Permit INCITY OF TIGARD MASTER PERMIT
'' COMMUNITY DEVELOPMENT Permit#: MST2017-00270
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017
Parcel: 2S106AD07300
Jurisdiction: Tigard
Site address: 16809 SW FRIENDLY LN
Subdivision: RIVER TERRACE EAST Lot: 180
Project: River Terrace East, Lot 180
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: 28 Bathrooms: 3 Second: 1062 sf Garage: 422 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 2321 sf Value: $281,343.55 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
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Drains: 0
gWater Lines: 100 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Bckflw Prevntr: 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: Occupancy Group: Square Feet:
NEW 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 Ersn Cntrl 503-639-4175
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Fire Rated Eave at low roof
STE 1 -front porch
SCOTTSDALE,AZ 85258 3 Geotechnical Inspection
PHONE: 602-694-4031 PHONE: 360-695-7700 Required before foundation
FAX:
Total Fees: $32,391.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: r v/. i« .4/ �' Permittee Signature: .5YT aye%,k.0
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
wilding Permit Application /, or ` 60
rgi:,111113
D
: & . RECEIVED _
City of Tigard y 1Ved 7 / Permit No.:
It 13125 SW Hall Blvd.,Tigard,OR 9722.U N 1 4 2( rt y `��� / �lS�KX 7'l���
Plan Review 1 l
Phone: 503.718.2439 Fax 50.3.598.1960 + Date/By. _ 7 Other Permrt:sl t /l j/.�J
I Inspection Line: 503.639.4175 CITY OF TI' I Date Ready/By: ., Jwis: H See Page 2 for
Internet www.tigard-or.gov BUILDING oi`i ION Notifed/Method(-.-- kA 7 Supplemental Information
0 IL. Ai/(1fi c)G
-_ r ar 1 �a -- v ;- -,-,.`� , ,z � F.7
®New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other. equipment,materials,labor,overhead,and the profit for the
r - " - - ` -v ' . '77- '+''$' "``. work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrialVlu;t-i- a. 1)a Iiia
❑Accessory building ❑Multi-family Number o bedrooms: T
❑Master builder ❑Other: Number of bathrooms:
i f- , i°'` t i,E i9 i o eta f t 4" - , Total number of floors.
.3 Lki
Job site address: I tO; $ - S Mend'9 LLU e... New dwelling area: 7 1 square feet
City/State/ZIP:Tigard,OR 97224 J Garage/carport area: L.A.-a_ square feet
Suite/bldgJapt no.: Project name: f V.C,r Terrace .S4 Covered porch area: square feet 10 62
Cross street/directions to job site: Deck area: square feet I j#)9
Other structure area: square feet , 1
qtr ' `(X ?,:''';11:-.1.±.'i.€ f ' 0 '2i s,k.1
Subdivision Rivve-Tern a.cc +f-- Lot no.: 1 Na0 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
'17 � ' �.
x il c a 1 —. – .- ' .. ,,,�* �'zi:' '- work indicated on this application.
,3.r ams,.,.� ,., ,�,�,,.»...,.-T,aw,.,.s..,.w-,w..-,o„ ,�,,,n, s w a"za,.a.�«.ww.+.ns,:.�„� ,�.a�srz,4ssw»»5.-..a,,ri�t` ss,?
Valuation: $
I
Existing building area: square feet
New building area: square feet
wr� ' E , 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:
s<: ,`. ,,, 1 v d ," .£-,n,-11,7; a €;y tl� 'r
Business name:Polygon WLH,LLC �' '
k�� Structural plan review fee(or deposit):
Contact name: I"1mutt,, l n r(y
"� t FLS plan review fee(if applicable):
Address:109 East 13th Street
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Phone:(360)695-7700 I Fax::( )
Amount received:
E-mail: N(C/\0�� l ^ A(�1 i)A1 1 (� ,' ' r l r 1 L. T - ,
e ., , r - _, Commercial and residential prescriptive installation of
, _ , r .vsa ,, t ! .. : _ i 2 ,°17. 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.
rPrint name: //1/114
Date: *Fee methodology set by Tri-County Building Industry
I '–r` �/��� Service Board
I:Building\PennitslBUP-RESPermitApp.doc 02/24/2011 4404613T(11/02/COMIWEB)
a
if7- i' t:1 ; "]-4 ,:''. '-•' ',','" '3 i;
'5';‘,._•:-.:i.',..4 1,.e:,:-,-,--
Meehanigal reetiiit Applicatkiii.l . , , --,
IIIIIIIIIIIEMIIIEIIMIIIIIIIMI
Ntity..'ofiii Tigard nt' - Received Penult NO,/fcretj 7—Oó eR 70.
.- , ,, blatilly:I i-- l,31210S.59/1pall Blvd..Tigard,OR Ip$000k 7 ,7-7,77 r 1:: ', ,„:".„,1:,.„c5 plan Review
Phone
3.710.2439'Ftut.,•503.54,190','. ''''' ' ' ' —‘•-, f Ditenti:• - Other.Parotid:
TI G A R D .;111Veetie.a..i-ine; PA•639A q5 ,./„1,.' ';'',„'-'.,',..'."--: " ',:''V''''::"-11'1....!'2:' Dine Readyitiv: .. _.
Allis- I fa See Page 2 um . ,
. . Internet: wwW:tigarebor:gov• t'"i....,r..L,..-;1 '-''''' Nininitmeth'od;
Supplemental Inform anon
. ... . • . ._ v ,
. , . . _ ..., .. .. .... . .
,,,, — . • - ' 1 Mechanical Nora fees*are based on the value of the work
.0 New construction u Add performed.-Indicate the value(rounded to the nearest dollar 1 of all
13 Deniolilinti ED Other nieeltanicalunnerials.Ir41440nertl.labor,Overhead.and Drell
Value:$
;
.
- -7.--Ytkitioitii.Wit i-SiSigilitcetioiitiA*;;,,g:t-:,:i7i;,42,!..,,iJ!!..1..kfta..1.--;:;!.,: ..,,.',4.-.-:..2,:.,.,i,:'..:„,..,......,.....r,•'..:-..:..:,.:...., ...;---,--.,......:.,.,...--4.:,,,..,;,.),..,..
1-and Ztainily dwelling 0 COMmerciallindustritil 0 AkeeSsory building For special blornualoot sae thrallsz.. . _ •
I Mtrid-family. 0 Master builder 0 Other: . Description' Qty. I Ea. Total.
7,..:•: :::,.,* r,,,. ::4' ?------''-- --"' -------, 'I,/ ;,•.--,-1:•:,--.----,----".,,,--4-;F47.E,•,-71.,.:..42,.i;,,c_••‘•...1-'?''',-;:-;',7''', litt/ktinietftatAl
X*7§11:g If9111$14,..t.TIWIT47t 0:r4119N1-:7„--; 7 -:'f :1.1(-,,4,7:7 . • ''. ' 1
Mr conditioning
40 it9 address: 1141. )(1cl SW nvtnaly LetAe, Furnace.100,000 MU tdoetekaut• s) 1 46.75 , . .1
City/StaterZIP:-Tigards.oR 97224• putittiee 100.000+BTU(duets/41:1ns) 54.91
•
Heat pomp 61.06
tniteibldgfapt,no:: Project name: F y- , 4 0 ,
Duct wort ' . .
,2j,:i
Cross strectidiroctions to job sita: 14ydrogio hot water system 23.32 . v
Residential boiler(radiator or
• ,• hydronie 23.32
. ...___
Unit healers(fuel-type,not electric),
in-wail,in-duct.suspended.etc: 46.75
• .
Fine/vent Fr any of above I 23.32 • .v.
.„ .
v Other 23.32
SubdiviSiOtt RI ve,v Te„ryart.:. ec,,s±- Lot no,-.:I())0
Other rue.,„ kntis: - - • - --I
Tax mop/parcel no:, . .
Water healer 23.32
;: • : , %?•!1-i.! :.4;',11:.:*:t.)))**,#0S1:0t,i'-'.*Oikk •V1142.g.-.1A.,.,'IFt..;,:: 0: G"reidaceausvi 33.39
inc vont ter water heater or gas
RA%11.01-1- OC)-1:1 0 fireplace ... 23.32
Log tighter(gas) 23.32 .
• Wood/pettet stove 33,39 .
_ . ,• •
. .
Wood fireplaceansert 23.32 , ,
Chintneyilitunitinervent 23.32. . .
2332
Naine:'/2t D V L tZirld-iflACI MI 5 LL,X, Range hoed/other kitchen
/ .equipment 1 33_39
Address'.•-1 i41 OD. 6 0 ow/tc-hle.. (244acjo g-QAcj. ..__ _. Clothes dryer exhaust I 33.39
City/StaterLIP:.. fir ttpc-1. - P, • Single-duct exhaust(bathrooms, 4
toilet comparnnents.uellityitawns) 23.32
.
Pixine. (1'01- (PTA L1.it3 Fax:( ) Aniotcrawlspace fans
;:•••?:,..:';...:-.'"..0.0.*0•00*t". .';', ... .-::_j"',*;-•:'. 7..,::.-; '-.!.tii".;t0**Xt...),**S0..i4L':::,:•?.:..- °the' 23.32.
Peel piping:
Busims'S na/1/6* 1 ilkYI I liam t,4ox ti-cfyy,s z()_c_ $14.15 for arm four;54.03&reach additional
1 , • .,_.
k
Contact name: A rx.hole,IV)qc, Furnace.etc. 1
— '
• pump -Address' Gas heat pu
1 . ..,40s • ' it'_ II _ _
I _..... .......— . ._ .__ ...,
Wallistispendedtunit heater
City/State/ZIP:Vaneouver,WA 98660
Water heater. -
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace — . I
• Range E . , ,, I ,r,110.k- MorpAf4g poltApoiciamaEt8r!`ecue
.';'-'. .'.1rM:-.•:1;10.--'ANO?-::::: :, tes4. ' 04-i ki!:'.q.,;..1'44:;!:. .;.,,5, ::7,Zz'r:,'„:;ii;::,',r;,'.1•:;Fil..0, 5;!:ii-!Vil.: ..Clothes dryer(gas) . .
-Busirress'aame:Alicx Air LLC
. . , .:,1!.'.:.7"; :i 4.;;_:;',*ptasit...iktotitlititrttA*, : :+4-:;,-,-,--.-...,:,,,'.7
Address:10004 NE 72"Ave
Subtotal
City/State/ZIP:Vancotrver,WA 98686 Minimum permit fee(390,00)
Plan review 125%of remit
Phone:-(3601 3424109 Fax:(360)326-1769
State=dame(lr$.fpt.Tati!fee) , •
CC13 tic.:203034 TOTAL PERMIT FEE .
- This permit applicatitin expires Ka permit is not obtained within ISO
days*Am it has been steepled es complete.
Atith011iZbd Sittitire:
* Fee Methodology ael by TriZounw Building.Indwary Service Board
Print natrterl 44. I Date: 4.j' ./t.
...
tilatatlingTrituitilktECAtimitAirp rgui 13 doe .444-#6 1,T i 1 1 eliCOMAVM/
9
Electrical Permit Application''
FOR OFFICE USE ONLY.
® OR 972x3, 4 r i
ty f Tigard :)_117 Received
n 13125 SW Hall Blvd.,Tigard,
III
Phone: 503.718.2439 Fax: 503,3EQ$,1�60 = D Review Related Pe i
Inspection Line: 503.639.4175 etdB ' rarrt&:
TIGARD Internet: www.tifard-orgov NotiSed/Ready io Jade ®SeameneZfor
_ NotrSed/Method
Supplemental Information
,.-. k,-` it®.a -r..s' .v : rsi 2,7•r4A-4 ,..i:. O,-0 ✓„_N— zMC7 17
\ B if '-L .'.= . bin su -
®New construction 0 Addition/alteration/replacement Please check all that apply(submitl sets of plans w/items checked):
O Service or Seeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other
where the available fault currant CI14ar nes and boatyards
<f -F' s UlaJt efr F".Q 45Ie s i n(ey ' g "_ exceeds 10,000 amps at 150 volts or El Floating buildings.
El 1-and 2-family dwelling 0 Commercial/industrialless to 0
0 Accessory building ground,or exceeds 14,000 0 Commercial-use agricultural
❑Multi family 0Masker builder 0 Other: amps for ail other installations. . buildings,.
CIFire pump. ❑Installation of 150 KVA or
'„-'03,A'14.-1-:-,I0.7 .1-0.1i5,',.ra"Z� tt ha o E , 9 •i 4 EPI p 0 AF,t1_ t) ✓ i E,; --, t „�,.
. ..:m. <asyu '` ❑Emergency system. larger separately derived
Job#: 1 Job site address: ❑Addtttom ofnewmotorload ofsystem.
��80c SvJ fri(mit1 Eu 100EPormore.
City/Stata/ZIP;Tigard,OR 9721A (
0 Six or more residential units. occupancy,
Suite/bldg./apt,#: ❑Health-cine facilities. 0 Reoreational vehicle parks.
I Project name:giV T (.� OHazardous locations. ❑Supply voltagefor more than
Cross street/directions to job site: ❑s ,;ce or cedar 600 amps or mem. 600 wits nominal
r;'. .r`';i" ,' '_ ,r i.0!' kEit�) - x
Descrlpdon Qty. Each Total I "
Subdivision: New residential single-or multi-family dwelling unit.
4..r Twat"- ' -y- I Lot#: l e,0 Includes attached garage.
Tax map/parcel#: 1,000 sq.R or Less
168.54 4
€ r ai s0s Limited energy,residential
Ea,add'1500 sq.ft,or portion ? 33.92 1
� `' „tet
%'k ` ""1 5- 0011 b (with above sq.R) 75.00 2
Limited energy,multi family
residential(with above sq.ft.) 75.00 2
� Renewable En0 See ergy
ae 2
t4 - Y4- i� 3 AGS 7 _ , ";+ - .sE1;1n;0r,2y._f -z < Services or feeders alteration, nd/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 20034 2
601 amps to 1,000 amps 301.04 2
Phone:(602)694-4031 Fax:( ) over 1,000 amps or volts 552.26
2
Email: Temporary services or feeders installation,alteration,and/or
relocation
Owner Installation:This installation is being made on property that I own which is not 200 amps or less
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 5936 I
201 amps to 400 acinar 125.08 1 2
Owner signature: Date: 401 amps to 599 amps 16854
. .-. txrcnits
2 f . ,, 5 '4 0r cf.,' .sTi �rr. ,,-a: .01 �0-� +„e � ° 45, 5., ABrFanhrcibrrancuich—new,ahation,or extension,per panel
Business name:William Lyon Homes,Inc above service or feeder fee,
Contact name: Nicho��arm eeeforbrancircrc 7.42 2
B.Fee for branch circuits without
Address: i 03 Krone a 3t Svu. S tD branch or alum; feat
56.18 2
City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42
2
Phone:(360)695-7700 , Fax; (360)693-4442 Miscellaneous(service or feeder not included)
Email, 1�manufactured or modular
"n_.-T.;.: I
h ► r 44.44 dwelling,service and/or feeder 67.84 2
r iC . D''" . p I , MPS a Reconnect only
h el'.9.).75.4-F.114-74-Ag-,:- t 67.84 2
, Sx d Pump or irrigation circle
Business name:Garner Electric Washington,LLC 67.84 2
.r_.. Signor outline lighting 67.84 2
Address:t OZ \ t n n '' 11 �(p � tv Signal circuit(s)or limited-energy
'meq T +`� } S�� t 1 1/1 pared,alteration or extension.
LI see Page 2 2
City/State/ZIP:'�u U- t 't�p It (7 � a'`y� Each additional inspection over allowable in any of the above
Phone:(253)320-165 7 1( ,� r —1 _ Additional inspection(1 hr min) 6625/hr
Fax:( ) Investigation(1 hr min) 90.0W hr
Email:bdaniels@gweusa.com Industrial plant(1 hr min) 78.18/hr
CCB Lic.: C1158 Electrical Lic.: 208174 Inspections listedfor ichno fee is 90.00/hr
I , Suprv.Lica: 44965 ec'.� listed /s hr min
Suprv.Electrician signature,required: l - --6„,,,_t-‘.... '1 �_G t awe t r n: j a f,
Print name Joan P Albert Subtotal:
•
Date: 4/26/2016 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
'• Authorized signature: — �� TOTAL PERMIT FEE:
Print name: B171 Daniels Date 4/26/2016 This permit application expires if a permttis not obtained within 180
Jaya after It has been accepted as complete
ji:�19
e8 i0 Perm0App_ELR_ERE.doe Rev 06/17/2015 44�15,m I/�Co B * Number of inspections allowed per permit
Plumbing Permit Applicatton,-
Buildilig Fixtures „,-, .,., ..., 2[,17
.i
11 .11111111111111171111111111111111teer permallo.:/157,7...0/7-009„,70
11111 4 131$SW Fiai.1 Bhki:,Tigard,OR97Z \-' '' ';,',' ', -,..„, .••' . pun a Y'.
4 Phone: 503.718.2439 Fax: 503:5983,966 , • •. - , D evie. w OtberPertnithle.:
TIGARD internthsperwww*Linextiard:50310i639.8:75 :.'',Ss.'1'. : ,.... ‘., -, .• , '
Date Ready/By: " Jude 1 53 Sae Page 2 for
Notified/Method: I Supplemental information
OAVANAMIt6:1*11-ifsr/Wit*,....,P44:0:47;:iti:tigiankt ON tiA,Mtegtai44*-5*-#0, a5ant:.1,:W;;Afe;:
El New ccestniction, LI Demolition For special infornurtion use checklist.
0 Description 1 Qtr. I Ea. { Total
Addition/alteration/rephicement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
.3.',4..M.1,-OZWilit,r414144.00..01,;t0:0,ft:**".4.M0-4,041 SFR(1)bath 312.70
SFR(2)bath 437,78
Ell 1.,and 2-family dwelling 0 Commercial/industrial
SFR(3)bath
1 500.32
Eil Actessory building El Multi-fannly
Each additional bath/kitchen 25.02
oMasMr builder 0 Other:
Fire sprudd' er( _sq.ft) Page 2
(1/f7SIX8:2INFORMAIIONVANWtotATf011i.tf-1444' '4IY-kf."'4"':4 Site udlidesl. _ .
Catch basM or area drain 18.76
1°13 Site address'. U0 )9 sw k.fritnct LtliAt
Dowell,leach line,or tench drain 18.76
City/State/ZIP;Tiprd,OR 97224
Footing drain(no.linear it.: ) Page 2
Suite/bldg./apt.no.: Project name; 1211/eleirraCe_.Q.OkS4 Manufactured home utilities 50.03
Cross street/directions to job site:
Manholes 18.76
Rain drain connector 18.76'
Sanitary sewer(no.linear ft.:____) Page 2
• • ,
Storm sewer(no.linear IL: ) Page 2
Water service(no.linear ft.:____) Page 2
Subdiviskm Neff Te)fface-1_..0,.s.4- I Lot n •
°.•ti30 Fixture or Item:
Tax map/parcel no.: Baoltriew Plaventer ‘ 31.27
1 12-51
;V,‘Atit..k0A34..i.:440:11014t: itiF.A*oifk4-Z:,;iig:ig;:fgafivggN;:: Backwater Iral"
" ''''.'' -''''''''-•' Clothes washer 21.02
I\kSTliOn-* 0 Ori 0
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
attaliqtiii4giairo.iii.141004:-Ag'Mg71:14* CI:a:''.1:',i ExPalisiw tank 12.51
Fixture/sewer cap 25.02
Name:Ali'VL Laud Holdings,LW:
Floor drain/floor sink/hub 25.02
Address:7600 E Dimblettee Ranch Road.
Garbage disposal 25.02
City/State/ZEP:Scottsdale,AZ 85258
Hose bib 25.02
Phone:(602)694-4031 Fax:( ) Ice maker 12.51
g42t,'.-Zgplit:a'*ifi.E.,;44'•;''Y'-'.'''t;i!"1:i..F:;gigElkoirlaiiiiiiketW4 intercePt°rigrease traP 25.02
Medical gas(value:$ ) Page 2
Business name:William Lyon Homes,Inc
Primer 12.51 .
Contact name: f\i i di D 16 Thorpe_
Roof drain(cmmercial) 12.51
Address;103 grOa.CIAA)a-A-1 St CAil)t-C-, I,D Sink/basin/lavatory 25.02
•City/StaterLIP:Vancouver,WA 98660 4 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax :(360)6934442 Tub/shower/shower pan 12.51
Urinal 25.02
E-IrtaNtth 0 k. :n1.0 ___ Il,jap_AlkILYne.S._LOM waier closet
25.02
'ilr: 37'7'r'''''';R:V9311%.,3•'- tai-VO`I'-ftbAijigethitk't:a':4--A.-&-4..q.::..3,.-.:---:',24:77-..i.
-,v Water heater 37.52
Business name G14 km4%%ter-Spy+, Tvle--- Water piping/DWV 5629 ,
Address: p,C . ft Ix.CiA Other: 2502
City/State/Zip: 5y. p414,4 oft. 4111,31 Subtotal
IvEnimum permit fee: $72.50
Phone: ' 8( 1411 Fax:(11 V--701-e J14
Plan review(25%of permit fee)
CCB Li04 18.531,0Plumbing Lic.no.Pb my
State surcharge(12%ofpennit fee)
Autborizel signature: 11;:tif:Xst Inufr,e/.0............„.
TOTAL PERMTT FEE
I Print name: Si-f-tit 5.wk.e.__ 1 Date:3-38-i to I ibis permit application aspires if*permit h not obtained within Did days
atter it bas beet*accepted as complete.
*Fee nattbodcdogy sat by Di-County Building industry Service Board.
laBalldingiPermitOPLMU-PeozdtApp.doe 10/01/0 440-461.6r(10/02COMMEB)
City of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
.1111 1
TIGARD Building Permit Review — Residential
Building Permit #: //(5-7-I-0?—00Z7C>
Site Address: 1 6FD9 5'40 Fes.;el4d, L4,,e
Project Name: Ri vPr /ev-rc`C .6:75z4 Lot #: int
(New dwelling=subdivision name;Addition orteration=last name of owner)
Planning Review
Proposal: ! )el,o siC`/
6erify site address/suite#exists and active in permits tem.
ld River Terrace Neighborhood: ❑ No f, Yes,See River Terrace Review Addendu
m Attached
Sit Plan Elements:
ree(3)copies of site plan ung structures on site
ite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(includingdecks)with
Drawn to scale(standard architect or engineer scale) ��,�fl,o��o--r''elevations fimshed
forth arrow Utility locations&easements(required for new and additions)
tte address,project or subdivision name and lot number s iaewalk/driveway approach
LA plicant information(name and phone number) ❑LoLdtiuu of wells/septic systems
ZLot dimensions and building setback dimensions -Q-Existing- s to be retained with drip line,and tree
�,1_ ge of buildings to be demolished protection measures
,L nt area,building coverage area,percentage of coverage and .reet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) f�treet names �
1roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? in/Yes ❑No
4 foot differential) If yes,is a storm water quality facility shown? ❑Yes Jd'No
"Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
: swot* %Vir:
Required: ❑ Yes,applicant was notified Zr�No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) PermitR.Qjb -06p B9
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
2i Land Use Case#: Pox O/G_010
le''Ioning: t?- s (PD)
Required Setbacks: Front ID Rear v Side 2 Street Side g Garage ,�
,2 Landscape Requirement: �p % v
eLot Coverage Maximum: de
i uilding Height: Maximum Height g /��� Actual Height
Visual Clearance
ensitive Lands: 0 Yes l No Type
Trban Forestry Plan
2Conditions "Met"prir to issuance of/building
permit
Notes: Co n t Vido,s -5 c:P�i m‘71/5.-7 ,-. ,4 I5Se-t T p
Approved By Planning: Date: // 2?//-7
ANow
Revisions (after Building Submittal on y Reviewer
Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
i:\Building\Forms\BldgPermitRvw RES 061417.docx
1
Building Permit Submittal r
Original Submittal Date: ; IC 16 77
Site Plans: # \
3
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: ,r> Planning Engineering 'Permit Coordinator Building
Workflow Sign-off: /1%5 Sign-off for Planning(include notes from planning review)
Route Application Documents: X] Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
/ original plan review routing form.
01 Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: ii:41 ,�
By Permit Technician: p�/(/ Date: Inc i?
Engineering Review �.y) 'O
tEl Slope at building pad: J `�
El Conditions "Met"prior to issuance of building permit
El Easements (encroachments)per engineering conditions of approval and plat
'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 'ErNo
Assess Water Quantity Fee in-lieu: ❑ Yes .2 No
LIDA Facility on lot: ❑ Yes f2"-No
❑ NOT Approved by Engineering: Date:
Notes: LIJAIT hnZ.. ' kms-4( ,�ie'I • ZA)76. AtvST
.03' A- c- r 7/1-40%"-- 70 /S 1.
Approved by Engineering: in l Vf, wH it Date: Date ii/S'?Reviewer 7 / 2- /7
Revisions (after Building Submittal only) '``' ,
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Permit Coordinator Review
El Conditions"Met"prior to issuance of building permit
Approved,NOT Released:
Date: �/3// �
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
,K2SDC Fees Entered: Wash Co Trans Dev Tax: <N2Kes ❑ N/A
Tigard Trans SDC: 'Yes El N/A
Parks SDC: en-Yes El N/A
LIDA El Yes . N/A
OK to Issue Permit 4/1j1/1/4-
lApproved by Permit Coordinator: Date: (A, I5 i`l
I:Building\Forms\BldgPermitRvw_RES_061417.docx
r
City of Tigard
S " COMMUNITY DEVELOPMENT DEPARTMENT
III
TIGARD River Terrace Building Permit Review Addendum
u
Building Permit #:
Site Address: 1 g1)7 S l•() t=e;s.1c/y I r Q
Project Name: Lot #:
i ve� l eeruce L—as�' /$6
(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. deep Balcony w/access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft., 5 ft.wide min. 2 ft., Eft.wide Gabled dormer
C] min.
❑ El
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 3P°70
3. Entrances:At least one entrance must meet both of the folio g standards:
liMax. 8 ft. setback from longer street- facing wall '� 1 arallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes El No /
If y ,all the following apply: .d" sq.ft. min.
/One street facing entry ft. max. roof above floor of porch
IQ 5 ft. depth min. 130%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades:
Covered porch min. 5 ft.wide x 5 ft. deep ORecessed entry area min. 5 ft.wide x 2 ft. deep
El Wall offset min. 16 inches El Dormer min. 4 ft.wide
O'Roof eave min. 12 inch projection Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood O.-Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
/Accent siding min.40%of street façade El Window trim min. 2 1/2"wide by 5/8" deep
❑ Window recess min. 3 inches for all street facing El Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access El 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.
Setba . •
No closer to front or sloe . i , :- ...- __ - - . -ng wall. ❑ Yes El No. If No (Check one):
El May extend up to 5 - ere is a covered front porch an. ga .• __- .. ex end beyond the front porch.
❑ May exte - sp to 5 ft.where the garage is part of a two-story building and there is a window at the second story
above th garage that faces the street with a min. area of 12 sq.ft.
Width: Check one) �„
❑ 12-foot-wide gara•e .•-. ❑ 40%max. of street façade
❑ 5' . ax. of street façade with 7 detailed design elements
Notes:
i
Approved By Planning: �Ar Date: 6/.,. 3//—
I:\13uilding\Forms\BIdgPerrnitRvw_RES_RT_062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16809 SW FRIENDLY LN, BEAVERTON,
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00270
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16809 SW FRIENDLY LN, BEAVERTON,
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00270
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16809 SW FRIENDLY LN, BEAVERTON,
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00270
Inspection Type: Inspector:
399 Plumbing final Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16809 SW FRIENDLY LN, BEAVERTON, July 12, 2018 at 10:00:15 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00270
Inspection Type: Inspector:
299 Final inspection Jeremy Burrows
Result:
PASS - CofO
Comments:
Corrections completed.
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