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Permit (51) CITY OF TIGARD MASTER PERMIT 2. COMMUNITY DEVELOPMENT II Permit#: MST2017-00015 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2017 TtT" ' 9 Parcel: 2S106DB13700 Jurisdiction: Tigard Site address: 17480 SW FOREST HOLLOW ST Subdivision: RIVER TERRACE NORTHWEST Lot: 137 Project: River Terrace Northwest, Lot 137 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1248 sf Basement: 735 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors. Yes Total: 3649 sf Value: $436,790.17 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 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: 7 201-400 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 3649 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 Fire Rated Eave at fireplace 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175 STE 1 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $35,718.90 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 -001-0090. Y may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ( /r2 k‘ZPermittee Signature: 5'P l?lG -1,) Call 603.639.4175 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 Applicatio /4'4( ' t ' ..d, Z-07 /37 ,,,,, : ,. „,,,-,, '. ,.t .a s �� FOR OFFICE FSE ON Ll City of Tigard DEC 2 0 2016 veedDalerB / 17 Peru 149'V-C7-7e/7 11,1 . 13125 SW Hall Blvd.,Tigard,OR 97223 pi R / ���/� an vie Phone: 503.718.2439 Fax: 503.5910 0 = t'; Date/Bye1- ) S -) Other Permida//r f/7.-eivi / T l c,.,,R D Inspection Line: 503.639.4175 Date Ready/By: June: ® See Page 2 for / Internet www.tigard-or.gov i1. ';, )i+' Notified/Metbod2.J7//7 Supplemental Information y 'IL- '11/6'IE a 4 a c d � �a s s"p„r^-sr• � ®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 0 Other: equipment,materials,labor,overhead,and the profit for the 1 c t F-ff Ens � • ' work to ' on this a lication ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: (� (Dei jj3 / 7 9 p .# r 0 Accessory building 0 Multi-family Number of bedrooms:. t p V ❑Master builder 0 Other Number of bathrooms: `a r.”, _ ___ ,_, .... ,,,,,_7_,, ,, � tk 2� z- e WR Total number of flos: 3 ii`` Job site address: LI . ■� �1 New dwelling area:3;049 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport are,: 4 square feet Suite/bldgJapt.no.: Project name:4; 'r--- L Nvo Covered porch a:ata° square feet Cross street/directions to job site: Deck area: 1 115 square feet Other structure area: square feet --.i Cr....- M. 'r c _ 6 ai r- Subdivision: / V ' _ Lot no.: 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 -- ��t �'� " ' work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ^o-4..f w. - ti C' +? ", , . _ _ .._- .f. __....$_ _ ,mt,..--...-,1,. .-_. 3,, 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: 7D ° E �� �� 'y� °#4�a .; � � �m- . ice. :arm :� a a ls T _<w. �-,. d,...,.�.�;. .r, �st rvK. �� ... �' s ..,�"��°-ua�ix �zw �s� . c -� � _$5�� ���� LE �t,�`�F''��-� ,7,,-..--1.'s Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski Address 109 East 13th Street plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application Phone:(360)695-7700 Fax::( ) Amount received: Email:Angela.Grajewslu@polygonhomes.com 0 �� Commercial and residential prescriptive installation of -— - °_-, -_-- — ). , '' � -. r te 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): CCB lic.:207247 I Total fee due upon application: Authorized signature: R l„�`✓ 0 r o� This permit application expires if a permit is not obtained l/1 ' j" 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\PermitsBBUP-RESPemritApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , —" :.:1, IrilTrp M.echanical Permit Ai iii I! 1, ,Vd1 I" L IIIIIIIIIIMIIMEMIIIIIIIIIIIIII City of Tigard p.uvivcd - Perrail No z pAl_. ,312.5 SW liall Wt.npni OR 97223 Plan Review Phone: 503.71E2439 Fax 503.598_1%1V4 Dateltr. Other Penult inspection Line: 503.639.4175 Oate kmalytils: hma I 13 See Page.2 for Internet: www•dPrd43r-g" CITY 01, TIGARD Notified/Method: Supplemental information 4.141.f.lit1:1r.v.:vp.T11-.