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Permit (36) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT oanRequest for Permit Action 3 -/ , 7 TI G A R[) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard, OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor [ ity Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) /3) t G 6- Al 66„)4,//", L/y L TJ1/ L/r Mailing Address: /9 2 / 6--,7s7-- /3K- S , City/State/Zip: , -Aieeit t7T72 � `. // cf- 6 Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): `FP CANCEL/VOID PERMIT APPLICATION. /- REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CQNIRACTO-R--ON_PE.RMIT (do not cancel permit). Permit#: /7S 7-02,0/ " 00Si 7 fit/ic /l % 7 Site Address or Parcel#: /71r�� .f J - Subdivision Name: ,'j/ J2 / t - /W/l/- /-t/t757----Lot#: /45 EXPLANATION: /a3-64e2.--/-9/7— A146-7,ti / fait✓,t7-71Z__ /ZS"7";',0/7^ a/06, /..sio,�-. /7 -620 41.5' /ey 7v /0&727/7 ,' ' ` O 7e .//ae7vo E7c) Signature: _ Date: S/%L3//? Print Name: -ZS,-/,.t/A//} Mr-fare- Refund r-faJ' .Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE USE ONLY Route to Sys Admin: Date By Route to Records: Date r.2 . .3 /i.- B Refund Processed: Date /,f// By 4&... Invoice Processed: Date Permit Canceled: Date By �j •�3 /� By�-- Parcel Tag Added: Date By I:\Building\Forms\RegPermitAction_ 2314. oc TIGARD City of Tigard May 2, 2017 Polygon WLH,LLC Attn: Angela Grajewski 109 East 13''' St Vancouver,WA 98660 Re: Permio. MST2016-00547/SR2016-00457 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 17382 SW Shadow Trail St Project Name: River Terrace Northwest,Lot 115 Job No.: N/A Refund Method: ® Check#224417 in the amount of$38,542.50. ❑ Credit card "return"receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. ❑ Trust account"deposit"receipt in the amount of$ Comment(s): Per applicant's request as house plans were changed. Refund 100% of permit fees and 80% of plan review fees. Plans resubmitted under MST2017-00106 and SWR2017-00095. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov 101 q City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use,development engineering and building permit application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: Polygon WLH,LLC DATE: Attn: Angela Grajewski 4/17/2017 109 East 13th St. REQUESTED BY: Dianna Howse ,l - Vancouver,WA 98660 TRANSACTION INFORMATION: Receipt#: 408425&408426 Case#: MST2016-00547/SWR2016-00457 Date: 1/23/2017 Address/Parcel: 17382 SW Shadow Trail St Pay Method: Check Project Name: River Terrace Northwest,Lot 115 EXPLANATION: Per applications request as they changed house plans. Refund 100%of permit fees& 80%of plan review fees. Resubmitted under MST2017-00106&SWR2017 00095 r7,'`7:'",l�i3;av*t ty,<'+V[siakPi n'M Rt ,wr ` =, 1-;,-,,,_3 t 3y /e)a ,e r u37r@` A`s.�°re( '�»- "`��- � � �,.�tt s � r "`T'_ �z {'"`w,`-P: .,:4.W.444* �IIt,ti- 411 Sr!.�`�K ')i:zii? .04i+ y e Sea ©' r r, t_� , )t ce it`_ � - .',.1 (d.. ".AAx ''"J".,'?``tt ` ' i` ,,,, E� r 1�.,�, r1 F •;;.,` F r o ll , :...'.. f: �: .ILLs, 1.Imo..-.t �65 `"). ) 6 4,11 4 ,___IL__,_-;,,, a91,',ilsaL.,i, Buildin_ Permit 230-0000-43104 ✓ $1,963.70 V Mechanical Permit 230-0000-43102 V Electrical Permit 324.42 220-0000-43103 7 413.14 / Plumbin. Permit 230-0000-43101 12%State Surchar:e 500.32 ✓ 100-0000-24001 ✓ 384.19 Metro Construction Excise Tax 230-0000-24010 V 417.49 ✓ Beaverton School CET—Residential 230-0000-24101 Erosion Control w/Develo a ment 100-0000-43134 ;V✓ 3,538.71V 311.40 ✓ Ti.. d Trans SDC Im.rovement—SF 415-0000-43300 T'• d Trans SDC Reimbursement—SF 5, 7.00 ✓ 415-0000-43301 j/ 317.00 ✓ T":,. d Trans SDC River Terrace—SF 415-0000-43302 ✓ 2,684.00 ✓ Parks SDC Im.rovement 425-0000-43300 ✓ Parks SDC Reimbursement 425-0000-433014,356.00 ✓ 7 1,207.00 ✓ Parks SDC River Terrace 425-0000-43302 Sewer Connection Fee V 2,003.00 .7 500-0000-25500 .7 5,300.00 v Sewer Ins.ection Fee 230-0000-43118 Buildin. Plan Review / 35.00 kV' 230-0000-43106 1,021.13 ✓ Washin. on Co Trans Dev Tax—SF Detached 405-0000-43320 ,/ / 8,278.00 , TOTAL REFUND: $38,542.50 APPROVALS: SIGNATURES/DATE: If under$5,000 Professional Staff If under$12,500 Division Manager If under$25,500 Department Manager If under$50,000 City Manager Vitkr ov Apu If over$50,000 Local Contract Review Board 0 "`" 01 `. Case Refund Processed: I Date: v?/,23 /,‘-' I By: IZW I:\Building\Refunds\RefundRequest.doc x 12/21/2016 CITY OF TIGARD RECEIPT 1111 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: River Terrace Northwest, Lot 115 Site Address: 17382 SW SHADOW TRAIL ST IFS/%/� Receipt Number: 415784 - 02/23/2018 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2016-00547 $-33,207.50 Total: $-33,207.50 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 224417 DHOWSE 02/23/2018 $-33,207.50 Payor: Polygon WLH, LLC Total Payments: $-33,207.50 Balance Due: $33,207.50 • Page 1 of 1 CITY OF TIGARD RECEIPT 111 UI ■ 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD ,&l./t-T/AM'1--- Receipt Number: 408425 - 01/23/2017 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2016-00547 Building Permit-New Construction 230-0000-43104 1 $1,963.70 { MST2016-00547 Plan Review 230-0000-43106 6F0 70 ✓ $751.34 PRe MST2016-00547 12%State Surcharge-Building 100-0000-24001 $235.64 S MST2016-00547 Wash Co Trans Dev Tax-SF Detached 405-0000-43320 ✓ $8,278.00 4- MST2016-00547 Tigard Trans SDC Improvement-SF 415-0000-43300 ,V $5,488.00 Detached MST2016-00547 Tigard Trans SDC Reimbursement-SF 415-0000-43301 $317.00 € Detached MST2016-00547 Tigard Trans SDC River Terrace-SF 415-0000-43302 ✓ $2,684.00 e" Detached MST2016-00547 Parks SDC Improvement-SF Dwelling 425-0000-43300 . $4,356.00 -.--- (detached/attached) MST2016-00547 Parks SDC Reimbursement-SF 425-0000-43301 V $1,207.00 4-- Dwelling(detached/attached) MST2016-00547 Parks SDC River Terrace-SF Dwelling 425-0000-43302 V $2,003.00 <" (detached/attached) MST2016-00547 DC Provision Review, SF-Ping 100-0000-43112 $90.00 MST2016-00547 Info Process/Archiving-Lg$2.00(over 230-0000-43135 $44.00 11x17) MST2016-00547 Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $87.50 11x17) MST2016-00547 Metro Const. Excise Tax 230-0000-24010 ✓ $417.49 E-- MST2016-00547 Beaverton School CET-Residential 230-0000-24101 ✓ $3,538.71 MST2016-00547 Air Conditioning 230-0000-43102 $46.75 M ✓ MST2016-00547 Furnaces< 100K BTU 230-0000-43102 .- $46.75 M MST2016-00547 Water Heater 230-0000-43102 ✓ $23.32 M MST2016-00547 Gas Fireplace 230-0000-43102 ✓ $33.39 /1 ✓ MST2016-00547 Range Hood/Other Kitchen 230-0000-43102 $33.39 '"1 " MST2016-00547 Clothes Dryer Exhaust 230-0000-43102 $33.39 111 i MST2016-00547 Single Duct Exhaust(Bathrooms,Toilet, 230-0000-43102 $93.28 M ✓ Utility Rooms) MST2016-00547 Fuel Piping 230-0000-43102 ✓ $14.15 M ✓ MST2016-00547 12%State Surcharge-Mechanical 100-0000-24001 L- $38.93 S MST2016-00547 SFR-Baths 230-0000-43101 ✓ $500.32 P MST2016-00547 12%State Surcharge-Plumbing 100-0000-24001 $60.04 S MST2016-00547 Erosion Control w/Development 100-0000-43134 V $386.40 F--- MST2016-00547 Plan Review 230-0000-43106 10'7. ✓ $525.07 Piz MST2016-00547 Permit Fee-Elect(per dwelling unit) 220-0000-43103 ✓ $338.14 & MST2016-00547 Limited Energy 220-0000-43103 - $75.00 E " MST2016-00547 12%State Surcharge-Electrical 100-0000-24001 $49.58 _S Total: $33,759.28 i/ = 3.2'9. gam- ,c2 /a '/ 76 , / C c y/.3 , /y x efa‘7o 0 500 , 3.2 ioa/, /,3 c _ 3 �y. /9 //( 22 , 07 Page 1 of 2 Receipt Number: 408425 - 01/23/2017 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 71333 DHOWSE 01/23/2017 $33,759.28 Payor: Polygon WLH, LLC Total Payments: $33,759.28 Balance Due: $0.00 Page 2 of 2 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT V 0 1 Request for Permit Action 3/23/i l i ci R. g g l) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.ti and-or. TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard, OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: 0 Owner ❑ Applicant El Contractor ity Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) / `yam,/ cot."-f„, G i Mailing Address: /2 9 `3 K s % City/State/Zip: Vrc/C VEn/ M9- Phone Phone No.: %I-77jJ. /97/ -Z,5t- PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): CANCEL/VOID PERMIT APPLICATION. 4E3REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONI ACTOR ON PERMIT (do not ca • _ . . -- Permit#: /7S71 / lv 105- 7 S . Site Address or Parcel#: /733J -(49 074) jL S7— Subdivision /Subdivision Name: ,t4/L /1702%. /1/6-7---Lot#: /4.5 EXPLANATION: /2Z-S-1 /-1/i,7 n/ f /7S77,30/7 !'0/0(0 f ssv2�/7-0049.5 . /- ,"(.v /oo Signature: Date: . 3�7 Print Name: //e—leifE- Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE LSE ONLY Route to Sys Admin: Date By Route to Records: Date . ,23 /f-- BIK G-- Refund Processed: Date '`/ /� / By , /S/ Invoice Processed: Date Permit Canceled: Date By /� By ,J, Parcel Tag Added: Date By I:\Building\Forms\RegPemiltAction_ 2314. oc III 41 TIGARD May 2, 2017 City of Tigard Polygon WLH,LLC Attn: Angela Grajewski 109 East 13th St Vancouver,WA 98660 Re: Permit No.MST2016-0 47/SWR2016-00457 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 17382 SW Shadow Trail St Project Name: River Terrace Northwest,Lot 115 Job No.: N/A Refund Method: ® Check#224417 in the amount of$38,542.50. 0 Credit card"return"receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. 0 Trust account"deposit"receipt in the amount of$ Comment(s): Per applicant's request as house plans were changed. Refund 100% of permit fees and 80% of plan review fees. Plans resubmitted under MST2017-00106 and SWR2017-00095. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov III N City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request for Permit Action form (if applicable)must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: Polygon WLH,LLC DATE: 4/17/2017 Attn: Angela Grajewski 109 East 13`''St. REQUESTED BY: Dianna Howse (677---. 1' Vancouver,WA 98660 TRANSACTION INFORMATION: Receipt#: 408425&408426 Case#: MST2016-00547/SWR2016-00457 Date: 1/23/2017 Address/Parcel: 17382 SW Shadow Trail St Pay Method: Check Project Name: River Terrace Northwest,Lot 115 EXPLANATION: Per applications request as they changed house plans. Refund 100%of permit fees& 80%of plan review fees. Resubmitted under MST2017-00106&SWR2017-00095. x, aha{ 'gi( 7 Kf�6te(FJ-a;.0t044,--,, 7 "' J.(._'-., ' ) •.EC; , ,1 I'4-,- 63 fFi,-- cP:, `5 1 ..0�" � r #'�fTi_ *" rk i�4a,hX . _ :t�.._. �.r_.- ^tt , 4 r' L iu 3 ' 4:." SLY aY 1' - j'' s Bulldin. Permit 3;710,963.70- ,r ,sant 36s)E; 230-0000-43104 ✓ $1,963.70 +� Mechanical Permit 230-0000-43102 ,/ Electrical Permit 324.42 i/ 220-0000-43103 ✓ 413.14 .✓ Plumbin. Permit 230-0000-43101 / 12%State Surchar:e 500.32 ../ 100-0000-24001 ✓ 384.19 Metro Construction Excise Tax 230-0000-24010 V 417.49 ✓ Beaverton School CET—Residential 230-0000-24101 Erosion Control w/Develo.ment 100-0000-43134 �V 3, . 1 311.40V`✓ Ti., d Trans SDC Im.rovement—SF 415-0000-43300 1 3 Ti. d Trans SDC Reimbursement—SF 5,488.00 v 415-0000-43301 / 317.00 ✓ T':. d Trans SDC River Terrace—SF 415-0000-43302 Parks SDC Im.rovement ./ 2,684.00 ✓ 425-0000-43300 ✓ 4,356.00 ✓ Parks SDC Reimbursement 425-0000-43301 Parks SDC River Terrace ,./ 1,207.00 ✓ 425-0000-43302 ,/ 2,003.00 ✓ Sewer Connection Fee 500-0000-25500 Sewer Ins.ection Fee ,/ 5,300.00 V 230-0000-43118 V 35.00 .V Buildin. Plan Review 230-0000-43106 ,/ Washin.ton Co Trans Dev Tax—SF Detached 405-0000-43320 ✓ 1,27878.03 8,2 .00 TOTAL REFUND: $38,542.50 APPROVALS: SIGNATURES/DATE: If under$5,000 Professional Staff If under$12,500 Division Manager If under$25,500 Department Manager If under$50,000 City Manager / kir h y t If over$50,000 Local Contract Review Board ' .,:i,":1'..;-,..." ' 4A4,, .0 .�. ji,--Pit 4c`..,,,:;.:1_ ':,1:10 �, - - FO Jam , 4 �.l T .-'1'#.,. • Case Refund Processed: N " o v- Date: 02 .23 /c By: -. I:\Building\Refunds\RefundRequest.doc x 12/21/2016 sikCITY OF TIGARD I! 13125 SW Hall Blvd.,Tigard OR 97223 RECEIPT 503.639.4171 TtCARID Project Name: River Terrace Northwest, Lot 115 Site Address: 17382 SW SHADOW TRAIL ST Receipt Number: 415785 - 02/23/2018 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SWR2016-00457 $-5,335.00 Total: $-5,335.00 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID Check CASHIER ID RECEIPT DATE RECEIPT AMT 224417 Payor: Polygon WLH, LLC DHOWSE 02/23/2018 $-5,335.00 Total Payments: $-5,335.00 Balance Due: $5,335.00 Page 1 of 1 CITY OF TIGARD RECEIPT c ■ 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD �2/6 i l/09—L— I Receipt Number: 408426 - 01/23/2017 I CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SWR2016-00457 Sewer Connection Fee 500-0000-25500 ✓ SWR2016-00457 Sewer Inspection-Residential $5,300.00 e=-- 230-0000-43118 ✓' $35.00 �-- Total: $5,335.00 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 71333 DHOWSE 01/23/2017 Payor: Polygon WLH, LLC $5,335.00 Total Payments: $5,335.00 Balance Due: $0.00 Page 1 of 1 i ipiCITY OF TIGARD MASTER PERMIT ` COMMUNITY DEVELOPMENT Permit#: MST2016-00547 Date Issued: 01/23/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S106DB11500 Jurisdiction: Tigard Site address: 17382 SW SHADOW TRAIL ST Subdivision: RIVER TERRACE NORTHWEST Lot: 115 Project: River Terrace Northwest, Lot 115 Project Description: New SF BUILDING Floor Areas ReauiredSetbacksRequired Stories: 3 Bedrooms: 4 First: 948 sf Basement: 799 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1130 sf Garage: 377 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2877 sf Value: $347,905.72 Rear: 10 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: 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: 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'I 500 sf: 5 201-400 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2877 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 One Hour Fire Rated Eaves STE 1 Required both sides SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,759.28 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: 1 - Permittee Signature: elit) ":-/ 770/1 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. 1 iilding Permit Application L. C) 7 /7 S Resld�eb l RECEIVED FOR OFFICE l SE ONL1 City of Tigard D /g/y/( .., Permit N jY% 1/ O.5�h/7 ' 13125 SW Hall Blvd.,Tigard,OR 9724C 1 1 1 2016 Plan Rev ,}� Other Peran� r� � C} � Phone: 503.718.2439 Fax: 503.598.1960 Date/By:iew)cZ- ) — )C 1 r i G R n Inspection Line: 503.639.41 75 CITY OF I GARD NDoattfiRed/Mea e/B od�/IY „ Juns: H pSpeeePaega2l Info rmationInternet: www.tigard-or.gov DIVISION �ra e �'° .P sa ,„ if New c onstrtioucn ❑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 application.�� � -< < work indicated on this 39*o +"/ ® 1-and 2-family dwelling 0 Commercial/mdustrial Valuation: 0 Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other. Number of bathrooms V. ' Total number of floors: g 77 Job site address f JJ7 5W Shadow Trail St New dwelling area`Ssquare feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 3, 7�quare feet Suite/bldg./apt.no.: Project name:' .ver Ten ace Northwest Covered porch ares:• LI '/square feet ) )30 Cross street/directions toob site: j Deck area: q1 square feet 9 Other structure area: square feet 7 • • Subdivision:River Terrace Northwest Lot no.: I`� 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 � � �a # 't t work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ,t� a Number of stories: 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: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Am Phone:(360)695-7700 J Fax::( ) ount receiv E-mail:Angela.Grajewski@polygonhomes.com Commercial and residential prescriptive installation of ,W:;.,; 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: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and dministrative 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: —4( I This permit application expires if a permit is not obtained r Print name:Angela Grajewski Date: a- Service withinBoard. been 180 days afterhasaccepted as complete. i.- *Fee methodology set by it Building Industry ^-' I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) A • Mechanical Permit Applicatiiii ' ECEI\IED1111111111111111111111111111=1111111Mig :City of Tigard ticr:oijed ' Permit No $ OR 72Deresity: n D[C 2 8 2016 Plan Review MSTibikl)-1)63-11 iii,f,-,r,-131 SW Hall Blvd.,Tigard, 9 - tr. Phone: 503.7182439 Fax 505.598_190 Datefity Other Permit. t• ' 4::::::"List!1.5°3i.„"r9.1;10„1" CITY OF FIGARD ,,,Dr.Reador. h... lit s...Page 2.far Supplerstratal informatioa BUILDING olvls;oNt -..,1„,-;:;,..i.:(,,,,,,z,,,-,::,v-,:.1--e,':.`ie:'''4''1,-;'„If-.V.;ri;:l‘,,rk!-;.`jt''.',11;',,',-,rs,',..:,,,,,;(..!,ii.,"; ;:,v:',-;:"Ii:-;-'4,',?:;,,',:i.:,::--,f-;::, ',7 ---:1',.;:.,...:,,I,:l.,,,,iL.I4.'' '..-.,z„,,...:'.4•:_:,-.,-.it.:,...1“-.,...:,t,.--pz.-f..,4.„11: ,:„,c,.1•r i-,-,i,...2,,,,, '' " ' ' -'..• '' ,... •- SS ' ' - ' Mechanical permit foes*ate based on the value of the work LEI New construction U Addition/alteration/replacement performed.Indic:11e the value(rounded to the nearest dollar)of all 0 Demolition 0 Other mechanical materials,equivalent,labor.overhead.and pmfit, , Value:S -`' -,,..'1,-.1 -4,..,.'•--,x. - ..',..1--., 'n''''%'.,:::,1 .. .."‘,4 ,._....="i.:,'' ' , , , „___ ,- _ 1 .:a Z.., ,,.-,..- ..."...?,z:/---r-.1-. ,...! ,J,!Pi i.,...r f•-‘,-.,,,,,,,„--),,--....•-,!?'..,,2,-,,''v,_i.-, :,t,,;•:,1- ,i c'et'i.'741-tS"i7t ;is;il i..*• 4,,Tv i)- 4 -e.,..yr'„, .t-,4,7 and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special btfommikta um thecklbt 1 ivlulti-family 0 Master builder 0 Other, Description I Qty. I Ea. I Total Air conditioning F 00.000 BTU OduI 46.75 3°115iLe adarS:/7 38 2-- S\N) Tir biA) (CU,I Si-. urnace 1 mskenut) 46.75 , City/State/ZIP;Tigard,OR 97224 Furnace 30O000+8Th(ducisiventsi 54,91 liem pump 61.06 Suilefhldg.tapt.ao.: I Project name:t2,:vig,r Terrace,0ortinwcs.t Duet work 23.32 Cress strectidirevtiont to job site: Hydronie hot water si'stein 23.32 Residential boiler(radiator or hydronie) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended.me. 46.75 Fluelvent(or env of above I 2332 Other; Subdivisimt River lerratE, NortingAk.si- 'Alm'i 15_ Other fuel rippilanem: 23.32 Tax map/parcel no.: Water heater. 2332 ,n;;;;7.:`,7.,'",f7.7'..7:77..-172:7-11'...: 15ZO.,T7';'•.:T=':':.rirf.T1,5'‘'e"."77:!'172,:j7,;7:.7,:,;,,.-7,7-77.,37.,-1 .q."firefameuiscd I 33.39 rim vent for water heater or gas fireplace 23.32 Log lialster(gas) 23.32 Wood/relict stove 33.39 Wood OrePlaceiinsen 2332 Chintnevilinerilluervent 23.32 .. . . . • 23.32 --,'41-,.(S.',..'.--,','.;'i',. .1):.--,A-':.T,",,,i' :‘,...•'-`,.::--,4'..7,' ,-:r'::-;,.!‘'. .:-.,-..---:-:.-r 6;„,-c',,,, .,-..‘„, ,; -„ --. - i'----P-, ,-- ------ '--.4---g,-- 1-,'---.22.,,-..,--,,,=',.:-0-2X---.4.'.:;-'"'''''r '' ''''..'"''''''-` •L'''''''''"'` - Emirnameidal exhaust and ventilation: Name:Polygon Wi..11;1.,LC Range hoed/other kitchen i equ ipment 33.39 Addrist 109.K,ast 13 Street . Clothes dryer exhatot I City/Stole/21P:Vancouver,WA 98660 Single-duet exhaust(bathrooms, i toilet Compartments.utility moms) 14. 2332 Phone;(360)695-7700 Fax:( ) • Attiefentwispace fans 23.32 7723-7'''.,;:• Other 2332 .,,',':' ,L''',..•T:.:;",,-;:J.::::::::'‘Liti?..z1'::-;:4.7:Ziliil--:,i-Y-',',.7:::::IF.'::tz',17:!:7,-:,:,:_,.:.;.::- Fuel piping: Business name:Polygon WLH,1..LC S14.iS tbr lirst ti=Ufa for eseit additinend -, Contact name:Angela Gni.jevrski Furnaceoue. I • Addreszo.109 East 13th Street Oas hem pump , Wallistispendedtunit heater City/StatefilP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(,360)693-4442 Fireplace I , Range 1 E-troul:Angela.GrajewsklOpolnonbontes.com __ Barbecue -7: 1'7:::1-t. •:,r - ?e7;;....1:;,k1Z1.::::t 7.;...".:..!7'-;%:::':' ::::..- . ,7: Clothes thYcr(804./ Business name:Apex Air LIC Other: - --.---.7-•::-:--,- ..-,•:-...;,,y17 7:7r:77-4.-.---'"-- .7.:7---4..;1,..- Address:18004 NE n...Ave • Subtotal Cityffitate/ZIP:Vancouver,WA 98686 Minimum permit fitc($90.00) than review(25°4 of permit fee) Phone:(36013424109 Fax (360)3244769 State surcball0(12%of Pena 1b9) CCB lie.:203034 TOTAL PERMIT FEE This permit application expires Ira permit is not obtained within 180 days*tux it bst beat accepted as vompiete. • Authorized signature. * Fee methodology wiry I'd-County Building Industry Service Board 'Mitt narricrl-Tis: Date: 4-ii•/co- ilfuildirtaxentlitAVWX",,,Pertnit App...0441 I,dca 440-16117 ffietliCOWVIEB) Electrical Permit AUplicati E ,I 4 L Folz orricL'LSE O\1,\ 111 City of Tigard [a E 2 8 2 Q 16 a �' ► ►�• 13125 SW Hall Blvd„Tigard,OR Received 97223 Plan Review 11i Phone: 503.7182439 Fax: 503598.1960 a D.-: . RI See Papa for Inspection Line: 503.639.4175 1 0 Supplemeatai Information I I G .R)s Internet www.tigard-or.gov A i i .Il` (7r E+1V S O r\ 14145"11/44thmt ,A,F-.1 • „ pi v « '- 3 -5a.e .'... 5t'%' :,6'xi,,,carr.i-a"`) 4._'Wi r-'' - cx ®N construction 0Addition/E1te18ti0A/replaCCdCIt Please check all that apply(submit/ads of plans or/items checked): ❑Demolition ❑Other 0Service orfeeder 400amps orMOM ❑1utidmgover three sickles. when the available fault current D Marinas and heetreds. .,f"-'''Ll " . 3,_• *.lI 7-INI 3.. .H-t,.. i.6.1)...151 .-c ,' r ._ a am eeds 10,000 amps at 150 volts orQ Floating buildings. less to ground,or exceeds 14,000 El Commmdrd-taxi agricultural®I-and 2-family dwelling 0 Contmercial/iridtisn ial ❑Accessory building amps for ati other installations. , buildings.• 0 Multifamily ❑Master builder 0 Other: ❑Fna pump. ❑Iiaafation of 150 KVA or 11,.1,717i.7,7,..:,,:,a; '' 7,,; ls) .'s a e:•,/•a,+if,iiq.);:; v,'Igo v.:-17r' �Z.4.:`,t,s ;ps` + , 0 Smerg fsYslelo- larger separately derived „ • , ❑Addition new cad of system.Job#: Job site addressran'3j7 Svc Shetchirry&AlSt. 10011P or more. ❑..A",'7;~."1-2"."1-3". City/State/ZIP. Tigard,OR 97224 CJsixor,ewerceilties. units. R neation ❑liealthoaro facilities. 0 Rnsl vehicle parks. Suite/bldg/apt.#: voltaoge foalr. more than 1 Projectname'RivvryyA�.14�f� Waat ❑ ceus� oaeceoo ❑6�+0PP3113 nmin Cross street/directions to job site' ' '{ f fc."`q i.r n,,E't r J17 Ll '` ', *x. ` Deraiation l Qtr. lath Total .'-s New residential single-or multi-family dwelling unit. Subdi o:�j B ttce :kite it" I Lot#: tic- Includes attached garage. 1�1 �er�P�L�u �(!!!t t 1,000 sq.8.unless i 168.54 4 Tax map/parcel# Ea add'I500 aq.ft.or portion lQ } , . 3 33.92 1 :T,s 4S a--A:-?1,-/ ay:(t� .°1:1.q)�1; "t ': �5r,xLimimd crazy,resdential 75.00 2 (with above m.ft) Limited maw,m um family 75.00 2 residential(with above sq.ft) l e.netvabie Energy ❑ See Page 2 -i�<- - ej -c'4 m 7 c . ' ;7F' g sof '5a}`' % `5;£'e-r- Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Address:7600 E Doubletree Ranch Road 401 amps to 600 amps 200.34 2 City/State/UP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I, Fax:( ) Over 1,000 amps or volts , 552.26 2 Temporary services or feeders installation,alteration,and/or Enuiii: relocation Owner installation:'Phis installation is being made on property that I own which is not 200 amps or less 159.36 59.36 1 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. ' 201 amps to 400 amps 168.54 2 Owner signature: Date: 401 amps to 599 amps < $ranch circuits—nw,aifera8on,or extension, r panel a ' T ttta14:"se's r xs :, a e,kLr: � id4.1‘j,,,,;4,-.:`_?....2,:f.., A.Fee for brancherscnrlswith i Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 1 each branch circuit t Contact name:AngelaGrajewskl B.Fee for branch shr ubswithout service or feeder fee.first 56.18 2 Address:109 East 13th Street branch circuit Each add'I branch circuit 7.42 2 City/State/ZIP:Vancouver,WA 98660 Miscellaneous(service or feeder not included) Phone:(360)695-7700 . I Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:Angela.Grajtwald®polygofhomes-cum Reconnect only 67.84 2 67.84 2 Signor outlies lighting 67.84 2 Business name:Garner Electric Washington,LLC Signal circ lt(s)or limited-energy Address:6101 NE St Johns Rd panel,alit'ratiog or extension. Each additional inspection over allowable in any of the above City/SiatetZtP:Vancouver WA 98661 Additional inspection(1 hr min) 66,25/hr Phone:(253)3204657 ( Fax:( ) Investigation(I lir min) 90.001 hr Industrial plant(1 hr min) • 78.18/hr. • Email:bdau,els®gweusa.com Inspection for which no fee is 90.00/1r i Electrical Lic.: 208174 I Suprv.Lie: 4496S _: t d('h hra^ t t t t t i res a> * - CCB Lia: C1158 . z required' w. .,.. Subtotal: '=:'•' Suprv.Electrician signature,rs i Date: 4/26/2016 0 Plan Review Required(254 of permit fee): Print name: Joan P Albert State surcharge(12%of permit fix): ,, -" �`�—'- TOTAL PERMIT FEE: •.!•., ifs essdtisnot obtained within 181 Authorized signature; This permit appyoetiou expires pm .-..,:i1.%%., :• days after It has been accepted as complete. g. :; Printnamt: Bill Daniels Date: 4/26C2016 allowed ,�«•. ,:,: 11u0rbarofimspeGiotta per permit e!!'q: 7. ,;i.1.M iPsriettiae rennitappf7R BRE.doc Rev oariVons 440461SMvas/catmint rip„•?,-- II Plumbint Permit Applick E ',.4 ,Lox : Building Fixtures 11111111111111.1111111111111111111 _ City of Tigard DEC 2016Received Permit No. /{STZ h --�C�,�� 1111 13125 SW Ha11 Blvd,Tigard,O ( 1 ti-t Plan Rsviea �t r • Photo: 503.718.2439 Fax 5 966^t Other Permit No.: Inspection Line: 503.639.41 .J 1 LOI N ISI i D�Reedy/By: renis: 0 Sea Page 2 for ` Internet www.tigard•or.gov No66cd&Medrod: Supplententat infaraudion a.•_ ;5» ':- .� . .TE-QP. `.t ;:;w...._.._... 2...",. g... ':,'k ;.•::v tin :e:.Fr :.:.•,,,,,, ®New connsbuclon ' 0 Dentoliton For special ittronnalien ate cheekiest' Description R QkY. I Ea. ( Total ❑Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 It.for each utility connection) - •CATEGORY OF CONli7 ntiCTION .. SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Comcnerciallrndustrial SFR(2)bath 437.78 SFR(3)bath I 50032 Accessory building 0 Muld-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other. Fire sprinkler(__sq.fl.) Page 2 . . ; ''.' OB Silt INPORM%13 1 fD•LOCATION •.' Site utilities: Job site address:f 3 L. sem) S (1 b A [rat It. _Catch basin or arra drain 18.76 Drywelt,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear it: ) Page 2 Suite/bldgJapt.no.: Pmject nameRW r Itr(e NO,, yWQat" Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear It:„_) Page 2 Storm sewer(no.linear it.:, ) Page 2 Water service(no,linear ft.: ) Page 2 Subdivision.pixy Tema N 0011A/es 1- I Lot no.:i is- Fixture or Item: Tax map/parcel no.: Badcflow preventer t 31.27 DESCRIPTION OF.WOR)C, • • - Backwater valve 1 12.51 Clothes washer 25.02 Dishwasher 25.02 • Drinking fountain 25.02 Ejectors/sump 25.02 0 IltOrERIT OWNER • • (. p TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC r Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Srottcdek,AZ 85258 Hose bib 25,02 Phone:(602)6944031 I Fax:( ) Ice maker 12.51 •,'�.APPJ:1[CAN1 0 CONTACT PERSON•• Interceptor/grease trap . 25.02 Business name:William Lyon HOMES,Inc Medical gas(value:$_�) Page 2 Prima 12.51 • Contact name:Angela Grajewskd Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver;WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tublshower/sb wer pan 12.51 E-mail:Angela.Grajewskl poiygonbomes.cotn Urinal 25.02 Water closet 25.02 . CONTRACTOR , • • Water heater 37.52 Business name:Malmedal Enterprises Inc. Water piping/DW V 5629 Address:PO Box 207 Other 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)3244/759 I Fax:(503-)324-0580 • Minimum permit fee: 5772.50 Plan review (25%of permit fee) • CCB Lis.:102535 'Plumbing tic.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: C,_ TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/252016 7Ln permit application expires if a permit is mot obtained within 180 days after it has beep accepted as teaspleta "Fee methodology set by Tri-County Building lodustry Service Board. isuWadiellteminPLMU.PcinaAppdoe le/01/09 440.46167(10/02/COMIWEB) si City of Tigard .11114 " COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: /`l S-7-,?(// - C �/ Site Address: .I 3 8 r 5Y,cid sf Project Name: ; ver Tor• K;vr-hlu3 Q3 Lot #: 11 5 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review p Proposal: e c, ct e ( cid 8 SFR Verify site address/suite# exists and active in permit system. .River Terrace Neighborhood: ❑ No ErYes,See River Terrace Review Addendum Attached Site Plan Elements: 1 Three(3)copies of site plan Ai-Existing structures on site . Site plan must be on 8-1/2"x 11"or 11 x 17"paper 'Footprint of new structure(including decks)with finished -kDrawn to scale(standard architect or engineer scale) floor elevations North arrow �TJtility locations(required for new,may apply for additions) ,azi Site address,project or subdivision name and lot number 2t ocation of wells/septic systems ,"Applicant information(name and phone number) ,.Existing trees to be retained with drip line,and tree 81-Lot dimensions and building setback dimensions protection measures , ]Lot area,building coverage area,percentage of coverage and AStreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) ,®"Street names Wroperty corner elevations(2 foot contour lines if more than 4 foot differential) A'Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified .R-No Received: ❑ Yes ❑ No ar Public Facilities Improvement (PFI) Permit: Required: ,eYes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake a Land Use Case#: (P(7 ac, -- CLL;v5/Sa13 .0E coC Q, I1 Zoning: - —j PD .? Required Setbacks: Front J Rear Jp Side 9 Street Side Garage v�o La Landscape Requirement: aG % �+ � c, e.ln kr Lot Coverage Maximum: gu Building Height: Maximum Height N J t1- Actual Height o�(te, Ni Visual Clearance .1- Easements Sensitive Lands: ❑ Yes No Type Urban Forestry Plan ❑ Conditions "Met"prior prior to issuance of building permit i otes: McLk 11G in el; ,ic1 cc,vid �i J'� c� pr_;c. "TD p. r r,--.;+ t ss cC n C2 Approved By Planning: � -="_" Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw_RES_091216.docx r w. Building Permit Submittal Original Submittal Date: 3//%w Site Plans: # 3 Building Plans: # Building Permit#: E--Enter building permit#above. Workflow Routing: Et-Planning 111—Engineering Permit Coordinator = Building Workflow Sign-off: O-Sign-off for Planning(include notes from planning review) Route Application Documents: D--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: / / Engineering Review `I Slope at building pad: ��✓�ty El onditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes El No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approv by Engineering: Date: Notes: Approved by Engineering: ,!I ) Date: /2--Z4.---/z& Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of building permit g Approved,NOT Released: x c/— C &cn- -- Date: Notes: Qji- rdectita 17)e/ ENG ,_ .v1 Mc 4; (in 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: n----SDC Fees Entered: Wash Co Trans Dev Tax: [a Yes El N/A Tigard Trans SDC: [ Yes ❑ N/A Parks SDC: 13I Yes El N/A ►:1 to Issue Permit Approved by Permit Coordinator: /*/1;ate: /5-/ � I:\Building\Forms\BldgPermitRvw_RES 0912 16.docx t „ - t IN City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: riS 7--;2e7/ ,— 00 7 Site Address: j 13 `6 s L1/4i S h ,L,, u .J'ri<„', l Sf Project Name: R, c rlry-a cam. r J -4-t4 w eJ f Lot #: ( (5 (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? Yes ❑ 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 El Cl ❑ 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: i S c I 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street facing wall VParallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: „z Yes ❑ No If yes,all the following apply: Da-25 sq.ft. min. y( One street facing entry NT 12 ft.max.roof above floor of porch 15 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: ki Covered porch min. 5 ft.wide x 5 ft. deep AirRecessed entry area niin. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide igiRoof eave min. 12 inch projection Z Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood 'Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. 2 Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade r i Window trim min.2 '/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 ❑ 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 corner 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. El 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) ❑ 12-foot-wide garage door ❑ 40%max. of street facade k50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: �--- '' Date: I:\Building\Forms\B1dgPermitRvw_RFS_RT_062216.docx