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Permit (96) CITY OF TIGARD MASTER PERMIT 11114 COMMUNITY DEVELOPMENT Permit#: MST2017-00409 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017 Parcel: 2S 106DA02700 Jurisdiction: Tigard Site address: 13167 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 27 Project: River Terrace East, Lot 27 Project Description: New SFA. BUILDING Floor Areas Reauired Setbacks Required Stories: 3 Bedrooms: 2 First: 240 sf Basement: 0 sf Left: Parking Spaces: 0 Height: 31 Bathrooms: 3 Second: 562 sf Garage: 294 sf Front: 12 Smoke Dwelling Units: 1 Third: 560 sf Right: Detectors: Yes Total: 1362 sf Value: $170,032.44 Rear: 5 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 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 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 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 p 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 1362 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $23,077.57 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 R 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: C�� Permittee Signature: 6//17 _ r61-77d,\/ 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. . A lication T-2 7 Building Permitpp Q B -. FOR OFFICE 1 SE O\Ll Received •ermit No.: City of Tigard JUN 2 2 2017 Date/B : I 7 �#5 -.��r 1,1 ' 13125 SW Hall Blvd.,Tigard,OR _y/223 Plan Review ,�,terr y�� ' Phone: 503.718.2439 Fax: 503.598.1960 y , x 3. DateB : Other Permit. `7"_6(233i wJ 3 �,i i moi., j r �.. y �����"�� ' !40.14' 7uris: � H See ��, , tri Inspection Line: 503.639.4175 BUILDING DIVIS5 �"i DateReady/By: ,1 // TOg Internet www.tigard-or.gov Notified/Method:1�- rJ; Supplemental Information 7L? 'i A /1//CffV'C 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 ❑Other: equipment,materials,labor,overhead,and the profit for the A LES a .� � ',. " work indicated on this application. -}�' P a�� �` Valuation: $ `/t 1 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building Multi-family , Number of bedrooms: 'L, j i Q, o a3 a ,41f ❑Master builderNumber of bathrooms: 0 Other: Total number of floors: -5 j 3 ,41686 Job site address: 13 t(v7 SW '(PT New dwelling area: Q square feet City/State/ZIP:Tigard,OR 97224 C:arage/carport area: a'isuare feet3 60 Suite/bldg./apt no.: I Project name:River Terrace East gCovered porch area:".'1 square feet s 6 a Cross street/directions to job site: Deck GGarea: ���..{{�� a square feet a4 Othercfrt3cttirE'Stea: square feet Subdivision:River Terrace East I Lot no.:Ei 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 �`' work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet t"� Number of stories: �fp� � k � k i gra :Ai 8�, @:. 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: e re‘.'''.5J±:-"-R-4;11°44:"1" e a��-t t„, 1 A 16,83 l ' .�: "" :-"-" 1a ' rte r _ .�,; alt- •-9 Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 I Fax::( ) ;.--� . if i - ? ' r E mail Nichole Thorpe bj - _ ., Commercial and residential prescriptive installation of �� � roof-top mounted Photovoltaic Solar Panel System. Business name:William Lyon Homes,I'41nc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature:- ` / This permit application expires if a permit is not obtained Of?,,,/,,_____ within 180 days after it has been accepted as complete. Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Service Board. I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11102/COM/WEB) 0 Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Date/By: 1:1firOMMIS R 13125 SW Hall Blvd.,Tigard,OR 97223 ',-1 7 plan Review 11 Phone: 503.718.2439 Floc 503.598.1960 Other Permit 1 1GARD Inspection Line: 503.639.4175 , Date Ready/Br linis: 63 See Page 2 for Internet www.tigard-or.gov ,: ,. 2,rotoodimethod: Supplemental Information Ne AtM.-A:Mget int-M.b#15W0,14-Mattl r---114r- 'i.ivi7eittilea 4:0?_ _ mol:4-0V-60- •LTit Mecuunical permit fees*are based on the value of the work Ei New constmction 0 Addition/alteraldon/replacement performed.Indicate the value(rounded to the nearest dollar)of all • ID Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ ZiktaVS-41,—),..-VAM1416:4.00.4. 1*.iii:.:.';,-:j.$7.7gAr.""Vglei:':'. ..p1:1.,'"-•''''writ'mr'''''' -•'''''''' "-----"'—''—-----.-W"' • '''' ' ---•-:`'''-' .'"' :1,..,t,--N.PAS.V..w- EAP-WWW;SY,S-1.W AIXF..51.!••.Z.7.:.-11;1 1-and 2-family dwelling 0 Commerciaimdustrial El Accessory building For special information use checklist 'Multi-family 0 Master builder 0 Other: Description 1 Qty. [ Ea. I Total AftWAM,A;#1..#f.00*A1:::01::tt,A'.*0.-.4ttilAli..34VA3-1**1:S7.#C' Hen t in g le°a ng: - Air conditioning 1 46.75 46.75 lob site address: 131[1iT sv`) t.o°1111 kfei Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIE':Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 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) 2332 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. _ 46.75 Flue/vent for any of above 1 23.32 Other: 23.32 Subdivision:River Terrace East . Lot no.:2:1 - Other fuel appliances: Tax map/parcel no.: Water heater 2332 SigO1bit0.4**0*.griggWV4iHIA:ViiV.:; Gas firePlacerinsed 1 3339 Flue vent for water heater or gas 1,\ASITA VT-; -OD ttOCI fireplace 2332 Log lighter(gas) 2332 Wood/pellet stove 3339 • Wood fireplacermsert 23.32 Chimney/liner/flue/vent 2332 2332 .:qt:• '';'!' 2/-::**-3i-**7:1*itik17'4-''::1''°::.:1;'7*.• 4'4-Er:***Yr. J:i1M1612;.. Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 1 3339 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust t 3339 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, 4 toilet compartments,utility rooms) 2332 Phone:(602)694-4031 Fax:( ) Attickraw1space fans 2332 6I%rz:-:4;.i.-4N:'•A';["-T-607i*r• -*41-i gn.I. Other 2332 Fuel Business name:William Lyon Homes,Inc. piping: SI4.1S for first four;$4.03 for each additional Contact name:1\)i eArl ok.e,111\Of-Ve Furnace,etc. 1 Address:7r) Moptiv)al t -\.-. SuiA<- SID . Gas heat pump Wall/suspende.dhmit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Far:(360)693-4442 Fireplace 1 Range 1 ., . -o • , . i . A , Iii ' 1". . . ii Barbecue F.;:ri -fil'F_f4334,:::1-:•:'Zi4W-..! , i i 7" :ig.,.,r-'. ::::?:.t.:-E;..-zik-I,,-:-V ::: Clothes drYer(gas) Business name:ft10 V\U'ilkb, WTI QM inn -Try._, Other: •-i71'.:.4.43;•ki:-.,1*•_-g"..e!'(7:7!. *.:7 '.!;" .' ' **Wr-E:I:7-:;;;;V.I."-:-.;:'&:i j I rt- 'I Address: ql)C15-- t\M •PADOtie of, 1. 1 Subtotal City/State/Z2: 4rilStOtt(D4 . ,\(Le, In., i Minimum permit fee($90.00) Plan review(25%of permit fee) Phone: )40.. ( iD41Fax:61)) oti...\i.... b-l State surcharge(12%of permit fee) CCB lic.:2_09 00) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has beim accepted as complete. Authorized signature: MCiffeia,.."19,----- * Fee methodology sot by Tri-Ccomty Building Industry Service Board Print name:Ak 44 0 le.....—hAl,„ -- Dates — TARIliblinelPearrniteVARM"PornvirA..,nem ist An.. t Electrical Permit Application FOR OFFICE USE ONLY City of Tigard ea /� ` 13125 SW Rall Blvd.,Tigard,OR 97223 P`m"t# Si l 7-� ) 0 ^ Phone: 503.718.2439 Fax 543.598.1960 : Plan Review DatdB . IteIatedPermit#: TIGARD Inspection Line: 503.639.4175 ReadyD�By: ma Internet .www.tlgard-oLgov ilotinod/Method: S Page 2 for r • Supplemental Informatics i�� ..� �artY -7�N�. �j `MC G.sIs:� � y�+^y y ®New construction �. _ n = Please�.; � �, rti —4.-r �.�,14 � �,.��:'���. 0 Addition/alteration/replacement ent Please check all that apply(submit z sets of plans writes;checked): ❑Service or feeder 40o amps or ❑Building over three stones. 0 Demolition ID Other: gl* where the available fault current ❑Marinas and boa ; - exceeds 10,000 amps at 150 volts or QFloatt•ttg buildings. -and 2-family dwelling 0 Commercia]/itidusirial 0 Accessory building less In ground,or exceeds 14,000 0 Commeraat 1150 agnnnhturai QIM�tty 0 Master builderfor all other installations. . build' _ 0 Other: ❑Fire pump. Tn ett CVA or .. r4 -11 .I,o t'}.a tl:"ta8 64t. I a 3117-1.4W; .0 z �! '4 +? -4• -" ,. ' ❑$mergeecy system ^a sioISd tweed larger separately derived Job# Job site atidrev^ pae_,, ❑Addition ofnewmotorioad of S\M � f!V 100HPormonk El"A", ,"I 2","1-3, City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. Suite/bldg./apt#: i Pro'ectname: 1�' ''r' ❑Irtealth arefacilities. Recreationalveicleparks• P 111fv, (...eG"� I_ 0 Hazardous locations. 0Supply voltage for more than Cross street/directions tions to job site: �'t ❑ +c°°Mader 600 amps or more. 600 voUs nominal A••5c" ah'f µms'Jit13i43 I 1:1!:-: \,e_ F.:;_. • Description i Qbt Each C Total a_ _ New residential single-or multi-family dwelling unit Subdivision: (j 1`,/.0 r Terra„e. LaS� _11.Loth r9 Includes attached garage. Tax map/parcel#: v Z L `�� IND sq.ft or less j 168.54 f..4_ ati ,uy , s a Ba add'1500 sq.R or portion • Limited energy,residential (with above aq.ft) 75.00 2 Limited energy,multifamily residential(with above sq.ft) 75.00 2 ` .y. '���_ '` 3 r•�ct n�'s, 3t�rc''t-fir a; fF;Y'_5. , I A�+.: `— Renewable Energy 0 See Page2 �i-S 7--at' ' services or feeders Installation altergtfo and/or relocation - Name:ADVL Land Holdings,LLC L n1 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 City/State/ZIP:Scottsdale,AZ 85258 401 amps w 600 amps 20034 2 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 55226 2 Fmsu1: Temporary services or feeders inctelIatlon,alteration,and/or Owner installation:This installation is being made on propertyrelocation intended for sal lease,rel or that I own which is not 200 amps or less 5936 I est, exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps125.08 Owner signature: 2 � _ Date 401 amps 60599 amps 16834 2 -?;•.-4.4.4=t-- 4^2,4 u E ,y '-',,. .-), 1-r_4- 7:G l' c-5 7 �; BranVll elreults—.117'81 ,�.m�. �a � :?�.-Wit,.. � r taxation,or extension,Per Panel Business name:William Lyon Homes,Inc. '��fe service 7f above orfeeder fee, Contrhet name:�'chD e�^ each branch circuit 7.42 2 ^� (� `�^ T l_o y �+ q I B.Fee for branch circuits without Address: 103 (3rO�,dmictl ll St S :A.V , S lD service or feeder branch efuit fee,first 2 56.18 City/State/ZIP:Vancouver,WA 98660 'l Each add')branch circuit 7.42 2 Phone:(360)695-7700 • I Fax::(360)693-4442 • ilscerianeous(service or feeder not included) Finatl,, Bach m smfactured or modular 1 ► 4 , dwelling,service and/or 67.84 2 __. J` 2 P� !� Ramy 67.84-,4"` -- _ `-j, ` �j �-- " Y Pump or irrigation circle 67.84 2 Business name:Garner Rlectric Washington,LW Signor outline lighting 67.84 .t_.. Signal 2 or limited-enere, Address:k 4 t ? \J al`k4 {I.p„k e 10 S uA e, k p alteration,ore 'on, 0 See Page 2 2 Crit'/ ZEP:'p�t fa)L 1 i1. Tj t 1�� ' t`R e.1' ' Each additional Inspection hrx over allowable In any of the above Phone (253)320-I657 IJ i W p Additional inspection(1 hr min) 66.25/hr ( ) Investigation(1 brmin) 90.00/br Amonbdsniels@gweusa.�m — Indttstaalplant(1 hr min) 78.18/br — Inspections for which no ice is Electrical Lie.: 208174 I Suprv.Lica` 44965 i listed 4brrain) : 90.00/lhr CCB Lic.: CIL58I Sup1v.Electrician signature,required ' '�a' 'T r Yl:' �till6�t lea ... 1_t,.ir� ' x ;c: t 03 :: Subtotal: v Print name: loan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit feet _ State surcharge(12%of permit feel Authorized signature: C TOTAL PERMIT FEE: `;' I Print name: B171 Daniels Date: 4/26/2016 1 This permit application expires If a permitis apt obtained within 180 tiltt ! days after Mats bay accepted as complet e • 1BuiWlgg ° ,PF ffitfidaRao gCJ17/Zo15 ��� * Numberofinspeotioasalowedperpemut. ta?•�:. ..O 6 ltl1fi5JcOwwaBa . ' Plumbinz Permit Application .. . Building Fixtures City of Tigard am*140/7.j-7;20/ 7-60*2. 111 ,,-. • • 13125 SW Hall Blvd.,Tigard,OR 97223 1)*3pian rP : • Phone: 503.7182439 Fax: 503398.1960 ' ' Dateigy: OtherPermit No.: Inspection Line: 503.639.4175 TIGARD Date Ready/By; Judy El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information :•:...f);:t7,f,::l'i,34:;•:: :::;rfft-:i:. ';1717*tir'..**41:k:!•&.)7.' "!'1.::.'•':‘:::•]::::•.-?':g- -71; ;,:•.::::1-!,•-57:17k--:•.-:%.,i::::!:; :itgf:****61#:7•• . .. '• • • 123 New construction 0 Demolition For spedaf information use checklist. Description I. Qty. I Ea. I Tend .., 0 Addition/Mteration/replaoentent 0 Other: New 1-2-family dwellinr,s(includes 100 ft.tor each utility connection) ..:!:W-..7' ''..-n-:a-cigeoit-eictbilkingirdittigf.:71.t,,;1;:;: 4-,N. '-'...--, SFR(1)bath 312/0 :. .. . _I-and 2-familydwelling 0 ComrnercialTmdustrial 0Sf'R(2)bath 4377g : . • * SFR(3)bath. . it . 50032, El Accessory building. ' EkMulti-family Each. additional bath/kitchen : 25.02 0 Master builder.' 0 Other: Fire sprinkler( sq.ft.) Page 2 ' tskl*i'i,.! .01:.**Ii**14-'4116:*1::4107704).;:i:0$ ;Z:..' :: ::.r‘,''.1:' Site atititles: lob site address: 131 0--1 kNI Wlh tpoe.„ Catch basin or area drain - 1 18.76 . City/State/ZIPTigard,OR 97224 . Drysvell,leach line,or trench drain 18.76' : • • Footing drain(no.linear ft.: ) Page 2 - Suite/bldg./apt.no.: Project name: Jr Te,nzi(e. 9S-- Manufactured home utilities 50.03 . Cross streelditections tojob site: Manholes 18.76 ; 1 Rain drain connector . 18.76.. Sanitary sewer(no.linear ft.:_.j . Page 2 . Storm sewer(no.linear ft.: 1 Page 2 ' Water service(no.linear it: ) ' PAP 2 : Subdivisim: RAVeir Teirrare_ EAS-I- Lot no.;21 - Fixture or itenr: I Tax map/parcel no.: Backflow premier • 1 31.27 *":;•: '..',t--",q'::•,ii...*.ris.40,•,. 4kin'...-..ilisr.tdriveitic--...:.:;. ..:. ; ,,• :,:., • .. ,.-.• Backwater valve 1 2115.0251 M.SttO 1-1 - 60‘AO 9 Clothes washer Dishwasher - 25.02 Drinking fountain 25.02 Ejectors/sump ' 25.02 ' . ; ;',-:L.;.'; -.::5;:;:':J 41 tt.Itaf4re-L'-:'.: ,...-R z•- Expansion tank 12.51 Fixture/sewer cap 2502 Name:ADPL Land Holdings,LLC i Floor drain/floor shilubub 25.02 • Address:7600 E Doubletree Radek Road . Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib ' 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 i :..."'';'•,,, _litriiiita*gii .45:, Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 Primer : A 12.51 Contact Dane:tjk Or\ae....1\r\pc-cie.„ Roof drain(commercial) 12.51 Address:1 63 BKDOCR.A000-4 SA-S .A,1-C-- co • Sink/basin/lavatory au City/Stats/ZIP:Vancouver,WA 98660 Solar units(potable water) . 62.54 Phone:(360)695-7700 ' Fax::(360)693-4442 Tub/shower/shower pan . 12.54 . 1 9.741,T6Jaca_ Urinal' 25.02 ,s,. -sw...,,-..:-ii...-,•-.--:31-: tr•-•4 -: •--*••• PF-1,7-AF.•-,14.„.. :.. ...... .,,y • :•••• -t, :i,„•,, Water closet . p 25.02 ..,. . 1 ,,Tr....1,ft, -..:--;-:.. r ...t ,-,•.-,-;.. 4. '.t - "!:: .4."%! 'j0abD0343._,. --- -., ..;.- • • • " -' •--"` Water heater • 37.52 Business name:Alliance Plurnbing•LLC Waterpiping/DWV ; 56.29 Address:146W Historic Cohunbia River Hwy Other 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone(503)492-3490 Fax:(503)912-6438 Minimum permit fee: 572.50 ew CCS Li c.:184601 /44 . Plumbing Lic.no.:PB73Plan revi (25%ofpermit fee) 2 state-surcharge(12%of permit fee) , Authorized signature: TOTAL PERMIT FEE Print name:Robert Disbman Date 51232016 Tab permit appliottion=Myna if a permit is not obtained within ISO days attar bine bees ammtpted as romplete. *Fee methodolov setiv'Fri-Comfy Building Industry Service Board. lApulltiearetudealUID-Pentititty.dot 100189 44L4ol6T(10/02/COMPOYaa 1 s City of Tigard 11/ a C COMMUNITY DEVELOPMENT DEPARTMENT IRD Building Permit Review — Residential TBuilding Permit #: /ks7 j/)— 094(.0 Site Address: I g i k1 1 S W 1 e q 'fl ci ,,--L Project Name: ( 1 st' Terr e -EOLS s 1- Lot #: Z 7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review J' A Proposal: N kA f .C.F Yr,Verify site address/suite# exists and active in permit s stem. 7River Terrace Neighborhood: 0 No Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan moist igstructures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper /ZFootprint of new structure(including decks)with finished /Drawn to scale(standard architect or engineer scale) floor elevations /North arrow (Utility locations&easements(required for new and additions) Site address,project or subdivision name and lot number /Sidewalk/driveway approach /Applicant information(name and phone number) 1eett*®n of wells/septic systems wtdimensions and building setback dimensions �es to be retained with drip line,and tree are footage of buildings to be demolished , rotection measures /Lot area,building coverage area,percentage of coverage and Aid tree size,type and location impervious area(applicable if R-7,R-12, t R-40) Street names Property corner elevations(2 foot contour es if more than >1,000 sf of impervious area created or replaced? El No N PP �/T 4 foot differential) If yes,is a storm water quality facility shown? Yes o ziZi Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): W/ Required: ❑ Yes,applicant was notified El No Received: El Yes El No Public Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified El No Applied For: L Yes El No,stop intake C� Land Use Case#: pp 4Z 2,0f(+ — 00 001 � ' -2,c I go - 00001 /7 Zoning: to Z s ,iz Required Setbacks: Front 12_ Rear E Side ®l s Street Side 3 Garage so 4 Landscape Requirement: 20 % 3 / Lot Coverage Maximum: 90 % Building Height: Maximum Height issqAActual Height 5 XVisual Clearance XSensitive Lands: ❑ Yes ❑ No Type VUrban Forestry Plan gl Conditions "Met"prior to issuance of building permit Notes: �y�, Approved By Planning: ' " I Qom® V - -- Date: 1 0/ I( / 11 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw RES_061417.docx Building Permit Submittal Original Submittal Date: Cil /7 Site Plans: # Building Plans: # Building Permit#: ► nter building permit#above. Workflow Routing: IN- Planning l- Engineering '"Permit Coordinator Building Pit Sign-off: Sign-off for anning(include notes from planning review)'/ Route Application Documents: P 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: / iA,i &I• Date: 1 i APP Engineering Review IASlope at building pad: I ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat C� Water Quality/Quantity Facility: l Assess Water Quality Fee in-lieu: 0 Yes /No Assess Water Quantity Fee in-lieu: ❑ Yes ,F(No LIDA Facility on lot: ❑ Yes !Lf No Ci NOT Approved by Engineering: Date: Notes: ��,,"" Approved by Engineering: r/�'l./ kk, Lc3 € Date:i® ZS' /7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit // �ppApproved,NOT Released: AVrDate: /o,21 A7-- 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: r SDC Fees Entered: Wash Co Trans Dev Tax: ttlYes ❑ N/A Tigard Trans SDC: 2EP Yes ❑ N/A Parks SDC: Xf Yes ❑ N/A LIDA ❑ Yes N/A !4i II K to Issue Permit Approved by Permit Coordinator: Date: /I b -///1 I:\Building\Forms\BldgPermitRvw_RES 061417.docx City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT III TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: l 3 j C21 S ‘aa i c1 •11-, Ct ,,-e_. Project Name: .l\pex Tie C a"1 L1. &4 S t Lot #: 7 (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. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deepProjection Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide / ❑ ❑ 7 ❑ .. 2. Eyes on the street: a minimpm of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: P. 41 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street- facing wall /Parallel 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: -� J 25 sq.ft.min. One street facing entry /12 ft. max. roof above floor of porch )?.-5 ft. depth min. "30%min. porch roof coverage 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 ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ,Dormer min. 4 ft.wide Al Roof eave min. 12 inch projection Roof offset min. of 2 ft. El Roof shingles either tile or wood OGable,hip or gambrel roof design El Roof pitch oriented south min. 500 sq. ft. El Horizontal lap siding min. 3-7 inches wide AAccent 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: iMNo loser to front or side lot line,than longest street-facing wall. CI 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) /12-foot-wide garage door El 40%max. of street facade 46 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: (\e") 0./Vv\, 1, Date: 1 Of I) /1 ') I:\Building\Forms\BldgPermitRvw RES RT 062216.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT :IN 2 Transmittal Letter T t G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION g•—• Jr FROM: Nichole Thorpe ,�'�� 2011 COMPANY: Polygon Northwest .11 " 'w - `v, PHONE: 360-989-40204 I By: RE: 13159 13167 13169,13175,13181,13189 SW 169T1 "��ti4GL.. ite ' a a - - --- urn.er ��c.�..►__— 'ermrt umaer River Terrace East L of 2`7 !"A Si- 2 l 7 cozi O 9 (Project name or subdivision name and lot number) / ATTACHED ARE THE FOLLOWING ITEMS: ICopies: ! Description:' I Copies: + Description: I 0 Additional set(s)of plans. 3 Revisions: Bulletin, Plan Sets 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. Adding 3rd Bathroom Option FOR OFFICE USE ONLY Routed to Permit Technician: Date: 1 -)._.---4- -- Fees Due: 4 Yes ❑No Fee Description:• Initials: Amount Due: 1-jr P) r=v; $ y..c-- $ " $ Special $ Instructions: I Reprint Permit(per PE): 0 Yes I LANo Applicant Notified: <VrC- t'c- Date: /2-1,/>'7 ❑Done Initials: G L--- I\Bffilding\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13167 SW 169TH AVE, BEAVERTON, OR, 97007 June 13, 2018 at 10:51 :47 AM Record Type: Record ID: Residential - Master Permit MST2017-00409 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13167 SW 169TH AVE, BEAVERTON, OR, 97007 June 20, 2018 at 12:39:19 PM Record Type: Record ID: Residential - Master Permit MST2017-00409 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13167 SW 169TH AVE, BEAVERTON, OR, 97007 June 13, 2018 at 10:51 :47 AM Record Type: Record ID: Residential - Master Permit MST2017-00409 Inspection Type: Inspector: 699 Mechanical final Chip Barnett Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13167 SW 169TH AVE, BEAVERTON, OR, 97007 June 12, 2018 at 12:54:55 PM Record Type: Record ID: Residential - Master Permit MST2017-00409 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 70 psi Violation Summary: Inspector Contractor Plumbing Permit Application Building Fixtures �, �� 71-v " ` `' Received City of Tigard ' 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:/ q/% Permit11/111 3 Phone: 503.718.2439 Fax: 503.598.1960 I � Plan Revi Inspection Line: 503.639.4175 A �� Date/By: c�''') ��/ Other Permit No.: T1C;ARD p Dat,Ready/13i Internet: www.tigard-or.gov /7/`��/�uris I supplemental See Page 2 for TYPE OF WORK upplemental Information -2I t "EE* SCHEDULE ®Newconstructton � �a, � �" ,� _,- ❑Derrfolh[ion For special information use checklist :3Addition/alteration/replacement Description Qty. Ea. Total ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CSTRUCTIOIS =; SFR(1)bath 312.70 ® 1-and 2-family dwelling EDCommercial/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 0 Other: JOR SITS INFOR�MA�IOI t {� Fire sprinkle .ft.) Pae 2 LOCAT 1fiil: g Site utilities: /3 �-- Job site address:13167 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.:27 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OFWORK Backwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Permit# ms-rzo 17„ 0014 047 - Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 oh "PROPER Y W NE I .TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Polygon Northwest 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 ►2� APPLICANT 12.51 © 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 closet 25.02 Business name:Alliance Plumbing,LLC Water heater 37.52 Address: 146 W Historic Columbia River Hwy Water piping/DWV 56.29 Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Phone:(503)492-3490 Subtotal Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lic.: 184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: /..----f---.-7-7/ State surcharge(12%of permit fee) IPrint name:Gavin Thomes TOTAL PERMIT FEE I Date: 1/22/18 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. 11Bui!Meg\Permits\PLMU-PermitApp.doc 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 Utilitiies R . . Fee(ea) :T iia t Square Footage; ., Permit Fee: ' 50.03 0 to 2,000 $121.90 Footing drain-161 100' 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' 37.52Permit.Fee: Valuation:-, V 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 ()cher Inspectifin or Feeeach additional$100.00 or fraction thereof,to 1t .Fee(ea) Total and including$10,000.00. s 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- 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, 0 0 a $1.20 Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 or thenal first $$100.00 o 00.frDiian hereof.for ad(minimum charge-1/2 hour) Subtotal: Other Fixtures: I I 1 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 tteplace/ Plan Review for Plumbing Installations Capped Added Fixture Type for Relocate Work Performed: Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower 0 My new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. Do ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspiratori-Domestic ❑-Commercial as defined in OAR918-780-0040. DishwasherMedical gas and vacuum systems for health care facilities. D ® Any multipurpose fire sprinkler system. Eye Washng Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" . Car Wash Drain Isometric or"Riser"Di`ag"arl Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings -Commercial-food al-fooddree Disposal -Domestic-foodrelatedthat meet the qualifications above. lated -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