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Permit ,, CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit*: MST2017-00017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/10/2017 Parcel: 2S106DB14100 Site address: 17451 SW FOREST HOLLOW ST Jurisdiction: Tigard Subdivision: RIVER TERRACE NORTHWEST Lot: 141 Project: River Terrace Northwest, Lot 141 Project Description: New SF BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 3 Required First: 948 sf Basement: 0 sf Left 3 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 8 Dwelling Units: 1 Smoke Third: 0 sf Right 3 Detectors: Yes Total: 2078 sf Value: $256,492.18 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 y Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 Tubs/Showers: 3 Garbage Disp: 1 SF Rain: Storm Sewer 100 9Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Catch Basins: 0 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Furn<100K: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders 1000 sf or less: 1 Branch Circuits 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O SvGFdr: 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: Occupancy Group: NEW SF VB P Square Feet: R-332078 Owner: 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 VANCOUVER,WA 98660 STE 1 Sides SCOTTSDALE,AZ 85258 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,864.90 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••R 9 -001-0190. 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: .671-EL---- i "17- "/�G-/L %��3 Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application; t-,0 L� 'ali ';., ) "` FOR Of FIC E t SE O\Ll City of TigardDate/vBe;:i• //�.// Permit N f7 tel7-f''7/7 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review` f `rPermit-11)X.;20/71n1/0 5 7 Phone: 503.7182439 Fax: 503 598.1960 Date/By. a, mer -r1 - h D Inspection Line: 503.639.4175 ''k t , Date Ready/By: Juns: El See Page 2 for Internet www.tigard-or.gov Notified/Method5//J7 �' Supplemental Information � d 9 ®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 111 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the Qb work indicated on this application. ® 1-and 2-family dwelling ❑Commerciallmdustrial Valuation j I ❑Accessory building ❑Multi-family Number of(bedrooms: 3 a 6 11 GI J"T /a J ❑Master builder 0 Other: Number of bathrooms: 3 ��..... ..Lw�.s�....-��.:...�.,v..as�..e Total number of floors: 14 Job site address: 7 5 New dwelling area: ibis square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 3kbD square feet Suite/bldg./apt no.: Project name:Ri Covered porch area: I 3D ;quare feet ,1 3 Q Cross street/directions to job site: Deck� area: 1 ) 9 square feet 9 ti 6ersvtr(cture area: I square feet -�Kx Subdivision: / v • 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 c Gan rew[x Asx-kx, s equipment,materials,labor,overhead,and the profit for the � ���'�`�-+� � � ��� �- `�`�• ���� � ��"� work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ��' .. =u� 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: 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 City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount reserved E-mail:Angela.Grajewski@polygonhomes.com ��. M s �>L .�. �.• Commercial and residential prescriptive installation of _ _, z ,, m ,A , roof-top mounted Photovoltaic 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 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): CCB lic.:207247 Total fee due application: upon P Authorized signature: p )l�l This permit application expires if a permit is not obtained (/►11 t C! f within,180 days after it has been accepted as complete. Print name: Date: *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit APPhcaRE EIVE 'Ok nit I It 1 ) I tl\I a :City of TigardDautil . ,M Plan Review Received r'cs,nttS i0/ (%cif%/7 13125 SW Hail Blvd.,Tigard,OR 9??23 PAY 2 7 Phone:503.718,2439 Fax: 5f13;.598.1 DucarAli tr t�enng:. inspection Linc: 503.639.4175 �+ Dale Ready-Sy:ws►w.tigsrdar.gov VI OF�I ��D NocificdMathod: iilligtia20111 BUILDING DIVISION W ,et...--,v;:,.- cii .,-,. ,-'71,-,...-t;'--%11-,,,, �� u�+`y�u��fa.ryf .,h 7»€..�i 3•czr-^3 ''u' aF t h.".� lt, � `- . X? Mechanical permit foes`are based on the value of thework igi 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: eS ,,i..: ', a� . _.?"¢, 1a , �- �-c-':"1'n.ito -� % s ,,c 4.-' " - °, "= : , t R ` .._ Av . .asz.r. ,.rrs � . ,. . x a ....< t .at=,•. „t;;zoicx ^ • {g "c;, 0 UI..0n .e )t•..c�ar.#• Y ' r.a x `4-Ro 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building rot special Information mse cltad lttt 1 Multi-family 0 Master builder 0 Other; Description Qty. I Ea. I Total 4:,1 4:'.:.;vi T-": 0; 1�Z•7•',1, i' t 71.1-,L�t,r 11,,- t it"t.,x, : - .,„j'ti-:',,. ,.y,„,., .ssj•C .,.ter,- fRatinategiinE3 Vj ng 46.75 Job site address: 11 , W 11i 1 Atu Si- Franke 100.0Op BTU fduus'.ents) 46.75 CityfStatei7_fP:Tigard,OR 97224 Furnace 100.000+RTU idnetovemsi 54.91 Suite/bidg.:apt.no.: I Project limn=Ridtrier ruse�1tY-h�S4- ileac pump 63.02 Duct work 23.32 Cross street/directions to job site: ilydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type.not ckxtrie), in-wall,in-duct.suspended.etc. 46.75 Fluclvent for arm of above i' 23.32 Subdivision:11Jr Te% alt NirittliAkc 4— 1 Lot w.:11.41 Other, 23.32 Other incl appliances Tax nuiplparecl no.: Water heater 23.32 z{,: -- e ,$:.�' 7 61 E`.-t}Tit f 0 4 T-: Kfi.net~° .t Y^.W .5 Gas ffrcPla_cc insert 1 3339 t_..-�. _.,._.......1:..._._...,. ..o vii?x ^e .1.... _. .._ ..3.”. L-m�. ]. . �3` ,-'�. n - flue vent far wader heater or J;� M, . 1�(r•y n mvAice 2332 v W Log lighter faas) 23.32 — Wood Jct stove 33 39..•.. Wood ftficplacefm5ert 23.32 ChimnevrtinetwfueFvead 23.32 . . . a . t. . �_ 2332 u.nm A.a .:_ t__.._�.,.�.:. 1. u,� � .�.�,x �_ !� ��, .�,,.�„,��,.. � En Name,:Polygon WLN,LLC Range hood/other kitchen AddrexS: lily East 13`”Street i pimem _ 33.39 __ ,; C:lorhesd •erexhaust _ ( 33.39! CitylStateiZiP:Vancouver,.WA 98660 _ Single-duel exhaust(bathrooms. s ( 1 toad compartments.utility moms) `"1 23.32 Phone:(360)69S-7700 Fax:( ) Attielcrawlspacc fans 23.32 ,, 4 j j. a -4-...z„.„-. .,, ' ',-,, - ,'''',1,;'.1... .".'" i,,. ..r. . t,t Ot , 2332z . a - r E_ c'.tl + t.. .2 K +,:i.s .1 -4g1-t3.M:. .. 4.te .r . bs: �1ei).lher Fuel piping: BuSirt s name:polygon Wt H,Lie { $$11 4.1 3 for first four,54.03 for each additional Contact naane: (k f Furnace,etc. 1 Address:109 East 13th Street' f`-' Gas beat pump Cit /State/ZIP;Vancouver,WA 98660 Watheater /snit heater City/State/ZIP;' Water heater Phone:•(360)695-7700 I Fax::(360)693-4442 Fireplace I Range E.matt ► , 1 , 14,..L I a t i i, t ,t i i 1 Barbecue I m -z'i x "a t 13'y 'Y,rc r�crs, _ >�, ,. . _ ,�.' H`.,+J"� ( c .. .;.s�,. ..?� �-`�� :�-. °'."� ._ '*":=�':. Ciolhes dryer(gas) Business name;Apex Air LLC _ Address:18004 NE fl Ave Subtotal City/StatoiZlP;Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surehar,8c(12%of permit foe) CCB lie.:203034TOTAL PERMIT PEE This permit application=spirals If a permit is PM'obtained within lei) days altex it has been*cried at complete, Authorized signattur ' Fee mcthodoln •set h}•Tri-Ctwatp p,rilding industry Service Bond _ I Print name: t T\ `� Date: 4./it`it,... rvtattdirvtrzaattmer re,60,,,045113d {a'-wtrtnsroa/coatu°Ixl , RECEIVED • Electrical Permit Application FOR OJ fILL l Sf O\1,1 City of Tigard MAY b 2017 ReceivedPest : /1-(7;261/7-040/1 13125 SW Bail Blvd.,Tigard,OR 97 i3,.�,,O `(1 GAC*® B"ttcvir ' ' *shone: 503.7182439 Fax 503.598. +4Q Y 1G ,I?D, h Line:Inspection 501639.4I75 BlIll DING DIVISIO ,� 8y ,Tic: 0 See Page 2foe tigard-01410Y Supplemental hibernation .7,-...,---:-.7-2-- ., 1 4ri _'a '�s :,t*' �.� a.;',,; 1,- ,s .M - tealt m;tii ,'-( 1''!V4.-,;-'-',''.',- �r�� a �:ic. ®New construction 0 Addition/alteration/replacement Please iF all that apply(submit 2 sets of plats wr,.leins cheated): 0 Demolition D Service n feeder 400 amps or more ❑Building over three strides. ❑Other where the available facet cannot 0 Marinas and boatyards. ` i.k 15.4 h* ` . = ,,9 J._tri 0- _`c ly)41-63.3.,s:'-'-•(fC Thf.3 - -.'0.7". ",;',',..y exceeds 10,000 amps at 150 volts or 0 Hosting buildings. ®1-and 2-family dwelling 0 Commercial/indtistrial 0 Accessory building less to aid,or exceeds 14,000 ❑Commercial-use agricutu rat amps Swell other installations. boiidings.• ❑Multi-family 0 Master builder 0 Other ❑pile pump. Q installed=of 150 Icon or '�' -.4`-y4 h I oJ..`>err.?t.^;.k ,a lt!,(o,AR;.,ca,- , -t';'''',0-.,,i 4; ❑Emergency system_ larger separately derived • iiiJob It: Job site address: i'7 L/5 f 5 l 'Addition of new motorload of system. / �+ 1 i' t♦ 100F1P or more. ❑"A",E;"1-2;"1-3", City/State/EP:Tigard,OR 97224 D Six or more residential units. occupancy. 0 Health-awe facilities.Sufte/bldgfapl.#: I Project name:K.i'i rTedrawnIWo b S+- D toloeatioos, ❑�0rcationelvdoriiele yreka. ❑Srrppty voltage for mox than ❑SavIx or ibedar 600 amps or mon �volts twmmal Cross street/directions to job site: % ," :`�r .J.s.4.f v f i r CJ`-'f'`�a „r�' x' 'psi:' Petulances I Qty. Zech Tatel New residential single-or multi-family dwelling unit. Subdivision:gier I a / ► i}il' est- Lot# includes attached rage. Tax map/parcel g: 1,000 aq.R or Jess 168.54 4 Ea add'I 500 sq.R.or portion 33.92 1 7-',7, 1111 nr---7 c''ri(r ri:a!�.0.tKFC� ' Ti\.,- -----17."47----7-77:7b771.7,,3 3 Limited energy,residential i ,,,,. above s4.th R) 75.00 t Limited energy.multi-family 75.00 residential(with above sq.it) _iiaa,T Lar ;(.?,-•/4- ? %f , r:i �ajs;,a t s- <� -, RenewabteEa' CI Sea Plc2 Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LW 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 • 401 amps m 600 amps 200.34 2 City/StatelZIP:Scottsdale,AZ 85258 603 snips to 1,000 amps 301.04 2 Mae:,( 04694-48. -.] Fa..:,(, ) Over 1,000 amps or volts 55226 2 . Temporary services or f> installation,ante"ration,and/or Email: •. relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 70I. 201 amps to 400 amps II 125.08 I 2 Owner signature: Date: 401 ami to 599 amps 168.54 2 $ranchfor circuibras-new alteration or extension �er �and-'-�� - .r .,,v �'`'�1?'7�`L: n�:,€.. "-"'� A.Fee ncth cvcutts with Business name:William Lyon Homes,Inc. above service or feeder fee, 11111111.1111 1 Contact name. I`f Wt 11/01 each for branhch hcircuit ver 1'`� B.Pee f�branch circuits without r. Address:109 Just 13th Street service or fader fee,first Winch56.18 2 chralJt City/State/ZIP:Vancouver,WA 98660 Each add'*branch circuit 7.42 2 • Miscellaneous(service or feeder not included) Phone:(360)695-7700 • . ' rFax::(360)693-4442 Each manufactured or modular dwelillin; service and/or feeder 67.84 2 Email i ) 14_11.t 4 h 4,t i j� s b-A! Reconnect only 67.84 �© Fj�1J, k. a iI •xje.774.7-1.;'-'7.1'^z-..r,i,,_..i, c' , z .�_...._ 't.. Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 ''"" Signal ciroait(s)or limited-energy Address:6101 NE St Johns Rd Panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:(253)320-1657 I Fax:( ) Investigation(1 humin) 90.00/be Email:bdanielseigweusa.coln IndtsstriaipLnt{]hr rain) 78.18/br Inspections for which no foe is CCB Lia: C1158 Electrical tic.: 208174 Suprv.Lie:: 4496S spaerfi tined QA hr min 90 hr • c: Suprv.Electrician signature,required: It.1 ei Plumbing Permit Annlicat I . .Building Fixtures eliry o � MAY 2017 ltexdved 13125 SW Hall Bivd,Tigard,OR 97223 n+ Permit F `� /2-eV d/7 • Phone: 503.1182439 Fax: 503.511 ®��IGAR� " GiberPennitTlo.: Inspection Line: 503.639.4175 yyam�' t !! InterneC www.tigerd or.gov 7 iJ L.®'t NogO TA- h,,,,,.. B See Page 2 for Supplemental Information l '',...:44;;:::4;;;•2y.,..1;,. - _.....•..Z'�!�t-c;QIT..I�! "i.. ..... ..,' ,..._ ., .. �p� �(.e�-14,3i.:', !" h.. '�`h; 'j New construction ' fl Demolition For special Information use checklist ❑Addition/alte rdfietl/replacent ❑other Description I Qty. 1 Ea. 1 Total New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY.'OF t, NSUWCT1ON' SFR(1)bath 312.70 BI-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ' 0 Accessory building 0 Multi-family SFR(3)bath i 500.32 ©Master builder 0 Other: Each additional bath/kitchen 25.02 . Fire sprinkler(____sq.ft) Page 2 • . .'lOB SITE. INFORMATION AND LOCATION-. • .. Site utilities Job site address: Catch basin or ares drain 18.76 City/State/ZIP:'I"agard,OR 97224 D11ywall,leach line,or trench drain 18.76 Suite/bldg./apti��r T� � Footing drain(no.linear ft.:• ) Page 2 no.: Project name:R Nor c+- Manufacttaed home utilities 50.03 Cross street/directions to job site: Manholes 18.76 ^ Rain drain connector 18.76 Sanitary sewer(no.linear R:_J Page 2 Storm sewer(no.linear ft:,__-,-) Page 2 Subdivision .+ Lot no.: Water service{no.linear R:,) Page 2 UGY Grl''t'ee��sbC ,n J?.s - ( Fl�tare or Jtem: Tax map/parcel no.: Backflow prev 1 31.27 AESCRIPTION OF WORK Backwater valve 4 12.51 25.02 _ ^�lr1t 014 / ' _- herher �+�'"�� � J�J .. nfdn8$uwtisitt 25.02 Ejectors/sump 25.02 18.9!ROPIttY OWNER • 1 D TENANT Expansion tank 12.51 Name:ADPL Land Holdings,LIE Fixture/sewer cap 25.02 Address:7604 E Doubletree Ranch Road Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State2JP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)6944031 Fax:( ) Ice maker 12.51 ®.APPI;)1CANT . . c CONTACT PERSON: Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value$ ) Page 2 PrimerContact name:1 k 11/01(K Roofs (commercial) 12.51 -i1 Roof drain12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 6254 Phone:(360)695-7700 Fart::(360)693.4442 Tub/showerlsbower pan 12.51 EanailUrinal 25.02 "'�!{I13k •t,1. C0'17[7e.jN�� �'?`s"t-f`5 1'1)(11 Water closet 25.02 Water heater 37.52 Business name:Malmedal Enterprises Inc. Water P1Pin8n)WV 5629 Address:PO Box 207 Other. 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)3248759 Fax:(503-)324-0580 Minimum permit fee: $72.50 Planreview (25%of permit fee) CCB Lic.:102535 1 Plumbing Lic.no.:34-276PB State surcharge(t2•!o of permit fee) Authorized signature: C....--------( 1 TOTAL PERMIT FEE 1 Print name:Carolina Malmedal I Date:04/25/2016 I This permit application expires if a permit Is not obtained within ISO days after it Sas bean accepted as complete *fee methodology set by Fri-County Building Industry Service Board. - 1:16uidug\PennitsWIMMU-PcmitAppdoe 10101/09 440.46I6T(10a2.COM/WEB) v. r 1111 City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT II T I G A R D Building Permit Review - Residential Building Permit #: CIS 7-`, 20/7 -000/2 Site Address: f L\SI SvV ¶L reS-}- thtki)v•1 at: Project Name: }2vver Terrace. Npf-rnw-e - Lot #: k.t-}' (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NeVJ & 2 - * 1240 riae- - ' pa//O CW'rt 1 Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ No 1:gl. Yes,See River Terrace Review Addendum Attached Site Plan Elements: ���� ,Three(3)copies of site plan Misting isting structures on site }hilOISite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished txDrawn to scale(standard architect or engineer scale) floor elevations .North arrow ) utility locations (required for new,may apply for additions) Site address,project or subdivision name and lot number Location of wells/septic systems .Applicant information(name and phone number) OtExisting trees to be retained with drip line,and tree Lot dimensions and building setback dimensions protection measures Lot area,building coverage area,percentage of coverage and 74 treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) W.treet names >Property corner elevations (2 foot contour lines if more than 4 foot differential) ' Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No 0 Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake SZ Land Use Case#: PD122ot5- z Zoning: [2`'7(90) .i Required Setbacks: Front 0 Rear 10 Side 3 Street Side V'.JA Garage 261 ELandscape Requirement: SO DI Lot Coverage Maximum: OD % Building Height: Maximum Height N/A Actual Height t 21.0 Visual Clearance Easements . Sensitive Lands: ❑ Yes 'No Type AUrban Forestry Plan .Conditioks i"Met"prior to issuance of building permit .1 Notes: Cand rticoV1 S Sha i( ke hid- pX1c to k. g.L -vIc P Approved By Planning: �'rj Date: i 1i- Revisions (after B ilding Submittal ily) Reviewe D to Revision 1: Approved ❑ Not Approved Revision 2: Approved GI Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 091216.docx NIP N Building Permit Submittal Original Submittal Date: 4)/m cI 7 Site Plans: # 3 Building Plans: # ? Building Permit#: Er-Inter building permit#above. Workflow Routing: Eh—Planning g-"Engineering 'Permit Coordinator 3—Bti 1ding Workflow Sign-off: I - 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. i2tBBuilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ri.„. - Date: 0//2 Engineering Review I. ope at building pad: .. 0 onditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering condition of approval and and p ❑ 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 ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: .E&,-22Date: Ar' Revisions (after Building Submittal only) Date Revision 1: Approved ❑ Not Approved R> d 7 Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit / pproved,NOT Released: *17 --- ate: l�01/ /� 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: } DC Fees Entered: Wash Co Trans Dev Tax: Ci"es ❑ N/A / Tigard Trans SDC: r Yes ❑ N/A Parks SDC: Yes ❑ N/A SDK to Issue Permit ���i� `Approved by Permit Coordinator: Date: I:\Building\Forms\B1dgPermitRvw_RES_091216.docx , 4 • City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 111 T I G A R D River Terrace Building Permit Review Addendum Building Permit #: / -t.S 7--;47/ 7 - 00/2 Site Address: fl45 I SVV fpr,+ 14D1 ow at- Project Name: RIverTerrctce Nor-mweS± Lot #: (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? 1Yes ❑ 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 min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: 12S°ic, 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, e)Ror open onto porch Entrance opens to a porch: XYes ❑ No If yes,all the following apply: VE 25 sq.ft. min. 0 •ne street facing entry a 12 ft.max. roof above floor of porch l 5 ft. depth min. :4 30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: V.Covered porch min. 5 ft.wide x 5 ft. deep 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. Horizontal 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.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. ❑ 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 S,50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: � � ak. Date: 11510 I:\Building\Forms\B1dgPermitRvw RES 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 provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter IN T 1 G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECE MED DEPT: BUILDING DIVISION R" APR 3 �, 2017 FROM: Angela Grajewski CITY OF TIGARD BUILDING DIVISION COMPANY: Polygon Northwest BYPHONE: 971-212-2144 � RE: 17451 SW Forest Hollow St MST2017-00017 (Site Address) (Permit Number) River Terrace Northwest Lot 141 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies l Description: ,. N:. :,: of �Description:� , . o Additional set(s) of plans. 3 Revisions: desk pit-hp e" 0 Cross section(s) and details. 0 Wall bracing and/o(latral 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. add desk due to terrain pG.7c'o �cu-rr y r. Routed to Permit Technician: Date: L- -.<3,0 - 17 Initials: Fees Due: ►=I Yes U No Fee Description: Amount Due: r, Li••, ,-,',;,-1::; ',:• .='',;',''':'87 1 Hr plc.n rev : cti $ 9 © $ / .! . A $ Special Instructions: Reprint Permit(per PE): [�'Yes U No one Applicant Notified: ate: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17451 SW FOREST HOLLOW ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00017 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17451 SW FOREST HOLLOW ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00017 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 40 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17451 SW FOREST HOLLOW ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00017 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Collected Moisture content acknowledgement form High efficiency lighting form Moisture content acknowledgement form ETO site inspection certification Left C of 0 on the counter Violation Summary: Inspector Contractor