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Permit (84) ill CITY OF TIGARD , . i MASTER PERMIT COMMUNITY DEVELOPMENT �7 ,4„,..., Permit#: MST2017-00421 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/07!2017 Parcel: 2S106AD09500 Jurisdiction: Tigard Site address: 16880 SW LEMONGRASS LN Subdivision: RIVER TERRACE EAST Lot: 202 Project: River Terrace East, Lot 202 Project Description: New SF. 11/22/2017: REPRINT permit to correct number of water closets from(1)to(3). BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 0 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1744 sf Value: $217,103.37 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 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 1744 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 1 Hour Fire Rated Eaves 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175 STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-494-4031 PHONE: 360-695-7700 FAX: Total Fees: $31,076.27 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 throu.•OAR 95 ° -°-°°'1-0090. 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: ' P - Permittee Signature: f/'" ..0L/69-770 ,\j/ 777d,\j/ 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. CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00421 D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/07/2017 T(Ips" ° 9 Parcel: 2S106AD09500 Jurisdiction: Tigard Site address: 16880 SW LEMONGRASS LN Subdivision: RIVER TERRACE EAST Lot: 202 Project: River Terrace East, Lot 202 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 0 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1744 sf Value: $217,103.37 Rear: 0 PLUMBING Sinks: 1 Water Closets: 1 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 3 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: 3 201-400 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 1744 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 1 Hour Fire Rated Eaves 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175 STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-494-4031 PHONE: 360-695-7700 FAX: Total Fees: $30,979.43 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*AR 95 -•01-0091 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. -P1Issued By: 1 / i G-3x'C�- Permittee Signature: � . 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. iliprimminiimiliiimimmiumiim Building Permit Application 2-02— r ,t s a ; iF Ci of Tigard Received .11,1 13125'SW Hall Blvd.,Tigard,OR 97223 JUN 2017 Plan Re: Ul 71177 � PermitN ?SOU e - Plan Review I D �� Phone: 503.718.2439 Fax: 503.598.1960 DateB `� Other Pa'm't.�k/� �2 32 [ Inspection Line: 503.639.4175 B�� '" ARD Date Rea B 7uris. H See page 2 for I t< ,R l� Internet: www.ti and or. ov G DIVISIONNotified/Method:/t /7 g g Supplementallnformatiou d /L- / c€ T ®New construction 0 Demolition Permit fees*are based on the value of the work performed. 0 Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the '��- '"' - „ �� - ;, � ,: ,- ,c1 ,:: "`" work indicated on this application. .). /p 2) ►,, ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other Number of bathrooms: 3 .�,�� „r ,_�' ,�;., € t - 4 . �� ::/;::;,';,3,"•;4 : � Total number offloors. ,� 2t6-1Job site address: I l 0•0 d� �� n oyyyJSS unt, New dwelling area: 17� s square feet (21 50) , City/State/ZIP:Tigard,OR 97224 Garage/carport area: t„../214, square feet G 6�J W.' Suite/bldg./apt.no.: Project name: fiver 'rerraCG East- Covergd porch area: / square feet Q Cross street/directions to job site: C `�" pp t� square feet `J Other structure area: square feet � *� � Axs,�v fir° �^"°� �'^� ,.,�i"�°re�— ,,. Subdivision Nv{,r'�"e�-q f, t- Lot no.:'7 Permit fees*are based on the value of the work performed. Tax map/parcel no.: CJ") Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ».- :-' �` -, ;' ',l t ,:: 1°N � work indicated on this application. Valuation: $ l Existing building area: square feet New building area: square feet -� 7 ,- Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: Business name:Polygon WLH,LLC . ` �"� � sZ `;jolt Structural plan review fee(or deposit): Contact name: Iv� FLSplan review fee(if applicable): Address:109 East 13th Street PP )' Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received: E-mail: Ni( 0'L* 'f � 1'ei %i 1•i0 . �.v 1 1 , 1� 1 11 1 ,Nit''. � ,tia � -' Commercial and residential prescriptive installation of � ��P :� �� F-��as�.A�; s .�, . �. 42..'44'", �� , ;� � roof-top mounted Photovoltaic Solar Panel System. Business name:William Lyon Homes,Inc 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 dministrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:pi Ch O 001e Date: -7 *Fee methodology set by Tri-County Building Industry N640/471?---- (� l *—f"' �e/ Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) '' - ''.4A,,,, A.t;', '''''' -, ,''',i-•- Mechapi.041Peitiit Applidiiii44 EOR OFFICE.1 SE ONLY titY oftigard tl I" 1 2(4 2.0 17 -.Rep:Ivy, Penn",11-97;Zoi -eYY-1-21 vd Tigard, . ' • 14-i- .9"5".4'w3013411.4B.21i3i.Rm.4R4,74,,,,,.. ,,,,,, ,,.,-.,Tr., Dw..GP*"RevielY OftbF:Permit;.. TiGARD •lusPeclibPLille;•401:6394175 -4....,:„. i., ... ....... ,. k -,:- •,i-,, -' 1414- -R)01).'1.414., mu 1 0 Ser PastAz for. _ 110m*:sinvi.V.Ligitict-or,goi „ ,,,,pi :-.„ 7':'•••: •,.• ''.-:':::;-.1 '''' Notiffednvlethod:• Suppkweatal intermantet . • '.•,'.:L'4,'N-t41%„ffii,2-0.4.',.v1;i4. 1-eavir-Wik.106;-.4_-- ,t4:344i73.,:VitVi.,40...1Sr*viiWii.:***.; ,Ze.:1,0*,00,17 , *.11or. .r,*,.:f ite.111sKt*-044.tt:•:1, ..".--,.„.,:l.t.-..,--,:- .:Kto.1.4.‘va-0.., ,:•*•.1-..t.tTiritIN.r.t.,•-ret;•,....5,-„-k. ...,,,•..ptv,..4:..,A-T,,,,q‘....-z..4,2,...,,,,,_.11.•,§4>T.;,...,:.•;4.-}14.p.., • • • - -.. . MecbaniCal permit fees*me bawd on the value of the work fa l'Nlew amistruction 0 AddifiontatterationimpineeMent pc:formed.indicate the value Wooded to•the nearest dollar)ofail 0 Detholition. 0 C4-6;r: 1 Mechanical materials.equipment labor.overhead.and moil - Value:S y•iik,:.,ii: z.,_.:::•: ;124..'11,i4.-IT:i7s:::AtOri,045•" —if' - :7,_.-..-•--,-• •••-..,:.•-•---,--:,11-:----_,-iiiirL,,,,. -.4.-,..„..,...4..,:_71.),:.!..w,.-61..,..,.;•3.. ..: ._. _•,• •,.- -,,....-.,........... •..-„:„......-4:-.,...,:,-,,,... .,,,-..,:3,,.= ,' ..k-,,,T,c:3-14g41XL741,Ag:r•QTArglillqi 'STEW• Irt94-;1* trz. I-and 2-faM4 dtkolling. 0 CoMmernialthidualrial 13 Aneessmy building spedal&formation ore chr-c.k8st , .1 Mid.d-• COI OY. 0 Master btd14er, 0 pool- . . .... ... ... Desoriniinti qty. I Ea_ Total. :447:13'SirgittWi.Z.:444:•ittPtiSitOtt4001.4Sit;:i4076-*.i.WWW41:44-2:31 t' Rmiligittilftt — Air ionditioning , 1 46.75 • IP•iq 542.16174.5 .t sof??K) So,) LeMtY10\rOSS .1.#0Prinare 1 0 ,nte - - 00.00STLfiductskints1 46.73 City/SlategiP:11gittrl',OR 97224 Furnace.101)000+8Th(doetriveris . • . , - Salt ,Heat pimp. tititeAldgittpt.nit.: Projectnm Wei-Twn eas+ bua. .1.k -_ : 2332 Cross aim to jOb site» ,1:1yd/ionic hot wafer'SYStaign. ' 2132_ . . ., . _ Residential boiler(radiator or kvdrunie) 2332 ...., .. ._ Unit.beaters(litet-type,not dietria), - hi:net11.in-duct WsPetteleteie. - 46.75 Flue/Vent-faranv of alinve• I 2332 , . - - Other • •.. • • . t •,. . Subdivision:. 41 ,, , La _ .. Lot no . .:- _ay Tax ptaptpartel ito.:- Water heater ' 2332 A'i':gig'til'W:IV:': '.ij'if.T.*:i4.i.f4:.- ',g'*ijtO5t0.fqitti.iid:t;:N.':4;tt:-;f.;;:t:-*V*'-'t';•;.'2-:':"4". ', • °a5 rtrarthcemsell- 1 3339 fireplace• 2332 • Loa Mer(gas) 2332 . • woodtpeeer stove 33.39 . . .. Wood Oreptlearrasert 2332 Chlomey/linerifluniveru 2:332. 23.32 :i2.f.I.;'.K::Iih-glitt*,0,-t#tit/ii .i•:•:• . :.4:::ffr'll'Ut-f'elfA;PPIktitvifalFiz,.7.;:-ir,,,: . DivimamentafeAtiist and vaitilition: . , Nallic''ft-D V L -1:-:et.tid*kit oi 5 LLX,/ • • . Raw 1,64d/other uthe, . • 1 i ,- equipment I 33391 Addresc:Tap na E 0 Dub tc.114,. piti4 Jazi,c4 Clothes dryer=blunt . 1 _ _ City/Staregl____LSLI zlis: . 44 kii Al. eF).-2.s-p, . _ itiktingle-dixt exhaust(bathrooms, L. compartments,utility moms) ,__ 23.32 _ Plhintr Lii• 1- (19611,-1 463 I Fax:( ) Attieteruoispace fans 2332 -:'...•::',:,;'::7.? ..'7,.:a:. 1k-j::::::::'%:'. ''4'-';'- :;•?£3 :0Aii0:21iiii010;:r,.•••.:'.i :, . Other: 2332 . . 116.11i Busiae Rame ',„-f .0.Art U.1 DV\ tin'NeeS iZAC-. - Fitc4*Plait Sti.15 Ihr firsi iliurc$4.41.3 far cad additional. -' • ‘ Contact=lilt N A ovid -niko,i- . Furnace.etc. I . .. . . . . Gas beat Pun* 2s.eldressLan_airmag;6 * . ---‘ I' "I C) Wentstistkadallunit heater City/State/ZIP:Vatteouver,WA 98660 . Watex Mittens , . Phone:(360)6954700 Fax::060)693-4442 Piranha* I . _ E-maiqVir,hp fr.. ;7138q40 Pi+ 1444 6 A '14 g L. Bb,ndilts_ • - • '''g.:Ce..4:17•4.-Zit;•i'g-,;.;.;iftriej::7CP.:-.1..- :.•*ti.k:fr....f.P.1;54-L:''.2.-f-i.',6051Ei4g.;•i,l'it .:„ . Cloth%ic5set(gtis) . • . . . . . Business'aside;Apex Air LLC Other - Address 13004 NE 72 Ave Subtotal '.. .. . . ... , . &oaten:MP:Vancouver,WA 98686 Minimum permit 6W c.$90.00) . .., . ,. . - ' Plan review aS%of permit feet Phone:06e)3424109 Fez:(360)324-1769 • State Wreharga(12%of permit feet . . CCB tic.:2(33034 TOTAL!TOOT FEE - Tido permit application expiry*it s permit is no obtained within IRO ditysatiet il bas hem aneepteil as complete. Authorized signature' * Foe nantitotkliogy set by Td•Cnitatylltididing Indio*Sornicsolkaird ' , Print name rir bale; 4,p1.t(. 1 listadmoomitatr.rrialikApp Will 13 dee 44fi4i,17(1 MiCOMIWREI 7 IIIIIIIIP -. , " i • • • _ Electrical Permit Application,- FOR OFFICE USE ONLY i I 1 4. 0 . I ,, City of Tigard Received rifirM471;10M,MA III„a. 13125 SW Hall Blvd.,Tigard,OR 97221 - ,,, : , ritip..,,.B , : p Phone: 503.7181439 Pax: 503.598.196a -• ,,, mdels—rew Related Permit ik Inspection Line: 503.639.4175 ." . . . - •• ' Ready Date/By: Jus: 0 Sea Page 2 for TIGARD .• Internet www.tigard-or.gov Notified/Media:di Supplemental Information --*j'-',,::--.,,-.-,if::-;:7;77t,,a5-,A'--:-`41*.:A`''''' 'fr,Ckg:AW4.-13.,AZ-A7,30-tii:,&14 -11f4W-,, ,Ai-F,S? `::',-.54':',7-: -CV,.'-'74;11}43P''''t.--W4'4.-k-?4•V,Wr4-7-47.44,P'''''W. : z New construction 0 Addition/alteralion/replacement Please check all that apply(submit i sets of plans Winona checked): 0 Service or feeder 400 amps or more 0 Building over three starless. 0 Demolition 0 Other . where the available fault current 0 1Vladnas and boatyards. Za 3'Wislil t--)71,-(010.:::=12 :72:'':,-.?-. --;.''-zW. =weds 10,000 amps at ISO volts or El Floating buildings. 181 1-and 2-family dwelling 0 Commerciallirkhistrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use aviculture1 amps for all other installations. . buildings.• 0 Multi-family -- 0 Master builder 0 Other: El Fire pump. El Installation of ISO KVA or !*,-,;,--',%--,4:-,It.^--Cf" -VS''...;`'' '`..;•.'-e\IW,"Cfr., ,°klatellkttPf- r4. t'''''Wo9M O SinergencY system. larger separately derived El Addition of new motor load of system. Job#: Job site address:tWo k.plx,pr\oryyca ,,, s ,L„ ,k. 100EP or more. 1:1 Six or more residential units. occupancy. City/State/ZIP:Tigard,OR 97224 0Bealtbeare facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name:?..iveA,..-7 t...e ertg{.. p Hazardous locations. 0 Supply voltage.for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: Ziz:7--,".;'•:;4',-.J.t.,.:',„,..;f;*:-.VX4IPA7,„...VAAM.,-,4g-i:Z•••,-,-_-,5-mL4:,:",:g Description I Qtr. I Rath Total k • New residential single-or multi-family dwelling unit. Subdivision: fr,...4 'V'er TeAerevA9- Eac-i- 1 Lot#: 11)1.... Includes attached garage. 1.000 sq.ft.or less I 168.54 4 Tax map/parcel#: Ea.addl 500 sq.ft.or portion 2 33.92 1 'F7,:3*-:''1:7:`'-'-. .-:-'i.:247,--.:V--,ja*r:1..,-tf7f1:7'c"'"''''''15:-®:='' '°1Walffa7-.A.V-1-4.‘,,W&'1',1:-- ,;' -'•'-,M- Limited energy tusideatial 75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.it) , Renewable En ergY 17 See Page 2 1g5&11 l5-ft:-.. --. 7 -Ir4 ql-S'-'iiittg --15;--Yt-L---2 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/UP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 1 Fax:( ) Over 1,000 amps or volts 55226 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 walteration,or extension,per panel Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contactname: kiichok,Thorpt, B.Pee for branch circuits'without service or feeder fee,fust Address: 103 GrOactv000A St ak-(., lip branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 4 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 6724 2 dwelling service ancVor feeder Email:, I pk,. I 0 • & (1 0. C.„..k.,1 Pme-S ' -4-4* Re°°nnect=1Y 67.84 2 pump„irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC ' Signor outline lighting 67.84 2 .r.... Signal circuit(s)or limbed-energy Address:0-.D7 VW panel,alteration,or extension. Cl see Page 2 Each additional inspection over allowable in any of the above 2 City/State/ZIP:•pRticat,4p-; 11,.. ctes1 I Additional inspection(I hr min) 6625/hr Phone:(253)320-1657 1 Fax:( ) Investigation(I hernia) 90.00/hr Industrial plant(1 hr min) • 78.I8/hr Email:bdaniels@gweusa.com • , Inspections for which=fee is . hr CCB Lic.: C1158 Electrical Lie.: 208174 Suprv.Lie.: 4496S . cifi • listed 4 hr min 90.00/ "- .:,r,T-oc:'z-j,",Ie•,.r,iT:tc---tToz_et4r-3 Suprv.Electrician signature,required: :Thi)/ P6e,c.±-,.....„ Subtotal: Print name: joanP Albert L Date: 4/26/2016 El Plan Review Requand(.25%of permit fee): • e - State surcharge(12%of permit fee): •••••; Authorized signature: •7 '.. TOTAL PERMIT FEE: This permit application expires Ifs permit1s not obtained within 180 1:t. Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. * Number of inspections allowed per permit :‘,;:::ILTABuildies\venitits‘ELC_PermitApp_XX ER.E.doc Rev 06/17/2015 440-4615TOI/05/COWWEB gill .. . .....,...... ._ PhittAing Permit Apnlication- - -,17 " • BtuIdift FixturesIICI:. Cif Tigarxeu d Permit Noszke,/).,_06e...(2i 1 4 . .12.$OY fSNIT jiali)31Vd:,Tigard,Ok 0223. • . , s pkillu.;1111 I Phone.: 503.718.2439 Fax:103.5984900.: i• • • , •:' - • ' . Daray: Mir PermitNo.:. Inspection Line:.503.639.4175 "' TIGARD pate Ready/8y:- Inds: fa Sao Page 2 toi ,tatot Www.tigard-of.gov NotifincliMethott Supplemental Information !KISVP,IrdrfititMnfgWtr*:*rrvig*M:%-Ntt,Vr..',Irati '*fflrPIVSSVtji*:tt*10:14gFrMtrgM-' . 1: For special information use checklist.8] ewe .. LI Description J Qty. 1_, Ea.. i Total 0 AdditiOn/alterati6n/rep1aicernear. • 0 Oilier: New 1-2-family&Fallings(includes 100 I for eachataity connection) rAtt.gg-VM:..04*3J. W6144.05***IFSINATifIl . SFR(1)bath 312.70 rl ,Ak Land 2-thmily dwelling 0 Commercial/industrial • SFR(2)bath 437.78 . I-, • - SFR(3)bath 1 500.32. ... D 40esacaY:auild1ig LI Mu1ti4anu1y Each additional batb/kitchen 25.02 El Master build= DOther: Fire sprinkler( it.ft.) . . Page 2 Site. 104174,0710.:***:.'1~41 if.Witkittakt Wel144 rite.°MI e sl • • • • • . , Catch basin or arta dada. 18.76 Job site arldreasi I 1i2DSV‘) Le/mono:I mss Lix-ne, .Dryweloc.ailao,at taxi%cintin 18.76 City/State/Z1P;Tigard,OR,97224. , 'Footing drain(o.linear ft.;_) Page 2 Suite/Ws/apt.no.; I Pwiecillame; giverre_rrate.efrs4 Manufactured home miatier' .. 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector• 18.76 . .• Sanitary sewer(no.linear ft; ). Page 2 Seam sewer(no.Tamar a.:____) • Page 2 Water service(no.linear ft.: ) Page 2 SYbdivial9F4 46( Tbirat -- Lot no:U-2_, Fixture or keen - Backflow prevemer \ 31,27• Tax mapf,pmael no:. ----..r.,-'1i;'..6g,itgv.,.::•.. .E.,;;w4c7.;.,-.4,:k- „i;.,-;; ;7• =;-,--,,,,. .. .;„,:itiwit-.T. ,,,,s4;:_i-::4:.F-:,;:...7%::::„.,.. Backwater valve 1 12.51 'it.T.,54.-4,foigi„:•••gc.44. -jv,-,:fle,LtiFfr:ap,77..FA4. ;Y:....-r!Y-.95.7.,•-"::tgl-.41,..r.114-Ag4nz••4.K-u.",.-'';14.27; Males.washer 25,02 Dishwasher 25.02 Drinking fountain 25.02 Ejectordsump 25.02- Ex Sttg0t5ktiKiV,6A41MgttigfFAtaiiiiai:M'Vgf,.;. Pansim tank 12.51 Fixture/sewer cap 25.02 Name;ADVL Land Holtikgs,LI;C: Floor drain/floor sinkArab 25.02 Addrest:7601t E Doublefree Ranch Road ' Garbage diaPeaat 25.02 City/Otos/ZIP:Scottsdale,AZ 85258 Hose Mb. 25.02 Phone:(602)694-4031 . Pax(. ): Ice maker 12,51 -• . . :;•„-„,..wr,t:• .:0.4.fri-z,mrg7r.:-rr.Akr•-___43.K.:4,1izir;4,•....c.•,.,t247‘.4'::•4::::•:-.,;.:,:g.m.a::_,...t_;. .4 .,;..-.,:v/.4:7,.; taterooptegrease tap 2502 -Kkg-f,S.,44.8.1. ;,.....`.;.,APPX...8140•11X:*'1:i.. :-*:1.':.•inr1.1'::-. .. .011ff4WW .A.3•rm14..1:41 Medical'gas(value 8 ). Page 2' Business name:William Lyon Homes,Inc Primer . 1231 . Contact name: hi j Cjei D 1 ,Thorpe, Roof drain(coramemial) 12.51 Addfess;1 03• grOot.th.A.)&01 s St Sllik-G I,D SinIchasin/lavatory 25.02• , • City/abate/ZIP:Vancouver,WA911660 4 Sobx units(potable water) 62.54 Phone:(360)695-7700 1 Fax::(360)693-4442 Tub/showes/sbower pan 12.5i . . Urinal 25.02 E-Inan; C 1 0 . Id PI III it • .1 II 4 ,t • . • • _ . Water closet 25.02 ' t6,-71,: tai ,ir ..,. ..=__ .. ...,..':':Tki:7.4iC'!i"!:.'!7•,:!:-. ....' . ze..03, '0.. ..,...f4.-xf...: ...,..,.....-.-..-.-': --o7,0,94'.,..---4E-e.-Tr"'i.7".7.- trt':f.r,:J -water hider. 37.52 Business name: G±L.6 Rvivek, iskivt-glw 3,114, - Water piping/DWV 56.29 Address: p.b. f„ctic; Cp., - Other: 2$42 QV/State/EP: Str, f 4414 &rt, .41 et(31 Subtotal • . Ivrinimunipertait fwm 872.50 Phone:(303-Sid- 14L1 Fax:111),...-74i.4.11/0 • - , Plan review(25%arpi-rn-at fee) =Bide.: 184i na._ nn:dant Lic.no ,P6 (aq ' Satte surcharge(12%of perMit fee) Authodzod sigma= 15:1104, 175‘4.60"--........, TOTAL PERM:FEE , . Piint am=Si-fAit, PAu kg, Date: -36-it) This permit application expired!'a pundits not obtained within IS114thrys attar kilns been accepted as etouplete. . *Fee mettodolograstby ni.Connty BufiXtztg Industry Service Board. kniatinotPormaiiPLART.Pounitappaiin 10/01M9 440.46161110PAAMMAREB) . a City of Tigard 11111 Il COMMUNITY DEVELOPMENT DEPARTMENT II TIGARD Building Permit Review — Residential Building Permit #: ei17—00 4-1-? Site Address: /(egeo `�?`( ) j -ii)n r 40A—it Project Name: 'Ve4,— Lot #: e (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 4;20,0 �F/L //////7 /-'_ -/.rcz ..Si!e' /96 ` ie&.7't,4 , /Verify site address/suite# exists and active in permits tem. ( . d River Terrace Neighborhood: ❑ No Ad Yes,See River Terrace Review Addendum Attached Si.e Plan Elements: 7hree(3)copies of site plan : 'sting structures on site o plan must be on 8-1/2"x 11"or 11 x 17"paper N1,Footprint of new structure(including decks)with finished yawn to scale(standard architect or engineer scale) oor elevations Ad i orth arrow .tility locations&easements(required for new and additions) riite address,project or subdivision name and lot number NA idewalk/driveway approach pplicant information(name and phone number) al�6.cation of wells/septic systems V /. dimensions and building setback dimensions V1'• xisting trees to be retained with drip line,and tree Il a uare footage of buildings to be demolished /protection measures g Lot area,building coverage area,percentage of coverage and treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) VI