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Permit (55) CITY OF TIGARD MASTER PERMIT I1 : COMMUNITY DEVELOPMENT Permit#: MST2017-00044 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 02/14/2017 �[Ca ro:R. � 9 Parcel: 2S106DB13100 Jurisdiction: Tigard Site address: 17356 SW FOREST HOLLOW ST Subdivision: RIVER TERRACE NORTHWEST Lot: 131 Project: River Terrace Northwest, Lot 131 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 978 sf Basement: 814 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1251 sf Garage: 368 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3043 sf Value: $366,136.99 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Drains: 0 gWater Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 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 Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 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: V BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3043 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 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $34,047.93 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. 4 Issued By: /0/4/ i-' . Permittee Signature: 67,Y ae �'Gt- >k) Call 503.639.4175 by 7:00 a.m.for the next available inspection date. /U 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 ... f'1' , z I ;,- ;' . /_.,01---- 3 ` ' ra'-1-7 c' -' f Ed j� FOR OFFICE I SL O\Ll City of Tigard Pu(' 2 0 2016 1 is o /% � :Si /7—e00Vy` Permit N .. 1111 . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie 1 r / /� p II Phone: 503.718.2439 Fax: 503.5, { tI ' v )at* ., i DateBy: �.' Other P ��//7' tJ 3 / Inspection Line: 503.639.4175 'V,- Date ReadyBy: ,.�/ Juris: H See Page 2 for TIE,P.R 11 r' k , Notified/Methode 7//7 Supplemental Information Internet www.tigard-or.gov 3 y z �? eIt .Ai � ``�' - .,-_ ,:„ :7 E . . 3AB °� '� ,', f§ 1� -g a o 3 :':, .:;:m E 4 ::e. ®New construction ❑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 s ��� ait T work indicated on this application. il '' '-- � • tom'. . ,:.� — Z Valuatio �---�,}36 6 13 . Q ® 1-and 2-family dwelling 0 Commercial/mdustrial � ❑Accessory building ❑Multi-family Number of bedrooms: ,.0 0 Master builder 0 Other: Number of bathrooms: 3 -- rs Total number of floors: Lt l re t''5 _ t1 t : t rsrl Job siteaddress: New dwelling area: l04b square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 3toel square feet Suite/bldg./apt.no.: Project name:lz; ,er'^. . ow Covered porch area:C ;quare feet II a C Cross street/directions to job site: Deck area: `yN V square fee9 7 g Other structure area: square feet 8 J z i »3 eEt [�$ °t,„ 4,,,.„,,,..,...„.„,,,,,„ ......„...#.„,A.,,,,,. ,..., ..,,,,,.„ Subdivision: V ' - W Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ,p . 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,--m,::,.,..-1-37-41511-17, 1 It 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 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) E-mail:Angela.Grajewski@polygonhomes.com , ' ; :�� � Commercial and residential prescriptive installation of ��• � pm - T 1s, ` .`• 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.:207247Total fee due upon application: Authorized signature: This permit application expires if a permit is not obtained a5 {vo 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-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . RECEIVE ' Mechanical Permit Application i OR t)i I t( 1. t tit`. ON.' ti Received . .. . .. City of Tigard 1 �- Permit No r g 1312$SW liail Blvd.,hi_ OR 97223 ,! 7 / [S/ � �G��! Plan Review ' Phone: 503.718 2439 FAX: 503.59E_196(I a� �y pateilir. Other Permit. 1 0 lnspcction Linc: 503.639.4175 CITY OF TIGARI) Dem Reed as : �•' lnttxuet: u u+v.tigard-ot gnv Y I Rl:gee Pxee2foronficdfi+4erhod: 5upptementat lnformatiaa BUILDING IVISION a-�.K.✓i $ r ? ..ht •..i- ,, ,Iva,, , ..-4 e i> -...,s"'� il. ' ..fir e5 :!:1, Psir , 1.P4 A.. jl:. ,,. ...r 3:� ,.•&`-. 1 'i"b':•`..._ .e �4t '* �.,..'4 FE'S 'J �B�L4N.C'P i '`.�3b�'��`� fi� . .. ,.E �,x _ ,..? " ®New construction 0 Addition�afteratianli+epJacemcnt Mechanical pertnh fees''erebased on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Dernalition 0 Other: _mechanical materials.equipment,labor.overhead,and profit. ��y} -s r i" t.1.4 i7 C} i Er T i t f °-y" i F$h^n. 7G.�-••f$ 1 ,5*t C' a .....1,1 -r . _.o�.i,-.�. .��n...`�.,:� . .°:c>~�;.a�._��.;"�a*�a.: ��......a.,.�K..: .:�>v.��trv,zd..�_..:e��;w...e-�;: '� � c`Y�.tii>3 ,ce��t °e�l) a¢� '� `. � �A:r •.,.., ..y is 4:"�. r�A ' H H.. ❑ 1-and 2-family dwelling 0 Ctmtmerciairndustrial 0 Accessory building For spiziutInformation wseehee3Jtrc Z Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. Total �;�+e, , �t !:5, y . ^� 1, i v„e�"� .,�.. 15 , 'xa i ,' HtatippI'liny .,,5 a...^ .L: ;'4. :v-'•}'m` Iv �! �.�'u�vi{. L _-` s 1.1 "- )j>= `.n.r:1.....,..:t-a-. -;a....r3.;1°1".'n°'.,, lair conditioninY ! 46.75 Job sire address. 1 1 � cAi�1 1r'es�l ' }l1i W 3 I Furnace 100.000 BTU(ductskentt) I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.0005•BTU(du�cts/vents) 54.91 ] Project((eine: Heat pump 61.06 Suite/bldg./apt.no.: 1 RlNt.r errAte NeAlAt.a Ductwork 23.32 Cross street/directions to job site: Hydronie hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit.heaters(fuel-type,not electric), in-wall.induct,suspended,etc. 46.75 Roc/vent for any of above I 23.32 Subdivision: iver g '�,f f,t Lot no.:531 Other 23.32 'P ^au, `41t1' �0 tier fuel appliances: Tax mapfpaarcel no,: Water.heater 23.32. Gas!" aeelinsect : _ �a��r , ,;_`, ��>rcJ'„�F..'�t^�i c� - d�s,�E-mss,F��S ���=z� ' �:��:s'"'� � ;'� rte 33.39 Flue vent for waiter heater or gas Sreplacc 2332 Log ROW(gas) 23.32 Wood/pelletstovve 33.39 Wood fireplace/ittsert I 23.32 Cbirnneyilinerltiuefvcnr 23.32 *-.i t.. :- z,ek ."1.e 1 r' L�s M-.t lct'. . -:Lf c,�L�::.c` x tL'11 moi„ra 4:5' :iiGA`:.« A Other: �s .., Euvtrvtamentnl.axharstand vcntflation 23.32 Name:Polygon Will,LLC Range hoodfotliei kitchen Address: 101 Fast 13`c Street -"- equipment _ I 33.39 Clothcsdryer exhaust I 33.39 i City/State/ZIP:Vancouver,f`1'A 95660 Single-ductexhnust(bathrooms, Alton( (360 95-77U0 Pax:( j toilet coutpartMents,utility motes) -'"'� " 23.32 Attr`cftrewlspsce farts 2332 x .Li` s»T7:_w,:i0 .r '.._ti ...'t -s -'wk-ti', "?.,2:c P.- 1 Fbt rti.s4 l.:�Cither: 23. 32 ' Business name:Polygon W1.11,LLC Pod plain: 514.15 tar ilea!four 54.03 foreach additional Contact name:Angela Grajewski Furnace.ate. I Address:109 East 13th Street (Ins heat pump . Wall/suspended/unit heater City/Slate/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 1 Fax::(360)693-4442 Fireptsee 1 Berme E-mail:Aogela.Grstjewxkiipelygonhomes.cnm Barbecue{{,�, t , . ! S i•E.t'i 4"i u.Ort ;7:g.--. :::::- clothes d 3`cr(gas) Business name:Apex Mr LLC Other: t ?r •r.fez r� r N;r z r Y -"-a• . Address: 1.8004 NE 72"4 Ave Sttbtotal City/Slate/ZIP:Vancouver,%VA 98686 Minimum permit the($90.00) Plan review(25%of permit fee) Phot:(360)342-$149 Fax:(360)326-1169 State surcharge(12%ofpermit sec) CCB lie.:203034 TOTAL PERMIT FEE This permit appileatioa expires WA*wit is not obtained within 18n dayx atterit has bear mucked es rempkte. Authorized signature: " Feemathudotogy set by Ili-County Building Industry Service Board Arintname: !h I Date: 4-Pt.l l'lnxdtdmg'lervits.4tEt_PetmilApp Wgit3.d o 440-46M(11/0LO i'liixl) ` RECEIVED : ,,..:1.,:,,, .......,..,;;..:-..::::., Electrical Permit Application FOR OFFICE USE ONLY City of Tigard !A N 17 2O17 remit es41Sri/7-0 0e t/"t/ 13125 SW Hail Blvd.,Tigard,O1.97223 Plan Rhe. • Phone: 503.718.2439 Fax 50301=111111111111111111 _ rr �y Dme/s , Inspection Line: 503.639.4175C1YEJS 1� Ready Date/Byr NEM Rl See Page 2 for i1 GA D Internet www.tigard-or.gov 1r, 7 Notrled/Mathad. Supplemental Ia rmation e -1 ., v =.7 i_ k i ,: . . yiiS3y " i � F sy ra.4. ` , � "'vJr ,' rrw 5Z;f4 •`a. t ®New construction 0 Addition/alteration/replacement Please chock all that apply(submit 2 sets of plans Whams checked): Demolition ❑Other 0 Service or feeder 400 amps or more 0 Building over thane stdries. ❑ where the available fault current ❑ired o and boatyards. ' ` -. -l--474.''' '''0 ..x .G1',15 "'; z'0 " ..">t(6 tea -isw,. w 'kf:::-,-.- ,t i": exceeds 10,000 amps*150 volts or 0 Floating bnildiegs. ®1-and 2-family dwelling 0 Commercird/bi ustrial 0 Accessory building lass to ground,or exceeds 14,00° D Cor,unereial-ase agricultural amps for ell oder installations. Whitings.• O Multi-family 0 Master builder 0 Other D Fite pump, 0 Installation of 150 KVA or F a.,:; . ',K-.1.„',.'" 0 . e d t 6.1'^"tr-^`0 ` r ii 1.0 :k r stt � 140 QEmergeney system. larger separately derived '' �' ❑Additka of new motor load of • Job#: Job site address:/73 Svc f U lim st- 100F18ormom. City/State/ZIP:Tigard,OR 97224 A Six or more residential units. oocnpanay. _ DHeaith-orae facilities. 0 Recreational vehicle padre. Suite/bldg./apt#: Project name:gi4v T ( �: .. gs�/yk n1 f.-�}Wantons locations. 0 Supply voltage for more than � s Y Menden m(seder 600 amps or more. 600 volts nominal. Cross street/directions to job site: 7 `"• -.--a'r 1,,4:,71-11w rxt ..,:k ` a Drasnedee taxi. I Each Total ' New residential single-or multi-family dwelling unit. Subdivision:fL\j c TirleACI, /j j)y ,%' f'j - I Lot#:lb 1 Includes attached garage, !" 1.000 sq.R°nese 1 168.54 4 Tax map/parcel# Ea add`1500 sq.R or portion 33.92 1 r"0 4t:=.;;2,- ,. Tia:05:.1 U JB 0A117,0k?a ,1 r' t. S,- e 1 . Limited energy,residential (with above sq.R) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above so,ft.) - :, Reaewasr Ene 0 See Pane 2 •-•_.4.4-:-,...'4,1:0Y12,4 L.111tE' , �' < . -&;1 , ) „ . 5E kJ ,Sr0; '2,:rct- . Services or feeders iasta1lationtalteration,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 ro 600 amps 20034 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 1 Fax:( ) Over 1,000 amps orvolts , 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,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125,08 2 Owner signature. Date 401 amps to 599 amps 168.54 2 •=4--'",,,;A'''"..--, -, ,, S r;,ua413tc7 �,c+r a, ; ', -,,„iii a�,i Er3[s6 a: 0 -,a r .3,6 .,j;*,.,,I,,,,,,,_ Branch circuits—new,alteration,or extension,per panel A.Pee for brooch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Angela Grajewskl B.Pee for branch circuits without Address:109 East 13th Street service or feeder tee,Est 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Bach midi branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • . ' I Fax::(360)693-4442 Each manldactured or modular 67.84 2 dwellEmail:Angela.Grajewsld a@,polygonhomes.com � s eater feeder - Recae et only 67.84 2 ` • '.. - Y.-.---7•7,,-,-,,'rpt tip°A,--4,-.,ii,G.i �” S,y ifd^ - ,- , a _ r ?m '4.:3 ,_ r ,:;. pump or ,IlrigaHon circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 !»,: Signal eircult(s)or l m ited-stag 0 See Page 2 2 Address:6101 NE St Johns Rd panel,alteration,or extension. Each additional Inspection over allowable in any of the above City/State/ZIP:Vancouver WA 98661 Additional inspection(I hr rain) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(I bruin) 90.00/hr Email:hdaniels@gweusa.com Industrial plant(1 humin) 78.18!hr Inspections for which no fee is CCB Lic.: C11S8 Electrical Lie.: 208174 J SuJprv.Lica: 4496S s' lwted(h humin 9000/itr Suprv.Electrician signature,required. Subtotal: Print train: Joan P Albert Date: 4/26/2016 D Plan Review Required(25%of permit fie): '4•:, -ti _, State surcharge(12%of permit fee): } �; --" TOTAL PERMIT PEE: :': . Authorized signature: 4.1t,,,..:•• This permit application expires if a perodt is not obtained within 180 :::.'1:,:- Print name: Bill Daniels I Date: 4(26/2016 ldays after It has been accepted as complete. .a.-.=?;:::, * Number of inspections allowed per permit ft '- fealidtnglPaa lli.CJerm1tApp it ER5.doc acv 06/.17/2015 440-461310IIO5/L°M!wEa Nt1E'•• Plumbing Permit Apolien , j ,, CE Building Fixtures I()if UI II( 1 I S1 I)\I l A N 17 2(117 Received �i /7 -Q�C� � City 4)f Tigard Day. Permit No C 13125 SW Hall Blvd.,Tigard,Oil �^g y Plan Review Phone: 503.7182439 Fax: 50 51 6A f1 �� D, gy: Other Pmt No.: Inspection Line: 503.b39.4t 7 1 i,,,;z: See Pa t' E� Internet: www.tigard•or.gov 1Y Vklil DIVISION Notifi etllod._. SupplementalIInformedoa „v?7• ;,-- ... . 40TY1EOF•W :; • ..... ...' -r, D* :''x',: %:k";,• ,•i;') ;ij .: ?• ®New construction 0 De molifion For special information use checklist Description I Qtr'. I Ea. I Total ❑Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 it.for each utility connection) ' •CATEGORY OF CONSTBiliaTON' .. • . 'SFR(1)bath 312.70 ®I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 • SFR(3)bath I 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ©Master builder 0 Other. Fire sprinkler(_._,.,,,sq.ft.) Page 2 JOB.Srit INPOItMiKTION AND LOCATION Site utilities: Job site address:11' `" Sv4 r' 411 i st Catdr basin or area drain 18.76 City/State/ZIP:Tigard, O;Q 1<t 97224 Drywetf,leach line,or trench drain III 8.76 .111 Footing drain(no.linear ft.: ) Page 2 Suite/bidgJapt.no.: I Project name: V(..r 1.6rrat f.t NA 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 Water service(no.linear ft.: ) Page 2 Subdivision: . f ; moil 0 Lot no.:13 Fixture or item: Tax map/parcel no.: Bacicnow preventer ( 31.27 DESCRIPTION OF WORK: • Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 .®2rROPERTY Ow ,a • I. 0 TENANT Expansion tank - 12.51 ' ,OWNER 1 Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC 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 .r•.AFPLIChNT .• 0 CONTACT'PERSON. Interceptor/grease trap 25.02 Business me:William Lyon Homes,Inc Medical gas(value:$__ _) Page 2 name: Primer 12.51 Contact name:Angela Grajewski 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 Phone:(360)695-7700 Fax::(360)6934442 Tub/shower/slower pan 12.51 E-mail:Angela.Grajewskl@polygonbomes.com Duna) 25.02 Water closer 25.02 CONTRACTOR . , • Water beater 37.52 Business name:Malmedal Enterprises Inc. Water piping/DW V 5629 _ Address:PO Box 207 Other 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)3244759 Fax:(503-)3240580 Minimum permit fee: 572.50 Plan review (25%of permit fee) CCB Lie.:102535 Plumbing Lao.no.:34-276FB State surcharge(12%of permit fee) Authorized signature: c-------c-:::Ii TOTAL PERMIT FEE Print name:Carolina Maimedal Date:04/25/2016 1 MTh permit applicat on expires tempera*is net obteiaed within ISO days after it hes brccepted as complete. •Fee methodology set by Tri•County Bullding Industry Service Board. I:181art, PcmattAPLMU.PermitAPp.doe 10/OI/09 440-46I6T(101021COM/WEB) City of Tigard el COMMUNITY DEVELOPMENT DEPARTMENT ■ T r c a R D Building Permit Review — Residential Building Permit #: /7S moo/7 e p)yy Site Address: • �''� , , it re,s71 itil7k? ` "?4e- L Project Name: ,e' �.er- tra A Joh. &,.e.c,-/— Lot #: / (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: AJ't '''FIZ /erify site address/suite#exists and active inP ermit s tem. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Sine Plan Elements: ree(3)copies of site plan '��''fisting structures on site � te plan must be on 8-1/2"x 11"or 11 x 17"paper V/Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) oor elevations Orth arrow tility locations(required for new,may apply 1 for additions) to address,project or subdivision name and lot number NI!I . ation of wells/septic systems Applicant information(name and phone number)vir pisting trees to be retained with drip line,and tree t dimensions and building setback dimensions rotection measures Lot area,building coverage area,percentage of coverage and treet tree size,type and location L ' pervious area(applicable if R-7,R-12,R-25&R-40) Street names IreProperty corner elevations(2 foot contour lines if more than 4 foot differential) Clean Water Services—Service Provider Lett r(lot platted prior to 9/10/1995): equired: ❑ es,applicant was notified Public Faci •' s Improvement(PFI) Pe rrtNo Received: 1:1 jes CI No /Required: Yes,applicant was notified ❑ No Applied For: pP Yes CI No,stop intake Zand Use Case#: lc ,� j omig: / / ( i') Required Setbacks: Front e `ear /0 Side Street Side J Garage ®�2 Landscape Requirement: 2Q % wof Coverage Maximum: % ilding Height: Maximum Heightj�— Actual 'f � Height �(� 1�j Visual Clearance Easements ensitive Lands: CI Yes /No Type Urban ForestryPlan ❑ Conditions "Met" rior ,�++issuance ofbuilding p rmit Notes: C71d/n,Xs; �`. // ,f, L i - s-1 c Approved By Planning: `w`- ` ,.,._�... -� ,_ . _ -441111111W Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:lBuilding\Forms\BldgPermitRvw RES 091216.docx Building Permit Submittal Original SubmittalDate: /272e/t,6 Site Plans: # Building Plans: # ,3 Building Permit#: { Enter building permit#above. Workflow Routing: R'Planning E Engineering 1- Permit Coordinator ["ui1ding Workflow Sign-off: C Sign-off for Planning(include notes from planning review) Route Application Documents: [Z.-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and priginal 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: 0„. �ry�_. Date: ,/3/07 Engineering Review 7.Slope at building pad: /Bleo, Conditions"Met"prior to issuance of building permit ❑ 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 El No LIDA Facility on lot: ❑ Yes ❑ No El NOT Approved by Engineering: Date: Notes: Approved by Engineering: �G 17 Date: 1.......4/:_(-7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved Cl Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit roved NOT Released: trA(Date: I/3 > 14— Ap Notes:proved, 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: Al SDC Fees Entered: Wash Co Trans Dev Tax: ( 'es ❑ N/A Tigard Trans SDC: (/`0' es ❑ N/A Parks SDC: PI:Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: Date: -7----/'/1?-- , -fy/I I:\Building\Forms\B1dgPerniltRvw_RES_091216.docx 1, City Of Tigard el ilk a , COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A iz D River Terrace Building Permit Review Addendum ,u. t,,-, cn.a'._ c,.,,,, ,i-,x-_.mss. ,Y'z, k,ks,,ia.'„'eAizv. 'r`rr M,,,iie.,t'4:sR.�itvltl&M,F et._k^•M`:�F F'.nvL:r.k. x'•.::.'e ,2,.gk;:'e'A=:,6,n'oS ..:i�'r?s3�'�..,eeL.�§+&a1'sUK+.4b+tz'� Building Permit #: /73S—(p /7S7'� »'- coo yy / Site Address: 7 j -(p EZO Thres4 J/y ,V7-,<'d- Project Name: , jVer- —77:65;fraCe /00 �,, , > Lot #: (New dwelling=subdivision name;Addition or Alteration=lastnamename 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?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 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 dormer vi 0 0 0 2. Eyes on the street:a minimum of 12%of each street fac. g facade must include windows or entrance doors. Percentage Shown: ./ 7-7:)//1-.. I,2_,( / 3. trances:At least one entrance must meet both of the folloiving standards: v7,n Max. 8 ft. setback from longest street- facing wall El Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes 0 No �/' If s,all the following apply: fJd 5 sq.ft. min. ne street facing entry 2 ft.max.roof above floor oforch Di5 ft. depth min. p 30%min.porch roof coverage 4.)detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: overed porch min. 5 ft.wide x 5 ft. deep rt 0 Recessed entry area min. 5 ft wide x 2 ft. deep V/CIall offset min. 16 inches f Dormer min.4 ft.wide Roof eave min. 12 inch projection,p1 Vii/Roof offset min. of 2 ft. 4 e ❑ Roof shingles either tile or wood ICJ Gable,hip or gambrel roof design C 0iRoof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide Accent siding min. 40%of street facade f V Window trim min.2 1/2"wide by 5/8"deep.**) 0 Window recess min.3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35%or less of street façade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: Nfcloser to front or side lot line, than longest street-facing wall. 0 Yes iiNo. If No (Check one): Vv1ay 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) 072-foot-wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: S1.1wc..-l- -�ac 4.-z41 .s. 4e. '"f y t x 6,1 s-t'rub " wt.t—f- I --.24 _ I7 Approved By Planning: C442154....°. / �1.C_.�. (,n Date: / 7 I:\Building\Forms\BldgpermitRvw RES RT_O62216.docx ""'a i `- � / / City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17356 SW FOREST HOLLOW ST, BEAVERTON, October 25, 2017 at OR, 97007 2:08:03 PM Record Type: Record ID: Residential - Master Permit MST2017-00044 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: No access to upper level bedroom. Floor missing and heating contractors working. Re call with access for inspection. R109.1 No inspection done at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17356 SW FOREST HOLLOW ST, BEAVERTON, October 25, 2017 at OR, 97007 2:04:48 PM Record Type: Record ID: Residential - Master Permit MST2017-00044 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Mechanical contractor not done moving duct work, bedroom floor removed with no access. Recall when Work is complete and ready for inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17356 SW FOREST HOLLOW ST, BEAVERTON, October 27, 2017 at OR, 97007 2:36:31 PM Record Type: Record ID: Residential - Master Permit MST2017-00044 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17356 SW FOREST HOLLOW ST, BEAVERTON, October 31 , 2017 at OR, 97007 11 :51 :28 AM Record Type: Record ID: Residential - Master Permit MST2017-00044 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Water pressure = 45 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17356 SW FOREST HOLLOW ST, BEAVERTON, November 3, 2017 at OR, 97007 11 :30:49 AM Record Type: Record ID: Residential - Master Permit MST2017-00044 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor