Permit (52) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00313
Date Issued: 12/12/2017
T[G7 RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106AD08100
Jurisdiction: Tigard
Site address: 16923 SW FRIENDLY LN
Subdivision: RIVER TERRACE EAST Lot: 188
Project: River Terrace East, Lot 188
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 1109 sf Basement: 140 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1059 sf Garage: 422 sf Front: 8 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 2308 sf Value: $280,013.02 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 RainStorm Sewer: 100
0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0
Drywell-Trench Drain: 0 Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2308
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 Geotechnical Inspection
STE 1 Required before foundation
SCOTTSDALE,AZ 85258
PHONE: 602-494-4031 PHONE: 360-695-7700
FAX:
Total Fees: $32,365.78
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 ma obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
/� 5�f `0%
Issued By: , 4 Permittee Signature: '
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.
I-
I
, Building Permit Application Z, r / KgN
a FOR OFFICE 1 5E ONLI
K� 6�a � �. RECEIVED
City of Tigard1 DateBy. // �/
ty2 Permit No S7�/?_X3/3
13125 SW Hall Blvd JUN Tigard,OR 97223 Plan Review ry��,
' Phone: 503.718.2439 Fax: 503.598.1960 • ARD Date/By-. ' / 6• J 7 Other Permit: S`Z 17 te&
Inspection Line: 503.639.4175 CITY •t Date Ready/By: a,, Juns H See Page 2 for
r i c }:a Internet: www.tigard-or.gov BUILT{ '' 0IVISION Notified/Method:"7,�!7 I Supplemental Information
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s. � _ ' . f 7-'''117±.":
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®New construction 's 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
5• , , ., work indicated on this application.
$'—��7� �--,� O $ o 1
® 1-and 2-family dwelling 0 CommerciaUValuatio
mdustrial {( Q) 3
0 Accessory building 0 Multi-family
Number o bedrooms:
❑Master builder ❑Other
Number of bathrooms:
V€ w 1 r,- "- : Total number of floors. ,3 €1-73 0
Job site address: Loci SVV me fld,' 1.1JA,e, New dwelling area: 2306 square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: x/21 square feet
Suite/bldg./apt no.: Project name: r IV-Gr re Nate FSt Covered porch area: S3 square feet )p3 q
Cross street/directions to job site: r Deck area: square feet, I O
Other structure area: square feet ) a
Subdivision Riv{X T rr'cla_ t Lot no.: I to Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
: . E I t-;. '- ' ; -. w '''.1:—'-r.'-'1;r1"... work indicated on this application.
Valuation: $
I Existing building area: square feet
New building area: square feet
7, , Number of stories: J
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
0
Structural plan review fee(or deposit):
Contact name:N Rw�h� FLS plan review fee(if applicable):
Address:109 East 13th Street
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
( ) Amo.mt received
Phone (360)6950 00?is. Fax i A Commercial and residential prescriptive five installah'on of
-
Email N� ��• 1 l� ►► I1 1 1
�,�s� P P
F- . = w " • 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.
Date: e / *Fee methodology set by Tri-County Building Industry
Print name:pi ch dk V �9 7 e Service Board.
I:\Building\Permits\BUP-RESPermitApp..do`c 02/24/2011 440/-4613`//T(11/02/COM/WEB)
1 . ...
Mechanical Permit.Apalieatinn: lO)li(11111'1: I SE c)\l.\
City.Of Turd ,_E '.,ft ?rt11 Received Permit
`'/'tr 13125 SW Hall t3lvd.,Tigard;OR 97214 Pian Review
Phone: 303.718.2439 Fix:•503.598.1960j:• Other Forma;
i 1 6A It D •inspeetiOn.Line: 503,639.4175 _ -` bare Rcad,dt3y: JutiN. 18 See Page 2 Cor
interiict: Hnvu•.ri -ar, v
mid � tinfifiedhtethod: Supplemental Information
-'.: S Yk { �Y��{SFR;'-"_ _: .v. _.. -7
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,�1<�ttEfe4`te�� EDS �t��
Mechanical permit fees' are based on the value of the witri,
IN New construction 0 Additionfalterutit nireplat ithi . performed.Indicate the value(rounded to the nearest dollar)of all
0 Dentolitioti 0 Other: mechanical materials."equipment,labor.overhead,and profit. .
# CA7' QR3t t?Ir 6fr4: tt3r' 01!l ` 5
. ..._ :. i; JU iDF `!L>E +;2ilIRAiEJ�'7'1S 1STFAiSFEE t
3
and 2-family dwelling 0 Commercial/industrial. 0 Accessary buildingFarapecialInformationasrcnecxlZZx.
E Multi-floppy. 0 Master builder 0 Other: Description" __ «y. j Eu. Total.
-. JaB Six .
_. i ;g�' ?R11�'#`����h`p I�OCATiAs;V .' , ttcatii°igleaerTi�:
Jol?site atddress. Air eonditionixg -, 46.'75
L-�o Svc Fn�nc�ty Furnace:100.000trru(dnma%+ tel 46.75 _
City/Slate/ZIP:Tigard,.OR 97224. Patrice ItXL000+BIt)(d anis) 54.91.
Real pomp 61.06
Sulie'stdg:lapt.Mi.: Project iianie:t.I Ver TeAyate.. Eo.S+ Duet t work23.32
Cross sirect/dirce ions to job site: Hvdronie hot water sy'stetn 23.32
Residential boiler(radiator or
hydronic l 23.32
Unit heaters(tisel-type,not electric),v u
in-wall,in-duct,suspended.etc: 46.73
. Fluetvent foranty of above ' 1 2332
Subt6visio _ Lot rto:t QL� Other: .. . :?3.32 _ _,
Jt°.V 14i11/L1 C '" F-: . .. . .. , _.-_. i Lr (]Ether fnel asttanecs. W
Tax tnap/parcel"no.: Water heater , 2332
' ;DZSC)O )i'/ON"0*''i'C11tiz Cres are PIPcetitls�ertI 3339
r
Flue vent for 1 )tenter or gas
.b\"1-* 00-1\ fireplace 2332
Log lighter(gas) 23.32
• Wood/pellet stove 33.39
•
Wood ftretslaccliascrt ' 2332
Chn meytthter/ftuetvvem 23.32 .
... " L)lilet"
23.32
;":,.. . ®sPtOE. f..9..Y. F ._.i� - . _�_.F 0 `fAc . ; EnYiroaxncntal exhaustad3entrlatton:
Name:.F Q V t- . t-d, J . . Runge hoedtnther kitchen. •
tlreipment 1 33.39
Ad
.-1tp OD.. 6 DDL ',�'e. :,_ (24,11C-1/1 DG..c Clothes dryer exhaust 1 3339 .
Cita°tStateiZi Single-duct exhanstt(irathn iotisc,
I✓ pa..
2 tenet compartments,utility Means) 23.32 .
Phcnte ti°3.-.• P,!9 .l�3 I T a ( , ) Attictarawistsace fans 23.32
Iid,!W>,>rA.�� .r...: :. . !_C! co>s�°Aca:.�ri�tscrtv_ : .. :
Other 23.32
`�' Rncl wok:Business name : . 1 I t 1 QAI(1 k,�r 1( S --��^^ ._
I i��L 514.15 for first four;53.03 tar each additional
Contact name: Cc.\Et�\t_,' ()C )(> • ... Furnace.etc. I
•
Address: -1,o'2 �"7� • • --.t C ' t; heat
Wailimispendedtunit heater
-ity/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7708 Fix: (360)693-4442 Firtptat ..... 1
c .Range
E-mail:Ae/1TP te- ;-11A8VggPiallb2ntic8___ Barbecue
' >i °
Clothes dmcr(gas)
Business name:Apex Air LLC
' Address:18004 NE 72A4 Ave Subtotal
City1State/ZTP:Vancouver,WA 98686 Minimam permit fee($90,0)
Phone:(360)3424109 Frac 326-1769 bleu review(2 °.•"5 of permit fel) •
State surcharge 112%of permit fee)
CCB lie.:203034 TOTAL PERMIT FEE
lids permit application expires if a permit is not obtained within Ian
days atter it has been accepted es complete.
Authorized signature: a Fee methodology atx try Trifieunty Building Industry Sen•icc Board
o.Print name: 1^. of Dale: +df*j+g-it—
ratitirustToimite.i1Lc'_Perm,tApp tli01t7.dnc 444—U0'71'11 Et2:COM?WIi1t
E
Electrical Permit Application FOR OFFICE USE ONLY
iiC126 20il Recei
„�
City of Tigard Date/S . Permit
I 13125 SW Halt BIvd.,Tigard,ORg72,201.17 r 7, t 7::!:.)
C' Phone; 503.718.2439 Fax: 503. 8.1 50 4,-_ k' 'Review
Date/Et. Related Permit ik
Inspection Line: 503.639.4175 ,.,,,r, ,, �.;R .r -NI x i'-). . Ready Date/Dy: kris: H See Page 2.for
TIGA1t •
D Internet: www.ti d-or. v ',. ',, 't, .. a`�_ ' , ,,,,`"
gar go Noti6ead�/Mathod:
Supplemental
llIInnformation
�'' ,-. . ter'. .:4'i erff1 �?*-T.4 ,e4-9 40) 0= Z:*=: k,;: � `-`' ''v ;-- i-f-,;'- y' �a5 ' ti,-) i.:V.4'T ^RF
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
. r. _ s „_-
0 Service or feeder 400 amps or more 0 Building over three stdr
iea❑Demolition 0 Other: where the available fault corm! (3 Mainas and boatyards.
.. y , S .: rcyms tts ,, 3a 0 . ': . ;,
�' exceeds 10,000 amps at 150 volts or 13 Floating buildings.
®1-and 2-family dwelling 0 Commercial/iridiistrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps •
❑Multi-family - 0 Master builder ❑Otherfor all other installations. • buildings.
s-s,ss ...ice, v- �;y•.` � .
0 Fin pump. ❑Installation of I50 KVA or
r *rti , .a :rz l a . +,s s,N Ey;r 1 V .:5 t', . i t(a $a2 „yrs .. ❑Bmergoncy system larger separately derived
❑Addition Of aevv muter 10ad Of system.
Job#: 'Job site addresst(20 so firicncN 1 4,�1P. 100EPorDIM. ❑^A", ",41-2,�i-a",
City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: 1vC' 1._e E"r+ O Hazardous
❑Service or feeder 600 amps or more. CS6u�ppvloylsvltsom
mfLrmore than
Cross street/directions to job site: -Z, .-t, P .-•
Tech
s
Description
Qty. trach Total •_
• New residential single-or multi-family dwelling unit
Subdivision: f7.#:4 e r Terme,. EQ,s+- I Lot#:!B Includes attached garage. _
Tax 1,000 sq.ft or less 4 168.54 4
Ea.add'1500 sq.ft or portion 33.92 1
r
^d 4, '4ZI'-.'-; '
. � . 5`- t , 'Z t 'i d ft�d.',- a 1 42c?„
'-,-,ktr' i"- ,_. Limited energy,residential
/ i c'rlt t i' y003%2, (with above sq.ft.) 75.00 2
✓ Limited energy,multi-family 75.00 2
residential(with above sq.ft)
w r a � i" d' :ti a i; a ';` r •. Renewable Energy 0 See Page 2
�..s r '°- : . ._j ' - h" Services or feeders installation,alteration,and/or relocation _
Name:ADVL Land Holdings,LLC 200 amps or less 10170 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 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
-.
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less I 59.36 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: • 401 amps to 599 amps 168.54 2
;' F._ �,4 , E. '.. r-<r '�r,-r ar' ot0.,ti i,-N,-:.3,tc. �V�•� ��_. BAranFeechfoci
rbrrcaunicths-snceuws wltthteration,or
extension,per panel
Business name:William Lyon Homes,Inc. above service orfeeder fee,
7.42 2
Ni/hQ�'Thnr Fee forban hc
Contact name: B.Fee for branch circuits without
q e service or feeder fee,first
Address: 103 aO� St Sl11Ih\ 1 sr) branchcitrxlit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 • . ' Fax::(360)693-4442 Each manufactured or modular 67.84 2
D dwelling,service and/or feeder
Finarl
h D I PA/
'.-*'i,
_ E pn0 t_1411 4 QmPR.,Ns53 Ol :
Reconnect only 67.84 _2
i.y ',r a . s m :; VNti X � C- -�7- . r s
Pump or irrigation circle 67.84 2
Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address:h i DZ `la.A { tp i , S�k\-e t U n panel,alteration,or extension. ❑ See Page 2 2
ply 1 W"L�*,v�V '<J� t L�►hL/ Each additional inspection over allowable in any of the above
City/State/ZIP: 1 'ry L/ Additional inspection(I hr min) 6625/br
Phone:(253)320-1657 Ul V`- [ �' Fax:( ) Investigation(1 hr min) 90.00/hr
Email:bdaniels@twensa.com Industtialplant(1 hr min} - 78.18/br
Inspections for which no fee is
CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lica: 4496S specifically listed('d hr ruin) _ 90- br
- Ve T�sem",
Suprv.Electrician signature,required. /1/ bejc ••-•
Subtotal:
Print name: Joan P Albert •• Date: 4/26/2016 ❑Plan Review Required(25%of penult fee):
•
-' State surcharge(12%of permit fee):
Authorized signature: -
""- . - TOTAL PERMIT FEE:
This permit application expires if a permitis sot obtained within 180
Print name: Bill Daniels Date: 4/26/2016 days after it has been accepted as complete.
• * Number of inspections allowed per permit
4`'t1Buldmggpennits1ELC PermitApp_BLR FRS.doc Rev 06/17/2015 4 c 4615T(11/05/COINWEB
Plumbing Permit Application h`�... u F
Building Futures i;l -i 2 6 1011
City ate T7igard .Received
Permit No.:
Al ■ 1314 SW Hall Blvd:,Tigard,OR:�r,7,2;t3 .1s,,'; k �`` � "k Datt/13v:
R Phone: 503.7182439 Fax: 50 ,}960.--,,e .-..;,., Fpm bw Other Permit No.:
r[c;x Inspection Line:.503.639.4175 ,<e . - - Data Ready er, Jess: 9J See Dago s for
Internet www tigard-or gov Notified/Method:
.... _ .. e ? p lam . Information
vrti[3' '• ' RL - `� 5:l:.gx Ii ,7,x ,t .r4 1I ,c. lir ' . 7%!' :Ec
iu x - ,emi �t, � 3 z�. .+a,._ Ns r 1. *, ., ?« '. , - .
1:1Far special informafon ase checklist
®New construction.: Demolition
Description f (XV. I E s. i Total
0 Addition/alteration/replacement. 0 Other. New 1-2-family dwellings(mchtdes 100 ft for each utility connection)
"firs`r ,' :.n s glig' ek°1•Edidiii SOF'GOI�iS Q _. ;;t4T,i-,i 4`,� BERG)bath 312.70 -
®1-and 2- 0 Commercia1nndustr1al' SFR(2)bath 437,78
ft1t'ai13'dwelling
SFR(3)bath .1 50032
LI Accessory building Multi-family Each additional bath/kitchen 25.02
❑Master builder 0 Other:
41 oB =ii: irk.ti✓loin"} k-eiv e t r y Y h as
_{ Fire sprinkler( on.ft.) Page 2
Site utUitteaa
Job site address:. (�C11)b SVJ ► I l�r L tr J Catch.basin or area drain18.76
Dryweil,leach line,or txcncb drain 1$.75
Gity/StatefZlP Tigard,OR 97224 Footing drain(rio.linear ft.:_) Page 2
Suite/bldg./apt.no,: Project name: giverre, Manufactured home utilities 50,03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:.._j Page 2
Storm sewer(no,linear it.:____) Page 2
Water service(no.linear It.: ) Page 2
Subdivision; Neff `- a«"E -- ( Lot no.:1 e;,?; Fixture or item:
Tax mapfparcei no.: Backflow preventer 1 31.27
1 12.51� r 74NOFWOItK f�� - Barcwterwaive
Y � � ;- _. . . ' .i . .TL`
gerhes washer 25.02
l't SIO(1 - 0 0313 Dishwasher 25.02
Drinking fountain' 25.02
Ejectors/sump 25.02
`i, f l' 1461 b , 4� , v� Expansion tank 12.51
.�.. �...�._. " � {
cap
' ..k..�"'1'Ei�I,At�T�F. .�.,. ..
Name;ADW Land Holdings,LLC. Fixture/sewer 25.02
Floor drab/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road
Garbage&Weal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)694.4031 Fax:( ) Ice maker 12.51 -
r�v Y i • f .r r r �L ...
`' _�u=, ®r P , . . ". 49 '1"i ,�_ tg Intercepter/greesetrap 25.02
Business name:William Lyon Homes,bin Medical gas(value $ ) Page 2
j�,, Primer 1251 .
Contact name: f th o'� 1 Y l t� pe Roof drain(commercial) 12.51
Address:103 gti� GlA �s-t Sul 51,0 Sink/basin/lavatory 25.02- '
City/State/ZIP;Vancouver,WA 98660 J Solar units(potable water) 62.54
Phone:(360)695-7700 f Fax::(360)693-4442 show shows'pan 12.51
.. �
Urinal 25.02E-mail: C/v . Id i lI t,we-Sc Water closet 25.02
_
s _ x v_ : : . ,,;,: water heater 37.52
Business name � 11 ‘b .-5,0 ,,
Waterpiping/DWN( 5639
Address: p.o. 6. 'i,2. Other: 25:02
City/State/ZIP: 57r, a 4-tAA art- 11(31 Subtotal
1 Phone:( rb •-$ .' 1411 Fax:(ill V^'-79,1-f,' lyfinimumpermitfee: $72.50.
CCB Lie» 1853-1,0_ Plwnbing Lie.no.Pb (3t Plan review(25%of pann a fee)
1 State surcharge(12%of permit fee)
Authorized signature: Y Y+,.,,..,,r TOTAL PERMIT FEE
Print name: /'t'f.4.11t f iw ler,,P_,_ Date&-3(5-I#ji This Permit application expires if a permit is not obbtned within 180.days
atter it has been accepted as remelts.
*Fee methodology set by Tri-Cotmty bolding Industry Service Board
l:tauldin 1crmittP11111'ctmitimp.doc ittotros 44t.616Tgoro2CcoMIWEn)
IIICity of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
TIGBuilding Permit Review — Residential
e....,vi. ,.. e.11061rTayX4ZA:Arititi&ttlitiit .W".6YWht..otwz i"S6i i' "'—`$lgX2Y.l- c:.;e`Lx_._:. _
Ate:
Building Permit #: , , o UO /
Site Address: < 4°Q _ )4(,.) j/ ` % ,
Project Name: river- �. coce_ 7/-- I Lot #: ___
eZ
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: _eio
/Verify site address/suite#exists and active in permits tem.
Ig River Terrace Neighborhood: ❑ No { Yes,See River Terrace Review Addendum Attached
Sure Plan Elements:
tree(3)copies of site plan :�:sting structures on site
o plan must be on 8-1/2"x 11"or 11 x 17"paper IG Footprint of new structure(including decks)with finished
Vyawn to scale(standard architect or engineer scale) or elevations
�rth arrow "ty locations&easements(required for new and additions)
Va address,project or subdivision name and lot number 11 o Sidewalk/driveway approach
pplicant information(name and phone number) e1 I;i.cation of wells/septic systems
!i Lot dimensions and building setback dimensions 'A, sting trees to be retained with drip line,and tree
n 4+uare footage of buildings to be demolished rotection measures
Kt Lot area,building coverage area,percentage of coverage and ' reet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) Street names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? es ❑
4 foot differential) If yes,is a storm water quality facility shown? ❑Yes No j
Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): L> Pave Jol*k 41 L
,_/'Required: ❑ Yes,applicant was notified 4Q No Received: 1:1 Yes ❑ No
Lid Public Faciliti s Improvement(PFI) Permit: PF-i _0140— g
equired: V Yes,applicant was notified ❑ No Applied For: qa Yes ❑ No,stop intake
and Use Case#: Pb/2_,.. 0
/6,A, , ,cl,,‘ �Qi l e- 66,9 , 1. 2),p0Q/S' OOcO(,
1.2(Zoning: / —
equired Setbacks: Front R Rear Side Street Side Garage
f andscape Requirement: .QO
of Coverage Maximum:
r Building Height: Maximum Height /Pr Actual Height
111 isual Clearance
IF ensitive Lands: EK—es D No Type Aayo
Urban Forestry Plan
❑ Conditions "Met"prior to issuance of building pe 't
Notes: a,anj'Uhl, 1/ A (,7,15r J ii--- f tSt
Approved By Planning: Date: .137/10_,/_ _
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPernutRvw RES 061417.docx
Building Permit Submittal >p
Original Submittal Date: " ! 1-fli7
Site Plans: #
Building Plans: #
Building Permit#: r Enter building permit#above.
Workflow Routing: Planning Engineering fr'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.
I2 Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
•
By Permit Technician: � ,4/ , Date: 87/47'42
Engineering Review74) I
Slope at building pad:
❑ Conditions"Met"prior to issuance of building permit
0 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 'In- No
LIDA Facility on lot: 0 Yes -ErNo
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: ifri ( /.v , Date: 8 l (7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ 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: (,744,0K-71-;?"-, Date: r-7/1'/C -
otes:
t/G�
otes:
C — f\-1- tli, -
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:
7,,
SDC Fees Entered: Wash Co Trans Dev Tax: II Yes 0 N/A
Tigard Trans SDC: :. Yes ❑ N/A
Parks SDC: r Yes ❑ N/A
LIDA f❑ Yes N/A
OK to Issue Permit I 7Approved by Permit Coordinator: kA.06._. Date: t t f t EE I t
I:\Building\Forms\BldgPermitRvw_RES 061417.docx
t.
• City of Tigard
41 COMMUNITY DEVELOPMENT DEPARTMENT
111111 II
T I G A RD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: i 9,2? Ar'''.A.0,/ f 4
Project Name: k V - / �, '
Lot #: /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 t. dee Balcony w/ access 2 Window Projection Vertical Wall Offset a
p ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer
ElGICI ❑
2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors.
Percentage Shown: eyo
ntrances:At least one entrance must meet both of the foll ' g standards:
3. Max. 8 ft. setback from long t street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes ❑ No
If es,all the following apply: sq.ft. min.
V/One street facing entry ft.max.roof above floor of porch
tf' 5 ft. depth min. 30%min. porch roof coverage
4. etailed Design:All buildings shall include a min. of five of e 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
❑ all offset min. 16 inches ❑ ormer min. 4 ft.wide
lc
eave min. 12 inch projection 0/Dormer
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. ❑ Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street façade ❑ 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 facade
. • , ••es and Carports:May face the front or side lot line on a corner lot.
Setbacks: 0 D''
No closer to front or side lot f- -, •. longest streetlfacing wall. ❑ Yes ❑ _. No (Check one):
❑ May extend up to 5 ft.if there is a covere. . ..rch and •. - .oes not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is part of. -••o-story ... • and there is a window at the second story
above the garage that faces the street wi . . . area of 12 sq.ft.
Width: (Check one)
❑ 12-foot- '.- :arage door ❑ 40%max. of street façade
■ i'o max. of street façade with 7 detailed desi• elements
Notes:
Approved By Planning: �� Date: 410 AD 172
1`\Building\Forms\B1dgPermitRvw RES RT 062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16923 SW FRIENDLY LN, BEAVERTON,
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00313
Inspection Type: Inspector:
699 Mechanical final Jeremy Burrows
Result:
PASS
Comments:
No A/C installed.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16923 SW FRIENDLY LN, BEAVERTON, July 25, 2018 at 12:19:58 PM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00313
Inspection Type: Inspector:
199 Electrical final Jeremy Burrows
Result:
PASS
Comments:
Corrections completed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16923 SW FRIENDLY LN, BEAVERTON, July 26, 2018 at 10:29:33 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00313
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