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Permit CITY OF TIGARD MASTER PERMIT 1 COMMUNITY DEVELOPMENT Permit#: MST2017-00036 TFC ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2017 Parcel: 2S106DB12500 Jurisdiction: Tigard Site address: 17441 SW SHADOW TRAIL ST Subdivision: RIVER TERRACE NORTHWEST Lot: 125 Project: River Terrace Northwest, Lot 125 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $254,617.30 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 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 Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 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: 3 201-400 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 2078 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: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $31,759.01 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 1.8000 3332.2344. Issued By: /hZ permittee Signature: 5re, (�C / ✓� �/�y� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. �(J 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 e = , r- iv-. ) --,0 c------- a. . i g , , FOR OFFICE l SE ON Ll City of Tigard mr,.f' ,4 a 'rail: ReceiD ay/ A G/f 7 Permit xoX4STA0/,- e,o36 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review Other Permit: i�ee III I Phone: 503.7182439 Fax: 503.598.1960 , pateBe 1 ',,....1.7 )" 7 I��l `0003 -,-,C:1 R D Inspection Line: 503.639.4175 t," ` =° yBy: /PJ e H See Page 2 for Internet www.tigard-or.gov 1 1'i ed/Metho • // Supplemental Information A^ 4-217e9i1..^ ,,/G/E . �. Y * � 3 � - "S sr itlk � X�sZ,.� ��fx �-�` 2�.��•y i ..v.......m.uu...uw..a...,.,_,. �.w?:Al; ''''46j''''''.4:: yr�.uu.«w>..;::unv...u.. t.,a&..w :2r�i.6WNrdoe�`.,a6`u R�. _6awa—a „a'"3r .-N, ®New construction ❑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 Otherequipment,materials,labor,overhead,and the profit for the work indicated on this application. ,, a _ s h - € Ay , ,. ,,e „. r. "1: i! . x, .: .Y.:1-:.-..;Of.,,- i Valuatio as u, '1 ® 1-and 2-family dwelling 0 Commercialfmdustrial ❑Accessory building 0 Multi-family Number of bedrooms: o Master builder 0 Other: Number of bathrooms: 5 ". �r'- 1 4� € ,£' ` t l 7:3�.as l Total number of floors: Job site address: 1 , �� _ 1 New dwelling area 7 (� g square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Ri ver^.e, , N Covered porch area: ((;quare feet 1 1 30 Cross street/directions to job site: Deck area: square feet q ! O Other structure area: square feet Subdivision: / v ' - .3 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 c � equipment,materials,labor,overhead,and theprofit for the pa r ; � = k ``„' �� work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet - ' -Nam 77 Number of stories: e: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 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 Ma ,-4---: J)z a° �,�C � , � � � Commercial and residential prescriptive installation of ''' - � - roof-to mounted PhotoVoltaic Solar Panel System.tea �. s ,.._.:.�', .�;-:(:).:::;n:-:'"::'' '' �� ; ; '' M $ w,o- a �- PYBusiness name:WilliamLyon 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): J Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): CCB lie.:207247 Total fee due upon application: Authorized signature: This permit application expires if a permit is not obtained a5 {'vl within 180 days after it has been accepted as complete. Date: *Fee methodology set by Tri-County Building Industry Print name: Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440 4613T(11/02/COM/WEB) 1 — • 11111111111111111111111111111.11111111111111 Mechanical Permit ApplicationECEIVED City of Tigard JAN l 7 2017 Muster .. Penns Nin Sts svr7 Dov 13125 SW Hall Bivd..Tigard.OR. 97223 Pian Review Phone: 3.7183439 Fax: 503.54i(ri, j®i' 1I Jijt\� braeReadyitt : Other Pamir. 1 Linc: 503.634.4174 (,11] y t er seer,. x for Internet. gMw.ti srd o[.gov BUILDING DIVISION Notified/Method:shod: Supplemental lerennalea . 7:-.- o �.. �� � ,� .,^�x ,yam �.� afdP$fi v�5M�x: - "�` ,,:; ::::7,k�" f 9. Y o;il- •""'.\.,:.��„«:.' V,1-lilt . . ., ,,, • -----;14.!"'':-;r '. • "t' a.n Mechanical permit fees''are based on the value of the wort: ®New construction 0 Addition/alteration/replacement performed.indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials.couipmeoL labor overhead.and profit, V ,. ... ,u., pi,. --:',....4.,` 3,. t ,',..'=", ,,,',...,F...:" :=4,,,,..i>.-k,;v` t .;�;• _ lue:S P)),0*,..„ ,� .-eas` ,. i'-�'-0.54.,--,i4 L'e P X eu f J �•'-4-4".�,&;•'-'4"...7-. f C M� Cr ,. ... ti"fi,�. ''•t - .., t r �i't ti- Oaf¢ .¢.• 1`4.w.- +.; •, :dt �`--. ,.r,7. �"t e^ .! .. . .. ,� .� ^��,� s.K � E;.t'... ,� ..,.,. ,, �'rx.—� ��' :.r�mAI: •i. ❑ 1-and 2-family dwelling Q CommerciaFindustrial 0 Accessory building For ayraedinformation ITC c ee*ttrt ®Multi-family ❑Master builder {{ 0 Other. Description 1 Qty. I En. 1 Total 4o''''''7,,e, "". F tv t if � c S' c1 t t 'F t F 6 P 'L+�.,' '-t i " ,'g H mar; Hr4411/1"°liaita -Wig I � S r JOJ I 1!! S `}1 ' r conditioning0i 46;7i Job site address: Y Furnace tUD.000 BTU{ductsh�xars) I �Sb.7S City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(ductetvents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project nater':2iW r-.Timm NOr'1 Yi&t/Gc*- Duct work - 23.32 Cross street/directions to job site: Hydmnic hot water system 23.32 - Residential boiler(radiator or hydro nic) 23.32 Unit lusters(fuel-type,not electric), in-wall,in-duct.suspended,etc. 46,75 , Flue vent for any of above i 23.32 n isian Lot na: Other: 23.32 Subd I?� Te t Nt}�i 1/1 I1V�iI� OJT' Other foci appliances: Tits map/partial no.: Water heater t , 23.32 t , { e i4 1 z t`,* c t' 'f Via'' . 3.,...c . T . l' , Gas fiiroplaa�insai 33.39 1,.,.4.:-'4,,,,,-...-4,-,s11:1.-..-_,;?,„:.,..-...,_,,,, ....i.:-•.:-„,:,,,-.4,4 :.. ,.. .,u..,_.,._,,._,,_ y:, .. ��--s , 4;.t-.#t�.r ...s�4 Flue vent for wain heater or gas fireplace 23.32 , Loa lighter(gas) 23.32 Woodfpotbxstove 33.39 Wood fireplace/hoot I 23.32 „Ch irnney/linerffluc/vcnt 23.32 Y , Otites: • 23.32 ERYltonpACRtilL:rltatd¢t and vegfitafi4n: Name:Polygon Will,LLC Rangehood/other kitchen I equipment 33,39 Address:109 East 13`r'Street Cloihesdiverc..hanst I 33.39 City/Slate/ZIP:Vantouver,'WA.98660 Sinela-duct eahuusl(bathrooms, Wet eompartrttcnts..utility rooms) 4 23.32 Phone:(360)69S-7700 Fax:( ) Auicicrawlspace fans 23.32 r , ,.. E3r.7� . e. .,,t b. tit^'f '& t --. 'tet,roYawS; Other: 23.32 ..LI,,iziw _:-....--.-1.-44, `"- -' . C.,r.::94ti,:a�..a,.gl_ 8 z_ fC .._ ...t, t.; sv3v Business name:Poiygon W1,31,[.LC Faei plpiat^. $14.13[or fust four,$4,113[preach addifienat Contact name:Angela Grajewski Fmtrace.etc. r I t Address:109 East 13th StreetLia S h pump Wall/suspxtda#unit heater City/State/Ztl':Vancouver,WA 98660 Water beats Phone:(360)695-7700 I Fax::(360)693-4442 Firobtce 1 Unite / E-mail:Angola.l rajewskitO.palygoubeirms.com Barbra= • -.E;;:.- - . t ,..._ _ ,� : im, :r�..r. N v Gk __ t� Pjar.>e_,s_ 34C5-� .,_z- .?4.'iClothes dr fear Otbcc Business name:Apex Air LLC 4 s tEa.'' , " s 4 ` t Subtotail z x :a Address:18004 NE 72"Ave City/State/ZIP Vancouver,WA 98686 Minimum permit fix 590.00) Phone:(360)342.8109 Fax:(360)324-2 1769 Plan review(12of permit fee) State surcharge{!2%of permit fes) CCB be.;203034TOTAL PE tMET FEE This permit application expires ifs permit is not obtained within igti days miner it has been accepted as complete. Authorized signature' ` Pee methodology set by Tri-County Building industry Service Sunni Print BOW. "gik , / Date: 4.11.1t. t•Ltuac g tot4 C_Pcna llpp_o¢olu.dee ada,#6mrittmicoMtttcoal RECEIVED .....„.:::,•..,.:,„:,;„..,...,„ Electrical Permit Application FOR OFFICE USE ON1.1 City of Tigard JAN 1 7 2017 Recei ailal► ri 11,1. ,3125 SW Ban Blvd.,Tigard,OR 97223 Plan Review ' Phone: 503.7182439 Fax: 543 Dote s• See Page 2 for Inspection Line: 503.639.4175 nu 1IGARU ReadyDate/Bx i 1 G rd(D 1•lod�d/Method: ® Supplemental tnfonaamoa Internet: wwnttigard-or gov ���r�• I! "=-'`"--.'--- - -+.- ,. ... ' ' C 1 .��ry' 'd,i7 7 y'_,i'in!�,:iV- � y2 ,:oat >'+rt? -=-4.-.-`,54,-0*:i,..'.1.,,, fir .i Q; i,-. r*F' ✓ X , ®New construction 0 Addition/alteration/replacement Please check alt that apply(submit to sats of plans wide=checked): Cl Service or feeder 400 amps or mon 0 Buidmg over tome stories. ❑Demolition 0 Other: where the available fault errant 0 Marinas and boatliards. ,2 4S;;;�., r x;.,,F,y,,- ,_,A 10- ,V.);,;4 a14,r){;�_s t+ Ce2,401-V::.s ::• J ',<� exceeds 10,000 amps at ISO volts or 0 Floating buildings, _.._ -1 foss to ground,or exceeds t4,DD0 ©tSwnmetcial,sse agricultural 2-family dwelling 0 Cammer«s]Cniaitistrial ❑Accessory building mops for an other installations, buildings-• 0 Mule-family 0 Master builder 0 Other: ❑Fire pump. ©Installation of ISO A or -''S? 3,,- Y'y, 0463,:-;1:-;a N'�r•i,' 9 '•AIL Gyt,-f-'!"P-610 y:.P2*:-';'"* S '.S ❑P+merBcGy System. larger separately�� -� 4 0 Addition of new motor load of system. Job#• Job site addresil LAI j l\ S�''a J (frtl, 100iir or more Rix or more taidnubs, oocaooy City/State/ZIP:Tigard,OR 97224 _ O7lealth-care facilities. Q Recreational vehicle parks. p� `�7 0 Supply voltage more than Suite/bldg./apt#: Project name: Ri( w -1- •4,701}A1V406T-0�or amps orad. 600 roils nominal• Cross street/directions to job site: . ' P` .;-4 r- .-4 - B' ,r,1 '-xs,�ttil5 u pav'i.- = ��w' a: Deaarla8aa Qtr. I Each ''Fota7 /� New residential single-or multi-family dwelling unit. Subdivision:H u�r T4ye � Nl 114WeJ� I Lat#:12.. Includes attached garage 1,000 sq.tt or less 168.54 4 Tax map/parcel#: Ea.add•1500 sq.ft.or portion 33.92 1 94v it Z1 v` J 3 {a) 2. -_,a,htl,1 Limited energy,residential 75.00 2 Limited energy,mach,-family 75.00 2 residential(wits above sq.ft) - ,+- s� Renewable Energy 0 See Page 2 ,�1ir' y'_. F 1 -„E,;iJ� , G +,,,-,,,,,,,,,,r441_,..--',-.._,�ti'te;,,ky F* ::�= 43f .,, ,d'"'''. :•-: „',..-.'"*--'-''61'-‘-'-' Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 , 2 201 amps to 400 amps 133.56 2 • Address:7600E Doubletree Ranch Road 401 amps to bop amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 ataps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 55226 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 lees 59.36 1 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 401 amps to 599 amps 168.54 2 : Owner signature: Date: Branch eircuifs—Herr,alteration,or tnctenslon,per panel I rI' > :.-xr,y^..y '`''.4.1••1R7S'r3s, - A if,c(r l.F.7'.��..,`-', 'c`fi : with t k s >+ .�1? r „ r7 A.Fex£or branch arcuits g Fastness name:William Lyon Homes,Inc above service or feeder fee. 742 2 1 each branch circuit Contact name:Angela Grajewski B.Fee for breach circuits without service or feeder tee,first 86.18 2 Address:109 East 13th Street branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2 I ilsce0aneons(service or feeder not included) Phone:(360)695-7700 ' • ` I Fax::(360)693-4442 Bath manufactured or modular 67.84 2 dwelling,service and/or feeder Email:Angels-Grajewsld@folygonhomes.eom Reamed only 67.84 2 : wh a c> T, Fss�ar inigatioa Circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 ",,. Signal eircmall(s)or limited-energy r., Page 2 2 Address;6101 NE St Johns Rd band,alteration,or extension Each additional inspection over allowable in any of the above City/State/DI:Vancouver WA 98661 AdditiOnal Inspection(I hr min) 66.25/hr Maim(253)320-1657 Fax:( ) Investigation(1 humin) 90.00/hr Industrial plant(/hr min) • 78.18/hr Email:bdanielsti'eusa.comhlspecfioas nu which no fee Is 90.00!1,s CCB Lic.: C1158 Electrical Lie.: 208174 Suprv.Lice: 4496S ,?listed min l t 4: «5, y. „ Suprv.Electrician signature,required:J/f pi ,Q�( ' Subtotal: Print name: Joan Albert Date: 4/26/2016 0 P1anReview Required(25%ofpermit fie): ,'cryState surcharge(12%of permit fee): ,:::z:• —„ - TOTAL PERMIT PEE: is `•'• Authorized signature: c. This permit application expires Ra penult Is not obtained within l•80 y" •` days attar It has been accepted as complete. ; Date: 4/26/2016 x:..: Print aeras: BIB Daniels �1�`e R;:. Number of inspections allowed per permit p ,..i; 41e-46l t1LOSICOM/VYEIi !,3 ,v4•�alding t�eibiELC/'enatMv. A-ssadoc s,e o6n7aots ib. :•:.h: li :.. Plumbing Permit Anulicatio ''°� "�" V"" Building Fixtures JAN 17 ?Di'? 111111111111111111=1=11111111111M T City of Tigard Received,[�� / D Permit N0.:/LIS/ l -o00,7 11,1,,,,--e: 13125 SW lieu Blvd.,Tigard,OR 97�O TV'ARD Phut Review Oiler Pernvl No.: Phone 503.718.2439 Fax: 503.598.9t10 Decay: r Inspection Line:.503.639.4175 BUILDING DIVIS14�d • . .. mri:: for Internet: www.trgard-orgav abed: Supplemental orormalioa •a . I ;,,....i.r•rr}‘:•ax r":,..._._ ., . :i..Fig":?%+0....ggrOkr'." ..... ,„*.:„..... ..f::.:',...,,,-.,, ::... t E001 .•a .•r?a.'.,•i_'? r°® • � ,.. :> [3 Demolition :,. ;' For special Wor on useeirecklis4 _ N Description ( Qty. 1 Ea. 1 Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) • •"i' • 'CATEGORY'08 CONSTRUCTION' , . . SFR(I)bath 312.70 :;:.��' �, .. SFR(2)bath 437.78 ®I-and 2-family dwelling 0 Commercial/industrialSFR(3)bath ` 50032 ❑Accessory building , ❑Multi family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fee sprinkler(_•_sq.fL) _ Page 2 . JO�B/SITE IAIFORM/U N'i'AND•LOCATION ..t- . Site utilities: ' 1Tgt Sw ShQdIr Inert �7t Catch Mein or area drain 18.76 Job site address 1,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:__„•.) Page 2 Suite/bldg./apt.no.: f Project name: 416,e Itr ItUL N#1111 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.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:g y:, r t Withw.p�-t-" Lot no.://5- Fixture or item: Backflow preventer ( 31.27 Tax map/parcel no.: Backwater valve r 12.51 . DE..+�,'CRJ7F..ION OF W0R1G ; Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/amp25.02 Expansion tank 12.51 ®.TROYER!k OW{IIER ' I• © TENANT Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sinklhub 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 : . ®.APPLICANT ti CONTACT PERSON: Interceptor/grease trap 25.02 Medical gas(value:S ) Page 2 Business mune:William Lyon Homes,Inc Primer 12.51 Contact name:Angela Gra jewski 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)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:Angela.Grajewsl ippolygnmhomes.eom Water close 25.02 • Ct1+N!'1tACTOIt , . Water heater 37,52 Business name:Malmedal Enterprises Inc. Water pipingiDWV 56.29 Address:PO Box 207 Other: 25.02 City/State/ZIP:Basks,OR 97106 Subtotal Minimum permit fee: S72.50 Phone {503}324-0159 Fax:(503-)324-0580 Plan review (25%of permit fee) CCB tic.:102535 Ylumbatg7 Se,no.:34-776PB State surcharge on,of permit fee) Authorized signature: l...- c-: TOTAL PERMIT FEE ��" Date:04/2512016 This pmt application expires if a permit Is not obtained within 180 days Print name:Carolina Malmedal alter it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board, IdlialldbadteredideLMU-Pwsttapp•dcc i0f01A9 44046162(l0102ICOINWFB) c City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT iC T c A o Building Permit Review — Residential Building Permit #: o�G��$72 O/7 00036. Site Address: /927111/ ,0,0 --77 // \c Project Name: j / ,- `.rfic� /Uir are,s - Lot #: /.2,c--- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: av 2F/ erify site address/suite# exists and active inP ermit s tem. River Terrace Neighborhood: ElNo I!4 Yes,See River Terrace Review Addendum Attached Si Plan Elements: ilal ree(3)copies of site plan .F.''' 'sting structures on site tle 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) poor elevations •orth arrow Fa Utility locations(required for new,may apply for additions) .e address,project or subdivision name and lot number { Pi i.cation of wells/septic systems .licant information(name and phone number) U sting trees to be retained with drip line,and tree 1 of dimensions and building setback dimensions rotection measures rA 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) O\Ptlean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified Ltd No Received: PP ❑ Yes ❑ No Public FacilitiImprovement(PFI)Permit: equired: V Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake .and Use Case#: �f,16 's'-1 ` ,S f 't/ 7/ (�k Pi �V/ oning: 77(Pb �equired Setbacks: Front do Rear Jo Side 3 Street Side arage �0 �andscape Requirement: .0 /o ot Coverage Maximum: 00 % Building Height: Maximum Height A- Actual Height OS Lf Visual Clearance Easements fii r ensitive Lands: ❑ Yes iXo Type 7 Urban Forestry Plan ❑ Conditions "Mst;')prior o issuance of buil permit �� Notes: L.�L�I� 'X'ens ` - / /?,� t'72c- ` t f /S;se ' Approved By Planning: _.._ Date: c 171 -- 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\BldgPermitRvw RES 091216.docx Building Permit Submittal // Original Submittal Date: l2!AO /17 Site Plans: # 3 Building Plans: # 3 Building Permit#: Enter building ermit#above. Workflow Routing: Planning 'Engineering Termit Coordinator 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 original plan review routing form. ,C%"Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: / im,,�.�� •_7/h%- Date: /.x Engineering Review ie Slope at building pad: g� OConditions "Met"prior to issuance of building permit .7 ❑ Easements (encroachments)per engineering conditions of approval and p at ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: WZ--. ' Date: j•—�7•–l7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit 7 1!1Approved,NOT Released: tea/Date: i/` 1 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 ❑ N/A Tigard Trans SDC: rMi'"Yes ❑ N/A Parks SDC: Yes ❑ N/A K to Issue Permit r Approved by Permit Coordinator: Date: ca'/I1' 1' � I:\BuildingForms\BldgPermitRvw_RES_091216.docx , City of Tigard 'I COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum ,K Building Permit #: Site Address: /91-71271/ QZO SAodel ,,%te-/ Project Name: leiv-er- Vra.,a,__ 4.2t.)(44 1 tt,,PS7L' Lot #: /QQ.. (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distrjct Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?Q(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. ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft.,5 ft.wide min. 2 ft., Eft.wide Gabled dormer ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: /i. ( , 7trances:At least one entrance must meet both of the foll ring standards: ax. 8 ft. setback from longr t street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: poi Yes ❑ No Zcl s,all the following apply: 5s .ft. min. IfZ ne street facing entry ft.max.roof above floor oforch (4 5 ft. depth min. P 30%min. porch roof coverage 4.,etailed Design:All buildings shall include a min. of five ):If the following elements on all street-facing facades: ,b� Covered porch min. 5 ft.wide x 5 ft. deep entry area min. 5 ft.wide x 2 ft. deep X Tall offset mm. 16 inches ❑ ormer min. 4 ft.wide �y`7(Roof eave min. 12 inch projection Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood (Gable,hip or gambrel roof design ❑ Acce pitch oriented south min. 500 sq. ft. ❑j-Iorizontal lap siding min. 3-7 inches wide 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 0 Bay window min. 5 ft.wide by 2 ft. deep 0 Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 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: N closer to front or side lot line,than longest street-facing wall. 0 Yes No. If No (Check one): May extend up to 5 ft.if there is a covered front porch andarae does not extend beyond the g y front porch. 0 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) 12-foot-wide garage door 0 40%max. of street façade 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: L — �� Date: /Afi - I:\Building\Forms\B1dgPermitRvw_RES_RT_o62216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17441 SW SHADOW TRAIL ST, BEAVERTON, August 30, 2017 at 2:43:33 OR, 97007 PM Record Type: Record ID: Residential - Master Permit MST2017-00036 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Provide vent for lower level 1/2 bath. Downspout removed left rear for repair. No inspection done at this time, not ready for final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17441 SW SHADOW TRAIL ST, BEAVERTON, August 30, 2017 at 2:51 :28 OR, 97007 PM Record Type: Record ID: Residential - Master Permit MST2017-00036 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Ac installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17441 SW SHADOW TRAIL ST, BEAVERTON, August 30, 2017 at 2:52:16 OR, 97007 PM Record Type: Record ID: Residential - Master Permit MST2017-00036 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Ac installed Violation Summary: Inspector Contractor