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Permit ,, CITY OF TIGARD MASTER PERMIT • t COMMUNITY DEVELOPMENT Permit#: MST2017-00522 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2018 Parcel: 2S106AD05900 Site address: 12994 SW RIVER TERRACE BLVD Jurisdiction: Tigard Subdivision: RIVER TERRACE EAST Lot: 166 Project: River Terrace East, Lot 166 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 Right 3 Detectors: Yes Total: 1858 sf Value: $235,747.63 Rear: 0 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 Drains: 0 Footing Drain: 0 Ice Maker: 1 Bckflw Prevntr: 0 Catch Basins: 0 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:00 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: NEW Occupancy Group: Square Feet: SF VB R-3 1858 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 SCOTTSDALE,AZ 85258 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 throug •••R 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: -.41I "6,7e 9 �✓� Permittee Signature: (?1,17. .? {/-/°e>/G'9--,T7 C1 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. Bu,iIding Permit Application L-v (a ' ResidentialR� j �r-- FOR OFFICE CSE ONLI City of Tigard ry +} Receives ! 7 `) III '� 13125 SW Hall Blvd.,Tigard,OR 9722E I E �7 Date/By: � // Permit No s 7� �/� ���Z II Phone: 503.718.2439 Fax: 503.598.1960 Plan Review �� 8^ j 6 /(/� —r� y j Date Re O Other Permit: or VU 27 7 i G.1 P ll Inspection Line: 503.639.4175 i F ! Date Ready/By: xr p Internet: www.ti and-or. ov " y y' '� /�i �` /, 7 i;5: H See Page 2 or g g �� d Notified/Method: /,// Supplemental Information LLQ gi Z-- /V/re—et/..-. ❑Demolition Permit the are based on�the valuev ®New construction fees* of the work performed. 0IndAddition/alteration/replacement ❑Other. value(rounded to the nearest dollar)of all �,-;, t y equipment,materials,labor,overhead,and the profit for the iP work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ^/ 0 Accessory building 0 Multi-family Number of bedrooms: S Ll[ ❑Master builder /� , -1-t7 ❑Other: Number of bathrooms: * t �, , a.:� :. Total number of floors: Job site address:(2"t�� SW River Terrace BLVD New dwelling area: 8 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 43-"' square feet Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: " square feet'©Li 9 Cross street/directions to job site: Deck Mgt J $4 �Vq �/' square feet ?S V Other structure area: 6 square feet 1< �i t �< € Iia ®I a < Subdivision:River Terrace East j(pip n e -- On` l - Lot no.:t ll/�Y Pemut 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 t ii ` t'<0 , # ' 9 work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet 4z. Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy p y groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New Business A�. s " k � - .. __ D' z _ _ e e ...: .Yd Y� 1 =. .... It,.i ss name:Polygon WLH,LLC ' , 2_ Contact name:Nichole Thorpe Structural plan review fee(or deposit): Address:703 Broadway St Suite 510 FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount received: :,- 4 r .. E-mail:Nichole.Thorpe@polygonhomes.com ,, t < ^- t , a < s F Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:William Lyon Homes,Inc Address:703 Broadway St Suite 510 and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review and administrative fees): $180.00 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: This permit application expires if a permit is not obtained Ai/CIA/4 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:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . . Mechanical Permit.ApoliCatifilEGEi\ti F • R....h.! " • . ., City of' Tigard ,,-, DaveIlly; -14"ithINWSZ7247/7-t9e-5;2O.2-:" 1 -, .13.124woolii*14:-Tig :QR•97211 JA\I 11 20 1 0 pla.,Rmiew - •---..- • . • otitor.pormii, Phonee 503.7102439•Fit4:503490,1960 ,,,..pctrilly: 1 I G A R D Inspection Line: $03.639,4 in C iTY 0 F T1(3,AR Er-Oat?Reatldyiy: - two: el Set Page 2 fur - Internet Vorittigard-Oriov -. .,-,t,*,-kwottriediMethoci; SuPalemental Infeimaden BUILDING Divts.51um ... ,. ... , - . Avo'...1941%Mit 0,2,:c011f, -.0w.t$01..0041,..4.44#0g0rOki-:-- Nlectlantratt permit fees*are based on The value of the work [3 C New construction 0 AdditionialterittienfreplieeMerlt, performed.Indicate the value(rounded to the nearest dollar)atilt Demolition: 0 Other.' moclutitical materiels-equipment,labor,overhead.and profit. Value:$ .,,. ',..:-.1'.•-:./.:'.7.7".7-,:.,J.7:Y.-. 041. 1g,int.,.9.kTg..PP....:x:.z.-, iV:0,,f-57,0W.T.iTZL:ifi,z.. .- -07.-*,; ,:.,J).,:.0-.siiitlx..g-$01410,:rfso:TErils,..or„,ip„,..,,LJ,i.e,„ ... 0 1-and 2-family dwelling 0 Conunereialfincluttrial 1:1Ateessery.btitildirtg Far special Information use checklist _ IM mutii-itaoly El fga*r bui!* El Other, " Deioriprim; ] Q . I ta, i Total.. ,;_:•-, Oli j.6140*Aki#KO*4a:Wita..).4044-i&l,ki44;e0 . 11",14.1tudiull Air candidanimr.. . . -!01/01, addTeS i 2.444 14 Swi gi‘k,r Texy-afe, Gt\ID puii,ie.100000Invokiiii,ai.4 • • I. 46.7$ . . „ • City/State/ZIP:TigardtQR 97224; Furnic•e-toktiogt PTV iductAzonit 54.91 . . Fleet PUMP . . - 61.06 Suite/bldg./Ott no.: 1 Project 060*,Rikre,r-rryym-Ecis-i-- Duct work- . ' 3.32 . ... Cross shoot/directions to jab she: ,1153fionict hot water*stem .. 2132 • . Reslifential bailer(radiator or hydroidel . . 2332 unit.heaters(thel-type,not-electric), . . ht,wall.in-doci.suipended..ete: . - 46.75 Flueivent for anv of above ,I 2332 . • ! • • . , , Gther: ..S,ubdivisimERWCr"Tedyrafr_ Easi— 1'-4"°-:[tap ., . 2332 rit -,3ler rtio OPPIlaneem' . _ . . ._ . , ... , . . Tax map/paredno.: Witterheater 23.32 •-.',T.:,.--;'14" '''-'4-'' n - :41:2;14;SC.P.r#01.A::i0t:*040%0'-')C.:,T-'4;i47:=-7i7laE;T!'Z'',''',!:-;;.:4:::.,' -:',.; Gas&ma _ 3339 • '""''-' • nue'vent for wittier heater or gas froplate• 23-32 Loa tighlerlass) 23,32 Wood/pellet stove 33,39 • Wood fireplacohnsert 2332 . Chitonevilincrillueivem 23.32 23 37 ....:.;',..•....: 4:i-,.011.P110001*-A*Px:• :-'isi:,:-.;, ::i: f,;V:10.1....s.ifF !.:' ;,,k414".;.t', athE: mental exhaust and Ventilation: Name: ADvt, ....culci Rang.e hood/other kitchen Address:1 tO 00 R -00Vilatrittl1CRA.,nc, c.2_.0cti . Oodles dryer eatarast City/Stute(BP: SC,64.1-scioh,. sp,. (%,25-c) ...--• 1 Plv":002„—loc11-1-1-it)3tJ ) '.:;,,:::;:',7:71-; ;..1.44:*4.k.00;j:::0•;:iiT,'.. .:,:.:Ki.;'..::-.;f :•--:.;",...,.,ji:ci,',-,.*4,4*..*01.:****4k..::..-,•,.:r...z. Met,: Single-duel ex131400 tbathr9oMs, ' 33.39 tZteiLczawiseolnliantherip7 Zsutility iot* 1 2332 . . • 2132 2332 Business naln 1\i\) °an k 0() thrneS lig)C _ " ruelPi!)itt4.15 Ter Mao— ;$403 for each additional a Contact risme:.thaulezy), . .. . ... _ Furnace,etc. 1 • Address:1tY (6T-D'Acttkru .....si-.. SUJ-kt S\D . Gas heat pump' Wall/suspendedlunn heater . , . . ... . . -City/StattiZIP:Vancouver,WA 90660 Water beater . Phone:(360)693.-7700 1 Fat:(360)683-4442 Fireplace .. . 1 . . Range . • . &mad:. M 1 CAIRk.e:11A mi-no 41 -%1N1 r.-,77--,....„-.., _.-----7----..._,,,—, . !".. . ,,I.14...11. 7.%SAO J4..0,1,..VIN:W,„! ),()_. Barbeette• _. . . . ,V!'.0.;.,',:l.'..'4,Ar.'4k2,-:, :itli.,1:4-,r]:.,-%:Pci. ...;,..-• . Cliqh.es d.rYer(atts) . 13usinessnatim:Apex Air LLC. Other .,'-'4I41Xliiii44c40.04titreig0Y4':.gi.,.:4-:i.,, _. ... ,. ...,..... ,. . . . Addrcss:13004 NE 72"Ave • Subtotal City/Stale/ZIR:Vanctuntr,WA 98 . _ kfinimarn permit iet.1590,109)_ . Plan tmiewt2itii,ntgermit fee) Phone:.!(360)3424109 {.Fax:(360)326-1769 . State-surcharge(129‘ofpennitfee) : ' • • MB lie::203034 .,., TOTAI.,PERMIT FEE Aitthorized 4griature: . Print namel! 1 :707C / 4 Date: 4, . . - .ThiFsteperinimethadt Apalpogylical4tiontle:catatyres ir*pa:di::innodusitit eine.Inedsiwicetsbothie Idlat daya after it bto been accepted as complete. Elbatticooncitafer_aineitApp WM I3 den 40-461;71/031CONIA01111 wa x m,a ecce&,(¢ aRbetl�4x E City of Tigard ® F+ cE u L o�'r, ' Received - 't 13125 SW Hall Blvd.,Tigard,OR 97223 J A�' �. i 01 Date/B Permit VI-LS-7, ✓ QQ s-,�?,•�1 Phone: 503.718.2439 Fax 503.598.1960 Plan Review I Inspection Line: 3.&39.4175 M,-. t- Date/B. Related Permit I/: T,,„, ' �' CI�"Y OF "t�,�,� t.,) GA . Internet www.figard-or.gov �. ,I I'I\ ISI 1 Notified/M. Remy et od: Ions lid See Paget for brti ` -. ESL e 4 a 3�e p_, sr r 4 , Supplemental Information ®New construction✓ `t.•ct,.K1/- !ii„ .„...!j'!: 'ti i a`•'•S: i;;•4`:,1 0 Additiou/aIte �`..._.- ••`.•-•”E.•.'.''.•,t:.'iS.i.Y:x,;�la3CAR �•1`t �::••n:..�'.•••r�'•,S�_jiry7{..,;y=i` ratiotrlreplacement Please lans`fine och checked): 0 Demolitioncheck aft that apply{submit sets of '":"` :/;-:� 0 Other: El Service or feeder 400 ampsor morePlaaoverve three to Demolition '�Sf :-,i:is•" 0Med -:z+:7.. ,;%r:sY ti,'::t:sM r.. �9, __,?oJ' bS T• t �:c �.; s.... where the available Mutt_ Bendingboatyards.les. .I I-and dic•i # ' _: w-} a ilk:;'a;' 's,!?s>' :.?il. "`: ;,• wcceeds 10 000 at 150 current Marinas and twatyards y dwelling 0 Commercial/industlial amps ,000 nr ❑Floating bat-use s ❑Multi-family0 Accessory building ... fess to ground,or exceeds 14,000 j*1 Commorofabuse agricuEturat ''�'y l i• r .. 0 Master builder 0 Other: amps for all otter installations. •buildings. - ;,E;s rJ%3 "`i`ii.'r 1. �t c. :b' 0Y!i z4 a.`_•'•• ,, Mire pump. 0 Installation of150 KVA Job#: . Spy Yw m brger derived Job site address: • / 4 , t ,• ❑Addition ofnew motor load of system `' Ci /S �I. �, t001IPormore. O A,.E» City/State/ZIP:tate/ZIP:Tigard,OR 97224 ,"1-z","i-3 ©Sire or more residential units occupancy. Suite/bldg./apt.#: Project name:�' Medal-care facilities. O Recreational vehicle parks, t I do. g' / ti Olinzardous locations. O Supply voltage for more than Cross street/directions to job site: ©Service or feeder 600 amps or more. volts nominal. -ti: :., a{•i .,�:i:i': ,x:;: •.w t 6•c.i. 46{:•F ;(_i:,'s•: 't:. •peacri'tton _ ••d'z7:iT.,J :.q •:;i i'.LL,.:. • Subdivision: ~it �slmisa '�_ New residential single-or multi-family dwelling unit 'tom i `, Lot#: f j includes attached garage. Tax map/parcel#: :�%J. 1,�sq.ft.or less 168.54 Min i'ii_='�w•.C-#�>,=:1���: ;�ii ��:k t er'r° ;x :.. .. . ... Ea.add'l hAl ° l ?a'.:PEIC :; 500 sq,ft.or portion ni��_0 Limited energy,residential r 75.00 -© with above 0) Limited energy,multi-family residential with above: .1t 1111 75.00 a rg '4 aM1 ,4 • Aj .' -l .1: M ? kA:k,;< Rvte sofRenedes installation *Per aStloee P anedl2or reloc�ation■Name: ■ j • Address:. J�' II I , , 200 ampsamps or less 10030 _© City/State/ZIP: /,gt` - ,[" I r . '� 401 a to400amps 133.56 �© „j� amps to 1,00 a 30034 r© Phone: J�� I� — �v i Fax: 601 arm to 1,000 amps 301.04 Et y ( ) Over 1,000 amps orvoltsMIR �© 552?6 Email: , l 1, Temporary services or feeders installation,alteration,and/or Owner installation:This`install-,!n i^ ►' i •.►,g p' �t location g ma n property that I own which is not 200 amps or less intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 59.36 mg _© Owner signature: 201 amps to 400 amps - Date: 401 125.08 �© ii*5�r, - aq �' nrhrk�::i:=;.-,": ''"7c,; Nowak-- �— ato599amps - 168.54 9 t s„�•2<'l•;irr'k `i .:i:•re;s •. .:�<,.; Branch circuits- terata Minn ••��1!T'=T;,•,,;:i,;.,, ne1v,nl on or extension ver v anel Business name: /l.Fee for branch circuits rpith I' i s. h a t1,1 pit/:!♦ti• ► above service or feeder fee, Contact name: ; .11 .. , 1 reeach branch circuit .��© Address: , B.Fee for branch circuits without L is, , `• ' ' service or feeder fee,first 8` branch circuit II 56.18 I City/State/ZIP:Vancouver,WA 98660 Bach add'1 branch circuit 11111111601 13 Phone:(360)695-7700 Fax:•(360)693-4442 Miscellaneous service or feeder n included Email t • Each manufactured or modular 1 t!�,]1 .`/ , dwellm;.service and/or lb III67.84 Mille Email: - ,�i��h q ► it: 1.61 _ P%. - e,e "int° ::m,°=7n:1e)�Ga: ,m—: er' :,•,.p _` Reconnect only NB 67.84 Business n `' `z " ' 5 F' Pump or irrigation circle al Garner Electric Washington,LLC 67.84 _© Saga or outline lighting all 67.84 min Address:402 Valley Ave NW Ste 106 • Signal circah(s)or limited•energy City/State/ZIP:Puyallup WA 98371 mel,alteration or ert0onsion D See Page 2 -© Each additional i• •ection over allowable in any of the above Phone:(253)872-6051 Fax:(253)872-1801 Additional inspection(I hr min) OE 6625/hr Email:bdaniels Investigation(1 hr min) 90.00/hr =� @gweasa.wtu Industrial plant(1 lir min) � _■ CCB Lie.: CII58 Electrical Lic,: 208174 Inspections for which no fee is Suprv.Lie.: 44965 , v••:1 listed K hrmkt III 90,OQ/hr 1111111 ing Suprv.Electrician signature, ��� =i•e;:,.t;;•;1:; gnature, aired: A 1111111111111 l ■..' J ,. :.;ir :?':,/>?+I% .:4 c, o. , t i Print name: Joan P Albert < 1 Date: Subtotal: O Plan Review Required(25%of permit fee): — Atrtharized signature: �""'�__-_--- State surcharge(12%of permit fee): MEM TOTAL PERMIT PEE: IIIIIIIII Print name: Bill Daniels Date: This permit applicafion expires If a permit is not obtained within ISO daL1Butl s after it has been accepted as complete, ece a sP Minos Rev 06/1712015 * Number of inspections allowed 1»rperudG 440-461s1tt i/ostcoadrwae Plumbing Permit AppIicatio G F n Building Fixxtures. City of Tigard Ji A N l t. Z018 : PermitNo.. : i'+ 1312$SW Ball Blvd,Tigard,OR'0.1223 ` /Sir /2-e-05. 2- Phone: 503.718.2439' Fax: 503.598. +(°r L•-� Piae]tDatea3eview Ogler Pernik I4o.: T c a u Inspection L.11":-5°3'6394175 E- ; Internetwtnv ti B I D I tar IVO(NateImdp/Sr� Ser2 for t�Ss/e'* � ��goy a � Notified/Me9iod Supplemental information x w .-.r' wy,.,*�,Ft'Yi.?-�.,iiFir4 XS;'r _,t ,� il'aa ;Ppiti - ;r'. i .�'0;:t, -y ^..7$ ik-t^s..,l� gSii*� c ,r ale - _.,.:.,.,,,.. !.<.,w,.�-!'£?-i-_. .... ,4,.6, #Tri tr. `%1% ,- i', Ct .z .k ��/ TTii�+T%..+r� , .'i$ s. .E7..n-K. ®New construction.. Demolition a For special irr/oitnattoa use checlEltct. Addstton/alttuatitonlrelZIacemegt 0 Other: Description Qty. f Ea.. 4 Total / e Md •- - z T New 1-2-family (includes I00 ft,for eaoh-utiltty oonriection) :k fillWn 0 1:rglOr SFR(1)bath 312 70 ®1-and 2.-family dwelling D Commemia iindustrial.. SFR built i SPR(2)bath 43.7,78 0 Accessory building Multi-family (3) 500:32 LJ Master budder Each additfnnal batblkitchen 25.02 ,L js t L Other Ph sprinkler( sq IQ-. Pale 2 �: �+5, `µ-404,:5"1 'g bt1.0 719.1�7�•T c: M.74,7 +'N ��,�rt site utilities lob site address:t'Z(,�G� Catch basin et area-drain: 18�6 S 124v-te TeATA w atvn City/State/ZlP:rIgard,011.97224 •DtYA'cil,hutch OA or teach draw. 18.76 Footing drain(no.linear/L:___) Page 2 SSutcJbidgJapt no,: Project name'. l`l@X',+? ' Manufactured home utilities 56.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear f.: ): Page 2 - Storm sewer(no.linear 11.:. ) Page 2 Water service(no.linear ft.:_ Page 2 Subdivision Ilivelr T drynre -Eq�-- I Lot no.:`40w' - Fixture or Menu "runup/parcel no:: VBackflow preventer ( 3(27 +' i r L:; ''..-,art DYi.- __gtilIP s.4R�` .arm '... -n s`�T :x: �aC1[W8te1'YS1VQ ' W.C_=,fi �..it ' ;r ��,.. ._ 3 .1:. Clothes. ` 12.51 25:02 Dishwasher 25.02 Drinking fountain 25.02 sump 25.02 w .e� Oli+3 ;.: _ 'a rt . id " K'�t� Expansion teak 12.51 T Name:Alin,Land Holdings,Ile. Fixtura/sewer cap 25:02 Address:7600 E Diiabletree Ranch Road morn drain/floor ainkfiub 25.02 Cfty/State/ZEP;Scottsdale;AZ 85258 Garbage disposal 25.02 Hose bib 25:02 ' Phone (602)694-4031 Fax.( ) Ice maker 12.51 = .. wfir ...' .;F -x.r W.. 41 ._1 _ Ci. i1f :- Imre . 25.02 , - Business name:William Lyon Homes,Inc _ Medical gas.(value:8 ) Page 2 Contact name: j)idnoiO lb� Primer r 12 51 Addre::s: t'�"rs ae+A.�-ls ' i �� Roof drain(commercial) 11.51 , 1�3 f�3S�aA� c4 .Sl1-1 SI ) i Sink/basin/lavatory 2502 City/State/ZIP:Vancouver,WA -Solar units(potable water) 62.54 • Phone:(360)6954700 Fax:':(360)693-4442 : Tublshowarlshower pan. 1251 .. . ri urinal 25.02fi mailNIChDk V ' r 1 d ( KIurn Waxer closet - 25:Q21,r, 3 ' c3nF - � , '° F..r i r� :17,1 .4:g ,-,e `t" f, : : - . Water heater 37.52 Business name: G4-4 er` Waterpiping'DWV 56.29 - Address: ..b f.. Of A . Other: W 25O2 CicyiState/ZIP: ST' P 11 tai Subtotal Phone::(�'p,jj,0^ 8�41',,,..('Ui Fax:(lei V..- ,f7.4�' M9nimumirermit fee: $7230 CCB Lica. 1 3 I� t ?lamLie.no. Plan review(25%of permit fee) State surcharge(.12%of permit fee) Authorized signature: �+ .�� '� •j'o"�"'+-. TOTAL P�1v1PI'.FBE. Print name: }„• f...(14.... W'icg-__ Date:S••38 I.10 lids permit application expiresita:permlt knot obtained within Mill:days aster Rim been accepted as complete. *Fee metiwdology-set by Tri ounty Bu ding Industry Service Board. talundicOSPetmiMPLytt.PureitApo.iiee ItAnia9 44046t6T m City of Tigard p COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential TIGARD Building Permit #: /t.sT,,LO1) --00 S-.? Site Address: /2 9 ' ' 1 A v r �` �► V e' Project Name: /`ti..�� ,ri"a eL ,C1' Lot #: /L (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review /� Proposal: A.}e. �T-7_-- Rirify site address/suite#exists and active in permit system. ver Terrace Neighborhood: ❑ No l 'Yes,See River Terrace Review Addendum Attached Si54Plan Elements: tee(3)copies of site plan J sting structures on site 151 to plan must be on 8-1/2"x 11"or 11 x 17"paper MI Footprint of new structure(including decks)with finished Oi Prawn to scale(standard architect or engineer scale) oor elevations iT1 Orth arrow tility locations&easements(required for new and additions) " to address,project or subdivision name and lot number �I Sidewalk/driveway approach PJ Wacation of wells/septic systems Ui•Applicant information(name and phone number) p Y VI .t dimensions and building setback dimensions ! \sting trees to be retained with drip line,and tree U1't uare footage of buildings to be demolished yrotection measures ,1i Lot area,building coverage area,percentage of coverage and LJtreet tree size,type and location 'impervious area(applicable if R-7,R-12,R-25&R-40) NJ Street names Property comer elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? MYes ❑ o 4 foot differential) If es,is a storm water a uali facili shown? ❑Yes�IJN; ‘stiilean Water Services—Service Provider Lett, (lot platted prior to 9/10/1995): mVe ' ,' a 'equired: ❑ es,applicant was notified II No Received: ❑ Yes ❑ No 1! Public Facili ' s Improvement(PFI) Permit: PJ1,3-6 I(e`.61t1)ec/ equired: Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake V d Use Case#: ���' /(� Co 0 / maning: /�__________"----9- �Regwred Setbacks: Front RCP) Side Street Side Garage [OL/] andscape Requirement: CI ot Coverage Maximum: wilding Height: Maximum Height _=-4�-� Actual Height .,Q 0/Building Clearance ensitive Lands: 6/Yes ❑ No Type . lU— Lra 41 43_41-47/1--- Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit • /V1 01 jj ��� 1 Notes: __() / )T /.k',cue /0/1 1 L. o /7 bre.._ - ' 2 ,ii_ .,Ap 41, Approved By Planning: OE--L., Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: t t Site Plans: #$ '�' 2 .F, , ' Building Plans: # Building Permit#: CI building permit#above. Workflow Routing: ❑ Planning 1:7 Engineering El Permit Coordinator ElBuilding 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. El Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: Engineering Review El Slope at building pad: 47 767 ❑ 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 a No Assess Water Quantity Fee in-lieu: ❑ Yes -Er No LIDA Facility on lot: ❑ Yes B''No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Lf,t,l V t Date: / 7/)8 Revisions (after Building Submittal only) Reviewer ( Date Revision 1: El Approved El Not Approved Revision 2: El 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: 7 C Fees Entered: Wash Co Trans Dev Taxes CI N/A Tigard Trans SDC: Yes El N/A Parks SDC: t: 'es El N/A LIDA CI Yes 1/A )7POK to Issue Permit / t/ Approved by Permit Coordinator: Date: Z d I:\Building\Forms\BldgPermitRvw REs 111617.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12994 SW RIVER TERRACE BLVD, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00522 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12994 SW RIVER TERRACE BLVD, July 30, 2018 at 11 :12:49 AM BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00522 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: 12994 SW RIVER TERRACE BLVD, July 31 , 2018 at 10:10:22 AM BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00522 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control passed Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor