Permit (82) CITY OF TIGARD MASTER PERMIT
' COMMUNITY DEVELOPMENT Permit#: MST2017-00420
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/07/2017
T t r1 g Parcel: 2S106AD09400
Jurisdiction: Tigard
Site address: 16894 SW LEMONGRASS LN
Subdivision: RIVER TERRACE EAST Lot: 201
Project: River Terrace East, Lot 201
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 0 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1858 sf Value: $230,547.97 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
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea 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 1858
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: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $31,269.42
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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19879, Jor 1.800.332.2344.
PViIssued By' �' { Permittee Signature: d '"��UM'�-
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.
•'f" Building Permit Applicatiqw � � �
1,-I t' , : 1--�� FOR OFFICE l SE ONLI
City of Tigard JUN 14 2017 //j'�am�/1))��
Received T�O17^(.(J7N/
Date/BY /b G /7 Permit No
14 13125 SW Hall Blvd.,Tigard,OR 972 3 �, Plan Review ��pmt
e Phone: 503.718.2439 Fax: 503.598%9W OF TI Z1,8 Date/By: 10 9) 17 t,a<igAG(1 003'
I I IInspection Line: 503.639.4175 BUILDING 1 ON Date Ready/By: �� / JurisH See Page 2 for
onIc ) Internet: www.tigard-or.gov Notified/Method: / / 4 Supplemental Informati
471-- /V/G/leL
Permit fees*are based on the value of the work performed.
®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other: equipment, aterials,labor,overhea an the profit for th �%
i` Work Indicatemd on th1s apphcatiOn. 0 �ti
Valuation:
® 1-and 2-family dwelling 0 Commercial/industrial '
Numberof bedrooms• Li`Accessory building 0 Multi-family
Number of bathrooms:
❑Master builder 0 Other
7� Total number of floors. 1:2s.91
yy�s Lome,
W1, 1; g401
Job site address: I W° ' � ' rllll�(lq 1 J 5 i New dwelling area: r , i) square feet 1 04
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 431 square feet Ze9
j\, Suite/bldgiapt.no.: Project name: r Aker Terrace. Covered porch area:lagti.41 square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
a
Subdivision ftiv{,r TerYct.cc.5ast- Lot no.:2....0 I 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
. JI �° work indicated on this application.
Valuation: $
I Existing building area square feet
New building area: square feet
- !g , /t , . s 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:
em % a stt
Business name:Polygon WLH,LLC Structural plan review fee(or deposit):
Contact name: ANO
FLS plan review fee(if applicable):
Address:109 East 13th Street
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Amount received:
Phone:(360)695-7700 I Fax::( ) F':
E marl 1 1'ei/�1 ►j1 /, 1 1 6 iI 1 1 ��
N * t I Commercial and residential prescriptive installation of
� � '`�"�,�`� �n � � �•17-,-4:&-VO:�� ' roof-top mounted PhotoVoltarcSolar Panel System.
Submit two(2)sets of roof plan with connection details
Business name:William Lyon Homes,Inc
and fire department access,along with the 2010 Oregon
Address: 109 East 13th Street Solar Installation Specialty Code checklist.
Permit Fee(includes plan review $180.00
City/State/ZIP:Vancouver WA 98660 and administrative fees):
Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
CCB lic.:207247 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
7/API4r,47110 --- within 180 days after it has been accepted as complete.
0 *Fee methodology set by Tri-County Building Industry
�JPrint name: /v i ch v oO Date:t%fr7 Service Board.
I:\Building\Permits\BUP-RESPermitAPp..dooc 02/24/2011 440-4613T(11/02/COM/WEB)
. ..
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iklecha*al ggis.tiiit AD Plifatrwl.
City of-tigard _Recami
-Eweffir
: it--, 4,.P4'ulakslyg,Tfgard•Ott 97223, • , rim Reti„,
7 - JP
• Jir.I 2;6. 7J117
photon y4.718.2439•Finc503.591).196,(1 . ' P. '' '' ' '''' titeilly:• ' -. . ._ Pecult No::
OTher Permit:
T 1 G A II I) -414Pec616.0E;410;•M•6394175 ''', , •• ' '- '' '': ''''"-''- ' ' Date 110403/- ' Join. Et See Page.I An;
. tioriiet i+;wiv:dieicr-911(Pi` - • '/' ' ''''•' '''• ' '' Notiliedelvt.etho.d:' Supplemental intsriitwittion.
. ..
:..0.4.*W4:1r:P;51ti'31N.- '5f::'''V'kttt'AYirt0 4C If:IRKV14,W434 T-'01.1-f&q. 14,041**WAVIgeekir04V§ibittocop,..,.-,_:
v ,E . ivl
,.. .
ecbsumst permit Thee are based on The value of the work New ooristiuction 0 Additiontaileratibiliteplatenkit performed.lndieate the value(rounded Wile nearest dollar)d all
0 Dernolltiori. 1:3 Other. nieelwitical materials.equipment labor.overhead.and profit_
Value:S
e'L':7-,'•:•.:-.In.;AN-140:7 .-rittiiiittir-tet/VStS :14,..ft:1,i.A.c.,;*.t.,:t. t.i.:-.,
t7,..
i-and 2- illii dtkilrilig. 0 CoMrimeciaffiraivatrial. El Accessory building ForspecIat ft:formation mse elywillst. .
. .. „.
.1 Mliiti-hitilgY. 0 Master blfilOr. 0 Other Dome/Piing' ... _. .__ ply. 1 EL . Total.
!-::::,----,7e-4.•(;::_-4:nr`i,;:144,tf,o,:iillri-t4rrobigpitianti0:14400-0Ar.._,.,:?e,-y-wik4.+1,....!_i ..f.e,.:1: litoSatilingt __
1, ':::+4 '1 14'...,•.,,-';',..-, •:.t.--.:. 1.: .1,*^:10.-f- r$7.4::.';!44.1.;14'. '
Air Conditioning ' I
S
30 site sidchr.ss.: i OfyiL ky) Leff\N10\raSS Lo.n.e.. Parosee 103.000 STU(tinetthents) _ 46.75. .
ii5ISItiltdZiP.:119110:.OR 0.7224. koala 1110,06(W3TLI ideeteVents) : 54.9 t.'
. .',_, .Fleat pallp 61.06
tithe/bldg./pt.ib.t Ffilleo ilaIlle:g 1 ve.r Te,rrel t c_. &IS+ twit.work _ _ _ „
23.32 . .
Cross sireetfilirections bib site:: .AN...skulk bot wait weleat. 23.32
..
Residential boiler(radiator or
bvdroitie; 1 23.32
. __ . .
Veit heaters(feel-typenot electrie),
. . . . . iti-wall.hi-doet,_ : 46.15
•
' Rod:vent for*of above• . I 23.32 . '
k. es. • _ IOther: . . ,. 23.32.
Subaivisi99:.K 1&,v re 4rtovc. 6-7os I- --17—... .<;i 1,0,11.6 . ,
Other thet appliances: —
Taxrnapiparcel*: Water heater2332
_
;;Zi.:55RMV.Lfetitii;'4*-000i4,:itiO 4i4:4Y.Watl:f.;-''4Jrig"- ,,,:!.!-.. W, • °thz ffriPbcOn-wt;•.7.-_ I 33.39
' --:'---' Flee mast for water neater or gas
fireplace• _ ' 23.32
Log tighter(gas) 23.32
' Wood/pact stove 33.39
' N
. . Wood fireplacermseu 2332
ChictoeWlinettfinetrent 2332. .
'
23.32
:.,':?'..::** .iji.,..W0tOlaltrO.Witik':.C.:: ;:--7,47..41qit4infi.'C,PrtliAtiTb4;'. ...".:•
• .
Rev mental exhaust and ven6lation:
Nath':'Pr D V L-t...0.11r1-OW01 s oi 5 LLC. . . : Range inladforher kitchen,
i • eannuneot I , 3139
Addnus::7:Ii4l 6D- 6 •IDDA4gte.114,. (24 .L (40._c4 clothes dryer exhaust i t.1 .33.39 . •
. ..
-
CityiStan . .444 kii pa., c), ..7q.a) Single-duet exhaust Ondirreetris,
mkt compartments,utility looms) %-1- 23.32
,
Ph4".II()1^ Vi H 4631 Fe nt:( ) Attleferagisme fans . .. ,
23.32
1•.'" 4040407-::44;•.Ifte.;':: :::'.;;7....: .-W-ii:::tii.CLOStitifiliiiW4*::::'.- . Other- 23.32
,,.
- Feel plpia0
Businef l'arng '110 I I I I.0,1441 V,q C)Y 'tkn.\f VS I.-AC- SILTS far riMt fear;1%03 far each additional' •
I
Camila iourMi Ni chl,._-rvx'04-Tc, Furatux.et. I ,
Address: 1.1(.1 jacoadhe)s " „S 2 ir •
b Gasbag aunT
Waillumnendedionir beater
City/Suite/ZIP:Vancouver,WA 93669 Wider habit' .
Phone(360)695.7709. Fax::060)6934442 rimplaee I
1 .
&Init.:I:MI.611P k illAtirPf.,IP I_ Barbecue. .
:Vi..e.;.4..1i, ..,....;..i.-.-- .:,...-...i...,i;',." -:,;.4.,•,•;,--05-4-g-2-1 .40...X41,-..44Mr_7•„._,,,.,.....,,,...,. •
ot-;.,..!ir:Pi.;!..;:47.7.•':i•N>-:•;:..L.-•.!..Q....,;,,is;iii., .,..i... , .0e.r. .7.-';•,7i:',..i...-f.."::::-It;•..il .:::'.•:-: 2.5.14: :,..,' Clothes eliyer( es), . „ • • •
.
Bushiesinamm Apex Air LLC Mier: '
ti7C-77.71.g'_&-4014$44..1:itt39,44.1•:;•k•Tr..4,-..F*;
Adelmsi:13004 NE 72"Ave
Subtotal
. . ... ,
dtyt3rnieiZIP:.Vancouver,WA 93686 Minimum permit fee
' Plan review(25%of perniit fee)
Phone:.(360)3424199 Fax (369)326476s
Stale surcharge(12%of pennit fee) •
CCB lie,:10a434siguTOTAL PERMIT FEE
d gute:
.01,07:/„........._ .,
is mason opplicaties explm it a permit b net obtained within In
Authorize
days eta a ba limo ftecepted as complete.
* Fee melkodology set by Tel.CmimyBuilding loam*SarvicaTtaaid .
Th
Prim sum= Lev 1 I Date: 1.et•rt,:. _...j
i vieuthit,peaDiumer remoue tom dog 44446M 0 af021COMWM31
•
Electrical Permit Applicatio ,)n,-., FOR OFFICL USE ONLY
CityofTigard Received
NI
111 q 131SW Hall Blvd.,Tigard,OIL 97223 _f pun R .
Permit
•�` P1en Review
0' Phone: 503,7182439 Fax: 503;598p1 0' , ,; Date/137 Related Permit a:
Impaction Line: 503.6394175; .„ . Ready Date/Sy: ice: H See Pagel for
TIGARD
Internet www.tigard-Or goV Notified/Method: Supplemental Information
V.4•-1.•_- rte D-11,7,,4-5-4--e-V41"
..y
.<- � 1; ;. ""'.t. e.^%ja..�;d �A¢'t.-:1�� Tx"g•f_TA� ;* `i4, �r �� yn''s '� a<-
;.z��
'� :^d" YG`3' ;.
®New construction 0 Addition/alteration/replacement Please check all that apply(submit'sets of plans [�
wrtems checked):
0
Demolition 0 Other: ❑Service or feeder 400 amps or more ❑Building over three stories.
where the available fault current ❑%farinas and boatyards.
'`1V- `f' h + .:7.%)f +i 9 Ea(.,aA : f,,r,� exceeds 10,000 amps at 150 volts or 0Floating buildings,
®1-and 2-family dwelling ❑Commercial iridtistrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
Muhl feed amps for all other installations. buildings.•
Y ❑Master builder ❑Other. 0 Fire pump. ❑Installation of 150 KVA or
> - ,
f,��.��.a •$ w•1p%4",:4RX •1 ','NIDVs.«R;;�`� �, ,,"'-,'-;e ❑Emetgaircy system. larger separately derived
Job site gds
0 Addition of new motor load of system.
Job#'
t 1s�gL SuJlL,moc ups time 100141)or more. Q"A",'S",`i-2","1-3",
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
i'e �� ❑Hazardous locations. 0Supply voltage for more than
Suite/bldg./apt#: Project name:.give
❑Service to feeder 600 amps or more. 600 volts=micat.
Cross street/directions to job site: t ,.A.,;; , 421-0::.'A . },
Descripdon Qr. l Each Tota] ..fie-
New residential single-or multi-family dwelling unit.
Subdivision: r-i J.e r TeITA
e Q_ E +' Lot#: 101 Includes attached garage.
Tax map/parcel#: Uc,- 1,000 sq.R or less I 168.54 4
Fa add1500 sq.ft.or portionZ
33.92 1
n. „ . Th:u-! ;,q±- 47ilig tl tl_ ,''rr��„afd . : ; -7 -a '54
: Limited energy,residential 75.00 2
(with above sq.ft.)_
Limited energy,multi-family 75.00` 2
residential(with above sq.ft)
' �s1h' ti, s°l? M , : _, ,� � Renewable Energy 0 SeePage2
"'"d� a�`'>t' �=-'
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
PulpitTemporary 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 5936 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 16834 2
' >�Ky-7 '2Zr s\"-6ti yi'j t i <:n4" .v> _, a'4 7.] y 4,,yoix a ` ,;t '; Branch circuits—new,alteration,or extension,per panel _
... _ A.Pee for branch circnids with
Business name:William Lyon Homes,Inc. above vice or feeder fee,
7.42 2
'n each branch circuit
Contact name: N+c h pFL:n o('(7 _ - B.Pee for branch circuits without
Address: -�03 , /1 r 1'`� y q' service or feeder fee,fust 56.18 2
t S 1 Sl ak-t, M branch circuit
City/State/ZIP:Vancouver,WA 98660 Each add')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; I�/ dwelling,service and/or feeder
' Die, (ani., /i j 4 pm 1 01 Reconnect only 67.84 2
',+.. ' .7` tt,d 7,7:r, ,�s.--s7-- ,;lin --- t---..:_•---=t_• fi 'p, rte`
� �r;..� �, Pump or irrigation circle 67.84 2
Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2
r Signal circuit(s)or limited-energy
Address:%LI,D7 v alw t Q k e\� S ' n panel,alteration,or extension. ❑See Page 2 2
v t ,"L�iv `r`f�
City/State/ZIP:•ptk' /„ 1 f t� 1► 1 Res ` Each additional Inspection over allowable in any of the above
l(�L.Lt W ►.1 Additional inspection(i lir min) 66.25/hr
Phone:(253)320-1657 ' Fax:( ) Investigation(i hr min) 90.00/hr
Email:bdartiels@gweusa.com Industsielplant(1 Mein} 78.18/hr
Inspections for which no fee is '
00/br
CCB Lk.: 01158 Electrical Lie.: 208174 1 Suprv.laLica:: 4496S^ specifically listed ' fir,min
�'
.r t% •11�'l. V. ' man,-,4 "i v •h 113 to/i :13 .1:•••06,4 •,,-:; .
Suprv.Electrician signature,required: ' •••• . Subtotal:
Print name: Joan P Albert Date: 4/26/2016 0 Plan Review Required(25%of permit fee):
•
•
t•� .________ State surcharge(12%of permit fee):
Authorized signature: _ TOTAL PERMIT FEE:
This permit application expires if a permit's not obtained within 180
i Print name: B171 Daniels Date: 4/26/2016 days after hints been accepted as complete.
* Nimbe•of inspections allowed per permit
'r
": L•1BuIWung1Pamieht LC Penn tApp_ Ens doe Rev 06/17/2015 440-461S1111/05/COM/WEB
•
Plumbing Permit Applientio' n.,'
•
Building Fixtures,
n(-I 2711,17
City cof Tigard • Received •
Pcmxillsto.:
Date/BY.
Ili R .U.V.SSV.0 4011Vd:,Tigatt OR V7437
11 Phone: 503.7182439Fax: 503.591.196w, , ., -...,, — ,,, ----;:lew Other PermitIdo.:
bspeetion Lino'.503.639.41'7; , , ' ' '' I Bate Ready/13t,
TIGARD hula: ra Scelage 2 rot
.tnternet viww.tigard-or.gov '. '• - ' ' 14orttrecirmethod: ' Suppleniental Information
41-SfitItMVI-„i,,.Wz6w-i*sy:owz:ArsfAeigir:,:r -ties migaraelwilittiwczarevitekv]
E
For sp acid information Mt chriektrst.l New constmction. ID Demoltion ,
Description 1 QW. I Ea. i Total -
0 Addition/idteronheplabenient • El Other: New 1-24amfly del:Dings(includes 100 ft.for each utility ooimection)
IIMPASIM%-,44-0.4itta-4...e4.gkelk'tht”oitosimisyFt$:," . SFR(I)bath 312:70
• SFR(2)bath 437,78 leand 2-fanaily.dwelling U Ccanmercialindustrial
r-1 • SFR(3)bath
1 50032'
El Mews-tory building Li Multi4m;lily • '
Each additional bath/kitchen 2102
•
ID Master builder 0.Other: 'Fire sprinkler( sq.ft.) Page 2
tr'tiVgr't:*S-VV-Fitiillit.:b;" Okl:'',,Ciiti:' 7;'-tt*I"Okkrift?3114gr,L7 Site utilities:. • ,
•
'Yob site addressi 1 USCI LI S\)0 ue,trA or\9n-jsS LiLne,' Catch.basin er area drain " 18.76
Drywell,kph line,ernes:oh dmin 18.76
MY/Stat./4P;'PM*01k$7224 •
_ .
Footing drain(to.linear lb.:_____) Page 2
Suite/bldg./apt.no.: Project-name; giVe It—G*2_ry-are_enZA- Manufactured home utilities. 50.03
Crass street/directions to job site: Manholes 18.76
Rain drain connector• ' 18.76
_
. Sanitary sewer(no.linear il.: ) Page 2
Storm sewer(no.linear it.:____.) • Page 2
Water service(no.linear IL: ) Page 2
Subdivisi9P' MAN ce/Weite.-E..0,s4--- I LS no.::ID Fixture or kens:
Backflow premier 1 31.27•
Tax.map/pan/A no.:
I 12_51
',..1:t4KAgitii4P-4iia:tiiitgaWOICOV4Waille4faiArgiF.-a•T.'iaPfli'4i7'4...( Badcwater"1"
......,,,-,,F.,.:3t.ir,arz,V-...-.1,4.,-.r3vti•-.1.:,...3-......... .3.-...,.....• ..,.......:.,. -.:.:.:.,.....4 kk:Vr`.11.7 ,.-'14,q1•.:1.,-.S.,.4 I clothes.washer
Dishwasher 25.02
Drinking fountain 25.02
Medan/sump 25.02"
gi'lliW,. liri6VelWr.'‘itfM.M.4gtf::riilrsiAC'tigiW Expansion tank 1251
Fixture/sewer cap 25.02
Name;AIM,Land Holdings,ilk:
Floor drain/Door sinktnub 25.02
Adthest:7600 E Doubletree Ranch Road. Garbage disposal 25.02
My/Stater/JP:Scottsdale,AZ 85258 Hose bib• 25.02
Phone:(602)694-4031 Fax:(. ): Ice under 12.51
s:AtliargStarrifikOlX7 '....:4: ::51.PS.P.i4ititaligOkkAWkiii$OAcla iliter"Pkt/grease taP 2102 :
Medical gas(velum$ ) Page 2•
Business name:William Lyon Homes,Inc
Primer 1151
•
Contact name: With DItTitiorpe,, Roordmin(commercial) 12.51
Addr.ess:1 OS- Rt-OoLciA)Joa-1 'Si" u)1,1-(, W Sink/basin/lavatory 25.02
•
City/State/ZIP:Vancouver,WA 98660 4 Solar units(potable waier) ' 62.54
Phone:(360)695-7700 I Fax::(360)693.4442 Tub/showerfshower pan 1251
Urinal • 25.02
E-mail: C,0 . 1 i , pi .i • . A 111 " . • - Al water closer 25.02
07:14M/IVAMINA.07:117:04' ':*_ - - veer„ater• 37.52
BusIness mu= ,4 R AN))isoksA t—S .-- Water piping/DWV 5629
— _
Address: p.b• 6,0x CP. • Other: 2102
,
City/State/ZIP: 5 . 9 geiiit art_ 11151 . Strbtotal
.....
Phone:(303-13(st- 1411 Pax:(II v....71-AP Ifleo Afinimmu petmit fee: $72.50
Plan review(25%of pemen fee)
•CCBLic.: Phimbing Lie.no,ikt usq .
Sudo surcharge(12%of permit fee)
Authorked signature: 10-af tii410""%.---.„ TOTAL PERMIT FEE
Fibrillose:6-1-fx.iL, f?wk.e._ • DareS*$6-1 b Thh permit application expires if a pennit is riotrdstained within 130:days
after him beets accepted as consplate.
4"Fee mciodology Batty Tri-Crautty Building Industry Service Board.
lahtlIcTiojeiPasoitaladll-Petrbititm.dile 10M/0 440461.6700/021COMMES)
s
a
City of Tigard
71 IllCOMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
e'. EL-:.,a',L3.a....T -.3,1,-7- s_.. 1._. ,,a.?:°.�._.,....,-.V.. ._:. .. .,,x. a.a,r^ ..4 ..a42.11u.w,' ,:1 ,,,Z 1; ;14,,,1•,,,,!2!.,-C ,s:. ri ,Z-2..iw,;1:ta... '.
Building Permit #: ,'( 7 &i7/?C C ,
Site Address:
Project Name: �'1/. �i�� s v Lot #: 0/
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: / ) –cFA2///f7 /2,c-z//s- „C 7"---"' /4L- /\// ge G9°''
(Verify site address/suite# exists and active in permits tem.
NJ River Terrace Neighborhood: ❑ No V Yes,See River Terrace Review Addendum Attached
Siy Plan Elements:
gl7hree(3)copies of site plan4 •sting structures on site
VJ to plan must be on 8-1/2"x 11"or 11 x 17"paper ill,Footprint of new structure(including decks)with finished
'prawn to scale(standard architect or engineer scale) floor Vi(orth arrow 'NJ .tility locations&easements(required for new and additions)
VJtte address,project or subdivision name and lot number NAsidewalk/driveway approach
' pplicant information(name and phone number) II I.cation of wells/septic systems
Vi o dimensions and building setback dimensions 111 t.xisting trees to be retained with drip line,and tree
P1;,•uare footage of buildings to be demolished rotection measures
a Lot area,building coverage area,percentage of coverage and Street tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) LV1 Street names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? LJYes ❑► o
4 foot differential) If es,is a storm water •uali facility shown? ❑Yes ►Vi No
III'Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): 4 grave"/ bo IlliVi u --
'equired: ❑ Yes,applicant was notified Z No Received: ❑ Yes ❑ No
7.4 Public Facilitig Improvement(PFI) Permit: . / }fir/c a LP -000ec
,.equired: NV Yes,applicant was notified ❑ No Applied For: ® Yes ❑ No,stop intake
41/Land Use Case#: p1'e.2(�I(, -do % o mq'C// - }`7` 72 /2Q6,ts—= .
ECJ Zoning: "92-.2,s- Z ) n1
tot Required Setbacks: Front 0 Rear V Side 3 Street Side )1 fr Garage 3
Landscape Requirement: izIQa
of Lot Coverage Maximum: 770—
VA Building Height: Maximum Height 1\1 Actual Height 2
A Visual Clearance
ISI .ensitive Lands: ❑ Yes (No Type
q Urban Forestry Plan
❑ Conditions "Met"/prior to issuan e o building permit
Notes: 71/0 1I7bPLR -,S' g.,. , / f l9t)f G— iSv:421ia
Approved By Planning: �_ Ir'/ Date: /D /ri-
Revisions
(after Building Submittal only) � / �Revi__ewer Date
Revision 1: ^ : v Approved 0 Not Approved ` l b `.-1 ..�.. I )/ , / 11
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPennitRvw_RES_061417.docx
a
Building Permit Submittal 4
Original Submittal Date: 1,7 4///7
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: lanning C7ngineering @'Permit Coordinator ;fa- Building
Workflow Sign-off: 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.
7 Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
•
By Permit Technician: ---72%#,J Date: _ A G
Engineering Review �y,
0-Slope at building pad: 7?.d 'fJ
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
'"Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes e No
Assess Water Quantity Fee in-lieu: ❑ Yes - No
LIDA Facility on lot: ❑ Yes 'No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Mil<p, 14.1 r Date: /p le//j
Revisions (after�Buiillding Submittal only) Reviewer atf
Revision 1: .I� Approved ❑ Not Approved --� // / / / 7
Revision 2: El Approved ❑ Not Approved ✓
Revision 3: 0 Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit //���/ /
Approved,NOT Released: /�' t Fate: /0/31/ 1'q�—
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:
OSDC Fees Entered: Wash Co Trans Dev Tax: 2219Yes ❑ N/A
Tigard Trans SDC: Q"Yes El N/A
Parks SDC: �" es ❑ N/A
LIDA ❑ YesN/A
A–OK to Issue Permit r j
Approved by Permit Coordinator: Date: k�I t 11
I:\Building\Fonns\BldgPennitRvw_RES_061417.docx
i
City of Tigard
II ' COMMUNITY DEVELOPMENT DEPARTMENT
C :
ARD River Terrace Building Permit Review Addendum
TIG
Building Permit #:
Site Address: /6, e3cli-/ , --)-to L e/I1 i 1
Project Name: bv, - `� 5 zc - �J Lot #: 2 6/
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist . t Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards?Valf 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 minft. dee Balcony w/access 2 Window Projection Vertical Wall Offset a
p
. ft. deep min. 2ft.,5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
C] CICI ❑
2. Eyes on the street: a minim of 0 of each street facing facade must include windows or entrance doors.
Percentage Shown: 7 12 a
trances:nAt least one entrance must meet both of the foll ' g standards:
3. Max. 8 ft. setback from longe t 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 y s ll the following apply: �5 sq.ft.min.
ne street facing entry 2 ft.max.roof above floor of porch
5 t. depth min. 30%min.porch roof coverage
4. tailed Design:All buildings shall include a min. of five the following elements on all street-facing facades:
ered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep
4 all offset min. 16 inches ❑ D rmer min.4 ft.wide
IA Roof eave min. 12 inch projection ❑ oof offset min. of 2 ft.
❑ Roof shingles either tile or wood Gable,hip or gambrel roof design
El Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min.40%of street façade ❑ Window trim min. 2 I/2"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing El Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade
- . . :es and Carports:May face the front or sideo line on a corner lot.
Setbacks: �
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. sat .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 a . . area of 12 sq.ft.
Width: (Check one)
Cl 12-foot- .. • rage door ❑ 40%max. of street facade
■ _:'o max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: —i a ././A_ Date: 0/Q 6, 8.9_
I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
li
ft
Letter
Transmitt l
a e ter
71
TIG R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Tom H. DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
�^ ��`^� 1•oV 1 2017
FROM: N‘010,f, V VA C.
CITY OF TIGARD
COMPANY: Polygon Northwest BUILDING DIVISION
PHONE: _3p 0 d 9 Sct -�-LOI-{ By 4/�' --...
RE: 1JZt\ix Tta-c ce, F—�cls* -2
- t\Ac -- .0 - C�O''*11)
( ite Address) trermit er)
>I Q�t w iO N\TIQraSS �t LD
( roject name or subdivision name and to number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
0 Additional set(s) of plans. 3 Revisions: Plot plan and Bulletin
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: '
We have provided 3 Plot plans and 3 Bulletins stating that we bumping the fireplace in to be able to vent t
the outside
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: ) )^ ) — ri Initials: '
Fees Due: ❑ Yes Ird No Fee Description: Amount Dile:
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes XNo ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
FOR OFFICE USE ONLY-SITE ADDRESS:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16894 SW LEMONGRASS LN, BEAVERTON, April 6, 2018 at 10:50:12 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00420
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - CofO
Comments:
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