Permit (105) CITY OF TIGARD MASTER PERMIT
P ! :' COMMUNITY DEVELOPMENT7Permit#: MST2018-00347
TtG RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/07/2019
Parcel: 2S106DA14100
Jurisdiction: Tigard
Site address: 16574 SW FRIENDLY LN
Subdivision: RIVER TERRACE EAST Lot: 141
Project: River Terrace East, Lot 141
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1259 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 8 Smoke
DwellingUnits: 1 Detectors: Yes
Third: 0 sf Right: 3
Total: 2917 sf Value: $367,697.85 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 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: 5 201-400 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 SF VB R-3 2917
Owner: Contractor:
WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
109F13THST - �_ ''• _ _ . �_ ._.
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Required Prior To
Pour
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $36,409.17
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:
� � A '�, Permittee Signature: �IC✓ �CP1-'iCk'
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
I s a r
\ \, Building Permit Application L. V� I
Residential FOR OFFICE USE ONLY
illiCity of Tigard . ,; d y L�U 18 Received i i G Permit No 1
-
Date/By. 1,4 1,, 1IO � K\ST r�CA—W�J�
141 13125 SW Hall Blvd.,Tigard,OR 97223 y, Review
Phone: 503.718.2439 Fax: 503.598.1960 CITY Of IGA! l teBy: 12 Other Perm l ��� 11 _ , Lk
TIGARD Inspection Line: 503.639.4175 gip f fi p�(. eadyBy: ? Juris: PI See Page 2 for
Internet: www.tigard-or.gov �13J11�1�$l1 �I redMethod+J/Z�v//Q _ / I Supplemental Information
'7'�1/L �QG`X6O,v
TYPIu/®,F fWoRt - , REQUIRED DATA:1-AND2 iAM LY1)WE LING;
—0,New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
1-and 2-family dwellingCAAEGORY F C 0 S RUcTIoN
$ � / �
workindicated on this application.
Valuation:
Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
i / Total number of floors:
JOB srrE_INFORMATIONAND LOCATION ���!;, r 3
Job site address: \ _0 Y.1 i 5\A) y IrQ�JV�Ld �lNew dwelling area: 7/ I) square feet Y
l V l
City/State/ZIP: U I f\o 0 O b V`-1 u O1 Garage/carport area: tt(l square feet ' �.
Suite/bldg./apt.no.: Project name: F_ \re V vV au.,ri? Covered porch area:, square feet
Cross street/directions to job site: V at v� ' Deck area: square feet
Other structure area: square feet
/ �ry /i) OMM IY-IISF CHECKLIST
Subdivision: .\v�J O, � """' St"' Lot no.: \y' Permit fees*are based on the value of the work performed
Tax map/parcel no.: V ��� Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
/G DESCRIPTION OF WO work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
PROPER 3 R ❑ TENANT Number of stories:
Name: A 9v L k hI�j� 1t^�`�inn c, ,t� 1 Type of construction:
Address: '—'1�Q 00 `C. \T)('u.VJ 39 t'��' l L \ /1 ,►I.C�IJI_- /` Occupancy groups:
City/State/ZIP:S\..v" l k _p(2.....'L �(..,•71,.,b V` l Existing:
Phone:(GO?) (od q (i 09 ' Fax:( ) New:
_4
AppucANT, 0 CONTACT PERSON BUILDING PERMIT FEES* ' i
���F� �x�l_a`/»°/.',�7/,� � .fer(Ac?'B.fEl,1� 8/.hB4fG},' ''':',/(‘'',' >'''%
Business name:V o L` w ��
l/ Structural plan review fee(or deposit):
Contact name: C ;Oa a, clat,v l�
Address: 1077 n/h%/� ,n �/'�{/�/� s-t' St ( � FLS plan review fee(if applicable):
Ci /State/Z1P: " �' """ " l ) Total fees due upon application:
Y __..._ rt4L4A49__ Phone:(gyp)DO11 OD Fax::(
(0)�rl77( l� / /A/m/oiuin.t receiveda
,/
.mofIAlp �E-mail: V'I1 /�l t �pol. 00�6\ 1,(OWC � . ssy u „ ( mresidential enpttive installation of
/ s i• L''
.
roof-top mounted Photovoltaic Solar Panel System.
Business name: /� 1 I t 01� � U ViS kOV\A Q( I v.L , Submit two(2)sets of roof plan with connection details
V 1 "C`�9? and fire department access,along with the 2010 Oregon
Address: 10 2 IV not jx St S It) Solar Installation Specialty Code checklist.
City/State/ZIP: v/Ay ( 0�.v„�v �Q(n Permit Fee(includes plan review $180.00
(O ° t` r\ U ,�11A1 and administrative fees):
Phone:( ) 1(�U Fax:( .00 I(/"I 14"I t1 Z.. State surcharge(12%of permit fee): $21.60
CCB lie.: X17 VV Total fee due upon application: $201.60
Authorized signator This permit application expires if a permit is not obtained
�— •
within 180 days after it has been accepted as complete.
ion------ �� ``III
*Fee methodology set by Tri-County Building Industry
Print name:
►_It I� TA 1Date: ' I' Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
'n LFCFIVET
Meeh2 ..ieai Permit pI.i at.*.i FOR OFFICE USE MIS
N of C rd 31.-4,:d ter, .._ ._
13125 SW flail Blvd.,Timid,. 9'2,3 I.. . t U 1.
1 ,s;-
r te„t v.,
503.7112439 r s.> g, �i A ,: ,, hV .G%-tiZN4 -
TIcsARE5 Itas rit3n Vie. 3 3a3.4i75 CIT ' OF '1-IGq ARV D,k a, y ,,By: atin; , i . 3� 2.tar E
a4 iird of BUILDING DI1S!Vl7 ca: '21aii,3 Spirmaiurmsiun I
f a► ttE*SCH -
i.�t�iC�LT, tst�t3."E'- r.CHE00:i$T
4+tech3niCal permit Frxsx are based on the value or the wi;+rk
C New mast-dal= 0 mdifiorgatiernicyntreoacernent 1
rciibrmed..ticate#3 al tie tulio4the aerz t<lcllar i or ail.
Q Demolidtm 0 Cite: mechaniical tnaieri;tls eQu>1 1.€afaor overhead_d_andfrt.
Value:$
CATEG0RY OF €':f1 'St1ft.aC3ii} - _ - -
0 i-and 2-2.B i y d-welEng 0 cerci idxisuiai 0 AccemiTy building r'or speck.,injurnrnrinrr xcE.e cherh ct
' L&Multi-wily 0 mmtd builder 0 Other: I t'sa'i[?ticrn . 1Qty. I .r I Taal
address'. o�S1 A-)
V1JVlG , . 111 A :� Flame= BTU tt,1 I46.75
•
City!Sie SGU-ei i V Vf2-0\ 0- Furnace 1 .00O BTU td ` nLnts 549.
06
stit l;t ' �.ria_: - erect trier o jeR Terraee�-st, I = 1
Cress strrattiditttctirans to jtili i1.e: ,A vea 1 l ie tit t system 2337
.Residential botler fmaator or ( .
by j .. .. 2.32 1
.. Unit 1 0mi-type,not d_trire.
ie-well.in-duct.sitet1 ete, 46.75 I
_ t
i FIs at for w.vv of -e- In . Z3,32
Sttbt : twat a .: `} Other 23.32
}�ucr Tecrc�e has I -11Otter fuel wartime= i
.• e umpiparcel rto.: - 'sites heater 23-32 I G
Seiii i—j0 t 0 44 0 . Gas r ua u 1 -3
s
P^ Flue far\yaw heater tar gus
- t 23.32 .
—,. . . -
— . Lpg iithtter teas) 1 23_32
— t -• v— § i €at rt'pellet sto 1 33.39
! Wrtt firepl =irt t 23.32
• Chittute ilinerifluekent • 2132 I
:_ _ _ .. -:5,7_7! - ._ , . 23.32
E)tit�er
L-44
_ tt�� " ' Ftts ir �ttt'af at-sem rtn;titivrr
N' � KIM L no CTbtr�1 t.'CSS t LA-c- l Rciiee hocuilmher kitchen 1 1
• tca"a �' . e, tap,-nert t I Asa 9.
_� C1�1e-4�8� ` d�Ck> ,'„oaf i E�I l tl r l tz� I I 33.39
City,'StattZI .D�1S&L\Q 4 AZ S 7-SS SsaeIe-duct exhaust{bathrtu zt
i tray cismpartn ts.uglily risams) I 5 -'
Ptioum tpb2 �,
LA14 t'D‘ Fax t ) t
= _ 1 tirzr c s}afans I
2333
,-. .� _344tGaT= — �E £'t {T- P- _ 1 s�tt __ , 2.14.3
7..
I Fuel pinie'
Busineas mute Past gattt WL ,LLC
1 14.1 S for first%art r SAW fur each adifirlatml.
otot j id A 1� . Furroze.est. 1 s :Wallisusonifecktni4t tr atter t 1
Cr•••tigte, :
Ver,WA 90660 W r
(om}OS4700 11 :(360)034412 F� _ _
gonln rnes.ez m 1 Barbeto 1
1 Ettea6 Its:Apex it I
. Addams MOM NE Ird A I fiulattttal I
. C rS Z -:Vt ntertt- ,WA :¢saa. Minimum pit f A.:4
• 1;:' .241 . 1 Frx:(%O) 1 t c Plsu r€surcharge
f'12%%of
f p}}c ii r.
. -_ � �=ate AErciE<'tt�.2{1".'b a-;tt-r�tit Thr.)
1 TOTAL FbRMI?FEE
Titin perinit appfcafiee a Aires iT a permit is tsof ubt teear Asia SSU
days after it has as
&z�tl S ttatttre: ' . .. ::-`• -. a r ,k,,,,t rs'bi Tt-GuuetY; li Indus rt Ser rd
1l \ A 1J e i
. .RECEIVE)
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard 1'-1 ti fi 2018 Received
iii " 13125 S W Hall Blvd.,Tigard,OR 9/.4 .,,,,
Date/EtPermit#.
Phone: 503.7182439 Fax: 503.5 0 1+'T'IGARD Dat Y"'
ENZIMMIgne
TIGARD Inspection Line: 503.639.4175 �1�f }� �,i Ready Date/5y kris: H See Page 2 for
.a Internet: www.tigard-or.gov !<+4� j11/ll�l�j DI�SIO NotiLedlMethod Supplemental Information
•; ate-- -=xs*� - 6 A fl#01r4 �i7 rt ra• - _p7AN REV.7.7i— .
®New construction El Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition ❑Other: ❑Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
ttgCzgTEGrORi`-OF,�COFc51RFre:gIT !: ME ,S exceeds 10,000at 150 volts or
.. ._�:_ �:..�-,;� .. _^' � .a_._.�.: amps O Floating buildings.
® 1-and 2-family dwelling ❑Commercial/ilidtistrial ❑Accessory building less to ground,or exceeds I4,000 0 Commercial-use agricultural
ElMulti-family ❑Master builder ❑Other: 0 Fireother installations.amps for buildings.•
pump. 0 Installation of I50 KVA or
^ - - , .. 70RSEO-tot1I0FA CTIos - ❑Emergency system" larg
er separately derived
( ,A l '/"tot� �f ❑Addition of new motor Load of system.
Job#: Job site address: ��S�1n� JVv Y fJV U/1 1/� ' �n Q Io0HPormore. ❑«A»<l»41_z» �l_s>
City/Stain/ZIP• ,Qat+�`/�/l�/l 0 W _/�11 Il 11� W ❑Six or more residential units. occupancy.
V Y 1 V V\. F-�`�l �J ll ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: 0 U 'V Tem,I', £I ❑Hazardons locations. 0 Supply voltage for more than
V � /�� ❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: 01 V.-1f WW SCHEDULE
~
tmoa
Description I Qty. I Each ITotal I x
V4
----7—t
New residential single-or multi-family dwelling unit.
Subdivision: V4 U� 1e'kf 1!'%ll 4 7 Lot#:1 41 Includes attached garage.
