Permit (100) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00389
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/03/2017
Parcel: 2S106DA04900
Jurisdiction: Tigard
Site address: 16844 SW FRIENDLY LN
Subdivision: RIVER TERRACE EAST Lot: 49
Project: River Terrace East, Lot 49
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 0 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2078 sf Value: $253,947.70 Rear: 3
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 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: 3 201-400 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 2078
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: $31,748.38
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 throu AR 952-001-0.90. 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. _ P 6 77, ��2
ermittee Signature: / 7-70#1//
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application L....
® le:R RECEIVED
FOR OFFICE 1 SE O\Ll
City of Tigard 2 Received Permit'''° __67;2 / '
o —�� /�
g JUN fr DateB : r _ I �� �//� /
13125 SW Hall Blvd.,Tigard,OR 97223 � Plan Review � �
Phone: 503.718.2439 Fax: 503.598.1960
Bu*1T
IGf�if D DateBy: other Permit`�`aga00l/// f� 3/Cy
RI, Inspection Line: 503.639.4175 B� Q1ViS�O(U DateReadyBy: Juris: Id See Page 2 for
v'
Internet www.tigard-or.gov Notified/Method: Supplemental Information
....�..�..... i s 41f �... , 2 a 1. . `� & �t. ._ a a t
®New construction ❑Demolition 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: equipment,materials,labor,overhead,and the profit for the
• � � -W3 work indicated on this application. 910
M� ,� n a3. �•ts� aha __: � �
® 1-and 2-family dwelling ❑Commercial/industrial Valuation:
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
� �� ` t'I , - e . ;� Total number of floors: �]
11111 Job site address: •b 101,' I e ( f New dwelling area:20-16 square feet 1 !3 O
t1'.3
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
1J Suite/bldgJapt.no.: Project name:River Terrace East Covered porch area:f square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision:River Terrace East Lot no.: ci Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and
the profit for the
t °t : ^ . 4 work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
rzwN•SfiPa�Wt ? i) ita 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:
b
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:Nichole Thorpe
FLS plan review fee(if applicable):
Address:109 East 13'Street
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Amount received:
Phone:(360)695-7700 Fax::( )
tee.;
E-mail:Nichole Thorpe
Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic 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: $201.60
Authorized signature: / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
# •
Mechanigal Permit ADDIteatibir" FOR OFFICE ISE(1)\LA
.. .
City ofTigard .Received
t 1 "1" 2 6 7t117 aierly:
;1114 w .1312$SW liall Illyd.,Tigard,Olt 97221, '-^-- ' -
.' Phone; 03.718.2439 Fo :,503.59L 196,0 .,_ „ i, ...1, Ire,-11;t17i Oilier Paton;
T 1 k-.3 A It D 'inspection tine; 503.6394175 "•f,,!;,. i; 1","`, ,:"(',',' ( ;',1„,'•[-t.:('-'-:-1:' mile R-cati). IBy! Mit I GI See eage 2 for"
init.:Pet; WwW.tigititorgoi
siiPPlernentai information
••,..„:"":/t..•. . .:
Ar,.;4:':i..r::f,-itAe.,Ori-."(..ftllit";-..i--tisti.:_044itikirVi-4Y:V :''R:e.:YeZtAYit.:71--;_ --;--itt•TI-5-Ki.- !-'' '-•,'-'0117801.0*Vi1X.t..!V00.444"$ii.;10.. 44.044.0.7.-',....:,.
Mechanical pertnit fees*are based on.the Yalue,of the wo6
14 New construction 0 Addition/alteration/replacement.
perfarmed.indicare the Value(rounded to the nearest dollar)dell
0 Demolition 0 Other: Mechanical trialciisils.'equipment labor.overhead.anti Omni
Value:S
eAt00:)44ift t.04gtiitioitigi. ::,!" -::!:7:',",",7::,.: 4,7:-.:.;!:,-,F-.:;.;•,A.:::: :,,, ..:..... .,.... . ..„.. _ . .. ......., ...,. -.. , ......,.......... __ . .
. -•--- ----s' --.-.--..----------" r ''."''''''-'''..-''''''v'' 404?0.1..4.4*Mrfig041-47.0.4,*.f44.-i:','4.*i.:::?:Ij.-.
' t.ka,41.'and 24until),'ihkolling 0 Cotinnercialfinclustrial D Accessary building Air special information use chechtisr.
.....
1 Multi-family. 0 Master builder 0 Other: Description ..._ ,, c I Ett. .I Total
-::-..;'.:•"it'N'.7::(EV- -'414('-1-(:;44it"--(49111A1.-"P."MC9,04.110:1t.:".047411P.4110N'ilt0-1'1'iNnt'rt,:4•!;-5..-D-Itt( - - --- • _., :
„Air Conditioning . _ 1 46.75 . - .
.foli site address; 1 tobLiq S V4 Fyi einct i 4 L.Cutf\e .
Furnace 100.000 BTU(tiums4vents)
CityiStaterilse:'rigard,.OR 97224-
Furnace 100.00(0)311i(deets/yerag 54.91 .. ...
ie.tePionli
--Stiliefid4hipt.nit:: r'r-id2ivLr_...21Le.....rfiaitl 'Duet work . _ . , 61.06 -
Cress strectMirections to job site;
if-y.4foot;h water system - 2332
Residential holler(radiator or
hydronici 2332
. .
Unit heaters(fuel-type,not electric),
„ • .. . • .
in-wall,in-duct suspended.em. 46.75 •
,.
Fluelbetl,fettatv of aboVe , 1 13.32 ...
Subal;isi911:-iilik/6te T-e.ryarc- E)s f- Lot no_
I '46/ .,,Other: .
Other cue!applianiesi 23.32
,
Tax map/parcel no.:
Water heater . ' 2332 •
i' P.1•;(: ''OS4(t'..t.:0001000:-0"E'Ot'(*0104.41('''' :i(Zi... ..41tij-&"::,-::F1;-;•" 21::'--: Gas 61..14°3/insert - 1 ' 33:39
. .. .,..,,..._,...„,„..„..
Flue vent for water heater or gas .
AISTZ,0 11-ED3PC1 fireplace _ 2332
Log lighter(ilasi - 23.32
Woorlipetlet stone 33.39 • '
Wood 5replace/insert 23.32
, .
ChitnneY/IincilillieN991 _ 2332 • •
23.32 _
:i:.':•.,:::K..,:::;;4,01.i.:*4000-.--i*Pit*:',4::;:....:':;!:::.'..r.71 .:-...t,',,,t;'tiiirc:.'5::.:Itrii!.N.A:016,1 ,,-. ...pi:,,;2A.., °dia.'
Emironmental exhaust pod ventilation:
Nanie:"ft D V I.- 1-4tet"IITACI 1.111 5 LLL Range hoinVather kitchen
eottioment 1
,
Address:."-14-An c r\r‘. • I-I '4.'1..
I wit'. L.. I-,IAA")l'C..1Y fe... (2.12..11 Ct-k re..0A4 Clothes dryer exhaust 1 33.39
. . ..
- CiW/State(it a.(1,4 to Al cr,;?...c4p) Sligo-duet exhaust(ludiwooms, 14 , ,
.4f.g..P"."..t ri" toilm compartments,utility rooms)
Phrinej R 6 1.... (ill 1.4. 4 K3 I .
AttielerinvIstiace fans 2332
":. -- '''.•:•••(.'-.. fi:.. ' i1:,•- •.„_;:.1-;:,;.-',:(1::t mikiii*kfii*kjitiowe';'--::' - °then 2332
-.--......--...z._.--.).--------/
. ,.. . .. ....„... ... . , ,...„ . .....,... ... ,.. ,.... :_. ...._ .
-
Fuel piping:
Business name 'William ,4(-)y tk-Dives I zne_
514.15(or nal foin;54.03 for each additional
Contact namei ` ‘a, 1 , 1,, tc„.
FUrna-Cc.,et' . . I
. . -
Gas hot pump
.....,z.Lires,.....slaa_arDexciWa.4.....S.t.Lat ,..2,D ___.------___
City/Sate/ZIP: uv
tVancouver,WA 98660
Water heater
i
Phone:(360)69S-7700 I Fax:;(360)693.4442 Fireplace
..
Rue
•E-mailf i ' ,A10, . IA I, !Aft p onhi'yy)eS CeeN'y\
N:.,..‘, ;V-;T:::f;Tift-:,',;.;:;-.0,',:r..:*..6 .:::-'.1T.-::ia:!."..iti.:t:',1'..N: ..----;-K4ti'-i-zrrg-fg..§:si17i :0:2.::ii C1otti-1 drVm(pas) • .,
Business name:Apex Air Lte Other: ,. _ •
. ._ -!:•;-_•;:•;:'..7.'-r...‘.•'..?.14,i .$1..ftAtf.P..t.RhITO:t.:F. .. .-,..:i-i_i'..'..'.:,-:',.•••:•:'
Arldmts:141004 NE 721"1 Ave
Subtotal
• .
CitylStattiZIP:Vancorrver,WA 90606
Minimum permit fee 490.00)
..
- . . .
Plan review.(25%or permit fee)
Phone:(360)3424109 I Fax:(360)326-1769
State surchm-ge(l2 ,uf permit fee)
CCB tic,:203034 .
. , — .. .
TOTAL PERMIT FEE
-- • . . The:permit application expires it a permit i.not obtained within 180
days after it hat been accepted as complete.
Authorized signature-
4 Fee methodology set by Taunty Building industry Smite Board
I Print natne::- . si i Date: 4.147
Datvittlungfotnitilkti:O_Ntaniiity,p040113 doz
44446 I TT t I ISNICOMA1:1121)
• ' ";,',. .;a: of 1 '',, -1-c-'..., ' , -i'
., 4 , , 4,L 4 . )
Electrical Permit A lication , i 9, ' ?1117 FOR OFFICE USE ONLY
of Tigard , ,,, , ,, Thtellete4.1 Related peniiiiimmunimmunratinitli:/t7S7-02C/2-`470.71,f9
, .,... • 13125 SW HallBlvd..Tigard,OR 97122j1 .. .., ,
IV Phone; 503.718.2439 Fax 503.1p84p:„ - ,, , , -,-,. Darealy:
Inspection Line: 503.639.4175 '.1' .3+.. (.',,...‘- ' * _' Ready Date/By: — imm.11.111.1.t.r...1111111.11111111.e page 2 for
TIGARD intemet -----www.tigard-or.gov Notified/Method; Supplemental Information
-r2.5i:7-:.7. -•-s-. 1-7. -",-.7 :TTLEFIRO-7-g4.7 --- -:q F..:4 -1Z '!..1,:iWaerfigirZNiCATRIM
El New construction 0 Addition/alteration/replacement mean check all that aPPIY fsahosit2 sots of Plans values checked):
0 Service or feeder 400 amps or more 0 Building over three stdries.
0 Demolition 0 Other:
where the avallable fault current 0 Marines and boatyards.
i.%*"..alia`?'...,,ft-Z%.5.1-rWliS7?--rifit,12,'WsTikK7FT:i1-8 :?;;K:t?"C.A exceeds 10.000 amps at ISO volts or CI Floating buildings.
Eg 1-and 2-family dwelling 0 Commercial/irichistrial 0 Accessory building less to ipunod,or exceeds 14,000 0 Commercial-use agricultural
amps for ell other installations. . buildings.•
0 Multi-family - 0 Master builder 0 Other: ['Fire pump. ['Installation of 150 KVA or
F.1"--44-7-2- 7-4.1.%Wito.'171. 7*".erSIAM-7..,e .-..,:.:„..':- 0 Emergency system. larger separately derived
0 Addition of new motor load of system.
Job#: Job site address: SW II ' g A I I 10011P or more. 0"A"," ","1-2","1-3",
City/State/7IP:Tigard,OR 97224
0 Six or more residential units. oaellPanoY.
Olhealth•care facilities. l:I Recreational vehicle parks.
Suite/b1dgiapt#: Project name: ..- 1- A im _ , 0 Hazardous locations, 0 Supply voltage for more than
0 Service or feeder 600 snips or more. 600 volts nominal.
Cross street/directions to job site: [077,-..1.-7-1- 111117.1. --.7*----726- 7'
jx. .3. — irmagiii. Tolria
INnedwuredesis daenttac'hedsinparea-goer.multi-family dwelling unit.
Subdivision: f ' , Lot#:
g
-. •ill I. ' .4
1,000 sq.ft.orless mim 168.54 mop
Tax map/parcel#:
E addl 500 sq.ft.or portion MINEEMIIIMIll
Limit •energy,residential 1111 Mill
75.00
lik4 -00 6 with above s..ft.
Limited anew multi-fismill' III 75.00 11111E1
residential with above s..ft.
L-7•7- :;i3--.,, rrl_a_'): ,,,V;r7:15-r4_15- 1, 4.,Trit::::7_,' S-3•7•ff,i7t1.27:M t7:7-,<;'-7: Snerenvieceswabol:fEened;installation all:teratio.11 and/or relocationlil
Name:ADVL Land Holdings,LLC
• 200 amps or less 1111 100.70 mum
Address:7600 E Doubletree Ranch Road . 201 amps to 400 amps 11111111M_1111111113
401 amps to 600 amps MI 20034 MEER
City/State/7'P:Scottsdale,AZ 85258
601 amps to 1,000 amps um 301.04 min
Phone:(602)694-4031 EMIllillmin Over 1,000 amps or volts 1111E2211111111EI
Temporary services or feeders installation,altaadon,and/or
Email:
..
relocadon
Owner installation:This installation is being made on property that I own which is not 200 amps or less momixammu
intended for sale,lease,rent or exchange,according to ORS 447,449,670,and 701. - 201 amps to 400 amps 11111 125.08 minzi
Owner signature: , Date; • 401 amps to 699 amps 111111111=11111113
r:;:;t•::-::_',t,,r;717:597;, -'7----•-z-t, -§-,7,-:f.w. A.BraFnchfor eibrcutrats--.new,alteration or extension, .er 'anal
Business name:William Lyon Homes,Inc.
above service or feederta litie, 11111111111
each branch circuit
Contact name: i a 0,- IA I L, B.Pee for branch circuits without 111E1 I
service or feeder the,fast
Address: i 3 tip ( ,.._CLUJ g ' I branch circuit
City/StateraP:Vancouver,WA 98660
Each addi branch circuit moniumumi
. MisteIlaneous service or feeder not include.
Phone:(360)695-7700 • '•' Fax::(360)693-4442
Bach mannfactured or modular
dwellin service andlor feeder 11111LICRCIIII
Elliail;A. I 1 II t A L •i .t i• A I as ' .1.144 ReconnzetonlY Iiihmagaimmodel
4LETZT'IlEf."--717 Z7::7;:-,-;-'q,-g-i-7-4 Tffiiii-fECeTAT---Wk:77(4.14 :,7---5q.f7,- ATIFTi.A pump or hrigati„eirele11111,_1111123.___11111110
Business name:Garner Electric Washington,LLC ' Signor outline lighting 11111Miall 11.11111EI
....
• Signal circuit(s)or limited-enetEY n see p,,,,2
Address:A b i 0 tioh. - L k ... lb , . el,altered... or extensirm. — --'' 1111E1
Each additional Ins.tattoo over allowable in an of the above
City/StatetZIP:. 1 A 410 •3
9...., . ii. WI Additional inspection(I hr min) 1111 6625/hr III
Phone:(253)320-1657 ' Eill Investigation(1 kink) 11111 90.00/hr 111111111
industrial plant 0 hrmin) 1111 78.18/br Men
Email:bdaniels@gwensa.coni
Inspections for which no fee is III
111
90.00/ir
EMEEEN Electrical Lic.: 208174 Suprv.Lie,: 4496S 8' ...% listed j4_17P1:11--,_,
L',.7:7,1-, 01-Q-SAO.(P.S14:0Wegtq§iTZTRTM73
Sllprit,Electrician signature,required: i'm 4,- . ,1 -Ai- - -,,,, , ‘ .::-,.. .
Subtotal: MM.
Print name: Joan P Albert •• Date: 4/26/2016 0 Plan Review• .Irked(25%of permit fee): 11111111111111
State surcharge(12%of permit fee): MEM
:: • ____________
'....';•, Authorized signature: --7---golom.--
TOTAL PERMIT FEE: MIN
This permit application expires if a parmItis not obtained within ISO
Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted SIS complete.
* Number of inspections allowed per permit
'`..'•'1:11l'aildlaSIPeteatraluC PermhApp ELIt BREA=Rev 06/17/2015
440461$711j
Plumbing Permit Application,*--, ,
Building Fixtures
,� Z(117 1 oR Oi ll(I�. t `+I: ()V1,1
46
City of Tigard �' Received
a 13125 SW Hall Blvd.,Tigard,Obt � r l'-‘:!-, 4 >'r , PlaPlanRnR Permit No.:��7~��0I 2'�i 03 9
111 • Phone: 503.718.2439 Fax: 5o:59E.1196b' a 't. -F'' eviow
nc,n� n
Inspection Line: 503.639.417 `1 ; : t DareBy: Penult No.;
Internet: www.tigard-or.gov . '' ` Date Ready/By: tuns: I
See e l for
,..,:c <�.,.-.,•....-.• .:. �ppk ental Inform
.�..- .<.:....:. ... alien
NotiHed/Metbod: ma
• •• :TYPF;OF.y1,0I� :.. -..,:::. . - . •: -!SGHElitiii s.ti'
®New construction • 0 Demolition . :^` -'., :: ...:.',`'�i'' ��`��;,�;Ca:�:a_
For venial information use checklist
Total
0 Addition/alteration/replacement Description i Qty. I Ea.
• Oft : New 1-2-family dwellings(includes 100 ft.for each utility1connection)
-: '..:-::'.. CATEGORY.OF CONSTRUCTION' SFR(1)bath 312.70
®1-and 2-family dwelling 0 Commercial/mdustrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500 32
❑Master builder Each additional bath/kitchen 25,02
❑Other:
.
491:.SITE INFO Fire sprinkle( sq.ft.) Page 2
•. R141ATION',IiND LOCATION Site utilities:
Job site address: t�I1�(1� `�Uvtet `t n� Catch basin or area drain 18.76
City/State/ZIP;Tigard,OR 97224 r I Drywe11,leach line,or trench drain 18.76
Suite/bldg./apt no.: Project name: - Footing drain(no.linear ft.:_,) Page 2
3 Ql der Te..,rrQLt...-E C - Manufactured home utilities
Cross street/directions to job site: 50.03
Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft: ) Page 2
Storm sewer(no.linear It:_) Page 2
Subdivision: {7�'1e Tara�� C��1_ Water service(no.linear R:_) Page 2 ,
124
R l "i- Lot no.. 9
Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27
DESCRIPTION OF.WORK. : Backwater valve + 12.51
M STM'1 003 Clothes washer 25.02
J , Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
®•PROPERTy OWNER • I 1 TET4Arrr Expansion tank ' 12.51
Name:ADVL Land Holdings,LLC Fixture/sewer cap25.02
Address:7600 E Doubletree Ranch Road Floor drain/floor sink/hub 25.02
City/State/ZIP:Scottsdale,AZ 85258 Garbage disposal 25.02
Hose bib 25.02
Phone:(602)694-4031 ( Fax ( ) Ices _
12.51 _
:'•. ® APPlr;14CANT .' 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2
JJ Primer 12.51 name:me,h e,---Th 0110(.."
Roof drain(commercial) .0Address: ` O' �04ja .y ukSIO Sink/basin/lavatory 25.02
1
City/State/ZIP:Vancouver,WA 98660
Solar units(potable water) 62.54
Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:01 C O k.-• flr9P-.e POt,•� orne_S.C.1Th Urinal 25.02
- CONTRACTOR• Water closet 25.02
Business name:Malmedal Enterprises Inc. Water heater 37.52
Address:PO Box 207
Water pipinglDWV 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: C____ ^ State surcharge(12%of permit fee)
"^c- 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.
IABvildingTerindAPl.Mll.PconitApp.doe 10/01/09 440-4616T(10102/CoM/WEB)
IIICity of Tigard
' COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #: /*57 /.7-00
Site Address: 16 pj y g S W r of i,v LI-7.
Project Name: 'River 'Te rrc 0„ EqSi- Lot #: 47 9
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: (veA l S .-IZ
Verify site address/suite# exists and active in permit system.
7 River Terrace Neighborhood: ❑ No f Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
ree(3)copies of site plan
;Axisting structures on site
ASite plan must be on 8-1/2"x 11"or 11 x 17"paper .(Footprint of new structure(including decks)with finished
rawn to scale(standard architect or engineer scale) floor elevations
(North arrow Utility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number eSidewalk/driveway approach
,( pplicant information(name and phone number) un-bf wells/septic systems
Lot dimensions and building setback dimensions E}L,Qsingtrees to be retained with drip line,and tree
Square footage of buildings to be demolished rotection measures
7Lot area,building coverage area 'ercentage of coverage and Street tree size,type and location
impervious area(applicable i' ' ) R-12,R-25&R-40)
�" J;2Itreet names
, Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑ • 4 No N/
4 foot differential) If yes,is a storm water quality facility shown? es ir.No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received:
❑ Yes 0 N
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For:
pP Yes El No,stop intake
IVLand Use Case#: F.p�Z —0QQO ( Suu Q1(, /? • 01b ` OQc /1o1
Zoning: Q 'I �
Z Required Setbacks: Front . 12 Rear 3 Side 3 Street Side g Garage
ZfLandscape Requirement: 2 0
7 Lot Coverage Maximum: 8 a % ,Q
('Building Height: Maximum Height WI f�„ p
Actual Height z
Visual Clearance
ii Sensitive Lands: ❑ Yes itZ/No Type
AUrban Forestry Plan
Conditions "Met”prior to issuance of building permit
otes:
Approved By Planning: IV) 14...--.......—:-
Date: 10/ 1 i J 1 1
Revisions (after Building Submittal only) Reviewer
Revision 1: 0 Approved ❑ Not Approved Date
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
I:\Building\Forms\BldgPennitRvw RES 061417.docx
Building Permit Submittal t
Original Submittal Date: 6 (2.2-1/7
Site Plans: #
Building Plans: # 3
Building Permit#: Enter buildingpermit#above.
Workflow Routing: Planning AgoEngineering C›l'ermit Coordinator 7 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
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: / / -p4A/tipit6
Date: /v/fii
Engineering Review „ ,.)
at buildingpad: 2 a
,❑Slope
❑ 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 Aff No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering:
Date:
Notes: / 7 k
Approved //by Engineering: ilio t'', Date: /0e 7/
((
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:r
Date: iV)z3/1�
otes:
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:
(laij SDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A
Tigard Trans SDC: es ❑ N/A
Parks SDC: t'8' Yes ❑ N/A
LIDA ❑ Yes N/A
OK to Issue Permit �� 7-2/111/1"--
pproved by Permit Coordinator: illyrkz/
Date:
I:\Building\Forms\BldgPermitRvw_RES 061417.docx
City of Tigard
"IIII COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: I 6844 Sw F rrr,r,d 11 Ln .
Project Name: Ri V errac &4s Lot #: 91
(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? 1 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.
Balcony w/access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deepI
ft.deep mm. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
❑ ❑
2. Eyes on the street: a minimump112%of each street facing facade must include windows or entrance doors.
Percentage Shown:
3. Entrances:At least one entrance must meet both of the following standards:
Max. 8 ft. setback from longest street facing wall 'arallel to street,angle no more than 45° from street,
Entrance opens to a porch: Yes ❑ No or open onto porch
If es,all the following app y
/25 sq.ft.min.
One street facing entry 712 ft.max.roof above floor of porch
5 ft. depth min. V30%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
0 Dormer min. 4 ft.wide
/`-" Roof eave min. 12 inch projection
0 Roof shingles either tile or wood Roof offset min. of 2 ft.
0 Roof pitch oriented south min. 500 sq. ft. � Gable,hip or gambrel roof design
Horizontal lap siding min. 3-7 inches wide
0 Accent siding min. 40%of street facade 7 Window trim min. 2 1/2"wide by 5/8"deep
0 Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.
e
0 Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35°/or l lessby
of streetfacade
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. 0 YesgNo. If No (Check one):
/XMay 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)
0 12-foot-wide garage door
0 40%max. of street facade
/50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: /h Cvx. .\.:1 L.,...---,,�
— Date: '0/ / nI:\Building\Forms\B1dgPermitRvw RES RT 062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16844 SW FRIENDLY LN, BEAVERTON, April 10, 2018 at 10:51 :26 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00389
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Provide address on site for inspections. R319.1
Provide protection Ballard for water heater in garage. M1307.1
Seal all duct penetrations in mechanical room.
Not ready for final inspection at this time.
No ac installed at this time.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16844 SW FRIENDLY LN, BEAVERTON, April 13, 2018 at 9:46:51 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00389
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS
Comments:
Corrections completed.
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:
16844 SW FRIENDLY LN, BEAVERTON, April 13, 2018 at 9:44:27 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00389
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS
Comments:
Corrections completed.
No A/C installed
Violation Summary:
Inspector Contractor