12-December (2) CITY OF TIGARD MASTER PERMIT
`` . COMMUNITY DEVELOPMENT Permit#: MST2017-00396
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/04/2017
C ER. Parcel: 2S106DA05900
Jurisdiction: Tigard
Site address: 16873 SW LARKSPRING LN
Subdivision: RIVER TERRACE EAST Lot: 59
Project: River Terrace East, Lot 59
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1128 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 0 Bathrooms: 3 Second: 1445 sf Garage: 385 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2573 sf Value: $307,946.12 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 Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 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 2573
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: $32,955.49
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. Yo 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!. �� �.iV i Permittee Signature: ' __J_ i�'��?�
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.
1111,
•
Buil4ing Permit Application L 7- S
.'gi 7 _ ,,IVB 1 FOR OFFICE SE ONLI
Received r
City of Tigard I �� Date/By: i DI ( ( I Permit N ti57; /�/7—tv f y
1,1 • 13125 SW Hall Blvd.,Tigard,OR 97223 JUN Plan Review I b ether Permit:, •s/J/Ya 7-. J�"
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: a�
Inspection Line: 503.639.4175 CITY O(-' !GAR® DateReady/By: ruris: ® See Page 2 for
i f C. !:I� Notified/Method:�� �.�/�� Supplemental Information
Oil Internet: www.tigard-or.gov �U;�pIP�IG DlViBlON
y,t- Air C//c'I—
s ::w -Tj7k.. -., 0-� s; VJ a?��m a.... <a J @ a �'w 't3%... '' 1 �I `° , t'',f=—,,•�•-" ...
❑Demolition Permit fees*are based on the value of the work performed.
®New construction Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and a rofi r .f.7^'
work indicated on this application.
fir .� ‘;'-' '''•
�,��e�r����.���,�*���` .` � `�,� � �s�,, �,b�ffr� - PP
Valuation: 3671 "(1(0
® 1-and 2-family dwelling ❑Commercial/industrial
Number of bedrooms:
❑Accessory building ❑Multi-family
Other: Number of bathrooms:
❑Master builder 0 Q
��;� _(
4'4 Y,:,�. ai e : „- Total number of floors: 2, S
Job site address: I Lots SW Lair l.f/rc� New dwelling area: cal square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: I.7 square feet t \1....%
Suite/bldg./apt.no.: I Project name:River Terrace East Cov red porch area: y,' square feet
Cross street/directions to job site: eeicarca: IBM square feet
Other structure area: square feet
Subdivision:River Terrace East I Lot no.: 59 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
' work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
tt 4.41 a
Number of stories:
Name:ADVL Land Holdings,LLC Type of construction:
Address:7600 E Doubletree Ranch Road Occupancy groups:
City/State/ZIP:Scottsdale,AZ 85258 Existing:
Phone:(602)694-4031 Fax:( ) New:
v%,,,- E �,x E F3Q ��rz''� _:
: x
Business name: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:
Phone:(360)695-7700 I Fax: ( )
E-mail:Nichole Thorpe
Commercial and residential prescriptive installation of
€ F '--,,S-f-'3`--c:-: -h :,' roof-to mounted PhotoVoltaic Solar Panel System.
Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 109 East 13th Street Solar Installation Specialty Code checklist.
Permit Fee(includes plan review $180.00
City/State/ZIP:Vancouver WA 98660 and administrative fees):
Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
CCB lic.:207247 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Date:06/16/2017 *Fee methodology set by Tri-County Building Industry
not name:Nichole Thorpe Service Board.
ilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
t
4, '
, .
Afechan'kal Peniiit AMA kati011, 1,01•101:11(E t SE ON1.‘
tity iattigard !)11. ,64 ii ?i)17
., .1 13125 SW tialtEnyd,Tigard,OR
gnu,
Plan Review .„ .. . .
Plaillti$1.711i.2439•Fax.1 503.598.1961), - .' --"):', :., . ', : :-.
- '''s'' ' "'' Dateray,• Other.hank
T 1 G A i,
,,,D .11t.Wlib14.1r)!: 4 4 •
' 503'n 175 '--• ':- i ' ' '' ''‘--"'''' "-."'" NteRcii4y!BY: - .
Juti% :See Pagel fa'
1plentest.
- •'sr.i*wittigititi-or;Seit .-- ,,, .:-, -;' [2. ,,..:.:'-.,,,.-,,•-.-;1.,--..,'iv sc,apionic.fhed:•
. . . ..
"r'"4,,i'''.-2Vis,`,*-Viele'SitAtid-ft.r.1,1:4.<1*.fFkie,SZt*FE41;.',.4-?.",V,1 tItigi,./0-,:rrwIt- - z”--7-..,,e1A1---'7:7:FEE,"11SCirlitl:4140;„._ .,.:_.,....,......40„,_,k,t14_,., tlit.*i•__,..,.f..:-:!
. zt1:43:0:-;At5'..f*,..?r.f.-- 1-*.*..,.X'--.,-.... ,..,1',:-::,::..4.".!;KA,,,.,,:,, ,,:,,-•Pif,,;-1.4,-,iy.,::,r.,.= ,...,, meeterniw oe_nrrir fees*are based on the„um of
the work
. . . .
... New construction 0 AdationialloratiOntreOlactimitti performed.Indicate the value&clouded to the nearest dollar)of all
El Deniotittoo. El Otitqr: risechaihsal materials,equipment.labor.overhead.and Profit
LE --f'''eXTFeCKIEV .
• • A''-tktiori,:;---------
,-----t. ., '4',e'---IttsvmakElluipmEMMITEALS' -,..••-:*"
. _... ., _ .. .C1-'and 2-Thinil &tiling. 0 CoraunerCietneluStrial 1:1 Atitessory building Pc r spedal kformation ate t*eafist.
......_ .. .. _
1 Muid-i•indly, 0 Master builder. 0 Other' Dew:Won'
1 Qiy. 1 Ea. j Total
. --, -•-•-t--.--. ,I•: - (......-.'-"'-'4'e .-•:•-. , - . AIleraitoin—nadletnoonlinng
.
46.75 • .
l lot?sited a .
• •
drIW 1 ID "1/ Si Lax-14s
.?"--,..11 " 1,0,,nt, Finace 100,000 liTtf(tlactevents} I 46.75
Cf1Y/SltdeliiP.;:rgar41r.OR 0.7*, ,Firth&100,060+113111(dnetrAera.) 54.91 ________
•
IfearpMup ._ 61.06
-Suite/10)34g itir.1 I Pthiectilthli:PlVer Te.tyn .thniwark ' .
..._
C
ross streettdtections to Job site: hvdriwie hot water system 23.32
- - Residential heifer(radiator or
hydroole) 23.32
. _
Unit beaters(fuel-type.not electric),
. . . .
i- ll,la-duupandedje 46,75
• •
Fluoitent firartv tyr iiitive 1 2132 '
'"------- ---RSObli °11:' ikifiV T-9.4(72/c. „CA„c'fr. 1 Lot
• * S9 * .,,Olillr:
Other furl appliniteini . . . 2.
Z1.1 _
TarmapIpareel no....••
Water heater 2332
iiii; ,:i.,•-ra ,.. ,. • On riloMaclArtself'.... ._..._ 1 I 3339
..,.. , .. .
. - . ...... ,..: . ri?..,...:5.*,:7: ...,-........-..k,,z...,..:.,,,.:.,,..:,1,. nue vent 60 maw hotter or stts
• fireplaee-
- 23.32 ,
mown- 6 03c1 tif
Log liganr(gita/ 2332
•
Woodfnellet stove 33.39 -
Wood 2332
. .
•
Chitoneyilinertiketveat I 2:233....;; •
.-4..,..:,4.4;.;;,,,,,,E.4...
?PROWliffriti.;'Nikki.:1-':. .1;--,:_F•ii.44i4*,1-7;%=*trr Ty.,:s' .. • .?.. ..?„,. ..,,,,,,,..
...''e7-.2......34.1- .. _._.: ..., .. . ..!,- ...i. .......:.. :..f..,z_l4,1.,-7! , .-1!..1."'- ..!..**.'''-+-':-''•''''''-... . ironmental eibust and Ventilation:
- , 4• .t. , ..,.• .e..11 4.0.. .. .... . •.. .. T. .
..... ...., . a i.. • . ...
.r. .
Nattier'ik DV L 1 t.4.1(Int ttD)ci.t.n1 5 /LL,C.
" . itange hood'. other kirehen. 3339
eattipmerst .
Address:: -1 i A
0 Duoloic..1Y?".. 124...0 c....k rz.Qaq_ Clothes diver exhaust
•
I 33.39
;....,...::,,s..,..... 0.....::::::i.i.,.....:......,__ _LL._.jet.._._.__4_ta4 :T7 :;._;. .::tjri±s.."t ki,h2... , .2..s Other exhaust(hathrooms, 14
ISintarZIP:
(14
.
todet compartments.unity morns) 23.32.
,
Firm
' a' 01_ Fax ( ) Anieferawlapace fans 23.32
2332 •
• Rad liplPlant miness nom ItIO 1.'t i lam 1:4 or, th-rcv.,S i Zoe- , .
for Arai fear;54.0.3 for each additional.
Contact nettle. kactat,_:20,44../
Furnace.ett, I .
Gas heat
Address:. - A 9)-eatilb)__ 5-latte-2...0.--------‘ tilstall/stispa"-----------------"t"--deilhinii healer—
' CityiStatetZIP:Vancouver,WA 98669
Water heater
Phone:(369)693-7700 f Fax::068)693-4442Fireplace — I
. — .
. e:. ..:::-..-?..-JF:,.:, . .:,.. .7.,.:.efi:: :: Clothes*Or(Psi
I ,
adbooee
^.-0'.--,--!-,1 ,-. --1.. - .- . ---1,-.•-.,. ,• •'•-• •---'"',' --. -. ', -- -Other
Bwinesauame:Apex Air LLC
_.....;k,...:-• .,.- ' -- •. . . . , . ...
.., ,.. . .
i-;3 .• U.W.."644.WCiti;.PER/ar.FEESk'rAL
.
Addresz 18904 NE 72"Ave -
Subtotal
env/stew-zip;ysztouver,WA 99696 Minimum melt fee(S90.00)
. Plus review(2514,of perrnit fee)
•
Phone060134241-09 FaX:OM 326'1769
Stalc uurehargo(12%uf permit lb!) .
MB lie.:203034 ., TOTAL PERMIT FEE
. This permit application expires if a permit is not obtained within Ma
days Knott has ba accepted as complete.
Authorized eiguattuv_ .,,
* Fee IntattedologY ant by TriZattnty.Bulltring Indusoy Serviee"Benid ..
Print saute: 1",.. I DAC
•I saufaimPotaaairc_rgalkkop 4AD Jim 40.41,171 i 1 IMICIPAtVai t
I
t
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard i'i ! t0 (?it i Received
11 13125 SW Hall Blvd,Tigard,OR 97223, 6m ' Permit is . `_M(f All
0 Phone: 503.7182439 Fax 503 548'§b0c s y- D to/i3 :
,. Related Permit k
TIGARD
Inspection line: 503.639.4175 ReedyDate/By: tuns: 0 See Page 2 for
Internet: www.tigard-Or gOV - - .. < _ Notlfed/Method. Supplemental Information
x
r r, _._l�iT�'v w`}r r - - :,@ >'!'� .fC"7�.` ,yrs 3' „` :'3 'tea: J �,.� ''" �.•-k• '.s":.fc^ ''.' •.
�
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sots of plans w/!toms checked):
❑Demolition ❑Other: ❑Service or feeder 400 amps or more 0 Building over three sborias.
where the available fault currentboa
- '.-- ..k - 2.'#t •c3a i». f1
c - 1p I fi-W-' "s Z .-- exceeds 10,000
- amps at 150 volts or ❑Plowing build gs,Atda
►.I 1-and 2-family dwelling 0 Commercial/iridlistrial 0 Accessory building loss to ground,or exceeds 14,000 0 Commercial-use agricultural
❑Multi family ❑Master builder ❑Ode amps for all other installations. . buildings.•
-- "�',. � ro t Q r ❑FirEm pump. ❑Installation of 150 KVA or
:. r '-e',% tl s tri_ N � s'' ;`,1�J.: K.-It ',"r []Em aey system
',� ;` `�� meg° larger separately derived
Job#: 1 Job site address4 Idej13 SW X51 0 Addition of new motor load of system
At Q 1oo11P or more. Q"A",• „, I-2A, 1 3„,
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential Huila, occupancy
❑Health-Dare facilities. ❑Recreational vehicle parks.
5uitr/bldg apt.#: I Project name: tveitir' T a C-e D rams locatrons, ❑Supply voltai for more than
-� 1 ❑Service or faedee 600 amps or mom.
volts nommaL
Cross street/directions to job site: '-,..r.;-,•:- '7,....,..- � i
.3, y,- n Fir 61- ,--,-.,t,---,----5,=._
Deserlodoa Qty. I Each Tots!
•
New residential single-or multi-family dwelling unit.
Subdivision: I'4-e r Tii rra fP L^ '+- J Lett
S9 Includes attached garage.
I.00D sq.R or
168.54 qTax map/parcel#:
— ;.....,r,--,..,-.. .-y” - y -1---.- !-� �rTs'.-A-!-,-.(-0: Ba.Limiaddted
Her500 sq.esft.or portion 33.92
1
'�f �] J�/��Q . - Limited eaorgy,residential
c i CN ' ! 1 0 v✓ f( (with above sq.R) 75.00 2
Limited energy,multi-family 75.00
residential(with above sq.ft.) 2
r ? o-a 3` j] c w a A'171;53 r �e 'T 4 a�,'*,��� x � Rertetvable Inez" ❑ 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 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2
City/State/ZIP:Scottsdale,AZ 85258 401 amps to 660 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 552.26 2
Frnail: Temporary services or feeders installation,alteration,and/or
-. relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I
intended for sale,lease,rent;or exchange,according to ORS 447,449,670,and 701. • 201 amps to 400 amps 125.08 2
Owner signature: Date: . 401 amps to 599 amps 1 i 168.54 1 1 2
r - vaAF4k4c y��i - 44• j a Branch circuits—never alteration
.• � =�' T ���. �,: -x� �-� x� ,mss t��.€� � .a �5^,�”�..::,> � I or extension eT panel
A.Pee for branch circuits with
Business name:William Lyon Homes,Inc. above sor feeder fee,
each branch circuit 7.42 2
Contact na^m�e: N i ch o le7h ,1e, B.Fee for branch circuits without
Address: t 03 f rO c 30 St S •+ c,lD b ch c er fee fustirmit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Each add'l blanch circuit 7,42 2
Phone:(360)695-7700 Miscellaneous(service or feeder not included)
Fax::(360)693-4442 Each manufactured or modular
Email, j/� dwelling,service andlor feeder 67.84 2
i f o I (• lo b „,,.$14//merS 10. Reconnect only 67.84 2
::5::.-1,1?'_` } c •'-c. '.-p a - - , r 1 Pump or irrigation circle 67.84 2
Bnthness name:Garner Electric Washington,LLC Signor outline lighting 67.84 2
A e_. �� Signal circuits)or limited-energy Et see Page 2 2
U ,k1., S.u:x \C o panel,alteration,or extension.
City/State/ZIP:' / I f Q "`f' Each additional inspection over allowable in any of the above
pu o. �L('t W ”e'' -'1)
� I
Additional inspection(1 hr min) 6625/hr
Phone:(253)320-1657 Fax:( ) Investigation(l hr min) 90.00/hr
Email:bdaniels@gweusa.com Industrial plant(1 hrmin) 78.18/hr
Inspections for which no fee is
CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lica: 44968 Pee."»: listed('h.hrmia 96.00/hr
" , '. g`4 6---'-'91-- ,..aloat rrSuprv,Electrician signature,required � - , � �
Subtotal.
Print name: Joan P Albert Date: 4/26/2016 0 Plan Review Required(25%of permit fee):
-
•
- -_ _ State surcharge(12%of permit fee):
Authorized signature: c �—^,- _- -- - TOTAL PERMIT FEE:
Print name: Bill Daniels This permit appliention expiresif a pee !tis not obtained within 180
•:•,T;$:
:' Date; 4/26/2016 days after It bas bei accepted as complete
•`:;`•.syn * Numberofinspeotionsallowedperpexmit
is tcS �h+�C PeradtApp�Glt ERE-doe Rev 06117/2015 440-4615111I/05/cowwSa
Y
Plumbing Permit Application
Building Fixtures it 1, < �
� 2017 I 1I0I( i- l til: oNLl
City of Tigard Rema <7- C7/2- 3,742
■ 13125 SW Hail Blv Ti _ ,` Dei^ Permit N..
d' �`d'�� �� • Plea Review
Phone: 503.718,2439 Fax •$03.$981960Other Permit No:
Inspection Line: 503.639 417!5 Date/By:
II I c A I z D Intern C www.tigard-or.goV Date Ready/13y: Joris: El See Page 2 for
Notified/Metbod: Supplemental Information
A,..i.;^s.,+'sr•• • • :• E• ORK <. ......_...' ' s:r:, ;"::7...,.;,::.;;:i::,....,.:....:. t�ip�ty'�* ��,�p{�,.�(( �,.•.....:$rr<.G
. .. .. • -tF!4ib-n•17Cit JU -.:.:(:.'.:.S.,r•:4^��•f,p.,e•,.:KYV.:
®New construction ' 0 Demolition Forspeddl iryornwdon usechecMfsl -
Description I Qty. I Ea. j Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft for each utility connection) _
• •.;;'•: : .• ••CATEGORY'OF CONST ticnoi•' .. • . . SFR(1)bath 312.70
®1-and 2-family dwelling ❑Commercial/mdustrial SFR(2)bath 437.78 -
❑Accessory building 0 Multi-family SFR(3)hath 50032
❑Master builderEach additional bath/kitchen 25.02
0 Other: _Fire sprinkler( sq.S.) Page 2
., •.,'JOB•.SITE INFOR1I IAATiON'AND•LOCATION-. • • Site utilities: -
t . Catch basin or area drain
Job site address:C tlr?Th Sv LAY-�/ Cn,/-�c I ,n I8.76
City/State/ZIP:Tigard,OR 97224 Sr` VG`_' -1 D+Ytt,leach line,or trench drain _ 18,76
e Footing drain(no.linear ft.:_J Page 2
Suite/bldg./apt.no.: Project name: �1!ler rehrac e,-Fri- 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: giver T,u Q Ce. fAS-,1.-- I Lot no.:sci Fixture or item:
Tax map/parcel no.: BacldIow preventer 1 31.27
Backwater valve I2.51
. . ' . . DESCRIP'T'ION OF.WOK: • : • I
Clothes washer 25.02
MS/WI.7-0033 L Dishwasher 25.02
Drinking fountain 25.02
• Ejectors/sump 25.02
• 181•3"ROPERTV oil= - . • I. • Q TENANT • • Expansion tank 12.51
Name:ADVL Land Holdings,LLC Fixture/sewer cap25.02
Address:7600 E Doubletree Ranch Road
Floor drain/floor sink/hub r 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
••®•.APP1i1CANT . . 0 CONTACT PERSON. Interceptor/grease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2
_
S
Primer 12.51 name:.i e h pit�.vrer" Roof drain(commercial) 12.51
Address: Q3 aSiyU14� 510
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
E-mail: Urinal • 25.02
0 i alp o k-T & obi Om?s.Cm- Water closet 25.02
Water heater 37.52
Business name:Malmedal Enterprises Inc WaterPitin WV
p P� 5629
Address:PO Box 207 Other 25.02_
City/State/ZIP:Banks,OR 97106 Subtotal
Phone:(503)324-0759 Minimum
Fax (503-)324-0580 permit fee: $72.50
CCB Lie.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: C„....------c: TOTAL PERMIT FEE
Print name:Carolina Malmedal Date:04/25/2016Thispermit application expires if a permit not obtained within 180 days
after it Las been accepted as complete-
*Fee methodology set by Tri-County Building Industry Service Board.
L•1Bufding1Permits\PLMU.permkApp.doc 1W01/09 440 A616T(10Po2/COM/WEB)
r
IIIIICity of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
Q .
TIGARD Building Permit Review — Residential
� €. 3.>>� �., ... .�__u..u. _ ,d _ •'t»>.�.., _s... _.. .�-.�;�.�::as .,..c u,_.s_ .c.t,b,�ss,+szc �.rS, ,[x�_.s_ ,.;�°r .,__-z.
Building Permit . /t r�/7 eZ/J
Site Address: / & ,�&) Zc L
Project Name:
P.-IV-GT �-�"aC-C t��.C"/""— Lot #: 6----9
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: 0-,e,3 57
4erify site address/suite# exists and active in permit stem.
gi River Terrace Neighborhood: El No NJ Yes,See River Terrace Review Addendum Attached
Sit Plan Elements:
ree(3)copies of site plan t 9.v 'sting structures on site
Vite plan must be on 8-1/2"x 11"or 11 x 17"paper 1V ootprint of new structure(including decks)with finished
rawn to scale(standard architect or engineer scale) 1 or elevations
Fr/N
orth arrow X .tility locations&easements(required for new and additions)
lill5ite address,project or subdivision name and lot number r4 Sidewalk/driveway approach
IV/Applicant information(name and phone number) .l cation of wells/septic systems
t dimensions and building setback dimensions *sting trees to be retained with drip line,and tree
111 k uare footage of buildings to be demolished rotection measures
V Lot area,building coverage area,percentage of coverage and eet tree size,type and location
Opervious area(applicable if R-7,R-12,R-25&R-40) EaStreet names
.IVroperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? /Yes ❑
4 foot differential) If yes,is a storm water quality facility shown? ❑Yes [\ o
Ktierlean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): eViri0 v-e, iu/ ' LL
equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No /
Public Faciliti Improvement F Permit:
Required: Yes,applicant was notified ❑ No Applied For: qV' Yes ❑ No,stop intake
and Use Case#: 12'2)P '/ , 0f/ �q <;11‘P— , ` ' b f —, _1
ning: e----7 �( ...c.,'
gr 'equired Setbacks: Front 0 Rear Side �' Street Side Garage
YAandscape Requirement: ,,,.2O
Ir/Eof Coverage Maximum: 06'
BuildingHeight: 1�
g Maximum Height ��.�' Actual Height �� CIl
t 10'f isual Clearance
Oil° ensitive Lands: El Yes No Type
YA Urban Forestry Plan
❑ Conditions "Met"prior to issua ce pf bvilding permit i
Notes: Girq131 g // AI /J I)y'' 7 /42e 72- /�2.4.??'CP
Approved By Planning: ,--_ -,,...--___ 014Date: 0 //
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved El Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
I:\Building\Forms\BldgPermitRvw RES 061417.docx
M
Building Permit Submittal //__ )A2) /
Original Submittal Date: C0 �7
Site Plans: #
Building Plans: #
Building Permit#: nter buildingpermit#above.
Workflow Routing: lanning IrEngMeering C Permit Coordinator Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
'
' , '
By Permit Technician: � __, r� ��i,, %-,._ Date: /(2 f
Engineering Review 1
,Slope at building pad: 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 2'/No
Assess Water Quantity Fee in-lieu: ❑ Yes Er-No
LIDA Facility on lot: ❑ Yes Ler No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: ht I/C iL , Date: 7D 25 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
77//
Approved,NOT Released: Date: /2 /
1 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:
SDC Fees Entered: Wash Co Trans Dev Tax: 'es ❑ N/A
Tigard Trans SDC: "Yes ❑ N/A
Parks SDC: ,> l Yes ❑ N/A
LIDA ❑ Yes
,g OK to Issue Permit
Approved by Permit Coordinator: f 61 Date: t lt't\,n
I:\Building\Forms\BldgPermitRvw_RES 061417.docx
INCity of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
T l c n R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: -
L ( ) p
Project Name: /-�����i'I� ,a��
�!V...ef- -erroc,�' �U Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist ct Design Standards (18.660.070.1):
Is the project subject to the plan district design standards?W Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min. ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
0 0 0 0
2. Eyes on the street: a minimum of 12% f each street facing façade must include windows or entrance doors.
Percentage Shown: /271 ‘) 6
jj '76
3. :ntrances:At least one entrance must meet both of the foll 'ng standards:
VA Max. 8 ft. setback from is
or open onto porcht street- facing wall
on
Parallel to street, angle no more than 45° from street,
Entrance opens to a porch: Yes 0 No
I yes,all the following apply:
sq.ft. min.
ne street facing entry ft. max.roof above floor of porch
ft. depth min. °
1!� 30/o min.porch roof coverage
ietailed Design:All buildings shall include a min. of five o$e following elements on all street-facing façades:
overed porch min. 5 ft.wide x 5 ft. deep ILl Recessed entry area min. 5 ft.wide x 2 ft. dee
❑ Vall offset min. 16 inches p
I-rf
0 P%ormer min. 4 ft.wide
W Roof eave min. 12 inch projection
❑ Roof shingles either file or wood oof offset min. of 2 ft.
❑ t oof pitch oriented south min. 500 sq. ft. ❑ Gable,hip or gambrel roof design
Accent siding min. 40% of street façade onzontal lap siding min. 3-7 inches wide
Window trim min. 2 1/2"wide by 5/8"deep
0 Window recess min. 3 inches for all street facing 0 Bay
0 Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35dow min. 5 t%or l lesseby
of streetfaçade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Seth ks:
N closer to front or side lot line, than longest street-facing wall. 0 Yes VJ No. If No (Check one):
May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
0 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)
❑/�2-foot-wide garage door 0 40%max. of street facade
50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: f
�--- Date:
I:\Building\Fomu\BldgPermitRvw_RES_RT 062216.docx '