Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2019-00084
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/07/2019
T E�'' D 9 Parcel: 2S106DA20500
Jurisdiction: Tigard
Site address: 16709 SW BIRDSONG ST
Subdivision: RIVER TERRACE EAST 2 Lot: 244
Project: River Terrace East No.2, Lot 244
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 27 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2229 sf Value: $282,189.05 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 Tvpes 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: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders 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 2229
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: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $34,510.90
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 throug A 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: c / ���---_,. Permittee Signature: ,0A71 /(1,9--"/7,0N
•
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.
Approvekt-pI ns are wqui[ad-nq-fhet+her/e-At the tIme of each inspection.
a.
"Building Permit Application L ( --N" Q `--\ '-\
Residential RECEIVED FOR OFFICE USE ONLY
1 �d j �J
City of Tigard Received
DateB : 1 t I tCi S Permit No.:MST?t,1C1' ~'
a 13125 SW Hall Blvd.,Tigard,OR 97223 M AR 0 6 2019 Plan Review / Other Permit.
' Phone: 503.718.2439 Fax: 503.598.1960'" Date/B : �� ji,':; XyC•._- ,. 3
T I G A R D Inspection Line: 503.639.4175 CITY U F 1'I C(ARD Date Ready/By: �/, /Q ,(� runs: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: ( QJ� Supplemental Information
TYPE.P% ,Wil , ,i/ RE LAM/DATA 1-AND 2 `AMI.Y DWELT
,': ii?'i .
®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
CATEGORY OF CO i.trLO1 � work indicated on this application.
Yli® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ a i '
ti❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB,S1TI INFORMATION AND LOCATION Total number of floors:9, Z
Job site address: blooi Skio )3Ird c ti\R S'1". New dwelling area:in-al square feet ‘7,51City/State/ZIP:Tigard,OR 97224 Y U Garage/carport area: �o I square feet 9 7 g
Suite/bldg./apt.no.: Project name: \21 w0Z Covered porch area: �'/square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQ/''''l)`DATA:COMMERCIAL-V.ISECHECKLIST'
Subdivision:Polygon ut I°ti^'r-gidge V— \\..\)0 Lot no.: y L 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
j
equipment,materials,labor,overhead,and the profit for the
f ;� � � work indicated on this application.
New SF Valuation: $
Existing building area: square feet
New building area: square feet
j ,
El PROPERTY OWNER 1 "TENANT; Number of stories:
Name:Polygon WLH LLC Type of construction:
Address:703 Broadway Street Ste 510 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
Phone:(360)695-7700 Fax:(360)693-4442 New:
igi APPLICANT "' ' UCO$ / z BUILDING PERMIT FEES*' N,�%,�'
•Business name:Polygon WLH LLC �0 -." ref eria ee.wheIu r
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
FLS plan review fee(if applicable):
Address:703 Broadway St.Ste 510
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 Fax::(360)693-4442 Amount received:
PHOTOVDL ..% r.o Sir YS`IE1 ES
E-mail:permitsubmittals@polygonhomes.com _ . . /� 1
yxa __� Commercial and residentialprescriptive installation of
, 3. RACI'(R
`'-`;','41;-"4",",... ,01'e,;,,,.4),,,,,,,,,,,,� roof-top mounted Photovoltaic Solar Panel System. 1
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.
-.?.,1 C r.9 *Fee methodology set by Tri-County Building Industry
�J] j
I?tt v:Amanda Gavin Date: Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
in.
Mechanical Permit AppCEIVED
Appli '10 ,i'aeitoRtiErt.c.i.lig,o3imr, *4'rk•-':•* .*'*'}ti4-'-''''-y''•-•
ligieit ...,':...,,,,i ,,,,Ir••,•*gion,/,..-k- .9.4-,...4,..,.* .i,.44t.i..e4r,"14.,,/,•- •A.7
rAt:,'.-i3,'i.'•!-271 City of Tip rd APR 8 2019 .R.=-..,-,..1 .
ii.435 Permit No,:
13-17•5 SW 1-11111131.vd"Ti 'ard OR 97Y-13
11 i - ' Plau Rtview
Po= 503.7182439 Fax: 503.598•InTY OF-ri GARD w....,-.
•Vaicif6. lasp=tion Lintz 503.639A175
BUILDING DIVISIOI\ batc Ra44Sy: rim M.Sft Pagt I Arr.
Itstoinzt wcirw.tiaand-or.gov Ittaitin&Metiad: Supplutnattal inforinslima ,
:,;!‘:,.4-;F;'•=7,•••"e,--751.71.-11F4.-i7F-T*.-777,271, ---4-0.4'17::f.7;17.7-'772:7-71;174 c.7t-rQiii_7:574-•:147-..,,;:: 'TTO3Alkii#it'44;•;t:i0- 0 4:4"itleie-W.:ta76.1:4g.14-7441:Tt
Machanit permit rem*nre based on the\mine or the milt
*I Ncw ettasb-sction 0 Aednidiet Ationtreplacement *formed.indicate the vaine(iouPriet410 die ri.mrelq dollari or nil
0 Demolition 0 Other. tem-hank:al materials.equipment.labor.met-head_and rec4-4.
Value:S
-'::''' ' ': 6iiCititeti:i.1&1--iiiiaTitii:IV/i7z- FE-if,;:41.;''-14.:Lj`:;;74t,":L.:'':::-:, --.---..r.g.,,,,--- -----,_,I.--.7 .-•-•,,--------:.-- in.;,-- -..---, .• z,-•••.- i
,;?-•--)7.,'zi.:,,-. .-.. ? :„.:!.,:.;...:..., ....t.,..,.....L.,4,..:Yz. ;.••:,-2... . ----,'",',-. •:,,- i.-;:::::Vii,.:cff rIst7t,w.g4SALN.T.4.:SM_Egig„I;Fqt.;,`-..i::-:c7..':.]
Xi-et-rd2-faulay dirmiTatg 0 Cosnamigrmidu.striil 0 Aeeezwy. batEr*: Far spe del initurnertlait zese checklist .
I Q . I -E2_ I Tom'
Mr.titi-r- tay 0 M2rzei be4ides 0 Other: Des-a-01m •. .
7.4e.3.7M=i*,4-,5.117..4 ffi.!c. i,i: -.i•:6V/:. 4"....4,5- .•6ffi• -l -7
Mr condidurauz . 1 . ,K 75
Job sit:ad chenl 1(#1 0 Ck Su)
FOH, o_nc, . ..t- Ferns=1-013.000 BM(i.intts/vewsl
CiiY -taiZt1).:' A41A, 112 °11 Fli
arinee 141000+BTU(itr4tivets) • .54_91 _,
Heat isimull 61.06
SttiteradgJapt.sa.: I Project rdi1nri VR lenrac.c,a-Sk, _ _
zax. I
1 Dtt work
Crop street/directions tD 0 ‘*.e: - 'Qt 92 Elvdrotrie het miter$vs-tem 2332 I
.R.e4diential boner( dor or
itydrmic) . 23.32 I
Unit heat=tract-ripe,not electrksh
10-wall.in-deet sed.etc, 46..75
l F-1/mi.ant for env of abierve. 1 23.32
Other, *.",-1.32
Sttbdi4,Wom jr Tel"raCe EX.L.5 i-ot aa: 2.'14
_ Other filet sTrnfrime=r,
Tex saaFdparcett sm.: • Wilier litter • 23..32•
tglitkOiolik;q:NA-'7,1470:'1;F:MP- 2,‘..f.:i., „Ow limillablist'd • ..
• fireplace 23.32
-
.0$101-ter(.02151 , 2332
T -• .• - , Waad/pellet siers , 39 33
.
Wood Fu'epfiteefrasat 23.32 .
.
Chkme.!../inerifluely ore • 2.3,32 I
23,32
'1"::•'•171-TO-P-.‘1144X2-Pr5XF.ekt4P''''':%::-;-:1=4-'-'717;•. --',=- -:7N41571!!..ta/.r. ?1-''r' .• I Enviromratataf exhistrstand rerrtnit4orr.
N...,-. Ktv I- i..421no )4t,L-DItis i 1-1-C R.arcge hoodiorher kitchen 1 1
' emipment 1 1 33_?9
. - I I 33.34
Adds=.'IltcPCI_ E•-b6u 0.e-A-Y-6-e' - --cinciA 7ROD 61 Clcdirmr xliz.mq
i
CityStatejliFt 3c.01sdlo- o...k A.7., S7,52 Single-duct crimes](bathrooms... I A , '
(.0.5mt oaragurtments,ntfiitv rooms) I_ 1 13.32
Fhoac (061.- (At-k (.4,Dbk -F=( } I Atienzraul-A3ace fans I I 2332
•:-...‘•• •••:f..4.. ;:,-*V4'1414- rt::.: 11:7, :1_•1::".;' :::itV4.1.:.til' eifiti4V1i4, :rf."':Z.-t:' I
Other
1 I232
1 Fnel piphtlt: .
Easiness wine:.1'sftne Will,LLC
. gt 4.15 fisr firk fawn S4.93 far each ntidigerztt
Co3M‘7413aalr AW\CUAGUL 10(it/l/tA) Furnace,et.
AdahmE 1 D 3 --€)1-0".13 LLD 0... SL'' i Ske- k 0., •
Gus heel pima i .
Waltismimicrikuit healer
1 i
atyStateaT:Vzucouver.,WA MO •
Wpwheater 1
. ...
Pam=(360)65-7701 I Fax::PO)693-11$2 Fit-m.1a= I
( r_ . Ranee I
E-InaRerrYkA-su.\:;ily;,IA-0,AS .u.iox9tyyr.,Vovy‘.e.s.ex nil Barktue 1
!
Vii.' 431-ti-1-?,Fiz, - ..:0-_,..- !.. :.Ect- - ci%k$41",mr(s4
Smi-... 1 I iness mom Apes o
Air LLC
‘T§t:1.717::t.1 -%.- 6c*.AKIC*ktiElit#314.4r-!!)'.. 3-..,.: lf:•-:::.
Ms: $04 ME 7Z Ave
_ .._
• Cky/State:VP:Vzncossrnr,WA 966 • Minimum penriit f=-MVO)
„ . plan rveim(2.5t1. of pemit ke) I
Pilo= 36/)3 }9 . I Fax:(36 )326j76 IScat surcinage(12%of perat fee) I i
1
I
CO3 Fr.;203034 TOTAL PERMIT FEE
- _ J
- -nis point applicztion es,pirss ft z peewit is not obIzmosi=Alin ISO
dzys alter it his Ist. t zasspntd as emitt.
Avtharlatgisialature: . .. _
* r-ct usetheiner sts"by Tri-,Onany.Btildia.„.1 industry f.,..4n.e.$-/..,:vd
Electrical Permit pplicatimSI mn s
` tsazFU}
Fokl� :e, , g�5i'':
City 0/Tigard znm Received
APR 8 Permit 0.
'I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan�Revrew
' ;,T Phone: 503,7182439 Fax: 503.598.�p,. Da Related Permit i: •
till Chi= tl)G I-1 may;
TIGARD Inspection Line: 503.639A175 r �^y c n Ready DzteBy: ]uric: Q See Page 2 for
.,e Internet; www.tigard-or.gov BUILDING DIVISIOI\Notificd/Method: Supplemental Information
l _ _rrfu t a fzval ....T: ._ : .. , :rr�►ly"Iz 7
®New construction ❑Addition/alteration/replacement lT Please check all that apply p � e
p (submit 2 sets of plans w/items checked).
0 Demolition Other. El Service or feeder 400 amps or more 0 Building over three stdries.
where the available fault current 0 2vfarinas and boatyards.
1 .._-.,_ tr iii. _Q GO1gS'IRF 03;1at? exceeds 10,000 amps at 130 volts or Q Floating buildings.
®1-and 2-family dwelling 9 Cornmercial/uidtistrial 0 Accessory building less to grand or exceeds]4,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of ISO KVA or
SIT OR141ATM! 4 Cr1_TTb1 ❑Emergency system_ larger separately derived
Job#: Job site address:I(.D (O G�U3 �UIQDSON et ST ❑IO0HP n more. otortoad of syst m
IOOHP or more.
City/State/ZIP: 1,(/I 1 e l/ter/r In 0 y 0Ji 1 0 0_ ❑Six or more residential units. occupancy,
(/��7// J V 1 6 �C/� V V ❑Health care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: FA UD i fV'ir1raA f p (.//A (_- ❑Hasatdons locatroos. ❑Supply voltage for more than
L V Ira 1 t.( ( V�� ❑Server..or feeder 600 amps or mora. 600 volts nominal.
Cross street/directions to job site: A VCM V l.V t _ __ SIJ�lDi1LE -__
Description ... I Qty. l Each j Tont I :
(�� _ New residential single-or multi-family dwelling unit.
Subdivision: 121 veV-ce vnr Lt.,(Lac— Lot#: 2-�4 Includes attached garage.
Tax map/parcel#: - 1,000 sq.ft or less 168.54 4
Ea add'1500 sq.ft or portion Z 33.92
s-- - ' �`p'1;ScI3TP'FIOfi�'d>k-wiiRi ."A3 , 1
_ Limited energy,residential
(with above sq.ft.) _ 70 2
Limited energy,multi-family
residential(with above sq.ft) 75.00 2
-RenewableEneryi ❑ See P Page'P1 OP fifi Rz T` Services or feeders installation,
alteration,and/or relocation
Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2
Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 -
401 amps to 600 amps 200.34 2
City/State/ZIP:Scottsdale,AZ 85258
601 amps to 1,000 amps 301.04 2
Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 552.26 i 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 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. ' 201 amps to 400 amps 125.08
Owner signature: Date: • 401 amps to 599 amps 16834 2
z. Branch circuits-new alteration or extension,
_?.:�. ... �� �I�iG � :-�, .: .n..�,;.Q COITACZ;!'-ERSQ 'r<� ' , per panel
_ _ _ A.Fee for branch circuits with
Business name: PO\ C O ' J��UL above service or feeder fee,
Contact name: 1 n^ I IV v v /+ r , each branch circuit 7.42 2
V V l )(°/1� J / l UV B.Fee for branch circuits without —
Address:110 YOO / vt ct/) i-.
C�( ( ‘0 service orfeeder fee,first
branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Each add')branch circuit 7.42 2
Phone:(360)695-7700 Fax: 360 - 2 Miscellaneous(service or feeder not included)
( )693444Each m'mtrfactured or modular
67.84 2
.. :
wellsery
ice and/or feederEmail "t '-k-s_ mliinIj Vl� / loo", ^ t(Wonly
67.84 21
r '4z * ,GsO " {� `Vis ?
Pump or irrigation circle 67.84 2
Business name:Gamier Electric Washington,LLC Signor outline lighting 67.84 2
•Address;6101 IVE St Johns Rd Signal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) I 6625/hr
Phone:(253)320-1657 Fax:( ) Investigation(l hr min) 90.00/hr
Email:bdaniels@gweusa..com Industrial plant(1 hrinin) • 78.18/hr
Inspections for which no fee is
CCB Lic.: C1158 Electrical Lic.: 208174 I Suprv.Lie,: 4496S specifically listed(�hr min)
90.00/lir
1�,��- — r ' EZECTR =AZRE ES
Suprv.Electrician signature,required: •c Mil ifl L -E--:...;
' /�-L — - Subtotal:
Print name: Joan P Albert Date: 1 \4 I I ❑Plan Review Required(25%of permit fee):
e- State surcbarge(122%of permit fee):
.'. Authorized sin mature: 74::...-7.-- - -
--
'-- T f.PERMIT FRF•
r-�---
I i This permit application expires if a permit/I not obtained within 180
Print name: Bill Daniels Date: ' days after it has been accepted as complete.
Number of inspections allowed per permit
. .::..,ii:lBuildina\PermitslFLC a.,,,,;,u...,are ripen...0..,nan-r»m< ...,..._-..._.__._-._____ e
Plumbing Permit App —licati. tV
Building Fixtures Vis.a -,n ;4t k 3 t;r< �,. t ?:.. 3, .,,..-,•:,:-.7--,•,.;...,,,,-,4,--...:,::-.,,,';,...:,-..
APR8 2010 4 { ,,,.:,,�:-,;Asp _-:::�4 �,:`4- ->,,_ L ¢ 3 .:.n.;`,`....'-,f.:'.4,..i ¢iii
it'.:,,.;:::?..,..-4::::4; C-ityofTigard Received 7..5.__ 1x ,s.si4 �n,
Permit No.:$ 13125 SW Hall Blvd.,Tigard,OR 97 � OF I( N Date/By:
Pisa ReviewPone 503718.2439 Fax 503. QJING DIVISIONDatefHy. QhcrPcrnn
No.:
IuspectsonLne.503.639.4175T1GARD
DateReady/By: ]oris: BI See Page 1 far
Internet w.trgard or goy Notified/Method: Supplemental information
.• =r . TYPE OF WORK = E*
MNew construction" 111 DemolitionFor special ixvnrrarion use cfieclFist
Description I Qty. I Ea. I Total
Addition/alteration/replacement ❑Other New 1-3 filthily dwellings(includes 100 ft for eachutility connection) :
.'-';'•'- _ .,;; CA'1'EGDRY or ob STRIICTTONi SFR(1)bafli 312.70
®1 and 2-family dwelling ElCommercialfmdustriai SFR(2)bath 437.78
nn SFR(3)bath i 500.32
❑Accessory building 1 Multifamily
Each additional bath/kitchen
25.02
❑Master builder Q Other Firesprinkler( sq.ft.) Paget
•
'"JOB SI E iFORMAT1O7i A�Nl3 LOCATEOr Site utilities:
Job site aadcess: t( O% iYw 11 P 06;-)e. Catch basin or area dram 18.76
v Drywcll,leach line,'or trench drain. 18.76
City/State/ZIP:
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name:'F4 rj"rP�/"�r(Jt �- Manufacturedhome utilities 50.03
Cross street/direetions to job site: 4-v-, , V`�' rk i7 Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no,linear ft,:�) Page 2 •
Storm sewer(no,linear fr ) Page 2
Water service(no.linear.ft.: ) Page 2
Subdivision:Pi Vi V ,,(A (AIX" Lot no.: V L4 Picture or item;
Taxnmap/parcel no.: Backflowpreventer 1 31.27 .
Backwater valve _
DESCRIPTION OF i;ORK 4 12-51 Clothes washer 25.02
- Dishwasher 25.02 :
Drinking fountain 25.02
- antank"m25.02
Ejectors
ROFERTi' OWNER F.XI,isiisi . 1251
Name:ADVI.,Land Holdings,LLC Fixture/sewer cap 25.02
_ Floor drain/Boor:sink/bub 25.02
Address:7600 E Doubletree Ranch Road Garbage disposal 25.02
City/Statc/ZlP:Scottsdale,AZ 85258 Rose.bib 25.02
Phone:(602)6944031 Fax:( ) Ice maker 1251
_ `r t� . interceptor/grease trap 25.02
: - APPLIC .1., .... . _. k CO]-.4.ACZ PER50P7,._:
Po A n„ yo\ Lot (l/ Medical gas(value:S ) Page 2
Business name: V V,l/x u 4.4 lJ
Primer 1 9 S1
Contact name:..
� Roof drain(commercial) 12.51
Address 1 n U� t1V n51-CkG � �� ( y 9 c I b -Skik/basi /lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 6234
Phone:(360)05-7700 Fax::(360)693-4442 :Tub/shower/shower pan 1251
inat lVl10 Vii L On 1S� �Dnal
.02
ae c
L.-'47.4..;;--_ -.:1 ter loser ?5.0�
- Ct3tx�AeT'o.� _, -
aterai �r 3752 _
Business name: G i ver.0)\C .4---6,01,147 t{rater,pipiirgg/DWV 5629
Address: ,5.(j f,--ox, Cp Other: 25;02
City/State/ZFP: 5.7-, P 4,,„„i c I i31 Subtotal
Phone:(,"D,j .-Ste"- fe L-7 Fax:(ti,-7 Y "'T a''i"'ii'.,�I,D lvfiziimnrn p tmitiee 572.>0
f Plan review (25%of permit fee)
CCB Lie 11 3 Plumbing Lic..no:P6
State surcharge:(12%of permit fee)
Authorized Signature: TOTAL PgRIvaT F .E ,
'- This permit application expires Ira permit is notobtained within 180 days
Pout name:
S-fAii.. Q ' to I4_ Dat , , . after it has been accepted as complete..
'Fee methodology set by'for-County Building industry Service Board
Building Permit Submittal
Original Submittal Date: 3 t I IC`i
Site Plans: #
Building Plans: #
Building Permit#: 12( Enter building permit#above.
Workflow Routing: R'Planning [ "Engineering Er Permit Coordinator [''Building
Workflow Sign-off: R'Sign-off for Planning(include notes from planning review)
Route Application Documents: Et/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: ff l
By Permit Technician: ..`,� - Date: ?jl l (19
Engineering Review
J2'Slope at building pad: 5 7
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat
Er-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes E No
LIDA Facility on lot: ❑ Yes ri No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
4
,Approved by Engineering: Date: 5 J/7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: UrYes ❑ N/A
Parks SDC:
Yes ❑ /A
7OK
LIDA ❑ Yes VN/A
to Issue Permit �
Approved by Permit Coordinator: 4# Date: 3/?�1 '
1:\Building\Forms\BldgPermitRvw_RES_022819.docx
I 71 City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #: I ST \q_ ( C r+
Site Address: I670ci S;,✓ u; .krl si-,
Project Name: fes+ 'It/i it tt tak 2- Lot #: 11'1
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan Dist 'ct Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards? Lid 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 façade must include windows or entrance doors.
Percentage Shown: 1617. ' i'1,5/
3. Entrances:At least one entrance must meet both of the folllo g standards:
2r/1-Max. 8 ft. setback from longest street- facing wall
IMParallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: liYes ❑ No —/
If�/yyes,all the following apply: Lid" sq.ft.min.
M ne street facing entry 2'12 ft.max.roof above floor of porch
Ltd 5 ft. depth min. I0Y50%min. porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades:
IZZ8Vered porch min. 5 ft.wide x 5 ft. deep FU./Recessed entry area min. 5 ft.wide x 2 ft. deep `
LEYWall offset min. 16 inches }= ❑ Dormer min.4 ft.wide
oof eave min. 12 inch projectionVS ❑ of offset min. of 2 ft.
❑ Roof shingles either tile or wood [ Gable,hip or gambrel roof design r
El lj.00f pitch oriented south min. 500 sq. ft. L/Horizontal lap siding min. 3-7 inches wide/y
Accent siding min. 40%of street facade FA Window trim min. 2 1/2"wide by 5/8" deep F
❑ Window recess min. 3 inches for all street facing ❑ B� y 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 façade 3
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 IJ 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.
LMay 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)
0)2-foot-wide garage door El 40%max. of street facade
IV 50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: f4voikbt, Ciikt-- Date: (3-11
I:\Building\Forms\B1dgPermitRvw_RES_RT_121417.docx
Electrical Permit ApplicatioRn E {\)E FOR OFFICE USE ONLY
Cl O Tigard 1 V Received /`,
J f g Date/B : \ Permit k:` y O_o/I-
- a 13125 SW Hall Blvd.,Tigard,OR 97223IUN 2 g 2019 Plan Review
Phone: 503.718.2439 Fax: 503.598.19 Date/B : Related Permit g:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: jam: 10 See Page 2 for
c Internet: www.tigard-or.gov 1 DING�N�SION Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement r,. Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition ❑Other:
e 0 Service or feeder 400 amps or more 0 Building over three stones.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION ,,. (;'\2c. \ exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® G "" `o 1-and 2-family dwelling 0 Commercial/industrial 0 Ac Ing„ 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 1NFOR1;LATION AND LOCATION 0 Emergency system. larger separately derived
�Ut2.�S0Y t �1 ❑Addition of new motor load of system.
Job#: Job site address: t(0�0`1 '� loam or more. ❑"A••,"E•',"t-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 4-Z 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 j Qty. i Each t Total I t
New residential single-or multi-family dwelling unit.
Subdivision:East River Terrace rdc 7- Lot#: Zcf,y' Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'!500 sq.R.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
Change contractor on MST 'Z bt' -000$!.4 (with above sq.ft.)
75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
® PROPERTY OWNER 0 TENANT Services or feeders installationialteration,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 ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
- A Fee for branch circuits with
Business name:Polygon WLH,LLC above service or feeder fee,
each branch circuit 7.42 2
Contact name:Tonja Morris B.Fee for branch circuits without
service or feeder fee,first
Address:703 Broadway St,Ste.510 branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Each add'I 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.com
dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
CQIYTKA T,Ql3 ... 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
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 Lie.: 199188 Electrical Lic.: c923 � Suprv.Lic.: 4871/% specifically listed(CVs hr min) 90.00/hr
f 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: /c,Jr... /2.006,C 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.
* Number of inspections allowed per permit.