-. 34,140.7":."4"4,,,,,: ,A e.,....4:.:it,fs:;nA'''.i=:- .+ "',Vei..4'S'Ikl'efl-t-l'''.0 '"''''''''''t'--r''.4''e'', '4''.' rt'1-''141'Ef--4 "-''''• '-"! ..c-t•-' '. Mechanical permit fees*arc based on the value of the work r.„ ig New construction t...r Addition/alteration/replacement performed.indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: ntechattical materials.equipment.labor.overhead,and profit. Value:S :::'c',C '7'.f,*?'''''?•4.firzirc:: z,,:tvi.;;;-,',,t,m11.7;:,..-.-i:fr,,,: fn,...gop,----,&41-it..tottOlgi•-:-:., „.„..,..,,, "-.-, ..‘ 3.-A.v ' . , ' ''''-"''`•<,`',. .,*-:s-,t '4g': 13!..Vid 1,' t,-,1 /Z.: :,.14',f.4.-31, 0 1-and 2-family dwelling El Commercial/industrial 0 Accessory building Far vadat Information are drtallst El Multi-family 0 Master builder 0 Other: Description t Qty. i Ea. I Total 1 e,'42i,;.,-, --4.,,,,X.,,z,-,+:-..-,.zy g: '.f.:•ki.,,t7:*.; t",5',:f,::`,,5-1,7-ci7i:• ':,;=s3,1,:', -.1;:', 4403:f7.'',: Hildimit"41'w ,•Air conditioning I 46.75 i°b site address: n ; af\iay-es-f-ttbitOw 5r Furnace 100.000 BTU(dursekeras) 1 , 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+0111 idectsivcnis) , $4,91 Neat pump 61.06 _ Suite/bldg./apt.no.: Project namc RiVtrTtrilift iia- Duct work 23.32 Cross stosetAtirections to job site: Hydros hot water system 23.32 Residattial boiler(radiator or . bydronic) 23.32 Unit heaters(fuokype,not electric), in-wall,in-duct.suspended.etc. 46.75 Fluoyent for any of above 1 2332 Other: 23.32 Subdivision:di', T., i cf..„ 114 t— Lot no.: Other Thel*pp aces: Tax mopfparcel no.; Water beak/ , 23.32 (I"firePtaccfbmat r 33.39 Flue vent tir waler heater or gas ,fireplace 2332 Log HAW(gas) 23.32 ,WoodThelleistove 33.39 Wood Theplaccfinsen 1 23.32 ChintneyflinetillueAront 23.32 2332 '41,-..:t:/.','::ct fl',l-l';'.A.rt:int,4-1.:'2.•:;;'{PY:..-4-,...-'4':.: .*'.:,614.V.•.FF.N4-;i-N,i77.1-A-`ri.";:l.`'ikt.--a,...i-...%;:A..,,, °then Name:Polygon WLE,',LC Range hood/other kitchen i equipment 33.39 Address; 109 East 1314 Strict • Clothes dryer e. haust I 33.39_ City/Stagg-IP:Vs/recover,WA 911660 Single-duet exhaust(bathrooms, toilet compartments,utility moms) 1-1- 2332 Phone:(360)69S-7700 Fax;( ) Attickrawlspace fans 23.32 •-:''Ahi.'$'''''-''''''',IY: ;-'1V1'..q7`,"11',LY'r-Lii:'-g-.. ... ..;:..:5:1P-5:i4t::4:::( 1711;‘;',TrZ‘,„1::'?;t7ItT'i''.;"44-, Other: 2.132 Peel Piling. Euginess name:Polygon W1.11,1„1„C SI4.15 thr first bun S4.63 foreacht additional Contact name:Angela Gra Funnies.do. Gas herd pump . Address:109 East 13th Street Waliheader City/State/Zip:Vancouver,WA 98660 Water healer Phone (360)695-7700 I Fax:(360)693-4442 . Fireplace I Ranee , I E-mail:Angela.GraJewskit.polygonhornmeom Barbecue 4.,;•15;:',.:,-.::-:-,1+;::::-..5-i..:2::',:::--;'''''I'-'.: :;": - -:::. -;.H.,.;,,.. -;,'.- Clothes(bra(gas) Other: _ Business name:Apex Mr LIC '',. :,-.. ,!'f7,? :g''?;',1?,';',-A.:4TinLI*1:7f'''''41-q,7,2•1?.q4S2111,2'.g/ Address:18004 NE 72'Ave Subtotal City/Statc/ZIP:Vancouver,WA 98686• Minimum permit fee($90;00) Plan review(25%of permit The) Phorte:(360)3424109 Fax:(360)326-1769 State surcharge(12%of pennit The) CCB lie:203034 TOTAL PERMIT PEE This permit applicadon expires if 4 permit'is nut obtained avithin NM dayr it has been accepted as complete. Authorized signature: Ft=methodology sex by Tel-County Wilding Industry Service Heard Print name f I Date: sf•fi./(... itavaatgaftarataterjetaamtp_mat LI'doc 445-44(1-r(t mit NoWsvPIl) i • RECEIVE1) .5t a .^.'..':.;. Electrical Permit Application FOR 01 CE USE oN I A City of Tigard JAN °' %'.017 Permit a IN 1, 13125 SW Halt Blvd.,Tigard,OR 97223 Plan S a<v Pheme 503.7182439 Fax 503.598-' S p .,- .Y; y Related Permit 0. Inspection Line: 503.639.4176 9iTY i i ,,,, Dag kris 11 V t D � Y- &I Ste Page 2 fox- / www tigard otgov ,T j 'iry r 'l J,i �.��M ' d/ d. Supplemental iaformatioe r _..:c - _,,7,-�,.;x*.•;.;-' �c"d?i o, ,�r,]n 4R iL i . ,,4w3 ;?' Q'� .xc-r y;:- Lws''.;>7. c :::''''.1.1'4., 1_ '1 r ';''''''''''k.. .. ®New construction 0 Addition/alteration/replacement Please d e do all t>at apply(submit ants of plans wale=checked): 0 Demolition DService or feeder 400 amps or more 0 Building over three stories. when the available fault sunset i)Marinas and boatyards. 4,:;..--:"1,,,';zc s`it.i•- T`,:.4P '0' ;ylu +- .S,gkf..�, L t115'rc v-*, �`�r:3 exceeds at ISOvoU or ..- � _ . . .- a<�.;.� a� D Floating tmildmgs. Bj I-and 2-family dwelling j]Commerc ialrrtdtisttial 0 Accessory building less to ground,or exceeds 14,000 D Commercial-sae agricultural D Multi famiy El Master builder 0 Other: �Por all omen installations. Installation . DFin Gump. D lastaUation of ISO KVAm g 4-F,- rr -'';..+Js7tc;.ed:�-�s:F'a;4 a Yc.w`9ra4`,li nit .'rfi'!if•c Gs�,4 ,' �..o D Beaoysystem- larger separaMyderived Job#: Job site address/7%05%j ffi es w St D Ada of now motor load of system. `--�r 1�" 100#5'm masa. �7"A","B","1-2"."1-3", City/State/ZIP•Tigard.,OR 97224 051x or more residential units. oY• Micah-can facilities. D Recreational vehicle parks Suite/bldg apt#: Project name:�4y "'' ,f�c a s heard°.,socatiaas D foraL than ��""'Y` D sarvix ar reaaar 600:, ..m rye. Cross steer/directions to job site: .i:',5-''''' .542';:4,-S., , ,,, is x tf' "•: 1oededee I 17h. Eaeb Tetal r• New residential single-or multi-family dwelling unit. Subdivision: V,x- T�f yta� lvoilhweS I l ot#: t�� Includes attached garage- 1,000 sq.ft. less 16854 4 i,....--.7.-., ,, :' �i(':Si<ta(oF'C's :-V".ifia-.-,,',-'-`''''-7.; c:',w ,. ;£ .43 r `L Limited enerllY,residential Ea.addl 5 33.92 1 (with above sq.R) 75.00 2 Limitedtedenergy multi-family 750) 2 residential(with above sq.ft.) ` -, '__v',,,lai9-f -i W— ?ers r� f''''-. ." 'Y.'., �; rti.y.� r 'k y '1, 12cnewnbieEerrai D SeePage2 3 .�. Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 L Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP;Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I 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 t intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. • 201 amps to 400 amps 125.08 2 Owner signature: Dale; 401 amps to 599 amps 168.54 2 gn 1• .;;;-a t:ss N-�..��4 a'�z a y :e M. .0 t ...Gy ..f. �.rn.,-5�i u�Y'„,•,�,4. a, Branch dreuits—new,alteration,or extension, er panel '°• 9' '-'44i1A.Fee fm breech circuits with Business.name:William Lyon Homes,Inc. above service orfeederfoe, each branch circuit 7.42 2 Contact name:Angela Gra jewski B.Fee for branch circuits without Address:109 East 13th Street branch° fee,first circuit 56,18 2 City/State/VP:Vancouver,WA 98660 Each addl bona circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • ' I Fax::(360)693-4442 Each manufactured or modular dwelling,servlet and/or feeder 67.84 2 Email:Angela.Gr�ajewskippolygonhomeacom Reconnectonly 67.84 2 t y a ;� tg yNy r r Pump 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Address:6101 NE St Johns Rd Signal It erasion or extension. BY 0 See Page 2 2 panel,alteration,or extension. City/State/VP:Vancouver WA 98661 Each additional Inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr Phone:(253)3204657 Fax:( ) Investigation(1 hrmin) 90.0W hr Email:bdaniels(f�gwensa.com Industrial plant(I hr min) • 78.18/br Inspections for which no fee is 90 OOIhr CCB Lie.: C1158 Electrical Lie.: 20'8174....11 174 Stiprv.Lie>: 44965 >isxd ii Suprv.Electrician signature,required: ' :Apt,A titir 1 , a .•:. y Suttibtotal i `: Print name: Joan P Albert •- Dale: 4/26/2016 D Plass Review Required(2546 of permit re): °•;;. t State sntobarge(12%ofpennitfee); R',•. Authorized signature: r.► - TOTAL PERMIT FEE: Atli .i., k.ti; This peewit appUdatioa czp"ues#a permltis not ebtabied withhr 180 ,: = Print tlttnsex Bill Daniels Date: 4/2 !2016 days seer it Las beery accepted as complete :••••• ••:,' i'i'• * Numbered Inspections allowed pre permit `4••`i` App SLR Sandoc acv D6/I7I201$ 440.4615101l0M 05. IEE -.,y�tlauadiag��1SLC Peradt - • Plumbing Permit ApplicationRECEIVED Building Fixtures JAN 1 7 2017 1t,lz ()tai( r. 1 ,i: t1Mi.) City Of Tigard ROV1"ed Ile w l3I25 SW N Blvd.,Tigard, OR1 Ch Pim Review PamitNa.: U Phone 503.7382439 Fax: 543 Dat Other Peunir No.: Inspection Line: 503.639.4175 iiLf� '' ° 1 �Date rr 1 S . 2 ter Internet: www.tigard-or.gov Nnitiffed/Method: Supplemental t atormation ®New construction ' ❑Demoliton For spedal fn/seder rose DescriptionI Qty. I L"- ❑Addiittionlalteradon/replacement 0 OtherNew 1-2-family dwellings('includes 100 R.for each Total utility connection) . .. -CATEGORY OF CONSIRIJCT'ION' ,• . . SFR(1)bath 312.70 ®I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 • SFR(3)bath 1 500.32 Q Accessory building ❑Multi-family Each additional bath/kitchen 25.02 _ ❑Master builder 0 Other: Fire sprinkler(_sq.ft) Page 2 , • '. JOB SITE INFORMATION'AND•LOCATION.. . • Site utilities: . Job site addre s f `V V SW o r' Dt St Catch basin or area drain 18.76 fr Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: 1 Page 2 Suite/bldg./apt.no.: ' Project Warne: 41f r I €tel- N -t Manufneturedborne utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: 1 Page 2 Storm seeker(no.linear ft ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: B �r"f „� ► /v a r W . -. Lot no.i Fixture or item: Talc map/parcel no.: ' wBackflow preventer ( 31.27• DESCRIPTION OF WORK, • : . Bac ksvater valve i 12.51 • Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 Ri.IFROPERTY OWNER , . I EP 1124NT Expansion tank . 12.51 Name:ADVL Land Holdings,LLC Fixture/sower 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 12.51 . . . tit.APPLICANT .• in CONTACT PERSON•• Interceptar/greasetrap 25.02 Business name:William Lyon Horses,IncPrim Medical gas(value:S ) Page 2 Contact name:Angela Grajewskier 12.51 Roof drain(commercial) I2.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/showcrishower pan 12.51 E-mail:Angela.Grajewski@polygonhonus.eono urine] 25.02 Water closet 25.02 . - ' CONTRACTOR Water heater 37.52 Business name:Malmedal Enterprises Inc. Water pipiag/DWV 56,29 Address:PO Box 207 Other 25.02 City/StaterLIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: 572.50 Plan review (25%of permit fee) ' CCB Lia:102535 'Plumbing Lie.no.:34-276PB State surcharge(12%of pennit fee) Authorized signature: C......------ TOTAL PERMIT FEE Print name;Carolina Malmedal Date;04125/2016 l This permit application expires its permit is not obtained within ISO days atter it Cres bees accepted as complete. +Fee methodology set by Tri-County Breading Industry Service Board. ttBuiitru%1PermitciPLMU-PaadtApp.doc 10/01/09 44O4616i(1DA1/COMlWEn) ik 1111 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A R n Building Permit Review — Residential Building Permit #: /t7.5-77,2_01 2 c) 2 0/5- Site Address: /-F.2.186 )j42) ,7t I7�/ 8©zu ,J'7 eek Project Name: /e/Ver '7 -/e,c e /0r'7 4/010,g'71- Lot #: /3 -- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: &2 O '-)-fk ierify site address/suite# exists and active in permit stem. River Terrace Neighborhood: ElNo Yes,See River Terrace Review Addendum Attached Si Plan Elements: �ree(3)copies of site plan Xi .m sting structures on site U yte plan must be on 8-1/2"x 11"or 11 x 17"paper It Footprint of new structuredin nclu (idecks)gwith finished yawn to scale(standard architect or engineer scale) oor elevations orth arrow(li U: 'ty locations(required for new,may apply for additions) e address,project or subdivision name and lot number t' ation of wells/septic systems licant information(name and phone number) 1,1 i ting trees to be retained with drip line,and tree 7 .t dimensions and building setback dimensions rotection measures IP of area,building coverage area,percentage of coverage and Vttreet 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) \Plean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: CI Yes,applicant was notified No Received: Cl Yes CI No ciPublic Facilites Improvement(PFI)Permit: /Required: Yes,applicant was notified CI No Applied For: Yes El No,stop intake and Use Case#: rtfiS Q. - ,�. W Zoning Q' 'T Wb ve,Required Setbacks: ✓`Front Rear /0 Side 3 Street SideGara 0/Landscape Requirement: 0 % � Garage ,..26ot Coverage Maximum: e('� PA Building Height: Maximum Height . ii g Actual Height c i -c7 !A . isual Clearance rA Easements Si 0•.ensitive Lands: El Yes OC/No Type 'r Urban Forestry Plan 0 Conditions "Met"p 'or to issuance>of>building permit Notes: 0:14etherhT ,S1,2/l prior- . eibil7L I; Gkalle,e Approved By Planning: .rte..- - � Q !/ , ,,,-, Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: 0 Approved El Not Approved Revision 3: El Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: /2�2 L/ lk' Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning 'Engineering ermit Coordinator `Q�Building 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 �roriginal plan review routing form. E1 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: � y >•/ Date: Engineering Review '�-8'S(ope at building pad: CIF onditions"Met"prior to issuance of building permit 6 ❑ 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 0 No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: _ 1'G 17 Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved El Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit NOT Released: �%�/# ate: /7311 Approved, 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: yaDC Fees Entered: Wash Co Trans Dev Tax: G es El N/A Tigard Trans SDC: \ Yes ❑ N/A Parks SDC: g'1' es ❑ N/A (5OK to Issue Permit )11// ,rovedby;ermitcoordinatoL Date: City of Tigard in 114 , COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum c Building Permit #: /-4-5-`77-2, 0/2 - CV 0/_S' Site Address: /74186 EA) 5-7/ /flu ,V7.,e e7L. Project Name: ,,ejv„er- -7�,rraee /Doj, ' zueg - Lot #: /39- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist "ct Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?01 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 WallOffset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., Eft.wide Gabled dormer CI Cl El ❑ 2. Eyes on the street:a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: he,_ 4 3. trances:At least one entrance must meet both of the follo ' g standards: Max. 8 ft. setback from longe t street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No If es,all the following apply: 1/1/6sq.ft.min. Vfnedstrethet facing entry 2 ft.max.roof above floor of porch min. 30%min.porch roof coverage 4. '!etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ri 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 ❑ Dormer min. 4 ft.wide V Roof eave min. 12 inch projection ❑ t .of offset min. of 2 ft. ❑ Roof shingles either tile or wood fr Gable,hip or gambrel roof design 0 Roof pitch oriented south min. 500 sq. ft. ❑yorizonta1lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facadery indow 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 ❑ 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: f N closer to front or side lot line,than longest street-facing wall. El Yes 1.14 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. Width: (Check one) El 12-foot-wide garage door 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: — •� �' / �' Date: 02 I:\Building\Forms\BidgPermitRvw_RFS_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17480 SW FOREST HOLLOW ST, BEAVERTON, December 21 , 2017 at OR, 97007 8:38:45 AM Record Type: Record ID: Residential - Master Permit MST2017-00015 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. A/C installed Violation Summary: Inspector Contractor