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Permit (113) RV I y � , N ;;,,r, City • COMMUNITY DEVELOPMENT DEPARTMENT O f Tigard 1 'I 4I% t; °i N Nis .4.1q Q Request for Permit Action a w. is .,0 0,:d TIGARD 13125 SW Hall Blvd. •Tigard,Oregon 97223 • 503-718-2439 •www.tigard-or.gov TO: CITY OF TIGARD V 0 I 0 - Building Division /9/25://cP 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: n Owner 1L1,,Applicant ❑ Contractor ❑ City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) t)olkj(jof\ WLR iu L Mailing Address: 10)1 PArOotC1piSk- Su <\o City/State/Zip: UQ, cOu,.v&,r 1 cl&ADO Phone No.: -- 0-LOOIc-T[00 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): U. CANCEL/VOID PERMIT APPLICATION. !�7 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 n. . • - --es.•t . Permit#: 'o i - isw Ais% /7'/&/er- i Site Address or Parcel#: j3112.1 Sw &Q.Cl j3IuuI .IPPr U.,11/1 . ' Project Name: 12 4Gr-ti reaCe J or tt' 4Je3+- Subdivision Name: tZ.igex Tehraec., Lot#: 11-1 EXPLANATION: L c!;:t., i ■ • I. • SyLlom 4 uNu�� r d aced OP_ resu..b 1 tfe1 h ele,r- ' ' ' rim pe ...S '&7..577, �/J--eoo0 5 -sid/Z V? 1eeed7 , #0y/yr- Signature: � /y Signature: Date: //8/z t7 0 Print Name: - L. , 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 • Not snore than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended.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 / ZS /y BC2,64 Refund Processed: Ds) /2. //c ' By --Invoice Processed: Date By Permit Canceled: Date /7 f f/ By ..die--"Parcel'l arcel Tag Added: Date By I:\Building\Forms\RegPemutAction_(f9231 .doc `` ,� r TIGARD City of Tigard November 1, 2018 Polygon WLH,LLC Attn: Angela Grajewski 109 East 13th St Vancouver,WA 98660 Re: Permit No. ST2017-00188 SWR2017-00170 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 13427 SW Beach Plum Ter Project Name: River Terrace Northwest,Lot 24 Job No.: N/A Refund Method: ® Check#230281 in the amount of$39,131.12. ❑ Credit card "return"receipt in the amount of$ . 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 (MST2018-00003 & SWR2018-00004). 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, ,64/---,-Zerd 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 IIICITY OF TIGARD RECEIPT s• • 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIC_:Al-tD Project Name: River Terrace Northwest, Lot 24 Site Address: 13427 SW BEACH PLUM TER Receipt Number: 421256 - 01/25/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2017-00188 $-33,796.12 Total: $-33,796.12 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 230281 DHOWSE 01/25/2019 $-33,796.12 Payor: Polygon WLH, LLC Total Payments: $-33,796.12 Balance Due: $33,796.12 Page 1 of 1 CITY OF TIGARD RECEIPT i a 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 T([.iAIT:D Project Name: River Terrace Northwest, Lot 24 Site Address: 13427 SW BEACH PLUM TER 0/2/CHOetZ-" Receipt Number: 414050 - 11/21/2017 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2017-00188 Building Permit-New Construction 230-0000-43104 V V $2,043.26 MST2017-00188 Plan Review 230-0000-43106 ✓ $751.34 NIC MST2017-00188 12%State Surcharge-Building 100-0000-24001 V $245.19 12-k MST2017-00188 Wash Co Trans Dev Tax-SF Detached 405-0000-43320 ✓ $8,278.00 MST2017-00188 Tigard Trans SDC Improvement-SF 415-0000-43300 ,/ $5,488.00 Detached MST2017-00188 Tigard Trans SDC Reimbursement-SF 415-0000-43301 V $317.00 Detached MST2017-00188 Tigard Trans SDC River Terrace-SF 415-0000-43302 .i $2,684.00 Detached MST2017-00188 Parks SDC Improvement-SF Dwelling 425-0000-43300 / $4,356.00 (detached/attached) MST2017-00188 Parks SDC Reimbursement-SF 425-0000-43301 ✓ $1,207.00 Dwelling(detached/attached) MST2017-00188 Parks SDC River Terrace-SF Dwelling 425-0000-43302 $2,003.00 (detached/attached) MST2017-00188 DC Provision Review, SF-Ping 100-0000-43112 $90.00 - MST2017-00188 Info Process/Archiving-Lg$2.00(over 230-0000-43135 ,/ $42.00 h 11x17) MST2017-00188 Info Process/Archiving-Sm$0.50(up to 230-0000-43135 '� $89.50 -' 11x17) MST2017-00188 Metro Const. Excise Tax 230-0000-24010 ✓ $438.83 MST2017-00188 Beaverton School CET-Residential 230-0000-24101 / $3,742.89 MST2017-00188 Permit Fee-Elect(per dwelling unit) 220-0000-43103 V $338.14 E MST2017-00188 Limited Energy 220-0000-43103 ✓ $75.00 E MST2017-00188 12%State Surcharge-Electrical 100-0000-24001 V $49.58 12°0 MST2017-00188 Air Conditioning 230-0000-43102 ,/ $46.75 M MST2017-00188 Furnaces< 100K BTU 230-0000-43102 -' $46.75 r) MST2017-00188 Water Heater 230-0000-43102 ./ $23.32 /1 MST2017-00188 Gas Fireplace 230-0000-43102 ,/ $33.39 ei MST2017-00188 Range Hood/Other Kitchen 230-0000-43102 ✓ $33.39 f1 MST2017-00188 Clothes Dryer Exhaust 230-0000-43102 ✓ $33.39 11 MST2017-00188 Single Duct Exhaust(Bathrooms,Toilet, 230-0000-43102 ,/ $93.28 P'1 Utility Rooms) MST2017-00188 Fuel Piping 230-0000-43102 / $14.15 M MST2017-00188 12%State Surcharge-Mechanical 100-0000-24001 ✓ $41.73 I Z90 MST2017-00188 SFR-Baths 230-0000-43101 ✓ $500.32 O MST2017-00188 12%State Surcharge-Plumbing 100-0000-24001 'V $60.04 12 lo MST2017-00188 Erosion Control w/Development 100-0000-43134 '/ $386.40 MST2017-00188 Plan Review 230-0000-43106 ✓ $576.78 it MST2017-00188 Other, Fuel Appliances 230-0000-43102 ,/ $23.32 P1 ,/ Total: $34,151.74 % iLgn/ 21/14l /3,2,. i2 ( PO fp = ;O G.2, So C-24 S, 4.2 4E 7N£15i /`16C 3y 7, ') ✓ f-;--r3 e---/----(-1/.4,- -7) % 72_,E-T-0-/N << isf. ly 74.4/4�� 045.6 2-- 87.-c 1/i3,iY = "ss �� .�/ /s/, yi Zc ° 2 ) 9®.e9 P�� X00,32 N -- s ,(t /g 07o 270 , Sy / 3? 796 .i . ✓ i3 Ss lv� / /, /- 3�i Page 1 of 2 Receipt Number: 414050 - 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 $34,151.74 Payor: Polygon WLH, LLC Total Payments: $34,151.74 Balance Due: $0.00 Page 2 of 2 rt CITY OF TIGARD MASTER PERMIT s ' COMMUNITY DEVELOPMENT Permit#: MST2017-00188 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2017 Parcel: 2S 106DB02400 Jurisdiction: Tigard Site address: 13427 SW BEACH PLUM TER Subdivision: RIVER TERRACE NORTHWEST Lot: 24 Project: River Terrace Northwest, Lot 24 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: 28 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: $365,690.59 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 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: 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 Geotechnical Inspection STE 1 Required before foundation SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $34,151.74 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: "�77C.i`ZC-____. Permittee Signature: en./ 170,4 if�77G-',,,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. - Building Permit Application Z.- 0 -7-- 1/�+e t qN #, RECEIVE R FOR OFFICE l SE 0Nl_) City of Tigard RE€eP fr PertNoitIII1125 SW Hall Blvd. Tigard,OR 97223 MAR"'28 2017 (7o c /7w/ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 6-�' J7 OtherPermit9 O)2 05176 T c.:\1 nInspection Line: 503.639.4175 CITY OF TIGARD Daze Ready/By: f Jmis: H See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method/I)/7 /7 Supplemental Information -iI.,. ^/e(`mil i rr_ ^c, --7, �' r 7: ', � r � , e:r "2:f�°V �" g i3n j:,`7,7 ; .E-emR 7�3f�a;:..��GY^`6 �ew °„?;.'fl�u. a, e. •�. v,t;�*,,--,�xi c�" ,m,�t�om"• [:� ,-'' „,- . s„. . , 8 .-t .- � , b ' x �oa ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other. equipment,materials,labor,overhead,and the profit for the ': 6 ,~ t t � " work indicated on this application. Valuation. --1-}-j ., w. At M�➢.D,A- w ® 1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms: i0 Accessory building 0 Multi-family 0 Master builder 0 Other. Number of bathrooms: 3 .�. '' '�� Total number of floors: 3 .w'ee c. f4AYT S'S-br �° -, F i �A �` t�%�t5 B i 1 1 ��..... n Job site address:I�1 S e O(�V) I k,km Te,„I-4m New dwelling z_ 3')145_ square feet 1` City/State/ZIP: �+-�'�� Garage/carport area (p$ square feet o poSuite/bldg./apt.no.: I Project name:River Terrace Northwest Covered porch area: 1: I square feet _ Cross street/directions to job site: Deck area: .1-14.% is 9 square feet 7 g Other structure area: square feet ••, &=--;7,77-i7-2 :'"3:,:- t@ . k @ � is *a Y4t3 r): ' Subdivision:River Terrace Northwest I Lot no.:24 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 ' y work indicated on this a,ilication. �r,...t' w:, . : �� �i elf tR �, � Valuation: $ Existing building area: square feet New building area: square feet t $ a• Cry a Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address:109 East 13t6 Street Total .. ..n City/State/ZIP:Vancouver WA 98660 Aount received: Phone:(360)695-7700 I Fax::( ) m rp @p Yg ' 4 ' S °s s "- € 4 ',. ' E-mail:Nichole.Tho a of onhomes.com a � ��.� � g E, - ��-- Commercial and residential prescriptive installation of � ; �� � -:;',`' ���. ". •�k �� � 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 Authorizedsignatuit‘.'�/.. i•" /i This permit application expires if a permit is not obtained within-180 days after"it-has been accepted as complete. Print name:Nichole Thorpe Date:3/14/2017 *Fee methodology set by Tri-County Building Industry I Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application ,r% i til, i)1 I 1( I 1 °,i f rsi 4 City of Tigard RECEIVtl) Effillill PematN0- ii ..d...e ..,.... 13125 SW Hall Blvd,,Tigard,OR 97223 oth.x. Phone: 5033181439 Fax; 503.598.194" —NI AR 28 2017 Itk Inspection Line: 503.6394175 paw dylay, kiwi El See Page 2 for linetnet wwwliPxd-cr4" CITY OF TIGARD Nottfictildathod, - Supplentratal btformation 3UILDING DIVISION ,4,4:-.-„,4,,,..,-,,:,,,,,;,ei,,,,,.. .e.,,;.•,v.a*:,..v'k‘tL,-.2',,, "i';',,,',.•;' ,4-1.,,,-;,,e4 .14, -,....,.?',,a;:o. 14,1.:i;.„25ePt 1.:,;g,i7:#74-7-7,7; F:r."i71717717, 8-1,14 ' -::11 rn - - mechanicai penno fees*are based on the value of the work C. New construction LI Additionialterationireplacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials.•.•ill i .t labor.es erhead.and rout. 0 Demolition 0 Other; 1..,,,,,-,_--.4.,,..,.....,,,--,.....t.k.v.„;....... . -*,,s--i.,,,,, ., 7"-4-'.'',-P' ',''•'p ''"rA.' '''.444.ie:-.Virg ''''''4.5.t - ,..,„,-,., - • ';'4'''' '!.,L4-14iW4r''' "'`4„.:,V,Ve144451214:41144.4LILL,f4'44•!.. „,',Ss-444,'",-.-P-•.4,r, %,''''.4"'''' ,'-'•'' -'t?" 47.1•”:;17771714;.'f/ /4.''0•,--4S-4• Z•:,-' -•4 '•-• ','4 ,k;i".bv -and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special hifitlinakii use checklist. %lulti-family 0 Master builder 0 Other: Mu:61)00a CU`, 11331111EZ. „...6„.- .,.. - .--.::- --.,.... -4...,.:.,,),- .•,*- -.- ',.;-',,'...' ".'.:*1-,-..'r. -,..,,,;. -,..--:'..)--, .'-, ',,.-4,„.-,,,.„.-, „I.': Heads* fectolin ,71,;:tt•Y:tiotkaCtloc.17. 11°.i.:11:4 .Cii1 ,-;.•4;;L;01414,44,Vot.,t24 iv dt..,.. ..41244,002k -_ . ' lill 46-7 11111111 Job site address: S WO) IF It n/ T-rJyra Cf_. Furnace 100.000 BTU tdocislyerits1 MIIII 4675 MI City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU tdusvents 549i111111111 1 Beal m 11111 61-06 MIN SudenddglaPt"n°: J Project name Kofer t tvracie Kl( ft1itwe_St Duct work Mill1111111 Cross street/directions to job site: H•dronic hot water svatem 1111111=2111111111 Residential boiler(ndialor or IIIIIIEMII drunk) Unit heaters(fuel-type,not electric). in-wall.in-duel,sus.- ....,etc. 46.75 Flue/vent for an•of above 1111111111=1.1111 Subdivision:P-Ntr-reireact,NO.1ThkeSt" Lot no.. (4 Other Other fuel a u, lance= IIIIIMRMIMIIIM Tax map/parcel no.: Water heater IIIIIIIMIIIIIIIII ois.4•441,:i.,,i.is-1....4•1-ai...i.iti..;.,..,s-sa:siaktaii.s.-ski, ii..a.5:.t..i.::_is-, ,o4-kw,,,iii,o, ,.: ...b2: •,46•444,,„i*x.„0,1,si, Floe vent for water herder or gas minimmilm F ,lam , . MI 2=12 — i- 1"• ter(•• ) 1111111M1.11111111 Wood/, lid stove 111111 33.39 1M" Wood fir .lace/insert 11111M1111111111 Chi • . lineriflutiverst IIIIIIM1111111 ,E,.,7,..„,=4, .,,,,,,,-ri-:-..wrs,„.,‘,„•'-,.. ,....'-,‘',.".rab,1-Nr .s_i Vr-,,,t/',"•.,,- i4iii. ..;orb, 't - ib--241.-44*.•.,:„ EMI '0., -irmsLiviliittirticl‘ici:babc1... ..-1-',vi.izr----",,b...ri-,,,' ---•.r.'',A-- iv.. "-' rkk!--''?,-.:- ..a!''<Kw, Envimuntntai"imam,mod ventilation: Name:Polygon WillLLC Range hood/other kitchen 1111111M111 equipment Address' 109 East 13"1 Street Clothes drier exhaust 111111=11111. CityiStateg IP:Vancouver.WA 98660 SingicAuct cxhaum(69111""Itc. toilet comp rtinenK utility rooms Urn= Phone:(360)695-7700 Fax:l l Aiticknovis ,• fans 11111111=11.11. nth•" f."4 o--'''"" "'in-4';to' '"'": ,m'.1- ^.1 kik::4,--•-''' •••' 'T"- ' -•14- r w a.5 .4. t.,,,,,A, ,.;..4 ----.._,.,:ia.* --tr. 11111=1111111111 Fuel i'i in : Business name.Polygon Will,LIC 514.15 for that four 54,0S(or earb additional Contact name: 1cmn 01,-e.,--(An ovg, Furnace.me- 1111111111111111111111 • 1111111111111111111111 Address:109 East 13tb Street Gas heal.0 Wall/. .,,t,-, ,-• unit heater 111111111111111111111111 City/State/Z1P:Vancouver,WA 98660 Water heater 11111111111111111111 Phone:(360)695-7700 1 Fax::(360)69 3-4442 ICIMTIIIIIIIIIIIIIIIIIIIMINIIIIIMIIIIIIIIIIIIIIIM MIIIIIIIIIIIIIIIIIIIIIIIINMMIIIIIIIIIIIIIHIIIIIIIIII E"aii:A 4 ' • Iii - Of /80110 e .,,,. IA Barbecue 1111111111111111111 v,:f..0:- N,,,,T411A-f47,;•-tv.ff.77,14.4:1,-e'V.'9..'.1-p"1•7.-4,54V.M•It 71,-WWMP' f 77in: Clothes*Net ,. 111111 11111.11 .1.:Mictic,, ›i:'7":4: :,;'''..--ii-cat".f----bier,-----rta:.riacwil.i." .. r:c-L:puii..bUr„,." rl .ii-e..4M.--,. ..:i•-flailCizr:Wb; • Business name:Apex Air LLC - Other 1111111111111 W2.74 ,73422.7.771.177,77:117„:44:rv, P Address:18004 NE 7r4 Ave Subtotal OEM CityStatealP:Vancouver,WA 98686 Minimum permit fee(S90.00) aIIIIIIIII Plan review(25%of permit fee) .111111111111 Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of pennit fee) 11111111111111 CCB lie.;203034 TOTAL PERMIT FEE• 111111111111 i This permit application expires if*permit is not obtained within WO Authorized signature: * Fee metiandoloa sot by Tri-County Building industry Service Board ' Print name: 1 je1/4 'l Dale` 4-il- I 41af4ihr•Poinit4WIEC_PantetApp NM 13 doe 440-40 7T(I Itnie0WWE8) Electrical Permit Application + Pi`� IV FOR OFFICE CSE ONLY City of Tigard MAR 2 8 2017 Received 0 13125 SW Hall Blvd.,Tigard,OR 97223.N . Date/13 Phone: 503.7/82439 Fax 503.59g.196(CITY OF TIGARD gaeReview �� - 161= ilk TIGARD Inspection Line: 503.639.4175 • BUILDING DIVISION Ready ' RelatedPerm`tti: Internet www ttgard-or gov Ready Date/By Toric. ti Notiied/Method 0 See Page Z for g ` a4' Supplemental Information ®New construction 0 Addition/alteration/replacement `,•= -. : T :-,itwr-; :M1'` F:--,-, n/alteration/replacement - scheck t a .-y et -1 mow/ cheated): . Please all that apply(submit 2 sets of plans w/kems checked): ❑Demolition 0 Other: 0 Service or feeder 400 amps or more 0 Building over three stdries. ,--''''.:If-7---!0: e -, :.. - e a F} S where the available fault current 0 Marinas and bo .�_. 0.. Ns (" l a � 7 : boatyards. ® 1-and 2-familydwelling ------ - exceeds lo,000 amps at Iso volts or g 0 Coniinerclal/iltduStrlalless to Floating ng buildings. 0 Accessory building ground,or exceeds 14,000 0 Commercial-„se agricultural ❑Multi-family 0 Master .. F__fesbuilder amps for all other installatio w ax: . ,= ';ginr &'S ❑Fire buildings. mss.. Pump f 150 Job b . . l�T .rK _::`-_>_y_ '=r " - ❑Bmer enc KVA or B Y system larger separately derived site address: ,L����t�s 0 Addition of new motor load of #:tate/ZIP:Tigard,OR Job9site • �/ixi•_ ^ �,- Y ,00HP or more. ❑> >"I-2,"l-3" ❑Six or more residential units. occupancy. ❑Health-care facilities. ElRecreational vehicle parks. Suite/bldg./apt#: Project name ► Ver (rim _, ballwe ❑hazardous locations. 0 Supply voltage for more than Cross street/directions to job Site: ❑Service or feeder 600 amps or more. 600 volts nominal. Oestri�Cion '.- ..._ �'t=�-r;".=`�T�e":.=.�= Subdivision �V� New residential single-or multi-family dwelling uniach t cit r �. _' �. Lot#: Includes attached garage. Tax map/parcel#: I,000 sq.ft.or less 168.54ing y Y f � s ,i'1 5� Ea add'1500 =© Q ' ik -._;, ,- .--. -taw s4. s e portion ' 33.92 - Limited �`?`� energy,residential witfi above s..R ■ 75.00 � Limited en mtrfti-family = Rsaas ; residential(withsq.ft. 75.[ ( above =: -r�Y •°,d" Renewable Ea q ` _,... _... .. ._ "�:�-'��'- ' - ❑ See P:�e Name:ADVL Land Holdings,LLC Services or feeders installation,alteration,and/or relocation Address:7600 E Doubletree Ranch Road 200 amps or less 100.70 _© 201 amps to 400 amps 1111 133.56 _© City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 111111200.E © Photic:(602)694-4031 601 amps to 1,000 amps iii 301.04 © Fax:( ) Over I,000 Email: amps or volts - 552.26 _© Temporary services or feeders Installation,alteration,and/or Owner installation:This installation is beingmade onrelocation intended for sale,lease,rent,or exchange,according to ORS 447,that9,6 which 01.not. 2001 amps to 400ess _© Owner signature 201 amps amps 125.08 Date 401 amps to 599 amps - ..r- . _© ' mit �= :� `_, Fir:07: EgSop Branch circuits—new,alteration,or extension, ser .anal Business name:William Lyon Homes,Inc. ` A.Fee for branch circuits with above service or feeder fee •�.I Contact name j. t ■_ LI , each branch circuit Address:109 East 13th Street B.Fee for branch circuits without service or feeder fee,firstIII City/State/ZIP:Vancouver,WA 98660 branch circuit 56.18 .