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Permit t CITY OF TIGARD MASTER PERMIT ''. . ' COMMUNITY DEVELOPMENT Permit#: MST2016-00485 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2017 TIGARD 9 Parcel: 2S106DB17300 Jurisdiction: Tigard Site address: 13242 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 173 Project: River Terrace Northwest, Lot 173 Project Description: New SFA. Building/unit 5.4 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 37 Bathrooms: 2 Second: 562 sf Garage: 453 sf Front: 8 Smoke Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes Total: 1221 sf Value: $161,423.52 Rear: 5 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 2 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 3 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1221 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $22,829.73 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 R 952-001-0090. You m obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.880000.332.23344p-y�, Issued By: . �"�(-�+ Permittee Signature: 5r e.-60//- .-74/--014 !/ -60//- cam/ G O it 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 Ap licatio CEI E s • R Sic t FOR OFFICE FSE ON Ll City of Tigard OCT 11 2016 Received // Permitx,,(�J 7- �/PS- `J g DatelBy: ////7 Y'' 7/�/t���— ©�7 'i 13125 SW Hall Blvd.,Tigard,OR 97;,, Plan Review Phone: 503.718.2439 Fax: 503.591 y OF TIGARD ' eBy: J)`( J -11 otherPermi14-vifr-e0Ye RD htspection Line: 503.639.4175 g g qAj Date ReadyBy: Juris. ® See Page 2 for hltemet: VVWw.tigazd Or.gov BUILDING DIVISIONNotiSed/Method:42/6 �Cj Supplemental Information 74- Cly ., �� r�;Ca .,gF•€'�C '- � ", DS5', % �s%=a:�+,�"•"c •. ' ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the - '4work indicated on this application. 19-4-7-4:3) ❑ 1-and 2-familydwelling Valuation. I $ 1 g ❑Commercial/industrial / ❑Accessory building ®Multi-family Number of bedrooms: Z ❑Master builder ❑Other: Number of bathrooms: Z ,7 L °„� � ��� ° � � Total number of floors: 1� '� Li Job site address: / S Ray rime ��race_ New dwelling area: 22 f square feet City/State/ZIP:Tigard,OR 97224 ��!!�� Garage/carport area: 4C.) square feet 5 Ca.. Suite/bldg./apt.no.: S.1.4 I Project name:River Terrace Northwest Covered porch area: —\+ )yquare feet Cross street/directions to job site: Deck area: '—I'L square feet ci 7 Other structure area: square feet t Subdivision:River Terrace Northwest I Lot no.: /-7; 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 � � �� '„ ; €` • work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet �ra , s � i 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: ," °'` •.°�. a 'far✓ • • �,. Business name:Polygon WLH,LLC � � ' Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com Commercial and residential prescriptive installation of ��°. �� � `' s V roof-top mounted PhotoVoltaic Solar Panel System. �� Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 A /� II/ - Total fee due upon application: $201.60 Authorized signature: /' �/ . This permit application expires if a permit is not obtained ��L,'vv, lalywithin 180 days after it has been accepted as complete. -Print name:Angela Grajewski Date: v v I *Fee methodology set by Tri-County Building Industry Service Board I:\Building\Permits\BUP-RESPemiitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) V = . Mechanical Permit Appllea � 1 rm ()I It 1 tat vvl l City of Tigardy c aY r«au: r ��•'Q0'1,f� 13125 SW Hall Blvd„Tigard,OR 97223OCTI 2 6 k Phone: 503.718.2439 Fax: 503.598.1960 Plan Revie+� Date Other Permit: Fr ' Line: 503.639,4175 ` eg F TIAID tilwis: iii See Pegs for Intern ww.tigard .gov SdWorminess BUILDING DIVISIO r .F E ;? ! �y�+ t 11 1 3�: M 1�6t t1 - r , New constructionMechanical permit fees*arc based on, value of the work 0lEi Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of an ❑Demolition Other: mechanical materials,equipment,labor,ivcrhead, 0 and profit Value: w nte. �Al ,. w, 1 , ✓ Lkk . v.ttsli �� ��y^,: ❑1-and 2-family dwelling 0 Commercialfmdustriai 0 Accessory building For special fxfornuuion is4 death% tY4 Multi-family 0 Master builder 0 Other: Description Qty. Ea, Total 174 . _ liatring/cool-Mai Air conditioning , i 46,75 Sob site atldresr. /37 Lk. SW brill. 1AE Texva� Fum 100.000 BTU{dm uetdnYs} l' 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(duets/veins) 54,91 Suite/bldg./apt. lieu C f Project name: 11 ' pump I 61.06 J, j ' • I.(11t Ductwork I 2332 Cross street/d'irections to job site: 13ydronic hot water system 1 2332 Residential boiler(radiator or 1 hydronic) I 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct.suspended,dc. 1 46,75 Flue/vent for any of above 23.32 Subdivision:r(4q (Tery .c Norrllnweg — Lot no.:l� 2332Other: Other fuel appliance: Tax map/parcel an.: Water heater. I 2332 _ .,. D TPTION" F WOIt1C ,z x s 1', Gas fireplace/insert ' ` 33,39 �` Flue vent for water heater or Ras i new home construction fireplace 1 2332 Log lighter(gas) a 2332 Wood/pellet stove I 3339 Wood fireptacefinsert I 23.32 Chininevilincr/flue/vent I 23.32 rl Other: i 2332 ' ' Environmental exhaust and vemauatioiI Nam=ADVL Land Holdings,LLC Range hood/other kitchen eAddress:7600 E Doubletree Ranch Road Cloth 3339 • itlthes dryer exhaust 33.39 City/Statc/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, 1 toilet compartments,utility rooms) 23.32 Phone:(602)694-4031. Fax:( ) Attic/craw°ispacrfans 1 23.32 14,f . ,`. ,.y, I?.= A 'P00:* t 4 Other. I 2332 Fuel PtPing: i Business name:William Lyon Homes,Inc. S14.15 for first four;S4.03 for each additional Contact name:Angela Gntjewski Furnace,etc. 1 Address:109 East 13th Street Gas-heat pump Wall/suspended/unit heater 1 City/State/ZIP:Vancouver,WA 98660 Witter heater t Phone:(360)695-7700 Fax::(360)693-4442 Fireplace E-mail: Range Angela.Grajnbomes.com Barbelate' I { �_:: "1 "_ .�: `.tea �, 'res �a' .� s;,, n��,."��.»`��.�" ���„�__ Clotbcsdryer(gass)' Business name:Andersen Mechanical,Inc. I Address:"16285 SW 85th Ave ubtotal City/State/ZIP:Tigard,OR 97224 Minimum permit fccl(S90:00) Phone:(503)992-6664 Fax:(503)536-6615 Plan review(25%of pt mit Fee) I ,k State surcharge(12%ofptymit fee) CCB lia:168214 / TOTAL PEILNOT FEE This permit application expires ifs permit is not obtained within 180 days after it has been aettptednps complete. Authorized signature: ' Fee mehodology set by Id-County SmithIndustry Service Berard Print name:AngelaGrajewsld. Date:8/22/16 l _r App_O40i 13'dor. 440-$6171(11102,COWYVEa) Ps. itECEIVE : - Electrical Permit Appl1'catjo i lrit c,, i i, I I .i c,\i City of Tigard _, Permit ifX 76 -00 g,P 13123 SW Hall Blvd.,Tigard,OR 97223 OCT 11 2016 Phare: 503.718.2439 Fax: 503.598.1960 . ,. . Related Permit tl• Inspection Lice: 503,639.4175 CITY JF TB GAR D �'BY' beta Internet www.tigatd-or,gov mod: EFEEMIffil ►_ New construction 0 Addition!altetationlreplacement Please c adds;apply(submit 2 sets. plata terrains checked): 0 Service or feeder 400 amps o more 0 Buddies orae three socia. El Demolition ❑Other _ where the available fink torrent O Minas land boatystds. Q , ',, ,� ..'`,7.„ ,`.` .-t ,. .e s esceedt 10.000 sept at 150 volts or O Floating buildings' _ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use.gricutmnt amps for all other installations. budding*. -4 Multi-family 0 Master builder 0 Other: ❑Fee p,®P, O lnswiadon of 150 K VA or af 5w..�, ._ .. <.tii. /, aZ. +:: '.:::::-...,-,,,:-.--,‘,.)",7 z.a..w . " .ne. 0 Ereageuy*Vern- s epa y derived O res oro man lead of >> .mob 0: Job site address y2 SW raineTerr 100iP or more, 0 A."E':-1-r,`13", City/State/ZIP:Tigard,OR 97224 O six aa me nrandemtid anis. 04104MOCy. I I,w' O Health-care facilities O Raexatierud vehicle paries. Suite/bldg./apt#: 5,y Project name: giV eir.Tt r ii e 1 V V O Haardous locations. O Su "otos(mom O Service a feeder 600 amps a more, Cross street/directions to job site: 7 Denman.. Qtv. Cade Tete) 'p r , j� New residential single-or multi-family dwelling unit. Subdivision ,!,.,41 ,, , ‘ A /ere. N r �/ Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq,ft.or less ( 168.54 4 n a1:., „',-:::::::'-',-„:„r , . . � Et add 1500 sq:ft orportion 33.92 1 Limited energy,raidentia) (with above sq.tt.) 75,00 2 Limited energy,multi-family 75.00 2 m residential(with above sq fr) Name:ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Address:7600 E Doubletree Ranch Road Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 City/State/ZIP:Scottsdale,AZ 85258 Phone:(602)694-4031 I Fax:( ) 201 amps to 400 amps 133.56 2 Email: 401 amps to 600 amps 20034 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature: Date: , � Temporary services or feeders installation,alteration,andor .-, ::52-g,.--;'5,,i , ; .L`.e', � _": 5 , � s . ,; relocation Business name:William Lyon Homes,Inc. 200 amps or less 59.36 t Contact name:Angela Grajewski 201 amps to 400 amps 125.08 2 Address:109 East 13th Street 401 amps to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits—new,alteration,or extension,Qer panel Phone:(360)695-7700 ! Fax::(360)693-4442 A,Fee for branch circuits with above service or feeder fee, 7.42 2 Email:Angela.Grajewskl®polygonhomes.coro each branch circuit r B.Fee far branch circuits rairhms w.._ .. �u, . .:;< „. aaa ,,.,._aW,.7- .... d_. , _ ...,..,,. -� m.,t... service Or feeder fee,first Business name:alaeda electric branch circuit 56.18 2 m Address:3415 ere 44th Each add'i branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: ,r'4)a,rM?/®/Z /' 7.7._/3 Each mattufacttmd or modular s7.ea 2 dwelling,service and/o feeder Phone:(503)31 192 Fax:( ) Reconnect only 67.84 2: Email:solarpdxgate.cotp Pump or irrigation«ick 67.84 2' CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: Lf r7/_5 Suprv.Electrician signature,required: Sign or outline lighting 67.84 2 Signal circuits)or lintiteed-coe gy see Print name: j k Ii.„„..,t, Date: '/Zj//,,1 panel,alteration,or extension. 0 'Pa t 2' , , Each additional inspection over allowable in any of the above Autlarized Si : Additional inspection(1 hr min) , 6625/tr IPrint name: �' Datc/z,3�/ Investigation(1 hr mm) 90,ow hr t J.7,... -FREdot Reva6I171?01S 4404615T11t)OSICOM/W»3 - - Plumbing Permit Application RECEIVE I Building Fixtures 1 t)R (ii 1 1 i 1 1 '1 O\i \ 0 C T 11 2 016 Re�i�d Permit No �7;20/6 .a v� j City of Tigard lerar: 13125 SW Hall Blvd.,Ti OR.97223 r, plat,Review Phone: 503.7182439 Fax 503.598.1 T%'OF T IGAR' DateBy:, OtherpermB No.: Inspection Line 503 639 4175SI Date Ready ey )ons H See Page 2 for BUILW1J DIV I L•tfiedlMethod SuPplementat Infaatioa Internet: www ttgard-or gov rm� k_ For special utjor»ratiea ase checklist+'�New cortstiuction ❑Demolition Description I Qty. 1 Ea. ) Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) ,ate' a: t" � , " V2". ' O SFR(I)badt 312.70 , 0 ,,, , ,_ . e ' •<, -- i . i,w w'-'- .,/ -,. .., 437.78 ` _; SFR(2)bath I -and 2-family dwelling, 0 ommercial/industriat SFR(3)bath 50032 0 Accessory building Multi-family Each additional bath/kitchen 25.02 a Master,builder 0 Other: Fire sprinkler( sq.ft) Page 2 s Site utilities: ., ,.:Y .a w & • i• F $ ,.1.,, ,Y.. „..s. k.E 5-7,174 yy ...,w..,;. .� Catch basin or area drain 18.76 Job site address: /42 yZ 5W P)u i tYCW - rrace., Dryvrell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldgiapt.no.:S r 1 1 Project name:t24vti/]j'y Manufactured home utilities 50.03 Cross street/directionsManholes 18.76 to job site: } Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear it: ) I Page 2 I. Water service(no.linear ft.:___) Page 2 Subdivision:�►v I ev✓ate I . t v I Lot no.:I l3 Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: �s � aclnvalter valve .,�� 12.51 € ,' t ,' Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 'y . ,. h -;''s- ' anion tank -' � p 12.51 .> � Ex .,_ Fixturelsewer calx 25.02 Name:ADVL Land Holdings,LLC 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:(6@2)694-4031 Fax:( ) Ice maker 12.51 , , w� _ ercepto 1� lnt dgtease trap 25.0 -: Medical gas(value`.$ ) Page 2 Business name:William Lyon Homes,Inc Primer ]2.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 CitytStatePLiP:Vancouver,WA 986+50..... Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Cublshowcrishowerpon 12.51 Urinal 25.02 E-mail:Angela.Grajewski@polygoaltomes.com Wates close 25.42 a 37.52 '•���� .t---f. ,-Ods; ,. - - Water heater Business name:Alliance Numbing LLC Waterpiping/DWV 56.29 Address:146 W Historic Columbia River Hwy Other. 25.02 Subtotal City/State/ZIP:Troutdale,OR 97060 Minimum permit fee: $72.50 Phone:(503)492-3490 Fax:(503)9124438 Plan review (25%of permit fee) CCS Lie.:184601 PlumbingLic.no.:PB732 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Dalt:5/23!2016 I This permit application expires if a permit is not obtasaed within ISO days I Print name:Robert De"sitman atter It has been aced es complete. *Fee methabtogy set by Tri-County Building Industry Service Board 1xsuildinaSPermiierLmti.PerinitApp.doe 1010109 440.86teniniezi omfwEa) w f- F City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT :11111 III T 1 c A 'D Building Permit Review — Residential Building Permit #: j:moo/E — DO 9ref_ Site Address: /'2g2 . `D7 . Project Name: v %ygs- TrQC. Ai 9i , >7L Lot #: /71-- -(New(New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: AMO f,4 erify site address/suite# exists and active in permitys tem. r/T River Terrace Neighborhood: ❑ No 9Q Yes,See River Terrace Review Addendum Attached Sit Plan Elements: rOyhree(3)copies of site plan la 'sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished Il. Prawn to scale(standard architect or engineer scale) 1 oor elevations li'' Ya orth arrow Utility locations(required for new,may apply for additions) te address,project or subdivision name and lot number %1scation of wells/septic systems pplicant information(name and phone number) a . sting trees to be retained with drip line,and tree IAI t dimensions and building setback dimensions , otection measures Lot area,building coverage area,percentage of coverage and n eet tree size,type and location J.pervious area(applicable if R-7,R-12,R-25&R-40) Street names roperty corner elevations(2 foot contour lines if more than 4 foot differential) 0 lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes 1:1 No Public Faciltri Improvement(PFI) Permit: Required: V Yes,applicant was notified ❑ No Applied For: I1Yes ❑ No,stop intake l and Use Case#: A,bie ` ^ O ,� ,31? 2OIc c; r) Do Zoning: , _ Required Setbacks: Fron Rear 5- Side 0 Street Side /. 29Garage aO 4-Landscape Requirement: ( % /, / 0 Lot Coverage Maximum: % Building Height: Maximum Height A.V,4 Actual Height '`�' 1— 0 isual Clearance Easements ensitive Lands: ❑ Yes 111 No Type Urban Forestry Plan ❑ Conditions "Met"p�or to issuanceofbuilding permit // Notes: ca,, -, I1fc1 ii ,`_i i// IBX'. near A /m/X ii:_c 'ice . Approved By Planning: ..._, * t__,,___ Date: 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\BldgPermitRvw_RES_091216.docx a Building Permit Submittal Original Submittal Date: iD////ffa Site Plans: # ''5 Building Plans: # 3 Building Permit#: ErEnter building permit#above. ,� 11 Workflow Routing: [ Planning �l✓ngineering LJ Permit Coordinator L�liuilding Workflow Sign-off: laSign-off for Planning(include notes from planning review) Route Application Documents: D]"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: 0,„,, By Permit Technician: r,; Date: /�/4 Engineering Review Slope at building pad: ti 0 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: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved .y ngineering: Date: Notes: .. . , -�. .r_ is Approved by Engineering: #4 ,27Date: aA,Z"�� Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Reevision Notice 3: Date Sent to Applicant: SSC Fees Entered: Wash Co Trans Dev Tax: [ 'es ❑ N/A _ Tigard Trans SDC: O—Yes ❑ N/A Parks SDC: peYes ❑ N/A K to Issue Permit / Approved by Permit Coordinator: 1W24I , ': I//2 �� 4113 )il— I:\Building\Forms\BldgPermitRvw_RES 091216.docx 1 City of Tigard 111114 a COMMUNITY DEVELOPMENT DEPARTMENT 1Z r 1 c A R D River Terrace Building Permit Review Addendum Building Permit #: /71r`i,,e/C - ee,V �..� Site Address: /324 & ) /5it.,ee,,/-,ru Ter. Project Name: elver- ��ro ce A t) A.it041- Lot #: J 7 3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dis_tract Design Standards (18.660.070.L): Is the project subject to the plan district design standards? PgrYes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft. wide Gabled dormer .1144 ElCI CI 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: / &e/ • v 3.Mntrances:At least one entrance must meet both of the follo g standards: ax. 8 ft. setback from ion st street facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No dIes,all the following apply: frp sq.ft. min. V5ne street facing entry ft.max. roof above floor of porch ft. depth min. 30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of phe following elements on all street-facing facades: Lovered porch min. 5 ft.wide x 5 ft. deep (Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection V oof offset min. of 2 ft. ❑ Roof shingles either tile or wood V Gable,hip or gambrel roof design ❑ toof pitch oriented south min. 500 sq. ft. 0)-Iorizontal lap siding min. 3-7 inches wide 04 Accent siding min. 40%of street facade [Window trim min. 2 1/2"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. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: lcloser to front or side lot line, than longest street-facing wall. ElYes No. If No (Check one): eMl ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ay extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) 02-foot-wideJrgarage door ❑ 40%max. of street facade b750%max. of street facade with 7 detailed design elements Notes: Approved By Planning: — Date: _ /1/4377c; I:\Building\Forms\B1dgPermitRvw RES RT 062216.docx FOR OFFICE USE ONLY—SITE ADDRESS: TPlhisease form is recognized by most building departments in the Tri-County area for transmittingdrevisions.information. complete this form when submitting information for plan review responses an Ph This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter r i c,,,It I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov DATE RECEIVED: TO: DEPT: BUILDING DIVISION RECEIVED If ��C i 4 2017FROM: �4 /1�- c � CITY 01IGAR } COMPANY: `/ly l ,. nt., A./A) BUILDING`G IVI rOW-- PHONE: S a d/ RE: 13 Z'/Z. 5 -� �� 7mv oo �S (Site Address) (Permit Number) NJ k2 Rt1r-e4 t €,w' _ (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS:CCopies: Description: 1 I Copies:` ! Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): 6-/i&REMARKS: 11W11- ..r FOR OFFICE USE ONLY Initials: Routed to Permit Technician: Date: Amount Due: Fees Due: ❑Yes 0 No Fee Description: $ $ $ $ Special Instructions: I Reprint Permit(per PE): ❑Yes I 0 No ❑ Done A licant Notified: I Date: I Initials: Pp I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CI` Y i'6_,,..4.:-.,;,,,:., I 1 CSL -f Approved by Planning OFFICE COPY Date. DIG -" f 19 11 , t� iu t. LEGEND: —so SANITARY SEWER I'n I I l SW ROY ROGERS ROAD —so STORM DRAIN -I, 'II I 1 1 I I I�1 i! PLANT STREET TREES: U r i ;;;;211 2"CAL.KATSURA TREE/ FUTURE CURB AND GUTTER,TYP. —w— WATER LINE CERCIDIPH1::::::, : MANHOLE ��' 009722e JAPONIC - „°'8' -- 10.00 ® CATCH BASIN wss . m DA2 tills/1011 ---`';_ LANDSCAPETRACT � '� STREETLIGHT �i X7.50' Y 1 STRAW WATTLE PERIMETER n0. 909 a SCOW 10+ — ' EROSION CONTROL a ° � �� °,� � Y, � /ti iii....:_iiiii,________,_. . EE�" UMENTS__ , — _ .�_ 1FRONT SETBACK: 12' I I I � 1_1,' 5 III I I rj S I I I I 'i. € REAR SETBACK: 10' / 1, 0.00' O.ar 11 1 a COVERED PATIO: 5 ,( I j■I 173 SIDE SETBACK 0 o ;I I I 1 , GARAGE SETBACK: 20' 8 I; I I° I SP ILDIpp I1' PORCH SETBACK: 8' f I BUILDING: 1 � R 169 :I TRACT E 170 172 S UFF=294.4 a$ 174 I U•RACT�1 q 176 •FIRE CODE SIDE SETBACK:3' R F. 1 GFF=285.4 1 I �� GARAGE 1, o =- I, -�- -- I ' _ �i . -- -_- I - ` -s= kr: i Ill .I.-- LEA--- LOT COVERAGE: --.. --}-- - I e 1 C — — — 1 15.ar — i, I �uE —I LOT AREA: 1.066 SF RIVER 20.69' BUILDING FOOTPRINT. 572 SF R — — TE RACE slim� � �1F11. COVERED PORCH. 32 SF NORTHWEST o ,� ,� �ee'- k,_- �� CANTILEVER LIVING SPACE: 24 SF SIDEWALK � �a���ii r N WATER METER ' T''i �^ ` COVERED PATIO: 0 SF `?— .' c� DECK AREA: 72 SF o ff--as* I as as-SANITARY LATERAL os as LOT 173 I I I I I I 32 00' TOTAL COVERAGE: 700 SF PLOT PLAN SW AUBERGINE TERRACE o LST Ss---_— SS—� 5S Si ss _ so 0 O 65.7 % € `J I ,,,;\ \ \- ' \ IMPERVIOUS AREA: 814 SF d ti �\ \ � N - \ // �_ RIVER TERRACE NORTHWEST (503) 221-1920 2S1W6 =••Io: "'"- LOT 173 (R-12, ROW HOME) SCABlini - RIVER TERRACE NORTHWEST 13242 SW AUBERGINE TERRACE 1INCH-20 FEET City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13242 SW AUBERGINE TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00485 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: No AC Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13242 SW AUBERGINE TER, SHERWOOD, December 14, 2017 at OR, 97140 3:08:25 PM Record Type: Record ID: Residential - Master Permit MST2016-00485 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Correction complete. Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Insulation certification checked. C of 0 left on site with contractor. Violation Summary: Inspector Contractor Plumbing Permit Application . Site Utilities RECEIVED FOR OFFICE USE ONLY Received rt $ [ O6'/ c City of Tigard _ ��l Permit N '7 ,111114 � 13125 SW Hall Blvd.,Tigard,OR 972MgR 15 2017 DateBy: 3 ((r �I 7 � D � Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: -7'1 O 17 A c 61 Other Permit No.: Inspection Line: 503 639.4175 CITY OF TIGARD TIGARD Date Ready/By: L Ions H See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method /� /7 f {''vv/t/ ... �.., Supplemental Information YPE`'OF WORK 4. FEE* SCIkI I)ULE m ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) OA 'EGI#OVoF C"o13Is'n u+1~:TIoN SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building Z Multi-family SFR(3)bath 500.32 Each additional bath/kitchen25.02 0 Master builder 0 Other: Fire sprinkler(1,221 sq.ft.) Gr, Page 2 36E4 SITE,iNfORIWkifION AND. LO CATION Site utilities: Job site address:13242 SW Aubergine Terrace Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 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: 1 Lot no.:173 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ` Backwater valve 12.51DESCRIPTION P x .' ,ter. '' s.;• J Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2016-00485 Drinking fountain 25.02 Ejectors/sump 25.02 P 'ERTX OWIR �� CTENANT; Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 APptiemft 4 :: ,z trcoNtArtlERS Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Robert Dishman Roof drain(commercial) 12.51 Address: 146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax: :(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 '"` ,, F Water closet 25.02 41EI CT' ` '::: " : " " Water heater 37.52 Business name:Alliance Plumbing,LLC Water piping/DWV 56.29 Address: 146 W Historic Columbia River Hwy Other 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lie.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) ��� State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Gavin Thomes Date:3/15/2017 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. i.\Building'Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suuression Systems: Fee Tat:.' ""141' �re. .. , ..; � :�u Footing drain-151 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 t �, Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for „- each additional$100.00 or fraction thereof,to °t tr.In •l*I ecti nsees •'r leets , ,,, and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type ire*,for p-Q4101 ? ?►l t*, tion Fixture Type for ,Replace/ yp Plan review is required for any of the following. Work Performetlh Capped Added: Rtiocate Baptistry/Font Please check all that apply. Bath Tub/Shower 0 Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" 4„ � s �• yea ,. Cor �' ^�` Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pe2mit.doc