Loading...
Permit 1,4 It .1 CITY OF TIGARD MASTER PERMIT COMMU NITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit#: MST2017-00025 TIGARDDate Issued: 05/10/2017 Parcel: 2S 106DB 14500 Site address: 17385 SW FOREST HOLLOW ST Jurisdiction: Tigard Subdivision: RIVER TERRACE NORTHWEST Project: River Terrace Northwest, Lot 145 Lot: 145 Project Description: New SF BUILDING Stories: 2 sf Floor Areas Required Setbacks Bedrooms: 4 First. 978 --�— Required Height: 26 Bathrooms: 3 Basement: 0 sf Left: 3 Second: 1251 sf Parking Spaces: 0 Dwelling Units: 1 Garage: 380 sf Front: 8 Third: 0 sf Smoke Right: 3 Detectors: Yes Total: 2229 sf Value: $273,591.61 Rear: 10 PLUMBING inks: 1 Water losets: 3 Washing Mach: 1 Lavatories: 5 Laundry Trays: 0 Rain Drain: 1 Dishwashers: 1 Floor Drains: 0 Urinals: 0 Tubs/Showers: 3 Sewer Lines: 100 SF Rain Garbage Disp: 1 Water Heaters: 1 0 Storm Sewer 100 FootingDrain: 0 Water Lines: 100 Drains: Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 0 Catch Basins: 0 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Furn<100K: 1 Hoods: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Furn>=100K: 0 Gas Outlets: 4 ELECTRICAL Residential Unit Service Feeder —�--_ Tem g Srvc/Feeders Branch Circuits s 1000 f or less: 1 0-200 amp: 0 Ea 0a sf sf: 4 0-200 amp: 0 W/Svc or Fdr: 0 201-400 amp: 0 201-400 am : 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 p 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: NEW SF VB Occupancy Group: Square Feet: Owner: R-3 2229 Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 Fire Rated Eaves-Both 7600 E DOUBLETREE RANCH RD Sides STE 1 VANCOUVER,WA 98660 STOTTSDALE,AZ 85258 2 Ersn Cntrl 503-639-4175 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $32,243.13 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: /e dam .._ Permittee Signature: G-j✓( - O /� j-�0 if 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 Applica II",:,.(4"41'44-1,,4' P . f bal FOR OFFICE t SE O\L1 City of Tigard �r 2 0 ?i) Received S*it-U/ Plan Rev r )e) 17 / 11111 13125 SW Hall Blvd.,Tigard,OR 97223 Permit No. �_�U�� Phone: 503.7182439 Fax: 503759&19 0;"-,a ',It; , "tj s DaPlle y:fil ) � g • Other Permi:S//KagCJ (��V�� 1 3<<,t R1_, Inspection Line: 503.639.4175 k A Il �7 � ,�, s � Date Ready/By 7uris: H See Pa e 2 for Internet: www.tigard-or.gov ;g 'F'''s , ?' Notified/Metbod: .. 7/ /7 .CRr' g y. 3 , i 1 Supplemental Information "_�_ ..w: .�:-:' ��:�+.,..ate.-,.> .z � ` su.:.,.7 ®N construction ❑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 -, M - " a fi work indi on this application. ® 1-and 2-family dwelling 0 Commercial/mdustriai Valuati...i A� •! 1 S * ----1-17°1-71 ❑Accessory building 0 Multi-family Number of bedrooms: 7) 0 Master builder L . c1�3 j 1/4s-9 � ❑Other: Number of bathrooms: 3 € r , „ ..„,,,,,,,,,,,,,.‘,,,,,,,,,.,..„,„4„,..„„.a,`� ' Total number of floors: Job site address: / , iii I . ILO New dwelling area: agsquare feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: .' square feet I a,5 J Suite/bldgJapt.no.: Project name:Ri tv-^ . ow Covered porch area:114;quare feet Cross street/directions to job site: Deck area: J3 (}„ square feet 7 Other structure area:) ) square feet �. mayy+^ -2. 3':';L'`4,tFt t C,'!'`'t8 s -^ � t%r �d IID-C-” Subdivision: / ,, ` �`�� m.N�.e ?��..� U , W Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the - s', • t -`t'- " `'E,'- Asx - � 7� s�.�• ,H.�,� �... .. � nk t work indicated on this application. Valuation: $ Existing building area: square feet r New building area: square feet __ cax....,..,._-....'.... - ..__.�.......,,.,...._,zu-_.-- ",a.,... ;.�..— �✓a. .' . vz. -.. ..a.. .m.,ls. Number Of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy p y groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax ( New: ) �. '�.e� . , 7—tir �a5�C t` � f1�� , 5 s� � ,3ii;j5,[s��,��w"a,r773,7,2.,}77,-,L?; 77 Business name:Polygon WLH,LLC Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 13th Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount received E-mail:Angela.Gralewski®polygonhomes.com s _„ < , , t _ „ . r� , Commercial and residential prescriptive installation of <,_..n: 3 -*:�ar ""F - ' C :.,-4-,,P::-_,_ ,- ) r max- ' .; .r If = - - = roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details Address: 109 East 13th Street and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): CCB lic.:207247 Total fee due upon application: Authorized signature: j� • A '1This permit application expires if a permit is not obtained V�I ✓ Ulfilwithin 180 days after it has been accepted as complete. I *Fee methodology set by Tri-County Building Industry Print name: .. Date: Service Board. I:\BuildinglPermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit ApplicatilECEIVED 1()it(fl H( I: I N 1 1)\i \ City or Tigard Received Dwell : Pem'il t'ID, e72C1/7 ee) 2.5 1011,-; 13125 SW Han Blvd..Tigard.OR 97223 kil Ay b 2017 Ptione:•50171g:2439•Fak: 303.598.1940 Inn t • • • EEEIIIIIIIIIIIIIIIIII'°311:r rCrTit; •• . .•••-....- .. •• ,.: ...- ........ . - ........ , inspection Line: 503.639.4175 OF CITY TIGARD Dote Readymy, haris intorno: wwwsigard-orgov . .‘r,i es Nob iiediMethod: BUILDING Olviz,iu -f,'-'1,-;',--!-',:g.,"-'2:',. .:.:•?•qt.f:,t.=-•-i-1-7: ,•i;z...D2'„:;':,:i4':4..:'ifq-;i•.4t-,tAi,:-4,?- ,y, '-,j-.- 71',:;--4-');L'.4-3.r.--5.1-..-> aiik,uf...,k,,f}---:....4:.,;i4-,..'' '11".• ''f... Mechanic,'permit fees*arc based on the value of the work tgI New coriStruction 0 Additionialtcrationfreplacement performed.Indicate the value(rounded to the nearest dollar)ofall 0 Demolition 0 Other mechanical materials,4xtuiptixot.labor.overhead.and profit. Value:$ 'Ai'&.-,,;;;41,„.-7.,:t7.-7 ,:ir.vgi-..r.,..-4ii.% t ri:ri").-s‘Vi'./4-'0-f-1`.:r- c:p.,.7r,.....z-,,,A.,t,..:., ,,P••1.----5 *tte. .„ . .. ..„,...•, _ ...„.,, .........„,z ,,,,,,,,„,. owlijii ,•••••••• „,.. - , ,-... •'''Irr •• ,.,....“.<..•-,v... AN.y....4.••••, 4,4-4 ' -54,;--..tsx.--:.44'F.Ft..-,.1.*.k,:.,44;"-- .,,,-. -.1::_i"Tily,r.,.. .1, le,fc:f.z.,; :,..,:$,,f1 f'',;4...V at::, :742,,,L.),t,....;::.-4.44tikatp, 90,1.and 2-family dwelling 0 Commereial/industrial 0 Accessory building Fo r xprdal Information use chedfirs. I Multi-family 0 Master builder 0 Other: Description I Qty. 1 Ea. I Total - ;.,:. :'.' T'-`' ".--':•t:..t....141:0.:.i,:i. :Y:'•,f,ri:t.i..;.:14-:::NIt';ViINrVtirr''.!."4:;;:clk ,4-*':•tf::ii,,:: Ma111110"eilnr f i Air conditioning 46.75 Job site siddress: 73;s- - 's i ii /Sit- Fun...100.000 BTU(ductenamis) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000s•BTU binds/v=51_ 54.91 Suite/bldg./apt no.: ", I Pri)jeci nalne:144Grie trace No fitwe si- Heat pump Duct work 61.06 23.32 Cross street/directions to job site: Ifyilronie hot water svetcm 23.32 ' Res rdentull boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct Suspended,etc. 46.75 Flue/vent for any of above ..I 23.32 SubdivisiAmitaar iffiratt Ntriin tots 4- 1 L.,.., 14s- Other Other fuel appliance= - 23.32 fax map/parcel no.: Water healer 23.32 ,..-,;•zwz...:.,.5,..,f'•...-,...,, .., ,..r.:.. 1' Gas firenlacetin3339 sett I ---..- . 4:,.: ",,...,4'...' ..."<,,,,,..'..,1.4:4,74. =".7,..T.74 ilg.1, , P Sr A '- a a I Flue-vent for water heater or gas fireplace 23.32 _ 1,011 lighter(ass) 23.32 pollet qtrve 33.39 Wood lircniaeoiinsert 23,32 Chimnevninerinuelvent 23.32 -Q9.?'.V:a.;',2::i*Sri'ii.;lq g-fia,Vkr5.111"44-1-.;: e5.thki.' °11": •,-- Envismmicstal exhaust and ventil2332ation: Name:Polygon WLfl LLC Range hood/other kitchen .equipment 33.39 Address;109 East 1.3"'Street Clothes 4 rya exhaust 1 33.39 ----" City/State/ZIP:Vancouver,WA 98660 Single-duet exhaust(bathrooms. , toilet compartments.,utility rooms) 4. 23.32 . Phone:(360)695-7700 Fax:( ) Atticicrawlspace fans 23.33 &,p$g:i...,-gfi•-5'1.-.,:tAr, Other 2132 rodPiping: Businegs name:Polygon IVLH,LLC $14.16 for first form$4.03 for each addIfional rn . C_cf.....atacl_AiOiLiheqtrium it, Fuace,etc, Address:109 East 13th Street Gusleat pun* Wali/suspendedtturit heater City/State/Zit Vanr.ouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace 1 , Range 1 C-mait k' i i,i i I I I. r A:,4, 4 .1 91, - 114.„,,-„r Barbecue :';:‘::,;:_:-;.::::::'..;1•7::1-.:-:.:....- 5'-7.::T.','"I'-','''=',..::=7.:--;f2E,S,`51:k'aliri?,;41gt.7.=:•;-'917'.="q-ili'.41"?:',V.,a 'a• CkAhes drY"(Ps) Business name:Apex Mr ELC Other: ..,.'.-',:.,-4-', Address:18004 NE 72.4 Ave Subtotal City/Slate/ZIP:Vaneouver,WA 98686 Minimum permit fee($90.00) Plan review(2.5%of permit fee) Phone:(3601.34241" Fan:060)326-1769 State surcharge(12%of pennit fee) CCI3 lie.:203034 . TOTAL PERMIT PEE This permit application colicas Ira permit is not obtained coffin)laa days atmeit Issis been accepted as complete. Authorized signature: ' Fee methodology set by Tri-Comny Bonding Industry Service Ebtard Print nanter"117‘7 k-f Date: 4.ii.it... rtnoadiratTemainkifiC_PcsatitAak,atal 13 doe 44o-4s1vr(ivommowtot) ... . Electrical Permit Alica ' City ofTigardlCEIVED FORorFIc1 L: 1 0\r.A 131zs sw HaII Blvd.,rReceived Bard,OR 97223. . • DatdB . Pam aii;e57;20/2^Oe.2S' Phone: 503.7182439 Fax: 503.59 i9so - Plat Renew iG,ItD InspectonLine: 503.639.4175 1�1+�' DawJa Iatelnet µ hgard or gov ARD Ready Date/By - - - _'ll Af 1 LJ NOdefhocl NM See Page 2 for 5 s ,� t�� �;f -�r' - r r SapplementalInfo ®New construction ,w : i.a>t 7 ' .:_''�s t i C;. ` y -Tr. F.�".�2-."''.` `11s" moi""'^- Information ❑Demolition 0 Addi.. oil/rep se melif Please cheek uYv� e 2s ���' eashenc e 0AIY ser of plans Wheals -iced); � s av � Other ❑service or feeder 400 amps i ❑Building o e e "^ i ms where the available Teak over three series. ®7-and 2-family dwelling " �* _ ? exceeds I©,000 eft �Mm'ras anabnatyards- g 0 Corllmercialfr dtistrial xc volts or ❑Coating buildi a a. 0 Muth-fandly 0 Accessory building less to ground or exceeds 14,000 ❑ s5= f I F ❑Master builder ❑mer amps for all other instal/ations. iings.•-ISO agricultural Job# z r z w ETszl`:o� " k 3 F_ GoCa�'4e(a .�a 0 Fire pump. buildings.' _ ❑Emer gen cy system ❑Installation of KVA or Job site address: 7 —� �titr�, Q Addition e-7 root--load of ,erg, separately derived J; d,DR 97224 1�r171 0 ,'1-2`, 1 z�"1-3",I s Ch3'�tate!GIP:Tigard, �i Y: IOOHPorawre. «.. Suite/bldg./apt, ❑Six or mons residential units. occupancy. dg/apL#: Project Heine: s! /� ❑Health,-ane facilities. ❑Rweational vehicle parks. Cross street/directions to job site: Y '^ C71 mrdons tocatioffi. ❑supply volfage tae marc than Oferym la Service or fbeder 600 amps or auua. 600 volts nominal. SubdtYJSIAn: / --- — # . l�{� l / rfl if t, New residentraJ single-or multi•family dwelting'4;i: Tax map/parcet munin Lot#: Includes attached garage ^`, ,`-� 1,000 sq.R.--less .� ti ( 1.;>3� '` "i sa Ea edd'7 50t1 sq.ft or portion 11111,_16g-S4 �� gy.� 1 Oji am _ms �© Lim Med 75.00 -© energy,multi-Family !'di'n "` ; �)a q �tb:0 � >- P aft7 residential with above .,ft. 1111 75.00 MD Name:ADVL Land Holdings,LLC ' cRe ■ Services or feeders installation nitera6aa and/or relocation Address:7600 E Doubletree Ranch Road200 or loss NI l 201 amps to 400 amps �Q ampo IIIIII "a34 111111118 City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 Phone (60216_94,4941._.._ 60J amps to 1,000 amps - 301.04 © Email: •> ; Over.l,t%Xl amps volts 55226 Owner installation:This install Temporary1111 services or feelers installation,etaliatiou,4lteation,aadhir' intended for sal anion is being made on property that I own which is not 200 amps or less !s,lease,rent,or exchange,according to ORB 447,449,670,and 701. 201 amps to 4� � �© ��wner signature: �IIIIIIM�© Date: • 401 amps to 599 am d Branch circuits-new,alteration or extension , ,seal Business name:William Lyon Homes,Inc. A.fee for branch circuits wuh Contact name. .. above service or feeder fee, immni t j l ►, r. �, ear,b arch circuit Contact `est 13th Street B.Fee for branch ciraaits withow service or feeder fee,fust �.[ City/State/ZIP:Vancouver,WA 98660branc 1 circuit EZ:EurlIII Phone:(360)695-7700 • . ' saanMigeellane cos service or feeder not du��� En�arl Fax::(360)693-9442 + 4 e i4+ t J .l R Reco:mect ���© _ `A a l r ,�� l F-z . 1 -,-i-.,, o�y � Business name:Garner Biectricw- WasBiugtctn,LLC • -='.. • "•• . ��� i Address:6101 NE St Johns Rd . .. = &heal chocks)or limited-energy City/StateJZIP:Vancouver WA 98661 or extension. 17 see page 2 1111111Each additional ins•ection over allowable in an of the above Phone:( )320.1657lan ril6lir _. Email:bdanieis Livetigation(t hrmin) 90.00/hr _ g (�gweusa.cotn Iadtnctrial pleat(1 hr mire) CCB Lie.: C11.Iue,s Electrical Lie.: 208174 Inspections for w}ticb no fee is 0 00/hr _■ ; Suprv,$I -- .. - _ Lie,: 4 listed !�hraua 9o00/Ju - Suprv. s Electrician stgnahue,required: :At. i� ' Paint natio loan P Albert • ,� . ,1_,:,--...,,,,,,,;-.. -----'" .1-4 ---,� t `7.:-�t_ - w. Date: 4/26/2016 ❑PlanRequired _ subtotal: limmem Vit:,'•`' Authorized signature: "- -"+ I�Irtr. �� Review surcharge(12%of;emit fee ?' ;, Print name: Bill Daniels TOTAL PBitMir FEB: 1111111111 wed per permit ° Date: 4/2612016 T permit application asres a porn*a ple asnot complete. within 180 * days after Jrlr has been accepted as complete. nw� `t'itsugamoceramont p t Ent HRQdoe Rev 06117/2015 Namberof' iospaaions nib .gs. Plumbing Permit AnnlicarfECEIVEE) i. Building Fiztures . aim /)11111. 1 Si ()\I '1 :. City ofTigai i. MRY b 2017 . Rcceived 13125 SW Ball Blvd.,Tigard,OR 97223 Re ew Pamd N°Vti:S%AV 7'Oa: Phone: 503.7182439 Fax: S03.rr ;� F-j•IGp, Q i Inspection Line: 503.639.4175 A may: Permit No.: Intettaet www.tigerdor.gov QQjLQ!1:,\‘..,,, �a1R 1�atexeadyray: ,b,;s, I et lam Page 2 for h'.Y`,r•,•-i.,•. .;..;•... T ', ' ;• Supplemental Information , New consirucClam :.. .... ,. ::;•tea e> 'y,c:.: °: 0 Demolition '��..:..: t�I�aa~: w.,.,r=4 ;.� ..��.:.•• For rpeciat igfonvsatton Rae ❑Addition/alteratioMreplacement 0Other Description I Qt Ea Total New 1-2-family dtvelUngs(includes 1008,for each utility connection) -:;!,•-.:••••'''':: • .:".. CATEGORY't)F OONS'17Rt)CTION' ' SFR(I)bath 181 312.70 fam I-and 2- ily dwelling ❑Commerciatfindu�strialSFR(2)bath 437.78 • • bath ❑Accessary building 0 Multi-family SFR(3) I 50032 Ci Master builder ❑Other: Each additional bath/kitchen n zS.oz • Fire sprinkler t sq.ft.) Page 2' ' JOB„STE NFOIMATIUN Ar) OCATION'. Site utiities. lob site address/73 ddress/73 Q5^" 514 Thr t i f/n, t i St- latch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 u LJ] 1 (JI[(.IJV + Drywall,leach line,or trench drain 18.76 Snite/bldg./apt.no.: I Projexx name �e v Te � Footing drain(no.linear ft.:-___) P 2 Cross street/directions to job site: � ,"'" `St Manufactured home utilities 50.03 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear IL:__, Page 2 Storm sewer(no.linear ft:•_j Page 2 Subdivision f U eY Water service(no.linear ft: ) Page 2 - ► i it t . •e.44- ii, Fixture or Item: Tax map/parcel no.: Backflow preventer • 3127 al •''• •' • ]�D�ESC`R F lON OF WORK. : . - Backwater valve 12 51 : --� -V[tel Clothes washer 25.02 - _ _ Dishwasher _ - . - 25.02 Drinking fountain 25.02 Ejectors/sump25.02 Et'PROrERFY OWriER • E TEi+iAN1' Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 25.02 Address:7600 E Doubletree Ranch Road Floor drain/floor sink/hub City/StatePLIF:Scottsdale,AZ 85258 Garbage disposal 25.02 Hose bib Phone:(602)694-4001 Fax:( . ) Ice makermaker 12.51 • �'APPLICANT 0 CONFACr PERSON• Interceptor/grease trap' 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S_) P 2 Contact name: j j.()i o-yh,.,,,,�•g Prima 1251 Address:109 East 13th Streettrei 1)VV �L Roof drain(commercial) I2 5I 11 City/State/Z1P:Vancouver,WA 98660 SinkPoasinAavatosy 25.02 Solar units(potable water) 62.54 Phone:(360)695-7100 Fax::(360)693-4442 TuWshmvaishower pan ,(� 12.51 E-mail: OIL t1�/in. / g / rail Urinal 25.02 V/C1.A 1 • Water closet 25.02 Business name:Mak ue dal Enterprises Inc. Water heater 37.52 Address:PO Box 207 Water P'PmYJDW V 56.29 Other 25.02 City/State,ZlP:Banks,OR 97106 Subtotal Phone:(503)324-0759 I Fax:(503-)324-0580 Minimum permit fee: 772.50 CCB Lic.:102535 Plumbing t rc.no.:34-276PB Plan review(2596 of palinal fee} Authorized signature: C,, /'"�� State surcharge(12%of : --- permitfax) TOTAL PERMIT FEE Print name:Carolina Maiwelal d Date:04/25/2016 1 This permit applicadoa expires if a permit is not obtained within 150 days after it has been accepted as complete: "Fee methodology set by Tri.Conaty Building Industry Service Bond. I:10u06mg1Pennit¢PLMU.PdtrdtAppdoe INOIh79 4404616T(lo012/COisnEn) w 1111 City of Tigard II COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential ential Building Permit #: i� DUB,S Site Address: I13;5 V\I •res+ 44o<<o rec*- Project Name: R\\icy - a e or-thwtst (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: 195 Planning Review Proposal: NI-CWE 7t... h env r-.40,-" cimcy d Com, !/ xVerify site address/suite#exists and active in permit system. ESI.River Terrace Neighborhood: ❑ No Yes,See Giver Terrace Review Addendum Attached Site Plan Elements: ...,R['fliree(3)copies of site plan ..Site plan must be on 8-1/2"x 11"or 11 x 17paper os�g structures on site sprint of new structure(including decks)with finished ,Drawn to scale(standard architect or en �Ort11 arrow gmeer scale) floor elevations -Site address,project or subdivision name and lot number MJhapply locations(required for new,may1 for additions) ocation of wells/septic systems Applicant information(name and phone number) jgf- gof dimensions and buildin Existing n mtrees atos be retained with drip line,and tree setback dimensions . .ot area,building coverage area,percentage of coverage and protection measures impervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location , Property corner elevations(2 foot contour lines if more thanStreet names 4 foot differential xt CIean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified )Yr Public Facilities Improvement(PFI) Permit: No Received: ❑ Yes ❑ No Required: ❑ yes,applicant was notified No Applied For: ❑ Yes R Land Use Case#: PD�2Q El No,stop intake A...Zonin : 15 "rr1l�j Zoning: R- .p •-12 PD Required Setbacks: Frontla____ Rear `Q Side Street Side NA_ tiara e Landscape Requirement: 2_0 % N$— g Lot Coverage Maximum: Building Height: Maximum Height (� ,L Visual Clearance Actual Height 2� ,L Easements Sensitive Lands: 0 Yes X No Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: ► 4� 11 e� 1i, i,+ ,•-6r ► 1cg1.A4 ncc . Approved By Planning: iv' it..1 tr/% Revisions (after B ilding Submittal Ally) Re ® I Revision 1: Approved 0 Not Approved Re D e Revision 2. 0 Approved 0 Not Approved Revision 3: 0 Approved ❑ Not Approved I:\Building\Forms\BIdgPermitRvw RES_091216.docx w Building Permit Submittal Original Submittal Dater L(�� Site Plans: # Building Plans: # Building Permit#: Enter building ermit#above. Plannin 'Engineering ��-Permit Coordinator �"'B�dmg Workflow Routing: g Workflow Sign-off: Sign-off for Planning(include notes from planning review) and Route Application Documents: 71"Engineering: (1) copy of permit application,(1) site plan, (1) building plan original plan review routing form. engineer and Building: original permit spt details if applicable,n,site plans,b��g plans, � beam calculations and Notes: / i �� Date: �/� lir Technician: Al wiO '�" ByPermit ���/. Engineering Review OSlope at building pad: onditions"Met"prior to issuance of building permit I� Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: 0 No Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 YesDate: 0 NOT Approved by Engineering: Notes: ��.•y OP Date: /�' Approved by Engineering: Date Revisions (after uilding Submittal only) Revie er Revision 1: Approved ❑ Not Approved Revision 2: Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit 1 0 Date: pproved,NOT Released: otes: 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: Wash Co Trans Dev Tax: �'��es 0 N/A SDC Fees Entered: Tigard Trans SDC: es 0 N/A Parks SDC: \\, Yes 0 N/A OK to Issue Permit / / Date /i/ / Approved by Permit Coordinator: I:\Building\Forms\BldgPermitRvw_RES 091216.docx AV City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT T I GA RD River Terrace Building Permit Review Addendum ,w, Building Permit #: Site Address: 11365 Sw Tvre&I- -k-kok N s- Project Name: Aver j-errckc c Nor-taw-? -{- Lot #: \1 \ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? [St Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min.2ft.,5 ft.wide mm. 2 ft., 6ft.wide Gabled dormer X ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: l22/0 3. Entrances:At least one entrance must meet both of the following standards: 14 Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, sa_ or open onto porch Entrance opens to a porch: 14 Yes ❑ No If yes,all the following apply: 25 sq.ft.min. a One street facing entry 12 ft.max.roof above floor ofp orch ft. depth min. 2(30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep 'W Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. Iorizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade 'Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall.EYes El 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. ❑ 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. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street façade Nr50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: 01,0 d Date: 0 I r2,111- I:\Building\Forms\BIdgPermitRvwRES RT 062216.docx 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 •rovides hel is the review .rocess and res.onse to our .ro'ect. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT N Transmittal Letter T i u A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti ardor.gov TO: Tom H. DEPT: BUILDING DIVISION DAT_ ill..A . . APR 3 2017 FROM: Angela Grajewski CITY NOF G TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 Eir RE: 17385 SW Forest Hollow St (Site Address) MST2017-00025 (Permit Number) River Terrace Northwest Lot 145 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: le E -__ Additional set(s) of plans. _ Cross sections) and details. 3 Revisions: d�k W0 all bracing and/ lateral analysis. 0 Floor/roof framing. 0 Beam calculations. Basement and retaining walls. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. add== City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17385 SW FOREST HOLLOW ST, BEAVERTON, December 6, 2017 at OR, 97007 10:41 :56 AM Record Type: Record ID: Residential - Master Permit MST2017-00025 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17385 SW FOREST HOLLOW ST, BEAVERTON, December 6, 2017 at OR, 97007 10:35:58 AM Record Type: Record ID: Residential - Master Permit MST2017-00025 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17385 SW FOREST HOLLOW ST, BEAVERTON, December 8, 2017 at OR, 97007 11 :07:42 AM Record Type: Record ID: Residential - Master Permit MST2017-00025 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed . Water pressure = 45 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17385 SW FOREST HOLLOW ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00025 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 received C of 0 left on counter. Violation Summary: Inspector Contractor