Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00475
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/03/2018
Parcel: 2S 106DA07900
Jurisdiction: Tigard
Site address: 16859 SW SNOWDALE ST
Subdivision: RIVER TERRACE EAST Lot: 79
Project: River Terrace East, Lot 79
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1128 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1445 sf Garage: 385 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2573 sf Value: $311,220.25 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 add!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 2573
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: $34,163.89
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.
Issued By: ^ (((...)-- .711/4777.(-71---Q--___ Permittee Signature: ?Ai /a t../ e4 77e2'1/
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.D
,t aIK FOR OFFICE 1 SE ONLI
CAtd Received ` '7S
City of Tigard DateB � 7 //� Permit No.:� /4` 2�.,r 7
11 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 8 2017 Plan Review Q
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: 1 a.. J L7 `J .1) Other pmt. /
Inspection Line: 503.639.4175 ; Date Ready/By: Juris: See Page 2 for
Internet: www.tigard-or.govCE" '�` D Notified/Metl�odf /�� 7 �� Supplemental Information
� ���... , �C 7:777 a ' . C`"g� k' : 81 i `oma"' ss
pa
®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 0 Other: equipment,materials,labor,overhead,and the profit for the
lii - ,7 7,77,?-71,FA? work indicated on this application.
M ® 2-familydwelling 0 Commercial/industrial 1-and Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms: 1-+ 3 ' �`aQ.„0 —
❑Master builder 0 Other: Number of bathrooms:
u � 7 t ,. `.[, ` V 41 F f Total number of floors: 2.. g;,95-8
Job site address: BS ' • ` I- 7 New dwelling area: 25-3 square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 3,8 5 square feet
Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: 14 I square feet )ilk 9.
Cross street/directions to job site: Deck area: square feet i j Ila S
Other structure area: square feet
art€ct4 [� � � ritg
Subdivision:River Terrace East Lot no.: O' 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
a A a ~0 A P? P.T; work indicated on this application.
�" xu.iG ,.J»sar4vm'"aP'rtiba '.W'>' A
Valuation: $
Existing building area: square feet
New building area: square feet
C� T4s " 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:
7I- r1 ` -i �t' t r^e� -s . '' ` Pew ,'��
s.
Business name:Polygon WLH,LLC r..L `
Structural plan review fee(or deposit):
Contact name:Nichole Thorpe
Address_�03 51(paci _ _ FLS plan review fee(if applicable):
L
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660 -
Phone:(360)695-7700 Fax::( ) Amount received
E-mail:Nichole Thorpe
, > -79 Commercial and residential prescriptive installation of
W; .; 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:—1 u ` t, QC • - t 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)6934442 State surcharge(12%of permit fee): $21.60
CCB lic.:207247 n Total fee due upon application: $201.60
Authorized signature- / / -7/,2 ^ - This permit application expires if a permit is not obtained
I
/ 4 IS //r"— within 180 days after it has been accepted as complete.
Print name:Nichole Thorpe Date:06/16/2017
*Fee methodology set by Tri County Building Industry
Service Board.
I.\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
. . ,-,,.., - 2, '-'.-11,'
Mechanical Permit Application -- ', , - '-',.‘
City of Tigard ' .'' .'
,1 • 13125 SW 1-1I1Blvd.,Tigard.OR 9143':' -'''.i• a.' - -' ' - "r '- pun R,,,,iew -
a Phone: 503.718.2439 Fax: 503.598.1960 ' Dinniay: Other Permit:
T I G A R D Inspection Line: 503.639.4175 Dine RMIYil3Y: lifliN. RI See Page 2 tor
Internet: wsvw.tigard-or.gov Notified/Method: Supplanenta1 Information
:::--==',...:.::::,:::-..,p1::4.v.4:,.4y,,z:,;:4...f... ,44:y.:!-,:;-1.---,:=,:...,..r.‘,:.--'--',T,''`,•,' -'iNctiiiiits..--- ::,',..':•.-ttt.--',7.':i::.1,2!.',(T7:3!,--f:Zt:...,..it; :l1::: : 1-40.010.0A0Egt*1)0114.44.-'0141g-qi,ri•Clx-PS',1:C.;:a
45'.'''' " "'' '' '''' Mecianitatipertni fees*are based on the value of the work
tE1 New construction 0 Additiom'alterationfreplacement performed.todieare the wine(rounded to the nearest dollar)of all
0 Demolition Q Other mechartiml materials.equipinertt.labor.overhead,and putfit,
Value:S
,_,.. . .,... --.-:„.
--------------------------------------------- ------4 .iltiffi*000*:;i;Y17::,;R*!:,'dt'gi',1iti:f:ii:::t4'i: 7: 040.,tt-4..-tig•t-ot4i.iiotiAvij***gg .,.,.:,:::.:.
re<1:and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use dedlist.
1 Multi-family 13 Master'builder 0 Oilier: Description Qty, I Ea- I Total
-...i.f'- .--'2- 141`,:ai-ii'lKIN•fa..)0ii;-§014*t.0.41411O.N-i-ANO-4.1.140.010W:;rglttqW:,Pi AlfiresleuthiLit;utliunge 7' _ • _ ,
I 46,75
Job she addres------ - -tsnotoc--- -- - _
Furnace 100.000 BTU faticts-k-enI
ts) 46.75
= City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU frittetsAtents). 54.91
• ilea pump 6L06
Suitelhidg,/apt,no.: Project name: -Wer Texrace . eos,- Duct work , 23.32
. Cross street/directions to job site: livdrottic hot water system 23.32
• Residential boiler(radiator or
. hydronle) 13.32
Unit beaters(faat-type*not dcetrie),
in-wall,in-duct.suspended,etc. 46.75
Flue/vent for any of above , 1 23.32
- - a ' Other 13.31
Subdb48i011:• c2jote.ir TtAra.te.-E.a.s.4-- Lot no19
. _
Other fuel appliances:
Tax map/parcel no.: Water heater ., 23.32
" • - .. ,,,,z!.., Gas fireplace/111mq
i... , .42.52,-.4. ,1 -- .001174014.1'...-*0:Wc$00.'agq;;. -qaitfi:FRItgitiP;,c: ;i:a:1:-:V. Flue volt for water heatur ur gas
I 3339
fireplace -2332
Log lighter(gas) 23.32
"' -- - - Wood/pc-Oct stove 33.39
Wood firephicefinsert 23-32
.
chimney/linerfluelvent 23,32
'•',::''' -:.-:,.= tit ii-oiiiitic;.:i , ------.-,24,..=:..'4•,-;,'!;,.,:::::,:rjr, .7.*Atse.. .;4-, ...
:; .-.:•`•... -:,:i!.. .! - :-.-.,- '.- -.- --t'''i''-,,,;-'-'-,'' -'-'-=,,,,--.-='-!-- ',),--4-,- - - - ' - '-'..,'/.''. 'f' Environmental exhaust and ventilation: 2332
Name: pti)v tr„ Lord fli)I-ling c 1 u_0(....
, Range hoodiother kitchen
equipmeid •
(i 33.39
Addre5s: 1 LI 00 £.1)01,00‘e_AN•le, P--(LnOn 4Ctet _Clothes drver exhaust 1 3339
City/State/VP: CO11540,1t. pt-z, tp.) -i_sst Single-duct exhaust(bathrooms. '
. tel compartments,utility moms) 1-i- 23.32
Far( )
Phalle.-t-(P oz (06144-4031 . . ., -. .,„ . ,. Altickrawlspace fans 2332
,.; ':•01.[A00.8;ii•ANV;f:';::..fin: 1_!''''' ',. !:;::.1. .E11.•.',;:13'.eiBi4:40..:ti*.<08,',4:inZOther 1 2332
• Fuel PlidoZt
Business name: kkli 111 0,,nr) Lim-) }toles -r ,c_,,
i----‘ . 514.15 for first faun 54.0.3 for moth additional .
Contact name: 0 j cAl at-ill of\-)..e... Furnace.etc, .
Gas htsatpump
Address:I/DI tlroadwavi S-t- Skkik. Sy() Waillsusnendedtunit heater ,
City/State/ZIP:Vancouver,WA 98660 ' Water heater .
. .
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace . . I.
Range 'I,
•
C-mail;'
c/ ) ' 18 1 .ta: 0 Dtgak4Q1.,. P,S.•(Pr).',) :._ BalbeC°C
_ A ,: .Cialt ':.M rjtj:'cEY:,4.,,I.:;-1.'W.::i:;li7;;:.'::;!.7:]'4i.: , : 'f . ;,Fi;e: Clothes dryer teas) . . .
Other:
Business name-.Apex Air LLC
- :--Ca:.'7.144.10-IOCAS--Ptiiii0Fr.WE"':,:'''''';--'::-.: -
Address:18004 NE 72' Ave
Subtotal
. . . . . .
Minimum permit fee(S90.00)
City/State-ZIP:Vancouver,WA 98686
- Pirta review 125%of permit fee)
Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12.4orpermit fee)
CCB lie.:203034 TOTAL PERMIT FEE
. .
This permit application expires ir a permit is not t7istritned within Igo
....
daysafter it has Isom accepted as complete.
Authorized signature:ai--,------ 4 Fan melba:Wow set by Tei•Cintinty Building Indkigny Serviec Bond
Print narnorTti-7‘, 1 . Date: 4.Ps•it,...
due 444.40'rrtt MA:MONTS}
1
Electrical] Per reit Applicaf nim F'ol.oF1 JC USG LoNIA'-s, '
City of Tigard r . ; Received
elifil
q 13125 SW Ball Blvd,Tigard,OR'97223 Plan 12aview
Ili
III Phone: 503.718.2439 Fax: 503.598.1960 Related Penult#:
Inspection Dama/B .
n8 1
On t
L ne
. S03
1� .6341
9. 75
TIGATZD; ReadyDate/By; Jurex Q See PageS for
Internee www.tigard-or.gov Notified/Wielded:
Supplemental Information
r mss £ rx't.nWV, � R 4• F<i , 3sti o "t •... =te. `•:;fi. Lp'`li .�, .lary:-: on : '
-®New construction 0 Addition/alteration/replacement Please cheek all thatapply(submit lsets ofplans Nv/temsochecked):
❑Demolition 0 Other: ❑ more13 ut7dia Serviceortaeder400ampsor0
> g over three stories,
q%ih€ :'t tY.`Y !sy- `Ytitib � .h� a y _ where the available fault current ❑Marinas and twat
% iifi . 'gA '�":`sl;iq:„{. q%:::1wa.lx: yards•
®..:� .," % •. .;:::,s, ..�,;;;4,;r;�:%::,,:�:, exceeds 10,000 maps at 150 volts or 0 Floating buildings.
1-and 2-family dwelling 0 Commercial/Industrial [3 Accessory building less to ground,or exceeds 14,000 ❑Commerolat-use agricultural
❑Mutti-family • 0 Master builder []Other; rte for ail ot other installations. •buildings.
VA or
:r„'214'E 1tpP,:`,• ? O1TJON A A t..., `_ _ ❑ pump. ❑I rgerseparately der0 ived.:? . SV 'gi:a g ❑EAd71 ncysystem, larger derived
Job#: Job site address BSl , t ❑Additism ofreenvmotor load of system.
1 Sn + Gat IOONpormore. ❑A,"E","1-2,"1-3,,
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. oaarpaney.
Suite/bldg./apt#' ❑liealih caro facilities. ❑Recreatioha[vehicle parks
Project name: Terrace Eats} ❑Hazardous locations, ❑Supply voltage for more than
Cross street/directions to job site: ❑service or rescan 600 ampsr�orCmora, volts nominal.
tri!,,�ty;�4vs.at`,�;ii f:r.. ,»' !:.: R ftgt i�:)i•i r,`,m v.,,,.•i i•.:}•:.`
Dererirtion .•,•"••• Qtr. I Each I Total I s
Subdivision: / New residential single-or multi-family dwelling unit.
ver Terrace_ S-{- I Lot M19 Includes attached garage.
Tax map/parcel#: 1,000 sq.R.or less i 168.54 4
t�t; ��
..''-r,• "*"�,;r;.i ' F ii1"% ;;' b ..<�. Fa.add'!energy,
II.or p ' 33.92 1
. ,��::�`.t: E u, y _lli YY=Q1?���'a, ...•• onion
,' tis ? T�' r2• `i•x;,....':a.: :,•:: Limited
energy,tesidwtiad 75.00
(with above sq.ft) 2 •
Limited energy,multi-family
7
5.00
2residential(with above sq.ft.)
Renewable Energy ❑See Page tF ,:, ... .- '�:10-'_1 _ � MN'iC1,r;Vf ...- l.iC; :1.illi k"'. Services or feeders installation,alteration,and/or relocation, �nVi ,Lo,. 140 to c
200 amps or less 100.70 2
Address:11 W 0D P., pO(L -C ea •i,, i7 -t 201 amps to 400 amps 133.56 2
City/State/ZIP;' ',, �.�.� ,�,, ++ ��� t�-tJQ 401 amps to G�amps 200.34 2
��Wle.l pa.. P 2 601 amps to 1,000 amps 301.04 2
Phone: ' „q
�- r_a 1 t.f_Lib;i Fax:( ) Over 1,000 amps or volts 552.26 2
Email: ' Temporary services or feeders installation,alteration,and/or
•Owner installation:This installation is beingmade on propertyrelocation200amps
intended for sale,lease,rent,or exchange,accordingto R 449 which not 1 amps to 400or less 59.36 1
�' � ,670, 201 amps to 400 amps I 1 125.08 I 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
'^•�i1 t h t 1'"r`i:.';•=i-::Iji ,-.:: :•:�;}; �7 y-,`-rr t ��^ Brunch eircnds-new alteration, extension, panel
13 ����'�L�;.U�'.t�3'x'k.-•�:t n:r.�il�n .:'T�'S't'$,tl,y1.�,"i'�L?'�4'53+.=�`�-}I��?;K�<',�S u•;;�Z i f OrC �r
Business name: �,��I� ��t A.Fes for branch circuits tvfih
�1DA t{Y](`(1es 1.,Ne above service or feeder fee.
Contact name: N I each branch circuit 7.42 2
B.Foe for branch circuits without
Address: ��Z �,T,, cwt. service or feeder fee,first 56.18 2
c" ►
`� irld w �1 JLU1�'e.c-t C 1,V branch circuit
City/State/ZIP:Vancouver,WA 98660 Bach add'l branch circuit 7.42 2
Phone:(360)695-7700 Fax (360)693 4442 Miscellaneous(service or feeder not included) -
Each manufactured or modular
Email: 11.11�N r l 1 dwelling,service and/or feeder 6284 • 2
il'i illi Pad t� '1 x .s, al Z t0 ri•.:t;:' u3.t2 . r,: ri->..-.,,:; Reconnecton 67.84 2
%Wilk: .a59.1 ..r : -''t ' Vic:,,:,::.w: ,
` ia::•r?..``'.x,l;"`f'<-=' f Pump or irrigation circle 67.84 2
Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84
2
Address:402 Valley Ave NW Ste 106 Signal circuit(a)or limited-energy• panel,alteration,or extension. ❑ See Page 2 Z
City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any afire above
Additional inspection(1 hr min) 66.25/hr
Phone:(253)872-6051 I Fax:(253)872-1801 Investigation(I hr min) 90.001 hr
Email:bdaniels(rr7,gweusa.cotu _Industrial plant(1 hr min) 78.18/1w
Inspections for which no file is
CCB Lic.: 01158 Electrical Lie.: 208174 Sup 44968 s � y.fisted�y4 brash,) 90.00/hr
rv.Lic
q he-x--Z--
:::?; kis,
Suprv.Electrician signature,required: 1.k•.'21, j Pr Al e- .. a:f4:..-t..,: ,:i.`.r_•. }..1 .,-,.,. ) .,. _� s at;, ' .v l',:
Subtotal:
Print name: Joan P Albert I Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: j""� --- -- TOTAL PERMIT ;
Print Mame Bill Daniels This permit application expires If a permit is not obtained within Xao
Date: days atter it has been accepted as complete
I1BuldtolPorodtatE[t_poradtApp nL&HOAK,Rev 06117/2015 * Number of inspections allowed perpermit
440.4615T(t t/O5/COMNVna
Plumbing Permit Application
Building Fixtures I UII ll i: I �I 0N.I.1
City of Tigard Received
Permit No./73Tr ,7-oe yrys
III • 13125 SW Hall Blvd.,Tigard,OR 97223 • Plan
• Phone: 503.718.2439 Fax: 503.598.1960Date/By:Review
Otber Permit No.:
1.I A 1z 1� Inspection Line: 503.639.4175 Date Ready/By: /uric. Fd See Page 2 for
Internet:www.tigard-or.gov Notified/Metbod: Supplemental Information
Yx •:ar --•-• .4T1.E4;iF.,FirORli(r';:: ....... .........,,,...,....;.:.,;2!.:;, ,,...,.,::. :;"PEE+.•5CHED ^;•,,.' '"`.""S;
®New construction ' 0 Demolition For special In ornrat n n use checklist
Description I Qty. I Ea. I Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
• CATEGORY OF CONSTRUCTION" .. . " . SFR(1)bath 312.70
®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
•
❑Accessory building 0 Multi-family SFR(3)bath 50032
Each additional bath/latchen 25.02
❑Master builder 0 Other: Fire sprinkler(__sq.ft.) Page 2
JOB SLTE INFORMATION AND LOCATION 1 Site utilities:
Job site address (p � � S VJ S r1 OV iO ' - eaten 1,Ie or area drain 18.76
City/State/ZIP: igard,OR 97224 Drywellleach line,or trench drain 18.76
Footing drain(no,linear It:_J Page 2
Suite/bldg./apt.no.: Project name: f i krex T-e.hr e_.Fazl- 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
Water service(no.linear ft.: ) Page 2
Subdivision: �4e,r Tvorat ,' as-{--- I Lot no.:1 ea Fixture or Item:
Tax map/parcel no.: Backflow preventer I 31.27
Backwater valve 12.51
' DESCRIPTION OF.WORK" . • L
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
®.PROPERTY OWNER - I 0 TENANT Expansion tank 12.51
Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road
Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)6944031 Fax:( ) Ice maker 12.51
®.APPLICANT
0 CONTACT PERSON- Interceptorlgrease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:$_) Page 2
12.51
Contact name: Iebk. Th Dvc.. Roofdrain(commercial) I23I
Address:10
DrDaU',V.11A,t� sf �j'U%i.'�.,'SOsink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 J Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:1 I V i c.h 0te, o2 poli ` `r1h��ne s,C 1 Urinal 25.02
CO OR W closet 25.02
' - Water heater t 37.52
Business name:Malmedal Enterprises Inc. 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 Lie.:102535 Plumbing Lie.no.:34-27618 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: G„ TOTAL PERMIT FEE
Print name:Carolina Malmedal Date:04/25/2016 This permit application expires if a permit is not obtained within 180 days
atter it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
L•1Building\PerndtdPLMUPermitApp.doe 10/01109 440_4616T(10102/COM/WEB)
City of Tigard
II COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review - Residential
Building Permit #: f/j4SToZ.077-. (� Gf,
Site Address: S\Ai SntycfaL- Street
Project Name: R-We r T-c rrct-(.Z Lot #: —19
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: Nc J S -
,St-Verify site address/suite#exists and active in permit system.
I River Terrace Neighborhood: ❑ No sigl Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
Three(3)copies of site plan xisting structures on site
)ite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
• Drawn to scale(standard architect or engineer scale) floor elevations
orth arrow Utility locations&easements (required for new and additions)
Site address,project or subdivision name and lot number ,Sidewalk/driveway approach
,lpplicant information(name and phone number) N ocation of wells/septic systems
Lot dimensions and building setback dimensions / Existing trees to be retained with drip line,and tree
1 Square footage of buildings to be demolished ( rotection measures
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) Street names
Property corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? No 4 foot differential) If yes,is a storm water quality facility shown? f e No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
XPublic Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake
Ait Land Use Case#: PV-ZDlip -PDC°I
• Zoning: R---1 TO)
t Required Setbacks: Front 8 Rear 10 Side 3 Street Side tJ/A Garage 20
JLandscape Requirement: 2�
IS(Lot Coverage Maximum: vc
Ni 1
• Building Height: Maximum Height N'c Actual Height±2)p
U► Visual Clearance
al Sensitive Lands: ❑ Yes X No Type
Urban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: Date: I We ( 7
Revisions (after Building Submittal ly) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES_061417.docx
Building Permit Submittal
Original Submittal Date: 1717/7
Site Plans: #
Building Plans: #
Building Permit#: E' nter building permit#above.
Workflow Routing: ►' Planning `9 Engineering 'Permit CoordinatorBuilding
Workflow Sign-off: / Sign-off for Planning(include notes from planning review) /
Route Application Documents: 7 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: e
By Permit Technician: AZ-7 1 ., Date: a4772
Engineering Review
'LJ' Slope at building pad: 3,(,
L^ti" C editions "Met"prior to issuance of building permit C. 04,'yft.,S a. ,"
a '
L i-E cements (encroachments) per engineering conditions of approval and plat
[ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date: 12.1///7Revisions
17 /Revisions (after Building Submittal •nly) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: Cl Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
El 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: WYes ❑ N/A
LIDA El Yes 11'1\1/A
OK to Issue Permit
Approved by Permit Coordinator: Date:i ��/J
I:\Building\Forms\B1dgPermitRvw_RES_061417.docx
ti
City of Tigard
Ili II
II
DEVELOPMENT DEPARTMENT
T►G A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: \(,Q85q &Vv (cn1 6t6 (-e &.
Project Name: Rev€r T-c-nace S-1-. Lot #: lel'
(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 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 min.2 ft.,6ft.wide Gabled dormer
❑ 0 0 El
2.Eyes on the
e street: a minimuiof 12%of each street facing façade must include windows or entrance doors.
Percentage Shown: II L,� 1I
3. Entrances:At least one entrance must meet both of the following standards:
)Max. 8 ft. setback from longest street- facing wall arallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: es ❑ No
If yes,all the following apply: .K25 sq.ft.min.
One street facing entry .K-12 ft.max.roof above floor of porch
5 ft. depth min. >00%min.porch roof coverage
4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades:
.Covered 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 ❑ Dormer min. 4 ft.wide
Roof eave min. 12 inch projection 'Roof offset min. of 2 ft.
El Roof shingles either tile or wood ,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 )W, indow 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 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'No. 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 El 40%max. of street facade
,50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: d,-L-
_ _
(I P9 17
I:\Building\Forms\BldgPermaRvw_RES_RT_062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16859 SW SNOWDALE ST, BEAVERTON, September 17, 2018 at
OR, 97007 11 :11 :52 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00475
Inspection Type: Inspector:
699 Mechanical final Jeremy Burrows
Result:
PASS
Comments:
No A/C
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16859 SW SNOWDALE ST, BEAVERTON, September 17, 2018 at
OR, 97007 11 :12:26 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00475
Inspection Type: Inspector:
199 Electrical final Jeremy Burrows
Result:
PASS
Comments:
No A/C
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16859 SW SNOWDALE ST, BEAVERTON, September 26, 2018 at
OR, 97007 12:33:56 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00475
Inspection Type: Inspector:
299 Final inspection Jeremy Burrows
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
No A/C installed.
C of 0 left on counter.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16859 SW SNOWDALE ST, BEAVERTON, September 26, 2018 at
OR, 97007 11 :35:47 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00475
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Corrections completed
Violation Summary:
Inspector Contractor