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Permit (105) CITY OF TIGARD MASTER PERMIT •' . COMMUNITY DEVELOPMENT Permit#: MST2017-00466 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/10/2018 TIC A h.D9 Parcel: 2S106DA01600 Jurisdiction: Tigard Site address: 13231 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 16 Project: River Terrace East, Lot 16 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 97 sf Basement 0 sf Left: 0 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 562 sf Garage: 456 sf Front: 8 Smoke Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes Total: 1221 sf Value: $163,089.69 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 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=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 1221 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: $23,856.99 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: AZ p / Permittee Signature: �/ .4?-,,-75. -7 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ' 7i &' • Building Permit Application Z___C ` Iesidential c„I ,vs,-- FOR OFFICE I SE ONLY City of Tigard a. �+� DateBy: /! /� ���� �u�//V! iCl�� Permit No.: '� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 2017 Other Permit:C �, ? q ' I Phone: 503.718.2439 Fax: 503.598.1960 A U G 2 2 Date/By: � " j 7 /� 5�,��� e e� 7 7 1 G A R l) Inspection Line: 503.639.4175 r_� Date Ready/By: /...he, �iJ Juris: ® S €Page 2 for Internet: www.tigard-or.gov ".. GAR e Notified/Method: Supplemental Information BULD IlauiViSI+ 4) l.lid/G— /Vie L t � y t �. pt 4- o - ^ P '` �t 1 5�.� I .f. -a 16 .. ,�;u�,�..'s i,r"..- ,'�e'r- r .. :°�, . `.$ � ?3'. ,� - �.., --, --,,,o,:,A ,,, .,c 4�..;s' -�;.b�x sa�. �'s.1L. . :'�' 3s-z;.a ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement '❑Other: equipment,materials,labor,overhead,and the profit for the % V ; 4r; tn2„,..:, work indicated on this application. 1- stcaph and 2-family dwelling ❑Commercial/industrial Valuation: $ Q ❑Accessory building Multi-family Number of bedrooms: 2_ i/ g O 9. � + ❑Master builder 0 Other: Number of bathrooms: 'N'21.., a , 3 44 Total number of floors: NS31 677 Job site address: 1323 Sy.) L to"L lr 1 Ne, New dwelling area: /1,1 j square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: LIS-1p square feet‘Ca Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: i square feet Ca. Cross street/directions to job site: eck area: �- square feet q J) G,vv 7a. q Othe't structure area: square feet • Subdivision:River Terrace East Lot no.:I tp 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 t ���Wy n iwork indicated on this application. i . m , 5 � ��, y Valuation: $ Existing building area: square feet New building area: square feet 2 rz- 7 ISO+`y : s a z" t ,r+x<.: d '� + * �' 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: ' 4'f;�: k 3'S° 't i`"# V .ter a ""- ." k.' �6 .k WAAiliiiAt D 4a ` ° •� s,�3_-�, 4 '' �.$ " ` Q s / as ,'Cx", A'�9 14` @ q' '2, ,r"„=.�. s- 1, ..k-.,a-.« _.4,, .� ..rxtu, orz x=x :#amu- Afa ,y f . =y - ' _ Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe �, ,` ` 1 FLS plan review fee(if applicable): Address: 7 D3 f�roa�IIjam Sr` ,�, Su _t S\. City/State/ZIP:Vancouver WA 9866011 Total fees due upon application: Amount received: Phone:(360)695-7700 Fax::( ) b �_, E-mail:Nichole Thorpe t ¢ t I frit s H..A. Commercial and residential prescriptive installation of .._, ,,,re a i ;.. .W. .. a _> k-,' t roof-top mounted Photo Voltaic Solar Panel System. Business name: pO I i 1m imt 'l Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 103 sc lcIWO4 s�- ��L_-_, (� 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 lie.:207247 • Total fee due upon application: $201.60 /Authorized signature: • / -/ This permit application expires if a permit is not obtained % within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) .., ,. Mechanical Permit Application-" FOR OFFICE USE ONLY 1111City of Tigard permit rib./41571,7.cy 7..a)re 6 , ‘ il 13125 SW Hall Blvd.,Tigard,OR 023',.. • ' plan Review 1 I ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit TIGARD Inspection Line: 503.639.4175 k Date Ready/By: Jorift &I See Page 2 for . Internet www.tigard-orgov Notified/Method: Supplemental Information '- -'' Ilitte§tililkiirgifSratt V.Air-M-60:10-01grair-Ott:P43-PE-fittitY-tinigita - Mechtmical permit fees*are based on the value of the work El New construction 0 Addition/alteration/replacement perfomied.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit 4. iii Value:$ a•-:eltri.-Wd4-71-5311X0-#0*.014.-filis*SAAW.107.:4•Mlisi4 _ -aMtiltibibir41/fgaiiIiiiiiiiidiNkthiiaiiiirr 1-and 2-family dwelling 0 Commercialimdustial El Accessory building For spedal Wornustion use checklist 1R/Multi-family 0 Master builder 0 Other Description Qty. Ea. Total .t.-'''''''7-1'Vf-W:14.03-ol"fiii*-liFIF--OThirfilYllibitt-Aii--04:+iiigriti-47Aitz:V.-ei Heating/cooling: . Air conditionmg 1 46.75 46.75 Job site address: 1. 3/3.1-- s,,,, wog Nei Furnace 100,000 BTU(ducts/vents) 1 46.75 ' _ City/State/ZIP: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) 23.32 Unit beaters(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.: Ile Other fuel appliances: Tax map/parcel no.: Water heater , 2332 -2;.-PraWC,kletgirgI.:;Viseitiliiik 01.:::41tiiiks„VOIV4.14v-iVii4ito Gas fireplace/insert - 1 33.39 Flue vent for water heater or gas fireplace 2332 _ Log lighter(gas) 23.32 Wood/pellet stove 33.39 • Wood fireplace/insert 2332 Chimney/liner/flue/vent 23.32 -467.--i'sr.24Ef.:iitolikktvg6Viititn-41:::..:2.:ii-055*:::::?,jca:Plikigli,fe.:20:.'Pi41*, Other: 2332 :.=....-..: !..t.-.• ....• . . _....„ - ,..... -•.....,,,,:-.••••: t,•...... =.,...t.-•-••. • .. . 44-F-:.....-.,f, ..-±4..,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 II 3339 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) tk 2332 Phone:(602)694-4031 Fax ( ) Atickrawlspace fans 2332 4u * - - ;47.Y .;•• •=0.'614$041.W00-V1.:-.1 J mei: 2332 Fuel piping: Business name:William Lyon Homes,Inc. S14.15 for first four;$4.03 for each additional Contact name:t\l‘CVI ok,--1-1Ao(eg, Furnace,etc. 1 AddressfTin 1?KtoøL&)&1 , -\". S - SID . 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 1 E-Eleil:AO I(itAke "t1M 4 I i C..'1,!;2-Pb1V10104rN.M6Y . (.)61Y1 Barbecue -60-ifiefej.'•-:::= ',:-•'-a:.:*-tf....... .-iteii::.4:';=-:fti-k..; clothes dryer(gas) J.-..':4-:r....=::•-'-k.:-.--!,--,..f: .'e•.04'.:.-.: •-:- ••••- •• - = : -I .C....••;-..• ,:---,...r.....z..: :•••!...P„.t,:-.....-r Business nPaLmeo:ptAs-NVyo„ .ti ,w1 Qtv'In. , 7 r\c :•,Oif-tA.her2:1 TsVX Address: v \ tpr SmkSubtotal City/StateZIP: So V ( 0...}A Minimum permit fee($90.00) Plan review(25%of permit fee) Phane:5t-6)4443. s‘AL Fax:611) c11-\I''' 9)17" State surcharge(12%of permit fee) _ - CCB lic.:241 DO) TOTAL PERMIT.t This permit application expires Ifs permit is not obtained within 180 Authorized signature: .44CA7‘tillg- -- days after it has been accepted as complete. * Fee methodology setby Tri-County BwIding Industry Service Board Print eameM 44 01e...711 012{.. Date: ';'11 rt .. ...., ...,...-, . _ _ .. Electrical Permit Application FOR OFFICE USE ONLY - City of Tigard litQlgrar - AfIMI i „all 13125 SW Hall Blvd.,Tigard,OR 97223 Ii Plan Revievr p' Phone: 503.718.2439 Fat 503.598.1960 Date83 . RelatedPermit 8: Inspection Line: 503.639.4175. Ready Date/Sy: Min Si See Page 2 for TIGA RD Internet• Supplemental Information www.figard-or.gov Notillecllivlethod; --''''T IZ New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wit=checked): 0 Service or feeder 400 amps or more 0 Buitrung over three ab3ries. 0 Demolition 0 Other: • where the available fault current 0 1:farinas and boatyards. exceeds 10,000 amps at 150 volts or 0 Floating buildings. .-and 2-family dwelling 0 ComrnercialthidUstrial 0 Accessory building lass to ground,or exceeds 14,000 0 COMI:=17111-11Sa agricultural =pa for all other installations. . buildings.• Multi-family -- D Master builder 0 Other: 0 Fire pump. 0 Installation of 150 ICVA or' :A.sil_a;:-11,:if"6--c,f,,,7,-0, 1 Q ,ti.Z:CiDgo 4 -iiW,... -72,-,',3,-:_ -,„4- 5...:: 0 Emergency system. larger separately derived 0 Addition of nen,motor load of system. Job# Job site addres- W \1./Odin Pat., 10,011P armor*. 0"A","B","I-2","1-3", 0 Six ormoreresidentiajunits,more residential units. OceupSOcy. City/State/ZIP:Tigard,OR 97224 0Healtth-oare facilities. 0 Recreational veliiclepañrs. Suite/bldg./apt#: I Project name:giver- T. ., &c-- Cross street/directions to job site: --„,':`,7-`;;:f;"''X';_:-.- i-''.:-9T41•'_-_-0i)17 il•J r4iP4TY,',,;iF:',.3'2, ..-:- Description 1 Qty. Each 1 Total I *.4 New residential single-or multi-family dwelling unit. Subdivision: -c tiff Ttirrati-P , i- Lotii ii tp Includes attached garage. I`f• — ft 1,000 sq. .or less I 168.54 4 Tax map/parcel#: 7Ea.addl 500 sq.ft.or portion 1 33.92. 1 ';'•- •%-:"-t-'-t-jr.-_" ,,t F-W-01 , 10,1: I:40_0 Sra',AT3j;c.. -O-',,-,-s.-lit,et---,,--:i---;-.: -,,,-.u.,4,--,'.,..fr Limited energy,residential 75.00 2 - (with.above sq.ft) , - Limited energy,multi-family residential(with above sq.ft.) 75.00 2 ,_ Renewable Energy 0 See Page 2 or feeders Installation,alteration,and/or relocation Name:ADVL Land Holdings,.I.I.0 200 atop or less 100.70 2 p Address:7600 E Doubletree Ranch Road 201 amps to 400 ams 133.56 2 401 amps 600amps 200.34 2 City/Stata1ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email •. relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I 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 %„:„.47..i.,„,,r,„,,,,,e., _,;t..,,,,If,lw..,1:$1:E...,..,,,S,T1 FT,,,,,. .1.,:,:, :r.4:7;,,,,,:::A.A2 Firt3Z,S:iii,•,F,,,c7 ,.:01,—ii .0:,3,5:.,,,T,.. AB3.71:11.ertestlisi-.um!,alteration,or extension,per panel _ Bn.1.ess name:William Lyon Homes,Inc. above servoihceyr"brier fee, circuit 7.42 2 each C°ntact name.' klichok,Th 0 rPt B.Pee for branch circuits without service or feeder fec,first Address: 103 frorictiAicx.A1 St savc-L, up branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each addi branch circuit 7.42 2 ' . Nftscellaneons(service or feeder not included) Phone:(360)695-7700 • ' ' Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Em4'1, 1 trk,, j Def,. 0,0 ,4 IP 1 , in' . 301 Remand 014 67.84 2 '5:" '73- Pump or inigatiOLI Chin 67.84 2 Business name:Garner Electric Washington,LLC ' Sign or outline lighting 67.84 2 4-. Signal circuit(s)or limited-energy Ei see page 2 2 Address:0.4 D? \10,Mitu F\-4.e.„.k..L.tok Sdit-e, ka0 panel alteration.or intension. Each additional Inspection over allowable In any of the above City/State/Mt.pLk k i au 14 e I Wilt. Res-) I Additional inspection(I br min) 6625/hr , Phone:(253)320-1657 1 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant 0 hr min) ' 78.18/hr Emali:bdaniels@gwertsa.com Inspections for whichno fee is CCB Lic.: C1158 Electrical Lie.: 208174 Suprv.Lio.: 4496S ;44.0.- 4, listed90.00/hr A br rain _ -.-:;•- •P'- ''-'i.'t"'l 93W.I.-''.1-t'(-1.1-iirAF4.("iak'ifilli .zril-4-r'T'W-i.--1 Suprv.Electrician signature,required: f.A . A . ,heA±..... . Subtotal: Print name: Irma'Albert •• Date: 4/26/2016 in Plan Review Required(25%of percaitL-e): . • State surcharge(12%of permit fee): ..---. „ - '.•:'....: Authorized signature: TOTAL PERMIT FEE:- This permit application expires Ifs permit's act obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after it has been accepted as complete. • Number of inspeotions allowed par permit :;.:.5,•titistWingteemdts118.C_Pemsitiuro Eli ERKeloc Dov 06/1712015 un.,141 viri 7 mch-morroto Plumbing Permit Application •e. jl Building Fixtures j �' �� �!a1r _-_ •. .• RtxeivCity©f Tigard t Bemnt NO' S _ '/7''4y6v• 13125 SW Hall Blvd.,Tigard,OR 97DI;, PlaRPhone: 03.71239 Fax: 503.59819Q n yew OtherPamit No.: rA on Line: 503.639.4I75TI tC a Ready/BY: Imdz Si See Page 2 for Internet: www.tigard-or.gov NotifiedtMelaid: Sepplerneata}information ®New construction ❑Demolition For special Informadars ase checklist ❑Addition/alteration/replacementO Description Qty. I Ea. 1 Total New 1-2-family dwellings(includes 100 IL.for each utility connection) • !.;:t,''':"2.±:'''.=: ' ._,.7.-:,1:e:.101)Il' r;{ :iii.**0,60*.•` =:.;,J.s4v g .1. = SFR(1)bath 312.70 1-and 2-family dwelling ❑Comnmerciallrndustrial SFR(2)bath • 437.78 ' ❑Accessory buddh • .Multi-facniiy SFR(3)bath- S25 32, ❑Master builder '. . : Each additional bath/kitchen 25.42 0 Other: Fire sprinkler( sq.ft.). Page 2 :. t: _ 01 _ a4croviip► ' . : Site utilities: Job site address: (323) SVv ft� ( , basin as area drain 18.76 City/State/ZIP:Tigard,OR 97224 Dryweli,leach line,or trench drain 18.76 Footing drain(no.linear R.: ) Page 2 Suite/bldg./apt.no.: Project name: R,Ivtr-rex f.!? 1 Manufactured home utilities 50.03 Cross stn tfditnctions to job site: Manholes 1876: . Rain drain connector 1&76 Sanitary sewer(no^linear It:,_.-_) Page 2 , Storm sewer(no.linear ft.: } Page 2 'Water service(no.linear it: ) Page 2 Subdivision: RAVex- ¶eAvrtre._ eAs-l-- Lot no 1 i� Fixture-or item: 1 Tax map/parcel no.: `t' Backflow premier , 31.27 I t� • ,; m..:. 3 �-__.,:-.: Backwater•;7:;"•>`t.:� ,,%:•... ::'T_ ••,..Cit-Pi'.Q111 ...' -•:,C 12.51 y. Clothes waster 25.02 Dishwasher 25.02 Drinking fountain 25.02 - Ejectors/ 25.02 "'CI * :V :;% .; • .y .y r'. _ 'C iki-.1E:', .: Expansion tank 12.51 Name:ADPL Land Holdings%LLC Fixture/sewer 1 25,02 Address:7600 E Doubletree Ranch Road F1otx.tlrain(floor sink/bub 25.02 'Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib ' 25.02 Phone:(602)694-4031 Fax:( ) . , -N:.r _ Ice maker 12.51 Y1r f•: - . :�: '�; r R$�� -, _ *:� ._;:•� 'lam�,;. -wInterceptor/8reese trap 25.42 Business name:William Lyon Homes,Inc !' (value:S ) Page 2 Contact name:+r1(O 1ok2. 1 Printer 12.51 1 Address:'"163 1iYD 5A--ski{-e,, Roof drain lavas(commercial) 5.0 �b s�ik�basin�tat�atnry 25.x2 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693.4442 Tab/shower/shewerpan 12.54 . ^ . I ^ • ' =•;:-.4#4:-4.:4, . 0 Urinal 35.02Em`ail >toit 1p c oo • •lltt h e Co` 25.U2isr "riir-.;i, syTj. t: 'e)';',•:•,�t: ' ' 4M +' ,� i;•,,,..;.: Wer tlO3Ct Business name:Affiance Plumbing.LLC Water:t eeter 37.52 Water PildiVIDWV56.29 Address:146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Far(503)912-6438 Minimum permit the: $7250 I CCB Lie.:184601 numbing Lie.no.:P8732 Plan review(2590 of permit few) Authorized signasi4,17„... �_, State•surc1 rge(12%of permit tee) TOTAL PERMIT FEE Print name:Robert Disbmau ' Date;5/23120116 This permit application expires Wit parasitic not obtained within ISO days -after Jibes been accepted ma coungete. `Fee methodology setby Tai-County Building Industry Service Board r.18uNdingTetmitalraffJ tikppoiee I0ma1f09 440-406109r621GO1Ktl1.'E19) City of Tigard p COMMUNITY DEVELOPMENT DEPARTMENT IN ■ T 1 n R to Building Permit Review — Residential Building Permit #: ✓,� '7 /? X004( Site Address: l---Z S l /694A 9-/A 19v-e_ Project Name: OVer 7° ^.2Cz Lot #: / (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review // Proposal: /0Sf le- 4plb___ ch.eof 1444 7L' Verify site address/suite# exists and active in permit stem. eliV River Terrace Neighborhood: ❑ No DIYes,See River Terrace Review Addendum Attached SityPlan Elements: ► . I� t �� ree(3)copies of site plan '� sting structures on site o plan must be on 8-1/2"x 11"or 11 x 17"paper LA Footprint of new structure(including decks)with finished yawn to scale(standard architect or engineer scale) oor elevations Worth arrow tility locations&easements(required for new and additions) Ite address,project or subdivision name and lot number 1L1Sidewalk/driveway approach plicant information(name and phone number) : anon of wells/septic systems 1� #t dimensions and building setback dimensions I A sting trees to be retained with drip line,and tree a1:.uare footage of buildings to be demolished r otection measures 14 Lot area,building coverage area,percentage of coverage and M,gtreet tree size,type and location /impervious 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? Yes ❑N 4 foot differential) If es,is a storm water •uality facili shown? , ❑Y•so, Nlean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): 1.- �n II h equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No IV Public Facili�ti Improvement(PFI)Permit: PF/ C%i4C--660e /Required: Lid Yes,applicant was notified ❑ No Applied For: "�yes. No,stop intake CI Use Case#: ,, ,e c31 LP-- X o i 0 Zoning: — �` Pi� Required Setbacks: Front Rear \5— Side 0 Street Side Garage 2(') 0 Landscape Requirement: ..2 C) 0/0 [ Lot Coverage Maximum: —err cyo Building Height: Maximum Height —0-k Actual Height PTisual Clearance ‘431;ensitive Lands: ❑ Yes 1Z No Type Y Urban Forestry Plan ❑ Conditio "Mt"prior to issuanfe of b ding permit Notes: �j1 /�02� q ,S' Approved By Planning: _— /,, Date: / //QQ____ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPennitRvw RES_061417.docx Building Permit Submittal Original Submittal Date: _ 72,,Z//7 t, , Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning Engineering }Permit Coordinator Building Planning Sign-off: Sign-off for (include notes from planning review) Route Application Documents: , Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Ce5''Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / By Permit Technician: ...e....4 , ,�1j_�ij�, - Date: 7 A' En neering Review Slope at building pad: 09 Conditions "Met"prior to issuance of building permit Tr Easements (encroachments)per engineering conditions of approval and plat 2'Water Quality/Quantity Facility: - Assess Water Quality Fee in-lieu: ❑ Yes ErNo Assess Water Quantity Fee in-lieu: ❑ Yes ErzNo LIDA Facility on lot: ❑ Yes Z No ❑ NOT Approved by Engineering: 4 ,14 f M ec Date: ,t —I)-17 Notes: [ bq Firms ret r cvL 4vi 1d., c 1-P at fines Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: ,Yes ❑ N/A LIDA ❑ Yes l N/A 7OK to Issue Permit Approved byPermit Coordinator: Date: 9 2--/1 �// I:\Building\Fonns\BldgPermitRvw_RES_061417.docx , City of Tigard ill " COMMUNITY DEVELOPMENT DEPARTMENT 1 T I c A R D f River Terrace Building Permit Review Addendum Building Permit #: Site Address: /---;.2S J k) / L744 nr-€.__ Project Name: i/ver- ��0,70 .e Lot #: / (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist ct Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?kAA 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 ff. deep Gabled dormer �/ ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimumN. 121/4 of each street facing facade must include windows or entrance doors. Percentage Shown: `1W % 3. ntrances:At least one entrance must meet both of the foll g standards: j Max. 8 ft. setback from lont street- facing wall Parallel to street,angle no more than 45° from street, or op n onto porch Entrance opens to a porch: Yes ❑ No Is,all the following apply: 5 sq.ft.min. ne street facing entry E2 ft.max. roof above floor of porch 5 ft. depth min. Ltd 30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: iCovered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ , all offset min. 16 inches ❑pormer min. 4 ft.wide Roof eave min. 12 inch projection Q/Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood LAG Gable,hip or gambrel roof design 0/Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide Accent siding min. 40%of street façade 0 Window trim min.2 1/2"wide by 5/8"deep O Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep O Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 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. 0 Yes No. If No (Check one): ❑ lvlay 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) 12-foot-wide garage door 0 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: / Date: // c c2 I:\Building\Forms\BldgPermitRvw_RES_RT_062216.doex 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 Transmittal Letter TI G A K D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE DEPT: BUILDING DIVISION RECEIVED. NOV 14 2017 FROM: Nichole Thorpe CITY OF TIGARI) COMPANY: Polygon Northwest BUILDING DIVISJ PHONE: 360-989-40204 RE: 13243,132 ,13231,1 25,13219 SW 169TH5T�(j/2—�j�jy(o6 (Site Address) Permit umber) River Terrace East ,bet-1-4=-148"- L CT /10 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: j Description: Copies: Description: 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 wi Trust Account. Adding 3rd Bathroom Option FOR OFFICE USE ONLY Routed to Permit Technician: Date: 1 -a - 142 Initials: Fees Due: S Yes 0 No Fee Description: Amount Due: V' 1 )--1 r rev-,G•., $ 9 O $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ,No one Applicant Notified: Date: nitials:/� I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Plumbing Permit Applicat' lvcEivEl) Building Fixtures FOR OFFICE USE ONLY City of TigardReceived 13125 SW Hall Blvd.,Tigard,OR 9720 rCB ZO1B Date/By: Jr...- ‘-i54:4(---r-Permit Noss fy7..c2`f G, Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Inspection Line: 503.639.4175 (� Date/B Other Permit No.: TIGARD P CITY OF TIGARD Date Ready/By loris: Internet: www.tigard-or.gov I 0 See Page 2 for � Iv t�}�(�}4�1 Notified/Method' 1 3r.3it",�°i Supplemental Information TYPE OF FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. ❑Addition/alteration/replacement Description Qty. Ea. Total ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(l)bath 312.70 - ® I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 0 Master builder Each additional bath/kitchen 25.02 ❑Other: � Fire sprinkler(1,221 sq.ft.) e*--- Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 13231 SW 169T"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 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Subdivision: Water service(no.linear ft.: ) Page 2 I Lot no.: 16 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK`- Backwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Permit# MST2,017- 00466 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ►ii PROPERTY OWNER . j 0 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/Z1P:Vancouver,WA 98660 Garbage disposal 25.02 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 ® APPLICANT 0• CONTACT PERSON Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Gavin Thomes Primer 12.51 - Address: 146 W Historic Columbia River Hwy Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 I Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:Gavin@Allianceplumbing.net Urinal 25.02 CONTRACTOR Water closet 25.02 Business name:Alliance Plumbing,LLC Water heater 37.52 Address: 146 W Historic Columbia River Hwy Water piping/DWV 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.: P13732Plan review (25%of permit fee) Authorized signature: /\-----X____)".."--.71-----) State surcharge(12%of permit fee) TOTAL PERMIT FEE Print name:Gavin Thomes I Date:2/5/2018 I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1.\Building\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 Utilities foe.(a) rota .. Square Foot i e: Permit Fees. ' Footing drain-1s'100' 50.03 0 to 2,000 $121.90 2,001 to 3,600 $169.69 Footing drain-each additional 100' 37.52 3,601 to 7,200 $233.20 Sewer-l st 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 Valuatiant ,-Permit';Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to Qty- recto) - Total F and including$10,000.00. ©tl e;ir tnspec,t ns or Fees , , Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Additional plan review for revisions 90.00/hr each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: IOther Fixtures: I I Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by FixtureType Fixture Type for Replace/ Plan Review for Plumbing Installations Work performed; Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower ❑ 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 Cuspidor/WateriDishwasher -Commercialoas defined in OAR918-780-0040. Dishwasher 0 Medical gas and vacuum systems for health care facilities. -Domestic Drinking Fountain ® Any multipurpose fire sprinkler system. Eye Wash 0 Any complex structure as defined in OAR918-780-0040. Floor Drain/sink -2" 3„ Submit 2 sets of plans with any of the above. Car Wash Drain sometric 0)C+� iagram Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-foodmial-frelated that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Rec.Vehicle Dump Station Comments regarding fixture work: 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_alliancepluml52i'ng_net/Documents/Documents/Fire Sprinklers/RT/City of Tigard Permit.doc RECEIVED Electrical Permit Application FOR OFFICE USE ONLY v,,, 7 2018 . City of Tigard DateBed--S�11AL . 'ermi #//. tST. / ae��Jj 14 't 13125 SW Hall Blvd.,Tigard,OR 97223(11'V� i '�1GAR'i . • Phone: 503.718.2439 Fax: 503.598.194488''llll r - . Related Permit#: TIGARD Inspection Line: 503.639.4175 i f � g dy Date/By: kris: Bf See Page 2 for Internet: www.tigard-or.gov V Notified/Method: Supplemental Information SI TYPE OF WORK PLAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural 0 Multi-family ❑Master builder amps for all other installations. buildings. ❑Other: ❑Fire pump. ❑Installation of 150 KVA or ..- JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived t Job#: Job site addressa3L GtU/ci ❑Additionofnewmotorloadof system. !we_ I00HP or more. 0"A","E","1-2,',"1-3", City/State/ZIP:Tigard,OR 97224 0 Six or more residential units, occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name:River Terrace East 0 Hazardous locations. 0 Supply voltage for more than P 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision:River Terrace East Lot#:tLe Includes attached garage. Tax map/parcel#: 1,000 sq.8,or less 1 168.54 4 Ea.add?500 sq.ft.or portion ! 33.92 1 DESCRIPTION OF WORK Limited energy,residential ill S 1�} O V//\\�� (with above sq.ft.) 75.00 2 b �` �� Limited energy,multi-family 75.00 2 ahra r- C`„V,, ,.1e- residential(with above sq.ft.) CA/V), �f0TENANT Renewable Energy El See Page 2 ® PROPERTY OWNERServices or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree 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 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: 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 168.54 2 ® APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Nichole Thorpe B.Fee for branch circuits without Address:703 Broadway St Suite 510 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax::(360)693-4442 Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:Nichole.Thorpe®polygonhomes.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Sunlight Electric Inc Sign or outline lighting 67.84 2 Address:2804 NE 65th Ave Suite D Signal circuit(s)or limited-energy See Page 2 2 panel,alteration,or extension. City/State/Z1P:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(971)222-5758 Fax:(360)326-9660 Investigation(1 hr min) 90.00/hr Email:sunlight.incl®comcast.net Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 172549 Electrical L' : c230 Su rv.Lic.: 1793 specifically listed(%hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required' .444,4--, t..~r—q Subtotal: Print name: Chester Garrett Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: /s;4> TOTAL PERMIT FEE: IK This permit application expires Us permit is not obtained within 180 Print name: Peter Kozarez - Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:1Building\Permits\ELC PermitApp_ELR ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13231 SW 169TH AVE, BEAVERTON, OR, 97007 July 23, 2018 at 10:35:48 AM Record Type: Record ID: Residential - Master Permit MST2017-00466 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 75 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13231 SW 169TH AVE, BEAVERTON, OR, 97007 July 27, 2018 at 10:27:33 AM Record Type: Record ID: Residential - Master Permit MST2017-00466 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Corrections completed 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