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Permit Plumbing Permit Amcdle '�"'� ,i Building Fixtures FOR OFFICE USE ONLY Cilie of Tigard �' ''% 2 0 2020 Received 6 `� g Date/By- Q/ �T Permit No `1'62^,/n/1(37 IIIe 13125 SW Hall Blvd.,Tigard,OR 9 221 _ VV WW f_�vllll 4� Phone: 503.718.2439 Fax: 503 598 1960 ' Plan Review 1 _ r 1 Date/By �"I sl f (J A�j� Other Permit No.: Inspection Line: 503.639.4N y + rx TIGARD t I i`) ] Date Ready/By- �r �,u is: HI See Page 2 for Internet www.ngard-or.gov '� ��� ✓t""-`i�- Notilicd/dclhod-%/4"/� ��� r<� pP Su lemenl al Info/illation TYPE OF YORK _ 1 ,ef FEE* SCHEDULE cNew construction ❑ Demolition _ For special information use checklist. -- Description I Qty. I Ea. I 'Total 0 Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 fl.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 IA I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family I -- Each additional bath/kitchen 25.02 ❑Master builder ❑Other: __! '/ fi� Fire sprinkler(( q.0.) t` Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: LL I I� �7 � (� cr n� Catch basin or arca dram 18.76 Job site address I1"z� e L ) ((L t W \.�- - Drywell,leach line,or trench drain 18.76 City/State/ZIP: ‘"221 ood ,0p VL q'-14 Footing drain(no.linear ft:_) Page 2 Suite/bldg./apt.no.: \�C) I Project name: 4. 11\ Manufactured home utilities 50.03 J Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 _ A 1 c� w_n Sr t_r a "0 - Sanitary sewer(no.linear ft.: ) Page 2 J����i 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 Backwater valve 12.51 DESCRIPTION OF WORK ----- - ------ - Clothes washer 25.02 �,,n Dishwasher 25.02 Vi_ `1(�{/ � Q �,� UC) OW Drinking fountain -----._- 25.02 �� I Ejectors/sump 25 02 ❑ PROPERTY OWNER j 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 `Ceti,©a_ k ... A�mss. - ( - -- Floor drain/Floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib --_-__-- 25.02 --- Phonc:( ) ) Fax:( ) Ice maker 12.51 ijD APPLIVOt _ -p'; <, I ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: - Medical gas(value:$ ) Page 2 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:( ) Fax: :( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 ---- -- Water closet 25.02 CONTRACTOR ---- .�(� Water heater 37.52 BusinessnamcQ,�( II\\ t1`5(,�j�.Nit y � i:1 LoO '�_1(1L 0 .._ Water piping/DWV 56.29 Address: `0--1 (N Al`k� -�1,ct(y00J. _ V`VQIC...4L&L Other: 25.02 _--- 1 \I)(A otro' ,&(/ e _c::x /'1 1 Subtotal City/State/ZIP: �]t(- � hIY�J _ Phone:( 3, �(��- v-4 Fax'( 5: _.0-� cij�,l - ____ Minimum permit fee: $72.50 �(''(�� ����� Plan review (25%of permit feel CCB Lie.: j`r_7 ("� Plumbing Lie. no.: ^�� 7 -------- - - - g��: � v �� 5 State surcharge(12%of permit fee) Authorized signature: V , - TOTAL PERMIT FEE Pr-inT name 0 u' Dater .0 This permit application expires if a permit is not obtained within 180 days -- ���"'111 after it has been accepted as complete. *Fee methodology set by Tn-County Building Industry Service Board t Huddmg\Peniuis\PLMU-PermiiApp.doc 10/01/09 440-4616T(10/02/COM'WEB) CITY OF TIGARD MASTER PERMIT II 1 COMMUNITY DEVELOPMENT Permit#: MST2020-00132 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/09/2020 T I ;;x.li p 9 Parcel: 2S107AA11000 Jurisdiction: Tigard Site address: 14240 SW GOLD COAST TER Subdivision: ROSHAK RIDGE Lot: 110 Project: Polygon at Roshak Ridge, Lot 110 Project Description: New SFA BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 56 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 34 Bathrooms: 3 Second: 562 sf Garage: 497 sf Front: 12 Smoke Dwelling Units: 1 Third: 562 sf Right: 3 Detectors: Yes Total: 1180 sf Value: $172,230.89 Rear: 5 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 Drains: 0 Tubs/Showers: 2 Garbage Disp: t Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker; 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Times 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 SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'1 500 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 1180 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC 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: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $25,336.92 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 R 952-001-0090. You may Q� ���� obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By:44 05 Arkt--1.--e- ay -.9-- Permittee Signature: e7Ci�// 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 • CST //6 Residential RECEIVED FOR OFFICE USE ONLY Received - City of Tigard r 3 Permit EB 0 3 2020 Date/By: l air sr.2o 20 -e0/3z IN • 13125 SW Hall Blvd.,Tigard,OR 97228 Plan Review `�� Phone: 503.718.2439 Fax. 503.598 DeteBy: y/2/ iWQA Of �r Per f(z./ ..-%v�ood*j TIGARD Inspection Line: 503.639.4175 �� 'OF TIGARD Date ReadyBy: /� huffs: O See Paget for Internet: www.tigard-or_gov BUILDING DIVISION Notified/MetLo / `w W[ Supplemental Information 6 '1 ,'t— / 79 TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other. equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION ' work indicated on this application. El 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ I dt/230 ❑Accessory building 0 Multi-family Number of bedrooms: 2 ❑Master builder 0 Other: Number of bathrooms: . J JOB SITE INFORMATION AND LOCATION Total number of floors: 5 \U-7, Job site address: 1CuI-E C) Gw(A Cop T riA242- New dwelling area: I IT) square feet 5�2. City/State/ZIP:Tigard,OR 97224 �+ Garage/carport area: I-1Ori square feet S1/2Z Suite/bldg./apt.no.: Project name:Roshak Ridge Covered porch area: square feet icte Cross street/dhe,tions to job site: Deck area: a„ square feet -te�k�: 7d- square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Roshak Ridge Lot no.: 1 l0 Permit fees*are based on the value of the work performed. Tax map/parcel no.: �� Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ® 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): Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 Fax: :( ) Amount received: E-mail:permitsubmmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name:Polygon WLH,LLC 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 Perm t Fee(includes plan review $I80.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:204238 Total fee due upon application: $201.60 Authorized signature: ` This permit application expires if a permit is not obtained �� 411 within 180 days after it has been accepted as complete. Print name:Tonja Morris Wilk ALI' Date:04/17/2019 *Fee methodology set by Tri-County Building Industry Service Board. I:1Building'Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVED RecReceivedce'" PennitH Date/By: 9'�ST �p 'OD/33-t 13125 SW Hall Blvd_,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 FEB U 3 2020 DateBy: Other Permit: Inspection Line: 503.639.4175 . El See Page 2 for Date Ready/Bylnris: Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method- Supplemental Information TUILDING DIVISION TYPE of WORT( COMMERCIAL FEE* SCHEDULE USE CHECKLIST Mechanical permit fees"are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES'. : 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist Multi-fare ly ❑Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATIONS A,ND LOCATION Heating/cooling: Air conditioning 46.75 �� Job site address: (?l.asp CrAsr 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 Suitebldg./apt.no.: Project name:Rosbak 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 Subdivision:Roshak Ridge Lot no.: I 0 Other 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 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 PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:703 Broadway St,Ste.510 equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ❑ 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 WalUsuspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace Range E-mail:permitsubmittals@polygonhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Bnciness name:Pro Healing&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 hu- .A days after it has been accepted as complete. Authorized signature: " Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date:04/08/2019 t:Bu0dmg\Permus4MEC_PerxnitAup 040113.doc 440-4617I(11/02/COM/WEB) Electrical Permit A hcano EC EIVE C "F= .�+fs: U FICE u p �- A . CityofTigard Received g FEB 0 3 2020 Daisy: Permit#:/yJ- _0Ji3 13125 SW Hall Blvd,Tigard OR 97223 Plan Review Phone: 503.718.2439 Fax Da Related Permit#: Inspection Line: 503.639.4175 L,III OFTIGARD Readyffy. Ark ElSeeP e2for TSGax°• Internet www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information Ti•PE OF:WOIIic=..,:: ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets ofplane w/items checked); ❑Service or feeder 400 amps or more ❑Sandi c over three stories. ❑Demolition 0 Other. where the available fault current ❑Marinas and boatyards. CATEGORY_OF:CONSTRIICTION, .,•. .:: ,:rPPds1QDD0 amps atl50 volts or ❑Floating burldings. ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building lees to ground or ex,Pds 74,D00 ❑Commere al-use agricultural, ❑Multi-family ❑Masterburlder amps for all other installations buildings. ❑Other: CI ❑Installation of 150 KVA or ..'•s;:. . . JOB SITE•.'3N1?OR11Me1TION'AND'LOCATI,OIV:'''- •- ❑Emerg�ysysam larger separately derived I��r,� n� ❑Addition of new motor load of system Job#: Job site address: b� 0 Q $) �tSt'F(,j, 10011P or more. ❑"A E^,`1-2,"1-3 , City/State/ZIP:Tigard,OR 97224 ElSix or more remdeneal imits. occupancy. ❑RP-slit-care facilities. Et Recreational vehicle parks. Suite/bldg./apt it _ Project name:Polygon At Roshak Ridge ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: FEE SCHEIIULE , I . Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: I)0 Includes attached garage. 1,000 sq.ft or less 16834 4 Tax map/parcel#: Ea add'1500 sq.ft or portion 33.92 1 DESCRIPTION OF WORK - : • Limited energy,residential 75.00 2 (with above so.ft) ' Limited energy,multi-family residential(with above sq.ft) 75.D0 2 R.PItOPERTIS,-OWNER-i.`.:... Renewable Energy la SeePage2 . ❑ 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 13336 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 Mips 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 5936 I 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 -..N-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, rarh branch circuit 7.42 2 Contact name:Nichole Thorpe . B.Fee for branch circuits without Address:703 Broadway St Suite 510 service t feeder fee,first branch circuit 56.18 2 City/State/GIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not inclnded) Phone:(360)695-7700 Fax:(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Fmvil: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 ❑ 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) 6625/hr Phone:(503)319-2192 Fax( ) Investigation(1 In min) 90.00/hr Rmail:solarpdx@me.com Industrial plant(I hr min) 78.18/hr • Inspections for which no fee is CCB Lie.: 199188 Electrical Lie.: c923 Suprv.Lic.: 48715 spelfcally listed(h hr min) 90.00 hr ' ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal Print name: Ktle Rood Date: 03/08/2019 0 Plan Review Required(25%of peach fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Kile Rood - Date: 03/(38/2019 I days after it has been accepted as complete. • Plumbing Permit Application (�` Building Fixtures RECEIVED FOR OFFICE USE ONLY City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 0 3 2020 Date By: Permit NyF'S .20 OQi3e•L Plan Review Phone: 503.718.2439 Fax: Date/By: Other Permit No.: Inspection Line: 503.639.4175 �r�Y OF TIGARD y TIGARD Date Ready/By: 7aris: M See Page 2for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information 75 TYPE OF WORK - FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. Description I Qty. I Es. I Total ❑Addition/alteration/replacement 0 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 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building LE Multi-familySFR(3)bath 500.32 Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE IN_ FORMATION AND LOCATION • _ - Site utilities: lob site address: 1141.14() Gar?' exiQsrt `rtie,� 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.: I 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 ft.: ) Page 2 Subdivision:Roshak Ridge Lot no.: 110 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 V 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 Floor dram/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/greaseeap 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:permitsubmlttals(a3polygonhomes.com U17Dal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Alliance Plumbing Water pip ng/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: $72.50 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lic.no.:PB732 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Robert Dishman Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permitr'PLMU-PvmitApp.doc 10/01/09 440-46 I6T(10/02/COM/WEB) City of Tigard C mg COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A lz o Building Permit Review — Residential Building Permit #: /f$i. .261 — eD/.3 2- Site Address: 14 0 SW &D(d Crxtci- Tex-ra c e Project Name: RCISy� 12laaa,� _ - Lot #: 1 10 Planning Review _ J �l Proposal: RQN1kOU K, Uh I ' Verify address/suite #active in Accela. Ms In River Terrace: ❑ No t( Yes,River Terrace Review Addendum Site Plan Elements: Xtrosion Control l5 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ('Retained trees with drip line and tree protection measures Drawn to scale(standard architect or engineer scale) ootprint of new structure(including decks)and FFE AtVorth arrow Utility locations&easements(required for new and additions) Site address,project or subdivision name and lot number 85idewalk/driveway approach Applicant information(name and phone number) /V4Location of wells/septic systems Eot dimensions and building setback dimensionstreet tree size,type and location N quare footage of buildings to be demolished �5treet names N Existing structures on site .1ECCorner elevations (2'contours if more than 4'differential) N;iof area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? li t:; $INo impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Y es DilNo * Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified iir No Received: ❑ Yes ❑ No ,Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: ❑ Yes a cant wa notified Rr No Received: ❑ Yes ❑ No SDC I xe •e •ecl-fair 0 Yes g No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit Required: 0 Yes,applicant was notified 'No Applied For: 0 Yes ❑ No,stop intake CEL Land Use Case#: ADQ 2-0 Ib-00.00 2— f$( Zoning. P—t Z Required Setbacks: Front: 0 Rear: S Side: C' Street Side �/'i Garage: IS.S- A-Building Height: Max. Height / A Actual Height:-3 4 .0. Landscape Area: 20 % .Lot Coverage Max: g(7 Entrance 11 Set back o m re than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows II Minim 12°/ of.tea of all street- acing facades Garage II • aged or i .i d widest strf� ll ❑ Yes ❑ No,one of the following is met:11 Do r e to o more than 5'from wall and ere i a c vered or ext jj� beyond garage. ❑ .�o r t .s o more than all and � e on 2"floor. \I Garage .oo wi.this 0 12'or 1 ss 50%or 1 ss o a a e 60%or less and includes 7 of following: ❑ Cove d porch ❑ Recessed entrance ❑ Wall offset 0 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding 0 Window trim 0 Window recess ❑ Window projection ❑ Balcony NO-Visual Clearance ,Urban Forestry Plan Sensitive Lands: ❑ Yes X No Type: Conditions met prior to issuance of building permit Notes: Approved By Planning: Date: 4_ Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved I:\Building\Fonus\B1dgPennitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: Site Plans: Building Plans: # —3 Building Permit#: E1—Enter building permit#above. Workflow Routing: Planning -Engineering C Ifermit Coordinator ILVBuilding Workflow Sign-off: E Sign-off for Planning(include notes from planning review) Route Application Documents: a 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: e P Date: ',„/„. �/) Engineering Review [ Slope at building pad: 4Sf Conditions "Met"prior to issuance of building permit A,./At-, Pd'Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 1/No Assess Water Quantity Fee in-lieu: 0 Yes VIVIO LIDA Facility on lot: ❑ Yes L/C/Final Plat Recorded: 0 NOT Approved by Engineering: Date: Notes: proved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Permit Coordinator Review ,fEr 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: `91 SDC Exemption: 0 Received Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: g( Yes 0 N/A Tigard Trans SDC: El Yes 0 N/A Parks SDC: Yes 0 N/A LIDA 0 Yes 17,gi N/A "t4 OK to Issue Permit Approved by Permit Coordinator: Date: 4I2g 20 I:\Building\Forms\BldgPermitRvw_RES_122419.docx . City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT IIIII T I G A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: E4 O SW Gold cc+ Ter Project Name: Pos1a,k R;G{ Lot #: I t 0 (New dwelling=subdivision n Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.070.1.): Is the project subject to the plan district design standards?4 Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep Gabled dormer ft. deep min. 2ft.,5 ft.wide min. 2 ft., 6ft.wide K ❑ 0 ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: F . Isla p .. l 3 7,7 3. Entrances:At least one entrance must meet both of the following standards: RMax. 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:p1 Yes 0 No If yes,all the following apply: 25 sq.ft.min. -El One street facing entry 12 ft.max.roof above floor of porch P.afft. depth min. ..30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: .Covered porch min. 5 ft.wide x 5 ft. deeps ❑ Recessed entry area min. 5 ft. wide x 2 ft. deep ❑ Wall offset min. 16 inches 0 Dormer min. 4 ft.wide XRoof eave min. 12 inch projection F- ( 12 El Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood A.Gable,hip or gambrel roof design F I 12, O Roof pitch oriented south min. 500 sq. ft. Horizontal lap siding min. 3-7 inches widen. Accent siding min.40%of street facade F taWindow trim min. 2 1/2t"wide by 5/8"deep F i 12- ❑ 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 g-- 0 Attached garage is 35%or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner 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. �Wiidth: (Check one) 1�,i2-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street façade with 7 detailed design elements Notes: / Approved By Planning: Date: i f)3 I:IBuildingl Forms\BldgPermitRvw_RES_RT_121417.docx