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Permit (218) CITY OF TIGARD MASTER PERMIT • COMMUNITY DEVELOPMENT Permit#: MST2017-00517 13125 SW Hall Blvd.,Ti Date Issued: 01/10/2018 7rc ,�rri and OR 97223 503.718.2439 9 Parcel: 2S106DA07100 Jurisdiction: Tigard Site address: 16814 SW LARKSPRING LN Subdivision: RIVER TERRACE EAST Lot: 71 Project: River Terrace East, Lot 71 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: Yes Total: 3652 sf Value: $441,911.01 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 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 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 add9 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 A geotech report is required STE 1 before foundation inspection SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $37,015.05 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 9 -001-0090. You 'y obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. , ,- / Issued By: •/ 2/%Gr Permittee Signature: 1,t,pler GL,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 L-- 01 7 Residential RE" I°" "�" FOR OFFICE USE ONLY City Of TigardREE.W /l) .1,111111 'r13125 SW Hall Blvd.,Tigard,OR 97223 �� ��� PermitPhone: 503.7182439 Fax: 503.598.196p - ., .1,rt ±' y 1_ "" 1 8 Other 3401420/)--e.04/.2.2 ♦✓ �,{ ..,1 DateB T I G A R D Inspection Line: 503.639.4175 1 i v,k 11.,,n ig,,.0 i Date Ready/By: . 7uris: ® See Page2 for Internet: www.tigard-or.gov ` 4 � a /� it, ' l Notified/Method: Supplemental Information -T/i.-- Alf e*4,L--:-.-,- TYPE.OF WORK REQUIRED DATA:1-AND 2=FAMILY DWELLING ®New construction ❑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 CATEGORY OF CONSTRUCTION work indicated on this application. ydwelling ❑Co ® 1-and2-famil Commercial/industrial Valuation: $ ( �11 ❑Accessory building ❑Multi-family Number of bedrooms: 0 Master builder j/ ❑Other: Number of bathrooms: .JOB SITE INFORMATIONAND LOCATION Total number of floors: 2 14 I I A Job site address: t l0 B IL} sw LAI-y_ c ' lJ `New dwelling area: - ,,�]l square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4 square feet Suite/bldg./apt.no.: Project name:River Terrace East 4a1:51\ � Covered porch area. square feet 1 tis 8 Cross street/directions to job site: Deck area: Iel, square feet ,,kS 9 Other structure area: square feet 7 REQUIRED DATA:COMMERCIAL,-USE CHECKLIST Subdivision:River Terrace East Lot no.: 1 I 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. �DV-ot Valuation: $ Existing building area: square feet New building area: square feet ®PROPERTY OWNER 0 TENANT 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: Bl APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH,LLC IPte�referofeescdedufe)' 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* CONTRACT{)R Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic 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 $180.00 Phone:(360)695-7700 and administrative fees): Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature:p/Aa4 �� 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:Nichole Thorpe Date:06/16/2017 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • Mechanical Permit AnnlicatililEGEtVE FOR 0141(F I SE OMA City of Tigard R,,,,,,cd p.th No7/46-1-0A(47......ag--7) 14 .. 13123 SW Hull Blvd,,Tigard,OR 97221 . ()\I 0 7 2017 naltIlY: ,., Plan Review Phone: 503.7182439 Fax: 503,598.1960 Other Peoliii. Devall‘'. TIG A R 0 Inspection Line; 503.639.4175 l'iGkR ,t,.-,., till Set Pa/miter Internet: www.tigard-or.gov GM( (21-. vici,nfotP-413,' r• 0, _ , .aailiedalethed: Supplemental information C-3 ,311(-011\IVI .. OF WORK , ". .,". ,'-- ',_ ":- f,: „, --,,COMMERCIAL nz*scogoutt-ESE,EVECKLIS1`' ., Mechanical Nona fees*are based on the%little of the work la New construction 0 Additionialtcrationfreplacement performed,Indicate the value(rounded to the nearest doilar)of all 13 Demolition 0 Other. mechanical Mait`rials.equipment,labor,overhead.and pmfil Value:S - . -' 1 ' ' :. • CATEGORY:OF CONSTRUCTION "..'";-' - : ' ' - -- RESWENTIAL EQE/1PMENTISVSTEMS FELS* .0 I-and 2-family dwelling 0 Comms 0 Accessory building for special information I/Se checklist !Nfulti-family 0 Master bullet 0 Other: Bewription I Qty., Ea. 1 Total eatie;ennt- -„,3011 SITE INFORMATION AND .t„neArioN./... ' ':. "'" - - II rtuti - • Air conditioning t 46.75 Job site address:t(oNtA ‘,,\I Ltpry_syv-if\ri Lz...ne..._ Furnace 100.00013113 ttnzo,k-rntc) I 46.75 City/State/ZIP:Tigard.OR 97224 Furnace 100.000-t BTU tducts.,vents) 54.91 than pump 61.06 Suitebbig!apt no.: Project name: KAVtr Te-rrare_easi- Duct work 23.32 Cross street/directions to job site: ftvdrunic hot water systern 73,32 Residential boiler(radiator or hydroniel 23.32 Unit heaters((uel-type,not electric), in-walL in-duct.suspended,etc, 46 75 Fluevent for any of above 1 23 32 „ .., - Other , 73.37 Subdivision: ( )tf - Ttiknrace." .o..S.,-A— Lot no,, th - Oer fuel appliances; „ Tax mapepareel no.: Water heater P--- 23.32 Gas fireplacelasell ., ( 33.39 ' flue vent for-water heater or gas fireplace 23.32 Irm lighter(eas) 2332 - - Wood'pellet stove 33.39 Wood fireplacefinscrt 23,32 Chintricylinerffluevent 73,37 . . Other 23.32 C.CPROPERTY OWNER . ' ' '0 TENANT. - Environmental exhaust md ventihrtiont N:arne: PtDV 1_ La nd 1-t3kis ILL tti9, i Rance hoodianher kitchen equipment ( 33.39 Address' 1(47 00 E -00u.t9le -Ptre , R-OJY..-V-A VAICId Clothes dryer exhaust 1 l 31,39 Single-duct exhaust(bathrooms 1 toilet compartmensts,uttHitv rooMsl i LE 23.32 Phane (9 0 2. (0614-4031. Fax:( ) Attiecranispmee fans i 23_32 . ,,,,,___ APPLICANT- '. ' - ' CI coNtAcr PERSON. - I%.*""cL I 23.32 ' Fuel pinion: Businegs flarnec W i II i am Li Gr)_ times T.-1N ' 1 C" S14.15 for First four 54.1136w each additional , Contact name: N i cyl ote.--Dnof-\)-e_ Furnace.etc. 1 Gas heat pump ' Address:rio--6 tlroacb.„3,,,,,,,..A Sc svd.k. -1,-0 , w.n.,,,,,,,,dcd-tin it heater a CitytStateiZIP:Vancouver,WA 98460 i , Water heater Phone:(360)695-7700 Fax::1360)693-4442 Fireplace , I. , Range .1 '1: kli E-med ch Die --h0r)tn.l.cvrzon . Barbecue . I , _ . . 'KA - BusinessOther:name:Apes Air Lit 1 -, ,- -, MEERANIE.AL pilaw FEES* Address:18004 NE 72"Ave Subtotal , - CitylState'ZIP:Vancouver.WA 98686 Minimum permit fee(590.(tn) Plan review t25%of permit feel Phone:(3610 3424109 Fax:(360)324-1769 — State swamp(12%of permit fee) I CCB lie:,203(134 TOTAL rutty'rr RE I Authorized signature-. 11:tePr:fillsnettna}dadruip,i7are!irnitiyifl'hTP7i-in:anbtalif:"'"PtIrminttlititti;""troctnr4Pleta:s7Stteend:ce4114: .....-***-- Print name, i tioN / /.......____ — I Date 4.ii./4,.., I‘11z.;k5m:,,,Pvtn.t,..METT Ptunn A..pr f/4(0 11,A,w 44(.4,0"1":,01:4'f tWit on Tii .,.....% "; City of1�1 2d1CtC� Received 1ettlZomI " 13125 SW Halt Blvd.,Tigard,OR 97223 Plan Rev B Phone: 503.718.2439 Fax: 503.598.19 rr Plan Review 0 v 0 f 2017 Date/B : Related Permit/1: TIGARD Inspection Line: 503.639.4175 Read Date/By: c; Internet, www.tigard-or.gov NohSed/Method Sulu: See Page 2 for 1 ktir i .1 CITY f oiifip Supplemental Information e ®Newconstructrant # . :�.`: .:` :`. _t .... .. ,.•: '..<, PLfiN:R�:E�IEFV:� -:: .:`} ..;.,._�°._:... 0 Addition/a teration/replacement Please check all that apply(submit 2 sets of plans w/items checked): e ❑Demolition Other: 0 Service or feeder 400 amps or more ❑Building over three stories. `" ":Demolition ""'"i'•".< where the available fault _.:,, :'-_CAT = currentlt 0Marinas and ZGO Y=OFboatyards. ....... <:rrs:,r.:::., �__....._.::CQNS712U.'TIO:•s'_` d;;� �"<s, -::;;; ,.;;, ::;:c ....:.. �:.:...........:: exceeds 10,000 amps at 150 volts or ❑Floating buildings. ©1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural I 0 Multi-family • 0 Master builderother installations. ::,,..•:.:i-fmil.-: .. .._-. ,:_:.:Master0 Other: 0 buildings. • Fire a ._. ;,..:.• :,,J:.ol4_s:: INB(IRI4IATION ANI)I;ocA`Pfo.. ::;::: ;-�-. pump. .:.:.:.....:..:_..:.,......_ ,::,..._ ..:._:...:....: ❑Fanesgencysystan. ❑Installation of 150 KVA or • N larger separately derived Job#: Job site address 1I n^QQ��u C j' 1 ,, ,J �� e 0 Addition of new motor load of system. g W V' ! v W Lo Y W 100HP or more. "A;•E,..1.2;,..„, 1-2,"1.3, t City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units occupancy. i , ❑Health-care facilities. 0 Recreational vehicle parks. i Suite/bldg./apt.#: ( Project name: 1vY� Terra ce, e_, ❑Hazardous locations. ❑Supply voltage for more than Cross street/directions to job site; ❑Service or feeder 600 amps or more. 600 volts nominal. ..... ..:.... . . .. . ., -. ... .-?FE�.'=�CFIE...[7I�E;::c'a- > ';` -.; .: ::; Description .. ..._ ...�.Qty..I Each I Total .I . ! New residential single-or multi-family dwelling unit. Subdivision:Pqtr Te.reaC2. S+- 1 Lot#: \ includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 1 168.54 4 ;'i °;i i za -; =`: c:..:.:::::: ..............:..:........._:. ...........:.._......,...: :_. Ea.add'l 500 s .ft.or i . .:; ,-• :;:: ___=i`: ;<s:I)1!SCR,.fe. '.ION:r'OF:`W..ORK-:-::.:.:.; :.:~:::::::_.': ::;i:,.,,;::..:... , portion 33.92 l Limited energy,residential P 1 (with above sq.ft.) 75.00 2 I Limited energy,multi-family _t,,:;:,: „ z.., .._.. .__.. above sq. 75. 2 residential(with ft '_ :: :,-;;;:,�?�-xl". O$ ��= ;. :�..:..,...,.•,,:-,:.c::,;, ;;,;;:::.;.,._.. ....:......:..... .,,..::.:.:..:... ..•-.:.:. Renewable , •::t:..... __i(~r.� Y:0:8it�i>slt :.� O TENt NT Energy ❑ See '1::2 g' Services or feeders installation,alteration,and/or relocation Name:, A-D 1/ L. �e.- .1 � 200 amps or less 100.70 2— Address::'11)OO -E. ®�,�b�_1 r ` { 201 amps to 400 amps 13356 2 CI /State/ZIP.' 401 amps to 600 amps 20034 ty , kcsCka,le.l • , • 601 amps to 1,000 amps 301.04 2 Phone:ti 0 0'G 1 1 _1-1-6 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 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 ampsto 400 ampsI 125.08 Owner signature: Date: 401 amps to 599 amps 168.54 I22 -: a,Ez,,, „,s G4.NT;:,:,;;.., .....;--::,;••,,..:• :,..-....;i,-..,.: Branch circuits—new alteration,or extension,per panel •. . :�� . ��;GQhITACd'.,P)ER$ON' A_Fee for branch circuits with Business name; A'I, 1�tp�t (DA S °� above service or feeder fee, �V`" ,v, i each branch circuit 7.42 2 Contact name: 1 i {� �! B.Fee for branch circuits without Address: �0 at� ''� S� service or feeder fee,first D S . 1, branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'!branch circuit 7.42 2 Phone:(360)695-7700 Fax :(360)693 4442 Miscellaneous(service or feeder not included) Email:�;r c and/or feeder 6724 • 2 Each mafl or modular ��11//nn�� /^,fit \\\'YYY����`„ ,_ dwelling,service +• u` /���/�� Reconnect only 67.84 2 l.• ." Y 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 - panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66251 hr Phone:(253)872-6051 I Fax:(253)872-1801 Investigation(I hr min) 90.00!hr Email:bdaniels@gweusa.com Industrial plant(1 hr min) 78.18!hr Inspections for which no fee is CCB Lie.: CI158 Electrical Lic.: 208174 I Suprv.Lic.: 4496S specifically listed(14 hr min) 90.00/hr Suprv.Electrician signature,required: L• .1/ID/ ,!C/,�„Jct P!>✓FCTIt CAL rER1► b .tel: c r Subtotal: Print name: Joan P Albert Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: .- •_ • TOTAL PERMIT FEE: Print name: Bill Daniels This permit application expires if a permit is not obtained within ISO Date: days after it has been accepted as complete. t Number of inspections allowed per permit, 1:BuildingsPermits\ELC_PermitApp_E gdoc Rev 06/17/2015 440-4615 T(wl/O5/COM/WEn t • Plumbing Permit Application Building FixturesIIIIIIIIIIIIIIIIEIIIIEIIIIIIII City of Tigard i!�� 0 7 Ree wea Permit No;„1"...t 114 u 13125 SW Hall Blvd.,Tigard,OR 97223 S(..� /?/t 67�U/)Y�Y>c/) I Phone: 503.7182439 Fax: 503.598.1960 't-E 1«( �,r l , i0 i w � ;s 1�� Other Permit No.: Inspection Line: 503.639.4175 :00.011\". TIG,1 K DDate Ready/By: Jurist ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information :-. ::. , TYPE..OF.WORK .. ,:..,.... . .. - . ._. .. .-... . .. :.- ;FEE' SCJ*I)ULE ®New construction - 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 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 0 Accessory building 0 Multi-family SFR(3)bath 500.32 ❑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:i W V 1 Lj S LAY sp n n9 Catch basin or area drain 18.76 ` v 1 J Y ��/t !v Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 _ Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: i,/ y. 17e, C'2. Eats+ 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: 11,i\I-eir 1R xYt-Cer as-k-- I Lot no..1 1 Fixture or item: Tax map/parcel no.: Backflow preventer 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 j. 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: ICholt- Thorp-T._ Primer 12.51 Roof drain(commercial) 12.51 Address:.-1.0 J `'r'Daa� cT �U A.ke.,:s\t ) Sink/basin/lavatorypi A-ity / 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) ( 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:.NI C K Olt I W l l) 2 o 4t Urinal 25.02 CONT' C1TOR �� ���P .r1 Fater 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: Co......-----.4::: TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 1 This permit application expires if a permit is not obtained within 180 days I after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:1BuildingWermits\PLMU-PetmitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT 11111 g T 1 c A R o Building Permit Review — Residential Building Permit #: ,57;2.0( - 7 57 7 Site Address: 16 q j"1 S Lori-) ',�• La, i, erlProject Name: Kmrr len--041- E o f- Lot #: 7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: ci �;,vi���,� ,;�= , , �F'( 12/Verify site address/suite#exists and active in permits tem. 0:37 River Terrace Neighborhood: ❑ No I' Yes,See River Terrace Review Addendum Attached Site Plan Elements: L Y ree(3)copies of site plan 4xisting structures on site ! S' plan must be on 8-1/2"x 11"or 11 x 17"paper { Footprint of new structure(including decks)with finished yawn to scale(standard architect or engineer scale) or elevations rth arrow f�IJ9riu ty locations&easements(required for new and additions) e address,project or subdivision name and lot number L�}5idewalk/driveway approach .Niaplicant information(name and phone number) fi ,cation of wells/septic systems Uld,of dimensions and building setback dimensions L xisting trees to be retained with drip line,and tree r/I, uare footage of buildings to be demolished otection measures L •t area,building coverage area,percentage of coverage and ' Syeet tree size,type and location }thpervious area(applicable if R-7,R-12,R-25&R-40) [Street namesOgi � Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Ilf' es ❑No oot differential)17 If yes,is a storm water quality facility shown? ❑Il ]No Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): i-- A-pfrvt �,,,I'll (�,.�(t,J;-- Required: 1;-Required: ❑ Yes,applicant was notified I"No Received: ❑ Yes 04 No 2/Public Facilitieylmprovement(PFI) Permit: equired: Lam' Yes,applicant was notified ❑ No Applied For: p' Yes ❑ No,stop intake Diz,Land Use Case#: 1°1) /0 -�0001 _ �.� (� �� 'moi )012Z?,Yit 00� 1 Lot/oning: I\. ivy L�1 Required Setbacks: Front Rear ' n q l c Side j Street Side f�A. Garage L.0 G_,1,andscape Requirement: LQ 0/0 EB Lot Coverage Maximum: ,?0 % Building Height: Maximum Height Pik Actual Height 235 /visual Clearance —/ Visual Lands: ❑ Yes Lid No Type 152 Urban Forestry Plan 0 Conditions "Met"prior to issuan e of buildig permit Notes: Ctr,ktkbN� IA NO- r V- r Approved By Planning: ...Z.,„4,_i_ -"!AL Date: 12_i 6 17- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\BuildingTormslBldgPermitRvw RES 061417.docx r Building Permit Submittal Original Submittal Date: l( )/0 Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering 'Permit Coordinator Building Workflow Sign-off: , Sign-off for Planning(include notes from planning review) Route Application Documents: 7r Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. 17 Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ' , ..„. , _'Date: �' ,;277/2 Engineering Review L 7 „Aa'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 No LIDA Facility on lot: ❑ Yes _ IErNo ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: m IGC CL c,) t Date: / i 6 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: „tsRevision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: rYes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes IllN/A LIDA ❑ Yes 9N/A OK to Issue Permit roved byPermit Coordinator: — ate: //3/i t PP I I:\Building\Forms\BldgPermitRvw_RES_111617.docx V City of Tigard rfilki COMMUNITY DEVELOPMENT DEPARTMENT TI C n k D River Terrace Building Permit Review Addendum Building Permit #: Site Address: 1(gI'i S W Lk.ker;,j La,t Project Name: k irLr Tract_cz Las* Lot #: 7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Di tgct Design Standards (18.660.0701): Is the project subject to the plan district design standards? Des 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 ft. deep min.2ft., 5 ft.wide min.2 ft.,6ft.wide Gabled dormer 0 0 0 0 L� 2.Eyes on the street:a minimum•��f 12%of each street facing facade must include windows or entrance doors. Percentage Shown: I , /' 3.Entrances:At least one entrance must meet both of the follog standards: Iff Parallel to street,angle no more than 45° from street, dMax. 8 ft. setback from longest street- facing wall Etc or open onto porch [ Entrance opens to a porch: Yes 0 No � / If yes,all the following apply: [i3' sq.ft.min. R'One street facing entry IIK2 ft.max.roof above floor of porch [V5-. ft. depth min. 040%min.porch roof coverage 4.petalled Design:All buildings shall include a min. of five of tie following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep akecessed entry area min. 5 ft.wide x 2 ft. deep ❑ all offset min. 16 inches 0 Dormer min.4 ft.wide { Roof cave min. 12 inch projection 0 Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood MrGable,hip or gambrel roof design ❑y,00f pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide OE/Accent siding min.40%of street facade 0 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 facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: _/ No closer to front or side lot line,than longest street-facing wall. 0 Yes L!d No. If No (Check one): 2ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ay 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 mim 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: LL Date: I 1-2 6"_ 1 7 lauilding\Forms\BldgPermitRvw-RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16814 SW LARKSPRING LN, BEAVERTON, July 24, 2018 at 1 :18:25 PM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00517 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: 16814 SW LARKSPRING LN, BEAVERTON, July 27, 2018 at 9:46:31 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00517 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16814 SW LARKSPRING LN, BEAVERTON, July 30, 2018 at 2:34:19 PM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00517 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel 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: 16814 SW LARKSPRING LN, BEAVERTON, July 30, 2018 at 3:05:09 PM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00517 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