Permit (227) �, CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017 00431
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/03/2018
TIGARD Parcel: 2S 106AD09200
Jurisdiction:
Site address: 16920 SW LEMONGRASS LN
Subdivision: RIVER TERRACE EAST Lot: 199
Project: River Terrace East, Lot 199
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 8 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 1744 sf Value: $220,629.93 Rear: 0
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
0
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: 1 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: 3 201-400 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 1744
Owner: Contractor:
WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY POLYGON WLH LLC 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
ATTN BAKER,JASON VANCOUVER,WA 98660
703 BROADWAY ST STE 510
VANCOUVER,WA 98660
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $31,007.35
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 0 R 95 -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: G/` //' Permittee Signature: /f ��� J.�
>�e'1,'
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 !^0 / 7 7 1
RECEIV
FOR OFFICE 1SF( \Ll
CI of T1 and 1 Received / Permit N E
3 I
13125'SW Hall Blvd.,TM1'503.598.1960
gard,OR 97223 J U N 1 4 ��� Date/BY:
lan R vie / / -S-I r�� Q
I Phone: 503.718.2439 Fax: 503.598.1960OF et' D li t/tey f a:-.1 O —n ' Other Permit /, 0/2 '57
7 I(, i;I) Inspection Line: 503.639.4175 CITY ► Date Ready/By: s., / loris: H See Page 22 for �!
Internet: www.tigard-or.gov BUILDING 0 IS ION Notified/Method: ,v , 7 Supplemental Information
e 1 9f4. Ai"fCif r I
-� { J 4�a� &� 'R tet' . ; '�-a ..
&5 :t b; 4 a� � €B € .
®New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
`w.r'f�'s'` �" ,`4, �F" � � ,�, < 4 �� � work indicated on S a plication.
® 1-and 2-family dwelling 0 Commercialfmdustrial Valuation: fl�
❑AccessorY building 0Multi-familY Number of bedrooms:
��, 6�
❑Master builder 0 Other. Number of bathrooms:
..............�., ..M.u..& ,.: `` Z a Total number of floors. a
l 6 7
Ed8 � „�.
f 1dd3C:,L�a"«' ;€, .. •y
Job site address: (,q4)
�VtJ ' rn rSS L�xafled New dwelling area: 1 -7 /49 square feet
City/State/ZIP:Tigard,OR 97224 �RGarage/carport area: 9 2 square feet
'
Suite/bldg./apt.no.: Project name: giver Terrace Eat Covered porch area: /LI square feet q 3 9
Cross street/directions to job site: E square feet O r
r v V
P Other structure area: square feet
7 � -tee sjr :
Subdivision Riv{X Te c c, i- Lot no.:/g9 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
>m &s • em: ° r%,� ;s { ,9,,,.,-',4:;.,,;:.i,,,.. .,--,.:,,,,,- - , •�-,' ,< � work indicated on this application.
Valuation: $
1
Existing building area: square feet
New building area: square feet
- � F • . T 1. Number of stories:
•
I 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:
Business name:Polygon WLH,LLCM a
-4O Structural plan review fee(or deposit):
Contact name:9k 11A wird
FLS plan review fee(if applicable):
Address:109 East 13th Street
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Phone:(360)695-7700 I Fax::( ) Amount received:
E mail f� frig,d. 1
t Commercial and residential prescriptive installation of
� y '' '' ' °E g ''' 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
within 180 days after it has been accepted as complete.
Print name: /v Ch v v]/ylo Date: *Fee methodology set by Tri-County Building Industry
0 �—f"� �/7f/7 Service Board.
i:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
. _ ,_ . . , . . - -.•.:,:
Mechapita-1...Pfifinit AD pacatioti . . : •
tity.of.Tigard 1.,,i• 't ii 2_017 ...try: Pemth NOYST,72,v7-ee993i . ,
II 1- 1""50T;11,21,:v1t'TIF-gmard‘•Ltt.5:11*3. .'' ' . Man Review
Other.Mandl;
Vacitly:- -
IA G A n D Inr04PaE;410:-P14394175. ''' ''''. ':: '',; =•' : ''''' -:' , i than It eadylliY: Ntge.2*:, • •
.
. 1.11.1•011ft*sviitioixt.orgoi ''' ' . ,,•-0 - •,,-0 - Notilledtkleihed:' Sapplanental Information•
:."r- '::,,,::!.:"-J.,'::'.—- ' :' : - ' - • • •
':k"*:;4:41C4010,43ite4;714-"Aiiig.iiktifif*:.11keil4AVIVPIN;KiltAi '71fifMCOVO4,44#-:el$41*-7-4*-***04:040W:*
Mechanical permit fees*are based on the'‘;ala
ite the work
New entistitictinn El Mcritiouialtoratioilimplaceniefit- performed.indicate the value(rounded to the nearest dellarj*fall
13 Denial/0P. 0 CiiiMr, • reed:Weal mateiials.equipment.labor.overhead.and merit.
Value:S
i:*:.;;:i....1:-:=1::E13g451;-:"..f.M.et.-4,461t6ft-04A-40-0.40;1-,.-!ti;-a,n..;., ..i:rg.,4-ittk4 ,,,,--:_.-....—.....--.-_-..--,-...„---_,,....,..,,.,.. ...,......, .......,....
--,..,-. .
1.1
1-and 2-ratrillii dieVOUltig. CI Corimatialitriciuttrial El Accessory building . rasped/sr brfiontation use Oivklist
.. .. ,
Muitl-i-nrolly. 0 Master b!1110er El Other• Dam-Vann' . - _ _ Qty. I Ea. Total.
:*1-4**IVil'gg,'.4.034.W.041.40.44..1.1.0*.W.W.,4.01'iTegetittA4'..fa..kat', 1461d..iiRkiiiibrz _
. ,
Air coeditioning 46 7S ,
,./ .
)P.1?si(f.4.addrFss; IS OCIfth SO,) L-MOARro.SS Lairv.., .
Furnace 100,000 ETU(ductskints) 46-.73
.
CitY/SizteafF.:Ititt31,.OR 0.7224- Pomace 100,0004BTU idortrAenia} 54.91.
.
.
•
bpaltatmimpwori _ , . .... ........ _ ,61.06
:State/bldg./opt.no.: Prigct name:1Ve
2 I t'Te,yrn re. Eas+ 23.32
mss atm:V.44W=to job site: fivdrorio hot water Svstem. 2332
. 00
Residential boiler(radiator qt
lavdronicl 23.32
. .. , .... , .
Unit heaters(fltel-type,not electric),
. . . . , . . in-wall,in-duet.spapended.ete: • 46.75
.
Floniveit for:Int of atinve. _ 1 23.32 .
, . . . .„Other: 23.32- . .
S116dimt I I kirk Te.rina.rc:. rast- ---M-FT-4110Iciel
Tax plaptparcel im.:-• Water hearer . , 23_32. •
.
i,..,•-•;:i3 ,§ ,•.y,:g.:-,•*:,g4000, tjiiii44.41tie. .V.r, ".:1'4, 4-:•..,: .....::!.. 1::...! • oasoep,:kcprmert. „...,,. “ , 1, 33,39
fireplace. , 2332
ititler(gaS) ' 2332
• wood/pad stove 33.39 .
. .. . Wood fireplacertmen. 23.32
Chinnievilinetittuthent :.2.332..,
4414,tiVre..iivo) :L:. .n.,-,:•:-..•:1.:,..A1-sz:E:..:444,Aistritc;:atvi.:174?-i.:i21,;:.F4.i.:-... °Ilia' 23.32 ,
Nalat:'Pr D t/L -Let.tfict-Th)ci 1 ni 5 LL,C, - - . Ramp briadfother kitchen:
I • equipment 1 33.39
Addlvss::.71141 na. 6 0 DIAloic.:0,. /2.4,h c.14 (Lors./ . clothes dryer=haunt 1 •33.39
CitY/StaWZIP: - li 4 del k„fi Pa . 2S?SP) , Single-duct exhunst(hathrooms, 1.4
toilet compartments.utility mans) ' 2.3.32: '
Pi)411C. (i 01- (P9 H 1-1-63 1A_LicLestatalLe 1:arts 23.32
,.;::....-;'.-:;.,':;.1`.•.:...;:. 0.4000,..At4.4-.1 :Y...k: CJ.7.-::::=.7A.4-;::::.'"itiiltt.ii.Citittiftki.400::: : • . °t/mr: 2132 :
Busings!it"e ItIO i &PA lq Dr\ tk-L. ,e,S' Zor..... - Fud :tis rat lima Min;S4.03 for each additional..
i .. .
Contact name:. i ' .„Al \ i A t p Furnace.etc. I
' . — Cesium Dump
Address: kt. \ nydziks).* 0 ,S 2 l' b WrilittaisPeodedIunit beater ,
City1Sulte/ZIP:Vaneouver,WA 98640 : Water healer.
Plume:(360)6934700. Fax::-we)034442 roviacv 1. . . . .
. ItaliF: 1 .
E.mail:k ' „au. so Ifi LA to PAniffiaS14[4, Barbecries . ..
.. :
/4•:4:1_7-7.75-;t1...,,:rlIAL.,:f,-:7-,1:-•:::-.45-75 •,..c,i..;' !' tfile..7Z.:.,.,!•' "Af,•;-',. .,..1;-!:.4,-:-:-.7;;: ::;',.4,:-74.L • Clothes darr(_gits).._ •
•
. '
. ,
Busittessiome:Apex.Air 11.,C -Other
.
Atidres, 18904 NE 72"Ave • • t7.77..,;:r"'" ,*i*Ot...:4 .4f.:74,:'?''-,.-:I--•:.
Subtotal
eityiStaturZIP;Vancouver,WA 90686 Minimum permit fee(S90.00)
- Plan review(25%of permit feel
Pheine:(3601 342-8109 Fax:OW 326-1769
Stale suMbatre(12%of permit fee) , *
CCB tic.:203034 . TOTAL PEIOOT FEE
Tisk permit application enigma it a permit'n not°highlyd within tBa
days alter it has been accepted as complete.
.Authorized,.In-,,,•_ , • . rea unatiodalogy on by Tti.Oannty.111111iling Indus*Soniceikand .
Print name: rek. ,. . Only: 4.pt.g,,,..
1 VitedulgiPenzitalEC_PaerkApp 401 t3&a 44446157()VT.10)=4/Wriat
Electrical Permit FOR Applicati )pi;' ;
1 rd r. aortcE USE ONLY
City of Tigard Received
ENIMMII
;t 13125 SW Hail Blvd.,Ti R s DaPlea Rnne/B ' ��
Tigard, eview
C Phone: 503.718.2439 Pax: 503.E 8 1960 I Date/B: Related Permit g:
Inspection Lame: 503.639.4173 y 83 See Page 2 for
TIGARD Readpl)ate/B . Junk:
Internet WwtV.tigard-or.g0y '` Not• ed/Method: Supplemental Information+
' ti" -c, :C':, fi u x„;40 INr4.0•��."4�17 tZ yy , x'47,, `;0'1, �X" y ".t^Y`= x;..,a` 3`a ;te r." - t ,'rima• " P
New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plane wfitema checked):
❑Demolition0 Other ❑Service or feeder 400 amps or more 0 Building over three statics.
where the available fault current ❑lvlarines and boatyards.
0`'a =g , -0 -1401.:^_.'A-+& 9i ,Ss '1- "4 - ;; exceeds 10,000 amps at 150 volts or 0-Floating buildings.
®1-and 2-family dwelling 0 Commercial/hidtistrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑Minh Multi-family 0 Master builder ❑Other amps for aU other installations. . buildings.•
, fr 8 :Y:i-s e 'tN :Vi. `•: o'Pr 0 cr4,y O , � 0 Emerg em. larger
separately
of ISOVA
❑ IC or
.. -...•�•"` _.T. �'," '�' ` S Y� lar�msepazately derived
Job#: Job site address (4-1.1) ii1 ❑Addition of new motor load of
SUN)Le �d1 e,_ 10013P or more.
City/State/7IP:Tigard,OR 97224 0 Six or more residential units. occupancy.
0 Heaithroate facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: ' Project name:giVe 1- �(..e E r.r- ❑Hazardous'locations. 0 Supply voltage for more than
�^�►T
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions
to job site: n,G
Description I Qty. I Foch Total
• New residential single-or multi-family dwelling unit.
Subdivision: (kle r Te hra et, -E0,,,.s-1-- I Lot#•/d 9 Includes attached garage.
Tax map/parcel#: 1,000 sq.R oriess I, 168.54 4
L t 'rJ s "r r." Ea add'l 500 sq.ft.or portion 33.92 1
_ .'._ , .e - '-' ;. Limited energy,=Mental
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00
residential(with above sq.ft.) 2
' •d, 0:5` -a PW1 h,. .),rf Z'a g t V (, al .11 ' Baa . s wan ry. ❑ See P e 2
Services orbler fEeeders installation alterration,and/or relocation
Name:ADVL Land Holdings,LLC 200 amps or less 10030 2
Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2
City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:(602)694-4031 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 5936 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 'a a vowopy,f - u ,7 ` �. r;fin t � o� aid s
Branch circuits—new,alteration,or extension,per panel
��•:� -.�-_ � ��� �•` � "s �`.."" A.Fee fior branch circuits with -
Business name:William Lyon Homes,Inc. above service orfeedea fee,
each branch circuit 7.42 2
Contact name: Ni eh Dk:Th arm B.Fee for branch circuits without
Address: 103 {7 — service or feeder fee,first
Y O �L sit SiiA.1 , ` Ds branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 4 Each add'l branch circuit 7.42 2
Phone:(360)695-7700 Fax:: 360 Miscellaneous(service or feeder not included)
( )693-4442 Each manufactured or modular
Emil:,
dwelling,service and/or feeder 67.84 2
f/ 1,1 (a) pit I Q, j � 1 4 Reconnect only 67.84 2
Y s _-,v - kiti_11 s"; (p)I,'i.,„-;;.5-',,";,-44 _ - Pump or irrigation circle 67.84 2
Business name:Garner Electric Washington,LLC • Signor outline lighting 67.84 2
d' Signal clrcuit(s)or limited-energy
Address:t 4 DZ \10,11,k4 1 -is11J S u:AR, 1 panel,alteration,or extension, ❑See Page 2 2
City/State/ZIP �(k t 1 t 1 (��?J Each additional inspection over allowable in any of the above
f W 11
Additional inspection(1 hr min) 66.25/hr
Phone:(253)320-1657 1 I Fax:( ) Investigation 0 hr min) 90.00/hr
Email:bdanielsQgweusa.com Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.: C1158 Electrical Lk.: 208174 Suprv.Lir,.: 44963 specifi = listed('/a hr min) 90.001 hr
Suprv.Electrician signature,required: I l p.—,-Ai I _. . ..,. . Subtotal:
Print name: Joan P Albert Date: 4/26/2016 0 Plan Review Required(25%of permit fee):
•
<' - State surcharge(12%of permit fee):
Authorized signature: --- TOTAL PERMIT FEh:
Print name: Bill Daniels Date 4/Z6120Y6 This permit application expires If a permit is not obtained within 180
days after it has been accepted as complete.
?`"r111" tt13> its1 fermitApp SLR ERE doc Rev 06117/2015 440-4615T(11/05/COwWEa * Number of inspections allowed per parnit
. ,
. .
Plumbing Permit Application.:
Building Fixtnres 0 n T 2 6 ?1917
City of Tigard . .Received
, l'ennitisz°-1/11-C,rAl/7-01993
!PI 't 0174 SY*?*1.931vd.,Tigard,OR 472.V:-' ,- '-.:' .',*- ;-' platpatettew
g Phone: 503.7.18.2439 Fax 5035981961i*'" .* - ** : * ' Date/BY: Other PennitNe.:.
T 1 G A a D InsP eat=Linw•'503-639-4175.:': _,,_ ,... ...* ' -'*. Date Reedy/Sp. - Indy.: RI sea rage 2 for ''
Internet WWW.tigard-or.gov '- - - - - Notitiedflviethed: SupPlerrientid Information
att•MiStAliffiattqtE1004-it.C1-ilaNtftrt-Mka V4ttlilraltikAt4WMEt.glaiRegfrkY:z
E
0
For eclat in°emotion use checklist ll4ew consttuceim, . Densoihion
- Description I Qiy. L Ea. I Total _
17 AilditiOn/alterillicintreplaconient. • 0 Other: New 1-2-family daelFulgs(includes 100 ft for each utility connection)
'1,1P- -..):4.1,1VMV#10,1*. Oifal.:*0‘. WO*: 41;-"alarMa'ai'T4 SFR(1)bath 312.70
IZ le•and 2-fannly dwelling ID Commemialfindustrial SFR(2)bath 437,78
. 1.-1 . SFR(3)bath
1 50032
El Actesaory imilding L--1 Multi7faretly . Each additionalhatbilcitchen 25.02
0 Master builder. 0.Other: Fuesprinider( ag.ft.) .
Page 2* _
taarafX-4,...:-.M'w.,,,,..•;."........,;'...,-..!.....,..,::.%.,..-t..... ,e.;„;„, s:.....„.„.'-',„.:.:',.,Ap.-,,,;dr-INV•77" rite villitie's --... .
• • • -
.36*ladress:: t ti)Cla SJ L.c.morN9rrAss Loale, Catch basin Cr area drain 18.76
Drywell,leach hue,or trench drain 18.'76
City/State.MTh Tigard.,01(97224 •
.Footing ckaie(no.linear ft.: ) Page 2
Suiteihldy,dapt,no.; Pwjeci name; RiVerie_rra'ce.en,,s4 Manufactured bnme ufiftties. 50,03,
Crass streeddirectiens to job site: Manholes 18.76
Rain drain connector•
. . .
Sanitary sewer(no.linear it.;_____) Page 2
Storm sewer(no.linear ft.: __) • Page 2
. , Water service(no.linear ft.: ) Page 2
Subdivis59Pc Neff Torroxe.-E4s4--- 1.41t 310.:VIC(. Fixture or item:
Beddow pit:venter -1 31.27•
Mt map/pared no.:
-iti.:i,tNlr-kti-i'Atg:Wat:;';:;i,iiitrciikijiwiroiigauia•:ata%'e,N-iFfA''g:V:;Zk: Backwatervalve 1 1251
' ..I7gt,,FF4q2-nd.-..,24 -7:-.47,1cA,t771,.:-:,...--4,,,....-..,,-,,,Q-:,,.r.-:.,,t.."-,:*1.4.3-.1: -•:::.:5-Z.-'.tt. .,,n.1 i":i.,:fr',..Fj' clothes.was•ber 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectom/sump 25.02
WititINNW.144Z7.!7:!)::Trf4FMNA.MMOU'Aiii,:474iIi4g; Expansiontank 1251
Fixture/sewer cap 25.02
Narnei AOVL Land Holdings,aC, .
Floor drain/floor sink/hub 25.02
Address:7600 R Dbahletree Ranch Road * Garbage disposal 25.02
My/State/ZIP:Scottsdale,AZ 85258 . Hose bib• 25.02
Phone:(602)694-40M . Fir.(* ). Ice maker 12.51 .
.;;,...-..:.?...-„....e,i.,:e.....4vAprts‘li-r'i!-.r..-ez,z,•,?•,4„;:c.:,t;i4.in.liseg.T.- .171,121,1141&.:414*:.,...w..i,i; haarceptorigrease trap 25.02
-:43-rws,4.4.:.,50.t:,:y.Acat.;;Affs..1 ;41:r1L.. ..y.f.,1‘...7s.-..4;-**Pt.t1,.!.. .rr!IW . ..:.:i114,:t.8 -AtV.v.--e.,
Medioragas(value:$ ) Page 2
Business name:William Lyon Homes,Inc
Primer . 1251 •
Contact namm hjithote,Tharve,,
Roof drain(commercial) 12.51
Address;103. P)rootd,Wal 's-i- atikc- 10 Sink/basin/lavatty 25.02 •
tity/StatetZTP:Vancouver,WA 98660 Solar units(potable water) 62.54
...
Phone:(360)695-1700 Fax :(360)693.4442 Tub/shower/shower pmt • 12.51
, . Urinal 25.02
E-mail C/ I I/1 ill • _ ft ,/, et
a a Atli - . . Al 25.02 1
43vvv,,,zias,24,,,,:;:,:sr-51-- , ...,.,tt::::c...A.,:t7;q:•.--M :'";:- .:4::::.'7,f-±:Y.7,4. 'Wale;cl°11
I'44:',•:::*:',V4-7.12-•Ert-Vi---)JF..avpg-Att4..,......'L'.. ,.,. ..,2„..,..t.••-ift . ,'.-4e3.14-7,2--tg.F-•:::-.. ,.-,Err,:t water hater • 37.52
Business name: G.44O>kx..1.4.-Sciest 2-tAe-- - Water piping/DWV
Address: p.A. 6..e% of,2, • Other: 2502
City/State/ZIP: 5T, 9 44/41 Oft, q 1 131Subtotal- •
Nfiniranot pemait fee: r72.50
Fthoge:(363--814- 1411 par.li v..-10.4 riA)
Plan review(25%of peen*fee)
47CB Lie.: 184/31,2_. 1Thirahing Lie.no.Pb al
State surcharge(12%of permit fee)
Authorized signeinre: IA 7Wit .17,01,4,*°"'•-,-..... TOTAL PERMIT FEE
Print name: +tilt. .
• P lip k.e-..... Date:3-36-All This permit application+=pintail's pent&is not obtahsed wain ISO:dstys
after it has beets tweepted es complete. .
._
*Fee asethatiolem-setby re-County&arum Incluatry Service Board.
hallltEapcsaialPilltt-Pensitapp.dee 10/ZIAS 440461.6100/01/CDt5/WER) .
.
City of Tigard
111 a COMMUNITY DEVELOPMENT DEPARTMENT
II
TICARD Building Permit Review — Residential
Building Permit #: ,/izt 572.07.-a) if 1
Site Address: /63 9 .2c) a0 L-Pm r021
Project Name: Lot #: l 99
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: �c) `�Tae_
'Verify site address/suite# exists and active in permit stem.
WM River Terrace Neighborhood: ❑ No LJ Yes,See River Terrace Review Addendum Attached
SiX Plan Elements: ^
ree(3)copies of site plan5� ting structures on site
tte plan must be on 8-1/2"x 11"or 11 x 17"paper ►1i Footprint of new structure(including decks)with finished
rawn to scale(standard architect or engineer scale) oor elevations
!4rth arrow tility locations&easements(required for new and additions)
!1 ite address,project or subdivision name and lot number Sidewalk/driveway approach
pplicant information(name and phone number)
Il
i�a•cation of wells/septic systems
i
dimensions and building setback dimensions 6 sting trees to be retained with drip line,and tree
uare footage of buildings to be demolished rotection measures
N Lot area,building coverage area,percentage of coverage and treet tree size,type and location
1Zimpervious area(applicable if R-7,R-12,R-25&R-40) Street names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Yes ❑)•io
4 foot differential) If yes,is a storm water •uality facility shown? ❑YesLINo
III° lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): -Twe'" k) Owl LCC(
/Required: E Yes,applicant was notified V No Received: ❑ Yes VI No
igi Public Facili es Improvement(PFI) Permit: � L( 9Required: Yes,applicant was notified ❑ No Applied For: ZYesF/E1
No Stop in0
and Use Case#: P2)P (4.0 ^ p O/ yI6�
'GO -p Z/i � C1r2
[Zomig: �,_ P 2>
Required Setbacks: Front Rear 1—) Side Street Side Vv� 1f(Garage
andscape Requirement: ,..20
%
Lot Coverage Maximum: % O
/�Di Building Height: Maximum Height fl' Actual Height o/'�1 J
VI isual Clearance
Et).ensitive Lands: ❑ Yes 0/No Type
ffi Urban Forestry Plan
❑ Conditions "Met" nor to issuanf e o/f b ding permit -74,/ .--e.
J
Notes: ��y,I D 11s> ,c-A,// 0 71- ie11�� I4OAd-- / / 7<'_
J _
Approved By Planning: — I� :L-- Date: //fri
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_061417.docx
fik
Building Permit Submittal
Original Submittal Date: 1117/7
Site Plans:
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning TerEngineering Eprermit Coordinator Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: 7 Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
2r Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /
By Permit Technician: i ,, /h. i,A(AAA.moi < Date: /i76e
Engineering Review °��
.l-Slope at building pad: UU
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
eta Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes Kt. No
LIDA Facility on lot: ❑ Yes ,2(No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 414,i(,( Date: // 7 7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: - --Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: 'Yes ❑ N/A
LIDA ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: �- {, v /4__ Date: It ( ( 31 l`7
LI
I:\Building\Forms\BldgPermitRvw RES_061417.docx
City of Tigard
e COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 c ARD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 49920 9&) koitarLaraze G7
Project Name: fav - ,ricoet Lot #: -- a_
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist ct Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards?0 Yes ❑ 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.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 t. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
111 ❑ 111 ❑
2. Eyes on the street: a minimum of 12%of e ch street facing façade must include windows or entrance doors.
Percentage Shown: 7/a j `� o
3. ntrances:At least one entrance must meet both of the foll ng standards:
Max. 8 ft. setback from lon st street- facing wall Parallel to street,angle no more than 45° from street,
or o en onto porch
En nce opens to a porch: Yes 111 No
I yes,all the following apply:
En
V65
25 sq.ft. min.
ne street facing entry ❑ 12 ft.max.roof above floor of porch
ft. depth min. ❑ 30%min.porch roof coverage
4. etailed Design:All buildings shall include a min. of five of e following elements on all street-facing façades:
Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep
02kall offset min. 16 inches ❑ Dormer min. 4 ft.wide
Roof eave min. 12 inch projection ❑ oof offset min. of 2 ft.
❑ Roof shingles either tile or wood V Gable,hip or gambrel roof design
❑ oof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3 7 inches wide
Accent siding min. 40%of street facade ❑ Window trim min. 2 1/2"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 ❑ Attached garage is 35%or less of street façade
. s : .es and Carports:May face the front or s line on a corner lot.
Setbacks:
No closer to front or side lot n-, ...s longest street-facing wall. ❑ -. •ii o. If No (Check one):
❑ May extend up to 5 ft.if there is a covere. •- ••rc , -. garage does not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is •.. o a two-sto., . .' • and there is a window at the second story
above the garage that faces the str-- , t a min. area of 12 sq.ft.
Width: (Check one
❑ 1 - :. -wide garage door ❑ 40%max. of street façade
• 50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: �0.107.... b,7 Date: Q
l:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16920 SW LEMONGRASS LN, BEAVERTON, June 22, 2018 at 12:56:46 PM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00431
Inspection Type: Inspector:
699 Mechanical 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:
16920 SW LEMONGRASS LN, BEAVERTON, June 22, 2018 at 12:55:20 PM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00431
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:
16920 SW LEMONGRASS LN, BEAVERTON, June 26, 2018 at 10:25:47 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00431
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
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
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16920 SW LEMONGRASS LN, BEAVERTON, June 26, 2018 at 10:23:41 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00431
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Corrections completed.
Violation Summary:
Inspector Contractor