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Permit CITY OF TIGARDIIMASTER PERMIT a ' COMMUNITY DEVELOPMENT Permit#: MST2018-00249 R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/07/2019 T t �1 g Parcel: 2S 106DA16900 Jurisdiction: Tigard Site address: 16949 SW APPLEDALE RD Subdivision: RIVER TERRACE EAST Lot: 208 Project: River Terrace East No.2, Lot 208 Project Description: New SF. BUILDING Floor Areas Reauired Setbacks Reauired Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2229 sf Value: $282,189.05 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: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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 2229 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY BAKER,JASON 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 703 BROADWAY ST STE 510 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $33,397.74 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through O'-t952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 111114 Issued By: '` Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 4, i___: ©--t- 20 8 Building Permit Applicationiike . Residential 2018 FOR OFFICE USE ONLY Received City of Tigard ��R q'T\\ ,,k Permit No..mS;;KA— aye n 13125 SW Hall Blvd.,Tigard,OR 97223 ��� lig n0,0 'Plan Revie `�� } �� � ��# Date/By: tb (9, Other Permit:�v��c.i\SS— , I, Phone: 503.718.2439 Fax: 503.598.196C\IN` nA`` �,� Y Inspection Line: 503.639.4175 �l��� Date Ready/By: /,,,� Juris: 0 See Page 2 for T I G A R D p 301-D Notified/Method.3��9 R��S` V Supplemental Information Internet: www.tigard-or.gov ci//"rc- //O4/GCA/ TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING Permit fees*are based on the value of the work performed. ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 2,2../ ` t l ® 1-and 2-family dwelling 0 Commercial/industrial S4 ❑Accessory building ❑Multi-family Number of bedrooms: H. M0 Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2.. 2(009 New dwelling area: square feet 7..5 (o Job site address: 1 toot gq 5w erv9ie cd ale_ '6Z.�,Q 2�-� l City/State/ZIP:Tigard,OR 97224 ' ` Garage/carport area: 380 square feet 9 t Suite/bldg./apt.no.: Project name:River Terrace East t`\C.). Covered porch area: > quare 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.:'Lots 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 ®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 ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe 9R w'.-I FLS plan review fee(if applicable): Address: `7 03 IL7r(, Cil w t j SiSSU-I-si�1 d Total fees due upon application: City/State/ZIP:Vancouver WA 9866 Amount received: Phone:(360)695-7700 Fax::( ) PHOTOVOLTAIC SOLARPANEL 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 Address: i1 t ' # • 54 t 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���ic��`� "��" ,, _1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 Mechanical Permit Applicatic> G_k1 i OR OF I It I I `+1 Oil 1 is City of Tigard R 1 $ 2.01a oa;L La i 25 d OR 97223 �� 131_,. 5U Hall Blvd.,Tigard. '• s Phone: 503.718.2439 Fax: 503.598.1960 -��/ 11 1(j►tP i1 Other Permit. ! I c F't1 Inspection Line: 503.639.4175 rj,{ t w"'r, tlim i, t' ate Ready/By- Iun- RI See Page 2 for Internet: www.ligard-or.gov 3,`11D\ y r'J Notified/Method: Supplemental Information TYPE.OF WORK COMMERCIAL FEE* SCHEDULE — 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 0 Demolition 0 Other: mechanical materials.equipment.labor.overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* .1g1 l-and 2-family dwelling ❑Commercial/industrial 0 Accessory building Far special information use checklist I I Multi-family 0 Master builder 0 Other: Description Qty. Ea, Total JOS SITE INFORMATION AND LOCATION Heating/cooling: i /� t� 1 Air conditioning I 46.75 Job site address: \W" um SJ i?tl�Q, V--C4 Furnace 100.000 BTU(duets/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; 'Rife. Te,rr 'AS ' Duct work 23.32 Cross street/directions to job site: flydronic 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 Lot no.:�� Other: 23.32 Subdivision: 1v2/��L1 JrrC�C '(..i —t^J•-S'� Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert I 33,39 Flue vent for water heater or gas fireplace 23.32 Log lighter(eas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimncyiliner/fluelvent , 23.32 .® PROPERTY OWNER 1 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: PsDVL, j-iD(d1 tv- s fur , Range hood/other kitchen 0 equipment 33.39 Address: 'l{o®O ' Do kpA , VixtrA Clothes dryer exhaust I 33.39 City/State/ZIP: Sonft..s a_ti 1 t..Z (2.. .-25-33, Single-duct exhaust(bathrooms, i r-1 toilet compartments,utility rooms) 23.32 Phone:to 02:- H- 7j t Fax:( ) Attic/crawlspace fans 23.32 , IN APPLiCANT 1:0 CONTACT PERSIM Other: 23.32 Business name:Polygon Will,LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: 0 i fAAA:ThOrpe, Furnace,etc. Address:107, Bytocel AL . J 4 &u & I ,lJ Gas heat pump Wall/suspended/unit heater City/State/ZiP:Vancouver,WA 98660 Water heater Phone;(360)695-7700 Fax::(360)693-4442 Fireplace f Range I E-mail: _ Barbecue CONTRACTOR , Clothes dryer(gas) Business name:Apex Air LLC Other: Address:18004 NE 72nd 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 180 days after it has been accepted as complete. Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board Print name: I Date: ej•/1./t;,. 1\BuitdingWPvmits.MEC_Permitkpp(5401 I3.doc 440-1617T{I I/02/CONINTil1 ` .. ...,-..,,..•x �v4 x•"�:x°.�L 11 tU�'-tI,YJlkIV d4 L1n 1lYJF � �{`y ED _ .: v„e�" !,°l� 4., .- -_•' �.v. -z� , G�f " g °• t �lll�lf TAd1� Date/Bya /a'G'/d 'W �/ Permit 4/7..5 t 13125 SW Hall Blvd.,Tigard,OR 97223 ' ':�2 1 2018 '':" Phone: 503.718.2439 Fax: 503.598.1960 Plan By; Related Permit 4: ' 1 Date/By; l Inspection Line: 503.639,4175 l-;r' Y OF fIGARO Ready Date/By: Anis: I f I See Paget far T1 GARD'i Internet www.trgat-d-or.gov Notified/Method: mental Information Supplemental 7 uit PP ®New construction :.;:`:''. :<,?; ., -V: -:;'.; ; i`::��= :`::�;'':;;'a ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition Other: ❑Service or feeder 400 amps or more 0 Building over three stories, `::,_ia::_::_,,::':::.�....:.::::....:.:.:..:r::-::,-_,..:, ..,.: •':::::..:.,-::...:- :..,.::.,-.-..,:.....:.:.«...,,<-;;.i.'..:`..i:..:'... .' .'•.`. . . where the available fault current 0 Marinas and boatyards. - ( ;-, ;,::,,:- ::=.`_CT GOlSOI-CONTUCION;:,;.a< ? i::;` ': ' :'..ii,;', exceeds 10000 10,000amps at 150 volts or 0 Floating buildings. ❑X 1-and 2-family dwelling Q Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-familyamps for all other installations. buildings. • 0 Master builder ...-.��.::-,-:',;:a.r: -:-.H�..,:�:- ❑Fire pump, Other: 0 Installation of 150 RVA or - .-:: .. 7:;7oi<`SrrE`ill�iltOR1 " -::IO ''A ;..,..::.:::�:�:., ;::!:.....:......-.."., :,.....:r-.:....:... .-.,.. :.:.".� 0 Emergency systenn, larger separately derived IA+�'..-N. 1�ID:IE(3GtYTI(q;":;.:.:;:_'; ::`;`' :':".`-s,.;,:;. .. Job#: ! Job site address:4'p CI� SF� fi p n.I^ ■Addition more,f new motor Load o£ system. VV V' a LjjJ1LA/�jC. � / t00IiP or more, ❑"A",`E","I-2","1-3'; City/State/ZIP:Tigard,OR 97224 !Six or more residential units. occupancy, ❑Health-care facilities, ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: ® /g Era ❑Hazardous locations. ❑Supply voltage for more than , `X���N� 5 I.A l 0 Service or feeder 600 amps or more, 600 voltsm nominal. Cross street/directions to job site: -.....,._..,......:,-.,.:::.:.:,"::E..-.;_:_ :.......:..........:.: ..: ... :..::...............: •:<::.:; "; :' :::::....:::. :.•FEE.�SGFlED.rJL�'':": .°:;:�: ; ; : ::`:: Description I Qty. I Each I Total I x n New residential single-or multi family dwelling unit. Subdivision: t,1�� '��, � � I Lot#: -7,0e, includes attached garage. 1,000 sq,ft.or less 1 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft,or portion 33.92 1 ;`• CR7i?.T O1V Oh` WO y . _ -.' ,•. K Limited energy,residential75.00 2 (wills above sq.ft) Limited energy,multi-family 7500 2 residential(with above sq.ft.) Renewable Enengy- ; ; PiOU t _ ' _ - - _ Services or feeders installation,alteraStieoe nP,aane dl2o r relocation Name:, DV L Bc t 200 amps or less 100.70 2 `�^' Address: l u, al'_t 1 1 _....i' 201 amps to 400 amps 133.56 2 U� C 401 amps to 600 amps 20034 2 City/State/ZIP: S Cm-ii-ca(LA e. 1 AT, k l52.Jg 601 amps to 1,000 amps 301.04 2 Phone: to 02—(i)q t_4—LA 03 I Fax:( ) 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 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 I 2 Owner signature: Date: 401 amps to.599 amps 168,54 2 irT:;.�;;6{';,�i.. :-f.. - -:%[reninI - - �,,..:.::.:;.,•:..•,,::>::= °;�: Branch circuits— new alteration or extension per panel , :�: ; -1;- ._.x��A:l'k1IsI��1`•1T;;= Al C01Y`I'ACT-,P,� � � � A.Fee far branch circuits with Business name:Polygon WLH,LLC above service or feeder fee, �} 7,42 Contact name: W; � each branch circuit B.Fee for branch circuits without G service or feeder fee,first Address: o 1� • p p 1 , _�- ,`. „! branch circuit 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 Email: �' dwelling,service and/or feeder 67'84 • 2 '-3\��,/�` � °a ' �� orE5 •Ct)1 Reconnect only 67.84 2 , . :_ _ :..-. . . ;+; :i<:->c` Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address:402 Valley Ave NW Ste 106 • panel,alteration,or extension, 0 See Page 2 2 City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/lir Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90.00/hr Email:bdaniels@gweusa.conl Intdustrialpiattt(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.: C1158 Electrical Lic.: 208174 f Suprv.Lie.: 4496S specifically Listed(%z hr min) 9 r 000/h � f critic ,_;:,- Suprv.Electrician signature,required: ' P, 44 hex_ .SttbtotalW n Print name: Joan P Albert 1 Date: 0 Plan Review Required(25%of permit fee): - State surcharge(12%of permit fee): Authorized signature: ! - TOTAL PERMIT FEE: { This permit application expires if a permit is not obtained within I30 Print name: Bill Daniels Date: days after it has been accepted as complete. * Number of inspections allowed per permit. ISBuilding\Permits\LC PermitApp_ELR jRB.doc Rev 06/17/2015 440.4615T(1l/05/CotetIWEB Plumbing Permit Applicatio Building Fixtures A EC E I V E D City of Tigard APR 18 2018 Received /Si 41 a;?in Date/By: Permit No.: si 13125 SW Hall Blvd.,Tigard,OR 97223 � Plan Review II Phone: 503.718.2439 Fax: 503.59cppe OF TIGARD Dae/By: Other.Permit No.: TIC;\R D Inspection Line: 503.639.4175 3 U I LD I N G DIVISION Date Ready/By: Anis: ®See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE For special information use checklist ®New construction D Demolition Description I Qty. I Ea. I Total 0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 SFR(2)bath 437.78 ®1-and 2-family dwelling 0 Commercial/industrial SFR(3)bath t 500.32 ❑Accessory building 0 Multi-family 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: t 14 a q G SW ( (4sn ��,___ Catch basin or area drain 18.76 Dryweli,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear R.: ) Page 2 Suite/bldg./apt.no.: Project name: \V v-actt._ '+ 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 R,1 Jew y'em-GC.2..E .i- Lot no.:1,b0 Fixture or item: Backflow preventer f 31.27 Tax map/parcel no.: DESCRIPTION OF WORK Backwater valve 1 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 igi I IOPERTY 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 ►' `" Interceptor/grease trap 25.02 il APPLICANT GONTAGT PERSON Business name: V)01940(.\ Vkit IA,, ee _ Medical gas(value:S ) Page 2 N `,^`wPrimer 12.51 Contact name:1®I ClV L - Roof drain(commercial) 12.51 Address: "l b3 ( )YOCAO1 W� &t- C �, 0 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 (� c,�nD� Urinal 25.02 E-mail:•N I��O le Al 11�y�_0 o 0\ (3(1no^ T,,c-� ( xVY\ Water closet 25.02 L `GO T�R`ty'G'TOR Water heater 37.52 Business name: G.44 kA,,jb VA A.4--504 L.C.-- Water piping/DWV 56.29 Address: +).el. B o L'(A Other: 25.02 City/State/ZIP: 51-, a ('rC- '11131 Subtotal .50 Phone:( 03,-*/34t-, 1411 Fax:(a11 Tl.w Iv...?r Minimum permit fee: fee) Plan review (25%of permit fee) CCB Lic.: 1841310_, Plumbing Lie.no.111 y State surcharge(12%of permit fee) Authorized signature: ,1 :(13C,14., TOTAL PERMIT FEE Print name: St f AIL 'wk g. __ Date.Q-3b-I 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:.B dwrogtl its LMU-PennitApp.doc 10/01/00 940-4616T(t0/02/CoM/WEB) City of Tigard 114 v COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: m .- .u5s- ck Site Address: 16 qLI 1 Ll 4ppille !tit Project Name: Kr 7(r7- Ct u!- Ale- c'—' Lot #: 2.1)? (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: kW S r El/ erify site address/suite# exists and active in permit s stem. L' River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Sit Plan Elements: 1.1'74Xee(3)copies of site plan li'isting structures on site L7Si plan must be on 8-1/2"x 11"or 11 x 17"paper L� ootprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) or elevations Orth arrow Is�U I. .ty locations&easements(required for new and additions) t address,project or subdivision name and lot number M idewalk/driveway approach [I .plicant information(name and phone number) FA .cation of wells/septic systems U •t dimensions and building setback dimensions It xisting trees to be retained with drip line,and tree 7%: are footage of buildings to be demolished pection measures of area,building coverage area,percentage of coverage and S et tree size,type and location ypervious area(applicable if R-7,R-12,R-25&R-40) E 'Street names [ 'l roperty corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? [es El No 4 foot differential) If yes,is a storm water quality facility shown? 1=17No EI/Clean Water Services—Service Provider Lettey(lotttplatted prior to 9/10/1995): 1-'1.4004 1T_� R quired: ❑ Yes,applicant was notified [ No Received: ❑ Yes ❑ No IV/Public Facilitie Improvement(PFI)Permit: 1QO �e equired: {Yes,applicant was notified ❑ NoiR Applied For: Yes ❑ No,stop intake ,zand Use Case#: P021016-00007- L PFz.LO14j— 0009O oning: K-3. CPDD r 2s CPI)) IV Required Setbacks: Front Q Rear l 0 Side 3 Street Side g Garage Z 0 LCLdscape Requirement: of Coverage Maximum: gouilding Height: Maximum Height 3S Actual Height L� /Visual Clearance r ^�ensitive Lands: L� Yes ❑ No Type G64I c Ji9n;f�(,�,,i- IJ �: L0 L� rban Forestry Plan Conditions "Met"priorto issuance of buildin permitnI� otes: Gy.di�lht iv L. r prri, Iv Qutl ini itrr�i7 3(00(t- Approved By Planning: Date: 8-36—I 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\BldgPennitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: Lk\M1 `1 Site Plans: # 3 Building Plans: # 3 Building Permit#: e Enter building permit#above. Workflow Routing: Er Planning Er Engineering L7`Permit Coordinator C+ 'Building Workflow Sign-off: Q'.Sign-off for Planning(include notes from planning review) Route Application Documents: Q.-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: 'Q "—. Date: of k E3t \t Engn ineering Review Zi lope at building pad: 2 Zz.Conditions "Met"prior to issuance of building permit L/1 Easements (encroachments)per engineering conditions of approval and plat DI Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes , 'No 111 [W Assess Water Quantity Fee in-lieu: Yes 'No LIDA Facility on lot: ❑ Yes 1/ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: $rade/ 13 u jl;n er Date: df/f/18 Revisions (after Building Submittal only) •1 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 pproved,NOT Released: /1cG, ,t ' 4ate: q14/; 5 (Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: kr Yes ❑ N/A LIDA ❑ Yes *'N/A OK to Issue Permit Approved by Permit Coordinator: Dat o? -3-://:, I:\Building\Forms\BldgPermitRvw_RES_061417.docx n. City of Tigard 11 Ili ii COMMUNITY DEVELOPMENT DEPARTMENT 4 T I G A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: I OH S'\A/ ,4prictalz U. Project Name: kir TtrrauL E.a4F Lot #: ZOt (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? 7 Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide [�'/ ❑ ❑ ❑ ❑ 0 yes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: IS.3/ I L O/. 3./Entrances:At least one entrance must meet both of the folio g standards: IW i Max. 8 ft. setback from longest street- facingwall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: dYes ❑ No If y ,all the following apply: 4 sq.ft.min. ne street facing entry I' 1 ft. max.roof above floor of porch Vs ft. depth min. Ly'30%min.porch roof coverage petailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: [govered porch mm. 5 ft.wide x 5 ft. deep F [Recessed entry area min. 5 ft.wide x 2 ft. deep r IV/Wall offset min. 16 inches F El�/DDormer min. 4 ft.wide Roof eave min. 12 inch projection F�S Ei of offset min. of 2 ft. P El Roof shingles either tile or wood [ 'Gable,hip or gambrel roof design s/S ❑y.00f pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide [ Accent siding min. 40%of street facade F FVWindow trim min. 2'/z"wide by 5/8"deep 5 ❑ Window recess min. 3 inches for all street facing ❑ BBay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access EVAttached garage is 35%or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. ❑ Yes (!4 No. If No (Check one): ❑ Nay 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) ❑2-foot-wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: 12.y. Ex min„,,r,t.,-F rpt{- by f[OA 911 '2 4 LIz) Approved By Planning: is Date: 6-30—1d I:\Building\Forms\B1dgPermitRvw_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 TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Joleen Smith AUL L 2 1- 2018 COMPANY: Polygon Northwest CITY OF TIGARD PLANNING/ENGINEERING S PHONE: 360-695-7700 By. pp rC'1 r \g- C..\ `',)).--‘C� RE: 16949 SW Appledale Rd. (Site Address) (Permit Number) RTE2 Lot 208 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 0 Additional set(s) of plans. 2 Revisions: A2/A9 windows/articulation 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. Floor/roof framing. 0 Basement and retaining g walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. see Building Permit Issues attached FOO FICE USE ONLY Routed to Pe echnician: Date: ID (6b Initials: 1144- Fees Due: Yes ❑No Fee Desc pti n: Amount Due: $ VS: 60 $ Special Instructions: Reprint Permit (per PE): [1 Yes To ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Electrical Permit Application E C E IV ED FOR OFFICE USE ONLY City of Tigard MAY 9 2019 Received _ IIIq 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B : r� g Plan Review ®' Phone: 503.718.2439 Fax: 503.598.1 Related Permit 8: u, 1Y OF TIGARD Date/B TIGARD Inspection Line: 503.639.4175 Juris: Ready Date/By: ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW CI New construction ❑Addition/alteration/replace' 1 g 1 Please check all that apply(submit 2 sets of plans w/items checked): / ��� 0 Service or feeder 400 amps or more 0 Building over the stories. 0 Demolition 0 Other: S1q�, t where the available fault current Marinas and boatyards. CATEGORY,OF CONSTRUCTIO exceeds 10,000 amps at 150 volts or 0 Floating buildings. E I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family 0 Master builder 0 Otherairepmps ump.or other installations. butings. 0:Fire pump. 0 Installation of ISO KVA or JOB SITE INFORMATION AND LOCATION� _ 0 Emergency system. larger separately derived Job#: Job site address: �pQl� �W {.}01,6,ka -Rd 0 Addition of new motor load of system. �+�+ 100Hor more. ❑system. City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:East River Terrace ❑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#: D34Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 Change contractor on MST 9,ot 1-bb2e (wed ene above sq.ft.) Limited energy,multi-family residential(with above sq.ft.) 75.00 2 e4 `PROPERTY OWNER 0 TENANT Renewable Energy ❑ See Page 2 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 0 APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Polygon WLR,LLC above service or feeder fee, 7.42 2 each branch circuit Contact name:Tonja Morris B.Fee for branch circuits without Address:703 Broadway St,Ste.510 service t fufee,first branch circuit 56.18 2 bt City/State/ZIP:Vancouver,WA 98660 Each add'l 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:permitsubmittals@polygonhomes.com 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 44u'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(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 Lic.: 199188 Electrical Lie,: c923I Sunrv.Lie.: 48715 specifically listed(1:hr min) - ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: �'.. Subtotal: Print name: Kirk Rood I Date: 05/09/2019 0 Plan Review Required(25%eof permit fee): — State surcharge(12%of permit fee): Authorized signature: �G 111. /24,,,,e-,( 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. a Number of inspections allowed per permit. Iaauilding'Permits'ELC PermttApp ELR ERE.doc Rev 06/17/2015 440.46151(1 1105/COMJWEB. City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16949 SW APPLEDALE RD, BEAVERTON, July 18, 2019 at 10:28:15 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2018-00249 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16949 SW APPLEDALE RD, BEAVERTON, July 19, 2019 at 9:07:31 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2018-00249 Inspection Type: Inspector: 399 Plumbing final Jeremy Burrows Result: PASS Comments: Corrections completed. All else appears ok. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16949 SW APPLEDALE RD, BEAVERTON, July 24, 2019 at 10:47:57 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2018-00249 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Correction completed Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16949 SW APPLEDALE RD, BEAVERTON, July 31 , 2019 at 11 :28:45 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2018-00249 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