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Plans (3) CITY OF TIGARD MASTER PERMIT 11111 COMMUNITY DEVELOPMENT Permit#: MST2019 00315 T f G AR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2019 Parcel: 2S107AA05000 Jurisdiction: Tigard Site address: 16870 SW SUNSHINE COAST ST Subdivision: ROSHAK RIDGE Lot: 50 Project: Polygon at Roshak Ridge, Lot 50 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1744 sf Value: $234,183.03 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 1 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: 3 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL•RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 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 1744 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY ST STE 510 703 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: $33,384.10 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•AR 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: ) 4# Permittee Signature: dfl/ ��—./�3 �J `77 et N 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 itECEIvED L V 0 Residential FOR OFFICE USE ONLY' City of Tigard Cl E C 0 6 2018 Received MIME Permit No. DateB : k i% da \S 1111 " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review t , •J Q �gyQt�i��� Phone: 503.718.2439 Fax: 503.598.1e1TY OF TIGARD RM t DateB : - Other Permit � -� TI G A-R D Inspection Line: 503.639.4175 �( �1�1 y Date Ready/13y: ,� Juris: See Page 2 for Internet: www.tigard-or.gov BUILDING D�SIO Notified/Method: .3 . ?' Supplemental Information TYP.. .rti `f3R18 �A t >AtDWELLING ®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 e0'!'l Q ..- CATEGORY OF CONSTO1 work indicated on this application. dwelling Valuation: $ 1 a, U7 ® 1-and 2-family g 0 Commercial/industrial j 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: 3 hl ion Inti C1ON AND LOCATION Total number of floors: 9, 9-I 167 Job site address: 'W Cal e SI) S(AhS Y l I 141, C oa,s- St New dwelling area: t i L L square feet (a City/State/ZIP: -Ti o m v 0 1,7}- Garage/carport area: ol� u 216 square feet c4C:e* Suite/bldg./apt.no.: J i Project name:Polygon at Roshak Ridge tj LI. Covered porch ar .` square feet Cross street/directions to job site: �� Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:, /i2.1 v'ev 1:i yra Jt Lot no.: 5p 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 7DESCRRIPT470*P OR j// work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ® PROERTY O R _ 0 TENA & '; 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: APPLICAI /% %r 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH LLC leaserejerlolecsckediileJ Structural plan review fee(or deposit): Contact name:Amanda Gavin FLS plan review fee(if applicable): Address:703 Broadway St.Ste 510 City/State/Z1P:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::(360)693-4442 Amount received: E-mail:permitsubmittals@polygonhomes.com ii cr6LTAI SOLAR IANF4,SYSTEMFEES*, 7// , tri r r, z r //i,�r ; ,oi Commercial and residential prescriptive installation of g':' _ AM' , 1�t„ �o,V,,,,:y, 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 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: ,� ..-------- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Amanda Gavin Date: 12_/ L *Fee methodology set by Tri-County Building Industry / Service Board. I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) RECEIVED , Mechanical Permit Application FOR OFFICE USE ONLN City of Tigard PEG C6 2018 Rccerved , „ rusrlir.. Ptrinitl-kcN\STO-CACI.,(N.) ..;z3‘ • • • 13125 SW Hail Blvd.,Tiprd,OR - ...„ -9 Pixonc 503:M.2439 Fax.: %I-35 Plan Reew 87 214--w.,.'91 T Y OF TIGARD Do//'`BY.. Wm.Permit: • T 1 GARD kI8P°cIlDn La= 3-:'639'4175 set flit fl.11%1,4 flint Irv" thw R4141Y/Bv: itft1N ' 'eli..54..v Pno 2 far ittteragt: vr-ww.t.igaRi-or,gav Pli V JiLiUM VI U11'13111 • NaicioAliall'ad; Sufflinuattal iliformation 'Z:g.r-fiRE,F5.;i:;;;:.1gFi:::'ll .;F:: :,:', ..•..:7•7:.:.iiiii5.W.ii.i57..;•:.:7.7-:, 7"..-;T: I.73 :1:T.,,F,779..:'.:T.:::' .1. 01•q•P•4i-14" -TEt , CiiE11)1Lti*I'it•*•Cii .t'Ff‘Wr7it Mechanical perrilit fees*are based on the value of the work. Et New construction 0„kdifitortinitet dam/It-placement perforated.Indicate the vattic(rounded-to the nearest dollar)of all . 0 Demolition 0 Other. mechanical materials.equipment labor.ol.erhead.and profit. ' . „ . . . Value:$ II .O.II'X#4LiiLiIII'ID#..II;:.:i;ir'.'4lgi.'HHO.fi*.T.':f4-,i'''z;•-iI4]..' ..:c',I ' f:]:.:A.-'::::: ---------------,-- .--=---- -.---- --- -- - --____ .,.- .., .• ,.: •:••: -....,, ,, --, --. . -- r,,:..,..L.'. .1.$1,0MIUL".EQUIBMENT4nsTESitscY.Et..4 ,D,.' ..::•-• O i-and 2-family(*trine 0 CornmaciatrinduStrial 0 Access orj buildint, rar special inforatailart use citeddist 21 Multi-family 0 Master builder 0 Other. Description Qty. $.41:4X.7%;:f.,.44.;.Stieti,ttorijitilio*;(*);:t0e*TXON::,r,I;,.;-.. -j: ::;:i..;;,:-:,,:ii:!.:-..', li"tinkpang: , I I 46.75 . Air condi-mount Job sitx uddreezt I(0?)1 0 SINuk nsVi t 1AL cocistSt_ S Furnace(00.000 BTU ideerri,'veras) City/Slate/ZIP;Tigard,OR IM4 (.-) Furnace 100.0004 BTU idectiivents) . 5.4.94 rri , ' Id ! 1£11 61.06 Sorteirt.no.: " Pmject nam4.:1/0 I l)lot0A-k- riOSt(101. -Vid D..„Grk Crass street/direc6Ous to job site: 1,61/-eok,L Hvdrorric hot warner system 23.37 _ i Residential holier(radiator or . hYthrutic) 13,32 , . Unit healers( el-types nut elmark).„ ` in-veall.in-duct suspended,etc, 46.75 Flue/vent for anv of above I 2332 Sub644i5iDn:12-1_kifYi:e via ci) ccotst 1....v.„:„.; SD. oth.r. Other fuel applieuem: ' Tun map/parcel no.: Water hester _ 23.32 33_39 I ;;CI:7 k7f: z-ir:;:;: :.,..el,,=:,'_0:::': ',tilt.gititfrtii.*!.Gt..:-•*iii{ki.t".;":=;':::::1.::,-:---,,:-.!:::-:'-4-V3';..:••:: .:!,:'..-,-..:',....li:•. Gas fireplacefinsert 1 -. • • - • • Flue vent for water baster or • fireplace 23.32 — _ Log lighter(eas) 2332 — • ' \Vouri`pellet stove 33.39 • Wood fireplaceinsat 23.32 . .. . .. Chimney/liner/flue/vent • 23,32 .'",.::.•:.:'I'..-.,;•:"O 7..igaitif4:07:6*Iiiiittl.f44P.- .......:i.}iiir:r--:. i, .0 ibii12;4-:,i.:-''.,:::''.,.::.::i:-. ..-.,.: 23, 2 Name: o (A• Ow IN1,1-V uu() p.....,,,n7,,.dim ---.kild," 1 . . eatti r.ner,____p__ q ,, : 3339 Mdreas: ' - ' d /F2 c(Dait . c A_A „ ,10 I Cluthes.drver exhaust I I 33$9 C4/314°11n3 01 VI CQUILOY kA)Ol. Clc5 ki)LQ_D Fringle-duct exhaust(bathrooms, I n 1 toikt ormnpartnients,utility roorrts) I 6 2332 1 Pnone: t,. (0(.7 (QC ts 1.7 ao ,. Fax;( ) I Attieterawlspam fans 1 2332 8117.0....r .tr:'4.:... ,:II:E.:.:1*-i' ;I.I':::204t.- :.:‘,.;'.;:C1,:trZLitAtl:Pkii.BH.i .;;,;. ::-..I.,, i Other 1 23.32 • 1 Fuel pipititt • Business name:.Polygon WLH,LW • S14.I5 for first illtilt SW reit earl addiguaal -- Coo==Pr, viyy\ot ii f • A • Famae.eta. i • Address: 1 D 3 ---yroarlt.t.)0,. • 510, . Gas ham parap -, i wanisasveadacvana heater • i 1 City/Smte(ZIP:Vancouver,WA 98660 Waterlwater i . . Phone (X0)69547';.1: 1 Fac:(360)6934442 Fireplace , Ranee I ' E-matt Rerrsi\:%A-Sub Tyj,Wc.LAS Z.?,0\7.kisolt-N"\Attrrve5,az ry") I Barbecue 1 1 , -.....,,,,1 :.-I4::;..,;1,•,.., ,7,,-.,.. 4C7470IIIM4!*c7f9kII:F574:4---,r.--:!.i'.,"::-,P.-,--•...11;.-.:•`I.:::.,k'....-1:T..-:;.;TII'.=-;i:Ix::-:':* Clothes dryer<gas) Other. 1 1 . 1 Business name:Apex Air LW Address:18004 NE 72'd Ave Subtotal • Cityt'SrateiZIP:Vstoconrer,WA 98016 Minimum pmlnit fee-($90,00) i - Plan review(25"-i of permit fee) I t Ma=(360)3424109 . Fax:(360)326-170 .State surcharge(12%of parma feet i CCB fic,-,20034 /• • TOTAL PERMIT FEE I 1 Anthor'and signature: ............,...-- • 1 Ill ': All 14- 1113 • Prifil RS= 1 co.,‘ ,.: $ ilt:zperrtm:etedit top:::::::::::17dilta:oolndt:i:a.lscracii:ieft,h.til.1:3 days,after it has bees*umpired as complete. AECEIVII) , . . _ ,. . _. . _ . ._, Electrical Permit Application FOR OFFICE USE ONLY FTC 0 6 2018 Received `MST �Q-�u3�� illiCity of Tigard Date/B : Permit°: a '1 L3125 SW Hall Blvd.,Tigard,ORS fl l GA R 1U I I r Plaz,Review Phone: 503.7182439 Fax: 503.S9Da By: Related Permit it: F I GARD Inspection Line: 503.639.4175 �j (�R� Ready Date/By: Juris: El See Page 2 for Internet: www.tigard-or.goV DIVISION R��llIi Notified/Method; Supplemental Information r � d i:_f OF WORD -�- - .:� --°=��, ate,- h`�, �� ->. � _.,._ ._: _.. __ ,._ _ ,r luN"'jiLK'IE ®New construction D Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other: 0 Service or feeder 400 amps or more ❑Building over three stories. where the available fault current 0 Marinas and boatyards. _._ c �`Ar 0$t f'„'©F EOl'S FIttTa.r s! ,.. : F _ exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑ 0 Master builderamps for all other installations. buildings. Multifamily 0 Other: 0 Fire pump. 0 Installation of I50 KVA or ;JOB:.SLTE M:O 1qX:-.I 4*'[`l f) LOCATIQN ' ed: 0 Emergency system. larger separately derived Job#: I Job site address: '(t)(Z'',0 VV e t, St. Vl 1 1 n Q C t ❑Addition or ofmore.new motor load of system• lJ J ]OOH/ ❑••A•>,>•E»>`I_2» "1.3,>, City/State/ZIP:Tigard,OR 97224 C} 0 Six or more residential units. occupancy. �t 0 Healthcaree facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: (�l f n 1n �'-` ❑Hazardous locations 0 Supply voltage for more than �`�"��0 11 ' t �� ❑Service or feeder 600 amps or more 600 volts nominal Cross street/directions to job site: (((JJJ Description I Qty. ~-Each 1 Total New residential single-or multi-family dwelling unit. Subdivision:) p vvi! -re, ro �� (- 1 Lot#: 5o Includes attached garage. Tax map/parcel#: V" J 1,000 sq.ft or less 1 168.54 4 i - `- r DESCRfl6T01 11# Q$ '" Ea.add'J 500 sq.ft.or portion 2, 33.92 1 .»�- ._...,�� $�__-r .w.ux_. ... �_.,. = w' I- Limited energy,residential (with above sq.ft) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Raria£ Renewable Energy ❑ See Page 2 PRrOR$tit"t �� -`-- Services or feeders installation,alteration,and/or relocation Name:r Y o 01k ING1+L1+ �� 200 amps or less 100.70 2 Address:' 4 'v/v 5�-' %e s t° 201 amps to 400 amps 133.56 2 - A. A I J 401 amps to 600 amps 200.34 2 City/State/ZIP:__V V t In( h',\p,r (Q(0u 601 amps to 1,000 amps 301.04 2 Phone: 310 t)(.0CIS 4 el 1 00 Fax:(3(p))(C,(,I(,{u 2 Over 1,000 amps or volts 552.26 2 ( Temporary services or feeders installation,alteration,and/or Email: �Q1/`�{-}��b���� � �Y�h/�T�U��J`�� reiocatn Owner installation:This installation is beingma on priIP'e)rty'that I own which is not 200 ampsor 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 Branch -new,alteration,or extension,per panel Business name:'V'0 Ow I tthl U. L / above service or feeder fee, 7 42 2 Contact nam. 1 t. \/r^ 4 J� eachebranch circirc vl B.Fee for branch circuits without a or feeder fee,first Address: \22y-o/lotVV" J /i- S'Dct ) branch circuit 56.18 2 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 ---e'service and/or feeder Email:ryclrIY `lk5titVonofIt ?o1 VYV6OWLSCVReconnect only 67.84 2 - V4. . s- .. v M. , . . x_ Pump or inigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy I Address:6101 NE St Johns Rd panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels@gweusa.com Industrial plant(1 hr lain) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: C1158 Electrical Lic.: 208174 ___J Suprv.Lic.: 4496S specifically listed('h hr min) Suprv.Electrician signature,required: / P, C Subtotal: Print name: Joan P Albert • Date: `9.,161 / 113 _ ❑Plan Review Required(25%of permit fee): l ---....„' State surcharge(12%of permit fee): Authorized signature: `'--- l~ �.`— TOTAL PERMIT FEE: ' r�� This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: 12_ 4/i 8 days after it has been accepted as complete. ` Number of inspections allowed per permit :::`.'I:1Building\Peroits\ELC PermitApp ELR ERE.doe Rev 06/17/2015 440-4615T01/05/COM/WEB Plumbing Permit Applicati4tECEIVEI) Building Fixtures {7.0 0 6 2018 City of Tigard Received q 13125 SW Ball Blvd,,Tigard,OR riViv , II Date/By: Plan Review O Of TIGARD Datelly: Permit No.:V„,:‘,.„ 1 I Phone; 503.7182439 Fax: 503.59811464 Other Permit No.: Inspection Line: 503.639,41 TIGARD11JiLDING DIVISION Due Rewly/Br Jens: FA See Page 2 for Internee www.tigard-or.gov Notified/Method: Supplemental information - - FEE* DUTENew construction Demolition Far special information use checklist.>31 ED Description I Qty. I Ea. I Total ., [1:1 Addition/alteration/replacement 1:1-1 Other: New 1-2-family dwellings(includes 100 ft,for each utility connection) CA'rEGORY OF CONSTRUCTION SFR(1)bath 312.70 Irk 1-and 2-family dwelling El Commercial/industrial SFR(2)bath . 437.78 SFR(3)bath 1 500.32 0 Accessory building -1 Multi-family Each additional bath/kitchen 25.02 0 Master builder Ell Other: Fire sprinkler( sq.ft.) Page 2 - , JOB SITE INFORMATION AND LOCATION Site utilities: Catch basin or area drain 18.76 Job site address: \(p \ ) SA/Stn1A.c1/1,VIAO, COrt(A• St- Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite:bldg./apt no.: Project name: yot unoy, at,± 12,0c)kvi ..... Manufactured home utilities 50.03 Cross street/directions to job site: V....:10(Ae0 ar 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:. ?...1\feitrRviiii tAA0 C ptc-t i v , Lot no.: 5D Fixture or item: Backflow preventer 1 31.27 Tax map/parcel no.: ,ORK Backwater valve 1. 12.51 DESCRIPTION OF: - Clothes washer 25.07 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 6151 PROPERTY OWNER - El TENANT - Expansionanston tank 12.51 Fixture/sewer cap 25.02 Name:.fr_ T20\ 1 IlVt4 Lib , Floor drain/floor sink/hub 25.02 Address: -1 ' y-Dafj.11.)CUA Si--. C-)he(..)10 Garbage disposal 25.02 City/Sta VA in WiAveAr VA1 0 ko to D Hose bib 25.02 Phone:(. . (.0 0 V 01S '1100 Fax:(31P0)0Ci99 q(-ILI Ice maker 12.51 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:S ) Page 2 Business name:William Lyon Homes,Inc Primer 12.51 Contact mate: -4ifkierActw Slot v U& Roof drain(cotinuercial) 12.51 Address:. -'-')02.7 9 yoaAJA xxitik c.,t- Stp, Sto Sialabasintlavatery 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 25_02 E-mail: Vt\r.VY 1\,t6,1A1.01nrittat 1 p D til o tkiao iivu,S .tb viii, -Urinal Water closet 25.02 l - Water heater 37.52 Business name: b±-_,6 ‘,4,81\P‘NACA.4---5. 71....AC--- Water piping/DWV 5629 Address: Other: 25.02 City/State/ZIP: Sr. e G..4 art, C01.31 _ Subtotal Minimum permit fee: 572.50 Phone:(5/>3 .-stits...- 1(411 Fax:(tii V...,'vial...AZ .114) - Plan review (25%of permit fee) CCB Lie.: 184-13-a_. Plumbing Lic.no.Pb 143LI State surcharge(12%of pm-mit fee) Authorized signature: 0. 11),fr 74"0, *"."`""-*----....- TOTAL PERMIT FEE Print name: ,S+EA/f.it. 7 toe,c_e___ 1 Date. , ..1 This permit application expires Ifs permit is not obtained within 1St days . [ON 0 after it has been accepted as complete. *Fee methodology sot by Tri-County Building industry Service Board. Iliailaing\PcxmitsW12013-PermitApp.rioc i0/o1/os 440-46 i6T(iOMICOM/WEB) r . City of Tigard III ■ COMMUNITY DEVELOPMENT DEPARTMENT T I G A K D Building Permit Review — Residential Building Permit #: c-t- _ \ Site Address: /_(a' D 2 ) �- A1hi ( cy2 ,� Project Name: 64h,„41? P- /2-_- ri,', ' Lot #: (New To',' g=subdivision name;Addition or Alteration=las . e of owner) Planning Review R Pro, isal: t0 R 1016, SRl- 26 U 7.1 Verify address/suite#active in Accela. !!I In River Terrace: ❑ No Yes,River Terrace Review Addendum CSite lan Elements: � r.Esion Control lopies of site plan on 8-1/2"x 11"or 11 x 17"paper \ i\! -tained trees with drip line and tree protection measures awn to scale(standard architect or engineer scale) T FF otprint of new structure(including decks)and FFE latN,.rth arrow v i-ty locations&easements(required for new and additions) V5te address,project or subdivision name and lot number Kg id-, alk/driveway approach `Q .plicant information(name and phone number) 1l..,,,cation of wells/septic systems V Lot dimensions and building setback dimensions 2 S eet tree size,type and location \,i A, are footage of buildings to be demolished S et names IIi . sting structures on site VCorner elevations(2'contours if more than 4'diffefntial) ffl .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replac ? L✓1Yes ❑ impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown Yes Lti1No OSKlean Water Services-Service Provider Lette of platted prior to 9/10/1995): quired: El Yes,applicant was notified No Received: El Yes ❑ No Public Facilitt mprovement (PFI) Permit: � 4:wired: Yes,applicant was notified ❑ No Applie For: itQ Yes ❑ o,stop intake cl Use Case#: 01� =v/. (moo VJ Zoning: &L� l A) e uired Setbacks: Front: Rear: Side: � Street Side: N Gara e:, ` q � l g M gilding Height: Max.Height: , A Actual He hjt:: S VLandscape Area: 2O % I Lot Coverage Max: `ltd0/0 Entrance i • tack no more than 8'from street-facing wall ❑ Parallel to street or offset 45 •-_• ees or less W. dows El Minimum -' : . area of all street-facing facades rage El Garage door is behind . _ treet-facing wall El Yes a No,one of the following is met: El Door extends no more than 5 a - . . and e e' : overed porch extending beyond garage. El Door extends no more than 5'from w.. . • i - -s a 12 sq ft.window above garage on 2nd floor. ❑ Garage door width is El 12'o . El 50%or less of faca.- ■ 60%or less and includes 7 of following: ❑ Covered porch 9 •ecessed entrance El Wall offset ❑ 1'Ro. _ - ❑ Roof offset ❑ Fir- g es ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roo • Dormer �tf Accent siding Window trim CIWindow recess ElWindow projection ❑ :. cony p- isual Clearance ��rban Forestry Plan nsitive Lands: L[d Yes ❑ No Type: MICl/),//n/,kid VAiC_ A.0.4,01--- 49 I ' 1---lCondit/ions tpet p or to iss ance of uildinM1 permit } (� '(' i Elite's: I FJ 'T�� 6 I`� p.4,1-- �r LAlki 1�1.r,,i\-- ovar i .T kct SYS lr NA lt1"3G" I'LI i ikortti,�'l' coat/{ 4 Approved By Planning: ���, 1 Date: 1-30-11 h I. Revisions (after Building Submittal only) Reviewer Date `1oi 1 Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑, Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_022819.docx I Building Permit Submittal Original Submittal Date: I VZ Site Plans: # ; Building Plans: #r 3 Building Permit#: M Enter building permit#above. Workflow Routing: [Planning EK Engineering [ Permit CoordinatorC�Building 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. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: __A-- Date: -1,17-,0‘‘C) 16 moINFAMSIIIMINIIIIIIIMIN I\ Eng ineering Review t Slope at building pad: 4t ❑ Conditions "Met"prior to issuance of building permit itt❑ Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes LYNo Assess Water Quantity Fee in-lieu: ❑ Yes [No LIDA Facility on lot: ❑ Yes DI/Ko ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved 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 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: R vision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: "Yes ❑ N/A Tigard Trans SDC: ❑ N/A Parks SDC: esYes ❑ ►'/A LIDA ❑ Yes 7 N/A OK to Issue Permit Approved by Permit Coordinator: Date: 5:1/M I:\Building\Forms\BldgPermitRvw_RES_022819.docx City of Tigard 11111 akin COMMUNITY DEVELOPMENT DEPARTMENT L 4. TIGARD River Terrace Building Permit Review Addendum Building Permit #: T -CAG4_ ax Site Address: He el----h) -,00 ----Q /Q_ (2 7L Q,L Project Name: P , • n - ' ie j0 , ' Lot #: -Z (New: "ng=subdivision name;Addition or Alteration= s i name of owner) Planning Review of River Terrace Plan Disct 'ct Design Standards (18.640.070.1.): Is the project subject to the plan district design standards? 1a 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 deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer 111 min. ❑ 2. Eyes on the street: a minimum of l2%of each street facing facade must include windows or entrance doors. Percentage Shown: I d a 3. EE trances:At least one entrance must meet both of the follo 'ng standards: i i 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: I Y s ❑ No If ys,all the following apply: 4sq.ft. min. T P ne street facing entry T 1 ft. max. roof above floor of porch Z 5 ft. depth min. 30%min.porch roof coverage 4. i}et.fled Design:All buildings shall include a min. of five of e following elements on all street-facing facades: j covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft. wide x 2 ft. deep L! Fall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection ❑ of offset min. of 2 ft. ❑ Roof shingles either tile or wood LJ Gable,hip or gambrel roof design ❑yc6of pitch oriented south min. 500 sq. ft. ❑ I arizontal lap siding min. 3-7 inches wide i kccent 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 facade rages and Carports:May face the front or side lot Iin o a corner lot. Setbacks: `tel No closer to front or sus e iie than longest street-facing wall. CIYes CINo. .-,•" heck one): ❑ May extend up to 5 ft. if there is a co,- -• front porch and gara•- •: not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part o a -..•. ory building and there is a window at the second story above the garage that faces the street with . ••: . area of 12 sq. t. Width: (Check one) Cl 12-foot- i.• t arage door ❑ 40%max. of street facade /o max. of street facade with 7 detailed design elements Notes: Approved By Planning: (,,j_- Date: 7B \ B1:\ uildiugForms\ ldgPermitRvwRESRT121417.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 111 : . Transmittal Letter T I C,A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 1 TO: A1 i qc 0 \P\-/ r6t-vDv/2, DATE RECEIVED: DEPT: BUILDNG DIVISION RECEIVE .. FROM: NYVA V ! A R, EAV\ JAN 2 8 2.019 COMPANY: .F()14 Co\r, ie N Os BUIL DING ?!VI 10 PHONE: 0 OM) Ti00 �By: L.„✓ RE: 4(9Q10UV USS VISY I1VT (DO SA- '0 O itill,5T20 e-- (Site Address) (Permit Number) r i*1 OCIL) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. , Revisions: l` ' A-6 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: FOOFFICE USE ONLY Routed to Permit Techni ian: Date: (o(( 1 Initials: Fees Due: ❑ Yes ° No Fee Desc ti n: Due: ?6 Y $ ii75 (!) $ Special Instructions: Reprint Permit(per PE): ❑ Yes RNo ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions_061316.doc