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Permit (111) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2018-00181 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 03/07/2019 T l C '4 T.0 9 Parcel: 2S 106DA17100 Jurisdiction: Tigard Site address: 16909 SW APPLEDALE RD Subdivision: RIVER TERRACE EAST Lot: 210 Project: River Terrace East No. 2, Lot 210 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 29 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 8 Smoke DwellingUnits: 1 Detectors: Yes Third: 0 sf Right: 3 Total: 2229 sf Value: $270,905.85 Rear: 10 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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: 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!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 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 2229 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: $33,289.31 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 0' 95 1-0090. 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: /. ' Z Permittee Signature: a/ -1l7/",.,i r'."977e"/ 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. RECEIVED LO .- 2- D Building Permit Application APR 1 8 2018 FOR OFFICE USE ONLY z City of Tigard CITY OF yOGARD R / ii-- .e46. ,......„_„"iItoI 13125 SW Hall Blvd.,Tigard,OR 9722B UILDING DIVISIOKateBY Phone: 503.718.2439 Fax: 503.598.1960 lan Review �� 1 Other ' p 7/DateBy: ,?t'" r-=; ,t, Ti GA RD Inspection Line: 503.639.4175 Date Ready/By: Jucisc �. �Cc rage _� ' Internet: www.tlgard-or.gOv NotiSed/Method:..��// �� i(,S->l-r I Supplemental Information L7,q-;t.— .2oty&e//1 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 ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit fop 1 CATEGORY OF CONSTRUCTION work indicated on this application. !� Valuation: $ -7b, t C 5 ® 1-and 2-family dwelling 0 Commercial/industrial - ❑Accessory building 0 Multi-family Number of bedrooms: '34 ❑Master builder 0 Other: Number of bathrooms: ^7 JTotal number of floors:OB SITE INFORMATION AND LOCATION L. r 6 = Job site address:1 tprn q VA s' eded New dwelling area: 2229 square feet (N/) City/State/ZIP:Tigard,OR 97224 Garage/carport area: 3square feet 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.i 241) Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe p1 p� � FLS plan review fee(if applicable): Address: 103 Bra�a- SI Su.(-!. a l 0 rf Total fees due upon application: City/State/ZIP:Vancouver WA 9866 Amount received: Phone:(360)695-7700 Fax::( ) E-mail:Nichole Thorpe PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details Si- nd fire department access,along with the 2010 Oregon Address: ( t0i • , S�1t 0 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 ��� ,�may.. Total fee due upon application: $201.60 Authorized signature:1���(�';l'�'"'"-afrig---"- 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Date:06/16/2017 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit ApplicatA GEtVE FOR OH It 1 ISE. ,'(,)�c\1 1 Received 9 /J/ f0 '�i / O Cityof Tigard Penni(N g pate,'Hv: '° 13125 SW Hall Blvd..Tigard,OR 97223 1 201$ Plan Review Phone: 503.718.2439 Fax: 503.598.1960 At\ 8 1)atuHy ihherPermit. I I, )t t7 inspection Line: 503.639.4175 -�•�/ TIG �Lya Date Read/By: tins 0 See Page 2 for Internet: www.tigard-or.gov Cj11 1 OF 4� it NotifiediMethod: Supplemental Information BUILDING DMSIQ TYPE or WORK COMMERCIAL FEB' 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 EQUIPT/SYSTEMS FEES* gl-and2-family dwelling 0 Commercial/industrial 0 Accessory building Far special Informafionuse checklist ( I Multi-family 0 Master builder 0 Other: Description Qty. Fa. Total TOR SITE INFORMATION AND LOCATION Heating/cooling: , 1,to C' ` �����.,�,�,1,, � Air conditioning I 46.75 Job site address: V! c.J W P �tt�� Furnace 100.000 BTU(dnctstvents) i 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(ductsivents) 54.91 Ileal pump 61.06 Suite/bldg./apt.no.: Project name; �atr Teyraee-Eo.s4- Duct work 23.32 Cross street/directions to job site: f tydronie hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended.etc. 46.75 Flue/vent for any of above 1 23.32 Subdivision: Lot no.:li Other: 23.32 �����e (u e.. —C1,�� Other 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 0 PROPERTY OWNER CI TENANT Other. 23.32 Environmental exhaust and ventilation: Name: INV& 7y.v �U I t1 S LL Range hood/other kitchen I ^"��" p� 1l'�,�,, equipment 33.39 Address: 1I0®I,J �OtLhe.ilc,�Q, f7 wry�,� Clothes dryer exhaust I 3339 City/State/ZIP: S -t/t Sdct,I P ,l L.. L t�-'�"`�'t Single-duct exhaust(bathrooms, rl toilet compartments,utilityrooms) 23.32 Phone:,p 02 1.4—L7 t Fax:( ) Attic/craw lspace fans 23.32 0 APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:Polygon WILL LLC S14.15 for first four,S4.03 for each additional Contact name: N i c vokgr"-nr Orpp_ Furnace.etc. Address:1t6BVUYA, " ,.t. Sun-f_ O 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 1 E-mail: _ Barbecue ., . .-.. 2 COA Clothes dryer(gas) Other: Business name:Apex Air LLC Address: 18004 NE 72"d Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: = Fee methodology set by in-County Building Industry Service Board Print name .( Date: 4.II.14. iinuitding\Pvrmits'.MEC PermttApp_040)13.doc 440-1617r(II,02ICOM'SWEBI ' -"' .ss.teti.euuu.auuuy.y EyEIVED _- a Ott of T galyd Received �aDafe(By: Permit 6: ' ,., 13125 SW Hall Blvd.,Tigard,OR 97223 APR 1 8 2018 �i�©if�����/ Phone: 503.718.2439 Fax: 503.598.1960 Date Bev;ew Date/By; Related Permit tF: Inspection Line: 503.639,4175 ,;i..1.6,, I GA1YI7 ��-�-}� t7tf�l Ready Date/By; Arris: Internet: www.tigard-or.gov { r� I Cu See mege2 for ,.,.:..:�,�e,y.,.,_.r-,�;,; �>-:�,..:::::._::,:;....:..,,;<._..:......-:.. � � �` `I1 Notified/Mottta ! mental Information �l.+t�t�G..ll�V l r Supple -. .;.i'PLANBlit ;Vira''V::.'i::f,N." Mi=:}:'.=�;-'i j ®New construction CIAddition/alteration/replacement Please cheek all that apply(submit 2 sets of plans w/items checked):El t Demolition 0 Other: 0 Service or feeder 400 amps or more ❑Building over three stories. ^..;:_:, is ,•:,:.:_.�.-:,:.•.s.-;,- - - - - - theavailabletattlteurreitF Marinasand - ,-•,_ _C, .1, _- where ❑ boatyards. -. .,... . -. ., i(OR1ij pl. ._:�._ «CON��33IJ _ :_........ �.._.. . -:,, .. __�`�tr���'?'i:r':'ii: ,: ri' :!.'`; ;::i' exceeds 10,000 amps 150 volts or - .. '. � []Floating buildings. © 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Cotnmerolal-use agricultural 0Ivlulti familamps for all other installations, buildings Y ❑Master builder 0 Other: 13 Fire pump, : :,:. : tit;::::; ,W,;,JOB<'iSITE;INFORMATION:A'sti ::LQ.CATION.?`:.:;i :3:: EJ Emergency system. 0 larger lseparately ation of sderiived 0 VA or Job#: ❑Addition of new motor load of system. Job site address:\ 001 c`` 9_ y { JY\ tAr��t•Pr�►oJl.e /', IOQI3P or more. ❑`A';`E","]-2","1-3», City/State/ZIP:Tigard,OR 97224 ©Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: 1 Project name: RN V l ex--1-y rya�.n+-e ❑Hazardous locations. Cl Supply voltage for more than Cross street/directions to job site: 1. l.0 ©Service or feeder 600 amps or more. 600 volts nominal. Description I Qty. I Each I Total I a New residential single-or multi fancily dwelling unit. Subdivision: 'Ff1r -reate' ��C + Lot#:_t o Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.5=1 4 _:,-::.;�,:::_r.::<::::.:;=�.�::�.:-:::::•.:.::.:: .:. . :.,_.:.........:-: _ 500 sq.R.or onion � 11E5C`RIPI0.:0:,.* ,*::::.: :r1';;`:„';';,,;::.'',: ::::;:',::;.•::::: ::,•:,:::::,::;: P 33.9_ ” � Limited energy,residential, (with above sq,ft) 75.00 2 :- ti..-,.:..-_.. sq. ) 75. Limited energy,multi fatnily residential(with above #t. 00 2 .,. .,:,.�..;_„�..l?RQE�R�:.��0. - - Renewable Etter , -' ” Energy ❑ See Page 2 _-:.::�.:._:. ..._._E_....:::......:_:: :•,-:.,..-:;:: : : ;TENANT; ':.! ,:°,';; ; Services or feeders installation,alteration,and/or relocation Name:. w _ ' 200 amps or less 109.70 2 Address: i , u,dr '`� &A. 201 amps to 400 amps 133.56 2 A P� _ 401 amps to 600 amps 20034 2 City/State/ZIP: s cAtcr!'a Qt,l•� _ ,t1 ,57...59 l601 amps to 1,000 amps 301.04 2 Phone: 10 Q1 —(act(4-Li 03 Fax:( ) . Over 1,000 amps or volts 552.26 2 Email: w VJ Temporary services or feeders installation,alteration,and/or 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 I I 125.08 I I 2 Owner signature: Date: 401a amps to 599 amps 168.54 2 ., t B ICANT `;_:,.<:..,...; :;gip- °; Branch circuits—new altel•afion r -� _ ..� �:�:t;:,._:.��.,,�_:.,.::.,:'-:.. �5..•.. �' ..:. .......... , ,o extension,per panel Business name:Polygon WLH,LLC A.above i ell rifeede fee, above service or feeder fee, t\) each branch circuit 7.42 2 Contact name: \(+ 11] �V l �c ilia_oilw., B.Fee for brands circuits without Address: 107, irbyk/y • - s service or feeder fee,first 56.18 2 ��� �� branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone:(360)695-7700 Fax::(360)693 4442 Miscellaneous(service or feeder not included) Email: G�°l� V Y LlJ IA 1 dwelling,Each serrviceeand/or feederd or modular 7.8 1_ (,� ;:;;•: - -- =_,;"��1:_�'���_.- — t �?�'. - - Y,1�:��S •c!l�� Reconnect only 4 2 �.��- - - - '>`--�:' ', - - 67.84 t�'r:. 2 ,..Y'"r .. 'L r ... rs. -.r,�...tee.......-.a,.- .. ..=.}.-... .- - - Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:402 Valley Ave NW Ste 106 Signal circuit(s)or limited-energy • panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Puyallup WA 98371 Each additional inspection overallowable in any of the above Additional inspection(1 hr mm) 66.25/lir Phone:(253)872-6051 I Fax:(253)872-1801 hr min Investigation(1 g ) 90.00/hr Email:bdaniels@gweusa.conc Industrial platit(l hr min) 78.18/hr Inspections for which no fee is CCB Lie.: C1158 Electrical Lic.: 208174 I Suprv.Lie.: 4496S specifically listed CAM.min) 90,00/hr Suprv.Electrician �7 ,� 1� ,. ,.. . ELIEC"1%itICgi t• `i• - :t p signature,required: , i ! I- , �-!C/./ 1J ...— Subtotal:E_5 :;;" Subtotal: Print name: Joan P Albert l Date: El Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: — ---.- ----- - � .,...,--4,--------- TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: days after it has been accepted as complete. * Number of inspections allowed per permit. L•18uildinglPennitslELC PerinitApp-ELR BRE.doc Rev 06/17/2015 440-4615T(l1/05/COtvf/WEB 1 Plumbing Permit Application ; + Building Fixtures ,`..aE� City of Tigard 201 Received II 13125 SW Hall Blvd.,Tigard,OR 97223 �� Date/By: Permit Noll jy� �i���� C Phone: 503.718.2439 Fax: 503.598.1960 Review Other Permit No.: Inspection Line: 503.639.4175 CITY �� I l .�4` T 1 G:1 RD ��v 7 eady/By: Juris: ®See Page 2 for Internet: www.tigard-or.gov U����� Norified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE 0 New construction 0 Demolition For special information use checklist Description I Qty. I Ea. ( Total 0 Addition/alteration/replacement ❑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 It 500.32 0 Accessory building 0 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: 6 lPCj J 1 SO ledlc 'e_ V� Catch basin drain 18.76 Job site address: orarea 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: � l Vat, Fa C+ 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.,()e - Teirrae. .1mS.-}- Lot no.:2 t 0 Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 DESCRIPTION OF WORK Backwater valve I 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 `®1 PROPERTY owNER I0 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 t`d :APPLICANT 0 CONTACT:PERSOPT, Interceptor/grease trap 25.02 Medical gas(value:S ) Page 2 Business name: ` tic_ �U`9 (� Primer 12.51 Contact name:N 1 .o/h p Roof drain(commercial) 12.51 1 tib b �iO�.WOtt. `�5'-- S,‘„Li ve.,sip Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 4 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 1 .11 G�(�to . l VL1)r 0 rm\t�(*)0(l�Q Urinal 25.02 E-mail:. J V C.(' J.1(� Water closet 25.02 G,47...6 + . heater 37.52 CO oR Business name: �.Td7...6 4,y10)1M .-.„o g Water piping/DWV 56.29 Address: p.o. sox. clip, Other: 25.02 City/State/ZIP: 5 C404 art_ c e 131 Subtotal Phone:(3.--84,s... t'yL1 Fax:(Gil Q.~"*g.1.r*?FY) Minimum permit fee: S7230 PIan review (25%of permit fee) CCB Lic.: 185 312..... Plumbing Lic.no.Pb bag State surcharge(12%of permit fee) Authorized signature:, TOTAL PERMIT FEE S�" j. %l4_€. _ Date: -3 b--Ito This permit application expires if a permit is not obtained within 180 days Print flame. after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:1Buildicg\Pcmits1PLMU-PermitApp.doc 10/01/04 440-46t6T(10/02JCOM/WEB) City of Tigard , .114 v COMMUNITY DEVELOPMENT DEPARTMENT T l G A R o Building Permit Review — Residential Building Permit #: /hh7j�-o4 f'-00111 Site Address: U Dc1O9 SW Appyigcr-tcl Project Name: 12-Wei tc -f No. I- Lot #: 2)) (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N c -12 Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No A Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan I to', xisting structures on site ,Site plan must be on 8-1/2"x 11"or 11 x 17"paper '' ootprint of new structure(including decks)with finished NIDrawn to scale(standard architect or engineer scale) floor elevations North arrow 54{Ttility locations&easements (required for new and additions) Site address,project or subdivision name and lot number .,�6idewalk/driveway approach •NApplicant information(name and phone number) dartication of wells/septic systems SLot dimensions and building setback dimensions zer xisting trees to be retained with drip line,and tree quare footage of buildings to be demolished protection measures ' k of area,building coverage area,percentage of coverage and treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) , reet names ,Property corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? r: i-1❑No 4 foot differential) If yes,is a storm water quality facility shown? ■ es 1 No clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): 1' Required: ❑ Yes,applicant was notified Aelo Received: ❑ Yes ❑ No OZ Public Facilities Improvement (PFI)Permit: Required: E Yes,applicant was notified A No Applied For: ❑ Yes ❑ No,stop intake :4 Land Use Case#: P)Q.L0 I u'-^ )D'7 in Zoning: R 1 0) equired Setbacks: Front �0 Rear 10 Side 3 Street Side A Garage 2& Landscape Requirement: % )( Z)Lot Coverage Maximum: yirBuilding Height: Maximum Height N,- Actual Height 9( ., % r isual Clearance V ensitive Lands: ', Yes ❑ No Type /VV/ VA I VG' lekt k't fat Urban Forestry Plan Conditions "Met"prior to issuance of building permit otes: o I11L4 2S SV4 t I t fl P }7 7GY -IV L.S`fACL)'1 C . Approved By Planning: Date: (' i , Revisions (after Building Submi al only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal �/ , Original Submittal Date: GfrMf Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning 1 Engineering [permit Coordinator ',Building Workflow Sign-off: Sign-off for anning(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: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / / .11s.J By Permit Technician: .�L1 .0/ - / Date: 4245)/(1-- E gineering Review 6 70 rLf Slope at building pad: _- Conditions "Met"prior to issuance of building permit E;KEasements (encroachments) per engineering conditions of approval and plat p'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes /f1'.No Assess Water Quantity Fee in-lieu: ❑ Yes Afr..-No LIDA Facility on lot: ❑ Yes $'"No ❑ NOT Approved by Engineering: Date: Notes: WAIT 2--. -E.n,1G, Ss pc, Aul its41 VQ c_ Approved by Engineering: !41/kf.A- L.7 L Date: 6-/z_2 i 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 0 Conditions "Met"prior to issuance of building permit / s)Approved,,,,Nr fl--'OT Released: Date: i Notes: Nag "b VY 7F Cl^...01 tiv,4 of al;p vi ,i4). 0),y164.,la aepl 16Ow"l74" 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: 21 Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A t-ALIDA ❑ Yes X N/A OK to Issue Permit Approved by Permit Coordinator: 14V-1:;ate'/ate I:\BuildingForms\BldgPermitRvw_RES_061417.docx City of Tigard Ilig M COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: \ 01 SW Aw\Ca'r ,' ,-' Project Name: \big , }' NO, Lot #: AO (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.070.1.): Is the project subject to the plan district design standards? 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 ft. deep Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of of each street facing façade must include windows or entrance doors. Percentage Shown: LTJ 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street- facing wall ❑ Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: es ❑ No If yes,all the following apply: ril 25 sq.ft.min. ,A One street facing entry ►_ 1 ft.max.roof above floor of porch ft. depth min. . ' 30%min. porch roof coverage 4. Detailed 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. deep ,Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches**., ❑ Dormer min. 4 ft.wide Roof 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 façade ;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.XYes ❑ 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 ❑ 40%max. of street façade 0%max. of street façade with 7 detailed design elements Notes: Approved By Planning: AJi A ,J F Ii AA Date: 3 _a_ I:\Building\Forms\B1dgPermitRvw_RES_RT_121417.docx IF Electrical Permit ApplicatioECE'VE® FOR OFFICE USE ONLY City of Tigard Received S 7 Permit#!�ST' _ 'ilk a III a 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 9 2019 Date/B 0.• Plan Review Related Permit 4: Phone: 503.718.2439 Fax: 503.598.196 Date/B TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: Juris: H See Page 2 for Internet: www.tigard-or.gov R1111 DING DIVISION NotiFied/Method: Supplemental information TYPE OF WORKirt PLAN REVIEW ®New construction ❑Addition/alteration/replat Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other: '(i t rCf S�T" 0 Service or feeder 400 amps or more 0 Building over three stories. ` ] 1 where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTILIN exceeds 10,000 amps at 150 volts or 0 Floating buildings. tEl 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑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(�l't �71J�/CC���� ❑Addition of new motor load of system. o-1toe.J„¢_ 100HP or more. ❑"A""E""l-2""l-3" City/State/ZIP:Tigard,OR 97224 \\ 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:East River Terrace 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description J Qty. I Each J Total J " New residential single-or multi-family dwelling unit. Subdivision:East River Terrace Lot#:cakt) 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 Change contractor on MST')t' -p0\9- (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 ii 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 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 �-I APPLICANT " ID 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:Tonja Morris B.Fee for branch circuits without Address:703 Broadway St,Ste.510 branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'1 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 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 Address:3415 NE 44th Ave. 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 CCB Lic.: 199188 Electrical Lie.: c923 I Sur rv.Lie.' 48715 specifically listed(%:hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: ....,. 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: i 1e. /2400‘.4,/2400‘.4, TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Kirk Rood Date: 05/09/2019 days after it has been accepted as complete. * -Plumber ufinspectiom allowed per permit. - I:\Buildiaeermits'ELC PermitApp ELR ERE.doc Rev 06/17/2015 440-46IST(1U05/COMWEB City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16909 SW APPLEDALE RD, BEAVERTON, July 24, 2019 at 11 :10:35 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2018-00181 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Note: no A/C Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16909 SW APPLEDALE RD, BEAVERTON, July 29, 2019 at 10:32:42 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2018-00181 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Corrections completed. No A/C Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16909 SW APPLEDALE RD, BEAVERTON, July 29, 2019 at 10:34:55 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2018-00181 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Contractor on site fixing final grade clearance to siding. All else appears ok. Final erosion control approved. Moisture content form received. Moisture barrier form received. High efficiency interior lighting form received. Blower door and/or duct test report received. Insulation certificate verified. C of 0 left on kitchen counter. Violation Summary: Inspector Contractor