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Permit (49) CITY OF TIGARD MASTER PERMIT I:.9':. COMMUNITY DEVELOPMENT Permit#: MST2017-00182 Date Issued: 09/21/2017 T t GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB07200 Jurisdiction: Tigard Site address: 17384 SW CLEMENTINE ST Subdivision: RIVER TERRACE NORTHWEST Lot: 72 Project: River Terrace Northwest, Lot 72 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2229 sf Value: $271,136.41 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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 add9 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2229 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Fire Rated Eave STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $32,133.54 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 rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. (-1/1/1Issued By: Permittee Signature: 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. r Building Permit Applica "1 1 ; - `�, 1 I #. `1 a FOR OFFICE t SE O\Ll City W Tigard "' ' >� 'i + ''� v : MAW' Permit NllfS7��7—(X/ , 111 al 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B ' /-� i Phone: 503.718.2439 Fax 503145,9#.1936a 3 3 Date/By:Plan Review AOther Permit:& (^ // /1z\I/11 TIG;\R D Inspection Line: 503.639.4175Date Rea B C. '� 11 Ju is: g'See Page 2 for (/,/ (G Internet: www.tigard-or.gov Notified/Method: T 4'7 / Supplemental Information B''..)t., c s� �+/ q��T fir' �y 4Cn w r� Y . , 1 L-� ®New construction 0 Demolition Permit fees*are based on the value of the work performed. , Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the 7„,-,,,T� t e , ' _ work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: i 4' VI /�l ', '3,n ❑Accessory building 0 Multi-family Number of bedrooms: L L. O� �v ❑Master builder 0 Other. Number of bathrooms: 3 . _ at t- f,> t t t Total number of floors: 2C9 Ilk Job site address: 7 ��' t f �� �.t New dwelling area: 2121 square feet L7-5L City/State/ZIP:Tigard,OR 97224 Oazage/carport area: 580 square feet cm Suite/bldg./apt.no.: Project name:R; .r'"6 . ova Covered porch area: ;quare feet Cross street/directions to job site: Deck area: / ? square feet Other structure area: square feet 4'0)40-4 Subdivision: U r � \)3 Lot no.: * �; �•.,. ,t'.`".. � t __;.:, ;,w,: 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 equipment,materials,labor,overhead,and the profit for the . ° t` o ` work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet t e ,- a Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy p y groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: ` ' i.ft4 t � ' t t t Business name:Polygon WLH,LLC 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 Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com - 3 , p,,,rt : ; t , 2rt �� � , .,°', ` , , , Commercial and residential prescriptive installation of ' 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 and administrative fees): Fax:(360)693-4442 State surcharge(12%of permit fee): CCB lic.:207247 Total fee due upon application: Authorized signature: (4 1 1,1C {/ This permit application expires if a permit is not obtained 1 �'�r within 180 days after it has been accepted as complete. Print name: - Date: *Fee methodology set by Tri-County Building Industry Service Board. ' I:\Building\Permits\BUP-RESPemtitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mr echanical Permit Applitlit'ft;EillEr" ' , FOR OF Fl(:E I SE.ON LI . . .. :Cityof Tigard l'enn"t•'4g.57 -0/7-110 4.2- . •,74 .. 4 .,13125 SW Hall Blvd.,Tigard.OR 9711.? 2 0 i?01/ gatl'. Phone: 503.718,2439 Pax: 503.598.1960. _ , Daattlesevt.ww Other Kauai: A R I) ,inspection Line: 503.639A175 l's f'"ry.0!,' 1 i.(3,1 i t i,,,, Date Road,./By: Jude fa$ee Page 2 far T I t Iniernet: vvww,tigard-or.gov '''.-'''' , _ Notifiedmahod, &primate Information '51.4r!,?4,-;::::A'4--K**':44:4..ffyi.ii„,....14"1:fer9AtAIWWe.....Vige,ret.",'-'.' al,:'..;:-.4:71..'L014040...ftintritillAggiltVLEc#01,41. ...,..,....,..,..-: ;,_„,. 0,: -,:1- ,,,i.•, 4%..t. -., ,, ,,,, ;,:,......., , .F44...a.:,.1. -,t,.,.:,,,,,, ,vlie.,xl?,,,*„„...,,,,,,,N,.. Mechanical permit'Fees.arc based Ort the value of the work kg New construction rl 1....1 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials.equipment.:labor,overhead,and profit. Value:$ vizMatinktiltei EF lairaNt.164#34014001(WitttitergfriatigiYA.V.. no..-.1.11- ..qt.15,4,.. .4,....... .,-Itiffirow.N.“..i. aivi ' IK,....4.0,k-kaw4-4„.4_,.....%, 1.4,::' Nix* ..,..,,,,,,,,,,..ir.r.,..4:., ..,,...14,=..,:r,......W..... ....i.44:.....:4-440...o.g.4.40 .g.W.Z.,,71.4.4 IS. •••r„WitgrR., :611,140„01n,:,,,,:',„j.LI,•,,,4.4:,Mk.4.24.0.0, I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Fir special Inforiisation g.4e plieitcltst. Multi-fienity 0 Master builder 0 Other: Description 1 Qty. I En. 1 Total Xints*.'1'4.71,,,T4p,4-tilibTikar 70.','-i'Llor, artiriagiAtia.1..,!. siii....—"L7j:;%':k.8',14.-'z licatingkooli.ag: ''''''''-7 1' " " -""'''.• ' - A: ,...„ ‘.1“ i''' i me ,Air conditioning_ I 46.73 Job site address: 1 1)\-- .--.1) \1 km) nt\rte.,c-4— : Furnace 100.000 13113 kiticisivents) 1 46.75 _......, City/State/71P:Tigard,OR 97224 Furnace/00.000+BTU Meets/vents) 54,91 Hein pump 61.06 Suite/bldg./apt.no.: Project name:it N i / 4 t , I i 1109 • Dem work 23.32 Cross street/directions to joh site: flvdronie hot water system 23.32 — Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not ciceIric), in-wall.in-duct suspended,etc. 46,75 - u v ram ofv ri el eat lb • abo e \ 23.32 ...r. ,-, .Other 23.32 Subdivision: n ,, NAN'?( itivr6ce NItvlinwesr 1 no:1-01fttel srppliatiets: Tax map/parcel no.: Water heater • 23.32 I .6:;.-1.14.t!iRM,F::...44*.51r:410.10tatatai~linititatageki: Gas firci'laccjinscli 1 33.39 Flue vent ter water heater or gas ..,..tto kp)1_, ghee 2332 __ _, Log lighter(gas) 2332 Wood/pellet stove 33.39 Wood Fireplacelinsert 2332 Chimney/Hoer/flue/vent 23,32 sh,,,,swniaAto ii'M.T.:,.14,,,--Eit-44-0.4,13-xf mit-0,...,„,.25z0-1-0,..1-irtilw,,:vmAtE: .,Other 23.32 4ifirg.:04w - -'...-,:.--'..,,i... n;---t.,=.4.i---47:4•A51..9766E.-47- ataiitii',P5,at..70 ..14-TAMIPMaw.. .g..fffiwtst Environmental exhaust and.i,entila inn: Ran e hood/other kitchen Name: PXD....VL_k8aCA-ttOCAiaqLrLLSe 1 emnpment _ 33.39 Address: -14,00 G. D.Davictele_gandeate4 Clothes dryer exhaust City/StalcalP: _Scr. t-SCA 4.,..,,. rijk T. SI?) :Single4uct exhaust(ballironnts, toitel compartments.Utility rooms) 1-1- 23.32 Phone: to q 7 , Fax:( ) . AttictentwIspate fans 23.32 7:11:6041196:0t-Cat",:ti7,•,:::,1-4firtk-',,pP::::i-7x;ijc4,4,-77,mtt Other 2132 Feel piping: Business name ' ' _ k A A IA 11 iii Al k." L $14.15 for first four $4.03 for each additional Contact name: mt 0/1014,,,ill ocFurnace,et1c, 4 Address: -1G bribdui," a su J.A.c., it .Oas heat pump Wallisuspendalunit heater City/State/ZiP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 J Fax::(360)693-4442 Firelltace „ — Range 1 E-nau: i A f 111A! * 1 ../. `.A A .AA!s-... _ ,AA Barbecue .-',*.:MX:Nti-X,ST.M.11-ft WeV:_i••• 1,,r7” ,.,,,,,ratir;4.-:,4r,,,-44.1,7:1 ,Clothes dryer(gas) Business name:Apex Air LLC Other: ."1;=775e:,,::' ,r---,r' ,010arklin'a'''' AtNigtfifl Address:18004 INIE 72"Ave - - ' „ Subtotal —_—_-__ — City/StateiZIP:Vancouver,WA 98686 Minimum pcmfit fee($90.00) Plan review(25%of permit feel Phone:(360)342-8109 Fax:(360)326-1769 : State surcharge(12%of permit fee) CCB lie.:203034 TOTAL,PERMIT PEE — — This permit appfication expires itu permit is not:obtained within 180 j A : days after it has been accepted as complete. - Authorized s•gnatu •••• Fee niethodoingy set by Tri-Colnity Building inditswy Service Baud Lrint name! AN J Date: 4-p7.it,...- j 1 /„._________ "fl rAnuiiiiie4Tefnlitgmt:c„rcnnitApppon is floe 440,1A47T i I ittraaWsiwriirt Electrical Permit Applicat>io yt�-N - ya , FOR OFFICE USE ONLY City of Tigard .w r. J 4.f.� �_t ;t:1 Received �t,� :� v 13125 SW Sall Blvd.,Tigard,OR.97223 UaeA3y Penult ar:'l s j /�'00/� plan- Review Phone: 503.718.2439 Fax: 503.598.1969: f) � 9 ri 1 t Related Permit#: Inspection Line: 503.639.4175 C. R Date/By: TIGARD RaadyDate/By: )uric. H See Page 2 for _ Internet www.tigard-or.govNotified/Method:Notified/Method: Supplemental Information .;., -0.1.7,1:` .., gv'i""' h., ,`,`, ^"'.5.II l'; 3_j.Rd�1 J' f4,'—,, ..--* �°' ,1` tWAI.AT °�.' g-:,'' ,:,:4 `�ek4-1'7.':' , 1+ iR'44' Q. El New constructionAddition/.11 .�►,c a N e.•t`.i TOO i ` Please check all that apply(submit 2 sets of plans w/rtems checked): ❑Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition Q Other: w ti . where the available fault current ❑Marinas and boatyards. r: '�.z5s'==+ :' exceeds 10,000 4w. �" �' "'`�' �' a '�T-�"o o-�''o•.��� o '�'"` , �S-'3t�.,� amps at 150 volts or ❑Floating buildings. 1-and 2-family dwelling ❑Commercial/iiidtistrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural Iultt-fly 0_Master builder amps for all other installations. buildings.• �s�Mult r r . 0 Other: ❑Fire pump. ❑Installation of 150 KVA or find `t.;;u •' 1 iK: _.iM'.''.- -,' :� is p,,"}: r •�"c=id skiia ❑Bmer enc system '�.E�'ka!' �� .N4o�k���:.:,�r7r„,-�. "' B Ylarger a ��.z.:r.��r'r�'ia,�".,,... B separately derived Job#: Job site addIesS:1,38t....* t Cit �� { ❑Addition of new motor load of system. t�V`1 C. e/win g twin i t(le_�1 10014P or more. ❑"A",'s-,`1-2","1.3". City/State/ZIP:Tigard,OR 97224 I3Six or more residential units. o�P�CY. ©ilealdr-care facilities. ❑Recreational vehicle parks. Suite/bldg apt.#: Project name: is l71lazardotu locations. D Su ly volts for more than J �������hr fi(t. ,y OV�/►ts S� ❑Service or feeder 600..ps or more. 600 ZI1 is nominal. Cross street/directions to job site: :,1., �p,�y{.y _ y +y�iq Description Qty. l Each Total " New residential single-or multi-family dwelling unit. Subdivision:Piv�- Tt . ,� A artaji, j— Lot#:1 Z Includes attached garage. Tax map/parcel#: 1" 1.000 sq.ft or less 168.54 4 xi !. i' � _i1 '.p "U ms's a . Ea.add'I500sq.ft.orportion t. W 33.92 1 ~ - 0.,fzt.,.' P .t. , :a Limited energy, lath lv.Q�3 �„.Y , e .residential 75.00 2 (with above sq.ft) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) _P '4`%„� "I�.ta4t�� 0 'S�4� �c�.'yt�n° 4a�e� x �' �� :^: � . Renewable Energy ❑ See Page 2 . Services or feeders instaIlafon,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E Doubletree Ranch Road 201 snips to 400 amps 133.56 2 City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 200.34 2 601 amps to 1,000 snips 301.04 2 Phone:(602)694-4831 I Fax:( ) Over I,000 amps or volts 552.262 Email: Temporary services or feeders installation,alteration,and/lir • relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125,08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 " o ' f' " ' -1E476 " Branch circuits-new alteration or extension, p, � `� � �3>e��`. ����� � �� • ® ,...s5�� �' , per panel A,Pee for branch circuits wtrh Business name:William Lyon Homes,Inc. above service or feeder fee, �` �'^ each branch circuit 742 2 Contact name: i 4 i�V!o oIrk B.Fee for branch circuits without - service or fender fee,fust Address:• 0 1� 1i,J4STSk, bunch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add')branch circuit 7.42 _ 2 Phone:(360)695 7700Miscellaneous(service or feeder not included) I Fax::(360)693-4442 Facb manufactured or nodular Email:: y �i(4i e 1 l /l t i dwelling,service and/or feeder 67.84 2 Em• : • L i > e i . 1 ilk.' $A 1 Reconnect only 67.84 2 4.,r.� `'O`<'� , s{. "`;b:{0.1_1/; " `'!et10 1F4i w;� say 71'7 - . z' „, r.. • Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address: LI 62. V at,iv" Ne, wvC 1 Q�a ——5pan&ue,-ca)iterarcuf( ton,s)oorrleimxticednsm.erg_ 0 See Page 2 ' 2 — CitylState/ZIP:' � `y �.1 c O� ^1 i Each additional Inspection over allowable in any of the above 253 � 2- lis l 1 1 1 Additional i in(I h inspection()hr min) 00/hr Phone: Fax:( ) Investigation(1 turnip) 90.00/hr Email:bdaniels@gweusa.com Industrial plant(I hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 01158 I Electrical Lie.: 208174 l Suprv.Lie.: 4496S specific. listed '/i hr mm yt ';,. 3 s L E'$ il,Aa Zl/C1.4-F M715” ocit? t5 Suprv.Electrician signature,required: [ —�- , ,1 " -'�" s •' C Yit- `.. Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): State surcharge(12%ofpetrnit fee): Authorized signature: r.. ---__•:, —___'22=-:-=-7.---' TOTAL PERMIT FEE: Print e: itainn 180 Warne: Bill Daniels I Date: 4/26/2016 daysapplcation after itexpires l,as been if a acceptedparmitisa asnot compobleteed withI >"'•�:t8u0dingtpera,rWELC par„it iii * Number of inspections allowed per penultAppJELk FRE.doc Rev 06/17/2015 440.461 ST(11/05/tbhowaB RECEIVED . ., . Plumbing Permit Applicatio '-- . . . . 13gilding Fixtures sEP 20 . . . . .. . . . . , ... • • City qr.rigard ittaivo4 , 4: 13125 SW Rail Blvd.,Tigard,OR 942rni(j i„.-' 1 li,, ./'-4i R!) DarytelBZ. jew N Permit Nom,sr;20,9-00/4p2 #,. . Phone: 503.718.2439 Fax: 503.59816Q .1 , r .1'. 4. , :Date/Ban Y: Other Powell No:: Inspection Lhie:.503.639.4175 BU 1.1111N --,°,• 2!v;,-,',1')17:Dam ReadyrByt rum: Fa'Beipage 2 the. TIGARD . • . : • . Internet: wWw.figard-or.gov, .Nonliedtaterbod: . Su.p.1emeatal information t;''''41.44* 2....1:-',.'''''.---.;',;.,4:4.,,r.. ..7:.',: ?f-i- 77W-A•44"4:=V:,=>r-iij.„:".P''.0-1";:•;-4::1;40ti•V' nidiP-'::ViVg,,•'fakirl•Wri-':c.7T,',"-fr,irVzi *WORleAraOrM .r.a..'.A...'.;- -t. •:•dg*:' :".1''N...;-:,a.-.•.W'.6'..leitiMM=' ,--2.:7`? -.:;rrarA1136.74'6'1:'''`,''''` ''..,''',, ' ;.'',• .0,..,.,;,`1, .:,,.,,Z.::.„i.„-4.;:.,:,......, . : .,... _, .......,„,....-,4„3,4.m40,,,,,,,, Desctiptio.n FoeSpecial infornualloh hit...checklist. 0:New coristruction, 0 Demoliti.on • I :Qty. I -EEL I Total . 0 A.dditiontalteration/rePlaCerndut: 0 Other NeW I-2rfainily dwellings(includes 100 it for soli utility comiectiOri) , Olit,161pp:WIt::::11. 0r;"'.„rtr.1., =1....'4.1.,,.:-.-.4...1- . SFR(1)bath I 31270 SpR(2)bath 437.78 Ell,and 2-famil*.dwelling 0 Commercial/industrial: ; • StR(3).britir. I 500.32 • D Accesso;y1y4lidiok D Mtilti-family Each additional.bathAritchen 25.02 0 Master builder E]Other: : FireSPindder( sq.It. Page 2 ..,,,r :,,,k,,,w .,.A Site utilities: ::.Ix'.' ,c,.....:...eJ,...61 ,.. . Job site:address: nt3t4 cvi C-I-enie heft r\e..c.-F- Catch basin or area chain 18;76 • ryweit,leach line,or trench drain li):76 . city/State/ZIP:Tigard,OR 97224 D Footing drain(no.linear It.: ) Page 2 Sohn/bldg./apt.,no.': I Project name:Northwest River Terrace . Manufactured home utilities 50.03 Cross street/directions to job site: Manhoks.„ 18,76 Rain drain onneetor 18.75 • " Sanitary sewer(nO.linear ft:__ _) Page 2 Storm sewer(no.!taper ft.: ) Page 2 Water servie.a,(no.linear ft.: ) Page 2 SubdiVision:.NOrthwest River Terrrace.- I Lot no.:1 L .Fixture or Item: Tax mapIparcei no.: . Bacidlow.preventer t 31.27 Backwater valve 1 1151 25.02 MC1-,0 i-1 ''001(31- ' f - . Dishvi.a.sher 25.02 Driribirigthirniairi 25.02 .,Ejectoritsurrip 25.02 rige-upryt.34. ;v-4;* 71717.:-"teriegikr:, ..!I";4,4%-,F:.,,i*,‘:1114;4'::.'.7,.:!7.1 04.-..r--70:•.4, .t-I,„,re Expansion:Utak 12.51 :25.02, . Fixture/sewer cap Name:ADVT.,Land Aiddings,LLC' 'Floor drain/goer sink/hub 25.02 Addre47./QV. Doubletree:Rana Road varbago disposal 25.92 Citk/State/ZIP:Scottsdale,AZ 85258 Hose bib • 25.02 . ., . be .(602)694403l.. Fax ( .). Jcp malcer. 12.51 r''''''''' ''''''''''''6''''P44'''''4-''''''''-:;'-'. ..i"';';:.•Ai'4A'';''..-77$2!fertilyi'''''''''':Flipt& 1'-V7;:''',''714,41::. interceptor/grease trap 25.02 -....:7N-.4.7*-o-, .6:',.'. ' . .1404ical ges (value:S ) Page 2: . Eusinesariame:Willianr:Lyon Xionies,,Ine Printer 12.51 COriraetnairie:Afigela•drajewsld: Roof drain.(commerpial) 12,51 . . . .Addrest:109 got 13t.h.Street: SMR/basin/lavatory 25.02 City/State/ZiP:Vancouver,WA 98660 Solar netts(potable water) 62.54 Phone:.(3.60.)69S-7790 Fax::(360)693-4442 Tub/Shower/shower pan .. 12.51 grhial. 25.02 E-rnail:Angela,GrajcwsitiOprilygoilhories,COrri Iiiateroloset 25.02 ,. Business name: :6,414 t iANA Aft . estfi,A0 ,..17,1„...i/14,.. Water gtag./1)WV .5029' Ad4re$ -: ..p..ei it,,.04 do; Other:: 25.02 ..:, - Spbtotal. City/State/ZIP; 5y, e.6..4„4 art. 49,t:13-1 .. Minimum permit fee: 872.50 Phone:(3.76.3..,.*-Sfegto,,. /41,1 Fax:(II t.,.19,1.4. ri(f) Plan review (25i).10.orpennit,foe) CCB Lie;; 1114131,1,. PlUmbing Lie. ip4:43 wq State surcharge(12%of permit lee) Authorized signature: 5.: . -01kfr""----.........„ TOTAL PERMIT FEE . . - Print:nanic: S-17f4,:it_ lu.,ke., Date:S .... -3 b--1. ) This permit application expires If*pertia is nO,obtained ivithia 180 days • after it has beer/acceptedas complete. *Poe methodology set by Tri-County Building lothistry Service Board. hkauadingvermits‘131Au:rizmitApp.eec 4.0/0110. 44046(6T(10i02/COMINVEB) A. City of Tigard qi COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review - Residential Building Permit #: L Site Address: 113 z( of a f(er'11 y\ Project Name: fi r I rr� NI0ri-Vi vv-eS 4- 7 - (New dwelling=subdivision name;Addition or Alteration=last name of owner)4- Lot #: 1 Z_ Planning Review 9/1f 1i le67lrS i©^0 S Proposal: N fes/ SF R– — Std /4444"/ .tre5i-77>A/-S. Si Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ No jin Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3) copies of site plan �S to plan must be on 8-1/2"x 11"or 11 x 17"paper �ructures on site Drawn to scale(standard architect or engineer scale) �floore leva eleof vations structure(including decks)with finished North arrow MI Utility locations&easements(required for new and additions) Site address,project or subdivision name and lot number gSidewalk/driveway approach Applicant information(name and phone number) nr___ Lot dimensions and building setback dimensions rtionaa� ells/septic systems �g n m to be retained with drip line,and tree {487are ootage of buildings to be demolished 7Lot area,building coverage area,percentage of coverage and protection measures Street tree impervious area(applicable if R-7,R-12,R-25&R-40) eize,type and location Property corner elevations(2 foot contour lines if more than 'Street names � 4 foot differential uality facility required if>1,000 sf of impervious area is created or re.laced. Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No X Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ..,,,Fr Yes ❑ No,stop intake 7 Land Use Case#: P ® R 201,5 -_ 0009S 7 Zoning: 0-_ D /Required Setbacks: Front (2 Rear ' Gy Side 3 Street Side Garage Gg "❑ Ldii�'�ape Requirement: % e 7i_ 0 Lot Coverage Maximum: G—Ittiltikig Height: Maximum Height '❑ Visual Clearance Actual Height : c_.__:t ds: 0 Yes ❑ No Type Urban Forestry Plan 4 Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: i ji ( , L� Date: S / 17 Revisions (after Building Submittal only) Revision 1: Approved /1/1 ^ Reviewer Date pP 0 Not Approved ! v l„ t0�, (�_ `� `-7 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\B1dgPennitRvw RES_051617.docx r Building Permit Submittal1l j�/� Original Submittal Date: —7---_Site Plans: # Building Plans: # __— Building Permit#: Enter building permit#above. En neerin rmit Coordinator Building Workflow Routing: Planning $� g Workflow Sign-off: Sign-off for Planning(include notes from planning rev' Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. `En Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: " f By Permit Technician: fir: . L ��_,/,�:",'/ Date: Engineering Review ❑ Slope at building pad: • !/ l ❑ Conditions"Met"prio o issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat O Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 00 No No Assess Water Quantity Fee in-lieu: 0 Yes LIDA Facility on lot: 0 Yes 0 No 2 Date: 4-1--r- 0 .�� ❑ NOT Approved b Engineering: .4Notes: y 1 - I /W ., r`' _Jr %for . Date: Approved by Engineering: Date Revisions (after Building Submittal only) Revi• e , Revision 1: X Approved 0 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 71,. � 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: 7 DC Fees Entered: Wash Co Trans Dev Tax: ;g1 Yes 0 N/A Tigard Trans SDC: ( Yes 0 N/A Parks SDC: Yes 0 N/A LIDA 0 Yes N/A 9 f i i ---- MIN K to Issue Permit • pproved by Permit Coordinator: `,/Date: (.7--- I:\Building\Forms\BldgPermitRvw_RES_051617.docx IIICity of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: ) 735G1 Svv./ nen-)-ex)rIcksL, S -- Project Name: /Zkve r 1 e,rrc,c . Nor in S t- Lot #: -7 2- (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? ❑ Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing façade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft.deep min. 2ft., 5 ft.wide min. 2 ft., 6f.wide Gabled dormer 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: 13. `--3 Entrances:At least one entrance must meet both of the following standards: wetback from longest street- facing wallParallel to street, angle no more than 45° from street, 7Max. or open onto porch Entrance opens to a porc : y ❑ No Ifes,all the following apply: yfOne street facing entry �' 5 sq.ft. min. 12 ft.max. roof above floor of porch �5 ft. depth min. 30%min.porch roof coverage 4. Detailed Design:All buildings shallrinclude 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 jWall offset min. 16 inches ❑ Dormer min. 4 ft. wide Roof eave min. 12 inch projection I,Cf hoof offset min. of 2 ft. ❑ Roof shingles either tile or wood r2rGable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade J2/Window trim min. 2 '/2't wide by 5/8"deep 0 Window recess min. 3 inches for all street facing `❑ Bay window min. 5 ft.wide by 2 ft. deep 0 Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 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. 0 Yes C "No. If No (Check one): /JZ 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) 0 12-foot-wide garage door 0 40%max. of street façade 71 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Al ;- - Date: .5" / l 7 J 11 I:\Building\Forms\B1dgPermitRvw_RES_RT 062216.docx