Permit (10) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENTIN
Permit#: MST2016 00564
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/30/2017
Parcel: 2S 106DB 18700
Jurisdiction: Tigard
Site address: 13350 SW BEACH PLUM TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 187
Project: River Terrace Northwest, Lot 187
Project Description: New SFA. Building/Unit 8.3
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height 32 Bathrooms: 2 Second: 562 sf Garage: 453 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 562 sf Right: 0 Detectors:
Total: 1221 sf Value: $161,334.24 Rear: 5
PLUMBING
Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 2 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
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
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 3 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description:
Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SFA VB R-3 1221
Owner: Contractor:
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: $22,693.09
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 95 -,S -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987
orr11.800.332.2344.
Issued By: ®� _. ' ! Permittee Signature: G�A" ,7 /'/['i --770 4`1
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
- t I
Building Permit Application ; ;, 1.1 te 7
* 01*, POR OFFICE I SL O\Ll
Cityof Tigard i I ?II Received
� 131 i`1 C SW Hall Blvd.,Tigard,OR 97223960 PlenRevie��/�C /� � PennitNof��J���--�1�ry_j�, y
Phone: 503.718.2439 Fax: 503.598.1 96, " =_F Date/By: C f ar Pent ie 7/4° 19 73
R 1l Inspection Line: 503.639.4175 Date ReadyBy: (/� Juris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method:/J /2 'S-12-"ft Supplemental Information
/L /1"•16--/E
/E
s„� "H� .,,,6�, -"a'�� c�i�o�`��a&�wa,..�eu '��� ct"'f�T`°d��u���u�`��• �ek� aa��.<;< x '����i'�����^. ..�«s
®New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
w de -s
`� n ;s. r 4-`�`� �.• ;, workindicated on this application.
•, ..y s4W� c � fib. . .
❑ 1-and 2-family dwelling 0 Commercialfmdustrial Valuation) )1, .$� }---�.
❑Accessory building ®Multi-family Number of bedrooms: �Z
❑Master builder 0 Other Number of bathrooms: 2
�n �s �� � Total number of floors: —1 L
6 I t1
Job site address: i` 6 JW & �� Pju-m iO mIZ')
ace New dwelling area: ' square feet
City/State/ZIP:Tigard,OR 97224 l ` 1 r' LI Garage/carport area: LAS/b square feet,r c
Suite/bldg./apt.no.: I Project name:River Terrace Northwest Covered porch area: 16 square feet 6a
Cross street/directions to job site: Deck area: � �1 -'L p square feet 1
Other struarea: 'J2 square feet /
Subdivision:River Terrace Northwest I Lot no.:)tom, Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
-- k a f a .y, t iE work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
• -
• ' Number of stories:
Name:ADVL Land Holdings,LLC Type of construction:
Address:7600 E Doubletree Ranch Road Occupancy groups:
City/State/ZIP:Scottsdale,AZ 85258 Existing:
Phone:(602)694-4031 Fax:( ) New:
;�'.v�a�'Gc :, � , �..� %�.i: � . d �`�•a, ,,:e3abna2S, • ��- d "�s k� .��G w'& K.'e
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:Angela Grajewski
FLS plan review fee(if applicable):
Address:109 East 13`"Street
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Phone:(360)695-7700 I Fax::( ) Amount received:
E-mail:Angela.Grajewsld@polygonhomes.com
a • • Commercial and residential prescriptive installation of
�� .„,,.�� roof-top mounted PhotoVoltaic Solar Panel System.
Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 109 East 13th Street Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
CCB lic.:207247
k(A
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Angela Grajewski I Date. I * d
Boar
n
Fee methodology set by Tri-County Building Industry
I 1 r I
Service
I:1Building\Perits\BUP-RESPermitApp.doc 02/24/2011 4400+4613T(11/02/C lO'M/WEB)
• ;', ..1. ,-,' -i • ,,,.. I
Mechanical Permit Application
I•OR 01 V R I t -.1,tr\t 1 e
City of Tigard aecttved i/t7
'ICI i ) ?0 1 6 D3telibr" Permit No.: v. / ... 4,, 9
11 13125 SW Hall Blvd.,Tigard,OR 97223 `-- - - - ..
Platt Review
e. Phone: 503.7181439 Fax: 503398.1460 ,.., Datesr Other Permit: 1
Inspection Line: 503.6394175 ; ,', '-' ; • , ; ,';,.‘•--,',,, ';'i Dat,Ready/By, Jon*: El*rage 1 tor
Internet www.tigard•or.gov -, . , Notified/Method: Sappleatai Information
C2ii:3;;; ;Ag4tittti0,1g:Alifit: Rj00-::***TAW:41ZAT-:::, ' ''''',t.:::`,.., ''''1:44:004ERCIALI 5CEICr4D4*- 138E;°'Wela472
tylechanical permit fms*arc based on the value atilt work
New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded te the nearest dollar)of all
1:1 Demolition 0 Other: mechanical materials,equipment.labor.lYverhead,and profit
Value:$ 1
V.4°,41tr:it74021',51fE.4:::: **-:LOrrti:Lc#::0*Nik,:,---- :,-Tivixoa--,.:--)"4. --- ' - - ' --- - -- ------ --- ------ ' '' ' -,,, -- '
0 I-and 2-family dwelling 0 CommercialCuidustrial 0 Accessory building For spedat infornwtion usi'cheekllsk
r"Multi-family 0 Master builder 0 Other: Descripdon Qty' . Ea. Total
1
ioPfg*ZA,Lgf:MtIS'::WW*0:*4.'j*WiAI*W*it*:Vft1ikf-i'f:gNW 'i','' ii!allngittgging:
Air conditioning i 46.75
Job site addmss:I 322S-1) SW 1?)ettail P tuini lerieziez_ Furnace 10000 BTU(donevents) , 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(lueteyents) ; 54,91
Heat pump ; 6(06
Suite/bldgJapt.no.: 8. Project name:1 r
Duct work I 23.32
Cross street/directions to job site: Hydronic hot water system f 23.32
Residential boiler(radiator or
hydronic) ; 23.32
Unit hr*ters(fuel-type,not electric), 1
in-wall,in-duct,suspended,etc. ; 46.75
Flue/vent for any of above 23.32
Subdivision:avIr_Tercette. AithatwertTIO:(?)-1 Other:
Other fuel appbanees:
1.0t .
,1
Tax map/parcel no.: Water heater 1 23.32
1:10,14 Ofiti * .:'-''' q":".V.tln,,!1,f' '1''.'"i3',.;,',,,:' Gas fireplace/insert A 33,39
Flue vent for water heater or gas
new home construction fireplace 1 23.32
Log lighter(gas) 1 23.32
Wood/pellet stove .. 1 33.39
Wood fireplacefinsert 1 23.32
Chimney/liner/flue/vent 1 23.32
2332
'AlisSw‘f,-;7, `.1•:‘'11,1,,t4a-4,-`1,;!,.....°:,;.1:.,7,44&:;',-,ttFtt.2'•-tt--7,;:a.tttamt•tet;:=Lt7vtt"it',T-ttC,-,t---tt,'I--5'''':,'"'''t'-:°;.'''':4"'"X't-,- --. Environmental exhaust and ventilation
Name:ADVI;Land Holdings,LLC Range hood/other kitchen
equipment i____ 33.39
Address:7600£Doubletree Ranch Road
Clothes dryer exhaust I 33.39
City/State./ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, 'LI
toilet compartments,utility rooms) r/ 23.32
Phone:(602)04-4031 Fax ( ) Artic/crawlspar.,e fans r I 23.32
0: :***00Vt•tt-- Other ; 23 32
,., •
Fuel piping:
Business name:William Lyon Homes,Inc..
514.15 for that four;$4.03 for Lb additional
Contact name:Angela Grajewski Furnace,etc.
Gestalt pump
Address:109 East 13th Street
Wall/suspentleditatit heater 1 '
City/State/ZIP:VanCOnver,WA 98660 Water heater I
Phone:(360)695-7700 Fax::(360)693;4442 Fireplace
1 '
Range
E-mail:Angela. rajewski@polygonhomes.eont
Barbecue 1 ,
9fegtti:4!!,r1014;,igribil'7 ‘J.IF7!;:,f7S7,45attttl4g,iiitil.,141atikrr Clothes dnfer(ces) t
Other
Business name:Andersen Mechanical,Inc.
Vicititiriff**7. 0.k4100, 1ktat;;CIA-0
Address:16285 SW 850 Ave
Subtotal
City/State/ZIP:Tigard,OR 97224 Minimum pemnit feek590.00)
Plan review(2504 of pttrmit 6se)
Phone:(503)992,6664 Fax:(503)536-6615
2,/
(------------------------ - ii, state surcharge(12%of;it fee)
CCB lie.:168214
TOTAL PER. FEE
This permit application expires its permit h aot obtained within lite
days after It has bees accepted its complete.
Authorized signature: ' Fee methodology set by Tri-County Bw1din Industry Service lloani
Print name:Angela Crajewsld Date:8/22/16 t
..
IABlillen*PermiteliEC_PermitApp_040113.4m 440463 71-At 1.42ACOM/WEli,
Electrical PermitApplicatiol ' : I ,,R t,I I ,t I I I (1.I ,
City of Tigard Received Etrailiffffil§,172
13125 S W ball Blvd.,Tigald,OR 9712 i,, j 11 %n!i h
Phone: 503.718.2439 Fax: 503.598.1964 I•'..:
Inspection Line: 503.639.417$ Ready D te/ay Sin's w,
Internet: www.tigard-or,gov NotifteddMethod:
iiERII
' New construction 0 Addition/alteration/replacementcheck al �apply(submit 2 has. plans u checked):
0 Service or feeder 400 amps or more 0 Building ova dime atonea
0 Demolition 0 Other whore the available tank current ❑Maness and boatyards
�
s �"e': � , . :
� -; exceeds 10,000 amps at 150 volts or 0 Floating buildings,
"`" �" � � .�,� . _ las to pound,or exceeds 14,000 0 Commercial-useagricultural
and 2-family dwelling 0 Commercial/industrial ❑Accessory building amps far all ober installations bmldinms
Multi family 0 Master builder 0 Other 0 Firs pomp. 0 installation of 150 KVA or
h '� s DErnagencysystaa. larger separately derived
C, ' t � ' , Tom`fit( ❑Addition of new motor Med of system.
Job 8: Job site: %33SD JW t 1`^' IOORPormon. 0"A",'E"."1-2"."13".
City/State/ZIP:Tigard,OR 97224 ❑Sin or more r�dential units. 0 R vehide parks.
❑ ❑Supply voltage for nae than
Suim/bltig/apt #: p,.� ! Project flame:t�`v 14ealth-eare facilities.
i{�a(� 00 Service or f�amps or morn 600 vdra mammal
Cross street/directions to job site: g , ,, -i. .,,. . . 'f.:'''';'-'.-„'"' ..-- .
D.;10... :.. .: 'Qty. Eget Tel
_ �7 New residential single-or multi-family dwelling unit.
Subdivision:.�pc/.e�a(e NV t/ Lot#:/g7 Includes attached garage.
1,000 sq.ft.or less 1 168.54 4
Tax map/parcel# -.,...2..7....: ' . 2.
L .. , .> Ea add'I 500 sq.R or portion t 33.92 I
Limited energy,residential 75.00 2
(with above sq.IL)
Limited energy.multi-family 75.00 2
t residential(with atwve ft.)
Name:ADVL Land Holdings,LLC Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Address:7600 E Doubletree Ranch Road 200 amps or less 100.70 2
City/State/ZIP;Scottsdale,AZ 85258
201 amps to 400 amps 133.36 2
Phone:(602)694-4031 ( Fax:( )
401 amps to 600 amps 200.34 2
Email:
Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.
Over 1,000 amps or volts 552.26 2
Owner signature: Date: Temporary services or feeders installation,alteration,and/or
e�� 77: 71:,,Z.".1,.,,- � v .<._� ,:.' 7s t a ,77, ,: .- relocation.
Business name:William Lyon Homes,Inc. 200 amps or less 59.36 1
Contact name:Angela Grajewsld 201 amps to 400 amps 125.08 2
Address:109 East 13th Street 401 amps to 599 amps 168.54 2
City/State/ZIP:Vancouver,WA 98660 Branch circuits-new,alteration,or extension,per panel
Phone:(360)695-7700 + Fax::(360)693-4442 A,Fee for branch circuits with
above service or feeder fee, 7.42 2
Email:Angela.Grajewski@polygonbomes.com
each branch circuit
3 B.Fee for brgnch cineuits without
�'4 ,._ service er feeder fee first 56.18 2
Business name:Alameda electric branch circuit
Each add,branch circuit 7.42 2
Address:3415 ne 44th
Miscellaneous service or feeder not includ
City/State/Z1P:Immo ori,r 4 l / /07 7,,/,,,/3 Each manuraetra+ed Of modular 67.84 2
swelling,service andior feeder.
Phone:(503)3192192 Fax:( ). Reconnect only 67.84
Email:solarpdx@tne.com Pump or irrigation circle 67.84 ' 2'
CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: i 17/..5
sign o<omtrine tigtuing 67.84 z -
Suprv.Electrician signature,required: Signal circuigs)or timited-enerV
❑See Page 2 2.:,
k /Zda� ) Date: 5-72,_?//.../ panel,alteration,or extension
Pant tenon: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.251 hr '
Authorized to :: %' - -'
Print name:sg �—� �, Dalt �W� -w� Investigation(I hr mm) 90.00'hr
i I Velkil %LC_ 0,e.FREdoc Rev 0/47/301$ 440-4615T{ftin5/COWWeB .. -
Plumbing Permit Application '. °i 3
Building Fixtures
City of Tigard 11 1 1 2;I h R T. brit'era-:7_S C'/6 t34"-S6
13125 SW Hall Blvd.,Tigard,OR 97223 t Review
Phone: 503.718.2439 Fax: 503.598,196o DatelSy; Other Permit Na.:
Inspection Line: 503.639.4175 pate Ready/By: loris: 0 See Page 2for
Internet: www.tigard-or.gov t - r• .. . Notified/Method: Supplemental Information
ac-e;" sr ., �`A 14 o`ts ...4.- tv.;. `,,,Av„ x 4t 3 %.,..,!,,,,1 :.a
►'_New construction 0 Demolition For special iaforrrralioa lift'checklist
Description { Qty. 1 Ea. 1 Total 1
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 IL for each utility connection) 1
t stJ1 �uatBto-
SFR(I)bath 31230 .
,-�' .., ` .. '"4--,''',--".i -.;..�3s `�,.. .a£. ,anY. ....q- x��V• v m ]F_.sw_= s, 31
_ _-and 2-family dwelling0/Commercial/industrial SFR(2)bath 437.78
0 Accessory building Multi-family SFR(3)bath 1 500.32
Each additional bath/kitchen 25.02
Q Master builder 0 Other: Fire sprinkler(_sq.R.) Page 2
. : ,
. ..._1, Site ntildfiea:t , �'_,z ,r t ,4,` ,,.- : ; , ` c
J°b site dress: 2 e Catch basin or area drain 18.76 1
/7 3W J )C1JLL.l 1 1,iwe.firact prywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 l
Footing drain(no.linear tL:_) Page 2
Suttelbldg./apt no: Project name: Manufactured home utilities 50.03 1
• $ 'J /2-4V-CIC I Gr:I�N�
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76 1
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft: ) Page 2
Water service(no.linear 8:.: ) Page 2
ace lvid�_
Subdivision:no- Fixture or item:
Tax map/parcel no.: �� Backflow preventer 31.27
-,,7-:'• r. Backwater valve 12.51
Clothes washer 25.02 '
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
1-',1'1:11:11. . <* a C t
_'' Exansion tank
� was p 12.51 9
Name:ADVL Land Holdings,LLCFixture/sewer cap 25.02
-
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road
Garbage disposal 25.02 :
City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)694-4031 Fax ( ) ice maker 12.5E
�ri k - 4.;‘''''',1,4,c ,'.ii • A Interceptor/grease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2
Contact name:Angela Grajewski Primer 12.51 1
Roof drain(commercial) 12.51
Address:109 East 13th Street Sink/basin/lavatory 25.02 `
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 l
Phone:(360)695-7700 Fax::(360)693-4442 Tubfshowerlshower pan 12.51 I
E-mail:Angela.Gnjewski@1olygonlwmea.cout Urinal 25.02
. q „ ,f - Water 25.02
i--,':-. i _ heater
37.52
Business name:Alliance Plumbing LLC Water piping/DWV 56.29
Address:146 W Historic Columbia River Hwy Other 25.02
City/State/ZIP:Troutdale,OR 97060 Subtotal
Phone:(503)492-3490 Fax:(503)912-64384
Minimum permit fee: $72 50 {
fil,
CCB Lic.:184601 Plumbing Lie.no.:PB732 Plan.review (25%of permit fee) a
State surcharge(12%ofpermit fee)
Authorized signature: TOTAL PERMIT FEE I
t This permit application expires if a permit is not obtained within 180'days
Print name:Robert D soman Date:5/23/2016 steer inns been accepted as complete.
*Fee methodology set by Tri-County:Building industry Service Board
L:Burding'Penmitai'UdU-PenTitAyp.doc ICl/01/09 440-4614T(10/02/COMIWEB)
vs
City of Tigard
n COMMUNITY DEVELOPMENT DEPARTMENT
IN C
T I G A R D Building Permit Review — Residential
Building Permit #: /7S/ , 20/6.) -" .00.3--61--
Site
0.3--61Site Address: S ) 66,c11--
/./In_ f-tc'c-
Project Name: (&vee- . - it t_° it..) ,kt' -- Lot #: /67--
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: AJe& P�}
erisite address suite# exists and active in permit stem.
fY /
River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached
Si)e Plan Elements: 1
,Fin xee(3)copies of site planPA sting structures on site
ite lan must be on 8 1/2"x 11"or 11 x 17"paper II Footprint of new structure(includingdecks)with finished
P P P tP
rawn to scale(standard architect or engineer scale) •or elevations
Vdi orth arrow II till locations(required tcatio sr(eq d for new,may apply for additions)
yte address,project or subdivision name and lot number •cation of wells/septic systems
fpplicant information(name and phone number) €'ilk '.ting trees to be retained with drip line,and tree
t dimensions and building setback dimensions ..otection L,ot area,building coverage area,percentage of coverage and P street tree size,type and location
)43
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)
teliklean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified No Received: CI Yes ❑ No
TWAPublic Faciliti Improvement(PFI) Permit:
Required: t Yes,applicant was notified ❑ No Applied For: 121/Yes ❑ No,stop intake
Land Use Case#: / i .2 ;i Ot•7 c-7 jeff� O/c— (-)(,t�Y2
�oning: �-/ (PA.
1Legu.ired Setbacks: Front /Q Rear _ 5 Side 0 Street Side /\J4q Garage Q0
andscape Requirement: ^ 0
IZ1 pi
Lot Coverage Maximum: 00Building Height: Maximum Height Nip. Actual Height
P isual Clearance
4Isements
f ensitive Lands: ❑ Yes EiNo Type
ciUrban Forestry Plan
El Conditions "Met"prior to issuance of building permit
Notes: 0111 `//`lairs // 11-u2,7 precis 74, pf1121'7L ICC' r.ldr("-C___
Approved By Planning: 1411111111.111nr—
Date: A ,r
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPennitRvw_RES 091216.docx
t
Building Permit Submittal
Original Submittal Date: /0/:...,(A1:,
Site Plans: #
Building Plans: #
Building Permit#: at-n--ter building permit#above.
Workflow Routing: Planning E Engineering al ermit Coordinator Cr-13 uilding
Workflow Sign-off: 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: J 1111
' r�Z Date: / ci P
Engineering Review
Slope at building pad: .....7A
�
------>. CI _Conditions "Met"prior to issuance of building permit T"'„ear-
Easements
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 17 Date: f- .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
❑ Conditions "Met"prior to issuance of building permit
,®'Approved,NOT Released: U C r,,.,,,,,,.4,-, Date: /a 3 -I °
Notes: NO 4- ,.t,lec.3-t.d p_ti I NC, - V- ,- 1A.--14 i((an.
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:
I1 SDC Fees Entered: Wash Co Trans Dev Tax: Ilk Yes ❑ N/A
Tigard Trans SDC: 61. Yes ❑ N/A
Parks SDC: 2'Yes ❑ N/A
OK to Issue Permit
Approved by Permit Coordinator: 4 Date: // -)7
I:\Building\Forms\BldgPennitRvw_RES_091216.docx
City of Tigard
u
COMMUNITY DEVELOPMENT DEPARTMENT
1111 0
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #: ; 7/ -69a5-6 e/ xi
Site Address: / 3 () a...) i Pcat
Project Name: leivP r7:icd-rcoce s td we.47Z-- Lot #: /
(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 the project subject to the plan district design standards?ICJ 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 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6ft.wide Gabled do r
❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrancedoors.
Percentage Shown: Fj -: 12 /c / : /5f.,
3
. ntrances:At least one entrance must meet both of the foll. , ' g standards:
IMax. 8 ft. setback from longest stree facing wall AA Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: ❑ Yes No
If yes,all the following apply: ❑ 25 sq.ft. min.
❑ One street facing entry ❑ 12 ft.max. roof above floor of porch
❑ 5 ft. depth min. ❑ 30%min.porch roof coverage
4.Detailed Design:All buildings shall include a min. of fivee following elements on all street-facing facades:
❑Covered porch min. 5 ft.wide x 5 ft. deep ecessed entry area min. 5 ft.wide x 2 ft. deep
/Wall offset min. 16 inches'i% t.- m #%�'
0, Roof eave min. 12 inch projection r — (oroof er min. 4 ft.wide'
offset min. of 2 ft.
❑ Roof shingles either tile or wood �,{'
g Gable,hip or gambrel roof design.�✓„�'' (1
'❑ Roof pitch oriented south min. 500 sq. ft. orizontal lap siding mina 3-7 inches wide y4''
Accent siding min. 40%of street facade' Window trim min.2'/2"wide by 5/8"deep'
❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or side lot line, than longest street-facing wall. ❑ Yes No. If No (Check one):
❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min. area of 12 sq.ft.
�th: (Check one)
12-foot-wide garage door ❑ 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: `�--� J
za. i Date: /4/S-lice
I.\Building\Forms\BldgPermitRvw RES RT 062216.docx
Plumbing Permit Application
Site Utilities RECEIVED FOR OFFICE USE ONLI'
- City of Tigard Received 7 /.;b-
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: 7 (��? Permit No%/5j7,y C._/b�/t!
Phone: 503.718.2439 Fax: 503.598.1960MAR 15 2017 Plan Review �"' '��`� t/lJ7t0i
Ins ection Line: 503.639.4175 Date/By: `l--/D-I-1 A G Cs'7 Other Permit No.:
TIGARD P CITY OF TIGARD Ready/By:
Internet www.tigard-or.gov °r s ® See Page 2 for
Date y
Notified/Method t� 7
I3UILAIN(a QIVISION E, // /f I I Supplemental Information
9l,„ , flf 1F . F1P SC11 f1J�.;.:
A New construction ❑Demolition For special information use checklist
Description J Qty. ( Ea. I Total
❑Addition/alteration/replacement ^❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
l �1(iF € 11i1LR�1 SFR(1)bath
312.70
0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
0 Accessory building ®Multi-family SFR(3)bath 500.32
0 Master builder
Each additional bath/kitchen 25.02
0 Other Fire sprinkler(1,221 sq.ft.)at,-
ryr Page 2D .1ATt* 4 T Site utilities:
Job site address:13350 SW Beach Plum Terrace Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Suite/bldg./apt.no.: I Project name:Northwest River Terrace Footing drain(no.linear ft.: ) Page 2
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
Subdivision: I Water service(no.linear ft.:_) Page 2
Lot no.:187 Fixture or item:
Tax map/parcel no.: Backflow preventer 31 27
31EtSCRI
Backwater valve 12.51
Multipurpose Fire Sprinkler System Clothes washer 25.02
Permit#MST2016-00564 Dishwasher 25.02
Drinking fountain 25.02
�.. .,,� ,
Ejectors/sump P
25.02
:4P op E 1s -_ , h' A,.,..-----,.t; , I,, . TN , ,,,, Expansion tank
12.51
Name:Polygon Northwest Fixture/sewer cap 25.02
Address: Floor drain/floor sink/hub 25.02
City/State/ZIP: Garbage disposal 25.02
Hose bib 25.02
Phone:( ) Fax ( )
' :,�,t A�'PC�' ; 3 - � Ice maker 12.51
€ Interceptor/grease trap 25.02
'_.
Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2
Contact name:Robert Dishman Primer 12.51
Address: 146 W Historic Columbia River Hwy Roof drain(commercial) 12.51
Sink/basin/lavatory 25.02
City/State/ZIP:Troutdale,OR 97060
Solar units(potable water) 62.54
Phone:(503)492-3490 I Fax::(503)912-6438 Tub/shower/shower pan 12.51
E-mail:robert.dishman@allianceplumbing.net Urinal 25.02
� C .. 'N Water closet 25.02
Business name:Alliance Plumbing,LLC Water heater 37.52
Water piping/DWV 56.29
Address:146 W Historic Columbia River Hwy
Other: 25.02
City/State/ZIP:Troutdale,OR 97060
Subtotal
Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50
CCB Lic.:184601 Plumbing Lic.no.:P11732 Plan review (25%of permit fee)
Authorized signature: r _/ l� State surcharge(12%of permit fee)
TOTAL PERMIT FEE
Print name:Gavin Thomes I Date:3/15/2017 I This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1_\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
alt 1£ ,,40 'ictal >, '
Footing drain-Is'100' 50.03 0 to 2,000 $121.90
37.52 2,001 to 3,600 $169.69
Footing drain-each additional 100' 3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 s j
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
each additional$100.00 or fraction thereof,to
Euler ni pe ito tl .Ft es " , - fed(ems ,l�, and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
each additional$100.00 or fraction thereof.
(minimum charge-1/2 hour)
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
Quantity by Fixture"Type".. ji Rtir `f' Il ' l[l1«1 ,,,,____--,,,,<1:..,,,,,,0„,,,,,,:A„,.„,
l t��l
Fixture Type for - . RePbtod Plan review is required for any of the following.
Work Perforated: Capped Added- , Relocate Please check all that apply.
Baptistry/Font 0 Any new commercial building with water service 2"and
Bath -Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.
Car Wash -Each Stall
❑ New exterior plumbing site utilities for any complex structure
-Drive Thru as defined in OAR918-780-0040.
Cuspidor/Water Aspirator
0 Medical gas and vacuum systems for health care facilities.
Dishwasher -Commercial
-Domestic ® Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3"
'`" R s� iigrim
Car Wash Drain ❑ Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food that meet the qualifications above.
Disposal -Domestic-food related
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: if the fixture work under this permit results in an
Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and
Water Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet
Urinal plumbing permit can be issued.
Other Fixtures:
\\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pd mit.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13350 SW BEACH PLUM TER, SHERWOOD, September 20, 2017 at
OR, 97140 1 :18:44 PM
Record Type: Record ID:
Residential - Master Permit MST2016-00564
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
Corrections from previous mechanical inspection complete.
Violation Summary:
Inspector Contractor