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Permit (50) CITY OF TIGARD MASTER PERMIT Ai 2. COMMUNITY DEVELOPMENT Permit#: MST2017-00316 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017 t CAS Parcel: 2S106AD08400 Jurisdiction: Tigard Site address: 16957 SW FRIENDLY LN Subdivision: RIVER TERRACE EAST Lot: 191 Project: River Terrace East, Lot 191 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: 30 Bathrooms: 3 Second: 555 sf Garage: 437 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1869 sf Value: $231,184.48 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 Drains. 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 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'I 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 Geotechnical Inspection STE 1 Required before foundation SCOTTSDALE,AZ 85258 PHONE: 602-494-4031 PHONE: 360-695-7700 FAX: Total Fees: $31,340.60 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. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.�G '� SYS _ Issued By: i: iG Permittee Signature: �`!�� G! �J Call 503.639.4175 by 7:00 a.m.for the next available inspection date. AThis 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. ` Builaing Permit Application 1--- n'gi-ill'ALI '-, RECEIVE® Received FOR DEFILE I SE ON1_1 City of Tigard R ateit 771'I/12 i Permit No.:AA`� r7--r 3/G II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ,�'L 7 /``� JUN 1 g • j .). d 7 li Other Permit:,st.G�G�,)—(X.)•Z Phone: 503.718.2439 Fax 503.598.1960 v1r Date/By: t ,, , RI) Inspection Line: 503.639.175 Date ReadyBy. H See Page 2 for Internet www.tigard-or.gov CITY RD NotiSed/Method: /":/7/0 Supplemental Information BUILDING DIVISION 1TG- ,di i3 , i,. { +�.k ; f.'r�y��. . 'P"Y...". `Ep••�fJ'ya ''• "'-' ,f i) ,t,''-!'- ? - ' Ef " r-,ar-.3` :t ,w .,2:4 ,.u.ws,... �-F s � he ! y. I t i.n�Y i1, 5-- -:.. .,.- u.,..a.»a�w..:.a.""u..ca;a� - L �:"...s.....,._'..»'i,,�."£a�rs.-.e"3w�';»"swn e� --- ^t):..-"�M1....z ^."�.`.�. 3.. -" ....x.F m .�'^�,..�_.o-�a:,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 the profit for the r FY" € wr xs ,t -. i::-.7 c ,:,:3: :!.. ' work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuatio>i f - '1 '�iJ J 24- ❑Accessory building 0 Multi-family Number of edrooms: �r.� 0 Master builder 0 Other: Number of bathrooms: 3 i ,r ' ,„ € t � ,,bresia t, vie rt t Total number of floors L < 30b Job site address: t ID i SW e frit nd,'uLOA,� New dwelling area: /8 o I square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: �3-- square feet Suite/bldgJapt no.: Project name: r i VGr 7 r� fast Covered porch area: 5 , square feet S•S'� Cross street/directions to job site: r Deck area: square feet I 1 7 L+. Other structure area: square feet/14 a ('}� x:, �e,:q f'.'r ' LPE ,,;:Sr-?: C'€Y 1� 'ice Subdivision 1 J,r Terrace, (-- Lot no.:tCI 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 - ",, g�r j 0 t`T rF € ' +"x` -,12..:1.11:-1,-,:31::: work indicated on this application_ �t � w � � �.�'z„,�.F..�,-� .�x�.; Valuation $ Existing building area: square feet New building area: square feet a " -- - i L : € r „� ,� � 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 „" f, "" �� `„ `" '" tea ' ' O Structural plan review fee(or deposit): Contact name:/- FLS plan review fee(if applicable): Address:109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received E-mail Ni i 0 s I 1 I P )0 , ► I . �� �r:» 7'11`,S,.1:::` �.. '-€'I....j',.72-1. ''', .11.: � A yh.f Commercial and residential prescriptive installation of rx »..... —4,-'2.-,-..-,e €,.•<..r €,, ,- � :.-,.-?t.