Permit CITY OF TIGARD MASTER PERMIT
1 COMMUNITY DEVELOPMENT Permit#: MST2017-00434
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/10/2018
T f 1?t� g Parcel: 2S106AD09300
Jurisdiction: Tigard
Site address: 16904 SW LEMONGRASS LN
Subdivision: RIVER TERRACE EAST Lot: 200
Project: River Terrace East, Lot 200
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1858 sf Value: $233,271.01 Rear: 0
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
0
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: 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 9f: 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 1858
Owner: Contractor:
WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech needed before
foundation inspection
3 Fire Rated Eaves-Both Sides
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $31,292.87
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 952-101-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
f ‘'.,p/f>
c i
Issued By: .c Permittee Signature: ,5tl- {�i�ll ?Ce GG-
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.
- C2—/---
Building Permit Application Z— �1.
,�r ;gyp
r t 7IIt, RECEIVED FOR OFFICE 1 SE ONI,I
City Tigard J UNReceived // /ef,n7 G' J�/'LS // W-!�y
.� of `/ ' PermitNo.•
y Date/By:
13125 SW Hall Blvd.,Tigard,OR 97223 1 A 017 Plan Review -/ 7 a r
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: f�' /"J7 I mer Pe'mit: J
T t< t n Inspection Line: 503.639.4175 CITY S �i RD Date ReadyBy: Juris: H See Page 2 for
Internet: www.tigard-or.gov BUILDI G 0 VISION Notified/lvlethod: //j// ' Ill Supplementallnformation
it.- /tit( et✓
‘17-77177r'7.7
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alterat'on/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
' , �� - .-",,--y",! ,� � 57 r
work itniodnicat on this application.�-• �,� � t ��''5 ��, h• 4 ^ti
® 1-and 2-family dwelling 0 Commercial/industrial /a7
o Accessory building 0 Multi-family Number of edrooms: 4
0 Master builder 0 Other Number of bathrooms: 3
,l f; f ,ii �� �t, `" �et=� Total number of floors.
.�
Job site address: 1 / I / )VtJ ' m me La New dwelling area: /195 3 square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: L/ ...1 square feet
Suite/bldg./apt.no.: Project name: f iVZr T'erracc, East Covered porch area: y// (f square feet 10 4
Cross street/directions to job site: fav square feet
>p0.�(o c,o�r�✓ -16 q 0
0 er structure area: square feet
Subdivision Riv{,r Terrace, t_ Lot no.: /MO 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
4 s tom' ° ` : work indicated on this application.
Valuation: $
I'i I
Existing building area: square feet
New building area: square feet
_ a i W �, Number of stones:
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 Structural plan review fee(or deposit):
Contact name:l canolft 111101t,
FLS plan review fee(if applicable):
Address:109 East 13th Street
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Phone:(360)695-7700 I Fax::( )
Amount received:
E-mail:
mail N( VO�'G* I Y t I alt, I 1 ,::,'LP t x. a
.SS'zz¢ ad Y N.,.
• : , Commercial and residential prescriptive installation of
,-,, -- roof-top mounted PhotoVoltazc 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: $201.60
Authorized signature: OThis permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
ii/14
Date: *Fee methodology set by Tri-County Building Industry
Print name: pr chot� p/t7 Service Board
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Pit ADDliatkiii' '. --- ' - FOR OFFICE I SE ONLY
.eity of-Tigard
1,
.13125$-W fialiBlytl,Tigard,OR 97./4,
Plan Review
1111; 1'
Pittak $03,7111.2439•Fax 03.598.1960 „, , : .., Ditemy:• Oitter;Pentlii;
(°, f' • '' '' tb,RctiViir. oats 0 Seo Pa:m.14T'
lideniet'www.rigard.orgov '• , ,.,-,. .: Nauru:Weft&, Sapplemental Laois:aided
4:7444"11445-C;;I.igt** **1.44414-11124gii6:11t1IN:s41.i611437:9:'-4.441"Wa*"'"'4'1' 1-1-hislee.46iltarbal. peWrtnit feesit4s itrIeS--C3-1**Httsett o!*:thetalt*lue o°*;fthe°1"tiworh. !::21..
Et New emisliriclien 0 AdditidatilleratietheitItteeMett performokindicate the value(rounded telhe nearest dollarj dap
El DeitiOlitit3# 0 OdiP11 reeetatuireal materials.equipmant.Intimt overhead.and writ. .
Vlue:$
•.;: ..:::,'r'.i .'..::.':7.':'.Y:.a:Zt0.3:-i'7i.:ZW't:,-,T.Y.i,Vy.'-(igtt.fgfti::tiSM -750'i.:5k;Sir.;t,'-,ii:/:;•'-:T, ftQA.:•iiiiiiatitalfkiiatitt-W1,11#0.44,:-,F1
rigi-'and 2-ratit4 dvi.eirrrig. 0 Curtanterscialitriduntrial 0 Accessory Wilding - iot sperial information sae riymklist
.1 Mtiiti-i'irOy. • 0 MaSW 11'1110e.r. 0 Other- Deaminiell ....._. ,_Qty. I Ea Total.
* 4(ili
• • • ikg41.44AtVPSVI
**`•l'*. • ' - ''-*"'A'''''''''''''.%-."'..•:PiritWt..7ir...-!..;'sn.1.7.;:t: Reattliek:Sidin= ._ _
,.4-..f: ,;:-3:itAiV17-1.4iniVCA31°S.,-;--kr''''' '''''V'wz' Air tintlititutirot 1 46.7$ ,
IP•t?a4 add7ss: .1.(13 Di") S Lem&NC\roSS l...0,,rxt Firma 100.000 i311,1(duattt4uts} , 46.73 -
Oty/Sralui4P.::T.Igards."OR 0144- Furnace 111,060+13Tkl tdaetakents1 , 54.9 t.
Ileal Ping) 61.06
.-Striteibldgiupt.ib,t Pli4eCt iffille':iz iVer T„nryi( ... Eas+ btia.wmt
(rens stroetidifeetiona to jab site: tivdregicr hot taster trsiditat • 2332
- "
. • Residential boiler(radiator or
ilvdriank) 2332
Uttit.beaters(lbel-type.mol itle:Mric),
. . . . . in. il.in-dael..SOVeltded:elt: ' 46.75
,
• Flaninent.ibraftV!Yr alitive. I 23.32 . .
StthdtMaitht 12 i kftile. 1,Ot no.•..1A5 'I"her: •. . ..
Other Nei miatates: . . 2132.
Tex maptpareel 110.1 Waxer hearer _ .„
3.,..;... .rgi,r,.1,:,,,Afg;•:=•,,:‘,,- ,,,..--.7't.--`,-4.,.....46-r.'.•:t -•- •ii...•'•'''''''''''.. --1'r'-kri;•'-‘*.k-•-k,'•`--;•*,•,•'?;''•1:1,,' • Gan fireplace/Mort
i -
2332
'1.'4,--%t•••:;.:t....:-.,.r.y,.':.•:- .4*.',.;c:41/11,'-':7-iTAr -ri.P19141,PW.,::;.:*•:.esifr:i.,...?i.s,F.,71f,i:-,.._,L;:]....!i,:.;.?- .:' pooloor for woorr-h--o-orte or gas • 1 33-39
frtePiaCe• 23.32
Log lighter(u) 2332
• Woad/pellet stove 33.39
Wood firealneormsen 2332
' Cliontayilinertfludvent 23.32. , .
Other: 23.32
AOr:•Ffc4itO3*4tZz:.! 't:-!:AWiN'f:j::;MrO*0'':O- l'A' . Earlsonmentd exhaust and yeadilation: , .
Nathe:'PrDUL -tzuld--11D)c.:(t cri 5 ILL-c, • . : Rapiviadfotharkitolten,
equipmend ' 1 33.39 '
Addleas::Tlip OD_ 6 DDA,tqfeh/e_ P-4d4 ,ie-oct_q.. . Clothes drver exhaust 1 •.33.39
City/Srateglix: ei ...,.44 k,___., 2... 2._•- 93., singtc-duct cows'kbathrooms, Li.
/att.con3Nriments,amity 1,70115). 2332'
E
Pith"' 1;61. (pc,IA 9. - ) Fox:( ) Adickrawlspace fans ' 23.32 •
_ .... 2332 T 61
-fYQ-•_, ;414.i.i4047-Z;i ,Ex
:. '.1 OA04.40.0 ii:g.,.=:;:lf' • C414ec . _.. .. •
• Fuel PiPivar
Business name ' it .o. Li _ a II _ Sitl$far rices fear;S4.03 for garb additional.
11
Cthlthei iththei &I-Ole: p O _________, Furnace.ett,
'. ' • - . • I
"drew' IL \ il • a f . S -% t. % , Wallistinnendeilfunir bearer '
-
-City/StareZIP:Vancouver,WA 98660 Wlifitrliviikto•
Phoot:(360)693-7709. Fac: 3 )693-4442 nevi= .
. 1 . .
Ellua:knekti)k. QIrnpr arhefto .
. .
. .
.:4",. .i- '- -'' -..7.'.2=r1ri.:,'•';-i.-;-.•.:,F:•••-if,.,.k..,,,cy..,::-.4.4.,....
Business maw Apex Air the Other • .: ,
. 7-7 tr17-Mit*S..
Addreti 18004 NE 72 .Ave Subtotal
dty/SilittIZIF:Vans WA 98636 minimum permit fee(S90.00)
Plan review 124%of permit fee)
Phone:CAM 342410P Fox:(360)326-1769 '
. State mrehmge(12%tif permit fee)
CCI3 lie.:183034
i
. os .._„....._
.
TOTAL PERMIT FEE
'MU permit application expires if a permit is not obtained within ISti- .
damson:wit un Imes accepted as complete.
Authorized 'p * Fee methodology set by TriCounly,Befiding Indus*SaavieeTiosid
Print roue; t" aale; 4 11.mi.
i qbattimipPotaitAtEe jonahApp 04V113 deo 44-461,7 0 airsicoacmat
Electrical Permit Application FOR OFFICE USE ONLY
;Y � lit;'
City of Tigard ReceivedPermit lt:/. pt./7 00 y3 1 •
IIIR 13125 SW Hall Blvd.,Tigard,OR 97223 •
Phone; 503.7182439 Fax 503.598:19h0 Pte"Renew Related Permit t{:
Date/13 :
Inspection Line: 503.639.4175 - 1 ReadyD lairs
TIGARD -. Y Q 6eePage2for
.0 Internet: www.tigard-or.goV •. Noti5ed/Method: Supplemental Information
:.: _.5w`�.{�.4!:-:t S";, ;;.f..�y{'Z-'"-0t'"�. j'1 :FA O .-_ - S - I7�tS x- gYy��Y` e"v _
.. ..,... �....... � +..-,..]Y, _r�. _G__...�.. o �'• -���'�° � 'n 3 T •a7 du ��L�r� �v C; ;x*:
Please
'4>.. �. 8�.4.�- � {. ��. run+i..2t�.��".
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans writems checked):
O Service or feeder 400 amps or more ❑Building over three stdriec.
0 Demolition ❑Other
where the available fault current 0 Marinas and boatyards.
Edi ._-,;;f " 6Ma'oli alA(`h6'l60i 4 ' ; - exceeds 10,000 amps at 150 volts or [Floating buildings.
®1-and 2-family dwelling 0 Commercial/iridustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
.._ r - . : amps for all other installations. buildings.•❑Multi-family 0 Master builder ❑Other El pump. ❑Installation
of d KVA as';:, Y s�.- -: ts 'Nt0W1 •: a r v ►,s o. --; .'..;,.1"-144'.. ��`: �- � OEmg°ncY��• larger separately
derived
Job site address: i,,�j ,`10 Addition of new motor load of system.
Job#:
t iu !D �V)1 ( e 100HP or more. Q"A",`2s","1-2","1.3",
City/State/DP:Tigard,OR 97224 13Six or more residential units. oompanoy.
OHealth-ogre facilities. 0 Recreational vehicle parks.
Suite/bldg./apt#: I Project name:gk JP I' Tp ann„ ,� r-r ElHazardous locations ❑Supply voltage for more than
4 �y( 0c or feeder 600 amps or more. 600 volts nominal
Cross street/directions to job site: 3 Cd).
Description Ohy. I Estb Total
New residential single-or multi-family dwelling unit.
Subdivision: fj 1�/.er T,e.rra .e. ' „ +- I l,ot#: '] }'y"t Includes attached garage.
Tax map/parcel##'' L(�W [..[Iv I.000 sq.R orlessi......... 168.54 4
_ ,y _ Ba.add'l 500 sq.ft.or portion 33.92 1
,� ',-,,_1':----.'. . Limited energy residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
{�4�a a3.. i. k 0- ?�- 3x f �,1 r •;�_vr t. Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2
Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/Di:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2
Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 55226 2
Email: Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 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 - 16854 2
1 ,,. . tS s1t, ?_til iz.., t rove, cl?� 0.,,,,„Try-� ;J,v Branch circuits—new,alteration,or extension,per panel
A.Fee for breach circuiia tvirh
Business name:William Lyon Homes,Inc. above service or feeder fee,
7.42 2
each branch circuit
Contact name: N i c hiicTJ,o rp.e, B.Fee for branch circuits without
service cr feeder fee,fust
56.18 2Address: 103 RiVrit cvi\ St sk.aq .- c,la branch circuit
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
Email hole-. I 1 t' ` + dwelling,service and/or feeder
a a P 1' {!s Reconnect only 67.84 2
.,:� 4-i ?,.-, s :" 'e ole ti-2=W;-° : ° -, 4 Pump or irrigation circle 67.84 2
Business name:Garner Electric Washington,LLC ' Signor outline lighting 67.84 2
4.... Signal circuit(s)or limited-energy
Address:,4 D7 U eiLkty Q.�to C�1 S ux1,,, kUp panel,alteration,or extension. 0 See Page 2 2
Ci IStateJZI6P6:• t a{" (W�gyp " Each additional inspection over allowable in any of the above
City/State/UP: r �{, .�,�l'� W L V s� 1 Additional inspection(1 hr min) I, 66.25/hr
Phone:(253)320-1657 1 Fax:( ) Investigation(1 hrmin) 90.00/br
Email:bdaniels@gweusa.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.: CI1S8 Electrical Lie.: 208174 J Suprv.Lica: 44965 specifically listed '%hrmin) 90.00/hr
�--� ii _ `- .Y'h`ate[Y1 ,`+-. ,•' �'fir .-; f e t{_ta Dl's`-C �'�'" 3f
-,:' ¢
Suprv.Electrician signature,required: -[� Subtotal:
Print name: Ioan P Albert Date: 4/26/2016 ❑Plan Review Required(25%of permit fee):
tr — -_W State surcharge(12%of permit fee):
Authorized signature: '' -- TOTAL PERMIT FEE:
This permit application expires if a parasitic not obtained within 180
Print name: Bill Daniels Date: 4/26/2016 days after alms been accepted as complete.
t 18uudm8lpermksOSC P * Number of inspections allowed per permit
mmitApp�L11 MEd=Roy 06t17/2015 44o 46151I11/05/COwWEB
Pitatibing Permit ApplicAtieil,
. , .
Bui1diajg Fixtaxes
Gliy of Tigard c.)i. 4.,k‘: ' ''- -.-Received
Permlwo./t7S-reu 7--pi)vr,,.: y
lia 4 13125 SY-T-fiall Blvd:,Tigard,OR 97223. , - . : piatiDatt4m,Yz
Phone: 503.718.24.39 Fax:503.598.19611 r, .:i ' •-' ---.---...• Other PermitNo.:.
Inspection Line:.-503.639.4175. -' ' - :• -- - • '' patented yalt,
TIGARD 3tIrls: 111 See Page 2 for
.haternet visvw.ligard-of.gov ::•,, , 'i. , ", ;. . --. - IdetifiediMethed: supplemental information
7,,VA474,1W-Airtia,I;X:**-ArAi*J41.4:t.-"IN.r410,WA.-il.A.% .2- '!fltiffalt.',AV44",-,A1.5440-1,M61M.44•4!-4,,f2W.5.4at„.4kii,i,,,,,rM-,-,'-:7
0Demoition
For special information use cheJcklst.81 .lew construction_ ,-
Description 1 OlY. Ea.. i Total _
.
ErAdditkin/alterittirinheplacerrient. . OM= New 1-2-family d*ellings(includes 100 ft.for each utffity connection)
it-‘*Cf!--`44.11,-M-C,406.#gitA,...WWOME-Eirdn'ir'4-Th SFR(1)bath 312:7a
SFR(2)bath 437..78
181 le.and 2-family dwelling El Oammerciallin. dustrial -
in - SFR(S)billil
EIAceessimy banding LJ Multi7fernily
. Bach additional bath/kitchen 25.02
. .
0 Master builder 0.0then Fire sprinlder(_____So.ft.) Page 2•
ette,it-tri0,* .Wrir.-. 8 A.01;.11,141451:9.
Site uglide%
"lob site address RidiCi OH SW "ue,mor\cirrAcs Lo...ne, Catch.basin Cr ore.a Main 18.76
- '
Drywall,leach Rae,or tench dude 18.76
City/State0';Tigard,OR97224 . Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt,no.; Pmjed name; giver- rraCe.CmSA
. ,. Manufactured home utilities. 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector• 18.76
- Sanitary sewer(no.linear 04___) Page 2
Storm sewer(no.linear fL:____) ' Page 2
Water service(no.Enter it.: ) Page 2
I
S•ubdivisi9F` PAN Torrace.T-_os+- Wu"L-CO Fixture or item .-%
Tax rnap/paMel no.: Backflow pa:venter 1 31,27•
1 1231
ri---;:zi4iiiiiiiikiiiiiiiroiweiii4A,:ni!x_grimr,„44,-.mi-i,:;..n.:,,:k:' Backwater Valve
25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02•
ExPallaim tank 12.51
Fiance/sewer cap 25.02
Name ADVL Laud Holdings,1.1C,
Floor drain/floor sink/hub 25.02
Address:7600 E Deubletree Ranch Read
Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib. 25.02
Phone:(602)694-4031 Fac.( ): Ice maker 12.51
S --liikr;12$00riiiiigg. tOgifff latercePt°rIgrease trap . 25.02 '
Medicatgas(value:$ ). Page 2
Business name:-Mama Lyon Homes,lee
Primer 1231
Contact name IV ich D te,Th by-Ix_
Roof drain(commercial) - -
12.51
Addlilss:103. RrOactu.Na-u\ 'Si- ALC- U) Sink/basin/lavatory 25,02• ,
City/State/ZIP:Vancouver,WA-98660 4 Solar units(potable Weer) 62.54
J
?bone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan1.2.51
.
. Urinal 25.02
E-mail C 1 0 , il 11 ' ti„,, • . .I Ai • . At
=f- dei ' :-...E;•;` :4 -,.%,--,r•z-,,,,,L,:;, Water elwet 25.02
.
V•cf-,-.,[teL:Lti:Azl-r-.,5-7,-;.1.."3.41-w..I.-pdi.RNT-_,..,,.,:...:,...,-, ..-.. .., ,:i4:z,re.----;:-;•qi-''..Ir'F',.!'::''Er--r:' Water haw , 3732
Business namm 4-1 ii WO)k.c., 1-6.614 71.0.6.- , Water piping/DWV 5629
Address: p.el. 6,0x, ofp, • Other: 2542'
City/Staie/ZIP: 5y. p4.4 am .11131 . subthtd.- •
Pilone:citi.3-/34t- j Fax:(en v -f 411A) Mhimum permit fee: ram
Plan review(25%of permt fee)
CCB Lim: 185 31.2..... Plumbing Lie.no.ipb -kat!
State surcharge(12%of permit fee)
Ant:bona' ed signature: liapt Thy,44/0."........„ TOTAL Palm pza
.
g,14Dates-,30-it, Tide permit applicaMm expires ire penal*not obtained within 180:deys
Piintname: Sff..4./IL fru.)
after ft has bees accepted es complete.
RFee.mathodalegyset.by Tri-County Building Industry Service Beard.
ElllakfitkpastitsValU-Pcishit-Awiao MOM 446461.61XID/02COMME13) .
City of Tigard
14 III
N COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Residential
TIGARD
Building Permit #: /` j/od/7--OOq 311
Site Address: (( 0 ' g4 D LP/ /�sc �-49-d
Project Name: ✓ iv&- Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review �,
Proposal: /U6 �� -/e-- //,//i 7 /26Y/S63 StrE Ali--") i / fe-z""
erify site address/suite#exists and active in permit ystem.
River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached
Plan Elements:
tee(3)copies of site plan stingg structures on site
e plan must be on 8 1/2"x 11"or 11 x 17"paper X SiiFootprint of new structure(including decks)with finished
ite
to scale(standard architect or engineer scale) oor elevations
U orth arrow tility locations&easements(required for new and additions)
1/ ite address,project or subdivision name and lot number A!J Sidewalk/driveway approach
'►J t pplicant information(name and phone number) to'!.cation of wells/septic systems
1 Lot dimensions and building setback dimensions 1 t i sting trees to be retained with drip line,and tree
`, 11:.uare footage of buildings to be demolished
rotection measures
Vl t area,building coverage area,percentage of coverage and treet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) Street names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced?_ Yes ❑ o
i
4 foot differential) If yes,is a storm water .uality facility shown '❑ es N
11lean Water -rvices—Service Provider Lett (lot platted prior to 9/10/1995): ` l'vver u
Required: Yes,applicant was notified 1 No Received: ❑ Yes YA. No
NiAl Public Facili ' s Improvement(PFI)Permit: ®f la—Q a9
/hequired: Yes,applicant was notified ❑ No Applied For: ® Yes� II No,stop intake
Zand Use Case#: t'b�l��//e / � 6) -666D2-1) ��� 1�'' `�
oning: /l — ( i/
/Required Setbacks: Front e Rear 0' Side r q Street Side j Garage
/LVJ andscape Requirement: .,,,,..96:-)
ot Coverage Maximum:
NJ Building Height: Maximum Height �I Actual Height Q
IiLIRfi ual Clearance
'0 nsitive Lands: ❑ Yes ❑ No Type
k! Urban Forestry Plan
❑ Conditions "Me "prio_r®to issuance of b din )pe t
Notes: �l�CrI�C s < l ¢�n6r- Tfi7/7L ) .---C7/4.2 /C--e___
l/
Approved By Planning: -- ,Al Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: k Approved ❑ Not Approved VV\"—
`----`_ I I/I S / 11
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_061417.docx
Building Permit Submittaltv-
Original Submittal Date: a'10//?
Site Plans: #
Building Plans: #
Building Permit#: ►i Enter building permit#above.
Workflow Routing: ►: Planningengineering C�.Permit Coordinator ❑iiilding
Workflow Sign-off: ' Sign-off for P nning(include note from planning review)
Route Application Documents: IF Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
[I /Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /
By Permit Technician: A l .14�e , Date:
Engineering Review
lope at building pad:
D �6
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes /ErNo
Assess Water Quantity Fee in-lieu: ❑ Yes ,No
LIDA Facility on lot: ❑ Yes )72-"No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date:
Revisions (after Building Submittal only) /,, ,/ Reviewer
Revision 1: Approved ❑ Not Approved Art' K. �> ' / /ate /7
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
gr 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:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: X Yes ❑ N/A
Tigard Trans SDC: Z.Yes ❑ N/A
Parks SDC: ,$t Yes ❑ N/A
LIDA ❑ Yes X N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: /6/1/4.06--
Date: tL2)t(7l
I:\Building\Forms\BldgPer iitRvw REs 061417.docx
City of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 696 cQ L.eh,0 _z L2dti___
Project Name: ,�Q ��'nT Lot #: a
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist ct 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.
Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer
Porch min. 5 t. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide
E ❑ ❑ ❑
2. Eyes on the street: a minimum o 12°/i of each street facing facade must include windows or entrance doors.
Percentage Shown: /1 vt}
3. ntrances:At least one entrance must meet both of the foll ' g standards:
Max. 8 ft. setback from ion st 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 ❑ No
If es,all the following apply: /sq.ft. min.
/One street facing entry ft.max.roof above floor of porch
5 ft. depth min. 30%min.porch roof coverage
4.Detailed Design:All buildings shall include a min. of five of6ie 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
EyVall offset min. 16 inches ❑ Dormer min. 4 ft.wide
Roof eave min. 12 inch projection ❑ oof offset min. of 2 ft.
❑ Roof shingles either tile or wood Gable,hip or gambrel roof design
0/Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
01 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 E 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. Garag- t s d Carports: May face the front or side • on a corner lot.
Setbacks: \v
No closer to front or side lot line, . •••est street-facing wall. • -s • No. If No (Check one):
❑ May extend up to 5 ft. if there is a covered fron .: .• , • garage does not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage i of a two-story •...•' • and there is a window at the second story
above the garage that faces the str-- th a min. area of 12 sq.ft.
Width: (Check one
❑ 12-f•e . .e garage door ❑ 40%max. of street facade
i 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: .:::.----------7--- 4 i Date: c.Q,
I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx
1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16904 SW LEMONGRASS LN, BEAVERTON, June 22, 2018 at 11 :50:43 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00434
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:
16904 SW LEMONGRASS LN, BEAVERTON, June 22, 2018 at 11 :50:04 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00434
Inspection Type: Inspector:
199 Electrical 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:
16904 SW LEMONGRASS LN, BEAVERTON, June 25, 2018 at 10:50:09 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00434
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Water pressure = 75 psi
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16904 SW LEMONGRASS LN, BEAVERTON, June 25, 2018 at 10:51 :24 AM
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00434
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - CofO
Comments:
Final erosion control passed
Moisture content form received
Moisture barrier acknowledgement form received
High efficiency lighting form received
Insulation certification verified
Blower door and/or duct seal test certificate received
C of 0 left on counter.
Violation Summary:
Inspector Contractor