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Permit (171) ilii..„,.. .. CITY OF TIGARD MASTER PERMIT 11 ' COMMUNITY DEVELOPMENT Permit#: MST2019-00130 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/13/2019 T I "''� °O g Parcel: 2S 107AA00100 Jurisdiction: Tigard Site address: 14205 SW 168TH AVE Subdivision: ROSHAK RIDGE Lot: 1 Project: Polygon at Roshak Ridge, Lot 1 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1119 sf Basement: 140 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1062 sf Garage: 422 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2321 sf Value: $295,094.05 Rear: 0 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: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add.'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 2321 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 Geo Tech Report Required VANCOUVER,WA 98660 VANCOUVER,WA 98660 Prior To Pour 2 Ersn Cntrl 503-639-4175 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $34,795.18 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 throu. 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: +7>1( / 761,1:-./6'"9-7-7e),/ 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 L u-\-- i Residential RECEIVED FOR OFFICE USE ONLY Cityof Tigard Received / }� �� i _�(� *� _ g 1 Date/By: ` k\‘e1 (S, \ Perini[No.m 1 7��1C \U~7i Z r 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 2015 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Other Perini. \ DateBy: �� �� t ��3 ?��1—t.� •q TI GA R D Inspection Line: g 03 .639.4175 CITY Of. 11(iARD Date Ready/By: 7 9 4j Juris: 1 ® See Page 2 for Internet www tt arBUILDING DIVISION d or. ov FNotified/Method: '��/ Supplemental Information <1iL a/ /� TYPE FWi V QDDATA1=AD2 . IIWEWL i,iRE . N4 c ®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 %�F CAFkGORY_OP C(iNsTRuc i y work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ Z Dq Vi ❑Accessory building ❑Multi-family Number of bedrooms: 11 0 Master builder 0 Other: Number of bathrooms: i. TO$;SITE INFORMATI©I AND OCATiON% , . Total number of floors:j ') 7(4' Job site address: 1 Litib w1 Q -/v-e,/L I / Q New dwelling area:,P11-)gT_1 square feet 1 b��.�, City/State/ZIP: �VI�J Garage/carport area: L a-2.- square feet 1 l!9 Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: X square feet ' lip Cross street/directions to job site: Deck area: square feet Other structure area: square feet y�„REQ�E3)t1ATA:CO iltr,IAL-US HECKLIST , Subdivision:Polygon at Roshak Ridge Lot no.: I Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all ,--.- materials,labor, overhead,and theprofit fit for the • 9DESCRPTIONOF W0 � ' work indicated on this application. 'e :-.,. � � r. ✓ N,p i t }CValuation: $ VVI/ J Existing building area: square feet New building area: square feet ' 0 PR PERTY OwsrE '-213-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: ' ,; , % -PLIC: �,• -'. ', �' il iITA Ie Piit a P� ESQ y ',...0.,--::--Business name:Polygon WLH LLC Structural plan review fee(or deposit): Contact name:Amanda Gavin FLS plan review fee(if applicable): Address:703 Broadway St.Ste 510 _ Total fees due upon application: City/State/ZIP:Vancouver WA 98660 • Amount received: Phone:(360)695-7700 Fax: :(360)693-4442 t OVOLTAIC SOLAR PAI 'SYSTEM FEES* E-mail:permitsubmittals@polygonhomes.com ,,. .': iy ik Commercial and residential prescriptive installation of , ,A;� , : roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway St.Ste 510 Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 A I Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signatur . This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Amanda Date: 1 ...)iiiirii *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02;1COM/WEB) Mechanical Permit Applicaor) 1lV FOR OFFICE USE ONLY City of Tigard �F Date/By:Receiv Permit ° 13125 SW Hall Blvd.,Tigard,OR 97223 !A P R 2 I�} 2019 ��` L /��a��`3� (f` Plan Review Phone: 503.718.2439 Fax: 503.598.196 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov 1...DING 4 d IV!s7 ti/I V Notified/Method: Supplemental Information TYPE OF WORK V COMMERCIAL FEE*SCHEDULE USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* MI 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. j Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: I, Air conditioning 46.75 Job site address: 'I4 SW r(pgjTH . Furnace 100,000 BTU(ducts/vents) 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:Roshak Ridge 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 Other: 23.32 Subdivision:Roshak Ridge Lot no.: 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 equipment 33.39 Address:703 Broadway St.,Ste.510 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/crawispace 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@polygonhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Apex Air LLC Other: MECHANICAL PERMIT FEES* Address:18004 NE 72nd 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 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. Print name:Tim Hay Date:04/08/2019 I:\Building\Permits\MEC_PermitApp_040I I3.doc 440-4617T(11/02/COM/WEB) Electrical Permit ApplicationRECEIVEDFOR OFFICE USE ONLY City of Tigard Received PermittrJx7 /c,i _ 1 2 DateBy: f O&/3 l '." 13125 SW Hall Blvd.,Tigard,OR 97223 A r R 5 2 0 9 plan Review . . Phone: 503.718.2439 Fax: 503.598.19_60 _ Date/By: Related Permit#: Inspection Line: 503.639.4175 OF CITYIGARD Ready Date/By: Juris: 0 See Page 2 for 11LiAH-U Internet: www.tigard-or.gov BUILDING PIVISI0 Notified/Method: 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): ElService or feeder 400 amps or more ElBuilding over three stories. ❑Demolition El Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF'CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. ® 1-and 2-family dwelling El Commercial/industrial 111 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived n 0 Addition of new motor load of system. Job#: Job site address: Ito D5 5W t(ocej-t t.l f7_e 100HP or more. ❑"A",``E","1-2","1-3", City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name:Roshak Ridge 0 Hazardous locations. ❑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 New residential single-or multi-family dwelling unit. Subdivision:Roshak Ridge Lot#: 1 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential( bo eawith v sq.ft.) s Renewa le En r O TENANT b e gy ❑ See Page 2 ® mammy EltPE1i OWNER 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 Pt 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 BroadwaySte.510 branch circuit 56.18 2 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 Email:permitsubmittals@polygonhomes.com dwelling,service and/or feeder Reconnect only 67.84 2 R,.1 °fi`"� :ilt41.., : ,.,x_`•" (s f:, •Z6,. ., fi.:,,; .,.,a 4 .. ,,MA. .�., Pump or irrigation circle 67.84 2 Business name:Portland Electric Sign or outline lighting 67.84 2 Address: 1915E 5"'St.,Ste D Signal circuit(s)or limited-energy El 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/hr Phone:(360)314-4945 Fax:( ) Investigation(1 hr min) 90.00/hr Email:paul@portlandelectric.biz Industrial plant(1 hr min) 78.18/hr �j� 5 Inspections for which no fee is 90.00/hr CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic. '4n ,0 specifically listed('/hr min) n A_ ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: (�l ,x A Q,, Subtotal: Print name: Alex Shalya Date::04/08/2019 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: ini.„44,cja.24, TOTAL PERMIT FEE: This permit apptieatioa axpirec-if a permit is not obtaioad within In- Print Print name: MISHCHUK,SERC Y Date: 04/08/2019 days after it has been accepted as complete. • Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Plumbing Permit ApplicatioliI VED Building Fixtures FOR OFFICE USE ONLY APRrJ 2 � 2019 City of TigardReceived PermitN 111111 v 13125 SW Hall Blvd.,Tigard,OR 972 OF Date/By: .. J j9/9,00 430 • • Phone: 503.718.2439 Fax: 503.598Pt .MOI '1 �� Pian Review Other Permit No.: Inspection Line: 503.639.4175 BUILDING DIVISION' ate/y: T I GARD Internet: www.ti and-or. ov Date Ready/By: Juris: Ri See Page 2 for g g Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist. Description Qty. I Ea. 1 Total 0 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 SFR(3)bath 500.32 ❑Accessory building Multi-family Each additional bath/ldtchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: I Lk to 5 61A.) I to , At,s, Catch basin or area drain 18.76 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.: 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 I Lot no.: I 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 I 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 WaterPip g/r in 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 at 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) City of Tigard IIIIa COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R o Building Permit Review — Residential Building Permit #: 1\0S-1-7104"- 00 Site Address: /4,20-C-- 9/i3 IC.�"g711- 7 9 JJ Project Name: p� �� �4 , de� Lot #: ) (Ne�`� ��l• g=subdivision name;Addition or Alteratio — st name of owner) Planning Review JJ Pro osal: A V Verify address/suite#active in Accela. VJ In River Terrace: ❑ No ILI Yes, River Terrace Review Addendum Sit9 Plan Elements: Erosion Control ��,j�copies of site plan on 8-1/2"x 11"or 11 x 17"paper 1u,4 tained trees with drip line and tree protection measures of awn to scale(standard architect or engineer scale) 1. otprint of new structure(including decks)and FFE rth arrow '0 'ty locations&easements(required for new and additions) Site address,project or subdivision name and lot number Lit Sidewalk/driveway approach V '.licant information(name and phone number) Ci A cation of wells/septic systems et dimensions and building setback dimensions Pi S et tree size,type and location 11:•uare footage of buildings to be demolished eet names Il ` sting structures on site ' Corner elevations(2'contours if more than 4'diffe -ntial) V Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 'i Yes , impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?0 III Yes kb\cP6ean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: CI Yes,applicant was notified V Public Facilifmprovement (PFI) Permit: NJ No Received: ❑ Yes ❑ No ti I quired: y s,applicant was notified ❑ No rlpplie or es ❑ ,sto intake 4d Use Case#: � �-C---i' 0 0 Zoning: r-1-2- (1) 1:pied Setbacks: Front: 0 Rear: Side: .. Street Side: Garage: g ding Height: Max. Height: Actual Hei ht: `2/3/ /1 rr Landscape Area: C? % Lot Coverage Max: .ce ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees . Windows ■ , urn 12%of area of all street-facing facades Garage El Garage door• :- • d widest street-facing wall )1 P - • No,one of the following is met: ❑ Door extends no mor- .- . 5' ••- ..... an. there is a covered porch extending beyond garage. ❑ Door ext-.•. -. ore than 5'from ,.:-_ .. d there is a 12 sq ft.window above garage on 2nd floor. • ":rage door width is ❑ 12'or less ❑ 50%or es • .cade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset i• ' 'oof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or g. . ; .of 0 Dormer ❑ Accent siding , Window trim ❑ Window recess ❑ Window projection :alcony Visual Clearance Ia Urban Forestry P n V:Wensitive Lands: ❑ Yes LIQ No Type: El Conditions et p ;or to issuance of buil.' • permit Noes: V s ' IhbA ii : �..'' IA —Xiiiiiummeirn fl / '_h i i - w i / iv Approved By Planning: �- �,///, Date: Nil 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: ).‘ • 1 1Ot 1 Site Plans: # 2.1 Building Plans: #1 Building Permit#: NJ Enter building permit#above. Workflow Routing: Planning 2/Engineering Q'Permit Coordinator Ef'Building Workflow Sign-off: Q` Sign-off for Planning(include notes from planning review) Route Application Documents: S Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. C°Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: *N....)4/\,_,\._,•.....— Date: u \A\\C Engineering Review �/� ,Slope at building pad: J " 76' Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat p Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yesl`d No Assess Water Quantity Fee in-lieu: ❑ Yes xr No LIDA Facility on lot: ❑ Yes 7i No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: [ Approved by Engineering: lit, Date: I ? i Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved � Permit Coordinator Review I 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: CIR Yes ❑ N/A Tigard Trans SDC: ciZ Yes ❑ N/A Parks SDC: c .Yes ❑ N/A LIDA ❑ Yes Nr„,N/A OK to Issue Permit Approved by Permit Coordinator: gliV^' Date: ii I c"l l 71 I:\Building\Forms\BldgPermitRvw_RES_022819.docx City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT 11P1 ■ T 1 G A R D River Terrace Building Permit Review Addendum Building Permit #: 1(NMc-'X ,\OA--( `?>IO Site Address: / 61-C-- ) /(0C3-AA 1.91/--e Project Name: Pc,jt --oil c-_c7/- zAck k / / Lot #: (Newt,• g=subdivision name;Addition or Alteration=las e of owner) Planning Review of River Terrace Plan Dist Design Standards (18.640.070.1.): Is the project subject to the plan district design standards? 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. ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide CICICI ❑ 2. Eyes on the street: a minimum of 12%of each street faOpig facade mus include windows or entrance doors. Percentage Shown: /7 / '/Co 1-g v 3. trances:At least one entrance must meet both of the folio ' g standards: Max. 8 ft. setback from longe street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes Cl No If y s, the following apply: Ci5 sq.ft.min. ne street facing entryIL 1 ft.max.roof above floor ofp orch 5 ft. depth min. 30%min. porch roof coverage 4. tailed 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. deepC ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ Dormer min.4 ft.wide oi Roof eave min. 12 inch projection f )I Dycoof offset min. of 2 ft. ❑ Roof shingles either tile or wood ble,hip or gambrel roof design'/ ❑ Roof pitch oriented south min. 500 sq. ft. rizontal lap siding min. 3-7 inches wideOS CIAccent siding min. 40%of street facade I'Window trim min. 2'/2"wide by 5/8" deep . ❑ Window recess min. 3 inches for all street facing ❑ Bay window mm. 5 ft.wide by 2 ft. deep El Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less o ..eet facade 5. Garages and Carp. .• ►i a face the front or side 1 a corner lot. Setbacks: No closer to front or side lot line, than longest street- a : ... III Yes ❑ No. If No (Check one): El May extend up to 5 ft.if there is a covered front �. c and garage .oe : -.tend beyond the front porch. ❑ May extend up to 5 ft.where the gara;- • part of a two-story building and there is a wan.... e second story above the garage that faces the s -- with a min. area of 12 sq.ft. Width: (Check one ❑ 12-fos s e garage door ❑ 40%max. of street facade e 0%max. of street facade with 7 detailed design elements Notes: Approved By Planning: r-- -z--' Date: Wig I:\Building\Forms\BldgPermf Rvw_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 :IN a Transmittal Letter T 1 G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: NUASON\ ) céVc5y\9\ DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED APR 2 5 2019 FROM: C.- -4 A�\I o(Y\.s CITY OF TIGARD 111 BUILDING DIVISION COMPANY: O %(1\(\ PHONE: ----60 o -LQ ck -101) By/ RE: it}205 SA) "%o%-R\ ' 1\(\ -1- 201c\-ool%0 (Site Addre (Permit Number) - A40-5, \<;bc-,,E UT ' . (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. X Revisions: S 1. 4 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): n REMARKS: ‘eit�. 70,0vS1-4 On(re, S\f�61�1� ok ,��dlilY�U S FOOF ICE USE ONLY Routed to Pe s it Technician: Date: (I 21 ft 1 Initials: Mr Fees Due: E4 Yes ❑No Fee Description: Amount Due: $ C' rkr4el rze_ti $ tf S'. / $ -IV' $ Special Instructions: Reprint Permit(per PE): ❑ Yes ITNo ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions 061316.doc Electrical Permit Application-1.L 1,,...,3::-1 1' ,''''' , FOR OFFICE USE ONLY City of Tigard Received 11. 1 1 CI ?gig Date/B : VS k.I'l J MEMEIMMIll q 13125 SW Hall Blvd.,Tigard,OR 97223 ' ' ; Phone: 503.718.2439 Fax: 503.598.1960, , 111 . .. DPlaatnen3Rev:iew Related Permit#: Inspection Line: 503.639.4175 _ -'— ' ': ' ''''' S'' Ready Date/By: kris: RI See Page 2 for TIGARDr.. Internet: www.tigard-or.gov ! - ': '..:.7 : . ..7. ;( , Notified/Method:ethod: Supplemental Information TYPE OF WORK . El New construction 0 Addition/alteration/replacemenL . .,., 2,.c...C.:\bc\ 0 Service or feeder 400 amps or Please check all that apply(submit 2 sets of plans w/items checked): ;ore 0 Building'over three stories. 0 Demolition - 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION '‘---A-. ... -- exceeds 10,000 amps at 150 volts or 0 Floating buildings. IE 1-and 2-family dwelling 0 Commercial/industrial 0 AccelsgOry building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0Fire pump. 0 Installation of 150 KVA or _ . JOB SILL INFORMATION AND LOCATION ' " E Addition Emergency system, larger separately derived of new motor load of system. Job : Job site address: M-245 SW \LoiTti R-Le" 100HP or more. 0 Six or more residential units. ,occupancy. City/State/ZIP:Tigard,OR 97224 i 0 Health-care facilities. Er Recreational vehicle parks. Suite/bldg./apt#: Project name:Polygon At Roshak Ridge 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: - .. FEE SCHEDULE , Description I Qq. I Each I Total 1 * New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: 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 75.00 2 tVatne- veviAtsg- ISYN, i(Y\S-r Zovi-oot50 Limited(withenergy,ab° multi-familyvesq.ft.) 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2. . Eg 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 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 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: ' Date: 401 amps to 599 amps 168.54 2 0 APPLICANT El CONTACT PERSON Branch circuits—new,alteration,or extension,per panel ' 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 service or feeder fee,first Address:703 Broadway St Suite 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 . . . . . ..:. . ,cPPIT_ItAcTINt_ _ . ,_ : _ - —- :... . _ ----Jhunporigigationvirele— - - - 67,84 Z--' - Business name:Alameda Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address:3415 NE 44th panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: Portland,OR 97213 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr Email: solarpdx@me.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 4871/S, specifically listed(Y2 hr mm ) ELECTRICAL F'ER1VIIT 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): --- - TOTAL PERMIT FEE: Authorized signature: ...-- —,------ --------- 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