Permit (158) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00226
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/26/2019
T i e At'D g Parcel: 2S 106DA90611
Jurisdiction: Tigard
Site address: 17181 SW SNOWDALE ST, UNIT#102
Project: River Terrace East Apartments,Unit 102-C of 0 Subdlvlsion:RIVER TERRACE EAST MULTIFAMILY Lot: F-11
Project Description: Building F: Permit for C of 0 for unit 102 only to include building,mechanical,electrical and plumbing final.
Contractor: WILLIAM LYON HOMES INC Owner: POLYGON WLH LLC
703 BROADWAY STREET,SUITE 510 109 E 13TH ST STE 200
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: 360-695-7700 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: NEW Type of Const: Hourly Building Rate 08/26/2019 $90.00
Occupancy Grp: Occupancy Load: Hourly Building 12%State Surcharge 08/26/2019 $10.80
Hourly Electrical Rate 08/26/2019 $90.00
Dwelling Units: 0 Hourly Electrical 12%State Surcharge 08/26/2019 $10.80
Stories: 0 Height: 0 ft Hourly Mechanical Rate 08/26/2019 $90.00
Bedrooms: 0 Bathrooms: 0 Hourly Mechanical 12%State Surcharge 08/26/2019 $10.80
Value: $0 Hourly Plumbing Rate 08/26/2019 $90.00
Hourly Plumbing 12%State Surcharge 08/26/2019 $10.80
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $403.20
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fife-Alsum - Protected£yrs:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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: 0A/e1-70/414,/Com%"/GI A./
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.
Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
Cityof Tigard Received
g AUG 7 2 019 DateB : , �j Permit NA�/ �/
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
3` Phone: 503-718-2439 Fax: 503-598-1'J TY OF TIGARD CI
DateB Related Permit:
TIGARD Inspection Line: 503-639-4175 BUILDING DIVISION DateReadyBy: / kris: H See Page 2for
Internet: www.tigard-or.gov Noufied/Method �I /T !- "1� Supplemental Information
f l.IrL 7i,"1,7-4'-
,
TYPE OF WORKREQUIRED DATA:1-AND 2-FAMILY DWELLING
QCT New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 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: $
❑Accessory building Q Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 17181 SW Snowdale St. New dwelling area: square feet
City/State/ZIP:Tigard, OR97223 Garage/carport area: square feet
Suite/bldg./apt.#: ,r Project name:River Terrace East-MF Covered porch area: square 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-MF I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Permit for Cof 0 for Unit# DZ
Valuation: $
,)0,,
Existing building area: square feet
New building area: square feet
Ej PROPERTY OWNER ❑ TENANT Number of stories:
Name:Polygon Homes, WLH LLC Type of construction:
Address: 703 Broadway St., Ste 510 Occupancy groups:
City/State/ZIP:Vancouver, WA 98660
Existing:
Phone:( 360)695-7700 Fax:1360 )693-4442 New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: Polygon Homes, WLH LLC (Please refer rofee schedule)
Structural plan review fee(or deposit):
Contact name: Tonle Morris FLS plan review fee(if applicable):
Address: 703 Broadway St., Ste 510
Total fees due upon application:
City/State/ZIP: Vancouver, WA 98660
--_- -__— i Fluc 36 i Eno e e en
-
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.
Submit two(2)sets of roof plan with connection details
Business name: Polygon Homes, WLH LLC
and fire department access,along with the 2010 Oregon
Address: 703 Broadway St.. Ste 510 Solar Installation Specialty Code checklist.
City/State/ZIP: 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 Lica: 207247
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Tonja Morris Date:6/28/2019 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
illCITY OF TIGARD' FEE AND PAYMENT HISTORY
13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
BUP2O19-00226 - 17181 SW SNOWDALE ST, UNIT# 102, SHERWOOD, OR 97140
River Terrace East Apartments, Unit 102 - C of 0
i
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due
Hourly Building 12%State Surcharge 100-0000-24001 $10.80 $10.80 $10.80
Hourly Building Rate 230-0000-43104 $90.00 $90.00 $90.00
Hourly Electrical 12%State Surcharge 100-0000-24001 $10.80 $10.80 $10.80
Hourly Electrical Rate 220-0000-43103 $90.00 $90.00 $90.00
Hourly Mechanical 12%State Surcharge 100-0000-24001 $10.80 $10.80 $10.80
Hourly Mechanical Rate 230-0000-43102 $90.00 $90.00 $90.00
Hourly Plumbing 12%State Surcharge 100-0000-24001 $10.80 $10.80 $10.80
Hourly Plumbing Rate 230-0000-43101 $90.00 $90.00 $90.00
Totals for Fees $403.20 $403.20 $0.00 $403.20
i
Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount
Total Payments:
Balance Due: $403.20