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Permit (108) CITY OF TIGARD MASTER PERMIT .''' COMMUNITY DEVELOPMENT Permit#: MST2017-00113 Date Issued: 04/17/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB16100 Jurisdiction: Tigard Site address: 13152 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 161 Project: River Terrace Northwest, Lot 161 Project Description: New SFA. Building/unit 2.5 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 91 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 646 sf Garage: 500 sf Front: 8 Smoke Dwelling Units: 1 Third: 633 sf Right: 0 Detectors: Yes Total: 1370 sf Value: $181,734.46 Rear: 5 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea 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 1370 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: $23,143.29 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. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.23444.. ^y� CIssued By: ,V-e2. .��/Z7//`ZG2 �ilJ[ Permittee Signature: /�/�/ //�GG/Ll/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 /..--,07— //(,, ' * Residteentia FOR OFFICE USE O\Ll ;.. =...,a . _ City of Tigard F; n s ed _3/420 /7 tsip Permit NWf7Cf 7—112//..3 1,1 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review_ Phone: 503.7182439 Fax 503.598.1960 D gy otherPentada/ 0/7-avo a T .. Inspection Line: 503.639.4175 Date Ready/By. �p Juri= H See Page 2 for Internet www.tigard-or.gov Notified/Method: f7 7/Is Supplemental Information . L- - 9 L -u. .. ......_ .n'_--� _'mss...=-.._ f5:?..0,-;,;--;.'''-,r1-fin:rs..r_c .3.1442..._: .: .=o-.: ®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 ❑Addition/alteration/replacement Other equipment, overhead,and the profit for the mi..: - }' -- ' workcated on this� - 1-and 2-family dwelling 0 Commercial/mdustrial Valuation 1 g)I '3(j $ ......9.-_,:i9, .4.1❑Accessory building I Multi-family Number of bedrooms:? Z ❑Master builder 0 Other: Number of bathrooms: 3 s - m--� 11 z�i 1g ,� Total number of floors.-' '''-. pS = T. _ 7 0;. Job site address: I 1S-2_ 5 tu, t Y } r I,en-ac, New dwelling area: /3 7/) i7-square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 1()D r square feet 6 33 Suite/bldg./apt.no.: :S Project name:River Terrace Northwest Covered porch area: L1 8 v square feet;Li, 6 ' Cross street/directions to job site: Deck area: p o V square feet q , OttEer sttuctur areea: _Cl Q V square feet Subdivision:River Terrace Northwest Lot no.: # 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.: _. ent ials labor,overhead,d,and theprofit for the ,,-,77',4-,..4.ei i 411T � P t •Y fwrkmindicatmed on this application.a .. , ,. . Valuation: $ Existing building area: square feet New building area: square feet s t, ? it t ,a a .,= 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)6944031 Fax( ) New: Business name:Polygon WLH,LLC "" a ° s t` " t Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street City/State/ZIPP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount received: d ; - Ps A',&, a 1i0 ;1 = E-mail:Angela.Grajewsid®polygonhomes.com `f k .:.:.. _ Commercial and residential prescriptive installation of == -, .4 #,W` e 6 € ` - _ roof-top mounted PhotoVoltaic Solar Panel System. al 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): "`ane:(360)695-7700 Fax (360)693-4442 State surcharge(12%of permit fee): $21.60 —B lie.:207247 Total fee due upon application: $201.60 Authorized signature: �r / ' This permit application expires if a permit is not obtained A —• within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: /4/(02011p •Fee methodology set by Tri-County Building Industry __, Service Board I:1Building\Pennits'BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit pE C C I V ® FOR 31 l ICI, l s, c3l City of Tigard Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 ry Date/By:nv Phone; 503.718.2439 Fax: 503.598.1960 APR 1 / 2017 °R ew Other Permit: Dake/Ay_ r i G A R n Inspection Line: 503.639.4175 Date Ready/By: Juris; . H See Page z for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental nformation BUILDING DIVISION ffin'ts.4•, "x ^- Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit 13 t.iii+,t t.le+ ✓5-F' s4r S {✓ :n:S+t, } _E,'y' v'`c Mr. ]�x r�.k 4 cY,. +,a Value:$ -�....cct,'S..:lt....�>..,...0»��..-.. [.._�.f.:",(`a.�"L"w'=-....�.._iC:...Mk�i...u_,t..«....,...-_,...3:-..,.,..-t'C..�x;.,,L",u'..s......,�..:mac:..�.S.,.Se1.. .r�,�, <�'YSP�, b' ic3��� t .�,R�.z�rl�`e•4,�."i ft't� r .�' .�1 t�"`rYq.. ❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For spend information use checklist ®Multi-family 0 Master �builder ❑Other: }'l' t Description I Qty. Ea. I Total C .'+'��1..`Sib w�.:�C�,.V Gtiff.3 .. �—r::. 1 ;-k;LYMfinllittl:ne..R :1:. Heating/cooling: condon S A r COnditOnlllg 46.75 Job site address: 13 15'2_ a 4 A'Abell nt-rimae�. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duas/vents) 54.91 + Heat pump 61.06 Suite/bldg apt no.:2 l Project name.Q NI� ,&trim 1\10/1-in[ LS{ Duct work 23.32 Cross street/directions to job site: t Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision: , t veil— Lot no.:l1 j I - `� Other fuel appliances: Tax map/parcel no.: Water heater 23.32 e. d rieZ fit I r a fs i " i Gas fireplaoe/insert 1 33.39 Flue vent for water heater or gas new borne construction fireplace 23.32 Log lighter(gas) 23.32 --w Wood/pellet stove 33.39 _ Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ch = • • Other: 2332i� ' ' =1.:` .1. , 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 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, LA toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Atticicrawlspace fans 23.32 'J y a a1, 1; d +;r @f .1 h`t�R °her 2332 •Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for first four;$4.03 for�ch additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Waterheater Phone:(360)695-7700 , Fax::(360)693-4442 Fireplace I Range 1 E-mail:Angela.Gralewski®polygonhomes.com Barbecue > .;x5- .,-__ v Z (.:`?h< na:,4 F S .............. .. .`; <.. ., Clothes der(gas) Business name:Andersen Mechanical,Inc. Other. f7- Address:16285 SW 8S'6 Ave Subtotal City/State/ZIl':Tigard,OR 97224 Minimum permit fee($90.00) Plan review Phone:(503)992-6664 Fax:(503)536-6615 — (25%of permit fee) State surcharge(12%of permit fee) CCB lie.:168214 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature:i4,144AVir--- . Fee methodology set by Tri-County Building Industry Service Board Print name:Nichole Thorpe Date:4/17/2017 t:}BuiidingWetmits\MEC PermitApp 040113.doc 440-4e15-f(11/02/COM/WEB) Electrical Permit ApplicationR E C E I V E R FOR OFFICE t sr ONLY't City of Tigard APR 17 2017 acevea �.�� N., 13125 SW Hall Blvd.,Tigard,OR 97223 1}atNB Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Related Permit N. • Inspection Line: 503.639.4175 CITY OF TIGARD Tit`'$ TIG,RE7Ready ented f oilw NMISee t ifor nf ' Internet: wlvw.tigard-or.gov BUILDING DIVISIO ?4oti5edal+dnthod; Supplementallnforma6on `i.;,::_.> r>-z`M.;.: :': L'-Z.:,`'t:" A�.� ~H '' 2 G 1' - :r�,�,���4e-rata.4: -- 5.. 4 g • ,f. � St�_. v'a�F'��m,`•-�s'��,�"� k '`' 3 F ., -r w��''S��5�; ®New construction 0 Addition/alterationh lacement Please cheek all that apply g F i ep pp y(subnri!2 sets of plans w/Uen1,eheckedj: D Smoke or feeder 400 amps or more D Building over three stories. 0 Demolition 0 Other: n r U ��. where the available fault current 0 Marines and boatyards. ly �4„ ,H.4 ,,,,ix!,- op ',41-i,i, 9�EH,Wr�',i_, y. x- -n#, exceeds 11,000 amps at 150 volts or CIF/owing buildings l-and 2-family dwelling 0 Cohnniercial/in'dtistrial 0 Accessory building less to ground,or exceeds 14,000 D Commercial use agricultural !)Multi family ❑Master builder 0 Other: > �'ell other iostallations. boildiags.- vs e e,y.. Orme pump. 0 installation of 150 KVA or �_. ::--f :s oma:: ?P ki•d�rr• o cry,"�.4.1):' , y� -:-771- v-a c xt'' . ' DEmerrmoy aYatem. large separately derived Job#: Job site address:( si S lv At E�e yt1U�j'em p edition of new motor toad of systcat ' +Ws�vs 1,F t 11 r IOOHPormom. ©"A",•E••.`1-2","1-3", City/State/ZTP:Tigard,OR 97224 1.1 Six or more residential units. occupancy. ❑Ifesithmarefacilities. DReareationrivehicle parks. Saitelb]dgiapt.#: .c Project name.( qv, 1 tYrcit..olrXolt ©Iiarntdour locations. 0 Supply voltage for more than Cross street/directions to job Site: D Service or feeder 600 amps or more. 600 volt,tro om°1- s ,nf� _is ._i;V:A......,.. ,,r-,s,. -xt-? i'7. -zit Daeripdon Qty. Each Total , New residential single-or multi-family dwelling unit. Subdivision:► ' '. .e, live Lot#: Includes attached garage. Tax map/parcel#: 1.000 eq.R criers 168.54 x fe . i.• : rvnr . i"bt.91 is T.r? ql,. x t �. ws `p v LLimitedaddner00 y, a deOf portion 33.92 :��� energy,residential IIII (with above sq,/L) 75.00 Limited energy,multi-family 7500 residential(with above sq.ft.) z747,7srt a aTITtaga '>, Ri ;. ,l F 9 PR---- ,.grIabA q i7,-; x ;. :enewable Ea Fifer See P _c 2 Services or feeders installation,oUeration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 Lt Doubletree Ranch Road 201 �+'�amps 133.56 2 401 amps to 600 amps 20034 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 atria 803,04 2 Phone:(602)694.4031 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that 1 own which is not 200 amps or less 59.36 1 intended for sale,lease,1 ctrl,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 I I 168.54 f I 2 • n :4;,:,7.1 i fE _si R °w; , 'x wi4 gpo' i "` � Branch circuits—new alteration or extension :er:and 1 A.Fec Cor bra�nclt circuits rvirh Business name:William Lyon Homes,Inc. above service or feeder fee, I each branch circuit 7.42 2 s Contact name;Angela Gra jewski B.Fee for branch circuits wiarm' Address:109 East 13th Street service or feeder fee first 56.18 2 . branch circuit City/State/ZIP:Vancouver,WA 98660 Bach add'l branch circuit 7.42 2 . Miscellaneous(service or f Phone:(360)695-7700 - ' ' I Fax::(360)693-4442 Each manufactured or odularceder not included) dwelling,Service and/or feeder 67.84 2 j Email:Angela.Grajewskl@polygonhonres.com Reconnect only 67.84 ,b._.. ',1 . ..�_ --...., . i1 2.�i�� .c..4f.�3'� v,y 1cv-' s.c �.. 2 .a....::1 ......r_. t,2.V Pump or irrigation chola 67.84 2 Business name:Garner Electric Washington,LLC • Sign or outline lighting 67.84 2 Address:6101 NE St Johns Rd Sign a l eitcuit(s)arlitaited energy panel,aitetatioa,orex�ision. 0 See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional Inspection over allowable is any of the above Additional inspection(1 hr min) 6625/hr Phone:(253)32x1657 Fax:( ) Investigation(1 hrmin) 90.00/hr Email:bdanielaggweasa,com industrial plant(1 hr mat) ' 78.18/lit Inspections for which no fee is CCB Lie.: C11.58 EIectricai Lic.: 208174 J Suprv.Lic,: 4496S spec( listed 34/Italia0�hr -:• • Suprv.Electrician signature,required k 4 _. - &are t3 t 9 mho 1 Subtotal: Print name: loan P Albert Date: 4/26/2016 0 Plan Review Required(25%of permit fee): t r� -- �. State surcharge(12TOTAL permit fee): Authorized signature: TOTAL PERMIT FEE: 5?•`�:`- This permit applica don expires ifs permit Is not obtained within I80 cy.,:: Print name: Bill Daniels I Date: 4/26/2016 days atter It has been accepted as complete. '',=. * Number of inspections allowed Per ponuit- sit L:•iji:19a0diaSV'eaa2Alle•CPermttApp FSR,.ERE.dee Rev 06/17/2015 44046lST(i)IOS1COINWEa Plumbing Permit Application_ Building,Fixturesrli; "(1l�i l( i- 1��1 Oyi:)" City of T igard ReRECEIVED - v Pesmis xo.. Date/By:y: N...