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Permit (133) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit*: MST2017-00264 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/31/2017 Parcel: 2S106DA14400 Jurisdiction: Tigard Site address: 16579 SW DESCHUTES LN Subdivision: RIVER TERRACE EAST Lot: 144 Project: River Terrace East, Lot 144 Project Description: New SF. Model home. BUILDING Floor Areas . Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2909 sf Value: $352,134.61 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 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: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types . Air Conditioning: Y Vent Fans: 5 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: 5 201-400 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 2909 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7000 PHONE: 360-695-7700 FAX: Total Fees: $33,963.23 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 thr. OAR 952-001-0090. 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: Ilk % ,I° 7.C..___ Permittee Signature: elif r41 G4t-7-70A 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. 4 Building Permit Application Z_ D 7— 1--/ 0 R atnual RECEIVED FOR OFFICE ISE O\Ll IN City of Tigard E€ 7 PetN13125 SW Hall Blvd.,Tigard,OR 97223 MAY 252017 rfi? / liew Phone: 503.718.2439 Fax: 503.598.1960 DateBy: —7 ' i—7 IV Other Permitit, /?�D42�["/ 1 t_ „ ,D Inspection Line: 503.639.4175 CITY OF TIGARD DateReadyBy: r� ' v 1�,./ Juris. See Paget/for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method:f �W �!— Supplemental Information i tt ; t f ; .� . , lag*get ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhea and theprofit for the t `,t work indicated on this application. a ' ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: ❑Accessory building ❑Multi-family Number of bedrooms: 3� j 1-1-....- ❑Master builder ❑Other: Number of bathrooms: 3 '"1l 4g t.: °tkrt a t Y < ' l► ; •t t. '�'4 a,s Total number of floors: Job site address: 11057' SW e Sc 'i�l milt_ New dwelling area: 2 % �, ;quare feet City/State/ZIP j 3eavp \ 0 r.. enb jGarage/carport area: geiLisquare feet Suite/bldg./apt.no.: Project nam gaff j� rz Covered porch area: L U square feet t t4 Cross street/directions to job site: (�' Deck area: .:quare feet l Other structure area: square feet �c - Tcdrra,ce_ �o`c F 44 Subdivision: Lot no.: 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 _K--` I'. . t ' 6 a` , . . = -;:i6 work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet h 47F-45, t r e W :: . ' _,.f,c', '4 * Number of stories: Ny 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: �A Structural 1 s t i WLH,LLC ,, `-°m Business name:Polygon � Contact name: i�G ` Y e plan review fee(or deposit): 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: S.t 6 tt ; e , ;;, ( 1 IA 4 1 , y 0 -".„1„‘„A '� g' Commercial and residential prescriptive installation of `- F :';7.-: ,KY: —. roof-top mounted Photovoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature:• ” / / This permit application expires if a permit is not obtained i within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: G��p 'nY1 P/I Date Service Board. I:\Building\Permits\BUP-RESPe Inn�itA'pp..doc 02/24/2011 440-4 13T(11 2/COM/WEB) 1 . . - ',' E Mechanical Permit Applies P. i C -4IVEI) 1 OR W. Ili i I ',I 0\1 ) Reetivid " . City of Tigard Daseftly. Permit Ntilirgcl/7._ejle),,,26 13125 SW Ilan altd,,'Tigard,OR 97223 jt.iL 2 6 ?017 Esirimiiii___ othc,kvnit. Phone: 503.718.2439 Far: 503.598.1960 t) lIinspection Liwno.:i$03d.-6o39,4175 frFTIGARD D.,.gttblaY: See Page 2 tor ntenet wwtgar.gotCMi) •' Notd:Method: Supplemental tatermalkm • 1 .11) . IS 11'1%44 * .' ''‘ -•"--- ,- - „4'..+, , i,- '''0,r';"t.f*".; .it r 111,:f -,'''.'•-*"'. '''''•''''''''—'""'-^7..-‘,"f"*.'-i.',-1,,,'--)'''''.-7,3'-`ffi\R tj.q% its''''PC- 7.,,i'ti":41 .'S.,..4?.',..:t4.c1'.'",VV:.:.1P.,:','";11;`,.'f't •'-' ‘-'' 7- '.-- ' . rt ' • ;,.f,...;z:-...,..,:e,,,„.-;..,.-,!:,,,„--„,..,.. .1,.-.,,,,,,..-.1t,--,,-,-•:-F.---,7...r-.';',in-'"4 4 " `°*' Mechanical permit fem*art based on the vadat of the wo El New construction 0 Additionfalterationireplacemertt performed.Indicate the value(rounded to the nearest dollar)of MI 0 Demolition 0 Other. ,,,mechanical materials.equipment.labor.overhead.and profit. Value:S fr and 2-family dwelling 0 Commercial/industrial 0 Accessory building For r p e e 1 a i 1ff I ormadon rise chtz*list. Multi-family 0 Master builder 0 Other: Description 1 Qty. 1 EL I Total BratirtgiCOOiing: -}; d 1'1'41 .;,1, q.V.I, 6.20 ...:-f..;.f ,;;:"'''',',. -`:i..' . . . '-::::t'''.:e.'',E,'.4.2. :,.:1...,,';15,*.:77.4.1:7',.'4/....'..--.'k::-.'1 ,...:..,4,-.... .:-.'•^1.'.--..t.t,,,V.v... ..Z.V..^::::::".',.... -4.........3.,Z.,..f:..-.s.....n....--..sr...-t-,....,...-..... An,condiuomm I 46,75 Job site address: 1 to51C1 ‘1\) oeschulcc 1J\.) Furnace 100.000 BTU(duetsats) 1 46.75 City/State/ZIP:Tigard,OR 9722,4 Furnace 100.0004 BTU iducitAtras) 54.91 Heat pump 81.06 Suite/bldg./apt.no.: Project name:R:14e,r-re,yra.ce, r_ri st- Duct work 23.32 . Cross street/directions to job site: Hydronic hot water system 2.3.32 Residential boiler(radiator or bydronle) , 23.32 HMI heaters(fuel-type,not electrie),. in-wall in-duct.suspended,etc. 46.75 McNeill for any of above 1 23.32 Subdivision'. P..:A‘it.( Tara Cir..- Cl 1.44 -OtSt- 1 Lot naMen 23.32 Other fuel aPPllotteeSt ' . Tax amp/parcel no,: Water heater -.4.,,-, ,:' „ , ,,-,-.7,,-4.1-,,,,...II.z-pll ii•-•=fiyit,-:.-..?:,;:e''.3,!•,-.-4,,f....--A!.-:..--1,=, ,,,,,.'$,, Gas fireplace/insert r 3339 ...-,.,,:z.....,..,;.---i _--; ...,_-:------,,1-,i.,,,,.-,..1-.' -•.--'-'''• 'Pz.-- ' '- - ” ' - " 1' i Flue vent fbr tamer beater or gas fireplace 23-32 Log,lig.hter(gas) 23.32 WoorYpeller stove 3339 Wood firepincenosen 23.32 Chimney/liner/Due/vent 23.32 Olhe23.32 :1„ ::t..2.1,r,.., ,,4iv_24.-',,,:y•*,--z-,,, 14,-, 1;!;47 OA i,:tza_Vf.,,,:. ,--, - ,„..' , . - _--. . ,:-..„;.s.,-1,•=-7`-.."1.' '2''•-•P,..--,---,t.str:.;.,....,.."".-A,...."',.,.., '-..„..-.L.-',,:...5--,....,,,. .......,...r..t,.....,...:.....:,.....t......._.. .... Etoomentai t%baest and ye witation. • Name:Polygon WL/I,LLC Range hoodtothei kitchen —4 equipment I 33.39 Address: --10 3_EriricA Lo /5z Sk 1..x.k..e.,L \13 Clothes dryer exhaust I 33.39 , City/SlalerZW!V271061Pier,WA 9$660 Singlo-duer exhaust(bathrooms, Li toilet compartments,utility rooms) T . 23,32 , Phone:(360)695-7700 lax:( ) Atticfcrawlspace num . 23.32 '-'7.`""'- '-': -"r ''-'-r'77.-:,i-^1-?7,7if,-;,i..%777:117.F.