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Permit (85) CITY OF TIGARD MASTER PERMIT 11 q 1 - COMMUNITY DEVELOPMENT Permit#: MST2017-00093 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2017 Parcel: 2S106DB01100 Site address: 13560 SW CALABASH TER Jurisdiction: Tigard Subdivision: RIVER TERRACE NORTHWEST Lot: 11 Project: River Terrace Northwest, Lot 11 Project Description: New SF BUILDING Floor Areas Required Setbacks _ Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Height: 24 Bathrooms: 3 Left: 3 Parking Spaces: 0 Second: 1049 sf Garage: 437 sf Front 8 Smoke Dwelling Units: 1 Third: 0 sf Right 3 Detectors: Yes Total: 1858 sf Value: $230,547.97 Rear: 3 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays:Y 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 0 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 P W/Svc or Fdr: 0 Ea add9 500 sf: 3 201-400 amp: 0 201-400 amp: 0 P 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: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: NEW SF VB P Square Feet: R-331858 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 2 Fire Rated Eave SCOTTSDALE,AZ 85258 3 Fire Rated Eave at fireplace PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $31,269.42 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By:<19 _,C/ Permittee Signature: Call � Z��r� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1'iuildin� Permit Application RECEIVED �. 0T 1/ Residential FOR OFFICE USE ONLY City of Tigard SEP 1 2016 Received Date/By: 3/74 ' Permit N71f$r a7—I ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan ReviewC!- I Phone: 503.718.2439 Fax: 503.598.160i y ( e i 3AR D Date/By: 3 '13' / '.4 t Other Permit:S .4()a?"086 Inspection Line: 503.639.4175 Date Ready/By: . H See Page 2 for TIGARD -UILLiN� " Si ON Notified/Method:-125 /7 4 u Internet: www.tigard-or.gov Supplemental Information rmation /L 9r ler'/ W-MAIO" `- � -i �. ry , i'F ''',..`''4,,=.1fTY ,F ` O F. ITOgi: .3.� M V II ` , D iG.:..;'s ®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 0 Other: equipment,materials,labor,overhead,and the profit for the a ,- C- _ O . �- work indicated on this application. ^ r ix O" N ` Y.M.'x'313 C1'>' W©l�T,f ;_. .. M O 1-and 2-family dwelling 0 Commercial/industrial Valuation:aa0sis $ Z. 0 Accessory building 0 Multi-family Number of bedrooms: 4 0 Master builder ❑Other Number of bathrooms: 3 k r , y , Total number of floors: gas Midi attox-n z � 2 9 Job site address: 13%0 S W C Goal sn I e,r(aee. New dwelling area: I tJ 5e3 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: q'1 square feet i 0 49 Suite/bldg./apt.no.: Project name:River Terrace Northwest Covered porch area: . square feet Cross street/directions to job site: Deck area: 7$ square feet Q 04 Other structure area: square feet v ti �' � Alkl lit .;tr'[I .S A Subdivision:River Terrace Northwest Lot no.: I 1 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 0 r ;" a O iK k; work indicated on this application. 040 » >Ill' ,1 ' Rlfw PP Valuation: $ Existing building area: square feet . New building area: square feet fi 4 1 g" Q �;" Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: ,. +"'R�a1.10-C4z-4, 0-1.974 ,., '+ - . . ',xR a: {KGs . . n f 4 'u.14: e n .. K ies .10.4 @ s9' - i_. Y.CONTACT . ;SON . a 010 11 1 I . 1 PAT �„x * :'-zi?=5: .s4"�,.s;*,. w� ..,? sa,3€tss,,�'� .:.4-..x.,;* ��,,..;res- ,. . .z. _ .. ...;.<.s'.,.F.t .'tom.�, $i . ,,f �^ V, .�.�... yes- .,. Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13'Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax:: Aj t '�..,Lvy'fr` k`......,°"'"",�r;H &'� Y..'�*"°P�i''4 '+,7i`.4k'.w-kF^a i"'r-"'3�' .-e E-mail:Angela.Grajewski®polygonhomes.com a.k.„:_,4,:-."," .z t r-• wwo 4, �_ .z,..,t Commercial and residential prescriptive installation of ,k:k ',___.. _ , _ ,�� 7 ; .. :t: : .. :. ,,.. �� :_, ... is o roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained _ji_b___i within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: e' *Fee methodology set by Tri-County Building Industry Service Board. L\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit APPlicalfilECEIVED 10k OFFICE l Se O\L1 City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 1 2 016 Pla111 111n Review G.R • Plan Z Phone: 503.718.2439 Fax: 503.598.1960 TIG 1 K D Inspection Line: 503.639.4175 CITY A RD Date/By: Other Permit: Internet: www.tigard-or.gov Date ReadyBy: Anis H See page 2 for 31,JjLDIN nIVIS1ON Notted/Method: Supplemental Information ,. 0 97.) 1� O `..; may: ' -• Vim!'A , � mgt- .� �,. 0 Addition/alteration/replacement Mechanical ®New constructionpermit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. ID Demolition ❑Other: . •. � s �,v, :'�. ��-xxw r • • • Value:$- � •— , %.�r :�; `�` ❑ 1-and 2-family dwelling 0 Commercial/industrial . . ❑Accessory building For special information use checklist ®Multifamily 0 Master builder 0 Other: Description I Qty. I Ea_ I Total `� r�� � " �=-r.---:, a 1-, ��--.., 7 Heating/cooling: Job site address: I A \* Air conditioning 46.75 JJ`Z' VA 1 a1O013U1 Turrace, Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldgJapt.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 J 23.32 Subdivision:River Terrace Northwest I Lot no.: I! Other 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 23.32 . — 1 1' � V, *` Gas fireplace/insert ,,. �-��.� 33.39 new home construction Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 -4b-,2,--,z-- l Other. 23.32 Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road equipment 33.39 Clothes dryer exhaust I 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, 1-4 Phone:(602)694-4031 Fax: toilet compartments,utility rooms) 1 23.32 ( ) Attic/crawlspace fans 23.32 ., 4. 4— >,. - tOther: 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. Address:109 East 13th Street Gas heat pump City/State/ZIP:Vancouver,WA 98660 Wall/suspended/unit heater Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace I elaGra'ewski Range I E-mail:An g 1 @polygonhomes corn Barbecue . � .�� `4 r.� .oa1 r Clothes dryer(gas) Business name:Andersen Mechanical,Inc. Other Address:16285 SW 85th Ave �� 1„7,=1-=', -":•-v...' ; ° a Subtotal City/State/ZIP:Tigard,OR 97224 Minimum permit fee($90.00) Phone:(503)992-6664 I Fax:(503)536-6615 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.:168214 TOTAL PERMIT FEE AO ' VA; This permit application expires if a permit is not obtained within 180 /t,r�� days after it has been accepted as completeAuthorized Signature: u !iCs Fee methodology set by Tri-County Building Industry Service Board IPrint name:Angela Grajewski I Date:8/22/16 I I.SuildingTennits\MEC_sermitApp_040113.doc 440-4617T(11/02/COM/WEB) Electrical Permit Applicat lrki 'EIVED FOR OFFICE USE ONLY IMILIMINSIM _ City Tigard P 1 2016 Received Iii 13125 SW W Hat(Blvd.,Tigard,OR 972 Phone: 503.7182439 Fax 503.598.1960 �-. DPlan Re"C1 Related Permit ft; Inspection Line: 503.639.4175 CITY 01: TI G AR D Ready Date/By: .loris: H See Page 2 for TIGARD Internet www tBar d-or.$ V 3 U I LD tt NI P, r/ilI, tOox31 I Notified/Method: Supplemental Information __.0.—_ M ,.-..». ,__:, �w �-`� i-r.�-...-.,MSri.�.�, _..::r_'-� =.......-�-_ i:Zec:"i ;��"��.��>:i=�x':``-.�-.-'tt-'3r ®New construction 0 Addition/alteration/replacement Please check eu that apply(submit 2 sets of plans w/Ilerrts checked): Q Demolition 0 Other: 0 Service or feeder 400 amps or more 0 Building over three stories. -�; :y'�r•���� - _ �, _ � where the available Cautt cmzenf ❑tvfarinas and boatyards. c =:w : s t '6M-WW: " -.`. `> exceeds 10,000 at ISO volts ��. � +.-.5.-.. ..,�,,•„��� amps or [3 Floating buildings ®I-and 2-family dwelling 0 Commercial/indfistrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Multi-family 0 Master builder 0 Other. other installations.amps or buildings.. .. sr,,,.�, - - _ _ 0 Fire pump. ❑Installation of 150 KVA or ..:..- -5:., ;�;:� _ .,- �' r5�17 .f�, -.,.�I�]�F�^ .�s, _-- _ Emergency stem. �:� �._a.��� �. _:F"(yi '�f�l��-�,-- - = - -- 0 larger :.-.-..:,� �.�,._�.:r�. �._. hon of new separately derived Job#: i Job site address:` (f� 'W"""'h T '+{. ❑Addition motor toad of system- ! 100i�ormne ❑ City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑3eauh rare facilities. ❑Recreational vehicle parks..---- Suite/bldg./apt. Suite/bld '/apt.#: Project name:AV ��,,,,- ,,�( ' � ❑Hazardous locations. 0 Skipply voltage for more than n ❑Service or feeder 600 ampsor more. 600 1 Cross street/directions 6 nominal to job site: Description I Qty. 1- Each I Total New residential single-or multi-family dwelling unit. Subdivision:A.04,-rgrrv,z. /q -„t,t Mf 1' 1 Lot#: 1 1 Includes attached garage. /V r V I I,000 sq.R or less j 168.54 4 Tax map/parcel#: . _ xa:R n - sq. p 1 .�. �.;.._ .�.-_.�--_........� ,,,�^ ..-�.-�_�=< Limited energy,residential rT� {with above sq.ft} 75.00 Limited energy,multi-family 75.00 2 residential(with above sq.ft) © - 4s � s Renewable Energy ❑ See Page 2 -- es ER�"" 7 - '` ::-" g-= `' 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/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 303.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 55226 2 Email- Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or Iess 59.36 I 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 I 2 L:,-.7 ...a.,.. . --e.: `j " --�:v" -_ r ci"'' _ - } ;z -•-s Branch circuits-new,alteration or extension, er panel � �,�a� .'0��e;rcx=.�3; ��� x B®.� ;C� .�d .�?`��� A.Fee far branc , h circuits 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:109 East 13th Street service or feeder Fee,fust 56.I 8 2 Manch circuit City/State1Z1P:Vancouver,WA 98660 Each add')branch circuit 7.42 2 • Miscellaneous(service or feeder not included) Phone:(360)695-7700 " Fax::(360)693-9442 Each manufactured or modular dwelling,service and/or feeder b7.B4 2 Email:Angela.Grajewsln@polygonhomes.comRecennect only 67.84 2 'T':=:::V�.' _ Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 "` panel,altuation,or extensitm.Signal circuits)or limited-energy Address:6101 NE St Johns Rd ❑ See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdanielsggweusa.com Industrial plant(]hr min) • 78.18/lir Inspections for which no fee is • CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lic:: 4496S specifically listed(%br min) 90.001 hr T � 1 � ' Snprv,Electrician signature, .l l �.r _ _` �0�'' e=. "ai "`i- required: : ' Subtotal: Print name: Joan P Albert • J Date: 4/26/2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: = -' TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 . Print name: Bill Daniels I Date: 4/26/2016 days after it has been accepted as complete. * Number of inspections allowed per permit I. uilrim pemiQiiII,C Penni App ELR ER .doe Rev 06117/2015 44o-4615T(11/05/COMfwga 1 'Plumbing Permit Application -- r-- ED Building Fixtures I V City of Tigard SEP 1 2 016Retceived Petit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 /LIST.,ZI�/' 13 ' t Phone: 503.'718.2439 Fax: 503.598 1ettrY OF 'WARD y; Other P�No: Inspection Line 503.639.4175 I 1 .•11 Internet www. -or. 3E 1!!_Elim�if= niVlSI ND:Ready/9y;. ami. H see Page 2for ..- information - ° C � �4 4" _ fied/Metbod/ V . '; ��4 New construction Demolition special information we ch�ecidist ■Addition/alteration/replacement ■Other: New i-2� dwellings1 Q.fy. i 1 Tctio 2-family (includes l00 R.for each utility mon)'? 3L4SFR(1)bath 312,70 ►off 1-and 2-family dwelling I Commercial/industrial SFR(2)bath 437.78 ❑Accessory building' ❑Multi-fanuly SFR(3)bath ` 50032 Each additional bath/kitchen 25.02 0 Master budder 0 Other Fire sprinkler C_sq.ft.) Page 2 !; � ; � ` � xi 1 g r Site utilities: Job site address: Catch basin or area drain 18.76 35 SW a � i shTemrace City/State/ZIP:'Tigard,OR 97224 Drywall,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 Project name:Northwest River Terrace Manufactured home utilities 50.03 Cross s4cet/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Stone sewer(no.linear it: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Northwest River Terrrace 1 Lot no.: I I Fixture,or ice,: Tax map/parcel no.: BackflowPr enter 31.27 ttt BaOkWIIte['YSLVE �, . .� r , �� . a 1231 Clonus washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejecxors/sump 25.02 5 ..--,,,,„,"...f, At ,sem :ti ExPanamn tank 12.51 Name:ADM,Land Holdings,LLCFixture/sewer cap. 25.t)2 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage a8 disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 close bib 25.02 Phone:(602)694-4031 0111111..11111111 Ice maker 12.51 �•.� • . "u ,,,a 1:' r t '" ..:,' = Interceptorlgreasettap 23,02 Business name:William Lyon Homes,Inc Medical gas(value. S ) page 2 Contact name:Angela Grajewaki Primer 12 Si 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)693-4442 Tab/shower/shower pan 12.51 E-mail:Angela.Grajewski@polygonhomes.com Urinal 25.02 x �� � Watecloset 25.02, //�� ,, Qtt�� 37.52. Business name: Gerb l w ' %& ,r- WaterpipingfDWV 56.29 Address: p.0. 60x, Gies, Other: 25.02 City/State/ZIP: 51-, r ell(s Subtotal Phone:($03.-$4. 1'3t1 Fax:(A �s V--"g'i-.$ `t'ti' Minimum permit fee: $72501 j1 '' Plan review(25%of permit fee)_ CCB Lie.: 1,313-1,2_, Plumbing Lie.no.Pb col State surcharge(12°Is of permit fee) Authorized signature: I^ay ell^ j. `�-�•-. . TOTALPERMIT FEE Print name: t +trait. i>u�1st !'>_ Date:1c_3 A-1! permit application it�has if aacceptepermit Is as cammat obtainplete.ed within 136 days atter teen d *Fee methodology set by Tri-County Building Industry Service Board. t:MHrtdmgwamitaLMU-PanttAppaoc 1001/09 aao•a6tsT(t002/03WWEBi City of Tigard 71 w COMMUNITY DEVELOPMENT DEPARTMENT GBuilding Permit Review — Residential Building Permit #: r*5l ()/7,60053 Site Address: Jg 0 ,c7/0 ( ev a7 2/7 !— 77e>4.76-..e_ 7e res7e-= Project Name: /v-e- 7-Terrace kbri tr,,�,s,�'. i Lot #: /1/ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /Vett) ' Verify site address/suite# exists and active in permits tem. gi River Terrace Neighborhood: ❑ No 7 Yes,See River Terrace Review Addendum Attached Sit Plan Elements: lt441 ree(3)copies of site plan t ''sting structures on site tkite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished 1 rawn to scale(standard architect or engineer scale) •or elevations liorth arrow it Utility locations(required for new,may apply for additions) te address,project or subdivision name and lot number i'I-• ation of wells/septic systems kpplicant information(name and phone number) fr ar' sting trees to be retained with drip line,and tree Lot dimensions and building setback dimensions • otection measures t area,building coverage area,percentage of coverage and 'G treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than 4 foot differential) 1lean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): . li s equired: ❑ Yes,applicant was notifiedi M No Received: ❑ Yes ❑ No lYJ Public FaciImprovement(PFI)Permit: :i e aredPp12( Yes Yes,applicant was notified 0 No Applied For: IQ Yes ❑ No,stop intake 01. and Use Case#: a.. 0/Zoning: 0/Required Setbacks: Front 63 Rear 3 3 �rt - Side Street Side fiGarage 04/Laandscape Requirement: cQO % ndscape Coverage Maximum: Building Height:jtss( Maximum Height / - Actual Height irisual Clearance asements c)2(e2 Sensitive Lands: Yes ❑ No Type / 0/0-Vc a, Acand - Urban Forestry Plan ❑ Conditions "Met"p 'or to issuance f 1buil.'