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Permit (109) CITY OF TIGARD MASTER PERMIT 1111 S .q COMMUNITY DEVELOPMENT Permit#: MST2017-00265 Date Issued: 11/03/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S106DA04400 Jurisdiction: Tigard Site address: 16944 SW FRIENDLY LN Subdivision: RIVER TERRACE EAST Lot: 44 Project: River Terrace East, Lot 44 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1105 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 1427 sf Garage: 385 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right 3 Detectors: Total: 2532 sf Value: $303,104.27 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100 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: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvpes 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: 4 201-400 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 2532 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: $32,866.95 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 R 9 ' 91-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued 6 /2 14111 iL� ' Permittee Signature: (Y,/°Z-C� / �e7-70'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. Lor L cuildin2 Permit A�ppiica Itis r ..T FOR OFFICE tSE ONL\ ,, ..,4 4 aWit JUN 2 2 2017 Received /% Permit No.: City of Tigard Dates Plan Review AIM�T Other permit: �, j 13125 SW Hall Blvd.,Tigard,OR • 2� r ?(:��t.) rl,'�. II11M11111.1MMIMIMIMIMI Date1B %�' � Juris: "� See Page 2 for Phone: 503.718.2439 Fax: 50*�:L U �\�� , ,f Date Ready/By. Supplemental Information t t C : } n Internet n Line: 503.6 r.g0v 5 �O Noufied/Method: Internet www ttgazd-0r.gov 3's. _ -s" 7'" r-�,- ,i r7: s " ,9s 6.s% F• y t c y ki 7" 1`'' 7 f le, rait __Tsc ®New construction 0 Demolition Permit fees*are based on the value of the work performed Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement Other: equipment,materials,labor,overhead,and the profit •r the work indicated on this application. ,O pis t im Valuation: $_LIfill ®A and 2-familyAccessory dwelling 0 Commercial/industrial Number of bedrooms: " ❑Accessory building 0 Multi-family G�j s� Number of bathrooms: 0 Other: ' �' ❑Master builder �; My v �' Total number of floors:' d 4 1 . 0,Nit .I . square feet IM ' ( New dwelling area: r Job site address: � � �ei �`'� square feet Garage/carport area: S'" q al City/State/ZIP:Tigard,OR 97224 411 I D Covered porch area: square feet Suite/bldgJapt no.: Project name:River Terrace East square feet Cross street/directions to job site: Deck area: feet Other structure area: square Lot no.: Permit fees*are based on the value of the work performed. Subdivision:River Terrace East Indicate the value(rounded to the nearest dollar)of all no.: equipment,materials,labor,overhead,and the profit for the Tax map/parcel " '. work indicated on this .•.lication. '"� K� ,-. 3. {• o Valuation: Existing building area: square feet New building area: square feet ® Number of stories: 6C ��a f7 t ut' Type of construction: Name:ADVL Land Holdings,LLC Occupancy groups: Address:7600 E Doubletree Ranch Road Existing: City/State/ZIP:Scottsdale,AZ 85258 Fax:( ) New: Phone (602)944031 i 1 r � a Business nme: Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Fax::( ) ;7-',_,-7.-:-.,:7:::::7,75-7,- -77::-.14:-,4 ,. � Phone:(360) Z°r°pe z�,: Commercial and residential prescriptive installation of �� roof-top mounted PhotoVoltaic Solar 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 Solar Installation S•eciaT Code checklist. — Address: 109 East 13th Street Permit Fee(includes plan review $180.00 and administrative fees): City/State/ZIP:Vancouver WA 98660 $21.60 Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): Total fee due upon application: $201.60 CCB lic.:207247 � I/ . / This permit application expires if a permit is not obtained PPP Authorized signature: /, , ` L within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Date:06/16/2017 Service Board. &___ I:\Building\Permits\BUP-RESPermitAPP.doc 02/24/2011 440-4613T(11i02/COM/WEB) .4 . il, Mechanical.Permit Applicatain-' '-' -- FOR(if!ICE. 1_SE()NEV City of tgard rig:,I 9 6 ?_011 ' .1)„,emr. itimill 19X,i'Vei/7--61),26-5-. —1312.5 SW Hall Blvd Tigard.OR 9 • ..'."' Plan Review phone .503,11g.2439:Fa)C.'$03-598.1960 .,, ,,,,.,.s.,4,,,,, ., -„... .D,Recc, le,.:cdr. Qatar l' tit: 1 I cr,mu) lnspeetion Line: 503.6394175 Call 01....' 121 C..7:it.4.-%Ii4 "'two Re04- ' Jusi?i, I lig Set Page 2 fur _ ittiontot: sviviv.tigaid-orgoie ••••• , `,,„--, ,,5 v ' ..pi,maNetiftedtMethod: Supplanting!information*uff i1iN?, ,,-,-,v..,N,.,,,),„ .. „,:,.,:i...,.., :,-, ..-, ,,,,,-,,.:-.:. .4,A.gi:•-vzfa.,-:;zt:i.F;.;it-,A.,:..5m,;gt_;._ti.ji,t.iso:-ik::gjg;.':.f:gx:; .4:. ,':,..4fp:tf:;iqtr .:.24;..- '.:,'.•;.,;.f.L,V,0fit*.1144.•0....W.O.e..f;.001.0(14: 4*P,i0.41.9.1.7-2,.',;ff ,..„, • ' '• - Mechanical permit fee-some based on the value of the work El New construction U AddilionfttherationfrepInotutient performed:Indicate the value(rounded to the nearest dollar i of 0 Dculoiition 0 otimr mechanical materials,equipment labor.overhead,and profit. Value;5 ,.....„.:, ,..;:.-44,: 1.Z.. ...7 :.::;-4.•;-,,1-'•;;--..;..-?.r..11fi:-..1-:, , , •-f,:l..:.";.r..•-:;,',.. ...:.t,'.-" ..'7.4t3.'i'' •:-1;:--giVET,C,Q#Y.,:]'..9f>‘:-ColsigITy.ml4f:,7,,,,. .=1;E:,;:,,,..:::‘,!:7,.:.,,,-,-.4=.7-....;,..i,i.,:- • IiitstialiTipit.:E:tilfwilPtris):: ...11*:fas,tiLos'•;4?: .72Ci-and 2.41tittilY dw8lling 0 Corninerdiallindustriiti 0 Accessory building For vedal information mse ciiralia . ....._. , .. . I Multi-family. 0 Mater builder 0 Other Description _._. . _Qty. I Ea. Total 46*240*.:,*.0#14:400::Ti"4*;:f.).04.14-0'.*:'4,f4§'-4:-2g: :::-;i::!';;4'I '. neat!nglilwalW - - '— 1 Air eenditioning 46.75 * 40add103:....111901q14 541 Flne,n6V4 L , Furnace 100.000 BTU.(dueiskents) 46.7$ City/StatefilF:Tipp:4..0k 07224. Furnace ItX1.00(14-..BTU(doetshonis) . , 54.91 .... .. . _. Real.P11M.P „ . . 61.06 , tiheibldgitipt no:: Pinn ikive.r Te_tyrur. 6.0,s+ Duct work . ,..._ 23.32 Cross streeti4ireelions to job silo: 23.32 - 17/..,4=arbottil'aetreaecu r(radwiatoi:or .,. ' • . _ hydronict .., 23.32 - ._ • . _ . . " Unit heaters(fuel-type,not electric), . in-wail,in-duct„suspended,ma. 46,75 .. . , ..___. ... • . _ .. , Flue/vent for any of aboVe. I- 23.32 - • - .0ther - 23,32 ., . , SubdivisOlt 1 I V tile Tilritir..-.i.eaS 17- . " 2.. Lot :L.1.4 ' 011ier titel appliaittii ..,Taxmapfparrel no.: Water heaterI 2332 ,2 -1.:"4.,. ;:,7,..; ;;;;;',2.* *•;:',.. ;',.•;• ``g:'-',,.•6.;':-.:;.*t*714t13-Wi.•"1;?R4'Y-° "?:`;$i•?';••:J'.5•40. ..::''••VZ:",•••:; `".;i4. Cas rIrplaeiinsert .-Y Fine vent for x heater er-tss 1\ASTIA1—k)01./Pc- Brenta= ... 2332 .Log lighter(gas1 2332 • Wood/pellet stove 33_39 - Wood fircplaccrinsert 23.32 Cliitztneyllinetifluchaan 23-P- .' • .;-,...... 4,1J0-0.****:-._OWP4t. . 4'...L:: 9-.•::: :-;•;; ; 1;•i*g•...i.-;rtf` -,:.;b:::4* ,*$,i..-i':':''.i4-i: A .:)-P.',.-42332'...•:.: QflEtniel.:meets,exhaust nod vex. Name:"it D v t-•trkeld.11D i ICI log 5 LLC, Range hot:Weather kitehen . eetimment ) 33.39 Address:..--11p OD- e 0 Diklo tc.M.e. (2/1..n c.f.] 12-0a . ,ci . _ Clothes Myer exhaust 1 * 33.39 • ; City/Statq_11LScithsF.: . 44 it zz222.2sB Sing4e-duct exhattst(itathrtmtns, L.— tact compartments,utility moms) 23.32. _. Pl"q. 1.,OL (el H. 9'63 i Fax:( ). . Atticierawlsnace fans 2332 .,.'...:.,``.-•`Y.....",,;r4.1.011'.4i',4:4104' ...A•4::=•'4.•- 1•':• ,7.i -::-:-.,-...t=",.:::: :i•i3,‘.i.c***10:i;).-tiii0ii.i!ii..:.;%,:- ..::::: "'her: 23.32 — .. i . Fu1& p_. ..g.i._._________._ Bwines nanle 'at 13Y 1 i(1, 1 VA.(or>. ti-a\r\e-S Linc_ sitis far ant fouMr;SAtor earb additionil Contact name: Ni chve._:-T-IsAogx..., — Furnaeo.etc. Gas heat PUMP Wallisuspendedfunit heater •CityiStaterLIP:Vancouver,WA 98660 Water heater , Phone:{360)695-7700 Fax::(360)693-4442 E-Mail':i ' ,Alti ii i 1.1_, ti • .1)1frliy.yyz carY\ Barhenne ..,, . :i ..:.,f,. ,-. ;,.,','' t,:47,S:-.'.';1._'''',""t'.-.: :'ii.:_i''n::4;i;.Cira...:„i4" :::f'.U.5:,:itif:: -..r.:-A::,': Clothes dryer tpsi Business name:Apex Air LW Other : ,..7.1il.4::L-,* :P.400*-W Address:18004 NE`7244 Ave Subtotal . . .. City/State/ZIP:VantOtiver,WA 98684 Minimum permit lee(S9000) Plan review(25%af permit feet Phone:.(360)342-8109 Fax:(360)326-1769 State surcharge((2%tif permit fee) ' .. ... . . . ) CCB he' .:2(13034 TOTAL PERMIT FEE ' , ,.,....... ., .. . Tit. permit application expire*:if s permit is not obtained within Inn days alter it hat.beim accepted as complete. ,,. Authorized sipat * Fee inedvdakvysct by Di-County Building Industry Servicelloard .. .. . . , ... •• - Print name: I gel_ Date; 4.11. . . liflaildmtPcoaatalEC_Pennikap 0M113 am •444-4a17.71)unroNvwrIa) Electrical Permit Appincati etc K-/''--'-'; 'M . . • • , .. FOR OFFICL,USE ONLY. City of Tigard Received IZZ � 14 v 13125 SW Hall BlvdTigard,OR 9722 t:1 2 r 1 Dates I�'Lsl� /IIMI ' 2` Phone: 503.718.2439 Fax: 503.598.1960 RC78w Related Permit . .. Da crit S: Ins '" 7 x:` Inspection Line: 503.639.4175 .. r ` ,~ n 7 TIGARD � : � ^,y' � ,�=:�11kv:,.+' ReadyDataBy: lurk: E9 See Page 2for Internet www tigard-or gov w Notified/Meth c v x °d Supplemental Information 4.' a -.".ai��E :,-;; �`�.x�`="��^+ r"��+,'�" :5-"`-� pa•.'`?i`.3d .,,,t„,,,, c��c",i G �,�ii* e'�' -tiv, ®New construction 0 Addition/alteration/replacement Please check all that apply(submit a sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three etdries. ❑Demolition ❑Other: where the available 1•10tins end boatya rdsf' y ,. ITA'fe. aa toi f-til 6 w 3 t; exceeds 10,000 amps at 150 volts or mg buildings.and 2-family dwelling 0 Commercialliridistrial 0 Accessorybuilding to ground,or exceeds I4,DD0 D Commercial-use agricultural ❑Multi-family ❑Master builder 0 amps for all other installations, buildings.• '� '''''.:�?��,o. .,.g�'xrzl--ct-.�.:�,.ts�-"o '' '‘`'*u4.::.'—')-5: <rQ1 �tier._ �`4 ,` ❑Firopump. ❑hrstatiationofi501CV i-'::41.1'. !_H ,,, .'yO• ` 'ti.�' ❑Emergency system. larger separately dor '" '~ p� ..,:__:. crate dart Job#: Job site address:1 �tf- So f•)e. I ) Lane, IOOHP or f�motor less of system. City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy, ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name:gIklek.i 1 &e C*_ ?r` OHazardouslocations. 0Supplyvoltageformorethan Cross street/directions to job site: GC ❑ `ice or feeder 600 amps or more. 600 volts nominal Description Qty. Each J Total .• New residential single-or multi-family dwelling unit.Subdivision: fz4yI�rTLTf%F- "Ees'}- ILot#: y Includes attached garage. Tax map/parcel#: 1,000 sq.R ass I !1X ci a �g s ~'a 5 v Ea.add'I 500 sq.ft.or portion 4 I68 54 4 33.92 1 �A -} ,r� �^ s Limited energy,residential (V4 Sr ' i -* ()viJ (with above sq.ft.) 75.00 2 Limited energy,multi-family . residential(withabove sq.ft) 75.00 2 1�< �icasw �s�' t � , » , _ °4F� ' : � 'va+:r _ rte Renewable Energy 0 See Paget Services or feeders Installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 20D amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 40D amps 133.56 2 • City/Statim:Scottsdale,AZ 85258 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:(602)694.4031 I Fax:( ) Over 1,000 amps or volts 55226 2 Email: Temporary services or feeders installation,alteration,and/or Owner installation:This installation is beingmade onrelocation intended for sale,lease,rent,or exchange,according to ORS property7,449,670 and 701 not 200 amps toor 400Iess 59.36 I 201 amps to 401 amps 125.08 1 2 Owner signature: Date: 401 amps to 599 amps 168_54 A 9,P u�%?t t 5 .. , „ r g �; znfrt`r 1;"9 a Fa Branch circuits-Be,'alteration,or extension,per panel 2 "'"�`��"� A,$ee for branch circuits wtth Business name:William Lyon Homes,Inc. above serviceor feeder Contact name: Ni eh 0� flee each branch circuit 7 42 2 2 Ie7 R B.Fee for branch circuits without Address: 03 - service or feeder fee,first ' `^'�""""euil S 1 S�/( tti `� branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone:(360)695-7700 • • I Fax: (360)693-4442 Miscellaneous(service or feeder not included) Each manufactured or modular Entail.". h (� / ` dwelling,service and/or feeder 67.84 2 2 - t k z '•-r' s;g ,A e O Reconnect only 67,84 u, M Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 r_.. 2 Address:t j OZ \1 a`►[} \ Signal stento nor limited-energy ❑ See Page 2 1 1 liti� ��` � panel,alteration,or extension. � 2 City/State/ZP:•ljtku��i4 p in I, { Re?4) Each additional iaspecfion over allowable hi any of the above J 1` Additional inspection(l hr min) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/br Email:bdaniels@gwensa.com Industrial plant(1 hr min) • 7818/)/2 Inspections for which no fee is CCB Lic.: CI158 ( Electrical Lic.: 208174 I Suprv.Lis,: 4496S s._c. : listed 'i4 hr mils) 90.00/hr ~ ,.-'.t.--..,:;02-,47- :,'t4ry ' F Cl- ; ar :ala, .Suprv.Electrician signature,required:77-7 .11-,..--R-, / Subtotal: Print name: Joan F Albert •- Date: 4/26/2016 0 Plan Review Required(25%of permit fee): _ _ State surcharge(12%of permit fee): - • Authorized signatui e: r_ � TOTAL PERMIT FEE: ::': Print name: B111 Daniels This permit application expires if a permit-is not obtained within 180 I Date 4/26/2016 days after It has been accepted as complete. 2:t';LlauldigglPermin1ELC Permltppp ERRdoc Rev 06/17/2015 44O 4615T(11/o5/COMIwaa * Number of inspections allowed per permit Plumbing Permit Application Building Fixtures ri ; ',4 ;a 201./ 1 OR Oi l I( 1 t s1: tivi.1 City of Tigard , nn T 1 , e1 > ReceiICW g 2.r,.. ' k , Date/ Permit No.Mf 74 ■ 13125 SW Hall Blvd.,Tigard,OR 722 R ' 7 i 7-to,?6-,j s Phone: 503.718.2439 Fax 501 841 i 3 :'‘,7,„, ""r Inspection Line: 503.639.4175 ",N' ''"'" DauJBY: Other Permit No.: T I G A R D Internet: Line:www.tigard-or.gov Date Ready/By: rums: RI See Page 2 for oh e Supplemental Information 2:1 New construction .��::�;";;� � •.:R;.�.;':�t�':,:° 0 Demolition For special information use chemist DescriptionII Total J 0 Addition/alteration/replacement 0 Other. Qty. Ea. _ _ New 1-2-family dwellings(includes 100 ft,for each utility connection) CATEGORY OF CONSTRUCTION• . . SFR(1)bath 312.70 ®I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 " [3 Accessory building IDMulti-familySFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler(_s4•ft.) Page 2 . ' JOB SITE INFORMATION AND LOCATION ". Site utilities: Job site address: 1 nC t4 1 Svc l Y i e y Y �-N 1 " ,` ' f L „lA n� Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywall,leach line,or trench drain 18.76 JJ Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: P,;Ver er Te.rra e,- o$.4- Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:__) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: (?•/P.r Terra ce. fns L'T-- I Lot no.: L4 1„i Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 DESCRIP11fON OF.WORK. Backwater valve + 12.51 /1/1I (`�1 1 ,r1,1s" Clothes washer 25.02 j/V U� Di• shwasher 25.02 Drinking fountain 25,02 Ejectors/sump 25.02 ®.PROPERTY 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 • ®•.APPI:](CANT . .' 0 CONTACT PERSON. Interceptor/grease trap 25.02_ Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Contact name:.10 1 C1h D it Th t�� jj""`'gyp, rimer 12.51 " RRoof drain(commercial) 12.51 Address: 1 03 r��Oa r 1„"!al .St 51A.A,k.