Permit CITY OF TIGARD MASTER PERMIT
14R
`'` COMMUNITY DEVELOPMENT 11
Permit#: MST2018 00280
T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/13/2019
Parcel: 2S106DA19900
Jurisdiction: Tigard
Site address: 16603 SW BIRDSONG ST
Subdivision: RIVER TERRACE EAST Lot: 238
Project: River Terrace East No. 2, Lot 238
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2909 sf Value: $366,750.25 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
0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywall-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 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 at 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
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2909
Owner: Contractor:
WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $35,236.44
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 OARA952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling
g5503.232.1987(orr11.800.332.2344.,1
Issued By: \ Ci�l� ` �/L. Permittee Signature: .> . \1��`-�L�} \1(_.
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.
LO. 2 8
Building Permit ApplicationLiE( E��'GD
Residential FOR OFFICE USE ONLY
,, h9 18 nla
City of Tigard Received
ateB ����v r�� `J ; Permit No.: 1
liial 13125 SW Hall Blvd.,Tigard,OR 97223 , Review
Phone: 503.718.2439 Fax: 503.598.1960 � (�^� v SBy: b Other Pernu �v mniNi -
1 (C=:+.[.D Inspection Line: 503.639.4175 Date Ready/By: �! G� Iuris: la See Page 2 for
Internet: www.tigard-or.gov Notified/Method: #(1 ! Supplemental Information
51109/I— �y 6 an/
TYPE OF WORK REQUIRED 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Lo ® 1-and 2-family dwelling ❑Commercial/industrial Valuation:
U $ 2 J( AU 11 SD
J ❑Accessory building 0 Multi-family Number of bedrooms: L jVt
❑Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: Z 3-737 3
Job site address: I Q)10 0 3 S i' [5I('CJS orn S i New dwelling area:2_Gi f square feet l(55
City/State/ZIP:Tigard,OR 97224 Garage/carport area: (-4-(0(.4.4 square feet I'7
Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area:��'"' ��quare 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.: e, Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF 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*
Business name:Polygon WLH,LLC (PleaserelertaleescAedrEle)
Structural plan review fee(or deposit):
Contact name:Nichole Thorpe
FLS plan review fee(if applicable):
Address: 103 Brc� Si S(,1.(k.ci 0
City/State/ZIP:Vancouver WA 986d
Total fees due upon application:
Phone:(360)695-7700 Fax::( ) Amount received:
E-mail:Nichole Thorpe 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: 1(9 npaci a.i S+ �', , ,.fir .ci0 . Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver WA 98660 wig 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: $201.60
Authorized signature:l���ci14��,(7J, This permit application expires if a permit is not obtained
"" �, within 180 days after it has been accepted as complete.
Print name:Nichole Thorpe Date:06/16/2017 *I ee t..etlidales/s,t 1, T.t-C ty Du:11;,,s hidu,ny
Service Board.
I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit ApplicationiOU Of I I ( sl t)Nl
ED
City of Ti and Received
g E ,,v Datetf3y. i'entio No.:
.71 rt 13125 SW Hall Blvd..Tigard.OR 9
R Phone: 503 718.2439 Fax: 503.598.1960 1 8 ZM?) Pian Review
Datut3y. Other Permit.
1 ,, ,i f, Inspection Line: 503.639.4175 RPR 1 R Date Rcady113y: loris Ed See Pale 2 for
Internet: www.tigard-or.goviv�, c"�''GPv Notitied/Method: Supplemental Information
Nt3 fl1VIS Q
.t r. _ : *Q . : '. . i' ' ' ., ' '74 ,CrU claiST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead.and profit.
Value:$
CATEGORY OF COl'K7 RUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
•5.1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist
I I Multi-family 0 Master builder 0 Other. Description Qty. Ea. Total
JOB SITEINFORMATION AND LOCATION 1leating/cooling:
Air conditioning 1 46.75
IJob site address:1 03 s` `1 ` , Asl3,,-\() S'_ _ Furnace 100.000 BTU(ductsAents) I 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100.000+B'lU(ducts/vents) 54.91
Heat pump 61,06
Suite/bldg./apt.no.: Project name: Vw.er 1 , ce_.-EO.S - Duct work 23.32
Cross street/directions to job site: tlydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall.in-duct,suspended,etc, 46.75
Flue/vent for any of above ( 23.32
Subdivision: '1,/e.,),,, to (A( , IF—C1LSk- Lot no.: 2:N5 Other: 23.32
Other 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
® PROPERTY OWNER I 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: PVL
yad (d "s uc Range hood/other kitchen
I
equipment
33.39Address: 1 Io®O Ef)ouweAQfecaWV'oavClothes dryer exhaust I 33.39
City/StateZIP " 1( 4-C4 y Z Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) T 23.32 _
Phone:(n01 L+- 3 t Fax:( ) Attic/craw lspace fans 23.32
El APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Polygon Will,LLC Fuel piping:
$14.15 for first four;S4.03 for each additional
Contact name: 01 ci V\0\t. rvp_ Furnace,etc. I
Address:10 EArDi�JYJI 4 Su 1,11_1.e iO Gas heat pump
Wall/suspended/unit heater
City/StatePZlP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace I
E-mart: ' Range I
Barbecue
.> MORA, EiNAt Clothes dryer(gas) _
Business name:Apex Air LLC Other:
,,ItILtLrtl. ti 1 '
Address: 18004 NE 72"d Ave Subtotal
City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00)
Phone:(360)342-8109 Fax:(360)326-1769 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.:203034 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authori .r 11 '
Print name Y Date: 4•11•It—
I tIIuiidingWomitsw.MEC_PcnoiVpp 04Ol I)doc 440-4617$(i i'QJco vwrm
.,.,-w.. x •i.0 an-u.'A 11E.It'dAlll46u L'RRY1E11 ((''�� r
n �RECENE �. e s;r'} */ *L _
� CIIl4 'C �".�-' tea', +�":+:..� �,��5"_.��., �.*��'�d.4T�.� -�L 'G-
y ofTigard Received
s, 'A 13125 S6V Ball Blvd.,Tigard,OR 97223 APR 1 8 2�W D�teRe
Permit 4:
' Phone: 503.718.2439 Fax: 503.598.1960 Plan Rcv;ety
Inspection Line: 503.639.4175 r /��y r Date/By: Related Permit 4:
TIGARI3'i �`' Gi I(G ead Date/13
- Internet: www.tigarcl-or.gov ottt3edhvietlio Jana: fl See Supplemental for
*� cc
;_�uitia_t=•_r..,-s - - _ -- -- _ iL�lNG D�V�a,7�,. Yd information
p,.:
®New conshucfian 0 Addition/alte . �l>Is< UIE�y::"';:0::!:f:,7:,.::-: x.0 � ,'
cation/replaceinent Please check ail that apply(submit i'sets of plans w/iteins checked):
ClService or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other:
..:.::E.>..<.• .. . . : . .
;..-.:.....:,..
where the available fault current
❑Mariaas
and boatyards,
rds.r;�.'; ..:..;._ R- l . G0ftykik .W4tI1tf TO.: ..: :. : � < : .:........... : exceeds 10,000 amps 150 volts orQ Floating buildings 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000
0 Commercial-use agricultural
CIMulti-family0 Master builder ❑Other: amps for all other installations, buildings.
,:..>:,.>:c: ;.-::..,;: •:,..,:. pump.
•:.:..:'•.,-: ::,;•a ;.; ; OBs'SITE+:INFO MATIN'40:::1600.0[0. i'.: vre ❑largInsterlsep separaof tely
150 rKVA or
ived
. . ::. ... : . .. .. .: ❑Emergency system.
largerseparatety derived
Job#: Job site address: 'I�PIP^ 1 (^�i
El Addition of new motor load of system.
D . SW avrCAS "t- 10013Pormore. ❑A';`E';"i-2","1-3';
City/State/Zip:Tigard,OR 97224 C7 Six or more residential units. occupancy,
Suite/bldg./apt.#' ❑Health-care facilities, ❑Recreational vehicle parks.
: I Project name: i2 yr r Tama_.e '+ ❑ifazardoas locations ❑Supply voltage for more than
.Cross street/directions to job site: it
or feeder 600 amps or more. 600 volts ttominat.
.:,. ::
.:..:.:... .. ..:... : ..
. Qty. IEach..,.I ,•Total .I
DescriptionI
x.
Subdivision: �Y� New residential single-or multi-family dwelling unit.
Ye/�ratz. los I Lot#: 2 Includes attached garage.
Tax map/parcel#; 1,000 sq.ft.or less 't 168.54
y� 4
:.......,:�, :-,;::;:.........1,::;:;,.. .,,,,:,,,,.....;1,,.,
s .::;...,,,,?: i`:>;A G`I2LPT +..... a,add'1500 sq.ft.or ortion 2
•......_......:.... _,:- ::••,... P 33.9_
1
,......: _ ... ... . . .. : -.:.::.,::........: ::...:: Lirnitedener
- energy residential
(with above sq.ft.) 75.00 2
_. above sq. ) 5.
Limitedenergy,multi family
residential(with #t. 7 00 2
n:fi-yid:`aa.iPROET� ,�:�` - - - = - -
,_._,,:�,- R•I;'fl.,O�: ,:,::v,..=: : - Renewable
- Ener
...._:.. _ ,, .. ... y�:;'�.�;?PEN�'NT °=,.zi:': gY ❑ SeePage2
Name: Services or feeders installation,alteration,and/or relocation
"`v -LoL, 1(Jt _ I 200 amps or less I00.70 2
Address; , , '`�/ A
. It.
201 amps to 400 amps 133.56 2
City/State/ZIP; S Gia aI A �5`.5� J 401 amps to 1,600 amps 2003412
�B v I G 601 amps to 1,000 amps 301.04 2
Phone: 'ti9 Q7,—(PCI
i4-i j 1 Fax:( ) Over 1,000 amps or volts 552.26
Email: V/ 1 `"lo JTemporary services or feeders installation,alteration,and/orrelationt
Owner installation:This installation is being made on property that I own which is not 200 amps or less
i I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 55.06 1
201 amps to 400 amps 125 08 I I 2
Owner signature:
2
:x;: Date: 401 amps to 599 amps 168.54
.._.. :._�:PIsLG
. ...! Ain
eh.... i:.�: "�II` :, .: i'� .''ONCACT'`P�: ch circuits-new,
�:.. �. �;.-;: 1� ., Cr,,.:....,.:..-_,.:..„�I2:SON s`_;';?; alteration,or extension,per panel
Business name:Polygon WLH,LLC A.Fee for branch circuits with
above service or feeder fee,
Contact name; ' (' each branch,circuit 7.42 2
"" " B.Fee for branch circuits without
Address: i 1��n1n„1waki service or feeder fee,first
�'j' S\� ) branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 j Each add'!branch circuit
7.42 1 2
Phone:(360)695-7700 I Fax::(360)693-4442 Miscellaneous(service or feeder not included)
Email: \CAN)1C. V Y W ���M� e and/or feeder
89
Each manufactured or modular
IA �!.1. � dwe lnng service eder 67 2
y`,:: .,. - �!t Reconnect onl
rG i��r� -
:.:v.,.._rk+;,..:, - ,.: _ _�s i� - 67.84
-,: Pump or irrigation circle
_ ..._, :.•:,�a:,�;:::-:,;; 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. Cl 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 Investigation(1 hr min) 90.00/hr
Email:bdaniels@gwettsa.com Industrial plant(1 hr lulu) 78.18/hr
CCB Lie.: C1158 Inspections for which no fee is
Electrical Lie.: 205174 1 Suprv.Lie,: 44966 specifically listed(%s hr min) 90,00/hr
Electrician signature, cC ) .`;;iE r
Suprv. required: , iLi l� �,C.►-Y.�C_.,- s>uczR :_ :
•
Print name: Joan P Albert Subtotal:r
•
I Date: El Plan Review Required(25%of permit fee):
----i________ . State surcharge(12%of permit fee):
Authorized signature: - - TOTAL PERMIT FEE:
I Print name: Bill Daniels
This permit application expires if a permit is not obtained within 15 i
Date ,Lx.afertt pas peen accepted as comp etc,
L1SuildtoglPormitsl&t C PeratitAPP_r 8>u3 goo Rev 06/17/2015 * Number of inspections allowed perpennit.
44e-4615T(l V05/COtvp*p/
I
Plumbing Permit Application IEGkEIVED
Building Fixtures y
City of Tigard p PR 1 8 2°1 Received permit No.:
11
a 13125 SW Hall Blvd.,Tigard,OR 97223 «te/By`
O Phone: 503.718.2439 Fax: 503.598.1960 CITY Of- 1. evtew
. • • Other Permit No.:
•
T I C n k C7 Inspection Line: 503.639.4175 BUILDING D!V, .1 Date Ready/By: Anis: ®See Page 2 for
Internet: www.tigard-or.gov
x�. , ..�.-.. wORK i:a '�� ,�.. t�;.� ,-',• -.�,.::_.,,,, ,fit ����mea
Supplemental Information
For special information use checklist
®New construction E3 Demolition
Description I Qty. ( 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 SFR(2)bath 437.78
❑Commercial/industrial
SFR(3)bath 500.32
0 Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other. Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION, Site utilities:
Job site address: I U lY 0 3 Sv.l ��x r/^a���S
Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224
Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name:. ..&g_. v-act Ras 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,,Je l - Teirraee, .j-- Lot no.: e Fixture or item:
Tax map/parcel no.: Backflow preventer I 31.27
Backwater valve I 12.51
DESCRIPTION OF WORK
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
2 PI:t)P,ERTY OWNER I - 0 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
,. &I;APPLICANT 0 CONTACT PERSON.: Interceptor/grease trap 25.02
Pot 1`,', 4 t tic_
^ Medical gas(value:$ ) Page 2
Business name: 9yU� t Lc C_ g
N I 1 Primer 12.51
Contact name: QI�(}P, Roof drain(commercial) 12.51
Address: 1,b3 (YUl�1A)CU ` t �, O Sink/basin/lavatoryiii-2.7 C Svc [:�r3���v' :, 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: l�\c .c ti OV , Cf )' \
p �; Water closet 25.02
Ct3 CTOR Water heater 37.52
Business name: G,a..1 4A10)1Nt e.,-5.v 7.,A(...- Water piping/DWV 56.29
Address: P.Q. g.., Of Other: 25.02
City/State/ZIP: Sr. P 44,A4 oft_ a 1131 Subtotal
3,. $(J., I�i1 F ( 1 '1aa,7 110 Minimum permit fee: $7250
Phone: D �i 1 ax: qI,.
y Plan review (25%of permit fee)
CCB Lic.: 184118413-a_ Plumbing Lic.no.Pti) 40
State surcharge(12%of permit fee)
Authorized signature: 7 + TOTAL PERMIT FEE
Print name: Ai-EA!t. ' i w14. _ Date' _31)-!b This permit application expires if a permit is not obtained within 180 days
after it has been accented as comnilete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:tBuildmg\Permits\PLMMU-PamitApp.doc 10/01/09 490-4616T(10/02/COM/WEB)
imunipmEl
lir
City of Tigard
: 4 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #:
Site Address: Ow i i soh S-ti
Project Name: Rw L No,
(New dwelling=subdivision name;Addition or Alteron last name of owner) Lot #: 2 3:
Planning Review
Proposal: cv S
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ No X.Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
hree(3)copies of site plan
ir:'existing structures on site
rite plan must be on 8-1/2"x 11"or 11 x 17"paper 00
of
,Drawn to scale(standard architect or engineer scale) floore le elevations structure(including decks)with finished
X.North arrow
igtIJtility locations&easements(required for new and additions)
kite address,project or subdivision name and lot number
. =Applicant information(name and phone numberSidewalk/driveway approach
) fJ 'cation of wells/septic systems
kiLot dimensions and building setback dimensions NExisting trees to be retained with drip line,and tree
nr&quare footage of buildings to be demolished
protection measures
Lot area,building coverage area,percentage of coverage and /iiI,Street tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) XS
Property corner elevations(2 foot contour lines if more than 0reet names
00 sf of impervious area created or replaced? YI t-
4 4 foot differential)
If es,is a storm water .uali facili shown? ❑No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): s •No
Required: 0 Yes,applicant was notified
X---No Received: 0 Yes 0 No
$ Public Facilities Improvement(PFI)Permit:
Required: 0 Yes,applicant was notified
;13'No Applied For: ❑ yeS 0 No,stop intake
X Land Use Case#: P 1)1 `tp—o )
Zoning: S `.D
Required Setbacks: Front E5 Rear
1Q Side 3 Street Side N/
Garage _
A Landscape Requirement: _2,a_ iyo
A Lot Coverage Maximum: Q
Building Height: Maximum Height �(�.
�Visual Clearance — -a— Actual Height
1S Sensitive Lands: ❑ Yes V No Type
yUrban Forestry Plan
f • onditions "Met"prior to issuance of building permit
totes: U,_i Aig ' / A Or •
X.Approved By Planning: 4
.i..._. / Date: ff. ,,,
Revisions (after Building Submittal on,)
Revision 1: 0 A rovedReviewer Date
PP 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
0 Not Approved
Revision 3: 0 Approved
I:\Bulding\Forms\BldgPeimitRvw RES_061417.docx
r -......
Building Permit Submittal
Original Submittal Date: \
Site Plans: # _----
Building Plans: #
Building Permit#: Enter building permit#above. 12/Building
�Plannin �Engineering 12r Permit Coordinator
Workflow Routing: g
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form. building plans,engineer and
[Building: original permit application,site plans,
beam calculations and trust details,if applicable,etc.
Notes: Date: �� \�� l
i ^�..
By Permit Technician:
Engineering Review4 16
ope at building pad:
❑ Conditions"Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes 'iffNo
Assess Water Quantity Fee in-lieu: 0 Yes Er NoErNo
LIDA Facility on lot: 0 Yes
Final Plat Recorded: Date:
❑ NOT Approved by Engineering:
Notes:
w Piz- - P-34 i ,sem,Je 1,s E
` 144- ! v 4 Date: 11:41/1 18
Approved by Engineering: Date
Revisions (after Building Submittal only)
Reviewer
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
onditions"Met"prior to issuance of building permit
co
Date:
i A Approved,NOT Released: -n
141641a_______
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: X Yes 0 N/A
Tigard Trans SDC: ' Yes 0 N/A
Parks SDC: KYes 0 N/A
LIDA 0 Yes AN/A
OK to Issue Permit a a1 /�
Approved by Permit Coordinator: D Date:
IABuildineForms\BldgPermitRvw_RES 010118.docx
•
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
T l c A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: kot P D3 gUAI id&a & ee4-
Project Name: Paver- TeArraCe . —c -NO, 2 Lot #: T3g
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.0701):
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. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide
CI
dormer
❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors.
Percentage Shown: 11410
3. Entrances:At least one entrance must meet both of the following standards:
Parallel to street,angle no more than 45° from street,
, Max. 8 ft. setback from longest street- facing wall
or open onto porch
Entrance opens to a porch: ;Yes ❑ No
If yes,all the following apply: 25 sq.ft. min.
A One street facing entryotK4 12 ft.max. roof above floor of porch
Igt'S ft. depth min. t2(30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades:
Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep
Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
ARoof eave min. 12 inch projection ❑ Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street facade ❑ Window trim min. 2 1/2"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 facade
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., Yes ❑ No. If No (Check one):
❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
❑ 12-foot-wide garage door X40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: Afroffo.„4,,
I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx
Electrical Permit ApplicatiOl ECE VED FOR OFFICE USE ONLY
City of Tigard �J 2 Received Permit#:
II q 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 8 2019 Date/By: �-I t rC(� r(\ \ �Cfj— �j �
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: Juris: I H See Page 2 for
0 Internet: www.tigard-or.gov DIVISION Notified/Method:
BUILDING Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction 0 Addition/alteration/repiacemen ;' ,t'z) l Please check all that apply(submit 2 sets of plans w/items checked):
` 0 Service or feeder 400 ams or more
�`� /y %''‘ p 0 Building over three stories.
❑Demolition 0 Other: �Q where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION �
® _..--r` exceeds 10,000 amps at 150 volts or 0 Floating buildings.
'1-and 2-family dwelling 0 Commercial/industrial 0Accessory building less toground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
0 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
❑Addition of new motor load of system.
Job#: Job site address: kLq(4103
'Tx�J 6l 'St' 100HP or more. ❑"A"`E""l-2" "l-3"
City/State/ZIP:Tigard,OR 97224 ElSix or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:East River Terrace a Z 0 Hazardous locations. 0 Supply voltage for more than 1
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision:East River Terrace*2. Lot#: 238 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 K Limited energy,residential
Change contractor on MST 20 II -002,80 (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Polygon WLH,LLC 200 amps or less 100.70 2
Address:703 Broadway St,Ste510 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2 I
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 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
® APPLICANT Branch circuits—new,alteration,or extension,per panel
❑ CONTACT PERSON
A.Fee for branch circuits with
Business name:Polygon WLH,LLC above service or feeder fee,
each branch circuit 7.42 2
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
CQNTRACTQR. _ Pump or irrigation circle 6714 2
Business name:Alameda Electric Sign or outline lighting 67.84 2
Siacircuit(s) limited-energy
Address:3415 NE 44th Ave. panellalteration,or 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.: x923 I Suprv.Lic.: 4871 S specifically listed('A hr min)
Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES
- .� 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: /� (. j TOTAL PERMIT FEE:
This�p
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.