Permit (67) CITY OF TIGARD MASTER PERMIT
224
i ' COMMUNITY DEVELOPMENT Permit#: MST2019 00313
T WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/10/2019
Parcel: 2S 106 DA 18500
Jurisdiction: Tigard
Site address: 16576 SW BIRDSONG ST
Subdivision: RIVER TERRACE EAST 2 Lot:
Project: River Terrace East No. 2, Lot 224
Project Description: New SF. 9/30/2019: REPRINT to increase deck size to a total of 294 sq ft.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2909 sf Value: $386,011.64 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<10OK: 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: 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
Ecompasing: Y
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2909
Owner: Contractor:
WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $36,591.24
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 throut..OAR 9 001-0090. 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: �N `7 ° /�L� 770✓J.
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
IIICOMMUNITY DEVELOPMENT DEPARTMENT
a
T I c A lz n Building Permit Review — Residential
Building Permit #: Mc,-+�2jp1Q.oN?-)13
Site Address: \(p51(p LS\A/ P.,lrct or_1 Styee-÷
Project Name: P•vier Terracc- SSD,2- Lot #: ZZy
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review eAtzeAtq `R..� ?vsc 1 l.NIN PAZ .
Proposal: , c, --12--
171 Verify address/suite#active in Accela. gt,In River Terrace: ❑ No tt Yes,River Terrace Review Addendum
Site Plan Elements: igirosion Control
1A3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ( Retained trees with drip line and tree protection measures
;EtOrawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE
%North arrow SLJtility locations&easements(required for new and additions)
$Site address,project or subdivision name and lot number Sidewalk/driveway approach
'Applicant information(name and phone number) %1 . ation of wells/septic systems
..ot dimensions and building setback dimensions E. treet tree size,type and location
NRSquare footage of buildings to be demolished gStreet names
NEExisting structures on site t`1 Cornet elevations(2'contours if more than 4'differential)
i of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Ige �No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: El Yes,applicant was notified J4 No Received: ❑ Yes ❑ No
$• Public Facilities Improvement(PFI)Permit:
Required: 0 Yes,applicant was notified No Applied For: 0 Yes ❑ No,stop intake
1 Land Use Case#: P D1224,b-cocov-7 1ffi Zoning: 12`L}•S C_P(5)
X Required Setbacks: Front 5 Rear: 10 Side: 3 Street Side:1.1A Garage: 2.0
.lam Building Height Max. Height: N/A Actual Height: t 2$
,BS Landscape Area: 20 % 34 Lot Coverage Max: C %
Entrance 'I Set ba k no ore than 8'from street-facing wall 0 Parallel to street or offset 45 degrees or less
Windows II ' ' um 1 /o of -. of all street-facing facades
Garage 11 , ar. ,- doo is b-A widest street-facing wall 0 Yes ❑ No,one of the following is met:
A Door ext s no '.ore than 5'from wall and there is a covered porch extending beyond garage.
O Doo ext, s no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage d r width is 0 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch 0 Recessed entrance 0 Wall offset ❑ 1'Roof eave ❑ Roof offset
:. 171-1.tre shingles --177-Lap Siding —Root pith able,lip,or gamm�reI roof -0 Dormer
O Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
Pihr Visual Clearance X Urban Forestry Plan
.g Sensitive Lands: Yes 0 No Type: CAWS VPS•Crnaor I IoW V Lt e IresJor d"f
121 Conditions met prior to issuance of building permit .JUYtSII C ty _ WBfla.vd
Notes: j�
Approved By Planning: OC.,, 1Date: 7/2-9'19
Revisions(after Building Submittal only) Reviewer D to
Revision 1: .Approved El Not Approved AL--- 1 23
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\BuildingTorms\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date:
Site Plans: # 3
Building Plans: # ?J
Building Permit#: [ Enter building permit#above.
Workflow Routing: C/Planning ['Engineering [ Permit Coordinator EVBuilding
Workflow Sign-off: [t'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.
D/Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: --4-bet
Engineering Review
Lam"Slope at building pad: 4
❑ Conditions"Met"prior to issuance of building permit NV
❑ basements (encroachments)per engineering conditions of approval and plat
/Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes [ No
Assess Water Quantity Fee in-lieu: ❑ Yes
LIDA Facility on lot: ❑ Yes No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:�te
lf2 Approved by Engineering: Date: 3d1/
Revisions(after Buil ing Submittal only) Reviewer / `Date
Revision 1: Approved ❑ Not Approved % 9/26V/
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved LI 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: ` I Yes ❑ N/A
Tigard Trans SDC: 15' Yes 0 N/A
Parks SDC: lig Yes ❑ N/A
LIDA ❑ Yes TA N/A
OK to Issue Permit .� ! ✓ �la 0 l
Approved by Permit Coordinator. t--, gig
luate:
I:\Building\Fonns\BldgPermitRvw_RES_022819.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
=. Transmi
ttal Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
SEP 2 3 2019
FROM: t` 1 --V5),Aike/3
. c CITY (71* TtCalaFiE?
COMPANY: �,(�,� 3UILDING DIVISION
PHONE: 0 By.SST
RE: t L57(0 W B'assn& St 1 )5 T Zat 9-00 3
(Site Address) (Permit Number)
2 ZDT 22`�
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. y Revisions: ISt-(&CX a e(—
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:�{ e V l 5 r 4
u 1 ISJ ('T- 58
was 1 ;s 2,1( D+ (f.c . Of-- tea
FO OFF CE USE ONLY
Routed to Permit Technician: Date: 0 (z- i'\ Initials: 0 "
Fees Due: IgYes ❑ No Fee Description: Amount Due:
1/2.– ete,,r) (Lei A...i"D $ Licc,
$
$
Special 77? t ?d , �y
Instructions:
Reprint Permit(per PE): '( Yes ❑ No rthtial
Applicant Notified: Tv vnt – Date: 9/
o o)
0tit 6`( ,f�
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc
3��,
CITY OF TIGARD MASTER PERMIT
;. COMMUNITY DEVELOPMENT Permit#: MST2019-00313
Date Issued: 09/10/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DA18500
Jurisdiction: Tigard
Site address: 16576 SW BIRDSONG ST
Subdivision: RIVER TERRACE EAST 2 Lot: 224
Project: River Terrace East No.2, Lot 224
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2909 sf Value: $382,551.10 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: 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
10004-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 2909
Owner: Contractor:
WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
199 E 13TH ST:_ 7e3aROADWAY STREET,SUIT-E-5143: 1 Evan Cntrl 503-63&4175_ _
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $36,510.80
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: ..� A._,./ .....,A._,./ ....., Permittee Signature: 1 .` \� ~L.kC4. \C-
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 Lc.---\-- c-- -
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223 MAR 12 2019 Date/By: 1 1 i � .� Permit No. �, CA_(� ` �?7)
Plan Review ��`�, �('��
Phone: 503.718.2439 Fax: 503.598.19�,¢py Date/By: 48 �i( C7 4 Other PermiGlk r��J l`-i'03 �
T I GA R D Inspection Line: 503.639.4175 L.01 ` O1-' i ILIA Date Ready/By. �y Juris H See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: t() C► 'S I Supplemental Information
'4Lc.c G'\cL.Ck.'106< C4
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 3 L7., 55 1
❑Accessory building 0 Multi-family Number of bedrooms: v
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:2_, 3 -7"3
Job site address: W Si lD S(0 1' ✓`c Dv-lb �- b S� New dwelling area: a.� ,`' square feet ,U55
VY
City/State/ZIP: A Garage/carport area: L („l� square feet l 25(4
Suite/bldg./apt no.: Project name: Ue1-�(o � �\tp 7' Covered porch area: Li
UlI square feet
Cross street/directions to job site: coo(
vl/v Deck area: ` S square feet
Other structure area: square feet
REQUIRED DATA:COM ERCIAL-USE CHECKLIST
Subdivision: eir1 I V e'r l 4, . i ,1 c -- �/)'v Lot no.: 2 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.
NM SF Valuation: $
Existing building area: square feet
New building area: square feet
® 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:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH LLC (Please refer tofceschedule)
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
Address:703 Broadway St.Ste 510
FLS plan review fee(if applicable):
_ .-_€ 4 IP"V _-=- --- — - -_ - ---Tcaal fe'dun srpnn.'PPli'`"*""-. _.
Phone: 360 695-7700 Amount received:
( ) Fax::(360)693-4442
E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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
and administrative fees): $180.00
Phone:(360)65-7700 Fax:(360)693-4442 _ State surcharge(12%of permit fee): $21.60
CCB lic.: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:Amanda Gav _
*Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
. ..,
Mechanical Permit Applicatigg,,--;., - , : , , ' . tzt)R()F.FicF:usE()NIA'
,.,
74 City of Tigard Recas.al
13125 SW 11;111131yd_Tigard,(21R 97273 .,: ' ' ,i'":,., ,,.' •,,,.., (..
Plan Re)few
II. Phone: 503.718.2439 Fax: 5133 59g.1960 - '''' '"' :-'-;'2 Date:13.) 011wr l'amii.
TiGARD Inspection I tile: 503.(t39_4175 ,,. 43). 1,Jr,) Fil Sc Page 2 far
Internet. ))-83.w.ligard-or,got '` NotifiedAteth'id' Supplemental Information
-----..... ...._.
r',CIENINIERCIAL PEE*,SCIIEPULE - UNE ettroixtsT
. . - _ . . -, . -
TYPE OF WORK - °
Mechanical permit fees*am based on the 1`11111e Of the%mi.
New construction 0 Addition/alteration/replacement perTomted,Indicate the%slue(rounded ttlitte nearest dollar I oral'
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value.S
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT I SiSTFNIS FEES'
. .
0 1-and 2-family dwelling 0 C'.tutunercialiindustrial 0 Accessory building —. — Fur special infrrmation use rhea fist.
0 Multi-family 0 Master builder 0 Other: Description Qt). Fa. —Total
—__
JOB SITE INFORMATION AND LOCATION . ileatin?feft"11E.
Air conditioning 1311!
46.75
Job site address: S--c., Furnace 100.000 131-U tducts•'sentsj 46..75
City/StatetIll'.: 'Tigard,OR 97224 Furnace 100.000*BTU oneecveros) • 54.91
uite/bldg./optno.: Project name.- %Veck renrace_Exerok, ' 2Duct_ I jeat Pti'MP
'.Rwork 61.06
S
23..32
Cross sireetldirectiotts tit job site: I 1)drunic hot seater s)-stem 23 32
— Residential boiler(radiator or
hydronic) 23 32
Unit heaters(fuel-type,not electric),
in-wall,in-duct.sus .nded,etc. 46 75_
nue(vent for any of above 23.32
.Other. ".).3.3,
Subdivision'.'' , Lot rm.: 2,21/
_()Itter fad appliances:
Tax maplpareel no.: Water heater 23.32
OrWRIpTION or,woRK . Gas fireplace/insert
flue vent for water heater or gas
fireplace 23.3,
—
Lona lighter(gas) , 23,32
1 •
Wood'pellet stove 33 39
Wood firsplacelinsert 23.32
..... ____ ,--------
Chimnesilinerflueivent 23.32
PROPERTY OWNER
Othr*e
. to TENANT
-1 0 23 32
.
Lin momenta)csbaust-and ventilation:
Name: PcDV I-- E44 tip 4 tt....-0,0es t t-i-c, Range hood other kitchen
t,.._at uipment I 33 39
Address' lt01:)
_...E - 6,t.i -Ic
bk.e. te-e•e, cinc,te% .-Roa al Clothes dr-ser exlemst I $339
CM/Statefl,FP: 3CC> S60.....ft-t 1\2, 9-5 2-5S Single-duet exhaust(bathrooms.
— • — , toilet compartments,utility rooms) .23.32
Phone: 1.,06-7- (44111 1-1t> t FIlx:( ) Attiecrawlspace fans 1* 233-2 ---
• 4.'4:4 APE'LICANT 0 CONTACT PERSON Other, 23.3'
Furl piping:
Business name: Polygon AV1,11,I,.LC
S14,15 for first Num S
— 4.31.)for each additional
Contact nitme-,i01 e cr., 5,0", ;A-1/ Furnace,etc.
--___
Address: 1 OS --epy-oo. Zc%_li--Sk„. - t O
t ,..- .. -0 Ga.s heal pump
- WalEstispendetPunit heater
City/State,21P, Va ncouver,W A 9.8660
Waterheater
•.
Phone:(360)69S-7700 Fax::1360)693-4432 Fireplace
.Range
•
F-mail:Rervv\t-k-SO. 4(Y
.10i'i kA:COS rci-)-Q01. 0,c,VtA:Aryve5.ez rn itarbecue _ .—.
• ,. ' '
CONTRACTOR ., Clothes dryer(gas)
Other
Business name:Apes Air lit*.
- MECILINICAL rtaturr'FEES*
Address: 18004 NE 72"Ave Subtotal
City'State ZIP' N'a n couver,WA 98686 Minimum permit fee 11,9000)
_
Plan revien(25%of pcmtit fee)
Phone:33603 342-8109 1 1 ax:060)326-1769 -
State surcharge(12''i.,t.sf permit feet
C(,'[3 he.. 203034TOTAL.PERN1I I FEE
....... This permit application expires if a permit is not obtained within 1811
days after it has been accepted as complete.
A uthowed stgnat tire. * l'ee methodology set l's In-Count).Budding Industry Sep.ice Board
Print nartic."-T. 1,0\ •.( J I)ate: k 0 IL\ 2.(;:J\IS I
J
I r,..3,0,,Pe'r',-AILC.Pe-fewUP n46'','do, 446-Ito...I.+I l'0:4.10.1 14 Ili
Electrical Permit Application t , FOR OFFICE USE ONLY
n
City of Tigard Received
Date/B s IFIII � �'
13125 SW Hall Blvd.,Tigard,OR 97223 P. 1 a s f 1( Plan Review
1114 2 Phone: 503.718.2439 Fax: 503.598.1960 +'``` `°' -' _i' iDate/B Related Permit#:
TIGAR D Inspection Line: 503.639,4175 Ready Date/By: kris: VI See Page 2 for
P Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑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 ❑Other: where the available fault current 0 Marinas and boatyards,
CATEGORY OF rCONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling D Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family 0 Master builder ❑Other: 0 Fireum .
P P 0 Installation of 150 KVA or
JOB SITE INFORMATION AND.'LOCATION 0 Emergency system. larger separately derived
661 to L 1 A' � S ❑100Addition of moew motor load of system.
Job#: Job site address: J V V tooHP or more. ❑"A","E","t-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'2 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 i Total i *
New residential single-or multi-family dwelling unit.
Subdivision: East River Terrace Lot#: 7714 Includes attached garage.
1,000 sq.ft.or less i 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion ik• 33.92 1
DESCRIPTION OF WORK Limited energy,residential
wit q 75.00 2
Change contractor on MST ( h above s .ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
El Renewable Energy 0 See Page 2
PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: Polygon WLH,LLC 200 amps or less 100.70 2
Address:703 Broadway St,Ste510 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2
Phone:(360)695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2
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-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'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax: :(360)693-4442 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: permitsubmittals@polygonhomes.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84, _ 2
L._ or outline Ti t`m _
� g .-._ -.--- - __.67.84 2
Address:3415 NE 44u'Ave. Signal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP: Portland,OR 97213 Each additional inspection over allowable in any of the above
Additional inspection(I 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 Suorv. Lic.: 4871/S specifically listed(%hr min) 90.00/hr
j _ ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: , —el: 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,k. jle pc4, 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(11/05/COM/WEB
Plumbing Permit Application
Building Fixturest
City of Tigard Received
PennitNo.:9�,/ S�v �
q 13125 Phone;SS Hall Blvd.,Tigard,OR 972 i , Date/BV
tl
Plan Review
) �,
03.7183339 Fax: 503.598.1960 Date/By: Other Permit Na,:
TIGAItO Inspection Line: 503 639.4175 Date Ready/By: Juris: Fii See Page 2 for
Internet: www.tigard-or.gov -j i, Notifed/Method Supplemental Information
,_ .... .'...',7.1„,,,,:,-"r1;-,:it, . TYPE OF WORK ..,..,-;:-.,-1-‘::,:!:,,::1:...-. ,....,.,i,'„,':.!;',, ;M :"FEE* S IIl,R
New construction ❑Demolition For speck!information use checklist
Description I_ Qty. j Ea. J Total
LJ Addition/alteration/replacement ❑Other: Newt-2-family dwellings(includes 100 ft.for each utility connection)
CATLfcoRY-:Oil CONSTRUCTIO ° --.•`: SFR(1)bath 312.70
SFR(2)bath 437.78
N 1-and 2-family dwelling ❑Commercial/industrial
�-�t SFR(3)bath 1 500.32
❑Accessory building 1J Multi-family Each additional bath/kitchen 25.02
❑Master builder Other: ..Fire sprinkler( sq.Ii.) Page 2
JOB,SITE INFORMATION AND LOCATION: Site utilities:
Job site address: �106/(t Ste) ' 2p � SC Catch basin or area drain 18,76
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,: 1 Project name; River Terrace as-r-4 2- 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 tt.:., ) Page 2
Water service(no,linear ft.:. ) Page 2
Subdivision:Northwest River Tern-ace I Lot no.: -224- Fixture or item:
Tax map/parcel noir Backflowpreventer 1 31.27
Backwater valve 1 12.51
DESCRIPTION OF WORK
Clothes washer 25.02
• Dishwasher I 25.02
Drinking fountain 25.(i2
Ejectors/sump 25.02
02 PROPERTY OWNER , I' -.,.0 Expansion TENANT Expansion tank 12.51
Name:ADVL Land Holdings,LLC
Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road
Garbage disposal 1 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib
'y. 25:02
Phone:(602)694-4031 Fax:( ) Ice maker t 12.51
AP IJT 0.;CONTACT ' nso • Interceptor/grease trap 25.02C:AN
Business name:William Lyon Homes,Inc
Medical gas(value:$ ) Page 2
Contact name: t`��`.�,(\ t\ "l Pruner 12.51
Roof drain(commercial) 12,51
Address: 103 --brOO S\. . sk 5'in Sink/basin/lavatory 3 25:02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
E-mail: l e3rm.N S ,b5a1 s 2Yo 0Y- ,\0`M25. CAY►'1 .
Urinal 25.02
Water closet 3 25.02
aC(fIr"rRACxf3R '- .
Waterheatcr 1 37.52
Business name: G.4-_6 ki,w.2D\\ .- y� ,�,,_ Water piping/DWV 56.29
Address: fl , Other: 25.02
City/State/ZIP: 51-•, e,,,,...4 11(3'7 Subtotal
( ![111 (9.-)t �a c / " Minimum permit fee: fee)
Phone: 0 '-'4$4S-' f'-L FaxJ
Plan review (25%of permit fee)
CCB Lic.: Its 3-1a... Plumbing Lie.no.' State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180 days
Print name: S.T�.(f i i) ��� Date. / f/� after it has been accepted as complete.
«<JJJ��� *Fee methodology set by Tri-County Building Industry Service Board.
l:,BuildinglJcmits6PLMU-PermitApp.doc 10101/09 440-4616T(t0/021COM/WEBj
City of Tigard
~ COMMUNITY DEVELOPMENT DEPARTMENT
C
T l c A RD Building Permit Review — Residential
Building Permit #: 2jp10- onG
Site Address: \(g51 Cp Sv i 81 YC.{SDT StYef
Project Name: Texrac - SA9-- Oa 2- Lot #: ZZy
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: Ne,V\, �-
' . Verify address/suite#active in Accela. K.In River Terrace: ❑ No &t Yes,River Terrace Review Addendum
Site Plan Elements: ikErosion Control
copies of site plan on 8-1/2"x 11"or 11 x 17"paper (\Retained trees with drip line and tree protection measures
;2t)rawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE
North arrow XJtility locations&easements (required for new and additions)
$Site address,project or subdivision name and lot number Sidewalk/driveway approach
Applicant information(name and phone number) Location of wells/septic systems
igisLot dimensions and building setback dimensions %street tree size,type and location
NfSquare footage of buildings to be demolished gStreet names
NkExisting structures on site .d.Comer elevations (2'contours if more than 4'differential)
OL,ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? eNo
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
• Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified IX No Applied For: ❑ Yes ❑ No,stop intake
V[ Land Use Case#: P DRZatIo- v7 15 Zoning: • Q)
X Required Setbacks: Front: > Rear: 10 Side: 3 Street Side: N A- Garage: 2.0
,g• Building Height: Max. Height: N/A Actual Height: t ZS
Zt Landscape Area: 2.0 % NI Lot Coverage Max: aQ 0,0
Entrance i1 Set ba k no ore than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows 1I • • cum 1 /o of. .-a of all street-facing facades
Garage 11 ara e doo is be widest street-facing wall ❑ Yes ❑ No,one of the following is met:
►\ Door exten;s no ore than 5'from wall and there is a covered porch extending beyond garage.
❑ Doo exte •s no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage d or width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
-Fire shingles $Lap Siding 17 Root pitch —rr Gable,lup,or gambrel roof LI Dormer
❑ Accent siding ❑ Window trim LI Window recess ❑ Window projection ❑ Balcony
Visual Clearance SI Urban Forestry Plan
• Sensitive Lands: ,g,Yes ❑ No Type: GAMS Veva•CrraDf l lb Vc Iu e Iict,bltod"l
1, Conditions met prior to issuance of building permit ,JlLYtE&'l Ct\ '" .-Q We,(k k f
Notes:
J Approved By Planning: two
0 ,� Date: 7/2. / 19
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: 3\l RC1
Site Plans: # .3
Building Plans: # 3
Building Permit#: [ /Enter building permit#above.
Workflow Routing: [YPlanning [,'Engineering E ,'Permit Coordinator El/Building
Workflow Sign-off: C'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.
E./Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: i
By Permit Technician: \ �/1 � Date: .'�-`
Engineering Review
LLJ' Slope at building pad: ZA
❑ 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: ❑ Yes ,kNo
Assess Water Quantity Fee in-lieu: ❑ Yes E o
LIDA Facility on lot: ❑ Yes LJ No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:VApproved
by Engineering: Date: /, //,
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 hermit
❑ 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: 14 Yes ❑ N/A
Tigard Trans SDC: Ls' Yes ❑ N/A
Parks SDC: 124 Yes ❑ N/A
LIDA ❑ Yes IA N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: 7 /3D 11q
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
p
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: N\S rale P
Site Address: (0510 VV ?)I rd S S
Project Name: R.)veY Tex(ate. -E. 1. -j-- N0, 2- Lot #: 22
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards?' Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 1`190
3. Entrances:At least one entrance must meet both of the following standards:
Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: EYes ❑ No
If yes,all the following apply: V4 25 sq.ft.min.
$;One street facing entry '! 12 ft.max.roof above floor of porch
5 ft. depth min. V 30%min. porch roof coverage
4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep
❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
Roof eave min. 12 inch projection IKRoof offset min. of 2 ft.
❑ Roof shingles either tile or wood ,Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
Cl Accent siding min. 40%of street facade ❑ Window trim min. 2 1/2"wide by 5/8" deep
❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street façade
-3- arages and arports:"Mayface the froitor side tottixie on a cornerlo
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 By Planning: -AT/to Date: 112-9 I ICI
I:\Building\Forms\BIdgPermitRvw_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
= r Transmittal Letter
T I v A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: y\ DATE RECEIVED:
DEPT: BUILD G DIVISION ' ,._` i l„�'r‘
� ) AUG 7 201,0
FROM: V \4 1`°\ s s
COMPANY: 3Ul$A"_k'NC C g'.'S d av it,•
PHONE: .O S" --k-100 By:w
RE: 1 to 5'1ko 5W cz.z.sovN.c-i ST, 'MSI Zot`I- 00515
(Site Address) l (Permit Number)
'---A%\)169-.T oz b�sT Af 2 Lai 2214
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. x Revisions: A I.
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: EN E.ei M. 5t& ,f-P -r --r?Pc E Al
Routed to Pe echnician: Date: 6 C Initials: XVII"
Fees Due: Yes ❑No Fee Desc Option: Amount Due:
$ P
t°11 pLOvIn C`.t.NL '— $ Ltc -
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes [ No ❑ Done
Applicant Notified: Date: Initials:
I.\Building\Forms\TransmittalLetter-Revisions_061316.doc