� S`0 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,4 �W^A 98660 J Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:.�4 Cho k ""nom O' oinQs.CITh Urinal t 25.02 r l r CON. RACPOIt .��C Water closet 25.02 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-)324-0580 Minimum permit fee: $72.50 CCB Lie.:102535 ('Plumbing Lic.no.:34-276PB Plan miew (25%of permit fee) Authorized signature: \ State surcharge(12%of permit fee) - � 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\Pemtits\PLMU-PemdtApp.doc 10/01/09 440-4616T(10/02/COMIweB) _1, I City of Tigard 14 1 COMMUNITY DEVELOPMENT DEPARTMENT T1 cARo Building Permit Review — Residential IF Building Permit #: ,4! S7 o/7 o,z6 Site Address: / 65 2/� S iv f e.%en L a , Project Name: ,R,t, ,- j T ,"rct C e ,s.1-- Lot #: Lial (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Af4 FR Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ No , Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan $E sting structures on site t)to plan must be on 8-1/2"x 11"or 11 x 17"paperootprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) f_lo elevations North arrow XJUity locations&easements(required for new and additions) , Site address,project or subdivision name and lot number X�Sidewalk/driveway approach FgLoplicant information(name and phone number) I—IT fICa*inn of wells/septic systems t dimensions and building setback dimensions lExistipg trees to be retained with drip line,and tree square footage of buildings to be demolished pr ection measures 01 Lot area,building coverage area,percentage of coverage and Street tree size,type and location )mpervious area(applicable if R-7,R-12,R-25&R-40) treet names AaiProperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced?..2Tes El No 4 foot differential) If 4- ,�°� yes,is a storm water quality facility shown? ❑YeseONo �G✓ e Clean Water Services—Service Provider Letter, of platted prior to 9/10/1995): O-C S "i5'e''1 Required: ❑ Yes,applicant was notified ,Id'No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: PF/;o i6 60677 Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake 14/Land Use Case#: PD 0/(`z- oOio/ .,12'Zoning: R 7 (j ..Required Setbacks: 1''ron£ /Q Rear i b Side & Street Side T Garage :.--,..)a Z1 Landscape Requirement: )0 % ,.2"-Lot Coverage Maximum: >6 % '`Building Height: Maximum Height of A Actual Height .B'' �isual Clearance / Cr-Sensitive Lands: ❑ Yes .2 No Type ,12rUrban Forestry Plan eia Conditions "Met"prior issuance of building, permit / f Notes: r p AJ 01, ,'U /75 .CAR / ,31(-2-71 ,-, 0 l 7,-) ,S S uo r,G e, Approved By Planning: � Date: 7/6 / / Revisions (after Building Submittal only) Reviewer late Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvwRES 061417.docx Building Permit Submittal Original Submittal Date: 612 2/0 Site Plans: # Building Plans: # Building Permit#: ` nter building permit#above. Workflow Routing: r- Planning gineering Omit CoordinatorBuilding Workflow Sign-off: v' Sign-off for Planning(include notes from planning review) Route Application Documents: P Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. L' iluilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: iii4 ;t% ,,� Date: ?/D/0 Engineering Review o� ea-Slope at building pad: 4 ! o ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat k7'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes .E(No LIDA Facility on lot: ❑ Yes ,0'No ❑ NOT Approved by Engineering: Date: Notes: WT 1 vtk► . 6i (51--A't( 779 /SSOL. Approved by Engineering: h'l 1 i� tJ-J- Date: -1 I 1/ i 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit pproved,NOT Released: Øte: 3/>"---- Revisions 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: 1I1.DC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: ►:-Yes ❑ N/A Parks SDC: /WYes ❑ N/A LIDA ❑ Yes ig)N/A rOK to Issue Permit /1 .Z /7� A roved Permit Coordinator: `l7 D te: PP b Y I:\Building\Forms\B1dgPermitRvw_RES_061417.docx a City of Tigard III M COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: j(pciA Ste ,.;e,-,d4 L0,,e Project Name: R;frP - Tee-race F a_s+ Lot #: 1.,'9 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.0701): Is the project subject to the plan district design standards?,-Yes El No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer X Cl Cl El 111 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: I 0 3. Entrances:At least one entrance must meet both of the folio ng standards: teMax. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes Ill No If yes,all the following apply: 45 sq.ft. min. One street facing entry ft.max.roof above floor of porch E1 S ft. depth min. 30%min.porch roof coverage 4. D ailed Design:All buildings shall include a min. of five��of, the following elements on all street-facing façades: Covered porch min. 5 ft.wide x 5 ft. deep Y1 Kecessed entry area min. 5 ft.wide x 2 ft. deep El Wall offset min. 16 inches El Dormer min. 4 ft.wide ,,0 Roof eave min. 12 inch projection Z Roof offset min. of 2 ft. El Roof shingles either tile or wood 4ETGable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facadecel Window trim min. 2 1/2"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 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall..❑ Yes ❑ No. If No (Check one): .D May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ...D 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) , ❑ 12-foot-wide garage door p 40%max. of street façade El 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: -,..-;: - �, _ Date: 7/4/17 I:\Building\Forms\BldgPemutRvw_RES_RT_062216.docx -1, t City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT ■ Building Permit Review — Residential TIGARD Building Permit #: 7jiJ Si ---- j/7'062aZ6' Site Address: / 65 ...S- F-r'e,- L a Project Name: R,vep' l Q ✓'('a c e L=a s71- Lot #: L/1f (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Mei,LJ 5FR /27//f 4.6 ,,9-770 ee- r'E7& _ Verify site address/suite#exists and active in permit system. VRiver Terrace Neighborhood: ❑ No ViYes,See River Terrace Review Addendum Attached Site Plan Elements: Xrhree(3)copies of site plan xisting structures on site .,/ lg.'Ate plan must be on 8-1/2"x 11"or 11 x 17"paper / ootprint of new structure(including decks)with finished / rawn to scale(standard architect or engineer scale) flo elevations North arrow / U�tillity locations&easements(required for new and additions) Site address,project or subdivision name and lot number rdewalk/driveway approach , plicant information(name and phone number) FIT r,ration of wells/septic systems /ga t dimensions and building setback dimensions Existing trees to be retained with drip line,and tree .----leiquare footage of buildings to be demolished pr ection measures /, ot 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) / treet names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced?,O'Yes❑ �No Gs 4 foot differential) If yes,is a storm water quality facility shown? Yes 9/10/1995): ' Clean Water Services—Service Provider Letter of platted prior to 0-C-.7 `mss / equired: applicantReceived: ❑ Yes El No ❑ Yes, was notified No y� ✓ Public Facilities Improvement(PFI)Permit: pr,, z916.469 1`/ Required: ❑ Yes,applicant was notified El No Applied For: ❑ Yes ❑ No,stop intake /(/Land Use Case#: No i 6 - OOZE /2--Zoning: 7 147) Side Street Side Q Garage,/Required Setbacks: onpRear i b Q /Aff Landscape Requirement: () / ,❑"'Lot Coverage Maximum: >6 /.213uilding Height: Maximum Height /1V Actual Height ` tsual Clearance ,' Sensitive Lands: ❑ Yes ...a-No Type /,Urban Forestry Plan / Z Conditions "Met"prior/ o issuance of buildingpermit '� �'�� JCS lS ��nG�, Notes: C 0/1 Gist, U ✓7 5 ,Cil a// F'1'2l 7 Approved By Planning: `,,G- ---� Date: 7/47/7 Revisions (after Bing Submittal only) ,�Revie er < Date Revision 1: L°fl Approved ❑ Not Approved 1 r'-ill Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved El Not Approved I:\BuildingTorms\BldgPennitRvw_RES_061417.docx 1 i Building Permit Submittal Original Submittal Date: ( i2 // Site Plans: # Building Plans: # Building Permit#: r nter building permit#above. Workflow Routing: rz Planning Cgineering C 'lirYmit CoordinatorBuilding Workflow Sign-off: Ili' Sign-off for Planning(include notes from planning review) Route Application Documents: Pl.-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. [ uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: A-44-Pf/Ci:/41(-44Date: 7/p/j) Engineering Review o� ,Er Slope at building pad: 4 /0 ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes .'No LIDA Facility on lot: ❑ Yes ,2No ❑ NOT Approved by Engineering: Date: Notes: 1,0k1'1— Mt% 6434 Off /.55.00.. Approved by Engineering: y11 I K i2— t)-)- Date: 7 I I V t 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit pproved,NOT Released: Date: ,3�/�""— 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: lif.DC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: ►: Yes ❑ N/A Parks SDC: 'Yes ❑ N/A LIDA ❑ Yes jePN/A OK to Issue Permit �r ). /7---- Approved Z- Approved by Permit Coordinator: Date: • I:\Building\Forms\B1dgPermitRvw RES 061417.docx 3 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. IIICity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT T ITransmittal Letter T l i,A It D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Dianna DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Tom Dicianno FEB 2 6 2018 COMPANY: Polygon Northwest CITY 0 T` t�L�NNlNG/Et.iGuN=LrNG PHONE: 503-577-4160 By: (. RE: 16944 SW Friendly Ln. MST2017-00265 (Site Address) (Permit Number) East River Terrace Lot 44 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: I seription: 0 Additional set(s) of plans. 3 Revisions: plot plan- 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 3 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Covered rear patio. Please pay fees owed with Trust Account. 1,H4 FO OFFICE USE ONLY_, Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑ No Fee Description: Amount Due: . ` AJ ) "4.97•1 / >U'i 0-7 $ $ n $ Special Instructions: Reprint Permit(per PE): 1=1 Yes No ❑ Done Applicant Notified: %7,T Date: � �j W 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: 16944 SW FRIENDLY LN, BEAVERTON, April 19, 2018 at 12:13:45 PM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00265 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16944 SW FRIENDLY LN, BEAVERTON, April 18, 2018 at 11 :03:32 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00265 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16944 SW FRIENDLY LN, BEAVERTON, April 18, 2018 at 11 :02:38 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00265 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Provide protection Ballard for water heater in garage. M1307.1 All else appears ok. Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16944 SW FRIENDLY LN, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00265 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16944 SW FRIENDLY LN, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00265 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Corrections complete Collected Moisture content acknowledgement form Moisture barrier acknowledgement form High efficiency lighting form Air leakage test report Left C of 0 on the counter Violation Summary: Inspector Contractor