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Permit (110) CITY OF TIGARD MASTER PERMIT 11111 4• COMMUNITY DEVELOPMENT Permit#: MST2018-00040 T I c:Alt I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/13/2018 Parcel: 2S106AD07100 Jurisdiction: Tigard Site address: 12981 SW RIVER TERRACE BLVD Subdivision: RIVER TERRACE EAST Lot: 178 Project: River Terrace East, Lot 178 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement 0 sf Left 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front 8 Smoke Dwelling Units: 1 Third: 0 sf Yes Right: 3 Detectors: Total: 1858 sf Value: $235,747.63 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 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 G NEW P yrou p: Square Feet: SF VB R-3 1858 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 Fire Rated Eaves-Both sides VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $32,464.37 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: 2� A��174��w� Permittee Signature: S� T .„-p%crGG/1/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 2 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. ° Bnifding Permit ApplicationL o / 7 • y C "7 � goello 1 ;, I FOR OFFICE l SE ONLI Received � Permit No.' City of Tigard 9 -SEP * 7 2017 DateBy: / TANTIi i - 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other j'ermit / 1i� Phone: 503.718.2439 Fax: 503.598.1960 c:Ty i �i i�,�r r r1 DateB : J " O . �� �' Date Read B Juris: H See Page 2 for Inspection Line: 503.639.4175 t r M D C ," ' 'l € y y' ,; 9 L 7, Supplemental Information TIC r1I D Internet: www.tigard-or.gov (" '€ 1�p` €� NotiSed/Method: / pP ' /L /Ci G CII & § k Sf E' 0 Demolition Permit fees*are based on the value of the work performed ®New constructionIndicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the" work indicated on this application. _ . ;1*'i n U ,-n 4i.:„.--41.010 e Valuation: 1-7r2.---3-1-1.93 0 1-and 2-family dwelling 0 Commercial/industrial ,.1,3�/ r'-7 Number of bedrooms: O�J �,l 0 Accessory building 0 Multi-family Number of bathrooms: 0 Master builder CIOther: Total number of floors: ' #�* 'A#'i ,::;4-4 .�. 1 1n New dwelling area: 1 93546square feet Job site address: SW River Terrace BLVD _ 1 City/State/ZIP:Tigard,OR 97224 Garage/carport area: 31 square feet area:porch LI square feet ,�L4 9 Suite/bldg./apt.no.: Project name:River Terrace East Covered Cross street/directions to job site: /elift CVeJ JC, square feet (Q 9 Other structure area: square feet Subdivision:River Terrace East Lot no.:11 g 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 ,� -; � - � '� 's :, work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet '" Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax New: 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::( ) • g6'C..;� -- to y. . E-mail:Nichole.Thorpe@polygonhomes.com Commercial and residential prescriptive installation of t' roof-top mounted PhotoVoltaic Solar Panel System. , �� Submit two(2)sets of roof plan with connection details Business name:William Lyon Homes,Inc and fire departrhent access,along with the 2010 Oregon Address:703 Broadway St Suite 510 Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver WA 98660 and administrative fees): Phone:(360)695-7700 Fax:(360)6934442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 t44.---[6,,, This permit application expires if a permit is not obtained Authorized signature: 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) , h' chalael »tit A nalict � ` , S a City of Tigard `"p >� , • • N, ' 13125 SW Han BIvd.,Tigardtdtt+`1223 3 ar�I13}; C�triisi#:t+1ri/J��-� /LY.���G� Phone: 503.718:2439 Fsx $03.5981.' . ?...M?-1 Plan llReview: O i i-,A u i� Inspection Lina 503.654.4175 `''i 15arc/Ily;' 01hat.l'cfilii; , Date A /B Internet: ittiv[v.[igatd-Otgok I3 Sea Nage 2 for s � Ready/Br tufic 4 ` 1Jtrti6ed/Mctliod: Sa + PPiemental interm®tioa' !1 .... .f sziki JI,�R "i;_'T'k .! '1. ro. .�Ifii. f X ,Zri..p 6-X9,1 F '�T , IN-New construction 0 AddttionittiterattoN 1 (*themes!(rerntir rem*are based on the value of the work; tttetli` performed.Indicate the value(unaided to the nearest dollar)of all 0 Demolition ©etl mechardeal materials.equipment.labor,overh cad and profit. c Value.$ f' t„ ..ri,�_ .P.47'R.90%)llX' (3llr�� th'Y , ' ❑i•and? _x } ESt[?? A>w { [ua cheeL'HS t "s 1andly dwelling. 0 Cattunercialri dttstrini 0 eoe ry•bylldtrig El lvlUltl-tarnil For special rttjrtrmrtffoe use checklist y 0 Master bwlder 0 Other DeScripfionL. } ,1Q -5I3'E .II44F Rl1I�L4'l41k '" ,-_: Total,. °'�= ,,, r1I+lI! l�AT14 - HczEUu ko[r11 lob site adds 12981 Svc �.' Air cuaurt mac _ i 46.75 ��e+f' Te�r1 Q �1 Ftlt ce 100;000.0 vfdui*atvento 46,75 CitylSt$fedZll':Tigard,td,oR 97224 . Fu nace 1:00O60 $Tl3(dtrtxsrvtttts) _ 54.91 Suite/bldg./ant no.: ( Ptajed nauic:Qi Y iii 1p 61.06 r P ' J 13irct sscark Cross street/directions to fob site.: 23.32 .1-1ydrouic hot water sienna. 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(feet-type,not electric},W • 1n-wall.in-duet suspended,'ete: 46.75 FEuelcant ila aria tit above23.32 Sulidlvisioa . . 1� fx"TeArr.ra e. S' " I Lot no.:i In t)rher. 2332 Tax maprp upol net.: other met aPtrUanene: Water heater r i p p `Itl,N{fp''11oiu. ,; kt 33392 39 ('�` t y. 23 32 Flue vont for.Rater beater or gas fireplace 23.32. Lot lighter(gas) 23,32 Wood/pelletsttne 3339 Wood fire plat nsert , 23.32 1- '141,13A 3031.. OWNER; Illticdfluc O vent 2332 tti A 1T , 23.32 . Mame: 4 ,, 1 J 'kantnrtrt rr hrchattst finSirntilation: C•j • Range lurodfattier kitchen, ' A.dehrss:. iffy 'equipment 33.39 Cit}rStatePZII' �(► t,,JJ�V �p�� n•h 1'�`�"ti-_..,... Clatitesdryere taunt , 33.39 ''�-6r' le. I TTJ 25c .Sittgladuct exhaust fbaditaoms,. F.7:( }7r tenet rotapartmotits,utility rorantsYLi. 23.32 l'` 2 �Qq y— � I nslc�4rasr3iace fans ,. L1G11C;< 2332 r'(?r4TA7_P:E4t5C31s Other 23 32 Business name: \011,1;00r4 \ on times 1-Zyy+ Fuelphria con aCt MUM:A 1 CV :1�Q""iA ` .. _ S14.IS 1+ter!list.taw,:C4.ti3 far-gefi atldifitenal 1" 4.nrY ` 1M,,. `r' ]�Ui1, ,�� Punta etc. Address.1D.. t hrli i� r' c,, T Gays heat • 1 V 1 �W� � City/State/ZIP:Vancouver,WA 9$f,6p WaRhatspendedrunft heater Phone:(360)695-7.700 ' heater . Fax::(360)693-4442 Fireplace 1�rttl N ich 1e. t ti ► A of . y .,,.j 7tsy . e 11 A �e >7 Clothes do r(r sl Buslrless.narne:Apex Air LLC Other. Address:18004 NE 72i°Ave ME A .**RMZT.F£f:S.'" _ _ - City/Stater/FP:Vancouver,WA 986'86 Subtotal ` ' WIMP=permit fee($90.00) Pitanc:.060)3424109 l Fart:(360)326-176:9 Plan reticwt259�aafp�rtnit ). lie::Zp3034 CCB5ta3e surchnago(} penult pGit fee) TOTAL PE:It:UT FEE This permit appIratiati expires,Ita permit is not obtained within leo Avtlsttti2c d 33p]atilt8' days aflerit has been accepted as complete. Print ittu►fe�"'" sT, Pee ateihodolov sot by TAS Building Indocin•Sere ce Beard `l .J Date: 4./. .f ., J #.ltita'it utilkotnitatEC PerndtApp 04V1IJ dew, 44au irr'ntmmimA this 77_7_7,,,,.,... ,,,,,...__________=_ ....t...snt n as s cavaih',1A l n 0 IS ;i® aniGLU5EON CN__ j City of Tigard Received ar 13125 SW Hall Blvd.,Tigard,OR 9723 i i r' ° :., Date/B Permit 8: �f J��� II g Phone: 503.718.2439 Fax: 503.59&,19(tp ', °•.i. Dann Ravtety �i ', • Inspection Line: 503.639,4175 `' ' ' Date18 : Related Permit#: Z'1 CARl7; Ready a Internet: www.tigard-or.gov :tris 4 Notified/Method: rd See Paget for f3?x4 t §�. 1: 1fl riA' D IL�r i E:: :.,;,>.,k s:_;:::,f:;z Supplemental Information ►�New constructionAdditio ration/re Iace•x.`.. 'f;ur.r . .,'.F:P:PYI, :'i• ;:z!!•.: . S!'3i a•e.,��•..5in�..-�� 'S,^.a=�1:r.�� r �•:`n..: 0 n/alte :rent e'k:. a. ; '•ie s,% ;,.,.r: ec" ;. .:-,,.t,•� Pleas�oheokallthata 1 �'='° apply(submit cele of Jana�v/item®checked); ❑Demolition ❑Other: p ❑Service or f � P :isr rs �:,{• K_ feeder amps or more 0 Building oittiSt;t`;v� rl` t '?'o, , *=y:.Tc where the available fault a over oattyasts. ..®1.and trigtdwelling04• +� rr .D ,.•`o!-i.i7 ",S `i cit i. f3-1:-1 a exceeds 10,000 amps at 150 Volta or 0 Fd sting and boatyards. 2-family 0 Commercial/industrial 0 Accessory building grotmd,or exceeds 14,000 0 Floating buildings. a ❑Multi-familyless to ❑Cotnmerofal use agricultural Ft tl# li • 0 Master builder Other: amps for ail other installations, buildings. ',;�t�.,.-'-..S'%:r .Zt3's �. �', 5 >- i Y 0Erepum but ngs 8.1 :f, a ?o vl A '�:ow. wo.1i•;a•;.i '::'•:, •. . ii::;:;.:, ❑Ems o s tem. 0 Installation rgra ae y d rived Job s: $C°°Y Ys terga separately derived Job site address: 2 / , /^• t�tt� on of new motor load of system.1 G Q(' or more. 0 A;``E*,-1-2 City/State/ZIP:Tigard,OR 972.24 Six or more residential units occupancy. u n-3'; ❑13ealtlt•eare facilities. 0 Recreational vehicle parks. Sulte/bldgJapt#: Project name: ,► • I II g 8- 0 .111 ❑Hazardous locations: 0 Supply voltage for more than Cross street/directions to job site: 0 Service or feeder 600 amps or more: 60D Volta nominal: `;: M:•:A•;=: ttt$E.i', t .: i;C'•4•sr��%: `•i ?.aw:•'i- . nosed.tion Willi . emsNew residential single-or multi-family dwelling unit.Subdivision: / r T _ e. i N Lot#: ao Includes attached garage. Tax map/parcel#: :, ? x�•1 }•s. 1,�s9.it,or less MI 168.54 n ,tt t ,:t•:mac,afkli tn';:a � y0 Wl1, ;;?.V,i:•<;:: Li itedenrgy,re.orpial - tt , . Bpji 3392 _ Limited energy,residential with above ft) 111175.00 -© Limited energy,multi-family ■ El t'•:_ - 75.00residential with above .RiMI ?Xi� i if-CO ['Ekr; Qjka v' kgg % ^ S . .il . : �•O .. Rvinefcesvaboicr feeBnderas installation,alteration and/o r relocation Name: ' `► id S LLC, 200 amps or less 1111 Address:. / i ' 11 201 amps100.70 _Q I • \C' - / I n ) to 400 amps 133.56 City/State/ZIP:' 401 amps to 600 amps ./Jit as# "'lr 200.34 _© Phone: I,,� 60 00 to 1,000ampsrvolt 5552.6 Min Email: �i�wllJ-14 _�� Fax:( ) Over 1,000 amps or volts - 1,• Temporary services or feeders installation,alteration,and/o© •1, 0 ,1,' ,1 O g•a a g0" -All relocation Owner Installation:This install:•4n is•e‘ g ma , ,n property that'own which isnot 200 amps or less MI intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 59.360 _E signature:Owner 201 ampsto 400 amps _ El <k r��'(,�7 Date: 401 amps to 599 - 1 '" - ''r'i aLS,4-,..`'.:�x�Et,4'•Y�r:4YSEt•1.'f;.R•:'irii .�,'�liYvKX�6r+ amps 13 ?g '4v:: i.7:S;�:S; pO ,t p..,w: t... 4:: Branch circuits- Business name:. -, l e . new alteration or 3;•' "..• A.Pee for branch circuits with extension, .er•Auel 1I 1 l lam �i f ivc above service or feeder fee. Contact name: w i hntei--n,�ii each branch circuit .��© Address: 0 T t B.Fee for branch circuits without Yservice it feeder fee,first II City/State/VP:Vancouver,WA 98660 Sk � _ �O branch circuit 56.18 Bach add'I branch circuit 11111 Phone:(360)695-7700 7.42 _© ,t� IFax :(360}693-4442 Miscellaneous service or feeder not included Emali.� i r T f t`.�1 .'t ..• •. 'i dwellin serviceand/or feederIII 67.84 • ry xa r i u ar a 6> r. .,r.. 1.III Reconnect only or 8 ;. ,1t_ ,:uE';;,i .4t,•'1 t i:e.'' >s z;j`�}p;:. 67.84 �© Business name:Garner Electric Washington,LLC " `'"" ` Pump or hrlgation oitrde 67.84 _© Sign or outline lighting 1111111 67.84 1111111113 Address:402 Valley Ave NW Ste 106 Signal circuit(s)or limited energy .crit,alteration or extension. O See Page 2 -© City/State/ZIP:Puyallup WA 98371 Each additional i• •ection over allowable in an of the above Phone:(253)872-6051 1 Fax:(253)872 7801 Additional inspection(1.hr min) 1111166.25/hr 111111111111 Email:bdaniels Investigation(11't min) 90.001 hr _■ (u�$weusa.com Industrial plant(1 Jr min) - 78.18/hr �■ CCB I,le.: C1158 Electrical Lic.: 208174 Inspections for which no fee is _. Suprv.Lice: 44968 •tail listed g hrmin ■ 90.00/hr -. Suprv.Electrician signature, ' Mania lam" f'SlUlt 14$.1rat-iligr& gn ,required; / Print name: Joan P Albert I Date: Subtotal: 1111111111111 ' I 0Plan Review Required(25%of.armit€ee, r State surcharge(12%of Authorized signature: "�- permit fee):Emiimini TOTAL PBRIvII1 FRE: - I Print name: Bill Daniels Date: This permit application expires if a permit is not obtained within 180 * days after it bas been accepted as complete lAgulleau 2erminalit_pa,mitpPP E.doc Rwuainta°15 Number ofinspeotioasaEloryedPorpermit 440g6lSY(11/QS/CQM/WEg • fJunibiug PermitA._,.PPheaAt# ,,fi V ei Building, ..,..... Fixtures Z018 i 11 Cit y of Tigard i A1! . Received Penniaroycl_fh, / 13.125 SW Hall Blvd.,Tigard,OR sima , _ :,, ,,..--;,,-;, Dateg • ' g -TIRD . Irei . ., r. ..., Plan RaYiewPhone: 503.718.2439Fax: 503-5id4U 1 Otdrn PemtRiNI Soe.e:GAnspectonLne: 5036394175 ateedIntentWtigad-crgoV Page 2 tor 1;ligifiedibetetbod: Sc,,temente)Information Ort-;'' ';:ftitiOaVEL471::W00{0*XtgfatilleM kit? MrifeSterg145Atkigrit:Me a tnit4• 49; g3 New construction, I Demolition . D-,...',don andiniOn Total -, II Addition/alteratkinheplacement 111 Other:. New 1-2-famil:thr" (includes 100 11for each utilitycionneedon 7' niftit:4110: ft.4*tit4tAe*I::_*::;;V,r,:*Ngi,'VNIINF4 SFR(I)bath. 312 K: SFR(2)bath 437.78 - e 1-and 2...family dwelling 111 Commemialfinduswat - Accessary building ,-_, LI Mati-fanuly SFR(3)bath • II Bach additinnat batb/Idtchen . 25.02 II Master builder al Other: .Fire sprinkler( eq.ft4. ' Fage2 .it.04.40-0*,k717q:ioixtuftgo,"0 site utilituo . lob site address: 0 ` 0Catch basin or wet drain "18.76 A - ...A. '... t.'" 1- A :Dryweit,leach line,or trench drain 18.16 City/State/VP:Tigard,OR97224 Footing drain(no.linear ft.: _) Page2 Sultelbldgiapt,no,: Project name: it' Manufactured home tattles 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear il ____): Pagallillitellin. Storm sewer(no.linear ft , _) Page 2 Water service(no.linear ft.: _) pall111111111111111111. S°614aler f2-Wer As, - _ , • Lot no.: '6 Flexure Or item: . Backflow pnwemer 31.nIIIIIIIMIMIMN Tumult/parcel no:: . ..-,....u.,,,_.,..:,::.•2..,..,..7.,,,,,Na.,;2_vc.ft,...;:st.,,,.';4......viri,... .eirP. Backwater valve 1111111111011.11111111 /41.,-..F:.°;:-...Q .-: 25,o2 Dishwasher 25.02 Demising fountain .25.02 Ejectors/sump 25.02 .„-:.2.0,..1w,„.,.in.,1,..,..,..._____i;,:kw.,.-„- p.7,....:,:-.--.t______-.=;vv,s..-oz:A..it,,,,,-,;.,,;;;•,-,,:e-429;.4,::;,4,511sa-;•! ,.-.4...:` ,.?,,Y-/-: -'41';'^:14-f..). Expansion tank 2.51 Fixture/sewer cap 25.02 Name:ADVL Land holdings,LLC. Floor drain/floor sink/hub :2IIIIIIIIIIMIIIIIIIII Addreas:7600 E Dbabletree Ranch Road Garbage disposal zso2 City/State/ZIP:ScottsdaleAZ 85258 Hose bib 25:02 Phone:(602)6944031 Fax:.( ) IM maker IIIIIIIIMNNN i± .:!.i *:i'Lq_feadtarriOWIWA: ilitercePtcalgrease traP 2INIMIKISMIMIIIIM Medical gas oe: ) Page 2 Business name:William Lyon homes,Inc (W $ Primer 12.51 Contact name: h. * , do, Roof drain(conntemial) 12.51 Address: D :, .. .„ . . s.- w Sink/basin/lavatory 2542 City/State/ZIP:Vancouver,WA 98.,1 Solar units(potable water) IMIIIIIIIIMIMIIINIIII Phone:(360)6954700 Fax....(360)693-4442 0 Tub/shower/sbower pan 12:51 .. Urinal 25.02 E-gagih. k I D ' . 16 I ii. ta P I a orlNiffn•QOMWater closet 25.12 4.1',..4_,,,itkuz.'4,n-i2-1-4-'irbigAt4-2G6 :il-'7:!"'; iiit; -*.:tigttegl.:1'-gl .t,t1 , -;:,:t-7 ,:: . .:, water heater 37.52 Business name: t ttim.,, k _ .. , I--) Water piping/MN 5MMIIIMIIIIIIIIIo Address: $.1`,). 6 s-& • A othen 21...mlumni City/Stare/Z1P: 6 4'001 Subtotal Phone::(36.3'8 id' 1 I. Fax:(,, ..• .. 47—e nmum permit fee: $72.50 ip Plan review(25%of permit fcse) IE aii: Plumbing Lie.no. P it .j . State surcharge(12%of permit fee) 0 Authorized signature: 4.74!fill b . TOTAL PEpar FES Print usinc 40, 12M319w 4e, '" • Date:.„,. ..... -- ... Tbh permit application expires St:pandit isnot obtained within ItMclaya atter it tam be accepted as complete. *Fee methodology set by Tri4Cmudy BuikEng indusby Service Board. tktitiliclineennitiTLXICT-PeemitApp.aoc 30,01/0 440461,61"(10/02/COMEB) City of Tigard l7IIIII.lIIlIl' "1 COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: _ f Site Address: 21 t,.1 K1% �i''cai (I4 Project Name: k1 ?roti C(1,0- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: Planning Review Proposal: CoNlYt k-fun 6C" At , _CFR , 2 erify site address/suite#exists and active in permit stem. LSI !tiger Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Sit Plan Elements: f ree(3)copies of site plan i FA sting structures on site 'te plan must be on 8-1/2"x 11"or 11 x 17"paper n ootprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) oor elevations 'orth arrow tility locations&easements(required for new and additions) 11 e address,project or subdivision name and lot number pplicant information(name and phone number) [ Sidewalk/driveway approach ot dimensions and building setback dimensions° canon of wells/septic systems A , g buildingst7dpi trees s bere retained with drip line,and tree . uare footage of to be demolished protection U ot area,building coverage area,percentage of coverage and ReS eet e measures hpervious area(applicable if R-7,R-12,R-25&R-40) LStreet tree size,type and location property corner elevations (2 foot contour lines if more than >1 Street names / 4 foot differential) 1,000 sf of impervious area created or replaced? Eks ❑No If yes,is a storm water .uali facility shown? ❑Y0,14]No XI Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified I�/ // 12/ No Received: ❑ Yes ❑ No y���� w��-� Public Facilities Improvement(PFI) Permit: Required: 0/Yes, zZ�l6- we v e q Yes,a licant was notified ❑ No P� No,sto Applied For: �yeS ❑ stop intake Land Use Case#: f PNz 6._ 6000 Zoning: I'-L P' PFLZf1I 0002K Required Setbacks: Front �� Rear 10 Side 3 Street Side A f 4 Garage EC/Landscape Requirement: LO °tr 2,0 Li/ of Coverage Maximum: 80 CJ Building Height: Maximum Height /isual Clearance 3S Actual Height L� ensitive Lands: ❑ Yes Lid No Type Urban Forestry Plan ❑ Conditions "Met"prior tor issuance of buildingpermit Notes: co,'i ji /r•J ivru G� rile- arr-i1" isS✓wifl' Approved By Planning: f 't / ` I Revisions (after Building Submittal only) Date: i-�t�_` Revision 1: ❑ A roved Reviewer Date pp ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved i:\Building\Forms\BldgPermitRvw RES_061417.docx Building Permit Submittal / i Original Submittal Date: --7 `: t-�' Site Plans: Building Plans: # Building Permit#: Enter building permit#above. Plannin Engineering Lmit Coordinator Building Workflow Routing: g Workflow Sign-off: Sign-off for anning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: I �5 ATAPIPF,, �, 2 Date:By permit Technician: Engineering ReviewJZ- //� 76)Slope at building pad: `V ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat pV-Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ,No Assess Water Quantity Fee in-lieu: ❑ Yes )217-No �No LIDA Facility on lot: ❑ Yes Final Plat Recorded: Date: CINOT Approved by Engineering: Notes: �� �� Date: � � f� ❑ Approved by Engineering: J ate Revisions (after Building Submittal only) Reviewer 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 Date: CIApproved,NOT Released: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: 7.Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: FYes ❑ N/A Tigard Trans SDC: 91. Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes N/A OK to Issue Permit ( '47 l� �� , Date: roved App by Permit Coordinator: 1:\Building\Forms\B1dgPermitRvw_RES_010118.docx • City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT $11 T I G A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: (Ltiv s\„1 1� r "Tyrko 6lvTI Project Name: 7z;ract h=as7 Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist 'ct Design Standards (18.640.0701): Is the project subject to the plan district design standards? MYes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deepBalcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer ❑ ❑ ❑ ❑ ©/ 2. Eyes on the street: a minimum 9f 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 30,0/ 3. Entrances:At least one entrance must meet both of the follong standards: facing wall gParallel to street,angle no more than 45° from street, dMax. 8 ft. setback from longest street- or open onto porch Entrance opens to a porch: 11Yes El No If s,all the following apply: 5 sq.ft.min. ne street facing entry la 12 ft.max.roof above floor of porch Ll] 5 ft. depth min. 2/30%min.porch roof coverage 4.petailed Design:All buildings shall include a min. of five ofe following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide El Roof eave min. 12 inch projection C�I, Roof offset min. of 2 ft. CI Roof shingles either tile or wood [ Gable,hip or gambrel roof design ❑yoof 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 ❑ ay window min. 5 ft.wide by 2 ft. deep Cl Balcony min. 5 ft.wide x 3 ft. deep with inside access Lcd"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 wall. ❑ Yes El No. If No (Check one): G4r9c ❑ 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 +S kite above the garage that faces the street with a min. area of 12 sq.ft. Cn )l-1 Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade ulttl _—❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: jdvw 4 Date: Zq-� I:\Building\Forms\B1dgPermitRvw REs RT 121417.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12981 SW RIVER TERRACE BLVD, August 27, 2018 at BEAVERTON, OR, 97007 1 :48:20 PM Record Type: Record ID: Residential - Master Permit MST2018-00040 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12981 SW RIVER TERRACE BLVD, August 27, 2018 at BEAVERTON, OR, 97007 1 :49:20 PM Record Type: Record ID: Residential - Master Permit MST2018-00040 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed. Previous corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12981 SW RIVER TERRACE BLVD, August 28, 2018 at BEAVERTON, OR, 97007 12:40:47 PM Record Type: Record ID: Residential - Master Permit MST2018-00040 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12981 SW RIVER TERRACE BLVD, August 28, 2018 at BEAVERTON, OR, 97007 12:50:06 PM Record Type: Record ID: Residential - Master Permit MST2018-00040 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 r�STao��- 0005 I M". � 5- ocs�3 ) cis-ca-t‘�- oc l msN 2r0 cso msr �-\- - cx35a % ! rnS-r t CITY OF TIGARD MS� J � d. f SITE WORK PERMIT a: COMMUNITY DEVELOPMENT Permit#: SIT2018-00011 Tf.GAJ. D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/08/2018 Parcel: 2S106AD06600 Jurisdiction: Tigard Site address: 12917 SW RIVER TERRACE BLVD Project: River Terrace East Subdivision: RIVER TERRACE EAST Lot: 173 Project Description: Retaining wall in front of lots 173-179. Contractor: WILLIAM LYON HOMES INC Owner: WILLIAM LYON HOMES INC 703 BROADWAY STREET, SUITE 510 109 E 13TH ST VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-Site Work 05/08/2018 $674.92 Plan Review 05/08/2018 $438.70 Type of Use: SF 12%State Surcharge-Building 05/08/2018 $80.99 Class of Work: NEW Info Process/Archiving-Lg$2.00(over 05/08/2018 $6.00 11x17) Project Valuation: $75,000.00 Info Process/Archiving-Sm$0.50(up to 05/08/2018 $75.00 11x17) Erosion Control w/Development 05/08/2018 $161.40 Site Specifics: Excavation Volume: 240 cu.yd. Fill Volume: 84 cu.yd. Impervious Surface: 980 sq.ft. Engineered Fill: Yes Soil Report Required: Yes Paving: No Grading: Yes Landscaping: Yes Site Prep: Storn Drains: Retaining Wall: Yes Fire Underground: No Accessible Parking: No Fence: No Total $1,437.01 Required Items and Reports(Conditions) 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 folio,/ •- r -s adopted by the Oregon Utility Notification Center. Those rules are set forth a• • s -001-0010 through OAR 952-001-0090./ •u may btain a copy of the rules or direct questions to OUNC by calling 503.232,1987 or 1.:00.332.2344. Issued By: ittee Signature: 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. A Building Permit Application Residential SITE 1 O�ECEIVEC) FOR OFFICE ISEONLY APR 3 Received mut No. 1 nfo ` City of Tigard 2018 Date/By: %/3e//�' 11 P -S7�aE/1?-'C,'G0 // IN " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.MTY OFTIGARD Date/By: S"'+�,. Other Permit: 1'1 C'A R D Inspection Line: 503.639.4175 BUILDING 1 Date Ready/By: l � J. Juris: 0 See Page 2 for Int met: www.tigard-or.gov DIVISION Notified/Method /�/� Supplemental Information H.,..., i.r�`,4,.,.� , ,, ,,,,, � .-. , , ,,. >, I,,Aa�!a , �. „ . + ,,j,MI ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ®Other:retain,wall equipment,materials,labor,overhead,and the profit for the r 'ir tei il 2 , " �y04, awork indicated on this application. , iS bA.e" ",j7,20" .6., .. ',','?,AW' 5.� 'ft F.: I-and 2-family dwelling Commercial/industrial Valuation: $ 0 Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: i l ii �li,• i*. � �, w 1� 9 Total number of floors: Job site address:/,.9/7, AA e/..3.3 /A519"7 � 95: / 94, / ��. /7ew dwelling area: square feet / . City/State/ZIP:Tigard,OR 97224 /,.9?7 5��) ,QZi /• , -jz--i. rarage/carport area: square feet Suite/bldg./apt.no.: Project name:Polygon at East River Ter Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet . Wki i ii 4 Ili; 8 t 1,t ttvq; i Subdivision:Polygon at East River Terrace Lot no.: 113—/7' 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 n, g t kat 1°.. t §' W ! `� . '90, 4 , equipment,work indicatedton this lapplication.eaand th p ofit for the e r Rt wlb6 k1PM-5 wirgsrptit€S Valuation: $75000 Existing building area: square feet New building area: square feet T ,, t t .,..n . ..,..7: Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road,Suite 700 Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: l" L , r PL ` re ' ` 4, I ,,, h • " 1 3 f a i .:' i 1 Business name:Polygon WLH,LLCM ° H _ IIII Structural plan review fee(or deposit): I Contact name:Tom Dicianno �-- FLS plan review fee(if applicable): Address:109 East 13th Street i Total fees due upon application: j City/State/ZIP:Vancouver WA 98660 Amount received: I r hon::(503)577-4160 Fax::( ) r: - � I#Q �E-mail: r `1 tom.dicianno@polygonhomes.com r° < ,v .. dr� Commercial and residential prescriptive installation of 1 '' Y � kAtio, . : , ,,, roof-top mounted PhotoVoltaic Solar Panel System. I 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. 1 City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 1 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442State surcharge(12%of permit fee): $21.60 CCB lie.:207247 APt Total fee due upon application: $201.60 Authorized signature / This permit application expires if a permit is not obtained fwithin 180 days after it has been accepted as complete. 9t±t name:Tom Dieianno Date: II 3 ptrjf *Fee methodology set by Tri-County Building Industry Service Board. :`.iui:ciing\Permits\BUP-RESPemiitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) r a City of Tigard: Site Work Permit CheekHat Page 2.Supplemental Information Commercial,ritulti-Fumily and Oise-and Two-famils.listelliemst No Perm il 4 mquartl If:lilt k k44 than So vu&45 demo true.iiitati-t.or triic dim.i fret deep Nr,..d rh-). bc viii,PortivIF a uttosture. If a traildmit will.he crwl-acted en the Ii ,:t moo:he engineered till. If CU to an a ri.ott pIam,arantapc a,r,,,,or aen4mi,ii3O apipt ritiv NO, for a cviis ovr, „talt,(0,i(irit Kease complete ail items below.unless othernice noted tve" Excavation vitudirm Voldutc, v i {Solsrepvrt required for.--;3,9(Xl at,E:v 3 t5 45 co viiii. 1._.., Fill Volume (FJ txoectlice 12-in depth*hall be compact:A il tlf l 1 V 4,...P4. n1.4841 8t1MU de14841A L.„ ,— ..........--..— . kelatt18111F,Ncruchrr? Wheel : on 1„..--,, ,„ , 8:0000r . . . ri eu..,,„,... , , , : 0 Olken. que— new in.ipenintis arca at. chiding all Catiliiings, 1 e>,41-1,4011E'z lio.„, t1.0001'.'laer.4(- - , sidewalks,.and pavine: lituO40 ?&Itib i — - 1 fog 'Or/ice- Site I tfillties Vturahltm Work: I Comptele die Plumbio$Perrot Amite:Mon(or tote indiriet,p1Althint 1,5154„ 1 ..... Plans Required: Sec'''Site Wolk Permit Applicaticen-Nan Soto:Mud Requirements-attaelvd i Tliv ioilotttle oorit accompany this agiitlivattom . ,Site Plan with Vicinity Map s'holcing AIM 1, 07*Parkine(including ADA)and Inuring , !X512:9113154X ! Plan ,tiradiot Pt=.and detailv _ _ _ ,T._*Iarstiseaping Plan— i EZOKIN5 Comm'Nan and(kook I .. I Sods Report trfniNutredt I i _, Retarmng Structures „ — ..,„1 L......_. . .. ,,n4 apply to Ont vtei Tee:family klwel;tp Plan Submittal: Permit Feet — i — —TV PI•OF StrE5MITTAi. ; 0 Of radia 1 Or'atu1 ation: Permit Fee: (Stio.Additions or Requirsid at 1 ilti47441:c AC' — t.45 1.14riar-t....t..p.n...4 r....T— — 1 Alterations( 03114MM/80 p Stpthaiittill . t / MItitt4 atilt/i'RP 1 0.-.0.48,818-1:y p :4 - i -..........___ i,4,,e.a'I to ILIV.Ks 48 188.87 8.../.1.4 88.tr./.kfilm.re4 5i A.TA fit,tttl .1 i tntIrt,t IA A..!xne/Itkittm 5.2.-P#88.0/) T'841 4 t 44 OW Pall 8,8 4.440'444 / 810 t,',ty,tvt"t tkichbotal SI MO,*''*1 17,01it.$1.41Na It.OW 4.0.84.tiz .- One-Iii. I Wit i antthvellioE 1 ;'.5,..4:),,:c,,,...s.W.,73:ii.., 74.46.4:'citr.,,,..1 v..,f.4.40a—nr- 400i=Mete t:,,,atxt talaatra , Si, .,:;*;k.,1.1 td,'“Ctt 1 84411 4.!84 tt./1r.....1 ..7.44/1 88.88 Pro 488.8 8 4.11.4.8c.41 S 1,..444..no, t48;18. ..t........of w r-5:Ce,55i ut etitx-c : sat,4..:ItIt WA lenti 5.`,./....030'..) i I C.4 49 841 41.84, 1 1411031/Y41....,.5 t f,r,rmitArstr,6rt.:-.0.4i7.-,..A N. — City of Tigard 111111 COMMUNITY DEVELOPMENT DEPARTMENT ■ • T(G A R D Building Permit Review — Residential Building Permit #: S/TQC'/f--OOQ 1 1 ,54c0 ye/vet ' 7a-72/29-CJ / L ✓i Site Address: `29/ 7, /,z933, /29V? /,2_9-5- /Z 9'7, /.29,/, 4;2 9?7 Project Name: 2N--e\- T-grace S* k in I v dK Lot #: 913-�J1C1 ',New dwelling=subdivision name;Addition or Alterati last name of owner) Planning Review Proposal: V:eklinIn6 wo Rs • Verify site address/suite# exists and active in permit system. 'E LRiver Terrace Neighborhood: ❑ No X Yes,See River Terrace Review Addendum Attached Site Plan Elements: 1 .' ree(3)copies of site plan .lnExisting structures on site WI Site plan must be on 8-1/2"x 11" or 11 x 17"paper Footprint of new structure(including decks)with finished RDrawn to scale(standard architect or engineer scale) floor elevations ,)North arrow Utility locations&easements (required for new and additions) Site address,project or subdivision name and lot number `ZI..Sidewalk/driveway approach • pplicant information(name and phone number) A.iiikhocation of wells/septic systems tot dimensions and building setback dimensions NNExisting trees to be retained with drip line,and tree quare footage of buildings to be demolished protection measures J Lot area,building coverage area,percentage of coverage and '')Atttreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Street names 'roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Yes ❑No 4 foot differential) If yes,is a storm water quality facility shown? EYes ❑No Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No . Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified _No Applied For: ❑ Yes ❑ No,stop intake ...)Rt"Land Use Case#: 7 D 1220 t(.9-b'O\ JN zoning: -?S(,()P) ►o Required Setbacks: Front gt Rear N/A... Side t, 1 Street Side N//-- Garage N/A-: Pi Landscape Requirement: '21) % Lot Coverage Maximum: SD i X Building Height: Maximum Height - Actual Height 6- ti Visual Clearance Sensitive Lands: N"Yes ❑ No Type `,.0,N Vrn\u e- 4'1GALjl,Ar.Ak N' Urban Forestry Plan 1531 Conditions "Met"prior to issuance of building permit Notes: ,IR" Approved By Planning: Date: Li 134 1 I Revisions (after Building Submittal only Reviewer Date Revision 1: LI Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved I:\Building\Forms\BldgPennitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: i'//lefroP Site Plans: # ,P— Building Plans: # c2- Building Permit#: E1 Enter building permit#above. Workflow Routing: Planning ®--Engineering lermit Coordinator [ - uilding Workflow Sign-off: [ Sign-off for Planning(include notes from planning review) Route Application Documents: D-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 2'13uilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: Ot.)//cf' Engineering Review 7°' 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: E Yes -in No LIDA Facility on lot: ❑ Yes ?'No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Jd"-Approved by Engineering: A,/1<Kr w 1 Date: 4- 18S 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: d.C Fees Entered: Wash Co Trans Dev Tax: E Yes N/A Tigard Trans SDC: LI Yes N/A Parks SDC: ❑ Yes N/A LIDA ❑ Yes N/A OK to Issue Permit (APP Y ___ roved b Permit Coordinator: Date: 371;1,7- I:\Building\Forms\BldgPermitRvw_RES 010118.docx