Permit (71) CITY OF TIGARD MASTER PERMIT
1421:'- COMMUNITY DEVELOPMENT Permit#: MST2017-00214
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2017
T[ 9 Parcel: 25106DA13400
Jurisdiction: Tigard
Site address: 13059 SW REDFOX TER
Subdivision: RIVER TERRACE EAST Lot: 134
Project: River Terrace East, Lot 134
Project Description: New SF. Model home.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke
DwellingUnits: 1 Detectors: Yes
Third: 0 sf Right: 3
Total: 1858 sf Value: $232,467.49 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
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: I Hose Bib: I 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: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1858
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 1 Hour Fire Rated Eaves
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175
STE 1
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $31,434.01
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: . c�C� "..6f.e/17rs�f Permittee Signature: 5--?. .._ e....---.?4(VI,
./4
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. I
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.
Building Permit Application
Z-07— 3L-/
Residential RECEIVED FOR OFFICE USE O\Ll
Cityof Tigard Received hpermit No.: CI
g MAY 2 2017 Date/By: // /411/i �uc9 jQ-60e2/
11111 g w 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
.0 OF TIGARD ^', Other Permit: ,/' �j
Phone: 503.718.2439 Fax: 503.598 t1tY✓ Date/By: U I'(,u �� S�4X0�/V 1 /C)
Inspection Line: 503.639.4175 OII DING DIVISION Date Ready/By: Juris: 0 See Page 2 for
T I G f1 R D
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
"" < ;41 d',4.p i , „t,i I, R i # ', •
Permit fees*are based on the value of the work performed.
®New construction El Demolition
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
to r `# ", work indicated on this application. 4111 14001
' <" Valuation:
...7..„:„3.0%-'".-1
® 1-and 2-family dwelling 0 Commercial/industrial
Number of bedrooms: Li
0 Accessory building 0 Multi-family
3 0 Master builder ❑Other: Number of bathrooms:
g : 7 1� ,F I 'r41# Total number of floors: Z r
fig' .
, a
Job site address: 13051 SANI 9 ' • .x I e.,YYLu_ New dwelling area: t eS"VSquare feet ,b��
.p
City/State/ZIP /�v. . I on OV-�b` Garage/carport area: 1../d67 square feet
CRA
Suite/bldg./apt.no.:`y` Project namt (a e,nrace .a Covered porch area: / square feet
Cross street/directions to job site: Deck area: Jquare feet
Other structure area: square feet
Subdivision: ` - ri ,` - Lot no.:(34) 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
" 1,...,4,0,4*`_ work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
' i t r 44:= N„ ;... , 1 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:
5
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:11/4.1 I ci 4Aje, TA[t e
"'► � 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: 1 V I ' t7 A1,, z.1�
Commercial and residential prescriptive installation of
t 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
*horized signature: " / This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
1, I,, a *Fee methodology set by Tri-County Building Industry
'1'170 � Date t Service Board.
'+' �Y n F '^n.doc 02/24/2011 440-4 13TT`(1`1 2/COM/WEB)
......
,
, ,
Mechanical Permit APPriSAgeEIVED 1 OP 1,1 I It I t ',I i \I ) • •
............. ...............mmommim
' t
,,,..., City of TigardUG 1 b 2017 .c.=°,. ' l'eqn"9111 - •
.,.,, ,,,.- ...•i3125 SW MU Blvd.,Tigard,OR 97223A
Plan Review
Phone: 503.7182429 NK:.5(.13.59P9GO— - ‘ Datelly:
- . Other Pulinil; ,
'inspection tine501639.4175 kail Y $OF FIGARO ,,...R.,,,,,,, 01 See
4nlesniM wtVP"igard-3r4O
1
BUILDING DIVISIO Nooffam.tha: Sapplemernat Information
1 !
'-'~' :"--'-:-''''-`=,=''.='7,,,.a.---,---1----,'-=.-',3-,:`,;`77,7.7,1-Ir;:-.',.<0'107t'V-'7:7':-,-Th:'',7'.i'tt,' Z'"'-',7:'-'':''-.ff'-',-q-'4'r,T;:f. ''-''''-r:-......'-1-."'LC."',---'.:1-1;1A-...-:`_,Y3-!:,,Ia•:1--:--2.4-111-4,2::-,'-'1_4.,,,-k___,,c,`;,...cli:,5........g
181
Naw constraction 0 Additionfaiteralionfieplaccrocat perftirmed.indicate the value(rounded to the neatest dollar)of all
El Dorapution fl Other: mechanical matetials.antiornenL labor.overhead,and profit
Viler$
,,..-:•],'-:_r::::!, ,.;-,:-..,.:-.- -7-t-7.4',Wf.jr:ei, ,7.%,1;24.c.,T;;=‘,"31). !S,S.-1, 4 .- $7': -
pt 1-and 2-family dwelling 0 Commerciaifirulustrial 0 Accessory building For spade:In,famuraon iisecitAckisL
1 Multi-family 0 Master builder 0 Other: Descriptiott I Qty. 1. lie. I Tong
t"----7::';-.5--.--,'.. .-1:...-:'-tl'i7,-.t'-‘7.;_i,J .-_',...`,..,1!,%,. .,t.-.2,..1 cc,^2.,;"'0-„1`..!..5::.Y.-4•11'2..L....4•,:..04..--',4.,-..."`.---,`..P--
..„ '-• • ^ Aireendkindne 46.75
Job sii"ddl 3 cts-9 ,sm tzed Fox, itrraLe_ Furnsal00.00013TU(doaskems} 46,75
City/Sten:MP:'Nerd,OR 97224 Furnace 100.000+BTU teictsrverds1 54.91
".. --....,_ . Heal mann 61.06
Sullebitisient.no.: I Prqieil"Igom:1(1\te,y- i-e_Ac\c at 9 ea* Duct work 1132
Cross stroMidireaions to job site: Hydreutic lint water system 23.32
Residential boiler(radiator or
hydronfe1 11.32
Uralic:mem(fuel.typ&mol cleciric),,
• in-wall.in-duct.comended,me, 46.75
1q14111:311 101 anV of above , I 7.3.32
Other: 23_32 •
Stibdhlsiolc,(2J (Te,YNAte, 60...S4---*_____ fAt r.L....1--°-- .1.-3--1-1 - Omer tot'itotailaceer.
• Tax mapno,: Water heater 23.32
" v Ge&rfrePlaCidirt$Cri
- ' -..3.'2'':L.7,''',';.1''';'''.?'-'3'1.--47.7'.:K''.67±''''11::..;:tiirCit :0;'1‘,:i..t)::1.Z'::1: %'.U".,j4Z, TTA-,:'ri.C'fg.g'4ii• piunval for wide,how or gat I 313.9
fireplace 23,32
• Loc IVIner fees) 2132
-
' • .. . ' _ Wootton**'oar- _
Wood fintpleoctinse.d 23.32 •
Chiptnevflincrilluetve.at 23.32 i
23,32
r-,4:;-:.' (71',O.A•''Sriri.-"E'=4-4.:''T'''''':'j''?"C'Z'n'T":"S:-.9F;r aPe'.!:1!,16.-....,1:::;'„,-;...,,,,,,',.-_,. . xi,viononcoui czha.t.ana Inwood:.
Nam Polygon WL/1,-141,C Range boodfother kitchen 1
, . emtiptimat33.39
Address: — f
• Craws&vet exhaust I 33.39
City/Sinto)ZIP:Vancouver.WA 98669 $ingle-duct exhmo(bethrooms.
gullet compartments.until),rooms) _ 4 23_32
Phone:(360)695-7700 Pm( ) Attickrawlvem Outs 23.32
5.;:-.-'',.,,--,..-,,,,,,,.:,,,,,-;:.,,,,,F.-,,,,..•*,--,L2,,..•::,..;•zz.,,,i.' q<:;,-.--•ze..-z",-;5,,..,-- ,,,,-f,..4-,--,-.,',.-Fa^,-n;.'1^)V-tr.-41-17 Other 2132 i
- ,-..- - '---= ''-,- •',-..A...4---..,..,_ ,,--4 ,,,,-'7,..,'4.,IA" ,t) ,Z...,--' .'' .!. .1-•tit,,,.,
Fuel nlolav,
Business nati P5111g0n VOLK,I.LC. .
$14.16 for first four S4.63 for each additkired _
Conlectiremp:14 iGh0 It., MAIM FLISTNICO.CPS. $ 1
r. • i _ (`• 1 t‘ Gas heat Puma
Addresc. 103 erDaet tok)ait-i S'T- A kt'e..,' L u widOwspmdrAtneit limier
cuystgerzut Vancouver,WA 98660 %%wheeler
Phone:(360)695.770 I Fax::(360)6934442 Finattlace - I
Remo i
E4/1" 1. li IA1 0. r at , Eli thicbccuo
r-' ",'/-Z1-,T,/,
Business Mane Apcx Air FAX Otbec
:::"/-:-7:;;'''-'7
Address 18004 NE 7264 Ave Sabtond
Cfty/State/ZIP:-.Vancouver,WA 98686Minimum permit fee(S90.00)
Plan review(25%of Permit too
Phone;(360)3424109 1 nue(360)326-1769 Stale=chair 0 2%&permit fee)
CCB
lie. TOTAL.PERMIT FEE
ma pave Application atpirot KA mono fs not 4WATOcal withitt 180
days:flail(hag hen accepted as eimplete.
Augtotizrx1 sign/dorm * rec methatelesay set by Tii-Couttiv Ilcildinp Industry Service Beard
IPrilli OtiMe4Trec I Dafe: 4.11.it.... 1
VaulteretetoitelklEC_PetelicApp_040133
die 40-1fitit(114,62X),MAVIDC) . —
Electrical Permit Application
AUG 1 2017
raz O1 lPermi(I.t L )S\�Ll�
DO:.City of Tigard
11125SBall
Blvd. T ." OF1tG' DD
Phone: 503.71Fax: 503`: Bair/33.
Inspection Line: 503.639_4I75 AL { VG DIVISBO
;Ready Date/By: lulu: H See Page 2 for
T I G A i .) lntemet www.tigard-or_COV Not/Bed/Method: Supplemental information
._ . , •, 4t�-f-ra,'f"-•3'..T'2_.. .�..-� :��;'�Y»A ,,,, ,,,"i-_. t f,,,„1- ,-,':-40,,'•..k it -'. $t;4.5 c :; &.i -�sera W;••u` ,..4',y
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wrwwne checked):
0
Demolition 0 Other •
0 Service or feeder 400 amps or mora 0 Building over time stories.
where the available fault current ❑Marinas and boatyards.
ax r4—e-i - 4-i:* Vis' ,.4;''O f.,ls ' a", 30h"' : ; v ,`t-sjx w3 exceeds 10,000 amps at ISO volts or 0k-towing buildings
®I-and 2-family dwelling ❑Commercial/iridtistrial 0 Accessory building leas to ground,or exceeds 14,000 ❑Comms ciabnse agricultural
amps for another installations. buildings.•
❑Multi-family 0 Master builder 0 Other ❑Fire pump. 0Installation of ISO KVA or
?';';'. p'3.;r's'-' - .t s hyo:.sem:' 'i•:e. 1 .'s t.'"•F n [ ..-+'. ' . :4 0 Emergency system, larger separately derived
) motor
Job#: Job site address:/30 PA fax-re ra ❑Addition of newtoad of ,'W'"
mow Dr more. ❑•<A',••8••,`I.2•"1-3",
City/State/ZIP:Tigard,OR 97224
0 Six or more residential units. o�P�OY.
❑Hearth-cars facilities. Q Recreational veluele parks.
Suite/bldg./apt#' 1 Project name: 17 J fy... 7(2.. 'o.C6' ❑ au-aeons. F liarardoes ations. ❑600
1 te for more than
F'} 1:1 Service or feeder 600 amps or more.
Cross stteet/directions to job site: ,. i ,r > w5-� J s ..
Decried= I RtY• Each Total
..---
New residential single-or multi-family dwelling unit.
Subdivision: p t`e{t,/ (e,nro f. ..+ Lot#: /31.4 In attached garage.
Tax map/parcel#:
Ea.1.000 sq.ftor)ess 1 .92 4
p •
,arki'I 500 sq.ft.or portion 7 3333.9 1
i 1 .'�Rr
F ',1.-/-� 's t.a:CO 0M4—SSS ` -a, ;,;:.ri� -A.. .,1'..:.a; vas
Limited energy,residential 75.00 2
(with above sq.R)
Limited energy,mai-family 75.00 2
residential(with above sq.ft.) 1
Renewable Energy 0 See Page 2
r < i� a ,ca�r "yr :,� w. 3,1,„� ,9�ac,w' y ;,
Services or feeders installation,alteration,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 , Fax:( ) J Over 1.000 amps or volts _ 55226 2
Email: Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 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 to 599 amps 168.54 2 $
• Branch circuits—new alterationor extension,per panel
.rs,�>a } t t-° .=6' '4WiL'-'i c "RI e• T - '
A.Fee for branch circuits with ;
Business name;William Lyon Homes,Inc. above service or feeder fee, ;
� 4A each branch circuit 7,42 2 i
Contact Dan )i:I ' 1li 1 Ii ' / '. B.Fee for branch circuits without 1
service or feeder fee,first
Address
�€y�a v!'. iNItt branch chock 56.18 2
City/State/ZIP:Vancouver,WA 986:•l Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 • ' ' I Fax::(360)693-4442 Bach manufactured or modular
dwelling,service aneforfeeder 67.84 2
Email: 1C ti 1 • it. A ' t t i..+ A 1, a as .1•A Reconnect only 67.84 2
—,.
�;1,... ., < ,. �, � r :,L _t�,� �„_ 1 *�?_, �. ->, �.>--x Pump or irrigation circle 67.84 2
Business name:Garner Electric Washington,LLC Sign.or outline lighting 67.84 2
e.•V= Signal circnit(s)or limited-energy
Address:6101 NE St Johns Rd panel,alteration,or extension. 0 See Page 2 2
Each additional Inspection over allowable in any of the above 1
City/State/ZIP:Vancouver WA 98661 Additional inspection(I hr min) 6625/hr ,
Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr 3
Email:bdanielsQagweusa.com Industrial plant(1 humin) • 78.18/hr '
Inspections for which no fee is 90 00/hr r
CCB Lic.: 01158 Electrical Lies.: 208174 I-Suprv.Lie.: 44968 s. listed '%hrmm .
<
..`•:.:*1 Suprv.Electrician signature,required: ' %R ry�':L .,,f .'•••••••' , Subtotal: •
Print name: Joan P Albert Date: 4/26/2016 ❑Plan Review Required(25%of permit fee): l
' State surcharge(12%of permit fee):
i:1.:,`. TOTAL PERMIT ME:
i
Authorized signature: 7- — ,
This permit application expires ifs permit is not obtained within I80
Print name: Bill Daniels Date: 4/26/2016 days atter!shag been accepted as complete —
rri4'* Number of inspections allowed per permit
r>�„14';',;1:: lBundHgrppmasnELC,pannit ELRJERB.aoc Rev 06M/2015 440.461Srt1lro5/rnbOWEB
Y
VEn
Plumbing Permit Applicatjo IM
Building Fixtures ,AUG 1 6 2017 i c)lz oil I. i r 1. ().1 \
1111 City of Tigard D P«nnitMA7--S c9CV7-00 0.V.
/
i13125 SW Hall Blvd.,Tigard,OR 972u3�+1 OF TI ARD plan Review
Photic: 503.718.2439 Fax: 503. . D 1 N G D IVI£�t O y, Giber Permit No.:
i .t..••it DInspection Line: 503.639.4175 p Ready/By: tads: ®Seepage 2 for
Internet: www.tigarddaa!.or.gov Notified/1'40)0d: Supplemental information
®New construction ' 0 Demolition For special ittformalion use clheckfist
Description I Qty. 1 Ea. J Total
-
❑Addition/alteration/replacement 0 Other.
New 1-2-family dwellings(includes 100 E.for each utility connection)
. •CATEGORY OF CONSTRUCTION'. SFR(1)bath 312,70
.3 1-and 2-familydwellingSFR(2)bath 437.78
0 CommerciaVuldusttial SFR(3)bath I 50032
❑Accessory building 0 Multi-family bafh�dtchrn 25.02 •
❑Master builder 0 Other
Fire sprinkles( sq.ft.) Page 2
JOB.SITE INFORMATION AND LOCATION . Site utilities:
Job site address:/3 SW ice)fig. TP�c��.. Catch basin or area drain 18.76 ..
Drywall,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 r j..V Footing drain(no.linear ft.: ) Page 2
Suite/bldg apt.no.: Project name'Rat iatCst ,64tManufactured home utilities 50.03
Cross street/directions to job site: Manholes 18,76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:^) Page 2
-
Storm sewer(no.linear ft:___) Page 2
Water service(no.linear ft.:____) Page 2
Subdivisiot. i ' •ey- , yya • •. 1-- Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer ) 31.27•
DESCRIPTION QF.WORK• Backwater Valve l 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
k.PROPERTY O' ER 1 ❑ MAW . . 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 Fax:( ) Ice maker 12.51
. ,•.®.ATl'LICANT ❑ CONTACT PERSON
Interceptor/grease trap 25.02•
Business name:William Lyon Homes,Inc Medical gas(value:$_) Page 2
Primer 12.51
Contact D names E Cin bl ,�woe., Roof drain(commercial) 12.51
1Address. a ST &t i S E t) Sink/basin/lavatory 25.02
City/State/ZIP: \.(it IAC 6 Lvtr a�Q� Solar units(potable water) 62.54
Phone:(360)695-7700 Fax.:: (360)693-4442 Tub/shower/shower pan 12.51
Urinal 25.02Ewil' Ahalo to. U i ap )q Fonest�mWater closet 25.02COoCFO
Water heater 37.52
Business name:Mshnedal Enterprises Inc. Water pipinil1DWV 56,29
Address:PO Box 207 Other. 25.02
City/State/ZIP:Banks,OR 97106 Subtotal
fee:872.50
Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit
Plan review (25%of permit fee)
CCB Lie.:102535 Plumbing Lie.no.:34-276PB •
State surcharge(12%of permit fee)
Authorized signature: ( TOTAL PERMIT FEE
Print name:Carolina Malnaedal Date:04/25/2016 This permit application expires if a permit is not obtained within 180 days
after it hos been accepted as complete.
"Fee methodology set by Tri-County Building industry Service Board.
t:1Buidng1PermitetPt.MU-PemmitApp.doe 10/0)09 440.4616T(W rOIICOW.V553)
F City of Tigard
114 a
■ COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: /lit,5 JptoP oo#f LI
>> ••1 .
Site Address: _• -�t,< QEUFOic TEV..
Lot #:
Project Name: �.I�veX' ��e�(ce, C-�c�i�- 13y
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: 0 ex° FV- C IMdd& (/loy iw OA b)
erify site address/suite# exists and active in permit s stem.
River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached
Site Plan Elements: ��tt
MT/hree(3)copies of site plan ,•tTxisting structures on site
[ite plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished
I r iDrawn to scale(standard architect or engineer scale) floor elevations
orth arrow tility locations&easements(required for new and additions)
bri Site address,project or subdivision name and lot number Sidewalk/driveway approach
pplicant information(name and phone number) 1': *cation of wells/septic systems
VLot dimensions and building setback dimensions W:'Existing trees to be retained with drip line,and tree
—Square footage of buildings to be demolished protection measures
[ lot area,building coverage area,percentage of coverage and N�J/Street tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) L.Street names
[Property corner elevations (2 foot contour lines if more than 4Storm water quality facility required if>1,000 sf of
4 foot differential) impervious area is created or replaced.
(* Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
/Required: E Yes,applicant was notified X No Received: ❑ Yes ❑ No
l!d Public Facilities Improvement(PFI) Permit: W120 (49—QCC8q ,,,_,/
Required: ❑ Yes,applicant was notified ID No Applied For: LYes ❑ No,stop intake
10/Land Use Case#: VOW2o(6^0O00 1+ Sq3 20k6 -ovcGj 1 '.0.2o\S'0000(0
2/Zoning: Y-7 (F t)
Lot Required Setbacks: Front `2 Rear to Side Street Side 8 Garage 2_0
Landscape Requirement: 20 °/o
3
Er Lot Coverage Maximum: 80 %
Building Height: Maximum Height Actual Height
Visual Clearance
Sensitive Lands: ❑ Yes ❑ No Type
6 Urban Forestry Plan
Conditions "Met"prior toT--issuance of buildin permits,
Notes'' ()n
NoteQ cs�via,�t -oVIS c., ' P *Wt ,VIA-7...M‘, OO 1 aff 5411( 0 vi--91-Ctld l ,1
5
Approved By Planning: A(440 Date: (p/6/17
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\BldgPermitRvw RES_051617.docx
Building Permit Submittal
Original Submittal Date: 5-7A-10
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning L7 Engineering 11>Permit Coordinator jBuilding
Workflow Sign-off: ' Sign-off for Planning(include notes from planning review)
Route Application Documents: [- Engineering: (1) copy of permit application,(1) site plan, (1) building plan and
/ original plan review routing form.
Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
/4 -&By Permit Technician: /���� Date: `�/2
MINIAS
Engineering Review
lope at building pad: 4 70
❑ Conditions "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 iErNo
Assess Water Quantity Fee in-lieu: ❑ Yes ErNo
LIDA Facility on lot: ❑ Yes ..2"-No
❑ NOT Approved by Engineering: Date:
Notes: L3 & fl't L) .7- b. . C& i1, z PP-fiaL- Po 155 C.7JE_
___L__Approved by Engineering: Date: 6 I 1
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
4IVApproved, NOT Released: G� ` ii� G/./.3//
�� ��l /� S 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: IN -, es ❑ N/A
Tigard Trans SDC: .-Yes ❑ N/A
Parks SDC: T..' es ❑ N/A
LIDA ❑ Yes pN/A
OK to Issue Permit
Approved by Permit Coordinator: / Te: /i4A7--
I:\Building\Forms\BldgPermitRvw REs 051617.docx
s
City of Tigard
e COMMUNITY DEVELOPMENT DEPARTMENT
III
TIGARD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 1365q 5uI�.E3% oXTC-�
Project Name: Ve-v-c Qce Q-ck5V Lot #: VW/
(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 Gabled dormer
ft. deep min. 2ft.,5 ft.wide min. 2 ft., 6ft wide
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: S O/0
3. Entrances:At least one entrance must meet both of the folio�ng standards:
,_,/ Parallel to street,angle no more than 45° from street,
M Max. 8 ft. setback from longest street- facing wall
omen onto porch
Entrance opens to a porch: ErYes ❑ No ��
I_f_yes,yeall the following apply: I 25 sq.ft. min.
LT"One street facing entry A A cod--;C 015 Cr1i 12 ft.max.roof above floor of porch
[Z 5 ft. depth min. [ 30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of tJ.ie following elements on all street-facing façades:
K Covered porch min. 5 ft.wide x 5 ft. deep [/Recessed entry area min. 5 ft.wide x 2 ft. deep
ai,Wall offset min. 16 inches ❑ Dormer min.4 ft.wide
Roof eave min. 12 inch projection [ '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. ❑ Horizontal lap siding min. 3-7 inches wide
❑ 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. . es and Carports: May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or si.- - line, than longest street-facing wall. ❑ Yes ❑ No. If► . eck one):
❑ May extend up to 5 ft. if there is . _• ered front porch and garage do -. extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is p. . . two-s • .uilding and there is a window at the second story
above the garage that faces the street with a min. . <: • 1 ..
Width: (Check one)
❑ 12-foot-wide ::- .oor ❑ 40%max. of street façade
■ .:'o max. of street façade with 7 detailed design elements
Notes: ftA \e a`-\occcilyl gdttI.yi
Approved By Planning: 5 6 ! Date: (Q 4. /17
- ------- I:\Bu'ding\Forms\BldgPermitRvw_RES_RT_062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13059 SW REDFOX TER, BEAVERTON, December 20, 2017 at
OR, 97007 10:56:20 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00214
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS
Comments:
A/C installed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13059 SW REDFOX TER, BEAVERTON,
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00214
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS
Comments:
A/C installed
Violation Summary:
Inspector Contractor
4'7-1 "r•-- 1.1%,,,4,-4,'-f..` 44,'"-,. '-r•,,,,t-'n-4.,tt444k..44'v%r'r ',eV`11'^`VOIV'q,•A'VO'3*°P°,,V.Z °4
Electrical Permit Application ...-.-1' .,q . .-: ,- :77' -.4.4q."!'::“*4,„'44;riiiitAfitttittiligUkitioV4w n-14 a:1'-'''1',-1.
Date/By: ,<, -OCJ2rtA
13125 SW Hall Blvd.,Tigard,OR 97223 .'''
Plan Review
: 1 ':. Phone: 503.718.2439 Fax: 503.5980W; -L, ;„ . . Date/By: Related Permit#:
_._,::,,% = Inspection Line: 503.639.4175 .-- '...- -' " '' Ready Date/By: Juris:
TIGARD i f.!; ', '-`, •
-'-' .- ''• [El See Page 2 for
'--. o Internet: Www.tigard-or.gov ---fr-, ' , -- '''- ' Notified/Method: Supplemental Information
....',.-.TWE br:Wp..ki.:.. 1 I .. •. -. . tIM, `:-,'.- . ;,. ..-.'.,:::,:;:-:.._: - .'::...P.1,0;:.gEYJEw...:::::.-.1',..:;....-;...•:.,..-::-...
El New construction I:Addition/alteration/replacement ,si- ,' ',....,` . Please check all that apply(submit 2 sets of plans whims checked):
' -- 0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other. where the available fault current 0 Marinas and boatyards.
PATF cORY OF CONSTRUCTION " -I :,,`'.::- . :' exceeds 10,000 amps at 150 volts or 0 Floating buildings.
CE) 1-and 2-family dwelling 0 Commercial/industrial El Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
II Multi-family El Master builder El Other: 0 Fire pump. 0 Installation of 150 KVA or
' _ • . • ' _. ._.; .s: JOB:SITEriNFORMATION..ANP.1,0•CATMN - " , -: -- , . 0 Emergency system. larger separately derived
0 Addition of new motor load of system.
Job#: Job site address: ?)06C%1f"----ger3FCX '-re--1242- 100HP or more.
City/State/ZIPTigard,OR 97224 0 Six or more residential units. occupancy.
;
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:East River Terrace 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
_ _
Cross street/directions to job site: ' ,'..- . .- FEE SCHEDULE . - ''. ....,',:. • . - '
Description I_ Qiy. I Each I Total I --
New residential single-or multi-family dwelling unit.
Subdivision:East River Terrace. Lot#: \ ,t\ Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'l 500 sq.ft.or portion 33.92 1
• , . . _ .• • - . -
. • , , . ,, ., - . • : DESCRIPTION OF OR . . . , Limited energy,residential
5.00
(with above sq.ft.)
Change contractor on MST -2.01.-1-002.,.t 4%
Limited energy,multi-family 72
residential(with above sq.ft.) 75.00 2
•
.
Renewable Energy 0 See Page 2
' • ZI PROPERTY.OWNER, . • .. 0 TENANT - • " * Services or feeders installation,alteration,and/or relocation
Name:Polygon WLH,LLC 200 amps or less 100.70 2
Address: 703 Broadway St,Ste510 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 - 2
City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps _ 301.04 2
Phone:(360)695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 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 10599 amps 168.54 2
- - •
IZI APPLICANT . 0 CONTACT PERSON - Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Polygon WLH,LLC . above service or feeder fee,
each branch circuit 7.42 2
Contact name:Tonj a Morris B.Fee for branch circuits without
service or feeder fee,first
Address:703 Broadway St,Ste.510 branch circuit 56.18 2
Each add'l branch circuit 7.42 2
City/State/ZIP:Vancouver,WA 98660
Miscellaneous(service or feeder not included)
Phone: (360)695-7700 Fax: :(360)693-4442 Each manufactured or modular
67.84 2
dwelling,service and/or feeder.
--- --EmaillnrmitgubraittaLs@pelygeniummeona- Reconnect only -- ta.s4 1 --4
• . . ,
• CONTRACTOR
Pump or irrigation circle 67.84 2
Business name:Alameda Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address:3415 NE 44th Ave. panel,alteration,or extension. 0 See Page 2 2
Each additional inspection over allowable in any of the above
City/State/ZIP:Portland,OR 97213
Additional inspection(1 hr rnin) 66.25/hr
Phone:(503)319-2192 Fax: ( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:solarpdx@me.com - Inspections for which no fee is
90.00/hr
CCB Lic.: 199188 Electrical Lic.: c923 .. 1 Suprv.Lic.: 4871/S specifically listed eh hr min)
• . ._
• •_ELECTRICAL PERNHT FEES
Suprv.Electrician signature,required: e__ _,., Subtotal:
Print name: Kirk Rood . . I Date: 05/09/2019 0 Plan Review Required(25%of permit fee):
---- State surcharge(12%of permit fee):
Authorized signature: /C.//6. /2-e 0 44, ' TOTAL PERMIT FEE:
1 This permit application expires If a permit is not obtained within 180
Print nam'- Virk-Pru-v-1 I n.I.,.. /le inopin-i n ' .