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Permit (173) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2018-00237 13125 SW Hall Blvd.,Ti Date Issued: 05/08/2019 TIGARD and OR 97223 503.718.2439 9 Parcel: 2S106DA17700 Jurisdiction: Tigard Site address: 16799 SW APPLEDALE RD Subdivision: RIVER TERRACE EAST Lot: 216 Project: River Terrace East No. 2, Lot 216 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2909 sf Value: $366,750.25 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 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 2909 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 ATTN BAKER,JASON VANCOUVER,WA 98660 703 BROADWAY ST STE 510 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $35,248.44 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 0 ' '52-001-0090. 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: JE/ Permittee Signature: '"" ' "/ 'c 7e 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 irytpertion. E 01_ ....2_ \1„ Building Permit Applicatio `� `! {'� ` ,tjE it Eta' Residential FOR OFFICE USE ONLY R � 8 2018Received 3 _ City of Tigard AP h onDate/By: 1��� �,, Permit No.:'��'c'I .� II13125 SW Hall Blvd.,Tigard,OR 9722 * (-AC 1G V Plan Review C VOther Permit: (3... Phone: 503.718.2439 Fax: 503.598.1 DIVI�I��� Date/By: fif(� �t t G,,.[t[) Inspection Line: 503.639.4175 BULDIG DateReadyBy: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method/// /' CZ / Supplemental Information gE"/'f/� ' /'ci-y6cN TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ e3ik £ O ® 1-and 2-family dwelling 0 Commercial/industrial ❑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- ;2--.2F7 oors: 3 37 3 � ( New dwelling area: " `� e feet j 1e�'S Job site address: k l,1gq sw 1 E?civu z, �� � i, City/State/ZIP:Tigard,OR 97224 Garage/carport area: '.4(49Lf square feet 'Z5y 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.: 2,1y 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: ►5 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* .(Please refer to feeschedule) Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address: '1 03 Bror c Aja S-f _st,:(4.c.ci 0 Total fees due upon application: City/State/ZIP:Vancouver WA 9866 Amount received: Phone:(360)695-7700 Fax::( ) 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: , f i 0 Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan reviewand administrative fees): $180.00 Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 �,,�� Total fee due upon application: $201.60 Authorized signature:l4��I���v�""�'" ► This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 Service Board. I:\Building\Permits\BUP-RRESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application RECENE • CI of Tigard Received ,�J 'J g gate/fay Penni;Nc% / � �f�'L' � '" 13125 SW Hall Blvd.,Tigard,OR 97223 n g 2��� Plan Re�ic�� • R . Phone: 503.7I8.2439 Fax: 501598.1960 P R 7 Other Pe""it. e13p: i I, ,t t, Inspection Line: 503.639.4175 C' o f h G , ady/ By. tins Fd See Page 2 for Internet: www.tigard-or.gov G DevRs�y. t h'Method: Supplemental Information BUILDIN `__ Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment.labor.overhead.and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTiAL EQUIPMENT/SYSTEMS FUS* ,,t-1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special Information use checkl& ( I Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total ]OB`sox i )F(RtAtAt'I'tO(Y AND Locovn i 1leating/cooling: Air conditioning I 46.75 Job site address: iVlgq 5j n1 1t7 Q_ Furnace 100.000 BTUfducts/vents) I 46.75 City/StatefZlP:Tigard,OR 97224 -"'` Furnace 100.000+BTU(ducts/vents) , 54.91 l Feat pump 61,06 Suite/bldg./apt.no.: Project name: R.w.er TeXr .i— FArct work 23.32 Cross street/directions to job site: I lydronic 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 Subdivision: V VP/1�T€k r(x!'� s( Lot no.:l,V Other: 23.32 1 Other fuel appliances: Tax map/parcel no,: Water heater c7"-` 23.32 GUMPTION WORK Gas fireplace/insert I 33,39 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 ® PROPERTY OWNER 1 0 TENANT Other. 23.32 Environmental exhaust and ventilation: Name: PVL �'� W...�K'l v l t/D tat/iS i LL( Range hood/other kitchen I equipment 33.39 Address: 1(000 E D�hte {�9.6_,,pciA 0.4 Clothes dryer exhaust I 33.39 City/State/ZIP: scA*4Sdc�,I_a 1•fl ( l Single-duct exhaustutility (bathrooms, LA" r' L toilet compartments,utilitrooms) 23.32 Phone:t00/-14441/4—4O' Fax:( ) Attic/crawlspace fans 23.32 APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Polygon Will,LLC Fuel piping: �-1 $14.15 for first four.$4.03 for each additional Contact name: 01 ell�ove,Thorpe, Furnace.etc. Address: 07 B►nY vWl M l , '4 Su a-f, cit�(� Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace I _ Range • I E-mail: _ Barbecue . , g, , ' A< Clothes dryer(gas) Business name:Apex Air LLC Other: a Address: 18004 NE 72"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 180 days atter it has been accepted as complete. Authorized signature: — - Fee methodology ser by Tri-Cowny Buitdt"ng Industry Srnnu Bowd Print name: I,^ ,.( , Date: 4•Ii.fl.. I UBuddiinglromile.MEC_PermitApp 0401I3.doc 4404617T 01/0sJcoMiwEEO I .,.,, - – ------u .Allte ---).d6fL---'4 REV rivE �.-: ctA .11 . ,., CYy of Ti rd Received ' .r Date/By: Permit ik li,--q13125 SGV 1ia1I131vd.,Tigard,OR 97223 1 $ 20�' �l�i �r,��C1�3? '1 Phone: 503.718.2439 Fax: 503.598.1960 APR ' pate/B view Related Permit II: inspection Line: 503.639.4175 t�/ t ff h y TIGARD' Internet: tv�nv.tigard-or.gov CITY '-' Y1�7i�� ,�:dyDate/By; Jun's: Su SeePagelSupplemental Information BUILDING Dit,'i�� d/lvietttad; Supplementallnformation ::........: ®New construction Addition/alteration/replacement ,"is o plan . ' ❑ r n/alteration/repiaeement Please check all that apply(submit Z sets of plans�d/items checked): •., 0 Service or feeder 400 amps or more DI over three stories. ❑Demolition ID Other: ...... .:.:.: _.: ':.:.•.._ where the availablefault current ❑Marinas and boatyards. .. _.::.:. ::• ::_..,.> .... .._._. TE_. _ . . FCQPSTRJC�:O1{' ; i;;i% .r ,•::;::�•:: ::..:. :`; exceeds IO,DQOamps at]50volts or [If Floating buildings ❑X I-and 2-family dwelling ❑Commercial/industr'ial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family . • ❑Master builder ❑Other; allother installations, T:_ . . ,:. . - ........:- s:.-:.-_,„Mast.r-b..i:.......:..:..:... ,... _:.....,.._..e,...:.. a . ..:,;.y..-.::,.::.:::.........,:.:;, ,.. PrtePumP• Btsa�lpionof150 KVA .:.,.:.:,.-.. ._:.,,... :;.,.:..JU$:.S��I1VTf,'.OI214!IA;T'IO1�I r[�1�ID,:L(3CE1`FIO1Y..;.. ;, .. . ....,.:.::�:`,:;; ❑Emergency system. ❑larger separately derived or Job#: Job site address: /617(3/ 1:1 •ddition of new motor load of system. i -pp�' , -- ,2 , 100/1P or more. City/State/ZIP:Tigard,OR 97224 ✓ ItSix or more residential units. occupancy. Suite/bldg./apt.#' i Health-care facilities, ❑Recreational vehicle parks. i Project name: izUrX T,emeiCe.E_,c+ ❑Hazardous locations. ❑Supply voltage for more than �t�t ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: : Pcscriptimr I Qty. i Each i Total I * New residential single-or multi family dwelling unit. Subdivision: ga( Tortertez., 'os4- , Lot#:21 Q Includes attached garage. Tax map/parcel#: `�C 1,000 sq,fl,or less It 168.54 4 . ter..;+-:c :. Ot Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy,multi-family residential(with above sq.ft.) 75.00 2 M1�y':'a' '` , ,� , ••••-..';. :'''::,:.'.: '-'; '41:1:1A0'011.;;'',: - _ Renewable Ener P2� C See - 1;Y Pa e2 Services or feeders installation,alteration,and/or relocation Name:, Pc Dv t___�tnJii--D Ulnas 1 � 200 amps or less - 100.70 �©- Address: I , / ■�� 201 amps to 400 amps S133.56 11•1111E1 A `4 401 amps to 600 amps - 200.34 _© City/State/Z1P: S(+ ci a(c i t/1 — ki352513 601 turps to 1,000 amps 301.04 2 Phone: lo 02-WCj LI-1,4031 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 i I 59.36 I I 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 Bran cit c' -=fr< <.:=� -PIiIC coifs - ��' ANT;". .. ne v :I ./tiler ter• or ... ._ ...._ - - �;" cite _, .,.,_.. extension,per ,. '�=J-� AGI''']? ation, panel ”. �' '"��"- ' A.Fee for branch circuits ti�ith Business name:Polygon WLH,LLC above service or feeder fee, Contact name: each branch circuit 7.42 2 VV1ll :a B.Fee for brands circuits without Address: �� el, B.service or feeder fee,first _ � branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'!branch circuit 7.42 2 Phone:(360)695-7700 Miscellaneous(service or feeder not included) I Fax::(360)693-4442 Each manufactured or modular 6Email: kik 6110 I r BJ IA dwelling,service and/or feeder 7-84 • 2 e_-t:s= ?;*' ;:~,s.,. ; ;:�_,, .- r..,l s •�1�1 Reconnect only 67.84 s- %'::,tis; ��I ,.' .tom .. .:... . :. .- . ._. •M •:-g=s;:,r :•:,s_-;r•..:,-:•::.,, Pump orirrigation 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 0 see Page 2 2 • panel,alteration,or extension, g City/State/Z1P: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 I Fax:(253)872-1801 Investigation(I hr min) 90,00/hr Email:bdaniels@gweusa.conr Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: C1158 Electrical Lie.: 208174 I Suprv.Lie.: 4496S specifically listed(Vs hr min) p 90.0001 hr II_ ik.v+.C`LTtJCAL rJ 'r121417.2:�" 1!1 Si.%>' Suprv.Electrician signature,required: .P; ��L1-Y.�,• r...:-;,_, -.._.,. . .. Subtotal: Print name: Joan P Albert Date: El Plan Review Required(25%of permit fee): >. State surcharge(12%of permit fee): Authorized signature: �0. TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 150 Print name: Bill Daniels —Date ------: days after]tires been accepted as complete. * Number of inspections allowed per permit. Li Buildlag\PermitalELC perntitApp ELR&RE,dec Key 06/17/2015 440.4615Tpl/0StCOM/wni3 t Plumbing Permit ApplicatioI ECEtVED Building Fixtures APR 1 8 2018 Received City of Tigard Received Permit No �� Cl/ - 1111 11 13125 SW Hall Blvd.,Tigard,OR 9722' TV OF TIGARQ e 7 lar Review I Phone: 503.718.2439 Fax: 503.59: .# Other Permit No.: Inspection Line: 503.639.4175 ' • LD1NG DIV1Sib DatteeRead gl See Page 2(or T 1e,;1 k D y/By: Auris: Internet: www.tigard-or.gov Notified/Method: Supplemental Ioformahon -i*:. pry, 'A-.�aa' ' WORK .k_ ....r. sem 4,4;242.4 -t::r-`....0/4,+;t$ !;1 .+ <.; . ElFor special information use checklist New construction ❑Demolition Description I Qty. I Ea. I Total 0 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 0 1-and 2-family dwelling 0 Commercial/industrial SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other. Fire sprinkler( sq.ft.) Page 2 .TOR-SITE INFORMATION AND LOCATION Site utilities: Job site address: l(07°'9 &nlp(j f/ / Catch basin or area drain 18.76 "'"`���"`������ /-f/1 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: frim 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 12j - 'r'ei„racle,1 -- Lot no.:riAq Fixture or item: _ Backflow preventer I 31.27 Tax map/parcel no.: Backwater valve I 12.51 DESCRIPTION OF WORK Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 P$opsxr i Eo!WNER_ I 0 , Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ... dpd,,AFPuAxis ., 0 Con cr.11!ERsON, Interceptor/grease trap 25.02 Business name: Pn1u Medical gas(value:S ) Page 2 J \u`c_--' Primer 12.51 Contact name:-N; (SM. P, Roof drain(commercial) 12.51 Address: b3 �yD "(���'` ts,� Sink/basin/lavatory « j y / 25.02 City/State/ZIP:Vancouver,WA 98660`" Solar units(potable water) / 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail: \ ( `�� (� c 'nO i•-)1)'\ Urinal 25.02 I V Vth0 `e ` is / P16\ ')�`^ I`"--S e Water elaset 25.02 CO CTOR. e . ''�-- 37.52 Business name: G..4 l 1 'W%j"1),t 't .04 Water piping/DWV 56.29 Address: p.C). B-oc 'op Other: 25.02 City/State/ZIP: ST, P art- q1131 Subtotal Phone:($Q r sur- f 4Eii Fax:(Gil V..-79:7_4?IT) Minimum permit fee: S7230 Plan review (25%of permit fee) CCB Lic.: 184/3-12.... Plumbing Lic.no. o State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: !7 b-'to This permit application expires if a permit is not obtained within 18 0 days -f,...411_, w 14 Q Dater J anter it helium see'pted as complete. *Fee methodology set by Tri-County Building Industry Service Board 1:\Budding\Permit\PLMU-PeniL;pp.doc 10/01/04 440.4616T(10/02/COM/!?BB) r. INCity of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential Building Permit #: CYN i ac.\S,-CC:T'5�- Site Address: 16.7 S�✓ Arrau t Kota Project Name: Ridtr Terrace E asl- 42, Lot#: Z U (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: t‘iew J F Il [)ierify site address/suite#exists and active in permit stem. River Terrace Neighborhood: ❑ No [3 Yes,See River Terrace Rev&tpAddendum Attached Sit Plan Elements: (3)copies of site plan � ting structures on site ee 'te plan must by on 8-1/2"x 11"or 11 x 17"paper Sit of new structure(including decks)with finished to scale(standard architect or engineer sole) g,or elevations o rth arrow I' .'ty locations&easements(required for new and additions) 5'a address,project or subdivision name and lot number idewalk/driveway approach IV4pplicant information(name and phone number) Jig cation of wells/septic systems lD'Lat dimensions and building setback dimensions n ' ::ting trees to be retained with drip line,and tree Ar. •uare footage of buildings to be demolished . •tection measures tK Lot area,building coverage area,percentage of coverage and �►r. et tree size,type and location piiipervious area(applicable if R-7,R-12,R-25&R-40) n trees names E2Property corner elevations(2 foot contour lines if more than >1,000 of of impervious area treated or replaced? E Yes ❑No 4/foot differential) Hits,is a atom.water quality facility shown? ONo I1Y Clean Water Services—Service Provider of platted prior to 9/10/1995): App k,ili1 : 0 Yes,applicant was notified ��/No Received: O Yes 0 No I 1 0 S [ Public Faciliitties provement(PFI)Permit: / wr1 ®'Yes,applicant was notified 0 No Applied For. (1'Yes 0 No,stop intake rE20.).and. Use Case#: en 2-016- 0000 7- k-q- CPO) iljRequired Setbacks: Front R Rear l 0 Side 3 Street Side 'J4 Garage 10 I,_"I uidacape Requirement 2i % ot Coverage Maximum: tQ E " Building Height Maximum Height u/4 Actual Height Z7 10 mai Clearance Vensitive Lands: 0 Yea El'No Type eban Forestry Plan Conditions"Met"prior to issuaqce of building permit Notes: ` CoNttnccIv 6 M prior-i, b,J1141n4 cp.l1- iuytinct I'Approved By Planning: �2 Date: h 14-I`i Revisions(after BuildingSub.setal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\BuildingWasms\BldgPamitRvwRES 061417.doox - h Building Permit Submittal Original Submittal Date: '46(6 Site Plans: # Building Plans: # a) Building Permit#: 'Enter building permit#above. Workflow Routing [R'Planning 2-Engineering a-Permit Coordinator [?Building Workflow Sign-off: E'7rSign-off for Planning(mclude notes from planning review) Route Application Documents: 2/Engineering: (1)copy of permit application,(1)site plan,(1)building plan and original plan review routing form. 9 Building original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ' ...)40.,A _____ C(_ Date: S h.-44i t Engineering Review ❑ �j lope at building pad: // O Conditions"Met"prior to issuance of building permit O Easements(encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes Zr No Assess Water Quantity Fee in-lieu: 0 Yes ,'No LIDA Facility on lot 0 Yes 6- No ja-Final Plat Recorded: o NOT Approved by Engineering: Date: Notes: k.)01-1 f1)-- ti L4I- iiP'L ' (I '1 U l 5(J : -,0 ---Approved by Engineering: A,`7C I., kfi , Date: ef ' = I = • Revisions(after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit proved,NOT Released: Vii, ,,,,,e_` Date: t3'2ZR / otes: 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 '{r SDC Fees Entered Wash Co Trans Dev Tax: irVeyes 0 N/A Tigard Trans SDC: es ❑ N/A Parks SDC: , Yes ❑ N/A LIDA 0 Yes 7N/A OK to Issue Permit / Approved by Permit Coordinator: `d`Date: 07�/` T:uauiding\Foams`,BwgPamitRvw_RES oaous.docx City of Tigard III COMMUNITY DEVELOPMENT DEPARTMENT r �(,Aha River Terrace Building Permit Review Addendum Building Permit #: a_. _____ Site Address: 1,061--q Sw 4p_p041e, Ko4 Project Name: Rider- Irate, dad Z Lot#: 2It (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distt Design Standards (18.640.0701): Is the project subject to the plan district design standards? Yes 0 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 doer ft deep min.2ft.,5 ft wide min. 2 ft.,Eft.wide 0 0 ❑ 0 re( 2.Eyes on the street:a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: Z1.1 Y 3.Entrances:At least one entrance must meet both of the follstandards: 0ltVMax.8 ft setback from longest street-facing wall Ps+"llrl to street,angle no more than 45"from street, or open onto porch Entrance opens to a porch: FlYes 0 No —/ Ups,all the following apply: MI sq.ft.min. Zrffd ne street facing entry I 12 ft.max.roof above floor of porch ft.depth min. C SO%min.porch roof coverage 4..9etailed Design:All buildings shall include a min.of five,,of�GA-messed following elements on all street-facing facades: M Covered porch min.5 ft.wide x 5 ft deep l�d'Kecessed entry area min.5 ft.wide x 2 ft.deep ❑Wall offset min.16 inches ❑Dormer min.4 ft wide IlarRoof eave min.12 inch projection 0 Roof offset min.of 2 ft. ❑Roof shingles either tile or wood able,hip or gambrel roof design ❑ of pitch oriented south min.500 sq.ft. 0 Horizontal lap siding min.3-7 inches wide Accent siding min.40%of street facade 0 Window trim min.2'/s"wide by 5/8"deep ❑Window recess min.3 inrh.a for all street facing 0 Bay window min.5 fk wide by 2 ft deep ❑Balcony min.5 ft.wide x 3 ft.deep with inside access 0 Attached garage is 35%or less of street facade 5.Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. 0 Yes IE No. If No(Check one): D� extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. y 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.arca 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: ,L; Date: g-14-1? Electrical Permit ApplicatidRECEIVED FOR OFFICE USE ONLY City of Tigard2019 Received Date/B : s liglIMEENEMNIEffil 1 a 13125 SW Hall Blvd.,Tigard,OR 9722fAY 9 Plan Review Phone: 503.718.2439 Fax: 503.598.j96P Date/B : Related Permit#: Inspection Line: 503.639.4175 111 I Y OF TIGARD ReadyDate/B : Astir TIGARI� p y ®See Page 2for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK 'fi` 1 e. _ PLAN REVIEW i �I� k '° ""'`m Please check all that apply®New construction 0 Addition/alterationlreplacemet �' Spp y{submit2 •sets of plans w/items checked): ,\C( ,T 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: l '" where the available fault current 0 Marinas and boatyards. CATEGORY,OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. CI I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived /i, � 0 Addition of new motor load of system. Job#: Job site address: (p"'tgG� ^J(� .L}'j{,� �TlooHP or more ❑"A E,"t-z "t-3 , City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities, 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:East River Terrace 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each 1 Total I New residential single-or multi-family dwelling unit. Subdivision:East River Terrace Lot#: "2-J(Q Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 Change contractor on MST'ZO( — 0023"1 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 0 PROPERTY OWNER 0 TENANT Services or feeders installationLalteration,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 0 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, 7.42 2 each branch circuit Contact name:Tonja Morris B.Fee for branch circuits without service or Address:703 Broadway St,Ste.510 branch circuit fee,first 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax::(360)693-4442 Each manufactured or modular 67.84 dwelling,service and/or feeder 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(1 hr min) 66.25/hr Phone:(503)319-2192 Fax:( ) investigation(1 hr min) 90.00/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 Lie.: e923 I Suprv.Lic.: 48715 specifically listed(V,hr min) 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: kt le. J24,p44, 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 inapcct ona alkms,d per pommt. i:iBaildingsPermits'ELC_PerrnitApp_ELR_EREdoc Rev 06/17/2015 440.4615T(I I/05/COM/WEB