Permit (150) 71 CITY OF TIGARD MASTER PERMIT
44
2 : COMMUNITY DEVELOPMENT MENT Permit#: MST2018-00104
TiG ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/18/2018
Parcel: 2S106DA10700
Jurisdiction: Tigard
Site address: 16878 SW BIRDSONG ST
Subdivision: RIVER TERRACE EAST Lot: 107
Project: River Terrace East, Lot 107
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Reauired
Stories: 3 Bedrooms: 4 First: 1248 sf Basement: 735 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 3649 sf Value: $441,411.61 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 1 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0
Bckflw Prevntr: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF
3649
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Provide Geo Tech Report
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 Prior To Pour
STE 1 2 Ersn Cntrl 503-639-4175
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $37,038.17
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: e- _ Permittee Signature: e47 7.4.7.°".: (t 1- 1.2
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 4 w : 0.1
LOT
0
Residential
MSI% '2 �318 FOR OFFICE USE ONLY
- CIt3'Of Tigard (' eceived / N° 14, / _ ' I/�: ��ir' a 3.Ha�te{� ��i ! I Permit N '�L S�/ G �� �O
13125 SW Hall Blvd.,Tigard,OR 97223 V �fi�� y'
Phone: 503.718.2439 Fax: 503.598.19 lie 11 v41
qate/Beyvi
:ew Lt 5 � Al2(
Other Permit: 4.4 /)/(5— T
T I GARD Inspection Line: 503.639.4175 Date Ready/By:y. 7uris: l3 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 7 ��ff Supplemental Information
TYPE OF WORK`= REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead, d e pr,f fo th. 'J
CATEGORY OF CONSTRUCTION' work indicated on this application. / l
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ .: = `/--r,
�lI 0 Accessory building 0 Multi-family Number of bedrooms:
L0 Master builder 0 Other: Number of bathrooms:
v JOB SITE INFORMATION AND LOCATION Total number of floors: 4 1 t
Job site address: ` 1 p 6-1e, C` ,ry J 1) kyas6,1 (� New dwelling area: 1.j✓ �'nr^
square feet l
City/State/ZIP:Tigard,OR 97224 � y,— Garage/carport area: t�,. 1 square feet 'ail ?.
Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: quare t --"I' S--
s/
Cross street/directions to job site: Deck area: uare feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace East Lot no.: 1 b1 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT 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:
® APPLICANT 0 CONTACT PERSON
BUILDING PERMIT FEES*
Business name:Polygon WLH,LLC (Please refer to fee schedule)
Contact name:Nichole Thorpe
Structural plan review fee(or deposit):
Address:109 East 13th Street FLS plan review fee(if applicable):
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 Fax::( ) Amount received:
E-mail Nichole Thorpe PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details
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 $180.00
and administrative fees):
Phone:(360)695-7700 Fax:(360)693-4442
State surcharge(12%of permit fee): $21.60
CCB lic.:207247
Total fee due upon application: $201.60
Authorized signature: -gt/it-------- This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Nichole Thorpe Date:06/16/2017
Service Board.
I:\Building\Pennits\BUP-RESPemiitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Applicat�,i,,,f x I v , 1:Ok OFI-ICE t'SE O\L\
Received
City of TIgaCd permit No/. �T )
13125 SW Hall Blvd.,Tigard,OR 97223 r-`,i) A 0 t O 18 Date/t3y: "f/ /��r /�y
Plan Review
IIIII
• Phone: 503.718,2439 Fax: 5(13.598,1960 J� Date'By„ Other Permit.
Tic,ARD Inspection Line: 503.639.4175 (,,,,et ( fi s,_3; a '7r•-L4 ,9_o DateReady/By: loris I0 See Page2 for
Internet: www,tigard-or.gov ,i tIr a`I t<d` f'k t ,;'\iNolificditvlethod: • Supplemental Information
TYPE AT,wARh ,
COMMERCIAL FEE'SCHEDULE —USE CHECI .IST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment.labor.overhead.and profit. __
Value:$
CATEGORY OF CONSTRUCTION _
EQUIPMENT/SYSTEMS FEES' —
, I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far special Information use checklist.
I 1 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
It � , ( Air conditioning I 46.75
Job site address: !l0 67 Sk,A t rasor)5 s,-1-- Furnace 100.000 BTU(ducts/vents) II 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: R-ta.er '1r 'e,',"CCLC�-FAA Duct work 23.32
Cross street/directions to job site: l lydronic hot water system . 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall.in-duct,suspended,etc. 46.75
Flue/vent for any of above I 23.32
+�� Other: 23.32
Subdivision: \feAr,l'i -o„ •(? ' LS"1i Lot no.:[VOther fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK " Gas fireplace/insert I 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(eas) . 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
PROPERTY OWNER 1 I' ,( ❑ TENANT Environmental exhaust and ventilation:
Name: PDVL ,ne,� j-o di- s f' Range hood/other kitchen I
Address: (oOO Q, equipment 33.39
F (�IAbv ree„,1r-UW L�VI a_c..\ Clothes dryer exhaust I 33.39
City/State/ZIP: Se,0tAs .,1 - 1 i. I '� (2:7 B Single-duct exhaust(bathrooms,rooms)
s,
L toilet compartments,utility rooms) �" 23.32
Phone:'�Ol Li-tio- t Fax:( ) Attic/crawlspace fans 23.32
2 APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Polygon WLH,LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: 0 I P/UUOdR,--Or ,Orpe/ Furnace.etc. I
Address: 7 t„XJI �� s� r
` bnJ Ay^!✓ J s--11:31`O"� Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace I.
E-mail: Range
Barbecue
COSI1RACralf. r _ . Clothes dryer(gas)
Business name:Apex Air LLC Other:
Address: 18004 NE 72""Ave IAsflG •.pta0 17' &8.
Subtotal
City/State/ZIP:Vancouver,WA 98686 Minimum permit tee($90.00)
Phone:(360)342-8109 Fax:(360)326-1769 Plan review(25%of permit fee)
State surcharge(12%of permit fcc)
CCR lie.:203034 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: , Fee methodology set by Tri-County Building Industry Service Board
Print name: .( Date: R•/7.it,...
Itnuirding/PamilttMIFC_PermitApp 040113.dcc 4.10-4617T(111021COMM'F.HI
.,. ,a.ruuu x .v4>tuJt.w l uny,Uryjv.ee r.1t4Yll11 t- ..,y - _ �,4,,� { ,_ x
�,- r, Ute. it .,'?' �."°` :'T#}'�,."`.:1 Af.1.;: �.� 19# t �Z.A r -7.i'-'
�(7t r._ t 3-. -
ti City ofTigard r RR r t5 Received
p 'P 13125 54V Hall Blvd„Tigard,OR 97223 Date/By: permit tier/ J,- e/C t
1 Phone: 503.718.2439 Fax 503.99811$9'61)i.a 5 \1' t Pian Review
/
1Date/By: ..- Related Permit
ermit#
;
.1,,,;,.: ,,,---=,,,:,7,-;,,,-A
' Inspection Line: 503.639,4-175 -:"l 1 i �;it : ; r , .a;�; Ready Date/By; Jons
�
See Page 2 forsGf!:- Internet: wmv.tigard-or.govx, Notified/Method: � Supplemental Info
rmationAS _ "MsSMy„ WtiRiga . is : } •-, 1i'.'" :.. ;' '•' ,1UA) ;+.
;®New construction C(Addition/alteration/replacement Please check all that apply(submit/sets of plans v/items checked): +;
❑ Other: ❑Service or feeder 400amps more
::•;r:;g.•.va :;Demolition aa;,,; _,c•:. t El Building over three stories.
:,,, ti- where the available fault current
:'+t:310E R1G' Ifr .0"'•i!?J "; '' 'l'.:°"�"' ••, ; ol []Marinas and boatyards,
:r,." �t' s.. "1``�i .�b-..ii:li:�.,•.;,:5.;,,,�`r'Ttit;'•,•��;Y �:r:{�;�-,:t axceeds10,000ainpsntl50vohsor QFloating buildings.
® 1-and 2-family dwelling Q Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 Q Cotnmeroiat-use agricultural -
❑Multi-family . • [(Master builderamps for all other installations, •buildings.
0, .
Other: Fire
• ;r'b`,fi:"'c:i4tj.i:•- ".' ,.- ❑ pomp. El Installation of 150
=:i'.. :Eai> .. ...-",�17$�? ?r�1'fOR i?��'1�1�C �l'1i5:'>rJl�j4'<�Trj :'t.. ::t:. d raved
Qlv.i.:Ti.;'?i' c-::'`:;..;, ❑Emergenoysystem' larger separately derived
Job#: Job site address t��g .SW p�.�G_1 ❑Addition of new motor load of system.
tel` et S CI S'"
,J 10011P or snore.
C 1
City/State/ZIP:Tigard,OR 99'72249'7224Six or more residential units. occupancy.
#' OHealtit-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apta
• I Project name: g v l��.��C�-ea5,4_ ❑Hazardous locations, ❑Supply voltage for more than
Cross street/directions to job site; El Service or feeder 600 amps or more,• 600 volts nominal,
ii+ar^,.;:.iiia. -jai,, i. p� TTi�.:.. ..,. ..
i.
no:cription :: I Qty. IErich .I i+Taint I *
New residential single-or multi-family dwelling unit.
Subdivision: ,`�e)r-Tehrotez 4 I Lot#: j 0--) In eludes attached garage.
Tax map/parcel#: 1,000 sq,R.or less I68,S=1 4
" '<*i::ht?;;: t Ea.add'I S00 s .R.or ortion33.92
..,,":iii: ..t t.,t,i `.':ii•:, :i/O. eSQRIPI' ( y0' , p l
Limited anergy,residential
(with above sq,ft.) 75.00 2
Limited energy,multi-family
;{„ ( � residential(with above sq.R.) 75,00 2
.'r'^•wti`y'' `Z�pl�pp•:;0.,_.t..r�h�r1,. Q� .:!:� •:�t.:;:?i;i:,'4i"i�.A't`i a°'l:yttt• :'.„:„.= Renewable Ener
`..., dc..�. .F'-�'�.,3;. ��'� ,;��:::.., •"� .��`..t??>�',i!!'�I){�'- a::�:';'•:.,.t�'��t� !;Y ❑SeePage2
"`""''`" `°'"' Services or feeders installation alteration and/or relocation
Name:, t Dv -
-r Yui _ / 200 amps or less 100.70 2
Address:'' , I 'l� 201 amps to 400 amps 133.56 2
City/State/ZIP: S r ,,�C.[e.i , "a152.59
A P III -J 401 amps to 600 amps 200.34 2
`-"'' '� 601 amps to 1,000 amps 301.04 2
Phone: (i01-�q 7 Fax:
�J� ( ) Over 1,000 amps or volts 552,26 2
Email: Temporary services or feeders installation,alteration,and/or
Owner installation:This installation is being made on property that I own which is not 200 amps or less I I 59.36 I 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature:
___ «_1 <=t,, Date: 401 amps to 599 amps 168.54
2
j-.�...aai-`+�f #ti3� r''�ti r (,,+ t i. '`Si'i:• "{: j; i(:;��+�:: ;i' •)s" =i.. :�•: Rrnn
r 9. t .^m :-., . t:+:...., ::'rid•:...,:: 5„` i7•:::5;i�r.s' Ohi`Ij;,Q ',f?, Spl)L'.,`,a; ;,; ch circuits-new,alteration,or extension,per panel
Business name:Polygon WLH,LLC A.abofesbrvneh feeder fee,
ny^ ^ -� a�� each branch circuit 7.42 9
Contact name: N c i l �" 'i' B.Fee for branch circuits without
Address: 1 t) &m�q �+ t� J C p ry� service or feeder fee,first
l' �a� S� �-��+ V branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Phone:(360)695-7700 I Fax::(360)693-4442 Miscellaneous(service or feeder not included)
Each manufactured or modular
Email: ` ' .i la
dwelling, and/or 67.84 2
` , dwefiin a and/ feeder
f!;`•,rifail:;j 1 fti. 2f 4.Myai.'ir(..'',.% r+.i. ,<,rn „2 c.Ay'_,j,.l,; Reconnect only 67.84
J.,tisr ':..,:'s.:.:,a•�;`'' ?Ora_..t<• :.t.;�:� t.�.�;..:.,:0�2.?; �;';y4?.j:=r'�t::EfG's`-Sr:t t't:�tL•.�_ 2
'^r•,:...,�_.._ .... <.�s�., Pump or irrigation circle 67,84 2
Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2
Address:402 Valley Ave NW Ste 106 Signalcircuit(s)or limited-energy
• panel,alteration,or extension, 0 See Page 2 2
City/State/ZIP;Puyallup WA 9$371 Each additional inspection over allowable in any of the above
Additional inspection(1 brmin) 66.25/hr
Phone:(253)872-6051 I Fax:(253)872-1801
Investigation(1 hr min) 90.00/hr
Email:bdaniels®gweusa.coni Industrial plant(1 hr min) 78,18/lu
Inspections for which no fee is
CCB Lic.: C1158 Electrical L ,
-k 208I74 Suprv.Lie.: 44968 specifically listed(%P hrmirt 90.00/hr
Suprv.Electrician signature,required: �� t� •L CN'� •`" •,.'- :'ar•.' t% •.0 %R'fGrj'y i;y, y� �� , ;•a;_='-.`x?=;
/ £1 x1Xi! :rL3 S1�S:F;'`ii_.::,:x:•.,:
Subtotal:
Print name: Joan P Albert I Date: El Plan Review Required(25%of permit fee):
,- ----> -- �- State surcharge(12%of permit fee):
Authorized signature: t_-____. ----
- -_,. ` TOTAL PERMIT FEE:
IPrint name: Bill Daniels Thispermitapplicationexpiresifapermitisnotobtainedivithin180
I Date: days after ithas been accepted as complete.
I;tHuildinglparmifslLi,C PcrmitApp_GLR�ItE.doa Rev 0G/17/3015 * Number of inspections allowed per permit.
44O-4615T(11/05/COHr1Wna
A ,
Plumbing Permit Applicatio`""f _ .S V E
Building Fixtures ,r.. „ ,,,
/ - � I e3 r l�1u
II . City of Tigard � Date/ByReceiv :
/(f% / G9�"/G7
v + Permit No.'
13125 SW Hall Blvd.,Tigard,OR 9rybi i,, . , t a •.,_ plan Review
Phone: 503.718.2439 Fax: 503'_ i Q I'!, f 7`
'''''°f•.,Date/By: Other Permit No.:
T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: huh: WI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE:`.OF WORK FEE* SCHEDULE''
For special information use checklist
®New construction ❑Demolition
Description I Qty, I Ea. 1 Total =
❑Addition/alteration/replacement El Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONS Ti;UCTION SFR(1)bath 312.70
®1-and 2-family dwelling
SFR(2)bath 437.78
Y g ❑Commercial/industrial
El
SFR(3)bath 500.32
❑Accessory building LJ Multi-familyl� El Each additional bath/kitchen
El Master builder Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE.INFORMATION AND LOCATION Site utilities:
Job site address: 1 [ 1,b .. Q E CAI� -.7..__
DCatch basin orarea drain 18.76
City/State/ZIP Tigard,OR 97224 rywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:, ) Page 2
Suite/bldg./apt.no,: Project name:. (2-\\J4"'-,pnr, M� ,., Gam± Manufactured home utilities 50.03
Cross street/directions to job site: `G� "l<Sr Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft,: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.Iinear ft.: ) Page 2
Subdivision (,1 j ��- -7 , , Eris, _ Lot no.:6/ll Fixture or item:
Tax map/parcel no,: Backflow preventer I 31.27
DESCRIPTION OF WORK Backwater valve l 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
I=pRUPERTY,OWNER I .0;TENANT Expansion tank 12.51
Name:ADVL Land Holdings,LLC Fizttue/sewer cap 25.02
Floor drain/floorsink/hub 25.02
Address:7600 E Doubletree Ranch Road
Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)694-4031 Fax:( ) Ice maker 12.51
'Er APPLICANT 0.CUNTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2 name: Po1� t atsc_
.I Primer 12.51 name: V` � 0/�p�
Roof drain(commercial) 12.51
Address: b3 .(,3QJ' V t- C, � O Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 986604
Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
Urinal
Email: (�\1 G�O Ce (� o1 `,� 25.02
i v i/, p t . I C �V� Water closet 25.02
C CTOR - .. _ . Water heater
37.52
Business name: G.,.6 A,W J\)vvv,c1 ervAS TAG- Water piping/DWV 56.29
Address: p,P. is ox, eiA Other: 25.02
City/State/ZIP: Sy, a 44,4 o*e_ 11131 Subtotal
Phone:(53 r 8(it.c1.-, 14/� Fax:( j V,...•-70,1 4 Pp Minimum permit fee: $72.50
CCB Lic.: Plan review(25/0 of permit fee)
/$�31� Plumbing Lic.no. tail
_ , State surcharge(12%of permit fee)
Q61
Authorized signature: ,5. . TOTAL PERMIT FEE
Print name: SI"' t_ i tyke__ Date:23_3 b--1 This permit application expires if s permit is not obtained within 180 days
after ithas been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:1BuiIdiaglPermiGWLMU•PcrmitApp.dae 10/01/09 440.4616T(10/O2JCOM/WEB)
illCity of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A lz o Building Permit Review — Residential
Building Permit #: .4/cf TAU/r-' 1
O/
Site Address: 1 'n S\„/ Qi r6 cl.
Project Name: Ttrrk(t aJ- Lot #: 10 7-
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: N(.0 s(=�
�erify site address/suite# exists and active in permit system.
L' River Terrace Neighborhood: ❑ No 2/Yes,See River Terrace Review Addendum Attached
Sit Plan Elements: —/
IpL
ree(3)copies of site plan _,iEisting structures on site
[ S e plan must be on 8-1/2"x 11"or 11 x 17"paper [ l ootprint of new structure(including decks)with finished
rawn to scale(standard architect or engineer scale) or elevations
rth arrow [tility locations&easements(required for new and additions)
L'7 to address,project or subdivision name and lot number
'13LI/JStdewalk/driveway approach
lirpplicant information(name and phone number) 101,o5ation of wells/septic systems
[ tot dimensions and building setback dimensions xisting trees to be retained with drip line,and tree
gill5,quare footage of buildings to be demolished p otection measures
Lot area,building coverage area,percentage of coverage and 10/Street tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) treet names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? 21Yes ENO
�44 foot differential) If yes,is a storm water quality facility shown? I=1 No
E Clean Water Services—Service Provider Lettttey(lot platted prior to 9/10/1995): W i/t� t,;14,
/Required: ❑ Yes,applicant was notified [ No Received: ❑ Yes ❑ No 14 US-C
LTJ Public Facilit,,ie�mprovement(PFI) Permit:
/Required: Yes,applicant was notified ❑ No Applied For: Ki Yes ❑ No,stop intake
�, �"a3nd Use Case#: pO2 2016'0000
l / oning: K-4.4 u)
lig/Required Setbacks: Front g Rear (0 Side 3 Street Side
Iiii, Garage ZO
Br andscape Requirement: LO %
V Lot Coverage Maximum: gb
[ "Building Height: Maximum Height UAActual Height ZO
16/Visual Clearance �/
ensitive Lands: L�' Yes El No Type ap S z -{l G: <
Urban Forestry Plan
Conditions "Met"priortoto issuance of building permit
Notes: C`ndi'I-ci T L r•4,1- f r � 0�' k 0 I SSJuic(.
L Approved By Planning: Livemdt 6" " Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved El Not Approved
I:\BuildingTonns\B1dgPennitRvw RES 061417.docx
Building Permit Submittal
Original Submittal Date: O/l r
Site Plans: #
Building Plans: #
Building Permit#: ''Enter building permit#above.
Workflow Routing: Planning Engineering ''Permit Coordinator ",›ElBuilding
Workflow Sign-off: Pr Sign-off for 1Tanning(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.
ii Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 31iz5'l�1'
En. ineering Review I a
pe Slope at building pad: 1.-\'°
El Conditions "Met"prior to issuance of building permit
❑ asements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Xf No
Assess Water Quantity Fee in-lieu: El Yes Z o
LIDA Facility on lot: El Yes YJ No
7 Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 0,4,W,a., 10 L Date: i'19 t
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
S2 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:
IN'SDC Fees Entered: Wash Co Trans Dev Tax: Yes El N/A
Tigard Trans SDC: 1 Yes El N/A
Parks SDC: .Yes ❑ N/A
LIDA ❑ Yes ,e1'N/A
1--OK to Issue Permit
Approved by Permit Coordinator: G ,tti Date: y' LI 1S
I:\Building\Forms\BldgPermitRvw_RES_010118.docx
City of Tigard
.111 ■ v COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 1687g SW Q;ra,/ S .
Project Name: Pf.rs Irmo_ Eac}" Lot #: /0 7-
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist 'ct Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards? [Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing façade 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., 6ft.wide Gabled dormer
CI ED 111 CIV
2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors.
Percentage Shown: Z2.0 7
3. Entrances:At least one entrance must meet both of the follg standards:
Parallel to street,angle no more than 45° from street,
❑ Max. 8 ft. setback from longest street- facing wall
_/ or open onto porch
Entrance opens to a porch: L2"Yes ❑ No
Iff/yes,all the following apply: LST sq.ft. mi .
I O e street facing entry 12 ft.max.roof above floor of porch
ft. depth mi /o min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades:
Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area mm. 5 ft.wide x 2 ft. deep
0Wall offset min. 16 inches ❑ Dormer min.4 ft.wide
/
[ Roof eave min. 12 inch projection ❑ oof offset min. of 2 ft.
GI Roof shingles either tile or wood LJ Gable,hip or gambrel roof design
❑ Ij.00f pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
❑/Accent siding min.40%of street facade ❑ Window trim min. 2 1/2"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or side lot line,than longest street-facing wall. ❑ Yes 'No. If No (Check one):
❑ NIay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
❑ 12-foot-wide garage door LY40%max. of street façade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: . C4.1 ..4 Date: 3-7 7_i y
i:\Building\Forms\B1dgPermitRvw RFs RT 121417.docx 1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16878 SW BIRDSONG ST, BEAVERTON, November 26, 2018 at
OR, 97007 10:53:13 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00104
Inspection Type: Inspector:
699 Mechanical final Jeremy Burrows
Result:
PASS
Comments:
Corrections completed
No A/C
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16878 SW BIRDSONG ST, BEAVERTON, November 29, 2018 at
OR, 97007 11 :35:56 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00104
Inspection Type: Inspector:
299 Final inspection Jeremy Burrows
Result:
PASS - CofO
Comments:
Corrections completed
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
No A/C
C of 0 left on counter.
Violation Summary:
Inspector Contractor
CITY OF TIGARD MASTER PERMIT
' ■ ' COMMUNITY DEVELOPMENTPermit#: MST2018-00104
�` Date Issued: 04/18/2018
T I t;ARI) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.243. 111, .,,
7, , Parcel: 2S106DA10700
">
$ØJI Jurisdiction: Tigard
Site address: 16878 SW BIRDSONG ST .
Subdivision: RIVER TERRACE EAST Lot: 107
Project: River Terrace East, Lot 107
Project Description: New SF.6/6/18: REPRINT to correct plumbing fixture count.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 1248 sf Basement: 735 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 3649 sf Value: $441,411.61 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF 3649
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Provide Geo Tech Report
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 Prior To Pour
STE 1 2 Ersn Cntrl 503-639-4175
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $37,038.17
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,•52-001-0090. You may oy ain a copy the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. r
Issued By: .,/-:' / 4 ►i_. Permittee Signature: y)ife
Call 603 639.4175 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.