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Permit CITY OF TIGARD71 MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00144 T r GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/22/2017 Parcel: 2S 106D B05900 Jurisdiction: Tigard Site address: 13258 SW APPLE GROVE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 59 Project: River Terrace Northwest, Lot 59 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 8 Smoke DwellingUnits: 1 Detectors: Yes Third: 0 sf Right: 3 Total: 2078 sf Value: $257,161.78 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 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 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 STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX; Total Fees: $31,783.53 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-001-0010 through OAR � � 952-001-0090.� You may obtain a copy of the rulesulor direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: // ,4�� x'61.4�� Permittee Signature: .CZr a G4?-e,/ 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. ` E j a � T C--7 ,ruil�iing Permit Application .,i.,_, ,i„ ;, w t . _ -�' { .ii Received (I Permit No _e6/,e/ City of Tigard y' Date/By. 1.111,11,1,M11.111111 c2 Ig-,10/7 1114 13125 SW Hall Blvd.,Tigard,OR 97223 ..",-.4,. . 10 , s A a 1 Plan Review, ,��.-.1/^ Other Permi� a(�� �13,� • = Phone: 503.7182439 Fax: 503.598.196�k lt.i 1 k k 4 3 Y a"' DateBy: �l J °th ® See Page 2 for Inspection Line: 503.639.4175itylr1 m, .D e ReadyBy: / ' s r � �, / O7 I SupplementalInformation . .t.' .A l) A.,A r t t . * s 't Nohfied/Method Internet www ttgard or gov e iL e'l�- r '`.a r, t - r �.., &-747e,4_ - -, k# € k, v d E r'..,i'.6 ",:=.71c7.=,5= "{ ,1,-(2=_,7A( A- � � w............�.a._.e_. :.....�..c:.:,�....�`�,., o --rued tion 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,and the profit for the work indicated on this application. ,° u: r'- , � ,E. �. . �: ., .,ah �1 Valuatto . ry� 7, j g ) ® 1-and 2-family dwelling ❑Commermallmdustrial Number o bedrooms: ' .23 0 Accessory building 0 Multi-family 0 Other Number of bathrooms: � ❑Master builderL 4:1.4. .s- 13 Total number of floors: �o ite a � New dwelling area: 5J square feet Job site address: �,, r I J.. 6 ro City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet Suite/bldgiapt.no.: Project name:R; tr."— - (\)v0 Covered porch area: ` quare feet ) i 3 O D�� —1-1-1.-.... square feet q 4g Cross street/directions to job site: 41 a Other structure area: )9 if square feet Subdivision: / U Lot no.: y Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the F , F ;'- — ::- work indicated on this application- Valuation: $ Existing building area: square feet New building area: square feet ' ' -x .gra ,ax� � .,7..-11- "" Wi4"�"'� -..- <'`t 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 Grajewsld FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) E-mail:An ela.Gra1 @P ygewskt of onhomes com g Commercial and residential prescriptive installation of t t. e t ..-, 6 * roof-top mounted Photovoltaic Solar Panel System. _3 ���� `� �"�"-�`- _ Submit two(2)sets of roof plan with connection details Business 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 ariministrative fees): _' Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): I CCB lic.:207247 Total fee due upon application: This permit application expires if a permit is not obtained Authorized signature: A Jn�l-e „ i L�/1 within 180 days after it has been accepted as complete. (//l't`l IM 1 1 ( *Fee methodology set by Tri-County Building Industry Print name: - I Date: Service Board. ‘Building\Permits\BUP RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Trt,,,,,,,,, RECEIV;i:i,iv Mechanical Permit Application 1 tll:t 11 in t 1 NII I11 1 City of Tigard MAY ! 1 7 Received Pet„at ND ? 13125 SW HalBlvd..Tigard.OR 97223MAY ` f tiateJt3ys% �'� �L/119_J Phone: 503.718.2439 Fax: 503;9R g mit ReviewOther Penult. 1 : , ,, :inspection Line: 503.639A175 ;,g , .I 1.1 1 11.5.A 3"i j floc Ready:rey. twis I to See Page 2 for Initxner www.tigard-or.gov jp,7 i A; i)1 i lc.,1,;,,,,,,1 Notiftedl%iethotk Snppkaeatal tefermation 44,'' qc ±, A;�C:'r-:',_ "`�."� ie: ;;"::r.11227 t "41 x E,,Y�.' ,,. • . .,-.4:..z..."..!-_,,,, ..,- .�s4 �,�-��{R.: € ti.f, t, ,. sx«,I' ft�r-; 52i?'it � �-',1A1 Mechanical permit fees*are based on the value of the wort: ®New construction 0 Additionralterationfreptacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials.equipment,labor.overhead.and profit. Value S ° �, ' t „ya ,c-p *, i '' wf�...>« ,i-U.it.'.3-1. {.a , .7._ ; Ii,,4 Ht .., >_ . a7S".. t. s . 1(,1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Forspedal bearmadon sae checklist 1uiti-family 0 Master builder ❑Other. Description j Qty. I Ea. j Total t r #. y;a. "1 ''`t r r vi.' k ,. ti**,c .1.4,,rarX Heatingkoaling: ., ,p,,t, ,.-"...r qc . , tr..:_..,,i`.,1 1J 1,4 i,.,t t'-,(,+ s g.r 6M.V.,0_,,.t:r - '.,,.x 3� Z. a aAir conditioning 46.75 Job site addrnss:1 j SW p�rple f�ro�e T��rr�r1_, Furnace 700.000 BTU tducm'vxmst ( 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.0004 i3TU(daces ventel 54.91 �,{ Beat pump 61.06 Suite/bldg./apt,no.: Project name:�,vtr TeYruce.N "1 V IVJt'_ 'f"-Duct wort 23.32 Cross street/directions to job site: ilvdronic hot water system 23.32 Residential boiler(radiator or j hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended.etc. 46.75 r, flue/vent for any of above ( 2332 Subdivision: v�r Ttt cart; � �lnu.)c 1— Lot no.:Sm Other 23.32 - < Other fuel appliances: Tax map/parcel no.: Water heater 23.32 . ,, -4,: s3' 1.,t? _ ' )- ac:< A e -4 r; ...I' '_ • ^" c r ,,,..,-"„ Gas Greplat.dmecrt I 33.39 Flue vent for water heater or gas fireplace 2332 Log lighter(gas:) 23.32 Wood/pellet stove 33.39 Wood fircplacdinscrt 23.32 Chimney/tiner/Iluclvent 23,32 '''41-'::*- � - o t:4'-ta r.. a p7?'?a"xa}x. ,;4241' il'.#8 _-... -�C..F3 r.e .}6s ;rs .*t(,R'oS`' vu 23.32 E6vOther:lronmeotal exhaust and ventilation: Name:Polygon Will,LLC Range hood/other kitchen equipment ( 33,39 Address: 109 East 136 Street Clothes dn•crexhaust f 33.39 City/State/ZIP:Vancouver.WA 98660 Singk-duce exhaust(bathrocatts, toilet compartments.utility moms) 1 23.32 Phone:(360)695-7700 Fax:( ) Anic/c awlspace fans 2133 ,f ire „:„.:,:,42•41:0113;„,„'".`'.'”`t"1i}t,' -7"1',•I'' '.a.'- tis ...:,, _,• ;°"it i Other 23.32 Business name:Polygon W1.11,LLC Fuel Opine: 514,15 Car brat four:54.03 for each additional Contact name:WithOlt ! 'J o rye' Furnace,etc. I Address:109 East 13th Street r K`- Gas heat pump Wall/stispended/unit heater City/State/ZIP:Vancouver,WA 98660 utterer heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace , Range i E.-mail: 14 0 Ai (0- i 7t 0/1 44 I Barbecue 3... ., + ,d.r1_.,� �- � "-t-';''',7s e E a€' �`�`* .. �'4�,"j;� r�izf`-,o3 Cl)ibes dt3.cr(Sas) Business name:Apex Air LLC Other F Address:18004 NE 72"a Ave Subtotal City/State/ZIP:Il'ancouver,WA 98686 Minimum permit fee($90.00) Plan review(256 of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 I TOTAL PERMIT FEE This permit application expires Ua peewit is not obtained within 154) days after It has been accepted as complete. Authorized signature: " Fee methodology set by Tri-County Building Industry Service Beard Print name:* / Date: 4.II.ft 1 VtuikitopJ`emitti.kir _PaaeitApp e441 i]doe 444-*6f:T°11ievCAAi.'weat _,:,- s r ° � g,4 Electrical Permit Application MAY 1 8 2J17 I OR OF[IC1 USE ONE City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR ' L� � t DardB Permit til- r�7/7 Qt's iY y Plan Review Phone: 503.7182439 Fax: 503.5V1,960 19�r60 Related Penni!S; TIG i�1 D Inspection Line: 503.639.4175 1 e. T cul_,•,,,,1.R' ' ;� 3 1 1 } Ready reni Dem/By: s: H See Penal for Internet www.tigard-or.gov NofiBed/Method; :�. Strpplamaohllnformatioa t- .-.� � s1.t, "'- E?�,,-Y.ii., '-�s�s's 1.:-.,`W' .:.` = .;g .srj ., '-, ..,3��r^` .snligaA ftrf -v ®New construction 0Addition/alteration/re lacement Please chock all that a i p pp y(submit Z sets of plans wlnems checked): ' • 0 Demolition 0 Other: ❑Service or feeder 400 amps or more 0 Building over three strides. , where the available fault current 0 Marinas and boatyards. ti;.; '-L--c1.--;:. V.:t.:'' ,3',X-':••'":--e. >.(-M_ 6 56WS1; " >M ,'' exceeds 100D0 _ � _ :, amps at ISO volts or Q Floating bn]Idiags. ®1-and 2-family dwelling 0 Comm ercial/indtistrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations, buildings.• Multi-family 0 Master builder 0 Other: '‘J--',- a_r ❑ �pump. (3 Installation of 150 K VA or'� _ T, W�� AD BmerYeneysystem. larger separately derived 0 Addition of new motor load of system- Job#: Job site addrPSg/32V SV,.) / `'/ r —' ilbJG t Ai/ I00HP ormora ❑ A, ,"1_Z" p_3', City/State/VP:Tigard,OR 97224 ❑Six or more residential unitsoccupancy. ❑Halth-oarc facilities. ❑Recieetionel vehicle parks. Suite/bldg./apt.#: I Project name: v r'Tpaline♦ r'ivyt,�u ❑Hazardous locations. QSupplyvoltagefarmore than iii777 vsa s{"L '�t ltrs ❑Serviceorfeeder 600amps ormore. 600"Itanommal • Cross street/directions to job site: `'c+x 1' }E al9- r,!frt f f'� a n Dmcdpden I Qty. I Path Toat • I New residential single-or multi-family dwelling unit. Subdivision: 4A / Atill Lot#: '' Includes attached garage. Tax map/parcel II1,000 sq.ft.orless El 168.54 I Ea add'1500 sq.R.or portion 33.92 t``_ . _-" :r 't't 5:c i r t 1,-t4-1V4.1(0-1 e 4 ., , g ,^ Limited energy residential III (with above sq.ft.) 75.00 Limited energy,multi-family 75.00 residential(with above sq.ft.) z-!s,<� ti� a_ ),-" ne.A M• i'`- .7 m Renewable ❑ a_e Y�°• Services or feedersEna installation,alteration,SeePand/2or relocation Name:ADVL Land holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 20034 2 60]amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 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 59.36 1 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. - 201 amps to 400 amps I I 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 _i- Vii: 371 c 7 7 '4, ,(610-4,`, cs t t -I a Branch cireulis—new,alteration,or extension ,er.and A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, Contact name: each branch circuit 7.42 1111 �l t//lo/t� �o{j B.Pee for branch circuits without Address:109 East 13th Street service or feeder fee,fust 56.]8 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Bach add')branch circuit 7.42 2 Phone:(360)695-7700 Fax::(360)693-4442 Miscellaneous(service or feeder not Included) Bach manttfncqued or modular 67.84. 2 1 Finacl ./ G s I / Al, dwellin; service and/or feeder /a i ., a i. JtEReconnect only 67.84 El �c;cr ,,c, mac . . ti, f Pump or irrigation circle 67.84 �® Business name:Garner Electric Washington,LLC • Sign or outline lighting 67.84 Address:6101 NE St Johns Rd...„..,:. Signal circuit(*)or landed-energy lid,alteration,or etdension. ❑See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional Inspection over allowable in any of the above Additional inspection(1 br min) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/br Email:bdaniels®gwensa.com Industria/plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.: CI158 Elect icai Lie.: 208174 J Suprv.Lica: 44968 s' listed hhrmin) 90.00/hr • h. ;- `w z�k tip ,iL,3 vt _ "'c err-i;eta'- Suprv.Blectrician signature,required: .' - 21111 /71 (y(A_. --. .�: Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): __ State surcharge(I2%ofpennit fee): Authorized signature: - - TOTAL PERMPf PH,E: ?=:`; This permit application expires if a permit is not obtained within 180 5, , .. Print name: Bili Daniels Date: 4/26/2016 days atter it lies been accepted as complete. }' 1Pma * Number ofiaapectionsallowedperpermit �t in1ELC PemitApp Mk ERBdoe Rev 06117/2015 44a-4615T(11/os/COM/WEa �@�s�"irc:+';'6:lieuad 1 im , • - - Plumbing Permit Application Building Fixtures \ii,t,y I 8 2 0 17 city of Tigard Received Lit15,-V .,,,M f..; iN.'(' i 17:4 1 Da___Lieela • Permit Noy/t73 ipo/7-1.,,,r)V", .,... 13125 SW Hall Blvd.,Tigard,OR 9.pg.1. .,;„ ',_., i i•,...?1,-11,,,,,, plan Review Other Pernik No.: IN I Phone: 503.718.2439 Pax 5011r19,11,1?6,0 :-. ;- ,. ,,::-f q f.,-,,if,,,,...,Date/By.. inspection Line: 503.639.4175 `."I.:,,i L.,,Z,,Y.,..1,-_-,,,!...„,.... I 1.iL U.: .., -eRa4ymy: Jusic Eif See rage 2 for Internet www.tigard-or.govNotified/method: Se..laments!information ,__ .,,„,,,,,,,,_,,,,,,,.„,,,..,p,...-...-T.------,,.,,,, ..-•,-..7w7fr„,.., ..S„,-P-r;.„1.,... .„. .... i''j...:17.:{7-7-Z.:74''i." -1,-- . ----. -=-1.7-17".-5,-,..--.'-7,"`1=i5. 7- •:.:,1,4.,-..,i,x-4-,',',-fit'----%%',..,,: •••,. .,,.-7.,,,:::,--"`",'j-',.'..4-,..r=1:::,,,L;&m-.'n---,V.I.A.A...4,'-- .,-1•.`:L,,,I,... .-;74.,,...e.,.,- •- -.,":.`ii: Z.-... ';...;:- ."-- :It'''.---'-•.- '''' '''''''' -= ''.L.' For special information use checklist 0 New construction III Demolition Desalt:4i= I Qty, I Ea. I Total LI,---,Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 ft.for each utility connection) ' '-''-'""--.‘'----• -: -.c..,. - ,;•,•"7•, . ,,7-,ft'1.-11..-7f. .,-, SFR(1)bath I 312,70 SFR(2)bath 437.78 0 1-and 2-family dwelling 1 Commerciallthdusirial SFR(3)bath i 500.32 0 Accessory building El Multi-family Each additional bath/kitchen 25.02 •0 Master builder 0 Other: Fire Winkler( sq.ft-) I Page 2 . ,.:,....,c, 01,4,„, .,..,-:c,tr...,,,,_,-,..et;•.,,,:',, T.,.„1-.,,:),-7,„,,r.:„,_.r .-s..z:t.',4. -....--••'-' • ' ..•:-"- ----' -'• - . Catch basin or area drain 18.76 JSite udlltler a site address:i 5-53 sAt A pie, Gro4e. Tr, irtaxEd Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear IL:______) Page 2 I .Suite/bIdgiapt.no.: I Project namelalieeTterfOlCC. Mrtill1lUt.,* Manufactured home utilities 50.03 Cross street/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 seivice(no.linear IL:_____) Page 2 ,.., _., Subdivision:FrniVe.r 7 Orreirt. l.)Octi4 tmes4- I Lot no.:SI fixture or item: Backilowpreventer ( 31.27 Tax=A/Pared no': , Backwater valve I 12.51 ...-_-,1",;...k:c-__, ''..."4.•-,:•,.,*,- .;4.1,__--',1-,1).- 7."..n;':':(:J.,g,fill; ',..`,/ii-5'.1-n.i7:4-,`.--i.Z:=A•''''' i;:.:---' ", clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 u.51 ..-,.--, - --_,..__,..,.. _,,,%__, -...-•,...: =,...,--,--,,,L,,,E1,-_,.,,,,,....,-,...3,-....i.-„,_.2‘„-. Eiveosion took it7?-----"f; Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road r Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 I Phone:(602)694-4031 Fax ( ) Ice maker 12.51 - -."- '-r"--M'':----- --,---;:.- 1.-;--..,-- Interceptor/grease trap 25.02 ,. ",--,-.:- .....•,,..7;"1;7;:•:•k-- ."-',:.`",",2,5-..""fc,.fr-F...•:"-..,:e.."-.":•..1.1.1,...,-""-L...-s.,-.:Cc.`.y.i.7.4.-i,,v,0:,;,"---& ..-2i6-=-:::,'-,7.- „,..l,L__-.."'.':: i '• .,'''".-.."---'-'''-''''"'" '-' '---- -'-- • Medical gas(value:S_) Page 2 Business name:William Lyon Homes,Inc Primer 12.51 C°12214 liaine0 Cult)te -Th On9e• Roof drain(commercial) 12.51 Address:109 East 13th Street Sinkthasin/lavatory 25.02 Solar units(potable water) 62.54 City/State/ZIP:Vancouver,WA 98660 11th/ Mlle:( 60)6954700 Fax::(360)693-4442 shower/shower pan 12.51 •:1,•,3,-;:a'U 7,I-i;I 1.;,:, --7-7a,...1:_j,,z-_,:_,_L_:.,:::,,,,,,,;4:-,ig,1,,,,,-e:-4' !,Q.,.z..rif:.:::1:,:t:i•. ,::-i--...;:-- -,-,, Urinal 25..02 LA1.4 Watrcloset 2502 }1 water-6ga. 37.52 . . Business name:- G44 '.4.1 \i' \'4J1,r-SvAls !DAL- Water piping/DWV 56.29 Addros: p,O, 6-04 cv. _Other 25.02 Subtotal City/State/ZJP: 5r, e4,40.4 art. q 1 t3i - mi..,permit fee: $72.50 i Phnnn:(e.5!).3 Sid."' 1441 I Pex-:(il v-.141-4'11'0 - Plan review(25%of permit fee) 4 CCB Lie.: 1811310.- 1 Plumbing Lic.no. 15 (paq State surcharge(12%of permit fee) Authoriz' ed signature: IA:CU.(' r)t.D. ." ••••---._ TOTAL PERMIT FEE Print name: Si-f.4/f._ 1 )111)14..e-- I Date:S-,0-1 10 I 'fhb permit application expires if a permit is ism obtathed within ifio days after it has bete accepted as complete. *fce methodology set by Tri-Courdy Building Industry Service Board. 44046161110102/COSS/WES) imtadirermitAmmo-pazaiipp.dot lama t City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT I T I C;A R D Building Permit Review — Residential Building Permit 5T;0 /7-60/1-11 �� b Site Address: / Q 210 0,2* (y, / -7:- /-- Project Name: ,Cf- ber �r4_,;10?-4/Les-/- Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: iili.etc 1 erisite address suite# exists/ and active in permitXstem. River Terrace Neighborhood: ❑ No 1!1 Yes,See River Terrace Review Addendum Attached Si-- Plan Elements: l4 ree (3)copies of site plan ! ting structures on site VL Cite plan must be on 8-1/2"x 11"or 11 x 17"paper JFootprint of new structure(including decks)with finished r� rawn to scale(standard architect or engineer scale) 'oor elevations orth arrow I/ tility locationsre uired for new01 ,q may apply for additions) rte address,project or subdivision name and lot number !J' cation of wells/septic systems [4plicant information(name and phone number) C� sting trees to be retained with drip line,and tree .t dimensions and building setback dimensions 'r ection measures rd Lot area,building coverage area,percentage of coverage and reet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Property corner elevations(2 foot contour lines if more than Street names 4 foot differential) 0 ', can Water Services—Service Provider Lett (lot platted prior to 9/10/1995): 'equired: ❑ y ,applicant was notified 1(J No Received: ❑ Y s ❑ No !A Public Faciliti s Improvement(PFI)Permit: Required: Yes,applicant was notified ❑ No Applied For: PP Yes ❑ No,stop intake Land Use Case#: 061N620/C".— i 'C. y// Q0/ M D8 Roning. /Q ( 1b2 equired Setbacks: Front e Rear ' "� Side f Street Side 4/Et-Garage .4.2V andscape Requirement: o0C) Bof Coverage Maximum: % uilding Height: Maximum Height� Ofk Actual Height 9 "isual Clearance Easements Lt y b ensitive Lands: ❑ Yes No Type T� Urban Forestry Plan ❑ Conditions "Met"prio to issuance of uilding e_r9mit / Notes: ale /4 qc' .,. // • ,41474 Ur 'A /7` i 'avic© Approved By Planning: 7 Ad Date: j Revisions (after Building Submittal only) Reviewer Revision 1: Cl Approved ❑ Not Approved Date Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved i:\BuildingWorms\BldgpermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: j, /A0 /17 Site Plans: # 3 Building Plans: # T Building Permit#: Enter building ermit#above. Workflow Routing: fanning 'Engineering r21"—Permit Coordinator 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. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: / L.,t,., -.1 Date: of Engineering Review P: Slope at building pad: Ljf�j es..-._onditions "Met"prior to issuance of building permit ,� d/ T ❑ 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 ,z Date: 4/,-;27—/7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not 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: )Yes ❑ N/A Tigard Trans SDC: X Yes ❑ N/A Parks SDC: (Yes ❑ N/A rOK to Issue Permit Approved by Permit Coordinator: Date: /Z /1 � I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of f Tigard q COMMUNITY DEVELOPMENT DEPARTMENT C TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: /Q gap 7 r,,,,/e (i2►vim.°--7 . Project Name: jver - z71.--e ' Lot #: s-7 (New dwelling= subdivision name;Addition Alteration=last name of owner) Planning Review of River Terrace Plan Dist ' t Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 t. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft.,Eft wide Gabled dormer GIClGI ❑ 2. Eyes on the street: a minimum 12°° of�each street facing facade must include windows or entrance doors. Percentage Shown: ' /'/C 3. ntrances:At least one entrance must meet both of the foll . g standards: Max. 8 ft. setback from long street- facing wall Parallel to street,angle no more than 45° from street, or o en onto porch Entrance opens to a porch: ' Yes ❑ No If s,all the following apply: /5 sq.ft. min. IV/One street facing entry ft.max.roof above floor of porch ft. depth min. 30%min.porch roof coverage 4. t etailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: feovered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep Fall offset min. 16 inches ❑ rmer min. 4 ft.wide Roof eave min. 12 inch projection Vof 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. ❑ F56rizontal lap siding min.3-7 inches wide ❑ Accent siding min.40%of street facade b�� Window trim min. 2'/2"wide by 5/8"deep Cl 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 facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Set cks: N closer to front or side lot line, than longest street-facing wall. El Yes No. If No (Check one): Set 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) ❑ -foot-wide garage door CI 40%max. of street facade 50%max. of street facade with 7 detailed design elements otes: -. 47 s Approved By Planning: c-----7.7...,—„‹....- --. / Date: I:\Building\Forms\B1dgPermitRvw RES RT o62216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13258 SW APPLE GROVE TER, SHERWOOD, December 20, 2017 at OR, 97140 9:02:06 AM Record Type: Record ID: Residential - Master Permit MST2017-00144 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide access for inspections, door locked 9:00 am. Investigative fee applied for no access for re inspection. R109.1 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13258 SW APPLE GROVE TER, SHERWOOD, December 21 , 2017 at OR, 97140 9:17:38 AM Record Type: Record ID: Residential - Master Permit MST2017-00144 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 55 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13258 SW APPLE GROVE TER, SHERWOOD, December 21 , 2017 at OR, 97140 9:12:52 AM Record Type: Record ID: Residential - Master Permit MST2017-00144 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13258 SW APPLE GROVE TER, SHERWOOD, December 21 , 2017 at OR, 97140 9:15:04 AM Record Type: Record ID: Residential - Master Permit MST2017-00144 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13258 SW APPLE GROVE TER, SHERWOOD, December 26, 2017 at OR, 97140 9:18:41 AM Record Type: Record ID: Residential - Master Permit MST2017-00144 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor