Permit (100) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2018-00024
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 02/13/2018
TIC ;ll<It 9
Parcel: 2S106AD05300
Jurisdiction: Tigard
Site address: 16544 SW AUTUMNVALE LN
Subdivision: RIVER TERRACE EAST Lot: 160
Project: River Terrace East, Lot 160
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1591 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 3427 sf Value: $425,447.91 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
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 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: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 1 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: 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 3427
Owner: Contractor:
WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $36,642.75
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: AA..4:c Permittee Signature: re
Call 603.639.4175 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.
t
Building Permit Application LC)7 0
Residential $ 1F FOR OFFICE USE O\L1
City of Tigard 9 - S E P 7 �0�� Received �
13125 SW Hall Blvd.,Tigard,OR 97223 DateBy: / �� Permit No.:A,S� `���''),�
C` Plan Review /w4` /
Phone: 503.718.2439 Fax: 503.598.1960 a, ,�{,;p 71
{t {, E Dateisy: /^ a° - j 8
Other Permit:
d/MCE.
�
�����Ispection Line: 503.639.4175 ePag2 TIG ARD BUILDING 'lVi i � NDefiReeadyeSthy , p JAS:Internet: www.tigard-or.gov
Supplemental Information
/ /L /V/Cif
Z vim :4411,01k1..„111,141M
.rt. ,::-.7-,1171::4-11,1.1 ,:i'7'.:, .1 fro' '_ak .. �r:W ,. 3 '*fix-,.{:
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
❑Addition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
4-: .n �# ' € , tZ work indicated on this application.
® 1-and 2-family dwelling ElCommercial/industrial Valuation: .....
-J
54
—114
❑Accessory building 0 Multi-family Number of bedrooms:
' `( ,/
if 7
.�
0 Master builderr' �
0Other Number of bathrooms: /
1 �. W-- g 6
. i . 1 _ �`.$., p. 1# H'&: s Total number of floors:
Job site address: /(,$/(f` 51A) illk t j I I ' New dwelling area: 39square feet
City/State/ZIP:Tigard,OR 972241
Garage/carport area: ' 1 square feet
Suite/bldg./apt.no.: I Project name:River Terrace East Covered porch area: `�'` square feet j 8 3 A
Cross street/directions to job site: v
.(� square feet'L"
( r�f' c c1).-r1 'tel ,
Other structures--regia.:: )S'tiyr})f square feet
Subdivision:River Terrace East i `'�-`."`� s ,*' �� t JA
I Lot +�'no.:I j p() Permit fees*are based on the value of the work performed
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
+� ►y equipment,materials,labor,overhead,and the profit for the
' z 1_.,W F �^,x xf4:,,K"'•:*„-'x T .t.f:49 '6 ?�-s� AI ; .s:n F Y`
6- .: i, - x z r work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
t_��,f'���' a�` $�{of� M� 6 Sd Vr�{��xE1�. t.etre � "��s^ .k,aefis A ,, s* �
-._�s. rw s .�,.._ .�.b,..._..-� ,�.�.�t�� £t tift Number of stories:
Name:ADVL Land Holdings,LLC
Type of construction:
Address:7600 E.Doubletree Ranch Road
Occupancy groups:
City/State/ZIP:Scottsdale,AZ 85258
Existing:
Phone:(602)694-4031 Fax ( )
pF New:
.._r: ;�. a l,an �`N�' ,� ." `` c.s �; m- :a, %$"..`�"� `:' [ 9 3a �r g �t .,+r§¢
.7:,: ,, a �' _
Business name:Polygon WLH,LLC r .,
Contact name:Nichole Thorpe Structural plan review fee(or deposit):
Address:703 Broadway St Suite 510 FLS plan review fee(if applicable):
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 I Fax::( ) Amount received:
E-mail:Nichole.Thorpe@polygonhomes.com . SS yh,�sW" VvN y4 . ,
4 t, F t-i ,° ; Commercial and residential prescriptive installation of
""3 ° ` 'y -2=,,,,: t '� 1 lt. t. roof-top mounted PhotoVoltatc Solar Panel System.
Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details
Address:703 Broadway St Suite 510 and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checldist.
City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review
and administrative fees): $180.00
Phone:(360)695-7700 I Fax:(360)693-4442
State surcharge(12%of permit fee): $21.60
CCB lic.:207247
Total fee due upon application: $201.60
Authorized signature:' d/1h This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name:Nichole Thorpe I Date:8/23/2017 I *Fee methodology set by Tri-County Building Industry
Service Board.
I:\BuildinglPemrits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
,
Mechanical Permit Applitatig r, — I dr-r-1,
. . .
.P06,11 146/75i7,26ye-a22.2/'
City bt Tigard
EI,JE1 -circ "
., • . , .. .r. ,..
Divetily:
N 13125 Slili Hail Blvd:,Tigard.Ott 972,23
' 1 P one: 503.7181439 Fax ,031*..1960 FEB 0 8 2018 ,rtl.te;ift!' ..., 90,.pormii; :.,.
Ti 0 A n r) tpc,007.1411f:iiiga.50rZC.:,:7 ,.. 157.-4010,11.43y, in 1 Ef See Page 2 fa r r
art( O'Fr.1.11'6 i‘41, , .
14) NotitiedNiethoci Supplemental information
• *:*!.---":.r...:,..)7;?.:1;.k"--,...0.0-4:,-A.•-#,zaft :!:-.i.:'::!;;N•',.P:'47 •41.(4e-or•-'17;-',4- ...)-1140%aliti.-1.4r;l'tgi..i.'gt-''V't tO 14.4-#.1101Ak'itts(1041411;EsA:WiClittililt,STI-:- ,
. "•F'N 'i''.'-'3. :.'
alue of the work -
New construction 0 Additioniatfirationtreplacentetn
• performed.Indicate the value troundedlolhe nearest dollar)W'all •
0 DemOlition 0 Otlier: rhothanicol materials.orpiment.labor:overimari,and nroli
1t#8.tiojostxiii0„*4#0:40*f 4-f ;'7x!kfl --4. ?4,. ...:t...2.:.z?.-.4:.------------- v;:rs----..-------1,----i,: ,,,,,,.!; •
0 1-'1ind2-fitiiilly dwelling 0 COPIMait jai/industrial 0 ACcessory building Far special information Arse checklin
El
Mufti-family 0 Master ii.td1der 110ther: Deserip' tioit J Qty. 1 Ea. I Total.
.-.I!.....7 ;-"•;-**.::;.."..f..Kt: 1,14ijk.$,O.K0f0.4*..):W4i..ii:460i.07$1.111t1";ig:::',g-,-1: itl, :, neitfiltott"'%7 • , , , •
Air conditioning , 1 46.75
;lob sfieaddres: 10 -LN S\1\.) N 04.04 0 tki,
te =1..ctat- Furnace 104.000 BTU Wuctskents)_* .i 2 46.75-
C4/State/ZIP:-Tigards.OR 0224,-
54.91,
Furnace-10000k FM i_deetsiveriti)
ffeln pomp 61.06
taitenildgfipt:no: Pthject tiainc: P iver Te,rrace...Ea-t--. Dom work , —
23.32
Cross street/directions to job site
f 4ydrqui a hot Water sVstern 23.32 .,
Residential boacEr(itdiatorbi
hydrottle) 2332
... _
Unit healers(fuel-type;not olectirie),
.. . . . ..
in-wall,le-thiet linst)ended,Me. , 46,75
Pin/vent for env of above I 23.32
WAvision.: 12-Nev Teraftee- . e -k-- Lot no.:/1,0
I - „Orlie.r
Other-Cue_i Etp..-------niun--- • _2332.
Tax map/parcel no:
Watet.heater - ? :'- 23.32
34066?4,M.V;, ..."P'''..g.i,141..0400#444I*OkWORIC -Igev,4'4,,,;444:':;:• :-.7. -•:'. sairiemaceined. _.."-- I
flue vent fir watertrosta or gas
M 512D I b- 003-24 &opiate
Log tigiaer(eas) 23.32
Wood/Pellet stove 3339
Wood fireoloceinsert 2332
. Otiontevilitiecalnevold 23.32
:11 32
K !.01*4****-t-08**E4..gljfi.;'.;.::WL;4 ::.A::'ii• . (Z,:onfiritiii exhuif'14st„:diECin'utc„( --* -
Name: A-DUI— Lo-lici icht) s'• Li( Range hoodlother kitchen
ointment ( 33.39
Address 1 tip 00 f_ nou),4 efreel Q-amc*I. P-06.4_., Ceglothes drvor=lulus/ . I 3339
CitYit-11-1q-IP: e.OttS_GIC.L..1 C. rt.2i---261% Single-duct exttoWit i,hathroonts,
toilet mapartments,wilily rooms)
Phone: (49 0-1_—@q LI —L-t 0 Fax (( ,)
•Artickrawlsoace fans
! *.*:.'':-::-%'..r*:-:-Ii'..144.0.44.14.1*.' 2'::I .*:•.: :, . ait55/4iwoiji.:0,54*,i:_‘.,.;'-r...1, Other ( 23.32
23.32
Fuel•piplan«
Business-name:Polygon WLIL LLC
$1415Tor Ors(four:34.(13 tor each addltionat
—
Contact name: NI I/ho le_-Thojove,
- Furnace.we. 1
A d dre : 1 IM PA(Odtd-iilatll*it...5„..W.IL S:D________ I GWarstl lb ea tis ti spen ded fun. P u 17. it 1 m a tt r
Citl,./StateiZIP:Vaseotner,WA 98660
Water'heater
P)to=(360)695-7700 1 Fax::069)6934442 Firiplicv I . ,, . . .
Ronne , 2 .1 •
6.mail* q NOttO 1.11.. .16 * GVehild04 Barbontie
---.. .---"---'''''•ii•fii:t0 *- -.. * 4:..1V,i.":74k05.Pi.,*-4Z**tOIC: 2.1-7:7!*;..7-:772:777ZZ•i.a" "42F.2:,: _Clthes diTee(eAS)
Bush-msg:name:Apex,Air'L.LC Other
" - 'r' ' ' ''' .;:".37::.::1:" .*:C.J4"?..:1044001**0 -.
Attelrek,s-:38004 NE 72"Ave
Subtotal
,
City/State/ZIP:Vanratmr,WA 98636
Minimum permit fee r$90,00)
Plan review(25%of permit fee)
Phone;(360)3424109 I Fax:(360)326-1769
Slott surcharge(12%-of'permit.fte)
CU l tic.:203034
TOTAL PERMIT FEE
- --"- -- '- This permitnppliattion arms if*permit a not obtained within tan
day:a/tort has haw accepted as compiete.
Atitholized aignature:
* 'Fee methodology sa by Tti-County Building Industry SetviceSoard
..• .. ... .
f Print nainerl , 1 _ .1 Date-. asf,fol.!it,... j
1.ftittfing-PotiiiteATEC_PastitrApp MAU do:
ag-moT 0 IPONCOMAVIall
. ,
RECEIVED
c4,ti1i91+i-GY, -,...:.-44,,i,-„,...i:_- .-,..---,,,,-,;_.,,,i:_--:-:-.;';
City of Tigard FEB 0 8 2018 Received
-1,- q 13125 SW Hall Blvd.,Tigard,OR 97223
I lg. 1, Phone: 503.718.2439 Fax: so3.59siorry OF TIGARD ipplaaretrew
Ilil
Related Permit*:
Inspection Liam 503.639.4175
Ready .Date/By: Yuri': El see Pagel for
TIGARD' BUILDING DIVISIn
Internet: www.tigardor.gov - No ,0 suppiementat information
DWA-MT-54-MEMEarl.V.,:*.t.ikeMMthaftk-tiM, .10::VAW,if,.:W:II:Y.1, ..-r(!•:;...-tii'.•';. ::;0.1.ii.Cf.,--,310-#:. ' i,;.
ci. New construction 0 Addition/alteration/replacement Please check all that apply(submit a sets of plans whtems chectred):
. 0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other:
where the available fault current El Marinas and boatyards.
--4-3AlcSi2a, "11,16,ert*•VilreftitaXd - "V;f61-3.M. exceeds 10,000 amps at 150 vas or °Floating building •
IJ I-and 2-fatnily dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 Cl Commeroial-use agricultural
amps for all other installations. •buildings.
0 Multi-family • 0 Master builder 0 Other: 0 Mire pump. installatioof 150 KVA or
n
zIgrAFiliPV:A'A:40.:Ai#119:44?...`7 Vkifif W.0.0:20.10irt3IK'. . ...:1&-? .- 12 Ernergeney eyete. larger separately derived
u Adclition of new motor load of
Job iii Job site address:' , A rb a. 0 _, ,A. ,11P or more. 0"y;,"E",-1-2","1-3”,
El& 0- nom residential units. occupancy.
City/State/ZIP:Tigard,OR 97224
El Health-care facilities. °Recreational vehicle parks.
Suite/bldg./apt.#: Project name: '4f,y- -4k , dr , ['Hazardous 100am:um, CI Supply voltage for more than
0 Service or fewer 600 amps or more. 600 volts nominal.
Cross street/directions to job site: ;1 ...r,..I.V.,ZiriT.'iTii;'3::&i '''t LriAtit.:.;,';,V.C44‘.....1•WV.iV;.
nestri,tion IMIIII611111. Total WI
_ .
New residential single-or multi-family dwelling unit.
SubdiVislot LA .fir - ,,, ..„,. . - , Lo #:MI Includes attached garage.
1.°00 El.ft.or less 111111111MEIMIII
Tax map/parcel#:
Pa.add'l 500 sq.it.or portion INUME311111111111131
i.t.2.4e-Wintaffilgigi:!A•abiAttit-70,400.0:4* *:‘.W0%',... 1:.,..-:::--.: Limited energy,residential
III 75.00 Me
LimrtieTenatgyve 'Mut-limit
y
residential with above p.ft. III 7500 a
,„ Renewable En 4 See r,.e 2 11111111111
ra2.::: at ti',,,:icsgc.'"WeWrijfeWissai'l Wit.04144MIP.Vitiritiftt:WX;f:VM? Services or feede-t;installation alteration raid or relocation
Name: it . L.,.. _, nci gi) ; A._
200 amps or less 11111 100.70 ammo
201 amps to 400 amps 111111 133.56 aumg
Address:
/ I tle ,..vikr''- .•''.,1. .... !.._. A 01
401 amps to 600 amps ingi 200.34 mon
citAtateizIP:' u•, ci jj • Vis 601 amps to 1,000 anrps ail 301.04 _1111111111111
Phone f b 19 _ cl- lagillimminim Over 1,000 amps orvolts 1111 552.26 amp
Temporary services or feeders installation,alteration,and/or
Email:
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 11114 59.36 Mile
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 1111 125.08 MOB
Owner Signature: Date: 401 ainPs lo 599 emPs 11111111E01111111E1
• •• , • •Is —- --.„,, ,. ., ... , r, ., . ..---:77:7----7'.7—• -- Branch circuits-new alteradon or extension .er.stnel
ki*A ,:4 A.Pee for branch circuits with '
Business name:Polygon WLR,LLC
above service or keder fee, II 11111
7.42
each branch circuit
Contact name • B.Fee for branch circuits without
I
service or feeder fee,fast
Addre."‘ . _.. _ . ,I - mililt branch circuit 5518
City/State/ZP:Vancouver,WA 98660 Bach add'I branch circuit immanzjimminEl
hOseellaneotts service or feeder not inelnd-,
Phone:(360)695-7700 Fax::(360)693-4442 Bach manufactured or modular III
dwell inl, service and/or feeder 67.84
Email: k -_. , A 1 di , , . t
a„o . ...f/A A _ a' • Aka Reconnect only 11111 67.84 NEM
ffigr2-,Xtt*174717NFSP 7.-1••••xi:AV4VraN -S'417.1.41:Vg.t4).44M-VililAi.V, Pump or irrigation circle _al 67.84 ____1111111.13
Business name:Garner Electric Washington,LLC
Sign or outline lighting .1.1 67.84 NENE ig
Signal circuit(s)or limited-energy ,-, -
Address:402 Valley Ave NW Ste 106 aireration ore xtension, LI See Page 2 El
'
Each additional ins.ection over allowable in an-of the above
cityistatemP:Puyallup WA 98371
Additional inspection(1 hr min) 11111111:523111111111111
Phone:(253)8724051 Fax:(253)872-1801 Investigation(1 hr min) all 90.00/hr 1111
EmaIndustrial plant(1 hr min) 1111 78.18/hr 111
il:bdaniels®gweusa.cOnt
Inspections for which no fee is
1111 90.00/hr 111111
EMMEMIN Electrical Lic.: 208174 Suprv.Lic.: 1496S •3call listed %ir min
...... .. .
."0::', 1 fil.'W.W.W,5-6,::pircrin i:.".•;77.1 xfaimiti35',„9.0
Suprv.Electrician signature,required: '4117;-41nPAR .. - • • • s - -' subtotal 111. ..
Print name: Joan P Albert • Date: 0 Plan Review Required(25%of permit fee): MIMI ,
----
State surcharge(12%of permit fee): ..______111111111111111
Authorized signature: ouw"---- TOTAL PERMET FEB: MIME
n
This permit napnysplienantiz.nitexpihaszenifaaLerpmlietdisasncootmobotite.ned within ISO
I Print name: Bill Daniels Date:
---------______ * Number of inspeotions allowed per permit.
Linaildiag1Permitsnitz PermItApp ELlt IIRE.doc Rev 06/17/201S 440-461sro1/ostcowwas
. •
Plumbing Permit Application
Building Fixtures
City of Tigard RECEIVE, ,
Received
PermitAto.,-/X71
* 13125 S*Ball Blvd.,Tigard,OR
view
111 Phone: 563.718.2439 Fax: 503:59 9
Other Permit No.:
Inspection Line: 503.639.4175 „
led:: li 5 SeePsge 2 tar
TIGARD
Internet www.ttgard-o' r.gov 972286311Y6F°EBOF0 i8ILDING 01612vOrRlii81rD,,,,, _,,,,ePD4^-51DawffiRe.,ReLy,,,,,,,6,,_, ,,,, , ,,...,..„,,,,,....,,,,,,„ s5,07".!!!".!.",,„,,,,,..„.
5iiii.,,,j,-,iiiz. ,4bit4„,,-;,,...- ,,,L,,,,,,-,-- -1:,--6,,----r...--,,:,-517.4.,-„R- .7.,.L,..--- : . ._,,,...RcItiml- Px.r-
-,,,,.--.4,-
0 New construction 11 Demolition - - For special vsforauriioa use checklist
Description I qty. I Ea. i Total
. r-i
0 Atklition/altetatt n/repladetuent
"4:: U Other: New 1-2-fatally dwellings(includes 100 it for each utility connection)
-
C-_.4.12G0H1(;OF ONSTRUCifolt-,24-',-":74-t;' '.;-':-''""-&,..."'''- SFR(1)bath
-ft4t.t"'•- c,*.•,-;45, -
312;70
- ,
SFR(2)bath 437,78
Ao 1-and 2-family dwelling E3 Commenialandustriat
SFR.(3)bath I 50032 * .:
ng
0 Accessory boil& ' ' 0 Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other; .
rtre sPrinkler( eq.it) Page 2
- - '1"--'-'; Site Mintiest
-" iieff-i-;74.V.2,„..,,,,Q.,„
JOB._ 1141:010,figl , - -*,-,, --—
Catch basin in area drain 18.76
Job site address: I 10 5.14)L1 C.k&I N-h-441(1 A tk1 JR.-Lane- Dryweli,leach line,or twch drain 18.16
O1l3Vb71ateZIPtrigs rd,OR97224
Footing drain(no.linear it: _j Page 2
Suite/bldg./apt,no.: 1 Project name:PA/e,t"Te4leace. ----.O1-C7t-- Mamtfactnred home utilities : 50.03
Cross street/directions to joble'
sx .
Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft...: _) Page 2
Storm sewer(no.linear ft.: )
PPagigee 22
Water service(no.linear it:_J
:viskagVeirl-TeJlerar, . Easj-- 1 Lot no.:/too Fixture or Item:
Bacldlow pnwenter I 31.27 •
Tax map/parcel no.:
ackWatervalto
1 12.51
Dishwasher
2
:2. fril
Deinkin.g. fountain 2
Ejectors/sump 25.02
'',.\--'4%.''''41.44Wvonwm..,.,u•R''';''''' '"'-','''''',.'44=1;444.el'i,.•!;i:'flIW.,'Zi1771:==4", „::: :g.i,'E--,-;,:::: Expansion tauk
1251--t,,v.,: iro-,...FriT,.... ay..-m_...4:se.wg5.•-•,,t, •,,,,z...L,.4,10r. , ":- !P-.0=-- el••••-•••.---•-1--•---, Fixtureisewer cap
Name:ADVL Land Holdings,LLC.
Floor drair' oor sink/hub
Address:7600 R Donblefree?Minh Road
Garbage disposal 25.02
City/State/ZIFi Scottsdale,AZ 85258
Hose bib 25,02
Phone:(602)694-4031 Far( ) Ice maker 1251
'-‘"----,--:,:-",•-•••%.:,,,4-.'..r'',;,':,,.'/;-';'-; ,Z:..s.z-:-Y.-4z,*,s1E-it .te,!'i'P—:.'14.- ,.;,1.;1. _;--...'.4
ePtorigitese t25.02
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Business name: ,
„ /I IIMOn V/1 4-111 LC _ .—
Primer 12.51
Contact namm., Mir:Jr\bic, -Thb, .- Reef drain(commercial) 12.51
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Address: -1 (Th e-ArOaaikaal,;, .-A- ,. .6.,4-e-- -\ti Sink/basin/lavatory t414//1p / 25.02
City/State/EP:Vancouver,WA'99660 ' Solar units(potable water) 6254
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Phone:(360)695-7700 I Fax::(360)693-4442. Tub/shower/shower pan 12.51
Urinal 25,02
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L,- —,.., Water closet 25.02
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Address: p.b• 6.0x, op, Other: 25;02
Subtotal
City/State/ZIP: 5-r, p art, iity7
Minim:an perrait fee: S72,50
Phone:..(Sbl8(eS.- 1411 Fax:(4107 I)mip-7gri—ir.110
Plan review (25%of permit fee)
CCB Lie,: 18537.0._ Plumbing Lie.no.P6 kettl
State surcharge(12%of permit fee)
Authorized signature': ,494,taeAjt rIt441 . -^- TOTAL PERMIT
IManama: Si-f.VI_ w lice 1 Date:S*-.3b-lb 1 This permit application explretlf a'permit is not obtained within ISO der
after it hiMbeett accepted ec complete.
*Fee methodology sat by TS-County Building Inausby.Sarvice Baud.
I.MtiihruigIPermits1PlifU-PankitApp4oc lOAtimi 4404616T(10/0203WWEB)
` City of Tigard
G ' COMMUNITY DEVELOPMENT DEPARTMENT
Ill
T l GA R D Building Permit Review — Residential
Building Permit #: CM2
d ( � -��4�Yr , LAM
ProSitejectAdress:Name: 1 J(,' ,c
�tS Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: NMN 'ci✓
XVerify site address/suite#exists and active in permit system.
River Terrace Neighborhood: E No K Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
ree(3) copies of site plan lb-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
11
Drawn to scale(standard architect or engineer scale) floor elevations
,_,(North arrow Ttility locations&easements(required for new and additions)
sL` iite address,project or subdivision name and lot number E>gdewalk/driveway approach
tapplicant information(name and phone number) ocation of wells/septic systems
Lot dimensions and building setback dimensions Orifxisting trees to be retained with drip line,and tree
1'1e •uare footage of buildings to be demolished protection measures
•t area,building coverage area,percentage of coverage and rL4> reet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) treet names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? tiV40No
4 foot differential) If yes,is a storm water quality facility shown? 14 ❑No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): '. l
Required: ❑ Yes,applicant was notified : No Received:
❑ Yes ❑ No
A Public Facilities Improvement(PH) Permit:
Required: ❑ Yes,applicant was notified >r No Applied For: ❑ Yes ❑ No,stop intake
Land Use Case#: PPP-2/0 vC1Q
Lk-Zoning: �.4•,c1.07l
❑ Required Setbacks: Front le Rear IC) Side Street Side 0Garage -2.,6
'
A Landscape Requirement:
Lot Coverage Maximum: W %
❑ Building Height: Maximum Height YJ/c Actual Height
,,1,Visual Clearance
1St Sensitive Lands: EYes ❑ No Type 'Lai Y V eika vin 0
tint
›icUrban Forestry Plan
Conditions "Met"prior to issuance of building permit �Cxe to.
Notes: DO NOT ISSUE UNTIL CONDITION #/�"
SIGNED OFF BY PLANNING.
Approved By Planning: /Vl Eytn.-,. i� Date: (/ //// c3
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
I:\Building\Forms\BldgpemiitRvw REs 061417.docx
w.
Building Permit Submittal
Original Submittal Date: •
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: FA Planning F-Engineeringermit Coordinator Building
Workflow Sign-off: `Sign-off for Planning(include notes from planning review)
Route Application Documents: r 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: AT:, ,/� ��%/�'e7 Date: il1
Engineering Review 7t
,Slope at building pad:
❑ 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 1No
LIDA Facility on lot: ❑ Yes /2rNo
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: I44.1(4.K.,, U) - Date: 171)//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: , Yes Cl N/A
Tigard Trans SDC: Yes 1:1 N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes N/A
[ 'OK to Issue Permit14& / �� `
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_RES_061417.docx
City of Tigard
'I COMMUNITY DEVELOPMENT DEPARTMENT
c �
T I GA RD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 10914 WV Alkfuntinval& Lent
Project Name: ,`ve( Tort - Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards? ❑ 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.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
'2. ❑ ❑ ++❑� ❑
2. Eyes on the street: a minimum of 12% o each street facing facade must includewindowsor entrance doors.
Percentage Shown: IS.&P%a- 1- i-°(o S
3. Entrances:At least one entrance must meet both of the following standards:
AS
ax. 8 ft. setback from longest street facing wall IAParallel to street, angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: I Yes ❑ No
If yes,all the following apply:
A25 sq.ft.min.
.. One street facing entry 1 ft.max.roof above floor of porch
ft. depth min. 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:
F Covered porch min. 5 ft.wide x 5 ft. deep FLAIR-Recessed entry area min. 5 ft.wide x 2 ft. deep
❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
feei Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood s5/F-:EirGable,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 façade S�,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
El Balcony min. 5 ft.wide x 3 ft. deep with inside access F Attached 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 wallYes El 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 R40%max. of street façade
❑ 50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: �
Date: I/ 1/ /1 V
I:\Building\Forms\B1dgPermitRvw_RFS_RT_o62216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16544 SW AUTUMNVALE LN, BEAVERTON, September 21 , 2018 at
OR, 97007 9:23:35 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00024
Inspection Type: Inspector:
699 Mechanical final Jeremy Burrows
Result:
PASS
Comments:
Note: 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:
16544 SW AUTUMNVALE LN, BEAVERTON, September 21 , 2018 at
OR, 97007 9:23:35 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00024
Inspection Type: Inspector:
199 Electrical final Jeremy Burrows
Result:
PASS
Comments:
Note: 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:
16544 SW AUTUMNVALE LN, BEAVERTON, October 12, 2018 at
OR, 97007 3:38:17 PM
Record Type: Record ID:
Residential - Master Permit MST2018-00024
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.
A/C installed
Violation Summary:
Inspector Contractor