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Permit (169)
IN . ,, CITY OF TIGARD MASTER PERMIT 3� r1 IS COMMUNITY DEVELOPMENT Permit#: MST2019-00082 T1 GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/16/2019 Parcel: 2S 106 DA 17800 Jurisdiction: Tigard Site address: 16704 SW BIRDSONG ST Subdivision: RIVER TERRACE EAST 2 Lot: 217 Project: River Terrace East No. 2, Lot 217 Project Description: New SF. 5/14/19: REPRINT to add 111 sf deck. 9/30/2019: REPRINT permit to increase deck to a total of 240 sq ft. 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: $270,039.10 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 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: 3 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 Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2078 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $34,457.78 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 95 001-0090. 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: OA/ y- /0L 1(-ef%7c). 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. III City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review -- Residential 1 I :. 11: 1, Building Permit#: 1�- - �1 .. Site Address: 16 304 S V✓ rL' S{-. Project Name: f id(r iterate E AS *2_ Lot#: 217 (New dwelling=subd'ivisinn name;Addition or Altsxat o=last name of owner) Planning Review gI IicifIevtS 1114+7i (an -,o ckctd &% Proposal: U tJ r K VCerify site address/suite#exists and active in permit rtem. omer Terrace Neighborhood: ❑ No Mr; Yes,See River Tuan Replay Attached Site ' Elements: •, (3)copies of site plan ' ting structures on site P .plan must law on 8-1/2"x 11"or 11 x 17"paper ootpnnt of new structure(including decks)with finished rien to scale(standard architect or esngineer scale) .• elevations arrow FP - .:1 .locations&easements(required for new and additions) 5'. . s,project or subdivision name and lot number Pi Sidewalk/driveway approach a:.„plicant information(name and prone number) canon of wells/septic systems IF •1:dimensions and build ng setback dimensions ' ting teres to be retained with drip line,and tree LSquate footage of buildings to be demolishedp�btecdon measures ptot area,building coverage area,percentage of coverage and a/S t tree size,type and location =ous area(applicable if R-7,R-12,R-25&R-40) P treet names l corner elevations(2 foot contour lines if more than >1,000 sf of impervious area mated or replaced? Yes ONo 4 foot differentia)) If yes,is a storm water quality facility shown? dNo Clean Water Services—Service Provider Letter/(rot platted prior to 9/10/1995): LI Afritdtvi 0 Yes,applicant was notified aiNo Received: 0 Yea 0 No i 1lig Public Facill'ties�ruprovement(PR)Porn*. D'Yes,applicant was notified 0 No Applied Foe. Yes 0 No,stop intake Illg „d Use Case#: eD f Z 2016- 000071., `1.5 P -cp. .. .,ed Setbacks: Fr t Vir Rear (0 Side 3 Street Side Garage 24P ,dscape Requirement: Zo (2,Lot Coverage Maximum: 0 % U Building Height Maximum Height IJ Actual Height 2,g anvil Clearance �� Sensitive Lancia: 0 Yes tld No Type r Urban Forestry Plan Conditions"Met"prior to issuance of b permit 0 Ed Approved By Planning: „SiatmAAL Cserit, Date: 3-12_1i Revisions(after Building Submittal only) Reviewer , Da Revision 1: Approved 0 Not Approved -> 1 2-? (. Revision 2: 0 Approved 0 Not Approved �, Revision 3: 0 Approved 0 Not Approved �^ L•1BuildiagkFasmstBldgPennidtvw_RES 061417.doax Building Permit Submittal Original Submittal Date Site Plans: # 3 Bualding Plans: # _ Building Permit#: I Enter building permit#above. Workflow Routing: D/Planning GI/Engineering D/Peanit Coordinator CVBnilaing Workflow Sign-off: ['Sign-off for Planning(include notes from planning review) Route Application Documents: Br 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: 'L ,� .� __---___--- Date: 1 1sC\ Engineering Review g 9 Slope at building pad O ,'Conditions"Met"prior to issuance of building permit 0 Easements(encroachments)per engineering conditions of approval and plat .cktrater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes a No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot 0 Yes Cr No .2 Final Plat Recorded: ❑ NOT Approved by Engineering. -- Date: Notes: .,aApproved by Engineering: Date: 11 Revisions(after Building Submittal only) Date Revision 1: O'Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved —. Revision 3; ❑ Approved 0 Not Approved c. ,,.,.,..:w.... E --- ._..�.�_..�..... _...:.-......... -.,.. _:: .-_.. -----a:-rr-r•c u::.sp y-.n a_a ..y ..'a�a+ a.0 Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building pemnit — - 0 Approved,NOT Released: Date: - Notes: Revisions(after Building Submittal only) Revision Notice 1: Date Seat to Applicant Revision Notice 2: Date Sent to Applicant �— - Notice 3: Date Sent to Applicant -- —_--__—�- • SDC Fees Entered: Wash Co Trans Dev Tax: >i'Yes 0 N/A Tigard Trans SDC: Eryes 0 N/A Parks SDC: PCT Yes 0 A LIDA 0 Yes td N/A I K to Issue Permit '/ 2 f Approved by Permit Coordinator. ,� /"� Date: 3/'<'/) -- [: mom 1dgPa RES otous.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 II 4 Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED SEP 23 2019 FROM: 1y NVNiisiLS CITY OF TIGARD BUILDING DIVISION COMPANY: RO W. Q PHONE: Ok`D- sz-D By':SyT RE: 1lo'l04- 5k) �kQ-DSOVtiZi SL MST 201 -OOD 2 (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. )( Revisions: '-o, c�i ' - Cross section(s) and details. / Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): �'�y REMARKS OA.S�b ` W\-.Lo.i'1 #3IALLE-r1 Ns en-- 51 s M A -c-76-/u 4 iiirppoo) r GA kf,AL„ 0110 7:11 FO O FICE USE ONLY "trt4A-t-IL Routed to Pe it Technician: Date: 9 Z� ( '1 Initials: Fees Due: Yes ❑ No Fee Desc pti n: Amount Due: $ X12 C (t c-,c t t._w $ 4S- o� $ $ Special 7`0 7? _ fit.e Ili 7 57, 7 7 Instructions: Reprint Permit (per PE): tYes ❑ No 5'one Applicant Notified: � 7} ndr? ---- ate: ? f3 , 9 ' Initial d 27d a39 r re, I:\Building\Forms\TransmittalLetter-Revisions 061316.doc iiiiCITY OF TIGARD MASTER PERMIT a~ COMMUNITY DEVELOPMENT Permit#: MST2019-00082 Date Issued: 04/16/2019 T I C;A R 0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 '..,4 Parcel: 2S106DA17800 v, �' / 1 Jurisdiction: Tigard Site address: 16704 SW BIRDSONG ST Subdivision: RIVER TERRACE EAST 2 Lot: 217 Project: River Terrace East No.2, Lot 217 Project Description: New SF. 5/14/19: REPRINT to add 111 sf deck. 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: $266,956.00 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: 3 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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) 109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $34,180.15 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 952-001-0090. You may obtain a cop of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �^,�� � Permittee Signature: C J� �/G�� � Call 503.639.4175 by 7:00 a.m.for the next available inspection date. L�/ 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 otitis time of each Inspection. Building Permit Application ...........-............ ........ Residential FOR OFFICE USE ONLY "' Received IIIIICity of Tigard DateB : V 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B Permit No.:: Other Permit: TI G A K D Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information 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 0 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 ❑Commercial/industrial Valuation: $ 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOBSITE INFORMATION AND LOCATIONTotal number of floors: Job site address: ,ly'L DL .5k),..) k Q,Q SO r\6 a New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:River Terrace East#2 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace East#2 Lot no.: 2.1 i Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the NAA -DESCRIPTION .r'�OAFWORK /yam work indicated on this application. t"1AA ' 'v 20( `'000(i Z' Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER "{] TENANT Number of stories: Name:Polygon WLH,LLC Type of construction: Address:703 Broadway St,Ste.510 Occupancy groups: City/State/ZIP:Vancouver WA 98660 Existing: Phone:(360)695-7700 Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH,LLC Meese rq'ertofeeschedule) Structural plan review fee(or deposit): Contact name:Tonja Morris FLS plan review fee(if applicable): Address:703 Broadway St,Ste.510 City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount received: E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR z rooftop 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:703 Broadway St.,Ste.510 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 CCB lic.:207247 1 State surcharge(12%of permit fee): $21.60 • Total fee due upon application: $201.60 Authorized signature: ,4' fib 411. This permit application expires if a permit is not obtained within 180 da s after it Iv s I 1 : . i "1 :s - - !