Permit IN 3 .1 CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2021-00046
T[GARS 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2021
Parcel: 2S106AC01800
Jurisdiction: Tigard
Site address: 12997 SW MEADBROOK LN
Subdivision: RIVER TERRACE EAST 3 Lot: 259
Project: River Terrace Northeast No. 2, Lot 15
Project Description: New attached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 300 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 36 Bathrooms: 4 Second: 673 sf Garage: 242 sf Front: 10 Smoke
Dwelling Units: 1 Third: 998 sf Right: 0 Detectors: Yes
Total: 1971 sf Value: $256,890.76 Rear. 5
PLUMBING
Sinks: 2 Water Closets: 4 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
0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel'Noes 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: 2
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvcfFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!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 SFA VB R-3 1971
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 Cnlrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $29,235.28
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: Holy Va vVe,We9e Permittee Signature: OWApplf cC(tiort
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.
Electrical Permit Application —City of Tigard
- Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description I Qtv. I Each I Total I
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less lo0 70 2
5.01 to 15 kva 133.56 2
n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
_ with OAR 918-309-0040) 552.26 2
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66,25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('Vz hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page I):
Fee for each commercial system: $75.00 Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
n Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1.'BuildingWermits\ELC_PermitApp_ELR_FkF.dos Rev 06/17/2015
Plumbing Permit Application
' Building Fixtures RECEIVE FOR OFFICE USE ONLY
City of Tigard Received
Datte/By:: Permit No.'Pt sr
`sr ^�I-oo VL
IIIq 13125 SW Hall Blvd.,Tigard,OR 97223 FEB Z � 2021
Plan Rev ew
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.:
Inspection Line: 503.639.4175Date/By
TIGARD Internet: www.ti aid-or. ov CITY OF r VIslo Date Ready/By: kris. See Page Supplementalfor
g g RUB DING Nvi iO otified/Method: Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist
Description I Qry. 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
/
i�l-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑` %i Accessory building -Multi-family SFR(3)bath 500.32
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: 12997 SW MEADBROOK LN 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: River Terrace 1 BI3C 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: Lot no.: 15 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 ❑ 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
® 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 Sinklbasinllavatory 25.02
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@taylormorrison.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.O.Box 92 Other: 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal
Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.:184372 Plumbing Lic.no.:pb634
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Steve Fowler Date: 1 O/3O/2O This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
t:\auilding\Permits\PLMU-PcrmitApp.doc 10/01/09 440-4616T(10/02lCOM/WEB)
N,..,.„ City of Tigard 2.) 10 124
j 'C COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: MS r2,02/ZJ(JQ4r,
Site Address: J.2gCra— SW Meadowbrook Lane
Project Name: River Terrace Northeast Lot #: /$.—
Planning Review
Proposal: New rowhome
0 Verify address/suite# active in Accela. CI In River Terrace: El No CI Yes, River Thrace Review Addendum
Site Plan Elements: ' sion Control
01 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ',etained trees with drip line and tree protection measures
011rawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE
0 orth arrow ::Jtility locations&easements(required for new and addition's)
D.ite address,project or subdivision name and lot number ' " ewalk/driveway approach
0 pplicant information(name and phone number) cation of wells/septic systems
0 •t dimensions and building setback dimensions ,Street tree size,type and location
t, II.quare footage of buildings to be demolished street names
III xisting structures on site :::orner elevations(2'contours if more than 4'differential
0 of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Kes o
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es o
❑ Clean Water Services -Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑Yes,applicant was notified Cl No Received: ❑ Yes ❑° No
otWater Meter Fixture Unit Worksheet-Additions,Remodels and ADUs
Required: ❑Yes,applicant was notified ❑ No Received: ❑ Yes ❑r No
❑ SDC Exemption for ADU applied for: ❑ Yes 0 No Received: ❑Yes ❑r No
❑r Public Facilities Improvement(PFI) Permit:
Required: ❑' Yes,applicant was notified ❑ No Applied For: ❑r Yes ❑ No, stop intake
El Land Use Case#: PDR2016-00013, MMD2020-00030 l Zoning: R-25
CIRequired Setbacks: Front: 5/10 Rear: 5 Side: L/ Street Side: f Garage: 20
❑r Building Height: Max. Height: N/A Actual Height: 36
QLandsca e Area: 20 % 0 Lot Coverage Max: 80
Entrance ack no more than 8'from street-facing wall ❑ Parallel to street o et 45 degrees or less
Windows Minimum of area of all street-facing facades
Garage Gara door is behin ' est street-facing wall \ s No,one of the following is met:
Door extends no more tha ' om wall and 's a covered porch extending beyond garage.
Door extends no more than 5'from d there is a 12 sq ft.window above garage on 2"d floor.
❑ Gara e door width is 12'o 50%or e acade 60%or less and includes 7 of following:
Covered porch ecessed entrance ❑ Wall offset 1'Roof cave Roof offset
of
Fire s ' s Lap Siding ❑ Ro itch ❑ Gable,hi brel roof Dormer
mi
r . ccent siding Window trim Window recess Window pro' ' n ❑ Balcony
N isual Clearance ❑ Urban Fores Plan
`IN,t,ensitive Lands: 11Yes ILI No Type:
I Co ditions met prior to issuance of building permit
No s:Outstanding conditions under PDR2016-00013; do not issue at r corded under MMD 020- 030
Approved By Planning: ......"..... r y Date: -2 .2.-
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPcrmitRvw_RES_122419.docx
A
Building Permit Submittal "" Z
Original Submittal Date: 0210-202/
Site Plans: #
Building Plans: # .3
Building Permit#: ThEnter building,permit# above. �
Workflow Routing: Planning di L�"Engineering 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
Qriginal plan review routing form.
ff Building: original permit application,site plans,building plans, engineer and
beam calculations and tru details,if applicable,etc.
Notes:
By Permit Technician: Date: e2AV2 au
Engineering Review
0
Slope at building pad: 2` ���
Conditions "Met"prior to issuance of building permit
Lc� Easements (encroachments) per engineering conditions of approval and plat
WVCater Quality/Quantity Facility: y�
Assess Water Quality Fee in-lieu: ❑ Yes I(ro
� No
Assess Water Quantity Fee in-lieu: ❑ Yes
��/ LIDA Facility on lot: ❑ Yes o
E Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
[Approved by Engineering: Date: 2122�2/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met" prior to issuance of building permit ,
Er Approved, NOT Released: W i-PVlyj (anQ,l�l6 . 0 v_ — A p\'— Date: 2.... 23 le 24
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
iaSDC Exemption: ❑ Received Does not a g1y
SDC Fees Entered: Wash Co Trans Dev Tax: Yes 1 N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes IX N/A
lk ,ff OK to Issue Permit D,
Approved by Permit Coordinator: 0��- Date: �l�(?,p�
I:\Bull ding\Forms\BldgPermitRvw_RES_122419.docx
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
El
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: Nf tgr20.U-0d0416
Site Address: /2(9q-?-- SW Meadowbrook Lane
Project Name: River Terrace Northeast Lot #: / S
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.L):
Is the project subject to the plan district design standards? 11Yes ❑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. dee Balcony w/ access 2 Window Projection Vertical Wall Offset a
P ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6 . wide Gabled dormey
El 0 El
2 iPE& amour L
2. Eyes on the street: a minitnu o£1 Y D% f each street facing facade must include windows or entrance doors.
Percentage Shown: ..2
3. trances:At least one entrance must meet both of the folio tng standards:
Max. 8 ft setback from long t street- facing wall Parallel to street,angle no more than 45° from street,
or op onto porch
Entr nce opens to a porch: Yes ❑No
If es all the following apply: a5 sq.ft.min.
ne street facing entry
iBa ft. max.roof above floor of porch
5 ft. depth min. 30%min. porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
Ejovered porch min. 5 ft.wide x 5 ft. deep ❑Recessed entry area min. 5 ft.wide x 2 ft. deepall offset min. 16 inches ❑ ormer min. 4 ft.wide
VJ Roof eave min. 12 inch projection ih� oof offset min. of 2 ftr
❑Roof shingles either tile or wood M a able,hip or gambrel roof design 1❑Roof pitch oriented south min. 500 sq. ft. I0 .1orizontal lap siding min. 3-7 inches wide'r2•'p J
❑Accent siding min. 40% of street facade Lid Window trim min. 2 '/"wide by 5/8" deep 12 '>
❑Window recess min. 3 inches for all street facing ❑Bay window min. 5 ft.wide by 2 ft.deep
❑Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑Attached garage is 35%or less of street facade
5. Garages and Carports:May face the front or side lot line on a cor r lot.
Setbacks:
No closer to front or side lot line, than longest street-facing wall. Yes ❑No. If No (Check one):
❑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.
W : (Check one)
12-foot-wide garage door ❑40%max. of street facade
❑50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: � — -- Date: -2 / .2
I:\HuildingWormslHl dgPermi IRvw_RES_RT_121417.docx