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Permit (126) CITY OF TIGARD MASTER PERMIT 11 ° COMMUNITY DEVELOPMENT Permit#: MST2016-00577 Date Issued: 01/30/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB04700 Jurisdiction: Tigard Site address: 17273 SW GRANITA LN Subdivision: RIVER TERRACE NORTHWEST Lot: 47 Project: River Terrace Northwest, Lot 47 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 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: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add.'500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1645 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 2 Fire Rated Eave at fireplace STE 1 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,077.80 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 thro , 06001-0090. 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: ( f. / - Permittee Signature: //V ' //' /e �'Z 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. ' g7c t Z-0 / „.e..-,.747,—.,,,,,„, VVG I NM.r oi , Ba»<lting re,_,._ , .,,_ erAPPlicatianEI"C� FOR OFFICE t S[ Ool 1 Receives �a .23 // " PeimttN r6—DD, 77 City of Tigard Date/sy: !� ��//� / FEB Q 3 2016 +a...... _ OtherPermilsid 6/�-0914, t,y OR 97223 Plan Review 114 1ho2e5 S50Ha1l BlvTigard q ��IG�[l® Datcaiy: Phone: 503.718.2439 Fax: 503-598.1 Date ReadYBy: -Jeri. I H See Page 2 for Ins tion Line: 503.639.4175 Nate Re Method Z�JJ 7 Supplemental Information TIC'RD in Wit: www.ig g BUILDING DIVISION /� ti and-0r. ov y/L 1/1/6'/ A�1Y - - __ Y _ :,1,;: l:, `i—v �G-c; .4.13,R4iauZr -�tn1zm.�`f._.vst.w..,;'-1 :.�_..s.., ,m...<.,. ..-.. - --- -<- • - Permit fees*are based on the value of the work performed- ®New construction 0 Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the ,,� r f� fi work indicated on this application. �` -_�-f” ® �i , .�� t s,__•,.,,-._-_-„,„...„,..,.,„ Valuation $ / J �A ._. :aa 6pcco � � ❑Commercialfmdustrial ® 1-and 2-family dwelling Number of bedrooms: L-- ❑Multi-family ❑Accessory building Number of bathrooms: ❑Master builder ❑Other �/,� 4,, Total number of floors: 2 A) ' /4ttP ,-7,Li'«i ±`-'1:11:- _ i` - I New dwelling area: � X1 G� square feet Job site address: 73 (3W) ‘7,-,•••0104,4 / - `'' square feet Garage/carport area: L Suite/ kite/IP:Sherwood,OR 97140 ,� square feet Covered porch area: 1� 4 Suite/bldg./apt no.: ( Project name: Cross street/directions to job site: Deck area: c0 square feet'I square feet Other structure area: Lot no.: it, 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 k b e: .- 1 work indicated on this application_ . ° � ± Tim Valuation' $ New Single Family Detached Construction Existing building area: square feet New building area: square feet „,% � _ Lf F. Number of stories: - ��°�"'�... 'Type of construction: Name:Polygon WLH,LLC Occupancy groups: Address:109 E 13th Street ' City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695 7700 Fax(360)6934442 New: � .,-.. tea.,.,, .... �°� :' r -G „ a ., t t i „ `'"�` a Da �:an 51 ^-tmm«� .a:�. ._-'- - ."L, ._ _ '_ '- `�` �` 1.�,!.a..:+'.P` -b'.>:,-.,,+ ,en... o ..x„x.,n .<. ' »e.�.,.,T,';',:„.'''' fir._,...> .:.- > _. _x;�-em _ '' s..�sx J-....,.Fi.�d,w,.�°�;a �^^ Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13th StreetTotal fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)695.7700 ( Fax::(360)693.4442 Email maggre gordon@polygonhomes coin mmercial and residential prescriptive installation of Co _ mtPd Photovoltaic Solar Panel System. ,.« u, = roof-top mol Pol Submit two(2)sets of roof plan with connection details Business name:Polygon WLH,LLC and fire department access,along with the 2010 Oregon Address:109 E 136 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 ( Fax:(360)693.4442 $21.60 State surcharge(12%of permit fee): - - Total fee due upon application: p $201.60 CCB lit.:207247 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete- Authorized signature: V Building Industry I *Fee methodology set by Tri-County- Date:1Z/11/15 Service Board. Print name:Maggie Gordon — _ _ 440111/15 11/02/COM/WEB) 1:�Building�PermitslBUP-RESPermitApp.doc 02/24/2011 { ;tea 1 —i•.••••.mmmmm•mm•im•mmmm.......______Mechanical Permit Applicatio43 L„,lEccrV up. City of Tigard Receisod Peintitt40/14(720/6 cogri 13125 SW Hail Bivd.,Tigard.OR 9,7y_23 FEB 03 2016 pi:lttevr.i. Phone: 503.7181439 Fax: 503.598:1960 Date/By Oiher Penn& [Invent ctrt011,4L,wiwne:tialir3d.639e.40v175 Date v- Jo CITY OF tedeadvq,41;;d: dy See Page 2 for BUILDING Sopplementel Information ::':?"'Yttit4ttitttt**E* :Elr:iii'"atVitt0.thS;ti'' --''' Mechanical permit fees*are based on the value of the work El New construction 0 Additionlaltera.tion/replacement perf'orrned.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials_equipment,labor,overhead,and profit. Value:S jYrAtV'gi,n 4 ;i ‘4•' -and 2-family dwelling 0 Commercial/industrial 0 Accessory building. For special laformatian use drecklist. 0 Multi-farnily 0 Master builder Other Description Qty. Ea. Total ' Heating/cooling: • Airconditioning F 46.75 Job site address: 1g+-23 LC) ckjk.4) Furnace 100,000 BTU(ducts/vernal 46.75 City/State/ZIP: 1( ‘"\i) 0-0 0 0<fiC) Furnace 100,000+BTU Kluenivents) 54.91 lieu pump 61.06 Suiteibidgiapt.no.: Project name:River Terrace n Duct 23.32 ICross street/directions to job site: Hydtonic hot water system 23.32 Residential boiler(radiator or hydronk) 23.32 Unit heaters(fuel-type,not electric), in-wall in-duct suspended,etc. 46,75 Flue/vent for arty of above 23_32 1Other 23.32 Subdivision:River ' Terrace Lot no.: t.\7----- Other fuel appliances: Tax map/parcel no: Water heater . 23.32 Gas fireplaceinsert 3339 Flue vent for water heater or gas HVAC fireplace 2132 Log lighter(gas) • 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chirrincy/lincriflueivent 23.32 ; Other: 2332 Environntental exhaust and ventilation: Name:Polygon Range hood/other kitchen eqUiMent 33.39 Address:109 E 13°'St.Suite 200 Clothes dryer exhaust 3339 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(425)506-7700 Fax:t. Atticicrawispace fins 23.32 rg, Other 2332 Fuel Pining: Business name:Apes Air LLC 514.15 for first Four;$4.03 for each additional Contact name:Staid.Hay ; Furnace.etc. Gas heat pump Address:2210 W.Main St.Suite 107-272 Wallisuspended/unit heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)342-8109 Fax (360)326-1769 Fireplace Range E-mail:statilngapexairro.com Barbecue - Clothes dryer teas)• Other. Business name:Apex Air LLC Address:220W.Main St.Suite 107-272 Sobtotal City/State/ZIP:Battle Ground,WA 98604 ;Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(.360)3424109 Fax:(360)326-1769 State surcharge(12%of gennit fee) CCB lie:203034 . TrOTALPEItMIT FEE # This permit application aspires if apermit - - - isnot obtained within 180 days after it has been accepted compitte. Authorized si• eZof A f_...„...e/T;; Fite methodology ad by iri-County Building mousey Service Rood Print name:Staci hay Date:I/2812016 1 I w.vitcrtnte,PcnniteMEC PeemitApp,040113 doc 44-0-4617T(I 007.-reddAVIE13) I + • , - Eie tr)im pei.,....._ nt ii.....A EcEiv sr( - ... , City of Ti.g. 621—i1B1 A=rmi'Vlf .. / .. . i..