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Permit (203) CITY OF TIGARD MASTER PERMIT l t COMMUNITY DEVELOPMENT Permit fl: MST2017-00521 Date Issued: 01/18/2018 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DA06800 Jurisdiction: Tigard Site address: 16874 SW LARKSPRING LN Subdivision: RIVER TERRACE EAST Lot: 68 Project: River Terrace East, Lot 68 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1254 sf Basement: 735 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 8 Smoke Yes Ri ht: 3 Detectors: Dwelling Units: 1 Third: 0 sf 9 Total: 3644 sf Value: $443,165.01 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: 2 Water Lines: 100 Drains: 0 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: 6 201-400 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3644 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Geotech report needed 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 before foundation inspection STE 1 2 Ersn Cntrl 503-639-4175 SCOTTSDALE,AZ 85258 PHONE: 602-494-4031 PHONE: 360-695-7700 FAX: Total Fees: $37,025.62 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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198798/ or 1.800.332.2344. �� Issued By: Permittee Signature: e,-,7/ '1-,`,Z'/ 777e,,-6/ 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. L0 -1- Gs..,- �l Building Permit Application 4 Residential 0 2017 FOR OFFICE USE ONLY City of Tigard ReceivedA Permit NoLJ 1i. . i 13125 SW Hall Blvd:,Tigard,OR 97223 °�( k; , DateB : ���plan Review Phone: 503.718.2439 Fax: 503.598.1966 's �sl te/ B : ! - Other Permit:54_44 a _ /. T I GA RD Inspection Line: 503.639.4175 Date Ready/By: < ir c,. y ® See Page 2 for Internet: www.ti and-or. ov Notified/Method: 'Ll g g .,��� Supplemental Information 11/9 it-- ,t/,efie€ TYPE OF WORK, r REQUIRED DATA:`1-AND 2-FAMILYDWELLING ®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/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION" work indicated on 's application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ � ❑Accessory building ❑Multi-family Number of bedrooms: 4 14 f 3 6,5- 0 Master builder E]Other: Number of bathrooms: 3 / JOB SITE INFORMATION AND LOCATION - Total number of floors: t3)0 Job site address: 1 U 814 SW 1 V-<‘ i -cLl� New dwelling areal 3 I 1 � square feet City/State/ZIP:Tigard,OR 97224 J Garage/carport area: LA 1 n l� square feet Suite/bldg./apt.no.: Project name:River Terrace East Covered porch areal i n� `!square feet 1 ,I 6s Cross street/directions to job site: Deck area'-- ll {,. _ ) 6 O square feet lac 1 Other structure area: square feet 73S REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace East Lot no.: (e) 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. V V Valuation: $ V 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 ( ease referfofeescliedufe) Structural plan review fee(or deposit): Contact name:Nichole Thorpe Address:109 East 13th Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: 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 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 /7/1c4.49 Total fee due upon application: $201.60 Authorized signature: ( This permit application expires if a permit is not obtained s 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\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) A , -... , . Mechanical Permit Applicationjo-tO\1II 1- FOR OFFII E I SE ON EN City of Tigard iri Received „ /, / , 13125 SW Hall SitliL,Tigard.DR 97223 71 N11\I 0 / ,),.11-7 tueBy, ixrd.. ? //? Piss Restew Phone- 503.718.2439 Fav 503,59a in6o Other Permit Xat,13s T I,--,A 1,,,f.) Inspection Line: 503,63,9.4175 - w,t - . .'fG,ASelaePage 1 tar Internet: wwigardorgav -1md- Fappmentan rmatian 301I-C) 1\117; "Iv' Mechanical permit fees*are based on the value of the work El NCO.construction 0 Additiort'alterationfreplacentent performed,Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: toed-lama materials.equipment,labor.overhead,and profit, Value-S - CATEGORY OF CONSTRUCTION ' ' - RESIDE,NTIAL EQUIPMENT/St STEMS FEES* b1(1-and 2-family dwelline 0 CommerciabIndustrial 0 Accessory building For Aperini information use checklist. I Nlu1ii-farni12. 0 Master builder 0 Other. Description 1 Qty, Ea. Total HestinAjetooling: JOB SITE INFORMATION AND LOCATION ' .. 1.°b 1p site addressl ti,tie SV•J 4Spv\()g Loine_ l-ctir Mr eondatonine Furnace 100.000 BTU Waco. r k am) I 46.73 I 46.75 CityStateIZIP:Tigard,OR 97224 Fiance 100,000s BTU(duets/vents) 54.91 Beat pump 61.06 Suitelbldg.'apt no.: Project name: 2.:Wer -re_rrrAce_.ens4. Duct work 2332 Cross street/directions to job site: livdronie hot water system 23,3/ Residential boiler(radiator or hydrordel 23.32 Unit heaters(fuel-type,not electric), in-walt,in-duei,suspended,etc. 46.75 Flue,"vent for any of above 1 23 32 Subdivision: RW-ex" T-t)/Y-O‘Ce.'E.of)..S1— Other 21.32 Lot Other Other fuel Appliances: Tax map/parte!no.: Water heater , 2---", 23.32 1 DESCRIPTION OF WORK • '„ Citts r"Pkree5113c11 1 33.39 flue vent for water heater or gas fireplace . 23.32 los lighter(els) 2,332 iVood'pellet stove 33.39 Wood fireplace/insert 23,32 Chimnes.lirteriliteivent • 71.37 Other 23 12 ......, raarEitry owsEa 1] TENANT ' Envirtausaratal exhaust and s entilation: \arne: ki.s\/L_ Land 1-i01--itei Ss I-1-C- - ? i Range hood,other kitchen equipment ( 33.39 Address' -I(1)OD E -1)ou,t91-eitrpact I Clothes.dryer exhaust ' 1 33,39 Stnete-duct exhaust(bathrooms. 1 , City/State/ZIP: e otts act)p po,-7 L,,,,... .,-) do._ %,- 1 I ‘L. (,,,,i,,,,,y, toilet ckomparttnerits,tittlitv rooms.) I I-- l 2.3.32 Phone:(i nill 1 Anli.-11rx721 Fax:( ) Aftie'crautspace fans i 2332 kY v i-- w-1-IL -1 V 1 .. • ...... I 23.32 ' il9 APPLICANT • -0 CONTACT PERSON Other: 1 1 _, Fuel pipinn: Business name: w 01 1 (Inn Li 0,,..\ 1..ktyylcs 1DiNc.... 514.15 for first roan 54.03 for each additions! Contact name-, 1,3 k cln ote.--iy)0(-1)..e_ Furnace,etc. I Address: a I o • • , IL `I, Gas heat pump ' Wall`suspended`unit heater CityState.,21P:Vanetsever,WA 98660 Water heater Phone:(360)695-7700 i Fair:1360)693-4442 Fireplace • 1, Rafiat 1-11"----' E-mail:.Ni ch DieThor-K6,_r)o lung.. . iii .,_\ Barbecue . c:01,- .(iii---fii -- el.thes drs,:er teas) • I , Business name:Apes Air EEC Other: • - MECHANICAL PERMIT FEES* Address:18004 NE 72 Ave Minimum permit fee(890-00) Plan review(25%of perrm`tt:e City/State ZIP:Vancouver<WA 98686 I Phone:(360)342-8109 1 Fax.,(360)326-1769 Subtotal ' State surcharge(12%of permit fee) CCB lie.:203634 . TOTAL PERMIT FEE Authorized sianature: ' *Thri:e7nrituthtitltd:aiP.C:1:7:17.5rnbyilelb::::Ifibt"if 2latett47:?1:1:115'11:7:tkIMPIt44'“bet:IrS hiSerk71::::: ,,........".""- i Print name 1 1 dek 1 .100•1.............._._ I Date: 4.11./4. 1 #1,idzrntut,MY C PvvirATT na-f,'' A io — EecticaD___ t Aplicat _ �d � � _ g^�:liii CityU Tigard , lJ� Vdzp ( DReacte/eiBveyd: �w 1 " 13125 SWHall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1951'y 0 , ,-..eRD a nil Related Permit#; I Inspection Line: 503 639 4175 !! �q��(• S O -eady Date/By: funs: 1 See Page 2 for 1 TIGARD Internet: www.tigard-or.gov , _ '' R Notified/Method: Supplemental Information _ >.� .: TsYPE OR WORK. ..:.,....,.,..,.:::•: •:. � `.PIa�ii?I.�RtiT[EiV.-.:;�:':;.. r: r:.<-£._._ .,_�.�-..t� ... tom.._. ,..� < . ...:. .. .. . _ . .. ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items 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. . ..... . ... CTE +RI�O �CONTTJ U:s - __ exceeds 10,000 amps at 150volts orFloatin buildings. n ©1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural 1. amps for all other installations, buildings. t. 0 Multi-family • 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or • :,...::.::. - •_.,.::: .JO.$..:.STEINFrOM.ATIO >AND:L.00lTOY' :�:- : - ' ':' : :` ❑Emergency system. larger separately derived I _ ❑Addition of new motor load of system. Job#: I Job site address:/�7�' S� L,y_�t 1y1 L.(A,IIQ, ❑"A",�~,"i-r,"1-3", i J f- FOOHP or more. City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. 1 ❑Health-care facilities. ❑Recreational vehicle parks- I Suite/bldg./apt.#: Project name: )Je r--Terrace ask_ 13 Hazardous locations. Elsupply voltage for more than i ❑Service or feeder 600 amps or more. 604)volts nominal. Cross street/directions to job site: ._ ,Description:- ':.: .. ......:.. I Qty. I Each _I.. Total I . i New residential single-or multi family dwelling unit. Subdivision:pq i1r T.e,Vra.(Z e .lr- Lot#:(05 Includes attached garage. 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel#: 33 9 •:;:�1-:;<:-,:; -:�:::_:-_.:,,. , :;,.; :..,............. ...._.._:. ,......_... .._.. Fa.add'1500sq.R.orportion . 2 1 _- _ ',.,:.DE S CBIP.TION:;OF WORK;::. :...-.::',.'.?::::::::,..-..,::::::'-.,;•::.-::'- C{� 1 ........... :>:_;..s;: .,•: .,::_ 7500 2 ..... ._:_,:.... :................ : .,:: Limited energy residential �. (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above xx:> :PI2 _ Renewable Energy_ 0 See Page 2 :,:•-,-�:,,,,...-_1�_-_.„-_g.-t.,:....:,."_..,'S!�l._�i.'��:���s:='= �1 >':;:'°:�: s:�:> -`•`1--1 ..,.:.. -.N...x..: ::..._ :.... Services or feeders installation,alteration,and/or relocation _ Name:, /1 )I/1— L n ev- UI 200 amps or less 100.70 2 Address::1 tp OD ®c>t t)\ v ` 201 amps to 400 amps t 3356 2 401 amps to 600 amps 20034 2 City/State/ZIP:' �; tsdC&te.l Psi, Las-Ise, 601 amps to 1,000 amps 301.04 2 Phone:COn2-- 1 f t--t.p2I Fax:( ) Over 1,000 amps orvolts 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 1 Owner signature: Date: 401 amps to 599 amps 168.54 2 ,;,: :-=:z:- :;;:::;e. :.r:<.:v=,r;,,<;,.::,,. r- : ;: :;;:: ,:•:.,;>:::,.-. <..::::_,.;,. .: : Branch cir i — alor ' `,..r®,AEP>SICANTwc:.-': ; ::`;: ❑ CONTe1 CT P RSON <.- cu is neiv, teratron, extension,per panel "<' - A_Fee for branch circuits tpith Business name: A' � I ctrot--ttki„ ^ (--�y.M�% T-N above service or feeder fee. 7.42 2 �V`” 1 P` ` ! 1 '"` `* 1 each branch circuit Contact name: 1 1 c \ <_, cc,(,��o B.Fee for branch circuits without servAddress: '3 ?�. �, 1u1i S�,�0 branche it feederitfee,first 56.18 2 branch circuit I 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 rC0 dwelling,service and/or feeder Email N ty ":"Wko vInI `rsyy'e r< ' \ Reconnect only 67.84 2 1„ in�,fit_ viT, C ` .,, < , Pump or irrigation circle 67.84 2 I Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:402 ValleyAve NW Ste 106 • Signalnel,alteration, or extension. 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Puyallup WA 98371 Each additional inspection overallowable in any of the above Additional inspection(1 hr min) 6625/hr Phone:(253)872-6051 Fax:(253)872-1801 Investigation(l hr min) 90.00/hr Email:bdaniels®gweusa.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90,00/hr CCB Lie.: C1158 Electrical Lic.: 208174 I Suprv.Lie.: 4496S specifically listed(h hr min) Suprv.Electrician signature,required: t �(f ,'T,LECT1I(:AL`,I'ERML`IkI 105 i�/ >�•L I1(',c Subtotal. Print name: Joan P Albert - I Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized signature: / This permit application expires if 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. LiBuildingllermitsoEte_PeruutApp_ELtt BREdoc Rev06Iirn_Ots 440-461ST(ll/0S/COM/WnB r A Plumbing Permit Application • RECEIVED Building Fixtures NOV 0 7 2 1 City of Tigard Cfry OF ile d PermitN a 13125 SW Hall Blvd-,Tigard,OR 97223 {{ aILD1NG U NI�an ReviPEew 6 c /?-C? 2...j l,A • Phone: 503.718.2439 Fax: 503.598.1960DateBy: Other Permit No.: T t C,n R n Inspection Line: 503.639.4175 Date Ready/By: Auris: ® See Page 2 for Internet www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE*-SCAEDUJ E ®New construction " 0 Demolition For special information use checklist Description .1 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 buildingSFR(3)bath I 500.32 ❑Accessory 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION _ Site utilities: t i Q 9511 (, C,,1 1, ria9 L Catch basin or area drain 18.76 Job site address: T I"( J'UV F-- � City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 - Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: /2 VY. T_V 't tre_ Fes- 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 ft.: ) Page 2 Subdivision: r2...J-c v- [P a_Cp 'F..�--1-- ( Lot no.:(pe,„ Fixture or item: Tax map/parcel no.: Backflow preventer 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 I. ❑ 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 us am y Primer 12.51 Contact name: I e hi)fit- ThL Roo1\1f drain(commercial) 12.SI . Address:.1 1 Jt l testa ' Sukk '�S'0 Sink/basin/lavatory4111 Aij)/L ( 25.02 City/State/ZIP:Vancouver,WA 98660k Solar units(potable water) I 62.54 • Phone:(360)695-7700 Fax::(360)693-4442 Tub/showerlsbower pan 12.51 E-mail:'NI '1:1(C h D It1 l)9)e-e pp hoc e S .r_of 11 Urinal 25.02 CONTRACTOR��cr Water closet 25.02 Water heater t 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.:34-276FB 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 ifs 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\Permits\PLMU•PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) x` City of Tigard 111 III COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R D Building Permit Review — Residential Building Permit #: 5 A0f,--GC)c.I Site Address: IV ql SL" Lor icpr;n9 Gvv. Project Name: IOW 1t_r'r taei- Lot #: 6e (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review S Proposal: �� . 1 i ' ,t,t,,/ FR. CSS yerify site address/suite# exists and active in permit stem. [ River Terrace Neighborhood: ❑ NorEi Yes,See River Terrace Review Addendum Attached Sit Plan Elements: i ree(3)copies of site plan VIA ixtsting structures on site ' e plan must be on 8-1/2"x 11"or 11 x 17"paper tt [ Footprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) or elevations rth arrow IJU ' 'ty locations&easements(required for new and additions) ite address,project or subdivision name and lot number Sidewalk/driveway approach [(plicant information(name and phone number) 4Lo anon of wells/septic systems Pd of dimensions and building setback dimensions [ •Existing trees to be retained with drip line,and tree II' uare footage of buildings to be demolished p)otection measures InPLot 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? EYes [ o 4 ffoot differential) If yes,is a storm water quality facility shown? EllNo R Clean Water Services—Service Provider Lette;(lot platted prior to 9/10/1995): �4f f 1,.i1L 44 ( quired: El Yes,applicant was notified No Received: E Yes ❑ No JR L9" Public Faciliti�es mprovement(PFI) Permit: Dep ' Yes,applicant was notified E No Applied For: Yes E No,stop intake Ci ' .and Use Case#: ?DR 2,01(1"ONO L pF12016-00089 DI tc`—i" (10) y/ 2/Required Setbacks: Front R Rear [0 Side 3 Street Side (,/'4 Garage Zo L� andscape Requirement: z 0/0 [V,kof Coverage Maximum: SO L' Building Height: Maximum Height 1J1 Actual Height Ith/ytsual Clearance bd .-nsitive Lands: ❑ Yes o Type I' Urban Forestry Plan ❑ Conditions"Met"prior to iss ance of building permit Notes: CD"`Stl4-i''°"S \-4 .,-.4. . pr-r,- \v �1?u'r 1 i Si i,;'vt( Approved By Planning: ,5.( Date: l2-10-i 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: / l 77/7 Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering e..0 Permit Coordinator Building Workflow Sign-off: 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. YZI Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: ' '' 4,2, / )// By Permit Technician: I' - Date: Engineering Review q 77 Slope at building pad: SV6° El Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat .2'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes k1 No LIDA Facility on lot: ❑ Yes a'No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: 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: Revision Notice 3: Date Sent to Applicant: ‘7C Fees Entered: Wash Co Trans Dev Tax: Xes ❑ N/A Tigard Trans SDC: Yes El N/A Parks SDC: ] Yes ❑ N/A LIDA ❑ Yes N/A Wil'i K to Issue Permit r Approvedby Permit Coordinator: Date: /15/ a/ I:\Building\Forms\BldgPermitRvw_RES_111617.docx % • City of Tigard IIICOMMUNITY DEVELOPMENT DEPARTMENT r G n lz D River Terrace Building Permit Review Addendum Building Permit #: Site Address: 16813- Sw Lark-yr;4i Lac Project Name: Km( 7u'atc as}- Lot #: 68 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist . t Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? IP/Yes 0 No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a Gabled dorm ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6ft.wide ❑ 0 0 0 2.Eyes on the street:a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 21 .0 a/. 3. trances:At least one entrance must meet both of the foliog standards: Max. 8 ft. setback from long t street- facing wall '' Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes 0 No �/ If s, all the following apply: 1 2)sq.ft.min. eg M/5 O [e street facing entry ,'i2 ft.max.roof above floor of porch [ '5 ft. depth min. 132 30%min.porch roof coverage 4.Retailed 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 1a Recessed entry area min. 5 ft.wide x 2 ft.deep Df7all offset min. 16 inches 0 Dormer min.4 ft.wide W'Roof eave min. 12 inch projection 0 oof offset min. of 2 ft. ❑ Roof shingles either tile or wood C'Gable,hip or gambrel roof design 0 Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide 0 Accent siding min.40%of street facade 0 Window trim min. 2 I/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 Ci/No. If No (Check one): ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. A ay 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) �� ❑ 12-foot-wide garage door E 40%max. of street facade 0 50%max. of street facade with 7 detailed design elements Notes: j Approved By Planning: 'J 1tDate: I LHLI I I:\Building\Forms\BldgPamitRvw_RES_RT_o62216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16874 SW LARKSPRING LN, BEAVERTON, August 23, 2018 at OR, 97007 1 :16:19 PM Record Type: Record ID: Residential - Master Permit MST2017-00521 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: 16874 SW LARKSPRING LN, BEAVERTON, August 23, 2018 at OR, 97007 1 :16:54 PM Record Type: Record ID: Residential - Master Permit MST2017-00521 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16874 SW LARKSPRING LN, BEAVERTON, August 30, 2018 at OR, 97007 9:18:13 AM Record Type: Record ID: Residential - Master Permit MST2017-00521 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 60 psi Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16874 SW LARKSPRING LN, BEAVERTON, August 30, 2018 at OR, 97007 10:40:40 AM Record Type: Record ID: Residential - Master Permit MST2017-00521 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