Permit irL, .1CITY OF TIGARD MASTER PERMIT
s 2
COMMUNITY DEVELOPMENT Permit#: MST2017-00445
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/03/2018
Parcel: 2S106DA07500
Jurisdiction: Tigard
Site address: 16797 SW SNOWDALE ST
Subdivision: RIVER TERRACE EAST Lot: 75
Project: River Terrace East, Lot 75
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 2078 sf Value: $254,796.90 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 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
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!500 sf: 3 201-400 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 2078
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: $32,917.57
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 throu AR 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: --- Permittee Signature: e"AI j4,�z./64-77 C1N
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
1-O 7S-
,
VVr.
> A,47 FOR OFFICE I SL OSL1
City of TigardFRecOR O
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1)
t . 13125 SWHdTigard,OR 97223 AUG8 2017 "`J/!Y/
i
Leger?
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: J J`4 'j Other Permit: j
n loris: H See Page 2 for
cep-
Internet r i c_ . 1;nInspection Line: 503.639.4175 CrrY Or star"�,i D Notifie°�th�J/:Z7 / AsiSupplemental InformatInternet www ttgard or gov g(}iLi,�G [ €'�1CS°'� '/L /1I/C�1 L C
®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
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
V,, 3 :t i °`�1 7?7work indicated on this application.
s , A ras s.<. .:-. ir » taa. uza,Y<a 'w?»wx ate .. c_ w ? ;5.,"',aValuation:
J Y�t./ ��
®1-and 2-family dwelling 0 Commercial/industrial
•
❑Accessory building 0 Multi-family Number of bedrooms i.}, 1 9 6
❑Master builder 0 Other
Number of bathrooms: 3
. 3 ,; ,' Total number of floors:' Ca4 C 8
Job site address: I("ion 5v\I SY\mJ d ale s}__ New dwelling area:2016square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 2p l'1 square feet
QSuite/bldg./apt. Tarr no.: I Project name:River Terrace East Covered porch area: Lit square feet , ) a 0
Cross street/directions to job site: Deck area: v square feet q i j
n Other structure area: square feet
Subdivision:River Terrace East I Lot no.7 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
r r work indicated on this lication.
Valuation: $
Existing building area: square feet
New building area: square feet
� � � , - mom 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 .� � Lx y "� ', r r �- ,. �� < �Y
� . as �,. ' ,`,-sr , mss: ^� � T *:t ' , Y $ §, ' '
r
' 7,7a if 'r« +;Z'l.'y."t1"
Business name:Polygon WLH,LLC Structural plan review fee(or deposit):
Contact name:Nichole Thorpe
FLS plan review fee(if applicable):
Address•10-5 brOoc
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Amount received.
Phone:(360)695-7700 I Fax::( )
L s f4 :''-''' f.:-' €))rev Y .:1 `"�.�'',- :
E-mail Nichole Thorpe ''. , ,, -: . ,; ."b..:>.� .
� � , Commercial and residential prescriptive installation of
; a, ,, ,, ; .,$-_ roof-top mounted Photo voltaic 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 3 (YD Q.c U3 ala- s.Lukc., S,-0 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
CCB lic.:207247 , Total fee due upon application: $201.60
Authorized signature %�w�T/42etgt/ber-/ This permit application expires if a permit is not obtained
('1within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Nichole Thorpe Date:06/16/2017 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
-. i '-,,,,-t.1,.: -,:,,,,•---
--
c, 9 !1
Mechanical Permit Application \:0\i 0 - Li ,,JIIIIIIIIIIMSIIIIIMIIIIIIIIIIIIII
city of Tigard ,:-'...,,-,:,:',.'' 4p4,4,,,d Pamir No.:
Ili " 13123 SW Rail Blvd.,Tigard,OR 97223
' a Phone: 503.718.2439 Fax: 503.590.1* `..r Draciaz: Other Permit
T 1,T. K D inspection Lb= $03.639.4 rn ' -mita Ready/By: ligi RI See rap I for
Internet: www.tigard-orgov Notified/Method: Supplemental Information
.1
:4 4 , ,''.: , t.F.;z:t4iff,7:i-7kiA;I,I'4;..,iirP"4" ! -4-.- -C-01A117R..001.**fl*01)04114.14::41t cf0044sr:t.?:.
Mechani are bared on the valueofthe worlc
t2,1 New construction 0 Additionfaltcrationfreplacement performed,Indicate the whit(rounded to the nearest dollar)°Fan
0 Demolition 0 Otlier: mechanical materials,equipment,labor.overhead.and profit,
- - Value:S
xve:_---6,;04,i...;46..,*iA ,„A,ii; ;ii ,:,,,,.....,14:11,,,sTfi.z.P.v,a4...,, g,:,;_tr.v.,.2.4::_ , ..:
'.:-•:.'-.,-, 7 ' •2i,a?T : 1-.***..**.!..*,.*-*,.*5..1_,' V*.l•,'...-.**,W. .,*vi,1:!-...-,-?7ff.!.1•,::;,,,...,:•.,,,::,-,7,34-,-5..:Fi,,..:1n..:f,,!.-
1%.<11 and 2-family dwelling 0 CommarciallinduStrial 0 Acoessory building For special inforstwalan atse checklist
I Multi-family 0 Masterbuilder 0 Other: Description 1 Qty. I FA. Total
-,itciiii.r•ki.1,00-0.04)714*:i440-.104****ki-MaliiMi:'!. .gr,-,:: 7'61:i.„11:'' 1 ;)6.75 .-- -
3°she adckcssi 1,191 ,StAl SnoWd(16 si--- Furnace 100.000 BTU trlactsherirs) I ,..46.7$
City/State/ZIP:Tigard,OR 97224 Furnace 1001100+BTU oloculvorts) 549I
•
6106
Suite/bldg./apt no.: Project name: P,..., PLj21,tice...Ea*
DBeat Munn _uct viork 23.32
Cross street/directions to job site: fivdronic hot watersystem 23.32
Residential boiler(radiator or
hydmoic) 23.32
Unit heaters(fild-liPe=itet electric),
in-wall,in-duct,suspended,etc. .16_75
FluoVent for law of:shove 1 23,32
Subdivision:.RW.e..ir Trate.' ..a.s.A-- Lot 71S--
Other /1.31 _
Other fuel spoliation: "
Tax map/parcel no.: Water heater 23.32
39
:....!!:'',::g:iii;l:. , :'::.`•:!!.144. ..-..:0:r .:f.:7',:::--2;:i• -•::).7...*3011)017:0t,-*0,0C,0-1e4',1;i1-0.tti*g7jJA::::. Criaalueilvreiten:94'tforliamriter heater or gas 1. ' 33.
fireplace 23.32
Log lighter teas) 23.32
- Wood/pellet stove 33.39
Wood fireplace/M.44n 23.32
Chimrtcynineellocivent 21.32
23,32
/*°°••q1:84':9:*.:410k:''1'2fl:..iC:'-':;'.5,;ri:Itg.'.:0:: :r.-.4*--S-.01- 4':7'.:A.'::::''''''''''''7'. Encironmedal exhaust and ventilation:
Name: PDX/I, La Ad I-hi-longs//LC- Range hood/other kitchen
equipment t 33.39
Address: 1 4,00 E .Dou.191.e.-hrte., r?-0,.. ....V-N V.)Qa.c.i, Clothes dryer exhaust 1
City/State/VP: scoffs acdeitN7_ .7) --)so, Single-duct exhaust(bathrooms.
I i toilet compartments.utility rooms) _. H- . 23_32
Phone: (.9 02. (050_4 031. Fax 1 ) Atticiernerispace fans 23.32
i':*VIA.1144t,At4::::...f,ff:1,a7?; . .. ...:i.a CONTACT:t014)142'-4:',.!•': ':,:' FOther uel;trint: 2132
Business nain WI I 1 i a..nn Ll on tiett-Yies itAc. , STA.'S for Mot four;54(13 for each additional
Contact name: Ik3 t cArt ae.-1-1,-)0()).e 1, Furnace,etc. : . . _
Gas heat mom
Address:rum rooeclu3cui s SU-k. \O Waftuspendediunit heater
City/StateTL1P:Vancouver,WA 98660 Water heater
Phone:(360)698-77013 Fax::(360)693-4442 Fireplace (.
Range . 1
Elnail:' ....4 I ' • 4° PA.- ? DM00.150Cine,L4_, Barbecue
:.:::: :);;',...,'4r:- .s.qi:K::::-,.i.',Illi'::::.:::,'-.4: ,;:i..f:2 ;!!::;::•!i.iV r I i I., itI,`....E.1:C.Ti:';.::-E.;-::5-';A'40Ai'ITV:*:.i'-4,'?. ',.k? -Ctoths dryer(gas)
Other:
BUSineSS name:Apex Air LL-C
:',.':.-:',::,:'''.':-'-17:':•:.:'::.1KEP11.419Ciiito.Pt:R*0 FELT.';`-'::.:.-.::,:--.]:-.:,;::":•.c:T:
Address:18004 NE 72"Are
Subtotal
City/State:ZIP:Vancouver,WA 98686 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(30)342-8109 Fax:(360)3264769 State surcharge(12%alumna fee)
CCB 1k.:203034 TOTAL PERMIT FEE
This permit application expires iii permit is not obtained within IN
O
dsysAtIrr it km been accepted as complete.
Authorized signature: ' * Foe metbadoleo-set by Tri.County Building Industry Scsvec Board
-Print nam e: 'f I Date: 4 1-49.A.. I ,
i,.....,„„,,,,......,, ...,,,_N.,i,,ac 446-thin.ittovrrim!Wfin
r
•
Electrical Permit ApDhcataion
" r toy o1 rzcE L5r >tir
City of Tigard Receives
13125 SW Hall Blvd.,Tigard,OR 972 Y € DntdB : Penmit#:
III Phone: 503.718.2439 Fax: 503.5984¢ i_ n neTte`v
Inspection Line; 503.639.4175 DatdB. Related Pernik#:
T I GARD"i Internet: Line:g gov Ready Date/Br Ms: RI See Page 2 for
Notified/Method:
<
Supplemental Information
'2 yjt �xs £+. y0tra* �% eu" " tizial. `. rR:r :`:•'•:i,4::'ti:..}::li.,' „� �at ���rn{teY14:'tyi�
g
0
_®NewconstruCyion Addition/alteration/replacement Please cheek anthat�pty(submmitzsusefplans
wtmscbeekea):
❑Demolition 0 Other: ❑Service or feeder 400 amps orwilding
rpmore 0 II over three stories,
- :'F i'r<:l�r oNa"Y:a s#1 ' L�' 1[Si {� "p "{l:y° -r :•wir.•• ':.ra< where the available fault current ❑Marinas and boat rds.
1-and 2-family + •+•%tit ,�5 2}s oN{::-, ::;;<M:i exceeds 10,000 amps at 150 volts or (3 Floating buildings.
® dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 Q Commerolal-use agricultural
❑Mwlti-family ❑Master builder 0 Other amps for all other installations, •buildings. •
`'i%t15S: �Sy,21: us.=,r;+ 1$�1 1*:#',� •I(jNA' y '�} •i,;fi} ❑Firepump• ❑Irgerstiaof150KVAor
.a •uJ.r�i,yi:3!.Q'Oi.%1� Wt�+s•. `''�- " :'`t->=•.
]Ob#'•. —7 nt :r=.'..• .... . Qlaanergenoy system. larger separately derived
, Job site address;`�� { S ���+ QAdditionofnewmotorloadof system.
��Wn/cigkii°i (St' EOOl3Parmore. i]A;"g;"1-2;"1-3;
City/State/Z1P:Tigard,OR 97224 :Isis or wore residential unites occupancy.
Suite/bldg./apt'#'
Li Health-care facilities. °RecreationalvehioleparIcs.
I Project name: lie r Terrace.Ea.s+- °Hazardous locations. Q Supply voltage for more than
Cross street/directions to job site Q service or feeder 600 amps or more. 600 volts nominal,
' �wi•J.,';;�Iy:._• :Ilii:•v
t?::; +.C::P4:;:tFgi:Si:';F;:*t.t-ktfft,.tVit.'tet g-i):ja.:ii:'.tf'::,ti<r.;_•
Description :3 :•:'ici;=��s:,;it.• ^:•1,,;,`.;
1 01,. I Each I Total 1 s
Subdivision:pp,, New residential single-or multi-family dwelling unit.
1`-'tq y'- T-aware•. E_'- -- 1 Lot ii:' Includes attached garage.
Tax map/parcel#: 1,000 sq,it.or less 1 168.54 4
.... Fa.add1500 ft.orportion „ 33.92
t3vaflkSFw Is� ce '� rY <-4 :!;x, ,, i',! Limited energy.residential
(with above sq.ft) 75.00 2 •
Limited energy,multi-family
residential(with above sq.ft.) 75,00 2
WASNt L° o-i; e° f��:;%,5��`u�{"`:N r-,>:d•�`.;°�'r..:r•.�c- ,.,. Rene E erg,
+ ,•:x.,f:•{y f'�r,.. ,,e,:_;�x:;Y!:}t'�'jAti �r. ,,:: .:,115 :: fvable n ❑Scalp e2
Name:, Fh`'''''` F"`` 'k"'` Services or feeders instafatfonzalteration,and/or relocation
�� (L ��r�'� H ',t��l,r - S ,� 200 amps or less 100.70 2
Address::-1 tp OD J .. DOt Lb\e S el Q,iv...1-, R-Ock a 201 amps to 400 amps 13356 2
City/State/ZIP:'�cE�. pt-2_, 5 amps 601 to ,0 amps zoosa 2
Phone:,,ff 1 Lamps to 1,000 amps 301.04 2
V O t h/ 462j' Fax:( ) Over 1,000 amps or volts 55226 2
Email: Temporary services or feeders installation,alteration,and/or
Owner installation:This installation is being made on property that I own which Is not 200oamps or less
intended for sale,lease,rent,or exchange,according to QRS 447,449,670,and 701.• 55.08 1
201 amps to 400 amps 125.08 2
Owner signature:
.� � ,. r L,y Date: 401 amps to 599 amps
t•r til,: ,;: '.;;�;%,. �%�''�``> h r.,:_. 168.54 2
a r'A r.17 x t 5 C. Branch cirenits—n
3•re-..,;;:T;rc,=t�:..�:y,;%'y.:s�Sa'C;A==1.� 3.1i5' .�,.��.{ �Ql`t'•8:;;;?'-•'•'�: c19,a1teratiOn,Ore7CtenSiOn,'eYpanel
Business name;,A' fir,n i t ttlY 1-,Ca 1•�. A above service or feeder fee,
Contact name: Ni„t-�� �'t� `"t 1 1 each branch circuit 7.42 2
c f B.Fee for branch circuits without
Address: �3 �l yn,��},,w c ct
service it feeder fee,first
-'� rM;=•s' �J [ranch circuit 5618 2
City/State/ZIP:Vancouver,WA 98660 Each add'!blanch circuit 7.42
2
(360)693-4442 Miscellatseons(service or feeder not included)
Phone:(360)695-7700 !Fax
Email: Each"manufacturedor modular
114:11F:-47-
y ( j , T� all 00144 " , dwelling,service and/or feeder 67.89 • 2
- ,., is y a • � II Reconnect only
8z•> : -_ V-. 7eec 0-.. -1 a t :; :% "r.:_:::',fit•: : •-.r 67.84 2
it Sin In:3`r„ tS-a S_ter:? r,r;;fai2;Sft,%' Pump or irrigation rheic 67.84
Business name:Garner Electric Washington,LLC Sign2
or outline lighting 67.84 2
Address:402 Valley Ave NW Ste 106 Signal circuits)or limited energy
- panel,alteration,or tension. 0 seepage 2 2
City/State/ZIP:Puynil WA 98371 Each additional inspection over allowable in any of the above
Phone:(253)8724051 Additional inspection(1 hr min) 66.251 hr
Fax:(253)872-1801 Investigation(i hr min) 90.00/hr
Email:bdaniols@gweusa.com Industriatplant(1 hr min) 78.18/hr
CCB LIC,' 01158
inspections f�which no fen is .
Electrical Lie.: 208174 1 Suprv.Lic.: 44965 specifically listed 9o.00V hr
rv.Electrician c.y':Y:.}: ,.,,.f (IA -9)"if. .� ....
SuP signature,required: '. .t/P. ,k/G he ... : . .t. ... _.._ ... !0 "`•': r_�• ...;i
Print name: Joan P Albert I DaSubtotal:
de: Q Plan Review Required(25%of permit fee):
`' State surcharge(12%of permit fee):
Authorized signature: ari
'" TOTAL PERMIT PER:
This permit application expires If a permit-is not obtained within I80
Print name: Bill Daniels Date:
days after itlms been accepted as complete.
L1Bu0dhiglParointslH[C Perwitgpp EU13afldoo Rw 06rt7h_a15 * Number of inspections allowed per permit
440.4615T(t,PoS/CQADWEB
Plumbing Permit Application; , e 4.;
11
Building Fixtures 1 o R 011 1( 1 ( •,1: 011.1
City of Tigard Received
•IIIIII 13125 SW Hall Blvd.,Tigard,OR 97223 Pla• n Re Permit No.:
• Phone: 503.7182439 Fax: 503.598.1960 Dae Rvuw
r i c.n r,n Inspection Line: 503.639.4175 teBy: Other Permit No.:
Internet: www,tigard-or,gov Date ed/Me S y: Jute: See Page 2 for
. Notified/Method: Supplemental Information
®New construction ❑Demalifion For speck's!information use checklist
Description I Qty, I Ea. 1 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 1 500.32
❑Master builder Each additional bath/ldtchen 25.02
❑Other pine sprinkler(__sq.R) page 2
'JOB SITE INFORMATION:RANI)LOCATION Site utilities:
Job site address:1 t PI of ,s A Syo1 r 1�{i I►Q. 5± Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224v V wL.1 tT l Dryweil,leach line,or trench drain 18.76
Footing drain(no.linear ft,: ) Page 2
Suite/bldg./apt no.: Project name: g((-le 77e-ware. •�� Manufactured home utilities 50.03
Cross street/directions to job site: 1' Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear it:_) Page 2
Storm sewer(no.linear ft,:_j Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: 2;'I-e.. -T ytii os4- I Lot no.;,5` Fixture or item:
Tax map/parcel no.: Backflow preventer I 31.27
Backwater valve r
. , . • ' DESCRIPTION OF WORK : • - ( 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
121-'PROPERTY OWNER - . 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
Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib
25.02
Phone:(602)694-4031 Fax:( ) Ice maker 12.51
. ;• ®-APPLICANT ❑ CONTACT PERSON• Interceptor/greasetrup 25.02
Business name:William Lyon Homes,Inc Medical gas(value:$ ) p 2
Contact name (C h t Primer 12.51
r Roof drain(commercial) 12.51
Address:1.p 1bYDa�, vjn , i c,-t- CSU A S\T) • Sink/basin/avato
""`� T�-' rY 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:I A/I C.ho!. I qn O P_ Ql u J1-e s,C.,,er11
Urinal
CONTRACTOR J�Q1ho25.02
Water closet 25.02
Water heater 37.52
Business name:Malmedal Enterprises Inc. WaterP•tin WV
P 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)
State surcharge(12%of permit fee)
Authorized signature: Com- TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180 days
Print name:Carolina Malmedal Date:04/25/2016
after it has been accepted as complete
'Fee methodology set by Tri-County Building Industry Service Board.
I:/Building\Pennits%PLMU-PemtitApp.deo 10/01/09 440-4616T(10/02/COM/wEB)
City of Tigard
7iI N COMMUNITY DEVELOPMENT DEPARTMENT
T l c A R D Building Permit Review — Residential
Building Permit #: /At 57;200- t` ` S--
Site
Site Address: (6 .3- S,,, S no va&I t S1.
Project Name: R,;\tcr rra(t Eus --- Lot #: 7S
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review l n
Proposal: NW Cu^�i1--njiaik 0�' S F-19.
��Terify site address/suite# exists and active in permit system.
lir River Terrace Neighborhood: Cl No [1G Yes,See River Terrace Review Addendum Attached
S44 Plan Elements:
yhree(3)copies of site plan ''sting structures on site
S e plan must be on 8-1/2"x 11"or 11 x 17"paper Ll Footprint of new structure(including decks)with finished
rawn to scale(standard architect or engineer scale) a or elevations
Orth arrow lel/tility locations&easements (required for new and additions)
L1e address,project or subdivision name and lot number J Sidewalk/driveway approach
iLpplicant information(name and phone number)
�1+� ocation of wells/septic systems
ot dimensions and building setback dimensions [Existing trees to be retained with drip line,and tree
uare footage of buildings to be demolished rotection measures
.61
Lot area,building coverage area,percentage of coverage and eet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) [ Street names
VProperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? IJQYes ❑No
4 foot differential) If yes,is a storm water quality fa ility shown? ❑Yes VIS. o
•Xi Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): ,74 l j-11 l WI
�/Required: CI Yes,applicant was notified V No Received: CI Yes ■ No
Public Facili ' s Improvement(PFI) Permit: �/' f FLLO16—( $C(
Required: V I Yes,applicant was notified CIL9"No Applied For: Yes ❑ No,stop intake
Z Land Use Case#: PL) 2016 "00001
>>Zoning: V7-- CPO)
fid Required Setbacks: Front R Rear 10 Side 3 Street Side WA. Garage 2,0
Er/Landscape Requirement: LO % —�—
R>Lot Coverage Maximum: so % "
OiOil/Visual�VV Building Height: Maximum Height �T Actual Height Z.
l/Visual Clearance
[I f Sensitive Lands: ❑ Yes dNo Type
a Urban Forestry Plan
❑ Conditions "Met"prior to issuance of building permit
Notes: C-0,41-\-05 S"s .411 k ii f e r ris, h r tr,.4- issuance.
Approved By Planning: -a,2%L cL . Date: g
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\BldgPermitRvw_RES_061417.docx
Building Permit Submittal
Original Submittal Date: RFT/7 0
Site Plans: # r
Building Plans: #
Building Permit#: h Enter building permit#above.
Workflow Routing: is PlanningEngineering Permit Coordinator ; iBuilding
,
Workflow Sign-off: Sign-off for lanning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
,2 Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: II
By Permit Technician: ArA ,�r _ _�SOA Date: l/47/2
Engineering Review of/'
./ii Slope at building pad: ) 0 ! 0
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat
V Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ,Ef No
Assess Water Quantity Fee in-lieu: ❑ Yes e No
LIDA Facility on lot: ❑ Yes p7No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 14 t,v 0) v Date: q I fri
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:
SDC Fees Entered: Wash Co Trans Dev Tax: V Yes ❑ N/A
Tigard Trans SDC: 14 Yes ❑ N/A
Parks SDC: g,Yes ❑ N/A
LIDA ❑ Yes R N/A
OK to Issue Permit
Approved by Permit Coordinator: 1(` J4Date: '`II3'0
,
I:\Building\Forms\BldgPermitRvw_RES 0614 17.docx
6 City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: I bP17- S L✓ S nowda f k a,
Project Name: R r- -i4fra(e eas- Lot #: 5
(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
Gabled dormer
ft. deep min. 2ft., 5 ft.wide min.2 ft.,6ft.wide
❑ ❑ ❑ ❑
2. Eyes on the street: a miniirum 4,12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 2-.1
'M3. E trances:At least one entrance must meet both of the followingll/ standards:
ax. 8 ft. setback from longest street-facing wall 1� Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: 4es ❑ No .
If y s,all the following apply: [ '225 sq.ft.min.
lg One street facing entry
252 ft.max.roof above floor of porch
Ear-5 ft. depth min. Ll 30%min.porch roof coverage
4.petalled Design:All buildings shall include a min. of five of/the following elements on all street-facing facades:
in
IltiAovered porch m . 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep
ag/Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
JCJ Roof eave min. 12 inch projection Roof offset min.of 2 ft.
❑ Roof shingles either tile or wood ,�rGable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. q, Horizontal lap siding min. 3-7 ft.wide
❑ Accent siding min. 40%of street facade ❑ Window trim min.2 1/2"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
closer to front or side lot line,than longest street-facing wall. ❑ Yes �No. If No (Check one):
NyMay 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 ❑ 40%max. of street facade
L�d'50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: JA1J —�
c.e, .;.._. Date: ///WI-7--
I:1Building\Forms4BldgPermrtRvw RES RT 031416.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16797 SW SNOWDALE ST, BEAVERTON, August 22, 2018 at
OR, 97007 1 :09:48 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00445
Inspection Type: Inspector:
199 Electrical final Jeremy Burrows
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16797 SW SNOWDALE ST, BEAVERTON,
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00445
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Corrections completed.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16797 SW SNOWDALE ST, BEAVERTON,
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00445
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS
Comments:
Corrections completed
No A/C installed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16797 SW SNOWDALE ST, BEAVERTON,
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00445
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