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Permit CITY OF TIGARD MASTER PERMIT 111 ' ' COMMUNITY DEVELOPMENT71 Permit#: MST2018-00180 T I(;A it D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/07/2019 Parcel: 2S106DA17000 Jurisdiction: Tigard Site address: 16929 SW APPLEDALE RD Subdivision: RIVER TERRACE EAST Lot: 209 Project River Terrace East No.2, Lot 209 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1108 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2504 sf Value: $302,440.05 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 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 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: 4 201-400 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 2504 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $34,021.13 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 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: Permittee Signature: G A/ "- 04:1ef)-70 `./ 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. r LoT t Building Permit Application RECEIVED2 i Residential FOR OFFICE USE ONLY APR 1 8 �2r0 2018 8 Received III II 13124y of 5 SW Hall Tigard BllvdTigard,OR 9722LITRY AO,F TIIGAAtD tl EEewy4 i7� n�' r Permy. ;��a OD/ / ay IL.DING DIVISION I/e (1e6 Other Permis Aairvdlcp t Phone: 503.718.2439 Fax: 503.598' TIC A R D Inspection Line: 503.639.4175 Date Ready/By. Jm;s: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method:--// �J' Supplemental Information E:7,/,7,9-, AlZ- '6L't/V 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 e- CATEGORY OF CONSTRUCTION work indicated on this application. Lt® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 3 4)e / e{ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: Z 2 Mil Job site address: 11049'21 Sw • ' f p1 [2.4 New dwelling area: Z square feet i�sj N(' City/State/ZIP:Tigard,OR 97224 Garage/carport area: 35 t square feet `k O 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.:2 I 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 DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ® 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: ►: APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH,LLC (Please refer tofee schedule) Structural plan review fee(or deposit): Contact name:Nichole Thorpe p10 FLS plan review fee(if applicable): Address: 10 3 1300c/wall ll &( ,. 1,4:(4.c.. --1 d Total fees due upon application: City/State/ZIP:Vancouver WA 9866 Phone:(360)695-7700 Fax::( ) Amount received: E-mail:Nichole Thorpe PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* 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 cand fire department access,along with the 2010 Oregon Address: — ii i� , � 1' Jl i 0 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: $201.60 Authorized signature:l���!�, �/A�7,n-t1--- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/'WEB) Mechanical Permit ApplicatiotREGE1\I� rOlt OrII( I I '+l 0y1 1 t Cite of Tigard201$ Received 1t� �.Date/By. II 13125 SW Nall Blvd.,Tigard,OR 97223 Ah�R A ll II Phone: 503.718.2439 Fax: 503.598.1960 �RHaill Other Permit Inspection Line: 503.639.4175 ���t�t15� I 1 t� �F 17 � �� ,VV a7 �3� Ready�lf3y: !aria- H See Page 2 for Internet: www.tigard-or.gov 3UlLDlNG U otified`Method: Supplemental Information TYPE,OF wow 1 {J COMMERCIAL nit. S[.'HWVLB - USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead.and profit. ❑Demolition ❑Other: Value:$ CATEGORY OF CONfSTRUCTiON RESIDENTIAL EQUIPMENT./SYSTEMS FEES' XI-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special informus/an use checklist. I I Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB s 111�oR�urlvly AND I:oCAnvll�i Heatingicooling: , , ^ Air conditionina 1 46.75 Job site address: l Worri 5v C�v t�(.Vt4JtAl2, `��1 Furnace 100.000 BTU(ductshents) ( 46.75 City/State/ZIP:Tigard,OR 97224 • ' Furnace 100.000+BTU(ducts/vents) 54.91 Beat pump 61.06 Suite/bldg./apt.no.: Project name: p_aelr Te"reace,'ES,tt- Duct work 23.32 Cross street/directions to job site: tlydranic 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 1 23.32 Subdivision: �j Lot nn.: Q� Other 23.32 11✓1�Q/�'reJrr[,►C t`. E5� �O t Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCIUFIION or 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 iSi PROPERTY OWNER 4 0 TENANT Other. 23.32 Environmental exhaust and ventilation: Name: psDVL Lo '4 ld S Rangehaadiotherkitchen to®O 1)QUI {��� w 1 C\ equipment I 33.39 Address: 1 � � :.U�-v [..1/l �Cl- Clothes dryer exhaust I 33.39 City/State/ZIP: SC,ORSda.I P Z sB Single-duct exhaust(bathrooms, 1 Z•. toilet compartments,utility rooms) `--r 23.32 Phone:'(p0 L4—�'j t Fax:( ) Attic/crawlspace fans 23.32 031 APPLICANT 0 CONTACT PERSON Other. 23.32 Business name:Polygon WLII,LLC Fuel piping: $14.15 for first four:S4.03 for each additional Contact name: IV i 6/10V.MOYIX Furnace.etc. Address:10 7 EVDOeI A-- L. S Su t S11) Gas heat pump Wall/suspended/unit healer City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range I E-mail: ) _ Barbecue ,, :., „„� CO [ACTOR, Clothes dryer(gas) Business name:Apex Air LLC Other: e ) 1NICALPJ ;f Address: 18004 NE 72"a Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ttt0 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name •f _ Date: 4-pt•It.. i tnuiiding'Pe mits'515C_PermitApp 04)113 doc 440-16171(11'02.COMMEN) A r 8 ° 0 !P - -1 Cut o Tigard � Permit . 't 13125 GV Hail Blvd„Tigard,OR 97223 ��lll:4 rya ����`�����/�� r! b Plan Review ' ' a Phone: 503318.2439 Fax: 503.598.1960 Related Permit II: ' l }�to/By; 1 Inspection Line: 503.639.4175 ' 'R, 1 8I-I_Wady Date/By: Iuris: I Cif See Page 2 for TIG .RDi Internet: www.tigard-or.gov Ally/Method; SupplementalInforma on fi :...;,,>_:�"7s.=:�:: ,�.._<s�ixd'>=�°:=ic's'r;�: <:;,;>�°-:J'_{moi__ __ _ _ " _ 'TsTr'€'.E.OT'd #� - -- - i1New construction ❑Addition/alteration/rep1 h1etlt Please check all that apply(submit 2 sets of plans w/items checked):'t ❑Demolition ❑Service or feeder 400 amps or more 0 Building over three stories. Other: where the available fault current Cl Marinas and boatyards. .. : ::."• : :: : ..: C ,o :. ,'; , _ _ __atIOy: " :; ; `= ;: : '':; oxeds10,000amps atl50wltsor 0Floatin building s. [XJ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural Multi-family Master builder 0 Other: amps for all other installations. •buildings. Eli .. ,,.-_„._., ....__ ❑Installation of 150 KVA or Imp. :,;::'ri:::;.:s;; >g;!! :O$_fySIT„E+ INFO,EEMATIONI,ANI).:1LOCATION. '.:!=.',. A' . .r:_:'.:::.': ?: . ❑Erucrgencysystem. larger separately derived 9 � •�/� ❑Addition of new motor load of system. Job#: 1 Job site address: 1�V o L I 5\1\1 1001IP or more. City/State/ZIP:Tigard,OR 97224 0 Six or snore residential units. occupancy. ©Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: ( Project name: R Nor TtrYoki) Era c4-. ❑Hazardous locations. Cl Supply voltage for more than ❑Service or feeder 600 amps or more, 600 volts nominal. Cross street/directions to job site; :,> - - Description I Qty. I Each f Total 1 a New residential single-or multi-family dwelling unit. Subdivision: gay( Tehra'�' 'i S t_- I Lot#: 1 ()/�1 =.s::d garage. I68.S i 4 Tax map/parcel#: :::; :-:;.-.::-.;>.:. ::......... ............. .: ...._,...:....-. :.; '1500 sq.ft.or portion 33.92 i ::..:::.:„:::a:.;:;.,.;•.,::,:.-,:,:';.::>::PE CRIPTrON::OF:::WORT&:;.:.::::::.:.. Ea. ....��_.:.......:�._._.:.......... ....::........ : Lilnitedenergy,residential75.00 2 (with above sq.ft) Limited energy,multi-family 75.00 2 residential(with above sq.ft) -.:�;_:.v. ;.�..�, - - i;.: _ - - --- Renewable Energy ❑ See Pa e 2 P - - g at OE :'' ;� i!NER {�,(�`' Services or feeders installation,alteration,and/or relocation -.> . .:.__...::._.._._,-:....>::...:....::�..Y .:......:.:..:.:.: .:<:_;:,t.;, r-TENANT;; :;,.-':?: �:'.: : . `,} Name:� 1"t 4-d V t.„._p fy y�„{, ` 200 amps or less 100.70 2 Address: , t/I i vt 1�h' I dr i A ? 1 i_..d 201 amps to 400 amps 133.56 2 ,, ,,I�1 � 401 amps to 600 amps 20034 2 City/State/ZIP: U f I TYi(Lk l Ai_ k52 5B 601 amps to 1,000 amps 301.04 2 Phone: �i02—loci i4-14031 IFax:( ) V 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 , - a.O; PI... N, ;, :-: . � C = ONhGTPOh :.;:;-r.:'. ArFaneechfocr runetsh—cinrceuwis awlitherationeor extension'Per Panel Business name:Polygon WLH,LLC above service or feeder fee, 7.42 �1 n1W^1 ^ each branch circuit Ev i Contact name: l % �` �P B.Fee for branch circuits without Address: 10' '; `,� ` D service or feeder fee,first J 56.I8 2 �� � l� branch circuit City/State/ZIP:Vancouver,WA 98660 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: ��'�r,� it. 1 l,� dwelling,service and/or feeder G7.84 • 2 Y;n _._s - .,,t.O_. ' : ,, '( s •C.t Reconnect only 67.84 2 7. +�i.•�'-�y''"=t=fir;.. ,�:t'i • a -< <...�,.._,4... ..... :.....:..i,,.. .. 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 panel, rte ation(s)or limited-energy 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 Additional inspection(1 hr mm) 66.25/IIr Phone:(253)872-6051 Fax:(253)872-1801 Investigation(I hr min) 90.00/hr Email:bdaniels®gweusa.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.: C1158 Electrical Lie.: 208174 I Suprv.Lie.: 44968 specifically listed(rA lir miis) 90.00/hr EL1 CI r” :. ..,. ._. R.�...1✓,`00.GfAri1?17It14II`t.A.ti 'i i` :�'3`=` ;:i Suprv.Electrician signature,required: j�j2.4 .-D• ,` _ 4 . Subtotal: Print name: Joan P Albert I Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: /......___.�"" r-;, �--- TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: days after it has been accepted as complete. S Number of inspections allowed per permit. IN3uilding\Pera its'ELC PerutitApp ELR ERB.doo Rev 06117/2015 44n-4615T(11/05/C0i47wEB 1 Plumbing Permit Application `y ) Building Fixtures ' V �1B City of Tigard c� Received Permit Npf �j ,j - ���f 111 i 13125 SW Hall Blvd.,Tigard,OR 97223 �� �` Vi Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: Inspection Line: 503.639.4175 . ,,`�f UN +00 Date Read/B Jwis: See TIG 1 K D �` �i��� Notified/Method: Supplemental Information Internet: Line: V' TYPE OF WORK FEE* SCHEDULE r New construction 0 Demolition For special information use checklist Description I Qty. I Ea. ( 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 ® 0 Commercial/industrial 1-and 2-family dwelling SFR(2)bath 437.78 SFR(3)bath I 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinlder( sq.ft.) Page 2 JOE SITE INFORMATION AND LOCATION Site utilities: Job site address: L W 6111 SW Prcn Q.CVOit.t.- tJ- Catch basin or area drain 18.76 '` C" Drywell,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: /r� raGe, s± 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 2,(JQX yemoce,FASB i.- Lot no.:2,091Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 DESCRIPTION OF WORK Backwater valve 1 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0•PROPERTY OWNER I 0 TENANT . Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ��"`"1pPLICANT uCO1ITA Interceptor/grease trap 25.02 �4. : G.i,ERsoN.`, Medical gas(value:S ) Page 2 - Business name: Poly l� U 1 U 1^,w Primer 12.51 N Contact name: Vl/L �-. Roof drain(commercial) 12.51 Address: 1 03 PjyOGiel,,,,,,„,,,,4at s •,sip Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 v Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:.NI Gro Ue. 0 �011�Gi1 C e AUrinal 25.02 J� �� .V� Water closet 25.02 CO CTOR a er ea er Wt h t 37.52 Business name: G.4.4 i tA,W%]D VA., Nt--60 R Water piping/DWV 56.29 Address: p.0. $-ox, Op, Other: 25.02 City/State/ZIP: S.T. P 4 art, q 1131 Subtotal Phone:(3b3 -S •-- 11411 Fax:(411 V..-%1.-e J1'° Minimum permit fee: 572.50 Plan review (25%of permit fee) CCB Lic.: 1841313_,.. Plumbing Lic.no.Pb (3 State surcharge(12%of permit fee) Authorized signature: ? 7 TOTAL PERMIT FEE Print name: /'i ',` Date: --3 b..(1j This permit application expires if a permit is not obtained within 180 days TN after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board 1:1BuitdmgtPumio4Pt,MU-PcneitApp.doc 10/01/09 440.4616T(t0ro2JCOM/WEB) 4 a City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT T 1 c a R Building Permit Review — Residential Building Permit #: 1467 )/t-----Q0OP Site Address: RP 617-61 S1N ATspLecklie, Rbael Project Name: AW Terrace, fr,5-t- NG G 2- Lot #: 2O (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Nevi ST-9" tz Verify site address/suite# exists and active in permit system. X River Terrace Neighborhood: ❑ No g Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site planxisting structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) floor elevations North arrow yij `74Utility locations&easements(required for new and additions) Ii rawn address,project or subdivision name and lot number idewalk/driveway approach pplicant information(name and phone number) , /s, .nation of wells/septic systems of dimensions and building setback dimensionsa xisting trees to be retained with drip line,and tree uare footage of buildings to be demolished protection measures of area,building coverage area,percentage of coverage and XStreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Street names 'roperty corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? i :i, •No 4 foot differential) If yes,is a storm water quality facility shown? • (es ❑No Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified , No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ,,rNo Applied For: ❑ Yes ❑ No,stop intake . V 12Land Use Case#: L -WW1 Zonin Required Setbacks: _� Front C!r Rear f©i Side i Street Side ^ Garage 20 Landscape Requirement: XLot Coverage Maximum: % ►i Building Height: Maximum Height n'jA' Actual Height .A.273-- `i Visual Clearance Sensitive Lands: Yes ❑ No Type IIN G1 ' j" Urban Forestry Plan AI Conditions "Met"prior to issuance of building permit Notes: Care h'1,S 3110 be. r -+ pCll( 1, 1Act3A-Le . I Approved By Planning: e/L._ Date: LY 3 • f Revisions (after Building Submittal nly) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx I Building Permit Submittal Original Submittal Date: 7 i Site Plans: # Building Plans: Building Permit#: nter building permit#above. Workflow Routing: Planning engineering )ermit Coordinator -Building Workflow Sign-off: L ' Sign-off for P nntng(include notes from planning review) Route Application Documents: 77Engineering: (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 /"; Date: z:/ ..,„/ � Engineering Review 7 Slope at building pad: G� zr Conditions "Met"prior to issuance of building permit Cr Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes .0'"No Assess Water Quantity Fee in-lieu: ❑ Yes .Etr No LIDA Facility on lot: ❑ Yes ,21"—No ❑ NOT Approved by Engineering: Date: Notes: tA)14-17— 4 -- 't fL IV l t , to ir- t)- + Approved by Engineering: At(el Date: 6,../2_, "Oes Revisions (after Building Submittal only) Reviewer Date Revision 1: Cl Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved / 2_,Coordinator Review "Met"prior to issuance of building permit .'Approved,NOT Released: Date: (11 L Notes: -ems.14A OVp1 ca✓N- —Ktects 4 1 c,P- Con.d.a 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: c SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: 5i, Yes ❑ N/A Parks SDC: IS--Yes ❑ N/A LIDA CIYes ‘R"N/A OK to Issue Permit L Approved by Permit Coordinator: /� r,��atez="2- 7 1:\Building\Forms\BldgPermitRvw_RES_061417.docx 7 ` City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT :IN III TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: »2,61 <SVJ priveciak. at Project Name: .\\Je( -ace Gid-{- Nor 2 Lot #: Iffl (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.070.1.): Is the project subject to the plan district design standards?XYes ❑ No 1.Articulation: a minimum of 1 element per each street-facing façade 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 Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: IS4'/O 3. Entrances:At least one entrance must meet both of the following standards: ._ Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: `,Yes ❑ No If yes,all the following apply: 14 25 sq.ft.min. XOne street facing entry , i''12 ft.max. roof above floor of porch 5 ft. depth min. 30%min.porch roof coverage 4.Detailed 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 CI Dormer min. 4 ft.wide Roof eave min. 12 inch projection [,Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade ,Window trim min. 2 1/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing walllYes ❑ 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) ❑ 12-foot-wide garage door ❑ 40%max. of street facade 0%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ADate: I iiJ 115? 1:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx Electrical Permit Applicati{ EcEli/ED FOR OFFICE USE ONLY City Of Tl dt'Cl ��pp Received IN n 13125 SW Hall Blvd.,Tigard,OR 9722MAY 9 2019 Date/B : Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/B Related Permit#: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: Juris: H See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORKrut es, PLAN REVIEW CI New construction 0 Addition/alteration/replace K Please check all that apply(submit,sets of plans wtitems checked): [3 Demolition 0 Other: 5 C 0 Service or feeder 400 amps or more ID Building over three stories. \ka 3 C � 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-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ampngs. 0 Multi-family 0 Master builder 0 Other: Fire for all other installations. but 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Av ❑Addition new motor load of system. Job#: Job site address: ,tp 'Lg ( �Q �d, 100HP or more.more ❑ A',"E","1-2 "t-3 City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑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 1 New residential single-or multi-family dwelling unit. Subdivision:East River Terrace Lot#: 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 201- CIO kcal) (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.Et) Renewable Energy 0 See Page 2 ® PROPERTY OWNER 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 Is 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 each branch circuit Contact name:Tonja Morris B.Fee for branch circuits without sAddress:703 Broadway Si,Ste.510 branch circuit orfueder fee,first 56.18 2 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 Email:permitsubmittals@polygonhomes.com dwelling,service and/or feeder 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 0 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(1 hr min) 66.25/hr Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr Email:solarpdx@me.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 199188 Electrical Lie.: c923 I Suprv.Lie.: 48715 specifically listed 04 hr min) --"":52;$ ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: ...e".,,. 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: /t,/i. 4/24,a44. 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 allowed per permit IGBuilding'PermitsELC_PermitApp ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB City of Tigard Tel: 503.718.2439 Location: Inspection Date: 12228 SW CHANDLER DR, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2019-00180 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - NoCofO Comments: System appears ok per approved plans. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16929 SW APPLEDALE RD, BEAVERTON, July 19, 2019 at 9:08:43 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2018-00180 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Note: no A/C installed Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16929 SW APPLEDALE RD, BEAVERTON, July 24, 2019 at 11 :05:28 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2018-00180 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Note: no A/C Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16929 SW APPLEDALE RD, BEAVERTON, July 31 , 2019 at 11 :28:42 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2018-00180 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