) Clean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No Vi ublic Faciliti Improvement(PFI)Permit: lequired: Yes, applicant was notified ❑ No Applied For: Yes ❑ No,stop intake IlQ Land Use Case#: Pb/2‘20/c: 1 00 - ' (D VJ Zoning: oe_IcQ ,4) Required Setbacks: Front ior Rear ® Side ''' Street Side AM.Garage aly Landscape Requirement: 42590 cyo IrcLot Coverage Maximum: 3— 0,0 I'. ___09- uilding Height: Maximum HeightActual Height cg Loor I/ 't isual Clearance 1G Easements td nsitive Lands: ❑ Yes No Type II Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: - �1• , ,/ t ' /� , /if i %ti_" J ..1 Approved By Planning: ���� y ► Date: 'lr Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Forms\BldgPermitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: ver-`/ Site Plans: # Building Plans: # `3 Building Permit#: ErEnter building permit#above. Workflow Routing: l 'Planning L;VEngineering D lfrmit Coordinator wilding Workflow Sign-off: 8"-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. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ,e >7-Q___--. Date: //V/A0 Engineering Review Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: El Yes 0 No El NOT Appro ed ,y Enginee.ng• Date: Notes: 1 ,r .. 4/ 7 i�7�r_--' �i O!A it ,A _� Approved by Engineering: G Date: AP J!1 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved VIIMMIENBRIMMENERMUMNIMEOM Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ?KPApproved,NOT Released: Date: X07Y/6k Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: dWSr es 1:1 N/A Tigard Trans SDC: Yes El N/A Parks SDC: Yes ❑ N/A K to Issue Permit Approved by Permit Coordinator: 4i ate: "P —7 i I:\Building\Forms\BldgPermitRvw_RES 091216.docx City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT 111111 T I G A R D River Terrace Building Permit Review Addendum Building Permit #: /9"---f7;20/6-- -�00 Ver,,2-. Site Address: /3)4 / ,9b0 ilii/% i i'iJ -7r Project Name: ,/ /,— �.�jC7 AQdriii kJ,(g1-- Lot #: C (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?0 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 t. dee Balcony w/ access 2 Window Projection Vertical Wall Offset a p ft. deep min.2ft.,5 ft.wide min. 2 ft., 6ft.wide Gabled dormer 111ElEl ❑ 2. Eyes on the street: a minimum of 12%of ach street facing facade must include windows or entrance doors. Percentage Shown: 3/f ie 3. Entrances:At least one entrance must meet both of the follo g standards: 1,�—/Max. 8 ft. setback from longe 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 es, all the following apply: sq.ft. min. /One street facing entry ) ft.max.roof above floor of porch Vt 5 ft. depth min. 30%min. e orch roof coverage g 4.�etailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: V/overed porch min. 5 ft.wide x 5 ft. deep ecessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches ormer min. 4 ft.wide Roof eave min. 12 inch projection �oof offset min. of 2 ft. El Roof shingles either tile or wood Gable,hip or gambrel roof design El Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40% of street facade Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep El 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 lot line on a corner lot. Setbacks: � �(( No closer to front or side o I'. = an longest street-facing wall. ■ -s • No. If No (Check.one): El May extend up to 5 ft.if there is a cover-s ••t so . . garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the gara:e • ..s t of a two- :. building and there is a window at the second story above the garage that faces the s - th a min. area of 12 sq.ft. Width: (Check one El 12- •: -wide garage door ❑ 40%max. of street facade ill 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ga './ Date: JAW A I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx