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Permit (75) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00027 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/10/2017 Parcel: 2S106DB14700 Jurisdiction: Tigard Site address: 17343 SW FOREST HOLLOW ST Subdivision: RIVER TERRACE NORTHWEST Lot: 147 Project: River Terrace Northwest, Lot 147 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $254,572.66 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 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: 0 Catch Basins: 0 Bckflw Prevntr: 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 add'I 500 sf: 3 201-400 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 SF VB R-3 2078 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 2 Fire Rated Eaves-Both STE 1 Sides SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $31,847.96 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 95 -8: 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 7- k;• _—.. "A /1/J/0‘,l(/1-7e,A.-/ Issued By: i > Permittee Signature: '7 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. y t•ion J t_io- / 17/ 7 7 Building Permit Applica FOR OFFICE 1 SE ON Ll o , ULC... 20 '101 City of Tigard >r �v/7 ReceivedPermit No �v/7'-1}6r-4Z.�,� 1,1 13123 SW Hall Blvd.,Tigard,OR 97223 CITY O o�1 �" ) Plan Review .44 Other Permit: �/77—coo.Z,S— Phone: 503.718.2439 Fax: 503.598.1 91 1 nyki Tt 'y i n L �3': 'I' i i "/ - Juris: ® see Pogo 2 for Inspection www.: 503.639.4175 �'. { 3 ° Notifred/Method: .Inge Ready/By: �/d//7 J I Supplemental Information 't' F n Internet www.tigard-or.gov gov _ s 3 4 F �,�,cf dt. - �,�,.. ___'u ',.r.W - - :ii i Permit fees*are based on the value of the work performed. ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,ands e profit for ...ji �= r work indicated on this application. a. _j�. air,?„r,r,;, ,.�F>.-,o_ ,�... ,,.. . rar. ) ® 1-and 2-family dwelling ElCommerciaUmdustrial � , `—�❑Accessory building 0 Multi-family Number of bedrooms: 3 / Number of bathrooms: y3 builder--.:77-7---r,.---7.77: Total number of floors: ,�]$)a�'�'3 S � ”, R`F EI? of P`[ E" Ii6�5��F F��l L� �g��p-k"r. � E�f��n. ...4e f — �.:.w__.. ..0 �:re..._ New dwelling area: square feet Garage/carport area: V Job site address: .11 ' MO — 1� s9 uare feet City/State/ZIP:Tigard,OR 97224 Covered porch area: I�,�Q �'e feet ' � 30 Suite/bldg./apt.no.: Project name:fzi .� - OW �11ti �q Deck area: L}T square feet q 9 8 Cross street/directions to job site: ++ Other structure area: square feet I, •A l i tJ/.t `� t-v `E • r— t . ``,, \\ Lot no.: �' Permit fees*are based on the value of the work performed. Subdivision: / U ' y W Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the '"--- — - '� . :: work indicated on this application. 7,=, $ 3�.$. t * S€` e ` S`^a..,.m ,u<,,r>..'�+e&u'w 69".x,a ,�°tw:"v $ Y � .., )‘4'`,,,:,`, Valuation: Existing building area: square feet New building area: square feet '''.7: nes. 'i ' : ' I'� cz -=`P-.!..,l� a. � JI "" �, Number of stories: -------�-'--"� Type of construction: Name:ADVL Land Holdings,LLC Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: Z-7-:::'.:-.‘----- .-ug."', ' . c t" S y`' r e t ?y-.:'',,'-'-',V E` J 'b T.��a- , Business name: Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received. Fax::( ) 5 _. Phone:(360)695-7700 �x E-mail:Angela.Grajewski@Polygonhomes.com Commercial and residential prescriptive installation of , , �wa� roof-top mounted Photovoltaic Solar Panel System. - ">6 , Submit two(2)sets of roof plan with connection details rBusiness name:William Lyon Homes,Inc and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review City/State/ZIP:Vancouver WA 98660 and administrative fees): -i Phone:(360)695-7700 Fax:(360)6931442 State surcharge(12%of permit fee): , CCB lic.:207247 Total fee due upon application: This permit application expires if a permit is not obtained Authorized signature: t 4 calla l a /15 „ a Ila within,180 days after it has been accepted as complete. al I *Fee methodology set by Tri-County Building Industry Print name: - I Date: L• Service Board. �Building�Permits�BUP-RESPermitApp. dos 02/24/2011 44.0-4613T(11/02/COM/WEB) iiLEIVEr) Mechanical Permit Applies ' MIIIIIIIMMIIIMIMIIIIII Eity of Tigard 13125 SW Hall Ellett,Tigard.OR 97223 MAY 11 11101143: 51)1718.2439 Fax: 503.592.1 inspection Lint: 503.639.4175 Internet: wwwligardmr.gov Datelly: - / b Z017 Re'xivgd Pc"n"Nalt7S7-?-tv7 tiro?7 ,, . Plan Review ttrY OF'MARL/ .rhieBr - • • •• • . , . 00.-ftr,,,i, BUILDING DIVISIriPk4 ri:fl,r,Rc8d4.11:,),;:d: ; ,, 1 El Sec Page 2 for Supplanted:I information '-'`,,,.f.=.,';'''„:„'`''.-7:".1.4;1'..Pi-,:r.; ..:Ii" :.'t-`'.'-:t*:.'•-,:-''.4.:Ffi,tr-4-4: ,6i!1,,k;., ,nr..P-TO . / ,S:: •:.,1 _'.-:';:r;0-e.el.,. .-'..",,'g,,,:f1.-1,..-11';'-;. ;,.4-2,:b:Fi.-:j1-;-!‘;•;,/.gloa,..6:lAiS . Mechanical permit fees*are based on the value of the watt Egl New construction 0 Addition/alterationinephicement performed.indicate the value(rounded to the nearest dollar)clan 0 Demolition 0 Other: mechanical materials-equipment labor.overhead.and profit. Value:S ' -,,,-,4-.V.,-..-P-s,",::.-i::..-t•---44/,/,'.'/,'-'-,--PI-ic......,-,s;''i• '--,e,-.. '--- - S .,-.....„. ::-.1., ,•i,..- 1.-:- ?,.i...4.%1 l'a}z§,z-::, :4?-14,,.-'..`1,..74.v,"; .r.-.4. ;,,,-.,Its.-,,,,.7.4..,,,,--,:k.TI:11:41 ift-,,i',Tx•.:1-,;-1,.•4;:v5,-",„:4.4.4troil.-- Tiv-ts 9t 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For vedal inform:flan use checklist 1 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total , • .. ',,-...,P.,. fleatingkooling: ,*--sf. ''':-';',1"4.-`-:,''...;-,4:.;,•:,'...1...l.,....t---•a r.:..E10;',,i.J',.:,4..?i',.,:,_t",!ii:1,74)43,i4;..tf,,,::,.:,,,ist,,,,..fi-E,, ,$1, .2,71.....,,,,,,..;,y,,. . Air conditioning 46.75 Job site address:/731.13 stiv for6s+._ itnilow Si_ Furnace 100.000 BTU tductthertio 1 46.75 City/Stale/ZIP:Tigard,OR 97224 Furnace 100.000+BTU idoctsfeemst , 54.91 I teat pump 61.06 Suite/bldg.:eft.no.: J Project ffnme:r2wtrTerrace,N)of-thvjes+ Duct work 23.32 Cross streetidirectkuit to job site: tlydronic hot wafer system 23,32 Residential boiler(radiator or hydronict 23,32 Unit heaters(fuel-type.not electric), in-wall,in-duct.suspended.mc. 46.75 Flue/vent for onv of above I . 23.32 Subdivision;Raw re,,IT act Nbriltocci-- I L.,„.N7 Other 23.32 Other Orel appliances: ... Tax num/parcel no.: .Water heater 23.32 tr,s,,,,,.: ,r,..-/-1,„:,,, ,,,',... .`....t.....,:-.--.-- ...•'',.--,,-..71--.7.`.----.i-:-...,---,--, 1-_-, .: --_', '‘,'Y4,,,,t .-.,..P...--.,,-.'t v,- Gas fireplace/insert I 3339 ..- ...;...-;,. •=1,1;_ls,4.12`.-.:-PJ,...`,'1,941'-',It-V.. '':';',:'"- ';-::, '4.,.. -'‘'..-5.;=‘,.r4''' .',''.'„-a.-1'..' flue vein for eater heater or gas ,,i1Sirirjr).""'0002-07 fireplace. 2332 Log figirter(gas) Wood/pact stove 33.39 Wood fireptacetinsert ••-2332- Chionnevninerillueivent 23.32 - Other' 1 2332 '''' -''. ..k,.*:,:•'5,J-:.:.',L;',-;t4t--" ,i:--Fq .4.141;4-1i..0-LtiliTitric'itelaiXtvit-ii't-i.;.:Afkl.''''!;4i.i'l Etwirog,' mental exhl„st mai .cntilatina: Name;Polygon NVI.Jir 1,1-,C Range hood/other kitchen equipment 33.39 Address: 109 East 1.1' Street Clothes&vet exhaust 33.39 I City/StateralP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, 'toilet comPartments,utility morns) (4 2332 I Phone:(360)695-7700 Fax:( ) Anic/emwlspacc,fiins 23.32 i Other: 2132 P Business name:Polygon W1.31,tieFact WANE: • , 51415 for first fuer:54.03 for meth additional COnt....... ...t :N} 11,baihthrpCnante Furnace.me. I Address:109 East 13th Street- Gas heat pump Wallisuspoxlediunit heater City/State/ZIP:Vitneouver,WA 98660 Water heater Phone:(360)695-7700 1 Fax :(360)693-4442 PirePlacc• I Range I E-rnsil k ' ii I . li,i,di. r ,s, f I Iii rig Bazbecue 1..'31,'',-.--,''i..-.=,LW,!•-, : ?"'"; ','-' ."17r. :T': ranth.e a ,-.-/..et •i_..,-.,,--..,.---..a -•....7--'..;-:,1•-,-••-'---;•=4,1C.;,.:.:•51_,4%•::-....a-,zp:', ',.-::•Mt.4`;'",--4'•-•••'1'•ei';,.V;;.--,.;.L":-',5P7'.. ...--,v.:1- .' -----4Y-,,--, Business naute:Apex Air LLC Other: 'j'fir '11-,d;:,",,ts'._J-tS'''-t-- -1 ;T:''',7.-1:.`'.k•Vf •''i;;.'S•:"-70 Address:18004 NE 72"Avc Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit lee($90.00) Plan review(25%of permit(ee) Phone:(360)342-8109 I Fax:(360)326-1769 State surcharge(12%ofpennit foe) CCB lin.:203034 TOTAL PERMIT FEE ......... This permit application eerily**if a permit IS net obtained efithin 180 days**ern boo been oreepted es complete_ _ Authorized signature' * Fee methodology set by Counts,padding industry Service Board Print name: 1t#k. Date: I llIcaldiftsirttrriLOMEC_PervnitAro 144113 0.4c 441:1-45(11 0102,COMVaili) EL Electrical Permit Applicati© rou OFFICE USI ONLY City of Tigard NI Al' b 201% Ewes Fenn":/7S72 / �. 0 7 13125 SW Hatt Blvd-,Tigard,OR•97223 -. Plan Review . . - • Phone: 503:7182439 Fax 503.$98.I$(+ r r Ti ARD Related Pewit I: • IG!.1 (�. Inspection Line: 503.639.417511 Y ((jj Da+eJB, Inktneh: ww�Ytigard-ol BUILDING 1 1 1 ' � 1 : '° pa�.2lor Supple:metal Information IICWCO,--:: ',. ..t« �_.zf_.7iN 4.*-,k7e4 ;0-6,:l r."T (,Yc ,42.:&,V,:.-0.:411,- °' ti ` `.% }c,,it 7?a38ti�,--4- ',,'. .`'.. ,iii.', ® on 0 Addition/alteration/replacement amore check.0 that apply(sabmn 2 sets of plans write=chocked): 1:3 Demolition ❑Other CI Service or feeder 400 amps or mon ❑Building over three stories. �i��...,?- '-7 3, q a -:-.A. FL ':PRs•` a) `4;101 S3.+itW17,(5i, t • .'..�- -.. tx exceedswhere 10,000�fault ISD�or ❑Phainas and doatyards. amps. ❑Fkaaitug bnitdiags. ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to grams,or exceeds 14,OOo ❑Commercial-ase agricultural amps Soren other installations. headings.• 0 Mufti-family s ❑Master builder _ 0 Other:Other: ❑DR=DR=Phh>AP• CI Installation of 1501KVA w . sc ": 34 «,�"" i�,,I':.I,- l(i'l.it :t i 0 Ax ; li"P.-1'14 o P / ' :�;R 's <: O Emergence system' hirer separately derived Job#: Job site address 3 SY1/ i• s t !IOW a]S ❑)00EP or orator lona of system I/w 10of1P or mora. ❑/�;'7s","I-2;"!-3", City/State/ZIP:Tigard,OR 97224 CI Six or more residential units. o P Y• ❑H°alh-0°'°taaritias. ❑Rccveationalvebiekparka. Shitthldg./aPt #: 1PoIestname:K.1rt�IO�fu4e ���Yw�s� ❑ins t eatioas ❑supply vottaga for more tbam Cross street/directions to Job site: ❑ Oe foedr spa or more tine volts.swmaual Des«iptlao i Qty. Each Toed ,, New residential single-or multi-family dwelling unit. Subdivision:Rw r let/OctNOrij1WeS+- Lot 81147 Includes attached garage. Tax map/parcel#: 1,000 sq.R or less 66.54 4 Fa.add'J 500 sq.R.or portion 1 '33.92 1 !, ,, _�.:_ .�.�: -: 3t• (e+rat airy};{t) 3't_a.�': �r `•."3-rr4 ,-, energy, ,517/�r `i + (with above sg.R) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) , 75 00 2 Renewable Enet>;y ❑ See Pagc 2 :'-Ir .:?1 :c r ,0','.Al :l-'k io.: •..�: .fin.'ra +:,, rF :-;, Services or feeders installation,alteration,and/or relocation Name:ADVL brand Holdings,LLC 200 amps or less 100.70 2 Address:7600 R Doubletree Ranch Road ?Al to 40D amps 133.56 2 • City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 200 34 2 _601 amps to „. Plume:(602)694-401 �..,_ . _. ...I Fax:( ) Over.. _ Over,, 1,000ffi",-,•• _ 551.26 2 _ w nPOrary s feeders instal-1a tion,a tion,and/or Entail: relocation Owner installation:This installation is being nada 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 maps to 400 amps 125.08 2 Owner signature: Date: • 401 amps to 599 amps 168.54 2 .° l� '4';)- �'� . S : Branch circuits—new alteration or extension per panel ti fi � ry d��f�... "sem`':: ;+R:. s� 2 �ti�C 4?.fl.� �i'z{F 7� ij�:�.�-4(s�„-3-'rt;:`. , , s • "”" "''' � A.Fac for branch ci[chirts whin Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 Ir h�-Tflo e, each breach c Contact name, B.Fee for branch circuits without • Address:109East 13th Street service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Bach add'!branch circuit 7.42 2 • Miscellaneous(service or feeder not included) Phone:(360)695-7700 • I Fax::(360)693-4442 Each manufactured ormodular 67.64 2 Email. pp A dwelling,service and/or feeder I V ) h t 1.1.4 i 1 t.. g Reconnect only 67.84 ,.._ r ,7.;F4OIia N,a S ,'a�C gfv . fr`z `. F ,,. 2 Pump or 1R1$alien circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 <..,, Address:6101 NE St Johns Rd Signal tdrcuil(s)orlimited-energy panel,alteration,or emulsion. 0 See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(I hr min) 90.0W hr Email:bdaniels@gweusa.com Industrial plant(I hrmin) • 78.18/In inspections for which no the is 90.00/hr CCB Lic.: C11S8 Electrical Lic.: 208174 Suprv.Lica: 4496S s listed(%.}again) :' Stitprv.Electrician signature, aired:' ——;• —.�, "�It -; ii- k-I, ti' i F0.(t`,ptj,,: < 0 ,F:iszx required: i I°'r~ [1� �L. ' ' Subtotal. Print name: Joan P Albert Date: 4/26/2016 ❑Plan Review Required(25%ofpermit fix): �, State surcharge(12%of permit fee): •'*. Authorized signature: ] ____--..z.-. .. �—~ TOTAL PERMIT FEE: This permit application experts'fa permit is not obtained within 120 Print name: Bill Daniels Date: 4/26/2016 days after h has been ac a complete-::5�f capped s co pl te. — ±*;;Y • Number of inspections allowed per permit ?c:'1,ic+'r:`r:laSdkh;lPenalteni.0 Pemhit pps3TR..ERg-dos Re,06/17a015 4404515TOMJS/COM/WSS _"-fir;; Plumbing Permit AnnlicatElECENEE Building FixturesMMIIIIIIIIIIIIIIIIIIIIIIIIM SECi of Tigard Mg 1) "2017 S 13125 l SW Hal(Blvd.,Tigard,OR 9 FiA,A OF TIGARD Date/By Pa,rw No. S 1 i�/7-ptlL) ? Phone: 503.718.2439 Fax: 503.5': •.r No6Csed'° /MO p No,: Inspection Line: 503.639.417Pi 5 8'01 V ri l e R �„etbad la See Pam t for Internet www.tigatd or.gov a. .•:: - _ _ Supplemental Information . . •• ... . . . , [•FEE-. a.:•,w: .: G;,_2,-::.t.�,y..ti:7 ®New construction ' 0Demo)15on For special infonseatian arsechetklist Description 1 Qin. I Ea. t Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft for each utility connection) • . • • • ••„ CATEGORY qir CoNSTitaTc3ToN• : . _ SFR(I)bath 312.70 ®1-and 2-family dwelling 0 Commerciallmdlstrial SFR(2)bath 437.78 • SFR(3)bath I500.32 ID Accessory building 0 Multi-family Each additional bath/kitchen25.02 ❑Master bulkier 0 Other. Fire sprinklta(__sq.R.) Page 2 • 10B SIE I,NFORMATIONANDI'L,O,CATION Site utilities: Job site address:/7318 S vi Fnr€s4-�Il1M! st- Cath basin or arra drain ( 18.76 Drywe City/State/Z1T%Tigard,OR 97224 tl,leach line,or trench drain 18 76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 Project name:R tr'Terraee *emu fit" Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear It: ) Page 2 Storm sewer(no.linear ft:_) Page 2 ��� Water service(no,linear ft.: ) Page 2 Subdivision:101 ft [1 n j -- 1 Lor nor-:/ nature or item: Tax map/parcel�no.: Backflow proventer ` 31.27 . DESCRIPTION OF WORK• ; ' Backwater valve 12.51 Clothes washer 25.02 _. _� 17ishwasher _ _ Drinking fountain 25.02 Ejectors/sump 25.02 • .®.yRopERTY 0WNER, 1 1;1TF.h1A1V'I' Expansion tank 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 City/State/ZIP:Scottsdale,AZ 85258 HGarbage e bib disposal 25.02 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ®.APPjcANT . 0 CONTACT PERSON: Interceptor/grease trap 25.02 Business name:William Lyon Homes,lint Medical gas(vahu:S-___} Page 2 Primer 12.51 Contact name t�� 9"`/ Roof drain(commercial) 12.51 Address:109 East 13th Street � Sink/basin/lavatoiy 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54. Phone:(360)695-7700 Fax::(360)693-4442 nth/shower/shower pan 12.51 Urinal 25.02 E-mail: fJjch& wCY /;�gt / a A 111/ Lits Water closet 25.02 , � iii+R�e!!�/Gt7/O`: Water heater 37.52 Business name:Malmedal Enterprises Inc. Wates pipiag/DWV 56.29 Address:PO Box 207 Oder: 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: 572.50 Plan review (25o%e of permit foe) CCB Lic.:102535 'Plumbing Zit.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: C-,,,. TOTAL PERMIT FEE 1 Print name:Carolina Mahmedal Date:04/25/2016 I This pmt application expires if a permit is not obtained within 180 days after it has been accepted as complete. `Fee methodology set by Tri-County Building Industry Service Board. - L.tauldiodOYennitOPLMU•Per n tApp doe 10/011D9 440-46167'(11 WB'LCOM/WEB) City of Tigard II ■ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review - Residential Building Permit #: . (jf,7 1 / 7-- a00,27 Site Address: f 31-}3 SvN11-1)r-Pc-4' }-}o11NJ Si-c-re-F- Project Name: .\Nil( T-er race -1 vW -1- Lot #: 1 L4-1 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review A Proposal: JVD ST-'(- ± /jay€ ,--.440,- T f4*o cave Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No X Yes,See River Terrace Review Addendum Attached Site Plan Elements: _Three(3)copies of site plan N 'xisting structures on site Z ite plan must be on 8-1/2"x 11"or 11 x 17"paper XFootprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations North arrow Attility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number N Location of wells/septic systems Applicant information(name and phone number) \Existing trees to be retained with drip line,and tree Lot dimensions and building setback dimensions protection measures of area,building coverage area,percentage of coverage and , 1Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) OStreet names 'roperty corner elevations(2 foot contour lines if more than 4 foot differential) 1: 1, Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No lid Public Facilities Improvement(PFI)Permit: Required: E Yes,applicant was notified V No Applied For: ❑ Yes E No,stop intake SI Land Use Case#: 2 D 2D 6 --OWDS .5Z Zoning: 12 C PD Required Setbacks: Front Rear 'O Side 3 Street Side NJ/A Garage 21) Landscape Requirement: 20 ,IrLot Coverage Maximum: s0 0/0 Building Height: Maximum Height (J/,. Actual Height #2 ,Visual Clearance X( Easements .lEr Sensitive Lands: ❑ Yes Ai No Type Urban Forestry Plan -Conditions "Met"prior to issuance of building permit Notes: I t-11MS 5hAtl 196 m&+- Qrlof-to IcSSUa nce. Approved By Planning: AUS it,.� Date: 1, 12 fl Revisions (after B ilding Submittal on , Reviewer , D to Revision 1: Approved ❑ Not Approved '____SARL_ Revision 2: �/0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw_RES_091216.docx r Iv Building Permit Submittal Original Submittal Date: /A. 0-6/17 Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning ' EEngineering Permit Coordinator yBuilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: ,I' 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: ,{,.4— _si, A. ...• ��� Date: //xc5-4? Engineering Review Slope at building pad: Ot � /0.0" onditions "Met"prior to issuance of building permit 0 Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 4'16' 27 Date: /...-.47/7" Revisions (after Building Submittal only) Wipviewer Date / -fir Revision 1: Approved Not Approved ‘,/,‘...1 / Revision 2: LJ Approved ElNot Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: Date: / 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: ,SDC Fees Entered: Wash Co Trans Dev Tax: 7Yes ❑ N/A Tigard Trans SDC: QII" es ❑ N/A Parks SDC: r.0Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator:?V4 Dater / I:\Building\Fonns\BldgPermitRvw_RES_091216.docx x City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum <M� Building Permit #: Site Address: ���� `S�J Tr 'S-f- pL\i AtYecf- Project Name: -T Tate Nooywes j-. Lot #: 11-0 (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?.N Yes El 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. deepBalcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ El ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: I 2% 3. Entrances:At least one entrance must meet both of the following standards: N-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: .Nt-Yes El No If yes,all the following apply: 25 sq.ft. min. One street facing entry 12 ft. max.roof above floor of porch 5 ft. depth min. tzi 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 Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min.4 ft.wide bc-Roof eave min. 12 inch projection ,Roof offset min. of 2 ft. El Roof shingles either tile or wood .hq-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 El 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 El Attached garage is 35% or less of street façade 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) El 12-foot-wide garage door El 40%max. of street facade -K,50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: &Wk. # Date: l 12 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. INI City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED APR 3 2017 FROM: Angela Grajewski CITY OF TIGARD BUILDING DIVISION COMPANY: Polygon Northwest PHONE: 971-212-2144 By: 70-- RE: 17343 SW Forest Hollow St MST2017-00027 (Site Address) (Permit Number) River Terrace Northwest Lot 147 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: o0i! D car � Desch , �� �� � C€p><es .. � .., P�o�=, ,, „. ,. �. l�>��. ..,. � 1 �, � `' �� �1 �. t.i 0 Additional set(s) of plans. 3 Revisions: leek /9 f 0 Cross section(s) and details. 0 Wall bracing and/of lateral analysis. te 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 to terrain prna & 1 ) ,. '- �-. �.. :� ,.. :: ... .�.: �a,.,., rte .," r �� '�'. �� ,:, - Routed to Permit Technician: Date : Li. „,1.0 Initials: --)--)- Fees Due: IN Yes ❑No Fee Description: Amount Due: �X n ' ,� 144r P) con rc . eti✓ $ go�� Special Instructions: Reprint Permit(per PE): ail Yes ❑No 1Done Applicant Notified: Date: 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: 17343 SW FOREST HOLLOW ST, BEAVERTON, November 29, 2017 at OR, 97007 1 :07:14 PM Record Type: Record ID: Residential - Master Permit MST2017-00027 Inspection Type: Inspector: 699 Mechanical 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: 17343 SW FOREST HOLLOW ST, BEAVERTON, November 29, 2017 at OR, 97007 1 :08:14 PM Record Type: Record ID: Residential - Master Permit MST2017-00027 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: 17343 SW FOREST HOLLOW ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00027 Inspection Type: Inspector: 115 Electrical service 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: 17343 SW FOREST HOLLOW ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00027 Inspection Type: Inspector: 120 Electrical rough-in Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor