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Permit (101) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Ns Request for Permit Action T I G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tiQard-or ov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard_or.gov FROM: ❑ Owner Check(v")one ❑ Applicant ❑ Contractor ❑ City Staff REFUND OR Name: INVOICE TO: (Business or Individual) /6/7/G A,/ Mailing Address: 7,03 8/2z,"9-4 4:1� ` S S' Sic) City/State/Zip: vef/Ve C'zt e/L- G-J Phone No.: 6 - 7 9 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): • ° `-- VOID PERMIT APPLICATION. 0 . REFUND rE III RMIT FEES (attach copy of original receipt and provide explanation below). • CE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit). Permit#: AtC O2C)/? _'004,-76 Site Address or Parcel#: / 7`� G� , 2/ J2 _ / Project Name: /'�� & /� 7 Subdivision Name: Lot#: EXPLANATION: 2�,E-1 0 vc ` - Signature: Print Name: Date: Refun_ d Poli 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE t'SE ONLY Route to S s Admin: Date B Refund Processed: Date Route to Records: Date B - Permit Canceled: B��=s Invoice Processed: Date ;Meiji\Building\Forms\RegPermitA,cation_0 2314.doc B ;t = Parcel Ta:Added: Date B B M TIGARD January 18,2018 City of Tigard Polygon WLH,LLC Attn: Angela Grajewski 703 Broadway St, Suite 510 Vancouver,WA 98660 Re:Permit No. MST2017-00268 Dear Applicant: The City of Tigard has processed a refund for fees on the above referenced permit(s) as follows: Site Address: 16874 SW Friendly Ln Project Name: River Terrace East,Lot 47 Job No.: N/A Refund: ® Check#227200 in the amount of$42.02. 0 Credit card "return"receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be 0 credited to your account by the company that issued your card. Trust account"deposit"receipt in the amount of$ Comments: Per applicant's request to remove 2°'water heater from permit. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov II v City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use, development engineering and buildinge application fees. Receipts,documentation and the RequestforPermitAction form (if applicable) tust be attached to this request form. Refund requests are due tof Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: Polygon WLH,LLC 703 Broadway St,Suite 510 DATE: 12/28/2017 Vancouver,WA 98660 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt#: 413629 Case#: MST2017-00268 Date: 10/31/2017 Pay Method: Check Address/Parcel: 16874 SW Friendly Ln Project Name: River Terrace East,Lot 47 EXPLANATION. Per applicant's request to remove 2nd water heater from permit. y- ,{; .. �`. . �r x.ss rte' ` }t {'4 zd Y our ® e%e S µ� ,»y 'k1h. �, ±— 5' ... -,&^rr ji �:: b- ga��-' :_',- � 3 '444,4 1-1, �� , "; '"Z r i $e'er x 95 6 �" fl' - aan gY -'"y- t Plumbin_ Permit 12%12%State Surchar:e 230 0000-43101 IMMESEI 100-0000-24001 4.50 1111111111 miniumuniiiminomm.1111111.111111111111111111111.mal 111111111111111111111111111111111111111111111111...............1111111111111 1.111.111.1111111111111.111111111111111111111111111 1111.11111111111111111111111111111111111111111111111111111 111111111111111111111111111111111111111.11111111111.111 ailillIllIllIllilillilillIllIllIll 11111011111111111111111.111.......1 TOTAL REFUND: $42.02 APPROVALS: SIG -L4,T r I ATE: If under$5,000 Professional Staff -tom % If under$12,500 Division Manager `� If under$25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board Case Refund Processed:. ® STRATTON LT Date: �� . .4 Qf, ' °<. " B ��1�. I.\Building\Refunds\RefundRequest-doc x 09/01/2010 CITY OF TIGARD I 13125 SW Hall Blvd.,Tigard OR 97223 RECEIPT - 503.639.4171 T I c; Project Name: River Terrace East, Lot 47 Site Address: 16874 SW FRIENDLY LN Receipt Number: 416590 - 04/06/2018 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2017-00268 $-42.02 Total: $-42.02 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID Check CASHIER ID RECEIPT DATE RECEIPT AMT 227200 Payor: Polygon WLH, LLC DHOWSE 04/06/2018 $-42.02 Total Payments: $-42.02 Balance Due: $42.02 Page 1 of 1 CITY OF TIGARD RECEIPT Ti '. 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: River Terrace East, Lot 47 Site Address: 16874 SW FRIENDLY LN IReceipt Number: 413629 - 10/31/2017 I CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2017-00268 Building Permit-New Construction MST2017-00268 230-0000-43104 $1,999.06 Plan Review 230-0000-43106 MST2017-00268 12%State Surcharge-Building $751.89 MST2017-00268 Wash Co Trans Dev Tax-SF Detached 10 -0000-23001 $278.00 MST2017-00268 Tigard Trans SDC Improvement-SF 405-0000-433201 $5,488.00 Detached 415-0000-43300 $5,488.00 MST2017-00268 Tigard Trans SDC Reimbursement-SF Detached 415-0000-43301 $317.00 MST2017-00268 Tigard Trans SDC River Terrace-SF Detached 415-0000-43302 $2,684.00 MST2017-00268 Parks SDC Improvement-SF Dwellin (detached/attached) g 425-0000-43300 $4,356.00 MST2017-00268 Parks SDC Reimbursement-SF Dwelling(detached/attached) 425-0000-43301 $1,207.00 MST2017-00268 Parks SDC River Terrace-SF Dwellin (detached/attached) g 425-0000-43302 $2,003.00 MST2017-00268 DC Provision Review, SF-Ping MST2017-00268 Info Process/Archiving-Lg$2.00(over 0-0000-43115 $40.00 11x17) 230-0000-43135 $42.00 MST2017-00268 Info Process/Archiving-Sm$0.50(up to 230-0000-43135 11x17) $61.50 MST2017-00268 Metro Const. Excise Tax MST2017-00268 Beaverton School CET-Residential 230-0000-24101230-0000-24010 $426.63 MST2017-00268 Permit Fee-Elect(per dwellingunit) 43 $3,578.07 $ 14 MST2017-00268 220-0000-43103 $338.14 Limited Energy 220-0000-43103 MST2017-00268 12%State Surcharge-Electrical $79. MST2017-00268 Air Conditioning100-0000-24001 $49.58 230-0000-43102 MST2017-00268 Furnaces<100K BTU $46.75 230-0000-43102 $46.75 MST2017-00268 Water Heater 230-0000-43102 MST2017-00268 Gas Fireplace $23.32 MST2017-00268 Range Hood/Other Kitchen 230-0000-43102 $33.39 MST2017-00268 Clothes Dryer Exhaust 230-0000-43102 $33.39 230-000043102 MST2017-00268 Single Duct Exhaust(Bathrooms, Toilet, 230-0000-43102 $1$33.3916.60 Utility Rooms) MST2017-00268 Fuel Piping MST2017-00268 12%State Surcharge-Mechanical 230-0000-43102 $14.15 100-0000-24001 $41.73 MST2017-00268 SFR-Baths 230-0000-43101 MST2017-00268 Laundry Tray $$25.32 MST2017-00268 Erosion Control w/Development 230-0000-43101 $25.02 MST2017-00268 100 0000-43134 $386.40 Plan Review 230-0000-43106 MST2017-00268 Water Heater $548.05 MST2017-00268 12%State Surcharge-Plumbing 230-0000-43101 $37.52 <— 100-0000-24001 $67.54 Total: $33,938.53 All 37. $z 7ar�zf ya, as - l Z) 4V6z- e72_ S Gtr' ' - ' "e- . ,--&--e--c Page 1 of 2 Plumbing Permit APDGEIVED Building Fixtures NOV 2 2 2017 1012 urrl< I. i �r 0.i., City of Tigard Received N..„._ 13125 SW Hall Blvd.,Tiger,,. 7 �T��✓�H� Date/By: /off-s/7 i Permit N°,7S7 -0/7�,�,,' i Phone: 503.7182439T�yq� t,VISION Plan Review ii t> Inspection Line: 503.639.°185e4"43 Dl V'J�ON " Day' OtberlaermitNo.: Internet win tiB 03 63 gov D�Rady/By; Auris: 0 See Pa Notice: pe 2 for :::; «,ra...;... :?f, ,.....,...-_,,.....rfl'Jt WO Supplemental laforao■tion ®New construction 0 Demolition ..; For special information un cJ eddist .. ❑Addition/slteradon/replacemem ❑Other: Descri ption I Qty. I Ea 1 Total New 1-2-family dwellings(includes 100 I for each utility connection) • CATEGORY OF CONsm icnoj4•• SFR(1)bath 312.70 01-and 2-family dwelling ❑Commercialrindushial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 0 Master builder ❑Other: Each additional bldi:/l t•ftn 25.02 JOB SITE. INFO Fire sprinkler( sq.It) Page 2 •: : RMATION:�1ND L0(.ATIQN - - Site utilities: Job site address Pi 7 y Sill/ /� _/ly iI ate_ Catch basin or arca drain 18.76 City/State/ZIP:Tigard,OR 97224 I!"LG�� Drywall,leach link or trench drain 18.76 Suit&bldgJapt,no.: I Project name:' / Art./..._ �ufactured hng drain(no.ome utilities Rs ) ■ Page 2 - Cross street/directions to job site: utilities 50.03 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear It:•_) Page 2 Storm sewer(no.linear It:__,) Page 2 Subdivision: / Water service(no.linear It:_, Page 2 , Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer III 31.27 11111 • DATION I:W WORM" . " - Backwater valve 12 51 A Clothes washer 1�'�" I Gt/Q je r hater D/'7" I if 'e Dishwasher 25.02 ittii l !)14 Ili 84 U.Stn; i, 25.02 / v .` - /. ,u Drinking fountain 25.02 • - 1PROPERTF OWNER � 25.02 "'� � ❑ TEIiiA1vT Expansion tank 12.51 Name:AD VL Land Holdings,LLC Fixture/sewer cap 25.02 Address:7600 E Doubletree Ranch Road Floor drain/Boor sink/hub 25.02 City/State/ZIP:Scottsdale,AZ 85258 Garbage disposal 25.02 Phone:(602)694-4031 Hose bib 25.02 Fax:( ) ice maker : . ®.APPIJCANT12.51 0 CONTACT PERSON• h terceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S_) Page 2 Contact name: / '44&-,_7 ha„/y Pruner 12.51 Address: P_� Roof drain(commercial) 12.51 I t�iib/ ,_ _ •• c Ir D Sink/basin/lavatory City/State/ZW:Vancouver,WA 1 25.02 Solar units(potable water) III 62.54 1111 Phone:(360)695-7700 Fax::(360)693.4442 nib/shwa/shower pan 12.51 E-m �Q ail:�IPhv ."jJij 0( Urinal 25.02 •/. a�n h dievr.l , CONTRACT Water closet 11111125.02 - Business name:Malmedal Enterprise Inc. Water hCa• 37.52 Address:PO Box 207 WaterP1pmg/01VV 56.29 I Other. 25.02 i City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)3240759 Fax:(503-)324-0580 Minimum permit fee: $72.50 CCB Lic.:102535 I Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) t Anthorizedsigneture: C,..----,-____c State surcharge(12%ofpermit fee) Print name:Carolina Malmedal -� TOTAL PERMIT FEE Date:04/25/2016 I This permit application expire If a permit is not obtained within ISO days after it has been accepted as complete "Fee methodology set by Tri-County Building laduslry Service Board. I:IautbinglPamitAPLMU•P miitApp.doc 10/01/09 ° 14046167'(I0/0IACOMIWI:g) I t ,,,,,,7e: , r, MASTER PERMIT Ii ,� CITY OF TIGARD : ,1 ° ii . COMMUNITY DEVELOPMENT /Z�S�7 Permit#: MST2017 00268 T1ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/03/2017 Parcel: 2S106DA04700 Jurisdiction: Tigard Site address: 16874 SW FRIENDLY LN Subdivision: RIVER TERRACE EAST Lot: 47 Project: River Terrace East, Lot 47 Project Description: New SF. 12/5/2017: REPRINT permit to remove 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2909 sf Value: $355,527.25 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 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: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 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'I 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 2909 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: $33,938.53 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 A' • -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. am Issued By: I / J --- (;7/i. Permittee Signature: %Li1.:.-0 771-1 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. Plumbing Permit App w Y i.C IV Er) Building Fixtures NOV 2 2 2017 tent 01FI( I t Se ON(.1 Received City of Tigard �-�/p�yi 1 if1H{� Date/By: /a'L -s/7 ' " Permit No. ,5�'o )/'7- eoWe 13125 SW Hall Blvd.,Tigarnka i7Dd Plan Review �/ •'NI Phone: 503.7182439 ��V�S O Date/By: Other PermitNo.: � i ;^it n Inspection Line: 503.6335175E"" Date Ready/By: Jude: 65 See Page 2 for Internet www.tigard-or.gov Notified/Method: Supplemental information -,- . .FFE�QD :':'::.< ®New construction 0 Demolition For special information use checklist: Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft for each utility connection) • CATEGORY OF CONSTRUCTION' . • SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/lcitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION . - Site utilities: Job site address: 6113 7y S UI d l L Catch basin or area drain 18.76 / �' Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear It: ) Page 2 Suite/bldgJapt.no.: Project name:.'!i''me. 7 & l'f' Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear R:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear R.:_) Page 2 Subdivision: 11 FkratG EN- Lot no.:U11 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 • DESCRIPTION OF.WORK• : • _ Backwater valve 12.51 � j �f Clothes washer 25.02 I'Yjj- I a.411c®r heater-MFM permit We Dishwasher 25.02 QM f ))4 hi 6.6 Us(.n/A ' . Drinking fountain 25.02 M 572.011- (J()) Ejectors/s urlp 25.02 ®.3sROPERTY OWNER . 'I El TENANT . , Expansion tank 12.51 cap Name:ADVL Land Holdings,LLC Fixture/sewer25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694.4031 Fax:( ) Ice maker 12.51 : ®.APPLICANT . . .' 0 CONTACT PERSON- Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S_) Page 2 primer 12.51 Contact name: /v i eth ��,,-._'ht a t_ Roof drain(commercial) 12.51 Address: / Alt/.. ... � . ., e 10 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 986,i Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tublshowes/shower pan 12.51 • E-mail:NfehOle-'7hoixO tet hilt' .i.t9t/Y1 Urinal25.02 ' . CONCTOR ' Water aterer oloset 2s.o2 • Water heater 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 56.29 Address:PO Box 207 Other. 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)3240580 Minimum permit fee: $72.50 CCB Lic.:102535 'PlumbiingLic.no.:34-276143Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: ( 4:: ' TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 This permit application expires if a permit is not obtained within 180 days atter it has been accepted as complete *Fee methodology set by Tri-County Building Industry Service Board. I:IBuiMiwIPamiuWLMU•PenaitApp.doc 10101/09 440.4616T(10NO2/COMMEB) „ CITY OF TIGARD MASTER PERMIT •NIg COMMUNITY DEVELOPMENT Permit#: MST2017-00268 TIGARD13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/03/2017 Parcel: 2S106DA04700 Jurisdiction: Tigard Site address: 16874 SW FRIENDLY LN Subdivision: RIVER TERRACE EAST Lot: 47 Project: River Terrace East, Lot 47 Project Description: New SF. BUILDING Floor Areas Required Setbacks _leuire qd Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2909 sf Value: $355,527.25 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 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'I 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 2909 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: $33,938.53 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•A R 9 -001-00.0. 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: I /7-1--t.' g G/ //L-/C1' j-/e i � 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. e 1 13 ) 0 T LI t / uilding Permit Application._ — - .., . ..w a 1,4„lai FOR OFFICE ISE ON LI ' City of Tigard JUN 2 2 , 1 err: 7 /0(0 ,/, Pe mit N S.-a,/2'��- 13125 SW Hall Blvd.,Tigard,OR 97223 _A Phone: 5033182439 Fax: 503.598. �I ` 1 �' Date/By: Plan Review $- - rit Other Permit. c' �y,� or f i co;',R n Inspection Line: 503.639.4175 �UILDi r >f IViSION Date Ready/By: Juris: ee page �—t►CJ � Internet: www.tigard-or.gov Notified/Method: Supplemental Information a 11[0: New construction ❑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 , �.. res, � v � work indicated on this application. dwelling 0 Commercial/industrial Valuation: ® 1-and 2-family $ Q Accessory building 0 Multi-family Number o edrooms: L4.. dIt . a7 Z 0 Master builder 0 Other: Number of bathrooms: 3 krT;¢ 1 1 ,ta s0 Total number of floors:-2_ Joh site address: i1490 iiiS J friend( Lithe., New dwelling area: ,�`, square feet City/State/ZIP:Tigard,OR 97224 K.i 2� ra Ciarage/carport area: (p square feet Suite/bldg./apt.no.: I Project name:River Terrace East Covered porch area_ W square feetj P Cross street/directions to job site: 6�J square feet j as T aTi �clw.✓ l Other structure area: j\ square feet 40J.tr't Subdivision:River Terrace East I Lot no.: q i Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all J -� , d' equipment,materials,labor,overhead,and the profit for the ; � " w work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet yth Number of stones:w ,xi Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy p y groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) �� '�� e� ;. �"r�`� 3�' i W ,v New: Business name:Polygon WLH,LLCZAVfl ' w � Contact name:Nichole Thorpe Structural plan review fee(or deposit): Address:109 East 13t6 Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Nichole Thorpe " i ,( y 4 v , � Commercial and residential prescriptive installation of < ', " , ,,, .. om. roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details Address: 109 East 13th Street and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 • Total fee due upon application: $201.60 Authorized signature: 01, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe I Date:06/16/2017 *Fee methodology set by Tri County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) fit �' t as_� `,. �;�` 0 Mechanical Perm.it.Applcatiol FoR OFricE(SE ONL1 city of Tigard sl t.:-( 2 it 2.017 ) `� . i , 13!25 SW�l t31td.,Tigard.oR 47223, i' t t ti/1.S v�OJ L� �. Phone 303 718.2439. >rax 503•598.19#13y s t 'i Aid/- r•l�i ,---r Plan Review 1 c,.\R D :lrupeenon Lute 503.639.4175 : 1 r F s a n Aa1e 8y: ttrAcr Permit: lospe li �'tr'tv:!grad-ar as. :, e ti +B•= -"" i 3 )axis. is Sart faze T a °r f. '"r ,a t ,, ,#41vhHedRticthod t a t N Soppleartaral tntortnet an r 1 ..: .. 1..:'� .c t__" 5 fAgtii isit8i.1 7 g.;+ t-..} F :_ y `•L �' ! /hM1a4�� pp (�p RYn-''p` .'" {� - ' R • . - s.-..�\, t'+vS'�.e,'. �u4.a)�;t�:±m MfM �'W� �W9S• '`:. New corisfntcGon 0 Addifiattl ilatati0nl p18Gt'ttte3i2. ' !tCechanreat permit fees*are based on the saltie of the work performed."Indicate the value(rounded io•the nearest dollar)°fall 0 Deniolttlott 0 Other iiia tanics1 materials:.'equipment.labor.overhead.and profit. Value:3GlTE(ii.,FtOAS ijoitoii;a t s iRRE .. - 15 BT£41 FE' - . ,--- . S- S -;ELI and fam ly dwelling 0 ContrnerciallindusirialQ Arcessnry building Par special t rjatran ase ehrrxltsc1 tUlft-1atth 0 Master bwer 0 giber eDescription I. Q ty Total .JOB-Sti. ;*01.1�'J 1l* 0 _ ni t 'ilA rita,12k6niii •Air 46.751U5Caid7SS:110611 Svc Fine.nrilU t. e,, City/Staftifil?:Tigard,.'OR 91224- 1 urTtxce IOQ,Ci04 i3T13 rducesnemss db.7S Furnace 100.0 -13711 uciaA z is) 54.91 Stite!liittlg ftipt no:: I Prajtxx unit : h FEeat _ Crass street/directions tolab site: iZWel -Tem(t-. Eas+ Duct ptigils , 61 tt2 work 23.32 1-fvdronic hot water system: • 23.32 • Residential boiler(radiator or 23.32 Unit hatters(fitel-type,not electrie), m-avalT,in-duct.suspended etc; 46.75 -_ Fine/vent for an}of above V 23.32 tihdivision:.K iVei e •1i �.s I-- Lot tta �.1� (Vier Ylrrt 23.32- Oth Other fort a Tax tnapfiiarcel no.: ppftaac'ea£ Water heater _ Ciat rrecislacellnsert_ . ' ' 33:39 2.3 39 ., .., .. ; ,.. ::� - :. 1`�V L fl-t3�t-� f ren acnt for stet heater or gas fireplace 23.32 Log Herter(gas) 23.32 wood/pact stove a 33.34 Wood trrcplacvfnsert 23.32 C7tinmeyilincriffec rn ® ROPERT! OWNER r;. OElier: 23.32 • _ _,. ._ r t.0: l!'t k 2332 tvante:'Pt-R -• '/I .�-}� . Timirnamcaf exbautf and ventilation: ✓�t-1 i D)cI Range boodmother kitebben. Address:;.,1Q 17�_ Di.I.t (- -( f.+°./ Yt G 6 (Z.oc c equipment 1 _ 33 39 Cih'l5tarefilF: _ Clothes dryer exhaust 33.39 ""'tea'.' • •(„rte7�"Z. Singicductexhaust(imfiirootm, Phntte (�Q'L teraet conte trtments,utility roams) 23.32 • �P t� 9.63 1_ Fax:( ) ' - Attic,�cr 1 ... ..�:APPLi34T a1 Ispaae felts 23.32 3 Qr TAIYT.PE11i 3V',: O 2 2_ _ business name t i l I 1 et/VIA t. nt thNrYNeS j T.lf lt� "e D C;oxnact'trattiB_ [t C`I„��1t $14.15 for forst tuna,•5403 for each additional Address ��j� • ��`. L .�. 5 Gas heat puma City/Stine/ZIP S'azlcoln er,S A 4866(6 Walt!snspendedtunif heater Phone,:(360)695-7700 Fia heater Fax::(360)6934442 Firepll ace . I lw 3rtati l �� i r � • _ Rungs _ . , . i �_ # El lhi 'YIe�S , CO _- `R Business haute:AMr LLC Other: Alin. Address:18004 NE 72'd Ave eU NKAL PEtyt<'(i'>t*£Eg* , City,Statei TP;Yampa-ver,WA 98681 Subtotal Minimum permit tae t54t),00) Phone:(360)3+12 8109 • Fee:(360)326-1769 Plan review(2540 of permit feel CCB lie,:203034 State surcharge(12%of{cram[1bc) • TOTAL PERMIT FEE . ._ - This.pandit applirattan aspires It a permit is ant obtained within ISO #ltttht}tiled Si trHfurt!: _ days attar 1r has hens acerpted as complete. • Fee tadhodelito,ret by Tritoutny Haitdiny lndus -Service Barad I Print name: t,7, 44.4 IDate: 4•/1-a,.. 1 1.ilIa-*Izsrot ativadEC_ramlikap Net LI dm 444-161.'7 t;uo.w.tnewriint 1 Electrical PermitApplication ..•.•... .,.,....• .` III � r C=) FOR OFFICE USE ONLY - City of Tigard V 13125 SW Hall Blvd.„Tigard,OR 912' i i ;' ,.c ?tt n t -, plan R : I - Phone: 503.7182439 Fax 5033981060 "Review TiGRRD Inspection Line: �+�1�`* i E "`` `r '�"h`k DauB RelatwPamitf/; spects www: 503.639.4175 '. w, r ` Ready Date/By: Jeri. �- R Internet: Nob(ied/tvlatho la t�3^.