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Permit (63) CITY OF TIGARD f MASTER PERMIT COMMUNITY DEVELOPMENT APermit#: MST2017-00095 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2017 Parcel: 2S106DB01300 Jurisdiction: Tigard Site address: 13540 SW CALABASH TER Subdivision: RIVER TERRACE NORTHWEST Lot: 13 Project: River Terrace Northwest, Lot 13 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: $232,913.89 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 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: 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!500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All asin Other: N Other Description: Ecom p 9� 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 2 Fire Rated Eaves-Both STE 1 Sides SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,284.55 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 952-001-0091. 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: ' Permittee Signature: r4"id �e A/ 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. CITY OF TIGARD MASTER PERMIT 111 11COMMUNITY DEVELOPMENT Permit#: MST2017 00095 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2017 Parcel: 2S106DB01300 Jurisdiction: Tigard Site address: 13540 SW CALABASH TER Subdivision: RIVER TERRACE NORTHWEST Lot: 13 Project: River Terrace Northwest, Lot 13 Project Description: New SF 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 DwellingUnits: 1 Detectors: Yes Third: 0 sf Right: 3 Total: 1858 sf Value: $232,913.89 Rear: 3 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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>=10OK: 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: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 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 2 Fire Rated Eaves-Both STE 1 Sides SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,284.55 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. ' 0 Issued By: 0—X-- Permittee Signature: dA -IfY)e-/e.9 7C, 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 L / /. Residential FOR OFFICE USE ONLY City of Tigard Received 11111 " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 7 " y Permit i s/ ���7 ��f�C�� Phone: 503.718.2439 Fax: 50q90.1964 2016 Date/By: 3- 5-)7 J Other Permit/kali'?,.0�205' T I G A R D Inspection Line: 503.639.4175 Date Ready/By: 3/�ry,� , �� A Jurist H See Page 2 for Internet: www.tigard ot.go t 1 fl ''fl f' i Notified/Method: G 7 ,v Supplemental information �?.. `__ .J�: ........ v.�ite"�.-"'.. e'er :�.... 4, i<c,„_.., �. G. � *3 rt-- ;. „..x ,'�„�'�_�.�� i �y' ` tiVii ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: ��� �� �� � ,�� ,�� 4 � equipment,materials,labor,overhead,and the profit for the S:Vi� iea g f `fit tT k r field 5 Irl : work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation:a3a�q J 3s ' D Accessory building ❑Multi-family Number of bedrooms:•TLI 0 Master builder{ 0 Other Number of bathrooms: �, ....,..., ` B bilk Y� t : '�� H .. _'"i Total number of floors: '} Q Job site address: 5 0 5 k i tit ,1 I ' 0 ' New dwelling area: .1 65-6 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4 3J square feet Suite/bldg./apt.no.: Project name:River Terrace Northwest Covered porch area: square feet 104 Cross street/directions to job site: Deck area: j $4 square feet go 9 Other structure area: square feet ,I tqa3 04- 3 1 ICI IFL' Subdivision:River Terrace Northwest 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 4t> �. z ,�� { ? equipment,materials,labor,overhead,and the profit for the -�a tai trate'° x�., ,ye zi+ :14 ,8a +�.s'rY'`'1.:: u- work indicated on this application. Valuation: $ Existing building area: square feet New building area: square A - 1R i `rc r zz - '' � s Number of stores:. : E,- : ti _. . a g Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy p y groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) z New :40Business name:Polygon WLH,LLCx.s .. 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 Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com ` _ '� PTEAIs ® Ji, �� � .i. �_ Commercial and residential prescriptive installation of --:. as: _ I _> _; _ fargfOVM , 1 i t ,, ,,AV _ _,i 4 roof-top mounted Photo Voltaic Solar Panel 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 $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained ��� / Ate ' within 180 days after it has been accepted as complete. Print name:Angela Grajewski eV Date: g' gall: *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) LLEIVEP Mechanical Permit Ap 1 FOR OFFICE 1 sE O\EI City of Tigard Received Permit No .114 C . 13125 SW Hall Blvd.,Tigard,OR-97223 1 /f l'Ii Date/By:n Rev ' -f i� ���O� �S Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.417 ; ( H See Page 2 for Internet: www.tigard-or.gov ,0' `*'`-T`' Notified/Method:Ready/By: 7uri5: Supplemental Information BUILDING DIVISION Mechanical permit fees*are based on the value of the work ®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 ':f� e ,; �. al `!L''',`,4*',:°` 1N „ ;" : € ..kgs i3. £ a T:, is ! D, f � "�`a`£eF � ' ❑ 1-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 t � Heating/cooling: a� � � `�l. w:,� V ice` �: � = � `�° �"]� Air conditioning 46.75 Job site address: / ✓ LI \N\ C h 1 a e1/i Tp r fOI+o Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 VW� ✓w✓v 1 `lam l/1��. Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name:River Terrace Northwest Heat pump 61.06 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 Flue/vent for any of above ' 23.32 Subdivision:River Terrace Northwest I Lot no.:/ 3 Other 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 : I' ¢ - •i " Gas fireplacchnsert 1 33.39 Flue vent for water heater or gas new home construction fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 1 sf'' � < ` "' e. 23.32 Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust I 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 23.32 Business name:William Lyon Homes,Inc Fuel piping: $14.15 for first four,$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. I Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 j Fax::(360)693-4442 Fireplace I Range I E-mail:Angela.Grajewski@polygonhomes.com Barbecue• ` ; �U - -< , � ��� Clothesdryer (gam) Business name:Andersen Mechanical,Inc. Other: Address:16285 SW 85'*Ave Subtotal City/State/ZIP:Tigard,OR 97224 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)992-6664 Fax:(503)536-6615 State surcharge(12%of permit fee) CCB lic.:168214 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 .24.,g - N days after it has been accepted as complete. Authorized signature: i 415,4 $ Fee methodology set by TriCounty Building Industry Service Board Print name:Angela Grajewski gDate:8/22/16 I:\Building\Permits\MEC_Pe`miitApp_040113.doc 440-46ITr(11/02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY Ci 25ofTiand RECEIVED Received � Permit G 13125 SW Blvd.,Tigard,OR 97223 Plan 111 2 Phone: 503.7182439 Fax: 503.598.STD 1Date/73_ Related Permit#: Inspection Line: 503.639.4175 JJ 2016 Ready Date/By: Juror. 0 See Page 2 for TIGARD Internet: wwwtigard-or.gov Notified/Method: Supplemental Information .� a-g ': ., ,. � cam.:-= 13ggS,.i. .:._._ x._. .- `---�� :R�, sir � '�S ` "y"".�.�y ?^�� -- �"'ee:� �F`�j� ��"�-�c=�--.=.��_ ®New construction 1 ,--4, � •` Please check all that apply(submit 2 sets of plans w/items checked): ❑Addition/: e • o re. ,--4, :F. 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other • where the available fault current D 1:farinas and boatyards. =` `' 0WCQ ,MQ �` = exceeds 10,000 amps at 150 volts or D Floating buildings. -'=�r� �' .�`. fix :`��+.��: '--.� ®1-and 2-family dwelling ❑Commercial/indtistrial 0 Accessory building less m ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings.• ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or - -_ = Emer tem. largerseparatelyderived �;;x.^c3�;4" _ _"I'_ - ❑ sYs r:,,, :r ..>,. S1Tr _._ v... r.... ,.,.�_ :y (`:�. ;:, t I d f system. Job#: lob site address: I�/.l 4D 3k1 f//�'�'-'""'_hT _ ❑100PAddition ofo a or o- o l V 100i•IP or more. ❑"A".`E",`1-2;"1-3". City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-ome facilities- 0 Recreational vehicle parks. Suite/bldg./apt.#: • Project name: � ���/// ..�( (t/��- D Hazardous locations. D supply voltage far more than ❑Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: Sf H iiC1E == _an4 Description I Qty. I Each I Total i t.... New residential single-or multi-family dwelling unit. Subdivision://..1;04/- a,1 /l,'iw' (keit- I Lot#: l 3 Includes attached garage. l�1"t V I,000 sq.R or less I 168.54 4 Tax map/parcel#: Ea add'l 500 sq.R.or portion Z 33.92 1 v _ ` Y �� DS? � s_ s4 - __ . Limited energy residential 75.00 2 (with above sq.it) Limited energy,multi-family 75.00 2 residential(with above sq,it) , . „msRenewable Energy ❑ See Page 2 's © FSE” af _ A,-, '. y4s Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 552.26 2 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 59.36 1 intended for sale,lease,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 16854 2 :4r, e7 - —_-,..:t :- _ Branch circuits-.new.,alteration,or extension,per panel ,K €. T� � A.Fee for branch crcuts with Business name:William Lyon Homes,Inc. above service or feeder fee, 7A2 2 each branch circuit _ Contact name:Angela Grajewski B.Fee for branch circuits without Address: service or feeder fee,first 109 East 13th Street 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add']branch circuit 7.42 2 . Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' • Fax::(360)693-4442 Each manufactured or modular dwelling,service and/or feeder 67 84 2 Email:Angela.Grajewski@polygonhomes.com Reconnect only 67.84 • 2 1 r5 , �� ,,gam_�., L= 0 r lf'y9 -s " .5. .c , � . ' ;, _ -- - ,„ Pump or Irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 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 of the above Additional inspection(1 hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels®gweusa.com Industrial plant(I humin) • 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie,: C1158 Electrical Lie.: 208174 Suprv.Lie:: 4496S specifically listed(F hr min) Suprv.Electrician signature,required: ,al`Pt Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): -., - State surcharge(12%of permit fee): `—� TOTAL PERMIT rr : Authorized signature This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. * Number of inspections allowed per permit :`-':y l:lauitding1Perm@et5tC PermitApp ELK EttRdoc Rev 06/17/2015 410-1615T(11/05/COM/WEB /05/COWWBB . Plumbing Permit Applicati C EI VE D Building Fixtures City of Tigard 13125 SW Hall Blvd.,Tigard,OR SEP 1 2016 Permb / /,2077-ex S ■ Phone: 501718.2439 Fax: 5p OF rI GAR D Other Permit No.: 7_i t!:t, Inspection Line 503.539.4175 4�� DIVISION Internet www tiga¢zl-or gov t Readietin 1 s See rage 2 for s 1JouiGed/Method Supplemental Information ►moi New coasttuction Demolition For special information use diecifsst Description I Qty. I Ea. I Total ■Addttionlntteratwdreplacemeat ■other New 1_2-family (' lodes 100 ft.for each utility % . ` ° = .,i : SFR(1)bath dwellings int 312.70 ►t: 1-and 2-family dwelling ■Commercialltndusmal SFR(2)bath 437.78 SFR(3)bath ` 500.32 ❑Accessory building ❑Multi-fay Each additional bath/kitchen ❑Master builder 0 Other ( 2ge 2 Fire sprinklersq.ft.) Page 2 ... -,i, :.,-.,:,«..,,,1-',..f.!--4-,1-, ' Site ntititkx• Job site address: 1 I Svsl I i I S h�`emrace ca n basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Dtywetl,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Northwest 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:Northwest River Terrrace l Lot no.: 1 Fixture or item: Tax map/parcel no.: 'Backflow.preventer 31.27 t i r e t s \'. Backwater vaIvt 12 31 clothes washer 25.02 Dishwasher 25.02 Drinking:faimtaiu 25.02 Ejectors/sump 25.02 d 4 '7,rr:." _ :11';',,`," Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7500 E Doubletree Ranch Road Garbage disposal, 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 p1111111.11M Ice maker , .,., v_`; . �� _._ Interceptor/grease 12.51 * �tlei,.. ; v ;.� � : `7) ( � �P 25.02 � , 1 Business name:William Lyon Homes,Inc Nodical gas(value:S ) p 2 Contact name:Angela Grajewski Hiner 12.51 Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)6934442 Tub/showerlsbower pan 12.51 E-mail:Angela.Grajewski®a polygonhomes tom 25,02 a zs - gWater closet 25x)2 37.52 Business name: G.4.3 t 4 ' 1Nk, 1.-60'1t Waterpiping/DWV 56.29 Address:; .ct, ft.a, °fp., Other: 25.02 City/State/ZIP: S' ' e.,...„4 of . 11131 Subtotal Phone:(3.-$41s- 't.�tr 1 Fax(4 V.,."Ig'i-^' 110 Minimum permit fee: $7250 CC$'Lic: t j Plan review(25%of permit fee) Jf� _.,, ��--,,jj �Pllumbi�ng Lie.na) tat IS+' +j'ka 7' State surcharge(12%of permit fee) Authorized signature: �""��,, TOTAL PERMIT FEE Print name: Si-f.Vt w 14..e__ Date:S-38-I to This permitappy Flees ifs permit b mut abtahted"bait 188 days after it has been accepted as eomplet. *Fee methodology set by Tri-County Building Industry Service Board, t sBuitdiogTermiblPytu-pamrtnpgdcc taoiros 440•46162ta+o2tcOMJWE8) v. 114 City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT A Building Permit Review — Residential Building Permit #: /7:S772e/7 > /'7 - l7n5Q - Site Address: MS-2-710 ,c2Ar.,2 ("'c,7/a? &/!.._ . --/ roc: Project Name: Ever .rrae kbrillr�t�'S' Lot #: (New dwelling /•� =subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: k1(t) Verify site address/suite#exists and active in permit system. jKle River Terrace Neighborhood: ❑ No 12 Yes,See River Terrace Review Addendum Attached Silt Plan Elements: ree(3)copies of site plan *sting structures on site Vite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) a.or elevations orth arrow it Utility locations (required for new,mayapply a pp y for additions) to address,project or subdivision name and lot number ii' -• ation of wells/septic systems pplicant information(name and phone number)I/ NI;.�t sting trees to be retained with drip line,and tree Vi.ot dimensions and building setback dimensions ,rotection measures EligLot area,building coverage area,percentage of coverage and Ih treet tree size,type and location • pervious area(applicable if R-7,R-12,R-25&R-40) Street names r Property corner elevations(2 foot contour lines if more than 4 foot differential) 1lean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): equired: El Yes,applicant was notified M No Received: ❑ Yes ❑ No IYJ Public Facili s Improvement(PFI) aired: Pp mF Permit: Zes q Yes a licant was notified ❑ No Applied For: ❑ No,stop intake and Use Case#: bteQ Oic--4M)09C-' -Eir�QO;s, e,52,�, Zoning. _ Z� 0/Required Setbacks: Front ,g Rear 0 Side 3 Street SideNIS Garage Pi/Landscape Requirement: cQ0 al Coverage Maximum: Building Height: �/V Maximum Height �� - Actual Height �S l� tilcv isual Clearance asements ensitive Lands: Yes 0 No Type / r - V_ e , 7L Urban Forestry Plan '�/� ❑ Conditions "Met"prior to issuance f buil.'.g permit Notes: OYI, //70/' c -S%,2// - 77,Le pp G,,-- .4 .m/yt- /.S.. .eii2j'1 6 Approved By Planning: ". ," � � e Date: �j (,.(,1/7— Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPermitRvw RES 091216.docx + , Building Permit Submittal Original Submittal Date: ,/// Site Plans: # y Building Plans: # 3 Building Permit#: D--Enter building permit#above. Workflow Routing: 0'Planning E ngineering ❑hermit Coordinator L Building Workflow Sign-off: ©- Sign-off for Planning(include notes from planning review) Route Application Documents: -Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ❑ Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: ' r 9 Date: _5/07 By Permit Technician /�, >`f�— Engineering Review Slope at building pad: /j> �Conditions"Met"prior to issuance of building permit ❑ 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 ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: eft 40 Date: .0-//-f 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: ❑ 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: ....0Fees Entered: Wash Co Trans Dev Taxes 0 N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A K to Issue Permit Date: 3114./ -- Approved by Permit Coordinator: I:\Building\Forms\BldgPemvtRvw_RES 091216.docx City of Tigard I COMMUNITY DEVELOPMENT DEPARTMENT rlclzl�Ill River Terrace Building Permit Review Addendum Building Permit #: Site Address: �`1 .�71r) St() C_. ea/�hc i&{� A�.rrac=� Project Name: ietVe,r7::"e7,-Tc2e,e1001- c'1 Lot #: /3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan D st " t Design Standards (18.660.070.1): Is the project subject to the plan district design standards? IPY Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft.,5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: j O/e 3. ntrances:At least one entrance must meet both of the folio g standards: Max. 8 ft. setback from Ion t street- facing wall Parallel to street, angle no more than 45° from street, or o n onto porch Entrance opens to a porch: Yes 0 No If es,all the following apply: 5 sq.ft.min. ne street facing entry ft.max. roof above floor ofp orch 5 ft. depth min. 30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: overed porch min. 5 ft.wide x 5 ft. deep 0 Recessed entry area min.5 ft.wide x 2 ft. deep all offset min. 16 inches/0(7 0 Dormer min. 4 ft.wide Roof eave min. 12 inch projection ❑ C .of offset min. of 2 ft. ❑ Roof shingles either tile or wood 1/. Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide in ❑ Accent siding m .40%of street facade Window trim min.2 I/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft.deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade 5. Gara. a d Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, .• a longest street-facing wall. ❑ Yes ❑ ► .. f NoCheck one): ❑ May extend up to 5 ft.if there is a covere. .;• a orch and • No ( _ ,.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 1111- I'A max. of street facade with 7 detailed design elements Notes: Approved By Planning: _......, .., • ,6, i' Date: A2iNT I:BuildingormsadgPermaRvw_RES_RT_o62216.docx / \ \F 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13540 SW CALABASH TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00095 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13540 SW CALABASH TER, SHERWOOD, OR, September 26, 2017 at 97140 10:13:44 AM Record Type: Record ID: Residential - Master Permit MST2017-00095 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13540 SW CALABASH TER, SHERWOOD, OR, September 26, 2017 at 97140 10:16:03 AM Record Type: Record ID: Residential - Master Permit MST2017-00095 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor