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Permit (78) CITY OF TIGARD MASTER PERMIT ``.'! . -.-, COMMUNITY DEVELOPMENT Permit#: MST2018-00287 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 r, '' Date Issued: 02/11/2019 t ��as • Parcel: 2S106AD04500 Jurisdiction: Tigard Site address: 13004 SW 165TH AVE Subdivision: RIVER TERRACE EAST Lot: 152 Project: River Terrace East, Lot 152 Project Description: New SF. 8/5/2019: REPRINT to add mini split. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 2594 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 18 Bathrooms: 3 Second: 0 sf Garage: 0 sf Front: 12 Smoke DwellingUnits: 1 Detectors: Yes Third: 0 sf Right: 3 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 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: 4 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) 109C 1.3T14 ST + ___ _ .r8t1rtrl{563=115@4-1-7fs — — VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $36,702.68 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: N..._, Permittee Signature: <�LiCC i1CC) 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 Applicat Q t F $ FOR OFFICE USE ONLY d '' Received City of Tigard a Date/By: 4 , `J g C� �'�,, Permit Na.:mC -�•-yro_ 9 i 13125 SW Hall Blvd.,Tigard,OR 97223 J ` v Phone: 503.718.2439 Fax: 503.598.1960A -. :) n, Plan Review Inspection Line: 503.639.4175 /'U" i Date/By: Other Permit: T IGARD Date Ready/By: Juris: la See Page 2 for Internet: www.tigard-or.gov g $ !V ,µt. i: -4-\.' F Notified/Method, Supplemental Information TYPE OF WORK CONMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work la 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 Heatinp/cooling: _ Air conditioning 46.75 Job site address: 13001 f 5 W 1 (C 5� V Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump i 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.: 152_ Other:Meq S-$:,} f, 23.32 Other fuel appliances: Tax map/parcel no.: Water heater•. 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas add mini-split to MST2011-- 002-f!)-7 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER 0 TENANT Other: 23.32 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 ® 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 Wall/suspended/unit heater ate/ ' Water heater Phone:(360)695-7700. ucouver,WA MI" Fax::(360)693-4442 Fireplace Range r E-mail:Permitsubmittals@polygonhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Performance Insulation&Energy Services Other: MECHANICAL PERMIT FEES* Address: 13939 SW Tualatin-Sherwood Rd. Subtotal City/State/ZIP:Sherwood,OR 97140 WMinimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)707-6078 Fax:( ) _ State surcharge(12%of permit fee) CCB tic.: k 4 q 448 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 �- .• '� * Fee methodology set by Tri-County Building Industry Service Board Print name:"--1-10 V\Vi V ' • • •. % Date: • 211,9 CITY OF TIGARD MASTER PERMIT III 4 COMMUNITY DEVELOPMENT Permit#: MST2018-00287 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/11/2019 T t i;A R.D9 Parcel: 2S106AD04500 Jurisdiction: Tigard Site address: 13004 SW 165TH AVE Subdivision: RIVER TERRACE EAST Lot: 152 Project: River Terrace East, Lot 152 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 2594 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 18 Bathrooms: 3 Second: 0 sf Garage: 0 sf Front: 12 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: 4 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 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 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $35,668.56 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuanc- 'or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification C- ter. Those rules are set forth in OAR 952-001-0010 through OAR•52-001-0190. •u may obtai-a copy of th=rules or direct questions to OUNC by calling 503.23 •87 or 1.800.332.2344. I / ` ir 00011111 Issued By: .. , / / '//,/� Permittee Sign.,, e: . I Call 503.639.4175 by 7:00 a.m.for the next available inspecti• date. This permit card shall be kept in a conspicuous place on the job site un' ompletion of the project. Approved plans are required on the job site at the time of each inspection. • A Lor / c2 Building Permit Application 4. revIAT F 1' Residential 1'' .! FOR OFFICE USE ONLY City of Tigard Received DateB : k\ S PermitNo.:" 't 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 i, DateB : Q/ZY($ Other Permit Q -Gni 5 T I GA RD Inspection Line: 503.639.4175 °� I i ai i,S` n A n-kiDate Ready/By: See Page 2 for Internet: www.tigard-or.gov T t,t h r+-v., Notified/Method:// lli. Supplemental Information ilAIILDI TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®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 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application.OF CONSTRUCTION ` rn7 A Valuation: $ 2ltfJ (J® 1-and 2-family dwelling Commercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: Q ❑Master builder 0 Other: Number of bathrooms: 3 \t(? JOB SITE INFORMATION AND LOCATION Total number of floors: 1 3 I C square Job site address: 13 0 C7 4 ..5\i, t v� foe, New dwelling area: �� � feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 64.(p square feet Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: ( . square feet TTT Cross street/directions to job site: Deck area: 0212 square feet Coo-ereciPATlci 6' 6 7 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace East Lot no.: i52._Z 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. Valuation: $ Existing building area: square feet New building area: square feet ® 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 ' : LI CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH,LLC (Please refer rofee 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 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: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Jolene Smit Date:7/27/18 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) i rlF na 'er>lllipt •ca , l _ ,1-1- IINIIIIIIIIIIIMIIIIIDIIMIIIIIIIIII Received ay. /1S 7�cl,�er e 2 City of`TigardPeoria t ea -" 13125 SWHall 131+d„Tigard.Ott 97223' Man' : 503.7181439 Fax: 503.598.196Other 0 " d e$y P it 1sEs�tttIns Line: 503,6394175 � N k+ T1(;A Date rani RI Ste Page 2 for itnenr t: ' .tnardacngov piiaified Method: Supplemental infirmarian . ,. . T tom"*tiles w; " . _ � E'SHPT tHl � ' Mechanical permit fats•are based on the value of the work Si. New construction 0 Additiontalterationtreplacement performed.Indicate the value(rounded to the nearest dollar)of alt 0 li i 0 Other: mechanical materials.equipment,labor,overhead,and profit, Velum S CAT RY#E+t U l f i tastri»'+1 AL"awaltE I' l' 'ar€MS FEES- Q I-and 2-family dwelling0 Commercial/industrial 0 Ac sory building For speciallnformation use checklist " ti Multi-family 0 Master builder 0 Other: Description Qty°,' Ea. Total 'E °LMATIONy NI►�TIt:?S_.., fleatingica�atitr Mrconditioning 1 R 46,75 . Job site k" O(7t� Sw � e. F 1�[4Ti.i tductsi rias) 1 46.75 CityState!ZIP:Tigard,OR 97224 Furnace 1001 BTU(ducts/vats) 54.91 Heat pump 61.06 Suite'tildgfapt.no.: Project name: jzi4cr Ter -o.c . i- Duet work 23.32 Cross streelfdirections to job site: Hvrdt rnic hot water ss stem , 23.32 Residential boiler(radiator or Itydroniel 23,32 Unit heaters(fuel-type,not electric), in-wall,in-duet.suspended,etc. 46,75 Flue/vent for any of above t' 23.32 O Subdivision:. ►I'WUC -Tex •\ T1- Lot no.: k 6 Z Other: 23.32 Other fuel ap,pitnnrest Tax mapfpr l no.: Water heater 23.32 1 ,~la M1pN,'*E 9Yit)li1C' Gm'rmPlacerinsert33.39 Flue vent for water neater or LutS fireplace 23.32 Ion lighter(gas) 23.32 Wood,>pellet stove 33.39 'Word frtreplacetinserrt 23,.32 ChimneyAirieriflueivent 23.32 Other 23,32 - P C3P T O N t. ,, " 1 ; '' _0 TENANT' . E ntnenfal exhaust and ventilation: Nom' ACV p,.. Range hood/other kitchen To V!l U.0 1 [�! (civil S r'i'C' equipment / 33.39 Address' i"V ► I- .141 1 1( , Mme& ce 1 W(X Clothesdiver exhaust / 33.39 City/State/ZIP: Sc1� o►,e, I Z Ls-p) Single-duct exhaust thathrcoms, 44 toad compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attie/crswlspace fans 2332 1 . •.:r APPLICANT a"`ravrAC"r#'lc l" Other: 23.32 Fut!piping: Business name:PO‘ Of\ VOW t1 U,C., $14`1 S for first four:,SW for each additionalt Contact 113111t:: '5'D .SM l ao. Furnace,etc. l Address:"1 tsV3 braidl-0auy St S� S\) Crash tpump aO:''susprt.nded'unit beater , City/State/ZIP:VateeettVeT,WA 98660 Water heater Phone:(360)695-771#1 Fax::(360)693-4442 Fireplace I Range 1 E-Ina :Petri)k-SG-kjYitkalikkc'- .0\ 19(1\t omen C,a&Y) a; t : Cl t9 dry Business name: -%Air Apeir LLC Other: 11 tit, ANICAL FEU=Via. Address:18004 NE 72"Ave Subtotal Cita/Mute/ZIP:Vancouver,WA 98686 Minimum permit far(590.00) Plan review t25%of permit feel Phone:(360)3424109 Fax:(360)326-1769 State nitre (12%of permit feel CCB lie.:203034TOTAL PERMIT FEEThis permit application expires if a permit is not obtained within 180 days attic it bas herst accepted as complete, diosiif Authorized signature- + F TO-Comity methodology se by my Service hoard Print natter.", ( Date: 4-!°s.ifis* I'zonsisotiosicyti:Ct..t _t*ttt1.. -zinc 4411-46:7T, 1 T'Y:2,CMi;"WttI EC t r ECE!YED Electrical Permit Application --� ' L-' = ——-� b otc Use QTZa ' City o Tigard AMG�'1 , .3 !I)1 iii Received _ i_ >— _�-_ lop0 rr-11%.7--- -'1 13125 SW Hall Blvd.,Tigard,O 7 r., Plan R : Permit#: 0/926e7 1 Phone: 503.718.2439 Fax: 50 S 1 GR�. � Plan Review � I Date/B ; Related Permit#; � v Inspection Line: 503.639.417u � x1GARD; Internet: www.ti and-or. ov if nnj t 'I. a,[ Ready Date/By: Juris t g g Z.,' y_V t SeePage2for I -5x,,,,,.:� ,. .... ..._ .... NodfiedtMetitod, Supplemenfallnformation ..:...:...: ....::::... ®New construction �,:PT;�aN R� :isV:_c:? :;?;:71.:;:-. ,,F.:-.;(a ❑Addition/alterationh-eplacelnent Please cheek all that apply(submit 2 sets of plans w/items checked): or more ❑Demolition 0 Other: Q Service or feeder 400 amps p Building over three stories. =r'ya:;' :`>:'r`_:::_CeTEGD = whore the available fault current _:._..-: _.01i tibtiCONST22IJC.jO :?;:is fig:_!_':'.: `%].::`: Marinasinand boatyards. © • �-N� exceeds 10,000 amps 150 volts or 1-and 2-familydwelling . -�-_ �. .: p ❑Floating buildings. I 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural 1 0 Multi-family • ❑Master builderother installations. : i. ... ,_. ❑Other: •.x %;_r-; : ...`c.. ..,:. 0 Installation of 15 amps for a 0 KVA or 1 '` .," ,=',;. . ,._ITE;,IN1?ORI'IATIQN:AND O•: E epum I}OCATION.;�:. r>.``;r:':: ."::::;`::, :-:_ ❑Emagencysystem. larger separately derived 1 Job#: Job site address 17jQp 1{ S w 1` n DAddition of new motor load of system. l (OV, �C� 1001IP or more. []•'pl","E","I.2•,,"1.3>,, City/State/Z1P:Tigard,OR 97224 ❑Six or more residential units. occupancy. i Suite/bId Ja t#' ❑Health-care facilities. ❑Recreational vehicle parks- g P : Project name:; 2 t\J i-ro„�I- L ❑Hazardous locations. ❑Supply voltage for more than Cross street/directions to job site: C `C.L . T 0 Service or feeder 600 amps or more. 600 volts nominal. Description .. .. - 1-Qty l Each 1 Totni I . i Subdivision 1;1-weir New residential single-or multi family dwelling unit. TeRetate.. EA.sir- ! Lot#: (5 Z, includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less I 168.54 4 E add']500 energy, s entialion 33.92 t : ::;;,::::.;,DES,CRIP.TION:;;OF;WORK r :": is° ' { `:`. :>.',: '::::1.1:: 1 t Limited energy.residential c (with above sq.ft.) 75.00 2 1 Limited energy,multi-family residential(with abovesq.It. 00 : ..: -_E;lPtIOEF.RTY,:OZ'{!L!TER., I _.~'... Renenergy ❑ See Page 2 (]_TENAIS!T - "`'' Services orwable feeders installation,alteration,antUor relocation Name: A Dv L Land tg D\d f q S i� 200 amps or less 100.70 2 Address: —1401.) g Dou-bl e.-tr ��A ' 201 amps to 400 amps 133.56 2 Ci /S41te/Z1p: � ISG 1 amps to 600 atn s ty �,.�1� 1 ris-8 40i am P 20034 2 s Scial i 1142 601 amps to 1,000 amps 301.04 2Phone:(360)695-7700 :( ) 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 5936 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125 08 1 Owner signature: 2 :.>:..,,�:-r:-,a-9�.:.�e;;:,,.-:.-�-:,._,..:..:..::..:..::::.,;.::>:-..;:-:.- . - - 599amps ]68.54 Date: 401 amps to 2 ` t F<,AEPIaIC . _: :.��' ,.D CONT . ,.P SON ,..'.,1:.'.' •. T :..:._; Branchcircuits-new,alteration,orextension,rerpanel Ate' ��'t` A_Fee for branch circuits rnith Business name: Pc,4y g� W� iU ,, above service or feeder fee. Contact name:�p Q ,9,1_ each branch circuit 7.42 2 J �] B.Fee for branch circuits without Address:1®3 036> s L mo service or feeder fee,first —_ 1 branch circuit 56.18 2 , City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone:(360)695-7700 _^ Fax::(360)693-4442 Each manufactured or modular Miscellaneous(service or feeder not included) Email:� Xmand/or feeder 7.84 • 2...m=.- Reconnect :_,.,..,,.;t.-n -z�; �-: :.:�.�.;... . .-:-S 67.84 dwelling, service � v� ���p�+.�t 1 7 ....:.:: ... . Pinup or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:402 Valley Ave NW Ste 106 Signal circuit(s)or limited energy - panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above Phone:(253)872-6051Additional inspection(1 hr min) 66.25/hr Fax:(253)872-1801 Investigation(1 hr min) 90.0W hr Email:bdaniels®gweusa.com Industrial plant(1 hr min) 7818/ hr Inspections for which no fee is CCB Lic.: C1158 Electrical Lic.: 208174 1 Suprv,Lie,: 4496S specifically listed(14 hr nein) 90.00/hr Suprv,Electrician signature,required: • ( . EI);CTRI•rvAL PORSubt:Fl£S �1 �/ 11�� Subtotal: Print name: Joan P Albert Date: ❑Plan Review Required(25%of permit fee): `r State surcharge(12%of permit fee): .0001.1.1"--Authorized signature: / r'�r TOTAL PERMIT FEE: Print name: Bill Daniels This permit application expires if a permit is not obtained within 180 Date: days after it has been accepted as complete. * Number of inspections allowed per permit. LABuildinglPermits\ELC PermrtApp nt:R&RE.doo Rev 06,172015 440-4615T(11105/CO&iiVE8 Plumbing Permit Appiica ,'t$.:: 4 ,, , ' II 1pp l�)V Building Fixtures City of Tigard veil Permit rro.:11..S'� r r , C 13125 SW Hall Blvd.;Tigard*Off' C��o g -)'` flan Review Phone: 503.718.2439 Fax 50159 1 t. J a i iii ga y. Other Peaait No.: 1 i c;n R D Inspection Line:503.639'41751,1 i t r•-, nil/ic Internet www ttgard or gov t 1 $011,1XDate Ready/By, Jtuu. s See Page 2 for NotiftedNethod Ser 3 en ���� �- �, PP a entallnformatmn -r�� « 2''P i1tF qWO E r ..,., .:. .. � .. .. .y .� ( a,.�i�. f�-,�.;� i � s'�f.� � :s * S�HEIfL�tLt p g 4 ''s. ►,41 New constnrc.0o 0Demolition For special information use checklist y-� Description ( Qty. I Ea, I Total 1J Addition/alteration/replacement Other: New 1-2-family dwellings(includes 100 fl".far each utility connection) " a * %'" 6RY&jp t oN RiCtiio I /h ' SFR(1)bath 312.70 2 1-and 2-family dwelling 0 Co memiai/utdustr'al SFR(2)bath 437.78 _ �i Accessory building 0 Multi family SFR(3)bath 500.32 ry Each additional bath/kitchen 25.02 Q Master builder 0 Other: Fire sprinkler ( sq.It) Page 2 i d"t3R 1 3NFO;RM,l37.# 1 L(idiffoN -,W. Site utilitiesz Job site address: 13 001..+ Svc I� 'D Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 1 1 'w Drywe11,1each line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name..1.4\16r TeirraCe'East- Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.; ) Page 2 Subdivision: Water service(no.linear IL: ) Page 2 _.. V yr Y eArra..e 1 Lot no.: 15 Z Fixture or Stem; Tax map/parcel no.: Backflow preventer 1 31.27 R--,,-,_:,,---;,-. ..,„,,,,,r- flB R' . „ Backwater valve r' 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 "KFI'�:R7lt OW31lER., '1i+I xp 2.51 Ejectors/sump 25.02 Q -�:, �,. u_ � ...� y �.,� ., Expansion ac�icm tank Name;ADVL Land Holdings,LLC Fixture/sewer cap 25.02 FIoor 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)6944031 Fax:( ) Ice maker 12.51 -.--;::,-,5,-v4,7.;,---,174... : 11111 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T c A R:D Building Permit Review — Residential BuildingP ermit #: <���STs\ - Site Address: /30/9,I Q / c Project Name: 7 Ver- "aGe_ Lot #: IS-0,2 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: / & ''' // S' �6 ' ' ''/S je6-1 T€ c: /�'G� �- %/_S- ice' erify site address/suite#exists and active in permit Xtern. TirR River Terrace Neighborhood: ❑ No 4!J Yes,See River Terrace Review Addendum Attached S1Plan Elements: 4riee ee(3)copies of site plan ` .!�. plan must be on 8-1/2"x 11"or 11 x 17" a er .. sig structures on site awn to scale(standard architect or engineer scale) fOoFootprintoationsof w structure c e(including decks)with finished i rth arrow .1 address,project or subdivision name and lot number Gty locations&easements(required for new and additions) _rittpplicant information(name and phone number) Sid-walk/driveway approach cation of wells/septic systems •t dimensions and building setback dimensions k! xisting trees to be retained with drip line,and tree p OP! •uare footage of buildings to be demolished •!'•. area,building coverage area,percentage of coverage and 1tectieeon measures pervious area(applicable if R-7,R-12,R-25&R-40) eet tree esize,type and location Property corner elevations(2 foot contour lines if more than Street names 4 foot differential) >1,000 sf of impervious area created or repl a Yes ❑No If es,is a storm water uali facili shown ElYes ❑No lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facili ' s Improvement(PFI)Permit: ` y quired: Yes,applicant was notified ❑ No Applied For: 201 mk 4a Yes ❑ No,stop intake d Use Case#: 23:90D 1 3oning: /> C rr Required Setbacks: Front ear /� n Side 5 Street Side AA— Garage _ Of an.scape Requirement: P ' •t Coverage Maximum: % II Building Height: Maximum Height g(? Actual Height /� t1 Visual Clearance V ►.ensitive Lands: 0 Yes 0 No V rban Forestry Planffig Type Conditions "Met"prior to issuance of building permit Notes: ❑ Approved By Planning: ���� �� � Date: /®N 4,1 Revisions (after Building Submittal only) Revision 1: A rovedReviewer Date pP 0 Not Approved �_ IIS Ili? Revision 2: 0 Approved 0 Not Approved I f i1 Revision 3: 0 Approved 0 Not Approved I:\Building\Fonns\BldgPennitRvw RES_061417.docx Building Permit Submittal Original Submittal Date: 5 `1?-) ISS Site Plans: # S Building Plans: # Building Permit#: 2/Enter building permit#above. C�'Buildin Workflow Routing: aPlanning ER/Engineering Q Permit Coordinator g Workflow Sign-off: El/ Sign-off for Planning(include notes from planning review) Route Application Documents: 21/Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. 2/Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: ��� By Permit Technician: Engineering Review ` ,,,❑ 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: 0 Yes er No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 Yes Qe'No 8 Final Plat Recorded: Date: 0 NOT Approved by Engineering: Notes: Date: / ,�; ,. � 2 Approved by Engineering: 1 : ' "` Reviewer ate/ Revisions (after Building Submittal only) /,, /� / at i 8 Revision 1: I,Approved 0 Not Approved ibtil Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review %I.Conditions--let'prior to issuance of building permit 0 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: SDC Fees Entered: Wash Co Trans Dev Tax: Igf Yes 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: X Yes 0 N/A LIDA 0 Yes N/A OK to Issue Permit /1(.31/(t / Y Date: � �� Coordinator:Approved b Permit Coo �, C�"`a"" PP y �f��� I:\Building\Forms\BldgPermitRvw_RES 010118.docx 1 M City of Tigard NIN COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G A R o River Terrace Building Permit Review Addendum Building Permit #: ( .i .u5:,,,- Cj cin- Site Address: jgoo4 set) /(." -- -e Project Name: ', 1.7 rr0ic — Lot #: /,c---,Q (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distrj' t Design Standards (18.640.070.1.): Is the project subject to the plan district design standards? PC Yes El 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. Porch min. 5 deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer 111 ❑ El ❑ 2. Eyes on the street: a minimum of 12%of�e h street facing facade must include windows or entrance doors. Percentage Shown: /A- jp 3. E ances:At least one entrance must meet both of the follo g standards: v Max. 8 ft. setback from ion street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes El No If s,all the following apply: �5 sq.ft.min. iil ne street facing entry ft.max. roof above floor of h 5 t. depth min. Z%min. porch roof coverage g 4.Detailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deepecessed entry area min. 5 ft.wide x 2 ft. deep ❑ Wall offset min. 16 inches rd Dormer min.4 ft.wide El Roof eave min. 12 inch projection El .of offset min. of 2 ft. ❑ Roof shingles either tile or wood VA Gable,hip or gambrel roof design El Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street façade 0 Window trim min. 2 1/2"wide by 5/8"deep El Window recess min. 3 inches for all street facing El Bay window min. 5 ft.wide by 2 ft. deep E l 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 oser to front or side lot line,than longest street-facing wall. El Yes ItQ No. If No (Check one): May extend upto 5 ft.if there is a covered frontporch and garage does notx Y ga g extend beyond the front porch. El 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) El 12-foot-wide garage door 40%max. of street facade El 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: I `d Date: /0/)bil 95 I:\Building\Forms\B1dgPermitRvw_RES_RT_121417.docx River Terrace Resubmittals-Polygon Northwest Homes Plan type 6065A Lot 155:Plans don't match plot plan. A revers plan was submitted. Needs to be garage right. Plan type 6065AR Lot 152:Site plan submitted shows garage left layout. Plans submitted are for a garage right. Need to submit plan set for correct orientation to complete building review. Verified A2 page garage orientation with Plot Plan garage orientation. Plan type 6065B Lot 154:Site plan submitted is for a garage right layout and the plan set is a garage left orientation. Please submit correct orientation to move forward with plan review process. (updated 10/23) correct plan ordered from Planwell 10/24,verified A2 page garage orientation with Plot Plan garage orientation. Plan type 6065BR Lot 148:Plot plan doesn't match the plans we submitted. Garage is switched, need to resubmit this lot with both matching Verified A2 page garage orientation with Plot Plan garage orientation. 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 III a Transmittal Letter i .(; \R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 4 Of-1'0V DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED NOV 5 2018 FROM: Aw\ ku ellikV �n I Y 1 CITY OF TICARD COMPANY: FO I 1 01)0\k,, UM/ill h We:* -it NZ BUILDING DIVISION PHONE: (itt (S°1 S YY7UO a . rr) 7---- RE: V)00(1- SN \ A veli i onfis`t MST –( Da (Site Address) J (Permit Number) '—\\)e V-oV\rut-bCh kit- L-o 15 i -- (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: escription: Additional set(s)of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: &V 1s of icy 'te,Ve vInk) FO TICE USE ONLY Routed to P 't Technician: Date: t( (p (Q, Initials: Fees Due: '�es ❑No Fee Desc 'ption: Amount Due: 1/., 1 1.- ple".1 ri-Vist€"/ $ Ycl Special Instructions: Reprint Permit(per PE): [ es ❑No ❑ Done Applicant Notified: ate: Initials: I:\Building\Forms\TransmittalLetter-Revisions_061316.doc Electrical Permit Application FOR OFFICE USE ONLY City of Tigard flCEIVED Received `Date/By; t 1Ick JrMOVi` , \ v - a13125 SW Hall Blvd.,Tigard,O Plan Review g Phone: 503.718.2439 Fax: 503.598.ig�pDate/By: Related Permit#: Inspection Line: 503.639.4175 J U IV 2 8 2019 ReadyDate/By: Jutta: TIGARD y H See Page 2 for o Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF TIGARD TYPE 081,0tONG DIVISION PIAN REVIEW ®New construction 0 Addition/alteration/replacement ,:, 4•, . Please check all that apply(submit z sets of plans w/items checked): 0 Demolition ❑Other: ti `"' 1 ID Service or feeder 400 amps or more 0 Building over three stories• where the available fault current 0 Marinas and boatyards. CATEGORY;OF CONSTRUCTION \�\ :— exceeds 10,000 amps at 150 volts or 4'� 0 Floating buildings. ® I-and 2-family dwelling 0 Commercial/industrial 0 Access`ory building less to ground or exceeds 14,000 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB-SITE INFORMATION AND;LOCATION'. ❑Emergency system. larger separately derived 1 � t, � -_- ❑Additioo. more. load of 'system. Job#: Job site address: 1 �-+vtr-1 VJ't"}{ looHP ormore. ❑"A","E","1-2","1-3", City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy; ❑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 SGIEDUI,E,. Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision:East River Terrace. Lot#: t 52- Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1 DESCRIPTION.OF WORT{ Limited energy,residential _ Change contractor on MST (with above sq.ft.) 75.00 2 g 1 t..CO2 31 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 ®.PROPERTY OWNER_ 0 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 APPLICANT Branch circuits-new,alteration,or extension,per panel Q,CQIV I ACT PERSON A.Fee for branch circuits with Business name:Polygon WLH,LLC above service or feeder fee, 7.42 2 each branch circuit 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'!branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax: :(360)693-4442 Each manufactured or modular Email:permitsubmittals@polygonhomes.eom - dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 CQ RAGTQK :. :,, _,. PttmFnr irrigation ruck 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(1 hr min) 66.25/hr Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr Email:solarpdx@me.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: 199188 Electrical Lic.: c92 I Suprv. Lic.: 4871 s specifically listed CA hr min) 90,00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: 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: k,/L jlop TOTAL PERMITTEE: 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. - * Number of inspections allowed per permit. r.,o..:tA:n..l Pnrm:t0 Fr!' Pnn,.it a nn Fra FPC Ann P...rl/./1911(11: