Permit (103) CITY OF TIGARD MASTER PERMIT
1 COMMUNITY DEVELOPMENT Permit#: MST2017-00480
T1(.;A I<I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/13/2018
Parcel: 2S106AD06200
Jurisdiction: Tigard
Site address: 12958 SW RIVER TERRACE BLVD
Subdivision: RIVER TERRACE EAST Lot: 169
Project: River Terrace East, Lot 169
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 1744 sf Value: $222,971.82 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
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0
Bckflw Prevntr: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 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'l 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
1744
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Fire Rated Eaves-Both Sides
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175
STE 1
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $32,205.27
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.
Issued By: _g ���� i 6""` � Permittee Signature: ?5 t� C6e-e/
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.
•
' Building Permit Application Z.— U (..-
Re-ildientia1
," , - , ,1°, -0 FOR OFFICE I SE ON Ll
t,5,„„,,#`„ 1 Received 7
City Of l Blvd.,
Date/By: [f Tn / Permit No/be ST) /� 7_/1�)yA
13125 SW Hall Blvd.,Tigard,OR 97223 (t7 2017 Plan Review �/` I vV
114 I
p ^ ) Other Permit: �]/J3 9 z
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: r�-o� � 51, /2..-t.43
��'w /� J
Inspection Line: 503.639.4175 Date ReadyBy: �i y�� Juris. H See Page for
1 I C -�( IP NotifiedJMethodfp��d �/ Supplemental Information
Internet: www rigazd-or gov s"� L ft C t E—
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®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
,,. y - ,-.. w °° ., work indicated on this application.
Valuation: $ 11
® 1-and 2-family dwelling 0 Commercialfmdustrial 11-5-79----41
8 Number of bedrooms: (-6 ��31 f` 63
❑Accessory building ❑Multi-family
--- ❑Master builder Number of bathrooms: 3
`
❑Other: ./
_ `' Total dnumber of floors: a 7
Job site address:f 2 SW River Terrace BLVD New dwelling area: i Lit/ square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 23 square feet
Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: ZZ I square feet a 9
Cross street/directions to job site: •Beelcarea: i 6 square feet$ 05
Other structure area: square feet
Subdivision:River Terrace East Lot no.:1 UPI 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
¢ .'"iii,i14i1;. > work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
:' '.1- * :4„,„'7' t Number of stories:
� . a ,
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:
a.
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:Nichole Thorpe
FLS plan review fee(if applicable):
Address:703 Broadway St Suite 510
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Amount received:
Phone:(360)695-7700 I Fax::( )
Commercial � �� �� � �
E-mail:Nichole.Thorpe@polygonhomes.com
and residential prescriptive installation of
9' s 7,4 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:703 Broadway St Suite 510 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: $201.60
Authorized signature:telk4„--(1?„,,re This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Nichole Thorpe Date:8/23/2017 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
,
Mechanical.Permit Auplie-a,•t?---.. ,(_-, icr
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City olTigard ed
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II 13125$W Hill 1310.,Tigit4.OR MI JAN 11 20th Plan Review ... .. . .
' 3 Phonin 503.7182439 l'*!503498.1960" Dateilly:' . Other.Parntili
iRSIRMI,ion LOC; 501.00.4t7. ..-‘/-rt i rt i'..: f i f.:4 OAr1) :Dal*noslyttly. -saw 1 Ea See Page 2 fur
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Internee www.tigard4r.gt* .„. e,,.--,Ni Notniedrsiethod. Suppiemeatal Infect:widen
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BUILDING 1,:)1‘11,/;(.,. , , . _ .
'-;:,,.••-...K4F.,!..,tzT..gp_c:i14i,f,im.:'',:,N,.:.:nZ,Vki*Ots800755,I.:,1,t7ii.:40.7:A5lagtaigaluegr, `:',;?:zeoloilitait,.,,..,..,,...,,, ..,,itt_tis.,..,iti.j„ii..t.i,,i4., .,7„.,i,iitt.,,,. ,,,...,...etok,... _ ._.. :-.. .._
„,..- • • -'-- •-• - .- — • -.- • • -- ' .- - - . - - Mechaninal permit fees*are'based on ihe value of the work
lallt New construction 0 Additionlikerationfreirleunnetn- parkrmed.Indicate the value troueded to the nearest dollar)of all
0 Demolition' 0 Other- tileatthiCal materials,equipment,labor.overhead,and Profit
*--.V8Tx:0041:401t t.PMANologcluzlg,:..-a::;,_,I,,,-,14-w.:-.N.:*-q,;-.1!.;
_ -
0 1-and 2- tinily dwelling 0 couperetatrinchistriat 0-Ucessimyt4iiiding , _ For arida!kfisrmation toe I:heck/La
123 Multi-farnily 0 Masiq bui4ter 0 Othcr;: Deicripii3n; . Qty. I Ea, Tont-
IkatiOrtioillog-
-,' :.*K::.00:1144:1*.t:00:::**71:4*Sirat'irit1ffMr - . : • - - - - 1,- •
ikir iiinditioning- 46.75 . • .
. .
Job site addrcSs": lot se, sw Rweir 7 onerece... bWID Parikee100.400 BTUidtietifvenii) 46.75
City/State/2V:Tigard,DE 97224..,. Finlike 1.00.000-t BTU tduessiteenti) 54.91
Beat pump 61.06
Suiteibldgfint no.: Project i'lltt*:pikfer 1-e reaCe-Ect.,st Duct mor1( 2332
.....„.........
..... . .
Cross street/directions to job site Itydroaio hot water*tem _2322'
" . " ' " • Residential bailer(radiator or
hydroirie} . 23.32
.... . • • Unit hearers(fbel-type;not electric),
„ 0(..weiit4oel Fospeoded_eld, u 46,75
. ... _ , ., ,
-. Flue! (* .
IOW of above 1 • 23.32
.
Other 2332
Stanlitision \itr---re,„prekte...,..Eas-i-- Lot n&: OCI
... .
.. .. ... " Other filet&minutest' -. ... .,... , -
Tax map/parcel no.: Witter heater , 23.32
•;.`„.,..7g5,;;;;',";;,,:,„,g:grkt:;!-..t ::: ..NK0004004.,;*•,:ii.4i,iii46;',-,.1-:'. .-1412it.: 641:::!',1g ;!n.:4 Cdk*41'r-3*e/hist° • " I. 33-49
- nue wmit for.water beater or gas
fireplace: 23.32
Log liginer(gns) 2332
- Wood/pact stow - 33,39
Wood fireplace:Amen 23.32
•• .,Cititnneyilinertflueivern 23.32
2332
Eili.r84BI{ti:litiii,404.;T i..;.:r..-,':: 1:..'"'i'•,'::+".'''.::-;,:i:.:f-;'.;.itr.:..'itii.tilit ..."-N:= 1,? !..1y±,:,14•-•.7. 6tlier
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4arleLiaDyla_LcurIci , Ran&hoodiettbes kitchen
t
-equipment 3339
Address:71 kp 00 'E. .Ookk /RAincel c2...octQl
Oodles dryer old-must 1 33.39
City/State!ZIP: Srb.ketSrici le •tet.-1, (2s)b-LSe) Singlo-dloS exhagsa(bullo9oms, Lk
ta8m.CuttaisitrnentS,utility foetus), 2312
P"(In (poi-til Li-Lik)- L . F82r:( ) Attie-km*10mm fans ,, , 23_32
L:!-. ;.i..; :'•1.;;:-'10:ON.401. .%/1$(0iii • ''::.:..!:: Other 2332
. .
• Fuel PiPlea.
Business name: WI Wiritxyl \\I)tyllle.ttomes xv.,,, v_
814.15 Tor&at roar:34.03 far-each additional
Contact name:aidstAbe1)a — Furnace,ete, .1 ,
Gas hest , -
Address:-ID?,0 rbrylipsnii sk_ stuke.„sD ,
Wallisospended/unit healer
CityiStaletZIP:Vancouver,WA 98664 Water teat& .
..
. .... . . . .
Phone:(360)6954704 Far.:(360)653-4442 Fireplace 1'
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E-mail- NI le,hot.e_ , I.t a r t.f. !b bt • , hCives• cbm Etioi..... •
• :,'...,,w,i,:,,::„:•.5-...,:.i .,;A:::u•;.,.:50,,,,,, ,z4A!,,,•:to.": ., •. i;:-.:- .._,:;:;,,..:•,•,:z.i:„.,-;•;,,f.:co , ,5...E.;i4- ,. .ciothes d, ,,(g.)
oth., .. . .
Business name:Apex Air LLC.
. - - q *444 :C00,11t-.1-#.00':%:-.,-:-',.';',.. ..,-.?'.
Address:18001 NE Ted ANT 811:Metal
C;itY1StaiCraP:Vancouver,iiVA 96686* Minimum permit fee 496.00
- ,
Pim review fi.19h effermit fct)
none:43603424109 Ft=-(360)326-1769 • State-surcharge(12%Opel**fee) ' .
dizo ..._,......_.,
' '
CCB lic.:203034 iTOTAL PERMIT FEE
—
-- • - - TIt6 permit application expires Ira permit is not obtained within tie
day&after li has been accepted as complete.
Authorized signature' ! Fee methodology set by TO-County Building.Industry Service timid
timid.
Print rsamer. IL.-- .D. 4.//.(4.
fltaittfirgavtaitaine)ermitaaa a40113 doz 471S46117 0 irocOmnetatt
FrFiVF:1-')
i 1 City ofTigard DaTgyed, Permit ll: /?5'420/7—‘04/ke
q 13125 SW Hall Blvd.,Tigard,OR 97223 JAN11 ?-018
114
Plan Review
Related Pm-mirk.
; II Phone: 503.718.2439 Fax 503.598.1960 . „, . s,;, Date/By:
.T,i,t.,Ts Inspection Line: 503.639,4175 CITY oF ! If.....7./Art ) Ready Date/By: Slat I Uf See Page2 for
''''''''''''f:,, Internet: www.tigard-or.gov sup -mr, nr,10:::,„;c:F\ Notified/Method:
j Supplemental Information
?.*i'-.AgRatiaNicraffigiii*Wilig.'ssiglizi`ah ,A.-Z:5T'MiRtil.151:::i't: MISSEMMER2710.i 7- !'
CI New construction 0 Addition/alteration/replacement Please check all that apply(submit sets of plans widen*checked):
. °Service or feeder 400 amps or niore 0 Building over three stories.
0 Demolition 0 Other:
where the syllable fault current 0 Marinas and boatyards.
Tiiii,..F.VGargigantrailatneatiblikaap:7::...-V-14:;;W:taittii:fi''':Vin..itrV..., exceeds 10,000 snips at 150 volts or 0 Floating buildings.
IE I-and 2-family dwelling 0 Commercialrmdustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. •buildings. 7
0 Multi-family • 0 Master builder 0 Other:
0 Eire pump,
0 Installation of 150 KVA or
NOR.'.;;T:Miggir14:0441WAWilltit#10,14140.1:44, It*:1.M.1 ..: •:::::03:; "' 13Emerie'Y system. larger separately derived
I:Zeno:3c::motor load of c-
Job fi: I Job site address:12A c,0,3v,i pive,r -reircve,
1:17Ass't,en:En. ,1-2","1-3", r
City/State/EP:Tigard,OR 97224 gilt Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehiole parks.
Suite/bIdg./apt.if: I Project name:RiveAr-rt rroce_ Earl. °Hazardous locations. 0 Supply voltage for mon3 than
0 Service or feeder 600 amps or Mom, 600 volts nominal.
Cross street/directions to job site:
anAlPiA'IP.4'-,M54:, 11,50K(':,3014P-:::::::1:W1.;':i
Deccri..on 17110.2-!'iallEtlial
New residential single-or multi-family dwelling unit.
Subdivision: 12.1VeJr' rarrace- pas+ I Lot#:4001 includes attached garage.
/,000 sq.ft.or less MI 168.54
Tax map/parcel It.
, Ea.addl 500 sq.It.or portion CB 33.92 El
itwapykRatwx.Rizvi-,45000461,1-okilkookei-i.::,:!ivit-i.:kw) :: : ;_. Limited energy,residential
with above s..ft. III 75.00 a
Limited energy,multi-family 1111
11
75.00
residential with above
D See l' •e 2 Ill
FASSA1171:0:0;114-16.-:2: rik.:';':ANAMIWROSIOA:(tiktreg44KM*4% Sences •feeder-s installation,alteration and/or relocation
Name: ANL LosIrt tip tangs ,LLC. 200 amps or less am 100.70 13
Address:ilo00 E Doable:bre-0_1 ganckl 2v4 201 amps to 400 amps Ell 13356 Mlle
401 amps to 600 amps all 20034 Ei
City/State/LIP:'Setriiscia jai kat'21 BS'?GC;
601 amps to 1,000 snips 111111 301.04 13
Phone:U01.-oci4 -14 a's Fax:( ) Over 1,000 amps or volts MI 55226 MEW
Temporary services or feeders installation,alteration,and/or
Email: . • it:- 1 kt /.1.& a•Ati- relocation
Owner Installation:This install: 'leis .00 g ma• - en property that own which is not 200 amps or less 11111 59.36 El
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps al 25.08 Eal
Owner signature:
Date: 401 amps to 599 amps lig 168.54 El
t.:, .411.k--7,414dgier:Hyszimicixg-rap_ma wilifromokolccio,:izi Branch circuits-new,alteration or extension ,er auel
F-- J.- - - --i.,,, ,4•*0-6-- '..-1-.-vv- 4'- ,...., ‘ -—• -- - • -wr•,- •-1!--5',' A.Fee far branch circuits with
Business name:W 11 I I am i 4 tin 14troes RyNc... above service or feeder fee,
each branch circuit ME I
Contact name: ikj ichnterl-VItorpe- B.Fee 55r branch circuits without
service or feeder fee,first
Address:103 13/(00‘CLIAXII Si- &kiht-. S-t0 branch circuit 56.18 111
City/State/ZIP:Vancouver,WA 98660 Bach add'I branch circuit IIIII 7.42 El
IVIlscellaneons service or feeder not include
Phone:(360)695-7700 Fax::(360)693-4442 Bach manufactured or modular
III 67.84 - El
,i
dwellin: service and/or feeder
Email: A ' i i 1.111: A OA , air a ii•-illi.:_ k la Reconnect- only all 6724 MED
Ptunp or irrigation chtle III 67.84 El
Business name:Garner Electric Washington,LLC
Sign or outline lighting In 67.84 El
...
Signal circuit(s)or limited-energy
Address:402 Valley Ave NW Ste 106
- . 0.e alteration or extension. 0 See Page 2 IIIIII/
Each additional ins.action over allowable in an of the above
City/State/Zip,Puyallup WA 98371
Additional inspection(1 hr min) 11111111103231 IIII
Phone:(253)872-6051 Fax (253)872-1801 investigation(1 hr min) MI 90.0W hr MI
Email:
Industrial plant(1 hr min) ME 78.18/hr IIII
bdaniels@gweusa.com
Inspe,ctions for which no fee is
CCB Lie.: C1158 I Electrical Lic.: 208174 I Suprv,Lic.: 4496S ,.ait ; listed(34 brmln 1111 90.00/hr II ,
...._ .. .
:tql.i0•1;...&d.t.t;,...:71.t.: ..i2M,--(:Iirt
Suprv.Electrician signature,required; t1.1. if At , ,11h,_, . - •
Subtotal: 11.IIIIII
Print name: Joan P Albert •• I Date: 0 Plan Review Required(25%of permit fee:
<-•
State surcharge(12%of permit fee): IIIIIIIIIIII
Authorized signature: /11e0",-*"..."."------- TOTAL PERMIT PEE: MEM
--------_______ This permit appall flan expires If*permit is not obtained within 180
Print name: Bill Daniels Date:
days alter it has beast accepted as complete.
-----..—______-- ' Number&inspections allowed per permit.
kNeuildhOormitaiga.0 Permltapp ELR ERE.doe Raw 05n7/2015
4406m ,
r
Plumbing Permit Applicata . w
Building_ Fixtures •
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14 .
City of Tigard: J 12 01 Remc i7- ,Jy6C►
13725!SW hall Blvd.,Tigard,OR $7223 DatetBy: Pennitxo.
• >1 Phone: 503.7182439 Fax 5035 R,-,,,,Ai-to• -~ Plea Review
Inspection Line: 503.639.4175 !' ; �.DataBy QtbcrPermitAlo»
7lGnRD I`t � � t
Internet www tigard.or goV B U I I..D I"L -A �.I t g !O ]Datexeadyrfiy rum See Page z for
� E xotlseaoa s
�`3*F -.tF `"{"s'r-' 1 "�i li ii . fil fatal nPor
s ,.. t1A x rs.:ZIN 4 et. �_... i�fi 5c.4AElft-A4,4 r alrrx 11:t T V4ta4 ,. 4,y, * "'Z� t �� mat QH ty-'7_ __
'.. N ...;..� ��":4....L:it.. .} .1_ i31 .N'4 .:.s.-�e.��V's ,1_ �'� [ ..,�;. r t ,h��,tY-' ri��:n
R New construction.: i�l Aemolition
For sp�irrtinjormation use clreckirst.
0 Addition/aiterairontrepIaeetnettt 0 Ctther Description L Qty. ! Ea i Total
New 1-2 fandly daidlings(includes 100 it.for eachutilit3•aontieetion)
:t,2.-' i,x; ,'�'"�.'; 3*'1 5* 1 Ms, ..a:.0 .SFR(1)bath 312.10
®1-and 2-fauuly dwelling ❑Con mercial ndustrlal. SFR(2)bath. 43.7.78
❑Aetessory'buildiing Li Multi- fAmily
SFR(3)bath ( 500.32 `+
❑Master builder 0 Other:
Each additionalbath/kitchen 25.02
Fmsp__kler
( -sq.ft.).
Page 2
zithi, g; �3t f 'i[lo " er q s ' S1tenHUtieaf
ob site address ,7°1SIPISVJ \ave-i+e1cdtce. Catch basitfor arett dale '18.76
RqD •D !,leach lite,or trench diain. 18.76
City/State/ZiP:.Tigard,0497224
Stritte/bI Footing drain(no.linear ft.:,) Page2
dgfaptno.: I Project name: (RiverTe.rrace. yas+ 'Manufactured homeuttilities •
S0A3
Cross street/directions tojob site: Manholes
18.76
Rain drain connector 18.76
Sanitary sewer(na.linear ft•:'_): Page 2
Storm sewer(no.linear ii•.:_J 1 Page 2
Water service(no.lineal:_,_.,j Page 2
Subdiviaxor RIVe r' TGY n ee j-- ( Lot no.:l ) Future or item(
Texmap/parasi no. '. Backflow preventer 1 31.27
�.- .-i . 11/`",..N!_,.._. - .. .. � . , om..: rn -n _w,:;' BackwaterVal :
12.51;fit t t. r M4 ;Q r O YV9R1 ' 4 r � 't' �
Qatltes warier 402
Dishwasher 25.02
Drinking fountain 25.02
ri •" `a 3? K i ri �_r`-<, ti's'"`:``?. ;• ittl Zle"' A` Expansiion tank 1251
Name;ADVL Land Holdings,LLCFixttrre/sewer cap 25.02
Address:7600 E Doubletree Ranch Road Floor ge disposa sinklhub 25.02
Garbage disposal 25.02 .
City/State/ZIP;Scottsdale,AZ 85258 Hose bib
25;02
Phone(602)694-4031 Fax.( ) Ice maker 1251
_w
a '_.e.gal;'''pPl{Y iii `r . :...,. a itglAt '�1tr .�P SplikiN �/ a tap 25:02
Business name:William-Lyon Homes,Inc Medical gas(value:8 ) p 2
Primer 12.51
�j
Contact name: iOholc:fl pt-k
Address: p?J Qom~ �T yam, Roof drain(commercial) 12.51 .
•
VC fk�s�a s+ su lac.SQ Sink/basin/lavat iy 25.42
City/State/EP:Vancouver,WA 98641 Solar units
(potable water) 62,54
Phone:(360)695-7700 -I Fax':(360)6934442 Tub/shower/shower pan. 1251
E marl k ► I I 1 /I. 0 i Urinal 25-02
z Na �€�" 4i� A $ ge a 6►�-_ 0,ah _ Water 2502
/�► � i, " i' water heater
37.52
Business name; ( ..j 1 . --Sr 7,it _- Waierpiping/DWV .
56.29
Address: P..(1. 6-0p q , • Other. T 2${12
CityJState,Zii�: 5T' l`404 ( rc. ci1�1 subtotal
Phone::{ b3— ...I4L Fax 11 V--14' —ir 1
Minirnwrz►.Parma fee: $72.50
•CCB Lie.: i0,_ Plumbing Lie.no.: C# Pisa review(ZS!Y..of permit fee)
Authorized signature: 'ilay a y ,+..� r State surcharge TOT(12%AL
PERMIof T
EE
p �"'""" TC3TllL PERMI'1'•F.EE
Psiitname: -f:Ut Wk.e._.,._ Date:3-3b.►i.b This permit application expires ifa:Pearnttisnot sbmiaedwithin Ili :da}n
after it beg been accepted as congskte..
*Fee methodology'set by Tri-County Building Industry Service Bond.
taaad ea rafteExadtr-ertud app.aoc i4/o1/09 44o46i61i1D/re cQwwas)
City of Tigard
1111 M COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A R D Building Permit Review — Residential
Building Permit #: At s7(J/7 • Od O
Site Address: 1 9'62 5 R ve-r 'Te,^rata
Project Name: 'g;ver T ' - . E„ - F-- Lot #: i �7
(New dwelling=subdivision name;A dition or Alteration=last name of owner)
Planning Review
Proposal: /)%v3 . ' F�'
Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ No -Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
,'Three(3)copies of site plan ,xtstmg structures bn site
,ite plan must be on 8-1/2"x 11"or 11 x 17"paper footprint of new structure(including decks)with finished
,��/DDrawn to scale(standard architect or engineer scale) floor elevations
J�North arrow •l6tility locations&easements (required for new and additions)
-El<te address,project or subdivision name and lot number E Sidewalk/driveway approach
licant information(name and phone number) ells/septic systems
of dimensions and building setback dimensions .DEX+_ tt g trees to be retained with drip line,and tree
et of buildings to be demolished protection measures
Lot area,building coverage area,percentage of coverage and • Street tree size,type and location
im ervious 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? 1<es ❑, NNo� I,,
4 foot differential) If yes,is a storm water quality facility shown? ❑Yes ril o G�-�+t-
ean Water Services-Service Provider Letter of platted prior to 9/10/1995):
equired: E Yes,applicant was notified No Received: ❑ Yes ❑ No
Zif Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notifiedNo Applied For: ❑ Yes ❑ No,stop intake
Land Use Case#: Ti)jR 0 16- 00601
Zoning: g-7 (Pb) 1
Eil 'equired Setbacks: Front i Rear 0 —
Side `" Street Side —•- - Garage
d Landscape Requirement: 't7 /o �/
Lot Coverage Maximum: FO,
0/0
Er Building Height: Maximum Height Actual Height
1 Visual Clearance �/'
Sensitive Lands: CI Yes No Type
Urban Forestry Plan
onditions "Met"prior il to issuance of building permit
Notes: Co il(Y.`-F j,,,n s '7J Cie Yn e f /),-.'e .- /0 isS.cfc,1 c-e
Approved By Planning: 6-- ( �/ Date: (l/,p •1-7 /' 7
Revisions (after BuildingSubmittal only) Reviewer l ate
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_061417.docx
iP
Building Permit Submittal
Original Submittal Date: ` ' 21/
Site Plans: # 3
Building Plans: # l7
Building Permit#: nter building permit#above.
Workflow Routing: Planning engineering C ermit Coordinatorilding
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.
P.—Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: �� � ,` �,A _ t���_, Date: /1/2-,F7
Engineering Review ✓
CVSlope at building pad: / //d
❑ Conditions "Met"prior to issuance of building permit Cohd,lattp,5 aft inf r
g E ements (encroachments)per engineering conditions of approval and plat
Ly'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yes t No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: El Yes No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date: j2/7/17
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved El Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: El Approved ❑ Not Approved
Permit Coordinator Review
El Conditions "Met"prior to issuance of building permit
pproved,NOT Released: Date: Z/�?/� --
Notes: % ,/ ./ ` ..,�`Yv� � 'v
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:
El SDC Fees Entered: Wash Co Trans Dev Tax: Yes El N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes 1/A
< K to Issue Permit
/
pproved by Permit Coordinator: I Date: .27(/*/ Y
I:\Building\Fonns\BldgPermitRvw_RES_061417.docx
City of Tigard
14 4
COMMUNITY DEVELOPMENT DEPARTMENT
T l G n k D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: C 9 5F S R r ve-r ite,,.0 e R/ivr
Project Name:
: ver i ro r.^q r°-e 1=4 s 1'— Lot #: /6,c
(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?�s ❑ 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
ft. deep min. 2ft., 5 ft.wide min.2 ft., 6ft.wide Gabled dormer
21 0 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: C,(, 9
3.E Entrances:At least one entrance must meet both of the following standards:
,Ll Max. 8 ft. setback from longest street-facing wallar�el to street,angle no more than 45° from street,
Entrance opens to a porch: Yes 0 No or open onto porch
Hiss,all the following apply: SLI 25 sq.ft. min.
street facing entry 12 ft.max.roof above floor of or
5 ft. depth min. ,� porch
. .SU"/o min.porch roof coverage
4.D ailed Design:M 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 entryarea min. 5 ft.wid
❑31-all offset min. 16 inchese x 2 ft. deep
❑ Dormer min. 4 ft.wide
Roof eave min. 12 inch projection 0 Roof offset min. of 2 ft.
❑Roof shingles either tile or wood
,-EG ble,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. r0Horizontal lap siding min. 3-7 inches wide
❑Accent siding min.40%of street facade �I Window trim min.2 1/2"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 façade
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 0 No. If No (Check one):
EilVIay ex d up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
trlay ex e p 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)
-E9 I2-foot-wide garage door ❑ 40%max. of street facade
0 50°moo ni A. of street facade with 7 detailed design elements
Notes:
Approved By Planning:
„jr %/ Date: (1�7�t�
IABuilding\Forms\BldgPermitRvw_RES RT_062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12958 SW RIVER TERRACE BLVD,
BEAVERTON, OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00480
Inspection Type: Inspector:
199 Electrical final Jeremy Burrows
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12958 SW RIVER TERRACE BLVD, July 30, 2018 at 1 :13:06 PM
BEAVERTON, OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00480
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
Ac installed.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12958 SW RIVER TERRACE BLVD, July 31 , 2018 at 10:05:08 AM
BEAVERTON, OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00480
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