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Permit CITY OF TIGARD71 MASTER PERMIT ■" COMMUNITY DEVELOPMENT Permit#: MST2017-00518 Tri;A I<.f? 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/10/2018 Parcel: 2S106DA07200 Jurisdiction: Tigard Site address: 16774 SW LARKSPRING LN Subdivision: RIVER TERRACE EAST Lot: 72 Project: River Terrace East, Lot 72 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 814 sf Left 3 Parking Spaces: 0 Height: Bathrooms: 3 Second: 1251 sf Garage: 368 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sfYes Right: 3 Detectors: Total: 3043 sf Value: $370,029.17 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Y 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: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Catch Basins: 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: 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: 5 201-400 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: NEWp y Square Feet: SF VB R-3 3043 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Geo Tech Report Required 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 Prior to Pour STE 1 2 Ersn Cntrl 503-639-4175 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $35,331.23 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: AZ p4: .*I' Permittee Signature: r� Ce--,/ptt/7 c--i 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. Blbilding Permit Application L. oT -72 Residential 4 E ,.. FOR OFFICE USE ONLY 4 Received - City of Tigard Date/By: ` , p Permit No.: '0, lig4 13125 SW Hall Blvd.,Tigard,OR 97223 NOV 2017 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 g (� / Ocher Permit: _ v TIGARD Inspection Line: 503.639.4175 CITY Or i i11� 'iy�te Ready/By: ` / .Juris. H See Page 2 for Internet: www.tigard-or.gov � � � (R . ohfied/Method: 5 ��'' Supplemental Information 3�J11 t b-72,7..gice. Ai, CF/c%I TYPE,OF WORK REQUIRED DATA 1-AND 2-FAMILYDWELLING'""" Permit fees*are based on the value of the work,performed. ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit fop GAT EGORY OF,CONSTRUCTION = work indicated on this application.37bo� 3 - , ® 1-and 2-family dwelling 1:1Commercial/industrialValuation: $ 1:1Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION. Total number of floors: 3 ! I Job site address: Un—)q w i_c z_ ir�o 43 New dwelling area: ? Q square feet t 4 Z City/State/ZIP:Tigard,OR 97224 �I,' Garage/carport area: 3,6J square feet lit i Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area:`10 lSquare feet 1IA 1 t3 Cross street/directions to job site: Deck area: t (4t1I square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace East Lot no.: ") _ 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 � ESCRIPTION F WORK; " ., work indicated on this application. 3H V313 � 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: 0 APPLICANT ❑ CONTACT PERSON . BUILDING PERMIT FEES* Business name:Polygon WLH,LLC (Pleaserefertofeeschedulee Structural plan review fee(or deposit): Contact name:Nichole Thorpe Address:109 East 13th Street FLS plan review fee(if applicable): 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* CONTRACTaRCommercial 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 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)6934442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature:Aexi This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 7.4-45/1,444---- *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) I Mechanical Permit AnnlicatiREGFIVEr) IIIIIIIIIME=guzamm City of Tigard Received , 9 13125 SW Hail B ,Tigard.Olt 97223 NOV0 7 2017 /PI Dateny, man Review Pervail''..4./11 0 -0))."— K.\--Citi- I Phone: 503.71E2439 Fax: 503.$1/8.1960 Other Permit. Dateny TtGAtoInpection Line503639A175 Cif IOPt aiARD bate Reach Ily 1ar1A al See Pam 2 tar Internet www.tigard-or.gov31pleInfomation n.1\11„cInN NotifieliMatiod Supmental r ,..111...-01\11r, Mechanical permit fees*are based on the value of the work P4 Nevi construction 0 AdditionAnterntionireplacernent performed,Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials.equipment,labor,overhead,arid profit, Value'S "1"°°4i OF CaNS14°CilaN'''.''' '-; ' ' '' RESIDENTIAL EQUIPIVIENT i SYSTEM FEES*.• , v I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist 1 Multi-family 0 Master builder 0 Other. Dc,erint ion I Qty, Fa_ Total -, Heatinticooling.- - - - -' JOB srrE-INIFORMATIONT AND LOCATION - - - ' - Arr conditioning t 46.75 Job site address:\k.OTTLI SW 1..A.,(V_syy-NN i_ctne, Furnace 100.000 MW T; oos-vents) I City/State/ZAP:Tigard,OR 97224 Furnace 100.000+BTU oluctsvents) , 54.91 , ilea'pump 6E06 Suitelbldg,!apt,no,: Project name: Vjiger Terrace.eOSF Duct work 2332 Cross street/directions to job site: itslirorne hot water system 7312 Residential boiler(radiator or hydronk) 23.32 Unit heaters(fuel-type,not electric), in-wall in-duct.suspended,ete, " 46 75 Fitteivent for saw of above 1 23.32. 1Other _ 2332 Subdivision: Rex- T.fivrace,'Ecks1-- Lot mil L ' Other fuel appliances: , Tax map/parcel no.: Water heater 2332 , H, . . ,DESCRIPTION OF WORK • -'- - ' -• Gas fieri „ 1 Flue vent for water heater or pus fireplace 2332 . . Lon lighter(gas) 2.332 - -- Woodfpclict stove 33.39 Wood fireplacelinsert 2312 Chirrinevlinerifluelvent " 7337 Other 2.3.32 - 12. PROPERTY OWNER.: -, , ••,' , '0 TENANT : Environmental exhaust and ventilation: Name: INDV I,_ La r\d .1-10 Hog LI-c- - . i Range boodkalter kitchen equipment t 3339 Address: -1 if OD E -DouloleAr cz_NrYin VArA,011, Clothes dryer exhaust , I i 33,39 City/Siam/ZIP: CO---s ciri t,0 ta.-7 k)as.1 M. Sineir-datzt exhaust(bathrooms. 1 toil:1 com -rtments,utility minus) i 23,32 Phone:4(f2 02 (D6i4...4 03 t Fax,( ) Attieerawispace fans I 23,32 ' *2* APPLICANT- - - 0 CONTACT PERSON , -,. '' ather Business name: Wt It i(i.,..,,, 1 in L...10\r- tit)NleS IT-1\c 1 I 23.32 _ 514.15 for firm fuer:54.03 for such additional Contact name: ,3 k cyl at-11n0filt_ Furnace,etc. 1 . Gas beat pump Address:2101 creaCkAA14401 SA- alik S\OA__ILp' 11". ended`unit heater Ciry.SIZI tateP:Vantouver,WA 93660 j Water heater Phone:t360)695-7700 ' Fax.::(360)693-4442 Fireplace 1. Ranee ' ,I, 1 E-miiii:LNILkinie22. Barbecue C 0 aziticia , . , Clothes dryer i gas) Other . 1 Business name:Apex Air LIE IBECHANICAL PERMIT FEES* • ' ' . .. Address:18004 NE 72 Ave . Subtotal . City/State'ZIP-,Vancouver,WA 98686 Minimum permit fee Plan review(25%of permit feel .. Phone:(36013424109 I Fax;(360)326-1769 1 t State surcharge(12%of permit feet CCB lie.:203034 tTOTAL PERMIT FEE 4ta"—" *"..---- This permit application expires iii permit is nut ninatard within IMI days after ii has bees aceepted as tomplete 1 Authorized signature: . fix methodohir,, sot by Triweriunt Building Industry Service(loud(loud Print name; i I. ' 1 Date: 4.11. MFC,Pear-az ker mic,1:i;zioz, 44(.4.:,"7,'1--,:,fi'Ari.M1?. Electrical Permit A inc�ty � b 'o1c 'USE-ONLY:, _ L7:-' C. f�,�'Tigard .3'\ Eiew €v13125 SW Hall Blvd.,Tigard,OR 97220v ° D _ i r Phone: 503.718.2439 Fax: 503.598.1960 + 0 Datem : Related Permit#: TIGARI3 Inspection Line: 503.639.4175 r )t y y; 21 See Page2 for CITY Y � Read Date/By: Juris: ,. >v Internet: www.tigard-or.gov BUILDING DIV10 L) Nolilied/tvletbod: Supplemental Information .....- .. . .h::.....:.. ..... ....... >.- .:OR-WORT{.:,,:... - - _ ^ ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition Other: where Service or feeder 400 amps or more 0 Building over three stories. where the available fault current D Marinas and boatyards. ATE. '. .:3' . .. ........ ... . ;_::.:',:: _, CORIy OF';=:CUNSTRU �; - ....;.._:.•:. .:..".;°;`,:.,�,: �..,_._ .:.. ..... ...:.... ..._.. _.......'�'IOH �::`i='v=':'::'':_;=;�i :�:s'rs?`i�';i;: exceeds 10000 amps 150 or ;�.._�-::.::..... .:.. _ _,.�.....__......... .......... ......... ......... .... , P volts ❑Floating buildings. ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 D Commercial-use agricultural 1 amps for all other installations. buildings. 0 Multi-family • 0 Master builder 0 Other: D Fire pump. 0 Lrstallation of 150 KVA or JOB ?S1T' IN1ORMATION.A 1:0:14000:4N`�'',:�_>,``':..'. ''''' . .- ❑Emergencysystem. larger separately derived 1 tin1/44 S V�r �Y -7V) j( L - Addition more.f new motor load of system. E Job#: Job site address 1 wow or more. ❑ City/State/ZIP:Tigard,OR 97224 D Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. I Suite/bldgJapt.#: Project name: 71\IP r Tu 'ace-. .A_ ❑Hazardous locations. D Supply voltage for more than 1t D Service or feeder 600 amps or more. 600 Forts nominal Cross street/directions to job site: _ .. , .: .. . ;:RELr.S,GAEL.[JJ�E:'a >� ":.` '::,;;.:_:.; 1 Description _ ...�1.01'. 1 Each 1 ,..Total I New residential single-or multi-family dwelling unit. Subdivision: 4q y- -re,ria C2 -k-- Latin L Includes attached garage. 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel#: Ea.add'I 500 s33.92 .R.or onion :'i, =;;>:'i is ct'- Ss: i`- r:..:�r y`:;y'E.i.n:....................:. .:;_..._... -__...: :..:>::..';'.i'.::.-...:'':::....:-.;'.. :.:t'.:.::..:..,..:.. q P 1 •:.':::.::_'.:.. .._.:,. .. DF,S,CRIPT ON;OF WORK . . . ...• ....:- ° Limited energy,residential 75.00 2 I (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) _ :4 y -_ � � v - - _ _ - _ - RenewaGle Energy ❑ See Page 2 RU . � -<a r1 - : .:... . . ...:. .... �. � ,-.-:-..-. ':.:-: .. .:..:..,.:NANT;°;< <=''a?`;i';.<, ` Services or feeders instaation,aeration,and/or relocation Name:, A,D V L Lam, .r, r I C 200 amps or less 100.70 2 Address::1 W DD ®6u.101 oL' w ` C' 201 amps to 400 amps 133.56 2 1 401 amps to 600 amps 20034 2 City/State/ZIP:' C Scica(e.. Z 1 � laS2 601 amps to 1,000 amps 301.04 2 Phone:Ca n 2 ,rjl l.(_LI.'2 I 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 ® iiiktitplaf Branch circuits new,alteration,or extension,per panel ... .. ...:[� GQNTACTPERSON .. :..: "' � A.Fee for breach circuits frith Business name: ' m 4, 1 Ilcut S 71� above service or feeder fee, 7.42 2 Ni ' ' "' '� I each branch circuit Contact name: 1 u ,oto T 1 10f9e., B.Fee for branch circuits without serv�O3 6, _ ` w S I�,' branch or fust fee,first Address: t(�Q, � branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'1 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 N,r te p dwelling,service and/or feeder :4liat'' 1-"° 1e a Reconnect only 67.84 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 pineala aerations)or extension. 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90.0W hr Email:bdaniels®gweusa.com - Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lk.: C1158 Electrical Lic.: 208174 I Suprv.Lie.: 4496S specifically listed(A hr min) 90.001 hr • EL CTItt(AL 1 ER1 ill FEES Suprv.Electrician signature,required: k. j ,P/ �� �, . Subtotal: Print name: Joan P Albert - I Date: D Plan Review Required(25%of permit fee): . -- State surcharge(12%of permit fee): Authorized signature: �,G��---•---•— TOTAL-PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: days after it has been accepted as complete. * Number of inspections allowed per permit. l.-�nuildinnlPermdslnt.C_Pe malmApp nttt EREdoc Rev 06/17/2015 440-46t5T(11F05/C056fWE9 '.. • Plumbin Permit A licatIE_ � Building Fixtures SOV ° 'I 7 \i 1012 u111( r I Sr ON 1.1 City of Tigard t . f Received. Permit No.: ill 13125 SW Hall Blvd.,Tigard,OR 97lbg� or ;'.-' DatelBYi T 1 iii t, ' PECW Phone: 503.7182439 Fax: 503.6> j 01 ( Date/By: Other Permit No.: T 1 c,, R O Inspection Line: 503.639.4175 6' Date Ready/By: Juri5: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE.t7F-WORIE .:..,., SEE*......SCHED lLE ®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 El Accessory buildingSFR(3)bath 1 50032 ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION _ Site utilities: Job site address:t h1-I14 S� Lay�Sp r rn � � Catch basin or area drain 18.76 J 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: g i '(! Y I .-V ? (e. Fas+ 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 ,r- v T� �C� T1 Water service(no.linear ft: ) Page 2 Subdivision: \V Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer r 31.27 DESCRIPTION OF.WORK Backwater valve ' 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 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 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 PriContact name: J 1 e hi)k- 1N 1 mer 12.51 Roof drain(commercial) I2.51 Address: 1 c �� ����wow, �'� SU 11,-�, J�� Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 JJ Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:i 1\1 i C.h D� i W 1() pe be Ul t.ri rnhoA' 'S .(T.IYn Urinal 25.02 CONTRA OR J 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: G 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:1Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard * I' COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: /l2T,t(,n(9 Sir Site Address: 16 7:71 S 't,J L'r- ' Lun4 Project Name: Ri'w- I'irrieCO- Lot #: 7-2_ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: �i;Aj�rJLI�4, c4- N.,/ 5ti Verify site address/suite# exists and active in permit s stem. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached SithPlan Elements: ree(3)copies of site plan lvkixisting structures on site [ ite plan must be on 8-1/2"x 11"or 11 x 17"paper ['Footprint of new structure(including decks)with finished 'rawn to scale(standard architect or engineer scale) or elevations orth arrow �d' ty locations&easements(required for new and additions) L7 ite address,project or subdivision name and lot number iaidewalk/driveway approach Viipplicant information(name and phone number) I MI 'cation of wells/septic systems , Lot dimensions and building setback dimensions Il•Existing trees to be retained with drip line,and tree Wi uare footage of buildings to be demolished protection measures of area,building coverage area,percentage of coverage ands eet tree size,type and location )pervious area(applicable if R-7,R-12,R-25&R-40) IJ Street names [ Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? [ Yes ❑No 4 foot differential) If yes,is a storm water quality facility shown? ❑YfrNo Clean Water Services—Service Provider Lette ofplatted prior to 9/10/1995): )--, n; ,)'1\ �� p �r� G- /Required: ❑ Yes,applicant was notified No Received: ❑ YeVA E No ti A t/ [ Public Facilirie§.Improvement(PFI) Permit: Required: ©/Yes,applicant was notified ❑ No Applied For: Yes, ❑ No,stop intake Land Use Case#: P00.2.016 -OOoo G Fr.72'16 'i)1)0 3'1 V./Zoning: R-7- P0) Lib Required Setbacks: Front 9 Rear 1 0 Side ',--7) Street Side ,u44- Garage 26 Er Landscape Requirement: Ztl of Coverage Maximum: 50 L1 Building Height: Maximum Height IA ,Actual Height 3 ' Oisual Clearance 1/ -1 Sensitive Lands: ❑ Yes C9" No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: C 4 -tt 1-+ (;c 4 rT .6 :/}trr.14- ii,,Antt Approved By Planning: #r+-k. („„ry,,, Date: t 2-l C'17 Revisions (after Building Submittal only) I Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved i:\BuildingWorms\BIdgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: /1(77.0 * Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning ,Engineering p;PPermit Coordinator ---- Building Workflow Sign-off: $ Sign-off tof Planning(include notes from planning review) Route Application Documents: (en 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: .ii �� Date: /e2 /2,2 77 Engineering Review Slope at building pad: 57) 4129 ❑ 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 .0'No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes -u No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: A,/,l IC rz.-- t.v 0 Date: IA/ f 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: evision Notice 3: Date Sent to Applicant: i,4 DC Fees Entered: Wash Co Trans Dev Tax: 'Yes CI N/A Tigard Trans SDC: )go Yes CI N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes r N/A OK to Issue Permit Xie / 13 i I V- Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES_111617.docx - City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT 11111 TIC K n River Terrace Building Permit Review Addendum Building Permit #: Site Address: [67-71 .S.,/ LL p' ,, (mini, Project Name: R;vr J{rrr (t_ East— Lot #: 7-2- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist "ct Design Standards (18.660.0701): Is the project subject to the plan district design standards? gYes 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.deepBalcony w/access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min.2ft.,5 ft.wide min. 2 ft.,6ft.wide El 0 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�;,6 4' 3. Entrances:At least one entrance must meet both of the folloying standards: '� Lid Max. 8 ft. setback from longest street-facing wall Parallel to street,angle no more than 45° from street, �/ or open onto porch Entrance opens to a porch: 12( Yes 0 No IfIfye , all the following apply: L4'2 sq.ft. min. [ One street facing entry Q'1'2 ft.max. roof above floor of porch 01 ft. depth min. 010%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of"le following elements on all street-facing façades: Covered porch min. 5 ft.wide x 5 ft. deep MRecessed entry area min. 5 ft.wide x 2 ft.deep 2/Wall offset min. 16 inches 0 Dormer min.4 ft.wide UX/Roof eave min. 12 inch projection 0 Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood [ able,hip or gambrel roof design oof pitch oriented south min. 500 sq. ft. 0/Horizontal lap siding min. 3-7 inches wide Accent siding min.40%of street facade ll,d Window trim min.2 1"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. Setbacks: �/ No closer to front or side lot line,than longest street-facing wall. 0 Yes Lid No. If No (Check one): ❑IV�ay 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) ❑ -2-foot-wide garage door 0 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: lir : ,.L Date: j 2.-7,6.il- l.\BuildingWorms\BIdgPermitRvw_RES_RT_062216.docx l-l:\BuildingWorms\BldgPermitRvw_RES_RT_o62216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16774 SW LARKSPRING LN, BEAVERTON, July 17, 2018 at 12:52:42 PM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00518 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16774 SW LARKSPRING LN, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00518 Inspection Type: Inspector: 699 Mechanical 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: 16774 SW LARKSPRING LN, BEAVERTON, July 19, 2018 at 9:37:11 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00518 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Correction from previous failed plumbing final not done. Investigative fee applied for re inspection of previous failed inspection with Work not complete and ready for Inspection. R109.3 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16774 SW LARKSPRING LN, BEAVERTON, July 20, 2018 at 11 :15:58 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00518 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16774 SW LARKSPRING LN, BEAVERTON, July 25, 2018 at 1 :23:15 PM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00518 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Corrections completed Final erosion control passed Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor