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Permit (146) �.e CITY OF TIGARD MASTER PERMIT I8'. ' COMMUNITY DEVELOPMENT Permit#: MST2018-00210 R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/07/2019 T[ �'� g Parcel: 2S106DA17300 Jurisdiction: Tigard Site address: 16865 SW APPLEDALE RD Subdivision: RIVER TERRACE EAST Lot: 212 Project: River Terrace East No.2, Lot 212 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $264,303.10 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 Bckflw Prevntr: 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!500 sf: 3 201-400 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 2078 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $33,006.20 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 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: r1 - ----- Permittee Signature: e-47 ,14/e%2-�eVV 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 -1- 1\ ) Residential RECEIVER FOR OFFICE USE ONLY City of Tigard APR 1 R 2018 Received ,/4 !/� _ Z //' DateBy: „di / /J/lJl Permi A �/Q �j/A„\/V a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review l/ `"d t�rc� v(./ Other Pe Phone: 503.718.2439 Fax: 503.598.1960 CITY OF MAR* DateBy: /tIi% 4* S' /�'- p T t G A EZ D Inspection Line: 503.639.4175 '' ff (� ((�� ��} ate ReadyBy: / Juris: ® See ag 2 or Internet: www.tigard-or.gov �v'�`''��^ ®I' SI otified/Method: // /9 I Supplemental Information ie:_—_'--77,9-71.— ft)<yi A_J, 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. � j ?� Valuation: $ a//V -t 1 1zi 0 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: 3 ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Z- 2`f S-1'6 Job site address: l(p t6W J 3vv PrPckcz)W Q.c,1 New dwelling area: -2.0,a square feet t` i . City/State/ZIP:Tigard,OR 97224 Garage/carport area:�3 66 O square feet 9.4g Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area( {square feet Cross street/directions to job site: Deck area: '� square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace East Lot no.:Z l-2__ 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 0 PROPERTY OWNER 0 TENANT 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: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Polygon WLH,LLC 1 Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address: 103 Iroc1uwa_y SI ..sai �0 Total fees due upon application: City/State/ZIP:Vancouver WA 9866‘ Amount received: Phone:(360)695-7700 Fax::( ) PHOTOVOLTAIC SOLAHPANEL SYSTEM FEES* E-mail:Nichole Thorpe Commercial and residential prescriptive installation of CONTRACTOR 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 `� ,n Address: j 5-t- .a. ,...T ..20 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: $201.60 Authorized signature:l���0M O'""- ! This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Date:06/16/2017 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • Mechanical Permit Applicatlol ECE1VE I IDR(H 11( I t SI D\1 1 City of TigardQ 8 Received )R y O 2 18 gate/By. 111/11 � 1 "� 13125 SW Hall Blvd.,Tigard.OR 97223 Plat Review Phone: 501718 2439 Fax: 503.598.1960 _ Other Permit ] It, 1F 1Inspection Line: 503,6394175 LATY OFF IGAp 9 ) !tins El See Page 2 for Internet: wwwliaard-or.gov UALD!N3 niV1S1 6 �tto fiRcd avteBthod Supplemental Information TYPE OF WORK COMMERCIAL FEE' scum=- USE CHECKLIST Mechanical permit fees"are based on the value of the work ►C. New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment.labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RES113.EZ4IIAI.EQUIPMEIV'lf/SYSTEMS FEES" ,41-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special inforntationuse checklist I I Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total ,TOB SITE INFORMATION AND LOCATION 1#eatia>/cling; Air conditioning I 46.75 Job site address: I TJl/f , S\IC c\edktj� ` Furnace 100.000 BTU(ducts/vents) I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(ducts/vents) 54.91 Heat pump 61,06 Suite/bldg./apt,no.: Project name: ' deter Terrace..-Eos — Duct work 2132 Cross street/directions to job site: Ilydronic 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. 23.32 q/, Lot no: l Other: 23.32 Subdivision: ��P/�Te, t? � 5� `� Other fuel appliances; Tax map/parcel no.: Water heater 23.32 DON OF WORK Gas fireplace/insert I 33,39 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent , 23.32 Oher: Egi PROPERTY OWNER I 0 TENANT Environmental exhaust and ventilation: Name: stVL Ary,n..I td,(y S '�� Range hood/other kitchen t'W�K'1 1"� equipment I 33.39 Address: exhaust I 33.39 "1(000 E D O1�.1'j4P.'