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Permit (61) CITY OF TIGARD MASTER PERMIT 14 .' COMMUNITY DEVELOPMENT Permit#: MST2017-00041 13125 SW Hall Blvd.,Ti Date Issued: 02/14/2017 Tt[a# R.L'� and OR 97223 503.718.2439 9 Parcel: 2S106DB11300 Jurisdiction: Tigard Site address: 17336 SW SHADOW TRAIL ST Subdivision: RIVER TERRACE NORTHWEST Lot: 113 Project: River Terrace Northwest, Lot 113 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 814 sf Left: 3 Parking Spaces: 0 Height 25 Bathrooms: 3 Second: 1251 sf Garage: 368 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3043 sf Value: $365,690.59 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 Water 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'I 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: Y 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 Fire Rated Eave 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175 STE 1 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-895-7700 FAX: Total Fees: $34,125.62 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 00�f�i�7/ 1dPermittee Signature: Lcr l' (�G►/Y�6�1Gfi�JyI Call 503.639.4175 by 7:00 a.m.for the next available inspection date. �(/ This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. / _Building Permit Application h'0 7____ 113 1 -a4--17 CA-- RIVFOR OFFICE I srONL1 City of Tigard Received 1.1 /� 1111 'I 13125 SW Hall Blvd.,Tigard,OR 97223 0 C T 11 2016 Date/By: 7G Permit N �"7--/,fir,Vi Phone: 503.718.2439 Fax: 503.598.1960 Plan Review 0 q�, -7 /�/� Date/By: 4 ' Other Permi �1/<<+cFl�/'�j0(.'J�s Inspection Line: 503.639.41 75 CITY O ri.i GAR Date Ready/By: U� furls ® See Page 2 for Notified/Metho �Internet: www.tigard-or.gov Supplemental Info BUILDING DIVISION L�ILI -/G- ,A/6-,. -- ' ®New construction ❑;,2:: ,t-i:---- emoition 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 pw , the dwelling I//I166 0 � m �� t „ , work indicated on this application. ® 1-and 2-family0 Commercial/industrial Valuation: 1 ❑Accessory building ❑Multi-family Number of bedrooms: M0 Master builder ❑Other: Number of bathrooms3 :I Li I1 _ '` + - t Total number of floors: Job site address:'7 I SW Shadow Trail St New dwelling area: D qsquare feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 31,6 square feet 1) Suite/bldg./apt.no.: I Project name:River Terrace Northwest Covered porch area: I'3l square feet Ia C j Cross street/directions to job site: Deck area: . square feet9-7 g Other structure area:1 C`J square feet ; ) L „� 5rtIMPTARIVI T' 1. B l f E' :1 Subdivision:River Terrace Northwest I Lot no.:I 1 3 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 work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet 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: l l Business name:Polygon WLH,LLC Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 13th Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com ° t t ° Commercial and residential prescriptive installation of 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 $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 - Total fee due upon application: $201.60 r Authorized signature: 1/4_....?4,, �� This permit application expires if a permit is not obtained G within 180 days after it has been accepted as complete. P Print name:Angela Grajewski Date: 67I -� 'b *Fee methodoloy set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applic ' iur(II I I( I I ,.i dill ti City of Tigard l pcnnie WAS%-/i 7-©O )9/ 13125 SW Hall Blvd..Tigard,OR 97223Man Review Other Penna.503.718.2439 Fax: 503 598,196(�fv\ 3 0 ZOO Dually: 1 ; , ,, Inspection Line: 503.639.4175 Date RcadyIBy- rum SI Ste Page 2 for Internet: wwwtigard-or.ggov CITY OF-HU/AHD P1 Neil dfMcihad.: Supplemental Information 11 It4G Mechanical permit fast are based an the value of the Karel ®New construction 0 Addltion/alterationireplacenent performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment.labor,overhead-and profit. rtxValue: .1111-44e14 w?"a "..,"15,i75!..., :tr€ ze ° r ° vEtt1-1;1f-'...411'11,1 - -4-i- .' i" tr f'` 4y, , , , ,, " .. ❑i-and 2-family dwelling 0 Commercial industrial 0 Accessory building For spedafInformation usrcheratlist. ®Muiti-fbmily 0 Master builder 0 Other: Description Qty. I En. 1 Total _., Htatine/cuoling: .,-x-.; Jt t,.,-1} `Tar•,;1,,tr '` € ;t_sf-fie P" 1,t.k..tt `s.,. 2- 66.7$ - ^�' Air conditioning 1 Job site address:`1'7-t `,V V S��W t v T Furnace 100.000 13TU(ducts+tems) f 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU tdacis/vents) 54.91 Heat pump , 61416 _ j SuSuite/bldg./optno.: Project nave: 12 - e.crcleP.0v.1 '.1 Duct work 23.32 Cross street/directions to job site: ilvdranic hot water stistem 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended.etc. 46.75 Flue/vent for any of above , I 23.32 � k� J�rGC Y td�� N V v Other. 23.32 Subdivision ! Ut "! I Other bet apnldanres; Tax map/parcel no.: Water heater 23.32 .3T.h-: . _ 1i i °.. -r' - t ,1't - I.4'T...`� `f. 3 - _` . C;as flrcpineetthsort 33.39 '= _ Flue vent for water heater or gas 1 MVOs= 1 23.32 Log lighter(gas) 23.32 I Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ChimncyilinerifluthVern 23.32 Uthex 23.32 s, * `�. ''1.°.A _ t- 3t .''r -E,`xY' r =..K#to--,_ Environmental exhaustendventilation: Name:Polygon WL.H,LLC Range hoodfothct kitchen equipment 1 33.39 Address:109 East 13`k Street Clothes dryer exhaust 1 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, l�. toilet compartments,utility rooms) 1 23.32 Phone:�'.(360)695-7ms700 Fax:( ) Altic/cmwlapact fans 23.32 " k:- .. i s1re,Y 1a ;*111-.- 5,i '6 kt'x :Y.4, . v, .' , Other: 2332 `---ft-2.:•,..,,A.,..- '' § ,.. . M134 T-- t , m .w.tru ` , i Fuel piping: i Business name:Polygon W LH,I.LC 814.35 for first four,S4.03 for each addltioaal. Contact name:Angela Grajeayski Furnace.etc. ' Address:109 East 13th Street Gas heat pump h. Wall/suspended/unit heater t City/Slate/Z1P:Vancouver,WA 98660 Water heater FFireplaceI Phone:(360)695-7700 Fax;:(360)693-4412 Range 1 a E-mail:Angola.Grajewakia polygonhornts.com Barbecue 1 ..-',`_.1,114!.04-71',-1-11..-.:. h3. ziF"'3sa Pr I:FiYMzY :fix. .5 ,s.. ::-;-'1:::- .A; Clohes d1Yer(as) Business name:ApesAir LLC Other r k; l,r' �n f< rat .= i ' Z . Address:18044 NE 72"1 Ave Subtotal Minimum permit fee($90.00) City/State/ZIP:Vancouver,WA 98686 Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326.17641. State surcharge(12%of permit fee) CCB tie.:203034 TOTAL PERMIT FEE This permit application expires ifs permit is not obtained within too 7 days ateerit has bees accepted as complete. Authorized signature- • Fee methodology set by Tri-County Badding Industry Sssaice Board T. Print name: Y Date: 4.11-Ito. I 444-u,t7T(th Co at r:dauilding+PamirsatEC_p+rrmitA{,y,_rHo t Li doe Y'. 4 E. f -. VED Electrical Permit Applie2atiI F012 OFFICE 1,S1:ONL1` City of Tigard0 V6 Reoeived Date/B . Permit0:11/57:20// -OOo 13125 S W Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.7182439 Fax 503.5tireOF TIGARD DateJB : Related Permit a. Inspection Line: 503.639.4175 f a(o �ry n Ready Data/By: kris: >+5 See Page 2 for Ti G k 1t D intemet: www.tigard-or gov BUILDING 0IV I S I l/ Notffied/Med,od: Supplemental Information ®New construedon ❑Addition/alteration/replacement ' x Please chock ail that apply(submit 2 sets of plans-Wilms obecked): ❑Scrvica or feeder 400 amps or mote ['Building over three stories. 0 Demolition ❑Other where the available fault cuncat 0 Marinas and boatyards. R1isa',WWt10)a4_Y,tgC_c�+,, �?c_ Vijs3 exceeds 10,000 amps at 150 volts or °Floating buildings. ®1-and 2-family dwelling 0 Commercial/iridtistrial 0 Accessory building to to ground.or exceeds 14,000 0 Commercial-use agricultural amps 0 Multi-family , []Master builder 0 Other Fite ❑Fpump. mmall ahs installations. buildings.p. ❑Lamltation of 150 KVA or i 04;'," 1 roc`'•4�='--01: 9114.1 1 9—`-:';', ,. 