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Permit (84) CITY OF TIGARD MASTER PERMIT s COMMUNITY DEVELOPMENT7,4 Permit#: MST2017-00332 TIGA D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/19/2017 Parcel: 2S 106DA00100 Jurisdiction: Tigard Site address: 13367 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 1 Project: River Terrace East, Lot 1 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 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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>=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: 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: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $24,494.62 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 5003.232.1987 or 1.800.332.2344. Issued By: ,,4P /4/ / - Permittee Signature: J TG /`ea a4 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application LO / , � $ FOR OFNICE I SE O\Ll City of Tigard AUG 2 2 2017 Rece Date/B d / Alin' j// Permit No.: ` Ap .. 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review //J,�/�/ ,.�''J�,,� _ Phone: 503.718.2439 Fax: 503.598.1 t 1 Date/By: 9 ��— �� Other Permitt��C�7�1 Lill 67 11(_ RD Inspection Line: 503.639.4175 BUILDj1C3 C i Lit y,N Daze Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method�z �/� I/�� l Supplemental Information I * n/tGzy-e'L 7' t . C,i 1 t tt r , t a. ,,t ,1-:,� w2,4 * ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all E]Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the _. t _ i t .; work indicated on this application. 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ ❑Accessory building n Multi-family Number of bedrooms: L j O�� O 9 e ❑Master builder ❑Other: Number of bathrooms: 7,...Z rj .*; Total number of floors ..; �.3' 37 '� -,ria„.;.--�,."..,„, Job site address: 33 , W 1 ' & New dwelling area: / 2Gi4Z./ square feet / / �� 1 City/State/ZIP:Tigard,OR 97224 Garage/carport area: � / 3 square feet 623 Suite/bldg./apt.no.: Project name:River Terrace East 0 Covered porch area: (n square feet C 1 6 Cross street/directions to job site: Deck area: q 4, square feet 1)S Rtertr�; ucture area: . square feet 7 t 8 b,� _:� of 4 ,i , »^8" e„x ' :" % :v__ 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 1.x: .. 1 = t i. _ work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ' ` ° 7 v � 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: Business name:Polygon WLH,LLC r a. Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address: p •A !t,,,i ,icr _ _ _ Total fees due upon application: City/State/ZIP:Vancouver WA 98661 Amount received: Phone:(360)695-7700 Fax::( ) Jrii . , E-mail:Nichole Thorpe •f;�, , Commercial and residential prescriptive installation of 4 , roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 'l 03 arbaclu joii wick_ b Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660Permit 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: $201.60 Authorized signature: / / / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) f . iCi ECta i*: ‘s1 i;""f„Li . ,„„.',....s, , ,,rrx,......' , Mechanical Permit Application ,, 0 2 2.0,17 FOR OFFICE USE ONLY City of Tigard Received II 13125 SW Hall Blvd.,Tigard,OR 97223 Cr fy u!, 71 - Phone: 503.718.2439 Fax 503.598.196Q 1 I 1 n;,,'(: , '1 •i''''.i' ,1.i .IB Other Permit: ...4.jk'-,. ' -4 k.,#'S ,, ' -. Inspection Line: 503.639.4175 , - TIGARD Date Ready/By: Anis: El See Page 2 for Internet www.tigard-orgov Notified/Method: Supplemental Information *-frannaft:M.41177:**55**:611*-Vq:At.N.tiMANT454n-V K..:5-.: -:•44-4•Mii*f:'$P-*-4-galj-00440.M:i:= mecnanical permit fees*are based on the value of the work [g]New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition D Other: mechanical materials,equipment,labor,overhead,and profit Value:$ 147. -.1rfratiti2A-Y,14.7;itkrie,75461K6614.ffittakiSf6+4,;. , '''''..w- Z-::;-; ;*_.,--4-,-,......