--,1 - 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 lic.:207247 Total fee due upon application: $201.60 Authorized signature: ' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ''`` Date: *Fee methodology set by Tri-County Building Industry pi ch Uk../ topin Service Board I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , Mechanical.Penni .A.ppfleation ION.(ll l i('E I SE O\L1 City.btligardt 1 i; Rat ` at rezmit w0/7,f7;20. IN ■ 13i25SW#tact[3lvd„T► QR9 7-10:3/4, card; . rias Review ii •Phone:•303.118.2439 (T 503Sflf8 't0. - Datetlxy tlihcxPe atii> 1 i c„\t:D •!nspzeilbn Line: 303,639,4 4'75 ., t?atd Ready'>3y: - tris: I la See Page 2 ret Internet: wwcrtigard-orgoi, `', ,.. . _ , Notiriame od: sePolementai Information tr w ..000 .It r7 P.i..:S[.:#IEDt1 .1SFe:C'IIi«C'.h'1. •.:-• ''' ''*: :i(... ..1711.7..54'f'''''''''1' .- :: . n:;is ..-,:`- '-a_v Mechanical permit ices•are based on the Value of the wori New construction 0 Addittonfal erationtr placement - performed.Indicate the value(founded to the nearest dollar►of all ©Deato1ition 0 Other: hiedlallical materials,lexulOnnent,labor.ot'erheead.and profit. Value S ,, �._CA rE(ORY of c[)1� ,-1 '1 �' 2_ :,,,g,,:::-.",,;::-.,,,,-.1;-1,;,,,, '_ '' . 1 c r 14'SIDE,Iii 1.4 -NTI-it? l'1`i*'!'S7-'N51rE ”; . M. I-and 2-family dwelling 0 Cdtitmercialiindustrial 0 Accessory building For special P,rf n,mation asecher.Al& vltiltl-family. 0 Master builder 0 Other: Description Qty. I Ea. Total. - a JOI$;i,`1 ; 5)Ith,;,mbtt*A .!PrA.a 9P,4 Ilratin feeoIIfV Au conditioning 46.75 Jt site Idr ss �"1S1 SVS FYl�r1CI t LtA,(\ : . Furnace:lt i.btl0BTU(ductal-mans) l 46:73 City/Mate/4F:Tiglarilt DR 97224. Furnace-100 000+BTU(docs mfs) 54.91. item pump61.06 Suiteibldg.-apt no. Project name:Poet-Te n rr _F_04+ Dud work • _ . . 23.32 Cross sireet/directions to job site: Rydrunier hot water system. . 23.32 , Residential honer(radiator or . hydronie) 23.32 Unit heaters(fuel-type,not edectriel, .. ...._.. in-wall,in-duct,suspended.eit:: 46.75 Rue/vent for any of above I 23.32 Suluiivisiitn.f i Vr v e,nlTl ^S-� f"..... ... .. Loi na'` ' Other Other liri appianeex: 2732 J Tax mop/parcel no.: Water heater 2332 ur ? �' e, D tON;4lF, -i)Stk C Ir 1 33.39 ,-_ - Fee> for heater MSe.Qrl '0u31Lo fireplace 23-32 Lek tighter(gas) 2332 1 Woad/Pefet stow 33-39 , . Wood firerrhumfinsert 2332 • Chirmie5A ifhrelmsto 2332 23,32 . PRO$EBTk lViNtl } F ❑;3!Nkt- . .-- all"' EaxironmtuGtt ezhaa Sad vtmtilafitrtl: Name:'P.D V f . -601tJ-OD)0I l ng S ,Ur—, Reap hoodfesthcr khohen ' 3339 6 ++ � r / r tc tit Addttss:. Th p D. 10 t'�l,t,hkQ f2 i-►C Vf I�o c- . _, .. . Clothes dryer exhaust 1 33.39 Cit /St IP l— Sills-104W exhattsi(bafhtaamS, Lk C t71 ,(. I 2, 2 — toilet compartments,utility roams) 2332 _ Ph6M' [101— (P9 6OitP°! 4b3b3 I F.,::( ) Atticicrawlspace fans 23.32 ' Other: 2332. ..; �I-APPLI�:AtyT. ,_.. ,, ,< •C� tQ0TA�3'_P__11t5t�lY... _ `. Buses!Halite r - Fuel plititig,. . tl ti/}!1{.am �U��� �1�5 i Le c 514 .15 for first four.^S4.03 far each additional Contact'name: N\ir`.l( ove;Tv\og,c, ,unlace.eve•. I , •Address: t Gas heat pump . 1 - [ Wall/sti.+ended%unit healer City/State/ZAP:Vancouver,WA 98660 Water heater - Phone:(360)09S-7700 Fax Fax::(360)693-4442 Fireplace , E-lnaii'kiteilu1G. t I C brP �t ( 1a'1�ta30 S 1 Range g (gal Business name.Apex Air LLC Other . J11 5xt.41cAL PFRA312')LES'r-_ . - Address:18004 NE 72x4 Ave _ Subtotal City;/State/ZIP:Vancouver,WA 98686 _ Minimum permit fee(390.00) Plan rceiew 425%of permit feel Phone:— 3M))342-8104 Fax:(360)326-1769 State surcharge 112%of permit fee) -, CCB lie,:203034 . TOTAL PERMIT FEE . 'ibis permit application expires Ira permit is ant obtained within 180 days atter it bat been accepted as complete. Authorized signatur-"_- :° R Fee methodology se by Tri ty Badding Induiery Service Beard Print name: ida-k. of Date: 4.ii.Jt- t.Uieitthag.,..4.'At[t'_reaentApp NO113.dm: 441-4'I Tiiife2=COmANT.nr Electrical Permit Application" FOR OFFICEUSE ONLY City of Tigaralt.� ?(11,i Received Dat Permit# '--/7'OO 3/6. ' 13125 SW Hall Blvd.,Tigard,OR 97223 Pisa Review Phone: 503.7182439 Fax: 503.5981960. + Date/S. Meted Permit if: Inspection Line: 503.639.4175 .. ,, ; ReadyDate/By: : 0 See Page 2for TIGARD Internet www.tigard-or.gov Notised/Method: Supplemental Information u'm -, z- .-2-fig. r"� .7iWe1 ��i'--21a4 ,i.f'-*S- -sY' `- rX .5 - 1 `� ^ ;,1 S-ii Q g c".?„ ,«v'''- .,e ,.-.... .;�--�-� ... �.,�_c� � ..-r-, -T r'rs �. x�4; "a S �.. �'Q�.f"��:-,.�d�"iF'�'V' .�-. ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/Itoms checked): 0 Service or feeder 400 amps or more 0 Building over three stories ❑Demolition 0 Other: where the available fault current ❑Marinas and boatyards. !-; '` v.s hs C'' .ik e���"?9,, „( giij-il C—ititA - ; -5 ; y exceeds 10,000 amps at 150 volts or [i Floating buildings. ►�4 1-and 2-family dwelling 0 Commercial/indtistrial 0 Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural amps for all other installations, buildings.• ❑Multi-family - 0 Master builder 0 Other: ❑Fin pump. ❑Installation of ISO KVA or ?"_ 5- ,a,;;° 'i;x a+` ci :a`= 't •o , ° r;$ .. r=4I,Fra. 0 Emergency system. larger separately derived Job#: 1 Job site address:!Iv 'ci so firs ff4 tJ ,� ❑Addition of new motor load of system. 10011P or more. ❑"A",E"."I-2","1-3", City/State/71P:'Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Heaithware facilities. 0 Reoreational vehicle parks. Hazardous locations. 0 Supply voltage for more than Suite/bldg./apt.#: f Project name: iueh' T -e 600 volts nominal- Cross 1 ❑Service or feeder 600 amps or more. Cross street/directions to job site: 3 - r ._ � �- ?carr' #`i�daa,�c�.���1r., 5•E�1,��1 ���=''�`� a �����-'-. Description i Qtr. I Each T Total New residential single-or multi-family dwelling unit Subdivision: h I`J.er T . a(1'. „ S. ' l Lot#: I d+ / Includes attached garage. Tax map/parcel#: W 1,000 sq.R or less I 168.54 4 Ea.add'l 500 sq.ft.or portion L 33.92 1 ,af; s �... 4?-11-,TIl-�-..g :aW •�,dYka�.'� ��,-�* �^: 74.0 Limited energy,residential ^) j� ^� /�[�'] (with above sq.ft.) 75.00 2 �i t/tJ l U ljJV W Limited energy,multi-family residential(with above sq.ft.) 75.00 2 ti _ Renewable Energy 0 See Page 2 . °-- s.' ` _ c_ °� Ri krY w � �ta sr� = - Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 20034 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 f Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders Installation,alteration,and/or Email: . 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 u; \I-41f(�'''i r_-, n E ff?tq,6 e tit+'' f r 1 d. ,”- ,,; Branch circuits-new,alteration,or extension,per panel - `�- ''?:r,-'` : A.Fee for breach circuits rvtth Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 branch name: NCh 0 If+ f)f .e_ B.Fee circuits without cirfeeder f Adress: 1 03 IUr \ St SU/ CL-, S lj) service circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'/branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • • ' Fax::(360)693-4442 Each manufactured or modular 67.84 2 Entad dwelling,service and/or feeder , ',v 1 tax p 0 r me a _ Reconnect only 67.84 2 'x'1-S- r ? _ , H-t.+�"?0.��k.�,k, - -' 14 �S ;"I7.11.4---.1 Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 d...• Signal circuit(s)or limited-energy Page Address:,t4 DZ v a`k ca�.t �5,� S1„p� \D n panel,alteration,or extension. ❑ See P e 2 2 City/State/ZIP::• Q �� �a`"' (� 11�� �N Each additional Inspection over allowable in any of the above au u cat 14 1 r W —i es I Additional inspection(I hr min) 6625/hr Phone:(253)320-1651 I Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels@gwensa.com Industrial plant(1 hr lam) • 78.I8/hr Inspections for which no fee is 90.00/hr CCB Lie.: C1158 Electrical Lie.: 208174 Suprv.Lin: 4496S specifimtty listed(if hrmin) Suprv.Electrician signature,required: ••-• . Subtotal: 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: - — This permit application expires if a petmitis not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. ::tit - s Number of inspections allowed per permit :',1-:.1.I:Haar ingtPumfriELC PmmitApp EU MEd=Rev 06/17/2015 445.4615701/O5/COM/WE0 Y Plumbing Permit Application Y_ Building Fxgtures 1- i l C1ty of Tigard .Dacrned Penmt Nc .=$ 241/7 3/Gy u 13125 SW Haft Blvd:,Tigard,QR“97243 •`" ,,. i Review Ill Phone: 503.718.2434 Fax 503:5941960.. Date/BY: OtherPern itNo.: Inspection Line 503.639.4175 ; , - . 12J See P 2 for , T I C A R D Internet: �vwly ti 0. Date Resdy/Bo: lids age $mid Notified/Method: Suppleracntai Information :: ii.,: xd' ,. ^ q n.Qif � ^A ex ..,. x +try i ;. vi' N nyeF =r" 'A .z « .. aixr.411,. ., , .; k_ kL.-. .�_r .- >,,.:.. s _ �? . <, ui3rlA•��._. ,F.• C�" 1M_,•a .�. , .. - • + ,? .., a, ,::t -,,j,,,..5-.I.: For special information use checklist Dt)Vew canstrictio : 0 Demolition Description .1 Qty. I Es. { Total 0,A.ddifion/alteration/replacement. ❑Other New 1-2-fondly dwellings(includes 100 ft.for each utility connection) titI a75^ g;�}, ri�, r i,-r ub.d i -a.s t1 sa++a rCBII Old �11lSTR# Q x.: 3 xti SFR(1)bath 312.76 SFR(2)bath 437,78 ®1-and 2-family dwelling ❑Commerciallindustria( SFR(3)bath 1 500.32 ❑Accessory building E3 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other. Fire sprinkler( sq.ft.) Page 2 x.rr c .! JB 7E 61E<I S,TiorgTOr t M3 Site utilities Catch basin o r Mea dude 18.76Job site address: 'kpei S1 5,0 kFri ti c1l 1.-0^1. Drywall,leach line,or trench drain 18.76 City/State/ZIP;Tigard,0897224 Footing drain Om.linear&:_} Page 2 Suite/bldg./apt.no.: _Projectnanie; RiVer-( ,rrace.Ea.SA 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 ft.;_-._) Page 2 Water service(no.linear ft.• ) Page 2 Subdivision: IZ-JeN `fes N o e."Eas.4- I Lot no.: t q/ FYxture or item: Tax map/parcel no: Backflow preventer -131.27• Batkwttter�ralve ‘ 12:52 ._:..3}c s4if4. ' 'f�JQi 0 � :P--,A.,: T'i ,.... `' ta1QthCs washer 25.02 I Y L��fl y 6(MI, Dishwasher 25.02 Drinldng fountain 25.02 Ejectors/sump 25.02 is i 4 ? ; a t ; 4.' Expansion tank 12.51 Name:ADVL Land Holdings,I,IAC: Fixnrra/sevver top 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Denbletree Rauch Road Garbage disposal. 25.02 City/State/UP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694.4031Fax:( ) Ice maker 12.51 - ,<} .� E. t ,; lu k : IntercePt°rIgrease ep 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: N 1 fh i)Iii I� i tRoof drain(commercial) 12.51 Address:"103 . grvolcUw( St Ski:ic -SLD Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fate:(360)693-4442 Tub/shower/shower pan 12.51 marl ^t� Urinal 25.02 1 U id MJ�' Q}� 1P�•�,(xY1� Water closet 25.02 t �, , . Pis �.. CO ` t� Water heater 37.52 Business name: JWU)1'411,. -r ' ,, r.w Waterpiping/DWV 56.29 . , Address: p.i.* 6.• cti Other: 25-02 CiriylState/ZIP: S-r, P % om, ' 1t31 ^. Subtotal fps Minimum permit the: $72.50 Phone:(arta'$4S- 1411 Fax:(11 t..141.4` r" Plan review(25%of permit ) CCB Lic.: 1813-0._ Plumbing Lic.no.:b (at! State surcharge(12%of permit fee) Authorized signature: �`"`--,..,, TOTAL PERMIT FEE Print name: Date:Q....31)_11,, Tis permit application expires if a permit b not ab*alnad within IBB;days �' �.�v (� after it bus been accepter es complete. "Fre methodology set by Tri-County Building Industry Service Board. l nundieg\Pe itt\PiddtlreddtApp.doe 10/01A0 44O46162(10UO2/CaWWEn) . City of Tiga s v COMMUNITY DEVELOPMENT DEPARTMENT C TIGARD Building Permit Review — Residential 6b :i ggsi44., ri-Ri itk # n ' — •xr- aa ;,a+t ..a.s:^:c ' aail Building Permit #: /II5?of7— 003(Cl Site Address: /( ?c7 ak) j /! 1 c Project Name: f ,i '— o < _ _ Lot #: /T (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: ✓V..e'l'l) `� Verify site address/suite#exists and active in permit sytem. Ig River Terrace Neighborhood: CI No [ Yes,See River Terrace Review Addendum Attached Sine Plan Elements: giAiyhree(3)copies of site plan 0:°:sting structures on site Ell e plan must be on 8-1/2"x 11"or 11 x 17"paper II Footprint of new structure(including decks)with finished krawn to scale(standard architect or engineer scale) poor elevations rth arrow 1LI ty locations&easements(required for new and additions) Ce address,project or subdivision name and lot number OdSidewalk/driveway approach c7t pplicant information(name and phone number) VI Les cation of wells/ septic systems rA Lot dimensions and building setback dimensions g;0 sting trees to be retained with drip line,and tree 111 4 l uare footage of buildings to be demolished (protection measures TA Lot area,building coverage area,percentage of coverage and 'NJ eet tree size,type and location /impervious area(applicable if R-7,R-12,R-25&R-40) Street names lProperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? [ Yes ❑ 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes VNo Clean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): L--) p- L Il7Lk iLlfiaL �/'Required: 121 Yes,applicant was notified 4u No Received: ❑ Yes ❑ No u Ti Public Faciliti s Improvement(PFI) Permit: ,j')<2®) g9 /Required: V Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake / and Use Case#: P�P'Q®/Cv` , 1 ) -/Ox) 0O - O� f, C? Q �, � � 1S' OC�Ie /ogig P—,2�— J equired Setbacks: Front 2 Rear 0 Side 3 Street Side (1\1Garage andscape Requirement: .70 of Coverage Maximum: TJ() % Building Height: Maximum Height Oh- Actual Height tsual Clearance ensitive Lands: LJ Yes ❑ No T e Id2J Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building p Notes: COn61/71)161/JZ L 1/ .2'`Cn- h9 (114r '1i1147--- %tc1 etpna Approved By Planning: _ Date: % 0 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: C l£f (7 Site Plans: # Building Plans: # Building Permit#: ►:"av nter building permit#above. Workflow Routing: IG PlanningEngineering Lermit Coordinator Building Workflow Sign-off: Pr Sign-off for Planning(include notes(from planning review) Route Application Documents: 'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 7 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: - By Permit Technician: / 4/tatlif Date: j'7'/7 Engineering Review 76 a ...2".Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat „a Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes e No Assess Water Quantity Fee in-lieu: 0 Yes No LIDA Facility on lot: ❑ Yes .2No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: IjA J ju2-7 4- 1 Date: 8 I 6G (7 Revisions (after Building Submittal only) Reviewer ate Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of building permit G� , �/�< /'r� Approved,NOT Released: j��+ /G�/ ' Date: 4,5,,-7 otes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A Tigard Trans SDC: I` Yes ❑ N/A Parks SDC: Ar Yes 0 N/A LIDA ❑ Yes pN/A " OK to Issue Permit Approved by Permit Coordinator: i I/ ,4 At& Date: Vl l (s In I:\Building\Forms\BldgPemvtRvw_RES 061417.docx City of Tigard IN, 111 .1 COMMUNITY DEVELOPMENT DEPARTMENT T 1 cA RD River Terrace Building Permit Review Addendum Building Permit #: Site Address: /(e9/ -- c ,ems J/t Loiv Project Name: 'r -erne _sv_ Lot #: /(1 G4 '/ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? ❑ Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch minBalcony w/ access 2 Window Projection Vertical Wall Offset a . 5�t. deep QI/ ft. deep min. 2ft.,5 ft.wide min. 2 ft.,Eft wide CICICIGabled dormer❑ 2. Eyes on the street: a minimum 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 16?cb-) 3. trances:At least one entrance must meet both of the follo ng standards: Max. 8 ft. setback from longes street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No Ifs,all the following apply: �5 sq.ft.min. �W( ne street facing entry ft.max.roof above floor of porch 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 ❑ mall offset min. 16 inches �ormer min. 4 ft.wide in VRoof eave m . 12 inch projection oof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ oof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide Accent siding min. 40%of street facade ❑ Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages an. -, .•orts:May face the front or side lot li pi corner lot. Setbacks: No closer to front or side lot line,than .-:-st street-facing wall. ❑ Yes El • o (Check one): ❑ May extend up to 5 ft.if there is a covered front .. • and gar.t- .oes not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a • .-story •: .' g and there is a window at the second story above the garage that faces the street with a ••:. . area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wid- age door ❑ 40%max. of street facade ❑ 51°. ax. of street facade with 7 detailed design elements otes: Approved By Planning: Date: doot f I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16957 SW FRIENDLY LN, BEAVERTON, August 20, 2018 at OR, 97007 11 :26:50 AM Record Type: Record ID: Residential - Master Permit MST2017-00316 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Drain stoppers not working in master bath. Backsplash removed, not done upper level bath. Work not complete, not ready for inspection. R109.3 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16957 SW FRIENDLY LN, BEAVERTON, August 21 , 2018 at OR, 97007 12:08:59 PM Record Type: Record ID: Residential - Master Permit MST2017-00316 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows 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: 16957 SW FRIENDLY LN, BEAVERTON, August 21 , 2018 at OR, 97007 3:02:59 PM Record Type: Record ID: Residential - Master Permit MST2017-00316 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Requested not to complete inspection by Polygon sales person doing walk thru. He suggested re scheduling final inspection for another time and to let Tom know. This inspection was a after hours inspection for C of O. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16957 SW FRIENDLY LN, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00316 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Moisture content form received. Vapor barrier form received. High efficiency lighting form received. Blower door test report checked. Insulation certification checked. C of 0 left on site with contractor. This inspection is a re- inspection of a previously failed final inspection. Violation Summary: Inspector Contractor