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Permit (110) CITY OF TIGARD MASTER PERMIT . '- COMMUNITY DEVELOPMENT Permit#: MST2017-00110 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/17/2017 Parcel: 2S 106 D B 15800 Jurisdiction: Tigard Site address: 13136 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 158 Project: River Terrace Northwest, Lot 158 Project Description: New SFA. Building/unit 2.2 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 Drywell-Trench Drain: 0 Other Fixtures: 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: $22,693.01 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Youmay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �,j Issued By: A,4,--2,,,,,„(,...c.,_ Permittee Signature: 7C�ie ,A�f// ± l �/ Call 503.639.4175 by 7.00 a.m.for the next available inspection datef(r date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application •' '. ,c-U/v`� Raid ltis`il FOR OFFICE 1SE ONLY , :t. ih 2 City of Tigard ReceDate/.ved B `'' ;21) /7 e0, - PermitN �7+ r7'LJozo - 13125 SW Hall Blvd.,Tigard,OR 97223` plan Revi Phone: 503.7182439 Fax 503.598.1960 Date/By: '"i ')'7 tither? )it'/ I' QC�1I TIG;i R D Inspection Line: 503.639.4175 Date Ready/By. ��� Juria: H See Page 2 for Internet www.tigard-or.gov Notified/Method: 7/07 - Supplemental Information Zi- ''''.-t"--.1--''':-'-,-.;'; ° ...=:;�u j:`-`•-.:_..: ,r .-. E�� :.__w ,i.::..- -,-,-, 2 "`�o- _..� ix: j-TJ.,v Yi',.< _^. __:._ .Fi.:�?*e-�.,,a,: ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the - .£ u - ; work indicated on this appli 'on. 1-and 2-family dwelling4 ❑Commercialmdustrial Valuation:16 j a 67$ ' S I ElAccessory building ZMulti-family Number of bedrooms: Z ❑Master builder 0 Other. Number of bathrooms: a 1 67 4- tom-+-- ,. : olt"t;;Il17E�7R AA.' D 4 - Total number of floors: Job site address: 5 New dwelling area: 2 2 ) ✓square feet City/State/ZIP:Tigard,OR 97224 J Garage/carport area: 4 S� "square feet ' 6a Suite/bldg apt.no.: Z Project name:River Terrace Northwest Covered porch area: J 3 ✓ square feet 1-] . Cross street/directions to job site: Deck area: '7 a f square feet Ce eerststrruucctture area: 7 '') ✓square feet It ter , Subdivision:River Terrace Northwest Lot no.:V 511 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all overhead,and theprofit for the equipment,materials abor, �� work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet '. � t r Fii ——_ ° �: >x. , -- -�4 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. vim... ._� Business name:Polygon WLH,LLC t Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Amount received: Phone:(360)695-7700 Fax :( ) i ) o �,e -. - a , f� r tV , ,� €a �V,a- ;EmailAngela.Grajewsa@polygonhomes.com -:-' =t - :Y -N -. l -':,.'.-. 7,4,-7;--1.T„.,.. -'61n7;F t`r i - _ Commercial and residential prescriptive installation of . 'i- � . LSA= .— roof-top mountedSystem. - . ..___� _ .... Photovoltaic Solar Panel 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): ^'-nne:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 B lic.:207247 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained 419 /,.L[l. • • — within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: 'r /I(y '�( n Fee methodology set by Tri County Building Industrypf l'J-.1 Service Board I:\Building\Permits'BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicatio�ECEIVE • FOR OFFICE:I(:l; t Si_0\1,1 City of Tigard ReceivedDate/By: 112 :2 11,1 M . 13125 SW Hall Blvd.,Tigard,OR 97223 A P R 1 7 2017 Plan Review Phone; 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T1GA);; .Inspection,Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: _ 'Et,See Page 2for Internee: www.tigard-or.gov BUILDING DIVISION Nottfred/tethod. Supplemental Information '2r s t n cr a 3t :t , 'k as r e '�ti ��e r �jyN s' ' ���,:,;� ,Ar �yy ` u m cift4, i i 9"1 ¢aiZ e> :;ritil e�� , = to�. f.- .,Y k.c .. 41 atrrz..: ,r ,` .''FvN.ctaaYaf t :rig . ",,,V .'.,t'O, ver ?", :• 4,- x T` i4,.. ...s. ,,.fit., Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit '''''i- 1..k.',4,.'. Value:S at•tlk ,I{' l?7ir " Y..F7 'r'° rt t^amt y- mak,tx q,it ii- 41lr� T . 5c''1,, t&.K , ;-F�z (,; t" IZ,:.t ;, r'''t '' ,.>r. rN „ . 0 yt0''1'ra?,Q 0-'iY1.Zii,1r.,;1 i .'44Wit;: ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ®Multi-family 0 Master builder 0 Other. Description Qty. l Ea. ] Total -Z:1 1.51:,x. r. t��. 4txtMa 7Y':•• t'W fVP5y"Rt ai"?'` '41. .;1 C`'C$e C5'77i ,..a '7 T' f 4t=, Heating/COOling; Wu _.. . .,i.1t:r±I k,t.n3_.S, ..' mac.. a°M:��. ; ±. ,., F tti"aik,, ..t:x> t,'S'21$ Air conditioning 46.75 Job site address: / 3!30 'S' AlAibeff�,�rtt matt Furnace 100,000 BTU(dactslvents) 46.75 City/State/ZIP:Tigard,OR 97224 "� Furnace 100,000+BTU(duets/vents) 54.91 Heat pump 61.06 Suite/bldg./apt no.: 2 4-2_ I Project name.Q kU -T,C/ y # 0 QST Duct 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 23.32 Subdivision: Q_ 4 ¶.F ut Ve to r O -ti inwe c-j-- Lotno.:I Other: 23.32 ►�"� Other fuel appliances: Tax map/parcel no.: Water heater 23.32 '-".” cp f,.`7r,:. ,? 'a J cx &tom` s t ,,,`fAs @1t t,c ,a' ; r'". r }„ter V' Gas lace/insext � �i���._t >,.;�� `>,� ..�. � � �a � 1 3339 Flue vent for water heater or gas new borne construction fireplace 23.32 Log lighter(gas) 23.32 L . _ Wood/pellet stove 33.39 Wood fireplace/insert 2332 Chimney/liner/flue/vent 23.32 z,t xu 1 sl r i Outer: 2332 ky r �.� ra. vaR�".,:.,� tCl '�.`.�,�, . . ,_r ...,;.,.� °�� r ,��,,�..,.. .�_ Environmental exhaust and ventilation; Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Donbletree Ranch Road Clothes dryer exhaust 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 1 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 ,,,;'4P ic`c .4, 4. zr' uC ri '' .. .t:'I i'' rh('k s 1 5 i,o lkt_ Other: 2332 Business name:William Lyon Homes,Inc. Fuel piping; 514.15 for first four;54.03 for r 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 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace 1 Range } E-mail:Angela.Grajewski(a�polygonhomes.com Barbecue1 _. .� _¢= t,t ;;. C l L3., ->st -.a :,;-:.. 2:i.:'1.:::-::. Clothes dryer(gas) Business name:Andersen Mechanical,Inc. xt 4- hcdz T,AW :- 7ur Address:16285 SW 856 Ave Subtotal City/State/ZIP:Tigard,OR 97224 Minimum permit fee($90.00) Plan review(25%of permit fee) i_Phone:(503)992-6664 Fax:(503)536-6615 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 bas been accepted as complete. Authorized signature: Fee methodology set by Di-County Building industry Service Board Print name:Nichole Thorpe Date:4/17i20I7 1::115uidinerennitsUNEC_'emiIApp_040113.doe 440-4517T(I V 02/COMIWEB) • • RECEIVE :. Electrical Permit Application FOR OFFICE USE ON LI IIICity of Tigard APR 17 2017 Received 13125 SW hall Blvd.,Tigard,OR 97223e� Phone: 503.718.2439 Fax 503.598,1960 PatedB : ' Inspection Line: 503.639.4175 CITY OF TIGARD narorg TIGAli>7 Internet wtvw.tigtud-or.gtry BUILDING DIVISIO' NDr�isyed/Methoa la See Page 2for Supplemental lnformanon i- ..� r_' ��J &a r 1 :'ii . faai � - 1_ r wssotX, 3 ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans whims checked): 0 Demolition 0 Other: I]Service or feeder 400 amps or more 17 Building over three stdries. r H?w,e M `� }_ > __0 �\ :` where the available fault anneal 0 Marinas and boatyards. �� .,a;; n_.: ?_ exceeds 20,000 amps at 150 volts or Ci Floating buildings. 1-and 2-family dwelling 0 Commereialfi idtistrial 0 Accessory building less to ground.or exceeds 14,000 0 Commercial-use agricultural Y4 Multi-tinnily 0 amps for all other installations. buildings. 0 Master builderOther: ©Fire pump, Q 1e uellation of ISO KVA or 2 ,. " _x ..er: ,. ...Mkt=u`s'e' t • � p �` 1aMt ©Em Emergency system. larger separately derived Job#' Job site address: W a —, Ei Addition of new motor load of system. / . 1. i, ' TLE 10011P or mote. 17_1"A",'S","1.2•,"1.3", City/State/ZIP:Tigard,OR 97224 O six or more residential units. occupancy. D HesWI-ome facilities. LIRcoreationa1 vehicle parks. Suite/bldgiapt,#: . , Project name R/1 J'Clr' 1 tTro.c Ookr 01iaaldons locations. E3 Supply voltage for mons than Q 1 Vt�*+ D Service oar•leder600 amps or more 600 volts nominal Cross street/directions to job site: ,'_ �,w L$:i •,3,hr, t " -�- Description 'Qts. Each Total I • Subdivision: New residential single-or multi-family dwelling unit. �ev 1 e ro.c, Nadi/r II(e S'1- 1 Lot#: j 93 IDeludes sq.fttalo sed garage. 168,54 Tax mapparcei#: r allill Ba add'1500ft.orportion _-h.k #f•` `sa'W.,2 1 GY 3t 9 l J Ai tri s` c td, ',.''f'1-1.' sq. 33.92 -�. • . LI�''.energy,residential IIII (with.above sq,ft) 75.00 Limited energy,multi-family 75.00 residential(with above sq.ft.) r7 ,7r r< 1°;l 1 7: is tia*:4' . z �",` ,r�+i3 a #.,3rr , . °l Renewable En ■ See Pa_ Z �� Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 L Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/LiPP:Scottsdale,AZ 85258 605 amps to 1,000 amps 30I,04 2 Phone:(602)694-4031 Fax:( ) Over I,000 amps or volts 552,26 2 • Email: Temporary sei vaceis or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I I 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701, ' 201 amps a400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 5;:.. s D a 1,A lii x ;i �o 4,_,./i.---,-: ;y ,; ,,,4,44,•,_„,.„,,,. Branch circuits—new,alteration or extension 'Cr 'and ` �`�� ��" � A.Fix for branch circuits with Business name:Wiltiam Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Angela Grajewslrl B.Fee for branch circuits without Address:109 East 13th Street °branch cuifeeder "feefust 56.18 2 • City/State/ZIP:Vancouver,WA 98660 Each add'i branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695 7900 Fax::(360}693-4442 Each Maatlifisaured or modular R J b@PolYg dwelling,service and/or feeder 67.84 2 1 Email:An elsGra ews onhomes.com . . .. ss v fi .� . Reconnect only 67 84 2 iC, � f 1 ' ' ;"` " fDJ`S 4,. . . f-Z ei ,k1-, w -� •. mo pump or irrigation ezrcie 67.84 2 I Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 4—,. Address:6101 NE St Johns Rd Signal,et ratio)or extensmfu, 0 Sea Page 2 2 panel,alteration,or extensitrn. City/Slate/TdP Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr rain) 6625/hr Phone:(253)320-1657 I Fax:( ) Investigation(1 bruin) 90.00/hr Email:bdaniels(agwensa.com P (lhrmin) 78.1&fhr Inspections for which no fee is m CCB Lic.: 01158 Electrical Lic.: 208174 , Suprv.Lica: 4496S in. listed a hrnlln f-ILtSuprv.Electrician signature,required: -41/,:fdi 1� "�`� lens'_. ' ' ' � Ali. il 'a 1 Subtotal: Print name: Joan P Albert Date: 4/26/2016 ❑Plan Review Required(25%of pemtit fine): State surcharge(12%ofpermit foe): Authorized signature: • l"''�= ..------•--~ TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 i:;; Print name: Bill Daniels Date: 4/26/2016 days after it his been accepted es complete. #"rr rL - * Number of inspections allowed per ?:=t;5':S%),,tiainsingwermirt>ime_sermbApp_nia&R$.doc RAN 06/17/2015 440461S7pI/051COMrWEg p t 3 • • Plumbing Permit AP licati0 RECEIVED .... Building;F tures IOP.. 11111( I I 'l (i\€.1 .. APR 1 7 2017 Reoeivod . • city of TigardDataBy: Permit No.; i 13125 SW.Hal€Blvd:,Tigard,OR 97223r,iTY OF TIGARDRevicw Platte. 503,718,2439 Fax; 503.598t1iQ(t4QJEJ�Iy pan ChherPamitNo.; 1 s, .`,,,, . 'Inspection.:Li e: 503.639.4€75 LDING DIVISION Da d,,�y; Iris. ' S FAgzfar Internet www ugard-or gov NotifedrMethod; Supplemcnb,t Information 1 - inkb. r41w7 uAJW.� *tY �n.h� ZT r1, c, _ nwfif, rtI.- ...;5. . !! ®New constrtktion ❑Demolition • For special innfo:wagon.usc checklist. s Description ( Qty. I Ea. I TOW i jJ m Addition/alterationkeplaeeent 0 Other New I-2-family dwellings(includes 100 ft.for each utility connection) i M' .471.77..', ., r r .a til'"a'll o e''.gitSeArliel SFR(1)bath 312.70 I-end 2-family dwelling 0 Commercial/industriai SFR(2)bath 437,78 I]Accessary building < 'Multi=family SFR(3)bath 50032 ,--- ----. _ --- Each additional badilkitchen 25.02 1 !atebuilder D Other: Fire sprinkler r(__�1 ) Pam 2 , . �c�� � � . � � s,�9e.`. in.a,` t�`�, ���"�fit " =4,4.1 "•;,•"4-.-7-',-.% Sitcoiafities: Job site address: /3/ILO S,p, r i( I ,r( e Catch basin or arca brain 18.76 i CityfState/ZIP:Tigard,OR 97224 f"( Dry�veil,teach line,or stench drain 18.76 - ��L Footing drain(no.linear R.: ) Page 2 1 1 •Suite/b€dg apL no,: '_ .2_ Project name:z �(tX 1 Lf V4iz NOrklAM'•l Manufactured home utilities 50,03 Cross sttee!/directions to job site: N. Manholes 18.76 { ' Rain drain connector 18.76 11 Smtitary sewer(no.linear IL: ) . Page 2 t Storm sewer(no.linear It:_1 • Page 2 ; 1 Water service(iso.linear It.:„_•-,_) Page 2 _ Subdivision 12,,ITyr ftrra� arnI,j -1— utile—Alt Fist dre or item*: . , Taax trap/parcel•no Backflow*venter 1 31.27 : . ;:'aa s , `;� .r. , 1"k'.t'"„t a;,„� e ` ' 'Beckwatervalve 1 1251 '4,,•s r': .:=e _ .:4 ate,4, a`*nh ,,£.: cfii' T•.✓ .7RL�- '', -iy ,. . Clothes washer 25-02 • Dishwasher 25.02 - . . . - Drinking fountain_ 25:02 .. EN etotslstimp 25:02 1 e1.4 ,,., . i1e6 1,t.:.nrg.;,y ti ?, +'-'` ;iii, .v, ,yV-V sig E ZItf' • P'tiranim tank €2.51 Raine:.ADV L'•L.abd Holdings;LL it • Fixtyrgfsewcr cap 25.02 • Floor.(ha€l/floor sink/hub 25.02 • Address:7609 E Doubletree Ranch Road • w Garbage disposal 25.02 CftyIStatc/Z€P:Setittsilale,A2:85258 Hose bib 25.02 Phone:$02)094404 Fax.( ) lee maker 12,51• �.-� .. .,.. r ...�>� e� dnterccptor/gcasetrap 25.02 KS.sbae� � .5�?sS�l�„s,zVE.wivv � z rE ,h�a� 13usiness Oa:Obi Wiiliieia Lyon Homes,toe Medical gas(value:$"._) Page 2. Primer €2;51 Contact n mte;Angell Grajewsikl .. Roofdrain(commercial) 12,51 Address:1109'East 1)th Street siitlitbasirn'iavatoty 25.02 City/State/ZIP:VaoceuWer,WA 98660 Solar units(potable water) 62.54 . Pho)ic:.(360):695-. 700 . Fut:(368)693-4442 Tub/showeds1tower pan 12.51 . E-4rtail;A,ggela:Grajtw•ski@polygeodUnoea.cem Waal25,02 r � 1 e' M z-s is ; Y ',;:.Y . Water closet 25;02 • f' water icer 37.52 BuSlntss lame.AIGtilrcb L'itiimbing LLC WaterpipingIDWY56.29 Ad*r :146:W Elistoorir Colombia River Hwy Other . 25.02.. City/State/ZIP:troiRdglc,0121706P _ Subtotal: Ph—obi!:(503)49 3490 ' Fax:(503)912-6438 Minimum permit fee: $72.50. 5CCB L ic,s 118460) Plumbing Lie.no.:P8732 Plan review(2 `4 of permit fee) State surcharge(12%of periinii fee)_ Authorized signature: TOTAL PERMIT FEE Print name:13obert Dis;iman I Date:5/23/2016 This permit application expires If a permit!s net obismtd'w.tttin ISO days *tier ii bin been accepted as complete_ `Fee mctbedolagy set by Tri-County Building Industry Service Board ttaidtdingi ermi4U'LMU•Pamitapp,doe tetottoS 440461GT(tORZtCagmurE8) City of Tigard IIIq COMMUNITY DEVELOPMENT DEPARTMENT III T l c K o Building Permit Review — Residential t7., 1?ts.;,,,«e=.iii -s. .,;.aks_. e!Ai.€�.isc i -msl ,.Ar.kms: ' --. - dl,-43mmo ". iz »rasa. war.t.,,,- Building Permit #: /`l-Cr.-2(2/ 7 - 6,W//6 Site Address: L' J. C€ S4( / & titre 7 r,2c Project Name: OV — ' 7-nar e /U0,r4&.W Lot #: /S (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: kl 6/— "17-4///, L ae. ( -P.iclien/Le.___) erify site address/suite#exists and active in permit ystem. I River Terrace Neighborhood: CI No Yes,See River Terrace Review Addendum Attached " Silan Elements: ree(3)copies of site plan is g structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished raven to scale(standard architect or engineer scale) oor elevations rth arrow tility locations(required for new,may apply for additions) rte address,project or subdivision name and lot number a ation of wells/septic systems pplicant information(name and phone number) 0 d:sting trees to be retained with drip line,and tree of dimensions and building setback dimensions .rotection measures jLot area,building coverage area,percentage of coverage and 'i treet tree size,type and location .ervious area(applicable if R-7,R-12,R-25&R-40) Street names ►i roperty corner elevations(2 foot contour lines if more than 1 4 foot differential) tAlean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes applicant was notified No Received: ❑ Yes ❑ No V(1{ Public Facili Improvement(PFI)Permit: /equired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake and Use Case#: J bet2Q 'C`� • Lr R =&D Roning: R-/Q / 0 equired Setbacks: Front 8 Rear �� Side 0 Street Side 0 kGarage c20 andscape Requirement: 2O Lot Coverage Maximum: Jl wilding Height: Maximum Height NM-- Actual Height E ',V isual Clearance riasements U ,'ensitive Lands: ❑ Yes No Type YA Urban Forestry Plan ❑ Conditions "�'pri?r to issuance o building permit Notes: d7r;/7�o�9a' // Le /11, poor— l / )lbL JSS4-asev .. .„ Approved ByPlanning: - ✓l - Date: PP �, �` e6 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved I:\Building\Forms\BldgPermitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: 7-2/-)0/1/6 Site Plans: # _ Building Plans: # 37 Building Permit#: ®--Enter building permit#above. Workflow Routing: FLfrPlanning engineering ‘0-- Permit Coordinator El--Bading Workflow Sign-off: 0-Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ..12'Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: - / Date: _fy?c�/,47 , -i.,� �,s,��� - �� WW-1 ter,•, �;� -£ .:Ak."1,2:..2 -�M Engineering Review lope at building pad: ���. a" ....Z2: 7W onditions "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: 0 Yes ❑ No LIDA Facility on lot: 0 Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: i4Z j7 Date: 0-27.17 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 pproved,NOT Released: ii"ate: 3 2/ i ._— 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: 0DC Fees Entered: Wash Co Trans Dev Tax: !�► ---s ❑ N/A Tigard Trans SDC: •es ❑ N/A Parks SDC: es ❑ N/A NI A K to Issue Permit P roved byPermit Coordinator: Date: "/(1 / PP ?- I:\BuildingWorms\BldgPermitRvw_RES_091216.docx Z-I:\Building\Forms\BldgPennitRvw_RES_091216.docx City of Tigard iv III COMMUNITY DEVELOPMENT DEPARTMENT I T 1 G n R o River Terrace Building Permit Review Addendum Building Permit #: /IS .,2e)/7 _` c9// Site Address: /' /'S ) /4 ii `� or Project Name: /Over- evee i,s;io i`� Lot #: /S—e) (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.,atewide r--1-iz-- 2. Eyes on the street: a minimum of 12%of each s£'_r' facing facade must include windows or entrance doors. Percentage Shown: 1771-; 1"- `/p. l `o 3. ntrances:At least one entrance must meet both of the foll ' g standards: Max. 8 ft. setback from lon 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 ❑ No If es,all the following apply: sq.ft.min. One 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 o e following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep.1. ❑ all offset min. 16 inches ❑ ormer min.4 ft.wide Roof eave min. 12 inch projection / oof offset min.of 2 ft.Q ❑ Roof shingles either tile or wood able,hip or gambrel roof desigr(� oof pitch oriented south min. 500 sq. ft. horizontal lap siding min. 3-7 inches wide 9i Accent siding min. 40%of street farad01 indow trim min. 2'/z"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): May 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) 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: _tMO . I:\Building\Folms\B1dgPermitRvw_RES_RT_06221 b.docx ' Plumbing Permit Application RC1F D \J Site Utilities FOR OFFICE LSE OVLI Cl of Tigard JUL 5 20� Received /J� _ `J g teBy: 7/�2? /Jj(/" Permit No C/o/) 06///� I 4 13125 SW Hall Blvd.,Tigard,OR 97223 i '' i;.)F- i r =. ,Review i ✓ ` Other Permit No.: Phone: 503.718.2439 Fax: 503.598.1960 BUI1 I e�7G (�IVLS IeIBy: 7-/O-17 qG(� TI G A R D Inspection Line: 503 639 4175 Date Ready/By: Juris H See Page 2 for Internet www.tigard-or.gov Notified/MethodA Supplemental Information For special information use checklist ®New construction ❑Demolition Description Qty. Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) oe �, .. s SFR 1bath 312.70 - . > < tb %.n ( ) 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ®Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(1,221 sq.ft.)UK e- Page 2 3 'gi`C t ted )f ,... Site utilities: Job site address:13136 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.: 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.:158 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 7 Backwater valve 12.51 Z,• t � � Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2017-00110 Drinking fountain 25.02 Ejectors/sump 25.02 �' t Expansion tank 12.51 ~Northwest Fixture/sewer cap 25.02 Name:Polygon 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 r Interceptor/grease trap 25.02 .,; .' "•..... .,...�' ,. .rte ,., '''''' ;l,. Medical gas(value:$ ) Page 2 Business name:Alliance Plumbing,LLC Primer 12.51 Contact name:Robert Dishman Roof drain(commercial) 12.51 Address:146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 Water closet 25.02 �,....., g 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 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lic.no.:PB732 t.---r � State surcharge(12%of permit fee) / Authorized signature: - �`7Z__--] 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.doc 10/01/09 440-46161(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fireupr fieio Systems: , y \l';',10 Footing drain-1'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 y a' • HCl m, ,.. a >t ... . . Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for '" ,➢" each additional$100.00 or fraction thereof,to " lrp ..�� 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*. Quttl Nay t" Ire ure Jype`,k a_ V1t >llacei orkp � Plan review is required for any of the following. . ... Please check all that apply. Baptistry/Font PP Y• Bath -Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 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 ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" -4„ Car Wash Drain �,,.�,„• .�.��. .„ �e, .,, . _ �..° ...��-- 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 P22mit.doc Mechanical�of Tigard DatelBy:Permit Application 1 oiz Cit c)rriCE iso O\L1 '/�1/L/ FAI Permit No.;//4ip f .. ., 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit: A is Phone: 503.718.2439 Fax: 503.598.1960 c[..? 0. ` ,,7',7 Datem T i;v Inspection Line: 503.639.4175 Date Ready/By: /uricPJ See Page 2 for Internet www.tigard-ot.gov Notified/Method: Supplemental Information '� -r' 1 ''La ped C �4 4 n�'1-f�tIJI�+ C13 f.ry+.y •�Z F� ' Mechanical permit ees'are based on the v ue of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ t ue n� C Ef 2P F ' ' . , ‘,4'''';':',r,:;1'''.� ,:.,,--,..,..... .1„,,,,-.',,,2::,.,,.....:1:-.:s ,_z, _.__,.,. <; :�� , ,,, } i r�,F�t�tt.t �r � n t"��nM ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For:pedal information use checklist, ®Multi-family 0 Master builder ❑Other: Description ! Qty. I Ea. i Total eating/cooling: �...r.,. .. .._ : .._... � . .:�_. . „.,_, .< :._� Air conditioning 1 46.75 46.75 Job site address: 131-mi, 5\4pl%berj1 i -rQdi/�`�'� Furnace 100,000131U(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 w� �t Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: 2 .2 I Project name: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 1 23.32 Other: 23.32 Subdivision River Terrace Northwest I Lot no.: a Cli.5 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 Gas fir lace/insert 1 3339 t y' '-'-'1-1-'-'14`''':' r 1A3'', dt r''t, 31 ffk� "U v •.','',----7''. 'S r. a, K _... .;kms <<..:., ..-,. �._..._ Flue vent for water beater or gas Contractor Change fireplace 23.32 .�T1.40 ;M _ `� ' Log lighteto) 23.32 Mto Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 23.32 i l Other ,,,,,- .^ r_. __...___ __ Environmental exhaust and ven8lation: 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 moms) 4 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawispace fans 23.32 Other: 2332 Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for first four,$4.03 for each additional Contact name:Nichole Thorpe Furnace,etc. 1 1 Gas heat pump 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 1 Range 1 E-mail:Nichole.Thorpe®polygonhomes.cotn Barbecue -t. a` :: L,. t i�, r : 1 r ''.':,'::.:r:12_::1-:::::::'.' 2 ` �1 ::::`:17:-.:' ." Clothes dryer(gas) Other Business name:Pro Heating and Cooling,INC 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 lie.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within t80 �f days after it has been accepted as complete. Authorized signature:M.:eel/ r 1 l * Fee methodology set by Tri-County Building Industry Service Board Print name:Nichole Thorpe i'VDate:9/19/2017 r:113undingTermits\MEC PemutApp 040rt3.doc 440-4617T0t/02/COM^WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13136 SW AUBERGINE TER, SHERWOOD, December 20, 2017 at OR, 97140 10:06:57 AM Record Type: Record ID: Residential - Master Permit MST2017-00110 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: 13136 SW AUBERGINE TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00110 Inspection Type: Inspector: 399 Plumbing final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13136 SW AUBERGINE TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00110 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor