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Permit (97) INCITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017 00410 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017 Parcel: 2S106DA02800 Jurisdiction: Tigard Site address: 13159 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 28 Project: River Terrace East, Lot 28 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 321 sf Basement: 0 sf Left: Parking Spaces: 0 Height: 31 Bathrooms: 3 Second: 646 sf Garage: 326 sf Front: 12 Smoke Dwelling Units: 1 Third: 637 sf Right: Detectors: Yes Total: 1604 sf Value: $199,793.26 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 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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 1604 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY POLYGON WLH LLC 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 ATTN GAST,FRED VANCOUVER,WA 98660 109 E 13TH ST VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $23,594.87 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 9 101-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. glp . -- Issued By. .� A ' - Permittee Signature: L94A' %¢�U 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. • - Lo T- -24- Building Permit Application S ai n Received f 17 5! i,i7,-/J/)9/V Permit No.' City of Tigard Date/By: f� •-- 13125 SW Hall Blvd.,Tigard,OR 97223 1U N 2 2 2017 Plan Review ^^ Other Permit: ���/'G>ti3 Phone: 503.718.2439 Fax: 503.598.1960 Date/Sy: 10 iC."r j 4) 47 1 Date Ready/By: L 7 Ju`is: ® See Page 2 for I t; E:I'. InspectionInternet. Line: 503.639.4175.govC�1 T/ OF" fl 'ah,€ Notified/Method: /�/ / 4/' Supplemental Information Internet wwwtigard or.gov BUILDING I. NISI IN ! C r ,� L C�1L ' -A • • Permit fees*are based on the value of the work performed. ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the ..',.4-a work indicated on this application. ,, -,. ' x <a. t*,' q it S y3 :fir ,, A� .,.€_. "r»'" a; '�`� A,. - Valuation: $ l 1-and 2-family dwelling ❑Commercial/industrial �� ��� 0 Accessory building inti-family Number of bedrooms: // Number of bathrooms: ❑Master builder 0 Other: ti -� 4k Total number of floors: 3 ' 6°4- , i3O e t"�^5 icy 'f a g 6 1 , %• d O a,..... l D ti. its . /3 1 s C c,,;1 1( 6 1 A ,� New dwelling area: 1,344/ square feet Job site address: J JVv Ne, C Garage/carport area: 5 t 3 7 City/State/ZIP:Tigard,OR 97224 4./ uare fee Suite/bldg./apt.no.: I Project name:River Terrace East )a. *Covered porch area:/ square feet 61.E 6 Cross street/directions to job site: Deck area: 9 6 square feet3a,' i l i eQr'sl rtrkcturceV„g• ' 9 6 square feet :t ire ' Subdivision:River Terrace East I Lot no.: W 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 M €= n work indicated on this application. �� Valuation: $ Existing building area: square feet New building area: square feet 4. +`Vim.,." : Number of stones. a4w "" : �° �` 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: h Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address:109 East 13`h Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 I Fax: ( ) .', : : E-mail:Nichole Thorpe Commercial and residential prescriptive installation of I '"' 5N t#� roof- top mounted Photovoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:William Lyon Homes,Inc and fire department access,along with the 2010 Oregon Address: 109 East 13th StreetSolar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/Z1P:Vancouver WA 98660 and administrative fees): Phone:(360)695-7700 I Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 Total fee due upon application: $201.60 ` / This permit application expires if a permit is not obtained Authorized signature:. / //7within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe I Date:06/16/2017 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) a Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received - Date/By: Permit No.V7J--7;20/7-009:/0 ' 13125 SW Hall Blvd.,Tigard,OR 97223 , . Plan Review Ili I Phone: 503.718.2439 Fax 503.598.1960 tated3y: Other Permit: Inspection Line: 503.639.4175 , Date Ready/By: TIGARD ;uric B See Page 2 for Internet www.tigard-or.gov • ' Notified/IvIethod: Supplemental Information VAP-1:WW-Pia-00-Nif:44-4747q.e-:-+ivii-iiikWitriii4:-.-X-77;44-Me027- 41:0--..W.E.11 X_Ceoglaktaititt::.§ttkD'Iiitgif_Srel,*:.:_:,KE#P, ..A-Int:%.:44,4?I.•As.5-e!...., 4-Q.1.1fRA.1-4f,t.t.4--F;-_-:... ..r.mc•I-ii:&...-FF,....,..LstifIls-;,•61,3f,,igz=4,1.4!! '' -- ---- ---'---• --- - ------- - ' '' Mechanical permit fees*are based on the value of the work El New construction El Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ .A.-.:::::4*-151-”,, tt,-- --kla-r.1).44:42-_,T.ii,,,---Ar..;,,,.-- ,,;•!..- -Av.,----;•,;•HIT:1;.,t.t.-4 -1.7 ,34:1:4 ....r1,-:,•-zirtin,if 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist li(Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total tt-'*.illine0-W`viggjoOtitrirAisTo'",..a-`:''' ''-iitilsit25.ax-.3,---.4:fflja.:j Heating/cooling: Air conditioning 1 46.75 46.75 Job site address: 3- S9 ø'‘t.0 Ne..., SI R— a* Furnace 100,000 BTU(ducts/vents) 1 46.75 _ City/State/ZIP:Tigard,0R97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump , , 61.06 Suite/bldg./apt no.: Project name:River Terrace East Duct work 2332 _ 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 2332 Other: 2332 _ Subdivision:River Terrace East Lot no.:1,6 Other fuel appliances: Tax map/parcel no.: Water heater 2332 :Zefigie.MI:Citi7:;•744•W: is0i74ii*.ii*.0.;*0.-. ..140.;;;4%•11%.4:1-:14,415AFfrigi Ga$firePlaaarlasert 1 3339 Flue vent br water heater or gas Ast1,0-‘1.-: 0-0 ti_to fireplace 2332 Log lighter(gas) 2332 Wood/pellet stove 3339 Wood fireplacermsert 23.32 Chimney/liner/flue/vent 23.32 '':61..S7V-:171Eticitoititi*-06iiiii": .:',.;i•:e,:M;: ;',11.i1;:.:i:,...;/4.72.171iN'AT'7.4:&7,:-..*•*;V:. • Other 23.32 .•.-...,, •!,,,:•:• _.... .. . --..:---,•-....“ :-..... ,,. i'-•-7 '•';':.""t7'.1''''"..'"'"--. .'" ' ' :''4r:'''''''''''...:1'''I 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 Sinleduct exhaust(bathrooms, toilet compartments,utility rooms) tk 2332 Phone:(602)694-4031 Fax:( ) Altic/crawlspace fans 2332 ..7i;...4:A%:;4,•.P.tycl'iiiiip'4"-A,:::I.,:fz,:e.•.••:.':,i7 ? 1: 66-*&404-14:4:;"0 ,,ft: Other 2332 Fuel piping: Business name:William Lyon Homes,Inc. 814.15 for first four;$4.03 for each additional - Contact name:W‘ej Vel.bk.e,-Thonetx Furnace,etc. 1 Addressln Ma4AA-01 L -r &i4 - S- 0 . 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-mail:AO 1 6k O tt Zit OVVI trilnkkinli\lirVQffiej •(IA/ 1 Barbecue 1:':,g;f:.:4;34.S4FF:i.:14•:11":•-i-fte:!...; -CO -cas..-. lOrjk!ie:':•:',...V.:';•-nig. g4:; Clothes drYer(Igas) Business name:pn kr\fort\ oufti u)0\Iv nr Other: •-,.- -. "-Is---- e:of It •• ...f DC . P 1 rt-- Address: ruicks- t\v,i . 1)0t,z li‹,'11.01 Subtotal - City/State/ZIP: ik:ASVpti(0 ?MI,. qktut Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:5p,,4,143.. sick-L Fax:613) C't Li ' SISIS- State surcharge(12%of permit fee) _ CCB lie.:.2_09 DO) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: theiry6V.."..ip--- * Fee methodology set by Tri-County Building Industry Service Board Print name:AQA 1)147h oviw, Date: Mb,iltlinell.orertiecilaRr 11arreat Ann rani 1 A..,. A Art A AlArr III Or i IA,.KITED\ Electrical Permit Application roR OFFICE ONLY DateB . Permit 0: �r City®f Tigard Received -��/7 1 13125 SW Rail Blvd.,Tigard,OR 97223 (��� Phone: 503,7182439 Pale 503.598.1960 D�°�° RelatedPermit it: TIGARD Inspection Line: 503.639.4175. ReadyDateBy: Mr H SeePage2for Internet:.www.tlgard-or.gov Notifed/Method: Supplemental Information 51,74 ®New construction 0 Addition/alteration/replacement Please check all that ( mit s fpla. _ checked): he apply(submit i sats of pleas Winces cc ID Demolition0 Otter 0 Service or feeder 400 amps or more ❑Bu tang over three stories. -::v ::: r t, Via-te a] 'S >>e- s, 4 where the available current ❑Marinas and boatyards. �_� ,� �}- exceeds 10,000 amps aatl 15500 volts or QFloatiag buildings. -and 2-family dwelling 0 Commercia1/f dtistrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural 41,14 Multi-family 0 Master builderamps for all other installations. , matin ge.• V-:.77;":-.-''1.-n: s v. :;. 0 Other: pump. ❑Installation of 150 KVA or .. .1.0,. 0 ''t ..0x1 ft EJ°. Wz o:a tt `-, ,4- --, ❑Emergeenysystem separately derived Job# Job site adder ❑Addition ofnew motor toad of lsystemaser �1'y5—� Jw �1Q"1ts' Rued iqueormore. ❑",S,'2",";2=,"1.3" City/StateTIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑73eaith osre facilities. ❑Recreational vehicle parks. Suite/bldg./apt.it: I Project name:giu Tcm-r„...e ❑Hazardous locations ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 vats nominal. Cross street/directions to job site: Detaiptloa I QtY. limb I Total • raterNew residential single-or multi-family dwelling unit, Subdivision T� a fP. -Eas4-- I Lot*Le attached garage _ Tax map/parcel#: y 1.000 sq.S as kis 1 168.54 4 3 ,..,_ -c.%;,..� -n'_. s,7 'a.e;,B M,ta _C-03 iditi Ali u*'`. sS��n .V.t:�s'. -Z;, ��1. orportion , 3392. i Ea.add'15 r s a g. : �` . Limited energy;residential (with above sq.R) 75.00 2 Limited energy,multi-family 75.00 2 residential(whit above sq.It) a V 4 9 S td`i;� s x., -c Renewable Energy .tet 1 W.i��a L_._,e rr'' n; ', -0'*! t�F t - a-, ;, ❑ anon,gel Services or feeders installation,alteration,and/or relocation Name:ADPL Land Holdings,LLC 200 amps or less 10030 2 Address:7600 E Donbletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 1 Fax:( ) Over I,000 amps or volts 55226 2 Emai h 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 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 16834 2 a''- -,_-r7r.Zii-gt2�L41� i-t•-Tg t r VElc-a 0,iti (;KPx l . •* --, Branchckcults—new,alieration,orextension,perMei A}?ex for breach ttirunits tetdt Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7.42 2 Contact name: klichole.,Thorpt, B.Pee for branch circuits without Address: -103 �u1 k , ii- C*., .1, S{71 bbranservice t fee,first h rho* 56.18 2 City/State/ZIP:Vancouver,WA 98660 ` `�UI/�C�+ l lJ Each adds branch circuit 7.42 2 Phone:(360)695-7700 • '•' I Fax::(360)693-4442 Miscellaneous ur far feeder not included) Emmet, I a /,. p8 ,` 1) Recodwelling,t� andlorfeedor 6 2 3 , ax 67 84 2 .--;.7-34:':•'1- -21;'=';"-i--11.7.- ---F3' Pimp or Irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC ' Signor outline lighting 67.84 2 r_. Signal circuit(s) limited-en Address:►f, t ? `4 eakkik �..�l'� u e \1al on,or extension. ❑ See Page 2 2 City/State/ZIP:' ' ," �p j`� ` J Each additional lnspecdon over allowable In any of the above r i y(.�t t ( w�- V 311 Additional inspection(1 bx min) 6625/hr Phone;(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/lir Brnm1•bdaniels@gwensa.com Indttstrialplant(1 herein) 78.I8/hr Inspections farwhichno f=is CCB Lic.: CUSS Electrical Lie.: 208174 Suprv.Liu.: 4496S ,-ific listed %hrrelay)- iii90- hr Suprv.Electrician signature,required: ---: . - _ Subtotal: Print name: Joss P Albert Date: 4126/2016 0 Plan Review Required(25%ofpermit fee): State surcharge(12%of permit fee): Authorized signature: ��— — ..--77---z. .. TOTAL PERMIT FEE: Print Hamm: B171 Daniels Date: 4l26/LOI6 Tis paw application expires if a permftis not obtained within 180 „.._ days after it boa been accepted as complete. ;•,:..,_ * Number ofinspe�onsallowedperp�it { ii= gCiverrelblSLC_PermltAppffi8 B REdoc Rev x6117/2015 4tlW1615Tjir/05/CDU9wBB ';',,-,- piumbin2 Permit ii-plication Building Fixtures . 11111111111111111=1.1011111M- _ Reciiva City of Tigard DateEy: PtHo 1111 ,,-- - 13125.SW Hall Blvd.,Tigard,OR 97223 Phm Review •: Phone: 503.7102439 Fax: 503.598.1960 , , Datemy, OtherPermit Ho.: ....,_. Inspection Line: 53.639.4175 Date Rem/Whir ' twin E See Page 2 for T J Ci A P.D Internet www.tigard.or.gov Notified/Method: Supplemental Infermation .i-::-.W4:-'.--•::-1`;'::.-4;-''''!,:*. .. ''.-7 filit biriWo,VO.-.1".:kir:•, .;-•'i'.P.::**......:.-:.5;f...-T: f';'::,74.1ii- ?±;'_''Z'ii;;;:'19;4*4:::*****:7; - .• . . .11 New construction 0 Demolition For special Wormadonire checklist. DescriPtion I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-farolly dwellings(includes 100 II..for each utility connection) -'''..2' t't•--;thtEedlte4ke-aYilbijiki'liktif'*.Z:-•%'t:'i;"i: ''4• *•:1 3tesj SFR(I)bath • 31210 , . _1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 • . - SFR(3)batb• , V ' 500.32 0 Accessory building- • E(Multi-family . : Each adclitional hadifititchen 25.02 0 Master builder • 0 Other: Fire sprinkler __sq.ft.). Page 2 • _tr--4-i-4-•.4"trtittliVASito-AktroliWilitAtkiiVir,'.:, :. .._..'••,.: Site utilities: Job site address: 1 e6 1 s-9 3.0.1 Lik(ith 1\-4-e. Catch basin or area drain . . 18.76•. . ' Drywell,leach line,or Imre*drain 18.76 City/State/ZIP:Tigard,OR 97224 . : Footing drain(no.linear it:_____) Page 2 '• Suite/hicigiapt.no.: Project name: RiWr Tenn r.e,€04- Manufactured home utilities 50.03 • Cross street/directions to job site: ' Manholes 18.76 Rain drain connector . 18.76 4 .. Sanitary sewer(no.linear ft.:____) Page 2 Storm sewer(no.linear ft.:___} ' Page 2 • •Water service(no.linear ft: ) Page 2 Subdivisi°11: 12-AVeAr 1-€)Palce_. efis-t-- Lot no.:Zi3 Fbaure or item Tax map/parcel no.: Backflow preventer ' I 31.27 C.: ' I • 12.51 •-:. •••=-1-•VI• .r.t.''''''---•-••-!DESCRIPT101C01t-WQRI ' •-: ' • • •:'.. ----• .' 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 477,;;I:.-..;:..1 Expansion tank 12.51 Fixture/sewer cap 25.02 Name:ADVI,Land Helcrutgs;LLC Floor drain/floor sink/hub 25.02 • Addle=7600 E Doubletree Ratich Road Garbage disposal 25.02 City/State/Z1P:Scottsdale,AZ 85258 Hose bib ' 25.02' . ... . Phone:(602)694-4031 Fax:( ) Ice maker 12.51 : ''",•• •'47,...;:::177130'4,'A'Walitit.':- :'.;:`:::: ',.::::'.--.;',;:i:V.. a0,y• . 43,,:.::. interceptor/grease trap , 25.02 letedical gas(value:S, ) Page 2 - 1 Business nal=William Lyon Homes,Inc • Primer 12.51 Contact name;/0\ e...1)(\pc-o-o-_, Roof drain(commercial) 12.51 Address:I C13 ?)-roodwallik-s-kiL i-e._ s-vo • -5inkibasin7lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 . Phone:(360)695-7700 ' Fax::(3611)693.4442 Tub/shower/shower pan 12.54 . Urinal 25.02 E-mail 14 c ' 1 1 i ' ." , ilk.unor\V\units• ,Dr0 w closet 25.02 '?.--- -'--S., Z. ik 4V0•:-:1, ....',...'''.,•:,f,rt.-7.1,'7,::N4.0.. ---,-, • '.- ., , yiy, late' • 37.52 Business name:Alliance Pitunhing LLC ; Waterpiping/DWV 56.29 Address:146W Historic Columbia River Hwy •Other: I 25.02 City/State/ZIP:Troutdale,OR 97060 • Subtotal ' . Plum=(503)492-3490 ::Frac(503)91.2-6438 Minimum permit fez 57230 CCB Lic.:184601 I I Plumbing Lie.no.:PB732 Plan review(25%of permit fee) State-surcharge(12%of permil fee) , Authorized signature: f f TOTAL PERMIT FEE Print name:Robert Dishonor Date:5(232016 This perraitt.ppliadion=Omit rpermit is net obtained within IN asys atter it los been accepted manumit:re. *Fee methodology set-by Tri-County adding Industry Service Beard. 1 1.1Ball&tekennIts'iMal•Pe 'rmitApp.doe HYMAN 440-461er(IDI02/COMIVIEB) i City of Tigard ., COMMUNITY DEVELOPMENT DEPARTMENT ..IGARD Building Permit Review — Residential Building Permit #: /,'T ci/?_&O1-1/o Site Address: 1 3 1 S CI 2 W 1 6a) 4.-1-? c,i ,re, Project Name: p Nei-r Terra ce -ECiS 1- Lot #: `Z (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N £'F a , Verify site address/suite# exists and active in permit s stem. (7 River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan gstructures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished /Drawn to scale(standard architect or engineer scale) floor elevations /SiteNorth arrow Utility locations&easements(required for new and additions) address,project or subdivision name and lot number 'Sidewalk/driveway approach /Site information(name and phone number) Igbeestie e€avells/septic systems gL°t dimensions and building setback dimensions �es to be retained with drip line,and tree Square footage of buildings to be demolished yrotection measures /6Lot area,building coverage area,percentage of coverage and X Street tree size,type and location impervious area(applicable if R-7,R-12, R-40) treet names ?Property corner elevations(2 foot contour es if more than >1,000 sf of impervious area created or replaced? �❑Y uNo A1JIT 4 foot differential) If yes,is a storm water quality facility shown? Yes No Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): NJT Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No r Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: eer Yes ❑ No,stop intake Land Use Case#: pi) 0`io 1(a — 00001 & L.)4 7,0110 000 n/1 71 Zoning: E...75 """J 4 Required Setbacks: Front t a_ Rear Side 01 3 Street Side 3 Garage SO Landscape Requirement: ZO % 2 Lot Coverage Maximum: — % Building Height Maximum Height N/A Actual Height3 41 XVisual Clearance XSensitive Lands: ❑ Yes 0 No Type VUrban Forestry Plan ,J Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: /1"1/ Date: ) CV /I l 11 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved MBuildingTorms\BldgPermitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: 6 (A)1/7 Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning 'Engineering prPermit Coordinator Building Workflow Sign-off: i Sign-off for Planning(include notes from planning review) Route Application Documents: b' 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: // /( j By Permit Technician: /' L.�t/i.:"moi Date: 1 / s..; ..b. Engineering Review ( Z �f Slope at building pad: / 0 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: 0 Yes iii No Assess Water Quantity Fee in-lieu: 0 YesFri No LIDA Facility on lot: 0 Yes prNo 0 NOT Approved by Engineering: Date: Notes: Approved by Engineering: ,t I Kt.— tti-' . Date: /0 /2-5//7 Revisions (after Building Submittal only) Reviewer Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved sial. ...., 8.4.11X6.VWSCIMVP.M.W.IFIPARMIPRIC Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit roe roved,NOT Released: l ''Y Date: /04Vi4- - PP 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: ,?12SDC Fees Entered: Wash Co Trans Dev Tax: ` -r'es 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: Yes 0 N/A LIDA 0 Yes ') -N/A Utit K to Issue Permit Approved by Permit Coordinator: /7/0-nate: I:\Building\Forms\BldgPer itRvw_RES 061417.docx i C1tyT of Tigard �t COMMUNITY DEVELOPMENT DEPARTMENT I Ofi OP River Terrace Building Permit Review Addendum Building Permit #: Site Address: i 3 15 c? s vv 16 0 e Project Name: i' T{.f rci Lz. £ '4 S fi Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1): Is the project subject to the plan district design standards? Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a � " ft. deep min. 2ft., 5 ft.wide min.2 ft.,6ft.wide Gabled dormer T ❑ ❑ ❑ 2. Eyes on the street: a minim m of 1,2%of each street facing facade must include windows or entrance doors. Percentage Shown: I.7 / r `i 3. Entrances:At least one entrance must meet both of the following standards: /Max. 8 ft. setback from longest street- facing wallParallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes No If es,all the following appy +0 o P 25 sq.ft.min. One street facing entry 12 ft.max.roof above floor of porch /K5 ft. depth min. 730%min. e orch roof coverage g 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep 0 Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ,Dormer min.4 ft.wide �1 Roof eave min. 12 inch projection Roof offset min. of 2 ft. 0 Roof shingles either tile or wood Obable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide Accent siding min.40%of street facade Window trim min.2 1/2"wide by 5/8"deep . ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ 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: MlNo loser to front or side lot line, than longest street-facing wall. 0 Yes o. If No (Check one): ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ay extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) 712-foot-wide garage door 0 40%max. of street facade /15 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: 10/ 1) /i 1 I:\Building\Forms\B1dgpermitRvw_RES_RT_o62216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13159 SW 169TH AVE, BEAVERTON, OR, 97007 June 12, 2018 at 12:49:29 PM Record Type: Record ID: Residential - Master Permit MST2017-00410 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 70 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13159 SW 169TH AVE, BEAVERTON, OR, 97007 June 13, 2018 at 10:52:36 AM Record Type: Record ID: Residential - Master Permit MST2017-00410 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS Comments: No A/C installed at this time Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13159 SW 169TH AVE, BEAVERTON, OR, 97007 June 13, 2018 at 10:52:21 AM Record Type: Record ID: Residential - Master Permit MST2017-00410 Inspection Type: Inspector: 699 Mechanical final Chip Barnett Result: PASS Comments: No A/C installed at this time Violation Summary: Inspector Contractor Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY N . City of Tigard Received ' - 13125 S W Hall Blvd.,Tigard,OR 97223 t By y �� " Permit N°,71-(7-;20/ o. ,t� Phone: 503.718.2439 Fax: 503.598.1960 'i } Date/By.v'aw �`o ��vv� �� T I G A R D Inspection Line: 503.639.4175 Date/By: -/ -� �C� Other Permit No.: Internet: www.tigard-or.gov , % ;date Ready/By: tuns` v dS See Page 2 for .iltied/Method Tkpl OF'WORKSupplemental Information ®New construction - s j �. FEE* SCHEDULE 0 Demolition 1 For special information use checklist 0 Addition/alteration/replacementDescri,tion Other: Ea. Total ❑ New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(l)bath _ ® I-and 2-family dwelling 312.70 - ❑Commercial/industrial SFR(2)bath 437.78 0 Accessory building ❑Multi-family SFR(3)bath _ 500.32 ❑Master builder 0 Other: Each additional bath/kitchen 25.02 JOB SITE INFORMATION AN LOCATION Fire sprinkler(_. sq.ft.) Page 2 L Catch basin or a ea drain 18.76 Job site address: 13159 SW 169th Ave. - City/State/ZIP: Tigard,OR 97223 Drywell,leach line,or trench drain _ 18.76 Suite/bldg./apt.no.: 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 Lot no.:28 Fixtureo or item: Tax map/parcel no.: Backflow preventer 31 27 1ESCI2IPTION OF WORK Backwater valve _ Multipurpose Fire Sprinkler System 12.51 Clothes washer 25.02 Permit# MS72o(7. Cot/toDishwasher 25.02 Drinking fountain 25.02 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII t:4 PROPERTY' OWNER Ejectors/sump 25.02 _ (, lE1r1NT' • Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap _ Address:703 Broadway St.Suite 510 25.02 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 COIZMIIIIIIIIIIIIIIIIIIIIIIII APPLICANT Ice maker 12.51 © CONTACT PERSON Interceptor/grease trap _ Business name:Alliance Plumbing,LLC 25.02 Medical gas(value:$ ) Page 2 Contact name:Gavin Thornes Primer _ 12.51 Roof drain(commercial) 12.51 Address: 146 W Historic Columbia River Hwy City/State/ZIP:Troutdale,OR 97060 Sink/basin/lavatory _ 25. 4 Phone:(503)492-3490 Solar units(potable water) 5 Fax::(503)912-6438 62.54 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/DWV 56.29 - City/State/ZIP:Troutdale,OR 97060 Other: 25.02 Phone:(503)492-3490 Subtotal1111111111 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lie.: 184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) ,/‘----7 ' /( State surcharge(12%of permit fee) MI Authorized signature: Print name:Gavin'Thomes TOTAL PERMIT FEE 1111111111 Date 1/22/18 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. is\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Residential Fire Su t ,ression S stems: Fee Schedule: Total +uare Foota`e: Permit Fee:Qty. ,Fee(ea) Footing UtilitiesIs0 to 2,000 $121.90 50.03 $169.69 Footing drain-i s'100' 2,001 to 3,600 $233.2052 7. 3,601 to 7,200 Footing drain-each additional 100' 3 $327.54 Sewer-1st 100' 62.54 7,201 and treater Sewer-each additional 37.52 W 100' Water Service-1st 100' _ 62.54 Medical Gas S stems: Valuation:,Water Service-each additional 100' 37.52an;- Permit Fee:Minimum fee$72.50 Storm&Rain Drain-1st 100' _ 62.54 $1.00 to$5,000.00 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first each additional$100.005oro action thereo0 and$1.52 f to other fns'ectians nr Fees Qty, fee 010 Total, , and includin:$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 90.00/hr ■ each additional$100.00 or fraction thereof to minimumwh infee is:e- 2 hour indicated ■ and includin• $25,000.00. cout i e 1/2fo m - 90.00/hr - $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours Inspectionsinoutside ar normal business each additional$100.00 or fraction thereof,to Nouns minimum char e 2 hours) 90.00/hr _ and includin:$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 chane-1/2 hour Subtotal: Other Fixtures: -- 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*. 1 uanti b Fixture T i e - CappedRelocate Replace/ Pht Review for. Plltrri�lbi>nl 0 Installations Fixture Type for Adaea Work Performed; Plan review is required for any of the following. Bastist /Font Please check all that apply. Bath -Tub/Shower _ 0 Any new commercial building with water service 2"and Jacuzzi/Whirl pool --= greater,except systems designed and stamped by licensed Car Wash -Each Stall ==- -Drive Thor ❑ engineer. - New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator ommercial ❑ as defined in OAR918-780-0040. Dishwasher - ==- Medical gas and vacuum systems for health care facilities. -Domestic =-- Any multipurpose firesprinkler system. Drinkin:Fountain Any complex structure as defined in OAR918-780-0040. E eDrh - 0 FloorrDrain/sink -2" --- Submit 2 sets of plans with any of the above. _3„ -- -4" --- Car Wash Drain -== Isometric or Riser Dia Tram Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related --- that meet the g ualifications above. -Commercial-food related -_- -Industrial-food related === Ice Mach./Refri:.Drains Re .Vehicle Gas Station) n ==- Comments regarding fixture work: Rel.Vehicle Dump Station - Shower -Stall-Gang Sink/Lav -Non-food related ==- -Bradley -Commercial-food related === -Service sr n:Pool Filter Washer === 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