-47,,71it-7,F.,'•:.pi-,77.1:?,.,,,:,-,. 1.7:7...:1.:,,,,,,,,:7:7, 77; . Other .`,-,..-:,!,-F.'-.'IL-....',1-1C:..,'-..f:I.'.,,,'_'.'51',,-ii.-=J.'.'.F.r.,'.:;IfL:g22.r.:.:.Ez-_I•,t,.:mt.,xz,' .',,,L.-;......,_T- -._._-xt,:'...,,, -_L_z..-_,...,..--....-..._:.,. ,- rue pious,. Business narnw Polygon Win,LLC , $14,13 Fur Oro faun 54.03 for each additional, Contact namo: 0‘ ,)Ade.lArky(Ve... Furnametc. I ,,,. . , _ r.::ii, Gahm Purim Address: -1 b-5 BrOaei(A 20t,t4 SA— b A t.A.tc, 1;7 if) 1 Walltsaspeadedrunn honor City/State/ZIP:Vartrouve.r,WA 98660 J Water heater Phone:(360)693-7700 1 Fax:;(360)693-4442 Fireplace Ranac . E-mail Pal& i t 0 li, p a A ,t$,. ja. ,,s .., , . _ Barbecue i --,-;:.,..:,s,-:f...: '...:- ,-,,..---,,,-.-s.-,,,---.47. Clothes dryer(gas) Other. Business norm:Apex Air L1C -.7''''.g '...2.,7.'1'7.-:..-':'-'74:j4j37.5..i:'2,-.-r.,t.'''tifr7.'j::-ZV:f:::_9.-.. ....17:7A.. Address:18004 NE 72"Ave Subtotal City/State/ZiP:Vancouver,WA 98686 Minimum permit fee(590.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of isennit fee) CC13 lie.;203034TOTAL PERMIT FEE ' - This penult upprseation empires if a permit is nal-obtained nithia ISO days Meer it Inns been areepted as complete. Authorized si • - • Fee methodology set by Tti-County Building hultsury Soviet Bond Print name: r irk, / Date: 4-tl-It... M110116 netPermIteMErjermitAPP_0401 13 doe 44946171'(ttiO2COMP.M) RECEIVE!) Electrical Permit Application 1OR OFrIC_L I USE ONLY City O,f Tigard J t) 26 ?DI?I Received Permit#/757;2_0/7 D ri, t 13!25 SW Hall Bivd.,Tigard,aR 972 pian Review IN--- r Phone 503.718.2439 Fax 503.5(8.OF TIGARD naeBRelated Permit#: Inspection Line: 503.639.4175 / Ready Date/By: P1 See Page 2 for T1GARD Internrt w w.tigard-or.gov IUILDH GDIVISION NotlSed/Mcthod ® Sappiemeatsilaformatiou u ;� , c =t ..n -c .,e p, ?.t F.r''-:,.m 4' 23. •r-?iws,, t `,„,,,+”i�; .r y"--- F ar rr•.v, .f,:- ` . g \Z^rx.4?'^a'fit.2,g T"'r 'S. '+ .g'r ®New construction 0 Addition/alteration/replacement . Please check all that apply(submit 2 sets of plans w/items checked): El Demolition ❑Other. • D Service or feeder 400 amps or mom 0 Building over three shines. 7 u a 3 'w ru ry Y`} u where the available fault current ❑Marinas and . .11 .tet.. 5 ,•.);1•7,-=f4:-:‘:.k._' t. '1 (?).a.. .s,_.F - : `S exceeds 10,000 amps at 150 volts or 0 floating build y buildings. ®1-and 2-family dwelling 0 CommerciaUuichistriai ❑Accessory building less to ground,or exceeds 14,000 0 commercial-use aericuhurat ❑Multi-family 0 Master builder 0 Other: atm�r as outer installations. buildings.. - Q Fire pump. Q Installation of 150 1CVA or . a� ?�� del _� ,.rl�o'6'a'1p t-a�t,'� , 1,;Art' ®,,,raY:4" , DEmergencysystem, larger separately derived Job#: Job site address: t��,C SW Pest 1(1.1 estiv ©1001IP o of oew motor load of retain. I001lP or more. ❑"p.","S',"1-2","I-3", City/State/11':Tigard,OR 97224 0 Six or more residential units. occupancy. Ellicalth-oare facilities, 0 Recreational vehicle parks. SuiteJbldg,/apt,#: I Project name: \jP r-T rccce., OHazardonslocations. 0mitts voltage or more than 0 Service or feeder 600 amps or more. Cross street/directions to job site: a , f ,, - ;1 ;�- `sf i :.` „}n:,�, PI$CdDtIen I Q. I Each I Total I . 1 New residential single-or multi-family dwelling unit. Subdivision: Roll r i-tArrar .c - 1 Lot#:14 4 Includes attached garage. Tax maplparcei# _ t Ea.ad000 s it. + ,t ` '-,',` <� i;0§ !q-t-6"!E t? aa�:Ai:II :-':,,. .--'4'-'-' --';'--,'' '';'''';,• _` Limited ene gy,residential n 33 ! or 168 54 4 500 92 >. •, 75.00 2 (with abovo sq.It) Limited energy,multi-family 75.00 2 residential(with above sq.8.) • _F•-. 5 1� ,.:l�107'. .i..;la..' ,1'_41 t •'`I`?-zS' 7; ,. '•••"'"="\- -'i.:,•-' TEa::IY�1 yele Energy O SecPaget s Services or feeders installation,alteration,and/or relocation Name:ADYL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 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 Phone:(602)694-4031 I Fax:( ) Over 1,000 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 I 1 125.08 I 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 .y sir. .'4 _'F y.-4,7,-{yam,-1,,.„s..ix^ •a,;•,„,„, „y-, ,, lT rf�J•,ti-,,4 r 1 x",'. c.,,z,,,,„,_,- T },`J, Branch circuits-new,alteration,or extension,per panel ,,. A,pee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder foe, 7A2 2 eCanted name: t i l f++�t1�,P�,�"{�, Pee branch circuitcircuits without Address: I D ? �0� `t , , St iS t�. [J j) branch or feeder fee,&st 56.18 2 .,""'^J luanch circ>zit City/State/ZIP:Vancouver,WA 98660 Each add'!branch circuit 7,42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' '•. I Fax::(360)693-4442 Each manufactured or modular - 67.84 2 Emaildwelling service and/or feeder k Al 141 * i 4Cst'Agel•.4' 4 . ,1.4,8 Reconnect duly 67.84 2 ,, .,:,_:� kms.,r_ ., L tv . 4 :. ,,::;,,,A,-',-,'-' , _ •.,;,.s„ Pump or itrtgation circle 67.84 2 Business name:Garner Electric Washington,LLC SIgn or outline lighting 67.84 2 Signal circuits)or limited-energy ❑See Page 2 2 Address:6101 NE St Johns Rd panel,alteration,or extension. City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.251 hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr F.rnsdl:bdaniels@gweusa.com Indtssttialplant{l hr min} • 78.18/hr Inspections fbr which no fee is CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lie:: 44965 specis listed %a hr min MOO/las es Suprv.Electrician signature,required:��j Subtotal Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit foe): r _ State surcharge(12%of permit fee): ---= TOTAL PBRMIT FEE: Authorized signature: •- This permit application expires If a permit is not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after It bas been accepted as complete. • k 1HaFidi • Number of inspections allowed per permit npPem tsi5i.C_PermitApp ;LIt ER5.doe Rev 06117/2015 440.i6ISTt(i 1/O51COM/WEn t RECEIVED Plumbing Permit Application Building Fixtures J U L. 2 6 2017 City of Tigard Received _ 13 125 SW Hall Blvd..Tigard,OR �f/ G�pa�, I, , Phone: 503.718 2439 Fax: 503.5 Da moiety ""�Nv ' L/ Other Permit No: T1CPage 1 for ARD Inspection Lite; 5033,6394175 :quill D G DIV t Rsad/B: tori: Internet: www.tigard-or.gov i s-t Naifted/Method: Supplemental information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special infotr»mion use checklist. '�� Description L Qty. I Ea, J Total LJ Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® I-and 2-farm)Y dwellin SFR(2)bath 437.78 g ❑Commercial/industrial ❑Accessory building ElMulti-family SFR(3)bash 500.37 Each additional bath/kitchen 25.02 -p--� ❑Master builder I.J Other: Fire sprinkler( ,sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities; Job site address: I/}C ( I1 \' e c tJ��10 Catch basin or area drain 18.76 "' e� Dryweil,leach line,or trench drain 18.76 . _. City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: t41l.:Y TerairtS C Manufactured home utilities 50.03 Cross street/directions to job site: 1• 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(I. _) Page 2 Subdivision.R,yvc revue,.E0 t.- Lot no.:(4(4 Fixture or item: Tax map/parcel no.: Backflow preventer r 31 27. DESCRIPTION OF WORK Backwater valve 1{ 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 ElEjectors/sump 25.02 I[� PROPERTY OWNER I TENANT Expansion tank 12 51 Name;Polygon WLN,LLC Fixture/sewer cap 25.02 Address: f� Floor drain/floor sink/hub 25.02 4 3 li 1rf.t: . I. _. ._..A. A . Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25 02 Phone:(360)695-7700 Fax:(ii ) Ice maker 12.51 i5� ICa1 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon W Lit,LLC Medical gas{value:S�) Page 2 - Primer 12.51 Contact name: NI r.oieThrir Roof drain(commercial) 1251 Address:1p_l_ (7,ranci1,�.►`�►tt S1�. i C� i .e 5 1 p Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 986660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 Um l 25.02 Nit( tble. 11T-yetV1 *\ alerSCo01Water closet 25.02 Business name:it g14/141b°1 6 I1" C C Water heater V J Water piping/DWV 37 52 56.29 I Address: ) Other City/State/ZIP: ?., I op�4 6 L lion Subtotal Phone: q 7! r Ogbi'i Fax:( ) Minimum permit tee 572.50 CCB Lic.: O� F Roct S'r Plan review (25%of permit fee) ` `-T Plumbing Lie,no.: '��j tV State surcharge(12%of permit fee) Authorized signature:14 --i--- TOTAL PERMIT FEE Print name:�// rrf I / Date: This permit application expires if a permit is not obtained within ISO days �"t +l�-f / after it has been accepted as compkee. ll "Pee methodology set by Tri-County Building Industry Servtce t3ourd I t@wldingTemutstPLMtI-PenmWPP doe IArnraw J.at..141611111e0Z/COM:wEaI i 71 ■ City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: ////57:04.01)-3 HCl Site Address: \65Ncp SW DEScHuTes LASE Project Name: 'j?Iwj( Terytkce, c.o.s.} Lot #: 1113 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Vp l) jf='(Z. (yylo 4't,t kowye ov b) nrVerify site address/suite# exists and active in permit system. LV'River Terrace Neighborhood: ❑ No /Yes,See River Terrace Review Addendum Attached Site Plan Elements: GYfhree(3)copies of site plan ,,LLxisting structures on site C ite plan must be on 8-1/2"x 11"or 11 x 17"paper E/Footprint of new structure(including decks)with finished 'brawn to scale(standard architect or engineer scale) floor elevations 21North arrow /Utility locations&easements(required for new and additions) Cite address,project or subdivision name and lot number Iidewalk/driveway approach GIIPIpplicant information(name and phone number) Orli ocation of wells/septic systems of dimensions and building setback dimensions ) xisting trees to be retained with drip line,and tree 11': quare footage of buildings to be demolished protection measures NI of area,building coverage area,percentage of coverage and ,[� reet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) , L'!ttreet names IkTl?roperty corner elevations (2 foot contour lines if more than torm water quality facility required if>1,000 sf of 4 foot differential) impervious area is created or replaced. 'Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified K No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: V112_01 4-000 89 Required: ❑ Yes,applicant was notified ❑ No Applied For: Kt/Yes ❑ No,stop intake Er Land Use Case#: 131)122,016.-OOoo 1 PD2'2-o\5-ococ,� VAD-2. ,I(, -onGv� gr Zoning: V-A-( ,5 ( ") "Required Setbacks: Front « Rear (e, Side 7� Street Side g Garage 20 12/ Landscape Requirement: 20 % Di Lot Coverage Maximum: 8 p It Building Height: Maximum Height Actual Height ,,tt d Visual Clearance N Sensitive Lands: ❑ Yes ❑ No Type 014 rban Forestry Plan Ili, onditions "Met"prior to issuance of building permit U -5\ Notes: 4 � -Etvl. 1 cP OCNACIlt l 0145 00/?- l'DV-7--e)14.� ocy (15L4132_0.1 6-Go001 \►ckv,e, WTI'r ,- A- (ma l too Wt� o vt Approved By Planning: f ' -401)M- Date: (Of ZZ 17 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvwRES 051617.docx Building Permit Submittal Original Submittal Date: 5-.7J c '/0 Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering -Permit Coordinator Building Workflow Sign-off: 7 Sign-off for Planning(include notes from planning review) Route Application Documents: (2 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: 4 4 1�/2 iel 4111400411 Engineering Review ❑ Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit E 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: IdArTftil• &JklATif #-)1,67047 `TO 3IZ cavt.vni-acro, Piz-ten- -rt 154-iroc /Lte - 154yUG •• - (WA-tT -pm. b Pt., "-D "l DY > Approved by Engineering: Date: 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 pproved,NOT Released:rW/Klate:61W/1. — otes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes P;N/A OK to Issue Permit /,r Z J pproved by Permit Coordinator: � Date: I:\Building\Forms\BldgPermitRvw_RES_05161'7.docx i City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: 16 5t-iq 5 W p uS Lm E Project Name: 2:ver '`.e CeLot #: \1k3 (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? El 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 mm. 2 ft., 6ft.wide Gabled dormer 6a/ El El EV ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: sPi 3. Entrances:At least one entrance must meet both of the following standards: ET/C5/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: V Yes El No If yes,all the following apply: D/25 sq.ft. min. CO/One street facing entry E'12 ft.max.roof above floor of porch RI ft. depth min. 09'30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: LC overed 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 El Dormer min.4 ft.wide 'Roof eave min. 12 inch projection 21Roof offset min. of 2 ft. El Roof shingles either tile or wood [Gable,hip or gambrel roof design El Roof pitch oriented south min. 500 sq. ft. El Horizontal lap siding min. 3-7 inches wide El 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 El 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 [xi No. If No (Check one): El/May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. PrMay 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 140%max. of street facade El 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: _k_ Date:4 I:\Building\Forms\BldgPermitRvw RFs RT 062216.docx