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Permit (105) CITY OF TIGARD MASTER PERMIT a • a.'' COMMUNITY DEVELOPMENT Permit#: MST2017-00119 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/17/2017 [C�t R9 Parcel: 2S106DB16700 Jurisdiction: Tigard Site address: 13192 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 167 Project: River Terrace Northwest, Lot 167 Project Description: New SFR. Building/unit 4.2 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 85 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 2 Second: 562 sf Garage: 456 sf Front: 12 Smoke Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes Total: 1209 sf Value: $159,982.41 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: 1 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 1209 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $22,666.72 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. t Issued By: Permittee Signature: ,Y 4 ,-)//r_07Ctt-1 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 - ` ;,,-i-1 L 07- l C .--7 Residential FOR OFFICE LSE O\Ll City of Tigard _: ,,,. Received 3AB//? �,�q Permit N ��/7"�//l 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review y w Other Permit94.40.647_(� Phone: 503.718.2439 Fax: 503.598.1960 Date/13y: t Oth H See Page 2 for Inspection Line: 503.639.4175 Date Ready/By. T 1 G.4 F II �,Dlotified/Method: /�/f 7 7 Supplemental Information Internet www tigard-or gov � J n ^moi =� ��� r- m`��n� � , ��" -f` "ltF.tt � ' � 3- :"�- _ ._ ..... .=S"bn. _ �•� ".-_,•_,-:-.,,, ,,, ,:-.. _ - .r3.__...t.. '1 Demolition Permit fees are based on the value of the work performed- ®New construction 0 Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the _ ���_,� °,� � �� � ;��� �� ���-v- --'-',',--.J.771.--%-.7.- "; wor indicated on flus h k ap capon. -mak = � v -. ... . Valuation $ 1-and 2-family dwelling ❑CommerciaUmdustrial (� ❑Accessory building [.Multi-family Number of bedrooms: 2 T ❑Other Number of bathrooms: 3i ❑Master builder J -r,- i...< Total number of floors: '�\�A�� 5\0Job site address: � Y„, I�rr&Ce� New dwelling area: I W 9 V square feet � (� City/State/ZIP:Tigard,OR 97224 Garage/carport area: Li 5(., ✓square feet 6/' Suite/bldgiapt no.: \ 1,, Project name:River Terrace Northwest Covered porch area: 1 0 ✓ square feet s 6a, Cross street/directions to job site: Deck area: 7 ,/ square feet $.,•-•-• coy COV./ Other structure area: 7 a✓ square feet Subdivision:River Terrace Northwest Lot no.: ' .D 1 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment, '.. materials,labor,overhead,and theprofit fit for the ,,'- ` 'ze . � a = 1 work indicated on this application. au,: -..; . ._. Valuation: $ Existing building area: square feet New building area: square feet -4 _a' �. y*` ` 5 .- x-•� • , 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: WKc r e-+-5. 4-—C�-u-: z;;z+7 4 ....�_ s.._+�. 44_ - l l ; ,L ,f'� -3 .S- ate. d -_ --.--4--;-:--,:,,--,---7 _.. .4. t'. )f#u.- .. Si .— 3-� '1d- �.._ _. ._ —.`_cam=. ._ . ..... .. . �tr'. ¢�.wt � 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 Amount received Phone:(360)695-7700 Fax::( ) €ot 2 4:114 a E-mail:Angela.Grelewski@polygonhomes.com f ._ Commercial and residential prescriptive installation of '� ;:,,i4 .:; 13.,-. .M,,,,:„ '' � 7' �, ry 1- €i' {r-� -... ..,..,,„6„.. .----.:„:„ = roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:William Lyon Homes,Inc and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver WA 98660 and administrative fees): "'•'ne:(360)695-7700 Fax(360)693-4442 State surcharge(12%of permit fee): $21.60 _..B lie.:207247Total fee due upon application: $201.60 'Tepid/4+ This permit application expires if a permit is not obtained Authorized signature: within 180 days after it has been accepted as complete. '{ (� l Fee methodology set by Tri-County Building Industry Print name:Angela Grajewski Date: i (AJ Service Board I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application E C E J VE a FoR o Fri C 1.I SE ONE) ' City Of Tigard Date/By: Permit No.: 71 • 13125 SW Hall Blvd.,Tigard,OR 97223 APR 1 7 2017 Pian Review . Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit. Inspection Line: T i G A 503.639.4175 CITY OF TIGARD "°te Ready/By: See Page 2 for - Internet: www.tigard-or.gov BUILDING DIVISION Notifed/Method: ® El Supplemental Information 54-„ -'6'.-4:44k--v-v.,...--1,- -3,41: s` 't s r' .,�"7 c 3t as is s t ',44,115'r4:u io f` ,.',„:„-0...r „-,,,,...,,,, ,,,•„-n.-41-,;-,,,,-,:ii",,,?...,,,-01.. La�F t4J a6 4.+;,� o r 34',",4,1, �"•-' -.y.,.,-,,,,,,,„,,,,L,.;,,,,,. .,'.ti -..-.._. ,.� .-., ..r.. w .«,• ..r; :?'.a v:.,. . ~-i.s,i X4,0 :1�`- "x s ` Mechanical permit fees'are based on the value of the work El New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. 0 Demolition ❑Other. - .. ,'__. „ Value $ vtax= a1�I,'.rt_.,� � ".tdYtt,zr�66:.ti;'rn�1� )�1i:5 y,tGr. JS„ .:S 5r6a-r2G? 5`x' ':-.3; . �aK i, ,1 At77Ci k LeSM1�,9 <'),� 4BC '?rnW ❑ 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. ( Total , •, Heating/cooling: •,',..."''''',.._-...i',- ;s�, �.r kP��>r�SSt�.:`,w- '°'��) .x�7-`z��r ,. s'`,. . .r, �.•,<, .`. .44� s � it�.<rF:Y'ati Air conditioning 46.75 Job site address: / ileiL SW Aili i)i(It,-Terrae Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldgfapt.no.: J4. L 1 Project name, y ehl,(A 0th 1\i tAtL$'c Duct work 23.32 Cross street/directions to job site: Ilydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above I 23.32 Other: 23.32 Subdivision: �(,,, ': r�jl ti/i/{� ' Lot no.: 01 Other fuel appliances: Tax map/parceltno Water heater 23.32 K r n,r ` etlac water 3. � ., k ri e I,'73ta4t` eF 1(S N E 2, ' •''"` ' .ya C7�. 7. ell 1 3 39 ,, A.a,.t { z .W :-:•:"•-•41.,',,‘:.,',-•''...-c"..1,:. _�r-_ Flue ven 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 .. th 23.32 .1,rr , 'l t� �r jr 4 ''t+ ' ,_ .1.1 tSi' L .4t '•-:::41' 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 133.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, 23.32 toilet compartments,utility rooms) f Phone:(602)694-4031 Fax:( ) Attic/crawispace fans 23.32 Other. 23.32 ,�' lA€aTi� o� � •F �. .� �, �I �. u.t" kF€ � Yu � 1«i ...,_,u........ �-,r '-f'•,-:w- - Xa t ,. a., Fad piping: Buri less name:William Lyon Homes,Inc. $14.15 for First four,$4.03 for Tch additional Contact name:Angela Grajewski Furnace,etc. Gas heat pump Address:109 East 13th Street Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 l Fax::(360)693-4442 Fireplace Range 1 E-mail:Angela.Grajewski@,.polygonhomes.com .... Barbecue �;-T, r Clothes dryer(gas) • Other Business name:Andersen Mechanical,Inc 7 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 I 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 I'j i days after it has been accepted as complete. Authorized signature: , ( ,, * Fee methodology set by Tri-County Building ladusuy Service Board Print name:Nichole Thorpe Date:4/17/2017 I:1BuildinglPermhslMEC PermhApp_040113.doc 440-4417T(11/02/COM/WEB) Electrical Permit Applicati EC EIVED f Olt OPFTCT;L5lr \Ll" City of Tigard APR 17 2017 Dates • 13125 SW Hall Blvd.,Tigard,OR 97223 Plsn Review Phone: 503.7182439 Fax 503.598.u f Y O F TI GARD DatrdB : 111.1 Inspection Line: 503.639.4175 Ready Date/By: NM 121 See Paget for T'WARD: intemet: www.tigard-or.gov BUILDING DIVISION Noti6eam,hod: SnpplementalInformation .. r +S " .. . - '+.-. "Fr;a ems. h t• -� .'1 fi e �-c� �' .'�r�tG�,-zg �i�;+.3, �;�„�� ,., � �,?`': • � y '�^; '�� c'��` `�p� ....... _....'Y,,,.-,.'s-�..',� r �C•Y'=^!.:t� „r:•� BA .. 9.S.::wr.. _..-._ .:-... r � ��5��..dt'�4.+'sa..� 4� 4`3+.T -��.l'.� �:fl ®New construction 0 Addition/alterationtrtplacement Please chock all that apply(submit,sets of pians w!uoms decked): D Starke.or feeder 400 amps or more D Building over three stories. • Demolition D Other. whom the available fault correct 0 Marinas and boatyards. ,:its"- "-- 6 our% 4 f"p 't ` 9£ (0 �;'�a- r'r't '' .w��7a-V.. � �; �•' ' < .` 8'� � .ls�'�e �i "?s �.:y , »3 -�.;s�_ exceeds 10.000 amps at ISO volts or C3 Floating buildings. I-and 2-family dwelling 0 Commercial/f iduistrial 0 Accessory building leas to rotted,or exceeds 14,000 D Commercial-use agricultural amps for an other installations. headings. Fi mutt-family - ❑Master builder 0 Other: Drat pump. D Installation of 150 KVA or r -+y0Ffj # t r 3.^ at Emer stem. larger separately derived r.-E �', <Z.'.;141-''' .......�2`i •• �i^`,4.�...+ 17A'' hV".�."..�e'"''.+4Y• •••'r'�t'.,`- ro S: 0 ion ofn' j �} c' ©Addliionnfnewmotel load of system. Job#: ' Job site address:151%.t. 3 i Pubo brie. I f yLk., lool€P or moat. D Six or tacit residential waits, occupancy. City/State/ZIP:Tigard,g �OR 97224 0 xesuhwa,e facilities, D Recreational vehicle parks. Suite/bldg./apt#: (.,► 1. Project name.g,1{�{a/T 1(�' oo(. W D doge locations. 0 supply voltage for more thou ! erim 600 votes nominal Mt Q ©Service or feeder 600 amps or more. J "3�. ..{,-- da `3r? .`ri-.r=.^F ,.$`',t.y,�irx '•�'t,&, u's;• Cross street/directions to job site: � z,�, Description 1 Qty. Each Total New residential single-or multi-family dwelling unit. Subdivision:Q'`,�4etr.i,�tr•'ac� pa' we 5 f 1 Lot#:/t j Includes attached garage. +t 1,000 sq.ft.or Tess I' 168.54 4 Tax map/parcel#: Ea.add'1500 sq.ft or portion t 33.92 1 =r,rr `"3r VP%. 1z c- x(103 Ei') i',�"J'S?s";';'- .1 '46/ ? XXX Limited energy,residential (with above sq,ft) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Enemy CISee Page 2 w' "" *1-1 5!:A-S0 l:51;',.. ',52 J j s t.,y •. T�'''f.s�,�+'- k� ..1.-fk�cr`��,.. '''::k•„;:'''"V'''' = 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 691 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Far:( ) Over 1,000 amps or volts 55226 2 Temporary services or feeders installation,alteration,and/or Email: •. relocation Owner installation:This installation is being mode on property that I own which is not 200 amps or less 59.36 1 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 168.54 2 .7- F.,,,„,-,,,,,,,,,,„-,,..-, z3ti^r:� t- Asx. T T,c v "fir, t' Branch circuits-new,alteration,or extension,per panel y a -4 ,%-,1•. ..01-4.-,;:.:-.4:0..,-trx..-*.*'Y syr . ' 9 -, -kl,' t W� 6� --*- 1- � A.Fee for branch circuits obits Business name:William Lyon Homes,Inc. above service or feeder the, 7.42 2 each brancht3rr-nit , Contact name:Angela Grajewskl B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address:109 East 13th Street branch circuit Cityit/Statr/ZIP:Vancouver,WA 98660 Eachaid'1 branch cheek 7.42 2 141iscellaneous(service or feeder not included) Phone:(360)695-7700 • . ' I Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/orfaeder Email:Angela,Grajewsld@polygonhotnes.cam Reconnect only 67.84 2 'y .fig K `�e P4 P e ,-4�,..o-y 1 .� i r r , ;r 4: ,;1_,•1:.-';',•q„-•::::--,:'_� . �. ��� .�'�--S�*, „..-rte. ., ..w ' Pemptrrilrigatioacircle 67.$4 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 .:,,,, Signal c i bun(s)or limited-energy D See Page 2 2 � Address:6101 NE St Johns Rd panel,altetatioli,or Walston. City/Statel11P'Vancouver WA 98661 Bach additional Inspection over allowable in any of the above Additional inspection(1 hr rain) 66251 hr Phone:(253)320-1657 I Pax:( ) Investigation(1 brmin) 90.00/hr 1 Email:bdanielsQgweusa corn Industrial plant(1 hrmin) • 78.18/hr Inspections for which no the is 90.00/br CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lies: 4496S spm -listed h hr min) a -c'.ei' 'g, �.�.31 t i"`i fn eij' 7 w: •tri ' , Suprv.Electrician signature,required: ' -rr }°1%M' r} Subtotal: Print name: Joan P Albert • Date: 4/26/2016 ❑Plan Review Required(25%of permit fie): c--- _- State surcharge(12%of permit fee): • TOTAL PERMIT PEE: Authorized signature: -T•---_' .