Permit CITY OF TIGARD !" P r,a„s MASTER PERMIT
t COMMUNITY DEVELOPMENT S iSJ . Permit#: MST2019-00186
T t CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2020
Parcel: 2S106DA18900
Jurisdiction: Tigard
Site address: 13244 SW 165TH AVE
Subdivision: RIVER TERRACE EAST 2 Lot: 228
Project: River Terrace East No. 2, Lot 228
Project Description: New SF. HOLD C of 0 until approval of street trees by planning. 5/15/2020: REPRINT permit to
add mini-split system.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 4 First: 2594 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 17 Bathrooms: 3 Second: 0 sf Garage: 566 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes
Total: 2594 sf Value: $350,088.10 Rear: 15
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
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: Y 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.'500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener. N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2594
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 Geo Tech Report Required
VANCOUVER,WA 98660 VANCOUVER,WA 98660 Prior To Pour
2 Ersn Cntrl 503-639-4175
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $35,820.39
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through
OARARr 952-001-0090.1-09 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / ( � ati� Permittee Signature: e,L/ ?' [</C�f j?t'.t
Call 503.639.4176 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applica ' FOR OFFICE USE ONLY
City of Tigard * y � i ,/`
e>� 'n Permit No. w f 1 ,,F6
;IN i 4 13125 SW Hall Blvd.,Tigard,OR 97223 y Date By' ��/� CY �-S i�`G/ e
Phone: 503.718.2439 Fax: 503.598.1960 MAY 1 1 2020 Date/B Other Permit:
T I G A R D Inspection Line: 503.639.4175 ® See Page 2 for
Internet: www.tigard-or.gov a }L�•`P��s, 9 Date Ready/By: / f _ Atria: g
i✓1 i Y '../t I IGARD Notifiedtmethod: / / 1
�...t � 'C3�/ Supplemental Information
311I4O Nr;f�VIS1 O .a .9-1f nr/,,,.j—
TYPE OF WORK COMNIERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
® New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 13244 SW 165th Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 1 61.06
Suite/bldg./apt.no.: Project name:River Terrace East Duct work
23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision:River Terrace East Lot no.: 228 Other: 23,32
Other fuel appliances:
Tax map/parcel no.: Water beater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
add mini-split to MST2019-00186 fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER 0 TENANT Othen 23.32
Environmental exhaust and ventilation:
Name:ADVL Land Holdings,LLC Range hood/other kitchen
Address:7600 E Doubletree Ranch Road equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms,
toilet compartments,utility moms) 23.32
Phone:(602)694-4031 Fax:( ) Attic/crawispace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:William Lyon Homes,Inc, Fuel piping:
S14.15 for first four;$4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St Suite 510 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
E-mail:Permitsubmittals Range
C�taylormorrison.eom Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Performance Insulation&Energy Services Other:
MECHANICAL PERMIT FEES* •
Address:13939 SW Tualatin-Sherwood Rd. Subtotal ,if, db
City/State/ZIP:Sherwood,OR 97140 Minimum permit fee(590.00)
Plan review(25%of permit fee)
Phone:(503)707-6078 Fax:( ) State surcharge(12%of permit fee) 7,3_7
CCBlie.: Igg4L TOTAL PERMIT FEE (�,J9
This permit application expires If a permit is nol obtained within l80
days after it has been accepted as complete.
Authorized signatu * Fee methodology set by Tri-County Building Industry Service Board
Print name:�t)yp1/4 V ' % Date: 05/11/2020 T 4 f eT
I:0Buildthg\Pmait. .EC P 111.doc 40-461 IT(I I/02/COI&WEB) / 7
1111
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT
Permit it: MST2019-00186
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2020
TIGARD Parcel: 2S106DA18900
Jurisdiction: Tigard
Site address: 13244 SW 165TH AVE
Subdivision: RIVER TERRACE EAST 2 Lot: 228
Project: River Terrace East No. 2, Lot 228
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 4 First: 2594 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 17 Bathrooms: 3 Second: 0 sf Garage: 566 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2594 sf Value: $350,088.10 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckltw 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 Tvoes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System. N Garage Opener N All
Other: N Other Description: Ecompasing.
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2594
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 2 Geo Tech Report Required
Prior To Pour
PHONE: 380-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $35,752.00
This permit Is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 160
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: /�J( / �* I �- Permittee Signature: eA7
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 \. C
Residential RECEIVE I FOR OFFICE USE ONLY
CI Of Tl and Received !� C �'\,/� Jy�
tY g MAY 13 2019 Date By:S` `t�1 J� , Permit No.. -TX\ .-
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review rJI
Phone: 503.718.2439 Fax: 503.598.1960 .. -- Date/By: SL G� Other Permi �} (�_�,�5
7 I G A R D Inspection Line: 503.639.4175 �' l)r U l� ,p�to Ready/By: / / — Saris: I Fa See Page 2 for
Internet: www.tigard-or.gov3lJILD!l�IG 1�IVISI Ihbtified/MethodlGi /% �1 s/ 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
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® I-and 2-family dwelling ❑Commercial/industrial Valuation: 1 V ii
0 Accessory building 0 Multi-family
Number of bedrooms: 1
❑Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: I l (p b
Job site address: 1344 5 W t LISTU A,Le, New dwelling area: 26 G* square feet
City/State/ZIP:Tigard,OR 97224 r' Garage/carport area: 5644, square feet
Suite/bldg./apt.no.: Project name:River Terrace East#2 Covered porch area: square feet
Cross street/directions to job site: Deck larrea: ��d square feet
ttre-ai ��square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace East#2 Lot no.: 2-Z a Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
f �5 Valuation: $
�o 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 St.,Ste.510 Occupancy groups:
City/State/ZIP:Vancouver WA 98660 Existing:
Phone:(360)695-7700 Fax:( ) New: .
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Polygon WLH,LLC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Tonja Morris
Address:703 Broadway St.,Ste.510 FLS plan review fee(if applicable):
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 Fax: :( ) Amount received:
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 $180.00
and administrative fees):
Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
CCB lie.:207247 — Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Tonja Morris Date:04/26/19 *Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Pemuts\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit ApplicaI G1EIVE FOR OFFICE USE ONLY
Received
. Cityof Tigard., Permit No
lig 't 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 13 2019 Plan
6hS—T �q_ jI
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960_ Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY Oh- 11UARD Date Ready/By: lads: H See Page 2 for
Internet: www.tigard-or.gov 3UILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
® New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
El.I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
lob site address: ("J7,..,4q •su.3 1.(O5-r-rt A'ic, Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:q,,, ',--,4„t fL eas1-ttx 2
Duct work 23.32
Cross street/directions to job site: Hydmnic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
!� Other: 23.32
Subdivision: ,pit ii02 TtfTa C e ST *4 I— Lot no.: ?i� Other fuel appliances:
Tax map/parcel no.:�� Water heater I 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
ElPROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
equipment k 33.39
Address:703 Broadway St.,Ste.510 Clothes dryer exhaust I 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 3 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Polygon WLH,LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St.,Ste 510 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace
E-mail: ermitsubmittals Range
permitsubmittals®polygonhomes.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Apex Air LLC Other:
MECHANICAL PERMIT FEES*
Address:18004 NE 72ad Ave Subtotal
City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)342-8109 Fax:(360)326-1769 _ State surcharge(I2%of permit fee)
CCB lie.:203034 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
.. days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tim Hay Date:04/08/2019
I:Buildin¢1Permits\MEC PermitAnn 04011 r dnc aan.aclnr n uno:rnneiwFg,
Electrical Permit Application FOR OFFICE usl.ONLY
City of Tigard ermit#RECEIVE IReeeived �� Zs
ifi f
o 13125 SW Hall Blvd.,Tigard,OR 97223 Plain Review T < ��1��
illi Ill` Phone: 503.718.2439 Fax: 503.598.1960 OCT 2 3 2019 Date/B Related Permit#:
TIGARD Inspection Line: 503.639.4175 Ready Date/By: tads: RI See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method. Supplemental Information
TYPE OF WORIBUILDING DIVISION PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wOitems checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition El Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 13241} 1 t, `'{r. Pc .4 100HP or more. ❑"A","E "1.2","l-3",
City/State/ZIP:Tigard,OR 970p'l ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:East River Terrace 42•' ❑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 I Qty. I Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision:East River Terrace Lot#: 22-5 Includes attached garage.
1,000 sq.ft.or less 168,54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
Change contractor on MST'Jk;1q,-ti(D\ (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
® PROPERTY OWNER I ❑ 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
Temporary services or feeders installation,alteration,and/or
Email:
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
Branch circuits—new,alteration,or extension,per panel
® APPLICANT I 0 CONTACT,PERSON
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 serviceranh it feederitfee,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
Business name:Alameda Electric Sign or outline lighting 67.84 2
Address:3415 NE 44th 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(1 hr min) 66.25/hr
Phone:(503)319-2192 Fax:( ) Investigation(I hr min) 90.00/hr
Email:solarpdx®me.com Industrial plant(1 hr min) 78.18/br
Inspections for which no fee is 00.00/hr
CCB Lie.: 199188 Electrical Lie.: c923 I Suprv. Lic.: 48715 specifically listed('4 hr min)
ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: .- Subtotal:
Print name: Kirk Rood I Date: 05/09/2019 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: /L t JL /7 pA TOTAL PERMIT FEE:
This permit appikation 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.
t'Buadie PPumhs'ELC PermhApp_ELR_ERE.doc Rev 06/17/2015 440.4615T(I 1/05/COMJWEB
m
' Plumbing Permit Applicati CEf VED
Building Fixtures FOR OFFICE USE•ONLY
MAY 13 2019 Received
- City of Tigard y Permit No.:M\-.r \a_rCi `'s((
u 13125 SW Hall Blvd.,Tigard,OR OpDt-� Date/B : vL) uvt
III
g ul' IlUA V Plan Review
• Phone: 503.718.2439 Fax: 50 Other Permit No.:
Wil� NG DIVISION Date/By:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: turfs Pa
ge See Pa e 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
El New construction El Demolition For special information use checklist.
Description i Qty. Ea. Total
El Addition/alteration/replacement ❑ Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: I321k14 SW 11D5--1 Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name:` o.eQ Ngn-o e ECI/t 6
Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision:;' je 1 C(b,Ce E1St,J4;2 I Lot no.: Z Z$ Fixture or item:
Tax map/parcel no.: Backflow preventer , 31.27
DESCRIPTION OF WORK Backwater valve I 12.51
Clothes washer 1 25.02
Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:703 Broadway St.,Ste 510
Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Tonja Morris
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 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
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water piping/DWV 56.29
Address:P.O.Box 92 Other: 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal
Phone:(503)868-1417 I Fax:(971)727-8170 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lie.:184372 Plumbing Lic.no.:pb634 State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Steve Fowler Date:04/08/2019 This permit application expires if a permit is not obtained within 180 days
after It has been accepted as complete.
"Fee methodology set by Tri•County Building Industry Service Board.
1:Building'Permits':PLMU-PermilApp.doc MO1,09 440-4616T(10/OlCOMWEB)
City of Tigard
1111 I COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: V\cs-vp.\(:1_ OQ%%p
Site Address: 132 i Sla I6S+"
Project Name: (Z W Ttrract- .,141-- #Z Lot #: ZZg
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: ''J j SFC
[1 Verify address/suite# active in Accela. Lod In River Terra, ❑ No Lid Yes,River Terrace Review Addendum
SityPlan Elements: ! ro ion Control
193/,e opies of site plan on 8-1/2"x 11"or 11 x 17"paper ` - ained trees with drip line and tree protection measures
arbrawn to scale(standard architect or engineer scale) �n tprint of new structure(including decks) and FFE
[rth arrow LSdLJ�lity locations&easements(required for new and additions)
e address,project or subdivision name and lot number �tdewalk/driveway approach
C licant information(name and phone number) 1`, .cation of wells/septic systems
L1Xi.ot dimensions and building setback dimensions M' eet tree size,type and location
n i.uare footage of buildings to be demolished �IR t names
7L 4�'C Existing structures on site omer elevations(2'contours if more than 4'differ tial)
Tut area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Igi Yes�❑No
—impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑ l No
Ifs Clean Water Services—Service Provider Lett7r(lot platted prior to 9/10/1995): 1 mil[
quired: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No
LDS Public Facilitie mprovement(PH) Permit: � � ,a4 cAt
— and
Yes,applicant was notified g❑ No Applieded For: LIl'Yes ❑ No,stop intake
III and Use Case#: f V��tE1-06 O " 12/Zoning:Zoning: -9•S
quired Setbacks: Front: ]Z Rear: i Side: 4 3 Street Side: Garage: e.Z�
Building Height. Max. Height. 70 Actual Height 16.3
❑ Landscape Area: 2,61 % ❑ Lot Coverage Max: i,j0
Entrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ❑ Minimum 12%of area of all street-facing facades
.1 Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2°a floor.
❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following.
"Dray. ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
6- isual Clearance prban Forestry Plan 6
Sensitive Lands: Yes CI Typ e: t Irl /JGa ' 1. w
Conditions met" ri r t9 issuance of buildin e t
Notes: C").1--.4'"s 1$ �t1- � ) ckj niq
- gi„„fv.0
❑ Approved By Planning Date: 3
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
•
Building Permit Submittal
Original Submittal Date: 3 \' 1�q
Site Plans: # '3
Building Plans: # 3
Building Permit#: E'Enter building permit#above.
Workflow Routing: Er Planning [Engineering [ "Permit Coordinator [ "Building
Workflow Sign-off: E5'Sign-off for Planning(include notes from planning review)
Route Application Documents: ErEngineering.. (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: A ,
By Permit Technician: Date: \ ` A
Engineering Review
Mope at building pad: Z S
,B- Conditions"Met"prior to issuance of building permit
E2-"Easements (encroachments) per engineering conditions of approval and plat
c,42-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: 0 Yes Er No
LIDA Facility on lot: 0 Yes No
12'Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: /1 i k(L 42 • Date: S— i¢ 1 I
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Permit Coordinator Review
Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: .18. Yes 0 N/A
Parks SDC: Et. Yes ❑ N/A
LIDA 0 Yes N, N/A
J I OK to Issue Permit
Approved by Permit Coordinator: AVW3
C vim' Date: 5 I I S 1101
:\Building\Forms\BldgPermitRvw_RES_0228I9.docx
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #: MSTac c - 03\ (.Q
Site Address: 132-9ti sl„/ �6S4± Av.
Project Name: fj.tr Ilcrrut � � #2- Lot #: 2.2?
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.I.):
Is the project subject to the plan district design standards? ❑ Yes 0 No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min. . 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
0 0 0 0
2. Eyes on the street: a minimutT�of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 13,E
3.EE ances:At least one entrance must meet both of the folio g standards:
h� Max. 8 ft. setback from longes street- facing wall r" 1 Illarallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes ❑ No
If yea; all the following apply: sq.ft. min.
e street facing entry 12�,ft.max.roof above floor of porch
5 ft. depth min. 0% min.porch roof coverage
4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
l
vered porch min. 5 ft.wide x 5 ft. deep 0 Recessed entry area min. 5 ft.wide x 2 ft. deep
IZI.KWall offset min. 16 inches 0 Dormer min. 4 ft.wide
0 Roof eave min. 12 inch projection ❑ $.eof offset min. of 2 ft.
❑ Roof shingles either tile or wood Gable,hip or gambrel roof design
0 $coof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
Accent siding min.40%of street facade ❑ Window trim min. 21/2"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing 0 $ay window min. 5 ft.wide by 2 ft. deep
O Balcony min. 5 ft.wide x 3 ft. deep with inside access LU-Attached garage is 35%or less of street facade
5. Garages and Carports:May face the front or side lot line on a corn r lot.
Setbacks:
No closer to front or side lot line, than longest street-facing wall. Yes 0 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)
O 12-foot-wide garage door 40% max. of street facade
O 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: l Date: $ .?",/y
I.\Building,Forms\BldgPermitRvw_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 proj-•
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMEN
illq L' Transmittal Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.243' • www.tigard-or.gov
TO: I ATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
JUN 3 2020
ARD
FROM: fir, 'J,i Aifdiz2�i S I N
- BUILDING DIVISION
VISIOO
N
COMPANY: �I4 yL-0� /7)Q'�t _
PHONE: er7/ Zia9 6-1 3 ' Br e f
RE: 0244 .5w /6 7P Az / 75-7-zo r R -oof 8e7
(Site Address) (Permit Number)
(f}sr efl uc e_vrax_e- IeZ P-49 7 2 z8
(Project name or sub.• on name. �• ,t number)
ATTACHED ARE THE FOLLO 1:t-? - S:
Copies: Description: INC Copies: Description:
Additional set(s)of plans. 2 Revisions: c-roil /ThQ 5('
Cross section(s) and det.' s. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
3 Other(explain): R.-, t s.P d- `1,I,-—Oa-v.
REMARKS: ..-Re 5.e •Lovp. - \ Sko 4I tm cam- kb
Sks-SckArtkiAGL ,. I
-
t �,
FOIR OFFICE USE ONLY
Routed to Permit Tew' an: Date: (Le 2,p2p Initials:
Fees Due: Yes ' I No Fee Descripti n: Amount Due:
1/2 e I/bc lt',.t.,•_ $ tic.
Special
Instructions:
Reprint Permit (per PE : ❑Yes XNo' ' ❑ Done
Applicant Notified: �Q� r Date: Initials:
i:\Building)Forms\Transmitta)Letter-Revisions_061316.doc
I"
City of Tigard
114 _ * COMMUNITY DEVELOPMENT DEPARTMENT
T G n „ Building Permit Review — Residential
Building Permit #: mc,-c 1C.i- QQ\%
Site Address: 13294 S i L6S+n Ay.
Project Name: fZ -Ttrract, U141- #Z Lot #: LZE
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review 6/,�f/ �u,J, c.W .',s(,4 y ear g!
P�ro�sal: Nov .SF� d pahv 7b J-,s c�Jw`�`
[ Verify address/suite# active in Accela. V In River Terra.-: ❑ No Ye�Terrace RtviewAddendum
Siit'Plan Elements: 4,14 . ion Control
l 3„copies of site plan on 8-1/2"x 11"or 11 x 17"paper 6: .•.ed trees with drip line and tree protection measures
IP yawn to scale(standard architect or engineer scale) �R sprint of new structure(including decks)and FFE
3erth arrow ISdU iltty locations&easements(required for new and additions)
address,project or subdivision name and lot number idewalk/driveway approach
Zlicant information(name and phone number) Vic. . ation of wells/septic systems
t!J'L.ot dimensions and building setback dimensions K et tree size,type and location
r:.uare footage of buildings to be demolished t! t names
J Existing structures on site I omomer elevations(2'contours if more than 4'differnial)
IltrAot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ILPY�`es�❑,No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑IFJ ]No
Ili Clean Water Services—Service Provider Lettey(lot platted prior to 9/10/1995): L'A,,, 1 mil(,
wired: CIYes,applicant was notified 2" No Received: ❑ Yes El No �"
1B Public Facilitie mprovement(PFI) Permit: ri
(At.
Required: Yes,applicantt was notified 1❑ No Applied For: �Q Yes ❑ No,stop intake
Peand Use Case#: T V� t�16'�666 T 'Lt' Gottittg 1� 9,E
[r. ' ..oiled Setbacks: Front: IL Rear: ' i 19-Side: 4 3 Street Side: �/�' Garage: t
icy, Height. Max. Height: 3o Actual Height. i6-/5
❑ Landscape Area: id % ❑ Lot Coverage Max: (Y0 %
(-Entrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ❑ Minimum 12%of area of all street-facing facades
J Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
mla,tr ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2"floor.
rr CI Garage door width is ❑ 12'or less ❑ 50%or less of facade 0 60%or less and includes 7 of following
tr'ag. ❑ Covered porch ❑ Recessed entrance ❑ Wall offset 0 1'Roof eave ❑ Roof offset
❑ Fire shingles 0 Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess 0 Window projection 0 Balcony
G isual Clearance
rban Forestry Plan ( J
` Sensitive Lands: ldd Yes ❑ No Type: Ut ��tt LdM�/J Eo ( l�tr
Conditions met prior to issuance of buildin pe t 1
Notes: (j -� .,s ".t{— fc v`lb, H—' IliA;!W.
1 3 l
❑ Approved By Planning. Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: Approved ❑ Not Approved / -.�L fP g f 0
Revision 2: 0 Approved ❑ Not Approved UU
Revision 3: 0 Approved 0 Not Approved
1:\Building\Fonns\BldgPermitRvw_RES 0228 I 9.docx
Building Permit Submittal
Original Submittal Date: 3tt 1`q
Site Plans: # �3
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: g Planning { 'Engineering [ 'Permit Coordinator EYBuilding
Workflow Sign-off: 5 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.
EY'Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: .� Date: E \ 1Ck
Engineering Review
-2' lope at building pad: 2.-5- b
la Conditions "Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat
c l�Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes .-a No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot ❑ Yes - No
El—Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
-a—Approved by Engineering: 1 I k. Date: S 4- /`7
Revisions (after B, ilding Submittal only) er Date
Revision 1: CM Approved 0 Not Approved //e=27
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 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: - ( l P I
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dec Tax: K. Yes ❑ N/A
Tigard Trans SDC: ® Yes 0 N/A
Parks SDC: Et Yes ❑ N/A
LIDA 0 Yes la N/A
,CISCOK to Issue Permit
Approved by Permit Coordinator: Aird O0�— Date: 5 ( t S 1 IGI
�JJ I lDI zD
I:\Building\Forms\BldgPermitRvw_RES_022R I9.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
= y Transmittal 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
JUN 3 2020
FROM: 1 3J.A A I S CITY OF TiGARD
� BUILDING DIVISION
COMPANY: �fh/Lv� 7 / fy-�o r
PHONE: g'-7( 09 Sq 3/ I Br 1,3
RE: i 32N'f Sttt) /6 M$rzo ( R —00( �lo
(Site Address) (Permit Number)
Ei4srIU 11Z Zr 2261
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 2 Revisions: CTo /17A-56,
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): t t c f d- -0
REMARKS: eM rd e R iSWN � CSC �Ifa L - t ` pX-ki� �D
e L c:4.4X- C:0-Y1A -Ai.AN S
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Initials:
Fees Due: ❑ Yes ❑No Fee Description: Amount Due:
Special
Instructions:
Reprint Permit(per PE): ❑Yes ❑No ❑Done
Applicant Notified: Date: Initials:
I:1Building\Forms\TransmittalLetter-Revisions_061316.doe