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Permit (57) IrtCITY OF TIGARD MASTER PERMIT ' ' COMMUNITY DEVELOPMENT Permit#: MST2017-00037 T t AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2017 r, Parcel: 2S 106 D B 12600 Site address: 17423 SW SHADOW TRAIL ST Jurisdiction: Tigard Subdivision: RIVER TERRACE NORTHWEST Project: River Terrace Northwest, Lot 126 Lot: 126 Project Description: New SF. BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 4 Required First: 978 sf Basement: 0 sf Height 24 Bathrooms: 3 Left 3 Parking Spaces: 0 Second: 1251 sf Garage 380 sf Dwelling Units: 1 Third: 0 sf Front 8 Smoke Yes Right: 3 Detectors: Total: 2229 sf Value: $271,047.13 Rear: 10 Sinks: 1 PLUMBING Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 Tubs/Showers: 3 Garbage Dis 1 SF Rain: Storm Sewer: 0100 g P Water Heaters: 1 Water Lines: 100 Drains: 0 Footing Drain: 0 Ice Maker: 1 Bckflw Prevntr: 0 Catch Basins: 0 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 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 1000 sf or less: 1 Branch Circuits 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O SvGFdr: 0 p 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: SF VB Square Feet: R-3 2229 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 STE 1 2 Fire Rated Eaves-Both SCOTTSDALE,AZ 85258 Sides PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $32,134.44 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090, You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �( .iii It /` �[ Permittee Signature: Sr:2 �,Jey"�/� 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. Building Permit Application;7,` /-, U / / �. Wit, $1i I FOR OFFICE l SE O\L111,- _ f, +2 I' ,)'1 Received iBT / /r /, Permit N%4si/K/l7 eC/J 7 City of Tigard ( ( 1 F el 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review I Phone: 503.718.2439 Fax: 503.59849& ' 1 ,, , ;e Date/By. J ,3J —) OtherPermit 50g20(7^a,e./1 T I G R D Inspection Line: 503.639.4175 '� Date Ready/By: / loris: H See Page 2 for Internet www.tigard-or.gov ' '! Notified/Method: �� �7 "`` Supplemental Information 6/11 L 'A/G/ 1';...<,.01, ` ,1 ra. e b C , ks ". Yl � .' - i.:rR � 3�k ,,,' ,,,--„sr "Bger-.ks rurti[1G `i+.t *C,`y" ,a ��.,�, �. ���. � �. r,� � - `� ®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 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the EY, r r C.�' «x a ,ii;T" a .."-= .0=', - :f;•i.;-m'ss -T,'-"- 'ter work indicated on this application. ® 1-and 2-family dwelling ❑Commercial industrial Valuation: — 71 /t-'J ' ❑Accessory building 0 Multi-family Number of bedrooms: BOJ 0 Master builder 0 Other: Number of bathrooms: 3 V K ,, )�s 7 , , �`` Total number of floors: Job site address: llik _ I New dwelling area: 2'�,T/square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 35 22T 0 square feet Suite/bldgJapt.no.: Project name:Ri 'r" . NW Covered porch area' ;quare feet 1 a S 4 Cross street/directions to job site: Deck area: )3 4- square feetq"1 Other structure area: square feet ii€tea t t `€ � ,,'._ gl' a _z Subdivision: / U Lot no.: j 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 = ',.1;::::7.1:Z__,-A7.:F-77- ' ' t .skl work indicated on this application.lication. , . a . r , g . Valuation: $ Existing building area: square feet New building area: square feet .tz. ..E:.. 3..k..