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Permit (15) CITY OF TIGARD MASTER PERMIT i COMMUNITY DEVELOPMENT Permit#: MST2019-00292 s Date Issued: 08/07/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 `ICAParcel: 2S106DA18400 Jurisdiction: Tigard Site address: 16600 SW BIRDSONG ST Subdivision: RIVER TERRACE EAST 2 Lot: 223 Project: River Terrace East No.2, Lot 223 Project Description: New SF.9/23/2019: REPRINT to add deck. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2914 sf Value: $386,623.94 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 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: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2914 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) ` 109 E 13TH ST 703 BROADWAY STREET,St1tTE 510 1 Ersn Cntrl 503-639-4175 - VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $36,614.62 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 503.232.198j7orr11.8800.33�2.233444.. �� Issued By: \ ! % -A-'° _ Permittee Signature: �E \tT \'1�.\CA C,r 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 I 41 11111 COMMUNITY DEVELOPMENT DEPARTMENT r G A l: Building Permit Review — Residential Building Permit #: MS-t \q- ( Site Address: &,6 50 S1() / /r t n &"2,1.- Project Name: ,7/ver 7rra a Q Lot #: ‘--.9z23 (New dwelling ubdivision name;Addition or Alteration=last name of owner) Planning Review Y--- \;\-„ O .1r7 -I C '. --Z:N .\ 3. :i-- ,,,Th Pro sal: k) -CiFte- :,a l.'1 ' add 6L,L;�. . Verify address/suite#active in Accela. 1a In River Terrace: 0 No 16Yes,River Ten-ace Review Addendum SitOlan Elements: 'AGErosion Control g3 •pies of site plan on 8-1/2"x 11"or 11 x 17"paper Mkt. tained trees with drip line and tree protection measures F. 0 wn to scale(standard architect or engineer scale) 'A FF otprint of new structure(including decks)and FPI, .rth arrow V . 'ty locations&easements(required for new and additions) 5• te address,project or subdivision name and lot number YA Sidewalk/driveway approach IV44pplicant information(name and phone number) l �.cation of wells/septic systems l tot dimensions and building setback dimensions S eet tree size,type and location 144 footage of buildings to be demolished V reet names Br ;sting structures on site {"Comer elevations(2'contours if more than 4'diffe�tial) i' 1t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Yes ❑I impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?t ) Yes tNo ! lean Water Services—Service Provider Let�t of platted prior to 9/10/1995): quiried: 0 Yes,applicant was notified No Received: 0 Yes 0 No Public Faciliti Improvement(PFI)Permit: 2nuired: t Yes,applicant was notified 0 No Applied For. /Yes 0 o,sto intake d Use Case#: ?bf 2b/ — OOC ►L�f Zoning Ic-'�7� 1LI equired Setbacks: Front: 49 Rear: Side: Street Side: Yv Garage: ..0 3�uilding Height: Max.Height ,pP( Actual Height c 2S dscape Area: % �1I' .ot Coverage Max: % nuance i - - back no more than 8'from street-facing wall 0 Parallel to street or . - et 45 degrees or less Windows 0 Minim . of area of all street-facing facades Garage 0 Garage door is behtn. •est street-facing wall vs„, 0 No,one of the following is met: ❑ Door extends no more Irr. ' .m wall an th - .. a covered porch extending beyond garage. ❑ Door extends no more than 5'from .- T there is a 12 sq ft.window above garage on 2°d floor. 0 Garage door width is 0 12'or =-. 0 50%or less . ade ❑ 60%or less and includes 7 of following: ❑ Covered porch IP 'ecessed entrance 0 Wall offset a' 'Roof cave 0 Roof offset - a - i.. ..{i.[�- a Rs . .i(T' i •s i a is t . - ii ., . .114 a '.'. a •'a ill a • cent siding 51 Window trim 0 Window recess 0 Window projec:. 0 Balcony 11�.� 'isual Clearance rban Forestry Plan ^� / � � // • ensitive Lands: I Yes ❑ No Type: Lldia/e vai/0e7 74704 A/ ConditionsPra met prior to issuance of building permit V e . 2mid/" No Approved By Planning /, Date: 9A2// Revisions(after Building Submittal only) Reviewe Da e Revision 1: a&Approved 0 Not Approved L 01 12— Revision 2Revision 2: 0 Approved 0 Not Approved PPPp Revision 3: 0 Approved 0 Not Approved I:\Building\Fonns\BldgPe mitRvw_RES_0228 l9.docx Building Permit Submittal Original Submittal Date: ' 7 \1G Site Plans: # Building Plans: #j__, -j Building Permit#: Enter uilding permit#above. Workflow Routing. 0'Planning E Engineering Er Permit Coordinator I3/Building Workflow Sign-off: NI/Sign-off for Planning(include notes from planning review) Route Application Documents: 131 Engineering: (1)copy of permit application, (1) site plan,(1) building plan and original plan review routing form. E1(Building. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: �)4A.A�-- Date: 74 j 1' -`ICI Engineering Review 12r.Slope at building pad: 02i ❑ Conditions "Met"prior to issuance of building permit d"/04- C/Easements (encroachments)per engineering conditions of approval and plat E/Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes E3rNo Assess Water Quantity Fee in-lieu: 0 Yes 2/No LIDA Facility on lot: 0 Yes C2i o [/Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 2rApproved by Engineering: i.,.�,.,jelit.z,e. , Date: 7l/7//9 Revisions (after�Bu�ding Submittal only) eviewer Date Revision 1: ((d Approved ❑ Not Approved ��G' 9 Revision 2: 0 Approved 0 Not Approved PPPP 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: 54 SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: • Yes 0 N/A Parks SDC: al4 Yes 0 N/A LIDA 0 Yes gl N/A *OK to Issue Permit �‘(11117 IJ t / Approved by Permit Coordinator: 4�,,, Date: "j I:\Building\Forms\BldgPermitRvw_RES_022819.docx CITY OF TIGARD MASTER PERMIT I: COMMUNITY DEVELOPMENT Permit#: MST2019-00292 T[ A:Lk D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/07/2019 Parcel: 2S106DA18400 Jurisdiction: Tigard Site address: 16600 SW BIRDSONG ST Subdivision: RIVER TERRACE EAST 2 Lot: 223 Project: River Terrace East No.2, Lot 223 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2914 sf Value: $383,163.40 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 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: 5 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: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2914 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) i69-E43TH ST - -- -SUITE - €rse-OntfEJ83-6391417§ VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $36,542.00 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: _ Permittee Signature: <- .FE r k-\ -.7.\( -\ 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. 1 Building Permit Application C—\--- Q''1 Residential RECEIVEDFOR OFFICE USE ONLY City of Tigard Received - g +A nn DateB : q S Permit No. —, q_ ',,,.....,-)0 't 13125 SW Hall Blvd.,Tigard,OR 97223 'r'� Z �3 Plan Review Phone: 503.718.2439 Fax: 503.598.y14 i Date/By: 7 Pki 19 ' : Other Permitw� ,C( TIGARD Inspection Line: 503.639.4175 �°-y'/Vy'J��/t� 1ILIA DateReadyBy: Juris: 0 See Page2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Asst kQ ,'Sc. f Supplemental Information TYPE.OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 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: $ 3g+� / `t4I� 0 Accessory building 0 Multi-family Number of bedrooms: 4 ElMaster builder 0 Other: Number of bathrooms: ?j JOB SITE INFORMATION AND LOCATION Total number of floors:a-, qu�j3-7 9 Job site address: 1 le tp DV S(t) 1 r(Lc Ov's St— New dwelling area: 2.,0)2.,0)t J square feet 1 City/State/ZIP: Garage/carport area: ti 10(.1 1 square feet 1l/4 cip Suite/bldg./apt.no.: Project name = /A ! /4 1 1i Covered porch area: square feet Cross street/directions to job site: Deck area: l i) square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:, �p i(r(7 u�(Ac'c' No Lot no.: 11, Permit fees*are based on the value of the work performed. I V` V 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. Ne e w c Valuation: $ Existing building area: square feet New building area: square feet El 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: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH LLC - (PleesereferIafee schedul'ee) Structural plan review fee(or deposit): Contact name:Amanda Gavin FLS plan review fee(if applicable): Address:703 Broadway St.Ste 510 CItyrStitterLIP:Vantonveg WA986SQ Phone:(360)695-7700 Fax::(360)693-4442 Amount received: 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 lie.:207247 Total fee due upon application: $201.60 Authorized signs This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Aman avin Date: 3 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . . Mechanical Permit Application. ' FOR OFFICE USE()NUN 4 City of Tigard ' ' ' Rocco.od , , r, . 4 13125 SA(1'111111131%d•Tigrd,OR 97223 a 7 Plan Re‘icw ' I Phone: 503.7182430 1'41‘;: 503.5q$.19titi-'- '' -L-' ' DaleiBy Otim Pcaml. I nspect km[.me' 503.639.4175 . TIGARD Date Ready:13s inns. fa See Page 2 for Internet: www,ligard-or.gos , , , _„ NotitiedMetMid: Supplemental Information . , TYPE OF -- ----.--.-- . - ' - , ' COMMERCIAL-VEE'*.SCIIEDIJLE-- USE CHECKLIST Mechanical p(....ntto fee s*are based on the\Mine of the work 0 Ness construction 0 Addition/alteration/replacement NIL-anted.Indicate the value(rounded to the nearest donator'all 0 Demolition 0 Other: mechanical maierials.-equipment,labor.overliead.and .n.sfit. Value'S CATEGORY OF CONSTRIX-r---ION ' RESIDENTIAL EQuIpmENT I s vsiT_Nis EEEs. , 0 1-and 2-family dweliinu 0 Commercial/industrial 0 Accessory building For special information use ehechlist --....... 0 Multi-family 0 Master builder 0 Other: Description 7,1;77;,,a, Total '' tinAg JOB SITE INFORMATION.AND Ileakuolin :LOCATION ---- ''" ....:, ......., Air conditionine 46.75 Job site address: \(, ( 0 to,0...,D01,1\,,e -,t..,- Furnace 100.000 13113 tducto,cius 46,75 City/Ste/Z11':Tigard,OK 97224 Furnace 100.00(r+BTU tductvvents) WEll — Ileat pump 61.06 Suitclbldglapt,no.: Project namer-R‘VEIR --reetrYCI,c,c_aa.rok.. Duct work 23.31 Cross strectldireetions to job site; Ils drunk hot water system _ 23 32 — Residential boiler(radiator or hydronic) 23,32 Unit heaters(fuel-type,not electric). in-wall,in-duct.sus -tided,etc. =ci is all Fluelvent for any of above ' ‘ 23 32 MI — Other Eli 23.32 Subdivision: . 1 Lot no: " - ()thee fuel a liances: Tax mapfpureel no: .Water heater 23.17 ____. ........ . ' DESCRIPTION OF WORK ' . Gas litePlaeelinscrt _ _ 33.39 ' Flue vent for water heater or gas fireplace 23.32 , ---- Log lighter(gas) i '...3.,.2_ Woodlpellet stove 33 39 Vs`ood firsilacelinsert 23.32 Chimnes liner4lucivent 23.32 Other. .23 PROPERTY OWNER r-------o--7TTT•r; —iNE . e, , ‘ i ' Ens irontnental eshaust and ventilation: 32 Name: KI:!0V 1- E-411110 k-V0t-"O‘OGS i I-A-C .Rangs:hood/other kitchol I ‘ ---- equipment 11.39 Address; I( E.-bakt bk v..-k-t-.E.--a -R.:zinc...4N s..-- 03A Clothes arver.exhausi I 33 39 City/Statc/ZIP: C_Ciick,S6CL_\.1)..,,t P‘2, 5 2....ss 5ingle-duet exhaust(bathrooms. 5 , toilet eompartments,utility moms) 23_32_ Phone: toti-7.- c4 (.4.0,2k Fox:( ) Atticicrawlspace fans 23.32 _ 0:4 APPLICANT - 0 CONTACT PERSON Other. 2332 1... :1.tel 12'2. .t :_ Bustness name: Polygon M'1.11, LIC 514.15 for first four:S-103 for each additional Contact name jol€en Sw\ i A--le‘ Furnare,etc. j Address: 1 D 3 -Ryroo.o.t..00.----SA-- % 5k-e- k 0 Gas heat pump Wallisuspended`unit heater CO./State/ZiP: Vancouver,WA 98660 Phone.(360)695-7700 Fax: :(360)693-4442 1:ireplace E-mail'Re.rry 45u.tnyi,1,koos u•-/- ovuo,ors V‘tyyve5.co rie) Barbecue ----__- -__-- CONTRACTOR , . - Clothes dr%er(gas) Other. Business name:AptIl Air ITC:. 'MECHANICAL PERMIT FELS* '" .,_ Address: 18004 NE 72'4 AveAve SubIotal - Cil)./Stilte'ZIP' VIIIICOUVer,WA 98686 Minimum permit fee t$90-001 Plan review(25k.Of permit fee) ('hots..(360)342.81119 i 1 av(360)326-1769 — State surcharge(12'.ln of permit lee) -4 — CUB lie..203034 „a/ TOTAL!Till!a FEE Tit his permapplication expires if a permit is not obtained within /30 1 days after it has been accepted as COMpktt. Authorized signature tee Pee methodology sea by Tre(:tx -, ttay Ilinkling Industry St.i,..tuef4nard IPont name"-17—,\ I Date- ko 1.-\ ipvis , „„,.„.„...,,,,„xt,......,. prf„,,7,„,miffi, 4,0,. 4.,,,..,,„,,,,'0:41,%1 V. ..73 o i • Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received 111 NII 1111 Fax: 503.598.1960 q 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B Phone: Pla503.718.2439 ` Date/B Review Related Permit k: Date /B Inspection Line: 503.639.4175 Ready Date/By: Dud ® s: See Page 2 for c) Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition 0 Service or feeder 400 amps or more 0 Building over three stories. 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 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family ❑Master builder ❑Other: amps for all other installations. buildings. ❑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. 1`�� Job#: Job site address: (Q k`f�OVLEi St I00HP or more. ❑"A',"E ,"l-z 't-3", City/State/ZIP: Tigard,OR 97224 1:3Six 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 1 Qty. I Each 1. Total 1 New residential single-or multi-family dwelling unit. Subdivision:East River Terrace Lot#: 2:23 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less I168.54 4 Ea.add'l 500 sq.ft.or portion 4 33.92 l DESCRIPTION OF WORK Limited energy,residential 75.00 2 p,rxd, contractor on MST 7.b1 GZ,�v02A Z (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 E PROPERTY OWNER ❑,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 Email: 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 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: 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'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:permitsubmittais@polygonhomes.com Reconnect only 67.84 2 CONTRACTOR Pum.or irrigation circle 67.84 �2r __- Business name:Alameda Electric Address:3415 NE 441h Ave. City/State/ZIP:Portland,OR 97213 Phone:(503)319-2192 Sign or outline lighting 67.84 2 Signal circuit(s)or limited-en ❑ See Page 2 2 panel,alteration,or extension. Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Fax:( ) Investigation(1 hr min) 90.00/hr Email:solarpdx@me.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 199188 Electrical Lic.: c923 I Sunrv. Lic.: 48715 specifically listed(V2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: / —e% 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: /G t 1 .. 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 bas been accepted as complete. * Number of inspections allowed per permit. I:\Building'Permits\ELC PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Plumbing Permit Application Building Fixtures City of Tigard Received Permit Na: • 13125 SW Hal]Blvd.,Tigard,OR 97223 Date/Bv: 1�1T�CU -CiC; tom. Phone: 503 718..2439 Fax: 503.598,1960 _ PIan.Review Date/By: Otherpcmut No.: TICARD Inspection Line: 503.639.4175 Date.Ready/By: tins; H See Page Z for Internet: www.tigard-or.gov Notcd/Mcthod So temente.'inrormation TYPE 47F"ftORA : 'f ^h Fd ^t^ <j4x'.. FEES E• 6^ .. For special information use checklist ®New construction ®Demolition 1:71Description f Qty.. I Ea. lTotal, Addition/alteration/replacement Other: New 1- dwellings(includes 100 ft.for each utility connection) '. 