Permit (100) 114 q
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2018-00052
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2018
Parcel: 2S 106DA09200
Site address: 16794 SW SNOWDALE ST Jurisdiction: Tigard
Subdivision: RIVER TERRACE EAST Lot: 92
Project: River Terrace East, Lot 92
Project Description: New SF.
BUILDING
Floor Areas Reauired Setbacks _Re quired
Stories: 3 Bedrooms: 4 First: 1254 sf Basement: 735 sf Left 3
Height 28 Bathrooms: 3 Parking Spaces: 0
Second: 1655 sf Garage: 464 sf Front 8 Smoke
Dwelling Units: 1 Third: 0 sf
Right: 3 Detectors: Yes
Total: 3644 sf Value: $443,165.01 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 1
Y Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0
Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0
Bckflw Prevntr: p
Footing Drain: 0 Ice Maker: 1 Catch Basins: 0
Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders
Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0
p W/Svc or Fdr: 0
Ea add'I 500 sf: 6 201-400 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:
NEW TYpe of Constr: Occupancy Group: Square Feet:
SF VB
R-3 3644
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 2 A geotech report is required
SCOTTSDALE,AZ 85258 before the footing inspection
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $37,025.62
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 52-001-0090. Yo.i may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: '�✓2' % '<
/j<------ Permittee Signature: Bit/ /--,,c /e'.�."7,7,v'
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.
. L 0 7 q-2---
Building Permit Application
Residential `" --,.
FOR OFFICE USE ONLY
• _ City of Tigard Received �, i�
M 13125 SW Hall Blvd.,Tigard,OR 97223 h�Ov d ?_5A7,,,_,..,
01' Date/By: / Permit N� //11
1" Plan Review v-
Phone: 503.718.2439 Fax: 503.598.1960 t1, %�At L) DateB : �+ •-I • OtherPermit
Inspection Line: 503.639.41751114
��
P t ( - 3
TI GARD Internet: Line:www.tigard-or.gov 1 S i ;+(.. DateReadyBy: +�� le // �
g g nitiz" Notified/Method:
' Supplemental See Pagefor
3�1����° Information
E.OF WORK REQUIRED DATA I-AND 2-FAMILYDWELLING -.
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other:
equipment,materials,labor,overhead,and the profit for the
CATEGORY OFi CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation:
0 Accessory building 0 Multi-family Number of bedrooms: $ 1
4�3 i6S
0 Master builder ❑ 3 J
Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors V'
Job site address: I in q LI aNj ,n O`� New dwelling area: +'-�V \ S� !� square feet
J
City/State/ZIP:Tigard,OR 97224 Garage/carport g arport area: /_ square feet
Suite/bldg./apt.no.: I Project name:River Terrace East �J
Covered porch area: /� square feet , C‘��
Cross street/directions to job site: /
Deck area:--I-t-e1c 1 6 0 square feet )(I 9.
Other structure area: square feet 731/45
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace East I Lot no.:92_ 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
��// DESCRIPTION OF WORK work indicated on this application.
5e)t-.U‘— Valuation: $
Existing building area: square feet
New building area: square feet
PROPERTY OWNER l ❑ TENANT. 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:
El APPLICANT- ❑ CONTACT PERSON
- GILDING PERMIT FEES*
(Please refer tofeeschedule
Business name:Polygon WLH,LLC )
'
Contact name:Nichole Thorpe Structural plan review fee(or deposit):
Address:109 East 13th Street FLS plan review fee(if applicable):
—
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 I Fax::( ) Amount received:
E-mail:Nichole Thorpe PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONS Rr1CTOR, Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name:William Lyon Homes,Inc
Address: 109 East 13th Street and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review
and administrative fees): $180.00
Phone:(360)695-7700
Fax:(360)693-4442
CCB lic.:207247 State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature:' This permit application expires if a permit is not obtained
'6. �7Afir_._ within 180 days after it has been accepted as complete.
I *Fee methodology set by Tri-County Building Industry
Print name:Nichole Thorpe Date:06/16/2017
Service Board.
I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Vlechan c l Permitplic ' L` ‘°
City of Tigard �e�i4� >?cf�c����c�� ��.�a��.�
II.. 'w 13123 SW Hall Blvd„Tigard.OR. 97223 N 07 2.Q l � � �!
i
5113.718,2439 Fax:. Stl3>598 t (; EISIIIIIIIIIIIIIIMII MaxPe.alt:
Ttc.ArtD
Inspection Lug: 303.639,4175 ���( C) t
Internet wt w.li v 3U1LDIN t�f N
t' €.d DateRitl
kill
ilio
TYJ E OJ 41 711tX „.:cip htw.1. £E"s lcot`t 11walch.1$7.'>.
New taUttsirttt tivrt Mechanical perrrtit fees*are based on the value of the work
0 Adst tionialieration`replacement perforated,truncate the value<rounded to the nearest dollar)°fall
0 Demolition 0 Other: meclrinical materials.equipment,labor.ovetr€ead<and profit
GA 7 EGDRY OF`(0�5 f7ti Cf IDS: 1$alue:5
�•and 2-familydwelling0 _= R£SIDE.'�'7l1;V Ei�L�"4E,'el'fil5'i`S3'£'CriS;FEES*
Comme a€laindustrial CI Accessory building For special information use checklist
I Multi-fondly 0 Master uilder 0 Other Description
I Qty. f Teta'
=. Jt}B Sim 1h1FORMA'T10.*:op.tOCAilm Neetiegkeeiiup:
Joh site �� 14C vV �' f\ ` f i Air conditioning ' 46.75
J 1 iUIN AO 1 e, S'r Furnace 100.000 BTU idlora4enis) 1 46.75
City/SP:Tigard,OR 97224 Furnace l00.000+BTU eche 54.91
Suite/bldg./apt no.,: Pfoj name: Q' tient pump 61.06
Weir Te,rrctce . easl- Duct work
Cross directions to job site: 23.32
iivdronie hot water system 23,32
Residential boiler(radiator or
hvdronie) 23.32
Unit heaters(filet-type,not electric),
in-wall in-duet,suspended,etc, 46,.75
Flueivent for any of above 1 23.32
Subdivision:- ` i4.e r TeA race.'E.0.s1 I Lot no:9 7_ Other s3.3_
Tax map el t .: r fuel p eros
Water heato L.2 2332 I
3YF �-ra0:11:OF '1a ORS' Cas f insert 1 33.39
Flue vent for water heater or gas
fireplace 2332
Log Heiner(gas) 2132
•
Wood/pellet stove 33.39
Wood fireplacetiusert 23,32
Chirant linertftnelvent 23 32
.ilkkT1 + "tB . .:,; �fl TE' 4s`Z . Wit` 23;32
€ ante: (�.�1/ J�,,,1
• Environmental exhaust and ventilation:tion:
t. e'±'V L, Land TI t �Hir-l-1 S!t'-� Range handfed-ter kitchen
Address' `e 00 -�(] YC 1 C > ,, ,� �,
equipment 1 3".3.39
{.} -e, —t mit .Y \ Pact Clothes dryer exhaust 1 � 33.34
City SCU t i J ci �Z ?j9'Z5�7 Single-duct exhaust(bathrooms.
Phone:t(p 02,(061(4_4 031 1 Fax:( ) toilet compartments,utility rooms) 13.32
.*-.AkYP1[ ' 3 Atti craw va=fans1 j. 23.32
t;' I
, - l CCtl1 fiAC2 l" R`3'+ti Other 2332
£#ttsitte name: ,�^ `10 Y IBJ ,'w C I Fuel pipiur.
�N I I1 i am L u, l 1._M\
Contact name: N i GYl at�� P 514.13 tum num 5403 r> additional
r� '? oq ur . _ 6
Address:` 4 Q3 4J Q o JJ1 Si- Soak,, SIO Gras heat pump
C: yfSt c P:1`attctra er,WA J S atlIsuspentled`uuit healer
Water treater
Phone:(360)69S-77110
I Fax::(360)693-4442 Fireplace 1,
Ranee E-m.ad ,'UI,ch* ii. 0rpe p p� ._ P.s .rill 1 '� .
i< -;
, I��s dryer i > 6
Business tie:Apes Air LLC 3
Address:l ' E '°Ave
31iE+C$ 1 i'£1i11 *-
Subtotal
City/, LIP:Vancouver,WA - Minimum permit fee(S104.00)
Phone:(360)3424;109 Fax:(360)326-13 Plan review125 of fes}
aCCB .:lft3 Sty surcharge(1.e of #ce3 1
TOTAL PERMIT`FEE
ham accepted incomplete.
Thi it application eapirrs if a permit is not 'fed within loo
Authorized sign dates after h ha:
,,,,. ` F rick++sit by T"' tti Building industry.Sersier Board
Pri4nt I Date: 4-it.t 1
44.5.a::#7 t8 5.n=C'i:tM'i4 Edt>
Electrical Permit Applicat.f.'ft‘
• ' rN:I 1 1-- b Ol,+tICE-USE S
-141Erilit: -,rj Received
_ !
City of Tigard
2dlt 6� Rete iv / / riffn r
'c 13125 SGV Hall Blvd.,Tigard,OR 97223 t6 Q v 0 , 1 r x 1
Plan Rcviety
Phone: 503.718.2439 Fax: 503.598.1960 -a Date/B - Related Permit#:
Inspection Line: 503.639.4175 I ii'1g"'i'r' Read Date/By: Inns 1
TICARD' N Notified/Method: l7 See
Q, Internet www.tigard-or.gov $a{ oh ethod. mental Information
Ready r.
.�� apple
'
®New construction 0 Addition/alteration/replacement Please check all that apply(submit isets of plans w/items checked):
❑Demolition Other: ❑Service or feeder 400 amps or more 0 Building over three stories.
4a' _T;1:,'}:KPJ yavailablefaultcurrent
;,Ls, � .. where the ❑Marinas and boatyards.
- 'L�'`A�lri'
;ia
, __ ,oi._. ._k.._. , .� �"•. l�J� ;�; - exceeds How amps at 150
- :-.rS , �_�. _.,...:...';'r�'�:'�: ?�.��i'6:�+. rtp volts or ❑Floazingbuildings.
®1-'and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural I
❑Malti-family • ❑Master builderamps for all other installations. •buildings
I.Other: - - ❑hire pump, 0 Installation of 150 KVA or
M:,.. :< 11 E 0:
Rl1�i#TIOIY Al!IIS.:_:�„ �'I'[Q.. ;;:�`:i '�:'7'`.:'`i�._=�; ❑Enver system. larger separately derived
.ahs i.:'._:: L9CA,.•,..._lY - .. . gencY Ys
Job#: Job site address In I^I ❑Addition of new motor load of system.
l,C� SV V SVl QUIJGA S}— 1001R'or more, ❑system.
City/State/ZIP:Tigard,OR 97224 0 Six or mom residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks. 1
Suite/bldgJapt,#: Project name:P'j y --rtr race,EaSL� ❑Hazardous locations LI Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site; _ -
Zl Tatnl
Description i Qty. I Each i , '
New residential single-or multi-family dwelling unit.
Subdivision:gA4e,rT2rra.ce. .E -1/4-- Lot il: 1^� Includes attached garage.
Tax,„�`F�� arcel#: (� 1,000 sq.ft.or less I 168.54 ' 4
"" p
.::.:-.r•.--- :�..::...: ............:. ..... Ea.add'1500s ft.or portion �
- .. - ki:.- -_ .t..:: , P 33.9_ 1
P _CBIP.TWN F':WORYCr i
..,..�._.:,...::..-. <,..,�_.... ....:...; •, ::•.:.: �::: .:.: ::t °: Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
=c7 .r' :, ew . e
Services oablet•feedersEne installation,alteration,
SeePand/2
or relocation
Name:, A-D V L_ Lar•VA 40 k ei 1 t i c 200 amps or less 100.70 2
Address::1 I/1 DO 'E bo( b\„-k-ry d t — R ,& _ h 201 amps to 400 amps 133.56 2
W ems" �L� l�-�X�� 401 amps to G00 amps 200 34 2
City/State/ZIP:' caL.Ae. (�-L.igS'2 S 601 amps to 1,000 amps 301.04 2
Phone:q 0 C?' —1li_(46,.)I l ?Fax:( ) Over 1,000 amps or volts 552.26 2
Email: ' Temporary services or feeders installation,alteration,and/or
• relocation _
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
- - - ,.�.i. ,lis_ _. ?`�- Branch circuits—ne►v alteration or
-:>i.= 3,� PIf)`Cti,NT. - - - s extension,per panel
_ . .� a .- .. �K 'COTIT+A;GT-E
rs�:����..:-�;,� -' A.Fee for blanch circuits r>'tth
Business name: VO i•ti i CUM.-K .42 2
`�D,^! S Mlle above service or feeder fee, 7
i each branch circuit
Contact name: N.; rye, B.Fee for branch circuits without
�`-� I 1 service or feeder fee,first
Address: W3 anal,10 ¶-- SU1i •e.cl, branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 b Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax::(360)693-4442 Each manufactured or modular
Email: N I!'�l lL dwelling service and/or feeder 67.84 • 2
s :_- N- .AtI <.ti;,:r1Aar' ,. e �.. . A/1.).V�1 X05.. 40 Reconnect only 67.84 2
,. ,_ �..�� ;,�r<; •-`,�� .� .._.,_,,:�`i'-'.-..�'k�=�=��':�.`���.�:.:.... .:.:...... .. .n_,. ,.:. .. Pump or irrigation circle 67.84
Business name:Garner Electric Washington,LLC Sign or outline lighting 6724 2
Address:402 Valley Ave NW Ste 106 Signalnel,alteration,tri )or limited-energy 0 See Page 2 2
panel, or extension.
City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 6625/hr
Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90,001 hr
Email:bdaniels®gweusa.com Industrial plant(1 to min) 78.18/hr
Inspections for which no fee is
CCB Lie.: C1158 Electrical Lk.: 208174 I Suprv.Lie.: 44965 speci5celly listed(14�harruri��nn�) 90.001 r
Suprv.Electrician signature,required: • / �!t '` -'w __5_"_" ': `:`:;:-':''
Subtotal:
Print name: Joan P Albert - Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: Imo- TOTAL PERMIT FEE:
This permit appticatiion expires if a permit is not obtained within ISO
Print name: Bill Daniels Date: days after it has been accepted as complete.
* Number of inspections allowed per permit
L-lBuldiagMermiu5LC_?ernritApp ELK Hradec R=06117/2015 440-46t5T(tJI0$/COMMEB
r
,, D
Plumbing Permit Application
Building Fixtures NOV 0 7 2017
lOK Of•fl( E I sl: 0NI.1
City of Tigard ;i`"(•'Y Of- [9 hAR EEcw
al 13125 SW Ha11 BlvdTi ar 0 �r:7•�t I ' q � Di g d, , ;. N1Permit No ��i�(/f O'�L/�
Phone: 503.7182439 Fax: 50 . Date/By: Other Permit No.:
Ii c n R D Inspection Line: 503.639.4175 Date Ready/By: Tuns: El See Page 2 for
Internet www.tigard-or.gov Notified/Method:
Supplemental TYPE t)F:R'ORIE,:::..,......... M
Information
- , -:,: `,::SEE---SG'I*If►;ILL•..;::> :;A,,,_ •v ;_:,.. _s
®New construction : 0 Demolition For special information use checklist
Description
❑Addition/alteration/replacement 0 Other: New 1-2-famil dwellin I e Ea. Total
Y gs(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
El Master builderEach additional bath/kitchen 25,02
. 0Other: Fire sprinkler( sq.ft) Page 2
aB
'JOB SITE INFORMATjON On LOCATION Site utilities:
Job site address: 41(� S a S� l� y ' • Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 V �i Drywetl,(each line,or trench drain 18.76
.f Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: g�i.e - -a 1^/vi �o,z+ 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 R: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: iz,iv-e,v-1 Ce__, s-k- 1 Lot no.: CI I Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
. •. DESCRIPTION OF.WORK, : . Backwater valve
I 12.51
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
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 . . 0 CONTACT PERSON• Interceptor/grease trap 25.02
Business name:WilliamlllLyon Homes,Inc M gas(v�ue $ ) Page 2
Contact name: v 1 I C hr 0 k TN Dypc. P12.51
Roof drain(commercial) 12.51
Address:1.03 r9rDaa'�vje , i �T �U /� S\t
` �"�'•'� � Sink/basin/lavatory �.t rl�(yy� �' 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) / 62.54
Phone:(360)695-7700 Falx::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:. f i c h ole �n►����OITRAt Rt •J J o1 hOr e S.r_.C�111 Urinal 25.02
Water closet 25.02
Water heater /� 37.52
Business name:Malmedal Enterprises Inc. 1
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 Lic.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee)
� State surcharge(12%of permit fee)
Authorized signature: C..„---.....4": 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.
1:1BuildinglPemtitslPLMU-Pefmitppp.d°° 1D/01/09 440-4616T(10/02/COM/WEB)
„,,.. City of Tigard
114 ....-' nN COMMUNITY DEVELOPMENT DEPARTMENT
III
Building Permit Review — Residential
TIGARD
Building Permit #: ,4457 )(3 GZ�,
Site Address: t`Q16114 S\Ai Snmidate, Lc--h
Project Name: R\Ve)( 1Xrctc e -EaSfi Lot #: 92
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: NeVJ 12-
,I' Verify site address/suite#exists and active in permit system.
ig River Terrace Neighborhood: ❑ No 1K Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
,Three(3)copies of site plan `'
l Site plan must be on 8-1/2”x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished
raven to scale(standard architect or engineer scale)
floor elevations
iMD
North arrow 17-Utility locations&easements (required for new and additions)
'C Site address,project or subdivision name and lot number 1idewalk/driveway approach
'Applicant information(name and phone number) lig • i's : ,,e I s s-•lc
.•n Llec 20 ,• it • • ._ . . '• ii , .1.
trres-
- .•. ,; • :.: •'. o .- --..:;s--d tec ' eas
,Lot area,building coverage area,percentage of coverage and ❑Street tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) IZIStreet names
1:25?roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Yes E No
4 foot differential) If yes,is a storm water quality facility shown? ❑Yes ❑No
!t Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified IX No Received: ❑ Yes ❑ No
9 Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified 'L No Applied For: ❑ Yes ❑ No,stop intake
g Land Use Case#: P D R9-D110 on I
M Zoning: a'i(,pD) a
Required Setbacks: Front V Rear `c) Side 3 Street Side \//- Garage Zp
Landscape Requirement: Iv %
X Lot Coverage Maximum: OD
-D uil Maximum Height If../IA Actual Height
gVisual Clearance
14 Sensitive Lands: D Yes ' t No Type
t=Urban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes:
E Approved By Planning: f/ Date: ( ' I ) g
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
I:\Building\Forms\B1dgPermitRvw_RES_061417.docx
Building Permit Submittal
Original Submittal Date: # 7//J//�` . 9
Site Plans:
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning [ Engineering p7Permit Coordinator -� Building
Workflow Sign-off: Sign-off for P{anning(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.
L .Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ��/ � ��� �, Date: 2 jr&
Engineering
✓� 7
Review ,�)
-E1 Slope at building pad: 6
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
2'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: LI Yes ET No
Assess Water Quantity Fee in-lieu: ❑ Yes in No
LIDA Facility on lot: Cl Yes -LJ No
riff-Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 11471/,,t, '1J / Date: "4—//015
Revisionsildin after Building g Sub mittal 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: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes GI N/A
LIDA ❑ Yes p:,N/A
/ POK to Issue Permit
Approved by Permit Coordinator: ADate: $ ? Y
I:\Building\Forms\BldgPermitRvwREs 010118.docx
1111111
City of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 110191-{ SW Shovveti t-e S+.
Project Name: River T-erru.ce Es-- Lot #: Q 2.
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.L):
Is the project subject to the plan district design standards?ijgi,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.
Balcony w/access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep
ft.deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
El ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 2.010
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: .porch: IX Yes ❑ No
If yes,all the following apply: , '25 sq.ft. min.
One street facing entry 0 12 ft.max.roof above floor of porch
5 ft. depth min. K30%min.porch roof coverage
4. Detailed 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 -'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.
❑ 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 ❑ 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 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 door40%max. of street facade
El 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: ___./Ashetri_
Date: 09D`(,q>
I:\Building\Forms\BldgPermi[RvwRES_RT_121417.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16794 SW SNOWDALE ST, BEAVERTON, September 10, 2018 at
OR, 97007 1 :03:41 PM
Record Type: Record ID:
Residential - Master Permit MST2018-00052
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
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:
16794 SW SNOWDALE ST, BEAVERTON, September 17, 2018 at
OR, 97007 11 :00:23 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00052
Inspection Type: Inspector:
699 Mechanical final Jeremy Burrows
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:
16794 SW SNOWDALE ST, BEAVERTON, September 17, 2018 at
OR, 97007 11 :01 :04 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00052
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