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Permit (104) ,s CITY OF TIGARD MASTER PERMIT Y�'lm COMMUNITY DEVELOPMENT a� Permit#: MST2019 00291 13125 SW Hall Blvd.,Tigard OR 97223 503.718.24 , ' c7 Date Issued: 08/07/2019 Ttt `int Parcel: 2S106DA18300 t�` Jurisdiction: Tigard Site address: 16618 SW BIRDSONG ST Subdivision: RIVER TERRACE EAST 2 Lot: 222 Project: River Terrace East No.2, Lot 222 Project Description: New SF.09/23/2019: REPRINT to add deck. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 0 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2078 sf Value: $325,372.88 Rear: 10 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 RainStorm Sewer: 100 0 Tubs/Showers: 3 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 add'I 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 2078 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 788 BROM:WOW STREET,SUITE 510 1 Ersn Cntrl 543-639-4175 _ VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $34,784.84 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 52-001-0090. 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: j\--"..___ Permittee Signature: �-t-F.. "k i--\ Clc� 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. City of Tigard 114 r COMMUNITY DEVELOPMENT DEPARTMENT ■ r c A R D Building Permit Review — Residential Building Permit #: S-r2/p ..( k Site Address: J4/f, - 't ) A1iztsa Project Name: Diver '77ingeQ .2c-i- (1-94k2 Lot #: x:..2' (New dwelling=subdivision name;Addition or Alteration=last name of owner) eTh Planning Review t v 1 CA 1131 le`- 1` r 'r `l Proposal: itzev eFe._ b fic ' o 4 G C Ql1 Verify address/suite#active in Accela. �n River Terrace: 0 No oi Yes,River Terrace Review Addendum Sit,Plan Elements: 6dEr.sion Control 903 copies of site plan on 8-1/2"x 11"or 11 x 17"paper 11' tained trees with drip line and tree protection measures trawn to scale(standard architect or engineer scale) TP, otprint of new structure(including decks)and 141-(E, t rth arrow ''ty locations&easements(required for new and additions) nii a address,project or subdivision name and lot number Sidewalk/driveway approach A• .licant information(name and phone number) 11 ►, ation of wells/septic systems Yiy dimensions and building setback dimensions S S eet tree size,type and location kN .re footage of buildings to be demolished VS et names TIC .i;sting structures on site Comer elevations(2'contours if more than 4'diff tial) le' ►k area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace EYes ❑6 impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?sYes LIONo It.A(Clean Water Services—Service Provider Lett' of platted prior to 9/10/1995): q�d: 0 Yes,applicant was notified No Received: 0 Yes 0 No lq Public FacilitiImprovement(PFI)Permit: Required: !d Yes,applicant was notified 0 No Applied For: Zes 0 No,stop intake 4andUseCase#: EQ©/f El— �� 2" Zoning. 10. 1111�equired Setbacks: Front: 0 Rear: Side: 3 Street Side: N4 Garage: `2 a 64 Building Height: Max.Height: Pr Actual Height ktitP6ndscape Area: % .ot Coverage Max: Entrance ai : tack no more than 8'from street-facing wall 0 Parallel to street oet 45 degrees or less Windows 0 Minimum ' , • -. of all street-facing facades Garage 0 Garage door is behind wt. .eet-facing wall \VIP es 0 No,one of the following is met O Door extends no more than 5' r.- . .•• an e is a covered porch extending beyond garage. O Door extends no more than 5' .•• ••i1 an. i. . 12 sq ft window above garage on 2nd floor. 0 Garage door width is 0 ' . ess 0 50%or less of faca•e PI 60%or less and includes 7 of following: O Covered .. • • Recessed entrance 0 Wall offset 0 1'Roo • 0 Roof offset �. n i•. -:::..- a - ,.-.- inn,•. �— u-.•.-•- '----' - —__----. -------- _ .. . • Accent siding �,(� Window trim 0 Window recess 0 Window projection 0 B. OVisual Clearance rban Forestry Plan ✓ tLlensitive Lands: V Yes 0 No Type:�ir7ItQ'flr�D l e,Q.:.24 i • Conditions met prior to issuance of buildingpermit • C-Orri f V No s• ) Approved By Planning: J ` Date• Revisions(after Building Submittal only) Revi r p, Date Revision 1: k Approved 0 Not Approved �� _ 1 I I 2-I 9 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw_RES_022819.docx • Building Permit Submittal Original Submittal Date: 3(I a( i Site Plans: # 'al Building Plans: # Building Permit#: Q'Enter building permit#above. Workflow Routing: [WPlanning ('Engineering C-Permit Coordinator Er 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. C'Building. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: \,-��A-�- Date: "9.1 i—1 IG Engineering Review C7 Slope at building pad: ❑ Conditions"Met"prior to issuance of building permit /I/-- 2rEasements (encroachments)per engineering conditions of approval and plat CT Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑'No Assess Water Quantity Fee in-lieu: 0 Yes Er No LIDA Facility on lot 0 Yes 12r-No [Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Er Approved by Engineering: '/-2,4,,,494"Qlf," ,, Date: -7//7/// Revisions(after Building Submittal only) : •- a D Revision 1: IJ Approved ID Not Approved •9/)‘,, Revision 2: 0 Approved 0 Not Approved , Revision 3: 0 Approved 0 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 VSDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: ' Yes 0 N/A Parks SDC: Iiir Yes 0 N/A LIDA 0 Yes ,� N/A I/� /� OR to Issue Permit /� q/ Q1 Approved by Permit Coordinator: �� ea% Date: 1 I 11 `- I:\Building\Fonns\BldgPennitRvw RES 022819.docx 1114 41 CITY OF TIGARD MASTER PERMIT 2 ° COMMUNITY DEVELOPMENT Permit#: MST2019-00291 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/07/2019 T[ � R.1 Parcel: 2S106DA18300 Jurisdiction: Tigard Site address: 16618 SW BIRDSONG ST Subdivision: RIVER TERRACE EAST 2 Lot: 222 Project: River Terrace East No. 2, Lot 222 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 0 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $322,229.15 Rear: 10 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywall-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add''500 sf: 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 2078 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) - -109E-1ST1#51 — -705-BROADWAY-STREET,SUITE 510 t 1EG•so-CnCntr 593-639-41-7`.t- VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $34,712.58 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: XML-r\...A....:,,„._ Permittee Signature: -S-�iG (r1\i) l LA \CC\ 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. 4 V �� Building Permit Application -- -- -c'- Residential ���� ReSIdentlal RECEIVED IV D FOR OFFICE USE ONLY City of Tigard MAR �j Received r�j - b IV t i f4 1 ) Date/By- 't\�\ Ci�j Permit No ,tg..(12. 1\ 114 '� 13125 SW Hall Blvd.,Tigard,OR 97223 2. 20 ty Plan Review Phone: 503.718.2439 Fax 503.598.1960_Y Date/By: 7/2L 1 Other PermiSi A+�1- ..,1jkCi c'�1'W. ,:t TIGARD Inspection Line: 503.639.4175 01-• GUARD Date Ready/By:((( Juns: VI See Page 2 for �7 Internet: www.tigard-or.gov 3UILDiNG DIVISION Notified/Method:�"ITk ICS \x Supplemental Information TYPE OF WORK 1J V J i�I REQUIRED JDATA:I-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 ❑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: $ y2,21 7.3.92 1' ElAccessory building ❑Multi-family Number of bedrooms: 92 ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 'D-44 SS Job site address: 'Lotl/I O /Silo 13 I`(`o(o h i sl-- New dwelling area: �� square feet t(.3c)City/State/ZIP:Tigard,OR 97224 -+ J l Garage/carport area:9-2(‘O square feet 94( Suite/bldg./apt.no.: Project name UPA� ,e. • 1 ' Covered porch area: square feet v Cross street/directions to job site: V v Deck area: I k t square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdiv s'on• p_Va�"V yr gstJ 1 NO 71 Lot no.: 17///// Permit fees*are based on the value of the workperformed. 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. New SF Valuation: $ Existing building area: square feet New building area: square feet E 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: lEi APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH LLC (lease refer to fee schedule) Structural plan review fee(or deposit): Contact name:Amanda Gavin FLS plan review fee(if applicable): Address:703 Broadway St.Ste 510 Total fees due upon application: eEefZ. _ Amount received: Phone:(360)695-7700 I Fax: :(360)693-4442 E-mail:permitsubmittalsCa7polygonhomes.corn 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 I Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 i Total fee due upon application: $201.60 Authorized signature: A_ -- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Amanda 'avin , Dater S i lot *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ., . ., Mechanical Permit Application FOR OFFICEJSE()NIA' 1114 City of Tigard Ro.cencci ,. .... .... Date ... Permit No ,t,\(. ..r--.7"..c.A.0%....wyj I : ..*al 1312z;NW fia11111‘d...Figrud.014 9722.3:Ii L "‘-'. '.:-1'.; Plan Ro.Ho, ..II, Phone: 503..718.2430 Its: .503.508.1960 DateOno Pcemn. T i G A R.0 I nsp(etion I.Me: 503,639.4 t 75 1)aie Ready:11y fRI See Page 2 fur Internet. Wt1AV tigard-or,gov won hed.Method: Supplemental Information _ . ---7 ,'COMMERCIAL PEE* SCIIEDULE— USE CHECKLIST ,, . , . ,., .,_ , . OF WORK -: . . -', Mechanical permit fees'are based on the value of the work CI New construction 0 Additionlalterationlreplacement performed.Indicate the Valk(rounded to the nearest dollar plan 0-Demolition 0 Other: mechanical materials,cpment,labor.Os erhead.and protit. Value.S CATEGORY OF CONSTRUCTION ' ' . , . RESIDENTIALEOLIPMET/SVSTENIS FEES* 0 I-and 2-fanil) dwelling 0 Cut mcrciallindustrial 0 Accessory builxiinit Far special information use cited hit —---- El Mufti-family 0 Master builder 0 Other: Description Q). WM 104;1 ______. 408- 8•ETE.iNFORNIA11074 AND LOCATION I katingf""ing: Air conditioning 1 46.75 Job site address: k lok41 b •Su,)'-eyN2_t6,twvei -c, Furnace 100.000 MU Muctsnts) I 46.75 City/StateTZIP:Tigard,OR 97224 Furnace 100.000t Fill)ftiock•v‘trth,i 4,9I5 — I teal pump 61.06 Sulteibldg.ittpt, no..' Project natnc ‘VE4 Teirract.E.C. k.. Duct work 23.31 Cross street/directions to job site: I 1)dr tulle hot water s‘,stem 23 32 Residential boiler(radiator or hydronic) 23.32 --- Unit heaters(fuel-type,not electric), in-wall,in-duct.suspended.etc. 46 75 Flueivent foranv.of above I .13 32 Other 13.3/ Subdivision. . 4 Lot no: -2,-2_, Other fuel appliances: Tax map'parcel no.... Water heater 23 32 . . Gas DLSCRIPMN OF WORK, , " I trePlaceinsett 33.19 Flue vent for water heater or gas fireplace ...,,, 23.32 . log lighter(gas) 23.32 L,.Woodlpellet stove 33 39 Wood tircplacelinsert 23.32 Chimneslineriflucivent 23 32 Other.' 23 32 CI PROPERTY. OWNER 0 TENANT . Ens ironmentul exhaust and ventila ion: Name: htA/1.- LL np 4 ot...in t..1 t LLC Range hood/other kitchen ‘ equimnern 33.39 Address: 1.(artIola...2fC. u \e* Wciricin 'Roa et Clothes dryer e.ximust t :1 19 ... .. CayiStatveZI;P: C.15.\SCNufa—ks.ft—t Pk2.• S 2—€53 Single-doet exhaust(bathrooms. ..2, toilet compartments,utility monist .-- 23,31 _ Phone: (06-2_ ( .LI (-4p.bk Fax I ) Attiecrasylspace fans 23.32 *1-4 APPLICANT 0 CONTACT PERSON Other. 23.32 End piping: Business name: Polygon Will,LLC 5.14.15 for first faun S4.03 for each additinnal Contact name 301 e en Sm, ;A-1n Furnace,etc. Address. 1 D.3 ..R.)romdu...)0S ' % Sk-C. 1610 Gas heat pump -- Wall suspended'unn heater CityStateiZIP:Vancouver,WA 98660 r Phone;(360)695-7700 • (i _ ..... ......._ . Fax::1360i 693-4442 Fireplace P-mail: erry‘A-sukym.ktats , -..(A. 'orNW)yr\,e-5.oil iv) - - Ranee Battu:Cue ClothesCONTRACTOR . dn er(us) ,........ -,...-- ..... — Other; Business name:Apex Air 1.1,(*.. " MECIIANICAL PERMIT FEES* _ , . :Address. 18004\L 72"d Ave Subtotal (0)rState.'ZIP.Vancouver,W A 98686 Minimum permit fee t S00 000 Plan review(25%of permit fee) Phone:(360)342-8109 Fax (360)326-1749 State surcharge t 1 2%of permit fee) CUB he.. 203034 4 _ _ To.,,,,I.PER Nl IT FEE r--------- I his permit application etpires if a permit is net obtained within 1110 days after It has been accepted as complete. Authurwed Stglial life. • Yee methodology set by To.47ounty Building Industry Sera,ice linard .,.....--- — Print name' I i^ si Dale- 1.0 I IA I ri,d,imy.p,,,,,,i1.,-,,Narc,Pcqrmt A.pr CLIO! 1 do, .1.16-4,,,"1,!.l`n:,IIIM'WM? Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 "' Da : nlitA . p. Plann R Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit ii: TIGARD Inspection Line: 503.639.4175 Ready Date/By: Juris: RI See Page 2 for e Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW El New construction 0 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 0 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 ❑ Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family ❑Master builder amps for all other installations. buildings. ❑Other: ElFire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: t\o(Die ---9.„0,6,15,e, sr, m ❑Addition new motor load of system. 100HP or more. ❑"A","E","1-2","1-3", 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 I Qty. I Each I Total I r New residential single-or multi-family dwelling unit. Subdivision:East River Terrace Lot#: 7;1 2— Includes attached garage. 1,000 s .ft.or less Tax map/parcel#: q ' 168.54 4 Ea.add'I 500 sq.ft.or portion 3 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 dickcontractor on MST 20 07(-002,4,3\ (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ® PROPERTY OWNER 0 TENANT, Renewable Energy El See Page 2 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 ® APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension, .er 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 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone: (360)695-7700 Fax: :(360)693-4442 Each manufactured or modular Email:permitsubmittals@polygonhomes.com polygonhomes.com dwelling,service and/or feeder 67.84 2 CONTRACTOR Reconnect only 67.84 2 Pump or irrigation circle ______6.784 --- ------ 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 rn Signal circuit(s)or limited-energy Address:3415 NE 44 Ave. panel,alteration,or extension, 0 See Page 2 2 CitylState/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 Lie.: 199188 Electrical Lic.: c923 I Sunrv.Lic.: 48715 specifically listed('A hr min) 90.00/hr f� ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: /,,G_—� 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: /C i,k. Lle0/04, 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. * Number of inspections allowed per permit. 1:\Building'Permits/ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I 1/05/COM WEB r Plumbing Permit Application Building Fixtures City Of Tigard Received Permit No. \ Date/By: `y q 13125 SW HaII Blvd.,Tigard,OR 9722" '(�(1�"C �.�G'�.1t� Plan Review ' Phone: 503.718.2439 Fax: 503..59$.1 .60 - Date/By: Other Permit No;: T 1 GA P D Inspection Line: 503.639.4175 Date Ready/By: .tuns: El See.Page 2 for Internet; www ttgard or gov t fi d/MM x No e m r,dY xX • ', 'TYPE:OP'WORKr:7'!,'''''''''' '' ,,;. , r a Sup i� ental is sattii'�y� ormauoa . . ..,... un. ryi t. _...P •n.,.F fir.. � ..�.. hl)w+'rt�:� _ _ ®New construction U Demolition _ ition Far special l formation use checklist. 7 Description I Qty. ] Ea. I Total L-1 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) C't OOR' :Clt 1CoNSTfiu1 TOb1 SFR(1)bath 312.70 ❑Commerclallin ®1-and 2-family dwelling deal SFR(2)bath 43738 SFR(3)bath I 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 0 25.02 0 Master builder lJ Other: Fire sprinkler( sq.ft.) Page 2 _. JOB SiTE INFORMATION AND LOCATION a ., , Site utilities: Job site address: tko kg,15 v "1-psb 11 & Catch basin or area drain 18.7.4 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.: I Project name: River Terrace EAST 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:Northwest River Terrrace I Lot no.: 2.2.Z Fixture or item: Tax map/parcel no.: Backflow,preventer k 31.27 DE:CRIP1 Backwater Valve ION OF WORK a, r;., -"„:::4,,,,:',.,1„ ' � � 12.51 Clothes'washer 1 25.02 Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PItol'ERTXa O'W's!IER, s ` TENAA"1 ': E>pancion tank- 12.51 Fixture/sewer cap 25.02 Name:ADVL'Land Holdings,LLC Address:7600 E Doubletree Ranch Road Floor drain floor ink/hob 25.02 Garbage disposal 1 25.02 City/State/ZIP:Scottsdale,AZ 85258 Rose bib -2- 25.02 Phone:(602)694-4031 Fax:( ) Ice maker \ 12.51 „ .. ►A4 APFLICA,�1T _ 0 co31V rAcr >D • Interceptor/grease trap 25.62 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Contact name: ` Q` ,(\ m t.u" Primer 12.51 Roof drain(commercial) 12.51 Address: 105 .-R1)r S 3o S�, 1 { /t� _.J Sink/basin/lavatory 5 25,02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) /y P 62.54 E-mail: Q4(YY\i r'JLJQM‘ttci\S 2..-.0 ..%01'1 1\o\Y\e 5, t..131�1'1 Urinal 25.02 Water closet J 25A2 c.ONTRAGTOIt : . ... ,,,,c.",..-;.:',.;. Water heater % 37.52 Business name: {j�}.� Q yJD k� Water 1 to WV 5629 { - Address: r� Q Other: 25.02 City/State/ZIP: S T', e 4.4 oft, 1113/ Subtotal_ ( Y .3 5/_t f(. 7 (n,)% Igi...17 J.'1 Minimum permit fee: $72.50 Phone:l��0 '~ tp. Fax: _{ .. Plan review (25%of permit fee) CCB Lie.: 15/I na Plumbing Lie.no.Pb State surcharge(12%of permit fee) Authorized signature: TOTAL.PERMIT FEE f.(,/L D ILO(�1�,,,1 Date..jO f f/ This permit epptication expires if a permit's not obtained within 180 days Print name: ( utter it has been accepted as complete, "Fee methodology set by Tri-County Building Industry Service Board t tBuildingTermits1PLMtJ-PernatApp.doc 10101/09 440-46tST(10/02/COM/WEB) City of Tigard Iliq COMMUNITY DEVELOPMENT DEPARTMENT I T l G A R D Building Permit Review — Residential Building Permit #: QST -CIl l Site Address: /(_e6'/ . -DC) ,wisp ,974 Project Name: fiver -77iraa i Lot #: ,:.,a2=,,?_ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Pro.osal: GLS-eiu eFj_ y. Verify address/suite# active in Accela. In River Terrace: ❑ No L Yes,River Terrace Review Addendum Sit ,Plan Elements: ®Erosion Control X03 copies of site plan on 8-1/2"x 11"or 11 x 17"paper Illy -tained trees with drip line and tree protection measures • rawn to scale(standard architect or engineer scale) of new structure(including decks) and FEE U --ty locations&easements (required for new and additions) th 4 address,project or subdivision name and lot number Sidewalk/driveway approach Idr1 licant information(name and phone number) \I ►scation of wells/septic systems o S dimensions and building setback dimensions '� reet tree size,type and location ..,%% are footage of buildings to be demolished V et names I11, •sting structures on site ViCorner elevations(2'contours if more than 4'diffee ntial) \,W ►k area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? NJ Yes ❑ impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?0Yes No Clean Water Services—Service Provider Lette of platted prior to 9/10/1995): VPVPID Yes,applicant was notified o Received: ❑ Yes ❑ No ublic Faciliti Improvement(PFI) Permit: � Required: ® Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake �and Use Case#: Alg_ol p— cf)�' £Zoning: 27-- 1f equired Setbacks: Front: 0 Rear: 0 Side: - Street Side: /�� Garage: 2O Lt/J Building Height: Max. Height: Actual Height: VAandscape Area: % of Coverage Max: Entrance ii ; pack no more than 8'from street-facing wall ❑ Parallel to street o : set 45 degrees or less Windows ❑ Minimum ' . • area of all street-facing facades Garage ❑ Garage door is behind wt.- eet-facing wall 4 ! 'es ❑ No,one of the following is met: ❑ Door extends no more than 5' ro . an - e is a covered porch extending beyond garage. ❑ Door extends no more than 5'fro.• .I and - - . a 12 sq ft.window above garage on 2nd floor. ❑ Garage door width is ❑ ' . ess ❑ 50%or less of faca.e s 60%or less and includes 7 of following: ❑ Covered po • ■ Recessed entrance ❑ Wall offset ❑ 1'Roo -. - ❑ Roof offset — - .___ I- v-M_ _ --_ _ • Accent siding 51 Window trim ❑ Window recess ❑ Window projection ❑ Ba . 0 `' 'isual Clearance f�/Urban Forestry Plan ^-7-�� VA' ensitive Lands: Yes ❑ No Type: / �ilrlkGlf'friAD l /A Oe ca-if.1 • Conditions metprior to issuance of buildingpermit V- - �--Orfle No s: Approved By Planning: % - Date: A__L.,/q__ 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: Ira( 1C Site Plans: # Building Plans: # Building Permit#: 1E1/Enter building permit#above. Workflow Routing: ID/Planning Engineering [ Permit Coordinator 0" Building Workflow Sign-off: E/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. Rir Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: I�- Iq Engineering Review L7 Slope at building pad: 0 ❑ Conditions "Met"prior to issuance of building permit SAL C Easements (encroachments) per engineering conditions of approval and plat Z- Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 0'No Assess Water Quantity Fee in-lieu: LI Yes Er LIDA Facility on lot: ❑ Yes 121--No 12/Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: CST Approved by Engineering: Date: -7/i 7//T 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 ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Sr Yes ❑ N/A LIDA ❑ Yes ,ig N/A St OK to Issue Permit Approved by Permit Coordinator: QPDate: 1 I �� I 19 I:\Building\Forms\BldgPermitRvw RES_022819.docx r . City of Tigard III " COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum oh Building Permit #: k\s\S-1a-r q_ 1 Site Address: /1g/0/0 Qi0 $Jf g Q Project Name: ieIVer ,rra �- - Lot #: ,:a22_ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Disct 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 façade 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 t. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer ❑ ❑ CI ❑ 2. Eyes on the street: a minimum of 12°o of each street facing facade must include windows or entrance doors. Percentage Shown: / °fa 3. Entrances:At least one entrance must meet both of the folloiving standards: es street facin wall 0 Parallel to street,angle no more than 45° from street, Max. 8 ft. setback from lon g� g or open onto porch Entrance opens to a porch: Yes ❑ No 'Vs,all the following apply: 6 sq.ft.min. One street facing entry ( 11 ft.max.roof above floor of porch ft. depth min. 30%min.porch roof coverage 4. tailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: " vered porch min. 5 ft.wide x 5 ft. deep LI Recessed entry area min. 5 ft.wide x 2 ft. deep IQll offset min. 16 inches ❑ °rmer min. 4 ft.wide Roof eave min. 12 inch projection II )oof offset min. of 2 ft. ❑ Roof shingles either tile or wood P' able,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. 1A H rizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street façade V4indow 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. Carports: �_ n May-face-the front-orside rot- e oa comer int - - -.._.. Setbacks: No oser to front or side lot line, than longest street-facing wall. CIYes 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) ❑)2-foot-wide garage door ❑ 40%max. of street facade 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: --_i � Date: -/l j.0/j I:\Building\Fonns\BIdgPermitRvw_RES_RT_121417.docx