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Permit (151) CITY OF TIGARD MASTER PERMIT I COMMUNITY DEVELOPMENT Permit#: MST2018 00102 T I G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/18/2018 Parcel: 2S1 o6DA10400 Jurisdiction: Tigard Site address: 16944 SW BIRDSONG ST Subdivision: RIVER TERRACE EAST Lot: 104 Project: River Terrace East, Lot 104 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1259 sf Basement: 735 sf Left: 3 Parking Spaces: 0 Height: 27.5 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3652 sf Value: $440,963.91 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 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: 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'I 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 3652 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 GEO Tech Required before STE 1 foundation inspection SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $37,006.09 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 95 .11-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 11...800.332.2344. / Issued By: /" Permittee Signature:'R; / .,--le G/7 "f f lr/�1%7C�N 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. t ` LoT ,01.4 a Building Permit Application E u✓E ED Residential t01� FOR OFFICE USE ONLY City g MAR 2 r teisy �� i y I S7?f((F)/OZ of Tigard �� PermitNo.' \... IN 0 13125 SW Hall Blvd.,Tigard,OR 97223 CITY Of: i KA- f. , �eview 1 '3(1¢P , Other Permit:g4.444,),Cy O -Z'�C/ Phone: 503.718.2439 Fax: 503.598.1960 � �( nlI C; y: 7� tFil Inspection Line: 503.639.4175 ` "" Date Ready/By: Juris: I H See Page 2 for V) TIGARD p Y y V)I Internet: www.tigard-or.gov Notified/Method: Supplemental Information V TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ' ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,apid)he�pro t or i- aVV u CATEGORY OF CONSTRUCTION work indicated on this application. t.{L1 /1 �Skg Valuation: $ V 1 ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 3 q I Li Job site address: t ko CI l.P.-1 J\N ,,,fGS y \ New dwelling area: v`vn square feet i USS City/State/ZIP:Tigard,OR 97224 Garage/carport area: 09 square feet 1 .59 Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: lb. quare feet `-155 Cross street/directions to job site: Deck area: 0% \square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHJ✓CKLIST Subdivision:River Terrace East Lot no.: t 0 Li 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 DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 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: - ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:Nichole Thorpe Commercial and residential prescriptive installation of CONTRACTOR 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: 109 East 13th Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review City/State/ZIP:Vancouver WA 98660 $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: `/ ' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) t Mechanical Permit Applicatid ,Gb b V kr: ., FOR OFFICE ['SE ONES City of Tigard Received 71 ' `J g APR R 1 3 2018 Date/uy: /�/c If.' -}"nil NY'%.51 / O,1/ 13125 SW Hall Blvd.,1'igard,OR 97223• i1f 1� e3 ■ Plan Review Other Permit. Phone: 503.718.2439 Fax: 503.598.196Q.,a „+ y; 1)ate/By 1 I G A p,D Inspection Line: 503.639.4175 et ! O lw i 0 t il`,L. Date Ready/By: tori, ®See Page 2 ror Internet: svwvtigard-or.gov BLIILDINt" 1.)i\/sS ' Supplemental Information TYPE OF WORK COMMERCIAL FEE',SCHEDULE -,USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION . RESIDENTIAL EQUIPMENT/SYSTEMS FEES* .,Pg:I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist I I Multi-family 0 Master builder 0 Other: Description Qty. I Ea. Total = JOB SITE INFORMATION AND.LOCATION Heating/cooling: Job site address:i t "f' S(� Air conditioning I 46.75 (Y I71 S )f" Furnace 100.000 I3TU(duets/vents) I. 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 I leaf pump 61.06 Suite/bldg./apt.no.: Project name: delete Texr't',ve.SSS Duct work 23.32 Cross street/directions to job site: I lydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above i 23.32 Subdivision; ye_Ar P, /&c�� �JIS,�i Lot no.:/0 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert I 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) . 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 el PROPERTY OWNER 0 TENANT Other: 23.32 /" Environmental exhaust and ventilation: Name: p4D®f L s 1 ( ( Range hood/othcr kitchen l J jrr`>`"�i�,��� � equipment I 33.39 Address: 1toOD E' DOU_ 1Pitret�1t eA CAVI Clothes dryer exhaust I 33.39 City/State/Z1P: Sc._o tsda,l-r 1.^Z t:5 2 S Single-duct exhaust(bathrooms, �(^ , 1�> V toilet compartments,utility rooms) �' 23.32 Phone: VF0�lL4....Lit J J Fax:( ) Attic/crawlspace fans 23.32 APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Polygon WLH,LLC Fuel piping: 514.15 for first four,S4.03 for each additional Contact name: 01 61O\t."�(�OrTe Furnace,etc. I Address:103 Bnosetto5u L ►z..{ c�U lip �, Si0 Gas heat pump '1 J �-V (J Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace I E-mail: 1 Range I Barbecue ,.., . , , ,-C91,471OR ,= , v , Clothes dryer(gas) Business name:Apex Air LLC Other: 1lvAAL � * Address: 18004 NE 72nd Ave " ER1) T FEG4 Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 Fax:(360)326-1769 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: - • Fee methodology set by Tri-County Building Industry Service Board Print name" I I^ / Date: e •/1./4- 1 `I\nuitdins1PamitslhtrC PermitApp_o4ol t 1.da; .140-1a171(1 UOVCOMAVBI) RE('''FVC:r I VUUVRIMAUL'...4 -4.24914*-,I.giellintatN•liko4 City of Tigard APR 1 3 2018 Received Date/By: Permit9VSFO/161'-.'-AVO.t'l— , " 13125 SW Hall Blvd.,Tigard,OR 97A3 -,,, ,--,, ,-,•.„, _—,,, Plan Review a'-•'- ''jl.i-,,1 Phone: 503.718.2439 Fax: 503.59&MOT U r w.7"-Ant i Date/By: Related Permit#: 71,,:-::.•=,7,,,;IY,j Inspection Line: 503.639,4175 F3tilLONir rivisloN! Ready Date/By; Suds: I Cl.See Page 2 for ,9,'AR Internet: www.tigard-or.gov ** * Notifieditwelltod: I Supplemental Information Mte,,MatteggargEOW.10601,W%niWMkieraMV:ViR'a'.';N ..i;i:f;**.Y,i. .r.:*ii)V.,MiitaKU,KO.ji ;N•M:WAM:::ji IN New construction 0 Addition/aIteration/replacement Please cheek all that apply(R11)11142 sets of plans pi/items.checked): 0 Service or feeder400 amps or more 0 Building over three stories, 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards, c5a31:-OattanrefftalYMOtit 064tlattnitt4.tagig:00 WWI! =ands 10,000 amps°1150 volts or 0 Floating buildings. ts)1-and 2-family dwelling 0 Commercial/industrial D Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. -buildings. 0 Multi-family • 0 Master builder 0 Other: C/Pire pump, 0 Installation of 150 KVA or ---. MN.tti49.•$W01051gft:1140400:g..1n::1:: ::':it3:11 ,13,E77fien°Y system. larger separately derived '---: anew motor load of system. Job#: 1 Job site addressM(4L st,,, Nwas ory) 5f-- 10014P or more, lj"A","E","1-2","1-3", City/State/ZIP:Tigard,OR 97224 Cl Six or more residential units. occupancy, El Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: 1 Project name; 12Ne,r---it mace_.eac,,,_ orfazardous locations. ET Supply voltage for more than 0 Service or feeder 600 amps or more, 600 volts nominal, .Cross street/directions to job site; tOaiktn;:a.:*Zi:1.4*M..4'.:.. Description I Qty. I finch I Totni I a New residential single-or multi-family dwelling unit. Subdivision: v'Wer -phrota_ -EoLc+- 1 Lot#: il D il includes attached garage. , . 1,000 sq.it or less 1 1 i 168.54 4 Tax map/parcel#: Ea.add'!500 sq.ft.or portion (0 33.92 1 i4.5;gin:finkUM03!::NiM$Aftlitol'kXiii:405,1**!.::;:':.:i:i.:,-,::'..ifiN':(.:*:':.!,-. . i::' -.•,': Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 residential(with above sq.ft.) Renewable Energy 0 See l'a_ge 2 :MaggatPiltalai-ONAMMOIRMCOM:40-0*-P:AMiZ. Services or feeders installatiom alteration,„Wor relocation Name:, pc____Alak DV - al t _1 , 200 amps or less 100.70 2 201 mops to 400 amps 133.56 2 Address; ,i • nb u,4 air, , :ji.,, A p 4 ,_4; 401 amps to 600 amps 200.34 2 City/State/ZIP: S Cm-H-S61,-Ic I A . ki52.59 601 amps to 1,000 amps i 1 301.04 22 Phone: 0 0 02- Li-LT i 03 I Fax:( ) . Over 1,000 amps or volts 552.26 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less . .36 1 1 I 59 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 VisSYOMIMitalitn:D :Ig•VNPUTAP.MM.4r4405:WW.M ABrileneteibrnietinictisl;i=a l t e ra tio n'01 extension, per panel Business name:Polygon WIZ,LLC above service or feeder fee, 742 9 each branch circuit Contact name; wc_Ailoke.Airlor9,,,,_, B.Fee for branch circuits without service or feeder fee,first Address: 1O-2, rb\mactuijactAj --11.-- viLl-kLe... ..--vo branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 J Each add'!branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 1 Fax::(360)693-4442 Each manufactured or modular 67.84 • 1 2 dwelling,service and/or feeder Enlail: 1\1 k bko te,-Tho ric-z--.0 Dolur"-nlnomeS .C...tyy) Reconnect only 67.84 2 Mighltatanngend-Ka+MAMMOVaggtAnig:•;W, Pump or irrigadn„circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 "• Signal circuit(s)or limited-energy Address:402 Valley Ave NW Ste 106 • panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/lir Phone:(253)872-6051 I Fax:(253)872-1801 Investigation(1 hr min) 90.00/hr Email:bdaniels@gwettsacom Industrial plant(1 lir min) 78.18/hr. Inspections for which no fee is 90,00/h CCB Lk,; C1158 Electrical Lic.: 208174 1 Suprv.Lic.; 4496S specifically listed(1/2 hrinht) . . I ........ .. . .. _. .I:•,';;;,T1.!3:TII"..,M.trt filkiMINWICOMMPM, Sum.Electrician signature,required; ' 40 . •. SLIPM- i.' • Subtotal: Print name: Joan P Albert -. 1 Date; 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: •TOTAL PERMIT PEE:,- ..--",--=—, '....--;---.75.`'... This permit application expires If a permit isnot obtained within 180 I Print name: Bill Daniels l Date: clays after it has been accepted as complete. * Number of inspections allowed per perm it. 1:113uilding\PonnitslaC JennitApp_ELE EE.E.cloo Rey 06117/2015 440-461.51111/05/CONMED Plumbing Permit Applicati E(C v �...�" Building Fixtures City of Tigard `/016 IIIIIIIIIIMIIIIIIIIIIIIIIIIIIIII Received II Date/By: Permit N94a7 C r 13125 SW Hall Blvd.,Tigard,OR 9 2 V ; ,f t Plan Review l�r `C Phone: 503.718.2439 Fax: 50 ,4? 9601 5 , ,r Date/By: Other Pcrmit No.: T 1 G A R D inspection Line: 503.639.4175 ° a- Date Ready/By: Juris: BI See Page 2 for Internet: www.tigard-or.gov NotiSed/Method: Supplemental Information TYPE OF WORK FEE*SCHEDULE.' For special information use checklist ®New construction ❑Demolition ID Description I Qty, I Ea. I Total Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY`,OF CO)!TSTRIICT ON SFR(1)bath 312.70 iN 1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 El Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOBSITE INFORMATION AND LOCATION:,_ Site utilities: Job site address:\\Dg`"I Ira SN) I J\ca 5+,YY> S Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 1` Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:__) Page 2 Suite/bldg./apt.no.: Project name: ofie., S� 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 Water service(no.Iinear ft.: ) Page 2 Subdivision [4Je ir' T- .ac,,,1�.-i--- Lot no.:f O) Fixture or item: • Tax map/parcel no.; Backflow preventer 1 31.27 DESCRIPTION OF.WORK ' Backwater valve 1 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/stoup 25.02 �,P$OPERT3C,OWNER 0.TENANT ,, Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ®q APPLICANT • 0 CONTACT_PERSON' Interceptor/grease trap 25.02. Business name: 11,E c ►' Medical gas(value:$ ) Page 2 PU 1 J c,r\ ' t.`�' Primer 12.51 Contact name:N, ` > -�yl;{' �(�.p„ Address: 1 b`?� �•��� C" .1- s n Roof drain(commercial) 12.51 l `*i� V Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E marl: \GVl(�le 01 Urinal 25.02 0 p unq . c e i Water closet 25.02 CONCTOIt . • • ` . r � �. . .' ..,... .�,�. .f , , Water heater 37.52 Business name: 64--1 i WO)%NV,/Tt- 4 Water piping/DWV 56.29 Address: p.(. f... CIA Other: 25.02 City/State/ZIP: 51-`, P 404 oft, Cil 131 Subtotal Phone:(33.-$(�.- 't,u- Fax:(ell V..-+7/d1- P 1.70Minimum permit fee: $7250 . CCBfJ Plan review (25%of permit fee) Lic.: '$1, � Plumbing Lic.no. j State surcharge(12%of permit fee) _ Authorized signature: TOTAL PERMIT FEE Print name: ,s+CLIC 1LL1,ec e____ Date•Sw"3 el-I to Tbis 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. 1:1Building\Permits\PLMT-Per itApp.dce 10/01/09 440.4616T(t0/02/COMIWEB) } 11111 City of Tigard ■ q COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R o Building Permit Review — Residential Building Permit #: zp, c`,7;,2,07(---U0/ Z Site Address: 16899 W 8,A44,(3 ,- Project Name: Git T&rv. b4- Lot #: 1O/ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: New S r Ltd Verify site address/suite#exists and active in permits item. Y Pr-River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Sit Plan Elements: th ree(3) copies of site plansting structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paper ootpri tt of new structure(including decks)with finished yawn to scale(standard architect or engineer scale)00 floor elevations rth arrow ty locations&easements (required for new and additions) Liteoli address,project or subdivision name and lot number Sidewalk/driveway approach .plicant information(name and phone number) n •cation of wells/septic systems r .t dimensions and building setback dimensions A Existing trees to be retained with drip line,and tree ( I�I are footage of buildings to be demolished protection measures LUfot area,building coverage area,percentage of coverage and [meet tree size,type and location pervious area(applicae , ,R LilStreetm / Property corner elevationsbl(2if footR-7contourR-12 -25 lines&if moreR-40) than >1,000 sfnaof impervious area created or replaced? [es ❑No Lot differential) If yes,is a storm water quality facility shown? ❑Y6✓bNo Clean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): � ,�,( w, equired: E. Yes,applicant was notified No Received: ❑ Yes ❑ No f'r _ Public Faciliti s Improvement(PFI) Permit: v�`' ,Required: ©/Yes,applicant was notified _ ❑ No Applied For: Lyes ❑ No,stop intake Land Use Case#: Pf,) 2 6 o � oning: 0.5 CPO) f R-1 (Po L'" Required Setbacks: Front Rear I(J Side 3 Street Side Garage ZO`� J4 Landscape Requirement: , L.ot.Coverage Maximum: :uilding Height: Maximum Height 3$ Actual Height Z,77.S Lr47isua.l Clearance nstive Lands: 0/Yes ❑ No Type GOA S Yl� � ��n'��'uh� 114;4 a� �aw �1uC Urban Forestry Plan Conditions "Met" Prior to`issuance of building permit, J 1' { j� 7 l } l otes: `�c►c i � y 1�s,[S all 44 i Co , S1c of T r% �'K1 4-ludk i i�ciaref)7 s�^ird Cl) 'T'rlt�, Cs-a Sr-�c dlaL) `C4ry l l-rmi 4 ,y_ rul- eri_ h b ��P1n9 .�rP•i i i n e I Approved By Planning: V�, ✓ \- Date: 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 E; Building Permit Submittal / 4 Original Submittal Date: ,j! /(Gr Site Plans: # Building Plans: # f Building Permit#: nter building permit#above. Workflow Routing: Planning engineering gt Permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: {:Engineering: (1) copy of permit application, (1) site plan, (1) building plan and C 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: Date: 1/( Engineering Review 70 ,Slope at building pad: 510 ❑ 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 Xr No Assess Water Quantity Fee in-lieu: ❑ Yes ,,Or No LIDA Facility on lot: ❑ Yes ZrNo XI Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 0-Approved by Engineering: 1/14.t L,(,-, , Date: 32 t f 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: ► Yes ❑ N/A Tigard Trans SDC: az Yes ❑ N/A Parks SDC: •rl Yes ❑ N/A LIDA ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: Pcr OP\A6U Date: ti 121, ,S I:\Building\Forms\BldgPermitRvw_RES 010118.docx . IICity of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT II T I G A R D River Terrace Building Permit Review Addendum (N; Building Permit #: Site Address: 16ftil S\A1 R;l St. Project Name: IcTerre Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist. t Design Standards (18.640.0701): Is the project subject to the plan district design standards? Lid Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a LtJ' ft.deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer CI min. El 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: Yid / u I Z,o/ J 3. Entrances:At least one entrance must meet both of the folio g standards: lit/Parallel to street,angle no more than 45° from street, LVMax. 8 ft. setback from longest street- facing wall �/ or open onto porch Entrance opens to a porch: 1 Yes El No �� If yes,all the following apply: Li�'25 sq.ft. min. LVOne street facing entry �� ft.max.roof above floor of porch [Vs ft. depth min. [B 30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep F gfrkecessed entry area min. 5 ft.wide x 2 ft. deep R,�,'WV�all offset min. 16 inches S CI Dormer min. 4 ft.wide Lt1�Roof eave min. 12 inch projection FA ❑ Roof offset min. of 2 ft. El Roof shingles either tile or wood Cable,hip or gambrel roof design FA ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ud Accent siding min. 40%of street facade F ❑ Window trim min. 2 1/2"wide by 5/8"deep indow recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep alcony min. 5 ft.wide x 3 ft. deep with inside access Sttached garage is 35%or less of street facade S 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. LIQ Yes ❑ No. If No (Check one): a❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ay 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 Ll�40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: lamitOt Ceerze Date: 3-Z6_1 I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16944 SW BIRDSONG ST, BEAVERTON, November 21 , 2018 at OR, 97007 2:14:25 PM Record Type: Record ID: Residential - Master Permit MST2018-00102 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Note: no A/C Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16944 SW BIRDSONG ST, BEAVERTON, November 21 , 2018 at OR, 97007 2:14:27 PM Record Type: Record ID: Residential - Master Permit MST2018-00102 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Note: no A/C Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16944 SW BIRDSONG ST, BEAVERTON, November 29, 2018 at OR, 97007 9:56:40 AM Record Type: Record ID: Residential - Master Permit MST2018-00102 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed. 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: 16944 SW BIRDSONG ST, BEAVERTON, December 4, 2018 at OR, 97007 10:52:14 AM Record Type: Record ID: Residential - Master Permit MST2018-00102 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received 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