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Permit (150) CITY OF TIGARD MASTER PERMIT ' >r COMMUNITY DEVELOPMENT Permit#: MST2018-00283 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/07/2019 Tr l ''�` g Parcel: 2S106DA20400 Jurisdiction: Tigard Site address: 16693 SW BIRDSONG ST Subdivision: RIVER TERRACE EAST Lot: 243 Project: River Terrace East No.2, Lot 243 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 29 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2914 sf Value: $367,342.50 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: 2 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'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 2914 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY POLYGON WLH LLC 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 703 BROADWAY ST STE 510 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $35,256.28 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: — Permittee Signature: o7 ,4/eoz=77C' 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 , 6ED • LOQ 2-,Residential V n R FOR OFFICE USE ONLY 2U1" City of Tigard PitReceivedDateBy: VO \g. a �,T Permit No.:�ST ac`s,..-(� � 114 al 13125 SW Hall Blvd.,Tigard,OR 97223 GAla° „ Plan Review J 1 V p �� Other Penni. l '"r Phone: 503.718.2439 Fax: 503.598.�1�9�"0( (�� `�S`��' Date/By: �I 1 i Air �l,'v'1\�l,��j—�`�j;�� TIG:�K D Inspection Line: 503.639.4175 ��✓✓�'''QIN�j Dl VU,� Date Ready/By: / JAS- See Page 2 for Internet: www.tigard-or.gov �U�� Notified/Method:?// /f Supplemental Information 9/1.— q I yCL7 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 fo CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 501 342 ❑Accessory building 0 Multi-family Number of bedrooms: L4 ❑Master builder ❑Other Number of bathrooms: 3 A `�`� 4utl SITE INFORMATION AND LOCATION�- Total number of floorss:� Z 2 37 Job site address:r�a"'"`- g ` 61Y( t S(�g SA New dwelling area: G-.1 ' square feet ,l0 (0,1401 City/State/ZIP:'Tigard,OR 972,24 v j Garage/carport area: 14(_q square feet 124 ) Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area:` sY/uare feet 1 / Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace East Lot no.: 2l13 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: tI APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please rejertofee schedule) Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address: 103 Broad/wall Si S(il{. ci 0 Total fees due upon application: City/State/ZIP:Vancouver WA 9866 Amount received: Phone:(360)695-7700 Fax::( ) �t E-mail:Nichole Thorpe 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: I, t I 1 0 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: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Date:06/16/2017 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) I Mechanical Permit Applicatia ECO E. FOIL OE l 1( 1 I 'd O\1 \ City of Tigard �$ Receive Pomo No - G 13125 SW Halt Blvd., Tigard,OR 972237-'6S737ev `etW3 �� N?RPlan Review Phone: 503.718.2439 Fax: 503.598.1960 H )at 13t Other Permit. r i t, ,t:1, inspection Line: 503.639.4175 V T‘G� r, e Read,113y: mons H See Page 2 for Internet: www.tigard-or.gov C13'(' G nrav1S� Notifiedirviethod: Supplemental Information on OF woRa: 1 COMMERCIAL FEE*$CHEI)UIZ- USE CHECKLIST Mechanical permit fees'are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment.labor,overhead.and profit. Value:$ CATEGORY OF CONSTRUCTION RESWZZfIIAL EQUIPMEtf1/SYSTEMS FEES' is].and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist I I Multi-family 0 Master builder 0 Other: Description _ Qty. Ea. Total 08": INFORMATION AND LOCATION Heating/cooling: i Air conditioning 46.75 Job site address: I ()-yr Y �,�,�&� `vv S�)G ,S� Furnace 100.000 BTU(ducts/vents) I 46.75 City/State/ZIP:Tigard,O 97224 J Furnace 100.000+13TU(ducts/vents) , 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: R-w.e r 1'e, e.1 o.sk" Duct work 23.32 Cross street/directions to job site: ilydronic 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 I 23.32 ��1V Other: 23.32 Subdivision: 1VPr1r"rilrr(�C . � ,5'�' Lot no.:l Other fuel appliances: Tax map/parcel no,: Water heater... 23.32 DESCRIPTION OF WORK Gas fireplace/insert I 3339 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 igiPROPERTY OWNER 1 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: 1s DVL LaY 'd ra 11S ILL( Range hood/other kitchen equipment I 33.39 Address: "I(000 E Doudo .. N rk GLC\ Clothes dryer exhaust i 33.39 City/State/ZIP: �+, ,, f 2) �-Q Single-duct exhaust(bathrooms, J( �c—c4T ,nl T��2...7 V toilet compartments.utility rooms) 4 23.32 Phone:,a Ol1.4-LT(J�t Fax:( ) Attic/crawlspace fans 23.32 APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:Polygon WLH,LLC 514.15 for first fours 54.03 for each additional Contact name: 01 GVIA. ` Orpe, Furnace.etc. i Address:103 B _ ypt`ta" .Su & 1) Gas heat pump _- 'J .--tWall/suspended/unit heater City/State/ZiP:Vancouver,WA 98660 Water heater , Phone:(360)695-7700 Fax::(360)693-4442 Fireplace l Range I E-mail: ' _ Barbecue CONTRACTOR Clothes dryer(gas) Business name:Apex Air LLC Other: « Address: 18004 NE 72"d Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%®of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 130 days after it has been accepted as complete. Authorized signature: - • Fee methodology set by Tri-County Building Industry Service Board Print name: •( Date: 4-/7•ft,... l lnuiidin5Wemits'%tE:C_PetmitApp_040113.doe 440-4617r t I t O?lCO,Lt,W tact ' .. x �.0 ,.,,,.�.-A.ua.r lFeuuo.au cLnuns 0 ° ✓� ', Se 'Q�lf *751Cnty` of Til e°�:rd1 lI�R... eceivedPenult N:/ f `�y�}rpDate/By: / ,O ,ae 0c _ 1 13125 SG HalV �I Blvd.,TlbarcE,OR 97223 Plan Review ' Phone: 503.718.2439 Fax: 503.598.I960 ,. ?;) 1 8 2018 Date/By: Related Permit N: J Inspection Line: 503.639.4175 eady Date/By: ruris: CI 1G.f. . g g f{GA SeePenetfnf Internet: wlnv.ti acct-ar, ov �)t� �f" otified/[vtethod; _„,,:;_:.u,;...•_..,,..:,:,. ___._..;......._ _ _ _ yg� � _ Supplemental Information ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other: ❑Service or feeder 400 amps or snore 0 Building over three stories. 't::::`<<' s<;=;i'':% c: M::: :.:....:::..:.:..<:...-..,,..:,<::::...:::..,..:::,:,:..;...:. ..:- :..... where the available fault current ❑Marinasandboatyards. : . ......:.::.2�',.�;::::::;:;-::.:,..-.�_. ...�._..,o��:-.;;�o�'scorr��cxuC.,�rLo. ::::;;:::�.;�::;::.:..,::;:,::,:::..,,.;:.:: •. exceeds - - _..,.. .,. . .-_. ... � : IQ,000 amps at 150 volts or 0Floating buildings. El I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 D Commercial-use agricultural amps for all other installations, •buildings. ❑Multi-family . - 0 Master builder 0 Other: DFire pump. 0 Installation of 150 >:.,..:::: 70,0_;kSITE II!1F..f?0*NTIOl\Y*itt t40. 00.: r: :'`:;; :::'; ❑Emegencysystem. larger separt ly VA or : derived Job#: Job site address: I �- (. ►�1 D Addition of new motor load of system. j.,J V�� .� IJIr�S�t 100HPormore. City/State/ZIP:Tigard,OR 97224 I11 C` J ©Six or more residential units. occupancy. 4� DHeaIOt-care facilities, ['Recreational vehicle parks. Suite/bldg./apt.#: Project name: R\,j -Telma,Ems..,`_ ❑Hazardous locations. D Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: Description I.Qty. I Ench.,.,+:,.. : Total I'.k New residential single-or muni-family dwelling unit. Subdivision: ,i\ler.' &cy e— 54— Lot#: 2_,(-I3 .includes attached garage. Tax map/parcel#: ;':;`_';:°; �;:::=._'.;.- >r: :: ,.�:_-;...::.::;�->:...: .:.... .:...:...:y;.:.:;...:...:: ..,..,, :...:... portion4 33.92 1 000 sq.ft or less 168.54 4 : Ea.add'1500 :..- :::_ :,;:;;•:::.: ;D SGRIY.7?�ON:OI?;'WOTiK .. :.:_::,•-. sq. or 1 :.... .; _� ... . .:. ... ... ..';:_; .,_..: .: Limited energy,residential75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.$.) ng -= ;pR 2O : :- , ._ : - , : _ . - : .. - =:� S Reernvtewcesbolre fEeneedreg3rs intallation,attcraStaenPned/2or rtacationName: (� _ /ti r1c1 200 amps or less I00.70 2 Address: i I 201 amps to 400 amps 133.56 2 hh 4 1LY aC-,- 401 amps to 600 amps 20034 2 City/State/ZIP: S l.�l I l i a,1e.e. I AT.e i,5)5 V 601 amps to 1,000 amps 301.04 2 Phone: �02—W i4—14 03 9 Fax:(. ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: . relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 I 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 : :. G:�s:a:::`(_: <nch circui its new alterationor extension,, �;�� i' _.���=�L'-°LC. T;;: _ t.. - �Ct)- .� rn , , xt salon,per Anel , .:.. ,�:•:.:� . , .-. .. ...�.._ ..: :.:........:..:.......Ohl;:<:::�.:�,:';.': ... ,_---,.:r�.>...�.:.-�.:.....:.. .. . .. A.Fee for branclh circuits with Business name:Polygon WLH,LLC above service or feeder fee, 7.42 9 Contact name: �11 each branch circuit Ov TCP.. B.Fee for branch circuits service or feeder fee,first Address: 10'2, 6vo , , t ' � < ,Lp a1 branch circuit 56.18 2 �^� �� V City/State/ZIP:Vancouver-,WA 98660 J 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 Email: ����� ►V Y l lJ Ila ���I dwelling,service and/or feeder i 67.84 • 2 !.,, rEs .� Reconnect only 67.84 2 .jrr .rJ�._ , .•fix;: iat' Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Signal circuits)or limited-energy Address:402 Valley Ave NW Ste 106 - panel,alteration,or extension. D See Page 2 2 City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90.00/hr Email:bdarriols@gwettsa.eotrl Industrial plant(1 hr mM) 78.18/hr Inspections for which no fee is CCB Lie.: C1158 Electrical Lie.: 208174 I Suprv.Lie.: 4496S specifically listed(14 hr nein) 90.00/hr Suprv.Electrician signature,required44 _.]Glt�il_T.;I ::: :° < `: t ll (�i ('�,.. . Subtotal: Print name: Joan P Albert - I Date: ©Plan Review Required(25%of permit fee): -- _ > 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 trims been accepted as complete. * Number of inspections allowed per permit. L-1Euilding\PermitslELC_PermitApp_ELR BRE.doc Rev 06/17/2015 440-46151-(1i/05/CQ&tIWES P ECEt 'ED Plumbing Permit Applicatio Building Fixtures ;' 1 8 2018 City of Tigard �± . ,/,'.Vj 1, 13125 SW Hall Blvd.,Tigard,OR 972 t (J T�tap1RD Date/BReceivedy: Permit No: �% 11111 _ r NIG DIVISION Plan Review Phone: 503.718.2439 Fax: 503.590 1':! Dacey. Other Permit No.: T I G A x D Inspection Line: 503.639.4175 Date Ready/By: Sufis: la See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE For special information use checklist r New construction 0 Demolition Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 SFR(2)bath 437.78 ®1-and 2-family dwelling 0 Commercial/industrial SFR(3)bath 0 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master build 0 Other: Fire sprinkler( sq.ft.) Page 2 \\,...4,9-4 STIN INFORMATION AND LOCATION Site utilities: �� ( S W R�( C:CS S Catch basin or area drain 18.76 Job site address: . "' y l 1` Dlyweli,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: & tract 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 Water service(no.Iinear ft.: ) Page 2 Subdivision t,,.er T,eyro,ee. i- Lot no.:-L1-13 Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 fig PROPERTY.OWNER I 0 TENAl9'f Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 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 ®®4 7 0 CUNTAC r;PERSON, Interceptor/grease trap 25.02 . . . .. :l1PP'LIC:`ArIT.:. =. Business name: Poly Medical gas(value:S ) Page 2 l`�tl � Primer 12.51 Contact name:N i ' .o, _ Roof drain(commercial) 12.51 Address: (53 �1(o�600,1,40 "5't' C ��0 Sink/basin/lavato t/ / 25.02 _ ,f v rY �l�iiv��s- City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 25.02 CO G"1 J� Urinal E-mail:.t C� to • Q1 �( \n el2Y � AWater closet 25.02 OR Water heater37.52 Business name: G.e1'-J Iit Vhyat i11 n-S.v .- Water piping/DWV 56.29 Address: p.P. B- G(� Other: 25.02 City/State/ZIP: ST, P -4 ort. co 131 - Subtotal Phone: 3 a�� 1411 Fax:( 'i V..-7a,1 4 flO Minimum permit fee: $72.50 (3 - Plan review (25%of permit fee) - CCB Lic.: 1 �,, Plumbing Lie.no. y - State surcharge(12%of permit fee) Authorized signature: ,� TOTAL PERMIT FEE Print name: i + `.. "G.F U) i Dam -36 -1 iv This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\PermitstPlMU-PernitApp.doc 10/01/09 440-4616T(10/02 0WWEB) IIICity of Tigard ,. COMMUNITY DEVELOPMENT DEPARTMENT T 1 c R n Building Permit Review — Residential Building Permit #• (\S-T oN- (-3,-- Site Address: 1 UCC13 SW $IraiSbn <Shree5P Project Name: 12 Wei' Tc rruce Eris+ Lot #: 214 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NCnl S -12- 115-4( -L Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ No X Yes,See River Terrace Review Addendum Attached Site Plan Elements: AT'hree(3)copies of site planit iSite plan must be on 8-1/2"x 11"or 11 x 17"paperWfusttng structures on site `_rawn to scale(standard architect or engineer cale ) fl�,, 00relevationsw structure(including decks)with finished N��{{ orth arrow i�'jJtility locations&easements (required for new and additions) Site address,project or subdivision name and lot number Sidewalk/driveway approach pplicant information(name and phone number) cation of wells/septic systems Lot dimensions and building setback dimensions 1176Existing trees to be retained with drip line,and tree V\ quare footage of buildings to be demolished protection measures Xot area,building coverage area,percentage of coverage and ❑Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) AStreet names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Y o 4 foot differential) �� If yes,is a storm water quality facility shown? r=JYe"s eJNo Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified g No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified No Applied For: • ❑ Yes ❑ No,stop intake Land Use Case#: P D 12.W 1 C9_ODDt 7 Zoning: (Z. LS (.p t) / Q— CPD 16.Required Setbacks: Front a / Rear I Q Side 3 Street Side IVA- Garage .20 ,,la Landscape Requirement: 20 diX Lot Coverage Maximum: flip % 10,Building Height: Maximum Height NA Actual Height±2 Tisual Clearance 1 Sensitive Lands: 0 Yes A No Type ..Urban Forestry Plan 0 onditio s "Met"prior to issuance of building permit otes: ` 01", )C 'ICO WYI� IS flt -1-D l Ss •,J LP . )),e) "NN" a`.4,,,..{ 0 i `f` 19',, i le- �,a r4,sisq `K 17 Approved By Planning: i 11 f Date: 10116 /19 Revisions (after Building Submittal only) Reviewer Revision 1: 0 Approved 0 Not Approved Date Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\BuildingWorms\BldgPermitRvw RES 061417.docx i Building Permit Submittal Original Submittal Date: 4VMS Site Plans: # a Building Plans: # 3 Building Permit#: 2 Enter building permit#above. Workflow Routing: 2' Planning 12' Engineering 2"Permit Coordinator a-Building Workflow Sign-off: EX Sign-off for Planning(include notes from planning review) Route Application Documents: RI 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: �, ---, Date: iCiL1kk Engineering Review ,0 dope 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 ':f No Assess Water Quantity Fee in-lieu: 0 Yes 'i No LIDA Facility on lot: 0 Yes L O'No Final Plat Recorded: Date: ❑ NOT Approved by Engineering: Notes: U)/hi- 0f 1- fuA)G N A"N"A V, ii ''-)t t'k to 14-7-)Lit e �l �u l i Date: /0/ n € J21- Approved by Engineering: 4., 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 1 ❑)Conditions"Met"prior to issuance of building permit `/Approved,NOT Released: Date: 1-41-11—b Notes: CAM d t tl wvJ ixecl 4:3, W vrpr + t ,c 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: 0 SDC Fees Entered: Wash Co Trans Dev Tax: .® Yes 0 N/A Tigard Trans SDC: -a Yes 0 N/A Parks SDC: 'Yes 0 N/A LIDA 0 Yes , N/A OK to Issue Permit 71// 7 Approved by Permit Coordinator: Date: .2/.2 I:\Building\Forms\BldgPermitRw✓_RES 0I0I18.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T i c A RD River Terrace Building Permit Review Addendum Building Permit #: CZ Site Address: I l.Q(,p CIS SW Bird Banc S-frree- Project Name: !"zwer Trace ' AS+ Nict _ Lot #: 243 (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?. Yes ❑ 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 min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: f Ofo 3. Entrances:At least one entrance must meet both of the following standards: 4ax. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, arVor open onto porch Entrance opens to a porch: Yes ❑ No If yes,all the following apply: 'moi 25 sq.ft. min. '-One street facing entry CRT 12 ft.max.roof above floor of porch cgr 5 ft. depth min. i .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 agWall offset min. 16 inches 0 Dormer min. 4 ft.wide -Roof eave min. 12 inch projection ❑ Roof 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. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of street facade ❑ Window trim min. 2'/2"wide by 5/8" deep E l Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep El 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. '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 ►"= 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: AfpMo______06,d , Date: 10/16 J�8 I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx Electrical Permit Ap licatio ECENED FOR OFFICE USE ONLY City of Tigard Received Permit# , Iii q 13125 SW Hal]Blvd.,Tigard,OR 97223 Date/By: -4-\�,\� �'x��� -.�� y�y�� 2 • Phone: 503.718.2439 Fax: 503.598.1960,u N 2 S 2019 Date/By:an Review Related Permit#: Inspection Line: 503.639.4175 adyDate/By:F CITY OF TIGARD Ready Date/By: loris: H See Page 2 for 0 Internet: www.tigard-or.gov C Notified/Method: �L11LD►NG DIVISION Supplemental Information TYPE OE 1V._RK PLAN REVIEW ®New construction ❑Addition/alteration/replacemen v,,. *T . s f, Please check all that apply(submit 2 sets of plans w/items checked): . - 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: w ' where the available fault current CATEGORY OF CONSTRUCTION . -i exceeds 10,000 amps 150 volts or ❑Marinas and boatyards. �V�\Q p 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Alic rybuilding less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB,SITE INFORMLATION AND LOCATION 0 Emergency system. larger separately derived �� A 0 Addition of new motor load of system. Job#: Job site address: ,(pApq'� ,�`e,,�.W+, IOOHp or more. ❑••A••,•`E••,••1-2••,••t-3'•• City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name:East River Terrace 33.2 0 Hazardous locations. 0 Supply voltage for more than 0 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-11.j. Lot#: 24-3 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 WORK Limited energy,residential 75.00 2 Change contractor on MST 1.15t' .-007,53.3 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) TENANT Renewable Energy ❑ See Page 2 ® PROPERTY OWNER 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 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 1.68.54 2 Branch circuits-new,alteration,or extension,per panel ® APPLICANT El CONTACT PERSON A.Fee for branch circuits with Business name:Polygon WLH,LLC above service or feeder fee, each branch circuit 7.42 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 67.84 2 dwelling,service and/or feeder Email:permitsubmittals@polygonhomes.com Reconnect only 67.84 2 CQNMAcTOB,. Pump 1.x irrigation circle 67.54 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 Address:3415 NE 44th Ave, Signal circuit(s)or limited-energy ❑ See Pa e 2 2 panel,alteration,or extension. g 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) 96.00/hr Email:solarpdx@me.com Industrial plant(I hr min) 78.18/hr - Inspections for which no fee is 90.00/hr CCB Lic.: 199188 Electrical Lic.: c923 I Suvrv.Lic.: 4874% specifically listed(rl hr min) _ f-- ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: /11...Z.- ------4---- _.e'� 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: it t/4. TOTAL 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. City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16693 SW BIRDSONG ST, BEAVERTON, August 26, 2019 at OR, 97007 10:03:59 AM Record Type: Record ID: Residential - Master Permit MST2018-00283 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: AC installed Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16693 SW BIRDSONG ST, BEAVERTON, August 26, 2019 at OR, 97007 10:03:46 AM Record Type: Record ID: Residential - Master Permit MST2018-00283 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: AC installed Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16693 SW BIRDSONG ST, BEAVERTON, August 26, 2019 at OR, 97007 10:03:52 AM Record Type: Record ID: Residential - Master Permit MST2018-00283 Inspection Type: Inspector: 399 Plumbing final Jeremy Burrows Result: PASS Comments: Note: water pressure 50 psi Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16693 SW BIRDSONG ST, BEAVERTON, August 27, 2019 at OR, 97007 9:18:33 AM Record Type: Record ID: Residential - Master Permit MST2018-00283 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control approved. Moisture content form received. Moisture barrier form received. High efficiency interior lighting form received. Blower door and/or duct test report received. Insulation certificate verified. C of 0 left on kitchen counter. Violation Summary: Inspector Contractor