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Permit (171) CITY OF TIGARD MASTER PERMIT 71 �. COMMUNITY DEVELOPMENT Permit#: MST2018-00236 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/08/2019 TEC11@.:1 9 Parcel: 2S 106 DA17600 Jurisdiction: Tigard Site address: 16819 SW APPLEDALE RD Subdivision: RIVER TERRACE EAST Lot: 215 Project: River Terrace East No.2, Lot 215 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $264,303.10 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 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: 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>=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: 3 201-400 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 2078 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: $33,008.20 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throug R 952-001-0090.00You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �( ' " 12 7 / Permittee Signature: Z/ �e./e*'771'1/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. L 0 rt 2._ i Building Permit Application ECEtVE� Residential p ZO�$ FOR OFFICE USE ONLY Cityof Tigard APR 1 g Received �+L Permit No.:mYT3V‘� W�3 g o� Date/By: b t,i- lx ) 1 _ • 13125 SW Hall Blvd.,Tigard,OR 97223 1TY T8iGA Plan Review oc (� 1 I Other Permit: S �alQ ISS--- �,� Phone: 503.7}8.2439 Fax: 503.598.1966' r1**���+ ©iVisid Date/By: Z'� (� 1 t . K[� Inspection Line: 503.639.4175 BUii.Vilyl� Date ReadyBy: / Jurist See Page 2 for Internet: www.tigard-or.gov Notified/Method:y e// Supplemental Information 9- L- /le)Lye cit.) 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. 2 ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ d lg LI 303 0 Accessory building 0 Multi-family Number of bedrooms: ?j (`t) 0 Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: z -2,45% Job site address: 10 loi SVv /J`e_(i L, Qin j New dwelling area: Zo-9 square feet IA, City/State/ZIP:Tigard,OR 97224 Garage/carport area: 380 square feetS 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.: Z l C 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: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH,LLC (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Nichole Thorpe q� FLS plan review fee(if applicable): Address: 103 I3r'(, �a-j S'( .S(M.f{,g0 d Total fees due upon application: City/State/ZIP:Vancouver WA 9866 Amount received: Phone:(360)695-7700 Fax::( ) E-mail:Nichole Thorpe PHOTOVOLTAIC SOIARPANEL 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 Yl 5� Address: '1(9 sui,_____2v 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 �,,�� /q�j�� Total fee due upon application: $201.60 Authorized signature:X44��%�EV"""�'" r This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology by Tri-County ty IndustryBuilding Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/201.1 440-4613T(11/02/COM/WEB) 1 Mechanical Permit Ap licatior � N City of Tigard Received EVIMOIMMIll 111 I " 13125 SW Hall Blvd..Tigard.OR 97223 y ���$ Plan Review Other Permit. Phone: 503.718.2439 Fax: 503.598.1960N99 18 DaiuBy: Inspection Line: 503.639.4175 HH O Date Readyi13y Jun, 65 See Page 2 for I� .�-�,/ ((""��� Supplemental Information Internet: www.tigard-or.gov C l ? OF 11?.' ;,,/1+� Notified,?vlethod: ._„:4,,i1,::-.):: :''';,;-"`•:11111,*** t7,,,,!..7',1--...,,--,,::.:,;,--,-- "' ,_ ,,,„Etiftwica4 ,ANAVVic:-NSEPIFocusrr Mechanical permit f are based on the value of the work ►C4 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment.labor,overhead.and profit. 0 Demolition ❑Other: value;$ CATEGORY OF CO MUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* .41-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. I I Multi-family El Master builder ❑Other: Description I Qty. J la. I Total jOD SITE INFORMATION AND LOCATION IieatiaRlcoolinR: Air conditioning I 46.75 Joh site address: 1 (.0911 S,\. pr( ,J. Furnace 100.000 BTU(ducts/vents) I 46.75 City/State/ZIP:Tigard,OR 97224 v� vV Furnace 100.000+BTU(ducts vents) 54.91 Heat pump 61,06 Suite/bldg./apt.no.: Project name: 'p_N.eY Tv/Tete--o Ck}- Duct work 23.32 Cross street/directions to job site: llydronic 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 t 23.32 Other. 23.32 Subdivision: !e,;,/e,1„..-Te (A( 1 ,Sk 1 Lot no.:1\ Other fuel appliances: Tax map/parcel no.: Water heater 23.32 Gas fireplace/insert I 33.39 O OF WORK'' 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 Other: 23.32 ® PROPERTY OWNER I O TENANT Environmental exhaust and ventilation: Name: PPDVL p t `dwis I q l+ ( Range hood/other kitchen I I ,�� .) equipment 33.39 Address: 1(On E 1)Cxlihke ciP_V.O_'1"dA 'L Clothes dryer exhaust I 33.39 t Single-duct exhaust(bathrooms, ' i City/State2lP: �dtt ,L� l Z �,� toilet compartments.utility rooms) `1' 23.32 Phone:1001'j1.{—4O' , Fax:( ) Attic/craw!space fans 23.32 APPLICANT © CONTACT Other: 23.32 Fuel piping: Business name:Polygon Will,LLC: $14.15 for first four,S4.03 for each additional Contact name: N 1 c,V o e_ OY"pe- Furnace,etc. -106 VM V� S-k �u Ao Gas Address: G Wall/suspended/unit pump heater City/State/ZIP:Vancouver,WA 98660 Water heater 360 693-4442 Fireplace Phone:(360)695-7700 Fax::(360) Range I E-mail: ) Barbecue . A Clothes dryer(gas) ti+ Other: Business name:Apex Air LLC _ Address: 18004 NE 72"Ave Subtotal Minimum permit fee($90.00) Ci[y/State/7,IP:Vancouver,WA 98686 Plan review(25%of permit fee) Phone:(360)342-8109 I Fax:(360)326-1769 State surcharge(12%of permit fee) TOTAL PERMIT FEE CCB lit.:203034 This permit application expires it a permit is not obtained within 180 days after it has been accepted as complete- " - .,.,• v Tn-Coon Building Industry Service Board Authorized signature' Print name: 1,n I Date: q•19•Jt.. 1 I1nuildingWennits*611:0 PennitApp 040113 doe 440-1617T(11'02/CohlAVF.BI ,>:>., .0 �>4 „,., t ul4Iipuuo>ou eu,uYu� ■` „ 6;° 0 • lQ�I h City o�TigardRECEIVE Date/By: Permit#: :�/cPC ' I; '`'t 13125 SW Hall Blvd.,Tigard,OR 97223 ,f� ©� c, Plan 12cviery ? r1 .� Phone: 503.718.2439 Fax: 503.598.1960 ApR 18 2018 Date/By: Related Permit ii: Inspection Line: 503.639.4175 eady Date/By: Anis: CI See Page2 for 11GARD Internet: www.tigard-or.gov CITYOFTIGA otitied/tvlethod: Supplemental Information _ ,v._<..._ _.... ,_....r._... . ..._.. .... .. .. . .. ate.... .. .. `=�' - _:�-•..,..�..z_::....,_.._._........::................. . .. . . : .r .. ... :.I! 'hI-..IiE:' •�:”;':::�t':-;'•;:,-.i; :.M'ia ' ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/itemschecked): D Service or feeder 400 amps or more ElBuilding over three stories. ❑Demolition 0 Other: where the available fault current D Marinas and boatyards. - ..•,.,_ .:-_ t : ,a € ' `t ,. exceeds 10,000 amps at 150 volts or 0Floatih buildings. nX 1-and 2-family dwelling C]Commercial/industrial ❑Accessory building less to ground,or exceeds I4,000 El Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family • ❑Master builder 0 Other: ❑Fire pump. D Installation of 150 KVA or `i').O$_° .TE:INF.00: `I ION:AND:LOCATIOlv. . ❑Emergency system. larger separately derived O Job#:` ! Job site address: l it s a'q 15 J ipp f a&. p „' Addition of ore,ew motor load of system. r vr^'r F-E%( 1001-IP or more. City/State/ZIP:Tigard,OR 97224 ©six or more residential units. occupancy. D Health-care facilities. D Recreational vehicle parks. Suite/bldg./apt.#: Project name: IQ,u ex--it yyac2 EGLSi.- DHazardous 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 1 01y. l Each i Total I ' New residential single-or multi family dwelling unit. Subdivision: ?i1Ie -,P a,,e_. ,ash Lot#:1\5 Includes attached garage. 1,000 sq,ft.or less 7 168.54 4 Tax map/parcel#: . a 500 sq. or portion 33.92 I :...:.:.- �-::.< sr'i_ce.t;!:-;iGIIT ONO7>WO� �:;:iJ::. Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ,_.._ _ - _- - _ _ _ Renewable Energy [] See P<'tge 2 :.-:x:;.:�;. ,�; rP,ii021Ti ,'..sO�i!L�iI,;R:::?::-;,:::.s:... ,..,.. : ::-;�.;*-: -_�t.-.:�:�,,r.�,,�,'Sl,:._.,..._..,,,.,_.,•.::,..>.....:,;�:, .. ......,.:,,.,,-.:...:_.,... =.t�'1•'drlAP1Ti:;�sr;;`;=.:�D:'.:i``;;.::: Services et'feeders installanon,a[teraHan,and/orrelocation Name:, OV _L-o Ic" r♦ 200 amps or less L I00.70 2 � ►�I `t.•v-t- 2efl,�,. ,�,,// 40I amps to 400 amps 20034 2 Address: ;/I • i 1 Vi,I �('/ ti�L 4U1 amps to 600 amps 20034 2 City/State/ZIP: S G i ate. 1 -q ka52 5 601 amps to 1,000 amps 301.04 2 Phone: tool-(pc]i.4-`1031 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 ....;;:<<: ,:,<.:. �...--a.:.,. -;r.::...:..::....:..., — tto ,or extension, rel ,7 t ,:: 1Irpanelr circuits new,alter'a n per pa `i° COIKT' CTBE OhF;`:. s;;:?: - - �1'-L•'IC. T =. 'SCI.. A_ _�...... .-::.-:�. :•r..,� . .._,,_:.�>:. - .. .. , -. , A.Fee for branch circuits rpith Business name:Polygon WLH,LLC above service or feeder fee, 7A2 each branch circuit Contact name: B.Fee for branch circuits withouty� ` Q'� 'J1�r service or feeder fee,first Address: lb?, ypo wo U �-k- ` D branch circuit 56.18 2 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 67.84 • 2 dwelliEmail: 1�1 t cAno le. r i vo Isp. i (,� 5 C.tYlrl Reconnectne,seryand/or feeder y 1 only67.84 2 VRAVi _ ;f:hry L r s�� GC - �-�i. Pumpor- circle67.842 - irrigation n Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Signal circuli(s)or limited-energy See Page 2 2 Address:402 Valley Ave NW Ste 106 - panel,alteration,or extension. City/State/ZIP: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)872-1841 Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:bdaniels®gweusa.coirr Inspections for which no fee is CCB Lie.: C1158 Electrical Lic.: 208174 Suprv.Lie. 4496S �'���"�� specifically listed(A hr nein) 90.00/hr Suprv.Electrician signature,required: 7 ) , ALL..c IL I iL „_ ....... ::. ,�� It a! �� ,. .� Subtotal: Print name: Joan P Albert I Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee}: TOTAL PERMIT FEE: t- Authorized signature: .-" --- �- This permit application expires if a permit is not obtained within ISO Print name: Bill DanielsDate: days it bas been accepted as complete.* Number of inspections allowed per permit. L-\Buildittg\Permits\ELC PermitApp_liLit BRE.doo Rev 06/17/2015 440 4615T(1l/05/COtvg1VEB , t t Plumbing Permit Application t Building Fixtures Ge.,`V City of Tigard 1. $ 2Q18 Received Permit No ST' )/�00 d 3; , Iiii w 13125 SW Hall Blvd.,Tigard,OR 97223 �pR Ian Review C Phone: 503.718.2439 Fax: 503.598.1960 'ICI %( y: Other Permit No.: Inspection Line: 503.639.4175 01 D,v,. a Ready/By Tuns ®See Page 2 for TIC '.I I) G Notified/Method: Supplemental Information Internet: www hgard-or govow% 7 ...:1*s4t.•6 4 r .ts3:ut+SJ 7'e. I, :{P ,.`"') Y1 ... f :,11'1. t- " `;, x i� �' �: �' .'•`an4'�`+i+ k-+"4 `�, �---• . _i ..M.,+- •f.# y ,..i..`�.�.s.3a.....:2 . .. t�-� a. .. .._y ��_.. t..r.:. Demolition For special information use checklist New construction 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 CONSTRICTION . SFR(1)bath 312.70 SFR(2)bath 437.78 ii 1-and 2-family dwelling 0 Commercial/industrial I 500.32 SFR(3)bath i 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB'sus 3NFORMATTON AND'LOCATION , Site utilities: jCatch basin or area drain 18.76 Job site address: { I S�►" 1� W(/l�Q 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: jjirt. Fil5± 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 p_,1 Jew yexrcj,,'.e,z ,-}- I Lot no.l \c Fixture or item: Backflow preventer I 31.27 Tax map/parcel no.: l 12.51 .: Backwater valve DESCRIPTION OR WORK :_ Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 I Expansion tank 12.51 . El 144OP,ERTYY OWNER E SANT Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sink/hub 25.02 Address:7600E 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 0ea APPLICANT :' `. . 0 GO1�IT'ACT.PERSbN mreeptr/grecs trap ) Page02 2 In Medical gas(value: Business name: Po\Lior' 1�,► � � Primer 12.51 Contact name:1 V!e)nJ1lon)f Roof drain(commercial) 12.51 Address: -I b3 (jyO�U) 5 A- S'i.Ee. V Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 4 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E mail .N\GlnO ie. I �riAcl!' 1`ioN%oO f7( •S c J r Water closet 25.02 CO Oji: q ,, �. •a Water heater 37.52 Business name: Vd'4 t irt,,wl/b�J, 't 'Q 1i1 :j 4L- Water piping/DWV 56.29 $,09G n1 Address: p.d. -t;Z Other: 25.02 Subtotal City/State/ZP: ST. Pe-1 e C11131 Minimum permit fee: $72.50 Phone:($03---84s- 14x1 Fax:i1 v-'7d J' '� r`� Plan review (25%of permit fee) - CCB Lic.: ;11, 3-10..., Plumbing Lic.no. ) ,; State surcharge(12%of permit fee) tpor / TOTAL PERMIT FEE Authorized signature: , Jo fig r . 2 1 l This permit application expires if a permit is not obtained within 180 days _, :„e w , Dater J I after it has been accepted as complete. mil L1guiidhg1Pe mits\PL U-PeroitAPP.doc 10/01/09 440.46I6T(10/O ICOM/WEB) t 1 Ph City of Tigard 4COMMUNITY DEVELOPMENT DEPARTMENT s Building Permit Review TIC .\1st) -- Residential Building Permit #: C`(\ T a.ON�,- ( 6 h ?) Site Address: �I� �w � oda It �� Q. Project Name: R jar Itrrare E as j- 4Z Lot#:wM1^ Z 1S 0. (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Uetn! J F I\ Oenfp site address/suite#exists and active in permit; tem. River'1'errace Neighborhood: 0 No tr Yes,See River retrace&viewAddendrtm Attached Suit/Plan Elements: . (3)copies of site plan g(' ting structures on site ry plan ga=l20 on 8-1/2"x 11"or 11 x 17"paper [ Footprint of new structure(nduding decks)with finished 1' a • . to scale(standard architect or engineer scale) r•or elevations e .rth arrow tr ,tility locations&easements(required for new and additions) A address,project or subdivision name and lot number I Sidewalk/driveway approach •pkcant information(name and phone number) G' , cation of wells/septic systems P •t dimensions and building setback dimensions t5 ' ;_ting trees to be retained with drip line,and tree 1.A,Ainam footage of buildings to be demolished • •tection measures Le' t area,building coverage area,percentage of coverage and r' et tree size,type and location ous area(applicable if R-7,R-12,R-25&R-40) t!Street names lidProperty corner elevations(2 foot contour linea if more than >1,000 sf of impervious area created or replaced? UYee ❑No 4foot differential) If yes,is a storm water quality facility shown? d'St7No (I /Clean Water Services—Service Provider r ette> 'ot platted prior to 9/10/1995): � 0 Yes,applicant was notified No Received: ��tpt r`�i 4❑ Yes 0 No leN1 ttS•f Public Facilities,Improvement(PFI)Permit: 1. tired: Yea,applicant was notified 0 No Applied Fon p Yes 0 No,stop intake rei laud Use Case#: WWI22,Q16- 0000 ililling: K-1- V121- R equtred Setbacks: Front g Rear 10 Side 3 Street Side P4 Garage 20 MK-Landscape Requirement 10 % t Coverage Maximum: 80 Building Height Maximum Height 14/4 Actual Height Z rn! Sensitive Lands: 0 Yes l 'No Type MK. •an Forestry Plan 6 Conditions"Met"prior to' suanne of buil ' permit • Ores: *.(4,41`,,,.. .,„...1!.. . �t i�r Iv) i ( h,. IBJ JL►n C nsKC w4t on a 0 S rt td -rj , , t3 nn►.� i1 ci 4 di- C,a� Grf� ni l A. � Approved By Planning: ,,. „...„, Date: g-Z 1-1? 14t,P Revisions(after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved _.w • � ._. a y Revision 3: 0 Approved 0 Not Approved k xEs Q61417.doex r ' 2 Building Permit Submittal Original Submittal Date: 4 1 6 L.Is Site Plans: # "6 Building Plans: # Builrlirkg Permit#: ET-Enter building permit#above. Workflow Routing I Planning E3'Engineering [ Permit Coordinator ff.-Building Workflow Sign-off: ErSign-off for Planning(include notes from planning review) Route Application Documents: R'Engineering: (1)copy of permit application,(1)site plan,(1)building plan and original plan review muting form. ff.Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: \_)k .... Date: $3 b.-i-\‘55 ___ Engineering Review , 9 yallope at building pad: 1 i t(-1) — O Conditions"Met"prior to issuance of building permit O Easements(encroachments)per engineering conditions of approval and plat O Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes (EP No Assess Water Quantity Fee in-lieu: 0 Yes LIDA Facility on lot D Yes „Er Final Plat Recorded: 0 NOT Approved by Engineering: _ Date: --- Notes: 1A}A-1-1- fek_ 43c,, peAlup-ril.A. 7-63,--Is970 ., p---APproved by Engineering: MI krt.... L5 ' Date: 6 F-25/i a 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 0 Conditions"Met"prior to issuance of building permit ? approved,NOT Released: _Ae..- .6 ...,. , r 44iate: ri 241/)- S-- 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 Fees Entered: Wash Co Trans Dev Tax: es 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: Yes LIDA D Yes ,e'N/A OK to Issue Permit , Approved by Permit Coordinator: Date: _ 1:13uRding\FormeBldgPamitRvw RES 010118.docx I ' City of Tigard i 111 II COMMUNITY DEVELOPMENT DEPARTMENT s River Terrace Building Permit Review Addendum Building Permit #: Site Address: 119811 S\Al 4p U. k Project Name: At Jcrr�,(e. �i�dl- It 2_ Lot#: 2 IS (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist Design Standards (18.640.070.1.): Is the project subject to the plan district design standards?Lfd 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. 52( Balcony w/access 2 Window Projection Vertical Wall Offset a Gai ft deep min.2ft.,5 ft.wide min.2 ft.,Eft.wide ��dormer ❑ 0 0 ❑ 2.Eyes on the street:a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: Ill/. 3 . ntrances:At least one entrance must meet both of the follstandards: jMas.8 ft.setback from longr street-facing wall C Parallel to street,angle no more than 45'from street, or open onto porch Entrance opens to a porch: ateYes 0 No C / If y ,all the following apply: sq.ft min. �ne street facing entry ( ft.max.roof above floor of porch Q 5 ft.depth min. V30%min.porch roof coverage 4.petalled Design:All buildings shall include a min.of five of a following elements on all street-facing facades; Iff overed porch min.5 ft.wide x 5 ft.deep 110,1 Recessed entry area min.5 ft.wide x 2 ft.deep ▪ all offset min.16 inches 0 Dormer min.4 ft.wide ( 'Roof eave min.12 inch projectionf offset min.of 2 ft ElRoof shingles either tile or wood ®"Gable,hip or gambrel roof design ❑ f pitch oriented south min.500 sq.ft. 0 Horizontal lap siding min.3-7 inches wide I AAccent siding min 40%of street facade 0 Window trim min.2'/z"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 oori ter lot Setbacks: �� No closer to front or side lot line,than longest street-facing wall. ❑Yes E No. If No(Check one): ❑)fay 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.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: 1/0Date: —LI—(g FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 111111 ri T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED AUG 2 1 2018 FROM: Joleen Smith CITY OF TIGARD COMPANY: Polygon Northwest PLANNING/ENGINEERING By: S(- PHONE: 360-695-7700 RE: 16819 SW Appledale Rd (Site Address) (Permit Number) RTE2 Lot 215 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: ' Copies: Description: 0 Additional set(s) of plans. 0 Revisions: 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 3 Other(explain): Plot Plan REMARKS: Please pay fees owed with Trust Account. see Building Permit Issues attached n ; FO. OF ICE USE ONLY Routed to Permit Technic an. Date: q 28 INN Initials: Fees Due: ❑ Yes No Fee Descripti n: Amount Due: Special Instructions: Reprint Permit(per PE): E Yes o ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Electrical Permit ApplicatiRECEIVED FOR OFFICE USF ONLY City of TigardMI(A p V Received r^ permit 0 13125 SW Hall Blvd.,Tigard,OR 9722t1'A I 9 2019 Dete/B : `t ‘ASI' (���j- ` �j Plan Review I Phone: 503.718.2439 Fax: 503.59L196D. Date/B : Related Permit#: TIGARL) Inspection Line: 503.639.4175 C.�1 Y OF TIGARD Ready Date/By: Juris: See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK k PLAN REVIEW ®New construction ' r't•' -" y"'-"" ❑Addition/alteration/replacement C r C ffI Please check all that apply(submit 2 sets of plans w/items checked); ❑ ❑OthDemolition L. 1 j 1.`L•Z S 1 ; 0 Service or feeder 400 amps or more 0.Building over three stories. er: •` where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings. W1-and 2-family dwelling ❑Commercial/industrial ❑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 Job#: Job site address:`(p iQ �[r, ❑100Addition of newmotor load of system. V 1 till(.( 100HP or more. ❑ City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. Cl 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#: 'Z(n Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'1500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 Change contractor on MST�t' -•002,3(e) (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) 'TENANT Renewable Energy 0 See Page 2 0 ® PROPERTY OWNERServices or feeders izsstalla tion,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 168.54 2 E:4 APPLICANT,:: ❑ 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 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each:addl branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax: :(360)693-4442 Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:permitsubmittals@polygonhomes.cam Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 a Business name:Alameda Electric Sign or outline lighting 67.84 2 th Signal circuit(s)or limited-energy Address:3415 NE 44 Ave. 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(I hr min) 78.18/hr inspections for which no fee is 90.00/hr CCB Lic.: 199188 Electrical Lie,: c923 I Suprv,Lic,: 48715 specifically listed(/r hr min) .- = ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: ,l,-.%, 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: /e i 14, `2004 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. wed per permit I:+BuildiagiPermits'ELC_PennitApp ELR ERE.doc Rev 06/17/1013 440.46151(11t051COM/WEB