Permit (60) tik -. CITY OF TIGARD MASTER PERMIT
x ` COMMUNITY DEVELOPMENT Permit#: MST2017-00081
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/13/2017
Parcel: 2S106DB21200
Jurisdiction: Tigard
Site address: 13562 SW BEACH PLUM TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 212
Project: River Terrace Northwest, Lot 212
Project Description: New SFA. Building/unit 13.2
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 32 Bathrooms: 2 Second: 562 sf Garage: 453 sf Front: 8 Smoke
Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes
Total: 1221 sf Value: $161,959.20 Rear: 5
PLUMBING
Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1
Urinals: 0
Lavatories: 2 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain
0 Storm Sewer: 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains:
Bckflw Prevntr: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 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 Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add.'500 sf: 2 201-400 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: Feormpa•'°9: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group:Y Square Feet:
NEW SFA
VB R_3
1221
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: $22,693.84
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.
...CPIssued By: Z. L'Permittee Signature: /t/ /14_ /e-777.0"/
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.
ti Building Permit Application' '. '' aG'' /oZ
Residential FOR OFFICE LSE O\Ll
City of Tigard '1'° Permit N .
,Z/ 17 S7�Ol7-Doa�i
UPI '� 13125 SW Hall Blvd,Tigard OR 97223 Plan Review i .7 �� ��pmt �/ ,'D�„`7�� Z�
' Phone: 503.7182439 Fax 503 598 1960 Date/By: K/"„�,U
Inspection Line: 503.639.4175 Date Ready/By. r� H See Page 2 for
T]G.41-z,.0
Notified/Method:,.5/1////7 J O Supplemental Information
Internet www tigazd or gov y
E ■ • Permit fees*are based on the value of the work performed.
l New constructionemolition
Indicate the value(rounded to the nearest dollar)of all
■ Addition/alteration/replacement ■ • equipment,materials,labor,overhead,and the profit for the
., Vii, 4,, • t �� = work indicated on this application 9 /
_ 1-and 2-family dwelling 0 CommerciaUValuation:1 r 18 9 $ 1 �� H
mdustrial i r
Number of bedrooms: 1 1
❑Accessory building ( ,Multi-family
1:1 Master //0 Number of bathrooms:
z a oll'--y tj i i , q Total number of floors: iI
Job site address: /35 Lot SVS tlbacNN ?lm -1-Qxr(Jta New dwelling area: Hutt square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4s5 square feet S[ -
Suite/bldgJapt no.: Covered porch area: Stn square feet 6v]
Cross street/directions to job Deck area: "7 C square feet C t -7
cow Other structure re area: -7 6 square feet
Subdivision:River Terrace Northwest Lot no.:Z`2 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
,, '�.- . ''. . i 'J4 o N 7"•,• 4 .te .c^-� . "if work indicated on this •..11catlon.
—"� ,•*� .'?' .�-. .- ,..��_ :.- y. ,.,.,,=e,'"'-; .=,-,.:i;��`;x _-,.—_:: �4-,_..-.-L„�"_.K—.�..—.a' ..?:t'>s., ..�.. $
- Valuation
Existing building area: square feet
New building area: square feet
=z [3 a . � il,. A _ . imNumber of stones:
L t
Name: • ; ,
Holdings, Type of construction:
Address:7600 E Doubletree Ranch Road Occupancy groups:
1' Existing:
(602)6944031 Fax:( New:
!"i. kn ire-..E.,.....:1 ,..
- 3•-, - ---1.---.4.4-,-.. __ ...,--.. - : r.i- _ .. -- a..... wt ,1 ,,,...r v-�•. fry:..
Business name:Polygon WI.A,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::( ) :-7
Asa, i , , - •FJ(�_
E-mail Angela.Gralewski a@polygonhomes corn - ._ x.711 :
,44•,.-- - e . _ -, Commercial and residential prescriptive installation of
-' 4 -i,"', 0_ ��__,,,;1:5,::---:l • . — __.__``.-_.Y__.. 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):
^L'ne:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
_..B lic.:207247Total fee due upon application: $201.60
• This permit application expires if a permit is not obtained
Authorized signature: 44( within 180 days after it has been accepted as complete.