__ 13125 5W Hall Blvd.:,Tigard,OR 9722A p R 1 7 2017 Plan Review Otho Permit No.: Phone:503.718.2439 Fax: 503.598.1"960 Date/B}.. lnspeclimr.-L.ne: 503 639 4173 pate Read'B Iris. El See Pa 2 t er ``'' [merrier: www.tlgard.or.gov CITY 'r TIGfaHD Notified/method-od: Supplemental information ,i eoift x x• ':nc '.. x /...,.n L�+"4,4:1 .t1.r'! Yl t s m x x:, s �'��� `�'''"=•.fA '�•.r �:''.c�k�:�,,,: ��: � ;;i+' ' �.,�,. :? .:.4rx.�:�.m�•..ray v t� fir.,�` �'.�.-�.'��`.k, a��n.��', ����..,17,,,, 0` ... I ry�}New oonsiruction [.Demolition Forspedalinfonnationaaechecklfil —� Description { Qty. j Et I Total I 0 Addition)/alterationfreplacement 0 other: New 1-2-family dwellings(includes 100 ft.foi'each utility connection) ' " 11 ` so jaicr Ot .i 3V,ii '''''''1,7":'445V4` SFR( )bath 312.70 i an..6lt -3 E.aa.ti �.tiw µ. --t,••. .. /;9 ,x.t -w.....,:.. ,: ,� 1-and 24aattily dwelling [Q Commercial/industrial SFR(2)bath 437.78 SFR(3)bath • 1 500.32 1 Q Accessory building" 1Multi-family Each additional batldkitchcn 25.02 Armlet builder Q odttx- Fire sprinkler( sq. .) Page 2 = 1' p.6n ,::. s , e' f t nl, c V e" `"_41.t.47.'44:7'.. ;-•t.!1. Si a utilities: I Job site Address: 3 S n 'A yrc k 1•arcaCatch basin or area drain 18.76 3 City'1StateJZiP:Tlgr►rd,oft 47224 v Y - well,leach Brie,or trench drain 18.76 1 Footing drain(no.linear ft.: ) Page 2 j Suhe/bidgfapt.no.: .2 f7 Project name:.f4i f t{, va N __ +-- ufactuted home utilities 50.03 Cross atxeel/directions to Job site: Manholes 18.76 j • Rain drain•connector 18,76 11 Sanitary sewer(no.linear ft.:_) Page 2 . _Storm sewer(no.linear ft:_.._I Page 2 ' �^ Water service(no.linear It: ) Page 2 Subdivision�.1T411r'- .t.trratt, v ie tt t:ot r!°:1(,0 Flxtitr`e or Item: ' Tax map/parcel"no.:. Backflow pievenler 31.27 u t a - < w s tg� z, $3ckWakr valve t 12.51 • Clollteswasher 25.02 ' 1 . . •• •• Dishwasher 25.02 Drinking fountain. 25:02 Ejectors/srunp 25.02 :.•... „,,:-.,*,,,-.;•,•-.;:., tY ,*'' Lam.', s t; -r., 6 i"`a ' ' ; Expanson tank12.51 w ,, „ . n n - i Name:.ADYU`:Lsad"Haldin 1 ..,C Fixturdsewercap 4 25,02 &s+ Address:7600 E.Doubletree Ranch Road Floor drain/floor sink/hub 25.42 Garbage disposal 25.02 City/State/ZIP;Scottsdale,AZ 85258 Nose bib 25.02 Phone (602)94-4031 Fax ( ) ice maker 12,51 p4:3"% ,, ... ri •-:'---."-•-.-, �ti. ;, -� . Nr4 y •cwt b[ ..i ..v w+ ',V; Ct {"t rote tori ease tf 25.02 .. r.4� t-,,,,--;,;„,,;;.,„',rb'-",- .-,,t..1.,ftr n .�'r.,4,-1',-",f'''' .C.-•'''.',,,,,,,",.`," j��..��� /C .. ,., Business riante VYii)hil n Lyon Homes,Inc Medical gas(value:$,. ) Page 2 .. ,.., .Primer • ' Conrad name:Angebr'Griljewskl i J 12:s I I • Roof drain(commercial) 12.51. 99:East 13111.61 eet . . Sink/basin/lavatory .. 25.02 i Address:1 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Photic:"(360)'695-7'100 Fax::(360)693-4442 Tub/shower/shower pan 12,51 E-nail:Angeltr:Grajewsiti@polygonhomes.com• Urinal 25.02 v . y • 25.02a t r' ',£ ''% C It IIIII City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T r c n Iz n Building Permit Review — Residential Building Permit #: /7 S 7---2e /2 .O e f/ i Site Address: /3/çQ Project Name: /_/; r- , - co �, / or-MILL Lot #: /&/ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /Liao .....c)j, 6i- --in//7 ..774-4-ita,ve (r-moiuln/Le) erify site address/suite#exists and active in ermit stem. P Y River Terrace Neighborhood: ❑ No �,�Yes,See River Terrace Review Addendum Attached Si lan Elements: ree(3)copies of site plan is - 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 rth arrow tility locations(required for new,may apply for additions) tte address,project or subdivision name and lot number �� anon of wells/septic systems pplicant information(name and phone number) Ct:sting trees to be retained with drip line,and tree Lott dimensions and building setback dimensions .rotection measurest area,building coverage area,percentage of coverage and ,�I street tree size,type and location .ervious area(applicable if R-7,R-12,R-25&R-40) treet names �I roperty corner elevations(2 foot contour lines if more than r 4 foot differential) taklean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): tiRequired: ❑ Yes,applicant was notified Ad No Received: ❑ Yes ❑ No equired: Public Facilit Improvement(PFI) Permit: Yes,applicant was notified ❑ No Applied For: VJ Yes ❑ No,stop intake and Use Case#: �,(, '`"56a.2c �" g - t20 4 ir.� K-e2) /onin Required Setbacks: Front F3 Rear Side 0 Street Side Garage c,20 andscape Requirement: 7 7 j Lot Coverage Maximum: % 4 st,T '4- o wilding Height: Maximum Height N,/,9 Actual Height 9atie ^ ' isual Clearance ri asements gi ,ensitive Lands: ❑ Yes No Type Lvi Urban Forestry Plan ❑ Conditions "�'prig to issuance o building/ permit Notes: 17C4/26iic' // e Me.....re :he— 4 pe..-0,t/---' ).., ,,gt/e.-041ce Pcie Approved By Planning: � '''''. "�` _ Date: -- iitiL- Revisionss (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved I:\BuildingTorms1BldgPermitRvw RES 091216.docx Pr Building Permit Submittal Original Submittal Date: 7,2/�c>// Site Plans: # 1 Building Plans: # Building Permit#: ,,C]-'Enter building permit#above. , Workflow Routing: tc Planning Q ngineering T—Permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: E.,[- Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. wilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: 11 dill--By Permit Technician: Date: L..�. iV/7 Engineering Review Slope at building pad: �s onditions"Met"prior to issuance of building permit o'7 ❑ 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: 0 Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 12 0 Date: ':l-/7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit /,.ate: pproved,NOT Released: �' 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: ?,fes ❑ N/A Tigard Trans SDC: (( es ❑ N/A Parks SDC: Yes ❑ N/A K to Issue Permit Approvedby Permit Coordinator: 0-Date: 4/4 / I:\Building\Forms\BldgPermitRvw_RES 091216.docx k City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT _ . TIGD River Terrace Building Permit Review Addendum Building Permit #: AK—(77,2e7/ 7 -0e2'//3 Site Address: ZS/S-- 7/.4) /. iik ?iTo.C�._ Project Name: liver_ Y i0 '-e'S Lot #: /( '/ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist "ct 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. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep Gabled dormer ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6 .wide 2. Eyes on the street:a minimumf 12%ofeach street facing fa ade must include windows or entrance doors. Percentage Shown: flirt', ib �J0/ ' / % 3. ntrances:At least one entrance must meet both of the fon.. ' g standards: i ! Parallel to street,angle no more than 45° from street, Max. 8 ft. setback from long t street- facing wall or open onto porch Entrance opens to a porch: Yes ❑ No IIfes,all the following apply: 5 sq.ft.min. ne street facing entry 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 façades: • overed porch min. 5 ft.wide 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 incheS'�/ / ❑ Dormer min. 4 ft.wide Ro of eave min. 12 inch projectio nn ❑ oof offset min. of 2 ft. ❑ Roof shingles either tile or wood able,hip or gambrel roof design' ❑ oof pitch oriented south min. 500 sq. ft. orizontal lap siding min. 3-7 inches wide Accent siding min.40%of street facade Window trim min. 2 l/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 façade 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): ❑ ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story ove the garage that faces the street with a min. area of 12 sq.ft. Wi : (Check one) 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: = o Date: Boa I:\Building\Forms\BldgPermitRvw_RES_RT_0622I6.docx Plumbing Permit Application _ Site Utilities E .,,k;e M7 . City of Tigard J U L 5 2017 Received �l /]� 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: 7 PermitNo*�S l2_�!/r 3 Phone: 503.718.2439 Fax: 503.598.19f9_ Plan Review +� �/ ��// J Inspection Line: 503.639.4175 `"' {�C` 1rip,1 t 1 Date/By: I-f J f 7 (� Other Permit No.: TIGARD ��1(Ii�iib/ s i1 DateReady/By Juris: SeePa e2for Internet www.tigard-or.gov Notified/Method: �, Supplementallnformahon �v .. .'.�`. �° a � / , ,.. ...., ... ,i:�a'✓ .. .icy., ,,. 4fc,;.� ,,,, �, d � - ®New construction ❑Demolition For special information use checklist Description Qty. I Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) 0 1 I"; ° a .. , .... ! SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen 25.02 ❑Other 17Fire sprinkler(1 70 sq.ft.) Page 2 '. 1 # tt"1 i 47 ° k Site utilities: Job site address:13152 SW Aubergine Terrace Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Northwest River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.:161 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 .ate Int � r ii5 s* Backwater valve 12.51 Clothes washer Multipurpose Fire Sprinkler System 25.02 Dishwasher 25.02 Permit#MST2017-00113 Drinking fountain 25.02 Ejectors/sump 6 1 w 3 �. 5 2 "- ,. ;� „ *��,�? Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 City/State/ZIP: Garbage disposal 25.02 Hose bib 25.02 Phone:( ) Fax ( ) Ice maker 12.51 , : ® # Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical 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:_,6„,4,1, 12-64Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 ° Ac e aa.` 0° Water closet � s �:. 25.02 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 Lic.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) -/ � State surcharge(12%of permit fee) J Authorized signature: �_- TOTAL PERMIT FEE Print name:Gavin Thornes 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. 1:\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 Suppression Systems: Ttitt itif i ms's A .... velik ... ... Footing drain-151 100' 50.03 0 to 2,000 $121.90 37.52 2,001 to 3,600 $169.69 Footing drain-each additional 100' 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 ;" '' < : y 1��°.. SIC _..�s P ,.� �..�.. . �.. 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 \4 't 4, i. .' - 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 each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) 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*. , F Qnitn; ty.by l "i'ur ' €moi n r1. ii e , . fixture Type for • Plan review is required for any of the following. Wail;#ifRrfat ed:. li4T'. vr,. Please check all that apply. Baptistry/Font 0 Any new commercial building with water service 2"and Bath -Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. Car Wash -Each Stall -Drive Thr0 New exterior plumbing site utilities for any complex structure Cuspidor/Water oirator 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. 4„ iit :r .. 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 increase of sewer EDUs,a sewer permit will be issued and Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pgmit.doc Mechanical Permit Application 1 OR OFFICE I. S1•_O L\ City of Tigard x. D ,_ ,%� ii liAgniMI II 13125 SW Hall Blvd.,Tigard,OR 97223 .,,7 Pian Review Phone: 503.718.2439 Fax: 503.598.1960 c'-? i „i.;;i Date/By: Other Permit. Inspection Line: 503.639.4175 Date Ready/By: See Page 2 for Internet: www.tigard-or.gov NotiSedlMethod: Supplemental T 1 C:i h I? ® la Sa emental Information {h 4 z � a ��.S J-F^w1 S L I'.1' a .'s_"1-r- -- �� .L t n P��,«1 y)' 7 1r F.1ils`�" 1 TM At'''' .�` t 4�.7, 'lE 4 A..V. 'G` 3 E �_,..r. , , , , .., , :a. . .. a, ,: - ;1, _w, °•' Mechanical permit fees*are based on the value of the work 0 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all Other: mechanical materials,equipment,labor,overhead,and profit. 0 Demolition Value:S r tr C li s I ( ,ft.�i'rr�.. ESE, ,y . `; -;..,0,,,.,.. v-,titii•s-C x`;z, l 01-� 'and 2-family dwelling 0 Commercial/industrial 0 Accessory building For apedol information use checklist ®Multi-family 0 Master builder 0 Other: Description I Qty. Ea- I Total �-, a. Heating,/cooling: r 'r6 `i�2.---`,I,'''..a,"-:'•.;,,,,-'-''-',. ...---;''..Y...,fi `"eJt o�� ; ,<. „-< ,.:11111111111111 Airconditioning 46.75 � { i 1 46 75 Job site address:'1 '� v4 t1 _j,,,, l , ► Fnmace 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.: . aS Project name:River Terrace Northwest Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 2332 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duet,suspended,etc. 46.75 Flue/vent for any of above 1 23.32 Other: 23.32 Subdivision:River Terrace Northwest Lot no.:' i Other fuel appliances: Tax map/parcel no.: Water heater 23.32 rep 1 3339 n t�, '14-,,,-- itt x t's' i �F C7 CT i `2.27,:,.._1,.. c�L' Crus fl lat'R./lDSed - �� :: --' _ Flue vent€or water heater or gas Contractor Change fireplace 23.32 IIMIFISEBSVtlIllIlIllIllIllIllIllillIl Log lighter(gas) 23.32 V r LWood/pelletlightrstove 33.39 Wood fireplace/insert 2332 Chimney/liner/flue/vent 23.32 Other 23.32 .' i ::;,-,-;.;:c"..;'77.-1,,,';',--' zf. ra_��,_.....4._.".�..te._:=;i..�.__.'. a�_..2x.-r_�__S. z.-:-'1'-'-'-'''''';"';----��:..a ]ynVlrOninentaltYllaBStand ventilation: .:.....�.,..__•:..._._.....�:tom__.. ____.___. Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 1 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 Phone:(602)6944031 MIIIE111111.1111111111 Attic/crawlspace fans 23.32 "u.z._ a 'c : „- yPVl4SQ ..A _r,.-:;: ,. " rY .(r-•C21:;ti,t i .< C,�.._r t `+ i 3_ zt� -.- Ode: 2332 Fuel piping: Business name:William Lyon Homes,Inc. 514.15 for first four;54.03 for each additional Contact name:Nichole Thorpe Furnace,etc. I {Jas heat primp Address:703 Broadway ST Suite 510 Wall/suspended/unit heater , City/State/ZiP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace 11 Range E-mail:Nichole.Thorpe@polygonhomes.com Barbecue . . 7,:f s ( J i ,S : .� Clothes dryer(gas) _ ...'.:_ Other: Business name:Pro Heating and Cooling,INC , r`t- , " ; _' ''- ; Address:2095 NW Aloclek DR Suite#1103 Subtotal Minimum permit fee($90.00) City/State/ZIP:Hillsboro,OR 97124 Plan review(25%of permit fee) Phone:(503)4435692 Fax:(503)9415075 State surcharge(12%of permit fee) TOTAL PERMIT FEE CCB lie.:209001 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Authorized signature:�� Fee methodology set by Tri-County Building Industry Service Board Print name:Nichole Thorpe Date:9/19/2017 119011ding1PermitAMEC PennitApp_Wot 13,doc 440-4617T(11/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13152 SW AUBERGINE TER, SHERWOOD, January 8, 2018 at OR, 97140 10:06:22 AM Record Type: Record ID: Residential - Master Permit MST2017-00113 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Water pressure = 40 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13152 SW AUBERGINE TER, SHERWOOD, January 5, 2018 at OR, 97140 11 :30:20 AM Record Type: Record ID: Residential - Master Permit MST2017-00113 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13152 SW AUBERGINE TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00113 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Collected High efficiency lighting form Moisture content acknowledgement form Moisture barrier acknowledgement form ETO site inspection certification will be submitted separately for the entire building. Street trees to be verified by planning at completion of subdivision. Left C of 0 on the counter Violation Summary: Inspector Contractor