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Permit INCITY OF TIGARD MASTER PERMIT '. COMMUNITY DEVELOPMENT Permit#: MST2018-00159 TICaARDD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/27/2018 Parcel: 2S 106DA 10600 Jurisdiction: Tigard Site address: 16894 SW BIRDSONG ST Subdivision: RIVER TERRACE EAST Lot: 106 Project: River Terrace East, Lot 106 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 978 sf Basement: 814 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1251 sf Garage: 368 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3043 sf Value: $367,007.47 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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: 1 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: 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!500 sf: 5 201-400 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 3043 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Geo Tech Report Required 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 Prior To Pour STE 1 2 Ersn Cntrl 503-639-4175 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $35,301.64 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 0 9 '41-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 4111 ilk /ter Issued By: Permittee Signature: K)A/ c.!C ,f-77en 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. ILDT 1o6qBuilding Permit Application r r EDn V, D Residential RECEIVED FOR OFFICE USE ONLY City of Tigard APR 18 2018 Received i /(1F);j� y45 )7 / DateBy: (,/ `/ f� Permit 0 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Q = Phone: 503.718.2439 Fax: 503.598.1';Y OF TIGARD c l rz I U l OtherPermiE��Lglot Up/`�`7 DateBy: `"7r v 1 1,_,A R D Inspection Line: 503.639.4175 Date Ready/13y: Ju�S: See Page for Internet: www.tigard-or.gov BUILDING DIVIQ!'Jl' Notified/Method(e) G 7 // /(Y.If Supplemental Information 7779,4. oty6,t! TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. 0 Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit e •e CATEGORY OF CONSTRUCTION work indicated on this application. 0 J ® 1-and 2-family dwelling ❑Commercial/industrial 001 a Valuation: $ (Ile' 0 Accessory building 0 Multi-family Number of bedrooms: Q0 Master builder 0 Other: Number of bathrooms: J JOB SITE INFORMATION AND LOCATION Total number of floors: 3 .1ji(.1 7 Job site address: to 661,Li SW c),(4c.) y; S-1--- New dwelling area: 3 O L1 J? square feet i2,51 City/State/ZIP:Tigard,OR 97224 1 - Garage/carport area: 3t0B square feet C1 1$ Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: square feet :Al,(' Cross street/directions to job site: Deck area l square feet 11 Other structure area: t- 4;' square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace East Lot no.: v � 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 ►e 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: 103 BrtrIctujaj S f S�[ J I 0 Total fees due upon application: City/State/ZIP:Vancouver WA 9866 Phone:(360)695-7700 Fax::( ) Amount received: E-mail:Nichole Thorpe PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of 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: 1 • f -4 i 0 . Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and a dmuustrahve 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: $201.60 Authorized signature: !" I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP=RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) I .Mechanical Permit Applicatia ►0R()I I i( I I ,I Ovl 1 City of Tigard � �I E, �' Received IN la 13125 !'anti!No.' 13125 SW Hall Blvd.,Tigard.OR 97223 Phone: 503.718.2439 Fax: 503.598.1960APR 1 8 2018 Plan Review r I t, v r 1) Inspection Line: 503.639.4175 Datersy. Other Permit. Internet: vivw.tigard-orC1Ty OF TIGARD NotifiaMethDate Rcadylhy:odh.. See Page 2 for : Supplemental Information BUILDING DIVISION i TYPE OF-WORK COMMERCIAL FEE' SCHEDULE- USE CHECKLIST ®New constructionMechanical permit fees*are based on the value of the work 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ RESIDENTIAL EQUIPMENT/SYSTEMS FEES* IN:I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. I 1 Multi-famiiy 0 Master builder 0 Other: Description Qty. Ea, I Total ,OH SITE INFORMATION AND LOCATION Heating/cooling: Job site address: I 1 `, f Air conditionina I 46.75 6�� +C� `-'cV" �A�t�-5 o s Furnace 100.000 BTU(duets/vents) I 46.75 Cate/State/Z1P:Tigard,OR 97224 Furnace 100.000+BTU(ducts/vents) 54.91 Suite/bldg./apt,no.: Project name: Heat pump 61 06 w.er Te��� �— Duct work 23.32 Cross street/directions to job site: Hydronie 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: iVe,v,-re e.....„rv, ,E 5.- Lot no.:IDLO 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 IIa PROPERTY OWNER1 0 TENANT Other. 23.32 }�e,� Environmental exhaust and ventilation: �D yf Name: Leinci tbict' S iLif Range hood/other kitchen I Address: 1 ID®O ' Dcxi p,�lree. (2.4_,(t14 Oma„ „1 Clothesequipment 3339 ��,� ,,,,��,���� , f �`( Cd ei1 dryer exhaust I 33 39 City/State/ZIP: C�I..tJI- aetie l f.)1.2. 2 SB Single-duct exhaust(bathrooms. p_ toilet compartments,utility rooms) 23.32 Phone:(pa--UCH- 3t Fax:( ) Attic/craw lspace fans 23.32 RI APPLiCANT 0 CONTACT-PERSON Other: 23.32 Business name:Polygon%%LH,LLC Fuel piping: $14.15 for first four,51.03 for each additional Contact name: �'Cnoktn rw Furnace.etc. I Address:in BWtel 'l1 TC/su clo Gas heat pump City/State/ZiP:Vancouver,WA 98660 wterh all/suspended/unit heater Water heater Phone.(360)695-7700 I Fax::(360)693-4442 Fireplace I E-mail: Range I Barbecue <, , . i c9prmA Clothes dryer(gas) Business name:Apex Air LLC Other: Address: 18004 NE 72.a Ave Subtotal illi LANKAuf+,.,. :fi S Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 I Fax:(360)326-1769 Plan review(25°!®of permit fee) State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Authorized signature: - • Fee methodology set by Tri-County Building industry Service Board Print name: j I ek %( Date: q•Ht.14.- 1 I1..1 tnuildinglPermits`.MEC_PermitApp_040113.doe 4404617T i 1 If02ICOA1,wT13 'FF-.iii77-771 City of... --a>unuu --ia.tl°'uuu.aa--LRE/ ElvE w- ' tt t D Tigard Received m 'A 13125 SW Hail Blvd.,Tigard,OR 97223 y p Date/By; Permit/E: ' vi Phone: 503.718.2439 Fax: 503.598.1960 APR 1 8 2018 Planl2cview li Ins t' Line; 503 639 41.75 Date/BY: Related Permitil: TIGARD'i Juris: Internet: tvtvtv.tigaid-ar.gov ^ �w/�p� ReadyDate/By: CI SeePage2for CITY OF TIGARD Notified/Method: ,::,... .. ,..: Supplemental l Information - " s - ' n` . ':; ;'::: <':;,P;- ��RUIE�!:' -.: ':.,;-;: _c = ':-:=-°®New construction ❑Addition/alteration/replacement Please check all that apply(subunit 2 sets of plans ry/items checked): ❑Demolition 0 Other: ❑Service or feeder 400 amps or more mg over stories. .agg Y^=QI+,:goNS ri':`_ _'; ,:'.g::':::::?''r,'i;.;-.O;::>::'p •.>,,,•.., where the available fault current Marinas exceeds 10,000 amps at 150 volts or ❑ and boatyards. ❑X I-and 2-family dwelling 0 Commercial/industrialless toground,or exceeds 14,000 ❑Floating buildings. 0 Accessory building 0 Cotnmercfat-use agricultural 0 Multi-family . ampsgTi ;. ..,..-_ 0Masterr allother installations ;,...,.,..-:;:.;-.:�... .,. ,:.:. builder - Fire pump. buildings. Other: 3O$s:5 ❑ ❑Installation of 150 KVA or _.iTE .:ittOR147ATION:1ND.:LQCATION. '';;:>..' i::'`:` r':.' ❑Emergencysystem. Job�: �• -' larger separately derived Job site address:\l0b°1� „S\A 1J\ � ❑Addition of new motor load of system. ��,)l 10011P or more. ❑ ` "I_2>,"1-3, City/State/Zjp;Tigard,OR 97224 ❑Six or morccue residential writs. occupancy. SUite/bldgJapt #: ❑Health-care facilities. ❑Recreational vehicle parks. Project name: R\l® --it ryace,•p+_ _c, ❑gazardous locations. El El voltage for snore than Cross street/directions to job site: t V I 1 CA 0 Service or feeder 600 amps or more. 600 volts nominal. Description I Qty. i Each f Total Subdivision: g��eY New residential single-or multi fancily dwelling unit. x �vi vt _. 4— 1 Lot#:1 Op Includes attached garage. Tax leap/parcel#: 1,000 sq,fl.or less 168.54 4 ::, ..:......: ;>; -:.:'011+ ..:. Ea.add'1500 •. ....,.....»,;:.,,:;:,._:.::>,:=. :-<:;:>:. ::. .....:. .•00*..060•.:-0.K. sq.ft.or onion WOTT -i: ::':.';'` :.`.." :': P 33.92 ,. ....: .: :.... ':....:;::; . :: Limited ener1 gy,residential (with above sq.ft.) 75.00 2 Limited energy,multi family i4Y ?' 1O$ _ residential(with abovesq.#).) 00 2 .,.....:'l Y-,�,_._.,.. - i : Renewable Ecrer _ .. . .., .. - ;SCI�TE�:.,.'� ••>SL -';>`:� EY . .... -..... . .,.i�ft# .T.<'. :....,:..:.,...:�:..': ❑ See P,�tge 2 Name: Services of•feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 Address: , i i i , a,. lir , pit A f Al ,t J 201 amps to 400 amps 2 133.56 City/State/ZIP: S/+ n-�.ia(�1 AT. .lam 1 5� 401 amps to 600 amps 200.34 2 Phone: qp� �/1 (v��(,�1-1�(t�031 •7L U C 601 amps to 1,000 amps 301.04 2 " 0 -"'� Y `03 Fa'x:( ) Over 1,000 amps or volts Email: 552.26 2 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. 59.38 1 Owner signature: 201 amps to 400 amps 125.48 2 Date: 401_:Y:r<,;�s:c?<"?>i::'-�i='l�.t •res.-:=:•.,�--,{>7�,�,.�> .. ;+...�,_c��J.:!7:!'1,t:;�:yv-v' lt �Vt.Lc',to'S, =:":"�'5::... ',,"::;�,j '.�'^"•^'.-'��:_:_:���. __ amps to 599 amps 8 54 2 ^.B F`-.•-_._ ..:.... ....... ::.�::::;;::,:,;;° ;,[Q CON`P.'GT PERS01 :T }3randi circuits—new,alteration or extension,_....:.:.,,,..::..,......-•,'.,:.; E1..._...,:•.,.....>,...,. � per panel Business name:Polygon WLEI,LLC Fee for branch circuits with above service or feeder fee, Contact name: N n 1 each branch circuit 742 2 3 �W l� B.Fee for red circuits without Address: 5\ .�.p � service or feeder fee,first �`-'� branch circuit SS.IB 1 2 City/State/ZIP:Vancouver,WA 98660 Each add'1 branch circuit 7.42 2 Phone:(360)695-7700 i F'ax::(360)693-4442 Miscellaneous(service or feeder not included) Each maserviceed or modular Email: ��� t 1►,.Wn l f,� dwelling, and/or feeder 67.84 2 ,: ;-r;r=�":�,;=�`-.`1- s��:.- �;�,,- 0MeS :� J t Reconnect :�.. ._k:-.,. .:,=1,,,�.:�..-�. :cC' 'tic' - - - - - only . ,.._,a.-._._....,.-._ .;:�3:>.,_� ,,' OI267.84 ';" ":=:: =,=:> Pump or irrigation circle 67.84 Business name:Garner Electric Washington,LLC 2 Sign or outline lighting 67.84 2 Address:402 Valley Ave NW Ste 106 Signal circuits)or limited-energy • 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 Phone:(253)872-6051 Additional inspection(1 hr min) 66.25/hr Fax:(253)872-1801 Investigation(1 hr min) 90.00/hr Email:bdaniels@gwetisa,cotn Industrial plant(l lir min) 78.18/hr CCB Lic.: C1158 Inspections for which no fee is Electrical Lie.: 208174 1 Suprv.Lie.: 44965 specifically listed(14 hr min) 90,00 0 Jhr Suprv.Electricians signature,required: " ; `, ::_.,.: ign q red: I: CTRICi4' ' , , , Print name: Joan P Albert „^ Subtotal:n„ • l Date: El Plan Review Required(25%of permit fee): �- ` State surcharge(12%of permit fee): Authorized signature: /_____�-- ` ____._------ " —._ ---�--rv•�-�----- roTAl.PERMIT FEE: This permit application expires if a permit is not obtained within ISO I Print name: Bill Daniels Date: days after ithas been accepted as complete. I18uildiaglt?ormitslEi C PermitApp_Gt[t li1tE hoc Rev 06/17/2015 • Number of inspections allowed per permit. 40-4615T(11/05/C0141/WEE • Plumbing Permit Application Building Fixtures RECEIVED City of Tigard Received Ill11 13125 SW Hall Blvd.,Tigard,OR 9722A PR 1 S 2018 Date/By: Permit No.: 2 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit No.: Line: 503.639.4175 CITY OF TIGARD Date/Ely: TIG.ARD TnsectionLin PDate Ready/By: Juris: B(See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: * ' Supplemental Information TYPE OF WORK I ,: FEE* SCHEDULE ElNew construction 0 Demolition For special information use checklist. ED Description I Qty. I Ea. I Total Addition/alteration/replacement ICI Other: New 1-2-family dwellings(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 0Multi_famil SFR(3)bath I 500.32 y Each additional bath/kitchen 25.02 0 Master builder 0 Other. Fire sprinkler( sq.ft.) Page 2 JOB:SITE INFORMATION AND LOCATION Site utilities: Job site address:1(pe 94 ,SNAJ i�l Co(c1/4y1� i C, Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 1 J ' Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: tra(,e, -}- 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 n Water service(no.linear ft.: ) Pae 2 Subdivision (`(JQX Teirra,,e,r-_ I Lot no.:Cut p Fixture or item: g Tax map/parcel no.: �-��a Backflow preventer f 31.27 DESCRIPTION OF WORK Backwater valve I 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 p� Ejectors/sump 25.02 PROPERTY OWNER Expansion tank TE)•tANT 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 ®®7. CANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: PU I l` 4)ll�. ' L�� Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:N i Oii \Z- : "' p`� Roof drain(commercial) 12.51 Address: -1 0-3 r6YOC IAj� 3 t S'.k'e-�0 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 mail. \1 ckio t� l ` -1 Urinal 25.02 t v O �0tY V Water closet 25.02 CC TOR Business name: G.4-.1 kkbNx, t"7 Water heater 37.52 '' j AL-' Waterpiping/DWV 56.29 Address: p.Q. 6 oxii`„ Other: 25.02 % City/State/ZIP: y. P oft_o 411131 Subtotal Phone:($ 3..-a r 141 Fax:(Cil V.."*19,7,. 1-7,0Minimum permit fee: $72.50 Lia: t �� g Plan review (25%of permit fee) CCB Li Plumbin Lic.no.Pb a ��Y State surcharge(I2%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: ,S1-f.4)1._ P,w'4e...... DateS_3&,r lb 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. IABuildicglPcmitAPLMU-PernitApg.doc 10/01/09 440-45161110ro2Jc0.irwsa7 City of'Tigard. RECEIVEC) III ■ ~ COMMUNITY DEVELOPMENT DEPARTMENT APR 18 2018 T D Building Permit Review — Residential CITY OF TIGARD w _ I ION Building Permit #: At 5 Td...0 r y- ao t s Site Address: _ i6 F'1` •,S W.. �k ,�,,�,c�' . Project Name: ,� rrA t Lot #: lea l 7� c� F� C (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: kilt,! SFZ Lid Verify site address/suite# exists and active in permit s stem. River Terrace Neighborhood: ❑ No V Yes,See River Terrace Review Addendum Attached Site Plan Elements: ee(3)copies of site plan sting structures on site plan must be on 8-1/2"x 11"or 11 x 17"paper 4[oo rint of new structure(includingdecks)with finished a a rawn to scale(standard architect or engineer scale) 9oor elevations !N ►orth arrow ,1 ty locations&easements(required for new and additions) ,.n to address,project or subdivision name and lot number ['Sidewalk/driveway approach plicant information(name and phone number) Mi ..cation of wells/septic systems Mot dimensions and building setback dimensions tt xisting trees to be retained with drip line,and tree 1 S uare footage of buildings to be demolished otection measures Wtot area,building coverage area,percentage of coverage and LCIS eet tree size,type and location t-ipervious area(applicable if R-7,R-12,R-25&R-40) [ treet names I14 roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? [12'Yes ❑No 4 foot differential) If yes,is a storm water quality facility shown? ❑ 'sr❑No Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Arptd (..,,l-(\ ,gequtred: ❑ Yes,applicant was notified V No Received: 0'Yes ❑ No ( Ji 'Public Faciliti Improvement(PFI) Permit: Required: LiYes,applicant was notified ❑ No Applied For: D Yes ❑ No,stop intake 2/),and Use Case#: FO O/G ld, 066 ii E2 oning: k-3- V C) 0/Required Setbacks: Front 2 Rear /0 Side s Street Side /v4 Garage id L_U/Landscape Requirement: 2,0 [ Lot Coverage Maximum: Y) % IV Building Height: Maximum Height VA Actual Height 2S d isual Clearance VVensitive Lands: E7Yes ❑ No Type Goal .S,,9 Urban Forestry Plan [2 Conditions "Met"prior to issuance of building permit Notes: Led Approved By Planning: ! - Date: `H f-I Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: 41/1r//, Site Plans: # Building Plans: # 3 Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering C ''ermit 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: //Aid.. -,1 AiAL1/�11% Date: 6,77//r Engineering Review Slope at building pad: SD 7 0 erf Conditions "Met"prior to issuance of building permit Er Easements (encroachments)per engineering conditions of approval and plat ;2'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes (E'No Assess Water Quantity Fee in-lieu: ❑ Yes 1 No LIDA Facility on lot: ❑ Yes 2 No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: J2KApproved by Engineering: kik 11i(,il,,,, LA., i Date: b1/ t a 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: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: (\/w( Date: (1 1 l I:\Building\Forms\BldgPermitRvw_RES 010118.docx • RECEIVED City of Tigard 114 I N COMMUNITY DEVELOPMENT DEPARTMENT APR 18 2018 CITY OF TIGARD TIGARD River Terrace Building Permit Review AddrAsmovisionl Building Permit #: Site Address: (aqtI 'w 4,,5 54, Project Name: R4v- Tri-44 t tcts)' Lot #: (O6 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist "ct Design Standards (18.640.0701): Is the project subject to the plan district design standards? 0Yes ❑ 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 ft. deep Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: IS.t 3. Entrances:At least one entrance must meet both of the foll rin g standards: ft. setback from longest street- facing standards: wall Parallel to street,angle no more than 45° from street, _/ or open onto porch Entrance opens to a porch: L�/J Yes ❑ No If yes all the following apply: Efr 5 sq.ft. min. -One street facing entry V2 ft.max.roof above floor of porch EIA ft. depth min. Ca--30%min. porch roof coverage 4.p'etailed Design:All buildings shall include a min. of five of)ie following elements on all street-facing façades: covered porch min. 5 ft.wide x 5 ft. deep U'Recessed entry area min. 5 ft.wide x 2 ft. deep ,�,�Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide L 'Roof eave min. 12 inch projection toof offset min. of 2 ft. I=1 , Roof shingles either tile or wood I+�Gable,hip or gambrel roof design Li 30of pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide I Accent siding min. 40%of street façade ❑ 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 ❑ 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): ❑ I�ay 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) ❑ 1.2-foot-wide garage door ❑ 40%max. of street façade 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: z, L C.41,2,_ Date: 11. -T--(7 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: 16894 SW BIRDSONG ST, BEAVERTON, November 16, 2018 at OR, 97007 10:42:03 AM Record Type: Record ID: Residential - Master Permit MST2018-00159 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: 16894 SW BIRDSONG ST, BEAVERTON, November 27, 2018 at OR, 97007 10:00:07 AM Record Type: Record ID: Residential - Master Permit MST2018-00159 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: 16894 SW BIRDSONG ST, BEAVERTON, November 27, 2018 at OR, 97007 10:28:52 AM Record Type: Record ID: Residential - Master Permit MST2018-00159 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel 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: 16894 SW BIRDSONG ST, BEAVERTON, November 28, 2018 at OR, 97007 2:04:54 PM Record Type: Record ID: Residential - Master Permit MST2018-00159 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