Permit (167) CITY OF TIGARD MASTER PERMIT
III 1 COMMUNITY DEVELOPMENT Permit#: MST2018-00158
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/27/2018
T f ''`�8`O 9 Parcel: 25106DA10300
Jurisdiction: Tigard
Site address: 16949 SW BIRDSONG ST
Subdivision: RIVER TERRACE EAST Lot: 103
Project: River Terrace East, Lot 103
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1108 sf Basement: 0 sf Left: 8 Parking Spaces: 0
Height: Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2504 sf Value: $302,440.05 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 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
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temo Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'500 sf: 4 201-400 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
Ecompasing: Y
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2504
Owner: Contractor:
WILLIAM LYON HOMES INC POLYGON WLH,LLC Required Items and Reports(Conditions)
703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX: 360-693-4442
Total Fees: $34,021.13
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 0 952-001-0090. 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: �J Permittee Signature: OA/ JAL./ %/G's1I//
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.
" (-6 ir— / 05
Building Permit Application„. ,,
E de l FOR orr►t F. ► sr l,
o 1
IN
City of Tigard .. ' 1 ,i Z.913 Received / �( p.m*N
, n 13125 SW Hall Blvd.,Tigard,OR 97223 DateBy: &(!a77 (� ,'`� . !�/y��
• Plan Revie `�V
Phone: 503.718.2439 Fax: 503.598 1��� DatetBy: �ti (� OtherPermit'`��/ 2air yr
,i t,A,\[ Inspection Line: 503.639.4175 a .~. Date Ready/By: Juris: I 0 See`Page`2 for
Internet: www.tigard-or.gov NotiSed/Method:V e/� 'fa,, Supplemental Information
e y ,- _ co
v- g+ i :`. � ,. . , E' ? O .,..., Y fl. A ll ,i t i y tJ'1;:.:140::::,,,
I New construction 0 Demolition s ,w�� � Permit fees*'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other
�� � Y� � � � equipment,materials,labor,overhea and the pror ing
CATEGOIt s B C(�STR G6ON ,, work indicated on this application, IC)
H/S
[r 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 01`:1
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder Number of bathrooms: 3 -5
❑Other:T ,. 4,�j
;#:, :.� ����� IlYFQZt �. 1�� t„;I.�GATTOh ��. Total number of floors: 3. 2a
Job site address: 1044 C j $;rct nn ,311.- New dwelling area: 2,501 square feet I'314
City/State/ZIP: �l • "✓, Garage/carport area: 38 s square feet ,( t t
Suite/bldg./apt.no.: Project name: F..l vex Terra rack 60(^t Covered porch area: square feet
Cross street/directions to job site: �'�-C L� ~+ Deck area: square feet
Other structure area: square feet
UIltED D N 1 ct. t: f r a. ,,� M . ,_ JST I•
Subdivision: Rivet"Veffo U2 �G s f- Lot no.: 103 Permit fees*are based on the value of the work performed
Tax map/parcel no.: l Indicate the value(rounded to the nearest dollar)of all
;i . equipment,materials,labor,overhead,and the profit for the
S . 14 ON` F /'b r : t work indicated on this application.
Valuation: $
Existing building arca: square feet
New building area: square feet
c i ROPERft o
,x•�R ;. ,,P;-TEN�r v Number of stories:
Name: fes..o L ikt d4 L,�c C �+ r Type of construction:
Address: p tiCk,lA 1 S1 ste_510
Occupancy groups:
City/State/ZIP: Votr�rive- Liv)
� C2 („ttC) Existing:
Phone:( ) ( %.•`1, 00 Fax:( _1)Ut
o 1�
New:
7:4c
, asereer¢feeahedlJS <,;
0 APPLC y r ❑ CONTACTP .SO ,S,,,,;41„7 " n BUDNGJJPERIIT'FuEx , „x .
Business name: SAmM
Structural plan review fee(or deposit):
Contact name: Aixo{!n G(a)e, t t ;
Address:
�JD� FLS plan review fee(if applicable):
City/StatetZlP: Total fees due upon application:
;''e ' 4 Amount received:Phone:(c 76_ . 144, . Fax::( )
E-mail A �Y4ewS �@ l nhr�rscarr� PHOTASO P
� FEE
`
,, 1
� Commercial and residential prescriptive installation ofs. ; .,,, ,w3 ' CO y z ,
_ref roof-top mounted Photo Voltaic Solar Panel System.
Business nameME Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) / Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 93�
®� �J Total fee due upon application: $201.60
Authorized signature: -,/,i4,/f, ,, ` 't This permit application expires if a permit is not obtained
,f�'�(i(/ within 180 days after it has been accepted as complete.
Print name: r .e—i' 1- Date: `/k/f j� *Fee methodology set by Tri-County Building Industry
A' v Service Board.
I:\Building\Permits\BUP-RES ermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
4;
.
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Mechanical Permit Annlic*R c 7''',N •''i:, :'(,_,,
city of Tigard Received
Datelly: Penni(No.:
III `1 '13125 SW Hall Blvd.,Tigard.OR 9722t,;) -1 0 2013
Man Review ''
' II Phone: 503.718.2439 fitx: 503.598.1960 Dieeilly: Other Permit:
Inspection Line: 503.639.4173 c'i:-. •
7 i(JARDtiote Ready/By: Jo" I RI See Page 2 nw
Internee www.tigenl.or,gov Bun.: ,_:-::: ,,_, ,,, , _,: majacdfmelhod: Supplemental httermatina
*ilikeii.*OigCifiY,t1021'-itg:;71.5-;-50=',# i'lait.g.:,:;Y: .Q:-:*:-6-1.40.0:t-**Er'Otri*4144;.444tilitr6.0.$41'51
Mechanical permit fees*are based on the value of the work
0 New construction 0 AdditiorLialterationtreplacement performed.Indicate the value(rounded to the nearest dollar)of all
0 thunolition 0 Other: mechanical materials.equipment.labor.overhead.and'Wit,
Value:5
0OktO,'‘iiii***WiO*AVZIPWitlafk-4-1Z- cj,';'-•-ic,r-''"'-' '-'"'"'"•--t---''''.."`'''''' '-..`'i'''..- -'' '''' - '-'''':, '• •
,1-1."2-i'•7'..-t":F.R.F41:9,9...11:04,-tt-M2•131.rAFEZIrt#Aki?4• 144 •7,''':-
, _.
'Kt,and 2-family dwelling 0 Commercial/industrial 0 Accessory builifing For special information arse checklist
1 Multi-family 0 Master builder 0 Other: Description I Qty. I E.& Total
• 4:,-i.:'..4.:i,-,,-4_,9*.'*: .:7'47.2141i-**:-?-$TE044,IXTiGIS(AN2)-1,;Or.4:.401,11LIN?1,104.7..-M44.4:%"-F "esti/let""n4t —
Air conditioning 1 46,75
Job site address:tkici 1.4q cAld b‘rctari 5t-- ,Furnace 100.000 13Ttlitlactskent0 I 46.75
. ,
4. City/Slate/ZIP:Tigard,OR 97224 Furnace 100.000+BTU rdirclevents) 54.91
Heat pump 61.06
Suite/bldg./apt no.: Project name' R-igt.r- 1-e,rrrx .
Ce easi- Duct work 23.32
Cross street/directions to job sile: llvdronie hot water system 2332
Residential boiler Ontrulior or
hydronic) , 23.32
Unit heaters(fuel-Tim not electric),
in.wall.in-duct susmoded,etc. 46.75
McNeal fru-ssty.of abpvc I 2332 —
. .
Other:
Subdivision,. (-2:‘‘tdr-eI:titer-ace."Easl-- Lot no.:t 0-5 -
Other feel applistace )337r
Tax map/parcel no.:
Water heater 23.32
''.4;:;::.. .,-.--1:i.f*'*.iiiiiiri,.'0:*9)0c.:1-.:$:*?,,,.0I4 ,:ti::Ti8,,iif ,lii.:,:l....:iri.,: Gas nrepiaconsert i 33.39
Flue vent for water heater or gas
fireplace 23.32
Log Hillier(gas) ...23,32 ...
— — - Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney ilinertfluelvent 2332
2332
ORGitEl1T:*-OWNX14i;;;;,.4.-f.,! ..-..-.4--:-:'. .p.-:itii-Adidr-i.;,-;,;:i:'!?..:*-. .-f;:'1:-,::.. ...-:.. °ther:
.. .:- 4--,-!4'.' .. - - - - '- ''" ' Ewell-oilmen-tat exhaust and ventilatkint
Name: Pt DV 1, Lard ifo1-iincisi I.LC- Range hoodfotber kitchen
- extulpment (
Addms: 1(11 DO £ -Dou1,91,e_--tr-e. 1?..ancv) pact Clothes dryer exhaust . I 33,39
City/Stater/JP: Scott S ctoAe. IR72S9.)
. Single-duct exhaust(bathroom.
toilet comparmtents.utility moms.; 1 4 23.32
Phone:t(p 0 2 (09(11—4 f-A t , Fax:( ) Attick-rawlspace fans 23-32
*-4it A-PtiAtANt--:: -::: ::-.):':*;: : !?..,.•:-.; ::::'-'::i'rE.6ii0Aci..:0iiii*,:;1:"1;T Meg; 23.32
"-- Fuel piping:
ntiSilles's name: WI Ili am L\Ion tiontie_s itr\c_ $1435 fiw first four:$4.03 far esieh additioaal
Contact mime: 0 t al ote.--Nion?f__ Furnace,etc. j
Gas heat pump
Address:rip-6 rockawoJit Si- Suik. SAO Wallisuspendediunit heater
City/State/ZIP:Vane WA 98660 1
Water heater
.
Phone:(360)695.7700 Fax::(360)693-4442 Fireplace • I,
Range '1
E-maiL •
'NI chD1/9 —horpe.6 ol . Barbecue
t?..'.7 - .4'.'.....--..-..:1."' '':. f ., . 7..7'..:.,.,_:2-E"..,i ,:_:-: Other:Clothes dryer teas)
Business name:Apex Air LLC
.::!:7:-::::i .-;.. MEttiANIC-4-1)-tRilrf flEt !::: ,' ---'-''.---.--1
Address:18064 NE 72"Ave
Subtotal
. _ .
City/Statef11P:Vancouver,WA 98686 • Minimum permit fee(590.00)
, . . •
Plan review(25%of permit fee)
Phone:(360)342-8109 Fax:(360)326.1769
State surcharge(12%orparntit(ee)
CCB he.:203034 TOTAL PERMIT FEE
. - - - This permit application expires ii a permit Is not obtained within Inn
days tater it has been accepted as complete.
Authorized signature:
* Foe metbodoloa sei by Trltatint Building Industry Service Enetrd
Print ntunerTr"-.^ .1 I Date: 4.1.1.tc,...
illioiltin*Peritit*MEC PeroinApr_040111 do: 446-11,i7rrtiqlvcomWEB)
I
•
•
771
° = _Electrical Permit icatioli ww " '--1,1*OF11C1LylOw_____ � ___,_,
City Of Tigard .d 2013
i. Received
Ili13125 SW Hall Blvd.,Tigard,OR 97223 t i; U! Bate/ft : Permit B.
g Phone: 503.718.2439 Fax: 503.598.19¢0. Plea Review
Inspection Line: 503 639 4175 C,�a
DalefB: Related Penult 8:
T I C AIII3! r Read Date/B .
lntemek wvvvv tlganl or.goY [J J! Y y runs; rd See Page2 for
Notil ed/l�dethad: Supplemental Information
14 3r--�?".s"'�-.. i�;,•"fi '' 4'� �(� �j���r�• -- _
s,4-, 4 A°a^it;f�^��„ 910074 .14.,�.?.1'41 4NR-tv't '7t.I t- �i::_'r - .i�... .:Y•,. : �,�� .0
®New construction ❑Additian/alteration/ � cr.^_.�..,t ;t.:-;�::. . ''\'-:-•ctt• +••.:r.i;:rn;i`,t.��k.� �!••.•r�~�`;4i ?g�•.s`>"�:tk1?'•''s'"tiJ -
Addition/alteration/replacement Please rLeckall that apply(submit aseta of plans w/itemaobecked):
❑Demolition Other: El Service or feeder 400 amps or more ❑Building over three stories.
where the available
fault cement OMerissand boatyards.
_ � ; ; { erYs:W# � Or 11.AV"VigUii",it;i ;,,
exceeds 10,000 amps at 150 volts or ❑Floating buildings,
I-and 2-family dwelling 0 CommerciaIfindustrial 0 Accessory building o tprnmd,or exceeds 14,000 Cl Commero1st-use agricultural
❑Multi-family • _ ❑Master builder 0 Other: annps sur all other insfaliclo>ffi • ita
A or
'`tna'-�i3 3�•'�>.'=tk., '" r ... .. Clyne pump, Installation
t. ,., = r:,:.;: ...?$-'4. : ".I.. ., Or'WI.1ti t�".":1 Jit YY'l :--.,._ ❑ ❑ rgrs of 150 xved
`.y;'. `•;" ;i•�i:;r;, ergenoysystem, iargeraepnJatelydertved
lob ! Job site address: Loci�+ ❑Addition erf taedv tactor load of system.
W t yq S/Nn4c , -- ioo11Pormore. CI A"`E",-1-r,•i-3'
City/Stair./ZIP:Tigard,OR 97224 O Six or more residential units. occupancy
❑HeaUncarefacilities. ❑Recreational vehicle pado
❑Supplyvoltageformoreth
anSuite/bldg,/ape#: Project name: nfer TZtrace, D1{azardouslocations.
Cross street/directions to job site; ElSe vice or feeder 600 amps or snore, 600 volts nominal,
'fi.A•.•;�t:5`'r)i':aitiiM:i'iti,jlt �.,�.�y;}.a�.;.l.l:•i\''1•,. .
.Yt;.,:e;6`,a,"4:},i::i 'F'a,+,-1.����fl±'':`•a'a�k•':•Ji::i Ss:,< r <.�"p�..r
Description I ors. I Each I Total. 1
Slibdivisitxi: New residential single-or multi-family dwelling unit
�i qtr T•e era ce. . ,s-{— I Lot#: 10 Includes attached garage.
Tax map/parcel : J 1,000 s9,R,or less % 168,54 4
st`•'= w" i3"cev;riitRk`{a i�14-arae f' .a .`Y�Q ; ;} ;'t`.•x• Ea.add'1500sq.R.orportion 33.92 1
` . ,xt> i� ,>';::. ,_.
Limited energy,residential
(with above sq.fin) 75.00 2 •
Limited energy,multi-family
:14-4-::
.. residential(with above sq.it,) 75.00 2
x°< -4a.-- +� e'`0. , afl.• - ale-k ms*',.R` ;,£•,, .4;:•:•:r.:Ill Y;; Renewable En ❑Seeps e2
. . _t.a....effi •.. ;fi4�au�,:.•_-[t.^..,r.�,a. ..:a�:�`.'':1�:i:+ail*,, S v1CCs f e� g
Name: o ,, (:�.� , + er or eeders installation,aiteratlon,and/or relocation
A'D V I_ 1--(Jl.ti ► ►V Idinr S L LC,. 200 amps or less 100.70
Address::',tp VV D11',,a� - va rN`'.4'l '�.-Oac _201 amps to 400 amps 133.56 2
City/State/ZIP:Y' �+�iri 40t amps to 600 amps 20034 2
�'�`e I ( j,, taSZ 601 amps to 1,000 amps 301.04 2
Phone:(0D 2 , ,O+�j 2 I Fax:( ) Over 1,000 amps or volts
`a' 4552.26 2
Email: ' Temporary services or feeders installation,alteration,and/or
Owner Installation:This installation is beingmade on property relocation200 or
•
intended for sale,lease,rent,or exchange,according to ORS 447 449,670,an701.not 201 amps to 400 amps
5936 1
125,08
ats;,,.:a.:::,•. �ti�,:, a5;iaws ,.•� ?�
y2Ownssignature: Date: 401 amps to 599 amps 168.54 r v'tvVd ; . : t"!�4:%"- yoi< '-0P[ 0Il' oN�;`::t,:::�: Branch circuits—new,alteration,
or extension,per panel
. . '."••: A.Fee for branch circuits faith
Business name: V1 A f I,t ;cuivt (,^ S �� above service or feeder fee.
Contact name: ^' , i each brand)circuit 7.42 2
�
B.Fee for branch chouits without
Address: 3 �r 'W 'Sfi S1 a ike_51,) brancumice or uli fee,first 56.18 2
City/State/ZIP:Vancouver,WA 98660 4 Each add'!branch circuit 7.42 2
Pitons;(360)G95-7700 I Fax (360)693 4442 Miscellaneous(service or feeder not included)
Email: ` r / Bach manufactured
service and/or feeder 67.84 • 2
j ,��,� 9�'fJi1 dwelling,
i�* s' q�d a xr s?1V.3;: :.. . ; :., Reconnect only
- . ..,'»' -.,- ., a. Y:..4i k a atla";a.3'r. :� -' :-art;;• c:•_�:, 67.84 2
3;�'��..,8•e._-.:-?•:r?�,?„?i;�.::,;�;;'s Pump or irrigation circle 67.84 2
Business name:Garner)tleetrle Washington,LLC Sign or outline lighting 67.84
2
Address:402 Valley Ave NW Ste 106 Signal circuit(s)or limited-energy
• penal,alteration,or extension, O See Page 2 2
City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above
Phone:(253)872-6051Additional inspection(I hr min) j 66.25/hr
Fax:(253)872-1801 Investigation(I hr min) 90,00/hr
Email:bdanlels@gtveusa.com Industrial plant(1 In min) 78.18/hr
CCB Lie.: C1158Inspections for which no fee Is 90.001 hr
Electrical Lic.: 208174 I Suprv.Lic.: 44965 specifi listed�'i4 hrmia
cion required; //�� 'ilil :;,id 'V”,
Suprv.Electrician signature, O .t/P, h a; ! `a„ $ r°"'si -.r,;;.,,
Print name: Joan P Albert Subtotal:
I Date: ❑Plan Review Required(25%of permit fro):
State surcharge(12%of permit fee):
Authorized signature: '°I.P.--- ----- - TOTAL PERMIT FEE:
Print name Bill Daniels Date: This permit application expires if a permit is not obtained within 180
days after Ulla been accepted as complete.
x'lnuildtaalPmmiul9LC PwmitAppii[ABR&deo Rev 06/17/2015 i* Number ofiinspectionsallowedperpermit,
44O-46t5r(1l/o51COLOWEE
f
Plumbing Permit Application . ,,,-
1-$ s':'-'-'.
Building Fixtures
City of Tigard .' 1 0 r Received
• 13125 SW Hall Blvd.,Tigard,OR 97223 •y ?t?"} Plan Review Permit No.:
Phone: 503.718.2439 Fax: 503.598.1960 Plan
Date/By: Other Permit No.:
i 1 t.A t, Inspection Line: 503.639.4175 Date Ready/By: Jude 0 See
•. .. .. .. ::::::,..'....;:;.:1::
Pane
2 torInternetwww.tigard-or.gov Notified/Method: Supplemental Information rmation
. 4a . . . .
�c�l.F.-^.vsaitEruWa7�-'+: ':: ::44::::::::f
®New construction • ❑Demolition For special kformodon use checklist
0 Addition/aiteration/replace»>eJlt ❑Other Description I Qty. I Ea. I Total
New 1-2-family dwellings(includes 100 ft.for each utility connection)
.. •CATEGORY OF CONSTRUCTION'' .. . . SFR(1)bath 312.70
®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building ❑Multi-family
SFR(3)beth 500.32
❑Master builderEach additional bath/kitchen 25.02
0 Other: Fire sprinkler( ,sq.R) Page 2
. ' ...... llOB SITE INFORSIATION'AND LOCATION Site utilities:
Job site address:`g C LH 501 �,res(y\. S' . Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 �► rJ1 Drywell,leach lite,or trends drain 18.76
Footing drain(no.linear 8.:_) Page 2
Suite/bldg./apt.no.: Project name: Q(( r if,In re.Ft> - 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 It:_ Page 2
� Water service(no.linear 8.:_) Page 2
Subdivision: Q.,iV/o -Fu ,Ce_ S,-1i` 1 Lotno.:(03 Fixture or item:
Tax map/parcel no.: Backflow preventer ' 31.27
•
. -" . . • -' ' DESCRIPTION OF WORK• : • Backwater valve• I 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
®-PROPERTY OWNER • . ' I. 0 TENANT Expansion tank 12.51
Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/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
. .... ®.APPLICANT . . 0 CONTACT PERSON- Interceptor/grease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:$ ) p 2
Prim
Contact name: C I'�p(t- 1 N D v 3L � 12.51
Roof drain(commercial) 12.51
Address:-1.o 13YDla vun,1 ,.t- St A,Lp+S\'' Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660"' `` Solar units(potable water) 62.54
Phone:(360)695-7700 _ Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:4\1101 o f t W 1 iwe.@ po`I�j nhoi "s,rz11
Urinal 25.02
• . CONGI'IIACTOR J-J Water closet 25.02
` ' ' Water heater ` 37.52
Business name:Malmeds!Enterprises Inc. wateri WV
P pinF� 5629
Address:PO Box 207 Other: 25.02
City/State/ZIP:Banks,OR 97106 Subtotal
Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50
• CCB Lie.:102535 (Plumbing Lie.no.:34-276PB Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Carolina Malmedal Date:N/25/2016 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 Service Board.
LtuiWinePermitsaPLMU-PermitApp.doe 101O1Po9 44O-4616T(IOb2/COM WEB)
City of Tigard
lir COMMUNITY DEVELOPMENT DEPARTMENT
•
T 1 c A R o Building Permit Review — Residential
Building Permit #: /h S 72p is---. 6)/54-
Site Address: I lol i-}G'j Svc c;11-61 Sons St-
Project Name: R\ve r T-CYYct c P, ts+ Lot #: 103
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: Jevf %-1(2—
I' .;g1, Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
ree(3)copies of site plan
:existing structures on site
�
ite plan must be on 8-1/2"x 11"or 11 x 17"paperikth
N Footprint of new structure(including decks)with finished
Drawn to scale(standard architect or engineer scale) floor elevations
. N.North arrow 2 tility locations&easements(required for new and additions)
• Site address,project or subdivision name and lot number N Sidewalk/driveway approach
• Applicant information(name and phone number) i -49 ocation of wells/septic systems
,NfLot dimensions and building setback dimensions re
W; xisting trees to be retained with drip line,and tree
cp:quare footage of buildings to be demolished protection measures
E' of area,building coverage area,percentage of coverage and ►! treet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) Q Street names �No
+ 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? & .: II No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
4 Required: E Yes,applicant was notified No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified •No Applied For: ❑ Yes ❑ No,stop intake
n and Use Case#: pc1220\w_ poop\
742 Zoning: R.-2.5 I R -1 LPD)
;Required Setbacks: Front e, Rear 1 0 Side 45 Street Side 3 Garage 2 01
c Landscape Requirement: 2.0 %
4 Lot Coverage Maximum: %
-Building Height: Maximum Height tJ Actual Height
'4 Visual Clearance
F� Sensitive Lands: ❑ Yes V No Type
i' Urban Forestry Plan
=.1 Conditions "Met"prior to issuance of building permit
Notes:
ot
Q Approved By Planning: 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\BldgPemritRvw RES 061417.docx
Building Permit Submittal
Original Submittal Date: 400/ll.
Site Plans: #
Building Plans: # 3
Building Permit#: nter building permit#above.
Workflow Routing: lanning Engineering [ ermit Coordinator Building
Workflow Sign-off: Sign-off for Planning(include notesfromplanning review)
Route Application Documents: r Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
`E Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: ��?��
By Permit Technician: / .a4�.�/ l�l� Date:
Engineering Review.C] Slope at building pad: ‘71
0
Conditions "Met"prior to issuance of building permit
Di Easements (encroachments)per engineering conditions of approval and plat
JQ mater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 'No
Assess Water Quantity Fee in-lieu: ❑ Yes e No
LIDA Facility on lot: ❑ Yes ,Er No
Z Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
,11'Approved by Engineering: ____& lam(., I Date: Lvi
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
XConditions "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:
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Ag. Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes X N/A
OK to Issue Permit I ' (�,
Approved by Permit Coordinator: I Date: _ V
I:\Building\Forms\B1dgPermitRvw_RES_010118.docx
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 1t00114c SW P)pol SINt1 S-
Project Name: ç2 \) - Ter race k z l >-\- Lot #: )0?>
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards? NI 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. deepBalcony w/access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft.,5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
Pc F(s CI El CI El
2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors.
Percentage Shown: Ikp.L °lv�() IZ,%Oio
3. Entrances:At least one entrance must meet both of the following standards:
Parallel to street,angle no more than 45° from street,
JMax. 8 ft. setback from longest street- facing wall
�y or open onto porch
,
Entrance opens to a porch: L1 Yes El No
If yes,all the following apply: ,-.41 25 sq.ft. min.
. One street facing entry ,12 ft.max. roof above floor of porch
IN-5 ft. depth min. .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 F(S Recessed entry area min. 5 ft.wide x 2 ft. deep F-
A-
.-Wall offset min. 16 inches r is Cl Dormer min. 4 ft.wide
E'Roof eave min. 12 inch projection -(S 'Roof offset min. of 2 ft. C IS
El Roof shingles either tile or wood Gable,hip or gambrel roof design 4I 9
El Roof pitch oriented south min. 500 sq. ft. 5e1 Horizontal lap siding min. 3-7 inches wide F `S
El Accent siding min. 40%of street facade V Window trim min.2 1/2"wide by 5/8"deep F1 S
Cl Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
El 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.)R1*Yes El 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)
El 12-foot-wide garage door ❑ 40%max. of street facade
ja 50%max. of street facade with 7 detailed design elements
Notes:
-V►Lict hced stele i U I►-rcl.
Approved By Planning: -1 _ Cori,k Date: 1-1-(c-1,P
I:\Building\Forms\B1dgPennitRvw_RES_RT_121417.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16949 SW BIRDSONG ST, BEAVERTON, November 26, 2018 at
OR, 97007 11 :02:37 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00158
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Previous corrections completed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16949 SW BIRDSONG ST, BEAVERTON, November 28, 2018 at
OR, 97007 1 :54:15 PM
Record Type: Record ID:
Residential - Master Permit MST2018-00158
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.
Violation Summary:
Inspector Contractor