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Permit (35)
CITY OF TIGARDMASTER PERMIT illN COMMUNITY DEVELOPMENT a9."Pin,0!,� \ Permit#: MST2018-00304 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 `- '� Date Issued: 01/10/2019 T tC;/iFt 9 ,/� 9\‘G" Parcel: 2S106AD04800 `T>` Jurisdiction: Tigard Site address: 12914 SW 165TH AVE Subdivision: RIVER TERRACE EAST Lot: 155 Project: River Terrace East, Lot 155 Project Description: New SF. DEMO CREDITS FOR TRANSPORATION AND PARKS APPLIED FROM BUP2016-00327. 5/14/19: REPRINT to add 330 sf deck and 330 sf deck cover. 8/5/2019: BUILDING - FloorAreas Required Setbacks Required Stories: 1 Bedrooms: 4 First: 2594 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 20 Bathrooms: 3 Second: 0 sf Garage: 566 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2594 sf Value: $357,090.80 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 1 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 500 sf: 5 201-400 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 Ecompasing. Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2594 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST _ 703 BROADWAY 6 I HEt 1,SUITE 510 - -- - VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Report Required Prior To Pour PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $9,533.63 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �X LI .,&,L_.- Permittee Signature: _,----"-- % C.- \T\o Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application ..,, FOR OFFICE USE ONLY City of Tigard . ,. ,;sl Received Permit No. " 13125 SW Hall Blvd.,Tigard,OR 97223114 Date/By: . �� j�5—Ot 41), Plan Review Phone: 503.718.2439 Fax: 503,598.196 IOther Permit: �, 1 � 1 I i Fa Date/By: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: Pi See Page 2 for Internet: www.tigard-or.gov f ; l" Notified/Method: Supplemental Information 1 ," TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION HeatinPJcoolingt �],�C� Air conditioning 46.75 Job site address: )29) 4 6 LA_) 'to S-r}4 N VC.� 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:River Terrace East 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:River Terrace East Lot no.: t 55 Other: t� hr 5���fi , 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF,WORK Gas fireplace/insert 33.39 lit to MST201 Flue vent for water heater or gas add mini-split i Sj'—(p 3 01 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 �� PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 :1 APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for first four;$4.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway St Suite 510 Gas heat pump City/State-2M VaacouVer WA 9815,60 --- — Wall/suspended/unit heater Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Permitsubmittals@polygonhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Performance Insulation&Energy Services Other: MECHANICAL PERMIT FEES*t Address: 13939 SW Tualatin-Sherwood Rd. Subtotal City/State/ZIP:Sherwood,OR 97140 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)707-6078 Fax:( ) State surcharge(12%of permit fee) CCB lie.: \q q 445 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signatur : -` 1 400 * Fee methodology set by Tri-County Building Industry Service Board Print name:''�(5�,,' V '�"—�. • S Date: Si 2 i il CITY OF TIGARD �� ' MASTER PERMIT V ;. COMMUNITY DEVELOPMENT Permit#: MST2018-00304 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/10/2019 T I(;A R D g Parcel: 2S106AD04800 Jurisdiction: Tigard Site address: 12914 SW 165TH AVE Subdivision: RIVER TERRACE EAST Lot: 155 Project: River Terrace East, Lot 155 Project Description: New SF. DEMO CREDITS FOR TRANSPORATION AND PARKS APPLIED FROM BUP2016-00327. 5/14/19: REPRINT to add 330 sf deck and 330 sf deck cover. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 4 First: 2594 sf Basement 0 sf Left: 3 Parking Spaces: 0 Height: 20 Bathrooms: 3 Second: 0 sf Garage: 566 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2594 sf Value: $357,090.80 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2594 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Report Required Prior To Pour PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $9,410.67 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. Yo ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.23444(.p,�'7�7 Issued By: Permittee Signature: �ll/ 7/ `GG/G � 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. A on the jvb site vi the time of each inspe.:nen. — Building Permit Application Residential r-IECEI J w FOR OFFICE USE ONLY City Of Tigard ReceivedPermit No.: 114 " 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 6 201 Date/By: Plan Review Phone: 503.718.2439 Fax: 503.598.1960 TIGA ate/By: Other Permit: 1 I G A R U Inspection Line: 503.639.4175 CITY OF • Ready/' Jure ® See Page 2 for Internet: www.tigard-or.gov BUILDING DNI°I�.ti I ' , ‘, Supplemental Information .3rs•- ,p r.a 11 sr ... .eq ,'�,�-. v TYPE OF WORK s ?alit REQUIRED DATA:1-AND 2-FAMILY DWELLING v Permit fees*are based on the value of the work performed. ®New construction 0 Demolition CIndicate 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 CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 12.../kik s W \u5-1-k‘ fIrtok New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: square feet Cross street/directions to job site: Deck area: -330 square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace East l Lot no.: ,55 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 DESCRIPTION OF WORK work indicated on this application. e al1.Gk Ac. r-Y4Ri ,M;I-t. '# MaSI'2. '-00 5044Valuation: $ Existing building area: square feet New building area: square feet 2 PROPERTY OWNER 0 TENANT Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: N APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH,LLC (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Jolene Smith FLS plan review fee(if applicable): Address:703 Broadway St,Ste.510 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 Fax::( ) Amount received: E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAICSOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic 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)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: li_ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. �� tt+' *Fee methodology set by Tri-County Building Industry I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard III COMMUNITY DEVELOPMENT DEPARTMENT II ARD Building Permit Review — Residential TIG v :__ _ .... - •-;rL,:a^a,s,.gme,. , .Lrr.Z=E:TE...7.1Frt:s:a...,:1-e�iv.x-r,: ��a..1:cos3.e,....,{.wr.:= Ta.:: Building Permit #: MS-T" , - Site Address: . Project Name: Rw,PX TeYrar, jS-r Lot #: 155 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NGN sem- Sj ��`l/stJ r R �- ,, (`/ / ' iit.Verify site address/suite#exists and active in permit system. %River Terrace Neighborhood: 0 No 743.Yes,See River Temia Review Addendum Attached Site Plan Elements: Three(3)copies of site plan ntExisting structures on site NSite plan mat kg on 8-1/2"x 11"or 11 x 17"paper 'ootprint of new structure(mcluding decks)with finished l}ii Drawn to scale(standard architect or engineer scale) floor elevations PNorth arrowtthty locations&easements(required for new and additions) ire address,project or subdivision name and lot number Sidewalk/driveway approach 1$Applicant information(name and phone number) Ipt J ocation of wells/septic systems Nittnt dimensions and building setback dimensions11/Existing trees to be retained with drip line,and tree Square footage of buildings to be demolished protection measures >tot area,building coverage area,percentage of coverage andStreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) trees names Property comer elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑No 4 foot differential) If yes,is a storm water clualiy facility shown? ■ sV❑No iirClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified 14 No Received: 0 Yes ❑ No 1 tilS Public Facilities Improvement(PFT)Permit Required: 0 Yes,applicant was notified n '•No Applied For. 0 Yes 0 No,stop intake Land Use Case#: Pt)22)1(p— I V Zoning: R-L1••S(9D) Required Setbacks: Front 13 Rear to Side 3 Street Side Garage 70 Landscape Requirement ..2&._ % Lot Coverage Maximum: % l / �yyQC,r tt ., 0 Building Height Maximum Height 3Q l• Actual Height ±20 '*Visual Clearance $ Sensitive Lands: 'Yes 0 No Type to i IA Lje, VI IVjl fe iff Urban Forestry Plan 1A..Conditions"Met"prior to issuance of building permit Notes: lid-Approved By Planning: Date: 1(I6.(j 8 Revisions(after Building Submittal on Reviewer Date Revision 1: Approved 0 Not Approved 51140 `I 1 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved L1Buildmg\Forms\BldgPamitRvw_RES 061417.docx , Building Permit Submittal Original Submittal Date: % 1‘ 1%% Site Plans: # 3 Building Plans: # Building Permit#: RrEnter building permit#above. Workflow Routing. ["Planning Er-Engineering [ 'Permit Coordinator Pf Building Workflow Sign-off: Er 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: By Permit Technician: 4 ,_ Date: kl 1 I‘St Engineering Review jiff Slope at building pad Pi CD h 60 $ Conditions"Met"prior to issuance of building permit la Easements (encroachments)per engineering conditions of approval and plat lir Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes $ No Assess Water Quantity Fee in-lieu: 0 Yes .B' No LIDA Facility on lot 0 Yes k7' No „Ea' Final Plat Recorded: 0 NOT Approved by Engineering: Date: Notes: 'Approved by Engineering: M IK74. y1• Date: it Z li Revisions(after Building Submittal only) // Reviewer 514_11 a ! Revision 1: Approved 0 Not Approved /k.( (z�L- `'U ' Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review i ❑ Conditions-Wet”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 ion Notice 3: Date Sent to Applicant eteSDC Fees Entered: Wash Co Trans Dev Tax: {J es ❑ N/A Tigard Trans SDC: [ ❑ N/A Parks SDC: Yes 0 LIDA ❑ Yes 2%'._N/A101 5161/`! OS to Issue Permit '��Z��/ 44.//2 Approved by Permit Coordinator. Y/�' ��Date: k•\Buildmg\Forms\BldgPermititvw RES 0101l8.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT I -I_<<, x D River Terrace Building Permit Review Addendum • Building Permit #: Site Address: 'IMSW USTh Are, Project Name: Xr t Lot #: 166 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.070.1.): Is the project subject to the plan district design standards?KYes ❑ 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 dormer ft.deep nun.2ft.,5 ft wide min.2 ft.,Eft wide • ❑ ❑ ❑ ❑ 2. Eyes on the street:a minimum f 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 14674 3. Entrances:At least one entrance must meet both of the following standards: .Max. 8 ft.setback from longest street-facing wall parallel to street,angle no more than 45°from street, or open onto porch Entrance opens to a porch: '41 Yes ❑ No If yes,all the following apply: C5Z25 sq.ft.min. (1 One street facing entry Cigi,12 ft.max.roof above floor of porch 6-5 ft. depth nun. ( 40%min.porch roof coverage 4.Detailed Design:All buildings shall include a min.of five of the following elements on all street-facing façades: Covered porch min.5 ft.wide x 5 ft deep Recessed entry area min.5 ft.wide x 2 ft.deep ❑ Wall offset min. 16 inches ❑ Dormer min.4 ft.wide tii(Roof eave min. 12 inch projection Skkoof offset min.of 2 ft ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min.500 sq. ft. 0 Horizontal lap siding min.3-7 inches wide ❑ Accent siding min.40%of street facade ❑Window trim min.2'/z"wide by 5/8"deep ❑ Window recess min.3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft.deep ❑ Balcony min. 5 ft.wide x 3 ft.deep with inside access 0 Attached garage is 35%or less of street facade 5.Garages and Carports:May face the front or side lot line on a corner lot Setbacks: No closer to front or side lot line,than longest street-facing wall.X-Yes 0 No. If No(Check one): ❑ May extend up to 5 ft if there is a covered front porch and garage does not extend beyond the front porch. ❑ 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 above the garage that faces the street with a min.area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ..k40%max.of street façade ❑ 50%max.of street facade with 7 detailed design elements Notes: Approved By Planning: AVA„,0G, Date: I (s( t 1:13uiWioglFo=mslBldgPamiRyw RES_RT_121417.doac 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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT IIN Transmittal tta Letter 1 ;t,A Et D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • w.tigard-or.gov TO: A145diti D TE RECEIVED: DEPT: BUIEDING DIVISION RECEIVED MAY 62019 FROM: 0. MSN'c' g CITY OF TIGARD BUILDING DIVISION COMPANY: `,p •.. 10 nik PHONE: IDLe 0 - (s e,5 - -17100 By: RE: k.2ctOA SV.) 11o�-Th4 MST 2011 - 003OL{ (Site Address) (Permit Number) e\.L)F. .112 oz GR-S-T ^ Lo-r 155 (Project name or subdivision name and lot rt. ber) ATTACHED ARE THE FOLLOWIN IT ' MS: Copies: Description: \ Copies: Description: Additional set(s) of pl.., ` • XRevisions: �}Ijp 'D� Cross section(s) and det. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: 'EvtsG S i7: --9l.p.,) `: '3:AA-LLET%4 ilk ?2 (713 4/ Routed to P it Tec an: Date: 7 i Initials: fir' Fees Due: Ye • No Fee Des ptio : Amount Due: 1/2_ ��/' $ --"-__ ._— Special Instructions: Reprint Permit(per PE): Yes o ❑ Done Applicant Notified: : pp ate. C I( 4:1il g Initials: I:\Building\Forms\TransmittalLetter-Revisions 061316.doc CITY OF TIGARDllli MASTER PERMIT �ICOMMUNITY DEVELOPMENT Permit#: MST2018-00304 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/10/2019 TIC.;1 I<.n g Parcel: 2S106AD04800 Jurisdiction: Tigard Site address: 12914 SW 165TH AVE Subdivision: RIVER TERRACE EAST Lot: 155 Project: River Terrace East, Lot 155 Project Description: New SF. DEMO CREDITS FOR TRANSPORATION AND PARKS APPLIED FROM BUP2016-00327. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 4 First: 2594 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 20 Bathrooms: 3 Second: 0 sf Garage: 566 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2594 sf Value: $341,316.80 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc!Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 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 Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2594 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Report Required Prior To Pour PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $9,221.56 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. V may obtain-copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. , Issued By: .L(_/g,s/ I /fi / Permittee Signature: Ji/ _. I .1 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 E El Residential FOR OFFICE USE ONLY AUG 13 2018 Received a City of Tigard v Date/By:1k`�kiS S 'j- Permit No.1 IZ1�—a'CM 1111 13125 SW Hall Blvd.,Tigard,OR 97223 ` ` ", '^ YY ,ITY I ARI) Plan Review Phone: 503.718.2439 Fax: 503.598.196 z - Date/By. 1t/( % L� OtherPermiTIGARD InspectionLine: 503.6394175 NIfrd `f i( II!V c1jateReadyBy. „7 _-Juns: I H �Page 2for Internet: www.tigard-or.gov Notified/Method:f v //��..Cr,” / Supplemental Information 6147L z`1176-e,1 TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®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 CONSTRUCTION work indicated on this application. 44 1® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ -2,k ) 1 ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: 3 NIS % JOB SITE INFORMATION AND LOCATION Total number of floors: k ((t)C 11 1(1 t Job site address: )29. i 4 3v. to &J.e New dwelling area: 259-4 square feet , -1. City/State/ZIP:Tigard,OR 97224 Garage/carport area: 5 te(p square feet Suite/bldg./apt.no.: Project name:River Terrace East Covered porch areal'squarequfeet Cross street/directions to job site: Deck area: `_-4--L— square feet CDuef t&I?writ):3ger square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace East Lot no.: /65 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. iltif =t.) _ Valuation: $ ' •'>r ,.. -y, - Existing building area: square feet i-7i"1- t `f1. t' ( J .. ,' �{l?� t�•-rt 1 �`/=° f 3�� d 1Z l area: square feet El PROPERTY OWNER 0 TENANT Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: El APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH,LLC (Plaasetefertofee schedule) Structural plan review fee(or deposit): Contact name:Jolene Smith FLS plan review fee(if applicable): Address:703 Broadway St,Ste.510 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 Fax::( ) Amount received: E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR 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)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 Total fee due upon application: $201.60 $1i Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Jolene Smit Date:7/27/18 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . • :,.. Mechan cal Application REC1EIVJ Permit 1- u()a€It i 1 ‘4:cls41. City ofT and R «, 1312.2 Svt'Hall Blvd.,Tigard.OR 97223 AUG 1 3 2018 Plan t?t4+sxI trcit. Phone: 503.71$.2439 Fax 503.598.1960 €. Inspection Line: 503.63x3.4135 r Tr-T1�"' - i Seady.ny: rOa ' E4 See Page 2 for S tc.nttt3 i... 1 g 1tr� -;a, . internee �'�"f�.t3 '#3-Ot. Y _ a �flcil+A'Ie111LMt: Supplemental 1r4 !'eaari4n 15JLPfNG D IIS ON ' 4ry COMMERCIAL FEE" W#> k .;(SE KLTST Mechanical permit fees are based on the value of the work ►+ New construction 0 Addtion(alterationtre l me ent performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition Q Other: tnechanical materials.equipme tt.labor,overlie-ad,and profit. , Valu Q 1-and 2-fatnily dwelling ling 0 Commercial:tnd 0 Accessory building For special informalian use checklist 1;+9 N4ulti-family 0 Master builder 0 Other: Description Qtr. Ea.. Total ,orffoRmAnoN A3tt kuo§Y a ct 11e ti ,r 'nom p p Air conditioning 46.75 x . t . Job site address: 12 I 1 ii S W ;ko 'r(e. Furter 100,00014TU fdncrs�ectt? _ 46.75 City State!ZIP:Tigard,,OR 97224 Furnace 100,000+BTU(ducts'ventss , 54.91 ' uite/bld ./apt.no: Project mane: heat pump 61,06 ►"Gr` Teslac . 2a& Duct work 23.32 Cross street/directions to job site: Fitdronie hot water Vegan 23.32 Residential boiler(radiator or hydron ) 23,32 Unit heaters(fact-type,not electric), in-walk i suspended ete, 46.75 Flu&vent for any of above 23.32. 1 attbdivi tt �)�,` .�--1�-e ie.0,1A- Lot tre.: C Cather 73 32 f`'rU �! ►�`w ✓ Other fuel appliances: _ Tax map/parcel no.: Water heat 23.32 n-Dnaturriox,,of wow' 1 3339 Cray t "insert Flue vent for water heater or gas fireplace 23.32 lot lighter(gas) 23.32 Wood:pellet stove 33.39 Wood firerrlacefinsert 23.32 C:himnevilinerffluefvent 23.32 ft 23.32 : ntorrY QW - l � ' 0 TENANT- -. . _ - • . - Environmental tal exhaust a ventilations Name' -A�W L Lard g�UVIj- si LLG Range kitchen I 33.39 Address:-1U00 � P0wtilefireL ! Clothes dryer exhaust / 33.39 Jx Single duct exhaust tbath►tnms, - ICity//Stake/ZIP: Sc0 la'n Vti LgipI.— t toilet compartments.utilityrooms) 23.32 Phone:(360)695-7700 Fax:( ) Attiecrawlspace fans _ 23.32 i=* Al*lk'11C 1# i .% NTAC T P l": 23.32 Business name: Fuel Opine dol sn l�'� 11 834.1$forOrat four;S4. for each"additional Contact nate: `-5'D SM 1 ) Furnace,Me, I C tat I'L Address: yy�� i'J S� \&A°i SID �V3 � S ptIMP 15ra 'sospcndedr'unit City/State/ZIP:Vancouver,WA 98660 gates heater Phone:(360)695-7700 Fax::(360)693-4442 FireplaceI 1 Range I E-mail; Vein mswArrcmA, kz4ce_ �an V4DIY-5 ,C5(Y). .. , .: .,. • re = � Gltxtls dry f�ax1 Other Btsirims rye:Apert Air LLC Address:18004 NE 72aA Ave Subtotal City tate;'7IP:Vancouver,WA 98686 Minimum permit fee(8 90.00) Plan review 125%of pettrit feet Phone:(0342-$109 Fax:(3 4)326-1769 State sur harge(12%of permit feel CCB he.:203034 TOTAL PERMIT FEE This permit application evirea if Si permit is not obtained within 180 days after it has been acceptedas complete Authorized signature: * For me xlolog%set by Tri-County Btu brattier, Print : tri. 'l Date: 4-/I.14"«.. 1xitt9ane,PartoacAllt"._ _£4011.".dsr: 4.,*-41,177. i=fry.('£}M W113 • �� �l . Elect l°lea➢ Peijila�� 1 ���n��t ®>n V oV c use 0, 1 Cit dl Tlardl ppqq Received r ,= i ,2 :,:iipi _- �'i A U ti I. 3 !L�li Date/By: Permit#: c a�� i 1� 1 .� 't 13125 SW Hall Blvd.,Tigard,OR 97223 l Plan Review 1 Phone: 503.718.2439 Fax: 503.598.19 r• Related Permit#; I i t DaleJBy: Inspection Line: 503.639.4175 w i" 'a w x TGA 13 p 1 .1` -"Ready Date/By: furls: T R See Page 2 for Internet www tigard or.gov y, 4 , Y t, r W a,tit1ed/Method; Supplemental Information z nits Fi C PP •^4y . � T}YEOF-WORK ;::...: ; .. .. : .. .. PLANEVIEW .- r:--.-.,- 1 ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans.v/items checked): ❑Service or feeder 400 amps or more 0Building over three stories.❑Demolition ❑Other: where the available fault current El Marinas and boatyards. "'" ` " i" : ""." --r.. AT GO Y:sO-I . . I . n <- , • . exceeds 10,000 amps at 150 volts or D Floating buildings. © 1-and 2-family dwelling ❑Commercial/industrial IDAccessory building less to ground,or exceeds 14,000 El Commercial-use agricultural amps for all other installations, buildings. I ❑Multi-family • 0 Master builder ❑Other: _ .:.-.,-.. ....., ...... :. ;: Fire pump. Installation of 1 0 KVA :.r:v.......:..:...:.:JUB.,SITE''I1VRO12Mi4�TION:A1KD..:-... ilii:':::!::::;''.,-,*, 5 or .. ,........,_ �+Q,(,'�TI��I.::;;._•:.. ;..': . : , ❑Emcrgerwysystem' larger separately derived Job#: Job site address: Z ❑Addition of new motor toad of system. I /) / V l\QV C, 100HPormore. ❑"A",<E","I.2». 1.3»> 1. City/State/ZIP:Tigard,OR 97224 1:1 Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt#: Project name:, `' ❑Hazardous locations. ❑Supply voltage for more than �`V� VAxa 600 volts nominal. ��"ti''r� ID or feeder 600 amps or more. Cross street/directions to job site: ;,:..; :.::,,:....-:::-- ( :FET;:SGAE;A.IJ E:_� 4. :::i::::;:.'.:':;_ Description ,::..:: I Qty. I Each Ii Total New residential single-or multi-family dwelling unit. Subdivision�U� 'e A�L'E0.S4- Lot#: /55 Includes attached garage. Tax map/parcel#: 1,000 sq,ft.or less 168.54 4 ::.... Ea.add'l 500 sq.ft.or portion 33.92 1 r ..:...:::.::.: .:.......<, DESCRIPTION OF:WORK-�:::.:.:.::, :. -s::.::..;:.', 1 ..._.. .,.........:..:::<:_.<�,,;: :.:.:.:.,.. .� ..:;:.,. ..:..: ... nal Limited energy,resider' (with above sq.ft.) 75.00 2 s Limited energy,multi-family 75,00 2 residential(with above sq.Il) �P,RO_r Renewable Energy ❑ See Page 2 $[.'LSC Q NER ... `'" ' `: 121. > N.N.1 Services or feeders installation,alteration,and/or relocation Name: ft DV L La.r t 5 71 6'LC, 200 amps or less 100.70 2 Address: .140D g po�1�L1„1 e. • 4A 41 f7 I 20I amps to 400 amps t 33,56 2 ►.h ��Y�F.� 401 amps to 600 amps 20034 2 City/State/ZIP: S n,�31..�►,�1 t ' Al 601 amps to 1,000 amps 301.04 2Phone:(360)695-77`000 Jt.afen :( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or • relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 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 APeIiICANT }3rancln circuits—ne�v,alteration,or extension,'Sr paneI .._._..., .. ....:. . ....0 CONTZI01,..40s1. '<,:,,.:._.: AB Fee for branch circuits with Business name: pc,Gy son on W•L4+n t u�JnV above service or feeder fee, 7.42 2 each branch circuit Contact name: 3p� n —Q� Jm B.Fee for branch circuits without '- r C x service or feeder fee,first Address: ®�Coro vicip_i Sk S t S10 branch circuit 56.18 2 • City/State/ZIP:Vancouver,WA 98660 Each add'l 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 EmaiI:�/rim ' O dwelling,service and/or feeder ,_;:-:`1__-- ,.i51,00fe . ._ _ .L Reconnect :.> :'�s:<.,�`.,.,_.�.=,.2 x - - - 67.84 2 �, ecu only .. Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,'LLC Sign or outline lighting 67.84 2 Signal circuit(s) limited-energy limi ed -energY Address:402 Valley Ave NW Ste 106 See a 0 Page 2 • panel,alteration,or extension. g City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90.0W hr Email:bdaniels®gweusa.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.: CI158 Electrical Lie.: 208174 I Suprv.Lie.: 4496S specifically listed(14 brink) 90.00/hr y� ELECTRICAL'PERMMII' PETS Suprv.Electrician signature,required: t'.il.(f/l,j P, 7 Chex Subtotal. Print name: Joan P Albert I Date: ❑Plan Review Required(25%of permit€ee): State surcharge(12%of permit fee): Authorized signature: _ �- TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within Iso Print name: Bill Daniels Date: days after it has been accepted as complete. a Number of inspections allowed per permit. LABuildin ?ermitswELC-permitApp grit aRE.doc Rev 06/17/2015 440-4615T(€1/05/COM/WEB t 3 ,-`_L'S' El Plumbing Permit Application RLtI) Building Fixtures AUG i 3 Z018 City of TigardReceived Perron No.: �T CC S,V- iiii Zv 13125 SW Hall Blvd.,Tigard,OR 97223 � a� F II( Reviewi Phone: 503.718.2439 Fax: 503.598 1969 � ,,y) -POy. Other Permit No.: 1'i G A R D Inspection Line: 503.639.4175 ti,< ,i.t I l l r , _a 1 bibotteady/By: hu is: gi See Page 2 for Internet: www.tigard-or.gov Na aficdiMethod Supplemental Information ., ,.:- ' ^ 1' s,,$., did ' x ,,.s • ,„,N :saw-» :1 ,;, r,. .J *.•:.-,,, � „:.,. ►„t New construction ❑I volition 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) ▪CA 'l RY 61t oNsrR f-- tE I ` a SFR(I)bath 312.70 - 1-and 2-family dwelling 0 Ccarraatnercial/industiial R(2)bath 437.78 SFR(3)bath 500.32 Accessory building Multi-family Each additional bathAdtchen 25.02 0 Master builder 0 Other. Fire sprinkler( sq.ft.) Page 2 +1$3 ,3144.61 3.r j1O1'yk. iNn tbeit'IION Site utilities: Sob site address- /i l/7 S'W t,U51111 .o Catch basin or area drain 1.8,76 City/State/ZIP:Tigard,OR 97224 l 'vv Wil,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldgiapt.no.: Project name:,g-i(,r-TeArUCe•Sa$.Y Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear It.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear fi.: ) Page 2 Subdivision: (� T Af Gl(.G (/J�- V Lot. no.: /55 Fixture or item: Tax map/parcel no.: Backflow preventer 1 3127 V . ---- '' ,. Backwater valve r' 12.51 : 73 'raNOFF9ORK W . . ', Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 i1 !•,,,Q}} .. .tC]TE NAT , ;- Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer rap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 � ...: _. C ' ' Interceptor/grease P 25.02 �>1` � 4n, �_. _; .. . flZlL ��PSOI ; .. Business name: PaMedical yx\ LAA Medical gas(value:$ ) Page 2 _1_J I Primer 12.51 Contact name 'o\p 41 son,i4A Roof drain(commercial) 1231 Address: 1 b3 Y-1046) SA—Swl51D Sink/basin/lavatoryG.,u. 25.02 City/State/ZIP:Vancouver,WA 9Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E mail ii4 rmitSAmatztAS Al 3 a 14 Water closet 25.02 �n ▪ • • _.�. .4 Water lsexter 3732 Business name:" V/4414.11)\\ Itte".5 ,�...j.e--- Water piping/DWV 5629 Address: p.0. $ o ciA Other: 25.02 City/Stats/ZIP; 'y▪ aGiAi4 art, 41143" Subtotal Phone:( 3--$4t- 144L-1 "*Fax:(i i 4... 41"42'1 Minimum permit fee: $72 50 CCB Lies 64-131,a,_, Plumbing Lic.no. 1G 3 Plan review (12%5%of permit fee)_ State surcharge(12%of permit fee) Authorized signature: fLe Dater 36—j(12 TOTAL PERMIT FEE Print'na"rn : Si-fro�}" „ v W f. This permit application expires if a permit is not obtained within 150 days c� after it been accepted as complete. *Fee methodology act by Tri-County Building Industry Service Baant VauRding cmits\PUtI3-Permitkpp.dee 1t110l/i9 440-46er(iorovcott/WEB) 1111111 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T l A R Building Permit Review — Residential ding Permit #: . .. Site Address: (2 SkAl I loc Project Name: Zv,�X Texr- Si' (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: — Planning Review Proposal: Ne. sF.-(2-- '54.Verify site address/suite#exists and active in permit system. X.River Terrace Neighborhood: 0 No )g. Yes,See River Terrace Review Addendum Attached Site Plan Elements: )*Three(3)copies of site plan `Existing structures on site ) Site plan must be on 8-1/2"x 11"or 11 x 17"paper Xootprint of new structure(including decks)with finished SiDrawn to scale(standard architect or engineer scale) floor elevations SNorth arrow �: tility locations&easements(required for new and additions) ite address,project or subdivision name and lot number >'A ltcant information(name and phone number) Sidewalk/driveway approach pp dGocation on o of wells/septic systems . .ot dimensions and building setback dimensions *Existing trees t 1W� obere ' uare footagetwined with dripline,and tree (^meq of buildings to be demolished protection measures lot area,building coverage area,percentage of coverage and n Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) :: treet names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? liqUielipNo 4 foot differential) If yes,is a storm water quality facility shown? s ❑No Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified i 1:2S No Received: ❑ Yes 0 No Public Facilities Improvement(PFI) Permit: Required: 0 Yes,applicant was notified y. No Applied For: 1.16 0 Yes ❑ No,stop intake Land Use Case#: PDi2-2-01(.0—COCO i 'V Zoning: (2^L .s( PD) Required Setbacks: Front 0 Rear to Side 3 Street Side " Garage -240 Landscape Requirement: 20 Lot Coverage Maximum: Seo 0 Building Height: Maximum Height 1 C ,V»� f 1..*) A�,, Actual Height �� '"`i Visual Clearance Si Sensitive Lands: ›ii-Yes 0 No Type IOW VAIU,C ',I`-� L iSr Urban Forestry Plan v t!!1 "1 L Conditions "Met"prior to issuance of building permit Notes: 11-Approved By Planning: Date: it Ic ' Revisions (after Building Submittal on Revision 1: 0 Approved ❑ Not Approved Reviewer Date Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Fonns\BldgPemvtRvw_RES 061417.docx Building Permit Submittal Original Submittal Date: �S '\ MOS. Site Plans: # 3 Building Plans: # 3 Building Permit#: C/Enter building permit#above. Building Routing: [Planning ©'Engineering Permit Coordinator Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: GYEngineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. Er-Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Technician:Notes: , ���,�� 4 �„� By Permit �� -'\,� .� Date Engineering Review���� h� 0Slope at building pad: ,or Conditions"Met"prior to issuance of building permit Fa Easements (encroachments)per engineering conditions of approval and plat 'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes el No Assess Water Quantity Fee in-lieu: 0 Yes .B' No LIDA Facility on lot: 0 Yes 121' No driii' Final Plat Recorded: Date: ❑ NOT Approved by Engineering: Notes: Approved by Engineering: IKh i Date: 11 2,Arlie Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of buildingpermit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Re ' ion Notice 3: Date Sent to Applicant: �/ 4 SDC Fees Entered: Wash Co Trans Dev Tax: 1� es 0 N/A Tigard Trans SDC: 0 N/A Parks SDC: Yes 0 N LIDA 0 Yes l NN/A OK to Issue Permit 441/1Date: Approved by Permit Coordinator: BBuildingWorms\BldgPermitRvw_RES_010118.docx City of Tigard 111111 u COMMUNITY DEVELOPMENT DEPARTMENT C T 1 c A R o River Terrace Building Permit Review Addendum ,w Building Permit #: Site Address: ' 1 S W I USTY1 A'rc Project Name: R.1JeAi 'j-c AcraGe . Lot #: ISS (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.070.1.): Is the project subject to the plan district design standards?KYes ❑ No 1.Articulation: a minimum of 1 element per each street-facing façade 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 dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide X ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum af 12%of each street facing façade must include windows or entrance doors. Percentage Shown: ti'to 3. Entrances:At least one entrance must meet both of the following standards: cg-Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: '1.Yes ❑ No If yes,all the following apply: C '25 sq.ft.min. One street facing entry Cgt 12 ft.max.roof above floor of porch 4.5 ft. depth min. Cf21-30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ Dormer min.4 ft.wide Roof eave min. 12 inch projection 'Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood K Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40% of street façade ❑ Window trim min. 2'/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall.X.Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ 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 above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ..k40%max. of street façade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: i ` Date: (5( I:\Building\Forms\B1dgPermitRvw_RES_RT_121417.docx Electrical Permit Applicatio ECE VE(� FOR OFFICE USE ONLY City OTigard d ,,i 1 13125 SWf Hall Blvd.,Tigard,OR 97223 8 2019 DateReceive/B : .i �S Plan Review Phone: 503.718.2439 Fax: 503.598.1IN 960JUN Date/B : Related Permit#: Inspection Line: 503.639.4175 TIGARDDate/By: 66 See Page 2 for TIGARD CITY OF Readykris: 0 Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF �VOB K PLAN REVIES ®New construction 0 Addition/alteration/replacement 5"$Z Please check all that apply(submit 2 sets ofplatsw/items checked): 0 Demolition ❑Other: _r \\G >---` 0 Service or feeder 400 amps or more 0 Building over three stories. 'A'\ .F--" where the available fault current 0 Marinas and boatyards. r CATEGORY_.OF CONSTRUCTION- : Y.' exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 11 Multi-family 0 Master builder 0 Other: 0 Fire pump. ❑`Installation of 150 KVA or JOB.SITE INFARIVLATION,AND,LOCATION 0 Emergency system. larger separately derived Job#: Job site address: ((O,.T, (n ❑Additioo of new motor load of system. � QZ-`�� cS W —�+r n nVCJ IOOHP or more. ❑.'A,•'•E"••1.2„ •.l_3.• City/State/ZIP:Tigard,OR 97224 ElSix or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:East River Terrace 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I-Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision:East River Terrace. Lot#: 155 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WO* Limited energy,residential Change contractor on MST ZpLI-00-50q (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 ®PROPERTY OWNER ❑::TENANT Services or feeders installation,alteration,and/or relocation Name:Polygon WLH,LLC 200 amps or less 100.70 2 Address:703 Broadway St,Ste510 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:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I 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 1E1'APPLICANT' 0 CONTACT PERSON: Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Polygon WLH,LLC above service or feeder fee, 7.42 each branch circuit 2 Contact name:Tonja Morris B.Fee for branch circuits without Address: 703 Broadway St,Ste.510 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not Included) Phone:(360)695-7700 Fax: :(360)693-4442 Each manufactured or modular dwelling,service and/or feeder. 67.84 2 Email:permitsubmittals@polygonhomes.com Reconnect only 67.84 CA?N'1 ACTQii,.," Poems orhaisetion circle 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 Address:3415 NE 440'Ave. Signal circuit(s)or limited-energy panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: Portland,OR 97213 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:(503)319-2192 Fax:( ) Investigation(I hr min) 90.00/hr Email:solarpdx@me.com Industrial plant(I hr min) 78.18/hr - Inspections for which no fee is CCB Lic.: 199188 Electrical Lic.: c923 I Suprv. Lic.: 4871.4S specifically listed('14 hr min) 90.00/hr Suprv.Electrician signature,required: \� ELECTRICAL PERMIT FEES Subtotal: Print name: Kirk Rood I Date: 05/09/2019 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: 1c i 17.e,0TOTAL PERMIT FEE: This permit application expires if a permit Is not obtained within 180 Print name: Kirk Rood Date: 05/09/2019 days after it has been accepted as complete. ^ -,n * Number of inspections allowed per permit.