Loading...
Permit (178) CITY OF TIGARD MASTER PERMIT 2: COMMUNITY DEVELOPMENT1111 . Permit#: MST2019-00081 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/16/2019 T I��'�� '� g Parcel: 2S 107AA03400 Jurisdiction: Tigard Site address: 14204 SW 169TH AVE Subdivision: ROSHAK RIDGE Lot: 34 Project: Polygon at Roshak Ridge, Lot 34 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $240,968.70 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: 2 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 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: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1858 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY ST STE 510 703 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: $33,659.92 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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �! - Permittee Signature: 04d Call 503.639.4175 by 7:00 a.m.for the next available inspection date. Thispermit pe mrt 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 LL 1 `Residential RECEIVE s FOR OFFICE USE ONLY City of Tigard FEB 0 „ 2019 Received b Date/By: �' ` Permit No.. C 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review t ^I �`' � _00,_-'�S ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: d7 Other Permit. � ,t( CITY OF TIGARD ( See ..:��-C ,� TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: H Page 2 for Internet: www.tigard-or.eov BUILDING DIVISION Notified Method: Supplemental Information TYPE OF %%ORK REQUIRED DATA:1-AND2-FAMILYDWELLING ®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).(0/ t 9 ❑Accessory building 0 Multi-family Number of bedrooms: I ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORM4TION AND LOCATION Total number of floors: 2 e Job site address: t t'7 ), l 4 C� l) I t/1 q-i-A- VQ New dwelling area: y sq square feet L e'[ l City/State/ZIP:Tigard,OR 97224✓ to Garage/carport area: Li square feet ��IR( Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMLMERCIAL-USE CHECKLIST Subdivision:Polygon at Roshak Ridge Lot no.: 3if Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORD work indicated on this application. New SF Valuation: $ Existing building area: square feet New building area: square feet ® 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: Eg APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH LLC (Plearerelertojeeschedute} 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 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:703 Broadway St.Ste 510 Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 9:660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 i Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 I _ Total fee due upon application: $201.60 Authorized si•. attire:.A This permit application expires if a permit is not obtained 0within 180 days after it has been accepted as complete. * Print name:Am- da Gavin Date: Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pernits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicat' City of Tigard w FOR OFFICE USE ONLY Received Date/By: v Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 - APR Plan Review Phone: 503.718.2439 Fax: 503.598.1960 APR 2019 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Read/B kris: Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: H See Page 2 for BUILDING DIVISION Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ®Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: (4 20y 5w ���'-� Air conditioning 46.75 Job site address: Furnaceace100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name:Roshak Ridge Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic 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 23.32 Subdivision:Roshak Ridge Lot no.: 34- Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 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:Polygon WLH,LLC Range hood/other kitchen Address:703 Broadway St.,Ste.510 equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Polygon WLH,LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway St.,Ste 510 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:permitsubmittals tr polygonhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Apex Air LLC Other: MECHANICAL PERMIT FEES* Address:18004 NE 72"d Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 Plan review(25%of permit fee) Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized Signature: * Fee methodology set by Tri-County Building Industry Service Board Print name:Tim Hay Date:04/08/2019 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(1 t/02/COM/WEB) . RE EIVE Electrical Permit Application '" ., FOR OFFICE USE ONLY City of Tigard APR 12 201.3 Received Permit#: '1'1 13125 SW Hall Blvd.,Tigard,OR 97223 t Plan Review I Phone: 503.718.2439 Fax: 503.598.196CCITY OF It�z�i9-11.3 y: j�ateB Related Permit#: Inspection Line: 503.639.4175 BUILDING DIVtlSIO dy DateBy: uu<is. ei See Page 2 for - 1ii- s,N_U Internet: www.tigard-or.gov Notified/Method: I Supplemental Information TYPE OF WORK PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived '�` (� ❑Addition of new motor load of system. Job#: Job site address: ‘142C4 SW \�S'S14 r I,e, 100HP or more. ❑ A", E' 1_2 , 1.3> City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:Roshak Ridge ❑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:Roshak Ridge Lot#: 7e.k Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.)_ 75.00 2 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 2 121 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, 7 42 2 each branch circuit Contact name:Jolene Smith B.Fee for branch circuits without Address:703 Broadway St,Ste.510 serviceborfeeder fee,first 56.18 2 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 Email:permitsubmittals@polygonhomes.com dwelling,service and/or feeder Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Portland Electric Sign or outline lighting 67.84 2 Address: 1915 E 5d'St.,Ste D Signalnel,alcteration, n or extension. ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP:Vancouver,WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/lir Phone:(360)314-4945 Fax:( ) Investigation(1 hr min) 90.00/hr _ Email:pawl@portlandelectric.biz t/ Industrial plant(1 hr min) 78.18/br r . G 5 Inspections for which no fee is CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.!--490.29— specifically listed('V2 hr min) 90.001 hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Q x . ) Q„� Subtotal: Print name: Alex Shalya Date: 0^4//08/2019 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: }A, et,r -TYL.4.44,,L,L,k_, TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: MISHCHUK,SERC Y Date: 04/08/2019 days after it has been accepted as complete. * Number of inspections allowed per permit. Plumbing Permit Application REC Building Fixtures FOR OFFICE USE ONLY City of Tigard APR 9 2019 Received . g Date/By: Permit No.: 111 .I 13125 SW Hall Blvd.,Tigard,OR 9722 Ty Plan Review Phone: 503.718.2439 Fax: 503.59$,jj «''''D Other Permit No.: �����JJJJJJ����++ !{�' Date/By: TIGARD Inspection Line: 503.639.4175 [DING DIVISION to Ready/By: Allis: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist. Description I Qty. Ea. Total ❑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 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(-sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14 51A.) /(0f-MI R I/�i Catch basin or area drain 18.76 1 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name:Roshak Ridge 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:Roshak Ridge Lot no.: 34 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:703 Broadway St.,Ste 510 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Tonja Morris Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:permitsubmittals@polygonhomes.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water piping/DWV 56.29 Address:P.O.Box 92 Other: 25.02 City/State/ZIP:St.Paul,OR 97137 Subtotal Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:184372 Plumbing Lic.no.:pb634 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Steve Fowler Date:04/08/2019 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(l0/02/COM/WEB) Tonja Morris From: Arne Solomon <ASolomon@ctengineering.com> Sent: Wednesday, March 27, 2019 3:23 PM To: Tonja Morris; PermitSubmittals RECEIVED Cc: 'David Burnett'; Rhealyn Galvezo Subject: RE: Plan Review - Roshak Ridge - Lot 34 APR 0 4 2019 Attachments: MST2019-00081 - 14204 SW 169th Ave.doc CITY OF TIGARD BUILDING DIVISION Tonja, See structural comment responses below in response to the plan review comments for `Roshak Ridge— Lot 34 (Plan 7A ASE)'. Please forward to the COT plans examiner & contact David/Rhea regarding updated plans. Roshak Ridge— Lot 34 (Plan 7A ASE) 1) As shown in the structural calculations on page 24,the front living room walls are P2 shearwalls. The foundation plan on sheet A6 has been updated to callout P2 shearwalls at this location. Please note that the beam maps in the structural calculations (pages 4, 5 & 6) are solely intended to reference the location of the beams. Regarding all of the other structural information shown on these beam maps,the actual design of these members contained within the structural calculations takes precedence Thanks. Arne Arnold R. Solomon asolomon@ctengineering.com CT ENGINEERING Inc. Structural Engineers • 180 Nickerson Street ■ Suite 302 • • Seattle, Washington 98109 • • Phone: 206-285-4512 ext. 303 • Fax: 206-285-0618 ■ www.ctengineering.com From: PermitSubmittals [mailto:PermitSubmittals@polygonhomes.com] Sent: Wednesday, March 27, 2019 9:27 AM To: 'David Burnett'<drb@milbrandtarch.com>; Rhealyn Galvezo<rdg@milbrandtarch.com>;Arne Solomon <ASolomon@ctengineering.com> Subject: FW: Plan Review-Roshak Ridge- Lot 34 See the attached Plan Check Correction from CoT regarding Plan 7A ASE. Tonja Morris Permit Specialist Tonia.MorrisPolyqonhomes.com 1 Office 360-695-7700 Fax 360-693-4442 www.polvgonhomes.com POLYGON CZ NOR 1!4VESQ1" A Proudt7iwiet f From:Allyson Armstrong<AllysonA@tigard-or.gov> Sent:Wednesday, March 27, 2019 8:24 AM To: PermitSubmittals<PermitSubmittalsCc@polvgonhomes.com> Subject: Plan Review- Roshak Ridge - Lot 34 Please see attached letter Allyson Armstrong 111 7 Community Development Plans Examiner 1 Building Inspector I t+i,t H:.L3 (503)718-2612 Work AllysonAs tigard-or,gov 13125 SW Hall Boulevard Tigard,Oregon 97223 DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 2 City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R n Building Permit Review — Residential c, Building Permit #: ms-j- c)\CA i Site Address: t9 Zai s'r„/ 16'0'1'1_ Avt. Project Name: .9' ( rj a L K41 2 Lot #: T I (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Pro osal: Ntid SK re Verify address/suite#active in Accela. L+1 In River Terrace: ❑ No ri Yes,River Terrace Review Addendum Site,`Plan Elements: C�ston Control L copies of site plan on 8-1/2"x 11"or 11 x 17"paper L�iJRe ed trees with drip line and tree protection measures Q6rawn to scale(standard architect or engineer scale) E^U�tprint of new structure(including decks)and FFE /1 .•orth arrow [ 'U locations&easements(required for new and additions) L 5te address,project or subdivision name and lot number 'Sidewalk/driveway approach PfA licant information(name and phone number) Location of wells/septic systems rVt dimensions and building setback dimensions ❑ eet tree size,type and location are footage of buildings to be demolished [feet names [fisting structures on site [ Comer elevations(2'contours if more than 4'differ ntial) 0-Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Ees ❑No • ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑ 7No Clean Water Services—Service Provider Letter of platted prior to 9/10/1995): uired: N L � q ❑ Yes,applicant was notified L1a'No Received: ❑ Yes ❑ No ld Public Facilities Improvement (PFI) Permit: � // t/�2 equired: [ Yes,applicant was notified ❑ No Applied For: [V es ❑ No,stop intake Pe/Land Use Case#: fOr-2 S--0t 0Z Zoning: �Z��� T�equired Setbacks: Front: I Lin Rear: 10 Side: 3 Street Side: ? Garage: 3 End' ''ding Height: Max.Height: N's Actual Heightl: Z.-.S- LU' Landscape Area: lA % ot Coverage Max: (✓ loentrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows ❑ Minimum 12%of area of all street-facing facades Zi1Mr- Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met: ia. ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. tra ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. E Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer VV ❑ Accent siding Window trim El Window recess ❑ Window projection ❑ Balcony / isual Clearance Urban Forestry Ii'lan LJ Sensitive Lands: ❑ Yes " No Type: 00,es: Conditions,met p or.to issuance of building j�ermit cAl511 4 rte} rt,- ? b..i J'1 ptre d 'i'S/vit.� Approved By Planning: '�.0, Lr Date: j_-1`h1 I Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved i:\Building\Forms\BldgPermitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: i LC 1 t C Site Plans: # Building Plans: # 3 Building Permit#: RI/Enter building permit#above. Workflow Routing: R'Planning C"Engineering E'Permit Coordinator [/Building Workflow Sign-off: [2' 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. ["Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: �. '..,, Date: i 1 N 1 i (0( Engineering Review 5.. 70, Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Er-Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes .' No Assess Water Quantity Fee in-lieu: ❑ Yes 2 No LIDA Facility on lot: ❑ Yes a No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: ti-)At r fort- f As13N: e,1/ 'r z 6, i 5 ' - ,21-Approved by Engineering: Date: 3 ( 1- 1.7 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 ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: "Yes ❑ N/A Tigard Trans SDC: Eryes ❑ N/A Parks SDC: [�7 Yes CI/N/A LIDA CI Of N/A I/1 OK to Issue Permit / / Approved by Permit Coordinator: / Date: 3 / I:\Building\Forms\BldgPermitRvw_RES 022819.docx d City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT IN ■ T I G A R D River Terrace Building Permit Review Addendum Building Permit #: \-\(\c --r ac,\o,_ �� (d k Site Address: 112 O SW 10 Avl. Project Name: C4 ,rN wA Rasa . Kri t Lot #: 3LI (New elling=subdivision name; ddition or Alteration=last name of owner) Planning Review of River Terrace Plan Disktict Design Standards (18.640.070.1): Is the project subject to the plan district design standards? 2'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 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide m . 2 ft., 6ft.wide Gabled dormer in 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: Z�'yO/. ( , � Y; "/ 3. Entrances:At least one entrance must meet both of the follo 'ng standards: C Vlax. 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: ilYes ❑ No If yam,all the following apply: 145 sq.ft.min. ®/ ne street facing entry M12 ft.max.roof above floor of porch 5 ft. depth min. ://30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ['Covered porch min. 5 ft.wide x 5 ft. deep j"'- ©Recessed entry area min. 5 ft.wide x 2 ft. deep F [g/Wall offset min. 16 inches ES ❑ Dormer min. 4 ft.wide ❑ Roof eave min. 12 inch projection El Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood ErGable,hip or gambrel roof design r`5 ,C_,�,,�Roof pitch oriented south min. 500 sq. ft. Lt�'Horizontal lap siding min. 3-7 inches wide$` ['Accent siding min.40%of street façade F/ ❑ Window trim min. 2 1/2"wide by 5/8" deep Cl Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep El Balcony min. 5 ft.wide x 3 ft. deep with inside accesstached garage is 35%or less of street facade %' j . Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: lizy No closer to front or side lot line, than longest street-facing wall. El Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. Idell ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. 5cL i Width: (Check one) J ❑ 12-foot-wide garage door ❑ 40%max. of street facade 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: 14L4"4 j Date: 3--41-I I I:\BuildingTorms4BldgPermitRvw_RES_RT_121417.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT rIII Transmittal Letter T i G A R C) 13125 S W Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: )t\iu$ \A ) VTi5E( DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED APR 04 2019 FROM: Lk ' i \ S CITY OF TIGARD BUILDING DIVISION COMPANY: 6\1V- Iii PHONE: 31J0- tr. 5-\: 1 00 By: /4 RE: \4204 '�v) WS-n\ mS—r 2 n 'T' 0 boat �j(Site Address) / ' (Permit Number) Z OSI K.. ooet e Lcrr 3 i-I (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 1( Revisions: 4- G E AG 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): REMARKS: VprC--1.5 No St--\-E4 UD L2� FO OF CE USE ONLY Routed topermit Technician: Date: Li Lb ( �j Initials: AIA- Fees Due: Yes ❑ No Fee Desc ptio : mount Due: $A /4> 11�_ ..c-n, r z-v� c.c,-) . $ (-(S:�' v '• $ il $ Special Instructions: Reprint Permit (per PE): ❑ Yes 10 ❑ Done Applicant Notified: Date: Initials: 1:\Building\Forms\Transmitta(Letter-Revisions_06 t 316.doc Electrical Permit Applicata *r- , ,r--..- FOROFFICE USE ONLY '$'°' �4' "` ' 1 Received log City of Tigard Date/B : 4 Permit#: ( '_ Q.- ..A 13125 SW Hall Blvd.,Tigard,OR 97223 I 8 2019 Plan Review Phone: 503.718.2439 Fax: 503.598.1966- Date/B : Related Permit 4: Inspection Line: 503.639.4175 :.F Ready Date/By: Jurb: Iii See Page 2 for TIGARD g g (. 1 '.-.L, ; 1 -'r Notified/Method: Supplemental Information c Internet: www.ti and-or. ov > �Oki,i1�(; lt ' , ,TYPE OIC . ,PLAN REVIEW ` ®New construction 0 Addition/alteration/replacement APlease check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: , ,� where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION S ',. exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accesso 6 ,'''f.:' less to ground,or exceeds 14,000 0 Commercial-use agricultural 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 ❑Emergency system. larger separately derived 1 El Addition of new motor load of system. Job#: Job site address: 42bl 51k) 6o R'�j 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: _ Project name:Polygon At Roshak Ridge ❑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 `s Description I Qty. I Each I Total I ' New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge I Lot#: 31,E Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF;WORK Limited energy,residential O1 1S-C 7'v `h`GI-.bo Oq 4 (with above sq.ft.) 75.00 2 LLimited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 ® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: William Lyon Homes,Inc. 200 amps or less 100.70 2 Address:703 Broadway St Suite 510 201 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 I Fax:(360)693-4442 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 1 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 2 121 Branch circuits-new,alteration,or extension,per panel APPLICANT ❑ CONTACT•PERSON A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Nichole Thorpe B.Fee for branch circuits without Address: 703 BroadwaySt Suite 510 branch service or feedertfee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 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 67.84 2 dwelliEmail:permitsubmittals@polygonhomes.com Reconnectne, onlyserve and/or feeder 67.84 2 CONTRACTOR Pump or irrigation circle 67,84 2 Business name:Alameda Electric — Sign or outline lighting 67.84 2 Address:3415 NE 44th Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Portland,OR 97213 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr Email:solarpdx@me.com Industrial plant(I hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 48718S specifically listed(%hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Kile Rood Date: 03/08/2019 0 Plan Review Required(25%of permit fee): — State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: �/ This permit application expires if a permit is not obtained within 180 Print name: Kile Rood Date: 03/08/2019 days after it has been accepted as complete. - * Number of inspections allowed per permit. I:\Building\Permits\ELC_Permitkpp_ELR_ERE.doc Rev 06/17/2015 440.4615T(11/05/COM/WEB