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Permit (115) CITY OF TIGARD MASTER PERMIT ■ COMMUNITY DEVELOPMENT Permit#: MST2018-00037 T"I c;;A I?f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/13/2018 Parcel: 2S106AD06700 Site address: 12933 SW RIVER TERRACE BLVD Jurisdiction: Tigard Subdivision: RIVER TERRACE EAST Lot: 174 Project: River Terrace East, 174 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement 0 sf Left 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front 8 Dwelling Units: 1Smoke Third: 0 sf Right: 3 Detectors: Yes Total: 1744 sf Value: $218,912.82 Rear 20 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Y Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 0 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Bckflw Prevntr: 0 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 addl 500 sf: 3 201-400 amp: 0 201-400 amp: 0 P 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 Y Garage Opener N All Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: Square Feet: SF VB R-3 1744 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 2 Fire Rated Eaves PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $32,156.82 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: �-�! / / / Permittxe 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. 1. ding Permit Application Z—, 0 E $EDFOR OFFICE I SE O\l_l City of Tigard 9 Deis , PermitNo.' 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 7 2017 Plan Review ' llitST��� 3� 2 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1_ .O '.J 6 "-, Other Pe`n't. l � 7C3 Inspection Line: 503.639.4175 C i� tw'3 I •i'a' ,) Date Ready/By: ,6' u S H See Page 2 for T IGARD Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: / f( Supplemental Information 40 �iL /0 'F/1%-- Permit fees*are based on the value of the work performed. ®New construction ❑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 a I work indicated on thi tion. fia�. ������;�.... ::.. _ - •:;,,Te'-',- -% Valuation: $ 'Li ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: 1.18,,, , a 0 Master builder 0 Other Number of bathrooms: s=t^ Total number of floors: Job site address:a/ `✓J SW River Terrace BLVD New dwelling area: ` 4 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 9 Z square feet ty g Suite/bldg./apt.no.: I Project name:River Terrace East Covered porch area: (.1 square feet 9 3q / Cross street/directions to job site: 1Beele-area:- J 6 square feet $o 6- Other Other structure area: square feet Subdivision:River Terrace East l Lot no.:j 1 L 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 u 1 r s work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet - a, a 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: ig kitSit :.. 7 , _i,,�s`. 'a: . - sem` :C- 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 t " ,, Commercial and residential prescriptive installation of ' � „" (TW 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 lie.:207247 Total fee due upon application: $201.60 Authorized signature:W/4-2 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Date:8/23/2017 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB) I -.,, .-.,)---r-•., . C4F1,* .7 IV;77. -, '. . Mechanical Pennit A linatioir-- - -- - FOR OFFICE ESE ONLA City of' Tipird IAN 1 , —.0 tea,m72 ).- --4, II_ 13125 SW Hall alVd.,,TigintLOR 97221.PiaPtca601.74814a39. Fax 01.198.1960V hO1 1GA:13 lose001 -im $( . 075 esir.: la se.no 2Inteneemgrd-org ;: vter SuPPienitittal InfOrmation• •• iVMg0t*V0015541V2RZOVAIVAVIgnai Iviechatheal permit fees*are based on the value of the work Cif New construction 0 AdditiOnklieretiOn'ireOlitbertletti, parOrrned.Indicate the vatue(routidecl to the nearest dollar)of all 0 Dexiniitioa 0 Other immemmiimemorp.......______rawittutical materials.' . ment labor,ot,arhead.and • fit. T'.. .?;;N:Kin'l#Ot.:04#:#0)04;*10001frlihriik12::'4,41440'igt : . 'a 411.MMIMM.......ILILUI11.1.11.111111111111111'C''' -''-''W ..0 ''4.7'' !sgitrA#,k4w01141.91.1Rr. , :axs: El 1-and 2-1inn11y dve611ing 0 Cornmarcialtittdustrial 0 ArzteSsOrY6ttilding . Forapedal information"se checklist . . r' Kilil-tarnily C3 i1/44asiet:buifOr 0 Other; .. v„1==imin.... 4#00gei5W.:-4;1'arg! "11111!LI411 Ea. To '. - Air einiditkin 0,:• 11111 46. 5 SIM ' Job site addresa: ' ' i / .0- • A drk, ,...i IP puinice,looma B.ru 4.i,tifve City4tate/ZIP:TigarikOn 07224.: ..........______Ftinaci $1 600i-.ETU;Jacisliertier Eli 54.91. 11111111111 • • . ifill111=31111111.111111111111111111 61-06 IIIIIII Suite/bldg./ant.no.: Project name-.'' .-. i it 4- , _ btai,t work 11111111143211111111.1 . Cross sirectiditeciions to job she: livdrortio hot water ''''' ' 1111111M11.1111 • Resiikotied War(radiator or 111111111111111 , hvdronio) Lthit heaters(Ibel4YPe;"*41441111,1111011 . • : in-wall.in•thiel....0, ded.'cid. Fltatiee for in.. ahcwe IIRIIWIRMIIIIIII Other . . 111111EIVIIIIIIIIIIM : ipitvisiong,‘ Li OEM nn 7 . Other Nei at. tact*: Tax rnapIparre1 no.: Wiaer.haatar .1111111M..._11111111 40000***filr**ki01MA4.'400.tet g- : riMIMPIAlli. 11.11.1.111.111 33'39 11°111111 fluethr water heater ez.gas 1111Man , Lo, Ii4••r ,,, mortniumm Woolf-... -,.stove IIIIII 3339 MN . Wood ,.". . IlSort 1111111M111.11111 Chime ilinectiltic)votti 11111111111,1111.1 J:.:,;:.,i,:.,!.-j:-.0.:Ii.404.04).;****E.:.,.:i..:::-;.:',,i:;: •..,:' ':..-.•qi,.i:.:',:4,f,:ixityitg14. 14w4tf0ijsw ir.71111111111111111110..11111111111MMN E ironnteutzi exhaust and ventilation: Name: ; . Ranke boodkither kitchen. 1111 3. alli • „ Addm":• ' Ph - ' 11.1. 1L .. ? 6 _ doifies. . mataust RN 33-39 MIMI CitydState(Z1P: to,•4 , . tit tillo 140 Single-ciao exhaust Onthrqatns, nipleggi ,. lead tio.. , .. en. utilit thorns): Mil Phone: I I ....- IA — Par( ) Ask/c . ,tryie fans 11.111grall..111 ' •'..j...4.s'::::::',....:41.,..1:#40400.0.4t4M.',n':.:::'.. i'. **A0::ii*i:; ;:':., Other: 1131111111M . Business pante: k. ' c ii A soitt• Ili $14.15 Rtr first fair;34.03 for each additionat Contact name: ik ,A • IA MIIIIIIIIIIIIIIIIIIMNNN Furnace.tie, 111111111111111111111 v Ga haat in ,....11111111M1,_11111.1 Address'' i .. L Ilba AP' .Ar „ ' '4 .11 MON.. Wed/unit healer IIMEIMIlimin ' Cityi5tatefZIP4 yammer.WA 98660 Votatec heater 1.11111111111 Phone.(360)695-7700 Fax.":(360)693-4442 ........_._.__._rg.IMIIIIIIIIIIallIlaIHMnllIllnIIIIII IIIIMENIZ/M11111.111111111111111.11111111111 'I Eqnat. NIChOlt I li k al,z et o a 4 , a ni" _ki A liarbigain 1111111_111111111 : *....gelki;:g4T.O%:';7:....111.:.1,.,.;:..... :.!-.5:.:ct3hial.: 'ii: f '-g.:.:.i. Clittos dn'orOms) . IIIIIIIIIIIIIIIIII : Business tram:Apex Air LLC. Other . IIIIIIIIIIIIIIIIIIIIII ' ,::,-,,,g.:;;77'..,?,#4R4ggww--. ,'..--..:,.:,,,.' ialdrcss:18004 NE 7224 Ave Subtotal aIIIIIII ' City/StaaefZIP;Vaneolmers WA 98686 Main=. it fee 090.00 11111111111111 Plan review 25%of ... lifer) Phone:.060)342-0109 Fax;(360)326-1769 • Stattourchurie 02%of Pormit.160) .....____1111111111111 GCB/lc::243034 AIIIIIIINIIIIIIIIIIIIIIIIII TOTAL PERMIT FEE inn= This permit application expins ire permit is pet obtain' ed oithin inn days idler it leo been areepted at complete. AilikOtiZed*mature: ... Bee ntothatiolegy sot by TO-County Buildlim!Meaty Sc Board Prim name. I iek. . . Date: 4./01.ft,... lakiathrootiwarcejtartaaapp(.401 Li deg 440-46177(/VOICIA4A'Vlitt --. 1L$'lD'7W • � i'=!/_....,,,Z." CE UF`?E iONI Y I City of Tigard . j` lJ Received i, ° 13125 SW Hall Blvd.,Tigard,OR 97223 Datea3y Permit rf 1f� i Phone: 503.718.2439 Fax: 503.5eNTII6 j q 4` �"y Plan Date/13 /!�� /� 19 Inspection Liao; 503.639.4175i',77-;;%.f.), r e TIGAT�D' 7ro, e4 �, �' Ready , RolatedPennit#: nteiaetr v.tigard-or gov °s it, L Ready Date/13r �z- »o Notifiod/Metbad: t$See Page 2 for r , sr= r' 4 1LT ? „t a.i'k f :,.�..: .;t Supplemental Information EI New construction ❑Addition/alteration/replacement.. ..G.i i.f}>. A. .f."••S'._� '•::.iii•^.`':: "e ..,Y•: -- s f _ t checked): Demolition ai,eotcnu bat \$Inn �`�bYrCI'}.� `"hr F.S ?a;V F 4Cj 1 Please ` �`�� �' '' , •;r Ottapply(submit z sets ofpleas .r":`,' '� `st?urtz.r<ic; ❑ tte�r: 4 ❑Service or feeder 400 amps or more Wilma ahcee stn ®I 4+::?-�rutr.: b�i.'..� '�a `wf74' � �ws %:T%`i"'t ,�< x,.: where as, ' fault lio °verthreestori and 2-family dwell' '': .. `' ';°'F -`-':;'•t:i:•<M exceeds 10,000 amps at 150 volts or ❑Marinas and boatyards. mg ❑CommercIalindustrial 0 Accessory less to ❑Floating buildings ❑Multi-familybuilding ground,or exceeds 14,000 C 0Master builder amps far all other installations. o dings.n[-n15 agricultural ;:,.t.�:ztts,:� �.:,_� ,. Other: :r•,,.:;i.. o-:�.;: ,ii;iesT!. t'i i;:fa t ❑ ❑Fire pump, boitdiaga Job#: Ai )tz:.;t :.... ❑Bmergeno ❑Installation of 150 KVA or Job site address: i r system. larger separately derived t.-.. on ofnaw motor toad of system City/State/ZIP:Tigard,OR 97.224 1 * •nmorn. C7"A".'S",�I 2•;^1 s°; six or more residential units. occupancy. 4 Suite/bldg/apt#: Project name: ❑Health-care facilities. ❑Recreational vehicle packs. Cross street/directions to job site: 0. d- i ti ❑Hazardous locations. D Supply yolk for more than ❑Service or feeder 600 amps or more. 600 volts nominal, T % tY=,< >:,Dsci,Use r ��0New residential single-or multi-fomy dwelling unit. Subdivision I'i ' T- = _ i , Lot#: includes attached garage. Tax map/parcel II: - - �lY•.�'`,L:�k�>}K •s£. • ::,•.-< 1.000 s9.R.or less W t TC' "r•,• sq.It.orporti _Q Limited energy,residential 0 (with dener e...ft. 75.00wihmktMQ Limited energy,multi-family ■ - .s`i, „r =-4z1' a am> : -�O,r° `:�:r'�`µ'��£s?�,. s:.=�`•';:.,�;�•, residential wiihabovosq.R. 75.00 �.- '"4:;: , :i..�z-,:.•�: lRenewable En ❑ Beef 2 � �j Servltxs or feeders installation,alfcradon and/or relocation ill i. � � 2 1 � 0 200 Address:. .O' lb , amps or less - 100.70 _© *f ) 20I amps to 400 amps -�c0�© City/State/ZIP:• ,k2l �! = : -v �' 401 amps to 6Q0 amps 11 20034 Phone: t f� Ijr _> 1`- Fax:( ) 601 atm to 1,000 amps - 301.04 am© Over 1,000 amps or volts - Bma k. ' A b. •l A It _t_,installation:This`• I II 1'is:1 `�j ► • ,l0- Temporary services or feeders installation,alteration-© lnstali•..ne gma PS'en propertyrelocation intended for sale,lease,rent,or exchange,accordingthat own which is not 200 amps or less - Ownersignature to ORS 447,449,670,and 701. 201 amps to 400 amps 125.0811 =© •-- •#. >� •i ca ., Date: 401 amps to 599mamn •zm ... ,h :,a: :I;ki F3,4i. ' I. •.•,-< : Branch Cl Business name: , i' i N%''a}' ;: ,•:: drafts—new alteration or extension .et•.RIIEI P. k b 1 s; i1/.l♦(1- A Fee for rvchtt circuits with Contact name above service m feeder fee, .� . 1 " g 1 ►.' Fadi branch circuit ■� Address: 1 B.Fee for branch circuits without tI_ _. :! g - ' ' service or feeder fee,first City/State/ZIP:Vancouver,WA 98660 btatichairanc Phone 3 Bac h add'I branch circuit �© ( 60)695 7700 Fax :(360)693-4442 1111111231111111113 hOseEach nneous service orfeeder n included ',3 :.y ,,rl.a1' ' R.�t .sa ui�i: . 1.11 manufactured iand/or modular - ' nr.,e c c s• 4 4,• ;l conneetonl ���© name:Garner � " .v ` t'f:,>:�,:;ral;,�.ir;�i?`:ii.f ;;�' ` ' :ig, y rr i Business ;1 is Electric Washington,LLC Pump or outline g circle© Address:402 Valley Ave NW Ste 106 Sign or outline lighting �© Signal circuit(s)or limited-anergy City/State/ZIP:Puyallup WA 98371 mel. atioq or extension. ❑See Page 2 Each additional ins ection over allowable in an of of the � Phone:(253)872-6051 Additional inspection(1 hr min) Fax:(253)872-1$41 Email:bdanleis®grveusa>cotn Investigation(1 hr min) 90 =� Industrial plant(1 hr min) 1.1163M21111111111 CCB Lie.: CI158 Electrical Lic>: 208174 1 I>�tions for which no fee is Suprv.Lic>: 44968 •tett listed 14 hr 111190.001 �I rv. Yc 37; Sup >Electrician signature,required: 'y`� .s1 E�! st .'Y� .�,:•, ?cr /:a1•; t •a f`_.,,3.}y Print name: Joan P Albert • ` `t -Y' • Date: Subtotal: 111111. 0 Plan Review Required(25%of•mut' fee): Authorized signature: State surcharge(12%of permit fee): MENEM Print name: NI TOTAL PERMIT PEE: 1111111. Daniels This permit application pplication expires Ma permit is not obtained re ElnaitdlagiPeieiitsytit C?armitA Bi iC * days stray it bas been accepted as complete. Pp IiRE tine Rey eG1t72015 440 96ts7(t trosfcot�utvas Number of inspections allowed per permit. . . pi. Plumbing Permit A.pplicatiut:t '',C-:::id P''."'""" CI,f , ''',,,,,,,-- .r.''' .. .. . Building Fixtures Ilh . 'atY OTigard 1 2°1 - Rweived Peirnit,NVV,5 7;2 0/1--ae37 . 1.317,5 SW 11.411 Blvd.,Tigand,tht v42,1,. , - ,.-,,-.:,,,,.:-.., -, Datemr ' 4 Phone: 503.718.2439 Fax: 503.kWao ur t ,'-.,,rt.,! :-,...; Plan Review Other PernihNo.: Inspection.Line:-503.6394175 i:1 I ft! in.''Z',:(1 T:',N C.-'1C-2"'' n2212311 TIGARDilidi RI See Page 2 tor Internet Www.tigrud-Or.goti ''' '`--- Ne 1.tead)'/EY: Notifiediktethod: Suppleniental Inforniation ..,,,, ..... . ,... . .. „ „ . sAAMP,14.11,,v.j63.Z.V- TY.t.tOilt41_,,W..,,tkeillOWil5N-ANS14-ti va'Wb4:',011.4%-41#7124CAPKWilVal-6-00!14''''.1'-'1P.7' ' El New construction. U Demolition . For special Mforoiation or-checklist -. Description t Qty. i Ea.. 1 Total In Addition/alteration/replacement 1:Other:. New 1-2-family ditinlings includes 100 ft foreachutility Corniced* Atitilarang*Sd- 90,-,-,.,,,,InOr.P,PX4 .0k$E4g4„,t-ZaMt .SFR(1)bath 312.70 E1,1 1-and 21-family dwelling 0 Conenemialfindustrial. SFR(2)bath• 437.78 r-i • SFR(3)bath • 1 500.32 0 Actessory building 1.-1 Mtilti-family . Bach additional bath/kitchen 25.02 0 Master builder 0 Other:. Firesprinkler( sq.11.): Page 2 VSeittaglt;:*k-*S:#41:,4.r4We:i**t3.4-WS.OM. Site"Me" • 18.76 Job site address: 1Jy)03 5.4 Romr, iarace. Imo° Catch.basin in mai Main :Drywell,leaoh Eue,or trench drain 18.76 City/StateraP:Tigard,OR 97224 . Footing drain(ho.linear*:____) Page 2 Suite/bldg./apt,no,: Project name: Rivex Ttreace,_-EzAkt-- manuracturo home tiftlities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft. _): Page 2 Storm sewer(no.linear*:____) Page 2 Water service(no.Threat ft.t ) Page 2 Subdivision r2-Wer Tedvvri(e_"Eaci--- 1 Lot no.: n y Fixture or Item Tax,rasplparcel no:: Backdoor preventer i 31.27 t• 12.51 25,02 Dishwasher 25.02 Drinking fountain 25.02 Bjeators/sump 25.02 laNgfailIatia.INVO.U.Raiii ".:114 5411'16°71th* 12.51 Fixttue/sewer cap 25: Name:ADVL Land Voidbigs,LLC. 02 Floor dreizi/floor sink/hub 15.02 Addreas:7600 E Doubletree Ranch Road Garbage disposal 25.02 • ; City/State/EP:Scotisdrde,AZ 85258 Hose bib 25.02 ' Phone:(602)694-4031 Fax:( ). Ice maker 12.51 S.!,i:_t'7::.',g1.6.1-•;' :E:iel4i*.:4:AADkrk°V luivrcePtmigreale imp 25.02 Medical gas(value:$ ) Page 2 . Business name:William Lyon Homes,Inc Primer 1231 Contact name: p ichac-nelorve_ Roof drain(corainercial) 1231 : Address:1 0 3 &., si- SvAie.SAO Sink/basin/lavatory -.- 25.02 City/State/ZIP:Vancouver,WA9S60 Solar units(potable water) 62.54 • _ . Phone:(360)695-7700 Far::(360)6934442 , Tub/showerishower pan 1151 E'Inaili MICADK.DVIVA PO An 1 'Urinal 2.5;02 25:02 .a.1-1W31`.-g-s•Fli.,:ice :'ti si=ffilfpir'S,i,7-1r.Rill-..r,T::zt-.,- ;';.; Water ciNet Waterheater 3732 Burdens name: G.+4 kl thAyk,l)kci.4--50,4 g,,A,e„.. Water piping/DWV 5629 ' Address: P,t)• I,-ox OtA t - Other: 25:02. . city.tsuieziP: 5.T. e 444 arc. c1(,31 • Subtotal Minimum petmit fee: $7Z50 •Phone:(SO 4-.814.-- 1411 Fax:(4111 v.141.-e 11/0 • CCH Lie,: 1811 ri,2,_., Plumbing Lie.no.Pb 63 41 'Plan review(25%of perniit ice) State surcharge(12%of permit fee) .. Authorized signature: 1P141,,T.4 lril„1,4fr"*"•-.--.,_ • . TOTAL PERMIT EBB ' Print nen= S÷fAit, FP w14.eD.cs_36....1 to This permit application expires Ha:permit is not obtained witidal8h-days after Wits beet accepted Itt COMPiete. *Fee methodology-set by TriCounty Building Washy Service Board. Medi*PenniteeNtlamthAv.ifew 30)01/09 44046161(10/02iativitwEs) 1111 City of Tigard s COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: 1�/ j , -7 Site Address: 12133 W r;v(r. Ierr1(c Qk,). Project Name: k' Tratc, e -)- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: �Y Planning Review IN Proposal: Co„\AD,A, ^ 04' i\,W ' ,Cl/Verify site address/suite#exists and active in permits tem. Lid River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Sit Plan Elements: �t ree(3)copies of site plan u J e plan must be on 8-1/2"x 11"or 11 x 17"paper odiKog structures on site tprtnt of new structure(including decks)with finished wn to scale(standard architect or engineer scale) or elevations P •rth arrow / Pp l Utility locations&easements (required for new and additions) bite address project ect or subdivision name and lot number Ig cation of•plicant information(name and phone number) ❑j idewonClkof veway approach ot dimensions and building setback dimensions wells/septic systems g xisting trees to be retained with drip line,and tree on .,. are footage of buildings to be demolished pX M ot area,building coverage area,percentage of coverage and of t tiee measures pervious area(applicable if R-7,R-12,R-25&R-40) u_Set tree eine,type and location perty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? [: es No roo 4 foot differential) If es,is a storm water quality facili shown? ❑ Clean Water Services—Service Provider Letts of platted prior to 9/10/1995): ii 4 No r squired: ❑ Yes,applicant was notified C-_ A- rfifes (_ JJ M. No Received: ❑ yestilf❑ No Public Facilitie mprovement(PFI) Permit: 64 ult squired: Yes,applicant was notified ❑ No �� Applied For: /Yes ❑ No,stop intake Land Use Case#: f 0 t22-016.-ow oning: ' _2 r j i�z �6" 1�11�Q Required Setbacks: Front Rear ��� Side 3 Street Side r//9 Garage ,�/Landscape Requirement: a W'Lot Coverage Maximum: 90 V❑ Building Height: Maximum Height N7 isual Clearance Actual Height 2"f Sensitive Lands: ut Yes ❑ No 4!J Urban Forestry Plan Type 2_4 ��� � C � �.� a ❑ Conditions "Met"prior to issuance of building permit Notes: CiNt i-i -), (C 4- I r kr- -1-1' 0 trr. •)- isSucliCe Approved By Planning: �� Lia_d Date: AJL3 Revisions (after Building Submittal only) Revision 1: ❑ A dReviewer Date pProve0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\BuildingWonns\BldgPernutRvw RES_061417.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. [�-E eerinPermit Coordinator uilding Workflow Routing: i Planning ( n (include notes planing review) Workflow Sign-off: Sign-off for Planning Route Application Documents: 7-Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. JET—Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / ► � By Permit Technician: vrn '`g�,, ''��: Date: , /_� / Engineering Review ID 7o fr Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat tiZ(Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ,//No Assess Water Quantity Fee in-lieu: ❑ Yes XJ No LIDA Facility on lot: ❑ Yes No Date: CINOT Approved by Engineering: Notes: `U � I Date: ( IV ile Approved by Engineering: Date Revisions (after Building Submittal only) Reviewer Revision 1: 0 Approved ❑ Not Approved Revision 2: El 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: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Fl Yes ❑ N/A LIDA CI Yes r N/A ❑ OK to Issue Permit i Date: ,20r) � Approved by Permit Coordinator: I:\Building\Forms\BldgPermitRvw_RES_061417.docx • City of Tigard ■ rliAl COMMUNITY DEVELOPMENT DEPARTMENT TI ca A>l D River Terrace Building Permit Review Addendum Building Permit #: Site Address: 12933 5\„J Ir,wr -Terrace eI4. Project Name: R v' Tei-rau Ear Lot #: 17"l (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dis_tr'ct Design Standards (18.660.0701): Is the project subject to the plan district design standards? I'Yes 0 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 ft. deep min.2ft.,5 ft.wide min. 2 ft.,6ftwwide Gabled dormer 0 0 0 ©' 0 2.Eyes on the street:a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: 2-3-0/ 3. trances:At least one entrance must meet both of the follo7ing standards: Max. 8 ft. setback from loest street- facing wall L Parallel to street,angle no more than 45°from street, n or open onto porch Entrance opens to a porch: Yes 0 No Iff y5s, all the following apply: 4 sq.ft.min. [ O e street facing entry .. 12 ft.max.roof above floor of porch I 5 tt. depth min. [ '30%min.porch roof coverage 4.Detailed Design:M buildings shall include a min. of five of the following elements on all street-facing facades: Q'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 0 Dormer min.4 ft.wide ❑ Roof eave min. 12 inch projection 0 Ij.00f offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide [VAccent siding min.40%of street facade 0 Window trim min.2 1/2"wide by 5/8"deep 0 Window recess min.3 inches for all street facing 0 B y window min. 5 ft.wide by 2 ft. deep ❑Balcony min. 5 ft.wide x 3 ft. deep with inside access VAttached garage is 35%or less of street façade 1 f J 5. Garages and Carports:May face the front or side lot line on a corner lot. I- Setbacks: 6ji, L No closer to front or side lot line,than longest street-facing wall. 0 Yes 0 No. If No (Check one): (auk) 0 May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. 0 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 (1" LI- above the garage that faces the street with a min. area of 12 sq.ft. clit j Width: (Check one) 60 12-foot-wide garage door 0 40%max. of street facade 0 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: (4711iLDate: 1-2.1-If JABuildingWorms\BldgPamitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12933 SW RIVER TERRACE BLVD, October 18, 2018 at BEAVERTON, OR, 97007 11 :49:59 AM Record Type: Record ID: Residential - Master Permit MST2018-00037 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12933 SW RIVER TERRACE BLVD, October 18, 2018 at BEAVERTON, OR, 97007 10:23:04 AM Record Type: Record ID: Residential - Master Permit MST2018-00037 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 70 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12933 SW RIVER TERRACE BLVD, October 18, 2018 at BEAVERTON, OR, 97007 11 :49:53 AM Record Type: Record ID: Residential - Master Permit MST2018-00037 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Violation Summary: Inspector Contractor msTad - 000a5I Ms1' ) MCI"2r-0 oc S / - \$ - (sc?- m s-r a1J cy, a4 I re\s-r `��- oeo CITY OF TIGARD SITE WORK PERMIT .114 q COMMUNITY DEVELOPMENT Permit#: SIT2018-00011 TFG1' RD 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 $1,437.01 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follo�/ •- r -s adopted by the Oregon Utility Notification Center. Those rules are set forth c•- -001-0010 through OAR 952-001-0090. .0 may ,btain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.:00.332.2344. Issued By: , - •- ittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. 1 Building Permit Application Residential S/TE /4/OR/RECEIVEDFOR OFFICE USE oNlA APR 3 Received off City of Tigard 0 2018 •rinitN II 2 NI 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review/.N3 /� ' J/ /� ��O/� Phone: 503.718,2439 Fax: 503.598.j��'�/ Date/By: v <Z.• t Other Permit: lJ1 i 1 OF TIGARD � � A G A R( Inspection Line: 503.639.4175 Date Ready/By: Juris: � See Page 2 for Internet: ww .tigard-or.gov BUILDING DIVISION Notified/Method� 7 a Supplemental Information w 4 z .o c�� 'd 1 iVRI 1 F 1 4 r o- v e lsv jN New construction i s ,,,t Permit ermi to the are ',,'$ ,U'''''''''''''''.-4...''''''4'' e(rounded the toy the � �r goo fir.. �,., to a „�. ❑ 0 Demolitionfees* value of the work performed. the nearest dollar)of all ❑Addition/alteration/replacement ®Other:retain.wall equipment,materials,labor,overhead,and the profit for the r °' , ( 00,E a r ; work indicated on this application. nz Valuation: $ F. 1-and 2-family dwelling Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: ElMaster builder ❑Other: Number of bathrooms: n _ .r Total number of floors: ''',"-:-!'1:1L-1 , 4 Wil� *4Q . .��,., .§ .• 'OM Job site address:/a 9/7, /A 5'3,:r.5, /A997 12'j5, /' 947 / >.-i',/:„ New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 /,,9?7 5 tqj ,Q/ 7.-172/2,96,7 ,671:i-L9aragecarPort 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 Rn t A t to i Subdivision:Polygon at East River Terrace Lot no.: 1/3-i 7 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, . . � ma erials,labor,overhead, ad,and the profit for the y e . 5a work indicated on this application. , ,, Atiz, lmRr� . � , Rt11/1006 V�S 0/1.04 s, t� Valuation: $75000 I` Existing building area: square feet New building area: square feet ,3,,,.... i� R t � t �, > � � �n 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: r Fc ,m t Y•.. cif »a <i, 44,7;j 1 H I Business name:Polygon WLH,LLC Structural plan review fee(or deposit): I Contact name:Tom Dicianno 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::( ) 1____— GAP Yg PK iTt3V'�i � fi • 1 ;. rg ^v 1 T mail:tom dicianno of onhomes com - 1 A.�} Commercial and residential prescriptive installation of 1 g a t t ,,y ;t k. ,t roof-top mounted Photo Voltaic Solar Panel System. Business name::‘,;;;;;;:'1,4;:;1'''''',:,.;:::;::'''4'"-'''' illiam 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. Permit Fee(includes plan review City/State/ZIP:Vancouver WA 98660 and administrative fees): $180.00 i 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. tut name:Tom Dieianno Date: l 3 0 *Fee methodology set by Tri-County Building Industry ��tL Service Board. :'.3uih ng\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) • i City of'figard: Site%York Permit Checkli*t rage l'-Supplements,"Information comitterciall,l'iltd$1-Eamily arid On -and Tali- • strip I permit i.•re4eatr.eil it till k le••t MM SO yXSItS IS IiltIlip Irlita*1 tta1,6 I,or teloi thou,..t feet&leo 21,1;1 tA 1„ MIX IX S:uppnrting,a st,..octure. it a hu ikliar,o-,:li he convolved on the lir,:t:to he enimiered fit/. if a 17,..oct plum,arainape ii,ii,tIr Nk el 14n,t:lie.3ppli,„:int rons.t NO:, fir a NtA is 1 tN r„JILIN ic-V,ett Kel,ISC eioniptete all stems IVIOW.LLINIONS criferwise atiiect V _ "Excavation Volume: _ - - _.,_. ''Y4 VkACInir i"(Soils report required for:-5O()4)zialListim_...., I ]._ Fill VoIiittar 1 (FJ exceetiit g 12-in depth Jail be compacatel to 1 of ittaximum dcitu titA ketainiap,strnelom'i (C}Kti 0130 v..„ 1..., Nu I f.'noosiar . rif 1.: .,,,-- 'I'otal new iniper•inut atm ittelodlng all huiliiingf„ I attifptior.04111.----- — --1 v sidei•ono,ar,e1 pafink: liftioatil ;6/0 Cf. 1.86 1400in 6**44.o.cL 14-ti• , , 1 fOg *771141%' — — Site t ttitilies numbing Work: ' 1 Complete the.Plutntiint.I'ermat Appliexion fix atm Jr 1.11.111II,Virat Nt(If it, i Plans Ilaq 'uircd: Sae''Sile Won,Penni:AptNlicatIon-Kan Submittal Rialtiimments-attairlieil i The foilowtel Miro Atti.viiktripiany this appiseatiom i Site Plan with VitiMty Map 1.'nemietv ADA 1 07 ar.mkate(iniluiling At)A1 and Ltgatir.r,: Toipliance ,, —___ ., — ' Itiratilillluziantidetaill .,,,,, l *Lawifining Plan "ll Etosiehl ronitol,Plan 'anTii—tii.4,44.1; 1 Soils Report Itf%NIL:red) 1 , 1 Nil Retain:rig Sernentrof _ 1 i 'Otit's im2.1;My Lo One onel Two-Galli)dvirigl Mit Submittal:PE. Permit Feat I , _____TYOE SUBNIITTAI, ; a of Ilan* ' Lyablation —....._ : I Panatit Fat: (Neat.Additinon as ilnkinirti.4 st s.icii 1 Aiteratians0 l:orarsen:ial snatninal -3 “-kivittl:taniily R i OCCUpamy , —3 [ , ssrt(I an ILIEI,+0», i 1 I N,:,ttla 1,^ti 0.f ,tAtIllasuel S I..IL,i 4 1,11 Ala ! i rattvet tr,I L*..1,k144.5,24,,NtAc, III 4,t'S r.41.1.0) 1 1 1 Stu IT,tr.),rAtt atidttottm NI Mt/ft,,,,, liwIll..,therol u,sew tiscikki4c ut,s.SK:twit , I 021C-IL I NIII 1 JUNO OW:10E 1 :.5I:10/.'"Ir,SSC.WI.1),,i',, r-t)is..,11N-ctitae 0,1 57.,tVt.CKI and I ' Nfit,INNII',Xi , , NN,,1,.,5,I:;It I 0,.*..r"rt' 1 V*40 4,'S fi*v. ":•;TC.,„--iiiia tfo,i,.1 "."-- I f:,.x•to ii...4,Iiiilitm,li Simi...Ho.. le 411,i Millol,.., I.- , S:KK'001,1 chic,,,e, PM 4:iiTr e....4 tom.4,...,wow 7.) 1 i ti4 41 riif _....---. S,t-o,riaitonviav City of Tigard . "1 14 COMMUNITY DEVELOPMENT DEPARTMENT 11 T I G A R D Building Permit Review — Residential Building Permit #: --S/A CV/cf--Ogc, 1 i ,5tc) ,ei t' 7Z-72/2,4C-1-:1 ✓.,6 Site Address: /29i 7, /,z933, /.2.9'/ /g2-9SS, / 9'6,7, /299/ / 2 9?7 Project Name: 'oV-e\' T--�rra.ce E -r' RCA-MI i Vi\in � Lot #: 113- 11 ',New dwelling=subdivision name;Addition or Alterati last name of owner) Planning Review Proposal: R.f{n1Y1W l ) W0Rs Verify site address/suite# exists and active in permit system. 'Q_River Terrace Neighborhood: ❑ No X Yes,See River Terrace Review Addendum Attached Site Plan Elements: t .' ree(3)copies of site plan .irExisting structures on site M Site plan must be on 8-1/2"x 11"or 11 x 17"paper IRFootprint of new structure (including decks)with finished RDrawn to scale(standard architect or engineer scale) floor elevations ,eyNorth arrow %Utility locations&easements (required for new and additions) >Site address,project or subdivision name and lot number VI-Sidewalk/driveway approach ISI;Applicant information(name and phone number) ocation of wells/septic systems tot dimensions and building setback dimensions N xisting trees to be retained with drip line,and tree quare footage of buildings to be demolished protection measures Slot area,building coverage area,percentage of coverage and Nom+1$treet 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? ❑Yes El 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 kNo Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: i D12-'2-0 tip-O )D\ ,S'Zoning: R-S PD) ►i7 Required Setbacks: Front 0t Rear NJ.q- Side S 1 Street Side N/A- Garage N/A- ' [01 Landscape Requirement: t ) 0/0 r Lot Coverage Maximum: % X Building Height: Maximum Height (N)L Actual Height 8— t I . Visual Clearance Sensitive Lands: 'Yes ❑ No Type \--0,N Valu Z VArAk t,-11-4-- ):St Urban Forestry Plan 1g Conditions "Met"prior to issuance of building permit Notes: ®t Approved By Planning: c QA Date: (11 43S) I Revisions ( Building after Submittal only Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPennitRvw_RES_061417.do cx Building Permit Submittal Original Submittal Date: '//3Gi/lJ> Site Plans: # c- Building Plans: # c;.. - Building Building Permit#: €1-.Enter building permit# above. Workflow Routing: Planning ®-engineering iermit Coordinator wilding 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. Ei"-Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: < 9 , ,cam, __ Date: y/ i1/� l , Engineering Review 7 Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Aff Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 'J No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes )'No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: AtJ ba. W L Date: 4/34/8) 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: ►1 I O 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 APP Y roved b Permit Coordinator: 0 A( te: 311; I:\Building\Forms\BldgPermitRvw_RES_010118.docx