Permit 71i CITY OF TIGARD BUILDING PERMIT
1' COMMUNITY DEVELOPMENTPermit# _
. BUP2017 00037
T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2018
Parcel: 2S1060001400
Jurisdiction: Tigard
Site address: 17043 SW APPLEDALE RD
Project: River Terrace East Apartments,Building C Subdivision: RIVER TERRACE EAST
Project Description: Building C-12 units Lot: None
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
T e Description Date Amount
yp of Use: ME
Permit Fee-RES-New Construction 02/27/2018 $6,237.32
Class of Work: NEW Type of Const: VB
12%State Surcharge-Building 02/27/2018 $748.48
Occupancy Grp: R-2 Occupancy Load: 75
Dwelling Units: 12 Plan Review 02/15/2017 $3,476.34
Stories: 4 Height: 0 ft Wash Co Trans Dev Tax-Apartment 02/27/2018 $64,980.00
Tigard Trans SDC Improvement- 02/27/2018 $38,412.00
Bedrooms: 11 Bathrooms: 18
Value: $1,465,602 Apartment
Tigard Trans SDC Reimbursement- 02/27/2018 $2,220.00
Apartment
Tigard Trans SDC River Terrace- 02/27/2018 $18,792.00
Floor Areas: Apartment
Total Area: 13079 Parks SDC Improvement-MF 02/27/2018 $39,360.00
(apartment/condominium)
Accessory Struct: 0 Parks SDC Reimbursement-MF 02/27/2018 $9,264.00
Basement: 0 (apartment/condominium)
Carport: 0 Parks SDC River Terrace-MF 02/27/2018 $18,084.00
Covered Porch: 0 (apartment/condominium)
Deck: 0 Additional Plan Review 02/27/2018 $200.00
DC Provision Review,COM New-Bldg 02/27/2018 $180.50
Garage: 2188 DC Provision Review,COM New-Ping 02/27/2018 $180.50
Mezzanine: 0
Plan Review-Fire Life Safety 02/27/2018 $2,494.93
Total $223,234.88
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:
.rl1i1,101(.. Permittee Signature: 11 �9/' 7
!fN °✓ice 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.
ng Permit Application f"..,,\
� r �
�` ` 'a ,.a
Commercial FOR OFFICE USE ONLY
I - City of Tigard Received i� / _� g�17`�37
I q 13125 SW Hall Blvd.,Tigard,OR 97 Date By: IJ Permit No. 1.:
., 1 i Dan Revie�° � +j ( ��
Phone: 503-718-2439 Fax: 503-5984-1` Plan Re: •b�Cdw) Related Permit
TIGARD Inspection Line: 503-639-4175
P Internet: www.tigard-or.gov C I'l l 01.:‘ !)� Date Ready/By. auris: See SupplementalPagefor
,I I. L f (s ) Notified/Method: Information
/Litt i_17
1 REQUIRED DATA:- AMILY DWELLING
IN New construction ❑Demolition Permit fees*are based on the value of the work performed.
1:1 Addition/alteration/replacement Indicate the value(rounded to the nearest dollar)of all
❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ElCommercial/industrial Valuation: $
❑Accessory building El Multi-family Number of bedrooms:
❑Master builder
❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1.704I S LA) �J C ,0 la. k ) New dwelling area: /. 67 7 9 square feet
City/State/ZIP: "'� �' � 17 !1C�¢ • Garage/carport area: a /f "square feet
/
Suite/bldg./apt.#: Project name: 14te- (
Covered porch area: square feet
Cross street/directions to job site:Sw sd1i, k !
tiDeck area: square feet
SW'A l v p D1 e 5, ga:),• Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdiviion: I Lot#: I/,4,oi Permit fees*are based on the value of the work performed.
Tax map/parcel 4: 15,2
,� ,, 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.
1\11.(A)1\11.(A) 44)--z-ibityri- `Co Pr
t7s_— 12- t='-"A---1
Val o . S' C,-i;-
t - ems, */� —.Existing building area: L , �' ' "—
3 New building area: -- square feet
1
PROPERTY OWNER WANT Number of stories:
Name:vvies4nn�1e. r
•4-;,),5 .Rr I • Type of construction:
Address: 13 IS
��JJ • Occupancy groups:
City/State/ZIP: 5e4 , p if
. 1
pry. h �0 / Existing:
sb
Phone: x 6�— 7 i 1 ..x:( )APPLICANT New:
" CONTACT PE" N �r BUILDING PERMIT FEES*
Business name: 1 �. . �+�'j /i1 c. (Please referlo/e s hedrrtel
tif-
Contact name: a J ,QS — Structural plan review fee(or deposit):
v ci St. FLS plan review fee(if applicable):
Address: 8a w 1 1'i' Q �y
-(1. Total fees due upon application:
City/State/ZIP:
� o hiA . 0 CII a 1
Phone:(5k ) t S 22j 1"L I Fax::(Sea)d.� 0 Amount received:
E-mail: 10Q al�.Q,•(/bs i Ywtltr-q O4-g 1g-• Co PFIOTOVOLTAIC'SOLAR'PANEL SYSTEM FEES*
al
`�
CONTRACTOR
J Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Ce,h c 0 - bmit two(2)sets of roof plan with connection details
Address: 15 : � ' • d fire department access,along with the 2010 Oregon
•e .� C Solar Installation Specialty Code checklist.
City/State/ZIP: > � � ,� ��/ Permit fee(includes plan review
�/ $180.00
Phone: -• 5!1�� I Fax:( ) and administrative fees):
✓ ( � er,,,,,,,
of surcharge har e
CCB Lic.: ' 1'411t g (12% permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: i This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: W 411140 p rnura I Date: 2./1s-f1-7 I * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP COM_PermitApp.doe Rev.04/21/2014 440-4613T(I1/02/COM/WEB)
Building Permit Application
Commercial* { roll OFFICE USE ONLY
City of Tigard cu.;.; �� , Received �r� o! Permit No•1 • / r �7—'0�L✓
I/G 13125 SW Hall Blvd.,Tigard,OR 97223 y"' Dan Review„:2. �� �.. UG�G
Phone: 503.718.2439 Fax: 503.5 All”( Plan Other Permit:
Inspection Line: 503.639.4175 Z 1 r t+ Date/B
1IGARD p r 1F ;i
`"l�+�ISR��� { Date Ready/By: loris. ®See page 2 for
Internet: www.tigard-or.gov € 9 tt,,}vr, Notified/Method:
Supplemental Information
TYPE OF WORKREQUIRED DATA,1 AND 2 EAMILY DWEI:LING
A
®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
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CON L1etoO work indicated on this application.
El1-and 2-family dwelling • om_inerciaUuidwtrial Valuation: $
❑Accessory building .ulti-family__ Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
70.*:$. yE 'ORi Q]+) ANALO T,. � l Total number of floors:
Job site address:17043 SW Appledale Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
C.Suite/bldg./apt.no.: C, Project name:River Terrace East;�s et75 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
I EQUIRED(DATA IMM ERCL4L IJSE CHECKLI :..
Subdivision:River Terrace East Lot no.:C 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
s D.ESC�ION w0* _ i ,. _ „ .,... work indicated on this application.
BUP2017-00037 Valuation: $
Existing building area: square feet
New building area: square feet
PROPEXRT'Y OW tER _ s ❑ Number of
stories:
Name:Polygon WLH,LLC Type of construction:
Address:703 Broadway St Suite 510 Occupancy groups:
City/State/ZIP:Vancouver WA 98660 Existing:
Phone:(360)695-7700 Fax:( )
${ PPLIC
AA3VT
.._- ..._ ... " =' ❑ C�IVTACI'`i'ERSOI�T: .
New:
.,<.. . _.,,.. . .. : BUILDING PET: 11:5" ,=;
ry
Business name:Polygon WLH,LLC • ._ 'dPk a frrla jeeache4s J ,, r
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:
E-mail Nichole.Thorpe@polygonhomes.com
„ FHIO'I'iOVOOL7'AIC SOLARR PANF.A.,SXSTEM ES* -`
tY1tN- ----R_ 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
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 $180.00
and administrative fees):
Phone:(360)695-7700 Fax:(360)693-4442
State surcharge(12%of permit fee): $21.60
CCB lic.:204238
Total fee due upon application: $201.60
Authorized signature:Atehez:X.0...______
This permit application expires 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:1Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
of T
IN 0 q COMMUNITYCity igard DEVELOPMENT DEPARTMENT
•
T 1 G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: l,P acq 7—00 6 3 7
Site Address: 1 7 Q 3 S`Vv A(e it.r (C4 L _ Suite/Bldg#: C
Project Name: R.1 r Tecal 6t. V i ti - Cn;
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: N e vv. Arca rt-tm ,rt (JO m f,fir
L-)( - l 2- k N,Ts
Z1 Verify site address/suite#exists and active in permit system.
XRiver Terrace Neighborhood: .6 Yes ❑ No
,l Land Use Case#: P D g 2-e 4) L000 s- DR 21, LOCOS
/
Plans Match Approved Land Use:
7 Site Plan V Landscape Plan ❑ Other:
,J Urban Forestry Plan Elevation Plan
Building Height: Maximum Height J S Actual Height 3-C-
VConditions Met: ❑ Prior to Submittal El Prior to Permit Issuance
E Business License:
Exists: El Yes ❑ No,applicant notified to obtain business license
2IPublic Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No, stop intake
Notes:
Approved by Planning: /V) -- 1 .;,{0 c .-.c._,,...__ DZcate: � J =� / l 7
Revisions (after Building Submittal only) Reviewer
Revision 1: El Approved ❑ Not Approved Date
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal //5//
Original Submittal Date: o. 7
Site Plans: # ,;
Building Plans: #
Building Permit#: LSI Enter building permit#above.
Workflow Routing: 'Plannin En eer
g gmin g GJ- 15ermit Coordinator Building
Workflow Sign-off: t ign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application,sitelans buildingplans,p p , engineer and
beam calculations and trust details,if applicable, etc.
Notes: J
By Permit Technician: ( ID CDate: /tv /7
I:\Building\Forms\B1dgPermitRvw_COM_WithLandUse 060116.docx
Engineering Review
e`•' . ,eat building pad:
' PFI Permit#: ' „ ,0/► Aoso ,....„..--..
conditions "Met"prior to issuance of building permit O / .
❑ Easements (encroachments) per engineering conditions .f approval and plat(not 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:
APP byEngineering: 'roved ( Date: -.7/:-/7
Revisions (after Building Submittal only)
Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved Cl Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
pproved,NOT Released:
( / Date: .7- 9.-I// 7--
kk
rotes:
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: 'es ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
x '`/ Parks SDC: es CI N/A
s K to Issue Permit // /
/ Date:
/. pproved by Permit Coordinator:
I:\Building\Forms\BldgPermitRvw_COM_W ithLandU se_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17043 SW APPLEDALE RD, SHERWOOD,
OR, 97140
Record Type: Record ID:
Commercial - Building BUP2017-00037
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor