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Permit
,.. ul CITY OF TIGARD t y �7 I MASTER PERMIT ' COMMUNITY DEVELOPMENT71 Permit#: MST2017-00098 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2017 TIGARD Parcel: 2S106DB01600 Jurisdiction: Tigard Site address: 13490 SW CALABASH TER Subdivision: RIVER TERRACE NORTHWEST Lot: 16 Project: River Terrace Northwest, Lot 16 Project Description: New SF. 5/4/2017: REPRINT permit to correct the number of lays to(4). BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $232,467.49 Rear: 3 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 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 add9 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY 1 SF Residential 1 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 1858 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: PHONE: 360-695-7700 FAX: Total Fees: $31,284.01 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090.� You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: "1 X Permittee Signature: d7'/' e'1-77O/i 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. 1 IL CITY OF TIGARD MASTER PERMIT a r� Permit#: MST2017-00098 COMMUNITY DEVELOPMENT Date Issued: 04/03/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 4/03/2 B01600 Jurisdiction: Tigard Site address: 13490 SW CALABASH TER Subdivision: RIVER TERRACE NORTHWEST Lot: 16 Project: River Terrace Northwest, Lot 16 Project Description: New SF BUILDING Floor Areas Required SetbacksRequired First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Stories: 2 Bedrooms: 4 Smoke Height 24 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 8 Detectors: Yes Dwelling Units: 1 Third: 0 sf Right: 3 Total: 1858 sf Value: $232,467.49 Rear: 3 PLUMBING 0 Rain Drain: 1 Urinals: 0 Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays� Storm Sewer: 100 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 StormCatch SewerBasins: 0 Water Lines: 100 Drains: Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential tem: N Garage Opener: N All s Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum S y Ecompasing: Y Other: N Other Description: BUILDING INFO Type of Constr: Class of Work: Type of Use: YP Occupancy Group: Square Feet:1858 NEW SF VB R-3 Owner: Contractor: Required Items and Reports(Conditions) ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC 1 Ersn Cntrl 503-639-4175 BY FORSUM,MICHAEL 109 E 13TH STREET 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,284.01 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 952-101-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987,, or 1.800.332.2344. 10 Issued B : 7 Permittee Signature: ,eW '/'4-iL',777e/�0 Y Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. .. Building Permit Application LOT ` 6 :: ResidentialFOR OFFICE USE ONLY City of Tigard Received 114 4 13125 SW Hall Blvd.,Tigard,OR 97223 _ Date/By: -� 'v i i Permit . C Plan Review/ / �/ '/ —IVO TOP Phone: 503.718.2439 Fax: 503.598.1960 SEP P 1 2016 3_ i .7 � G Date/By: Other Permit5li, �7 eyo ce Inspection Line: 503.639.4175 Juns: H See Page 2 forT1GARD CITY F1iGA Date Ready/By: 3/24.//.Internet: www.tard-or. ov Notified/Method: Supplemental Information rmationU! WliV; tf 6571.9 ft_ .1-A✓-, A _ cam` Txwl ` ^ POJO £ ; e: � rSi 71tO �� x z : -�_hy . fe .„._W.,:r:-,, .� . -i m.m.f si '�Aii-. -4V,37,fi1�AD� Asfvy r ®New construction I ❑Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all z � R equipment,materials,labor,overhead,and the profit for the ' >. . . a r r •O ( WCTXOI �',ofazg work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: ' 3 J 3$ 2-31-043. 4-1 D Accessory building ❑Multi-family Number of bedrooms: LI 0 Mas3 ter builder 0 Other: Number of bathrooms: r I itiiv4vat § .,..: ..,:: tfa zy_ .d� 1.. i , Total number of floors: ql7 s. _ as Job site address: '3 9q O^ 5 t A' a o hn sh I p rrn� : New dwelling area: req square feet City/State/ZIP:Tigard,OR 97224 �►V u►/WN�J(I��Y 1 l.1 Wl[” Garage/carport area: '431 square feet Suite/bldg./apt.no.: Project name:River Terrace Northwest Covered porch area: j(nV/ 9(„� square feet j O 4 • Cross street/directions to job site: Deck area: square feet 8 049 Other structure area: square feet .. 1373.ATA C? `i`[ ..IILCKLI Subdivision:River Terrace Northwest ' � I Lot no.:( Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all h t b equipment,materials,labor,overhead,and the profit for the 1 a - `'t�`" :`E11.10ia-; ,0,,,; ,ESC'', N' F WOR, :�, ' 'a "' work indicated on this application. Valuation: $ Existing building area: square feet New " building area: square feet , a a Ir � tr " r [TNANT maNumber of stories:ta� ,.. .. , ,... . . t� 0: k ;gr 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: T ,��yy p • k v i. Business name:Polygon WLH,LLC i tatearh -, - :. ,, ', V ,` 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: 4 axa " E-mail:Angela.Gralewski@polygonhomes.com t f , t ' ���* tea ; tea_,.,. .. ._x., � .. . t =�����>.�:, :�;' : { - F �4 ,1 reav i Commercial and residential prescriptive installation of -.:. h .._ ..,, roof-top mounted Photo Voltaic SolarPanel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details Address: 109 East 13th Street and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review and administrative fees): $180.00 Phone:(360)695-7700 I Fax:(360)6934442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: c......41,41 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name:Angela Grajewski def4ariDate: g oall l I *Fee methodology set by Tri-County Building Industry Service Board. I:Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit AnPlica I City of Tigard E Received FOR orrlcr l sE o�L� 1111 Ill 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No.: �f)�y Phone: 503.718.2439 Fax: 503.598.1966 EP 2016 Plan Review 41- .-- Cl -tVo�� SY Other Permit:hlspection Line: 503.639.4175 Date Iurs: H See Page 2 for TIGARpInternet: www.tigard-or.gov GI ^y 0�-- !lump Notied,method: ( I`� " ? a, Supplemental Information ®New construction 0 Addition/alteration/replacement Mechanical permit fees*are based on the value of the work ❑Demolition performed.Indicate the value(rounded to the nearest dollar)of all ❑Other: mechanical materials,equipment,labor,overhead,and profit ; � f . • �, Value:$ ❑ 1-and 2-family ❑Commercial/industrial nfo ti 0 Accessory building fo ®Multifamily 0 Master builderForspecia!informationuse Qty.lrecklisG 0 Other: "a�,''� Description � �� 3� I €�� Ea Total .. �... ,F- 4 Heatinditi oling: Job site address: Q`� `" �`�"�' `�� � /(/ Air conditioning I 46.75 �\N Coa•a\0axVi Terrace. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: 1 Project name:River Terrace Northwest Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 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 Flue/vent for any of above I 23.32 Subdivision:River Terrace Northwest (/ Other. I Lot no.: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 23.32 , ' 1 . a . Gas fireplace/insert new home construction Flue vent for water heater or gas 3.39 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 m , Other: -:' 51,(4::: :t:,.>>.-.'7,-.:- ..- �° , -,..: 23.32 Name:ADVL Land Holdings,LLC Environmental exhaust and ventilation: Range hood/other kitchen Address:7600 E Doubletree Ranch Road equipment 33.39 City/State/ZIP:Scottsdale,AZ 85258 Clothes dryer exhaust . 33.39 Single-duct exhaust(bathrooms, Phone:(602)694-4031 toilet compartments,utility rooms) 23.32 Fax ( ) : Attic/crawlspace fans 23.32 ::::::-E7: V Other. 