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Permit (230) MASTPER CITY OF TIGARD COMMUNITY DEVELOPMENT Permit#: MST201ER7-00398MIT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 s Date Issued: 12/12/2017 T r ;�It[� g 1 p Parcel: 2S106DA06200 f'♦ Jurisdiction: Tigard Site address: 16909 SW LARKSPRING LN Subdivision: RIVER TERRACE EAST Lot: 62 Project: River Terrace East, Lot 62 Project Description: New SF. 5/22/18: REPRINT to add(1)laundry tray. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1108 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2504 sf Value: $306,177.35 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: • 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'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 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 2504 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $32,912.80 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 OARS -001-0090. Yo A'-y obtain a -py of the r es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �O�/., �� /L/ �� Permittee Signature: w/ie‘frri5k/ 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. CITY OF TIGARD MASTER PERMIT II Ise COMMUNITY DEVELOPMENT Permit#: MST2017-00398 T[ AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017 Parcel: 2S 106DA06200 Jurisdiction: Tigard Site address: 16909 SW LARKSPRING LN Subdivision: RIVER TERRACE EAST Lot: 62 Project: River Terrace East, Lot 62 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1108 sf Basement: 0 sf Left 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front 8 Smoke Dwelling Units: 1 Third: 0 sf Right 3 Detectors: Yes Total: 2504 sf Value: $306,177.35 Rear: 10 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 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Catch Basins: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add''500 sf: 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 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:Y Square Feet: NEW SF VB R-3 2504 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $32,884.78 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2332.1987 or 1.800.332.2344. Issued By: ,00„ `���V "c Permittee Signature: Ser._ e„ Call G� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. �� This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ..; , ZD 7f--- (, .2 .Budding Permit Application v VIM ,. JUN 2 Z017 FOR OFFICE USE ONLI Ci of Tigard Received 114 . 13125rSW Hall Blvd.,Tigard,OR 97223 C' i!(aA�i1� Plan Review `0/i�/2 4 Permit N2(Smc),?... O3 t Phone: 503.7182439 Fax: 503.598.1960 �� � / 2.,$ II -i Other Permit: �/, ', ) �u��.t✓W owls 7��N Date/By: ��IJ� � I�UK�( W�iG T'1 c, . it Inspection Line: 503.639.4175 Date Ready/13y: f i Juris: H See Page 2 for Internet www.tigard or.gov Notified/Method: I Z/// /7 it' Supplemental Information p. Permit fees*are based on the value of the work performed. ®New construction 0 Demolition ❑Addition/alteration/replacement ❑Othar Indicate the value(rounded to the nearest dollar)of all � i �� 4. labor, equipment,materials, overhead�an4 theprofit for e work indicated on this application. T a' t a, PP I y ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ IDAccessory building 0 Multi-family Number of bedrooms: ❑Master builder ❑Other. Number of bathrooms: . € ¢ e' 6 _ c ,� ,' ,mss: Total number of floors: " ., ' =s�� s . >` •4. m ate , 0 f� Job site address: ` i 1 , SW L.Gldr S - �r� New dwelling area: 2 �� square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4c35 square feet Suite/bldg./apt.no.: I Project name:River Terrace East Covered porch area.S square feet Cross street/directions to job site: .laaelem ea: e.nay et-iftc_ square feet /.5-02-., Other structure area: square feet eV 3lt N g 4 lki,al , tTi a ., Subdivision:River Terrace East I Lot no.:� ) Permit fees*are based on the value of the work performed. V/ C� Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no equipment,materials,labor,overhead,and the profit for the � � " 4I' t' 9 =n. work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet A1.> Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: Business name:Polygon WLH,LLC 7'...q. ,7-:,,,,":7,44,7 enc d„,„,�,"'�' „•" Structural plan review fee(or deposit): Contact name:Nichole Thorpe �n FLS plan review fee(if applicable): Address:109 East 13 Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received E-mail:Nichole Thorpe ei- :,) '- t.:`i:, - t� c x--7,,,;#4.1 # -1 � � � �, r ` � ,;, Commercial and residential prescriptive installation of Fw> 3;r � I� �� � .�. 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: $20 L60 Authorized signature: / /.. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Service Board. 'ing\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , „.. Mechanioal.Peitiit Applleaticiji _ - ,,, ,, FOR.OFFICE USE ONLV • .....- 1,jil 26 City oftigard Pcnn").-/1-S77,20/7-6K3 2., 13125$W Hatt Bly#.,Tigard,Olt 972214 ;'1 1• Pholl $11718.2439'Fiutri593.598.1960-, ‘-'' -"""''''" OtherPennit; T 1 G A•,-;D AsPlAF10414t :5034394175 --t.' ''''''' ''' '''' ''7 . '''' ':.' DO Rod 413 • ' "" " " " nuiar I 83 Sae Ne.2 rot'. . Internet;Vmir.tigititi-Orgi VVV V NottliediNtethocE' SuPtgetnnntni Waite:Mind ... . , . . • ••• • •• IR4X4,..W.4-tkitattlf-iMg•Wit*Air40,Vairtgrialn127,t,OMP*1 P,:4-'AOJOIOK14,7:-AVWi't-VgA.Or4t*I.W: ,. 4..NeW OttStitCt010 . ees*are based on the value of the work purformed.tudieate the value brooded to the ileum dollar)of 0 Detnolitiott. 1;164* mechaitical nutletiol.s.:equipment labor.overhead.and profit. lValu :$ .,::.,:tri:?e-;j;'-qMM:4:26---#00.4.0t0.18`.14#40011.e4Ftilt-NirY. 1:::-i-1,- lz.t..M.,;-'-'''''"'''+,"••:."--.''''•'-"---:nieir&---."'' ,-'.- .,,,,„,.._•gESIEDEDECIAL-SQUIRMUMS,V$TEMS'....=,..9"e-w.?4c:".""•' 1' 1-and 2-fisia4&tiling. 0 Corranefcial/inciasidal Li Attesstry building . Far spedel brfotmation use checklist. ' Muiti-tan* 0 Mastex bOcier. 0 POter. Destrinifon. •, Qty. I Fa. 1 Total 4:.';:.1.i.i4a-i.7AlefiZAW,40.kttOrtiO.f.0-7iti#41***,-;01410#' itA:*4-7P' Fita.621. eGanngl ' , • . Air mulitiorting . _, _ . A?1"itaddr'PC t 11 q DC1 Si Loxt4si).r1 ..‘ Laint, . . Fuinace 188.008 lirlitdaetskents) ,* Oty/Stat64.1P:Tigar(1,:olt 9,724, Formica 100,000+.13111(doctoYerig 54.91: • • ,_Heat pimp , 61.06 ...Sate/Mg./aptPiajact as111C " .: P ver ._,41 0 . 4 btra.WO* .. 2332. c:l'Osn Ithtetfiliffttiotla tOkb Sfiri _llydronie hot wake system. ' 23.32 - - • Residential boiler(radiator or hydronic) . , __ _ 2332 Unit hatters(fuel-type,not electric), - • • • . lit4all.— , in-thlet,suspended.etc. 46,75 • • Flueivent,fitrany of nlieve. , i , 23.32 " Subdivisi.°11:12.ive,v-re.ryntr: eas I- 'Lot no:k6 1 . ...9theVVV r: . - other Nei 23 2. -." 1 , . ...... , ..... • , Tar map/parcel Op:: . Water heatVVI er23.32 . . ',A5;$047-44fP-10."Vafi'.WW.4#1.100#1:404.WWWAV.g.-.t,f4•.-§ " °as ftrihmrmsert - 1 3339 .. . . . ........._ .. Flue volt for.water beater CC gas \ASTIA)a- 001)6704 fitenJate• 23.32 I-0880W tansl 23.32 Wood/Pellet stove 3339 . .V .. Wood Freplacenosert 2332 ._ Chinmeyilinettflue/vent 23.32 . • ..... .„:"•!':Z.:;,•;1,.0.100 --7";.0*4*, ''.-..f71 "t,P.#.**Tt.f."i4iti:t;_ ..3 . rine: 2332 Naint'.'Pr DU L -61-tici--tflAd ix ,LL . . : Runge hondfother kitoltest, t - equipment 1 mthe ''fltp 60- E 0 Dulote, (211h C-14 lz-spAcd .Ciodus dryer exhaust 1 ' CitYiState(ZIP: • II 4 44 Al. - Single-duct exhaust(bathrooms, 14 — toilet compartments,utility rooms). ' inxille' if()1^ (pctH L3 ) Far:( ) Attickramispace fans 23.32 `?:;"';'-i"•:"i`....:•.;!..;-,t",614,*.t.k..4iStC:q.7...:0:F .5• i.ii!..'..*0.44. '::::F.-:• . (36": 23.32 .. , - Fuel MOW . Busints!name *i 1 1 ittIVI k.4 or\ t.h 'iNe.,S. ,Linc_ . $14.15 Air grit tont;84.03 for eaci additional". . Contact lante Nli drr ^TIA . Furnace.eit---7 V V AddOess: .o \ ,1 i 7 a *tie mo• I, b (3as heal Pump , WallisimPenderlitmit her . , CityiStateZIP:Vatteenrver,WA 98668 , Water heater' . , . Mune.(360)6954708 Fax::060)693-4442 Meal= . , I . ...84na=Mie,h-pk_. ;Tbtirece ri Itiqp4hancuAca__, • . xiiifimi:-A-i-A4F,*!ag.•i.::: !,.::-•, ..011-ti.k:17R.:,.5. -;Iti-- -- .. ClothdrYor‘t. . Burinesintane:Apex Air LLC C :4`, 7.1Vs . T:',.-I'L.':. Address;1E004'%E 72"Ave -- Subtotal alyiStatelZIP;Vancouver,WA 98686 . Minimum pennit fee(S90,00) Plan review/25,4,of permit fee) Phalw(160)34241(19 Fax (360)326-1769 , Stale=ramp 02°6 of penult fee) - ' .— , CCB lie.:203034 4________ TOTAL PERMIT FEE ( This permit application(apices if a penult is not obtained within I Ito days&Boit has been accepted as complete. Au1botiaed siplabl * Fes audbatialegi,set lax Ttheauatrfluilding Indus*Solvice*Basad Print amner** cre: . amc. 4. .I zuito.o.v.A.;wEr_pwantApp 040113 lint 4404(47 1.1 1.0M/\ Electrical Permit Application F ". FOR OFFICE USEONLY City of'iigard 1 t >a e DatPemrit#: ' /.Jj 6/ 11 /7. 9, v 13125 SW Ball Blvd.,Tigard,OR 97223 phi atc/8 . 3 Phone: 503.718.2439 Fax: 503.59E11* ;, t-.,',''�_--/ "g°:B" Date!$ ; Related Permit#: TIGARD hhspectl°nline: 503.639.4175 i Readyl)ate/By loris: see Pagan for Internet www.tigard-or.gov 4 Notified/Method: Supplemental-r.._%� "f --";`f s`" z,4 a -�.. .!:r-:f, ,<Com• ` t a 1�1�emenIaforma6oa -.., . . «. a1 a•.k"�.kn3c4x�-�`c�� 9"k'�.s= �y„�'�-'.? ,se-`. � - .a ^7�'�'�v c7�{.,- 'rr,_•- y�,a El New construction 0 Addition/alteration/replacetnent Please check all that apply(submits sets of plans w/items checked): ❑Service or Reeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other •- where the available fault current .. . --' a a c 0�, `13 In F'Id{O a "t - t.,� EI Marinas buanildings. K4 boatyards. --, 3_ exceeds 10,000 amps at 150 volts or Q Floating buildmgs. 4 1-and 2-family dwelling 0 CommerciallirichistrialComm 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Multi-family [(Master builder ❑Other for all other installations, - buildings.• ."'-e'''''=----';'":--1*sr,�a � 0 ,g�arttwy � j�Tsi Aot�`-rs��+y;- ['Fire pump. ❑Installation ofl50KVAor r - _ s 'z` ❑Emergency system, larger Separately derived Job#: Job site addteSS1[ ❑Addition of new motor toad of system. City/Stak/ZIP:Tigard,OR 97224 'il 01 ������5'" J ��� 0 100HP or more. Six or more residential nuns. occupancy.; ❑Health-care facilities. 0 Recreation[vehicle parks. Suite/bldg./apt,#: I Project name:g1+ur I., p oua trona, 0 Supply voltage Rx more Mau Cross street/directions to job site: ❑ �or Seeaer foo amps or mom. 600 volts nomioaL Description I Qty. I Each Total } • New residential single-or multi-family dwelling unit. Subdivision: It ,tit r T rra(A9- c* I lot#:/„Z Includes attached garage. Tax map/parceil`#`� L Ly' lY 1,000 sq.R or less ( 168.54 74 - 2i, :toff) F ,1,1:4444„,•-,, ,- - Limited lenetg;residential portionr 3392 1 S77,01-7-003,16 (with above sq.ft.) 75.00 Limited energy,multi-family residential(with above sq,ft) 75.00 2 z s< 0-,0141 `'edL Renewable En y 9, a���e�a l s XB3 ❑ SeePage2 ` 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 `lel amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:(602)6944031 I Fax:( ) Over 1,000 amps or volts 552.26 2 RhrAil: 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 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. ' 201 amps to 400 amps 125,08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 r + �;.`` - 'at'�' isF , r. i 't-",K-r~ �" �` �6,`,��ti,i, G •.1 d d,d , rs-i",. Branch circuits–new,alteration,or extension,per panel `r rig.`'" A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7.42 2 Contact name: N'c h o k,.�O y�p B.Fee for branch cin:ui'ts without Address: 03 13 1^ '�i,1• , �+� e y �+ 1, service or feeder fee,fast 56.18 2 �rO s 1 JlM'L, s MI branch circuit City/State/ZIP:Vancouver,WA 98660 4 Each add'I branch circuit 7.42 2 Phone.(360)695-7700 • I Fax::(360)693-4442 Miscellaneous(service or feeder not included) Each manufactured or modular Furcal,, t r L ►; �i ' ` -- dwelling,service and/or feeder 67 2 7...7- 7,..,_ .* `+-r-dyh: ,- ® . ,1$ ^--z ;- Reconnect only 67.84 2 1 x?- pump or iaigatioa circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Signal circui*)or Address:t Lip?D7 `�/1 �1 i \-.4e.„‘,,11.0, f' � , \fy „ panel,alteration,orlextension. ❑ See Page 2 2 City/StateJZIP1:' 1s� l Jf Each additional inspection over allowable in any of the above Phone:ate/Z1(253) 20-t57 C,tt f cLW r gen I Additional inspection(I hr min) 66.25/hr Fax:( ) Investigation(1 hr nun) 90.00/hr Email:bdaniels@gwensa.com Industrial plant(1 hr min) • 78.18/hr Inspections for which no fee is COB Lie.: C1158 I Electrical Lie.: 208174 I Suprv.Lic: 4496S •cifically listed(h hr min) 90.00/hr Suprv.Electrician signature,required: • :At A / ,l e,, - : "-"" "91 1 '' ,N ' Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): e.---- _____. State surcharge(12%of permit fee): Authorized signature: f - - TOTALPERMrT r'r.: - Print name: Bill Daniels Thispmt application expires if a permit is not obtained within x80 Date: 4126/20I6 days after It has been accepted as complete. ` .'I:1Euild * Number of inspections allowed per permit ...: inglPen°ite1Ef.0 Pe ELL ERE.doc Rev 06/17/2015 440"4615T(1105/COWV/8E , n Plumbing Permit Application BuildingFixtures { ;'i 2 ?ti ►o►t orrlcl: I sl: cn.►.N City of Tigard 1leeeived 13125 SW Hall Blvd Ti • Date,BY. Penult No.:�S ��C1Q IIIIII s Bard,OR 99223° PlaaReview J C1 Phone: 503.718.2439 Fax: 501008 i960 •Date/By: Other Permit No.: I I t;n x DInspection Line: 503.639.4175 "' Date Ready/By.. Judy. B See Page 2 for Internet www.tigard-or.gov Notified/Method: ti:a.;:�.�. . . .Supplemental Information - .. ..r••::"M''''T., ..::'.-...,.--...-,f.;,:•i• +Fr*•$�'$ 1j .' a^,i';es^�4cti.s3.v ig New construction •❑Demolition For special information use checklist Description - ❑Addition/alteration/replacement 0 Other: Qt& Ea. Total New 1-2-family dwellings(includes 100$,for each utility connection) •..t::•:: .;' •_ ••CATEGORY-OF CONSTRUCTION'• .. . . SFR(1)bath 312.70 ®I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 50092 ❑Master builderEach additional bath/kitchen 25.02 0 Other Fire sprinkler( sq.ft.) Page 2 .. ' **••,-,-:.• • ....•. 413B:SrrE INFORMATION`.i.ND•LOCATION Site utilities: Job site address: 'kl a 01 SV\I Leer yi CC\^, ' ,c .,^� Catch basin or area drain 18.76 City/State/ZIP:Tigard, IOR 97224+ 4s'`��1G`_' 'J4J i DrYKeil,leach line,or trench drain 18.76 Footing drain(no.linear ft.: Page 2 Suite/bldg./apt.no.: Project name: 12l ter TP rra L.-ET s.4- Manufactured home utilities _ 50.03 Cross street/directions to job site: Manholes 18.76 .Rain drain connector 18.76 Sanitary sewer(no.linear ft:_, Page 2 Storm sewer(no.linear ft: ) Page 2 Water service(no.linear R:_J Page 2 Subdivision: (1 ive Te t c� � c---- I Lot no.: L/1,- Fixture or item: Taxmap/parcell'no.: , ` Backflow preventer . 1 31.27 DESCRIPTION OF.WOR1G • Backwater valve [ 12.51 Clothes washer 25.02 Dishwasher 25.02 • Drinking fountain 25.02 Ejectors/sump 25.02 ®.PROPERTY OWNER • . ' J. 0 TEiYANT . . Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Address:7600E Doubletree Ranch Road Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 • •• :••®•.APPLICANT .• . .. ❑ CONTACT PERSON• Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Prim r S 12.51 name:10 eMtUI 011()C,, Roof drain(commercial) 12.51Address: 1 O' (jK a Si- w&((t S1 0 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan • 12.51 E-mail:,�f /�,,\0��''�^ e Ot OrneS-Qi 1 � 25.02 t" "►` 1�i` P Water closet 25.02 ' . CONTRACTOR , • Water heater 37.52 Business name:Malmedal Enterprises Inc. Wateri WV P P P� 56.29 Address:PO Box 207 Other 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 1 Fax (503-)324-0580 Minimum permit fee: $72.50 ' CCB Lie.:102535 Plumbing Lie.no.:34-276PB Plan review (25%of permit fee) - f+- State surcharge(12%of permit fee) C Authorized signature: ' TOTAL PERMIT FEE Print name:Carolina Malmedal Date 04/25/2016 This Permit application expires if a permit Is not obtained within 180 days after it has been accepted as complete *Fee methodology set by Tri-County Building Industry Service Board. L'1Buildmperinits\PL.MU•PermitApp.doe 10/01/09 440.4616T(10/O2ICOM/WEB) ' City of Tigard � COMMUNITY DEVELOPMENT DEPARTMENT III TiGARD' Building Permit Review — Residential Building Permit #: S-7-X0 _ 3 Site Address: /(fq(,), ' Project Name: eiv-6. - .`.�-�r,7C-e t�aS'71 - Lot #: (e..lyR (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A} j /fierify site address/suite#exists and active in permit stem. 0 River Terrace Neighborhood: 0 No NJ Yes,See River Terrace Review Addendum Attached Sit,Plan Elements: ree(3)copies of site plan ‘lJ a 'sting structures on site site plan must be on 8-1/2"x 11"or 11 x 17"paper lJ ootprint of new structure(includin s with finished rawn to scale(standard architect or engineer scale) I or elevations g deck) PriC °rth arrow Z .tility locations&easements(required for new and additions) e address,project or subdivision name and lot number 11 Sidewalk/driveway approach1,4p plicant information(name and phone number) &cation of wells/septic systems Lot dimensions and building setback dimensions *sting trees to be retained with drip line,and tree ‘rluare footage of buildings to be demolished rotection measures Lot area,building coverage area,percentage of coverage and reet 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? Zes ❑� 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes [ '4o lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): pi' 3i.Pr, iu/ ' LCg t3/1equired: ❑ Yes,applicant was notified No Received: CI Yes ❑ No Public Faciliti Improvement(PFI) Permit: p F 2GMe-,0.606 Required: Yes,applicant was notified notified ❑ No Applied For: [ Yes 0 No,stop intake and Use Case#: 22'2)/2•2_o/ 7 505(Y/ -'l1,6s e,)/(J_- 16bP0.C�' — f---7 /i 1 ���a/Zoning:equired Setbacks: Front 0 Rear Ai?/ Side Street Side Garage 7 andscape Requirement: '',.20 % / � � g � /ot Coverage Maximum: () �!J BuildingHeight: `` / %i Maximum Height ,--\ii, Actual Height �Le (e wir Pisual Clearance kr ensitive Lands: 0 Yes No Type FA Urban Forestry Plan ❑ Conditions "Met"prior to issua cepf b ding permit/i Notes: ickvil y � // 4,oil- ft7Y- 71l A-cci4,/, ' Approved By Planning: .„===. --,-_..,,________ .27,4? Date: iff/j Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: ❑ Approved 0 Not Approved I:\BuildineForms\BldgPemutRvw RES 061417.docx Building Permit Submittal F Original Submittal Date: ('6-2-- /17 Site Plans: # Building Plans: # Building Permit#: Pi "'nter building permit#above. Workflow Routing: VA Planning f ngineeringrmit Coordinator Building Workflow Sign-off: i Sign-off for PCanning(include notes from planning review) Route Application Documents: le Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. wilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: ;;���� By Permit Technician: / /�� ``,e'e Date: l0/47/7 �En 'neering Review o Slope at building pad: it r�0 0 Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat /6 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ,e.No Assess Water Quantity Fee in-lieu: ❑ Yes 4 No LIDA Facility on lot: ❑ Yes ,2/No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: h 1,0 c Date: / D J 17 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit PProved,NOT Released: ` /Date: /96 / /9'" 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: DC Fees Entered: Wash Co Trans Dev Tax: p4es ❑ N/A Tigard Trans SDC: ir. es ❑ N/A Parks SDC: Pa Yes ❑ N/A LIDA ❑ Yes /A OK to Issue Permit Approved by Permit Coordinator: ��f1/Z PP Date: t(((14(n I:\Building\Forms\BldgPennitRvw_RES_061417.docx 1111 City of Tigard ■ " COMMUNITY DEVELOPMENT DEPARTMENT T A R o River Terrace Building Permit Review Addendum Building Permit #: Site Address: Ib if ' - _c)k) _ - 's&i _ , Project Name: ✓-Q/' oc i-s1.- Lot #: (e,Q (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? 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. 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., 6ft.wide Gabled dormer El ID El Gabled 2. Eyes on the street: a minimum of 12%o�each street facing facade must include windows or entrance doors. Percentage Shown: �0 3. trances:At least one entrance must meet both of the folio 'ng standards: MiI ax. 8 ft. setback from long t street- facing wall Parallel to street,angle no more than 45° from street, or o n onto porch En ance opens to a porch: Yes 111No If es,all the following apply: 5 in sq.ft.m .or porch street facing entry 2 ft.max.roof above floor of 5 ft. depth min. 30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep V all offset min. 16 inches ❑ P ormer min. 4 ft.wide I/ Roof eave min. 12 inch projection 'E oof offset min. of 2 ft. El Roof shingles either tile or wood Gable,hip or gambrel roof design 0tzoof pitch oriented south min. 500 sq. ft. El .orizontal lap siding min. 3-7 inches wide Accent siding min. 40% of street facade rill Window trim min. 2 1/2°wide by 5/8" deep El 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 ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: 7 N closer to front or side lot line,than longest street-facing wall. ❑ Yes L14 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) CI (foot-wide garage door CI 40%max. of street facade lt 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ,, Date: D // I:\Building\Forms\BldgPermitRvw RES RT°62216.docx r City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 1111 ■ T1cARD Building Permit Review -- Residential v.t.'.:+ Building Permit #: cam- 7, � —()`T y Site Address: / q() . ',Q kcaek,qpN _ Project Name: � V-C/- ---1-7—e,0-.2 et t�,�,c-/--- Lot #: �,,,,;2 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /-91.v ` o?2&�I -L /477' (c'7j V u "erify site address/suite# exists and active in permit stem. r4 River Terrace Neighborhood: ❑ No NJ Yes,See River Terrace Review Addendum Attached 1Sit• Plan Elements: / ri ee(3)copies of site plan pik1 t. 'sting structures on site AV G ite plan must bs on 8-1/2"x 11"or 11 x 17"paper , ►t ootprint of new structure(including decks)with finished I/: brawn to scale(standard architect or engineer scale) a,or elevations Ii orth arrow Y. , 'ty locations&easements(required for new and additions) ►il • e address,project or subdivision name and lot number I/Sidewalk/driveway approach IIA •plicant information(name and phone number) `vill.116cation of wells/septic systems v. of dimensions and building setback dimensions i ':l Fisting trees to be retained with drip line,and tree pts e,uare footage of buildings to be demolished 'rotection measures , I.Lot area,building coverage area,percentage of coverage and .04. eet tree size,type and location •. pervious area(applicable if R-7,R-12,R-25&R-40) ':I.Street names 1/' 'roperty corner elevations(2 foot contour lines if more than ,J1 000 sf of impervious area created or replaced? NJ Yes ❑ �' }44ffoot differential) �es,is a storm water quality facility shown? �J ❑Yes 112 oo /I�`y f' r'lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): 7 c pi' `t�OL 1u/,1Q ' tee-e. equired: ❑ Yes,applicant was notified Lett/ Received: ❑ Yes ❑ No Public Faciliti Improvement(PFI) Permit: P ,,.�� PF/20/Ge- 6 ltd Required: Yes,applicant was notified ❑ No Applied For: ' Yes ❑ No,stop intake , __,�a"nd Use Case#: Pb/2Q©/ / �� 4r'7, '' T,, , J� orung: ; �I��'2r?IC=1r4 v/Itequired Setbacks: Front 0 Rear Side Street Side 1 Garage ,..,?(„7,..,?(„7?/�andscape Requirement: o,20 () q/Eoff Coverage Maximum: p30 IIBuil $Height: Maximum Height PIP" Actual Height � E �Q ,,%I "' isual Clearance '1.'64° ensitive Lands: ❑ Yes No Type v Urban Forestry Plan 0 Conditions "Met"prior to iss�ua cepf b ding permit/A Notes: � r31nis � 2 /l , Al PT pa'7i)Y �I pP-/7??/72- ),• S' s'Z'A2- e_ Approved By Planning: ''J - is 4 Date: 0 iif Revisions(after Building Submittal only) ev/iewe Date Revision 1: ,-C Approved CI Not Approved r .4 Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved i Building Permit Submittal I, Original Submittal Date: (fL /17 Site Plans: # Building Plans: # Building Permit#: ►' "'nter building permit#above. Workflow Routing: Fa Planning engineering f"Permit Coordinator Building Workflow Sign-off: ra Sign-off for Ptanning(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. 9uilding. original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: / / • / , , z By Permit Technician: ,e( I ,x Date: /0/47/2 /✓ E nReview o Sloveeripe at builgding pad: f /d O Conditions "Met"prior to issuance of building permit O Easements (encroachments)per engineering conditions of approval and plat /1 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes ,rNo Assess Water Quantity Fee in-lieu: 0 Yes te No LIDA Facility on lot: 0 Yes 12'No O NOT Approved by Engineering: Date: Notes: Approved by Engineering: k c Date: / D /ZS— 17 Revisions (after Building Submittal only) Reviewer ate 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 pproved,NOT Released: ..4/ 11/' ate: >4 i 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: DC Fees Entered: Wash Co Trans Dev Taxes 0 N/A Tigard Trans SDC: i.' es 0 N/A Parks SDC: Pa Yes 0 N/A LIDA 0 Yes N/A OK to Issue Permit ' Approved by Permit Coordinator: Z J A,16 06,44._ Date: 1(1 t4((i 1:\Building\Forms\BldgPermitRvw RES_061417.docx 3 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 • 14 m Transmittal Letter T r c it R n 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 PLANNING/ENGINEERING j/ PHONE: 503-577-4160 `�� 3' RE: 16909 SW Larkspring Ln. MST2017-00398 (Site Address) (Permit Number) East River Terrace Lot 62 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: ies: I eci lti4n* x opies: Description: 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. Pl - s ay fees owed with Trust Account. �4'( 4 u FO1 O FFIE lAt ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes 111 ,1\,1° Fee Description: Amount Due: Aid /'(97,! /x&71•'-ez-c) ,s f� 7245-6-L $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes No [' Done Applicant Notified: 7-e/`7 Date: / �/� Initials ire--- 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 i. k 44', i'llIttl.1)irie Pe-niiit Alti)licatt •:•4-''..4:,', '•, .1',. ..:! ;-' • . . • • . •: : . 13uilding. FiNturcs . .. -.- l'f/R OITR'L l'NE ()NO' ,ih;fr.=1,-. -•:-.3 //e :-.14(7.7.--P'''''"''i'('77_3-/7020/7•-,e,0 , 114 , t* 131!t3 NlA'Hall DI%il.1 Iva,.1.Olt 47:121 . 1 11 Pliiiiir 50.1 7 li 4.g PP l'itN- $A11-$41(10417-:., .' :.. .,.. -...., 11"1'.h" ,itt,,i Ptivo in5hioulti I int. 301 ii.w.,1175'----1' "' ''- ''', 'Li";',.,.'1t..r...., -5..Littl.--__-__-:__. -..t...' .. _ _ _ _ r.rr 2(0/ 1 11111110-1_).0t111't frattl.i”40..•-3'i tl-ff. y-,,ii- -, , ,.., ;-. 1,...,, - ',.1',; ,„; T,,,,,, " -•• N1.1,110..1.'0 10,,,m•th.0 • .,-._.:', -;:-..;::;2:.,,,::::: ..•...::::'.-... ..-:.l'h:rf.'01 -w-cjiti,--:`,7-,':--:::.. .- ':,:--.--:‘• :.I-- ';. -' :-.::::::: :-•• ':--.:•!... ifiiii a•- ...'•,•---',-:--,-,:.-.,--• •,-.,- . N No%con,..1 rin.1 ion- , 0 oopoitiiun . ... . nimrchoiniinmildn; e 0 A Alit isi nitlIcral ootvicilltwonelit 0 Of het. - ' 1 Mwf ipti,n • • -Tit•r, , Ft/ • - Nt%.I.2.farn113 1111 r III oug!v(tool100 I 1.florae:1i WildIt 0:11140.1111r11 :iPAM;04Y.0F.:CONFISitliON...' !::: .-'.'-.H: '-:,: :'''..:-H. SIR{I 1 Ik1111 .EY .12-flutt!ly ilodltig'. 0 Acrestiory building 0 NinSfer builikr 0 Coniniervialliiiii01 i MI Slir(2)10110 CI Mull i.family 0 01 her - 541((3 flqt li 1 --- 11,udi additional baMaiirdien Elie sprinkler f i.i4.li i I .1;11 i.0n 50.27;773 2: 2.5_02 Page 2 - ,-.-.•.,'....,"::- -::..-... ;-:. JOB'I IN1A)ItAleyRON ANli14.t.16,11.(/N':,-...7' --' -.- - ' Site II Illitim: 401,SitV iics-3: 1, .1lciL6s91.1.N, I_filne.., col oll basin itt uteri drain I%7 Dri WO.ka01141C ill 110101 drain IR 7fi Cit%114'del:IP:11ga rtl,0 ll 97224 . - • ---- Dually:drain(110 II/it:11f t. i Parr .2 ' -44-1fittitlditAlP1 00: I 110-ijec)mime leiter Terrace F.111 6 I au i dial reed h kiine la illiiri, 50 01 .,__ Cross street/dire:lions tu jo ti sit e!. 61'1,610.1er 18 76 ---- --- -- - Rail.di nib VOnneChA la 70 . -- ..._... sanii my!.C10111/11.IinCal it: I Nue 2 •i •4. (W,.finnill(I I Plirt.,2 ... . ,...et t&A.(;ii t loncwft 1 Pio:2 , Subdivision: Ill ve rTe rem re Fruit 1-1-,71:no(42.... lir 1 u re r$r iirtit: t i _ Tits!ovn:tied no• Iitif,t3,Iloo.pieveiller ___--.. I 31.27 - , -. .- t-- - _ . • ... . , Ilichvater vtilve 12 51 ' -.'1/1• CillriloN or %nOilli':-. . - - - C0h.5u1,h„e 25 020 .111111 t 25 02 -- i 10 to k air tiousitan 25 OZ t ..... t s('2. ; ;. •,"*.--_::.:1,0,'i.124.14.E1V0 NVN km. 0 11f3VA NI , It l'iniitioili itch "5I 11.11.1 f' U ivirae.seit.r.r c;T. 5:02- Name:AVVL Lund Holdings,13.0 Elotd drain-11..,4-,411..led: I_ 25 02 1 Adch-ess. 761p E Double Ire('Ranch!load f tat hatc ditr....el 23 Crit)rSinctZIP.Scotts&It.A:013238 I lose lab 23 02 .P hone'(602)694-4031 1.ai; ( i ,,,, 1,A-trial:tit L 12.31 ....._ AP. .PLI(.7 .-NT :: 0 CaN1Il.T P13LS-ON 1'0 vl"14(4 igrelk i 7,ir? 1 251)2 tiledieul pas s.i aloe 4 t I Dirtiness name:William 1,33)0!Ionics.Inc Page 2 Narita 1 12_51 Contad name:Angela 0 ra jewsk i Roof dram itAini mental i 1 12.51 Address: 109 Om 13th Strict inln I 9. kluotittnosy 25 02 City,SialetZlP:Vancouver,WA 9%000 :Snlar uniistptit able it.ai a I 02..34 Phone:(360)095.7700 I fax .300)693-4442 '1'ithtslioutiridi ova pan 12 31 .. E-mail A ngela.Grajrwskid-rpolygiindonte E.Cont Itrizi al 25.02 • W:11 ia vloszi 25.02 7....;',,:t.t.•:,,; '":'-.- .'' CO Nliit'i CIO II • t et hertz- 37,52 Elusincss name: .6 6 ph,.„„4 1,,if,_._, c, 1/,,- -/..,k_s i 'A'a 1 t; . Wm,Iltiritlittl)w‘' Adchen: I G Li j. iv i-,'i tt ,'<, p..,.,,. il.1 Oi her 25021 Cityl&ateiZIPt .S ;)--4>, /.., c,,,,:; ii 7 3 s 3 Suhunal - Phone.(57://ii,":t - $(.--7 c•Z r..t-‘:I ; Minimum permit fee:.5.72.50 , • . Plan review t 2.311.l.o 1 parnit feel r CCII 1.3e.: ,,I 73 5-ev Plumbing I ic.no.i'7ji!C %etc sarchartaz i 12-`1'o(if pcnnil fee) . ' Authorized signat ute- -----%1/4„, TOTAL.PERMIT FEE lid,rrriotiamatraiiot.ivires.it a perm il i!1101 01i1sined 0411010-180dayt I Print name' .6.7.(1.-- .1'trc-I-v--,x,"cilo Dai e. 2; .i.)8:-/5' a flOr ii Inn been Benno.'as complete. .f.tenulinnInIno,ri by IiI-C.7.1sny Building Indunry Service Board 1- I lldingliet.tunsT.LHU,PaninAnnbx 10,009 444.4ninl(innZianditlini •' - . . , ,- ,. ,, . ,.• Scanned by CarnScanner City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16909 SW LARKSPRING LN, BEAVERTON, May 21 , 2018 at 11 :52:32 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00398 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: 16909 SW LARKSPRING LN, BEAVERTON, May 23, 2018 at 9:26:43 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00398 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Corrections completed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16909 SW LARKSPRING LN, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00398 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Corrections completed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16909 SW LARKSPRING LN, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00398 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 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16909 SW LARKSPRING LN, BEAVERTON, May 24, 2018 at 11 :52:08 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00398 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 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16909 SW LARKSPRING LN, BEAVERTON, May 24, 2018 at 11 :49:51 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00398 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Violation Summary: Inspector Contractor