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Permit
IN2: CITY OF TIGARD MASTER PERMIT k3 ' COMMUNITY DEVELOPMENT Permit#: MST2019-00238 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/27/2019 Parcel: 2S 107AA04000 Jurisdiction: Tigard Site address: 16815 SW TOWNSVILLE ST Subdivision: ROSHAK RIDGE Lot: 40 Project: Polygon at Roshak Ridge, Lot 40 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left 3 Parking Spaces: 0 Height: 26 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: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 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: 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'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 1858 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrt 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $33,614.92 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 952-001-0090. 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: �t,IC...., C -' )-N_-.‘,,C.:. 1 v 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. 4. { L'U \ ' \ Building Permit Application Residential 5 ?. E FOR OFFICE USE ONLY FEB 0 6 2 019 Received City of Tigard (� [ �� 1,/"i S) Permit No.MS—� ?,..t.-j,..R../�. , lig DateBy: N't ti\� 1. r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fay: 503.598.1960DateBy: Other Perms. ' CITY OF 6�i ARD IBJ LO... VCk. (13‘ C,? TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By. Juris ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®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 CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ti.D) J J(SS o Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Z,Z, {q c Job site address: I b l S S tk)ID W\c V`l I,,t New dwelling area: )q S� square feet l O� , City/State/ZIP:Tigard,OR 97224 1 ` Garage/carport area: 101 square feet WA Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area 54 ` square feet Cross street/directions to job site: Deck area: �/ �#,• square feet Other structure area: square feet REQUIRED DATA:CON MERCIAL-USE CHECKLIST Subdivision:Polygon at Roshak Ridge Lot no.: to 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. New SF Valuation: $ Existing building area: square feet New building area: square feet ID PROPERTY OWNER ❑ TENANT Number of stories: Name:Polygon WLH LLC Type of construction: Address:703 Broadway Street Ste 510 Occupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695-7700 Fax:(360)693-4442 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH LLC (PteasereJertofeeschedale) 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:Vsneawer WA 98660 Phone:(360)695-7700 Fax::(360)693-4442 Amount received: E-mail:permitsubmittais@polygonhomes.com PHOT©VOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of 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 lic.:207247 , Total fee due upon application: $201.60 Authorized sigma�'' This permit application expires if a permit is not obtained _ within 180 days after it has been accepted as complete. F-- *Fee methodology Set Tri-County Building.Industry Print name:Amand avin Date: S Service Board. I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB) Mechanical Permit Applicacit+i- FOR OFFICE USE ONLY ! City of Tigard Received Date/By: Permit Nokx\ci.\---xuq_b 11111 " 13125 SW Hall Blvd.,Tigard,OR 97223 r JON 9 /..01.1 Plan Review Phone: 503.718.2439 Fax: 503.598.1960" Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 ‘;?. ;s7 . Date Ready/By: kris. EZI See Page 2 for Internet: www.tigard-orgov fiy Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work [El New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* n 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. i Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total Heating/cooling: JOB SITE INFORMATION AND LOCATION Air conditioning / 46.75 Job site address: I 102)/ --1--[)(Ajfft Vine, Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Roshak Ridge Duct work 23.32 Cross street/directions to job site: Hydronic 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 23.32 Subdivision:Roshak Ridge Lot no.: 40 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas 2t OCY2-23zt 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 El PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:703 Broadway St.,Ste.510 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( Attic/crawlspace fans 23,32 IS] APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:Polygon WLH,LLC $14.15 for first four;$4.03 for each additional Contact name:Tonja Morris Furnace,etc. Gas heat pump Address:703 Broadway St.,Ste 510 Wal Vsuspended/unit heater City/State/Z1P:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace Range E-mail:permitsubmittals@polygonhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name:Apex Air LLC MECHANICAL PERMIT FEES* Address: 18004 NE 72nd Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE This permit application expires If a permit is not obtained within 180 days after It has been accepted as complete. A.uthorized signanirp• * Fee rnethodologreetby Tri-Courity Budding hiclustry Service Board Print name:Tim Play Date:04/08/2019 " .�.. � ,�s.J v Electrical Permit ApplicatioI O.-P FOR OFFICE USE ONLY Cityiipt of Tigard Iii i ! U1Received Date/B . N 13125 SW all Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598 40tpy Date/33 : Related Permit#:'� Inspection Line: 503.639.4175 1 `' P , ,! a - Ready Date/By: Juris: H See Page 2 for Lik-a111 l's . Internet: www.tigat'd-Or.gov ''.).1.!1;....-,,l Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW. ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑ 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-familydwelling Commercial/industrial less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑ ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORALATION AND LOCATION 0 Emergency system. larger separately derived 1,� ❑Addition of new motor load of system. Job#: Job site address: ``,, o« -r�rEv1 l\2 Q J 4. 100HP or more. ❑aA, E" 1_a" 1.3 , City/State/ZIP:Tigard,OR 97224 0 Six or more residential units, occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:Roshak Ridge 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 Qtr. 1 Each I Total i New residential single-or multi-family dwelling unit. Subdivision:Roshak Ridge Lot#: LI 0 Includes attached garage. 1,000 sq.ft.or less ) 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 7.- 33.92 l DESCRIPTION OF WORK Limited energy,residential YYN5-c Tot -01.5 23 (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) 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 0 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:Jolene Smith B.Fee for branch circuits without serAddress: 703 Broadway St,Ste.510 branchce orfeeder fee,first 56.18 2 branch circuit City/State/ZIP: Vancouver,WA 98660 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone: (360)695-7700 Fax: :(360)693-4442 Each manufactured or modular Email:permitsubmittals@polygonhomes.com dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Portland Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: 1915 E 5th St.,Ste D panel,alteration,or extension. 0 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:(360)314-4945 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:paul@portlandelectric.biz Inspections for which no fee is CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.:,...0g13105'VJ specifically listed(t/hr min) 90.00/hr n A ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: l�tX�, �; Subtotal: Print name: Alex Shalya Date: 04/08/2019 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: y� datj ,L4 ,G.L.46_, TOTAL PERMIT FEE: __-_._______- i __. _ _______y. This penult application Empires if a permit-is net ebtained within 180 _._ Print name: MISHCHUK,SERA Y Date: 04/08/2019 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Buildine\Permits\ELC PetmitApp ELR.ERE doe Rev 06/17/2015 440-461511111/05/C-CMATWFR • . Plumbing Permit Applicati ._ Building Fixtures r r,u C,i FOR OFFICE USE.ONLY City of Tigard li ii Y ?nig Received PermitNo.: ��'��( -1 j"" 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Plan Review Phone: 503.718.2439 Fax: 503.58 (98(I Date/By:II Other Permit No.: Inspection Line: TIGARD FZI See Page 2 for Internet: www.tigard or gov75 `-• 61 i_ `1'4u' art} t Notified/Method:Date Ready/By: Itv�. I Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. j Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ig 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: • Job site address: ' V`5 l u W n5 V I N, 9,• Catch basin or area drain 18.76 �/ 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.: I Project name:Roshak Ridge 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:Roshak Ridge I Lot no.: 40 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 DESCRIPTION OF WORK Backwater valve I 12.51 ms i- % D r q-0O2,3� Clothes washer t 25.02 fJDishwasher i 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:703 Broadway St.,Ste 510 Garbage disposal 1 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib Z 25.02 Phone:(360)695-7700 Fax:( ) Ice maker ' 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Tonja Morris Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basin/lavatory L. 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax: :(360)693-4442 Tub/shower/shower pan 'tj 12.51 E-mail:permitsubmittals@polygonhomes.com Urinal 25.02 CONTRACTOR Water closet ?j 25.02 Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water piping/DWV 56.29 Address:P.O.Box 92 Other: 25.02 City/State/ZIP:St.Paul,OR 97137 Subtotal Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: $72.50 Plan review (25%of pennit fee) CCB Lic.: 184372 Plumbing Lic.no.:pb634 . State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE - Print name:Steve Fowler Date:04/08/2019 This permit application expires if a'permit is not obtained within 180 days after It has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building Permits'.PLMU-PermitApp.doc 10/0109 440.4616T(10/02:COMiWEB) i City of Tigard IN q COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: t\c-\Sc2-6\q-ei )D Site Address: LLD E t5 Sv\J TGNnsv 11►4.- Srcce " Project Name: POI 80(1 4 �hcct4. P kci.� Lot #: 40 (New d e g=subdivision name;Addition or Alteration-last name of owner) Planning Review Proposal: Nevi Sf(L l Verify address/suite#active in Accela. lIn River Terrace: ❑ No X Yes,River Terrace Review Addendum Site Plan Elements: 'Erosion Control R3 copies of site plan on 8-1/2"x 11"or 11 x 17"paperRetained trees with drip line and tree protection measures t)rawn to scale(standard architect or engineer scale) 15.Footprint of new structure(including decks)and FFE North arrow .Utility locations&easements(required for new and additions) Sggite address,project or subdivision name and lot number Xidewalk/driveway approach ACApplicant information(name and phone number) 4.ocation of wells/septic systems Lot dimensions and building setback dimensions Street tree size,type and location quare footage of buildings to be demolished l 'treet names Existing structures on site m'Corner elevations(2'contours if more than 4'differential) NILot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Y s EA o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? e. Y• o ,R Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No >i"Public Facilities Improvement (PFI)Permit: Required: ❑ Yes,applicant was notified va. No Applied For: ❑ Yes ❑ No,stop intake '4 Land Use Case#: SUe1024::::kk0^0cooL1 U:i. Zoning: 2-t2 Required Setbacks: Front: a Rear: 0 Side: 3 Street Side: 3 Garage: 3 E'Building Height: Max. Height: N /Pc Actual Height: ' '2,..P XLandscape Area: 2.D % ❑ Lot Coverage Max: SO Entrance I\ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows II Minim F 12%of area of all street-facing facades Garage I1 ..arage ,i oor is b ' d widest street-facing wall ❑ Yes ❑ No,one of the following is met: \\ Dior exte ds no mo than 5'from wall and there is a covered porch extending beyond garage. ❑ !oor ext ds no m.Ali . than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. • Garage door dth is . ' or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covere porch Ii Re essed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset 17 Hires glen N Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Acce siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony Visual Clearance li,Urban Forestry Plan IK Sensitive Lands: la Yes ❑ No Type: low value, habt4M 0 Conditions met prior to issuance of building permit Notes: a Approved By Planning: r.,i I i�► L��� i.� i._ Date: �l� al 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\BIdgPennitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: D•r \1a Site Plans: # Building Plans: # 73. Building Permit#: [ 'Enter building permit#above. �/ Workflow Routing: gr Planning Engineering l� Permit Coordinator Pi 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. [Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: .A,.,,N,� � Date: 1sL\\a,.\\C{ Engineering Review [ 'Slope at building pad: J2 ❑ Conditions "Met"prior to issuance of building permit ❑;asements (encroachments)per engineering conditions of approval and plat Iv Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes [No Assess Water Quantity Fee in-lieu: ❑ Yes Q1"No LIDA Facility on lot: ❑ Yes t'''No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: 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: PDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: � Y ❑ N/A 7tOK SDC: LYYes ❑ /A LIDA ❑ Yes /A OK to Issue Permit Approved by Permit Coordinator: A., "ate:&//3/i q I:\Building\Forms\BldgPemvtRvw_RES_022819.docx IIN11 I . City of Tigard S • COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum 0. Building Permit #: MST -(->Qa3( Site Address: 1(.0 NS Sin! -rbw rry WA. Str>°-e_ Q- Project Name: 13'/A. DY1 ( RG1Sha .. kag,e. Lot #: 40 (New dwell4ng=subdivision name;Addition or AlteratioW=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. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer ❑ ❑ tA ❑ F S 2. Eyes on the street: a minimum of 12% f each street facing facade must include windows or entrance doors. Percentage Shown: : (S% S a_c 3. Entrances:At least one entrance must meet both of the following standards: .8C-Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: ❑ Yes ❑ No If yes,all the following apply: .N25 sq.ft. min. ZOne street facing entry LN 12 ft.max. roof above floor of porch A5 ft. depth min. a31:).%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: iia,Covered porch min. 5 ft.wide x 5 ft. deep F- ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches S l F ❑ Dormer min. 4 ft.wide 'Roof eave min. 12 inch projection F(S ,R Roof offset min. of 2 ft. F(S ❑ Roof shingles either tile or wood J Gable,hip or gambrel roof design F(S ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade Window trim min. 2 7/2"wide by 5/8"deep F f S ❑ 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 façade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer . fro t or sid of line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): Al teq lid ❑ May ex . d • to 5 .if ere is a covered front porch and garage does not extend beyond the front porch. ❑ May ex i-n. us to 5 ft. e the garage is part of a two-story building and there is a window at the second story above the tarage that ace the treet with a min. area of 12 sq.ft. Width: (Check one) ��f,V ❑ 12-foot-1•d ge door ''�� �O" ❑ 40%max. of street facade ❑ 50%mao e t façade with 7 detailed designelements c e is Notes: -Appreved-By Planning: Date: (c-f-19.- 9 I:\Building\Forms\BldgPermitRvw_RESRT_121417.docx fr: Electrical Permit ApplicatiQ"m, ..t ;T. , < r FOR OFFICE USE ONLY City of Tigard o 1 G Received 1 Date/By: ��I\c1 Penni":`m :�V 1114 q \�— 13125 SW Hall Blvd.,Tigard,OR 97223 ` Plan Review ' I Phone: 503.718.2439 Fax: 503.59190 ,- Date/By: Related Permit#: TIGAR ® Inspection Line: 503.639.4175 1 Ready Date/By: Juris: I B! See Page 2 for a Internet: www.tigard-or.gov Notified , ethod: 1 Supplemental Information TYPE OF WORK PLAN REVIEW,:;,_ ®New construction 0 Addition/alteration/replacement s �S'c� Please check all that apply(submit2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. 0 Demolition ❑ Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION - , exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000 0 Commercial-use agricultural ® 1-and Z-family dwelling 1:1 Commercial/industrial ❑Accessory buildinggi' amps for all other installations. buildings. ❑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 0 Addition of new motor load of system. Job#: Job site address: I(11‘65 l 15v i tl e S+ 100HP or more. ❑'`A "E","l-2 "1-3", City/State/ZIP:Tigard,OR 97224 El Six or more residential units. occupancy. 0 Health-care facilities, ❑Recreational vehicle parks. Suite/bldg./apt.#: . Project name:Polygon At Roshak Ridge 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 New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: Ifo Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add']500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential • • �� �ST�7 U` _ Z.?S (with above sq.ft.) 75.00 2 1.ii, ..,, 6, is I G 00 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:William Lyon Homes,Inc. 200 amps or less 100.70• 2 Address:703 Broadway St Suite 510 201 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:(360)693-4442 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 1 5936 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:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Nichole Thorpe B.Fee for branch circuits without service or feeder fee,first Address:703 Broadway St Suite 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 dwelling,service and/or feeder 67.84 2 Email:permitsubmittals®polygonhomes.com Reconnect only 67.84 2 t,.• CONTRACTQR '. Business name:Alameda Electric Sign or outline lighting 67.84 2 Address:3415 NE 44th Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP:Portland,OR 97213 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr Email:solarpdx@me.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.: 199188 Electrical Lie.: c923 Suprv.Lie.: 487 S specifically listed('%hr min) 90.00/hr ELECTRICAL PERMIT.FEES Suprv.Electrician signature,required: Subtotal: Print name: Kile Rood Date: 03/08/2019 0 Plan Review Required(25%of permit fee):— State surcharge(12%of permit fee): Authorized signature: .....e.:0,,,,,-/------ r TOTAL PERMIT FEE: This permit application expires If a permit is not obtained within 180 Print name: Kile Rood Date: 03/08/2019 days after it has been accepted as complete. * Number of inspections allowed per permit.