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Permit (83)
CITY OF TIGARD MASTER PERMIT c Permit#: MST2018 00331 -, COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 \\ � Date Issued: 02/06/2019 Ck \. Parcel: 2S107AA08300 Jurisdiction: Tigard Site address: 14433 SW 169TH AVE Subdivision: ROSHAK RIDGE Lot: 83 Project: Polygon at Roshak Ridge, Lot 83 Project Description: New SFA.-Model Home. 09/19/2019: REPRINT to add fire sprinkler system. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 90 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 562 sf Garage: 430 sf Front: 8 Smoke Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes Total: 1214 sf Value: $164,352.30 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 1 Drywell-Trench Drain: 0 Other Fixture Units: Fire sprinkler system 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: 3 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!500 sf: 2 201-400 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 SFA VB R-3 1214 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 1 Hour Fire Rated Eaves PHONE: PHONE: 360-695-7700 FAX: Total Fees: $24,812.60 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: 1k- - Permittee Signature: � � 1 '\,-\, 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. "?. .;..‘L.:7,>ixc\CN 12r 1 s Plumbing Permit Application L V"Buildin Fixtures ,� , ? FOR OFFICE use oNLY City Of Tigard q Received ( _ j �� I Date/By: -\11, \ILA ��k Permit No.: N. -• C IS-Oil J S 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review f: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 9/1 Cf/i cj 466 Other Permit No.: Ti G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method Supplemental Information TYPE OF WORK FEE* SCHEDULE tZ New construction ❑Demolition For special information use checklist. Description I Qty. 1 Ea. 1 Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGOIt'1Y ©F"CONSTRUCTtoN ,,, SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Comercial/indu'. c,-.0c,-.0SFR(2)bath 437.78 m ❑Accesso buildin SFR(3)bath 500.32 ry g ❑Multi-family ❑Master builder - Each additional bath/kitchen 25.02 0Other Fire sprinkler(1 m sq.ft.) Pae 2 TION LO , g ` - Site utilities: Job site addgl s: L o'r ; / LH/jam''' SW /6 7T11 4 vE Catch basin or area drain 18.76 (� ( S' Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tr J<� ` ` Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: t5 I Project name: d.-i .0 terle Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 --' g Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: U Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF FORK Backwater valve 12.51 /,� Clothes washer 25.02 C 7VtA-dh-s /V Sp, 'k(t✓ .5-‘45-4_,-", Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 c1""e ...20- le Gt„/ g Contact name: Primer 12.51 Roof dram(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CO TRACTOR Water closet 25.02 7� l L Z , #14 Water heater 37.52 �/ Business name: / (//"t j 1l Water piping/DWV 56.29 Address: #.6 p . 86 Other: 25.02 City/State/ZIP: COiz FETr j Vf t al 7 jCI Subtotal Phone:(��/) 235 O56 iJ V f Fax:( ) J Minimum permit fee: $72.50 CCB Lic.:/86-3L15 V ! Plumbing Lic.no.: /S'82 Plan review (25%of permit fee) //�c State surcharge TAA of permit fee) - 5)1 Authorized signature: / TOTAL PERMIT FEE Print name: ,E ) /61-94t,01I Date:540 /2_Hi 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 Service Board. 1:\Building\Permits\PLMiJ-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) CITY OF TIGARD MASTER PERMIT 1 11,' • COMMUNITY DEVELOPMENT Permit#: MST2018-00331 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/06/2019 T f c: A r.r� g Parcel: 2S107AA08300 Jurisdiction: Tigard Site address: 14433 SW 169TH AVE Subdivision: ROSHAK RIDGE Lot: 83 Project: Polygon at Roshak Ridge, Lot 83 Project Description: New SFA.-Model Home BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 90 sf Basement 0 sf Left: 0 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 562 sf Garage: 430 sf Front: 8 Smoke Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes Total: 1214 sf Value: $164,352.30 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 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!500 sf: 2 201-400 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 SFA VB R-3 1214 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 1 Hour Fire Rated Eaves PHONE: PHONE: 360-695-7700 FAX: Total Fees: $22,315.23 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 1.800.332.2341// Issued By: A ' i Permittee Signature: CP... " `�, �� t7 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 LCA £ 1 / Residential ECEIVE 1 FOR OFFICE USE ONLY CI a Tigard Received _ `J g % Permit No.: _ ;. III a 13125 SW Hall Blvd.,Tigard,OR 97223 1l',.:h I`D 2018 p an R ne�w� �� ��� ���� �`������ � Phone: 503.718.2439 Fax: 503.598.1960yp y ' J �---. Other Permij �a�� W �� TIGARD Inspection Line: 503.639.4175 CM OF TIGARD Date/By. y Cr1 (� TIGARD Ready/By: 111 Juris: See Page 2 for Internet: www.tigard-or.gov atitL iN jam,, IM SI i otified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ , ` 357- j3 ❑Accessory building 0 Multi-family Number of bedrooms: 1 0 Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 1.44l.( } Job site address: I(i L.1 ; c,I/I' 1(0 alto ve) New dwelling area: 12,14 square feet Sol City/State/ZIP: 1-t(/1�`0 VA, 0 2.'°1q✓1.ZL Garage/carport area: 1420 square feet Z„ Suite/bldg./apt.no.: " Project name:Polygon at Roshak Ridge AKA,if Covered porch area: ✓ square feet Glu Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCLA.L-USE CHECKLIST Subdivision:Polygon at Roshak Ridge Lot no.: 3 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 DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet El PROPERTY OWNER 0 TENANT Number of stories: Name:Polygon WLH LLC Type of construction: Address:703 Broadway Street 3-1-e,SSD Occupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695-7700 Fax:(360)693-4442 New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH LLC (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Amanda Gavin FLS plan review fee(if applicable): Address:703 Broadway St.Ste 510 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 Fax::(360)693-4442 Amount received: E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic 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:703 Broadway St.Ste 510 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 lie.:207247 Total fee due upon application: $201.60 Authorized signature: / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Amanda Gavin Date: 10 i 3(/0 *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 t•-()a oFtic.F.LSE ONI..1. • City of Tigard , .Reeziecti ' Petlrit No..: 13125 SW Hall Blvd.,Tigard,OR 97223 it Ela ,By: Plan RON:Mt. : I• F110The: W3_718.2439 Fax: 5O3.598,1960,'. ; ',- ' '• Other Pcntitn-rQg_("3,-,1',7)37) it TtGARD Inspection Lin= 503:639:1175 - 1,3ii:RctdyiBy: tonN Gll.See PAge 1 tcu'' . RAO,sipt. www.timod-or.gov , NotifietWahad: „ Supplemental Information ,;!..7.-..,:..g,..-7;.. ,1-:,f-,..r.F.r:i,_,,-i.1*--:i.i.:-., -F-:7:::,7-.7...c,;-,::,..: ::-,7::,-7,...,::v.-„Tizi--,..i4:::•-,-6-i,:i.-,:iiiiiii-.7.7.:..7,7,,,.- 7,..z..:,,F.7,77-:,7,.:.-.:::77.7j--...:.,,7.F.i:7] ..7,F4-7.7 'ir,---::.-copil..NEE4 -7f-EtIclicorti, --],--,T,sretitticiL-p,!..7.-.--:: Mechanical permit fees*are based on the value of the work New cat 0 Addit'onfah-efationtreplacement pciformed.indicate the mine(rottodoi to the n=trest&Hari aro 1 ......_- : , _...., t ,.. Ei Demolition 0 Other: i mcvnalleCal mate!lats.comment:labor.overhead_and profit. Vakte..S ,..ikft4!iti&ti.#.:Ojit.4. iittictibt14;;; : , :;;:i::,'s.-:a-3•-..A1-:...FIY*::::-•::'-:,-,', I,',:-:-',.'r------',,,,''-',-,',':,,5-'-r- ---..-,--,', ''';----,•::- .-,=• - ;v.' '- ' --..-----',,,:--''', ' .-: ' ''-- -::—. ..ri''..i':2:,::.F.ESEP,MT .41AQIIWXESTI STST:ENWITPtE'':!•!'; .:':':' 0 i-and 2-4iomity&veiling 0 CommerciallinduStrial 0 ArPessory building 1 For special i.nformatiair rise cherifin . 1 . l\-itthi-family 0 N4a.ster builder 0 Other. De=irAion I Qty. I +Ea_ I Total - .**,. tit.1)47olt .isilloti .*10.,.....,--064ifi,,,,: ,:::;,30 ,: ,,X,.]:f; :::,-: .% . I °114 . , Air condWonina I I 46.75 Joh siw ad , , A 1 i'l4 A / A : Furnace 100.000 frru raint.,, at.) I 461.75 CityStateIZIP::Tigard,OR 97224 Funtace 103.000÷8Th(deccsivents) • 54_91 ...r, Herd pump 61_06 Suitelbldniapt.no.: . Prajea nanit yot()Ion n-Dshoitt a! I Duci work 23.32 1 Cams street/directions to job she: 01-eai rd HYdrunic hot water system . Residential belier(radiator or 23,32 1 ' bydronic) ..„,1.' ..,31 Unit heaters(fuel-q.pe,not elteirk)„. : 1 in-wall.in-duet StIR'terWest etc. 46.75 Flue'Nent for any of altove. ! 2332 Other: 73.37 Strbt4vi*Inl' vc.r- Terrac_e. ec,s , Lot no.: — Ctfiter fuel tattpliattemr. Tex map/parcel on.. Water heater ' 23-32 I 3339 :: :!-?:.'..;.::g....!..E.,,:;j-i;l :!:;i! "..,41;':::::::1:-,:. .';::. -iitgOtii!tii*:.4**6:iik.: :':.17:!.7, ,1;5 .,:7:'::!.!.01-:':::;8?.gc.::: i': Gas firelltIcertwort 1 I "• '.....'• - • Flue vent for water heater or i fireplace , 23.32 . — Loa lighter(gas) 23.32 _ . 1 — ..,Wood'pellet stow 1 33,39 Wood fimtlaceibtscrt _ _ 23.32I I ... , . . ChipmeOineriflut.qvcra • . 23.32 I -••••• r.::ii': i17 :7::.' : ..-'.-7:':' 23.32 6likiTlitPf1=rfii"ie yo 1(A 0\0 tik IN t,}-\• W., Ranee hoodlother kitchen I eattioment 33_39 AdduW;. 10 7d OP)YO afitilA201A1(/ —/02, C 0 Clottem.dryer exhaust I 3339 City iState47_1? vavI(viAvvi )AGtfaetio Sinale-duct exhaust(hathroonts, I 1 toilit comptutne.m utility morns) I 0 23.32 PW8z: ''' tO 0 fAS 1-3 00 'F' (:.ea0)(0 61 q t'i t4r)V Articlerawlspa=fans, . I 2332 . _. ce-...:Aptitip, t.;.-.*,,,:: ,:::-!:.i,,.i.:!,,.::.;,.:-:!:-.*:z:::. I:1,:e0*.TK-1:e.E.Ii._col ..,::: :.: ::,;,,, • • iI 13.37 Fuel pipior. Business name:.Polon Will,LLC g14.15 for first futrr:54.113 Carr each addiftenal CornP4 nom-, ?c.vy\f2)1hz ? 1 , Furnace,etc. I 1 I , Mare's: 103 --€)rot- .6.t.i.Da_ s . sA„. 5 k O. Gas heat pomp i I , Wallisusvendedinnit heater City/StatetZEP:Vancouver,WA 5%660 : Waterheater i . , Phone:(360)6S-77ti : Fax .:(369)693-4442 Fireplace Ranee • E-uliall7- e_rt-Y\t3rsu..‘cmy;,4ex..kS 01..t3(jytWo1rne.5.,0_15 ni 1 i Barbecue VgiP,-,, ...7:t:t.:7 .0, - tiiii':.:-.-!:.:];',: -.;]%? ±!•,':Igi!;:: ..'.".' I Cludkct dr,Tf(eas) I i Other: . Business name:Apex Air LLC .• .....• .. _ i• •• Adthess:189134 NE 72 Axe 1 : Cky/StadefZIP:Vancouver,WA 98686hinitnum permit fee fs9o,oct) , 1 1 Plan.review(25%(If persnit fee) I I Rio=060)3424109 . I Fax(369)32I7ø State surcharge(12%of permit Teo Ca3 Ele.-,203034 • TOTAL PERNUT FEE i Authorized sianature: - — ..„,„.....--- IDIL 111411(0 Prim OnrOM I 4". . ' 4____ ____, :),Lpemetratitty joiltp:z17settio7ip.tiect„ins,7:ypesuirtaidiit:paindielrybial&Ivinetitat:LIc7 days after it ba been amepted as complete. rStliid2A-47.',Ptsrtr.4.0.4Ei:iktratrANVAtH l''gbe 4.10-4t=f7rfliA32,C6P41WSH l Electrical Permit Application FOR OFFICE USE ONLY Received i_: . . City of Tigard Permit i4: --11 'r 13125 SW Hall Blvd.,Tigard,OR 97223 DatelB Plan Review Phone: 503.7182439 Fax: 503.598,1960 DateBy: EMMEISIMINEEI TIGARD Inspection Line: 503.639.4175 Ready Date/By: P1 See Page 2 for e Internet: www.tigard-or.gov NotiEed/Method: Supplemental Information r ..=: '-r-. TYP .0—EAtilr 4g,0 RT'IEw ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more D Building over three stones. 111 Demolition ❑Other: where the available fault current 0 Marinas and boatyards. SA-rali _ .S.._rt CATEGQlarOFkCs01�61I milt -4 exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural iiiMulu fam,ly ❑Master builderamps for all other installations. buildings. ❑Other: 0 Fire pump. ❑Installation of ISO KVA or „.,JOW SrlE ill OR1VIATI(fN`AND?LocATIog0 Emergency system. larger separately derived ❑Addition of new inotor load of system. Job#: Job site address: 141.199) Sy) I IVn&1 +rl/],Vp looHP or more. J 1'(J City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. y, _ 0 Health-care facilities 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:3 Vol jA�ggn/)(t L/j a4 0 Hazardous locations. 0 Supply voltage for more than r•J1v IY v v IAV J t" 0 Service or feeder 600 amps or more 600 volts nominal. Cross street/directions to job site: 124 L G ut if kEt S tit-mg rompagRam Description 1 Qty. 1 Each I Total I �] New residential single-or multi-family dwelling unit. Subdivision: 1�ver-o ff(A (/ (/ (Jt Lout:: ` . Includes attached garage. Tax map/parcel#: r V�l 1 l 1,000 sq.R or less 'j 168.54 4 Ea add'1500 sq.R.or portion E 33.92 1 e itiff .-lg -__;DESCR PITON O WOZ2If Limited energy,residential (with above sq,ft_) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) �x Renewable Energy 0 See Page 2 ;;' , ; //PllI€OEE1ttgli fl VEii I' i . -v,;- .� 1'El ANr • - Services or feeders installation,alteration,and/or relocation Name:A PV V I V V V V 200 amps or less 100.70 2 Address:' V t/' , ' „„ +t 201 amps to 400 amps 133.56_ 2 • ��Fl 1 401 amps to 600 amps 200.34 2 City/State/ZIP: vol LR Go v , A fn, �('(/I(n 601 amps to 1,000 amps 301.04 2 Phone: (/(9(,2 ( Y\ h Fax: `tY )) / 1 Over 1,000 amps or volts 552.26 2 i 14OvD 1 '051/0 Temporary services or feeders installation,alteration,and/or Email: veY1/14(t%iloyrtt-0(5l(, relocation Owner stallation:This insttion is bein- ade on perty that I own which is not 200 amps or less 59.36 I 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 _ y-� 11ri4A Branch circuits–new,alteration,or extension,per panel � ,:_� _._..,Y:_., . } .;.n�COIYTAC'i:L.PIILSON.._..� .._ A.Fee for branch circuits with Business name: P t A V 1N N'� above service or feeder fee, V 'i v A each branch circuit 7'42 2 Contact name n, 1 1V . v B.Fee for branch circuits without Ct,CD�° service or feeder fee,first Address: `U� �✓YO O�-�`�wvl J branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 6 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) P�hone:(360)695-7700 • • ' Fax::(360)693-4442 Each manufactured or modular dwelling,service and/or feeder 67'84 2 Email: j7Wl ti-5 VL b v vl 1 15 gyol vloy 0 h pvvC u vvt Reconnect only 67.84 2 ---_: COl. 4xo: g r _ - pomp 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(a3gweusa.com Industrial plant(7 hr min} 78.18/hr Inspections for which no fee is - 90.00/hr CCB Lic.: C1158 Electrical Lie.: 208174 J Suprv.Lie,: 4496S specifically listed(/z hr mm) ap _< t• - .. . ::. � ELE�`TRICA.LV;tR1yIL'1�`7�ES Suprv.Electrician signature,required: / _r /5l( .. Subtotal: Print name: Joan P Albert • Date: +'1 1 0 Plan Review Required(25%of permit fee): s '-, __ t !� 0 State surcharge(12%of permit fee): _ TOTAL PERMIT FEE: Authorized signature: __,:t._ -______,-----7----"="---- 2���� *This permit application expires if a permitisnot obtained within ISO Print name: Bill Daniels Date: 4 days after it has been accepted as complete. Y Number of inspections allowed per permit. I:1Building4PetmitstII.0 PermitApp_ELR EREdoc Rev ON772015 440-46151(11/05/COM!WEB 1 7 . - - Plumbing Permit Application Building Fixtures City of Tigard Received Permit No: II: I q 13125 SW Hall 131vd.,TigardOR 97223, Date/By: Plan Review ' 11 Phone: 503.718.2439 Fax: 503.598.1960 Ott=Permit No.t(VDSA-( ?„) Date/By: TIGARD Inspection Line: 503,639.4175 Date Ready/By: Anis: Eff See Page 2 for Internet w.ww.tigard-or.gov Notified/Method: Supplemental Information FEE* TYPE OF WORK' , ' "2 - ' " '- ' ' - SCHEDULE" . ' , . -. - For spec . ial offal-oration use checklist 1.ta• New construction 0 Demolition Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY-OF coNsmucrioN- - J - - - SFR(I)barb 312.70 SFR(2)bath 437.78 1-and 2-family dwelling 0 Commercial/industrial SFR(3)bath 1 50032 ri Accessory building ID Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft) Page 2 JOB SITE INFORMATION AND LOCATION - Site utilities: _. Job site address: 19'44'6 Slto ilfolAir‘ AZ Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing dram(no.linear ft: ) Page 2 Suite/bldg./apt.no.: Project name:!NI(MOJA C h'4 4 i tki/.10 Manufactured home utilities 50.03 Cross street/directions to job site: 1 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 fr.: ) Page 2 Subdivision:1vu,eve•--veysva_cf, ti fAc\-, Lot no.: 13 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 \ 12.51 DE SCRIFTION OF IVORK'-- ":" ' ''' '- .. ,, • Clothes sher 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 , IN-' - ' - . . El TutcsiT ,- - Expansion tank 12.51l Fixture/sewer cap 25.02 Name.:it I A id t.ikk k it Floor drain/floor sink/hub 25.02 . Address:1 lil i6Nroaa,k,ocukAS-iQ210 ; Garbage disposal 25.02 City/Stateal \)ay\CORA WI/ \kat (C(Q,U20 Hose bib 25.02 Phone 3100 tO°1.S 1,1 OD Fax:(A )tO(11 ) (-11-r-ti. Ice maker 12_51 COTACF PERSON Interceptor/grease trap25.02 Iviedical gas(value:$ ) Page 2 Business name: V01 ip v\ \ozwill) Primer 12.51 Contact name VONA r' A ,A lek A A I i. Roof drain(commercial) 12.51 Address:, ---1 kp..) by 0 a fAikk-)am sk e 0 Sink/Insist/lavatory 25.02 City/State/ZIP:Vancouver„WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 62\A, V\1\AktV LyO1OV\AAO'M. L aW ter closet 25.02 Waterheater 37.52 Business name: G4-i ‘A,.w, ‘ ..16cp"5IAL.- Water piping/DWV 5629 Address: Other: 25.02 City/State/Z1P: 5T. e.g....4 arc, 431'31 fth mirium penniSubtotal ,fee: $72.50 Phone:(5.03...-Std.« 14441 Fax:(40 V wi, 741..-qr.11,0 Plan review (25%of permit fee) CCB Lie.: 18 .13-7 Plumbing Lie.no.ft wal State surcharge(12%of permit fee) Authorized signature: 15:Lrp -010. le*".......„.. TOTAL PERMIT FEE Print name: S+tvtDate".Ikillec.' e ,...,---: ildj- 0 This permit application expires if a permit is uotobtained withhi 180 days li f LI after it has been accepted as complete. *Fee methodology set by Tri-Conaty Building Industry Service Board. ratiadtogutmdisTuslo-PeruarApp.doe 10101105 440-4616T(104121COMMED) • City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 1111E r 1 c R n Building Permit Review — Residential Building Permit #: C\(1T a _ 31 Site Address: /4/1/, -5 /0 )/4 Project Name: ,Po/ n 004- r-6sL 4d Lot #: 63. (Ne 6 ng=subdivision name;Addition or Alteration t name of owner) Planning Review Proposal: A..e&V -'744- 7'erify site address/suite# exists and active in ermit stem. p VII River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached SiyPlan Elements: VJ hree(3)copies of site plan \J/I 3 sting structures on site O909te plan must be on 8-1/2"x 11"or 11 x 17"paper n Footprint of new structure(including decks)with finished Pri igir'wn to scale(standard architect or engineer scale) or elevations Orth arrow 'ty locations&easements(required for new and additions) ail to address,project or subdivision name and lot number �S'dewalk/driveway approach . .plicant information(name and phone number) I''l ation of wells/septic systems dimensions and building setback dimensions •:1• sting trees to be retained with drip line,and tree I+•uare footage of buildings to be demolished otection measures M Lot area,building coverage area,percentage of coverage and M treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replace ? MYes ❑ o 4 foot differential) If yes,is a storm water quality facility shown13 ( DYes No lv / can Water Services—Service Provider Lettee(lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified VNo Received: El Yes ❑ No Public Fac • Improvement(PFI) Permit: P//'2 d 6—60/03 equired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake d Use Case#: / QO $�-0000.0( ��Lc,.ZI�0000,i ming X/Q (p b) Required Setbacks: Front Rear 0 Side Street Side 04 Garage ndscape Requirement: 2Q 0/0 lel •t Coverage Maximum: 02 B 'ding Height: Maximum Height P1,Pr Height („ 111, isual Clearance !I to ensitive Lands: 0 Yes /No Type J Urban Forestry Plan 0 Conditions "Met" or to •ssuance of buildinge 't Notes: 44/ / JR/ / � • ' /Yt /L-20>)r- 7o 1 S 0 Approved By Planning: I" 411111/1/017 Date: 1-2-AL//A Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw REs 061417.docx • Building Permit Submittal Original Submittal Date: kat i Ifl Site Plans: # '3 Building Plans: # Building Permit#: 2/Enter building permit#above. Workflow Routing: Planning R'Engineering 2/Permit Coordinator 2/Building Workflow Sign-off: 2/Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. [ "Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: \"„1 \1T( Engineering Review -Slope at building pad: $0 d ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity-Facility: Assess Water Quality Fee in-lieu: 0 Yes -ErNo Assess Water Quantity Fee in-lieu: 0 Yes -E No LIDA Facility on lot: 0 Yes No ,0'Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: -0--Approved by Engineering: tvt. 1 Date: (Z- 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 Permit Coordinator Review Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: 0 I .kit& p{/Y'(`n V,C W1n lie W`IJLYIYYt,ej'arA,(AVMS Io G h�IS tptt t vtc UCl/A Revisions (after Building Submittal only) til mocLeA horn.e Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: (Yes ❑ N/A Tigard Trans SDC: 'Yes 0 N/A Parks SDC: Yes 0 N/A LIDA 0 Yes N/A OK to Issue Permit Approved by Permit Coordinator: Date: 12,1 (1 ` LS I:\BuildingFonns\BldgPermitRvw_RES_010118.docx City of Tigard IIIa COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 c A R D River Terrace Building Permit Review Addendum Building Permit #: (\M1 gyp\ - %'2 k Site Address: /4/11,5 2k) /uq,44 ,._ Project Name: �o , - ,/_ �� ,S , ' ;' ,`, Lot #: 8 (New dwe 'Iei bdivision name;Addition or Alteration=last nam-Owner Planning Review of River Terrace Plan Dist4ef Design Standards (18.640.070.1.): Is the project subject to the plan district design standards?VYes ❑ 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 deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer ❑ ❑ CI ❑ 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: S. 02 u 0 3. trances:At least one entrance must meet both of the foll.. • g standards: VA Parallel to street,angle no more than 45° from street, Max. 8 ft. setback from long street- facing wall or open onto porch Entr nce opens to a porch: Yes CINo If es, . the following apply: 5 sq.ft.min. ne street facing entry • ft.max.roof above floor of porch IT 5 ft. depth min. 30%min.porch roof coverage 4. P t fled Design:All buildings shall include a min. of five of the following elements on all street-facing façades: �r overed porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches ❑ Dormer min.4 ft.wide Roof eave min. 12 inch projection O f offset min. of 2 ft. ❑ Roof shingles either tile or wood VGable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ H rizontal lap siding min. 3-7 inches wide , El Accent siding min. 40%of street façade endow trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min.3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep O Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35%or less of street facade . . es and Carports:May face the front or side Sgt line on a corner lot. Setbacks: N '( \�/' ------------- No closer to front or side o - han longest street-facing wall. ❑ Yes ❑ No. •,. Check one): ❑ May extend up to 5 ft.if there is a cover-. • .nt porch and gara.- -:- not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a . c .r building and there is a window at the second story above the garage that faces the street with , area of 12 sq.ft. Width: (Check one) O 12-foot- i,- •arage door ❑ 40%max. of street facade • i'o max. of street facade with 7 detailed design elements Notes: Approved By Planning: — -- i Date: 2- /Le//f 1:\Building\Forms\BldgPenni1Rvw_RES_RT_121417.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT = Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: D V l4r01-yDvI DATE RECEIVED: DEPT: BULLIOING DIVISION t 1, V COI,\ ) I/V JAN 3 209 FROM: 1Prvy) IkArittiu pot 0� A)wItOwQ( �: d, N; � 3 COMPANY: � �� � i�s�F� I}G✓�°�Y�''N PHONE: (.. t9()))A00i 00 By RE: Lot Sw qfew MST1D\ 00��I (Site Address) (Permit umber) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 74 Revisions: 1$7.ilattV din VOl 1 S I Cross section(s) and details. Wall bracing and/or lateral analysis. (ID Li Floor/roof framing. Basement and retaining walls. 1/12-.)u2- Beam calculations. `,,l (Engineer's calculations. Other(explain): 'r (S S Otra V V I Vl.(/,� `jV I DDC, -,F?) REMARKS: FOR O ICE USE ONLY Routed to Permjt�I'echnician: Date: I r6 ( Initials: Fees Due: Y s No Fee Des6ri t on: 0 �� p Amount Due: y„../ $ 1vD e 4A/A r•La. 7 Special Instructions: Reprint Permit(per PE): ❑ Yeso ❑ Done Applicant Notified: Date: 14VGt Initial`: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Plumbing Permit Application Building Fixtures - r,„• " ta . FOR OFFICE USE ONLY Received `St k` \T Permit No�e(\t \ �ck_f�{'�J,S,�1 Ph City of Tigard 16 iU Date/By: l `t v\ \ �,.1 , 'I 13125 SW Hall Blvd.,Tigard,OR 97223-��t- O Plan Review T Phone: 503.718.2439 Fax: 503.59$ 45x0. 3 r a(.70.",-1' Date/By: Other Permit No.: Inspection Line: 503.639.4175 t : - TIG.ARDDate Ready/By: Juris: FE See Paget for Internet: www.ti and-or. ov ` p , a I _'. g g +�+„��( )9 , p�`tP l � Notified/Method: Supplemental Information TYPE'OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist �.. , :escription I Qty. Ea. I Total ❑Addition/alteration/replacement 0 Other: t '`a ty " •w 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION k t' SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14433 ,0a rvk G.-trE Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Roshak Ridge Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Rosbak Ridge 1 Lot no.: 83 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 OA101 i 0g- `f e iA6J5 QV r\ST v'" `$" 06331 Dishwasher 25.02 lU Drinking fountain 25.02 Ejectors/sump 25.02 ,PROPERTY OWNER I ❑.TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:703 Broadway St.,Ste 510 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON ` Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name:Polygon WLH,LLC Primer 12.51 Contact name:Tonja Morris Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 1 Fax: :(360)693-4442 Tub/shower/shower pan 12.51 E-mail:permitsubmittals@polygonbomes.com Urinal 25,02 a Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:BDL Plumbing LLC Water piping/DWV 56.29 Address:PO Box 85 Other: 25.02 City/State/ZIP:Corbett,OR 97019 Subtotal Phone:(503)351-3903 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.:180345 Plumbing Lic.no.:PB1582 State surcharge(12%of permit fee) Authorized signature: n_ TOTAL PERMIT FEE Print name:Brandon Lanter Date: 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 Service Board. I:\Building\Permits\PLMIJ-PermitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB)