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Permit (52)
t\"(NST'40 [ ms T a0\�- Ooo3-A- I ms-r 3-0\�- ms�c � Avon -' S-r - poo CITY OF TIGARD 4) / SITE WORK PERMIT rc ss- ac-\ _ k_k, 11. '. COMMUNITY DEVELOPMENT Permit#: SIT2018-00011 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/08/2018 Parcel: 2S106AD06600 Jurisdiction: Tigard Site address: 12917 SW RIVER TERRACE BLVD Project: River Terrace East Subdivision: RIVER TERRACE EAST Lot: 173 Project Description: Retaining wall in front of lots 173-179. Contractor: WILLIAM LYON HOMES INC Owner: WILLIAM LYON HOMES INC 703 BROADWAY STREET, SUITE 510 109 E 13TH ST VANCOUVER, WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-Site Work 05/08/2018 $674.92 Plan Review 05/08/2018 $438.70 Type of Use: SF 12%State Surcharge-Building 05/08/2018 $80.99 Class of Work: NEW Info Process/Archiving-Lg$2.00(over 05/08/2018 $6.00 11x17) Project Valuation: $75,000.00 Info Process/Archiving-Sm$0.50(up to 05/08/2018 $75.00 11x17) Erosion Control w/Development 05/08/2018 $161.40 Site Specifics: Excavation Volume: 240 cu.yd. Fill Volume: 84 cu.yd. Impervious Surface: 980 sq.ft. Engineered Fill: Yes Soil Report Required: Yes Paving: No Grading: Yes Landscaping: Yes Site Prep: Storn Drains: Retaining Wall: Yes Fire Underground: No Accessible Parking: No Fence: No Total $1,437.01 Required Items and Reports(Conditions) 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 folio/ •- r -s adopted by the Oregon Utility Notification Center. Those rules are set forth =' ' , -001-0010 through OAR 952-001-0090./ •u may btain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.:00.332.2344. Issued By: // _ _ •• i ittee 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. A Building Permit Application f Residential �/% � ��� �1 Y ED FOR OFFICE ISE ONI.\ APR 3Received 'i,•� City of Tigard 0 2018 Date/By: 7/-3C1/�;� rt"'t N°SJ/ (//� n�o/� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review C' ' a Phone: 503.718.2439 Fax: 503.598.}}�� paw/By: s+�- Other Permit: Inspection Line: 503.639.4175 l�1 OF TIGARD Date Ready/By: J tads H See Page 2 for I CiAP.1) BUILDING DIVISION o /� l� Supplementallnformation Internet: www.tigard-or.govNotified/Meth i •;w f I'ts ; F 41,, ff f,at tit1 t / •,‘,.4'4.,,7,,,,--,t„, is, , ,., Y ..<., ,`arie ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ®Other: retain,wall equipment,materials,labor,overhead,and the profit for the r �' �"��� � � � ,� ��' . 1at� ° 1�� r, r �a� , i work indicated on this application. :� 1-and 2-family dwelling -Commercial/industrial � Valuation: $ I:1Accessory building ElMulti-familyNumber of bedrooms: ❑Master builder El Other: Number of bathrooms: w .-a; b> ' '''''','!.?-6''',--''';:',4',':-`1 to ..-...tea.. is,17: k'4•;�\.It Total number of floors: E.k''',Z =�.1°u /spa,.,.. z. ,H�,.,, ice., w.,,,,,,:, ,„,„ Job site address:/ ©' �j/7/ /A 5t..,;;:5, /A9'/7 /.:29-51-5, /, 9t'7 /,� ; New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 /,. 9 c'”7 5 cij 2/G°tom /' -7zime Z`.'t-i! Varage/carport area: square feet Suite/bldg./apt.no.: Project name:Polygon at East River Ter Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet . II ' Subdivision:Polygon at East River Terrace Lot no.: Permit fees* based on the value "`th i L 8 t Subdivision: 113-'�� * 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 4,,,--$77P01 s, work indicated on this application. k.� .�a5�. �i,�„rpt-,.. „$,..�.�.�rr.� us», Re�IUi0G � S W i.r s,*r� Valuation: $75000 1\ Existing building area: square feet New building area: square feet 7 t, " I „,”G Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road,Suite 700 Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: ..a;�f '. h PL - I _ ❑ isv �� : • ,e t •,:i ,s,.� 44.1.rwr,,.r ,,, .,, r?r ta.` t' ,*:;,,,,,,,,,,,,,4 ,, int$d I Business name:Polygon WLH,LLC �' Structural plan review fee(or deposit): I Contact name:Tom Dicianno I— FLS plan review fee(if applicable): I Address: 109 East 13th Street l Total fees due upon application: j City/State/ZIP:Vancouver WA 98660 Amount received: I Phone:(503)577-4160 Fax: :( ) --; �iP yg i` Px9101 1 r �' r matt•tom dictanno of onhomes com - °" ., .r ,, � Commercial and residential prescriptive installation of i p Business name:William Lyon Homes,Inc h vt �� a x roof-top mounted Photovoltaic Solar Panel System. ` ySubmit 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. I Permit Fee(includes plan review City/State/ZIP:Vancouver WA 98660 and administrative fees): $180.00 , Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 APTotal fee due upon application: $201.60 ! Authorized signature. /011111111. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Y D_ff-11— *Fee methodology set by Tri-County Building Industry :;ut name:Tom Dicianno Date: Service Board. :'.-1uilkiing\Permits\BUP-RESPemiitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of l'igarti: Site Work Permit Checklist Pars 2.Supplemental Infornistion Cummeretal tulti-1 anii_.,,LA...__Ingt arid One- Tarpfamiti. iii*eitiritc St>tvrrilil i4.required 17 fill il',le**th.in 54i yard.*(5 dump triir'i.10.1.3to,or ties%thou 3 fret deep and u all not bc 1:upportinp,a srtueture, lia hu Mutt,trlii be constharled en the ITU,: nmn he engineered fill. if CH la tr a Clod plant Urainage a.,...,,or c‘ell4A.,,i,0.e awiruint thus.,'girl.. tor a tellg Inv (SLR Pleas complete ad items Ivlow,:1,111ess otherwise nuted ------ -1-10 tr.-1—'vtis ../ km:nation Voh.ume: ., Gladirig'Vetante. —--; - •P(Soils rrport requirod for---5,t100 zu.yds.'i I .3645 en atilt Li,./1Fll iVoltam , edit g 12-in depth%Loll be COMPOCTed TO I vd 90%et'irtaxitou ill derisalx)., — —I 0 1 eu lecis. _ Itetalning oracIone? (tiled.onel 1 V .1.. wa i :tMU I, ( :' 0 Oilier t----,---- , fAiirl intperriout arm including all huiiiiinga„ I 0,04141$44. (.... r- ,..,r.liticy.A.sti savintz: 1A14044+ ;IAA°,41( Site t itilities numbing Work: 180., c„,,,i0,1,the Pluerthirig Permit Appbewiun for site toilpi ettaithg or.tik i .... .. . Plan*Required: See"Silt,Wtak Permit Applierairen-Plan Submittal Requireinents"attaerheit I. Th c woul4E rtiii%1 A:Company:hit appluation: II • 4,,J. t Itot t . i Site Plan with Vicin:ty!ASP show'ists ADA 77, "Periette(inelt nit,ADM and .1 p.orlikleenoe 1 Pian ; .. ____— „ — 1 tiradiog Phut and details T,Izrult‘vping Pen ---1 Itoaleo reontoi Platt and.tktaii% 1 1 Solis Report is!recte:redi , _ 1 , Retain.r.g Structurr% ,„I 'Dot,4KA lawly Lo Ont :awl Two-fam31)thaptaP7rap MU Submittal: Permit Fee: I TYPE,OF StilitatITT Ai. ; #at Piam Valuation: I Permit I've: (New,Addition*tar , itetitairrd sa I i ,. Aiterationtar,.. ,p2,0,), ,, SA"nittal (:0 tnrACIC itil N ult.ilcritiv R. 1 0,4.1, - L 3' — i' ---- — NA.),,,,s5r.f.Ai i..c to,,,mut.pom4 inr 1 WV:AV* SSZ 1...D III Id ..ZAft4t tW., 1 tt I 1,4 tf,°Le 4.41,4 )3-7,4775i,i1 S.,;,Ot,Ytti PIA .444i1KIAP44 SI-X't 4 ittt.tat ttIttre4 ill a,tt airlodie,45,2,00,,,, it,,,44 '- 1 $10,V.rx.tver't taddltrattra NI,"*.:t a, tila14 .1i.Crts.i.Is,via avl.akt ,t,.;I”4,t,1 Ott One-S. I'M,1 oe0.:1,1,kvellaie 1 i'.:3 -....ab"...ah7.17.?.t.l.i.', 7.-t:flu...!taihr.0.41 5..,'S 01,t. 1 tirlpria'r'.'it, , PX.ft,16 i!t 't.CC 1 V,4ii 4,,fil 41.41.:AT,Valil IC io..1 --"'. it".ftvi,ItlithtNla 4 I,:Kek,1141.r W giski tNAUti"ti. Jt.”IV I.- ' 'it....:'tt,.11 01-utlic.c , $,S,Y9 4:ittr fr.it-20Nt%',.d.,..cro7'.1 ine -; 1 I%4 4 i-,4 tikli Old or...11%134w1:0.,,,,, tit...ft t,,..,,, , 'PICity of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: --S/7" .C?/d --pO t / ,Sa) C/vti-zz 7Z72/24-az---7. L L ✓) Site Address: `29, 7, /x9.33, /2.9'/ /,9-5s, /a % 7, /299/ /a 977 Project Name: poi-e‘• T-Jrrace tS+ k irl E \Nok Lot #: 613-y 1c1 (New dwelling=subdivision name;Addition or Alterati last name of owner) Planning Review Proposal: rZeinIn,l'1Gn wok 1.& '4 Verify site address/suite# exists and active in permit system. 'EJRiver Terrace Neighborhood: ❑ No X Yes,See River Terrace Review Addendum Attached Site Plan Elements: '31 .' ree (3)copies of site plan ;ItExisting structures on site WI Site plan must be on 8-1/2"x 11"or 11 x 17"paper 1RFootprint of new structure (including decks)with finished RDrawn to scale(standard architect or engineer scale) floor elevations ,®'North arrow %Utility locations&easements (required for new and additions) ›ite address,project or subdivision name and lot number `jr J.Sidewalk/driveway approach kpplicant information (name and phone number) IA-Location of wells/septic systems tot dimensions and building setback dimensions Nl:AExisting trees to be retained with drip line,and tree quare footage of buildings to be demolished protection measures SLot area,building coverage area,percentage of coverage and NYtreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) 1SiStreet names 'roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Yes ENo 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes ENo Clean Water Services -Service Provider Letter (lot platted prior to 9/10/1995): Required: E Yes,applicant was notified No Received: ❑ Yes E No ,S'Public Facilities Improvement (PFI) Permit: Required: E Yes,applicant was notified -No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: i D t2O t(..p-d)D\ 12'Zoning: R-2S-( PP) ► Required Setbacks: gt NM_ ; /� � Front Rear N Side � Street Side N Garage N/A_ ' [Di Landscape Requirement: 2O % r Lot Coverage Maximum: SD X Building Height: Maximum Height N.)/A- Actual Height 6- i l . Visual Clearance Sensitive Lands: Yes ❑ No Type Lcj VM1u 01/00t ik la Urban Forestry Plan 13. Conditions "Met"prior to issuance of building permit Notes: ,2" Approved By Planning: 6 J2 _`_ Date: i-{13d! 1 Revisions (after Building Submittal only Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: i//3Gi/1, Site Plans: # v,– Building Plans: # o2- Building Permit#: Enter building permit# above. Workflow Routing: Planning El--Eiigineering 1 ermit Coordinator [ - uilding Workflow Sign-off: [ZkSign-off for Planning(include notes from planning review) Route Application Documents: 0-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: ' vim Date: Ot7//cr' Engineering Review 7°' Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat Zr Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes /en No Assess Water Quantity Fee in-lieu: ❑ Yes - No LIDA Facility on lot: ❑ Yes ) 1'No ,12"Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Atf KIC. 14.1 L Date: 4' !6 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: diC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes i N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A LIDA ❑ Yes N/A OK to Issue Permit C� (Approved by Permit Coordinator: 17/ Date: 3j,d 1:\Building\Forms\BldgPermitRvw_RES_010118.docx