Permit (108) CITY OF TIGARD MASTER PERMIT
71COMMUNITY DEVELOPMENT Permit#: MST2017-00379
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/31/2017
Parcel: 2S106AD09800
Jurisdiction: Tigard
Site address: 16826 SW LEMONGRASS LN
Subdivision: RIVER TERRACE EAST Lot: 205
Project: River Terrace East, Lot 205
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1744 sf Value: $220,629.93 Rear: 3
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
0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1744
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Fire Rated Eaves-Both
STE 1 Sides
SCOTTSDALE,AZ 85258 3 No openings in wall for
PHONE: 602-694-4031 PHONE: 360-695-7700 fireplace<3'and fire rated
FAX:
Total Fees: $31,007.35
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: :„ Permittee Signature: !K-r lli j0l e',),7
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.
Building Permit Application _ 4 0 _ 05"
FOR OFFICE I SE O`IX
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223 JUN a� U I( DazeB : ,� �/� 'ermit No.:
Plan Review ! ���, '
Phone: 503.718.2439 Fax: 503.598.1960 Y �-�tx;:G.p� DazeBy: O, C-.. 17
Other Permit: /e.oi2 50 F
I i(;,,,,i, inspection Line: 503.639.4175 . �' �}y� Date Read �`+AV —45
Internet: www.tigard-or.gov ��""V C' �1`�13S4ilN yBy' �G //�7 ' �: .. J ;s: I H SeePage2for
Notified/Iviethod: r SupplementalInforma6on
°te a /1— 41/ c",Lc
- -
New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other:
equipment,materials,labor,overhead,and the profit for the
� r �A � `, 1 work indicated on this application.
® 1-and 2-family dwelling 0 Commercial/mdustrial Valuation: a i f 5iei
❑Accessory building 0 Multi-family Number o bedrooms:
Sao a
❑Master builder ❑Other: Number of bathrooms: J
,: - � .. E � � Total number of floors. L
Job site address: ' 1 r , 1 3W ' rnll,/y yy�sc , m° New dwelling area: I 9 square feet
V� l.'tUl 7 7� q
City/State/ZIP:Tigard,OR 97224 Gara e/c
g arport area: square feet
Suite/bldg./apt.no.: I Project name: riVCr 'rerraCL E,,,1
��T Covered porch area: square feet C13 9
Cross street/directions to job site:
6 square feet 48 1,;
Other structure area: square feet
Subdivision Rivtr TeEast-
rfacC, I Lot no.: 20�' Permit fees*are based on the value of the work performed.
Tax no Indicate the value(rounded to the nearest dollar)of all
gi map/parcel, � ;4"--'-:- equipment,materials,labor,overhead,and the profit for the
4 , ` - = work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
. �_ ..� 1 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
�� , �,�s,�1 ���� - New:
Business name:Polygon WLH,LLC ,
Contact name:IMA- O1L I r' vey Structural plan review fee(or deposit):
Address:109 East 13th Street t r t wird�-' 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 marl
O G� 1� rle, ^ >, ,, �� J �77 Yc L-r v�Ag Ott. -rz .
r �s4;�-, 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
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
Phone:(360)695-7700 I Fax:(360)693-4442
and administrative fees): $180.00
CCB lic.:207247
State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
�t within 180 days after it has been accepted as complete.
Print name:MICC / v itteir4
Date: //'7/� ] *Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Afethaurtal Permit Applitittiiiii:.? --- ' ' - FOR OFFICE ISE 0\LI
• '• '
City oftgard _ ,-,-;1. 4.) .14 2017 -Received
Tiatellly: .
Peal*is‘i:I.Xr712-01 2-C t 1 3 79
.114 , si,„sswitatalyL,Tigantott vr.,w-y„ %. -
Flan Review -
It' 'Phone"503718.2419•Fir r 59.1.59S;196(1 -,, Ditelliy:• ' Other Pena;
:t-t D •.*Sfa.561!.Line . (L.I.'45394 ITS
Inlaniet•wmi.tigatolorzgost '- '-' ' ' — ' . Nr4SedIvIetboct' Supplemental Intermatian
.: ...f..4-11.14,--Ti‘gient.a5A-S:41:48+$0.ilSiftitil#13.*:0,1044Vint.FP41,0-..i: '!' r140/*-Vt"P*VgV.0:E-91SC:!-H1'4k4-4gAV-kkOttfC-q4*t.:'''-•
tviechamcal petted fees*are based en the value of the work
it..I.New construction 0 Additioniateratioifirelditeertient partormeclimlicate the value&minded to Vic neatest dollar)-de
0 Den:tondo* i:i ditic,r: Mechanic' al materials.equipment.labor.overhead.and wont.
Value:S
•-:.x.':.::;a.74;,, ,7,4"&,e-,,r7-vr*-• rt'''-`n"i",v;'.-.45',0iiialict.'diti-#.1Z-! .':_-7,';;;-;i:547,ri-.1,7i*W...'-5.::•:. ,..=, - = ..----..-, •• -------------= ---------- „ •- - --
T.."4:47-:77.774eititn-fdz"-•1 ,,m..2...:,.. -..-. ;---f...r:......r... ,._.., -,---!;;,--!:-,'.'-;=:,Ti,,''(-4•--i-:,--t-Ny.,"7," 1,!$;!_-,445!).) .:01.744AfrWIPtagittplyitrtmCC-1-4N-ki4;ei
I' 1-'and 2-fain4&Veiling. 0 Coduriernialtendustrial El AtveSsQty building . For vecird 1401.m:sloe use elseklist.
• -i• -
.I Militi-tifiliiy, 0 Master bld1C1e.r. 0 Other- . De.ociiiiibit. . j. chy. I Ea. I Total.
• ..••,4,.--;--,, Efeatingitrailtsc
:413-7::70ifti'AV-I'lli4.#:**71*.04.400401V.1.fif#5.M.44;443.$03F--'' - ,. . -
Ak ionditioning . _ 1 46.7S
)054-addr•essH /02J/2 Si Lern6Avass L( XtLI ?Linea 100.000 Ellif-dortants)
.C1191Staitirai11gark'OR 072* Furnice 190,09(WBTU FIttelvivventO
.Hettl.pimp _. _ _ _61.06
taitelbldg.hipt.tic:. Pt:eject riaiti OF vey- .
-4 I. . D .4trh • 23.32,
Cross streetidireetions to Jab die: ,Fivdreatitt lint wafer system . : _23.32_
* - - Residential holler(radiator or
kvdronic) .. . 23.32.
Unit heaters(thel-type,not eleetriC).
- : - -
in-wall.in-duri.SusPetided.elo• 46.75
•
•
Flarivent kart!of*gave. 1 23.32 • _
Subtilv2 ..rm. i : ---,
" .
a
— -
' LOr 110.:: 111, Other
_ ....,
Other furl appliniteis: • : • ...' ..t.
Tormapipareel no.:.
Water beater 2332
ii%51,F:.1;1§:;.11.4.•V,4:;§;it*::4:Z1.#--000.1.00t..0;1**,4e-i±:t4ZW".40_4 ;:::.'•,'"A'::• • Clas 61. 11aCertetsert —-- — 1
33.39
' Fluevent Oar water heater or gas
M517,0 )1''' 01X19 &enlace 23.32
Log Ittillor( ul 2332
Woodtpellet stave 33.39
..
Wood rtreoboorolsoll 23.32
Othriney/linerfflnevera
23.32 •
23,32_
:.1.;•.',...:*.--4.;1;•..:40etl!0ftiqit.09.f4C--f.;',.:''..:f..i14.W.;40--atitOtT06W .3ti .. ME 4'r: rueigalab„st awl nvoistion:
Nathe:*DV L- -t-eillet-OD)011(1(4 5 LLC, . Range hrialfother kitchen.
- . 1 .
/ . • •
equipment I 3339
Adliress::71t4)OD- 6 0 Di,u/ft.i1 .,_ (24.0 el/4 izzar,/ _ . Clothes dryer exhaust LI '3339
CitY/StatePP: - II •Ok da„fr,__IiPt .
. ..tis. VI Single-dust exhaust Oxlihrooms,
tokt compartments.utility moms) 1." 23.32:
Plaine' .0 r' h For( ) Attlekrawlspace fans 23.32 •
.,.';.-'.....*:..-;•:,-- ..:,034:00.00-1 .7.'. •:* *,,:''; ,': Other ..4 23.32
• Fuel Pipiait,
Bilsilles'!-Ratne 1 110 i 1 i ilIVNI S.{DV\ thnr\eS 1 DIV,- stirs far ttrit fair;SUS far end additional..
..
Con tnet itamqi I\1,4k4(AIN?,-Tv
.. FttfilM.et. I '
MdreS5: 1/21. 1baricilOCIA4 c-r sk)41--e„ -1t). °4-1—P-m------------------beat . .
* WallisnsPendedfunit heater
-CityiSrate,2,11):Vancouver,WA 913669
. Water heifer'
Phone:(360)695-7708. 1 Fax:: 360)69.1.4442 Fin:Mace
- . . .
. . 1 .
&mail:me ito k_ 7.-Th8
, .____. . • _ . ! . _ilkePt iqgPalOtiLAD8„ arkee4 " . ..
. -
- -
-Othr.4. . • , . ,
Busittesinaree:Aim Air LLC
. . -?3Cli..71:4-41S104**400.1***44‘!;'.?4:•!•••;-4-;f':-_-.,--.i--
Addresi:18004 NE 7r,Ave
Subtotal
City/State/ZIP:Ventouver,'WA 936E6 Minimum permit fee 490.00,1
Plan review(25%of permit feet
Phon (3601 3424109 f Fax:(360)326-1769
Mare=Anne(12%of permit fee) '
GCB tic.:'203034
....„4_____
.. ...... .. TOTALrgionT FEE
nos perntd applicatton'ewes if a permit is not obtained within 100
&pother it has been accepted as romsdete.
Authorized signature:
* Fee methodology str by TeoCounty:Bnlithns.Tadash).Ursine:Said
I Print name: tel, 1 6are; 4- 14... 1
1 knitildtneerinitaltr ft:14E4p rAttl I)dm 4:14-107 0-1/01/COMania 1
J
Electrical Permit Application
FOR OFFICE USE ONLY of Tigard t ��fw r Received
114 13125 SW Hall Blvd.,Tigard,OR 7.223 A DateB
- Phone: 503.7182439 Fax: 503.51'8.1960 Dat Ry`JO"
InspectionLine: 503.639.4175 -.,' ,., ''' Ready Date/By:
kris:Relaed Permit fE:
TIGARD Roused teBy Jana 0 SeePage2for
hlternet www hgard or gov
K ti }y; Nohfred/Method Supplemental Information
{sem ,s,.s- � .,�._k:- ..--�. z x"'5--,, '?`-t�"�r.�•zA"•.T.-�y� eY��{�v9,.�,�. °�'� � -a�,O "a r�-
®New construction 0 Addition/alteration/replacement Please check all thatt`us c
❑Demolitionapply(submit sets ofplans w/,tams checked):
0 Other: 0 Service or feeder 400 amps or more Building
= � > ti- where the available fault current DI/Urines over at a stdsries
�' tX41,L qcl^ 5 a?r �- -(-1`'s 3: -. 7 , Peingandboatyards.
, exceeds 10,000 amps at 150 volts or QFloatlag buildings.
®1-and 2-family dwelling 0 Commercial/illdustrial less to ground,or exceeds I4,000 ❑Commercial-nom
❑Accessory building agricultural
❑Multi family El Master builder 0 Other: amps for all other installations. buildings.'
'11,4Y0.:.
0Fire pump. 01utallationofl50KVAor0Rd t� ds io a oF.. . G`.
O Emergency system. larger separately derived
Job#: Job site tuidress st},��m ❑Addition ofnew motor load of
`y" v" otz Luxe IO0flP or more. 0
system.
Job
"1-2","1-3",
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy,
Suite/bldg./apt# ❑•rre*drUcareUcilities. ❑Recreational vehicle parks.
I Project name:giVei -Te ,^^_ e p ns locations. (,l Supply voltage for more than
Cross street/directions to job site: �-"'V Y(� ❑Serviceorfeeder 600 amps or more. 600 volts nouriaal.
Description Qty. I Earl, I Total
ni (Zj,..`` {� New residential single-or multi-family dwelling unit.
V.er Te,[ I A(Q.. "E +- I Lot#:) Includes attached garage.
Tax map/parcel#: 1,000 sq.ii or less ( 168.54 4
3: ,t � .r;� �_«r' !o-�e it 0 "3� L7 �� . . Ba add'i 500 sq.ft or portion 2_ 33.92 1
j'�� n ,� ^� '` A - - - a rLimited energy,residential
a sl W ri c o t (with above sq.R) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
'' s yq sl` ��J r t ,c i u��c � r' '�c� '� ��a z' _ . ;e Renewable Energy CI See Page 2
Services or feeders installation,alteration,and/or relocation
Name:ADVL Land holdings,LLC
200 amps or less 100.70 2
Address:7600 IE Doubletree Ranch Road 201 amps to 400 amps 133.56
2
City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 200.34 2
Phone:(602 694-4031 601 amps to 1,000 amps 301.04 2
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, property that I own which is not 200 amps or less 59.36 1
rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400
Owner signature: amps 125.08 2
Date: • 401 amps to 599 amps 168.54 2
1 --rf r,,,sir- 1r t` '-1 -1-. =r1-•t . 0P . es .t; r:,-3'.'-n,::1,,,, Branchcircults—new,alteration,or extension er panel
Business name:William Lyon Homes,Inc. A.Fee for branch circuits fee,above service orfeeder fee,
CO ' Nirhal��arpe each branch circuit 7.42 2
03 � B.Fee for branch circuits without
Address: serviceC e service or feeder fee,fust
St vU .�M branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuli2
7.4_ 2
Phone:(360)695-7700 I Fax::(360)693-4442 Miscellaneous(service or feeder not included)
Each manufactured or modular
Entatl '.
i I h l� , � f LA!` dwelling,service and/or feeder 67.84 2
Y _ = 'c` d gra �' --PReconnect only 67.84 2
` - -:;i Pump or irrigation circle
Business name:Garner Electric Washington,LLC 67.84 2
4.... Sign or outline lighting 67.84 2
Address: �Z \.i n 1`L1,1 �(.p � {y Signal circuit(s)or limited energy
I c+✓ \� � t l I/9 panel,alteration,or exterlcitm ❑ see Page Z 2
City/State/ZIP:'0u ua1 tt4 p i t } Res-) I T Each additional Inspection over allowable in say of the above
Phone:(253)320-1657 (, r W / Additional inspection(1 hr min) 6625/1u
Fax:( ) Investigation(1 hr min) 90.00/hr
Email:bdartiels(ggwensa.com •
Jadustijal plant(1 hr min) 78.IS/hr
CCB Lie.: C1158 Electrical Lie.: 208174 Inspections•
for which no fee is
I I Suprv.Lic.: 44963 -: Listed(>�hr min)
90.00/hr
Suprv.Electrician signature,required: ' - P.,, •• `i r !1'-: I'Ztift4 a:al - . v
, :....;: Subtotal:
Print name: Joan P Albert •_ Date: 4/26/2016 0 PIan Review
r Required(25%of permit fee):
Slate surcharge(12*%e of permitf e): •
Authorized signature: --7.--'+ t-
TOTAL PERMIT FEE:
Print Warne: Bill Daniels Date: 4/26/2016 This permit application expires if s permttis not obtained within 180
days It heest accepted
as complete.* Number of inspections Pmt' :1HnildioglPem,ullicBmtAPp Endue Rev 06/172015 4dOrQ615T(II/051xMW13g
.
, .
. . .
Plumbing Permit Application,
.
•
Building Fixtu.res.
City pf Tigard
. '4 13125 SW Heli Blvd:,Tigard,OR 0223. , Date/Br
II
Platt Review Penehmitt•7_9:„,..70/7....00.5:76
'-g
Phone. 503.718.2439 Fax:-503.spook ,. s - : Orhe-PermitNc.:
T G AR D
hispection Line:,503.639A175 •--' ,. , -- , ' DitteneadY: yrgy: -
I
reds: I 13 Seetaga 2 for
Internet yiww•tigtird-nr-80v ' : , . -- - . - 14otitredMetbOit sepptemestal informatien
rittftVgiVatt+MAMPZ-44:44*--IMIWONagefg MVP 4.1,tnit,-.4_**4:.:,01113)14JEVAIIMIA-145.
\L81 New construction. 0 Demolition For special information use ehielcilst.
Description 1 Qty. I Ea. t Total
U AdditiontalteratiOnfropIabenient 7 :1 Ofliec New 1-2-famlly thiellings(jcludes 100 ft for each utility connection)
SFR(1)bath 31270 •
1E1 Viand 2-family dwelling 0 Commercial/industrial • SFR(2)batii 437.78
r--1 SFR(3)bath
1 500.32
0 Actesstaybnilding 1-1/viulti7fhthity
Bach additional batb/lcitchen 25.02
0 Master builder. 0,Other: -nem:Mid=( Sq.ft.) •
Page 2
#17tWat,:k7f;j0,14#0.#1.14- 706,1riiifilt igittgigq---4:i Site n R 6m
'la Site aadresc- (WEU SW ' ' monarriss Lix-ne: Catch Win Cr area&an 18.76
Dxywell,leech line,mama drain 18.76
011Y/Sratel4F;'Nat*0497224
Footing drain(nn.linear ft.; ) Page 2
Suitc/bIdgiapt,no,; Prniee; giver1'i.ryare..Erks4 Manufactured tome allies. 50.03
Cross street/directiens to job site: Manholes 18.76
Rain drain connector• 18.76
Sanitary sewer(no.linear it.: _) Page 2
Storm sewer(no.linear ft.:_____) ' Page 2
Water service(no.linear ii: ) Page 2
S-ubdivisiW itiVeY l'efinrale.'"Eils-1- I 4tno2 --- Fixture or item
Tax mapfpares1 no.; Backdow preventer -1
1;.4::E-',.4 -7,K-4V:',:Mian:7-si.121;',,iiiiiii,t7-"&iiitlitien,,;4-0-,:',..Mtii"l':aan__...1-;;•. Back-944°1'1'81" t 12_51
;.t4,,zi...f".4„-itz,,l,„,-.,,,,:,.k4:,.: .A.T.v.1.I.,_„....._„,,.,. -.,,,-...;,t...,-,7••:,,-,-,..::f..2,4_, t4,-!„:1'11.-FAII)s-'::ii4r,c,1,114:1-1 aotires,wastker
25.02
M SPZ n -Ot)A--ri Dishwasher 25.02
Drinking fountain
2255.0202
4ectozststmap
1A4-:ra Mir°610-6444.1*4141;54ARilEta:i414Ci4;7" .' EV a I 1 Skil tank 12.51
. Fixture/sewer cap 25.02
Name;ADVL Land Holdings,LLC,
Floor drain/. Boor sink/hub 25.02
AddresS:1600 E Doubletree Ranch Road
- Garbage disposal 25.02
, City/State/ZIP:Scottsdale,AZ 85258
. Hose bib. 25.02
Phew:(602)694-4031 . Fir( ): Ice maker 12.51
g%viyglcau,ii.f leffitigigiotl Interceptor/grease trap 25.02
Medical'gas(value:$ ) Page 2
Business name:'Main Lyon Homes,Inc
Primer . 12.51
Contact name di(Ai D it Th arpe„,
Roof drain(cconnercial) -
12.51
Addles=1 OS. grOad.WOLA-1) 'St Rai7C, W Sinkfbasin/lavatory 25,02 •
City/State/ZIP:Vancouver,WA 98660 4 -Solar units(potable water) 62.54
Pbone:(MO)695-7700 Far:(360)693-4442 Tubishowestshower pan123.1
E-marIM th916 :Thin nek, ,/ i e I II ' . Al Urinal 25.02
' Water closet 25.02
...,.,'-f::7-7--i-V.:47),',:-4tartitri:litt.W.;:e6 ° :°•-*-, ,..4..,- r.,„,..'-:..*41i,. .:S;;;r:f;',:-:--:- -. : ,--•°;.'
te,..-:,,,,,,-5.rk-c::...-.:4-.4•,-E-•-4-4_,;:o-,,,... .s7-4...,_ .,..... .......,,. .....-.-,c,--, _...,--m,c,'ey,--:-......-----:;••-;:r:-7i:".'::?':4-1.-,:,:..! water hater
37.52
Business Gn.6 kkiwaWk.r vt-Sovvt iste, Water piping/DWV .
5629
Address: 4).t , 6-ttOfA Other: 2$42
City/State/2M sir. 94404 oft. 40131 Subtotal* _
Yfinhaum pcmit fee: 372.50
Alone:($14''''sVitk" Kil Fax:(Oil V..t1,14.1...4 iltD
CCB Lie,: 185 310._„ Phimbing Lie.no. h oq
- Plan review(25%of permit fee)
Siam manage(12%of pecnit fee)
Authorized sivatme: Ikast 1.0`.....„....
TOTAL psner FRS
Print mane; S÷WIL 51W4,-LD.ste:3-,i 6-III This perat application expires ita weskit not obtained within itlitdays
. atter it bes hem accepted as complete.
*Fee.melbodolopp eel by'al-County Stelling industry Service Board.
IlkafteccanttIPLMIXPti1nifitpp40 MVO 44048161(10/02/00MAVER)
City of Tigard
.114 q
COMMUNITY DEVELOPMENT DEPARTMENT
II
TlcaaD Building Permit Review — Residential
Building Permit #: 5774o/7 —O <- 7`?
Site Address: 1 (o q 2 (o Sw L-Qf o v, rZ S Ln.
Project Name: (i Ve r Te rrci cc E GI st Lot #: 2 OS
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review _r /� t;,A. ,t 4-6'6x
ikelif—
�i� F(� / E/2-- re/"f hi- .
Proposal:
'/ of r ' 1 =d :,,,A,„..„. %Z' /ALL/6
Fl 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 ung structures on site
Site plan must be on 8-1/2"x 11"or 11 x 17"paper ZFootprint of new structure(including decks)with finished
Drawn to scale(standard architect or engineer scale) floor elevations
North arrow Utility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number .Sidewalk/driveway approach
Applicant information(name and phone number)
❑Location of wells/septic systems
Lot dimensions and building setback dimensions C]Existing trees to be retained with drip line,and tree
Square footage of buildings to be demolished protection measures
,1Lot 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) P 0 X
Street names 1
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced?)ZrYes No
4 foot differential) If yes,is a storm water quality facility shown?
21 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received:
❑ Yes ❑ No
kJ Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ] Yes ❑ No,stop intake
VI Land Use Case#: PDIZ zOl(C— 00001 SVe SOl(p - 000041
,1 Zoning: i l2 .2..5
/
t'Required Setbacks: Front I L Rear 3 Sidey �Street Side Garage c6
Landscape Requirement: Z o
Lot Coverage Maximum: Ov p
Ali Building Height: Maximum Height NA Actual Height 2 4
0 Visual Clearance
Ei—sensitive Lands: ❑ Yes E No Type
urban Forestry Plan
d" Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: Al Q-'V . Ve,--s_, Date: 10/ 5 I1-7
Revisions (after Building Submittal only) Reviewer Dat
iApproved ❑ Not Approved a "
' AAltz
a 2.(0
evision 2: ❑ Approved ❑ Not Approved V
(9 Revision 3: ❑ Approved ❑ Not Approved
I:\BuildingTorms\BldgPennitRvw RES 061417.docx
Building Permit Submittal �// e
Original Submittal Date: lfl.Z.2_//7
Site Plans: # 3
Building Plans: # }
Building Permit#: Enter building permit#above.
Workflow Routing: Planning p-Engineering [ Permit Coordinator Building
Workflow Sign-off: /�27 Sign-off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Aza"-4teaod_
Date: /0/ /r7
Engineering Review
Z Slope at building pad: 3C) e)
7.
❑ 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 ,r No
LIDA Facility on lot: ❑ Yes „a-No
❑ NOT Approved by Engineering: Date:
Notes:
Approvedby Engineering:En ineering: APA 1 K ii-- 1.4„) . Date: if 'U i 17!( 7
Revi ions (aft• Building Submittal only) Reviewer Date
n� 1 : El Approved El Approved
eV �� ❑ d Revision 2: Approve ❑ Not Approved
Revision 3: El Approved El Not Approved
Permit Coordinator Review
El Conditions "Met"prior to issuance of building permit
ril pproved,NOT Released:
Date: /74 3 j;�-
Totes:
1
Revisions (after Building Submittal only)
v's 9cLik'S-1 ., Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
\\Iy'1C Fees Entered: Wash Co Trans Dev Tax: r'' es ❑ N/A
Tigard Trans SDC: 11
ElN/A
Parks SDC: Yes El N/A
LIDA ❑ Yes 1=10 /A
rpOK to Issue Permit Jv/3 0911
proved by Permit Coordinator: Date:
I:\Building\Forms\BldgPerniitRvw_RES_061417.docx
City of Tigard
1111
a COMMUNITY DEVELOPMENT DEPARTMENT
T I GA RD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 1 (o e Va s W Lemo n9 rres f un.
Project Name: R\veer re r rz Lc E ciS I-- 2,05Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.660.070.L):
Is the project subject to the plan district design standards?,Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
/21 ❑ ❑ E ❑
2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors.
Percentage Shown: 2 I . 8
3. Entrances:At least one entrance must meet both of the following standards:
Parallel to street,angle no more than 45° from street,
0Max. 8 ft. setback from longest street- facing wall
or open onto porch
Entrance opens to a porch:Z Yes ❑ No
If yes,all the following apply: X 25 sq.ft. min.
AOne street facing entry
1;3-12 ft. max.roof above floor of porch
5 ft. depth min. g 30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades:
V Covered porch min. 5 ft.wide x 5 ft. deep gr Recessed entry area min. 5 ft.wide x 2 ft. deep
El Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
jZ Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood
2 Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street facade Er Window trim min. 2 1/2"wide by 5/8"deep
0 Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
0 Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35% or less of street facade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or side lot lin ,'than longest street-facing wall. 0 Yes 0 No. If No (Check one):
G 0 May extend up to 5 ft.i ere is a covered front porch and garage does not extend beyond the front porch.
1.0 A
0 May extend up to 5 .where the garage is part of a two-story building and there is a window at the second story
above the garage t..t faces the street with a min. area of 12 sq.ft.
Width: (Chec. one) MifA
0 12-foc -wide garage door 0 40%max. of street facade
0 50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: A. 4 -- le-\-
Date: 1U / S / ) -1
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:
16826 SW LEMONGRASS LN, BEAVERTON,
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00379
Inspection Type: Inspector:
299 Final inspection Allyson Armstrong
Result:
PASS - CofO
Comments:
Corrections complete
Collected
Moisture barrier acknowledgement form
Moisture content acknowledgement form
High efficiency lighting form
Air leakage test report
Left C of 0 on the counter.
Violation Summary:
Inspector Contractor