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Permit (169) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2018-00205 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/08/2019 T i t �jT,f 9 Parcel: 2S106DA17400 Jurisdiction: Tigard Site address: 16849 SW APPLEDALE RD Subdivision: RIVER TERRACE EAST Lot: 213 Project: River Terrace East No. 2, Lot 213 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1259 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2917 sf Value: $353,022.21 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 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: 2 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: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 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 add9 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 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 2917 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: $35,140.35 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 r, -ill-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: r P Permittee Signature: /9A7 0Jaret'¢77d/I 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. 17—\ Building Permit Applicatio ECEt ED LOI Residential APR 18 2018 FOR OFFICE USE ONLY City of Tigard % Y F TIGARD Date/By:. 7/ /Received f �� Pei 7otoi F-voaos - 0 13125 SW Hall Blvd.,Tigard,OR 972 1 Plan Review y' Phone: 503.718.2439 Fax: 503.5 l.Df\G DMVMS1a1� Plan Re: lQ (� Other Pe�2O/7-9p/r� C t G A R D Inspection Line: 503.639.4175 Date Ready/By: �1 auris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method:17/ /�9 "'4Y Supplemental information e5?'19,e- "0I766AI ' TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING N 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. 3S3® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ dZ7. ❑Accessory building 0 Multi-family Number of bedrooms: 4. ❑Master builder 0 Other: Number of bathrooms: I JOB SITE INFORMATION AND LOCATION Total number of flo 2 351 Job site address: 1 6 g40k1, �e 4� \La New dwellirf :f toLl square feet (105S City/State/ZIP:Tigard,OR 9722Garage/carpo`_l t square feet Suite/bldg./apt.no.: Project name:River Terrace East 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 Lot no.: 2'b Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedul Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe _ --I FLS plan review fee(if applicable): Address: -703 Braac,uJa-j Si 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 CONTRACTOR, roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details . . Lj� and fire department access,along with the 2010 Oregon Address: °�f n)a.t& .)a L 5+ &u..AJh, v Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature:'���0:4 "�'/q" ► This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ` f Mechanical Permit O Applicatio l Ou„,.1�it st:ON.I s Ge of Tigard 1-t V E�Y i Received `J g !'imtit Ai . G :71 " 13125 SW Hall Blvd..Tigard.OR 97223 n Date/By. )/O 'Qt��C� Phone: 503.718.2439 Fax: 503.598.1960 1 2018 Plat,Re.�icn� APR $ t)aruAy. Otheri'ermit. Inspection Line: 503.639.4175Iti 1l Internet: vwvw.tigard-or.gov CITY ��TIGA� recd/Me6y: loris Supplemental See Page 2 for V 1 1 oti6cd Method: Information BUILDING OMS[ -:. .,,.... ., ---mmeozotqww.#01EDY44-7,1J35 .1"" Mechanical permit fees*ere based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment•labor.overhead.and profit. Value:S CATEGORY OF CONSTRUCTION RBSIDBIV l7AL EQUIPMENT/SYSTEMS FEES* ..1g(I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist 1 1 Multi-family 0 Master builder 0 Other: Description qty. Ea. Total JOB SITE INFORMATION ANDLOCATION Heating/cm/jag: `�U-1-1 n �,e Air conditioning I 46.75 Job site address: E?C�.Q J1.C/ 1 Furnace 100.000 BTU(ducts+vents) I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt,no.: Project name: p_wer Te, r e.."E csk... Duct work 23.32 Cross street/directions to job site: l-lydronie hot water system 23,32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric). in-wall.in-duct.suspended,etc. 46.75 Flue/vent for any of above 1 23.32 her: Subdivision: giV�� f'- e, tv .E s,� ! Lot no.:Z t Other 23.32 l / OOther fuel appliances; Tax map/parcel no.: Water heater - 23,32 , DESCRIPTION OF WORK Gas fireplace/insert i 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 121 PROPERTY OWNER 1 El TENANT Other 23.32 Name. ' , S Environmental exhaust and ventilation: INDVL L J�/� I Range hood/other kitchen I Address: 110D0 ' 1)QuveA('I jPP✓ I 1 _ les �f equipment 33.39 -U�-v CAVI f�1U�%1 Clothes dryer exhaust I 33.39 City/State/ZIP: ngle-duct exhaust(bathrooms, Sc-JAJ SdA.�� I rt. `�JZ• `� toilet compartments,utility rooms) '' 23.32 Phone: U/0� i,.l_ �t Fax:( ) Attic/crawlspace fans 23.32 APPLICANT ❑ CONTACT moos Other: 23.32 Business name:Polygon Will,LLC Fuel piping: $14.15 for first four:54.03 for each additional Contact name: 0 i 610ke-'ThOrpe Furnace,etc. I Address:iD?) pAn(Aril AA.y -1- Su SII C Cl f.) Gas heat pump TCJ (� Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace I E-mail: Range Barbecue -, A Clothes dryer(gas) Business name:Apex Air LLC Other: Address: 18004 NE 72"d Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature' .. Print name: 1 Lek ,r Date: 4•t. ./t;,. I t to iding'Pcrmits aMEX_PermitApp 040113.doe 440-4617T i 1 1O'JCOMi WEttI 1 _...........___"!.....,,,,„1.M•64auuru� ��/Er n REG ` CIll Received i - -. tra j 't 13125 SGV Haff Blvd.,Tigard,OR 97223 1 g 2018 Date/By Permit li j '7-,. .1C7)`�_/)oz P CIS. a ' Phone: 503.718.2439 Fax: 503,598.1960 APR Pla„12ev,ew 'Gn `-1 Inspection Line: 503.639.4175 -�/ relay; Related Permit tl; 1GARll Internet: wg 03.63.gov 1 1 1 OF�� r� dad Date/By: lath: 1%1 See Paget far _ -:_ r a; ��%n e t Supplemental Information >....,..._-.....•M]:',.',.:j -...,,T PEsoF W .......... ®Newconstiuchon ....:_._...,,.,., _:..��:� :_: . :. :;'�=; '°_ :., ❑Addition/alteration/replacement Please check all that apply(subunit 2 sets of plans w/items checked): ❑Demolition 0 Other: ❑Service or feeder 400 amps or more 77;;,,.,h. ::•.:..p,�r-,:p,n,...., Building over three stories. _.>„: -��•'„';:-,-.::•-:.,-.>:: :-:_.,,.,- nvheretheavai[ablefattltcurrent Madan <;a.:,. Ci T kitytt'::_yt - _- ❑ nn g band uildings.CONS' TR CTIO,. _ " ''- ' '•� exceeds 10,000 amps 150 volts or _.,...:_>...........:...:..:..:..::._.,,_..-.:._.....:.:-:_�l\.ii'�:�;::>; f'C<:�''.;::;�::='::':'.i;:;'.; ;':. . P ©Floatingbruldings. O 1-and 2-family dwelling Q Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commeroial-use agricultural ❑Multi-family • 0 Master builder amps for all other installations, buildings. UMul_.fa:..,l.-:-:-.•.,.... - .s, 1 ❑Fire pump, I]Iastatlation of 150 KVA or ,'"?;,JOBs�SITE INFO1 IOM AND:'LOCATIg. ! ' •:;- ::: ::r`:-: ..:. r.:.......-�'.- ........:.:.:. N . . . ['Emergency system � larger separately derived Job#: Job site address: • I ❑Addition of new motor load of system. a &\ ,f• am L " r_- MHP or more. ❑A,`E",`7-2","I-3, \ 0 Six ormore residential waits. occupancy. City/State/ZIP:Tigard,OR 97224 Suite/bldg./apt. ❑Health-care facilities. ORecreationalveldeleparks. #: I Project name: i2\Pr¶elyeAc -e >+ ❑Hazardous locations. ❑Supply voltage for more than Cross street/directions to job site: 0 Service or feeder 600 amps or more, 600 volts nominal. .... .. Description:: I Qty. i Each 1 Total I.... Subdivision: gaex- -^ New residential single-or multi-family dwelling unit. i PJ ,Q_ S4.— 1 Lot#:Z'3 Includes attached garage. Tax map/parcel#: 1,000 sq,ft or less 1 168.54 4 Ea. . ....i:,,:,,;;,.:...>..:.,.,,� '�„GRIP.T 01►1',OE�':`F�6!Q..Tit°::.`::'. ::,.: .:::::.: addl 500 sq. or port . 2 to �_�..:..:......... I� Limited • energy,residential (with above sq.ft.) 75.00 2 :.... v... .. above 7S. 2 Limited energy,multi-family residential(with s ,lt. 00 _..•._-._,_.x:_�. . ..: 1:.. Y!lEl2:.:;<; _ = RenewablaEner .._... -_� .. .. ;Q�:�PFiy''1VT`;` gY ❑ See P< e 2 ::>:::;,., .,,...:,:, ::_':'::<'_ Servic s of fee a '- . ,' .- :' '-:: :`'`` ' • " • e d rs installation alteration,and/or relocation Name:, Pi DV l„_ � tip6 i n OS L 200 amps or less Ioo.7a �© Address: I ' �' '`' 20I amps to 400 amps 133.56 =© A P"`4 /i— 401 amps to 600 amps S 200.34 City/State/ZIP: S cAyt.+.0 f rLI e. pi-f 5759 601 amps to 1,000 amps 301.04226 Phone: 0'� 1 n� t j t J�7 Fax: ( ) Over 1,000 amps or volts III V/ " Temporary services or feeders installation,alteration,and/or • relation Owner installation:This installation is being made on property'that I own which is not 200 amps or less intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 59.36 1 201 amps to 400 amps 125.08 2 Owner signature: _*�, :-x:_ -- - - - _ Date: 401 amps to 599 amps 168.54 2 ., -yam-=",��I=I;IG. . - .... ,::4�... . - Bran . ._,-. - rcuit . ,.... II- - =G0� new al .-=�i'''`�'�` :#si "�. , .1S`I'tl;GT"l');R.S�� , ter•ation or extension,._,:.>...... :. .:�,,....::; ._. :: . .........._.....,:,,.-.-.,..:ON:: ��':�;`� per panel Business name:Polygon WL$,LLC A.above br i eh rifeede wet, above service or feeder fee, Contact name: each branch circuit �1 7.42 °' ""■ o B.Fee for branch circuits without Address: ?J r50: service or feeder fee,first _' ' - N branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2 Phone:(360)695-7700 + Pax::(360)693-4442 Miscellaneous(service or feeder not included) Email: tj k au) +11,10 la and/or feeder 84 Eachmanufactured or modular dwelling,serviceG7 2 ;ems w =' rF_ `,,' S •C..„, Reconnect only 67.84 Min - ^• ,4 -•• i. ,,.-.. ,. Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:402 Valley Ave NW Ste 106 Signal circuit(s)or limited-energy 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 min) 66.25/hr Phone:(253)872-6051 I Fax:(253)872-1801 Investigation(I hr min) 90.00/hr Email:bdaniels@gweusa.corrt Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.: C1158 Electrical Lie.: 208I74 I Suprv.Lie.: 4496S specifically listed(i4 hr mkt) 90'00/hr Suprv.Etectdciansi attire required: /r ^ :•; .::. ._ , 00W0-' `+il.?a`;.i I Fl :•�,;°'.a gra q : �, `Li .` , �X_J•('J( ,) • ,.,.._ _.., _.,_ ''s'>.`tr?' . .. . Print name: Joan P Albert I Subtotal:r ! Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): ( Authorized signature: /.....____•01007--__,--_____....—__� TOTAL PERMIT FEE: Print name: Bill Daniels This permit application expires If a permit is not obtained within 180 Date: ;Lye a47kr it film laccap accepted as complete. I1BuiIdi�lPermifslEr C?er,nitApp_&La BgE doc Rev 06/17/2015 * Number of inspections allowed per permit, 440-4615T(11/OS/COtvt/WEB i Plumbing Permit Application RECEIVE Building Fixtures RECEIVE City of Tigard APR 18 201 Received Permit No. 1111 2 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 CITY ('�/� Date/By: f j�C!/ -Qe1 Z CI 1 1 OF TIG!°' ■ il .Review Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: T 1 G:N x D Inspection Line: 503.639.4175 BUILDING DIVISI. ;s ceady/By. ►oris: ®See Paget for Internet: www ngard or goer Notified/Method j�� Supplemental Information For special information use checklist El New construction 0 Demolition Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ®1-and 2-family dwelling SFR(2)bath 437.78 ❑Commercial/industrial SFR(3)bath 500.32 ❑Accessory building ❑Multi-family 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: \ 9 D Li 9ea� 1gcAme �C Catch basin orarea drain 18.76 City/State/ZIP Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: Project name:; Footing dram(no.linear ft.: ) Page 2 \ f(jt� } 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,(Jeir Teir -cAct .,'a6A-- Lot no.: 2 3 Fixture or item: Tax map/parcel no.: Backflow preventer 0 31.27 Backwater valve ) 12.51 DESCRIPTION OF WORK Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ri onffe r craw= I ❑,TENANT Expansion tank 12.51 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 ,APPLICANT,., 0 CONTACT;PERSON- Interceptor/grease trap 25.02 Po� k* M ` 1. Medical gas(value:S ) Page 2 Business name: rlLs�t las. n`i^,^61n l Primer 12.51 Contact name:191 VI/L 4C�- Roof drain(commercial) 12.51 Address: -1 03 f,VCO woj.4 3A-- SZ) Sink/basin/lavatory I / 25.02 City/State/ZIP:Vancouver,WA 98660 4 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:.NI Ono Le. o k pfl\t � )e5 ��� Water closet 25.02 :. .. . , Water heater ";.7 37.52 Business name: i‘,14,"y j cA, 'ct c v? Water piping/DWV 5629 Address: p•1,. 6..ox op. Other: 25.02 City/State/ZIP: ST, e 4.AA art- 81131 Subtotal Phone:(e.51)3.-a(4..• 1411 Fax:(OM V.w-79,1-4 114Minimum permit fee: 572 50 Plumbing Lic.no.pb iG 7y Plan review (25%of permit fee) CCB Lie.: ( 3-72.... State surcharge(12%of permit fee) Authorized signature: ,i5tilikt TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: ��' '� j `�� Dater�'�f 10This it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. t:\BusidiegVPermite.PLMU-Per-.aitApp.doc 10/01/09 440-4616T(10/02FCOM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT I r,G A,I D Building Permit Review — Residential Building Permit #: /uSTd,r1/r-,,,,, S— Site Address: 168`1 1 W AyeieLie Kot Project Name: R i Ver Terrace E ad- 42 Lot #: 213 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Nttki S F 14Verify site address/suite#exists and active in permit sem. 1"River Terrace Neighborhood: ❑ No L2' Yes,See River Terrace Review Addendum Attached Site lan Elements: ee(3)copies of site plan W ting structures on site —SS to plan mu le on 8-1/2"x 11"or 11 x 17"paperootprint of new structure(including decks)with finished 1- awn to scale(standard architect or engineer scale) fl-•r elevations 11a_,prth arrow X :'ty locations&easements(required for new and additions) LIE'Syte address,project or subdivision name and lot number PI Sidewalk/driveway approach LApplicant information(name and phone number) ation of wells/septic systems Mot dimensions and building setback dimensions xisting trees to be retained with drip line,and tree r�'j . .- footage of buildings to be demolished p otection measures ►: of area,building coverage area,percentage of coverage and 4d� et tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Glettreet names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? tldl'es❑No 4f�o t differential) If yes,is a storm water quality facility shown? 04141N W'Clean Water Services—Service Provider Lett of platted prior to 9/10/1995): aired: �P�°'s� t,..1141 ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No [04 vie Public Facilities provement(PFJ)Permit wired: Yes,applicant was notified ❑ No Applied For: IJ(es 0 No,stop intake 02 .and Use Case#: PPR 2-016-0000 oning: R-3- Q.p) :I/Required Setbacks: Front g Rear 10 Side 3 Street Side (V- Garage Zd Landscape Requirement 24 0/ t Coverage Maximum: e0 %Lai A Building Height Maximum Height VA Actual Height Z,T2 2'nsitive sual Clearance Lands: E<es 0 No Type G04 r ' 3 J6}T711- (' LO,, t• •an Forestry Plan *V Conditions"Met"prior to issuance of building permit "'cotes: ,* (4,4113,4 7v k NJ- drlr 4v b'iJrb etrrNrP issuanct Approved By Planning: .2,04211. Cer _" 7-(frigDate: 7- �' Revisions(after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved 1:113 ild{ng\FormsWIdgpermitRvw_RE5_061417.docx Building Permit Submittal Original Submittal Date: y/y/r Site Plans: # Building Plans: # 3 Building Permit#: nter buil...: •ermit#above. Workflow Routing Planning s Engineeringrmit Coordinator i uilding Workflow Sign-off: re`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. alli Building original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: /4� �'�"? -- Date: 7//17/ 17/lS� Engineering Review lope at building pad: 5 70 ❑ Conditions"Met"prior to issuance of building permit LI Easements(encroachments)per engineering conditions of approval and plat ,'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes e No Assess Water Quantity Fee in-lieu: ❑ Yes e No LIDA Facility on lot: ❑ Yes _2''No 0 NOT Approved by Engineering: Date: Notes: WALL_ 511_. 1 twit. fj-7G, "a-Ktier ., Vt /SS-c)E Approved by Engineering: /GC,Pz r,..l-7 Date: 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 ❑ Conditions"Met"prior to issuance of building permit y� - roved,NOTRelease • let? girt-Date: 5//9 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: 3:1)SDC Fees Entered: Wash Co Trans Dev Tax: 1'/ es 0 N/A Tigard Trans SDC: % Yes ❑ N/A Parks SDC: l'A Yes 0 N/A LIDA 0 Yes 1 N/A OK to Issue Permit Approvedby Permit Coordinator: )4(1D Date: I:\Building\Forms\BldgPermitRw✓_RES 061417,docx • City of Tigard IN 1 e COMMUNITY DEVELOPMENT DEPARTMENT r,GA KI) River Terrace Building Permit Review Addendum Building Permit #: Site Address: i‘g9'{ SV 40164-Alt kA Project Name: R1 vcr Tc.rr s e. &1- #Z- -Lot#: 213- (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 Ycs 0 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 min.2 ft.,Eft wide Gabled dormer 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 Shawn: tg.2./ 3.Fjntrances:At least one entrance must meet both of the fo to ng standards: al Max.8 ft setback from ••_ t street-facing wall PO Parallel to street,angle no more than 45"from street, or open onto porch Entrance opens to a porch: V Yes 0 No If yes,all the following apply sq. , One street facing entry ()2 �ft,max,roof above floor of porch Ci/5 ft.depth min. I 30%min.porch roof coverage 4.Fetailed Design:All buildings shall include a min.of five of•t following elements on all street-facing facades: Covered porch min.5 ft.wide x 5 ft.deep tLecessed entry area min.5 ft.wide x 2 ft.deep ❑ call offset min.16 inches ❑Dormer min.4 ft wide D ' ••f eave shin. 12 inch projection ❑ .o of offset min.of 2 ft ❑Roof shingles either tile or woodGable,hip or gambrel roof design 0 Roof pitch oriented south shin.500 sq.ft ❑ Horizontal lap siding min.3-7 inches wide EV'Accent siding min.40%of street façade 0 Window trim min.2 W'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 0 Attached garage is 35%or less of street facade 5.Garages and Carports:May face the front or side lot line on a comer lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. 0 Yes 12 No. If No(Check one): ❑Way extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ®'May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a mitt.area of 12 sq.ft Width:(Check one) ❑ 12-foot-wide garage door [ 40%max.of street facade ❑ 50%max. of street façade with 7 detailed design elements Notes: Approved By P i ning: f I Date: Z-1-(y INiluildoeForsosIBIdeenniLltvw REs 8T 121117.E Lig C Electrical Permit Applicata IVEFOR OFFICE tJSE ONLY City of Tigard MAY 9 2019 Received (', Date/By:�1CAI kek�\? Permit#1\ec-C-X�A_�:t --� - e 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ���� Phone: 503.718.2439 Fax: 503.59CRa1'OF TIGARD Date/By: Related Permit ii: TIGAR LI Inspection Line: 503.639.4175 BUILDING DIVISION ReadyDate/By: Juris: El see Pngez for Internet: www.tigard-or.gov Notified/Method: I Supplemental Information rm-r ,v, .,- a,r,r- ._ TYPE OF WORK PLAN REVIEW ®New construction ❑Additlon/alteratl0n/replacemen—\G1 Please check all that apply(submit 2 sets of plans w/items checked): \Q 0 Demolition 0 Other: 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 3,,` Ic ❑Addition of new motor load of system. _ z4 Job#: Job site address: I,JV 100HP or more. ❑'A^, E,'t-r,'I-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 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. 1 Each 1 Total i New residential single-or multi-family dwelling unit. Subdivision:East River Terrace Lot#: it 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 aboveft.) 75.00 2 Change contractor on MST 7 0tca--(,)(• _ 7 sq. Limited energy,multi-family 75.00 2 residential(with above sq.ft.) CA PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2 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 ...4 APPLICANT ❑;CONTACT PERSON Branch circuits-new,alteration,or extension,.er 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:Tonja Morris B.Fee for branch circuits without Address:703 Broadway St,Ste.510 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax: :(360)693-4442 Each,manufactured or modular dwelling,service and/or feeder 67.84 2 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 44u'Ave. Signal circuit(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 humin) 90.00/hr Email:solarpdx®me.com Industrial plant(1 hr min) 78.18/hr — Inspections for which no fee is CCB Lie.: 199188 Electrical Lic.: c923 I Suprv. Lic.: 48715 specifically listed(A hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: 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): Authorized signature: k J lG 11,00e."( 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. * blumberehupectimrs allowed per permit. I:\BuildiroePennits`ELCPermitApp_ELR ERE.doc Rev 06/17/2015 440.46.15T(I 1105/COM''WEB