Permit CITY OF TIGARD MASTER PERMIT
■ COMMUNITY DEVELOPMENT Permit#: MST2017-00378
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/13/2018
f GAR
f) 131259 Parcel: 2S106AD05200
Jurisdiction: Tigard
Site address: 16594 SW AUTUMNVALE LN
Subdivision: RIVER TERRACE EAST Lot: 159
Project: River Terrace East, Lot 159
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1531 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 0 Bathrooms: 3 Second: 2155 sf Garage: 740 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 3686 sf Value: $463,232.85 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add9 500 sf: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 3686
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 GAST,FRED VANCOUVER,WA 98660
109 E 13TH ST
VANCOUVER,WA 98660
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $37,271.21
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
!�
Issued By: % . Permittee Signature: <Z'Y' e_..4,"2/2° e''
[�� CLb4
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. Q
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
i.
>tild><ng Permit Application _ Z-0T— ;---7
• 1 w,--iii--,,11/a,
sadefltIi l ("" y FOR OFFICE USE ONLI
lu... E r' ti
City of Tigard S E p ry Received (1 /9 Permit No.A'C T y,
SEP / ���7 DateBY I D /` !"L7TK����UUJ�a
1413125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
R Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ,� ,�I l 1 l i't 6-Ai/Ca�/7�'"73�
Juris: H See 2 for
1,l c R D Inspection Line: 503.639.4175 c:$�i t, �Date ed/Met Ready/By: p Page
Internet: www.tigard-or.gov a 1;, tNotiSed/Method: 9/ Supplemental Information
`arc re < . -5:4-,. -,0,MI�� ,.„N :i @ g 4 %
Permit fees*arebased on the
❑Demolition value of the work performed.
0 New construction Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ation/replacement ❑Other: equipment,materials,labor,overhea d theprofitprofit 2for the
work indicated on this application. J A�`O ' f''
•
Valuation:
® 1-and 2-family dwelling 0 Commercial/industrial
Number of bedrooms:
0 Accessory building ❑Multi-family
Number of bathrooms: 32
0 Master builder ❑Other: -1- I�f,,� ,,
Total number of floors: .� rk. -Niko
.,
... .' Job site address: AySW Autumnvale Lane New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224
Garage/carport area: 14 0 square feet 41, '�
Suite/bldg./apt.no.: I Project name:River Terrace East Covered porch area: 2:1. square feet 168 I
Cross street/directions to job site: Deck area: �, 'p 6,14 I tip)square feet
Other struc a area: square feet
Subdivision:River Terrace East I Lot no.:[( 9 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
,,,,Ni. , 1 4 t,,4 ,.y , y work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
v'w /
Number. of stores:"; t t g x � -
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)6944031 Fax:( ) New:
Business name:Polygon WLH,LLC Structural plan review fee(or deposit):
Contact name:Nichole Thorpe
FLS plan review fee(if applicable):
Address:703 Broadway St Suite 510
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Amount received:
Phone:(360)695-7700 I Fax::( ) ,.
E-mail:Nichole.Thorpe@polygonhomes.com r
Commercial and residential prescriptive installation of
'` 4 , < �,-t `` roof-top mounted Photo Voltaic Solar Panel System.
1 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
Solar InstallationSpecialty Code checklist.
Address: Broadway
e :703 St Suite 510
Permit Fee(includes plan review $180.00
City/State/ZIP:Vancouver WA 98660 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:�/ 0
v -Q/ This permit application expires if a permit is not obtained
`� within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Nichole Thorpe Date:8/23/2017 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Peritiit ApnlicaliECEI Er
V ) amilmmillimmen..
.. „
II City of' Tigard
13125 SW OM Blvd:,Tiglird,OR 9143 :Received
. „ ...... .
oRm r . pelvic:
' Monne: 503.718.2439. Fax:503498.18hy oF TIGARD Doe,sy: •
FEB 0 8 2018 IiipallmetBrie, Peni:...Nc.4"7.574/7-00.5 71- ,
T 1,-,A u D -.1tispeetioncine:.503.639,4 175
tine ReadyflIY! Ai*. 1 id See Nage 2 tar .
.1111:"CI;:w"i*tigar'44)174OV BUILDING DIV'S!r-71!\' NoliftedISiethod: I . Supplemental intormanon
. . ., .
.. . .
- •::::--•'-...14- 2--44,cti1,74`.V.ViZI,,i',:.1:447.0•:-.:'_*4.-Iii.?:.'": : ;ffit-V!!,4•1:.174MtV .LIggQ1451gRK*0,4*'f5000.Sil**..:..,:ki$9#,P4,1,:10•!:::::-..
- '''''''''- ' ''''''14•.-''''''''''''''''''''''''''''" '''''• .--„'' •'''''••'''-' '•.--"-' '''• :.'' -' .• ' '. '' • MechaniCal permit fees*are based on the value of the work . .-
121 New construction 0 Additionialtenninnireplacement performed.Indicate the value(rounded toIhe nearest dollar)of all
0 Demolition 0 Otijef: Mechanical materials.equipment.labor:overhead.and nrofit,
Value:5 . .
...,.'i:.:1-,':::;;;!q.:iggiiil'ilittiVAti#4•:t:§kk-kig.00000,1e1410::.. .!-d-g.44-g",7.;t ' •--'. .4",:-g'.it't,„4„1*l''.t*.*01-J:t„.i#**:flk.biPrj,,S1ORO*.,.k;;: .:•: '''„
:.,
13 1-ind 2-iiiiilly dwelling 0 COriltridedialfindiistrial. D A.-Ccessory building -Foe spedal information use ehreklise .
_
la Multi-family 0 Master builder 00tber: Etesenp'tilt ..1 Qty. I P,a. i Total.
1 - I
7-3iiiir.ifit*titiit.Aiiiit04:AS**1001j60401:1Migr,!:4'.,Jf%t*WVF:
4.0 04 addrpz.z:t v)5.--it-i sw pt-toura ROajp..Le41\e_ NM/CC 10050 1311.1(4etaryeats) .1 : 46.75
City,Stmealio:figard,OR MU,: Furnace 1110.009*BTU Iiiwits,Venicl - 54.91,
fie/1i NMI/ 611)6
'Stlitesibliklapt,ilit: I Prillei"ianw' P i\kr 1-. rra<le----e-agt- Duct work . ,2332
. . .
„ .
Cress streelitlirectiom to Job she:
Nydrutrie hut water sYstent 23.32
Residential boiler Winter4
hydionicl 2332
Unit hooters(fuet-typot not ele;tricl„
..
In-wall.in-duck_suspended,etc. ' 46.75
Flite(rent for any of above V 2332
Other 2332.
Subdivision: 2veTy e,, . 14! v•
Tax map/parcel pq.:*
Wateirlentor ... ... .._ 23.32
L,-.CL.-,,, ili1At:'. :;.,•;671',' ,sit iii*...60Wiliiiii•••4;'„'.17.4;::!'Alia:F:5U;1.-F,.-?.':•c.-;.IW•-,"'", ;;;- clai Ferriateinert ... I 33.39
'' ''.3.' '''''''''.1''''''''''''..'2.4*r.''''''''''L' ' ''''''''' ''. • 1.-...f.•''''':''''''!
Flue root for Ntnter beater or gas
Pi 512,0 13- 0 0/1 b fireplace 23.32
1-04 Senor Ms/ , 23.32
Wood/ ilet stove 3339
Wood fireplaccAoseri 2332.
• •
. Cltinmertlinerillnolsord 23.32Other
.
.._._ 23.32
:-„•:!:".: •:".•,4:;;.„.1:i...0 t40*****4000A:2515-;.tt4... '...,...-. '„`'',tt''.9'k''MV:-IgIl.410.tt••4.)Z•r'Sn"g:-.Z-•„ , En,immoitat„blast*nd yt,ntibition.:
Name: P-DVL Lzhci ichr16s. LI"
i - , Range hoodkrthor kitchen
: equipment ( 3339
Address:1.1in3 E. Do,,x1r4 e tree (2_61,nc.,y) P-4.)C14 Clothes dryer exhaust .
I 3339
city/State/41P: e_,_0A-icic,....le.... A..,.2,..._bstcp) Singto-duct exhaust Ontlitto?olis,
toad cempanntems,utility teems) '... ..) 23.32
Phone; (101,—loci L4 -,Li 03 1 : Fa X:( .•) 'Atriekrowlxpar4 fans 23132
,:,•••,:.-;..5-,:,:rjE?pf••;j8tY4M3PPIFP#M-. ::F•:8•;!S•i•',!•,.;e,:•,•. ..,.,;:'!..:;?.1.!;kiCt:VONTA.<7T,31401",5., .......•.•,_.• • 23.32
,
Fuel Oulu=
Bolitms name:Polygon WLH,LEX
14.1541-nest Conn 5411.3 far-each additional
C°Mact ilanle: NithMe_7balop,e. Furnace:etc. ' I
• Addre : 1 D-6Wari Lila() M___ _ (::tr ---------- •-----7----beat
City.,SuttelZW:Vautourer.WA 98660
Water beater
- .
Phone(360)695-7709 1 Fax :060)6934442 roentgen* .. .
•
E4nall'--,\{ Hathecue
. . .0*.t07:014RA,.-;T-3T'-q71::q4 .MA*.:44•!:,.;i-... ..c1*$34,cr(go)
Other: 1
-.''...•;-.::::..1..,.,. ...::::;litIti. 1c.1.4,.TWarr,ITW--.. :3F..,,.,,..;,,:..,..,-..,..,-..-,!,
Address:10004 NE 72"At
Subtotal
City/State/Zip:Vancouver,WA 98686 Irlittimum permit fee(MOO)
.
Plan review(25%attend(feel
Phone:(360)3424109 I Fax:(aw)326-1769
State surcharge(12%of pormit fee)
.
CCB Tic.:203034
TOTAL PERMIT FEE ,
• — - • This pennitnppliattinn expires it*Ismaili is nut obtained within iho
days etterlt ha hems"incepted as complete.
Authorized signature'
* Fee methodology set by TA-County Bonding indusny Servicelloard
I Print numerTy r-epi 1 Dale: 4.Pi.ift,... I
.,. •
fAs.itAing:p.1%.3dEr..,0.10,-;,p woad.. 44,ThirrovvicomAvn,
I
EcEivErt
_.... _ -- ,.,
i,___
Received
g is 12.357SZ.liTa ifillfivrd",1
Phone: 503.712.2439 Par: 503.
Tigard,OR598.1960
0 FEB 0 8 Date/By:
Plan Ravi
ew Penni'6/1-7S7;2077,..-1203 2,
n Detelfi: irm,m..... .1211111111111111
) inspection Lino; 503.639.4175
CITY OF TIGIAtit Ready .Date/By:
mom rupspz.P.egx
TIGARD, trro.ation
r 0 Internee wwilgard-or.gov . . k MISR)'Is/sniffed/Method:
Z 0 1 8
_..
,,,,,„,,,v.,.,..,-, ,,i,..,.._,..,,,-,...4..,„„..,,,,,,..72...4---.• • -1 _; _... , ....,.-4.....:,..q.,4,,,:,=.4-4.•:=A:..4.w.:04,,,st....-...,31-i.....,1 k -',' !••••".:''''1!.'''''''::2`,.t,••''' .' s.....''-• ':';':1-''''':1 ;1''''''''''''..'1'...;`'!''''.
0 New construction 0 Addition/aIteration/replacement
Please check a that aPPIY(aubmitl SeiS of plans wliteme checked):
. 0Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other:
where dm available fault currant 0 Maribas and boatyards.
:I-P.4'1'47.2P: •240'4.-••41:Ssn'itmesir;-,1FsvPi•s.t.pc,..tt•-•Aiis•• ;....• "4:--.:::-to: ;.-..ar..w,t.qs...t..42',-1,5:s.
.._s,e9m I 4,-.6,:kyi..14,17,5 ,:j;•.:.1::teez?:1-.v:,14 exceeds 10,000 amps at 150 volts or 0 Floa ting buildings.
ED 1-and 2-family dwelling 0 Con mar 0 Accessory building tees to ground,or exceeds 14,000 0 Conner/dal-use agricultural
amps ar all other installations. •buildings.
Q Multi-family • 0 Master builder 0 Other
°Piro pump,
0 Instailation of 150 OA or :
NA
'''t.tit'.k:'•••V.r.:s.$141,11;1.'Aefi•V;.,4 1,.. I,W,C1'.• 0. , •• ...:.... 'i:.',.4I••••,:! . :',::•.-,.•-•.......::).-::::;
larger separately derived •:'
Job#: Job site address: mcr
°Addition of new motor load of system.
„...c:i SW ail_ i, Ai f\ ,t, t !I,t•or more,
City/State/ZIP:Tigard,OR 97224
I Si or more residential units. occupsuicy.
Olieallh-cara facilities. 13 Recreational vehicle patios.
Suite/bldg./apt.#: Project name: 10
.si,...r- -,,ik • 4-- . °Hazardous locations. °Supply voltage for tnore than
0 Service or feeder 600 amps or mom. 600 volts nominal.
Cross street/directions to job site:
•.,.,• ,,,..t..;,.;......•,;.,•:,41`..ev,..f• 'D
on lat.:vs:1s:s.'••1,:..:-4.•:-...'t:!''',”:
,-
litMlirill.INMIllea
- . .
New residential single-or multi-family dwelling unit.
Subdivislor C.; ur i4i .4., Lot#: 31 Includes attached garage.
1,000 sq.it or less
L.IllinvertultEarimimall.131 '
Tax map/parcel#:
...........................______iAMVP:O.N.-4.44:41ga ;*...•:**.it-ONACT*We'2.:: :.:,•i•%,''.4;:.A:',', ..*: :;.;,::': !...;..:: it aftedddl 5C1°sq.resitiden"Priaji°n "Ulmill""all....11111111
enemy
IIII 75ionli
with above•• .00•.ti.
Limited energy,nufamily
ill 7500. 111.111
residential with above at It.
EIMANITAW.;;rilitftiniatlin ngging4M311.AVIK 7:g.4kVang liZvit2M22:2111111111.1:a fasces tallation,alt
DeraStioeeriP
a.:ned/2or reloeationill
Name: 111 OA L -, nci MB , 0_
200 amps or less NM 1°°3° MEM
201 amps to 400 amps IMMO
Address: p. •_VI ,te..., t1111E1.t.41 :4 g Of'
401 amps to 600 amps 111111 20034 Mini
City/State/ZIP:' 41. e Arm!
601 amps to/,000 slaps 11111 3°1.°4 11111118
Phone ..n 'I' Jr. Over 1,000 ampsor volts
19 03 Clillnill1111111E33111111m8
Temporary services or feeders installation,alteration,and/or
Email:
•
relocation
Owner installation:This installation is being made on property that I own which isnot 200 amps or less ...11111112alim._,1111.111
intended for sal;lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 ....a
Owner signature: Date: 401 amPs 10 599 aulPs 11111111=1111111110
. g Mi§',MiAiiktHarig,i riticfokiz.rokedrili -1 ;; 3A13richeefocircults--r branch .new alteration or extension .er,anel
Business name:Polygon WLR,LLC
rcuita with
above service or feeder fee, linni
each branch circuit
_
Contact name ' r IA J_ _ er _
'
B.Fee for branch circuits without inal
service or feeder fee,first Address' '
.. ......, _. . , - mitt branch circuit
City/State/ZIP:Vancouver,WA 98660
Each addl branch circuit 11111■111311111.E1 ,
Miscellaneous service or feeder not included
dwell
Phone:(360)695-7700 Pax::(360)693-4442
Each manufactured Or modular
in: service and/or freder sammor
Email: i '
4 1 dik 1 i 1 AAA 4,411 A AA' I ,1411 Reconnect only 1111111211.11111118
Haireaint4.4T27 ingius:37=•:.iri ITA.:11...Wi'v'tilinkgAVAX:?:13Sart Pump or brigade()circle 1111111=3111111.E1
Business name:Garner Electric Washington,LLC Sign or outline lighting 1111111111MIL111111mi
„
Signal circult(s)or limited-energy ,
Address:402 Valley Ave NW Ste 106 - panel alteration or extension. " See Page 2 MID
n over allowable in, of the above
City/State/ZIP:Piryallup WA 98371
Additional inspectiohrn(1 min) III 66.25/
Each additional Ins.eco hr IMMO
Phone:(253)872-6051 Fax:(253)872-1801 investigation(I hr min) all 9t10 hr MIME
Industrie/plant(1 lir mkt) 11111E1M1111111111
Email:bdaniels@gweusa,com
Inspections for which no fee is a 90.001hr Mil ,
CCB Lie.: C1158 Electrical Lic.: 208174 Suprv,Lic.: 4496S , •, F listed %hr.mht
II:V,WN'•:Ifilta§:1?:
Suprv.Electrician signature,required: '" Pailli ,WM. — •
Subtotai: allinii
Print name: Joan P Albert •
Date:
0 Plan Review Required(25%of permit fre): ......____111111111111
State surcharge(12%ofpermrt fee).
. ' MIME
.,---
Authorized signature: Anrea-• .iiii"..."----
TOTAL PERMIT FEE: 111111111
This permit application expires If a permit Is not obtained ivithin 180
Print name; Bill Daniels Date: days after it kos been accepted as complete.
* Number of inspections allowed per permit
tatuildiagWermitslatz Penaltastuita ERadoc Rev 06/17/201S 440-461STOIRLUCOWAVS8
_ . . .
Plitnibin Permit A Bea
Building Fixtures C 'El V E P
City of Tigard
FEB 0 8 2018 : ticeivemed,
PernitNo.:04-/_c74 ,/2 4- c?,z '
IN in 33125 SW Ball Blvd.,Tigard,OR 9722
4 Phone: 563.718.2439 Fax: soistitty roF I mim(c!, frIte, vie W
Qther Permit Nn.:
Inspection-Line:503.639.4175
T i(.,A LD iniiniet.wwvagitrcwrsov
. 'WING 1 7)/\111q1r" tradYnt:
iilIFERRMI
4"f1044WMA.--VIWti.W.:4K*i;4IiiViSfte2'64-20441*.A\SW} 7t :;10NAt-Viirltcltrikid 'itiiiARdiiiiiiigl:t.0-nt-,4&,: ,-,c.W,u7:i.-:
..„--:151.**:1-7V%thigq:fgiglSg.-t. ; •
P New construction
II bemelitiOn Fee s,eclat• oratatieit use checklist
-till. I I I I I I I I I '
1),.,•. on EMI 117.70 Total
111 Aticlition/altetatienirepIadement II Other:
New 1-2-f., I dwellin.! includes I00 ft.for each uti 1 connection ..
Ortt:"*.R.MPlig.g406**Oil gairS*****MtiSiAtt:WV.t: SFR(I)bath
SFR(2)bath 1111111=111111111111 ,
1-and-2-fimily dwelling i Commerciattuidustriat
SFR(3)bath IMO 500.32
I .Actessory building-
•Multi-family
Each additional bath/kitchen am 25
II .02 11111111111 -
Master builder
a Other: .
Fire sPrinider CR.ft) 111111111M311111.11
atitageeMOVA*****4*444**5#4:00int'. Site utilhieg;:
Job site saws: ijail SW at.0if a A i / 0, A , Catch basin or sans drain .......111111Mm.....1111111111111
01y/44de/zip:Tigard,OR 97224
Ikywc4,leach hoz.or trench drainEnligimsamen.
Footing drain(no.linear ft.: ) 111111122/11111111111
Suiteiblde,/apt,no.: Project name: P 4 • A az ,1,
Manufacnited tome utilities 50.03 1111111
Cross street/directions to job site:
Manholes
1011111M111111111111
MEM111111111
Rain
drain
Santtory sewer(pp.linPqr fL:. /MUM
Storm sewer Om linear ft.:—) 1111111E2131111111111
L wat,=vice too.rumor ft:—) 111111111232111111111
Subdivision:,..., • Lam: "Sif Fixture or item:
Tax map/parcel no.; Backfim Pmenter IMINNE113111111111111
!.:., 4,....1c-;6, iiitii.,,ii ,„,, , ,,,,,,,,, „,,, Backwater valve. InillEallnillil
--g--,''..z.n4q7.II.f,:-.. VT7_517,4f-WS -...rV:X7..1.EMF rriZz,!...A.stFtg:
Clothes washer IIIIII 25.02 ME
Dishwasher 111111 25.02 =III
torMlan* gfozurtant—
Ejeators/sump NM 251)2 1111111111
25:02 MI.
;gra qiiiWitki 4iiiiikaNik 4114-. iiiig.,,, gW. Expansion tank MN 12'51 Mil
Fixture/sewer cap 25.02 IIIIIIIIIII
Name:ADVL Land Holdings,LLC:
Floor drain/floor sink/hub 11111111 25.02 MN
Address:7600£Doubletree Rano Road
Garbage disposal NM 25.02 Mil
City/StateMp;Scottsdale,AZ 85258
Resell% all 25.02 MO
Phone:(602)694.4031
Ice maker
111DZINIIIII
..,,,______,..-.,,,,, ,,,...,__,,,,,, :,-e..,, ,t-s; .,:),,,,,i,_ . -.1.1i.t4-',.-
iWV `13:4,-:W. 4r-EPAWIN:'0g:j •:' r.i.4?:? ::,"j:V43.-it.t.LAIT.Ottiiter ngstOlitilti larercaPtc'rigrease traP 11111 25.02 IIIIIIIII
Medical gas(nice:$ ) 111111111729111111.11
Business name: P A
' • J .. 1. A 4•• ___-,
Primer 111111111B31111111111
Contact name:, i-j.'; IL
Roof drain(commercial) 1111111111113111111111
Address' II GFA&..• ._.., e. .., g ' ML - 411PXMIIIIII Sink/basin/lavatory .1111 2542 1111111111
City/State/ZiP:Vancouver,WA 98660
Solar units(potable water) 1111111111331111111IN
Phone:(360)695-7700 Fax::(360)693.4442 Tub/shower/show er pan MEM
g-Inail: ri A . v, . „„.. 1111
, 4111 rE, 25.02 111111111
111111 25.02 MS
4 'OTYAAOT:WV,aitte ''W
6,4 172111111111111M1.11111
Business name: _, $ tAAYV' 01t , ; . 1....'
*eta piPingIDWV 111111=1111.11
Address: a.• I.-4 A IIIIIIIIIMIIIIIIIII
Other:
1111111 2542 11111111 ,
City/State:4M 5 , eig-v4 ci1t57
Subtotal 11111111
Phone:-0743.-S4t... i I Pax:( 1 ..* ai.7....p"ID .
minimumpermitfet: $72.50 MN
Plan review(25%lepton*fee) 111.11111
CCB Lic,: ;:ir 311. Plumbing Lie.no.Pe
State surcharge(12%of permit fee) 1111111111
Authorized signature:: 1144-16 & #
TOTAL Paler FEB 1111111
?But ham: A. A, A
Date: -- • — .s This permit application expires if*permit is not obtained within 130 dsys
after it boa bete accepted as complete.
Vet methodology Why Til-County Building Industry Service Board.
illuildifigiPermit01.4U-PaithiA' pp.doc,10101/o9
4404filexinateohms)
. .
le City of Tigard
74
W COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
c
Building Permit #: STAC2(7- 0037r
Site Address: 41)59 i AtithAMVIVACe L6inc,
Project Name: RNe,y Tn tOLZ &tic5\- Lot #: tE 1
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: NsTg-
x Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ No tjA Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
.1RThree(3)copies of site plan WV,xisting structures on site
Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
'Drawn to scale(standard architect or engineer scale) floor elevations
.Worth arrow ,Utility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number xtSidewalk/driveway approach
IRApplicant information(name and phone number) VaiLocation of wells/septic systems
L ,ot dimensions and building setback dimensions 'Existing trees to be retained with drip line,and tree
P( Square footage of buildings to be demolished protection measures
.KLot area,building coverage area,percentage of coverage and ❑Street tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) �5treet names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Id1- ❑No
4 foot differential) If yes,is a storm water quality facility shown? N . •No
a Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ' No Received: ❑ Yes ❑ No
,IN. Public Facilities Improvement (PH) Permit:
Required: ❑ Yes,applicant was notified 1 No Applied For: ❑ Yes ❑ No,stop intake
f Land Use Case#: �� Y5.-00l
Zoning: 12-14- COD)
Zr Required Setbacks: Front tol Rear 0 Side . 1 Street Side NM Garage
Landscape Requirement: ID
0/0
1 Lot Coverage Maximum: So %
gi Building Height: Maximum Height Iv'p Actual Height 7 Z
Visual Clearance'
4 Sensitive Lands: '.54- Yes ❑ No Type LAN Vkikke hat 9t r"
AUrban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes: C°IMAtiVNAS MAI( ISG V t-f viii -i) i SSI Ac e-
Approved By Planning: /VI e/(i -_. Date: (.0/c / 1'1
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\BldgPermitRvw_RES_061417.docx
Building Permit Submittal
Original Submittal Date: (7 7/ 7
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning Engineering Lermit Coordinator Building
Workflow Sign-off: 7 Sign-off for Planning(include notes from planning review)
Route Application Documents: ri Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
ABuilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 7061/7
Engineering Review
Slope at building pad: S
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat
,,Er Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ,Er No
Assess Water Quantity Fee in-lieu: ❑ Yes ,❑'No
LIDA Facility on lot: El Yes .BrNo
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: P'? ! l< - (-1-) - Date: /,) I! 7; l
t
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: j� Date: a/z 3 t '
.Approved,
1\4-ed S 'FO �1QQ, #�p?j o-c �2Mb—cccK7( — Al- I t/1/111/4
c//7
not ht Ge vh-f-fc )
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:
�' SDC Fees Entered: Wash Co Trans Dev Tax: 'es El N/A
Tigard Trans SDC: ►."Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA El Yes �'N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: '1
l
I:\Building\Forms\B1dgPermitRvw_RES 061417.docx
City of Tigard
111 COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A RD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: t(p Pl &w Mill\i/AtC, a
Project Name: icce_ Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.660.0701):
Is the project subject to the plan district design standards?la 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 ft. deep Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide
)St ❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors.
Percentage Shown: 110/0
3. Entrances:At least one entrance must meet both of the following standards:
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:2Yes ❑ No
If yes,all the following apply: 25 sq.ft.min.
AOne street facing entry 12 ft.max.roof above floor of porch
-5 ft. depth min. eK,30%min. porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
"Covered porch min. 5 ft.wide x 5 ft. deepRecessed entry area min. 5 ft.wide x 2 ft. deep
❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood X Gable,hip or gambrel roof design
❑ Roof 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 1/2tt 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 ,eigAttached garage is 35% or less of street facade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or side lot line,than longest street-facing wall. 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.
❑ 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 X40%max. of street facade
❑ 50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: Date: 1,0 6 C it /
1:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16594 SW AUTUMNVALE LN, BEAVERTON, October 8, 2018 at 9:50:19 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00378
Inspection Type: Inspector:
199 Electrical 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:
16594 SW AUTUMNVALE LN, BEAVERTON, October 9, 2018 at 9:34:58 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00378
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Previous corrections completed
Water pressure = 76 psi
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16594 SW AUTUMNVALE LN, BEAVERTON, October 9, 2018 at
OR, 97007 10:00:36 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00378
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:
16594 SW AUTUMNVALE LN, BEAVERTON, October 9, 2018 at
OR, 97007 10:01 :31 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00378
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