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Permit (92) 114 „ CITY OF TIGARD SITE WORK PERMIT COMMUNITY DEVELOPMENT Permit#: SIT2017-00020 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/16/2017 Parcel: 251070001305 Jurisdiction: Tigard Site address: 16780 SW BULL MOUNTAIN RD Project: Polygon at South River Terrace Subdivision: None Lot: None Project Description: 5 ft.high retaining wall for 16780, 16830,and 16880 SW Bull Mountain Road. Contractor: NORTHWEST EARTHMOVERS INC Owner: ADLV LAND HOLDINGS LLC PO BOX 1609 BY FORSUM, MICHAEL SHERWOOD, OR 97140 7600 E DOUBLETREE RANCH RD STE 1 SCOTTSDALE,AZ 85258 PHONE: 503-625-3100 PHONE: FAX: 503-625-3108 FEES Description Date Amount Specifics: Permit Fee-Site Work 08/16/2017 $1,716.40 Plan Review 08/16/2017 $1,115.66 Type of Use: COM 12%State Surcharge-Building 08/16/2017 $205.97 Class of Work: OTR Info Process/Archiving-Lg$2.00(over 08/16/2017 $38.00 11x17) Project Valuation: $301,400.00 Info Process/Archiving-Sm$0.50(up to 08/16/2017 $32.50 11x17) Erosion Control w/Development 08/16/2017 $386.40 Site Specifics: Excavation Volume: 5800 cu.yd. Fill Volume: 2200 cu.yd. Impervious Surface: 1170 sq.ft. Engineered Fill: Soil Report Required: Paving: Grading: Landscaping: Site Prep: Stom Drains: Retaining Wall: Yes Fire Underground: Accessible Parking: Fence: Total $3,494.93 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / Issued By: 4 / Permittee Signature: 7J C,�7e���L / Call 503.639.4175 by 7:00 a.m.for the next available inspection date. VVV This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. .. nildtng Permit Application tf ' Site Work RECEIVED i(}l2{)1't.14'l 1 SI:t)\I.l Cityof Ti e-' 1312SW HallgBlvd..rTigard,OR 97223 J U L 3 #. 2017 Plan Received w/%.-.3— /7 % Permit Nuts s'//at /7' j . o Phone: 503.718 2439 Fax: 503 S9$^I9601111 may_ Q- ' ) toter Fenzut: T R.\tet? lnspeetion Line: 503.639,4175 C TY OF TIC;ARD Date ite:adylSy: ' � J bra; set nc2fInternet; walv.tigard-or.gov BUILDING �IVi it.i� kttfierlMeahod(� � /7 � SaPWemexitai tn4rfa raatioo e /1/4- q v/ TYRE'OF WORK REQUIRED DATA:i-AND 2-JAM ILY DR/RUING IS New construction ©Demolition Permit fees*are based on the value of the murk performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replace hent 0 Other; equipment,materials.;labor,overhead,and the profit for the ---1'I'EGUItY OF CONST lliCT'It 1N work indicated on this application. 1-and 2-family dwelling 0 Cominerciallindustrial Valuation: S c Q ' (,l Acspr:building 0 Maki-family Number of bedrooms: ❑Master builder . ()tiler Number of bathrooms: JOB SITE INF{IINIATiopti AND LOCATION Total number of flours Job,site address:/�f,e.,,P ,i /42e0 r r+,j/719,,,,,i,„, /4 New dwelling.area: s quare feet. City//Slate/7JF: 77,,„„,„01 0, /°04y6-20A,./ /9'7-- Garage/carport area ,p square feet: Suite/bldg./apt.no.: Project name:, S' �1, !fi Covered Tawe Jae,} dyes--E�. porch area: square feet Cross street/directions to job site:0r../1/�ce,Rsn 1..en ,4,' 4,n o rJ o C r,t- Deck area: square feet.. other structure area: square feet REQUIRE])DATA:COMAIERC t-LtSE C7hECIGi..IST Snb(fivision Lot no Perrnat t'fees*are based on the value of the work performed. Tax map/parcel.no.: es /0? . e is /4 y ea:70 indicate the value(rounded to rhe nearest dollar)of all D n ate'ri;als,labor,overhead-and the profit for the InioN OF woju work indicated on this application. /7- ) , 5-h/9 eiivl rcee-1en,•'t?fit..// Valuation: Existing building area: square feet New building area: square feet fiti PRO RTY OWNER 3 0;TEblitivi7 Number of stones: Name: an if/ Type of construction: Address: 70 3 23,,o,u+^ /u.Ad.a S / Occupancy gaups: ..!c,ty/statetZip: tfc41,nC .el'efA,.)t 99'. 4- Phone: 70 Fax: .46 9s - 7 (3 ( ) Existing: �,t New: ,pal.APPLICANT` 0 CONTACT PERSON ” Business name: lt�c' s ""''" • ' 144ITt , t ,'uAll contractors and subcontractors;are required to be Contact name: ,t. ,,r1licensed with the Oregon Construction Contractors Board Address: /8.5441 r under ORS 701 and may be required to be licensed in the S / s/ri Std- jurisdiction in which work is being performed.it the City/State/LIP: �a�� / 47223 applicant isexempt from licensing,thefollowing reasons Phone:(503/ 94(-9. 4 $ l Fax::( apply: E-mail; Business n€me T$p /1/�7 Itt&-s ' k- -7 '/,,o 4,,-----C READINGPERMIT PEES*/o CJx �lC9� tter�takr- thrc } vis City/StatelICity/Stale/ZIP: �' -n Gc%+C7�.1/ 6/� Structural plan review fee(or deposit): �^ /�� Photic 6 - j Fax ( ) FLS plan review fee(if applicable): CCB tic: ei9r7.6/ Total Cees,due upon application: Authorized signature: 41 Amount received: This permit application expires if a permit is not obtained Print' nattte: � �aJ/,� r � L J I bate7 within ISO days after it has been accepted as coin.lett. 77 1 d] '�'l 1 7 _ * Fee methodology set by Tri-County Building industry 1:1BuildingxFersrtits STC-Ferri J Service Board, it,+1l?p.doe Gg/o2/2016 440-4613T(1l/OVCO ,l B). City of Tigard: Site Work Permit Checklist Page 2-Supplemental Information Commercial,Multi-Family and One-and Two-Family Dwellings: No permit is required if fill is less than 50 yards(5 dump truck loads),or less than 3 feet deep and will not be supporting a structure. If a building will be constructed on the fill, it must be engineered fill. If fill is in a flood plain,drainage way, or wetland,the applicant must apply for a sensitive lands review (SLR). Please complete all items below,unless otherwise noted. Excavation Volume: S go() cu.yds. Grading Volume: (Soils report required for>5,000 cu.yds.) -.2- 1:4456 cu.yds. Fill Volume: (Fill exceeding 12"in depth shall be compacted to 90% of maximum density) 22DO cu.yds. • Retaining structure? (Check one) ❑ Rock ❑ CMU P Concrete ❑ Other: *Total new impervious area including all buildings, sidewalks, andpavin /70 satf ft a h Site Utilities Plumbing Work: Complete the Plumbing Permit Application for site utilities plumbing work. Plans Required: See"Site Work Permit Application-Plan Submittal Requirements"attached. The following must accompany this application: ® Site Plan with Vicinity Map sllew-ifig-41474 ❑ *Parking(including ADA)and Lighting oompliapee Plan Grading Plan and details *Landscaping Plan Erosion Control Plan and details E Soils Report(if required) Retaining Structures *Does not apply to One-and Two-family dwellings. Plan Submittal: Permit Fee: TYPE OF SUBMITTAL #of Plans uata pfee° 3 i (New,Additions or Required at $.00 to$500.00 $51.09 minimum permit fee Alterations) Submittal $500.01 to$2,000.00 $51.09 for the first$500.00 and $2.69 for each additional$100 or fraction Commercial 3 thereof,to and including$2,000.00. $2,000.01 to$25,000.00 $91.44 for the first$2,000.00 and Multi-Family R-1 Occupancy 3 $10.76 for each additional$1,000 or fraction thereof,to and including $25,000.00. One-&Two-Family Dwelling 3 $25,000.01 to$50,000.00 $338.92 for the first$25,000.00 and $8.06 for each additional$1,000.00 or fraction thereof,to and including $50,000.00. $50,001.00 to$100,000.00 $540.42 for the first$50,000.00 and $5.38 for each additional$1,000.00 or fraction thereof,to and including $100,000.00. $100,000.01 and over $809.42 for the first$100,000.00 and $4.49 for each additional$1,000.00 or fraction thereof. I:\Building\Permits\SIT-PermitApp.doc 08/02/2016 2 1 rz City of Tigard N . 'I COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential , Building Permit #: S ZT7 2/ (7- 006,020 Site Address: // -9-k0/ /( 9, 1 () SiO Zah' - Pre Project Name: //�/ -n ,2- /- cat / i,�L,�- 1 r&a Lot #: (Neu( J g=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 4Iiij 2_74 b-)-- ;�/ artt0-Ple f.P.i2 it,t7 7! Ow 11 a Verify site address/suite# exists and active in permits em. ❑ River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: 'i\ ]Three(3)copies of site plan Existing structures on site t' 0S3te plan must be on 8-1/2"x 11"or 11 x 17"paper O otprint of new structure(including decks)with finished al awn to scale(standard architect or engineer scale) fl•or elevations LldT1 arrow IP tility locations&easements(required for new and additions) P address,project or subdivision name and lot number J '.ewalk/driveway approach OQApplicant information(name and phone number) 0 I t ation of wells/septic systems ❑Lot dimensions and building setback dimensions F Existing trees to be retained with drip line,and tree 040Square footage of buildings to be demolished .rotection measures ❑Lot area,building coverage area,percentage of coverage and 4'.Ir -et tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) i•Street names 'roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ('s ❑No 4 foot differential) If yes,is a storm water quality facility shown3 nYes ❑No 1 can Water Services-Service Provider Lett7(lot platted prior to 9/10/1995): /ffZ 'e". kJ /' a _ equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facili s Improvement(PFI) Permit: pri -00/0/J Required: IYes,applicant was notified ❑ No Applied For: Yes ❑ o,stop intake i/Land Use Case#: .bP Js-=f w - t/P 2 i - 001# / ��� i4� - 66665 y�' Zoning: /2-v �,l)/ ) -/ 7 i. Required Setbacks: Front Rear Side Street Side Garage Landscape Requirement: 0Lot Coverage Maximum: cyo Building Height: Maximum Height Actual Height isual Clearance Ig Sensitive Lands: /Yes ❑ No Type j/ 2 a,r�d.J-r 111°Urban Forestry Plan C Conditions"Met"prior to issuanc- of buil. g permit Notes: V s Approved By Planning: �� J Date: f //// — Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPermitRvw REs 061417.docx Building Permit Submittal / Original Submittal Date: _7/7///7 Site Plans: # k Building Plans: # Building Permit#: ifri Enter building permit#above. Workflow Routing: Planning Engineering PrPermit CoordinatorBuilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: / Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / _ r Date: (/2-//7 By Permit Technician: .t L i. //Ater i Engineering Review w ' ❑ Slope at building pad: 1v k 5 tri, GJ -• E Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/•uantity Facility: Assess Water 0u' Fee in-lieu: ❑ Yes ❑ No Ak... Assess Water Q : ,tity Fee in-lieu: ❑ Yes CINo A.: LIDA Facility .n lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: in!la- 4,ki lam- Date: e/ i/7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: rey,,/ 0v1,7 41.e. ei,,!ecLl Date: SVAVi 4.- Notes: —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: DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A Tigard Trans SDC: ElYes N/A Parks SDC: ❑ Yes P-� N/A LIDA CI Yes /A OK to Issue Permit pproved by Permit Coordinator: / 7 Date: ` 1 1 I:\Building\Forms\BldgPermitRvw_RES_061417.docx City of Tigard 111 e COMMUNITY DEVELOPMENT DEPARTMENT S TIGARD River Terrace Building Permit Review Addendum St . Building Permit #: / Site Address: / —J // s • / , /& a , &/( ,U 2 Project Name: L , , �i�zc al V-Pf- `7 ecra Lot #: (N:rerelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Defgn Standards (18.660.070.1.); Is the project subject to the plan district design standards? CI De No 1. ' ,iculation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An addi •.nal elemen equired 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. ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gab d dormer ❑ ❑ ❑ ❑ ❑ 2. Eyes on the street: , minimum of 12%of each street facing facade must include window: or entrance doors. Percentage Shown: 3. Entrances:At least one entr.,ce must meet both of the following standards: ' et facing wall CI Parallel to stree angle no more than 45° from street, CI Max. 8 ft. setback from longest s or open onto p..ch Entrance opens to a porch: ❑ Yes ❑ If yes,all the following apply: ❑ 25 sq. min. ❑ One street facing entry ❑ 12 . max. roof above floor of porch ❑ 5 ft. depth min. ❑ ,1%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of • - of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep hi Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ 6.rmer min. 4 ft.wide ❑ Roof eave min. 12 inch projection ❑ Roo' .ffset min. of 2 ft. ❑ Roof shingles either tile or wood ❑ Gable, •o or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. '. ❑ Horizontal ..o siding min. 3-7 inches wide ❑ Accent siding min. 40%of street fa,.de ❑ Window trim b: . 2'/2"wide by 5/8"deep ❑ Window recess min. 3 inches fo . street facing ❑ Bay window min. t.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft seep with inside access El Attached garage is 35°. or less of street facade 5. Garages and Carports- ay face the front or side lot line on a corner lot. Setbacks: No closer to front o side lot line, than longest street-facing wall. ❑ Yes ❑ No. If No (Check one . ❑ May extend u. to 5 ft.if there is a covered front porch and garage does not extend beyond the front •orch. ❑ May exteno up to 5 ft.where the garage is part of a two-story building and there is a window at the Seco . story. above the t. age that faces the street with a min. area of 12 sq.ft. Width: heck one) ❑ -foot-wide garage door ❑ 40%max. of street facade 12 50%max. of street fa ade with 7 detailed design elements Notes: ae, it V k // �►4 , - Approved By Planning: -- Date: 3/ 1:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx RECEIVED JUL 31 2017 Pacific Community CITY OF TIGARD Design PLANNING/ENGINEERING Transmittal 1, DATE: July S, 2017 TO: Building Department City of Tigard RE: Polygon at South River Terrace PROJECT NO: 395-020 Via: Messenger: ❑ Mail ❑ Overnight ❑ Pick-up ❑ Electronic Rush / Route ❑ Fax pages (including this page) Fax No. 000-000-0000 Transmitted: ❑ FOR APPROVAL ® FOR REVIEW AND COMMENT ❑ FOR YOUR USE ❑ AS REQUESTED ❑ Attached: COPIES DATE DESCRIPTION 1 7/23/17 Check for Building Permit application fee 1 7/24117 Signed Permit Application 3 7/24/17 Wall Plans 2 7/24/17 Site and Limited Grading Plans 1 12/5/14 Geotechnical Report REMARKS: �i ���1C1‘ SIGNED: Eric H inson -For` 176-1-r-r-- A r e(14-$4-0 Mail: 12564 SW Main Street, Tigard, OR 97223 Phone: (503) 941-9484 Website: www.pacific-community.com Fax: (503) 941-9485