Permit (215) CITY OF TIGARD MASTER PERMIT
III
I' COMMUNITY DEVELOPMENT
Permit#: MST2017-00473
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/03/2018
Parcel: 2S 106DA07700
Jurisdiction: Tigard
Site address: 16827 SW SNOWDALE ST
Subdivision: RIVER TERRACE EAST Lot: 77
Project: River Terrace East, Lot 77
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1259 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 2917 sf Value: $354,375.21 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]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 VB R-3 2917
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
STE 1
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $35,148.80
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through 0• 952-001-009$i. 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: / ,'---L—' Permittee Signature: e<✓ ., -/-',/' -/el774.1"
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.
Building Permit Application L-0
". I en%1 IFC `+ I 1 .. FOR OFFICE l SE O\LI
AUG
Received // ,/ �-7 ' 'ermit N�"6']-l00..0 y)3
City of Tigard HU 8 2017 Daze/By. LL /, �Jp��� ��
III II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review i,• , r7 p,�P t,.�C�%�'� //� 3j
• Phone: 503.718.2439 Fax: 503.598.1960 (Ti`O f�GARD DAY )�
Y 9: -furls. H See Page 2 for
,,,,,RD Inspection Line: 503.639.4175 BUILDING DIVISION N iS eeady/Bod.�i/Z///7 El See Page 2 for Internet www ngard or gov 1.--:--11/ /t- /V/C " 6 €-
1:-::„):
_. �. ,.�"IE.._3�� ��"��Z'�' .a4F t�.a..z++.uy :�...Yt'�'w ,,`.' c: '�x3`a ',�
L,� n trZ.::::.:' �" 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.
a _ r. c-ate ..t.- c5 '
r€ � . ,n.,NF 1k a« .c. .�" % 's ' ''s Valuation: -' A h
®1 and 2-family dwelling 0CommercialCmdustrial .,�7 L� 7s
Number of bedrooms: / �
0 Accessory building 0 Multi-family +
Number of bathrooms:
❑Master builder ❑Other: 2q 1 — 3 3 J
:, Total number of floors
R,.; 3 ,„ e i ..,i'� > ,� `"r_4 4 �<.. ., ► aq_, feet
New dwelling area:
Job site address: t 1. 7
•
tA City/State/ZIP:Tigard,OR 97224 Garage/carport area: 14 square feet
Coveredporch area: square feet 6 I.
Suite/bldg./apt.no.: Project name:River Terrace East f j� q � •
Cross street/directions to job site:
Deck area: square feet Jas. 4
Other structure area: square feet
iv,ms •„-..,„. -� `
Subdivision:River Terrace East 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
work indicated on this application.
�ntib^'`�fF S z:e.,.5'r.Fx'�vn+n+�nLp.;'`iabiiA $
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:
Business name:Polygon WLH,LLC Structural plan review fee(or deposit):
Contact name:Nichole Thorpe FLS plan review fee(if applicable):
Address-10-5 [3rOaC / _ C Total fees due upon application:
City/State/ZIP:Vancouver WA 98660 Amount received:
Phone:(360)695-7700 Fax::( ) Y1
- , f �...- - .ter
E-mail:Nichole Thorpe
Commercial and residential prescriptive installation of
2: `s -4Fg4k`C aA N�, , 'cr` _ roof-top mounted Photo Voltaic Solar Panel System.
B�� 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:1 le g$ Qcii • _ " lb Solar Installation Specialty Code checklist
Permit Fee(includes plan review $180.00
City/State/ZIP:Vancouver WA 98660 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: $201.60
Authorized signature: uh g„.,7„,-
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
IPrint name:Nichole Thorpe 1 Date:06/16/2017 IService Board.
I:1BuiIding\Pernuts\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
I
. : .
Mechanical Permit Application,11- : C '' (-''''i
City of Tigard , , , , Received
-- • 13125 SW lien Blvd„Tigard.Olt 97
lk =, tp--4-10 ---.----------- -----_,.
' a Phone: 503.718/439 Fu : 503.59113960 oan7trmft:
• Oniony:
T 1 6 A1,D Inspection Li_ne: 503.639A 175
Date Iteadyilly: J06* BF Set Page 2-for
Internet: www.tiganl-orgov
Ntlificd/Mabod:
Stmplernental Information
......____
4' :125 ::.? -7" - 17,. ..'"'Y'ilii-iii-:',3%.; /t.k:' 4i.?:'1,'•:'.4;77YTATF,?.7•‘:63:c:'?":.'.X71-;1*;-. .f.?.';-1.-.: L!:-:',.cc*.tof444.-liEct--:::$ iJt,oW:#:74-1g-ctik*ictisi
'•._..-' 14--- ' ' ''' Mechanical permit fees*an:based on the value of the work
IN New otmstruction 0 Additionialtvrationfreplacement
performed.Inchoate the xiltie(rounded to the nearest dollar)of all
0 Detnolition 0 Other: mechanleal materials. .ui ern.labor.ovethetul.and ofit
Value:5
: ? -7——7 ' .. 'Tjel'W;YI'. -"i'.-4.1if ''',L,,:'.
Wi.,;::;1. :',"I'';g4.:-.,:: ;•:.:,'.f TKTP:RLY Pr.f.-WVC7197V4i'u ''.-`.7,-;-ti,---1.:,,,,.%,-7,-e-,..'
.and 2-family dtmlling 0 Cornmerciali'indu&trial 0 Atussory building
ror special information use rhettlist
I Multi-family 0 Masterbuilder 0 Other Descr',ion Q1 . 101111116211111
-.! :,::::;i::.#:Y‘;'':i0:=-2::40.0-Otf:*t*"4:T0:1*':':AN*',4iO,A:*pio7:,:zh9-Ik,I. .::,5:!?- All.enrin:irtioolowinn:
11111
1111111M1m....11.
Jab site addresa:i LO S2.1 &a Snouida,1-6,5-1— , Furnace 100.000 BTU blectsh.ents R.
Irnll...I.
City/State/Z1P;Tigard,OR 9'7224 Num=10o.noc4 Bit)wavy-eft IIIIIIIIEAUIIIIIII
/kat . 111111Mall11110
Suite/bldg./apt no,: Project name: Q,;1411-_,Itexalce...egaE_. Dud work IIIIIIMMIIIIII
Cross street/directions to job site:
I tvdronic hot water Tatem 11111rEll
Residential boiler(radiator or
lwdronic)
Unit beaters()iel-type,not electrit),
in-wall.in-duct tars.--sled,etc. 46..75 1111
Fluent for, v 4f above 111111111111111111
Other: 11111111=11111111111
Subdivision:. wty— 44 0., 0, A__ Lot no.:
Other hid a. llaures:
Tax map/parcel no.:
Water heater itlIVEMII- MM.
MM 'brit.i0ititi*Otr,ViitiBKO;X!:::iA'-'-?..T,:.t5.14; :ailf;'';:; Cies fire seafinsett Illwriliminal
..e vent for water heater or gas
fi .ace 2332 IIIIIIIII
Loa II*fur( as) 111111107,4 .1111.1
Wood! stIct stove IIIIIIIE011111111111
wood r dote-mon 1111011raill111111111
Chimnevtliner/fluervent 23.32
-''..:',..--,•.,--;_-.tar stokfliti...;0 );:.4..-,---, -..-:,.7,,,i,,,-3-;,,h,......:_citiv.i.,- , ,, , Odlor 1111111m0111111111
Nanie: it ° 4 A• a 1 0 A LLC- Range hoodfother kitchen
. 1 mem i
a .. Li'' r a—A_ _A 14 • Clothes dryer exhaust
City/StaterZW: SC e • * - * • •
Single-duct exhaust(bathroonts,
toilet corn 'rooms.utilit•rooms) 23.32
Phone:t p 0 ,. .... 1, Fax:( )
Attieicraw ,'cc fans NMI 23.32 IIIIIIII
1:16/7*.14e't 10:Cii*..;:i.;:i,," :*;. • °Iltbr IIIIIMI
Fuel i I :
Businessname: i i 1.04, . La utilL_name:
Contact _ _..k S14.1S for firm roue:S4.03 foe esseb additional
i Ile. I ..e...
Furnace etc. 11111111111111111111111
Address:
hear,u
immilltIPAIMI
1 .•aw.
t "gg t
Wallfsm endcdfunit heater mossimmigisi
CityiStaterLIP:Vancouver,WA 98660
NV. heater 1111111111.1111.1.
Phone:(360)69S-7700 Fax::(360)693-4442 F'-.ace 1111. Mal
Ranee MINN
C-mail;r ' , A 0 LT ,-, pit r i p r..rA,,,, Barbecue 1110111111111111111111111
-:t.;:f: aiist .•••"4-.th4 .;.,7..i. clothes&vet um) IIIIIIIIIIIIIIIIIIIIII
Other: 1111111111
Busine.ss name:Apex Air ur
3.;::-:: p.Hvg.c.wromtrFEWt' - • -
Aditillss:18004 n n"Mr
Subtotal
City/State:ZIP:Vancouver,WA 98686
Minimum Noah fee($90.00) IIIIIIIIIMII
Plan review(25%of permit fee)
Phone:(360)342-8109 Fax:(360)326-1769
State surchargc-(12%of permit fee) 11111111111.
CCB lie.;20034
TOTAL PERNIrr FEE IIIIMIIMI
This permit intion aspires ira permit is not obtained within ISO
days atter it has bees accepted as complete.
Author:red signature:_. ,
* Fee metlusiolcey set by Tri.County Building Industry Setvics Board
Print name; 14.4.‘ .
Dale: 4.11.it,...
.pvinhApp_.,,,,I,ilac
44044!7 Cf IRIVCOM4Via>
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Electrical Permit A lication = vo-R,cymicE u5 II:ION LA',_. .. - -. --.1
7 City of Tigard Received
Permit 044S;1" .6//7—oeti 73
.. 13125 SW Hal!Blvd Tigard,OR q72,23 ,
litiBlza:iew
' g , Phone: 503.718.2439' Fax 51198..1960
IN
DatelB, Related Permit d..:
,..,,,,,,.p,,,,,,,s Inspection Line: 503.639.4175'
Ready Date/By: huts: Ei See Page 2 for
".''''A A'-',:, Internet www.tigard-orgov
Noliged/Method:
Supplemental Informadon
WiTiSM1+3-T,MESEEKM2Y,t: ,p .4.E4Akiagri)lAitagti.4155;;Wie.:%Mi .T'f;1;FP.:: i.;.:1.5'.:i3flajOittit pj Att,W.;riMfkl:!1N:'VY:i9 l'4N4 .
Eil New construction 0 Addition/alteration/replacement Please checked that apply(submit 2 sets of plans w/iterns checked):
. 0 Service or fiseder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other:
Mime the available fault current 0 Ivlarinas and boatyards.
;11 :7-:1544.W.TV.iftg0.0414.6ti:':01§. .0.00:-.i 6,7A-4-t:Makilf!:tr.W.Vii exact&10,000 amps at 150 volts or 1J Floating buildings.
Ei 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground.or exceeds 14.000 0 Commercial-use agricultural
amps for all other installations, •buildings. .
0 Multmily • 0 Master builder 0 Other:
°Eire pump. °Installaion of 150 KVA or
'',.e.,:.:'1..," 0/9-1WW06":'Itor.:7...;...,? ,, i..-.:!.......-;i:i.?„:::::.?:i., 19Emergeney system, larger separately derived
Job it: Job site addre / Si IN S1 OW' ,, --" 0 Adwodapitioonromfornetcv motor load of
1347As","B", ,"1-2",1-3",
City/State/ZIP:
0 Tigard,OR 97224
Six or more residential units. occupancy.
1:11fealth-care facilities. °Recreational vehicle padm.
Suite/bldg./apt.#: Project name: P ' , e ace_ as4_ °Hazardous locations. fp Supply voltage for more than
0 Service or feeder 600 amps or mom, 600 volts nominal.
Cross street/directions to job site:
• ,U4'411P-MR•f.MiX:1lig io ii. iblitk6Z!i4li`g:Ii'N:..'..fts.FIV:
Descri Hs lint iii !Ellkinitglaiti
New residential single-or multi-fluidly dwelling unit
Subdivision: f \kr y_e,Inca ce. ' k- Lot!!: 1 includes attached garage,
1,000 sq.ft.or less 1111111C313 gi
Tax map/parcel#:
Ea.add')500 sq.it or portion If 33.92 II
AtUR:SZSOMMtii:00:431714'.49•Migki:,.i .':
with above ..ft. 1111 75.00 Egg •
Limited energy,multi-family 1111 75.00
13
residential with above.
rigkr tSii-s'''..-1'.X°574Thii-:9:4:.•- nagi'MAI:ealkm-Aigitif.giiliiggig sneenewabojiluedeeta inatariationoPterattnPaandior relocation'.
200 amps or less Ell 100.70 min
111111E1311111111E1 .
Address:..--1 i i I lb . • wit, jimmapppm... „...,4.„, t000atuninmps
ali 20034 1E1
City/State/Z1P:' _... v,,,c (jje.. 1:i, e,S ;ii,
601 amps to 1,000 amps 1111 301.04 13
I
Phone: •lAdal..1-46 Fax:( ) Over 1 000 amps orvolts INIED33111111113
Temporary services or feeders installation,alteration,and/or
Email:
• relocation
()liner installation:This installation is being made on property that I own which is not 200 amps or less 1111111ECEI 1E1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 11111 125.08 MIND
Owner signature:
Date: 401 amps to 599 amps MO 168,54 Imo
fe-77.4::;tvt:vki.,,.....:;144.dtkifrimiNywai ri.,;,.,:grog,p*300.tatike,ilk*?.!.-4,,ra ABrpaneechforeirb::0—knceulirts tiehration or extension ,er.4nel
Business name:. k I- i. 'Auk A inkit k eachabranch circuitve"rviceor eder fee' 7.42
I
Contact name: ' _sot I A I got,
B.Fee for branch circuits without
I
service or feeder fee,first
Address: ifib• dg, 1 S At- bran&circuit 1111 56.18
City/State/ZIP:Vancouver,WA 98660
Each add'I branch circuit 11111 7.42 a
Miscellaneous service or feeder not included)
Phone:(360)695-7700 Fax :(360)693-4442
Earl manufactured or modular
dwelling,service antVor feeder III 67.89 Mg
Email: k. ,i t:74là 111v, a,„ (Y'1/\ A A' .. _ A Ak Reconnect only 1111 67.84 =mu
-7:ii.:„ ,..::j.MiAMEkilin4tffiVki'Vfik.f4 Pumper irrigation circle 1111 67.84 MOB
Business name:Garner Electric Washington,LLC
Sign or outline lighting 11111 67.84 El
Signal circult(s)or limited-energy Address
2 gulp
Address:402 Valley Ave NW Ste 106
• LI alteration or extension. See Page
Each additional ins.ection over allowable in an of the above
City/StatriZIP:Puyallup WA 98371
Additional inspection(1 hr min) IIIII 66.251 hr III
Phone:(253)8724051 Fax:(253)872-1801
Investigation(I hr min) EMI 90.00/hr IIII
Email:bdaniels®.gweusa.com Industrial plant(1 lir min) 11111 78.1811ff MIN
Inspections for which no fee is
CCB Lim: C1158 Electrical Lic.: 208174 Suprv.Lie.: 4496S 4„...2=1 listed hrmin III 90.(h3/hr
II
..._ .. .
MEE ' Ifffag ?,,MOTATirea Itiaaitia!
Suprv.Electrician signature,required: 'MirMIIPROW. 7 •
Subtotal: IIIIIIIIIII
Print name: Joan P Albert . Date: 0 Plan Review Required(25%of permit fee: mimemm...11.1111.1.
State surcharge(12%of permit fee): imomming
Authorized signature:
TOTAL PERMIT FEE:
------- This permit applicationexpires if a permit is not obtained within 180
Print name: Bill Daniels Date:
days after Moss been accepted as complete.
-----.--_____ * Number of inspections allowed per permit
LiBuiliiing1PerraittlIgX PeradtApp 131.1t Eiltridoa Rev 0611/t2015
440-4615101/05X0WWEI3
1.
Plumbing Permit Application ` "�
Building Fixtures
FOR OI I It l- I SF: ON1 1
City of Tigard Received
IIIrilrffiffffelgAgir
il la 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:Phone: 503.718.2439 Fax: 503.598.1960 Flan Review
T I(.A l:D Inspection Line: 503.639.4175 Date/By: Other Permit No.:
Internet. www,ti d Date Ready/By
er Page 2 for
.:::".::: :-./4.:: :;(:(:::::'.:*":
.;.,::<.r ;;ti;;,.F,•.:.,4•:. . .! � . . Notified/Method: Jude:Juna. �pplemen Information
.. .. ed/M
®New construction ^:`., • .••�:° '';:��'. ... t. ? §�'";-�
fl Demolition For specfrj Information use checklist
❑Addition/alteration/replacement lacementDescription
P 0 Other: QtY• Ea. Total
New 1-2-family dwellings(includes 100 ft,for each utility connection)
'. •. ' CATEGORY.'OF CONS1RtI TION•' SFR(1)bath 312,70
®1-and 2-family dwelling M1 0 Commercial/mdustrial SFR(2)bath 437.78
ElAccessory building 0 Multi-family SFR(3)bath i 500.32
❑Master builder ❑OEach additional bath/kitchen 25.02
ther:
JOB SITE INFORIIlfA, Fire sprinkler( sq.ft.) Page 2
TION`,ND LOCATIONy. Site utilities:
Job site address•(067_,, S W _Srue , _itt„ Catch basin or area drain 18.76
City/State/Zip:Tigard,OR 97224 J�,��j1 Drywall,leach line,or trench drain ■ 18,76
Suite/bldg/apt no.: l Project name: P .�// 1- Footing drain(no,linear ft: Page 2
�(V'eir T�,Vv' '� E, Manufactured home utilities 50.03
Cross street/directions to job site:
Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:-_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Subdivision: 12,i\I-er-`( C.�E S� Fixtrnce(no.linear it.: ) Page 2
Lot no.: �
I �, Fixture or item:
Tax map/parcel no.: Backflow preventer ' 31.27
DESCRII'TiON OF.WORK. Backwater valve ( 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
el 1 ROPERTIr OWNER •
(' TENANT Expansion tank 12.51
Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02
Address:7600 E Doubletree Ranch Road FIoor 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
' .• ®•APPLICANT . . . ❑ CONTACT PERSON- Interceptor/ 12.51
' � �� grease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2
Contact name (C h (L Primer 12.51
Address:.`�.� �j ,�r1 aRoof drain(commercial) 12.51
C Slake,{5K0 Sink/basin/lavatory t{f1Ji4y / 25.02
City/State/ZIP:Vancouver,WA 98660
Solar units(potable water) 62,54
Phone:(360)695-7700 Fax :(360)693-4442 Tub/shower/shower pan 12.51
E-mail: J If h ole.. 1 W►i v'p ( OR ittnhof'ies.c.Lr111 Urinal 25.02
Water closet 25.02
Business name:Malmedal Enterprises Inc. Water heater 37.52
Address:PO Box 207 Water piping/DWV 56.29
Otter: 25.02
City/State/ZIP:Banks,OR 97106 ,
Subtotal
Phone:(503)324-0759 Fax:(503-)3244580 Minimum permit fee: $72.50
CCB Lic.:192535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee)
Authorized signature: C State surcharge(12%of permit fee)
TOTAL PERMIT FEE
Print name:Carolina Malmedal + 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.
isLRuildinglPermitslPLMU-PennitApp.do°10/sins 4444616T(1o102/COM/NEB)
I.
q
II City of Tigard
s
COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Residential
Building Permit #: ,477- c)/ 7 -- 001173
Site Address: t6gn- SVI SnuWA,Qlk g.
Project Name: roar l'trrke C r i- Lot #: 7
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review I c
Proposal: �tv CdejTirC �U t 0 S F
riVerify site address/suite# exists and active in permit! stem.
River Terrace Neighborhood: ❑ NoPV Yes,See River Terrace Review Addendum Attached
St Plan Elements:
IV/Three(3)copies of site plan sting structures on site
{ 'te plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished
'prawn to scale(standard architect or engineer scale) oor elevations
• orth arrow /Utility locations&easements (required for new and additions)
Lit tte address,project or subdivision name and lot number al Sidewalk/driveway approach
plicant information(name and phone number) i -cation of wells/septic systems
LUZot dimensions and building setback dimensions I& xisting trees to be retained with drip line,and tree
Pe,.uare footage of buildings to be demolished otection measures
rALot area,building coverage area,percentage of coverage and Sj,seet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) IEE* treet names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? LlYes No
4 foot differential) If yes,is a storm water quality facility shown? ❑ No
Clean Water ervices� —Service Provider Letter(lot platted prior to 9/10/1995): Lam. 1
/Required: Yes,applicant was notified iNo Received: ❑ Yes ❑ No pp ,44, ,�
rg Public Facilities„ Improvement(PFI) Permit: —/ v'�
�//Required: V/Yes,applicant was notified No Applied For: [ Yes ❑ No,stop intake
11 and Use Case#: PD(1,01t - 00o6r' PF12.016-00081
Ni. Zoning: I- RV)
2/Required Setbacks: Front 8 Rear i 0 Side 3 Street Side VA-I Garage Z p
21//Landscape Requirement: id
ad/Lot Coverage Maximum: g0 % nn
[ Building Height: Maximum Height PA Actual Height 7
Clearance
LJ Sensitive Lands: ❑ Yes /No Type
Urban Forestry Plan
❑ Conditions "Met”prior to)issuance of building permit
Notes: C0 jtitAi to t ret [)rric r-v-m i&$[ '1ce.
Approved By Planning: , f- . Date: 11-I S-1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: E Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_061417.docx
Building Permit Submittal
Original Submittal Date: RE/77
7
Site Plans: #
Building Plans: #
Building Permit#: Enter buildiermit#above.
Workflow Routing: Planning l LJ Engineering ?
Permit Coordinator Building
Workflow Sign-off: J�Sign-off for Planning(include notes from planning review)
Route Application Documents: 9.9 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: ,�/ ILiLii" 'P , Date: Al
En/ ineering Review
13'Sl e at building pad: 510
nonditions "Met"prior to issuance of building permit Cah04/111, (i
Ly'Events (encroachments)per engineering c nditions of approval and plat
[ 'Water Quality/Quantity Facility: F c*./!
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: Date: /2/7// 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:
DC Fees Entered: Wash Co Trans Dev Tax: `� es ❑ N/A
Tigard Trans SDC: \ Yes ❑ N/A
Parks SDC: .. Yes ❑ N/A
LIDA • Yes �N/A
?OK to Issue Permit ( 41(1 -13-ate:
Approved by Permit Coordinator: j f,1
I:\Building\Fonns\BldgPennitRvw_RES_061417.docx
City of Tigard
n COMMUNITY DEVELOPMENT DEPARTMENT
111111
TIGARD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: j 6g 2-7 SW Sr w Lie ST.
Project Name: k vcr -ft rrge Ea Lot #: 77
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist 'ct Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards? EYes ❑ 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.
Porch min. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a
Gabled dormer
ft. deep min. 2ft.,5 ft.wide min. 2 ft., 6ft.wide
❑ ❑ ❑ ❑
2. Eyes on the street: a minimum off,12%of each street facing façade must include windows or entrance doors.
Percentage Shown: O /
3../Entrances:At least one entrance must meet both of the folio • g standards:
fid 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: [l Yes ❑ No f
If yes,all the following apply: LJ 25 sq.ft.min.
���ne street facing entry '12 ft. max.roof above floor of porch
LE'5 ft. depth min. 1: 30%min.porch roof coverage
4.petailed Design:All buildings shall include a min. of five oft the following elements on all street-facing façades:
Covered porch min. 5 ft.wide x 5 ft. deep L/Recessed entry area min. 5 ft.wide x 2 ft. deep
❑yall offset min. 16 inches ❑ Dormer min. 4 ft.wide
Roof eave min. 12 inch projection ❑��rrR� oof offset min. of 2 ft.
El Roof shingles either tile or wood [ able,hip or gambrel roof design
❑,Roof pitch oriented south min. 500 sq. ft. Horizontal lap siding min. 3-7 inches wide
VAccent 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 ❑ 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 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. ❑ Yes LNo. If No (Check one):
❑ 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)
❑ 12-foot-wide garage door a740%max. of street façade
❑ 50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: „ti,, 1(_ r, � Date: -ic-I
1:\Building\Forms\BldgPermitRvw_RES_RT_o62216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16827 SW SNOWDALE ST, BEAVERTON, September 13, 2018 at
OR, 97007 10:05:42 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00473
Inspection Type: Inspector:
699 Mechanical final Jeremy Burrows
Result:
PASS
Comments:
Note: vapor barrier and insulation to be completed prior to building final inspection.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16827 SW SNOWDALE ST, BEAVERTON, September 13, 2018 at
OR, 97007 10:05:42 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00473
Inspection Type: Inspector:
199 Electrical final Jeremy Burrows
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:
16827 SW SNOWDALE ST, BEAVERTON,
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00473
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Water pressure = 75 psi
All previous corrections completed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16827 SW SNOWDALE ST, BEAVERTON, September 17, 2018 at
OR, 97007 11 :41 :46 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00473
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - CofO
Comments:
Final erosion control passed
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