�C�r'-f�I1GVt cZSJC,t4 Clothes dryer City/State/ZIP: Scepticsd&AI. Z Single-duct exhaust(bathrooms, 1 Z toilet compartments,utility rooms) LA" 23.32 Phone:i(p01 �—1.10' t Fax:( ) Attic/crawlspace fans 23.32 IN APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Polygon WLH,LLC Fuel piping: 514.15 for first four;S4.03 for each additional Contact name: 0 I GlA0s;Tl,Oleve, Furnace,etc. Address:1o3 BV )( I LLy� ,Sl `/.Su' j Vy"o Gas heat pump ! Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail: 1 _ Barbecue - , .t ?STIlktfit)R , Clothes dryer(gas) Business name:Apex Air LLC Other: • Address: 18004 NE 72"Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%®of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie,:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 150 days after it has been accepted as complete. Authorized signature: - • Fee methodology set by Tri-County Building industry Service Board Print name: f Date: �j•N1•!L t;nuitdinglPamits.4tEC_Permi App_0401 t 3.doc 44O-451 Tr 0 Ifer/COM/WEB I jj.. ucmeasst_ps.24 EGENEta g ' , {� i1 C y of Tigard Received Permit#/'�1 .: 'A 13125 SW Hall Blvd.,Tigard,OR 97223 1 g 2018 Plan Review � Q / `' ' g " Phone: 503.718.2439 Fax: 503.598.I960 l- `�R Plan Related Permit II; N ate/By; �,+ Inspection Line: 503.639.4175 '' '1 ad Date/B El See Paget for ,GIGARv; . •�TV QF' TIG Y y: rusk: , :- -..,-1 Internet: www.tigard-or.gov (., 1 ��n ed/tvletrtod; mental lnfot mation n Supplemental it PP 7.. oRr�_ '- . ..:. .... IN New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans Nv/items checked): 0 Service or feeder 400 amps or more l7 Building over three stories. El Demolition ❑Other: where the available fault current ❑Marinas and boatyards, '•C' �T - CONS . ;:.�, : ;,','..;.-:.:,: -:•,.. - C,T'IO. .:.::.*,,.:,::. ,;;;: j.,,:,::: :,,, exceeds 10,000 am sat 150 volts or .._.. .- _ .............:.:.:.. ...._. _,-...._,. -__.�, : . . .�•.;;: :;:;:::.; P ❑Floating buildings. ❑X I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commeroiat-use agricultural amps for all other installations, buildings. 0 Multi-family . • 0 Master builder 0 Other: Fire pump, 0 Installation of 150 KVA or • ' ':,,."-OB<SiTE iNFOR IA 'ION'>A'1!ID LOCATION. `:`:''.`j:::::::;:.7.-.:,.:,, ❑Emergency system. lar larger .: -' g derived Job#: 1 Job site address:t I nW � �p��/I I�BUS ''E OdifiFIl'onormore.of new motor load of system. ©`°A•,•E,,,'•l_2","I.3,, City/State/ZIP:Tigard,OR 97224 0 Six or snore residential units. occupancy. Dllealih-care facilities. 0 Recreational vehicle parks. Suite/bldgJapt.#: Project name: i2` I,v �,�r ace..-ea5,4•,. ❑Hazardous locations. 0 Supply voltage for more than El Service or feeder 600 amps or more, 600 volts nominal. Cross street/directions to job site: :_::_ , FSE:�S:Cid.I7I_ E'?`;::.' _ = : = ; :;.;'- Description I Qty. I Each f Total I a New residential single-or multi-family dwelling unit Subdivision: gaol.--rehavx... s+' J Lot#:Ia. Includes attached garage. Tax map/parcel#: 1,000 sq,ft.or less I68•S i 4 Ea.add'1500 sq.ft.or portion 33.92 1 : ...:..,.,.... . .:,.:...., ,:g'. ;..:.: . 5,Cl2LP.T.)vlDN:a13;W..OIiK- :; '::. : :;:. ,..,;:,,,I..,:.';...,".;:::;• � gy,residential 75.00 2 (with above sq.tt.) Limited energy,multi-family 7500 2 residential(with above sq.It.) ,..::.:�:_=c,,.;,:�,. _.P OB, E 3.�_ 0...;;"; ';:i1-; - - - -- - = See Pa>;e 2 ,,...,..,t:;r.;._. .,tit`' `'O r;?ENANT.'`}' ;'4 '''` `' Services or feeders installation,alteration,and/or relocation Name:, w 1„,,,,,1 _ ' I 200 amps or less 100.70 2 Address: I , r 20I amps to 400 amps 133.56 2 1 art_ ` A "4 `y—4 401 amps to 600 amps 20034 City/State/ZIP: S U T I i a t e t Y• q ' 52.58 601 amps to 1,000 amps 301.04 22 Phone: DW Q1 - 61(4—1.4031 Fax:( ) lJJ Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 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 ,v:.:O, a t..-- ia° Nt ' , extension,, �i� NALR0� . -:- ABr.Fanee eforcibrrcaunichts—cirncemlyts aalrlhera ' onr or Per panel Business name:Polygon WL1 ,LLC above service or feeder fee, 7.42 2 Contact name: (��`` each branch circuit Av‘c,vote,Thorve, B.Fee for branch circuits without Address: 1 t 1�ypc C, Lp � service or feeder fee,first 56.18 2 6J J E�-� branch circuit City/State/ZIP:Vancouver,WA 98660 J Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 I Fax::(360)693-4442 Each manufactured or modular Email: \���Ce-alio VV A dwelling,service and/or feeder 67.84 2 ;t1:�>.,,.::s.::t.t :;.air: r: r„tS Reconnect only 67.84 2 -taw � Y G-!T'OR'E` _ .. moi'. '�`' - ,...,,.. ..,_.._....-_ 'rz. ... -. Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:402 Valley Ave NW Ste 106 Signalrte atio)or extension. 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above f Additional inspection(1 hr mm) 66,25/hr Phone:(253)872-6051 1 Fax:(253)872-1801 Investigation(1 hr min) 90,00/hr Email:bdantelsQgwettsa.cotll Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.: C1158 Electrical Lic,: 208174 I Suprv.Lie.: 4496S specifically listed(i4 hr min) 90.00/hr Suprv.Electrician signature,required: '; f1 j 4-1. j - Ma. «' '~' / Subtotal: Print name: Joan P Albert I Date: 0 Plan Review Required(25%of penult fee): .,----------> State surcharge(12%of permit fee): Authorized signature: _ � � TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 l Print name: Bill Daniels Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:1BuildinglPermitsSELC PennitApp BLR BltE.doe Rev 06/17/2015 440.46i5T(11/05/COM/wER 1 Plumbing Permit ECIJEI\IED Building Fixtures City of Tigard APR 18 2018 Permit Nn Received G r 13125 SW Hall Blvd.,Tigard,OR 97617y OF fiGARD Date/By: �r 7�'�! eC7"?/Z} Plan Review 114 ll Phone: 503.718.2439 Fax: 503.59 � Other Permit No.: Inspection Line: 503.639.4175 3 talo, o,vls1� Daffy T I G A K D Date Ready/By: lads: Z See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information YPE OF WORK FEE*:SCHEDULE For special information use checklist ®New construction 0 Demolition Description I Qty. ( Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 SFR(2)bath 437.78 ®1-and 2-family dwelling 0 Commercial/industrial SFR(3)bath 500.32 0 Accessory building 0 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: \i W U,!Zpc c- y) 1 Cn i(2...„‘ Catch basin or area drain 18.76 ` ti Dryweli,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: kJ i-a(t 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.Iinear ft.: ) Page 2 Subdivision p_,,Je r -r,ei r��, ri-- Lot no.:21' Fixture or item: Backflow preventer I 31.27 Tax map/parcel no.: Backwater valve I 12.51 DESCRIPTION OF WORK Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 igi PJttOPERT3f,OWNER ) .TENAI+I°f Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floorsink/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 . '�>®d ;APPLICANT °CONTACT.PERSON•- Interceptor/grease trap 25.02 i " " Business name: Po I J c 9IV � Medical gas(value:S ) Page 2 N(� o" T.. , Primer 12.51 Contact name: . Roof drain(commercial) 12.51 Address: -1 b3 (1(O�i&)QJ4 &-r S C� 0 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 E-mail:.�i drib t. T (� �0\ton\ pmec e icy\ Water Urinal 25.02 " t closet 25.02 C13NCTOR Water heater 37.52 Business name. G.4„.6IJLA1 D��, e�"-�'tJ►� ;�/l�- Water piping/DWV 56.29 Address: Address: ).O. 6.. �,,, Other: 25.02 City/State/ZIP: Sy. e 1 0.„... ci1 i31 Subtotal Phone:(303+-•Stat.-. 1411 Fax:(I-1j ..•47a1-17,� Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: 18.1310__ Plumbing Lic.na. o State surcharge(12%of permit fee) Authorized signature: .,91;:bast 7 TOTAL PERMIT FEE Print name: S"f-r JL. w Imo(_ Date: _3& 110 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:513aiildinglPermits1PLMU-PemiitApp.doc 10/01/09 440-4616T(I0102JCOM/WEB) City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT 1 T l Ga R o Building Permit Review — Residential Building Permit #: ,4 s/d..- _ L ,2/0 Site Address: 16 6c W 4 kb k l ) Project Name: ;vv- Terrt(e.�P gad+- ( l) Lot #: 212_ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review rr Proposal: NCu/ J F g ZVerify site address/suite# exists and active in permits em. I"River Terrace Neighborhood: ❑ No [ Yes,See River Terrace Review Addendum Attached SityPlan Elements: le'Tjl'iree(3) copies of site plan 'sting structures on site S' e plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished yawn to scale(standard architect or engineer scale) fl..r elevations Forth arrow I! i 'ty locations&easements(required for new and additions) R/ e address,project or subdivision name and lot number i A idewalk/driveway approach plicant information(name and phone number) �L .cation of wells/septic systems rriLot dimensions and building setback dimensions lg xisting trees to be retained with drip line,and tree 14S/quare footage of buildings to be demolished p tection measures [BLot area,building coverage area,percentage of coverage and � eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) lld'Street names �� Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Lid r es ❑No �4 f�o t differential) If yes,is a storm water quality facility shown? ❑'\ J4No M/Clean Water Services—Service Provider Letter of platted prior to 9/10/1995): Li ,4p equired: E Yes,applicant was notified IJ,d' No Received: ❑ Yes ❑ No PPS �u LJ Public Facili,,,.t_,i�es mprovement(PFI)Permit: ,.,..� 1641/4 U‘t equired: ri Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake El/and Use Case#: P P Zv l 6- 0 007- Lg Zoning: K-3- p gy.equired Setbacks: Front 8 Rear 10 Side 3 Street Side I(/4 Garage ZO R' a dscape Requirement: 2,O % L�JE Lot Coverage Maximum: go % r illBuilding Height: Maximum Height �iA Actual Height 2. ^�Isua1 Clearance [i 1 [ c ( J _ ensitive Lands: Yes CI Type Goal 5 Sari- 1�. - U 6;j-I- /^4 Ltd" Urban Forestry Plan t►. Conditions "Met"prior toissuance of building permit I totes: * Civlt (iv W NI" �Qnle- Iv buLLi y'crhil' c‘siAlet Approved By Planning: ,2 (fritettuA Date: 7-1-(g Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: - A i Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning Ifl' Engineering [ Permit Coordinator Building Workflow Sign-off: Cr-Sign-off for Planning(include notes from planning review) Route Application Documents: 1' 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: /4/6( ��i�,� . ' , Date: 7‘.?y//," Engineering Reviewc „2""„2"”Slope at building pad: 5 o ❑ 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: ❑ Yes *E5 No Assess Water Quantity Fee in-lieu: ❑ Yes ,B' No LIDA Facility on lot: ❑ Yes .2` No ❑ NOT Approved by Engineering: Date: Notes: lit)/{1r fByte f4,"cr, e L9-ti Ni NGt. Yr) /55,0 f--- Approved by Engineering: ti. Date: (8 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: C 7 v4'r.7 .01/ tate: i d' 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: 4.DC Fees Entered: Wash Co Trans Dev Tax: PI— es ❑ N/A Tigard Trans SDC: ►" es ❑ N/A Parks SDC: ►" Yes ❑ N/A LIDA ❑ Yes N/A Lel to Issue Permit Approved by Permit Coordinator: Date: - 4I/7 I:\Building\Forms\BldgPermitRvw RES_061417.docx UPI i City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R n River Terrace Building Permit Review Addendum t--.-- -4.- h... ,.4,.a. `3,...:` AZ..F.>x*h,,."ry.,»ft..i. ..x.:�n.zAO=..,..�,'r.,,m ^vr a_ _ ,'=.--x=- '_ ,s_ ,.....m 0 ...,§rt,.r:.,. ,.�%.i @....._ u..., ',",'.0'..... Building Permit #: Site Address: 16g 6S Sw A olim ,�p�,d, Project Name: jitler -1-trate. Eab- -Tr2- Lot #: Lu (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist 'ct Design Standards (18.640.070.1.): 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 wi access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft.deep Gabled dormer ft.deep min.2ft.,5 ft.wide min.2 ft.,6ft.wide 0 0 0 0 2.Eyes on the street:a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 16.1 3.EE trances:At least one entrance must meet both of the folio ng standards: tai Max.8 ft setback from longesttreet- facing wall " Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes 0 No V If yds,all the following apply: [_T,�,'2q.ft.min. Vie street facing entry Lg4'1�ft.max.roof above floor of porch 5 ft.depth min. [ '30%min.porch roof coverage 4.Retailed Design:All buildings shall include a min.of five of to following elements on all street-facing facades: [ overed porch min. 5 ft.wide x 5 ft.deep ❑/Recessed entry area min.5 ft.wide x 2 ft.deep ffiWall offset min. 16 inches ❑pormer min.4 ft.wide Roof eave min. 12 inch projectionPr Roof offset min.of 2 ft ❑ Roof shingles either tile or wood 0'6-able,hip or gambrel roof design ❑hoof pitch oriented south min.500 sq.ft. 0 Horizontal lap siding min.3-7 inches wide Accent siding min.40%of street facade ❑Window trim min.2'/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: N�o loser to front or side lot line,than longest street-facing wall. 0 Yes I No. If No(Check one): [ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ 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) ❑p-foot-wide garage door 0 40%max.of street facade 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: Xamuct Cortt, Date: -Pi-j8 ].•\Budding\Foxms\BldgPamitRvw_RES RT_121417.docx Electrical Permit Applicatiol E C E I V E FOR OFFICE USE ONLY 11 City of Tigard MAY 9 2019 DDa`e/B : - * C. ! + n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.19g1TY OF TIGARD Date/B: Related Permit#: TIGARIJ Inspection Line: 503.639.4175 BUILDING DIVISION ReadyDate/By: _furls: H See Paget for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK ^ r f �f lloPLAN REVIEW ®New construction 0 Addition/alteration/re laceme 0 Please check all that apply(submit 2 sets of plans wlitems checked): 0 Demolition ❑Other: v ` ! {G`1,c S5', 1 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-familydwellingCommercial/industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural 0 0Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived a SIL, h d. ❑Addition00m new motor load of system. Job#: Job site address: 1V$�fj �� 100F[P or more. ❑"A"."E".••h-z".`•h-3^. City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:East River Terrace 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description. I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision:East River Terrace Lot#: 'a`` Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 Change contractor on MST ZOIC— 602.4 a (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) :4 PROPERTY OWNERRenewable Energy 0 See Page 2 0 TENANT, Services or feeders installation,alteration,and/or relocation Name:Polygon WLH,LLC 200 amps or less 100.70 2 Address:703 Broadway St,Ste510 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 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 .•4 APPLICANT. ,❑ CONTACT PERSON - Branch circuits—new,alteration,or extension,.er panel A.Fee for branch circuits with Business name:Polygon WLH,LLC above service or feeder fee, 7.42 eacContact name:Tonja Morris Feehob branch circuit B.Fee for branch circuits without Address:703 Broadway St,Ste.510 serviceranh circuit or feeder fee,first 56.18 2 branch City/State/ZIP:Vancouver,WA 98660 Each add'(branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:permitsubmittais@polygonhomes.eom Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 Address:3415 NE 44th Ave. Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP;Portland,OR 97213 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:(503)319-2192 Fax:( ) Investigation(I hr min) 90.00/hr Email:solarpdx@me.com Industrial plant(I hrmin) 78.18/hr Inspections for which no fee is CCB Lic.: 199188 Electrical Lic.: c923I Suprv.Lic. 48715 specifically listed(V hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: .,,' Subtotal: Print name: Kirk Rood I Date: 05/09/2019 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: ti/G / roe TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Kirk Rood Date: 05/09/2019 days after it has been accepted as complete. Number of Inspections altowed per permit. I:Building'Permits'ELC_PermitApp ELR_EItE.doc Rev 06117/2015 440.4615T(I1105/COMWEB City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16865 SW APPLEDALE RD, BEAVERTON, August 21 , 2019 at OR, 97007 10:28:06 AM Record Type: Record ID: Residential - Master Permit MST2018-00210 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: AC installed Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16865 SW APPLEDALE RD, BEAVERTON, August 21 , 2019 at OR, 97007 10:27:57 AM Record Type: Record ID: Residential - Master Permit MST2018-00210 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: AC installed. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16865 SW APPLEDALE RD, BEAVERTON, August 26, 2019 at OR, 97007 10:00:14 AM Record Type: Record ID: Residential - Master Permit MST2018-00210 Inspection Type: Inspector: 399 Plumbing final Jeremy Burrows Result: PASS Comments: Correction completed Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16865 SW APPLEDALE RD, BEAVERTON, August 27, 2019 at OR, 97007 8:53:25 AM Record Type: Record ID: Residential - Master Permit MST2018-00210 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control approved. Moisture content form received. Moisture barrier form received. High efficiency interior lighting form received. Blower door and/or duct test report received. Insulation certificate verified. C of 0 left on kitchen counter. Violation Summary: Inspector Contractor