-, ,, ,•-X,r -�:z�� _.��"' d' SupplementalPaInformation See for Ia ►��New construction 0 Addition/alteration/replacementr11r37� �� ,��v�'°'�"��a �,��,� Please check ell that apply(subneitl sets of ❑Demolition D Other: plans e throe&Li � V0 Service or feeder 400 amps or more ❑Building over three stdries. b +s ? s C z ? ej e t `3 1 where the available fault current ❑Witnines and ®1-and 2-fatal dwelling k--i- L3 exceeds 10,000 amps at 150 volts or boatyards. Y g 0 Commercial/iridustrial 0 Accessory building SrO nd,or exceeds 14,000 D Commercial-use • ❑Minh fermi less to 3' LI builder ❑Other amps for all other installations. - ngs. agricultural *7$1 .721,3W 'fes " esu iNA a = e�r `t1,4, s � , ❑Bmergenoy system. Q larlarger Seen teISO KVA or Job#. Job site address ` � ❑Addition of new motor load of � ly derived City/StatePLIP: gard,OR 97224 i a a1 1. 100FiP of more. (1•'p�+ •)1 •I-Z",�I3", ❑Six or more residential units. occupancy, � ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: r e,s T i im !+ r r Hazordous locations. Q Supply voltage for more than Cross street/directions to job site: ❑Service m'feeder 600 amps ca. �-` . 600 volts nominal ;�,+i� �,}�� n:� `.-�s; Due .tion i!"Saa +�� ': li Subdivision: r. ' , • New residential single-or multi-family dwelling unit. R ' •• / Lot# Includes attached garage. Tax map/parcel#: 1,000 sq.R or less 168,54 MN' .y, ;.;> s'-�E3f�l.+i,.�G 6 ' +9 ,tom; "'."'�'. ,4 � - Ea add'1500 sq.ft.or portion e■ 33 4 1 . a ;u..i 3.. i, r 'a '—energy,residential 92 1 l I _ Mil witfi above. R 75.00 - Limited en 2 all(with above 111111 residential shoves ,it. 75.00 2 �i,.b-', a`��'�� "�1�M1 -4y"�ES,� .n12 �-54 2Za Renewable En ❑ See .•e 2 Scourers Or feeders installation,alteratio and/or relocation Name,ADVL Land Holdings,LLC 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Address:7600 E Doubletree Ranch Road City/State/ZIP:Scottsdale,A Z 85258 401 amps to 600 soups 200.34 2 Phone:(602)694-4031 601 amps to 1,000 amps 301.04 2 Fax:( ) Over 1,000 amps or volts 55226 Email: 2 Temporary services or feeders installation,alteration,and/or Owner installation:This installation is beingrelocation intended for sale,lease,rent,or exchange, monde on property that I own which is not 200 amps or less ge,according to ORS 447,449,670,and 701. 59.36 _ I Owner signature201 amps to 400 amps 125,08 2 Owner ,, Date: 401 snips to 599 amps 2 �l r[ F "..Y..,= - : .T,. p 16on 2 L c?.3. ,+ _z.., 172 1 E4 . r-s v.:LL�'.�,� sr a ;F. 5T-ZT Branch circuits circuit; t rIa�aL+ 7 'a new alteration,or extensionperpanel Business name:William Lyon Homes,Inc. above service or rt y `` �' ' A for branch circ„its fee, each branch feeder fax, 2 Contact name: 1 p '/ 11 7.42 Address: '?J. B.Pee for branch circuits without,f service or feeder fee,first I Cha'/State/ZIP:Vancouver,WA 98660 branch circuit s 7.18 2 Each addl branch circuit 7.42 2 Phone:(360)695-7700 Fax::(360)693-4442 Miscellaneous service or feeder not include. Finatl , / Each manuigctured or modular Jt !/ d�. ,I AI _ service and/or feeder 67.84 2 7- Wa o r c-! he - - • `_ r Reconnect only 67.84 2 Business Home:Garner Electric Washington,LLC �p ooutlinetllightingcircle 67.84 _ 2 -.. Signor outline 67.84 2 :\ . Signal circuits)or limited-canopy ` . i ' / •: attsrati. or extension. ❑See Page 2 2 Address:t , , City/State/ZIP:' A r Each additional ins.ection over allowable in an of the above Phone:(253)320-1657 Additional inspection(I br mm) 66.25/hr Fax:( ) Investigation(1 brain) 90.00/hr Industrial plant(1 hr min) 78.18/hr CCB Lic.: CI158 Electrical Lic.: 208174Inspections for whichno fee is Suprv.Lic,: 44965 s ecrfi� listed 'h hr min 90.00/hr Sup%Electrician signature,required: • '_°E I rv:� I ' r y% Print name: Joan P Albert • Date: 4/26/2016 0 Plan ReviewRequiredSubtotal: (25%ofpoanit fee): Authorized signature: `� ► State surcharge(12%of permit fee): TOTAL PERMIT FEE; Print name: Bill Daniels Date: 4/26/2016 This penait application expires if a accepted is not obtained within 180 i;:.!!;:-.yI tB. days after It has been accepted as complete �d� 01 APP>> liR&dog Rev ob/17@015 4401615T{l I/OS/CptvilwEg * Number of inapeotions allowed perpormit- Plumbing Permit Applicatine-A ' ', `" y Building Fixtures ,;. �,� i cit t�rrr.lc t Sl t)11.1 >l, ?-017 , �Ir City of Tigard Received ■ 13125 SW Hall Blvd.,Tigard,OR 9 r / '` ` li v`t - k 6 DateBy: _ Permit No.V $7 /^7.'G0 • Phone: 503.718.2439 Fax: 503 598 f9S0 a ,-.+tatty Review Other Permit No.: Tic;n h n Inspection Line: 503.639.4175 d`,11 ; ' ' - a Internet: www.tigard or.gov y I' Date Ready/By: June: 1 @1 See Page 2 for Notified/Method: Supplemental Information ®New construction ... ... - .•�4,-��`� fl Demolition For special information use checklist Description ❑Addition/alteration/replacement (]Other QtY• I Ea. Total New 1-2-family dwellings(includes 100 ft.for each utility connection) . - ..: ,' CATEGORY OF CONSTRUCTION' SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commerciallndustrial SFR(2)bath 437.78 ❑Accessory building IDMulti-familySFR(3)bath 500.32 - ❑Master builderEach additional bath/latchen 25.02 0 Other: Fire sprinkler sq.ft.) Page 2 . ' . • 'JOB SITE INFORMATION'AND LOCATION _ Site utilities: Job site address: I tY e l 1.l S V 1 l Y I e i LAAf\ . Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 917224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_ J Page 2 Suite/bldg./apt.no.: Project name: 12der TP/rraet..-E .s4- Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:___) 1 Page 2 Storm sewer(no.linear ft:_) Page 2 ��ex Tram ce. f .4_ �+ Water seeoriit (no.linear ft.: ) Page 2 Subdivision: Lot no. i! Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 ' DESCRIPTION OF.WORK. Backwater valve 12.51 MS-UR 1-U R 0 O Clothes washer 25.02 I►tDishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®•T'ROPERTY OWNER - J. • 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Address:7600 E Doubletree Ranch Road Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 • ®•-APPLICANT . . . 0 CONTACT PERSON: Interceptor/grease tap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 - Contact name:&)'CkL 0le, WI- 01106 Primer 12.51 II Roof drain(commercial) Address: -1 a3 C rOaDLw Si- sW*C 510 12.51 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 ay l o��: Ot �(`(1P n 1Y� Urinal 25.02 E-mail: C CONT CTOi -tl ` ` Water closet 25.02 Business name:Malmedal Enterprises Inc Water heater 37.52 Water piping/DWV 56.29 Address:PO Box 207 Other: 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 CCB Lie.:102535 'Plumbing Lie.no.:34-276PB Plan review (25%of permit fee) / State surcharge(12%of permit fee) Authorized signature: C`- TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 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. I:\Building\Pennits\P1.MU•PermitApp.doe 10/01/09 440-4616T(10102/COM/WF.B) A INCity of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT I T I A R o Building Permit Review — Residential Building Permit #: 7/4,S ',;.0/--) _U p f Site Address: tlpi3iL Q J Ttieonctlq La Project Name: giVJP.. Tt-12-9-6tce. ttSt41 Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: V( W12. X Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ No la Yes,See River Terrace Review Addendum Attached Site Plan Elements: A-Three(3)copies of site plan tOfxisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"papero0 of .Drawn to scale(standard architect or engineer scale) floorre leva onsw structure(including decks)with finished North arrow ,aUtility locations&easements(required for new and additions) *ite address,project or subdivision name and lot number .Sidewalk/driveway approach .Applicant information(name and phone number) Xot dimensions and building setback dimensions cation of wells/septic systems xisting ees to be N quare footage of buildings to be demolished pot hon me suresretained with drip line,and tree of area,building coverage area,percentage of coverage and Street 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? 'es No _ 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes - pto t- Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified .a No Received: El Yes 0N Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified K No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: ppQ-7.0I(Q -ocopt °mng: 17-'1 CPI)) Required Setbacks: FrontRear g 1 b Side ?j Street Side NIA Garage2D1 J(Landscape Requirement: SO % 32rLot Coverage Maximum: so (y. XBuilding Height: Maximum Height N ilk Actual Height t'2.-ca Visual Clearance NI/A- A Sensitive Lands: 8r Yes ❑ No Type 1 tin/ VPt Urban Forestry Plan ueo �f Conditions "Met"prior to issuance of building permit Notes: r.UY1drhonS SIT Ix Me prlarfio 1.SS DJA' - Approved By Planning: ' ��/1i-t. IA. •- Date: 7l(tol i—/ Revisions (after Building Submittal only Revision 1: 0 Approved 0 Not Approved Reviewer Date Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw RES 061417.docx • Allb Building Permit Submittal i Original Submittal Date: V, + '1 d'l, Site Plans: # Building Plans: # Building Permit#: nter building permit#above. ermit Coordinator ,.... —Building Workflow Routing: Planning Engineering Workflow Sign-off: Sign-off for Tanning(include notes rom planning review) and Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1)building plan original plan review routing form. p"Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: ! � Date: //7 By Permit Technician: I� Al L �.ALL. -�' Engineering Review 170 Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat El Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 1No Assess Water Quantity Fee in-lieu: ❑ Yes ,-No LIDA Facility on lot: ❑ Yes .ErNo Date: CINOT Approved by Engineering: Notes: VA 1 1 f?Zre"-, .rii67, Approved by Engineering: Jk lik-), Date: 7( IJ 11 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved El Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: El Approved El Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit 1.40.•proved,NOT Released: Date: 7-A 3/R' 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: SDC Fees Entered: Wash Co Trans Dev Tax: .�'es ❑ N/A `` Tigard Trans SDC: Yes ❑ N/A Parks SDC: 'e Yes ❑ N/A LIDA El Yes g1;'N/A OK to Issue Permit 721))2 --Approved by Permit Coordinator: Date: I/ I:\Building\Forms\BldgPemutRvw_RES_061417.docx ,A► • City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT 0 T I G A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: 1LQ Lf SV\1 TrI N 1-611-IC Project Name: RA\Iet Terrace ea6± Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?'.Yes El No 1.Articulation: a minimum of 1 element per each street-facing façade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft.deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer El ❑ ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: 1q. V70 3. Entrances:At least one entrance must meet both of the following standards: ... Max.' 8 ft. setback from longest street- facing wall �'arallel to street, angle no more than 45° from street, or open onto porch Entrance opens to a porch:, Yes ❑ No If yes, all the following apply: –N25 sq.ft.min. g..4 One street facing entry —12 ft.max. roof above floor of porch 5 ft. depth min. moi.30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep ,Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide El Roof eave min. 12 inch projection Roof offset min. of 2 ft. El Roof shingles either tile or wood Gable,hip or gambrel roof design El Roof pitch oriented south min. 500 sq. ft. CI Horizontal lap siding min. 3-7 inches wide Cl Accent siding min. 40%of street facade El Window trim min.2 1/2t'wide by 5/8"deep El 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 El Attached garage is 35% or less of street façade 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.XYes ❑ No. If No (Check one): El May 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. Width: (Check one) El 12-foot-wide garage door 40%max. of street facade ❑ 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: Alkilt 06446 Date: ?l(0(n I:\Building\Forms\BldgPermitRvw_RFS_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16874 SW FRIENDLY LN, BEAVERTON, April 12, 2018 at 1 :40:12 PM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00268 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor