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Permit (14) CITY OF TIGARD MASTER PERMIT t"'! COMMUNITY DEVELOPMENT t Permit#: MST2018-00286 AM Date Issued: 11/04/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Fr4. parcel: 2S106DA14900 Jurisdiction: Tigard Site address: 13090 SW 165TH AVE Subdivision: RIVER TERRACE EAST Lot: 149 Project: River Terrace East, Lot 149 Project Description: New SF. 2/13/20: REPRINT to add 334 sf deck and deck cover. 4/29/20: REPRINT permit to correct number of sinks to(2), (1)kitchen and(2) butler's pantry sink, and(3)water closets. BUILDING Floor Areas Required Setbacks Reauired Stories: 1 Bedrooms: 4 First: 2860 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 19 Bathrooms: 3 Second: 0 sf Garage: 684 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors. Yes Total: 2860 sf Value: $387,427.40 Rear: 15 PLUMBING Sinks: 2 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains. 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Co l Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Fum<100K: 1 ents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 500 sf: 6 201-400 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. BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF V B R-3 2860 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY POLYGON WLH LLC 703 BROADWAY STREET,SUITE 510 1 1 Hour Fire Rated Eaves ATTN BAKER,JASON VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175 703 BROADWAY ST STE 510 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $36,689.29 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ` ""�`"`""� Permittee Signature: ��✓ �����'�"T���V Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit ApplicatioDECEIVED FOR OFFICE USE ONLY City of Tigard Date By:Received / 0/ 49 Penult No. MST2018-00286 242 C ° 13125 SW Hall Blvd.,Tigard,OR 97223 APR 2 9 2020 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: luris: ® ace Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method:S 2d 4.90 Supplemental Information LA-174. 7ZMJ71 TYPE OF WORK COMMERCIAL FEE*SCHEDULE - USE CHECKLIST Mechanical permit fees'are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/St STEMS FEES' 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special information use checklist. 0 Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 13090 SW 165th Ave Furnace 100,000 BTU(ductslvents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 1 61.06 Suite/bldg./apt.no.: Project name:River Terrace East 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:River Terrace East Lot no.: 149 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 add mini-split to MST2018-00286 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other. 23.32 ® PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility moms) 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other 23.32 —�_---- Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for first four;$4.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway St Suite 510 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax: (360)693-4442 Fireplace Range E-mail:permitsubmittats@taylormorrison.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Performance Insulation&Energy Services Other. MECHANICAL PERMIT FEES* Address:13939 SW Tualatin-Sherwood Rd. - Subtotal 4if, Off, City/State/ZIP:Sherwood,OR 97140 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)707-6078 Fax:( ) State surcharge(12%of permit fee) CCH lic.: I Q a 445 TOTAL PERMIT FEE rf, 39 This permit application expires If a permit is not obtained within 180 days after It has been accepted as complete. Authorized signatu • Q * Fee methodology set by Tri-County Building Industry Service Board • Print name:'"1-6 S Date: 04/29/2020-1 Electrical Permit ApplicatioilRECEIVED FOR OFFICE USE ONLY Cityofand Tl Received g MAR 6 20�� Date/B : or!� J ." i Permit#: . a` di�/Oa�b 114 a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review t M Phone: 503.718.2439 Fax: 503.598.19 Related 1'emiit#: Inspection Line: 503.639.4175 CITY OF TIGARD Date B TiGAP.D BUILDING DIVISION Ready Date/By: Aug: M See Page 2for c Internet: www.tigard-or.gov NotiPed/Metltod: Supplemental Information TYPE OF WORK PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. I-and 2-familydwellingCommercial/industrial less to ground,or exceeds 14,000 0 Commercial-use agricultural ® ❑ ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived 3�0 'ID�I H ❑100 Addition of new motor load of system r Job#: Job site address: 1 100HP or more. ❑"A","E","t-2","1-3". City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:East River Terrace ❑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 Descrlpdon I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision:East River Terrace Lot#: 16-1$1 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with abovesq.ft.) 75.00 2 Change contractor on MST I, ^ 062N1, Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ 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:Tonja 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'I 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 Reconnect only 67.84 2 7 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 Address:3415 NE 44th Ave. 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(I hr min) 90.00/hr Email:solarpdx@me.com Industrial plant(I hr min) 76.18/hr Inspections for which no fee is CCB Lic.: 199188 Electrical Lic.: c923 I Suorv.Lie.: 48715 specifically listed(%hr min) 90.00/hr f- ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: - Subtotal: Print name: Kirk Rood I Date: 05/09/2019 0 Plan Review Required(25%of permit fee): • State surcharge(12%of permit fee): Authorized signature: /C,/(.., )240044. TOTAL PERMIT FEE: This permit application expires If a permit is not obtained within l80 Print name: Kirk Rood Date: 05/09/2019 days after it has been accepted as complete. * Number of inspections allowed per permit. l*BuildinglPenndslELC PerniIApp-ELR ERE.doc Rev 06/17/2015 440-4615T(I I/05/COM/WEa Plumbing Permit APplicatirt ECV E E D Building Fixtures Ott upl1(1 1:SL ONLY I MAR 6 2020 and Aexlved 1- City of Tig 13125SWHallBlvd.,Tigard,OR972�Si,-- f�FTIGARD �IEo cavuw /�/ � _ .' ' Phone: 503.718-2439 Fax 503.5981 60 Other Inspection Lin 503.639.4175 t-5 IC? DIVISION 0.0 TIG A1�it - - DalelteadY/Bs: - helm Ed See •. na 2 for Internet: www.ligard-or.gov NOtiledlMethrXt: SI1..1.leanest-at Information TYPE OF WORK FEE* SCHEDULE' ®New rAosnuction 1 ❑ For Demolition aPalai information krecharkali. _: :Description l QTY. l Ea. 1 Total ©Addition/alteration/replacement 0 Other. New 1-2-famtlydwellings(includes 100 ft.for each utility.connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 a 1-and 2-family dwelling 1 0 Commercial/industrial SFR(2)bath _ 437.78 - SFR(3)bath 50032 ElAccessorybuilding 1 Multi-family Each additional bathlldtchcn 23:02 ❑Master builder I D Othert Fire sprinkler( nq,(t-) Page 2 JOB SIT*INFORMATION-AND LOCATION : :;;Site utilities: JoCob si site address: Tigard,Oft 9 Q t o Bch basin or area drain . 19.76, City/Slate/ZIP: iF224 - Drywell,leach line,or trench diem i8.76 :Footing drain(no.linear ft-:.--.) Page 2 Suite/bldg./apt no.: Project name:Rt f T'&ft4C4 EA II 2, Mmtifectnred lime amities 50.03 ob Cross street/directions to 1 sit e: Manholes 18.76 , I Rain drain connector 18.76 .. Sanitasy sewer(no linear ft:_) Page 2 .Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear R;_J Page 2 Subdivision.'—Rt ) - "Terra.t e. Gast. *'?.. Lot no.: f) ,Fixteire or item: Tax map/parcel no.: iackflow preventer 31.27 DESCAIFIION OF WORK Decimeter:Valve 12.5] I,t,t Clothes washer 25.02 /1''' l �i8 - tiL.(r.gW Dishwasher 25.02 4—"✓ e_'.!i/✓ Drinking fountain t .Ejectors/sump 2502 i PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Nsmc Polygon WLH,LLC j ?mitre/sewer re/sewer cap r Address;703 Broadway St.,Ste 510 Floor drain/floor aiok/hub t Garbage disposal . t City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Pax:( ) Ice maker 12.51 l',3) APPLICANT 0 CONTACT PERSON InterceptOdgrease trap t Business name:Polygon Will,LLC Medical gee(value:S ) Page 2 Contact name:Tonga Morris Itl er Reef drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) Phone:(360)695-7700 ! Fax::(360)693-4442 Tub/ab0wedabots r•pan 12.51 E-mail:pertnlisubmlttali®polygonbomes.com Urinal rr CONTRACTOR Water closet 25.02 / eater 37.52 Business name:/ LitiY'2 , d ire Waterpiping �(. ,GOrf" , ,. c ' Wattrjfipinp/DWV 56.29 Address: � Other. t City/State/ZIP: �alpCxI M t7l TfJ . .- Subtotal 1 n Phone:' /) G,3 f c5."c)ii Fax: Minimum permit fee: $72.50 j 3 G/s.-1 • g jr",, Plan review (25%of permit fee) CCB lad.: r a Plutnbin Lie no. State surcharge(12%of pemitfee) Authorized signature: r TOTAL PERMIT FEE Print name:st u. i ti,( (id LLiI Date. I Thir permit application eaptret If a permit is sot obtained witbtn ISO days ,,rr after It hu bees accepted as complete. /j *fee methodology eel by Di-County Buildiuy Industry Service Hoard InBolkbalPermalPLMU.PemkApsder IO.01109 4404616T(INaJCOre'vitn) CITY OF TIGARD � '. MASTER PERMIT 111 1 ' COMMUNITY DEVELOPMENT tie Permit#: MST2018-00286 T 1 i_y , ly D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/04/2019 Parcel: 2S 106DA14900 Jurisdiction: Tigard Site address: 13090 SW 165TH AVE Subdivision: RIVER TERRACE EAST Lot: 149 Project: River Terrace East, Lot 149 Project Description: New SF. 2/13/20: REPRINT to add 334 sf deck and deck cover. 4/29/20: REPRINT permit to correct number of sinks to(2), (1) kitchen and (2)butler's pantry sink, and (3)water closets. BUILDING Floor Areas ReauiredSetbacks Required Stories: 1 Bedrooms: 4 First: 2860 sf Basement: 0 sf Left 3 Parking Spaces: 0 Height: 19 Bathrooms: 3 Second: 0 sf Garage: 684 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2860 sf Value: $387,427.40 Rear: 15 PLUMBING Sinks: 2 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 Tvoes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 6 201-400 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 2860 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY POLYGON WLH LLC 703 BROADWAY STREET,SUITE 510 1 1 Hour Fire Rated Eaves ATTN BAKER,JASON VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175 703 BROADWAY ST STE 510 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $36,620.90 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 th g OAR 952- 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. s. / 2 _ - OBI Issued By: s��I/YL�-�J Permittee Signature: 0/lf .057-16rL/C'f 77d// 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. 71 City of Tigard B COMMUNITY DEVELOPMENT DEPARTMENT .GA ' � Building Permit Review — Residential Building Permit #: r`{1cst Site Address: I O'w s (1 — Avt Project Name: R r 1trr t C04 4- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: 1 Planning Review Proposal: 1�� S� ��/�v / 7/�S EZ� S ram' />�A-�/ 77J fit-. -- 1�c c-�. 7T2,--E--` /0 i T ,77 G3,✓ `Verify site address/suite# exists and active in permi t t system. Ate River Terrace Neighborhood: ❑ No a! Yes,See RiverTenuce Review Addendum Attached Sit Plan Elements: ee(3)copies of site plan to plan must �! 'sting structures on site on 8-1/2"x 11"or 11 x 17"paper r ootprint of new structure(including decks)with finished Prawn to scale(standard architect or engineer scale) i.or elevations V orth arrow z L • 'ty locations&easements (required for new and additions) l S' e address,project or subdivision name and lot number 11Sidewalk/driveway approach plicant information(name and phone number)UTLo w� cation of wells/septic systems t dimensions and building setback dimensions P y ms xisting trees to be retained with drip line,and tree T: ware footage of buildings to be demolished otection measures it .t area,building coverage area,percentage of coverage and eet tree size,type and location Vjpervious area(applicable if R-7,R-12,R-25&R-40) Street names ud Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area �,�4 .of differential) P created or replaced? L�Yes ❑No If es,is a storm water •uali ' facili shown? ❑ fgNo 12 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): L_,,MIN quired: 0 Yes a Pl'applicant was notified I�No Received: ❑ Yes 0 No , 1,1 " Public Facilities Improvement(PFI)Permit: ' a+� ic. Required: 2 Yes,applicant was notified Cl No Applied For: r g �i /Yes ❑ No,stop intake nd Use Case#: POLU16`Otal}d I Zoning: R-9.S C$'l)) Required Setbacks: Front 1 2. Rear ilic Side 3 Street Side. Garage z/ [V andscape Requirement: zp ot Coverage Maximum:tiiv gb 0/0 :wilding Height:riiMaximum Height IP,Visual Clearance ' Actual Height ,�j E nsitive Lands: ❑ Yes CI No Type rban Forestry Plan Conditions "Met"prior to issuance of builiding permit Jotes: Coutd-tt'!i TY tie` t'4)r- bAt(!Ai pirrk4 iliveviCt APProved By Planning: 1,04, ' 1iip Date: l 0-el l Revisions (after B9iing Submittal only) Reviewer Revision 1: Approved ilk (-1 Date PP ❑ Not Approved Revision 2: 0 Approvedz—5 U t e PP 0 Not Approved Revision 3: 0 Approved 0 Not Approved 1:1BuildingTonnslBldgPernutRvw_RES 061417.docx Building Permit Submittal Original Submittal Date: >k3 t‘Ci Site Plans: # Building Plans: # ) Building Permit#: G ` Enter building permit#above. Workflow Routing: Cii Planning [1 Engineering 2 Permit Coordinator [ Building Workflow Sign-off: 2 Sign-off for Planning(include notes from planning review) Route Application Documents: E''Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. Er Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: Date: �� \��.. A�5 By Permit Technician: `. /\.�;� p Engineering Review " D 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 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: ❑ Yes ❑ No ,er Final Plat Recorded: Date: 0 NOT Approved by Engineering: Notes: IT Approved by Engineering: i"Y l Date: i r' iftgl I wer .� Date Revisions (after Building Submittal only) �j e 12 Revision 1: DrApproved 0 Not Approved l 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 0 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: 01 SDC Fees Entered: Wash Co Trans Dev Tax: 41Yes 0 N/A Tigard Trans SDC: 41 Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA 0 Yes '( N/A OK to Issue Permit .2/42/2.47. Approved by Permit Coordinator: r i C ` '`-' Date: t \1g 11 +� I:\BuildingTorms\BldgPennitRvw_REs_010118.docx CITY OF TIGARD MASTER PERMIT 1111,e- ' COMMUNITY DEVELOPMENT Permit#: MST2018-00286 Date Issued: 11/04/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DA14900 Jurisdiction: Tigard Site address: 13090 SW 165TH AVE Subdivision: RIVER TERRACE EAST Lot: 149 Project: River Terrace East, Lot 149 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 4 First: 2860 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 19 Bathrooms: 3 Second: 0 sf Garage: 684 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2860 sf Value: $379,444.80 Rear: 15 PLUMBING Sinks: 1 Water Closets: 1 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: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 6 201-400 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 2860 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY POLYGON WLH LLC 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 ATTN BAKER,JASON VANCOUVER,WA 98660 2 1 Hour Fire Rated Eaves 703 BROADWAY ST STE 510 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $36,406.89 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. ":0Issued By: Permittee Signature: (9^J/ / /. /(`,lf--/'7 0 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 RECEIVEResidential t FOR OFFICE USE ONLY City of Tigard AUG l Received l 18 Dec v : \• S PermitNo.: ,tlir. . +�1 114 .44 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 0 Phone: 503.718.2439 Fax: 503.598.19at",g (l�} g� DateB : l7� Other Penni. p T I G A RD Inspection Line: 503.639.4175 Date Ready/By: ge 2 for Internet: www.tigard-or.gov BlITI,D{NG PJ V NII .; otified/Method: II Supplemental Information E91L 'C'YC,6 1 TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 0 I LjUc ® 1-and 2-family dwelling 0 Commercial/industrial IDAccessory building 0 Multi-family Number of bedrooms: y 0 Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 1 'S y L( �I V Job site address: i3o9O 3vJ k v J e/ New dwelling area: ZZS(p(O square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: (p I-4 square feet Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area:)(luare feet Cross street/directions to job site: Deck area: square feet Cpoem.!PA-m!). 4 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace East Lot no.: 144C\ 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 DESCRIPTIONOF WORK work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: El APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business (Please refer 10 fee schedule) name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Jolene Smith FLS plan review fee(if applicable): Address:703 Broadway St,Ste.510 City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Amount received: Phone:(360)695-7700 Fax::( ) E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon 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 c Authorized signature: °IIIThis permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Jolene Smit Date:7/27/18 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) IV Mechanical Permit Application ,..-'"--f )R tWFF L(F.I SE()».A Rei," City of Tigard l f: f'4�rnait 13125ipil Blvd,Tigard 97223 A l,i I. 3 101 %S% ���Oot�� ' : 503318 439 Fax: 5O3.598.19fa0 Datedyt tklan tdxa aOther Panic Inspection Li503639 on ne: . .E 175 '`. r R .°t3 rte* Page.fur tcs�t�t� CITY(��r Tihl(I Internet WW w.ligard-or.gov t.��airi,:d.'Method: Supplemental Infu atian * "TYPX OF'WORT: r'0,7c1 RiCIaail,,"FEE* scow=-LSE CHECKLIST Mechanical permit fees*are based on the value of the work ►tet New construction 0 Additionfa€cr xion/reps enlent performed„Indicate the value(rounded to the rawest dollar)of all 0 Demolition 0 other Mechanical materials.equipment.labor.overhead.and profit, Value,5 CATEGORY OF t't'NS RUC!lD'C RESIDENTIAL EQUIPMENT SYSTEMS FEES' 0 1-arid 2-family dwelling a Commercial/'industrial 0 Accessory budding For special information use checklist a Description Qt.,,, La. ' 'I<4.trt 1Multi-family 0 Master builder 0 Other _ Pt _.. JOB SITE INFORMATION AND LOCATION liestit€gfe+a"11 . Air conditioniue 1 46.75 Job site address: k'3©C(0 S\k. \ priQ. Furnace 100.000 LITU(duet,vents) 1 96.75 . City/ tateaZlP:Turd,OR 97224 Furnace 100.000+BTU fdutettivinnts) 54.91 Qif�'O Heat pump 61.06 Shit no: Pray 2 sj Terrace; {► A_ Duct work 23.32 Cross street/directions to job site: Hv<dronic hot water sworn 23.32 Residential hotter(radiator or hydraulic) 2332 Unit heaters(fact-type,not electric), in-wall,in-duct suspended.etc. 46.75 Flue/vent for any of above (I 23.32 , Other. _ 2332 j Subdivision: I , - � '�,��� Lot r110: p .: lam{ \ Other fuel appliances: Tax mapfparcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas ritePtaccinscrl I33.39 — Flue vent for water heater or p fireplace 2332 laze lighter teas) 23.32 Woad/pellet stove 33.39 Wood ftrephaccfatscrt 23,32 Chi ev/h lfluetvent 2332 Other_ 23.32 .* PROPERTY"OWNER 0 TENANT � .qw�,� _[ 1 Eat^trnnm eet*rl exhaust and ventilation: f1 QV L i' C t (G11�leLLr Range hood/other kitchen I equipment 33.39 Address:lu®® Po1i,b1efir ee, -6 n(�� Cloths tlz�xer exhaust / 33.39 C y/St eJZ P: �GD�scit,1 to 1 M1.5))► ` , Single—duct exhaust(bathrooms, I+ toilet compartmerits.utility rooms) 2132 Phone:(360)695-7700 Fax I t Attiecrartlspace fans 23.32 '• APPLICANT 0 CONTACT PERSON Other 23.32 Fuel piping: Business name:?0‘ of\ ` )"i"1.1 Lit Sl 15 for firstfear:SW for each additional Contact name: Furnace.etc. 1 A s: broticway st C 51D 'Gay st atpump ' City/ taraiZIP:Vancouver,WA 98660 Fater heater Phone:(360)695-7700 Fax :(360)693-4442 Fireplace Range r F1;-mat MK jam\prty .c.tAce WX S .CZ(Y) Barbecue , CONTRACTOR Clothes dryer(gas) er Business name:Apes Air LLC t)tlt i ..MECHANICAL FE itt Address:18E4 NE 72"AveSubtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit the($98,001 Plan review(25%of permit fee) Phone:( )342-81(19 Fax:(360)326-1769 Statesurcharge t 12% 2 n of permit feu) CCB he.:263034 TOTAL PERMIT FEE This permit application Aires if a permit is not obtained within tan days atter'it has btu accepted as complete. Authorized signature: * Dm methodology set by Tri Buildzng IndustrySer+ Board Print :".""" Elate: 4./7•It, , 1Itui3t e:Pcsmzts':ittPenul€ „"£talt1.4ue 4#t,-sb;7T[)t%P):COM-`tt'td"t , F,Irv 'l REC...,„, . Electrical Pernit:A 1p hcatgo1nj v$, �, 1�t r : r_~ 0 i" Cot ofTigard AUGy 3 / 1 Ti 7� ry � � 73 � UG .L ) (, y Permitfi:/Lr�� �LC1zc�rf,� ` i P114-m " 13125 SW Hall Blvd.,Tigard,OR 97223 late/B : z tPlan Review Phone: 503.718.2439 Fax: 503.598.1960OF l0a Related Permit#: r CITYtaY z v� Inspection Line: 503.639.4175 Ready Date/By: furis: RI See Page 2 for IGARD; < Internet: www.tigard-or.gov GUILDI G , Not Sedkviethod: Supplemental Information g aROPE OF;;WORI . PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans.v/items checked): ❑Demolition ❑Other: ❑Service or feeder 400 amps or more 0 Building overstories, where the available fault current ❑Marinas and boatyaoatya rds, t CATEGORY OF_CONSTRTJCTLOiiir; exceeds 10,000 amps at 150 volts or 0 Floating buildings. 1 ❑' 1-and 2-family dwelling ❑Commercial/industrial less to ground,or exceeds 14,000 ❑Commercial-use agricultural 1 amps ❑Accessory building g i ❑Multi-family • 0 Master builder 0 Other: for allother installations. buildings. Fire pump. Installation of 150 KVA ❑ 0 or ft 7OB S1TE TNFOR1'JATION AND.LOCATION. ,'i ❑Emergencysystem. larger separately derived 1 d l 0 ❑Addition of new motor load of system. Job#: Job site address: l5i ++A,J, ' Q ioonP or more. City/State/Z1P:Tigard,OR 97224 ❑six or more residential units. occupancy. 1 ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:;12.Nex-r r 4- ❑Hazardous locations. ❑Supply voltage for more than I D """t uM~° 0 Service or feeder 600 amps or more. 600 volts nominal. 1 Cross street/directions to job site: Flirt SCHEDULE . Description I Qty. I Each l Total l *• i \' New residential single-or multi-family dwelling unit. I �V Subdivision tr TemiaCLV0.Sir Lot#: (i.4 1 includes attached garage. Tax map/parcel#: 1,000 sq,ft.or less 168.54 4 -.:: ._ . .. ... n r ;i ',,._i DESCRIPTION OF WORK r: Limited energy,residentialto 75.00 1 ° (with abovesq.ft.) 2 r Limited energy,multi-family 75.00 2 residential(with above sq.ft.) rPROt0,4*OWNER Energy alteration,ate , r Renewable 0-TENANT Services or feedersinstallation,a r ion,and/or relocation Name: P DV L Land g,�>�1,�,*$ 1'tit 200 amps or less 100.70 2 Address:•14Q 00 g D a�vw tkc- e tum -' ,1 201 amps to 40D amps t 33.56 2 h �!1 401 amps to 600 amps 20034 2 City/State/ZIP: S cADAksocat 1 142 52.S3 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 t Email: Temporary services or feeders installation,alteration,and/or F • 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 i Owner signature: Date: 401 amps to 599 amps 168.54 2 ,'. ®,APPI3ICAN`I _ [] COiNTACT 1'EItSON Branch circuits—new,alteration,or extension,r er panel A_Fee for branch circuits with Business name: p D 4ysorN Wi... +n t n above service or feeder fee, 7.42 2 Contact name: each branch circuit Jo_ e�1 Sm B.Fee for branch circuits without '� rr x service or feeder fee,first Address: 56.18 2 03 poNrotkel�� 3� J 1 L JM 0 branch circuit i City/State/ZIP:Vancouver,WA 98660 Bach 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 ^^__w^ dwelling,service and/or feeder 67.84 • 2 Email tArr 1CiItIR e 2 � �� � � L/'(Yl Reconnect only 67,84 ... . . - G0. C ..R Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:402 Valley Ave NW Ste 106 Signal circuit(s)or limited-energy0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(1 hr mm) 66.25/hr I Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90.00/hr Email:bdaniels®gweusa,cottr lttdustrialplant(1 hr min) 78.18/hr I. Inspections for which no fee is 90.00/hr CCB Lie.: C1158 Electrical Lic.: 208174 I Suprv.Lie.: 44963 specifically listed(A hr rain) EIFCTRICAL P1..FP.1'Js Suprv.Electrician signature,required: :Mfg/ .P1 k �i�-- Sttbtotal. Print name: Joan P Albert I Date: 0 Plan Review Required(25%of permit fee): .-- State surcharge(12%of permit fee): Authorized signature: 1 TOTAL PERMIT FEE: ( This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: days after it has been accepted as complete. ft Number of inspections allowed per permit. IABuilding\PermitslP-LC_Pennitppp_gLR ER£.doc Rev 06/17/2015 440-4615T(ii/05/C014/WES 1 t . Plumbing Permit Application FEIN ED Building Fixtures AUG 13 2 IIMIll11111111111111111111111111.1111 City of Tigard Received r[sruitNo. III q 13125 SW Hall Blvd.;Tigard,OR 97223 .S�d2c'/�eie , Phone: 503.718.2439 Fax 503.598,1960y�CITY Ti��'y C.` ' stew Other Permit No.: Inspection Line: 503.639,4175 51211,Dhi G ' .Date Ry: 1'1 G A R U 5 4 Bate Ready/By: Juris: BI See Page 3 for Internet www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORD :' FEE*SCHEDULE P`!New construction El DemolitionFor special information use check Description f Qty. ) Ea. 1 Total D Addition/alteration/replacement El Other: New 1-2-family dwellings(includes 100 ft for each utility connection) CATEGORY OF;CONSTRUCTION ! SFR(1)bath 312.70 SFR(2)bath 437.78 a, 1-and 2-family dwelling ❑Commercial/industrial SFR(3)bath f 500.32 Accessory building El Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft) Page 2 JOB 81TE IN OR.14101OO14AND,LOCATION.� Site utilities: Catch basin or area drain 18.76Jab site address: b9 D SS Drywell,leach line,or trench drain 18.76 City/State /ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: Page 2 Suite/hldgfapt.no.: Project name:;L)C, Timate moi- 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.Iinear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: A\1V Tenn-ate `F.04-1-- Lotno.: ttAq Fixture or item: Tax map/parcel no.: Backflow preventer 1 37.27 ac ater valve DESCRIPTION OF WORK::: B k>vv12 51 Clothes asher 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ' l,06;;PROPERTY OWNER `r © TENANT Expansion tank 12.51. Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 l, APPLI '017 CON r.- l'ERS(!N Interceptan`greaseurap 25.02 Business name: ?l ting U � 9 I Medical gas{value:$ ) Page 2 ` Primer 12.51 Contact name 9`eto sm,ki, Roof drain(commercial) 12.51 Address: 1 p S liinlltbHl SA' SAO Sink/basin/lavatory L.�t4J.r>A/ / 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-ma'iI W`N(nctSWOat61,t1�T� (3• CA-NY) T! Water closet 25.02 , Watec heater 3732 Business name: j !W btF 1`�,, '4`c '171 .yjl4-- Water p' in WV 56,29 Address: p'.Q. 6.. Other 25.02 City/State/ZIP: 5y, ` 44.4oft, 411 131 Subtotal^ Phone:( v3'- y`(&- �G.,� t Fax:('ji>}..'*!�',11.- ,1 1*'t� n Minimum permit fee: S72.50 Plumbing Lie.no.: Plan review (25%of permit fee) CCB Lie.: 18413-7,3_ i State surcharge{12la of permit fee) Authorized signature:r/t i 4.., TOTAL PERMIT FEE Print name: St GA. L. U)1�€ :' -- .. Date36--l b _ This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. 'Tee methodology set by Tui-County Building Industry Service Board, l uitding\Perauts\Pi.MU-PermgApp.tiee 10/01/0s 440-4616T(iom2/COMi IEB) NI 0. IIICity of Tigard i COMMUNITY DEVELOPMENT DEPARTMENT T l c; R D Building Permit Review — Residential Building Permit #: Site Address: ,goq,0 ,S4-' ��Sk� A c. Project Name: R-k‘tt. It; rilC Ca4 iiq Lot #: I� I (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Idtu if'f1/4, e CJ Verify site address/suite# exists and active in p rmit stem. DV River Terrace Neighborhood: ❑ No L�' Yes,See River Terrace Review Addendum Attached Sit Plan Elements: ree(3) copies of site plan to plan must be on 8-1/2"x 11"or 11 x 17"paper �istirig structures on site yawn to scale(standard architect or engineer scale) I.9 ore 1 va eleof vations structure(including decks)with finished worth arrow ;,/ Site address,project or subdivision name and lot number U ty locations&easements (required for new and additions) Sidewalk/driveway approach plicant information(name and phone number) P� t dimensions and building setback dimensions � 'cation of wells/septic systems n xisting trees to be retained with drip line,and tree kilVi•Siiivare footage of buildings to be demolished protection measures tl tot area,building coverage area,percentage of coverage and LIDS eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) IWStreet names uaProperty corner elevations (2 foot contour lines if more than >1,000 sf of impervious area �� 4 •of differential) P created or replaced? W Yes ❑No If yes,is a storm water •uality facili shown? IIVet4=INo LI Clean Water Services-Service Provider Lettep(lot platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified [ � �°� �'" Pp No Received: ❑ Yes ❑ No Public Faciliti Improvement(PFI)Permit: `=., ` 1a,,( v v Required: 2rYes,applicant was notified Q No Applied For: � n /Yes El No,stop intake Gill/Land Use Case#: PO(L16--ood0 I Zoning: R-AS (M)) at Required Setbacks: Front Z Rear 1.5' Side 3 Street Side 0. Garage zn andscape Requirement: Z0 0/0 lary-ot Coverage Maximum: go wilding Height: Maximum Height TD�/Visual Clearance �� Actual Height p I nsitive Lands: ❑ Yes /No Type rban Forestry Plan Conditions "Met"prior to issuance of buil ling permit otes: ' 0` �oA1l tql- tor-,1,` bv;1611%,vJ 4 0 soiltc. Approved By Planning: LAC Date: IC—41 le evasionsafter Building uildin Submittal ttal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: S k .. ‘‘� Site Plans: # ?� Building Plans: # 3 Building Permit#: Eli Enter building permit#above. Workflow Routing: l' Planning g Engineering 21 Permit Coordinator 13 Building Workflow Sign-off: 2 Sign-off for Planning(include notes from planning review) Route Application Documents: ry 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: \O 1 1`�� By Permit Technician: ......CAA Ni, Date: Engineering Review 7 90 Slope at building pad: El 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: El Yes El No Assess Water Quantity Fee in-lieu: ❑ Yes El No LIDA Facility on lot: ❑ Yes El No ,1 Final Plat Recorded: Date: ❑ NOT Approved by Engineering: Notes: h 8/� � Approved by Engineering: Mit I t Date: I Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved El 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: 0 SDC Fees Entered: Wash Co Trans Dev Tax: iqi Yes ❑ N/A Tigard Trans SDC: g Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes 'g N/A OK to Issue Permit �j11v� Date: 1l7\ig i 1g Approved by Permit Coordinator: � V I:\BuildingTorms\BldgPermitRvw_RES_010118.docx City of Tigard III a COMMUNITY DEVELOPMENT DEPARTMENT 0 T I G A R D River Terrace Building Permit Review Addendum Building Permit #: mc-C- aU Site Address: t�t3 Q'O 51,✓ L 6Sf-` n��. - Project Name: ��[E 4 1- Lot #: HI (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist 'ct Design Standards (18.640.070.1.): Is the project subject to the plan district design standards? 2Yes ❑ 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 Gabled dor ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 13,1 X intrances:At least one entrance must meet both of the follog standards: Max. 8 ft. setback from longest street- facing wall 'f Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No I es,all the following apply: L5 sq.ft.min. ne street facing entry [')2 ft.max.roof above floor of porch fyV5ft. depth min. V30%min.porch roof coverage 4. petailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ all offset min. 16 inches ❑ Dormer min. 4 ft.wide LJ Roof eave min. 12 inch projection ❑ : .of offset min. of 2 ft. ❑ Roof shingles either tile or wood 11 Gable,hip or gambrel roof design 0/R.'oof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide Accent siding min. 40%of street façade ❑ Window trim min.2'/2"wide by 5/8"deep ❑ Window recess min.3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No loser to front or side lot line,than longest street-facing wall. 0 Yes [i No. If No (Check one): LVMay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. O 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 1740%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: /- ��,ry"Alit ( . Date: 1©"9-1 g I:\Building\Forms\B1dgPermitRvw_RES_RT_121417.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT =. . Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FEB 0 b 2020 FROM: k\x0'tRA.s CITY OF COMPANY: ----- DUIJIaS170 t\trASt.)[ ,Ot ( a? !ISPtJ PHONE: 3l0(�— g�lo '---1$L�O By:4514" -- RE: 13OSO 1k0j-rN} ptv& Iv sT Zot$-DO?$(p (Site Address) (Permit Number) caves -Te vn 1/o-r 149 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. X Revisions: Prp.Q bear_ Cross section(s) and details. _ Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: -Ri(AAA.. Tp —03 s MA- J63 WE-vier6 pe4A) Tn /'/Z-o c r7o A/ FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑ No Fee Description: Amount Due: Special Instructions: Reprint Permit (per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: Initials: I:\Building\Fonns\TransmittalLetter-Revisions_061316.doc FOR OFFICE USE ONLY—SITE ADDRESS: This fouu is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1111 ell :. Transmittal Le tter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.g TO: DATE RECE , D: DEPT: BUILDING DIVISION -Y .i L) • FEB 0 6 2020 FROM: ��- .J� �0"Q.RLS CITY OF i iCARD COMPANY: aUILOING p iSy'.. PHONE: �J10(7— gUlc —�L' By: O� ,' - RE: k3QSO tlaS-rv} {Nvr3 S1 20l$-o)Z$47 (Site Address) (Permit Number) RWtia-T:42 ,-I. 110 (Project name or subdivision na d . rber 1111 ATTACHED ARE THE FOLLOWIN Copies: Description: Copies: Description: Additional set(s) of plans. X Revisions: t-b,.Q bECK- Cross section(s) and deta' s. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: ,(A, .t_S- P r•) CT -0 3 .' m A' 53 6:b. f c r ptibu /o. ,-; -c c `7_X E- 2 o i C 7—rU A✓ koU D ' a- D ear 3 -1 st:Y FO O FICE USE ONLY Routed to Permi - `echnician: Date: Z (( j i _O Initials: Fees Due: I •s ❑No Fee Descript on: Amount Due: 11 $ _ Y I In re-th,- $ YS -� fr,----- $ $ Special Instructions: Reprint Permit(per PE : [ Yes ❑No ❑ Done Lae Applicant Notified: Date: 1,1.!/ IV 6,?(') Initials: 4 1:\Building\Forms\TransmittalLetter-Revisions 061316.doc