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Permit (170) CITY OF TIGARD MASTER PERMIT F COMMUNITY DEVELOPMENT Permit#: MST2018 00206 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/08/2019 T[ '� g Parcel: 2S106DA17500 Jurisdiction: Tigard Site address: 16831 SW APPLEDALE RD Subdivision: RIVER TERRACE EAST Lot: 214 Project: River Terrace East No. 2, Lot 214 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2229 sf Value: $282,189.05 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 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: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 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 2229 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $33,397.74 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throug 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: w - Permittee Signature: t Al' x ./e17.70/\// 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 Y ED LOI l i Li Residential APR 1 g 2018 FOR OFFICE USE ONLY' City of Tigard +t.h�p�'Received 7 / (� , 4J g Gay -�-�/ G TI171(�' DateBy: ` t' !i! Permit Il/;15 7Z Y�%-�i� •' -,± • 13125 SW Hall Blvd.,Tigard,OR 97223 ��1 I 1 Review /„L ,�`(/� Iii I Phone: 503.718.2439 Fax: 503.598.196(BUILDINGDNS Date/By: ."1 11I iQ i* Other Pe ti�r� Ttc . rr Inspection Line: 503.639.4175 Date Beady/By: f Tuns See Page 2 for Internet: www.tigard-or.gov Notified/Method:7/��7 / Supplemental Information 1-/L POL /6t? R4. ,..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.. G 0 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ �i')Z) l 7? 1 ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: Z '1,14109 Job site address: I (0 S31 Su) p� e_ jQ„,,f New dwelling area: SCC) square feet ,'2_51 City/State/ZIP:Tigard,OR 97224 Garage/carport area: v 0 square feet <I`71.Z Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: iiz 4 ,uare 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.: 2 il, 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 the profit for the equipment,ment,materials,labor,overhead,and p o q P DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600E 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* ka._._. ,,-. ,_-_r (Pleaserefertofeescltedule)s—. ,., ,-,. Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe i1 FLS plan review fee(if applicable): Address: 103 Br( �GL y S4 ,S(M-k-�0 Total fees due upon application: City/State/ZIP:Vancouver WA 98664 Amount received: Phone:(360)695-7700 Fax::( ) E-mail:Nichole Thorpe PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* -. Commercial and residential prescriptive installation of CONTRACTORoltaic Solar Panelstem.S roof-top mounted photovoltaic y Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,alongwith the 2010 Oregon P S Address: ( th .. e i 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 lie.:207247 Total fee due upon application: $201.60 Authorized signature:l���!�/1 "0,0-i.--- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Til-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 • Mechanical Permit Applicatio SCENE D City of Tigard �n�0 Received APR U U Plan R}: Permit Nor--757-,pc r�i3O'19� �k) 13125 S W Hall Blvd.,Tigard,OR 97223 AP f� Plan Review l Phone: 503.X8.2439 fax: 503.598.1460 ��pats. Other Permit. t ,i,i, Inspection Line: 503.639.4175 CITY urn l I 4te Read B him( Internet: www.tigard-or.gov n`V, jAk 'a ,` y See Page 2 for �11'LD'NG I tJotified'A-fethod: Supplemental Information r ,< F lJ .X'�"./ st'C., `'42•" .�,a '. .�.-.<.'�,.t a"' ,.ad "s � _ .�. ,t�r".._q -,b'�;; y,.?.r-.� _.. �7���`?� .x��f ""w -. . 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 0 Demolition 0 Other: mechanical materials,equipment,labor.overhead.and profit. CATEGORY OF CONSTRUCTIONValue:S RESIDENTIAL EQUIPMENT/8Tt'MMS i+EES• .�1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special informalionuse checklist ( I Multi-family 0 Master builder 0 Other. Description Qty. Ea. Total .1011 „11111E INFOEMATIoN AND I oc,,A?iatii Heating/cooling:I " Air conditioning I 46.75 Job site address: 1 W ) > o„ 1 Q� 1 _ Furnace 100.000 BTU(ducts/vents) ( 46.75 City/State/Z1P:Tigard,OR 97224 l'1�L� Furnace 100.000+B'1"U(ductstvents) 54.91 Suite/bldg./apt.no.: Project name: Rue' Tit.-race-5,,s4_ bleat pump 61.06 Duct work 23.32 Cross street/directions to job site: Ilydronic 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 Other: 23.32 Subdivision: t1Vek....Te /� � S,�i Lot no.: 2.., 1.-1 fuel appliances; Tax map/parcel no.: l Water heater 23.32 D IRIPTIONOFWORK 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 Other: 23.32 El PROPLItTY,OWNER I O TENANT Environmental exhaust and ventilation: Name: Ps DV L� �y U' t �Id I tv s f� Range hood/other kitchen i " "' "� equipment 33.39 Address: 1(on ol)<�pkPi1C 1�eAiC-1/l V jaadi Clothes dryer exhaust I 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, -_" Alt dta.[�P 1 Z 2.� toilet compartments,utility rooms) 4 23.32 Phone:{poi— `1_4Q�t Fax:( ) Attic/crawispace fans 23.32 Iif APPLiCANT CI CONTACT PERSON Other: 23.32 Fuel piping: Business name:Polygon WLH,LIC $14.15 for first four.$4.03 for each additional Contact name: 0 I r\olt oynp Furnace,etc. Address:7 V ByvoseI , ' `�S Gas heat pump u � � Wall/suspended/unit heater City/State/ZiP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace I Range E-mail: i Barbecue , „, ,.i. i:,';'-',,SC A Clothes dryer(gas) Business name:Apex Air LLC �Other ,,. Address: 18004 NE 72"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)326-1764 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. AtutIIorize'tcignaturr• - —. * Fu set Tri 8 medttrdologp by �-Cbumy .rtlding-hldosny Service Board Print name .r Date: 4•t1.11,.• I\nuitding'Permits`.41EC_PetmitApp_040113.doe - 44o-t6Frr(It'o2JCoMAVF.n1 Date/By: Peunit#:/• ��% T 8- ) • lit a`'r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan R view P)C' ,. Phone: 503318.2439 Fax: '503.598.1960 APR 1 8 20 Date/By: Related Permit//: Ins t. Line: 503.639.4175 Date/By: T1GA1tD y y: Saris: a Internet: www.tigard-or.gov TIG Hu I See Paget for �j� OF ted/Method: i Supplemental Information MAIONNERWRIng:NlikkgtitAVAK:7v. . ..::. ®New construction ❑Addition/alteration/replacement Please check all that apply(submit Z sets of plans w/items checked): ❑Demolition ❑Other: • 0 Service or feeder 400 amps or more 0 Building over three stories. +.�>.rPr,,`.':Demolition t ::r,. t ;.;...,.: ;: z:;:.- ::,:, where the available fault current „_,.,;. :,T44,� kPbitI;=QF.-0.,.:NS RU' Marinas and boatyards. ..:.::.. .. .._.. :.............:.......::....•.•_._�.:-...,�'_..:�r;r;: ':;:;:%:=:' 's' ,': ;; ; exceeds 10,000 amps at 150 volts or Floatingbuildings. ❑X I-and 2-familydwelling © aluse agricultural 0Commercial/industrial 0 Accessorybuildingless to ground,or exceeds 14,000 0 Commercial-use agricultural 0 Multi-family . • 0 Master builder Other: r a other installations. buildings. -:, :. ::,,-:-:-...•_.._:..., amps :............• ❑Fire pump, ©Irtsta[latioa of 150 KVA or -.:::...-.. ,, ;:;:.`: :OB_:.SITE'INF..o o Arlon A'ND:?LOCATION. 1`;:: ;:'::':.