Street names INNIProperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? LJ Yes ❑t o 4 foot differential) If yes,is a storm water quality� facility shown? ❑Yes k�No Clean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): /7 c izYl'`P(tom/ .' i/ u /Required: ❑ Yes,applicant was notified No Received: El Yes El No Public Faciliti7 Improvement(PFI) Permit: A'2a� _60-0eC1 equired: Yes,applicant was notified ❑ No Applied For: Yes IDNo,stop intake ign/Land Use Case#: P,b,Q.20/ - - --)446,2_0//0--.60:901-4 - f Zr Zoning: /2--2,s--- (1 )_).„) � ��xS^C��.�(P Of Required Setbacks: Front 0Rear 0 Side 3 Street Side OR Garage 3 gnLandscape Requirement: 2 Q % V Lot Coverage Maximum: IA Building Height: Maximum Height Actual Height c ''(0 i Ito Visual Clearance LI .ensitive Lands: ❑ Yes li(No Type ¶4 Urban Forestry Plan 0 Conditions "Met" rior to issuan se.4 building permit Notes: ° Approved By Planning: A/ I Date: jD .2(_e f Revisions (after Building Submittal only) Reviewer Date Revision 1: A Approved 0 Not Approved /1/1 0. t.....------...._ I /1 1 11 Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw RES_061417.docx II Building Permit Submittal Original Submittal Date: I Site Plans: # • Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering Permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: C, 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: /641 I i /fr,� Date: /0‘24//7 Engineering Review of )2'.Slope at building pad: 3 D 6 ❑ Conditions "Met"prior to issuance of building permit asements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 7' No Assess Water Quantity Fee in-lieu: CIYes 2 No LIDA Facility on lot: 0 Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: JNl l W& LJ c Date: -77-WI ate: l_ 54D Revisions (after Bu'lding Submittal only) hit- Reviewer . e Revision 1: ti Approved ❑ Not Approved 't-L VJL W I i ! 1 / 7 Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit 4/143ate: /7 I I proved,NOT Released: /073 L/I . otes: /` Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: 7„ DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: 12f Yes ❑ N/A LIDA ❑ Yes =I N/A X OK to Issue Permit Approved by Permit Coordinator: A3 \1k,/t1j Gj'� Agk, Date: R 1 ( n v I:\Building\Forms\BldgPermitRvw_RES_061417.docx 1 City of Tigard li C d 11111 COMMUNITY DEVELOPMENT DEPARTMENT TiGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: /(2 kJ , ta �i .K L2-/A-c__ Project Name: `T.�� c � -7- �J Lot #: 7 0Q (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist " t Design Standards (18.660.0701): Is the project subject to the plan district design standards?Viii 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. ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., Eft.wide Gabled dormer 2. Eyes on the street: a minimum of 2%ofach street facing facade must include windows or entrance doors. a Percentage Shown: 27/ 42/f0 3. ntrances:At least one entrance must meet both of the follo • g standards: Max. 8 ft. setback from lon st street- facing wall Parallel to street,angle no more than 45° from street, or o en onto porch Entrance opens to a porch: Yes ❑ No If yes,all the following apply: sq.ft.min. One street facing entry 1► 2 ft.max. roof above floor of porch 94 5 ft. depth min. 1Yi 30%min. porch roof coverage 4. etailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deepRecessed entryarea min. 5 ft.wide x 2 ft. deep ❑j Tall offset min. 16 inches ❑ Dormer min.4 ft.wide Roof eave min. 12 inch projection 0/Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood E Gable,hip or gambrel roof design De. oof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ccent siding min.40%of street facade ❑ Window trim min.2'/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 façade • a•es and Carports:May face the front or sideokline on a corner lot. Setbacks: ��1fXl No closer to front or side o - an longest street-facing wall. ❑ Yes ❑ ► .. f No (Check one): ❑ May extend up to 5 ft.if there is a covere. ••t •orch and .. .: •oes not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part o ••o- .- .uilding and there is a window at the second story above the garage that faces the street wi • . . area of 12 sq.ft. Width: (Check one) ❑ 12-foot- •• •.rage door ❑ 40%max. of street facade ■ _r o max. of street facade with 7 detailed design elements Notes: Approved By Planning: ---- //A Date: Q 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 .rovides hel.s the review .rocess and res ponee to our City of Tigard • •ro'ect. g COMMUNITY DEVELOPMENT DEPARTMENT Iliii 4 Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tiard-or.pov TO: Tom H. DEPT: BUILDING,DIVISION DATE RECEOVIVED: FROM: rk _ IA t ' ; ! �, l.' , 1�r1 2017 COMPANY: Polygon Northwest ta`� -' PHONE: �l a — 9 `r�� - BAIL DING ; Ptnsvf r . By RE: ZI ve r e - ._ A- ite ' .. ess —�, t Surn er ()Lk /�,I rermit Ner 'roject name or su..'vision nameIC S�, [nu` l � 't num.er ATTACHED ARE THE FOLLOWING ITEMS: Co'ies: Oestri'tion: 0 Additional set(s) of plans. Coe les: Descri:tion: Cross section(s)and details. 3 Revisions: Plot plan and Bulletin 00 Wall bracing and/or lateral analysis. 0 Floor/roof framing. —� Basement and retaining walls. 0 Beam calculations. Other(explain): 0 Engineer's calculations. REMARKS: We have provided 3 Plot plans and 3 Bulletins stating that we bumpingthe fireplacems, L r the outside -C in to be able to vent t FOR OFFICE USE ONLY Routed to Permit Tec 4 ician: Date: J Fees Due: 0 Yes �;4 No Fee Description: �% llilli Amo true: $ V $ Special $ Instructions: $ Reprint Permit(per PE): Applicant Notified: 0 Yes [E/ No Date: ❑Done IMatillinii 1:\Building\Forms1TransmittalLetter-Revisions.doc 05/25/2012 FOR OFFICE USE ONLY-SITE ADDRESS: orms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16880 SW LEMONGRASS LN, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00421 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16880 SW LEMONGRASS LN, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00421 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Corrections complete. Collected Air leakage test report Moisture content acknowledgement form Moisture barrier acknowledgement form High efficiency lighting form Left C of 0 on the counter Violation Summary: Inspector Contractor