-.--,,- -••••,--------.....--, ,—.,. ,,,,...,,,,,,,.., :....,h Ve..•s. --,t Ift.-1,:-..... ...--...- -........,........i.e.-•..,.... ,-..—,:-..,. r ...,:k *.:rt,-.W.,.??Pieliet: Mfizi F,...it;;2.r..RESIO. ':EquipAimg:Sysrftus FErsti -.,_'4: . •., __,'1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. qMulti-family 0 Master builder 0 Other: Description Qty. Ea. Total '-g4.e.--WV:44-,;ZiFiAAA#I Ot°)-444-.#1.400i-t-0,-614.1.WI.F.244.WIATIV He a d n gic°tang: - Air conditioning 1 46.75 46.75 Job site address: 1 33tper Sv3 ioth poe, Furnace 100,000 BTU(ducts/vents) 1 46.75 ' .. City/State/ZIP:Tigard,0R97224 Furnace 100,000+BTU(ducts/vents) 54.91 _ Hest 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 2332 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.: 1 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ,.':'',5at!';f,N:ar.:S.•Vt(.,j'lg. :':IeQ.i':,;W,t;'"',j;itk,kfp'Tiolg':oli,*-oftic-'7•Lt M.:**:7'.444,741."7:..-,U!:1;:griii-:;; ; Gas fireplacelmsort Flue vent for water heater1 3339 --;:t.,,,,•;..r.Fiiv•i•efe.il.,-,,,i -„Akr:e:-.,,,,,-... -... ...„ . ,.::.:,. .-Ps:+k"1....:"N .:-5 *--.. ,- .4.4,-q or gas _(AS11 )_0 _6031:- fireplace 2332 Log lighter(gas) 2332 Wood/pellet stove 3339 . Wood fireplace/insect 2332 Chimney/liner/flue/vent 2332 ..'.90:?!'''r-2:Eriiiiiiiii*Oilife 4.7-';/-:49:itii:i!:i''':-:;)!...r.:Figl4. ,'*...:10.'::14.:ii''•:;;.i.; °dier Environmental exhaust and ventilation: 23.32 •-''... '":-: -- • ---, •-•' .•- ---'•f• ''''''' ''''----''''-• - ••• '''.'"P'-''''7---''''-'' Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 1 3339 Address:7600 E Doubletree Ranch Road Qfl© dryer exhaust t 33.39 City/State/ZIP:Scottsdale,AZ 85258Single-duel exhaust(bathrooms, ' toilet compartments,utility rooms) tIc 2332 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 t1s.'. ia i7W;In.'-0.-..N4WVAI415501Y4';41', Other 2332 Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:W i al bk.,11A0n2e Furnace,etc. 1 Address:1r) MadtitA j 01 M-- Skakc, S-10 Gas heat pump WaWsuspended/unit heabr City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace 1 .,E.71___1_12.1_1':,AN i Cittl 6 kt Ilkovvell i)tIvapoirornes •(itnri Barbecue 71-'•_ -gt4-141idW1,?. .:::1 A:ji.. :1Mri?tsAl::;.!? Gethee drYet(iges) _ Business name:pIns kr\foN 06 Ux ,ty,rrT\c, Other: j ri" Address: 1,1)06- Nw .)Pii\ OkR,,,,N of, sumf., al Subtotal _ City/State/ZIP: kAIsbkyo k)c2., (i in, t Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:5PD)44A3. Skpkil., Fax:(5 ) (AL\1'4 9-1S-- State surcharge(12%of permit fee) . _ CCB lie.:2_001 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: Medieraa...-10--- * Pee methodology set by Tri-Connty Building Industry Service Board Prin. tname:Ak 44 I)te:Th iNrae.., Date: k I Electrical Permit Application i ,,1 0 2 2017 FOR OFFICE USE ONLY - City of Tigard ,.. Received Permit PALS ;2ct/2-0e9 33 •- a 13125 SW Hall Blvd.,Tigard,OR 97229'1 i fi s itc,'-w a - Phone: 503.7182439 Parc 503.598) t _ 4,°` RelatedPemnt 8: TIGAIZD Inspection Line: 503.639.4175 ReadyDateBy: Juin l See Page 2for o- Internet•wwwtigard-orgov NottnedIiiethcch Supplemental Information • r 4-gr496'\114 (TMs-ti- - ;- ®New construction 0 Addition/alteration/replacement Please check all that apply(=Inuit'sets of plans wfitems checked): - ❑Demolition Other: ❑Service or feeder 400 amps or more 0 Building over three stories. �r :3 -- where the available fault current ❑l farinas and boatyards. ,__' 7, Fg=a `e iii;_:r 6 s�? ~f � 0 : : -•,.?_ = exceeds 10)000 amps at 150 volts or QPloatiog buiidiags. -and 2-family dwelling 0 Commerciai/indtistrial 0 Accessory building lass to gonad,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. boihtinya • • Mu1t1 family s• 0 Master builder 0 Other: �"r �,� ��` ia•�,.ge� a�d:�"7!� a �r �, t �-or'�'"` q . .,mow ❑Fitapump. ❑tnabit�;nnofI50KVAor z,mss";4.I_:. A.S C it C- ,.1":10-w�•^.-i-lk r1 i., r `-^y:. O Emergaocy system- larger separately derived ❑Addition ofnew motorload of system. Job#: Job site addre..7 3149 SU1 \14,001 pa1o01:iP or more. ❑"A",'B",`i z; i-3'; City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units t oy ❑HHealth-oare'facilities. ❑Reoreational vehicle pmts. Suite/bldg./apt#: I Project name:givor'j' xi C-e EO�-r_ ❑H rvi 1°ou:l o er 6O. ❑60 mitts nomgiaal.frir more than `+�]T ❑Setazce or feeder b�amps u mom Cross street/directions to job site: 4- +?x= 1;f0l"' f .all r ?, Description sa y Otr. Each Total •_ New residential single-or multi-family dwelling unit. Subdivision: t.: • , •, y , i I 1pt�} '' Includes attached garage. Tax map/parcel#' 1.000 sq.f.orless 168.54 4 ? -` s .` ``.,t a s ;,\?140 ‘x =-' ,� 5 tt �' Ba Limitedadc °00 sq.es deor tial portion , _ 3352. 1 'r: energy residential ' (with above sq.ft) 75.00 2 Limited energy,multi family residential(with above sq.ft) 75.00 2 Renewable Energy Q See Page 2 Services or feeders InstaIlaflon,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 10030 2 Address:7600 R Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/72:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1.000 amps orvolts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property tail own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. ' 201 amps to 400 amps 125.08 2 Owner signature: Date: . 401 amps to 599 amps 168.54 2 ,..,,„,._7,-,-_,•-__•,-,`3,,,,:U 0 r lik_.�v i Y::., ,:,:iZ,-_, 7 :1-:., Mr ?,' i:Ni �. 0 -ik:Mtf? -Tom, -,_ Branchcircuits-new,alteration,or extension, er panel .. - ,Met drertits wine Business name:William Lyon Homes,Inc. above service or feeder fee, 7A2 2 �r each branch circuit Contact name: I V I ch DkTn n r1(le_. _ B.Pee for brand!secants without Address: ('� �,,'f" `' t`~' {, q, service or feeder fee,first Sb.l$ 2 103 brO dt&ia S 4 Sk.L S tD branch circuit City/State/ZIP:Vancouver,WA 98660 Each add')branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • ' ' I Fax::(360)693-4442 h manuibdured m dwelling,service and/or feeder 67.84 2 Fig iI ' I/6. I i 8 / •8 r r 4 res Reconnect only 67.84 s u F `.T Pump or irrigation circle 67.84 2 Business name:Garner Rlectric Washington,LLC Signor outline lighting 67.84 2 .r_ Signal circuits)or limited-energy Address:t. j D? \ A �t -is,/ , S u)1„ t�j y n per,alteration,or extension. ❑ See Page 2 2 C / t: v ' �"L ��pA�� j`�' V�� Each additional inspection over allowable in any of the above (k t i�,L t.� }� t1 Additional inspection(1 hr min.) 6625/hr Phone:(253)320-1657 `� 1 Fax:( ) Investigation(1 hr min) 90.00/hr Rsrtail•bdaniels®gweusa.com Industrial plant(7 herrn) • 78.18/hr Inspections for which no fm is 90.00/hr CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Liu.: 4496S ecrsc listed h!anis) Snprv;Electrician signature,required: _ = l y `S Subtote�i b -. Subtotal Print name•. Joan P Albert Date: 4/26/2016 ❑Platt Review Required(25%of permit fee): - f _ State surcharge(12%of permit fee): - Airthorized signature: ���` TOTAL PERMIT FEE: : This permit application expires If a permitis not obtained within 180 Print name: Bill Daniels Date: 4126/2016 days after Rhea been accepted as complete. +Cti! * Number•ofinapeotionaallowedperpatmit. 1BaltdfrslPermiti c ParattApp MB.MEd=Rev O6r17120i5 440.46151111/05/COMMEB } r ivo r 1 Plumbing Permit Anulication 1;0 j( 0 `, - Building Fixtures FOR d)1=t lcE 1S1: O' i.5 City of Tigard , ,F Permit NoYti_S -7-.?0,7-G)o.3.3 111,-.0. 13125.SW Haat Blvd.,Tigard,OR 97223 Plan Review pr rp No.: Phone: 503.7182439 Fax: 503.598.1960 �argy; i C ARD Inspection Line: 503-639.4175 DateRudy/By; ' Jude t3 See Page 2 ter Internet: www.tigard-or.ggov Notified/Method: Supplemental Information 471.1 :-s.-T ''''".:,:45'r: i Y1€ 'oFVilitl{`_ ;'ix;`•r.- :::;.,43--:...:.7.:-%x ::.':`1.F.-74:11-,;;* ' ; :,<< # : ..e ®New construction 0 Demolition For special Information use checklist .Description [ Qv. j Ea. ] Tou8 ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 R for each utility connection) •. _;r '. L: .' thYpR V� QS ...�(isN,s�.Fe'ih _L_�•'�t`' ': SFR(1)bads 31270 'i,1' -4`., `:V 4' 1-and 2-familydweiling 0 Commercial/mdustrial SFR(2)bath • 437.78 ❑Accessory building ,Multi-fattlly 1 SFR{3}barb • 4 50032 Each additional bafh/kit:hen 25.02 ❑Master builder.' 0 Other: Fire sprinkler R3. Page 2 t. . , 7:47 1I_ A"I*OItI : . L r: _ •1 Site utiiiies. lob site address: J �j S� i Q 0 1 ( Catch basin or area drain 18.76 . f ✓ t ' '� . Drywelt,leach line,or trench drain 18.76 - City/Stale/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:___) Page 2 • Suite/bldg./apt no.: Project name: RAftr TeinZt t.ea ECAS-1- Manufactured home utilities 50.03 - Coss 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 . =vice vice(no.linear ft:. ) " Page 2: Subdivision: RAW T r_ --5-� Lot no.: / • lrixture•or item; 1 Tax map/parcel no.: BackOow promoter 1 31.27 ' r -11-w.-,,.. - Backwater valve 12.51 . - • Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ekes:as/sump 25.02 • - --: :t' �,r .t fY•. `,1".'.rte.''~- .. . ._ ii.erred itie.. , •:; Expansion tank I2.51 Name:ADPL Land Holdingst LLC Fixture/sewer cap 25,02 Address:760E Doubletree Rauch Road F e inffloor sink/bub 25.02 9 Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 852..8 Bose bib 25,02• Phoma{682)694-4031 Fax:( ) Ice maker 12.51 '•ter'''..31,::::1,7 , ',ii .:7?, i.:,::::''. -- : •: Interoeptarlor/grease trap 25.02 • Business name:William Lyon Homes,lire 1 3+'ical gas(value:$ ) Page 2 Contact Hamel Primer 12.51 ' 1 Gtr 112. 1 Roof drain<commercial) 12.51 Address:1 63 j')0CtP0Q_.t/ti%Sek- �O • - Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 J Solar units(potable water) 62.54 • Phone:(360)695-7700 ' Fax::(360)693.4442 Tub/shower/showerpan 12.51 : /� Urinal 25.02 E-mail:,►/', n n_ ., .. • .. Urinal 5--- ---':-'4"41r.041,,,,' Y•_w;•i.•- Vo_ -,_ t".** i-: _ _ o� _ .. ... .�,,. s. Water closet 25.02 _�.•:~ -; -';':...':,4.1.-.1- • . .. . .. . -j Waateriieater • 37.52 Business name::Affiance Plumbing LLC . - Water.piping/DWV 56.29 Address:146 W Historic Columbia River Hwy Other 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal ' Pheme:(503)492.3499 F Fax:(503)912-6438 Minimum permit fem $7230 ' Plan review(25%of penult fee) ' CCB i:,ic.:184601 Numbing Lie.no.:PB732 State surtitarge(12%of permit fee) , Authorized signature TOTAL PERMIT FEE • Print name:Robert Ors' Mui Date:5/23/2016 Thispermit application expires.it a.paradt is not obtained*titbit IN)days anter it IMS beta acts as:complete. *Fee methodology set•by Fri-County Building h duauy Service Board • 1.iundiaglPermitsi'LenJ PeaattMpp4oc 1em104 490-46MT(ib,I2ICOMIWEa) City of Tigard IIICOMMUNITY DEVELOPMENT DEPARTMENT 0 °r 1 G A RD Building Permit Review — Residential Building Permit #: STAG/> •00:53 Site Address: /_ (Q -�- ) /(6-/-A /-e Project Name: e/Ver- f .2 Lot #: I (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A.( J S'/ ie- 4frvi ...2746_‘L a/( (rink ) mJ2 WRerify site address/suite# exists and active in permits tem. ver Terrace Neighborhood: ❑ No qd Yes,See River Terrace Review Addendum Attached Sit/Plan Elements: >tree(3)copies of site plan to A sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper Ill Footprint of new structure(including decks)with finished oawn to scale(standard architect or engineer scale) oor elevations trth arrowtility locations&easements(required for new and additions) o address,project or subdivision name and lot number Sidewalk/driveway approach Pi)epplicant information(name and phone number) PXaation of wells/septic systems VALot dimensions and building setback dimensions p` sting trees to be retained with drip line,and tree to,.e, are footage of buildings to be demolished •rotection measures A Lot area,building coverage area,percentage of coverage and 1 treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Zes ❑N 4 foot differential) If es,is a storm water quality facili sho ? . ❑�'Yes�4o 11 -an Water Services—Service Provider Lett (lot platted prior to 9/10/1995):4"'face' ,G) MI _ •equired: ❑ y ,applicant was notified No Received: ❑ Yes ❑r No • 09vA Public Faciliti s Improvement(PFI) Permit: P i_Gi(p_C�� / Required: Yes,applicant was notified CINo Applied For: 114 Yes ❑ No,stop intake c,,, Ving: nd Use Case#: . P�/10—�Ot�)l 2 J '6 -660021, .X.,e_o/Srbl)'7 £- 2S (Po Setbacks: Front (g Rear Side 0Street Side NI frGarage c2 0 Pi/Required andscape Requirement: �� of Coverage Maximum: D uilding Height: Maximum Height ilk- Actual Height isual Clearance I ensitive Lands: ❑ Yes Lid No Type f Urban Forestry Plan 0 Conditions "Met"prior to issuance of building permit Notes: can(-42$ .2, 019-e Th..42t1! 4 rP_,71,, T A., 0, -e____` Approved By Planning: 411a---- - Date: �AAA . Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved ::\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: F72„Z//7 Site Plans: # 3 Building Plans: # Building Permit#: VEnter building permit#above. Workflow Routing: Planning Engineering 12'Permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: f Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. [ i Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: iZ x(47 Engineering Review jZr Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat zr Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes gf No LIDA Facility on lot: ❑ Yes 9'No ❑ NOT Approved by Engineering: Date: Notes: / Approved by Engineering: bit,(V,p Date: q15-1 17 Revisions (after Building Submittal only) Reviewer /// Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit (P 'proved,NOT Released: ate: gill)7-- 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: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: SYes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes /A OK to Issue Permit 114,00rio :!�pproved by Permit Coordinator: it4. ate: /2/�4 / I:\Building\Forms\BldgPermitRvw_RES_061417.docx r City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT IS TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: / e&.-- -- Q&) // q4 //.e_ Project Name: P'Pei- - moS-71--- Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distri.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 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 deep ft. de- min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ilv rIn 2. Eyes bn the street: a minimum off112%of ea h street facing facade must include windows or entrance doors. Percentage Shown: ��:: ' 0 ! rem-: / m: 3.ntrances:At least one entrance must meet both of the folio g standards: Max. 8 ft. setback from longe street- facing wall CIZ Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No If yds,all the following apply: 2,S sq.ft. min. ne street facing entry apply: :.-63 ft.max. roof above floor of porch 7,45 ft. depth min. 30%min.porch roof coverage 4. t etailed Design:All buildings shall include amin. of five of the following elements on all street-facing facades: ZCovered porch min. 5 ft.wide x 5 ft. deep'% ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep ❑mall offset min. 16 inches , ,/� ❑ rmer min.4 ft.wide , n Roof eave min. 12 inch projection'f 1`." oof offset min. of 2 ft.f`r IL- O Roof shingles either tile or wood 1► Gable,hip or gambrel roof design ❑ �Coof pitch oriented south min. 500 sq. ft. ❑ . •rizontal lap siding min. 3 7 inches wide 4�Accent siding min. 40%of street facade X Window trim min. 2 1"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 lJd No. If No (Check one): ❑ I}lay 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) In 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: > Approved By Planning: _ Date: ___1343/a- 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: 13367 SW 169TH AVE, BEAVERTON, OR, 97007 October 24, 2018 at 11 :52:22 AM Record Type: Record ID: Residential - Master Permit MST2017-00332 Inspection Type: Inspector: 699 Mechanical 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: 13367 SW 169TH AVE, BEAVERTON, OR, 97007 October 24, 2018 at 11 :52:18 AM Record Type: Record ID: Residential - Master Permit MST2017-00332 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: 13367 SW 169TH AVE, BEAVERTON, OR, 97007 October 25, 2018 at 11 :42:57 AM Record Type: Record ID: Residential - Master Permit MST2017-00332 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 Appl�ication1 ‘,L"-''''''' ,.. irfrbt 01.1.111: 1 s1:til.) City of Tigard J U L 2 3 2018 Ratived oLl ,2 11._._ 13125 SW Hail Blvd,Tigard,OR 97223 Pla 'B: , Atrmit r �(�—Ov 3 Phone 503.718 2439 Fax: 503.598.1 9t r\ t..) .^ 1 Plan Review t � �"5,.e' Dale:•_ Related Permit et: t 1 {; bupection kine: 503.630,4I75 1 LD ra '' heady I�te B r: lurk: Intend( wwwiigard-ar gov 3 U t ars )1« i‘:': t 14'otified`Method S Ste Dene t for Supplemental Information ",,:°.;„, s°.�a",,``"` ,-(!.‘4,.* &',".,.51:0*"4 r et.,'"Z "`a" ' :: :. ' ,x, tsBA &t:.1.", tom„ 3. 1 ►: New construction ., d Q Addition/alteration/replacement check all that apply(submit 2 sets of plans wiirerns checked): ❑Demolition 0 Other '....011111111,„ t i!, •' or feeder 400 amps or more 0 Building over three stories. �" a .i1i 11, here the available fault current 0 Marinas and boatyards. �"° ',' ry r'° '§ r' %a t E x `}, j ,;.' exceeds 10,000 ampsat 150 volts or '.ifFkg ;^� 0 floating buildings. o 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory b, tag less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 9fMulh family 0 Master builder 0 Other: ❑Fire primp• 0 Installation of 150 KVA or '' m'''''':7'".:ill'm:fa.1" i/t g,:litgFa .. �`a c Ys .r.e ��1 � r, „t,lik, -1 0 Emergency system larger separately derived Job#: Job site:address: >)3361-S W I p T� ❑Addition of new motor load of system. i /�{;V�. 100HAormore. ❑"`A..,'<E <•1-2^ •.i.3.. C �7 OO-'1 ❑Six or more toridentiai units. occupancy. City/State/ZIP: ity/Stat la f.#: name:• .��.,C T T^ ❑Health-care facilities. ❑Recreational vehicle parks. Sg PProject J'r 0 Hazardous locations. ❑Supply voltage for more than V��� , • 0 Service or feeder 600 amps or more. 600 vain nominal. Cross street/directions to job site: 2.0 I - 7 tIIIIIII retch Tend •° New residential single-or multi-family dwelling unit Subdivision: pis.( 1K1 get '(L.OrG.E Lot#: I Includes attached garage. Tax map/parcel#: sq.ft.or less MI4 � 4 /� y• Limited energy,residential portion C O h-rT cfrb a. ci{4 s with above .ft: ■ 75.40 2 Litriitei energy,multi-family residential(with above sq.a.) Ma2 E�j '•to r..sZil RenewnlsleEn Installationalteratiotrind/or relocation Name: AbV L l.,A.,4,6 {'EDLAit.si..s i LLC., rr 1 amps e 100.70 Address: .7't loOQ ... A.f ,E. TQ.E'E / (� r .•r r. - 133.56 MI 2 City/State/ZIP: �p _S t t 401 amps to 600 amps 200.34 2 �% bh1E.) .k z- 26 t ko0 601 amps to 1,000ampst r 2 Phone:(gyp?) (09 A4—i4O3 I I Fax;( ) s tit t 1111 1 2 Email: Temporary services or feeders installation,alteration,and/or 1 relocation Owner Installation:This installation is being made on property that I own which is not 200 amps or less 59.36 l intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ,;' s r f ` " _ �iM `;7;t Branch circuits-new alteration.or extension. • r'anal Business name: ` A.Fac for branch circuits with •LA6C>o..s I- t M�.S f w 1,..,aa LI,e, above service or frxrder fed �® Contact name:-To w.t !J t G 1/4'1�/.L ' e branch circuit 7.42 B.Fee for branch circuits without III serviceor feefee,first111 56.18 I Gl f�$1- 3Tk} ST branch circuit City/State/ZIP:VA's j e Qt J ver.. L P 'is(660 Each addi branch circuit 1111111111=faim Phone:(115b3) 5�'� Fax: ( ) Miscellaneous service or feeder not included l Each manufactured or modular III Email: 'LSM . g, 1 aleft 0 10 ♦ RII deconnect only arxl/or feeder 67.84 �® � .C.Otfl^ on1}t 67.84 � :� x .-_ 'e 4 .r,x .1 ., ..a Pump or irrigumm circle 67.84 2 Business name:Three Phase Electric Sign or outline lighting 67.84 2 Address:11490 SE Jennifer St Signal circuit(s)or limited energy ❑ See Par panel,alteration,or extension. ge- - Each additional inspection over allowable in any of the above City/Slate/ZIP:Clackamas,OR 97015 Additional inspection(1 hr min) 6625/hr Phone:(503)908-8058 I Fax:(503)762-1823 Investigation(1 hr min) 90.00/hr Email:permits(a tbreephaseelectric.com Industrial gloat((1 hr min) 78.181 hr CCB Lie.: 162368 Electrical Lie.: 3-332C Suprv.Lie.: 3398S Inspections for which no fee is 90.00/hr st ificail listed r hrmin) Suprv.Electrician signature,required: ,'��, ,�,re;. ' ;� eta Subtotal: I Print name: Dennis Welch _ Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signatu Ari TOTAL PERMIT FEE; Print name: Gail Evans This permit application expires if a permit is not obtained wtthia 180 Date: days after it has been accepted as complete. - . Number of inspections allowed per permit to held.Tenaii5=ELC.yernitApp_ELR_RREclee Rev 06112015 440-4615T(1 F➢S COM WE.B Plumbing Permit ApplicatioiF , a -, Building Fixtures FOR OFFICE USE ONLY City of Tigard F B 6 �.i 8 Received 13125 SW Hall Blvd.,Tigard,OR 97223 �l �'I' Date/By: �7 AP 412;%r/: Permit Nq��lS�� /�� _ Phone: 503.718.2439 Fax 503.5 Plan Review 3�Z Inspection Line: 503.639.4175 �/1 "I.,' Date/By: //*-1/�j 4�� Other Permit No.: age 2 for TIGARD ta.` Date Ready./By: Internet: www.tigard-or.gov a. ; SrJuris , ® See Supplemental � ,L,J�-a y�,,:0„,,,i,1 1 I. Notified/Method. a F t a Supplemental Information TYPE'OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist ❑Addition/alteration/replacementDescription Qty. Ea. Total 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OFCONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 0 Master builder Each additional bath/kitchen 25.02 0 Other: �� ��/ JOB SITE INFORMATION AND LOCATION Fire utisprinkler ft.) Pa e 2 g Site utilities: /iSeiY Job site address: 13367 SW 169TH Ave Catch basin or area drain 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 Cross street/directions to job site: Manufactured home utilities 50.03 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.: I Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION.OF WORD Backwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Permit# MS-r2 o 1'/- 003$2, Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ►;® PROPERTY OWNER .., TENANT Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Address:703 Broadway St.Suite 510 Floor drain/floor sink/hub 25.02 City/State/ZIP:Vancouver,WA 98660 Garbage disposal 25.02 Phone:(360)695-7700 Hose bib 25.02 Fax:( ) Ice maker .014APPLICANT 12.51 U CONTACT PERSON Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Gavin Thomes Primer 12.51 Address: 146 W Historic Columbia River Hwy Roof drain(commercial) 12.51 City/State/ZIP:Troutdale,OR 97060 Sink/basin/lavatory 25.02 Solar units(potable water) 62.54 Phone:(503)492-3490 I Fax::(503)912-6438 Tub/shower/shower pan E-mail:Gavin@AlliancePlumbing.net 12.51 Urinal 25.02 • CONTRACTOR Water closet 25.02 Business name:Alliance Plumbing,LLC Water heater 37.52 Address: 146 W Historic Columbia River Hwy Water piping/DW V 56.29 Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lie.: 184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: _,��L) _ State surcharge(12%of permit fee) Print name:Gavin Thomes TOTAL PERMIT FEE 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. 1]\Building\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 UtUtilitiestUtilitiesQty*' , ee(eat _ Total Squ*re Foot�az Permit 'ee: . oto 2,000 $121.90 Footing drain-151 100' 50.03 2,001 to 3,600 $169.69 Footing drain-each additional 100' 37.52 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 Valluationrt Permit'Feet 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 Other Inspections or Fees ', • Qty: Fee tett), ' dotal and including$10,000.00. 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 ofnormal 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 90.00/hr and including$50,000.00. Reinspection Fees Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Other Fixtures: I I 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 Capped eplaW . Plan',Review for Plumbing Installations Fixture Type fort Added Relocatework Performed: 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. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Dishwasher her -Commercialoas defined in OAR918-780-0040. Dishwasher ❑ Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. DFountain ❑ Any complex structure as defined in OAR918-780-0040. Eyeinking Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. 4,, Car Wash Drain Isometric fylr llaser Diagram Garbage -Domestic-non-food ❑ isometric or riser diagram is required for new buildings Disposal -Domestic-foodmeil-frelated rela that meet the qualifications above. -Commercial-food related -Industrial-food related ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lay -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 https://allianceplumbing-my.sharepoint.com/personal/gavin_alliancepluml2ng_net/Documents/Documents/Fire Sprinklers/RT/City of Tigard Permit.doc