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Permit (98) 1111 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00400 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/13/2018 T I[;;�I=.C7 9 Parcel: 2S106AD05100 Jurisdiction: Tigard Site address: 16604 SW AUTUMNVALE LN Subdivision: RIVER TERRACE EAST Lot: 158 Project: River Terrace East, Lot 158 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 2167 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1571 sf Garage: 739 sf Front: 8 Smoke Detectors: Yes Dwelling Units: 1 Third: 0 sf Right: 3 Total: 3738 sf Value: $465,545.06 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 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: 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: 7 201-400 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 3738 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY POLYGON WLH LLC 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 ATTN BAKER,JASON VANCOUVER,WA 98660 703 BROADWAY ST STE 510 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $37,358.15 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: .1� '1i' 'aS Permittee Signature: , '?`"—e- GL %CSG GCS Call 503.639.4176 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. • t ,Bui'lding Permit Application �0� / .S.---t— r" FOR OFFICE LSE O\L1 �1 of Ti and17' Received /�/''� ��C.y- -7 `J g •� DateBy: (O f) ii- A Permit N/ "is/ l/iG.r z1'( 11,1 . 13125 SW Hall Blvd.,Tigard,OR 97223,� c p 7 emi..7 t Plan Review !!// ■: Phone: 503.718.2439 Fax: 503.598.1960 `1 ` -- Date/B : - •- / II Other Permit:gee...>D O/ �.ev I"i t;.11 t� Inspection Line: 503.639.4175 1. Date ReadyBy: f i� 4.„.4,,, G; Jucis: H See Pagege2 forav Internet: www.tigard-or.gov a NotiSed/Method Supplemental Information BU1_= t... E71.914- /l,/re eC s `r�, ... ,z11 , _ �: ®New construction ❑Demolition Permit fees*are based on the value of the work performed. 0 Addition/alteration/replacement 0 Other: equipment, the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the - :� f . € gam.=, 5., e work indicated on this application. .....74 -1:;.44.4.....j'''w2IX0.10 4rein- ® 1-and 2-family dwelling 11)Commercial/industrial Valuation: $ ,S 0 Accessory building ❑Multi-family Number of bedrooms:' VT' 0 Master builder 0 Other: Number of bathrooms: t5� I 1 5 1 t Total number of floors: 1, ,11 71 Job site address le la 1 1 SW Autumnvale Lane New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 1 9 square feet Suite/bldg./apt.no.: I Project name:River Terrace East Covered porch area: $ square feet a►16? Cross street/directions to job site: * owe/ j q l square feet!s 7) Other structure area: square feet Subdivision:River Terrace East I Lot no.:l SR 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 t`` a work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ` ° t ; , '� , 3 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:703 Broadway St Suite 510 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 Fax::( ) Amount received: s t °''''? ''' t t � 1 -' �e.- zg E-mail:Nichole.Thorpe@polygonhomes.com ' , �� ,•, Commercial and residential prescriptive installation of •' • ° _ ;1� ': ._. .ftiX '. _ ,� 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:703 Broadway St Suite 510 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 �l Total fee due upon application: $201.60 Authorized signature:���_v This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:8/23/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 :ID CEIV Mechanical Perinit Applicia i-1 .. _Er-, FOR 01.FICL I SE ONLY . . 1 City of Tigard -,-Re•,, ,m FEB 0 8 2018 Onle/111': Paii**4/1Sro2C1/7-.00 Vb,0 : .., 13123 SW Ball Blvd.,Tigard,OR 97223 Plan Review 1 '4 Maui: 503.*11.2439 Fits:, 503139111,6, ,-•,ur---1- a•-_-, -‘ Datenlv: . cithor,hrmit .i.1 6;kit D IliSpeetiotl Piiel.50.430.417.5 LA I T 1 L.APt1.2i IL) ..6..gc,d,- ,,,,,, . .. su,i,.. 63 See Pap 2 fur Intmlet "v46gard-61-41°' BUILDING DIVISION BotilledimmieI Supplemental Information . :'':L--... -;lg;i:'4-tg7;it:-AZ:tiqqit:PIVA.l*:tt*t*:WCVRigiaiftg$:i;::;:i?4VZR41q.gV,V g:Igli4)0.11#01-W00**0:04;44-4.,11*. 40t4!;•;., - til New Construction In Additionfaltaratiorvireplooement • Mechaniaal permit fees*are basvd on the value of the work • performed.Indicate the value(rounded to the nearest dollar)of all El DelnOlitiOn 0 Oilier Mechanical materiels,equipmeflt.labor.overhead,and irrofit, :41. 7#0-4. —j_kWikti**#.040-1,' Eigirit'.:MAL:.'.•,M,.a •if'„:.".... :-,,,,,.::,.,.. .,,,,-___„......,.. ,-v!...!.!:S.: 0 1-and 2-fitiiti1y dwollirig 0 Cnrormortialtiodustrial 0 Accessory building Ea Mtilti-family 0 Master builder 00ther: Description I Qty. I ea- I Total. -\ - :: 4o*-$4:40:01,40.04,..*Sifs.'4.W.,_010011 .ccii!:kji.!.: 146°6'6'T Air minditioning I 46.75 .. _. ;rtIb Oa addrt1;a:, I kpIp01-1 5A ANdimn\ iL Long, Furnace 100.000 BTU(doetsivents). ) 46.75• . , City/StatealP:Timm!,OR 97224. Pumace1.00.600+BTU(doessiveliti) 54.91, . T:feaf pump , 61.06 t*MOM:lg./apt no:: Project liclinr' River Tic:mace Eas-i--- Duct work 2332 I • Cross street/directions to job site:, tlycironieltot miter system 23.32 Residential boiler(radiator MI hydmiticl 23.32 -• . .. Unit heaters(ftrel-tYm not eleetric), .., .. . in-wall.in-dttet,suspended,etc. 46.75 . , . Fluthell1 rof nay of above If 23.32 SolidiviSion: V "I''' Lot no.: • Qffier 432 Other Bier a,,,j• • -,... Tax mapiprumal no.: Watee.hcaut23.32 . .. _ _ ;. .-.:,••,,;.: ,1:67t;M'g,!•i:.aIrNs,:e!Agtkil***0.110N•i*::8"..-6*.7;,:-Xj•e:t40. .•44- ,:•N."... .t.: (las q MPlartrtstvi — 1 3339 ' Flue vent tbr waretheater or gas Msith 1-1- boLfC0 fireplace 23_32 Log ligisterlfa0 ., 2.3.32 - Woodipe1ct stove 33.39 Wood fireplace/insert 23.32 .. Clihnticyninorillaciveur 23.32 tl(401!,•00-t 1)'04;i.-V•;1•1:i ,::!:--A ::•'";!'jq* tv:ir;*i*.e *;‘,..q.'!. Other • .2332 E ( mental exhaust and ventilation: NalThe it-111 . L t 7,i1 1I . Range hoodkither kitchen _ - - ' equipment ( 3339 Address:—1_140 -E_ 1 33.39 —nPs1131-e--1 --. S ----1,—Va-2'QCinicgle-daus duct exhatisrthathrootos o , Athitdrkk,CifYitate/Z. •k'D L — toilet domputility artments, minas) 23.32 LFgr( .) ./Mtk_Lcrif_vjgualst ___/,3.32 •'•.,.•.';.5':::;:•,:',2.1.;;O:r..401•141tr,fI41.:.yWg K.,..,-,,:..!,-:,.-f;I:?•,, t144:104kt;•*kals-Oh...:3: .;.- '.,.''.i- Other: 2132 Busints,s tome:Polygon WL11,LLC _ 514,15:for firm four;$4.03 for each additional Contact name: Nithite„.200.62,e, . Fiffilak CU% AddressAaleoactivau...s.Laik_o_o_____- Gas hall.tun City/State/ZIP:Vancouver,WA 98664/ Water limiter E-1118At ptynytlivesr„..J8- * 01 Algiao ,A *."--.;;------------1------ • :':;.-:,:;:i*$4,1'4.77.7 *-ii67-t . 'fl:Ifi' •3TiTi . , ,.T Clothes dryer(gas) Busittessname:Apex Air LLC Other: 1 • • , • • - ;1•:..-;1:: :';:;--.:::. fit(044C104041*4ej:'-:'.t:,•-''•:-.i-':•IT : Addres.s:11004 NE 72.,Arc Subtotal . . City/State/UP:Vancouver,WA 98686 Minimum permit fee ti90.00). Plan review(25%of pelrpth forl MIMIC(360)3424109 [Far(360:1326-1769 State surcharge°Mr/permit feel " MB lk.:203034 TOTAL PERMIT FEE 1 — . - Tins permit:Application expms 0'2 permit Is not obtained within 180 days Mkt*has belm tweepted as complete. Authorized aiguaturr • * 'Fee methodology set by Tri-Courq Building Indoor).ServieeBoard Print natneri ../ - Date: 4- flitriteing:Panul,atEr_OrrelizApp_040113 do: .40-461171))n2tamilultal1 ---4:7,;44,-••••••••••774.44.4 4 0'4 4444 6,(,y 8X6.60 rya,tr ECEIVED ofTQga`A$'d Received __ 13125 SW Hall Blvd.,Tigard,OR 97223 DntelB 1,1 C Phone: 503.718.2439 Fax 503.598 201 Permit' -S%?G'/7 C Inspection Line: 503.639,417$ I960 F E� Date Review �� n T'IGARD' pDate/13 ; Anisrli e Internet: www.ti rd-or, ov - read Date/Ey: g ��� i��� � No66ed/Metbod: t7 Seel'a e2 for j�sf' .- 3. fills �' m Supplementallnfornratioa ®NewconstruURIMI -L ❑ i Y6':oillalte4 ":•.';, : i"•' D :_ - ❑Demolition Addition/alteration/replacement Please .�•.. a',P�.•i,'• ;r� ;. :�•z,�°=;?wr ems. 0 Other: check all that apply(submit ants of P der +;ir,5;;J rr�"n "ti'v+r=" �:t'sGiL`'ie� >a - ❑Service or feeder 400 amps or more �,..: •-- laaswP asohccked): over ®I-and 2-famll'. ''".'6 ' i-0'!•1'`''iT:e;`n• wherethe 10,vaitabt amps t 150current ooh 0 Buildingoigbuild three stories y dwelling 0 Commercial/industrialsc °:til :'"'i ``" axaeeda to 000 np ❑Mannas and boatyards. m cats 1 volts or ❑Floating buildings. ❑Multi-family • 0 Master builderAccessory building less to ground,or exceeds I4 000 g {x,,„ultl-, ..: ❑Other amps for all other installations. ❑ ildingc[at-useagricnitwat ' „:�: ;, �. • •buildings. :K,.:,-.,:• u`�S:. :t iI �„t�.. ti gid, » ;.,.... } :.• Mire pump, bis. Job#: N A •:.: '•': '•lyf.•''Z;iti ::`z?•�-r '• []Ea,agengYstean. larger❑Installation of 150 KVA or Job site address: �/) ~ •::z• ❑Addition of new motor load of e' ' "i-2ly derived City/State:Tigard,OR 97224 t/ al, L i1 1 -� �' t AHP or more C7'A",`E';"1 z';"j-3': Suite/bldg./apt. ❑Sixormomresidentialunits. occupancy #: Project nameQer • ❑Health-care facilities. °Recreationalvehicleparks. Cross street/directions to job site; t- 1 PHazardoua locations d Supply voltage for more than ©Service or feeder 600 amps or more, 600 torts nominal, •.C•.;:;^ �:,:.' 'ni' s `t 611 -=i':•:;g1•t`j,j±5hr��::^'i i-,'•:i:?. Demi,den ,!'> :K F;, «.F;.:i;^.;:.i•i:4;} r._ SabdivisfoL �- New residential single-or multi-f`emfly dwelling unit TIMMIIIInl © Tax map/parcel#: i " Lot#: Includes attached garage. r.;'�:t��u,;�'>;.;�n�p����:s•••:: .>,.•>i� ' �BIP;�B '•'.: 1.000 sq.R.Or less �� };u�gt:c==':{' �?s•;t3QAT `>,'; i2!•;: Ea add'1500sq.lto portion �© ;:: f :`; Limited energy,residential ��_© with above ;it'll-family ,tt,} 75,00 -© Limited energy,multi-fatnil nl.. +�s ;it,‘. p Zi'"' 9 •,r>: �,; ,:F;,y'.:.i,: a.f Re residential with above yft, 75.00 �© Name: ► =`. ?•ri'.1l ? •kin ' :=li > ewab En _, pr /1, s C] Seep _c 2 _r Address:, , � 200 amps installation or teas Ell 10030 _vi'nee, �r�, - �, 201 amps to 400 amps Ioo 4 City/State/ZIp;' �' = : : 401 amps to 1,O amps 20034 _© Phone # , ik ,� 601 amps to 1,000 amps nos - Over 1,000301.04 �Q Email: ampsorvolts -��© Temporary services or feeders installation,alteration,and/or Owner installation:This installation is being made on propertyrelocation intended for sale,lease,rent,or exchange,according that I own which is not 200 amps or less Owner rigor e: to ORS 447,449,670,and 701. 201 �� amps to 400 amps 11111- =© *44..�a�, s rr kr t� ,ti•�.I'+, :\,tai:a;;>`x'��_: Date:_-------- 401 amps to 599 amps = 125.08 Business name:Polygon ,t-gI.0>rir •.4,:: 4..v.:44. Q0., -.. , ' -s•t!l< j ;;h Branch F sorban{h—Wait/,alteration or �4 extension �© Yg WL$ L ch circuits with Contact name above service feeder fee, �..���' each branch circuit Addresw ' /— - B.Fee for branch circuits rvllhorrt MIi l�: i .. �, - 411service or feeder fee,first City/State/ZIP:Vancouver,WA 98660 bran circuit 1111111111 Phone:(360)695-7700 Each add'1 branch circuit Fax :(360)693-4442 Miscellaneous service or feeder notclod 3111111110 _. i . , �lte �h manufactured or modular ■®� Businessr`. as rot � y .1,tt Ar'F°r ,:, ?:. ;i'" Alk`rl`' Reconnect only dweilin: service or feeder 13 Garner Electric Washington, ^'` Sign or 11481160110k* +®�© LLC Sign or outline lighting Signal circuit(s)or limited-energy Address:402 Valley Ave NW Ste 106 _1 City/State/ZIP:Puyallup WA 9$371 ,anal,alteration,or extension. 0 See page 2 -© Phone:(253)8724051 Each additional ins, tion over allowable in an of the above Fax:(253)872-1801 InvAdditional' - inspection(1 brmin) Email:bdanieis®gweusa.comesti�tion(7 hr min) ®�, Industrial - 90_ 001 hr =: CCB Lie.: 01158 plant(11rr mita) -�2 Electrical Lie.: 208174 Suprv.Lie.: 4496S Inspections for which no fee is Suprv.EleeMeian signature, . , t listed larm{n ■ 90.00/hr -1 gnature,requited: • ,'ti 3 a ti sal c,Wil *;}`.4:• ..i Print name: Joan P Albert �'= Subtotal: 1111111111 • Date: 0 Plan Review Required(25%of permit fee): 11111111111111 Authorized signature: """ o ' - State surcharge(12%ofpermit fee): Print name: Bill Daniels TOTAL PERMIT FEB: Date: This permit application expires If a permit is not obtained within ISO Elnuildis pennitshiLC days after it has been accepted as complete inspections "d�vPt[BRE dos Rev 05l17/2015 * Number of in 440.4615T(11/05lCpl, yes allowed per permit. * Plittabin Permit Application BuildingFixtures ' ' 11Received RECEIVE D City of'1`.1gard „,,.0 wieB. FenifitNo./(tCr /2- ,Voo 4 ]3/25 SW Ball Blvd.,Tigard,OR 9724,...r, (18 two n! a Phone: 5i13.7183439 Fax: 50.3.5909dRO v a Millirallinil Odic('Permit Na.: Inspection Line: $03.639.4175 TIGARD (IP TIGARD DaieReadYillY4 has: El Sae Page 2 for Internet www4igini-Or.gov %.,. *, gotttledilalethrid: Se-Mama- tal Information -'4"'-ci:10likiViNtiVigico 14*.ikiing- ti-Cjii".'72t11Q71.WFT.,',9F:fn:P.t.e.:. Wit,,,itfc-t-Aitiz#011-031.iii*:17Iiir 1z,L,,...r.F:i,:.:71,,. For s,eclat in onturdin use cheeklis4 Fir0 New construction II Demolition D .,'.tion 11511.1 Ea. Total III Addition/alterationimplattement a Other: New 1-24 &ratan fmcludes 100 ft for each -• connection '' ''''it'','.'"'m.,Ttr-`k-'''''''' '•-,` ''''' n-ty45iirl.7(.4;kir..:."''''lif.NV.4#.,0Aft 1-74760a. SFR(I)bath 312,70 - t,,.!...T.5..,,...'i- ....'„_, ...,.... ii - SFR(2)bath 43178 e 1-and.241110 dwelling Ins Commercial/industrial SFR(3)bath 1 50032 . ,..' . MI Accessory building' 0 Multi-family. Each additions/betlyaehen 25.02 II Master builder 11 Other: Fire sininldcr C____Sq.ft.) Fage 2 i';;AWK.P-Wio"-kOfiitiiiiiiiiiir.#*fiViiilia-TAWItttgAi"t44 site women kb site utdresc ' , A/IMF L SIA A.i' i a, Drywell,leaokihke,or trench drain 18.76 city/State/ZIP:Tigard,OR 97224 Footing drain(no.linear it.:_____) Page 2 __, .... Suite/bldg./apt,no,: Project nalne:) ' act. IF MattufacMred home Males ' 50.03 Cross stroet/direotitms tojah site: Manholes 18.76 Rain drain connector 18,76 Sanity-y sewer(no.linear IL: ) Page 2 Stone sewer(no.linear ft.:____) Page 2 . . -. Water service(no.linear ft.: ) Page 2 SubtifYisi°111w /- - -.4.4•,it -;6_.IN Lot no.: litia Fixture or item Baeldlow preventer I 31.27 Tax map/parcel no.: tigl )r:-H ;': •'''•--f-'..--------.• ,;.:6-1.tz4t- - 7!-t'i.,!,,,,,,,,,, Backwater valve 12.51 !..z..-;.:::.' '''''''''V' 14: 47014(OFIVORICZ,e,th,,'*;5•;-,..;- r.,,,I,3 :,.i•-,,AqV;-" aii.t.',5..fA.,,,. ',,, ,,.... maws washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectots/sump 25.02 fiiikiixx!:6iiiiifiatk 4.:J-ita P '. .... ..5t: Expansion tank 1251 psewer cap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sink/hub .25.02 Address:7600 R Doubletree Ranch Road Garbage disposal 25.02 City/StMetZ.IF:Scottsdale,AZ 85258 Flose bib 25;02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 .A:::*.-'r'mf'ea, iAii.... ,..t,.,.;...4;,..,......,.f„,-,4:,,,,:4,,.„,! &.. j..--a.-.;r- -PERSON IttrceaPl tor/irvealuetrap 25.02„ medcga ( e:$ ) Page2Buaness name: . A „ - _ Pritzker 12.51 Contact name:. i'7.-% \ _As ••• i - ea.- Roof dr1n.(commercial). 12.51 Address: EsAL • a„,L,._ ,,,, ..4 . "4111LMMIIII Sink/basin/lavatory 25.02 City/State/2XF:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 • Urinal 25.02 E-mail: f t A ,V, • A, Water closet 25:02 •----'-'--,' - 0-,-,--,'1,4,-,.,7i ,----;-.-, =:C. 41,:ii- :744-t4:11'%:7- .-TCtW -'.,:ci ifi7.;t1W-.2-: ?,,IiiI0t3kA. CONTRACTOR.M.R144-,!m*yi-4., ,, ...7,,,_,.-qt Water heater 37.52 Business name: *., ) ' kAy1/4,0 ‘Ntt, ,. Stpoki 7 Water png/DWY III:Ell Address: $.A'S• 6 a; * Other: 25.0 City/StuierZIP: 5 , '44,4 t co(SI Subtotal Miairmun permit fee: 572.50 Phone:0'73.--nk- I I Par(••• 1 .0. _ .1.4 jliD Plan review(25%ofperrikit fee) -CCE1 Lic.: ;ir 31 Plumbing Lie.no. F b .; state surcharge(2%of rennit fee) two Authorized signature'. +650 iki 40, r TOTAL PERMIT FEE Thh permit application expires trapernilt is not obtained within Ise days Print name: am-,w O Date:Y. -- after him been accepted es complete. A Vex methodology set by I'd-County Building IndushySorvice*lard. litaiddinaTetteitotigt-Ptcmitapi.xdOc J0/o1/6 4404616100/02COMPNE11) .Iii City of Tigard P,RR COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential Building Permit #: 40 — _l'0 Site Address: 661 -,gf 44/7,,ovzi.e_ Project Name: vc -- a ,3 C„4_- Lot #: /< (New dwelling=subdivision name,Addition or Alteration=last name of owner) Planning Review Proposal: 4erify site address/suite#exists and active In permit stem. 0 River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Si9g Plan Elements: ree(3)copies of site plan V)Site plan must be on 8-1/2"x 11"or 11 x 17"paper ‘J' •sig structures on site `•yawn to scale(standard architect or engineer scale) i,ore levationsw structure(including decks)with finished of 1orthth arrow X ,i'ty locations&easements(required for new and additions) e address,project or subdivision name and lot number II Sidewalk/driveway approach plicant information(name and phone number) Lot dimensions and building setback dimensions �.�pcation of wells/septic systems IL S„ fisting trees to be retained with drip line,and tree uare footage of buildings to be demolished P Lot area,building coverage area,percentage of coverage and rotectieen measures '• pervious area(applicable if R-7,R-12,R-25&R-40) 'eet Street nreeize,type and location s .'roperty corner elevations(2 foot contour lines if more than 7 0aced? LVJY00 sf of impervious area created or replaced? 4 foot differential) p es ❑ If'es,is a storm water •uali facili shown? ❑Yes Wo lean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): v f , squired: ❑ Yes,applicant was notified p �� L� No Received: a Public Faciliti Improvement p ❑ Yes El No Required: (�� m ermit: PP/k2 P`2G,(e-0006 n 9 q Yes,applicant was notified ❑ No Appliedt'/ For: yes ❑ No,stop intake nd Use Case#: A6/2\20/ 1 .- iiIf_ f 4, Q ' 'V/Zoning: / - . 7 1C����= (` � Urtri 'squired Setbacks: Front > ' o Rear / Side Street Side �► Garage o2 andscape Requirement: 2 /o ,�.., 10/Jot Coverage Maximum: -C 3I.� ITRY Building Height: Maximum Height � ) Csual Clearance g t `I Actual Height ,nsitive Lands: Yes NoJ 11,14 Urban Forestry Plan Type' � /� i'& �1 ❑ Conditions "Met"prior to issua cepf b 'ding permit Notes: /`J/ -'/ - /�' i , %I% A /'ow f. Acc" Approved By Planning: -.�" ► Date: �� Revisions (after Building Submittal only) Revision 1: 0 A roved Reviewer Date PP ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\BuildingTonns\BldgPennitRvw RES_061417.docx Building Permit Submittal e . Original Submittal Date: C7(7 7�7 Site Plans: # ) Building Plans: # 7 Building Permit#: nter building permit#above. eerin ermit Coordinator ,uil�g Workflow Routing: Planning $m g Workflow Sign-off: Sign-off for anning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application,(1) site plan, (1)building plan and P713original plan review routing form. uiiding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / / _ � Date: By permit Technician: J < <_ .A . 'A- ,,, ,.. Engineering Review 4 o Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat (Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 2rNo Assess Water Quantity Fee in-lieu: 0 Yes /E'No LIDA Facility on lot: 0 Yes /—' `to Date: ❑ NOT Approved by Engineering: Notes: Approved by Engineering: ate At( (,L Zv L(> v Date: l z Z� Revisions (after Building Submittal only) Reviewer Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Pennit Coordinator Review 0 Conditions"Met"prior to issuance of building permit ,:� 'tDate: I�'�2-i �� Notes: i 1 PP roved,NOT Released: 1 J I�,Q�,I,S AoY�Pk�' 3 c E PD 0).4 Ikon 1 - Ai, 49\n «it.U VV Cath 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: i."` es 0 N/A Tigard Trans SDC: .M."Yes 0 N/A Parks SDC: )®'-Yes 0 N/A LIDA 0 Yes N/A Vi :: ornator: BBuildingTorms\BldgPermitRvw_RES_061417.docx City of Tigard 6 )1'3 a, " COMMUNITY DEVELOPMENT DEPARTMENT TIGARD ver Terrace Building Permit Review Addendum Building Permit #: Site Address: l/, '(")1-/ a--) fiiktpn vJ� 4,` Project Name: f .'-r- e° '' Lot #: isqb (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distri t Design Standards (18.660.0701): Is the project subject to the plan district design standards? UlYes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element requ. ed for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide mm. 2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimumof12°/Q of each street facing facade must include windows or entrance doors. Percentage Shown: ////2 t 0 0 3. ntrances:At least one entrance must meet both of the fo wing standards: Max. 8 ft. setback from lest street facing wall Parallel to street, angle no more than 45° from street, on or pen onto porch Entrance opens to a porch: Yes ❑ No If es,all the following apply: 25 sq.ft. min. One street facing entry ❑ 12 ft.max.roof above floor of porch 5 ft. depth min. ❑ 30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five o the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. dee ❑ all offset min. 16 inches p ❑ Dormer min. 4 ft.wide ct Roof eave min. 12 inch projection `bn°/�'of offset min. of 2 ft. El Roof shingles either tile or wood Lld'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 ❑ Window trim min. 2 1/2"wide by 5/8"deep El 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 facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: Nooser to front or side lot line,than longest street-facing wall. ❑ Yes iLJ 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. avei ❑ 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 ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: /4111 // 2 I:\Building\Forms\BldgPermitRvw_RES_RT_o62216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16604 SW AUTUMNVALE LN, BEAVERTON, September 11 , 2018 at OR, 97007 9:39:54 AM Record Type: Record ID: Residential - Master Permit MST2017-00400 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: 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: 16604 SW AUTUMNVALE LN, BEAVERTON, September 11 , 2018 at OR, 97007 11 :43:00 AM Record Type: Record ID: Residential - Master Permit MST2017-00400 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 75 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16604 SW AUTUMNVALE LN, BEAVERTON, September 12, 2018 at OR, 97007 10:26:27 AM Record Type: Record ID: Residential - Master Permit MST2017-00400 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 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: 16604 SW AUTUMNVALE LN, BEAVERTON, September 12, 2018 at OR, 97007 10:23:42 AM Record Type: Record ID: Residential - Master Permit MST2017-00400 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor