Permit (38) �, CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00019
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2018
Parcel: 251060001400
Jurisdiction: Tigard
Site address: 17051 SW APPLEDALE RD
Project: River Terrace East Apartments,Building A-Clubhouse Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building A-Clubhouse and 7 units.
Contractor: POLYGON WLH, LLC Owner: POLYGON WLH, LLC
703 BROADWAY STREET, SUITE 510 703 BROADWAY ST, SUITE 510
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX: 360-693-4442
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: NEW Type of Const: VB Wash Co Trans Dev Tax-Apartment 02/27/2018 $37,905.00 '
Occupancy Grp: R-2 Occupancy Load: 121 Tigard Trans SDC Improvement- 02/27/2018 $22,407.00
Apartment
Dwelling Units: 7 Tigard Trans SDC Reimbursement- 02/27/2018 $1,295.00
Stories: 3 Height: 0 ft Apartment
Bedrooms: 13 Bathrooms: 11 Tigard Trans SDC River Terrace- 02/27/2018 $10,962.00
Value: $1,070,119 Apartment
Parks SDC Improvement-MF 02/27/2018 $22,960.00
(apartment/condominium)
Floor Areas: Parks SDC Reimbursement-MF 02/27/2018 $5,404.00
(apartment/condominium)
Total Area: 9626 Parks SDC River Terrace-MF 02/27/2018 $10,549.00
Accessory Strutt: 0 (apartment/condominium)
Basement: 0 DC Provision Review,COM New-Bldg 02/27/2018 $178.50
DC Provision Review,COM New-Ping 02/27/2018 $178.50
Carport. 0 Plan Review-Fire Life Safety 02/27/2018 $1,968.79
Covered Porch: 0 Info Process/Archiving-Lg$2.00(over 02/27/2018 $90.00
Deck: 0 11x17)
Info Process/Archiving-Sm$0.50(up to 02/27/2018 $75.00
Garage: 1186 11x17),
Mezzanine: 0 Metro Const. Excise Tax 02/27/2018 $1,284.14
Total $136,621.24
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: Yes
Smoke Detectors: Yes Manual Pull Stations:
Accessible Parking: 0
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: Ifir C - _ Permittee Signature: (2A7 �� _,---.74.,�,
r
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
- " - FOR OFFICE USE OtiLI"
City of Tigard 2n t' 3 1 "17
Received
IN - ® 13125 SW Hall Blvd.,Tigard,OR 972 H f V Date/13 : t / Permit No.: ` /0,10)/7� !9
o art Plan Revie
Phone: 503-718-2439 Fax: 503-5 (0ii I; y (4 t�rs i t.r Date/B : .I _ ) �(` i Related Permit:
TI GA RD Inspection Line: 503-639-4175 t� �,Sc� 3 Date ReadyBy: Juris: ® See Page 2 for
Internet: www.tigard-or.gov k j1L1.1.), '' Notified/Method. Supplemental Information
I // ' sr _ ri g. rf
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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 the profit for the
0:‘ !.
wi r � � Y � � 10r/ work indicates on this at slication.
❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation:,' �, / �.;, '.:a i 4)
i
1, ,f 6
0 Accessory building MI Multi-family Number o •4 ooms: f5,
El Master builder ❑Other: Number of bathrooms:
% ;'''''..rI.II:
' t TY N. � I /* � Total number of floors:
✓. # �- gi s
Job site address i'•7'
7 Q'i (.v kC j,E_t'3N (- New dwellin area:g ci 6, :2(;) square feet
City/State/ZIP: , � o p r of F7/17/0 Garage/carport area: /, square feet
Suite/bldg./apt.#: p.��Project name: Il/g, - Covered porch area: square feet
street/directions to job site: C 4,k,) S
7"-
Cross —
!.Y)D�,s �� Deck area: �datS square feet
SW Ra, ? P, J G
11 ,a Other structure area: /Oe square feet
CL 1x_10 C9-C�-�O �- 't' I, , : S OA'
Subdivision:
Lot#: // Permit fees*are based on the value of the work performed.
Tax map/parcel#: f 3 / Indicate the value(rounded to the nearest dollar)of all
t` , equipment,materials,labor,overhead,and the profit for the
� 1 !° work mdi�ate on this application-
sT �� V R
4).t w . ; elf q k-� Valuation: ,( }
Existing building area: a 24 C)i
1 4-
New building area: I square feet
( 14 Ao�R o '' ► Number of stories:
At Name: I is tht15 DL-VLI MytO41+ 7'�_
Type of construction:
�3Address: W 158 t A Alf_CMA ,,, / Occupancy groups:
City/State/ZIP: 13, f ,' , t VI Of\ ".9---10a6,-
Phone:6039 ail 1 -,81:
„4 ( )
r /ip? tfJ • BOLD G WATT �"*
9
Business name: cf:.it,{ � , -Peck. G fee(or deposit):
Contact name: W4 y� 't) , IIIVIUr-& — —
FLS plan review fee(if
Address: 00?) ' ), / applicable):
�-1( H fe ?tea
City/State/ZIP: �A a hd ( 'I� ` I -, ► Total fees due upon application:
Phone:( I .4 LC 2+�,J-- I Fax::(51)3) (/,C — 2%pts Amount received:
E-mail: ,I a 111 U�'0. c/1�t 1� I ,.P T 'O4'AI i F S*
r i •u mercial and residential prescriptive installation of
; .. - % ,�„ �T„ g / 4 ! op mounted Photo Voltaic Solar Panel System.
Business name: ,mo` _- �,so /'s, ubmit two(2)sets of roof plan with connection details
Address: �] c CO s 1 and f department access,along with the 2010 Oregon
1ss}� - J _ 0 - ,,.,�;4 Ai ,;'• ar Installation S•ecial Code checklist. _
City/State/ZIP: GAY, a . 1-7006, \ � Permit fee(includes plan review $180.00
Phone:(s�l , 4 — 'f II Fax:(� � *4 _ �/ �' / and administrative fees):
tC�� State surcharge(12%of permit fee): $21.60
CCB Lic.: 4 /
Total fee due upon application: $201.60
Authorized signature: 444/d
1 I ' This permit application expires if a permit is not obtained
(� t within 180 days after it has been accepted as complete.
Print name: WA U nQ, ksi b S Yi�”d YV1 U 1'-0.. Date: 0,1/7 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
t Building Permit Application RECEIVED
Commercial
FEB 2 2018FOR ORA( F. t�SF ONLY
City of Tigard Receives� , � _
II y 13125 SW Hall Blvd.,Tigard,OR 9722 3 (,) �LL� �� ,,g ,---r Permit No.`4,, 4 /
Phone: 503.718.2439 Fax: 503.598. Plat Review
Inspection Line: 503.639.4175 ' {S yrs IVIS 'ateB : Other Permit:
T]G A It D p Date Ready/By: Juris: 61 See Page 2 for
Internet: www.tigard-or.gov Notified/Method:
Supplemental Information
s i . .... � -. .`-�'�1��1tEl�D `�.�c`"�_,q�liiD 2-T _ _yA»rt.LING��,
®New construction 0 DemolitionPermit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other:
equipment,materials,labor,overhead,and the profit for the
7 .tC TEGORY"OF d;ONS fit `
• :` .: . .-„,,Y . . work indicated on this application.
❑1-and 2-family dwelling r'.I C.mmerc>alCmdustrial Valuation: $
❑Accessory building 4 Multi-family' Number of bedrooms:
❑Master builder r Off: Number of bathrooms:
M ..
v :� r,�lgrin ':-...4-4.E;:':
Total number of floors:
Job site address: 17051
SW Appledale Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224
/1 Garage/carport area: square feet
/1
Suite/bldg./apt.no.: I Project name:River Terrace East
io94,914T/JE�Tj Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
Subdivision:River Terrace East 5,` 0 DAT,�l..i lam,
Lot no.:A 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
. liiis iO*T- * work indicated on this application.
BUP2017-00019 Valuation: $
Existing building area: square feet
New building area: square feet
P ' C],' ' . PRORTOG
Number of stories:
Name:Polygon WLH,LLC "
Type of construction:
Address:703 Broadway St Suite 510
Occupancy groups:
City/State/ZIP:Vancouver WA 98660
Phone:(360)695-7700 Fax ( )
Existing:
TCAIVT New:
-4";-:737 ;:f.7:141/14). �
� ti
Business name:Polygon WLH,LLC : ."
Contact name:Nichole Thorpe Structural plan review fee(or deposit):
Address:703 Broadway St Suite 510 FLS plan review fee(if applicable):
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 Fax::( ) Amount received:
1-mai le to a orpel poi romes.com l y .4r t&!)pA*. r , t,p,1
---; ,-,,,-.7,-',i C R al and residential prescriptive installation of
_ ,f,,,,,,,, ,,.-,, ,,,,.:;:,„,:,..,Li.,;,,,.._::,,,: Commercial
r' -` -' a. roof-top mounted PhotoVoltaic Solar Panel System.
if.
Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details
Address:703 Broadway St Suite 510 and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review
Phone:(360)695-7700 and administrative fees): $180.00
Fax:(360)693-4442
CCB lie.:204238 State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: rn This applicationexpires
��'v"" Z.r.�� permit if a permit is not obtained
"' within 180 days after it has been accepted as complete.
Print name:Nichole Thorpe Date:2/27/2018 *Fee methodology set by Tri-County Building Industry
Service Board.
I:1BuildinglPennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
111
p COMMUNITY DEVELOPMENT DEPAR 1 MENT
T 1 G A R D Building Permit Review — Commercial -
With Land Use
.. . . :.::: . ... .
Building Permit #: Lc Pap 'I—t v 19
Site Address: C 05 Ao t • a 1,
Suite/Bldg#: _
Project Name: Ri VL°r Te r rc,u. fr) l - - c-c r)'? a1 LJ
(Name of commercial business occupying the space. If vacant,enter Spec Space.) '
Planning Review
Proposal: (1"—r I rr1 M tiff; - FP mil
f Zf Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: Yes ❑ No
Land Use Case#: � D22p1� — 0000 ,3SDR Zc�Ib -
Xi Plans Match Approved Land Use: 00005°j"O 0O$
eeSite Plan NA-0 Landscape Plan ❑ Other:
Urban Forestry Plan 2--Elevation Plan
'Building Height: Maximum Height IfS
g Actual Height 3 G• C-
Z Conditions Met: ❑ Prior to Submittal
(gnu/ t Si+c WOr ❑ Prior to Permit Issuance
siness License: ✓h utti _ C6✓hi I vJ
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
gr Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No
Applied For: Yes ❑ No,stop intake
Notes: CO Acerb-CI ns out S-r-rwidL:h
WOrk- nrt04- be iSd"c un-f-I ciao
Approved by Planning: '� ° i rt.)e
Date: /-?I /7
Revisions (after Building Submittal only)
Revision 1: ❑ A roved Reviewer Date
pp ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: /l?�///7
Site Plans: # 5
Building Plans: # 3
Building Permit#: 2-Enter building permit#above.
Workflow Routing: �Plannin
Workflow ou-off: g 2—Engineering hermit Coordinator �uilding
L� Sign-off for Planning(include notes from planning review)
Route Application Documents: 2-Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: , ., ff
Date:
\Building\Forms\BldgPernutRvw_COM_WithLandUse 060116.docx
Engineering Review
❑ Slope at building pad: do
PFI Permit#: ♦ .rte ��
Conditions"Met"prior to issuance of building permit Aferrivi
❑ Easements (encroachments)per engineering conditions of approvald anat of typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering:
Date
Notes:
Approved by Engineering:
dZ _ Date: ,a7147
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 2�
I ate: /
pproved,NOT Released:
Notes:
/CA.
-i-
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:
7 SDC Fees Entered: Wash Co Trans Dev Tax: Cl Yes ❑ N/A
Tigard Trans SDC: :!..1Yes ❑ N/A
Parks SDC: ► es ❑ N/A
OK to Issue Permit
tate: .7—. /'� d
/AProved by Permit Coordinator:
I:\Building\Forms\B1dgPermitRvw_COM_W ithLandUse_070915.docx
MIL
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
1114 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
T 1(AA RE) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
DATE E _.s_ % �
TO: Dianna
.....,,
DEPT: BUILDING DIVISIONMAR 2018
5I
FROM: Sam Scott l�.���'��1,, ,)n 'cif.)-)k,
COMPANY: Polygon Northwest �--
PHONE: 503-956-7595 BBV
RE: 17051 SW Appledale Rd BUP2017-00019
(Site Address) (Permit Number)
River Terrace Building A
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS
Copie ;;DeSe .. k„Y rC pie p n:
0 Additional set(s) of plans. 3 Revisions: Pool Mechanical Room
0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis.
0 Floor/roof framing. 0 Basement and retaining walls.
0 Beam calculations. 0 Engineer's calculations.
0 Other(explain):
REMARKS: Added the Pool Mechanical Room to the plans
bit/4 r F----0-74,-- 4‘71-'(- ----C6-4 ----&-j-- P72-e7/7 /9-4k.-3 -7-e < -
[ , ,,u.
FOR OFFICE USE ONLY,
Routed to Permit Tec ian: Date -.3_ ) ' Initials:
Fees Due: 7.1 Yes ' ► 1 No Fee Description: Amount Due: -
1 �p)a w rte/`, € VJ $ O
$
$
$
Special
Instructions: _
1.-- [ Done
I Reprint Permit(per PE): (i Yes j A No _
Applicant Notified: „,u/ Date: e,
i Initials:
1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
City of Tigard
illPf
■
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: —76 p, 90 i"1—C> 6
Site Address: 17051 Ao Suite/Bldg#: 14
Project Name: Ri Ver Te r rc,u. m v 1 ti - C-ci rn i(j fi`'`b h ��
(Name of commercial business occupying the space. If vacant,enter Spec Space.) �L"
Planning Review
Proposal: 214 '1 -' i iv") — Emily � c �
p f ice( / 't'
gr Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: le Yes 0 No
0 Land Use Case#: PD (Z2O1b - OOoO$ SDR. 'WI b - 0000S
Plans Match Approved Land Use:
Site Plan 44-0 Landscape Plan ❑ Other:
it Urban Forestry Plan Elevation Plan
'Building Height: Maximum Height LK— Actual Height 3 4.
jr1 Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
Pette s.+c wor►ti.
a usiness License: yh of i _ ai 1 J
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
J`( Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: te Yes 0 No,stop intake
Notes: CO A d:, h 0 PI.f O U'("S-f-z L
Sim WArlti ref", ' aod- he is$ A- vrl-f;1 con J-ifro n, me +-
Approved by Planning: G Date: J-11 7 7
Revisions (after Bujjding Submittal only) 'ewer Date
Revision 1: Approved 0 Not Approved _"' �-- 3/1 i
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved El Not Approved
Building Permit Submittal
Original Submittal Date: 1/3///7
Site Plans: # ?j
Building Plans: # 3
Building Permit#: 2-Enter building permit#above.
Workflow Routing: a-Planning 21—Engineering D—Vermit Coordinator aluilding
Workflow Sign-off: Er Sign-off for Planning(include notes from planning review)
Route Application Documents: 2'Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 3C Date: //31//,
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_060116.docx
I
Engineering Review
❑ Slope at building pad:
PFI Permit#: _g�/A c2 _0:,7
conditions"Met"prior to issuance of building permit i
asements (encroachments)per engineering conditions of approval an t ot typical on SDR/CUP)
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes 0 No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No
LIDA Facility on lot: 0 Yes 0 No
0 NOT Approved by Engineering: Date
,I .
Notes: r '- . _ .i
Approved by Engineering: 12 J7 Date: ,..„ -�/ /7
Revisions (afterBu�' ing Submittal j„ viewer Date
Revision 1: I Il Approved it'' ot Approved ._.,,, 3 i /g
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
pproved,NOT Released: 4 ate: /////
/cA
Notes: _7fir,,,T
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:
7 SDC Fees Entered: Wash Co Trans Dev Tax: ►.1 Yes El N/A
� - Tigard Trans SDC: +0 Yes 0 N/A
Parks SDC: •► es ❑ N/A
1 OK to Issue Permit "y/ g/;/g
/Approved by Permit Coordinator: /#141,r-Date: /-14
I:\Building\Forms\BldgPermitRvw_COM_WithlandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17051 SW APPLEDALE RD, SHERWOOD,
OR, 97140
Record Type: Record ID:
Commercial - Building BUP2017-00019
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor