Permit (126) „hi_ „ CITY OF TIGARD MASTER PERMIT
• . COMMUNITY DEVELOPMENT Permit#: MST2018-00026
TIGARD 13125 SW Hall Blvd., igard OR 97223 503.718.2439 Date Issued: 02/05/2018
Parcel: 2S106AD10000
Jurisdiction: Tigard
Site address: 16804 SW LEMONGRASS LN
Subdivision: RIVER TERRACE EAST Lot: 207
Project: River Terrace East, Lot 207
Project Description: NewSF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 633 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1017 sfGarage: 418 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1650 sf Value: $204,974.24 Rear: 3
PLUMBING
Sinks: 1 Water Closets: 3Washing Mach: 1Laundry Trays: 0
RainDrain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0Sewer Lines: 100SF Rain Storm Sewer: 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1
r Fixtu
Drywell-Trench Drain: 0
Other 0
Other Fixture Units:
MECHANICAL
Fuel Type AirConditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500s
f: 2 201-400 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 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: NOther Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1650
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Fire Rated Eave at Fireplace
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175
STE 1
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $30,774.64
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 0,-,952-0, -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
.41”" _'I
Issued By: 1:1 /• Permittee Signature: dN 761-7-7e,"
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
LL
FOR OFFICE l SF O\L1
City of Tigard 6 ,_JUN 14 2017 Received / / All'r
13125 SW Hall Blvd.,Tigard,OR 97223 ,,,-
Date/By. PermitNo.:/JA5T�U` y ��
I ' Phone: 503.718.2439 Fax: 503.598.1960 �:IrY`QIGARD Pla°Rev,ew _ -°i'�,,'') OG
Inspection Line: 503.639.4175 BUIL D 1/f S 0' Date Read B a�+ Other Pern,it:✓�wK��/0 C��,1,e�
TIGIRU p
Internet: www.tigard-or.gov
Notified/Method ///c 7 I See Pent nr
Supplemental Information
x
" 7,:%:'7,-.7— 2 '.7.-,2.';i9 fir, /C_ /�/0 r P-�
u#.':. ._w .�a�
Ti _„r iar „ - '' - �,"�''s
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 ❑Other:
�� equipment,materials,labor,overhead,and the profit for the
�� � a4 work indicated on lication.
i
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: 2 Ol
❑Accessory building ❑Multi-family Number of bedrooms: `' 1
❑Master builder 0 Other Number of bathrooms: - r 0 c./ 9 7 Y,
` ' e
� �ago r� �' �s ��ms
'�' '717' Total number of floors. Z. p4
Job site address: yy� 1 ,�
1 IASS une, New dwelling area: 1 USD square feet
City/State/ZIP:Tigard,OR 97224
Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: Qiivcr
lI�- l ! _ !ti Covered porch area: square feet !Q )-7
Cross street/directions to job site:
Deck area: square feet 633
Other structure area: square feet
Subdivision iV{X Terrace, i— = dthvaluee r
Lot no.: I Permit fees*are based oon n the of the work performed.
Tax map/parcel no Indicate the value(rounded to the nearest dollar)of all
M b � � ff � equipment,materials,labor,overhead,and the profit for the
- - . - - work indicated on this application.
Valuation: $
Existing building area: square feet
���� t New building area: square feet
� . ` ',, Number of stories:
Name:ADVL Land Holdings,LLC
Type of construction:
Address:7600 E Doubletree Ranch Road
City/State/ZIP:Scottsdale,AZ 85258 Occupancy groups:
Phone:(602)694-4031 Fax: Existing:
��`��� "' - '��� �� ) New:
Business name:Polygon WLH,LLC t i
Contact name:1.4A01 I r A Structural plan review fee(or deposit):
Address:109 East 13th Street 1 r, FLS plan review fee(if applicable):
City/State/Z1P:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 I Fax::( ) Amount received:
E mail
� � � � a' " Commercial and residential prescriptive installation�of
roof-top mounted Photovoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name:William Lyon Homes,Inc
Address: 109 East 13th Street 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
Phone:(360)695-7700 I Fax:(360)693-4442 and administrative fees): $180.00
CCB lic.:207247 State surcharge(12%of permit fee): $21.60
/ Total fee due upon application: $201.60
Authorized signature: i '��/ �,``' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: AZ , / 0 /. Date: *Fee methodology set by Tri County Building Industry
Service Board.
I:1Building\Permits\BUP-RESPermitApp doc 02/24/2011
440-4613T(11/02/COM/WEB)
•
. -
Mechanial Permit Applieitioti 11111111111imarnalliallio
cit
- • • - -., • •
74 y.ottigard , . .te:tr. 6
.0t2s SW 11401:131yd., ar
Tigd ,.
,OR,9741.
)4Oinii. 30E7111.2439•Fir 303.39E1961 '.,' ', . • •• - "
r G Art D -1i6s1e1A.Ln16394175 .-.
114iv; g ;OrgMu(NadiI:
bietifiedeMedlort' Supplearentat faforsnation
. ... . ,
-PrOVV.OFT.Rp...45Otir ,,t70,4.140.04.3iArt$C1.**....,ilWttk-Otte:#4.4.*.t."'•
,;: .„'s, u;:-;::`,..::'-ii&fr-r-q ....4 ,-, i.. - ,-q-,..,•-•.:J.f,.g....;-....-.44h-:,i„,•,-11,14i-sw,4-..-,bro-e,,e, ---- - • • - '-'- -
Mechanical permit fees*are based on the NAM of the work
121.N C W 6 0 1 i SI i i 1 C t i 0 11 0 Addili011iallIalittittlASCeltloilt perfarmed.ludiatte the value(rounded to the nearest dollar)dad
0 Etniolitiod. Q Other Mechanical materials.tettiormant labor.overhead.and profit.
Value:S
IA.iiii441'14.t.i.111.q.CA.k.c4itkVtkOAK:41t4.ttZV:q.4;t.;;S.'4-1';la;e4- \!,71,1•,.'4':--:'.' r''''''-'-' ''-."-''-''.--''s'":''''.'---'1"-'`:'f,- :.''
,vb.!.:1.1P.PILIP-.7449.P4PANVS3-71.AM-AfTtes. :rt.:.:'''
land 2-folitilii dwelling. El CottimeMalitmiuStrial El Accessory building - For,special kilo-nudism rise cl.tecklist
.1 Militi-ikt1Py 0 itiltsw**r. 0 Other:- Deseriniiinf I Qty. I Ea. 1 Total.
6*IthiPOPOtkit it08OW:#00,4Ai;r1:::.4.4 , Rfturtor664.
Air ionditioning 1 46.73
10 sit!addlr4s; /.1063111 SO,) Lem 6A.C\roS-S Lane, plimaci mow trru Nuetstvento 46.73
Clty/StalerifF:sliigurtkoR 017Z4.• Finlike 100.000-1:011/4actroVeres) 34.91.
.
kleatfittala 61.06
tititeibldsattpt.nO.1: 1 P644V iillini:PI Ver Ttryn re- &Ls+ 'bwor . -
21,32
Cross streettilitections bleb site.,
2332
tdri-?hit'meif,„("Trmor or
itvdronic .
1 23.32
. .., ,
unit heaters Mel-type,nut GleCtiitc
• ' •- .
bull,M-do.pi.sosivrtded.soic. 46.75
•
Fineivent:fbraitiof tibiae- 1 23.32 '
S11.441'486E'kivek. T . •.
e,ryart-, ac f- 1f.„:,i no::1-2)3) , Other:
Other r.ei apiatheik . . . 2332-
Tax.mapiparcel do.:
.
Water heater _ 23.32
.''''-6;;-:;- '''. 1.°::''''OV.:X.414?-;,:*ZTlit*."-Oktii*O-#46ijeW-4.13'14A'i;',-.W:'.7i. .S''.!'",,,gf•-;.: cies roidlacertuseu _ 1 33.39
Site yent for rioter beater or gas
ring:dace . 23.32
Lod HOW(Ps) • 23.32
Woodtpeact stove 33.39 .
' -• . Wood fireplacainsert 23.32
Chiatneydineollaniveits 23.32' •
23.32
0.ft-40-11***4C.4-,-.4-i:A: t:.;5'.4.'.44.5V:Ai.:OttsA:.$*1-!:ieta.A.
Nathe'•PhD V L -Lziutir,1 ItD)c,i ni 5 Li..L. - Raw bertfother kitchen,
I . " ecuipment 1 33.39
Address::••-140D. 6 oDwot.e.-o.e.. 9_4,11c...14 Izza.4.. Clothes dryer exhaust i
City/State?ZPF: . it ,..1 L . . e;-LSE) Single-duct exhaust(bathrooms, L.
we'Ic-e 11("' - toiler antmorunems.utility rooms) 23.32
Phew I 0 0
i ti Fax ( )
Attickrawls.,cc fans 23.32
---'•f,..K17 ,:i.,:".0i-t0i.00.0-,14-014Y:Flif•• . Other 23.32
Busincs nam° tlyAi i I i ti.am ',.4 or\Cti-cme,s LAC- • Furl eivinel 31.
i 4.15 far drat.deur;WS tor each dditional..ontact=mei' Niclog.).t..,
, Furnace.etc. I .
. .
gm. i. Gas beat
Addressaa_laaadV(P-1 "1-' .S1..kijia;_..'. --' 11 0 - - Wailisttstiendedfunh beater
-ChyiStateZIP:Vancouver,*WA 913660 4
: Water beater'
Phone:(360)6954700. I Fax :(3(0)693-4442 Fituulace 1
Ea*
vEl'u'il:NI dittok Tli,,07(7.@PD 111 DaelLWASI4Da_ Barbeento - .
.:?.P...*:*?.0!.L17-'-'.:!,;:.1*.;-"i-t:::t"..;Wi...:Cil.-6010.7-0 -..r.i:::::V•ft:..f0f-,!,,=1'.'2.;.i-7 .f.7:i.7.::;-:,67;l2:,':4 Clothes dry.et-(gas), .
. .
Etnittesinaine:Apex Air LLC011um
• .
- . .. - tr,;77 T.itt., 1,41104/4aeThttet*liii.f.rt.t0Mis:!..41::•'7%. -•'' .
Atidre1
s 8004 NE 7Z Ave .
Subtotal
Cdy/StattaJP;Vancouver,WA 18686 Minimum mama fee($90,00) _
. Plea review 125%of permit feel
Phone:069 3424109 1 For(360)316-1769
stale Hirano t 12%of permit tbel
,
CCB tic.:.20,034
• TOTAL rEpTIT FEE
Anarated si '
I Fran' 1 name: lex /
44,......_
I ante: 4-ei.14. .I ..6.-F: th.thiec3„ppliclit,.::::oaussyresstaps.Buflarlaitnog Innlooeibtatsysznee wittiamon
dsys after bes beers tomepted as complete. --'
I illoiMovkleies:MECJImotltimp Nein slue ock-tsit7(1 Wu:Om:wall
Electrical Permit Apj1kc10n
FOR OFFICE USE ONLY
IL City of Tigardr, ,ni/
, 1 , ,1, ,
, , Received
Dam/13 . Permit ttd ......
13125 SW Rall Blvd..Tigard,OR 97223
Enz
Plan Rm4ew
1 ni 2 Phone; 503.718.2439 Pax: 501598.1960
Date.03:
T1 GARD InspectionLine: 503.639.4175 '• . - ' ' , Ready Date/ y:
Ed See Page 2 for
-_ Internet www.tigard-orgov - - - ' Notified/Method:
Supplemental Information
n7.:;757.2.7-;-777-...-,-',."- --;1`j'ai.Va4705j6'01M717i7: --'• -`--.. 5, •A Effi-W-W-7:-.37:- MIAM-5,W ?"•''.77;'-'m
0 New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans Wilms checked):
0 Service or feeder 400 amps or more 0 Building over three Aides.
El Demolition D Other:
'
where the available fault current 0 Iambus and boatyards.
Fra-174A4Va.V3W- 57,1"frW,N4D-Nittic,7--7.7.2:7,-7:4,q-e":.i- -,17.7 exceeds 10,000 swnw at 150 volts or °Floating buildings.
1-and 2-family dwelling 0 Commerciakridtistrial 0 Accessory building less to ground,or exceeds'4,000 0 Commaccial-use agricultuzal
amps for all other installations. . buildings.•
0 Multi-family -- LI Master builder 0 Other:
0 Fire pump.
l3 Installation of 150 1(VA or
Matt,"''',Ik-7:7-q-,g.111MIMMTSWICAreaMirt -,..; 7-,..,,k m a EmergeneY sYstem. larger separately derived
El Addition of new motor toad of system.
lob#: lob site address t ,Al , 0 .MIlirrienin 10011P or more. 13"A","B","1-2","1-3",
City/State/VP:Tigard,OR 97224
0 Six or more residential units. occupancy.
phicalth-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt,#: Project name: *vifeA,0-1- A Am _ . ii g El Hazardous locations. 0 Supply voltage for more thou
0 Service or feeder 600 amps or more. 600 volts n°113inal•
Cross street/directions to job site:
r&13..q15,- WtIA:11-4-1.i74Ritgria.,53-_,
Descri,doa
NMI Each Total as
New residential single-or multi-family dwelling unit.
Subdivision: f ' I I Lot#: Includes attached garage.
L.'A A i ' .•
1,000 sq.ft.or less 11111._111331111._1111111,10
Tax map/parcel#:
Ea.add'1500 sq.ft.or portion illhambimmis
'Eli,_03-:ET.7.::: :%7-`4i1.4.PqikOW,h-LAS' -M-WiTe:- .1-. 1.71.-7'5'-'i-7-1:1 ' energy,residential
with above ..ft. El 75.°° MIL!
Limited energy,multi-family III
residential with above-.•ft. 75.00 111111
L',..:1-Z- ff.• 1-7;`..j?")-10),TORFrly:7-ADWOLW:ni,7•77.'-i',--,-;•--v--1--.-;-•.77;---,---,---------7----> -----,.,„_-.., ..__ Renewable En :4 0 Set P : 2 111111110.1
____,....„E-i. ::-51,,-.12:---•--,--4k-i .gg.,': - .----4.- services or feeders installation,altered°. and/orr elocution
Name:ADVL Land Holdings,LLC
200 amps or less 1111 100.70 lime
,
Address:7600 E Doubletree Ranch Road 201 amps to 400 amps
in 133.56 Emu
401 amps no 600 amps all 200.34 11111111118
City/State/LIP:Scottsdale,AZ 85258
601 amps to LOGO amps IIIII 301.04 amp
Phone:(602)694-4031
EMMIIMIIIIIIIIIIIIIIINNIII Over 1,000 amps or volts 11111 55226 MED
Email: -.
Temporary services or feeders Installation,alteration,and/or
relocadon
Owner installation:This installation is being made on property that I own which is not 200 amps or less 111111E2311111111■111
intended for sale,lease,rent,or exchange,according to ORB 447,449,670,and 701. • 201 amps to 400 MI 125.08 Min
Owner signature:
Date- 401 amps to 599 amps
ABIZ.k:Ibranrcuict:-.nerr withalterati°1111H"extillEn"ensl"'" liel El
Business name:William Lyon Homes,Inc.
above service or feeder fee,
each Manch circuit 111111111111
Contact name: i i 0,- IIA I jim,
B.Fee for branch circuits without
vi
Address: i3 c,„ _it ct,,j, s .4L• I
branch circuit
serservice or feeder fee,first IIII 56.18 1111111
City/State/UP:Vancouver,WA 98660
Each midi branch circuit 11111 7.42 moo
• Miscellaneous service or feeder not include.
Phone:(360)695-7700 • . . Fax;:(360)693-4442
Each manufactured or modular III 67.84 Mlle
Email:;A I, . n,
dwell _ service and/or feeder
BB Reconnect only 1111167.84 moo
167-,MRISEL:M72a71--EBTOT02.7415.Zi4E-,..M.,- -A4-17-NIMA Pump or irrigation circle IIII 6714 IIIIIIIfl
Business name:Garner Electric Washington,LLC '
Sign or outline lighting 111111=31111111111E1
.--.
Signal circuit(s)or limited-energy
Address:1 I
I . tIA ' L / :. a.' I. / . - altered.,. or extension. 0 See Page 2 1111111
City/State/VP:. 1 • ie • :0 Each additional me.ecdon over allowable in an of the above
Additional inspection(I br min) mg 6625/hr •
Phone:(253)320-1657
IMMI Investigation(1 In min) IIIII 90.00/hr aillli
Email:bdartielsftweusa.com
• Industrial plant(1 hr min) Mil 78.18/hr IMMO
Inspections for which no fee is
CCBL - C1158 Electrical Lic.: 208174 Suprv.Lic.: 44968 s,...,.;'1 listed %hr min III 90.00/hr II
, t-T-Aiwiv,,%-----a.,,0----etw,,7,wm-k--7-0.3R.,-...g$7-zrziq
Suprv.Electrician signature,required: ' ':At A :s Ad i. .a - -,--*,, .
Subtotal: MM.
Print name: Joan P Albert ••
Date: 4/26/2016 0 Plan Review Required(25%of, .,,1 fee): immm......11111111111111
State surcharge(12%ofpermit fee): m......
_
------
.A Authorized signature; —77''''.111111101"--
TOTAL PERMIT FEE: MOM
This permit application expires if a pernals not obtained within ISO
''.:. Print name: BM Daniels
Date: 4/26/2016 days after It has been accepted as complete.
* Number of inspections allowed per permit
:‘, 11:111uildinglPertnititELC ParnitApp_BUt ERROoc acv 06117/2015 440-4616A11/05/COWWEB
. . '
,•
•
Plitittliing Permit Applica0911.V•,.
•
Building Fixtures.
!1 1 7 Received PerreitIle.:m,r4,70/g----or,
COY of Ti....,_gad ,
DetelByt
1,1 . 13125 SI*tituallvtkTigard,Olt 07223
: ill Phone: 503:718.2439. Fax:5034980601
.1 ",' '- r,-•- .. Other Pennials.:
TIGARD Inspection Liner,503.639.4175. , ' • -• - ' Date ltestiAlyt- kris: I VI Se.e.tage 2 tor -
Intoner siva,.tigard-or.gov-'-,",.:_ .,• .•, . . • -•" • 140tifieduemod:
Supplereentel information
Illtr' ASISSULtratfk$ttiMatItaftlf6.-2 blifflftgAM. ::**240Wi47.17AVAIVMLI ,
LI
For special information use ehickfist.
: Zlqew construction._ , Demolilion
- Description 1 QtY, I Ps- i Total
DAdditiOnAdteratiOn/reldiconiem 71:3 Other: New 1-2-frunfly dat8ings(includes 100 I for eacihmility connection)
.:MtWitritAKOR7, -04:140-tbArtiltU'Z'O.:04tREFALMS-ti SF")bath
k 312.'70
R(#batli
0 text 2-family dwelling 0 437.78
Commercial/industrial
- SF
. i-i SFR(3)bath I 50032
DV AcCesserybuilding 1-1Multi7fazifily
. Each additional bath/kitcben 25.02
0 Master builder D.Otter: .
Fire sprinider( Sq.ft.) .
No 2. -.
rigiffatrAl*Wftilit*Witirk4f.:01411-114,4t6f0 sfteudatim ..._
. ..
Catch bssin or wee dmin
ob site tcidressi /10618.7601-1 SW .LeVykOrvirritt Let-ne,
Drywall,kph line,or trench drain 11:76
City/Stair/4P;Tigard,0497224
. -
, VV Footing drain(no.linear ft.: ) Page 2
SulteNCIglaFt,710.; Project namq givtrrrare_. 0‘,S4 Manufactured home utilities 10.03
Cross street/directions to job site: Manholes 18.76
Rain drab connector• V , 18,76
Sanitary sewer(no.lima ft.: ) Page 2,
-
Storm sewer(no.linear ft.: ) V
Page 2
Water service(no.Sneer ft.: ) Page 2
S•ubdivis59A' Neff Tb1Proxe/E6ks+- I wno.: Fixture or Item
Backflow prorate:. ---1 1 31.27:
Tax maplpaMel no.:
1 12-51
rer.i7iii-.4,...!*-441.f.4114Tit-':7-,',70Pit-,-7,,,,--1 .-4444:.;--,2:4%,,:.4:r7.3417',•i,..e.7:-.;*,..150,-7.A41;,..1..t:;71,4,..,1-.1 (motes"shot
25,02
Dishwasher 25.02
Drinking fountain 25.02
4eatordsump 25.02
• . , 4,,,,,,„,,,,,,....,AFA...,..-wwillgivoleg .4,- ,:$014
!:: Eniam tank
fiiistAi.,-..,-.:: :t:F:e. 12.5-1 3;1t5A9Mel*LIMM:.1-4z,,,, , ,414,4,,,I.,=4,,i3p! -- %
Fixture/sewer cap 25.02
Name;MAIL Land Holdings,1.14
.
Floor dminIlloor sink/hub 25.02 .
Address:'7600 E Donialefree Ranch Road.
Garbage disposal 25.02
City/State/Z1P:Scottsdale,AZ 85258
Hose bib. 25,02
Phone:(602)694-40.31 1 Far{' ): Ice maker 12.51
.
;
:.•,4:-44,;-4::,,,s4.. .-p7-1?T-.______,_____fi-rw*-4:.P.,,,.:,,;4r;,-,,:i.-T;;*4.i.c.i,V.4gfilfr'iTiTtka01%'.:L,-.V.2.- -Z.V.W...F; Intexcepextresse nap 25.02
-4,•`7:7-',7. .:_,-.A.:,....it..3•Ara714141,01Are.:V-. . .-.1•4'4,...n. .11.4krALAx43r,*.xm .4
•
Medical.gas(value:$ ) Page 2
Business name:W'xiiam Lyon Homes,Inc
. Primer • 1231 .
Contact name: 1\1 i dip le,Thorpe,
Roof drain(commercial) 12-5I
AddlclOS RoNadukal 'St Suii-c- AD • Sink/basin/lavatory 25.02•
' City/State/M:Vancouver,WA 98660 4 Solar units(potable water) 62.54
Phone:(360)69t-1700 I Pan :(360)693-4442 Tub/showerishower pan 1151
Urinal' 25.02
E-mail: C/ AA I ' /111.0.94knfili•C•01(Y) Water closet 25.02
Naginia9;kralt4.14 7:1 .04.-g -wow • 37.52
Business name: G.41-1 k)4,1n00)istri mr-Scaoti 2.1/1.e...- WaterpipingIDWV 56.29
Address: p.o. 6,0x ap.
- Other: 2542
1
atyisigezrp: Sr; P aft- 411(31 Subtotal
Minium
Phone:(36.5'-SCIS-'-SCIS- 1411 Fax:(II V.010.4 rt4) pemdt ibez $7250
Plan review(25%of pemoit fee)
CCB Lie.: 181 31.0_ phingink Lk.no.Ph 4341
V State mange(12%°Poem*fee). .
Authorized signature: /S.t1 lt4.4/10$"""•-•......... TOTAL miner FEE
I ?Art nem= Si-WC wk.e.,. 1 DateS- 6-110 I Title permit application expires Ca penult is net obtained withbt Ittltder
• after it bat been accepted te convicts.
*Fee exibodolosy-set by Tri-Couniy Dallas Musty Service Beard.
033rialdireamitiPalti-Pataiiapp.de4 1041M 44946161(10/02/0014/WM)
City of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
TIGARDII
Building Permit Review — Residential
U
Building Permit #: 44 57---,40(B- 'cQ),(,
Site Address: ) (p dj py S w L2ryvo n`:'er'1 S s. L In
Project Name: (lVt,r- T2 rrCi c.e._ G S 4— Lot #: 701
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
-(Z-7Proposal: N Qrvl S C-12-
7
Verify site address/suite# exists and active in permit system.
CYRiver Terrace Neighborhood: ❑ No le Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
/Three(3)copies of site plan nEtusting structures on site
/Site plan must be on 8-1/2"x 11"or 11 x 17"paper footprint of new structure(including decks)with finished
Drawn to scale(standard architect or engineer scale) floor elevations
orth arrow LQUtility locations&easements (required for new and additions)
Ail Site address,project or subdivision name and lot number eSidewalk/drivewa approach
pplicant information(name and phone number) y pp
,ems" ❑L�..,A iu�.„f wells/septic systems
of dimensions and building setback dimensions trees to be retained with drip line,and tree
quare footage of buildings to be demolished protection measures
)'Lot area,building coverage area,percentage of coverage and Street tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40)
,e1 Street names OP a
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced?
4 foot differential) If yes,is a storm water quality facility shown? ❑Yca--❑No
7 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified /1 No Received:
❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For:
Yes ❑ No,stop intake
Land Use Case#: F DR 2O 1 to -- 0O p o l su 6 2-0 i b - 0 0 0 o j
,lam Zoning: R 7
JZ Required Setbacks: Front 12 Rear 3 Side 3 Street Side 8 Garage 3 --�
Landscape Requirement: 20
Lot Coverage Maximum: cs 0 %
P. Building Height: Maximum Height N fiN Actual Height
Visual Clearance
❑ SeA.sitive Lands: ❑ Yes ❑ No Type
)- rbin Forestry Plan
XConditions "Met"prior to issuance of building permit
Notes:
Approve.., tsy Planning: `v tA � �—
Date: 1/ / / /j $
Revisions (after Building Submittal only) Reviewer
Revision 1: ❑ Approved ❑ Not Approved Date
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPernvtRvw_RES_061417.docx
Building Permit Submittal / / .4^-." og
Original Submittal Date: 11[177/1
Site Plans: #
Building Plans: #
Building Permit#: ■. nter building permit#above.
Workflow Routing: ti" Planning Ingineering Permit Coordinator 'Building
Workflow Sign-off: 10 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.
-7 Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
/
/4` j Date /1---7//By Permit Technician: ../ � ,.
Engineering Review �`o
Slope at building pad: I
❑ 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 Er No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes .ErNo
❑ NOT Approved by Engineering:
Date:
Notes:
Approved by Engineering: WI( 14 q (A). Date: / /OS
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
1",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:
XSDC Fees Entered: Wash Co Trans Dev Tax: . Yes ❑ N/A
Tigard Trans SDC: )g Yes ❑ N/A
Parks SDC: %Yes ❑ N/A
LIDA ❑ Yes Z N/A
71 OK to Issue Permit Q
APP by roved Permit Coordinator: 44Vti Date: 11 Z�jl IS
I:\Building\Forms\BldgPernutRvw_RES_061417.docx
City of Tigard
:7 i
p COMMUNITY DEVELOPMENT DEPARTMENT
T I GA R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: I(9 S 0 4 SW U rYt an
71re4 SS LalProject Name:
12lvr Temcc- has- -• Lot #: 2-01
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards?, Yes ❑ No
ticulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
lip
ent required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Balcony w/access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep
ft.deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
� ���� yes on"the Street a 04+)
minimum of 12% of each facingstreetfacade
ercentage Shown: 1 3 �.
c must include windows or entrance doors.
3. Entrances:At least one entrance must meet both of the following standards:
Max. 8 ft. setback from longest street facing wall Er Parallel to street, angle no more than 45° from street,
Entrance opens to a porch:Yes ❑ No or open onto porch
If yes,all the following apply:
5 sq.ft.min.
One street facing entry 12 ft.max.roof above floor of porch
5 ft. depth min. 30%min.porch roof coverage
•
S etailed Design:All buildings shall include a min. of five of the following elements on all street-facinga
` deep 0 Recessed
overed porch min. 5 ft.wide x 5 ft. facades:
es.
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 ❑ Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood
❑ Roof pitch oriented south min. 500 sq. '® Gable,hip or gambrel roof design
ft. ❑ Horizontal lap siding min. 3-7 inches wide
Accent siding min. 40%of street facade ria Window trim min. 2 1/2"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing 0 Bay
e by
2 ft. dee
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35°/or l less of street facade
5. Garages and Carports:May face the front or side lot line on a corner lot.
cx.03).0
Setbacks:
1.DQ No closer to front or side lot line, than longest street-facing w: . ❑ Yes El No. If No (Check one):
❑ May extend up to 5 ft.if there is a covered front porch/nd garage does not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is part of a ..o-story building and there is a window at the second story
above the garage that faces the street with a min. ar; of 12 sq.ft.
Width: (Check one) Ai/ /®
i
❑ 12-foot-wide garage door El 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: dy.i.f
isi.(9''1,„_: h____-_, Date: i! // /5
I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16804 SW LEMONGRASS LN, BEAVERTON, June 26, 2018 at 10:44:09 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2018-00026
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Water pressure = 75
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16804 SW LEMONGRASS LN, BEAVERTON, June 26, 2018 at 10:43:33 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2018-00026
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS
Comments:
A/C installed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16804 SW LEMONGRASS LN, BEAVERTON, June 28, 2018 at 11 :43:25 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2018-00026
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