Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
111 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Request for Permit Action TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or c,v TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard, OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPennits@tigard-or.gov FROM: 0 Owner Check(✓)one ❑ Applicant ❑ Contractor 0 City Staff REFUND OR Name: INVOICE TO: (Business or Individual) aj/ //9 Mailing Address: 7,03 /8/2.0,9- S� .:T i'Z--- Sdjo City/State/Zip: V6n/C c f/C-- . Ac/7 ,FCo 6 D Phone No.: -24,o 6, ?_.5"-- 7`7,77 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): =- VOID PERMIT APPLICATION. 4III2. REFUND rERMIT FEES (attach copy of original receipt and provide explanation below). • CE FOR FEES DUE (attach case fee schedule and provide explanation below). ) ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit). Permit#: //Sj,2p,f —0054 Site Address or Parcel#: 76.71X S) , 2�&y 9' 1-4/ Project Name: "/C-72-- Subdivision /Subdivision Name: Lot#: EXPLANATION: Signature: /������ Print Name: Date: /�� Refun-d P°hc^ 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE USE ONLY Route to S s Admin: Date B Refund Processed: Date B��=' Route to Invoice Proro eccesorsedsled Date MAW B Permit Canceled: Date 2 ,. : Date B I:\Building\Forms\RegPermitAction_0 2314.doc B �r_� Parcel Ta_Added: Date B 111111 n TIGARD City of Tigard January 18,2018 Polygon WLH,LLC Attn: Angela Grajewski 703 Broadway St, Suite 510 Vancouver,WA 98660 Re: Permit No. MST2017-00369 Dear Applicant: The City of Tigard has processed a refund for fees on the above referenced permit(s) as follows: Site Address: 16794 SW Friendly Ln Project Name: River Terrace East,Lot 52 Job No.: N/A Refund: ® Check#227200 in the amount of$68.14. 0 Credit card"return"receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. ❑ Trust account"deposit"receipt in the amount of$ . Comments: Per applicant's request to remove 2'water heater from permit. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov i a City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: Polygon WLH,LLC DATE: 703 Broadway St, Suite 510 12/28/2017 Vancouver,WA 98660 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt#: 413640 Case#: Date: 10/31/2017 MST2017-00369 Address/Parcel: 16794 SW Friendly Ln Pay Method: Check Project Name: River Terrace East,Lot 52 EXPLANATION: Per applicant's request to remove 2nd water heater from permit. b his,l.-'*�.A'K i''-r".2'.w 1� r. tRa"` y ,f, 'r,r t�-z'ti' ,, , :ta.a�bs ,• ��_ a� �}; ` ® ! �� cam.. .,:.# 4 '"k_t f"-3 1: 1�,'r ct F""`'z%.-,--,i ,'''''A-,5 - f 3 e , 1 to 'il° ;701 Rd ° og a' ''- a .,1 e da c e f . . 4 ''!1'Cg illt .''f Plumbing Permit � �. u.,_5 230-0000-43101 $37.52 Mechanical Permit 230-0000-43102 23.32 12%State Surcharge 100-0000-24001 7.30 TOTAL REFUND: $68.14 APPROVALS: SI RES/DATE: If under$5,000 Professional Staff If under$12,500 Division Manager If under$25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board '$ r K SY ARDMINISTRATION usE OILY 4 , ,. , Case Refund Processed. Date: y ��� I:\Building\Refunds\RefundRequest.doc x 09/01/2010 CITY OF TIGARD RECEIPT 2 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: River Terrace East, Lot 52 Site Address: 16794 SW FRIENDLY LN I Receipt Number: 416591 - 04/06/2018 I CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2017-00369 $-68.14 Total: $-68.14 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 227200 Payor: Polygon WLH, LLC DROWSE 04/06/2018 $-68.14 Total Payments: $-68.14 Balance Due: $68.14 Page 1 of 1 t1RECCITY OF TIGARD 11111 i 13125 SW Hall Blvd.,Tigard OR 97223 EIPT 503.639.4171 TIGARD Project Name: River Terrace East, Lot 52 Site Address: 16794 SW FRIENDLY LN Receipt Number: 413640 - 10/31/2017 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2017-00369 Building Permit-New Construction MST2017-00369 Plan Review 230-0000-43104 $1,999.06 MST2017-00369 12%State Surcharge-Building 230-0000-43106 $751.34 100-0000-24001 $239.89 MST2017-00369 Plan Review MST2017-00369 DC Provision Review, SF-Ping 230-0000-43106 $548.05 10-000043115 $90.00 Info Process/Archiving Lg$2.00(over 230-0000-43135 $42.0011x17) MST2017-00369 Info Process/Archiving-Sm$0.50(up to 11x17) 230-0000-43135 $61.50 MST2017-00369 Metro Const. Excise Tax MST2017-00369 Beaverton School CET-Residential 230-0000-24010 $427.11 MST2017-00369 Permit Fee-Elect(per dwelling unit) 220-0000-44101 $3$338.14 MST2017-00369 Limited Energy 220-0000-43103 $338.14 MST2017-00369 12%State Surcharge-Electrical 220-0000-43103 $75.00 MST2017-00369 Air Conditioning 100-0000-24001 $49.58 MST2017-00369 Furnaces< 100K BTU 230-0000-43102 $46.75 MST2017-00369 Water Heater 230-000043102 $46.75 230-0000-43102 yZ 0f $46.64.--- MST2017-00369 Gas Fireplace MST2017-00369 Range Hood/Other Kitchen 230-0000-43102 $33.39 MST2017-00369 Clothes Dryer Exhaust 230-0000-43102 $33.39 MST2017-00369 Single Duct Exhaust(Bathrooms, Toilet, 230-0000-43102 $33.39 Utility Rooms) 230-0000-43102 $116.60 MST2017-00369 Fuel Piping MST2017-00369 12%State Surcharge-Mechanical 230-000043102 $14.15 100-0000-24001 $44.53�— MST2017-00369 SFR-Baths MST2017-00369 Erosion Control w/Development 230-0000-43101 $500.32 MST2017-00369 Wash Co Trans Dev Tax-SF Detached 100-0000-43120 $378.40 25-0000-4330 MST2017-00369 Tigard Trans SDC Improvement-SF 40 $8, .00 Detached 415-0000-43300 $5,488.008 MST2017-00369 Tigard Trans SDC Reimbursement-SF Detached 415-0000-43301 $317.00 MST2017-00369 Tigard Trans SDC River Terrace-SF Detached 415-0000-43302 $2,684.00 MST2017-00369 Parks SDC Improvement-SF Dwellin (detached/attached) 9 425-0000-43300 $4,356.00 MST2017-00369 Parks SDC Reimbursement-SF Dwelling(detached/attached) 425-0000-43301 $1,207.00 MST2017-00369 Parks SDC River Terrace-SF Dwellin (detached/attached) g 425-0000-43302 $2,003.00 MST2017-00369 Laundry Tray MST2017-00369 Water Heater 230-0000-43101 $25.02 MST2017-00369 12%State Surcharge-Plumbing 230-0000-43101 $37.52 E--- 100-0000-24001 $67.54 <----- Total: $33,965.13 MEC Z3, .3.2_ N /2- f = 2 , >0 'Y�� /270 - V. s3 a® y )C `� % = r, SO /-,y /2 % _ 47. 59' - 9', s© r .3. o9' /02% "7, 3o TO 7-7,-z_ 4 d3-, /y i=z.tid Page 1 of 2 Plum bins Permit Applica ECEJVE[) Building Fixtures 1 U1< o1 l l( i. i '-i. ONI.1 Ci of Tigard NOV 2 2 2017 Received ■ 13125 SW Hall Blvd.,Tigard,OR O rIGHRD P i ��-s//7 Pct 57 /7-003 , B Phone: 503.7182439 Fax: S OtberPennitNo.: Aim Inspection Line: 503.639.4175 I NG DIVISION »may. y` Internet: www.tigard-or.gov Noll ed/Meate thod:By lwis I S u See Pate 2 for emeofa TI!!Z P.WORIF•:: ......._ .. P ■ormation 0 New construction p Demolition For speeiciInformation use checMA. ❑Addition/alteration/replacement 0 Other: Description I Qty. I Ea. I Total New 1-2-family dwellings(includes es 100 fl for each u61' connection) . - ,. CATEGORY OF CONSTRUCTION'. . SFR(1)bath 312.70 01-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3) t 50032 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler L._sq.It) 1 Page 2 'JOB SITE INFORMATION'AND'LOC.ATION y. Site utilities: Job site address i qe/ C,_/ Pi/11,4,14 Ly / _ Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 972J24W G D ,leach line,or trench dram ■ 18.76 Suite/bldg./apt.no.: Footing drain(no.linear ft.:_) p 2 Project same:.' / ;4L e,, &S Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear R:_) Page 2 Storm sewer(no.linear R:_) Page 2 Subdivision , Water service(no.linear ft.: ) Page 2 a ,S Lot no.. Fixture or Item: Tax map/parcel no.: Badcftowpreventer III 31.27 .• ' DESCRIPTION OF-WOR . • - - Backwater valve 12 51 I i)/�_ / Wer ex /ie&t -_P*r / it tv Clothes her 25.02 r+"' l 7 ]�!'" /�' /�°n►'rr) i Dishwasher 25.02 Win bony 131i Idst.n9 I, Drinldngfamtain 25.02 44 , _ no ( Ejectors/sun p , 25.02 - ®.IPROPERTI�`( / TENANT . Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Address:7600E Doubletree Ranch Road � ✓ sink/hub 25.02 City/StateZIP:Scottsdale,AZ 85258 Garbage disposal 25.02 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) ke maker 12.51 .. ®'.APPI,RCANT . .. ❑ CONTACT PERSON• Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 Contact name: AJ 0,48_-7710619e- �� 12.51 CD3 !Math( 1 451 .rte .570 SiRk/drain astory(commercial) 5.01 Address: ,yytL(At 1 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 9866 Solar units(potable water) 62,54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:W j(hDJ .l�G/t cap( 1 ha .r.l�l9t/Yl urinal 26.02 Water closer 25.02 Business name:Malmedal Enterprises Inc. Water heater 37.52 Water piping/DWV 56.29 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: 572.50 CCB Lic.:102535 Plumbing Lic.no.:34-276PB Plan review(25%of permit fee) Authorized signature: State surcharge(12%of permit fee)TOTAL PERMIT FEE Print name:Carolina Malmedal + Date:04/25/2016 I This Permit application expires N 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. 1:1Bm'ldineermiuPLMu•PumitApp.doe 1001,09 440-4616T(10/02/COMFWEB) 11, c a, CITY OF TIGARD ' "R i MASTER PERMIT L.= COMMUNITY DEVELOPMENT Permit#: MST2017 00369 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/03/2017 T1ARI Parcel: 2S106DA05200 Jurisdiction: Tigard Site address: 16794 SW FRIENDLY LN Subdivision: RIVER TERRACE EAST Lot: 52 Project: River Terrace East, Lot 52 Project Description: New SF. 12/5/2017: REPRINT permit to remove 2nd water heater. BUILDING Floor Areas Reauired Setbacks Required Stories: 2 Bedrooms: 04 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2909 sf Value: $355,929.01 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 Rain0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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!500 sf: 5 201-400 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 VB R-3 2909 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $33,965.13 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: •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thro • •'' 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: Permittee Signature: % /©L_./ (e"---77e-->\/ 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. Plumbing Permit AnnlicaRECEIVEP Building Fixtures 1012 OFPI( 1 1 lir: O\I.1 City of Tigard N O V 2017 Received /2,44 t - Parot i 5i /7 f�e3,a 13125 SW Hall Blvd.,Tigard,OR .� I Phne: 503.718.2439 Fax: 5 OF TIARD Plan Review OthaPermit No.: I WARDIspection Line: 503.639.4175L qNG DIVISION Date/BY: Date Ready/By: Juris: iff See Page 2 for Internet: www.tigard-or.gov Notified/Metbod: Supplemental Information •:.T•YPE:017:110**:-,..,„., ®New construction . 0 Demolition For special information use checklist Description I Qty. I Ea. 0 Addition/alteration/replacement Other: 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 0 Multi-family SFR(3)6at 1 50032 El Master builder Each additional bath/i:itchen 25.02 Other: Fire sprinkler(__sq.ft.) Page 2 'JOB SITE INFORMATION'AN))LOCATION . • Site utilities: Job site address:1(P i C11-1 C,_/ 6,1��_!11 / . _ _ Catch basin leach area drain 18.76 City/State/ZIP: `Tigard,OR 97224 �1 (JL` - Dryweii, line,or trench drain 18.76 Footing drain(no.linear ft.:_, Page 2 SuitelbldgJapt.no.: Project name:..t7,t/'&r 'r ante Manufactured home utilities 50.03 Cross street/directions to job site: 1" Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear It.:_) Page 2 n ,��� Water service(no.linear ft-: ) Page 2 Subdivision: P"''�"r, 1f.-cFAN-- F Lot no.S2 Fixture or item: Tax map/pareel no.: 1 Backflow preventer 31.27 . . - .* p DESCRIPTIONjOF.WORK. . : -l • Backwater valve 12 51 'It I l WQ t' ' / rraf?J D I2,i�!1 W Clothesshwwasher 25.02 Dishwasher 25.02 Win Dylk/ Bt USLng j , Drinkingfountain 25.02 n03("ei Ejectors/sump 25.02 G.PROPERTY( l -•/ 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 : ® APPL[CANT 0 CONTACT PERSON• Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S_) Page 2 Contact name: AI C'I ole_-�'11ty► Primer 12.51 �,n� �� I� S70Roof drain(commercial) 12.51 Address:103 I3►adettj 51 .�N,LTG Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660i Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 Email W 'i,vle-"1y�rn-pc.0nO!yy h�s^.1.4/Y1 Urinal 2s.o2 ' CONTitACTt water closet 25.02 Water heater 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 56.29 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 Plan review (25%of permit fee) CCB Lic.:102535 Plumbing Lic.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: .(: ' TOTAL PERMIT FEE I Print name:Carolina Malmedal I Date:04/25/2016 J 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. t:teruildingWerniadtMu-Pe+miiApp.doe iW✓OIN9 440.4616T(10/02/COM/WEB) „ CITY OF TIGARD MASTER PERMIT IF COMMUNITY DEVELOPMENT Permit#: MST2017-00369 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/03/2017 Parcel: 2S 106DA05200 Site address: 16794 SW FRIENDLY LN Jurisdiction: Tigard Subdivision: RIVER TERRACE EAST Lot: 52 Project: River Terrace East, Lot 52 Project Description: New SF. BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 04 Required First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front 12 Dwelling Units: 1Smoke Third: 0 sf Right: 3 Detectors: Yes Total: 2909 sf Value: $355,929.01 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 WashingMach: 1 Laundry Trays: 1 Rain Drain: 1 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Urinals: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Dra0 Water Lines: 100 ins: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 0 Backwater Value: 1 Drywall-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 Furn<100K: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders 1000 sf or less: 1 Branch Circuits 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 p 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: NEW SF VB P Square Feet: R-332909 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $33,965.13 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 throughQ/�R 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: /f)..,-**( ,9 i Permittee Signature: A/ "9”,e.-- / j 7C 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. C ' 4 ,s72 Building Permit Application L o r 7, 0. . ; t RECEED FOR OFFICE ISE 0\L1 City of Tigard Received f 13125 SW Hall Blvd.,Tigard,OR 97223 J U %2017 Date �U/3/ Permit N LSTI.O/ ^GY36g ■ ' Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/B I� I i V Other Permit:S p � r i i t, ;1:i Inspection Line: 503.639.4175 CITY OF TI Date Rea /S Internet: www.tigard-or.gov BUILDING DIVISION �" y' 7 - H SeePene2fnr N Notified/Method: Supplemental Information ®New construction 0 Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the r fit f the '' '` ice - t e work indicated on this application. p� a 0 „w�. .a � ��:� . � ;x 355 a � ® 1 and 2-family dwelling 0 Commercial/industrial Valuation: $ 9.❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: �a;a� ;�{�R� n J z tl tEms!��3 s a � � ,, ;: . a a s s V Total number of floors: 3''5/ Job site address: ( S friend �O New dwelling area: tr1 square feet ✓'i, (rCity/State/ZIP:Tigard,OR 97224 V Garage/carport area: t square feet q 1Z Suite/bldgJapt.no.: I Project name:River Terrace East Coverporch area:I 0square feet v Cross street/directions to job site: Z, � I-1 6 square feet V ' Other structure area: square feet ,. x A' s q . t t�p, .. Subdivision:River Terrace Eastr-)2_, _ °"� � ��° �' .��� ��� � I Lot no.:�l� 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 '14. *�� � ,, equipment,materials,labor,overhead,and the profit for the -,...g.+ s r � " . �� a = # , ° „ work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet I i 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: � m.z. s.:.. )141,:1- 1411;;:,-----,-V--- -- .1-14,i-,.o 7 .-4, - . Orf a = _ _:,; $ .. i ; .Business name:Polygon WLH,LLC 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 I Fax::( ) Amount received: E-mail:Nichole Thorpe 3 F'`,-.:"t'..-1'-- „u„,,,„,,,,,„...:„., -K , Commercial and residential prescriptive installation of � .` ." ' _" " ,. - .1 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 and administrative fees): $180.00 Phone:(360)695-7700 I Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 • Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe I Date:06/16/2017 I* Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) •:'.-4: '-..•d r,,,', '::'5 :-..}i '''.'7' :,::,,,,C-1,,:)i Mechanical Permit Application ,, [OR(i FFICE LSE ONIN' l'''I 2) L;; ?017 .izeciva Oty of tigard ,...)',- i ,.0 - IN 13125 SW Hall Blvd.,Tigard,QR.97223., ,, ...,-,,,,,, \ ,--,-•-:.`gp.lare:R.,',1,,„, ; I Phone; 503_718.2439 Pim 503.598.l960-'; ,.:'''''f i: ::' k)•''..;'•'::'''-•f••1-}i.i-ieldy-:-:--- other P000111; • 1I 6 A It D - n2Peeli0n Lill S.4639-4175 :.--,-,„ „..„-,,,, .'11'-.,''' Readyray: ieris: I fa See!see 2 tor', . Internet; w114.1igeixi-orgoil T'.,....1. , ' .',..!..':'c -141;titiarmethod: Supplemelatal information ir70:i Atlitii41Wi::.!d043.40?i,ZAqt4,a:/14:g';:,..1,t01.:47/44.: :::CI, CF).4.14:4EAPMZIA.M$P.10,PW:i43MkgIOSP-K4n*I.,:''. Mechameal permit fees*are based on the value of the work 0 la New coristructiort 0 AdditiOnfalleratintiffeplaCentent. performed.Indicate the value founded to the nearest dollar)deli Demolition CI other nieclumical materials.'equipment.labor.overhead-and Profit- Value;$ ii44b5iIiii.'''.-efitiSk..V7.:',.•::.'.5...Q....,2,..4: z-.',. ,.:..„......,„.-:.. ......,„„ ..„.„....,-,,,-:..,-,2„„.....--..„-.....„..,...-..,..„. ,,,:.„. la,-;'''.:...-.. .7.;:.,...i7,.ii,,,,,Z.:7,':);1,1=y-i- M,,.:.,:,..,...._.-,-'•;,..,-...--.€-.:-...,:,,...131)..,.;„..,-,,..,; ;:n-:i..,,,,,:;;;.,::',:-'&7.'<-!-.4.',,r , LLV6113.E0.1,21,414rgQLILMEI‘f,T./,:0:6'„TP98..f,g,k6., .t.-..,'..;!;.... I-Ind 24.atitily dwelling 0 Commercial/industrial 0 Accessory building Foe apecial Information Arse chedlin 1 Multi-family 0 Master builder 0 Other: Description .... . , Qty. l Eti. I Total 0,1,alg,,4Oj3*.T.;.k:ti,t,...p:.Ofil4 'it):iil-,O'*fi*0k.#f*s:;VRTNf.ffrs;i;',4'!:.:6d:ifs, -A,Ht.:Zdii""tioning' 1112 'fp17.01 addre r"5 1 Viol 1-1. 5v4 Fyi eineA 14 ....... .Air_FUT114Ce lo0,000 nu klutt,kento City/State/ZIP:Tiger:I:L.6R 97224 Furnace loo,00q+,'Inv 41ectimitio , 54.91 Min pump 61..06 Suite/bldg./not Mr.; I Biniii6 inune:P 1 ' -Te.4yn(e. EaS+ Duct work . , , ‘23.32 _ . Cross street/directions to job site: 14ydrook ltotwater system 23.32 . ' Residential boiler(radiator or hydronkl , 23.32 :.. Unit hearers(0101.:IYM not electric), in-wail.itt-duet,suspended.etc, ,. ... . . • Flue/vet for,tm of above 1 23.32 .. SUbdiVSiPt IOtnrerr _ r — oXtli,er . ,,.. , . 23 Tax map/parcel no.; Water heater 2332 , . _ ... ,..';.g. .e, n.:i, +...:..0';'*i',1';ti.;.Yiiik4,)W1.0,it4::.-6(;.*-Ati,t'!..', ..i:;!2:;'.4.1.;.•.'r.=47. , ,-.Z-,:; :i:,!..:''.„'j:.;t:,-! Gas rttenitice/Illsell 1 33:39 M SILO n-"'0031,9 theolace Log tighter(VW 2332 - , Wood/pellet SiffVe 33.39 Wood ftreplacefinsert 23.32 ( C3droney,fliner/tInevetit 23.32 • . :, .-;v,.pvid' "4.-bra'iii.mt- Irv---,,h%% r'a , .: .,-,,: V,:.....4! ,, ;'; ,..,11iiir.4-i*e.,-.2;:.... ::i:Ti2,,,,,;,. .i,:li,t,..,.„ Other: 2332 ''", • ..... ...r.7.72.-r"..,4L:' ' ,.'.:..--.1.,:-,.',7-. .-2z17:L•t'. :,-. ,-,- ' '''"14 ''"" Etwirtutmentalesbaust and ventriation: Nanit;',ii-D V L-t4Lilei.thAci ini 5 i 1.-1-.0 Range Itondfother kitchen equipment 1 ,. 33.39 ' - E. ODuk7k11/,', garlc,,i4 laza_ci..... _,,,..._ . Clothes diver ext,,../,,ct, 1 II 3339 . City/State:DP: stithscitak,..i62.. .25-isys Single-duct exhaust(bathrooms, ,Milo compartmeMs.utility rooms) 7 • 23.32. g Ph(laC Li 07- (pe:14 1.-1-63 ) Far( ). , Attk/crawlstiace fans 23_32 ',.-•::.-..-''T N',4040*r:;.k;:.4.;.6::±';'-j: :.:',-:. .!::':f-'.'iM0,*.iic*i****:;.,:i'''-::: r'i'.I Other: —- 2132 / Ftsci piping: Business name 'W i t I i 6,,VVI U,.1 Dr\ ti-t 'Ve„S Ltr1C.- $14.15 for first four-54.03 for cad,additional Contact name; k. ‘ al \ , i A gx...,, Furnace.et. .; ....._—_---, Addrs S: 112J.IrDarmW0.4_,,S1_,_,SAM 1..t.d..2..)_b _ Wallisuspendedrunit heater City/State/ZIP:Vancouver,WA 986601 . !Valor heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace #4"0. B-ma*t': i Asai h ‘ f.,A //I • .onhiYreS Call g-r_ifZ::::;41.,:rg--'c 's• .,..-'s- ts!,: .:'Ji? -:;:4ii6;?;(41Mki:.:.5(:'::i--14;, .:,:g. ',2x Clothes orsvr(gas.) , her: ::::,,.-....i„::,--,;,,7•.;:;;:,.',11114gRAI9c4,1'.E4l11W.L7,FEW, Address;18004 NE 72"Ave Subtotal City/Slate/ZIP:Vancouver,WA 98686 Minimum permit fee i.$90.,09) -- Plan review(25%of permit fret Phone:(360)3424109 I REX:(360)326-1769 State surehmue(12%of permit fee) . CC13 lie.:2030344 TOTAL,PER,%UT FEE . - - l'hi,permit application esoimir s permit bnet obtaincti within ISO • days after it his het*accepted as complete. Authorind signal • . . — • Fee methodology am by TO-County Buildinp Indagrry Service-Boted Print namerirt _ .1 Date; 4•11- maciteactecamoltre_emmliapp 040113 floa .Afit1-11,117 1/110303WW1211 _,�..m-..r, ,fk ..• Electrical Permit Apulicat6 inn tit i 'E r 11)1/ FOROTFICL- ONLY of Tigard Received .11 R 13125 SW Hall Blvd.,Tigard,OR X7223 "•r { 'Batc/t3 Permit#: /'757 j�'� S - Phone: 503.7182439 Fax: 503.598.4060 y ' t .,.` 1e B v.l. TIGARD Inspection Line: 503.639.4175 „ • DatPJB Ready cl/l th S3 See e e 2 Inspect. www: 0ngov Jens: Lt-:' � y�J,> � �t - � ."'�A�'•" G�' � �}D'���im �-��- Notified/Method: Supplemental Information or ®New constructione ` was, o e=c ''. 0 Addition/alteration/replacement Please check all that apply(submit i sets of plans w/ltems checked): Q Demolition 0 Other: ? j v : ❑Service orfeeder 400amps ormoreg 0 Building over three stades. " � _ �`�' c a s,a 5 E 7 334 where the ava0abie fault current ❑Inuring and boatyards. ®1-and 2-familydwellingx exceeds 10,000 amps at 150 votes or Q Floating buildings. 0 CommerciaUuidtistrial 0 Accessory building ]esu to around,or exceeds 14,000 ❑Commercial-use O Multi-family O Master builder 0 Other: amps for a0 other installations. bindings.• asriautturat �� ����u`ra"�b t o tv�j�"Q�M„"' � �-jrt ,� ❑Firopump. ❑Installation of ISOKVAtx Job#: L r ❑Panargeacy system larger separately derived lob site address: / ❑Ad&tion ofrrew motor load of system• City/Stater/2:Tigard,OR 97224 SVS � ,I l?. .a IooxP or more. Cl"A",'E;`"I-2">"1-3", ❑Six or more residential units. eneePenoy veil.- Cl73eaith-osrefacilities. ❑Rearcational vehicle parks. Suitt/bldg./apt#: Project name: I to. • ❑Hazardous locations. 0 Supply voltage fat more than Cross street/directions to job site: ■r 0Service eu feeder goo 600 volts nominal amps or more -2.` Doe •don "" CZ"+ ''-=z "'.`Each , s,w� New residential single-or multi-family dwelling unit. '• r vi ' I /,' _.r�wL' Lot#: Includes attached garage. Tax map/parcel#: 1.000 sq.R.or less .■ 4 r - m p r n " 3 Ba as 'I 500 168.54 -3 t.6 K. = _ ,.. sq.es or onion C' 3392 1 It EA i /' � Limited energy,residential withabove s.,ft. 111 75.00 2 Limited energy,mufti-family ■ �"i�� 1 t;a s �'`r._.'�,���s�'"°�?ttr -�.����';'� '- ��-�� � -� Renewable ,I;n residential �above boves�.8. ❑ See p75.00 2 f ,:.._K r''` - X Pfir tt k z =:_ 2 Name:ADVL Land Holdings,LLC Services or feeders installation altera6o and/or relocation Address:7600 Doubletree Ranch Road 200 or less 10020 2 201 amps to 400 amps 133.56 2 City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 200.34 601 amps to 1,000 amps ME 2 Phone:(602)694-4031 Fax:( ) 301.04 2 Over 1,000 amps or volts 552.26 IIIIIIII 2 Temporary services or feeders Installation,alteration,and/or Owner installation:This installation is beingmade onrelocation property that I own which is not 200 amps or less intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 25.06 _ I Owner signature: 201 amps to 400 amps 125,08 2 e Date: amps _ hx '. w'=a ,„+a 3 li.y--'t1z -I r 401 Branch to nit amps 168.54on2 -r _-, .., 3 Branch r circuits ci new alteration or extension er pace[ Business name:William Lyon Homes,Inc, A.Fee for branch circuits with fee, above service or feeder fee, Contact Warne: ' 10: ', I, each branch circuit 7.42 2 Address: B.Fee for branch deciles without 03 Ri j;j�,',(to service or feeder fee,fust City/State/ZIP:Vancouver,WA 98660 Each add']bcu brand'cbraeac• rnc 57. 2 • h circuit 7.42 2 Phone:(360)695-7700 Fax: (360)693-4442 Miscellaneous service or feeder not indud . Email:1 A t ' dwell imanufa ices ormodtrlar 67.s4 '/ I d J' /11 t • Alla ' • service and/orfeeder 2 ti 4 ' o 676)t '-x,£ 7.. ,- Reconnect only 67.84 Pump or irrigation circle 2 Garner Electric Washington,LLC 67.84 2 Business name: Signor outline lighting 67.84 Address:y , ! ► Signal cirath(s)or limited-enel-gy 2 �� • '. / .— alterati.. or extension. ❑ See Page 2 2 City/State/ZIP:' / r Each additional inspection over allowable In an of the above Additional• ion(I hr Phone:(253)320-1657 t - Fax:( ) rnspeclnun) 6635/hr Email:bdaniels Investigation(1 hr min) 90.00/hr @gR'ensa.com Industrial plant(1 hr min) 78.18/hr ichno fee CCB Lie.: C1158 Electrical Lic.: 208174 Suprv.Lief.: 4496S Inspections f hrmfn is 90.00!hr - Suprv.Electrician signature,required: ' ( ' A' ' r Print name: Joan P Albert - �vit ` � •' Subtotal: Date: 4/26/2016 0 Plan Review Required(25%of pemut fee): • Authorized signature; '..i= -"" State surcharge(12%of permit fee): TOTAL PERMiT PEE: f Er ; Print : Bill Daniels This Permit application expires if a permit is not obtained Date: 4/26/2016 within Iso §i"I B mhslhZC P * days after It has d per accepted as complete eanitApP8LR EREdoe Rev 06t1712015 Number ofmapactians allowed par permit ,. ... 440-461.310I/0SCOT,flypEg . Plumbing Permit Application,, '�-1 `'''.e, ' " Building Fixtures i T 26 ?0 1/ FOR OIPICF: Itir O1'1,1 City of Tigard Received s ■ 13125 SW Hall Blvd.,Tigard,OR 97223 i,. _ 0 man Rev Permit No./1'71 .� �Gr j Phone: 503.718.2439 Fax: 503.590960';F960 Stan Review Inspection Line: 503.639.4175 7 ,1 °w :',/rqi,te Ready/By: Otber Permit No.: ricnitI) p t�'a Internet: www.ti and-or, ov Date I g g Notified/Method: judj: See Pane 2 for .,. ;:, ''.r. .., . ,1 'P: ,OF:WORIF-;,:;;..,.._.__...' ' Snpplemeatal Informafioa ' t ®New construction 0 Demolition For special information use checklist ❑Addition/alteration/replacementDescription �_ tom, 1 Ea. Total 0 Other: New 1-2-familydwellings CATEGORY'OF CONS1�LJCTION•• SFR(I)bath (includes 100 It.for each utility connection)- 312.70 e1-and 2-family dwelling ❑Commercial mdustrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 50032 0 Master builderEach additional bath/kitchen 25.02 0 Other: Fire - sprinkler( sq.ft.) Page 2 . JOB-SITE INFORMATION•AND'LOCATION _ Site utilities: - Job site address: t 1D�.C1y C� l Y i e "(l 1 -, a Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 197224 �V 1.11. Dip,leach line,or trench drain 18.76 Suite/bidg/apt.no.: I Project name: �)�er -(' C Footing drain(no.linear ft.:_, Page 2 1 P,�'a-LP✓T.aManufactured 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 Subdivision: ' 7e,r Water service(no.linear It:____) Page 2 �iVe r a c f ji s4-- i Lot no.: 2 Fixture or Item: Tax map/parcel no.: Backflow preventer 1 31.27 DESCRIPTION OF.WORK. : . Backwater valve I 12.51 ni STW'7--U ORO/ 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 Address:7600 E Doubletree Ranch Road Floor drain/floor sink/hub 25.02 City/State/ZIP:Scottsdale,AZ 85258 C age disposal 25.02 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:$ ) Page 2 Contact name:101CA Oltill 0110" Primer 12.51 Address: 103 l rl'CO CL-ti . k' Cui-Et 510 Roof Sink drain(commercial)/basinJlavatory 25 5.01 City/State/ZIP:Vancouver,WA 98660 02 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail: C�`,�O�� , n�/ (�(��p • ® Urinal 25.02 t l -TI r'_•& lumino` e,s.C'fm Water closet • CONtRACTO 25.02 Business name:Malmedal Enterprises Inc Water heater 37.52 Address:PO Box 207 Water piping/DWV 56.29 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 Lic.no.:34-276PB Plan review (25%of permit fee) Authorized signature: State surcharge(12%of permit fee) TOTAL PERMIT FEE I Print name:Carolina Malmedal I Date:04/25/2016 I 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. 1:1Building1PermitslPLMU-PennitApp.doe 1o/01I09 440-4616T(10102/COMJWEB) " ' City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT T I c A 1t D Building Permit Review — Residential Building Permit #: Site Address: 7 u, 'end , Project Name: p:ve,- Iaeeac'e Ee>5 ' Lot #: J6- 'a (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review 9 Proposal: /1)&0 SFR El Verify site address/suite# exists and active in permit sys m. River Terrace Neighborhood: ❑ No es,See River Terrace Review Addendum Attached Site tan Elements: .111Nee(3)copies of site plan Lf tshng structures on site )11: it plan must be on 8-1/2"x 11"or 11 x 17"paperootprint of new structure(including decks with finished Zbrawn to scale(standard architect or engineer scale) floor elevations ) arrow ' "ty locations&easements(required for new and additions) erJSite address,project or subdivision name and lot number (LJ Sidewalk/drivewa a roach ant information(name and phone number) y PP ells/septic systems M.Plot dimensions and building setback dimensions b le retained with drip line,and tree 2witre-f ootage of buildings to be demolished _ protion measures t area,building coverage area,percentage of coverage and SLI trees e size,type and location ervious 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 re 1 ? 4 foot differential) paced. es ❑No If yes,is a storm water quality facility shown? ❑Yes..Ogo w. Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): R quired: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified X No Applied For: PP ❑ Yes ❑ No,stop intake 0 Land Use Case#: pop.9o/ O1 Zoning: R-7 (pp) Required Setbacks: Front )aRear f6 Side 3 Street Side Garage t 11 andscape Requirement: ea 0 % Coverage Maximum: a 0 ZBuilding Height: Maximum Height �— g Actual Height isual Clearance Sen itive Lands: ❑ Yes .LSI No Type rban Forestry Plan 0-Conditions "Met"prior to issuance of building permit Notes: AI/ Ci.9ilcl`-krC5 4-0 h mei ,OrIn,- '16) /5S7-A=7r7ce. Approved By Planning: ��_ Date: 0/3/ /7Revisions (after Building Submittalonly) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES 061417.docx Building Permit Submittal / / Original Submittal Date: 7l !l2 Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning cfir Engineering .--4?'Permit CoordinatorBuilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: pt 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 beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Amp, AL.L.� �i.--,,,,,,-- Date: A1���1 Engineering Review ,j27Slope at building pad: / 0 76 El 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 /6 No Assess Water Quantity Fee in-lieu: CI Yes !/ No LIDA Facility on lot: ❑ Yes / No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: P4.11/0--- C Date: /e 4 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ` PP roved,NOT Released: ?ti4? ge,74.66,—(jerw-s /� (�e:1 G// Y? 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 El N/A Tigard Trans SDC: Yes El N/A Parks SDC: Yes El N/A LIDA El Yes g'''N/A OK to Issue Permit Approved byPermit Coordinator: Date: /1/71/ I:\BuildingForms\131dgPermitRvw_RES_061417.docx r City of Tigard Ilq " COMMUNITY DEVELOPMENT DEPARTMENT 0 TIGARD River Terrace Building Permit Review Addendum 0 Building Permit #: Site Address: / 6794/ Su) F- enh0l 1, L.g.,e Project Name: vr.. T r� �; I a 4-2 Flat<71' Lot #: 3 a (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?,s El 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. Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft.,Eft.wide Gabled dormer ❑ ❑ ❑ El 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: 1414/0 3. En nces:At least one entrance must meet both of the followin dards: Max. 8 ft. setback from longest street- facing wall arallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: i;Kes ❑ No If yes,all the following apply: sq.ft. min. „Erone street facing entry Y12 ft.max. roof above floor of porch ft. depth min. �30%min.porch roof coverage 4. De ailed Design:All buildings shall include a min. of five of the ollowing elements on all street-facing facades: P'Covered porch min.5 ft.wide x 5 ft. deep ecessed entry area min. 5 ft.wide x 2 ft. dee ❑ Wall offset min. 16 inches p ❑ Dormer min. 4 ft.wide of eave min. 12 inch projection offset min. of 2 ft. El Roof shingles either tile or wood El Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. .0<orizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40% of street façade El Window trim min.2 1/2"wide by 5/8"deep El 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 1d'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 Id 40%max. of street façade El 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: �� . �_ Date: /C/3//7 I:\Building\Forms\B1dgPermitRvw_RES RT 062216.docx / City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16794 SW FRIENDLY LN, BEAVERTON, April 12, 2018 at 2:21 :55 PM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00369 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16794 SW FRIENDLY LN, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00369 Inspection Type: Inspector: 699 Mechanical final Allyson Armstrong Result: PASS Comments: No AC installed. Corrections complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16794 SW FRIENDLY LN, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00369 Inspection Type: Inspector: 399 Plumbing final Allyson Armstrong Result: PASS Comments: Water pressure = 60psi Corrections complete Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16794 SW FRIENDLY LN, BEAVERTON, April 25, 2018 at 9:22:40 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00369 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: previous corrections completed Violation Summary: Inspector Contractor