-_: This permit application expires ifs permit Is not obtained within 180 Print name• Bill Daniels Date: 4/26/20I6 days after It bas been accepted as complete. :::::1;::;.z :. ' Number of inspections allowed per permit is'•;' S Y:ffiulldirel4nma4ELC FermisAppfi{,R ati'.doe Rev 06/1715015 140-4615T111/05JEX)h0WEa { Plulmbing Permit Applical €C E I V E - t Building..Fixtures I()R. (l 1 1 1( ( 1 l 000.1- APR 1:7 2017 Pte. •Cityar7I'igartf ;teethedDauzy, 13125 SW Hall Blvd:,Tigard,OR:9 OF TI GARD Plan Review Other Permit No,: y.. Pliexte:•503,718.2439 Faz: 50�ING DIVISION t7al '*- 1 - )nspection:tine: 503,639.4175 DAM Ready/By: i z. H See Page 2 for 1 1 i' t' Internet www-tigard-orgov rIiFF,iF' ..4+3NoifiediMethod ....r.w ,r .mi, s' ).t*• FSupplemental Information I ' •;'"'• ,,q;41,, 1 il. 4tigr'4a-' lnit!vl , :* Iti-. � „ gt�+, z s:�paf3y ,,,. 4? Aw �H:� 7 �' tsr �'+ � ! . . _ I • For special information ase chec*fis& 1 ®.New construction El Demolition Description ( Qty •I La- I Mini i 0 Addition/alteration/replacement 0 Other New I.2-family dwellings(includes 100 R.for each utility connection) l'Ar ). - a.��.+m$em 464t '..-*�� � ahN'�. t •••;„ � '-�'r....� . SFR.(I)bate 312,70 i , 437.78 I 'aiid 2-family dwelling 0 Commerclal/tndustrial SFR(2)bath SFR(3)bath 1 . 50032 O A sor bonding. 'I Multi-family Each.additional badh/kItehen 25.02 ,#ester-Wilder D Other: Fire sprinkler(. sq.ft.) Page•2 "'�" z t4 _ ''', ;[e s+:. t ,a� 7i'Y� !; X11 .t a 4I k - s Site ushhex • tom'.g p.: -.ter-a✓+'.. b'.: r,.. ..:(` •. �� Catch basin or area drain 18.76 jl . lob site address: / \ �er�‘(� !P. �I(�_ City/Stale/LIP:Tigard,OR 47124 J Dtyweli,leach title,or trench drain 18.76 � ,, y "' Footing drain(no.linear ft.:__) Page 2 •Suite/b)dgiapt.no.:1+,Z Project name:; 9 �(b - If/PYLIC-6IVIrtV/0l Manufactured homeutitities 50.03 Cross+.ltep/direetlons to job site: Manholes 18.76 Rain drain connector 18,76 . . Sanitary sewer(no.linear IL: ) . Page 2 - ' Stottn sewer(no.linear it.:_-.•:) • Page 2 - tn� •Water service(no.linear IL: ) Page 2 . SttbdivisiOn �(d1y `�'G 1{(71(x, '�rlvJCC!7, Lot rw4�� Plittire or item: . Tax map/terc l tw Backflow prcventer .1 31.27 . .1,- F - ! Backwater valve ] 12.51 itt,e,•.v: .t• s/2 . a �y ct�1"`••"",i • f.l3-11 � �f 4< t#.;..4. � ..' f F • .� E':.:--. ,'.a<,tFF,�, :Y_ - „+ Clcithes washer 25A2 ... Dishwasher 25.02 -• -......_._ Drinkingfauittain 25.02 ticctohs/sump ... 25.02 • 3 `' ` x ;- ` ia°. tT ?a ' iiat1 i • : Expansion tank. 12.51 = 4F .- a ^^ ` ,. t .b Narlie•ADVL••Lead Holdings;IlkFixturatsewer cap , 25.02 . • Flooc,drainifloor sink/httb 25.02 Address:7600 E Doublefret Ranch Road !Garbage disposal 25.02 City/State/ZIP:ScOttsd:le,AZ 85258 .. Hose bib: 25.02 Phone'(602)694.4031 Fax ( ) 190 matter 12.51• „-� rte. .. ft i ,- A, 4 `.� q =r t5 t,,,, s:^: f'4,,..",,,'....-,,, Itttctncptar/case trap 25,02 Medical gas(value:$ ) Page 2 , I Business ateoe:W'giaitlt Lyon Homes,tae Primer12:41 . . . .1 Contact Mune:Angell'Grajewski Roofdrain(commercial) 12,51 Address:ji79'East l3tl'r..Street Sink/basin/lavatory . 25.02 City/State/ZIP:Vancouver,WA 9860 Solar units(potable water) 62.54 Phofie:(360)'695-7'/00: Fax::(360)'693-4442 TO/shower/shower pan 12.51 ,E-mail:A•ngeILGrajewski Urinal 25.02 Qpo#ygonhomea tern• Wafer closd 25,02 e ., ,✓ a .,..r&Gj� 14':a5 .. F 5• -i �.?.i' n ' " Watu hcator 37.52 Business Om gtialkfatilitrablexLLCWaterpipinglDWV 56.29 Address:•146 W Historic Columbia River Hwy Other 25.02 •City/Spite/ZIP:Troutdale,OR 97060 �Subtoial , . ., .. Minimum it.€ee: $72.50 ?fiche:(503)493-3190 Fax:(503)012+138 Plan review(25%of permit fee) CCH L is:'#8!t60X 441i, Plumbing Lk.no.:P8732 State surcharge(12%of permit lee) ' Autborized,sigitature: TOTAL PERMIT FEE Paint pante:Robert Dlsbman Date:5/23/2016 T�penult appltcapan expires If a permit Is not atsta➢aed wiithin 180 days after it has been accepted as complete. "Fee methodology set by Tri.County'Bueiding industry Service Board _ lnulidiiteennhOR[.MV•Perndthpp4oc 10N1/09 MW-t ttT(14t0VCOMAVE6) City of Tigard IIIa COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A n Building Permit Review — Residential ts,;, 6 �r,..�s -::�,,<1�a.z - ,�.,t.:;-,5, - W... � s;:rai 1#.4Z w 1.. . a ..�.�,...5'y:!_a .s .,. ._ bwY .,..+rhe.::._ i .;yw�m_ mak. ;liana �ak�e..�,-:i; Building Permit #: /kts 7-41.0/2-•&0// Site Address: /3/ -/0 J'r er�frt.€ rc c€ Project Name: Over-- 1?-iroK.,:e Aid},, Ik,L ' ° Lot #: /6 --/— (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review ��, Proposal: A.26() Sri 61— 'Il iri. �C_�`!' 60iiil' ime___) cierify site address/suite# exists and active in permit ystem. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Si Ian Elements: �( ree(3)copies of site plan s�ttng structures on site ite 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) oor elevations 11 rth // pity ity locations(required for new,may apply for additions) to address,project or subdivision name and lot number g : ation of wells/septic systems ppplicant information(name and phone number) 0 :sting trees to be retained with drip line,and tree t dimensions and building setback dimensions .rotection measures Lot area,building coverage area,percentage of coverage and Irl treet tree size,type and location •ervious area(applicable if R-7,R-12,R-25&R-40) Street names ra roperty corner elevations(2 foot contour lines if more than r 4 foot differential) \lean Water Services—Service Provider Lett r(lot platted prior to 9/10/1995): ///���,,,e uired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No q Pp Public Facih�Improvement(PFI) Permit: equired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake ii. and Use Case#: � oZ� �� �► • lj�!c= Required Setbacks: Front I Rear eS--- Side 0 Street Side P-arage 0 andscape Requirement: 2O Yo Lot Coverage Maximum: wilding Height: Maximum Height /0/ - Actual Height E '"isual Clearance !4asements i 'ensitive Lands: ❑ Yes 14 Type IYA Urban Forestry Plan ❑ Conditions "Ajar pri9r to issuance o bujiding permit Notes: ✓70,/21/412 c'— l/ €mac Me--1/ poor— 4 tiac'.-/Nti— Agit 'lce Approved By Planning: 4 Date: _ o Ar Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPernvtRvw RES_091216.docx I Building Permit Submittal Original Submittal Date: 3/21/7 Site Plans: # 3 Building Plans: # 7 Building Permit#: 'Enter building permit#above. Workflow Routing: Zr Planning Engineering (-Permit Coordinator p-Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: k} Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. t Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ________7Au Date: , 1,1//1) Engineering Review 7j: --erSlope at building pad: .l Conditions "Met"prior to issuance of building permit — 0 Or ❑ 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: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No El NOT Approved by Engineering: Date: Notes: Approved by Engineering: Ag Date: -- -�7 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 MODpproved,NOT Released: 46 Date: 37- 3/./•?. 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: SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: ? Yes ❑ N/A ��/J OK to Issue Permit Approved by Permit Coordinator: Ok:te: 49//O I.1 I:\Building\Forms\BldgPemiitRvw_RES_091216.docx 1 I v- City of Tigard 111 COMMUNITY DEVELOPMENT DEPARTMENT River Terrace Building Permit Review Addendum TIGARD Building Permit #: — —; Site Address: ,/ /q GL) ,a/-0 ° , y� .--re / c'i..L Project Name: -41/-et— '4,74 =' A! .f . _ Lot #: __ v (New dwelling=subdivision name;A.dition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist •. t Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?' Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dorm ft. deep min. 2ft., 5 ft.wide min. 2 ft.,Eft.wide ❑ ❑ ❑ ❑ . 