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Permit (60)
CITY OF TIGARD MASTER PERMIT Fes, ' COMMUNITY DEVELOPMENT Permit#: MST2017-00397 T FGAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017 Parcel: 2S 106 DA06100 Jurisdiction: Tigard Site address: 16897 SW LARKSPRING LN Subdivision: RIVER TERRACE EAST Lot: 61 Project: River Terrace East, Lot 61 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $254,617.30 Rear: 10 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 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: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2078 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: $31,759.01 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 52-001-0090.� You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.234444. • Issued By: '2'/""C ! �% Permittee Signature: SCS aj/'�y !4G~GG 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 Lo -.0 / a 1 = FOR OFFICE I SE O\L1 City W Tigard JUN ;b RECEIVED 17 EEICW /v �� //] i4 1.1 PetN3. 1 'ISWHall Blvd.,Tigard,OR 97223 [ / /' ,Phone: 503.718.2439 Fax: 503.5981960 Ins ection Line: 503.639.4175 Gary !:.,,Ai-ID Date/By: s- ) Other Permitk40,6,19 1 1 C, ,R 1) p y = Date Ready/By: 1,._ / Juns: geee j rt/���i Internet: www.tigard or.gov € .L 4G D 1 i S 'G �f Notified/Method� 6 /7 g Supplemental Information Permit fees*are based on the value of the work performed ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the i• f Or ` i O, s'e ' work indicated on this a ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 1- 1 ❑Accessory building 0 Multi-family Number of bedrooms: a..s' , 6 17 .30 ID Master builder ❑Other: Number of bathrooms: 5 lil# v 4 �r�1 SW�� 6 �� Cdr a#t� a '' ��v Q Job site address: I W af. Total number of floors: Lax K S,� I New dwelling area:2_016 feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: (1 square feet Suite/bldg./apt no.: Project name:River Terrace East Covered porch area:l top square feet ' ) 3 Q Cross street/directions to job site: Deck area: square feet q 18 Other structure area: square feet Subdivision:River Terrace East Lot no.:f n 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 equipment,materials,labor,overhead,and the profit for the .` � � 1 ' °z.Vi ,4 i c t 0 a ,� a work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet - SL I 1 it P l aid °� 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: ,. Business name:Polygon WLH,LLC � ; d;, .:, Contact name:Nichole Thorpe Structural plan review fee(or deposit): Address:109 East 13th 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 Thorpex. � I _ � e s � � Commercial and residential prescriptive 7install h n of `' ''`4 ....... �" f< A,- roof-top mounted Photo Voltaic 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. 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 lit.:207247 Total fee due upon application: $201.60 Authorized signature:t/44/4"4" 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 Print name:Nichole Thorpe Date:06/16/2017 Service Board. I:\Building\Peimits\BUP-RESPerrnitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) ;'`...). t.: rl '.,•'.,; i., ,H :,1 .., .::., ..,;',..,,.•,....:,•';,-,,.. _.,.,-,t..-: ..,::'..d 4,'). FOR OFFICE t SE ONLN --T-----..I'mu.°m....l..l..I"Il"..I1lllI1Ill1IIIi1IIIIIlIIl1lIIlllIlIIlIIlIlIlllIIlIlMechanical f'ethilt Application thy-orord )r] 26 2017 ..g7;ay.1, - II--E1- i......_144.W Halt.B131 TigurvOit 9r4.3„ . _ ,. ,. plan Ziew . . - 'Flign .503,71i/439•Fax:;503.54:413: „:, . ',t,;,4;„ ..::., 6iteigy:• OthF.SP"Iii; TIGARD •illsPei*lt Li1.10;.401.-6317.5 -''. . .' - :. . - We lice4yier r ' .. l'nb' I 21 Self e4Igk I nierili*.N."viii:tiiihkr.Vit 1 IT'”' ':'' :''' ; Supplemental htteimatiori VA:*it'?