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Permit (109) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2018-00041 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/13/2018 I "�l:I� g Parcel: 2S106AD07200 Jurisdiction: Tigard Site address: 12997 SW RIVER TERRACE BLVD Subdivision: RIVER TERRACE EAST Lot: 179 Project: River Terrace East, Lot 179 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: 25.5 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $233,357.33 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 Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 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<10OK: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=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!500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 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 1 Hour Fire Rated Eaves VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $32,449.21 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 2-001-0090. 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: it t_ / ."'I� Permittee 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. Building Permit Application tor 7 •• * A F012 OFFICE I SE ONLI City of Tigard D Received / ,2_,A ----- I >f( // IN � 13125 SW Hall Blvd.,Tigard,OR 97223 SEP' � 2o�� plan Review � , . permit No,Y,�Ste' .rYV1L Phone: 503.718.2439 Fax: 503.598.196Q Date/By: t '� ' �'I I i)' " Other Permit:44 7`'�.t 7 l /r,.�/^Q0 3� I Y I_!E e o ht•.: Juris El See Pee 2 for (X� 1 1 G A R a Inspection Line: 503.639.4175 0 Date ReadyBy: / fj' g Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: r /q /1" Supplemental Information �yeit. A /C t Permit fees*are based on the value of the work performed ®New construction 0 Demolition Indicate 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.g33, 3s` f m Valuation: $ -,iii ® 1-and 2-family dwelling 0 Commercial/mdustrial drJ ❑Accessory building 0 Multi-family Number of bedrooms: (� 0 Master builder ❑Other: Number of bathrooms: ri 1 ,� a s y= , Total number of Boors: 7/ Job site address: 2_lvll SW River a — .._ n er Terrace BLVD New dwelling area:, (V square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4 6-3 square feet 1 Ol.el Suite/bldg./apt.no.: Project name:River Terrace East Covere porch area: re feet • 1 job l(.Q square street/directions to site: L�c14.areas ` s uare feet Other structure area: square feet ;fir , £ifit t1,0,1114404/41:0"- Subdivision: il5 '4Subdivision:River Terrace East I Lot no.:119 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 equipment,materials,labor,overhead,and the profit for the -,.. r � 1 1 & lf N work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet a sWSWNumber 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: is a- _ '. y, 7 , 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 Commercial and residential prescriptive installation of -, , , roof-top mounted Photovoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway St Suite 510 Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature:ttikik.--Cidijeftt„.-- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:8/23/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , Mechanical Permit ADDlitaiAl 4i-t\,',' '77-;', ' IIIIIIIIIIIIIIEEIMIIIIIIIIIIIIIIIIIII City of Tiglird Received .Penitil:140. 7.--..0262/6P"'ee)Cl 9/ : 13125 SW Hail atVd..,7iaerth.Olt.• 91223-. t,,T\ 4I 1 2,-.CI\S ' pplaj3le:tew ' Intone; 503.7482439 Poi:.503.3981960 .., ' Dateilly:- . °thiF•Pev.nlit• T I G A RD Inspection Line; 50394I75 i--..1',-,i' o,'..;1,-.. 1;',:ii,..;:',.rN'i 1.:Date Ready/By, .. - ruow 1 21 See Pep 2.fur Qt. "N"'ket`fiecvmethel Supplemental Ingittnation.tt! ..-':., .:.;, ...-,. , ., • ,._„.. ..„,,.., _,.,„....„..,.....,. ..,,,,..........,...,.,,„....,„ ....,....:: .....-••, , ,...,,,:,..:;,, ,,54.,..!..,,,m...t;itim:;,...:4,5: st,,,14:;.,i.ri:48t..x.,,,..,,i,i,.tiot. • Mechanical permit fees*are based on the value of the work 0 New construction 0 AdditionthlieratiOnitulrineernein„ performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition El Other tneeltanical materials,equipment,labor.overhead.and ntrafit. Value:S -..'''-•:'-''*'::*f:';; Ls-'t:.::S: "-l'-0.4rf:rtA'IV'Ooil!ie.4itlrd).i*R1iktrtliftfi,, N.t:.,:: :':,.E:;•,:41:•i4':'rtf,E,I4-:?:;..tk;', '..-i,- -•,'-:,.:,,-''.--,-71- ii;'''''.'"•-.)-'".-,'.--"-' ''-'"'''''''''''''- ''. '". '''' ..' '',1.!...42;:!i," 170;.%1;P.P2Y.F.:1 .7.1,14.).V.EPIkkikk'S.141.2.t.Z'* El i-and 2-fainily dwelling 0 CoMmerciairtndustrial 0 Aecess017'building * special Wormution use chedlict. - For_ El IvIttiti-family. 0 Masig bui!ci!4- 0 Othec; ,DeScription, ., .. Qty. I Ea, . Trdal,• ;,,, .',--::;:.,,,7...1-1*-,&•:`,'4‘TIA.-?g,11:•"-:$.40*.-41*. ..i0ift:01,0it. .e_f.ti,,..***:„..rii.'04#01(SiN;,154(4-idiffillr - Fkikihl- atlid11.31 - , - An conditioning' , 46.75 . . • b .it liddet 1-2-len sw Rkskir-T -a.De___ [1\ ) Frinthee'108,000 1311.1idlieriAtin ts.) . * 46.75 . . City/StatarLIP:Tigard,OR97224: Fninice180,880t STIliductsti) 54.91 - . . ffe..*PuittP_ . , . . ._, 61.06 Sohn/bldg./ant.nii.: Project name R ikre.y.--fereace„-F.ast Duet work 23.32 Cross sheet/directions to job site:. livrironie bat water*stm e 23.32 .. • Resitrethial boiler(radiator or . hydro:Me) • 2132 Unit heaters(thel-nme,not eleettle), irtAvall.ht-ittudt,SuSiMnditti:eld: . 46.75 . • • Fiat/nerd tdirt of above 1 23.32 , , . • • . Other 23.32. subdrHvisionkr-Te)reek.c. F...aSi-7- Lot attli/CI Other - fad tippliantem' _. ,. Tax map/prowl rte.: Wittertiester 2332 .... - • ,..-.27. ,, ..-.4, ,,,,,,,,. ,. .; ,,,,.-.,,.., ,„:„.....;„6:..,N,,,„,.,---- „,i:,,-,,y„,::,.,::•:.;::..:,,,g1..,0;:ii.V.,,:,.A.....:;?,,,'".i..:!.r.'.::'''..Z:: CMS ttreplaccrusert . • 3339 .;:..,.-:7a•r.?- -;!..! .;'D..X.4a -.P...1.,....i.i:w47--.:.,:a•m.i..13.41:)!PSNI:.,, ,g..,ahiF.:TV-i!,,,.,.:.7.:1,..3:,;:.,!:-..:7: .,.,..;,.F. ,-.;!. fiec,rent for.water hair or gas • fireplace: 23.32. Log lighter-tarts/ 23.32 Wood/pellet stove 3339 Wood fireplacerthsert _ 2332 • ' . Chinuteyninerilladecut 23.32 ,.-.... Other: . 23.32. •..--,-:'-'.'..:;i::--,:in.o,k0Pgtotitotstit.;;; :,; , ialttsOlt;-:•2,:irf-k -g,!:,,7,:. F.,Mro,unenaI exhaust and enb3at1on Name: ii.Dvi_. Land . . ..... A . Rim&hooatither kitchen. * etaninment 33.39 Address:. I Iki V. IIP II, A it.'' to. A._ ,A t_.• bottles dryer mthmast 1 33.39 ' CY1Stakji.P: SCIAiSdiadle.' 1.' . tb2-S?) 7.1 Single-duct exitrunt(bathrooms,. 4 taild 6,...0.,:,63..iii.ugmy i„i,....,),Other 23.32 . . 22333.322 Phone:1,.00) .--1 oq4-41,9t Far( ) Auldcrewlarethe fans, 1.-:*::-,•:•-.,.:, ••....,„.:: .:::,:-:,:.:„:13fr:41.44104.0,t:.:,. _:gi.,.4... .::,...-,;D;I:i,i.:,..c-,,,,,,,..-..f,-..'000N1r*MP.::ERSONin1,-:-:::.7,-,.. aUSIXILMS.114Int: \N k\II‘ekileil \ Di) itrfleS ;14.15 fitir AM*finir;34.113 tor iacb additional Contact name:. ' Format;ete, . . • Gas heat pump' Address:-1 tp) fbryisixArA3...4 Si_ cakt cAD Walliguspendediunit beater -City/State/ZIP:Vancouver,WA 98660 i lWatorhiakit , Phone:.(360)693-7700 Fat:(368)693-4442 Fireplace . 1 Range 1 - Esulml:- NI 1 CAlOkk- r i i 1 Av_ 0.1., ibk _ b. haws,c-annBatbeout . 7- - .. : '';!i::- ;:!?4 :V:-, -::-:!_: .', .ii:-;i*:'1.,:::;:;'!gK;.A:41'20,;447...-1'.';',;%4,•::,,'T .: ClothesthYar(80) Other Business name:.Apex Alr LLC• -:: *ftql.k.,. *PO1T.f*efi -,'.-':.--1:.;.::.•',',' Address:18004 NE 72”Me Subtotal City/State/VP:Vancouver,W 98686 • Minimum permit(ee-MO.80) Plan revjqf 1,2..4 of permit the) Phone:060)3424109 Fax:/360)326-1769 • stalestnobatuts(I 2%of permit fee) CC13 lie:;203034 4.................._ • TOTAL PERMIT FEE This permit opplication expires ii*permit is not obtained within IRO Mos after it hm been accepted as complete. Ainhorthed signature '.* Fee methodology-set by Trt.r.ounty Building Intheuri Service Board ..Print name.... , .. • .... Date: 4 id/.A... ...... , osuitaits,potitame_pornftsApp 0401 El dtX2 441P-411 rrr(1tigaircimAino) i a..v► awwa x da aMltllb LJlal�.rba0.6a aacxna p Y - J __•- {(j �� > 1 L}L' 4 lu V 1-I I _ f 5 ( s-?'=--- -t : - Received I City t f Tiganrrd Date/By: Permit f/: ) - t/ III 't 13125 SW Hall Blvd.,Tigard,OR 97223 I<� //S� �6 t! I� '��,1; Plan Review n.', Phone: 503.718.2439 Fax: 503.598.19601 A C 1 Date/By: Related Permit B: Inspection Line: 503.639,4175 ,W-- Ready Date/By: huts: fd See Page 2 for TIGARD' Interne www.tigard-or.gov (._"•;t ( " ,s" -g Notified/&4esied; Supplemental Information i . -- i''r�--.` Y« 'RK^- Vz 0. ••L y9Ptii.it ., T;�, .�S;nia.:"s6 t`i•' i_+ "_: ...:t ii: iE��gtNFt 'tt •�yz..-t;1y. g4Y1 ®New construction Q Addition/alter'ation/replacetnent Please cheek all that apply(submit a sets of plans w/items checked): ❑Demolition 011ier; ID Service or feeder 400 amps or more 0 Building over three stories. _ where the available fault current 0 Marinas and boatyards. tiFi f.11P:Y:::,"ktI'y iq- -7-I�_ ,,,,�t' „'I. �,r li s�rr ._tiT ... - .. ._.L,L'S •'r%'. "`:'tfi'��;t3%"`.�i?`,�,''1��+�„��''-���b��+�.`'�:�: �;�'.-,Q# `y?f43''j r:�;:�Z•:l't��`:�+.�';:�:i)�s:;; exceeds 10,000 amps at 150 volts or Cl Floating buildings. ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14.000 El Commerofal-use agricultural amps for all other installations. •buildings. ❑Multi-family • ❑,,,M,aster builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or :?.i 4 r'°its `.o��{i ,-1 :'±5�rrsz �rl`'1AND Q PIOl -'" ?>i'.. :-.'i.".•..:...... ❑Emergenoysyatem. larger separately derived Job#: Job site address 2991 SAN R-1V€y' i cie Q,� �`Addition mf new motor load of system. _. ormore. ❑A">`E';"12;`1-3': City/Statt:/Z1P•Tigard,OR 97224 D six or more residential units occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldgJapt.#: Project name:b �- Easi. I31lazardous locations. 0 Supply voltage for more than f� gee 1 lima, Service or feeder 600 amps or room. 600 volts nominal. Cross street/directions to job site: i��.ft{)J{i{ti.jy p-... i::; fgikj,�pti C 1:'2` :}bari.+•:i:$ 1.':.:>:, ;:•/h.:iti •rn{•s. 'ii:i: Y.•'�., t`2„"•t.-.5'iM 1'i••?a's Vis:; :% :-5.:: Description I Qy. I Each I:j::T.otal I New residential single-or multi-family dwelling unit Subdivision: 12:vvejr Tf,Y ease_Bas-1- Lot#: )1 i includes attached garage. I,000 sq.ft or less 1 168.54 4 Tax map/parcel it: Ea.add'1500 sq.It or portion Z 33.92 1 _5 r 3"S?t:, 1°t:a>:e,Q0:1 • ' PIr WQ IC,•... : . .. :,, ,... ., . Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75,00 2 residential(with above sq.11) .. } Renewable Energy ❑ See Page 2 .figMa 1a. ....;"!7:gi. ' _ nu404 _' `010IIMAiR`il:!,.P.i. . Services or feeders installat mkalteration,and/or relocation • Name: ADv L Li> ct tip irctmcis LIL 200 amps or fess 100.70 2 Address:.�h00 E Dru.ble-vie... .n I o 201 amps to 400 amps 133.56 2 441 amps to 600 amps 200.34 2 City/State/ZIP:'Setrii-Scklei 2, B i7 601 amps to 1,000 amps 301.04 2 Phone:l.V01_UAL4 -14 QJ Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:gtoneke: QY'rp Dd� �� C> relocation Owner installation:Thus installs n is sing ma elTo'n propse thatt II own which is not 200 ampsor less 59.36 ' 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 f� „> •�{'� i �- t• ,t,:,:: ;:r x,�:r=3I �,p � , c '-i. = Branch circuits-new alteration,or extension,per panel -t::':x:c•.t..S'rma>�r„•r. ,:�'�� KQl'�•'+.�.t�•� t. S.A;.': A.Fee for branch circuits with Business name:114;1lierr Lyon t It Sabove service or feeder fee, �G each branch circuit 7.42 2 Contact name: w ichnie B.Fee for branch circuits without �J service or feeder fee,first Address:103 1?, � Yd i s Yy ut S+ & -e_ Stet branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Bach add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax::(360)693-4442 Each manufactured or modular A dwelling,service and/or feeder b7.89 • 2 Email: Ole. ill, 1. I`7 a % Reconnect only 67.84 2 �i. , • s w• �.s. v F; t L?'tiii"?°`L''F�`��� 4�i'�o-`: 9Y�.1'u.r a t-�,�-t.�L..,.a....,-1.`,.671?r'".,�3;'•;n��':7�-•:c-i`:.;,.t:.',;.iti''»l;'•a:�+:' •�, PNnp or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address 402 Valle Ave NW Ste 106 • Signaicircuit(s)or limited-energy 0See Page 2 2 Valley panel,alteration,or extension. City/State/DPPuyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90.0W hr Email:bdanielsQgweusa.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: C1158 Electrical Lie.: 208174 Suprv.Lie.: 4496S specifically listed(h hr min) ..x�!I cel,-ji;i 1t.. / .g ...:ii 1 '•.Ftca� 5•-..i.- t Suprv.Electrician signature,required: .. :°.••:':;•.'-,.-�. •��•f��<'•#��-:r�I;:`:"i.�<�:�?a•�-.J •l'"i f h ek Subtotal: Print name: Joan P Albert Date: 0 Plan Review Required C25%of permit fee): State surcharge(12%of permit fee): Authorized signature: .08F-1.1.°---- TOTAL PERMITFEE: This permit npplicafien expires if a permit is not obtained within I80 I Print name: Bill Daniels Date: days after it has been accepted as complete. $ Number of inspections allowed par permit. LABuildireParmaslEl<C PormltAPp_ELR •doo Ra 06/17/2015 440-46t5f(11/05/CO241WEB i ' 4am. Plumbing Permit Applicata 0%.$T---.t '' ' k Building Fixtures ,\' t 1 •1 C''ga G L'I of Tigard: atR et FednitNo: y/ �,i '��ot��� Iii ■ sio 1312,5 SW Hug Blvd.,Tigard,OR�9 k'( r s ,<.;' lad Raview Phone: 503 718.2439 Fax 54359l�� }`"s h QtlierPcanitNo.:. T t ,t h n InspeattoaLine:.503.639.4175 t " •DDaate Re dy/Sy:: audit QJ Sae Page 2Ier • Internet; wWw tigand-or gov NotrtiedtMethod: Supplemental Information R':F-e _ r WrA�,t< '"`..t- {"�� �' yt.:if „S k� 15r. s�7�`�(���'LkA t� �d.-��c. f,�/�py�T� '������'�_'�' �,p,��1�'+,�S: , itt P a � tr`�11�' '/Age, £. 'Ft r ro�.a4`4',`ft'� '. ci -.+'?�•'} gib,�L ..,.r�?4.401 ty.F- 1, '_ . _ :4 ��...4'� it �.?a''-�4�;,,S- � t _. .. ., � x'9+..-a+...<�rnr�,.R' .,vr_ ;t... .na..>»s�.�x�+ -��+ .. x W..-b-- r ..._, . 1.1 Demolition , . For special itijaratiadort use alrectlfsA New construction. ❑El . Description {' Qty. I Ea.. 1 Tom 0 Addition/alteratibu/replacement. 0 Other New 1-2-family dstellings(includes 100 ft:for eeoh'trts7ity oontiection) *21-- nAJZ::i * ' : , rmaw SFR(1)bath 312.10 SFR(2)bath. 43738- 0 1-and 2-family dwelling 0 Commemlat/fndusttial. SFR(3)bath 1 50032 ir- 0 Accessorybuilding ❑Multi-(amity Each additional bath/kitchen- . . - 25.02 0 Master builder 0 Other:• .Fire sprinler ( .sq ft.). ... Page 2 '4.1. s70, . . * * t f�ii4 .T 71 g „ ySite YLRY4 ' - -- un Catch basilaur area dniri 18:76 obsineaddressf19o^ Sv( gv DeraieV / • '.Drywclt,leach line,or trench drain. 18,16 . City/StatetZlPa.Tigard,QR97224Footing dram(no.linear ft.:____) Paget Suite/bldg,./apt,no.: .Projectname: (2iVPx Tf trroce-'Fv •Manafacttund home utiliaes • 56.03 Cross street/directions to job site: Manholes 1876 Rain drain convector 18.76 Sanitary sewer(rio.linear il.:_,: Page 2 Storm sewer(no.linear ft.;.__) Page 2, . .. ........ -� q Water-service(no.Iinest ft.: ) Page 2 Subdivision CZ.Ve( T eAr rite tS..— Lot no.:/1 / Femme or item; Backflow tweeter ( 31.27 Taxman/parcelno.: . 12,51 ;4 ,1 , ?g D 4, t,. ows.i , Y Y'Y.S.+....j.. :..:: Clo,.tbrasts washe, ri,iM1 b fW .}<1r .:. A -yyr♦' 25,02 Dishwasher: 25.02 Drinking fountain 25.02 ectors/sump 25.02 eras 5> ..ro i+ 4r� ' Xiatzarch Expansion tank 12.51 FixumJsawer cap , 25:02 Name:ADVL Land Boldinga,LIZ, Floor drain/floor sink/hub 25.02 Address:7600 K Doubletree Ranch Road Garbagedisposal .25.02 City/State/ZIP:Scottsdale;AZ 85258 Hose bib 25;02 Phone (602)694-4831 Fax.( ) Ins maker 1231 r fi c T 1 �1 f s y f�, : Interceptor/grease trap 25.02 -'ti=-.�.:,.s��::�».,_., ._ ,. .- - Medical gas(vane:$ ) Page 2 Business name:William Lyon Homes,Inc- • Primer 1231 Contact name: t)id*,hhorpe, Roofdrain(commercial) 12.51 . Address:10 3 tarl9LldquS-1- Sl,/•.it2•510 Sink/basin/kwatory 25:02' • City/State/ZIP:Vancouver,WA 986e0 Solar wilts(potable water) 62.54 Phone:(360)695-7700 Fax: (360)693.4442 Tub/Mower/shower pan. 1231 . : Urinal 25;02 . .E412111.- k 10 14 i tr.. hi 4, 25:02 . x .6 t ? Y 3 r � g nF � ,4; -` . ° t W l -. Water hinter 37.52 Business name: G.ta t-W Va'\ .4—. L44- Waterpipmg/DWV 56.29 Other25:02 City/Stare/MP:. T. f 404 oft., 41101 t Subtotal. hlmimumperm .fee:.S72.50 Phone:($63''81 40. Fax (lelQ•."'� '' •.� 'Plan review(25%of pent*fce) ;CCB lie.: ` Plumbing Lic.no.: kat State:surebarge(12%of permit fee) �� TOTAL1'.BR3uiT'T�FEE• Authorized signature: • �+ G t t Dater...3b...110 '?R"11 T permit application expires If*permitk not obtained within xso:days — Print name: Ste' "�.�V'i:. after it l been accepted as conxpiete. *Fa mcteadology-sat'byT&ConntyBuildifglnaoety ScrviaBoard. lAtealdn cneidgudU'Famuttippiiac 30loila4 440-4616T00102fCQMGWEB) 4 City of Tigard '7 } 0 III COMMUNITY DEVELOPMENT DEPARTMENT ■ Tlcauo Building Permit Review — Residential Building Permit #: 44c7;/.0(r-az it j Site Address: 12311 so Kw TQrat(t t Id Project Name: IS, v- -4rratC (as1 Lot #: 1 7c (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review C f Proposal: ruJ-c dr ntv SPg JyeriT site address/suite# exists and active in permit s stem. E River Terrace Neighborhood: ❑ No g Yes,See River Terrace Review Addendum Attached Sit Plan Elements: eFLree(3)copies of site plan L,.xisting structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished ^Dj awn to scale(standard architect or engineer scale) or elevations LAN rth arrow Etility locations&easements (required for new and additions) Viite address,project or subdivision name and lot number L✓1Sidewalk/driveway approach L,�G,'�`pplicant information(name and phone number) ,!.kation of wells/septic systems L tot dimensions and building setback dimensions [ Existing trees to be retained with drip line,and tree F/ii. are footage of buildings to be demolished otection measures {Biot area,building coverage area,percentage of coverage and reet tree size,type and location ipervious area(applicable if R-7,R-12,R-25&R-40) treet names Lt$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? [ Yes No EClean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): 1--iiL.,/;141�/ equired: ❑ Yes,applicant was notified 5 No Received: ❑ Yes ❑ No pp Ltd Public Facilities. Improvement(PFI) Permit: (aAj vy` �fR [ YCI es,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake 1 Land Use Case#: lof YZ 2,016 00001 19 FL2_O It OQOS'i Lu Zoning: R-LS' ( p) EV Required Setbacks: Front Rear 10 Side 3 Street Side 8 Garage 2,0LCd ndscape Requirement: [ Y Lot Coverage Maximum: 'e TX/Building Height: Maximum Height 3s Actual Height Ls,s Ng/Visual Clearance Di/Sensitive Lands: L"Yes ❑ No Type Gdal jj 0 - I4t,6, K L It,e1 Urban Forestry Plan ❑ Conditions "Met"prior to iss ante of building permit Notes: • Cd40t1 km) lrt er•stir 4-, lijroI1;' 0*'} V3S,Awnce 'u.)14a '- S.rtt- r.gr,( Lin Wellutp.A Iv • Sig-74A ,kir~nt7 6.),TAX 4 y rrii f ( Ly i gr no,OSc.e,2. v.,40d11 "Approved By Planning: la/10,J LI l tNr� Date: i—Z 218 -"I Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx 4 Building Permit Submittal q Original Submittal Date: (5�r,'-` Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning } Engineering I''ermit Coordinator ,uilding Workflow Sign-off: Sign-off for Planning(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. C,5Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: � ,if.�. - i Date: — , Engineering Review 4 To Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat z1 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes "LJ No LIDA Facility on lot: ❑ Yes e No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 1144 t Kce., (,t, • Date: i `? tf.e Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: Yes El N/A Tigard Trans SDC: Yes El N/A Parks SDC: Yes ❑ N/A LIDA El Yes N/A OK to Issue Permit / Approved by Permit Coordinator: Date: )-1! 1:\Building\Forms\BldgPermitRvw_RES_010118.docx L s IN City of Tigard • " COMMUNITY DEVELOPMENT DEPARTMENT -.r l c n R o River Terrace Building Permit Review Addendum Building Permit #: Site Address: -12. R'7- S‘,,i Gic. Tkrraft RAil Project Name: Vtt je;mare Las"- LOt #: 1, 61 (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? 1121 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. Porch min. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a id ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer CICI ❑ ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: Z2,2-A> , ILO`/, 3. ntrances:FtAt least one entrance must meet both of the folio g standards: ©/Max. 8 ft. setback from longest street- facing wall Parallel to street, angle no more than 45° from street, Entrance opens to a porch: Yes ❑ No If yes,all the following apply: [4.5 sq.ft. min. �pne street facing entry L�I� 12 ft.max.roof above floor of porch Lid'5 ft. depth min. Lel 30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five ofe following elements on all street-facing facades: lizI 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 ❑ Roof eave min. 12 inch projection ,❑ in oof offset m . of 2 ft. ❑ Roof shingles either tile or wood EU Gable,hip or gambrel roof design ❑ Ij oof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide Accent siding min. 40%of street façade ❑ Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing AL/Attached❑ B,ay window min. 5 ft.wide by 2 ft. deep GIBalcony min. 5 ft.wide x 3 ft. deep with inside access garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. PA' Setbacks: 'No closer to front or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): rj aralt ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. i ❑ 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 i 5 a lL7 above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) [0 a�4 ❑ 12-foot-wide garage door ❑ 40%max. of street façade ,I7 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: 1-di Lfli- Date: 1-ZZ_12 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: 12997 SW RIVER TERRACE BLVD, August 14, 2018 at BEAVERTON, OR, 97007 11 :50:42 AM Record Type: Record ID: Residential - Master Permit MST2018-00041 Inspection Type: Inspector: 199 Electrical 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: 12997 SW RIVER TERRACE BLVD, August 23, 2018 at BEAVERTON, OR, 97007 11 :45:39 AM Record Type: Record ID: Residential - Master Permit MST2018-00041 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed Violation Summary: Inspector Contractor C`nSTa01 - C)0(), -S t MST DA.- OCSU3 I MST 3-0 - 0(59,8 2r0g, 1 CITY OF TIGARD '3-0\ / SITE WORK PERMIT rc\S-T Lt 1 COMMUNITY DEVELOPMENT Permit#: SIT2018-00011 T ICAR 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 o• ' ± -001-0010 through OAR 952-001-0090. ♦ .0 may •btain a copy of the rules or direct questions toOUNC by calling 503.232.1987 or 1.:00.332.2344. Issued By: // `_ ittee Signature: 7'7/ 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. 1 Building Permit ApplicationC R:esid-ential 5/T6 l-vo��j ECEIVED FOR OFFICE I Sr o\l.l APR 3 0 2018 Received Cityof Tigard I,la" --rind No.. g Date/By: 7 ..-,e f/,�' -5/T'f�/?��0// 41 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review _ Phone: 503.718.2439 Fax: 503.598. DateB : Other Permit: NAY OF TIGARD y S~� ' r 16 A R I) Inspection Line: 503.639.4175 Date Read B : Judy: H See Page 2 for Internet: www.tigard-or.gov 3UILDING DIVISION Notified/Method�/�� Supplemental Information 0 , i : S.'el;',, rte,*` Al, ,a n.,,, 3°/J/i',�a ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ®Other: retain.wall equipment,materials,labor,overhead,and the profit for the n� a �� x °N; , s work indicated on this application. 4 '. t s at. t +� ti ►. 1-and 2-family dwelling Commercial/industrial Valuation: $ 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: .,4,i ��'.-r ,4,:,,,;‘,,. ‘ y� - v h� 3 �� r� �� Total number of floors: Job site address:/©' 9/7, / ?33. /019 A2.9.5`_5"", /, 9L 7 /2 ,12,� New dwelling area: square feet _� City/State/ZIP:Tigard,OR 97224 /,.9?7 Si. 7 2/G 727z CZ-6i 6-!f 1iar'age/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 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 equipment,materials,labor,overhead,and the profit for the , ,i ,° „ rfr ► ali i4,4 ,n work indicated on this application. te►lei O6 V S 0/1(14 St--(,e5 Valuation: $75000 R Existing building area: square feet New building area: square feet :Ita t o s y g % 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: 14PL; i� iss ,«�. I Business name:Polygon WLH,LLC Structural plan review tee(or deposit): I Contact name:Tom Dicianno 1-- FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: I Phon.:(503)577-4160 Fax::( ) @P yg PTO"lt' s �� i tF .:,,t7.--4:4,,,,,,,, 1 E-mail:tom.dicianno of onhomes com " - :•-> .---- F-710:,,,,� - f- � 1 Commercial and residentialprescriptive installation of - a z � a� � � ag` � � „,,,,:„5,„., ,? t '��' V a4 ' 1s; .* .°e'” ':= Py -,: �. . . '''a'"''' ., � -14 -, s . °...., roof-to mounted Photovoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. I City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit tee): $21.60 CCB lie.:207247 . < Total fee due upon application: $201.60 Authorized signature• / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. it i name:Tom Dicianno Date: Li 3 CA51 *Fee methodology set by Tri-County Building Industry Servict Board. ituilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 4 Cily Of'l'istarei: Site Work Permit Checklist Page 2.Supplemental information CummtretaliNitall-t amity and Oa -and 1"xt Vomits ttnellitils: No Mrrnit 4 lesitillrd fill id ks)than 50 Yatilx,i5 dump irisc'e 1044.4 or P.ess thou..t feet disco anil si,ili milt by suppmtina a sitisclure. If a huiliitog,wil!he crinsinteled cn the lin,:t iron he ciiginorred fill. if Fill to in A 17i sal plitoi.iltainapc viiit,or 55 eilaxd,tlio al.itilnarit rule'aiiiii. for a wils lite,iiinds reviews SIR) Keasc complete all items helots,unless otherwise noted ,/ 'Exea;:a/inn-7(701=c: / .f?li 0 ciTt Nth ' ,,,,,, dripV.,,Linie, V i(Sn11$report requiredfor 1.5,0(X)co.sfsis.i __ 1 .364. . Viift. Fill Voltam . =reedit g 1 2"'in depth shall be compacted in I 1,,... 90%cif maximum den )Lii ketuirtiop,etrne1.-Ixeck one l _____ 1 .7341.2 ! Crire,ii etc , . rkt .. oelo ? ( , , CD OLlazr. f-H---. -"------ ‘...,,,,, -Tata:nett impertious arm including all Intilaitep.TO.Alt‘10,---a&744tri '"" sidewalks,arid patine: iiiiiinittil ;(ekft5;it lk no.ii 't109)17t).444--t$ . .1 fOtz fli'l Stteitfiailies Plumbing Work:Anp Plum t , (rimy .1e he 'inn mutt l ieal KAU fiN site Itiliiiies pl,,i.tallia.g. Plans Reg uired: see Site Work Permit Application-P131StlAbillittal Requirements-anseiloil ! Tbs.luilmviat 1101%i OA foomituny thi$appluation: .scr.i Site Plan with Viciftty Map<hosting ADA '1:17*Piu-kine(including At)A1 rind Itgatir.g, i exalipir.teeie i " Flan T..._ tinedirt Plan and details 7I*Iztielsimpin-g Plan— ] truaaxii Coottol Plan 'and tit:14 4.1% II SoI4 Repnii 1 t!reqs;:red) I - — stkies isoi apply to Onr,=A Taia-faraiti dartarip Plan Submittal: Permit Fee: — - TVs's.OF SUBSIITT t I. #of Plaits , i lvaittOtion: Permit Feel , „......_.,- .. .. _ s_staa sisoateTpizial tie--____- — (Nen,"Salaam or itequirrd 6 t ! .--sko lee SW.:,;11.1 —4 Alterations) , Subinitlfd i;CT; I 40 1:,0;0;;;h 1 I•),,,440;°I,40$000 V 00;:.,4 ; I 0...:04 070 fit}.441;0110110041 51...t.i i 11,44,na i t:orriraert:4,11 i ,,66.61.tr.a,d.....1.0...15.2.66.,0) i I s4.am III 5 5:5.6.6 0.6 51(.1 T,'tt.c.66 4461616m Si MM.,. fistrtim 4144114^,I 1:41."4 44tIosi...g I 10,04.4100, 04;.& I Va.1 0;4001,700;0;44:11:69t ..,,,$)-77-„,„:„5, 70-.)-s,„ ,-,,,,.0s1 V,t.ttt.---71;-I 1 i Si On ize esik s.st.,^i,..,44$I„S 64.... . L.- — ,-......... i *nit='.1.66,L.Atkl 00W:eV 0,4,,; .., .).,,,,slit s^4.,.1 1 0,;41110„066 06,6 676:::AT4667 66466 60 1 i:.36,6066 4110h r6)4606666C46 it I:040,041.,. mi 1,4 1,646 Or66.6661 6666 1 516.1.(..x.r.i1 5. 5:5"6 mit 1.1 an,l.......c . tisr 4:it#SPA-lost$,:i110'n')In 6.1..i....65.5.4 ' i . " 'Pi i City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: --S/7 2 OI?--0001 1 ,540 ,ei v' 7Z`2/Z t 7 ,&L. Vb Site Address: `29/ 7, /29.33, /2-9`/?, / -9-5:-S, / 96., /,299/f / .2 t%7 Project Name: \\I-e1' T--race X15-1- RCA-AI Y1I V\inI K Lot #: 113- -19 ew dwelling=subdivision name;Addition or Alterati last name of owner) Planning Review Proposal: R-e ‘n I n6 Woa 11S Verify site address/suite# exists and active in permit system. 'QRiver Terrace Neighborhood: ❑ No X Yes,See River Terrace Review Addendum Attached Site Plan Elements: 2 . ree(3) copies of site plan Existing structures on site M Site plan must be on 8-1/2"x 11"or 11 x 17"paper 1Wootprint of new structure (including decks)with finished Drawn 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 VISidewalk/driveway approach pplicant information (name and phone number) Vocation of wells/septic systems Rtot dimensions and building setback dimensions NAExisting trees to be retained with drip line,and tree NAC.quare footage of buildings to he demolished protection measures 'Lot area,building coverage area,percentage of coverage and 'Ii§tttreet tree size,type and location impervious area (applicable if R-7,R-12,R-25&R-40) IqStreet 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? ❑Yes ❑No Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: El Yes,applicant was notified IS. No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified .No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: •P D122,0 tLp-b)O\ ,'Zoning: R-2-S pP) 11,iN Required Setbacks: Front Of Rear fT.pt Side S Street Side nlfA- Garage N/A- ' [D1 Landscape Requirement: /0 Lot Coverage Maximum: i X Building Height: Maximum Height NJ I.fc Actual Height 6- 11 2-Visual Clearance Sensitive Lands: N Yes ❑ No Type \....0,A) VA`u e. `,'I.Ljt--i--- 3R' Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: ft Approved By Planning: O,�,Q - Date: 4134 11 Revisions (after Building Submittal only Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPennitRvw_RES_061417,docx Building Permit Submittal Original Submittal Date: y/3Li/rok Site Plans: # v/-- Building ZBuilding Plans: # c-- Building Permit#: E-Enter building permit# above. Workflow Routing: Planning engineering gfrICrmit Coordinator [ - wilding Workflow Sign-off: D''Sign-off for Planning(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: By Permit Technician: e.<0 < '' Ute.. Date: 2c)/1" Engineering Review 7e' 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 'i No LIDA Facility on lot: ❑ Yes /[j'No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: .24pproved by Engineering: A,f KK-- It.; ,. Date: 4/3-4/1 8) 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: sOl.tI C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes i N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A LIDA ❑ Yes N/A OK to Issue Permit �/� (Approved by Permit Coordinator: 1/ Date: 3 /b 1:\Building\Forms\BldgPermitRvw_RES_010118.docx