Permit (225) CITY OF TIGARD MASTER PERMIT
Permit#: MST2017-00515
■ COMMUNITY DEVELOPMENT Date Issued: 01/10/2018
T f c;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DA06900
Jurisdiction: Tigard
Site address: 16858 SW LARKSPRING LN
Subdivision: RIVER TERRACE EAST Lot: 69
Project: River Terrace East, Lot 69
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 948 sf Basement: 799 sf Left: 3 Parking Spaces: 0
Height: Bathrooms: 3 Second: 1130 sf Garage: 377 sf Front: 8 Smoke Yes
Dwelling Units: 1
Third: 0 sf Right: 3 Detectors:
Total: 2877 sf Value: $348,942.63 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 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: 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: 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 Y
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2877
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 Geo Tech Report Required
STE 1
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $34,926.15
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.AZec.
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: pXPermittee Signature: 5r r .4-- jia ems` G�
Call 603.639.4176 by 7:00 a.m.fpr the next available inspection date. / v
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.
L o -T 6 9
tiliilding Permit Application - ' '
t t'Z at1
Residential FOR OFFICE USE ONLY
Cl Of Tl and �OV' i i°)O17 Received /
}�' / Permit No.]
,t4 g Date/By: /��� �L
114
r 13125 SW Hall Blvd.,Tigard,OR 97223 '' 'lanReview — L/
Phone: 503.718.2439 Fax: 503.598.19(1 �` II T tat d_ ?i" 9 1�1 Other Permit: /
r
Til, B / is/.
Inspection Line: 503.639.4175 f, y y: JUnS H See Page 2 for
TIGARD p ' �� �a (QRead B �� �.
Internet: www.tigard-or.gov bbt ed/Method: ,./; Supplemental Information
'I9/L n/iC(- o 4
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 ❑Other: equipment,materials,labor,overhead,and the profit fo
CATEGORY OF:CONSTRUCTION r work indicated on this application. � j
Valuation: $ (,106 1 l Li11''
® 1-and 2-family dwelling ❑Commercial/industrial
Number of bedrooms:
0 Accessory building ❑Multi-family �
❑Master builder 1:1 �
Other: Number of bathrooms: 3 4F
JOB SITE INFORMATION AND LOCATION Total number of floors: L `]
Job site address: 1 j 0?)S e) )C ,.W 1 �Y�C , La ne` New dwelling area:'zE'li square feet q 4 co
City/State/ZIP:Tigard,OR 97224Garage/carport area: 311 square feet t
Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: square feet
Cross street/directions to job site: Deck area: I H square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace East Lot no.:ki al 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 WORKwork indicated on this application.
31-11,01
f0L- Valuation: $
Existing building area: square feet
New building area: square feet
®,PROPERTY OWNER ❑ 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:
E APPLICANT ❑ CONTACT PERSON i BUILDING PERMIT FEES*
. (Ftease refer to fee schedule)
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:Nichole Thorpe
FLS plan review fee(if applicable):
Address:109 East 136 Street
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Amount received:
Phone:(360)695-7700 Fax::( )
- PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:Nichole Thorpe
Commercial and residential prescriptive installation of
CONTRACTOR 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)693-4442 State surcharge(12%of permit fee): $21.60
CCB lic.:207247 Total fee due upon application: $201.60
Authorized signature:/'//���[� /_ This permit application expires if a permit is not obtained
G g � within 180 days after it has been accepted as complete.
Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
e- RECEIVE*
Mechanical Permit Application F()R()nil( L 1 SE()NIA
City of Tigard \10 V 0 7 2017 Rc"Ivcd
Daman, Penn""tiSTIA0)7-00.,--/c
, . 13125 SW flail Divel,.,Tigard.OR 97223
' Phone- 503318.2439 Fax: 503,598 1960 CITY OF. TIGARL, 1")Z1Ziew Other Permit
ric:ARD inspection Line; 503.639.4175 r"3 lilLn 1 Ni G DIVIS1 ( 'k RonAY BY
,
be. RI See Pant 2 tar
interact: Avww.tigard-or,gov NotifialiMethod: Supplemental infermatien
• - ' " ' t.''•-- -)::' ::: -' TypE of..woitt ,"- !, ' :CON041,ECIAL FEE*,-RcIIEOtrLE—usEcREctiLisT
Mechanical permit fees*are based on the value of the work
13 New consimetion 0 AdditiorValterationfreplacement performed,Indicate the'obit(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanteal materials,equiptnent,labor.overhead,and profit,
Value:5
CATEGORY OF CONS ' ,. . '
• ' ,'RESIDENTiAL EQtarmeitistarrmsrEEs. ,
talk 1-and 2-fatnily dwelling 0 Commerciabindustrial 0 Acces$ory building For apecial information am,checilisi.
I Multi-family 0 Master builder 0 Other: Description i Qty, Fa. Total
< JOB SITE'INFOILNIATION AND LOCATION ' - - -- ' ' nextintiellang:
Art conditioning I 46.75
lob site address:1 1.0 ef3e) s kAx-v_isvy-\(\rItArle.....,
Furnace 100.000 RIC(dint&irtlfS) 1 46.75 ,
CityiState/ZIP:Tigard,OR 97224 Furnace 100.000$13111 ritirettivents) _ 54.91
fleet purtv 61.06
Soite,bidglapt.no: Pmject name: Rxter . . ..
Duct work 2332
Cross street/directions to job site: flvdronic hot water system 23,32
Residential boiler(radiator or ,
hvdronici 23.32
Unit beaters(fuel-type,not electric),
in-w-all.in-duct,suspended,etc, 46.7
Flue:vent for any of above 1 23 32
Other
13,37
Subdivision: 12.-4ex- T(Afrale.'E-cks- -- Lot no.:4C1
Other fuel appiliners:
Tax map/parcel no.:
Water heater 23.32 I
: „ . DESCRIPTION OF WORK- , : .,' ' ' • Das fitenfaccins-iert ( 3339
,
Flue vent for water heater or gas
fireplace 23.32
Foe Winer teas) 23 32
Wooepelict stove 33.39
Wood fireplace/evert 23.32
Chinuteilinerlineivent 23532
PROPERTY OWNER , El TEN/ANTOther 23 12
,, ' ravi w me . . .
rat exhaust and sent
Name: PtDV La nd i-fOkliri l_LC Range hoodother kitchen
•
Addrtss. 1(i OD E -Dout9le,tr e_, [Lanr.in Pond
/
tendon/tent
Clothes dryer exhaust ... ( 3339
1 1 33.39
lCitf......_Statea17` 61.k ._ Stnnle-duct exhaust(bathrooms. 1 ,
toilet compartments.utility monist ! 1—'- 23,32 ..
Phone: LP 02 (406111—Li 03 t Fax:( ) Attiecraulspatat fans 1 23.32
'017. APPIACANT '' ' 0 CONTACT PERSON - : I Other:
. .
°Mine"name: W i 11 1 Inn Lion liooncs tif\c, ...Ft_Itimyr."_____" 1 1 23.32
$1.4.15 for first four:SA.03 for eachsulditional
Contact name: N c,vlote.--1)f-io()-)-e_ Furnace'.etc. 1 ..
Cya5 heat pump
Address:.rl DI croackwouJI si- Sk',4.c SAO
Wall,Suspendcd'unit heater .
1
City.5tate,21F,ValtrOUrer,WA 98660 J
Water heater
—
Phone:(360)695-7700 Fax:-:.(3601 6934442 Firmstace t•
I Rance i 't
r
E-mail'Ni ch Die Thone6piAolgaahoQies •rhy) Barbecue ,
Business name:Apex Air LLC Other:
MECHANICAL PERMIT Ft's*
Address:I/1004 NE 72.4 Ave .
Subtotal
City/State ZIP:Vancouver.WA 9S6S6 , Minimum permit fee r590.00)
Plan re%telt t25%of permit feel
Phone:(360-3 3424109 Fax:0601326-1769 .....____
State surcharge f 12%of permit feel
CCB he.:203034 . TOTAL PERMIT FEE
This permit application rapine(Ira permit la not obtained ai Ohio 180
rian after h hat been accepted as eamplete.
Authorized signature: ,
* Ent mednAoloo sat by In.Comm tionthrni Taloa!)Smeirc Anard
IS Prnt name. f Lek 1 I Date: 4•
1&Ad.,P,-,...T.,mt-C fv,..tkr,r muo.t.,,,t,
44,=-1.A.-7, :..i-on,t-,ti,u
RECEIVED
Eltectr1ca perr��t pIIC�tn®>l� F
N u V 0 7 2011bolaa�c vs P�T� t
,i C1ty ofTigard
Received "
't 13125 SSV Hall Blvd.,Tigard,OR 97223 CITY OF 'Hal '.1'1*BY:_ ��� , .
- - Phone: 503.7182439 Fax: 503.598.196cf b
Inspection Line: 503.639.4175 -��'�'�'���'� �)�wl�' t `` Related Perri[#:
T I GARDReady Date/By: kris: 11 See Page 2 for
e, Internet: www.tigard-or.gov Noti5ed/Metttod
,..._,r_.__.. Supplementallnt
r:,.T €
New :°!1?TN RL?IEV:=<.: ±: ' :_;,^=`t=;'':.;.,
® construction 0 Addition/alteratiofreplacement Please cheek all that apply(submit 2 sets of plans w/itemschccked):
0 Demolition pil1e1. 0 Service or feeder 400 amps or more Cl Building over three stories.
:... .... .:.:. :.-::.: where the available fault current
:r:' .,...:._,_-- CATEGORY Oil'CONS1Rif;.
.. ,. .: - Marinas and boatyards.
.-. GTIQ�i;;;:3::-'^';��: =;;•;;�;:;,i::'.` exceeds 10,000 amps at 150 volts or 0 Floating buildings.
®1-and 2-family dwelling 0 Commercial/industrial 0 Accessorybuildingless to ground,or exceeds 14,000
Multi-family❑ am for all other installations. CI Commercial-useagriculturat
• 0 Master builder 0 Other: nildings.
: ,,,._ J.0,0::- 1T• Y" _ 0 Lnstaflation of 150 KVA or
El Fire pump,
> 'aINFORMATION AND LO ATEON ❑Emergency system. larger separately derived 1
Job#: ! Job site address JZ Y V
['Addition of new motor load of system.
V F- n Q, IOOHPormore, []'A,•, � •I.2y
City/State/ZIP:Tigard,OR 97224
❑Six or mote residential units occupancy.
1
Suite/bldg./apt.
El Health-care facilities. ❑Recreationalvehicle parkv- i
#: ( Project name: iUQ r-Thrrace, a 9Har.ardous locations. El Supply voltage for more than
Cross street/directions to job site: ❑Biu or feeder 600 amps or more. 604"Hs nominal,
: :•:;.: :FEaCfi_E_D.I1l.
Description.........: .:..:.. :..�.;.•.'1 Qt9..i.. EachlTotalI_*:.-
Subdivision:gl�� ,, -� New residential single-or multi-family dwelling unit.
1`�tf�1r 1-�rc - e. .eas-k--- 1 Lot#:r Includes attached garage.
Tax map/parcel#: b� 7t 1,000 sq.it.or less 1 168.54 4
st:::-:-:3;r:;;`._ -> i`' ::i. ` DE. ::; .::z.;:..,....::.. ... Ea.add'l 500 sq.ft-or portion1
.... . .....,$00(.T[ON,OF W!ORK.:..... :..:..:.: ........ ..:. .:.....::. Limited energy, 33.92 1 u
residential
(with above sq,ft.) 75.00 2 I
Limited energy,multi-family €
75.002
residential(with above q s ,ft.)
>.;; :; _ >tP_,RQBER Y-%O�: ;•,..::.;:;,•.. r•-'- newabl
-,�:. _,.,..:...,...VS-rRR.. .. ..,, Re cEnedt•Ky l�atcan ad/o
TENA "`:: `' `` Services or fee installation,a r '
Name:, A-D p 1— I a rvi a1i. 0 I_ C 200 amps or less ,a r relocation
I 'V l �-tn- I00,70 2
Address:. lO 0O ®lel�'^‘ v ` � 201 amps to 400 amps 133,56 2
City/State/ZIp;' C ,�Ll.:c-,,t e, 601 amps to 6,0 amps 30034
2tid.1.l�J c-1C Psi_ 4�S2S 2
�{ �(, 1 601 amps to 1,000 amps 301.04
Phone:�O0 1_1�02)1 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 r 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 amps to 400 amps 125 08 I
Owner signature: 2
z�-:�;-':::l��r:==::�;: ,,,.: _. , 599 amps 168.542
Date: 401 amps to
®.Al'fIa)CANT Brandt circuits—nemv alterahtmn or extension,per panel
::,�=� -�- ;:.� .w Cat'rO1V`fACT,PF1tS4Nj': ._::':;�� , ,
Business name: . t 9 l 0� � A.Fee for branch circuits fee.
( (�{Y? — above service or feeder fee,
Contact name: N i n L. �,n i each branch circuit 7.42 2
��� t it�\ ��t( IG B.Fee for branch rfee'tts first
Address: C i , : A Q SI� branch it feeder f first
J�/VrC. branch 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' ` dwelling,Each manufactured
or modular
6 .84 • 2
/ 4o ±Y- Reconnectservice 7
_
s. - ICON67.84
.: -,,::.:..::r:.,;:< n;.::::;::-= Pump or irrigation circle
Business name:Garner Electric Washington,LLC Sign67.84 2
or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address:402 Valley Ave NW Ste 106
• panel,alteration,or extension. Cl See Page 2 2
City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable 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) 90,0W hr
Email:bdaniels@gwensa.cam Industrial plant(1 hr min) 78.18/hr
CCB Lic.: C1158 Inspections for which no fee is
Electrical Lie.: 208174 Suprv.Lic.: 44965 specifically listed(14 hr min) 90,00/hr
Suprv.Electrician signature,required: :bin./ P, 4/l(� ,(j j' ' 1R)CAL Y' RMIi cal: •
Print name: Joan P Albert Subtotal:
Date: 0 Plan Review Required(25%of permit fee):
`r m State surcharge(12%of permit fee):
Authorized signature: --�' _ TOTAL PERMIT PEE:
iPrint name: Bill Daniels This permit application expires if a permit is not obtained within ISO
Date: days after it has been accepted as complete.
L-tBuildi PermitalFJ,C l'ennitA rut * Number of inspections allowed per permit.
pp_' .doe Rev06/17/sols 440.4615r(illo5/COivt/WEB
1
r
RECEIVED
Plumbing Permit Application
Building Fixtures NOV a i 201 lOR 01.1.1( I' I til_ OyI.1
City of Tigard C1- O I I . A '7, bed PecmitNo.: q
13125 SW Hall Blvd_,Tigard OR 97223x2 D;(74DIN/1,,4 Int By pi2.U�'-(XJp'g.
Phone: 503.718.2439 Fax: 503.598.19W °`- Dat Review Other Permit No.:
Date/By:
T I t,A R n Inspection Line: 503.639.4175 Date Ready/By: huis: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE.OP WORIf FEE* SC
®New construction " 0 Demolition For special information use checklrsx
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
❑Accessory building 0 Multi-family SFR(3)bath 500.32
❑Master builderEach additional bath/kitchen 25,02
0 �' Fire sprinkler( sq.ft) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: vD ) 5,„\) 1 n f U C11 \{ C 1 ,. (le_ Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 �J F 'f+✓� l``JI Lo, Drywell,leach line,or trench drain 18.76
- - Footing drain(no.linear ft: ) Page 2
Suite/bldg./apt.no.: Project name: p�i v- T..�a( . � + Manufactured home utilities 50.03
Cross street/directions to job site: f" 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 it: ) Page 2
Subdivision: f�\I-e,r- 1 _ c a_.Ce_'F..r .1-- I Lot no. O 9 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 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: I C ')7(,L TV\D L
Roof drain(commercial) 12.51
Address:.`1 o Dy-Da a vjO` 4, I St T
SU Ale'c---3-K0 Sink/basin/lavatory 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:J IV'r h o le lin[� Q_ p' Q^1h +1e S,C1 Urinal 25.02
tOR� 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: C.....-----...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:lBuilding\Pennits\PLMU-PennitApp.doe 10/01/09 440.4616T(10/02/COM/WEB)
City of Tigard
1111 a COMMUNITY DEVELOPMENT DEPARTMENT
II
T I G A R D Building Permit Review — Residential
Building Permit #: _z/46.7-;v2/2 —no 6-7 c
Site Address:
Project Name: 'ewer rcrrw aqr Lot #: CCI
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review {
Proposal: C,i;S1yr, -iry �}- NAA! r rc
LEtd'/Verify site address/suite# exists and active in permits stem.
L/ River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached
Sitlan Elements:
ree(3)copies of site plan l'i' sting structures on site
ite plan must be on 8-1/2"x 11"or 11 x 17"paper L ootprint of new structure(including decks)with finished
yawn to scale(standard architect or engineer scale)
Fo
or elevations
rth arrow 1 ty locations&easements(required for new and additions)
Gd
e address,project or subdivision name and lot number Sidewalk/driveway approach
ET/Applicant information(name and phone number) re ..nation of wells/septic systems
LI1 of dimensions and building setback dimensions F xisting trees to be retained with drip line,and tree
'_Li.9.uare footage of buildings to be demolished otection measures
LXLLot area,building coverage area,percentage of coverage and PgSyeet tree size,type and location
/impervious area(applicable if R-7,R-12,R-25&R-40) L3"Street names
g ��
Property corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? C. es No
4 foot differential) If yes,is a storm water quality facility shown? 04.i No
Clean Water Services—Service Provider Letttee of platted prior to 9/10/1995): 4
equired: 1=1 Yes,applicant was notified Ltd' No Received: ❑ YesLt ] No �r
Mi Public Facilities Improvement(PFI) Permit:
I' -quired: Ll'Yes,applicant was 71)16-0
notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
I/I,and Use Case#: f r}�. !Jut(Y 033 ( 1--j
�o�: R-1 C pig)
equired Setbacks: Front Rear O Side S Street Side r Garage Z G2
S
,landscape Requirement:
LD' of Coverage Maximum: '�O 0/0
Building Height: Maximum Height �'�1 Actual Height 2 f
/Visual Clearance �/
IV/Sensitive Lands: ❑ Yes Lid No Type
21 Urban Forestry Plan
❑ Conditions "Met"prior to issuance of building permiit
Notes: C-v1 1-1-1%i b J- en,f- L1101 ,\,) `ti,-tr'ry1 �3d;;.:ni,z
Approved By Planning: `- Date: 12-16.-i
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPermitRvwREs 061417.docx
if
Building Permit Submittal
Original Submittal Date: /7/7//7
Site Plans: #
Building Plans: #
Building Permit#: ,Enter building permit#above.
Workflow Routing: Planning )Engineering 7Permit Coordinator Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
' Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: -/i/ 4 Date: (1,A?/.0
Engineering ReviewtEr c1
Slope at building pad: 5 �b
❑ 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 j2r No
Assess Water Quantity Fee in-lieu: ❑ Yes .1 No
LIDA Facility on lot: ❑ Yes ff.-No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: AMP d Date: 2- I e)
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: Cl 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 CI N/A
Tigard Trans SDC: Ii.Yes ❑ N/A
Parks SDC: ►i�Yes CI N/A
LIDA ❑ Yes
CI OK to Issue Permit
Approved by Permit Coordinator: Date: /7- 71 .--------
I:\Building\Forms\BldgPermitRvw_RES_111617.docx 3I:\Building\Forms\BldgPermitRvw_RES_111617.docx
Y
•
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
■
TI C n>z D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 1, ''S SW (J.,,,-(-) 'pr-,,y (lrq,
Project Name: R - Tkrr �,3 Lot #: 61
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Distfict Design Standards (18.660.0701):
Is the project subject to the plan district design standards? 0 Yes El 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.,6ft.wide
�( ❑ 0 ❑ 0
2.Eyes on the street: a minOurn,o 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: r3,3,
3.E trances:At least one entrance must meet both of the folio g standards:
12/i Max. 8 ft. setback from longest street-facing wall 'I Parallel to street,angle no more than 45° from street,
MY
or open onto porch
Entrance opens to a porch: L�'Yes ❑ No /
Iff/y1s,all the following apply: C�' sq.ft.min.
tldne street facing entry LJ'12 ft.max.roof above floor of porch
g5 ft. depth min. EW 0%min.porch roof coverage
4.Detailed Design:All buildings shall include a min. of five of/the following elements on all street-facing facades:
kV/Covered 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
Goof eave min. 12 inch projection ❑0� Roof offset min. of 2 ft.
0 Roof shingles either tile or wood [ fiable,hip or gambrel roof design
❑y.00f pitch oriented south min. 500 sq. ft. Lid Horizontal lap siding min. 3-7 inches wide
I AAccent 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 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. ❑ Yes No. If No (Check one):
❑ Nay 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
LC0%max. of street facade with 7 detailed design elements
Notes:
7
Approved By Planning: Lit Date: 1 Z-26—/
1:\Building Worms\B1dgPamitRvw_RES_RT_062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16858 SW LARKSPRING LN, BEAVERTON, September 17, 2018 at
OR, 97007 11 :18:58 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00515
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:
16858 SW LARKSPRING LN, BEAVERTON, September 21 , 2018 at
OR, 97007 8:52:23 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00515
Inspection Type: Inspector:
699 Mechanical final Jeremy Burrows
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:
16858 SW LARKSPRING LN, BEAVERTON, September 26, 2018 at
OR, 97007 11 :52:45 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00515
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:
16858 SW LARKSPRING LN, BEAVERTON, September 27, 2018 at
OR, 97007 9:36:28 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00515
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