Permit CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit#: BUP2019-00132
T i c A tt pi 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/13/2019
Parcel: 2S 106DA 16600
Jurisdiction: Tigard
Site address: 17144 SW SNOWDALE ST, UNIT#
Project: River Terrace East Picnic Shelter Subdivision:RIVER TERRACE EAST MULTIFAMILY Lot: None
Project Description: Picnic shelter for multi-family development.
Contractor: WILLIAM LYON HOMES INC Owner: POLYGON WLH LLC
703 BROADWAY STREET, SUITE 510 109 E 13TH ST STE 200
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: NEW Type of Const: VBPermit Fee-COM-New Construction 06/05/2019 $156.00
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 06/05/2019 $18.72
Plan Review 05/28/2019 $101.40
Dwelling Units: 0 Address Fee-per lot/suite(up to first 20) 05/28/2019 $50.00
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 06/05/2019 $98.00
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 06/05/2019 $4.00
Value: $7,648 11x17)
Info Process/Archiving-Sm$0.50(up to 06/05/2019 $5.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 160
Deck: 0
Garage: 0
Mezzanine: 0
Total $433.12
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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: Ae/'_4 AA"' Permittee Signature: /
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
Residential JIVED FOR OFFICE USE ONLY
!phiCl of Tigard MAY 2019 Received
g 22 Date/By: 1...A--, 1 A-v Permit No.: � Ct—1 ( 3,1
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �1v
® Phone: 503.718.2439 Fax: 503.598.16 �! I�` Date/By: ',A . ) C Other Permit:
I'I G A R U Inspection Line: 503.639.4175 4 Date Ready/By: Jur 0 See Page 2 for
Internet: www.ti and-or. ov B IJ I LD I s G D IVI S I O Noti ed Method /c, g
g g iSZe^uP L / Supplemental Information
_x„�, Z+s�»a,� . v x,�d ,t,.,a«.,�`;, ,r�r ht s�X a�,�,>��r,3. 4 r � ,�• �- ,.a �,- .�
,
E F WORK "„t REQU DATA 1-AND 2-FAMILY DWELLING
®New construction ❑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.
Valuation: $
1-and 2-family dwelling ElCommercial/industrial
Accesso ry buildin Number of bedrooms:
g ❑Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ( 1-t Lk C-lC, Cerci),` C,,c Si--' New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:River Terrace East '01\1t,l-V‘. yvk I,1� Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
be-k-WeCY1 G3S H i 3 Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace East#2 Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: ..,S)Ulp 4 kD L0(p Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
C r)k,C, v\eA Valuation: $ \-‘C6
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 St,Ste.510 Occupancy groups:
City/State/ZIP:Vancouver WA 98660 Existing:
Phone:(360)695-7700 Fax:( ) New:
la APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH,LLC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Tonja Morris
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::( )
E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR 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 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 ie.:207247
Total fee due upon application: $201.60
Authorized signature: Nu. N� . • This permit application expires if a permit is not obtained
�� ' within 180 days after it has been accepted as complete.
Print name:Tonia Morris Date: 2_1-)`,Cl‘ *Fee methodology set by Tri-County Building Industry
Service tsoara.
L:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
Cit of Tiand Received Permit No.:
3g Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
I I G A R D Internet: www.tigard-or.gov
❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: • ❑ 0 ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ 0
6 Sewer permit. ❑ 0 0
7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ❑
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 ❑ ❑
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 —Manufactured floor/roof truss design details. ❑ _ -__❑- 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore.on and shall be shown to be a..licable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
111 .
" COMMUNITY DEVELOPMENT DEPARTMENT
i Ill
TIGARD Building Permit Review — Commercial - With Land Use
Building Permit #: ‘1 \..A.V>ci kg (),0l?
Site Address: M LP-1 SW SnowcZ - Suite/Bldg#:
Project Name: R\Ve.Y 1f%ir'w ce- E Mu ii-F iwi itG
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: ?j rill G G fr4%iGY MUA1 -tDlvyi t 1 q cteo opn '*'
Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: -A Yes ❑ No
Land Use Case#: PDR2DItp_ cocoa
Plans Match Approved Land Use:
sk Site Plan ifi, Landscape Plan ❑ Other:
I1-Urban Forestry Plan r\pc Elevation Plan
g. Building Height: Maximum Height N Actual Height 1,
Conditions Met: 0 Prior to Submittal V,Prior to Permit Issuance
NA-Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business qcPublic Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
Notes: AM 4.130 adarta 10
Approved by Planning: ��,1�.. Date: El 23 I 1 CI
Revisions (after Building Submittal o ly) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 5 I'''a I kat
Site Plans: #
Building Plans: #
Building Permit#: 12r Enter building permit#above.
Workflow Routing: g'Planning Ii'/Engineering ErPermit Coordinator Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: g Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: - , _- Date: F-)1`? 1 1
I:\Building\Forms\BldgPermitRvwCOM WithLandUse 060116.docx
Engineering Review
,' Slope at building pad: N/A
❑ PFI Permit#: 10/A-
.1 Conditions "Met"prior to issuance of building permit
,r Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes E7 No
Assess Water Quantity Fee in-lieu: ❑ Yes in No
LIDA Facility on lot: ❑ Yes 2 No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering:�� �l l tC - lA• Date: 5 it)
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 LS/N/A
Tigard Trans SDC: 0 Yes IN/A
Parks SDC: ❑ Yes af/N/A
O ito Issue Permit
Approved by Permit Coordinator: Date: / 19
I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_070915.docx