© Each add'l branch circuit -1151211_© Phone:(360)695-7700 • ` Fax::(360)693-4442 Miscellaneous service or feeder not include. Email'w 1 I G '`l� IEach manufactured or modular IV V Al.. ! - �, ., dwellin_,serviceand/orfeeder III 67.84 11111113 -_ _ _ -,, ,,,,,,m4--.-..7,7,.._:-.7.e ,� Reconnect only _© Business name:Garner Electric Washington,LLC • �� Sign or irrigation circle 67.84 © Sign or outline lighting in 67.84 © Address:6101 NE St Johns Rd Signal cirruit(s)or limited energy Ci /S el alteraiio. or extension. ❑ See Page 2 � ty tate✓ZII':Vancouver WA 98661 Each additional ins.ection over allowable in an of the above Phone:(253)320-1657 Additional inspection(1 hr min) =®_■ Fax:( ) Investigation(1 hr min) •. Email:bdaniels 90.00/hr _■ ta�gweusa.com Industrial plant(1 hr min) '� 78.18/hr _■ II CCB Lic.: CI158 Electrical Lic.: 208174Inspections Suprv.Lica: 4496S c listed III 9000/lir Suprv.Electrician sign required: s. � store for .... • min � y _ / - =`till t _ ��� :ice ..- _��__�� .�.�' ,-i7=; Print name: Joan P Albert Subtotal: Date: 4/26/2016 0 Plan Review Required(25%of permit fee): — Authorized si State surcharge(12%of permit fee): 11111111111" TOTAL PERMIT FEE: MOEPrint name: Bill Daniels This permit application expires if a permit is not obtained within 180 Date: 4/26/2016 days after It has been accepted as complete. 1:�'�da'glPermitsWLC-Permit * Number of inspections allowed per permit APPEt-R IItEacc Rev(16/170015 440-4615T(1I/O$/Cntr(NyEg ,Plumbing Permit Application Building Fixtures RECEIVED I ( R (111 l( 1 si (1N1 City of Tigard ^�e 2 g 2017 Received 13125 SW Hall Blvd.,Tigard,OR 9 �Y: Permit No.:',/ Phone: 503.7182439 Fax: 503.59 Date/By: vices fv( S�/1`U/)`0lJ� Inspection Line: 503.639.4175 OF TIGARD Other Permit No.: 1 �' Page 2 for BUILDING DIVISION Daren Ready/ By:www.tigard-or.gov or.gov ' y: Aid:: Notified/Metbod. SupI la plemental Information TYPE:OP WORK-- .., ... _.- .,-':- ®New construction " 0 Demolition For special information use checklist ❑Addition/alteration/replacementDescription Qty. Ea Total 0 Other New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION' SFR(1)bath 312.70 ID 1-and 2-family dwelling 0 Commercial!mdustrial SFR(2)bath 437.78 ❑Accessory building IDMulti-familySFR(3)bath i 500.32 ❑Master builder Each additional bath/kitchen 25.02 ❑Other: Fire JOB SITE INFORMATION AND LOCATIONa( sq.8) Page 2 (,j �wISite utilities:Job site address:/3 /ti 3,V P]//1 r I.. R a,^„ 1 #y� Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 WUd l,y� 11 I Dryweli,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2Suite/bldgJaPt.no.: ) Project name:!Lary rt rya No j' { t Cross street/directions to job site: Manufactured home utilities 50.03 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear R: ) Page 2 Subdivision: P.....0.(.4( Cra� 01-14V1/4/e.41--- Fixtr service(no.linear R: ) Page 2 _NJ Lot no.:�(� Fixture or item: Backflow preventer Tax map/parcel no.: ( 31.27 DESCRIPTION OF.WORK Backwater valve ( 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®.:PROPERTY OWNER I ❑ 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 City/State/ZIP:Scottsdale,AZ 85258 Garbage disposal 25.02 Hose bib 25.02 Phone:(602)694-4031 i 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: I c ha`, `Ae /►1\pci t, Primer 12.51 Address:109 East 13th Street l,tUv Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 1n _ E-mail: (\1 I ()le 1ve q �.' 011 t It t.S'.C 6m Urinal 25.02 v v.. fCORACTWater closet 25.02 Business name:Malmedal Enterprises Inc. Water heater 37.52 Water piping/DWV Address:PO Box 207 56.29 Other. 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 CCB Lic.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) Authorized signature: C State surcharge(12%of permit fee) TOTAL PERMIT FEE Print name:Carolina Malmedal , Date:,041/25/2016 1 'This permit application expires if a permit is not obtained within 180 days I after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:Suilding1Pemtit,PLMU•PerndtApp.doe 10/01/09 440-4616T(10/02/COM/WEB) t qIIIICity of Tigard 11 COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: Idi p - Site Address: . 4 � � Project Name: Ne r- t /t c (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: -sq Planning Review Proposal: ricj Verify site address/suite# exists and active in permit s stem. LVRiver Terrace Neighborhood: GI No Y ( Yes,See River Terrace Review Addendum Attached ,S,,...,ite Plan Elements: ,// �1Three(3)copies of site plan Site plan must be on 8-1/2"x 11"or 11 x 17"paper existing structures on site Drawn to scale(standard architect or engineer scale) tpnnt of new structure(including decks)with finished North arrow floor elevations hlity locations&easements(required for new and additions) ite address,project or subdivision name and lot number Applicant information(name and phone number) Sidewalk/driveway approach �ot dimensions and building setback dimensions �Location of wells/septic systems Existing trees to be retained with drip line,and tree Square footage of buildings to be demolished tot area,building coverage area,percentage of coverage and pr eet treen measures impervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location [r7�Property corner elevations (2 foot contour lines if more than Street names 4 foot differential Storm water quality facility required if>1,000 sf of 11s im pervious area is created or re.laced. AA% Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: El Yes,applicant was notified It No Received: ❑ Yes ❑ No Er Public Facilities ImprovementF '., Permit: f Required: ❑ Yes,applicant was Improvement(PFI) CI No \�"� _QC)�`2 Applied For: 1/Yes ❑ No,stop intake ❑y Land Use Case#: PIX2- ,5 `•'r"`,r" f; l 'Zoning: •2 2 ' `.'V 2 Required Setbacks: Front /-2._�Z_ AO_ Side Street Side Garage CZ Landscape Requirement: '2.0 }/V Lot Coverage Maximum: & % Building Height: Maximum Height N Visual Clearance Actual Height OrkSensitive Lands: ❑ Yes El No Type (Urban Forestry Plan (Conditions "Me " rior to issuorpce of building permit Notes: COVi( r�'1 t(L1 pitv.2.C► . ]] G' T., j j - t(' UCG 7 5-faviG*i)i• Approved By Planning: 1 � Date: 5 .2- -7 Revisions (after Building Submittal only) Revision 1: CIA roved Reviewer Date Pp ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: El Approved El Not Approved I:\Building\Forms\B1dgPermitRvw RES_051 6 1 7.docx e 4 Building Permit Submittal Original Submittal Date: # Site Plans: # Building Plans: Building Permit#: ' Enter building permit#above. Building C Engineering Permit Coordinator Workflow Routing: �' Planning � g Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: ji? Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. (T Building: original permit application, details, iapplans,able,b i�g plans,engineer and beam calculations and trust Notes: By Permit Technician: / Date: ___c_,2 c'Zi42___ �� / /• ���`�--- Engineering Review —. 1Slope at building pad: 49, f Conditions"Met"prior to issuance of building permit - /�Easements (encroachments)per engineering conditions of approval and plat AWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes NoNo Assess Water Quantity Fee in-lieu: ❑ Yes LIDA Facility on lot: ❑ Yes No Date: 0 NOT Approved by Engineering: 0____ 7-71-1 Notes: Date: - z'60 II" Approved by Engineering: Date Revisions (after Building Submittal only) Reviewer Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit 71"'Approved, �/ Otom,Q Date: J NOT Released: 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: tiSDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A 7( Tigard Trans SDC: j Yes 0 N/A Parks SDC: Yes 0 N/A LIDA ❑ Yes /if) N/A lei k / 0 OK to Issue Permit i � /� � Date: Approved by Permit Coordinator: /; 9 t L•\Building\Forms\B1dgPermitRvw_RES_051617.docx s City of Tigard H COMMUNITY DEVELOPMENT DEPARTMENT C T I G A R D River Terrace Building Permit Review Addendum 6' lomat" Building Permit #: NIIIIIMININIMM Site Address: Z .dbl,0, s + Project Name: � 1L - t(i�, , , Lot #: "2..!-1(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? ❑ 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 Lam' ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ Ili ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: ]cicyit, 3../Entrances:At least one entrance must meet both of the followingll/ standards: L1 Max. 8 ft. setback from longest street- facing wall u Parallel to street, angle no more than 45° from street, ,/ or open onto porch Entrance opens to a porch: LJ Yes ❑ No If yes,all the following apply: 65 sq.ft.min. ViOne street facing entry 12 ft.max. roof above floor of porch S(5 ft. depth min. �3o 0/o min.porch roof coverage 4.9etailed 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 Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide ('Roof eave min. 12 inch projection CZ. ❑ Roof shingles either tile or wood •of offset min, of 2 ft. ❑ Roof pitch oriented south min. 500 sq. ft. '� Gable,hip or gambrel roof design ❑ Horizontal lap siding min. 3-7 inches wide 0 Accent siding min. 40%of street facade VWindow trim min. 2 1/2"wide by 5/8"deep 0 Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep 0 Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. 0 Yes K1 No. If No (Check one): 2 IV ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front ay 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) 0 12-foot-wide garage door 0 40%max. of street facade 2r50%max. of street facade with 7 detailed design elements 17% Notes: Approved By Planning: .0411"41M. ,� — Date: 6(22(17 I:\Building\Forms\B1dgPermitRvw RFS RT 062216.docx