Permit (52) CITY OF TIGARD SITE WORK PERMIT
8: COMMUNITY DEVELOPMENT Permit#: SIT2018-00011
Tf(JARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/08/2018
Parcel: 2S 106AD06600
Jurisdiction: Tigard
Site address: 12917 SW RIVER TERRACE BLVD
Project: River Terrace East Subdivision: RIVER TERRACE EAST Lot: 173
Project Description: Retaining wall in front of lots 173-179.
Contractor: WILLIAM LYON HOMES INC Owner: WILLIAM LYON HOMES INC
703 BROADWAY STREET, SUITE 510 109 E 13TH ST
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: 360-695-7700 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 05/08/2018 $674.92
Plan Review 05/08/2018 $438.70
Type of Use: SF 12%State Surcharge-Building 05/08/2018 $80.99
Class of Work: NEW Info Process/Archiving-Lg$2.00(over 05/08/2018 $6.00
11x17)
Project Valuation: $75,000.00 Info Process/Archiving-Sm$0.50(up to 05/08/2018 $75.00
11x17)
Erosion Control w/Development 05/08/2018 $161.40
Site Specifics:
Excavation Volume: 240 cu.yd.
Fill Volume: 84 cu.yd.
Impervious Surface: 980 sq.ft.
Engineered Fill: Yes Soil Report Required: Yes
Paving: No Grading: Yes
Landscaping: Yes Site Prep:
Storn Drains: Retaining Wall: Yes
Fire Underground: No Accessible Parking: No
Fence: No
Total $1,437.01
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 folio, •- "r -s adopted by the Oregon
Utility Notification Center. Those rules are set forth o ' , -001-0010 through OAR 952-001-0090./ •u may btain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.:00.332.2344.
Issued By: 9 ittee Signature:
•
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.
y `i
Building Permit Application f �-y
Residential S/TE l'VeV,RE EI V ED FOR OFFICE I.SE ONI.\
City
of Tigard APR 3 0 2018 Received . ` "
g Date/By: � .._.5e1,/,,P--.
...>e1,� ��' -rmit N / CL`(.'/!
1111 " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
2 Phone: 503.718.2439 Fax: 503.598.tjTy OFTIGARD Date/By: S"+�• t J Other Permit:
1.I6 A R[) Inspection Line: 503.639.4175 u'�D1 A' r- nc ®N Date ReadyBy: . _, / Juns H See Page 2 for
Internet: www.tigard-or.gov NG J Notified/Method�' l Supplemental Information
- --/ G- I/
„ - "�fiqr 4em'r ry ;y,^ 'z4' 3
❑New construction El 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:retain.wall equipment,materials,labor,overhead,and the profit for the
1 ; , r „i work indicated on this application.
Valuation: $
r.. 1-and 2-family dwelling Commercial/industrial
1::]Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
ziati-X)I4 !�tti `\ Total number of floors:
Job site address:4,19/7, /;A 5iL 3 / 917 b9 c / 9i 7 / >V� New dwelling area: square feet _\
City/State/ZIP:Tigard,OR 97224/,.97 5`to 211,` T72imG „et`/rarage/carport area: square feet
Suite/bldg./apt.no.: Project name:Polygon at East River Ter Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
i41 ! ] �1 5 1 1
Subdivision:Polygon at East River Terrace Lot no.: /73•I�9 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
stiff t 1 „ 1 ' '� work indicatedton this lappli ationead,and th profit for the
e r
E
Rem wru& itiS id IM 5fior/t2S Valuation: $75000
Existing building area: square feet
New building area: square feet
'✓t` ►� ., . . Number of stories:
Name:ADVL Land Holdings,LLC Type of construction:
Address:7600 E Doubletree Ranch Road,Suite 700 Occupancy groups:
City/State/ZIP:Scottsdale,AZ 85258 Existing:
Phone:(602)694-4031 Fax:( ) New:
4 ,1,1,,.:0„1:,.1,,),:;!;:f4I i5,:l'',',4:.,:',!,,;;;; 1,i,.;-4': '4-i:id
f : . t
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit): j
I Contact name:Tom Dicianno
1--- FLS plan review fee(if applicable):
Address:109 East 13th Street
j City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Amount received:
I.'horn:(503)577-4160 Fax::( )
lir
kk
E-mail:tom.dicianno@polygonhomes.com P 'U r M E ' j
,N Commercial and residential prescriptive installation of 1
®tb Ci) a
i ., 3,T>, „ , ,: •„ ,,, „ 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: 109 East 13th Street Solar Installation Specialty Code checklist. _1
City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review
and administrative fees): $180.00
Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60
CCB lie.:207247
Total fee due upon application: $201.6
Authorized signature. • "IrilliirThis permit application expires if a permit is not obtained
/ — within 180 days after it has been accepted as complete.
:uc name:Tom Dict Date: 3 p /I *Fee methodology set by Tri-County Building Industry
��11-- Service Board.
Tuildin;APermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Polygon II1Northwest Company - Vancouver 03/19/2018
LOT MATRIX
River Terrace East Phase: 2A
Lot Sequence with Permit Number
Lot Prod Plan Elev Garage Orient Street Address Permit
173 12917 SW RIVER TERRACE BLVD MSt2018-00025
174 12933 SW RIVER TERRACE BLVD /n51'dhl$—CdUO 37
175 12947 SW RIVER TERRACE BLVD /Yl51 9.01$—0 DO 3S"
176 12955 SW RIVER TERRACE BLVD MST2018-00039
177 12967 SW RIVER TERRACE BLVD MST2017-00524
178 12981 SW RIVER TERRACE BLVD MST2018-00040
179 12997 SW RIVER TERRACE BLVD MST2018-00041
#of Lots For Phase: 7
9
City of Tigard
11114 111COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: -S/ma c/d--OO I i t.5tc1 „e647 7 2/Z t " LgL i/iN
Site Address: /29/ 7, A29.33, /a9y7, / -9-ss", 9&7, 429,/ /a 977
Project Name: Rw.ey -7—race EA5+ l h` WO.k Lot #: 173-'i J19
New dwelling=subdivision name;Addition or Alterati last name of owner)
Planning Review
Proposal: R. -4 i n i n6 vvo‘Ids
Verify site address/suite# exists and active in permit system.
'EJRiver Terrace Neighborhood: ❑ No X Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
31 ree(3)copies of site plan 7SExisting structures on site
M Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
Drawn to scale(standard architect or engineer scale) floor elevations
.®North arrow Utility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number '4-Sidewalk/driveway approach
NQApplicant information(name and phone number) Vocation of wells/septic systems
tot dimensions and building setback dimensions NNExisting trees to be retained with drip line,and tree
quare footage of buildings to be demolished protection measures
N-Lot area,building coverage area,percentage of coverage and NEtreet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) Street names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Yes ❑No
4 foot differential) If yes,is a storm water quality facility shown? EYes ❑No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: E Yes,applicant was notified No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified kNo Applied For: LIYes 1=1No,stop intake
Land Use Case#: I)D 122D tLp-OW O\
,'Zoning: R 2StpP)
IliN Required Setbacks: Front 0` Rear N/._ Side C Street Side N// Garage N/A-
' 01 Landscape Requirement: 20 %
Lot Coverage Maximum: SD
Building Height: Maximum Height N'- Actual Height 6- II
. Visual Clearance
Sensitive Lands: Yes ❑ No Type \--01A) Va Lu eVi.b� .-i"'
' Urban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes:
f' Approved By Planning: ceA,QA, — Date: 4131 11
Revisions (after Building Submittal only Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES 061417.docx
Building Permit Submittal
Original Submittal Date: i0 cifr,
Site Plans: # vl-
Building Plans: # c2-
Building Permit#: €3.-Enter building permit#above.
Workflow Routing: Eilelanning engineering rmit Coordinator [ - wilding
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.
e'13uilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: \:0 vim Date: ' 2 dAr"
Engineering Review 7
Slope at building pad:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes /in No
Assess Water Quantity Fee in-lieu: E Yes ffn No
LIDA Facility on lot: ❑ Yes rfr No
j;frFinal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
,12"-Approved by Engineering: At j KK- W L Date: 4/36/8)
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: 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:
1 I C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
LIDA ❑ Yes N/A
OK to Issue Permit r/�
((( /1/
Approved by Permit Coordinator: Date: 3,/�f
I:\Building\Forms\BldgPemiitRvw_RES_010118.docx
I