� ��' „ m.,.a.... ��' s=` - k^", :k� � <e ,, tvr i € G-2�s a�mtvy 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: :77 74f; :? P ..xv� S itst1;i'il � .`'e7 n C ,717 Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount received: rr-> .. - .rr a tet. . E-mail:Angela.Grajewski@polygonhomes.com —,,...--.=:.::::.:-"7."1.:_,-,z1 '..7,. . ins r, : , '-'1--'1%;11:,,...;71. � Commercial and residential prescriptive installation of r ” ,_ - , - ' e- N T ,am 8'A3— x 2, ;s; roof-top mounted Photo Voltaic 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 and administrative fees): _ Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): h CCB lic.:207247 Total fee due application: upon P Authorized signature: r)�11 c lA j_v1 n This permit application expires if a permit is not obtained �//I I r J j W, within 180 days after it has been accepted as complete. Print name: ._ Date *Fee methodology set by Tri-County Building Industry . Service Board. I:\Building\Permits\BUP-RESPertnitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application City of Ti and JAN 1 i 2 017 Day:DocPI= Pc-i1 N�; S7� 7- 13125 Sit'Halt Blvd..Tigard,OR 97223 U 3 Review 6. Phone: 503.718.2439 Fax: 503.598.1960 Docents.. Greece Permit. 3 Inspection Lite: 503.639.4175 CITY OFTIGARD Datekcadyiny: neat a See Poo.2 for Internet: w w.1'igard-ot.gov ,ficd/tethod: Supplemental infermadoa BUILDING DIVISION` M, (. a ." ,u.. uiy :.-mss •t,e u'~ . `°''+ e t,F '" G,c �';s t,r i • - ,-it, t F, t.t- "t, --I-'y 6 ,� .. Mex6anicsi tiermii foes''are based on the value of the work ®New construction 0 Addition/aiteftitiontreplacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials.equipment,labor.otethead.and pmfit. '' ,ziY r :4?":.'-;{k'i..t c s z'`x`a y "7"': l „` ,n .as,N,e r !lilac,:5 tie..r zs.k' �}�;�fi ` .[3.s' .• a 5., v '�C,r.,..,,,>N, .�2'. �?^'.','•.;1#" tr$ c l•-• :� . ..�-�-'_i, t Ir�6e �tVr)f.1 t.f 1x'4.:•'k1 fi; .,>t1 A7r•`k �'.. =� ❑ I•and 2-family dwelling 0 Cotnme rcial/industrial 0 Accessory building Far spedad Information rare cl ec*tstt. ®Multi-family 0 Master builder 0 Other: Description 1 Qty. 1 Ea. 1 Total ? 1..m 3 .-�. y 1, E 3 ! i"`� !. E 8 e . ` ' • t„�, 1 ax.. He7l1ini*oolia : :,." =� e�.,e;;,v ��.jjr „�-.t.� 4S. �. C .l .,�;f .. 4J,'M'2x' `�* � ,,��;r�,�..; 1 ,U 5v 3 'taut q � sr Air conditioning 46.75 lob site address: / tau >► Furnace 100.000 BTU Niztvvento I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+Lou(deentsventa) 54.91 Heat taunt 61.06 Suite/bldg./apt.no,: 1 Project tram;~RiVe r TtryAre Net-6%16(1r Duct work 23.32 Cross street/directions to job site: 14 dronic hot water system 23.32 Residential boiler(radiator or hydronie) 23.32 Unit heaters(fue14•pe;not elect is), in-watl in-duct.suspended.etc. 46.75 2luefvent form w of above t 23.32 -t^ Other: , 23.32 Subdivision of'. 1 A L t. I A .ai Lot no,:I'"�f/ Other fuel applianccx Tax map/parcel no g� LWater heater 23.32 � ,r > ::" r. .r•. .7 .4,j-`'.."'*r‘r rr2 c� i't.3..k,E lir t {. •c-.:: "ak .t K �'a"n -;. R. Gas ilicoinedinsert t 3339 1 Flue veal for water heater or gas fireplace 7.3.32 Log lighter(gas) 23.32 Wood/pato Move 33.39 Wood fireplace/insert- 1 23.32 Chirnney/liner/fluc/vtnet 23.32 v,, 23.32 r'v.a. ..:.,. � ;,. -4' r., i,tiM: Other _> Euvironmentai.exhatust and ventibtliorr: Name:Polygon WLI1,LLC Range hood/other kitchen Address: 109 East 131"Street equipment ' 33.39 Clothes dryer exhaust i 33.39 City/Stale/ZIP:Vancouver,WA 98660 Single-duct exhaust(Frathrooms• toilet compsnalcmns.utility morns) 1"J' 23.32 Phone:(360)695-7700 f Fax:( ) Atticicrawlspacc fans 23.32 u' .ia .r r L i(-,::,;%.-.4i-err v. ' 4i. y ty y S , Ot ,r-... -.. �,...,. rc r . ,":`,,,--'.$-.- q-,,..7.1-7.. ,,.. ;c C t f E r�>ti r.--..4.;_.�!.,,.��i" .a 2132 Business MUM:Polygon IN 1.11,LLC Pad p1 am $14.15 far that four;54.03 forqiclt srtstittanat Contad.name:Angela Grcjewski Furnace.etc. Address:W9 East 13th Street Lias heat pump WeWsuspendedhmit heater City/StatetZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace I e 1 E-mail:Angela.Grajewski^,Jpotygonhumes.com Barbecue t -5.1,;;::-. c r. .. rte,.,.-.. tj't e' -,,,- t '�- t-h SkF r Fk Y �s1,,dgs l .d...';':.-,--Zr.---•. . ..t�._ ..z._.� , �„o..r��.., 1 C...v�.rn5..._...:.�...:._sW.._..,..� £- Clod=LIQ}�1g,a+) Business name:Apex Afr LLC Other Address:18004 NE 72'4 Ave Subtotal g f City/State/ZIP;Vancouver,WA 98606 Minimum permit.&:e($90:00) Plan review(25%of menthe) e) Phone:(360)3424109 Fax:(360)326.1.769 State surcharge 02%of permit fee) CCB Tic.:203034 TOTAL.PERMIT FEE This permit application expires tin(remit is net obtained within Ian days atter it has been accepted as complete. Authorized signature~: Feemethodalogy rte by Tri-County Building Industry Service Baarted Print name.• I took I Date: 4-pt.g,... - I%Oultr+ngtP a taSCC PennitA _1 WGI L:.aac 440-46t77111A21COMAVIBi ` RECEIVED ; ... Electrical Permit Applit ation FOR OFFICE USE ONLI AN 1 1 /Li? Received 125ifiriNNZEiTIN2 City of Tigard I'lry�iMice: 13125SW 03..7824 9 FBlvd., aax 03.5998. TY t IG(�R D Reiane new inspection Line: 503.639.4175 y peri,ay El See Page 2 far 122121111 T1G;J]tJ Interne www.tigard-or.gov BUILDING DIVISI 1 .�" "--'- `- HIM Supplemental Information ..,. :j' � -7 r1'.^'5,.. a-Tt;11. x:..kt` _7 - ter.-':1 .'S,..f.;`4-.T.. -'` 0-.74,-41'a ;' at' 1-411?;r t&c..< ,a i.....7,' ,; ®New construction 0 Addition/alteration/replacement Please check a0 that apply(sutxait 2 refs of plans wWitsms checked): ❑DemolitionOthem Q Service or feeder 400 amps or more 0 Building over throe stories where the avalable froth permed ❑Marinas and boatyards. 4s4 _ :-r'�,�' �'3�rsf`.'s-cg iba`a_�C.3-4-C :, i'- t_t_...�.�,!.r :<�s-'. exceeds 1000 miss 150 volts Or ❑Floating bulldogs ®1-and 2-family dwelling 0 Corrlmexadainichistrial ❑Accessory building hs:to ground,or exceeds 14,000 D Commercial-use agricultural mals for all other-installations. baildiags.• ❑Mull-family - 0 Master builder 0 Other D Pira pump. 0lnmauation of 150 KV..or .4-'....,,@?':."- ' ; %1;. ztfai'.Z.&a.''-'1'11 c qb;:(7'c s:.f iv 11 Sr b'c Or .., y'Y";m=µ c ©EmergeocYsystem. terser separatelydarived c'� D Addition of now motor load of system. Job if: Job site add-milli/235U J .r ' TrL-iJ S ' 10019?or more. Cl"A","a",'1-z"."l.s", City/State/7�iP:Tigard,OR 97"224 0 Six or more residential Holts oY. p- �-�^ DRealth•oare facilities. ❑Recreational vehicle pane. Suite/bldg./arpt.#: Project name: M f.,'/ -#t ai JAt llarrodoae locations- ❑Supply voltage for mons*au 1"eJr�y■v^ ❑Service or feeder 600 amps or tree. 600 yeas Hommel Cross street/tlirectionn to job adte: -. r- , -^tom.-cr . ,,R. u a neonate i Qtr. I Pair Tont ,' New residential single-or multi-fancily dwelling unit. Subdivision:glVtic TP.yrau., / 4a4-- 1 Lot#:/71 p Includes attached garage. 1,000 sq.it or less 168.54 4 Tax map/parcel# x � � �r a r , Ea a�'l 500 sq.R or portion 33.92 1 kli?, .+U- a� : :V..71g,;,, r r, c_,.it,<y(o7Fro r .�V.i.6h . Y..3;-.� .r.y^ €-r Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.It) '',1,-;_c s ,,.e,. a 0 a 3i 2 P. a-- ,,-, ,; v'n , .,,,,,•,-,, r,---,-a t , S"`-'�.`� .-,aa r r Renewable Energy 0 See Page 2 l '! . .'=',.: T.7 ", i-.•l�Z'._S '= a :w, Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/StateLIP:Scottsdale,AZ 85258 6W amps to 1,000 amps 301.04 2 Phone:(602)694-4031 1 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: .. relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,react,or exchange.,according to ORB 447,449,670.and 701. - 201 amps to 400 amps 1 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 y`,r ,a<- ,. wr�- . M,y ,tet 1,, `t-i. I-79it,:I4.^1146-0 - 1 Branehcircuits-ren',alhratdon,orextension,per panel '., .3-, . "" r - A.pe:for breach circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Angela Grajewski 13.Fee for branch circuits without Address:109 East 13th Street service or feeder ice,fust 56.18 2 blanch circuit City/State/ZIP:Vancouver,WA 98660 Each addi branch circuit 7.42 2 Miscellaneous(serviice or feeder not included) Phone:(360)6957700 ' ( Farr::(360)693-4442 Each manutsctured or modular . dwelling,service and/orfeedrr 64 2 Email:Angela.Grajewsifi@polygonhomes.cotn geconnect ay 67.84 2 r 76. i'4';-'13.-7.'F:', : Pump Oriarigatiaa click 67.84 2 Business name:Garner Electric Washington,LLC Sign or outiae lighting 67.84 2 4r.G Signal circuit(s)orlimited-energy Address:6101 NE St Johns Rd panel,alteration,or rasion. ❑ See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspectroo(1 hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr nein) 90.001 hr Email:bdaniels@gweusa,com Industrial plant()hrcoin) • 78.15/hr Inspections for which no fee is 90.00/hr CCB Lie.: CH58 Electrical Lic.: 208174 Suprv.Lit:: 44965 , listed %Armin - ' + 7y! a E 4.''' y ,, e G t 1;35.E _ *` Suv.Electrician signature,requred: i '. - S»btotai: Print namm Joan?Albert Date: 4/76/2016 D Pian Review Resluired(25%of permit fix): Y'-: C%r.,____------• _ State surcharge(12%of permit fee): :tial;:. ��_._.__r ^-� TOTAL PEKIvilTFES: Authorized signature: - """�~ This permit application expires If a permit 1s not obtained within t80 in•i;:: ' Print name: Bill Daniels Date: 4126/2016 days after It has hero accepted as complete. t%• : t Humber sfinspeetionsalowed.per pemtit ArtuldiagU+mmael IC PeneltApp ELRJS Edoe acv 0917/2015 4a041e1570005j OM/Wna I - 1T,:i:: Plumbing Permit Aaplica R`c Building Fixtures City Tigard N 17 Dts �Gx 7 714--- 13125 SW Hall Blvd.,Tigard,OR 97223 • pion Review Phone: 503,7)82439 Far 50r O TIGARD DatSBY Other Permit No.: Inspection Line: 503.639.4175 p gY... .., row 111 See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISIO Nati6ed44etbo& Supp Int lnfonnatioa ,.:. . ?:,: ,'..awri';,,:,:_ . .... . .:,QZt.. !p :;..;:,,....... .. ,. .:.,r:.,. ; , •:; :=•s•FEEe• :' ,.:.s.. .,.;;n.,_,.. : :_.; For%pedal injorrnedeK use clreckltae ®Naw cons trtrgion ©Demo]i£ton • Description 1 Qty. I Ea. I Total ❑Addrtionlalteration/replacement 0 Other. New 1-2-fatally dwellings(includes 100 f.for each utility connection) ;.'7.':..:',•,' CATEGORY OF CONS31liJG]ZTU3+1' (i)bath 312.70 ® th 1-and 2-family dwelling 0 Commercial)ndustrial SM(2) 437.78 SFR(3)bath 1 50032 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fitt sprinkler(,,,,,^sq.ft.) Page 2 aOB,6FTE INFORMATION ANI) LOCATION ' ' Site utilities: Job site address: !7/2i SW ShatioalirtA l Sr Catch basin or area drain 18.76 Dtywell,leach lime,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt no.: 1 Project nary: H Ji..v-"T.(, mita- N le{/&/ "t Manufactured 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.:_ I Paget Water service(no.linear It.: ) _ Page 2 _ Subdivision:��ff Lot no.:14Q Fixture or item: �}��i NvrtL1ur�Ct '`.''r O,pre eft I. I, 3127 Tax map/par el no.: . DEscRIPT iON OF WORK, . : . _• Backwater valve j 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 E(.PROPERTY OWNER , . (p TENANT Expansion futile I251 Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sinlc/hub 25.02 _ Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Rose bib 25.02 Phone:(602)694-4031 I Fax:( ) Ice maker 12.51 • ,; ®.A1"Ptl;1(ew . , CD CONTACT PERSON: merge trap 25.02 Medical gas(volae:$ ) Page 2 Business name:William Lyon Homes,Inc Printer 12.51 Contact name»Angela Gra jewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sinic/basirtrlavatwy 25.02 City/State/Z]P:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 ' Tub/shower/shower pan 12,51 Urinal 25.02 E-mail:Ange bt.Grajewskigmolygonhomes.eom Water closet 25.02 CONTRACTOR , •• . Water beater 37.52 Business name:Mahnedal Enterprises ine. water piping/DWV 56.29 Address:PO Box 207 its' 25.02 City/State/ZIP:Banks,OR 97106 Subtotal . Minimum permit feu $72.50 Phone:(503)324-0759 Fax:(503-)324-0580 k Plan review (25%of permit fee) CCB Lie.:102535 Plumbing Vic.no.:34-276713 State surcharge(12%of permit fee) Authorized signature: '` TOTAL PERMIT FEE T pew application expires ifs permit is not obtained within 180 days Date:04/25/2016 Print name:Carolina Maimedal I after it has been accepted as complete. "Fee methodology set by Tri.'county Building Iadtntry Service Board, l\tuSdmglP,n dlsnintU•PoTLApp.doc 10/01/09 440.4616T(L0,K2/COMLWF9) a City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT • lc Ill T 1 c A a t, Building Permit Review — Residential ;3- .. Building Permit #: ./k457-0),0/7 — COD Site Address: Q Sk) gkd)k) 774d/ ,C717 Project Name: Iver- ' -r.2 Ak, tt,ieS./.. Lot #: 1Q_ (New dwelling=subdivision name;Addition or Alteration=last name of owner) ` Planning Review Proposal: ik,e66 gF> erify site address/suite# exists and active inp ermit s tem. River Terrace Neighborhood: ❑ No R Yes,See River Terrace Review Addendum Attached Si Plan Elements: /ree(3)copies of site plan a' ' 'sting structures on site firtie plan must be on 8-1/2"x 11"or 11 x 17"paper / ootprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) v oor elevations •orth arrow ri Utility locations(required for new,may apply for additions) •e address,project or subdivision name and lot number PA �•cation of wells/septic systems •ltcant information(name and phone number) ■' �«sting trees to be retained with drip line,and tree 1 •t dimensions and building setback dimensions rotection measures h Lot area,building coverage area,percentage of coverage and eet 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) \fhlean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: El Yes ❑ No IZ{k Public Faciiti Improvement(PFI)Permit: equired: V Yes,applicant was notified CI No Applied For: Yes El No,stop intake 4hand Use Case#: 16,f�/�eS--�La),S` -�'U 2)i _��.)t. eDC �V/ oning: ./ (Pi) equired Setbacks: Front do Rear /0 Side 3 Street Side A „,20Garage 0 Landscape Requirement: .2 0 0/0 Dot Coverage Maximum: 00 G Building Height: Maximum Height Actual Height t:' N Ii E.isual Clearance Pi 9 Pi Easements ensitive Lands: ❑ Yes No Type Urban Forestry Plan ❑ Conditions "Me ”prior o issuance of buildin permit Notes: �i7 wns ,s42// 4 /111;71pror' '7 0t r f /SS//a-fl Approved By -tilt__ Date: / Mit 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\BldgPemutRvw REs 091216.docx i _ P Building Permit Submittal Original Submittal Date: _ �LJ Site Plans: # _ 3 Building Plans: # .j Building Permit#: ` Enter building permit#above. Workflow Routing: '.Planning 'Engineering —Permit Coordinator /i®...Building Workflow Sign-off: e. 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: / , / ,< Date: 2Co' s z,_3 t� +a:si,..,,. ._ »,�_.,_ ... _ ,,, ,s �.,m. .v 1._ Engineering Review elope at building pad: _ ��► onditions "Met"prior to issuance of building permit o ' • ❑ 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: 0 Yes 0 No LIDA Facility on lot: 0 Yes 0 No O NOT Approved by Engineering: Date: Notes: Approved by Engineering: /1Z ../1 Date: !•-„Z'7--/7 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved , Permit Coordinator Review ❑ Conditions "Met”prior to issuance of building permit roved,NOT Released: Date: 1/3/1 PP /��� 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: Yes 0 N/A «,`' at +. Tigard Trans SDC: ;Ig- Yes 0 N/A e.t�. Parks SDC: Yes 0 N/A OK to Issue Permit 7/ proved by Permit Coordinator: //kV-Date: L/'c 9e- I:\Building\Forms\BldgPemlitRvw_RES 091216.docx City of Tigard 'sa COMMUNITY DEVELOPMENT DEPARTMENT1 14 Fl G A RD River Terrace Building Permit Review Addendum Building Permit #: A �- Site Address: /:7110.5 =St ) 4,t,)--!iv;/ S - Project Name: iir/,.�,-- ffc0 ee /J1 r 4 f Lot #: J c;Z(j (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distrjt 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 deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ El ❑ 2. Eyes on the street: a minimumf 12% f each street facing facade must include windows or entrance doors. Percentage Shown: ea2 as 3. ntrances:At least one entrance must meet both of the following standards: 1 Max. 8 ft. setback from lon st street- facing wall El 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: '4 5 sq.ft.min. 1/( ne street facing entry p2 ft.max. roof above floor of porch 5)ft. depth min. 30%min. porch roof coverage 4.i etailed Design:All buildings shall include a min. of five of 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 Q I all offset min. 16 inches El ormer min. 4 ft.wide Roof eave min. 12 inch projection offset min. of 2 ft. El Roof shingles either tile or wood [Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. 0 orizontal lap siding min. 3-7 inches wide El 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 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 facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: 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. Wid h: (Check one) ❑ 2-foot-wide garage door i111 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: / Date: 1/�.5-/r I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx