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Permit (90) RECEIVEDCity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1111 II • JAN 8 2018 Request for Permit Action TIGARDRD 13125 SW Hall Blvd. ••Tigard, Oregon 97223 •• 503-718-2439 ••www.tigard-off GA BUILDING DIVISION TO: CITY OF TIGARD Building Division V 0 D 13125 SW Hall Blvd.,Tigard,OR 97223 //9 /c _ Phone: 503-718-2439 Fax 503-598-1960 TigardBuilclingpermits@tigard-or.gov FROM: E Owner 'Applicant ❑ Contractor [ City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) l'0‘1� ory� 1"" `U.L Mailing Address: -1(r) P)roacl Sk Suite- CND City/State/Zip: Ulf\cou e r" ci bkokpc) Phone No.: 3 0-(p01 '--I 0 D 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). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: Site Address or Parcel#: /33,15c Stil 13Cacff (ALCM 1"-e/rra.Ce_ Project Name: L f Gr Tefface. O t1'u&le3-1— Subdivision Name: 12.0PX'Tt,vv-e « Lot#: 2,�Y EXPLANATION: per . overscctron i p trans ujer2.. ire,,/toski Sv►.bmNu 10red maue nue, to IeL Y't.3 tLi b `e � 141ce ra Signature: �� ., . Date: //8/2,47/8 Print Name: 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 • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended.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/ Z,S /9 D-Vn" Refund Processed: Date/9 . /e By Invoice Processed: Date By Permit Canceled: Date - By "'— Parcel Tag Added: Date By I:\Building\Forms\RegPermitAction_923 4.doc 1,1 q TIGARD City of Tigard November 1, 2018 Polygon WLH,LLC Attn: Angela Grajewski 109 East 13th St Vancouver,WA 98660 Re: Permit it o. MST2017-0018 &SWR2017-00171 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 13385 SW Beach Plum Ter Project Name: River Terrace Northwest,Lot 26 Job No.: N/A Refund Method: ® Check#230281 in the amount of$39,041.34. ❑ Credit card "return" receipt in the amount of$ 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 (MST2018-00005 &SWR2018-00006). 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 TEGARD . Project Name: River Terrace Northwest, Lot 26 Site Address: 13385 SW BEACH PLUM TER C61-1 Receipt Number: 421261 - 01/25/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2017-00189 $-33,706.34 Total: $-33,706.34 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 230281 DHOWSE 01/25/2019 $-33,706.34 Payor: Polygon WLH, LLC Total Payments: $-33,706.34 Balance Due: $33,706.34 Page 1 of 1 CITY OF TIGARD RECEIPT i i 13125 SW Hall Blvd.,Tigard OR 97223 - 503.639.4171 Ti(.\R.L) Project Name: River Terrace Northwest, Lot 26 Site Address: 13385 SW BEACH PLUM TER Receipt Number: 414055 - 11/21/2017 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2017-00189 Building Permit-New Construction 230-0000-43104 ✓ $2,043.26 MST2017-00189 Plan Review 230-0000-43106 ✓ $751.34 fi MST2017-00189 12%State Surcharge-Building 100-0000-24001 '/ $245.19 10o MST2017-00189 Wash Co Trans Dev Tax-SF Detached 405-0000-43320 ,/ $8,278.00 MST2017-00189 Tigard Trans SDC Improvement-SF 415-0000-43300 ✓ $5,488.00 Detached MST2017-00189 Tigard Trans SDC Reimbursement-SF 415-0000-43301 ✓ $317.00 Detached MST2017-00189 Tigard Trans SDC River Terrace-SF 415-0000-43302 $2,684.00 Detached MST2017-00189 Parks SDC Improvement-SF Dwelling 425-0000-43300 ✓ $4,356.00 (detached/attached) MST2017-00189 Parks SDC Reimbursement-SF 425-0000-43301 ./ $1,207.00 Dwelling(detached/attached) MST2017-00189 Parks SDC River Terrace SF Dwelling 425-0000-43302 ✓ $2,003.00 (detached/attached) MST2017-00189 Plan Review 230-0000-43106 ✓ $576.78 MST2017-00189 DC Provision Review, SF-Ping 100-0000-43112 $90.00 MST2017-00189 Info Process/Archiving-Lg$2.00(over 230-0000-43135 $44.00 11x17) MST2017-00189 Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $24.00 11x17) MST2017-00189 Metro Const. Excise Tax 230-0000-24010 ✓ $438.67 MST2017-00189 Beaverton School CET-Residential 230-0000-24101 ✓ $3,742.89 MST2017-00189 Permit Fee-Elect(per dwelling unit) 220-0000-43103 ✓ $338.14 E MST2017-00189 Limited Energy 220-0000-43103 '� $75.00 8- MST2017-00189 12%State Surcharge-Electrical 100-0000-24001 ✓ $49.58 /X-90 MST2017-00189 Air Conditioning 230-0000-43102 ✓ $46.75 r9 MST2017-00189 Furnaces< 100K BTU 230-0000-43102 ✓ $46.75 /'9 MST2017-00189 Water Heater 230-0000-43102 ✓ $23.32 ii MST2017-00189 Gas Fireplace 230-0000-43102 ✓ $33.39 r? MST2017-00189 Range Hood/Other Kitchen 230-0000-43102 ✓ $33.39 M MST2017-00189 Clothes Dryer Exhaust 230-0000-43102 $33.39 pi MST2017-00189 Single Duct Exhaust(Bathrooms,Toilet, 230-0000-43102 ✓ $93.28 ti Utility Rooms) MST2017-00189 Fuel Piping 230-0000-43102 $14.15 11 MST2017-00189 12%State Surcharge-Mechanical 100-0000-24001 ✓ $38.93 /s-* MST2017-00189 SFR-Baths 230-0000-43101 ' $500.32 / MST2017-00189 12%State Surcharge-Plumbing 100-0000-24001 ✓ $60.04 /2-go MST2017-00189 Erosion Control w/Development 100-0000-43134 ,/ $386.40 Total: $34,061.96 IV as i4/4-A/ kilo) /,32e,/.2. ea ?o = /0 4, 2,50 (2(o S,G.2. / m'.✓r2..) /‘la-c- .2..2 y yz ✓ j y, DG i, 9, 3 y ,o 4 �(--, /00v A v...a 24 S.4 z. EZ-C 9,5, ,y v _ 3 ss, z _s-, 2 3s. c,— :zs e ° 2 PL-,-/ Soo,3i v. ? 706. _s y '3rf 3,',996,/a 39 3. 6- z. �G 77' ✓ /1s'/1s/7- 2 3 S, 4 Page 1 of 2 Receipt Number: 414055 - 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 $34,061.96 Payor: Polygon WLH, LLC Total Payments: $34,061.96 Balance Due: $0.00 Page 2 of 2 to CITY OF TIGARD MASTER PERMIT 1It . COMMUNITY DEVELOPMENT Permit#: MST2017-00189 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2017 Parcel: 2S 106DB02600 Jurisdiction: Tigard Site address: 13385 SW BEACH PLUM TER Subdivision: RIVER TERRACE NORTHWEST Lot: 26 Project: River Terrace Northwest, Lot 26 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 978 sf Basement: 814 sf Left: 3 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 1251 sf Garage: 368 sf Front 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3043 sf Value: $365,556.67 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvpes Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group:Y Square Feet: NEW SF VB R_3 3043 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 2 GEO Tech Required before STE 1 SCOTTSDALE,AZ 85258 foundation inspection PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $34,061.96 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 lig % R 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: 97---e....._ Permittee Signature: e)".1 l / e- 9-.7-7t''\i' 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. .. e /\ d\C ' Building Permit Application RECEIVE(— VA/ �'`� FOR OFFICE l SE O\Ll kl n�,�= 4ttnk, /^7 City of Tigard MAR 2 8 2017 Received Date/By7 (�/ /`1 PermitNo --/ sC) III41 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review>/ ,r� ` ' Ind' p��permit: = Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD Date/By. Le 1 / /'r/Aite4 17G InspectionLine: 501639.4175 BUILDING DIVISION Date Ready/By: Juris: H See Page 2 for 13 C;l t n Internet www.tigard-or.gov Notified/Method:/0f /7 Supplemental Information E71 iL A/% L E. Permit fees*are based on the value of the work performed. ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other equipment,materials,labor,overhea. and th- rr1Lfor the � ; work indicated on this application. i i Valuation: $ ' ® 1-and 2-family dwelling 0 Commercial/industrial - (! t Number of bedrooms: Q 0 Accessory building 0 Multi-family 0 Master builder ❑Other �' 1 Number of bathrooms: -," "")"1 Total number of floors: t I Job site address: 33si S ', ' i UpA T.eA"ci�� New dwelling ares• 3 square feet City/State/ZIP: Garage/carport area: jdi ,. square feet [ i Suite/bldg./apt.no.: I Project name:River Terrace Northwest Covered porch are.. „011 ".uare feet ►t Cross street/directions to job site: Deck area: f ; I quare feet "siq Other structure area: square feet Subdivision:River Terrace Northwest I Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the . . ,• , work indicated on this application. Valuation: $ Existing building area: square feet - i New building area: square feet 0 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 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:Nichole.Thorpe@polygonhomes.com � ' +4;74',1:;*, -. ;" V ` "" �� ' � Commercial and residential prescriptive installation of . � � , 4 � � E � -_ ax: , ��s ,= roof-top mounted Photovoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:William Lyon Homes,Inc and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver WA 98660 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 si atur / This permit application expires if a permit is not obtained • within 180 days after it has been accepted as complete. , *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Date:3/14/2017` Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB) Mechanical Permit ApplicatilgtECEIVED , ., . . h , i „, „,,,,,, \ Gty of Tigard 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 5033181439 Fax: 503.598.1960 SI Inspection Line: 503.639.4175 intermit: www.tigard-orgov MAR 2 8 2017 Received . Demily Phut kerma DateBy CITY OF TIGARD ow RcildytS3t- -method. BUILDING DIVISION 14'4'64- - Pcmil- STAGY7'—ilate5 Other Per1M1 hart ita See Isage2 fur Simpleatestal htformation fft::7'e4tif"t%t;Iti;i:ciryt?";t:;i0tiaittNtWt f ttf '''A'''''fi. 't'ti&it', ,t1.:4, 71'7.e:4t:,,,X:,t-t-=';*;1# r4teieltielt;i:4':.:'`-",11,7; ;;;M:wo ,k`'t..44.00000n;-, Mechanical permitt fees are based on the Valtle of the work 0 New construction 0 Addition/alteration/replacement performed.Indicate dm value(roun(3ed to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment.labor,merhead,and profit, Value:S zz..---- o,lx;.,e,A1.1:44;4.4*.,v. ,;- ,,:,,,ii- '1'4. x,. 4 i.7- t tfl, i, :4,t •"-WlifV1ta !'",n, i Y-t-tett- = ---'t ''' -' '---"t''' "'''""•."`' " 't"''' " --- ''', -10,t021:: jetightta#FitAttat- -tlitti4isikoikii,„',, ' .;'-- M--....-1.,..,;;;1.,...„1,,,, ,„41:;:: , • „.:,.i, ,,o,coo4• 0 ,,.,.,Lo, „„.; „,,,,,,,,..,,.,,..,„:„ ,,,,,,*,4,,,3, 1r foit; -and 2-family dwelling 0 Commercialindustrial 0 Accessory building For special lafarmatiart are chealist , 1 vlulti-family 0 Master builder 0 Other: Description J Qty. I Ea. I Total neatingi""IiIIV *, 4 ":40'.644;41441i4v.e.,,A. '.,...,.'-:..111..:*.'"4,ke, .2:4,,m,,,i'te4i.w,„*,1...,tr-,,,„-;J',„!„,....v-,*--,w,047,,,,,fo•-• . •. . 1 46.75 Job site address: /33 5v4 Won 'turn uric. Furnace 100.000 BTU;duos/vents) I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100_0004 BTU iductsiverusi 54.91 Heat porno 61,06 Suite/bldg./apt,no.: 1 Project name 2er itgacie Ntlit‘Awe-st- Duct work 23.32 Cross sweet/directions to job site: Itydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric). in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of'above I 2332 Other: 2332 Subdivision:Nerre'reaCt_.ND!iAnk Ve.b. '-i--- 1 Lot no.:21p Other furl appliances; 1 Tax map/parcel no.: Water heater 23.32 , 4'4,,4- i dti 4.44,..,4„.:X.„-,-‘49,',i4:-4,:' 441.44, -4,4,,-, 4', ''':.0.r'Y''',''=F;.-..1L,e...,;.'j',..:.541•ttlif':'',..,,..', .h.,..t' Gas(Imitate/insert 33.39 - Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) ' 23.32 Wood/pellet stove 33.39 Wood fircplaectinsert 23.32 Chimney-liner/flue/vent 2332 23,32 , ;,-i, :,,s,,,,,e,,• ,,..„44444 -44 44;44-4.4-z44.----4-4-4`',....14.°4(;`,"--4A.i%::".4.4'•.1`k i ."-',.' f"..4, kW:'flt:44;441.4iii4;g4v.W.;;Laitilic!'..-i ,;';.1.';-&-'1'VitiffTWilucifirealaid0145bateraltil Environmental exhaust and ventilation: Name:Polygon W1,14,LLC Range hood/other kitchen -- equipment 33 39 Address 109 East IP Street Clothes drier exhaust I 3339 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms. 4 toilet compartments,utility moms) 23,32 Phone:(360)695-7700 Fax:( ) Atticicrawispacc fans 23.32 ,i'AP4-:44414brij? ,,*: ';141'14440"fS.'rl12.L4".'441,4,;-,,AfVW.glii Other: 2132 ,4--4'4 2.4,.. 44,24.0:4;i154'14fikc*.iii, :e.a ,44,,Ar., t;ttt'z'ttl-t""- 'a.`'..ltatisiittlittia,tit'te - Fuel piping: Business name:Polygon Will,LIC S14.18 for first four;S4.03 for each*Midmost • Contact name: \1 On 67e,-11no\Toe, Furnace.etc. I I Gas heat Address: 109 East 13th Street pump Wallfsuspendedlunit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace 1 1 Range t E-mail:i I ' • 14 1 14' of ,m/1O e , I Barbecue 4...,- 4*--V,7;.4ik4scitAY4-4w4,a2A,,sillixrs.Trst4i4i,.4.4 ve4-, 4..4 ,..,.p. --. .--_,,,, , .cio.,—,e4.- • ..0 ,.. 7-0M474.. , ,1%filstrt-ttt,..rt-t.tttt-ti.yczt.ttt.:,,tto„tttti.tst .*t tie t t, b VA4-0 4 0,,Areii±,s;'',../,,,,,,,.,"Ira...E4,41,,t UOthes dryer igas) Business name:Apes Air LLC _ '''''ttt%tt4:::-ttti•t trtif.i.'tf;iter,"g , "i°- :t"";tr,:;;Xt'it t tt,t,,444 ..?"'";','",'--`',Vt't,:•ts,"tt,t, tt.ttt;t',It:, 'tt'At 4,4:k'-'.Z,:4,'.,4..tott, ,'it't'tttZtt't,'t Address:18(0)4 NE 72.4 Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit foe(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 appticarlou expires Wit permit is not*Waived within ISO ., .. Asp after it h,*14 been oceepted as complete. Authorized signature: . Fee methodology set by Tri-Couniy Building Wool Service Board Print name. I^ I Date- 4 bit.14. I a.,14.0•Ortrit5MEr_PcinttApp..,04171 13 doe 44046 1 71(1 014.4110 4 . Electrical Permit Applicati i ECEIVED FOR OFFICE JSE °\L1' _ 103�'Y OF TIGARD Dans City of Tigard MAR 2 8 2017 Received ��, 13125 SW Hall Blvd.,Tigard,OR 97223 pe/B ' �tVfr �t•�� Phone: 503.7182439 Fax: 503.598. Plan Renes Related Permit it: T1r nr r, Inspection Line: 503.639.4175 BUILDING DIVISION ReadyDate/By: Jude See Page 2for Internet: www.tigard-or.gov Notified/Method: Supplemental Information 7 a e :®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of pleas Whams checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: ,_ where the available fault current 0 Marinas and boatyards. ='�do A w = ....... � =4Q it- ps i exceeds 10,000 amps at 150 volts - .y _ or ❑Floating buildings. ® 1-and 2-family dwelling 0 Commercia/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family ❑Master builder 0 Other: amps for all other installations. buildings. _ _ ei ❑Fire pump. 0 Installation of 150 KVA or -- �''-1 Wiwi 1T1`- ��..,,.,;,_�. 0'11`_5 R1VF�`.l�°.1�-�y ;1�� - - - - Emergencystem. .. -:.,_... ..,f3,..,:;� ....� 'ICIOnt�.. .._ -......._.-....._. ❑ sY larger separately derived Job#: I Job site addressf��sw bar}, P1&mi,�� ❑Addition more. ❑••A••,••E,',`1_2^,"I_4" City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bidg./apt.#: ProjectRiverT('i ❑S i voltageformore than name r -G� ^1 O w, 0 Hazardous O locations, 600 y Cross street/directions to job site: 1 (`r 0 ce or feeder 600 amps or more. volts nominal. O:. WUEY �-,-`"�i : :.'_lir . Description Qty. I Each ..Total I�'-.. _ New residential single-or multi-family dwelling unit. Subdivision l/�V fr 'waif,OL!, Nar.l1nuK f4 I Lot#:�,� n Includes attached garage. Tax map/parcel#: vii' 1,000 sq.R or fess I68.54 4 - � CW ._ Ea add'1500 sq.ft.or portion 33.92 1 r.,� Na � � ' . S T v Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.R) -m—coo:,`.Q 0 .00::„...,_1... ...L.:. ;J.. �, :Y3 Rtnewable Eaergy ❑ See Page t ^ ` ,>. 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:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary set-vices 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 5936 1 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. - 201 amps to 400 amps 1 1 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 <:- ma0%4, 7 j'"`�" » r:Nt C 'wE)3SOBranch circuits-new,alteration,or extension,per panel cis,.,. .. - s �_.r. 7;"-' -- -- --,, .-..w-.-------- -44.----','4-7.7' A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 � " `T� O each branch circuit Contact name Ni l c4'10 It I Y 1( 1. B.Fee for branch circuits without Address:109 East 13th Street 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)'66,9,5`-7700 ,,'• ' I Fax::(360)693-4442 Each manufactured or modular Email'N Cf {V I e 1 Y I�! it f d ,tv.'c /�.�^ ding,service and/or feeder 67.84 2 l ..1A"a r►r-� .l)`i ' Reconnect only 67.84 2 ' .y P ," A ."5 Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:6101 NE St Johns Rd Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels@gweusa.com Industrial plant(1 hr min)` • 78.18/lu Inspections for which no fee is CCB Lie.: C1158 Electrical Lie.: 208174 I Suprv.Lica: 4496S specifically listed(il hr min) - 'sm- .�0— .;iii,•„a�1 a X90 b-1/ Suprv.Electrician signature,required: .�� Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): l---- .----•... State surcharge(12%of permit fee): Authorized signature: 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. I:1Buiid APp * Number of inspections allowed per permit nrglPerraitslEI.0 Permit E1.R ERE.doc Rev 06/172015 440-4615TO1/05/COM/WEa Plumbing Permit Application Building Fixtures I t)Ii O t i(( I I ‘,1 ()NI , City of Tigard M N Fi 2 8 201/ Received in 13125 SW Ha11 Blxd.,Tigard,OR 97223 Date/By: Permit No t_ n QDi (� • Phone: 503.7182439 Fax: 503.598.19 CITY Ur DIVISIONGARD Date/BPlan Y: view Other Permit No.✓�/�/'< Inspection Line: 503.639.4175 BUILDING Date i I:I Date Ready/By: rues: ® See Page 2 for Internet: www.tigard-or.gov Notified/MMetbod: Supplemental Information TYPE-OFWOR : . ; .,.. . FW SCHED ULE.: . ®New construction 0 Demolition For special informal ion use checklist Description I Qty. I Ea. 1 Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION" SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler(-sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site addresspZS-C-S1A) a(/ `ey) Tel Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224" ! /.�1 Drywelt,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:RAW It h ce NJO4�a-�- Manufactured home utilities 50.03 Cross street/directions to job site: r / 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 Subdivision:12.)6) it LL Of tJert- Lot no.:' A Fixture or item: Tax map/parcel no.: `��i Backflow preventer 1 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher _ 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 El.PROPERTY OWNER I 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 Fax:( ) Ice maker 12.51 ®.APPLICANT 0CNTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical g (value:$ ) Page 2 Primer 12.51Contact name: 0tc VIM_ TVLUVnL Roof drain(commercial) I2.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::t(3360)693-4442 Tub/shower/shower pan 12.51 E-mail: N i I I)le . I FW e p ,s„1on 1 Ilm�.C ()� Urinal 25.02 i CONTRA ailOR' Water closet 25.02 Water heater 37.52 Business name:Malmedal Enterprises Inc. q/ararp•p• ,Jy,n y-, 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 Plan review (25%of permit fee) CCB Lic.:102535 Plumbing Lic.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: C.------- TOTAL PERMIT FEE .This permit application expires if a permit is not obtained within 180 days I Print name:Carolina Malmedal Date:04/25/2016 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\PermitswLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) $ IIICity of Tigard ■ a COMMUNITY DEVELOPMENT DEPARTMENT T r c A lz n Building Permit Review — Residential Building Permit #: .,do -1 Site Address: i?5F6 5Z. PZ .j PLUM liZZAke Project Name: p1,-V,ey TtArt1ce Jt Lot #: 26 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: vebio � ,Z Ll'Verify site address/suite#exists and active in permit syyem. C'River Terrace Neighborhood: ❑ No D'Yes,See River Terrace Review Addendum Attached Site Plan Elements: ,t ree(3)copies of site plan `Id :xisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper [ ' ootprint of new structure(including decks)with finished E t rawn to scale(standard architect or engineer scale) �flfl/oor elevations riterarrow, D4lJtility locations&easements(required for new and additions) th address,project or subdivision name and lot number C idewalk/driveway approach pplicant information(name and phone number) Location of wells/septic systems � Lot dimensions and building setback dimensions *Existing trees to be retained with drip line,and tree 61Square footage of buildings to be demolished torotection measures Lot area,building coverage area,percentage of coverage andtreet tree size,type and location pervious area (applicable if R-7,R-12,R-25&R-40) treet names roperty corner elevations(2 foot contour lines if more than torm water quality facility required if>1,000 sf of 4 foot differential) impervious area is created or replaced. tsilPrClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified )l No Received: ❑ Yes ❑ No LYPublic Facilities Improvement(PFI) Permit: 917'12015-.001 0.— Required: ❑ Yes,applicant was notified ❑ No Applied For: Lam'Yes ❑ No,stop intake Lam' Land Use Case#: 6 •va 5 Zoning: 7.,....0._-- 37 4/Required Setbacks: Front 12,...„ Rear t i 0 Side Street Side 8 Garage 20 R andscape Requirement: .2.c) % L1 Lot Coverage Maximum: 80 00 Building Height: Maximum Height Actual Height 40'Visual Clearance 00 j Sensitive Lands: ❑ Yes ❑ No Type Q Urban Forestry Plan Co Conditions "Vet"prior to i su ce of building permit i Notes: +1CYl C;s?`� t� -ria `7 `� e7 vta, Approved By Planning: f,. ,41,0,; /4 Date: G t7 Revisions (after Building Submittal on y) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\B1dgPermitRvw RES 051617.docx p. a Building Permit Submittal / Original Submittal Date: ?//4712 Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning C)Engineering *ermit Coordinator wilding Workflow Sign-off: , Sign-off for Planning"(include notes from planning review) Route Application Documents: r 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: ~detail � �^ Date: �✓/.211/'/ Engineering Review ...,7 , Slope at building pad: ._i ,,,,e,„7/ Conditions "Met"prior to issuance of building permit A....0 ' / 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: ElYes No LIDA Facility on lot: ❑ Yes :a ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: -- —. Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved E Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit APP roved,NOT Released: mI :otes: 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 Taxes ❑ N/A Tigard Trans SDC: t r,r'Yes ❑ N/A Parks SDC: trYes ❑ N/A LIDA ❑ Yes 794N/A it OK to Issue Permit i / �P, ) 1/ �i��O Date: —4‘;_..., `� ipproved by Permit Coordinator: 1:\Building\Forms\BldgPermitRvw_RES_051617.docx 1“, City of Tigard 'III COMMUNITY DEVELOPMENT DEPARTMENT i r 1 c A R n River Terrace Building Permit Review Addendum Building Permit #: Site Address: 133ts 5b13I p Lw .TZ Project Name: °a Wei ¶ r ca_. iJ Lot #: '44 (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 El 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.,Vide�yide Gabled dormer ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 12-e/'a 3. Entrances:At least one entrance must meet both of the following,�.., Lstandards: i Max. 8 ft. setback from longest street- facing wall L�l'arallel to street, angle no more than 45° from street, �/ or open onto porch Entrance opens to a porch: Li'Yes ❑ No If yes,all the following apply: EV25 sq.ft.min. [11/One street facing entry 1E/12 ft. max.roof above floor of porch C5 ft. depth min: 0'30%min. porch roof coverage 4. I,)etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: /Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep L11 Wall offset min. 16 inches CI Dormer min. 4 ft.wide [ 'Roof eave min. 12 inch projection Ef oof offset min. of 2 ft. ❑ Roof shingles either tile or wood IV Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide El Accent siding min. 40%of street facade El Window trim min. 2 1"wide by 5/8" deep El Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep El Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: Nocloser to front or side lot line, than longest street-facing wall. ❑ Yes No. If No (Check one): YMay 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) 1❑ 12-foot-wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements ij 7% Notes: Approved By Planning: L ,.J l Date: 5 �- 17 , i I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx `