Permit (185) MASTER PERMIT
CITY OF TIGARD
COMMUNITY DEVELOPMENT Permit#: MST2017-00271
71
I1(1AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017
Parcel: 2S106AD07400
Jurisdiction: Tigard
Site address: 16821 SW FRIENDLY LN
Subdivision: RIVER TERRACE EAST Lot: 181
Project: River Terrace East, Lot 181
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 1174 sf Basement: 140 sf Left: 3 Parking Spaces: 0
Height: Bathrooms: 3 Second: 555 sf Garage: 437 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 1869 sf Value: $232,880.80 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0
Bckflw Prevntr: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1
Drywell-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 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
1869
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 2 GEO Tech Required before
STE 1 foundation inspection
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $31,285.54
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 95 -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.
•
,k
` 4e �rd1
Issued By: Permittee Signature: ��j-
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
4-0 / \/
. i .6 RECEIVED F01t OFFICE t SF.ONLI
Ci of Tigard 1 7 Received 7 `/ /
IN ' 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 1 ' ifPlanRevieW ( �/r / '( 1
Other Permit:6/(4,---30/2— o23 1
I i c ,t.I. Inspection Line: 503.639.4175 CITY O ARD Daze ReadyBy. Juris: H See Page 2 for
Internet www.tigard-or.gov BUILD( (VISION NotiSediMethod: /Z C�7 Supplemental Information
�t 7,- ,''��€ r=----'-'4-.--"'"7747'47..f-:'77.77'72-7:5„,, • a e, .I's �” x )@€Y d r, ,i i s 4.
w....,.,..a..' �-� xu.. :' ` t, .. '.` '. r,i.. ...R .. a € . r* _ _ r' f t r b at t e .
�! New construction 0 Demolition Permit fees*are based on the value of the work performed
❑Addition/alteration/replacement 0 Omar Indicate the value(rounded to the nearest dollar)of all
' � 1�it, 7 h work indicated this application.
overhead,and the profit for the
t �1 t,��F � �� pp
El 1-and 2-family dwelling 0 Commercial/mdustrial Valuation:
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other Number of bathrooms:
F t 32-" eta+- ,rc,. �y to ,}� ., e Th
2 ( ,,
r. ... y ;s g I � � o #mo i frc � Total number of floors. 3 G JbV!
Job site address: /Lo 71 SW r;.e nd L u L q e... New dwelling area: square feet c
City/State/ZIP:Tigard,OR 97224 ��`" Garage/carport area: 4'61
square feet 'l"'lq
Suite/bldg./apt no.: Project name: f iV,r Terrace East Covered porch area: I")7 square feet Ho
Cross street/directions to job site: Deck area: J square feet
Other structure area: square feet
':6, ',r R :`.¢do t€:'c , ses 3s'y €-1
Subdivision RW .,r Tereace- ASf I Lot no.: ` 8 l 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" `"=�� r work indicated on this application
n,-•_'S ii)4‘;-,',.41:- ✓, 6 E; EE's . r'
Valuation: $
Existing building area: square feet
New building area: square feet
ib ®" F - .
b .. Number of stores:s , . s ,�
_ _ _
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:
,.* _.. .' _� .�" am ic, T,r x r :rHGh;"'D `'r` , da� ,.. ,,.4' t .� ' t» ,,,�k,
Business name:Polygon WLH,LLC
j I O) Structural plan review fee(or deposit):
Contact name: �v rr
FLSplan review fee(if applicable):
Address:109 East 13th Street pp )'
City/State/ZIP:Vancouver WA 98660
Total fees due upon application:
Phone:(360)695-7700 Fax::( ) Amount received:
E-mail: // i s„ t r' " t::r
01 'iii �l 1 1 � �j!�Po'64+ 6 I40. - . . �- . �� � �� ,
p Commercial and residential prescriptive installation of
rr
a- - r.,.,k-. �tx".� .,...s;f'' � `� ..4.-,y,.a ..a. ,a., �cf`,�':"x°s �-_ �'
- �-- ,_., � 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 lie.:207247
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Jr Ch v`� v4067/°---
Date: /�j *Fee methodology set by Tri-County Building Industry
/" `1� 0 ��� / t Service Board.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB)
,
erm_ tit AP Cation
MechanicalFOR OFFICE. i SE ONLY
ilhC1t'j'of Tigard S KN I i'17 Rec4aexd
13125 SW unfit Blvd aiganf; 97223. tSmelBy: P ntit 14611-57;2e/7- J�2 7/ .,
R. Pian Review
Ahano ;..3,71$.2439 Fox:,5o3.s9;195t •
ckhcr Aermi):
T t,;,r,D .inspection L.im: 301:639.4175 �"
interim: wwivtigaid-orgoY ,, oeh
tjAtC edi tarts H Ste Page 2 for
Ntitidtedwd
Svppkrmeatal[afattnation
..4'7'''':.:2)'''''''''
ifi Ott' : ,-
ttGG�t f�7 � _ ,.�.-
lat New construction U Additionf8lteratibti#replace nen. Mtechani4 lxt nt fees*are based on the value of the work
performed:indicate the value(rounded to the nearest dollar)of all
0 Demolition: 0 Other. Medal/ilea!.materials.cyu"tstbieni,labor.overhead.and profit.
a CATEGp1tX OF >� 1ROl0iDF ,i
Value:
. ..,, y ; ,. R)ESiD)**:ki[tlR'MEstTiil*W�EES"�
13r1-"and 2-family dwelling 0 COmmercialifndustrial 0 Accessory building M1 For special hrformationJae els rellisx}
rvtulti fttmi#y ❑Master budder
0 Other
Description
r M -0, iol *i r 11+iF`OttiV Oi ice - i#i fe�,nn 1 Qty. 1 I Total
.: ,T .„. :... '� _A77o11� ,.s :':.
a.
Joh site adt3re5s a^� G,, 1 Air rnnditinnir 46.75
1108 UI 5W 1 Y i e,1'1G1 ty �--Gtnr,,.. Primate 100,00037 6/actsh4t,tsf t , 4675 .
City/State/VI!:11gurd,.OR 97224 �j Furnace Tt41 Oti01,BTU(ducis/Venis) 54.91.
Suitetbtd8 lttpt .tit.: 11'rcrjec!iiairtc;K t ver�f t 1-teat pump _ 61.06
.fya CL. Eca-S+ Duct work 23.32
Cross street/directions to job site: liedroaio hex water system: 23.32
Residential boiler(radiator or
hvdlanic) 23.32
Unithealers(fuel-type,not electric),
in-wait.in-ductl suspended,etc: 46.75
_
Rue/veld for an of above 1 23.32
Subdivisions�Z .F1/YI Pr ter c d- t df na (phot: 23.32
t Other tact spptrabees;
Tex./nap/parcel urs
water heater
2132
,*. , x u< �fRl [3N / � Gtin:pfac
cit r #
wr hat33.39 STS)(1- 707JI
1'trepfacc: 23.32
Log lighter(gas/ + 23.32 '
Wood/pellet stove 33,39
Wood tireplug:Moser* 2332
C'himn e}flTurhtivtt 2332
ey.9in
® PROPEBI'1 t)Wi�lEB ''1 . , Q 1EN:lj T ()thee 23.32
Natrie:"A.p v t- �-}� ►itivirvstnrataf cxhtwst aed vta#if>rtiatt:
!� Lekof t•F 1 D 1 1 5 r L j f, Stange hua dfother kitchen, '
AddmsAddtres::'11 np.. Di u jG P. I ,,/ equipment 33.39
t::.. rPscat Je-'v0-`'%_ . ...... clothes dryer ca haunt 1 33.39
'.. 'ZS Single-duct exhaust ttatttttiatns
phone Q r Fax:( !. — Bailercompartiments•utility roams) , 23.31 -
Attic.cnn 1space fans 23.32
1$I AIPIPLI ANT
-.? Col#TAC1'*kstf1M - other.
2332
Business JlaliaE r
U� i I 1 i.am l 'S
�or\ thZIf1C �� ping: _
contact �: i i ;il#.15 for fir..fbum 54.03 for tacit additional
4 )e 1:11c)\ 4:0 j, Furunee.etc.
Address: 1 ! '�— 1}'tGas heat pun* -
CitytStateZIP:Vancuweer,WA 986th)
Water hatter Ct✓atFfsheatededritnit heater r
r -
Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace
h ritsti 1 a �� i t�A tfi
e
t .._ tR
Cather
Business name:Apex Air 1.1C
Address:18084 NE 72"°Ave fit1 AM17 ►tK PIPRti3I7.F£ES*
Subtotal
City/Statel,7iP:Vancomrr,wVA 98686 Minimum permit fee 1$90,001)
Phone:(368)3424189 j Fax:(360)326-1769 Pfau review.125.%ofpermit loci -
State surcharge 112%of permit fee) _
CC13 tic.:203834
4Itgia/ TOTAL PERMIT FEE
This permit application expires if a permit is tat obtained within I Ml
Atithotized sj=et,indite
days Atter u Ina been accepted as complete.
Aur iz d . F e methodologyam by Tri C.ourny Building lndus'try Service Beard
i I Buie: "r}•P i./C
1.414.ittluvreAtib tEr_TamitApp tu0tt3.dnc
440-16171`1 1 1 riairtAtiVrlf
•
Electrical Permit Applidation
FOR OFFICE USE ONLY
CI 0 Tigard �I � � �, �_Cl. Receiver
1/1 4 13125 SW Hall Blvd.,Tigard,OR 97223 Dams • Permit# M-f jj/7-e.90,-27/
' Phone: 503.718.2439 Pax: 503.59$.1960 Plstt 13 .eW
Inspection Line: 503.639A175 • wed Permit#:
T1GAItDIRead yDate/By ]aria I See Pagel for
Internet www tigard-or gov
�No4Ged/Method Supplemental Information
6
® apply(submit 2 sets of
New construction ❑Addition/aiteration/replacement Please check all that VdAv:"w`` s� -)' '
plmu Titoms checked):
❑Demolttion 0 Other 0 Service or feeder 400 amps or more ❑Building over three stories.
3 aSy2r '''9 c r a 5 g• a t where the available fault current ❑lviarbtas and boatyards.
i ' ha-a gi a J 2' g „ . exceeds 10,000 amps et 150 volts or []Floating buildings.
®1-and 2-family dwelling 0 Commercial/iridustriailess to
❑Accessory building ground,or exceeds I4,000 ❑Commercial-use agricultural
❑Muhl Tamil for all other installations. .
Y ❑Master builder 0 Other: Installation
a :•--9"' �§•s'ati, 0 i, i t 'e � •;I. a'`:v?.• , 0 FireEmergency ❑large septi of ISO rKVA or
ived
�J" 0 system. larger separately derived
Job#: Job site addressl ��' S� 1 e ' ❑Addition of new motor load of system.
v� Lane_ 100HP or more. ❑•A,"B, I-2, 1 3",
10. /7Th h Tigard,OR 97224 ❑Six or more residential units. occupancy.
Suite/bldg./apt.#: Project name: ❑H -oarefacilities. 0 Recreational vehicle parks.
g1ve>� "i"' C-e a 0 Hazardous locations. 0 Supply voltage fur more than
Cross stteet/dlreotions to job site: 0 Service or feeder 600 amps or MOM. 600 volts nominal
Description Qtr. Each Totall,.vim-+. .e s.. - .
•
1
Subdivision: New residential single-or multi-family dwelling unit
Jet' Ttrra e, 'E -'- 1 Lott:I e I Includes attached garage.
Tax map/parcel#:
1,600 sq. or iess
�' 13a,add'I 500ft or 163.94 4
- <. t _ -V!i z'i i d`o-. a :_"r. lis � h V sq. portion '� 33.92 1
a4 : Limited energy,residential
M SILO 11'' DO L1 ( (with above sq.it) 75.00 2
Limited energy,multi-family
ti
residential(with above sq.It) 75.00 2
us v9,X4F) ) ` .sla t4 Z3 _ 'j%.' •} -f�, -c,r,- -,��: . Renewable Ea
• D 0 Ze_r of 4;c ❑ SeePage2
Name:ADVI,Land Holdings,LLC
Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
t t s' ' 201 amps to 400 amps 133.56
2
Address:76•: II' Scottsdale, 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:(602)694-4031 Over 1,000 amps or volts 552.26
2
Temporary services or feeders installation,alteration,and/or
..ner relocation
his Yllation is made "property that I own which is not 200 amps or less I
intended . . exchange,according O. 5936
1 and i 201 amps to 400 amps 125A8
Omer ti 401 amps to 599 amps 16834 2
''-. s a d Ic ..` .ate',-t r-f -,'� rg41-Id`s Wig:'„ :;:5,m1011.1,t 1.;i, Branch circuits—new,alteration,or extension,per panel
-x: = A Fee for branch ciratift wtdt
Business name:William Lyon Homes,Inc, above service or feeder fee,
Contact name: 10 ch D�Th Orpt, each branch circuit 7.42 2
q" B.Pee for branch circuits without
Address; 103 �rocid lJa St SuuAAt, �to branch circuit fee,first 2
J56.18
City/State/ZIP:Vancouver,WA 98660 Each add'1 branch circuit 7.42 2
Phone:(360)695-7900 •• , Fax;:(360)693-4442cei�neous(service or feeder not included)
Each manufactured or modular
Email; dwelling service and/or feeder 67.84 2
z. �' _�-. � "`� '���e��hH l'0) '� 4�4 P 1 aReconnect only 67.84 2
r Wit: :ter ' Pump or irrigation circle 67.84
•� 2
Business name:Garner Electric Washington,LLC .
Signor outline lighting 6784
a.... 2
Address:r �7 ` n `(� ���yyy Signal circuit(s)or Eeror
u t( I/) panel aItera[ior>,or egCity/State✓ZIP:' 'I q�j ' allowable in any of the above
pi '+-t� "`-'- I Additional inspection(1 hr min) 6625/hr
Phone:(253)320-1657 Fax:( )
Investigation(1 hr min) 90.0W hr
Email:bdaniels@gweusa,com Industrial plant(1 hr min) 78.18/hr
CCB Lic.: CI158 Inspections for which no fee is
Electrical l;ic.: 208174 + Suprv.Lic. 44965 listed h lamb)
90.00/br
Suprv.Electrician signature,required: )ca: �e i. est i it ., 4 ;*'._
'� 't" Subtotal:
Print name: Joan P Albert Date: 4/26/2016 0 Plan Review Required(25%of
•
permit fee):
State
Authorized si ""`ter - surcharge(12%ofpearait fee):
lime' TOTAL PERMIT FEB:
Print name: Bill Daniels Date: 4/26/2016 TJX permit application expires if a penitis not obtained within 180_
days after It has been accepted as complete.
" BuiIdi�iPearmt C Permtt ,_B R_ffitE dor Rev 06/1712015 * Number of inspections allowed per permit
.._- . 440-46157(11/05/COM/WEB
, s
Plumbing Permit Applicatithi
Building Fixtures
City of Tigard ., : .: '' 1111.11111111111111.1111111111111111111= Permit No.yttfr,„217/7-4112 7/
,71 4 61.2$SW Hall Blvd,Tigard,OR 91223, ' :. ...' '', • -.. .; pun Revi‘ew
: g Phone: 503.718.2439 Fax: 503.598.140. : , . --. , .,DateBy. Mier PennitNo.:
Inspection Line: 503.639.4175 ..:'•l'!.'-'. - ' : .-. -. -, ,'-.' '..'. 'Date R.„dyffiy:
- Iris: I la See Page 2 for
TIGARD
Internet ww*.tigani-ot.griv
Supplenitatal Information
trifgrntf"!a,KKI'*k**O*k.A;':qit5*_*1.V4WiZt:,: itZtlAtniftgatC:1-#110-U71.;Zat'Rigillk:a;::
New construction 0 Demolition For special information use checklist.
131
Description I OW. I Ea, 1 Total
0 Addition/alteratiOnfrephicement JOther: New 1-2-fandlY dwellings cmcludes 100 ft.for each utility connection)
7#443":44AMMT04:00-Or COY.0.:':.01J-.01tVilVilltitialr, SFR(1)bath 312270
- - SFR(2)bath 437.78
El 1....-and 2-family dwelling 0 Commercial/industrial
,--1 SFR(3)bath
500.32
0 Actessory building U Multi-family
Bach additional bath/kitchen 25.02
0 Master builder 0 Other; Tire sprinkler( Sq.ft)
Mgielatr,,,3**:.6**-.#1.00A2l;[*;:7?:**,..;'.:** 010ktkInriR;V SI te utilities.
Page 2
Job site address: I tit lecii 1 SW 4...fr i tncitiS 1.4)AL,, Catch basin Cr mea drain 18.76
Drywall,leach line,or hutch drain 18.76
City/State/Zill;Tigard,OR97224
Footing drain(no.linear ft;____) Page 2
Suite/bldg./apt.no.: I Project name; River-re_ry-accEn64_ Manufactured home utilities 50.03
Cross street/directions to job site:
Manholes 18.76
Rain drain connector• 18,76
Sanitary sewer(no.linear it: ) Page 2
Storm sewer(no.linear IL; _) Page 2
Water service(no.linear It.: ) Page 2
Lote or item
Subdivisign1 Nor 1-e)rate--Es - no. t 6 I 1-Lx
I ' tur
, . .
Backilow preventer k 11.27:
Taxrnapiparcel no.:
1 12.51
.:,•,.-".;,:t;-:-,•:,X0,01iT4Q.,.5: 7;".;i414T's..IBF i:''''0*-610vintk,p;p4Cf;41,24.-9: 54.1 ,;;;Li
Clothes war
25.02
1"S116 n-n0/1 t Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
1- :D:'K4iC:ViiiWi:R'Nge Expansion fat* 12.51
Fixture/sewer cap 25.02
Name:ADVL Land Belding/1:1;C' Fthor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road
Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 '
Hose bib 25.02
Phone:(602)694-4031 Pax ( ) Ice soaker 12.51
..„
'F.intiagalifiaWg:V.V.,i-Alittlak41:044-543Iiiitli hitercePt9r/grease trap 25.02 ,
Medical gas(value:$ ) Page 2
Business name:William Lyon Homes,Inc ,
Primer 12.51
Contact name: ,,, e...Thorpe,
1\lifhl
D
Roof drain(commercial) 12.51
Addresi4 1 OS RrootcLuJaAl st RI1A7C, I D Sink/basin/lavatory 25.02
Chy/State/ZIP:Vancouver,WA 98660 4 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax ;(360)693-4442 Tub/shower/shower pan 12.51
Urinal 25.02
E-Ingli: C I 0 • il I I ' 11 QjkhbelleS!WY) water„1„...,
25.02
,r,.--,.---t,,,..,..,.....-„ ,,,,,ze,0,-.4,1 ,-*:-....i,-,P.1,-.- •,• -.21---.. t,-.........„-...---,,,,I.,,--4.--,. ‘T NO•e•Par..
' CO' .. CT 4'117:1774:irtlitt-',!,17'-'22•Y:.:4':::.f:f'4,:':A.,;',.,;:::.:',:,:t.
''E,''r::',':'qd''' .: ',::..t.,j::.-7'1:.4:'.4 .4f,'5";VAj!.:.. ,.....,•-..,,„- ..,2,-:,,,,,,,r,nv:".P.4T,,,,,, .:.j-.;r;,,,.,,. , Waterheater
3732
Business name +:1 ii Viwk.,k)kNtel 4-5-0,A, 344- Water piping/DWV 56.29
Adams: p.b. 6-0x, cip., k Other: 2502
City/State/ZIP: 5.Tp4.4 art, 11(31 Subtotal
Minim porn&fee: sn.so
Phone:(5.63 or.IS(4S..- 1411 F":(11 V'-74I-e no
Plan review (25%of pennit fee)
CCI3 Lic.: 185312_ Plumbing Lic....ft keyi
State surcharge(12%of permit fee)
Authorized signature: iPtEtst ltbmity"..........„.
TOTAL PERMIT FEE
I Print name: 6-1-fAit. Flieviec.e..... I Dates-38-It, I This permit application expires.ift permit is not obtained witldn IS011ays
Idler it bas been eccepted as complete.
*Fee methodology act by Th-County Building Industry Service Board.
Materms\Permits'SPLMU•PermitApp.dila 50101109 440461.61(10(071COMAVEB)
H
4
City of Tigard
'11111 COMMUNITY DEVELOPMENT DEPARTMENT
C
T 1 GA R>) Building Permit Review — Residential
Building Permit #: sj52�r7_OO 27/
Site Address: 14.8.7i ski f-^i,@��
Project Name: y ar
R.ve._ -re IQsL Lot #: /e/
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: /Vie 5FR
kr Verify site address/suite#exists and active in permit system.
B' River Terrace Neighborhood: 0 No 14 Yes,See River Terrace Review Addendum Attached
Site lan Elements:
Three(3)copies of site plan '❑Lai,tillg,utictures on site
pSito plan must be on 8-1/2"x 11"or 11 x 17"paper ,otprint of new structure(including decks)with finished
Drawn to scale(standard architect or engineer scale) 19 .r elevations
orth arrow Utility locations&easements (required for new and additions)
,to address,project or subdivision name and lot number
..2Sidewalk/driveway approach
plicant information(name and phone number) ❑Le,arivrr-of wells/septic systems
Lot dimensions and building setback dimensions
--Pexis ingftees to be retained with drip line,and tree
..Pcogeare-footage of buildings to be demolished protection measures
1ot area,building coverage area,percentage of coverage and
impervious area(applicable if R-7,R-12,R-25&R-40)e demo
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? s ❑No
4 foot differential)
If yes,is a storm water quality facility shown? ❑Yes 2iclo park
21 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): S i vi S%d'-.
Required: ❑ Yes,applicant was notified .2"--No Received: GaAO�'D r41
❑ Yes ID No , `
"Tublic Facilities Improvement(PFI) Pern ? Q O1 6fr.00031
Required: ❑ Yes,applicant was notified ❑ No Applied For:
pP ❑ Yes ❑ No,stop intake
Land Use Case#: PDP as/6-04401
zoning: lJ ' (PD
Required Setbacks: Front la R�ar d Side .3 Street Side Garage
Ar 3
Zr Landscape Requirement: Qo % g
K-Lot Coverage Maximum: $-io
0/0
,2 Building Height: Maximum Height /VA Actual Height
la'Visual Clearance ��
- LJSensitive Lands: ❑ Yes No Type
[Z Urban Forestry Plan
Conditions "Met"prior p issuance
L,ii f bng permitt
Notes: C. %�0TioAs Sbe meiO d/ JTp
ISSlJG17CE .,
Approved By Planning: /_.,/ Date: 67V8,/7
Revisions (after Building Submittal only) Reviewer
Revision 1: 0 Approved ❑ Not Approved Date
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES 061417.docx
M
J
Building Permit Submittal
Original Submittal Date: ((Lf7/7
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning 4o Engineering l l5ermit Coordinator Building
Workflow Sign-off: ign-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
1 beam calculations and trust details,if applicable,etc.
Notes: _ 1
By Permit Technician: fi /A..'a-i-�-�-
Date:
Engineering Review g
,,Er Slope at building pad:
El Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes lzr No
Assess Water Quantity Fee in-lieu: El Yes No
LIDA Facility on lot: ❑ Yes lEvNo
,,., El NOT Approved by Engineering:
Date:
Notes: k) A if far-- L A)-( t`>5V 6.--
Date: Jtt 7
Approved by Engineering: Ind t IG VL, ''t. f
Revisions (after Building Submittal only)
44----, Reviewer I r Its 17 Date
Revision 1: ❑ Approved El Not Approved
Revision 2: El Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
El Conditions "Met"prior to issuance of building permit /n//
'd Dater/1.5/
Noterpproved,NOT Released:
s: `� 7
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: les ❑ N/A
Tigard Trans SDC: 'Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes pN/A
OK to Issue Permit
Approved by Permit Coordinator: k"J Date: 1 I 115 I ll
I:Building\Forms\BldgPermitRvw_RES_061417.docx
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: /68..7/ S5 fp,`ei.,4/ 4 ) P
Project Name: Rg ve,.
(New dwelling Lot #: 1 S f
=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.660.0701):
Is the project subject to the plan district design standards? El Yes El No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Balcony w/access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep
ft. deep min. 2ft., 5 ft.wide min. 2 ft., Eft.wide Gabled dormer
❑ ❑ El ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: "7��o�n
3. Entrances:At least one entrance must meet both of the follo,ang standards:
i ax. 8 ft. setback from longest street facing wall " l Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: rices ❑ No
If yes,all the following apply:
25 sq.ft.min.
e street facing entry /2'12 ft.max.roof above floor of porch
5 ft. depth min. 210%min.porch roof coverage
4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
0-Covered porch min. 5 ft.wide x 5 ft. deep El Recessed entry area min. 5 ft.wide x 2 ft. deep
ll offset min. 16 inches ❑ Dormer min.4 ft.wide
.Roof eave min. 12 inch projection ZRoof offset
mm. of 2 ft.
El Roof shingles either tile or wood
- Gable,hip or gambrel roof design
El Roof pitch oriented south min. 500 sq. ft. El Horizontal lap siding min. 3-7 inches wide
El Accent siding min. 40%of street facade El Window trim min. 2 1/2"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing El Bay window min. 5 ft. wide by 2 ft. deep
El Balcony min. 5 ft.wide x 3 ft. deep with inside access El Attached garage is 35% or less of street facade
5. Garages and Carports:May face the front or side lot line on , •••
Setba •
No closer to front or sus e o , ; - • street-facing wall. ❑ Yes El No. If No (Check one):
El May extend u. , t.if there is a covered front porch an. g.; ,. :._- •• tend beyond the front porch.
❑ May ext- . up to 5 ft.where the garage is part of a two-story building and there is a window a i-e second story
above the •arage that faces the street with a min. area of 12 s..ft.
Width: (Chec on
❑ 12-foo '.e garage door El 40%max. . treet facade
El 50'/o max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: � ` Q•3'Date:
\Building\Forms\BldgPermitRvw_RES_RT 062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16821 SW FRIENDLY LN, BEAVERTON, June 7, 2018 at 11 :05:22 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00271
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS
Comments:
Corrections completed.
A/C installed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16821 SW FRIENDLY LN, BEAVERTON, June 7, 2018 at 11 :06:41 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00271
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
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16821 SW FRIENDLY LN, BEAVERTON, June 7, 2018 at 11 :04:18 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00271
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS
Comments:
Corrections completed.
A/C installed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16821 SW FRIENDLY LN, BEAVERTON, June 7, 2018 at 11 :01 :10 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00271
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Corrections completed.
Violation Summary:
Inspector Contractor