Permit (40) A CITY OF TIGARD BUILDING PERMIT
114 a COMMUNITY DEVELOPMENT Permit#: BUP2015-00356
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016
Ti c;AR. 9 Parcel: 2S106DB23700
Jurisdiction: Tigard
Site address: 17390 SW SABRINA AVE
Project: River Terrace Northwest Swim Center Subdivision: RIVER TERRACE NORTHWEST Lot: X
Project Description: New neighborhood swim center
Contractor: WILLIAM LYON HOMES INC Owner: ADLV LAND HOLDINGS LLC
109 E 13TH STREET BY FORSUM, MICHAEL
VANCOUVER, WA 98660 7600 E DOUBLETREE RANCH RD STE 1
SCOTTSDALE,AZ 85258
PHONE: 360-695-7700 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: NEW Type of Const: VBPermit Fee-COM-New Construction 05/25/2016 $1,119.23
Occupancy Grp: A-4 Occupancy Load: 658 12%State Surcharge-Building 05/25/2016 $134.31
Dwelling Units: 0 Plan Review 12/30/2015 $727.50
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 12/30/2015 $447.69
Wash Co Trans Dev Tax 05/25/2016 $43,945.00
Bedrooms: 0 Bathrooms: 0 Parks SDC Improvement 05/25/2016 $1,651.50
Value: $195,229 Parks SDC Reimbursement 05/25/2016 $297.00
DC Provision Review,COM New-Bldg 05/25/2016 $175.50
Floor Areas: DC Provision Review,COM New-Ping 05/25/2016 $175.50
Info Process/Archiving-Lg$2.00(over 05/25/2016 $18.00
Total Area: 1637 11x17)
AccessO Strutt: 0 Info Process/Archiving-Sm$0.50(up to 05/25/2016 $7.50
ry
11x17)
Basement: 0 Tig-Tual School CET-Non Residential 05/25/2016 $982.20
Carport: 0 Permit Fee-COM-New Construction 05/25/2016 $121.23
Covered Porch: 0 Metro Const. Excise Tax 05/25/2016 $234.27
Deck: 0 12%State Surcharge-Building 05/25/2016 $14.55
Plan Review 05/25/2016 $78.80
Garage: 0 Plan Review-Fire Life Safety 05/25/2016 $48.49
Mezzanine: 0
Total $50,178.27
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTI•,' • egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-00 : rough OA- •52-0. -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue By: / Permittee Signet re:
• .% ( g , �Ii�Ii� PI",
Call 503.639.4175 by 7:00 a.m.for the next available inspection da -.
This permit card shall be kept in a conspicuous place on the job site until com. etion of the project.
Approved plans are required on the job site at the time of each inspection.
r .! ��4(1- 1,I e-Air-K.
Building Permit Application off..soi',�'Arc,
..: C6(Y11(11 ° rl3WEIVED
FOR OFFICE I( E t SE()NIA Srt
City of Tigard Received
q Date/By /.2- oil/C ZP) Permit No.:44/ha 5---on 36---413125 SW Hall Blvd.,Tigard,OR 97223 DEC 2 3 2015
Plan Revie
' • Phone: 503.718.2439 Fax: 503.598.1960 DateBy .r Other Permit$/? O/(p f QuS
t I c h 1, Inspection Line: 503.639.4175 L1 I O �'I nate Rea�7 thud Juris: ® See Page 2 for
Internet: www.tigard-or.gov � � Notified/Method.3.-A id!
Supplemental Information _
BUILDING DIVE' I ►' ol",7fi.' i ' -
3 � .-.: :, t" y , ' • 8 e M-. : `'i# r 31 . I t 1
.�&<a. FST ,.,,k .. . L, ;�....,�>�`C s�"-''" "�•_:
®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 ❑Other: equipment,materials,labor,overhead,and the profit for the
-°:'.-- , Z o- - ' p n- „it�}.1.st° . wq - � ���
work indicated on this application.
a ',- -'.€ :.' is t ' , al ;, 1(i _ .,t '„
❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder Z Other:Swim Center Number of bathrooms:
re 7''''''-'"./".'1''''' ° sr t" Total number of floors:
n i N ¢ ,,' : is
Job site address:WA /339 ; _yt, s� ) New dwelling area: square feet
City/State/ZIP:Tigard,Oregon Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name; '" Covered porch area: square feet
Cross street/directions to job site: ,€/t/ Jl t E NIz 'IO03'7 Deck area: square feet
S( )/t f f/6/L_ Other structure area: square feet
Subdivision: I Lot no.: 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
s t t® , - f:i � work indi ted on application.
4 ,/6/ �LJ:.�rt 5'.•',7)17,•-• Valuatio �' ,(�,2.
Existing building area: square feet
New building area: 1637 square feet
,......1,-,.....,:.:,--'iY'-Yei a-14,1r <T. hal A Number of stories: 1 _ N
Name:Polygon WLH,LLC Type of construction: V-B Constructio
Address:109 E 13"Street Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
Phone:(360)695.7700 Fax:(360)693.4442 New: A,B and S
e
Business name:Same as Above ��4�/�o� �G LLK.'
�� Structural plan review fee(or deposit):
Contact names,„,_ ._c_ ,-/
FLS plan review fee(if applicable):
Address: /� �J S¢
/ Total fees due upon application:
City/State/ZIP: ,4•. .Lil,f"'i �fy: f��i2
Phone:(-3‘e) 6� �7 2, Fax::(id -_ y�y Amount received: 4,/ 75 `q _
E-mail: _ / :,•'�`,a!? s ° ',z � :,
tom° , t Commercial and residential prescriptive installation of
e •�, � tz, ."
� ,'� r,�, �� �� _ • _��`';.1,104;., roof-top mounted Photovoltaic Solar Panel System.
Business name: / ��� 77 MEg LJ-ffi nit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: lO'7 g• t Solar Installation Specialty Code checklist. 1
/��_ Permit Fee(includes plan review
City/State/ZIP: ��C- 1.) g�'lt(Q Q $180.00
and administrative fees): _
Phone:( ?40) 4,95-- 77a) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: e9.01 9.141
Total fee due upon application: $201.60
Authorized signature: \C � 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:Maggie Gordon Date: 11/2/15 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
"A
City of Tigard
111UCOMMUNITY DEVELOPMENT DEPARTMENT
T l c Building Permit Review — Commercial - With Land Use
Building Permit #: l.i.P 20 l 5- 10 0 3 5
Site Address: 113d "0 (sW S G b ri no Suite/Bldg#:
Project Name: KCN2r -re(rot Nor w �f- <CVY "i C fl t"-C(-
(Name
-tr(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: .LW( (Y) Centc-r.
Verify site address/suite# exists and active in permit system.
FRiver Terrace Neighborhood: Yes CINo
Land Use Case #: r®R 20t s — 0'001
Plans Match Approved Land Use:
/ % Site Plan Landscape Plan ❑ Other:
.l Urban Forestry Plan levation Plan AllA
Building Height: Maximum Height 35 Actual Height -N1
Cyonditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
—Q—Business License: iviA
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes, applicant was
notified ❑ No Applied For: /Yes 0 No, stop intake
Notes: 6011 IA-h)) j rein e ► J mi() j Cih'QCA2 C,/ no o61Y1 iNe
�� it £S( � W e.AAN, CO m n2i �Ytll.e cl S to f A/i .
Approved by Fr
?lanning: 41 fl VIi ‘:c.4_ ado
Cvt,t. Date: 12/2 3i) S
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: / / 7")
Site Plans: #
Building Plans: # -**
Building Permit#: 1 Enter building permit# above.
Workflow Routing: �EP anning l---hs Permit Coordinator 1�uilding
Workflow Sign-off: Id' Sign-off for Planning(include notes from planning review)
Route Application Documents: [Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: tiCer.--1 ,--4--/----eDate: iy.�/G,
l:\Building\Forms\BIdgPennitRvw_COM_WithLandUse 070915.docx
J r
Engineering Review
Slope at building pad: a:
PFI Permit#: -Q/5- //4e
Conditions "Met"prior to issuance of building permit AZ
❑ Easements (encroachments) per engineering conditions of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by ngineering: ` Y Date
Notes: a.„ ,�, N'(g1� [�,C� �J
t
Approved by Engineering: i4Z _12Date: /2rj 75
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
?c--Approved,NOT Released: (0,e,%017,14.- €.444 A ` 1/47/'7`
Si) / p
Notes: �,2L_ / s+c.✓!
s,1/i 6 E• ,'Z/..,... Ka4n . J-ie/�eac a f �uq �2 ec<, ti4;6_./
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: 111 Yes N/A
Parks SDC: Yes ❑ N/A
;><COK to Issue Permit
Approved by Permit Coordinator: Iir------Date: i
I:\Building\Forms\B1dgPermitRvw_COM_W ithlandUse_0709I 5.docx
.f S
City of Tigard
:1111A COMMUNITY DEVELOPMENT DEPARTMENT
11 I
T 1 G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: ,�tcfi�o/3- �o.3S'
Site Address: /7 9Pe) �S-jV -5'6/3//A/f- /9-t/E- Suite/Bldg#:
Project Name: ,`t'/ 7F71724-CE. /✓07' R/ r Jtp//y C ?//&./2
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: t//SeAS/TE "Lf-n/On/t-y Ta 1-11-7-C44- /€dffrTCCTr-f#9- . ,L9-7s/S
(4216'rn/f1'- Si Tom' .'fin/ 4•),9 /t7/•e_2ox4zs
[Verify site address/suite#exists and active in permit irot"River Terrace Neighborhood: , Yes ❑ No
W Land Use Case#: F(JR olS -Ooc v55
Plans Match Approved Land Use: /r+
1:1 Site Plan ❑ Landscape Plan CI Other: x'10 S?Let-i L pled wriutik
IDUrban Forestry Plan IDElevation Plan cal An la-f?.
Building Height:§*
Maximum Height JJ Actual Height
Conditions Met: �'Prior to Submittal .r Prior to Permit Issuance
0f\ Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
XPublic Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: Pr Yes ❑ No, stop intake '
Notes:
Approved by Planning: aLuaL a . ( Date: tp - 13 —I 6
Revisions (after Building Submittal only) Reviewer Date
Revision 1: /" Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: L/f /,o
Site Plans: #
Building Plans: # /4r/9
Building Permit#: O'Enter building permit#above.
Workflow Routing: 0'Planning gineering E--15-J—rnit Coordinator $ cilding
Workflow Sign-off: 2'Si -off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: <01.2P/1-14) -' Date: //,_7//(,,
1:\Building\Forms\B1dgPermitRvw_COM_W ithLandUse_070915.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved y ineering: Date
�t L
Notes: / JQS!� TS �� oir % • ngg acileriffrf-
Approved by Engineering: jii Date: 6may--44
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
pproved,NOT Released: rum I . -(o
otes: ✓?�L Y\ �yuvU / 1' >
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: ��0/ /4%.
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A 4ts71,4e716"
Tigard Trans SDC: ❑ Yes ❑ N/A /5 /1/0 itele1-72 —
Parks SDC: ❑ Yes ❑ N/A fD/L 7 /s '-'" '7/
K to Issue Permit 'F,'rr
Approved by Permit Coordinator: AA," Date: 'J
1:\Building\Forms\BldgPermitRvw_COM_W ith LandUse_0709 1 5.docx
FOR OFFICE USE ONLY—SITE ADDRESS: /73 FO $k/ Se.7,6A// 4t ,
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
Transmittal Letter
/13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: pais Nelson DATE RECEIVED:
DEPT: BUILDING DIVISION R EC E I D
'
JU 9 2016
tFROM: Pit& 61"qtA)SY-4
COMPANY: 'p Y.1 voletwelwes r BCI DING D V SRON
PHONE: 34)0' tO' 3 -1100 B
RE: 75W ' B &? 2015— 0635!0
(Site Address �� , (Permit Number)
log ve.r �efraCQ._
,,,
(Project name or subdivision name and lot number) 10 1
1
ATTACHED ARE THE FOLLOWING ITEMS:
Additional set(s) of plans Revisions: life,e, YS t(4
Cross section(s)and deta F Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): 1 � ,{,�
REMARKS: A r'(,�1t ka.tia . 41 Y15 1'1 a Y4 a. mirror Q 4"a-.
5'c e ?tars • • *t ADA a t_t/ arra!! kot Mope.
Routed to Permit Teel ici. • late: '
Fees Due: ❑ Yes n o Fee Description: Amo i I ue:
Special
Inst ions:
Reprint Permit(per PE): 0 Yes gNo one
Applicant Notified: 6/ Date: 412a//‘ Initials: 4 /
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
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.
Ni City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
f ` Transmittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: 4&-1"11 DATA' a '�'��
DEPT: BUILDING DIVISION
OCT 2 0 2016
CITY OF TIGARD
FROM: A-VI 9 P,I GL
BUILDING
DIVISION
J
COMPANY: kok) k Arc, kon t or\S `n(--
PHONE: 7 - <9 a I U (4 Byr
RE: J O S A-PJ \m \`r"z- C
(Site ddress (Permit Number)
Nre.r Ttrr- N cp(�r' west - A)i�rn C2 n-�-e_
(Project name or subdivision name and of number)
ATTACHED ARE THE FOLLOWING ITEMS:
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.
3 Other(explain): Qa bar c1Qta 1\', S i 1 r' 'y)1119 `pco •
REMARKS:
SIA ..
Routed to Permit Technici. • Date: `O�� _ < i
Fees Due: ❑ Yes 0 o Fee Descri tion: Amount sue:
Special
Instructions:
Re.rint Permit •er PE : ❑ Yes ❑No ❑ Done
A
A. •licant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17390 SW SABRINAAVE, BEAVERTON, OR, May 3, 2017 at 12:13:09 PM
97007
Record Type: Record ID:
Commercial - Building BUP2015-00356
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor