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Permit (57) 7 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00008 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2017 Parcel: 2S106DB12700 Jurisdiction: Tigard Site address: 17407 SW SHADOW TRAIL ST Subdivision: RIVER TERRACE NORTHWEST Lot: 127 Project: River Terrace Northwest, Lot 127 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2229 sf Value: $271,716.73 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 Water Lines: 100 Drains: 0 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'I 500 sf: 4 201-400 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 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 2 Fire Rated Eaves-Both STE 1 Sides SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,134.24 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 952-001-0090.2- You mayobtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: /�/A�u/�fi[ (/L Permittee Signature: Sem lic- / • 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. l Building Permit Application \i,,, Q 22 .-7 0,,v. ,x..,..t „. L.,fA 47 Ei , �, a FOR OFFICE L"SE ON 1,1 City of Tigard !'� ` ' 1!1 Dived ‘,/ .� /7 °; Permit xu l�'�/ /7'G/l<'CZt7 13125 SW Hall Blvd.,Tigard,OR 97223 pian Review• ' _. Phone: 503.7182439 Fax: 503.598.19 o 1 a r A f`r DateBy: ; - 19-1 7 e'er P � //2 Za'G'2C%7 r C,:t:1 Inspection Line: 503.639.4175 ,, � Daze ReadyBy: Juris: 0 See Page 2 for Internet www.tigard or.gov 1 �.� "o- e t NotiSed/tvlethod ��/� Supplemental Information ..9-re,/1— wC,— .m..' �., k x:-a. er ,a, —.a-irs�� ^^- �,g„ ax ate-- -r.,..^c• _, ,� x .g.-,- ,�`^Frs -.;,. --.:. �..m.,sr ax•. , h f}t t� 3 C h- 9 ;;ak r m , C i'4.114,4V:4� , kt 1�...it �g �8 ; �� &:x �"', Ei Y.,a.✓...u..ua�uuu....wv'w.�..�,.eL"S � 'u''ECrd.�—aSiSty ®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 ` a. " "'x - _ ..,', ---'.1,-,"--J-.!- - - ,^f-""7:, --',7.7-z';',. '`WaT `Y work indicated on this application. ' ® 1-and 2-family dwelling 0 Commercial/mdustrial Valuation: 11'---771t14 27 I, 7 r 0 Accessory building 0 Multi-family Number of bedrooms: 4 _ J ), ❑Master builder ❑ether Number of bathrooms: 3 C} �- . _ i 7v te „, r t . 2"-' _"_-Total number of floors: L --4).„,)„9/aG / Job site address: i,� 1 , _ 1 New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 3$0 square feet Suite/bldg./apt.no.: Project name:IR; tlr^" .L NW Covered porch are ;quare feet 40%5 J Cross street/directions to job site: Deck area: t 6 Ll. square feet 9 7 Cl Other structure area: square feet Subdivision: U £ Lot no.: 1 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 work indicated on this application. re;<`�,., - ..Ada 5,^5a.sw.x Rxt,,5 asm': iTr,Tr dn A r.5 xblau,. i aa..45 , 5555,b,,.5,5 55 Valuation: $ Existing building area: square feet New building area: square feet - 'i7 g° Number ostories:7 '-',"=!-'11,-":31'.2‘::.121;1:,Z2:11:',..-71- 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: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewsld FLS plan review fee(if applicable): Address:109 East 13`"Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount received �, z ft` s, rlac j3 ''r '' r'w�� € E-mail:Angela.Grajewski@polygonhomes.com : a •E _-,..-, - �7:-7 "��,7,-vf T Commercial and residential prescriptive installation of . , ' ;s � -{,---, „,? a�� ,: �; ,,��� 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 and administrative fees): _ Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): CCB lie.:207247Total fee due upon aPP•lication: Authorized signature: n This permit application expires if a permit is not obtained f t`l �� 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) , . DVE rCEI Mechanical Permit Applica . ► [lEt Elf I Et i I �f alta \ City of Tigarf3 "e° Permit No.: 13135 Sw Halt Blvd..Tigard,oR 97223 N 017 t}' MPhone: 343.71-13439 Fez: 503.59L1964 i::'' I I s'bnnir. I (� DafcES" Inspection Line 543.639,4175 I VI' ( A� a Bi_ rota H see rxge2for fntcrncr: a urw.rigard-Dr gov F 1 a i v 47(1 �h I Supp ental lalbrenitioa ILIIING DIVISION '44 y$ ".�,, 'r�`74r'".�.yx"' ^�.�,'u {^-71-1, ti 7> tF ZI '7:4 "}��y=1TI (� 771 71 'x^','4.,5 �'1 :::''''''42'. *•''c'. x' i. 4.;r E'' <x ° a Z f e�- '''.....f. e e �.i'1 1+rP'onPM��t.�r.? 'N. ^',c.�.`� �:..�.x"...i�.:2N}3�L'.• *.�',t'"'^o,"Y..,4��.+� Eil".T.Y"�,', ^�..Vuu:...::.i4� a q�. N-.� r-., S ~.,+Ytt 4. Newla constructionechanic-(permit foes*are based on the valor of tax wort: ❑Additionialtera1iontreptacement perforated,Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: rneclumical materials.equipment.labor.overhead.and profit. ,aw= --Tim` 'f ir.,,. ,,, .v,=,,.. - at3{s..�«,V, •, w •;•i .?. Value S �r ' ec a � r 4 t7. "'"f ..l . {�,'a. .as _ir". 'zw.t .�{.�f � !.: �-�`.." w'3, °+4 aSh�3u't; ix. ;ax.-.(3 IV e.C F o. k• •Er j f:.Y'I' C ti^k. f �.. ��m. ❑ i-and 2-family dwelling 0 Commercialifindustriat 0 Accessory building her sprda1Information aaechec*Ra ®Multi-family 0 Master builder 0 Other: Description Qty. 1 Ea. 1 Total c : e eri y ' _ a3C/cenfr �t sf Mrf ke-P-1 .L=- .`rY _ 'S� _ .. * - t.4- ' u1w? Aircondhionitt 1 46.75Jobsiica s: I ► J7 n ! y III Furnace 100.900 BTU(ducsssents} I 46.75 CitydStale/Z1P:Tigard,OR 97224 Fturmce 1001)00+0111{rhem:la nes) 54.91 -- Neat intent 61.06 Suite/bldg./apt no.: Project name::. .• / db . • Duct work 23.32 CMS sueetfdireetians to job site: 14ydttmic hat water sratem 23.32 Residential boiler(radiator or bydroniel 23.32 Unit betters(11301-t3•130..net atomic), in-wall.induct.suspended.ole. 46.73 �t_ Flueivenf for nay of above 1 23.32 SI/1)&1'410w f iii.ed -TifiY{�IGL- J1)/1!/t.U1g1- Lot no.: r teal a3,»liancca 2332 fax map/parcel no,: Water heater t 23.32 c=*, r, _, t -fix ,, roc }� �i{a m, a r `' _ ._ xc�.•�� 'r M� �r fFasfii laccinacst 6 33,39 Flue veal for water heater m'gas fireplace 23.32 Log lighter(ass) 23,32 Woodfpelletstove 33.39 Wood fireplace/insert I 23.32 . ... Cbirneybinerffiue#vrnt 23.32 'c. - r�, g s 7fx, 7$ • 4 ' 4:me4 ,,,-,T.,r > -', y v-Sr-4 c Other: 23.32 9j-S: _��sv:� f_�m.;k ei4� . . ti,b. :,,, xs .r- x..1w� !u,T;2 .rt,,,x ;t,s'.,vs <s E1nYIr'oHHnHtd e:tbanat and vtHfilation: Name:Polygon WLi1,LWLC Range hoodfotber kitchen i Address: 109 East 134 Street rAasiprntnt 3339 - Clothes dryer exhaust i 33.}9 CityiStateiZIP:Vancouver,WA 98660 Sin:do-duct exhaust(bathrooms, Wild routparm rents utility rooms) t`- ' 2332 Phone:(360)695-7700 Fax:( ) Attielernwlspace fans ' 23.32 Other: h," , .. ..,_ .. . .... ..�:.,u.�u., tu,xS,t,.,7:wt!F.....,,.,.'. a ,:-71. 23.32 Fuelplpingm Business name:Polygonlh`1.H,LLC $14.15 for Ikat four.$4.03 for cab additional Contact name:Angela Grajewskt Furnace,etc. I Address:109 East 13th Street Gas brat Pum WalUstspenclo Gmitheater City/StatefZTP:Vancouver,WA 98660 Water honor Phone:(360)695-771)0 1 Fac:(360)693-4442 Fireplace Raw I l �'; Ems:Aa -.Gra task homes enm Barbecue _...._.....__.,_•_....�� ,,,,.�. ,i,-�� : :% - = Clotbcsd gar (gas) Business name:Apex Air LLC �, e ..r:.V.,'-',-91--Z-7.-!',',11'.=." �,.--' T. ;s; Address:18004 NE 72 Ave Sutitofai Cit3/State/ZtP:Vancouver,WA 98686 Minimum permit fee 090.001 Plan review(25%ofpermtit fee) Phone:(360)342-8109 I Fax:(360)326-1.769 State surcharge(12%of pernilt fee) ccs Ga:203434 TOTAL PERMIT FEE This permit apptica6on espins ifa permit is not obtained within lana days Ars it has barn accepted as complete. Authorized signature: - • Fee methodology set by Tri-County Building Indnstn+Scrvicc Board IPrint a • Lek Y I Dale: 4-l4.a;. 1 - ttami4filleaxreeatSC_peiatit (Nal(.:alae 444-Mt7rnt.2KOWNPA1 RECEIVED • :..:':..:::....::: Electrical Permit Application FOR OFFICE LSE()NM Cloy of Tigard JAN (a 17 Received 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rev iew Frigiiiiiiiiiiiii Phone: 503.7182439 Fax SU 5� flIl 1 i paug' Inspection Line: 503639.4175 !... Ready DaterBy. A l Gi l'L' Interne] www.tigard-or.gov s T• I i C NotWedfMethod. "a 9 IN :::',„- . ^ . : `,,,1. , ��i 7,_., v_.WA <;''1-r Ti a..' ' x -1 ITt.3cfr' . a' ' ,.'.`, "�f.. -2- ''' r 4`=: �1___,:i.&al -at . S `.}�i New construction ❑Addition/alteration/repla�ent Please :At that apply(suit 2 seta ofptaas willems checked); ❑Desoo}iti0n ❑Other ['service or feeder 400 amps or mom O Bullding ova three stoles. where the avaiable faett entrant O Mf*i=and boatyards. ac" ,x- _t a ,'"41 Lu r00.3.(1'_,5cct.ti ;r <;r,?"' ='`''.s-:_-c- meals 10,000 amps at ISO volts or ['Floating buildings. ®I-and 2-family dwelling 0 Commerciai/u►dtistrial 0 Accessory building lass to gonad,or exceeds 14,000 O t:mnmeroiai-use agricultural soups far AU other installations. buildings.- ❑Multi-fsmily 0 Master builder ❑Other: p Fee pump. 13 Installation of ISO EVA or ,'` `:..':::i r+ ,' s?r X101)_e. :`Ltd:6i d t h a -P,R.,r,,,e,.. :,•itl N -a,.',• ',M. OExnagemy system, larger separately derived Job#: Job site address/7 7 15Wr i 1,Tr , sr El adaIOO1w1Faaor ofmenewm.rooter load of sysuxit. O"A",'7:","12"."1-3', City/Stale/ZIP:Tigard,OR 97224 O Six or more residential units. wampum. az ©Heaitb.oefacilities. 10 Recreational vehicle parks. n Suite/bldg./apt#: project name:1`44 . yf s aril Wet • *dans locations. I��.iv voltage or more that ��'j"'Y s D Service or feeder 600 amps or more. Cross street/directions to job site: r ".f ,,?,Ls :sir e ,, fv 5. Drsnipdop Qty. Earl Total - New residenfeal single-or multi-family dwelling unit. Subdivision:itiVidr T,to a. /,/ &we j l-- 1 Lot#:1"27 Includes attached garage. Tax map/parcel#: /" 1,000 sq.R oarless 168.54 4 Ea add.'500 N.R or portion 33.92 1 ,...4,,.. .2,,,,7_ 37„,,.,--V-•,,,45 x tr_4p 7j3`a3t,tf kl f'14:L4'J '301111 a , , ` 1-s i, = LitnitedemrY,residastial (with above sq.ft.) 75.00 2 Limited energy.multi-family 75.00 2 residential(with above sq,ft.) b5,S1 y� C'y.T`c t'l'1;: 15gr u .-„ ,x7-ti ;ts:^1'r,�,-r t..;171r141 a 4-. ,4;^r ;' 'As ReeneiweBabtars installation,alDteraSec tion,? ad2/o r reioeat]on Name:ADVL Land Holdings,LLC 200amps 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/State/22';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 Email: Temporary services or feeders installation,alteration,and/or . relocation Owner installation:This installation is being made on property that 1 own which is not 200 amps or less 5936 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 I 168.54 2 t >> z is s ;i; w b ri r's F � e, ,v,li Branch circuits-new,alteration,or extension, er panel z� r� yr . -�. �� � d " 15, y�. .._ A.Pee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7.42 2 Contact name:Angela Grajewski B.Fee for branch circuits without Address:109 East 13th Street seance or feeder fee,frost 56.18 2 branch cirtanit City/State/22:Vancouver,WA 98660 Each add'1 blanch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • I Fax::(360)693-4442 Each roan het ed or modular dwelling,service and/or feeder 67.64 2 Email:Angela.Grajewskitgpoiygonhoraess.com Reconnect ,lyr67,84 2 s, -2:„-1 T - - . -'7-7.,,"-0..r'---1- --':i.--)-..Y „,.- .> ..t �irr t` ,�,,,>,- ?ow or imlgation cn'ole _ 67.84 2 Business name:Garner Electric Washington,LLC . Signor outline lighting 67.84 2 r.- Signal*mks)or limes Address:6101 NE St Johns Rd parcel,alteration,or extension. ❑See Page 2 2 City/State/ZIPVancouver WA 98661 Each additional inspection over allowable in any of the above Additions/inspection(l lir rmn) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdanlels@gweusa.com Industrie/plant(1 heroin) 78.18/br Inspections for which no fee is 90.00/1r CCB Lie.: 01158 EIectrical[Lia.: 208174 Suipp'rv.Lie.: 44965 avec listed ]nota 2�darl/ ��. ---.1 t i,. F st',i 5-t.r,zi„--ah�:2ti ;cd›.- ja,sx-,4", Suprv.Electrician signature,required: ' Subtotal: ,{i: Print name Joan P Albert • Date: 4/26/2016 O Plan Review Required(25%ofpemrit fee): ?41::3;; e"'� State surcharge(12%ofpermit fee): ;; Authorized signature: _~ TOTAL PERMIT FEE: < This permit application expires If a permit's not obtained within 180 iii.`+r;;:'t Print nano: Bill Daniels Date: 4/26/2016 days after It bas trees accepted as complete. s`..1ii? - i Number of inspections*Rowed per pemmit. t,:'"'-'i't'Ba7d• PasalhApp 151.8 dot aav06r17/2015 4404&1ST(11a05/COMlWEB 1 EIVEI Plumbing Permit Auntie `�' Building Fixtures A 1 7 2017 City of TigardSi Datetar 13125 SW Blvd.,TF , . TI AD EPn Rev(ew Phone: 50382439 $Q Internet wwwtigardorDBy: Inspection Line: 503.639.41 UILDINGDIVISION Dme . -- Notified/Method Permit No.: Other Permit t No.: hob: S See Page 2for Supplemental Information Cz.e�..-ri s..:-Z•. ••SAI'•.^ .•,.T_V1*fVir.•RI'�VJR•K-i...;.-.-.. .. r. .e.i _ .. _ _ ... tra .h..;/,.1:. : ,:*•;., � ®New construction ' ©Demolition For special information use clrechlist Ne ❑Addidon/alter�on/replacement 0 Other. New 1-2-family 2on { Qty. � Ea. Total drvdfings(includes 190 Itfor each utility connection) • • . .. •CATEGORY OF COMIttiCflON• SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 Q Accessory building 0 Multi fey SFR(3)bath 500.32 Each additional bath/kit:hen 25.02 ❑Master builder 0 Other Fire sprinkler( sq.ft.) Page 2 _ .. '". tIOBSITE INFORMATIION'AND LOCATION . Site utilities: Job site address:17 q67 SW SI atio1/i- edA t s' Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywril,leach line,of trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:j4vg y orf-f ftj Mane home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain conte _ 18.76 Sanitary sewer(no.linear It: ) _ Page 2 Storm sewer(no.linear it:,_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:gAgeACriteiatct t�•!�1A/4-1- - Lot no.:iv, fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 . DESCRIPTION OF WORK - Backwater valve r 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fbwntain 25.02 F)ectostsump 25.02 ®,PROPERTY OWNER • J. Q T1 iTANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25,02 Address:7600E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 8525$ Rose bib 25.02 Phone:(602)694-4031 I Fax ( ) Ice maker 12.51 �•APPILI(CANT 0 CONTACT PERSON• Interceptor/grease 25.02 Business name William Lyon Homes,Inc Medical gas(value:3_) Page 2 Primer 12.51 Contact name Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13tb 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 TflbJ aver/shows pan 12.51 E-mail:AngelaGrajewskl(gpolygonbomes.com Urinal 1.02 Water closet 25.02 cONFKACTOR • Water heater 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 56.29 • Address:PO Box 207 Other 25.02 City/State/ZIP:Banks,OR 97106 Subtotal - Phone:(503)324-0759 Fax:(503-)324.0580 Minimum permit fee: 372.50 Plan review (25%of permit fee) CCB Lic.:102535 - 'Plumbing Lic.no.:34-276PBIState surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Carolina Matsuda! i Date:04/2512916 This par°0h application expires ifs penult is not obtained within into days atter It has been accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board. 1:15.1 'App.dea 111/01/09 440-6616T(10/02/COWWEB) w. City of Tigard . a COMMUNITY DEVELOPMENT DEPARTMENT INI II T 1 c A u D Building Permit Review — Residential Building Permit #: , " , / 7 _ ee c.) f Site Address: / -2/f ) &-Ao n ) 7 // \S3/- Project Name: Flyer. - -A2 ( tues7c. Lot #: /Q (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: iVko t erify site address/suite#exists and active inP ermit s tem. River Terrace Neighborhood: ❑ No I!4 Yes,See River Terrace Review Addendum Attached Si Plan Elements: /ree(3)copies of site plan !FA 5' sting structures on site tie plan must be on 8-1/2"x 11"or 11 x 17"paper / ootprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) f oor elevations orth arrow Fi Utility locations(required for new,may apply for additions) • e address,project or subdivision name and lot number P1 ilirt.cation of wells septic systems ..licant information(name and phone number) • •!«sting trees to be retained with drip line,and tree V of dimensions and building setback dimensions rotection measures TA Lot area,building coverage area,percentage of coverage and eet tree size,type and location propervious 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) Wlean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: 1:1Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilitipf Improvement(PFI) Permit: equired: 21 Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake nd Use Case#: /6,j 3 F r .--, - --T Oconing: R- P� equired Setbacks: Front p Rear �0 Side 3 Street Side pipGarage �andscape Requirement: 20 0/0 �ot Coverage Maximum: SO 0/0 Vi Building Height: Maximum Height ," ir8 HeightActual II isual Clearance P' Easements fsensitive Lands: ❑ Yes Id No Type V Urban Forestry Plan ❑ Conditions "Me "prior,o issuance of buildin t permit Notes: ) /�`• ' Approved By Planning: ____ ":"---,.._:. ----.414-LDate: cQ 22-- 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\BidgPermitRvw RES 0912I6.docx w . t Building Permit Submittal Original Submittal Date: 7 , / Site Plans: # 3 Building Plans: # 3 Building Permit#: ®-Enter building permit#above. Workflow Routing: [a-Planning ''Engineering 42'1'ermit Coordinator 2--Building Workflow Sign-off: ign-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. PJB Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ' / °7 Date: XV/7 Engineering Review �J Slope at building pad: .. ',4 / ,� ©Conditions"Met"prior to issuance of building permit of • ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes ❑ No Assess Water Quantity Fee in-lieu: El Yes ❑ No LIDA Facility on lot: El Yes El No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 17/... 72_ Date: l'�,�j---77 Revisions(after Building Submittal only) Reviewer Date Revision 1: El Approved El Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved imizimalmaganamastogungimmEw Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit APP roved,NOT Released: Date: I/> -//� 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: SDC Fees Entered: Wash Co Trans Dev Tax: ('es El N/A Tigard Trans SDC: [rYes ❑ N/A Parks SDC: /WYes CI N/A ` ! K to Issue Permit / Approved by Permit Coordinator: ate: l ��/ I:\Building\Forms\BldgPermitRvw_RES 091216.docx INICity of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: /IS 0/7 -(:) ,)(,,,e) Site Address: _/`74/ Of ) k� ) -77;',0// &'7z' Project Name: I/1/er c fa �� ,,s. Aa Lot #: /1Q•9-- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distri t Design Standards (18.660.0701): Is the project subject to the plan district design standards? VYes ❑ 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 'n. 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 ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimu o 12%of each street facing facade must include windows or entrance doors. Percentage Shown: / /e 3. trances:At least one entrance must meet both of the folio g standards: Max. 8 ft. setback from long t street- Parallel to street,angle no gfacing wallg more than 45° from street, or o en onto porch Entr nce opens to a porch: Yes ❑ No If s all the following apply: sq.ft. mi . ne street facing entry ft.max. roof above floor of porch 5 ft. depth min. 30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: iovered porch min 5fid5fdRdi5fd2fdall offset min. 16 inches ❑ Dormer min. 4 ft.wide rg Roof eave min. 12 inch projection ❑ t .of offset min. of 2 ft. ❑ Roof shingles either tile or wood TR. Gable,hip or gambrel roof design DiRoof pitch oriented south min. 500 sq. ft. ❑Xrizontal lap siding min. 3-7 inches wide V Accent siding min. 40%of street facade VWindow trim min. 2 1/2"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 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. Setb cks: Net closer to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one): e 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) ❑ 2-foot-wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: .� ` .-� T -- 141111111-111._ f Date: I:\Building\Forms\B1dgPermitRvw_RES_RT 062216.docx