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Permit (200) INCITY OF TIGARD MASTER PERMIT ` COMMUNITY DEVELOPMENT Permit#: MST2017-00236 T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017 Parcel: 2S106AD07800 Site address: 16873 SW FRIENDLY LN Jurisdiction: Tigard Subdivision: RIVER TERRACE EAST Project: River Terrace East, Lot 185 Lot: 185 Project Description: New SF. BUILDING Floor Areas Required Setbacks Stories: 3 Bedrooms: 4 First: 1119 sf Repaired Basement: 140 sf Left: 3 Height 30 Bathrooms: 3 Second: 1062 sf Parking Spaces: 0 Dwelling Units: 1 Garage: 422 sf Front: 12 Third: 0 Smoke V Right: 3 Detectors: Yes Total: 2321 sf Value: $282,995.23 Rear 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Urinals: 0 Tubs/Showers: 3 Sewer Lines: 100 SF Rain Garbage Disp: 1 Water Heaters: 1 0 Storm Sewer 000 Water Lines: 100 Drains: Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 BackwaterBckflw Prevntr: 0 Catch Basins: 0 Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 NaturalClothes Dryers: 1 Gas Heat Pump: N Hoods: 1 Furn<100K: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders 1000 sf or less: 1 Branch Circuits 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 amp: 0 201-400 am 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 p 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC.: N Opener N Security Alarm: N Vaccuum System: N Garage Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: SF VB Square Feet: R-3 2321 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 2 GEO Tech Required before SCOTTSDALE,AZ 85258 foundation inspection PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $32,349.49 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 952-001-0090. Y.0 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: /41,..../ZAP%/ L�' 2y Permittee Signature: r�- AG --, //,4 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. _Ruing �s______1 . ai_Ruing Permit Application /-0 '24f. r �: RECE ` D Received FOR OFFICE t SE O\L\ g City of Tigard RECE `.t .10 Date/By: / v Permit No.e��y„J/?_O��V 4 — 13125 SW Hall Blvd.,Tigard,OR 97223 JUN ` )1 17 Plan Review /`G �O Other Permit Phone: 503.718.2439 Fax 503.598.1960 Date/By: �{ 11 g� O�J—(�7A67 i(, t R Inspection Line: 503.639.4175 CIT �� GARD Date ReadyBy / Supplemental Information BUILDIN.. rIVIS ION &I/ 9/ L, n//C ,,..Z6- w -wa ^�.� -e-+�-�-rs}.z R. �.� 1--. m.^.� �-r-� .. w•tr, ,��.. mow- s .., , e � ®New construction 0 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 th ro tl}e K t -- c " c - r w a �' „r 12 '-.' work indicated on this application. '8 j c i 7 � n��,.�.��,� .,..,-..-..;,4',.,-I s� .a, -� �.,�,, �.s��.,��,�„a�,,,� Valuation: ® 1-and 2-family dwelling � 0 Commercialfmdustrial ❑Accessory building 0 Multi-family Number o bedrooms: ❑Master builder ❑Other: Number of bathrooms: aFrW i `. tE �° `4 -. `-.. ”' Total number of floors. 2,-7 {- Lx,..,..a-, e.,.ca �^�A`,, ..:— , �. ^� �`.'.a-�� t. psi Job site address: /1 �3 S'J Mend,'uLC1s1,c New dwelling area: -a:- .2, ( square feet [0(i2 City/State/ZIP:Tigard,OR 97224 Garage/carport area: 42.2. square feet l I 1€1_ Suite/bldg./apt no.: Project name: fitter Terrace_ •f- Covered porch area: square feet `t-V) Cross street/directions to job site: Deck area: ,ii k square feet Other structure area: square feet , r !x J - :,,, ,' :,.:;_ ,. 1. .t,:- > t;- ; mo' Subdivision (tv{r Terrace,East- Lot no.: i 2S. 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 equipment,materials,labor,overhead,and the profit for the ° � � work indicated on this application. ,.. . .., s .� ;::.'..:.-:s,27...'",7::-,'.,!: / H°. ,. , - , Valuation: $ Existing building area: square feet New building area: square feet yea y�=�r�° a'� � �': � �� ,Rx"��' � �'�, �,� e §l'T'4 a,� 7- . ;,F� ; ". t� ;a. . _ 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: D€ ,T, Liv4 � e`�ta �` z'N-11. ;k77)31'�y' �'a2Yt�e. � �. ° •5. '" �'�e�... gk:C�3 ��_ %' RT'�.,w � �>��� _.,':,. "'.� .a. 5` Ff ;.._..,..._ ::-'. e. :..�^:.. - .k �`, C• �i t. - `� ' t rvAY Business name:Polygon WLH,LLC r—; Structural plan review fee(or deposit): Contact name: ELS 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.' N( LI 1. c 1 L r 1'..^ 1i •.•.1 / 0 i 1 1 t. Commercial and residential prescriP Live installation of .,� €' '„� �: L `.-I.-` ,F a '- %, roof-top mounted Photo Voltaic Solar Panel System. Business name:WilliamLyon 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: $201.60 Authorized signature:/444This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: Jl C r' (�Yy,� Date:/0/7/4/7 Service Board. I:1Building�Permits\BUP-RESPermitAp—p..dd`oc' 02/24/2011 440-613T(`l 1//02/COM/WEB) _ ,. ,, :, ;.' , , , •,, Mechanical Permit Annlication. '' ' - ' - 1011 OFFICE ESE O\1,1 tity:ofTigard Received 1111 -: 13125 S*V1/1-411 Blvd.,Tigard,cut.972.tic I ,,,;:', 2 0 17 Datelny: • ... .. Peunh ts'''',75.7V0/7-00.2.3 Co. . Plan Review .. ' • Phone: 5I3.118.2439'Plix:•503.5911.1960 • - - s ,-,. - Walk• . Other Permit: .1 It ARD •f.aVe9t1lmPne: 503.639.4175 - • -.•• ',-- - ', ' *..* '''' Data ReadY/13. V Iatis I la Rea Page 2 for itlielliet; wwiv.ilialti-cmgeti ' ' ; ". " ' " - Not.tie&Mitlioct. Supplemental Information FEE sal Eirmiz,.,. usE atEcKuvr r...i -. - '.-- -.- '-:--.--: - .,,"... - ''..' . ' :4- 'Mechani..-permit fees*arebased on the valueiof the work .h: New construction Li AdditiOntilterution/replicentent - performed.tridicate the value(rounded to the nearest dollar i dell 0 Demolition 0()Olenniedanicalinateriels.equiCtinent,labor,overhead,and pmrit. ,, Woe:$ i ii‘i420ggi11t.7'.4 # 004it 04$0400tiOt .:. ‘'-`"''''''''-' :"'"''''''''.---------.'•' '•-••-••••• ' 1-and 24'ainily dwelling 0 COMmereiallindustrial 0 Accessory building _ Farspecie ant:anon Mst'chcLl1L . ... ' Mufti-I-m*1y. 0 Master builder 0 Other: Description' ... Qty. 1 Ett.. Total. 40.*-.****iitP#Rtifili*,':,**ilkiaikorta:;;:. i-,*; :j ]::,..;r;,:iii;,, .thAtiagiaaihisz .. . . .... , Air conditioning 46.75 Job site address: (0 t6T5 5\j‘j Fotnavti Loa\e, ,Pinnace 100.01.10,,ttru IthretstlCats) City/State/ZIP:TigirdtoR 97224- Pumice 100.000+I4TU(.4iteisfirents) 54.91. FE*Mull61.06 eke/bldg./apt ne.t I Projectname:Piver-Tern re- EaS+ Duct ivrk. . - . . . .2132.. Cross street/directions to jab site: Hydro*hot water system. 23.32 ....,„ . Residential boiler(radiator or hvdroniel . . ' 23.32_ .. , Unklunters(fuel-type,not electric), in-wall,in-0.14,suspendad.etc; 4675 .. , . • Flue/vent foranv or above .1 23.12 2 - sodivisom l Ikkil( OAt-,i, 0 r- 6-,..S 1---. -Lotno.: •• Lt talc' Other Wier Net epistle!Kik - 23.32 .. ' • Tax map/parcel no.; Water heater 23.32 .51?;;;!•'-';, .- .1-',:::-:.V,Ve';•';:.1T.SiM1).10r.g1f1,10*4**0*:(':: ',"7;t.4•40;47-A4..-i-JI..i ;C:: '3:'W.'..• Gas rwerE/K•11-Wit• - 1 33.39 ' '• nue vent fbr water heater or gas MST2,01 1- Cto LW fireplace 23.32 Log tighter(gas) r, 23.32 t : • Wood/pellet stove . 3339 _ Wood fireplace/insert 23.32 atintneyllineriffaervern 2332. • 23.32 *Etti. r.09!04jc;AO'ft.'::••'10.4. ..: 0.404414"0.-i': i4;17;!4Y4'.:•*, . OEitnh,Ltai exbust and n,„filafl„: Nanit:"Pt in L tzuir/ --tfaiciinal 5 ,Lif.., Range bed/other kiithen I . equillillefd 1 33.39 Address::'. h1,OD_ 6 0 Du,hte.:114,_ 411e,I4 14,Daci Clothes dryer exhaust 1 3339 StaterLIP::._ ii fr,.. pc?......S -2..s-1: Single-duct exhaust(hathrOoms, Li. toilet compartments.utility roams) 23.32 Plaine i •61.... V (P9 q Li b3 I nu" ). • Attickrawlspace fans. . ....,.. , . , 23.32 , ,:.:•-:;..21,!.,-;,'-'• ,:l:'.i'i,'04.i.'*'40.* T.4E4i. -- •:',-:::.j::;r-.-.?4'V'i.-'1'.:1:(tti(04TA01,'..000*V•::••::::',..r:',.'- * Other 23.32 i Business name 'ivh-)i i i ilifrt q or tkia'N-Ne,s imAc... Fuel piphig: st4.18 for Best than 54.03 for each additional Contact name: kliattolt.imp,:ogx.„ Pinnace.etc, - . . Gas hot panto Address; --.).0, _; pzrzardso., . , if b Wallistispendediunit heater City/State/ZIP:Vancouver,WA 98660 Water heater- , Phone:(360)693-77011. I Fax::-(360)693-4.442 Fireplace . I RAW E-ta___f_AJ'ilr le-h-Qte,;Thovepti ..,:olhiyy)esprn . Barbecue _ '' ', Clothes Ow(041 . „ - • . ... „ . . ,....- . . . ,..,:.._... .,.., :. .. Business name:Apex Air LLC Other: . --'-",:, ,-7E,,.. ir*.:021ANiCAL:PERTiti --W;„._-,'2',,---:,:,.-.-''. . Address:18004 NE 72"Ave Subtotal • ' , .. . . City/State/ZIP;Vitneouver,‘I'A 98686 Minimum permit fee($90,00) Plan review(25%of permit feel Phone:(360'l 3424109 I Fax:(360)326-1769 Stale surcharge(12%of permit(ke) CCB tic,:203034 TOTAL PERMIT FEE This permit applicalkm expires 0'3 permit is hot obtained within I BO days after it bm been arceptcd as complete. Authorized sit:nature: * Fee methetialecy set hy Tri•Catinty&Odin);Induary.5crviee Beard Print namerireZ .4 Date: 01.it7.f „ 1 illeittbroPeretallat:C.Aavittattp r..40113 duc 4.14-tfirT 01 m2icom:svent Electrical Permit Application ~ FOR OFFICL USE ONLY City of Tigard 1`.. i ' Kr ?a17 Received Permit# a 13125 SW Hall Blvd.,Tigard,OR 97223 �e/B S%o2ei 7'-/Qv�.3(v ' L Phone: 503.718.2439 Fax: 503:598.1960 z Plan R°.- Dat,yB• Related Permit#: TiG1iRD Inspection Line: 503.639.4175 ' ReadyDate/By: Jurist Internet www.tigard-or.gov SupplementSee Peat 2 l for Supplemental Information ®New constructionx g �_a � �=?�R` � �*;�x'-'a £ _�' ����`�z.4.:t-', �Va�`�`�.��ii���'? •4*-W1.;,; �,; 0 Addition/alteration/repiacelrtent Please check all that apply(submit 2 sets of plans w/items checked): O Service or feeder 400 amps or more 0 Building over throe stor ies❑Demolition Other: where the available fault current 0 Marinas and boatyards.,- K ' r . r - tL �ir 2J h i 's:11,h ' 774 ;: � exceeds 10,D00 amps at 150 volts or 0 Floating buildings. 2 1-and 2-family dwelling 0 Commercial/iridustrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial use agricultural 0 Multi family 0 Master builder 0 Other: maps for all other installations. -•k p ❑ tion of lSD KVA or 0o i,' 't.4. �o Ts vo �� ri ' 0 EmergencyFsystem. lhere separately derived Job#: I Job site address Addition S 0 Addition of new motor load of system. / �" Fri e� 4lki j ne-, I00HP or more. 0"A","E","1-2","1-3", City/StabeJZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ©Health-oare facilities. 0 Recreational vehicle petits. Suite/bldgfapt,#: I Project name: '#-1veh' 7 C., Ec �t_ Oliazardous locations. 1:1Ser rty voltage farmore than Cross S eet/directions to job site: yTO Service or Ender 600 amps or more. 600 volts nommaL -Description I Qty. I Mach Total New residential single-or multi-family dwelling unit. 1 Subdivision: f j c J,e r i p'pr i x,.47_ ^L .3+ I Lot#:+85 Includes attached garage. Tax map/parcel#, l L f 1 L!^.►' D 1,000 sq.R or less ,..k - 168.54 4 3. Ea.add']500ft. * e.a. , :,:!,.. t•;h'. ':is,0-3 tier,J ars 8' , sq.es e portion 33.92 ! a�C x .A "� a - Limited energy residential Y t Sl mn^ OGI3L0 (with above sq.R) 75.00 2 Limited energy,multi-family residential(with above sq.ft) 95.00 2 _ i a y rl;r cl sj P ~o 1 sP�J �ea,--;--d � air Y-, r mut Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation - Name:ADVL Land Holdings,LLC 200 amps or less _ 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 55226 2 Email: Temporary services or feeders Installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400I �$ 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 °4"W �= P j q-VAX • , Vii i r c ry 1,.( : ,.=t Branch clrcuffs—new,alteration,or extension,per panel Business name:William Lyon Homes,Inc. A above r feedere fee, service or Contact name:Al ch Q1��not each branch circuit 7.42 2 B.Fee for branch circuits without Address: 103 1 , C Z1 lD service or feeder fee,fust 56.18 2 7r�1� StStSvu - V branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'1 branch circuit 7,42 2 Phone:(360)695-7700 • ' ' I Fax::(360)693-4442 Miscellaneous(service or feeder not included) J Each manufactured or modular APMP service and/or feeder Email: b7.84 2 ' ' i , L 14 I L iLl .`'•-•+fit.A Yme Al Reconnect only 67.84 2 :_._ ..�,. . _s �? F c;z,277r' £ . - `, _x �„-RA Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Signal circuits)or limited-energy Address:`4 02 \J Q X a4 ) rQ/ ,, ` �u \ \U1 e„ panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP6:•pu 1 ,�' I t4 p fl 1 1,`+ . c 33-1 `�Y'J Each additional inspection over allowable In any of the above Ul l,( j W _I v Additional inspection(1 hr min) 6625/hr Phone:(253)3204657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels@gwensa,com Industrial plant(I hr min) 78.I8/hr Inspections for which no fee is COB Lie.: 01.158 I Electrical Lic.: 208174 I Suprv.Lie.: 44965 , 0ifically listed ,4 hr min) 90• - Suprv.Electrician signature,required: -( / t' 7 [J err, • �' 1 =sS v ubtotal: Print name: Joan P Albert •_ Date: 4/26/2016 0 Plan Review Required(25%of permit fee): • �. --- .._�-- � State surcharge(12%of permit fee): Authorized signature: - TOTAL PERMIT FEE: i Print name: Bill Daniels This permit applicatlen expires if a parallels not obtained within 180 - Date 4/26/2016 days after It has been accepted as complete. ':L1BuitdsgtPermrt�lTff O p - * Number of inspections allowed per permit " eimhAppn[R HREdoe Rev 06/17/2015 440 46151�]]/OS/COM/WEg c:< • • Plumbing Permit Applicatio .- - Building Fixtures T F! ,;„ n� �j i` City of Tigard � Received .714 * 13125 SW flail 1314,Tigard,OR 97223 -;, % l�ata/By: P«m3tNa:/`�l% / G a 3k, t1 Phone: 503.718.2439 Fax: 503498.1960 P1aa Rsvtaw 1)atciBy t?thorPenmitNo T t c n u Inspection Line 303 639 4175 Data iteadyA3y. �,, internes w'w.hgard pr gov Not ed/Methad I RI see Pagel for — ). 1s fit v n—; 4r y 1 Supplemental Information 44...4 - • 0 sirfe:a:i.'4: , YkE ,MY. • f +• ' ,�r�1 Fns f ry ... „ .,,:. r,p ''-.__ ! 4 g 'S uf"t+- '�' +%�t5t, r ,....,.n.k :wiz? �; ysf 4 'L ®flew construction: 0 Demolition For special information use checklist0 { Addtttonlatterat►onlreplacement ❑mer Description I Qty. I Es. I Total New 1-2-family dwellings(includes 100 ft.for each utility connection) s _, .:: �,E-,r ' `'j Xv UFS "ROS ' ¢^ er8rr t t A SFR(1)bath ®1.:.and 2-family dwelling 0 Commercial/industrial SFIt(2)bath 437,78 d Accessory building .El Multi-family SFR.(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other Fire sprinkler ( ( �I.�) Page 2 llyl '� ”L'cls g4 ?70B5XT 'IN1 ,,M.. ,, 24 �,: Siteutilities:, Job site address. ` �� (� Catch basin or wet drain t 8.76 Ci /St ddres Tigard, d Dryad),leach line or trench drain tY gard,0497224 18.76 _ Footing drain(no.linear It.:,_) Page 2 • Suite/bldg./apt.no,: ! Projectname; QIVer-ii.I'" 1 Q_rra�.� 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 IL; ) Page 2 r�^ Water service(no.'linear ft.: ) P 2 Subdivisiottt 1 e ate."E 4- f Lot no.:t es- Fixture or item Tax map/parcel no.: Backflow prevents:. 31.27 - ci, . x DD(E Tt1FWOR) b` f ,} <_.i Backwater valve 1 12.51 • Clothes washer 25.02M�All002x „ Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02aiggl:i - . '. Expansio ,. .,.... __ _r:._..�ita::�4 . �_,.t.: `{ :;. 0TE1yIAly1'E�;F tet, ntank 12.51 Name:A DVL Land Hollings,LLC Fixture/sewer cap 25.02 Address:7601)E Doubletree Ranch Road Floor dradispo aflr sink/ftub . City/State/ZIP:Scottsdale,AZ 85258 Garbage disposal' 25.02 Hose bib 25,02 Phone:(602)6944031 � Fax:.( ) Ice maker 12.51 51 ; �»� _ � i '' _ ' ��4Q `�4T �" � � Intercepfor/greasehap 25.02 Business name:William Lyon Homes,Inc Medical gas(Value ) Pega 2 Contact name: (\ii ch D I Th() Primer 1231 . �^ ' In Roof drain(commercial) 12.51 Address:'"1 03 �j>(�Op _ St SuA S L O Sink/basin/lavatory 25,02 City/State/ZIP:Vancouver,WA 98660 J Solar units(potable water) 62.54 Phone:(360)695-7700 1 Fax::(360)693-4442 Teb/shower/showerpan 12.51 B CIV . ldIA + AS• • 25.02 E-marl p''',,'-' 4'1•1.1.'".V' Y J �3✓1 .t t t /L d IJater ' ' ....:.▪. CO t k.� Water closet 25.02 /'► . Waterheater 37.52 Business name' (d-1 totA4)11A.,.A ... tAL Waterpiph►�WV 56.29 Address: p.o. 6.. , , Other: 251/2 City/State/ZIP: 5'j , p4.4 (�t`C. q1(31 Subtotal_ Phone:le.�b3 t`-8 _ - 14i1 Fax:(1-7t„-''i i—P Minimum pestis fee: S72.50 - CCB Lic.: ' J Plumbing lac.no. Plan re view(25%cdpermit fee) t1l� t State surcharge(12%of permit foe) Authorized signature: ' it ,y�„_„ t TOTAL PERMIT FEB Print nun= S+ d F t t. wk.e........ -3&-I b permit application expires.if a permit.is not obtained within 180,days vv stir it bac beau accepted at complete. *Fee.methodology set by Ta-County Burping Industry Service Board i tall314 9canitslPldvtU Pattnitilpp.doo lWOb 1➢ 4404616T(10102/CowwzB) liAllCity of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential 101 Building Permit #: ykSre 0-00 o.--6& Site Address: / 873 Sud Fe,;a#101, Lang Project Name: R,j/Cr err"aGe S+ dwelling4 Lot #: /g5- (New =su division name;Addition or Alteration=last name of owner) Planning Review Proposal: /t)egi S FFR ,Z(Verify site address/suite# exists and active in permit system. ,B`.River Terrace Neighborhood: ❑ No L; l es,See River Terrace Review Addendum Attached Sit Plan Elements: l ree(3)copies of site plan ,8 � es on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper 2 otprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) �fllojoor elevations rth arrow .IQUtility locations&easements(required for new and additions) U.Kj„ite address,project or subdivision name and lot number ,b Sidewalk/driveway approach 'CJApplicant information(name and phone number) lls/septic systems ,Lot dimensions and building setback dimension .ii eisting-treerto be retained with drip line,and tree /Laatage•of buildings to be demolished protection measures uret area,building coverage area,percentage of coverage and #2<et tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) ,,__,,,,// �eet names Zi'roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced0�es ❑No 4 foot differential) If yes,is a storm water quality facility shown ❑Yes C 'o 2(--Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No ,2 Public Facilities Improvement(PFI) Permit: P pi- p(G-d po r Required: ❑ Yes,applicant was notified ❑ No Applied For: pp 1=1 Yes ❑ No,stop intake .12rtand Use Case#: P pR v0/6- 6.000) 1;?Zoning: R- X66-CPD ) Required Setbacks: Front `� Rear O Side 3 Street Side „A// Garage 3 Landscape Requirement: a13 % c2.-"Lot Coverage Maximum: g ) P.-Building Height: Maximum Height P/k Actual Height Q'Visual Clearance rP.. Sensitive Lands: ❑ Yes 21"-No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit / Notes: Ou4S4 , ;'l Cen 71;0/15 Lo t/e 'moo/vcid rid - 74 1S5Loc.ncc 40-4) Approved B Planning: Date: 45/7 Revisions (after Building Submittal only) Reviewer Revision 1: ID Approved CI Not Approved Date Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\BuildingTonns\BldgPennitRvw RES 061417.docx Building Permit Submittal // Original Submittal Date: (,�iiC!7 Site Plans: # 3 Building Plans: # 3 Building Permit#: ?..'Enter building permit#above. Workflow Routing: Planning erEngineering Permit Coordinator Building Workflow Sign-off: Sign-off for Pning(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: / • li,. `�.��i Date: i _41•PBy Permit Technician: i, . a_. �. Engineering Review l Slope at building pad: / El Conditions "Met"prior to issuance of building permit El Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes '1 No Assess Water Quantity Fee in-lieu: ❑ Yes 4ErNo LIDA Facility on lot: ❑ Yes 1:3- No Date: ElNOT Approved by Engineering: Notes: t i>/li — Q.)A-i-in ffte4(-1 T-fri> c_N.5r724)'-rT Pi an 7V /ssu z. ai g.-i 6 S'A'Y (, 17 Approved by Engineering: ig..P wH /7-P Date? Ite'� Revisions (after Building Submittal only) Reviewer /1 /4717 Date Revision 1: ❑ Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review El Conditions"Met"prior to issuance of building permit �pproved,NOT Released: gr-D—ateZi'7e((r.--- 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: tifSDC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A Tigard Trans SDC: 'I' Yes ❑ N/A Parks SDC: r Yes ❑ N/A ` N/A i LIDA Yes C ! OK to Issue Permit Approved byPermit Coordinator: 0/1A Date: 1A0111 I:\Building\Forms\B1dgPermitRvw_RES_061417.docx INICity of Tigard i COMMUNITY DEVELOPMENT DEPARTMENT T► A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: / 873 Su) Fr;en G1/ V Lan f Project Name: R:ver I er, ce E4 `/ Lot #: 1 (New dwellingr�� =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? 0 Yes 0 No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft.,5 ft.wide min. 2 ft., 6ft.wide Gabled dormer 0 0 0 0 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 61%2 3. Entrances:At least one entrance must meet both of the follo g 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 yes,all the following apply: j21/25 sq.ft.min. !G One street facing entry 2i5.2 ft.max.roof above floor of porch 5 ft. depth min. 1iJ 30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: in Covered porch min. 5 ft.wide x 5 ft. deep 24ecessed entry area min. 5 ft.wide x 2 ft. deep 0 Wall offset min. 16 inches 0 Dormer min. 4 ft.wide r IRoof eave min. 12 inch projection EeRoof offset min. of 2 ft. ❑ Roof shingles either tile or wood 'Gable,hip or gambrel roof design 0 Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide 0 Accent siding min.40%of street façade 0 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 ❑ 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: f d No closer to front or si.e o e, . . . :-. _ i. i •es 0 No. If No (Check one): f#r4 e 0 May extend up to 5 ft.if there • :.- e. front porch and garage .. _ -,d be and the front porch. ❑ May extend u. : t.where the garage is part of a two-story building and there is a window at e second story above . :, age that faces the street with a min. area of 12 sq.ft. Width: Check one) 0 12-foot-wide y , a oor ! ' 1°o max. of street facade 0 50°. ax. of street façade with 7 detailed design elements Notes: Approved By Planning: ;:72 .2...___-- Date: G /6 1:\Building\Forms\BldgPermitRvw_RES_RT_o62216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16873 SW FRIENDLY LN, BEAVERTON, July 10, 2018 at 1 :18:17 PM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00236 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16873 SW FRIENDLY LN, BEAVERTON, July 10, 2018 at 1 :17:36 PM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00236 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16873 SW FRIENDLY LN, BEAVERTON, July 13, 2018 at 10:57:45 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00236 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows 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