-.,.r., 13123 SW Rail Blvd.,Tigard,0R 0122-1 9 n i ,...,, iir. Phone:SO2.718.2439 DOC 503.399.196D FEB 0 3 Li,. .,,,,,,,..yt ' T ' ..,,,D laspaalion Linri 303,639.4175 134151rDislealst l'oric r9 Sto kogol rot- , Internet:unmer.tigmd-ocgov ciTy OF riGA, ,. - ttleod: Aopoistoltot•al intormeti.on I .-P,,k fiv,-,„Ii 4,1 i a i n _ , . ;-- i,., ,,,,,' 'ftifAntrov-•.-:;1.7-:;.,.,- , a i'.4tiv'tiOn.a-irdetion 0 Addifionleerationtr:7 nonmetal Please cheat ail nod opal.),tsehmit2sets crPleessWiturn checked): ' 7 tistivice at(seated&waio prelim CI nak ...owi,t. , 0 tiernoOtino. 13 Other * where theavan.Osk fault conerit El shrines erre hosnw4s• 7 #10.117it.t:O1?'G04131TITICTION 7 ' exceeds 100tnamps el 150 volltor il Ac11111.011u114410s- 1 E",!1 I-and 2-family dvrelling 0 rontinercialtutdustrial 0 Accessory building iv404 in0.490.or monk 14,000 I:),coorto4rok4-use sec/kora! f amp:Ewen other install-silo/is. hoilding.s. 0 Muhl-6°111Y CAasrbxlde0,Other: ogyyT[ON i steATION 0ElFilepe tuep.s,s . 0 hIsireanedl'tteetipoaareo. tfelty sdetzrivveArl cr DAdditiot,of now-motor load or 4014m. , Jab 0: lab Site address: l''' I , 1 .f'... 100liP OrMOW. • ', . , occupancy. 1 CiryIstaretzlp:sherwoo(i OR 970,10 0 ai*°''axle residen'Lli'6'35, 0 iteutti-care reef/Idesormate than, altettLAtianal vehicle palm. /kvoltage f .,' SllitdbidgAPL 01 I Ptojaat norm: 1114*""1"319catims- 0 ook Cross street/directions to job site: Fril SetigPila- ... .0„,E304,48trvken:abovewreAdsq.'4.1:M" 9'4"1:-on,1"vw17.7.: 1 -roid f ' New residential single-or multtfarrtily dwelling unit. Subdivision;River Terrace ( Lot 4:L '1 Instants attathed garage. 1.000 sq.tt.or kss 160. 4 54 Tax map/parcel#: Eo..otitil 5004 FL OrPortiOn 33.92 1 7 10ESCRPTION OP‘070RIC um-ted, =era residential. 7540 I 2 New Stogie Itamibr Ltwited mew,muiti.amdy 7100 ,.. tr4itiorttull tIvith above sq.IL) 2 Itenewable Energy. LI See.Pnge2 ..,- il°,MPERTP OWNEtt I 0 TENANT • Services ' ' ' or feeders installation,alteration,and/or rekentton Phone:Polygon Orontes 200 amps or less f00.,0 2 - 201 amps to 400 a 123 56 Address:1051E13th St nips - 2 401 1019510 600 amps 200.34 2 City/State/ZIP:Vancouver WA 98660 . 60 1 1 amps to .000 amps 301.04 2 , Phone:(360)698-7700 Over 1 000 ling or volts2 I Fax:l ) , , 552.26 TeMplorn Iy senices or feeders installation,aikration,anti/or Email: relotation Owner installation:This installation is being made on property that I own which is not 201}amps or less 59.36 11 intended for sale,lease,rent,or exchange.according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signalize: I)ate: . 401 amps to 599 ami snips 16954 2 • < ,,,,:,. APPLICAINT I -13 copyrAcr pg/tgori Branch circuits—new,attention,or eTIOISIOA, Cr panel A.Fee far brunch circuits with t Business name:Garner Electric Washington,LLC abovesaviceer feeder fee. 7A2 2 i each branch circuit Contact name;Rill Daniels B.Fee for banana circuits wirhoor service Crfeedea-fee.tint Address:6101 PIE St Iolos 114 56.19 2 branch cirenit City/State/ZIP:Vancouver WA 98661 Each addl branch circuit 7,42 2 MiseellaneOrts faer-vice or feeder:tot included) Phonm(253)320-1457 I Fax::( ) Each.fliantiriactwed‘' rft°dt/T8r 67.84 2 t - dvitlitrtg,sorviceandfor tr-cdor 1 Email:hdaniels@gwensa.corn Iles-oats:or only 57,d4 2 cobritAcrou . Pump or inigclion circle 1 67.84 2 Business naMe:Garner Electric Washington,LLC Sign or outline lighting 67.94 2 .1 Sign4 camings)or linutedransgy ,-,Sec 1. Address:6101 NE St Johns Rd panel,alteration,arm:trustees, " t 1'aX62 2 cityistntetaP:Vancouver WA 98661 Etch additional inspection over altowable in any of the above Ad4twar ilvocoill(1 far min) 66.25/hr Phone:(253)3204657 i Fax: )( h68adon(1 hr min) 90.0,0/hr I 1 Email:bdaniefsftwensa.com Industrial plant(I hr min) 75.181hr , Inspections fin-whicir no leo is CCI3 Lie,; CUSS I.Eientrical Lie.'208174 I Stipry tic.7 4496$ sP°3ificallY Ilsted(th' 4) $°`°°114' I i ' 'D t.„„ , .4 • :EttertiltAL,PE_PAnT,vris, suPtv.Eleettiolail signature,required: k it , i7kr,A._"1.. Subtotal; -r Print name:Joan P Albert - ' Date:all ftto (eil omen Revie%v Required(25%of pm*roel , ,,,....-• $10101414)argo Illit 0fPeiniii tee): Ailiblifized Sigaatilre:-'a,'--:------• TOtAL PERMIT,PEE: P . 1 Thig permit xpoirAtioa=OM Ws netsurfs nor obtained-11411th,180 Print natne: Bill Daniels I Date; k cjap li 4,..ater kilos beta acceple$as complete. I liorollor ofinsptetions alltawed per permit 6 niatatePtin*.MC,„teintilitop ELR MS*0 Rst,06/1711015 44044i51111,005/002,05/0 i L I I , I , numbing Permit Applieatioic4 1, Building Fixtures city of TigardNOV Received 3 ?016 mitea : Permit Ha':/1.57-20/6. --oe577 n IN...._ 13125 SW Hall Blvd.,Tigard,OR 97223 pato Review Phone: 503.7182439 Fax: 503.598.1910-*- ,1, %„-'1,,,,,', : 't Daten3v: °theft:mit' No.: Inspection Line: 503.639.4175 4.... 1 4 =" , '1 4 ,--',-'..- --P Daft Rmdyn33,.. lark er See Page 2 far Internet www.tigard-or.gov -,. T ' ,''' • vc.'41" Notifie&Method: ,. ,, .. _ So.plemestial Information gi:--.:Z4.:tWIL el New construction El Demolition For special information ase checkrat. Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) ...-.=•.--• ,..t..--,: -- .,..,..2-:..;.-,--,----.÷0.-÷-.14-- ''e.. ;. :,-:---r.:14-,,--:`,">12---"z-t-r ; -4•.:' •-''''' ' SFR(1)bath 312.70------:a-- -.,---,i".. ....111,..t4 1- II,',.:4'Ls4:-, -..t-,:,..`‘'.':4--4',c.:::.4. •...z.14: SFR(2)bath CI 1-and 2-family dwelling II Commercial/indnstrial 437.78 SFR(3)bath 1 500.32 El Accessary building E]Multi-family Each addititmal bath/kitchen 25.02 0 Master Wilder El Other: Fire sprinkler(.____sq.ft.) Page 2 .•?,--?•:.";:;::".-::1..2,;.-4::',';'-':-Ifti".5:r.-,I ri6tr-'4,'-4;:rclret','-rgc.Virrry -dlirt:SA.111471'.::.':-." :?--4,";t:-7-4- Site ndlides: Job site address: I 72:13 SW C,r4„„nitrA- Lia\o„ Dowattadtbas:neacohratealine,dzain18.76 or trench drab 18.76 City/State/DP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 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 Lot no.:LI 1 Water service(no.linear ft.: ) Page 2 Subdivision:Northwest River Ten-raceLotor item: BarJrflow preventer \ 31.27 Tax mtqi/parcel no.: 12.51 Backwater valve ,.-:---7`--,„ . -,- ,...JL't•-. r,--„,--..:7----,,,,.-'-t-'-‘,,,`A-,::•%:,:1-'4:4"-',-.. -'4Ii.,.',. :-;arZ.L., '.,,.:--'::. clothes washer 25.02 AWOLC- DUI:masher 25.02 Drinking frnmtain 25.02 Ejectors/sump 25.02 f 4......''..;,':,7r-T-17-;:. --:',4,-.--'-7-v.;;. '-..-:°1::::-;:f..,P,F,,•,.. .',-.F3.:-. .41.-5-°;if 1:-.:""''--'41-t-::'‘ ."-:'t- 4':-• EValainn lank 12.51 ; - - - --',. ''3 C•x:4 t?-1....!<1,4AIL::: .•.... 1,1.14•TY, 1%.'+.7 ,,z,- 1.,-,f4 :-. .h.rt,s, 1. _, ... ---......t... p Name:ADPL Land holdings,LEC Fixture/sewer ca25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doublet:tee Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 •Phone:(602)694-4031 Fax:( ) Ice maker 12.51 1,:kt..',')..4i. -- I);17::17;; 't-. intercel3brigrease tral) 25.02 • Medical gas(value:$ ) Page 2 Business name:William Lyon Homes,Inc Primer 12.51 Contact name:Angela Grajewsld Roofdrain(comnierttitd) 12.51 Addmsc 109 East 13th Street. Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 93660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)6934442 Tubishowesishower pan 12.51 E-mail.Angela-Grajayski@polygonlionies.com Utinal 25.02 25.02 • -.-4:- ' -,: LI -' ' •..,-.!) :"...;,..s.,Iir-,t'!.1',.0u, "'"" ?-.7.=--:.....". e. '1--,-,-.. •A water heat, 37.52 ' Business name: G44 k)kiti ' *A.-Crr-SO'Afr f-1-46-- Water piping/DWV 56.29 Address: P.O. „ 01A Other: 25.02 My/State/DR 5T, e4)444 oft_ 41113-7 _ Subtotal • PhoneMahn=pemdt fee: S7230 :(514-84t- 1411 Fax(Gil V•••lai-ir"To CCB Lie.: igl .31aPlan review (25%of permit fee). Plumbing Lic.no.pb wt.! State surcharge(12%of permitfee) Authoriied signature: Z:tirk1 .118.6)11} ••----..._. TOTAL PERMIT FEE A I i This permit application emires if a permit is sht obtained within 1110 days Prininame: Stietif_ iki)lice__ Date:2'''sit7-I la atter it has been accepted JkS complete. *Fee methodology set by TA-Comity'Welding Indostty Service Board. 1:tEitu1ctrePerraiisWLASU-PalmitApp4oe 10/01/09 440-46162(10/02/COMAVE0) .s City of Tigard N . , . COMMUNITY DEVELOPMENT DEPARTMENT T I c A R n Building Permit Review — Residential Building Permit #: /757-,20/6 6 0 5 2 2 Site Address: /9Q7- so -c--/A.,,, ...6L .,,,k7 Project Name: le/ver "Ten-ro c ilDar4i& ' /- Lot #: 2,- - (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: At0 Verify site address/suite# exists and active in permit sem. yt 11 River Terrace Neighborhood: ElNo LP" Yes,See River Terrace Review Addendum Attached Sit 'Plan Elements: VI ree(3)copies of site plan .'� 'sting structures on site opplan must be on 8 1/2"x 11"or 11 x 17"paper 1 Footprint of new structure(including decks)with finished raven to scale(standard architect or engineer scale) i•or elevations orth arrow Ti tility locations(required for new,may apply for if address,project or subdivision name and lot number Ili additions) cation of wells/septic systems pplicant information(name and phone number) Il Ndsting trees to be retained with drip line,and tree Lott dimensions and building setback dimensions to otection measures Lot area,building coverage area,percentage of coverage and q/Js eet tree size,type and location P ervious area(applicable if R-7,R-12,R-25&R-40) treet names Property corner elevations(2 foot contour lines if more than lftn4 foot differential) t' P lean Water Services—Service Provider Lett r(lot platted prior to 9/10/1995): /equired: E Yes,applicant was notified No Received: E Yes ❑ No ILJ Public Faciliti Improvement(PFI) Permit: Required: es,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake LZnd Use Case#: Pi- /a2 C- �S' 7S—= Roning: /J? U equired Setbacks: Front Rear 0 Side Street Side Garage v Landscape Requirement: &O % Vof Coverage Maximum: Building Height: Maximum Height — Actual Height cW 1(p)1 ( j,"tsual Clearance l Easements 7.1ensitive Lands: ❑ Yes CI No Type rio Urban Forestry Plan ❑ Conditions "Met"prior to issuance of buildingj )) �permit Notes: 0'n Gild t C' // �9P rh)2 C1r.. /- J czair,C Approved By Planning: _ �' A" Date: .ipi , 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 IP a Building Permit Submittal Original Submittal Date: �/3//, Site Plans: # 3 Building Plans: # Building Permit#: Er-Enter building permit#above. Workflow Routing: er Planning ''Engineering E1.--Permit Coordinator g- Bhilding Workflow Sign-off: ErSign-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: ...&,,c/--ffj/o--ke...—_ Date: 4;1A..3/4:, Engineering Review Slope at building pad: 0....7A -_- ❑ Conditions "Met"prior to issuance of building permit •--3' �c�,% r1,' L ❑ Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: /42_.„.2? Date: 40.---_,,7— Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review C ❑ Conditions "Met"prior to issuance of building permit p } 3 :2,016 dApproved,NOT Released: , ' 4. ' i °` Notes: �j Revisions (after Building Submittal only) ----g- ,- Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: ' �5 V/ Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: `!•Yes / Tigard Trans SDC: ► Yes Parks SDC: (i" es ?ISNOK to Issue Permit Approved by Permit Coordinator: Date: /// V// I:\Building\Forms\BldgPermitRvw_RES 091216.docx City of Tigard 11111 COMMUNITY DEVELOPMENT DEPARTMENT River Terrace Building Permit Review Addendum TIGARD Building Permit #: .5 j /e _Oc1 ' 7 7 Site Address: /9Q-3 S ) '/a /Zoite j ,e/v'r� --pro kb t, s Y/ Lot #: 4 _ Project Name: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist. t Design Standards (18.660.070.1): Is thep roject subject to the plan district design standards? IG Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing façade 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 Gabled dormer Porch min. 5 t. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide ElCiEl ❑ 2.Eyes on the street: a minimum of 12%of ea h street facing facade must include windows or entrance doors. Percentage Shown: Q3. 4/0, 3 . ntrances:At least one entrance must meet both of the foll • g standards: iParallel to street,angle no more than 45° from street, Max. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch: IYes El No If s all the following apply: rie5 sq.ft.min. > ne street facing entryvi ft.max. roof above floor of porch 5 ft. de th min. WCJ 30%min.porch roof coverage p 4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ all offset min. 16 inches ❑�ormer min.4 ft.wide Roof eave min. 12 inch projection ( oof 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. ❑ orizontal lap siding min. 3-7 inches wide ElAccent siding min. 40%of street façade l 'Window trim min. 2'/2"wide by 5/8" deep El Window recess min. 3 inches for all street facing El Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access El Attached garage is 35%or less of street façade 5. , • • -s and Carports:May face the front or side 1 t line on a corner lot. Setbacks: No closer to front or side • • than longest stree -facing wall. • es ❑ No. If No (Check one): El May extend up to 5 ft.if there is a co, •• front •o -- nd garage does not extend beyond the front porch. El May extend up to 5 ft.where the garage•• ..s t o •-story building and there is a window at the second story above the garage that faces the str•• + th a min. area of 12 sq. Width: (Check one) El 12-fo• ••••e garage door El 40%max. of street facade .F.: 1%max. of street façade with 7 detailed design elements Notes: L. Approved By Planning: _ C �'� Date: --llielke-- I:\Building\Forms\B1dgPermitRvw_RES_RT_o62216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17273 SW GRANITA LN, SHERWOOD, OR, August 8, 2017 at 12:59:31 97140 PM Record Type: Record ID: Residential - Master Permit MST2016-00577 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: No A/C 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: 17273 SW GRANITA LN, SHERWOOD, OR, August 9, 2017 at 9:10:29 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00577 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17273 SW GRANITA LN, SHERWOOD, OR, August 9, 2017 at 9:15:12 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00577 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 Moisture barrier acknowledgement 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