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Permit (96) CITY OF TIGARD MASTER PERMIT ' "- COMMUNITY DEVELOPMENTIii Permit#: MST2017-00193 T jC GARD D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/05/2017 Parcel: 2S106DB02900 Jurisdiction: Tigard Site address: 13372 SW AUBERGINE TER Subdivision: RIVER TERRACE NORTHWEST Lot: 29 Project: River Terrace Northwest, Lot 29 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: 24 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front 12 Smoke Dwelling Units: 1 Third: 0 sfRight: 3 Detectors: Yes Total: 2229 sf Value: $271,716.73 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 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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:Y 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 Eaves-Both STE 1 Sides SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $32,134.24 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 952-00 0090. Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: L 1.'r Permitteeeev Signature:le 5GC // -4:Z/LC-41 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. LQT ,- j Building Permit Application e 1 RECEIVE I FOR OFFICE t SE ON 1.) City of Tigard Received �4 t / `/ Permit No. 13125111 SW Hall Blvd.,Tigard,OR 97223 MAR 2 2017 Plan Re: ! 1�151iCG��_G���� _ Plan Review Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Other Permit: Inspection Line: 503.639.4175 CITY OF TIGARD �a 7 '�'/" 5/4.40_6g2for �(7 TIC [� ate ReadyBy: inns: El See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISIO otiSed/Method:� /7 i Supplemental Information fi Ai' IL- 4/(7 I"`/"'`"efffTTT��� ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addttion/alteratton/replacement 0 Other equipment,materials,labor,overhead,and the profit for the work indicated on this application. ® 1-and 2-family dwellingValuationa7J .��/ 0 Commercial/industrial )) D i 1 ❑Accessory building 0 Multi-family Number of b€drooms: ❑Master builder 0 Other. Number of bathrooms: ? N n e Total number of floors: Job site address:/ 372 Sw Pn.0 '^/ I t,7L abut._ New dwelling area: � aq square feet City/State/ZIP: r Garage/carport area: 60 square feet Suite/bldg./apt.no.: 1 Project name:River Terrace Northwest Covered porch area square feet Cross street/directions to job site: Deck area: square feet 9'] Other structure area: square feet // 1 `'1 Subdivision:River Terrace Northwest I Lot no.: Z9 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 a .„ equipment,materials,labor,overhead,and the profit for the work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet 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: ��� r Business name:Polygon WLFI,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLSplan review fee(if applicable): Address:109 East 13th Street PP ) City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Nichole.Thorpe@polygonhomes.com k F � Commercial and residential prescriptive installation of ��. X'12:4 2P P 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: $201.60 Authorized sigriatur-. / / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Date:3/14/2017 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , Mechanical Permit AnnlicatloTIECEIVE .,. )1,; 'il 1 u City of Tigard 13125 SW Hall Blvd,.Tigard.OR 97223 Phone: 503.7111.2439 Fax: 503.598.1960 Inspeetkin Line: 503.6394175 . Internet: www,tigard-orgov SI IiIi4R 2 8 2017 i). CITY OF TIGARD Nottfiedthiethod: I Datertlapsicilmei'131:ftcathLY lay, CIEMINEMPaill aaart PCiata Mil Isillai;Ser Not:If/sr *don BUILDING DIVISION -- . ''' -, • -- '- - --,, - '- --' -.,1,,,,,',,,,-- z,,.•°‘,,--,-='".4','`-,ttf,'''''.-,'',~'-'-+Ak. '''''.tiii:f.,;,.1.4.4-...;:'-',:t4.i:,„:::-,:k.",,7.1i;;;',.....,°!- '4.it...-,,„:',..tt,;:R.,!,:-z•,;:f1771 e7ilfitti2C5iSLIL:ii2rieielltii,2:44fIitl..ii.,4..t...4... ifetlrito.-,.:::-ktri.,':t~:-..*.:k. (meci.;,..ical permit fees,are ilia sed r;i1 the„doe orthe wort 7,.. New construction 0 Addition/alteration/replacement perfotmed.indicate the value(rounded to the riclrest dollar)of all mechanical materials.equipment.labor,overhead,mat profit. 0 Demolition 0 Other Value-$ n..„- "• -7'4w.0w.* Toz4wat-,2?4,,,il4.'P, ''.e: )44-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedat ixformation toe chedas*1. Aulti-family 0 Master builder 0 Other Description i Qty, I Ea. 1 Total .• , -• -.. ----...--,7,.-.. 5.4-...ay..‘ . ,, ,,,„w -,,, ..4i. Ileatintitooliat: f,:,:i-,:elia4,4aiii4-,tiY11:::f:r2frI::',:i.:.':::: 1:',,,'::„ -::-.;;;'•,;:,,!:,:<„1.:.,!),,,,,.,,,4,N.7,,,,,-,-f,-,- ,..,,,,v-,,,,.- Air conditionin, I 46,75 Job site address: 1)55y7_ Soi fiClitiy)ty-09)(le_.:T.f,nra,„_, Furnace 100.000 BTU oluetsivents) I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 1001)00+BTU ideas/veins) 54.91 Hem pump 61,06 Suiteibldgiapt no.: 1 Project name 124,4tri-twacie 1Qi. v-timme_st.- Duct work 23.32 Cross street/directions to job site: Hydropic hot water sistern 23.32 Residential boiler(radiator or hydronie) 23.32 Unit heaters(fuel-type.net electric), in-walL in-duct,suspended,etc. 46.75 Flue/vent for any of above l 2332 Other. Subdivision:0-1\mr-rerrace.NO1 iAnt .A'S-t- 1 Lot no-:2,1 fuel appliances: 23.32 Tax map/parcel no.: Water heater 23.32 ,, . • , nearer of gas 1 33.39 s,„.47,-.4...o.....v.s.itt„.;:;',li`,.s.,Lt.i.,,t-,_;.,t....yattnessixvrir-suststissus.:Au4atlast.usvissest.:•alp&Kssirsetsvvi..2..w.,,,-.N. one vent fra, water fireplace 2332 Log lig.hter(eas) 23.32 Wood/pellet stove 33.39 i Wood fireplace/insert ' ' ' 23.32 Chimnesilinedfluchent 23.32 23 32 i-,-. ".,, ,I, „t„:„,,,,k.' 4,-,i1-,-;..-,..,,,,I,-,m;:.-:44,4',+,7:P-7.‘4,,,14,,i4• ::''''.r:k 474i--41: i77 i4i,i,',.,:,,7',7".;-7,,,,,,,,i4:0 . Environmentsl exhaust and ventilation: Name:Polygon W1.11,LIC Range hood/other kitchen equipment 33)9 Address: 109 East 13 Street Clothes drjer exhaust I 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(hathmoms. 4 toilet compartments,utility rooms) 23,32 Phone:(360)695-7700 Fax:( ) Atticierawlspace fans 23.32 ,,„ ,,,,,,,,,J,....,,,,,vc•::,,,,r,.--,-.0,- .-f;A1-N1;t74:*trrii.-I.::',0'1,i:;;tr*,'':?:i,'-r.:'49-*711:474.ii;5;:'-1`4:•'';''''*;:i,7,::,g:.44 !",,,; ;,„,,,t'i .:::,'4-4.•;A,z4C4-t Other 1 2332 Fuel piping; Business name:Polygon Will,LEX $14.15 for that four;$4.03 for each additional Contact name: Nit On Ok-1\(-)0 Nr9C, Furnace.etc. I Gas heat OuroP Address: 109 East 13th Street Wall/suspended/unit heater City/State/ZIP:Vantouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 , Fireplace l Blaine E-mail:A ' • 14144' Of /DelhO e , di Barbecue ,.--4,,R7-rjK*N`,.`,ENA'•4307,7=F;t&TIX,.:ftWi'''....14".r:i'civ.,;. ,..7:T.-4;:4:4,...&,, •k•;',14:44„ '::'1",i7r7r07,:t1,17 clothes do--er(gas) Other. Business name:Apex Air LLC . . •., ... • ,... .,...... ... .. ...-.. ..,.., Address:18004 NE 72"Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:060)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE - .. • - mil permit Tittfr:71Mtlter it17:res* en aertpted if a permit is not within 150 . , - Authorized signature; * Fee utettuxioksa set by Tn-County Building Industry Service Beard Print flamer-V/0T I Date: 4./1.Ito. 1\B.,1alitirltrmiUWIEr_PerttutApp_040113 alec 4444-46 I 7r(I 1,024CXatiWatt t RECEIVED ,Electrical Permit Application FOR OFFICE USE °NUN City of Tigard Received - 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Date/Review ft . IN ' MAR 2 8 2017"'. Phone: 503.7182439 Fax: 503.598.1960 Date/$ : Related Permit it: Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By Jana: H See Page 2 for TIGARD Internet www.tid-or. ov BUILDING DIVISION NotiSed/Method: So gar g Supplemental Information l-�_�� s�^r...�.. �'"tom -----1-:=T; ..-. f�^���. tet. �<`-"ra-..�.� -,:. ztcti;-'-^ =rte-. k �_.a. A'�4"�`i ...�. .r=.� � n.o-i -�.��y r4 TML^ - ®New construction 0 Addition/alteration/replacement Please!check all that apply(submit 2 sets of plans wtitems checked): ❑Demolition Other: 0 Service or feeder 400 amps or more 0 Building over three stories. 4'ru �. _ } where the available fault current 0 Marinas and boatyards. �;l' ._-f& .'',17-618.E._ O � k.WW, 01.5._ s * 7,,7`:- .7.;:p",-.: exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amp❑Multi-family - 0 Master builderFire forallother installations. buildings. 0 Other: ❑Fin pump. ['Installation of 150 KVA ar ._ .. . a'- 0 Emer stem. largerseparatelyderived _ - .O --`•l7I°"1�.. �-_ >ZTOI�:_: - - 8�Y system' Job#: M Job site address s •( �1,0 e.rr 0 Addition of new motor load of system. V V 4 1100HP or more. ❑••A•',••E","1_2","1_3", City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: VC (� ❑Hazardous locations. ❑supply voltage for more than �1 r T YY-G�r 2 �)a1�,wes-f ❑ ce or feeder 600 amps or more. 600 molts nominal. Cross street/directions to job site: &-V~��, r�� r -;sem'`: �: y-7: M Dacrlpdoa I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision ( i\k( T_ . Naz-1,14AA.I�'4— Lot#:2.9 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 _ _ _ Ea.add'l 500 sq.ft.or portion 33.92 1 >0 �� �� ' .Q1�= Q ,..! '� -ix:.Z: itfi Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft-) Renewable En ❑ See Page 2 .0 � --- - ` — �' Services or feeders installation,alteration,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 amps 133.56 2 401 amps to 600 amps 20034 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 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 5936 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 - vt� ..y; Branch circuits—new,alteration,or extension,per panel '--1 '_. ` -:= -,y-n v----, .4 N FACT EI#Sf} -46 q+ A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 eacContact nameN I cA 10 k�1 � Feeh branch circuit 1_ �, 1' B. for branch circuits without service or feeder fee,first Address:109 East 13th Street branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 htscellaneous(service or feeder not included) Phone:(360)695-7700 ! Fax::(360)693-4442 Each manufactured or modular 67.84 2 �j}� dwelling,service and/or feeder Email.N IC o I e I Y I ,t I -.ti, hamo,C Reconnect only 67.84 2 4;4 54_ -'. «-C �,, -8r. 00°?--, ? Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:6101 NE St Johns Rd Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 6625/hr Phone:(253)320-1657 Fax:( ) _ Investigation(1 hr min) 90.00/hr Email:bdaniels®gweusa.com Industrial plant(1 hr rain) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: C1158 Electrical Lic.: 208174 I Suprv.Lic:: 4496S specifically listed(i4z hr min) - Suprv.Electrician signature,required: of A Air 1 i Subtotal: Print name: Joan P Albert • Date: 4/26/201.6 0 Plan Review Required(25%of permit fee): r - , State surcharge(12%of permit fee): Authorized signature: " TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. * Number of inspections allowed per permit :'.I:1BuildinglPermitAEL PermitApp Ei.R ER6doc Rev 06/17/2015 440-46I5TQI/05/COMNIEB f • Plumbing Permit Applicap�aCEIVED Building Fixtures �t I Olt ()l l l( 1 ‘,l ()\l li City of Tigard MAR 2 8 2017 Received ■ 13125 S W Hall Blvd.,Tigard,OR 97223 P1 Permit No.ILL Phone: 503.7182439 Fax 503. '11�6�F TIGARD Plan Review .,-7-).0/?_00,07 3 t t ,i n Inspection Line: 503.639.4175 BUILDING DIVISION DAY` Jon,:OtbeermitN°.: Internet: www.tigard-or.gov RUBY' �+�■ See Page 2 for Notified/Metbod: Supplemental pplemental Information TYPE OF.WORif ®New construction 0 Demolition For special information use checklist ❑Addition/alteration/replacement ❑Other Description 1 Qty. � Ea. 1 Total New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCITON' SFR(1)bath 312.70 ®I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 1 500.32 ❑Master builder Each additional bath/kitchen 25.02 ❑Other: hFire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /5i 2 5 W �A,l^e,-( t CJom, ^I[ J Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 I/C� Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2Suite/bldgJapt no.: Project name: VO /Itt�f�CL VOMVC& Manufactured home utilities Cross street/directions to job site: 50.03 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Stone sewer(no.linear ft: ) Page 2 Subdivision:p..,\1 '' Water service(no.linear ft.: ) Page 2 {J)/ I tr(A(,� N oii',IW Lot no.:29 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 DESC'RIP'TION OF WORK. Backwater valve I 12.51 • Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 e.PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Address:7600 E Doubletree Ranch Road Floor drain floor sink/hub 25.02 City/State/ZIP:Scottsdale,AZ 85258 Garbage disposal 25.02 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker ®.APPLICANT12.51 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Contact name: 0 i(`vi t �/►0,r9 0 Primer 12.51 Address:109 East 13th Street 1 tr�r L Roof drain(commercial) 12.51 + Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 p�� Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail: , iChi)(e . 1 FN/itTQ itrICA011hom s.0 Q'lY I Urinal 25.02 CO CT Water closet Business name:Mahnedal Enterprises Inc Water heater 37.52 Water piping/DWV 56.29 Address:PO Box 207 Other: 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 CCB Lic.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) Authorized signature: .,. State surcharge(12%of permit fee) .TOTAL PERMIT FEE ... 1iname:Carolina Malmedal i Date:04/25/2016 I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. IABuildingTennitAPLMU_PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) w V 11111 City of Tigard i r COMMUNITY DEVELOPMENT DEPARTMENT T I G A K D Building Permit Review — Residential Building Permit #: M 7--;LO/7- 0a7 7 Site Address: r 72 AtAgGect `'mac¢. Project Name: 'ak.er'`1voCe )'W Lot #: 1-9 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 1 44 5- Lam'Verify site address/suite#exists and active in permit system. G'River Terrace Neighborhood: ❑ No VYes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan xisting structures on site 2cSite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure (including decks)with finished kall Drawn to scale (standard architect or engineer scale) oor elevations 6orth arrow tility locations&easements(required for new and additions) .,/Site address,project or subdivision name and lot number I Sidewalk/driveway approach L�Jylpplicant information(name and phone number) 14' ocation of wells/septic systems Lot dimensions and building setback dimensionsII V : xisting trees to be retained with drip line,and tree quare footage of buildings to be demolished /protection measures Lot area,building coverage area,percentage of coverage andtreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) [treet names C 'roperty corner elevations(2 foot contour lines if more than Otorm water quality facility required if>1,000 sf of 4 foot differential) impervious area is created or replaced. 1i[itfr Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified 6 No Received: ❑ Yes ❑ No El Public Facilities Improvement (PFI) Permit: . J2.01 tj-00 1 t 2-- Required: Required: ❑ Yes,applicant was notified ❑ No Applied For: [/Yes ❑ No,stop intake E VLand Use Case#: TZ12-2C)t5-0000 5 t;i Zoning: 9- I-L ( 'O) 'l Required Setbacks: Front t2Rear (0 Side 72 Street Side a Garage IV-Landscape Requirement: 20 OA Er-Lot Coverage Maximum: So 0/0 rt tA Building Height: Maximum Height Actual Height 0 Visual Clearance M Sensitive Lands: E:1Yes ❑ No Type rban Forestry Plan aConditions "Met"prior } to issuance of building permit Notes: 541,\-e, CflV d, .af25 c 2Z015-txc)5(a 1I X44nci, , Approved By Planning: it Date: 5/73/ 7 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\B1dgPennitRvwRE5 051617.docx Building Permit Submittal Original Submittal Date: /,L6-/9 Site Plans: # Building Plans: # Building Permit#: nter building ermit#above. Workflow Routing: Planning Engineering glr.Permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: t� Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 4 %0Date: 57,L(WO Engineering Review Slope at building pad: 2t II`� ®Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat Xr Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes t No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: El Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: _ -WL ,2_ Date: — `--4 Revisions (after Building Submittal only) Reviewer Date Revision 1: El 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: / V llate: 'S/361 " 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: I47SDC Fees Entered: Wash Co Trans Dev Tax: Yes El N/A Tigard Trans SDC: Yes El N/A Parks SDC: $Yes ❑ N/A LIDA ❑ Yes N/A ?!fP"K to Issue Permit Approved by Permit Coordinator: Date:9V//i I:\Building\Forms\B1dgPermitRvw_RES_051617.docx A City of Tigard Ill COMMUNITY DEVELOPMENT DEPARTMENT i T I G A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: Gan A►' ZGj 4 L`TR. Project Name: 12N ei Tk Lot #: 2 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dis�t4. t Design Standards (18.660.070.1.); Ly' Is the project subject to the plan district design standards? 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. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer Efr ❑ ❑ LSl/ El 2. Eyes on the e street: a minimum 12%of each street facing facade must include windows or entrance doors. Percentage Shown: (`T (/a 3./Entrances:At least one entrance must meet both of the folio�g standards: L� Max. 8 ft. setback from longest street facing wall IVParallel arallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: C'Yes ❑ No If yes, all the following apply: 5 sq.ft. min. 5pI ne street facing entry 1=1 12 ft.max. roof above floor of porch �j 5 ft. depth min. '30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: © Covered porch min. 5 ft.wide x 5 ft. deep gRecessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection EiRoof offset min. of 2 ft. El Roof shingles either tile or wood R'Gable,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 24indow trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep El 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: N closer to front or side lot line,than longest street-facing wall. ❑ YestK No. If No (Check one): lal May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the frontorc h. CI 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) ❑ 12-foot-wide garage door El 40%max. of street façade 50%max. of street facade with 7 detailed design elements LINO Notes: Approved By Planning: filefip1,64e Date: / �5/23 (-7 I:\Building\Forms\BldgPermitRvw_RES_RT 062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13372 SW AUBERGINE TER, SHERWOOD, February 28, 2018 at OR, 97140 12:41 :49 PM Record Type: Record ID: Residential - Master Permit MST2017-00193 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS Comments: A/C installed at this time Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13372 SW AUBERGINE TER, SHERWOOD, March 5, 2018 at 3:20:51 PM OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00193 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide slope away from structure to code at gravel path off back porch equivalent to 6" in 10' or approved drainage swale. R401 .3 ( both sides of back porch ) Violation Summary: Inspector Contractor