Print name:Angela Grajewski I f/
Date: '1Z f i ��i Il n Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard Datet Permit TIP,/V 4 5/ I,-0/)�¶J
I?atey6
13125 SW Hatt Blvd.,Tigard,Ol 97223 Ptaa Review
Phone: 503.X.82439 Fax: 503.598.1954 t?atetBy: Other Permit t
Int/section :Line: 503.639.4175 1�ade R y t ;s Sec Psfic z for
Internet www.tigard-or.govNotified/Method: Supplentat hdormation
.;,4,. 's 1... r-+Y -�r.0.4rsu to ; >; 4"sg 7 1W`'* t t. a ' Ps.k4Wl7Au 5i 4:*(3I,*.+f"."11+!1 14.0,�� _ ,,,0y ,�+`�K'e.. ,.,0003 �S -..
'rn-3,..- 1 SS' ,'„k,+ .4.,,(,ia- -.a . it ' .% •
;.ea, :,.c4^a•s ,.'f n �. ,:SS.,u, ,. _>f. ,<. -s>`FS d. to 4tf's.xh.R:.e., ees*are
• T.icchanlcat poiaiitf based an the value of the worts.
0 New construction ❑Addition/alto ationlreplaocmer t performed.Indicate the value(rounded tit the nearest dollar)of all
Q Demolition 0 Other: mechanical materials.equipment,labor Overhead,and profit
•V B4 k - 7 t a r, fb, -i.. .' trw7r •s f''S. "'nc�?u,�,`"" .,mite a +.
.VF klR� yC�rfp•1!' r�1r� i gyri
4.,'",,,:',7,,,;;,-,,,,A,*. ;, -fir i i`x /� i5'�Ghy, '+v�'4a„f► i7FUl..,`Pn,..x�.e. F...:,41,:AuF.,4J,4L i z" y040. Nrat-+ t�..Tosi �� 4nr? � sl
0•1-and 24attiily dwelling 0 Comtnerciallifdustrtal 0 Accessory building For spedal infirawtkn ecktiia.
®Multi-family 0 Master builder 0 Other: Description [dr
ty. Ea. Total
2,:j _ 4701,, . . RO0$S, 1WWO �' .�'NN'':, ';?Tay s Head11�1Je""g:
t •,N1 l 1�4s.A v�+��Y'Y�it
Air conditioning i 46.75
Job site aiTdress: ! ;'VIZ- SW beack a t(A rn (t°/i {C4 Ce ,Punta*100.000 BTU(dd is-Amato ' 46.75
CitytStateJ7.[[r:,Tigard,OR17224 .
Puma::100,000+BTU tdaeorvemrs) _ r 54.91
Heat pump t 61.06
Suitefbldg]apt.no:` ,2, Project Mame: Y� ?jy uf...�1 (1'lUl� �' Diietwork . 23.32
Gross.suectidircctions to job site: Hydronic-hot water.system _^ 23.32
Residential boiler(radiator or C
hydronic) i,, 23.32
Unit heaters(fuel-type,not electric),
. in-wall,in-duet,suspended,etc. 46.75
Fliietvent for.any a above I 23.32
siOther:
23.32
Subdvlon:tp�v��. � t/ �, Vat�in►eft` I.otno.:Ill .oniefiieifppiiiiii,4:
Tax:niapfparcelno: Waterheater. i 23.32
dt;; i2._: ,I>Ea 11° ati�„�yl�I .f) ' '1f'2s. a JO� MMAV tc: bias fireptace/insert _ ] 33.39
s •?� r ,y:S" r �..,-a3 .: ,,,,,-,I,,,,„:....,,...,"k+'^i'.- ?i`1.� ,;i,x•�.•,4-q;s+�.!6u .•• :o-- .:• s '.; Flue Yeat'for'Water heater or gas r
new!tome ee tstrgction81enlace x 23.32
.-.. ...... 'i da tighter(gas)' • I 23.32
. Wood/pelid'stove ) 33,39
. . . 'Wood:ftrcplar nserl: 1 2332
Chhiiriey/liner/flue/vcnt l 23,32
w ,..- :iiOther: 23.32
r,.-A`&' }:! 51t0.i ,5} t�. :1rP ftj a,;. .v,:� 'f .4.0E;.:1':i.. ,leF+.: ,err s
. w^`',' `c EnviriMinental ezhatist and ventilatiot
Name;ADVLLaud:Etoldings,LLC Rangebrxi fother}dtohen
• ,:. .
- equlpttterit:.. 33.39
Address:.7600-,E'Dattbletree Ranch Road Clothes dryer cxhausi ) 33.39
City/Slate.IZll':Scotisdale,AZ 85258 Sinale;dlua exhaust(bathrooms, L.
toilet tompartmcnts,utility rooms] r 23.32
Phdiite:(602)O4-4l Fax;( ) , . .-:,'X;. Atticferawispace fans. fi 23.32 ' ,
t�.. ..)'.4 ;s +. .1 41;,4 , -':i': '?si§':.Ss. ;tt�lr 7f sof''.1,.' „rr3`z"t - 3; Of Other: . ... 2332
k3as to*,,oafli'.williant„Lyon Hotttes,Inc u
'Pet piping:
Std 15 fan s#-fear.54 ,r 1.
_
Contdi ktatner. '' ela G'titeswsld .Fiiiiiaciti,dc.
Addre.'ssc']09 East 13th Street Cas heat pump
WO/suspended/i n heater 1 .
City/Sta1ef, 1P.:Vancouver',WA 98660 Water}fester ('"fig
Phone:(360)695-7700 1 Fax::(360)6934442 . .Fireplace Eta
Range,
.fin'tail:
AngelaGrajewskgpolygoan-.hotaes cfiom
' ; yry ?A °i, i 'rA(? h,+r �t 8.;'qe A,P�`� f t:�v^, ge�t, :i, .t"t� r ., OothC$d
dryer(gas)
Business name:Aaderscn Mechanial,Inc. .. . ;wow ;E 1 f: fir" k.
.
Add! IG2$3.SR'83"Ave ubtotal
,City/Stetep,F;,Tigard,OR:97224 Minimum permit fee 00) .
Plan review(25%of pecimit fee)
Phone:(503)024664 Fax:(503)5364615
:
ect
/ - .----. .'
.. . .
. ' - 'If. ,.State surcharge(12%of pimit fee)
lio.:168214 / TOTAL PERK T FEE
This permit appdication expires 1f a permit not obtained within 1.80
•
days after it has been accepted complete.
Aelltoizedsi • • Pee Methodology set byTri-County Build* Industry Service Board
Print AngelaGrajevrski Date.8/22/1.6 i -
14ii':tilt4Pa»alf _t'grmi6App„{)40113.01oc
440,4617T(I l.'QaicOMPa'ED) i
Electrical Permit Applicatioax FOR OFFICE I.USE ONLY
City of TigardT.. D Permit A,ti157—AU(7— CV el
13125 SW Hall Blvd.,Tigard,OR 97223 - Pian Review
0 Phone: 503.7182439 Fax: 503.598.1960 Date/13 . Related Permit it:
TIG/t R D Inspection Line: 503.639.4175 Ready Date/By: II= r, See Page 2 ter
Inlennet www.fi504
d-or. v Nahfmd/Method: Supplemental information
N .� f j `.47=-', 4,TA37"At n.. ;.� -"&`.0 ;-`,t7r s%'a7 zar-'i-rr: i `^? +".h'e, Sc: ;L:e71nFs 1.•V ' ice,- ,+.`" 4"s- 4e.;a
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wfltems checked):
D Service or feeder 900 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
WO
.� 4.L' � ;/S`''t—eg t ri 4* ' 1 ];i (a�,t . z'`',.ygti ., exceeds 10,000 amps at ISO volts or 0Floating buildings.
1-and 2-family dwelling 0 Cotnmercial/iidtistrial 0 Accessory building less to ground,or exceeds 19,000 D Commercial-use agricultural
amps for all other installations. braidings.•
:t Multi-family Q Master builder 0 Other: One pump. D 1astallation of 150 KVA or
' K a•._r Vlx� ic -a D Emergency system. larger separately derived
„d '" D Addition of new motor load of
Job#: Job site address: SliL5W e. I J t4 m Riylr ]OoiiP or more. D"A""E","1-2""1-3",
El Six or more residential units, occupancy,
City/State/ZIP:Tigard,OR 97224 0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#:/3, 7 Project name:!Wv erra[e Nuc we rt D Haza dous locations, D Supply voltage for more than
D Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: rr . . A3r.-4, *: 14 3S .ltl„v:g6:ix: -,,n.-4"„-,..f,','",.-g-°‘
Description J Qty. I Eich I Total 1
New residential single-or multi-family dwelling unit.
Subdivision: —`idAaaa jkiijii.t4 we j-f-- Lot#:7,1 [` Includes attached garage.
TeX map/parcel arse!#: 1.000 sq.ft.or less ' 168.54 4
Ba.add']500 sq.ft.or portion 1 33.92 1
l' a-1'; a '- yY2.II fi ' D nL F a t tl 0 g,zftJ qaomtgi••%-,,,,a,,, -- x'1,!5 K. ''yt `- Limited energy residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
'' . ,v` „ Renewable Energy Cl See Page 2
` °° : "` s' e�-A.!•-..k.3...4-4'4'-•,'''F.;44.3"-'-i s 1 ._ x g'N y . - :7 Services or feeders installation,alteration,and/or relocation
Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2
Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZJP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 . 2
Phone:(602)694-9031 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: •
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less I 59.36 I I
intended for sale,tease,rent,or exchange,according to ORS 447,449,670,and 701. ' 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
•r.....-,q:_,-;.-1„,i•-,,,,,,,,,.1-4,„,-
- � - - = a E/` . o`?rr ecircuits—new,alteration,or extension,per panel
- r�, .. .� � � . , �.. ^-,--- - � A.Fee for
branch circuits with
Business name:William Lyon Homes,Inc. above service or feeder fee, 7,42 2
each branch circuit
Contact name:Angela Grajewslsi B.Fee for branch circuits without
serAddress:109 East 13th Street branch it nit fee fust 56,18 2
branch circuli
City/State/ZTP:Vancouver,WA 98660 — teen caul orator man I I ,,42 I ( 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 ' • , Fax::(360)693-4442 Each manufactured or modular 67.84 2
ela.Graewski of onhomes.com dwelling,service and/or feeder
An j
g {�P yg Reconnect only 67.84 2
ys i ; z er4 +.-i; _r ;... . Pump or imgatioo circle 67,84 2
Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2
.r,.,:, • Signal circuit(s)or limited—energy
Address:6101 NE St.Johns Rd panel,alteration,or extension, 0 See Page 2 2
City/State/ZIP:Vancouver WA 98661 Each additional Inspection over allowable in any oldie above
Additional inspection(I hr mut) 66.25/hr
Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/br
Industrial plant(3 hr min) ' 78.18/br
Email:bdauiels@gweusa.com
Inspections for which no fee is 90.00/hr
s• 1• listed '%hrsarin
CCB Lie.: C1158 Electrical Lic.: 208174 Suprv.Lica: 4496S � � ) .. _.:
,<.
J1-75.
• u :' s6i ;.nL.�`;•VL3t1 �3�t-` 'J D] .a'� ';'rr' "
Suprv.Electrician signature,required:7.--Th. /i j ,....S. . Subtotal:
Print name: loan P Albert • Date: 4/26/2016 0 Plan Review Required(25%ofpermit fee):
State surcharge(12%ofpermit fee):
•/--- -:J- TOTAL PERMIT FEE:
Authorized signature: 7- ---~- -
This permit application expires if a permttis not obtained within 180
Print name: Bill Daniels Date: 4/26/2016 days after it has been accepted as complete.
s * Number of inspections allowed per permit
.:•.
:;.•4:viuildinglPerraiblt7.0 PemttApp r>T.i4•i:as.aoc Rev Ori!»Wars 446.461sT(iitos/C()AvwEa
i;
P-Iiiiribine Permit Application
Building Fixtures
- ,
. .-... --
N , City of Tigard Received
bate/Br._ P7m"N'ekt57;1017-ovaFt i
__ .. 13l2.5 SW'Hall Blvd.,Tigard,OR 97223 , ..--,-, o i. ••,•-, plan Revic.,,i, I :
Phone: 503.718.2439 Fax: 503.598.1960- "..L.;, ./, ••'- (..,
Date/By: . Other Pennit No:.
1):
inspection Line: 503.639.4175 1 1:
, Dete Ready/ft:: hide 0 See Page 2 for
Internet www.tigard-or.gov ' ' ,- - NotiBed/Ntethad: , k Supplemental latermedon
.-'16.'"4*4. ''''q--"rgiii?I'ti'?';77Z•N''';'- .'''''a7,ri • 1-''''''t:•.'Tiii:st"',"t.' ,:',....;;;;Tr-r:14:17,. ,47...,il•C ipill.triii:ifIVIM*0.1%"SW .-:',P:-')?A•7Y- • - ... • •
, gl New constnittien .ii OenteiitionFor spedinformatioistase checklist. •
• ' Description I Oty. 1 Ea. f Total
•0 Addition/alteration/replacement 0 Other: New.1-2-family dwellings(includes 100 ft.for each utility connection)
sFR(1).114411 , 312.70
. SFR(2)bath 437.78
• -asd2-family dwelling 0 Contmerciapitichastrial
. ,. ...
SFR(3)bath 1 ? 500.32
o Accessory-building )2t Multi-family
Each edditinnal bativIcitchen 25.02
.,..... .
. 0 Master builde.r . 0 Other: . Fire Sprinkler C____sq.ft.) Page 2
... . .
".'4 - - 7 - '. -'... • : 4: :: site utilities:
C.meh liasM or area drain
ie18.76 I
l.''Site address: . it7 S W TheaLh P I u,n4. etr",mtc,
18.
_..... Cnywell,kach line,or trench drain 76
0iLY15talefLIP!Tigard,OR 97224 1 Footing drain(no.linear ft.: ) Page 2 T
Silitc/bideriapi no.:/;.IL. Meet name:Aver re vrac, A/dill/WC f. - Manufactured home utilities 50.03
'Croilestseet/direetiotis te job site: Manholes 18.76
• Rain drain connector . 18.76
; .. . .. . ._ . . . .
Sanitary Selyer(t10.linear ft.:____) , Page 2
.
• Storm sewer(no:linear ft.: ) Page 2
. • . , Water service(no.linear ft.: ) Page 2
Subdivision: givey, -rtyvig“ /vd01414/ej 1- , . tht no.Q. A e-
Fixtur or item: •
Tax ritaptpamel no.: . _ 1.1.0c0iPki.PreVeliter , 1 . 31.27
' '•3::•;,,,,siit7,,,•,;', E?::.•.,,..i....cizi.,.::.•-,,,,,.•:•=',....ffY:11,,e;•;"..--, ''',:•'-',',i-,..V.:---.!;-\.,,t,rtri'.-t'.''..1,;;;44.,.i,,,:,,Akil,:0;.*5,144:4.-V: •BackWaWvig.ve ' 1 12.51
.„,,,,„;•-1,,,,,„,. ...,?.,. ..:,.,„F..,,,,,4,g,_ •,••17-.',..6.1' s,,',*.p,, qt.44i-''''t'.-6-- s'Its%''''"'.'f*O'x'4'"'''':i7;11"4:'''' 'GI • Ayes
,,........._,......... . . .. .. . . . . .• .
-•- 15i01Waalter. . , 2502. •
•
iki n g to4 nt a i n • 25.02
7. .- • .
Eiect9rataamP . 25.02
. . . .. • , -
Expansion lag 1231
Nan -ADVL;i4sitd Holdings,1.-1.0 . Fhtture?sewer can' 25.02
. . .. • ,..:„ • . - - 'PIO&drain/floor sink/hub 25.01
• - ______I
Address;7600 E Doubletree Ranch Road
• d iirbage disposal 25.02
,. . . . . -
City/State/Z1P:Scottsdale,AZ 85258 Hos;bib' • -
25,02
Plione;(602)694-4,031 . Fax ( .-) . teemtiker 12.51
-\
,R15.`filegl.W.71Y,f')-2.-FRIT•t:i.FA-7.7,,V71,tri-7-18--V.,71V.IE71077:-'4. '.:T'' F''!?;f ''''J.'.R.'7f•;'"X' Intereeptor/grease trap 7,5-02
,.,:..1,,-..P"'-',.7.''_.?",,,,,,-.,-•;•;`' - - " '''' • ' '•''.• -'',"'''••"*-'*-'' ' - -‘,- - ,; -,,.."%.-----•-•:,, •
., . . Medical gap/slue:$_) Page 2. •
•,_ ........•• •.. - .•. ...- . • • A •
•
•
•C0ottiekBAUROIA1Ogiy Gtjewakl .
,Reof drain(commercial) •
. 12.51
Address 109 East 13th Street •SinkAnnin/lavatory 25.02 '
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) ' 62.54
•
4115".1c.060)...615-7700. • Fax::(360)6934442 Tub/shower/shower pan 12.51
•E-stiaikAngela,OrtijewaThei/1„polygorshoines.Cion thins) . 25.02
• , 25.02
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Business name Affiance LLCFlembing
56.29
WaterpipingADWV .
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•
Alareas- ' :146W,Hiaterit Columbia River Hwy Other 25.02
City/Statel!LIP:Trimtdate,OR 97060 . . Subtotal
• .. . • • Minimum permit fee: 57230
• Phoile!;($03)492-3490 Fax (503)9124438 .
•
.
CO3 Pc!18401 i Plumbing Lip:no.:P13732 •
• Plan review (25°4 of permit fee)
,, , - • State seircharge(lr4 of:Pcintii!fee)
Authorized signature: ' 4 TOTAL PERMIT FEE
•
Print name Robert Dishmin I Date;sn:112.01‘ This penult spgaretion expires if a•perntit Iis not obtained within ISO days
1 '' after It has been Receptacles eninplete,
*Fee methodology set by Tri-County Building Industry Service Board.
1A13011diniperTiStiel-MV.PownisApp.doc Itvoi,V9 44046t6T(10AttalWINFA)
City of Tigard
1 r COMMUNITY DEVELOPMENT DEPARTMENT
■
TIR Building Permit Review — Residential
Building Permit #: / -- 0 ,
Site Address: /55-6; - k) ;iA*27- . 7134,1' 9t '77/7-ace _
Project Name: 0.1714/- nu,ly 44)61111 ve, '7 Lot #: 7/c
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: /
rG _ �vJ
—C /T 6titokwuj
17 erify site address/suite#exists and active in permit stem.
vsRiver Terrace Neighborhood: ❑ No !J Yes,See River Terrace Review Attached
SityPlan Elements:
txee(3)copies of site plan 0:f:sting structures on site
o plan must be on 8-1/2"x 11"or 11 x 17"paper IP ootprint of new structure(including decks)with finished
awn to scale(standard architect or engineer scale) I,or elevations
► •rth arrow Pi U . 'ty locations(required for new,may apply for additions)
v . e address,project or subdivision name and lot number ncation of wells/septic systems
ipplicant information(name and phone number) 1.1 sting trees to be retained with drip line,and tree
t dimensions and building setback dimensions rotection measures
Z
f area,building coverage area,percentage of coverage and treet tree size,type and location
joipervious area(applicable if R-7,R-12,R-25&R-40) Street names
,PiProperty corner elevations(2 foot contour lines if more than
4 foot differential)
tcAlklean Water Services—Service Provider Lett platted prior to 9/10/1995):
tiRequired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
}i( Public FacihImprovement(PFI) Permit:
t •quired: Yes,applicant was notified ❑ No Applied For: Yes D No,stop intake
/Land Use Case#: et.2-0/ - ")SC S(�� �/�= (s JL2OE-j
_p_—
equired Setbacks: Front e Rear Side Street Side Niti-Garage
andscape Requirement:
Lot Coverage Maximum:
P1 n uilding Height: Maximum Height 1041' Actual Height
UEisual Clearance
asements
nsitive Lands: VY'es ❑ No Type 2-C � / /� / hiLi'
Urban
Forestry Plan
❑ Conditions"Met" rior to issuance of b/ ding permit /
Notes: /1g/7'�;?7?_cC .p // Le yjui1 lt)+�' T' 1-CM-0Ite- ..
Approved By Planning: s---�- it Date: csQ l f
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\BldgPennitRvw_RES 091216.docx
Building Permit Submittal
Original Submittal Date: /2 b0 rtG
Site Plans: #
Building Plans: #
Building Permit#: r Enter building permit#above.
Workflow Routing: 12'Planning Engineering p-Permit Coordinator L Building
Workflow Sign-off: r' Sign-off for Planning(include notes from planning review)
Route Application Documents: p}Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
12 Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
ByPermit Technician: , /2.,///)
�...� .��L..ii,�,�� Date:
16' tr £L,..._ u r .Y:a .:e '-..;.. .3`.h:Si€X vX. ��.Neki s£_reA411u: , c]3l,5
a.....'vt's3T�4,Bl:moi.a4ei .fi.a.:: 33 .�.e T§-ritItAwsu'-'
Engineering Review
Slope at building pad: �- ,, �-
`CConditions "Met"prior to issuance of building permit w 4
El 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: El Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: tdef4 _' Date: f-�'+s -nf
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ 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:
('CDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A
Tigard Trans SDC: >in Yes ❑ N/A
Parks SDC: Yes ❑ N/A
OK to Issue Permit
Approved by Permit Coordinator: Date:
3)'/1'%
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
i
IIIICity of Tigard
'I COMMUNITY DEVELOPMENT DEPARTMENT
T t ca RD River Terrace Building Permit Review Addendum
Building Permit #: A( 7 .„„J
Site Address: • . --cit.) a eil Atikt:7--eiTekiet
Project Name: e-`i�,�/- T iaCe <QL Lot #: .,0./Q__.
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist ct Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards? Yes El 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. t. deep Balcony w/access 2 Window Projection Vertical Wall Offset a
ft. d p min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer
fr9rk CI ❑ ❑
2. Eyes on the street: a minimum of 12% of each street facing fa ade must include windows or entrance doors.
Percentage Shown: �rbj?.. % ;- ,YS/c
i3. ntrances:At least one entrance must meet both of the foll ing standards:
Max. 8 ft. setback from longe street- facing wall Parallel to street,angle no more than 45° from street,
or o en onto porch
Entrance opens to a porch: Yes ❑ No
Ifs,all the following apply: sq.ft. min.
ne street facing entry ft.max.roof above floor of porch
5 ft. depth min. 30%min.porch roof coverage
g
4. tailed Design:All buildings shall include a min. of five of/he following elements on all street-facing facades:
Covered porch min. 5 ft.wide x 5 ft. deep'/ V Recessed entry area min. 5 ft.wide x 2 ft. deep
all offset min. 16 inches ❑ ormer min. 4 ft.wide
Vi Roof cave min. 12 inch projectionTXi Voof offset min. of 2 ft.f 1 y
e'
El Roof shingles either tile or wood Tah1Py hip citggnbre roof deeign
oof pitch oriented south min. 500 sq. ft. orizontal lap siding min. 3-7 inches wide (G.-
rir Accent siding min.40%of street facade(a VWindow trim min.2 1/2"wide by 5/8" dee .'I I`''
❑ 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):
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
r
abov the garage that faces the street with a min. area of 12 sq.ft.
W. the (Check one)
12-foot-wide garage door ❑ 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: --� . ... / e. 0, Date: 4/(i43—
I:\Building\Forms\B1dgPermitRvw
/(i -I:\Building\Fonns\B1dgPermitRvw REs RT 062216.docx