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Permit (117) 71 .,..,, CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017- 00523 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2018 Parcel: 2S106AD06400 Jurisdiction: Tigard Site address: 12930 SW RIVER TERRACE BLVD Subdivision: RIVER TERRACE EAST Lot: 171 Project: River Terrace East, Lot 171 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: -$235,386.83 Rear: 0 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: 1 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: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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 1858 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 1 Hour Fire Rated Eaves STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $32,463.93 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: t-'� Permittee Signature: &N.2` /e./"."7C/OI 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 Z--U d� ' -,k41,40: i l j FOR OFFICE I SE O\Ll ' 1 .. s ' ' Received o City Of Tigard Date/By: /Z A- l/7 Aermit N/ ttp//LJ7 (/`�' J 1 111 • 13125 SW Hall Blvd.,Tigard,OR 97223 C E p — 7 2017 Plan Review 1 l Z) pier Permit. �y/�(,��A/�—�i 't21 C` Phone: 503.718.2439 Fax: 503.598.19 Date/By: Date Read B ` '"f Juris: ® See Page 2 for Inspection Line: 503.639.4175 y y. .. anon .'- A f D Notifed/Method:/ - � p Supplemental Inform Internet: www tigard-or gov 1 4 ;:gi's:':;'e„,:,constructi � ❑Demolition Permit fees*are based on the value of the work performed. on Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for th work indicated on this application.,2 3 5 5` 4 • Valuation: $ r ® 1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms: ❑Accessory building 0 Multi-family 0 Other. Number of bathrooms: �.., 0 Master builder Total number o f floors: Z'Z' t t I f eE 8 f , sz� , 3 :3 /9 New dwelling area: 16456squarefeet %b Job site address: SW River Terrace BLVD City/State/ZIP:Tigard,OR 97224 Garage/carport area: 43 square feet 11)91 Suite/bldg./apt.no.: I Project name:River Terrace East Covered porch area: 1 "' qre feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet Subdivision:River Terrace East I Lot no.:I 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 : work indicated on this application. p t Valuation: $ Existing building area: square feet New building area: square feet 7177171P-717a 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: t 4,1t<inIttltril 1 , 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 Amount received: Phone:(360)695-LC@pO1ygOnhOmeS.COm 00 I Fax::( ) -fikiitratbfiki ` E-mail: Commercial and residential prescriptive installation of t E ! roof-top mounted PhotoVoltaic Solar Panel System. �. Submit two(2)sets of roof plan with connection details Business name:William Lyon Homes,IncII' and fire department access,along with the 2010 Oregon Address:703 Broadway St Suite 510 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 lie.:207247 Total fee due upon application: $201.60 This permit application expires if a permit is not obtained Authorized signature: within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:8/23/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) i Mechanical PennitAilIl Fcllt(11•1 (I I SE ONE1 City of Tig4rd p.g,..ive4 bvisy; -1'.ra'"4'"I'LZ.ir7,20/7-t9e5:;Z a 11 . 13125$W Rill Elyd.,:Tigand,OR.97221.,,,t,.: 11 .)*“.! ' 11* Musk 303.118:2439'Fai:!303.y913.,19600-.A il ..t ..t. (...I)1 u 1:11:111t3e;1!%v Oth°rPer100; 1!GARD Inspection Liam 503.639.075 , ,, ,, ,, ; .tvexclidy jay: . .. _loos: I 63 Ste Page 2 for . . • IntOniet .%ww•lif-ard-iiiiftv GI i Y 01- ! t,i..,- ---,.....,.,... , ,kotinedimethod 'Supplemental Information BULEING, IY;i1ji'::: -',.i',.,. . ,.. .. ... *0:100#04.4*Of..'i -30kgs.t14003. Meettaninal permit Fees*are based°lithe-value of lbe worlt r New construction 0 AdditiorAdteratiortfretiltieentent. performed.Indicate the value(Jeweled to the nearest dollar)of all 0 Denxilition- 0 Wier meeltariical materials.equipment,tabor.overtax:id.and milt. Value:S , tOlii$1*04..-1*-00.,45-„Tt,. .tlal ,56:4.461;•Piirt,ii:17.'''.- ...,,•-.1„,..,......,...,.......,..,,,,,.„,....--,-......,,,....,,,,___„_.,....—,-.:_.,,.....,.,.„.... ' ''s.'•--!''-'•-:•''.'''''.7:••••:'?"'v'''''''''"'•-•-•'•—•------•-.•-•'''''-''-'t''''.•-•-"7''".'"'::'.'''''''''''''''''''''''''''''''''''J'7;':*4-'''''''114'''.4.f''''' 711::'iT.:1. 1.?•-W7AICIY.1,!#.1PC7:4) ..rg•R:t4:: ''. t:= 0 i•and 24wntily*dwolling 0 Connotrcialrmaustrial 0 Attesstny0011ding For spedal htfrrmation Jae checklist 1531 Multi-family D {aster buiider 0 Otiter;: Deietipittat, Qty. Ea, Total; ;:i-4.411*:kiii:$0001-iiiii.'*;1:5-301.00.0.,14.g0-it;::Q:4-:;4-4..ily7; . Ftelt10101coartax: , .. Ait entiditioning- i 46.75 tob s.i,addregc / i 9 D Sid 2tvel" ie.irrace. 2,1‘it) 2. 3 Furnneer100.000 BTO(donfevants1-. . . 46.73 . . . City/State/ZIP:Tigards.C1R 97224.: . Furnace 1.00,00(fr,BTU(doessionti) 54.9! . Sulteibtdgfipt.no.: 1 Pilvecttiidne:River-ferraceEast Reif pawn .Dttet work,_ , .,. . . 61.06 . Cross strectidiretdions to job site: Hydro*hot wafer ii;stem. • i3.32 ..._ Residential boiler(radiator or hydronic) 23.32 _ .. . • Unit healers(thet-vpe,not eleettie)1 . . to4valt.irt-dnet:susOendell Cie: 46.75 • Floeftent fritinv or abore . 2332 . . ,..,.. Other: ,_Subdivision:R:1\1v.-"TeArette_ Fs* . 1 Lot tin.: / // , . e .er rite a, lane=' . 23.32.. ........ . .. . .. . . . Tax map/parcel no.: ' Witt&heater .r..„. rr 23.32 • '.•.F.-t'....t::;.5: figi.!1.-r$K•Oft,'• ..q..1..t•T-.0•0004.00•$,J*1-:*41/*.a0-:•A'gi:$11;.:47;: ;;:. •7'''' 6a$rael)taec4asert • ' 1. 33-39 - And=• 23.32. Loglightertaast 23.32 • Wood/pet-600w 3339 Wood fireplacofirisert 2332 . Chittmevilinedflitelvem 23.32 2332 Z'•..-..'.: 4.,.'l.".-:i 1..gti.ri!4IVP,W2L917.1.F!,•'',..4.'zi:',..;Liii:1!,:-_.:7:',• :.i.li$::i:Nlig;;',:f07,017 . 7'::71,-'..,,:;,',- ,!?'-,-7:' Emiir 'exam,si ad 3,1,11101m Name; hat L., Lairy3i Range hood/ether kitchen i . 000111111001 33.19 Address:itgoo E. .. Dt_tfiolca.11itrltillyzainck‘ ,-,„, .. Clothes dryer exhaust , I 33.39 City/Sfate(ZIP: Sek•Kle. ^pt 1, 259.1 I single-duct exbettst monts, Mild CoMOIWthlefiti,utility*Isl._ Lk 233:2 Ptumcb01 -10914-4t1;1 Fax:( ) Anteicniwtanace fans 2332 , ,•:',. ..i:.: *-... ''.*.:.i-,..,.1a,iXili.:4-10.i.0i.i'.;i: 'i;'1:.':.6-,:',:',.,.,.,..'.:::!,',...i.:••:::,,f...-: ::;;;=.:•;I::(1iitii*i7-4-.0:,,* ...-- "4„.:S.:...:':r: Other: 2332 - Foot plpinif Business name: \o‘\,ikekrA \ oo tines $14 Contact name: 1.-znc... ,15 for&it fear,'$4.03 reread additional - .. . . . Furnace.etc. 1 . "dress:1 t). f6rD113),Arial Si- SUlt¶\O . . Ga$heal ournt____....-----,-------,------------------------ Waillsitspenderlitin0 heater City/State/ZIP:Vancouver,WA 90660 Wafer heater Phone:(36))695-7700 1 Fax :(360)693-4442 Fireplace 1 • . . „ . 11110.g0 .., 1 • , E-01L01:• N i ein Okt i I a At:i iff 0 a ka a Ilki- ok**IA Rabecue. -,. . . . .. Businesstiatne:Apes Air LLC. Other: , • • • '• ' '"'''••-•••57.f:'''':!-3z24****--.44.0.****0.:1':4-'--;:'"::f.•,',:4',.)•.,..,i,:.--- ' : Address:18004 NE 72"4 Ave Subtotal CityiState/TIF:Vancouver,*A MN' . lffinimum pornit fee($90.00) . Plan revjew12.1%offamit fee) Phone:060)3424109 I Roc 060)326-1769 - _ ..... . * Statesurabairc(12%orpertult lee) CCB lie.:203034 TOTAL PERMIT FEE This permit appliriatiori expires it a permit is not obtained ithin MO days after it has been accepted as complete. AtdbOrired*tuna !" Fee methodoliwy set Iv Tri-C..ounty Boitdine industry Sk,st:ice Board r NM name: , . .1 Dale: 4-11-A. I r.stuadirg..posni,awc.".11.41,t,041/111 do: 446-461170 lietrOWMIal raw ww0..4.x, 0.11 xxaxo,r,,i sea se LLatYaa•:,, J �1 Uf�'pg�f(� "° ` -_� . " e eL uth r oNLy ° 13125 SW Hall Blvd,,Tigard,OR 97223 Date/Bed , .1 Phone: 503.7182439 DafefB IIIN Inspection Pax 503.598.196Q1\'; 1 'i l 018 Plan Review TIGAR0 p on Line: 503.639.4175 Date/B e Internet wwN tigard-osrcgov , -t c ,: ..•, Ready Date/By: Related Penult# z � ?SL"`a a1 t'� ;61. Ot t 7f-\,::,,,:-,.:-4,,, Nod ftedlMlelAod, 11111111111 0 See Paget for New con ¢ ' !, _ Supplemental Information constructionAdd 5 ta,- >;•,.,:`,s Y_ :t,; :.:::.1;::.:. 0 ition/a teratioWrep ent h''' Please cheek a ' seem i ppl ... ❑Demolition 1 : ^ ,z,...n. �. kli ❑Other: Please cheokatl t EV.,_:.;^c7>.K"s,;- 1z<<.`;. � ��°'?i`3z�x�z`�'°«.{a'�;�i`�'r'`•�'`_7.�,.._ � -.._: L�Servioa� hatapPlY(su6mitZsd S. , feeder 400sets ingeveothreesto ®-I l�'�'„l-�.' mapsmore ^and2-family. ' `•s•`:a% ' ' .,d' O ,2:i. ' :i.r. .;:xr: a where the,000 bl fault or []Doaingoverfivesstories dweIiing ❑Commereia> nduskial �` k :'s`it':.''"'sr"`:' ':y exceeds satlsovet or rent 0Marinasand boatyards. ❑ -and • El0 Accessory building less to ground,or exceeds 14,000 sa Floating buildings • _;'Multi-family;i . Master builder [i Cornmeroin[- agricultural r ;'s :va, t ',i f pi.=8 :t :. ❑Other: amps for allouter installations, •buildings. V i • Job#: •.e.,-::, : N A' :ll$ `:`1;4X• ❑run pump. ga. '>i: . 'N:'','(€::r'? ❑$taergeney system. 0 Installation of 150 KVA m Job site address: O s >t Addition of new motor load of largeraeparately derived .- City/State/ZIP:Tigard,OR 97224 _ �: t or mom system. $uite/bld /a ['Six or more residential units. ❑OCO '"1-2","1-3", g pt.#: Project name: r' L7HeaN4 caro facilities. I 0 !- ❑}Iazardouslocations El onal ltage vehicle parks. Cross street/directions eet/directions to job site: ti Q Supply voltage for more than DS:avice or feeder600 amps or more, 600 volts rtonuust `•tie, .,t. .r a.:.:i:. ;'TE. �-! t }v-ti^^t4.�_:::::: • Subdivision: ./ �.' Desert nen .,.. '...,<:�i p.e:..::=.-a;.•:.. . .c t [: - , Lot#: New residential dgarsingle-or multi-family( dwellinginch ®� Tax map/parcel#: 7 Includes attached garage. unit :` yam, ion,,'Xi:ia'� iti:,c 1.000 sq, less f ::.. :, �OB1I'1'b >jOc � ..:``:::: i;:,ar.:.: .r..__.., ,•::. ... '1500 sq .,,;:,:._:.... . ::,,_.•;, Ea.acid .R•or portion ` " Limited energy,residential in with above t:, 75.00 -� Aa Limited energy,multi-famil � `":,, r•f ;.,t.; residential with above,y$ , ?5,00 Lille tTP '' Servlcxs ot•feeders installation,ait�era d'on aad/arrel-• Ell Address:• /O' lb , 200 amps or less 10.70 City/State/ZIP: a , CI ► 201 amps to 400 amps ®�© Phone: Aka i", i : it 401 amps to 600 amps 20034 1�l ly -' Iv 601 amps to 1,000 amps - 301.04 �© Email: , ' A o�t,0�amps w volts ,`` l 21:- 1/ 0,V# Temporat7 services or feeders installation®tion E rt l: Installation:This install: •-is.e & 11,1#.110 Owner wndrdnst sale,Nation: g m: •n property that own whi relocation amps o lease,rent;or exchange,accordingch isnot 200 amps or less - Owner signature; g' to ORS 447,449,670,and 701. 201 amps to 40059.36 �© `�< • � - � ,N•;,,.t• ,, Date: 401 amps599 amps _- 125.08 WWI) Owner y'kk1.'ttt::::Y:sta'1>I l ;,,"'•'t7_'Ra^.Y;:," toamps Business name: �' s' :� .e:.~ •; isl. . Q, tot-' : Branch eircnit w alteration A Pee for bench c or extension,.er,anel Contact name: - 'I 1% 1•1 111 kt' above service orfeeder ' 1 / ► ►: each branch circuit 111E111111 Address: ` • B.Fee for branch circuits without ` Lf • -!-i service or feeder fee,first City/State/ZIP:Vancouver,WA 98660 1C ' n circuit 1111111111 Phone:(360)695-7700 ��' d'1 branch circuit Fax::(360)693-4442 Eachesh minncotrs service or feeder n eluded �© Email: ` 4 � :;"? ' '1►.' •41 k• •..n ♦i ilti. 11111111101 m service aaed dmodular fe d r Email�SnaQl J r, _, .mJ=- :::t1n, :,rHr <�.::t'-moi=,,..,�i11,:.„;Yri'' Reconnect only �- Garner Electric Washington,LLC J"t•,'i >, nP or irrigation circle 1111111=31111111111111 Address:402 Teensy Ave NW Ste 106 Sign or outline lighting � �© Cita'/State/ZIP:Puyallup WA 98371 sib it(s)or limited-energy �© and,alteration or extension. 0 See Page 2 -� Phone: 111 (253)872-6051 Each additional ins,ection over allowable in an of the above Fax:(253)872-1801 Additional' _ inspection(1 hr min) Email:bdaniels@gweusa.com Investigation p he rain) � Industrial - 90, 0/hr Nan COB Lic.: CI1S8 plant hr � _1 Electrical Lic.: 208174 Suprv.Lic„ Inspections for which no fee is Suprv.Electriciansignature, _'�� 4496S ;,1::recal. listed 14hrmht , 90'00/hr -N Print name: Joan P fid. ..nr.',._. ., ... ..u-.cam a o is� ire o-, a =`'t-.:t: _ Date: ❑Plan Review Required Subtotal: 1111111. e9 (25%of '� -- 11111111111. Statesurch permit fee): (12%ofpermit fee): 1.11.111 Authorized signature: Print name: Bill bels TOTAL PERMIT FEE: Date: NUMB This permit application a xpir es if a permit is not obtained tvithhr I80 L'1Huildiee{PeadtaLC Psraf p BM� �06/17/2013 days wirer Wise been acescomplete. t Number of inspections ailowod accepted as 4t0-46tSf(11/o5/C01.ilwgg per Plumbing Permit Applicaio ° -- Build' g °' _ k.. itn Fixtures .�an .. City of Tigard: i 1 2 018 Re vo iniggilifna ' 1.3125 SW Hall Blvd.,Tigard,OR 72 �,, Dat a Phone: 503.718.2439: Fax 503," a i?1ai�Review T t c A R D Inspection Line:503.539.4175 '..t `. . "' ` :` '' Da Cjtjmr Pemut No.: Intim www tigazd or goy S I L)'_)','�; 1 ,0"'-`,F r Datmed/me s�,�,yif,�r r.a .0 aw-.as. a.s t, �c s.r a NetiSedlMetbod . kr � "` a,t,':+ .t"'t+ r'-"T,yb - fief g'�.� `a: ,.1" u...w.+..v. �....t=.�.w. ,!:��.��rf�}w.�`aa� E 1x�a�a�..<: .y ''LL-. a.e<� �r'ie fix,�?,, k �_. .s 4�....... !-..iv�".,.r_ + i.-:.3. 4014+' r!i'-S **-000i'•..fallag �l.'^�.4�r':. ��New construction, �I)emolitian • . Fors,.w, in orntialiox usrck 4#1 �111 Acldshontaiterationh placement , Other:. . • .don e� iWi�? he,.• .- New 1-24.. dw _ Includes I00 ft.for eau o ' ` M+� 1 ` IST 7. ` i,. £ �",4S SFR(1)bath I 312.70 �k 1-and 2-lamii1y dwelling 6 SRR(2)bath. – f�ammetcial/industrial. 437-78 •Actessoty building Ea Multi family SFR(3)bath 500.32 Master builder Each additional batb/kitchea 25.02111 « Other. 1:11*'�a� rr OB 1 IQ1ht4 !'#419 A d r 's,x Fire-sprinkler( sq,ft.)-. R 2 " _ ::::r f ' . 0Site utiFidess , 11/11.11111111 Job site address: 2 A ' Catch basin Or area dial: Csty/Sfate/ZIP:.Tfgard,(3897224 _ Drywclt,leach line,or trend drain. 18.'76 Suiie/bidgJapt.no,: Project name: P' • Rooting drain(no.linear f}:__) Page 2 Cross street/directions to job site ' to Manufactured:red home utilities- 50.03Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(ao.linear 114' ): Pim 2 Stone sewer(no,linear it._, Page 2 L _Stibdivisior 11 j�i1(� TC.1Mn tee .+" / Water.service(no.linear itt.:._._) Page 2 Lot no.:tf 7/ Fixture or items Taxamap/parcelno Backflowpreventer 1 31.27 ` ,s.Pigll ...�.��. r;,:: fib.,. ` 1 0t.WO$K +4• ,. #n $aCktvaterYelYC ' 1251 c t,. _..... CI+t7�ltCS w$SlteX 25:02 Dishwasher 25.02 Drinking fountain 25.02 4cotorslsump 25.02g 4 i , T* iy $' E "tm -R _ Exansion tank. 12.51 Name:AD VL Land loidinga,LLC: Fixture/no/or cap 25:42 Address:7600 EDoubletree Ranch Road Floor dmin/flobr siak/lmb 25.02 City/State/ZIP;Scottada1e AZ 85258 image di p° 25.02 • Phone (602)694.4031 Bose bib 25:02 . : Fax.( ) Ice maker � 12�i 1 �:.-'4i•'•5✓Acr R7R 1. }°�5 = 4 [Tl'.xn V .. _ -.:> ...::�si ',.�.:� .�-. . .:.��:�`:) inWrcePtcl/ 0trap 25.02 . Business name:William Lyon Homes,Inc Medical gas(value:$ ) Paget COAtaCt dame: ,hM Pruner 12.51 Q Roof drain(caminereiai) 12.51 . Address: O 3 QT s+ Sv,j'te 0 Sink/basin/lavatory 25.02" My/State/ZIP:Vancouver,WA 98 Solar units(potable water) 62:54 Phone:(360)695-7700 f Fax (360)693-4442 Tub/shower/showerpan. E mai Ni�ho� 1211 r Urinal +`d a T + 4 k 'r/�u��'/�{'/fi�r�V g`o ■�•�1 Want closet 25:02 Y 3S:t12 BnStIIeSSnaID ,�.� 1 4,40>1 .4-5010.147 Water heater xl 37.52 Address: . aa 1 je� ..Wt Wattrplping/DWV 5629 1).15. s•'x1 of C yh-state/Z p ST. P arc, ci't 131 25;02 Subtotal ' Phone:( ' 'pit''.* 4",. 1411 Fal:11 V "-14I—i►tiA> lvfmimum:permit fee: ram Lie.: 185 J 1 .., Phimbi ing Ire.no. 7'lao review t j (259�O.o perm t fee) Authorized signature ��tf�1,,,* `/j a surcharge(I2%ofpenait fee) 1 Printnatnet1*X"� Tt4TA1.PERt41lTFEE " ` I S t- , w Q,..._ I 1 :S..36-I rj.`�`.I This permit application expires If:permit conbtstued Main 78@:days after fans been accepted as as template. *Fee methodoiogy"t by Tri-'County Building Industry Service Bond. "a iddiesiPeua84111.1M-Pamitapp.oc]erox/p9 440i61b410nA'BB) It i ` *" City of Tigard i N COMMUNITY DEVELOPMENT DEPARTMENT III T l c A R D Building Permit Review — Residential Building Permit #: At Srct 0/7-00 c j Site Address: I LI 3 0 S'i GI,- Ttrrate (3 l i Project Name: kw Tcrract Eccs}- Lot #: II-) (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: C,ov4rjciuA. of new S F R E(yerify site address/suite#exists and active in permit s stem. OE/River Terrace Neighborhood: CI No Yes,See River Terrace Review Addendum Attached Sit- Plan Elements: P . ee(3)copies of site plan sting structures on site I site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished VDrawn to scale(standard architect or engineer scale) or elevations )iorth arrow tility locations&easements(required for new and additions) gt§ite address,project or subdivision name and lot number LidSidewalk/driveway approach plicant information(name and phone number) VI'_.cation of wells/septic systems of dimensions and building setback dimensions IG Existing trees to be retained with drip line,and tree S care footage of buildings to be demolished protection measures PIIKot area,building coverage area,percentage of coverage and [ Street tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) reet names / roperty corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? [Yes ❑No 4 oot differential) If yes,is a storm water quality facility shown? ❑YI,, No Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): l_. APIOi v' 1, equired: Yes,applicant was notified V No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: / la At. equired: ❑ yes,applicant was notified/ D/No Applied For: CI Yes ❑ No,stop intake Lid' .nd Use Case#: I°D NI 6-0000 eFL Z016^00oP 11 oning: N-3- I°1J) Required Setbacks: Front 12 Rear O Side 3 Street Side 3L4 Garage 3 i2//:Landscape Requirement: Z,O % Lo t Coverage Maximum: 80 % '2' Building Height: Maximum Height A- Actual Height 2 3 k,_'4,_/Visual Clearance � LtQ ensitive Lands: M Yes ❑ No Type Go4I , . Si,tic j UP'Arta: t VA/ut L1 Urban Forestry Plan ❑ Conditionsr "Met"prio to issuance of building permit it //v� Q Notes: C iiJ- 6k r Ji - IK s;,rcJ 04 U, p��AM11q 1 a/PrT✓hi. Approved By Planning: ,\. t.-6,/1 J Date:)2 /1-1 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: Cl Approved ❑ Not Approved I:\BuildingWorms\BldgpermitRvw RES 061417.docx Building Permit Submittal .t . i Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: W nter building permit#above. Workflow Routing: 5" Planning ngineering1111,-Permit Coordinator Building Workflow Sign-off: Sign-off for Pla ning(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. ,Z'] Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: /44-Air/ill&r4 Date: /x/2)//7 Engineering Review Slope at building pad: (0 70 ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ,12/Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ..0 No Assess Water Quantity Fee in-lieu: ❑ Yes . Y No LIDA Facility on lot: ❑ Yes 4 "----No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: {Il,I ((*'j Ids 4 Date: / 12._A fb 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: 'es ❑ N/A Tigard Trans SDC: 'Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes T/A OK to Issue Permit Date: ' Approved by Permit Coordinator: 2 I:\Building\Forms\B1dgPermitRvw_RES_061417.docx s City of Tigard rIII COMMUNITY DEVELOPMENT DEPARTMENT TIC x D River Terrace Building Permit Review Addendum Building Permit #: Site Address: I L 130 S W RE\r. 7trra(e Olid. Project Name: Kivcr ltrra{c Ccs I- Lot #: 171 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distfict Design Standards (18.660.0701): Is the project subject to the plan district design standards? E Yes 0 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.deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft.,5 ft.wide min.2 ft.,6ft.wide Gabled doer 0 0 0 0 2.Eyes on the street:a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: Z / 3.Entrances:At least one entrance must meet both of the follog standards: LU 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: Yes 0 No Ifs,all the following apply: L5 sq.ft.min. pg One street facing entry [ ')2 ft.max.roof above floor of porch E1/5 ft. depth min. L►�"30%min.porch roof coverage 4.j�etailed Design:All buildings shall include a min. of five of/the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft.deep C`I Recessed entry area min. 5 ft.wide x 2 ft. deep 0 Wall offset min. 16 inches 0 Dormer min.4 ft.wide ❑ Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood 0/Gable,hip or gambrel roof design ❑jtoof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide [Accent siding min.40%of street facade 0 Window trim min.2 1/2tt wide by 5/8"deep ❑ Window recess min.3 inches for all street facing 0 BBay window min. 5 ft.wide by 2 ft. deep ' f k 0 Balcony min. 5 ft.wide x 3 ft. deep with inside access C Attached garage is 35%or less of street facade N G c 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: iS in No closer to front or side lot line,than longest street-facing wall. 0 Yes 0 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. QI`It`{ ❑ 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 0 40%max. of street facade 0 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: _.Alin l _ Date: i7,-I(-- I:\Building\Forms\BldgPamitRvw_RES_RT_062216.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Ill - Transmittal a smittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Agnes or Monica. DATE RECEIVED: DEPT: BUILDING DIVISION R D 1 ,(; FROM: Nichole Thorpe CITY t F- sd A COMPANY: Polygon NorthwestI" " (i,!(. P= PHONE: 360-989-4204 By: JC RE: Z• 21 t. ' 'L ite se es (Permit Number) liver - c� , _ 'roject name or su•i ivision name an. of num.er ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 0 Additional set(s) of plans. 3 Revisions: tAp} (sc-e vok acp Q) 0 Cross section(s) and details. 0 Wall bracingand/oillateral�` analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. attached art pl uf p b.ru told bulletins,' -e-xpla,ini The. Rm-T iae.e. bump .Asn scL vj \re.0‘OS of %1NN. FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑No Fee Description: Amount Due: Special Instructions: Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Budding\onus\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12930 SW RIVER TERRACE BLVD, September 11 , 2018 at BEAVERTON, OR, 97007 9:59:39 AM Record Type: Record ID: Residential - Master Permit MST2017-00523 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: 12930 SW RIVER TERRACE BLVD, September 11 , 2018 at BEAVERTON, OR, 97007 9:59:48 AM Record Type: Record ID: Residential - Master Permit MST2017-00523 Inspection Type: Inspector: 699 Mechanical 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: 12930 SW RIVER TERRACE BLVD, September 19, 2018 at BEAVERTON, OR, 97007 12:48:31 PM Record Type: Record ID: Residential - Master Permit MST2017-00523 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