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Permit (41) CITY OF TIGARD $ ' ' CO MASTER PERMIT MMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit#: MST2017-00136 Date Issued: 05/16/2017 13277 SW AUBERGINE TER Parcel: 2S106D603600 Site address: Jurisdiction: Tigard Subdivision: RIVER TERRACE NORTHWEST Project: River Terrace Northwest, Lot 36 Lot: 36 Project Description: New SF. BUILDING Stories: 2 Bedrooms: 4 Floor Areas Height 24 First: 978 sfRequire`get- Re Bathrooms: 3 Basement 0 sf _�auir� Dwelling Units: 1 Second: 1251 sf Left: 3 Parking Spaces: 0 Garage: 380 sf Front: 8 Smoke Third: 0 sf Total: 2229 sf Right 3 Detectors: Yes Value: $166,000.00 Rear: 10 100 0 mks: 1 Water losets: 3 PLUMBING Lavatories: 5 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Dishwashers: 1 Tubs/Showers: 3 Floor Drains: 0 Garbage Disp: 1 Sewer Lines: 100 Footing Drain: 0 Water Heaters: 1 SF Rain Storm Sewer: Ice Maker: 1 Water Lines: 100 Drains: Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Catch Basins: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: Fuel TvoMECHANICAL es Air Conditioning: Y Natural Gas Vent Fans: 4 Clothes Dryers: 1 Heat Pump: N Furn<100K: 1 Hoods: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Furn>=100K: 0 Gas Outlets: 4 Residenit ELECTRICAL Se 1id sf or less: 1 N1C � Temp Srvc/Feeders Branch 0-200 amp: 0 Circuits Ea add'I 500 sf: 4 0-200 amp: 0 W/Svc or Fdr: 0 500 Sf 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY Audio&Stereo: N SF Residential HVAC: N Security Alarm: N Other: N Other Description: Vaccuum System: N Garage Opener: N All Ecompasing: Y Class of Work: BUILDING INFO Type of Use: NEW Type of Constr. SF Occupancy Group: Owner: VB Square Feet: Contractor: R-3 ADLV LAND HOLDINGS LLC 2229 WILLIAM LYON HOMES INC BY FORSUM,MICHAEL Required Items and Reports(Conditions) BY F E FORS U,MICHAEL E RANCH RD 109 E 13TH STREET STE 1 VANCOUVER,WA 98660 1 Fire Rated Eave both sides SCOTTSDALE,AZ 85258 2 Ersn Cntrl 503-639-4175 PHONE: 602-694-4031 PHONE: 360-695-7700 Total Fees: FAX: $31,409.62 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and 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 requiresyou all other applicable law. All work will days. through •R 9 ,- to follow the rules adopted b O • •090. You may obtain a copy by the ns egonto O UtC by Notification Center.187Those00.3 rules are set forth in of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �,�`' J• � ‘---74C--- OAR - Permittee Signature: 6 Call 503.639.4175 by7:00orthe next available inseion T/�� /(�' � � This permit card shall be kept in a onspi u us place on the job site until completion of the project Approved plans are required on the job site at the time of each inspection. L--07- 3 ` 'Building Permit Application .1a1 a , .�, nA 2 FOR OFFICE LSE O\L1 City of Tigard Revue s ! 13125 SW Hall Blvd.,Tigard,OR 97223,I 1 1 1 : �( x ' ' ��Y �� (� /7 ,� Permit N ��Do�/ Phone: 503.718.2439 Fax: 503.598. ��pp „�� � �Plan Review 'A' b Inspection l l n r.',4�,: T �1 t 4, (}i, Date/Be: q-)3-- �l Other Permit: 4 J4Cge 2 for-d1.�5.--- T T t c ;t t� pe on Line: 503.63Fax: 5 ; Internet: www tigard-or gov Date edJMe y: *� Jam, B See Page 2 for Notified/Method: ��Z // . . Ja Supplemental InformaLon > /G G i_ fr .fieat, kn:ri � �'" - k �� "�` t`.� 'ufr' tJ F c 5,w.0 s �. �.� ...,,..±:-L-Mye -1...—.....:L11-°:,;.'" '" _ � cs r®New construction 0 Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement0O�� Indicate the value(rounded to the nearest dollar)of all �` equipment,materials,labor,overhead, y s4 s „-e-,.-7.7141E, and the profit for the tl�;b,` , ,-,. , .:'r G° 1, a?�3-:;t;`' €' a`' work indicated on i t� s application. ® 1-and 2-familydwelling� �,,, Mrd...+ ������.����,.,.fi..��; ❑Commercial mdusttial Valuation:* 2: , ./ oZ73 I • tt 1 6 Q . 0 Accessory building 0 Multi-family Number of bedrooms: Li ❑Master builder 0 Other: Number of bathrooms: .� Total number of floors: a c 0 ci Job site address: I 9)251 5` ' ' ' ”"91 �e T'erraC,e_ New dwelling area: Z(a square feet City/State/ZIP:Tigard,OR 97224 Suite/bld J t no.: Garage/carport area: �,n,c) square feet g aP I Project name:l�ikl�r I,� r n`W Covered porch� �); uare feet a 3 Cross street/directions to job site: ,v ,J�q Deck area: 13 $ square feet97 R Other structure area: square feet Subdivision: \\'' �(^ A `,` ` tt s:,:-_, I.,-1.7,„ � 2 vJ 1�/`(r�e. 1 3 Wn value I Lot no.: `�V� 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 r g _ � equipment,materials,labor,overhead,and the profit for the '. r ° �� � �s� .„;P: � work indicated on this ��”��,:�4 � � application. Valuation: $ Existing building area: square feet q� rc New building area: square feet .` : ' 'I � ; ` . . Number of stories: Name:ADVL Land Holdings,LLC Address:7600 E Doubletree Ranch Road Type of construction: City/State/ZIp:Scottsdale,AZ 85258 Occupancy groups: Phone:(602)694-4031 Existing: ° s a � F (ax: � ) pp New: ..r..„. v ,,1, , €&!.I ll�5�r pfi,_) , _ ''� ir ^” Business name:Polygon WLH,LLC � 9ta ;ter E a ,77.5,!--:"E":57F 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 I Fax::( ) Amount received: � . gE mailAngela-Grajewsld@polygonhomes.com � d ,. ao,;w �* °�r tv""��at R ��� Commercial and residential prescriptive installation of r fs_''..L:,-,.4- ,:,- � "va.,z 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 Phone:(360)695-7700 I Fax:(360)693-4442 and adminishative fees): CCB lic.:207247 State surcharge(12%of permit fee): Authorized signature: C {, Total fee due upon application: Wns 1, I This permit application expires if a permit is not obtained Print name: �� -"1 within 180 days after it has been accepted as complete. Date: *Fee methodology set by Tri-County Building Industry Service Board. I:1BuildingipermitslBUP-RESPermitApp doc 02/24/2011 440-4613T(11/02/COM/WEB) ,.. ______________ DD iatp.MechanicalPertnit A lie EIVEL) 1 UR oft 1( I- I sl 0\1 •City of Tit vi/ Rex:aro:I .0ther pentiiniiinimell m ' 13125 SW Nail Wet,Tigard.OR 97Z23 M AY 6 201/ Dewar none: 503.718.2439 Fax: 503.598.1960 ' . •...•• Internet: wwt3 r.. i'. :--1l -. -inspection Line503.69.4175 . ry oFT , xnU Dotiedt/ilMcheo1111gilger 1aeevtigard-or.gov BUILDINu DV " u\ otfhdSuppenean dnto111r11.na11t.io1n 1=M Ezrgq7:-zit-:u;::47.::,r,..7'-mTsq,27-mT.TYgF-Fwq-tmi72;-,: ip. ,T1T:zrm ja.:)!',,,r,,Taihr',.-L.717M-7--Wilt-TaTM ..,,..,,,,...g. .,,-,,.......,......„.. mcchanicat p.m foos,,fon hued on thn value°foie work. el New construction 0 Addition/alteration/replacement pcxformed.Indicate the ratite(rounded to the neatest do/taring-all 0'Demolition 0 Other: mechanical materials.- id men labor,overhead.and rdii. Mr$17 L',-gafRVEEagVPZZf Erg.' ,M3,74 r g 0,,,,,..:71-71--ZT727 177,75K: 1 XS;,.7: , I-and 2-family dwelling 0 Conunerciaffindustrial 0 Accessory7rre ory building - ' - — — 1 Multi-family 0 Master builder 0 Other: Dew' ion 112211111231111110211 r4-..-1".ii.,.--.f. ,S.:..z..- -.1,-,-,j-:',..!;!- -;kJ'-,.;.i...',1•!..',':4,`,'JP-- '1-1,-''. ,;-",;;•-•,!-'4441 ,41'.. ,,-.:-Y.4=,,*::.&:Z=:-?•- . . 111111,_VZ 1 11......___111111111 A tr condttionl, Joh site addrtas:kjilliMirb, ji, ' j A Fternade 100.000 BTU 63usts‘wous a 11114amminn city,stmezrp:Tigard,OR 97224 Furnace 100.000÷BTU tdaciskentst IIINIIIEEMIIIIIIIIII emearmimainianallIIII 6L06 MN Suite/bldg./apt.no.: Project name: tqtr erra - , - r H Ductonwork ____Nik„ratiogg Cross street/directions to joh site: dric hot water system 111111111.21311011.1.111111111 Residential bailer(radiator or IIIIIIIIIIIIII uhndirt°hIleatic)ers Crucl-IYM noteiMriC), 1111111111111 in-wall.in-duct sus.-deal.etc. Flueivent for any of above IIIIIIIIFIIIIIIIIIIIIIIII ..... Other 11111111M Subdivision: p V A at k /A14 A.A Lot arm / Other fuel a,.illtICCI: Tax map/parcel no.: MIN rjirm..............____117211rmammummillilralamm P777.;;-7- _-'7%:7'7.YNIZ-M-E-M3'-75TM.717.NAMS1 ---. —klau-twatommimitalliatill1ll11 Flue vent For water heater or gas II-,are iillinalli beer eas 111111M1111111 Wood/. ot move 33.39 Wood ff hoe/insert-- ' '- . 23.32-MI Chinutewliner/fluervent ____,111111111,__IM11111111 VM7-77:C7:4,17.-M7Ffr.:: - VarkrifMT:.-„f71, 11:7MMig 122111111111111111111111111111fimilinglaillin Name;Polygon WLR,LLC Range boodfother kitchen /11111MIIIII --_________-_. ,ni ment „. Address. 109 East IP Street Clothes diver exhaust 3139 City/Stale/ZIP:Vancouver,WA 90660 SiNie"thirt exhaust(bath.rtx"Tns' en Wel aunt F MS.Mild,moms Phone;(360)69S-7700 ilAttic/craw •cc font m.. ....1111111,_111EIL11111111 Er5,117.,<:;;:- QiTf. ."'*7,7,47f-te,V7r3irif•-:a.:41,MITTAM omen IIIIIIIImullmINI . .._ .. ., .,. _. .... , _ rif ausims nail=Polygon WLR,Lie M $1435 for ring um S4.103 for each nattitionat Contact name: % te, , , F...... 1111111111111111111111111 Address:109 East 13th Street IIMITIIrmumm111111111111111111111111 Wall/su ,-dediunft heater 11111111111111111111111111 City/State/ZIP:Vancouver,WA 98660 _____Emenummomminisigni Phone:(360)69$-'7700 Fax :(360)6934142 F -.1ainwommisianall111111111111111111111111 IIIIIIIIIIIIIII k i i I a I, 0,..,, r ),,,pi , 4 .,4 ) sit int:trivrii jallailirainginiii , '-„ alliiimme ,,,,...,..,.. . ,.„,., -,,,...,..„.„,•.;,,,,,,„„t-:.,,,44;._ :.;A.,.' s-...-.,,-...,-•',-tzi.'-'' -14..L.-',:.?..li--- ; manes' Cr( Other: 111111111111111111111 Business name:Apex Air LLC ti-- '5-7-t7ZAI:aQi:V71--V;_11:7T.:MITM.711 Address:18004 NE 72"Ave Sabtota/ aIIIIIIIII Minimum,,rmit fee S90.00 .______IIIIIIIIIIII Plan review(2.5%orperniit Fre EIIIIIIIIIII Phone:0614 34241109 Fax:(360)326-1769 State saran, (12%ofporrnit fee) 1111111111111111 CCD lie.:203034 TOTAL PERMIT FEE 11111111111111 Tfitit permit application expires Ifs permit is nor obtained within ion days afterit has been amplest as complete.. Authorized signature: ' Fee mohnde)ow so by Tri-Cøanty Eteilding Indontry Serviec timrd - Date: 4,/ / i Uitratfitit.rrmilsilt*r_PenougAPP 4)4n I LI doc 440461n(I 10)00/46V18) • Electrical Permit ApplicatioiECEIV E•pR Off ICI USIZ OV`L� City o Tigard Received , - • . ' N, , , 17' 1 20pian u Permit 0l 'o3972kit F\ ® : dl? emdr 503.7182439 s5 Inspection Line 503.639.4175 CITYTIGAr ' aabah1w._ ta See Paec 2 orLIG19 :tr6 �oee wwwbard ofgay ' • r. Dr1li �0J 'I ,. Supplemental Information • 1"1i Y M1 ; 7 - r •� sl•tIr4 New construction 0 Addition/alteration/replacement Please heck au that apply(submit 2 sets of plans Wilms abscised): 0 service or feeder 400 amps or more ❑$e;dding over three molt*.Demolition 0 Other: r v 7Rlhere the available fault current CI Marinas and ;ti'!v- • .- r...' >.,: G'. N•t41Zx.Cci i. i,;f f4.o-C?,4 k -;"_ _ it 4 -ra boatyards. ' '� exceeds 20,000 amps at iSO volts or Q Floating buildings. ®l-and 2-family dwelling 0 Cornmercaal/hidustrial 0 Accessory building lass to ground,or exceeds 14,000 0 Lommorcial-use agricultural amps for all other installations. Multifamily Ci Master builder ❑Fin pump. bailees.. 0 Other: ❑1nsra11ation of ISO iCYA or z'z,,nk i- sac e: s f; i e%'a ,-,S f(.(o-;;,',A: `, ,-:4,-;:,,;tit-` 'rA. , -9€' 0 EresnleneY risk= larger separately derived Job 0: Job site address: /�j li c'.l! ,e / ❑Additroa of new motor lent of systemR",•1-2", ✓ Sk v e yejine 100HP or more. 0 A", $•."1-2",'1-9" City/State/ZIP:Tigard,OR 97224 ❑Six or mom residential units. occupancy. (� �+� �A QHealth-care facilities. t_)Recreational vehicle parks. Suite/bldg./apt#: I Project name:K.Wt rTe rimeI W i V1 we s-1` ❑liszardrnu locations. ❑Supply yokes!for more than ❑Sevicem1nder600ampsorstore 600 rolls nominal Cross street/directions to job Site: 't t`-4T;,''r ,T, 9ro3i.rfi� E�-->a61 �i•'^ " '!;'.b.1+�-'i Description Oa. 1 hada 'rota .1 • .. New residential single-or multi-family dwelling unit. Subdivision:Entre it. ' +i,, - Lot#• / Includes attached garage. Tax map/parcel 8: 1.000 sq.R or Jess 168.54 •1_...__c:_,.;:','.=::,-;7-',..-y'�_...r..:.kr :,1% li'!:_it'<-4- ^. �'+.. ; fit .. Ea.acid' sq.R.or portion A 33.92 is 1 ��f` ��/ _. . ... 3_r; a d 3: 1 Limited energy,residentreJ hire+'! LA.Jj 7- oo I3 (with above sq.multi-family 75,00 2 Limited energy,multi-family 75AD 2 residential(whir above sq.ft.) t : `I }1�aia)2 r -..1.1.-Si})L:. •. . I. r.- '��• r:�c Renews ter fEnergy ❑SeePage2 Servic s oeeders tnstallationialteratlon,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 • Address:7600 E Doubletree Ranch Road 201 amps to 400 arr>ps [33.56 2 City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 . ;1 onD j ),694-4031 ... Fax:.(, --)-.:;_(.r�,.+ ...... Over 1,000 emr4 volts 55226 2 i• •-. Email: - �- - Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 1 • intended for sale,lease,rent,or exchange,according to ORB 447,449,670,and 701. 201 amps to 400 amps 125.08 2' Owner signature Date: 401 amps to 599 arnps 168.4. 2 E '` '' ;t :w-r ....kl-'41 0- r^moi - rZti; s ,I t .,e :,''.d. .' �3i).e10i , Branch taretdfs-e:new,alteration,or extension, er panel 1 A.Fee Por branch ita with € Business name:William Lyon Homes,Inc above service or feeder fee, each branch circuit 7• 2 Contact name.Orirhyt ly/ B.Fee for branch circuits fvuhotrr Address:109 est 13th Street ■,►+e Y'-, service to feeder fbe fust 56.18 2 branch circuit • City/State/ZIP:Vancouver,WA 98660 Each add'J branch circuit 7.42 2 Phone: 360 695-7700 • Miscellaneous(service or feeder not included) ( ) I Fax::(360)693-4442 Each ®® manufactured or modular l Email a ( � L • i, 4 1 ! dwelling,service and/or feeder 67.84 2 FF" .. -, F`i Y_y c P&L A (rJ*s .S il S T , -, .,'5,g-�,.T- Reconnect OAay 67.84 2 rr .0 Pomp or irrigation cache 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 1�,- • Signal circuits)or limited-energy Address:6101 NE St Johns Rd pang!.allaation,or bio®. Cl See Page 2 2 City/State/ZT:Vancouver WA 98661 Each additional inspection over allowabie in any of the above Additional inspection(1 hr rola) 6625/hr Phone:(253)3204657 I Fax:( ) Investigation(1 brnwt) 90.00/hr Email:bdaniels@gwousa.com Industrial piaot(1 hr min) 78.I8/hr Inspections for which no fee is CCB Lie.: C11S8 I Electrical Lie.: 208174 - I Suprv.Lie;: 44965 spemt6 listed %hrruin 90.00/hr i. Suprv.Electrician signature,required; .td iti i w? << 7 i_ d C ti a;a 5 t Subtotal: rL t I 1 5ubhrt Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit 6e)• ;i? �� \ Slate surcharge(12%ofpermit fie): :::• Authorized signature: ------------- - .11..