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Permit (185) CITY OF TIGARD MASTER PERMIT 1114 COMMUNITY DEVELOPMENT Permit#: MST2018-00282 TicIARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/04/2019 Parcel: 2S 106DA20300 Jurisdiction: Tigard Site address: 16675 SW BIRDSONG ST Subdivision: RIVER TERRACE EAST Lot: 242 Project: River Terrace East No.2, Lot 242 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $264,303.10 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2078 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY POLYGON WLH LLC 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 ATTN BAKER,JASON VANCOUVER,WA 98660 703 BROADWAY ST STE 510 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $33,006.20 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 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: &� / Cr l�"'9—y7C, ! Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application RECENED LO ` 7 9 2 • Residential S 201 FOR OFFICE USE ONLY City of Tigard APR Received �0%k kt �� "�l�' -racy1�S-(�� Permit No.: \ il 13125 SW Hall Blvd.,Tigard,OR 97223 -fy— of TIG Plan Review : _ 1 1 1�n �I'nL+ I 2i Q /� OtherPermi. S Phone: 503.718.2439 Fax: 503.598.196 1.� �('�TO Date/By: ( JI � J I`�� �� ��'�� �5 1lC;AKD Inspection Line: 503.639.4175 �u�LQ Date ReadyBy: Juris. 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method:3 „:„.,...{,,,,,9 Supplemental Information 67? /L ( Au' TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ��/�1 ��� ❑Accessory building 0 Multi-family Number of bedrooms: 31 ❑Master builder 0 Other: Number of bathrooms: 3 /66 75 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Z 9 s% Job site address:j .1ep ,S\4 (b5 "`v 1S-t- New dwelling area: 2..,0-1 8 square feet `t 3 City/State/ZIP:Tigard,OR 97224 5 Garage/carport area: 7 r C) square feet 9 ii g Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: vv., --.1a 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.:242._ 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 1 New building area: square feet ll 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 Br(T�a-y SI - LLt •t. 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 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: - ,'1 t I c, 0 , 5+ 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 ��,�/ ,�tom- Total fee due upon application: $201.60 Authorized signature:l���(r';l'r'"_"-�" 1 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) t Mechanical Permit Application 1()R OI 1 1( 1. 1 q t)v I.1 City of Tigard RECEIVE Received 6� Tigard Date By. Permit No 51 �Jn/(i * 13125 SW Hall Blvd..'Tigard.OR 97223 Plan Revie�+ , �L' • 1 Phone: 503.718.2439 Fax: 503.598.196(1 18 200 Other Permit, DaRe I 1,, , t) Inspection Line: 503.639.4175 QP bete Read)By: Juns ®See Page 2 for Internet: www.tigard-or goy CIT' OF TIGAR0 Notified/Method: Supplemental Information Nl.DING niV1SI TYPE OF W C01tl1HERCIAL PEE• SCHE1t EZ - USE CNECKLiST Mechanical permit fees*are based on the value of the work ►i4 New construction 0 Additionialteration/replacement performed.indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials.equipment.labor.overhead.and profit. Value:S CATEGORY OF i ONNTRUCT10N RESiDEN77AL EQUIPMENT!SYSTEMS FEES* IN:l-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist I I Multi-family 0 Master builder 0 Other: Description Qty. Ea, _ Total JOB SITE iNFORMATION AND LOCATION irc AHeating/iti aline: 1e' Ar conditioning I 46.75 Job site address 'SW \ 1 15 S-t-- Furnace 100.000 BTU(duets/vents) ( 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+B'IU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: R,uete Tex' "Eats. - 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 OSubdivision: Lot no.: Z ther: 23.321dPr1��2Jrrfx[ f" 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(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent • 23.32 ® PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Ps D V L nine, ftD 1d 1 tvs i ui Range hood/other kitchen `� 1, -,�� equipment 33.39 Address: 1 Io®o E D ou�'1@P."1Y•eP✓r-U_ Wl ka,s3 1_C\ Clothes dryer exhaust 1 33.39 City/State/ZIP: S.Aksd P ,Ip 2_ l l SB Single-duct exhaust(bathrooms, 4 r t L toilet compartments,utility rooms) 23.32 Phone:(D02:- 1.1--TCJ. Fax:( ) Attic/crawlspace fans 23.32 ' APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Polygon WLH,LLCFuel piping: $14.15 for first four$4.03 for each additional Contact name: 0 I c1 IoVeiThO e Furnace,etc. Address:1D? BWOfd u,.'y 'l suAlt, cto Gas heat pump Wall/suspended/unit heater City/State/ZiP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace ( Ranee t E-mail: ' _ Barbecue t Clothes dryer(gas) Business name:Apex Air LLC Other: ,,. >,NL*,. W_t Fid Address:18004 NE 72 d 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 ISO days after it has been accepted as complete. Authorized signature: • Fee methodology set by Tri-County Building industry Service Board Print name: 1 Date: �j•it./t,.. 1%SolidinePermits'Mt'C PermitApp 040113.doe .40-4617r(1 t'0'JCOMA4En) t - - s,--.==<,...A-A.e.11ruuo.auuuurua tie— Y ED .. x.y,--..s'`7- A,8 e,;� ,� Q� ;. City tAc--• ,'.-FT �4.�m. rY °�•c2a---, �4.. : i -e"v '. Clity of Tigard or— Received �� ® � . *741. [ Date/By: Permit ii: S/t 13125 SGV Hall Blvd:,Tigard,OR 972232018Dan Review Phone: 503.718.2439 Fax: 503.598.1960A PR 1 8 Date/By; Related Permit N: i Inspection Line: 503.639.4175 �- !'�.p ReadyDate/By: 1 ll See Page2 for TIGARD Internet: www.tigald-or,goV of t luPt iD ohfied/Met[to Jars. mental Information ti toSIO El N d• ryY Supplemental L! 1 n PP MENVE- mels,cit ,.... :.... . :..... :. . . .... ....... : .....:.: .. . . .. 1::i...7!:: 400R1.',kIlv;w :w'1' vm1:m:R ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans tv/items checked): ❑Demolition Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the availabletaultcucurrent ❑varinasandbo afya rdsz ::rr ; s : ,>;. TcOR,Y-OFCNR: C.TION- , _;, ; : :-; ;,:: ,:: exceeds 10,000amps at156volts or 0 Floating buildings © 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural 0 amps for all other installations. buildings. Multi-family - 0 Master builder ❑Other: :ire pump. ❑Installation of 150 KVA or .:,,:.::-: :.... ........::.::JOB<.ITG _ . '.'.: ::..... ... . ... .. .. �.,.,.,, ,INh;OR14?jA�'IQ1rI>A'rID.:IOL'ATIO1Y.:z.:, i''::r:'�::'"'.`';'i)` ' '; ❑Erttcrgencysystem. larger separately derived Job#: Job site address: �( �}�c El Addition of new motor load of system. ,.�d€03 1 .3 W f j(.,G� .S� 10011P or more. ❑ `A»,'0 ,`1_2',`1.3, City/State/ZIP:Tigard,OR 97224 /64,—'J� V occupancy, ❑Six or more residential units. ❑Health-care facilities, DRecre:tioua vehicle parks. Suite/bldg./apt.#: Project name: V u#M -1-..try act Eao.... ❑Hazardous locations. ❑Supply voltage for more than 0 Service or feeder 600 amps or more, 600 volts nominal. Cross street/directions to job site: Description I'Qty. I Each f Total I a New residential single-or multi-family dwelling unit. Subdivision: V,Weisr 'Tehrate_. g I Lot#1,47„. Includes attached garage. Tax map/parcel i#: 1,000 sq.ft.or less 168.54 4 .. Ba.add'l 500 sq,It or portion 33,92 1 : :,. CRIPT1ON:>:OF WOIY •..:.,,.:,.-•.::::::..:::..__�-:-:::�;i:;:.:�:.�:>-AFe$:..-.:......::��.�_.:...:_. ...,;_,:-.K .':`::r;:' ::' :;'`;...''::.•.:. ::, :'c• Limited energy,residential (with above sq.ft) 773553:009002 5.00 2 Limited energy,multi-family 75,00 2 residential(with above sq.It.) Renewable Energyn0101T > ; . Services or feeders installation,al❑teraSteoe nPned2 or relocationName:, w La�w200 amps or less 1 100.70 2 Address: 20I amps to 400 amps 133.56 2 '/ 1.t.4 1 L'_ t A P ' —.1 401 amps to 600 amps 200-34 City/State/ZIP: `C a '52.5(3 601 amps to 1,000 amps 301.04 22 Phone: 01—Log(_, �Q3' 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 less59.36 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 m - . AE G T <._...:...:: -� --:-.. , ... . ..: _,.:.. - _ . .- ::.,... AIrFaeneclftorCibrrCaUniclSc - circtli sp newt;alitthetatian or extension,per panel Business name:Polygon WLH,LLC above service or feeder fee, 7A2 9 �} each branch circuit Contact name; Av\c)V1 . A1rr l B.Fee for branch circuits without Address: 1 VCservice or feeder fee,first letWak) S"f 5L1�'�� � branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 J Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 + Fax::(360)693-4442 Each manufactured or modular Email: Ono k-11/va A t1 dwelling,service and/or feeder 67'84 • 2 S .0 YY Reconnect only 67.84 2 i is,i:; :.yds` - :C ..Mh.._ ., r....�J._._.�.�-3t'._1-..�r:--...s.Y._ ry ,,.::e.r..---o�:,.-..r ..r.. ... ._ - '�. d ,...,,- ..,�_..-. . . . .,.... ,. - 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 Signal circuit(s)or limited-energy a 0 See Page 2 2 panel,alteration,or extension. g 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 bruin) 90.00/hr Email:bdaniels@gweusa.cotu Industrial plant(l hr min) 78.18/hr Inspections for which no fee is CCB Lie.: C11S8 Electrical Lie.: 208174 I Suprv.Lie,; 4496S specifically listed CA In min) 90.00/hr kt.e1 RNLI_ :;.I i:. i s _:` <` t s Suprv.Electrician signature,required: / ... Subtotal: Print name: Joan P Albert • I Date: ©Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: .0010.,-----------•= �- TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within ISO Print name: Bill Daniels Date: clays after itbas been accepted as complete. * Number of inspections allowed per permit. I:18uildingTermits\EGC_PwmitApp_ELR EPEdoc Rev 06/17/2015 440-46I5T(11/05/Co14/wEa t Plumbing Permit Application �� Building Fixtures REG City of Tigard a 20� Received Permit No _ 9 'J �s r��R 1 O DateBy: �,,, zel f� G' .'.` " 13125 SW Hall Blvd.,Tigard,OR 97223 �' Phone: 503.718.2439 Fax: 503.598.1960 -�/ of l',�`, 0 Revrew Other Permit No.: T 1 G A R D Inspection Line: 503.639.4175 (-��` ' NO f1w dyBy; Juris: 61 See Page 2 for Internet: www.tigard-or.gov 31 3, tJ Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New I-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 0 Master builder 0 Other. Fire sprinkler( sq.ft.) Page 2 /66,�f,•$ JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:I4 stik 13),W??jS O' 3 .S'1 - Catch basin or area drain 18.76 J Dryweli,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: \V trace 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 1,JPir Te �.e,-106,-1- Lot no.:2-k--L...._ Fixture or item: Tax map/parcel no.: Backflow preventer i 31.27 DESCRIPTION OF WORK Backwater valve I 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROPSRT'Y OWNER I 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fizture/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 >`®:APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: 1)01y 0n1ti � 4 Medical gas(value:$ ) Page 2 ` Primer 12.51 N Contact name: IJV L .{O).p, Roof drain(commercial) 12.51 Address: t b3 ( Oci6 (A)dal)) 5i-- C r �Q,s,1) Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 4 v Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 U al 25.02 E-mail:.`,GnO te. T C� VcAl 'j(' (' k1,(Y` Water closett 25.02 1 �+ CGTOR � � Water heater 37.52 Business name: Gd-rt i IL,Vwb ice, 4O :LAL- V Water piping/DW 56.29 Address: p.O. g-Ox, G(� Other: 25.02 City/State/ZIP: 5T. e4.414 0-rt, f1(31 Subtotal Phone:($b3.-a�"" 1411 Fax:(Gil V.w"'%%,r.4 "TOMinimum permit fee: 572.50 Plan review (25%of permit fee) CCB Lic.: 1 a,, Plumbing Lie.no.pb kati State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE -1 t_ This permit application expires if a permit is not obtained within 180 days Print name: �'t '� �D tA?'k Pte._ Dater-3bIO after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building'Permits1PLMU-PeraitApp.doc 10/01/09 440.4616T(t0/t/COM/WEB) t City of Tigard N. _ ,C COMMUNITY DEVELOPMENT DEPARTMENT T RD Building Kermit Review — Residential Building Permit #: InS\a `k_ R a Site Address: t L't p1 S Sw e►rA o‘ril 5firect' Project Name: pawe,r T -rreAc-e -E,,is�_ ND-2 Lot #: 242 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: New ,Ii Verify site address/suite#exists and active in permit system. Q. River Terrace Neighborhood: 0 No a--Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan TWExisting structures on site }Site plan must be on 8-1/2"x 11"or 11 x 17"paper kootprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations S12North arrow tility locations&easements(required for new and additions) ite address,project or subdivision name and lot number Sidewalk/driveway approach R " pplicant information(name and phone number) ( / 1,Z0 •t dimensions and building setback dimensions ocation of wells/septic systems 1 21 quare footage of buildings to be demolished protection measures retained with drip line,and tree Xot area,building coverage area,percentage of coverage and Street tree size,type and location impervious 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? IFRYFrglINo 4 foot differential) If yes,is a storm water quaky facility40) ;N: bill Q._JNo ,Er.Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified PP ta No Received: ❑ Yes 0 No Public Facilities Improvement(PFI)Permit: Required: 0 Yes,applicant was notifiedNo Applied For: 0 Yes 0 No,stop intake .Ir Land Use Case#: PDP-2.91e lQ _LODO"� ,t,'Zoning: 1/14-5 112-1 � I)) la Required Setbacks: Front 6Rear 10 Side 3 Street Side �! - Garage Zp1 N—Landscape Requirement: 1O % Lot Coverage Maximum: S'p 0 Building Height: Maximum He' htM N(1 Actual Height Visual Clearance ASensitive Lands: 0 Yes /6 No Type Urban Forestry Plan toConditions "Met"prior t9 issuance of building permit c otes: tfiCf {ttlW\ W- I II /4- '11,14- ki'll-i i t‘lij 11,-4- il:c k.1,1 '64-1, r;?,',i 15;1-Approved By Planning: Date: 10 1 1D 11$ Revisions (after Building Submittal only) Reviewer Revision 1: 0 Approved 0 Not Approved Date Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: L \C<VS Site Plans: # Building Plans: # Building Permit#: Er Enter building permit#above. Workflow Routing: Er Planning Er Engineering Er Permit Coordinator R Building Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: a Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. IL;r Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: * Cy Date: � �,� � ' � N� ; Engineering Review ,...2. 76 lope at building pad: ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes -No Assess Water Quantity Fee in-lieu: 0 Yes (i 1 No LIDA Facility on lot: 0 Yes `CJ No 'Final Plat Recorded: Date: ❑ NOT Approved by Engineering: : Notes: ( PCt T -`K,}'L' C�,/IOU-4'4Z C4 C., PI-A--t-3 D3( /v 4 bD ( 4' Approved by Engineering: yLG d��cti W Date: i4i OS Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review aonditions"Met"prior to issuance of building permit E2(Approved,NOT Released: Date: 10(18 I I 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: KSDC Fees Entered: Wash Co Trans Dev Tax: Ej Yes 0 N/A Tigard Trans SDC: X Yes 0 N/A Parks SDC: Yes 0 N/A LIDA EYes h N/A K to Issue Permit �/� 9 Approved by Permit Coordinator: Date: I:\BuildingWorms\BldgPermitRvw_RES_010118.docx City of Tigard IN ■ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: .5@, Site Address: t1?(0l5 sW rd&w'1 S1rc Project Name: 'RWei( -1 1(YOte- EM- NO. 2,- Lot #: 24.42 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.0701): Is the project subject to the plan district design standards?X_Yes El 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 ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer (15 ❑ Cl ❑ El 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: 13.4(10 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street- facing wallarallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch:C .Yes ❑ No If yes,all the following apply: x'25 sq.ft.min. 4MOne street facing entry 12 ft.max.roof above floor of porch (=a'5 ft. depth min. cSk 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: cYCovered 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 ❑ Dormer min.4 ft.wide Roof eave min. 12 inch projection Roof offset min. of 2 ft. El Roof shingles either tile or wood 42 Gable,hip or gambrel roof design El 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 wall.,14 Yes ❑ 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) El 12-foot-wide garage door ❑ 40%max. of street facade K50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: # V t Date: 40( 10 I:\Butldmg\Forms\B1dgPermitRvw_RES_RT_121417.docx Electrical Permit Application RECEIVED FOR OFFICE USE ONLY City of Tigard J U N 2 8 2019 Received. Date/B : Permit i!: (seels - R t� q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • :111 C Phone: 503.718.2439 Fax: 503.598.1960C1TY OF TIGARD Date/B : Related Permit q: TIGARD Inspection Line: 503.639.4175 Date/B y: Internet: www.tigard-or.gov BUILDING DIVISION Ready dyd/Method: Supplemental Information TYPE OF,WORKPLAN REVIEW ®New construction 0 Addition/alteration/replacem 'k , -.'' ‘..c-•"`�''�4 Please check all that apply(submit sets of plans w/items checked): ' ��� 0 Service or feeder 400 amps or more 0 Building over three stories, 0 Demolition 0 Other: �i i �,-- where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION ,,,--'"J exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial to ground,or exceeds 14,000 0 Commercial-use industrial ❑Accessory buildingagricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION.AND,LOCATION. 0 Emergency system. larger separately derived rO_�� ❑Addition of new motor load of system. Job#: Job site address: ( 13%Q.,p Estm_61 SE 100HP or more. ❑~A","E "l-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 4 2_ 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 Z Lot#: Z Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK_ Limited energy,residential 75.00 2 Change contractor on MST U tl .'Co7.. Z. (with above sqft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) 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 0 APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Polygon WLH,LLC above service or feeder fee, each branch circuit 7.43 2 Contact name:Tonja Morris B.Fee for branch circuits without Address:703 Broadway St,Ste.510 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'!branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax: :(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: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 Signal circuit(s)or limited-energy Address:3415 NE 44th Ave. panel,alteration,or extension. 0 See Page 2 2 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 CCB Lic.: 199188 Electrical Lic.: c923 1 Sutrv.Lic.: 4871/% specifically listed(h hr min) _ 90.00!hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Aiffileiggfirir 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: Hca k A?ao� 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. City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16675 SW BIRDSONG ST, BEAVERTON, August 26, 2019 at OR, 97007 10:03:23 AM Record Type: Record ID: Residential - Master Permit MST2018-00282 Inspection Type: Inspector: 399 Plumbing final Jeremy Burrows Result: PASS Comments: Note: water pressure 50 psi. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16675 SW BIRDSONG ST, BEAVERTON, August 26, 2019 at OR, 97007 10:03:36 AM Record Type: Record ID: Residential - Master Permit MST2018-00282 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: AC installed. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16675 SW BIRDSONG ST, BEAVERTON, August 26, 2019 at OR, 97007 10:03:30 AM Record Type: Record ID: Residential - Master Permit MST2018-00282 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: AC installed. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16675 SW BIRDSONG ST, BEAVERTON, August 27, 2019 at OR, 97007 9:18:23 AM Record Type: Record ID: Residential - Master Permit MST2018-00282 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