Permit Plumbing Permit Application
RECEIVED
Site Utilities FOR OFFICE LSE ONLY
City of Tigard MAY 3 1 2017 Received
g Date/By: n # Permit No•
41 13125 SW Hall Blvd.,Tigard,OR 97223
.1111
i q 1/�� S�`� � Plan Review
Phone: 503.718.2439 Fax: 503.598.196! w' Other Permit No.:
Date/By: 6- 2 _/7 4C�
Inspection Line: 503 639 4175 BUILDING DIVISION T I G A R D Date Ready/By duns ® See Page 2 for
Internet www tigard or gov Notified/Method: / Supplemental Information�; E W V • l \" >i .tl. l
®New construction 0 Demolition For special information use checklist
Description Qty. Ea. Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
,. . ,° ... *4,R,r4 „1 .. e,, . . SFR(1)bath 312.70
0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
ElAccessory building ®Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
0 Master builder 0 Other:
Fire sprinkler`°Y 3 t' ,ON AJ iii l Site utilities:(�_sq. g 2
1209 ft.) _ Pa e
Job site address: 13546 SW Beach Plum Terrace Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name:NW River Terrace 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: Lot no.:209 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DE OR1PT1 � ws ac water valve 12.51
B k
„y + , Clothes washer 25.02
Multipurpose Fire Sprinkler System Dishwasher 25.02
Permit#MST2017-00078 Drinking fountain 25.02
Ejectors/sump 25.02
, q• , `E(2•i W i • fai ' � Expansion tank 12.51
. 1 * ,,. / Fixture/sewer cap 25.02�Name:Polygon Northwest
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker
12.51
4111,IC <,:,...,.\,figINQNFAtflOsOk 2,1 Interceptor/grease trap 25.02
Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Robert Dishman
Roof drain(commercial) 12.51
Address:146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02
City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54
Phone:(503)492-3490 Fax: :(503)912-6438 Tub/shower/shower pan 12.51
E-mail:robert.dishman@allianceplumbing.net Urinal 25.02
Water closet 25.02
t t
. - aWater heater 37.52
Business name:Alliance Plumbing,LLC Water piping/DWV 56.29
Address: 146 W Historic Columbia River Hwy Other: 25.02
City/State/ZIP:Troutdale,OR 97060 Subtotal
Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50
CCB Lic.:184601 Plumbing Lic.no.:PB732
Plan review (25%of permit fee)�� State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Gavin Thomes Date:5/24/17 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: u.
Residential Fire Suppression Systems:
s
tal
4 Lam,`
Footing drain-15`100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas S stems
Water Service-each additional 100' 37.52
Storm&Rain Drain-1st 100' 62.54 3 n,... ......,
$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
each additional$100.00 or fraction thereof,to
and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
Quantity by,Fixture Tp haktW,.,., � i€ t ° ' l� l)lflillS ,
Fixture Type foe Rep e( Plan review is required for any of the following.
Work Performed Caps. AddedRelocate
Baptistry/Font Please check all that apply.
Bath -Tub/Shower 0 Any new commercial building with water service 2"and
Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic ® Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3"
Car Wash Drain :- DiagraM
Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
\\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pd mit.doc
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00078
171'GAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/23/2017
Parcel: 2S 106D B20900
Site address: 13546 SW BEACH PLUM TER Jurisdiction: Tigard
Subdivision: RIVER TERRACE NORTHWEST
Project: River Terrace Northwest, Lot 209 Lot: 209
Project Description: New SFA. Building/unit 12.4
BUILDING
Floor Areas Required Setbacks
Stories: 3 Bedrooms: 2 Required
First: 85 sf Basement: 0 sf
Height 34 Bathrooms: 2 Left 120 Parking Spaces:Smoke 0
Second: 562 sf Garage: 456 sf Front:
Dwelling Units: 1
Third: 562 sfYes
Right 0 Detectors:
Total: 1209 sf Value: $160,160.97
Rear 5
PLUMBING
Sinks: 1 Water Closets: 2 Washing Mach: 1
Laundry Trays: 0 Rain Drain: 1
Lavatories: 2 Dishwashers: 1 Floor Drains: 0 Urinals: 0
Tubs/Showers: 2 Sewer Lines: 100 SF Rain
Garbage Disp: 1 Water Heaters: 1 0 Storm Sewer 100
FootingDrain: 0 Water Lines: 100 Drains:
Ice Maker: 1 Hose Bib: 1 Bckflw Prevntr: 0 Catch Basins: 0
Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y
Vent Fans: 3 Clothes Dryers: 1
Natural Gas Heat Pump: N
Furn<100K: 1 Hoods: 1 Other Units: 0
Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders
1000 sf or less: 1 Branch Circuits
0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add',500 sf: 2 201-400 amp: 0 201-400 am 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0
p 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
Other: N Other Description: All
Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use:
Type of
VConstr: Occupancy Group: Square Feet:
NEW SFA
R-3 1209
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: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $22,671.92
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ���/ _" 16
Permittee Signature: � /�f}
(-`tli��
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Ci of Tigard
xea,ed z._
IN-., . Dam/Sy: Faxon No,(�..SZPo 7-000 7af/
13125 SW Hatt Blvd„Tigard,OR 9722' Flan Review
Anne: 503.718.Z439 Fax; 503.598.1960 % . Date/By: Other Permit:
I I�; I,t, Inspection Line: 503.639.4175 r
Date Ready/By: /mix 8t Page
Internet: www.tigard.or.gov Noti$e !Method: Sup entrt nformstion
,- ','...r ti �'�' ,O ` l � .:r. x e & ��a ` ,Nei St •Lk l 2 elf4'��rr��yr.�4.0 .-,�,p�. m.,•.• ,jy.� y�..�.
.. ..• a;�"'� ..:.u�.-F,?•F-...c.5. i,..•�,,._.�>,. .. . - .......gym, .. .,•.., .:-` '-;z�.v sa.�, .,. .. ._,.�.�r�`w..._. i�. � ..� �r'�rn_e„�Sry'f,P''
®Now"cottsintcttfln Mechanical permit fees•are based-on(14.value of the wort:
0 Addhtion/alteration/replacerricnt performed,Indicate the value(rounded to the neatest dollar)of all
Q Demolition 0 Other: mechanical materials. ui verhead,and
e9 pmertt,labor,%oproCat.
•ai`. �;a'�Ft�. tt S•l,w'*'"i s*�t.;n. '0i^• f,vaki `i#P4r 4410 }0�. 1A aIr1C
„�,"'•,.x. ' x° .. a '��Tw�1u�'�;'i Tom+ "'t' -4-„.,,..,....444,,,,,---,....4
ri.-i... �31+x. r� It
Q I-and 2-famil
y dwelling 0 Commercial/industrial 0 Accessory building For special
r
®Multi-family 0 Master. builder 0 Other. Description ..• irtjormattwa oat checklist.
. L�#}. Ea. Tfltai
.;�-:s:'��,-„rsry. a1• ��.,”/-/.� ac.�.. ,...v. v�:., „�•1.'�:_.i.�iH,ih����,4 �;'r' �ESr7IiQ;/CfiDli[1�% F
I ti CAA/ Air conditioning' 46.75
Job sltc addles,: ; ., t_ P t(,(,. ((Ara,(e " Furnace 100,000 BTU(dictshints) i 46.75
City/SlaileiZrf t.Tigard,OR 97224 Furnace 100,00Di-BTU(dous/roats) . x
4,91
_ Heat imp r 61.06
Stx31e(bldg./apt,no.: /2.9 Project name:gytirrt ari.,,,..iihrt v1Ltk-i-- l3ucrvrori.
t 23.32
Cross sttxat/dire ctions to job site: Hydronic'hot water system J 23.32
Residential boiler(radiator or
l hpdronic) t 23.32
Unitbeaters(fuel-type,not electric), a
in-wall,•in-duct suspended.etc. 1 ' 46.75
•
Flitefventfoe.anyof above j 2332
ubdiviion;/2iVVr T•f i�ii'a. Ni rliA oeft-- WI. no:'A1 Other: 23.32
fi
�a<X Arap/p2Tt�l no i .Other furl Rppi'ianci%:
sWater ieafer. 5
2332
'W,-411 �fe,„ts:£.1751; , C&A < �tei �^ � Gas 6replweruserf 33.39
..
Fltidventfoi`water heater or gas i 1
naw home eopstrtictiort fireplace 23.32
taa lipitter(l;as) F 23.32
•
wflfld/peilet`stitave s 3139
•Wood.fueplatxdinscrt . . • 23.32
Cbinmey/lincr/flue/vent 1 23.32
-I'''''''''5'14 .1!'-:°)
f SatzE L'4176 as .. Ysar Other e. 23.32
ra'`•s'ti7�S 0.�.,: •"''� • R'; , ;(_r F:-.'-'4•I '".**'L4:-.-'*:
4*' n•,' -'"c; Eariv3ripainria •
it cxLaust and veutilatto&
Name:ADVL Laiad Holdings,LW. . . ... . Rtmge hendfniher kitchen
Address:7t50f1`E ottbTetree Rat*Road
equipment... 33.34
Clonus dryar'exhaust I 33.39 '
City/State/ZIP,:Scottsdale,AZ 85258 Singlekduct exhaust(bathrooms. 4 .
UAW-rompartinents,uiility rooms) "1 23.32
Phone•.( 02).041 .03I F'ax ( ) Attic%rawlspnce.rafts.- ; i 2332
L:.'t-':.s'`arat.,..,'Um'�51:i1r `'„A, A '; ',•'w. ./I. ' -44 rD ai, Ki:,�.irt x ,e. i',5,• • i, 'Ot3rer: H 1 23.32
Businessnitroe:Wllliain Lyon:Barnes,Inc. Fuel piping:
;Sl4..L5 for#irst foot;84.03 fordsa stldiaMil
. I • - J
Coaatitat' UtakGitej�t+�ti T`airiaisc..etc �.
Addresst::169 East 13th Street Gas.heat Pump
Wall/suspended/witbeatm g '
City/State/ZIP:Vanaiitirer,WA 98660 Ih' cr beater
Phot*(360)05-7700 fait::(36(l)693.4442 ... . Fier lace f
•
Range.
E•lrtaii:Dalgoats.Grajewskipolygophomescam.
Barbecue
k: a;a : - ° d+'.-'r r c.:; 1 fiLUCI 9:Ir " „t `:c-i t.4. 't�Y;:: `. :4t;.Y.,rcy70 ^.Z. r Clothes dryer(gas)
Bus_ait''ess flame:Andexsei.*Mechanical,Inc. OIhM - s
.,f.�d ""W10' t ' 11:VC r ., .,5 a:a..?rar A! ."k^ Y'i, , v
Ottbtotal
;:O tyfStais/ZIP:;Tigard,OR 97224 Minimum p unit fee .UO)
Plionet 991-SGiS4Plan review(25%of p t fee)
( ) Fax:(5 )'S364615 State surcharge(12°!0 of.;, 'r fee)
vis
(CB_lie.:I682I4 TOTAL PERMIT FEE.
This permit application expires if a permit Dot obtained within 180
daysaftei has been accepted complete.
Aut orized Si* *ee;,,,a,„...:_______::_:,............ • incibodotb set Tri-County Bu£ldia Industry Senricc Board
Printnanie:Angelo CrajeWskl . I Dale:8122/1.6
a
Ii.Boiiidagtt'enaiisitECtermitMpp 44oti34ac 44040 7TO 1/02/COMMII0 I
. ,
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
Dateif3 • Permit ti:C7S7c2c)/7.-000 7P'-
. 13125 SW Hall Blvd.,Tigard,Olt 97223 ' ' Flan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/13 . riffil
Inspection Line: 503,639.4175 Ready DatetBy:
T I G A RD Internet wwsv.tigard-or.gov Nailed/Method: 11M :Zee rnaergi:a21 for
a on
• •
.. •, ••,, ,-,- ,.•,... a. V,. • ,o...4 4r'17" 1,•6 VIS 64-,.,..,_ .4.„_....,,,,,,,,1_,,e,ta
El New construction 0 Addition/ahem/ion/repine-meat Please cheek all that VA'(submit 1 sets of plans%Wile=checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 UsriDas and boatyards.... .
WV '''''''''''' ' ''' ---- - - - — - _q!,:ks-,-,;••"o-61• `e,:,-;-$:;--z,-,,',-. ,, 7.47.,—,--,--.1-71 '-',$,' exceeds 10,000 amps at 150 volts or l::l Floating buildings.
1-and 2-family dwelling 0 Commercial/iithistrial 0 Accessory building less ie Posed,or exceeds 14,000 0 Commercial-use agricultural
araps for all other installations. buildings.•
.;1 Multi-family - 0 Master builder 0 Other: 0E0 pump. 0 hisirdlation of 150 KVA or
4$0.4i,7k..:0:0.- LOVIVO:10WIWAirs,M70,0"Ga-Sw.--i'vx:, IDE—ge-Y system' larger separately derived
Job it: r Job site address:/35Lgos SW'Reat,„ pluiv)T.ejeir 0 Adio:inHp'estoromf le:InOtOT load of
0 Six or more residential units occupancy.
City/State/ZIP:Tigard,OR 97224 ri Health-mac facilities. 0 Recreational vehicle parks,
Suite/bldg./apt.#: „9Project name:PiVer Ttt'rac AfAmie. r- ClHabus wcati°"
or ked,600 amps e„more. 13 8600uPP.1,ous"aoltatogeteatfir,'I'm*al
Cross street/directions tojob site: ,....
"T'•,-':',1C.,•-4-,Vg-.7-„,,,,-;q:24,-.; V.34,?'it.ktiiti V.,-:,4,,k-,_--.v::-lk;,,,,,,..:,,,x,i,
Description I ty, 1 Zack 1 Total
New residential single-or multi-family dwelling unit.
Subdivision:Ngt if rri.waif_ ithwttltAte s f--- I Lot#:7,0 9 Includes attached garage.
1,000 sq.fL or less ma 168,54 4
Tax maplpareel#1: Es.add'I 500 sq.R.or portion ono 33,92 1
"- -';'":-:.i i:5L C"II..7. -1 9-':f.'.i5V:(°'0-:,'4;: :14A`'..W5;174-k-ViI;5:Tri.*A4t'. V.-..Ctierri,residential 751111 " 1111 2
with above s..ft
Limited energy,multi-family 7 _OD Eno 2
residential(with above s,.ft.
Renewable En A 0 See P _c 2 MIME
ga.0.11-1#. .M's\,0,Virit. 40,A.4-10-Z.'-;:',..:kt`-4"-. .44'1,f4.':1-V .:'-ali.-'4.13--- k.,04.- Services or feeders installation,operatic: andfor relocation
Name:ADVL Land Holdings,LLC 200 amps or less EN 100.70 2
201 amps to 400 amps 11111111SE31111111111111 2
Address:7600 E Doubletree Ranch Road 901 amps to 600 amps as '700.34 2
City/StateafP:Scottsdale,AZ 85258 601 amps to 1,000 amps NM 301.04 EMI 2
Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 11111111E33111111111 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being m*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 900 amps
125.08 2
''''
Owner signature: Date: 401 amps to 599 amps 168.54 2
• • - - - - -- 't,":• --•-.• k' .-,,, ,' ' " ' ' . g•Itz,,, Branch circuits-new,alteration,
th circuitsth
or extension,per panel
-.--...s.,•. .....7'.4.,P,V-1.p.j..i) rp,kli" .„'-, 4.43,A*,Los,' ,r.sw, i., 01
f'Z'''It;'-''' ' '''.:--'''''''''''''''':2' '''-'4'"'''.4' - -,l'''"-k'',,'',-,-,"'"., '''''', •?^.,-P§c- -oil , • A.Fee for branwi
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
service or feeder fee,first
Address:109 East 13th Street launch eirmitt 56.18 2
City/State/71P:Vancouver,WA 98660 Each sal blanch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 • I Fax::(360)693-4442 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:Angela.Grajewski@polygonhomes.com Reconnect only 67.84 2
".5*,-"4,{,---*',- -;-, pmnp ar inigation circle 67.84 2
Business name:Garner Electric Washington,LLC Signor outline Lighting 67.84 2
Signal circuit(s)or limited-energy
Address:6101 NE St Johns Rd panel,alteration,or mdensicm. El See Page 2 2
Each additional ins*edicts:over allowable in an of the above
City/State/ZIP:Vancouver WA 98661 Additional inspection(I hr min) am 6625/hr
Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) IIII sokw hr
Industrial plant(1 hr min) am 78.18/hr 'MI
Email:bdattiels@gweusa.com
Inspections for which no the is 90.00/hr
CCB Lic: C1158 I Electrical Lic.: 208174 1 Suprv.Lic.: 4496S
---T1-1----J,- ..„•;:i .l•--•,-,- '..-..1 -, ',,,V, 1.'FfT `-'"n.r '..,'-','''e°- 't"...'"''
..
Suprv.Electrician signature,required: • ' 4A,4 Ad a , • - , Subtotal:
___ _ 'A. _.•
Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit the):
TOTAL PERMIT FR:
Authorized signature: --
This permit application expires ifs permit is not obtained within 180
Print name: Bill Daniels I Date: 4/26/2016days after it has been accepted AS complete.
i' I * Plumber of inspecrioes allowed per permit
.:
ii:j.litruilidiegvermitsVIL.CJ'armitApp_SLR.ER.B.doe Ras06117/2015 441-4615T(11/05/COIVUWEB
Plumbing•Permit Au kat ttt) it)1:. Of I-1( I t `i c,Nt.�
Building.Fixtures /`1St /7-'0907. .
Received Permit No.:
City of Tigard Daters
13125 SW Hall Blvd.,Tigard,OR 97223 Pian RetgcN Other Permit No,:
Phone::503.718.2439 Fax' 503.598.1960 DatelBy: ilial it Seep t for
Inspection Line: 503 639.4115
Pato Ready/BY Sa ]ePage 2.faf.rmari.n
1 Internet www b g • NotsfiedlMet p w„,
�' garb or ov �,L it , v cw .. a 1 s 'i!~ :is
� .ti..y 4H :t
v
' �r. ..` -rg„'4 .. v Mme,... ,.0 .6 ., „,_ R:t,,,, r :.,,,- Fors, tial in*motion use checklist.
�� ..�. + .�. � UM Total
I23 Ateai construction0 pemoltuon Desert.tion al'
0 Addition/alteration/replacement
Other: New,l_2-family dwell!' (includes l00 utilit connection)
3121
k ,:'�` �' , 4Y F .t o...,.4.-zk, SFR(2)bath IMO
.and 2-family dwelling []Cotturiercla ndst.1 500.32 :
ti Accessory building
►: Each addetinatal bath/kitchen 1M 25.E
•
•aster builder 0 Other
CI M"° °-�`r� az*i i-VisTzi�' ' a `t" v'`i ; yam Site utilities. 18.16
+ . .',$•;...!.4.'/ �� °:' - } Catch basin or area drain
1.111111 Job'site address: • �11a ,/ t .' A ■ 1IAii; prywelt,leach line,or bench drain
iiiincionms
CitylStatel iP:Tigard,OR 97224 Footing drain(no.linear ft.:_._) im
irsi
Manufactured home utilities 50.03
Suite/bldg./apt.na.: 'ionProjectname:/ j 1/eY " Al /. A !`t1 A 1 .
Manholes
Cfs'Stnectldit Street/directions to job site: Rain drain connector -
IIEESi
Sanitary sewer(no.linear ft.:.___} l
Storm sewer(no.linear ft.:_-__,l Page 2 ..
Water service(no.linear ft.:,___.) 111111111021
I
Lotno.: IMIA Fisctun_ ur'Itcm: _.i
'} ,, 31.27 {
Subdivision: ' I Oftti
W� Backflow preventer
Tax map/parcel no Backwater
• valve ? 32.51
Y 't u r�:'�'�s�,,., '.�+ ikia e.c4�-'t t b' ..axJ a ps..0 .:1 rF.,.,.. "t``' I.7."i�`..4Vit ctethes Washer .
25.02.Mil
.;�`'..<- arm`^ ..:!?-, '$Sa`
x 25:ti2
MEI
• Drinking ior!ntain 25.02 MI
Faector*s•/sump
25.02
:. 7 �,.. . ,�x 7. n;�,e�.�'f•,� . ," . k,3 !t�r•',x,"ii -A.,. 5P d.in tan-iC 11111111112311111111111.
�� �'s..<i � . �4 5� �°t� �' " ��• °'�,� Fixtulrlsewer cap 25:02 _�--?
.r D ti �.,. s 25.02 _,__3
neap ADVi:'latadHoldings,Lt�C' Fleer.draihlfloorsinldhub
Garbage disposal 25.02
Address:7600 E Doubletree Ranch Road 25,02 i
City/Sjate/ZlP;Scottsdale,A2;85258 �
-Hose bib'
•
Pliotte ( )6 5.02 i
602 94-4031 „� a - inlCecp(}tor/grease trap 2
y�x r 'TyF./.xiOLTa• Y . 'j•CT+N'."S S-J, S (. y ;. r7: /T II
m'..rut + `3ix x a c $ C' l a Page 2
{� '� 1 � ��yt S' t� ��s ';vc�vck.�•�� �1,,:f" � �aWs>�
•
Businaess name WilPntiir Lyon'.Homes,tae: , .. 12 51
•Coiltat t,tante:Angela(„rijrt s . .. Roof drain(commercial)
1251 l
.Sinklbasirdlavatory 25.02 i
Address:fll9 Feat 13th Street •
Solar units(potable water) 11111111110211111111111CitylState Z1P:F'aaciluver,WA 96664 Tub/shower/shower pan 12.51
p#tolse X364}65770(1 Pax::(360)643.4442Eiral 25.02
•E-tnati �Aaget"ra vtit "blanhiPine ni 1! �� - 25.02 a
•q :•-�-M if r°� .(„e yr �t,r k '� hR •' -u 37.52
r J+a . 'r._ z w ..1,- .:s- Water heater
t.�.' .-- i y•,sK�r'+ T �,�. ^ .7G"�°::Y*."..�.,.+vu.z...,fmr �r.s7p ��r ,
Business same'Alliance Plumbing LLC ., Water.pi in
�� 25:02
Address:146 W El tui rc Columbia River Hwy • Subtotal
•
CitylSte4IP:'T,rentdale,OR 97064 •
Minimum permit fee: 572tal ,
Philne:.(es)492-3490
Fax (543)913.61138 Plan review (25'(0 itf pe mit fee) 1
A� Plilmbing Lie,no::PB732 State surcharge't12%afperrnit'fee)
CCH Lie::184601. ; .
. 'TOTAL PERMIT FEE r
Atl ditirt7 Stgnatune: ! This penult hpplicatien expires ifs permit is net obtained within 180 days
... Hate:5773;11016 titer It'has been accepted as casspiete
-... • riic:Robert Diemen "Foe methodology ethoogy set by Tri-County Bn7ding'twaastty P>etviee Board.
1:lsathrugtPena NINA'-enottAppdoe totems
4An ob16T{!OW?/COM/siFzyi
111111 ■ City of Tigard
Ill COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #: 5.7T - .I 0
_
Site Address:
Ai
Project Name: 1
/vg,r 7 �cp /Vo R Lot #: fO .
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: �(t) ! 1 j ,
/erify site address/suite#exists and active inermit stem.
River Terrace Neighborhood: 0 N
boyhood: P
No LSI Yes,See River Terrace Review Addendum Attached
Sit/Plan Elements:
ree(3)copies of site plan
� oo
��e plan must be on 8-1/2"x 11"or 11 x 17"paper �• ting structures on site
tprint of new structure(including decks)with finished
awn to scale(standard architect or engineer scale)
or elevations
rth arrow
IJ 'ty locations(required for new,may apply for additions)
n5ife address,project or subdivision name and lot number
plicant information(name and phone number) p� canon of wells/septic systems
L•t dimensions and building setback dimensions I� ectiting trees tao be retained with drip line,and tree
7 •t area,building coverage area,percentage of coverage and reroet ectieeon siz
jrnmeasures
pervious area(applicable ltcable if R-7,R-12,R-25&R-40) Street names e,type and location
Property corner elevations(2 foot contour lines if more than
4 foot differential
tCili `,lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified
No Received: ❑ yeS 0 No
Public Facih Improvement(PFI)Permit:
, quired: Yes,applicant was notified ❑ No
Applied For: Ili Yes ❑ No,stop intake
/Land Use Case#: Diel .4.4 ,
c-oning: A � iJ �' di„�equired Setbacks:
Front � Rear
L% S Side Street Side I i arage U
andscape Requirement: c,9.
W Lot Coverage Maximum: -0-e): %
SII°1:
wilding Height: Maximum Height OA'' itsual Clearance Actual Height _40PC
asements
1
nsitive Lands: /Yes 0
No Type �/� hh
Urban Forestry Plan �` 7i7L
0 Conditions "Met" •rior to issuance of b 'ding permit
Notes: .
/r i mow;„ -- lfr- /A_' - ,r �! -
Y A. SSY40s1E ' .
Approved By Planning: ` _ a,
-'�-`—`P f�R‘ Date: oQA/1/.
Revisions (after Building Submittal only)
Revision 1: 0 A Reviewer Date
PProved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\BuildingTonns\BldgPennitRvw RES_091216.docx
Building Permit Submittal
Original Submittal Date: I ,A0 l
Site Plans: #
Building Plans: #
Building Permit#: W.. nter building permit#above.
Workflow Routing: PA Planning 1SrEitglneering
it Coordinator Building
Workflow Sign-off: % Sign-off for Planning(include notes from planning review)
Route Application Documents: r Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /
/ A. Date: ,A441/72
/ /t<,ii,�/.�
ByPermit Technician , c,,, ,....,,,,„ ,.._,,,,,,,,,,, , �__
/
Engineering Review :i /�--
Slope at building pad: '
®Conditions"Met"prior to issuance of building permit /o/
❑ Easements (encroachments)per engineering conditions of approval and plat
0 Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes 0 No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No
LIDA Facility on lot: 0 Yes 0 No
Date:
0 NOT Approved by Engineering:
Notes:
.04110 Date:
Approved by Engineering: � Date
„Zi_4(7.---
Revisions (after Building Submittal only)
Reviewer
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
Date:
❑ Approved,NOT Released:
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:
11 'AOC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
Tigard Trans SDC: es 0 N/A
Parks SDC: 71'7:17es 0 N/A
OK to Issue Permit
OK �-'
Z 1 /��
pproved by Permit Coordinator: /
I:13uildingWorms\BldgPennitRvw_RES_091216.docx
111111
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
e
T 1 G A R D River Terrace Building Permit Review Addendum
Building Permit #: j ♦
Site Address: AM' ,�„
Project Name: ' Le,_ Ate: << ,t,2
�` i/ -/?- L ) .3 Lot #: :.
ew dwelling=subdivision name;Addition or Altera on=last name of owner)
Planning Review of River Terrace Plan Dif Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards? VVes ❑ 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.
Balcony w/access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft. wide Gabled dormrf
❑ ❑ ❑
rit
2. Eyes on the street: a minimum f 12°o o£each street facing farad must include windows or entrance doors.
Percentage Shown: " '
'� / : /& 0
3. trances:At least one entrance must meet both of the follo g standards:
Max. 8 ft. setback from longest street acingwall Parallel to street, angle no more g than 45° from street,
Entrance opens to a porch: El Yes No or open onto porch
If yes,all the following apply:
❑ One street facing entry ❑ 25 sq.ft. min.
❑ 5 ft. depth min. ❑ 12 ft.max. roof above floor of porch
❑ 30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades:
❑ Covered porch min. 5 ft.wide x 5 ft. deep itecessed entry area min. 5 ft.wide x 2 ft. dee
❑}Fall offset min. 16 inches p •�
Roof eave min. 12 inch projection/ Dormer min. 4 ft.wide
0 r oof offset min. of 2 ft.
❑ Roof shingles either tile or wood
able,hip or gambrel roof design .�"fi
❑ Roof pitch oriented south min. 500 sq. ft.
nzontal lap siding min. 3-7 inches wide �—
❑ Accent siding min, 40%of street facade 1 IFWmdow trim rein. 2 /Z°wide by 5/8"dee
❑ Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep p�
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:
No closer to front or side lot line, than longest street-facing wall. ❑ Yes No If No (Check one):
❑ ]�ay 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.
Wi : (Check one)
12-foot-wide garage door ❑ 40%max. of street facade
❑ 50%max. of street facade with 7 detailed desi• elements
Notes:
Approved By Planning --��`
'"�"- -----4- Date: .
I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx
Mechanical Permit Application IOR OFFICE 1 SE O\1,�
City of Tigard nate 7 /7 4 .e�tN ' 77 /7,-i)2I
1111 la 13125 SW Hall Blvd_,Tigard,OR 97223' Plan Review
t:' Phone: 503.718.2439 Fax: 503.598.1960 F4 ,-) '7 Date/By: Other Penult:
Inspection Line: 503.639.4175 << 1-' 1, `V'
t 1 t,A R D Date Ready/By. huts: EI Sec Page t for
Internet: www.tigard-or.gov Notified/Method: SuSupplemental Information
i r',•-,;". .. ,; e } %,,,,..',7'i-`2-.(4).'; a ft `".at4ta¢ I,.., V ztit!r, f Lk:, .. ..." :.ats .2,,,<,:.
� 1 �ng is � 1,',s
Mechanical permit fees*arc based on the value of the work
PI New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit
t
Value
,� €° )�. f "T;',1%,1t,6�r xk° ` a. .,. ---*.44:!..7,1.!i?.., 31F ^w fi!,,, ;115.(:;,,..,:---,11.:,,,,;'z,!....„9,,:i4,21.:1 �ti a .
t` :-:,:v7-.I.„---t,.......�7:__�. _.s..�_-...�_. .._n,..., ._.. _.�_ < r ...,..., ., mac...
❑ I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist
®Multi-family 0 Master builder 0 Other. Description I Qty. I Ea I Total
F Heating/cooling:
' CC3 A��l h2A[�i� 4' �fE�C`i+�n[ Z, t ti.����� (bl�
s.,... ....r.r. ,, ,, � ....,...�� 1 46.75 46.75
....r.. rz, .<.. ..0 . ti q .:".:f
Arr eonditionmg
Job site address: 3( an SW bea rjr) pi iy)T(_ Y`a
� Le., Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP:Tigard,JOR977224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: 121../ Project name:River Terrace Northwest Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Fluevent for any of above 1 23.32
�
'� Otha': 23.32
Subdivision:River Terrace Northwest ! Lot no.: a. /�/ 1 Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
7',.7'17---..:4 '.':-:-'
_N... t l ¢c ,a(�1 vi •.-":.:-';' ,7
Gasfireplace/insert 1 3339
� ,fi� ._
Flue vent for water heater or gas
Contractor Change fireplace 23.32
IVI
Log lighter(gas) 23.32
S�?CJV� , Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
A5i1c4 ....._ .,..- . . .:.v. Q--,;---
Other:
23.32
•
:1- , : :.-.0i. ' �_r4�r,- r :t ;, ,,,h.J _:_ _i:C_:.r1� L— _ ::,-,___�� Environmeutal exhaust and ventilation:
Name:ADVL Land Holdings,LLC Range hood/other kitchen
equipment 1 33.39
Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 1 33.39
City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 4 23.32
Phone:(602)694-4031 Fax:( ) Attic/crawispace fans 23.32
'-'-';`-'7,•-':.-•7':.-j' Ji] -0 +�t , N L1 f 1-t it`d , 7 other: 3.32
Fuelpiping:
Business name:William Lyon Homes,Inc. 514.15 for first four;$4.03 for each additional
Contact name:Nichole Thorpe Furnace,etc. 1
Gas beat pump
Address:703 Broadway ST Suite 510 Wall/suspended/unitheater
City/State/ZIP:Vancouver,WA 98660 Water heater —
Phone:(360)695-7700 I Fax::(360)693-4442 !'fireplace
Range
E-mail:Nichole.Thorpe®polygonhomes.com Barbecue
Clothes dryer(gas)
Ottley
Business name:Pro Heating and Cooling,INC
� � M1 r e c 5S'LY., f 6E� -,`*,,'.:-...":::.-:;::,',1,: ,
Address:2095 NW Aloclek DR Suite#1103 Subtotal
City/State/ZIP:Hillsboro,OR 97124 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)4435692 Fax:(503)9415075 State surcharge(12%of permit fee)
CCB lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
A�� days after it has been accepted as complete.
Authorized signature:69J s`'lel.,��-C%���„y * Fee methodology set by Tri-County Building Industry Service Board
Print name:Nichole Thorpe YV Date:9/19/2017
L•lauitdiaglPc mitalTdl;C_PennitApp„040r 13.doc 440-4617T(r r(U]JCOMMMES)
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111
Transmittal Letter
T t G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Tom H. DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVEJ)
/1117
FROM: Angela Grajewski
CITY OF TIGARD
COMPANY: Polygon Northwest BUILDING DIMS N
PHONE: 971-212-2144 By.
RE: 13546 SW Beach Plum Terrace MST2017-00078
(Site Address) (Permit Number)
River Terrace Northwest Lot 209
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
0 Additional set(s) of plans. 3 Revisions: plot plan- Tree update
0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis.
0 Floor/roof framing. 0 Basement and retaining walls.
0 Beam calculations. 0 Engineer's calculations.
0 Other(explain):
REMARKS: Please pay fees owed with Trust Account.
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Initials:
Fees Due: ❑ Yes ❑ No Fee Description: Amount Due:
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑No D Done
Applicant Notified: Date: Initials:
\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
I
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
I
l,1, Building Permit Review — Residential
Building Permit #: 5r. — I 0 i
Site Address: //75: '. �) r, p&p "707a.aProject Name: j/, r 'r" ef) - Lot#: c:,.,240
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review ,-� r
Proposal: AA) — ` ; / — 4�.. /11,• ' , id. . . :..._
111111111111W '
erify site address/suite#exists and active in permitgstem.
OF River Terrace Neighborhood: 0 No in Yes,See River Terrace Review Addendum Attached
Sit lan Elements: `
gill (3)copies of site plan ta '.sting structures on site
iteplan mug be on 8-1/2"x 11"ox 11 x 17"paper I r, ootprint of new structure(including decks)with finished
► wn to scale(standard architect or engineer scale) i••r elevations
i4 rth arrow tr. *ty locations(required for new,may apply for additions)
address,project or subdivision name and lot number td I k ation of wells/septic systems
par plicant information(name and phone number)Ot
dimensions and building setback dimensions r :i:.ting trees to be retained with drip line,and tree
rotation measures
t area,building coverage area,percentage of coverage and '1.treet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) tt Street names
Property corner elevations(2 foot contour lines if more than
4 foot differential)
Pliklean Water Services—Service Provider Le (lot platted prior to 9/10/1995):
/Required: ❑ es,applicant was notified No Received: 0 Yes 0 No
Public Facili' Improvement(PR)Permit
Tired: Yes,applicant wasdnotified 0 No Applied For. Yes ,,��❑ No,stop intake
d Use Case#: 1�b6Zs= 60 -< . t/3�l S- li t")
Roning: /Z—IQ ( ► A
equired Setbacks: Front .. Rear ,S-"— Side a Street Side 4011prGarage a 0
dscape Requirement %
Lot Coverage Maximum: fel %
s' '.uilding Height Maximum Height ( 'J Actual Height ikor
• 0 isual Clearance
iTi asements
risitrve Lands: Yes 0 No Type Lezv — Ve:ghLtO /AY—
l;rnban Forestry Plan
❑ Conditions"Me ' rior��to issuance of—b�"ding permit
Notes: 11�!l i17t'Q .c4j/ L " ern)r- /.Ellin
Approved By Planning: �� Date: ___Igah___
Revisions(after Building Submittal only) Reviewer Date
Revision 1: fir Approved 0 Not Approved 41 04./�_ C,""•--------- 10/ r q i i 7
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
is\Bonding\Forms\BldgPermitRvw_RES 091216.doex
I
Building Permit Submittal
Original Submittal Date: /A.�,W W/f
Site Plans: #
Building Plans: #
Building Permit#: ►i` nter building permit#above.
Workflow Routing: rA Planning 153104Rigineering C' erlimit Coordinator }IP-Building
Workflow Sign-off: 2 Sign-off for Planning(include notes from planning review)
Route Application Documents: r Engineering: (1)copy of permit application,(1)site plan,(1)building plan and
original plan review routing form.
ICI Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: / 4,4�rc`"�`
Date: 624110By Permit Technician: /
Engineering Review 71lope at building pad: ..0 J
conditions"Met"prior to issuance of building permit ,o/ 4
❑ Fasements(encroachments)per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes 0 No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No
LIDA Facility on lot 0 Yes 0 No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: dt---DDate: .0-_,-.701--177
Revisions(after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
❑ Conditions"Met'prior to issuance of building permit
❑ Approved,NOT Released: Date:
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
C Fees Entered: Wash Co Trans Dev Tax: ( Yes
0 N/A
Tigard Trans SDC: es 0 N/A
r
Parks SDC: es 0 N/A
OK to Issue Permit
pproved by Permit Coordinator.
ate: 2-12- III
1:\BuildmgFomim\B dgPemitRvw_REs_091216.aocx
1
Pacific
Community
Design
MEMORANDUM
DATE: October 16, 2017
TO: Monica Bilodeau, City of Tigard
FROM: Ben Holmes, PCD
Cc: Stacy Connery, PCD
Morgan Holen, Morgan Holen a Associates
RE: NW River Terrace - Clarification of Urban Forestry Plan a Report
This Memo is to clarify modifications to the Street trees in front of lots 207 a 209 of NW River
Terrace due to utility conflicts.
NW River Terrace continues to meet or exceed the required tree canopy cover as previously
approved. Lot canopy coverage requirements are met for the overall areas (lots and Tracts) for
zone R-12. Individual lot canopy coverage are also met for zone R-7 per Section 10.N.1 and
Section 10.0 of the Urban Forestry Manual.
• Street Trees 5052 ft 5053 have been removed to maintain required utility separation.
• Lots 207 a 209 area in zone R-12 and do not require individual lot canopy cover.
• The R-12 portion of the site maintains 35% canopy cover.
• The total proposed street trees have been reduced from 417 to 415. The total required
street trees based off the total street frontage is 371.
The Urban Forestry Plan £t Report continues to satisfy the City of Tigard's requirements.
Payment of tree canopy fee in lieu of planting is not being requested. (18.790.070.B.2.b)
Pursuant to 18.790.070.6.2.c, the modified tree canopy site plan and supplemental report are
provided for your review and approval.
Please let us know if you have any questions.
12564 SW Main Street,Tigard,OR 97223♦ [T]503-941-9484[F]503-941-9485
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13546 SW BEACH PLUM TER, SHERWOOD, October 23, 2017 at
OR, 97140 12:26:58 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00078
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS
Comments:
A/C installed
Violation Summary:
Inspector Contractor