Permit (38) CITY OF TIGARD MASTER PERMIT
IN-. . COMMUNITY DEVELOPMENT Permit#: MST2018-00118
l I i;A R 17 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/14/2018
Parcel: 2S106AD05500
Jurisdiction: Tigard
Site address: 16599 SW FRIENDLY LN
Subdivision: RIVER TERRACE EAST Lot: 162
Project: River Terrace, East, Lot 162
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 1575 sf Basement: 940 sf Left 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front 8 Smoke
Dwelling Units: 1 Third: 0 sf Right 3 Detectors: Yes
Total: 4351 sf Value: $530,216.86 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
Tubs/Showers: 3 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: 4 Clothes Dryers: 1
Natural Gas Heat Pump: Y 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'l 500 sf: 9 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 anap: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF
VB R-3
4351
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 Geo Tech Report Required
VANCOUVER,WA 98660 VANCOUVER,WA 98660 Prior to Pour
2 Ersn Cntrl 503-639-4175
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $38,896.74
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 952-00 -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: C a// Permittee Signature: ���/t�'t
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. C`/ — l
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.
Z.,..-. (--) / i 'v?
Building Permit Application .. , - .-,
Residential FOR OFFICE USE ONLY
�1h') r ! .q
'-,:,? d L u,'�
Received
City of Tigard DateB : ClG � Permit No;/..i4
0 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/I3 : ® 'D t 214 Other Permit: - OC jT, 6
T I G A K D Inspection Line: 503.639.4175 Date Ready/By: i� Er See Page 2 for
Internet: www.tigard-or.gov Notified/Method:`> 2///d '- Supplemental Information
6,....,-t--7209-/4- /V/6171-e2e;
TYPE OF WORK" ? REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work Indicate the value(rounded to the nearestperformed.
dollar)of al
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit foi h(J
CATEGORY OF CONSTRUCTION work indicated on this application. 30
® 1-and 2-family dwelling ❑Commercial/industrialValuation:
Q0 0 Accessory building 0 Multi-family Number of bedrooms: (..' '
r--- Number of bathrooms:
0—Master builder ❑Other: 3
.!
JOB SITE INFORMATION AND LOCATION Total number of floors: 3 5 O
Job site address: ` L05101 SW `.e, ll) Lai)P O New dwelling area: 435 square feet t$3`o
City/State/ZIP:Tigard,OR 97224 Garage/carport area: ...gler Rsg7 feet t Si 5
Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area q
quare feet l 44v
Cross street/directions to job site: Deck area: t b square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace East Lot no.:1tp2 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)
Structural plan review fee(or deposit):
Contact name:Nichole Thorpe
FLS plan review fee(if applicable):
Address:109 East 13th Street
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Amount received:
Phone:(360)695-7700 Fax::( )
E-mail:Nichole Thorpe PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
— - Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 109 East 13th Street Solar Installation Specialty Code checklist.
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: $201.60
Authorized signature:7hC ?4 ZA/1".....---- This permit application expires if a permit is not obtained
ll�iiiJJ``ZZwithin 180 days after it has been accepted as complete.
Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB) ,
f
Mechanical Permit Application 1 OR 01 1 It is l Si: 0\i ti
City of Tigard d Received
. `, g Date/6y, Pemtit No.:
II 13125 SW Hall Blvd..Tigard,OR 97223 Plan Review
I Phone: 503.718.2439 Fax: 503.598.1960Other Permit,
I I[.,',G f) DateRc
InspectionLine: 503.639.4175
Date/By
acty/E3y: hrciR Ql See Page 2 for
Internet: wtvw.tigard-or.gov Notificd/Method: ' Supplemental Information
opThatta.. E ,...`' ... .'alllt/JY� .' . ,.. '.... Y ,`ui ,oW�`=USE Linea s
Mechanical permit fees'are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead.and profit. _
TE tY. O7 C( +1;;allltic°IIt .
Value:$
81;1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special Information use checklist
I Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
Heating/cooling:
OVI'ArrAlK1 ORMA 1>w' ,SI OC411 loo. .. Air conditioning i 46.75
Job site address: pycl-1 Sv,.I 1tenrAt1 lrt o ^p r Furnace 100.000 BTU(duets/vents) I 46.75
City/State/ZIP:Tigard,OR 97224 w 1 Furnace 100,000+BTU(ducts/vents) 54.9I
Heat pump /' 61.06
Suite/bldg./apt.no.: Project name:
Nor Te1rrGte.• ô.&1- Duct work . 23.32
Cross street/directions to job site: Hydronic 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 l 23.32
Subdivision: T �� c
e ' - Lot no.:i 02 Other: 23.32
1�PJlrOther fuel appliances:
Tax map/parcel no.: Water heater g•--- 23.32
1(If)i QA1,:b .Wfi 1RAC. Gas Fi /insert I 33.39
-Flue ventreplace for water heater or gas
fireplace 23.32
Log lighter(gas) . 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
131 1ritiMitTh•, it 1 D SPIT • Environmental exhaust and ventilation:
Name: 1-sD V L 1.-(11A4 'd1 S 11.11 , • Range hood/other kitchen f
�{'� i__ 1 - equipment 33.39
Address: `1(0Vl..l E f)ou. ..,1Cce. JA of "k Clothes diyer exhaust I 33.39
City/State/ZIP: SrA da,� l tp.'L t)J ���-'1 Single-duct exhaust(bathrooms,
opt2_ toilet compartments,utility rooms) '1' 23.32
Phone:fp 01-�i{�_'TIJ ' Fax:( ) Attic/crawlspace fans 23.32
�.AP�IIC'AN Ci't `Ater rr.�solk ' Other.Fuel piping; 23.32
Business name;Polygon Will,LLC
$14.15 for first four:$4.03 for each additional
Contact name: 10 I c V o -"Ch.Orpe Furnace.etc. I ,
Address:10?' BV A 1 )„& £r( U �t�V V' Scl{� Gas heat pump
^^�"`�"J Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace i ,
Range
E-mail: i
Barbecue
}v �.
u, .. n. *:,',.#a ' r
•
• � ..:.. .,._- . ..,r ,. .
. . . ,, >r w,4 Clothes dryer(&as)
Business name:Apex Alr LLC Other:
t ,st ;
Address:18004 NE 72"e Ave Subtotal
City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00)
Phone:(360)342-8109 Fax:(360)326-1769 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lit.: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: .1j•11.14.
I\\Building\Pcrmits'MEC_PermitApp 0401t3.dec 440-16ITT(11/02/COMPNEEI
——---- —--=—=- -r---.-----A- ------ ' 4..4?4t:iii ,i::,1-r.„r9)IYX,K,:::-,- -L;z-;;:i7.2-,,,-:-;ji.-:; :.:5
A City of Tigard Received
Permit g:
Date/By:
Ill 13125 SW Hall Blvd.,Tigard,OR 97223- :. - :• • -,-, Plan Review
g :- Phone.. 501718.2439 Fax: 503.598.4960, Date/By; Related Permit it:
GAInspection Line: 503.639.4175 Ready Date/By: MRI s: ISee Pagel for
RD'.
Internet: www.tigard-or.gov Notified/Method: I Supplemental Information
tlf,:-,-#1*Y., "1?';,:::4:i.:4;705=1:114fett":14nitcAtigdAdttiiii•MOCP,‘ig19.;tW;C:1;:::1'4 ••• ••••:‘,....,:i. ..:t.,..!.,.;:-;,,,ivsxviaigami-ivoit;13:75..3F.::.R.,.,si:q.,,Iiimi.p
[ J New construction 0 Addition/alteration/replacement Please cheek all that apply(submit a sets of plans Vitents checked):
. Cl Service or feeder 400 amps or snore 0 Building over three stories,
0 Demolition El Other:
where the available fault current El Marinas and boatyards.
.::11;;;P:in:Mintinti-Mt:aftgatranbittiVidtinftatagjNME:11.;lirii exceeds imam amps at 150 volts or CI Floating buildings.
1g 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building loss to ground,or exceeds 14,000 0 Commerolat-use agrioultural .-
amps for all other installations, •buildings. L
El Multi-family . • 0 Master builder 0 Other: 014re pump. 0 Installation of 150 KVA or
59WINATIE7,100.*MATIOAtiO.0410.'.,:tgat).#10-;;VO- ,:?, EIB-1--y system. larger separately derived
Addition of new motor load of system. -
D
Job#: I Job site address; Ltis-901 sv,) -1tAyiltil t at, 100115'or more. 0"A","E","1-2","1-3", - 1
City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy.
El Realth-care facilities. 0 Recreational veldele parks.
Suite/bldg./apt.#: Project name: gwor Te,MAO-f..a.c4-- 0Hazardous locations. 0 Supply voltage for snore than
El Service or feeder 600 amps or mote. 600 volts nominal.
.Cross street/directions to job site: ;45:02:CM1m.'.5.;2-44WititO Maiv4:!--gPa:.*Wi'
Description I Qtr. I Each I Tent 1 *
New residential single-or multi-family dwelling milt
Subdivision: Weir Te„write, -.. .11,<4,- I Lot#: t.i)/, includes attached garage.
1,000 sq.it.or less 11 168.54 4
Tax map/parcel#:
.,igEa.add'l 500 sq.ft.or portion el 33.92 1 iMiggraggiNg.I.V;:ifittaii45/1*00./•:i.Lt::'-':i:-ga::ZP.:,:::t;:s!",: i;‘,1•;':\ N:... Limited energy,residential
75.00
(with above sq.ft.)
Limited energy,multi-family
75.00 2
residential(with above sq.IL)
ArSgani f:W:ViriaftetataggIVIM:'11Arltni.#10AWfiga;;N::0-Z'i:>. ste:vielevable Eller" El See Page 2
es or feeders installation alterafion,and/or relocation
Name:. 1/4 DV LWadlne,1 itb 6 I r)Ct\S 1 L.K.., 200 amps or less 100,70 2
Address; '10001---
n- Do v-191-e--fte-• rf" 0, A ?_.... O. ._4 201 amps to 400 amps
401 amps to 600 amps 133.56
200.34 2
2.
City/State/ZIP: cAyetsa(AA L 1 yl_ ka57.59 601 amps to 1,000 amps 301.04 2
Phone:002-ucit.4-1.4 03 1 I Fax:( ) . Over 1,000 amps or-volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: . relocation
Owner Installation:This installation is being made on property that I own which is not 200 amps or less . 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08
22
Owner signature: Date: 401 amps to 599 amps 168,54
igisingismirdwatm1 -igicinwirivowneokkow,s78106 ABrpanch circuits-new,alteration,or extension,per panel
ee for branch circuits with
Business name:Polygon WLH,LLC above service or feeder fee,
742 2
each branch circuit
Contact name: 1\1 CAA AeaB.Fee for branch circuits without
service or feeder fee,first
Address: 1‘r2., rbypotcujadu ..-k- v_,Iii-keo branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 J Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 I Fax::(360)693-4442 Each manufactured or modular
67.84 • 2
dwelling,service and/or feeder
Ernath ' 10 1?,-- 1! pi? , :..., 4 A V. • ..... ,0111 Reconnect only 67.84 2
7 irrigation .
...,A.411 t-A..,,,. ,,,,..-•-,..,-- ,,..-4- . ,.:.t..5.--' --,--, ,..fa,,,,..-0.T:,:: ,..:-.34,4. ..?,...e..,a.,,,tz..-.,4„,..,-.0,,,,;;47...y, mop or wale 67.84 2
Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2
...
circult(s) imited-
Address:402 Valley Ave NW Ste 106 . Signal or lenergy panel,alteration,or extension. 0 See Page 2 2
Each additional inspection over allowable in any of the above
City/State/M:Puyallup WA 98371
Additional inspection(1 hr min) 66.25/hr
Phone:(253)872-6051 Fax:(253)872-1801 Investigation(I bruin) 90.00/hr
Industrial plant(1 hr min) 78.18/br
Email:bditniels(ggweusa.com •
Inspections for which no fee Is
specifically listed(51 hsm110. __ ,....9000ihr„,,„
CCB Lie.: C1158 Electrical Lic.: 208174 Supry.Lic.: 44968
,A ig.!.:-.x.F. .7..:•I'm
Suprv.Electrician signature,required; [ . /Div 1:), ) . klejL„.... - •
Subtotal:
Print name: Joan P Albert .. Date: 0 Plan Review Required(25%of permitf-ee):
,-- State surcharge(12%of permit fee):
illiiirsaio".. ---- -- •TOTAL PERMIT FEE:
Authorized signature:
This permit application expires Ira permit is not obtained within 180
I Print name: Bill Daniels . Date: days after ithas been accepted as complete.
* Number of inspections allowed per permit
MuildingtennitsIBIL PettnitApp MR ER13.doo Rev 06/17/2011 440,1615-guresrcxn.ewna
Plumbing Permit Application
Building Fixtures
City of Tigard ` Received Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Date/B
: a Phone: 503,718.2439 Fax: 503.59&1960 Datay:Rey:vv
iew Other Permit No.:
T i G R D Inspection Line: 503.639.4175 Date Ready/By: Duds: SI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
. ... _. TYPE Q F WORK 7 '. IiE*.SSrEEDUIZ
For special information use checklist
®New construction ❑Demolition Description I Qty. I Ea. I Total _
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
,;;C RY'OF CONSTRUCTION -.;-.` 4. ,:, . SFR(1)bath 312.70i.
SFR.(2)bath 437.78
®1-and 2-family dwelling ❑Commercial/industrial
SFR(3)bath ' 500.32
❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02
❑Master builder 0 Other, Fire sprinkler( ,sq.ft.) Page 2
!QB'SITE INFORMATION LOCATION ; site utilities:
Job site address: 9 A‘O1 (c E i tijx, Catch basin or area drain 18.76
Drywell,leach fine,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
����,,,.
,�..�� Footing drain(no.linear ft.:_� Page 2
A\?xSuite/bldg./apt.no.: Project name:• + ��__ Manufactured home utilities 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 ft.: ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision illi\fe r -rein-we,'FA,s„1-- Lot no.: (Z Fixture or item:
Tax map/parcel no.: Backflow preventer I 31.27
Backwater valva1 12.51
DT 1 IQN QI'wQRIC ' . Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25,02
ri 6.4�:1k0P,g.RT'SC•QWINER • :r TENNANl' Expansion tank 12.5I
Name:ADVL Land Holdings,LLC Fixture/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
r 1:1 �-Y * A,i Interceptor/grease tra 25.02
P
Business name: Medical gas(value:$ ) Page 2
Polt , �I Primer 12.51
Contact name:N,VVL �n�'�p , (commercial)2 ^. _, v' �vBA--
Roof drain 12.51
Address: -1 1 JyoiJICl lA.} U A Svik.t O Sink/basin/lavatoryt / i 25.02
City/State/ZIP:Vancouver,WA 98660 ,f Solar units(potable water) 62.54
Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/showerpan 12.51
E-mail .Ni lc ' Urinal 25.02
f 9� v ,,r^ Water closet 25.02
h . ' 'a .� � �,. Si.,-.1-,-,4t.--1 ;?;,,, ,u.a'� 9.:1,., .,. .., water heater e� 37.52
Business name: G.4-1 4,m)),,x, .4- Water piping/DWV 56.29
Address: T•6. 6.ox, Of A Other: 25.02
City/State/ZIP: ST, ()44.44 (eft_ 411 131 Subtotal
Phone:( t),�r^8(4- 141 Fax:(11 V s. '! 1.4110 - irnum permit fee: $72,50
+ Plan n re review(25%of permit fee)
CCB Lic.: 1/�� Plumbing Lic.no.:bkgsi State surcharge(12%of permit fee)
-
Authorized signature: TOTAL PERMIT FEE
Print name:
�i' -f t, F W k..Q1 Date2-36--1 10 This pelt applicationexpires if a permit is not obtained within 180 days
after(that been accepted as complete
*Fee methodology set by Tri-County Building Industry Service Board.
1:1Bul1ding PermihslPLMU-PamitApp doc 10/01/09 440-46161'(10n2/COM/WB3)
City of Tigard
r
I ® COMMUNITY DEVELOPMENT DEPARTMENT
T c A R o Building Permit Review — Residential
Building Permit #: 457-,G`T-ooit f
Site Address: 45 q 9ir/Inott/t40-5
Project Name: 12Ner T erra C e Earf- Lot #: 1,1492_.
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: tJeAP1 &VIA
Verify site address/suite#exists and active in permit system.
"River Terrace Neighborhood: ❑ No .X,Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
,'hree(3)copies of site plan Axisting structures on site
>kite 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
forth arrow Utility locations&easements (required for new and additions)
Site address,project or subdivision name and lot number Ltdewalk/driveway approach
�`'pplicant information(name and phone number) ( ,ocation of wells/septic systems
'(ot dimensions and building setback dimensions \WExisting trees to be retained with drip line,and tree
N rtSquare footage of buildings to be demolished protection measures
,ot 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) Street names
`FAroperty corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑ es o
4 foot differential) If yes,is a storm water quality facility shown? !'i" o
Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified K No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake
Land Use Case#: PPg-2-O1uo-clOCO& j
I Zoning: F-l.-sCM))
Required Setbacks: Front l0 Rear ID Side 3 Street Side NA- Garage 20
Landscape Requirement: 2,0 %
XLot Coverage Maximum: 9D 0/0
. Building Height: Maximum Height "T 1 Actual Height
Visual Clearance
IgsSensitive Lands: 14, Yes ❑ No Type L t l U e Y/40 n M I-
KUrban Forestry Plan '✓
XConditions "Met"prior to issuance of building permit
Notes:
❑ Approved By Planning: .j 'j C VU Date: y.23. F j
Revisions (after Building Submittal only)_U '�' Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPernutRvw RES 061417.docx
Building Permit Submittal ,,
Original Submittal Date: S /17(r
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: lanning engineering [? ermit Coordinator Building
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.
.'Building: original permit application,site plans,building plans,engineer and
t- beam calculations and trust details,if applicable,etc.
Notes: t
/
By Permit Technician: //v, A/I `d, , ,��t Date: 41/ /
Engineering Review
ril Slope at building pad:
.0"Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
Pl—Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes ErNo
LIDA Facility on lot: ❑ Yes -Er No
•ErFinal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: m I Lc.) - Date: 4.- S- /.6
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:
TDC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A
Tigard Trans SDC: [ "Yes ❑ N/A
Parks SDC: /, Yes ❑ N/A
LIDA ❑ Yes N/A
OK to Issue Permit /�'�j /(r.-
pproved by Permit Coordinator:
��I i Date:° Z
I:\Building\Forms\B1dgPer11 itRvw_RES_010118.docx
4 ,` City of Tigard
Il ■ COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
,w:
Building Permit #:
Site Address: 1(1956161 gW Trle, L r
Project Name: \Ver Terlcc& S Lot #: 1(02
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.0701):
Is the project subject to the plan district design standards?Z Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min. 5 ft. dee Balcony w/ access 2 Window Projection Vertical Wall Offset a
P ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
CI ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors.
Percentage Shown: to L7(0
3. Entrances:At least one entrance must meet both of the following standards:
.. Max. 8 ft. setback from longest street- facing wall
Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch:'Yes ❑ No
If yes,all the following apply: 5(25 sq.ft. min.
-NcOne street facing entry tg 12 ft.max.roof above floor of porch
.1;5 ft. depth min. 0 30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
.Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep
❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
.'Roof eave min. 12 inch projection ❑ Roof 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. ❑ Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street facade .NL1Vindow 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 façade
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):
❑ May 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 40%max. of street façade
❑ 50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: ctudd�^,�C,v L- Date: (1. 2-3• [g
I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IN
--- Transmittal Letter
,. i, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: Dianna DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVII
APR 302018
FROM: Tom Dicianno
on OF TIGARll
COMPANY: Polygon Northwest BUILDING DIVI,SIO
PHONE: 503-577-4160 By:
RE: 1 (o51 l 5" FRl Eo L1 1-11) r MST201 f- Q//e.
(Site Address) (Permit Number
057-River Terrace Lot I 61'a /14) PtAro REV I ew
number
1 t
(Project name or subdivision name and o )
ATTACHED ARE THE FOLLOWING ITEMS:
sem,'..c
R , ,,__ r.:t:, .�., .-...,
m a , a-=:1r,. ...;'^ .
_..,<,. :,.a x>,sx.., ...:��-.' n.., a .,,gas.:,...
0 Additional set(s)of plans. 0 Revisions.
0 Cross section(s)and details. 0 Wall bracing and/or lateral analysis.
_ 0 Floor/roof framing. a 4- Basement and retaining walls.
0 Beam calculations. 0 Engineer's calculations.
*�
0 Other(explain):
REMARKS: - -—'- --_ - r
Routed to Permit Te j - Date: �.�eo�ii.
Fees Due: • Yes No Fee Descri•tion: Amount Due:
Atefr''''''t -k-vzvAgt,4.ito--,--murammmmmmmrrammmm
Special
Instructions:
Re•rint Permit •er PE : ❑ Yes I►Y No ❑ Done
A
A. •licant Notified: Date: Initials:
1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16599 SW FRIENDLY LN, BEAVERTON, October 24, 2018 at
OR, 97007 10:42:19 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00118
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:
16599 SW FRIENDLY LN, BEAVERTON, October 24, 2018 at
OR, 97007 10:42:14 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00118
Inspection Type: Inspector:
699 Mechanical 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:
16599 SW FRIENDLY LN, BEAVERTON, October 24, 2018 at
OR, 97007 4:34:56 PM
Record Type: Record ID:
Residential - Master Permit MST2018-00118
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Water pressure = 60 psi
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16599 SW FRIENDLY LN, BEAVERTON, October 24, 2018 at
OR, 97007 4:34:50 PM
Record Type: Record ID:
Residential - Master Permit MST2018-00118
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
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.
Note: after hours inspection requested by contractor.(two hour minimum)
Violation Summary:
Inspector Contractor