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Permit (158) CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2019-00226 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/26/2019 T i e At'D g Parcel: 2S 106DA90611 Jurisdiction: Tigard Site address: 17181 SW SNOWDALE ST, UNIT#102 Project: River Terrace East Apartments,Unit 102-C of 0 Subdlvlsion:RIVER TERRACE EAST MULTIFAMILY Lot: F-11 Project Description: Building F: Permit for C of 0 for unit 102 only to include building,mechanical,electrical and plumbing final. Contractor: WILLIAM LYON HOMES INC Owner: POLYGON WLH LLC 703 BROADWAY STREET,SUITE 510 109 E 13TH ST STE 200 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: MF Class of Work: NEW Type of Const: Hourly Building Rate 08/26/2019 $90.00 Occupancy Grp: Occupancy Load: Hourly Building 12%State Surcharge 08/26/2019 $10.80 Hourly Electrical Rate 08/26/2019 $90.00 Dwelling Units: 0 Hourly Electrical 12%State Surcharge 08/26/2019 $10.80 Stories: 0 Height: 0 ft Hourly Mechanical Rate 08/26/2019 $90.00 Bedrooms: 0 Bathrooms: 0 Hourly Mechanical 12%State Surcharge 08/26/2019 $10.80 Value: $0 Hourly Plumbing Rate 08/26/2019 $90.00 Hourly Plumbing 12%State Surcharge 08/26/2019 $10.80 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $403.20 Required: Required Items and Reports(Conditions) Fire Sprinkler: Parapet: Fife-Alsum - Protected£yrs: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 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: 0A/e1-70/414,/Com%"/GI A./ 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 Commercial RECEIVED FOR OFFICE USE ONLY Cityof Tigard Received g AUG 7 2 019 DateB : , �j Permit NA�/ �/ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 3` Phone: 503-718-2439 Fax: 503-598-1'J TY OF TIGARD CI DateB Related Permit: TIGARD Inspection Line: 503-639-4175 BUILDING DIVISION DateReadyBy: / kris: H See Page 2for Internet: www.tigard-or.gov Noufied/Method �I /T !- "1� Supplemental Information f l.IrL 7i,"1,7-4'- , TYPE OF WORKREQUIRED DATA:1-AND 2-FAMILY DWELLING QCT New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 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: $ ❑Accessory building Q Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 17181 SW Snowdale St. New dwelling area: square feet City/State/ZIP:Tigard, OR97223 Garage/carport area: square feet Suite/bldg./apt.#: ,r Project name:River Terrace East-MF Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: River Terrace East-MF I Lot#: Permit fees*are based on the value of the work performed. Tax map/parcel#: 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. Permit for Cof 0 for Unit# DZ Valuation: $ ,)0,, Existing building area: square feet New building area: square feet Ej PROPERTY OWNER ❑ TENANT Number of stories: Name:Polygon Homes, WLH LLC Type of construction: Address: 703 Broadway St., Ste 510 Occupancy groups: City/State/ZIP:Vancouver, WA 98660 Existing: Phone:( 360)695-7700 Fax:1360 )693-4442 New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: Polygon Homes, WLH LLC (Please refer rofee schedule) Structural plan review fee(or deposit): Contact name: Tonle Morris FLS plan review fee(if applicable): Address: 703 Broadway St., Ste 510 Total fees due upon application: City/State/ZIP: Vancouver, WA 98660 --_- -__— i Fluc 36 i Eno e e en - Amount received: E-mail: permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name: Polygon Homes, WLH LLC and fire department access,along with the 2010 Oregon Address: 703 Broadway St.. Ste 510 Solar Installation Specialty Code checklist. City/State/ZIP: 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 Lica: 207247 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Tonja Morris Date:6/28/2019 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP_COM PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) illCITY OF TIGARD' FEE AND PAYMENT HISTORY 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD BUP2O19-00226 - 17181 SW SNOWDALE ST, UNIT# 102, SHERWOOD, OR 97140 River Terrace East Apartments, Unit 102 - C of 0 i Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due Hourly Building 12%State Surcharge 100-0000-24001 $10.80 $10.80 $10.80 Hourly Building Rate 230-0000-43104 $90.00 $90.00 $90.00 Hourly Electrical 12%State Surcharge 100-0000-24001 $10.80 $10.80 $10.80 Hourly Electrical Rate 220-0000-43103 $90.00 $90.00 $90.00 Hourly Mechanical 12%State Surcharge 100-0000-24001 $10.80 $10.80 $10.80 Hourly Mechanical Rate 230-0000-43102 $90.00 $90.00 $90.00 Hourly Plumbing 12%State Surcharge 100-0000-24001 $10.80 $10.80 $10.80 Hourly Plumbing Rate 230-0000-43101 $90.00 $90.00 $90.00 Totals for Fees $403.20 $403.20 $0.00 $403.20 i Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount Total Payments: Balance Due: $403.20