-..:•; TOTAL PERMIT FEE: :ti", :3;'5..k!',, Print name: Bill Daniels This permit application expires ifa permit is Sot obtained within 180 }f'j ; Date: 4/26/2016 days alter It has been accepted at complete i`?'A I IBwId • Humber of inspections allowed per permit — .,_,*::t' l '�duktaC ermtApp 6LA�,FR6.doc RevO6IZ0Or5 44045151t17Po5/COMMEB tJ•ii{s: Plum�ine Permit Anoiicat iP ,�.- I E Building Figtuxes �� M 4 .6Ut�: IftIZ ()!7 !E C ! ,I: t),t l City of Tigard 13125 SW Hall Blva.,Tigard,OR ,.t. . F` { aA [) Phone: 503.718.2439 Line: 503.639.4175 0 • M 1l�G I V S i( 'Da" oma Peiinrmit Na.: .x��''?•,;a t w0/w tigerd or,goy Y $Sts Page 2 for Internet' 'I •'QF.. ,.....-.. Suppiemmhl Information ®New CODb'h1rCdOn:.. ©DemO]ifWn � �_ .,....1:12:.:s..,.,.. �i'�-.. •<�' '�ti.c�. :+:''�;_:: ❑Addidon/aiteratIOn/Ceplacement .; - -` :• 0other ..,=====!:: ry Tot • : :; New I-2 family dwelli,..s(includes 100 R.for each ch utility connection . • :. , •CATEGORY'OF CONS17taRlfCl'DON• . SFR(i)bath ) ®1-and 2 family damning 312.70 1111111111 ❑CommerciaUmdustrial SFR(2)bath _111M11111111111 Accessory building ❑Muhl-fatuity SFR(3)bath .- 50032 um Master builder ❑OtherEach additional bath/�t hen 25.02 1111111111 1111111111 'JOB SITE �1FORM,STION`AND•LOC sl1TON Fire u L__sq.R') r Page 2 y � Site utilities;lob s .r.,, L OICIV 211/�.•f!- / i Catch basin or area drain 11111111111331111111111111 1,• l 1. oR 97224 Drywell,leach tine,or trench drain � _ City/State/DP:Tigard, Suite/bldg apt.no.: Project name:/ Footing drain home linear R.: ) 2Page Cross stn�t/dir+rctious to job site: � i'� " ► 1. f 1.,; Manufactured utilities 50.03 11111111111111111111111 Manholes 11111111120.1111111.Rain drain connector Sanitary sewer(..linea R,: ) Page 2 1111111111 Storm sewer(n.line"ft.:___) Subdivision: e.Y Water service(no.linear ft.: ) Page 2 t . ► :al i ,>°S�— Lot no.: Tax Tmap�/ypar�acl no.: Thum or ken: �ir�f®/.1��. -.•111111111111103311 � ',".RII "TLON OF WORK B�a'l��owpseventer ��� Clothes washer 25.02 Dishwasher •- ti- 25.112 Drinking fountain 25.02 . .®•t`ROPERI It OWE © TEii1ANT Ejectors/sump MI 25.02 -- Name:ADVL Land Holdings,LLC Fixture/sewer cap ��_ Address:7600E Doubletree Ranch Road MEI 25.02 Floor ge di/Boor sinkthub 25.02 11111111111 . ME City/State/ZIP:Scottsdale,Al$5258 Garbage disposal 25.02 Phone;(602)6944031 effillammEn cRos!e,bib 11111 25.02 _ .... ...... .:;,..0)4 1/31'APPLICANT . ��� - 0 CONI'AGT PERSON• IatercePtor/grease trap 25.02 Business name:William Lyon Homes,Incmin Medical gas(value:S ) ®� 11111111111 Contact name: r j (�'e ; Primer Address:109 East 13th Streetj Roof drain(commercial) aigaggiam City Vancouver,WA 98669 Sink/basis(potable Phone:(360)695-7700 Solar units/sho water) ��� Phone: Fax::(360)034442 Tub/sbowts/shower pan 1., Olt •''i�N� ►/I r a 4 iiu" .1.9/ ��� �� 2s.02 Milill EeO: Water closet UN 25.02 MN Business name:Maimedal Enterprises Inc Water heater ��� Address:PO Box 207 WaterPiPWV City/State/ZIP:Banks,OR 97106 ®ME MIIMMIENIMMEIMINIMMEMINIINtOtal Phone:(503)324-0759 Fax:(503)324-0580 Min . imumpamitfx: Sn,50 11111111 Mil CCB Lie.:102535 Plumbing tic.no.:34-27618 Plan review(25%of permit fee C_.....�-.— ) 1111111111 Authorized signature: State surcharge(12%ofpetmit fee) Print pante:Carolina Mafnaedaf TOTAL PERMIT FEE MN i Date:04/25/2016 I This permit application expires if a permit ie qct einalaed within ISO days after ft bra bees accepted as complete. "Fee methodology set by Tri-County Braiding Industry SeTvtoe Board. I.i90d#PermiulPLMEtkamitAppdoe 10/01/09 440.4616T(10/0¢1COWNEN N City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT 111111 ■ T I G A R D Building Permit Review — Residential -.: . am. . :,: , %t 5T,Zc/ 7 !3(� , n � ., eA Building Permit #: r Site Address: Project Name: re--7-'‘ r ' t � <tI'i:1Z_ .7?-(7,;26=e�f a�,, � � _ , -,c. Lot #: .S(� (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: ��?'-., $ p4"*d elAlre ! erify site address/suite#exists and active in permit stem. /4 River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Si Plan Elements: ree(3)copies of site plan to. . tte plan must be on 8-1/2"x 11"or 11 x 17"paper sting structures on site 7 Footprint of new structure(including decks)with finished r wn to scale(standard architect or engineer scale) or elevations orth arrow to address,oproject or subdivision name and lot number Utility locations(required for new,may apply for additions)pplicant information(name and phone number) W cation of wells/septic systems 114 sting trees to be retained with drip line,and tree (t dimensions and building setback dimensions -protection measures area,building coverage area,percentage of coverage and n eet tree size,type and location unpervious area(applicable if R-7,R-12,R-25&R-40) t Property corner elevations(2 foot contour lines if more than treet names 4 foot differential II SII -an Water Services—Service Provider Lett, (lot platted prior to 9/10/1995): 'equired: Ely applicant was notified r4 /4 Public Faciliti Improvement(PFI)Permit: No Received: ❑ yeS ❑ No equired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake Land Use Case#: f�,� (Q(J1� CC S'�1 �� oning: '' 06)00P)�equired Setbacks: Front .0" � Rear `6 Side Street Side a, Garage 01/andscape Requirement: _� v. of Coverage Maximum: c a7. - FA Building Height: Maximum Height I' ` isual Clearance Actual Height FA Easements frensitive Lands: 0 Yes No ri Urban Forestry Plan Type ❑ Conditions "Met" or to Th(, ',1ssuance of buil Notes: CCJY1I,_2 = / p Approved By Planning: ,1 Date: ' Revisions (after Building Submittal only) Revision 1: ❑ Approved ❑ Not Approved Reviewer Date Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\BuildingWorms\BldgPennitRvw RES_091216.docx r Building Permit Submittal Original Submittal Date: l.Z./.2.c /fr Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. ermit Coordinator ❑ Building Workflow Routing: Planning +Engineering Workflow Sign-off: 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. e.Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / ` �% G - � �� Date: By Permit Technician: / /����%i fv En. neering Review lope0 at building pad: ..-7 Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No Date: ❑ NOT Approved by Engineering: Notes: _ JIM" Date: ' " �/7 Approved by Engineering: Date Revisions (after Building Submittal only) Reviewer Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit Date: ❑ Approved,NOT Released: 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: C Fees Entered: Wash Co Trans Dev Tax: o,..:t es ❑ N/A Tigard Trans SDC: ►: es ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit ,d1/47Date: /t V/1-7— Approved by Permit Coordinator: I:13uilding\FormsadgPermitRvw_RES 091216.docx N. City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT :11111 II TIGARD River Terrace Permit ermit Review Addendum Building Permit #: Site Address: *a Project Name: A t P `2 r, _„ L `' es- _ Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dig CT Design Is the project subject to the plan district design standards. Yes ❑ No Standards (18.660.07O.L); 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. ection Porch min. 5 t. deep Balcony w/access 2 Window Pro' ft. deep1 Vertical Wall Offset a min. 2ft., 5 ft.wide ruin. 2 ft., 6ft.wide Gabled dormer 2. Eyes on the street: a o 0 0 minimum o 12/o o£each street facing facade must include windows or entrance doors. Percentage Shown: ) 3. ntrances:At least one entrance must meet both of the follo Max. 8 ft. setback from hon st street- facing wall g standards: Parallel to street, angle no more than 45°from street, Entrance opens to a porch: Yes 0 No or open onto porch If e ,allthe following apply: / ne street facing en sq.ft.min, 5 ft. depth min, ft.max.roof above floor of porch 30%min,porch roof coverage �etailed Design:All buildings shall include a overed orchmin• of five of e following elements on all street-facing facades: p min. 5 ft.wide x 5 ft. deep all offset min. 16 inches Recessed entry area 5 ft.wide x 2 ft. deep Roof eave min. 12 inch projection 0 rd orrnermin. 4 ft. wide ❑ Roof shingles either tile or wood L oof offset min, of 2 ft. ❑ Roof pitch oriented south Gable,hip or gambrel min. 500 sq. ft. roof design ❑Accent siding min, 40%of street facade �°rizontal lap siding min. 3-7 inches wide 0 Window recess min. 3 inches for all street facingWindow trim thin,2 1/ztt wide by5 8 0 Balcony 0Bay window min. 5 ft.wide by 2 ft/deep deep min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35%or less of street 5. Garages and Carports:May face the front or side lot line on a corner lot. facade Setbacks: No closer to front or side lot line, than longest street-facing wall. 0 Yes N "�'o ( If No C ❑ ay extend up to 5 ft.if there is a covered front porch and garage does not extend heck one): Mnd ay extend up to 5 ft.where the garage is part of a two-story building and there is abwindo the front porch. above the garage that faces the street with a tin. area of 12 sq.ft. Width: (Check one) at the second story El ❑ -foot-wide garage door ri 50%max. of street facade with 7 detailed design elements 0 40%max. of street facade Notes: Approved By Planning; I\Building\Forms\BldgPermitRvw RES_RT 062216.docx _—/ /1 ate: ' City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13277 SW AUBERGINE TER, SHERWOOD, November 30, 2017 at OR, 97140 2:06:14 PM Record Type: Record ID: Residential - Master Permit MST2017-00136 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: 13277 SW AUBERGINE TER, SHERWOOD, December 7, 2017 at OR, 97140 11 :25:46 AM Record Type: Record ID: Residential - Master Permit MST2017-00136 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Water pressure = 50 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13277 SW AUBERGINE TER, SHERWOOD, December 11 , 2017 at OR, 97140 12:33:42 PM Record Type: Record ID: Residential - Master Permit MST2017-00136 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Finish installing missing sidewalk panel not replaced at this time. Install guardrail at entry over 30" above grade measured 3' horizontal. R312.1 All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13277 SW AUBERGINE TER, SHERWOOD, December 14, 2017 at OR, 97140 3:19:25 PM Record Type: Record ID: Residential - Master Permit MST2017-00136 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Corrections complete. Final erosion control approved. Street tree certification received. Moisture content form received. Vapor barrier form received. Insulation certification checked. Blower door test report received. C of 0 left on site with contractor. Violation Summary: Inspector Contractor