.g permit I Notes: Oj?L�'/T7,jC' -ST&// IL(i� pp Dr- '4) a74/'/- jk..cctii:.1?4 Approved By Planning: ,_____ °_ ," Date: ______-,45 ha- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\BuildingForms\BldgPernvtRvw RES 091216.docx Building Permit Submittal Original Submittal Date: 7//70 Site Plans: # j Building Plans: Building Permit#: nter building permit#above. Workflow Routing: lanning —Engineering p•Permit Coordinator 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: / 7' . i By Permit Technician: �� -,i•` L4 - Date: 3/ 2h7 if-,p, z4i,..kat r„-.17.7 . >.� . ., _:,,� _ s ,r4 - .,t. .,,,- F $,7,7,1,4W,...,,,-.11 ,,,, ,,.: Engineering Review Slope at building pad: ,, Conditions "Met"prior to issuance of building permit s,----i'� - Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ 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: /4r 2 Date: 5-4,—/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 Permit Coordinator Review 0 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: DC Fees Entered: Wash Co Trans Dev Tax: K es 0 N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Ces 0 N/A 'OK to Issue Permit Approved by Permit Coordinator: /� �� Date: 3/3 1 I:\Building\Forms\BldgPemvtRvw_RES 091216.docx City of`T1gard q COMMUNITY DEVELOPMENT DEPARTMENT IG RD River Terrace Building Permit Review Addendum TBuilding Permit #: > Site Address: / s- Q SW) Caacc. S L 7 ireoct Project Name: e'Ver r/C -P_ AJurr-4 tad- Lot #: // (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review ofRiver Terrace Plan D s-trot Design Standards (18.660.070.1): Is the project subject to the plan district design standards? 1761 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. 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 ❑ ❑ 0 ❑ 2. Eyes on the street: a minimum�Af 12%,of each street facing facade must include windows or entrance doors. Percentage Shown: -�'(e c!o 3. trances:nAt least one entrance must meet both of the foll., ' g standards: 3. IA Parallel to street, angle no more than 45° from street, Max. 8 ft. setback from long t street- facing wall or open onto porch En ance opens to a porch: Yes ❑ No If es,all the following apply: sq.ft.min. ne street facing entry �2 ft.max.roof above floor of porch 5 ft. depth min. 30%min. orch roof coverage age 4./4 etailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: overed porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep itall offset min. 16 inches ❑ ra ormer min.4 ft.wide Ro/67of eave min. 12 inch projection iLoof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of street façade V 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. -- d Carports:May face the front or side e on a corner lot. Setbacks: No closer to front or side lot line, ..longest street-facing wall. ❑ Yes ❑ ► f No (Check one): ❑ May extend up to 5 ft.if there is a covere :• .orch and ; :e .oes 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 facade P '•%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ` Z Date: I� I:\Building\Forms\B1dgPetmitRvw_RES_RT_062216.docx Mechanical Permit Appl>Icafi l,nl1 01.....! esti:ONS ‘ ftwehied' ,_ - -, .. �`7S v 7 J t'�tl`l3 illCiti of Tigard 'rt". laatcll3y^ f'� / .7 r :13125 SW flint Blvd,,Tigard.OR 97223 Plan Reaityu OCT 9 2017 Otter Permit: t phone: 503,718.2439 Fax: 503-598.1960 Daictny: .inspection 1-inc 5033.639.4174 CI � �RD Walt Readyltiy: --Junk; Et See Page 2 for 1'tGAi:D :interact: www,tigard•or, oi= NotifiedFlvietftod: Supplemental information BUILDING DIVISION .qpy"x�a��` *fir-b �`'i,,.''i` �����`'��1�`K'#ririg..�}�, �r?�"a"'at�•�",""� �".. i.. '- may' **74%'-''''',:_..3.: .: ' .� ' ' ; "'. '. r '".rr ,"r iced permit i'ucs'�are baste it the value of the Workv; ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the ne aresi dollar)of all ©Other • mechanical materials,equipment,labor overhead,and profit. ❑Demolition , .ti., 'xWaYx�tfr Value $ Y tP,' n x ='- V1i3� att>, ` it -t4 Pr k� -.: •Y . : . ' Hk , ,44....,„ ,,A.,i y _; ttvg'nralittml. t..:4cr„rm.,- � 4Kc7 'trJer?Fi-5 ps ^ }lmmutmopodl2" 4,4s4 ' : 16,1-and 2-llimily dwelling 0 Commercial/industrial 0 Accessory building l urspeeial informalioii use chrekllsr. _ Multi family 0 Master builder 0 Other: Description Qty. I Ea. Total 1.- IleatingtCoolinP; ii `t tii4 �o- ttig : xsi'ata: .- . a =4 x4 3 £- 44 ,Ix r ,kosk},,a .Tn . . xd 1 Air conditioning lob site address'./35-100 sv. /..Aj I ._ A - AA _ce— Furnace 100.0 BTU(ucttheats) I 4635 ,,, CityiStatef7JP:Tigard,OR 97224W •lNurnnt: r100.000+1311.1 idnct ivemsl 5491 Heat pump 61.06. Suitehild ,tapt,1111.: Project name: • f• - ' . .,. -, Duet work 23.32 - Cross street/directions to job site: ilvdronic hot water systern 23.32 . Residential boiler(radiator or hydronic) 23,32 . Unit heaters(fuel-type,not electric), in-wall,in-duet,suspended.etc. 46.75 Fluefvent for any of above _ I 23,32 Other 23.32 : Subdivision;14-idem Te,v ace. 1/p lot na. vicsi- I f bt.hcrlitttap(i€lances: Tax.map/parcel no.: Water hatter 23 3232 Zr''k '"�' 0 1, 1= 6i... , : gt ' x -c��. �` .xi' Lias tineplace{iriseri 1 ... 23 xt 51 1'';''''r <{44 '-'-''''''''.4'.'''''.4Z''''''''''''.'""',._,'., ._,''" . "-Il'N r -Fail?- . Flue vent for water heater or gas , ms 7-013 -000 9,3 fireplace 23.32- Log filthier(Leas) ,� �„ 23.32 . Wood/pellet stove • 33.39 /i ,tr)•rr&.c 0.✓" (,L-,,n oJ,e_ Wood firt,placclinsert 23.32 (,/U /1 '� T :Chimnevilinor/flue/vent 23,32 -LYY Other aar h ,. ;- •x, r4 ', _ ,_i � : _ 23.32 ..yt; .4 .....!Ae.Arn-..., S ,Y ..;a1 .C..u,aw.... Jl. ..ss. k,;.. � :14:: c' :-. Environmental exhaust And ventilation: —. Name: Polygon WL11,LIC y Range hood/other€itchen t • .-...._..—___.._. _....,— .-._...-....__._ equipments 33.33 Address* ,1 ;. Act,i ` /. . ,( �..�l D____ clot„„dryer exhaust ( 33.39 Single-duct exhaust(bathronnts, C'iiy StatutllP:Vancouver,WA98660. -- toilet compartments.utility rooms) : 23.32. Phone:(360)695.7700 Fax:( ) • Mtic/ceawv, ace fans , 2332 �t� 's{ �:u�Y $ .> Other 23.32 !d .,xcct- $, a.' `PZGlG t4.,.' +f1f 7 n� u l .-k '�'q l fw t ^r ,,,,,,,.,.,„_4,r44144,,•#.4_,,-.,.�.w.J �-.-..�s.�..,,, .�s ., ,...4,:•,0- Fuel piping: •.--+ Business name:Polygon Whit,LLC $1.4.15 for fist Cour$4.03 for each additional Contact name: , £ I ' �,£�: I ' Furnace.ete. �O D9 OlA���sw"`�`-'t Si– SiVlti,}..Jl.Jl1.. �� Wall/suspended/unit hsus piton, , Address:: \J G a hasp iton, unit boater . City/State/Zit':Vancouver,l3�A.98660 water heater Phone:(30)595-7700 Fax::(360)693-442 Fireplace - Mange l tnnik I . Barbecue - A �. ��� # a VA1 � r t u _ —_ ::t.: fi '`t�v:l'Wl '' r , AL1'-:.. �:. ,� �'t- Clothes t117k7(`as) ,.x '�,„' '°�z• �' .. .,..a'aa', ,..sem'^.m a�.. `r'��, .E�4 sh.;.;.�.a „e. a. : ... Other:Business name:Apex Mr LLC ` a '� l tiff.' ."WAC 740, . cif , osatak ra;rx; Address:18004 NE 72"°Ave , Subtotal Minimum permit ibe($90.00) . .. Cstylitatc£ITP:Vancouver,11':198686Plan review(15%of permit fee) _ Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit lee) _ --^ TOTAL PERMIT FEE CC 13 lie.:203034 ,___,•,•, ,,,,.,,. ------M----- •t'fiir-permit application,expires if»partdil is not obtained within 184 days ufterit has been accepted os complete: Authorized signature, .._ ` ttiv methodology sea by 1.6-County Building indasttt=Servica f3oani Print pante: i I^l _`f. Date: +df•!'?•JC•- ..-.,.._.-.- E';ttn3din";i'cxinits"mix.,Pe;mi!App..oo,11 3 d ti, 4:446,7r 0 i'U?fi;:ommt.a, Plumbing Permit Applicati Building Fixturesi ort ()l ric t sr. O\l.t OCT 9 2017 City of Tigard t*� to e:d (e)A-// 7 J�' Permit bl . 3j III at 13125 SW Hall Blvd.,Tigard,OR 9GITY OF TIGARD 1 / ^"� �� �f�� 2 Plan Review I Phone: 503.718.2439 Fax: 50 '�t[��( G D IU!S I C N Date/By: Other Permit No.: 1 i c.a R r) Inspection Line: 503.639.4175 Date Ready/By: rum: IS See Page t for Internet: www.tigard•or.gov Notified/Method: Supplementalleforma6ou ®New construction . ❑Demolition For special information use checklist Description 1 Qty. I Ea. I Total 0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) .CATEGORY OF CONSTRUCTION.• • . SFR(I)bath 312.70 ® 1-and 2-family dwelling 0 Comercial/industrial SFR(2)bath 437.78 m ❑Accessory buildingMulti-family SFR(3)bath , 500.32 0 r Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Catch basin or area drain 18.76 Job site address:�']�%)0 5v to,tooasvl T(....vr te, . City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear it.: ) Page 2 Suite/bldg./apt.no.: I Project name:iliqty. TeArrdr�plpfTV1Wetr" 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 it:.___) Page 2 Water service(no.linear it: ) Page 2 Subdivision:q„,kibit;Q,Y tf aci N cor w Lot no.:11 Fixture or item: Tax map/parcel no.: Bacldlow preventer ` 31.27 DESCRIPTION OF•WORK: Backwater valve 12.51 Msmn-� � Clothes washer 25.02 CJ1\��Q� Dishwasher 25.02 . OAC.Lnle, Drinking fountain 25.02 Ejectors/sump 25.02 0.:PROPERTY OWNER J. 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 0.APPLICANT . CI CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:: E dfloktiti M�� 'F. Roof drain(commercial) 12.51 Address:1 O3 2rOt �A1s'i""l�� su.kte. GJtO Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12,51 E-mail: lA I. .ii 0 t'� I ��- tl ���'�'� Urinal 25.02 Water closet 25.02 CO • +R. • Water heater 37.52 Business name:Malmedal Enterprises Inc Water piping/DWV 56.29 Address:PO Box 207 Other: 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:102535 Plumbing Lic.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: a„... TOTAL PERMIT FEE - This permit application expires if a permit is not obtained within 180 days Print name:Carolina Malmedal Date:04/25/2016after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. 4\Building\Penniu\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) ... City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13560 SW CALABASH TER, SHERWOOD, October 20, 2017 at OR, 97140 11 :18:04 AM Record Type: Record ID: Residential - Master Permit MST2017-00093 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13560 SW CALABASH TER, SHERWOOD, October 27, 2017 at OR, 97140 10:24:35 AM Record Type: Record ID: Residential - Master Permit MST2017-00093 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Seal mechanical room penetration to garage soffit. Drain rock installed against foundation does not direct water from adjacent patio away from structure and is to close to foundation for drainage swale approval per code requirements. R401 .3 Provide clearance to siding and non pt or decay resistant exterior sheathing per code. R317.1 (5) as noted on previous failed inspections. Investigative fee to be applied if corrections not complete at next inspection. Violation Summary: Inspector Contractor