Loading...
Permit RECEWEJ ►ASN 8 2013 City of Tigard . COMMUNITY DEVELOPMENT DEPARTMENT 2IIIII . Request for Permit Acti®nRI.`i , DWI c Y; T I G A R D 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 //9//612- - Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner Applicant n Contractor ❑ City Staff Check(✓)one REFUND OR Name: t INVOICE TO: (Business or Individual) po�lp9ory \Not �u.� Mailing Address: 1 D3 yoc 1 c M Svi c\O City/State/Zip: Oa\COUNe/r i Vvffi- 9 D Phone No.: ?Q 0-LPS'= °3 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): III ..CANCEL/VOID PERMIT APPLICATION. le REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). U INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). REMOVE/REPLACE CONTRACTOR ON PERMIT do *. . • - _pe .•' . Permit#: IAa _k c-- sIti T /7 W9'J ' ,7, i s , Site Address or Parcel#: /3q-061 Svc "beach : ► , ' ' CQ Project Name: 1446r--if/Kam J O (i'wWeS+- Subdivision Name: 1.oTe r&L2. Lot#: Z5 EXPLANATION: per C ofWe,rsaiw i playls wire, 13rea/Ios tti G,TY,r brn h ()Lind 1 � S Ism i � � I^ �1' �.r v+- -� LuVll � �letel to � d . p Signature: Date: /f ifroje Print Name: 14 , ii 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 • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended.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/ u /f By 4:1 Refund Processed: Date /D/25 /. By " nvoice Processed: Date By Permit Canceled: Date I/y" By 4y ry Parcel Tag Added: Date By I:\Building\Forms\RegPennit_Action_ 231 .doc iso 11111111 • TIGARD City of Tigard November 1, 2018 Polygon WLH,LLC Attn: Angela Grajewski 109 East 13th St Vancouver,WA 98660 Re: Permit N ST2017-00190c SWR2017-00172 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 13409 SW Beach Plum Ter Project Name: River Terrace Northwest,Lot 25 Job No.: N/A Refund Method: ® Check#230281 in the amount of$38,749.00. ❑ Credit card"return" receipt in the amount of$ 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 permit was resubmitted under a new plan (MST2018-00004& SWR2018-00005). Refund 100% of permit fees/SDC fees and 80% of plan review fees. 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 CITY OF TIGARD RECEIPT 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: River Terrace Northwest, Lot 25 Site Address: 13409 SW BEACH PLUM TER &/—z /../LS Receipt Number: 421259 - 01/25/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2017-00190 $-33,414.00 Total: $-33,414.00 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 230281 DHOWSE 01/25/2019 $-33,414.00 Payor: Polygon WLH, LLC Total Payments: $-33,414.00 Balance Due: $33,414.00 Page 1 of 1 CITY OF TIGARD RECEIPT 111 4' 13125 SW Hall Blvd.,Tigard OR 97223 - 503.639.4171 TIGARD Project Name: River Terrace Northwest, Lot 25 Site Address: 13409 SW BEACH PLUM TER 0/2-/671/v'i9 Lam Receipt Number: 414053 - 11/21/2017 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2017-00190 Building Permit-New Construction 230-0000-43104 V $1,963.70 MST2017-00190 Plan Review 230-0000-43106 ✓ $751.34 MST2017-00190 12%State Surcharge-Building 100-0000-24001 ✓ $235.64 iZ?o MST2017-00190 Wash Co Trans Dev Tax-SF Detached 405-0000-43320 ✓ $8,278.00 MST2017-00190 Tigard Trans SDC Improvement-SF 415-0000-43300 r $5,488.00 Detached MST2017-00190 Tigard Trans SDC Reimbursement-SF 415-0000-43301 ✓ $317.00 Detached MST2017-00190 Tigard Trans SDC River Terrace-SF 415-0000-43302 ./ $2,684.00 Detached MST2017-00190 Parks SDC Improvement-SF Dwelling 425-0000-43300 ✓ $4,356.00 (detached/attached) MST2017-00190 Parks SDC Reimbursement-SF 425-0000-43301 V $1,207.00 Dwelling(detached/attached) MST2017-00190 Parks SDC River Terrace-SF Dwelling 425-0000-43302 ✓ $2,003.00 (detached/attached) MST2017-00190 DC Provision Review,SF-Ping 100-0000-43112 $90.00 q MST2017-00190 Info Process/Archiving-Lg$2.00(over 230-0000-43135 ,.-- $44.00 11x17) M MST2017-00190 Info Process/Archiving-Sm$0.50(up to 230-0000-43135 ✓ $87.50 11x17) MST2017-00190 Metro Const. Excise Tax 230-0000-24010 ✓ $417.49 MST2017-00190 Beaverton School CET-Residential 230-0000-24101 ✓ $3,538.71 MST2017-00190 Permit Fee-Elect(per dwelling unit) 220-0000-43103 ✓ $338.14 C MST2017-00190 Limited Energy 220-0000-43103 ,.- $75.00 E MST2017-00190 12%State Surcharge-Electrical 100-0000-24001 ✓ $49.58 /�% MST2017-00190 Air Conditioning 230-0000-43102 ✓ $46.75 /"f MST2017-00190 Furnaces<100K BTU 230-0000-43102 ,i $46.75 M MST2017-00190 Water Heater 230-0000-43102 ✓ $23.32 M MST2017-00190 Gas Fireplace 230-0000-43102 ✓ $33.39 ri MST2017-00190 Range Hood/Other Kitchen 230-0000-43102 V $33.39 r9 MST2017-00190 Clothes Dryer Exhaust 230-0000-43102 V $33.39 M MST2017-00190 Single Duct Exhaust(Bathrooms,Toilet, 230-0000-43102 ✓ $93.28 /I Utility Rooms) MST2017-00190 Fuel Piping 230-0000-43102 ✓ $14.15 /'? MST2017-00190 12%State Surcharge-Mechanical 100-0000-24001 ✓ $38.93 100 MST2017-00190 SFR-Baths 230-0000-43101 ,/ $500.32 P MST2017-00190 12%State Surcharge-Plumbing 100-0000-24001 ✓ $60.04 /,2 90 MST2017-00190 Erosion Control w/Development 100-0000-43134 ✓ $386.40 MST2017-00190 Plan Review 230-0000-43106 ✓ $525.07 d.` Total: $33,759.28 /°cq n/ 2Ev,EA,l //x 74,`1/ e Po v //o., /,/s V Cz SS, .2, 46T9i-vez9 /y<c 3.2v, YA ✓ 3 3, 759, z ,at,i /1-vro 2-ss ELc 4i/3, 7 -2-k i3, iy ✓ 3 3 �9, --/--- 735. ,e• r'o /ALM Sao.3� ✓ -- 3`/-s, 2f i �C�° 2✓w ' 39, 097 AP /��l0 3,d/, / ✓ 7Y 9. Sys Page 1 of 2 Receipt Number: 414053 - 11/21/2017 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 71844 DHOWSE 11/21/2017 $33,759.28 Payor: Polygon WLH, LLC Total Payments: $33,759.28 Balance Due: $0.00 Page 2 of 2 tt CITY OF TIGARD MASTER PERMIT IT , ' ‘- DEVELOPMENT 1111 Permit#: MST2017-00190 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2017 Parcel: 2S106DB02500 Site address: 13409 SW BEACH PLUM TER Jurisdiction: Tigard Subdivision: RIVER TERRACE NORTHWEST Project: River Terrace Northwest, Lot 25 Lot: 25 Project Description: New SF BUILDING Floor Areas Required Setbacks Stories: 3 Bedrooms: 4 First: 948 sf Required Basement: 799 sf Left: 3 Height: 32 Bathrooms: 3 Second: 1130 sf Parking Spaces: 0 Dwelling Units: 1 Garage: 377 sf Front: 12 Smoke Third: 0 sf Right: 3 Detectors: Yes Total: 2877 sf Value: $347,905.72 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Lavatories: 4 Laundry Trays: 0 Rain Drain: 1 Dishwashers: 1 Floor Drains: 0 Urinals: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 0 Catch Basins: 0 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 Natural Gas Heat Pump: N Hoods: 1 Furn<100K: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders 1000 sf or less: 1 Branch Circuits 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 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 p 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 Other: N Other Description: All Ecompasing: Y 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 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 2 Geotechnical Inspection SCOTTSDALE,AZ 85258 Required before foundation PHONE: 602-694-4031 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 0 R 952-001090. 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: ,,,, 952-001-0090. "7n�? _ U it/ "j17,,Gu./Gij 71Cr"'(,,7 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. LC7 ) S Building Permit Application RECEIVED art City of Tigard MAR 2 8 2017 Received 7 Permit No.i4c70 / /�/i/1/-76 1,1 13125 SW Hall 1314,Tigard,OR 97223 CITY OF TIGARD Dat Re.;ew _ _ �/ Permit r/l/V! K/t V Phone: 503.718.2439 Fax: 503.598.1961 CITY OF DIVISION DateB . �� ' 7 I C ;1 F;n Inspection Line: 503.639.4175 E3 Date ReadyBy: � f j �� 3�s: H See page 2 for Internet: www.tigard-or.gov NotiSed/Method: C 7 /7 t. / Supplemental Information �7 :kg �'a,�Q sacS� rum r' z,l � � �` ".. d.afees*;;;'ba sed o-a New construction 0 Demolition Permit n the value of the work performed. ❑Addition/alteration/replacement ❑Other. Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the • , 3 Pis rid,h � work indicated on this application. ® 1-and 2-family dwelling 0 Commercialfmdustrial Valuation: ❑Accessory building 0 Multi-family Number of. mans: 0 Master builder 0 Other Number of bathrooms: �1 �► � ���'@ s 1 '� � , _ Total number of floors: C.s- Job site address: 131.4Sexech New dwelling area: luare feet Rum Tex�c' _ 261 co City/State/ZIP: Garage/carport area: 11 square feet itD Suite/bldg./apt.no.: ` I Project name:River Terrace Northwest 149 Covered porch area: square feet 1 13 0 0" Cross street/directions to job site: Deck area: 6 square feet 9q ,0 Other structure area: square feet * q Subdivision:River Terrace Northwest Lot no.:' 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 P a ' / t. ` E , work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ' '�.'47: 7 � l P:775::',7MW:7:77: " ' 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:Nichole Thorpe FLSplan review fee(if applicable): Address:109 East 13th Street PP )' Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Nichole.Thorpe@polygonhomes.com w,,s saw Commercial and residential prescriptive installation of s ' • „� 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 Secy 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 Authtrizcd signatur-. /, /: This permit application expires if a permit is not obtained within 180 days afterit has been accepted as complete. Print name:Nichole Thorpe Date:3/14/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application I (fi: (.0 II( 1 1 *1 tosi 't City of Tigard 13125 SW Ball Blvd.,Tigard,OR 972 Phone: 503.7182439 Fax: $03.598. 960 Inspection Line: 503.639.4175 Internet: www,tigard-or.gox SI 123RECEIVED R—i-d . . thitelly MAR 2 8 2017 Effill (Per:herlif1/4—Nn;4:- 7; / Date Ready/13y. CITY OF TIGARD l'4""fiedimethc4: la set Pikee 2 for Supplemental Information BUILDING DIVISION ...--,..--. „,-,,,,.,.,„•- ,4;:,.,!.>-•...:,,,,:5; ,,,,,t,,,,.`•;-, 3.C,,,,-,-,- —,,,3:•:,,,.,,,:.;-.Z1.",,;;',.,C,',4''<4,4C'tqra, '",TI., ,f*S:,":4V,Ii. vP,n ti° i-;/le,',','''s t'' ', .,-; ,,,'to t.-.;4 d,*;4,,i4,,a.,..' 1;:i o.''''sa:41, .:::. ':, gaig'4'tg,irig4;Vi.:Z'=t,:;::t'n,1:,, t;,',4t,.i,',ai•''.lrtfrlis.h'a'°vY5i,4f,,-"';..,laf..„,,,-;4t. e.,...„e.a,..ka,..--,7.w....",,.4...:14.4==.m.,,,.,.,- ' "ff-4*--- . . ,-...-- Mechanical permit fees*Mt baSCd on the value of the work New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,ovethcad,and profit. Value:S ';",--.1•V,',,k..•;;;.`vr4/(71l4s"fe;.='..."4:-°•16;:',',. '--4‘:;;?;.:7-,;;41°.,'''''''',C ;',-', -44.;"'-'•—t`, ',--4,f-r.',,,tsvil,-4i;44/„ %:1:`;4, ;„„,_ .„.., ,. ,., ,,,,,„ , -., ,„ „ ., ,—, ,. - , , ,, , -,4.1;z4;) •4.4:6„2 Ave4-0,,,,-; - •ti.,4.4ri.i.:‘,),,.;',' ,,;4,- ;4!:", ',' ,-'4414,01;7-440.;j4','''.,,,,,A4-4;,,',,- "t'4,..t' t t4t:Zitie-- 7k:*,i!,,,;,',.;',I 7,-, )64-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For vedal information use checklist Aulti-family 0 Master builder 0 Other: Description Qty. 1 Ea. Thud 4,,y../4,,iv....,-,,,',-,4:4--isi's2r-i,:'-',-,iii.-, .-''i-:i'.•;--,-,'-;,..---,A-t t4i'.4t.-..v-;-',.,...-k!.;*:;i-v<4v.;,0„,i-„,:,s.:0 Ileating/tonliiig: ; —- ,:.,,,gT-w:44:falt.:;(4,,;le.44.4:::::-.:,tibtit.ietix:nittv7.44:4iniii..4,,i34•,44:3;rinvit"danilt:wlarZtetattelstlaw" Air condi; inc I 46.75 Job site address: 3q) ,,i„ t i IAA .0 '(IV e)ear 4,1 uti 1 1 1...rreel_ Furnace 100.000 BTU tetuctsivents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.0004 81(3 tetuoVvents) 54.91 13eat pump 61,06 , Suite/bldg./tan.no.: Project name rzNeritvrat iqltkvuitst- Duct work 23.32 Cross street/directions to job site: Flydronic hot water systern 23.32 Residential boiler(radiator or hydronk) 2332 Unit heaters(fuel-type.not electric), in-wall,in-duct,suspended,etc. 46.75 t Flue/vent for any of above 1 23.32 Other:PSt Subdivision:P-NtrieTrar4_, NiAn O1 i e - Lot no.:2 JS-- Other fuel appliances: 23,32 Tax nutpiparcel no.: Water heater 23.32 '-ug,i.t .it,..41?a;1;•,:,,4f.‘,Zii=Trzr,,,:e;,,V,i.L ...:Ik 4.!,,-;1,,,,i,,Pki.•.t'l,',.,,:‘,,,,,,,,,it*,4::4:37.=,‘,t ,4,..4„,.....,.s,..40. 4., Gas fireplacelinsixt i 33.39 healvr or gas fireplace 2332 Log lighter(eas) 23.32 Wood/. Met stove 33.39 Wood fireplace/insert - ' ''' 2332 Chireinevilintriflucivent 23,32 ,`.,a;.,,S4--- *:::iinv -'••;/0-•,.'',A-4;;„'-e,'-,,,,,P;t4.,' 4,',:''V?&'4,',..41a4.' - •1'''''''' ''''''r.0;4 ' :7:.,,,.. r",,,,, ".. Other: 23,32 brAf'`-$,,,,,,A;A:44,,;-.414:atair:(•LL-i,:-,94'*x "';'5.Ar'''t'L-2,,,q7r':t?Ss 14.. .-1,11,i,'',.`,-.1-4i:—;:,,,U. Etteteottmeatal exhaust and ventilation: Name:Polygon WEB,LIC Range hood/other kitchen equipment 33 39 Address: 109 East 131*Street Clothes drver exhaust I ,.. 3339 City/State/ZIP:Vancouver,WA 90660 Single-duct exhaust(bathrooms, 4. toiletcompartments,utility rooms) , 23.32 Phone:(360)695-7700 Fax ( ) Atticicrawispace fans 23.32 other 23.32 Fuel piping: Business name:Polygon WEB,EEC S14.15 for first faun S&03 for mit additional • Contact name: NI al ok-TV-10q,e, Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range i E-mail:i 4 • . Ali 44- of /Dii 110 e 4Barbecue rittlikiP9i411SIVii,:'NSTA&-!--Itt,t4.4VOSiiislZ-7,„iiikittikiV7,,T7,1 CkYthes drYe"gas) Business name:Apex Air LLC Other: ,,,.;Av:ijt.:;;;;-, •;-„'vi,;;i:t.,..rc;,-"4-:„il r'r-:-.:',' :,7:-., ''.<..,1„iiittai*mi, Address:18004 NE 72 Ave Subtotal City/State/ZIP:Vancouver,WA 90686 Minimum permit fee(590.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) ., CCB lie.:203034 TOTAL PERMIT FEE This permit application midrib if a permit is not obtained within 180 ••' :A; - - days after it hut been accepted as complete, . , Authorized signature; . Fee methodokia ret by Tri-Conuty Building hulusity Service Board Print namer17,074: / Date: 4-Pi-It.. 1;Fht114/1rPorta114,MEC_ParswitAiv_040113 doe 440-44171(1 IMI1C0WW1:10 . Electrical Permit Application RECEIVED FOR OFFICE USE ONLY City of Tigard Received 13125 SW Rall Blvd.,Tigard,OR 97223 MAR 2 8 2017 nares : �� �r Plan Review OMEIMMI Phone: 503.7182439 Fax: 503.598.1960 DaWB Related Permit it: Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: ]uric H See Page 2 for T.i G n,n D Internet: www.tigard-or.gov BUILDING DIVISION Noti&ed/Method: Supplemental Information Y ..._ica`=-am �,-''r{.z .r.qty:. r-,i,.....,.i.i `19- r'r't' ..�.,'"._�^...- %�'.,W'�'a ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): Demolition Other: ❑Service or feeder 400 amps or more 0 Building over three stories. M1 'yam � �„ a� where the available fault current ❑MarMas and boatyards. y I. V,MII1. _ exceeds 10,000 amps at 150 volts or ❑Floating buildings. ® I-and 2-family dwelling 0 Commerciavindtistrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family ❑Master builder Other: amps for all other installations. buildings. mu. <mi y^-.,. 0 Fire pump. ❑Installation of 150 KVA or -t�-t=�'H < .:<..-.�.�' '° -(�, .;``1?IUN_ '=.�- `ti�_ '"- - - _tirli;"=" 0 system. larger separately derived Job#: Job site addres .. ("!&ea h Rum Tin( 0 Addition of new motor load of sYstsm- 1�/ f� SIA/ �,rr, {� ]OOFIP or more. ❑`•A••,••b»,"I_2","l-3», City/State/ZIP:Tigard,OR 97224 0 Six or more residential units- occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:give r Te rrei, N b we ❑Hazardous locations. 0 Supply voltage for more than Cross street/directions0 Service or feeder 600 amps or more. 600 volts nominal. to job site: ; itfeatgA IWN11010040104VONSMAIIIIi Description I Qty. I Each I Total New residential single-or multi-family dwelling unit. Subdivision I2 _vk,r ,4 NarweJ.4- Lot#:'c Includes attached garage. Tax map/parcel#: 1,000 sq.R or less 47 168.54 4 Ea.Mill 500 sq.ft.or portion 33.92 1 Limited energy,residential (with above sq.R) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Yeas" �. � � �� ItenreicwrasboeEa ergy ❑ See Page 2 a �©I" � y` � - Ser ' r eeders insfallation,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:( ) 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 snips or less 59.36 t 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 - . ,., AeSttl.' f -_ ' CP Sf? t . Branch circuits-dm alteration,or extension, ser panel �"` te- A.Fee for branch circuits wrth Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 ^,- each branch circuit Contact name t 1()k. 1}rpr. B.Fee for branch circuits without Address:109 East 13th Street " f� service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ! Fax::(360)693-4442 Each manufactured or modular ` dwelling,service and/or feeder 67.84 2 Entail'N I c h o(e 11111 , ! ,•_ oims SA Y) Reconnect only 67.84 2 _ - pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address:6101 NE St Johns Rd panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdanielsQgweusa.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 9000/hr CCB Lie.: C1158 Electrical Lie.: 208174 I Suprv.Lica: 4496S specifically listed CA hr min) Suprv.Electrician signature,required: " '4114c A id 40 ,• `� �'� 176) :,,,... .-7_,4. Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: -t-- TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after it has been accepted as complete. * Number of inspections allowed per permit I:1Euilding\Petmhs{E.E PetmitApp ELR ERE.doc Rev 06/17/2015 440-4615T(lI/05/COM/WEB Plumbing Permit Application Building Fixtures RECEIVED ! ()It (,l i l( f I '1 ()NI 1 City of Tigard MAR 2 $ 2017 may. Permit No. Illi • 13125 SW Hall Blvd.,Tigard,OR 97223 /0457 / /,0 I Phone: 503.7182439 Fax: 503.598.196 Plan Review 0.1) Inspection Line: 503.639.4175 CITY OF TIGARD Date/By: Other PermitNo.: Internet: www.tigazd 39.41 BUILDING DIVISION DateReady/By. Juris: ® SeePage2for Notified/Method: Supplemental Information . -_ TYPE OF WORK Fmk.SCHED .,: .,... ULB ®New construction . 0 Demolition For special information use checklist Description I Qty. 0 Addition/alteration/replacement 0 Other. New 1-2-familydwellings1 Ea. �- Total (includes 100&.for each utility connection)I • CATEGORY OF CONSTRUCTION' SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath i 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler(-_sq. 9 ft.) Page 2 . JOB SITE INFORMATION.AND LOCATION _ Site utilities: Job site address:/3 yO q iy V �?X/1 Th Ram yyt I � ' �� Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 lJt1d� f l f,I u I j�( Drywell,teach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:(,UeA/It V CL No gad l AI .s'4- Manufactured home utilities t/� 11��V1 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 R: ) Page 2 r Water service(no.linear ft: ) Page 2 Subdivision:izV tl/ i,Lyya . Ni of i lw Lot no.:2S. Fixture or item: Tax map/parcel no.: Backflow preventer l 31.27 DESCRIPTION OF WORK Backwater valve I 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 1M PROPERTY OWNER ( 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Address:7600 E Doubletree Ranch Road Floor drain floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ®..APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Contact name: N I('�/►at i4OvVL Primer 12.51 r r r 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:(36`0)695-7700 Fax::1(3360)693-4442 Tub/shower/shower pan 12.51 E-mail: n i l ole . 1 F Wqe i oA t oMti.e d Urinal 25.02 v v .. CO CT(111tJ Water closet 25.02 Water heater 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 56.29 Address:PO Box 207 Other 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 CCB Lie.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE IPrint name:Carolina Malmedal I Date:04/25/2016 This permitapp kation expires if a permit is not abtainerl within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Pennits\PLMU•PermitApp.doe 10/01/09 440-4616T(10/02/COM/WF.B) w r City of Tigard 4 COMMUNITY DEVELOPMENT DEPARTMENT C T 1 G A K D Building Permit Review - Residential Building Permit #: 4,4,S��C>/7-00/7p Site Address: t2Y ©951b SE.Act-k PLUM ¶c 1z j- Project Name: V3ij,e4^ Tetlfrike< N)l) Lot #: 29 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: YW-AZ 5M- 19° ''(Z. [1/Verify site address/suite#exists and active in permit system. L!� River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached SiY,e Plan Elements: iid ree(3)copies of site planxisting structures on site d hSiplan must be on 8-1/2"x 11"or 11 x 17"paper j[ Footprint of new structure(including decks)with finished �,l/Drawn to scale(standard architect or engineer scale) floor elevations KJ orth arrow F Jtility locations&easements(required for new and additions) U$ite address,project or subdivision name and lot number rg idewalk/driveway approach 6r.pplicant information(name and phone number) ' Niocation of wells/septic systems a Lot dimensions and building setback dimensions V' xisting trees to be retained with drip line,and tree 1�.quare footage of buildings to be demolished protection measures 4 Lot area,building coverage area,percentage of coverage and VStreettree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) atreet names fO'P'roperty corner elevations(2 foot contour lines if more than 111. orm water quality facility required if>1,000 sf of 4 foot differential) impervious area is created or replaced. 44' Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified I No Received: ❑ Yes ❑ No CfPublic Facilities Improvement(PFI) Permit: Pmt 1 cj -co tz. Required: ❑ Yes,applicant was notified ❑ No Applied For: IV Yes ❑ No,stop intake °Ecti Land Use Case#: 12: c 5 00005 ,,, oning: ?,--1-2- ( 1 LTJ`Required Setbacks: Front �)2.. Rear (0 Side Street Side e Garage 12)Er Landscape Requirement: le) Lot Coverage Maximum: tat Building Height: Maximum Height Actual Height 40 Visual Clearance i �p/Sensitive Lands: ❑ Yes 0 No Type [1 Urban Forestry Plan 0Conditions " e "prior to i uance of building permit Notes: +iL ' ©' ''+ i Pm2017' t./ctS 54111Ot 4ey 1 Approved By Planning: ,..rairZiNie Date: 5/ ( 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgpermitRvw RES 051617.docx w" Building Permit Submittal Original Submittal Date: 3(Z f/f 7 Site Plans: # 3 Building Plans: # 3 Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering Permit Coordinator wilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: 7 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: / ,,07' Date: S 72�/� Engineering Review .7� ✓` •pe at building pad: �. /d;t/ `� onditions "Met"prior to issuance of building permit A asements (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: El Yes No ❑ NOT Approved by Engineering: Date: Notes: �/' Approved by Engineering: di- J..7 Date: .:::(8 17 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved El Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: El Approved ❑ Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of building permit ''Approved,NOT Released: Date: 5-15.0/1 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: DC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: l! Yes El N/A Parks SDC: 4 Yes ❑ N/A LIDA ❑ Yes R N/A /.."/,' 4 K to Issue Permit pproved by Permit Coordinator: / Date: /.VM-- I:\Building\Forms\BldgPermitRvw_RES_O 5161 7.docx VM--I:\Building\Forms\BldgPermitRvw_RES_O51617.docx City of Tigard e COMMUNITY DEVELOPMENT DEPARTMENT IIIT I G A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: 13q0Ct `Jiro Bjje VI—UtA Project Name: '2.w ;i , )•/ ; Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.0701): Is the project subject to the plan district design standards? dYes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a ft.deep min. 2ft., 5 ft.wide min. 2 ft., 6ft'wide Gabled dormer ❑ ►� ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: (WC) 3. Entrances:At least one entrance must meet both of the follywing standards: '—'facing wall 1 arallel to street,angle no more than 45° from street, ®'Max. 8 ft. setback from longest street �/ or open onto porch Entrance opens to a porch: Lf Yes ❑ No If yes, all the following apply: W25 sq.ft. min. / One street facing entry [5"1.2 ft.max. roof above floor of porch V5 ft. depth min. 130%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five ofe following elements on all street-facing facades: L'Covered porch min. 5 ft.wide x 5 ft. deep Lf Recessed entry area min. 5 ft.wide x 2 ft. deep LSA Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Pr Roof eave min. 12 inch projection VRoof offset min. of 2 ft. ❑ Roof shingles either tile or wood ErGable,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 2rWindow 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: Nocloser to front or side lot line, than longest street-facing wall. ❑ Yes (ti-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. 2/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 V50%max. of street facade with 7 detailed design elements Li 7% Notes: Approved By Planning: A Tar , i ,r,�I Date: yam- j-2� 17 I:\Building\Forms\B1dgPermitRvw RES RT 062216.docx l