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Permit 411 CITY OF TIGARD MASTER PERMIT IN Y . COMMUNITY DEVELOPMENT Permit#: MST2017-00394 Tt CaAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/04/2017 Parcel: 2S106DA05800 Site address: 16859 SW LARKSPRING LN Jurisdiction: Tigard Subdivision: RIVER TERRACE EAST Lot: 58 Project: River Terrace East, Lot 58 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front 8 Smoke Dwelling Units. 1 Third: 0 sf Yes Right 3 Detectors: Total: 2229 sf Value: $271,136.41 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays:Y 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 0 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywall-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: 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 P W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N SecurityAlarm: N Vaccuum System: N Garage Opener N All Other: N Other Description: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: NEW SF VB Square Feet: R-3 2229 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: $32,222.17 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: L _ Id Permittee Signature: C5 %��(b�7 > Call 503.639.4175 by 7:00 a.m.for the next available inspection date. Lill v This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Z. 0 r cgc' • gji E E\I FOR OFFICE I SE ONLI City of Tigard Received 13125 SW Hail Blvd.,Tigard,OR 97223)U N 2 Z � Date/By: G/ �, ��� ermit N ��/)/,- ��(� Phone: 503.718.2439 Fax: 503.5981$fxtt y o Plan Review ®`V Inspection Line: 503.639.4175 Date/Sy: ,Q - J9' i Other Permit: 64.."4240,....a)?�L/ t I,, .,!t,, p Ia w t^t� h Date Read /B iuris: e? �oJi�(.�;�e� Vs',���,J Ready/By: ,/ �7 ® seePagezfnr Internet: www.tigard-or.gov Notifed/Method://e.2/ // Supplemental Information l/09-/i- n//C e z--- � .._,.. � �; �� . "'�e �� � ��� � ` � �."' �:e,3--i-1,5F- a3,.�;��'. ,�'��" rltA ���a � §�4,4,-.-t-1.... �t �df ySz g�ysy...... �� ,„.� ®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 P .11> 4 � - '' work indicated on this application. ����,3a:-0 ® 1-and 2-family dwelling 0 Commercial/industrialValuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: 1 42..)1J )3 6 0 Master builder 0 Other: Number of bathrooms: firr-N ary 61 d ;,-_,-:q.,„-; s s � Total number of floors: -� x60 9 Job site address: 1 64261 Sw Lair K.s New dwelling area: Z A 1 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 1 square feet Suite/bldgJapt.no.: I Project name:River Terrace East Covered porch area: 1 square feet )a,r Cross street/directions to job site: Deck area: 13: square feet q 7 Other structure area: square feet t ie ' :it � s;y:�5e1.1S-;;,, e Subdivision:River Terrace East I Lot no.: 5e 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 � � a .,. equipment,materials,labor,overhead,and the profit for the � ,ip--1 � " : ¢, "1!s .. � work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ' E35M4 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: Eli�' .. ; M-;�t: -L. m r der-, ^" �s .+ _ ..�x . '.- m.. _E m $ fi t •,1�=.® `,.1„.V, Business name:Polygon WLH,LLCv'° 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 "-sl" �e a " a� � - �� �� g a Commercial and residential prescriptive installation of ':, - L �,€ , - 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 and administrative fees): $180.00 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: 0117'.------ 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 Print name:Nichole Thorpe Date:06/16/2017 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) .,----.--,-,.--.:;--=,7 '-' --',..'), ,','..' .'-'• -:., 'I'L, ,•'.1 ...'.•,..,„ Mechanical 1!efinit APPheat104 FOR 01:110E 1 SF ONLY biy.titiga. rd 0 f-T 9 017 44 6 J 2,4, , •Received ,Ikaefily: Pclmil 14471t7j7;70/2'0e39Y' : 11111 13t25 SW Hakillv.d.,TiganicOlt or'43:- ' II Pluitc. .$03.71g.2429'F $0598.,19,4,•1, ,--,:;7 T'','7: i.,:,7',''':l',' ititeirev.° , Odn!Portail: • • i. . . .. ) Tic,Arm •Itispen!ionLina;;-50„3.:6n.,417A -.71.., 'n'i I :Ste 41141;2l trra6ni. dna. Want wwictrgard-omoit .,:,..,.., - " NotiiindldediocE' :•i'.4::T., - -- ''A . -''''IriZi..*g-1,4e4sVp90,m1714-- dai-Ain'its T..65k“..: ."YrktlicikkFEEI': `` 'SeltErtlre4--Welitekl,10KI' A New amistructiuri 0 Ada jorilifteratiotiftemaconialt, plvelrefcohramneleda.rwairte&tile aaxuee basalodnoddtioevalue eoarfetshtedwo ar).of.art 0 Duntolition Q cidir , titeefuniies1 materials.equhunent.tabor.overhead.and profit. Value:S :'.. •;;-,- n%:•Ar',9ONYMPOLIOAt-s-4',7-FT`NetitY,14`ffa:`,2. '4'.'::t.4::'-"•-••''''--',:-•'''------1 ----i':'-'••••''.;.1, E-.: -.- rtV,:f).-.±- "P‘1-'and 2-fatiqi&kering. 0 CottuneedartncittStrial. ID Alvessuty building . For spedal frearmation use checklist Muiti-tindly. 0 Master bOlder. 0 c•Oler;' Deserindett ] Qty. ] Ea, i •Total. .!.,.. ,..,._.,..... ..........,,,,, ,.....,....,,k,**.m.tt‘i.6.. ito.:keii-...-i-kotifichot,..;,,•:,,,:v„, ,_,...:,.4 y,.,....4-..r..._ steafiligketaigt • .s•:. 4 Air ionditionine 4675 1P-"t!-IlddlFaC 00659 Sky) Lae 14s.?.rirn ; Lane, Puinace 106,000 1311,11duetakents} 46.73. . . . Otyrriater.i1P;?turd,.oft 97224. Furnci200,0664-BTU Naispiatnis) 54.911 . Heat pump . 61.134 . itteibldg./ ,t,.nto,:' I Pti**1 lin4lei 12 1 Ve r TeMeZ)(r--f-0.- Ova.work . . 23,32 c;ross stroetfilateehorts to Job she: kydrixdo hot water systour ' 23.32 . Residential toiler(radrator or hydroniel . 2332 . _ .... Unit treaters(11rel-lYPe,nal eleclric), , . . . . hi-wall.in-dnei.sospetitled-.e•c: 46.75 . Flualvent finnotiff ittiOve' 1 - 23.32 Subifivision:. 2 • 1...ot no.: • . t 23.32 Other furl apoilaiteini • Tax rutt--' pip i )_:- l'°:LC .-"C‘''S'' '-------"----1------2-1"artel Water hea .ter 2332 ... - ,• ,.. • " . - ''4 4'-'" Oas fireplae/insert 1 33.39 NASTW9 1, 00 . Li Flee vent for.water heater or gas *enlace• . 2332 Log lighter(gos) 2332 Woodrekeika I:dove 33.39 . .. Wood frrephroormsert 2332 ChituneyninerIttutivent 23.32. • ' • r....,:-.44t.r4.4,'•s4.41- -....:,,:..,,„,.. ....:7-7..4.:,.3• .i.,7..,..,:. .. ()thor ',2,,,..:'•i.;. -****1..6.6.WIA*,...1TZ:.T - . .!"..,1.-'1.1-ei...;,L.!;zg.j,A.,.,..4.:01T:It....ei..:::._Fl •-7/;,,,,,,. . Environmental exhaust and ventilation: 23.32 1%!arlic ii-L).V L .E41..ilri-thAelitii 5 fil.k., . - Rtmr bond/other kitnben. I ettnitupent 1 3339 Address: . . E. op!.1,14,...-m.e. gemc,h (4-spacj. . Clothes; .- exhaust I _3339 Sra'gie-duct exhaust thathrootns, ' — rokt conwertments,utility morns) 23.12: Piltine'I t,o:/-. (P61H 1_i.'3 ) Fax ( ) Atrielerawlspace fans 23.32 • ..„-..--;" gt...Aritic_Aio,. .,SI:',Y.:.:•',:-::.t:'. •''!!.:12 th...„a. .1, othm 23.32 • Fuel oligatt , Business name 1110i 1 I i.a,n1 1,4 or\ threesT.Arc- Slil$fir grit lain;14.,0.3 far mai additional.. . Contact itunr:i. KU Ort6r-11A10(IX. Furnace.ett• ' Gas beet mop 02213imackoAdtiress: , ‘ ._..(7.4 .44 ite..21 _ S. . wawstistiendemmil hecor I I . . CnyiState,ZIP:Vancouver,WA 986C41 Water heater' Phone:(360)693-7700. I Far:.(360)693-4442 Fittlace - -S Ittatte 1__ Sin8ilf i Aka ' hi t !AI. ti ,$)/hi.)X45.-44D8....._ Barber** . • ,, . -,.....• .. • • . ..,3, r- -- e ...• •• ••• • • • •• - •••••••••• •••-• , • •• 7.i-'1.:r'''''[.&•1 1,'.7•'",,•,•7 ...'.-£.,'"•.'"''''.4-;,-.. • ' '. -rg.'''''..".-..."- ' '..m. ''''' -.m --'.m- '.' Clothes dryer(gss) . '??.:;r4,17.--41r-4!,..-;',M-A -:,11 ,,,I.Jr?:-.,-t.: 14.:-..."4..• '''.-. ::• 47:,..,4'.•:': -',----s'-t::4-1,:;;;•1•4t"...4.;.:',,::;•!i'.1,::.i:;&;542:_isz:.; . BUShtesinalud:Apex Air MC Other: f . ' ...,,,,....,..„:„.,..:, .. . . ,. . . . _ . Address.'13004 NE 72*Ave . CitYHIStatOZIP;Vancouver,WA 98686 Minintuxn permit fee 1$90.00) , - S. Plan review 125%of permit feel Phone:-(360)3424109 Fax:(360)326-1769 k Sarsurelturpe(12%orpeSubnnittikenta)1 - .----,-- CCE lic::.2113034 , TOTAL PER41T FEE - Thas penult application awns tra parfait as nat abtainad*ithin 180 &pewit bas bean kneepad as rompirte. •AtIlhothlod sigtiotum * Fee roatitodologi,an by Iti4Iniany.Building lady:*Satnineliosad . I Print natnerr;t: I bate: 4 ei.no. I ,t;tbaaviseithhater_saaiatApp 0401t3 404 4444617 t121021COMMTAt .4 Electrical Permit Application . _ T ' 6 l_J1OFFICE USE ONLY FOR iNiCity of Tigard 1' ' Received q 13125 SW Hall Blvd.,Tigard,OR 9724-,. 4 Dan R : Nora ik/1...57e20/ _©(J tj Phone: 503,7182439 Pax: 503.59,81960a {r TiGARD �: 503 7 e: 503.639.4175 4 7 Date/8 � Internet www ttgard t°L Ready Date/By: iaa:: —s Notified/Method: f$See Paget Inc .sl'^- ���^-�`'� ���4 E" - R ,� 9 a -V Supplemedtal Information .:.i- -s<<�71FA. EiLitt =� �� �r_ `gig i' �`^� ®New construction 0 Addition/alteration/replacement lacement ase as p Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition C3 Other: D Service or feeder 400 amps or more 0 Building over three stories. z='� Ott t'�S y G where the available fault current ❑I.wines and boatyards. •= 5 i� ii(pl 71. . s.- 1 exceeds moo amps at 150 volts or F2 1-and 2-family dwelling 0 CommereiaYiadtiarial , less to ground,or exceeds 14000 D Pleating il a. 0Accessory building ❑Commercial-useae ❑Mull family ❑Master builder ❑OthAPs an other installations. build' agricultural � �'�� � Grim �' As a ". � �r d! 7 0 `►`'P 0 1771 . w 3 pump- Cl Installation of 150 KVA or P` r -Z ;710--Cie:2 ;a ""` D Emergency system. m. Job#: Job site address: /r t/ ❑Addition of new motor load of Elarger separately derived City/State/ZIP:Tigard,OR 97224 1 ' �' / ► loofip or more. Cl-Au,• •,"I-2",9-9,, D Six or more residential units. oecupauoy, Suite/bldg./apt.#: Project name:g. ONe `care facilities. D Recreational vducleparks. 'Va..- 7A._ ' 0 Hazardous locations. 06%7 Supply voltage for more than Cross sheet/directions to job site: ❑service or£saner sou amps or mom. 600 volts nominal a = '�.' taSts�4yS� Desert don 11151t Each Total• , Subdivision: ' r New residential single-or multi-family dwelling unit. L (L-�-re- Ects - j Lot#: Includes attached garage. Tax map/parcel# 1,000 sq.ft.or less .. 168.54 111111 4 m in Vi i'—r r Ea,add'I 500 sq.it.or pomp 3392 1�Ilil=�i - 4 5 r a Limited energy, canal Sal 1111.1 ] will above s,.ft. III 75.00 111111 2 Limited energy, o vly • 75.00 residential above it rS A T 1' ;V eA r 4,771;7 .S rTril - : SRerenviewcsabolre4 fEenederr installation aerationp,al2or relocation Name:ADVL Land Holdings,LLC Address:760011:Doubletree Ranch Road 200 amps micas 100.70 111111 2 20I amps to 400 amps = 133.56 ME 2 City/State/Zip:Scottsdale,AZ 85259 401 amps to 600 amps 20034 1111111 601 amps to 1,000 amps 2 Phone:(602)694-4031 Fax:( ) Over 1,000 301.04 2 Email: amps or volts 55226 2 Temporary services or feeders installation,alteration,and/or Owner installation:This installation is being made on relocation intended for sale,lease,rent,or ex ORS 44 that I own which is not 200 amps or less 59.36 111111 I change,according to OILS 447,449,670,and 701. 201 amps to 400 amps - 125,08 Owner signature =© Date: 401 amps to 599 amps v 3' �F.l1ll 7E_gVA,. u1 n Z ,,, �kZY 71:+*.Aw e,g i- .3 y,t. r ranch circuits—neN,aI � d �� ���'' E alteration or extension .er .and Business name:William Lyon Homes,Inc. A Fee for branch ctrcnits lvirh above service or feeder tee, Contact name: Mich 017�nr eeehr7.42 ■© Address' ,V3 1� B.Fee for branch ranch circuits without t O-[L c S� >1 A A K., service or feeder fae,first 1111 circuit City/State/ZIP:Vancouver,WA 98660 Each add'1 brblanchb56.18 I branch circuit El 7.42 _© Phone:(360)695-7700 Fax::(360)693-4442 • Miscellaneous service or feeder not include Entad ��manufactured or modular ■ �i 14 ►fid/1 I1 r , ,' i dwelliajservice and/or fewder 67.84 -a -� '' T £ ` , 1 Reconnect only - 7: t�;..L_ y. 1 c 4 . 67 84 =© Business name:Garner Electric Washington,LLC u p or irrigation circle 67.84 � •+•-•' Sign or outline lighting 67.84 _© Address: •` Signal cirruit(s)or limited-energy r �m ' i '. / aiteratio or talon Cl 5cc Page 2 © City/StateJZTP:'pi, 1 ,��t��, �� . I Each additional ins,ection over allowable in an of the above Phone:(253)32114657 Additionalinspectionhr - 020/hr =: Fax:( ) Investigation(]hr min) - 9 90.00/hr Email:bdaniels@gwetisa.com . Industrial plant(]hr nein) 1111 78.I8/br CCB Lic.: C1158 Electrical Lie.: 208174 InsP�a°ns for which no fee is _I Suprv.Lie.: 4496S clfic listed %brain III90 00/hr 5uprv,Electrician signature,r aired • - --• �, "�'• `_- =t�- > • 1 ..1 Ad , . � � d k � :a Print name: Joan P Albert ` "` Subtotal: MEM Date: 4/26/2016 D Plan Review Required(25%of peaait fee): IIIIIIIIIIIIII ,',> - -._ State surcharge(12%of permit fee): IIIIIIIIIIIII •• Authorized signature: - TOTAL PERMIT FEE: MIS Print fie• B permit application expires ifs permit is not obtained within ISO Ili Daniels Date: 4/26/2016 DdsP days after it Las been accepted as complete. a's 'i' Tc �dtApp HLRPREdoc Rev 06/17/201S 44046151YtIloslrM/tvgg « NumberofinspactionsaHowodPet permit T:-7--mm'mmmmmm..m.....lI..III...lM.MMMllIIIl1III1lIIllIIIllIlIIlIIIIIlllll.' ' . - - f Plumbing Permit Application Building Fixtures ',i T 2 g ?017 IOR 01 ll( 1l til: OVLl City of Tigard y Receive 111 m 13125 SW Hall Blvd.,Tigard,OR^97"2 3 ��y: Penult No s� /7403 Phone: 503.718.2439 Fax P1anReview Inspection Line: 503.639.417 $ 19$0 `� ,�y r Date/By: Other Permit No.: IIUARD - � Date Read/B Internet: www.tigard or.gov Ready/By: j .. ' .; Notified/Method: Axis: I S Sp4,,,ee Page l Informationfor 'r .1- , `'. :+ 'F.'Pl4?F'.V9F.K''.":.e..._....... Supplemental �New construction . . :x•.":: ::..'•FES*•SCB?��Jf;�s.:. .,..�;'"'-''''''..'..---e'ar"'t 0 Demolition For special informmdlon mse checAllst 0 Addition/alteration/replacement0 Description Qty. I E Total Other: New 1-2-familydwellings . •-;;;:.,...1. :: ••CATEGORY'OF CONSTRUCTION"" SFR(1)bath (includes 100ft forconnection) each utility �. a 312.70 ®1-and 2-family dwelling 0 Commercial mdustrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 13 Master builderEach additional bath/kitchen 25.02 0 Other: :. JOB.SITE INFORMATIU11 AND LOCATION Fire utsprilities:( sq.ft.) Page 2 ' - • �1 -Q� Site utilities: g Job site address: 1'Li V , 111 Lc `� c _•(NP Catch basin or area drain 18.76 City/State/Z1P:Tigard,OR 97224 V g* Drywell,leach line,or trench drain 18.76 Suite/bldg./apt no.: + Project name: 121.V eI� Footing drain(no.linear ft.: ) Page 2 TP/TU LCr-er ' Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear fL:_J Page 2 Storm sewer(no.linear ft: ) Page 2 Subdivision: J7 iVe �,e Water eerice(no.linear ft.:_) Page 2 1`" a c . f5� �I Let no.: orFixture item: Tax map/parcel no.: Backflow preventer 31.27 DESCR1PT ON OF.WORK: • . Backwater valve ! 12.51 y�$''i0 1-7 003` Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 OWNER ®- ROPERTI� Ejectors/sump 25.02 I [] TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Address:7600 E Doubletree Ranch Road Floor drain/fioor sink/hub 25 02 " City/State/ZIP:Scottsdale,AZ 85258 HoseGarbbib 25.02 disposal 25.02 Phone:(602)694.4031 b Fax:( ) Ice maker ' :...1k. .APPLICANT . . 0 CONTACT PERSON• Interceptor/grease tr� 25.02 12.51 .- • • Business name:William Lyon Homes,Inc Medial gas(value:$ ) Page 2 Contact name:Ji ch v1e•1 jn D` I ` Primer l , ` r( t y �' S1 O 12.51 Address: `103 PI11 al .S a/CA Roof drain(commercial) 12.51 Sink/basin/lavatory Vancouver,WA 98660 25.02 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 l� � E-mail:,0�Cit'10 �-*-Th CO n olfr oi`ne, .C.itri 1 Urinal 25.02 CTOR• Water closet 25.02 Business name:Malmedal Enterprises Inc Water heater 37.52 Address:PO Box 207 Water prpm8� 56.29 Other: 25.02 City/State/ZIP:Banks,OR 97106 Phone:(503)324-0759 Subtotal Fax:(503-)324-0580 Minimum permit fee: $72.50 CCB Lic.:102535 Plumbing Lie.no.:34-276PB Plan review (25%of permit fee) Authorized signature: C State surcharge(12%of permit fee) TOTAL PERMIT FEE l Print name:Carolina Malmedal I Date:04/25/2016 I This permit application expires It a permit is not after it has been a as cem obtained within 180 days *Fee methodology set by Tri-County Building Industry Service Board. 1:18uildinpermits\PLMU•PemdtApp.do°10/011u9 440.4616T(10/02/COM/WEB) 1111 City of Tigard 7' • COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: �4 c/ ,- �/ Site Address: ,& 11) 7,2 Project Name: P---/V-6r- -7--e- r.2Ce ,C7L Lot #: c. "'") (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /._0,6 --)t--/e 4erify site address/suite#exists and active inermit stem. tem. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Sit Plan Elements: ree(3)copies of site plan ‘1111:0, 'sting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper OP ootprint of new structure in drawn to scale(standard architect or engineer scale) 1.or elevations ( cluding decks)with finishe orth arrow r ,tility locations&easements(re gmred for new and additions) l e address,project or subdivision name and lot number II Sidewalk/drivewa a roach plicant information(name and phone number) y PP cation of wells/septic systems Mot dimensions and building setback dimensions 7 fisting trees to be retained with drip line,and tree Ili k,uare footage of buildings to be demolished protection measures %L•ot area,building coverage area,percentage of coverage andeet tree size,type and location . pervious area(applicable if R-7,R-12,R-25&R-40) Street names ?'roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? /Yes ❑i 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes L1rCNo kti1AClean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): e uired: �� ,, LL ' q ❑ Yes,applicant was notified 'No Received: ❑ Yes ❑ No Public Faciliti Improvement F p (PFI) Permit: pP -2Q, (51-666 Required: Yes,applicant was notified CI No Applied For: ,,_ _ � V/Yes ❑ No,stop intake and Use Case#: /2,2o/ / Q�� 0 LP---(Y-3();-)Y,___2b_e__ __LC-La.',0-4.4' la/Required Setbacks: Front Rear �`7 Side ' Garage Street Side Landscape Requirement: ,,,,20 °/� ot Coverage Maximum: % Actual Hei %Buding Height: Maximum Height fl ght �t6101�W II i`'1't isual Clearance � i► ensitive Lands: El Yes NJ No Type U Urban Forestry Plan El Conditions "Met"prior to issua cepf b ilding permit iNotes: 0,476-,g ,V,4-17/ ,6.e. 41gY-- tN / -f7/7��- /z'l"fes�� Approved By Planning: era Ar� Date: Revisions (after Building Submittal only) Reviewer Revision 1: ❑ Approved ❑ Not Approved Date Revision 2: El Approved Cl Not Approved Revision 3: El Approved ❑ Not Approved I:\BuildingWorms\BldgPermitRvw RES 061417.docx e Building Permit Submittal Original Submittal Date: 624)0 Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: lanning ' Engineering 7 Permit Coordinator /Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: (( Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: ' �'` /602_//7 By Permit Technician: Date. Engineering Review 3 .' Slope at building pad: 3 ❑ Conditions "Met"prior to issuance of building permit 0 Easements (encroachments)per engineering conditions of approval and plat ,Q Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yesif No Assess Water Quantity Fee in-lieu: 0 Yes `JA No LIDA Facility on lot: ❑ Yes No 0 NOT Approved by Engineering: Date: Notes: Approvedby Engineering:E ineering: M 1 Kr_ Date: /0 /i 7/17 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance of building permit PiApproved,NOT Released: Date: R')1'3 il6t- 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: 7 SDC Fees Entered: Wash Co Trans Dev Tax: des 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: ,,,'Yes 0 N/A LIDA 0 YesN/A X OK to Issue Permit �� Approved by Permit Coordinator: �/ Date: 11'6't1 IABuilding\Forms\BldgPemvtRvw_RES_061417.docx City of Tigard IN N COMMUNITY DEVELOPMENT DEPARTMENT N T l c A R o River Terrace Building Permit Review Addendum Building Permit #: Nom Site Address: I67e � 0 4 pn L4tx Project Name: /2/1W o(t Lot (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 ❑ 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 t. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., Eft. wide Gabled dormer ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum fpf 12%of each street facing facade must include windows or entrance doors. Percentage Shown: /41 U)/D 3. ntrances:At least one entrance must meet both of the foll . g standards: Max. 8 ft. setback from ion st street- facing wall Parallel to street,angle no more than 45° from street, oro en onto porch En ance opens to a porch: Yes ❑ No If es,all the following apply: 5 sq.ft. min. One street facing entry 2 ft.max.roof above floor of porch 5 ft. depth min. Nil 30%min.porch roof coverage 4.,Ietailed Design:All buildings shall include a min. of five o e following elements on all street-facing facades: Vovered porch min. 5 ft.wide x 5 ft. deep VRecessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches ❑ ormer min. 4 ft.wide Roof cave min. 12 inch projection 0/Dormer offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade Window trim min. 2 1/4"wide by 5/8"dee ❑ Window recess min. 3 inches for all street facing ❑ Bay window mP in. 5 ft. wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 350/s or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. iSetb cks: N closer to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one): May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) 02-foot-wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ---", 0, Date: 'moi I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx City of Tigard " • COMMUNITY DEVELOPMENT DEPARTMENT 1111 TIGARD Building Permit Review — Residential L'.:,...e. 1:a,w.-,.-._-,._H1:14.31-';`- ,I1..;._ , � �.� -- .. ..v..s.K ,.,, -ti,+u G..sJ.., 'L. v.�.au.s t M � _..� r..., .,�1�: �t �..;:�3':A.4f.mtktir: lT.3=.+s�,iuc;.. �°.:' 'cts..xve. ... ,_ ._.. ..,,. x>� ... Building Permit #: i4 57;40 — ,�/ . 4� Site Address: / j,O .o."� / ,, _ Project Name: ' v„e, '1--mace 1j cjL Lot #: c>Z') (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /)6t A.,) -iel r7 6/'r '9-46 re9 7e' re-74-K_ hf erify site address/suite#exists and active in permit stem. In River Terrace Neighborhood: 0 No NJ Yes,See River Terrace Review Addendum Attached S't Plan Elements: VA P ree(3) copies of site plan ‘a1 'sting structures on site it, ite plan must be on 8-1/2"x 11"or 11 x 17"paper it ootprint of new structure(including decks)with finished rA r)rawn to scale(standard architect or engineer scale) 40,nor elevations r4 ' orth arrow r/,i'ty locations&easements(required for new and additions) 1U - address,project or subdivision name and lot number %I Sidewalk/driveway approach Riplicant information(name and phone number) ( �'pcation of wells/septic systems t/ 7 of dimensions and building setback dimensions :'P`� fisting trees to be retained with drip line,and tree ill S uare footage of buildings to be demolished .rotection measures Pi Lot area,building coverage area,percentage of coverage and ,f,!#4.eet tree size,type and location j'�' pervious area(applicable if R-7,R-12,R-25&R-40) A Street names Property corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? NJ Yes ,❑_, 4 foot differential) If es,is a storm water .uali facili shown? ❑Yes 4o lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): &r/D Kpp' hu 4, ' V equired: 0 Yes,applicant was notified No Received: 0 Yes 0 No Public Faciliti Improvement(PFI) Permit: P j=/C31C —("006 Required: Yes,applicant was notified 0 No Applied For: It Yes 0 No,stop intake D' and Use Case#: 72)R Q/ ]/ �446 4)/ -e__.: ]r%� �N2 e 1L Liftre) / •I oning. e•-•—q- P 02 !equired Setbacks: Front 0 Rear /() Side Street Side IJ)(Garage QQ ', . andscape Requirement: o20 VI of Coverage Maximum: :30 Q , r. Building Height: Maximum Height I`-'� Actual Height ca)�t.C�l� Ii21° isual Clearance file ensitive Lands: 0 Yes No Type U Urban Forestry Plan ❑ Conditions "Mett�"jprior to isszef g permit i Notes: �l'11 9/11131.Y !/ Tl t p Y''.-- , 1 1� Jit r.e.... Approved By Planning: .,-.... et. Date: J Revisions (afterB�u'ding Submittal only) Reviewer Date Revision 1: PV Approved 0 Not Approved iJ 44 IA` L6,11. 2-t1'( Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved 44 Building Permit Submittal Original Submittal Date: 1j(',2,L 1/y Site Plans: # ) J Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: lanning Engineering 7 Permit Coordinator uilding 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. iuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: i By Permit Technician: ,40 Date: /6//j,..,//j Engineering Review /0- Slope at building pad ❑ Conditions "Met"prior to issuance of building permit O Easements (encroachments)per engineering conditions of approval and plat ,Q Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes (l No Assess Water Quantity Fee in-lieu: 0 Yes A No LIDA Facility on lot ❑ Yes No ❑ NOT Approved by Engineering: / Date: Notes: Approved by Engineering: kl j Kr- Le) • Date: /0 // 7/17 Revisions (after Building Submittal only) Reviewer / Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review O Conditions "Met"prior to issuance of building permit Approved,NOT Released: ®47 "ate: /1/)1/3/ - (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: 7 SDC Fees Entered: Wash Co Trans Dev Tax: It — es 0 N/A Tigard Trans SDC: ''� Yes 0 N/A i. Parks SDC: ''Yes 0 N/A LIDA 0 Yes N/A .k OK to Issue Permit Approved by Permit Coordinator: �aittA (,4,/L. Date: Vt l`{\k1 I.\Ruilding\Forms\BIdgPermitRvw RES 06141 7.docx I3 FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT A Transmittal Letter 1.14 T 1(.,l A R.[) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Dianna DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FEB 2 6 2018 FROM: Tom Dicianno CITY OF TIGARD COMPANY: Polygon Northwest PLANNINGlENG{NEERING PHONE: 503-577-4160 By: SL A 1 , RE: 16859 SW Larkspring Ln. MST2017-00394 (Site Address) (Permit Number) East River Terrace Lot 58 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: .,.. Restriotton. 0 :: Desriptionp, 0 Additional set(s) of plans. 3 Revisions: plot plan- 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 3 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Covered rear patio. Please pay fees owed with Trust Account. U 2, .iP'' *OR OFFICE tIsE oxix Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑No Fee Description: Amount Due: ;,„ �a $ /0 /'cam, .—z,iz.t.J' d/' $ PC-67---- /� 1 i/' /c $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes o ❑ Done Applicant Notified: 727/7 Date: ,,2/ ,f/ 1--- Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 ri 17 '-'*;"' i-1,..er .--0--..,, A: V( li I tv vi „„,.....,, _. .,,,, ,A ''.;, 1.1,i ., 't l'Itunbing 1 crunt Application pulp 1 2,..)1 , Building FiNittres 1014 011.1( : I Sit ONIA City 0 111121MI t,.... t .(5,tik.t2_i .”.13 / /, .,„d .'. 1,0n*,!1,17.57-20/7 7at7,59' so 1'W t SW 11:111141s 4,110101,in HI/13') NT,in ', . ,r,,,, ,..\nalt". ; II phone 501,18 209 1;AN grl''S4A-VoM2.I.1"k a I!„..!_'',/,-,r,:',ti 1 )i`5,1a7 1.?"ii. oda;Ifttnat...; k InsiVil Rot I IIIV %II 1(4,19 4 I-0s '`' "...2-1"21-2.12.--- bate It...ls.14 f,,,, l'M Sof'iCii i-14# 410-1 ssstst Its..114,M pis NIOIlinbSILIbcol SoppItMlif141 loIntatoilos -- . ill Pt- OF WORK, Ftv 51e11111111.E iS.1 Nets 0 eons'ro,i 11.111 i)Clikli ii 1011 Porsprriallsoirmafion ultTi-e7.4Z7----- fit:y.41140c j"-IiiV-1-17-1, T-7161a1-- 0,A,kla ton'divot ion,leplacenient 0(Ii lies,r 'Nen I-2..rinititzdhs ellitiptiiii.Int1,15 10011 fits each of'Int ctintsconnu . _ . _ CAM:0 RY OF CONSIIIUCI1019 Mil(I)lulls 112 70 tgi I-nod 2-1intitly dnellion 0COIIIIIICIVilliiilliliq I inl SIN I2iltath 137 71) ---- SI P(Ii hat Is 1----, 5.„ 12 0 Accessol) building 0 Mull i•Intuil% ----- 1-81118)11111 knoll bath tkitcheit 2i 02 0 Master Mulder 0 1011e" ,. 1ite sprint let 4 sti It i Pow 2 .' 300 Slit INFC)KMAlloN AND 1.0CAlION Site ii 0111iri Job site aillrem: S-- .6,c1cAlA..4:12, lic,-1::,,,whti,Liskii::),,,lisstociest,dralifici noid(aio 18 76 City,,Si al e.,7,11''Dun et!,01197224 1.111A_SA__Lafip j- IX 76 —_____._--,— hinting i h JO III(tot Mica'0 1 Pap:2 , Slatedidginpl no., Ptojet•t name Iti verle trate fiat Man dad in eil hi dill:Of/lairs SO Ill Crom street/din:id ionstojob sit e. Man loilo IX 70 -- Rain drain(4,1111C00 4 It(70 — - — Sanitary,ielscr int, littou It- i Pop.2 " 1 in%elver(II(. linear n i Pope 2 . --.---— i Wale"9.1%ix(no lineat 0 I Pop:2 &dxlivision- River Terence Until 1 1'it ow re Fixture isr Rout i !tick Ilo o.pie trine' IIII 11 27 l'm tulip/pared no ; Ititektaer valve, i 12 51 DESCRIP1101N1 OFIPORli , I litilic,i usher 25 (1,V09'Az(CE ('-0 A,/vu-e-i-zrzz--- 1)p,hwvilici — 2502 f t),mk pit e Iiitintart 250? I jctl ttt'c'suttep 25 02 I PRO PEATV OD'NIX ED ITATt(174.------- I tpatittunttick 12 51 1 iidone, ,,,ti"..dp 25 02 Name:AIN!,2.1111t1 1101 di llgs,LIC 1 li 1 dr Iowa:114,filtAllth 25 02 " Address, 7600 E Double tree Ranch Korot( l 49 l'Ilite tly•p":".al 25 02 ., City:Slats:21P.Scot tsdnle.AZ$5258 lom`tab 25.412 Phone (602)694-4031 /a‘ —1 I li.c maker 12 31 , ,•-,, _ .. a A PPL1 CANT 0 CO MIA CT PERSON,: 101 erection 4:teek trap 25 02. Medical ii...1".i%alik: S t l'inte2 , 8usncu name:William Lyon Homes,Inc Prunct 12.51 Contact name Angela Gra jewski — Root chant(wino teicedi 12,51 Address: 109 East 13th Slree I Sink flusittiluent iLvy 25 02 CitylStaierLIP:'Vancouver,WA 986611 N11411 Mit i prd able witty' 02.54 Phone:(360)695-7700 Fa.; (460)693-4442 l'ithtshomettchocter pia' 12 51 I ft in til S 02 E-mail.Angela.Grajcws kiil:pitIntinho me sxtutt " 14'al et cltiso 25 02 - CO NTRAC.1011 Water helms 37.32 1/ Business name: .. y' Us-r. "1"11.3. , 4 - wait',Pirinri)wv 36,29 Address: J I) t-i d.: ,1-/ C i tS /vt j.., ,,,,,,, ,ri 4 III hcs 25 02 City/Stott:OP; , 147 1,, 1,,n Cfli _,(22 3 3 Subtotal Phone:(5it 7c?) • 5-7 CV i.IX.I 1 M MI11111111 permit ICI: $72.50 Plait i ev ten:(2.5%iorpetfilli fee) cCB Lie. )9 3 5 Ey Plumbing Lie iii 1:7„ii/i!C c State sureltarge412%0 fpermit lee) Authorized sinnaitz e. ./.k<-----\,„ TILn AL PITERMI1 1TE Inot v 1,d..,, i.s., I WS Ile.snip a Not ication t.spitos If.permit Is nut°Moines,ssiibin I Mt days ,Print name,' CI'r--e7 1^—t-r-1.---..;41 cii 0 at tcr it ha*ken occeptcil as complete,. ' '1 cc licticololoes Id tt.).flo-Cznt my Buildmp hodis4ny Sertite livaid I ILluilditoPoimicsT1.011.I,Pcitn it Opp dos 119181 441,4010110 0.1q.OSPWElit i Scanned by CamScarmer City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16859 SW LARKSPRING LN, BEAVERTON, June 1 , 2018 at 10:42:39 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00394 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: 16859 SW LARKSPRING LN, BEAVERTON, June 1 , 2018 at 10:43:20 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00394 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: 16859 SW LARKSPRING LN, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00394 Inspection Type: Inspector: 399 Plumbing final Allyson Armstrong Result: PASS Comments: Water pressure = 60psi WH expansion tank moved. WH not in direct path and behind wing wall. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16859 SW LARKSPRING LN, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00394 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Collected High efficiency lighting form Moisture content acknowledgement form Moisture barrier acknowledgement form Air leakage test report Left C of 0 on the counter Violation Summary: Inspector Contractor