Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit (114)
CITY OF TIGARD MASTER PERMIT P Permit#: MST2019-00196 COMMUNITY DEVELOPMENT T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/27/2019 Parcel: 26107AA04300 Jurisdiction: Tigard Site address: 14135 SW RIVER TERRACE BLVD Subdivision: ROSHAK RIDGE Lot: 43 Project: Polygon at Roshak Ridge, Lot 43 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 1174 sf Basement 140 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 555 sf Garage: 437 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1869 sf Value: $242,271.65 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 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 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 addl 500 sf: 3 201-400 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 1869 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 1 Hour Fire Rated Eaves 3 Ersn Cntrl 503-639-4175 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $33,629.08 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 OA 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: _/ / /� ,,i Permittee Signature: � � \ 1Z?\- i -.iN1 C-�\Gr'N\ 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. • x , L (....- _- _, \ L\,___., Building Permit Application Residential FOR OFFICE USE ONLY City of Tigard RECEIVED Received C {� �,,�, 1,11111 g Date/By: `` J Permit No.:�1\ )�i C" .N. Y v 13125 SW Hall Blvd.,Tigard,OR 97223EB 0 6 2019 Plan Review Phone: 503.718.2439 Fax: 503.598.196 DateB i: Other PerA101.. i _�c\A . TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD DateReadyBy: Juris: H SeePage2for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ey a, I ate, I ❑Accessory building 0 Multi-family Number of bedrooms: 5 ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors ' 23 Le Job site address: '4 1-6 S s� �j 1 �v���rr�� f5'v4 New dwelling area: I�P1 square feet SSS City/State/ZIP: 1 �I m �y-A. 0� 0V -1Z� Garage/carport area: ti J1 square feet ( l 19 Suite/bldg./apt.no.: Yroject name:Polygon at Roshak Ridge Covered porch area: square feet t l{A 1 Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Polygon at Roshak Ridge Lot no.: 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 e p , DESCRIPTION OF WORK" work indicated on this application. A 1 'w ) Valuation: $ Existing building area: square feet New building area: square feet ID PROPERTY OWNER 0 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: Iii APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer tofee schedule) 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 City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Amount received: Phone:(360)695-7700 Fax::(360)693-4442 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 lic.:207247 Total fee due upon application: $201.60 Authorized sign This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Amanda avin Date: — _I AI *Fee methodology set by Tri-County Building Industry Service Board. P\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicatio �.r FOR OFFICE USE ONLY IVECity of Tigard " '"m` Received Permit No. ((??� Date/By: rn�c ^ "WACik 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439APRt Fax: 503.598.1960 �+ 2019 Plan Review Other Permit: T I GARD Inspection Line: 503.639.4175 Date Ready/By: Jas: H See Page 2 for Internet: www.tigard-or.gov CITY Y F' 1I ,HL) Notified/Method: Supplemental Information BUILDING DI\tl € ); TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 0.1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist 1 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: miss suj �} U£2 ' _ 'yiI C Q -B1 U 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 Subdivision:Roshak Ridge Lot no.: :J Other: 23.32 N 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/crawlspace fans 23.32 ® APPLICANT ❑ 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. Autlnnizcd signatu ,. Fee methodology set byTri-County Building Industry Service Beard Print name:Tim Hay Date:04/08/2019 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(1 I/02/COM/WEB) RECEIVE Electrical Permit Application FOR OFFICE USE ONLY City of Tigard r.\i'h 2 •i L019 ReReceived w 13125 SW Hall Blvd.,Tigard,OR 9722 , Plan Review `` I Phone: 503.718.2439 Fax: 503.598.1 V o.)'f" rl iAR Related Permit#: Date/ Inspection Line: 503.639.4175 F3UILDING O!VIS O I. Ready Date/By: Juris: 0 See Page 2 for `l1114"1.L Internet: www.tigard-or.gov 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): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling ❑CommerciaUindustrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder El 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#: I Job site address: U,1. 73 'B c1V.) t VQ�"�, it 100HP or more. ❑"A","E", `l-2","1-3", City/State/ZIP:Tigard,OR 97224 LiSix or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name: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 Qtv. I Each J Total I *_,,, New residential single-or multi-family dwelling unit. Subdivision:Roshak Ridge I Lot#: 43 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 DESCRIP' YON OF WORK , Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 ®.PROPERTY OWNER 1 © TENANT Services or feeders installation,alteration,and/or relocation Name:Polygon WLH,LLC 200 amps or less 100.70 2 Address:703 Broadway St,Ste510 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 APPLICANT ❑ CONTACT PERSON Branch circuits-c 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 serAddress:703 BroadwaySt,Ste.510 branchce it feederitfee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 I 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 F+mmp or i:£igationcircle _ � 67.84 --- ....... Business name:Portland Electric Sign or outline lighting 67.84 2 5th Signal circuit(s)or limited-energy 0 See Page 2 2 Address: 1915 E 5 St.,Ste D 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(i hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.;„.4'9 3' 0S specifically listed(Vz hr min) a E1zett ICA, PERMIT FEES Suprv.Electrician signature,required: QxF o 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: TOTAL PERMIT FEE: --- ---- -- fris-permitapplieatiee i,plea:f a-permit it net ebtainea.ritlde leg 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_PernntApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Plumbing Permit Application Building Fixtures 2 !�qt1 FOR OFFICE USE ONLY Ci of Tigard APR t7-U 19 Received I - g Date/By: Permit No. \c \O`. 4� kj III II 13125 SW Hall Blvd.,Tigard,OR 97223 „ : @ Plan Review Phone: 503.718.2439 Fax 503.5988 d,: I�(.7 lt,. Date/By: Other Permit No.: Inspection Line: 503.639.4175 $ULDNG D l sKON Date Ready/By:TIGARD Juris: EZi See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description I Qty. Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 tg 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: t qtrJ W 3 S `Vf-e.Tuyac e u r> Catch basin or area drain 18.76 l City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing dram(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:Roshak Ridge Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Roshak Ridge 1 Lot no.: y3 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:703 Broadway St.,Ste 510 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Tonja Morris Roof dram(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 1 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: -1-0(.44.10"-••••---„,__ TOTAL PERMIT FEE Print name:Steve Fowler Date:04/08/2019 This permit application expires if a permit is not obtained within 180 days --a ter-it-hesbeeesetepted as complete *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard v COMMUNITY DEVELOPMENT DEPARTMENT C T GAD Building Permit Review — Residential ren.a .. a _-." == :wa3+vs.-..,..**:i,xat r.-,.,__:u-, .0_ :,max ,m _i;..u„3ra ;s*s .1::: Building Permit #: \(\ ,--k- -©ACt_(1Cts Site Address: /q//c ( " piv,r -Pirroce_ f/vI Project Name: P0� i��i.-- Lot #: (Ne ' g subdivision name;Addi�Alteration= name of owner) Planning Review Proposal: 4tt-e Ire Verify address/suite#active in Accela. &?I In River Terra e: ❑ No dYes, River Terrace Review Addendum Siy Plan Elements: 'I.k,r• ion Control /copies of site plan on 8-1/2"x 11"or 11 x 17"paper I 'R ained trees with drip line and tree protection measures EcNt awn to scale(standard architect or engineer scale) 1 otprint of new structure(including decks) and FFE rth arrow ty locations&easements(required for new and additions) Ie address,project or subdivision name and lot number Zid alk/driveway approach VIS plicant information(name and phone number) ■ ation of wells/septic systems VLo dimensions and building setback dimensions �s.,eet tree size,type and location It re footage of buildings to be demolished 1.4 eet names •"4 'sting structures on site Comer elevations(2'contours if more than 4'diff ntial) M •t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? VJ es ❑ o im.-rvious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ) Yes 6J No ��`� lean Water Services—Service Provider Lettot platted prior to 9/10/1995): equired: ❑ Y ,applicant was notified 1A No Received: ❑ Yes ❑ No tit- Public Facili s Improvement(PFI) Permit: equired: Yes,applicant was notified ❑ No Applie or: la yes ❑ Ng,stop iqtake and Use Case#: <ct CVC-ii -0' Zoning: £-1 - A g' � equired Setbacks: Front: gRear: Side: Street Side: 1T/ Garage: t� R••dingHeight: Max.Height:g /049--- Actual Height:/, rI Landscape Area: v.20 % 7.1Lot Coverage Max: g 0 0/0 Entrance iii -t back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees s Windows ❑ Minim %of area of all street-facing facades Garage ❑ Garage door is be ti • , 'dest street-facing wall 0 ❑ Yes ❑. Ne one of the following is met: ❑ Door extends no more i : • 5'from wall and ere is a coverez porch extending beyond garage. ❑ Door extends no more than 5'fro .11 and_ is a 12 sq ft.window above garage on 2nd floor. I ❑ Garage door width is ❑ 12'or less i"50%o - of facade ❑ 60%or less and includes 7 of following: 1 ❑ Covered porch ■ ' -cessed entrance ❑ Wall o ❑ 1'Roof eave 0 Roof offset ❑ Fire s • - ❑ Lap Siding ❑ Roof pitch ❑ Gab e, :, or gambrel roof ❑ Dormer ccent siding Window trim ❑ Window recess ❑ Win•o ; •'ection ❑ Balcony I1 0 isual ClearanceV rban Forestry Plan J Sensitive Lands: CJ Yes ❑ No Type: LAO vedke ,h ,,, , �Co ditions met prior to issuance of building permit No s: Approved By Planning: � L__--7 ---r � Date: / 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: aWk 1 CI Site Plans: # Building Plans: # Building Permit#: ["Enter building permit#above. / Workflow Routing: ["Planning [Engineering Permit Coordinator 1 Building 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. [S/Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: \ k_,,,� Date: `o1 3I Engineering Review Slope at building pad: 5-6 e ,0 Conditions "Met"prior to issuance of building permit a Easements (encroachments)per engineering conditions of approval and plat 'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes /ET No Assess Water Quantity Fee in-lieu: ❑ Yes Er No LIDA Facility on lot: ❑ Yes 42 No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 44- l U Rr w • Date: 5 Yi I Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review O 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 otice 2: Date Sent to Applicant: Revi . n Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: l/Y ❑ N/A Parks SDC: Yes es ❑ A LIDA ❑ L�'N/A OK to Issue Permit Approved by Permit Coordinator: Date:5 6r/ir- I:\Building\Forms\BldgPermitRvw_RES 022819.docx City of Tigard 71 K COMMUNITY DEVELOPMENT DEPARTMENT ' ARD River Terrace Building Permit Review Addendum Building Permit #: 'MST `s_cc c Site Address: /271/g-Se—-C) /ite-f- ',,ma 6/vee_ Project Name: , —..:Lr.1 -_.9" 1-1--t _ 'si , Lot #: /-/ (Ne ` er g=subdivision name;Addition or Alteration ast name of owner) Planning Review ofRiver Terrace Plan Distti t Design Standards (18.640.070.1.): Is the project subject to the plan district design standards? V Yes ❑ No 1.Articulation:a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 deep ft. deep min.2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ CI ❑ 2. Eyes on the street: a minimum of 1 % f each street facing facade must include windows or entrance doors. Percentage Shown: d 3. trances:At least one entrance must meet both of the follo ' g standards: Max. 8 ft. setback from lone street- facingwall Parallel to street,angle no more than 45° from street, g or open onto porch Entr ce opens to a porch: Yes ❑ No If s,all the following apply: �sq.ft. min. ne street facing entry 1Q 1 t.max.roof above floor of porch 5 ft. depth min. 30%min. e orch roof coverage g 4. P•tailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: IF. Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep D7all offset min. 16 inches ❑ D D. er min. 4 ft.wide Roof eave min. 12 inch projection IP ' :of offset min. of 2 ft. ❑ Roof shingles either tile or wood r2 Gable,hip or gambrel roof design ❑ t .of pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide Y Accent siding min. 40%of street facade ❑ Window trim min. 21/2"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. _ - .nd Carports:May face the front or side lot line on a rner lot. Setbacks: No closer to front or side lot line, i .•- ..•est street-facinwall. ❑ Yes ❑ N. 1 o(Check one): ❑ May extend up to 5 ft.if there is a covered fron a i . and gar.•- .oes not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of. ..,.-story . ii i..•• and there is a window at the second story above the garage that faces the street with . - is . area of 12 sq.ft. Width: (Check one) ❑ 12-foot- '•- •. age door ❑ 40%max. of street facade ■ i. o max. of street facade with 7 detailed desi• elements Notes: --__ Approved By Planning: Date:__- -- 1.1Building\Forms\BldgPennitRvw_RES_RT_121417.docx Electrical Permit Application '� -' ._ FOR OFFICE USE ONLY • y Received ` City Of Tigard k 1. i. 1 8 2019 Date/B : 1� ' i"\ Permit#:M � Ui` 1' JV� 111 q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.:1960,, Date/B : Related Permit#: TI CARD Inspection Line: 503.639.4175 t <., t Ready Date/By: Juris: ® See Page 2 for c Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK *_ ;PLAN.REVIEW., EI New construction 0 Addition/alteration/relacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. El Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION '1,.':0''‘,..\\S, ..--""`' exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Acce ory"bullding less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION . 0 Emergency system. larger separately derived Job#: Job site address: �`1.\3 R`t ,,�,,�I y v� ❑Addition of new motor load of system. `�-s� lJ1 100HP or more. ❑" ',"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:Polygon At Roshak Ridge 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description i Qty. I Each I Total 1 * New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge 1 Lot#: 4.3 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 above sq.ft.) 75.00 2 �\Uq tr' tY` "Zotp`'OD tc0,0 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: 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 I 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 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ® APPLICANT ❑ 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 sAddress:703 BroadwaySt Suite 510 branchervice or feeder fee,first 56.18 2 circuit 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 Email:permitsubmittals@polygonhomes.com dwelling,service and/or feeder Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.842 Busies-name:Alameda Ileciric ___- _ ___._ or outl ii iighffng _-..---_- _. _ 2 Address:3415 NE 44th Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Portland,OR 97213 Each additional inspection over allowable In any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr Email:solarpdx@me.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 199188 Electrical Lic.: c923 Suprv.Lic.: 4871/5 specifically listed(/3 hr min) ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: Subtotal: Print name: Kile Rood Date: 03/08/2019 0 Plan Review Required(25%of permit fee): ,/ ;rState surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE:�� 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. 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(11/05/COM/WEB