►C Print name:Tonja Morris Date:04/26/19 *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) City of Tigard ill COMMUNITY DEVELOPMENT DEPART14BNT UPI 1 {: (1 Building Permit Review --- Residential Building Permit#: p(-\ --r-,- -c,p.._ W; � - - Site Address: 16304 S/ eirlt;. 4. Project Name: Ridtr 1ttrAct East- *2. Lot#: 217-- (New doodling=subdivision name;Addition or Alteration=last name of owner) Planning Review ' y� t5 g 1 tg Proposal: N cent �l�l\ z\Asko,v, Qc 1»V'c t IBJ' -k< 4eñir site address/suite#exists and active in permiitt raiRver Terrace Neighborhood 0 No [H Yes,See River Tonne Review,Addendwn Attached Site ' ' Elements ,, ' 1,. _ (3)copies of site plan L'1,...L. ting structures on site r, plan rent]IG on 8-1/2"x 11"or 11 x 17"paper nootprint of new structure(including decks)with fmisbed e • • • to scale(stsesdard architect or engineer scale) ; elevations E►% • . .. arrow ed . A ' locations&easements(required for new and additions) tr , • . •,project or subdivision name and lot number mi SidewalkWdriveway approach El..•pkcent information(name and phone number) "1,4, tion of wells/septic systems IF . ins end building setback dimensions L : ting tow to be retained with drip line,and tree 1(444Squate footage of buildings to be demolished eaeasu res of area,budding coverage area,percentage of coverage andS - tree size,type and location area(applicable if R-7,A 12,R 25&R-40) ‘71,000— t mazes VC Props scorner elevations(2 foot contour hoes if more than sf of impervious area aeeated or seplsaed' LJYes❑No 4 foot differential) If is s stoma water •, �, fuili shown? ❑ s,'► 0 iv Clean Water Services—Service Provider Lerte of platted prior to 9/10/1995): L 4pwcd told Wiled: 0 Yes,applicant was notified WNo Received: 0 Yes 0 No 1s'w`i lift Lkf Public Facilitties�provement(PFI)Permit: / .,-•' 6a'Yes,applicant was notified 0 No Applied Poe U Yes 0 No,stop intake r d Use Case#: W122016- 0000 7- -y.5 Pk _. . .. Setbu lea: t 12,/7 Rear 10 Side 3 Street Side ' Garage 2-0 res . . cape Requirement Zo % it lot Coverage Maximum: W % 1a ceding Height Maximum Height PA- Actual Height 2. tsuat Clearance CV Sensitive Lands: 0 Yes VNo Type Urban Forestry Plan Conditions twee prior to issuance of building permit -- __ .. vb,.it fns pre%Ii" .3s-r:,nit Ed Approved By Planning. Date: 3-12-H Revisions(after B,, ,'ng Submittal only) 'eweriejtDate Revision 1: �. Approved ❑ Not Approved _ _..._.._.. [. `, .. ,_.._._..., 5yK.:. i_.. Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved L1Bu> lnums\BleePsrmdlRvw RES 061417.6oz Building Permit Submittal original Submittal Date: k‘.1.1\q Site Plans: # . Building Permit#: 13/Enter building permit#above. Workflow Routing Q/planning (BE ng 13/Permit Coordinator Q"Bnilding Workflow Sign-off: 2/Sign-off for Planning(include notes from planning review) Route Application Documents: l9' (1)copy of permit application,(1)site plan,(1)building plan and original plan review routing form. 9 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 4 - �.___ _ - ___ I.,te: �� i� Engineering Review e 90 Z ''b 'e. -- fz - ..2"SloPe at building pad: ,.-Condition"Met"prior to issuance of . ;t, ,• ❑ Easements(encroachments)per engineering conditions o , , , - i ,, , .1;4Vater Quality/Quantity Facility: Assess Water Quality Fee in lieu: 0 Yes a No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot 0 Yes la-No ,O'Final Plat Recorded: ❑ NOT Approved by Engineering: Date: - Notes: -2rApproved by Engineering: 4., Date: 3 er Revisions(after Building Submittal only) Reviewer Wte.—Z Revision 1: ,OrAppraved 0 Not Approved 't// 4}- Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review O Conditions"Met"prior to issuance of ling permit O Approved,NOT Released: _.. Date: Notes: Revisions(after Building Submittal only) Revision Notice 1: Date Sent to Applicant Revision Notice 2: Date Sent to Applicant Notice 3: Date Sent to Applicant �/ vision . SDC Fees Entered: Wash Co Trans Dev Tar eyes 0 N/A Tigard Trans SDC: I ' 0 N/A Parks SDG Or Yes 0 /A LIDA 0 Yes t2"N/A K to Issue Permit Approved by Permit Coordinator. Date: 3/wh I MiluadineFormslifidgParmitRywjUIS0101111Alocx 41--- S-114/ 19 .F.4CITY OF TIGARD MASTER PERMIT a COMMUNITY DEVELOPMENT Permit#: MST2019-00082 13125 SW Hall Blvd.,Ti Date Issued: 04/16/2019 Tt[; +�1� and OR 97223 503.718.2439. a 9 Parcel: 2S106DA17800 Jurisdiction: Tigard Site address: 16704 SW BIRDSONG ST Subdivision: RIVER TERRACE EAST 2 Lot: 217 Project: River Terrace East No.2, Lot 217 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 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: 3 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 Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2078 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $34,116.32 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued B : ~ 3 c' Y Permittee Signature: C�/f/ l7�/ �/�' .,>-',?).,(// 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. ( 0� Building Permit Application � ' Residential RECEIv FOR OFFICE USE ONLY City of Tigard l v y EV '� 13125SWHallBlvdTiardOR972R 12 201 Review 3/� �� �4 '� (_ " Phone: 503.718.2439 Fax: 503.598. ��bb 2 Q Other Permi. ��tt��y tt�� -p Date/By: 3 L { jvciT s V q-�4 TIGARD Inspection Line: 503.639.4175 CITY tf HT1 LJ Date ReadyBy: Juris: El SeePage2for Internet: www.tigard-or.gov Notified/Method: Supplemental Information BUILDING DIVISION , `� ��>� /�Dc yC�,f - 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. dwelling 0 Commercial/industrial Valuation: (14 / 303 ® 1-and 2-family $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: ?j JOB SITE INFORMATION AND LOCATION Total number of floors:2, P2%-1 LZ Job site address: I 1010 L.1 VYV 1 IrV/ J I[� /I( (' New dwelling area: D'i g square feet l I 30 City/State/ZIP: 0 ` Garage/carport area: 3pb square feet ci$ Suite/bldg./apt.no.: Project name: ziI I Vor"(-eyYo.(;e_qa*kb Z Covered porch area:(.0 0� square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRE!)DATA:COMMERCIAL-USE CHECKLIST Subdivision: v_ivef „ 'A(y V` -t- 4'2 Lot no.: 111 Permit fees*are based on the value of the work performed. Tax map/parcel no.: C r Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. News f Valuation: $ Existing building area: square feet New building area: square feet El PROPERTY OWNER 0 TENANT Number of stories: Name:Polygon WLH LLC Type of construction: Address:703 Broadway Street Ste 510 Occupancy groups: • City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695-7700 Fax:(360)693-4442 New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMiT FEES* Business name:Polygon WLH LLC (Please referto fceschedule) Structural plan review fee(or deposit): Contact name:Amanda Gavin Address:703 Broadway St.Ste 510 FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::(360)693-4442 Amount received: E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of 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:703 Broadway St.Ste 510 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 CCB lic.:2072474 State surcharge(12%of permit fee): $21.60 Total fee due upon application: $201.60 Authorized signature: t -------' This permit application expires if a permit is not obtained I within 180 days after it has been accepted as complete. Print name:Amanda Gavin Date: I 1 i ri *Fee methodology set by Tri-County Building Industry ( Service Board. I:\Building\Permits\BBUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COMIWEB) GENED Mechanical Permit'AppheatiE • .j1i,4X!4;r1.4444.101-1: 1P7',,7,,JUL.-S.;:ettiC177. 1.t.7-L;24-;f61,- 17«..Z.;V.4, 17-45.1-:t R=TVCd 8 2°19 D...s P'jmiI14914.1 7:7-et?-000/1,77.... ilie"- 4 :rib--SW 1-11111 i31141.,rkc.a.td,OR 97223 Man Review Otha Perell ;,r.•- .-.:,, Phouz '503.7182439 Fa...-. 503.59i3. TY CSF Ti GARD impection Linn: 5-03.439.41.75 Duie Reae,yrily: ---, .r.,...•44,-.,•rii• in4.=,* www.tinagl-nr.gov " I NG DIVISION BUILDI 14w-.E.i..1,4,,thm: : Suppletnental Infonsatioa — 'IrdttiFtk:2-bi--:CLAV:3..r.t•'eSttitattrt. i.Cit.tCKM- :X::t----?•4W71F-T-;:;:fi:::':94747470,73:-.1870;.4.0.gWiggZ7i.:.F4L17: ;1-• :?; L''''''•-- -- " '- • "- .—• --- ."•• --' '' — • -• '••'• • -: -':'-•—•': '- -'''''' — -.—.,,,,,- -' -— '.. . holmilanical permit feW are based on the value of the wort:. El.New coostrethon. U MdMonfagetaikaittlepIacertient *formed.Wilt:ate the Talar OotodetiP the ntareA dollen°fall ID Demolition 0 Other: . trtechaniltanterials.-equipmcat,lu.bp.rerhead„=id pk-,.5r. • Value:S '--'"I''-i-,t'-•-7....';'-"''''''''-'•-7,-c,-----P'CKiEGORIr`..OFICON.`S'71311.30:10N---itr.-+ :1.;---,'4‘7-.,:---:*1.-- c.--; ..._,--z-.44-ritityttik7,,titiffebya.--- ,fig$,,i7-,:•, '..-.' and 2-fart0y, dazifires ip Commeorci6IPtin'striti fl Aco=ory btaarzsg Par specitt.I irzfrinharitur ase eireckast. : 'Multi-bray 0 Itlasaci bider 0 MCC DesotAien I Qtly,. 1 •Fcm_. I Total , . , :17.tt="74:17. :4'Ci.3411::0:11.7W-.****1-A-41A0Mi) Wi7:--:j7•7 :t-•: :2'':: Air ;. . . I Jab sk Wars'. t ki 1 DiASUD,,,R)),9-bcaotOel 5-r 1 F.,..1•001100 BTU trlsosivtatii 1 4617$ • • i CitYltal:7-1P:' e AlleAT0111, U112 onor1 .F..........BTU(dtelshentsl ' 54791 _ Ilea ourtIP 61.06 1 .. StitO4s1.&.....S pa.: PP:4ell'ntla4r:RIVER ieniact_E.0-- E, , Duct work 2.3- 1 Cress street/direct:ions to Fob 61.e: N,C01 9) . liAtopic Itea tram-system 23,32 I -1 . -- Residential boier twill-attic) 1 2:3.32 1,,letit hese=(fael-type,Put&zinc), 1 in-,rmatl.in-& t sit:rap:led,etc. 443,75 i -- I Fitmsvent for arrs of stio-tic • I , n.3-2. ; .,...07 - - • - - ' ' Other 5.11.bdilm:(' N kitx. -cet-rel.e.e. Eck..5 • Lot ma.: 21I _ Other fuel appratercs: T=lasalipapce4 DO.: llit 02W it=ter _ . , 23-32 I .. --.4,-- -!`,1.'?.1:':7:: -,;S :,.7.7f,F.:,:ii5:16ai.6,iiK,41,.!•:.:VAVt0::::-,W*L,.t:,'.;,..t:I.::. --:: Oes firepismimrt J 33.39 ',..;-'- ••'-•'-* --- - •'-'--:: '' - - '-- -" ""•r-1:- ' '•• ''' Flue-slant for scracr hmter•or . fireplace 2332 — \ Lop Water(gat) 23.32 . v - •- - • WoodWiet stave 33, 1 ,Wood Fatlibeellatsest , . I CinintneyAinerilluektut • • 23.32 1 , :,•:.:•7'.:' ii•:•4 :VL"::!:•;•- ?-ti••:,12::.1- 7.5... ;iti' F..t.r.:"'!: — ..Other , 2332 `'•:.1:-.':-.'•• '•'• 4-•'••'• :•--'-' ---:-''''•-' ''••7--:•t- "I''' - - •— "'4----:'•- • EirtirOUlatIttaf C*13514eSt Vrti rentErtiere , NaMf:: Pct)v I-- 144 nD It4 bi--I t 1,-1S t 14-C Range hood/other kitchen It ' mint-neat 11_?9, Md .1.tb0_.2E-b8.LIUV/Cire-e '- iriC.3ra .--ROQ A Cleentalirver-=harm- 33.'.31. ay/Slate/Z.1F: e.,C:•Ns#CStO4K4---t I17.-. S 7,---SS Sinele-dect exhaust(bathroom, I tric-t campartnienits,laity roMS) 7 23.31 ?bo am Lobl_ ccA.LA (-trybk •F4x4.( ) I Arrkicrasslsonons I 1 2332 •7..,-=.1.i.'.: i-ii,,f6.05-,,-..,-..,:,:, ,...Pti4;'N.f...e.CONTAct.ti_Eits6. 4...,,...,-,-;. , O9 - . . 1 I 23-.32 Furl phliap Beasiness ismne:.Pett--gua Wi._44 LLC - S34.15 fir first form S4.:03 for e4ch wiz/Mom:1 C'Mi rth2M. ArAaiv .6(2,c hxvutm . FT„,....,... 1 • 1 ...,-., --(Ds . Wallisraspearledipait hmter I l i CityiSme,-/ZIP:Vancouver,WA 98668 ' Waftrheater 1 0 Plzeor.(NJ)6%.'-'770t1 1 Far:PO)693-4442 Fireplace I ,, Ranee " E-malRe_r-ItYtirsu_kny;, -11.aks --olt30\or,Wm-es.eis rn 0 Barbecue 1 --v.--.7-;.----_,;,-7--.1.7'•-"",..5...il,7 . ' '''''' -- :-/1:_;;,:.,,..i.I.L-‘, 7'. '-' I = .1: z7_::.-'; ' i Cl%k-5 ArMrie4 I Oirrer: 1 I FAMintrSS n AM Air LLC 1117-T.;717-:!-T.,:• 4,-!'lliftnt, 5;-1` ,-C+,1.---,''.J;-:-!'1',. • Adi..- :MOD4 NE 12°Are Sul:aural I _, _ _... _ Cky/Ssrez• iaP-.Valsetarer,WA 9,8436 I . Minimum permit fw(1913,03) I Fiaprevicia(25%ofpcmit F ) I Me= 36 -Sl • I Fact.:(3$0)324-17e Szate surcharge()2%pfperptli lt;-el , . . _ ._ 1 cc 5c_-,20134 /..______ _ - TOTAL PERTATT FEE , Th prrtnil apptication ea,pizvirx permit is lief obixitted WIND ISO asp.after it tris istft=milted es enraple*- Ailitorl sitmantre; - - 4 p=rmeillakjes-smby Tti-Ctutety Mid*industry 4Favice Btaxd rl E E -Electrical Permit Amlicatio ; �o�aFcs> oly --14, City of Tigard APR 8 2019 Received Penult ...f T,ae'`9'_C1 cc10(-.. n [3125 SW Hall Blvd.,Tigard,OR 97223 �q Plan Review - 1t. Phone: 503.718.2439 Fax: 503.598.1 OF TIGARDRelated Permit d: Date/By: Inspection Line: 503.639.4175 end Date/By: Juni:: TIGARD Internet: www.tigard-or.gov Nealy ethod: See Page 2 for �'�®� � ���� Supplemental Information _ r Tk '- aF IUOIt l x �' Pr.2.n""Ii VB `�~- II ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition 0 Queer 0 Service or feeder 400 amps or more 0 Building over three stades. where the available fault current Marines and boatyards. 'A s- -C AZ'I✓Gf:Y-OE,C015`'IrIJCIi?�'z exceeds 10,000 amps at 150 volts or r❑Floating buildings. _ ..., -- : _.._. �-_,. ...-_.-.. -. .Lei Q El 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural 0 Minta-fam)1 amps for all other installations. buildings. y ❑Master builder ❑Other .. - 0 Fire pump. ❑Installation of 150 KVA orV , r..- :5 "- O,.R t 1AM: IQArL 0 Emergency system. larger separately derived Job#: Job site address:I(p 194 S 11J R�50 N ❑Addition of new motor toad of system. � ST,,� I OOHP or Wore. ❑"A","E","1-2","r3", City/State/ZIP: ,Q/8I enr}i(1 o /100 1 ❑Six ormore rzsidentialunits . occupancy. ,Cot \!ll y J ly Y 6 I V l� 1 ❑Health-e�z facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: 1/VT;v 1/'(A /a U/A (� 0 Hazardous locations. 0 Supply voltage for more than P V l l.0 l,V l--JrL_ 0 Service or feeder 600 amps or more 600 volts nominal. Cross street/directions to job site: � ,p/� r = U I VlVt _ 1,- _. g-AVMgULE Description l 01'. I_ Each i_ TOM) _ New residential single-or multi-family dwelling unit Subdivision: \yey- sir�.Ge,( c—' Lot#: 2. \ Includes attached garage. Tax map/parcel#: : - — 1,000 sq.ft or less t 168.54 4 (� y '/� /.� Ea.add'1500sq.ft or portion Z 33.92 1 y�_.G'.+1. -1{ +.-_.. =vF I] J T Q.t 76 Si` 4 - - _ ,.. ---- --� Limited energy,residential 75.00 2 (with above sq,ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft) T -Renewable Eneru ❑ See Page 21r _ PR"(E -fl1*-nl " , MLEN, - S Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 • Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 30I.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts I_ 55..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 Iess 59.36 I 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 . = . t __ 1 ... ;fl ('O'!,"I:A.C'lr_PIi2S02 h Branch circuits-new,alteration,or extension,per panel . _ �p ..._;.�•�'=•^".. A.Fee for branch circuits with Business name: pol V 1 1 O /� �Aj uk��� above service or feeder fee, 7.42 2 � &�I`I U lk y' • , each or branchacircuits without Address:110 Y V(tatuc/f/) cA7 c to service or feeder fee,first 56.18 2 v`i" ` t�tx branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2 &Trscellaneons(service or feeder not included) Phone:(360)695-7700 • ' ' Fax:•(360)693-4442 Each manufactured or modular 67.84 2dwelling,service and/or feeder pie Y WI,t V,1WW L-1+al TO{ OV DI AS11,( econnectonly 67.84I 2 s i _' CtlWt-fOR" ._. _ Z ` 4 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 ❑ See Page 2 2 Address:6101 NE St Johns Rd panel,alteration,or extension City/State/ZIP:Vancouver WA 9$661 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels@gweusa.com Industrial plant(1 hr min) I 78.15/hr Inspections for which no fee is CCB Lic.: C1158 Electrical Lie.: 208174 Suprv.Lica: 4496S specifically fisted(%hr min) 90.00/hr Suprv.Electrician signature,required: -' `� Subtotal: Print name: Joan P Albert •- Date: te•,\1..1 1 I 1 0 Plan Review Required(25%of permit fee): • �r^ ,.N, l 1 Statesurcharge(12%of permit fee): • Authorized signature; TOTAL PERMIT t'Eb.: This permit application expires if a permitis not obtained within 180 Print name: Bill Daniels Date: I 11( r days after it has been accepted as complete. 1 1 Number of inspections allowed per permit P. . ;'1Alluildin,.lp.,,mit\rr r e._:...__,, r• r,, „,,__n-.nu,,,nn,� . - ._.-- Plumbing Permit APplieati0 IV Building Fixtures TT-2Q1J '''''::i4;'..;':-.-i'..,'-',n'`, 1° V�}_ . ;' ss . - f. �_-- F':''':;:;:.::=7-7City€f Tigard Received r�m t x�. , lit!: ! v 13125 SW J aU.Rivti.,Tigard,OR 972?,'yry- r� �il� Date/By: - 47`j �G%f7�'c2 �p j ! Plan Review Phone: 503 718.2439 Fax 503.598.. !U :t - pthcrPermit.No: T1GADInspecttonLine: 503.639.4175 Re lIna.: f e Page 2 fa r .f,tRn Internet. Www.tigaid-or. ov e.6dSirhod: SnPp1e?aentuilaro rma5onOISI® 3Ilaa igti OF ORK r` : wA i;c*Ds[ E Far special infarmafion usecheckIst® \ew construction notion ❑Demolition Description I Qt}. I Ea. I Total • D Addition/alteration/replacement Other, New 1-2-family dwellings(includes 100 ft,for eachutility connection) : , TEGQRY OF CO1STRIIGT.ION SFR(1)bath 312.70 SFR(2)bath 437.78 ®1-and 2-family dwelling ❑Comznercial/indncrriai - SFR(3)bar'h 1 500.32 ❑Accessory building . ❑Multi-family Bach additional bsihliatchen 25_02 ❑Master builder ❑Other. Fire.spanklar( •s9.0-) Page2 JOB SITE.&id.*4T1:DIST A't1TD LOCAT.IOI� -:: Site utilities: Job site address: `1p"�(� f � - Catch basin or area drain 18.76 u_ 1 c5�(, e ST ` 1 '�l.leach line,or trench drain. 18.76 City/State/ZIP: - - Footing drain(no.linear ft:�) Page 2 Suite'bld J t.no.: Project name:' uP Project_,. �'t9-Qib' (/,,CQ, � Maunfacused home utilities 50.03 Cross street/directions to job site: V(/1,� Manholes 18:76 I Rain drain connector 18.76 Sanitary sewer(no,linear ft.:• Page 2 - ` , +� �,� � /�,q Storm sewer(no,linear It:_) Page 2 Wa\f,e V �"L!Y'Y OuX "W&f I27 Fixter eeorii.e(:, linear.ft: ) Pane 2 Subdivision:T' Lotno.: 4- �, F"tztvra or item; Tax maplpareel no.: BackElowpreventer 1 31.27 ti R . . Bckwater ire I 1 h ' ?ESC,],P�3�O: ,O- .9,— .._. ,_.. ... _ ,y. .. Clothes aa washeres 1.2_51 ,0? Dishwasher 25.02 = Drinking fountain 23.02 Ejectors/sump 25.02 • - N i of ":'-i !DYi.,ii .TEtpattsian nk 12.51 _...... ❑TENANT:.= �: Name:ADVL Laud Holdings,LLC F3zhirr/sewer cap 25.02 Floor drainifloorsink/bub : 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258. Bose.bib ( 25.02 phone:(602)69,4031 Fax:( ) Ice maker 12SI ~ APPI G -�Co i Interceptor/grease trap 25.02 Business name:' i7ow7 'o1 ,/t , w L� uW Medical gas(value 5 ) Page 2 Primer 1251 Contact name:.. Y . Roof drain(commercial) 12.51 Addres1 0-2D Vn�/A 1 �� ' C 7l1 J Ib Spk/basintlavatory 25.02 City/State/Z :Vancouver,WA 98660 Solar units(potable water) 6234 Phone:(360):695-77th} Fan::(3611)693-4442 Tub/showei/shower pan 1251 >r -1 VIA 1. tn 10 VI/i titn,l e)()D1 MOSON1. U�81 25. 2 wateroral c. - 25 0� - NIk) alar heater 3752 Business name: G j }\S,; , ---may Waterpipirrg/DWV 5629 Address: ).,fl f Op, r�.� Q Other. 25,02 City/State/ZIP: �y`r. P 8-in/1 art_ -t {(✓� Subtotal Phone:(3b3 .- tag • f'4ti v Fates:.(1+1,7 I)"" g,` .-fi? 1 Maim=permit fee: $72.50 I t Plan review (25%of permit fee) CCB Lie.: 184131a_ Plumbing Lid.no. State surcharge(12%of permit fee) Authorized sigsgnature: TOTAL PPR f[T FEE Print Ratite.f. f n Bal -- This permit appheation expires if a permit is nutnbtained within 186 days 'Z C,- ,,.- , , , , 4 after it has been aceepted as complete. *Fee msthodoloay set by Tri-County Building industry Service Bnard • 4 1111ii 11 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 1Building Permit Review — Residential 1( \I. ', Building Permit #: kN(-\ -r--,-).-.c;A_ Site Address: 16 704 v‘/' e\ri,c,,j -1,.. Project Name: Ritstr luttm. E tql- #2.... Lot#: 2_1 1- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: qe44 rK. 4Verify site address/suite#exists and active in permit rim. Or River Terrace Neighborhood: CI No IN:Yes,See River Terme Review Addendum Attached Site ' , Elements: Z s, ,- (3)copies of site plan . ting structures on site plan mud bz on 8-1/2"x11"or 11 x 17"paper ootprint of new structure(including decks)with finished to scale(standard architect or engineer scale) Ø6X elevations 1?).16rth arrowtility locations&easements(required for new and additions) ( 'Si •dress,project or subdivision name and lot number Sidewalk/driveway approach E ..plicant information(name and phone number) 7.4 •cation of wells/septic systems I' •t dimensions and building setback dimensions 0, ' : ting trees to be retained with drip line,and tree OrSquare footage of buildings to be demolished vection measures Jot area,building coverage area,percentage of coverage and ( 'Stet tree size,type and location "iipetvious area(applicable if R-7,R-12,R-25&R-40) IDStreet names IllffProperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area mated or replaced? [ 'Yes 0No 4 foot differential) If yes,is a storm water quality facility shown? altsfitiNo ELY"Clean Water Services—Service Provider Letter/rot platted prior to 9/10/1995): Li Argil tvi l'it 1Cited: 0 Yes,applicant was notified Uf No Received: 0 Yes 0 No 04 Uft Public Facifities}mprovement(PFI)Permit /Acquired: Ulfes,applicant was notified 0 No Applied For rieces El No,stop intake Nr.i .d Use Case#: e0 1Z 1016- 00007- R-ts 5- .uired Setbacks: Front I Vir Rear j ) Side 3 Street Side ' Garage LO I s ..dscape Requirement iv % L ,Lot Coverage Maximum: 0 frBuilding Height Maximum Height ./4_ Actual Height 2,87 N ,mud Clearance 1! Sensitive Lands: 0 Yes ca/rio Type Urban Forestry Plan crConditions"Mee'prior to issuance of building permit 1 ot : 044-SIN li 6 øt----iorclr iytlif\ .froko- 'is,i,f-via _ iiiApproved By Planning: .s, :, Alizt, Date: 3 H21 i Revisions(after Bonding 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 IABuildineForms131dgPermititvw RES 061417.doca , . Building Permit Submittal Original Submittal Date: VQsla Site Plans: ii 3 Building Plans: # 3 Building Permit#: Entex building permit#above. Workflow Routing: SVPlanning a/Engineering a/Permit Coordinator a/Building Workflow Sign-off: g/Sign-off for Planning(include notes from planning review) Route Application Documents: t9/Engineering: (1)copy of permit application,(1)site plan,(1)building plan and original plan review routing form. a/Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: _11.aA iCk .. _ Engineering Review e 70 91Slope at building pad: , Conditions"Met"prior to issuance of building permit 0 Easements(encroachments)per engineering conditions of approval and plat rml-'tater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes a No Assess Water Quantity Fee in-lieu: 0 Yes 13 No LIDA Facility on lot 0 Yes g-No .12rFinal Plat Recorded: O NOT Approved by Engineering: Date: Notes: -Er-Approved by Engineering: --k-4---- Date: f' /1 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 O Conditions"Met"prior to issuance of building permit O Approved,NOT Released: Date: Notes: Revisions(after Building Submittal only) Revision Notice 1: Date Sent to Applicant Revision Notice 2: Date Sent to Applicant /vi R "sion Notice 3: Date Sent to Applicant _ • . SDC Fees Entered: Wash Co Trans Dev Tax: €1Yes 0 N/A Tigard Trans SDC: rp_es 0 N/A Parks SDC: Yes 0 yA LIDA 0 Yes K to Issue Permit Approved by Permit Coordinator: f Date: 3/ /)1 1:113uilding\Forms\131dgPermititvw RES 010118.docx 4 . City of Tigard 11111 COMMUNITY DEVELOPMENT DEPARTMENT River Terrace Building Permit Review Addendum HUARU Building Permit #: t'(\C r ( -%'a. _ Site Address: 1Crai S W 1,,16 5I-: Project Name: Rider 7ttraCe. End -t 2.. Lot#: 2.1 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.070.1.): Is the project subject to the plan district design standards?0 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 Porch min. 5 deep Balcony w/access 2 Window Projection Vertical Wall Offset a Gabled down ft deep min.2ft,5 ft wide min.2 ft.,rde 0 0 V 2.Eyes on the street:a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 13,1 ( ' I`t / 3.Entrances:At least one entrance must meet both of the following standards: Max.8 f.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: DYes 0 No If Vne es all the following apply: 4 sq.ft,min.street facing entry ft.max.roof above floor of porch .depth min. f 3030%min.porch roof coverage 4.D fled Design:All buildings shall include a min.of five offfie following elements on all street-facing facades: [ overed porch min.5 ft.wide x 5 ft.deep F LTJ Recessed entry area min.5 ft wide x 2 ft.deep f ©'Wall offset min.16 inches f ❑ truer min.4 ft wide hoof eave min.12 inch projection F/ [ ° offset min.of 2 ft..S ❑Roof shingles either tile or wood L4D ,hip or gambrel roof design r% ❑R f pitch oriented south min.500 sq.ft. agorizontal lapsiding min.3-7 inches wide ' �°D �g f 0-Accent siding min40% 1 ny 5/8" ' dtng of street e 0 Window trim min.2 /s wide faced deep ❑Window mess 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 aAttached garage is 35%or less of street facade S' 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. 0 Yes Lel 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. atfay 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) 0 Moot-wide garage door 0 40%max.of street facade 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: j1.4N"^,,.tl .z� Date: 3--111' 1 1'0rconlBlde,'ermitRvw REs RT 121417.doac Electrical Permit Application RECEIVED FOR OFFICE USE ONLY City of Tigard Received. Permit#:m..)-c-:),.;6... V 13125 S W Hall Blvd.,Tigard,OR 97223 JUN 2 8 2019 Date/By: �-'l t r�C;�,->. �; �. Plan Review ' I • Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit k: TIGARDInspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: Juris: I Ef See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK 4,,,,.snx PLAN REVIEW ®New construction 0 Addition/alteration/replacement x:, „.,.&R Please check all that apply(submit 2 sets of plans w/items checked): ", 81'jb.`t -j 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: r` � \`a \ where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION "k� ` . exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-familydwellingCommercial/industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural 0 0 Accessory building amps for all other installations, buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or JOB..SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: t Obi( av�c- ,,e,t, i S--, 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. Z_ 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision:East River Terrace .t'Z Lot#: -z(1 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.R.or portion 33.92 1 DESCRIPTION OF WORK`. Limited energy,residential 75.00 2 Change contractor on MST Sot'A-00015'2— (with above sct ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 ® PROPERTY OWNER: ❑ 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 ® APPLICANT ❑ Branch circuits-new,alteration,or extension,per panel CO.ITACT PERSON - A.Fee for branch circuits with Business name:Polygon WLH,LLC above service or feeder fee, each branch circuit 7.42 2 Contact name:Tonja Morris B.Fee for branch circuits without Address:703 Broadway St,Ste.510 ervice or ffee,first branch circuuederit 56.18 2 b 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 Signalimgy Address:3415 NE 44th Ave. panellalteration,circuit )or or exte sion. 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(I hr min) 90.00/hr Email:solarpdx@me.com Industrial plant(I hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 199188 Electrical Lic.: c923I Supry Lic.: 48718'S specifically listed('4 hr min) Suprv.Electrician signature,required: �-- ELECTRICAL PERMIT FEES �::e Subtotal: Print name: Kirk Rood I Date: 05/09/2019 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): L TOTAL PERMIT FEE: Authorized signature: k 1 O 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.