Permit (206) CITY OF TIGARD MASTER PERMIT
. - COMMUNITY DEVELOPMENT Permit#: MST2017-00514
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2018
Parcel: 2S106DA06700
Jurisdiction: Tigard
Site address: 16882 SW LARKSPRING LN
Subdivision: RIVER TERRACE EAST Lot: 67
Project: River Terrace East, Lot 67
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 1259 sf Basement: 735 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3652 sf Value: $441,257.06 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 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: 2 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 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: 7 201-400 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 3652
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 Geotech report is required
STE 1 before footing inspection can
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $37,014.27
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 0 A R 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.
111jIssued By: �` Permittee Signature: � I'/e 27O
Call 603.639.4175 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 .Y�
Lo -- 67 „,,
k
Residential FOR OFFICE USE ONLY
City of Tigard N 0 V 0 7 2 017 Received
- ■ 13125 SW Hall Blvd.,Tigard,OR 97223 .,
Date/By:
IA 4,,,7/./.7 / j emut No1�/7�, / ����
Phone: 503.718.2439 Fax: 503.598.1960 33 Plan Review Penult:
J�(/ I
!,,I TY 6 l t ' �� Date/By: Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 _, ,,t L�i�� Date ReadyBy: / j Juris: H See age 2 for
Internet: www.tigard-or.gov Notified/Method:///Zptd ff I Supplemental Information
C?'Ig-/L /1//e/f cr t-g.'
TYPE OF;WORK =REQUIRED DATA I=AND 2=FAMILY-DWELLING'
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
ID Addition/alteration/replacement El Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 91)i a. 7
❑Accessory building 1:1 Multi-family Number of bedrooms: y
❑Master builder ❑Other: Number of bathrooms: 3
JOB SITE INFORMATION-AND LOCATION Total number of floors: 2 1 I 16
Job site address: Q 7 S N1 Lo 1 9rt,(\AJ t Jay7k 4'
e New dwelling area: „5\ square feet
City/State/ZIP:Tigard,OR 97224 J Garage/carport area:v14p14square feet
Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: 14L square feet 1 6621
Cross street/directions to job site: Deck area: .,f 60 square feet 1 D4.5-
Other structure area: square feet 7
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace East Lot no.:(9-1 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
DESCRIPTION OF WORK work indicated on this application.
V'1�
C)� Valuation: $
1-� Existing building area: square feet
New building area: square feet
® PROPERTY OWNER. ❑ TENAPIT 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:
El APPLICANT- .. 0 CONTACT PERSON. BUSING PBRMIT FEES*
Business name:Polygon WLH,LLC (Please refertofeeschedafe)'
Structural plan review fee(or deposit):
Contact name:Nichole Thorpe
FLS plan review fee(if applicable):
Address:109 East 13th Street
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Amount received:
Phone:(360)695-7700 Fax::( )
E-mail:Nichole Thorpe PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
COINTRACTOR ” 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:
Ach4
This permit application expires if a permit is not obtained
7.4. within 180 days after it has been accepted as complete.
Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits�JP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
I
RECEIVE"
• Mechanical Permit Application FOR 0141( E I SE ErstA
City of Tigard NOV 0 7 2017
III
13125 SW Hall Blvd,Tigard.OR 97223 ,..,, ,..,..,,
Phone: 5017152439 Fax: 503,598.196a/11 r OF fiGARO nr.",.'"" ott.Permit
TIRD Inspection Line: 503,639.4175 BUILDINGDIVIRI(Mt.gatd)B.,,,. Jor,°, Ea Sur Pear 2 fur ,
Internet: ww-wtivankor,goy Notifie&Method Supplemental hiformation
•' ,, ,',-.- -, ., -:, • ',, TypE OF WORK' , , -., - ,r, '::cgmiwzRamo FEV,SOIEDULE --USE COECKLIST
t40,,,, Mechanical permit fees*are based on the value of the work
:s
ew cOnstmotion 0 Addition:alterationlreplueement performed.Indicate the valise(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,eguiptnent,labor,overhead.,and profit.
Value:S
, .
CATEGORY OF CONSTRUCTION,
'' , ,.; RESIDENTIAL EQUIPNIENT/SESTEMS FEES*,.• .
W-and 2-family divellinu 0 Commercial/industrial 0 Accessory building Far special information use checAlist
1 Multi-fatnily 0 Master builder 0 Other Description , I Qty, Ea. 1 Total
JOB SITE INFIMMATKEV AND LOCATION > AHt,atinti,cr, Ti„ng:
I 46.75
Job site address: ,662_ sw Lot r Lspv-\\I\9 uxxv, _
Furnace 100,000 Mt(dims venty, 1 46-75
City/State/ZIP:Tigard,OR 97224 Furnace 100A100+BTU Marls/volts) , 54.91
tleat pump 61_06
Suitethltig,tapt no: Preded name: 2-:kger -re.yrac,_ • Duct work
23-32
Cross street/directions to job site: llydninic hot water system 23,32
Residential hailer(radiator or
hydronic) 23.32
Unit heaters(fuel-ty,pe,not electric),
in-wall in-duct,suspended.etc. , 46.75
Flue: cot for any of above 1 23 32
Other 23.37 ,
Subdivision:. RW - Tonrafe.'EcksA-- _ Lot
Other fuel appliances:
Tax map/parcel no.:
Water heater ,9 r. 23.32 1
1 33_39
Flue vent for water heater or gas
fireplace 23.32
Iry Hefner(gas) 23,32
WooirpclIct stove 33.39
Wood fireplace/insert . 23,32
Chimacvlinerlffuelvent 23.32
Other 23 32
PROr ERTT O
WE
R
0 TENANT Earl menial exhaust and ventilation:
N)\a Land 1-f0HtliqS/ J-(-- Range hoodnither kitchen
equipment , ( 33,39
Address: 1(1)DO E -Doutg‘e,tre-e, 1 -Uf\&\ -pad Clothes dryer exhaust J 1 33,39
City/StatriZIP: C .a, - . * $mete-duct exhaust(bathrooms. 1 ,
toilet compartments.utility rooms) ,i 1---6- 23.32
More:k ip 02 014_4 03 t Fr.( ) Attiecrtin tspace fans I 23,32
' 0 APPLICANT ' ' ' ' EY CONTACT PERSON 1°ther 1 23.32
Fue___L ip.:Em.it
BL$iness name: WI 11% am Lion i-komes IT_ANc_ $14,15 fur first four;54.03 far each additional
..
Contact name: lk,1 i c1/1 ae_- fl o()-)-e_ Furnace.etc- 1
Gas heat pump ,
Address:t crockctido oluil si- svak, sID
Wei'suspended'unit healer
City/State/ZIP Vaneetri-er,WA 98660 1
Water heater
•
Phone:(J60)695-770 Fax::(360)6934442 Fireplace t
Ranee '1
E-mail;:Ni cliiile ---hor)epoltiviocati.jhas Barbecue
( 11: R
I ,
I ,
Business name:Apex Air lie Other:
,,'- • MECHANICAL PERMIT
Address:18004 NE 72 Ave
Subtotal
CityiState ZIP:Vast-ewer,WA 98686 Minimum permit the r590,00)
Plan review 123%of permit feet I
Phone:(3601 342-8109 Fax:(360)32447691
State surcharge(12%of permit feet
CCB lie.:203034 TOTAL PERNIIT FLE .
i
This permit application expires if a permit is not obtained within 1/40
diees after it has been aceepted as maitpletc.
Authorized signature: .
* Fee suetitadaleri set by Tri-t'cutiti ihniiling iciansti,,Service Ruard
.P...m.... 't
Print name; 1 tioN. ,..1 I Date: 41/ it,...
5 saath,,F,neinw,xit,c zetian8pr.r-tl :t ase .4444,t-r,.,,v,.24ttwwi-,m
_ r
Electrical Permit App` )gieat(n®rn O O� ICs �rl oN r _ -
'..iN -.-.-] City o Tigard N 0 V 0 7 201 Dacefe/B•yd
't 13125 SW Hall Blvd.,Tigard,OR 97223 x_
"I '• Phone: 503.718.2439 Fax: 503.598.1960 w _ t ;1 . Related Permit 4:
Inspection Line: 503.639.4175 r ' 9 fir 1 t
TIGARD' , '.1.a..i'1l,pnep( i.)1V1S .- Datetho Jevis: 1r7 c inf
Internet www.tigard-or.gov
i J 9 if.)1V1 @I edttvletbod; Supplemental Information
YPE., R VVORI't..................
�;it??Att-NROftUrPW;:;:--.:?.>`': . :�`Mi::1 F
®New construction 0 Addition/aiteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition 0 Other: 0 Service or feeder 400 amps or more 0 Building over three stories.
,
where the available fault current ❑Marinas and boatyards. g
'.:;;CATEGORY OF;CONSTRUGTIO0_ ;; .,i_:';:<- exceeds 10,000 amps at 150 volts or 0 Floating buildings.
®I-and 2-family dwelling ❑Commercial/Industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural I
amps 63r❑Multi-family • ❑Master builder ❑Other: allother installations,
::':; ::>.<<,l - * :.-,:-.,._....-:-. :.-,.... .-M.,..t..r bui .e .;. Installation
.:.:.:,:: ,:.,..V...,.::,.•.:::J.OB:SITE;,-INFORMATION:AND LOCAT[ON`: , ;:':.4 .'.:':''?::� ❑Em gencysystem. separately5derivedor
buildings.
0
larger
Job#: Job site address(w SW IAN' 0 Addition of new motor load of system.
r• Latit,SpY I A - 10011P or more. ❑A",•E","1.2',"1.3,
City/State/ZIP:Tigard,OR 97224 ' ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks, 1
Suite/bldg./apt#: Project name: ❑Hazardous locations LI Supply voltage for more than
'l�Qr-Terrace, EAS-- y g
❑Service or feeder 600 amps or more. 600 votes nominal.
Cross street/directions to job site:
Description :. .. - I Qty. I Each I Total I a 1
New residential single-or multi-family dwelling unit. 1
Subdivision:pJty-- Te,Mi.CQ_ .eaSA--- Lot#:( _l includes attached garage.
\�-,(C/ 1,000 sq.ft.or less
Tax map/parcel#: 1 168.54
• ' . `,: :!;`: ; ;c<.:-_.::::,=r ::::.....................,..: ,.,.._....:.._....•. .. :.. Ea.add'I 500 sq.ft.or portion 33.92
r ,, 1
-.. _ -- .. .. DESCRIPTION OF WO1tTt�'.: ;::.. ,:'::::;.:.: ;..:. , � I
_ Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
- Renewable Energy Page.Kgw�= �'R e .. - -_= -;� N Ta - - " Services or feeders installation,alteration and
/or relocation -
Name:, �D V 1 _ ' n rj-
A i .kA to ,c_S I I. , 200 amps or less 100.70 2
Address::`,(DM) ��.. ®(,��v,-A r\c 201 amps to 400 amps 13356 2
401 amps to 6110 amps 200.34 2
City/State/ZIP:' _ f,,}.{-sdtale_. "Z 'BS-C'Z1J 601 amps to 1,000 amps 301.04 2
Phone:Co()2.�Li—40,! ! �l
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 1
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
.®,.A&QIsIGANT .... w;a0-6-g tilt PERSOI,4 .+,•..::„ Brandt circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: A 11,(1 1�tp�-�•�1(,^ y_}o,m c above service or feeder fee,
Contact name: Ni 'v, `� ^t , 1 tt-^, I each branch circuit 7.42 2
i�l i 171_ O B.Fee for branch circuits without
seAddress: ��� i7 6 J �� Sine_S�) branch it feederitfee,first
branch circuit 56.18 2 �.
City/State/ZIP:Vancouver,WA 98660 Each add'!branch circuit 7.42 2
Phone:(360)695-7700 Fax:: 360 Miscellaneous(service or feeder not included) _
{ )6934442 Each manufactured or modular
Email N,61dt_ /�nlri-y, k of 1 n o ^ Reconnectonly and/or feeder 4
Int y�V i Vl +!/`L 1 dwelling, b7 8 2
fi67.84 2
:.. Pump or irrigation circle 67.84 2
Business name.Garner Electric Washington,LLC Sign or outline lighting 67.84 2
Address:402 Valley Ave NW Ste 106 Signal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension. g
City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 6625/hr
Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90.00/hr
Email:bdaniels@gweusa.cotn Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.: 01158 Electrical Lie.: 208174 I Suprv.Lie.: 4496S specifically listed(i4 hr nth)) 90.001 hr •
Suprv.Electrician signature,required: •'r , il/ ID, A� �
• 10 EC'J R1CAL 1rEBMLT ifr )S
Suhtotal:
Print name: Joan P Albert - Date: 0 Plan Review Required(25%of permit fee):
i Stats surcharge(12%of permit fee):
Authorized signature: __ TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 130
Print name: Bill Daniels Date: days after it has been accepted as complete.
# Number of inspections allowed per permit. '
L'rBuildingq.ermitstE{,C_Permitgpp ELn&pEdoc Rev 06/17/201.5 440-4615T(11/05/C01,,PwES
;
,
RECEIVED
Plumbing Permit Application Nov 0 7 2017
Building FixtureshI Y ARD 1FH
OR 01.I.I( 1 SI t1N1 1
City of Tigard 'NIL L D i N G O IV4 S I O RDa :d: Permit No./
14
f1 5G�7`{� �/13125 SW Hall Blvd.,Tigard,OR 97
Phone: 503.7182439 Fax: 503.598.1960 Plan Review
Date/By: Other Permit No.:
TIG,A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
®New construction ' 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other:
New 1-2-family dwellings(includes 100 ft.for each utility connection)_
CATEGORY OF CONSTRUCTION. SFR(1)bath 312.70
®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
•
❑Accessory building 0 Multi-family SFR(3)bath ' 500.32
Et Master builder Each additional bath/kitchen 25.02
❑Other: Fire sprinkler( .sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:l l p bbl. SV I it,U IL-Sprif{ �'(�t Catch basin or area drain 18.76
Y J Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
- -
r Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: g i iex T_hrare. LOIS•'.. 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 ft: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: 12.,i4-e-v- T Ce_' ..0,,S-\-- I Lot no.:ti1 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF.WORK Backwater valve 1 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER ( 0 TENANT Expansion tank 12.51
Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road
Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)694-4031 Fax:( ) Ice maker 12.51
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2
Contact name: [C h 1]k. q o G
Primer 12.51
` � Roof drain(commercial) 12.51
Address:.-1.�J r9r U vjOuLA C,T cAl-At.5� ) Sink/basin/lavatory kif It 1412.1 l 25.02
City/State/ZIP:Vancouver,WA 98660 J Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:.IV i C h Di I W- I)lep pl t- hOrn#'s•CJYn
Urinal 25.02
COOR�� Water closet 25.02
Water heater 37.52
Business name:Malmedal Enterprises Inc Water piping/DWV 56.29
Address:PO Box 207 Other. 25.02
City/State/ZIP:Banks,OR 97106 Subtotal
Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50
CCB Lic.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: C__....---__(::::
� TOTAL PERMIT FEE
Print name:Carolina Malmedal Date:04/25/2016 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 Service Board.
I:\BuildinglPermits\PLMU-PermitApp.doc 10/01/09 4404616T(10/02/COM/WEB)
City of Tigard
■ a COMMUNITY DEVELOPMENT DEPARTMENT
T l A R o Building Permit Review — Residential
Building Permit #: /fes Tc,1,U/2 GYM 7I/
Site Address: 102_ W 6,- ri L,,t
P ^�
Project Name: IZ,1rv- Tcrract b<s 1- Lot #: 6
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review rr
Proposal: Ch1t'n2 ` new SP-1
Wyerify site address/suite#exists and active in permit sy�tem.
0/River Terrace Neighborhood: ❑ No LEI Yes,See River Terrace Review Addendum Attached
Sity Plan Elements:gyfir�(
ree(3)copies of site plan k Eiisting structures on site
Li to plan must be on 8-1/2"x 11"or 11 x 17"paper W4Footprint of new structure(including decks)with finished
( awn to scale(standard architect or engineer scale) oor elevations
LAN rth arrow 'ty locations&easements(required for new and additions)
ite address,project or subdivision name and lot number LJ idewalk/driveway approach
I plicant information(name and phone number) 'L .cation of wells/septic systems
II et dimensions and building setback dimensions Li Existing trees to be retained with drip line,and tree
li 9luare footage of buildings to be demolished �ptotection measures
ILGt area,building coverage area,percentage of coverage and L��"SS Beet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) LrdStreet names
[Sd'Yroperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? L11Yes ■No
4 •of differential) If es,is a storm water .uali facility shown? 0• ii No
M Clean Water Services—Service Provider Lettep-(lot platted prior to 9/10/1995): Ii /i0,yvcr( (,,t1.(i
equired: ❑ Yes,applicant was notified If No Received: ❑ Yei( J No (4( c/y¢
FE/Public Facili�ti�e mprovement(PFI) Permit:
/Required: [ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
E4 and Use Case#: )20 R 7,06-0000 I L eFZ 2016_Qodgq
ElSioning: K- 4-- eD)
equired Setbacks: Fron Rear I 0 Side 3 Street Side Garage
2 9ndscape Requirement: ZO
g (J� g Ld
EYtof Coverage Maximum: 10 %
IJ Building Height: Maximum Height 0- Actual Height Z/
Visual Clearance
Sensitive Lands: ❑ Yes /No Type
t/Urban Forestry Plan
❑ Conditions "Met"prior to issuance of building permit
Notes: C�i tit 4 k McJ' prh- Lflii , (--“vGnce
Approved
By Planning: I'
'7-Ret-�;;titi-- Date: t2.-2,6 -17-
Revisions
visions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES 061417.docx
Building Permit Submittal - ,
Original Submittal Date: /1/77(7
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: Planning �❑ Engineeringermit Coordinator wilding
Workflow Sign-off: Sign-off for Plalnning(include notes from planning review)
Route Application Documents: r Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
- Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: iti/1 '2iwird,c,c,(74Date: 1sg/�.)/4j
Engineering ReviewSID 1
Slope 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: ❑ Yes �.No
Assess Water Quantity Fee in-lieu: ❑ Yes tf No
LIDA Facility on lot: ❑ Yes ' 1 No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: !44 6 K-',,. Ici Date: /2-, i 8
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
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:
SDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A
Tigard Trans SDC: es ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes r/A
OK to Issue Permit
//..;//3 /
by Permit Coordinator:(ApprovedDate:
I:\Building\Forms\BldgPermitRvw_RES_111617.docx
City of Tigard
INr COMMUNITY DEVELOPMENT DEPARTMENT
■
T l ca n x D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 16Sg2_ w /�^a� (.ar`c.
Project Name: 2 jtc 7cryu. �a3� Lot #: 6
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.660.0701):
Is the project subject to the plan district design standards? [Yes 0 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 Gabled dormer
ft. deep min.2ft.,5 ft.wide min.2 ft.,Eft.wide
0 0 ❑ 0
2.Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 1 g.3,
3. ntrances:At least one entrance must meet both of the folio g standards:
Max. 8 ft. setback from lonst street- facing wall [ Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes 0 No —/
If yys, all the following apply LU' sq.ft.min.
One street facing entry 1 ft.max.roof above floor of porch
CU/5 ft. depth min. Q730%min.porch roof coverage
4.Detailed Design:All buildings shall include a min. of five of3he following elements on all street-facing facades:
C!1/ overed 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 ❑yoof offset min. of 2 ft.
❑ Roof shingles either tile or wood g Gable,hip or gambrel roof design
0/Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide
Accent siding min.40%of street facade LTJ Window trim min.2 1/2"wide by 5/8"deep
❑ 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 façade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks: ��
No,c�loser to front or side lot line,than longest street-facing wall. ❑ Yes Lod"No. If No (Check one):
May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
❑ J.2-foot-wide garage door 0140%max. of street facade
50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: %gyp ,A.'" Date: 1 Z-1� (1-
1:\Building\Forms\BldgPemitRvw RES_RT_062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16882 SW LARKSPRING LN, BEAVERTON, August 27, 2018 at
OR, 97007 2:16:26 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00514
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:
16882 SW LARKSPRING LN, BEAVERTON, August 27, 2018 at
OR, 97007 2:17:08 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00514
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:
16882 SW LARKSPRING LN, BEAVERTON, August 28, 2018 at
OR, 97007 1 :07:38 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00514
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Corrections completed
Violation Summary:
Inspector Contractor