Tax map/parcel#: ( '/ -W t 1.000 sq.R or less / 168.54 4
-=a Ea.add'l 500 sq.ft.or portion 33.92
-I ` x'r ter DESCIi PTTifIS dl�W .R residential
2 1
_._,. _� _ __..., _._. r_.._. Limited energy,reside '
(with above sq.ft) 75.00 2
Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
s -Renewable Energy El See Page 21 SPIOPL' T TIt . _ t a y{Y � T; A1� _S y i
Services 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 Iess 5936 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
r k t g: . 3, of A Branch circuits-new,alteration,or extension,per panel
��� -���_� �� } `�`'� - �.Ely'ERSt?l��y-�� �� A.Fee for branch circuits with
Business name: � i
p O Q�_A t L� above service or feeder fee,
each branch circuit 7.42 2
Contact name:r. ft _ KW ' /A V' 1 A ) B.Fee for branch circuits without
Address:. -in v v 1 V (( T service or feeder fee,first
/ , (�l v branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Each addi branch circuit 7,42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 • . ` Fax::(360)693-4442 Each manufactured or modular
� 67.84 2 '
Email:r • dwelling,service and/or feeder
, V I 11 I IN t1
at - -. �.•- •� ' A11' 1
Reconnectonly 67.842
.. ...... �' i .l3'^Y t__h+ -:,- 7 ---2_ -a- p_ nw.r1.. ''7. 7s �' 3moiL .�:�P ' ' ,ii a Ocrrtie r - {.�4 , 1
_ _
r.
Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2
Address:6101 NT St Johns Rd Signal circuit(s)or limited-energy ID See Page 2 2
panel,alteration,or extension. .
City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 6625/hr
Phone:(253)320-1657 Fax:( ) Investigation(I hr min) 90.00/hr
Email:bdaniels@gweusa.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.: C1158 Electrical Lie.: 208174 I Suprv.Lie.: 4496S specifically listed(A hr min) 90.00/hr
.-7,-
1 EL'Eg FRlC_ EI1Z` MS .�
Suprv.Electrician signature,required: ,b3.:-/e)% P /i Subtotal.
•
Print name: Joan P Albert •• Date: t-2,1 4 ( 1 1 9 0 Plan Review Required(25%of permit fee):
�.. — State surcharge(12%of permit fee):
Authorized signature: 7.. —__�� TOTAL PERMIT FEE:
I I This permit application expires if a permitis not obtained within 180
Print name: Bill Daniels Date: days after it has been accepted as complete.
* Number of inspections allowed per permit
<:`'1:1Buitding4Permits\ELC PennitApp_ELR ERE.doc Rev 06/17/2015 415-4615T(11/55/COM/WEB
. , . .
. .. .
Plumbing Permit Application
RECEIVED
Building Fixtures
. : . .
City of Tigard '' f: 111 6 2018 Received
Date,Sy:
. n
13125 SW Fail Blvd.l ,Tigard,OR.972 , , •
IIPermit No.:
Phone: 503.71'82439 Fax: 503_59819
!TY Of TIGA , 1,17.,„keyv:-- Other Permit Ne.M.si-ac3.6
TIGARD 14SP=6°11.LiMC 5° '639'4175 BUILDING DIVISI I Naft ReadYter hair iiii See Page 2,for
Internet www.tigard-otgov otified/lolchod: Supplemeubd Information
;:-..-.''...ii-...---.,,:5.:;.- --_--.:..s.:-.;-•,.-', 1-:-.•-..-', TYPE-:OF.WORK'"::."..-'.....-:.,,-..... :.=:......,-::::-:.,f.-._,..7:.-",;'1:: : i:::,;... --,.r..)",; --... ..":"..":::":1;,....,, -FEE*:.SCHttitILEI-
411. New construotton 0 Demolition For special information use checklist
1 Qty. I Ea- I Total
0 Mditiontalteration/replacement 0 Other: New I-2-fainily dwellings(includes 100 ft.for each utility connection) :
CATEGORY ttibtilittitijciloti-j;,;' - r2F:jil.--,:::::::-- .-:-. ,-. SFR(1)bath 312.70
[II Commercial/industrial SF?.(2)bath
- 2-family dwelling 437:78
1and 2-fam
- SFR(3)bath 1 500.32
0 Accessory building 0 Multi,family
Each additional bath/idtchen 25.02
El Master builder - 0 Other: Fire sprinkler( sq.ft.) Page 2
:,-- -__ '-'--. •,,--, ..,--JOB SITE INFORMATION:A.1%7D LOCATION -- ----------- --.,-.-,--. -- Site ufilailea•
Catch basin or area dr
Job site addr0\/\A",
ess: \k9 S1 li s-\0 Fv- u,\(\atAi ‘, _)
Drywell,laineach Im.' e,or trench drain 18_76
18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt no.: Project name:', p..1\ley Tey-yoft ((Ai- maimfuetutzd home utilities 50.03
Cross sheet/directions to job site: AvCa 92 Manholes 18:76
Rain drain connector 18.76
Sanitary sewer(no,linear IL: ) Page 2
• Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: voy-TArrota, 't t--1- Lana.: 1 II 1 Fixture or itemt 1
Tax map/parcel no.: Backflow preventer 1 31.27
DESCRI , Backwater valve 1 12_51
.... .-
Ciotheswasher 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
PROPERTY-`',.,- --. -- . - • - . .. . 1,.:-.. „i.: .....El TENANT .-1-- .-..•'.•: 54)=1.00 tank 12.51
Fixture/sewer cap 25.02
Narnf-ADPL Land Holdings,LLC
, Floor drain/floor sink/hub • 25.02
Address:7600 E Doubletree Rauch Road Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 •liose bib 25.02
Phone:(642)694-4431 Fax:( ) Ice maker 12_51
!;.,..'-,","----z Ekiii,',..,.. ::.-----,..:7:-...:':'::.:clEdi,iii&-i:iiR::,-45"4.;:...:........ : Interceptor/grease trap 25.02
----%.--
Medical gas(value:$ ) Page 2
Business name. V
?^1
ACItaC) /italUalliiAA) Primer 12_51
contact name' 411A A.) Roof drain(corranercial) 12.51
Address -- 10 DIrt)aCitatiSt S-te SIQ Sink/basin/lavatory • 25.02
_ t_ • .:.- .. -
City/State/ZIP:Vancouver,WA 98664 -4-Solar units(potable wite-iT• - 6734I
Phone:(360).695-7700 Fax::(360)693-4442 Tub/shower/shower pan 1251
Urinal 25_02
;E-mail:
.= - -)e‘r Y4 tts. 01Q1(144/-ttolcevaortnYIPYv,., i- Watercloset 25.02
CONTit.*CTOii..f-:.---.-,-.-."-T-1..,..:,_,-,_,--.- 1:-. '---' • .-..;;.•--_t_ty.t/t.iti Water..heatcr 37.52
Business name: G,14--,..6 V.,4481/4,N>NNIk.SA.4--ScitA,f 1-34A(..-- • Water pipirm/DWV • 56.29
Address: ...),ti, t_ox4 C.e.{A .Othen 25.02
City/StateaPP: 517, f 444 art_ ci1t31 • Subtotal
lvfmknum pm•mit fee: S72.50
Phone:(3-7>3 .-g;(its.- 1444-7 Fax:I,t...,lai,....ir ilD •
Plan reidcw (25%of permit fee)
CCB Lic:: 18.4iya_ Plumbing Lie.no.fil 6314 •
State surcharge 0.2%of permit fee)
Authorized signature: S;1;ct 7,,,..t) ^"*--......„. TOTAL PELMIT FEE
- Print name: STJL lu,I er _e....._ Data 1111 \ 1 M This pm-mit application expires ifs permit is aattibtained within ige days
after it has been accepted as complete.
• 'Fix methodology set by Tri-Courity Building Int:lastly Scinnim Board.
latuldinetzmits71.2413-Pa-mitApludix 10101109 440-461.6T5o/0ICOMAVER)
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
TIh Building Permit Review — Residential
Building Permit #: /x\S--cau5s_ +
Site Address: I6 /1 S'v ' Fra-,4/
Project Name: r„;rte T°- CL E 1- i Lot #: (`11
11
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: KI .w S Fr,
lid erify site address/suite# exists and active in permit system.
Ltd' River Terrace Neighborhood: 0 No Cid' Yes,See River Terrace Review Addendum Attached
Sit Plan Elements:
tee(3)copies of site plan L�J'Existing structures on site
to plan must be on 8-1/2”x 11"or 11 x 17"paper footprint of new structure(including decks)with finished
P. II awn to scale(standard architect or engineer scale) is or elevations
U, arth arrow II a"ty locations&easements(required for new and additions)
e address,project or subdivision name and lot number IT Sidewalk/driveway approach
plicant information(name and phone number) t' �IA .cation of wells/septic systems
t dimensions and building setback dimensions IT xisting trees to be retained with drip line,and tree
1 Pi..uare footage of buildings to be demolished /rotection measures
IR of area,building coverage area,percentage of coverage and ,'freet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) Street names
' Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? [ YesNo
4 f of differential) yes,is a storm water quality facility shown? ❑Yki/�No
lean Water Services—Service Provider Le�ttJe .(lot platted prior to 9/10/1995): r7 v44,
Required: ❑ Yes,applicant was notified l No Received: 0 Yes ❑ No
Di Public Facil,�iti/e�Improvement(PFI)Permit: (,... v}t
iktequired: Gd Yes,applicant was notified ❑ No Applied For: [;Y Yes ❑ No,stop intake
and Use Case#: cN 1 0` U 0 601
'Z' Zoning K- t•S L.Y IJ,
equired Setbacks: Front g Rear i v Side S Street Side ilk Garage z G'
Lil andscape Requirement: ',mi)
0/0
ot Coverage Maximum:
E Building Height: Maximum Height "' Actual Height 212.5
W}/Sensitive Lands: ❑ Yes l l No Type
9/ Urban Forestry Plan
Conditions "Met" to issuance of building permit
L
otes: ( Int I, Ncr iLr ;; lyf-.y rwa3 i ?, iii.
LI' A roved ByPlanning: / f
PP g� LW14, l Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_061417.docx
Building Permit Submittal
Original Submittal Date: lay)
Site Plans: #
Building Plans: #_ 6
/
Building Permit#: L" Enter building permit#above.
Workflow Routing: ["Planning l['Engineering 1E/Permit Coordinator ["Building
Workflow Sign-off: 2/Sign-off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: \--A.../\>.^-- Date: 1,.4\1 \ 1
Engineering Review
Zi Slope at building pad:
5-b o
Conditions"Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat
(Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Zi No
Assess Water Quantity Fee in-lieu: ❑ Yes •Er No
LIDA Facility on lot: ❑ Yes 81'No
.-El" Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: //1A, G GC vt Gv , Date: Vi+//7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
0 Conditionet"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:
R vision Notice 3: Date Sent to Applicant:
�/f SDC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A
/ Tigard Trans SDC: ["Y ❑ N/A
Parks SDC: es ❑ /A
LIDA ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: / Date: /1 Y /9
I:\Building\Forms\BldgPermitRvw RES_010118.docx
/ •
City of Tigard
NI
• 4 ■
COMMUNITY DEVELOPMENT DEPARTMENT
T l G A h D River Terrace Building Permit Review Addendum
Building Permit #: c•(. S - .L,` -or,-, 47.1-
Site
Site Address: M j I Cv�,1 F0,-.611.i. L14.
Project Name:. R;ver 7.erra(c Gad " - & Lot #: 1 1
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1.);
Is the project subject to the plan district design standards? 0 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. ft. deepBalcony w/access 2 Window Projection Vertical Wall Offset a
ft.deep min.2ft.,5 ft wide min.2 ft.,Eft.wide Gabled dormer
0 0 0 ❑
2.Eyes on the street:a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: t:7-.1.21.
3. trances:At least one entrance must meet both of the following standards:
a27n
Max.8 ft setback from longe t street-facing wall 0 Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes 0 No T�
If y ,all the following apply: ,,,,ltd sq.ft.min.
(pne street facing entry LI!4/1p-ft.max.roof above floor of porch
Ld 5 ft.depth ruin. 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 [l1 Recessed entry area min.5 ft.wide x 2 ft.deep
❑Fall offset min. 16 inches 0 Dormer min.4 ft wide
Roof eave min. 12 inch projection �❑ of offset min. of 2 ft.
❑ Roof shingles either tile or wood Lld'Gable,hip or gambrel roof design
❑Soof pitch oriented south min.500 sq.ft. 0 Horizontal lap siding min.3-7 inches wide
Li!'Accent siding min.40%of street facade 0 Window trim min.21/2"wide by 5/8"deep
❑Window recess min.3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft.deep
❑ 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. ❑Yes No. If No(Check one):
❑ ► .y extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
i! 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.
Width:(Check one) J
❑ 12-foot-wide garage door 1'iQ 40%max.of street facade
El 50%max.of street facade with 7 detailed design elements
Notes:
Approved By Planning: .14.04 Date: t 2-1 3---(y
ElBuildingWormsiBbleamitRvw RES_RT 121417.aocx