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Permit (71) CITY OF TIGARD MASTER PERMIT rilll-.- Permit#: MST2017-00315 COMMUNITY DEVELOPMENT Date Issued: 12/12/2017 T-I ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106AD08300 Jurisdiction: Tigard Site address: 16949 SW FRIENDLY LN Subdivision: RIVER TERRACE EAST Lot: 190 Project: River Terrace East, Lot 190 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: 30 Bathrooms: 3 Second: 1062 sf Garage: 422 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: 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 Rain0 Storm Sewer: 100 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!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 Ecompasing: Other: N Other Description: 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 Geotechnical Inspection STE 1 Required before foundation SCOTTSDALE,AZ 85258 PHONE: 602-494-4031 PHONE: 360-695-7700 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 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: /AC iZ.�l "/ 8-&5r i�% Permittee Signature: $.e ::: �y 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. F Building Permit Application L--(/ T-- C� .tl..-,,,,nt,11.3.., , RECEIVED FOR OFF,( I. ONl.) City of Tigard 1� n R pl'17�? ' Permit No4 STj,G/?....zap S— JUN14 - . ► Y 1,1 13125 SW Hall Blvd.,Tigard,OR 97223 Sr , Play Review ��per �� �� ��' -0 ,,,,, F%? Phone: 503.718.2439 Fax: 503.598.1968 Date/By: IT - * i $L4 .? /l Inspection Line: 503.639.4175 taITY®F V,C`. ` 'D Date Ready/By: r -} H See Page 2 for r i c R» lntemet: www.tigazd or.gov BUILD! 3: VISION Nohfied/Method: I'wl 7 / �1 Supplemental Information f 1/I /v// �t g . t. 'k'u -,--11:; .,> 5 4t F >CF-1: e i» g B, r mit ,tv-� r ®New construction 0 Demolition Permit fees*are based on theperformed. value of the work Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the : .µ * ..:-, „ F . :4 work indicated o this application. , r �� r , IL:: ti vgK` .,>: , r xv& ® 1-and 2-family dwelling 0 Commercial/industrial 33 ' ' Number of b oo ❑Accessory building 0 Multi-family ms: a,-7 ❑Master builder 0 "� Other Number of bathrooms: 3 i,�, �z Total number of floors. 2 a7 LV �` �,,,_... . - " '.......T.-4-,,,,_:�,�.r .?�a—,...., ..... Job site address: New dwelling area: square feet ► 11�iy�1 5u� Me t_t�.nn-� 23-2_,I City/State/ZIP:Tigard,OR 97224 r,, Garage/carport area: qsquare feet Suite/bldgJapt.no.: Project name: r i ve,�" 're rYQeF e. AS+ Covered porch area: 1147 square feet I()Ca, Cross street/directions to job site: Deck area: square feet)) ) q Other structure area: square feet ) O d 4j E@ a � 1"!..t.H ,`2,...1:,,:2,-i1;:`,;',=:,-!..SP �Fi �,t1,*1si."11:4 , :-1.E Subdivision RA vtirTe,Y`(w c a$ ' Lot no.: I 1 o 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 work indicated on this application. �� �„ Valuation: $ Existing building area: square feet New building area: square feet $� ' 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: fir. .:'"1.-';---1' ..,,,;:, , '..:.:.1:1:v q '3 fe £ : ` � k tk ^h c(P �4� A s s ',-7-.'1.--r---�1 E v a ` �'&k "£ ....t 4 ,.�. .,&- "`" ass f .: �,.,ri,, k, � Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name: *,lln( FLS plan review fee(if applicable): Address:109 East 13a Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received Phone:(360)695-7700 I Fax::( ) '7'2.1:--,T,':',' r i Ttrr -;f g':i ' ',e) til" - i- ,z; E-mailN( Ute* i i I it.° 111 /,,11A4 1 1 1 ..,, F Commercial and residential prescriptive installation of - rn t' °'Ll-::µ L A r' " , ', roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:William Lyon Homes,Inc and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver WA 98660 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. /,, *Fee methodology set by Tri-County Building Industry Print name: /141c40611°— 0j Date:tipin Service Board I:\Building\Permits\BUP-RESPenrtitApp.doc 02/24/2011 440-46131(11/02/COM/WEB) , Mechanical Permit Application. `' ' LY 111111111111=111=11111111111111 tity of Tigffardt 117 .toteEty.Recei. i z'«atit t+ /y 27,217/7— c75,,,5-, II .13125 SW Ralt Blvd.,Tigard,OR 9'72$3 t Plan Reuic�v �. . Phone:303.718.2439•Fax:'S03S9bt,1960 Llanetilj. t7thtm Permit; ins ion Lute: 503..639:4175 -' .. .- ... a,ni5. 0 Str P TEtiflREJ 1 _ > ' 118 t i y: age2for intent t;www.tigard-or gOY Notified/Method: Suppirineatat information s :'r'r r T ung=UE 1 -i y0b Rt :[�Yr£F,,a':SCHED111&, VSi &C'it l*$T 1.:... Mechanical permit fees*arc based on the value of the work .®New construction 0 Addilionlaltettitiontteplicement . performed.indicate the value(rounded to the ncaros1 dollar i of all Q Demolition 0 Ottbert nical.a?aterials.'egu*nenl,labor,overhead.and motif. ,- /may+ q /���yp0Oy 41wSCD tl lAli ER113P,1kIE•-F1,�ii]'S73 AIA f t•-•••'-';'siN Eg• , 1-•and 2-fdriiily danel ling 0 COrlunerctal/in dustrial ❑Accessory building For vetial Information use chrck'nu 1 Multi-f'aanily. 0 Master builder 0 either: Description City. I Ca.. Total. .dolt Sly FQRAf17`tt,}1k.AAt7) ,A.TiOltl t r , - ,(featingk6oliag: N,_ . Air conditioning, _ 46.75 Jqb site address: '.tact q`"l. 510 f chef lu ' 1 `ei, Furnace 10Q.000 BTUtdncasivaasl 46,7$ CitvfStatelZlP:Tlgatti,_OR 97224 J Furnace itlt1,00(1+B11.1 Opus/Venn) 54.91 T�, SulltelbldgJaipt H+a:: Projtxt ratite .��jj -7- beat ramp . 61.06 - K i Ve.- y'ra Cr-- Eo,.S-1- Duct work_ 23.32 • Cross alrecildirections to job site: tivclronia bat%eater system. 23.32 Residential boiler(radiator or hydrtinic1 23.37 , Unit.heaters(fuel-type.not electric),- • in-wall.in-drat.suspended,etc: 46.75 . Flue/vent for any of above 1 23.32 ' Subdrvisof (V°iV i?i CC Cif _. . .L..no 1- Other Othew Ole applitnci : 2312 Tax num/parcel no.: Water heater 23.32 -:r pE.C.`titilON;) ,ivot K puinsert 1 7 33.39 Flue vent for Waren heater or gas NI,S11 DI1' O 23 iS" fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 3139 . Wood fireplace/insert 23.32 Chirmtcyflinertftntfvent 23.32 i . ®t'hit4)1;Eft"CI OWNE1� - 23.3_ • Other 2 Q;7 trhA':"t ':;' Euv€ronntental ezbaast and ventilation: Name: ft / _ Range hood/other kitshert,. fT�>V(- C(I�It^( �C�! 5' r �� equipment ' 33.39 • Addrvsa:.-14 OD. e o l7l I G��Q_ P.n e h JZ o F J _ Clothes dryer exhaust 1 3339 CitS'/Statef2:IP: .-SCI1T",cja, ,IL^1 t 7� Single-duct exhausttbatiuoonts, l.4 7`14. toilet cenmartmtnts,utility rooms). 1 23.32 Phoneh3 (aa:( ) A.ttic:crawlspace fano 2332 _ :i gi, L1«IT .... : : . ' . 1J O'TACT.'PERSON l other: 2332. Business Heine Fuel piping t .1 11 . a *1 _ ik a S14.15 for first four;54.03 for each additional Contact Darnel t'.1 th , D Furnace.etc. I _ .. •2.Address: ^a./ c .� S _t Gas heat out,1, 1allfsiisstispendedrunit healer City/State/ZIP:Vancouver,WA 98660 Wait'heater Phone:(36Q)695-7700 Fax::(360)693-4442 Fireplace .fie 1 -rstl � • 1�YL �D O�� i�YZS ' l� Barbecue CUA`t4��R Clothes dn'er(Val • Business Harris:Apelf.Aii.LW Other: AddF s:10004E 72"0 ASC • ., 0 yHAAl7.C+lln1.'0 91%.FE£S" -, ; Subtotal City/State/ZIP:i' neautcr,WA 9860Minimum permit f (9I).00) Phone:(360)3424103 Fox:(360)326-1769 _ Plan review 125%of emit#eel swan/oho/0o • (12 a of permit fee) ; CCS lie,:203034 TOTAL Pt:1t htIT FEE 3 - 'Ibis permit application expires tin permit is not obtained within ISO days atter it has titan accepted as complete. Authorised signature +' Fee methodotopy sat€y Tri.Counry Bnildinp industry Service Board Print name: f rrt t Date: $ •ei•fro flioadugPesmitc`AtEC PannitApp OPtido. 441a617TaIEstl:f'r)MAVFiti wM • Electrical Permit Application ,, 2 - 7 FOR OFFICE USE ONLY i1i:T 1 I(11r City of Tigard Received III a 13125 SW Hall Blvd.,Tigard,OR 2 '' ` „ ...,,,,„{1,. i 3 a' Date/8 ' g , �� t d a a i'y c 7 .J' Plan Revisn� I - Phone; 503.718.2439 Fax: 503.598'1960 Related Permit#: Inspection Line: 503.639.4175 ` i ,,_' � Rates TIGARD 2LeadpDate/By hair 0 See PageZ for Internet ww►Y.tigard-or.gov Notieed/Method: Supplemental Information ..a:,,5 . -;5:• �f_ ;i r,°P,'C l';k0 R"C �s R fie ".3` -zt mo .*= ,”. �� �. n a •i��-p'.,a ��t- �;�- �:�.'•� � �' sa`��r.-."T'� ��.3�?.",�..14Kt�iF"� t-:z.,�,�e -'�`�•' ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 1j sets of plans w/itema checked): ❑Service or Seeder 400 amps or more 0 Building over three stories. ❑Demolition Other: [3i where the available fault outranMarinas and boatyards. T 7� , v"-= , si -..0 €t• ri.2i . - v , , 56" v ,, exceeds 10,000 amps at 150 volts or Q Floating buildings. CA 1-and 2-family dwelling 0 Commerciai/indtistrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amp❑Multi-family � 0 Master builder 0 Other: Fire for all other installations. Installation ❑Fin pump. ❑Itallatioof 1501CVA or ''4. 4.4' '' ;,, ' pj; ,-a�`•' a e"2 \ t. IE �WLt`•-r�"t 4 n Cr2 0Emergencysystem• larger separately derived t ❑Addition ofnew motorload of system. Job#: Job site address'V)LC 5� 1 y i tnn i ki L4(,( 1001•RP or more. ❑A","E",`1-2" "1-3", City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:FA/e*- T -e E.r-r_ ❑ taxations Cl Supply voltage for more than Cross street/directions to job site: �c -'�^�i� ❑Service of fe°da<600 amps or more. 6�volts nominal Description Orr. l Each Total I New residential single-or multi-family dwelling unit. Subdivision: I'j,'JD r 1D' a 4' „ C,4- Lot#:1 a 0 Includes attached garage. _ Tax map/parcel#� 1 T/ Ute' ( 4 IMO sq.tt or less 168.54 4 ':« -' ,- ,-, `--ti§7. t 6- e w`t r a i z �. - Ea.Limiaddted energy, sq.R orportion 33.92 1 Limited energy,residential M1i s j)f ...�03 j� (with above sq.ft.) 75.00 2 V I✓t w v Limited energy,multifamily 75.00 2 residential(with above sq.fete) Renewable Eneders installation, 3 j+,;,< �a 'S £Ti.WA aS`�= 'e t l` ,f.. .5 °'i0 k Y ❑ See Page and/2 Services or fealteration, or relocation Name:ADVL Land Holdings,LLC • 200 amps or less 10030 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 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 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 16834 2 .7„1:72:;,..,,,,,:4•,:z„ ;"y ,j ,,3 . zn k -.s 4,�I)e,- :,, d ys �M Branch circuits-new,alteration,or extension,per panel 2�u �` "� A Fee for branch circuits wtdr Business name:William Lyon Homes,Inc. above service or feeder fee, 7A2 2 each branch circuit Contact name: N I ch Dk 0117t B.Fee for branch circuits without 103 (] �1,"/' St service or feeder fee,first Address: k7�cu 1. ' S t L) branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 ' \ J 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 Email, /e h Dir , 1 • � t 0 4� dwelling,t only andlor feeder � s .� �{ : ,��m Reconnect only 67.84 2 �_ t, , fF:�_�s Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC • Signor outline lighting 67.84 2 Address:, ` Signal circuit(s)or limited-energy 0 See Page 2 2 fp_ v ck.A i� �,�g\. } ,.1U \'i/) panel,alteration,or extension. City/State/ZIP:•p '` t �p,3� `"f' Each additional inspection over allowable in any of the above �Q,i 14 W t�1 Additional inspection(1 hr min) 6625/lir Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels(3agweusa.com Industrial plant(I hr min) • 78.18/Ea Inspections for whichno fee is 90.001 hr CCB Lic.: C1158 Electrical Lie.: 208174 Suprv.Lie:: 4496S mfimlty listed 'h br min) Suprv.Electrician signature,required: - ,;2Ai.1 I '.-= Subtotal: _ Print name: Joan P Albert • Date: 4/26/2016 0 PIan Review Required(25%of permit fee): _ <' State surcharge(12%of permit fee): Authorized signature: �..•---_-- — � TOTAL PERMIT FEE: This permit application expires If a permit Is not obtained within 185 t Print name: Bill Daniels Date: 4/26/2016 days after it has been accepted as complete. "•'-`'tu3u3 vrocmtrsuEc Perms * Number of inspections allowed per permit tApp HLA MB.doc Rev 06117/2015 4r0.4615T(11/05/CONWEn • k ' - . Plumbing Permit Application .k:: Building Fixtxt.r4. 7 ,-„5 4 5 OCT, 26 ?OP City of Tigard • 'Received !pi . 1312$sw 141,1 Blyi.,Tigard,OR 91222„ ,, , „,..--: ,- ,', e„.,-,-, •f"., •,1: 1418,... .„,,,r,.,„ . Phone: 503.718.2439 Fax: 503Ait.i.960, '..--'' '''-'''''-'"(--i -7——v'" Other PennitNo.: Inspection•Line:.503.639.4175 .„,•,;I..!.. ,- ,-:•,:,:-. -:--:.-; ,.,;•:, ":?.; ej, ,Dak Readynar TIGARD itele F5 See Page 2 tot Internet wwW,tigerd-ot.gOv L';'';:.;•;*;;Li•'-'1'-'''' ' '" 'Notified/idetbod: Supplemental Information :.', ,V5;.,,ViWg....th''''W:tiNKOOk'.4.-4'lliiiiiitiik‘iiiiiiir: ,- ,t1,-..74!„-tVgtel'444,k4IWA 'it*0-14Crigtlf.::#10;',;:V1W1",litiiiieediiiititt'SC•1;ePig:::;j5'i•;'5:i"''',414:;1•'f,t'l • .i'24-r.,-,;.4;ZMattili`.e.',FM24.'ifAiti'rekL•nr:-4,,'.4s.•,...'0:.:,,i,....4.•?...?-E:i4.).A.019*4.1744*.4.4-4:•.4VSVA, .41,47-5,Kfrg;,',5';''f4fait4k02.E.,,„,,':t41.1.....,-.:.,,-..•i--,--.''''A-'').'5:tg-;.'40-4:!,i7:'er,.."104-E:15 special information use Checklist.El Hewconstruction„ t3 DemolitiFor On Description j Qty. I Ea. 1 Total El.Additioniaitefatiowrephicemerit . EI Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) iiP-7g-tilllge-,:-VArjrifei."'"';',t±' SFR(1)bath 312.70 I4 1-and 2-family dwelling 0 Commercial/industrial - SFR(2)bath 437.78i . r-1 SFR(3)bath 'i 500.32 0 Accessory building .L_I Multi-fruinly Each additional bath/kitchen 25.02 ID Master builder 0 Other:- Fire sprinkler( Sq.it) Page 2 DIZAkiik;',iliiii4t,aiiiiitliiiiiiVii.0.75,V-4:11342 Site Wilda:- . . Johaite address: logyq sw -4_fyi e,r .tti L./mu. Catch sin baor atea drain 18.76 Drywcft,leach line,or trench distin 18.76 cityis:tatetzte;Tigard,OW97224 Footing drain(no.linear it: ) Page 2 Suite/bldg./apt no,: Project name; give(—re_raAr_e.&SA Manufactured home utilities 50.03 .. Cross street/directions to jeb site: Manholes 18.76 Rain drain connector• 18.76 1 . • Sanitary sewer(no.linear it:____) Page 2 Storm sewer(no.linear 84_J Page 2 Water service(no.linear ft.: ) Page 2 SlibdivIsiml AJeff Tifirrace. o -- Lot no.: 190 Fixture oritem: , Backflow preventer —1 31.27 Tax map/parcel no.: •.•:;...-....sf,.-11.4-„iv;-..A:;,i,.,;„i;;;:lv:.,,,:..tr\ty4i,;;;;,-,-,...---,---,.,.:• . , ,S , .1A:ry,!TAVr,!,47:,:.1.74. ,-..': Backwater valve % 12.51 gR.M.,;-!-Vr;;;;W:e,?fciax:50Yje,t,Ara,'71-i.v-. --i2rti 25,02 MSTLO 17 —0031c Dishwasher 25.02 Drinking fountain 25.42 Ejectors/sump 25.02 ,!..;;;;ITO,I4114-iT•WolifikaciSiAlii1Z.f$•;IECtiii::7f1 ,ZIExpansion tank 12.51 Name:ADVL Land holdings,TAX: Fixture/sewer cap 25.02 Floor drain/floor sink/hub .25.02 Address:7600 E Doubletree Rauch Road• Garbage disposal. 25.02 City/State/ZIP:Scottsdale,AZ 85258 Bose bib- 25,02 Phone:(602)6944031 Fax:( ). Ice,maker 12.51 . , 7 hitaceptor/greas e trap 25.02 z&-.,:;::•;:-.'._-.•'er. :;•:.1.......,.i:"F-Kia•f,4;!2;,;..:•.•::,n,',.:::a')1.-... ..:!,;;.-1 .1.4V‘..iil„.....*KCI:.4" ..:;.,AIi35".41.4e,;.,, Medical gas(value:$ ) Page 2 Businrcit name:William Lyon Homes,Inc • Primer 1251 Contact name: ("Jit - b it-RI Drpe, Roof drain(commercial) 12.51 Address:103OckcLuda-ul Si" atc,1,D Sink/basin/lavatory 25.02 - - City/State/ZIP:Vancouver,WA 98660 4 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)6934442 Tub/shower/shower pan 12.51 Urinal 25.02 E-m1911 C a ' id i A ' I'11114 IQ kilhale-C,tAY'n Water closet 25.02 „::-,t.--.-1.,,,7-4.-1.t-,2z--.,,,%,z_.-?.,,e,..?fley„..,,.2.44.t.,-„,:-_,---r-,t.-;::=,4,,,:,to•- :--.- - 0 R4,----,---,-,3,..4.4,14---;:::,-. .:„:,,..,,,:,-,,,--...-_,,{-.,-,-.,,,,,,-..,.--1 : , ..E7-,:75•7;.t:••=,:,,I--::.:'-,1,.,:•-•F:4,f,•, water heater 3.7.52 Business name: G4Lt ri)kovt)to is/v. .4-604 .,71.41.4.- Water piping/DWV 56.29- . • Address: p. j. 5-or., 01.2. Other: 25;02. . City/State/ZIP: 5T. p 44Alt am. 4:31131 Subtotal Nimbnum pemill fee: $72.50 Phone:($03#.-1341%* 1411 Fax:(II t....10.4 11/D Plan review(25%of permit' fee) CCB Lic.: im Plumbing Lie.no.Pb WAti State surcharge(12%of permit fee) Authorized signature: b:0,4., 1-0/4..e.t• TOTAL PERMIT FEE Print name: ,51-fAJt_ ww...e__ Date:S--3b—I b This permft application expires if a permit_is not obtabted within 120,days atter it bas berm accepted es complete. *Fee methodology sat by lit-County BuncEng Industry Service Board. tailldiiteamittAPLURT-PetinitAppaioo le/01/09 4404616T(10/02(CCIMMES) n City of Tigard IIa COMMUNITY DEVELOPMENT DEPARTMENT GARD Building Permit Review — Residential TIe iNiaa:.'-.:....0....nL...- Taidtaa.w ,,x,,,, a. -s '7i sr wersiatu t:M t,»s;::e.; a f 4..A„a 't,; a=w' ,...:. ,.saw ,. „a,.::; Building Permit #: ,4 �U/7 -00 3/S--- Site Address: �� F I Project Name: ,r- _ ILot #: / •0 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: -el) Verify site address/suite#exists and active in permitstem. River Terrace Neighborhood: 0 No Lld Yes,See River Terrace Review Addendum Attached Sits Plan Elements: ree(3)copies of site plan °' : .sting structures on site ye plan must be on 8-1/2"x 11"or 11 x 17"paper IG Footprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) or elevations Lrth arrow "ty locations&easements(required for new and additions) cirLe address,project or subdivision name and lot number Xi:walk/driveway approach pplicant information(name and phone number) RI';0.cation of wells/septic systems ri Lot dimensions and building setback dimensions 10 I', sting trees to be retained with drip line,and tree el ,uare footage of buildings to be demolished rotection measures Ni Lot 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) Street names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? IldYes ❑ 4 foot differential) If yes,is a storm water quality facility shown? ❑YesNo j toPClean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): pal/tot /�� / I �/'Required: 1=1 Yes,applicant was notified No Received: CI Yes ❑ No G( L1d Public Faciliti s Improvement(PFI) Permit: pF-i24(:)i(ia^ gQ; /Required: V Yes,applicant was notified ❑ No Applied For: Yes El No,stop intake / and Use Case#: Pboe- Dib- _ ( oning: ,'-QHS' i) equired Setbacks: Front 2 Rear 0 Side 3 Street Side k.J Garage andscape Requirement: O % of Coverage Maximum: Sc) Building Height: Maximum Height o Actual Height Clearance K-isual ensitive Lands: LJes 0 No Type AN0— i,2/ip Ij -i; Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building pe t Notes: con fi`ak� // P1 i eir- /=7- %.cC(t,,4CQ Approved By Planning: c �=• Date: D 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\BldgPennitRvw REs 061417.docx Building Permit Submittal Original Submittal Date: 7/4///7 Site Plans: # ,3 Building Plans: # 3 Building Permit#: I7"Enter building permit#above. Workflow Routing: J Planning Engineering 7Termit Coordinator 713uilding Workflow Sign-off: ,i Sign-off fo{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. ISI Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: Engineering Review Gf r Slope at building pad: / ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Yater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ,Er No Assess Water Quantity Fee in-lieu: ❑ Yes ,"No LIDA Facility on lot: CI Yes 2 No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: E i b/17 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 ►:r pproved,NOT Released: CC-vt- Date: �/i L/14 otes: COA 0P1 c rY1C, -- /44.. 11'15 11`1 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: SDC Fees Entered: Wash Co Trans Dev Tax: es 0 N/A Tigard Trans SDC: PZ— es 0 N/A Parks SDC: ] Yes 0 N/A LIDA ❑ Yes ( /A <OK to Issue Permit Approved by Permit Coordinator: 49°0\AAh Date: 1t i‘5 111 I:\Building\Fonns\B1dgPennitRvw_RES 061417.docx 4 City of Tigard III if COMMUNITY DEVELOPMENT DEPARTMENT f Ell TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: /( //--) 9 a) Th .tz17/4_ ic.,2-f _e_ Project Name: 'hfer.. 7--an&ele - ,c7`.- Lot #: / ( 0 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distr ct 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. Balcony w/ access 2 Window Projection Vertical Wall Offset a in Porch m . 5 t. deep Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%.of each street facing facade must include windows or entrance doors. Percentage Shown: ©A / 13. ntrances:At least one entrance must meet both of the foollg(v g standards: Max. 8 ft. setback from long facing t street- wall 1lZ] Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No OIf es,all the following apply: Z25 sq.ft.min. One street facing entry ❑ 12 ft.max.roof above floor of porch Vft. depth min. ❑ 30%min. porch roof coverage 4. etailed 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 all offset min. 16 inches ❑ i ormer min. 4 ft.wide PI Roof eave min. 12 inch projection Y►I 'oof offset min. of 2 ft. ❑ Roof shingles either tile or wood 7 Gable,hip or gambrel roof design i ❑ Hor❑ oof pitch oriented south min. 500 sq. ft. izontal lap siding min. 3-7 inches wide Accent siding min. 40%of street facade ❑ Window trim min. 2'/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 . 1 • •s and Carports: May face the front or side line on a corner lot. Setbacks: No closer to front or side lot n-, • I longest street-facing wall. ❑ Yes ❑ o (Check one): ❑ May extend up to 5 ft.if there is a covere. r. •.rch and •. .:- .oes not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part o . . o-sto ..• .• • and there is a window at the second story above the garage that faces the street ' • . . area of 12 sq.ft. Width: (Check one) ❑ 12-foo - •.e garage door ❑ 40%max. of street facade 9 0%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ---______ -. Date: /a I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16949 SW FRIENDLY LN, BEAVERTON, August 14, 2018 at OR, 97007 11 :18:27 AM Record Type: Record ID: Residential - Master Permit MST2017-00315 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 75 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16949 SW FRIENDLY LN, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00315 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16949 SW FRIENDLY LN, BEAVERTON, August 14, 2018 at OR, 97007 11 :19:42 AM Record Type: Record ID: Residential - Master Permit MST2017-00315 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16949 SW FRIENDLY LN, BEAVERTON, August 21 , 2018 at OR, 97007 11 :56:52 AM Record Type: Record ID: Residential - Master Permit MST2017-00315 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows 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