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Permit (145) . e CITY OF TIGARD MASTER PERMIT a.' ' COMMUNITY DEVELOPMENT71 Permit#: MST2018-00182 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/07/2019 T r 9 Parcel: 2S106DA17200 Jurisdiction: Tigard Site address: 16899 SW APPLEDALE RD Subdivision: RIVER TERRACE EAST Lot: 211 Project: River Terrace East No. 2, Lot 211 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1128 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 29 Bathrooms: 3 Second: 1445 sf Garage: 385 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2573 sf Value: $310,295.70 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=10OK: 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: 4 201-400 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 2573 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: $34,155.95 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 throw•• •AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19817 or 1.800.332.2344. IIP Issued By:< ' �� TJ-Z Permittee Signature: e>"/M/a�4•f -01 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 L(-77 2_. Residential BEG FOR OFFICE USE ONLY City of Tigard QTR 1 g 2018 Received Date/By: ` 01 , j ,�JT7/ Permit N .114 ® 13125 SW Hall Blvd.,Tigard,OR 97223 to Nan Review is-01 7 Phone: 503.718.2439 Fax: 503.598.1960 est OF ftG�/��cRD� Ry: (p a (s - Other Permit/ /`4 TIGARD Inspection Line: 503.639.4175 1NG 0 % t.7i®"Date Ready/By: Juris: id See Page 2 for Internet: www.tigard-or.gov `�v�t.� Notified/Method:'�/�/Y -- Supplemental Information E-7t79./L /G'1-y6 ,,J 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* CATEGORY OF CONSTRUCTION work indicated on this application.S jyy/fiY� ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ j a. <,-- LE❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: Z Z-15'0 C Job site address: 1 to l°I $V. p7( e New dwelling area:' 573 square feet / Tc( 5-- (\n -- 1x n City/State/ZIP:Tigard,OR 97224 Garage/carport area: .- E5 square feet 1/2,46 Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: square feet 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.: ? 1 I 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. 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: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business (Please refer to fee schedule) name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe p� FLS plan review fee(if applicable): Address: 103 l3rwctway SI St:( l 0 d Total fees due upon application: City/State/ZIP:Vancouver WA 9866 Amount received: Phone:(360)695-7700 Fax::( ) E-mail:Nichole Thorpe PHOTOVOLTAIC SOLARAPANEL 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: i1 t • at gt Sk1 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:l������v� "��" This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP_RESPermit_App.doc 02/24/2011 440-4613T(11/02/COM/WEB) A Mechanical Permit Application , EAV I OR OI i 1( I. I sl 0\I 1 Cityof Tigard Received Penni'No � � 1 $ 201$ natU�3>: 1:�rS�'�ij/�-,(11�/�.� "� 13125 SW Hall Blvd.,Tigard.OR 97223 m� Ian Review Phone: 503.718.2439 Fax: 503.598.1960 �-�/ �` • t ,Bv,. Other Penult. \i.t> Inspection Line: 503.639.4175 CAIN t �� ^'v 119 0 Ready;113y: tun' 5d See Page 2 for Internet: www.tigard-or.gov 314.31LD\NGL v 1 Notified/Method: Supplemental Information 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 RL41DEN177AL.EQWPMZ T/SYSTEMS FEES* ,�I-and 2-family dwelling 0 Commerciallindustrial 0 Accessory building For special information use checklist ( I Multi-family 0 Master builder 0 Other: Description Qty. Ea, Total JOB:SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 Job site address: 1 l p qq t 1 Sw i) G,t,. ( Furnace 100.000 BTU(ducts/vents) I 46.75 City/State/ZIP:Tigard,`+OR 97224 Furnace 100.000+BTU(ducts/vents) 54.91 Heal pump 61.06 Suite/bldg./apt.no.: Project name: Ner 1'e, 'eO SS}' Duct work 23.32 Cross street/directions to job site: tlydronie 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 1 23.32 Other: 23.32 Subdivision: weiv.-'Cey,c ,` -CJsii-- Lot no.:'L, Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert I 33,39 Flue vent for water heater or gas fireplace 23.32 Log lighter(eas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 I Other: 23.32 i RI PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: ps11VL tip tc ryS i rt , Range hood/other kitchen J/ equipment I 33.39 Address: 1 ton E D OU_b P�-k�•e�p( C{ Clothes dryer exhaust 1 33.39 City/State/ZI1P: SC,(3k is-.4 (P 1•'p l LSB Single-duct exhaust(bathrooms, T t toilet compartments,utility rooms) 23.32 Phone:(pQ� 1.4- 7 t Fax:( ) Attic/crawlspace fans 23.32 El APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:Polygon Will,LLC $14.15 for first four.$4.03 for each additional Contact name: 0 i c,\\o\t. or'() Furnace,etc. Address:103 PV IM rya crt Su 1 cO Gas heat pump -J Wall/suspendedlunit heater City/State/ZiP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace i Range I E-mail: ' Barbecue l ' ecoit1 R Clothes dryer(gas) Other: Business name:Apex Air LLC z *OW-1 > , N.., Imo= Address: 18004 NE 72"Ave Subtotal City/State/ZIP:Vancouver,%VA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: - * Fee methodology set by Tri-County Building Industry Service Board Print name: f Date: el•/Q•/4.- 1 dluildingTomits,isniC_Perm ts.1;nuildingWermitsixWC_Petm 1App_040t 13.doe =4.10-16171(t lfr'JCOM,WIEB) .. ,.,,..,g,-.x. ... ",u„",, xa,_[al jilt,euauuru� '' II°4t0 4 Ali$ Qom:r a ; ;� City ofTigard ������ �e�. wsso-_"sr'�r ,o., s�.;�,�5k^ ., � "`.-Y �s �'�;�-" "'r ,z ��= -�, ri Received _ jj ,t Date/By: Permit II:/15� /'� (fe/ �'. q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ' Phone: 503.718.2439 Fax: 503.598.I960P R Q 2018 Related Permit II: � A f-t1 � O Date/By: 1 Inspection Line: 503.639.4175 Ready Date/By: Saris: 1 See Page 2 for �IGARD:i-� _' `� Internet: www.tigard-or.govCITY OFlNoltifned/tvlethod: Supplemental le Information ®New construction ❑Addition/alteratiolllreplacelnent Please check all that apply(submit 2 sets of plans w/items checked): [I Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories. rr, >a:a-;;;>';t, r, ;•:.: : :,-...:,.,:. :,:::-- where the available fault current ❑Marinas and boatyards. ,..,.. ,...C<1,T G.t)RY.O .:�CUN T12TICTIO, s �_,.-_._._.....:.,. ._��`';=:c``.:;{:8 ';•,::; : � ?', .% j['': exceeds 10,000 amps at 150 volts or 0 Floating buildings. © 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building ❑Multi-familyless to ground,or exceeds 14,000 ❑Commercial-ase agricultural amps for all other installations. •buildings. 0 Master builder 0Other: Fire pump. Installation of 150 KVA or '.: ::,..<.::::.:;:::,...,:..•:_;;.�$='�ITGIIVRO,fZ,IETA�'ION:A'1!ID.:LOC `FIO�N. r ,;:;i_`:_:*;�':''::',�"::.-:`: ; ©Btttergencysystem. largerseparatetycferived ❑Addition of new motor load of system. Job#: Job site address: �� SI/J 'C'ple1�a�� r 100HP or more. ❑"A,>"B","1-2""1-3' City/State/ZIP:Tigard,®R 97224 `� 'C 0 Six or more residential units. occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldgiapt.#: Project name: 12N ex--it mace, GLS-I' 0 Hazardous locations. D.Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: -...... :. :::F*Cr$:GFi_EIii7_LE'r:�:'.:; :;:`:. `ri.; . Description I Qty. I Each .,.:'.., Total I * 1 New residential single-or multi family dwelling unit. Subdivision: ���� -� � � J Lot#: 21( Includes attached garage. Tax map/parcel#: 1,000 sq,ft.or less 1 168.54 4 •....._.,:: ::_:::<,:.::::��,;:;_-..:.::.;,.:..-..:......... ....:......--: _ portion 339 ..., .,.. ... a a sq. or 2 1 •._..,....:.......:::.,:;.,�_.�::.�:,,, .:... :., .. . ,:.; . :.: :.:....,.:..: ._:.,.. Limited energy,residential (with above sq.ft) 75.00 2 Limited energy,multi-family 75,00 2 residential(with above sq.ft.) i _ :_>.� r.,- - - - - Renewable Ener ,::-.z,�•��- - -:�.:,....,..>.,- - See Pa e2 hY ❑ g r'„�'� '' - �• Services or feeders installation,a[tcration,and/or relocation Name: pt DV �� _ 200 amps or less I00.70 2 Address: --}�(pQ �j ,^ 201 amps to 400 amps 133.56 2 �,,��I�' ' ' `” `` �(�` 401 amps to 600 amps20034 2 City/State/ZIP: S G si ate l A A •' 5258 601 amps to 1,000 amps 301.04 2 Phone: VY 02—Wci 14—(�031 Fax:( ) LJ Over 1,000 amps or volts 552.26 2 Email: l` 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 �'s`-" - -`.'�S.- _ ,;ar - - -_ 1'aneeh eireuits—net al - - � ti'ratl4n or extension,per - , anel "; a _ --APP�1yO � :�_ _:�,: `::':,. ..-....,.:>�!� .... , .. .,fr.. ..�..._,..... . . .. .. A_Fee f r b �,_.. ,,:.,.:.;:.:::::....:::. :::.... .4,�- .... ...;:. ...:.: , ..�:.:�,... o ranch circuits with Business name:Polygon WLH,LLC above service or feeder fee, 7A2 Contact name: 7v‘ 04-9e each branch circuit `�' �\" B.Fee for branch circuits without Address: ' � s 1 �J . . t S D branchce it feederitfee,first 56.18 2 ✓ �` vu��dJ � l� branch circuit City/State/ZIP:Vancouver,WA 98660 j Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 I Fax::(360)693-4442 Each manufactured or modular Email: k1 I V�iNdwelling,serviceand/or feeder 67'84 • 2 A ndlo ::.-. ,....iv=;rr>t_.•.-111.011-Z 4; ;::,.--<. ,V• Reconnect only 2 _u, 13��s •C..L�� Re ec 67 84 a ::t v ,_.,.,,,..... .., .- -......:............. ..... . ........i-.. : Pomp 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 Signalnl,alteration,ai(s)or extension. 0 See Page 2 2 panel, or extension, City/Statealf':Puyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(1 hr mm) 66.25/hr Phone:(253)872-6051 Fax:(253)8724801 Investigation(1 hr min) 90.00/hr Email:bdaniels@gsveusa.conr Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90,00/hr CCB Lk.: C1158 Electrical Lie.: 208174 I Supero.Lic,: 44965 specifically listed(%Z brmin) Suprv.Electrician signature,required: ',.it, . '` ' e-„ _-. _. -_ .-...: . .. . Subtotal: Print name: Joan P Albert i Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: f r _ ~� TOTAL PERMIT FEE: f— This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: days after it has been accepted as complete. * Number of inspections allowed per permit. l:\nuildiag1PermitstELC PennitApp_ELR rslt.E.doe Rev 06/17/2015 440-4615T(l1/05/COM/wEB iE EINJED Plumbing Permit Application Building Fixtures , R 1 8 2018 City of Tigard TIGARD Received ■ 13125 SW Hall Blvd.,Tigard,OR 9722"I;I l' O l tt thy' Permit No,t94-j el/ee-eey,, 111 C Phone: 503.718.2439 Fax: 503.598.1 -�iN��'�f��o �Review Date/By: Other Permit No.: T 1 G.4 R n Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE For special information use checklist 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 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath R 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB Strik INFORMATION AND LOCATION Site utilities: Job site address: 1 W 9,q ci s V1(4,p vle dale1 cleA Catch basin or area drain 18.76 Drywell,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: \V i'ace. + 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.linear ft.: ) Page 2 Subdivision p.,(Je r T,eArrGce. ri- Lot no.: 2_`,1 Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 DESCRIPTION OF WORK Backwater valve 1 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 d®a .P$OPE ire OWNERI 0 TENANT - 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 >vd ' Interceptor/grease trap 25.02 iPPLICA1�lT --``��'' ;� CONTACT.PERSBN Business name: POI Jw 1`X1 @7�1 i i C _ Medical gas(value:S ) Page 2 `^,J Primer 12.51 Contact name:<1 lJV L .{r �(}P( , Roof drain(commercial) 12.51 Address: -1(5-b �1(oC(A)_ r"3`t' C w.vQ, 0 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 v Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 UrE-mail:.�1I C b� . � 0 01 QII e iv� Waternal 25.02 1 u � �� Lsts-- Water closet 25.02 CON kWTOI[ : e Nater heater 37.52 Business name: V'4"4 i k,t,fib v.,,k, ,4--So'W 'L- Water piping/DWV 56.29 Address: 'p.a. S•.ox, otA Other: 25.02 City/State/ZIP: Sr. Pig4A4 (art- 11'31 Subtotal Phone:c5'0„3..^"step- f4D'J Fax:( l V.."a l.-it 11/D Minimum permit fee: $72.50 184131,0_, rJ l� Plan review (25%of permit fee) (? CCB Lic.: ,0_, Plumbing Lic.no. ) khay State surcharge(12%of permit fee) Authorized signature: .,15131;c4, TOTAL PERMIT FEE Print name: ft/t. Date: _3 8-110 -This permit application expires if a permit is not obtained within 180 days �'�"Z�l A'� 1!(j}'k after it has been accepted as complete. V *Fee methodology set by Tri-County Building Industry Service Board. 1:\BuiidiogTe mits1PLMU-PermitApp.doc 10/01/04 940-46t6T(t0/02/COM/WEB) City of Tigard illCOMMUNITY DEVELOPMENT DEPARTMENT 1 iGARo Building Permit Review — Residential Building Permit #: 57-d,.0,c - 6,(F.2...- Site Address: jcesq9 sw ' `pPek Project Name: -NerTe rrdre .. ,c-4-- Nb,2, Lot #: a_ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: New G - Yi Verify site address/suite# exists and active in permit system. 74 River Terrace Neighborhood: ❑ No X Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan xisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper ' 1 Footprint of new structure(including decks)with finished NII Drawn to scale(standard architect or engineer scale) floor elevations orth arrow KYJtility locations&easements(required for new and additions) �'d ite address,project or subdivision name and lot number I'Sidewalk/driveway approach Applicant information(name and phone number) /' ocation of wells/septic systems VIcLot dimensions and building setback dimensions /tiv"xisting trees to be retained with drip line,and tree Square footage of buildings to be demolished protection measures Lot 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) Street names 1Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? =Y,s`il No 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 X No Received: ❑ Yes ❑ No . Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified 'No Applied For: ❑ Yes ❑ No,stop intake e. Land Use Case#: pp r2((i,—000D'7 Zoning: rL--1 LPP) V 1�q equired Setbacks: Front 0 Rear l" Side 3 Street Side _- Garage 20 ki Landscape Requirement: Lot Coverage Maximum: cep NiX, Building Height: Maximum Height '"/ 1 Actual Height t21 /21 isual Clearance Sensitive Lands: AYes ❑ No Type WVJ VA1 L,U C i16021 int Or4 Urban Forestry Plan Conditions "Met"lprior to issuance of building permit l otes: V'r atilt'. I I I i9P/ me pnc p rr f tSSU.fivv -u' Approved By Planning: Ar ,•k_.44"a! Date: kILLA a Revisions (after Building Submi 11 only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: L` . ir Site Plans: # Building Plans: # J Building Permit#: ['1nter building permit#above. Workflow Routing: Planning Engineeringermit Coordinator `Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: pp.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: • 7.41/r Engineering Review 6 ,011ope at building pad: D ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes 12'No LIDA Facility on lot: ❑ Yes 12r-No ❑ NOT Approved by EnW"Engineering:` y, /L Date: ' ' Notes: U.> L l j l,- z CL(dt i' dLL (SsJi Approved by Engineering: (�/�„�- uJ . Date: (2.,/1 ft Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ,Conditions "Met"prior to issuance of building permit 2Approved,NOT Released: Date: (0 Notes: Neta im t C1md . MTV-Vet O1.pp1 i CA,1-4-, 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: Cf;J Yes ❑ N/A Tigard Trans SDC: Ala Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes J N/A OK to Issue Permit Approved by Permit Coordinator: 17 —Date:‘7V:1-9//7- I: V:1 / I:\Building\Forms\BldgPermitRvw_RES_061417.docx City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT T I G ARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: 162e v V AppLerialc G� Project Name: Ver TCQ f? ` S-t Nfa: 7-- Lot #: 2,1 (New dwelling=subdivision name;Addition or Alteration=last name of owner) PlanningReview of River Terrace Plan District Desi Standards (18.640.070.1.): � Is the project subject to the plan district design standards? es ❑ 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 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide 2. Eyes on the street: a minimumlyf 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 10 h 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: Yes ❑ No If yes,all the following apply: /i1 25 sq.ft.min. Al One street facing entry 12 ft.max.roof above floor of porch �► ft. depth min. ! 0%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 ItittWall 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 l 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 AtWindow trim min. 2 1/2"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�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 150%max. of street facade with 7 detailed design elements /Notes: Approved PP By (al 13 itg Planning: i/�� I ���/� ° Date: I:\Building\Forms\B1dgPermitRvw_RES_RT_121417.docx Electrical Permit Applicati E C E I V E D FOR OFFICE USE ONLY City of Tigard MAY 9 2019 Received C( ' • 13125 SW Hall Blvd.,Tigard,OR 97223 �` It ®- Phone: 503.718.2439 Fax: 503.598Plan Review Related Permit#: aerY OF TIGARD Date/B Inspection Line: 503.639.4175 Ready Date/By: Jarisl Ed See Page'2 for TIGARDBUILDING DIVISION Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK _ 77 "� PLAN REVIEW ®New construction ET Addition/alteration/replace tint. :.„-1,,..—.� v� Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other: tJ 10(,lr, 1 0 Service or feeder 400 amps or more 0 Building over three stories. l(� where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. E 1-and 2-familydwellingCommercial/industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural 0 0Accessory building 0 Multi-family 0 Master builder 0 Other: amps for au other installations. buildings. ❑Fire pump. 0 Installation of t 50 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived 1(-0899 5"(A) Appkg 0 mai,Addition moew motor load of system. Job#: Job site address: tP LOOIIP or more. ❑ A'"E""1-2""l-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 SCHEDULE Description 1 Qty. i Each I Total I * New residential single-or multi-family dwelling unit. Subdivision:East River Terrace Lot#: 67,2_ 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 l DESCRIPTION OF WORK Limited energy,residential Change contractor on MST 2_0(1t pots 2. (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 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 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 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 APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,.er panel 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 anct fuofee,first branche circuit 56.18 2 brh t City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone:(360)695-7700 Fax : 360 693-4442 Miscellaneous(service or feeder not included) (360) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:permitsubmittals@polygonhomes.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 Address:3415 NE 44th Ave. Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Portland,OR 97213 Each additional inspection over allowable in any of the above Additional inspection(t 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 90.00/hr CCB Lic.: 199188 Electrical Lic.: c923 I Suprv.Lic.: 48715 specifically listed(h hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: e:_e.:4, 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: ki ie.. /2.0044, 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. * -Istumber of inspections allowed per permit. ti@uilding+PermitsELC PennitApp_ELR ERE.doc Rev 06/17120/3 440.4613T(l1/05/COM WEB City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16899 SW APPLEDALE RD, BEAVERTON, July 24, 2019 at 11 :26:05 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2018-00182 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: 16899 SW APPLEDALE RD, BEAVERTON, July 24, 2019 at 11 :26:08 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2018-00182 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: 16899 SW APPLEDALE RD, BEAVERTON, July 31 , 2019 at 11 :28:40 AM OR, 97007 Record Type: Record ID: Residential - Master Permit MST2018-00182 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