Loading...
Permit CITY OF TIGARD MASTER PERMIT lig ■ • ' COMMUNITY DEVELOPMENT Permit#: MST2018-00070 T f(;A It.f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2018 Parcel: 2S 106DA 10000 Site address: 16873 SW BIRDSONG ST Jurisdiction: Tigard Subdivision: RIVER TERRACE EAST Lot: 100 Project: River Terrace East, Lot 100 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1105 sf Basement: 0 sf Left 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1427 sf Garage: 385 sf Front 8 Smoke Dwelling Units: 1 Third: 0 sf Yes Right 3 Detectors: Total: 2532 sf Value: $306,326.90 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Y Rain Drain: 1 Urinals: 0 Lavatories: 0 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Drains: 0 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 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'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 P 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW TYPe of Constr: Occupancy Group: Square Feet: SF VB R-3 2532 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $34,067.24 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. /AZ:,Issued By: Permittee Signature: j- > "id/V__!4"">c>4_ . 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 40 (cn en. l FOR OFFICE ISE O\Ll a y /y' City of Tigard AUG2 g3 U 7 DateB p? /f'�/ �j�� Permit N.•• $/0O/t—Ge��//>- Received % 13125 SW Hall Blvd.,Tigard,OR 97223 G V 6 t Plan Review 5/......1.41.02..,0` / !/QeV _ Phone: 503.718.2439 Fax: 503.598.1960 DateBy: I Other Permit: w i .y 4.1 "� jun': H See Pa e 2 for Inspection Line: 503.639.4175 r s + Date Ready/By:7I�r D Internet: www.tigard-or.gov B1JiLD No, 1Yi:.:13N Notified/Method: .3/3c/'f d Supplemental Information g !'77.•• it /D/'✓_(" ,t''E Permit fees*are based on the value of the work performed. ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overheal acid the rAAt f work indicated on this application. Oke i the �� Valuation: $ 5/111 bL\ ® 1 and 2 family dwelling ❑Commercial/industrial Number of bedrooms: , ❑Accessory building 0 Multi-family 1 ❑Master builder 0 Other: Number of bathrooms: ,`•� 3 1 1 R . p Total number of floors: L ?jq,t Z Job site address: �r 1 c e New dwelling area: 53 square feet t\b�� City/State/ZIP:Tigard,OR 97224 Garage/carport area: 3S� square feet ll,'D,'!1 Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: 31 square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet iit ased 1� t s t Subdivision:River Terrace East Lot no.: , + Permit fees*are bon 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 work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet a t , afigNumber 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: Fax:( ) New: Phone:(602)694-4031 a1t J€ , Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address• 03 &MCC) if _ _ Ir Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) -: • E-mail:Nichole Thorpe Commercial and residential prescriptive installation of t t " 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:-10 11.1 Qci • b 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 lic.:207247 Total fee due upon application: $201.60 Authorized signature����� Thiswipermit apdays expiresbef a peraccepted isnotcoobtained within 180 days after it bas been accepted as complete. Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Service Board. I.\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ,, Mechanical Permit Application n' F(Hz 01.-FR F_ l'SE()MA City of Tigard , f I .1 ' ' ' ' - -.1teesivcd eennit N I/S7-A9/ -ao 7c7 III . 13125 SW Hall Blvd.,Tigard.OR 97223; .. plannmt.i„, , ' 11 Phone: 503.7182439 Fax: 503.598.1960 Downy: Other Permit: 0 inspection Line: 503639.4175 oate ReadrilIY: Ifni', fd See Pagel roe Internet: www.tigard-or,gov 'Notified/Method: Supplant:aid Information nj,. . ie.„-ttiei_Oir.;,',0*-:',i,::t.f.ill.72:4'.W.,e467.1:1"4: :',1.:4',.*:',,#:./:„.fti• '-' 101.Agl.41144.ir::',Wft.W1.1?..,P14,37X-4.18t:(11.1*-41.4g1:: :: Mechanical permit tees*arc based on the value of the work 0 New construction 0 Addition/alteration/replacement perfiumed,Indicate the value(founded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor.overhead,and profit — Value;5 -; (4:4(00-:00Y:01‘7s:**#0**At#t;Vlit4i.::;;;tgiii:- , -...::,..1,--- - --:--5- - ''''*- ''''•7.:,:—i'-' •-''';', - ,;:;',,;-*-::';- •,,,,-:.„CRP. 4,..X9Or**.rt:-A!4Tvo,F .Fs,,„:;„:,,:,,..... W..and 2-family dwelling 0 CommercialfinduStrial 0 Accessory building Far special information use checAlist. I Mnill-riunily 0 Master builder 0 Other Description Qty. I FA. Tetal ,,,-- -SITE. , AN, ,_, ::-0$'1449):44?1Pst:11°N-P Air oonilifinnina 46,75 Job site address:ttp613 Sw brasn Si- Furnace 100.000 BTU tJactskents) \ 46.75 • City/State/ZIP:Tigard,OR 97224 Furnace 100.000+1311)fdattsivesus)- 54.91 Ileat pump 61,06 Suite/bldg./apt.no.; Project name: RANity- • . , r 1 0 A.-A Duct work .., .. ....... 23.32 Cross street/titre' too' ns to job site: flvdronie hot+sitter system 23.32 Residential boiler(radiator or hydronic) ' 23.32 Unit heaters(find-type,not electric), in-wall.in-duct.suspended,etc. 46_75 Fluch'ent for any of above 1 23.32 Other 13.31 Subdivision:.c2..;40- -TfAerace.E as.4-- Lot no.:1 ty) Other fuel appliances: ,.• Tax map/parcel no: Water heater 23.32 '.i•: Ifi4i-:-:'-',f,?:j'il:.i,:: ?;-t:Y,T.ft:441;3..A-.1,',7..;:::.!1000..*ffi*OIY;;WOI*,;f:0-A;t.:,.',egt;ft.ti,6TAP.;:-i!K, erriefivreflentlaf::1:asedt„heater or I 33_39 Fireplace .23.32 Log lighter(gas) 2-3,32 wood/pact stove 33.39 Wood fireplacefinsert 23,52 Chimneyllinerifluelvent 23.32 23,32 Ni.i**417)70'07iEgAii:m,,, ,-::,.::::,:fo!,4.4.tIn::J".147*0',4141,74 :T4-: T'-liti'i..;i::ai,.-2, Envi rosimestat cihnust and ventihttion: Name: FkDV L Land i-bi-finqcsi LL,C-- Range hood/other kitchen ( Moment 33.39 Address: 14)00 E -)oiltgIe.,-trt-e, RAni,V) 2,1act.c..1 . CeAllethes dryer exhaust " " I, 33-19 City/State/ZIP: Scotts da,lt Pt-z ?) .?_.ssi), Single-duct exhaust(batluormts. 1 toilet compartments,utility rooms) '-i- . 23.32 Phew;k iii D2. (DAL1-43 I Fax:( ) Afticicravelspace fans 23.32 . •", '..'".,,..1:81:AtirtAcmstr*,:',..Y2t :: •L'VI'''''. .4.ii..0.tikSUCTi.:00.:5-0:C4.:i•--.'F,: Other . : . „.. _ , .,..,,,. ..,, . .., ,- - , :„...,....,„ 1 23.32 Fact piping: Business name: W t Ili am L\ion tiomes it"c $14.13 ear tInd four:$4.03 far tub additional. Contact name: 11)i cvl Die.-Thor\x„, Furnace.etc. I Gas heat pump Address:rip-6 c6roexaLocu4 s--1/4- SW,k, .10 WA/suspended/unit healer City/State/ZIP:Vancouver,WA 98660 i Water heater Mune:(360)695-7700 Fax ;(360)693-4442 Fireplate 1, Runge E-mail: i , i 1 / - il p oj 0 ta a all' . .16a Barbecue :. : . _., .. . _ . . , .,.,..... , , _.__. ..-TI .t. : .. m:- T. . • ...: ,.., ....•- •- ...... ., •,...T.„_„, •., •._••,_..__,_ . - • T . . - - . . . . . --..- - _ _• . - .. - .. . __•_. • _..., . .. ,„. ,. . ,.- .•,-r:,: ,-,- ....,...., Other Business name:Apex Air LLC . , . . . . .... ,._ ,.. . _.,.._ .... ___. , . - • Address:1800.1 NE 72,4 A,.. Subtotal , City/StateiZIP:Vancouver.W.4 98686 Minimum permit 6:e($90.00) plan review(25%of permit fee) Phone:(360)3424109 Fax:(360)3264769 -", ____ State swamp(12%orpermit fee) CCB fie.:203034 1 . TOTAL PERMIT FEE This permit AppitrAtims expire,tr a permit is net obtained within Iandays after it has bets accepted as complete. Authorized signature' ' Pee methe4ategy set by Tiri-County Building indtettry Service l3uard Print name 1 . I^ 1 I Dole: 4.11.A. 1 agiidittOPrilniWNIEC"ernitArT.P0113-db' 440-41,i 7T/WAVCCOWWVO) • Electrical Permit Application ' cart J v �c.NtaN� -, '% 'i City of TigatrdReceived fErZEME 13125 SW Hall Blvd.,Tigard,OR 97223 i Q C Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Inspection Line: 503.639.4175 DatelB: Related Permit#: TIGAT�I� Internet tvt4v Ready Date/By: Jack tel See Page 2 for ��� Notifed/Method; '��'iS.e�r.�'�";��"_.�r�n'j'��{2�ti�''r•-•'`'•��'y�,��,�- `�.. :x''<;»;'r'�' rxr.: - .;,. Supplemental Information ,..at•- ..mrs til4`S=K'.•+'-.2'3eMilg:-it:i::.;:!'.pi::: ... r-'.t,'3.. ••:,i4 :.c.;4` �s�V. _ .. . - t:`nF•':r°,�4-':&:�`•'.i4>`~:.�j;:i'•i rs::... it:'t�„ri<=''�13R\1Y• it .-•"ii:K.` '.•r..-sy,;�t+`"t7:.;t;,:' ®NegrCOn8tiltcti0n .: •',"- •• •. .- :.�.., �.,rR�y�!Ih�;�4i'^�.:-:'r`k?�::'����;,:�!:;i 0 Addition/aIteration/replacement Please cheek all that apply(submitI sets daises w/iteme checked): 0 Demolition 0 Otter ❑Service or feeder 400 at -nra;`i� i } npsormore 0 Building over three stories, i r•:q. `< "kis :( sv;4 ': �/•�,(j'��yy•��iyy�� _.: r ,�T where the available fault current ❑Maness and yards, _l r i'i'i-F.- .s•. . 'r:,...:•.Yff='1•'GN likbEt a•- ;ii..; 0 n 1 1".:•.- .1 t:r.y@c::..'.:�ifiiboat I t-- li W is ?4m��� l�r i I:::;:,': ;:<,. exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agriouht,aul ❑Multi-family • ❑Master builder 0 Other: for all other installations. •buildings. -�'- � ! pump.Orire 0 installation o150 mtto . u;gy.i ` WW Yif WO " flir�•gi • '.• •;! IlEme8en4Y system. larger separately derived Job#: I Job site address ��3 (t A( �t/1n)tO �� 0 Addition of new motor load of system. VW v �/1i(, 1001tP or more. []A';"B","1-2,"1-3", City/State/ZW:Tigard,OR 97224 0 Six or mom residential units. occupancy. Suite/bldg./apt'#: ❑Health-care facilities. 0Recreational vehicle padcs I Project name: bier Te,race Eat}- °Hazardous locations. EI Supply voltage tagefmmotethan Cross street/directions to job site; 0 service or feeder 600 amps or mom, boo volts nominal, Itilleg Description '::::::':: I Qty. I • Bosh I'. istnt i Subdivision:n 00New residential single-or multi family dwelling writ t`�v T-e.rat ce., €0.5A--- , Lot#:l W includes attached garage. Tax map/parcel#: 1,000 sq.ft or less 1 168.54 4 •�•S�F?.ti 41"k�v�fir:•, `h''!'tit Yn ^s t!?iil4.i z<:;:r•. :.,:.;.. Ea.add'1500 sq.ft.or on i�,`.� 01 ! ',f3 : t?:WpI `s; •:;ti PowIf 33.92 1 - •. ..:• '.-:•°: Limited energy,tesidt:ntial - (with above sq.ft.) 75.00 2 • Limited energy,multi-family a•.__ residential(with above sq.IL) 75.00 2 <: r o �i.�'yz�o.� -.,�Y�,:sn�a'��53'''�::r:,;�•w.u:5^:� ;� .�••••,•,..:y P.l _ y,,�, -. e.:.tx�,•I >.:,.r';x;.•. i •';t0"' ,;-^�"r.; Renewable En 7a•7F7�'�' e'�'•.':.'.e..••r.•_•a�-.'",...��`�:...r,r,c'�i_�•t;.:>• � ❑3eePage2 Name: , Services or feeders installation,alteration,and/or relocation f\ II t- Lnell 14018 tmS L(JL 200 amps or less I00.70 2 Address::1!n OD 'E, DN ps L1_C7\ 1\.. CCS •�-(C(ACQ 201 amps to 400 amps 133.56 2 20034 Ci /State/ZIP:' E'er 401 amps to 600 am ty ��L sA i psi. tB5' 601 amps to 1,000 amps 301.04 2 Phone:4 O n'1 ••.t„q► 467.)I FFax:( ) Over 1,000 amps or volts 552.26 2 Email: �G• `+' Temporary services or feeders installation,alteration,and/or reln Owner installation:This installation is beingmade onproperty200 amps o intended for sale,lease,rent,or exchange,according to ORS 7,449,670,which - 201 amps to 400 less 59.368 2 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 ` 1 L° s f'=k' ytti4r': lilt^X,.t;' u' 'r el; j.._. 2 uw.rs .:t-- +ei• .-;07 Branch C .���,n ,_�� �t;..�=�'_�>r:�s:i°G'�� .�+�,-•QTi, ��Q"� .�� :t:: ircui'ts-ne►v,alteration,orcztension,pet'Panel . �'•`'' A.Fee for branch circuits with Business name:r tJ ill I(LT C tw v4 S above service or feeder fee, Contact name: N`rl .�1� o' ' (�� each branch circuit 7.42 2 2 �I o B.Fee for branch circuits without Address: -140. ?� d,w e-l- C J ; service or feeder fee,first �1 � branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 4 Each add'l branch circuit 7.42 2 Phone:(360)695 7?00 Fax (360)693-4442 Miscellaneous(service or feeder not included) Bach manufactured or modular Email A `,, t�/�'n (' dwellinserviceand/orfeeder 84 • 2 Email: . $ ,i, l' Il .M.:u , \a it. .CAY1 Reconnectonly 67 t' :- ''ls.-A;',eta,Jt'.:' c .c,a):.} ;5#}r;' ' },i sit c,.at: ;,r..•r, 'i(i�,.,,.H.. 67.84 2 d•::.;.?' r 3::i;i't`f' is Pump or hrigatcon circle Business name:Garner Electric Washington,LLC 67.84 2 tiign or outline lighting 67.84 2 Signal circuits)or limited-anergy C7 see page 2 " panel,alteration,or extension. 2 Address:402 Valley Ave NW Ste 106 City/State/ZIP:Puyallup WA 98371 Each additional Inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)872-6051 I Fax:(253)8724801 Investigation(I hr min) 90.00/hr Email:bdaniels®gweusa.c0m Industrial plant(lhrmin) 78.18/hr GCB Lie.: CI158Inspections for which no fee Is • Electrical Lic.: 208174 1 Suprv.Lic,: 4496S specifically listed(l4]Anis 90.00/hr Suprv.Electriciani •rr.•w•'-x>. ?..Air.:.,. ....., y:..rr,r.1. psignature,required: - . : /E6'lP ik ll t f `: ''`t Print name: Joan P Albert Subtotal: Date: El Plan Review Required(25%of permit fee): •,--- State surcharge(12%of permit fee): Authorized signature: Ie"t� TOTAL PERMIT FEE: I Print name; Bill Daniels Date: permit application expires if a permit is not obtained within 180 Date: days atter Blurs been accepted as complete. L9Hu0diaglPoreiasNlr C Pum7tAPP Bdoo Rev"/1712°13 • Number of inspections allowed per permit. 440-4613•rit/05/COtr/wgn Plumbing Permit Application Building Fixtures i clic c,rrt( e 1 SI_ t)Ml City of Tigard Received 111 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Date/BY: Permit Npft 7 ,jam Gam 2?) Phone: 503.718.2439 Fax: 503.598.1960 - • Plan Review,,.: Date/ByOther Permit No.: Inspection Line: 503.639.4175 Internet: www.tigard or,gov No Rey/By' H See Page 2 for DatNotified/Method: Supplemental Information w:F•;., <• _•-•-"TQE,0".:.WOR* c<: _-._ ..........,..,..„,....'-....:2-'.,: :•,;,.. .. r ®New construction ' 0 Demolition For spttaittlinformation we checklist r Description ❑Addition/alteration/replacement 0 Other: Qty. Ea. Total New 1-2-family dwellings(includes 100 ft.for each utility connection) •. • • •CATEGORY.'OF CONsritucrIOTI.' .. . , SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commercial/mdustrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25,02 0• �' Fire sprinkler( sq.R) Page 2 . ' •JOB.SITE INFORMATION`AND•LOCATION % Site utilities: Job site address:I10F)1 CAN (3�c istye„ .�c.Tr- Catch basin or area drain I8.76 City/State/ZIP:Tigard,OR 97224 ��wll ``'' �°�`''1lli �7 -�J J Drywall,leach tine,or trench drain 18,76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: �i(.P - T�. l�(alt^t_. G/gS�' Manufactured home utilities 50,03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft,:) Page 2 Storm sewer(no.linear ft.:__) Page 2 1-�ASA-- I �DO Water or it e (no.linearft:_) Page 2 Subdivision: �i�.�-"-2XY�l_C Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 • ' .• ' DESCRIPTION OE WORK : : • Backwater valve ' 12.51 • Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25,02 Ejectors/sump 25.02 _El.IPROPERTY OWNER • . • I . © 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 . . .. CICONTACF PERSON• Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical P (value:$_) Page 2 Contact name: ehok. DL Primer 12.51 Roof drain(commercial) 12.5I Address::1.0 -Da ei voa� c,{- SU A.k S"�'� • Sink/basin/lavatory rY 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)p )695-7700 I Fax::(360)693-4442 Tublshower/shower pan 12.51 -E mail:d i V I c h O� t W 1 A _�@{�Q\l 'c hO(11e S.C_.On�1 Urinal 25.02 C011TiiAt�TOR �� Water closet 25.02 • Water heater 1 37.52 Business name:Malmedal Enterprises Inc. Water Pipinf�WV 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 Lie.no.:34-276FBPl an review (25%of permit fee) �.+ State surcharge(12%of permit fee) Authorized signature: (1. TOTAL PERMIT FEE Print name:Carolina Malmedal Date:0425/2016 I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:19uadi°g1Pe'miuPLMU-Pe,mitApp.do°10(01/09 446-06161(10102/COM,wEB) e City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT II T 1 c a R o Building Permit Review — Residential Building Permit #: M5T1 /S-(j' �7U Site Address: l3 S W p irJon9 S+. Project Name: R;vcr Terra((. 6asi- Lot #: 100 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review rr Proposal: CpnsTNCl-i)(\ Ot At v../ SFV, //Verify site address/suite# exists and active in permit Ostem. DE River Terrace Neighborhood: ❑ NoIV Yes,See River Terrace Review Addendum Attached Sit Plan Elements: L� :i"ite ree(3)copies of site plan sting structures on site plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished wn to scale(standard architect or engineer scale) or elevations L7 orth arrow ''ty locations&easements (required for new and additions) IE'lfe address,project or subdivision name and lot number idewalk/driveway approach g)cpplicant information(name and phone number) *cation of wells/septic systems IJLot dimensions and building setback dimensions [xisting trees to be retained with drip line,and tree O.uare footage of buildings to be demolished pzotection measures tv!' .t area,building coverage area,percentage of coverage and DiSitreet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) IEStreet names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? 1141 es CI No j4o of differential) If yes,is a storm water quality facility shown? ❑Y ¢ No lean Water Services—Service Provider Letter of platted prior to 9/10/1995): Lj4 rle) L4-I, Required: ❑ Yes,applicant was notified {id" No Received: ❑ Yes ❑ No (oi,1 <JR IPublic Facilities—tImprovement(PFI)Permit: Required: [111/ es,applicant was notified CINo Applied For: [ Yes ❑ No,stop intake [ /'Land Use Case#: 190 1,1116- OM i giZoning: V�- VO) LTJ Required Setbacks: Front g Rear 10 Side 3 Street Side 1414 Garage 2 0 R Landscape Requirement: l0 % of Coverage Maximum: 30 Building Height: Maximum Height t(/4 Actual Height Z 7 0/Visual Clearance r f Lod" Lid Sensitive Lands: D/Yes E No Type LA./4r Valvt GoAl S S;Ilk;(104 !'.+Anil EUrban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: Criva i kM 4 ER V p Or Ie gd4 i kJ ()U'M �S✓a'ttt. VApproved By Planning: LANAAR Cire, Date: 7,-1-- I Y 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 t Original Submittal Date: If 6' 2 . Site Plans: # Building Plans: # Building Permit#: ►, nter buildin permit#above. Workflow Routing: ar lanning Engineering Permit Coordinator __,A>railding Workflow Sign-off: ■►Sign-off for Planning(include notes from planning review) Route Application Documents: R Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. [ >Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ,��,, � .14". Date: Engineering Review ;21/Slope at building 1 pad: 70 CI 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: ❑ Yes , No Assess Water Quantity Fee in-lieu: ❑ Yes "6 No iLIDA Facility on lot: CIYes 'No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 4 Approved by Engineering: Ifil( 1(rt 114-3 4 Date: Z(1 (cS 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 X;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: ,X SDC Fees Entered: Wash Co Trans Dev Tax: I Yes ❑ N/A Tigard Trans SDC: - Yes ❑ N/A Parks SDC: a.?es ❑ N/A LIDA ❑ Yes ACN/A JOK to Issue Permit Approved by Permit Coordinator: 16t,(/) -i� Date: l(cK I:\Building\Forms\BldgPermitRvw_RES_010118.docx City of Tigard 111 N i COMMUNITY DEVELOPMENT DEPARTMENT T 1 A R D River Terrace Building Permit Review Addendum Building Permit #: J C t2D IS- ODO1 0 Site Address: 168 13 SW Q;rlsvy S )s. Project Name: kW "Ttrr& . �a,�� Lot #: 100 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist. t Design Standards (18.640.070.1.): Is the project subject to the plan district design standards? L'Yes El 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. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 fit. deep Gabled dormer [�/ ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide El min. ❑ ❑ 2. Eyes on the street: a minimum of 2% of each street facing facade must include windows or entrance doors. Percentage Shown: 1,6.0 . 3. Entrances:At least one entrance must meet both of the folio g standards: L Max. 8 ft. setback from longest street- facing wall "a Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: EYes El No �� If yes,all the following apply: [ 25 sq.ft. min. rig 9ne street facing entry V(42 ft.max. roof above floor of porch W/5 ft. depth min. l4%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 L/Recessed entry area min. 5 ft.wide x 2 ft. deep L� all offset min. 16 inches El Dormer min.4 ft.wide R Roof eave min. 12 inch projection Lid'Roof offset min. of 2 ft. El Roof shingles either tile or wood ['Gable,hip or gambrel roof design ❑ Ijoof pitch oriented south min. 500 sq. ft. El Horizontal lap siding min. 3-7 inches wide Accent siding min. 40% of street façade ❑ 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 El 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: N�od'N loser to front or side lot line,than longest street-facing wall. ❑ Yes L[ o. If No (Check one): LTJ"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) El 12-foot-wide garage door El 40%max. of street façade V0%max. of street façade with 7 detailed design elements Notes: Approved By Planning: Date: 2.7?-l e I:\Building\Forms\B1dgPermitRvw_RES_RT_12I417.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16873 SW BIRDSONG ST, BEAVERTON, November 7, 2018 at OR, 97007 12:48:22 PM Record Type: Record ID: Residential - Master Permit MST2018-00070 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel 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: 16873 SW BIRDSONG ST, BEAVERTON, November 8, 2018 at OR, 97007 10:33:30 AM Record Type: Record ID: Residential - Master Permit MST2018-00070 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 70 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16873 SW BIRDSONG ST, BEAVERTON, November 7, 2018 at OR, 97007 12:49:45 PM Record Type: Record ID: Residential - Master Permit MST2018-00070 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel 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: 16873 SW BIRDSONG ST, BEAVERTON, November 13, 2018 at OR, 97007 3:08:14 PM Record Type: Record ID: Residential - Master Permit MST2018-00070 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control passed. Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received No A/C C of 0 left on counter. Violation Summary: Inspector Contractor