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Permit (41)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT al Request for Permit Action k TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov //y/ 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 E City Staff Check ✓ one REFUND OR Name: INVOICE TO: (Business or Individual) Co J ( L-I-I- LL- Mailing LMailing Address: t p 1 E -r- I 5-reg�T City/State/Zip: \),q,J Cou Jtea_ l)34- ?La 4v9 Phone No.: i2_>1c0-/045- 7700 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): ECANCEL/VOID PERMIT APPLICATION. REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). 0 INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). 0 REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: ST o20 cw K Aa 1 (4-00 39 Site Address or Parcel#: Project Name: Subdivision Name: Lot#: Sict/e?0/7- //S. EXPLANATION: ��rau�,M i QED GrJ��(L ��"�017- do /�.q I oP621"/ orbr o r' P 21"/ rye ES a"f LEES A.E.i-4 ,J A t 104,9.,J I Signature: C , Date: 41/////? Print Name: i t�5/3 e,2. frDA-rt-P51,-)1 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 • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended.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. Route to Sys Admin: Date ByRoute to Records: Date Refund Processed: Date V/Y '� � — By f �/� BY,�i!� Invoice Processed: Date Permit Canceled: Date t//�, By / /� By Parcel Tag Added: Date By I:\Building\Forms\RegPernutAction_ 923 4.doc 11111 % . N TIGARD May 2, 2017 City of Tigard Polygon WLH,LLC Attn: Angela Grajewski 109 East 13th St Vancouver,WA 98660 Re: Permit No. MST2016-00528/SWR2016-00439 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 17452 SW Shadow Trail St Project Name: River Terrace Northwest,Lot 119 Job No.: N/A Refund Method: ® Check#224417 in the amount of$8,248.48. 0 Credit card "return"receipt in the amount of$ 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. Transfer all SDC fees to new permits MST2017- 00124 and SWR2017-00115.. If you have any questions please contact me at 503.718.2430. Sincerely, /(a7)5.v.,ze/let__ 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 114 City of Tigard TIGARD Accela Refund Request o 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 4-Van109 East 13th St. REQUESTED BY: Dianna Howse 0144( -- Vancouver, couver,WA 98660 TRANSACTION INFORMATION: Receipt#: 408435 Case#: MST2016-00528 Date: 1/23/2017 Address/Parcel: 17452 SW Shadow Trail St Pay Method: Check Project Name: River Terrace Northwest Lot 119 EXPLANATION: Per applications request as they changed house plans. Refund 100% of permit fees; transfer all SDC fees paid to new pe rmit M ST2017-00124&SWR2017-00115. ' HI0Y i,;, iii (3bt3 , ,c ,t''A, ytd $. oy ' f � 2y Yi.`, N y4 A . P 0 ! i r l }vlCFet 0€ am t e aeff� r, .. m`. Kph . Building Permit 230-0000-43104 $2,047.68 ✓ Mechanical Permit 230-0000-43102 324.42 Electrical Permit 220-0000-43103 413.14 1•"-- Plumbing Plumbing Permit 230-0000-43101 500.32 •/ 12%State Surcharge 100-0000-24001 394.27 V. Metro Construction Excise Tax 230-0000-24010 439.36 ✓ Beaverton School CET—Residential 230-0000-24101 3,742.89 V Erosion Control w/Development 100-0000-43134 386.40 ✓ TOTAL REFUND: $8,248.48 V. APPROVALS: SIGNATURES/DATE: If under$5,000 Professional Staff If under$12,500 Division Manager NIA,tF 0 If under$25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board ,' . FOR TIDEMARK+SYSTEM ADM NISTRATION,USE ONLY. Case Refund Processed: Date: /�3ii" By: 44214-- I:\Building\Refunds\RefundRequest doc "I:\Building\Refunds\RefundRequest.doc x 12/21/2016 CITY OF TIGARD IN It 13125 SW Hall Blvd.,Tigard OR 97223 RECEIPT 503.639.4171 TIGARD Project Name: River Terrace Northwest, Lot 119 Site Address: 17452 SW SHADOW TRAIL ST Receipt Number: 415783 - 02/23/2018 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2016-00528 $-8,248.48 t Total: $-8,248.48 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID Check CASHIER ID RECEIPT DATE RECEIPT AMT 224417 Payor: Polygon WLH, LLC DHOWSE 02/23/2018 $-8,248.48 Total Payments: $-8,248.48 Balance Due: $8,248.48 Page 1 of 1 CITY OF TIGARD IN , _,.,. 2 .. 13125 SW Hall Blvd.,Tigard OR 97223 RECEIPT 503.639.4171 TIC:,Afl1) Jit/ /4- _ Receipt Number: 408435 - 01/23/2017 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2016-00528 Building Permit-New Construction 230-000043104 $2,047.68 E- MST2016-00528 Plan Review MST2016-00528 12%State Surcharge-Building 230-0000-43106 $751.34100-0000-24001 751.34 MST2016-00528 DC Provision Review, SF-Ping 10100-000 ..43112 $ 90 70 S MST2016-00528 Info Process/ArchivingL $2.00(over 30-0000-43115 $90.0044 g 230-0000 43135 11x17) $44.00 MST2016-00528 Info Process/Archiving-Sm$0.50(up to 11 x 17) 230-0000-43135 $60.50 MST2016-00528 Metro Const. Excise Tax MST2016 00528 Beaverton School CET-Residential 230-0000-24010 $439.36 E- MST2016-00528 Permit Fee-Elect(per dwelling unit) 230-0000-24101 $3,338.84 E MST2016-00528 Limited Energy 220-0000-43103 $338.14 E MST2016-00528 12%State Surcharge-Electrical 220-0000-43103 $75.00 E 100-0000-24001 $49.58 S' MST2016-00528 Air ConditioningAi MST2016-00528 Furnaces<100K BTU 230-0000-43102 $46.75 ,% MST2016-00528 Water Heater 230-000043102 $46.75 ill MST2016-00528 Gas Fireplace 230-0000-43102 $23.32 /y MST2016-00528 Range Hood/Other Kitchen 230-0000-43102 $33.39 /y MST2016-00528 Clothes Dryer Exhaust 230-0000-43102 $33.39 /'? MST2016-00528 Single Duct Exhaust(Bathrooms, Toilet, 230-0000-43102 $33.39 M Utility Rooms) 230-0000 43102 $93.28 Cl MST2016-00528 Fuel Piping MST2016-00528 12%State Surcharge-Mechanical 230-0000-43102 $14.15 100-0000-24001 $38.93 SCI ' MST2016-00528 SFR-Baths MST2016 00528 12%State Surcharge-Plumbing 230-0000-43101 $500.32 P MST2016-00528 Erosion Control w/Development 100-0000- 3131 $60.04864 . MST2016-00528 Plan Review 100-0000-43134 $386.40 F--- 230-0000-43106 $579.65 Total: $9,773.97 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID Check CASHIER ID RECEIPT DATE RECEIPT AMT 71333 Payor: Polygon WLH, LLC DROWSE 01/23/2017 $34,106.97 Total Payments: $34,106.97 Balance Due: $0.00 Z- = y/3. /y /1 = 3 Ay, 4/2 P = Soo , 3-2- /O 2.E we_ �.2Y� a,/ S - 39 y, .27 02/.097 64 y39.36 37 .•,F9 '3�-6. Yo dl) .2�1f, `,- 77 T61_. L Page 1 of 1 CITY OF TIGARD RECEIPT NI . li I 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGA.RD TA4--A/S 7� I Receipt Number: 409836 - 04/05/2017 I CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2017-00124 Wash Co Trans Dev Tax-SF Detached MST2017-00124 Tigard Trans SDC Improvement-SF 411405-0000-43320 $8,278.004 Detached 415-0000-43300 $5,488.00 MST2017-00124 Tigard Trans SDC Reimbursement-SF Detached 415-0000-43301 $317.00 MST2017-00124 Tigard Trans SDC River Terrace-SF Detached 415 0000-43302 $2,684.00 MST2017-00124 Parks SDC Improvement-SF Dwelling 425-0000-43300 $4,356.00 (detached/attached) MST2017-00124 Parks SDC Reimbursement-SF Dwelling(detached/attached) 425-0000 43301 $1,207.00 MST2017-00124 Parks SDC River Terrace-SF Dwelling 425-0000-43302 (detached/attached) $2,003.00 Total: $24,333.00 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Fund Transfer Payor: DHOWSE 04/05/2017 $24,333.00 Total Payments: $24,333.00 Balance Due: $9,396.78 Page 1 of 1 CITY OF TIGARD RECEIPT s it- 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 408435 - 01/23/2017 I CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2016-00528 Building Permit-New Construction MST2016-00528 230-0000 43104 $2,047.68 Plan Review 230-0000-43106 MST2016-00528 12%State Surcharge-Building $245.72 105-0000- MST2016-00528 Wash Co Trans Dev Tax-SF Detached405-0000-4332033 $278.00 MST2016-00528 Tigard Trans SDC Improvement-SF $5,488.00 (— Detached 415-0000-43300 $5,488.00 - MST2016-00528 Tigard Trans SDC Reimbursement-SF Detached 415-0000-43301 $317.00 MST2016-00528 Tigard Trans SDC River Terrace-SF Detached 415-0000-43302 $2,684.00 3 MST2016-00528 Parks SDC Improvement-SF Dwelling 425-0000-43300 $4,356.00 MST2016-00528 (detached/attached) Parks SDC Reimbursement-SF 425-0000-43301 Dwelling(detached/attached) $1,207.00 _ MST2016-00528 Parks SDC River Terrace-SF Dwellin (detached/attached) g 425-0000-43302 $2,003.00 MST2016-00528 DC Provision Review, SF-Ping MST2016-00528 Info Process/Archiving Lg$ (over 2.00 100-0000-43112 $90.004 2 230-0000 43133 5 $44.00 11x17) MST2016-00528 Info Process/Archiving-Sm$0.50(up to 11x17) 230-0000 43135 $60.50 MST2016-00528 Metro Const. Excise Tax 010 MST2016-00528 Beaverton School CET-Residential 230-0000-24101230-0000-24 $749.89 MST2016-00528 Permit Fee-Elect(per dwelling unit) $$338.84 MST2016-00528 Limited Energy 220-0000-43103 $338.14 220-0000-43103 MST2016-00528 12%State Surcharge-Electrical $49.58 MST2016-00528 Air Conditioning100-0000-24001 $49 58 230-0000-43102 MST2016-00528 Furnaces< 100K BTU $46.75 $46.75230-0000-43102 $46.75 MST2016-00528 Water Heater 230-0000-43102 MST2016-00528 Gas Fireplace $23.32 MST2016-00528 Range Hood/Other Kitchen 230-0000-43102 $33.39 MST2016-00528 Clothes Dryer Exhaust 230-0000-43102 $33.39 MST2016-00528 Single Duct Exhaust(Bathrooms, Toilet, 230-0000-43102 $33.39 Utility Rooms) 230-0000 43102 $93.28 MST2016-00528 Fuel Piping MST2016-00528 12%State Surcharge-Mechanical 230-0000-43102 $14.15 100-0000-24001 $38.93 MST2016-00528 SFR-Baths 230-0000-43101 MST2016-00528 12%State Surcharge-Plumbing $$60.04 MST2016-00528 Erosion Control w/Development 100-0000-23131 $60.044 100-0000-431 MST2016-00528 34 $386.40 Plan Review 230-0000-43106 $579.65 Total: $34,106.97 7dr";1c. /---€7,A". L s`f��,;_ ��< o( / X33, 17-V / Page 1 of 2 Receipt Number: 408435 - 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 $34,106.97 Payor: Polygon WLH, LLC Total Payments: $34,106.97 Balance Due: $0.00 Page 2 of 2 City of Tigard •• COMMUNITY DEVELOPMENT DEPARTMENT Request for Permit Action 1 4:19 l 1 C,;\1 n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov /y/ 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 Check(✓)one ❑ Applicant ❑ Contractor igiCity Staff REFUND OR Name: INVOICE TO: (Business or Individual) o L.,/ Co 13 14- Lt.-C. Mailing Address: t 09 EA-5T 13 5-ref£.7"-- City/State/Zip: TCity/State/Zip: JA►J Cou JET (,34} C QLe,(ap Phone No.: ,--_)too-Lq S- 770o PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): 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). D REMOVE/REPLACE CON IRACTOR ON PERMIT (do not cancel permity. Permit#: MSTao i - £0 ce 4 ( IAD Qao1G-001139„---- ------- -.— Site oo1l39„---.. Site Address or Parcel#: ) 7q5 ._ ��"' �w �1}<}�a I t2V}t L-----52T17'_ . ._. _. Project Name: Subdivision Name: Lot#: EXPLANATION: $ly t QE D u� i S tUR.2o/7-00//S' 2 ��017- ooIA� AEA.,J 1obr or' /al-,, ryeEg 4 S."c eE Lg ' �J Qe r.4iN A-t.c._ Pt.W 2.E Jt£.4‘), Signature: C Date: 41////7 Print Name: t-0513,e,�. PFDq�M51`11 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 I SE ONLY Route to Sys Admin: Date By Route to Records: Date Refund Processed: Date /fes o �� By-1;7'y / /`7 By Invoice Processed: Date By Permit Canceled: Date y/y/j7 By - Parcel Tag Added: Date I:\Building\Forms\RegPermitAction 923 4.doc By .111 a I' 9 TIGARD City of Tigard May 2, 2017 Polygon WLH,LLC Attn: Angela Grajewski 109 East 13th St Vancouver,WA 98660 Re: Permit No. MST2016-005 8/SWR2016-00439 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 17452 SW Shadow Trail St Project Name: River Terrace Northwest,Lot 119 Job No.: N/A Refund Method: ® Check#224417 in the amount of$8,248.48. ❑ Credit card "return"receipt in the amount of$ . 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. Transfer all SDC fees to new permits MST2017- 00124 and SWR2017-00115.. If you have any questions please contact me at 503.718.2430. Sincerely, ,d."*" lil / 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 CITY OF TIGARD RECEIPT 11111 l13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD / /VSE-E7�_ Receipt Number: 409834 - 04/05/2017 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SWR2017-00115 Sewer Connection Fee SWR2017-00115 Sewer Inspection-Residential 500-0000-25500 $5,300.00 230-0000-43118 $35.00 Total: $5,335.00 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID Fund Transfer CASHIER ID RECEIPT DATE RECEIPT AMT Payor: DHOWSE 04/05/2017 $5,335.00 Total Payments: $5,335.00 Balance Due: $0.00 Page 1 of 1 IN CITY OF TIGARD RECEIPT 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD 1/A/C//✓ L I Receipt Number: 408436 - 01/23/2017 I CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SWR2016-00439 Sewer Connection Fee 500-0000-25500 $5,300.00 SWR2016-00439 Sewer Inspection-Residential 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 CITY OF TIGARD MASTER PERMIT - COMMUNITY DEVELOPMENT Permit#. MST2016-00528 TJGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2017 Parcel: 2S 106DB 11900 Site address: 17452 SW SHADOW TRAIL ST Jurisdiction: Tigard Subdivision: RIVER TERRACE NORTHWEST Lot: 119 Project: River Terrace Northwest, Lot 119 Project Description: New SF BUILDING Floor Areas Required Setbacks Stories: 3 Bedrooms: 4 Required First: 978 sf Basement: 814 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1251 sf Garage: 368 sf Front: 8 Dwelling Units: 1 Smoke Third: 0 sf Right: 3 Detectors: Yes Total: 3043 sf Value: $366,136.99 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 y Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 Tubs/Showers: 3SF Rain Storm Sewer: 100 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Catch Basins: 0 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 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 P W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 P 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: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: NEW SF VB P Square Feet: R-333043 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 STE 1 2 One Hour Fire Rated Eaves SCOTTSDALE,AZ 85258 Required both sides 3 Geotechnical Inspection PHONE: PHONE: 360-695-7700 Required before foundation FAX: Total Fees: $34,106.97 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 throug R 995-009'. 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: < / /"" »��2+ "T7Z`��1�' Permittee Signature: 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. Baltilding Permit Application L__ 0 / I 4CS t RECEIVED FOR OFFICF. 1 sE ONL1 City of Tigard Firer/a • .. /, //W PermitN JS/ -e�1� 1111 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 1 1 2016 plan Revieyv % _� a,,�pe �� j6j'/iE ■ ' Phone: 503.718.2439 Fax: 503.598.1960 f� Date/By: 1-2.-07_,) Le 1 Inspection Line: 503.639.4175 CITY OF I R AAD Date Ready/By: ® -7 Iwis. H See Page 2 for [1 C; 1 l7 Notifed/Method: / / Internet: www.tigard-or.gm B` 'J+ gam,�f, G D IV I S I OSupplemeutai Information �..1 E-6+ 9� i..l y„,tpyft_ '.,.cam/r-- ®New construction 0 Demolition Permit fees*are based on the value of the work performed. J Indicate the value(rounded to the nearest dollar)of all Q 0 Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and the profit for the � ;�s ; ��y � e�j�"y�,�� � K°. �;`�' ���”"REFS � ° work indicated on this lication. �. :. �tn�'..�. 1 � ® 1-and 2-family dwelling ❑Commercial/mdustrial 0 Accessory building 0 Multi-family❑Other: Number of bedrooms: 1 0 Master builder Number of bathrooms: 3 1) ' t ai , . 3 �- t ��� Total number of floors: 3 g`,W : 3/# Job site address:/l 5? SW Shadow Trail St New dwelling area: 7 -,'square feet / City/State/ZIP:Tigard,OR 97224 Garage/carport are .21/ square feet Suite/bldg./apt.no.: I Project name:River Terrace Northwest Covered porch area:,&il ` square feet Cross street/directions to job site: Deck area: 1/i, q.0�+1 square feet Other structure area: square feet Subdivision:River Terrace Northwest Lot no.(19 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the t `ii44 _`�� work indicated on this application. r Valuation: $ Existing building area: square feet New building area: square feet ;.;414:5751; -5'5'., 6 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 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 I Fax::( ) E-mail:Angela.Grajewski@polygonhomes.com �• .. . ` ' ..�`' ,, c Commercial and residential prescriptive installation of : a t 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 administrative 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: _. ���G??/� C 41(01t 1This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: /a *FeeService Board. methodology set by Tri-County Building Industry / I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ,,--,r- t..c-c....rt Mechanical Permit Anniica*" urvEt ;CA-4 1--1--". i ,JR oi I it 1 1 ,1 too \ • - • ' - ' .$1 i a °swan...14..4T, :City of Tigard Th"111N°Mq21)IV- 13125 SW Hall Bled.,Tigard,OR 97223 0 E c 2 8 2.0,u pie41 Re,4cw 6032-6 . . Phone: 501713.2439 fax: 503.598.1960 ,14, Datelli y: Other Permit Inspection Line: $03.639A 175 ;OAF litl See Pagel for • 'Internet www.tigard-orgov Supplemental Information 5Cln- ,.)' ,F (;1:,,,i),A, ,1-101.111:11,...4).thod,./Ry: -41..-Yi.,-,;-----,....,k,,,,,,,,,:i,:-K-..,,t.-.4 :,,,,,,?i,,,,,,,-4,e,,,,,i.;,-0.4.,:.;'•-&'§-.,i,„-.,,,',,t,,47,':• •.4z,i,,,-;:,::: '-.r.,,i,76:1 jj;, Mechanical pemut•fees*arc based on the value of the work Ig]New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other Mechanical materials.umlauting,labor.overhead.and profit. Value:$ '-',,,.."1.tv,pe--r+-&-,0....-- ... .-„e.,i-14,07,-•;"4"---7.;ntz•-•,;',,n7ter-4z,':::-!..ives .....:;m -,r....:3,-:,;:g:,:frt-illi;iTtl,, e,,,,,,,,_,..,.., t,t-,,,i,,,,4;,,is-J::::,-0,s:::c_•,....4,,,,-J•v:,,,.„,r-:, :0,-, ,- .,.--,. :,---, r--'‘,,,,yr..r.-;.c.:i',.-i.i..-I• 7,.-P:31'1' ...1'.'ilt" .' I-and 2-family dwelling a Commercial/industrial 0 Accessory building Forspector infirm:don use checklist Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total '''.•.-z'''."-' ''''''''''1'''''''''1:'4',',it`: "*V.l'-'''' -'e.P`n 7,"res'N:1;:t t,' t-',;`,cf:+7:,,I,,., 2ii:i-j. -.4:z,7,,--7,.,...~•-•,:-.,...,.... Fiesdineteoling: 2.,,.-L.-:IL..,:ii.LIZ.-44-..q.,z,•:.:,,,..';',.S.4-.4..•::::=7:'..15..,Z,...-:- ...j..,"..z.f.,. .-_.•,..44..-...s: ,--?...L.';.7.... l.,%.:1.i!..,....:::.., .....: A. -• • tr ectitditiontna I 46.75 Job site addiass:/74/s2._ SV.) rwr öticlTrakI Si-: Furnace 100,000 BTU(cluetakeats) I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+IITU(Ourtsivents) MM Heal pump 61.06 Suite/bldg./apt.no.: I PMject nalrieglYtr Terraff-,t4 eirtiAlWeit- nuct work 23.32 Cross sued/directions to job sins: Ilvdronic hot water system 23.32 • Residential boiler(radiator or hydrunie) 23.32 Unit hearers(fuel-type not electric). in-wall,induct,suspended.etc. 46.75 Pluetvent for any of above I. 23.32 n' -7Oilier , 23.32 Nvie,41- no1)01 Subdiviste'n MVer texraCe. ofthI Lot .; Other fuel appliances: Ta'c map/parcel no.: Water healer 23.32 •F.,,r;:-.T..-.v,1::.:TA*.A7-7r:fr;17:"...5.,'.:,7''',;-;177:17:-,77pffsi-TP5014:4M., :"..z1'':.'51:5S7ZW/57;-,17'-7,5:7P Gas rireill4Cclin3ert 1 33.39 Plue vent for vate heater or as fireplace 23.32 Lon lialler(aat.) 23.32 Wood/pellet stove 33.39 Wood fireptseciloscrt 2332 Chininevflinerilluervent 23.32 • 23.32 , ,Fi:55. 17- ,:; ,:r7m7,1:7i7 '75-',r7-: °lb"' ..,.,,.., ,.y,..,-.--,,Lf,-1.,,:•.,N,.-.--.1,g,,,‘ ,,_- ::-..,,,,4-..,,,,....,:mr,-....„.. go vironwebtai exhauFtand vt,litgationt Name:Polygon WU:41.3X Range boodfother kitchen I• equipment t 33.39 Address: 109 East 1.3*Street Clothes dryer exhaust I 33.39 City/Stale/ZIP;Vancouver,WA 98660 Single-duct exhaust(bathrooms, • toilet compartments.utility rooms) 4 23.32 Plume:(360)69S-7700 Fax:( ) Attiefcrawispaec fans 23.32 -777•T.- -.L.,.:;':::::.`•''-':i.-75'i:::"--iFt.:4;i7-2-i.3:17,z7-V,i,41.-.!:-..-.,-,..,-1E'i.,,jr,srl.f.,-,.T i''..-, ',.V,''''..,°..,Q-J.'-,"f::`,:z::- , Other 23.32 Fuel BUSiness name:Polygon Will,LLC ., $14.15 tar Mit four:54.031oz earls additional Con act name:Anrgeht Grstjewski Furnace,etc. I Address:199 Rest 13th Street Gan beat pump Wail/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater • Phone:(360)695-7700 I Pax::(360)693-4442 Finaptace I ' itenfic I E-mail:A.ngela.Grajmnif41.0polygonhomes.coni Barbecue ';:.'`•:'.r•''',f1*,.;':'fj-J-:':.--;:',! ?•;::::::-..,1,7:,.;7:;,.'.'•,.'r:,!,Iri•. :,:i7!1.7, :-''':- ;'1. '';',:;').•.'-4''-''.,•-.',-•::%•12.-',.'i•''.-,: ::172,,,1 :.. Cbdics 4111w(8.94 Btsiness narpe:Apex Air 11.0 Other ,..------ - --,`-':....;••': . .C-i;R:1•...t,•:'' ';'...T . Address: 18004 NE 72 Ave Subtotal ' City/State/ZIP:Vancouver,WA 986116 Minimum pan*fee($90.00) Man review(25%of permit fee) Phone:(360)3424109 Fax:(360)3264769 State surcharge(12%of permit fee) i CCil liC.:203034 .....T.4 . TOTAL PERMIT-FM This permit application.aspires ira permit it net obtained within led days atter'it has been areepted as complete. Authorized,signature: * Fee methodology set by Tri '-county Bonding Industry Strdec Board 'Print nume: 4^ I Dote: 4-II.II.. 113wOdieePerwilsktvlEC_Ptroliampt0113 dog 440-46177(I 102,,COMAMI EIectrical Permit Application -IL. City of Tigard Received DEC. 2 201E 1Dalear� Pamir k.NQS .Mina:b III1 13125 SW Hall Blvd.,Tigard,OR 97223 Photte: 503.7182439 Fax: 503.598.1960 Related Permit it: TIG'1R1) Inteaseknwww.tigard•or.gov75 e® LW DING DI ffif ho heir Vi• i Supplemene 2 for tal information "' ; .. ` .-?az7.,r}ti 4� '�'1''•VO�7-*:i. uN.. ,.r'a ,7}i`�;�.:' .-'.. -;,rn:,,.�-,-.- e`a; 4;%:;,-:; y.'S'`y . ;A 4'L Krwz '.'S'..ji4:=.. 'r w 5'`i.��±: t- moi` 13.-,�...�.,. . , `fit. �� - - 4 New construction 0 Additionfalteration/replacement Please check all that apply(submit 2 acts of plans wftems cam: 0 Demolition Q Other: ❑Service or feeder 400 amps or mom 0 Building over three stories. where the available fault meat ❑1itarinas and boatyards. , a_ _ ; kt a i;.' r:7D- .1' ,i6:0,.(5).. ...f.i-,r <.E. emeeeda10,000amps at159volts or 0 Floating buildings. El 1-and 2-family dwelling 0 Commercia1Pu dtistrial 0 Accessory building less to ground,or exceeds 1000 ❑Commercial use agricultural amps for ell other installations. buildings. ❑Multi-family - 0 Master builder 0 Other: 0 Fite pump. 0 installation of ISO KVA or s.''�"a, i (8.1- �." ..''''.4-5(,6...14-`7 •=c' `' -I 3 troy=%#,kr '-i, a -r,�' . "'-`44 : D emergency system- Larger sepetately derived Job#: Job site addressf Lig S� S hdi i) "Fail s't. loom'o of rmw motor loan of system. IOOHP or morn. City/Stiate/ZIP:Tigard,OR 97224 D Six or more residential units. o Pay. O,xN t,, ©Ha eaub.ae facades. ❑Recreational vehicle parka. Suite/bldgJapt#: Project name'River" erac Wo1 111wt$t g1Flazmdoua locations D Supply unitage 5x mom ibmr ❑Berries arfoed�600 amps or more. 600 wIq nomioel, Cross street/directions to job site: :,$•':; r 1' y9l v'9:�i r,r!l,,L,", :r`F 9--,µ,=}Vi•, • Pesetipdos I Qtr. 1 hack Tow New residential single-or multi-family dwelling unit. subdivlsicn:Ri4tr Terrace N nrWhukst Lot#: 1101 Includes attached garage. Tax map/parcel#: 1,444 sq.R or las t 16854 4 Ba.add'l 500 sq.ft or portion L 33.92 1 s' 4 ? „ , :1 itgao,p.j, 0_T(.s5 zI .SN).:11 :s= `_ -Z-. _ :.:. -..' Limited energy,residential (with above sq.it) 75.00 2 Limited energy,multi-fatuity 75.00 2 residential(with above sq.&Z rG -_ Renewable Energy ❑See Page 2 - y n)0 4 3 a� J "�" '::" ,-3;... 's:. 5. '' +�?.` i- 'g• Services or feeders iostaliationtalteradon,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 `2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: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 Email: Temporary services or feeders installation,alteration,and/or . relined= Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I 1 ' 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 le 599 amps I 168.54 2 . >- )`, = Branch circuits-new,alteration,or extension, er panel a :l . "�,���; N^C r 1?o'u L ;? h ;" A.Fee tot branch circuits with Business name:William Lyon TJomes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits without Address:109 East 13th Street service or feeder leer first branch 56.18 2branchaitcuit City/State/ZIP:Vancouver,WA 98660 Batt add')branch circuit 7,42 2 Miscellaneous(service or feeder not included) Phone:(360)6957700 • • (Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service ct Email:Angela.Grajewsid@polygonhomes.com Reconnect ' R only67.84 2 r ,f__ : ' ._. .--' _£ ��;...,1.._r-- 9 .—,'.,_..'. . ......_f„'.-_;. -Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LW • Sign or outline lighting 67.84 2 e..,,: Signal cieu t(s)or limited•eaetgy Address:6101 NE St Johns Rd panel,alteration,or extension. 0 Page 2 2 City/SfaGrJZIP Vancouver WA 98661 Additional additional Inspection over allowable In any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 kr min) 90.001 hr Email:bdanielst�agweusa cam Industrial plant(I hr min) 78.18/to Inspections for which no fee is 9000/kr CCB Lic.: CUSS Electrical Lie.: 208174 J Suprv.Lia: 44968 - • listed 14 hr mm ".. Suprv.Electrician signature,required: .:Air. . herr--- Subtotal: Print name: Joan P Albert I Date: 4/26/2016 ' D Plan Review Required(25%of permit fee): e” State surcharge(12%ofpermit fee): . - , rti;!.::.::.:. — Authorized signature: - . TOTAL PBRMI FEE: 2{E:.This permit application expires Ira versants net obtained within 180 "`li'=r Print name: Bill Daniels Date: 4/26/2016 days after it has been accepted as complete. s :i '. * Number ofinspections allowedper permit_ - r^'"r:;'ti�f�;�-�saedsaslrarastsatc,�+dsetnppylnt lnca.eoe Rev 06/17/2013 aao.tatsrtirrosrConvivea SO Plumbing Permit APPHC t -,r ut.f'-- Building Fixtures . ,b "" Cityof Tigard nI' S 2016 Received Permit No 131SW Hall Blvd.,Tigard,OR 97223 Daffy"Plan Review i"'Bablv)_Or , Phone: 503.718.2439 Fax: 50L6 a . •• s„1 "4Dateray: Other Permit No,: 1 i... p Inspection Linc: 503.639.4175 %i 9 n Date ReadyiEr renis: El See Page 2 for Internet www.tigerd-or.gov '�I j I L I N° D t Notified/Method: Supplemental Information ®New construction ' fl Demolition For special in/ormoi ons useeliedtuat Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other. New 1-2-faedty dwellings(includes 100 ft.for each utility connection} .• .CATEGORY'OF CONSiliilGON'• SFR(1)bath 312.70 ®I-and 2-family dwelling 0 Comn crcialirndushial SFR(2)bath 437.78 ' SFR(3)bath 1 50032 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other. Fire sprinkler(_sq.It) Page 2 .:-.: .JOB SITE INFORMATION MID'LOCATION Site utilises: • lob siteaddress:/lwJ'4 swswbvs1 '(1lt ,st. Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywall,leach line,or trenchdrain 18.76 Footing drain(no.linear ft.:_,,_) Page 2 Suite/bldg./apt.no.: Pnjea nam JZWVer Ttrate Norlw 1- Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rail drain connector 18.76 Sanitary sewer(no.linear It:_) Page 2 Storm sewer(no.linear it:, ) Page 2 Water service(no.linear ft.: I Page 2 Subdivision.Rim "r� '(A j Ni Ottlirtvje f-I-- I Lot no.:ilei Fixture or Item: Tax map/paroei no.: Brrcirftow pre vcrder ( 31.27 .• DESCRIPTION OF.WORK: • Backwater valve i 12.51-r Clothes washer 25.02 Dishwasher 25.02 . Drinking fountain 25.02 Ejectors/sump 25.02 igi.PaOPERTY OWNER • • 1 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC 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:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 I Fax:( ) Ice maker 12.51 ID CONTACT'PERSON• Interceplorlgrease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S_) Page 2 Primer • 12.5I Contact name:Angela Grajeevskl Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/Slate/ZIP:Vancouver;WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 TUb/sbmver/shower pan 12.51 E-mail:Angela.Grajewskt® mpolygoahomescoUrinal 25.02 Water closet 25.02 CONTRACTOR , • . . Wates heater 37.52 Business name:Malmedal Enterprises s Inc. Water piping/DWV 56.29 Address:PO Bos 207 Other 25.02 City/StatelZIP:Banks,OR 97186 Subtotal Phone:(543)324-0759 Fax:(503-)324-0.580 Minimum permit fee: $72.50 CCB Lie.:102535 Plumbinglic.no.:34-276PB Plan review (259'0 of permit fee) State surcharge(12%of permit fee) _ Authorized signature: �,.,. - TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 This permit application expires ifs permit b not obtained within 150 days atter it has been accepted as eompiete *Fee methodology set by Tri-County Building industry Service Board. rABw7direlPamits1P7 MU•PermhApp.doc 10.01/09 440 f616T(1a/d2/COMIwEB) w 4 ' City of Tigard II //I COMMUNITY DEVELOPMENT DEPARTMENT r 1 c RD Building Permit Review — Residential Building Permit #: /7:5 .2o/(, — 005--,2 Site Address: � '/5 <gtt) S%jd1W) .--i7.J S7 Project Name: Aroma Air s<_t.0Lot #: //9 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: lel aA) s)- --,everify site address/suite# exists and active in permit stem. A River Terrace Neighborhood: El No Yes,See River Terrace Review Addendum Attached SiVPlan Elements: A VAViree(3)copies of site plan ; sting structures on site �Lrawn to scale(standard architect or te plan must be on 8-1/2"x 11"or 11 x 17"paper 11 ootprint of new structure(including decks)with finished engineer scale) �or elevations arrowutility locations(required for new,may apply for additions) perth te address,project or subdivision name and lot number 1 t cation of wells/septic systems 'ritpplicant information(name and phone number) Or 'A sting trees to be retained with drip line,and tree Fr t dimensions and building setback dimensions rotection measures L�1Lot area,building coverage area,percentage of coverage and /A eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than 4 foot differential) 101 tean Water Services—Service Provider Lette of platted prior to 9/10/1995): 0Pequired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No ublic Facili,�ti Improvement(PFI)Permit: equired: VJ Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake and Use Case#: P . oo o /Zoning: ite--3- (P IW P./Required Setbacks: Front Rear AO Side 5 Street Side Garage andscape Requirement: a Lot Coverage Maximum: Tll • Vt.Building Height: Maximum Height � 4 Height Actual Hei ht c / '/ isual Clearance � fU � A Easements 8 5 '`ensitive Lands: ❑ Yes /No Type P! Urban Forestry Plan El Conditions "Met"prior to issuance of buil *rig permit Notes: Ci16 ,56/1 g — glo // b 2 yyt.a pi-4r- A h,oL >SSPk Ge_ Approved By Planning: r Date: e , Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\BuildingWorms\BldgPemiitRvw RES 091216.docx A i Building Permit Submittal Original Submittal Date: /07/� Site Plans: # 3 Building Plans: # 3 Building Permit#: Ea-Enter building permit#above. Workflow Routing: [ Planning Engineering [Permit Coordinator Building Workflow Sign-off: a-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 original plan review routing form. GYtuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ,Lt Date: /,;2- /" Engineering Review K Slope at building pad: ', 7Z 11) 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 ❑ No LIDA Facility on lot: ❑ Yes 0 No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 44 p Date: a--AZ.--4) Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: P;I.- Yes ❑ N/A Parks SDC: 9Yes ❑ N/A OK to Issue Permit (( Approved by Permit Coordinator: Date: i -- ' ( I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT illAll I T I G A R D River Terrace Building Permit Review Addendum Building Permit #: //57 ,27/ -620-5C , - Site Address: /91S—e.? ) 0 x) i// c72.- Project Name: /`VPr -rem,aP "VA-4 Lot #: // (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist 'ct Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?PYes ❑ 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 t. dee Balcony w/ access 2 Window Projection Vertical Wall Offset a p ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer li GICICi ❑ 2. Eyes on the street: a minimum of 12%.of each street facing façade must include windows or entrance doors. Percentage Shown: /Q.c/D 3. trances:At least one entrance must meet both of the folio g standards: Max. 8 ft. setback from long t street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes CINo If s,all the following apply: V5I sq.ft.min. ne street facing entry 12 ft.max. roof above floor of porch ft. depth min. ❑ 30%min. porch roof coverage 4./etailed Design:All buildings shall include a min. of five of e following elements on all street-facing façades: �overed porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches ❑ 5 ormer min. 4 ft.wide Roof eave min. 12 inch projection "ri oof 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. ❑ orizontal lap siding min. 3-7 inches wide Cl Accent siding min. 40%of street façade Window trim min. 2 1/2"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 façade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: N closer to front or side lot line,than longest street-facing wall. _ Yes No. If No (Check one): ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. LIVI 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 CI 40%max. of street facade GIVIA 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: ` Date: / 7 1 C\Building\Fomu\B1dgPermitRvw_RES_RT_062216.docx 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 111 7a Transmittal Letter : T 1 ca A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISIONRF r w F FROM: Angela Grajewski AUG 2 2017 COMPANY: Polygon Northwest Bev C: `a At PHONE: 971-212-2144By,/. RE: 17452 SW Shadow Trail St MST2016-00528 (Site Address) (Permit Number) Northwest River Terrace Lot 116 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: , ..I iotion: Y -. < Copes escription= 0 Additional set(s) of plans. 3 Revisions: plot plan- Tree update 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. ... u . '';,::.i:: .! Q.Iti( `,FI`CttE OILY r .:.. li .. ..:,. Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes bio Fee Description: Amount Due: $ $� `-�'k 4kv. 12' $ f,. a,,,, - Special 14141 6-t r' 71-j /fIGAvl� Gt.--t -1-7)44C-- u 4ptti 744/. Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: 1,Z y/r7 Initials:/ I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Pacific Community Design MEMORANDUM r DATE: August 22, 2017 .. TO: Monica Bilodeau, City of Tigard AUG 2 if 2017 FROM: Ben Holmes, PCD �- Cc: Stacy Connery, PCD Morgan Holen, Morgan Holen Et Associates RE: NW River Terrace - Clarification of Urban Forestry Plan a Report This Memo is to clarify modifications to the Street trees adjacent to lot 119 of NW River Terrace due to utility conflicts. NW River Terrace continues to meet or exceed the required tree canopy cover as previously approved. Lot canopy coverage requirements are met for the overall areas (lots and Tracts) for zone R-12. Individual lot canopy coverage are also met for zone R-7 per Section 10.N.1 and Section 10.0 of the Urban Forestry Manual. • Street Tree 5322 has been removed to maintain required utility separation. • Lot 118 canopy cover is not affected. • Lot 119 canopy cover will be reduced from 1,924 s.f.(53%) to 962 s.f.(27%) due to street tree 5322 being removed. • The total proposed street trees have been reduced from 421 to 420. The total required street trees based off the total street frontage is 371. The Urban Forestry Plan ft Report continues to satisfy the City of Tigard's requirements. Payment of tree canopy fee in lieu of planting is not being requested. (18.790.070.B.2.b) Pursuant to 18.790.070.B.2.c, the modified tree canopy site plan and supplemental report are provided for your review and approval. Please let us know if you have any questions. 12564 SW Main Street,Tigard,OR 97223• [T]503-941-9484[F]503-941-9485