Permit (231) IN CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00516
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/10/2018
T f t;;�I<.r r 9 Parcel: 2S106DA07000
Jurisdiction: Tigard
Site address: 16834 SW LARKSPRING LN
Subdivision: RIVER TERRACE EAST Lot: 70
Project: River Terrace East, Lot 70
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 1108 sf Basement: 812 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 3316 sf Value: $401,696.35 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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: 1 Water Lines: 100 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'I 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 3316
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 required before
STE 1 foundation inspection
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $36,068.74
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: 0,<4, I — GK Permittee Signature: SCc 0h - 5 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 , D
�f
Residential FOR OFFICE USE ONLY
City of Tigard N 0 V 0 201 r Received i
- 13125 SW Hall Blvd.,Tigard,OR 97223 ;, t P Date/By: _ �/, Permit No. _
11 01' 11Zr1tl Plan Review Phone: 503.718.2439 Fax: 503.598.19 Other Permit:
��; 1)ateBy: 1
Inspection Line: 503.639.4175 1 1 1 LD 1 i' D ivI R i n y y.2^ y
_I H See 77,4
1 i.TIGARD DateRead B f ,{ turis:Internet: www.tigard-or-gov Notified/Method: > J2 ' Supplemental Information
--74i(7/C-- /v'/etL '
TYPE OF WORK
REQUIRED DATA1-
,
Mechanical Permit Applicatioif.),EC,
.„ ''EIVEraIIIIIMI=IIIIIIMIIIIIIIM
City of Tigard Recemed
tattea13125 SW hall Blvd,.,Tigard,t R 97223 ;i 1 V 0 7 2017 Permit 57:L G/7 tJl�S/
' : 503.718,2439 Fax: 503,598.1960Dwain
an t sxiexi Other ttrettit:
TIG it i) lrrspc tion Lbw 503.639A175 y_ g e t� .
Ci_�Y ..j l GAR O lexis R.dy:'ay 1.4,-,k 0 Ste Page 2 r
Internet: www.tigaril-or.gov.gets xahedikletha;�: _Lupo!mental l fa+ sari
in
TIT% OF WORK ` Csi RCL9L r.Stii �
.x;—USCti3CKL ST: '
itechanical permit fees*are based on the value of the work
CI New cons-traction 0 Additimn!altctlttion'replacemetit performed,Indicate the value(rounded to the nearest doilar't of all
0 Demolition 0()then mechanical materials,equipment,labor,overhead,and profit
Value:S
CATEGORY OF'C0 S t lttvCTlt?ht' ',R£SlD V"TIAL.01.1P.ME T St' 4i5 FEES*
W-and 2-family dwelling 0 Comtmerci :industrial 0 Accessory buildingFara penal inforrrtiufion list'sheen ax
1 Multi-family 0 Master builder 0 Other Description _ Qty. I Ea. Trim
JOB ST1L 1ItilF01tI4fAT1O't AND tttH iT1pY, Neaiin 'coining:
Air condi ionitae " t .75
site address: �0 3y s„,) , (AX Y�S� ' �.4tt12... Fumace 100.0(10 BIT€ducti.N-ntti)
1 46,75 ,^
City/State/ZIP:Tigard,OR 97224 RIMINIV i001Kiet CTL`(rlvans'uent%) , 54.91
Ileal
S ite-!b dg#apt,t ,: Project w. r ce � -
Duet z .
32
Cross street/directions to job site: I lvdron is hot water system 2332
Residential boiler(radiator or
hvdronicl 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duet suspendedetc, 46.75
Fltm.'vent for any,of show 1 23.32
Subdivision:. 1 .e,r 1-(„ race."E.aa`S — OtherI 23-32
21� I-ol .° Other furl appliances
Tax map/name]no.: Water heater 1 23.32
Etas ftrepl e;insert 1 y 33.39
" Flue vent for water heater or gas
fireplace 23.32
Log hehter teas) ' 23,32
Wood pellet stove 33.39
Wood fireplace/Owen 23,32
Cbimnes liner/fitievent 23,32
: PROPERTY +(?'t NEA ' : 0 E" A`iT
, Other21:.32
_ .;
`' - ' Enver rntat exhaust aril ventilation:
`:ante: VLLC Range hoodf,ther kitchen
iii)
l 1�1 S c uipmcnt ( 33,39
:a.ldreSS' 1 ti O0 E. -Dvu �:tY- R-o xx.�n �Z,� er1
- /�;�.�.}� h �, Clothes dryer exhaust 33.39
City/St /ZIP'. SCO 1 t Jcko,ie P^7. ?•3 .2 S9)
Striate-duct exhaust(hathroonts. i
(�W t C. }toilet compartments,utility rooms) I 23.32
P'h e:t, O2, (-I_t„1931, Fax:( ) ! Atttc:crawbbpar:.e fans i 23.32
.< APl'UCANT'! - CD CONTACT PER_ 3a? 1 Other $ 23,32
Business name: V 1 I 1 i am Ly t tunnel Inc
�' 1 514,1 s fear tr tt roars Sit a far each additional
Contact name:
iJ 1 GYl tyle.�l 0'(-3� Furnace.etc. ,
Addre'rss:103 13Yoadw 0.1✓1 S-k- S.0 � Gas.hest pump
jJ ..\0Wall'suspended'unit heater
Cit)>'St e .IP:Vancouver,i'4 Water heater
Phone:(360)695- I Fax:::(360)693-4442 Fireplace t.
Rance .
-mail:.N i c vi Die .lel or)__t o I�J_�h�YY1e S S. kap Bar t i------
CO-XMAMR, I Clothes 8 ett i eas)
Business smote.Apex Air LLC Other:
--! MECHANICAL PERMIT FEES*
Address:1 NE 72"$Are Subtotal
City°/ is 7IP:Vancouver.WA Minimum permit tee 4 3.(10)
Plan review(25%of permit fee) I
Phone:(360)342-8109 Fax:(360)3241-176 State surcharge(12 ofpermit feet
CCB lie.:203034 TOTAL PERMIT FEE_
3 This permit application etpires if a permit not eittahtcd%ithie 180
dart alter it has been as
Authorized signature: c Fee liesh,tdatlegy set by T arty u:lding.Tedettet Seevtee tto:od
.
Print n 1 t,,. I Date: 4-PI+Ito.
1
t .3csn.P m mt,%ft't`,Prmirkt.'M.1,1,1,=at:x: 446-1::7 f Z 1,,:%(TAIVOlb
1
• ElectricalPermit Ap2B- - e � t !L; _ � oogIC8veu Q**
city o Tigard Received
.
C 'r 13125 SW Hall Blvd.,Tigard,OR 97223 N I)V 0 7 2017 Dan Rev
.itd AP , 1
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Related Permit#:
Inspection Line: 503.6394175 p Date/13 • i
TI GARD` CITY Y (I Ready Date/By; knit S
q, Internet: www.tigard-or.gov is {^� Notified/Method: erePene2Inf
,lita.LAS --.5.;:: : s.,>:.,, .._. :.. - 111.`714.". ,`.:::- :,..:, Infotmabon
I[�f(� (�� Supplemental
....::.:��.,,.�:,._;:,:_�;;._:.::,-. T WOR%t:.:...:::. ;a<-..::..::::::.::.;::: _:. ,....:::.... :,:.:.__:::.:.
_.... . .:_,.,._._. .Q..-..,..,:.,.. >...: :.:, •: _ ; .'.[i.4 ;PLrLN*ElYIOv - :"V :- 1
N New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans\y/items checked):
❑Demolition Other: ❑Service or feeder 400 amps or more 0 Building over three stories.
:.......::.... ...,:., ::>:;:= ::��: :':..-,.::...,.�..,-....;:..;.,.....,..:.: - - - -- a fault current ❑Marinas and boatyards.
where the available
,:::..._. ... CDRY.A :=-Ci7NST1tT7 `< :: :.r`>:? ;;,
_,.::::•:::.:,...;.„_--:,... .:..-. ........_:...._:__.._...s..-_.._�,'�..:..:.::._.:..._...�.__�'IO1�T..,:.,-.::.,:.r::;t:.s':-:: -;:':;:::'::::::�' exceeds 10,000 amps at 150 volts or ❑Floating buildings,
N 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural I
❑Multi-family • ❑Master builderll other installations. Ibuildings. I.
0 Other:
;........::..:. :..:.:.:.:....�...:: Fire
❑ pump. 0 Installation of 150 KVA or
: .. J.O$-`STI$ INItOI2MATIbNrID:;LOG'AT[ON.;�': i ``.r::.'.':::..:`:.�:;.: ❑Eroergencysystem, derived
...> .. ....r: ..._ (631.1
. . ........ ..::.. �.� larger separately
Sob#: Job site address: hN I K�/ 0 Addition of new motor load of system.
JJJ tt' Q t— 100I1P or more. ❑"A,"E; l_2,"1_3,
City/State/ZIP:Tigard,OR 97224
ID Six w more residential units. occhspancy.
❑Healfh care facilities. ❑Recreational vehicle paries. 1
Suite/bldg./apt#: Project name: )Ver Ttrecic€. ❑Hazardous locations. ❑Supply voltage for more than
i 0 Service or feeder 600 amps or more. Foils nominal, 1
Cross street/directions to job site:
Description : :: _:_ .. ,.:. ..,....,I Qty. I Each. -_I ,..Total I • 1
New residential single-or multi-family dwelling unit.
Subdivision:gA qtr. -r reaCe_ +- Lot#: 1 I Includes attached garage.
Tax map/parcel#: 1 1,000 sq,ft.or less 1 168.54 4
.. ..
- p
a 50sq. r portion S” I t:_ , .. _ ._ . . ., :PEC-4WIR ON::OF ¢Tt :i;.: rl . .:::::-. ' :.:: energy residential
(with above sq.ft.) 75.00 2 f
Limited energy,multi-family 75.00 2
:..._.. :,,:: ._._, sq )
residential(with aboveft
-:•:•,-� a«� �PRO � - - - - - Renewable Ene
, 4... .E t0�: ►gY See Pa e 2
- .,._•.-_� _lam! _VNE ❑
. A.
..::,;;;::::_.,, , ;,.. Services or feeders installation,alteration,and/or relocation
Name:, A-D V 1 — L .. v ■r, i Q 200 amps or less 100.70 2
Address::1(9 OD P. Cx LV9, ' w ` C 201 amps to 400 amps 133.56 2
City/State/ZIP:' ' ,, ' ' - 401 amps to 600 amps 20034 2
dcUe.L L Z s
taSI ) 601 amps to 1,000 amps 301.04 2
Phone:to 0'1 „qt _462)1 Fax:( ) Over 1,000 amps or volts 552.26 2
Email:
[• W ' 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
-,: r ®nwiiCANT - , .. .,u:;ciCONTACT )'ERSON;' - .... Branch circuits—nett',alteration,or extension,per panel
A.Fee for branch circuits with
Business name: A' !per ki a,^ above service or feeder fee,
Nir `�11 v 1 `"t 1 S 1�� each branch circuit 742 2
Contact name: 1 �1t7
1��oB.Fee for branch circuits without
Address: X03 � ckw S' .SII service or feeder fee,first
branch circuit 56.18 2 .
City/State/ZIP:Vancouver,WA 98660 4 Each add'!branch circuit 7.42 2
Phone:(360)695-7700 Fax:: 360 Miscellaneous(service or feeder not included)
{ )693-4442 Each manufactured or modular .
Email: N,Ch �1 n n dwelling,serviceand/orfeeder 67-84 • 2
r. I V 1AlOC� Reconnect only67.84 2
i x 2... :.k ..ni ,.: ._ .:...r: , .:...: 7 . ,: 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 0 See Pa e 2
panel,alteration,or extension, 2
g
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) 90.00/hr
Email:bdaniels®gweusa.coni Industrial plant(1lnrmin) 78.18/hr
Inspections for which no fee is
CCB Lie.: C1158 Electrical Lie.: 208174 1 Suprv.Lie.: 4496S specifically listed(%hr min) 90.00/hr
......
Suprv.Electrician signature,required; ' '�j . = F,I L?CTILIC4L:.t't) kL S •
Subtotal:
Print name: Joan P Albert Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature:
1------` -
TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Bill Daniels Date: clays after it has been accepted as complete.
* Number of inspections allowed per permit.
L-\BuildhOeralitslELC PermdtApp Er:&EREdoc Rev 06/17/2015 440-4615T(VI/O55Cotyrn.NEri
+ Plumbing Permit Application "
Building Fixtures Nu 1 0 7 2017 loft oi;ii( 1: ( sF (I\1.1
City of Tigard CiTY or 1,t ; y t ey Permit 14s-7-Ai)-r e Sr
14 + 13125 SW Hall Blvd.,Tigard,OR 9722 ILDINPr fRi'i4r. /tan Review !�w / /�( �
II Phone: 503.7182439 Fax: 503.598.1 Other Permit No.:
7 I G A R D
Inspection Line: 503.639.4175 Date/By:ReDate Ready/By: kids: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE•OP WORIL .,:.... ...... SEE"-SCHEDULE
®New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-familydwellings gs(includes 100 ft.for each utility connection)
• . CATEGORY OF CONSTRUCTION" SFR(1)bath 312.70
®I-and 2-family dwellingSFR(2)bath 437.78
0 Commercial/industrial
❑Accessory building 0 Multi-family SFR(3)bath 1 500.32
Each additional bath/kitchen 25,02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION - Site utilities:
Job site address: \t oQ3' S Y V LArK.Sp ri fl ' n' � Catch basin or area drain 18.76 •
City/State/ZIP:Tigard,OR 97224 r t. Dryweil,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldgiapt.no.: Project name: g(,�-e_r -re,v 't cc. 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: 7 J-e,r Texrax.c.' _ -\-- I Lot no.:l 0 Fixture or item:
-
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF.WORK Backwater valve 1 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
rgi.'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 Rauch 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: J t C h � J"O Tho L Roof
r c Roof drain(commercial) 12.51
Address:.1.O D t is vjdo Si- SU-Alt, J\D 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 I V C h Die, , l W 1o1�N OR{icio hoc e s•r_un Urinal 25.02
T Water closet 25.02
COMCIWater 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
Plan review (25%of permit fee)
CCB Lic.:102535 Plumbing Lic.no.:34-276PB
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-PerrnitApp.doe 10/01/09 440-4616T(10/02/COM/WEn)
r City of Tigard
Nu
,liAll COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A R D Building Permit Review — Residential
;w,
Building Permit #: 5 Tit 2 -adS7 ,
Site Address: i?)1 Li IC; " Luiz
Project Name: R - Tero_ L.a }- Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: Cai\i1srn 1 0 , ,, ' J r r
L_id," rift'site address/suite# exists and active in permits tem.
Ly'River Terrace Neighborhood: ❑ No L' Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
hree(3)copies of site plan ti.fxisting structures on site
II . e plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
LII awn to scale(standard architect or engineer scale) or elevations
R •rth arrow locations&easements(required for new and additions)
L Si address,project or subdivision name and lot number L1Sidewalk/driveway approach
plicant information(name and phone number)
ire cation of wells/septic systems
of dimensions and building setback dimensions fi Existing trees to be retained with drip line,and tree
IUuare footage of buildings to be demolished protection measures
l'Ut area,building coverage area,percentage of coverage andI,1�,7St�'eet tree size,type and location
jfnpervious area(applicable if R-7,R-12,R-25&R-40) IUStreet names M'
❑Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? R es No
4 foot differential) If yes,is a storm water quality facility shown? ❑Yfr/ No
M Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): L ! ,r
equired: ❑ Yes,applicant was notified No Received: ❑ Yes//J No w� Lilt
10" Public Facilitie Improvement(PFI)Permit:
equired: DiYes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop a- intake
/Land Use Case#: r OP L0 0j v( i--?p Fl 2016 - oar(
Lt^d�oning: '" CPI
L� equired Setbacks: Front $ Rear 1G Sided Street Side /4 Garage 2O
IB' ndscape Requirement: 2-0
LiY Lot Coverage Maximum: g 0
❑ Building Height: Maximum Height V.' Actual Height 2b
sual Clearance
IV/Sensitive Lands: ❑ Yes EZ\I Type
Urban Forestry Plan
❑ Conditions "Met"prior to issuance of building permit
Notes: JC}r^,,;; .) k mf prftr . t,-; J%".) af,.. A1C-
Approved By Planning: 'nj- Uri' Date: )i-2,(;-1 7"
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPennitRvw_RES_061417.docx
Building Permit Submittal
Original Submittal Date: /1( 7//)
Site Plans: #
Building Plans: #
3
Building Permit#: nter building permit#above.
Workflow Routing: Planning l -Engineering C ermit Coordinator Building
Workflow Sign-off: Sign-off for IClanning(include notes from planning review)
Route Application Documents: J7 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: A41/%(714/h/1. -- Date: (2 4/2//2
Engineering Review
)2'Slope at building pad: 5-0
V 10
❑ 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 An No
LIDA Facility on lot: ❑ Yes No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 14,t` tI v (,1 I Date: d 2.f 1 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:
Revision Notice 3: Date Sent to Applicant:
DC Fees Entered: Wash Co Trans Dev Tax: 7Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: 7Yes ❑ N/A
LIDA ❑ Yes N/A
OK to Issue Permit
APP Y roved b Permit Coordinator: 4Date: /73 /
I:\Building\Forms\BldgPermitRvw_RES_111617.docx
.
City of Tigard
.114 I' COMMUNITY DEVELOPMENT DEPARTMENT
■
TITIGARD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: M3-( L vi kj ir- Lnc
Project Name: l f 1: tt L u i c- Lot #: .7-0
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Distct Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards? L?(Yes 0 No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min. 5 de Balcony w/access 2 Window Projection Vertical Wall Offset a
ft ep
ft. deep min.2ft.,5 ft.wide min.2 ft.,6ft.wide
Gabled dormer
0 0 0 0
2.Eyes on the street:a minim of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: �1'10
3. ntrances:At least one entrance must meet both of the follo g standards:
Max. 8 ft. setback from lonst street-facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes 0 No —/
IfIfyes,yeall the following apply: L2 sq.ft. min.
L,_id/One street facing entry 2 12 ft.max.roof above floor of porch
1 5 ft. depth min. 0%min.porch roof coverage
4.9etailed Design:All buildings shall include a min. of five of#e following elements on all street-facing facades:
GL overed porch min. 5 ft.wide x 5 ft.deep 04Recessed entry area min. 5 ft.wide x 2 ft. deep
�'�Wall offset min. 16 inches 0 Dormer min.4 ft.wide
E Roof eave min. 12 inch projection ❑0�Roof offset min. of 2 ft.
1d G
0 Roof shingles either tile or wood able,hip or gambrel roof design
❑�Roof pitch oriented south min. 500 sq. ft. a/Horizontal lap siding min. 3-7 inches wide
0/Accent siding min.40%of street facade 0 Window trim min. 2'/2"wide by 5/8"deep
0 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. 0 Yes �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.
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 min. area of 12 sq.ft.
Width: (Check one)
0 12-foot-wide garage door 0 40%max. of street façade
0%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: �c 4.)---- Date: j 2-26-1 q-
I:\Building\Forms\131dgPermitRvw_RES_RT_062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16834 SW LARKSPRING LN, BEAVERTON, July 27, 2018 at 9:46:58 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00516
Inspection Type: Inspector:
199 Electrical 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:
16834 SW LARKSPRING LN, BEAVERTON, July 27, 2018 at 9:50:46 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00516
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:
16834 SW LARKSPRING LN, BEAVERTON, July 31 , 2018 at 10:12:59 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00516
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Corrections completed.
Water pressure = 75 psi
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16834 SW LARKSPRING LN, BEAVERTON, July 31 , 2018 at 11 :52:10 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00516
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