The URL can be used to link to this page

Permit Plumbing Permit Application RECE VE Building Fixtures FOR OFFICE'USE ONLY AUG 17 2020 Received City of Tigard /w 1G1 Permit N yh.(ST2j/�j -/003 z‘ v 13125 SW Hall Blvd.,Tigard,OR 9722 t alley I 3 Phone: 503.718.2439 Fax: 503.598.1 cjIT ' LJ[ I ..AF'5l n lie°1e`°NY big.�,Jo �// �// p�i '�� Other Permit No TIGARD Inspection Line: 503.639.4175 r ' I_DING D ISI eadylBy: p _A�t tnr�s ® See Page 2for Internet www.ngard-or.gov Notitied,Mcthod.1/./� " -' r Supplemental Information TYPE OF WORK + --p ,` +'f( FEE* SCHEDULE IgiNew construction ❑ Demolition For special information use checklist Description I Qiv. I Ea. I Total 0 Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION, SFR(I)bath 312.70 [XI-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 _.._ SFR(3)bath 500.32 ❑Accessory building 0 Multi-family - - Each additional bath/kitten _ 25.02 ❑ Master builder El Other: _ sprinkler( ..,2i.sq.ft.) Y 1 Page 2 JOB SITE INFORMATION AND.LOCATIONSite utilities: Job site address: i4 2 q� W W l bJ I �) Ave_ Catch basin or area drain 18,76 ^ I Drywell,leach line,or trench drain 18.76 S,1 f 5_ City/State/ZTP: (J 02_ (=auto - -- ) �� Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: �r' Project name: ra_ Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 TpltilSt)1c I2 LAI. .��Qt ---K) ---- Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.: Fixture or item: _ Tax map/parcel no.. Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 ------ - ` Clothes washer 25.02 ///�� Dishwasher 25.02 �)ak _�1+� Drinking fountain _ 25.02 \I 111 Ejectors/sump 25.02 0 PROPERTY OWNER J 0 TENANT `' Expansion tank -_ 12.51 - Name: Fixture/sewer cap 25.02 F _ Floor drain/floor sink/hub 25.02 I Address: • Garbage disposal 25.02 City/Slate/ZIP: Hose bib 25.02 Phone:( ) -- Fax:( ) Ice maker _ _._.-_ _ 12.51 - 0 APPLICANT D CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value.$_) Page 2 Business name: - - - Primer 12.51 Contact name: - Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) 1 Fax: .( ) Tub/shower/shower pan 12.51 -- - ---- Urinal 25.02 E-mail: - - - --- Water closet 25.02 CONTRACTOR - _ Water heater 37.52 Business name: 0 W}p ,1f11 rn Q co- (J j fi � c QI' e_Co-tt 8_ Water piping/DW V 56.29 Address: I D-c LO YY.111 iS1V(�C, cow md'i 9 Q-,v -K.� .r Other: 25.02 City/State/ZIP: 1 Q-OL k _ 02- 01g0000 __ _-_ Subtotal_ Phone:(933 t�P"- l_-%I Fax:(5-U5 6X29 q goi 1 _ Minimum permit fee: 572.50 ac ,` Y Plan review (25%of permit fee) CCB Lie.: 1� ZZ20 ` Plumbing Lie.no.: L�'2a L.� t ---- �V _ State surcharge T2°Lo f Rfee) Authorized signature: TOTAL PERMIT FEE Print name' ��'�.� Q rap/x Date: �I"�f� This permit application expires if a permit is not obtained within ISO days I�I� atter it has been accepted as complete. `""'LLL 'Fee methodology set by I n-County Building Industry Service Board. 1'Building'Permits l PI MB-I'ennitApp.doc 10,01,09 440-45161110102'COM'WLIII CITY OF TIGARD MASTER PERMIT 111 I.' COMMUNITY DEVELOPMENT Permit#: MST2019-00326 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2020 T E�>r1 li.D Parcel: 2S107AA07000 Jurisdiction: Tigard Site address: 14293 SW 169TH AVE Subdivision: ROSHAK RIDGE Lot: 70 Project: Polygon at Roshak Ridge, Lot 70 Project Description: New SFA. BUILDING Floor Areas Reauired Setbacks Reaulred Stories: 3 Bedrooms: 2 First: 562 sf Basement: 85 sf Left: 0 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 562 sf Garage: 430 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 1209 sf Value: $169,008.04 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bcktlw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: Y Vent Fans: 4 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 add9 500 sf: 2 201-400 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 SFA VB R-3 1209 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 2 NFPA 13D Sprinklers Required PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $24,569.89 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.344. Issued By: /� Permittee Signature: ON ��eT77eAi 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. Building Permit Application � Residential v a FOR OFFICE USE ONLY Rt2LV City of Tigard a ,...# .4• DateByReceivea �1 t "r Permit No.i�S \"(-'W01 q 13125 SW Hall Blvd.,Tigard,OR 97223 ry Plan Rev ew Phone: 503.718.2439 Fax: 503.598.1960rEA3 0 I �019 PlnRe. 8 (qJ t ' Other , ,(1_(`f1'at=j` I'IGARD Inspection Line: 503.639.4175 Date Ready/By: Axis. H See Page 2 for Internet www.tieard-or.eov i ' . t t at.r) NotifiedJMethod�f?-97( S 7 Supplemental Information AVISION TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ `� ( 008 ❑Accessory building El Multi-familyNumber of bedrooms: �� `= 1 ElMaster builder 0 Other: Number of bathrooms: 2) JOB SITE INFORMATION AND LOCATION; Total number of floors:3 `Li23411 Job site address: N 7,12 i V V I (Q( -{4 f we, New dwelling area: 'Lt©P1 square feet 2,� City/State/ZIP:Tigard,OR 97224 ttXX Garage/carport areal.3b square feet Z Suite/bldg./apt.no.: k_� Project name:Polygon at Roshak Ridge Covered porch area: 0 square feet Sc Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Polygon at Roshak Ridge Lot no.: 10 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. New 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 El CONTACT PERSON BUILDING PERMIT FEES' Business name:Polygon WLH LLC (Please refer la schedule) Structural plan review fee(or deposit): Contact name:Amanda Gavin FLS plan review fee(if applicable): Address:703 Broadway St.Ste 510 City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax: :(360)693-4442 Amount received: E-mail:permitsubmittals@polygonhomes.com .PHOTOVOLTAIC SOLARPANELSYSTEMFEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway St.Ste 510 Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signa e: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Aman Gavin Date: i/'v j n /(1 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPetmitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicat FOR OFFICE USE ONLY City of TigardC E I V E D Received permit No f� /� t q Dan Rev \\U' C"��11:9SA9 .. 13125 SW Hall Blvd.,Tigard,OR 97223 AU G 2 9 2019 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: 1.1iiAit17 Inspection Line: 503.639.4175 CITY OF TIGARD DateReady/By: lads: RI See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method. Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST Mechanical permit fees*are based on the value of the work N New construction ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT 1 SYSTEMS FRFS* Kg 1-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: (]/j� `' . \ Air conditioning 1 46.75 , Job site address: 14' .J lJw I�-n4i\VG, Furnace 100,000 BTU(ducts/vents) 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:Roshak Ridge 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 Other: 23.32 Subdivision:Roshak Ridge Lot no.:10 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 A � �w y,YWL:s mS,T Flue vent for water heater or gas lJl.tJ�� CAN\ J 2,A R—0Q32,(pfireplace 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 ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 1 33.39 Address:703 Broadway St.,Ste.510 Clothes dryer exhaust t 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 Fuel piping: Business name:Polygon WLH,LLC $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 WalUsuspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Ranee E-mail:permitsubmittals@polygonhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Pro Heating&Cooling Other: MECHANICAL PERMIT FEES* Address: NW Alociek Dr,Ste. 1104 Subtotal City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee) CCB lic.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 AA� days after It has been accepted as complete. Authorized signature: W u�'�j' * Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date:04/08/2019 Electrical Permit ApplicatioDECEIVED FOR OFFICE USE ONLY Received City of Tigard Date/By: Perm t R ��^ y1Q_ G��1i/ _ 't 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 2 9 2019 Plan Review v vl ` lU l 11 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit 4: it,r. Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: ]°'' I 0 See Page 2 for IG.ARD Internet: www.ti and-or. ov Notified/Method: Supplemental g BUILDING DIVISION 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 Demolition Other: where Service or feeder 400 amps or more 0 Building over three stories, where the available fault current 0 Marinas and boatyards. CATEGORY_OF:CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. El 1-and 2-family dwelling ID Commercial/industrial ❑Accessory building less to ground or exceeds 14.000 El Commercial-use agricultural amps for all other installations. buildings ❑Multi-family ❑Master builder ❑ Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE'INFORMATIONTAND'LOCATION ❑Emergency system. larger separately derived Job#: Job site address: , 1 0 Addition of new motor load of system. 1L42/��3 c vi `�p`'�1 Es 100HPormore. ❑"A E" "1.2", 1.3 City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. SuiteAbldg./apt.#: - Project name:Polygon At Roshak Ridge ❑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:Polygon at Roshak Ridge Lot#: '10 Includes attached garage. 1,000 sq.ft.or less I 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion I 33.92 1 • DESCRIPTION OF WORK Limited energy,residential 75.00 2 ^M' 1 _rl -11 *o W\ T O� J[ ck — O 2-7• (with above sq.ft.) Limited Y Limited energy,multi-family residential(with above sq..ft.) 75.00 2 Renewable Energy 0 See Page 2 ®'PROPERTY..OWNER 0 TENANT. Services or feeders installation,alteration,and/or relocation Name:William Lyon Homes,Inc. 200 amps or less 100.70 2 Address: 703 Broadway St Suite 510 201 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: (360)693-4442 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 1 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 ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7.42 2 Contact name:Nichole Thorpe • B.Fee for branch circuits without oAddress:703 Broadway St Suite 510 service branch circuitrfeede fee,first 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 6784 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 Signal circuit(s)or limited-energy El 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 hrmin) 76.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 199188 Electrical Lic.: c923 Suprv.Lic.: 487JV S specifically listed(Si hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Kile Rood Date: 03/08/2019 ❑Plan Review Required(25%of permit fee): State surcharge(12°/n of permit fee): • Authorized signature: TOTAL PERMIT FEE: r This permit application expires If a permit is not obtained within 180 Print name: Kile Rood I Date: 03/08/2019 I days after it has been accepted as complete. Plumbing Permit Application EC E I , Building Fixtures I'� FOR OFFICE USE ONLY City of Tigard AUG 2 9 2019 Received Permit No. /�� qCIF 13125 SW Hall Blvd.,Tigard,OR 972��T Date/By` MS-� \G_ Phone: 503.718.2439 Fax: 503.598.499()Y OF TIGARD Plan Review 01.1.1. 11 ether Permit No.: Inspection Line: 503.639.4175 BUILDING DIVISION Date/By: TIGARD Date Ready/By: kris: 65 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. Description 1 Qty. Ea. i Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 J 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 El Accessory building I f Multi-family SFR(3)bath 500.32 - El Master builder Each additional bath/kitchen 25.02 ❑ Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 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:Roshak Ridge 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 IL: ) Page 2 Subdivision:Roshak Ridge 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer \ 31.27 DESCRIPTION OF WORK Backwater valve \ 12.51 _v _1 Q j p f Clothes washer 1 25.02 l D./ekO � Ve _" - LT(\ • [ -c �\ -`- jla Dishwasher \ 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixture/sewer cap 25.02 Address;703 Broadway St.,Ste 510 Floor dra n/floor sink/hub 25,02 Garbage disposal , 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib \ 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 1 12.51 ID APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Contact name:Tonja Morris Primer 12.51 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 2 12.51 E-mail:permitsubmittals@polygonhomes.com Urinal 25.02 n CONTRACTOR Water closet .3 25.02 Water heater \ 37.52 Business name:Alliance Plumbing Water piping/DWV 56.29 Address: 146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 _ Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCH Lie.:184601 / Plumbing Lic,no.:PB732 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: r A,1 TOTAL PERMIT FEE Print name:Robert Dishman Date: 112..q IOi This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 19Building1PrrmitaLMU•PermiiApp.doc 10r01/09 440-4616T(10/011COM/WEB) , 1 City of Tigard 7 r COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 c A a n Building Permit Review — Residential Building Permit #: N\ -1�p1C\-�j3 Site Address: L,7 93 0 14; 94 Aee.--- Project Name: o/ et4 �1J Lot #: "TC� (New g=subdivision name;Addition or Alteration t name of owner) Planning Review Proposal: AJeiu Q fq— II?1' Verify address/suite#active in Accela. In River Terr.ce: ❑ No Yes,River Terrace Review Addendum Site Plan Elements: k'Erosion Control ali ' opies of site plan on 8-1/2"x 11"or 11 x 17"paper 1 111 ; mined trees with drip line and tree protection measures town to scale(standard architect or engineer scale) �G Footprint of new structure(including decks) and FFE ,Jorth arrow {/J ty locations&easements(required for new and additions) ld,ite address,project or subdivision name and lot number PI Sidewalk/driveway approach ig +plicant information(name and phone number) U1 0.cation of wells/septic systems iT • dimensions and building setback dimensions iG eet tree size,type and location U .uare footage of buildings to be demolished Syeet names Pctxisting structures on site VComer elevations(2'contours if more than 4'diffe ntial) 'i Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace. 6GYes ❑I$ impervious area(applicable if R-7,R-12,R-25&R-40) If es,is a storm water .uali facili shown? 01 es o 0 lean Water Services—Service Provider Lettot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified hd No Received: ❑ Yes ❑ No Di Public Facihs Improvement (PFI)Permit: quired: 124 Yes,applicant was notified ❑ No , l Apph or. Yes ❑ o,stop intake u and Use Case#: O/ �7�UL�`7' ld Zoning. weequired Setbacks: Front: 42 Rear: r� / Side: O Street Side: Garage: .'3 Lilding Height: Max. Height: I Actual H ' ht: andscape Area: �V % i Lot Coverage Max: e O % Entrance back no more than 8' from street-facing wall ❑ Parallel to street or o degrees or less Windows ❑ minim u %of area of all street-facing facades `�' Garage D Garage door is be ' widest street-facing wall ��( ❑ Y 0 No,one of the following is met: O Door extends no mo 5'from wall an they covered porch extending beyond garage. O Door extends no more than 5' ere is a 12 sq ft.window above garage on 2nd floor. 0 Garage door width is 0 12'or le 5 ess of facade 0 60%or less and includes 7 of following: O Covered porch 0 essed entrance 0 et 0 1'Roof eave 0 Roof offset O Fires Lap Siding 0 Roof pitch ❑ a ' ,or gambrel roof 0 Dormer ❑ t siding Window trim 0 Window recess 0 rojection ❑ Balcony I. .,1 sual Clearance Urban Forestry an IN Lands: 0Yes No Type: Co ditions met prior to issuance of building permit No Approved By Planning: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved 1:1Building\Forms1BldgPennitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: a,( +1 ICI Site Plans: # 3 Building Plans: # 3 Building Permit#: [ Enter building permit# above. Workflow Routing: [Planning a--Engineering Er-Permit Coordinator 111.4uilding Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: {frEngineering: (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: `._�.'Sl . ,� Date: % -) Iq Engineering, � Review 4'Slope at building pad: 2/: ❑ Conditions"Met"prior to issuance of building permit,- [asements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ChJo Assess Water Quantity Fee in-lieu: 0 Yes I 'No LIDA Facility on lot 0 Yes I!7--Igo tr/Final Plat Recorded: O NOT Approved by Engineering: Date: Notes: ------------ 'Approved by Engineering: /111.r. Date: 41 /3 Revisions (after Building Submittal only) ' Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit 0 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: VSDC Fees Entered: Wash Co Trans Dev Tax: is 0 N/A Tigard Trans SDC: . yes 0 N/A Parks SDC: l'Yes ❑ A LIDA 0 Yes N/A OK to Issue Permit /3 Approved by Permit Coordinator: 4Date: i / I:\Building\Fonas\BldgPennitRvw_RES_022819.docx 11111 C , City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: MS-T 2so q-00--) D Site Address: 9 &) /la Project Name: pl 7� -- ,�_,k -L 1/1;/ - Lot #: 9 (New e g=subdivision name;Addition or Alte .:o- =last name of owner) Planning Review of River Terrace Plan Dist ct Design Standards (18.640.070.1.): Is the project subject to the plan district design standards?lffi 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. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dorm ft. deep min.2ft., 5 ft.wide min. 2 ft.,6fp!wide ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%off'each street facing facade must include windows or entrance ours. Percentage Shown: >42 °/d 3. trances:At least one entrance must meet both of the folio g standards: i Max. 8 ft. setback from longest street- acing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: ❑ Yes No If yes,all the following apply: 0 25 sq.ft. min. ❑ One street facing entry 0 12 ft.max. roof above floor of porch ❑ 5 ft. depth min. 0 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: ❑ overed porch min. 5 ft.wide x 5 ft. deep 0 Ij,fcessed entry area min. 5 ft.wide x 2 ft. deep 12 all offset min. 16 inches S [WDormer min. 4 ft.wide IIV Roof eave min. 12 inch projection0` > ❑fr6of offset min. of 2 ft ❑ Roof shingles either tile or wood 1d Gable,hip or gambrel roof designfrC ❑,00f pitch oriented south min. 500 sq. ft. ❑ )Iorizontal lap siding min. 3-7 inches wide Lir Accent siding min. 40%of street facade' 'YCWindow trim min. 21/2'wide by 5/8"deep T ❑ Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35%or less of street facade 5. and Carports: May face the front or side lot linel3�,co 99JJ��1 ter lot Setbacks: No closer to front or side lot , n longest street-facing wall. 0 Yes 0 No. heck one): ❑ May extend up to 5 ft.if there is a covere t orch and gara e not extend beyond the front porch. O May extend up to 5 ft.where the garage is part of a building and there is a window at the second story above the garage that faces the street with ' . area of 12 sq.ft. Width: (Check one) O 12-foot- age door 0 40%max. of street facade °max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: .-7eji/r I:1Building�F'otms1BldgPamitRvw RES_RT_121417.dotx /