Permit (213) CITY OF TIGARD MASTER PERMIT
714
' COMMUNITY DEVELOPMENT Permit#: MST2017-00444
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/03/2018
Parcel: 2S106DA06500
Jurisdiction: Tigard
Site address: 16924 SW LARKSPRING LN
Subdivision: RIVER TERRACE EAST Lot: 65
Project: River Terrace East, Lot 65
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 1254 sf Basement: 735 sf Left: 3 Parking Spaces: 0
Height: 31 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 3644 sf Value: $443,165.01 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
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 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 addl 500 sf: 6 201-400 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 3644
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: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $37,024.62
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throu•h OAR 952-001- 090. 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 44 4 f r ..- Permittee Signature: &N ,L/��%�(�'�`✓
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.
Building Permit Application
Residential L,�\‘-i ,' .A:v FOR OFFICE USE ONLY
City of Tigard Received /� / .
U Q Date/By: /// /,/ Permit No./(49—A0/7._/) /�
'� 13125 SW Hall Blvd.,Tigard,OR 97223 (/(/-�
Phone: 503.718.2439 Fax: 503.598 1160,"° Plan Review
71
Date/By: 1/ is - J Other Permit: ^ikQ 49 (TJ
T I GA RD Inspection Line: 503.639.4175 r o € Date Ready/By: H See Page 2 for
Y : ,�< ij .. ss:
Internet: www.tigard-or.gov Notified/Method 2 Z//7 4!�! pp mental Information
Cjj
Su le
'
E.OFF WOR K
t:-.-'1; 7i-- illi��L �
REQUIRED DATA 1-AND 2-FAMILY DWELLING
e
liti
oon
®New construction ❑Dm
Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF,CONSTRUCTION workmthis application.
indicate on a pli
Valuation:
$ y® 1-and 2-family dwelling 0 Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms: LA 1.1 at A 16,5-
.
0 Master builder ❑Other: Number of bathrooms: 3
JOB SITE"INFORMATION-AND LOCATION Total number of floors: \L3 4/0 $
Job site address: I W 617 L CVd 1�L (LY YSP 6/� n New dwelling area: 3U/ i9-square ffeeet
City/State/ZIP:Tigard,OR 97224 ► F � Garage/carport area: it square feet
Suite/bldg./apt.no.: Project name:River Terrace East �� i
Covered porch area: square feet )6SS
Cross street/directions to job site: Deck area: J
square feet)a S it
Other structure area: �1 0„` square feet 7,3c
REQUIRED DATA:CO N[l1T l2CIAL-USE CHECKLIST
Subdivision:River Terrace East Lot no.: 45
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
DESCRIPTION OF WORK ; , work indicated on this application.
\3e(-0 , Valuation: $
Existing building area: square feet
New building area: square feet
E PROPERTY OWNER. "' ' 0 TENANT Number of stories:
Name:ADVL Land Holdings,LLC Type of construction:
Address:7600 E Doubletree Ranch Road
Occupancy p y groups:
City/State/ZIP:Scottsdale,AZ 85258
Existing:
Phone:(602)694-4031 Fax:( )
New:
igI APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH,LLC
(Pteaserelertoleeschedule)
Contact name:Nichole Thorpe Structural plan review fee(or deposit):
Address:109 East 13th Street FLS plan review fee(if applicable):
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 Fax::( ) Amount received:
E-mail:Nichole Thorpe PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details
Address: 109 East 13th Street and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review
and administrative fees): $180.00
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:Ach
This permit application expires if a permit is not obtained
a within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Nichole Thorpe Date:06/16/2017
Service Board.
I:\Building\Permits\BIJP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Applicata ,--N, "" ,'r"'r-'4, 1111111111111111=11113111111111111.11
.....t F:,..-,,,,o,-,....-u
City of Tigard ?......-i ,,..,-, -., i ,, Rmnved
DateiTig:
It m 13123 SW Hall 131vel„Tigard.DR 97223 i(./4144,‘
Phone: 503.718,2439 Fax: 503,598.1960 1441/17- 8 2017 14.,
1-.14: Other Permit
rit-,ARD Inspeetieri Line; 503.639A 173
Date Reachliv: tank El See Page 2 far
Internet www.tigard-utgev Cit:7'Y :1.:'i: ',:!'''.:!'-'':::•t:D. NotifiadAiettMd: Supplemental Informatien
BU1Dii'jG ::: N
typE ot„woitiit :; : .:'.. - ,,,' ,..-'-r,-. ',-;COMMERCIAL-YEE*SCHEDULE-USE CHECKLIST
Mechanical perrnit fees*are based on the value of the work
I2:1 New construction 0 Additionialtcrationlreplacement performed.Indicate the value(rounded to the nearest&Atari of all
0 Demolition 0 Other: mechanical materials. .11i, - I.labor overhead.and <ofit,
Value:S
- • -;- • : , ' .tCATEGORY:Or CONiROCtiON' ,'-z- '' . - ' .' ::,. - . - -„RESIDENTIAL EQUIPMENT i'Si STEMS FEES*
I-and 2-family dwelling 0 Commerciallindustrial 0 Accuracy building For rpedal information list,rheatist.
Multi-family 0 Master builder 0 Other I1inmplumeasmounimimmimm..................M1
JOB Sat-INFORMATION AND LOCATION; • .. -.,-- 11444414441"Lkommomminunlillinill111111111111111111111111.1111111111111
- ' • " ' ' Air conditionina 1111111E3:1111111111
jab site address: 91 1-4 SW 1-06Y V--sc)\r‘fAci [Axle_ Furnace 100,4100 Bilj!ducts kerit,,,.i I 46.75 MI
City/StateIZIP:Tigard,OR 97224 Furnace 100..000*BTU 1d:omit-eras) 54.91
rMIMIIIIIIIIIIIIIIIIIIIII 61,06
, .
Suite lb!dglapt.no.: Project name: g-Wtr 1e.ra3ce-easi- raEMPIIIIIIIIIIIIIIIIMmmIIIIMFXIIMIIIII
Cross street/directions to job site: !Is Mimic hot water system 2332 MI
Residential boiler(radiator or
hvdronicl 11.111 1
Unit heaters tfuel-type,not electric), i
in-wall in-duct.so... ded,etc. 46 75
Flo:event for env of above 11111==.11111.
• IIVNINIIINIIIIIINIIIINIIIINNININIIINNII
subdivision: tr744.eir -otroste- E.0`,S1— Lot no.:(0 5
IIMEMMENIIN
.
Tax map/parcel no:
1121NEMIIIIIIIIIIIIIIINIIIIINNII
- -,-- - --•.--. '... .,. .._ .DESCRIPTION OF WORK .,- :r..;- -.- - . GAS 0 Wee-insert all 3339
Flue vent for water heater or gas al
fir ,a2132ce all
I tin liehter f nes) MIN 23.32 IMO
Wood'. Het stove MINI 3339 MIN
Wood Ii ' lace/inset IIIINIIIII111111111
1/21211=2111111111 /332
, . . .
railiallillaillitaillill 2332 IMMO
PROPERTV OWNER . ' " El TENANT'• - '' -
''' - ' Environmental exhaust sad ventilation:
Name' ADV I_ La rd i-fol-iiiir LI-C- Range hond'nther kitchen
j,... _ ' 1 *In MVO (
Ad33.39 al
dress: 1 li 0 0 E. -Dow()k).-A r -e. [z_oucY\ vioact Clothes dryer exhaust Ell 3339 MI
City/Statc/Z1P! c offs cicuit 1 RI •-)5c).7 Single-duet exhaust(bathrooms. --
1 ,
toilet corn . Intents,unlit'rooms I I I
Phone: (p02, ( 4...L4 03 t Fax:( )
rgelnirrEll
7.',.. APPLICANT --- ' ' - ' ti CONTACT PERSON' , ' - I Other: I EIMIIIIIIIII
W -
Business name: WI 111 apo L— 1
_NI of) liCr(cS DAC
i siti5 for first four:SAID for earn additional
Contact name: 3 i cAnote.1\1 - IMINEN11111111111==1111111111111111111111111
CM'S heat M 1111111111111111•11111
Add':i DI Cit-130.ctwcul Si- Sv.ik. SVO ENNIN.M111.1111111111111111 I
CityState,21P:Vancouver,WA 98660 4
Ofril111111111111111111111.1
Phone:(360)695-7700 ' Fax::(360)693-4442 EDIMIllimitimisill1111111111
I Ranee ' 111111111111111
. ,•
E-mail:,N I di ale ThorK6401(1.1cepalocaes..ihno, Barbocue 11111111111111111
-,, . .. coNiwim R • . , -, ' I Clothes dryer IMilliaIIIIII
Business name:Apex Air 12.,C Other:
, . ancOANICAL PERMIT FEES*.
Address:19004 NE 72"Ave
Subtotal
City/StateZIP:Vancouver,WA 98686 Minimum permit fee(590 00)
Plan review(25%of permit feel
Phone:(364)3424109 Pas:1360)326-1769
State stircharge(12%of permit feel
CCB Ito:,203034
TOTAL PEIINIIT FEE
Authorized signature' —
*Thr:Peinnilehod4if 11)41:7:::rtes:47Mit'ehilP8:7170::::14:i447:d:::"ni orIcedt7Ple.k'7"tr::::::::::
Print name: '1..„
4
i
J Date; 4.11.it....
I ilLii;bstpPar.s,MEC Pv-nw,,,,pr.tu-1;..z Ix
•
1 City of Tigard Cr Received t == 1
)1111! = '� 13125 SW Ha[I B[vd.,Tigard,OR 97223 r Date/By:
Review _A/ r
i Phone: 503.718.2439 Fax: 503.598.19.1 Related Permit#:
Date/TIGARD Inspection Line: 503.639,4175 - early y:
G Internet. www.tigard-or.gov Read Date tlto Jura Q See Page2 for i
..... „,,,.''1 i
a r t i 1 NotiEed/Method: i
v : Supplemental Information
"'"' TYPE'OF WORK
®New constructiont -.. . ,.. , r
0 Addittotl/alteratiotr/replaeement Please check all that apply(submit 2 sets of plans iv/items checked):
❑Demolition 0 Other: Service or
:-...-...,...,-. .:.::-,:-..:...-:.::
feeder 400 amps or moreQ Building over three stories.
-.......:..:-::.�,-•-' a;.�:`rc:;}i_=_ . - blefaulteurren
>:::.._....;. .:<... C TEGbRY OF;=.CQNSTR1J. � . c S1: 1;.V.':.' °.:::. ,...:: ..
.. ,,:.... , ..., .,:..:,_:�.___......... - ._.. . tMarinasand boatyards.
where the avar[a 0g
exceeds 10,000 amps 150 volts or
.._:_: _......_..._.... _..:.,.. .., .._. :..::.-,. p ❑Floatingbuildings.
®1-and 2-family dwelling ❑Commercial/Industrial 0 Accessorybuildingless to ground,or exceeds 14,000 agricultural r
❑Commercial-use
❑Multi-family • 0Master builder other installations, .
.Mufi-- �mi.y: -. -.._.. , 0 Other:
pump.
rOR`iSITE,'INFORMATION:AN)::LOGA'gro. . i''.:,;;a `':.-•:...,.....-:.:-.-:':'-'.:•2: '•
. .::-.; ': .. Fire um9
buildings.
� ❑Installation of 150 KVA or
..N _ ..... ❑Emergency system, larger separately derived 1
lob#: ! Job site address I) ) �1 n I ems,f' 0 Addition of new motor load of system. 1
vvi qL VV ax�:)V1 1 n,, 100BPormore. A• "E e1.2'�13' 1
City/State/ZIP:Tigard,OR 97224 1 v 0 Six or more residential units. occupancy. 1
Suite/btd Ja L#: ❑Hea[flt care facilities. ❑Recreational vehicle parks.
g P ( Project name:.(p r Terrace.
�y�aC� C_r 1 j]Hazardous locations ❑Supply voltage for more than
Cross street/directions to job site: V L 1 e-L��T ce or feeder 600 amps or more. 600 volts nominal, I
.:' ; '`:Tt I Qty..I. .Each II I:;.i.:',.4
Total . .a. §
Description
Subdivision:pp�� ,, Terrace_ New residential single-or multi-family dwelling unit.
V`�, ter rE — 1 Lot#: Loc;— IncIudes attached garage.
Tax map/parcel#: 1,000 sq,ft,or less
1 168.54 4
ts {``> `:.= :::' s" Fa add'l 500 sq.R.orportion
AES,CBIPTION QR;WORK•,.. q �j 33.92 1 1
Limited energy,residential
(with above sq.ft.) 75.00 2 Q
Limited energy,multi-family
75.00 2
residential(with aboVe sq.ft.)
n,.;:,__:....._.._.,t_:....kg000.�'Ea :::'°:�<;a:_:�,_;':::±::;t.;>r:;::r.; t+�::_ ::._.,- -
(2 Renewable:Energy ❑ See Pa
TF,fiYANT;�a ?....` '::;`�-:za'. ge 2
Name:, � ^ Services or feeders installation,a[tcratioa,and/or relocation
A D V�- �-cxne.,1 ail /9 _ C 200 amps or less I00.70 2
Address::-1(DOD DD ° . b C 1 L1_` • v ` fV � 201 amps to 400 amps 133.56 2
City/State/ZIPw' c .'..L4_e-c.. e-- Ps-2.-
� ei 401 amps to 6�amps 20 4 2
Phone: ��d� t-t A I J 601 amps to 1,000 amps 301.04 2
flt- -l-Fp2)I Fax:( ) Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
Owner installation:This installation is beingmade on propertysrelocation0amps
o
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.not 20120amp to less amps 125.08 2
Owner signature:
;..�„.�;:':-�3i��,;.:�+. !,� _ ....,.,.....,�:=,::,:: amps 168.54
401 amps to 5992
_ .. ..._...._,...� A-N"1'�:,�:; =?a°.-: Bran
•..�..r••-...,.:_... ... : '='iz.�s:i;i �_.EONTAGT'-'PERSQN ''::'::;'<_:;. ch circuits-neiv,alteration,or extension,per Panel 1
Business flame: . _. ._. ,.: A.Fee for blanch circuits tpith
�Jk►1'`1 i ci �(:),A - 'L(N,• above service or feeder fee,
Contact name: l each branch circuit 7.42 2
1`�q'�' '�" -4 10 _ B.Fee for branch circuits without
Address: �0� ?7 t�'w pI ' ' cam-- C', , , A� , service or feeder fee first
"`•"�'Jl 1 J�n.M (Hunch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Phone:(360)695-7700 Fax: (360)693 4442 Miscellaneous(service or feeder not included)
Email: N �/'�1q or feeder Bach manufactured or modular
67.84 • 2
v :..__., ?i•-v3-'.=:;;...r.=_:.. ,.. .... . a .. .��,:.... . .Y.`}�'���'r�,--� _ Reconnectlnservice
67.84
f:, .::.<::,,.: Pump or irrigation circle 67.84
Business name:Garner Electric Washington,LLC 2
Sign or outline lighting 67.84 2
Address:402 Valley Ave NW Ste 106 Signal circuit(s)or limited-energy
panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP:Puyallup WA 98371 Each additional inspection overallowable in any of the above
Phone:(253)872-6051 Additional inspection(1 hr min) 66.25/hr
Fax:(253)872-1801 Investigation(1 hr min) 90.00/hr
Email:bdaniels@gweusa.coru Industrial plant(1 hr min) 78.18/hr
CCB Lie.: CI158Inspections for winch no fee is
Electrical Lie.: 208174 I Suprv.Lie.: 4496S specifically listed(14 hr min) 90.00/hr
Suprv.Electrician signature,required: /1/�t ,/C f
ELEC-- aL;PERlvLIT FEELS r
Print name: Joan P Albert DaSubtotal:
Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: f .0/"4....."-- ----- TOTAL PERMIT FEE:
Print name: Bill Daniels This permit application expires if a permit is not obtained within I80
Date: days after it has been accepted as complete.
L1BuildirrglpermitslEi C_ponn}t q CLR&R> • Number of inspections allowed per permit.
PP_' doe Rev 06/17/2015 440-461 Sr(l!/05/cobf/wgg
a
I
.
Plumbing Permit ApplicaFiL
,Buildin Fixtures Q-
1 OR c)Fri( 1: l til: (r\lA
City of Tigard € 2017 Received
Date/By: Permit No e f y
1111 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 57 �Z !�%
I ' Phone: 503.718.2439 Fax: 503.4871960 "' ,<:.,'T) Plan Review
Date/By: Other Permit No.:
T I U t R D Inspection Line: 503.639 4175 SU;,_._ . ,y%5 ;^..,1 Daze Ready/By: Juris ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE. 1F WORIE i<::.... FETE* SG
®New construction - Cl Demolition For special information use checklist
Description ( Qty. I Ea. I Total
0 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 ' 50032
❑Master builder Each additional bath/kitchen 25.02
�' Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:) 10 q L� S� '�91 l q v i/h yi9 I nnt_ Catch basin or area drain 18.76
City/State/ZIP:Tigard,tOR 97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: g I.it,, Tf,Vta(e_ f .S+ 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: (2_,i\-e,r -RXvu-Ce_,'�a.s-k- I Lot no.4 n S Fixture or item:
Tax map/parcel no.: �!' Backflow preventer f 31.27
DESCRIPTION OF.WORK Backwater valve i 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
®.PROPERTY OWNER I. 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
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: 1 C h 0 k TN D L
Roof drain(commercial) 12.51
Address: 1 o DY-' r elvJ�""' j c SU 111: S�� Sink/basin/lavatory /..44:}34.ni 6/2,y 25.02
City/State/ZIP:Vancouver,WA 98660 ` r Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:. h i (�e Urinal 25.02
C t�cOxrl�A Q J JO1 tanlPs .C.rJm (
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 Lie.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee)
i-+ State surcharge(12%of permit fee)
Authorized signature: ( TOTAL PERMIT FEE
Print name:Carolina Malmedal Date:04/25/2016 I 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:1Building\Permits\PLMU•PennitApp.doe 10/01/09 440-4616T(10/02/COM/WEB)
1111 City of Tigard
e COMMUNITY DEVELOPMENT DEPARTMENT
T 1 GA R D Building Permit Review — Residential
O
Building Permit #: /fes 57AD/7-0"f/it
Site Address: /(g��1 �7� ��, ���0�e
Project Name:
V��- edcio Lot #: (,,c---
7.-17,7dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: A)-At) q1 j
Verify site address/suite# exists and active in perms ystem.
River Terrace Neighborhood: El No Yes,See River Terrace Review Addendum Attached
Six Plan Elements:
�j `�!I►
ree(3)copies of site plan vO "sting structures on site
rite plan must be on 8-1/2"x 11"or 11 x 17"paper WA Footprint of new structure(including decks)with finished
ilrawn to scale(standard architect or engineer scale) 7.or elevations
orth arrow 11 /tility locations&easements (required for new and additions)
to address,project or subdivision name and lot number all"-walk/driveway approach
pplicant information(name and phone number) I. ation of wells/septic systems
Ni .t dimensions and building setback dimensions 9' i4 sting trees to be retained with drip line,and tree
111'4 uare footage of buildings to be demolished .rotection measures
R Lot area,building coverage area,percentage of coverage and JI 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? [ldYes ❑i.o
1i
4 foot differential) If yes,is a storm water quality facility shown? 4 ❑Ye: fTAI No
Com'! a'. can Water Services—Service Provider Lett((lot platted prior to 9/10/1995): �1 V-e,' /' tr,
'equired: I=1 Yes,applicant was notified 1 No Received: ❑ Yes ❑ No
!A Public Faciliti Improvement(PFI) Permit: P71—"/Q 0 1 ��
e uired: pPm
q Yes,applicant was notified ❑ No Applied For:
;� Yes ❑ No,stop intake
Lo nUse Case#: ��/2�2 i .� 1 � ��re,20/5- 6OW��/ `5 A.6 rA= 611-Ire
g /2- � ) /
G 'equired Setbacks: Front Rear /U Side ,3 Street Side Oft-Garage ()
FA andscape Requirement: ,_2,0
of Coverage Maximum:
B •'ding Height: Maximum Height 1..141---- Actual Height c�
Ito �' sual Clearance
0 j.ensitive Lands: El Yes Z No Type
R, Urban Forestry Plan
❑ Conditioner"Melt""prior to issuarf e of biilding permi
Notes: �._=.) ofG o . ' 7/ u jrjfi r �, C'
/ - jCCrt��4-�f7�t�
Approved By Planning: 4t"s Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved El Not Approved
I:\BuildingWorms\BldgPermitRvw RES 061417.docx
Building Permit Submittal j�
Original Submittal Date: MVO
��
Site Plans: # 3
Building Plans: # 7
Building Permit#: ErEnter building ermit#above.
Workflow Routing: Planning Engineering fr"Permit Coordinator Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: 12' 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: ML f,/.�—.1i Date: 4477
Engineering Review
,Slope at building pad: <22y070
❑ 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 eNo
Assess Water Quantity Fee in-lieu: ❑ Yes 'No
LIDA Facility on lot: ❑ Yes ,..E leo
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: _AL_ Date: ` 1 / 7
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:
XSDC Fees Entered: Wash Co Trans Dev Tax: >El Yes ❑ N/A
Tigard Trans SDC: b Yes ❑ N/A
Parks SDC: -,Yes ❑ N/A
LIDA ❑ Yes .. N/A
SOK to Issue Permit
Approved by Permit Coordinator: -IlU/1 '‘1--- Date:
I:\Building\Forms\B1dgPermitRvw_RES 061417.docx
11111 City of Tigard
v COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: I � _, /
Project Name: ----�--- '
-er 7eyo ce_ Jr Lot #: /
(New dwe ' g=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dis 'ct Design Standards (18.660.070.1):
Is the project subject to the plan district design standards?10 Yes ❑ No
1.Articulation:a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element req ' d for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min. ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a
ft.deep min.2ft.,5 ft.wide min. 2 ft.,6ft.wide Gabled dormer
CI ❑ ❑ ❑
2. Eyes on the street: a minimum q %of each street facing facade must include windows or entrance doors.
Percentage Shown: //C /j t
3. ntrances:At least one entrance must meet both of the folio ' g standards:
jMax. 8 ft. setback from lon st street-facing Parallel to street,angle no more than 45° from street,
cmg wall
or o en onto porch
En, ance opens to a porch: Yes ❑ No
I y s,all the following apply: 5 sq.ft.min.
One street facing entry ft.max.roof above floor of porch
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:
Co ered 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 ❑ firmer min. 4 ft.wide
Roof eave min. 12 inch projectionIV: .of offset min.of 2 ft.
❑ Roof shingles either tile or wood M Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 ft.wide
❑ Accent siding min.40%of street facade ❑ Window trim min.2'/z"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 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.
Setb cks:
N closer to front or side lot line,than longest street-facing wall. ❑ Yes lld 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)
❑ 12-foot-wide garage door 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: —` ' Date: 0
I:\Building\Fomms33ldgPermitRvw_RES RT o31416.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16924 SW LARKSPRING LN, BEAVERTON, August 28, 2018 at
OR, 97007 12:14:43 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00444
Inspection Type: Inspector:
699 Mechanical final Jeremy Burrows
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:
16924 SW LARKSPRING LN, BEAVERTON, August 29, 2018 at
OR, 97007 10:47:19 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00444
Inspection Type: Inspector:
199 Electrical final Jeremy Burrows
Result:
PASS
Comments:
Correction completed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16924 SW LARKSPRING LN, BEAVERTON, August 30, 2018 at
OR, 97007 9:20:26 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00444
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Previous corrections completed.
Water pressure = 60 psi
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16924 SW LARKSPRING LN, BEAVERTON, August 30, 2018 at
OR, 97007 10:41 :20 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00444
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