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Permit (90) IN CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00525 13125 SW Hall Blvd.,Ti Date Issued: 01/10/2018 TfC;;1I= C, and OR 97223 503.718.2439 9 Parcel: 2S 106DA06600 Jurisdiction: Tigard Site address: 16894 SW LARKSPRING LN Subdivision: RIVER TERRACE EAST Lot: 66 Project: River Terrace East, Lot 66 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 948 sf Basement: 799 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1130 sf Garage: 368 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sfRight: 3 Detectors: Yes Total: 2877 sf Value: $351,197.72 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 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: 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 add9 500 sf: 5 201-400 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 2877 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 A Geo Tech report is required 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 before the foundation STE 1 2 Ersn Cntrl 503-639-4175 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $34,977.84 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 503.232.1987 or 1.800.332.2344. x Issued By: / �,z�i. Permittee Signature: ,5 -z- a ��C'Gc/!Gil 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. L I3uilding Permit Application d b Residential NOV 1 FOR OFFICE USE ONLY 0 7 2 0 1 7 Received - Ci of Tigard / 13125II " 'SW Hall Blvd.,Tigard,OR 97223 Cil-Y" # Date/By: ��' ��`, PermitNo� �- - 1 i✓!t OFe e +` Plan Review r Other Permit Phone: 503.718.2439 Fax 503.598.1g� Nit�I �ate/B : - - Ins Inspection 503.639.4175 ��� " tVI %O k' ' , ��a�r -. T I GA RD p Date Ready/By: G Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Ivlethod:r 9 /O Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. El Addition/alteration/replacement El Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION.` work indicated on this application. ® 1-and 2-family dwelling El Valuation:— Valuation: $ 3 S , , 9' .11 IDAccessory building EI Multi-family Number of bedrooms: 3 ❑Master builder El Other: Number of bathrooms:3 JOB SITE INFORMATION AND LOCATION. Total number of floors: 2_ 3. 14,5-- Job site address: 16 f9 9 swLair it_. ,(-),(ALai _ New dwelling area: Zell square feet City/State/ZIP:Tigard,OR 97224 - Garage/carport area: '.. CQsquare feet Suite/bldg./apt.no.: Project name:River Terrace East I 4 ) c.--- Covered porch area: X square feet J ' 30 Cross street/directions to job site: Deck area: ' 61.i. squarelirlii feet Other structure area: square feet'7 9 9 REQUIRED DATA:COMMERCIAL-USE'CHECKLIST Subdivision:River Terrace East I Lot no.:(j( " Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. ` Its_ kt, (lj Valuation: $ F Y/� Existing building area: square feet New building area: square feet ® PROPERTY OWNER. 0 TENANT 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: El APPLICANT= 0 CONTACT PERSON!: . ~ BUILDING PERMIT FEES* Business name:Polygon WLH,LLC (Please refcrwfeescheduTe� Structural plan review fee(or deposit): Contact name:Nichole Thorpe m 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 Fax::( ) Amount received: E-mail:Nichole Thorpe PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 - Total fee due upon application: $201.60 Authorized signature:' te/144, This permit application expires if a permit is not obtained i within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . Mechanical Permit ApplicatifTtECEIVEC)IIIIIIIIIIIIIIIIIII=MMMMi= City of Tigard Rccc'ft-ai 13125 SW Hall rittid,,Tipid.OR 97223 NOV 0 7 2017 Moat Ro,-iew II Phone: 503.718/439 Fax: 503398.1%0 Dam:Ri,' Other Peoria T i G,,,,R D Inspection Line: 503.639.4175 CITY OF f ICiAHD Da te Rctiay Sy: ..10, fa st-v Pop 2.for Internet www.tigard-or.gov ..., ---s s i lxisitiedmetiod: Supplanatutt hilbrinstitib , RIA1 DING (-)1V1',-.5,t)1\ i • ..:. .:-- ... ..' :;,' .trpE,ot .. ,- . ,_. ,.-- , rommwiati i.r!tres.clucotTix- .-ilsrefireKLIS1r Mechanical rtermit fees*are based on the value of the work ...4 New construction 0 Addition/alteration:replacement performed.Indicate the value(rounded to the nearest dollar)of all, 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:S ' ' CATEGORYOE coNs a AUCTION 5.' ' :,'•' r : - , • ' . ‘ , ' ' - ' ' ' -- ' ' - ' RESIDENTIAL EQUIPMENT/St SITS KI.and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist 1 Multi-family 0 Master builder 0 Other. Description I Qty, I Ea. Total .-- -, Heating/rooting: •jOR SITE-INFORMATION AND LOCATION ' • " ., .. ' ' Air conditioning 1 46,75 Job site addness. : /ti..99141 cS\1 I 1 ,r ,s,?(--,t1c.) I kyle_ Furnace 100.000 BTU:ducts k„ents1 I 46.75 City/State/BP:Tigard,OR 97224 Furnace 100.400+BTU Wass-eau) lion pump .,. 61.06 Suiteltidg.!apt.no.: Project name: Aver Terri ..east Thret work , 23.32 Cross streetidnecticins to job site: thsloinic hot water system 2131 Residential boiler(radiator or itydronict 23.32 Unit beaters(fue-type,not electric), in-wall.in-duet,suspended,etc. ' 46 75 ________ FitreAnnt for arty of above 1 23 32 Other 73.37 Subdivision: (2..:%.tcy- TeAra.ce-gas*-- Lot M.kp' Lp Other fuel appliances: Tax inapiparcel no.: Water heater 23.32 ( 33:39 ' Flue vent for water heater or pa fireplace 23.32 lea Heiner(east ' 23 32 Woodtielict stove 33.39 Wood Freplatelinsert 23.32 Chit-rates lineriflikeivent 23.32 _ . , . Other.. . 23 32 PROPERTY OWNER " " "- 0 TENANT " - ' . ' - ' " ' " Environmental exhaust and ventilation: same: NDVI.-- La rd i-tOkiiri2E,ll-C- Range hoodtother kitchen • ; equipment ( 33,39 Address: I.,00 E ,t)ollt,le,AY- , r2-norY_V\ 4k1c_ir Clothes dryer exhaust I 3 $9 : City/StatealP: c_0-1-1-scA(tit. pa L?., 25( gw_dua exh...,(bathrooms. i i ' toilet com '.rtmcnts,utility morns) I . 23.32 Phone:t(.9 0 2. (etA4_14()31 Fax:( ) Attic,craw!space fans 1 23.32 •" APPLICANT ' - -0 CONTACT PERSON Other- , 1 23.32 , Fuel piploz Business name: , W.I i 1 i CLI1n L'-t o - hDOleS ir_4C..\ i st4.15 for first four:SW fur curb additional . Contact name: 1/43 c,\note.--t)noc\--)_e_ Furnace,etc. I „..... . 025 boat purttp Address:101 t3roackwick.Ni sit- Skkikt Wallisuspentled'unit heater City/StareiZIP:Vancouver,WA 98660 4 Water heater i Phone:(364)69S-7700 I Fax::(3(10)693-4442 Fireplace I. ; I Ranee t '1 E-11"a..,____ _Nlidnfile .pROAI ' . 1 Barbecue udonoalaapor € . ' ' • ' -•' CON Ciffilt. • • • " -- • ' • " I Clothes nmer feast 1 . Business name:Apes Air LLC Other • • -- .MECILAIOCAL.PERMIT FEES* Address:18004 NE 72 Ave Subtotal City/Stme'ZIP:Vancouver,WA 98686 Maninum permit fee($90.00) i Plan review(257li,of permit lee) i Phone:(360)3424109 Fax (360)3264769 I State surcharge(12*-h of peratit fee) CCB lie.:203034 TOTAL PERMIT FEE ' l'hi permit application expirek if a permit is not obtained within tau days alter it hi k bum accepted as complete. Authoria.ed signature: * rise methodoloi.7,y;41 1w Iti-Cmittly Building triaustix Service Bawd ....„„., Print nem, f i.e„, '1 I Date: 4 ii.it,... 5" rr.na,“t...,a,57. Electrical Permit Application _ dxoFFKKE vsE•D JLY • NOV 07 201/ Received CityofTigard _ Date/B : Li lift 1 _ 1 't 13125 SW Ha1I Blvd.,Tigard,OR 9722 f T° Related Pcrmit#: ' - L'i 1 Phone: 503.718.2439 Fax: 503.5981 t i� ` /a �f� , SINIIIIIIIIIII I Inspection Line: 503.639.4175 I. l i D 9 m 1 -IV!S 1 •,eady Date/By: Suds: 17 See Page 2 for TiGARI, Internet: www.tigard-or.gov Notified/Method: Supplemental Information .._.. , .E.OF..:VV RTS_.:......::.:_............. ..,. ..,::..:. ®New construction 0 Addition/alteration/replacement Please cheek all that apply(submit 2'sets of plans.v/itemschecked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available vailable fault current ❑Marinas and boatyards. tyards. - CAEGD l-014-CNTRT7 ^ O exceeds 10000 amps at 150 volts orFloatingbuildings. ©1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations, •buildings. ❑Multi-family • 0 Master builder 0 Other: ['Fire pump. 0 Installation of 150 KVA or I °;:Jt)$:SIT >INF.ORMA T ION:AND: CA[10.. ::. 0 Emergency system. larger separately derived Job#: Job site addres ' _ ^,�,, 0 Addition of new motor load of system. 1 j `l r SW L -S (ij Lap',', 1001mP or more. 0"A","E","1-2","1-3", City/State/ZIP:Tigard,OR 97224 J ❑Six or more residential units_ occupancy. t Recreational vehiclet ❑Heattlr care facilities. parks. i Snite/bldgJapt.#: Project name:P'ter-rZr "ace. E s 0Hazardous locations. El Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. i Cross street/directions to job site: .>!, ' �g:.,- - ;:REQ.S.,CFtEP.��:' ><':;: s'' ;� � ,`;: ;=. Description I Qty. I Eoet, l Total I . New residential single-or multi-family dwelling unit. I Subdivision:p qtr T--l(` etce_ ,e +- Lot#: n 1 � Includes attached garage. `� 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel#: ::... .:. ...:...._..... n 33.92 1 _ -- Ea.add'i 500 sq.ft.or portio � CR N:,'OF:. RK :.:; ?;.:.::..,:.::: :.::.;:.:.:.: Lf _ , : - BS IDT O WO ;,. ..- ::::::--,,::;..1,::,:::: "�-..:-.�._.:.....��.�.:_.:-:.... ...:........... ... :.::.......�._.,..;. :._: ._.: Limited energy,residential t (with above sq.ft.1 75.00 2 n' Limited energy,multi-family 75,00 2 residential(with above sq.ft.) - - Renewable Energy 0 See Page 2 P,ROE_CR - TYaO E 7iF.A� `=`"""ry - Services or feeders installation,alteration,and/or relocation ___!— Name: I t�*4/ L.�:,..: nrA..:. kcl c'.-:.t.•I. C. ,.:.:..-..,,.._•.:....,,,... .. 201 amps or less amps 133.56 2 Name:, 200 amps less 100.70 2 to 400 Address:-.1 0O ®t>l1 b�t�,$ -e >t�y- p.-..oack 401 amps to 600 amps 200.34 2 1 City/State/ZIP:' . 5c, �( L 5 Z 601 ampsamps to 1,000 301.04 2 Phone:Coo).. �f.-t--1-p2)I Fax:( ) Over 1,000 amps or volts 552.26 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 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;;,.:.. ?;ranch ci i — 1 _ rcu is new,a teration,or extension,per panel APeIzIGr1LIT s-.=`:.;;,.:;::::r?t': CONTACT-.E RSON'<::.-:_::,`;:'.;^: ' _ ee or tan circuits tvrth Business name; A I `�mp/���a,^ {-4,�rv�,�S �� above service or feeder fee, 7,42 2 eadi branch circuit Contact name: V`r1 1 v t `�t ! 1 m m i B.Fee for branch circuits without 3 K _ _ ` )� S �, service it feeder fee,first Address: � 1(�Q, branch circuit 56.18 2 . City/State/ZIP:Vancouver,WA 98660 Each add'l 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 Email: -���,,�.,,., and/or feeder NIC�10it Reconnect only 67.84 2 _... ,... vr...:........ ....:-...,. Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:402 Valley Ave NW Ste 106 Signalnel,alteration,ti )or extension. 0 See Page 2 2 panel, or extension. City/State/ZIP:Puyallup WA 98371 Each additional inspection overallowable in any of the above Additional inspection(1 hr min) 66.2.5/hr Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90.00!hr Industrial plant(1 hr min) 78.18/hr Email:bdaniels®gweusa.com Inspections for which no fee is 90.00/hr CCB Lie.: C1158 Electrical Lie.: 208174 I Suprv.Lie.: 4496S specifically listed(A hr min) Suprv.Electrician signature,required: r / Pr t"�X .c. • - Fix.T:CTRI(�AI------ `T L S Subtotal. Print name: Joan P Albert Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: / '�� TOTAL PERMIT FEE: This permit application expires it a permit is not obtained within 180 Print name: Bill Daniels Date: days after it has been accepted as complete. * Number of inspections allowed per permit. L-1Building\Pern itai5LC_PerrnitApp_r3Ln SRE.doc Rev 06/17/2015 440.4615T(t1/05/COWf/WEa Plumbing Permit Application ECFNED Building Fixtures NOV 0 7 2011 City of F TY Tigard C r - y `'AR Receives g CITY i Le S o may. Permit No s TDI�// oU��� ■ 13125 SW Hall Blvd.,Tigard,OR 97; • I n! lvIr: I an Review IIIIII • Phone: 503.7182439 Fax: 503.59:. `i t '" Date/By: Other Permit No.: T I ci A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE:OF•WORK ..:.._ .... ; ®New construction " 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION" SFR(1)bath 312,70 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory buildingSFR(3)bath 1 500.32 0 Multi-family Each additional bath/kitchen 25,02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION1 _ Site utilities: Job site address f62 43.9Y S M Liv�5Otnq ` e Catch basin or area drain 18.76 J Drywell,leach line,or trench drain ■ 1836 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: g.iV-fIr T_0r6cc. -as+ 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 It: ) Page 2 Water service(no.linear It: ) Page 2 Subdivision: f t\l-e_Ar .1"-. LCe_ -1c-- I Lot no.:U /� Fixture or item: Tax map/parcel no.: ...r/4.p �`�F` Backflow preventer I 31.27 DESCRIPTION OF.WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER ( 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Prim Contact name: fhi)k. TN D v - Roof drainr 12.51 r �� �l"" Roof (commercial) 12.51 Address: 10 Dc;t4 WOLLAC.„-k-- SU AkL S�`) Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 J Solar units(potable water) 62.54 Phone:(360)695-7700 Faxes:(360)693-4442 Tub/shower/shower pan 12.51 E-ma": V (h DJt✓ lin Oqe..@ ORc it-nholes •CJY1 Water 25.02 i' Water closet 25.02 CONWater heater 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 56.29 Address:PO Box 207 Other. 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 CCB Lic.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: c� 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. I:\Building\Pennits\PLMU-PertnitApp.doc 10/01/09 440-4616T(I0/02/COMRVEB) 4. City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT :1111 II T l c a R o Building Permit Review — Residential Building Permit #: _ S7-.),,U/7 -GO ----„A S-- Site ^Site Address: / 9r 1,J LrsrLspr;'�9 Lanc Project Name: R to -Turku. E44I- Lot #: 66 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Co",yric6. eP At ,v V( cf•/Verify site address/suite#exists and active in permit stem. De River Terrace Neighborhood: ❑ No E Yes,See River Terrace Review Addendum Attached SitPlan Elements: 4[� 'iree(3)copies of site plan existing structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished Bi ti rawn to scale(standard architect or engineer scale) oor elevations U .rth arrow ytility locations&easements(required for new and additions) .:.'te address,project or subdivision name and lot number Bi Sidewalk/driveway approach W r)rpplicant information(name and phone number) ocation of wells/septic systems �p of dimensions and building setback dimensions [Existing trees to be retained with drip line,and tree MAIScivare footage of buildings to be demolished p otection measures of area,building coverage area,percentage of coverage andeet tree size,type and location kcipervious area(applicable if R-7,R-12,R-25&R-40) Street names IM Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? LJYes ❑No �4 foot differential) If yes,is a storm water quality facility shown? ❑ e 7No EI/Clean Clean Water Services—Service Provider Lett e (lot platted prior to 9/10/1995): 14,41,P vi equired: ❑ Yes,applicant was notified Ei No Received: ❑ Ye4j#] No haw( USC Di Public Faciliti s Improvement(PFI) Permit: 1 Ei2quired: Yes,applicant was notified CI No Applied For: L1 Yes ❑ No,stop intake 7 ndUseCase#: P00)6'0000 1 1-----7i°FI.2,0(6-000$q A .ning: R-I' UV) eRequired Setbacks: Front 8 Rear I 0 Side 3 Street Side VA Garage 2_0 EY Landscape Requirement: 2i) 0/0 Idi/Lot Coverage Maximum: 8•0 % A EBuilding Height: Maximum Height Nit Actual Height Z6 Visual Clearance [ /Sensitive Lands: ❑ Yes [No Type Ltd' Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit I II Notes: I/o „AI- Heals tela;^) ni� 0.441}4C0.441 A!1 Co,,o1d—rN 114.,, 6-01ritt. Approved By Planning: /3,1^tt ( Date: 12;11-TT 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 1 Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: ,I Planning <&7 Engineering Permit Coordinator Building Workflow Sign-off: I.' Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,Fif applicable,etc. Notes: / By Permit Technician: /64/4/ Date: / Engineering Review ,2' Slope at building pad: 5°70 Conditions "Met"prior to issuance of building permit .Er Easements (encroachments)per engineering conditions of approval and plat - Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes --fr No LIDA Facility on lot: ❑ Yes INo ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 1 < Cts, Date: /(z/i 8 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: evision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: • Yes CI N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes Yr N/A Ip OK to Issue Permit ( V 4/a—• redermCoornator: te: 1 3 i I:\Building\Forms\BldgPermitRvw_RES_111617.docx City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT 0 TI c, x D River Terrace Building Permit Review Addendum Building Permit #: Site Address: /6,f9YSv LQrky prH Lunt Project Name: K,,rtr Terra(L •c Lot #: 66 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dis�t,ict Design Standards (18.660.0701): Is the project subject to the plan district design standards? dd 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. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft.deep Gabled dormer ft. deep min.2ft.,5 ft.wide min. 2 ft.,6ft.wide is—d/ ❑ ❑ ❑ ❑ 2.Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1S-0/ 3. ntrances:At least one entrance must meet both of the folio g standards: 12 Max. 8 ft. setback from longest street-facing wall D Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: 2/Yes 0 No —/ Iff y s,all the following apply: R',25 sq.ft.min. E 9ne street facing entry al;ft.max. roof above floor of porch !3 5 ft. depth min. 30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of/the following elements on all street-facing facades: ,�lC�o�vered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep LU'Wall offset min. 16 inches ❑ ormer min. 4 ft.wide D Roof eave min. 12 inch projection �21 oof offset min. of 2 ft. ❑ Roof shingles either tile or wood E Gable,hip or gambrel roof design 0 Roof pitch oriented south min. 500 sq. ft. �❑ orizontal lap siding min. 3-7 inches wide E 0 Accent siding min.40%of street facade Window trim min.2'/2"wide by 5/8"deep ❑ 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 facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No/closer to front or side lot line,than longest street-facing wall. 0 Yes /No. If No (Check one): Lid May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. D 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) ❑ 3.2-foot-wide garage door Q'40%max. of street facade Lg 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: .12Date: I L-2?-13-- 1.\Building\Forms\BIdgPermitRvw_RES_RT_062216.docx -2? 13'1:\Building\Forms\BldgPamitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16894 SW LARKSPRING LN, BEAVERTON, September 17, 2018 at OR, 97007 10:49:08 AM Record Type: Record ID: Residential - Master Permit MST2017-00525 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16894 SW LARKSPRING LN, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00525 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed Note: Provide labeling for breakers #26 & #28 in panel. Will verify at building final inspection. All other electrical appears ok Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16894 SW LARKSPRING LN, BEAVERTON, September 17, 2018 at OR, 97007 10:49:43 AM Record Type: Record ID: Residential - Master Permit MST2017-00525 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 65 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16894 SW LARKSPRING LN, BEAVERTON, September 21 , 2018 at OR, 97007 8:53:38 AM Record Type: Record ID: Residential - Master Permit MST2017-00525 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Corrections completed 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