Permit (147) CITY OF TIGARD MASTER PERMIT
.____
' COMMUNITY DEVELOPMENT Permit#: MST2018-00248
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/07/2019
T I '� g Parcel: 2S106DA11300
Jurisdiction: Tigard
Site address: 16740 SW BIRDSONG ST
Subdivision: RIVER TERRACE EAST Lot: 113
Project: River Terrace East, Lot 113
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 948 sf Basement: 799 sf Left: 5 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1130 sf Garage: 377 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2877 sf Value: $363,772.45 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
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: 5 201-400 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 2877
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 2 Geo Tech Report Required
VANCOUVER,WA 98660 Prior To Pour
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $35,095.42
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 0•- 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: - T -7 -- Permittee Signature: ‘24/ "7977ci.&,
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.
I
Building Permit Application
L 0 k ) \3
lit ,
Residential RECEIVE it
FOR OFFICE USE ONLY
2018 Received 1 t
City of Tigard APR Date/By: q\ \ \\ Permit No.��TQ. — `1
13125 SW Hall Blvd.,Tigard,OR 97223 J
Phone: 503.718.2439 Fax: 503.598.1960 `-�-�/ OF ` k�DP a e Review q /.I (�,� IN— Other Permit r
L CITY i1 JpaeBY 1 ll/�ZJ AIN-
T t G A tZ D Inspection Line: 503.639.4175 �} DiVIS. ReadyBy: 111 G• 7uris: Ft See Page 2 for
Internet: www.tigard-or.gov �uiL' ' � Notified/Method: /�S`�✓ 'Y r Supplemental Information
6--74/L /7( CO
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Q
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead the profit for the
c.
CATEGORY OF CONSTRUCTION work indicated on this application. 6k/ 1 a,, '1
Valuation: $ 'I'-- —0411
�
9 ® 1-and 2-family dwelling 0 Commercial/industrial
7 0 Accessory building 0 Multi-family
Number of bedrooms: 4, Lt
(V) 0 Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 32-9-1
Job site address: `ts'l 1-1 D SW New dwelling area: 2,311 square feet 113 6,
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 3-, square feet /40 0
Suite/bldg./apt.no.: Project name:River Terrace East Covered po )square feet '711
Cross street/directions to job site: Deck area: go% square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace East Lot no.:1 1' 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 0 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
_,•-, - FLS plan review fee(if applicable):
Address: 103 Brune/wet-9y SI (A(-��0
d Total fees due upon application:
City/State/ZIP:Vancouver WA 9866
Amount received:
Phone:(360)695-7700 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:Nichole Thorpe
Commercial and residential prescriptive installation of
CONTRACTOR" roof-top mounted Photo Voltaic Solar Panel System.
Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: _ i, IL • ot 0 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver WA 98660 Permit Fee(includes pian 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: $201.60
Authorized signature:���ie:/ " ��" I This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
r
Mechanical Permit Application f 1 oR OFI 1( l� 1 sc Ov l l
t�+.CEN --- Received Penni!No
x�S
City of Tigard Q Date/By: 7�0/f�C1,? ,/
Illi * 13125 SW Hall Blvd.,Tigard.OR 97223 `Z01$ Plan Revie,
■ ' Phone: 503.718.2439 Fax: 503.598.1960 ppR 1 g Date,By Other Permit.
t I, ,is I) inspection Line: 503.639.4175A• r.to Ready:h3y: Jur;s El See Page 2 for
r.
Internet: www.tigard-oov ^ o 1i r' 1 d,7Nethod: Supplemental Information
v`LQlca COMMERCIAL MI' S�CHUSU E —USE CHECKLIST
T�TsoF wo
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 E /SYSTEMS FEES*
. l-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far special information use checklist,
I I Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SI INFORMATION AND LOCATION Ileatinp/cooling:
Air conditioning I 46.75
Job site addressk kinLA'J \A22ivX S)15 S" Furnace 100.000 BTU(ducts/vents) 1 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: R we r 1,rrt e 1 O..S+ Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit healers(fuel-type,not electric).
in-wall.in-duct,suspended,etc, 46.75
Flue/vent for any of above I 23.32
9
Other: 23.32
Subdivision: Lot no.: 3
1�/Pr1r'��arwr(,�C�, � 5� 1` 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
Loa lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
jj Other: 23.32
Pi PROPERTt�. i
.OWNER CI TENANT Environmenhl exhaust and ventilation:
Name: ps DVL(V\l lU k(v S `us � , Range hood/other kitchen I
- J equipment 33.39
Address: 1to®O E DCx e��r,�C2.4...(ttact Clothes dryer exhaust 1 33.39
City/State/ZIP: e, t Single-duct exhaust(bathrooms,
�(,O��SGICIA P I Z 25B, toilet compartments.utility rooms) 4 23.32
Phone:tool to°!L4—403 t Fax:( ) Attic/crawlspace fans 23.32
i APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Polygon Will,LLC $14.15 for first four,$4.03 for each additional
Contact name: 0'1 ',\ o��.-Th,Orpe Furnace,etc. I
Address:in &rood AA)"
A) `J s� su �'�/ ciO Gas heat pump
-`J Wall/suspended/unit heater
City/State/ZiP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace i
Range 1
E-mail: ' Barbecue
LONIRAcrak Clothes dryer(gas)
Business name:Apex Air LLC Other:
,,.. ,.s bi.NGtlI e
Address: 18004 NE 72"Ave Subtotal
City/State/ZIP:Vancouver,LVA 98686 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee)
CCB lic.:203034 TOTAL PERMIT FEE
This permit application expires Ka permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name I _Date: 4.11./L.
I\nuildingWermits lMEC_PermitApp_6W 113.doc 4411-1617r(111tr2/C(3it/W Ear
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ill-;::, City of Tigard Date/ByReceive: Permit 11/1.3-7-„,.204
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a 'A 13125 SW Hall Blvd.,Tigard,OR 9 223 `lQ�$ Plan Review
,� Phone: 503.718.2439 Fax: 503.598.196t1A?9, ... Date/By: Related Permit 4:
T1GARlli Inspection Line: 503.639.4175 �iAL) Ready Date/By: loris: RI See Page2 fur
Internet: wwwtigald-or.gov O 1(� Nohtied/lvletbod, Supplemental formation
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®New construction ❑Addition/alter• 'oti/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition Other:
0 Service or feeder 400 amps or more 0 Building over three stories.
:.,e.:.::'.:.. :er: .:_:.,.. where the available fault current ❑Marinas and boatyards.
;..,..,. a::'•.-::::_.:..: _CA,TI;G.O;ItIr:Qi+'::.CONS'tY33ITGTION�.':�.; %;=::'_•�;•-<:•::: :•.::�:•: r;:::;;
-.: .,.._..,:,a-,.:,a::::::...:...:..::..:.:.::.. ......�_......_............,.._.,•.::._.,,,_.._.,,__...,:.,_:_:..�:::...,•..,.:..:,.,::'.�:=::;.>: ''::: .:.::�: exceeds 10,000 amps 150 volts or
pFloating buildings.
0 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Cotnmeroial-use agricultural
amps for all other installations. buildings.
0 Multi-family • 0 Master builder 0 Other:
Fire pump, ID Installation of 150 KVA or
:,::
.:.:.;...:. : .. .. .:.. ,.t)$sySTI'G.,:.:.FOEih?TATIOhIAhJl?.:);OCATIOIY.'r:'':;t;:. ; : .` .'): "_'; ❑Ernergenaysysfem. larger seprat sly derived
Job site address: ❑Addition of new motor load of system.
Job#
1 V1140.SW I3' (eAs s 1001V or more.
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities, ❑Recreational vehicle parks.
Suite/bld /a t.#: Project name: ❑Hazardous locations. ❑Supply voltage for more than
g p J vN Telma.� �
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: -...:
Description I Qty. I Each:: I "Total I *
New residential single-or multi family dwelling unit.
Subdivision: g1/or 1e a. En,C t'f� 1 a Lot ii. '2, '�` Includes attached garage.
-` 1,000 sq.ft.or less yy 168.5=1 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion l 33.92 1
: : : : : c ;:- " i; : .:... ;_DLGRPTON>.OE�f!OK.:;:r.`: .. ,a:. :::•:::..:`:::'.:<.:.
.:....: . :-.... Limited energy,residential
(with above sq.ft.) 75.0 2
Limited energy,multi-family 75A0 2
residential(with above sq.ft)
_ _ �.>:, �. _ - _ Renewable Energy ❑ See Pa e Z
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(3E
__.� �. _.�� ,SLI.. N
��"`� :`:`:�``�`�'` '"`'��'�"`"``''':''�" Services or feeders installation,a[tcratian,and/or relocation
Name: ;NOV L_L( - 1 i(� 200 amps or less t e u
r vt `r—°y 2
Address: ;i I i ;/ 1.1,I ■[' � r „{„ „/ 201 amps to 400 amps 2
L%-�-►--I-u�1 401 amps to 600 amps20034 2
City/State/ZIP: S G i(AA c 1 A , 52.C,Q 601 amps to 1,000 amps 301.04 2
Phone: to 02—(q L4 14 031 1 Fax:( ) V Over 1,000 amps or volts 552.26 2
• Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature; Date: 401 amps to 599 amps 168.54 2
.$_:go: .'�-Al'PIsl`C T,.. :Co i.4+Csr ,, ran u circuits-new,alteration,or extension,per panel
.... ,,._...:, :<.:.,..•.,....,,... ...;., ..:_...:.:.........:...-.-.:,.:. A.Fee forbranclu circuits with
Business name:Polygon WLH,LLC above service or feeder fee,
7A2
�} each branch circuit
Contact name: \
Iv chid „r eVe, B.Fee for branch circuits without
f+ �'� service or feeder fee,first
Address: ypototAA f t 5.1k-- S 1D � branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 C� 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
67.84 • 2
Email: 1 tAn o l� fA (,� dwelling,service and/or feeder
-,,,ju,;. sy:`v;_ _,s V-Y O_ _ . . Y }' S •P 'Y Reconnect only 2
.. �:5.,•:.Y�h.?d:........._,3�r.�:v'::':=i�i%!-'.ii;,_.i:�.-,':14�_. .�.:.:e.ter.`-�t.:..: ,.... ..,,. .cn...., .. 7�i
. ,_ _ :..._ . ..,....,._.. Pump o 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 Signal circuit(s)or limited-energy ❑ Sec 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/hr
Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90,00/hr
Email:bdanlols@gweusa.cotrr
Industrial plant(lltrciusn) 78.18/hr
Inspections for which no fee is 90,00/hr
CCB Lie.: C1158 Electrical Lic.: 208174 I Suprv.Lie.: 4496S specifically listed(V:In.min)
. ;; i)COtRICAL`IPE'R14xT.`l.''�z t'+RS::+”?:i?='G'` i',:';;
Suprv.Electrician signature,required: tail/ r3/ ki�j,e,�,�!�` M r.Sobtotal�.
Print name: Joan P Albert 1 Date: 0 Plan Review Required(25%of permit fee):
.- State surcharge(12%of permit fee):
Authorized signature: 1 - TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within ISO
Print name: Bill Daniels Date: days sifter it has been accepted as complete.
* Number of inspections allowed per permit.
1:1BuildinglPermils'ELC PcrmitApp_ELR BSRE-doc Rev 06/17/2015 440.4615T(11/05/COivf/WEB
Plumbing Permit Applicata
Building• Fixtures 0�$
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Cityof Tigard p Received /7S�. �c2/, p� ��
g �` 1' �► Date/By: Permit No.:
III
13125 SW Hall Blvd.,Tigard,OR 972 �� 1 c (�'
Phone: 503.718.2439 Fax: 503.598. 1, 'CA
0‘\11,91%
`Vl��` Plan Review Other Permit No.:
�,L. Date/By:
T t G,\k D Inspection Line: 503.639.4175 Date Ready/By: Juris: B!See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PEE* SCHEDULE
Pr New construction 0 Demolition
For special information use checklist.
r Description I Qty. I Ea. I Total
LJ 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 t 500.32
❑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:
.10,1‘.40 S‘1,1
ve $. V 0 S'-f- Catch basin or area drain 18.76
■ `'t '" Drywall,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: A-actt Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision P.-We r -re jrr�.e,E -}-- I Lot no.:t t3 Fixture or item:
Tax map/parcel no.: Backflow preventer I 31.27
Backwater valve j 12.51
DESCRIPTION OF WORK
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
k®I PROPERTY OWNER I Q TENANT Expansion tank 12.51
Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:7600E Doubletree Ranch Road Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)694-4031 Fax:( ) Ice maker 12.51
C Interceptor/grease trap 25.02
. APPLICANT: =: CONTACT P)ERSON.
Business name: Poly Medical gas(value:$ ) Page 2
t`� l�.s.__� pier 12.51
Contact name:N j '�w .0yv - -Roof drain(commercial) 12.51
Address: 1(5 r61(0�W 5 t' S, Ee-slo Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 4 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
Urinal 25.02
E-matt:.�1 . IOC -
i� B � �`V� Water closet 25.02
CO : CTOR Water heater 37.52
Business name: ,gi-1 iit 4,1/410)cyk, --SO%.ut Waterpiping/DWV 56.29
Address: p.0. 6 o ciA. Other: 25.02
City/State/ZIP: ST, P oi'Z,. 11131 - Subtotal
Phone:(3t3.-$j,S.. 1'i1 Fax:(ell V..'*la,1-4"IDMimmumpermit fee: $72.50
i Plan review (25%of permit fee)
CCB Lic.: I na__ Plumbing Lic.no.P 3y State surcharge(12%of permit fee)
Authorized signature: ,,,94c.h0r4.4 TOTAL PERMIT FEE
Print name:
�f..411._ P W 14..E r?0`1 to This permit application expires ifa permit is not obtained within ISO days
Date: J after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\BuitclingTamits1PLIM-PetmitAw.doe 10/01109 440-4616T(10/02JCOM/WEB)
City of Tigard
N .
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: m p,Ct\SS-- cii--)ach
L
Site Address: 16716 . .W ,f-`[;41J j4.
Project Name: ��',y,, T r c Ert,f- Lot #: ')1s
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: kItu . F r
eVerify site address/suite#exists and active in permit ystem.
River Terrace Neighborhood: ❑ No Lr Yes,See River Terrace Review Addendum Attached
Stitt Plan Elements:
[,..,.,'�Three(3)copies of site plan ? sting structures on site
[D to plan must be on 8-1/2"x 11"or 11 x 17"paper Ly'FoEotprint of new structure(including decks)with finished
rawn to scale(standard architect or engineer scale)50
elevations
rth arrow ,ptility locations&easements(required for new and additions)
e address,project or subdivision name and lot number I1dSidewalk/driveway approach
la)toplicant information(name and phone number) {thLOCation of wells/septic systems
[ tot dimensions and building setback dimensions AExisting trees to be retained with drip line,and tree
,t Suare footage of buildings to be demolished • •tection measures
ElliCot area,building coverage area,percentage of coverage and I .peet tree size,type and location
� npervious area(applicable if R-7,R-12,R-25&R-40) treet names —/
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? L�'es No
4 foot differential) If yes,is a storm water quality facility shown? Oti No
L'J Clean Water Services—Service Provider LetterL(lot platted prior to 9/10/1995): pp,,,nt t.;:"
/Required: 1:1U Yes,applicant was notified No Received: ❑ Yes ❑ No i ttA j, (1;1<
LJ Public Facili�t,ie�s mprovement(PFI) Permit:
Required: Dyes,applicant was notified E No Applied For: dYes ❑ No,stop intake
Land Use Case#: Y l)K G 4 r 6` C Y
0/Zoning: 1(-7- (PO)
E/Required Setbacks: Front 5 Rear t ) Side I Street Side f Garages
Landscape Requirement: Lo %
of Coverage Maximum: g0
Vry
uilding Height: Maximum Height Actual Height .LL+
Vyisual Clearance V
[ ' ensitive Lands: ❑ Yes O No Type
C )Urban Forestry Plan
❑ Conditions "Met"prior to issuance of building permit
Notes: Lt- H3 tie}- fri k,^2. 5114,,,i1 -c,'-l c 1 i\i -c,'- jC'tw(t 6,11 # Tru.�ru. Govii e`ll
Ll'1
'Approved By Planning: 1,i d, Date: Via-{
Revisions (after Building Submittal only) Reviewer Date
Revision 1: E 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: k-1/4\kiS11IS
Site Plans: # 3
Building Plans: # 3
Building Permit#: 21 Enter building permit#above.
Workflow Routing: 2' Planning 2/Engineering Er Permit Coordinator 2' Building
Workflow Sign-off: Q'Sign-off for Planning(include notes from planning review)
Route Application Documents: [ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
2/-Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: \..P Date: CI I5'\C
Engineering Review
Vsj
ope at building pad: 2
70
Conditions "Met"prior to issuance of building permit
f<F,asements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 2/No
Assess Water Quantity Fee in-lieu: ❑ Yes Q'No
/ LIDA Facility on lot: ❑ Yes N(No
Final Plat Recorded:
El NOT Approved by Engineering: Date:
Notes: Wm., -for r 164,16;f1,) ana1 e.n i n 2e,i-i4
VApproved by Engineering: gradr &iliryex- Date: 7/0 15.
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/
pproved,NOT Released: 4 ,p ,4:) !� Date: '?,k/ v
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:
rIZ
I9DC Fees Entered: Wash Co Trans Dev Taxes ❑ N/A
Tigard Trans SDC: -Z21'Yes ❑ N/A
Parks SDC: l`Yes ❑ N/A
LIDA ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: /"2/2"3/8
I:\Building\Forms\BldgPermitRvw_RES_010118.docx
City of Tigard
iii
III COMMUNITY DEVELOPMENT DEPARTMENT
I
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 16N .S-In/ ;rIjb/\. j1.
Project Name: R .,/,- Tyr-a« E as j' Lot #: 1);
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist. t Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards? L'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
° ❑ ❑ ❑ ❑
Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
(?)/
Percentage Shown: 1 16.)/
3. ,Entrances:At least one entrance must meet both of the follo�6ving standards:
L,'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: P4es ❑ No /
If yes,all the following apply: C7 5 sq.ft.min.
[ One street facing entry 2 ft. max. roof above floor of porch
CQ-5`ft. depth min. L; '30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of tke 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 F
0/Wall offset min. 16 inches f` W'
D.rmer min.4 ft.wide a-
[/Roof eave min. 12 inch projection l/ g II .oof offset min. of 2 ft.,j t
CI Roof shingles either tile or wood Gable,hip or gambrel roof design j=,t>1
❑ oof pitch oriented south min. 500 sq. ft. Horizontal lap siding min. 3-7 inches wide/ s
Accent siding min.40%of street facade r ❑ 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 loser to front or side lot line,than longest street-facing wall. Lig Yes ❑ No. If No (Check one):
VIMay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
ay 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)
❑ y2-foot-wide garage door ❑ 40%max. of street facade
50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: lairkkuk CilidA. Date: s'1 -((f
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
11111 I 14 Transmittal Letter
T t c;, RD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Dianna DATE RECEIVED:
DEPT: BUILDING DIVISION � ,-1
i � Wv�_
FROM: Tom Dicianno APR 1 0 2018
`.'i t E f-,t,,,,
COMPANY: Polygon Northwest Bi L, .°, , ,i , t,l 0 .
PHONE: 503-577-4160 By. /fI
RE: I (°7 gip sly 1,4?,0,074.r6 sr MST201 — Q,r1L.�
(Site Address) (Permit Number) y
f7l' River Terrace Lot 1 1 3 1/, 1 lr �'\
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies:a.. Description: I VAiest D tion
0 Additional set(s) of plans. 0 Revisions: , 1
0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis.
0 Floor/roof framing. a Basement and retaining walls.
0 Beam calculations. 0 Engineer's calculations.
0 Other(explain):
REMARKS:
-rp A. Fou i oitmoN kL4 p t j!GP
,< 'O "pec USE ONLY
Routed to Pe echnician: Date: 1 (,Q c`I> Initials: At'ait-
Fees Due: ZYes n No Fee Description: Amount Due:
, I/7-- a r.I.r\ c-)eAA, ,c,Li $$
�f
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes j No ❑ Done
Applicant Notified: Date: Initials:
i'\Building\roIms\Trac sn:ittaiLeuer-Revisions.doc 05/25/2012
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
iii
Transmittal Letter
T i C;A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Tom H. DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
\U G 2 1 2018
FROM: Joleen Smith
CITY OF TiGARD
COMPANY: Polygon Northwest PLANNING/ENGINEERING
PHONE: 360-695-7700 By.
RE: 16740 SW Birdsong St rc' . .0 1cc,—C« cS
(Site Address) (Permit Number)
RTE1 Lot 113
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
0 Additional set(s) of plans. 1 Revisions: A9 window requirements
0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis.
0 Floor/roof framing. 0 Basement and retaining walls.
0 Beam calculations. 0 Engineer's calculations.
0 Other(explain):
REMARKS: Please pay fees owed with Trust Account.
2e, B wi lcl,n4,„,,,..,, 1ss t e s a4dC aCke d•
FOR O IC USE ONLY
Routed to Permit Technici . Date: Ce L66 Initials:,
Fees Due: ❑ Yes o Fee Descript' n: Amount Due:
^ ` �
N $ 0
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Fonns\TransmittalLetter-Revisions.doc 05/25/2012
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
1111
111 " Transmittal Letter
1 ,t,,\121) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: N\ i\ ` DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
MAR 2 5 2019
FROM: �yk\a, Mor r t S CITY OF TIGARD
COMPANY: RO� ciN1 t ) BUILDING OMSION
PHONE: 00 CQA5 -- -11CV By:S.„\--c--
RE:
�-c-RE: 1 V-ey2 �''�va e'-,L Lo-c \ \ 1 1572-01 e - ooze
(Site Address) (Permit Number)
/ 6,740 Std —8) ebS(NG i
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions: tS CuSS(t7vr
Cross section(s) and details. Wall bracing andC/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Ot.
er(explain):
REMARKS6 COQ C ^PS
FOR OFFICE USE ONLY
Routed to Permit Technic'an: Date: Initials: 441-
Fees
Due: ❑Yes To Fee Description: Amount Due:
Nbie_, ss )2,---
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
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
ft
= Transmittal Letter
T G A R f) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Al\\IT5V1 j Y1.SAV-OnG DAT IVED:
DEPT: BUILDIVISION EIV
APR 4 2019
FROM: 1 Y \oR,121 S CITY OF FIGARO
BUILDING DIVISION
COMPANY: b�u app
PHONE: 2360-Lf 5 -7N-1 0 BY: �T
RE: 1 to-1(A0 SU ) oR fit, PAST VR7 -oo 24E,
(Site Address) (Permit Number)
(Project name or subdivision name and � ,ber)
ATTACHED ARE THE FOLLOWING I 4'MS:
Copies: Description: Copies: Description:
Additional set(s)of pla X Revisions: 'i41.1.. SET
Cross section(s) and . , s. Wall bracing and/or lateral analysis.
Floor/roof framing_ Basement and retaining walls.
Beam calculation v' Engineer's calculations.
Other(explain):
REMARKS: 4CpPR$l1E6
FO O FICE USE ONLY
Routed to Pw it Technician: Date: (1 Initials:
Fees Due: Yes ❑No Fee Desc 'pion: Amount Due:
, \,,,t7-m tocii
fuccAp--' $
Special
Instructions:
Reprint Permit(per PE): ❑ Yes XNo ❑ Done
Applicant Notified: Date: Initials:
1:\Building\Forms\TransmittalLetter-Revisions 061316.doc