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Permit (74) , CITY OF TIGARD MASTER PERMIT 111 COMMUNITY DEVELOPMENT Permit*: MST2017-00016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/10/2017 Parcel: 2S 106DB 14000 Jurisdiction: Tigard Site address: 17477 SW FOREST HOLLOW ST Subdivision: RIVER TERRACE NORTHWEST Lot: 140 Project: River Terrace Northwest, Lot 140 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2229 sf Value: $273,591.61 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain ‘, Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 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 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 add9 500 sf: 4 201-400 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:Y Square Feet: NEW SF VB R_3 2229 Owner: Contractor: ADLV LAND HOLDINGS LLC 1MLLIAM 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 2 Fire Rated Eaves-Both STE 1 Sides SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,269.25 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 0 1 •�95 '01-009. 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: ' C.� ---- Permittee Signature: //It' (--77 ftp/V/ 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. J, • ) -'' e. ' ' ' ' "'.' LS' 6 Building Permit Applicationf '; 1 , seFOR OFFICE ISE O\L1 �:, � 6 Received / 4/7 2�r Permit N .. QO1/(O City of Tigard Date/By: ,'O Date/By: �"��� 1114 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review l _ c_ 11 Other Perm�vr,�),, /7 /-5 = Phone: 503.718.2439 Fax: 503.59/L19607 't Date/BY: Date ReadyBy:S / Iuris: ®'See Page 2 for T l ,{K,l Inspection Line: 503.639.4175 s NotRead ethod././l7 x r/ Supplemental Information Internet www.tigard-or.gov i ir:: '/ /6--- t - -r ... ..at � ..a rr-',:`7---�!q. xy ^k w.frc �#A ;z � �€ a f 24„ Y H j c `..i',(,;:,,a' i r 3 s L ".. s' s::'' ...c'';' i'-:,;,.."''''`.-/`; Mechanical Permit Appli•c:,;f ICI I ,m(01 , 1, f: 1 „ t, l City of Tigard Retervad Permit>, / HCl P 1312571_,_ SW Nall Blvd.,Tigard,OR 97223 2017 D"�� �� 'Trp Phone: 503.718.24 39• Fax: 303598.196b Oti,cr 14x,45^. r, inspection Line: 503.639,4115 CITY OF TIGARD Dow Roadyloy. la See Pace Zfor interact wwwrigard-orgov BUILDING DIVISION NatificWethad: IN SopplemeatstInformation ,..( -.." ; Ii b.K ,.ys �x.7ty''' " x.: 751 FC .0; . ' 44' ir r-; ty F(. '( rhq r,sff FiANf t4.. 114Cty1...41's � , f, , 1 ti, '' Mechanical permit fees'arc based on the value of the work ®New construction 0 Addition/alteration/replacement per,indicate the value(rounded to the newest dollar)of all ❑Demolition 0 Other. mechanical materials,equipment.labor,overhead,and profit. " '.'i7..;a•Y•••�: .-'n �»!:,i * ' .1.`71,0,,; Value $&'c asw4,4: «.w64.4 's .g14.0 '2 ° 914,tW`.!<a:FT8ta ' .'a. tF'' V,, ' E~tiiLlu ,,,ve rkt, "j:.)_=,::::4', '4:14,,:‘ 9t l-and 2-family dwelling D Commercial/industrial 0 Accessory building For•iprcatInformation use theca=f 1Multi-faauily 0 Master builder 0 Other: Description ] Qty. I in. I Total '..'1..v,fr. .-.r c .... 1'r .+,LI":1«}.�t f F..,(*t r e fi 154 i Rte'C 3'!G ti F° . .4 S S�, it cooditionimE _p.,,}xF_ � ak�-t3y �< Aircatditioninu 46.75 Job site address: c)77 SW fresh J� si Furnace 100.000 BTU(ducrsr,•eats) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU Wads/vents) 54.91 Suite/bidg/apt.no.: , Project name:iliqGrTf rraZOOr 1�esi�- treat Irtltrtp 61.06 y Duct work 33.32 Cross street/directions to joh site: Ilydronie hot water system 23.32 Residential boiler(radiatoror hydropic) 23.32 Unit heaters(fuel-type.not electric), in-wall,in-duct.suspended,etc. 46.75 Flue/vent for anv of above 1 23.32 Subdivision:p_1%/ r te,r,N j,y%S F' I l of nu::/140 Otht23.32 Taus ma 1 V rx 1 v` Other Orel appliances; prpancel no.: Water heater 23.32 -e-''''r - ; t7a, i. 11 r f,,c/ ra i-°(.6:.-'411.,4."4.,4; �atu c1= Gas. fireplace/insert 33.39.�. .z....2.....--,,,,,,..,.__-<... ,? .m n. .