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Permit Plumbing Permit Application RECEIVE' Building Fixtures DEC 1 5 Zn?O FOR OFFICE USE ONLY City of Tigard " Received \Z�2,Z(ZOZ 0 t l•x permit no.:MS>�'L(ykl_Oad 1111 • 13125 SW Hall Blvd.,Tigard,OR 97223 DateBy: ` Y iV ■ CITY OF TIGARD plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1//3/ POP/ QGt; Other Permit No.: TIGARD Inspection Line: 503.639.4175 BUILDING DiVISIO bate Ready/By: l is Z See Page 2 for Internet. www.tigard-orgov Notified/Method.//A1,7jf 100 I rvc Supplemental Information TYPE OF WORK FEE* SCHEDULE "New construction ❑Demolition For special information use checklist. Description I Qty I 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 10 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ElAccessory building El Multi-family SFR(3)bath 500.32 Each additional itchen 25.02 III Master builder ❑Other: Fire sprinkler( bath q ftJ\26P1 Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: IL$r5.1 CL,L) I Vii 1 Catch basin or area drain 18.76 C-)^t7n- c�7 {y o JLf4 Drywell,leach line,or trench drain 18.76 City/State/ZIP: �L X 7 Page drain(no.linear ft.: ) Pa e 2 Suite/bldg./apt.no.: 95 i(� Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 R � Water service(no.linear ft.:_) Page 2 Subdivision: V o shz_/ En 3-}M. hd - `- I Lot no.: K Fixture or item: Tax map/parcel no.: {� Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 - Clothes washer 25.02 i (J Dishwasher 25.02 rp 1 2-e- `gy n (1 l-�Lp- pirl/��i' - Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 0 APPLICANT' ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$_) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 1251 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 Business name: f / 1 y, ,I ' ` Ala) /, / i Water heater 37.52 D1!-FI'�,c-�Pi p�a��1� /�9vVv C,LC1-1 �A A1,�A;1.�l�I Q Water piping/DWV 56.29 Address: I CV.}c L&) I l , (at( r r)bi V o (_ t 1 Ll)q Other: 25.02 City/State/ZIP: 1 Q L Q nil. C i 9 Subtotal Phone:°SI_1 Un=} R`fi Fax:(aG,c)k-j:- (7 i Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: /1 71 TO Plumbing Lic.no.: 7 State surcharge(12%of permit fee) Authorized signa e: I J TOTAL PERMIT FEE Print name: � � Date:,Z ( 0-2.0 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\Permits\PLMU-PemritApp.doc 10/01/09 440-0616T(10l02/COM/WEB) CITY OF TIGARD MASTER PERMIT I ' COMMUNITY DEVELOPMENT Permit#: MST2019-00101 Date Issued: 09/09/2020 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA07800 Jurisdiction: Tigard Site address: 14375 SW 169TH AVE Subdivision: ROSHAK RIDGE Lot: 78 Project: Polygon at Roshak Ridge, Lot 78 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 562 sf Basement: 85 sf Left: 0 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 562 sf Garage: 456 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 1209 sf Value: $165,002.85 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 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 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 Fum>=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 addl 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 Y Other: N Other Description: Ecompasing: 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 Gep Tech Report Required Prior To Pour 3 NFPA 13D Sprinklers PHONE: 360-895-7700 PHONE: 360-695-7700 Required FAX: Total Fees: $24,536.40 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. Thi -rmit 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 yo 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. Y.0 - •btai a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ' ' d/t// �LICAWZ Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This •,nnit 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. .7\---(2)c' Buildins; Permit Application ` Residential RECEIVED FOR OFFICE CSE ONLY City of Tigard Received {^ e Permit No.. • 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 X 2019 Plan Review � i Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 'y: /�_ I(!rf Other Permi . S � TIGARD Inspection Line: 503.639.4175 CITY Or I'GARD DateReadyBy: lads: ® See Page 2for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: �ovg//9 S7 Supplemental Information TYPE OF WORK , e 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 ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead and theprofit for the ;-s' work indicated on this application. JC/70 2-- CATEGORY OF CONSTA Valuation: $ ® 1-and 2-family dwelling ❑Commerciallindustrial `], f `� ❑Accessory building El Multi-familyNumber of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms: 52 Total number of floors: 3 l(.,Q(,Q JOB:. SITE INFORMATION AND LOCATION �"-- , .I O, Job site address: S��(pOI- y New dwelling area: �l'1�p square feet ?j City/State/ZIP:Tigard,OR 97224 Garage/carport area: • 1rj 0(4/square feet 5I�Z Suite/bldg./apt.no.: \1•-} Project name:Polygon at Roshak Ridge Covered porch area: 'I square feet Ss Cross street/directions to job site: Deck area: It, square feet Other structure area: square feet REQUIRED DATA:COMMLRCLAIdiSL CHECKLIST - Subdivision:Polygon at Roshak Ridge Lot no.: l fg 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 Style Valuation: $ Existing building area: square feet New building area: square feet El PROPERTY OWNER ❑ 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: ® APPI ICANT 0 CONTACT PERSON - BLTLDP'G PERMIT FEES* (PIense refer to fee schedule) Business name:Polygon WLH LLC Structural plan review fee(or deposit): Contact name:Amanda Gavin FLS plan review fee(if applicable): Address:703 Broadway St.Ste 510 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax: :(360)693-4442 - PHOTOVOLTAIC SOLAR PANEL SYS I TM FEES* F-mail:permitsubmittals@polygonhomes.corn �, ,t� ACTOR Commercial and residential prescriptive installation of i i3 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)6934442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signa This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Amand avin Date:✓ Jl ZI< r 11 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicat cRECEIVED FOR OFFICE USE ONLY Received +�/� City of Tigard Date/By: Permit No.Ayl\ l'�\Q_03`o1 ..114 .! 13125 SW Hall Blvd.,Tigard,OR 97223 A 2 b 20�9 \l �r Phone: 503.718.2439 Fax: 503.598.1960 APR Plan Review _u Date/By: Other Permit: 1 i c...4 11171 Inspection Line: 503.639.4175 CI 1�UAR1� Date Ready/By: mos. RI See Page 2 for Internet: www.tigard-or.gov �1�.��I1l��l^1�rll�(��#�� Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit._ _-_ Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ISI 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SJTE INFORMATION AN LOCATION Heating/cooling: T) Air conditioning 46.75 Job site address: ILL )15 k..1/4..) t UP\'T►I Pr tIS 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 Subdivision:Roshak Ridge Lot no.: 1 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 El PROPERTY OWNER 0 TENANT 'S' 23.32 Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:703 Broadway St.,Ste.510 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 II. 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 Range E-mail:permitsubmittals@polygonhomes.com Barbecue .k CONTRACTOR Clothes dryer(gas) Business name:Pro Heating SECooling 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 lie.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 -Ij- o I,^u-�� days after it has been accepted as complete. Authorized signature: (�W * Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date:04/08/2019 1:1BuidinglPermits\MEC_PermitApp_040113.doc 440-461 rr(I1/02/COM/WEB) Y Electrical Permit Applicati Er j tp F—'' -',. FOR OFFiCE USE ONLY City of Tigard Received I U L 2 2019 Date/B : Permit it: �:" — �1�, t • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.7182439 Fax: 503.59�1460,, Date/B : Related Permit8: Inspection Line: 503.639.4175 �t `t�),I- 1 R(,-% er - Ready Date/By: Jura: H See Page 2 for TIGARD Internet: www.tigard-or.gov ta111L:-l4 Nt� D11 IK _ Notified/Method: Supplemental Information TYPE OF WORK l PLAN REVIEW E New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. 0 Demolition ❑ Other: where the available fault current 0 Marinas and boatyards, CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural El Other: amps for allother installations, buildings. 0 Multi-family 0 Master builder 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived q ❑Addition of new motor load of system. Job#: Job site address: 4615 SW t IO -1M 'A-LC 100HF or more. ❑.,A.,ws., „1.2 .,1_3„ City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑ ❑Health-care facilities. Recreational vehicle parks. Suite/bldg./apt.#: Project name:Polygon At Roshak Ridge 0 Hazardous locations. 0 Supply voltage for mare than ❑Service or feeder 600 amps or more. 600 volts nominal, Cross street/directions to job site: FEE SCHJt.DULE Description I Qty. I Each I Total l • New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: 1 g Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 I " DESCRIPTIONES OF WORK Limited energy,residential ye.ry &'}► vY\ 1M.ST -2,ut`k-cblol (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 ® PROPERTY OWNER ❑ 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 El APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,..er panel A Fee for branch circuits with Business name: William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Nichole Thorpe • B.Fee for branch circuits without sAddress:703 BroadwaySt Suite 510 branchrrvice or feeder fee,first 56.18 2 circuit City/State/ZIP:Vancouver,WA 98660 Each add'I 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 Email:permitsubmittals@polygonhomes.com dwelling,service and/or feeder 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 hrmin) 6625/lu Phone:(503)319-2192 Fax:( ) Investigation(1 hrmin) 90.00/hr • Email:solarpdx@tne.com Industrial plant(i hrmin) 78.18/lu Inspections for which no fee is 90,00/hr CCB Lie.: 199188 Electrical Lie.: c923 Suprv.Lie.: 4871/S specifically listed(6 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Kile Rood Date: 03/08/2019 ❑Plan Review Required(25%3 of permit fee): r.e.r...e,,,...., State surcharge(12%of permit fee): Authorized signature: rTOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Kile Rood Date: 03/08/2019 days after it has been accepted as complete. * Number of inspections allowed per permit. y . • Plumbing Permit Application Building Fixtures RECEIVEE FOR OFFICE USE ONLY City of Tigard Received - `, g �}JL 1 6 2019 Permit No.:Ws12,ruckil 1 - III 't 13125 SW Hall Blvd.,Tigard,OR 972 Plan/Rev `\,, �I r��llii ww Review Phone: 503.718.2439 Fax: 503. (1�y Other Permit No.: TIGARD Inspection Line: 503.639.4175 p^� *1 y : Date Ready/By: ramie: 0 See Page 2 for Internet: www.tigard-or.gov BUILD NtJ I !!\!5 lWW±. Notified/Method: Supplemental Information TYPE OF WORT( FEE* SCHEDULE ® New construction ❑Demolition For special information use checklist. Description 1 Q . I Fa. I 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/ldtchen 25.02 ❑Master builder ❑Other: Fire sprinkler(-sq.ft.) Page 2 JOB SITE INNFORMATION AND LOCATION Site utilities: Job site address: 11-k515 `1yq-I-f.l Pin 7, 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 ft.:_) Page 2 Subdivision:Roshak Ridge l Lot no.: 7S Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 A CND( �‘ � Zok l-ob i O l Clothes washer 25.02 l 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 drain/flour 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 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 12.51 E-mail:permitsubmittals©polygonhomes.com Urinal 25.02 CONTRACTOR Water closet 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 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. LleuildinglPermits'PLMU-PttmitAop.doc 10/01/09 440.4616T(I0/02/COM/WEB) City of Tigard IIICOMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential TIGARD Building Permit #: mc,--v 2.01C-Cam`l L Site Address: 19r6 SV (6qF� Aut, Project Name: pnl �n al- Rzatla Rilf Lot #: 7g (New dwelling=subdivision name;Adl9ition or Alteration=last name of owner) Planning Review _ Proposal �t,V,) S r n : Rev.)ko_usee A! Verify address/suite#active in Accela. [i In River Terra e: 0 No [Yes,River Terrace Review Addendum SityPlan Elements: LvlErosion Control V.3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper F:i ' - .' ed trees with drip line and tree protection measures III .visa to scale(standard architect or engineer scale) I:1 ttprint of new structure(including decks)and FFE Ir :rth arrow Illd'CJ}iltty locations&easements(required for new and additions) Ir.Sit address,project or subdivision name and lot number idewalk/driveway approach it .plicant information(name and phone number) J • ation of wells/septic systems iri Lot dimensions and building setback dimensions 0 yret tree size,type and location are footage of buildings to be demolished �� et names sting structures on site [U[;omer elevations(2'contours if more than 4'diffffer�tial) t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? CUYes ❑No ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Y07No [ Clean Water Services-Service Provider Letter,Rot platted prior to 9/10/1995): L Atrl, LA equired: D Yes,applicant was notified No Received: 0 Yes 0 No trf 1 J al Public Facilitie provement(PFI)Permit: ANF / Vt Required: Yes,applicant was notified 0 No Applied For: Yes 0 No,stop intake Isd and Use Case#: PDP2 17-O0OO2_ li'Zoning V)Z Vj:equired Setbacks: Front Al- Rear: 0 Side: b Street Side: 3 Garage: fr'.1 V. B ding Height: Max. Height:_-,1, _ Actual He•ght: US [ 'Landscape Area: 2,0 %` E 'iLot Coverage Max: ( O 04 ` trance 0 Set back no more than 8'from street-facing wall 0 Parallel to street or offset 45 degrees or less Windows ❑ Minimum 12%of area of all street-facing facades Garage 0 Garage door is behind widest street-facing wall 0 Yes ❑ No,one of the following is met: 0 Door extends no more than 5'from wall and there is a covered porch extending beyond garage. � 0 Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2°d floor. 1 icrue 0 Garage door width is 0 12'or less 0 50%or less of facade 0 60%or less and includes 7 of following: 0 Covered porch 0 Recessed entrance 0 Wall offset 0 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding 0 Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer 0 Accent siding Window trim ❑ Window recess 0 Window projection 0 Balcony af isual Clearance Urban Forestry PI I: Sensitive Lands: Yes rit'No Type: V Conditions met prioft I issuance of builfiing permit o4s: 11-f11 M le- rut Tot' h3,Pxni� Gd Approved By Planning: Qt1l/J1,0\- Date: 3-11+1 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved 0 Not Approved t:16uilding\Forms\BldgPemutRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: `P I Ql I ‘ci Site Plans: # Building Plans: # Building Permit#: El/Enter building permit#above. Workflow Routing: Re Planning Et/Engineering C"Pernut Coordinator [ <Building Workflow Sign-off: a Sign-off for Planning(include notes from planning review) Route Application Documents: C'Engineering. (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. C'Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: \_x_.A._,..�. Date: ' 1 a'1-1 1A Engineering Review Slope at building pad: 51) 70 conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat .2 -Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ...,121'INTo Assess Water Quantity Fee in-lieu: 0 Yes No LIDA Facility on lot ❑ Yes 2 No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: j2KApproved by Engineering: L� Z Date: g /?:/!' Revisions (after Building Submittal only) Reviewer wer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review 0 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: iS1DC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A Tigard Trans SDC: ��y 0 N/A Parks SDC: E 'Yes ❑ ) A LIDA 0 Yes rp' /A K to Issue Permit Approved by Permit Coordinator: ��li'f�r���/ Date:14Jiah 1 I:1Building\Forms\BldgPemutRvw_RES_022819.docx City of Tigard illCOMM COMMUNITY DEVELOPMENT DEPARTMENT :71 i T 1 G A R D River Terrace Building Permit Review Addendum Building Permit #: mcs--c-aoAC -O(: \01 Site Address: I931S SW (bith Ave. Project Name: Polyga,, d-�- Ljz Re- Lot #: (New d belling=subdivision name;Ad ition or Alteration=last name of owner) Planning Review of River Terrace Plan Distyict Design Standards (18.640.070.1.): Is the project subject to the plan district design standards? Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep Gabled dorm ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6ft wide ��= ❑ ❑ - s 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 2.3'/' L0,6 3. trances:At least one entrance must meet both of the follo ' g standards: Max. 8 ft. setback from longe street-facing wall arallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No If y s,all the following apply: ?,3 sq.ft.min. ,ne street facing entry 04 ft.max.roof above floor of porch 5 ft. depth min. Lir'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: h'Covered porch min. 5 ft.wide x 5 ft. deep F 0 R5cessed entry area min. 5 ft.wide x 2 ft. deep ❑ W offset nun. 16 inches ittormer min. 4 ft.wide S lU'Roof cave min. 12 inch projection RA � �°f offset min. of 2 ft., S ❑ Roof shingles either tile or wood L4��'Gle,hip or gambrel roof design V S ❑ R9of pitch oriented south min. 500 sq. ft. l�'Horizontal lap siding min. 3-7 inches wide S [ 'Accent siding min. 40%of street facade F ❑ Window trim min.21/2"wide by 5/8"deep O Window recess min. 3 inches for all street facing �❑ By window min. 5 ft wide by 2 ft.deep ❑ Balcony min. 5 ft. wide x 3 ft. deep with inside access IN/Attached garage is 35%or less of street facade F 5. Garages and Carports: May face the front or side lot line on a corner lot. 1 rA, Setbacks: 'v'Tl o closer to front or side lot line,than longest street-facing wall. 0 Yes ❑ No. If No (Check one): ate"-16... 0 May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. O 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 5aat9t ove the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) 11142-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: �) Approved By Planning: A.pir`^"t,_. LEI LA"-, Date: 1--2 j-tj I:\Building\Forms\BldgPamitRvw_RES_RT_I2I4 17.docx