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Permit CITY OF TIGARD MASTER PERMIT ',. Permit#: MST2017-00269 COMMUNITY DEVELOPMENT Date Issued: 12/04/2017 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DA06000 Jurisdiction: Tigard Site address: 16885 SW LARKSPRING LN Subdivision: RIVER TERRACE EAST Lot: 60 Project: River Terrace East, Lot 60 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height 26 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: $354,723.73 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: Catch Basins: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 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 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 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: $33,955.87 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR•52-001-0090. .0 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. S. iks Issued By: / , .•14„.1.41 /i_ . Permittee Signature: i'4°' ��'�/ ���= G[ / 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. I Y Building Permit Application X 7--- C) " � I ,.,. ,,. � FOR OFFICE 1 SE ONLI City of Tigard JUN *i Received IC) /7 T g �`�17 Date/By: � Permit �i �+0// C�[/� '1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax 503.598.196 ' t �� ( Date/By: 'ibi 3Other Permit: /2... 7 ,, ., h,l Inspection Line: 503.639.4175 BUILDING 1 V1 . i� Date Ready/By: �����..744:1;." lues: H See Page 2for Internet: www.tigard-or.gov Notified/Method: Supplemental Information -/i.. Nie ,4,6--- ,,,,,,,,,,,„....,.41.,,,,,,,,,,,T.,,,,,,,,,,,,,,.,,,,-.;.7..,•«.." '' ' x` ,;t " e k ,me.,1c rahR4I gi Permit fees*are based on the value of the work performed ®New construction ❑Demolition ❑Addition/alteration/replacement ❑Other. Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the _,,,f;-...; �4 fest 3F¢ua, ��, r _: tea„ , , -4-4=- .4. ' . , : t+ ,' t ` ¢` 4 i-Ire ��, work indicated on this application. -.-, ,.", °4 ri T:1-4 �Y ,6.:te e . r il,::` 4 � , 3(.0 ® 1-and 2-family dwelling ❑Commercial/mdustrial Valuation: S 0 Accessory building ElMulti-familyNumber of bedrooms: L ?a3 ❑Master budder ❑Other: Number of bathrooms: 3 J q*: ,,,, :iVrAihi r .d ar s t ;x ,e:; , z4 .. Total number of floors: Z 3373 Job site address: I to bit, Sw LA,r K S� Lam., .1 „(Jt I New dwelling area:2a ci square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 14(49 square feet Suite/bldg./apt.no.: I Project name:River Terrace East Covered porch area:L 161 square feet J 664-- Cross street/directions to job site: ) )g square feet)a S i7' pcMgO���/ Other structure area: square feet Subdivision:River Terrace East I Lot no.: JO 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 ` work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet F"ems s •7f'; e ° . - . -. , ` . 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: -Business name:Polygon WLH,LLCM"°""" d Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Nichole Thorpe � � � m � � - - � , ,, Commercial and residential prescriptive installation of --'� - -y r', - 4. . 1. roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: / 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\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ‘ . . , . .•. 7 . . :.'••'•, ''.,.::1. : '.',,,,', '"...7' ..,-.''',: i .- .... , . Afechanical P,eitiltAixolkatto.ii, ,. city.oftigard -r. 2 6 9 111 0 i-,. I , ,••- •Received 'Delelly: " " P04011*,t7S7 -0 17 /12'°7-4 1 ' 111-r., °I ..13125.a.W 1.14131Y0.,Tigard;OR 0724., .,,, ,,.. ,.,. ,„ ..,, "an R iew • - • -- - othor.17 .; a` Pinnai 54718.2439•Fax:$3.59 J96 ::-"„.-,;: ri'.,: .-L;-,'t,,...---_,_,.'i Dian;• '1 : Cur 50 n [75 ''-''' ' - 1 ., ,,,., , Dab:Rover "" Mils. SI See P*10.21of tpleritor.iiruit.tignitt,orgoi ,, • . . sulonlemental hitoimitituf . ... . .. * t....g,-,--"' c:IL''''',,,._'''''''I''';'''''::0-''''..,".1irlifi.••;Ai,*.574X,51PV.i;;;5•kr;ti-W$..,`.4•#Mi' v.:'-;,..•••'...7.,9.*triliditt-.. . ..._ .„:•,fi, .E".......",..:_J'Cj.10,„, -...:.,.._i',-Cikt143-ti"..,.. . _._,...••-. El New 6onstitictinn . El AdditionfalteratinterOlacentat— performed.indicate the value bounded halhe nearmt dollar:iota-11 E3 Deniathioti. 0 Oder rintelumical Inateriak -.u-,me 1.labor.maimad.end fit. Valet$ . - .- .. - -r---,7-r,-7-,,,r-----g,i.fr,74' ?v,'`4.-.--'.'''---'-'---ce.''''-'7'•- E-..,....-.7...i...,h. ,...,,,.. ....:.:'ri*.z.'7,77,4r,r4:E'Llrg..W.:,...6.C.41-..T..FW4 ,-911-.W. )94.1,-1..,,,.' :,.2.-..,,:--,i,-4,.:-4,--,,,,;,:-.:-=‘,..,-.4-.,!_,T,•--.- ...e.,4,,:,-.;,-,..w.4 .„ ..., :,,,. ..... 0 •. .. • •-....-- -, ..- -..,. 7.. ..."r1-and 2-faibihi•dit4Iiiig• 0 Conuneeciattindatttial El Attessnty building Par spedat bifinttation ase checkitst l Muiti-tindly. 0 MnsW bYik* CI Other:. Descrififult* IGOIIIIIIZIII Oat- :4''f:•A,.!zi':"g".afi.:;W:;%f:Vij44t•*0AtOtiOWAS*::*140t*0,,ti.f.iW;14;X,:t3t• Ain":atti'Zn.ni a * itin •46. k ;111 •s4address: 1.1. •0 . , ( . ... 1I AA' . -,.. ti...' Funny:ell:01.000 tall(ductottots) IIIIIET111111111 .CityiStal4iP.:.Tigard•OR 0.7224' Furnace 3 4't 00+•frru doelvmmit 111111 54.9'.. MINI . ci ' • OIfeatisk 1l11 61.06tiltebidghttli Pnject&lnever a .1 111crass ereeAiretions to JO she: w11111 tivdrintio hot water stem 111111M11111111111 Residential boiler(radiator or 1111,111111 Irvdronle) unit heaters(fel- 'pe,not deetrie),eit; II 46. IIIII . . . • . Fiett-'oeiventivell.in-dofir.., s,a, 66,,E:. • 111111 23.32 NM ' • . . .. . Other: . . • 1111111M111111111111 sodivisio it 2i 'A 7 a AM •. Loi no:.: , I • other fit a - ., a: TaX Atiapipated int.-. Water heater • • 1PM 2132 • .......,.7.-54,Fi.;ViT.•!•,,,!'iff,j,V,•-":iikiaTfir;- Zii.KititiiiiitkiF.,:411'i.:-*itiliid%M.Vf.'-gt..6:4'..*:': $:.•',.. . Cr" ii" ''- ased. 33.39 MI ,.. . ..,....... ,. - .. .'3. L... ... .. ..1 .. -.. . • t*lou mit 63c water he:dere/Yeas III 2332 MI . ,. • I i - 0..i,1.,.011 • aim 23 ,.. ... .. ...., 32 Wood(,- ctptc .111 33-39 MO ... IIIIIIMIIIIIIIII . . • Oa= Ainerffhtetrem 1111111M11111111 • . . ......•-•. ,• .."•' .. m7litt • r;a'imE-n•'47 traxr "r11.1111141,1111111111 ''''' ''71.1.4 . Enulronmental exhaust and ventilation: . RaiWer, ,meraiwildiathar ki"c4 Nathe: 11 0 L • --if .4. •i0 ' ao, . . . .. 11111 ' 3 .34 Allth"6:::.. D.. .. Clothes.. -• exisaust IIIM 33.39 . :• • • City/State(Z1P: . -4_k,71 • ?ow itati vi 'Pa wa . single-duct exhaust(Ixtlittooms, Au 23.3z toile.t co ,*laments,mil' -totuns) _ PholltH" ' 61. a ti Fax ( ) Auk/crawls,.cc fans ME 23-32 •,.••;•.•:.'!:;•.:•: :'..:.1,;•::*.tg.:',14144..eAfi*:' 1:41:."..7 :-4::::.:',7.7:,'; g . ,.......*;.•:...:..:r. 23.32 ! ' Busin.. en nam ' ' .I. It 11 Ix tI Ai! _ a — --------------------itisi um fortaciaddidosid. % comactiamai ‘.al • it, __ _. ______________ . . 111111111111111 Address: .ii, ‘ dr 4,14p 4004S.. Lu jr2 0 ...„._ w, .;,:...,,....,,“: heater 11111111111111 ciryistatozw;Virttcoltver,WA 98660 Water hehter- IIIII Phone:(3641)69$4700.- 060)693.4442 r-,5 leen 11111.111111111 , t . .;;,,. 111.11N111111111111 small'i ' Aka io Irk i f,t0 i SarbeCates MI • :::it',11 .•:'-.:.1f:,-;.ri-5::-7:7; :,:fi,.......,;i:j;;E.2i!"-,:ilii:,";:.-R4.;.!I. ' -, : .'..!-4:':', .. 7 ,. , •i,U,,i.11..,:-.4-7,: 1111111/1111 Other Business'ormic Apex Air LLC r.,..,..F.,•:- -%,;--kitAirtstritivitwo•4i.,,,i.:,_'::,.:: - Ave Address::ION NE 71*.- d --""'"-"-""-"---------"--sti'btl. eitY /Stant/ZIP;Vatiefittver,WA 98686 It !Minium pennit fe*0'90.00 . Plan review(25%of permit fee) Pluone:.(3601 3424409 Fax:(360)326-1769 State surcharpa(12%ofponmit fee) . Cettic.:283034 TOTAL PERMIT FEE i This permit application exilitys V a want' it not obtained within 180 ditys;Merit hes been accepted as complete. Atilhoriand ;.- .v4-... . * Fee methedelogy set by Tri•Ceenty.linikfregimiusby scit—neani• Price name: tek. , . • •i • Dale. 1 aimiglifultkremaist?mot*,040113 det sos4sr.7 Li iinbrnhortuii Electrical Permit Ate licatiall }c,7 '_(i 1 City of TigardFOl2 OFFICE USE ONLY Eeee yea _ R 13125 SW Hail Blvd.,Tigard,OR r ' Date/B , Permit fk s-� ' Phone: 503.7182439 Fax 503.598-196`p' `'c ` " ��,#c Plan keview lif TIGARD one: nom 503.639.4175 D lnspeo www: 503 3 .4y • Ready Date/By: hire Notibed/Method SU See Page 2i for ,z' r a)art a' T SnPPtemental IaformaSoa ®New construction 0 Addition/alteration/replacement � � �' �� �T•"����a > Please check all that a I su ❑Demolition 0 Other: PP Y( bmit 2 sets ofplaas Iv/items checked): IC:Ctl 0 Service or feeder 400 amps or more 0 Building over three stories r ¢ e , �r, a �e s n �r � where the available fault current ❑Marinas and boatyards. ®1-and 2-family dwelling 0 Commercialliridtisirial � L exceeds lo,000gs ❑ -andf2-al0 Accessory building less to ground,or exceeds 14 volts or D Comma iaiiumseu Multi-family - ❑Commercial-use agricultural Y 0Master builder0 Other: amps for all other installations. buildings.- e �.dem tl n ['Fite umKVAor ��. ._. v 9 d, ` , .:a. ,. X9 .. 's Fa K pump- ❑large cepa of 150 Job#: '+wU8SL� ;.5 Emergency system. larger separately derived Job site address; U/ ❑Addition ofnewmotor toad of City/State/ZIP:Tigard,OR 97224 ' '' !.,t ' 10011P or more. ❑system. A B^."I-2;"1-a; ❑Six or more residential units. occupancy, Suite/bldg./apt#: Project name: 'vole- r" ❑Health-care facilities. D0 SUpp Recreational vehicle parks. A t/ ❑Hazardous toe ettons. 0 Supply voltage formore than Cross street/directions to job site; •■ ❑Service or feeder boo amps m more. 600 volts nominal Der dos ^- E-- ase fi Subdivision: ' • New residential single-or multi-family dwelling is ling unit.e ' 1 i ' Lot#: , Includes attached garage. Tax map/parcel# _ � „j 1,000 sq.ft.or less 168,54 92 �", ` '.LT,.,;.;. ��' .,1 .I�., 1 9 ra u - -x Ea.&MI500 ft.or 0 �■lei _© �. r.i ,, y. portion _� Limited energy,residential III . /r with above s..ft. 75.00 -� Limited energy,multi-family � jje �� (with above s,.ft ■ 75.00 "i ii �1�i �m t"3-t S• Partial Name:AT) LLC ;3ti����tI',a� ���` ��_�' Renewable IN En;� ❑ See P :e 2 =© VL Land Holdings,LLC `"" Services or feeders instnllafioa alteratio P..- andJorreiocatron Address:76001E Doubletree Ranch Road 200 ampsor less 100-70 _© 201 amps to 400 amps - 133.56 _© City/StateiZlp:Scottsdale,AZ 85258 401 amps In 600 amps 1111 200.34 min Phone:(602)694-4031 601 amps to 1,000 amps asa 1115M11111111111111111111111111302.04 © 1,000 _© TeOvermporaryamps set vicesorvolts or feeders fnsf¢ilation,alte55226 ration,and/or Email: Owner installation:This installation is being made on propertyrelocation intended for sale,lease,rent,or installation that I own which is not 200 amps or less - ge,according to ORS 447,449,670,and 701. 59.36 EMI Owner signature 201 amps to 400 amps - _ Date: 125.08 _© ; ,•. �g �y E;y,.' ;�-- 401 amps to 599 amps 168.54 _© ,.. `"l L t1'-,.1U z. s m'^" '�'-1 v,awJ/�0.1.L4-s G" '�" 7 A.Fee r b,..ch e• w alteration or th Business name:William Lyon Homes,Inc. `` A Fee for branch cit cults wfte extension per r anal Contact name: ] 1 above service or feeder fee, L vat: each btanah circuit 7.42 I Address: 03 , B.Fee for branch circuits withoutI' •• ,, , service rfeeder fee,fast IICity/State/Z1P:Vancouver,WA 98660 11 bra'tcb circuit 5I Each add'i branch circuit 7 7.I8.42 _© Phone:(360)695-7700 Fax;:(360)693-4442 Miscellaneous service or feeder not include. Emati dw llhi rvicea drmodutar III= 111 � ,_,�- �� id CV. ,1 `r. , ,` dwetlin_ serviceand/orfeeder � . r RecdMO© E . 72 ,� 6� 7B-s ;.- T',P, n 5 nor it only - 67.84 Business name:Garner Electric Pump or irrigation circle - Washington,LLC 67.84 © Address;� .... signor outline lighting 67.84 _© ! Signal altered t(s)or limited-energy City/State/a?:, p a� • : . : ' j el etferati r or extension gy 0 See Page 2 -© __ 41'1' Each additional ins r action over allowable in an of the above Phone:(253)320-1.657MINI Additional inspection(I hr min) - 6625/hr Investigation t brmin) 90.00/hr _: Email:bdanielsQgvveusa.com Industrial plant p hr min) - CCB Lic.: C1158 Electrical Lic.: 208174Inspections for which no fee is 78.18/12r _ ■ S�tprv.Lie:: 4496S .r. listed %hr.mm III 90.00/1u - EI • • _ •-- Snprv.Electrician signature,required: �, �J . �, „�,�.�yi E'i?tVX'� -tot � , LII 1 J al: :3rd- - ,k' Print name: Than P Albert Subtotal: Date: 4/26/2016 ❑Plan Review• .aired 5%of permit fee): • Authorized signature; " _—' State surcharge(12%of permit fee): 11111111111111 `: Print name: Bill Daniels TOTAL PERMIT FEE: MIN `s` Date: 426/2016 This permit application expires if a is not obtained within 180 ;.•'•: 1BaildicStPgraitslEL�P s days after it}gas been accepted as cromplete ei:,t, °t APP_? }ritEdoc Rev 06117/2015 Numberofiuspectionsallowedperpemut . - 4404615T(]IPoS/WAyq� • Plumbing Permit Applicatjon Building Fixtures il� 2 1117 i OR OI FI( I: l 11: O\'L1 City of Tigard " Received 13125 SW Hall Blvd.,Tigard,011192233 3" Permit N1 `2 � p II Phone: 503.7182439 Fax $Qa 598,7960 t Plan Review f Inspection Line: 503.639.4175 DAY 1114 Other Permit No.: 1 ( Aal7 p _ , .. Internet www.tigard-or.gov Date Ready/By rte: Notified/Method: B See Pagel for .;:';.;.:1 :'4;',.:':.: 1.r..3',".. :� !F;%OI?:�i'(3RIt�:o;. j. J. I Supplemental Informafion �New construction • ' . . : :4.� �'��,.� *� • -, �`�j ter//.l- [[,,��'' [i Demolition For special information use checklist : ,.; ❑Addition/alteration/replacement 0 0 �: Description I Qty. I EL ] Total - New 1-2-family dwellings(includes 100 ft for each utility' connection)- ' I.' : ' ••CATEOORY'OF C©NSTlRUCTION.. • 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)bath 500.32 Each additional bath/latchen 25.02 ❑Master builder 0 Other • Fire sprinkler( ,sq.ft.) Page 2 . ' ....',OB•.SITE INFOR15A'TION'AND LOCATION _ • Site utilities: Job site address: { s`VA, i ��- - 1 Catch basin or area drain I8.76 City/State/ZIP:Tigard,OR 97224 �+ 4r J Gelb teach tine,or trench drain I8.76 Suite/bldg./apt no.: ) Project name: �)Ve r Footing drain(no.linear ft:,_� Page 2 T�i�a -C-'�1T Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Subdivision: (Z Wet- T,e�rra ce. ( s4- Water service(no.linear ft:,) _ page 2 Lot no.:(10FFixtureure or item: Tax map/parcel no.: Backflow preventer . 1 31.27 • DESCRIiON OF.WORK, • Backwater valve 1231 M srzm i? 002.1129Clothes washer 25.02 • Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®. ROPERTy OWNER • • I. Q 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 Garbage disposal 25.02 Hose bib 25,02 Phone:(602)694-4031 Fax:( ) Ice maker • ., ,. ®•.APPLICANT .• ( . .' 0 CONTACT PERSON• Inte 12.51 :; .' rcePtor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 Primer 12.51Contact name: V ic hole, hv Roof drain(commercial) 15.0Address: -1 03 )ri of(1,41 St- SUiit SO Sink/basin/lavatory laftCAi2y / 25.02City/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 `,.--1 E-mail:0 I C,I\V��e „ e .e e s,C Urinal • 25.02 ' 4. CONTRACTOR ��� ,•.a 1 }r Water closet 25.02 C Business name:Mahnedal Enterprises Inc Water heater 37.52 Water piping/DWV 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: 572.50 r CCB Lic.:102535 Plumbing Lic.no.:34-276PB an m e►� (25%of permit fee) Authorized signature: /'^\ State surcharge(12%of permit fee) � , TOTAL.PERMIT FEE [Print name:Carolina Malmedal J Date:04/25/2016 I This permit appncatwn expires if a permit is not obtained within 180 days slier it has bees accepted as completes "Fee methodology set by Tri-County Building Industry Service Board. I:1Bugcris 'ermits\PLMU PermitApp.doc 10/01/09 440-4616r(10/02/COM/WEB) City of Tigard lig " COMMUNITY DEVELOPMENT DEPARTMENT 0 T 1 c A R D Building Permit Review — Residential Building Permit #: //%5TAC )—06-Z 2'7 Site Address: I(?0 8 S S vv Lar It c pnrn 1,>r1 , Project Name: Rote TC-r rn( 644 S 1 Lot #: (4)0 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review V Proposal: 1 eNV S CA Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No / Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan IEExis-t6ng structures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper /Footprint of new structure(including decks)with finished /Drawn to scale(standard architect or engineer scale) floor elevations /North arrow Utility locations&easements(required for new and additions) /Site address,project or subdivision name and lot number BSidewalk/driveway approach Applicant information(name and phone number) ELerauuu of wells/septic systems Lot dimensions and building setback dimensions DExiatirzg trees to be retained with drip line,and tree �Sgcraie footage of buildings to be demolished protection measures Lot area,building coverage area,percentage of coverage and ViStreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) YJStreet names 'roperty corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? /Yes ❑No 4 foot differential) If yes,is a storm water quality facility shown? fps LiNWitt 7 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): / Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: P FT 71716 - 0000 Required: ❑ Yes,applicant was notified ❑ No Applied For: IDYes CINo,stop intake X-Land Use Case#: P D 0 O L( "- OOOO i Zoning: Pi) a- lef 7 C(Required Setbacks: Front 1 Z Rear 1 0 Side 3 Street Side Garage 2' Landscape Requirement: % ILot Coverage Maximum: 0 0 g Building Height: Maximum Height 14/1+ Actual Height .__--- Visual Clearance Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: C:onct:t ,ons sdlcru. he diet- Oil).- 1ss-ci011t.L Approved By Planning: A/) Git."---..- v-.---,_:_, Date: (U/ Z Z-/ I .7 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\BldgPermitRvw_RES_061417.docx 416 Building Permit Submittal Original Submittal Date: (/° / 7 Site Plans: # Building Plans: # Building Permit#: E—" nter building permit#above. Workflow Routing: 6 Planning Engineering r Permit Coordinator Building Workflow Sign-off: ► Sign-off for Tanning(include notes from planning review) Route Application Documents: pf 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: r By Permit Technician: Date: 7/(0/1 Engineering Review Slope at building pad: 0 ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat 2-Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ,6 No Assess Water Quantity Fee in-lieu: ❑ Yes ErNo LIDA Facility on lot: ❑ Yes -ErNo ❑ NOT Approved by Engineering: Date: Notes: 1A)411— ft511064 ( ' !.a f 1u.J`Y7 1'L Approved by Engineering: Kiu - Date: 7 (Z 17 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 fq.pproved,NOT Released: Date: 'X3 /" -- 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: PirDC Fees Entered: Wash Co Trans Dev Tax: res ❑ N/A Tigard Trans SDC: pi Yes ❑ N/A Parks SDC: itii Yes ❑ N/A LIDA ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: Date: t t (.1..-6\`l I:\Building\Forms\BldgPermitRvw_RES_061417.docx r Y IllCity of Tigard COMMUNITY DEVELOPMENT DEPARTMENT II T l G n R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: 1 e g 1,S S w LGi s K,s' 'rlrr 9 ®( - Project Name: (LW, T.rre4 C2. Go s - Lot #: &0 (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? `Yes 0 No 1.Articulation: a minimum of 1 element per each street-facing façade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6f.wide Gabled dormer 0 0 0 2. Eyes on the street: a minim of 12%of each street facing façade 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 /Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch:/ Yes 0 No If es,all the following apply: V25 sq.ft.min. One street facing entry r'12 ft.max.roof above floor of porch 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 / Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide /`'' Roof eave min. 12 inch projection oof offset min. of 2 ft. 0 Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street façade 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.wide by 2 ft. deep 0 Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 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. 0 Yes e No. If No (Check one): jtMay 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 %40%max. of street facade 0 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: / 6--A,"\--. (' \_- .. 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City/State/ZIP:3'a ncourec.WA 98660 ,Solar talus(potable ssgta,— t a�.54 2 Phone'(3601695-7700 ITas )360)693.4442 9'tllr.hova:rshdac(pan 1251 1-mail;An(;ela.Grajrt+skiiu.Pal)}onhomes.cnnt 1'Iul''I 2S'u2 Vs attt chisel CO N J1t-('1O1t 25 02 liminess name' r_ t J Water lie air 37 52 / )G ,7' ) �7` a It„1- Or � II( Water ptpm) I71\'\ 56.39 Address: / i) 1 7 1 i I( �""1 j„ t 4 l'r( t.tl hs r City/State:7,1P: ) t �7,, 25.02 Phone:C5"T71FC j S' 7r�Z 1'.tt:f 1 i himsmumpermit Ice 572.50 CCB Lie.: 95 EyPlumbingLir n j a 1 )(ta,issumt25.ofprrmitfcc) (J/t(,l State surcharge(surchaI 2°0(S fpermlt fee) Authorjad signature --` a 1 " yTOTAL PERMITPEG I Print name; 6", ��;i-y-yn do I Rite ,� 'd>3 iCz 71113 prnmil utydirauua rtpttr.ifs permit I,not ultaind within IRA day, / 2 Aller it hes been aiftpled as complete.. •I h logl is by 7i0dtnu ty building Imhs6y Sen'ice flvard. IlhwIJis4)PctmitdPLS1t'•I4Fn/LAPP J., It.01'4Y 440-1o11 411111,2,1 YItl., I Scanned by CamScanner City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16885 SW LARKSPRING LN, BEAVERTON, May 18, 2018 at 10:47:30 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00269 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: 16885 SW LARKSPRING LN, BEAVERTON, May 18, 2018 at 10:47:04 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00269 Inspection Type: Inspector: 699 Mechanical 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: 16885 SW LARKSPRING LN, BEAVERTON, May 21 , 2018 at 10:56:49 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00269 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed. Water pressure = 60 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16885 SW LARKSPRING LN, BEAVERTON, May 21 , 2018 at 11 :02:03 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00269 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