23.32 Business name:William Lyon Homes,Inc. Fuel piping: Contact name:Angela Grajewski $14.15 for first four;$4.03 for each additional Furnace,etc. I Address:109 East 13th Street Gas heat pump City/State/ZIP:Vancouver,WA 98660 Wall/suspended/unit heater Phone:(360)695-7700 Water heater I Fax::(360)693-4442 Fireplace E-mail:Angela.Gralewski@polygonhomes.com Range i � Barbecue ` _ „ �t k Iry ' , , t , F n � �r��" �� Clothes dryer(gam) Business name:Andersen Mechanical,Inc. Other. Address:16285 SW 85t"Ave ; �y' a „ : City/State/ZIP:Tigard,OR 97224 Subtotal Minimum permit fee($90.00) Phone:(503)992-6664 I Fax:(503)536-6615 Plan review(25%of permit fee) CCB lic.:168214 State surcharge(12%of permit fee) A aTOTAL PERMIT FEE Authorized signature: /�-(0 Iftiol#4 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski I I Date:8/22/16 I:Building\Permits\MEC_PemdtApp_040113.doc 440-461n(11/02/COM/wEB) CEIVED Electrical Permit Applica � �. .. . . . .. FOR OFFICE USE ONLY City of Tigard SEP 10„2016 R�`i"`d 13125 SW Hall Blvd,Tigard,OR 97223 DatclB Phone: 503.7182439 Fax 503. Dat D. Inspection Line: 503.639.4175_ '.IANLo Rep d TIGARD I t I p• t9 , 9 t Read D internee Wwtiy tigard orgoy °.7 @{ S S :+ 3 !.�,+"". F f y Y: Juru �.� a.,:�, Notifred/lsethod: H See Page 2 for _ _ Supplemental Information New ,.. 4 t3 Vp6'' .- -F tip- _'-Wi ;: _.r.,.._:�_i_ E) construction 0 Addition/alteration/replacement Please check t apply(ss k hree strnies. ❑Demolitionthat apply(submit 2 sets of plans whims checked); C.,' 0 Other Service or feeder 400 ams or more Building �° < h=----- w w__ P ❑&annasan over boatyards. ""�'=�:.;^`�^�,- �'" ��.��eCOl� 1'-.-*��c��'����`r-.-^•�-�t: where the ava�7ahk fault cnncnf ❑ d 6o s. `•a exceeds 10,000 at amps 50 volts or ❑Roaringbuildings. ®1-and 2-familydwelling 0 Commercial/iJdlistrial0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-ue agricultural amps for all other installations.❑Multi-family 0Master builder 0 Other _,�_x•`�����_�_�_.���'-'70`$x:,-S`�L�Lr'� - - ❑Fimpumg. ,. _s: x,: ..o - .._ ,.__j,,71 Row-&i7�fT•�Q�(�e if'B'ot'1 a`;i_= --__ _ Q Inataltation of deI50 KVA or JOb#: ., . . -. 1 l/'1 1 D.. . Tf]�C amu` }' "_` s'_' Emergency system "" "� larger separately derived Job site address: 0 Addition of new motor load of system. City/State/ZIP:Tigard,OR 97224 �h��(r loopormore. 0"A",•E;"I-2", 1-3, 0 Six or more residential units. occupancy. Suite/bldg./apt#: / ©13eatth-care facilities. 0 Recreational vehicle parks. Project name:�f /"vr-ree„ n/ �� ❑eons Locations. ❑Supply voltage for more than Cross street/directions to job Site: / ❑Service or feeder 600 amps or more. 600 volts nominal. Description ( Qty, I Rath I Total Subdivision: Nov residential single-or multi-family dwelling unit. 4(� /*1 wed— 1 Lot#: l I n Includes attached garage. Tax map/parcel#; Y 1,000 sq.ft or fess 168.54 D SS _ Ea.add'l 500ft or 4 Cf�Q r•. , = z sq. portion 3392 1 ° = Limited energy residential (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft) 75.00 2 ,:.. )-P" ,19-01 :: ., Renewable Energy ElSee Page 2 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 City/State/72P:Scottsdale,AZ 85258 401 amps to 600 amps 200.34 2 Phone:(602)694-4031 f 601 amps to 1,000 amps 301.04 2 I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or Owner installation:This installation is beingmade onnrelocation intended for sale,lease,rent,or exchange,according to ORS 447,that9,670,andme701 not- 00 amps or I00 5936 I Owner Signature: 201 amps to 400 amps ]25.08 2 Owner sign _. Date: . 401 amps to 599 amps168.54 'a."M z -... .tz Branch circuits.-new,alteration,or extension,,er panel Business name:William Lyon Homes,Inc. `_�..� _*. ��� �:'„ , 'y= A.Fee for branch circuits with above service or feeder fee, Contact name:Angela Grajewski each branch circuit 7.42 2 Address:109 East 13th Street B.Fee for branch circuits without service or feeder fee,first branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'1 branch circuit 7.42 2 Phone:(360)695-7700 I Fax;:(360)693-4442 Miscellaneous(service or feeder not included) Each manufactured or modular Email:Angtla GrajewskiQpolygonhomes.eom dwelling service and/or feeder 67• 2 2 T' Recona�t Daly 67.84 Business name:Garner Electric Washington,LLC Pump or Sign or outline circle 67.84 2 lighting 67.84 2 Address:6101 NE St Johns Rd Signal circuits)or limited-energy panel,alteration,or extension. Cl See Page 2 2 City/State/Zjp:Vancouver WA 98661 Each additional inspection over allowable in any of the above Phone:(253)320-1657 Additional inspection(I hr min) 6625/hr I Fax:( ) Investigation(I brink) 90.00/hr Email:bdaniels®agweusa.com Indusnialplant p hr min) • 9818/hr CCB Lic.: CI158 Electrical Lic.: 208174Inspections for which no fee is Suprv.Lic,: 4496S specificall}listed(f hr min) 90.00/lar Suprv.Electrician signature,required: a. z� „S /' . ... F� '? I �.3' e5 jai Subtotal: Print name: Joan P Albert •- Date: 4/26/2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: L Print name: Bill Daniels r Date: 4/26/2016 T h i s permit application expires if a partials not obtained within 180 days after it has been accepted as complete. __ - :1;1aculdinglPennits�,0 p tAPpIZR EREdoe Rev W/17/2015 44agb151'(17/o5/COWWW t Numberafinspecrioas allowedperparmi[_ • PlumbingPermit Application -,s r Building Fixtures t City of Tigard �cc CC Re ed 13125 SW Hall Blvd.,Tigard,OR 97223-P 1 2016 DatelByt review PermitNo.�/Ll.172 C/7..cce'9 ■ Phone: 503.718.2439 Fax:503598.1960 inspection Line: 503.639.4175 ,,I� Y !,.,,a g i i!;,....„.,:i.a7, j D Flan Ready/Dr Other Penna No Internet www ttgatd or gov g, aj � lNogifiedimethod:Y m, I gee Page 2 for a " 1 e . ; A Iufarcaatioa m 0 New construction. 1111 Demolition on Por information use checkftst Description I t3ty, � Ea. f Total Addition/alteration/replacement ❑pth er: New 1-2-family dwellings(includes 100 R.for each utility connection) • 1. g v t: €,_ tt is ��� sd SFR(1)bath 312,70 ►4 2-faauiy dwelling ■comanermallindustrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath ` 500 32 ❑Master builder 0 Other Each additional btuhlkitchen 25.02 : ; t,. e, �.- Site sprinkler ( ) Page2 mars is c Job site address: Catch basin or area drain 18.76 I CI 1) S m t'I" ! City/State/Zlp:Tigard,OR 97224 Diyweil,leach line,or trench drain 18.76 Suitrlbldg/apt no.: 1 Project name:Northwest River Terrace Footing drain(no.linear ft.: ) Page 2 Mamtfacizued 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 it: ) Page 2 Subdivision:Northwest River Terrace I Water service(no.linear ft.: ) Page 2 I Lot no.:l 0 Fixture or item: Tax map/parcel no.: Backflowpreve rater 31.27 �, �-' .:';'''''. 1-11211-'71t,c Backwater%live I, 12.51 Clothes washer 25.02 Dishwasher' 25.02 Drinking fountain 25.02 Electors/sump 25.02 Name:ADVL Land Holdings,LLC 121 ture/sewer cap. 25.02 Address:7600 E Doubletree Ranch Road Floor ge Ifloor sinkihnb 25.02 Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)6.944031 Fax:( ) Ice maker w.. s � 3t " - interceptor/grease 12.51 " ° � . ��: e� � � I 25.02 Business name 'William Lyon Homes,Inc Medical gas(value:5 ) Page 2 Contact name:Angela Grajewsecl 12.51 Address:109 East 13th Street Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:Angels.Gr'aiewsk�polygoahomes.com 25.02 ''''''",'4': � � Water closet 25.02 Business name: G.,44 (}W ,,' t tt-- 56.29 1 � r'75 Waterpiping/DWV 56.29 Address p.0. $..cv‘ oba, Other ' II 25,02 City/State/ZIP: 5TH e4s4A4art, 411131 no MiSubtotal Phone:(.3 r-8 :, «1-1 Fax:(11 t.- -iii-, Minimum permit fee: $7230 CCB Lie.: t Plumbingj} Lie.to, kaliPlan review(25%of permit fee) Authorized signature: �' T= 7y�. ''"``�...,,, State surcharge(12%of permit fee) Priaf name: tyke__` TOTAL PERMIT FEE 1 Si. s.ti . f ! Date:g-•3i F __I 1 This permit application expires if a permitls not obtained within 180 days after ft bas teen secepted as eximpletir. *Fee methodology set by Tri-County Building Industry Service Board. IdnualdinsiPeminslitm.PamitAyp.doe UYOIKI9 44Q-46161110/02fC0i,eJ cgj .R City of Tigard 1111 " COMMUNITY DEVELOPMENT DEPARTMENT l�;A i Building Permit Review — Residential TBuilding Permit #: /`7 S%, 2c)/7 - 00c cP Site Address: / I7190 -c-24) C7c0/a71 'L / rcvc: Project Name: Liver 71;itree , S - Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: AO gFiC iz(;Verify site address/suite#exists and active in permits tem. River Terrace Neighborhood: ❑ No IQ Yes,See River Terrace Review Addendum Attached Siy Plan Elements: Di/Three(3)copies of site plan tCli.�4'sting structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper Ti Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale)tie o•or elevations orth arrow Ti Utility locations(required for new,may apply for additions) h to address,project or subdivision name and lot number g i-. ation of wells/septic systems 01 1, .3sting trees to be retained with drip line,and tree pplicant information(name and phone number) Lot dimensions and building setback dimensions otection measures t area,building coverage area,percentage of coverage andeet tree size,type and location . pervious area(applicable if R-7,R-12,R-25&R-40) Street names G Property corner elevations(2 foot contour lines if more than 4 foot differentia 1lean Water Services—Service Provider Lett/(lot platted prior to 9/10/1995): tZ(1equired: ❑ Yes,applicant was notified M No Received: ❑ Yes ❑ No Public FaciliXs Improvement(PFI)Permit: equired: 14 Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake and Use Case#: A1/2QOI, r-, -- Zoning. a., K, equired Setbacks: Front gRear 3 Side .3 Street Side g Garage (,Landscape Requirement: a0 Lot Coverage Maximum: VVBViiI wilding Height: Maximum Height O f- Actual Height _� Visual Clearance .asements lik sensitive Lands: ❑ Yes iNo Type Pi Urban Forestry Plan ❑ Conditions "Met"prior to issuance of/buil.'.g permit Notes: IA: ' --S/ i Approved ByPlanning: - - .— A Date: Sha,/,--/-- Revisions a,/,�- 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\BldgPernvtRvw_RES 091216.docx II4 - ., Permit Submittal Original Submittal Date: ?///., Site Plans: # 5 Building Plans: # Building Permit#: ©'"Enter building permit#above. Workflow Routing: ici'Planning :l-Engineering [ -Permit Coordinator nilding Workflow Sign-off: l Sign-off for Planning(include notes from planning review) Route Application Documents: ©--Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: - .% Date: ?/4..07 Engineering Review Slope at building pad: .24 ......,/ 'Conditions "Met"prior to issuance of building permit-..jr I 1V(� 1 ❑ Easements (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 0 NOT Approved by Engineering: Date: Notes: _A Approved by Engineering: jW/ ]7 Date: fe f 7 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 comesenssaw Permit Coordinator Review O Conditions "Met"prior to issuance of building permit O 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: Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit � >(® /e � Approved by Permit Coordinator: Date: 3/ / I:\Building\Forms\BldgPerntitRvw_RES_091216.docx • r City if Tigard COMMUNITY DEVELOPMENT DEPARTMENT 1:104 X River Terrace Building Permit Review Addendum TIGARD Building Permit #: Site Address: /3'/90 Sk ) C-.e a7 caS){� • I .rrac Project Name: ,/ei'v�l- ../-r 2e,e A)or 1C.ad Lot #: /( (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dis_trot Design Standards (18.660.070.1): Is the project subject to the plan district design standards? V 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 t. dee Balcony w/access 2 Window Projection Vertical Wall Offset a p ft. deep min. 2ft.,5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ CI ❑ ❑ 2. Eyes on the street: a minimum of 12%of�eflch street f cing facade,must include windows or entrance doors. Percentage Shown: rrt, SJ�'ed, S1ci '.. /Q7, 3 . 1;tttrances:At least one entrance must meet both of the follc ing standards: 7Max. 8 ft. setback from long t street- facing wall jur`/(Parallel to street, angle no more than 45° from street, or o en onto porch Entrance opens to a porch: Yes ❑ No If es,all the following apply: 5 sq.ft. min. ne street facing entry �Y2 ft.max.roof above floor of porch 5 ft. depth min. 30%min.porch roof coverage 4.vcetailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: overed porch min. 5 ft.wide x 5 ft. deep�% ❑ Recessed entry area min.5 ft.wide x 2 ft. deep W % all offset min. 16 inchesf4 ❑ Dormer min.4 ft.wide 101 Roof eave min. 12 inch projection ❑ oof offset min. of 2 ft. ❑ Roof shingles either tile or wood Zj g Gable,hip or gambrel roof design'14 ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of street facade Window trim min. 2 I/2"wide by 5/8"deep�°'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. Gara. -- .d Carports:May face the front or side kit line on a corner lot. Setbacks: No closer to front or side lot line, - longest street-fa!n wall. ❑ Yes ❑ ► .. f No (Check one): g ) ❑ May extend up to 5 ft.if there is a covere• ;• iorch and ,.e does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part • : . o- . building and there is a window at the second story above the garage that faces the street ' • . area of 12 sq.ft. Width: (Check one) ❑ 12-foot- .%:-garage door ❑ 40%max. of street façade • i%max. of street façade with 7 detailed design elements Notes: Approved By Planning: _ ' ® �: itL6Date: A2/c-� I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13490 SW CALABASH TER, SHERWOOD, OR, August 23, 2017 at 12:11 :53 97140 PM Record Type: Record ID: Residential - Master Permit MST2017-00098 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed at this time Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13490 SW CALABASH TER, SHERWOOD, OR, August 23, 2017 at 12:10:54 97140 PM Record Type: Record ID: Residential - Master Permit MST2017-00098 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 65 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13490 SW CALABASH TER, SHERWOOD, OR, August 25, 2017 at 10:40:31 97140 AM Record Type: Record ID: Residential - Master Permit MST2017-00098 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Previous correction not complete. Opening thru foundation vent penetration exceeds 1/8". Seal around installed roof vent cut to cover line set penetration. R408.2 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13490 SW CALABASH TER, SHERWOOD, OR, August 30, 2017 at 8:40:22 97140 AM Record Type: Record ID: Residential - Master Permit MST2017-00098 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved sidewalk and approach inspection prior to building final inspection. No inspection done per Allison Armstrong. Re inspection to be done today with fee applied if sidewalk and approach inspection is approved. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13490 SW CALABASH TER, SHERWOOD, OR, August 30, 2017 at 1 :38:49 97140 PM Record Type: Record ID: Residential - Master Permit MST2017-00098 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Correction complete from previous inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13490 SW CALABASH TER, SHERWOOD, OR, August 30, 2017 at 5:51 :16 97140 PM Record Type: Record ID: Residential - Master Permit MST2017-00098 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: 2 hr minimum after hours investigative fee applied for re inspection of building final. Final erosion control approved. Street tree certification received. Moisture content form received. Vapor barrier form received. High efficiency lighting form received. Blower door test report received. Insulation checked in attic and underfloor. C of 0 left on site with contractor. Violation Summary: Inspector Contractor