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Permit (65) CITY OF TIGARD MASTER PERMIT z. COMMUNITY DEVELOPMENT Permit#: MST2018 00288 t AR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/10/2019 T Parcel: 2S 106AD04600 Jurisdiction: Tigard Site address: 12974 SW 165TH AVE Subdivision: RIVER TERRACE EAST Lot: 153 Project: River Terrace East, Lot 153 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 4 First: 2860 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 19 Bathrooms: 3 Second: 0 sf Garage: 684 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2860 sf Value: $379,444.80 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 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 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: 6 201-400 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 2860 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) r._ _ . _109 E 13TH.SI_. 703 IRQAOWAY STREET,SUITE 510 _ . 1 €Isn.Cntrt 593 13&4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 1 Hour Fire Rated Eaves PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $36,406.89 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. , ?„4 c_. Issued By: \,____ ; �_ Permittee Signature: �lWle\(-- C5C- 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 Lc \ \„....5........ Building Permit Application . , � Residential it, 1.4),- FOR OFFICE USE ONLY City of Tigard Received y� i s r Date/By: ‘ ii‘a t�� �� PermitNo.:\l \��c� \c‘...0..-- A ��t► 111 r 13125 SW Hall Blvd.,Tigard,OR 97223 r' 3 I-1-� Plan Review Q Phone: 503.718.2439 Fax: 503.598.1960 DateBy: re, Other Permi `J' �,�1 ��—�J� Inspection Line: 503.639.4175 ( 1 `'(.�1` i'k,AA*a ReadY :l kris. Ed See Page 2 for Internet: www.tigard-or.gov �+ # Notified/Method ail/ !y Supplemental Information TYPE OF WORK REQUIRED DATA.1-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY;OF CONSTRUCTION - work indicated on this application. ® 1-and 2-family dwelling Valuation: $ S-7❑Commercial/industrial ElAccessory building 0 Multi-family Number of bedrooms: 3 0 Master builder 0 Other: Number of bathrooms: 3 tr)N JOB SITE INFORMATION AND LOCATION Total number of floors: 1 3G 9 \, Job site address: 12 4 14 3v t LD S New dwelling area: 7.E5(00 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: (p614 square feet Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area square feet Cross street/directions to job site: Deck area: square feet C,Uelr'ed }'' ',t471:•: 334 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace East Lot no.: t CJ 3 Permit fees*are based on the value of the work performed. Tax map/parcel no.: 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. Valuation: $ Existing building area: square feet New building area: square feet 1 El 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: c El APPLICANT < ❑,CONTACT PERSON( BUILDING PERMIT FEES* (Please rejer.to jeeschedule) Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Jolene Smith FLS plan review fee(if applicable): _ ____ Address:701Braadway-St,_Ste 510_ ___ — 1 olai tees clue upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) E-mail:permitsubmittals@polygonhomes.com 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 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 or, CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained / PP within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industr.' Print name:Jolene Smit Date:7/27/18 Service Board. T:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ,. Mechanical Permit Application : .Li �. P ,, iota on is t. t NE()\1.1 City of Tiand Rem%ed Parma No: . 13125 SWFall Blvd,Tig71 ard,OR97223 'L; # !( 1 sew Phone: 5fl3.7 t 82439 Fax: 503.598,1%0 Chanay- (Hier Permit i s Er n tt t) Inspection Line: 503.639.4175 y'1 r�Y us 5 ' ram ]ntemc: www.ti d-or. ov e,a x 6 a^,., tteactt:T3t: See 2 tot ... ± Nidi edttettaxtSupplemental hiferutation 1L/D1�Uy:',I . r __ ' '" Mechanical permit fees are based on the value of the work C. New construction0 AdditionfalteFrtltion/replaceinertt performed.Indicate the value(rounded to the nearest dollar)of all Q Demolition 0 Other mechanical materials,equipment.labor.overheads real profit V '-: .,,: CA"i' 4�t}l�Y'C►11:C(1��3f�4 . �,w.., altte � ,, r'.:':A.E'�t@�i'1`NIit, 15`'111 FEES'! Q 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For sprciat information kse ckrr fist ►IMulti-family 0 Master builder 0 tither Description ] Qty. ( Ea. Total ;; _4o t.S „1NFORlF . 1oN=A D.ilA' 7thi _ Hestl a it .,... � ,.: Air conditioning 46.75 Job site address: '2 q1 L S\t,, klotV) 1'1 ACS F6TfX18L`C 1 .000 B .;tkiklttS.vents) 1 46.75 City StateiZ1P:Tigard,OR 97224 Furnace 100.1 BTU(duets'.ents) 54.91 triT Ittdp fit.no.: Project name: fleet pump 61.06 t S ?ever terrace Vis} Duct work 2332 Cross ssteet/ `. ns to job site: flydronie hot water system 2132 Residential boiler(radiator sty drone) 2132 Len heaters( el-type,not electric), in-wall. suspended.etc. 4675 Flue em for any of above ri 23.32 p�,� Other: 2332 Subdirvisiorr Neje e Te - Lot no.: 153 Other fuel r<y till.at Tax mapipateel no.: Water heater 23.32 Lias fireplace thePhieeltnsert 33.39 Flue vent for water ter of gas fireplace 23.32 Loa lighter(ass) 23.32 Wt /pellet stove 33.39 Wood ftreplace!insert 23,32 .. -.. - _. ChiusneyilitterYllue'itent 23_32 J ` 23.32 P r 'e*r 1 0 NA" f -- - _. - _ Environmental exhaust and eatilatioa: • Name PI0VLL g�Dichr s �� Range hood/other kitchen , ( ?x.39 Address; ftOOYowWl&y "V rl'IyLOCClothes dryer exhaust / 3339 City tMeiZIP: 5cois"vll6 Fr LSE) Single-duet exhaust thathrekms. toilet compartments,utility rooms) 44 23.32 Phone:(360)695-7700 Fax:( ) Artiecraw fans 1 23.32 :'" APPLICANT T a QAC')` sit Other 23.32 Business name:dol Fuel piping ori 4►�1 Ill,�. t $14.35 for f fear:541.03 tor emit additional Contact nates.: 0/, �DOelle.. SM tkAn Furnace. - l Address:1M kens filkkui,�-�,5LAke, %P_ 140 heat raiz c i .., r s City/State/BP:Vancouver,WA 98660 Water heater (360)695-7700 Fax::(360)693-4442 Fireplace Range f -mail:PO:M-kSUr X.1 aiLk c 0 e,t3(1\A,OlYleS C 1Y) k Batbocue � � . Clothes drier(gam) Other name:AaAir '. '. IC-AL P.1T * Address:18004 NE 72"Ave Subtotal City/Srate Zl?:Vancouver,WA 98686 Minimum permit fee(590.00) Phone:(3t!i )3+t21t19 Fax (360)326-2769 Plan review 425%of permit feel State surcharge(12%of permit fee) CCB lie_:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within in days miner it lois beat amepted as otimplete Authorized signature' s F stc ,set Tri gut _ Band Print ;: s.t Date: 4.11.g... I 1 liaa i Sane''crenns'Mf;Ct'enuttApg NIM I.1 dac Ari's-46:7' t r rn2 t1"1:`w ri VVTyy IN Cit of Tiga d 1 lJ L.; y. 3 2 U 12 Received I/ 'r 13125 SW Hall Blvd.,Tigard,OR 97223 Datelt3y; t 3 b Plan Review t Phone: 503.718.2439 Fax: 503.598.19 'fir 1 a N0 Inspection Line: 503.639.4175 1 i 3 i i i_� ti.. c Date/BY. Related Pcrnut N; 1 TIGARD Ready Date/B ; lush: Q a u Internet. www.figard-or.govq I I l s :IOW/Method: See Page t for ,: r,. Supplemental Information .�z:4..?,:...s f it t F'?T E F I S 1� {y x O WORK ®New construction . yi , -:: .: ::.` ,-: :.':.;1'I4��13)2�33?V_ ;:..": ; •< ;;; °.,•,.. 1 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans W/items checked): ❑Demolition Other: ❑Service or feeder 400 amps or more ❑Building over three stories. 0�.,, - . .. CAT : ,=�� :,� ." , ;, ._:.,.:..::..;::..:.,:,...�:; ... where the available fault current CI and boatyards. ..: ..:.. . ......:.. _.. ... ZGORY:=O CONSIRU. - y . ...:. .:_.,... ------...:'I'�OIY;:;�?5:;:;:pEr`.L :'< � :[:i:. : exceeds 10,000 amps 150 volts or �- P 0 Floating buildings. 1 ® I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural 1. ❑Multi-family • 0 Master builder 0 Other other installations. buildings. :..:, :, amps :;: s,:::;.::.a::>"c:J.OB SITE;IIVT'URMATIQN'A::..:...,. :::.._..... ❑Instafiatioaof150 KVA or i larger separately derived l •..NO:LQ,(.',t1TION.,,.,:: ;i:':-': . :- .:_� ❑Emergency system. Job#: I Job site address: 12 9� So ,p�� ❑Addition of new motor load of system. l City/State/ZIP:Tigard,OR 97224 l(D� 1 've IOOHP or more. ❑"A,.,�^,"1-2",hi_3,,, E ❑Six or more residential units. occupancy. i Suite/bld Ja t #: El Health-care facilities. ❑Recreational vehicle parks. g p I Project name:; `vex-r .1.- L ❑Hazardous locations. 0 Supply voltage for more than I Cross Street/d1I'eetiOIIS to job Site: 0 Service or feeder 600 amps or more. 600 volts nominal. i -'..i.:::,::::--,: :1,1.-0 -',:T1 .*: Description I QtY• I Each lTotal I a Subdivision clexAtr New residential single-or multi-family dwelling unit. TeR tae VASA' 1 Lot#: 15• Includes attached garage. Tax map/parcel#: 1,000 sq, or less 168.54 4 i :,,:....::.......:.."... DE4GBIPT_ *..'OR.WORK: .:.i a:;°`: :::'::: :::;, .. ...:......:.:... Limit d energys, ft.or pial 33.92 1 l .....,J_.,. .....-:,...<::.:.,................. ..:.;:...:.::: .: ..._:. .,.,:...: Limited energy.tesidential 1 (with above sq.ft.) 75.00 2 t Limited energy,multi-family 75. 0 2 residential(with above sq.R. `'ti"_'�(t1PliUl°Lt ;. Renew -._ ..,.,.-:.-_._.;-:4,»...,<..RTY OZ'U.NIsR.:.:...,:v:,.:>.::.:; - Renewable n..:, ,., „_;:,.,,._ r: rA.N - ,; _ ig Services or feeders installation,alteration,and/or relocation Name: A DV L Lam i ` S 200 amps or less Address: -- p O\) ' Do�IUU'r�.e-tree, �1 amps to 400 amps .70 t 133.56 2 201 am City/State/ZIP: �Q 401 amps to 600 amps 20034 2 5 G , 1 Al Z�$ 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 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: f Date: 401 amps to 599 amps 168.54 fpi.-: •. , .t a ui'IrICANT ;:.tz.' Branch circuits-new,alteration,or extension,,er panel . -: ;� CQ1rrTAGT'.PEIi50',N;.P . Business name: PDI - )1..,+� ', above service or feeder fee, Contact name:. O t o j- (J Aft') each branch circuit 7.42 2 J B.Fee for branch circuits without Address:1 D3 koCL C,. 1X,L C-` service or feeder fee,first J� J�f 1 J 1 branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit I I 7.42 ! 12 (360)693 4442 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax: Email: �m and/or feeder Each manufactured or modular . 67.84 • 2 ::::;.:._.. _,. _,.:..w,:,:.:..,,,...,_,.:.�_SCO _ 2 Reconnect only _; Pump or irrigation circle 7 84 ," 67.84 2 Business name:Garner Electric Washttott2LLC .,%ge.aulediew. Address:402 Valley Ave NW Ste 106 — Signal circuit(s)or limited energy - panel,alteration,or extension- ❑ See Page 2 2 City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/fir Phone:(253)872-6051 I Fax:(253)872-1801 Investigation(1 hr min) 90.00/hr Email:bdaniels@gwausa.Com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.: C1158 Electrical Lic,: 208174 1 Suprv.Lie.: 4496S specifically listed(14 hr min) 90.00/hr Suprv.Electrician signature,required: -. ?1?I ECTJt11A'L�=>P 11-J ..i)5`::: ::'=.:: ";:; gn , � �•, [�I f f �!�( ,. , _ ... ._..,...:.....,. .,...,.....:,-.-..k�,. <, :„_:> <r.:;-.°.r Print name: Joan P Albert l f './�J Subtotal:_ I Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized si'nature: I —4� TOTAL PERMIT FEB: Print name: Bill Daniels This permit application expires if a permit is not obtained-within 180 Date: days after it has been accepted as complete. * Number of inspections allowed per permit. k k\nuildioglPemritrlF.EC_PeeadtApp ELR nRE.doc Rev 06/I7/2015 440-46t5T(i1/05JCot,UWEg 1 • ' Plumbing Permit Ai)plication, Building Fixtures City of Tigard Penult No.: It LI 3 ?°18 Rerei'e'ved 13125 SW Hall Blvd.,Tigard,OR 97223 .':\L„: Y' .71 Phone: 503.7182439 Fax 503.598.14 4 ;1‘ 1, . .',''!':'i•',A l'?•, 4:nteBReview " Other Permit No.: Inspection Line: 503.639,4175 minDING DIVISI 4 Ready/By 11(iARD Ink, el See Page 2 for Internet: www.tigard-or.gov •:fied/Method: Supplemental hafontastion .•s•,,,,.--,..z.---...7,,th•o-^,Trik,41.74.-,14 .. ,• ••,•,:.0 , s • -- .,-.,.•••.“,„,,r.,,,ft'..1,-,-.!,--••••,-,rrett-i. ,,r7v.-,a,,,, ..,4e-,..-„,,...,77, ",,,,,-' ' . •-"'-','''. --"'....,,,-.-,,,,,-.. '.., - .= ';,..,',,,,,,,'--';',,,V,,,-...,,,,-,....N.,......,-, ?..'--;#1.,'S.',..1;',,,,,,,,,,,,,,,,.,,_,,,,,,,,,,,,,,,,,,_,.''`,''•'',",:'::::,,,,AV.s7A-CSi',T(IM-517'!" .'2'' '''..74'''''':::1'''''3-5.--:''''''2'''''''''.i''''''''''7:''1E'E*"'"SCHEDUI''Z':' ''::'a5'j''''6'''''';''''''':'":'-'- l'4 New construction 0 Demolition For special infirusation use checklist Description Qty. Ea. Total •Addition/alteration/replacement I Other: New 1-2-family dwellings(includes 100 ft for each utility connection) ,-..-)„,:W.,r,fe:TiTe:',"-:',".e.q.z1;.:,,, ,1-•- ' - 'ger- - ',-',---'"l'""r''''''-'"''''' ''''''-''' SFR(1)bath 312.70 r 1-and 2-family dwelling 0 Commerciallindustial SFR(2)bath 437.78 SFR(3)bath I 500.32 0 Accessory building Multi-family Each additional bath/Idtchen 25.02 I:3 Master bunder E3 Oilier: Fire sminkler( sq.11.) 11=1111111111 iI4ciii'srreittoitricti-..ititek ifOtt --'' - "`"i'' '- Site,-,4-.v..,_,. ;''' ; ''' . • ' ;1:4361,.. :7--,,-,,,,',--.i-,-,----,-- utilities: Sob site address: t 2 cl 1 45NO tUSIIA r.re, Catch basin or area drain 18,76 Drywell,leach line,or trench drain P 18.76 City/State/ZIP.-Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:a V-3/44tr Terrace 1E0-si-- Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Ram• drain connector 18.76 Sanitary sewer(no.linear it: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:.......i Page Subdivision: V-A\i fir TeAfracc E0,14- j Lot no.: 153 Fixture or item: Tax map/parcel no.: Backflow preventerBac131_27 11:.'::':::;0:;?;:ftt;11...1,i;',.'••;•;:: ::-;;;:7t4•Ni-:•c-i -10,09,rt*ri:*- 4 '.:4:''''' '''st:'''''' '.';:';''''''"''''-''''''' lay Clothes washer 25.02 Dishwasher 25.02 Drinkingfountain 25.02 Ejectors/sump 25.02 -_-",:•,:-,,-,:,..-,.:,:.--,:-. PR9.__PrtRWPVIO/Egiit ,-,.-',:r-,- - -.;;,',, ,;,',.---,,,,,-;',Q 1`721ANTF;"1-w-lirs-..-"''' Expansion tank12.51 25 Name:ADVL Land Holdings,LLC Fixture/sewer cap .02 Floor dramifloor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/7AP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice,maker 12,51 ' - Interceptor/grease trap 25.02 tglqT*tTAZ K1tE43N-4'ic--L,--: Medical gas(value:$ ) Page 2 Business name: PbboyficeN %tm u7k .14c., i Primer 12.51 Contact name -SOkee,V1 SYY‘ilkiA Roof chain(commercial) III 12.51 Address: 1 t) t. s.,i .i , .t 'LLC -1 Sink/basin/lavatory Ci ,,, Pir• ,...,I i 4 i... W_ It:.._, _ _ . _ . Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail: Vf XVII ktSVJOrC1 AVatA--e- 1 ater closet IllIl 25.02 MI .,...',4,,,,;,:....-,4..r.-,,*,,,,,,,,nt*_::•'4,-',,:2?.;''''',":..: CO1RACfOR,_ --,....,,:-,,,..- -:: - ,,, -.,:,,i,-,:',.';:z , Water heater 37.52 Business name: Gvirt kAiwtills NNA,c4--.60,As avii--- Water piping/DWV 56,29 Address: p.0. $0, ciA, Other 25.02 City/State/ZIP: 11 51-.,, e4441.4 arc_ q 31 Subtotal Phone:(Sit1,3.-.1 (itS.... 1(40 Fax::(4:1 t.•141.4 fl() Ivlinimum permit fee: $72_50 Plan review (25%of pemait fee) CO3 Lic.: 184131a_ Phmibing Lic.no.Pb. ( 3q State surcharge(12%of permit fee) Authorized signaturc 5: 3:rpt, 17".4404"""*"------_,.. TOTAL PERMIT FEE Print name: „S*1-fAlt,. p"toke, Da.:3-36-1 10 This permit application expires if a permit is not obtained within ISO days after it has been accepted as templets. *Fee methodology set by 76-County Building industry Service Boarct IABuRditt0crmits1PLACJ-PonaitApp.doo 10/01/09 440-4616TOIV5ICO54JWEB) 1 • City of Tigard II MI COMMUNITY DEVELOPMENT DEPARTMENT T c A R:1 Building Permit Review — Residential _te«_.w.:-S �. Building Permit #: _� Sc - �� __ . r_ _ k Site Address: . / '‘c7A f�.dr.4 7 Ail Project Name: r- .7.—erg (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: /c>3 Planning Review Proposal: Ai 7 Verify site address/suite#exists and active in permit stem. 1�1 River Terrace Neighborhood: 0 No IPJ Yes,See River Terrace Review Addendum Attached Sit lam Elements: Fryhree(3)copies of site plan IPI sting structures on site bite plan must be on 8-1/2"x 11"or 11 x 17"paper L! ootprint of new structure(including decks)with finished brZ,Zawn to scale(standard architect or engineer scale) i.or elevations rth arrow M .'ty locations&easements(required for new and additions) PI)Sife address,project or subdivision name and lot number 11i S •licant information(name and phone number) 1 ►anon off wells/septic oweway aptic acsyst rd •t dimensions and building setback dimensions ells/septic systems Pa , '1+ sting trees to be retained with chip line,and tree uare footage of buildings to be demolished • on ' ,`,t area,building coverage area,percentage of coverage and tectree measures pervious area(aR-12,pplicable eet tree size,type and location (pPble if R-7, R-25&R-40) Street names r� Ir.Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or repla dR es ❑No oi___________________7_______T______7____________________4 foot differential) If es,is a storm water uali facili shown? Yes ❑No lean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): equired: 0 Yes,applicant was notified 0 No21 Received: Public FacilttiesrItnprovement(PFI)Permit: ❑ Yes 0 No utred: Yes,applicant was notified 0 No yT� o r 00 Applied For: Yes 0 No,stop intake *Land Use Case#: 4 _0 , — 4000 LE oning: 0m 4.Required Setbacks: Front a Rear _ -i Side Street Side lit Garage ktL1 an• cape Requirement: P ° •t Coverage Maximum: IN Building Height: Maximum Height �_ Actual Height lj /6 li i k kisual Clearance Yes ❑ No Type PI rban Forestry Plan 0. Conditions "Met"prior to issuance of building permit Notes: ❑ Approved By Planning: Revisions (after Building Submittal only) — " Date: Revision 1: 0 A dReviewer Date Pprove0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved IABuildingTonns\BldgPennitRvwRES_061417.docx 1 Building Permit Submittal Original Submittal Date: _____SAL1k _ Site Plans: # __3---_ Building --- Building Plans: # Building Permit#: Enter building permit#above. [yBuildin Workflow Routing: d Planning Ni C2 Engineering 'Permit Coordinator g Workflow Sign-off: 12/ Sign-off for Planning(include notes from planning review) Route Application Documents: El/Engineering: (1) copy of permit application, (1)site plan, (1)building plan and original plan review routing form. i'Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: , tr By Permit Technician: Date k�- Engineering Review ,."Slope at building pad: ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes pNo Quantity Fee in-lieu: 0 Yes Cl No Assess Water Q ty LIDA Facility on lot: 0 Yes p"No la"Final Plat Recorded: Date: ❑ NOT Approved by Engineering: Notes: titit ® ) . 1 ' I r 'A F Date: x t""kr Approved by Engineering: 4,1 s. +a Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review XConditions"Met"prior to issuance of building permit Date: 0 Approved,NOT Released: 1 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: J SDC Fees Entered: Wash Co Trans Dev Tax: 'I Yes 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: Yes 0 N/A LIDA 0 Yes ' N/A OK to Issue Permit `� 1‘?Approved by Permit Coordinator: `v/ ..... f - Date: I:18ui1dineForms\BldgPermitRvw_RES 010118.docx l City of Tigard III II COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD River Terrace Building Permit Review Addendum Building Permit #: S\c A — �0. Site Address: /c299-Y 0/ Ile-c-4L ,e Project Name: E/'V.er �-erracP --v_ -- Lot #: A--- (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 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. Porch min.v5 t. 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 CIElCI ❑ 2. Eyes on the street: a minimum p�f 1/2°/ f ach street facing façade must include windows or entrance doors. Percentage Shown: /"7. Iv 3. trances:At least one entrance must meet both of the follo ng standards: vd Max. 8 ft. setback from longe street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No If y ,all the following apply: sq.ft. min. V ne street facing entryt.max.roof above floor of porch ft. depth min. 30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five of following elements on all street-facing façades: yCovered 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 El Dormer min. 4 ft.wide ❑ Roof eave min. 12 inch projection ❑ ; sof offset min. of 2 ft. ❑ Roof shingles either tile or wood P f able,hip or gambrel roof design CI Roof pitch oriented south min. 500 sq. ft. bbd""/ rizontal lap siding min. 3-7 inches wide El Accent siding min. 40%of street facadeWindow trim min. 21/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street façade ___________ 5 Ga--s!' ges AnciCamolaz2layface_the frontiar lotline-ona_ct m.r I,-)t —.. Setba ks: N closer 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. ElMay 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) El 12-foot-wide garage door 40%max. of street facade ❑ 50%max. of street façade with 7 detailed design elements Notes; Approved By Planning: ''_—;--------=.---- Date: /DAY I:\Building\Forms\B1dgPermitRvw_RES_RT_121417.docx FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 1 z 1 R I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ��.-kV pr1 nln DATE RECEIVED: DEPT: BUILDNTG DIVISION RECEIVED FROM: lyLicp1,v I fry FEB 6 2019 COMPANY: ` v � — � V I Y Q__c CITY OF TIGARD BUILDING DIVISION PHONE: L))U l f OD By: (Site Address) (Permit Number) Pv42}v ov\rin (M-\-- (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: OPieST I escr ption: Copies: Description: Additional set(s) of plans. Revisions: \i/l S Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: _ 'QrrvlA t` -vonn. (\of (v\A-itlt(;- out- s to 'ermit Tec clan: Date: Initials: Fees Due: ❑ Yes ❑No Fee Description: Amount Due: Nd i ',64/7-/e/v6-` /f i:::z - $ ' /..(26-v E72-S /'zy /v00 7- $ C'. --et 6--1`-77 / //-t 1/2. 7V U/L d/"4 $ Special ‘.3!" Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions 061316.doc PermitSubmittals RECEIVED From: Lina Smith <LinaCS@tigard-or.gov> FEB 6 2019 Sent: Wednesday,January 30, 2019 10:14 AM CITY OF TIGARD To: PermitSubmittals BUILDING DIVISION Subject: RE: 1-29-19 Building Permit Issues Hi Amanda, For Lot 153, the site plan and building plans don't match. The site plan shows the garage on the right side, and the building plans show the garage on the left side. Please bring in revised building plans. Since this one has an MST number already, you'll need to fill out a yellow transmittal sheet and hand in the revisions to Building. Thanks, Lina � . -)I, ! Lina Smith E� '" Assistant Planner City of Tigard I Community Development 13123 SW Hall Blvd.Tigard,OR 97223 E mail: LinaCS@tigard-or.gov mi.,evItivti. IOW From: Lina Smith Sent:Wednesday,January 30, 2019 7:52 AM To: PermitSubmittals<PermitSubmittals@polygonhomes.com>; Samuel Copelan <sam - .r.-or.gov> Cc:Agnes Lindor<agnesl@tigard-or.gov>; Schuyler Warren <SchuylerW@tigard-or.gov>; Monica Bilodeau <MonicaB@tigard-or.gov> Subject: RE: 1-29-19 Building Permit Issues Hi Amanda, let me check with Building first on that one, since it already has an MST number. I'll let you know, Lina T_ _ - _ - - Assistant Planner City of Tigard Community Development 13125 SW Hall Blvd.Tigard, OR 97223 E-mail: I_.inaCS@tigard-or.gov 1 w From: PermitSubmittals <PermitSubmittals@polygonhomes.com> Sent: Tuesday, January 29, 2019 4:24 PM To: Samuel Copelan<samuelc@tigard-or.gov> Cc: Agnes Lindor<agnesl@,tigard-or.gov>; Lina Smith<LinaCS@tigard-or.gov>; Schuyler Warren <SchuylerW@tigard-or.gov>; Monica Bilodeau<MonicaB@tigard-or.gov> Subject: RE: 1-29-19 Building Permit Issues Thank you. Does lot 153 have pending revisions? Record number is MST2018-00288. Amanda Gavin Permit Specialist e Amanda.GavinaPolygonhomes.com Office 360-695-7700 Fax 360-693-4442 www.polvqonhomes.com POLYGON 02 NOWITIWEST f rte' q, s p f'";'. .. ogir From: Samuel Copelan [mailto:samuelc@tigard-or.gov] Sent: Tuesday, January 29, 2019 11:27 AM To: PermitSubmittals<PermitSubmittalspolygonhomes.com> Cc: Agnes Lindor<agnesl(citigard-or.gov>; Lina Smith<LinaCS@tigard-or.gov>; Schuyler Warren <SchuvlerW@tigard-or.gov>; Monica Bilodeau<MonicaB@tigard-or.gov> Subject: 1-29-19 Building Permit Issues Good morning Polygon, Planning has four River Terrace East lots that we are not able to route to Building. Please refer to the attached list and let me know if you have any questions. Sincerely, 2 Electrical Permit Application- g" " - el i4' �� 7;4:1,r-;;.' " City of Tigard , �� t� dReceived �• f '*a 13125 SW Hall Blvd.,Tigard,OR 97223� /01.1 Date/By: �- Permit# -�: - DIS Plan Review Phone: 503.718.2439 Fax: 503;59,80960Date/By: Related Permit#: Inspection Line: 503.639 4175 =: Ei See Page 2 for NIGARD Ready Date/By: Juris: . .© Internet: www.tigard-or.gov N d/Method: I Supplemental Information T OF NOIUC x • P .:REVIEW .., El New construction ❑Addition/alteration/replacem 1 - Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Demolition Ci Other: ,�. �� 0 Building over three stories. :•• where the available faultcurrent Marinas and .. :x boatyards. ards. -s ,. . ,:CATEGORk OF:CONSTRUCTION ::k s : exceeds 10,000 amps at 150 volts or Floating buildings. .. .. ❑ ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all otherinstallations. buildings.❑Multi-family ❑Master builder ❑Other 0 Fire pump. ❑InstaIlation of 150 KVA or ..... . ;.JOB`'SITE:INFORMATION"AND;LOCATIO V, 0 Emergency system. larger separately derived Job#: Job site address: l 2114 Stk.) 1(o 'T)4 Q,,, 0 00H on of new motor load of system rJ Vim, 100HP or more. ❑•'/e, `E,,,,•I_2,,,`•1-3,', City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:East River Terrace 0 Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: • FEE,SCI3EDULE Description I Ot. j Each I Total I . . New residential single-or multi-family dwelling unit. Subdivision:East River Terrace_ : Lot#: i 5 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less I 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 - ``"".•, • .. DESCRIPTION,OF WOR • • .. . , Limited energy,residential - Change contractor on MST 'l. ' CX)2 2, (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75,00 2 El.P120PERTY OVI NEI2 ,. ; . ;. , .,. Renewable Energy 0 See Page 2 ❑!TENANT Services or feeders instailationzalteration,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 0 CONTACT PERSON - Branch circuits-newt alteration,or extension,per panel A.Fee for branch circuits with Business name:Polygon WLH,LLC . above service or feeder fee, each branch circuit 7.42 2 Contact name:Tonja Morris B.Fee for branch circuits without Address: 703 Broadway St,Ste.510 service or feeder fee,first branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone:(360)695-7700Miscellaneous(service or feeder not included) Fax: :(360)693-4442 Each manufactured or modular - dwelling,service and/or feeder. 67.84 2 Email:permitsubmittals@polygonhomes.com .- , s ,Recohnaci only 67.84 2 — CO,aVTRACTOR 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 panel,alteration,or extension. 0 See Page 2 2 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 Lic.: c923 I Suprv.Lic.: 4871$S specifically listed('/:hr min) 90.00/hr Suprv.Electrician signature,required: 111:..,00:2' .ELECTRICAL PERMIT FEES 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: t/). A0' - TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 .... ., D .. .,.., L'4,1,-A.,...7 I r‘..,.... nr inn:'n*n '-"-_.._...,...