Permit (168) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2018-00323
Date Issued: 05/20/2019
T i G ARO 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DA13600
Jurisdiction: Tigard
Site address: 13031 SW REDFOX TER
Subdivision: RIVER TERRACE EAST Lot: 136
Project: River Terrace East, Lot 136
Project Description: New SF. DEMO CREDITS FOR TRANSPORATION AND PARKS APPLIED FROM
BU P2016-00205.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1858 sf Value: $240,968.70 Rear: 0
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
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: 1 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 0
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 addl 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 Y
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1858
Owner: Contractor:
WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 1 Hour Fire Rated Eaves
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $7,162.42
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: -.G" 7�C— " Permittee Signature: 6'4 ' /e`2.77/,/
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.
Building Permit Application y , .. , ,,2 --, -, ! ,,,, , L(5\-- .'D .-Q vi/e7er
.'
,,.,
Redden-til FOR OFFICE USE ONLY
City of Tigard Received • C, _
Ni "(_i'. i ? Date/B : 's S Permit No'`�'' 1 t�V ' '+i".
111 Ill 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie
_ Phone: 503.718.2439 Fax: 503.598.1960 Date/B : w I Other Perm� h l jl+
� I.,A 17 I> Inspection Line: 503.639.4175 Date Ready/By: Bf See Page 2 for
Internet: www.tigard-or.gov a e `� Notified/Method:/ 3/ 4� le' Supplemental Information
67494/Z— 'OG (cGq
sl '
®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 ❑Other: equipment,materials,labor,overhead,and the profit for the
'SCA _ G t � ot
' r work indicated on this application.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 0 �, V
El Accessory building ElMulti-familyNumber of bedrooms: �/
❑Master builder 0 Other: Number of bathrooms: 3
($ bPI '- O s Qi 1 Total number of floors:
Job site address: 1303\ SUJ �Z C.W�lR -,L,v race) New dwelling area: 1�S� square feet ' D�C�
City/State/ZIP: & ",e Dlik 019---0\1001 Garage/carport area: }J ] square feet cCi
Suite/bldg./apt.no.: Project name:., V.A'Je(-Vey-y-m 1 rO t, 'j Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
/, `I Q v D D ;, OM111FI ..,. ., E 3� ;:
Subdivision: V.,1U�r"F1GYY`ac e, CWjgc Lot no.: 13`�� 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
D I > 9 i i ' o "SIwork indicated on this application.
.11/ ` !'. 1() (:',2-62-1.r a S i7 >v�/` 'e/2/-4--17e Valuation: $
/I -" .,"*":71-1-e;
- ,� .� - _ Existing building area: square feet
New building area: square feet
' ►® '.T.14:14Number of stories:
Name: A Pv \,a f a 1 kF0�d 1 1 uX Type of construction:
Address: -1 co Db `,0 V�,CJ i - -2.0, o \ v4\
Occupancy groups:
City/Stat
re
_/ZIP: SCi�M1tc4pt\4 ) p iL �S 28 Existing:
Phone:((0 07-)(Q 4 n , Fax ( )
>1 '47:7','''N. , :/v4
r
. . .. .. %EJIG P P
Business name:Polygon WLH LLC ».., (�' ereje Co eesc,Qrtuti�_ .x,i w �. .. „_,;`
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:
1
E-mail:permitsubmittals@polygonhomes.com V .... OL " V �' , t
Commercial and residential rescritive installation of
,: ' .., "'... 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: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 signator-. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Antsi.da Gag;.r * .. '*•,._
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1
....--- --- -
...
Mechanical Permit Application . FOR OFFICE
.._
f I E
-. 1ty oTiprd .R.,...i,cd
Darem : MtMIIIMNIAIIIII
114 ; 13125 SW Ha Blvd..Tigard.Ott 97223 Pim Ravtc:vs
• Phone 503_7181439 Fa 503.5981900 Daterny: Ogler pcol" %
T I GA r 5-, Insp.-dos Lis= 503.639A .L75 - thoe RhidY/By; Jun' 89.See Par 2 tar.
s---. Intempt WWW•l1tard-or4ov NotifictMethod: Supplants:and tatbraeatism
i...1WP.-:a%.1.11reZi,511;a7Fet: 0...44T21: .74.,1P4F-C-.-- .1. 0:t!IW 1:-****04 -.40.ixcii.E....elf.$1:7t
Mechanical permit fees*are based on the value of the work.
.,:.!New cousta00011 0 AilationfaliwatkalhepIuartient *formed.tocracate the Take(restnuiedin the neami dotlari of all
•
0 Derunlilitnt D Other mechanical tnatefiaLs.equipment Wm.overhead_and wore.
Value:5
:f1-.2‘ 4..7.4.-N-444)*VtAitroor.4ittrogot4,:7;;,:•:::.;.,.
E3 1-and.1.-famay ciwervig 1:1 comsnaciallincVstaii 0 AccesSory bung Far special infirm:11m use checklist .
. t'L
Mutt-eittay 0 faster Wider 0 Other; Det....n-iplion -
Qty. -Eo_ Total
-ta?If'.4;444,00.004-00‘tit0:141CW.t. :f..:04::-ViliNFiW ilt45ME(1"ligg:
..• Air condidonioa. ' j 45,75
Alb '136'6'• '- _.1 VA 5tto veckfixv j-evraa) Forme=100.000 l311.)(ducts:Yeses) I 46175
: City/SlatorLIP; is6ea v-e,aotA) 0 00 o Di Feri;100 100_000+BTU CdUctsivents) ' 54.91
Heat pump , 61.06
Salteiblit ria.: PitOallan=1:RWeg lirraer,,Er-,^$k• Omer work 2332 I _
Crass suctridirections to job site-. 01K0115
Hrochanie bel usder sea= .., 23.32
• 'Reddest's,'boiler(leader or •
hydroeie) ZI.32 •
;brit cHype.not eftiric),
in-'wall.in-duct 664151'4er'.ate, 46/5
Flueveor for ese of abO•es .1 an
- Other: 23.32
Subdivisitsr
jr Ti2.4-1-ae:e Fo...5 ... ' Lot
_
Other Mei approve= , _
Ton niapipratel no.: - Waser beater 2332
.".1.1.7'1.4i':!&,-.. .'4„‘;ttilzt4f0f :ii&;itruipiiti'liibt,iiikilik412:.r•Siii4:-r.::=., ..(E,(4 Gas firaplaccruseri .
.--4..."--W--,..4N-Ix',-,•r-,--..r41-? !..s...s--......_ - -. . s..,A.....-•••-, ..... -,e4t.r.:4,1:::7,-rt,-.4. ..s.:;.;,:., •
• A_ .••- • Flae vat for:mato beider a sits 33-39
23.32
_ . . . —. LakItiarrOxasi 23.32
.....1.— • Wood/pellet done 33.39
Wood 6repiaosrarsed 23.32
• - _
Chippleyilintrifluthent . 233'
..
-. :,::1.'_•:j.i:.:10.**--:*--7.--.****-.142.1ei:O.(':',11!-50?.46*.V?4.-V ::: Other
.._ 23.32
Environmental ctclasontsed reatilatbssc
t*1111* XVL- LARD 4 bt-1)t turas i 14a Range hoodkaher kitchen
.. . . - ... Q guonere 1II 33_9
AA= 1V=0_k- goA
ciaahmdmi-ed..,=- 1 I 33.39 '
,
City/Stant/7-Th CLA•kSrSGS12.4 )t2., 5 7--SS Single-duct ethausi(bathroom,
foal conspartmests,utility:own'_ 1 3 i :::
pb,v. L*-2._ cacm 402,1 ! -Fax:.( ) Attleictrarispace fans 2332 I
•,-,",,*,;.••:f ,,-.;:":-tailil0t4i:Xt1:57:7'...1 I.:.;-:‘*31i.1-;.;:ak-COtALCO:14*-4if, °tiler:
Fuel itiptur 1
• tit/airless we:Polyzen Will,LLC
1 . • 514_15 for dint loan 54.48 fur earth lirddig000
1 Ca002$Biltnr _
Aeiykyo(AAA out, k ..,.‘1A, •
rkessE -ID 3 "R:ercodiu.pck8 t 5•Ve 510 s. . Gas heat pump . .
Watisuspeadedhatit heater
cayiStakiZIP:ValtasifVer.,WA 986.60 Waterbeater _
Phone:(360)695-7711i I Fax.-:(350)503-4442 Fireplace .. .
• Ra.gt i
E-Inee: e.r-ry A-skAnyi.4a.ts Ci-)-0, iyr,VwriNe5'.ex t11Ban9ecuc
i
_ 1
Other
Duahlass as=Apex Air LLC 1
,5?1.r5i7ft7i'l;r:2!5.,,S1ifili4.ATST*7.7?.;••• A!:---,:•:ji4":
• Addams:4004 NE 72"Ave • Subtotal
. CityarzieZ/F:Varmints.,WA 93606 'Violin=pessit ft MOA10)
.
.. Plasserk-sr(35%of permit fee) t
?nom OM 3424109 - I Fax:(360)326-1769 State surcharge C12%of.perrait fcc) t,
CCB Ex.:2030341........____ TOTAL PERMIT FEE
, This person eppfiertiss empires If permit is net obtaiis
ned*nta 1.80
days-after it has been pecepied as esespiele.
*Trdmr,...-- $ Peeseethedoksgr stay Tti-Ccenty Bultdill Industry Service Nord i
Print sateet7Z: I Dec .11.,1.1,WL --- 1
1
•
Electrical Permit Application FOR orrICL USE ONLY
. City of Tigard Received _ permit k: i
qlif 13125 SW Hall Hivd.,Tigard,OR 97223 Date/By:
•
FlaPhone: 503,7182439 Fax: 503.598.1960tReview RdatedPermitf �j�f� � _ 's
T1GARl7
Inspection Line: 503.639.4175 ReadyDateBy: lulls: Eli See Page 2 for
Internet www.tigard-ot OV Notified/Method: Supplemental Information
•
vtk �a".�.,�'�:.y=.a. ff&�5`. -.205_��c?f+- ,4,1 � r�� --w.^��� *t�w.r s:�A�P.ESSrt�"'.:3C U`: -,!--,4 t,'---y.ez
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2_sets of plans w/items checked):
❑Demolition Qtly ❑Service or feeder 400 amps or more 0 Building over three strides.
where the available fault current 0;Marinas and boatyards.
.�``_ -. gam
,- -. .e, -61,.-v..!;,--0-:!„.t. ' k f�C �- .+g'. . a ". y;; , exceeds 10,000 amps at 150 volts or I="Floating buildings.
®1-and 2-family dwelling 0 Commereial/iridtistrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.-
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or
. - ;ievor,- j'` " (§Ic ry s 0 Emergency system. larger separately derived
�j�, ❑Addition of new motor load of �
Job#: I Job site address: '1j 03� S vO .....at� tev V 100HP or more. ❑'A.E","1-2`,�1-3,
y/� /� 'l�•� ❑Six or more residential units. occupancy.
City/StatdZlP:' l �U� O "l V V ❑Recreational vehicle arks.
❑Health-care facilities. P
Suite/bldg./apt.#: Project name: 12,1 /V e Y ro`l� N t'f e (•(//,. ['Hazardous locations. ❑supply voltage for more than
� ❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: AWA- f '
Description l'Qty. I Each Total
n New residential single-or multi-family dwelling unit.
Subdivision:FP \r1 Vevrw� ((��' I Lot#: I r�f Ji Includes attached garage.
Tax trap/parcel# 1,000 aq.R or less 168.54 111
f t ;fit'a Ea aefd'l500 sq.R or portion 33.92
- .&i . ` �.`, .e..m0.x dt. < '".;• 4- '- Limited energy,residential
(with above sq.ft.) 75.00
Limited energy,multi-family 75.00
residential(with above sq.ft)
,. -.eta 't oi,11.6 '' ,,mi it r 3 r -Renewable Enera ❑ See P ,..e2
4.. Services or feeders installation,alteration,and/or relocation
Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2
Address:7600 Lr Doubletree Ranch Road 201 amps to 400 amps 133.56 2 -
40I amps to 600 amps 200.34 2
City/State/ZlP: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 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
':.re,.-'4":-_ ,'-'":Iii:".,- )-4..Y. 44 ,-,,,Z;--:-=-i-T---; -sorb 'l es o - � Y�' Branch circuits—new alteration,or extension,+er .anti
a "'� � A.Fee for branch circuits cutch
Business name: f V t u,/( `i)i}� li c, above service or feeder fee,
Iynn t` "Y `1 each branch circuit
Contact name: A ►Y 1 B.Fee for branch circuits without
Address:: r I , service or feeder fee,first
r ` L L )� t/ branch circuit I
City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 • • ' Fax::(360)693-4442 Each manufactured or modular
67.84 2
Email: / 'V,. H+/( /� ,l ,,I/1 0 o� and/or feeder
"t v1 /,ut Reconnect only
W 4 <t -Val y��'Xr+,�,e l' .-V: a Pump or irrigation circle altiallifi
Business name:Garner Electric Washington,LLC ' Signor outline lighting 67.84 2
'.-.:. Signal circuit(s)or limited-energy
Address:6101 NE St Johns Rd panel,alteration,or extension. ❑ See Page 2 2
City/State/ZIP:Vancouver WA 98661 Each additional Inspection over allowable In any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/br
Email:bdaniels@gvl'eusa.com Industrial plant(1 hr min) 78.15/hr
Inspections for which no I=is 001 hr
s ific listed(5.hr mm)
CCB Lic.: 01158 Electrical Lie.: 208174 Suprv.Lie:: 44965 ? _
/� �n -.. Lam- `-� -� ^_°_. 'Ytr`� -Y�c,ttfir-` '`*
�-1 l k
Suprv.Electrician signature,required:'c tail/ P, , l rr- _ Subtotal: t
Print name: Joan P Albert Date: ' �I j / 0 Plan Review Required(25%of permit fee):
K
State surcharge(12%of permit fee): e"
Authorized signature: r_ �- �r~~� TOTAL PERMITr'»:
` ; This permit application expires If s permit is not obtained within 180
ai.r::; Print name: Bill Daniels Date: days after It has been accepted as complete.
+.:.... � � �' * Number ofinapectionsallowed per p
3a..;+
;-.3 '11Ha1td4g1ParmrW6I C_faemitApP EUt ERLdoe kw 06117/2015 440 4615Tt1IPoS/COMM/R'F9
Plumbing Permit Application
Building Fixtures 1111.1111111=11.111.1M
City of Tigard YeuntthTo.: ‘.
■ 13125 SW'IJa1I Ivc Tigard,'OR-97223 Plan"Review
I' Phone: 503.718.2439 Ft= 503.5981960 Daue/BY Q too. \51 c'(X).- t+
T t G AILD Inspection I 503.639.4175 ]late Ready/0y: Armes SI See Page 2far
Inleinot: www.tigaid-oi.gov. NotuSedn guide Supplemental Intormauen
t -Fi r; `t a 07. w0 ' iE* `'j ,�r -s
r#_`
......� iZ (i)<t 1tIf 4-0,. <fe x For special' rin tion use checklist
®New construction, 0 Demolition Description I 00'- 1 La'. i Total
0 Addition/alteration/replacement 0 Other, New 1-2-faintly dwellings(includes 100 lt.for each.utility connection)
't.t,1-y irSFR(Muth 312.70
�r. ;. �TEf:�gi3�OF CUh`STRi7CTt10N
N I?and 2-family dwelling ❑'Commeroial!mdustaai SFR(2)bath X137.78
n SFR(3)bath I 500.32
0
❑Accessory building : Mniti:family Each additional bath/kitchen 25.02
0 Master builder 0 Other: Firesprinkler( sq,ft.) Paget -
,7(IB 81T13,NFoIt11fiA C?11t*D'LC)Cel7.'IOhY.- . Site utiifies:
Job site addle= kti2A S v\MTV, 'cepL Catch basin or area dram
Drywcll.Lesch lintor trench drain 18.76
18.76
City/State/LIP: ?,p UV tyVl ✓- olio 01
Footing drain(no.linear ft.: ) Page 2 .
cross Suite/bldg./apt.no.: Project name: {- v Y'r,e v'V �� Manufactured home utilities 5003
street/directions to job site: Manholes 18:76
gain drain connector 18.76 '
Sanitary sewer(no.linear ft.:_j Page 2 •
Storm sewer(no.linear B_: ) Page 2
Water service(no.linear g.: ) Page 2 #
Subdivision:' U:CJ Y �,`jy v WJ,(("r - I Lot no.: �l)(Q r Backflowpreveatter , 31.27
Tax.map/parcel no
:-Y,_.'. :k: A .:5: ;.IF+S t.... �g -..r.44,!----,-.!;•
F..,_ .. _ ._. .Y -.i..... Ba►octkwesatmerast'eIr* ' 12.51
.. 4-4.F..4..41_4,14::- _r.,_ 4 ,.._.... .i� _, ' ,= - 25.02
Diahwasber 25.02
~ Drinking fountain 25.02
Ejectors/sump 25.02
E psitsiopjank" 12.51
Name:ATlVL Land Holdings,LLC Fixture/sewer cap25.02 I
Floor drain/floorsink/hub 25.02
Address:7600 E Aonbletree Ranch Road Garbage disposal 25.02 y
City/State/ZIP:Scottsdale,AZ 85258 Bose bib 25.02
Phone:(602)694.4031 Fax ( ) . Ice maker 12.51
Kza 02,~ z :,. :.. ` -.:..__ GONtfLPERSON . . .Interceptor//grease:trap 25.02 £
Bnness names " VOl
UMedical gas(value:S ) phi
1�n ���y Primer
Contact name:.,'' \ V Y , Ot (j IWtVy4� ( Roof drain(commercial) 1251
Address:. 1077 krDad.u3 `N-1- 4t Sri) 'Sinkr(aasinnavatsrry 25/32
City:Vancouver,WA 98660 Solar units(potable water) • 62.54
Phone:(360)46.9B4700 Fax::(360)693-4442 Tnbbsbowedshower pan 1251
Urinal 2502
E-mail' lovvi �tlplM�lu �r�c, -
F l k Wates closet. 25.02
` =_ .. . :cswi:1tAv.riE _� r-. . . `7. Wateeheater 3752
Business name: 644 1A pyl,Q S.WaterprpineDWi+ 56.29.
Address: p.d':* $' co, Other . 25.02 -
C iSty/State✓ZEP: T, 19 444 cym. 41137 Subtotal 4
IvLri�m permit fee: $72.30
Pima:01 ''Nit'
' it' [ t1 Fax:(1''41 ft.4747'"$.,1 - i
IX
{{ t PIM rcvicw(25%of permit fee)
8 Lie f � Plumbing Lie.ao. I 4State surcharge j12%of permit fee)
Authorized signature: TOTAL!with t1`FEE
Print sane; S÷e,tit. flE8,11f_e..,. Data 2.1I(i 'lb I tae permit appifcaa8m'-it ifs pets.as atabtained within 1811 days
*Foo matbodology sex by lid-Comity Building Industry-Service Board.
I
i t)htiitbsekrmildnio f-Pe misipp4oe 10/01re9 4404616rft01112a I
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City of Tigard
114 COMMUNITY DEVELOPMENT DEPARTMENT
11
T l c A l;n Building Permit Review — Residential
Building Permit #: CN(1S aCIS,_ F
Site Address: /,_ C)- > -� 12, qQy 7r '
Project Name: j`V-,— 7-e-r/20 7L Lot #: _��
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: ,&k&)
Xerify site address/suite# exists and active in permit tem.
LTJ River Terrace Neighborhood: 0 No 0 Yes,See River Terrace Review Addendum Attached
Si Plan Elements:
Eihree(3)copies of site plan iel%, sting structures on site
ite plan must be on 8-1/2"x 11"or 11 x 17"paper j'4 Footprint of new structure(including decks)with finished
irawn to scale(standard architect or engineer scale) fl o.r elevations
rth arrow IIQty locations &easements(required for new and additions)
OS)OS)te address,project or subdivision name and lot number Ll? i.ewalk/driveway approach
Viiiplicant information(name and phone number) II O.cation of wells/septic systems
P Lot dimensions and building setback dimensions sting trees to be retained with drip line,and tree
i1„ .uare footage of buildings to be demolished ..otection measures
IV .t area,building coverage area,percentage of coverage and kri eet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) Street names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? L✓1Yes ❑^N�
4 oot differential) If yes,is a storm water quality facility shown? Yes Lo
lean Water Services—Service Provider Lett ofplattedprior
to 9/10/1995):
equired: 0 Yes,applicant was notified No Received: 0 Yes 0 No
Igi Public Facilitig(Improvement(PFI)Permit: lla 7.7- 10--,0110._
R quired: Nt Yes,applicant was notified 0 No Applied For: Yes 0 No,stop intake
d Use Case#: pzi2.�1 / �
°�: /e-�- PLS
Required Setbacks: Front Rear (7 Side 5 Street Side Garage — /
{andscape Requirement: 6 %
t Coverage Maximum:
Buildin Height: > 1/
,p,� gMaximum Height pity- Actual Height ��
b1 1�Jisual Clearance
i1' °sensitive Lands: 0 Yes /No Type
urban Forestry Plan
O Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: / Date: _ / ��//
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
I:SuildingTotms\BldgPermitRvw RES 061417.docx
Amei
Building Permit Submittal i
Original Submittal Date: 1\ � 11�
Site Plans: #
Building Plans: # 3
Building Permit#: Er Enter building permit#above.
Workflow Routing: Cd'Planning ErEngineering Er Permit Coordinator E`Building
Workflow Sign-off: Eir Sign-off for Planning(include notes from planning review)
Route Application Documents: [-Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
CS/Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: � ���. Date: AI t
En:ineering Review
Slope at building pad:
❑ Conditions"Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes ifr No
Assess Water Quantity Fee in-lieu: 0 Yes i' No
LIDA Facility on lot: 0 Yes ' No
❑ Final Plat Recorded:
0 NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: ti ' Date: 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
❑ 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:
C Fees Entered: Wash Co Trans Dev Tax: tWYes ❑ N/A
Tigard Trans SDC: VYes 0 N/A
Parks SDC: Yes 0 A
LIDA ❑ Yesld N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: /2/"///7 ---
I:
2 ` ---I:\Building\Forms\BldgPermitRvw RES 010118.docx
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
IIII
T 1 c A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: /ao / -gZ 1e d 4.
�� �rr -Q
p
�e
Project Name: /jLer � — Lot #: /3
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1.):
Is the project subject to the plan district design standards? ❑ Yes ❑No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min. 5 deepBalcony w/access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6ft.wide Gabled dormer
0 CICI ❑
2.Eyes on the street: a minimum of 12% each street facing facade must include windows or entrance doors.
Percentage Shown: / %
3. trances:At least one entrance must meet both of the follo g standards:
it Max. 8 ft. setback from longt street-facingwall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes ❑ No
If yes ll the following apply 2�5 sq.ft.min.
ne street facing entry ®�/ ft.max.roof above floor of porch
5 ft. depth min. 30%min.porch roof coverage
4.1�etailed Design:All buildings shall include a min. of five of e following elements on all street-facing façades:
iiiovered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep
Wall offset min. 16 inches ❑ Dormer min.4 ft.wide
❑ Roof eave min. 12 inch projection ❑ I.00f offset min. of 2 ft.
O Roof shingles either tile or wood VGable,hip or gambrel roof design
D oof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide
ricAccent siding min.40%of street façade ❑ Window trim min.21/2"wide by 5/8"deep
❑ Window recess min.3 inches for all street facing 0 Bay window min. 5 ft.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 façade
. , • . .es and Carports:May face the front or side 1t line on a corner lot.
Setbacks: , }�fc
No closer to front or side o an longest street-facing wall. 0 Yes ❑ No. If .- eck one):
❑ May extend up to 5 ft. if there is a cover-. . t .orch and garage d.-. • extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is part of a two-- 'wilding and there is a window at the second story
above the garage that faces the street with a ' ,rea of 12 sq.ft.
Width: (Check one)
❑ 12-foot-wi.- :. age door ❑ 40%max. of street façade
• i'o max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: �- "7,— Date: .//c2
I:\Build ng\Forms\BldgPe mitRvw_RES_RT_121417.docx
,.'11.0.”t 'J.,.I l' ..:.4..,,,, t
Electrical Permit Applicatib ,„,, 4 , '' " • .,644. 14,i•P'147...l'AP4r4.4.40.1COFEK-013SEi NL -40-'4'1'''!'"'-';''cl'• '''.* ".i
VVriTt 414SFIbittgeXt-,*f'KfteA'rfOVIV491't4V.FTAWr,Argttt;tVfl'..Vg;"Vl' :
;''''.l',.7:1!.14i9 City of Tigard Received 1
4..,iii....„..,..:„ 224,1,n 2 201,- Dalen3Y: (gi 1 -)t ke, T Permit 111-' '‘CtS-(\k,.. 4-
'1' • q 13125 SW Hall Blvd.,Tigard,OR 97 " Plan Review
1! 2 ,. Phone: 503.718.2439 Fax: 503. 98040 , . ..., ,,„ Date/By: Related Permit#:
• = ' '''''..1Inspection Line: 503.639A175 ,-!'. `. =. ' . - ' Ready Date/By: Avis: I Ei See Page 2 for
OAR
-•., . , o Internet: www.tigard-or.gov Li k:fL 2 :r`;,:„ i ,',`,:•:::: , ' ,, Notified/Method: I Supplemental Information
.il.."........':,'•: '.' :,•••• - . ' ::.1' . ',, TM..OF"'`WPRX. . . - ' : ....0..1.0:*(PT: :,-'1 '" .....:,.....11--...;::",.. %',.:-.P_IAN.l'REVIEW '-'••,..•• ...,'.••..:. :.,: •••
ig New construction 0 Addition/alteration/replacement .:'nt: 4 ''', ''''' • Please check all that apply(submit 2 sets of plans w/items checked):
.,:',,, -" - Qs""' \A 0 Service or feeder 400 amps or more 0 Building over three stories.
El Demolition EI Other: '4, ' where the available fault current 0 Marinas and boatyards.
;-. A1E.E90RY,bF..-:C0:11MuCTIO -N . ' *.-•.::' :.-.:•:::. exceeds 10,000 amps at 150 volts or 0 Floating buildings.
Ei 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 El Commercial-use agricultural
amps for all other installations. buildings.
III Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
,,PDij:.§ITE1-1-46kiv4616/4.Alsip.tciscAli:0:..: . ' -. .., .._:.,-,,.' -. 0 Emergency system. larger separately derived
0 Addition of new motor load of system.
Job#: Job site address: I 5031 .--QS-tteePh 1-S-12.1Z_ 100HP or more.
City/State/ZIP:Tigard,OR 97224 0 Six or more residential units, occupancy.
0 Health-care facilities. El Recreational vehicle parks.
Suite/bldg./apt.#: Project name:East River Terrace 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: . .,. .... v ..---.- FEE-SOIIEIAII.,E.
Description r Qty. I Each I Total I .
New residential single-or multi-family dwelling unit.
Subdivision:East River Terrace. . Lot#: -31.., Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/p' s . -map/parcel#: _
Ea.add'l 500 sq.ft.or portion 33.92 1
... : . . DESCRIPTION OF WORR • , " . : . Limited energy,residential
(with above sq.ft.)
Change contractor on MST -'""Locce ,....002.S
Limited energy,multi-family 75.00 2
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
.. . . .
. El PROPERTY QWNE .R-. , , , . 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 10 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
.. -0
APPLICANT D 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:Tonj a 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'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax: :(360)693-4442 Each manufactured or modular
67.84 2
' dwelling,service and/or feeder.
- Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Alameda Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: 3415 NE 44th 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) I 66.25/hr
Phone:(503)319-2192 I Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:solarpdx@me.com
i- - -- - Inspections for which no fee is
90.00/hr
CCB Lic.: 199188 Electrical Lic.: c923 , I Suprv.Lic.: 487/ -:::‘,„ specifically listed(%hr min).. • . .
,......... ELECTRICAL PERMIT FEES-
Suprv.Electrician signature,required: 71- faSPIPIr
_ Subtotal:
Print natne: Kirk Rood Date: 05/09/2019
/ 0 Plan Review Required(25%of permit fee):
I
---- . .
State surcharge(12%of permit fee):
Authorized signature:
/c.i le., /le aJ.s.--.... . TOTAL PERMIT FEE:
Kirk R(Ind. I nafa• (14 MO/V11 11 1 This permit application expires if a permit is not obtained within 180
Print nami,.