-:`:': :::= Job# •._-• � []Hrnergency system. larger separately derived I Job site address:1, 5j 1 C, ❑Addition of ae�v motor load of system. Y�✓�` `�W , looHP or more. system. City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. # ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt. • I Project name: weir're react-euSk 0 Hazardous locations. Cl Supply voltage for more than Cross street/directions to job site: 0 Service or feeder 600 amps or mom. 600 volts nominal. ..,:. . _. . .. ........... :.:. '.11':;SCIIEDULE�i; ; ' "_.`.'; -';:r<;';:.• '._. .Dcscription ,::.:..:::... :,,: I Qty. 1..,-•Each._.1 Total I a `` // New residential single-or multi family dwelling unit. Subdivision: �Veffr'T/t(',e O.S+- I Lot#: /19 Includes attached garage. Tax map/parcel#: 1 1,000 sq,t},or less r 168.54 4 :....:...:::�':::,:::::;;.<;<�tzr-ci'<•` :r;;.: :, -. n 339 _,,, ,:::;;:; ,;,:, .,111 CRIPTJON OE`:WOl IC ":',' :::.:a.,:,;,<:: : y, s de tial 2 a portion 1 ..• _._....... � <..,.. ... ...: .......:.:::.::....:.:::...: Limited energy,residential (with above sq.ft,) 75.00 2 ) 7S, 2 Limited energy,multi family residential(with above sq.#1. 00 °r�.a iP OE+ +. pj Renewable Ener --s Til E _ - ❑ a 2 �;;`: ;:;: �'�.. N .T='-tip l; Services or feeders installation,alteration,and/or relocation Name:, PiDVL_ �rY ilE , � 200 amps or less Address: ' i 10 LA,1 `(' 20I amps to 400 amps Ell1 33.56 2 - 401 amps to 600 amps 20034 _© City/State/ZIP: SCJ) { ,�(Lk , _ �5g P 601 amps to 1,000 amps 301.04 Phone: to 02-(.06114-(!A 03 I Fax:( ) Over 1,000 amps or volts III 552.26 am Email: -1 V Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps I I 125.08 I I 2 Owner signature: Date: 401 amps to 599 amps 168.54 ,...,..-,:,..wi>,.-. ®;:<..:.�.,TsIGA IT': : , : f.:Fi,._., -•}s..:.„,:;::.,,':::,: >s:=.;:•:::;: Branchcircuits-nev . 2 ,:..... ,� ,.,Q.,�ONT�1,,fsT',]'��,COIY t ,�Ite1•aticn,or extension,Per panel Business name:Polygon WLH,LLC A.above s br i eh rif feeder with above service or fedefee, �1 each branch circuit 7.42 Contact name: 1v` •�1,, • _ B.Fee for branch circuits wifhow Address: 1O'✓ lx• '-il1Ij\, ` r ' service or feeder fee,first NIL 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'1 branch circuit 7.42 2 Phone:(360)695-7700 I Fax::(360)693-4442 Miscellaneous(service or feeder not included) Email: a and/or feeder 7.84 Each manufactured or modular G ���,�,� I� � dw]ling service 2 r?n.0 : r, -Ivo uv Y lone. •C.tY y' Reconnect on1 >j:,.; .,f.=- :,i>�:. - - _ 67.84 1111111113 ,e ... _.,.,.::... ........ ... . ....... :.. Pumpirrigation circle or g 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 • panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(1 hr mm) 66.25/hr Phone:(253)872-6051 I Fax:(253)872-1801 hr min Investigation(1 g ) 90.00/hr Email:bdaniels@gweusa.cotn IndElstrialplant(1lrrinill) 78•18/)g Inspections for which no fee is CCB Lie.: C1158 1 Electrical Lie.: 208174 I Suprv.Lie.: 4496S specifically listed(Y2 hr min) 90.00/hr :.:,,.:. .. '!6L TRCAf..R,_MIkES i: .Suprv.Electrician signature,required: . / 7/ 7h j_ Subtotal: Print name: Joan P Albert - I permit 0 Plan Review Required 25%of fee `-------__-- �.•.,- -�,� - State surcharge(12%of permit fee): Authorized signature: 5-._..:2” .� TOTAL PERMIT FEE: Print name Bill Daniels ( fie, This permit application expires if a permit is not obtained within 180 J a er been accepted as complete. I. Number of inspections allowed per permit. L-IEuildintPermitstELC PwmitApp ELR 13RE.de°Rev 06/17/2015 440-4615T(11/05/CObt14YEn i Plumbing Permit Applicatit f EC ,%V.ED Y Building Fixtures 2018 City of Tigard APR 1 S 71111111111111111111111111111111111.13125 SW Hall Blvd.,Tigard,OR 972;. -Ty pF TIGARD Permit Nt/ c /I'_ee.,20.11 . : a Phone: 503.718.2439 Fax: 503.59 i•t 'c)ING OIV1S (�y 14 Other Permit No.: TIG\p1� Inspection Line: 503.639.4175v : lusts: ®See Page 2 for Internet: www.tigard-or.gov d: Supplemental Information ag.ln iSz.t.f47S k24: 4,4.4 e..,r rt t$ :-.. ; .:f 4-. " 'r, t J$ '4., t „ a -0•4,-,. .,x ka -t-vite .'!". :. j.wsa5t i `. �"'F �S '?l' '. ""�R. '._. .�+'.'. '.:w,.��. .,wa,:., .`'f!fi...'''''.+t.:. .;� 'r"'"-t.a�..t '•t:.F,: For special information use checklist ®New construction ❑Demolition Description Qty. 1 Ea. ( Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION - : SFR(1)bath 312.70 SFR(2)bath 437.78 ��1 1 and 2-family dwelling El Commercial/industrial SFR(3)bath 1 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other. Fire sprinkler( sq.ft.) Page 2 JOE SITE INFORMATION AND LOCATION Site utilities: Job site address: \V)b7j-\ e/�" t ("L.00,1("L.00,1Catch basin or area drain 18.76 rDrywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:,_) Page 2 Suite/bldgiapt.no.: Project name: 4 � v-(X + Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision p_1 JQX ---'e oj,C.e, r1-- Lot no.: L I U Fixture or item: t Backflow preventer I 31.27 Tax map/parcel no.: Backwater valve1 12.51 DESCRIPTION OF WORK Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® toONER IQ Expansion tank 12.51 P1paTI.; WA Name:ADVL Land holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 Fri Interceptor/grease trap 25.02 . .. AFPLI(CANT,' Ci CONTACT:PI�RSON, .. `- Business name: Potu ` Medical gas(value:S ) Page 2 J l`�t1 kU 1` LC _Primer 12.51 Contact name:N; .{rp_ Roof drain(commercial) 12.51 Address: b3 �yO�b)� �"&t C k,iS Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 v Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail: �n ,�c,( nD ��M Urinal 25.02 �k Ono le ` 's'or po\ or 1�^ <i�-'S ( d, + Water closet 25.02 CO CTOR .,.."4: >. `: Water heater 37.52 Business name: G,a.„§ 4,,Y10:1 c'& '!j1 As - Water piping/DWV 56.29 Address: ).Q. 6 0,4 01A Other: 25.02 City/State/Z1P: Sr. P o-c, G11131 Subtotal Phone:($ •-a 4S•-' 141,1 Fax:(Gil V..""l%,1- J1'' Minimum permit fes: $72.50 ip� /_� Plan review (25%of permit fee) CCB Lic.: (o' !37.,.. Plumbing Lic.no. 13o ti State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE iThis permit application expires if a permit is not obtained within 180 days Print name: s I Dater-� aiitr has been accepted as eomniete. *Fee methodology set by Tri-County Building Industry Service Board. ItauildingtPermits\P1.MU-PermitApp.doe 10/01109 440-4616T(10/02/COM/WEB) City of Tigard , '''N ■ COMMUNITY DEVELOPMENT DEPARTMENT l <<;A R n Building Permit Review — Residential Building Permit #: ./Lt 5 o r-00,2 Site Address: 16 ggi w Apple/ale J. Project Name: Riv(,r 7err-act East- #2— Lot #: 2.1(1 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N eW ''rit< /Verify site address/suite#exists and active in permits tem. MW River Terrace Neighborhood: ❑ No g Yes,See River Terrace Review Addendum Attached Site 'Ian Elements: P. (3)copies of site plansting structures on site L: .e plan must he on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished IM • '. to scale(standard architect or engineer scale) for elevations �I! .rth arrowUltztility locations&easements(required for new and additions) I address,project or subdivision name and lot number 0 idewalk/driveway approach Ll[ pplicant information(name and phone number) At cation of wells/septic systems I ' of dimensions and building setback dimensions r! 'sting trees to be retained with drip line,and tree �i',%+ware footage of buildings to be demolished � It tection measures Udto area,building coverage area,percentage of coverage and I_lddeet tree size,type and location ' pervious area(applicable if R-7,R-12,R-25&R-40) ®Street names roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? IF Yes ❑No —J4foot differential) If yes,is a storm water quality facility shown? ❑ No [I Clean Water Services—Service Provider Lettot platted prior to 9/10/1995): 1../Appo tvi+k ��Required: 0 Yes,applicant was notified No Received: 0 Yes 0 No 1J L2" Public Facilities provement(PFI)Permit / �u'`e Ug® Yes,applicant was notified 0 No Applied Fon p' yes ❑ No,stop intake rezhand Use Case#: PP t ZO 16- 0000 7- Zoning. Ic'4 VP) :1/Required Setbacks: Front g Rear I 0 Side 3 Street Side V4 Garage ZO r4dscape Requirement: ZQ % Coverage Maximum: 80 % ILS Building Height Maximum Height N4 Actual Height 21 rArdt isual Clearance /Sensitive Lands: ❑ Yes C9'No Type g rban Forestry Plan Conditions fit'(i i"Met" �to issuance of building permit ^1I otes: I' SS Iv &l prrir• 'b ()...I1�.l�y rT 1tr r i) i tante Approved By Planning: �,Z JJl Date: - II Revisions(after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved l:\Buildnng\Farms\BldgPe mitRvw RES 661417.docx . Building Permit Submittal Original Submittal Date: 47l`Ffl i Site Plans: # Building Plans: # 3 Building Permit#: Enter building permit#above. Workflow Routing. Planning Engineering r-Permit Coordinator Building Workflow Sign-off: l7'-Sign-off for Planning(include notes from planning review) Route Application Documents: 7 Engineering: (1) copy of permit application,(1)site plan,(1) building plan and / original plan review routing form. ' 1" Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: �l 7/a/f By Permit Technician: i_�/,, „�, Date: Engineering Review A d1 D 0-Slope at building pad: G ❑ Conditions"Met”prior to issuance of building permit .2sements (encroachments)per engineering conditions of approval and plat a. Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Ycs No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot ❑ Yes No ❑ Final Plat Recorded: 0 NOT Approved by Engineering: Date: Notes: LL-*LT 61 PLAT-44lF . U-'Anti-- At E.-T rs4 - A'Pff C-t.-01.04.. 'C M t'r rZ ,Approved by Engineering: jNt. . Date: 7 (1 C(//(l9 Revisions(after Building Submittal only) Reviewer ate Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review Conditions"Met"prior to issuance of building permit qi)eVIf Approved,NOT Released: ay/44g'r+►-. 4 eater 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 0 N/A Tigard Trans SDC: /►.0, es 0 N/A Parks SDC: l Yes 0 N/A LIDA ❑ Yes A N/A OK to Issue Permit Approved by Permit Coordinator: jlitiDate:e . 1/47 I:1Building\Forms\BldgPennitRvw_RES 010118.docx .. 11111 City of Tigard i 44 I COMMUNITY DEVELOPMENT DEPARTMENT T �,�� River Terrace Building Permit Review Addendum Building Permit #: Site Address: 16831 SL) ,4e air 0. Project Name: Riiltr 7crracc tat Itl. Lot #: VI (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist' t Design Standards (18.640.070.1.): Is the project subject to the plan district design standards? lt,d Yes ❑No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft.of frontage.An additional element required for lots with over 60 ft.of street frontage shall be provided every 30 ft. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft.deep ft.deep min.2ft.,5 ft wide min.2 ft.,6ft.wide Gabled dorm 0 0 0 0 2.Eyes on the street:a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: IS.1 3.E trances:At least one entrance must meet both of the folllo standards: Max.8 f.setback from longest street-facing wall FrParallel to street,angle no more than 45° from street, / or open onto porch Entrance opens to a porch: PI Yes 0 No — If ,all the following apply: C> sq.ft.min. ref ne street faring entry L2'1�ft.max.roof above floor of porch trd 5 ft.depth min. LK"30%min.porch roof coverage 4.Retailed Design:All buildings shall include a min.of five of t following elements on all street-facing façades: Covered porch min.5 ft.wide x 5 ft. deepRecessed entry area min.5 ft.wide x 2 ft.deep Wall offset min. 16 inches 0Dormer min.4 ft wide ❑ Roof eave min. 12 inch projection ['Roof offset min.of 2 ft. ❑ Roof shingles either tile or wood EKGable,hip or gambrel roof design ❑ oof pitch oriented south min.500 sq.ft. 0Horizontal lap siding min.3-7 inches wide I AAccent siding min.40%of street façade 10 Window trim min.2'/z"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 façade 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. ❑YesNo. 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. IDIMay 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) ❑ p-foot-wide garage door ❑ 40%max.of street façade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: LoP.kat [ Date: 7--`(-1$ 1: W PemiiRvw SRT 121417decx / Electrical Permit Applicatia.ECEIVED FOR OFFICE USE ONLY City of Tigard MAY 9 2019 Received c Date/B 13125 S W Hall Blvd.,Tigard,OR 97223 Plan Review MIZENEE31 EM Phone: 503.718.2439 Fax: 503.598(1',613'OF TIGARD Date/B: Related Permit N: TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Ready Date/By: Juris: H See Page2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK 2',1,,,,' ::, PLAN REVIEW ►.1 New construction 0 Addition/alteration/replaceme l Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition ❑Other: 'Ct\‘Ct�,T' 1 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building 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 0 Emergency system. larger separately derived Job#: Job site address: <61651 LrCJI�R.7d. ❑Addition of new motor load of system. < S W 100HP or more. ❑'A""E""1-2",•I-4" City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:East River Terrace 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 ITotal I New residential single-or multi-family dwelling unit. Subdivision:East River Terrace Lot#: '2 I 14 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 75.00 2 Change contractor on MST 7.i' a--e)02-b(„0 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) G! PROPERTY OWNER Renewable Energy 0 See Page 2 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 ® APPLICANT f 0 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 each branch circuit Contact name:Tonja Morris B.Fee for branch circuits without service or feeder fee,first Address:703 Broadway St,Ste.510 branch circuit 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 - dwelling,service and/or feeder Email:permitsubmittals®polygonhomes.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 Address:3415 NE 44th Ave. Signalcircuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP:Portland,OR 97213 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr Email:solarpdx@me.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: 199188 Electrical Lic.: c923 I Sunrv.Lie,: 48715 specifically listed('h hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: "it ..."_............--/------- rSubtotal: 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: /L t ic Ap 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 I:Building`PermitskELC PermitAppELR ERE.doc Rev 06/17/2015 440r46t5T(ll/05/COM/WEB