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Permit (102) 0i CITY OF TIGARD MASTER PERMIT t 111 COMMUNITY DEVELOPMENT Permit#: MST2016-00581 Date Issued: 01/30/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106D605100 Jurisdiction: Tigard Site address: 17317 SW GRANITA LN Subdivision: RIVER TERRACE NORTHWEST Lot: 51 Project: River Terrace Northwest, Lot 51 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: 24 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: $232,226.19 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 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: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 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 Fire Rated Eave 3 plywood both sides of shear wall 2P3 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,563.98 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 0 A R 952-001-0190. 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: Ail . �fA Permittee Signature: U Pe./61'7 4.77Cr" " 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. ' ' .�/ ` lication Buildin¢Permit APP rola o€�lcr_ l SL o�,40 -� -a s&a.-2i''"''''....:1;;.:2.;"11'.01' .,r..1,-L-4. A RECEIVE �,/� Permit N iC �7 rt � W Ci of Tigard FEB 3 �} +� P��7�3 W �i6-�"` �aP�%,Ik',�G/�es' `���r' 13125 SW Hall Blvd.,Tigard OR 97223GD `-Q`6 DateJBY �z Z //4' 7' III .`A, -Ruiz. H SeePage2ter Phone: 503.7182439 Fax: 503-598.1960 TIGAAR P ate.as Memo&//Z3//7 I supplementallnformatton lnspex'on Zme: 503.639.4175 BUILDING i OF TIC, ,RI-) Internet www.tigard-or.gov �?����9 p'A� �I �' * =G w __yu�_s-� - '_--r--:----- ^ Permit fees*are based on the value of the work performed _-" o-n- 0 Demolition Indicate the value(rounded to the nearest dollar)of all ®New construction equipment,materials,labor,overhead,and the profit for the ❑Other ' work indicated on this application_ _ ❑Addition/alteration/replacement „✓ u r r Valuation:.Ri ' 3 $ ” refs ��.. P ® �,.�,. :. � �. r<, .,:> .>,,.-�v,. "°`.. '� - _ '. '710-11 r-^ ` . ❑Commercialfmdustrial ✓ ® 1-and 2-family dwelling Number of bedrooms: L a.3 .% 1).. • 0 Accessory building 0 Multi-family ulti-family Number of ba throoms: 3 0 Master builder ❑mer � l /-,'- 2 F fs a } c T - =s1TNoawldwelling oarfefloos:��5 square feet Job site address: 7 Ll/ N,,j ' CyarageJcarport area / square feet City/State/ZIP:Sherwood,OR 97140 ., square n 4 feet Suite/bldg./apt_no.: Project name: ti Covered porch area square feet Cross street/directions to job site: Deck area: VD Other structure area: ', square feet Lot no.:S'/ Permit-fees*are based on the value of the work performed_ Subdivision: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the Tax map/parcel no.: '� worindicatedon this application. S _ _m.,, _-- Valuation: New Single Family Detached Construction Existing building area: square feet New building area: square feet 'Z'.. -, Number of stories: ...>-=�--- --` Type of construction: Name:Polygon WLH,LLC Occupancy groups: Address:109 E 13th Street Existing: City/StatefLIP:Vancouver,WA 98660 (360)695 7700 93 4442 Phone: Fax(360)6 e r s New: ,.gy - , Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13th Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount receive[: Fax::(360)693.4442 s I .., Phone:(360)695.7700 ,-„ • ` d installation of E-mail:waggle Bordon@polygonhome- con Commercial and residential prescriptive .� ��- � ,1 u _= ,• roof-top mounted Photovoltaic Solar Panel SystEm- Submit two(2)sets of roof plan with connection details Business name:Polygon WLH,LLC and fire department access,along with the 2010 Oregon Solar Installation S. tial Code checklist. Address:109E 13th Street Permit Fee(includess an plan revireview $180.00 and ad roefees City/State/ZIP:Vancouver,WA 98660 $21_60 Fax (360)693.4442 State surcharge(12%of permit fee): - Phone:(360)695.7700 -- —$201.60 Total fee due upon application CCB lit.:207247 permit is notpbtaiacd This permit application expires if a p tcd�con tete. Authorized signature: 19 within 180 days after it has been accep p *Fee methodology set by Tri-County-Badmg Industry Print name:Maggie Gordon Date_12711/15 Service Board doe 02/242011 440-4613T(11/02JCOM/WEB) -- I:�Building�PermitslBUP RESPermitApp- Mechanical Permit Application 111111111111111111=1111111111111111111111 City of Tigard ggCENLE°17) Itce.:avedy, p.it 1,40,-/S z /6-.190_5--e/ 13125 SW Hall Blvd.,Tigard,OR .,,,,, Ran Review ' to, Phone: 503.718.2439 Fax: 503.598.IGAIEB 0 3 2[11 ) DziieiTty: Other Pennit 1 1 , , ., inspection Line: 503.639.4175 Date Readyllty: Jorit- ' fd See Page 2.for Internet: www.ligard-orgov _i Notifiedlhieshoci; SoppIensental Information -,,,-,-;,.. .:,,,,,,,•,-,-,-„1,,;,---V.is," .-,,••, :fill-,Vat4„,Wt:la."-,7,;-.J*,,a4.':'4--:.f!E',i.,:z;:;.,i!i.',',;.;..'Z.;:ati:Nc,4,k:'-,Z.:,'i-Ve,4''..,',,',,„ •-•;i ;.,c:,..0,L,4„'....it,R: Mt;,.. ..', :,10,t:41,17.11V-2'0.4:*,..42:2,','.: Mechanical permit fees*are based on the value of the work Egi 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. ' Value:S '''''''''''''-2 tiffett/it' '-'17'i ''-'--a',4Z-a''''''t'"'-. -"Str4-A-'4.441'ielt'Z'fv4K-M,IV.I.M.: , ...;.,,,,:,,,,8,...,::„..g, ,,,:.sfii-., ,,,,&:,tii??,,,,:-,,,„::,,,,,,,„,„,,,,,„,,,;:,,,-,,,, -.t.,,,,,,,,,,,..;„,,,,,z.„,,..,`„„,,,,,„„.:,,,Att ).-. ..02tM.,,,re,"-F0aa',..Psik 4,,i,..2 .-ft-la,'-';‘;'•:-.'-',"ir, iI.:41'.',, !°)zlacso,',,kwl,..-7-o,-7. 23 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far special informarion use checklist El Multi-family 0 Master builder 0 Other Description . Qty, Ea. Total He*tingkcmting: Air conditioningI 46.75 Job site address: ti")j;r 5/ ) qAciti\Ala . Furnace 100,000 BTU(duets/vents) 46.75 City/State/ZIP: ( crDQA, oR Qq-ttic_) l Furnace 100,000+BTU(dam:Axon) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: —1 Project name:River Terrace n . Duct work 2132 Cross street/directions to job site: flydronte hot water system 23.32 Residential boiler(radiator or r hydronic) 23.32 1 Unit heaters(fuel-type.not electric), in-wall in-ductsuspended.etc. 46_75 i Flue/vent for any of above 23.32 Other 23.32 Subdivision:River Terrace Lot on.: t Other fuel appliances: - . Tax map/parcel no.: , Water heater 23.32 ,-,...e,6i-.7,,„;,,,i2„..i..i,:,„.an„i,„, ,,,--v.„,,,,,.......4z.,, ,z.,, 'T,..,.,,:..'''."':'.:;-.-1*--t,tg,":'f-''re''l'a.'''..,;tft,7:;; o'zl-',4'A.a;i'»i':•" '''''21;1 Gas rwe'Placeihtscrl 3339 , :-.7'`'E.4',,':*.i.-„M-,>:::4- =,'"4'',7'17: '.0" '4"L4'".4./.*,,,,!0°,' I -; .24.,,,, T.','::,',..'--,.,-4:i• -•-.'V---:,-,--,,,r, ,,,itl.:,:__ Flue vent for water heater or gas liVAC fireplace - 21.32 i Log lighter(gas) 23.32 Wood/pellet stove ., 33 39 . Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 2332 Environmental exhaust and ventilation: Name:Polygon Range hood/other kitchen . - equipment , 33.39 Address:109 E IP St.Suitt 200 , Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms. toilet compartments,utility rooms) 23.32 1 Phone:(425)586-7700 Fax:( 1 Attic/crawlsoam fans 2332 :,:tr,iit.-F-.44,0*..;,,,,,,,,,--,i;::,,,t+,----,-.;til,,,•::-.0,-;-.4,,,tiy'1,4"t-,4.--,t,„.:.',...1„.-;-$,..=i,-;t:.," "iit Z".1,4-17,42,-,,,,..''';.- ",.7".'4,1tv:'-',1„,,;,.:,:q other 2332 ';',--,..,:ft,:4,,'-',10! tr/lIg,i,lkii,:i;V-..4ALI.Lesie .t.- 11VAI,4,1•Tallitall=-N:zii3O.... 21.---44c.1..--1,..,..a-,-', .1 Fuel Plaint= Business name:Apex Air LLC , S14.iS for first foam 84.03 for etch additional Contact name:Staci Flay FtIntiltte.etc. Gas heat pump Address:2210 W.Main St.Suite 107-272 Wallisuspended/unit heater City/State/ZIP:Battle Ground,WA 98604 , Water heater . t , Phone:(3611)3424109 Fax:,:(360)326-1769 Fireolace . , . - Range E-mail:stacib(g,apexairro.cons Barbecue ,''''..t''. 0''',' ',.:,044'-',°1,'-',..i,g'''+'' Clothes dryer(gas) ,,in-t,,,, e,--... .'"'"e',•Xt-m.,•,',:-.:'''t.„it.:Ittiz,w,w,,,,,,-z-:''''''''''''' ,'''.'4,tk'''',',*''',''''',.';',,,,r,.......,„,‘„,,-,,,,,,r,;.,, ,,,,.,,,,,,,,, Other Business name:Apex Air LLC - r rrt--;-- -177-,:l ::'''' '1''' Address:220W.Main St.Suite 107472 , Subtotal City/State/ZIP:Battle Ground,WA 98604 Minimum permit fee(590.00) .... Plan review(25%of permit fee) Phone:(360)3424109 Fax::(360)326-4769 . State surcharge(1214 of permit fee) 1 - CCB lie.:203034 Oi '' -- - , - TOTAL PERMIT FEE This permit application/aspire%if a permitis not obtained within 180 / 3 . , days after it has been accepted as mamtete. ,ir Authorized sig -. , ' fl, ..-, . * fee titeibodoiegy Set by Tri-County Iluildin Industry Service Board 'I ' , Print name:Staci hay i Date:1/28/2016 i I I tassilefinliPtrmitelviEC Ja1itApp_046113 doc 440-46t7T{IIWATIOWEa; I r D i 3 y of„j,gatard FEB 3 2016 i jj U 125 SV311till tvd,7"rvard,OR 97223 Dewitt. Permnl'4' S R .; �dIP Phone'503718.2439 Fax 50: Plaa teids+v Inspection Linen 303 63 4173 9 L � � L s ° Related Pamir R TiG 1FW aoiti Darel8, rusts! $c�Prier,3ret Interne-mvw oL'ov s Net; �tJ 1�E�?�1�S� �� �� � � � �5vpiticorsrtaf turorn5seno ' _�.."-1%,.,,,,,. yr oar 'a1S. ,,,., '• -'• l°l. `e Elsig11z`i {j 1 £ it/hely coi ii,ction QAdditiawa�reratioWreplacenie2t':. ,rod.4664/,aUlhatapPbrOib cit2szts afPda.s Witems 440,6 ; I-1 Demoliftoii Q Other: trstrncia,r�a,r40O amps at tn� CI!u. Rirovera sins. It . .._ ' tTAVO cull's ., " where lheavana$te raultuunsnt 17 totiitat tostyuds. : ` �; emwXsiaooD,mtrpsarISO icnsor Qplepiingt?undisv. tt 1-find 2-famjlydwelling QCommerciatfihtdustrial 0Acccssoty'building lessragmwrd er 14,000 0tommets 3-auagrIcutturai Q 11,11181-Sirill �-y amps for aU oiju,,i.tetJ$wO balydiaga. Y i.J teraater bn�der Q other: Qfuapume. El lestoitofiou uf156 KVA or t ' SUS s i'g,S ©00,10N AND Weaklier 1:1Emer yspatem. larger I " geraepzrate}yde. .10b#: Job Site address* ,, ,� DAddition of new,motortoad or system. ( s ' . - t4l2iNParmors C3 A;"E ^L2',.1-3", City/State/ZIP:Sherwood OR 97140 s x a more residential suits osempmncy. Li Malik-caw facilities. . El amreatitaielw tide padts, Sniic/bldg inept# II'roje-ct name: [71ta: uc tozatio Cls ty,eiraaa&,rmo st a, Cross streerldirectians to Job site: 0 service ar feeder 600 amps or more. 64o**11,1111,11494. a saipdad I Ob.I seta i 1 Tete 1• I, New residential single-er multi-faintly dwelling wit. Subdivision:River Terrace Lot fil<-51t Includes attached garage. Tax map 1parcot it: 1,000 sq,it or less 16L54 4 013f '1PTl(2J I ke oiorf Ea,mtd`t 500 sq.fr.erpmrian 3393 1 Limited energy,residential New Single Family (with above sq,lt.) 7500' 2 Limited energy,'multi-family 75:tr0' 2 r ts' tial(with above sq.R.) n.AiffyN 'iG3kT Renewable Enerser JD Stehle .i " t U; tM Services at-feeders installation,alteration.and/or rtlocation 11ame:PolygonHomes 200amps arigss 100,202 .Address:109-E 13°'St 201 amps to 40p amps 13356'. 2 Ci401 amps 10 6500 crops 200,34 2 ty/State/ZIP:Vancouver WA 98660 601 rings to 1',000 amps 301.04 2 Phone:(360)695-77,(.10I Fax:( ) Over l;000 amps or volts 55226 7 Bfnail: Temporary services or feeders installation,alteration,and/or relocation O+vner instaRntion:This installation is being made on property that I own Ivhich is not 200 amps or less5936 i intended for sale,tease,.rent,or exchange,according to ORS 447,449,670,mid 701. 201 arum to 400 amps 1 125.052 Owner signature: Date: 401 arr4rs to 599am t 08.34g APM[CANT ] �1y y ?EnosBranch cireults--mew,alteration.or extension,perpanrl l3usinessname Garner Electric Washington,LLC A.Peeforblsalchcirwistrlth $19 t abomserviceorfeeder£ee; 7.43 2 ;; Contact name:BID Daniels hair branch circuit 13,Pee for branch circuits aair7,oxr Add=6101 NE St John&Rd service or fender fee,first 56.15 2 branch circuit City/State/ZIP:Vancouver WA 98662 Each add''btaoci circuit 7.42' 2 &liscellaneotm(service or reciter not Includ s Phone:(Z53)320-1657 [Faxx::( ed} s Each manulhcaued ar modular Email:bdanIels{rr gweuaa,.com dsvtllin&s4rvicer ml/or feeder67.84 2 GU147#lA['CttR iteconneet only 6714 2 Plump or irrigation circle 1 67.84 2 } Business name Garner Electric Washington,LLC sign or outline lighting 6744 . .2 Address:6102 NE St Jahns Rd Signal etre-alga)or Bulled-energy g panel,atttsa$aa arextion t3 See 1'a t2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over:llowableinany eftire ab*ee ( ) ArAdditional inspection(I hr mitt) 46.25/hr ' Phone:(253)330-1657 I Far 1 , drstijr,,0an(t hrmin) 90pp/1tr : Email:bdaniels@giveusa,cotn Industrial plant('tin rola) 7/11S/hr inspections Orr'ptsiohne feels p0001hr CCB Lie,; CI x58 1 Electrical Lic.: 208174 I Sttpry Lie.:44965 spt sifcalty listed 05-lrr'min) f Story.Elechician signature,required: r CTR1GAt t'�ItA�tt7 ) tj$, .12111/1 i ( /�,y sablotat. Print name;Joan P Albeit Date:at ( iw p Wan Review'Required I of 1 �iti t pennitreeX a State sg tge(12%of penult.fee): , Atuhorized signature: 7 •- TOTAL P!RMII�I EL': Print name:Sill Danielsibis Frtatlf a...ani It resmtnsiteplad as met-obtained thin tap Date: ������� � dnyiatlrFtthasbran secephdascomplera... - t yl>srndtr7EY.0 77 ' Numberorhupections allowedperpemut,. �... �xhi9!a41t_i a£,d44 Rot ebPr7.`Io3S a4a,4msitr4bs,ceeow:aa I i 1 1 a 1 4 Plumbing Permit Application " Y. t ,,r ii - Building Fixtures City of Tigard N 0 V 3 ?616 . ee's-cei 13125 SW Hall Blvd,Tigard,OR 97223 p�R f Phone: 503.718.2439 Fax:503398.196Q r w; 1-�i r ••;a) DauJBy Other Paula 11, .,x I, Inspection line 503.639.4175 `_.. .": ,Daie Readyfar tune iii See Page 2 for Internet:www.tigard-or.gov ;Bed/method: , 4 x- s. cam �` For syecial irsfarmarion use chj ckfs�G el? New construction IIIDemolition Description I . I Ea. I Total Addition/alIIII .. ,. • New 1-2-family dwellings{includes 100 ft.for each utility connection) ' tt a5, rSFR(1)bath 312.70 � •� � �a �+� tee, .., f r. - SFR 2 bath 437.78 El? 1-and 2-family dwelling ■ Commercialfindustrial { ) _ SFR(3)bath El Accessory building' II Multi-family ++ Each additional bath/kitchen 25.02 ❑Master builder •Other: Fire sprinkler( sq.ft.) Page 2 C,rtt ,q � � ` �7� +�[ � x bs� r� � ��. i 3ftrntltitks: '. ►r/�- l�A,r�,� Catch basin or area drain 18.7b Job site address: 131 S City/State/ZIP:Tigard,OR 97224 Dlywell,teach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 SuiteRbidgfapt.no.: I Project name:Northwest River Terrace Maue+facAued home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear it:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear f. ) Page 2 Subdivision:Northwest River Ten-race ( Lot no.: ' Future or item: Tax map/parcel no.: Backflow preventer31.27 Backwater valva I 1231 Clothes wasbrr 25.02 U\ t `^C h C--S r . Dishwasher 25.02 J Drinking fountain IIII 2.5.tn Ejectors/sump 25.02 ; , tank 12.51 t Fixture/sewer cap + Floor drain/floor sink/hula + 7600 E Doubletree Garbage disposal 25.02 Scottsdale, Hose bib 25.02 Phone: irillil Ice maker 12.51 � " s`+ .`1 Interceptor/grease trap + Business William Medical gas(value:$ .) Page 2 Primer 12.51 Contact name:Angela Grajewski Roof drain(co cial) 12.51 Address:1(19 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP: i Solar units(potable water) 62.54 .wt(360)695-7700 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:Angela.Grajewski@polygonhomes.com Water closet 25.02 56.29 Business name: 3 v� '� 1 ` ' n 4A4*— g/UWV Waterpipin 56.29. Address: p.6. 6'0➢, Qi, Other: 25.02 City/State/ZIP: 5T. ( -ills/ Subtotal Minimum permit fee:'$72.50 Phone:C1)3 j"'� " 144 " Fax (G{r? .."*t ' ,} Plan review(25%of permit fee). CCB Lie.: iO I3, Plumbing Lie.noir (tall State surcharge(12%of permit fee) Authorized / TOTAL PERMIT FEB Print e: 6,SVC JV>t kr Date -'3+8—I b This permit appticatmn tezires its perank is not obtained within 110 days atter it has rata accepted as ramplet,e. *Fee methodology set by Tri-Conaty Building Industry Service Board. 1:1BmidinglP TLMU-PemtiAppdoc 10/01/09 440.4616T(10102 OMIWEr1) 4 City of Tigard IIIa COMMUNITY DEVELOPMENT DEPARTMENT T1GAR1) Building Permit Review — Residential Building Permit #: /1.-C-7;2 0,4? — o e,...5- ",/ Site Address: /9? C? 9,,,,h La i Project Name: /2.iier '7rcoe, 6dr4 j * Lot #: `j, (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Neto Verify site address/suite# exists and active in permit stem. River Terrace Neighborhood: E No l(d Yes,See River Terrace Review Addendum Attached Si Plan Elements: �'hree(3)copies of site plan 0sting structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished yawn to scale(standard architect or engineer scale) .or elevations orth arrow I tility locations(required for new,may apply for additions) prawn address,project or subdivision name and lot number J i.cation of wells/septic systems J .plicant information(name and phone number) ilfisting trees to be retained with drip line,and tree li '.t dimensions and building setback dimensions plotection measures r Lot area,building coverage area,percentage of coverage and Street tree size,type and location pervious 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) P(lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): iequired: ❑ Yes,applicant was notified SlJ No Received: ❑ Yes ❑ No ublic Faciliti ImprovementF Permit: equired: Yes,applicant was Improvement (PFI) ❑ No Applied For: Yes ❑ No,stop intake and Use Case#: 0/ A6e_ , - �' S-4(6206-=og: Q— (Pb) -Required Setbacks: Front g Rear 0 Side 3 Street Side P�jj Garage 3 Di/Landscape Requirement: © LIQ of Coverage Maximum: &, Building Height: Maximum Height Ay/_! Actual Height aE 10i/Visual Clearance Easements ensitive Lands: ❑ Yes �No Type Urban Forestry Plan ❑ Conditions "Met"�� prio,r to issuance�of building permit / Notes: L.:e" ri C / cros' S)4 1/ ) t�1-.. L / rkr- 7 � pd / 5z4ttce. Approved By Plannin "" - Date: ,LT Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw_RES_091216.docx 00 4 Building Permit Submittal Original Submittal Date: 2, //P Site Plans: # .? Building Plans: # _..1 Building Permit#: E Enter building permit#above. Workflow Routing: Planning engineering ErPermit Coordinator LEL- wilding Workflow Sign-off: L'-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: "41 , Date: A-2-/-73//,‘ ,, r. :.:: ... .;. u -. . Engineering Review ,Slope at building pad: ---❑ Conditions "Met"prior to issuance of building permit „(1,57—.0--/e—j- ❑ Easements (encroachments)per engineering conditions of approval and plat /1 Water Quality/Quantity Facility: ,./e Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approve c by E, :ineering: Date: Notes: :,4).- Ar d . -da :if" Approved by Engineering: ,4. ]) Date: /..Z,---_-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 REEIVED CIConditions "Met"prior to issuance of building permit C Approved,NOT Released: 1E8 0 3 2016 otes: CITY OF TI A D BUILDING DIVISION Revisions (after Building Submittal only) l� 5 fed, Revision Notice 1: Date Sent to Applicant: C. ii Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: — '2;2C/..5- t/ 7 ?(/SDC Fees Entered: Wash Co Trans Dev Tax: Yes ______` Tigard Trans SDC: Yes Parks SDC: Yes (.... OK to Issue Permit Approved by Permit Coordinator: /Wte: //// /`y' I:\Building\Forms\B1dgPermitRvw_RES_091216.docx ir City of Tigard NI III q COMMUNITY DEVELOPMENT DEPARTMENT r c R o River Terrace Building Permit Review Addendum Building Permit #: /%1S7-- (7/-6_, T--Qn. / Site Address: ,//S/? Sit) .P Project Name: giverave'. AJOr ilLe.d- Lot #: S- J (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. ft. dee Balcony w/ access 2 Window Projection Vertical Wall Offset a p ft. deep min. 2ft.,5 ft.wide min. 2 ft.,Eft.wide Gabled dormer ElCICI ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: '3). i Yo 13 . ntrances:At least one entrance must meet both of the foll ' g standards: Max. 8 ft. setback from long t street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes GI If es,all the following apply: Q�5 sq.ft. min. ne street facing entry ft.max. roof above floor of porch 5 ft. depth min. �%min.porch roof coverage 11.r etailed Design:All buildings shall include a min. of five o e following elements on all street-facing facades: overed 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 gave min. 12 inch projection 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. ❑ orizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of street facade Window trim min. 2'/2"wide by 5/8" deep El 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 t • e on a corner lot. Setbacks: No closer to front or si•e • ie than longest stree-facing wall. ❑ Yes ❑ No. If • eck one): El May extend up to 5 ft.if there is a c•, -. front porch and garage d••. • extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part o• . - . --. •uilding and there is a window at the second story above the garage that faces the street with a -. ea of 12 sq. Width: (Check one) ❑ 12-foot- !.rage door ❑ 40%max. of street facade 1'/o max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: , !�► I.\Building\Fonns\B1dgPermitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17317 SW GRANITA LN, SHERWOOD, OR, August 14, 2017 at 2:33:14 97140 PM Record Type: Record ID: Residential - Master Permit MST2016-00581 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Correction complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17317 SW GRANITA LN, SHERWOOD, OR, August 14, 2017 at 2:43:25 97140 PM Record Type: Record ID: Residential - Master Permit MST2016-00581 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. Vapor barrier form received. High efficiency lighting form received. Blower door test report received. Insulation certification checked on blower door test report. C of 0 left on site at kitchen island. Violation Summary: Inspector Contractor