-± a,G,r -_., u ..a. c?' g �,r.a flue r/ fireplace 2332 Mir.414 - ik1 l� f Log Helfer(gas) ' 2332 . " Wood/pellet stos _33.39 Wood fireplace/insert 2332. - ' ' Chlrnnev/linerffluc/vent 23.32 .3"L• . r: �'•t Qllrer: 23.32 t`;t �„ r" " cf ✓u3 t, . �$16.. ..,,,-....&: ,--3.7:1,...ttk . e'G'fiL>qxSv ' = ` _ �� _t "m .�8,-1 10fs._, ti §.p,er.5:!x ::.-ec Environmental exhaust sad vcnfitxti0a: Name:Polygon WLH,LLC Range hood/other kitchen Address.109!ref 13"Street equipment - 33•39 Clot hes dn'er exha ust 1 33.39 _,4 City/State/ZIP:Vancouver WA 98660 Single-duct exhaust(bathrooms, toilet txnnpattments,utility rooms) T 23.32 Phone:(M0)695-7700 rax:( ) tlttic/rrawlspaccf4ns 2332 $w,1 o.. s ,,_,., y,,i.....,,( rcci:T.n sa.tE:'" "`kxsr.nr. .,gijaii„i1-.o'p•z-:..(J� fr:: Other23.32 Business name:Polygon W LH,LLC Fuel piPip¢: v h/yt o $14.15 for first four,$4.03 breach additional Contact frame; - N 1GhOit Thine/ Furnace,etc. Address:109 East 13th Street Gas-heat pump Wall/stimendatunit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)6995-7700 J Fax::(360)693-4442 Fireplace . Range E-Mail ► ,11 1 i 1 j 1, 11, r .._� i ti i N a. Uasbctuc • f s rsr //;s / J'4 sk Fz �i0lhcs dryer buts) -.V.,.._ __ ..._. ....._,.....__..3 e2,, .:- , _ *i. <__i > .-„f :.:r-_,..„ , . Business name:Apex Air LLC Otter: Addttss:l$004NE 72" ._�_.. s_; .t fy",t. .e a . ,S , rs AveAvc 3 Mfiu cSc Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee(5911.00) Phone;(3650)342-8109 I Fax:(360)326.1769 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.:293034 TOTAL PERMIT FEE This permit application exprreg iia permit is nut obtained within tiro days afterit has hero accepted at complete, Authorized signature: ' Fee methodolo8;set by Tri•Caunty Drh,ding Industry Service Beard _ Print name. let / Dote: 4./1.it•- • r ailNn7S.V`amintrlEC Pern7iMto040113dm 4484,171'01/02,470}4 'I711 • • EIVElectrical Permit Applica a • , l Olt OFFICE.US1!ONr_:\ City of Tigard MAY 'Z 017 Dat " 'li: 1Z2-0/7`(00/6 Ili 13125 SW Hall Blvd.,Tigard,OR Plan Review Phone: 503.718.2439" Fair: 503. .i9 0rFTIGARD Datum1:23:211111111111111111 . Inspection Line: 503.639.4175 f t V Rey�BrSee Page 2 for 1 G:1i.J Iicmet www.tigard.or.gov BUILDING DIVISION Nomad: �la= H Supplemental Iaforma6oa _ . --'1.-------;--FJ-f' *;-4,?' 42.1 e-1..?Siff8 +1:2 _ ty:S} !Y-7-.7. RY f.il 5'Y;sn : r, `s'#..efx,,,, 2.,-11 k'412,.:-2 0.53..12W;.--.,,";;-1- 434-4---5,51,--, .st CI New construction ❑Addition/alteration/replacement Please cheek all that apply(submit,SW of planswfiteemschecked): 0 Service or reader 400 amps or mote D Building over three stories. ❑Demolition 0 Other velure Om available rani(current D ldfsrinas and boatyards. *-il :; +'a9,.,,6.!=FF„,r:ctS:;e:12(01:.:4sa) itli-)a��t.1b(1:2t(s-fE r :1.,..:- ', T"_:'E;_ exceeds 10,000nmpsetISO volts or (]Flowing buildings. ®1-and 2-family dwelling 0 Commercial/nidustt ial 0 Accessory building leas to ground,or exceeds 14,600 D Commenter-use agncularral amps for all other installations. buildings. 0 Multi-fancily 0 Master builder 0 Other, D Pim pump. 0Inatallation of ISO KVA or •2A,rrK)r,r� J?.?",;.,-.1 1 : b i` 'ig i-I :c E..,7-4-A, r ", y > <,, ,,, 0Bmer ' $".� �._' gmcy system. largo sdpahatclY derived Job#: f Job site address:/ S'� p{+ Ara/ ,�Aad;tioo ofrawmotortoad of system. ter. Icy I ( 1AA. ! lOONPormom. lj"A",B","1-2""14", City/State/ P:Tigard,OR 97224 D Six or moa residential units. occupancy. Suite/bldg./apt Risk p Amp A�,/ �t r� D - facilities. a Recreational vehicleparks. $./apt#: + Project mule:Risk rTe ride 1 11 rye.S4- DFlamrdow locations, O GOO Supply is voltage lbr 1,more than DService or leader 600 amps or more Cross street/directions to job site: ql, z a 5.• Dmcripetoa Q . Each Toter New residential single-or multi-family dwelling unit. Subdivision:{R-W,y [waft N t Desi_ Lot#: Igo Includes attached garage. Tax map/parcel# + 1,000 sq.1t.°Hess 168.54 4 Ea.add'I 500 sq.ft or portion i 3392 1 y,,.. ;-.. __ s a&Ctiv$r1•7i r;.4a�. i5)0t v't= •<., .'i... ->:..+.�_` Limedenergy,residential C1LO Vitp (with above sq.R.) 75.00 2 I Limited energy,multi family 75.00 2 residential(with above sq.ft) , .,-...�7.'',',j� ,•'4 , 7 _') 5 t'3+nys 7-'-` , `7,_:F E,aM� M Kfi._. f'.- Renewable Enemy ❑See Page 2 t Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road x01 amiss to 400 tamps ^ 133.56 2 • 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1.000 amps 301.04-_ 2 ... .P11one:.(602 94.4031. . _,_--..... .... ... Fax:(... Fax:(. ) ve _ O •2,000 amps or volts 552.26 2 .�. Temporary services or feeders installation,alteration,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 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 _ Owner signature: Date: 401 amps to 599 amps 168.54 , 2 's ; ¢ , 4,4-...2.,:a z At y `, , _ ,y6 o Y-ry" . Es3 t; o t ; a Branchcircuits-6=alteration,or extension,per panel `�'` z ��"`�, � 'Y�� "' A_Fec for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7A2 2 Contact name. i I tl i yl I1/Y►P Feeeh branch an circ rc r� t ■rile YL B. for branch c3rwits,rtihout 5 service or(boder fee,first Address:109 ast 13th Street branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Bach addl branch circuit 7.42 2 Miscellaneous(service or feeder not Included) Phone:(360)695-7700 • 1 Fax::(360)693-4442 Each manufactured or modals 67.84 2 dwelling,service and/or feeder l7ma11z i I 1 e . ) 1A 4 P. ,1,l 01,4 .11 T Al Reconnect only 67.84 2 r, _�:,.._ - �. . L _� r :'-',`C' i_',,>, .{-_:" Pump or irrigationekrk 67.84 2 Business name:Garner Electric Washington,LLC Sign or online lighting 67.84 2 ar•:. Signal circuits)or limited-energy Address:6101 NE St Johns Rd pm, situation, ©See Page 2 n, 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1hr min) 66.25/hr Pboue:(253)320-1657 1 Fax:( ) Investigation(1 hrmin) 90.00/hr , Email:bdaniel�gweusa.com industrial plant(I hr min) • 78.1Sfhr t Inspections for which no fee is CCB tic.: C1158 Electrical Lie.: 208174 &wry.Inc.: 4496S s '/s}n listed hr min 9000/hr Suprv.Electrician signature,required: 1:At.A k4 40...,4._ 1 .- Subtotal. Print name: Joan P Albeit Date: 4/26/2016 D Plan Review Required(25%of permit fee): r `' __ - Stair surcharge(12%of permit fee): -� TOTAL PERMIT FEE: •1;.:i1,.... Authorized signature: permitpp expires pertaitls not obtained within 180 ir:.; ;' Thiso 1Frstlouif Print name: Bill Daniels Date: 4/26/2016 days after N has been accepted at complain. - ^i?s.E` ` Number ofiaspee'oas allowed per permit .a.. tt•'ii 19 a0divelPermitAILCPPrmit MA Eltildoe Rev 06/17/2015 440.461 11NS/COMAVEB „w.;:�... ,y,p sir ...1,„::.1: ,, Plumbini Permit ApnlicaL Building Fixtures I01 e,l l it i I tit' l)Nl l '_. City of Tigard MAY b 2017 n Received Permit Ne>< /J' 1!7--01)/k, .. 711 13125 SW Hall Blvd.,Tigard,O Plan Review JJ Phone: 503.7182439 Fax: 503�F TIGARD Ot�ppm[tNo.: i , i s , Inspection Line 503.639.4175D11 i LDI N�' DIVISION pteady/ey ham: la See Page 2 for Internet www.tigerd-or.gov Noti&d/Mufio t Suppkmemtal Informatiaa 187'New construction ' fl Demolition For special information use c t Description T Qty. I Es. ( Total i ❑Addition/alteration/repl nt 0 Other: New 1-2-family dwellings(includes 100 ft for each utility connection) -CATEGORY OF CONSTRUCTION' : • .. ' . SFR(l)bath 312.70 ®i.arid 2-family dwelling 0 Commercial/industtiai SFR(2)bath 437.78 • SFR(3)bath ` 500.32 ❑Accessory building 0 Multi-family Eae41 additional bath/kitchen 25.02 ❑Master builder 0 Other. Fite sprinkler(__sq.fl.) Page 2 ' ..1 :-..,ipB SITE INFORMATION AND LOCATION , - Site utilities: Job site address:171/73 V �� [ s! i1',ii,,i10,,,,, Catch basin or area drain 18.76 Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: 1 Page 2 Suite/bldglapt.no.: 1 Project name:J r Terme lvOrliOlt�'4- Manufactured have utilities 50.03 Goss stroet/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:, ) Page 2 Stone sewer(no.linear R: ) Page 2 �lV Water service(no.linear ft.:_,__) Page 2 U�Y � i. .�� �' Subdivision:P eLot no' Fixture or Item: _ Backflow prevent! I 31.27 Tax map/parcel no.: .II • DESCRIPTION OF WORK Backwater valve j 12 51 -f � / / .._0D-{•• - Clothes washer _ -4 25.02 Dishwasher 2542 Drinking fountain 25.02__ Ejectors/sump 25.02 ®.'ROPERTY OWNER. - 1 0 miurrr Expansion tardc 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 1 Fax:( ) lce maker 12.51 APP CANT ❑ CONTACT PERSON. lnterosptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 f Primer 12.51 Contact name:]U I GhOit lhov 1(1.( Roof drain(commercial) 12.51 Address:109 East 13th Street V, �'' Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 - Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mall Ott 111W% a( Urinal 2s,oz car- Wetter closet 25.02 Water heater 37.52 Business name:Malmedai Enterprises Inc. Water piping/AWN, 56.29 Address:PO Box 207 Other: 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)32A-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 ' CCB Lic.:102535 Plumbing Lie.no,:34-2761'13Plan review (25%of permit fee) State surcharge(12%of pennit fee) Authorized signature: -. TOTAL PERMIT FEE Print name:Carolina Maimedal Date:04/25/2016 This perms application expires ire permit is tot obtained within 180 days after it has bees accepted as complete: 'Fee methodology act by Tri-County Building Industry Service Board. _ I:ilkdkruslPennitAPLIHU-PermiiApp doe 1001109 440.46I6T(1e.0VKOM/WEa) 1111 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R o Building Permit Review — Residential Building Permit #: S 7-=>20/ 2 C)ledf( Site Address: f Li 11 w rest 'Ho l l ow &. Project Name: PAv-rr T-errclrp Notw-?S-\- Lot #: \JAO (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N Wa-- 7/"- /IMO Y&/' -6 /;ec7c0 C-t�X/t Verify site address/suite# exists and active in permit system.15 . / River Terrace Neighborhood: ❑ No ,EI Yes,See River Terrace Review Addendum Attached SiteuPlan Elements: ., Three(3)copies of site planExisting structures on site 11niSite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished .. Drawn to scale(standard architect or engineer scale) floor elevations ►_:North arrow Utility locations(required for new,may apply for additions) El ite address,project or subdivision name and lot number OiXLocation of wells/septic systems IN pplicant information(name and phone number) xisting trees to be retained with drip line,and tree .! of dimensions and building setback dimensions protection measures 0 •t area,building coverage area,percentage of coverage and ,Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) NStreet names roperty 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: El Yes ❑ No 'R, Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified \fRf No Applied For: ❑ Yes Cl No,stop intake Land Use Case#: tP01.zO -bOOOC� SiNZoning: (2--1 LP D Required Setbacks: Front e3 Rear IC Side 3 Street Side 1\)/Ar 2-Q 'Landscape Requirement: 20 0/0 Z(Lot Coverage Maximum: O % X.Building Height: Maximum N Height1— g /A Actual Height 262\ n(Visual Clearance tg Easements I Sensitive Lands: ❑ Yes 4 No Type Urban Forestry Plan 1KConditions "Met"prior to issuance of building permit Notes: C D iTh' Ma A OM tot 1► inb Y--to ISKtki,Vaq, Approved By Planning: A�Ai 1►c/I ,' Date: 1 ('-1 I11 Revisions (afteruilding Submittal only)1 Reviewer ate Revision 1: N, Approved.14 ❑ Not Approved C---= - /011441.— y Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: AVL2 o/4_, Site Plans: # 3 Building Plans: # Building Permit#: C'Enter building permit#above. Workflow Routing: Er-Planning engineering E—Permit Coordinator A2'Building Workflow Sign-off: ,D- 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. .-Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: _ Date: 0,14,7 Engineering Review lope at building pad: onditions "Met"prior to issuance of building permit m e /z ❑ Easements (encroachments)per engineering conditions of approval and plat El Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes El No Assess Water Quantity Fee in-lieu: Cl Yes ❑ No LIDA Facility on lot: El Yes El No El NOT Approved by Engineering: Date: Notes: Approved by Engineering: Z‘--27Date: `—Z—f 7 Revisions (after Building Submittal only) Date +y Revision 1: Approved CI Not Approved R � y'ig�1/ Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit 21`7Approved,NOT Released: i,�l‘te: //P/V-- 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: IODC Fees Entered: Wash Co Trans Dev Tax: -Yes ❑ N/A Tigard Trans SDC: ?Yes ❑ N/A Parks SDC: pes ❑ N/A V.49 K to Issue Permit G/r 9-- Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES_091216.docx A ` City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT Q T l c A RD River Terrace Building Permit Review Addendum Building Permit #: /S 7?c/7 —00 0/G Site Address: 111--{11 SO/ T---Dre-s- \-t-01tom/ Si , Project Name: (ever Tei( race Na-tywVect Lot #: NO (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?XYes ❑ 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 ft. deep min. 2ft., 5 ft.wide min.2 ft., 6ft.wide Gabled dormer S' ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: r (Dl O 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, or open onto porch Entrance opens to a porch: Yes ❑ No If yes,all the following apply: '5 sq.ft. min. One street facing entry0 12 ft.max.roof above floor of porch 5 ft. depth min. , 30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: 1.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. E 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 facade '-e41,0%max. of street facade with 7 detailed design elements Notes: Approved By Planning: 7Ailjitj l; /'' Date: I l 4 i s I:\Building\Forms\BldgPermitRvw_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 li 2 Transmittal Letter ....:.i 711 ._ i G;11,1-x, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RE(FIVF D APR 3 2017 FROM: Angela Grajewski CITY OF TIGARD BUILDING DIVISION COMPANY: Polygon Northwest PHONE: 971-212-2144 By. g._ RE: 17477 SW Forest Hollow St MST2017-00016 (Site Address) (Permit Number) River Terrace Northwest Lot 140 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies:' , f. : =-4 P ,N_ C �.: ,De tion: 0 Additional set(s) of plans. 3 Revisions: -deck- f?7% epprti' 0 Cross section(s)and details. 0 Wall bracing and/or/lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. add deckdue to terrain fai"):-------Vri_L___" H___9" 1S4 .�. ..% ,Y/"" .�C,.r te .... ��,. I�.. � F �3. z � t „>6 z:"'�;�. ,,,, '.+./�F.�^i .,: -f, Routed to Permit Technician: Date: 4 -010 - 1 1 Initials: Fees Due: PI Yes ❑No Fee Description: Amount Due: : 1�� I Hr p1G.vrev ; eL' $ O s $ 15t��-,ex yN � $ *fnSpecial Instructions: Reprint Permit(per PE): U] Yes ❑No Done Applicant Notified: Date: initials: I:\Building\Forms\Transmitta11 etter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17477 SW FOREST HOLLOW ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00016 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: No AC Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17477 SW FOREST HOLLOW ST, BEAVERTON, January 12, 2018 at OR, 97007 10:50:20 AM Record Type: Record ID: Residential - Master Permit MST2017-00016 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: 17477 SW FOREST HOLLOW ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00016 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Street trees will be verified at close out of subdivision and reviewed by planning. Collected High efficiency lighting form moisture barrier acknowledgement form Moisture content acknowledgement form ETO site inspection certification Left C of 0 on the counter Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17477 SW FOREST HOLLOW ST, BEAVERTON, January 29, 2018 at OR, 97007 11 :45:57 AM Record Type: Record ID: Residential - Master Permit MST2017-00016 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor