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Permit (89) ��Ill CITY OF TIGARD 5 (:0/ MASTER PERMIT i , 2 COMMUNITY DEVELOPMENT Permit#: MST2016-00080 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 TIGARD Parcel: 251080001504 Jurisdiction: Tigard Site address: 15150 SW MISSOURI PL Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 77 Project Description: New SF.6/15/2016: REPRINT permit to correct missing building data. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2909 sf Value: $351,206.16 Rear: 20 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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: N 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: 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 2909 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $33,036.25 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: v�— Permittee Signature: eA/ 4,--10/04/e4-7-70"/ 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 MASTER PERMIT a11111 Permit#: MST2016-00080 111COMMUNITY DEVELOPMENT Date Issued: 04/28/2016 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15150 SW MISSOURI PL Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 77 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $351,093.51 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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: 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 TVDOS Air Conditioning: N 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 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temo Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 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 0 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $29,545.45 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 through0 Issued R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198798oror1.800.332.2344. gy: 1 Permittee Signature: 04/ r/r,Z--l eii--- 0J 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 I 0 / 7 7 z_s e i - . � � nfe-Jit1 FOR OP Fl( l SE n\l.l City of Tigard RECEIVED Removed . Permit No,�s, 1/4-0oo� 13125 SW Hall Blvd.,Tigard,OR 97223 PlanR Datemvie�` g�/� ' I I i lj j Other Permi. . 2016 Date/By: -] 7 , �o��r BO�d Phone: 503.718.2439 Fax: 503.598.1960 MARu� E I - ., EZ i_ Inspection Line: 503.639.4175 Date Ready/fly. Juris. ® See Page 2 for Internet: www.tigazd-or.gov CITY OF TIGARD Notifed/Method: Supplemental Information - z. t�� .. ;'17;g14227,'_:[:::''''.-:,'::0!. :e is .�.��.� .�.,. —] a��,_,� ..�a-�., u .=v.,. ®New construction D 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 .-�.Z a GR c- <€{ -i(1.'" - _ ' work indicated on this application. - = Valuation: 0 • $ '�j ® 1-and 2-family dwelling E1Commercial/industrial all.- 0 Accessory building 0 Multi-family Number of bedrooms: 4 0 Master builder 0 Other: Number of bathrooms: `% Total number of floors: 2 33 Job site address: 1 51 0 SO rf)\j\b`)w L c 0 / New dwelling area: a q )0 square feet City/State/ZIP:Tigard,OR 97224 M 1 S$v LAA I Garage/carport area: t.A # square feet` 4.,c-- Suite/bldg./apt no.: I Project name:RD\I(3-on ( f5,.,)r\ r(}--rl Covered porch area: [ c square feet till`0.1 Cross street/directions to job site: Deck area: 0 square feet _ 41 Other structure area VA square feet ;!r a rw , r`: Subdivision:Polygon at Bull Mountain I Lot no.: .3-- 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 work indicated on this ...lication. ne_v0 ),n3\ �\ s Valuation: S Existing building area: square feet New building area: square feet t ( r r Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 E 13`h Street Occupancy groups: City/State/ZIP:Vancouver,CA 98660 Existing: Phone:(360)695.7700 Fax:(360)693.4442 New: Business name: 1 Structural plan review fee(or deposit): Contact name: a \-e c,O cc\ FLS plan review fee(if applicable): Address: I O q I Total fees due upon application: City/State/ZIP: [��oc' 1 V or Cr Qjc 0 Amount received: Phone:) `q��` 00 I Fax :(��) lC(4'6 \222 E-mail:maggie.gordon@polygonhomes.com1 - , w.. r a Commercial and residential prescriptive installation ofj ,' �' .�o. ' - ` P roof-top mounted Photo Voltaic Solar Panel System. Business name: V0 1 .1 �� 1 , � Submit two(2)sets of roof plan with connection details - ""1 � and fire department access,along with the 2010 Oregon Address: \9 a l_. 13 Solar Installation S.ecial Code checklist City/State/ZIP: J (Jr)couoei A Q S(oko 0 Permit Fee(includes plan review $180.00 Phone:cO1 pJ) to Q 5.-3-�C) Fax:(' D) 4 3 . �')�2 and(12%ofpermstrative fees State surcharge(12/o permit fee): $21.60 b/CCB lic.:204238 Total fee due upon application: $201.60 Authorized signature:- , 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. i _�/_1Lo I *Fee methodology set by Tri-County Building Industry Print name: Date- Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440.4613T(11/02/COM/WEB) DECEIVE ltilt{31llCL t r3��z iV a hanical Permit ApOlicati recused .� Cltj'pf Tigard �$r: MAR 8 26fi6 . Taos i 13125 SW'.Hall 31%*Tiaard ?R 97343 Plan R,,,,k °- •_ _.. t . ptbcr Peimi phone 503 718.2439 Fax 503.598 L960 17atei.Blr : jw;. S1 5.,rage,, ,for inspxhon3 ani 503:6394175: CITY OF TIGAR >r�aexe Y.Ie . SupPlemeniat fnformatwa lmnraet: °uw irgard or gov BUILDING DIV1Sl• v ss=!' CORi3.' t(!At FELr3 1� t3S .�e.:'t..r. �--r..3.s� 3� .��t-,� . - � TYP£(3F�PffRF�'_, . _ , .._� . ... . .. hanical permitlus�am based,on hie Yaloe of the u•4rk: „ . ned.indicate the value(rounded to the nearest dollar)of a l El I?l'Oty:G.oilstitlCgtrtl ,�f�1C1t�ItloTi�9ltKddaat2olL'rCQ�BrGitCtif� :I�pa Mechanical.materials,equipment labor overhead and profit .. }�)3ernahtl 0 Other; value S " . iidbi D - I�ISTBU ii :itiESIU1 `Blit F' � f#04S S` , gbuilding For specie!1n arntatfoa use ehecklisL • 121 1. acid 2 fefraily dwelltn Commeretaltux4ustna] 0 Attessnt5 y Tofal a Minh fsarily P iviaster buildca Q Other 13eatSn�lcnohu> �taQ13STE,";'-i CP. -I-Pr. AT-iP T?f 'IIL---,, _ . . . - -' Ar•rcond o.n:mg 4675 sob stsas 1J C D YY1155D )-f' C\LP . r 0 t r; � I 1 a. _ G ZZU Ct315tc0 'r ( O0 R _ :. , .Ftsasce100:000+:3T[J{ductshxx�) 54;91gent p 61.06 SiteJbldgjap_.no [ Ptbjeot naive Pal 31)--i-) s7 (A)\\ - m WI Dist Work 1 23.32 liydronic hot water system • 2332 site: °Crps5.5trex!/dii'echotis ta.1,abReSadeafisl boater(radiator or hydrotnic) 2332 i-Tiii0 *(.414:tyle,trot electric), iai-i+n11;tirduct,susPPttded-etc• 445.7S Fliu/vent form+of above 2332: {)tltcr . .... 23.32 I Divot �1 tt3>drvtstca: t?flier fad fipplrarttxs 0 _ . 2332 Taxmapi3ia1 eI flo • i 39 ;._ .= a c"-,: �3lESCILt f1'--L{fr '----•; . '''--t -*:.t{v " _ Ocntlfor vaterheaterorgas 33_ fiteplac l 2332 Lop_tigiitti(2) 2332 Wood uta.. 33.39 Goidfirsplaeirasert , 23-32 _ _. >. ._ ClimrieyAinialti vent 23.32 ... ` 17a t.-)641- 23:32 Ep e� 6**-1 1t ` �- T� .� EnFirvarireatslehaustsad ventitaiiof: - 7smOaaiS on Northwest Rarg..hood/other kitchen gn 1 3339 At3drtss:,309 E13�St Ctofiies-dryere 1 3339 giagle;dtrct exhaust(hathroon, Gut} e. . ... inieoitver,W; .98661 #oileLcompartatents.:utditY.rotima) 4 `23.32. 6-780 ( Fsx ) . heite t 2332 maRvkpaea tans 2332 - r,,.. �..:,. ..'I.�_< -_ .;Fuel PaPf►tg:;. Bt?+fi+� .aa. ePolygon 110111ml :t - S34-is for first torr;S4.03 tar cacti additional - .. .Fumac et= 1 Camtaix'riamc Add±Gss.;.1U4 E L°St . Wall3siaspatdr raritheatrr Water hcaxCi '!an0°1077 *986671 " Phone.(360)816.7808 ( Fax :( ) F-asciil Berba isc s_ry ,b$ 4 'x � iot c drver..(g s)- 1. Otho' _.. Anderson$,eating,lar AfiII '" $i>st»ess t� �.� Jµ SER,, rP -z: Addt+ess 16'$5$0 $i'y A-ve.St�e_410Subtotal Nrin mum permit fee 090.00) Cl 1.S.tiieggtS Tigailk OR:97224 ..Fiera rttieiv 05°1°af:pemit fee) Phonic-JEW)9924664 I Ft=(503)536-b6I : State.swrhargc(12%ofpermittee) TOTAL PERMIT FEE CCB liC 1b$2f4 Thh permit applieatiaa exrea if a permit is not obtained i i thin 180 days after It las been smarted as thonikir, Authorized signlilure * Fee nierbodology tat:by Tri-County Braiding Industry Sevier Board Warne;AitAiodcraen Dates 11120/2015 I tg, ,n;;v t reraiitApc,owiai.doe 440,41 Tr(11,O2tosvaEs) 7 , Electrical Permit Application RECEIVE r FOR OFFICE I'SE ONL,1 City of Tigard III iardOR 97223 Received _ MAR 8 2018 l'atc/BY' Non,'Nolf-L0 /6..4949cpc) . 6 13125 SW Ilan Blvd.,Tg , Plan Review I 8 Phone- 503.718.2439 Fax: 503.598.1960 Inspection Line: 503.639 4175 CITY OF TIGA" bOilier Pe Fp .,,L,„-.•It eadylliy: Jinn 121 See Page 2 for Internet: www.tigard-or.gov BUILDING DIVIS C Plied/Method: Supplemental Information 4SrTietieSV<jiW,,::l::: ._ ,. iZi,::..:.: :,.,,,. , :...::,.;,..;: .,:,:y:,:.,,,,( .,,:::.,.,:,.. ,;,,,:%:',.:,.A:f-EA*Atik0C1:::,1,:,.,:::,,:-: I New construction El Addition/alteration/replacement Please check all Mai apply(submit 2 sets of plans wnt rites checked below)S] 0 Service or feeder 400 amps or more 0 111111(11/1g user three stories 0 Demolition 0 Other: where the available fault current 0 Mar111:114 and bo:II at :ektit6oiiiV:..ek-titifigtit•-tetitk .:1': . ' ,.,.' ..-• --•.•'-:''. ' exe„ccis 10ai.oFoa .000 imp at 150 tilts or 0Floating buildings less to ground.or exceeds 14.000 0 Commercial-use:lei cultural tg] I-and 2-family dwelling E]Commercial/industrial 0 Accessory building amps for all other installations buildings I 0 Multi-family 0 Master builder 0 Other: 0 Fire pomp 0 Installation of 75 K VA or I larger selmly tleriscil:,. ,:tem t.'F:1:.., *.,041.a ...1.,I.,,,::Z.f.,,,,,,,,,i,.., ,, 16N-, 4D -7.• 1ON Ad • - ' -, - • 0 dn or lSySICIIIieu motor lf oad(I Job no.: Job site address: I 5 t ..0 (Y)\5500c 1 p\ 10011P or more. UCCUPanCY 0 SIX or more resodeniiill units 0 Recreational%chicle parks City/State/ZIP: —1—%9airc‘ 0 1; ci-172(...\ 0,.......iiirii„,,:s 0 s oltage lia 11101C 111,1f1 0 I lavardous locations NM,olismmmial Suite/hIdelapt. no.: Project name:y,„\15,, O-*' ii??..M riii-n 0 Service or feeder 600 mops or inure 5-,ii'`',:f:'; ',;.',,:',;.:'•: ,,, :-4.XCKV*1JLE . i.,'''.',:',-'i I, .'. .• :., i' f ' Cross street/directions to job silt:: Description 1 Qty. I Fee. I Total I • ' New residential single-or multi-family dwelling unit. Includes attached garage. 168 54 4 l 11 1.000 sq or ess Subdivision: Lot no.: ---3--- ) Ea.add'1500 sq.11 or portion cc 33 92 I Tax map/parcel no.: limited energy.residential 75 00 ' _ W.„, 1:gt51:7114;:tiiiit, iiii•ea,AVolliet&' '''' '''.''''' ''' ''''''... ..'-''' (with abm'e sq.Ii) _ ''''''''''''''' ''' Limited energy.multi-family 75 00 2 1 New electrical service and wiring residential(with above so Ii) Services or feeders installation,alteration,and/or relocation 200 amps or less too 70 1 _ ., .....:1 ,44:14j:4140,r1,0*4#0.**:::: ::;:;-..:.:,•.: 41.;.121;34.04441;_. ::. '..' ',..: ',.::::!i-,-,„. 201 amps to 400 amps I:33 56 2 _ Name401 amps to 600 amps 200.34 2 ,4: po\ 4."--,r-,. 601 amps to 1,000 amps 301 04 , Address: 1 tja t-o44---\ 54- Over 1.000 amps or volts 552 26 , City/State/ZIP: \i W P Temporary services or feeders installation.alteration.and/or OTIOD\Ak XI— ac CA af2ke CD relocation Phone:b„),D) to ci5..,--mD Fax: ) t.a(15'"4-414r2 20(1amps or less 59 36 I I ' 201 amps to 400 amps 125 08 , i Owner installation: This installation is being made on property that I own which is not 1 1 intended for sale, lease,rent,or exchange.,according to ORS 447,449.670.and 701. 401 amps to 599 amps 68 54 2 Branch circuits—new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with •: above service or feeder fee.,____,_____ .P1);.1:' : '.i.-:.)'.. .-*-':'-'..-.-: =:',.0-i':00144.A.CtiliROC.iPt'R'--1.4,1:.' :'.. 7 42 1 _ each branch circuit Business name: VO i lip 13 Fee for branch circuits without service or leeder Ice.first 56 18 Contact name: Ins f a vc (-)or. branch circuit _ Each add'I branch circuit 7 42 , Address: * 0 _. I _Ali Miscellaneous(service or feeder not included) _ City/State/Z1P: ail CCU ' V) 4 0 2 •Ce 0 Each manufactured or modular dwelling.service and/or feeder 6784 , _ Phone:( ) Fax: :( ) Reconnect only 67 84 s _ Pump or irrigation circle 67 R4 , E-mail: Sign or outline lighting 67 84 _ , 1 • Signal Limo es)or limited-energy 1I Business name:Simply Electric panel.alteration.or emension Page 2 . - 1 Each additional inspection over alloys able in any of the above Address: PO Box 822408 Additional inspection(I hr min) 66 25/hr Investigation(I hr into) 66 25/hr City/State/ZIP:Vancouver,WA.98682 Industrial plant(I hr min) 78 181 hr Phone:(503)849-8202 Fax:(360)314-4945 Inspections for which no lee is I hr 1 specifically listed(V hr min) 90.00/ CCB Lie.: 204615 Electrical r1.ic.: . 067 Su prv. I.ic .: 4394S .- Sup '.Electrician signature. required: 'tLECTRICAKTEliNITT4TEIES' ' . , Subtotal Plan revio% (25%of permit fee) Print name: Victor Zarzhitsky 1)ate: 11)17/2015 State surcharge((2%of permit fee) To-rm.PERMITFLE. Authorized signature: This permit sipplicsition expires if a permit is not obtained within 18)) days after it has been accepted as complete. Print name: Date: • Number 01 inspections allowed per pet mutt I lioddinu Tam'.1:1.C-Perolii A pp doe 07,0 I;I 0 .1411.151 ST(I inc VONIAVEli Plumbing Permit ApplicatianRECEIVE 9 FOR OFFICE l SF O\Ll Building Fixtures 2016 ifK7 24/&1200,0 8 Received permit No-• City of Tigard MAR 1>a�By: 13125 SW Hall Blvd,TigardOR 97223 .i.Y OF TIG, I �'°Review °��'""`�° Phone: 5n Line: 439 Fax: 503.598.1G DMS'•EL Ready/By: I B See Page 2 for Inspection n Line: 503.639.4175 BUILDING w7 Notified/Method: ` Supplemental Information T 1 Internet www trgard ov -'..;-c-- ---,_...------,-. ...-,,,.__• , ,,,,...:--- -s,'"7,5� �ws.--c.,-..-,--;,,,-..... r_ :.Us= =}:._::: : :5----::, :'-:-:,;Z.7-7 -4,. .7.. ; _ r+ , '----- " -'.,,--------"2,417t."---'..-".x` ( .a��" .er ,v ve ,s,� 4"- ---.-' - C -.i�-� . �6 ��r, , ' .:—.`J k.� mss.,. For el !inform�ionusecheckli�Y` - �w — sP 0 Demolition I Qty. Ea. I Total 1�New construction Description ❑Addition/alteration/replacement 0 Other New t-2-family dwellings(includes 100 ft.for each utility connection) 312.70 �,r('- . -I 5 L ',YZ-iy � SFR(1)bath SFR(2)bath 437.78 i[1-and 2-family dwelling 0 CommereialfindushialSFR(3)bath I 50032 5�t3 L TO Accessory building • ❑Multi-family Each additional bath/kitchen 25.02 . Master builder 0 Other Fire sprinkler(__sq.ft.) . Page 2 • r- 3-- - _^ a , Site utilities: =( T s:a ' 1 `st �� x s - 18.76 ess: l) �- n^ . • • Catch basin or area drain ' Job site address: `,5‘50 o,O buil, IP leach lino or trench drain 18.76 City/State/ZIP: Uo1 l \_ l �y 1 - Footing drain(no.linear R:- ) Page 2 no_: J I.Project name: c,()\\)30T--) Cl ✓0/1\ '" 't' ' I Manufactured home utilities 50.03 • Suite//bltigJnpf- '1 Manholes 18.76 Crossstreet/directions to job site: 18.76 Rain drain connector Sanitary sewer(no.linear ft.:_) Page 2 • Storm sewer(no.linear R.:_ ) Page 2 Water service(no.linear tL:_) Page 2 Subdivision I Lot no.: 4' Fixture or item: Backflow pm-venter I 31.27 12\,-L-1. Tax iji- T'ax map/paned no.: BackwatQ valve --x 1251 1'2.cj r < f 3 - a,5.0 .�- _y .�-��=-.'=-== - - � - --� '----._-..,....-..,4-=, Clothes washer I 25.02 Z _ {� fountain I 25.02 c9F5•02 VOA) `b' c L !t'l Drinking touain 25.02 , - Ejectors/sump 25.02 Expansion tank 1251 ,,,,e...;..7-:,,-- . :` „,,,;•_.- -,..,-,--:-:.„--,,-.:::,,_ Fixhudsewer cap 25.02 ]Jame: P aN 9 - Floor drain/floor sink/hub 25.02 Address: t I '1-'► ' 5_ ' Garbage disposal 25.02 ZFj.dL • W A U 3- f A Hine bib 25.02 2 r- ,ort City/State/ZIP: (j,n l D\I vex Ice maker I 1251 �'Z �j , Mot= �`t r , +O Fax ( ) 1 r -x_ lnteroeptor/grease trap 25.02 ._ ��: _ -� :••_.:-- _-_-_-,..-._•-.-.,----,r.-..-=-_:_=_:.•-•1.-_ A - —_-._ Medical gas(value:S ) 2 Business vane p L�,�(1/(S{b�t�(�JJl Prima - 1251 Contact nameiii_viden It.` Roof drain(commercial) 1251 7- 1 Address ?0 Sink/basinflavamiy 25.02 1_.6)9 62.54 City/State/ZIP: � solar units(potable water) ' Tub/shower/shower pan. a 1251 'Z5.02_. Phale:�q��3> l 3�a3 Fax :( ) Urinal 25.02 E-mail: fir A 1) Yi 'a V'. -W at=elosd 25.02 r. ►rw-•z rr T = Water heater 37.52 ?-14-. Business name:-Bb - I ivt_s ILL - Water piping/DWV • 56.29 other 25.02 Address: �. x15. subtotalCity/StateIZIP: il c1/619 Minimum permit fee: 5725 l 'S) . f -303 I Fare( ) - Plan review (25%eroft >30 CCB Lia: 8b3"T�.7 Plumbing Lie.> 1Z State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized sigaattaz: This permit application aspires if a permit is not obtained within 180 days Z �� j� I Date:ii / /51 ager it has been perm d as complete. . I Print name: •' �'- .Fee methodology set by Tri-County Building Industry Service Board. doe 1(V01/D9 440-461 I:IBmId'rtPcmeclPiJ.ttl-P'cmiUPP- 1 City of Tigard IIII ~ COMMUNITY DEVELOPMENT DEPARTMENT T I G n R D Building Permit Review — Residential Building Permit #: /7S 77,:20/67 —pp pcF•O Site Address: /CAD c /N-gain i,4 ce Project Name: C 71 reSiV/ Lot #: (New li ,= subdivision name;.\ddition or Alteration= last name of owner) Planning Review Proposal: vtzt) S>Pi IX:Verify site address/suite# exists and active in permits tem. tem. 'River Terrace Neighborhood: ❑ No Ltd Yes, See River Terrace Review Addendum Attached Sit Plan Elements: ree (3)copies of site plan pi, sting structures on site Arte plan must be on 8-1/2"x 11"or 11 x 17"paper 17 Footprint of new structure (including decks)with finished E/ awn to scale (standard architect or engineer scale) or elevations orth arrow Utility locations (required for new,may apply for additions) S. e address,project or subdivision name and lot number ';!,cation of wells/septic systems licant information(name and phone number) 11 rosion control(including drainage-way protection, silt fence of dimensions and building setback dimensions sign,location of catch basin,etc.) Ot area,building coverage area,percentage of coverage and IBS eet names iipervious area (applicable if R-7,R-12,R-25&R-40) tF treet tree size,type and location roperty corner elevations (2 foot contour lines if more than )%1' sting trees to be retained with drip line,and tree 4 foot differential) protection measures tialean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): Pequired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No ublic Facilitie Improvement (PFI) Permit: equired: es,applicant was notified ❑ No Applied For: /1:es ❑ No,stop intake VS�and Use Case #: S) ,r 20/S '0')"(100e*-- oning: 14/. 5 etbacks: Front 020 Rear /5"- Side S Street Side /S—GarageQe ¶aandscape Requirement: % 01 of Coverage Maximum: uildinHeight: Maximum Height g g 30 Actual Height p9�' ' isual Clearance asements ensitive Lands: Yes ❑ No Type f; i- 1/Zaikg_ A.X.I7ii/X,71 c ..2.reag I!d Urban Forestry Plan ❑ Conditions "Met"prior to issuance of bu ding permit Notes: L%G-71414O �c, Mas:/ i f7e) A /sSLi_uuii(%, .0)-7, 11tiil • .1)11'1 1 Approved By Planning: .. 9—� ,f Date: _ g/6//b 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_0121 1 6.docx Building Permit Submittal Original Submittal Date: ,3///(1, Site Plans: # Building Plans: # Building Permit#: [ Enter building permit#above. Workflow Routing: T Planning Ertngineering EYlsermit Coordinator 1uilding 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. Lam" tSuilding: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: ��`/g, Engeering Review Slope at building pad: / ) JO• 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: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Condition remain unmet that are required prior to issuance of bldg. permits. Approved by Engineering: 4L .) Date: I _ 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 / pproved, NOT Released: Date: 3 ,97/& otes: j 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: ( ilqDC Fees Entered: Wash Co Trans Dev Tax: 'es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: es ❑ N/A ,.K to Issue Permit Approved by Permit Coordinator: 91, Date: ''4/ /` 1:\Building\Pons\BldgPennitRvw_RES_0121 16.docx r' . '► City of Tigard ■ ~ COMMUNITY DEVELOPMENT DEPARTMENT T 1 G n R n River Terrace Building Permit Review Addendum Building Permit #: /y1 j alp - eeDeFd Site Address: /S7 So / l/ sc,,i / 4c e_ Project Name: /6G1' n c /u%/ /yf��h Lot #: 9Z (New ti%� g=subdivision name;Addition or.Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1): 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 t. deep ft. deep min. 2ft., 5 ft. wide min. 2 ft., Eft. ide Gabled dormer ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: /g 817C 3. trances: At least one entrance must meet both of the follo ng standards: Max. 8 ft. setback from longe 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 y , all the following apply: I sq.ft. min. Lt' ne street facing entry ( ft. max. roof height above porch ft. depth 30%min. porch roof coverage 4. I tailed Design: All buildings shall include a min. of five o following elements on all street-facing facades: c/ ivered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep F/ 'all offset min. 16 inches ❑ l.rmer min. 4 ft. wide IF, Roof eave min. 12 inch projection 1/ ' .of offset min. of 2 ft. ❑ Roof shingles either tile or wood ry able, hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. orizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40% of street facade Window trim min. 2 1/2"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 350,10 or less of street facade 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. VYes ❑ 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 1 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 facade with 7 detailed design elements Notes: Approved By Planning: Date: --17/ r I:\Building\Forms\BldgPennitRvw_RES_RT_012116.docx 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15150 SW MISSOURI PL, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Correction from previous inspection complete. Violation Summary: Tel: 503.718.2439 Inspection Date: February 21, 2017 at 10:59:03 AM Record ID: MST2016-00080 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15150 SW MISSOURI PL, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: No AC installed at time of final inspection. Permit and inspection required at time of installation. Violation Summary: Tel: 503.718.2439 Inspection Date: February 21, 2017 at 11:04:17 AM Record ID: MST2016-00080 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15150 SW MISSOURI PL, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: February 21, 2017 at 11:32:14 AM Record ID: MST2016-00080 Inspector: David Young Provide vapor barrier affidavit with city required documents. Remove house wrap debris from crawl space. Fix vapor barrier in crawl space. Finish weatherproofing exterior siding. Re route clothes washer overflow outside of foundation vent well. Provide approved site plan for street tree location. Provide approval for no sidewalks required. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15150 SW MISSOURI PL, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Corrections complete. Final erosion control approved. Street tree certification received. Moisture content form received. Vapor barrier form received. Blower door test report received. Insulation certification checked. Tel: 503.718.2439 Inspection Date: February 22, 2017 at 12:54:31 PM Record ID: MST2016-00080 Inspector: David Young No sidewalks required per planning and city approved site plan. C of O left with builder. Violation Summary: Inspector Contractor