Permit (210) CITY OF TIGARD . r MASTER PERMIT
COMMUNITY DEVELOPMENT ,
..0 Af-- 00 "INF`; Permit#: MST2018-00004
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2018
Parcel: 2S106DB02500
Site address: 13409 SW BEACH PLUM TER Jurisdiction: Tigard
Subdivision: RIVER TERRACE NORTHWEST Lot: 25
Project: River Terrace Northwest, Lot 25
Project Description: New SF. 2/28/2018: REPRINT permit to add 160 sf deck.
BUILDING
Floor Areas Required Setbacks
Stories: 2 Bedrooms: 3 First: 948 sf Repaired
Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1130 sf
Garage: 380 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf
Right: 3 Detectors: Yes
Total: 2078 sf Value: $262,779.60 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1
Laundry Trays: 0 Rain Drain: 1
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Urinals: 0
Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 0
Water Lines: 100 Drains: Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 0
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
1000 sf or less: 1 Branch Circuits
0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0
P 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
Other: N Other Description: All
Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use:
Type of Constr: Occupancy Group:
NEW SF VB P Y SquareFeet:
R-3 2078
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 GeoTech report required
before foundation inspection
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $33,029.40
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: �' i.� • i� �/614/
C Permittee Signature: e9-77`;
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.
liAllCity of Tigard RECEIVED
" COMMUNITY DEVELOPMENT DEPARTMENT r_E b 26 Z 0 j
T 1 G A R D Building Permit Review — Residential � ' G !GARD
/ENGINEERING
Building Permit #: ____/"Lc"
Site Address: /39'o f Sc-t) .!3 -7--4'-‘;'-g ,4 p 727e...
Project Name: / ./1//&----/-4, 7&/24,1e&--- / / 7_
(New dwelling=subdivision name;Addition or Alteration=last name o ounLot #: r��`
Planning Review `,- ,� /
Proposal: -eta 'c- ',`2 c�8 �e .L /2
/flerir site address/suite#exists and active ine
p rnut�stem.
River Terrace Neighborhood: 0 No1LI Yes,See River Terrace Review Addendum Attached
t lan Elements:
1;10/Three(3) copies of site plan 10
VJ to plan mustg structures on site
he on 8-1/2"x 11"or 11 x 17"paper ',Footprint of new structure(including decks)with finished
7-1101 t.yawn to scale(standard architect or engineer scale) fl.or elevations
/ orth arrow ,
111 tility locations&easements(required for new and additions)
,/,_,,j�to address,project or subdivision name and lot number %Sidewalk/driveway approach
YJ .plicant information(name and phone number) f 0 anon
of dimensions and building setback dimensions stof wells/septic systems
ing trees to be retained with drip line,and tree
are footage of buildings to be demolished
L t area,building coverage area,percentage of coverage and t$e et,protection measures
pervious area(applicable if-R-7,R-12,R-25&R-40) Street entames
size,type and location
roperty corner elevations (2 foot contour lines if more than >1,000 Yes
4 foot differential) 00 sf of impervious area created or replaced? VJp
If es,is a storm water .uali facili shown?, 0 es V
lean Water Services-Service Provider Let (lot platted prior to 9/10/1995 :
wean
✓{,�
Required: 0 s,applicant was notified No Received: ) s of
a
Public Facili ' s Improvement(PFI) Permit: ❑ Ye0 No y�,
squired: Yes,applicant was notified 0 No Applied For: Yes P>0N2On— r l/
-� No,stop intake
Land Use Case#: Ahi2Q-e)/s- - Q �,
�' oning: /2- (Pb)
equlred Setbacks: Front 0 Rear /U Side ... Street Side _A-Garager 0
/Landscape Requirement: ,20 %
,......-V/Lot of Coverage Maximum: go oho
AI Building Height: Maximum Height g t Actual Height �_
bl�Jisual Clearance i�
.`ensitive Lands: 0 Yes 0 No
y V Urban Forestry Plan Type
❑ Conditions�" et prior to issuanc off uil ' g permit
Notes: ( �1 GC/J�?7rI-$ `
Approved By Planning: _
,/ Date: 0 g
Revisions (after Building Submittal only)
Revision 1: .a�A ie er Date
pproved ❑ Not Approved -- '. /.-- 6 /F-
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\Building\Forms\BldgPermitRvw RES_061417.docx
Y
Y r
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: ❑ Enter building permit#above.
Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review)
Route Application Documents: 0 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,if applicable,etc.
Notes:
By Permit Technician:
Date:
Engin ring Review
Slope at building pad: 0(5) 74O
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
ter Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes -ErNo
Assess Water Quantity Fee in-lieu: ❑ Yes --ET*No
LIDA Facility on lot: ❑ Yes `-Ef--No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: I�,�,", '�(if/
�G� `.Qi-- Lc, Date: 1/8/$
Revisions (afte B ilding Submittal only) jk.cReviewerRevision 1: Approved ❑ Not Approved D to
Revision 2: ❑ Approved ❑ Not Approved 2. 8
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:
DC Fees Entered: Wash Co Trans Dev Tax: ,n yes ❑ N/A
Tigard Trans SDC: r� es 0 N/A
Parks SDC: b Yes Cl N/A
LIDA ❑ Yes N/A .,,/2-3)r
.It�K to Issue Permit /
Approved by Permit Coordinator: f I Cf 1
�/ / 4 Date:
:\Building\Forms\BldgpermitRvw RES 061417.docx