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Permit (151) CITY OF TIGARD MASTER PERMIT N.„,„ ,, COMMUNITY DEVELOPMENT Permit#: MST2018-00109 T t G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/18/2018 Parcel: 2S 106DA10800 Jurisdiction: Tigard Site address: 16860 SW BIRDSONG ST Subdivision: RIVER TERRACE EAST Lot: 108 Project: River Terrace East, Lot 108 Project Description: New SF. BUILDING Floor Areas Reauired Setbacks Reauired Stories: 3 Bedrooms: 4 First: 1248 sf Basement: 735 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3649 sf Value: $441,050.81 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 Water Lines: 100 Drains: 0 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 3649 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 A geotechnical report is STE 1 required before the footing SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $37,037.74 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 OA' 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: /�► - Permittee Signature: i'��'G/C*1-'-74/ 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. LcT ` Building Permit Applicatia V r ill_V ° . f,',4 7 i ResidentialFOR OFFICE USE ONLY City of Tigard 6 Dateiv /Be `"/(( ''/i1 // Permit No..z.tt S r fT OO be - n 13125 SW Hall Blvd.,Tigard,OR 97223 Pl,111111 an Review Phone: 503.718.2439 Fax: 503 99 1 )1% ! Other Permit: _ F x Date/B Ti G A R D Inspection Line: 503.639.4175 Date Ready/By. � �p 7urts: I H See Page 2 for Internet: www.tigard-or.gov $ t i , Notified/Method: 1I Supplemental Information ., � � i,,u i ��v` & ,q/ - A/4 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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ❑Commercialindustrial Valuation: $ 431--7,661) ' ❑Accessory building ❑Multi-family Number of bedrooms: t f/ O 6-40-/ V 0 Master builder 0 Other: Number of bathrooms: €4 / (r-5 JOB SITE INFORMATION AND LOCATION Total number of floors: '-} 113 Job site address: e)(p0 S\N) �1jN f eS t,.,n C S-f-- New dwelling area: 9 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: ip square feet Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: t4i square feet Cross street/directions to job site: Deck area: 203 square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace East Lot no.: I,D lJ 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. 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* Business name:Polygon WLH,LLC (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address:109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount received: E-mail:Nichole Thorpe PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR 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: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 Total fee due upon application: $201.60 Authorized signature: / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Date:06/16/2017 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • I ..., Mechanical Permit Applicitissiti( ''4:-,:i ;1:; FOR OFFICE 1.SE 0\L.1 City of Tigard Received Dale/By: Permit NsoS-1,-., 7,,, ..,..41(1/6/ II li 13125 SW Hall Blvd.,Tigard,OR 97223 APR i 3 2018 Plan Review • R • Phone: 503.718.2439 Fax: 503.598.1960 1)aletRy: Other 1'c:rink TI G A r n Inspection Line: 503,639.4175 ,,.., I, , , , ,_, . turi• 63 See Page 2 for ut N. „ - • , - --,-',,, Date Ready/By: Internet: www.tigard-or.gov ' ' '* ',.''','' -.: . Notified/method: ' Supplemental Information 7;1 (II :1`"."\•":'-` 1''' '''''''''- ' TYPE OF woitx COMMERCIAL FEE*SCHLDILLE - USE ellE(.1(LIST _ Mechanical permit fees*are based on the value of the work E New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor.overhead,and profit. , Value:$ , CATEGORY OF.CONSTRUCTION ,_,.. DESIDENTMLEQUIIMENF S STEMS FEES* --. ,.-- .ask 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special Information use checklist I Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total .._ Heating/cooling: JOB SITE INFORMATION AND LOCATION , ` Air conditioning 1 46.75 Job site address: I 1,..0(0-Ap D cskA 131 rot sor)3 6.4..- Furnace 100.000 BTU(ducts/vents) i 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.0001-BTU(ducts/vents) 54.91 [leaf pump 61.06 Suite/bldg./apt.no.: Project name: p_k\fer Texraet,-Exis.1- Duct work 23.32 Cross street/directions to job site: ilydronic 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 1 23.32 Other: 23.32 Subdivision: laiveiv--.1-e jteNroj F...0..sir Lot no.: I oe, 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 Other: 23.32 IR PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: p,t)vi._LoAct ftpias_tti_c 1 • Range hood/other kitchen equipment 33.39 Address: 1 t o OD F. Drxibto,i("re.ezunciA ‘LoacA Clothes dryer exhattst I 33.39 City/State/ZIP: Sc.,40.R54316aii, ft 2.. 2,525B Single-duct exhaust(bathrooms, , I toilet compartments,utility rooms) `-'-r 23.32 Phone:ip02.-too114-40- [ ' Fax:( ) Attic/crtnylspace fans 23.32 APPLICANT 0 CONTACT ?MON Other: 23.32 Fuel piping: Business name:Polygon Will,LLC $14.15 for first four;54.03 for each additional Contact name: 01 c/VioktIltr‘Orpe/ Furnace,etc. I Gas heat pump Address:1 t6 e30)60 ALAI ,...i- SU,11,k..e., S-11) Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace I Range I E-mail: I _ Barbecue , . CO,pirJ4crox .,, , , .,, ., Clothes dryer(gas) Other: Business name:Apex Air LLC Address: 18004 NE 72d Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit tee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE - This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Authorized signature; ° Fee methodology set by Tri-County Building Industry Service Board Print name!'...-1-1,7•‘ I Date: q• I Muilding\PcImits\MEC_PermitApp_040113 doc -140-ia in ti UOVCOMAVEB? uatu/tu U..L.IL I A/LU.6LL 4a4Y w City6?�Tigard ) . . , , Received _ t�a'r 'f 13125 SW Hall Blvd.,Tigard,OR 97223 , 1 Date/By: Petrnil fE j �y� �j�`n�r $ Phone: 503.718.2439 Fax: 503.598.1960A1')t 1 0 t_U l Plan Review r Date/By: ... Related Permit N;GA1DInspection Line: 503,639.4175 Ready Date/By; Saris: : See Paget farJ1 � Internet: wnv.tigard,or.gov i Y ,,t iF\i Notified/Method: 1:1 i7nf0 Information y 9`.FYSti . k, 9MRIt PT . ., - :a ,:(> <;Phtifini:=^i: !t ; F { :1®Newconshucfton ❑Addition/alteration/replacement Please cheek all that apply(submit 2sets of plans Wiitemsohecked): s or more❑Service or feeder 400 amps Bnildiugover titreestories. 0 Demolition 0 Other: tn .`; where savailable current Marinas and boatyards,A rds. . .: rrt, G ?It.D ;gati CNSRIG _Q ' ari ' :'i ;;aexceeds 10,000 amps at 150 volts or 0 Floating buildings.]-and 2-family dwelling 0 Commercial/industrial 0 Accessory , AccessorY building !: less to ground,or exceeds 14,000 Q Comn ro ta[-use agricultural ura l =aps for all other installations. buildings. Multi-family . Master builder Other: 0 Fire pump, Installation ofISd CVA or,; tiyaraiM7 "�Yff RJAJON1Dli4 T;O� �: -'•::.•; _:�''>�'; ❑Eraergeneysysten, larger sepnratelyderived❑Addition of new motor load of system.Job#: f Job site address: 0 Rto® vviv 81 ^c/foIciC SI-- f00HPormore. [] A'.E.,,:12„"1-3", City/State/ZIP;Tigard,OR 97224 v O Six or more residential units. occupancy, Suite/bldg./apt.#: \' ©Health-care facilities. El Recreational vehicle parks. I Project name: i2 1V rx-Tetnface.•e ,� (Hazardous locations. 0 Supply voltage for more than Cross Street/directions to job site; O Service or feeder 600 amps or more, 600 volts nominal. Description I qty, I Each I Total i s Subdivision; WeAr New residential single-or multi-family dwelling unit. ��,d V t�,(kg4-- , Lot II: l Dt(2 Includes attached garage. Tax map/parcel#: U 1,000 s `:, :t q,ft.or less 168.54 4 '',,```v ra '.,y'.n = =rr,: }1 rt.- :;' Ea,add'I 500 r. ,.. ...,;:�i7i1i.'IkitIPT' oto koi (a sq. s or portion 33.92 1 Limited energy,residential (with above sq.ft,) 75.00 2 Limited energy,multi-fatnlly s<.i ,. �. r.� residential(with above sq.ft.) 75.00 2 s4' �.et...;s:J;.=1,'YA:�titi. :;;i,; s`R!'ri'- f. r,:, r:r:,.:= Renewable Etter ��•• .�;,, .. ....., .. ':l�'Q.:7?DNi�1�jT4;�<'';:;r:, .,;- gY ❑ 5eePage2 Name:, =DV Services or feeders installation,alteration,and/or relocation t- -�Lt !A1C s_i_t U_ 200 ampsor less JI'-f—" 100.70 2 Address: I , 1 r/ �� 201 amps to 400 amps 133.56 City/State/ZIP: `r nJ. S_�(L� 1 . 5 52.5 401 amps to 1,600 ampsm301.04 2 Phone: �Q''11 v' lit 1 1 15101,03 1(°) 601 amps to 1,000 amps 301.04 2 `"OlJ W�14�Li I 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 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 59.365, 1 siamps to 400 amps Ownersignature: 201 P H ]25.08 2 +�7. _r,,. .y _ Date: 401 ams to 599 y:��i..�•�<<_. ; p�f ,t.,., ;y;-. •,,; - P amps 168,54 2 rn:.ga,.:i:tJ.,�F:g.UM,:I t,•t;�• _:SA`i:i %>Li ,"i, •`(• vi,...oi:.r.., �'. L i, e'r c;;.,�:4 i;,:',+,;5f, 7o 5CO1!1 •Qi,fY =t?EZ25Q T:`1;; .`:;; Branch circuits—new,alteration,or extension,per panel Business name:Polygon WL$,LLC A.Fee for branch circuits with above service or feeder fee, Contact name; N i r ,� n each branch circuit 7.42 2 1 3 �`�v� B.Fee for branch circuits without Address: t l JV) serviceranh it feederitfee,first '�� -11-- S���V branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder notincluded) Phone:(360)6954700 + Fax::(360)693-4442 Email: �� � A Each manufactured or modular �1 �/n��� ►V V Ul J fn l� f,_omeS dwelling,service and/or feeder 67.84 2 3 tl o _urr. 1 )t ':'`itt'�'t,��"�� tti'`;�>�_'+,'�1:� �ifi�•; *�', ";' f<� :r„•: •� Reconnect only i ..,moi' lei+, >Rel SOC—�H:d..;:C•, 1`:.; t;sa:s.:a: i�;: ;rF:y.L:;tr. 67.84 2 Business name:Garner Electric Washington,LLC rt: ?t:-'"x r'' Pump or irrigation circle 67,84 2 Sign or outline lighting 67.84 2 Address:402 Valley Ave NW Ste 106 Signal circuit(s)or limited-energy panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP;Puyallup WA 98371 Each additional inspection overallowable in any of the above Phone:(253)872-6051 Additional inspection(1 hr min) 66.25/hr I Fax:(253)872-1801 Investigation(1 hr mitt) 90,00/hr Email:bdaniels@gweusa.cotn Industrial plant(1ltrmin) 78.18/hr CCB Lie.: C1158 Inspections for which no fee is Electrical Lie,: 2(08I74�,ryry I Suprv.Lie,: 44968 specifically listed(A hrnrin) 90,00/hr S'nprv,Electrician signature,required; ' i ,f �• ":l:Y,:i���i•.,,��r:.1 ;U1,(`'•>'�•+Iu(3 'j-r�ri D m'�1:;'l"R:i.i ^•.'•..t Print name: Joan P Albert Subtotal: Date; o Plan Review Required(25%of permit fee); --› State surcharge(12%of permit fee): • Authorized signature; _____.--,-7.---------'—z--------- TOTAL PERMIT FEE: Print name: Bill Daniels This permit application expires if permit is not obtained within 180 Date: clays after itbas been accepted as complete kiauildinglporatitstEGC PennitApp nLa n1tE.doO Rev 06li7/2015 * Number of inspections allowed per permit, 440.461570 1/05/COMp1V6n A Plumbing Permit Application�� :i -r ,1-. ��,. Building Fixtures °:" 'x City of Tigard 3 s i i!i Received Permit No.• 7 14 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By; s/ #�, Qt!vQ C Phone: 503.718.2439 Fax: 503.598 ,941 " e t .-V-; •. Plan Review IN T I G A R D Inspection Line: 503 639.4175 > lit:\t,':.-,',‘"•,:i. k ? ' '\ Date/By: Other Permit No.: Internet: www.tigard-or.gov ( 4. Date Ready/tho Inds: I Supplemental See Page 2 for Noti6ed/Method: Supplemental Information ' TYPE OF WORK FEE*SCHEDULE 0 New construction E-1 Demolition For special information use checklist. I 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 F CONSTRUCTION ,,.F a SFR(I)bath 312.70 _ ®1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78 CIAccessoSFR(3)bath 500.32 O building ❑Multi-family Each additional bath/kitchen 25,02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 SOB SITE INFORMATION AND LOCATION Site utilities: Job site address: I 0 ta(DOSvn) p,1 rc SkY 5 - Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 v Drywell,leach line,or trench drain 18.76 �, Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:: , v-acL + 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.linear ft.: ) Page 2 Subdivision t2 e r 1--,ej,rGzt,�ZOIL,s.1- Lot no.:/36 Fixture or item: Tax map/parcel no,: V Backflow preventer + 31.27 DESCRIPTION OF WORKBackwater valve ) 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROPlrRTY OWNER 1_1.TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Address:7600 E Doubletree Ranch Road Floor fl sink/hub 25.02 Garbaggee ddisispossaa l 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ®Pd ! CANT ❑.CUNCACTtPER$UN Interceptor/grease trap 25.02 Business name: Medical gas(value:S ) Page 2 Poly i,- l t i_C Primer Contact name:N i0,161,E,..--0,101>c,J 12.51 Roof drain(commercial) 12.51 Address: 03 (61(000 , C,� t� �- � o Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660"4 J Solar units(potable water) 62.54 Phone:(360)695-7700- Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail: }ono Le �npc� Urinal 25.02 rd\t� �P) 1 7 e-'v\ Water closet 25.02 GONTRAGTOR Gcl--,_.6 y D�X Water heater 37.52 Business name: V A W nr ,,,� 1 :�W� Water piping/DWV 56,29 Address: 4),Q. $., e.t.a Other: 25.02 City/State/ZIP: ST, P 4-w arc '1 I3i Subtotal Phone:(SO rg(,g-, 14��'1 Fax:(a1 V.-7g1-1?Jt� Minimum permit fee: 72.50_ CCB Lic.: l + Plan review (25%of permit fee) 18113-la... Plumbing Lic.no.Pb (� Q State surcharge(12%of permit fee) Authorized signature: ,$k[jt TOTAL PERMIT FEE Print name: �t Vit. Ita,'ice__ Date'g-'3 cl5-1 b 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. 1:1Buitdinetferaiis1PLMU-PermiitApp,cnC 10/01/09 440.4616T(10/02/COM/WEB) 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 Transmittal Letter r t t i 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Dianna DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Tom Dicianno APR 201 8 COMPANY: Polygon Northwest G n BUILD NG Li V161DNI PHONE: 503-577-4160 By:/il RE: 160,60 fW etiloserat, MST2018 Ot'tOct (Site Address) (Permit Number) EA,T. River Terrace Lot 103 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 0 Additional set(s)of plans. 0 Revisions: _ _j 0 Cross section(s)and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. a Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: 74 U POU/v00,1Zcitu aiO4- De/6A1 x` ctrattrit ,V;;7:1 Routed to Permit Technician: Date: -- Z- y . =In- Fees Due: ❑ Yes Ill No Fee Descri.tion: Amount Due: Special Instructions: LE:T:Gfi'-. M0 Yes 10,1 No ❑ Done A..licant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 r 4 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 c A lz n Building Permit Review — Residential Building Permit #: Pt 51-. 2O t 8 - oo ( o 1 Site Address: 6 g 6 O S W `,Zi_S c i j . 't Project Project Name: ivr -runt( Ea.sf- Lot #: It) (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: G'\S. r>ij-iz,k U ritU/ S F k LUerify site address/suite#exists and active in permit s�'stem. Ltd River Terrace Neighborhood: ❑ No Lfd yes,See River Terrace Review Addendum Attached Sits Ian Elements: L ree(3)copies of site plan ting structures on site 7 to plan must be on 8-1/2"x 11"or 11 x 17"paper [Ziprint of new structure(including decks)with finished I�'rawn to scale(standard architect or engineer scale) or elevations �/ orth arrow � 'ty locations&easements(required for new and additions) LUItte address,project or subdivision name and lot number LJ Sidewalk/driveway approach plic.ant information(name and phone number) iv/1, .cation of wells/septic systems Lidl.ot dimensions and building setback dimensions IP xisting trees to be retained with drip line,and tree fkilASsuare footage of buildings to be demolished pbotection measures [4lot area,building coverage area,percentage of coverage and [ 'SSS et tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) ❑Street names L�Yl'xoperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? [ Yes ❑No 4 foot differential) If es,is a storm water .uali facili shown? ❑Yes 0 N r. Clean Water Services—Service Provider Lettep(lot platted prior to 9/10/1995): �equired: ❑ Yes,applicant was notified No Received: ❑ Yes 1:1Nof �� LW Public Facilities Improvement(PFI) Permit: (tea 11A p Ust /Required: W/Yes,applicant was notified ❑ No �n Applied For: Ld' Yes ❑ No,stop intake ,L�td"�"and Use Case#: PK/M-00006 ' rav bi io oto odc i Lid" oning: R-"3. so ) re Required Setbacks: Front W Rear 1 0 Side 3 Street Side Pvq Garage Z 0 WI,.andscape Requirement: ©/ of Coverage Maximum: S0 % Building Height: Maximum Height jJft Actual Height Z ,�/Tisual Clearance �/ L� ensitive Lands: Ltd Yes ❑ No Type rt 4 � fII } tt+ 'ry Urban Forestry Plan Conditions "Met"prior to issuance of building permit ^ � Notes: h rpt U,,S v Mtn' 10,-1, � i�G i IiJi;JGntz Approved By Planning: (....641,.._ Date: /,- 'LH 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\B1dgPermitRvw RES 061417.docx r y5 Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Engineering ❑ 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 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: Engineering Review 4 b Cf f lope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat -(Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ,2 No Assess Water Quantity Fee in-lieu: ❑ Yes ca No LIDA Facility on lot: ❑ Yes .2---No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: PIA. I✓,.tUt..3 e Date: k h 1$ 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: DC Fees Entered: Wash Co Trans Dev Tax: �� es CI N/A Tigard Trans SDC: M.'Yes 111 N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes N/A OK to Issue Permit "O 'r.--- / Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPennitRvw_RES_010118.docx City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT $11 C T I G A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: 10V) / J 5 ,�y S . Project Name: T �,r l ,iii. Ec - Lot #: 108 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distfict Design Standards (18.640.070.1.): Is the project subject to the plan district design standards? Ull 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 t. deep Balcony w/access 2 Window Projection Vertical Wall Offset a IA ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer CI ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: Iq.() 3. En rances:At least one entrance must meet both of the folio g standards: LtYMax. 8 ft. setback from longest street- facingwall at arallel to street,angle no more than 45° from street, g or open onto porch Entrance opens to a porch: LLYYes El No Iff yes,all the following apply: �[J S sq.ft.min. l f9ne street facing entry I g 12 ft.max.roof above floor of porch LYS ft. depth min. D40%min.porch roof coverage 4.petalled Design:All buildings shall include a min. of five of;lie following elements on all street-facing facades: Ei Covered porch min. 5 ft.wide x 5 ft. deep CRecessed entry area min. 5 ft.wide x 2 ft. deep El yall offset min. 16 inches El Dormer min. 4 ft.wide IV/Roof eave min. 12 inch projection ❑ I.00f offset min. of 2 ft. El Roof shingles either tile or wood Gable,hip or gambrel roof design El Ijoof 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 ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep El Balcony min. 5 ft.wide x 3 ft. deep with inside access ® lttached 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: —/ No closer to front or side lot line, than longest street-facing wall. El Yes Lid"No. If No (Check one): ❑�1ay 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 R(1-0%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ,)LeveAiii.(,Q. /'J Date: I:\Building\Forms\B1dgPermitRvw_RES_RT_121417.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16860 SW BIRDSONG ST, BEAVERTON, November 28, 2018 at OR, 97007 2:11 :01 PM Record Type: Record ID: Residential - Master Permit MST2018-00109 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