6.q "® e�.7t s y`...: ❑Emergency'system. larger separately derived Job#: Job site address/3 NA0 SW SVI t c1� 3T D 100PAddition room.of new motor load of � i ,,,,�t 100HP or mora. Ow -1-2.-i-3", i City/State/ZIP:Tigard,OR 97224 ❑Six or wore residential units. occupancy. p ,`,` ❑Heal h-oare facilities. °Recreational vehicle patios. Suite/bidgJapt#: Project name: arTeW cel t 1 nI W ❑Hazardous locations. 0 Supply voltage for more than ❑Service or iheder 600 amps or more. 600 volts nominal. Cross street/directions to job site: 7._.. -.--.4",--..,Z.,:-. :3,!-::01.4-.F4.-1„;: a r 9 1, --_: Desertpdoo I Qty. I Each Total . New residential single-or multi-family dwelling unit. �P T, Subdivision: (4) N w Lot#:` t Includes attached garage. Tax map/parcel#: 1,000 sq.R or Jess 6168.54 4 Ea.adc11500 sq.R or portion 33.92 1 l I Saxe 2e. 'pg eui`3'+' . . x -2,.-:- .1- _,-q.'5,: Limited energy,residential 75.00 2 (with above sq.R) Limited energy,multi-family • 75.00 2 residential(with above sq.It) 'kV, Renewable Energy 0 SeePage2 a (1e.��.u- 'a4;_ 4 4' i PiiTM 44- - Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E 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 ( 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 I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORB 447,449,670,and 701. • 201 amps to 400 amps 125.08 2 Owner signature: Date: • 401 amps to 599 amps 168.54 2 ,. ,, _�.0. en,..„' v ..: .r,yS^-r•> rim,o o �� '7j,{e l 0,,w,,,,,„3,, Brunch circuits—new,alteration,or extension,per panel — A.Fee for branch circuits with i Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 ° each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits without , Address:109 East 13th Street sence or fader fee,fust 56.18 2 braanch circuit r City/State/ZIP:Vancouver,WA 98660 Bach add')branch circuit 7.42 2 , i Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' ' ' I Fax::(360)693-4442 Each manufactured or modular 67.84 2 Email:Angela.Grajewsld® Reconnectt polygonhomes.com Ravelling, only and/or feeder , nly 67.84 2 .r- 4 �',,bPr 3 t 1.(' 9-)_-4 - _ -a. < _ ,. . '_ Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC ' Signor outline lighting 67.84 2 Jw: Signal cirettit(s)or limited-energy Address:6101 NE St Johns Rd panel,actuation,or extension. ❑See Page 2 2 t City/State/ZIP:Vancouver WA 98661 Each additional Inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr r Phone:(253)320-1657 Fax:( ) Investigation(1 brmin) 90.00/hr Email:bdaniels(ggweusa.com Industrial plant(1 hr rain) • 78.181 hr Inspections for which no fee is 90.00/hr CCB Lic.: C1158 I Electrical Lic.: 208174 J Suprv.Llc.: 44968 s r/,listed hr min) Suprv.Electrician signature,required; ..-• • Subtotal: Print name: Joan PAlbert j Date: 4/26/2016 ❑Plan Review Required(25%ofpemtitfee): ' State surcharge 12/ nam ,.. l - _.. �TALP$ : •••• Authorized signature: i • This permit application expires if a permit Is not obtained within 180 `<.s Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. ' ie;:t* Number of inspections allowed per permit M t"'�1:1Bn1tdmg1PermitslfiLC Pe:mitApp 111.2.IIRS.doe Rev 06/17/1015 4404615T(11/05/Coi f/wEa 6/a'` �. -- Plumbing PermitAPPIica I Building Fixtures I OR ()I Fl( f I `.I ()NI NAV 3 !} 2016 /`-t(•/ o/7 -t2W/ City of Tigard " ReceivedDatePermit No.: N. a 13125 SW Hall Blvd.,Tigard,OR ph.Rev B ' P-se/B Review Phone: 503.718.2439 Fax: 503.198.8M a1 Other Permit No.: Inspection Line: 503.639.4175 BUILDING J I S/O N Dae Rea I i Internet www.tidor. ov �� > ReadyBy. 7041: 8a SeePage2for ! g NotiSed/Metbod: Supplemental Information ,.. : F.. .... . T*:oF•woaV.•:• - ..F •. riga-'=' -'::.:-:!"-, i',::4-„1-:.; ®New construction " 0 Demolition For spe �cial information use checklist Description I Qty. I Ea. I Total 0 Addition/alteration/repIacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) •• •-CATEGORYOF CONSTRUCTION•" _ • SFR(l)bath 312.70 ®1-and 2-family dwelling 0 Commerciadustrial SFR(2)bath 437.78 Urn ❑Accessory buildingSFR(3)beth i 50032 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other Fire sprinkler(_sq.it) Page 2 • - JOB"SITE INFORMATION`AND LOCATION - Site utilities: Job site address: 1 13 7( ) c 1N Str\o c16- T i �'` Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,m trench drain 18.76 Footing drain(no.linear ft.:_J Page 2 Suite/bldg./apt.no.: Project name:�n\teArTejrakc-+2.-NW Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear R:__) Page 2 Storm sewer(no.linear tt: ) Page 2 Water service(no.linear ft.: ) _ Page 2 1 Subdivision: /2.1:46‘r Itre(A 1 (JkNI Lot no.:/t 3 Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 DESCRIPTION OF.WORK. . - Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®.PROPERTY OWNER . . I e 0 TEiiTA1VT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Address:7600 E Doubletree Ranch Road Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 852.513 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 0 CONTACT PERSON Interceptor/grease trap 2502 Business name:William Lyon Hoines,Inc Medical gas(value:$_) Page 2 Contact name:Angela GrajjewslPrimer 12.51 ti Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 i 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 l E-mail:Angela.Grajewski@polygonhomes.com Urinal 25.02 Water closet 25.02 ( - CONTRACTOR - • Water heater 37.52 Business name:Mahnedal Enterprises Inc WaterPmP�t ' WV 5629 S P Address:PO Box 207 Other. 25.02 f City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 CCB Liu:102535 Plumbing Lie,no.:34-276PB Plan review (25%of permit fee) State surcharge(12%of permit fec) Authorized signature: G_ TOTAL PERMIT FEE i Print name:Carolina Malmedal Date:04/25/2016 1 This permit application expires if a permIt is not obtained within 180 days after it baa been accepted is complete "Fee methodology set by Tri-County Building lndustry Service Board. islsuadinelkin itstPLMU-PermitApp.doo maitre 440-46161110/02/COM/WEB) i 1 c City of Tigard 11 w COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Residential Building Permit #: / /S j 2i/7 —000 f? Site Address: I ) 3? S ki Sr)6tid c ,,, —re-e.,,,1 S{- Project Name: Rve '1—eor 0 o. 1\! r-1-- I-I-eafi Lot #: 113 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N ei d e -ad t c S __ JVerify site address/suite# exists and active in permit system. 'River Terrace Neighborhood: CI No p Yes,See River Terrace Review Addendum Attached Site Plan Elements: • Three(3)copies of site plan )Existing structures on site ,Site plan must be on 8-1/2"x 11"or 11 x 17"paper AfFootprint of new structure(including decks)with finished ,Drawn to scale(standard architect or engineer scale) floor elevations North arrow :1K-tility locations(required for new,may apply for additions) (}'Site address,project or subdivision name and lot number .. f ocation of wells/septic systems WApplicant information(name and phone number) Existing trees to be retained with drip line,and tree .1Lot dimensions and building setback dimensions protection measures Lot area,building coverage area,percentage of coverage and f 'SStreet tree size,type and location impervious 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) 32-Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified .l No Received: ❑ Yes ❑ No .11- Public Facilities Improvement(PFI) Permit: Required: -yes,applicant was notified ❑ No Applied For: cxf Yes ❑ No,stop intake A Land Use Case#: PN2-.a.L IS -- 00005/ Scu o iS'r 0000 Zoning: R-'7 Ply IXl Required Setbacks: Front p. Rear 10 Side 3 Street Side 9, Garage 0-o L� Landscape Requirement: a b al Lot Coverage Maximum: i3� ,B'Building Height: Maximum Height Ni pr Actual Height l 'Visual Clearance [kr-Easements )Sensitive Lands: ❑ Yes l No Type Urban Forestry Plan ❑ Conditions "Met" prior to issuance of building permit otes: k& C t Gt n n'i v1 c1 C' '1 cL, Pi c,) , 6pr,,f✓ -u �� • - ��: 'tel r"i m� , S,s lklri vt ce Approved By Planning: • y_ Date: ---/_ g Revisions (after Building Submittal only)) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\B1dgPermitRvwREs 091216.docx r Building Permit Submittal Original Submittal Date: a/////(" Site Plans: # 3 Building Plans: # 3 Building Permit#: C Enter building permit#above. Workflow Routing: E Planning E >✓ngineering Permit Coordinator 15 Building Workflow Sign-off: l Sign-off for Planning(include notes from planning review) Route Application Documents: IZ1--Engineering: (1) copy of permit application, (1) site plan, (1) building plan and •ginal plan review routing form. Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ' Date: 7/90//` z✓ J7 Engineering Review M' Slope at building pad: / 7( Conditions "Met"prior to issuance of uilding 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 ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: ,4' P Date: AJ/-i 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit rDatepproved,NOT Released: : i/3 f/'7"."- 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: F,DC Fees Entered: Wash Co Trans Dev Tax: ) res ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: ([ (( es ❑ N/A OK to Issue Permit pproved by Permit Coordinator: Date: .a7;7/ ' I:\Building\Forms\B1dgPermitRvw_RES_091216.docx City of Tigard 7 h COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: /'f172c'/? - OOP 9/ Site Address: ('73 3l6 ,S id S ekd u-3 ----ri-,; / ,s4- Project Name: -Rl,K r reicY a CA. N u,.-4- ,,-) eJ t Lot #: j 13 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?. 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. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer [r- ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: la . 5 `'w krckk side 13 (>41 3. Entrances:At least one entrance must meet both of the following standards: . Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: li Yes ❑ No If yes,all the following apply: k"25 sq.ft. min. One street facing entry V-12 ft.max.roof above floor of porch [ 5 ft. depth min. l - 0%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: 'Covered porch min. 5 ft.wide x 5 ft. deep 'Recessed entry area min. 5 ft.wide x 2 ft. deep ErWall offset min. 16 inches ❑ Dormer min. 4 ft.wide ('Roof eave min. 12 inch projection 'Roof offset min. of 2 ft. El Roof shingles either tile or wood arGable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. Cl Horizontal 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 ❑ 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: No closer to front or side lot line,than longest street-facing wall., Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. El 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 ❑ 40%max. of street facade [ 50%max. of street facade with 7 detailed design elements Notes: 54evt..4- 5;ac- t'Q1C3 doSt�`.a.*'I h,,te.4- 1.0id'11 rt:vis, d l>14,-1s 1 -.14-i7, Approved By Planning: ,1 . L iC (co-v.3, Date: I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx / 0164^^ /7 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17336 SW SHADOW TRAIL ST, BEAVERTON, September 13, 2017 at OR, 97007 9:57:10 AM Record Type: Record ID: Residential - Master Permit MST2017-00041 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17336 SW SHADOW TRAIL ST, BEAVERTON, September 13, 2017 at OR, 97007 9:56:19 AM Record Type: Record ID: Residential - Master Permit MST2017-00041 Inspection Type: Inspector: 699 Mechanical 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: 17336 SW SHADOW TRAIL ST, BEAVERTON, September 18, 2017 at OR, 97007 3:01 :37 PM Record Type: Record ID: Residential - Master Permit MST2017-00041 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. Vapor barrier form received. Blower door test report received. Insulation certification checked. C of 0 left on site with approved plans. Violation Summary: Inspector Contractor