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Permit (115) CITY OF TIGARD MASTER PERMIT III ' Permit#: MST2017-00112 '> COMMUNITY DEVELOPMENT Date Issued: 04/17/2017 T i GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 106 D B 16000 Jurisdiction: Tigard Site address: 13148 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 160 Project: River Terrace Northwest, Lot 160 Project Description: New SFA. Building/unit 2.4 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 32 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: $161,267.28 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 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: $22,693.01 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.23444`.�� Issued By: Permittee Signature: ,5€*_. ��% /iC.-w rJ21 Call 503.639.4176 by 7:00 a.m.for the next available inspection date. il This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application - . L- O / 'C7 ' Residential FOR OFFICE LSE ONE) City of Tigard D e Y• _3 020 /7 4 .-?).Z. PetmitN cr,20/?i O//vZ IIII 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie 0 ' Phone: 503.7182439 Fax 503.598,1960 - -, Date/gy. "*S.' ,t "HI Other Perms -�c%9/7-0009.9 TIC:a D Inspection Line: 503.639.4175 Date Ready/By / June Ei See Page 2 for Internet www.tigard-or.gov Notified/Method %/�c�7 Supplemental Information ®New construction 0 Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement ❑Other. Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the O ., - 4 v,, ) ;t„ ..,:."2:„t,-...7-_---77----% .,:-.. mwork indicated on this application. 1-and 2-family dwelling MD CommerciaUmdnstrial Valuation t '1 /:"1$ ] -�}� ❑Accessory building Multi-family Number ofCbedroo tms:1 l ❑Master builder 0 Other. Number of bathrooms:a /474/ - , ' � T- �" `'' `` '" -"°'� •. Total number of floors Job site address: ' -31k-1 g 5\ 'kb/ Y 1 k 1-e,r-CO-e_., New dwelling area: /Z Z / r/square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: c4.5- v square feet 45 Q4 Suite/bldgiapt no.: 2 LI Project name:River Terrace Northwest Covered porch area:13 ✓ square feet'6_ ' Cross street/directions to job site: Deck•/ 7 2 ✓ square feet 9', Other structure area: 7 2 square feet / Subdivision:River Terrace Northwest Lot no.: V 0 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 the profit for the - `o_ ` `* w t 1'' work indicated on this application Itt Valuation: S Existing building area: square feet New building area: square feet :` * 31fl� "£ Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: r- � � �Y- O kQlF a r� y.,�r y4 oo 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 :( ) i Lw t �m s 1�_--MKKE, ; E-mail:Angela.Grajewsla@polygonhomes.com = --.---,--.-;--..,,,,..,r.----_,_7.--14.;.-,__,-.;-:;._,,,._.-s -�. - _ Commercial and residential prescriptive installation of - --- ``., -9- " T 1_ - roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): "-one:(360)695-7700 Fax(360)693-4442 State surcharge(12%of permit fee): $21.60 _ .B lic.:207247 Total fee due upon application: $201.60 Authorized signature: *(........"</.14( This permit application expires if a permit is not obtained _ within 180 days after it has been accepted as complete. Print name:Angela Grajewsld Date: 'iZ I fn 'm il Fee methodology set by Tri County Building Industry `f'w' Service Board I:\BuildingWermits'BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit A licatio FOR OFFICE SO L) City of Tigard CEIv ryDate"ed :By: Permit so. 1111 I ■ 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review Phone: 503.718.2439 Fax: 503.598.1960 A P R 17 2017 Date/By: Other Permit' T I ci ARD Inspection Line: 503.639.4175 Date Ready/By: 11111 Irl See Page 2 for Internet www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION _ '' .4 4 `u. ;a vC' '''''�S 'w''12 ',..'"'...as ;'''''h..""-G' "i+.•+�P to ,` "'u' "'-" `-ir ' e /i it per, fees* a `ed„thYvalue "s.''rw r'",(`,S�'v,.... Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. f .. ' rrET_rValue:$ .7 f 7t ilie7 �C4IN`LIF-q' Ti, mg F.4ty, ,P,.'- „trtY- l ` , dti �, s. • ±1s .i,..-`... .,_.x61-41 _. .: » ""; ..:;:. , . . ti �.rr v^ ,,ta_,.?t ?w.. t. ,:,L, .�; F,i.h b , d,zfE 4 , _42i .. .ad'” ,F ` ❑ 1-and 2-family dwelling 0 Commercial/industriai 0 Accessory building For special information use checklist ®Multi-family ❑Master builder ❑Other: Description I Qty. 1 Ea I Total t� aeF.t ti� 1 "+ rf A� d�2 { M tEti rc� $'�6�i�(G�� t i i6`�C 0�'f" �B}�' '' . Heating/cooling: �a,r � �, 1:1:1 .14 , "_ .,<,i. ..., S.g ..'k " .•. wP .a:.:11.121,-1:::;!:11.:.:I71,_ Ar conditioning 46.75 Job site address: / � S v14 A whet 1(NC-P.-reamm Furnace 100,000 BTU(duets/vents) i 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bIdg./apt.no.:2 cLj 1 Project name.Q NI T/J/Ym� N S1"- Duet work 23.32 Cross street/directions to job site: r " 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 1 2332 Subdivision: f.i 4v < i I 1-- r 1.maflmAR Lot no.:I V � 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ,.i. +'�, yT :,t il': `.�. `C t7'>} t. `m rt r� . -s A : .Vias fireplace/insert 33.39 ...�r�.�. .•�. .�.• �..��=z_ .,- a�. z�-.._. .. � � :fi �� ....-_.,.� .. ;.:_ .:,._w.� Flue vent for water heater or gas new home construction fireplace 23.32 Log Iighter(gas) 23.32 Wood/pellet stove y,. 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 2332 Other: 23.32 ;� . b'{ '"Y 1,.•,`i K�' ,."'' S1.,. . .r. t",;r '' '4'- ``'''k?i r''''` Y i. .'''''r-*--- . Environ rental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 3339 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust i 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 ., is s :tip C ,:ES 1ok 4.5S:,J .i ( #itkl ,,,,Y+y ,kx( Other: 2332 Business name:William Lyon Homes,Inc. Fut i pipii$1 514.15 for first four;54.03 for rich additional Contact name:Angela Grajewski Furnace,etc. Address:I09 East 13th Street taus heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace l Range E-mail:Angela.Grajewski®polygonbomes.com • Barbecue t ti - 4,,,,2,-,,,--:q,(!,- ':,.: F _,,. at'�,.*r.,`� t�' C3,i ._� ,_ ,rs', Clothes dryer(gas) Business name:Andersen Mechanical,Inc. Address:16285 SW 85`"Ave Subtotal City/State/ZIP:Tigard,OR 97224 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)992-6664 Fax:(503)536-6615 State surcharge(I2%of permit fee) CCB lic.:168214 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 sdays after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name:Nicbole Thorpe Date:4/17/2017 1:18uiidrnetPexmiteNEC PermitApp_0401r3.doc 440-4617T(i1/OZICOM/WEB) Electrical Permit Applicant li lel EC E IY E® FOR OFFICE US- E ONLY City of Tigard P R 17 2017 111 13125 SW Hall Blvd.,Tigard,OR 972 plan Revw Phone; 503.718.2439 Fax so3.59S49,�Y OF TIGARD Daws' T1GAR13 Inspection Line: 503.639.4175ReadyDatelly: 'uric li3 See Page/tor Internet: www.tigard-or.gov BUILDING DIVISION N ediMetSupplementallnformatis/a .r d s_i;' "yi �L ln`57_�. .. {.....‘.e -i nn A- {p. e qV� •`t{ T 7 ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of pleas Wilmot obecked): ❑Srrvice or feeder 400 amps or more CI Bury 0 Demolition 0 Other: crang over three stories. whore the available fault current D Marinas end boatyards. '- Y _‘,- fit P--ie t �,',iiiio A j6: t G�: 0 6 'fie' N 141 ?:•41-aV `z, , exceeds 10,000 amps at 150 volts or q Floating buildings, 1-and 2-family dwelling 0 Conunereial/indtistr ial 0 Accessory building less to ground or exceeds 14,000 D Commercial-use agricultural � Multi-familyamps for all other iastallatioos. buildings. l 0 Master builder 0 Other .�, _ ❑Fin pump. El Installation of 1511 ICVA or Y. ;,-.4-',4',, -14.0 _:�.0.0.i`"°�,K c`.•.=`1;,0.t,y.. q `Fs-;m"'y-,� :;°;`,�= 0 Emergency system. larger separatelyderived >- twir�'� t v :� it;:Fx OAddition ofnew motor load of system. Job#: Job site address. V vt /,A / e i IOOHP or mons. City/Stete/Z1F:Tigard,OR 97224 ❑six or more residential rails. oceaPaaoY• _ 0 Reettt-ogre facilities, ID Recreational vehicle parks. Suite/bldg./apt#: 2 , Project name R,,kr-Cy I pirate Ow* 8Hazmdons tooat.7 D Supply vodhrge for wore thau Cross street/directions to job site: ❑Servix orcfeeder coo amps comm. biro volts nominal. . •�C .....1:9 ---.7',-'';:,,z,,-=-,,,.j' , Description ply. Each Total I New residential single-or multi-family dwelling unit. Subdivision=14lev' 'Ricrac _ ' we Lot#: i, Includes attached garage, 1,000 sq.R culess "' 168.54 Tax map/parcel#' µdrr� �- ,� T� �'" Ba.add'I 500 ft.or portion 33.92 fil 6:'' > .,:f�.�w. }Ptiig Q „t'°.i-ORkig l aagg:• ''" -qf W-'—'',S aA•24;•:'4.:"4 Limited energy,residential IIII (withabove sq.ft.) 75.00 Limited energy,muni-family 75.00 residential(with above sq.ft.) '1. ` 1iJ.t se- '7;nr_nl_,. -i l'?;; ` v "`,F 0"9a :4.?lN •'; Renewable Q SecPa_e2 Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 200,34 2 603 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Pax:(. ) Over I,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and for relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701, ' 201 amps to 400 amps i I 125.08 2 Owner signature: Date: • 401 amps to 599 amps 168.54 2 =p +� r» r+ ti;�: �, ` Branch circuits–new,alteration,or extension,,er>and ;a � _ >a 1;4.1-,-,:,- 4.,,, ,,..,.,�:�� �F '�av� "�'lY�� .o�{ig��#e r.��:3�:„�..,�,f,� A.Fee for branch circuits wtrh Business name:William Lyon Homes,Inc. above service or feeder fee. 7.42 2 each branch circuit Contact name:Angela Gra jewski B.Fee for branch circuits without Address:109 East 13th Street service or feeder fee,first 56.18 2 branch Circuit ! City/State/ZIP:Vancouver,WA 98660 Each aad'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 I Fax::(360)693-4442 Each manufactured or modular 67.84 2 Emark Angela Grajewsld®polygonhotnes com dwelling,service and/or feeder Reeonoectonly 67.84 2 - i..w,=.,13. >: Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 'r'•"` Signal citnuit(s}m tdmittd �etter Address:6101 NE St Johns Rd panel,atteoq or extension rati 0 See Page 2 2 . City/State/ZIP: Vancouver WA 98661 Each additional inspection over allowable to any of the above Additional inspection(1 hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 brittle) 90.001 hr Email:bdanleis@gweusa.com Industrial plant{I hr min) 78.18/hr CCB for which Lie.: C115$ 7Slectrical I ic.: 20$174 Suprv.Lic: 44965 n0 fee is s 'Insplisted els humin 90.00/hr Suprv.Electrician signature,required: 'C l l"" .- " " - �` �ot � Subtotal: Print name Joan P Albert Date: 4/26/2016 D Pian Review Required(25%of permit fee): all , °-•' – State surcharge(12%of permit fee): Authorized signature: ,__ '`may TOTAL PERMIT FEE: — This permit application expires if a perraitle sot obtained within 180 L.:'!.;. Print name: Bill Daniels Date: 4/26/2016 days atter It has been accepted es complete. ::: * Number of iaspaotiorrs allowed per permit ,!::'`1:teu0dinalPerm'dsNEtz PesmitApp EU.ERE doe Rev 06117/2015 4404461STt11/05/COM/WEa Plumbing Permit Application Building Fixtures RECEIVE ID - ;('),?..()1 1 1( City of Tigard permit No.: • ..... .1 . , - - • 14 ._-- 13.125 SW Hall Blvd.,Tigard,OR. n3 9T- 'APR.I.. 7 2017 Pion Review t •- Phone •.503.7183439 Fax: 501598.1960 Date/By Other Permit No.: 1 , inspection.Line: 503.639.4175 CITY OF TIGARD Nicitc3dy/By, iuri$. I pi soerxr 2 for I I'' \'t'' www.tip,ard-orgov BUILDI. G DIVISION Norified/Method: Supplemental reformat:too !ire 17.*.i:TA:rgtgif:hrTkrtqflf#Ntlot:Lft ...,-:.,,:4.48t'EA.- filiftli RVIiiiIatiArri--'1i.tWZ-4.01,-1*... *-,',--,.?'-! , . r.New consintetion 0 Demolition • • For spedal liforrnatlan we 1 1 Desert:Ow 1 <6,, A Ea. I Total I -C3 Addition/alteration/replacement 0 ' New 1-2-family dwellings(includes 100 it.fat-each utility connection) 1 '.%--'t;';."•:,`:-.."14100**I . ,1 *At Iikl.,A=. ,. -,;10,Aric... SFR(1)bath 312.70 1-and 2-family dwelling 0 Cornmercial/indistrial SFR(2)bath 437.78 . . ... SFR(3)bath • ‘ 50032 0 Accessory building •r: Multifamily ) Frit:h additional bath/kitehen 25.02 ...:. . ' - tstar builder , 0 Other: Fire sprinkler(______sci.ft.) Page 2 - li ‘,..''.• Site utilities: 15.76 1 1 Catch basiri or area drain j°b 4c 10Cirs: /31 9-18, SV\ PrvArx,r,(6‘mTfxY'att .. . • 1 Prywell,leach line,or trench drain 18.76 ) City/State/Z1P:Tigard,OR 97224 Footing drain(no,linear it.: ) Page 2 i .Suiten:Mg/001.110a ft,/ I Project name:, Ii , • !' A I I id •Manufactured home utilities 50.03 i Crossstreci/direetiont Mjob site: Manholes 18.76 I . . Rain drain connector 18.76 Sanitary sewer(no..1inear It.: _J • Page 2 . . , Sloan sewer(no.linear ft.: ) Page 2' '1 .. . • .. Water service(no.linear ft.: ) { Page 2. •• •.• Subdivision lf.ur itraitt, NarThvje f 1"--- I Lot no.://4) Fixture or item: _ Tax niap/Paroel no.:. Elickflow preventer , I - 31.27 . ,,.:„.•:,.,,,_,,i,„_•,..,..ii,_,,,,...„,,,,„„.,,,1„.„.„:,... .;•,-,,,_•.....c.Firs-s, ..:-..;,...„4,:ki..,. -..7.%,.-,,,,,,.i-,,e; ........st,-,11.4,-tXt-..v-';-,t,fir ,,, Backwater valve 1 12.51 ''.# :4i,f-,•':i-i;-.;'-2-;-::'.•';,V:'.-c"Y::='-'1'''‘.%-j)- 1*'.'1•'-iLlg'.1s1.-;-1:) '''''''? '4' '''-M'''''''.31.4‘44--ir*'''''''''';?A‘'- d'Ir'1.'•;, Clog=washer . 25.02 . . ••- Dishwasher • • 25.02 - ...• -_..... . _ _.. . , .. . prinking fmntairt..' - . •• . . 25.02 '. Ejeetors/sump .. 25.02 , • •-•, „.• • .._, -. .. • ,. - ::',%,,-,:i. -}q110.-T:,'..Z0.io.a".elit.*'',:i,72C-45:g.:04'.ila.,-,ii -Milifi?!,,:g0.414.411.,. • Esitanalon tank 12.51 25.02 Nairie..APWLaixt Iliddings;Ll:,C • Fixt*. SeWer cap 1 . Floordritin/floor sink/hub Address:7604 di E P . Garbage sposal 25.02 City/State/ZIP:Scottsdstie,.AZ 85258 Hate bib.- 25.02 ---1 - ... . ' .Phoriet OtA694-44_41i . Fac( ) , Ice Ilaker 1,2.51 • . 1 .,,.."'",,,"'Whrti''''?."...---::::*',''=`,":=',..•=4.77'''.., Ttir-74,, ,,F73LIT-1,7:70,,P...7",t..41Z-.::',:7,,,,V,Aat,"4.747`if,7=-7i7,77,'-: . • ''..'''.."'"`-'''''''''''''''''''',''% ::c ..f`'t-... i'",-If.S4414A'r.-,•.tJ;:pil.";e:6--..'1'r•erw t '`,F./(.,4't.4 i.‘:-,;.'"k,12-E'ZIC:::-' itliekePiedgrease trap • 25,02 , 1 6..... .-,f1:,f.....---,.....r..2..,::.,-.1.:::.-1.1,1,-.4,...•-:..,2-..-.::::,1•14.....:-;,• .-ir ese-1....-n. :r.4.-• ,:i *.ri •-•:•-•1•....,T.:•_....-12.-. ...4:-'- -• - • . . ., . 0usinest riARte;William Lyon Homes,Inc Medical gas(value:$ ) Page 2 • . . . . .., . . • Contact.name: rietrajewski, • . • •Frillier . . . . 12.51 . . .1 Agi G • Roof drain(commercial) .12.51 _ • Address:10 _ ,.. . . 9 East 1301,StreetSink/basin/lavatory . • 25.02 , J . atyiStateiZ1P:Vancouver,WA 98660 Solar units(potable water) 62.54 ........... . . , Phnitet(360)035:1700. Fax::(360)693-4442 Tub/shower/shower pan , 12.51 25. Einaii:Angela.Grajewski@polygenhomes.cont Urinal 02 Wateeclosat ---•---•:-'----'1.--,'--'-''''.-".":,•-•,:' ,n;--..•-•`-?,t,..3'..vs•t• - (.V,:j1,7-',..§:i'41,-Vtt--.^'2:4'T'''':?:. .. , . 25.02 r'..:-..•.:.,:,t'st,. .i.,..L.:.•••!__:.:,:,---:-..•i-i„-_;.•.. -7.,,A1-g-r,,ifr,:,,7:4',-- -es.at-4-d,....1. -,-...,.....r5...."-::::•..,-.fl.:::.•• •2. .i.t"?`.;"•:••:.•A Water heatt.r 37.52 ' Eittilitas t•tatite Adigiaitthimbiag LLCI.. •• Water pipinf,/DWV $6:29 .. , Addreic-14.6 W Historic Columbia River Hwy Other: 25.02 ... ... . , .. • . City/State/ZIP:Troutdale,OH-97060. . Subtotal. , _... ., . , Miniusum penult fie:$nip Phone. (503)49i4490 Fax xso*y 012-6438 . . Plan review (2.51ti of permit fee) cFB!."44:18;4610_ _ i Ail Plumbing Lie.no.:PR732 . State surcharge(12%of perilio fee) •1 t Autiorizedsigivature: A . TOTALPERMIT FEE 1 411 . . Paint 1 taTne:ittrlierl Diabritau Dale:5/23/2016 Tilts permit application expires if a permit Is not obtained within 1811 days afier ft lam been accepted as complete *Fee methodology set by Tri-County Building industry Service Board _ I:\idmU.PrUth4PPd0c 10/01109 440-461G7(10/02/COMME8) 1 City of Tigard 1111 COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: /`/S77. -6/ 2 - (a'O// .. Site Address: =5 ,c>/ / L /9 '7p-j-�e-,e Project Name: &ver- '�"ircoc.� /0P4 Lot #: /(e0 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review / - vi� ��, Proposal: AJee1) Ski (1— ' G.: j C`tA, 1V1 71/L 12(erify site address/suite#exists and active in permit ystem. Imo' River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached lan Elements: ree(3)copies of site plan ' to �/. Zing structures on site plan must be on 8-1/2"x 11"or 11 x 17"paper SieI/Footprint of new structure(including decks)with finished yawn 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 t ation of wells/septic systems pplicant information(name and phone number) 0 P:sting trees to be retained with drip line,and tree Lo dimensions and building setback dimensions .rotection measures t area,building coverage area,percentage of coverage and n treet tree size,type and location .ervious area(applicable if R-7,R-12,R-25&R-40) Street names Ci •roperty corner elevations(2 foot contour lines if more than 4 foot differential) t' lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: CI Yes ❑ No Public Faci11 Improvement(PFI) Permit: : equired: Yes,applicant was notified CI No Applied For: Yes CI No,stop intake and Use Case#: /6,6 L20 .-- . �`50 ---; 1/4e -kcc ez 4 (53 Ro g: R'"/Q 6 equired Setbacks: Front 65 Rear ,_6--- Side 0 Street Side p Garage O 0e Requirement: p q andsca � 0/0 Lot Coverage Maximum: Z'J(/ idL w �C7 ilding Height: Maximum Height AVR— Actual Height isual Clearance IA asements Rl P'ensitive Lands: ❑ Yes No Type LTA Urban Forestry Plan 0 Conditions `�'pric/r to issuance o bu dinf permit Notes: na//1767j9c' / 4` h' ;i'��'j['N' l �¢2t,,,,f7L /=SS e�4ce , , Approved By Planning: J Date: LTJ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPern itRvw_RES_091216.docx i, Building Permit Submittal Original Submittal Date: ,l0/ 4V14, Site Plans: # 3 Building Plans: # -7 Building Permit#: [ 'Enter building permit#above. Workflow Routing: ["Planning [engineering ®'Permit Coordinator wilding Workflow Sign-off: 0'Sign-off for Planning(include notes from planning review) Route Application Documents: EKEngineering: (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: Date: _V2-e//r 7 Engineering Review i Slope at building pad: ...41:17e; 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 El NOT Approved by Engineering: Date: Notes: Approved by Engineering: )1L ffl Date: 01--„1/---/7 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: Date: 3 2/ l.� Notes: Approved, (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: es ❑ N/A 6.®70K to Issue Permit ( Approved by Permit Coordinator: Date: 4/ 71;7---- I:\Building\Forms\BldgPennitRvw_RES 091216.docx City of Tigard IICOMMUNITY DEVELOPMENT DEPARTMENT II T 1 G A Ito River Terrace Building Permit Review Addendum Building Permit #: /-7J7 T 63 / 7 C 7A.-2— , Site - Site Address: /1/3/4/0 7 ) /914/hLe - -ar,e._ Project Name: ifiv-er- 7� /t ; &-/- Lot #: /(j'() (New dwelling=subdivision name;Addition 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. 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.,rwide ❑ ❑ ❑ ❑ yf 2. Eyes on the street: a minimum of 12%of each stre t facing facade must include windows or entrance doors. Percentage Shown: ,771-; 1 • oc '"; r3-70 3. ntrances:At least one entrance must meet both of the foll ' g standards: Max. 8 ft. setback from ion st street- facing wall Parallel to street,angle no more than 45° from street, or o n onto porch E ance opens to a porch: Yes ED No If es,all the following apply: sq.ft.min. ft.max.roof above floor of porch One street facing entry 5 ft. depth min. 30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five o e following elements on all street-facing façades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep.I. ❑ all offset min. 16 inches V ❑ ormer min. 4 ft.wide Roof eave min. 12 inch projections i oof offset min.of 2 ft.Q' ❑ Roof shingles either tile or wood f able,hip or gambrel roof desigrif oof pitch oriented south min. 500 sq. ft. horizontal lap siding min. 3 7 inches wide�i Accent siding min. 40% of street facad Window trim min. 2 2/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all stre 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): ❑ ]yl 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 above 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 façade with 7 detailed design elements Notes: Approved By Planning: ti , Date: . I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx Plumbing Permit Application Site Utilities :'l FOR OFFICE FSE oNl,' City of Tigard g JUL5 2017 Received /� Iii 13125 SW Hall Blvd.,Tigard,OR 97223 J Date/By: / �7. Permit No /_0j�_�//? - ® Phone: 503.718.2439 Fax: 503.598.1960 Plan Review ` A i'_;"r) Date/By: 7,sf )"7 46 Other Permit No.: or T 1 c,A R D Inspection Line: 503 639.4175 (,��"1 r Internet www ti and or ov i Date Ready/By Jugs g g �� � is Z1V V x vS R Nottfied/Method 7 .. m tion P1e 2 n or ..max - , i$ ,., ; al I f s Page ..,,, � ^ . ..,,,, a . ...> ., ,. ^',� ..,.,: �'�� � �DDI�l�ment c a� ®New construction ❑Demolition For special information use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) �� tl ,iv a �y . a SFR(1)bath 312.70 a y... ,,w/ SFR(2)bath 437.78❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building ®Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen 25.02 ❑Other z Fire sprinkler(1,2.L sq.ft.)0/4_,_ Page 2 � �� i ,� %�l i '3 �� iia } x t i i, Site utilities: Job site address:13148 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: I Lot no.:160 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 RP P g , a Backwater valve fit, ®' �vpvk 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Dishwasher 25.02 Permit#MST2017-00112 Drinking fountain 25.02 OP * Ejectors/sump 2 Y Expansion tank ,. ,,, 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax ( ) Ice maker 12.51 ,, r .,, `,; „ y ' t t .< Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 Address: 146 W Historic Columbia River Hwy Roof drain(commercial) 12.51 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 t i �� :.; Water closet 25.02 * �, ;' Water heater Business name:Alliance Plumbing,LLC 37.52 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) Authorized signature: /Z----.-3 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name:Gavin Thornes Date:7/3/2017 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\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 Suppression S stems: '* \,� �a'14) , '' ., At T,,--."'.'-,,:,,,;',,:f.. ,... 21 aw Vies Footing drain-1s'100' 50.03 0 to 2,000 $121.90 2,001 to 3,600 $169.69 Footing drain-each additional 100' 37.52 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 tw� , �:17 ,� ' � ,1 .. � * ,,,-�..* 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 t each additional$100.00 or fraction thereof,to t ' 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*. t ,,i , an> byFFi7 a�C Y ' € max ° ��.�..1. , � . FAXture TyWrir °z ' e_, Plan review is required for any of the following. 0t Ptaj tb:,A , ,..upped'. d te- `` 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 o 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water-Driv T Aspirator as defined in OAR918 780 0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 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. Car Wash Drain ❑ 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 Cloo Water Extractorfees assessed for the sewer increase must be paid before the set-Toilet Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pgmit.doe w., Mechanical Permit Applicatio i 1 OR OFFICE 1 SF O\1.1 City of Tigard , �, F - 7 n a `A�% , IN�- 13125 •SW Hail Blvd.,Tigard,OR 97223 , /' -' i, Phone: 503.718.2439 Fax: 503.598.1960 Date/13y: a a By Other Permit:: 1 i v , it L) Inspection Line: 503.639.4175 Date Ready/By: »= B! See Page 2 for Internet www.tigard-or.gov 6 , Notified/Method: Supplemental Information ' �,x,r 7r- `y a,. .'m, r :r .3, ` CB1til"I AEJ,. 4' X,:::, , PDl:i C: t f S � �� �� �� �/.F 2 i�_s,.# ....,.,�a r .� ,,..S.� .. _ ,r r .- , ,..,�'-,..arm,.:,, ,,,,;'!1::::1',;','",i5.3-1. . .....: __ y ' . -�-,-, Mechanical permit fees'are based on the value of the work ►�1 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit _. _ . .. -;..-"..•!.... . ._ _.. .._.. ..;'_..,_`'C'-a',.... ....,.. . �.d w....... Value: al.ue $ £ C' � :..Ir ` . 4¢ ,,,...±--,.-.....,,- ..,. n, r.., ._�,,W' .....�� .. .,_..G..7, .R..._ ... ,_ w_ i_,�,_. �.... . LJ4�.r+.h , 6 t i. .__cf O......_.h l!�� � P11._..a..? 1 ❑1-and 2-family dwelling 0 Commercial industrial ❑Accessory building For special information use checklist ®Multi-family 0 Master builder 0 Other: Description I Qty. I Ea I Total ', t4 ` Y� , .-;,--= '-',74,-,V=';.,-'='=,7"-7 _ .�...� jHeating/cooling: H '' ' J t '.- [ 0tt.C °1 "Fbt }f lq ;; ;ts ,-- `_;-`1.-41,1; Air conditioning 1 46.75 46.75 Job site address: f k of , / . t A ' ' a / . 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/bldg./apt.no.: IIIProjectname:River Terrace Northwest Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above I 23.32 Subdivision:River Terrace Northwest Lot no.: RIM Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 1 F Lias fir la�nsert 1 3339 -�� , ,� , °..: " Flue vent for water heater or gas Contractor Change fireplace 23.32 v� Log lighter(gas) 23.32 Wood/pellet stove 33.39 IIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIIIIIIIIIIIIIIII Wood futeplacelin sen 23.32 Chimney/liner/flue/vent 23.32 '41 , % 4 E ,r.7' 7e1t e71 ----;Z,'",- -6.'.:•F‘..7,1i',,rr 'lyesµ':. '. -,, t..' Other: 23.32 F _____.r.,_ _. �..�..__,.", .._._ .. 3-..r _. L._. 2',-,;':,,"=1S,...:1•-='•.. - Environmental exhaust and ventilation: 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)694.4031 Fax:( ) Attic/crawispace fans 23.32 F .... ,„ rl L f�.: .v`fk P 4i �5 )0. yF ! t;'- t , -tw Other 23.32 Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Nichole Thorpe Furnace,etc. 1 Gas Address:703 Broadway ST Suite 510 heat Pip Wall/suspendediunit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 -`""Fireplace i Range 1 E-mail:Nicbole.Thorpe@polygonhomes.com Barbecue 1. . ,_L r�., : ..._. �,_. ;".4.:-,!7::." 112...-21A4::.)..:� ' 47'.;,11-.r-- -:... ... ..�4°�__ }, _,-i..._ Clothes dryer(gas) Business name:Pro Heating and Cooling,INC Other. .};:. ,fox iP1 YE .', I. rM1.7>3 -1,:-':::`,...t,-:-_-.1',7,11.::424" Address:2095 NW Aloclek DR Suite#1103 Subtotal City/State/ZIP:Hillsboro,OR 97124 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)4435692 Fax(503)9415075 State surcharge(12%of permit fee) CCB 1k.:209001 TOTAL PERMIT FEE nn��..,, ------�� This permit application expires if a permit is not obtained within 180 ,�, V days after y has been aycBuildi as complete.try Authorized signature: �(,��,1� • Fee methodology set by Tri-County Building Industry Service Board Print name:Nichole Thorpe i/t Date:9/19/2017 I.\BciidingtPermitsUhll:C em itApp_040113.dce 440-46171(I1/07!COM/WP.B) 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 Transmittal Letter T 1 G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DA a i 311 t ti ff () DEPT: BUILDING DIVISION DEC 182017 ;i_., Lid` I sig; FROM: Nichole Thorpe 3UlL.DING DRAWN COMPANY: Polygon Northwest PHONE: 360-989-4204 By: RE: 13148 SW Aubergine Terrace MST2017-00112 (Site Address) (Permit Number) River Terrace Northwest Lot 160 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 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 a City of Tigard • COMMUNITY DEVRI OPMENT DEPARTMENT IN , 1 G RD Building Permit Review - Residential Building Permit#: //..5-77,2-6, `7 - W//....1- Site Address: /514/ -4___,_c)A)_,e3ii2.€ =At fo2C.( Project Name: ;�•' -1.__ • _,i i A Lot #: ge 0 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review , Proposa ....) l: /fiat) —g% .�— 'ii �L� 1V1• n 12(erify site address/suite#exists and active in permit stem. •ii2 1, River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Si 'Ian Elements: rJ . ee(3)copies of site plan `,+ .i: structures on site FA.rte plan must he on 8-1/2"x 11"or 11 x 17"paper 14 Footprint of new structure(including decks)with finished 11 yawn to scale(standard architect or engineer scale) oor elevations rth arrow 0IA ttlity locations(required for new,may apply for additions) rte address,project or subdivision name and lot number . ., tion of wells/septic systems plicant information(name and phone number) f�yy r+ ting 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 TI treet tree size,type and location �r�v ous area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than 4 foot differen `J °, ean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): ' •aired: 0 Yes,applicant was notified !, No Received: 0 Yes 0 No /1 Public Facihhi Improvement(PFI)Permit aired: Yes,applicant was notified 0 No Applied For. tiYes ❑ No,stop intake ileg d Use Case#: P �Q t t ©�&)tJ E-/Q b; Required Setbacks: Front t Rear ....6.-- Side 0 Street Side pipr Garage 0,20 . .dscape Requirement e200 FA Lot Coverage Maximum: 80 % o uilding Height Maximum Height Actual Height 5LF:I isual Clearance ►/ asements U �'ensitive Lands: 0 Yes No Type N Urban Forestry Plan 0 Conditions"*.s"pri9r to issuance o bujjidir g permit Notes: 17atilia t f'/ ESC j7i — '' /WTNI'7 - /SsL?�./1Ce Approved By Planning: ��'-� ✓ Date: , Revisions(after Building Submittal only) Reviewer Date Revision 1: .Approved 0 Not Approved ;A'lfrel f iY4 a P1011 7 Mtn n u0 /241 SI Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPennitRvw_RES_091216.docx L Building Permit Submittal Original Submittal Date: id 51410/14, Site Plans: # �1 Building Plans: # -3 Building Permit#: Er-Enter building permit#above. , Workflow Routing. [Planning D ngineering 'ermit Coordinator &wilding Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: L'Engineering. (1)copy of permit application,(1)site plan,(1)building plan and 9riginal 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: Date: —V2-e7"/"? Engineering Review Slope at building pad: 4.01/d jr Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: ❑ Yes 0 No LIDA Facility on lot 0 Yes ❑ No O NOT Approved by Engineering: Date: Notes: Approved by Engineering: ize. " Date: ol-,,G/j7 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 Approved,NOT Released: ODate: 3 Z/7/...7--- Revisions * 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: 2 DC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: es ❑ N/A 705 to Issue Permit C/ Approved by Permit Coordinator: Date: 4/i7 J I:\Building\Fmms\BldgPermitRvw_RES 091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13148 SW AUBERGINE TER, SHERWOOD, December 20, 2017 at OR, 97140 9:58:09 AM Record Type: Record ID: Residential - Master Permit MST2017-00112 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate verified C of 0 left on counter. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13148 SW AUBERGINE TER, SHERWOOD, December 19, 2017 at OR, 97140 1 :10:36 PM Record Type: Record ID: Residential - Master Permit MST2017-00112 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 45 psi Violation Summary: Inspector Contractor