001Y-1— *. r' - 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entranceors. Percentage Shown: ,(Pj—,+ /9j / 0/ let e/ 3. ntrances:At least one entrance must meet both of the follo ng standards: 1Parallel to street,angle no more than 45° from street, Max. 8 ft. setback from longest street acing wall or open onto porch Entrance opens to a porch: ❑ Yes No If yes,all the following apply: ❑ 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft.max.roof above floor of porch ❑ 5 ft. depth min. ❑ 30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep 0 ecessed entry area min. 5.jlft.wide x 2 ft. deep ❑ all offset min. 16 inches i�► Dormer min. 4 ft.wide•'X Roof eave min. 12 inch projectiof 'f l' ❑ oof offset min. of 2 ft. ❑ Roof shingles either tile or wood able,hip or gambrel roof desigri � (Ac❑ oof pitch oriented south min. 500 sq. ft. horizontal lap siding min. 3-7 inches wide n Accent siding min. 40%of street facade / Window trim min. 2'/z"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: No closer to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one): M❑ 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. Wi : (Check one) 112-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ----- - ✓,, Date: I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx Plumbing Permit Application Site Utilities RECEIVED FOR OFFICE ISI: ()NI.) City of Tigard Received 4 13125 SW Hall Blvd. Tigard,OR 97223 J U L b 2017 Date/By:. 415/, Permit N4STS-0/7 cO/`d Plan Review 1111 11 Phone: 503.718.2439'503.639.4175 . Fax: 503.598LI1Y OF TIGARD DateBy: 7-/9-/7 444 Other Permit No.: Inspection Line: 503 639 4175 TIGARD p Date ReadyBy Juris: gi See Page 2 for Internet www.tigard-or.gov S�U U G l)I.91 I Notified/Method:thod .`. °. Supplemental lnfo Information n i l0. `t . . .., . T "% , . ' tce`'. ..,U � 1 ®New construction 0 Demolition For special information use checklist. Description I Qty. Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft for each utility connection) ) a+ 1 9o � f ` SFR(1)b th 312.70 ❑ 1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 0 Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler(1,209 sq.ft.) (, t.)., � Page 2 r0 ''°81'J1 t t # Ita 4,16Site utilities: Job site address:13192 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.: 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: J Lot no.:167 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 I ® t Y 0 Backwater valve 12.51 Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2017-00119 Drinking fountain 25.02 Ejectors/sump 25.02 '',;;;''''I'',1!'?; a ,E #„F / 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 'iP AIl`]E ; '' p Interceptor/grease trap• ® . .. , ! �; !�, �.,.., •, ""' ;, � g 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 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� � gem /! Water closet 25.02 s ,,,: „„ '.•;;,„,..,,, . .,,. . " -46,4.Sii, !.ti 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: $72.50 CCB Lie.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) C State surcharge(12%of permit fee) Authorized signature: )12___,..----.7Z_-.) TOTAL PERMIT FEE Print name:Gavin Thomes Date:7/3/2017 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. C\Building'Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su r ression S stems: 1$.1Footing drain�1 50.03mss_ .,, �: �..�,; , 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 ° gi' 4W1,, 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 � e each additional$100.00 or fraction thereof,to 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*. Qavatty by e Type ,' ; , ° +xtire [w. any of the following. V�Perfoii�� Cal t Please check all that apply. Baptistry/Font 0 Any new commercial building with water service 2"and Bath -Tub/Shower Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 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 0 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. 414 Car Wash Drain Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings 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 Pqmit.doe Mechanical Permit Application_ FOR OFIic i.1'SC Oji.\' City of Tigard 'L. y: - Iermit`o />�'.�)1/1,—All IIII 0• 13125 SW knell Blvd.,Tigard,OR 97223 _- o ,4a ,,.:7 pian Review Phone: 503.7182439 Fax: 503.598.1960 ( _ .: DatetBy: Other Permit Ins ec tion Lime: 503.639.4175 Date Ready/By Ri See Page 2 for T I G n I t) Internet www.tigard-or.gov Notifed/Method: ® Supplemental Information r e S , 1 g3. 3� ».r,+ ?(6 t l , w�_y,-3 sw:� F}y .4 ,4n _ x ,tF - . � �K ,;z''',';'1'`'..7,-. 'i1_is _ `r,.,. .� p _>>,- Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement peiformed.Indicate the value nical materials equipment,labor,rounded to overhead,and profit of all t ❑Demolition 0 Other Value:$ ; r ' 6, !:q rC } din - is a ', x'c, i `E 3i 4* sir e, fi r. lY .. A`IS`t : ` v. ':. _..�..'�. __.:� , _._ , � F 'r� � _�r�';,: F✓. � ....... ....__ �.�.. _Mx...r.,_�s, .�.�.—r.....�...:z_,,�.s,,.�.r.�ut ❑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. ( Total . .,.. ._ Heating/cooling:ting/cooling: �, l L � fi nl�N;rr �r1" •;,...,-,c;:.: t ._ Airconditioning 1 46.75 46.75 Job site address: 13 1 q2 SW IA,T/&19 ne Twa -e Furnace 100,000 BTU(ductsrvents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Beat pump 61.06 Suite:/bldgfapt.no.:ql I Project name:River Terrace Northwest Duct work 23.32 Hydronic hot water system 23.32 Cross street/directions to job site: 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 1 23.32 A Other: 23.32 Subdivision:River Terrace Northwest I Lot no.: t LW Other fuel appliances: Tax map/parcel no.: Water heater 23.32 x r- r t 1 , Gas fireplace/insert 1 3339 1 $1 -`-s:f2 SCS , 'f� R - _� �.. �.._.�;��..._ .. ..�._ .�s,..:.,,..,..�...�..�..,.�!_-_...w......;��,. Flue vent for water heater or gas Contractor Change fireplace 23.32 MST1O1 _ 661\9 g (gas) 2332 19 LWood/pellet stove 3339 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other. 2332 ` ^ Fa°5 s. .' 'r.yv..F_ �t�s�i - - l:{,iL. ,,.`._.,,a—yip. --•i-: ' .__...:11ii'c` `• - ---?- Environmental exhaust and ventilation: Name:ADVL'Land Holdings,LLC Range hood/otherkithen equipment 1 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 1 33.39 Single-duct exhaust(bathrooms. City/State/ZIP:Scottsdale,AZ 85258 toilet compartments,utility rooms) 4 23.32 Phone:(602)694-4031 Fax ( ) . .__.., ._ .._. .,. t ..,.......,'d .. .giA ttic% rnwipaec fans 23.32 e* S k , other. q _:n ,. „ N), 'r � , u r i+u _ e . _. I.+t�'. :I f' . v, _,s ,,' b f" : 2332 Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for first foar;$4.03 for each additional Contact name:Nichole Thorpe Furnace,etc. 1 Gas heat pump Address:703 Broadway ST Suite 510 Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater _� _ .___ . _ Fireplace _1_ Phone:(360)695-7700 I Fax::(360)693-4442 Range 1 E-mail:Nichole.Thorpe®a polygonhomes.com Barbecue r (gas) � Clothes d r as •.,... .� Y -,:r.':;•;.::, ;::,::-..--,- u>,�..... __..._._ Business name:Pro Heating and Cooling,INC ;f ri, i `t,i- mi. € : .'." ..; ;. Address:2095 NW Aloclek DR Suite#1103 Subtotal Minimum permit fee($90.00) City/State/ZIP:Hillsboro,OR 97124Plan review(25%of permit fee) Phone:(503)4435692 Fax:(503)9415075 State surcharge(12%of permit fee) TOTAL PERMIT FEE GCB lib.:209001 This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete. Authorized signature:gicAlef:7: * Fee methodology set by Tri-C unty Building Industry Service Board Print name:Nichole Thorpe Date:9/19/2017 I:%BuildiagVe mittlllEC PemutApp 040113.doc 440-4617T(11/02/COM/WBB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13192 SW AUBERGINE TER, SHERWOOD, November 29, 2017 at OR, 97140 1 :51 :45 PM Record Type: Record ID: Residential - Master Permit MST2017-00119 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed Violation Summary: Inspector Contractor FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 111 _ Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISIONX FROM: Nichole Thorpe n E is I S l 01 CITY Ol a COMPANY: Polygon Northwest 3111 f?Nl 1 hi PHONE: 360-989-4204 By' RE: 13192 SW Aubergine Terrace MST2017-00119 (Site Address) (Permit Number) River Terrace Northwest Lot 167 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Descriptions 0 Additional set(s) of plans. 3 Revisions: plot plan- Tree update 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑No Fee Description: Amount Due: Special Instructions: Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 L • City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT ■ Building Permit Review — Residential 11GARD F" .s:ac ma.1. w&s: + rx tiwgMk _ . _. alama .Nitr.;;► aA i : Building Permit #: /ksroi3OJ -.QD/i`7 Site Address: I'll94‹Z S ) d i Cir_ fk� Ter _ Project Name: diver- •�,r,/ a -e Ai0r4it,CW Lot#: _/6o (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review //" //jj / Proposal: i S'i &- ';n'li caizc Aloi Kvi n4., ) , . erify site address/suite#exists and active in permitystem. River Terrace Neighborhood: 0 No Yes,See River Terrace Review Addendum Attached Si•, 'lan Elements: II . (3)copies of site plan ,+ • . Z ►•g structures on site ' :rte plan must ie on 8-1/2"x 11"or 11 x 17"paper !I Footprint of new structure(including decks)with finished 'A Yawn to scale(standard architect or engineer scale) •oor elevations rth arrow Ii tility locations(required for new,may apply for additions) rte address,project or subdivision name and lot number I . lion of wells/septic systems plicant information(name and phone number) 0 lI.sting trees to be retained with drip line,and tree Lot dimensions and building setback dimensions .rotection measures t area,building coverage area,percentage of coverage and '1.treet tree size,type and location -.• •-ous area(applicable if R-7,R-12,R-25&R-40) TA Street names I.•roperty corner elevations(2 foot contour lines if more than r 4 foot differen !i lean Water Services–Service Provider Le (lot platted prior to 9/10/1995): ' •uired: 0 Yes,applicant was notified ! No Received: 0 Yes 0 No II Public Faciht Improvement(PR)Permit equired: >Z( Yes,applicant was notified 0 No Applied For. JW Yes 0 No,stop intake ;land Use Case#: i L 2O - I0dr c -�L 2c Rc-t)i6 i'i)7� Required Setbacks: Front /a Rear ,_6"-- Side a Street Side 7P _I/I ndscape Requirement 2O To FA et Coverage Maximum: 1) °Ao • i I uilding Height Maximum Height - Actual Height W isual Clearance I/ asements i �`ensitive Lands: 0 Yes No Type �'A Urban Forestry Plan 0 Conditions"Mor priipr to issuance o b`j permit Notes: (-22t%1Gl/7r '►y1S' !/ �c h ��?t'./)J�ll7,- /SSLt'� 1 Approved By Planning: Date: --s_____`_�___ ' Revisions(after Building Submittal only) Reviewerman 0, Datei'(:.11 Revision 1: ',,Approved 0 Not Approved /311.--RAM-704per I2-1 i 3/t 7 DI4J 117 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPertnitRvw_RES_091216.do°x l • Building Permit Submittal Original Submittal Date: 34Z,47 Site Plans: # 3 Building Plans: # Building Permit#: r2r Enter building permit#above. Workflow Routing: Pfr Planning R Engineering pi-Permit Coordinator �-Building Workflow Sign-off: (ff' Sign-off for Planning(include notes from planning review) Route Application Documents: p3. Engineering: (1)copy of permit application,(1)site plan,(1)building plan and original plan review routing form. ? Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: .l AL ,�, ;4" Date: ,31,�f h? Engineering Review Slope at building pad 74. onditions"Met"prior to issuance of building permit 40.1 / 'CV O 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 O NOT Approved by Engineering: Date: Notes: Approved by Engineering. ,g Date: -, -/ 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 O Conditions"Met"prior to issuance of building permit proved,NOT Released 4Date: -37:2'3p? 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: SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: 71h Yes 0 N/A OK to Issue Permit A roved b Permit Coo rMK)pp y rdinato . te. 1 I:\Building\Fonns\BldgPermitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13192 SW AUBERGINE TER, SHERWOOD, December 11 , 2017 at OR, 97140 11 :35:04 AM Record Type: Record ID: Residential - Master Permit MST2017-00119 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Secure Ballard protection for exterior gas line. Provide separate electrical permit and inspection for ac installed after electrical final inspection. Ac not connected to disconnect box at this time. No access to upper level, stairs blocked by drywall repair equipment. Violation Summary: Inspector Contractor