Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00317
TIC ; R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017
Parcel: 2S106AD08500
Jurisdiction: Tigard
Site address: 16973 SW FRIENDLY LN
Subdivision: RIVER TERRACE EAST Lot: 192
Project: River Terrace East, Lot 192
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 1119 sf Basement: 140 sf Left 3 Parking Spaces: 0
Height: 35 Bathrooms: 3 Second: 1062 sf Garage: 422 sf Front 12
Dwelling Units: 1 Smoke
Third: 0 sf Right: 3 Detectors: Yes
Total: 2321 sf Value: $282,995.23 Rear: 5
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0
Y Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100
SF Rain Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Bckflw Prevntr: 0 Catch Basins: 0
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!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:
NEW Occupancy Group: Square Feet:
SF VB
R-3 2321
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 GEO Tech Required before
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 foundation inspection
STE 1 2 Ersn Cntrl 503-639-4175
SCOTTSDALE,AZ 85258
PHONE: 602-494-4031 PHONE: 360-695-7700
FAX:
Total Fees: $32,349.49
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. You may•btain a copy of the ruleess or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: L. . /i ki.. L.`AIL dr:t ` Permittee Signature:9 ��Y 7,4e0,r-75 ,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.
e Building Permit Application L 0 7
FOR OFFICE I, ‘,F,OIL\
C>< of Tigard ������
g , • Received �//�
DafrBy. , / !//, Permit No s?!)/7 C f�/y
I 13125 SW Hall Blvd.,Tigard,OR 97223 1 if N 1 , �+,�`�/ Plan Review,A
Jw V�
Phone: 503.718.2439 Fax 503.548.1960 ` Date/By: D 2-1� i ► ' Other Permit )-0�g)-6 _.?
i t ,R,, Inspection Line: 503.639.4175 Date ReadyBy. r ': H See Page 2 for
Internet: www.tigard-or.gov CITY `j ARD Notified/Method: /�/j 7 �� ..
BUILDIN 1SION sunP►erne°�llnf°rmeb°n
x'7/9/t- /ViC c r'
..,.._,... ._,_. .....w.. ..:...,.. ,... .;,?`''' u",�.U-, c.«�...�,,,�,.^ te a��.�'q £ d-,'"..-T, '=1,5",k '--,.---`.x...' x.:_r;� ..� ` ,._—_..u� " @ ,`_ ?a :., .„. ._,,.['t',',7-,),.75"."-31,-V.,',0,('-1,,,,,,-;_„„,„ '°
®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
❑Addition/alteration/replacement 0 Other equipment,ma
, �`lt ,� a - work indicated on thisl pplicatiabor, on.erhead,and the profit w the
�`a .1-.9.-99,„ , s f �E s„'9, t � �,3. �,.v tt 99'-9 M„s 9I t,46 .9,9, � t,t
Ao® 1-and 2-family dwelling 0 Commercial/mdustrial Valuation 3”
❑Accessory building 0 Multi-family Number of ooms: /
0 Master builder 0 Other: Number of bathrooms: i�j
. `.,”— s; , az, ` t, .i t �T ';'''''''1---M4-.° Total number of floors,Z1.4.1.1
Job site address: hill SVV fritnd' 4 o y New dwelling area: Z square feet�O(2�,
City/State/ZIP:Tigard,OR 97224 �-�' Garage/carport area: �L/'/ square feet I a
Suite/bldgJpt no.: Project name: g i Ve r- 're r c .c Fast- Covered porch area: / ,/ square feet t Li b
Cross street/directions to job site: Deck area: square feet t
Other structure area: square feet
'*x Cf
Subdivision Riv."-Ter a.cs,Ea si Lot no.:Ili, Permit fees*are based on the value of the work performed
Tax map/parcel no.: v Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and therofit for the
� A.� �'k$T'4;":"Y,,.",-''.., r ,`: � k's ' work indicated on this application. p
Valuation: $
Existing building area: square feet
New building area: square feet
'-- ,..''; ' 4,', ; '`�'= " ': r-,,,,,,..,..--,--,-,t- 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: r ,f �.
Polygon WLH,LLC '1 � s
Ott Structural plan review fee(or deposit):
v`
Contact name:Illn wit,
FLSplan review fee(if applicable):
Address:109 East 13th Street pp
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 I Fax::( ) Amount received:
E-mail1 3 r' , �E''S r 6 r,'- Ca,1%,,,,::,,k4-1"c +
, 5 - � Commercial and residential prescriptive installation of
-b = -, 3 - ' 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.dministrative fees):
Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
CCB lie.:207247
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Jr Ch UK Vfilit. .„
*Fee methodology set by Tri-County Building Industry
M
/
Date:(1/7/17 Service Board.
I:\Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical t'ettnit Application'
''•-' 'sf-', ',',, t. '..;!:,'•,, '•''.: i. ' • •
' IIIIIIIIIIII=Eilenall.IIII
. .. .. . - .•
Iiii ti. •ty'of 0
Tigard ,1 't ii ?017 Received
ftmedly: P4mh NiVti...S-7;2-0/2'-.00_3/7
1312.14w ii#11 Blvd,Tigard,OR 9n230 to -
Plan Review
!bonc 503.11L2439 Fax:'501.598.1960 ; , - : ,... . Datemi:- • Other Permit: .
1 I G Al o
be* ' 21 See Page 2 for
. Interact: wwW..tigiiid-ongoV '--•' ' .• _; ,,.., ..- :,..,,;:;.,;-:•"%,.' NotifieiLivlethod:
'111.Pet'llbkLzle; '5°3'639'4175 ii:•••.;7-'-"' ( .:;-•[:' '.,.„ :'..; ;;', ,'• :; two itelbvi3 :
S0PPIemental Information
'1,‘„'..11,-,''',.• .:1 2',-,',,.' '..L,'", '. :-•:": --''"
4;';rtii*:50::C:Wri#4712fOilliZVI;;; it4'..1-ZISe2InEat5:7 '''''''!:4:fgq 1"titrli:1*g:t.SP110V14;:.!'*:-**Ott00,1*''2:.'::-
Mechanical permit fees*arc based on the value of the work
Ei New construction 0 Addi1101Valleratketel4a0emett1 performed.indicate the value(unaided to the nearest dollar)dell
0 Demolition 0 Other: nathanical materials.eaulpinent,labor.overhead.and profit.
Value:$
.•..:;•;,,..•r,1"`!..- 9.911.Y4)F•r•PlY§T,IipptIONIJ.,,...,:.t----,,....,..=;:p.....!.T.1:..:,.3,;.,g;,,,T,I.-F":"-±'-')
.....' ''''''''.--.'''''''''''''-and 2-family dwelling U COnuncreialtindustrial CI Ateetsoty building ... For special Information Nse checAlLe
Miiiti-fatilj:IY- 0 Master builder 0 Other Description .... . . Qty.j En... Total.
$17 U'1.1:.ii;*.Wi*.60SItc:4-4F-10•:: ::•' 5::•;V:'; Elt""RitmliaV '
-- - - •- - - ' Air cooditioning I_ 46.75
-urnace 100.090 B711(duetthents)
j4 addr"Ss;:• i 110q 13 SW Fv.- e,r\A t9 - 6 r. - 4.75
t -
City/SiaterliP,:!rigard,,OR 97224-- Furnace-1 ookootnm idnetstvanis) 54.91.
. _ ..
Heat pump 61.06
tuiteibldgitipt nii.:: Project name?PI kr-Terra c _. (..a.C.- . - --
.....
Duct wort 2332
Cross street/directions to Job site: 14vdrortio hot water system .2.1.12
Resident
let boiler(radiator or
hvdronicl 23.32
Unit heaters(fuel-type,not electrie), •e•
_ . . in-wall,in-duci.suspended.etc. 46.'75
•
Flueverit(bratty of above I 23.32
. •
j
")• lier,• _ ; :23.32
Stibiliviian:'I<IVe,te -e.nnac CCZ f-
.
64. mt.:i C11 •
.0(ir fuel visfiatitis:
Tax map/parcel;ne.:*
Water heater -. .._ .
h•'•••=' ;•?;•.••••4i;;':;41k;'F;;-':.;•;;;';'i-F-'1•:;-4:') ;F:••.1.0.*.k.,0..#*-7.00.$1.:•i4itriV01., 0;:cCit'-e,g'el ;.':W•1;:' -.. .3;':-;;;1 Cres firerdaceihisert — 1 3339
Fine not for water hooter or gas
lm)11 . 0 0- 1-1 • rwe•iace . . 2332
Log 1/$1Uer(Ps); 23.32
• Wood/pellet stove 33_39
' .
Wood fireplacefinsert 23.32 ••
Chiraneyilinerintithent 1 23.32 • •
1 2.3.12
ini010.-i„kti.wp-441#4.,;;;;;:.. :1- ,:..•::.::,:it1;?:., :?-5,: 7:,,,:t1;.'it*isf ':,?,;',:7'.', '-t.:.- Out"'
— . . • — • — ' •.• -. Environmental exhaust and ventilation:
Nanic;'ii-1>VI- ' L-4,,YO. — —
- • Range lanad/other kitchen .
Addresa:2.li il no.. 6 Opikto:tl/. giLas-6 tc.,04i-
ttp_kjis_t_UX,
1'7 - -------ci_ i - . equipment
Clothes dryer exhaust 1 33.39
1 3339 -,
Single-duct exhaust
4 (bathreons, 1...1.
-- toilet companments.utility rooms) 23.32.
!brawl (p9 4 Ltb3 1 * Fax:( ) Attlekrawlspace fins 23.32 ,
,
T••.•:!<•:i;:iii..•.:•;#•,i*Fr:...k1N17- . ,:..,.,:.•7.-..j::,''-'•:F;,,--•-;',:';'::;•:'i:i!f:3;;;t0**Aci.':: ...tit:Sii*gf .r::''..... • °Iltec; 23.32
Fuel piping:
Basins name'
't,k) 1 i i.Cta k:4 Dr\ tAlkfV.S iZne- $1445 for it four;54.03 for each additional ...
-
Contact name: Ni rx.V101?,TV%0.g)e- . Furnace.etc. I
. Ga5-heat pump ,
Address: —1,0"; Pajczcwivi
Wall/stisuendediunit beater .
City/Suite/ZIP:Vancouver,WA 18660
%Pater hitter -
. . ....
Phone:(360)695.7700 Ftx.''.(360)693.4442 Fireplace I .
. • Range i
,, .""111..•_•!!..Ni_r,ift•Pk-,
Th(SICF(TePD 1444,0.4( 8,„,_ Barbwie
..2-.,•,';',. .,.-:i:,: .,.,•;. .,.._,,.:,i- ;',•„;. 3,•",;!;, ;?!;,P:g:.X.1k4137.1#-At,i.7tit;:?;•,,i.i.a:'::.,•:;!5,.;;;;;••,.42Zt.:.::icflis,•7:'..•.;;;: : i.;,;a'„ Clothes dryer(gas)
Business.name:Aiiex Air LLC Other: .
. . . --, ?:-. „.'..;•:-.''. ;:..•:•-."atti$K$P,.1!:.(1;e4-013342;31St.S.*,,;;;',;4'.-, ,••;•;;;-''',;;;•;;:•;
Addiess.:18904 NE 7f4 Ave
Subtotal
• . " •, .,
City/State/VP:Voncouver,'WA 98686 Minimtun permit fee(390,00)
._,
Phu review(25%pipetznii feel
?NUM'(360)3424109 Far(360)326.1769
State surchatget.12.*uf permit fee) '
CCB lie.:203034 . TOTAL PERMIT FEE
This permit application expires if a permit it not obtained within ISO
days after it has been accepted as complete.
Authorized signature:
* Fee mediodalou act by Tri4oituty Building indiedry Senice Board
„ .
Print name: 1 i",.. 4,...4 . Date: 4,11.1t,
.
f.lihnlihnigPoftinatfr_TeraittApp 44010 doe 47144617r 0MT:immix,
Electrical Permit Application
1 1§ 4 /��1 FOR OFFICE USE ONLY
City of Tigard Received
14 R 13125 SW Hall Blvd at Ti O D '
B d, R972 Plsn Re»ew
Q:' Phone; 503,718.2.439 Pax 503;598.1960 a Date:, Related Permit it: }
TIGARD InspoctionLine: 503.639.4175 Ready Date/By: Suri..
Internet: www.tigard-or.goy _ Notified/Method: S See Paget 2l for
? Y ? fl 5f1SupplementalIuformabon
®New construction .; —1 ; ` .:-. xs' b * yE :.j.* .,l'.4 t-6/ ;Y l 9a r . I Q
El Addition/alteration/replacement Please check all that apply(submit 2 sots ofplans w/items checked):
❑Service or grader 400 amps or more
❑Building over three stores-
rent 0 Marinas and
❑Demolition ❑Other: •
where 1available fault
Floating boatyard&N4 s „ ; t,r-D' .41-qtr tn t ; ,4,, ,2-_ ,, : exceeds 0,000 amps at 150 volts or 0 Fl ng uild ngs.®1-and 2-family dwelling 0 CommerciaUhiclUstrial 0 Accessory building leto groom,or exceeds 14,000 0 Court eid-use agricultural tural
Multi family ❑Master builder 0 Other: amps for all other installations, buildings-•
34-2-7El rit i r ❑Pim pump. 0 Installation of 150 KVA or
�. , .- 0 1A a ® .
, E• oA,A v- „ro p ' .;+rid,, ,=;if 13 Emergency system. larger separately derived
Job#: Job site address: id:17775w �y. ❑Addition ofsewmotorload of system.
V '777SVv 1' i e�11.��f\(�_ 10011P or more. 0"A","B","1-2',"1-3",
City/State/ZIP:Tigard,OR 97224 1 ❑Six or mom residential unit& occupancy,
SUite/bl / t#: ❑Health-care facilities. ❑Recreation!vehicle parks-
•ap I Project name:g,�1C Tp r e, _ ❑ ardoas locations. ❑Supply voltage for more than
Cross street/directions to job site: ` n -!A r E r err 13 Service or feeder 600 amps or more. 600 volts nominal
t
•
Description Qty. I_ Each Tota1 r
New Subdivision: % r Tetra(f- Ca ! Lot#: (Cfl, Includes attached garage.multi-family dwelling g unit.
Tax map/parcel#:
1.000 sq,fi or less 168.54 4
_ i s t � '�s s Ea.add'1500 sq.ft.or portion 33.92
/h d{/{J'� r� n�(� Limited energy,residential
Limited75.00
(( l (/(J D J ( ith.above sq-ft.)
2
Limited energy,multi-family
residential(with above sq.ft-) 75.00 2
a , xf Renewable Energy 0 See Page`?a� ��. r`at�d� te -iC,LWarServices or feeders installation,alteration,and/or
r relocationName: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/72: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 552.26
2
Email: Temporary services or feeders installation,alteration,and/or
ocation
Owner installation:This installation is being made on property that I own which is not 200 or
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. amps to I00ess 59.36 2
201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
S. rf. s St.) t,`a .spm< ;;ikr, Y ' ,K, jfki r j ,} „ -, k Branch circuits—new,alteration,or extension,per panel
� „� �° A Fee for breach circuits with
Business name:William Lyon Homes,Inc. above service or feeder fee,
Contact name; Ni ch ole..-Thnrim, B.Feelrcircuitcircuit7.42 2
ee for bran branch circuits without
Address: 103 e)1 ocieLb aq S t - Fservice or feeder fee,first
��� �� branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2
Phone:(360)695-7700 • I Fax::(360)693-4442 Miscellaneous(service or feeder not included)
Email;, �' h /� Each maservice d or modula.feeder
dwelling,service and/or feeder 67.84 2
eS i
n 57r Z'15t: 4. 6 s ',( . 7.3, Reconnect only 67.84 2
r - x ` fi. `; Pump or irrigation circle 67.84
Business name:Garner Electric Washington,LLC 2
Sign or ontiine lighting 67.84 2
Address:. �Z \� �(p �� f Signal circuit(s)or limited-energy
1 +"+�F s 1 o 03 cup parcel,alteration,or extension. ❑ See Page 2 2
City/State/ZIP:•p�ua1 'l j 1► \ gen1
Each additional inspection over allowable in any of the above
Phone:(253)320-1657 `,( W I Fax: Additional inspection(I hemi.) 6625/hr
( ) Investigation(1 hrmin) 90.00/hr
Email:bdaniels@gweusa.com Industrial plant(1 hr min) 78.18/hr
Inspections forahichno fee is
CCB Lic.: C1158 I Electrical Lic.: 208174 I Suprv.Lic: 4496S rifiral listed '14hrmin) 90-00/h
Suprv.Electrician signature,required: ' " 2(.A - Aid • , y=:' �.a )'11' ' t ��? bt `a? :
Print name: Joan P Albert : Subtotal:
•
Date: 4/26/2016 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: - TOTALPBRMITFEE;
PTint Mame: B171 Daniels 4/2This permit application expires if a permpermit'snot obtained within 180
2{ q Date: 6/2016 days after!than been accepted as complete.
1'`islBuadog{permi ermitApp dtie Rev 06/17/2015 — * Number of inspections allowed per permit
44t1+1615T(1I/ti5/coM wm
•
Plumbing Permit Application'
,
Building Fixtures'• f, 901.f
C - 1 4 0 '
qty of Tigard
W
111 111 Phone: 503.718.2439 Fax 5033984960 - , ' ;:. Other PmlnitNo.:
1IGARD
Inspection•Lintr 503.639.4175 ',; '' ; !,• - ' - Datert-r.e,,dyiny:
Ind= I RI See Page2 for
Internet wwW, 1d-or.griv ' Notified/method: Sapptenitatat Informadon
, ..1,r. ;;.4w:,4... ....,t:-.,,z,„.1-;;..;•1;.-4-: ;;Lti4s. :k: .15 ::,Ji:-;= ;..:,-;,,, ,;..p-'•- .. .--:,==.,,,,,,---,=-.--,-,., •=,,,....-- "
•=,-,•&-%piriziallii.ii4i7V203k.V .P.7.7iNf.g34:.r-.24:4,45 ,.9.....ICKILAW -g;:ggON,V.VA: AOPP-MM... Tat:Z?.'CiRC:i1Citt.igig-;'
EiNew construction., 0 Demolition For special information use ckiiklist
Description 1 Qty. I Ea. l Total
El A,ddition/alteratiOnirephicement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
VP..9.1sSit-Sql.441tal..-;:giaN1-5.4--":"'" SFR(1)bath
.„....,4-,,,,......=4...4,44:. I 312.70
1:8]Land 2-family dwelling 0 Commercial/industrial • SFR(2)bath 437,78
I-, SFR(3)bath
1 50032
El Actessory building L-1 Mlti-family •
Each additional bath/kitchen 25.02
o Master builder 0 Other: Fire sprinkler( Sq.ft.) I Page 2
PgektOkirAiS*1-.01WW.44.14*.i.i*PW444;iiiii143544 .s:Zi She ulititiess
Job site addressil tion- sw k fie,'tnciti Lo,„,,„ Catch basin or area drain. 18.76
. .
Drywell,leach line,or trench drain .,. 18,76
City/Shste/ZIP;Tigard,OA 97224
Footing drain(no.linear it.:___) Page 2
Suite/bldg./apt.no,: j Projeciname; give le-Te,nrace.Q0s..k Manufactured home utilities 50.03
Cross street/directions tojob 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
Subdivisiw AI'M Telirrotte.:-E +- I Lot no.: 192 Fixture or item:
Taxmap/parcel no.: Backflow preventer ‘ 31.27
Backwater1 1231
::;r77;•;..;i'...T.i.4.,V.tt;':cli'-'"-,!XJ.,',..?-4:DE,SCI1IPTIONTitit,-WORie .4-.;Jii:.,-;,f:.:f.-.e.,- 1,72.i.,1=,.-j,-4;;;„:
/14 STD)n a a3 n
Dishwasher 25.02
25.02
Drinking fountain 25.02
Ejectors/sump 25.02
WIR-Raggita:45**444aC41-45..:T .1:15firikiiia ;',.'47 - Expansion tank 12.51
Name:ADVL Land Holdings,I.I.C. Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:7600 E Dimitletree Ranch Road.
Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258
Hose bib 25.02
- .
Phone:(602)694-4031 Fax
( ) Ice maker 12.51 7 -
Interceptor/grease trap . 25.02
Medical gas(value:$ ) Page 2 1 ,
Business name:William Lyon Homes,Inc
Contact name: le
N h DIt Thorpe- - Primer
. Roof drain(commercial) 12;51
12.51
-Address:103 groacut.)&ul st c;u117(- 1D Sink/basin/lavatory 25.02 ,
City/State/Z1P:Vancouver,WA 98660 4 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax;;(360)693-4442 Tub/shower/shower pan 12.51
Urinal 25.02
E-ttliFi: C/ . Id 1/ /i 1 WA 0111 Drne-C•114.)01
25.02
4.717.;:RMIAT-jiaals0V4k4t6 r'l:70ifiliV:--6.'-':::-±77g7:..:''''-';''.-7'.' ,...-. '-. Water
clmet
- - Water heater 37.52
Business name: G.4-i k)‘,,,,1/4,0)iNk.e.11--6,*ks 2.4it.-- Water piping/DWV 56.29
Address: p.b. $.0x4 0,62, Other 25.02
City/State/ZIP: 5T. 1)44.44 art, 411131 Subtotal
Phone:(36.3 0"8('S 14/.1 , Fax':li I)"141-4 114) hirmimurn permit fee: $7230
Plan review(25%of permit fee)
CCB Lic.: 1850..
3- , Plumbing Lic.no. b tisq
State surcharge(12%ofpermit fee)
Authorized signature: 15: ECit lritA - TOTAL PERMIT FEE
Print name: >T fotit_ F)W ke__. Dale: -38- I! 'This perndt application expires if a pandit not obtained within 180.days
after it bas D. accepted es complete.
*Fee methodology set by Tri-Ctamty Bullring Industry Service Beard.
bIthaldinearmits1P111114truritApp.doc 101010 4404616/00/02COMMEB)
City of Tigard
II q COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review — Residential
Building Permit #: 7_e,e3'/7
Site Address: 1 ,q
Project Name: (2;ve"' TGrra ce 'as1L Lot #: �(/��
(New dwelling=subdivision name;Ad tion or Alteration=last name of owner)
Planning Review
Proposal: iVeiA} s P11
0,..Verify site address/suite# exists and active in permit system.
-D River Terrace Neighborhood: ❑ No IJ Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
Three(3)copies of site plan .�B�Ex't�instructures on site
mite plan must be on 8-1/2"x 11"or 11 x 17"paper XJNootprint of new structure(including decks)with finished
.0D9n to scale(standard architect or engineer scale) floor elevations
XrOallorth arrow tility locations&easements(required for new and additions
te address,project or subdivision name and lot number .dewalk/driveway approach )
.plicant information(name and phone number) - ELo-catiofl of wells/septic systems
?Lot dimensions and building setback dimensions -B-Extrrortrerfo be retained with drip line,and tree
qua age of buildings to be demolished protection measures
.ErLot area,building coverage area,percentage of coverage and treet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40)
.gfi-reet names �
Property corner elevations(2 foot contour lines if more Phan >1,000 sf of impervious area created or replaced? lyes ❑No p-r-
4 foot differential) If yes,is a storm water quality facility shown? ❑Yes,O'Tco m
,Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received:
❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit: PF/06 I0O0g?
,
Required: Yes,applicant was notified ❑ No Applied For: /
PP CI Yes ❑ No,stop intake
Land Use Case#: pptg 0/40- 6000/
J2--zoning: R-05(t
. Zequired Setbacks: Front _la Rear s g Side 3 Street Side -- Garage —
Landscape Requirement: f p 0/0
'-ff(L Coverage Maximum: R b
.1J Budding Height: Maximum Height /v/J- Actual Height
Visual Clearance g
1a sensitive Lands: ❑ Yes ,f2"-go Type
krvUrban Forestry Plan
Z Conditions "Met"prior to issuanc of building permi
Notes: 4/I C o,1 d` o ris e j Ae In I
Approved By Planning: Z� Date:
Revisions (after Building Submittal only) Reviewer
Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\BuildingTonns\BldgPermitRvw RES 061417.docx
r
Building Permit Submittal
Original Submittal Date: (lG/ 2
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning y Engineering 2r 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.
p Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 7(0"7
( �7
By Permit Technician: Date:
Engineering Review 0/
V Slope at building pad: 51D0
El Conditions "Met"prior to issuance of building permit
❑ asements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 11No
Assess Water Quantity Fee in-lieu: El Yes id pio
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: t
I 4/ ldt) I Date: Lb 17
Revisions (after Building Submittal only)
Reviewer ate
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit f /�
ii"CApproved,NOT Released: �`vv'� Ur(/Date: (��
Notes: �l '� ,
girl i.ths Yne-—1\2 1,1116111
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:
C Fees Entered: Wash Co Trans Dev Tax: r4Yes ❑ N/A
Tigard Trans SDC: prYes ❑ N/A
Parks SDC: l Yes El N/A
LIDA El YeS /A
OK to Issue Permit 4°12/
11I 1-7Approved by.Permit Coordinator: Date: I�t 5
I:\Building\Forms\B1dgPermitRvw_RES_061417.docx
IIIICity of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 1 'V3 SW F'r;e.ic0 L h
Project Name: 7 ;✓c.- Te��-C As7-- Lot #: l012
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards? ❑ Yes ❑ 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. eep Balcony w/access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors.
Percentage Shown: 21.2 /A
3. Entrances:At least one entrance must meet`` both of the following standards:
ax. 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: Id Yes ❑ No
If yes,all the following apply: 25 sq.ft.min.
0kf,e
street facing entry
❑ 12 ft.max.roof above floor of porch
t. depth min. ,I2'30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five�of�the following elements on all street-facing facades:
0 Covered porch min. 5 ft.wide x 5 ft. deep YJ 1Zecessed entry area min. 5 ft.wide x 2 ft. deep
❑ mall offset min. 16 inches ❑ Dormer min. 4 ft.wide
XI Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood ,Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. El Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min.40%of street façade El Window trim min. 2 1/2"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing ❑ 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 façade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or side lot line,than longest street-facing wall. • -. r. •o. If No (Check one):
❑ . . - en. up o . ' .•- - 's a covered fro. :. c and garage does not extend beyond the front porch.
❑ May extend up to 5 ft.where the _ .:e is pa . . ..o-story building and there is a window at the second story
above the garage that fac- . - street with a min. area of 12 sq. .
Width: (Che . . e
El 12-f.ot-wide garage door ❑ 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: Date: $V i^7
I:\Building\Forms\BldgPermitRv. RES_RT_062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16973 SW FRIENDLY LN, BEAVERTON, September 10, 2018 at
OR, 97007 9:57:02 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00317
Inspection Type: Inspector:
199 Electrical final Jeremy Burrows
Result:
PASS
Comments:
Corrections completed
Violation Summary:
Inspector Contractor