Permit (112) ,I CITY OF TIGARD F MASTER PERMIT
INCOMMUNITY DEVELOPMENT :` ,.'M Permit#: MST2019-00217
' ������' Date Issued: 06/27/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Ol ` -�_iParcel: 2S106DA18100
Jurisdiction: Tigard
Site address: 16654 SW BIRDSONG ST
Subdivision: RIVER TERRACE EAST 2 Lot: 220
Project: River Terrace East No.2, Lot 220
Project Description: New SF.09/23/2019: REPRINT to add deck.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 8 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors:
Total: 2914 sf Value: $374,369.10 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 RainStorm Sewer: 100
0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 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 Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add.'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 2914
Owner: Contractor:
WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
TM- 1'3TFi ST 7631ROAt3Va,#Y STREET,SUITE 51.0 1 Fran Cain 503-635-4175 -
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Report Required
Prior To Pour
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $36,438.18
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: \•-..-- —✓ \-- Permittee Signature: SCC-. & -)\--`C' "
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.
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
11111 ■
Building Permit Review — Residential
TIGARD
Building Permit #: ky\G)-r? - ci-
Site Address: lk0(p51-1 GAA1 WreS Stree:
Project Name: 12\\jGY T' JrracG fps- �
Lot #: 2.20
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Reviewv1 �k� C\\\a kc; k.n \ y,ti ,
Proposal: L .\0- ..,"1\)."AN- ' c' d C C:.•-
'Verify address/suite#active in Accela. In River Terrace: 0 No ilicYes,River Terrace Review Addendum
Site Plan Elements: YZ:rosion Control
gL3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper Nialietained trees with drip line and tree protection measures
3rawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE
Sitearrow tility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number Sidewalk/driveway approach
• pplicant information(name and phone number) ria.Location of wells/septic systems
'II .t dimensions and building setback dimensions Street tree size,type and location
VVISquare footage of buildings to be demolished Street names
WiExisting structures on site omer elevations(2'contours if more than 4'IiiVA area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? At:.I No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? :. 1I No
'Elk Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: 0 Yes,applicant was notified lc No Received: 0 Yes 0 No
tit. Public Facilities Improvement(PFI)Permit:
Required: 0 Yes,applicant was notified I No Applied For. ❑ll Yes 0 No,stop intake
'E R
Land Use Case#: PD1.oL(0^'OCOt)7 Zoning. 12""'I11•s
,,Required Setbacks: Front_B__ Rear. Side: Street Side: Nips. Garage: 20
,Building Height Max.Height N 1r Actual Height t 28
,Landscape Area: .2-27 % a Lot Coverage Max: SD %
Entrance P1 Set back no more than 8'from street-facing wall 0 Parallel to street or offset 45 degrees or less
Windows ■ Minimum 12'o of area of all street-facing facades
Garage • k . door w behind wid••t street-facing wall 0 Yes 0 No,one of the following is met:
a Door •ds no mill.
. 5'from wall and there is a covered porch extending beyond garage.
• Door - tends nom5'from wall and there is a 12 sq ft.window above garage on 2°d floor.
0 . door 'dth is ■ ss 0 50%or less of facade 0 60%or less and includes 7 of following.
O •_• 's porch_ ■ - entrance ❑ Wall offset 0 1'Roof cave 0 Roof offset
-❑ Fire :;r;es -ii 1 Lap Si•',: ' ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormet
0 Accent siding I I Wmdo' trim 0 Window recess 0 Window projection ❑ Balcony
Visual Clearance 'it.' rban Forestry Plan •
Lands: V Yes 0 No Type:CA/sic Y1Glor loud V ctIuL hr�lbi,'lati'�
?! Sensitive
Conditions met prior to issuance of building permit 0 4As. WG41anj(.
otes: t Atc'' Ci rid t1Th pn uY I.SsUI LA'
121 Approved By Planning: t A.. i�- Date: S 2.$
•
Revisions (after Building Submittal only) ReviDa e
Revision 1: Approved 0 Not Approved Z I
Revision 2: 0 Approved 0 Not Approved
PP PP
Revision 3: 0 Approved 0 Not Approved
I:\Building\Fonns\BldgPermitRvw RES_022819.docx
Building Permit Submittal
Original Submittal Date:
Site Plans: # ?,y
Building Plans: #
Building Permit#: El"Enter building permit#above. / /
Workflow Routing: Q/Planning LTJ Engineering LY Permit Coordinator B Building
Workflow Sign-off: [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.
I//Building. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 51 I let
Engineering Review
.1Z-Slope at building pad: St) 70 w SNI IJ -Pl+,- T--
,ET Conditions "Met"prior to issuance of building permit
.Q Easements (encroachments)per engineering conditions of approval and plat
.25-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes @I No
Assess Water Quantity Fee in-lieu: 0 Yes 17' No
LIDA Facility on lot 0 Yes 2'No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: s • Date: s 2-1/
Revisions (after�Bu'ding Submittal only) ewer ate
Revision 1: Lf Approved 0 Not Approved G l
Revision 2: 0 Approved 0 Not Approved /
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
CQ--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:
CbC Fees Entered: Wash Co Trans Dev Tax: erYes 0 N/A
Tigard Trans SDC: [ 'Yes 0 N/A
Parks SDC: EgVYes 0 N/A
LIDA 0 Yes l!d N/A 0.
PP r.OK to Issue Permit / bq
Approved byPermit Coordinator: Date:c A J I
I:\Building\Forms\BldgPennitRvw_RES 022819.docx
CITY OF TIGARD MASTER PERMIT
II31.: COMMUNITY DEVELOPMENT Permit#: MST2019-00217
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/27/2019
T[ � 1�•t Parcel: 2S106DA18100
Jurisdiction: Tigard
Site address: 16654 SW BIRDSONG ST
Subdivision: RIVER TERRACE EAST 2 Lot: 220
Project: River Terrace East No.2, Lot 220
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2914 sf Value: $374,608.10 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
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 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 Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'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 2914
Owner: Contractor:
WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Report Required
Prior To Pour
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX:
Total Fees: $36,393.18
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: \— 54 �.,_ Permittee Signature: PLA C_PMCc
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
•
Building Permit Application \ '----),
Residential RECEIVED FOR OFFICE USE ONLY
- City of Tigard Received
1111 '� 13125 SW Hall Blvd.,Tigard,OR 97223 ' P R view Permit Noq
Phone: 503.718.2439 Fax: 503.598.1e1p-y .. 1" •. Date/B �/ Other Permitr�t�,� <tel+— r
T 1 G A RD Inspection Line: 503.639.4175 yy� pw DIVISION
Date Ready/By: Juris. H See Page 2 for
Internet: www.tigard-or.gov 'BUILDING DIV1 N Notified/Method: Supplemental Information
, TYPE O ORI •R• Q 3IREII DATA,7� U 2-FAM•ILY'DWELL 'S,,,-.''a;`
®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
;/ /f i %"�- -- '--?'-14. •' ''-' work indicated on this application.
ATEGflR ,• ;,; 4NSTRU
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 31 , GoS _
LiElAccessory building 0 Multi-family Number of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB 'ORMATTO) j i13 LOCATION Total number of floors: Z 3-7,-7 O
,„,,,," In , ,n ,. r,,i,,i _:/1;," ,
Job site address: (p
S—I S Iii) •B1 1� cJ V 1( St New dwelling area: Z?M I u square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: (] (0I square feet l'�ti$
p...1 V-�
Suite/bldg./apt.no.: Project name: v-y- () 66. Covered porch area: l square feet
Cross street/directions to job site: V Mo Z Deck area: )5 square feet
Other structure are v"quare feet
11.UQUIREI3 DATA:COM14MERCIAL-USE CI E KLIST
VIV €matt q,. t3Uh 22b
Subdivision: Lot no.: 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.: materials,equipment,ma er a s,labor,overhead,and the profit for the
1*SCiRit'TIOIsirj ?RICK / .gJ . work indicated on this application.
New SF Valuation: $
Existing building area: square feet
New building area: square feet
Et PROPERTY ON I{e/ • fwt' 11i : Number of stories:W
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:
'',"..!..;,,::,....7.FFLICT i 44 Q CONTACT PERSOir.
.., „/...4 ,, . _,, 1 !I,, ,, iG i',,-,I'FEES i
Business name:Polygon WLH LLC ' �rtafeesclrYu
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
FLS plan review fee(if applicable):
Address:703 Broadway St.Ste 510
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Phone:(360)695-7700 Fax: :(360)693-4442 Amount received:
E-mail:permitsubmittals@polygonhomes.com 'HQE)V31 TAi4zfRPAI�II l[ SiPEE *,
it RACI , fey �, Commercial and residential prescriptive installation of
”"err,, .., -�.,;f y ;..,. '"'"'"7'r.;',4°'-';',- roof-top mounted Photo Voltaic Solar Panel System.
Business name:William Lyon Homes,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: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 lie.:207247
Total fee due upon application: $201.60
Authorized signature: 4111, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name.Amanda. + . Date: 3 1 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\B I1*-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
, a
Mechanical Permit Aptilicatiew
mEC;FiVF-T' F()R()FFIcErsEtyNLV
City of Tioard ,. ..,-, . ,..,..- ' Reeeoc.(3
Perma r.,,t0.
,114 „ ,,,.„....,...,
.. i.„2„,,,1 tall 111s(1,Tigar(I.(.4R 97223
I ' Phone 503,718.2439 Fax: 503.598.19O0 JUN 2 b 2019 pi.n R C 4 11.1,1
Dati.t'li!, 001,1 PCTIIIIt
T le;A it r) Inspection Line: 503.639.4175 tti tons fa see tint'2'.for
Internet: %vsysv.tigard-or.pos Ci-ry i...")!-- 1 1 ..,,i‘r-t,3 N„,,, L.N:101od. Supplemental In forntatinn
BUll_niNci DiViSlt7)1'-- - --
:, .2,,•,'., ,, ,T,t.r}: or voRK ------ ' * ,, , -COMNIERS!At rEE4-4CHEEstri*E-USE titrektlIFr
Mechanical permit fees*ari.based on the value oldie work
12)
New construction 0 Addition!alteraticintreplacement iterfonner.i.Indicate the value(rounded to the nearest dollar i of all
0 Dettiolition 0 Other: mechanical materials.equipment,labor.oveihead.and profit.
Value.S
CATEGORY OF CONSTRUCTION .
RESIDENI1ALEQUIPNIENT iSESTENIS FEES*
. . . .
0 I-and 2-famil) dss ellintt 0 Cotnoterciallindustrial 0 Accessory building f or special information use rhechhst
E3 Multi-flintily 0 Master builder 0 Other: Description 1 Qt . riHia,7 'Fetal--:
JOB SITE INFORMATION AND LOCATION ilcating/cooling:
.. Air conditintiine % 46.75
Joh site address: t(.oLoSit 5'.'.A..) --R)t 12..,to Sat\-6 St-:" Furnace 100.000 13-11.1(ducts...CHUN) I 41'i35 ..._....... _..._
Cityl.StztteTZ II':'Tigard,OR 97224 Furnace 100.000*tri U(amp,venii, 54.91
.
, _it Ileat pump 61.06
StitleibldF.,,'apt no: Project nante• Veg 1-erfacc,a...-st..,-1*4.- Duct work 2332
Cross street/directions to job site: lis(ironic hot ss ater system 23 37
Residential Nailer(radiator or
hydrrmie t 23.32
Unit heaters(fuel-type,not electric a
in-wall.in-duct,suspended,etc. 46 75
- --
1,1tielvent for any of above 23 32
..._ ,
Other. 23.32
Subdivision' + Lot no.' "220
- . Other fuel appliances:
I --r----
Tax rnap'pareel no,: Water healer 23.32 1
DESCRIPTION OF WORK Gas art-Place/insert 33.39
Flue vent for water heater or gas
fY\St"2-01.R- C)b 2-4 -1 fireplace 23.32
Log lighter feast 23.32
Wood/Nliet stove 33.39
---------
Wood fi -
replace:insert 23.32
Chimiteslineriflucivent 23.32
Other: 23.32
C.+ PROPERTY OWNER Q TENANT
Elli ironiticntal exhaust and x entilatirin:
Name; Pita 1-- L-Ft no 4 01-1)%t..1 'S 1 1-.1,-C Rang::hood/other kitchen
equipment k 33.39
Address. 1.tab°_E.-1-_,6,.u1131t.-icir-e--e. ..- c:iI"le.)A '- o,D el Clothes dryer exliausi 1 33 39
Cit>iState/ZIP: Cf.:1S13.-\41,-%. P'12.-• S 7--S53Single-arict exhaust(bat hrkmais.
--------- ' - ---- * toilet compartments,utility rivinst ,g _ 2332
Phone: toe.n.._ (4t-4 (4,o Fax'I ) Anickrassispacc fans 23.32
. ,
*l APPLICANT 0 CONTACT PERSON13.37
Other.
Fuel piping:
Business name: Pnh'gon NV1.11,I,L('
-. 514,15 ftir first four;54.03 five each additional
Contact name,_)0‘e en SyyN, ;-\-111 Furnace.etc.
Address: i 0 3 -R-yr00.6.L001/4. SC.7----- -------"i1) Gas heat pump
1 -•-) 'W'all'suspended'unit heater
(..:ity/SUnetZ,11):Vancouver,WA 98660 Water 1,4calor
Phone.(.364))695-7700 Fax:.(360.1693-4442 Fireplace
1 • i i Ranee _ ,_, _
ittatl.Rerrsi\sJeSkl,‘Orni rvl kl-OskSra)--Vo\A.kokoT,1,rwryve,5.e-ty 11,,,t,,,ctie
...)...., ,
• , _ , cvoosAcTok c_lothcs dr%er(gas) ___
.'.
Other:
Business triune: Apes Air L11" .
___ 1VIEC.11AINUCALFERNIITTEts.
I Address: 18004 NE 72 "As e Subtotal
Minimum permit fee t$90 00)
(*to'State'ZIP. ‘'aneouver,WA 98686
IPhin lestew(25%of permit feet
Phone (360)342-8109 lax'(360)326-1769 State surcharge(12%«f pernrit fee)
Ct2B _lic., 203034 TOTAL PEIINI ET FEE -I
- - tub permit application expires if a permit is not obtained within IO
days after it has been accepted as complete.
Authorized signal tire. ' lee Inentod01(.0 set is),Trt4'estints llinklinu Industry Sets ice(Riad
, ..i..............-=.•
Prim natrie- f i,..N. ...( 1)ate. 1.0 ILA‘247‘cis
ri,m1,9I14,Potrut,MI C f",•ton't.Pr r•Vo!':10, 4,1e-1,1-T,H,r...r.fN N41.11.,
Electrical Permit Application R � .. '
,t �I„� ,�A„. FOR OFFICE USE ONLY
City Of Z 1gardReceived
2ill
} Permit#:
n 13125 SW Hall Blvd.,Tigard,OR 97223 PUN
1 i L Date/B
Plan Review
D Phone: 503.718.2439 Fax: 503.598.l9 Q . _ ; Date/B : Related Permit#:
TIGARD Inspection Line: 503.639.41751...;11Y 4,..)F” i it..;lNl":.�R! Ready Date/By: I H See Page 2 for
w Internet: www.tigard-or.gov RJ5LD)lvJ( €\Ji;>=If. Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
El New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current
0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-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.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of ISO KVA or
JOB SITE INFORMATION AND:LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: ki,(64 sW {"" e,bs Mq Sc IOOHP or more. ❑"A","E","l-z","l-3",
City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:East River Terrace ii 2 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 I Total I
New residential single-or multi-family dwelling unit.
Subdivision:East River Terrace.02 Lot#: 7.21) Includes attached garage.
1,000 sq.ft.or less I 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 2. 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
MST jot q�-OD?i� Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
®PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: Polygon WLH,LLC 200 amps or less 100.70 2
Address:703 Broadway St,Ste510 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2
Phone: (360)695-7700 Fax: ( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
® APPLICANT ❑ 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
sAddress:703 BroadwaySt,Ste.510 branchranice or feeder fee,first 56.18 2
circuit
City/State/ZIP: Vancouver,WA 98660 Each add'1 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: permitsubmittals@polygonhomes.com dwelling,service and/or feeder
rr
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. 1:1See Page 2 2
Each additional inspection over allowable In any of the above
City/State/ZIP: Portland,OR 97213
Additional inspection(1 hr min) 66.25/hr
Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:solarpdx@me.com me.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
90.00/hr
CCB Lic.: 199188 Electrical Lic.: c92 j I Suprv. Lic.: 48715specifically listed(y=hr min)
f— ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: ,,L...„ ....6„2, Subtotal:
Print name: Kirk Rood Date: 05/09/2019 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: k t i j7-eoe4, 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.
I:\Building\Permits'ELC_PermaApp ELR_ERE.doc Rev 06/17/2015 440-46151111/05/COM,WEB
E
;Plumbing.Permit Application
Building Fixtures ,
City of Tigard � �
Received
Date/By: No.:
g 13125 SW Hall Blvd.,Tigard,OR 97223 1 1 J N 2 5 2 019ilig
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960^ Date/By; Other Permit No.:
Tl V ARD Inspection Line: 503.639.4175 .�ww i - : . DateReady/fly: Jurist 0 See Page 2 for
Internet: www.tigard-or.gov
1. ! �S rC t 1� 1 f it
Noufied/Method
� � ��}�� #�„�)4 SuppicmcntalInformation
: „i. r: w `...":" irE;OrI We iLQ i, FEE* s rll l�
sib . ,i
®New construction ❑Demolition For special information use checklist.
r-�ry Description i Qty. I F..11. I Total
❑Addition/alteration/replacement
1.1 ether: 1Vew I-3-family dwellings(includes 100 ft for each utility connection)
; Ctti'TEGUity::O>c';Cf)NSTAU(;TTUN , ..., < ` : SFR(1)bath•' 312:70
®1-and 2-family dwelling SFR(2)bath 437.78
❑Commercial/industrial
SFR(3)bath 1 500.32
0 Accessory building : 0 Multi-family
Each additional bath/kitchen 25.02
0 Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB
SFE-iNFORMATiON.AND LOCATIOi'r Site utilities:
Job site address: ` rJ y 5 W Catch basin or area drain 18.76
10,10 + rbsanc-r -r
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: River Terrace aSTitZ. 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:Northwest River Terrrace Lot no.:2Z0 Fixture or item:
Tax map/parcel no.: Backflow greventer ' 31.27
Backwatervalve
1 12.51
O(�ST 7iC)la-`00 Z('1 Cloth( washer % 25.02
Dishwasher % 25.02
Drinking fountain. 25.02
Ejectors/sump 25.02
6a4 PROPERTY.OWNER..,- I, ` : E TENAN''T- Expansion tank 12.51
Fixture/sewer cap 25:02
Name:ADVL Land Holdings,LLC
Address:7600 E Doubletree Ranch Road Floor drain floor sink/hub 25.02
Garbage disposal I 25.02
City/State/ZIP:Scottsdale,AZ 85258
Hose bib ` 25.02
Phone:(602)694-4031. Fax:( ) Ice,maker 1 12.51
p®® Agl'LICA,'V'C :. 0 CONTACT PERSON Intercepwr/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name:William Lyon Homes,Inc
Contact name: � olt e. � t Primer 12.51
Roof drain(commercial) 12.51
Address: ,53t ( SlCJk' . 6/(� Sink/basin/lavatory 5 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:060)695-7700 Fax::(360)693.4442 Tub/shower/shower pan '2. 12.51
E-mail: A.N'S •tAQ,`S DRQ or v\O`Me S. CA1y-1 Urinal 25.02
Water closet `3 25.02
- r " o13> Acrok t•
-....7 Water heater 1 3732
Business name: G4-, 04.2.
n1. $-off Lt&L- Water tin WV 5629
Pp F,ro
Address: p.t. Z (Ci C11� Other: 25.02
City/State/ZIP: Sr. Pe- 4 aft- ci 113' Subtotal
8(4 .IL L�� (11 -741-e J. review permit fee: $72.50fe)
Phone: A ►' iY Fax:
Plan review (25%of permit fee)
CCB Lie.: lSci 3j Plumbing Lie.no.:b Wil
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: ;i6�L
r r6. r O�w 1 Date.j a/�// This permit appitcation expires if a permit is not obtained within 1811 days
C' after it been accepted as complete.
*Fee methodology act by Tri-County Building Industry Service Board.
1:\Building\'amitsdPLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
City of Tigard
11111 ■ COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R D Building Permit Review — Residential
Building Permit #: 'MS-r II- C- ci-
Site Address: llo106{ 6W " IlTiLSbein S'f y'Ge'e'
Project Name: (ZvveY rAyetce- f z s+ 42... Lot #: 2,�
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: L
*Verify address/suite#active in Accela. In River Terrace: ❑ No ,K Yes,River Terrace Review Addendum
Site Plan Elements: ]Erosion Control
fitZ3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper l\ Peetained trees with drip line and tree protection measures
rawn to scale(standard architect or engineer scale) ' Footprint of new structure(including decks) and FFE
orth arrow �CJtility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number Sidewalk/driveway approach
• pplicant information(name and phone number) raLocation of wells/septic systems
.t dimensions and building setback dimensions Street tree size,type and location
Square footage of buildings to be demolished Street names
YtkoExisting structures on site orner elevations(2'contours if more than 4'differential)
of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? I1\ :s;11 No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? • J. 11 No
• Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ,; No Received: ❑ Yes ❑ No
a. Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified I No Applied For: 0 Yes ❑ No,stop intake
V.Land Use Case#: POP:it: ((0—OOOa7 Zoning: 12'—LA•S
Required Setbacks: Front: 8 Rear: I ) Side: Street Side: N/pr Garage: 20
et<Building Height: Max.Height: N ,- Actual Height: . Za
*Landscape Area: 20 % X.Lot Coverage Max: cr3 D
Entrance P1 Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ■' Minimum 12';o of area of all street-facing facades
Garage ■ k arage door s behind wid..t street-facing wall ❑ Yes El No,one of the following is met:
I Door e tends no m. - an 5'from wall and there is a covered porch extending beyond garage.
• Door - tends no m - an 5'from wall and there is a 12 sq ft.window above garage on 2°d floor.
❑'.Garag door'width is II -ss ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Co',-r,`d porch II 'ece-.ed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
Fires', g es Ili Lap Si." g ❑ Roof pitch El Gable,hip,or gambrel roof 0 Dormer
❑ Accent siding Iti Window trim 0 Window recess ❑ Window projection 0 Balcony
14 Visual Clearance rban Forestry Plan .
Sensitive Lands: V Yes ❑ No Type: Civic Candor I(Otl� YGlll1L habil-MI
�
❑ Conditions met prior to issuance of building permit owirt�. W{.- , a.
otes: tV\t c'f CW►d t11 pf OV ls�t .
e. Approved By Planning: Ai•, t - Date: 5
•
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: 1 AC.1
Site Plans: # ?J
Building Plans: #
Building Permit#: 2'Enter building permit#above. ` /
Workflow Routing: 2/Planning Engineering tS' Permit Coordinator 2 Building
Workflow Sign-off: [Sign-off for Planning(include 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.
2/Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ' _ Date: \1C1
Engineering Review
,r Slope at building pad: 50 /0 L Oil/#) pA-4.4—'r
,Q Conditions "Met"prior to issuance of building permit
0 Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes es' No
LIDA Facility on lot: ❑ Yes 0'No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 4 A. Date: S 2-1 t 3
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:
['DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: [A'Yes ❑ N/A
Parks SDC: [ ' es CI N/A
to Issue Permit
LIDA ❑ Yes P N/A
OK
Approved by Permit Coordinator: *�/
Pate:3)2-4h i
I:\Building\Forms\BldgPerniitRvw_RES_022819.docx
A ' •
City of Tigard
e COMMUNITY DEVELOPMENT DEPARTMENT
11111G
TIGARD River Terrace Building Permit Review Addendum
..-...-.7,__.,.-4—,--,...,....t iAY . i,x..�, miz,t,Hrf s:rS+F9+w ro #,nom,,-,,, «t-at._ _ __ ._ >,-v-
Building Permit #: '(\(\ -1--a10k_ C(.. 1--i
Site Address: 1(0(0514 SW 1P;orcISOrn cs1ree-4-
Project Name: 9.1Ver '[. rrs. ff -F I'Zet Lot #: 220
(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 façade 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. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
lIA. El ❑ El El
2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors.
Percentage Shown: 1 510
3. Entrances:At least one entrance must meet both of the following standards:
Parallel to street,angle no more than 45° from street,
IN-Max. 8 ft. setback from longest street- facing wall
or open onto porch
Entrance opens to a porch: tit Yes ❑ No
If yes,all the following apply: 5 sq.ft. min.
One street facing entry 2 ft. max. roof above floor of porch
5 ft. depth min. 30%min.porch roof coverage
4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
N.Covered 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
J'Roof eave min. 12 inch projection INcRoof offset min. of 2 ft.
El Roof shingles either tile or wood . Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
El Accent siding min. 40%of street façade a Window trim min. 2 1"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing El 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 façade
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 El No. If No (Check one):
❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
❑ 12-foot-wide garage door *40%max. of street facade
❑ 50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: tv,An C?ea Date: 5 8 j
I:ABuil' TormsABl P
dmg dg ermitRvw RES RT 121417.docx