-04-1170.fg,ntjtit„414.1.;:a*, .....-.f.',:VIT>57-etti,,v. i.P24 :e.0:-.Az'•'-':- .,,,:-4-'''''-"'''- - "'-' -'."--"---'-'-‘-•- ..- Meehrmiltal permit roost=brim'ou tile value of the work 21 0 New emistitiction 0 AdditiOutilleratiOtheplOCen*itt performed.Indicate the value trounded ie The nearest della()dart Dcutuiiliaki. 0 66(7: mealteijuld mututiuls..etteinment.War.overhead. nut profit . ';',"t:k.ii:!;.;:;5•WiqVt. WiliriATO..4004VOC-CP.W.IPakgfal. 7rZ-':':IRtil. 4:71.07- 4004iiii.r*f''Ak:'Of.**.4;..t4AifhT.tti..KCtl::'.'; ' 1-and 2-14*&tiling. 0 Crunmereialfindustrial El Abeessrgy building , ._rot spedal te[formation titer:40We . . _, . .1 ivitiiti-tinAt. • 0 Masft.3.*I*. 0 OIlter:. Desunitthnt: . eti- I total- . 00,10..WAWA*6,iteitiVg-9.4k70: Allektfir i:elagicadit:ingaCI /0 sit9.addr.ess.: i 6 WTI SO.) 'LOX 1459. ; Lot.ne.../ , Furnace 100,000 trnIrdueteto I 46.7,5 . .City/Statetth!:Tigurdc OR 0722.4. ' J peruke 100.000+RTU 4Ioeueivenis) 54.91.. * I P6s '.. . . P T . . fk*:14mP . • . ' ' ' 6"?6. TSiattibidgi9t 116': Oct nat"e: I Ver. € yeiff.- ECLS+ boa work ' 23 32 Cross streetf,diroctions WA she: 'iiir*i!liftlier.(* dre51'in*aterttor .or *drunk) .. ' 2332 _ _. . • Unit heelers(firel-type,not eltte.trie), , iri;wall.in-dueis suspended,.eic: • 46.75 . . Fineivent forsq of ale. - V : 2332 . ____ TOther: r r • • - . ,',23.32- SObtrivisi°1021Ve/.V eA1,02 rt;:...eag-1—. --117—i,i no4P I . - Miter Nei appliaikeim .,._ .. .. _ Tax.maptparcul no4 •. Waler hearer 23.32 _ ... ...... ., YZAVKagli#0.,WOkoi4010et.;7117;k;f4V ,',4:':•:'4t*,! • Ois-rmattacermsert 1 33-39 Flee vent for.water heater or ems m snA9 j 1-00 .(7-1 • ' frephice- 23.32 Log fighter(ass) , 23.32 Wood/pellet glove 3339 Wood GrenTaceftsert 23.32 . Chinutevilinectikeivon 23,32 VIA.4-EMi500.1 *4111',..tlik:44-7': -;.t.'". Qffiu cr 2332 'exhaust and mtnition: Nanie: A-DV L — - ei.t'lat Lif, . . - Rang c "dm)• i • equipment , 1 33.39 Address;iltp na. E 0 Dulok.-114,.. (2.4Ac14 g_oaq.. C loth eS dr Ver eXha Zia h Smgle-duct exhaust Outthroolus., CitY/Stalev.rwr: . el ip. k.it pa . 2_ ) - lama...meats.utility Toplas) 7 MOW Si 0/..., (p917.-1 L3 ) ; For( • ) Atticterswis .cc fans 23.32 1—.i,:;'..Xtkciiii:***Wt....:. `:. 43thc 23.32 , ..k.i .. _ ___ • - Fut4 Pluiutr Busines!"ne '10 i i.avvi ttns rw1:Anc_ stirs rid.-iiriL kilm S4.03 tar eaci additional'• i . . Camel'name i ' at vi Fiume.etc. • I - Gas heat,”,=, Addre*.: - L 1 a 0 ,... (X4, St.....atlate...51.0..._.--____ WaRtstisOrndeiVtudatealer . aty/StateZIP:Vatieutrver,IVA 98660 . Vtgeber lottiter Photle:06016954700- 060)69.34442 PfrePtwe , .. ‘_.,. ...._. . . • I I ai1 AO ' li i 0.a.._ b ti P*IXXILDO_______,, Sttrbetsib :-.11.;:;';r ir.':V.. :i1:1•,:...':-..-ti--_ :,f;:37'eiii':c •:.:] C.46te6*"Ogls) - • • -Other. . • . ' Busfitesitnene:Apex Air LLC .t7:-;.-7.7:-71-':-'.'-21• 17,0410C.4:P.Okgitftigiv04."r:?. ..--.;:.,,:.:!: Address::1004 NE 72.0 Ave. %Mote dty/StaterZIP:Varttouver,WA 9$686 • Minimum permit fee 090.003 iPlan review(25%of permit Phorte:-(3601 3424109 Fax (360)326-1769 State surcharge(12%of permit fee) CCB lic::103034 ....._ TOTAL PERMIT FEE 1 pria6larom col.. 1 at This lakvapplita:bync;autfaira permit issIalitadwrialmaservioilaed withinlusio180 Authorized signature: ....T4 slept after it bas beta accepted as remidete. .i VkattuommlitatEC PmetApp MP t,&a .440-4617 0 igalCOMAVBSt 14 Electrical Permit Application FOR OFFICE'USE ONLY City of Tigard �, 1 U {' Receives IN a 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B . Permit#:/7.57;20/7—f t; J 9 7 Phone: 503.7182439 Fax 50 .59>;.1$60 ' 1 Plan Review TIG/t[ZD Inspection Line: 503.639.4175 a dy Internet: www tigard or goy , ? Ready Date/By: Iuris: NotrfiedMlethod: H See Pagel for SupplementalInformation 24..,. .�- ,t:t3�1 CZ ���I4 -�. '��1`r�_ 3�F'�jf-f:::i y "y 2 g ' 4 t/ R s r'` •;®New construction 0 Addition/alteration/rePlacement Please cheek all that apply(submit sats ofplans w/items checked): ❑Demolition ❑Other ❑Service or feeder 400 ampsor mors ;�� x ❑Building over Three stories k Ery p�. ) n Ft)• � 4 t where the available fault current ❑23larinas and boatyards. 0 1-and dwelling ❑ComunerciaUiiidustrialT exceeds 10,000 amps at 150 volts or QPloating baldings. ❑ 1-and 2-family0 Accessory building lose gerund or exceeds 14.000 ❑Commercial-use Multi-family 0 Master builder 0 Other: for all other installations. agricultural ,.,x: - .„ ON c''' a•`s :,p., `t:0 `IS„ -r, '- ,, °' ❑Em t e 0 Fins pump. i_7largersepn separately Job#: '+-�9^-1 cam" erg�Y system larger separately derived Job Site address: 1Y { S� 1reS ❑Addrhon ofnew motor Load of system. City/StateiZIP:Ilgard,OR 97224 Uv t? Six or or more. L1«A.', •41-2;"1_s,, 0 Six or more residential units. occupancy. Suite/bldg./apt#: Project name: �� "�' � ❑> � facilities. 0 Recreational vehicle Parks. C &t ❑Hazardous locations. ❑Supply voltage for more than Cross street/directions to job Site: ❑Service or feeder 600 amps or more. 600 volts nominal • Desai Nos �i1l -_ Total a Subdivision: 1�j,` p p New residential single-or multi-family dwelling unit. `ki r Tttra te.. Eo.s+- I Lot#:t.0 1 Includes attached garage. Tax map/Parcel#: 1.000 sq tt or Jess T , .;, t a O•v 1 k p�re`la,p s ..�-c c.i �- rel sq.es ar tial _ 7-���} "� ft. 168 54 � 4 .�1(til' 1��0 , ' a :-:. .:.,1 �_� 33.92 1 energy,residential with above ft. r 75.00 2 Limited energy;multi-family ■ - i residential with above ..ft. 75.00 2 aZit" 44 '3 CS s+l is lata wL�. ":r r -?' J ( q`;� 'fit r:z :-. Renewable En Services or feeders installation,altexatio and/or relocation Name:ADVL Land Holdings,LLC Address:760011 Doubletree Ranch Road 200 amps or less 11111 100.70 Mil 2 201 amps to 400 amps II. 133.56 _ City/State/ZIP:Scottsdale,AZ 85258 2 401 amps to 600 amps 20034 _ 2 Phone:(602)694-4031 ] 601 amps to 1,000 amps NI 301.04 2 I Fax:( ) Over I,000 amps or volts an 552.26 _ t Email. Temporary services or feeders installation,alteration,and/or made on propertyrelocation Owner installation:This installation is be"le that I own which is not 200 amps or less 11111 59.36 I intended for sal , ase,rent,or exchange,according to ORS 447,449,670,and 701. Owner signature 201 amps to 400 amps 125.08 2 Date: 401 Branch sir nit99 amps 168.54on _ 2 S."rs� •`{ 4E �'--,- --,- .,,,„„,..3:7„.4_,.. ....„_,,,,ys5 ,..--3.2 x '" '..,lc.'.vt'4 y'i'.;c--4.'''ti„.„4-,,,. ,r- ci - A.Fee or circuits—n ��c �' y new alteration or extension 'er .anal Business name:William Lyon fomes,Inc. A Pee for branch circuits with above service or feeder fee, Contact mai : Ni ch a Ty rhe each for branch circuit 7.42 ■ 2 Address: 1 03 kJ t; ) Si- SLCAVL, �— B.Pee creche without JSL A VL, lT) blancservich circuit or feeder fee,first II City/State/ZIP:Vancouver,WA 9866056.18 ■ 2 Each add')branch circuit 1111 7.42 2 Phone:(360)695-7700 , Fax (360)693-4442 • Miscellaneous service or feeder not include• Email Each manvfaeturtid or modular t �i ��/ / 1 r dweliin; savixand/orfeeder ■ 67.84 - 2 4 Pump or only _ ,.� � u = �„,,, ,,,.?4.--'0,019.., T,,-7-65,i � ��o1wda i�©)� idc .�;� '�”`P�• x,,,,-,-,,1,4,t57.- � Y 67.84 2 Business name:Garner Electric Washington,LLC Pump or trrtgation circle 67.84 _ 2 a�.. Signor outline lighting 67.84 2 Address:t DZ `1 al � Signal chalks)or limited-energy 11 l �{ alteratio. or extension. ❑ See Pegs 2 2 City/State/ZIP:•�(�v��t �' �� CtiQ3� Each additional Ins,action over allowable in an of the above Phone:(253)320-X657 1 V Additional inspection(1 hr min) 6625/hr _ Fax:( ) Investigation(1 hr min) - Email:bdaniels@gweusa.com 9o.00ihr Industrial plant(1 hr min) NI 78.18/10 o 11111 CCB Lie.: 01158 I Electrical Lic: 208174 Inspections for which no fee is Suprv.Lica: 44965 ci5 listed('/a hrmin ■ 90.00/hr N � f Sup .Electrician signature,required: ' '.�:?(:4 64 hevc ,...:. ��1i r t - Subtotal: Print name: Joan P Albert •• Date: 4/26/2016 0 Plan Review ' Required(25%of,•...'t fee): r — - State surcharge(12%ofpermit fee): Authorized signature; ► - TOTAL PERMIT'FEE: : hint mine: Bill Daniels Date: 4/26/2016 Tis permit application expires if a permftls not obtained within 180 :};i 1Hwi1 days after 1t has been accepted as complete ° p01��PF> BREAK Rev 06/17/2015 441 � * Number of inspections allowed Per permit Plumbing Permit Anol><ca¢ ;n '. Building Fixtures ,.11~ !� �~ 1 OR 01 l i( l' 1 til: 001.1 City of TigardRece, ved 11 13125 SW Hall Blvd.,Tigard,0R 97 Date/BY: Permit No. • I Phone: 503.718.2439 Fax 503,597 960° .' Plan Review T /�' (J ?'7 l t,1 t,D Inspection Line: 503.639.4176 ,E D Dtba Permit No.; Internet: www.tigard-or.gov • DateReady/By: Notified/Method: lurk: P1 See Pape l for • :'T QF,. '<3R1�•:� Su.plementaInformation New �.• ;�.. :;1aEE-' - : ..: construction [j Demoli6o r For ., Information use checklist El To tal ❑Addition/alteration/replacement 0 Other: Desai'Lion a New 1-2-family dwellings includes 100 ft,for each utility connection) • ':. • • ` •• .. .. •CATEGORY'OF ©NSTRUCPION SFR(1)bath ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder • : 'JOB BYTE IN3t1? Fire sprinkler( sq.R) MEM • RMATgi LOCATION . SIte utilities: Job site address; rl�, Catch basin or area drain ■�� City/State/Zif':Ti gar•d,OR 97224 DryweQ leach line,or trench chain Suite/bldg./apt.no.: Project name: 'Ver Footing drain(no.linear ft.:_� 50.43 Cross street/directions to job site: Mannraanrea home 11t17ities Manholes Rain drain connector 18.76 Sanitary sewer(no.linear It: ) Page 2 Storm sewer(no.linear ft.: ) , Subdivision: / Water service(no.linear it:_) Lot no.: Fixture or item: • Tax map/parcel no.: Backflow preventer DE5CR/P7.1ON OF. PVORK. • 1111111.23Backwater valve IU.S7 11—00391 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump ®•i'ROPERTV OWNER 25.02 ❑ TENANT Expansion tank 111111111E91 •Name.ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Address:7600 E Doubletree Ranch Road Floor drain/floor 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 ®.APPLICANT •. [� CONTACT PERSON. Interceptor/grease12.51 ap Business name:William Lyon Homes,Inc ¢$ 2) Paggee 2 2 Contact name: j fn rl I t Medial gas(value:$ Primer 12.51 Address: 0.d L LI1 A I Q O Roof drain(commercial) 12.51 City/State/ZIP:Vancouver,WA 98660 1 5 ��0D' 25.02 Phone:(360)695-7700 Solar units(potable water) 62.54 Fax::(360)693-4442 Tub/shower/sbowerpan E-mail: ..! n i 12.51 IA 11/11_ '!� 11• ,CASA ill ' ..411I Urinal 25.02 k CON>CRAC1 o• Water closet 25.02 Business name:Malmedal Enterprises Inc Water heater 37.52 Address:PO Box 207 Fater piping/DWV 56.29 City/State/ZIP:Banks,OR 97106 Other. 25.02 Phone (503)324-0759 Subtotal Fax:(503-)324-0580 Minimum permit fee: $72.50 - ' CCB Lie.:102535 'Plumbing Lic.no.:34-276PB Plan review (u%of permit fee) Authorized signature: C State surcharge(12%of permit fee) Print name:Carolina Malmedal TOTAL PERMIT FEE Date:04/25/2016 This permit application expires tf a permit is not obtained within 160 days after it has "Fee methodology set by Tri-Countyaccepted �completeI:1Beildie$1Pn�LMU•PenaitApp.doe 1(/01/19 lndnshy Service Board. 440-4616T(1erpyt:OM/W gg) City of Tigard CCOMMUNITY DEVELOPMENT DEPARTMENT 11111TIGAR �a Building Permit Review — Residential Building Permit #: /` r/ , Site Address: 0 Project Name: ' v „ Alr Lot #: j (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: f��t S7 ,i /erify site address/suite#exists and active in permit stem. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Sit Plan Elements: Vpil ree(3)copies of site plan ite plan must be on 8-1/2"x 11"or 11 x 17"paper ,NJ r sttng structures on site rawn to scale(standard architect or engineer scale) i7 1 ootprint onew structure(including decks)with finished �orth arrow gm or elevationse address,project or subdivision name and lot numberSidewalk/driveway S ty locations&easements(required for new and additions) ' plicant information(name and phone number) Sidewalk/of weway approach Mot dimensions and building setback dimensions cation wells/septic systems IllS,uare foots e of buildin sting trees to be retained with drip line a g gs to be demolished yrIK otection measures nd tree Lot area,building coverage area,percentage of coverage and fp'P' pervious area(applicable if R-7,R-12,R-25&R-40) 7 set tree Street namesize,type and location roperty corner elevations(2 foot contour lines if morethans >1,000 sf of impervious area created or replaced? NJ (es ❑ 4 foot differential) IN If yes,is a storm water .uali facility shown? ❑Yes L1dNo al6Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): 62 - sReceived: ❑ Yes 0 No quired: ❑ Yes,applicant was notified No ���i 10 LL Public Faciliti Improvement(PFI) Permit: _ Required: Yes,applicant was notified 0 NoPP .2©/ —0666 Applied For: LI/es 0 No,stop intake wand Use Case#: P2)/2 / 0 .IV/Zoning: � _0* l S'Gf6,2a/Cry--r. , 1 - ,1� ' '> p(� ard,Required Setbacks: FrontRear --ALL l� Side Street Side 0 Garage a20 andscape Requirement: ,,,„00Ir of Coverage Maximum: 212_ r. Building Height: �i� 1/ Maximum Height Actual Height isual Clearance ITN° ensitive Lands: ❑ Yes u Urban Forestry Plan No Type 0 Conditions "Met"prior to issua ce f b 'ding permit/ Notes: /i ' i - �1 I/ Int// f 1:Sc.,,_, Approved By Planning: ��■ i Date: m® Revisions (after Building Submittal only) Revision 1: 0 A rovedReviewer Date pp0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\BuildingWorms\BldgPennitRvw RES_061417.docx Building Permit Submittal is Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: nter building permit#above. ngineering 'Permit Coordinator '��g Workflow Routing: Planning (include notes from planning review) Workflow Sign-off: Sign-off for Pl ning 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: s.. •�MrS.� iceDate: o. . • Engineering Review 2._ i 0 Slope at building pad: Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat )'Water Quality/Quantity Facility: No Assess Water Quality Fee in-lieu: 0 Yes No Assess Water Quantity Fee in-lieu: ❑ Yes ifr�N LIDA Facility on lot: 0 Yes o Date: ❑ NOT Approved by Engineering: Notes: Approved by Engineering: j K yi • Date: lD ® I 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ;, /0 ' ` ?' I ate: pproved,NOT Released: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: ' -vision Notice 3: Date Sent to Applicant: :,IDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: r.'Yes ❑ N/A Parks SDC: v Yes ❑ N/A LIDA ❑ Yes /A OK to Issue Permit —� Approved by Permit Coordinator: w,t, :A !�� - L Date: _k_\,_01 i I:\Building\Forms\BldgPennitRvw_RES_061417.docx City of Tigard : e COMMUNITY DEVELOPMENT DEPARTMENT IIII T I G A R D River Terrace Building Permit Review Addendum Building Permit # Site Address: '&293- A ) ka-r- _� ,71- Project Name: ,�� � "� _P-iv _ • ��� ��� 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?V Yes 0 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 t. 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 facade must include windows or entrance doors. Percentage Shown: /4-P 73 . Fititrances:At least one entrance must meet both of the follo ' g standards: Max. 8 ft. setback from long t street- facingwall Parallel to street,angle no more than 45° g from street, or open onto porch Entrance opens to a porch: Yes 0 No tz If es,all the following apply: 5 sq.ft. min. ne street facing entry 101 2 ft. max.roof above floor of porch 5 ft. depth 30%min.porch roof coverage g 4. 5 etailed Design:All buildings shall include a min. of five of$'re following elements on all street-facing facades: i��f� (Gall offset min. 16 inches overed porch min. 5 ft.wide x 5 ft. deep l�Recessed entry area min. 5 ft.wide x 2 ft. deep 0 ormer min. 4 ft.wide Roof eave min. 12 inch projection 0 Roof shingles either tile or wood , oof offset min. of 2 ft. 0 Roof pitch oriented south min. 500 sq. ft. �� Gable,hip or gambrel roof design ❑�I'orizontal lap siding min. 3-7 inches wide 0 Accent siding min. 40% of street facade 'Window trim min. 2 1/2"wide by 5/8"deep 0 Window recess min. 3 inches for all street facing 0 Bay window min. 5 e by 0 Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 350/ or less of street2 ft. facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setb cks: closer to front or side lot line, than longest street-facing wall. 0 Yes "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. Widt 0 40%max. of street facade(Check one) ❑ 2-foot-wide garage door 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ----.--- MillirtJ Date: Aff I:\Building\Forms\BldgPermitRvw_P.55_RT 062216.docx s. .. City of Tigard V COMMUNITY DEVELOPMENT DEPARTMENT III TIGARD Building Permit Review -- Residential 0 4 x..;:iv a 1.,...a7.a14 .- 7;* , iiia%ez ziW a..1 at Kms,;: ,:. wI,1Arx s, 4, 't,:'it,'ra..r aiihrl--W-..iAti k.,. >,,awau trc r W,s. x.D:.,. 4,,.. Building Permit #: t57,70/2- 77 7 Site Address: C ' Project Name: �i-Prra� ��'�-saokc-r- Lot #: (p (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: �- i0 1e /�7//e' -4-6 /'f /7 0 rx_ 9 1 erify site address/suite# exists and active in permit stem. E River Terrace Neighborhood: 0 No Yes,See River Terrace Review Addendum Attached 't, Plan Elements: 7i Y ree(3)copies of site plan k'l.r: sting structures on site >/ iteplan must17"paper 4, he on 8-1/2"x 11"or 11 x a er e1 •ootprint of new structure(including decks)with finished /d 4rawn to scale(standard architect or engineer scale) %or elevations rA orth arrow i ' 'ty locations&easements(required for new and additions) IV " e address,project or subdivision name and lot number //Sidewalk/driveway approach V .plicant information(name and phone number) PPcation of wells/septic systems IC •t dimensions and building setback dimensions fisting trees to be retained with drip line,and tree III s uare footage of buildings to be demolished •rotection measures v Lot area,building coverage area,percentage of coverage and 1I/Street tree size,type and location G/�pervious area(applicable if R-7,R-12,R-25&R-40) Street names perty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? KJ Yes ❑ 4 foot differential) If es,is a storm water .uali facili shown? ❑Yes I a lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): &//D&//D749,0/ A) . / LLQ egwred: ❑ Yes,applicant was notified No Received: 0 Yes 0 No Public Faciliti Improvement F Permit: PPA201(e-0-606 Required: Yes,applicant was notified 0 No Applied For: Oyes 0 No,stop intake oning: Jand Use Case#:g ����a j l '� ��1 / equired Setbacks: Front 0 Rear In Side Street Side Garage andscape Requirement: X) % of Coverage Maximum: 930 ti Building Height: cQ h Maximum Height Actual Height Z isual Clearance ll°.ensitive Lands: 0 Yes No Type v Urban Forestry Plan ❑ Conditions "Met"prior to issu_a9.cepf b ding permit/J �( Notes: �7/'I 7IL>-i.g C�/kzz/( , t 0 L /N-. /np /17/71 1. / 'I r.e. Approved By Planning: — �_ Date: / Revisions(after�Bding Submittal only) Reviewer Date Revision 1: I l! Approved 0 Not Approved )211—.J 1.--L7"� Revision 2: 0 Approved 0 Not Approved / Revision 3: 0 Approved 0 Not Approved Building Permit Submittal Original Submittal Date: (ALIO Site Plans: # Building Plans: ## Building Permit#: nter building permit#above. Workflow Routing: Planning engineering 'Permit Coordinatoruilding Workflow Sign-off: Sign-off for Pl rung(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. z Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / • leeeie4 , By Permit Technician: Zitzt: Date: 4/0�17d'7 Engineering Review Slope at building pad: Z 7a 0 Conditions "Met"prior to issuance of building permit 0 Easements (encroachments)per engineering conditions of approval and plat f:7'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes No Assess Water Quantity Fee in-lieu: 0 Yes Afi No LIDA Facility on lot: 0 Yes )3-No 0 NOT Approved by Engineering: Date: Notes: Approved by Engineering: Al,I K?,.„ 4) . Date: ie) Ls 1 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit pproved,NOT Released: /' f' ate: 077 -,/ Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: ' -vision Notice 3: Date Sent to Applicant ►%'DC Fees Entered: Wash Co Trans Dev Tax: �� es 0 N/A Tigard Trans SDC: : Yes 0 N/A Parks SDC: v Yes 0 N/A LIDA 0 Yes N/A IgIOK to Issue Permit Approved by Permit Coordinator: Act ,, Date: it I/III 1 l'r FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T I o A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Dianna DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FEB 2 6 2018 FROM: Tom Dicianno CITY OF TIGARD COMPANY: Polygon Northwest PLANNING/ENGINEERING PHONE: 503-577-4160 5 U RE: 16897 SW Larkspring Ln. MST2017-00397 (Site Address) (Permit Number) East River Terrace Lot 61 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 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. kIZ FOR OFFICE Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑ No Fee Description: Amount Due: I iJA -- 2 7Z? - $ Special Instructions: Reprint Permit(per PE): ❑ Yes ` No ❑ Done Applicant Notified: 7"ji`7 Date: � ��j Initials I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Ir'} ., F, . l'ilmtbine l'emit : hl)licailinn Minding Fixtures "/i F., 1 0 1L um 0111("S ISE, OS►,t eilv kall'igord 14-s,,4 � . n 11! t C1t`UFrll ills,l,l'irni,I,r rlt ft�igyt ,' .; 'I r' iturM ° � P, tr S/+ .7� N rho" tot,11i 410 �l v`E._ .�C, ; I'ot Sill �_r4 /�'I ��.�.,"t'fauUr+l,« ....- S i +�S;S, Ifl'. t'11tr,l um %01(.1'1.417 `..A$t. I Qf ;� _4- t, lit._._....._.._._._. nil I r.tr bgCIta-I ttct,eInyltd•al rill 7,),,1.x7 r, ' %/,'-'1-1' `1 IC-I- t 1,,., 1. .. _. / iA .1"R.7 fog -raUtrd\Sutgnt N... Irmtalaf In6nn+atiutt 1Y11I:; OF WORK DI" 841111/2111IF 10 Nco coo mrod oro 0 I)0n001i0mi rot.tlrre/a/hot.rnuulnnnrr.hrv'AIhZ 0 Ackkuan'ailcrdU ilbIdi las-(•:neinUe iplilrt t I 0 t 1l hcl. t � 1 1 1 ► '1-614 Neu I- family duellhtbttilk-ludo 10011 1wcachidda tonnerio ) CA TIX ORI' OF CnMintLIloN SI Il(I)Imih ® 1•noel:.-foto ilt dacllin -.- 117,711 ti_ ❑t'omolcrtiulffntkn{tinl tihll(,':.)beth 117 711 0;t:. c ore budding `41((31Nth 0 Moll i.Mind) ( 500f2 C) \la+trrNrdrkr 0[11hcr — '"' Faith Olt atlinao.Ilcn >S02 JOB SIZE INFORMATION' ANI)LOCA7IUN ilt1rue 1rmkletl Sy u f 1'npc' f' til1tu11f11text ,logy sit*.nlikom: NOLL-1 ('atehLrlsint,rnuurknin _ 11;76 City/Slate/II':ity/Slain-/,II':Tigard,0897224 - 1,iiiIjcll.IrachLucin ,ii II vy- -- 1$76 %.1101dtll.,npl n+, ,.c ,_ _ _-- ftiuiingtkain(rxt littctl4 _i 1 r yt,c-1 pant( 111,Pr li+miler litrl _ _,. _______• Man Mad area hinny manic,. Clore,ore,si rcct 4tireel ions IO Jolt site: Rlnuhrdex Ram dram con ncctor _ 1 X 76 - Sail itary,cher(no:Iint;lrIt i 1'pgc2 -- t --- Slt,1 to%Ova(Sw holm 0 1 Pale 2 Siktivision Rirtrlir rrareFaxt S [1)1ne ' 19xtarrbrlimo , Tacmap/parcel no bntkfluttprcvenfrr I31 27 pkSCRU'7"1QN 01 WORKIt,ckt,ater vdre 12 SI 1 lather.menet 1S Uy i Ih,iltettihcr 2S( i 1nnk n'I,unrin 5 512 I.lttlur mb________ 71 rr2 '®`PROpuny owNER n 'I7.7YA- I.xpn, roral r r Name. 1l>1'1.Lund Holdings.1 1.0 I kt,a,- moi t.ap S-lit A tress. 7600 E Don Ole tree Ranch Rrtuc! I Mot+Irnin�'0 x.mk:)pih 25 02 City,'Salc'ZIP:Scottsdale.A/.0525>; tuulktlt'alp,:`;,I__._ 23 R2 Phone(602)691-4031 Dalt 1 ) Icculal:cr 12.51 ® Arrl�CANr - 0 CONTACT 1'1:ltS(1N Itik.ric(tt+rr)ytwx trap 25.02 Blaine name:WilliamLyon Ilinn es,Inc v^— htedicalkno,1$:d1c 4r I Papel Contact name:Angela Gra jrrvski I'rim(_r 12.51 Address: 109Erst13thSleett Itooldulin{ omnrcia:rali 12.51 Srn{.:ltisin larntt..f 2,S 02 City/State/ZIP:Vancouver.WA 915660 Solar wars(pot able rants 62 54 Phone-(36(1)695.7700 Fat :300)693-4442 '1`idrsh+=acrrsh.rttl?rpan 12 51 E-mail Angela.Grujrnsii;upnlmninhonics.rnin Urinal 25'p2 Wawa closet 25.02CONTRAc1OR Business name. j / Wtittrl, ,, { 37;52 II L G ' Mg rl,i� } J'J' } r.�, �,1 5 J c tt'mcr plpinlr;l7tt'Y 5 2 g 25 02 Address: i 1,) ti�1--; 1.I ��i(,l ,A }{. City/Slate,71Y: 1- , ri2 _ r'•' -Jm_-�..1._...._� 3 Suhlutal Phone;(5-7 72P-0'/ 5 cy 21 i':tt ( I Minimum permit fee.$72.50 CCB Lie.: )C� 3 O ii Numbing I ic.BO. ) ' ? 1'lart rt t ic.c{33".o ctfpermit ger) j't,/u� 1 , St Authorized signature ---\5- al(anrchug((l2b(,lpermit fic) TOTAL PERMIT FEE I Print name- G1.- j�t_ Y,x.rtc'� / 0 IIhne: .2 ) ,,/sI I lbixrtrn,li Airati,mecititesifIIpeTmitisnot obtained*itbitsISOda yal / atter 14 I,a\been accepted as complete: . .1 .c s;ltotilito- sea I+) lit-Comity Budding initutoy Seniee ki d ` I'Iluiidiv;Pc,minPLI1'd'ewut4rr d,- IOOI,i4) .tu,.4t,161i,4,-+:21,OLI•WI'n, rr Scanned by CamScanner City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16897 SW LARKSPRING LN, BEAVERTON, May 21 , 2018 at 11 :24:36 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00397 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16897 SW LARKSPRING LN, BEAVERTON, May 21 , 2018 at 11 :23:57 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00397 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16897 SW LARKSPRING LN, BEAVERTON, May 21 , 2018 at 11 :23:20 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00397 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 45 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16897 SW LARKSPRING LN, BEAVERTON, May 23, 2018 at 9:23:45 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00397 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: FA I L Comments: Approach/sidewalk not approved. See previous inspection notes. All other building final appears ok. All paperwork left on site. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16897 SW LARKSPRING LN, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00397 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Correction from previous inspection complete. Moisture content form received. Moisture barrier form received. High efficiency lighting form received. Blower door test report checked. Insulation certification checked. C of 0 left on site with contractor. Note: after hours inspection for C of 0 added at contractors request. Violation Summary: Inspector Contractor