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Permit
FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to yourproject. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT IN “ Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATEAt /1_1 V ED DEPT: BUILDING DIVISION JUL 1 3 QOM FROM: --70..;J� /91772-R; S CITY OF TIGARD BUILDING DIVISION COMPANY: �jq�,/(,p712 /TJt I S4:► ' PHONE: cl-I / `JJ `'Ji GI 59.5 By:___ RE: 16841 5LU 5 .v►strri( ING DIV/116-1"- 0( 6rO ( / ite Address) Th (Permit Number) os -,� i C. 49T lel /2-4.---7:/-6-y 7-0 / s.te - (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): .,,_51E- -e77" - „t44-62) iii/ - & }tet 44-Ax.9-77 i "I / REMARKS: /°644-A4/01"/6-/6- )2. 77,6.71) A/O T /? '.L . f &---/4---- i--/ -._G/ 4 -.Crti, ' , FO OFF CE USE ONLY n� Routed to Pe 1t Technician: Date: `7 7.......02_,0 Initials: 4 Fees Due: Yes ❑No Fee Des 'ption. Amount Due: lk f)tpr\ (-2/LAN-CA $ 4-tS - i- $ Special Instructions: Reprint Permit (per PE): ❑Yes I YI No ❑ Done Applicant Notified: 7-0 N.7- Date: ,/7/ Initials: 406/ I:\Building\Forms\TransmittalLetter-Revisions_061316.doc / i ZEyi — OO'c?/ RECEIVED /6,ew JUL 13 2020 CITY OF TIGARD BUILDING DIVISION Plan 3410 • Furnace now in attic-old furnace room in garage converted to water heater room • Fireplace different dimensions • Windows flanking fireplace reduced in size from 2-6 5-0 to 2-0 2-0 • Great Room rear-facing windows converted from 3 individual windows into an 8-0 5-0 XOX (this would be same for daylight basement rear wall window also) • Exterior door leading to patio off Great Room converted from swing door to 6-0 6-8 SGD.Patio-- , o ,n -two Sbz �TM-('L r✓`7`lfY1- . 6-do • Master Bathroom full wall between tub and shower converted to glass wall above tub platform • Master Bedroom rear-facing windows converted from 6-0 5-0 SL to an 8-0 5-0 XOX • All reed glass removed t Dianna Ornelas From: Tonja Morris <tmorris@taylormorrison.com> Sent: Friday, July 17, 2020 11:04 AM To: #Building Permit Technicians Cc: Agnes Lindor; Lina Smith Subject: RE: Roshak Ridge 129 - 135 changes Caution!This message was sent from outside your organization. I just confirmed with my field crew, only I s 129—131 „wjikhave decks. Please remove the patio language from the transmittal letter for these lots. I will obtain &submit new plot plans for lots 132 & 133. Please leave their transmittal letters as submitted. Thank you, Tonja Morris Construction Coordinator Office:+1360816780D Email: tmorris@taylormorrison.com www.taylormorrison.com This message may contain confidential information and is intended only for the named addressee. If you are not the named addressee you should not distribute or copy this e-mail. If you have received this e-mail by mistake please delete it from your system. From:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Sent: Friday, July 17, 2020 9:47 AM To:Tonja Morris<tmorris@taylormorrison.com> Cc: Agnes Lindor<agnesl@tigard-or.gov>; Lina Smith <LinaCS@tigard-or.gov> Subject: RE: Roshak Ridge 129 - 135 changes This message originated from outside of our organization Tonja, For lots 129-131 I confirmed that we have the added decks and revised site plans on file, however for lots 132-133 we do not have bulletins or revised construction plans or site plans showing decks added. We will need all of these items for lots 132-133. 1 CITY OF TIGARD ° f' 7T17, ' MASTER PERMIT COMMUNITY DEVELOPMENT 25-/2te 4,0 Permit#: MST2019-00184 T I a,\R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/15/2020 Parcel: 2S107AA13100 Jurisdiction: Tigard Site address: 16841 SW SUNSHINE COAST ST Subdivision: ROSHAK RIDGE Lot: 131 Project: Polygon at Roshak Ridge, Lot 131 Project Description: New SF. 2/25/21: REPRINT to add(1)lay to primary bathroom. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $270,151.90 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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: 1 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: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 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: 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 2078 Owner: Contractor: POLYGON WLH LLC 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 1 Hour Fire Rated Eaves 3 Geo Tech Report Required Prior To Pour PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $34,288.29 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344, Issued By: Permiftee Signature: -727 /G.f C19—%!C9 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application ' Building Fixtures FEB 2 4 Received //�� City of Tigard x,Ac � Permit a 13125 SW Hall Blvd.,Tigard,OR 97223 Datelfly: = Plan Review Phone: 503.718.2439 Fax: 503.59$.1960C'�TY OF '` Date/By: Other Permit No.: T I G A R I) Inspection Line: 503.639.4175 BUILDING Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction 0 Demolition For special in ormation use checklist. - Description I Qty. I Ea.J Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONS FRUCTION SFR(I)bath 312.70 ,1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building }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: Job site address: 16841 SW SUNSHINE COAST ST Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg.apt.no.: Project name Polygon at Roshak Ridge 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 ft.:^) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Roshak Ridge Lot no.: 131 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 5th lavatory added after plan review Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:703 Broadway St.,Ste 510 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 :4 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Tonja Morris Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/bas, avatO t 25.02 r City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:permitsubmittals®polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water piping/DWV 56.29 Address:P.Q.Box 92 Other: 25.02 City/State/ZIP:St.Paul,OR 97137 Subtotal Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: $72.50 _ CCB Lic.: 184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: �y i._.... `�-.. TOTAL PERMIT FEE Print name:Steve Fowler Date: 10/30/20 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 Seri ice Board s.ta-:u:....ko.-,.,».ins en I_o.r.,.;i e...,fine I nmlen 446-4616T(t&o2rCC)M+WE81 ' RECEIVED Mechanical Permit Applicatiofl4Ay 16 2019 1 oR OFFICE USE ONLY City of Tigard Received d Permit No.:/fS7 )i9-00if y 't 13125 SW Hall Blvd.,Tigard, OF TIGARD Receive II $a ,OR,4] nPlan Review Other Permit: Phone: 503.718.2439 Fax: 503.501 DING DIVISION Date/BY: TIGA RI) Inspection Line: 503.639.4175 Date Ready/By: tune: IPI See Page 2 for Internet www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF %%ORK COMMERCIAL FEE* SCHEDULE— USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I S'ISTEMS FEES El.I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. i Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: t,t ,,,'\\ C /� Air conditioning 46.75 Job site address: I1, SU , I1�n 4t n E `�{ 1c- ST; Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Roshak Ridge Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Roshak Ridge Lot no.: l31 Other. 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF.WORK Gas fireplace/insert 33.39 ' C C - COI � fireplace Flue vent for water heater or gas �T I Iplacee 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33,39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:703 Broadway St.,Ste.510 equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/emwlspace fans 23.32 ® APPLICANT 0 CONTACT PERSON Other 23.32 Business name:Polygon LH,LLC Fuel piping: W $14.15 for first four;$4.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway St.,Ste 510 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:permitsubmittals@polygonhomes.com polygonhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Apex Air LLC Other: MECHANICAL PERMIT FEES* Address: 18004 NE 72'Ave Subtotal City/State/ZEE':Vancouver,WA 98686 Minimum permit fee(S90.00) Plan review(25%of pennit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERNIIT FEE This permit application expires If a permit is not obtained within ISO ._j--- days after it has been accepted as complete. Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board Print name:Tim Hay Date:04/08/2019 (;'Building'Permits,MEC PenaiiApp a40I13.doe 440-4617r(II/O'JCOM,WEB) • 'Ill Electrical Permit Applicatil EC ? ,r�.: FOR OFFICE USE ONLY City of TigardRecery ived Date/By: Permit :��� %�/CJ -� `�L/ lig • 13125 SW Hall Blvd.,Tigard,OR 9722.�/�AR 11 2020 Plan Review It Phone: 503.718.2439 Fax: 503 598.1960 Date/By: Related Permit I: Inspection Line: 503.639.4175 CITY( : Ready Date/By: Axis: El See Page 2 for TIC]AKD Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction El 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 ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑Multi-family ❑ Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 16841 Sunshine Coast St. 10OHP or more. ❑'A", E","1-z', 1-s", 0 Six or more residential units. occupancy. City/State/Z1P: ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bld /a t. Project name: Roshak Ridge ❑Hazardous locations. 0 Supply voltage for more than g• p #: El Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: - FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Roshak Ridge Lot#:131 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 ICI OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: Polygon Homes WLH, LLC 200 amps or less 100.70 2 Address: 703 Broadway St., Ste 510 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360 )695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:permitsubmittals@taylormorrison.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I 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 Branch circuits—new,alteration,or extension,per panel El APPLICANT I CI CONTACT PERSON A.Fee for branch circuits with Business name: Polygon Homes WLH, LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: Tonja Morris B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: 703 Broadway St., Ste 510 branch circuit City/State/ZIP: Vancouver WA 98660 Each add]branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360 )816-7800 Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: permitsubmittals@taylormorrison.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Portland Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 1915 E 5th St., Ste D panel,alteration,or extension. City/State/ZIP: Vancouver,WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 360)314-4915 Fax:( ) Investigation(I hr min) 90.00/hr Industrial plant(I hr min) 78.18/hr Email:paul@portlandeleeMe.biz Inspections for which no fee is 90.00/hr CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.: 49205 specifically listed('Vs hr min) n ,�_ ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: lyl.C.tX, Subtotal: Print name: Alex Shalya Da e: 3/17/20 0 Plan Review Required(25%of permit fee): Q ,. 0 ', L State surcharge(12%of permit fee): Authorized signature: Atilizt� "l�rwl .14, TOTAL PERMIT FEE: o (/ This permit application expires if a permit is not obtained within 180 Date:3/17/20 days after it has been accepted as complete. Print name: Sergey Mishchu k * Number of inspections allowed per permit. I:\Building\Permits\ELC PermitApp_ELR-ERF.doc Rev 06/17/2015 440-4615T(t I/05/COM/WEB Plumbint Permit Applicat' Building Fixtures r.,, f-.r 11111111 City of Tigard MAR 1 7 21720 Received Dane/By. Petnt No.t7,�% /7 DO 1 o f 13125 SW Hall Blvd.,Tigard,OR 97223 Nan Review jt. ' Pbone 503.718.2439 Fu: 503 5t189d0( Other Permit No.: Inspection Dina i-�503.639.4175 !'!r thtd� I, ,r h Utb ReadyfBy: lei @� See Pap 2 for Intenet www.tigard-orgov Notif ediHetlod: Supple.aeetal Informative TYPE OF WORK FEE' SCHEDULE New construction ©Demoinion Par special inforwatioa use cherkiist Description 1 Qty. 1 Ea. 1 Total ©Additionialteratiou/replacement 0 Other. New l-2-faintly dwellings(includes 100 ft.for each utilitycooaectiwt)_ CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 Tfit 1-and 2-family dwelling 0 Coaunerciallindustrist SFR(2)bath 437.78 '' SFR.(3)bath 500.32 0 Accessory building Multi-fatuity Each additional baddkioclra 25-02 ❑Master builder 0 Other: Fire sprinkler(_,r sq.ft) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job ate address 16841 Sunshine Coast St. Catchbasia0rareadtaim 18.76 CitylSaut :Tigard,OR 97224 Drywall,leach titer or trench drain 18.76 Footing drain(no linear a::_j Page 2 guitabldsfeptet,,:. I project name Roshak Ridge _ 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 mum(no.linear R.: ) Page 2 Water service(no.Sneer tt:_J Page 2 Subdivision:'Rosh ak Ridge I tetra.: 131 Maine oritem Tat map/parcel no.: Baekftow preventer 31.27 Backwater valve DESCRIPTION OF WORK 12.51 Clothes washer 25.02 Dili weahar 25.02 Drinking fountain 25.02 Ejaxotti/attmp 25.02 ® PROPERTY OWNER I 0 TENANT Fipamion tank 12.51 Nana Polygon WLA,LWFixture/sewer cap 25.02 Floor drain/Boor aink/lmb 25.02 Address:703 Broadway Sty SW 510 Cartage disposal 25.02 City/State/Zr:Vancouver,WA 90660 Nose bib 25.02 Phone:(360)695-7700 Fax:( ) lee maker 12.51 al APPLICANT 0 CONTACT PERSON illtrazePtantrease trap 25.02 Business name:Polygon WLI�,LLC Medal gas(value S_) Page Z Pnmet 12.51 Contact name:Tonle Morris Roof drain(commercial) 12.51 Address:703 Broadway St...Sin 510 SiridbaRieaustoiy 25.02 City/State/UP:Vancouver,WAA.98660 Solar units 62.54 I Mow(360)695.7700 Fax::(360)693-4442 Tublabower/ebower pain 12.51 E-malt persgltaabmkLU®pglygonhoe es.com !Kul 25.02 Water elceet. 25.02 ' CONTRACTOR Winer heater 37.52 Susanne dupe P �� rSi � Waterpipiog/DWV 56,29 Aar 0 dO1 r v r Ile, Other 25.02 Ci : co(4/r/ ''' e % Tel I y Subtotal Pboa t%/�}t/) 2j f,ra Fax: Minimum permit fee: 572.50 Plan review (25%of permit fee) CCB Lie.: go J Pl' { tunbiog Lie no. /�j). State surcharge(12%of permit fee) Authorized sigitrture. TOTAL PERMIT FEE Print name:SJILIPma I 4. lit 4t Date: 3/11/20 1 This permit appnratl.^w atfap�le*WA aid leitbie tea days -��--- iscested AI d d ilictic `Fee maldodoiogy'set Dry Tri-tauMy Building Industry Service Bond 120ildieV SlLMIMerekApp.doc 10WD17011 4404616TO0 NIAVEn1 Im III City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential TIGARD e Building Permit #: �M�-T 1q- (7j� Site Address: tCri 1 Stn/ s h vt CAA- SL Project Name: f 4tYfor. i Y Lk IL-111, Lot #: Ili (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Pro osal: I� Sr- LIEf Verify address/suite#active in Accela. LIWr In River Terrace: ❑ No LU'Yes,River Terrace Review Addendum Site„Plan Elements: LREac sion Control VW V��ccopies of site plan on 8-1/2"x 11"or 11 x 17"paper arced trees with drip line and tree protection measures I API)yawn to scale(standard architect or engineer scale) tprint of new structure(including decks) and FFE th arrow,it ty locations&easements(required for new and additions) e address,project or subdivision name and lot number idewalk/driveway ilii4pplicant information(name and phone number) ation of wells/septic systems Lld'Lot dimensions and building setback dimensions t tree size,type and location ni,,, .re footage of buildings to be demolished Eceet names u :sting structures on site " Comer elevations (2'contours if more than 4'diffe ntial) to .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Ces ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑WO No P Clean Water Services-Service Provider Letter r of platted prior to 9/10/1995): l�Vyt VIA ��equired: El Yes,applicant was notified LV No Received: ❑ Yes ❑ No Ca4alL [ Public Facilitie provement(PFI) Permit: equired: Yes,applicant was notified ❑ No Applied_ For: C9 Yes El No,stop intake and Use Case#: 0/415_D0°pZ II/Zoning:Zoning R 2- Ct' ) I- 'equired Setbacks: Front:_11-_. Rear: 'L•D� Side: 3Street Side: Or Garage: Z0 V 1 B ' ding Height: Max.Height: NV ' Actual Height: 2-6 Landscape Area: V) % [VLot Coverage Max: IN JEntrance CI Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows ❑ Minimum 12%of area of all street-facing facades 1Q` Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met: I� ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. Terricc 0 Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2 floor. ❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following: ,�1D ❑ Covered porch ❑ Recessed entrance 0 Wall offset ❑ I'Roof eave CI Roof offset Y ❑ Fire shingles 0 Lap Siding 0 Roof pitch 0 Gable,hip,or gambrel roof ❑ Dormer . / ❑ Accent siding Window trim ❑ Window recess CIWindow projection ElBalcony I2'/isual Clearance 3Jrban Forestry Plan l V r G ar oAI helium NJ Sensitive Lands: Yes ❑ No Type: lL 0141 i Condigons rcet prier to issuance of l?uilcg permit 1 `Voyes: (A^�1-fiA4 �c 92c �_"�}vild{1 11t17/tiT j3(vand Approved By Planning: � / Date: 5-4-161 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved 1:\Building\Forms\BldgPermitRvw_RES_022819.docx 4 • Building Permit Submittal Original Submittal Date: 1q Site Plans: # Building Plans: # Building Permit#: 1`J/ Enter building pe ��t# above. Workflow Routing: E/Planning 3 Engineering ErPermit Coordinator Building Workflow Sign-off: �,/Sign-off for Planning(include notes from planning review) Route Application Documents: a Engineering. (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Er/Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 5I C\ kq Engineering Review .ErSlope at building pad: / D Conditions "Met"prior to issuance of building permit -0 Easements (encroachments)per engineering conditions of approval and plat .a Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes '❑ No Assess Water Quantity Fee in-lieu: 0 Yes 70 No LIDA Facility on lot: 0 Yes 'Er No ,Er Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: ,...-if-Approved by Engineering: mt(L/Z. tc>t Date: Y�? / 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review jErConditions "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: yes 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: EYes 0 N/A LIDA 0 Yes N/A ill,OK to Issue Permit Approved by Permit Coordinator: 47Ad Vek49 Date: 5(114 I l9 1:\Building\Forms\BldgPermitRvw REs o22819.docx • a 9. r III I City of Tigard i II COMMUNTIY DEVELOPMENT DEPARTMENT ■ T G A R D River Terrace Building Permit Review Addendum Building Permit #: ,-1 q__ w\cstA. Site Address: l68`i l SW S,i4,At (Ail- A. Project Name: po'yq� . al' I�s►lal� 1z Lot #: I-3 I (New dw g=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.070.1): Is the project subject to the plan district design standards? FJ Yes E 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 deep Gabled dormer 2 ft. deep min. 2ft., 5 ft.wide min.2 ft.,6ft.wide ❑ ❑ 0 0 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1 .3g/ 3. Entrances:At least one entrance must meet both of the folio g standards: [t7/M/ax. 8 ft. setback from longest street- facing wall al Parallel to street,angle no more than 45' from street, or open onto porch Entrance opens to a porch: Yes ❑ No If yes the following apply: E2 .sq.ft.min. ne street facing entry LE112 . max.roof above floor of porch ft. depth min. 0%min.porch roof coverage 4. petalled Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Er vered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep offset min. 16 inches 0 Dormer min.4 ft.wide Roof eave min. 12 inch projection ❑ of offset min. of 2 ft. O Roof shingles either tile or wood '6r,_, 9 ble,hip or gambrel roof design El Roof pitch oriented south min. 500 sq. ft. Lid'I3orizontal lap siding min. 3-7 inches wide scent siding min. 40%of street facade ❑ Window trim min. 2 t/z"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep O 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/toser to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one): ig May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ 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) 0 )2-foot-wide garage door 0 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: (()) Approved By Planning: / "` Date: S-`�-(9 11Building\Fotms B BldgPennitRvw_RES_RT_I 21417.docx _ J FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT = M Transmittal Letter TIGARD, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED MAR 19 2020 FROM: vMA �S CITY OF TIGARD `j _ BUILDING DIVISION COMPANY: "ccu �t7(L R-2A1n PHONE: -3kod-SUS ' By: ;L RE: 1 4% S�i.l �v�s��vLC () 6 ST ,VET ZUf`P — 00fTq (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description:Additional set(s) of plans. Revisions: Add be - 1M o - R^G Eii4 Cross section(s) and details. Wall bracing and/or lateral analysis. CT 6-6 - Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): R,G'A PLOT REMARKS: OAdd &Lek e yvSckt:611vs Mk-GENE CT--58 Gam/ &c "Parr r PLi#Ai A 1 ;'/D 3 b FO O FICE USE ONLY Routed to Pe •''t Technician: Date: Li II L010 Initials: Fees Due: 1 Yes El No Fee Des pti n: Amount Due: 1/1. f?-tpLc) avicc,) $ cc .- Special Instructions: Reprint Permit(per PE): 1Yes ❑No ❑ Done Applicant Notified: 70AUY9- ate: V/2-y/7-0 Initials: ,OD I:\Building\Forms\Transmitta]Letter-Revisions_061316.doc City of Tigard 111 COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: MS-1. 01C1- e N-4 Site Address: t6S`i( S1A/ iir4iwt CAI- g, Project Name: PrfoN xi- toila Kit Lot #: (7( (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review pp •// ; /2- /- J S i7-E—/"L4."✓16-&—[.Ce--- Pro osal: OkiSr �� D Verify address/suite#active in Accela. Ltdt In River Terrace:ac 0 No [ Yes,River Ten-ace Review Addendum S,_iteylan Elements: L�'E sion Control �U�ccopies of site plan on 8-1/2"x 11"or 11 x 17"paper ^�an'�t trees new structuredripline (includingdtree protection measures as es O rawn to scale(standard architect or engineer scale) tea tp decks) arrowiit II • .i.ty locations&easements(required for new and additions) e address,project or subdivision name and lot number �! idewalk/driveway approach [`4licant information(name and phone number) ^Z • anon of wells/septic systems [Utot dimensions and building setback dimensions I! t tree size,type and location Pi,. .re footage of buildings to be demolished t names S. .: ting structures on site [ "Comer elevations(2'contours if more than 4'diffffe ntial) 1►. .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? I YYes ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑ ❑No Clean Water Services-Service Provider Letttterot platted prior to 9/10/1995): �4 erorti (AR quired: El Yes,applicant was notified Ln3 No Received: ❑ Yes ❑ No to"k A b d2f Public Facilitie provement(PFI)Permit: �equired: Yes,applicant( was notified ❑ No Applied For: fA-[ Yes ❑ No,stop intake d Use Case#: I o i. Ic���60Z Lif Zoning. I\ « 010 L� equired Setbacks: Front: 12- Rear. 10 Side: 3 Street Sider Garage: �1 7 B ding Height: Max. Height: Actual Height. 2-6 —Entrance Area: % [Lot Coverage Max: eo AA Entrance 0 Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows ❑ Minimum 12%of area of all street-facing facades W''' Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met: ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. ' L ❑ Garage door width is 0 12'or less 0 50%or less of facade 0 60%or less and includes 7 of following: 109 0 Covered porch 0 Recessed entrance 0 Wall offset 0 1'Roof eave ❑ Roof offset 0 Fire shingles 0 Lap Siding 0 Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer / 0 Accent siding Window trim DI Window recess ❑ Window projection 0 Balcony er isual Clearance 12/ 1 ,Jr ban Forestry Plan ' r ' E Sensitive Lands: M, Yes 0 No Type: V tgt\ 4` Cor er.G 0A S h JuJr 12Condi tons ri.et pritor to issuance of 1?uilcing permit )es.: ( .04-li-PP`S i) V-NJ' AN 3,--ildhy ftmi I- Uctitvict II ' Approved By Planning: f , d Date: c4-l1 Revisions(after Building Submittal only) Re ewer Date Revision 1: Approved ❑ Not Approved .7'‘ it Jw Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:1Building\Forms\BldgPermitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: a1l5,-11q Site Plans: # Building Plans: #J Building Permit#: 2 Enter building Pest# above. r Workflow Routing. Planning L( Engineering 2/Permit Permit Coordinator Building Workflow Sign-off: 2/Sign-off for Planning(include notes from planning review) Route Application Documents: N Engineering: (1) copy of permit application,(1) site plan, (1)building plan and original plan review routing form. Er/Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: � a l kot Engineering Review ,a—Slope at building pad: D /D -E Conditions"Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat .a"Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes '❑ No Assess Water Quantity Fee in-lieu: ❑ Yes 4=i No LIDA Facility on lot: ❑ Yes No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: At j CL/j_ t/— t Date: 5 /'jV / 7 Revisions (after Buj' ing Submittal only) evtewer Date Revision 1: Ifa Approved 0 Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 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: ` SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: EYes ❑ N/A LIDA 0 Yes N/A OK to Issue Permit Approved by Permit Coordinator: j Date: w I I N I( 1q tL 1,i L\Building\Forms\BldgPemitRvw_RES_0228I9.docx