Permit (205) , i 14CITY OF TIGARD fy/!)►i MASTER PERMIT
. COMMUNITY DEVELOPMENT fl/ Permit#: MST2017-00237
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017
Parcel: 2S 106AD07900
Jurisdiction: Tigard
Site address: 16899 SW FRIENDLY LN
Subdivision: RIVER TERRACE EAST Lot: 186
Project: River Terrace East, Lot 186
Project Description: New SF. 1/4/2018: REPRINT to correct number of lays.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 1174 sf Basement: 140 sf Left: 3 Parking Spaces: 0
Height: 35 Bathrooms: 3 Second: 555 sf Garage: 437 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 1869 sf Value: $231,496.96 Rear: 0
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: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 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!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 1869
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 GEO Tech Required before
STE 1 foundation inspection
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $31,216.44
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 throu• ,AR 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.
7
Issued By. A I 44-)` Permittee Signature: c9 f/10 '(' `x"7/C ti7
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.
IN CITY OF TIGARD MASTER PERMIT
B. .. DEVELOPMENT
Permit#; MST2017-00237
T[GAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017
Parcel: 2S106AD07900
Jurisdiction: Tigard
Site address: 16899 SW FRIENDLY LN
•
Subdivision: RIVER TERRACE EAST Lot: 186
Project: River Terrace East, Lot 186
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 1174 sf Basement: 140 sf Left 3 Parking Spaces: 0
Height: 35 Bathrooms: 3 Second: 555 sf Garage: 437 sf Front 12 Smoke
Dwelling Units: 1 Third: 0 sf Right 3 Detectors: Yes
Total: 1869 sf Value: $231,496.96 Rear: 0
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: 2 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: 1 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
1869
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 GEO Tech Required before
STE 1 foundation inspection
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $31,216.44
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: ‘,04/4‘
--A.,/4
.CallPermittee Signature: `Cr 6esi, t�
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 � .7--- - '
AMP
giii. - _ RECEIVED FOR OFFICE t SE ()NEN
City of Tigard Rece;vea /
Permit NoAAAA
13125 SW Hall Blvd.,Tigard,OR 97223 l • Ian eview�/ /17 I v( `' U 17 _;
' s Phone: 503.718.2439 Fax: 503.598.1966 N i DateBy: (� A Other Penult.ci4,1eA/5F
r i ,h t> Inspection Line: 503.639.4175 CI I GARD Date ReadyBy. ' runs: H See Page 2 for
Internet www.tigard-or.gov BDILD�DI G DIVISION Notifed/Method:/2 J/1 /,(:‘,/--7 ... Supplemental Information
(c.. "it C//O4
r . t �- t-a -£' .; ha.,: D °e Iia f, FS > .. € � atc-,;':„..i5.-7,7;:,;.7?-:E7e.. .` £
®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,materials,labor,overhead,and the profit for the/e rA 1
a ";? ' .. ' i--R '_`'; �--:,`,:::rµmw ;74,
7 , work indicated on this application. (V,1�.'�'J�
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: d31,
31/�/.I/ .
❑Accessory building 0 Multi-family Number of bedrooms: ' _I ll�
❑Master builder 0 Other. Number of bathrooms: 3
trig Total number of floors 3 P 3ok,
F ` � , ,t� ����'�R , 6� ���$Wit, 'E 3 ��y,��,��a��:�"� ` '"��,,.�" z �
.._. '�€�, F�' �f '.0 lR".�, ."fi.�-rt-r.3 -T< ��8 ^'�'4,
Job site address: i 1/,9' s fri e nd,1 , 4 �n, New dwelling area: 'J�� 9 square feet A��
City/StatetLlP:Tigard,OR 97224 `/JI �� Y Garage/carport area: 44 -7 square feet t
Suite/bldg./apt no.: Project name: r►vCil' lY r^
7�Cnr�ce `i- Covered porch area: square feet I y 0
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision RIV{,r'Te aCS. Lot no.: t VV work
_
�� 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
n, ., „,,,.. , ,_ < - "-:� ` '.. ..,-.-S" �� : � :: - work indicated on this application.
I Valuation: $
Existing building area: square feet
New building area: square feet
�� �'.,',-;4',•,3.,;',,,''-'. :) ��bf, i7����W':' �' IT,=.707,5":"ZriaVEY75 Number of stories:
Name:ADVL Land Holdings,LLC Type of construction:
Address:7600 E Doubletree Ranch Road Occupancy groups:
City/Starr/ZIP:Scottsdale,AZ 85258 Existing:
Phone:(602)694-4031 Fax (
New:
Business name:Polygon WLH,LLC _,:a n •• - ^ ,� •%- - ' '
l ft w t:O Structural plan review fee(or deposit):
Contact name: �v
am
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: ` 0 t, I i 0 /7 £' ... ��
- Commercial and residentialprescriptive installation of
.: E''t‘-':` ;11-:1:`,5'.y`s „�11 : J£r c F .. n 2M"1 F:' .;:.
" ” • pati - A4 roof-top 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.
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 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.
Print name:/i/Ch Ok 74n4/
00 40011 --
Date:U/�/ *Fee methodology set by Tri County Building Industry
7 Service Board
Building\Permits\BUP-RESPermitApp.doe 02/24/2011 4404613T(11/02/COM/WEB)
.. . .
Mechanical T..* iiii.it Application; , .. . .„ ,, ,„ FOR OFFICE I SE 0\I„.\
. . , . .. .
1i' 1.
'CityotTiprd Received
.. • Dateltiv: Permit Ner,t/445.7..„,20/?.....tor,,2 3 7
III,- 13125 SW/gall Blvd.,Tigard,OR 9722,1.-- ,,• ,•',-;" ,, '"'‘. ' '' .: plan R...,,ie„. • • ' -
' 11 :PhrinM 50018.2439•Fax:'503.598.1960 ',.. :- ••-''' ' '''' '''''' ': Diumuk. • Othor.Permit;
.inspeetitut,Eirte,; 503.6394175 . ......., , . '•- '' " '2-'' : "Datelteady/0i- — '-- '' -1,1 ,- E5 See Page 2 for
TIGARD
Interfiet wwiv.tigitki-mgov- .:,.'..'- '-,'' -'''' ':': - ' . ' NotilledNetho.d: Supplemental Information
• -
• -' •
'..-:'{I''' ''''.°11';;'' 't;•.1:• .A.i/Ci*;' ''..aigti*-f-g•OY:::14:10kThj•r-Cffl:ill*: $‘.i4;;;A:..,-Itit:Ikk :SI .';:, if'::-1;0 j'il**4,71414.4*1$03***;: ***004-14P-1.
Mechanical permit fees*are based on the value of the work
.1E1 New constnAction 0 Additiontahandiunirepinoement . performed.Indicate the value(rounded to the nearest dollar t of all
0 Deniolitkui 0 Other: rivielanical materials,enulpiitent,labor,overhead,and profit.
Value:8
.:. 4...1-:',.1'..4,.:P'•PS;01g, ';l `CiV,4594Y.:-:0.:•.,0*....41-#.340..0.1PISZ.::t'- ',';'.•,?.4.'::•-•5Z4.;'•' riV!;g0:7- IiPN
b .;---- —';'''
„,......-.. _.._ ., 111.4- .Tile.-01P:'....4197P41ffi ::::;:•:'.
"13(1-•and 2-family dwoiiitig El COttrnernialiindustrial ti ACcess. cir)/building For speck!&formation roe chralla.
I Multi-filthily. 0 Master bonder 0 Other: Description' _ ... Qty. I Ea, Total-
„1:' '., .1"•,'";!:-'4:4':;g41',Witt,'1/474141113.**M*'i-iiOAAtieM.4,55.;;',:::,MNii.'0.',, n't*a*gic:""g;
Mr Conditioning „ . . I 46.75
Sqt!.si"drirs.: 1 IDeLCIA 51i\1 fri tnct vy Lcu(\e”, Fornace100,00.0 OW(cluetevents) 461$
City/StattalP:Tigard,ert,97224 Furnice100.000t Bill iducts/Winis) 54.91
- 61.06
:Suite/bldg./apt no.: EMieci Mane .: 2 sVer TeATA(P. f_04+ Duet work 23.32
. .
Cross shut/directions to job site: flydrortic hot water system 23.32
Residential boiler(radiator or
hydroniel _ 23.32
....
Unit heaters(1iel-type,not electric),
.. . , ..,
in-wall.in-duct,suspended,etc. 46,75
Fluckeet foram/of, above I . 2332 ' ..
• Other; . _
Subdivision:.Ri ve,v Te,rvarc-..ErAs.1--. Lot ert.;:t<bk .
othrue„„.plitara: 23,32
. _ .... .. . _.. .
TUX pap/parcel no.:',
Water heater . 1„ _ _ ..,1 2332
:•.f„.:k7.-',W:, ,'.,.g,i'i0.'?..;5.V:!... .1*!:'4',',,*Ojc..100.101**.it.031.16V.-!N"-'4.i,:s7:1 :Zgiii.i"'. ' :7'1 .i-;:.'.'" Gils'rirePla*iii" - 1 33.39
,
' • Flue vent for water heater or gas
0)-123') fireplace 23.32
Log tight=(gas) 23.32
Worici/pellet stove 3339
Wood fireplace/amen 23.32
Chintneviliner/fluMmitti 23.32
. .. : . . .,..--- - Other 23,32
';-;i:''''''-'':•;.•::.'-: Wii•: •4•°°.0I':0--*1 ;F41 "''t:' '"'''IL''.ii.:0 -5:47,4;)•••41* 4 ....:.'"•;;S:'°'''' ''''''''''': Emilrouniental exhaust And ventilation:
Name:'A-DV t- tzunet fi-D1c1 1 5 LLL
/ . Range lumdfather kitchen
equipment 1
Adthess:' , A r\
.L,- 0 0.1 .„,,, ' it - r_1 a 4 Z-4.) ' Clothes dryer exhaust ' 1 33.39
...5.!!St_a_t2/ZIp_Lacat ,;14 ii,.._it I. q5-2..sb Single-duct exhaust(balluneins, 14
Mita conmartments.utility mom) 23.32
- _
Phot_...1.1.AlietL.._.4.63____ trL2...._____ Anieconvispace Pans 23.32
..1•::::':-;... .';:.i:'.2&:01:1'iArk414/q:::i;:i?.:7- .S::i'e -:1 :.i:: :'12•:.; •:,?r.i.t3t00,040.4,..0;s0:i.6:;,.,i,:,::::.?...‘,.: Other: 23.32.
Business name Wittiam ikl CW\ thves Lo
1 C Fuel nittlaRt
$14-15 for fiat tour;$4.03 tor each additional
. .... . . , ... I .
Contact name'. N. i r ‘ ,TTArko4e-- Furnaos.etc,
- '
•
I
— WallIstispendediunit heater
tity/Statm7.1P:Vancouver,WA 98660
Water heater -
Phone:(360)695-7700 Fax :060)693-4442 Fireplace ' 1 .
- .
Runge
i 14 14-0 ?Jt !Paklbaki. Barbecue . ] ,
E!.:67. ;:,...''.:s.4 itc'.,i'i'. .''',",:.. •;:.'?".45:i:ine.',.'..;'.-ii';:".. Z...;;iit'-•! Citqfns dr;ver(M)
Businesiname:Alin AIM LLC Other
' - - •- 7
.;. •..:.:::.r.';',- ,ttil.*:1**40..t Rilitr.*E0t.:;.'rf-',7:;.,i,:',,.,.. .:-.4 .
Address.:18004 NE 72a4 Ave
Subtotal
„ _ , .
City/State/ZIP:Sinnetiirivr,WA 98686 Minimum permitcc(890.00)
Plan review(25%of permit fee)
Phone:-(360)3424109 I Fax:(360)326-1769
State stacharge(12%teperruil fee) ”
. . _ .
CC13 tic,:203034 .
TOTAL PER:N11T FEE
Thb permit application expires We permit net obtained within Ian
days after it hai been ketepted as complete.
•
Authorized signature:
* Fee methodology sm by Tri-Cratuty Building indurary Service Board
Print intmerl7A--. ..i I.. Date: 1•I.?.ft-
electrical Permit A licat><c>n "
,_
FOR OFFICE USE ONLY
City of Tigard
,I E , %:K' 1' Received
R 13125 SW Hall Blvd,,Tigard,OR 97223 Dates : illikra ,
3' Phone: 503.7182439 Fax:
503.5981960 =' { zi:V•'�•
Related Permit#:Inspection Line: 503.639.4175 - ' t ReadyDate/By: kris:
0 See Page 2for
T1GflRDInternet wviv -oLg4 \
' Notr£edifvfethod
• -4-.1 .`• SapplemeatalInformatiea� �_�1_, c3_..1,6`y •--- ' � " `it:isv- ' `. f- '-'',.."f"- �,, if;:T t q T�
�a ii o� ,j
®New construction 0 Addition/alteration/replacement Please check all that apply submit 2 sets of plans w/i�teaschecked): F
PPY(
❑Demolition 0 Other 0 Service or feeder 400 amps or more 0 Building over three stdries.
a � �x zlf g F r� 10-k
A d W4:.:102.- 0-1
y ^i r � where the available fault Current 0 Marinas and boatyards.
=—�� �.,. �-,.7 ,A exceeds 10,000 amps at 150 volts or
®1-and 2-family dwelling 0 Commercial/isidustrialless to O Comore buildings.
a.
Multi-family❑ _ 0Accessory building ��or exceeds 14,000 ❑Commercial-nsC agricultural
CI Master builder 0 Offer amps for all other installations, , bmsdings..
to,, . : ; a 'g:To-o ,,-crit-=0: ',mom
_ ❑Fine pump. ❑largeraseparately derived
Job#: Job site address W U I 1 SW Fri CY eii 'w ' r ❑Addrtron of new motor load of m
La f(' IOOHP ormore. ❑"A•,"E","1-2","1-3,,
City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy.
Suitrtbl / t #: ` T ❑Heaver-Dere facilities. 0 Recreational vehicle parks.
aP I Project name: 1 0 Hazardous locations. ❑Supply voltage for more than
Cross street/directions to job site: ❑service or feeder 60o amps or mom. 600 volts anmal
ia
s M,_
Descdptlos (_ Qty, 1 Each Total ) *
Subdivision: ' New residential single-or multi-family dwelling unit.
(z-4►i.r T�. -/e. 'as - 1 Lot#: I'B ip Includes attached garage.
Tax map/parcel#: 1,000 sq.it or less 1 168.54 4
F rx z D t 7�"s s :>,.s x�3 tr., Ea add'2 500 sq.8,or portion "Z 3392 1
/1/131-21)n
V/��+ ^� }� I'� 2 .--Ona a . ..2-max '.'•, _
/+'',J LU n — ('3 7 ) Limited(with above ve snerm q ftdeatial - 2
75.00
.)
Limited energy,multifamily
residential(with above sq.ft) 75.00 2
a9 . f �c.
Renewable Energy El See Page t
ysw4 �` " fs ? 1_tiZY y_ -5; 2 X'1:•Q''"'- uServices 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 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:(602)694-4031
I Fax:( ) Over 1,000 amps or volts 55226 2
Email: Temporary services or feeders installation,alteration,and/or
Owner installation:This installation is beingmade on property 20locapon
intended for sale,lease,rent,or exchange, & pro a that I own which is not 200 amps or less 59.36 1
according to ORS 447,449,670,and 701. ' 201 amps to 400 amps 125,08
Owner signature 2
Date: 401 amps to 599 amps2
i I168.54
z.,,,.. ;,- 'Tvl;N).):E,::4},+l t Tzzl'La rTi' • },, c 1 �'�tI'?cj -� a Branch circutts—new alteratio or
�"""' ��- �, - i,a F.`� �� , n, extension,per panel A Fax for breach circuits veldt
Business name:William Lyon Homes,Inc
above service or feeder fee,
Contact name: Nir��h o n, branch circuit
7.42 2
103 1� B.Fee for branch cin,-alts without
Address: Y-oin a 4 jc st �1• s, service or feeder fee,fust
t ��l, 1 branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit
7.42 2
Phone.(360)695-7700 , Fax;:(360)693-4442 •
Miscellaneous(service or feeder not included)
Email; Each manufactured or modular
'�h /� • cc.
P i dwelling,service and/or feeder 67.84 2
1. Y
l;; 1 J4 K s o� �'a R - # Reconnect only 67.84 2
'e „4. : xc yZ,Lz ._.� � r ,t+�t�, Pump or irrigation circle
Business name:Garner Electric Washington,LLC 67.84 2
.r_.. Sign or outline lighting 67.84 2
Q Z U at �t � c,w1 Signalcircuit(s)or limited-energy
Address:t ` �.p '�{ n
Ci dress: /..1,'p l a"� 1` V S ` J �`—'y' panel,alteration,or extension. ❑ See Page 2 2
�` t Each additional inspection over allowable in any of the above
Phone:(253)320-1657�miI Additional'inspection(I hr min) 6625/hr
Fax ( )
Investigation(1 hr min) 90.001hr
Email:bdaniels@gweusa.com Industrial plant(1 hrmin) 78.I8/hr
CCB Lie.: C1158 I Electrical Lie.: 208174 I Suprv.Lie,: 44965 5P for which no fee is
Inspectionslisbed Ys hr min) 90.00/1u
•
Suprv.Electrician signature,required: -. L;"., � e 4t � ;e, et tel: r x
CLY wee ,
Print name: Joan P Albert Subtotal:
Date: 4126/2016 ❑Plan Review Required(25%of penult fee):
: Authorized signature: -- ,.--- ��_ State surcharge(12%of permit fee): -
TOTAL PERMIT FEB:
Print name: BM Daniels Date: 4/26/2016 This permitapplication expires ifa parmifhs not obtained within 180-
days after it has been accepted as compute
l'i' ''` � 0' — * Number of inspections allowed per permit
a0 °s c�e��PPIIA IItfirice Rev 06/172015 440,46ts1112/II5/c0t,gjWSB
Plumbing Permit Apiplication7
Building Fixture$. .,,-,) ,3 :„,- ')in?
City cif ilgard
Pemlitm°4/1-5-7;20/7-00-73 7
.7 " 1312$SW Hall Blvd:,Tigard,OR 974;3 .: DaLye/B.
,
; 0 Phone: 503.718.2439 Fax 503.598.1960 - - : ', '', 1'14°114%4w Other Permit140.:
TRiARD It:speedo:1Litre:303.639.4175 . , ' ,' "'-' ' ' - - - Date Rod. y/By: hoist Ri See Page 2 tor
Thiernet wwWligard-or.gtiv
Notified/Method: Se u leniental Information
12FIttgalaggitalt0****::**MeV0440i,g7A`gMaglifigaitE*ii**iiftali.W.:' it,'t
IS/New construction El Demolition For special Information use checklist
Description I Qty. I Ea. I Total
0 Addition/alteratiOntrephicernent 0 Other: New 1-2-family dwellings(includes 100 ft for each utility connection)
'81,01A54041:Ke:40110JAKiWiRliefteit'iWilW4*....aPaVia, SFR(1)bath
1 i 312.70
SFR(2)bath 437.78
El 1.!and 2-family dwelling 0 Commercial/industrial
SFR(3)bath
*1 50032
CI Aceessmy building 0 Multi-family
Each additional b.stli/Idtchen 25.02
0 Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
';,itAlgil-1,040-rftiil#iiiit0r,*:00:_fia10404:41AN;i4; Site utilitiesl
Sob site address: i to MCI sw k ryi tnaki Laxv..., Catch basin Or area drab: 18.76
Drywall,luta line,or trench drain 18.76
City/State/ZIP:Tigard,01(9'7:224
,., Footing drain(tto.linear ft.:___) Page 2
Suite/bldg./apt.,no,: Project name: givtriry-ace_Eas.A. Manufactured home utWties 5003
Cross slrect/directions to job site:
Manholes 18.76
Rain drain connector- 18,76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no,linear ft.: _) Page 2
Wear service(no.linear ft.: ) I Page 2
Subdivision; tiVeAr treilrrate.-Eos-i-- ' I Lot no.: i toy Fixture or'term
Tax map/parcel no.: Backflow preventer k - 31.27
,•:.1" ;',:let.445.:i4g,V!,'Fag,44,1-"-:''' ':., -0,,,vottii.- 74'.* 12.51::4,, Backwater valve
25,02
/Vi SILO Ii —60131
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
tMit:i;VV. fgc:,IENArn..C.'4A.lii0, ExPansi°n tank 12.51
Fixture/sewer cap 25.02
Name:ADVL Land Holdings,LW.
Floor drain/floor sink/hub 25.02
Address:760 E Doubletree Ranch Road
Garbage disposal 25.02
City/$takIZIP:Scottsdale,AZ 85258
Hose bib 25.02
Phone:(602)694.4031 Fax:( ) Ice maker 12.51
0kt5W itkRit ;;t:K Interceptor/grease trap 25.02
Medical ipss(value:$ ) Page 2
Business name:,William Lyon Homes,Inc - —
Coated name: 1 - - ,
NI'r,h e, Primer
Roof drain(commercial) 12.51
o I 71/arpe
,
12.51
Address:-1 03 groaCIAJJaA-1 St al)drt, LD Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 4 Solar units(potable water) 62.54
Phone:(360)695-7790 I Fax::(360)693.4442 Tub/shower/shower pan 12.51
Urinal 23,02
g42101: I 0 A Id I
11.2a04, Water closet
: 11-6(11e-S-'-ennel cr -“;qi.l•TA,r,-;=4; ,?•,-;:;;z.: ,-,, :..;', , . :57:5202
Waterheater
Business name: G4 iii‘J„Aoy0:0%N.N.A. *-. vVi 14.4.- Water piping+DWV 56.29
Address: p.b. 6.0x op, Other: 25;02
t
aty/Stare/ZiP: Sr. f 64,4 art. cir I 15-1 Subtotal
Phone:($b3,-'8&r,r"" f47 Faz:(11 v--741-4)no Nlininmm permit fee: $72.50
— ,
Plan review(25%of permit* fee)
CCB Lin.: 1853-12_ Plumbing Lic.no. ( 3t1
041
--
State surcharge(12%of permit fee)
Audi 'mixed signature,: 1$;11;06t ItitAkt*".",-......... TOTAL PERMIT FEB
—
Print name; £ 1L Ft W 14,e_ I Date:3-36-i b I Thh perrnit application expires if a permit is not obtained within ifthdays
after it hat beeo accepted as complete.
*Fee methodolory set by Di-Colony Staring Washy Service Board,
MitundieMPamitOPLMU.PermitApp.doe 101010 4404616410/02/COWWEB)
.,
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
1111 g
T 1 c A R o Building Permit Review — Residential
Building Permit #: (14 57-01.00--a6 Z37
Site Address: i 6F f'? S10 Fe,6./Ny La„P
Project Name: R;ver,., ree1,-Q a Ea s t Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner) ��
Planning Review
Proposal: /Uew SPR
zr Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ No ,e Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
11�I1 ree(3)copies of site plan aExtsttng strucTures on site
,prawn
plan must be on 8-1/2"x 11"or 11 x 17"paper � oo
rtprint of new structure(including decks)with finished
to scale(standard architect or engineer scale) floor elevations
orth arrow J2lJtility locations&easements(required for new and additions)
Ste address,project or subdivision name and lot number .ewalk/driveway approach
. �
Applicant information(name and phone number) afwells/septic systems
Kot dimensions and building setback dimensionst;,,, ees
b to be retained with drip line,and tree
f buildings to be demolished protection measures
t 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) ,�,�
-rJstreet names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced ❑Yes ❑No
4 foot differential) If yes,is a storm water quality facility shown ❑Yes ONO
/12rElean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified ❑ No Received:
1 �O! -pops
Ppublic Facilities Improvement(PFI) Permit: c Q ❑ Yes ❑ No
Required: g'Yes,applicant was notified ❑ No A Appliedor:
,�/ PP ❑ Yes ❑ No,stop intake
I,CJ Land Use Case#: PPR 0016-006I
'"Zoning: T2-AS/PD)
j;;1-Required Setbacks: Front , a Rear v Side 3 Street Side -- Garage
2/Landscape Requirement: 0 6 %
Lot Coverage Maximum: %c
Building Height: Maximum Height TSA Actual Height
2 Visual Clearance
Z Sensitive Lands: ❑ Yes l''No Type
Urban Forestry Plan
,onditions "Met"prior to issuance of/b ding permit
Notes: �nQ;�;p� J // Le
mei- przo e 40 `per"' : l o. cx�h ce,.
Approved By Planning: r/
Date: o46,/f7
Revisions (after Building Submittal only) Reviewer
Revision 1: 0 Approved CI Not Approved Date
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
i:\Building\Forms\BIdgpennitRvw_RES_061417.docx
Building Permit Submittal /�
Original Submittal Date: _ -///1, /
Site Plans: # 3
Building Plans: # 3
Building Permit#: [Enter building permit#above.
Workflow Routing: Planning l& Engineering <P. Permit Coordinator ._..-S-E Building
Workflow Sign-off: ign-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: j-0� rL Date:
(7l-�/i7
By Permit Technician: y✓� i� i, �—
Engineering Review q
,ZrSlope at building pad: /
❑ 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: El Yes ,ErNo
Assess Water Quantity Fee in-lieu: ❑ Yes Z( No
LIDA Facility on lot: ❑ Yes ,ErNo
Date:
CINOT Approved by Engineering: Pg
-tot
IP 4T (1))k.1r 1 f lL-t'l tot LSSJF-
Approved by Engineering: M. I W f-- 12.,e/ 1,3
1, ,� t Date: c�
Revisions (after Building Submittal only)
�'-' ` Reviewer 11 frS/ 7 Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
4dakpproved,NOT
Released: Date / 1 '
otes:
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:
DC Fees Entered: Wash Co Trans Dev Tax: ig 4i es r6 ❑ N/A
Tigard Trans SDC: Plo Yes ❑ N/A
Parks SDC: ►:: Yes El N/A
LIDA El Yes 7A9N/A
N'� OK to Issue Permit &€1i't
(( 0/fir,atallf
e: ��o
\pproved by Permit Coordinator: krmAi1 t J t1
I:\Building\Forms\BldgPernutRvw_RES_061417.docx
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: / gqt q s w F-;a .c// L ane
Project Name: R:vc �-e" �e X4371 Lot #: g6
(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?,2'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. 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
❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 167
3.- Entrances:At least one entrance must meet both of the foL'lio g standards:
W Max. 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: g Yes 0 No
If es,all the following apply: 2(25 sq.ft. min.
,k4ne street facing entry 2'12 ft.max.roof above floor of porch
ft. depth min. Zr30%min.porch roof coverage
g
4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep
Wall offset min. 16 inches 0 Dormer min.4 ft.wide
❑ Roof eave min. 12 inch projection 0 Roof offset min. of 2 ft.
0 Roof shingles either tile or wood Gable,hip or gambrel roof design
0 Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide
Accent siding min.40%of street facade 0 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 ft.wide by 2 ft. deep
❑ 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 ron o •, , ion.est street-facing wall. 0 Yes 0 No. a ec one):
❑ May extend up to 5 ft.if there is a covered front porch . •or-. -:-. •• - tend beyond the front porch.
0 May extend up to 5 ft.where the y - ' .art of a two-story building and there is a win.ow a a :.. ory
abov- • - :_. :: aces e street with a min. area of 12 sq.ft.
Width: (Check one)
❑ 12-foot-wide gara e doo 40%max. of stree
❑ 5 o max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: / Date: 61i5/i7
I:\Building\Fomu\BidgPermitRvw_REs_RT_062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16899 SW FRIENDLY LN, BEAVERTON, July 3, 2018 at 9:40:14 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00237
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:
16899 SW FRIENDLY LN, BEAVERTON, July 2, 2018 at 11 :06:50 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00237
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16899 SW FRIENDLY LN, BEAVERTON, July 5, 2018 at 10:06:55 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00237
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Previous corrections completed.
Water pressure = 70 psi
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16899 SW FRIENDLY LN, BEAVERTON, July 9, 2018 at 12:58:10 PM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00237
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - CofO
Comments:
Final erosion control passed
Moisture content form received
Moisture barrier acknowledgement form received
High efficiency lighting form received
Insulation certification verified
Blower door and/or duct seal test certificate received
C of 0 left on counter.
Violation Summary:
Inspector Contractor