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Permit (88) INI CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00335 f[ A D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/19/2017 Parcel: 2S 106DA00400 Jurisdiction: Tigard Site address: 13341 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 4 Project: River Terrace East, Lot 4 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 115 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 646 sf Garage: 543 sf Front: 8 Smoke Dwelling Units: 1 Third: 633 sf Right: 0 Detectors: Yes Total: 1394 sf Value: $189,098.87 Rear: 5 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 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>=10OK: 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: 2 201-400 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 SFA VB R-3 1394 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: 602-494-4031 PHONE: 360-695-7700 FAX: Total Fees: $24,305.62 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 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. • Issued By: /d// 2 6%�� Permittee Signature: See- if. °CC' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. C%~I 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 Lo7 V . 5 t sem. ^ P? R s i tial 1.,......„,t,,,,,. _, , FOR OFFICE ISE O\Ll Received r/?�/(/i�� ,W�7TA6)(2 W City of Tigard AUG 2 20 7 Received / / PermitNo.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review/14 ■ Phone: 503.7182439 Fax: 503.598.1960 C 1 e ,-2,1, _;,r,1;-) Date/By: 7 "11 ' )) mer Permit:544410/7... 2 t'I G A R D Inspection Line: 503.639.4175 " ,i r ,t s Date Read yBy. 1 7wis: H See Page 2 for Internet: www.ti and-or. oV �t1 s i y y ° 8 A�r`�s NotiSed/Method:�� / / 4.;,.:41 Supplemental Information g g �/ ®New construction 0 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 re7:77177:t•%Wrir,M15774:Me.W.r4We'xiciMftWfr.W-,11114,317pr!,,„..r. work indicated on t • lication. Valuation: $ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building �4 Multi-family Number of bedrooms: 2 1 g 9J ,� 9 Q 0 Master builder 0 Other: Number of bathrooms: O ". Total number of floors: 3 1937 Job site address: \A I I & V New dwelling area: f 3q y square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 53 square feet 63 3 Suite/bldg./apt.no.: Project name:River Terrace East 70 Covered porch area: e,f sguare feet G 9 6 Cross street/directions to job site: Deck area: 9 q6 square feet`/1 IC Other structure area: l square feet >, .<,1-..' .. ON lam.w., ., s.<4..'g Subdivision:River Terrace East Lot no.: 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 `.- (` #a, 0 :!' a 4 . e , � "� work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet t ' t 4A; Q e ,�p If `` Number of stories: r :tr, P0., , r: .3, ., E ,,: 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: Business name:Polygon WLH,LLC ; ,. �. : Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address: p kg t I,, _ r. _ . Total fees due upon application: City/State/ZIP:Vancouver WA 98661 Amount received: Phone:(360)695-7700 Fax::( ) °x t E-mail:Nichole Thorpe 1 � Commercial and residential prescriptive installation of t x;.> roof-top mounted Photo Voltaic Solar Panel System. Submit two(2)sets of roof plan with connection details I 'A '1and fire department access,along with the 2010 Oregon Address: '1 03 g clw„1 , kik-k- Ab SolInstallation Specialty Code checklist. City/State/ZIP:Vancouver WA 9'86`6"0'''1 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 lic.:207247 Total fee due upon application: $201.60 Authorized signature: / / -/ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • ..,,--.t Mechanical Permit Application .0 V 0 0 2017 FOR OFFICE USE ONLY City of Tigard111____9_,Ci'l - ; , .,-,-- : ta'eeivedy: =EMEEPAM I II 4 13125 SW Hall Blvd.,TiTigard,OR ,23i i .-a,a' a - •a, •, Plan Review I Phone: 503.718.2439 Fax 503.59$.1960 '•2 ' • taten3yother Permit T i G ARD Inspection Line: 503.639.4175 , . Date Ready/By: Suns: El See Page 2 for Internet www.tigard-or.gov Notified/MOW: Supplemental Information r,-4egontl •:c.03.4.4:44400*.cotogagsr.::::,cHet:144-4-,47: • Mechanical permit fees*are based on the value of the work El 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:$ acto.AIRMIV:04.14.400.4*****0417W-141174Mi gm.kfitslbilfjYA'E'ijal'idkaiUfiWfiita''Vglz-'-'V • _,' 1-and 2-family dwelling 0 Commercial/Industrial 0 Accessory building For special information use checidist. 'Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total 0*-7N4- W4451:4001tak*:-.0*.. .KIITNitgAegittlitte.W•Mk: Reallne"ang: - " Air conditioning 1 46.75 46.75 Job site address: I i Li, SA) I tj orb Nei Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ductslvents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:River Terrace East Duct work 23.32 Cross street/directions to job site: Hydronic 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 2332 Subdivision:River Terrace East Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ..;;;:11.?•aigWitraai.:t aM ,t..+;$4101‘,.**4?-:C*tti**-',;L•i•';•:?.r:441143VgadVI Gas firePlacelinsed 1 33.39 Flue vent for water heater or gas _1145Triol1 - 61035- fireplace 2332 Log lighter(gas) 2332 Wood/pellet stove 3339 • Wood fireplace/insert 2332 • Chimney/liner/flue/vent 23.32 2332 -.43.F.T,satfi2:rapilik-diridaitai-tiar,..r,i,-;:,.;4!.ri ,,-;:11. ,•::.:.*,:i;,,r, 'istifl,af,;!'atk,affi--*-',-*44;it.Z °then :•:-:-...;-.. .Naar....,tatt, . ....,-2,..,,..,. .....:,..:-.!;.4-7.-., .,,...,:,+.;..N.•:•--r'- ''.- . ..:':+;irP.:1-:'''''''--14:-'' ! Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment I 3339 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust t 3339 City/State/ZIP:Scottsdale,AZ 85258 1 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) ti 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 •;:;44-P7.44181:4,1*~; :&-:••• •:.; l:'.;.'y '604.401 IF:its:70IV.41j Other: 2332 Business name:William Lyon Homes,inc. Fuel piping: 514.15 for first font;54.03 for each additional Contact name:t•\)1 CAI be,-11A OnX Furnace,et 1 . AddressflY?) Mactkool Lt SwA-(- CIO . Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 — Fireplace 1 _ • Range E-mall; CAA :P Me , k• 1 fl)t)\VV2In1 IrlaMe.S • Utnfl Barbecue 6;:;;:`.4.:2''6,1-4,••,*.,----f",Lii.,,,,,i 4:.*:5'f-'.-.Lir t' -dithigirl: :?..i. ';-.7::T'4'. '1:4;-;-°3'.414"-Si.:2' Clothes dryer(gas) Other: Business name:pn\iyfizon otyvl Qtory, -1-xy, 74.A,..4:14'.E7,avzscifiii*:0_4013 Itithr: ..4E§P4v-gi4:•::: :i j Address: ELORS- t\W a Pij\ 16tRI Dr, Suilkt, t1.0.1 Subtotal _ City/State/ZIT: katilSbn ))V_ Ci 1 0)1 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:56-6)443.. li,41_, Fsec 61))()11- 1'''' (VT' State surcharge(12%of permit fee) CCB lic.:100I Doi TOTAL PERMIT FEE This permit application expires ifs permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: aam•Ca,../10--- * Fee methodology set by Tri-County Budding Industry Service Board Print nemeM aA it__ -"irl tNIK, Date: IlliluiltrineTermibAMEC PermitArm 04011S rine Aztrutcyrr I,,/07/PflIK/13717R\ . , • Electrical Permit Application i,0 V 0 0 2 0 11 FOR OFFICE USE ONLY City of Tigard 7,..:,i 1,11 i TIMM/61MM 13125 SW Hall Blvd..Tigard,OR 9722X !:. %!',,,-, - -.‘, 1 1 1- Phone: 503.718.2439 Pam 503.598.1960 ' ' Date/B. RelatedPennit if: ,,,,r,. Inspection Line: 503.639.4175. Ready Date/By: Jude El Bea Page 2 for TiGh-iu-', lutcttlet.www.tigard-or.g0v Noti.tiedadethod: Supplemental Informed= • _•_,.• El New construction 0 Additionialterarionfreplacement Please cheek all that apply(submitl sets of plans wilt=decked): 0 Service or feeder 400 amps or more 0 Building over three slides. 0 Demolition 0 Other: ' where the available fault ourreut 01:farina/and boatyards. :rir,:';'- '-'''-t':-l ;':;:,'- '-':';'-'Fi''I g'2",'•'-'-.VS-6-.`:'0.4/r.b tl-L ci if er'-'4,7===.:=7S1.-k1.-4-- -e-z---.7.-----4---ft4 exceeds 10,000 amps at 150 volts or QPIoating buildings "..-and 2-family dwelling 0 Commeraialliithistrial 0 Accessory bitilding lass to ground,or exceeds 14,000 ip Commescial-use agricultural mops for ell other installations. . buildings.• Mulli-family = 0 Master builder 0 Other OFire pump. 1:IInstallation of ISO KVA.of 0 :?y4IN,--,-ia@,,aE2)...,40)T- i.:61:,,c.i,-,,,4 P 0'2,*----43?-..-,-_--z--7.1', 0 EmerracY Mite= larger separately derived 0 Addition of new motor toad of system. Job#: Job site addreq 33 I S41 wortil pa c, . . 2001iP or more. 0 Six or more residential unit's. occupanoy. City/StatelZJP:Tigard.,OR 97224 0 Health-one facilities. 0 Recreational vehicle parks. Suite/bldg./apt#: I Project mime:giVe/r Te-Virrxt-e eLarrf-- °Hazardous locations. El Supply voltap for more than 0 Service mfeeder 600 amps or more. 600 volts nominal Cross street/directions to job site: -4'<:.•;:;-4a.--"''-' K:E.- - - -f`--iFf Description Qty. I Each I Total I • New residential single-or multi-family dwelling unit. SUbdiViSi011: !Liver Tura te,. "EaSi- 1 Lots ii — Includesattached garage. 1.000 sq.ft.or less I 168.54 4 Tax map/parcel it: add'I 500 sq.ft or portion I 33.92. 1 EL Limitea energy,residential 75.00 2 (with above sq ft.) Limited energy,multi-family 75.0D 2 residential(with abovesq.ft.) Renewable En ergY El See Page 2 Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 ID Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 20134 2 City/State/LIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 1 Fax ( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or F.rnail• -. relocation Owner installation:This installation is being me on property thatI own which is not 200 amps or less 59.36 1 intended far sale,lease,rant,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 'Y'.''''1-:.'V'.------,":3;,IVI-.)':,it.j_e'2,13,,g'.':.• .4-:J,j-k--;Q::-,,:5-t-;:t;'Z:f'.1M‘rZ"ff<iNi'i'V-s1V?iil:K`r.9*± 7,-;';;' Bran tircults-nen withalterati°n'or extension'per Panel Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name: hitchole,Th 0 rpt B.Fee for branch circuits vithout service or feeder fee Address: 103 Iyoacti/Jal St Su ,fast Ltl-t, S tO branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add')branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • ' ' Fax::(360)693-4442 Each manufactured or modular - 67.84 2 dwelling,service antVor feeder Bina j It lit) . , go to 4 me . 1 0 Reconnect only 67.84 2 ,1- :-,`.1'lliff--K4,1f.'X-1-1:-..1:):1"--A- -_:. -1;.;f:MOlf"± PC."f--• t-,. --7-:;; 14:--17.'_?.4"Th,':'.V2r,:; :;,':'-:=-7,=--- Pump or iniption circle 67.84 2 Business name:Garner Electric Washington,LLC ' Sign or outline lighting 67.84 2 J.... Signal chnuh(s)or limited-energy ,.., ,., Address:\4 Di Val\',LAI Nv.e...,‘,..sk..b3 u:),\..e., k:Cip panel,alteration,or esdension. 1-1 oft-rage 2 1 2 Earl additional Inspection over allowable in any of the above City/State/ZIP:'pLkticati4-3-11 v*. Re3.31 I Additional inspection(I In min) ' 6625/hr Phone:(253)320-1657 1 Fax:( ) Investigation(1 hr min) 90.00/lir Industrial plant(j hr min) ' 78.18/hr Email:bdaniels@gwensa.com Inspections for whichno f=is CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lice. 4496S .0 ..-I listed 4 hr min.) 90.00/hr :---- -r-:;;',6-J'1-41924:OtT-rfi-c.--AP i 1'4:7 a).22, -14,it'Inf•-•-t atm,.Electrician signature,requite& . • *ft A . itit • ,. ..... . Subtotal: ,,. . Print name: Joan P Albert •• - Date: 4/26/2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): - :;..',:•, Authorized signature: 7'----- —' ---- . TOTAL PER1A3T FEE: _ This permit application expires if a permith not obtained within 180 :i, Print name: BM Daniels Date 4/26/2016 days after Ithas been accepted as complete. Zif!.• * Number of inspections allowed par permit. ;-4)!..'innuitdinait>ereitaAnc_PremitApp PS2.Enka;Rev 06/172015 440-4615T(IDDSCOAVWEB onePi sx f Plumbing Permit Applileatiolll 0 V 02 2017 Building Fixtures , i y { i:33is t)i•i Ic i t sl: O\L\ City of Tigard �' r • r , !. ' as Permit Flo.: - 13125 SW Hall Blvd.,Tigard OR 97223 ° '' %' !�-�)t?3 3 Plan Cw _ Phone: 503.7182439 Fax 583398.1960 ally,, OthcrPe mit No.: --4- C. k t Inspection Line: 503.639.4175 Data g y/gy; Inds: 171 See Page 2 for Internet www.tigatd-ar.goVNotified/Method: Supplemental Information - _T _ ;WI.:-. 'd_T •aiTai:e?S' _ _ - _ f ;f-,'i^:,•*'b`� t:s :kittI � GV. ,7-.. - ®New construction ❑Demolition For special tajormation'use checklist J Addition/alteration/re lacement 0Otl�: Description f Q . 1 Ea. ( Tota _ ❑ PNew 1-2-family dwellings(includes illi#ftforeach utility onntaectiort - t i•AL3BY,(EE=LfNSR[13Q1 _ ry?� ':.4. 1...' '25,:::::.! SFR(1)bath 312.70 1 1-and 2-family 0 ComtnereialTmdustriai SFR(2)bath 437.78 ' ❑Accessory Wilding XMtriti-(amity SFR(3)bath _ 4 500.32 . Each ask itiional bath/kitchen 25.02 p Master builder 0 Other: _ Fire sprinkler(_____sq.ft.), Page 2 - l '; •t PJ_()B k2 :IN rOR* ib( DVGt47'.! : ' :.':::r:,--=:. Site utilities Job site address: 1'J� I SUS 14°01 Catch basin area drain • 18.76 . City/Stale/ZIP:Tigard,OR 97224 I ," Dryweli,leach line,or trench drain 18.76 ' ` Footing drain(no.linear ft.: _) Page 2 Suite/bldgiapt.no.: I Project name: 12,1Vr Te na to Eos 1- Manufactured home utilities 50.03 - Cross street/directions to job site: Manholes 18.76 ; I Rain drain connector 18.76 Sanitary sewer(no.linear ft.:____) Page 2 Storm sewer(no.linear ft.: } I Page 2 _� •Water service(no.linear ft,:_) ' P�2 : - Subdivision: ('�,eir "�' �,� Ems.{- Lot no.. 9 - Frixturear item: Tax map/parcel no.: Backflow premier31.27 "^ r - Backwatervalve 12.51 Clothes crasher 25.02 • Dishwasher 25.02 Drinking fountain 25.02 Pectrasisurop 25.02 Q -sem ,,-...f': Expansion tank 12.51 Name:ADPL Land Holdingsi LLC Fixture/sewer , 25,02 Address:76001's Doubletree Ranch Road Floor chain/floor sinkltrutt 25.02 Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose brit 25.02 , Phone:(602)694-4031 Fax:( ) Ice maker 12.51 7.m. i"..; •" ' •..• •_ bderceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) Milii • Contact name; ior\ae..Tn•. Pane: Roof drain(commercial) Ams:r1 b3 Si-S k-, ScO I . Sink/basin/layette} 2 City/StateIZ1P:Vancouver,WA 98060 _ Solar units(potable water) 62.54 Phone:(360)695-7700 ' Fax::(360)693.4442 Tub/showerlshowerpan 12.51 : 1 E-mail:,1 _1 , 14,D A+ X1l\,Yr Y\IMPS .(oro rhinal 26.02 ::-...,..4.0,-,4.w....,...,....,,.........•.. 3 ' 'a; *w c= _;J� _, Waterolos� " _� .. - . . ..i, • •--' Waterbeater • 37.52 Business name:Alliance Plumbing LLC . ' Water.pipingfDWV 5629 Address:146 W Historic Columbia River Hwy Other1 25.02' City/State/ZIP:Troutdale,OR 97060 Subtotal ' Phone:(503)492-3490 Fax:(503)912.6438 Minimum permit fee: 57230 ; l Plan review(25%of permit fee) CCB Lie.:384601 i iii 1 Plumbing Lie,no.:P0732 State surcharge(12%of permit fee) Authorized signature: ' TOTAI.PERMIT FEE I Print name:Robert D":shmma Date 5/2312016 on expires Ira permit is net obtained within IS)days atter Sims been accepted as rensplete. *Fee methodology setby Di-Calmly Bolding Industry Service Board. i.tauadhrgTermtra MJ-PamitAppda MOM 44t.46l5T(1WO2JcOMlWe11) r1 `` City of Tigard IN ' COMMUNITY DEVELOPMENT DEPARTMENT IGARD Building Permit Review — Residential TBuilding Permit #: ,/f4 57)-0(2 . O o 5 3 S' Site Address: / ) J(JL,I -e__ Project Name: ,P4r — oo -l-- Lot #: (New dwelling=sub vision name;Addition or Alteration=last name of owner) Planning Review J j Proposal: �. > 7 ��- i'/ �b�;4 L ('n L m ,iz ) )erify site address/suite# exists and active in permit stem. River Terrace Neighborhood: ❑ No qd Yes,See River Terrace Review Addendum Attached Sit lan Elements: �nee(3)copies of site plan to A sting structures on site De plan must be on 8-1/2"x 11"or 11 x 17"paper l►, ootprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) oor elevations Pyorth arrow i'ty locations&easements(required for new and additions) lig e address,project or subdivision name and lot number Sidewalk/driveway approach jign .plicant information(name and phone number) 1.9(ation of wells/septic systems gi Lot dimensions and building setback dimensions D':, sting trees to be retained with drip line,and tree IZI:ti are footage of buildings to be demolished .rotection measures 1►A Lot area,building coverage area,percentage of coverage and J treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names 11VProperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? L14Yes ❑N 4 foot differential) If yes,is a storm water quality facility shon? ❑Yes Ud4o tow Ley can Water Services—Service Provider Lett (lot platted prior to 9/10/1995):4 'fibre t incl l{ I=1 equired: y ,applicant was notified No Received: El Yes ❑ No Public Faciliti s Improvement(PFI)Permit: / PFI Ol _c c • 7 Required: Yes,applicant was notified ❑ No Applied For: [I//J Yes El No,stop intake 4andUseCase#: ��ilp-&oflD), aai -6606V, AE- -,04--- -et)()--)(e, V/Zoning: /2- .Q1/4s-- p Required Setbacks: Front eg Rear 5— Side 0 Street Side NjP''Garage ,20 ,toi Zandscape Requirement: of Coverage Maximum: % 01. :uilding Height: Maximum Height I* Actual Height isual Clearance ti_ri r ensitive Lands: ❑ Yes No Type 7 Urban Forestry Plan ❑ Conditions "Met" rior to issuance of building permit Notes: aid bi -$ S aka, n f�4 / / S-.744 _ Approved By Planning: Date: ),, (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 ' Original Submittal Date: 5'7)J/12 Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: lanning II.-Engineering Ermit Coordinatorwilding 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: / / / �I ' / ' Date: ( ��// Engineering Review �� 'Slope at building pad: 62 ❑ 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 eflNo Assess Water Quantity Fee in-lieu: ❑ Yes Er No LIDA Facility on lot: ❑ Yes j2i No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 4'4 (/61-- Q , Date: 1/57/ 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit pproved,NOT Released: ate: 9/?- /�— otes: 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: te)SDC Fees Entered: Wash Co Trans Dev Tax: r."'" es CI N/A Tigard Trans SDC: Yes DI N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes klam N/A 2i1710K to Issue Permit Approved by Permit Coordinator: 2*-Date: )2.J)4 il.?-- I:\Building\Forms\BldgPen iitRvw_RES 061417.docx City of Tigard ® COMMUNITY DEVELOPMENT DEPARTMENT TRIS River Terrace Building Permit Review Addendum Building Permit #: Site Address: / 31-.// 4J // qq nve_ Project Name: P/'ver- �-e aGe _c1--- Lot #: 11 (New dwelling=subdivision name;Addition or Alteration=last name of owner) // Planning Review of River Terrace Plan Distil►t Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? IN Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 deep ft. de min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer CI KIR 2. Eyes bm the street: a minimum of 12%of ea h street facing façade must include windows or entrance doors. Percentage Shown: pjm2- : �' / D 0 f J^, <�-• /6 % intrances:At least one entrance must meet both of the follooring standards: Max. 8 ft. setback from longe street- facing wall CV Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No If yes,all the following apply: sq.ft. min. GVEI ne street facing entry I► ft.max.roof above floor of porch ft. depth min. 1l� 30%min.porch roof coverage 4. t etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: iV. Covered porch min. 5 ft.wide x 5 ft. deep f ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep 0I/ all offset min. 16 inches ,/� ❑_ rmer min.4 ft.wide n oof cave min. 12 inch projections i`� Lldoof offset min. of 2 ft. �'•�''C— ❑ Roof shingles either tile or wood [Z Gable,hip or gambrel roof design� " ❑ �coof pitch oriented south min. 500 sq. ft. CI . .rizontal lap siding min. 3 7 inches wide j ..> Accent siding min.40%of street facade�/�� MWindow trim min. 2 1/i"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 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. ❑ Yes lld No. If No (Check one): 0)6I 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. Wi. : (Check one) !I. 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: :4-ttDate: _a_A__SIL - I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13341 SW 169TH AVE, BEAVERTON, OR, 97007 October 25, 2018 at 11 :44:00 AM Record Type: Record ID: Residential - Master Permit MST2017-00335 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: FA I L Comments: Cancelled per builder request Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13341 SW 169TH AVE, BEAVERTON, OR, 97007 October 31 , 2018 at 11 :16:06 AM Record Type: Record ID: Residential - Master Permit MST2017-00335 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13341 SW 169TH AVE, BEAVERTON, OR, 97007 October 31 , 2018 at 10:51 :52 AM Record Type: Record ID: Residential - Master Permit MST2017-00335 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13341 SW 169TH AVE, BEAVERTON, OR, 97007 November 1 , 2018 at 1 :18:37 PM Record Type: Record ID: Residential - Master Permit MST2017-00335 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: 13341 SW 169TH AVE, BEAVERTON, OR, 97007 November 6, 2018 at 11 :28:28 AM Record Type: Record ID: Residential - Master Permit MST2017-00335 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control passed Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor Electrical Permit Avplicatioti - ` r, 1 OR 01•I•14 I': I:SIL O\1.1 City of Tigard ;U L. 2 3 ,Z018 Ra:anrca 401.g.471, �iY " i11�l� 13125 SLY hail Blvd,Tigard,OR 972 �!e B - `i Phone: 503.718.2439 Fax: 503.598 ,,....::„1,- ,.-,,4 , Plan I:eriew Date.:a Related Permit r: T i, , r,I Inspection Line: 503.63'9,4175 t l I I i ;^t 1 NI : i t' q;,--,,1-': Rea Date1 Internet: www.tigard-or.gov "' ' ' ' i thod Anis: Supplemental Sec Page.'Ifor nformation Supplemental Information Notified/Method: ,s< Wa,as :, ° a a ..€s.g:�ga t1)}T'; a -.P� -4,7_,,, `,», i,,. A,,,„` "'* r A'"W ; Imo:.. & �,'. 1 P. New construction Q Addition/alteration/replacement Pr' he ed): -k all that apply{submit 2 sets of plans wlitams checked): ❑Demolition 0 Other "- it .. or feeder 400 amps or more ❑Building over three stories. . t -- here the available fault current 57i s •« 0 Marinas and boatyards. exceeds 10.000 amps at 150 volts or 0 Floating buildings. Q l-and 2-family dwelling 0 Commercial/industrial 0 Accessorybuildingless togmuud,or exceeds 14,000 0 Commercial-use agricultural gMulti-fatally 0 Master builder 0 Otheramps for all other installations. buildings. �,n�)l�� ���� �, e��� o � ©FirC pump. 0 Installation of 150 KVA or i 4 ., a ', :, ;„ ?,, : 8 Emergepcy f system. larger separately derived Job#: ��. Job site address: 133441 St.) 11 a T t A-V' (1 Addition more. motor load of system. City/State/ZIP: V 1 IoaltPorntt,re. 1-001- CI Six or more residential units. occupancy. Suite/bldg./apt#: proname: _ CI Health-care facilities. ❑Recreational vehicle parks. Project 'Et '�' 17 v. ,.e O Ha mous locations. 0 Supply voltage for mom than Cross street/directions to job site: S �'y O ❑ ^�or ceder 600 amps or more 600 volts nomwal tlwertpt ort 1 Qs• 1` E ) Total i * n New residential single-or multi-family dwelling unit. Subdivision: p1'S•� 2A r fit ,. AGE I Lot#: 4 includes attached garage: Tax map/parcel#: 1,000 sq.h.or less 1 ` 168.54 4 Ea.add'i 500 ft.or ': y� a � 1J c ,i. 1x Ca) c ?,-.: . 7 y, portion 33.92 1 �& �� Limited energy,residential Ccil,117Lii-G?in 2 C 14 Ai.LC.E (with move sq.e.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 73.00 2 ,„I '"i'fl t4=g y ''i ' 3 ,' '44 d."41 r.. ''., Renewable Energy Cl See Page 2 Name: 4Dv L 1-A1.46 1 It c i LLC amps or rs installation,essialteration1 awn Dor relocation1 2 Address: �'1000 'E. 'ice_... .E. 'r e r (rt- (LA , 201 amps to 4th amps I33.56 2 City/State/zip: �0�S -+"j�,S�A,E1 1e•� 4(11 amps to 1,0 amps 200.34 ••+rsl ) Z- �� 601 amps to 1,000 amps 301.04 2 Phone:(ies?_) (04/A+-X31 I Fax;( ) Over 1,0 , ampsor volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or Owner Installation:This installation is beingmade on propertyrelocation0amps o intended for sale,lease,rent,or exchange, that I own which is not 200 or lass 59.36 1 according to ORS 447,449,670,and 701. 201 amps In 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 s:;`:.,,,, , t',,G! ISIG '44 ',7 ': -c-7,7 R` i.1. w.:- .-� "�.�� -- � �L� eab^, � �. �_ � Branch circuits-new alteration.or extension.Per Danes Business name: •`L�� r . for branch Circuits with -J Atµ'��j 1 ��'� 1 1..1,+� above service or feeder fee, Contact name:�0 KA (� 1 each branch circuit 7.42 2 C 1 Al•A XI 1, B.Fee for branch circuits without Address: i service or feeder fee,first branch circuit 56.18 2 City/State/ZIP:V Atli e oil Vt12. L pt 90166(.., Each add'1 branch circuit 7.42 2 Phone:(5b3) 5�,? - 44,6 0 I Fax:':( ) EaMiscellaneoushru(service or feeder not included) ( Each manufactured or modular Email �� . lb t Curl f 1 O •p • emir dwelling,service and/or feeder b7.84 2 • Reconnect only 67.84 2 pump or irrigation circle Business name:Three Phase Electric 67.84 2 Sign or outline lighting 67.84 2 Address:11490 SE Jennifer St Signal Circuits)or limited energy ' panel,alteration.or extension. © See Pa$e 2 2 Each additional inspection over allowable in any of the above CitylState/2IP:Clackamas,OR 97015 Phone:(503)948 8058 Additional inspection(1 hr min) 6625/hr Fax:(503)762-1823 Investigation(1 hr min) 90.00/hr Email:perntfts®threephaseelectric coot Industrial plant(1 hr min) 78.18/hr CCB Lie,: 162368liupecelons for which no fee is Electrical Lie.: 3-332C Suprv.Lie.: 3398S tfical! hated i/:hr mi ) 90.001 hr Suprv.Electrician signature, r G�x�-u a `✓ 1 i �. requited: ._�: a s i i ,,+ Print name: Dennis WelchSubtotal: Date: 0 Plan Review Required(25%of permit fee): / / _ State surcharge(12%of permit fee): Authorized signs i ,�. TOTAL PERMIT FEE; This permit applicatiaa expires if a pet mit is not obtained ssittiln 180 Print name: Gail Evans Date: days after it bas beets accepted as complete I.!?aiildii�<prnpiisiElC.PermaA El,R„,ERRE.dae 'i; l3 * Number of inspections allowed per permit. Pp.." 440-45,151111105:CAAt1WEB Plumbing Permit Application �. ` ' � Building Fixtures FOR OFFICE ESE ONLY City of Tigard Received �/7// ^lS/�' S 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit N % J/7 X0335 C Phone: 503.718.2439 Fax: 503.598„1960' ' Plan Review Inspection Line: 503.639.4175 -t Date/By. /J y�' ,L�G(z7 Other Permit No TI G A R D p Date Ready/By. luras: I H See Page 2 for Internet: www.tigard-or.gov Notified/Method. Supplemental Information TYPE OF WORK' FEE* SCHEDULE 0 New construction 0 Demolition For special information use checklist. 0 Addition/alteration/replacementDescription I Qty. I Ea. I Total 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF.CONSTR JCTION SFR(I)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 0 Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler , 8,sq.ft.) Page 2 JOB SITE INFORMATION'AND.LOCATION Site utilities: /3 Job site address: 13341 SW 169TH Ave Catch basin or area dram 18 76 City/State/ZIP: Tigard,OR 97223 Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: I Project name: River Terrace East Footing drain(no.linear ft.: ) Page 2 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 Subdivision: Water service(no.linear ft.: ) Page 2 I Lot no.:4 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION"OF'WORK Backwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Permit# MS-rto 1 7- 06338 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ►`1 PROPERTY OWNER I TENANT !. Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Address:703 Broadway St.Suite 510 Floor drain/floor sink/hub 25.02 City/State/ZIP:Vancouver,WA 98660 Garbage disposal 25.02 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 C1 APPLICANT 0 CONTACT PERSON ., Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Gavin Thomes Primer 12.51 Address: 146 W Historic Columbia River Hwy Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 I Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:Gavin@AlliancePlumbing.net Urinal 25.02 CONTRACTOR Water closet 25.02 Business name:Alliance Plumbing,LLC Water heater 37.52 Water piping/DWV 56.29 Address: 146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 C'CB Lic.: 184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: C"---1,____,"----7.1_---.) State surcharge(12%ofpermit fee) TOTAL PERMIT FEE I Print name:Gavin Thomes I Date:2/5/2018 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. \Budding\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. 3 gee feat Total, Square Footage Permit Fee'' Footing drain-1S1 100' 50.03 0 to 2,000 $121.90 37.52 2,001 to 3,600 $169.69 Footing drain-each additional 100' 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 'Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to ( ,, Fee"(ea) fatal and including$10,000.00. Other Inspectionsor Fees Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Additional plan review for revisions 90.00/hr each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Other Fixtures: I I Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Fixture Type for Replace/ Plan Review for Plumbing Installations , Work Performed: Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower 0 Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -DrivepThru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918 780 0040. Dishwasher -CommercialD -Domestic 0 Medical gas and vacuum systems for health care facilities. Drinking Fountain ® Any multipurpose fire sprinkler system. Eye Wash 0 Any complex structure as defined in OAR918-780-0040. Floor Drain/sink -2" 3„ Submit 2 sets of plans with any of the above. Car Wash Drainisometric or Racer Diagram Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related -Commercial-food related that meet the qualifications above. -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Rec.Vehicle Dump Station Comments regarding fixture work: Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet Toilet fees assessed for the sewer increase must be paid before the Urinal haps://allianceplumbing-my.sharepoint.com/personal/gavin_alli anceplumIIi'ng_net/Documents/Documents/Fire Sprinklers/RT/City of Tigard Permit.doc