'CATEGORY OF CONSTRUCTION ': '-!' SFR(1)bath 312.70 ®1-and 2-familY SFR(2)bath- 437.78 dwelling ❑Commercial/industrial ❑Accesso r3 buildin SFR(3)bath 1 500.32 g Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE,INFORMATION AND LOCATION � ;, Site utilities: Job site address: 1(0(000 '--. (,t).: Stv� Catch basin or area drain 18.76 1 City/State/ZIP:Tigard,OR 97224 Dryweli,leach line,or trench drain 18:76 ' Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no. I Project name: River Terrace Egg-f' 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.: 2,23 Fixture or item: Tax map/parcel no.: Backflow;prnventer 1 31.27 . DESCRIPTION OF WORK°. Backwater valve 1 12.51 Clothes'washer 1 25.02 Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER • 1 ,- LJ TENANT Expansion tattle 12.51 Name:ADPL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal , 1 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 'L 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 1 12.51 r4 APPLICA,NT, • 0 CONTACT PI,RSolk Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value' ) Page 2 Contact name: ` Q`e f' '�W\t'1'v l Primer 12.51 Address: 1cS ' rood �\• , 5-e-6/0 k Q�ib Roof drain(commercial)ia1) 3 25.02 cJ i.l Sink/basin/lavatory 25:02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62,54 0150).00-77110- . Fax:: .69 -4442 p - ' 77:51 E-mail: eKVM N SLa�Q . `S Z.--0tm �o`Mes. C..tim a 25.02 � vim 1 Water closet 3 25.02 ^ ,. :CffIVTtiACT€3R' Ji: Water heater 1, 3752 Business name: Gvi... Q 4.,w1,b 1Nt .4....6,„,,,,s ..v.w Water piping/DVJV 56.29 Address: ,(•Q. $ 0Yv cfA Other: 25.02 City/State/ZIP; 57-. e i' '3 i Subtotal Phone:(.:5'0-3 +•••S 4S.- :«11 Fax:(91 V .,.'7g,'7-J? j1/0Minimum permit fee: $7250_ Plan review (25%of permit fee) CCB Lie.: 184-13-1,0_ Plumbing Lic.no.: wq State surcharge(12%of permit fee) Authorized signature: / TOTAL PERMIT FEE Print name: }moi" W 14..e__ Date._ O j j�// This penult application expires if a permit is not obtained withla 180 days rj $ r after It has been accepted as complete. 'Tee methodology set by Tri•CountyBuilding Industry Service Board. L BuildingU'ermits\1 Lt.U•PcmutApp,doc 10/01/09 440•4616T(10(02tcOMJWEB) City of Tigard im COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G A R D Building Permit Review — Residential Building Permit #: N-\5--� j�C- _ . Site Address: 1(_ 660 --cep 16/ro&emA 91 Project Name: eiver Throce r-od-u .44-2 Lot #: ---2,23 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Pro• •sal: &lee -'F2 M Verify address/suite#active in Accela. 1iJ In River Terrace: ❑ No /Yes, River Terrace Review Addendum Sitylan Elements: VCosion Control l03 opies of site plan on 8-1/2"x 11"or 11 x 17"paper M11"-rained trees with drip line and tree protection measures VII awn to scale(standard architect or engineer scale) IL FF otprint of new structure(including decks) and FFE I. .rth arrow V . 'ty locations&easements(required for new and additions) 77address,project or subdivision name and lot number %Sidewalk/driveway approach Zlicant information(name and phone number) Ii ik cation of wells/septic systems dimensions and building setback dimensions �S eet tree size,type and location 144 are footage of buildings to be demolished 1Q eet names Dr -sting structures on site VCorner elevations(2'contours if more than 4'diffe�tial) ,I I! area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 14Yes ❑ impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?P\7Yes No lean Water Services—Service Provider Lette of platted prior to 9/10/1995): quired: E Yes,applicant was notified No Received: ❑ Yes ❑ No • Public Faciliti Improvement (PFI) Permit: quired: V Yes,applicant was notified ❑ No Applied For: /Yes ❑ o,stopintake vee nd Use Case#: Pbf�O/ - 0006,-- Ei Zoning: 6e-T-S IQ .'equired Setbacks: Front: Rear: a Side: .' Street Side: Garage: 6 i„uilding Height: Max. Height: u i Actual Height: j 110 andscape Area: % II °., of Coverage Max: ntrance ill _-t back no more than 8'from street-facing wall ❑ Parallel to street or • et 45 degrees or less Windows ❑ Minim °o of area of all street-facing facades Garage ❑ Garage door is belling :fest street-facing wall ft)( ❑ ❑ No,one of the following is met: ❑ Door extends no more tha ' om wall an th- - " a covered porch extending beyond garage. ❑ Door extends no more than 5'from w.: : .. there is a 12 sq ft.window above garage on 2nd floor. ❑ Garage door width is ❑ 12'or , ❑ 50%or less . .cade ❑ 60%or less and includes 7 of following: ❑ Covered porch P 'ecessed entrance ❑ Wall offset 'Roof eave ❑ Roof offset _ a =r- ',of- ----n- Lap Siding- ❑ Roof pitch 0 Gable; ; . : ,i.'- •.. • -$o'fxfier_._-.-- ■ cent siding 51 Window trim ❑ Window recess ❑ Window projec i.- ❑ Balcony I\ 'isual Clearance a rban Forestry Plan ^^�� ® / 1 ensitive Lands: % Yes ❑ No Type: �L/�t%SGf��''Il i A)Q-7-�' 1t/ ✓ Conditions met prior to issuance of building permit V5 C24)Tr7<'d zos: Approved By Planning: � Date: 9�J�1 iiV Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPennitRvw_RES_022819.docx t . , Building Permit Submittal \ Original Submittal Date: �} %C Site Plans: # Building Plans: # ,___,BBuilding Permit#: 5 Enter building permit#above. Workflow Routing: ( '' Planning a-Engineering 2'Permit Coordinator 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. gi Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ...A. Date: \ci.\‘C Engineering Review Er-Slope at building pad: ®Z' /12"-❑ Conditions "Met"prior to issuance of building permit "1/4- 2"--Easements -Easements (encroachments)per engineering conditions of approval and plat Er--Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ErNo Assess Water Quantity Fee in-lieu: ❑ Yes C'No LIDA Facility on lot: ❑ Yes gr-KTo G3'Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 12r Approved by Engineering: ��,.4eG �� Date: 7//7//9 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 XConditions "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: elZ Yes ❑ N/A LIDA ❑ Yes 1 N/A * OK to Issue Permit Approved by Permit Coordinator: A-0-yvi3O � Date: I 1 I I:\Building\Forms\B1dgPermitRvw_RES_022819.docx City of Tigard 1111 III COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum o Building Permit #: 'MS'T2(G _ CQ- Site Address: J(ii 0 dg art : ,e Project Name: , 7. - - - r ei ( AL #2 Lot #: 2' (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist ct Design Standards (18.640.070.1.): Is the project subject to the plan district design standards?ad Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 dee Balcony w/access 2 Window Projection Vertical Wall Offset a p ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ ❑ 2. Eyes on the e street: a minimum of 2% f each street facing façade must include windows or entrance doors. Percentage Shown: a/ (j� d 3. Entrances:At least one entrance must meet both of the follo g standards: iMax. 8 ft. setback from lone street facin wallParallel to street,angle no more than 45° from street, 8 ft. setback from longe street- or open onto porch Entra e opens to a porch: Yes ❑ No If s,all the following apply: sq.ft.min. ne street facing entry ft.max. roof above floor of porch a 5 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 facades: Ic4vered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep ,7°all offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection ❑ ' sof offset min. of 2 ft. ❑ Roof shingles either tile or wood 7 Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ rizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade Iindow trim min. 2'/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 façade Garages and-Carports:Miy face theft-Wilt of side tot rine on a corner1ot. Setbacks: No closer to front or side lot line,than longest street-facing wall. Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door 40%max. of street facade ❑ 50%max. of street façade with 7 detailed design elements Notes: / Approved ByPlanning: --- ACJIDate: -9-440// �� I:\Building\Forms\BldgPermitRvw RES RT—121417.docx