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Permit (64) rillCITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit*: MST2017-00169 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2017 Parcel: 2S108DB02200 Jurisdiction: Tigard Site address: 15233 SW HUDSON AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 20 Project: Polygon at Bull Mountain, Lot 20 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 1108 sf Basement: 812 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3316 sf Value: $397,470.59 Rear: 15 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: 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: 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 3316 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 2 Geotechnical Inspection Required before foundation PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,760.88 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. r Issued By: �\ r Permittee Signature: � "L�G''71/7f/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. , , -0 Building Permit Application R EC E44U2� es ls~a Ial FOR OFFICE l SE ON El MAR 2 8 2017 Received Cityof Tigard Permit Nn. g DateBy.�,/�// Y/fT /7-1,04,e/_ 14 1 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD Plan Review _ ■ Phone: 503.718.2439 Fax: 503.598.196SUILDING DIVISION DateBy. 15 'J7 �' °��Permu �j�' j/� �'�/jr ' T 1 G;Ali Inspection Line: 503.639.4175 Date Ready/By: 5`/./ June H See Page 2 for Internet: www.tigard-or.gov Notified/Method: ���/�7 Supplemental Information e7t7 /L "146.i .--- 0 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 = �� � zf� � � �, work indicated on this application. 01-and 2-familydwellingVal . 7((�� 0 Commercialrmdustriat uation3c17J '7 0 0 Accessory building 0 Multi-family Number of bedrooms: 4 Number of bathrooms: m 0 Master builder 0 Other: ; a f °ti f Total number of floors: 7 0 Job site address: 2 , I, .1. I :, - New dwelling area:-5--b l( n square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 3‹aJ-- square feet Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: 4 square feet,3 C G Cross street/directions to job site: Deck area: I1 square feet j j O S Other structure area: 1 square feet g, --,v-T,ii,ii-:i.-fF:--2.,,7„,:,.,,:4 -:i-,,,-,-,,,,,-.z.,_4-, ,, „,,,, .'4:,'4,----,v4v44.'.t• ',,,---,,, ...41- Jit-t-,*,0,: ,-- :-.4.i Subdivision:Polygon at Bull Mountain Lot no.: ' 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 •• a f ; work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet < ° f ° ° Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 East 13th Street Occupancy groups: City/State/ZIP:Vancouver WA 98660 Existing: Phone:(360)695-7700 Fax:( ) New: Business name:Polygon WLH,LLC �f � Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Amount received: Phone:(360)695-7700 Fax::( ) E-mail:Angela.Grajewski@polygonhomes.com .. .Commercial and residential prescriptive installation of r— �` : f roof-top mounted Photo Voltaic Solar Panel System. Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Per mit 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.:204238 Total fee due upon application: $201.60 Authorized signature: kiAllalV-At ifj/0 permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:1/20/2017 *Fee methodology set by Tri County Building Industry Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-46131(11/02/COM/WEB) , Mechanical Permit APPlicatfIECEIVED ,(,,,(}, i , , 1 ,, ,,, , City of Tigard ReetiVed ' --. ,.. ,... „ . Pcqn"1.41/fS74'7401 2'. .15125 SW Hall Blvd,.Tigard,OR 97223 .Pinsne: 503.718.2439 Fax 503.598.1960 11 ' Daterny: MAY 11 2017 PkaiRev'ew Daten3 Orlier Permit . rinspection 1.int: 503.639.4175 Date Readyn3y.: slaty 1/1 see Page 2 tor lamprey. www.tigard-or.gov CITY OF TIGARD tOtilialYeth°d.' Supplemeatal Information BUILDING DM 0 . , ,,.. „ ,.._ , -.4,-;:42-,,.... .,....,,,,,,,-, .....•'::- ..„....,.....f...... ...':-:7 ;..;;,,.--;2,,!; :,,.`.Vi-i,.4.i.j,....,....,4:;,..:.,,,,,,,:„...::::....2;„-..,t?.1.:.....,..,...,-....r „,„!.. 2-.....,,'„..S:':.„,....•,.,[.1',...„-....:,,,,,r:::::,..•...,„:-..-2_:::,,',1,-,r...,r,.....,. ..---1..m...- ,'..,..i,-.. 5V..4.! -'7'.-.-: 7:::----*'' ';'-. , :,„ . '''''''-'-- ''-''' z.- " 'Methca!permit fees'are based on'the value of the work SI New construction 0 AdditiOn/alterationireplacument perfonned.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: ithschanical mmmials:equipment,labor,overhead.and profit. Vlue:$ 7 -::-:';'!......-: ''' ''':':: :tci'..'r:-.1.r:f",,-;.,"!."-:.::!;:?_.1:?:;:i-'r-;:,.-±:j_':t'..kt7._:j.._V -,l. .---,.`..-'.,:,,:f,....,-:. '''....÷.±:;'.).-:-'7...:• I::.;f:',;7..' :1.7!..i:',7,':-..i.t','41,:'-'`,r9 J•,,:,.,4;;'..',,,*,'1..'-,:•;. !:,7,7,-,,,`=-4,_.:L-.:1,,-:-..--7-'-',.:2: .„_„„„_,.;„,,,,,._..„_-„...,,.-,-,-,,,..__,, --,_ , •.-, ,..-_-_,. - . , , ..,..._____ . . ,.,.,„„,_.....,,,,,,,.,..._..,,,„,,....,.,... . ., „ . ............ .-,-,. VI I.arid 2-family dwelling 0 Commercial/indusbial 0 Accessory building Air soaciallafratailim rise cheekliii Multi-family 0 Master builder 0 Other: DrIscriPlinn I Qty. I E4. 1 I0i4i .::V,...:',1-'' ''''-- ...-:J''. 0.-2} • ';';f _-' :, '3.1_•;',-;,,:+."- ":".. * :,-..1,f,.:: .. • _ _ Air I 46.75 lob site addiess: i s7s Svi tttiasty) 64t Furnsee 100.00013TO(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(dot:Is/vents) 5t91 Hem num 61.06 Suite/bldg./apt no.: I Project name:Polygon at Bull Mountain •Duct work , 21.12 Cross stre.etidireetions to job site: Hydronic het water system 23.32 Residential beget(radiator or hydronfe) 23.32 Unit beaters(thel-typc.not electric), in-wall in-duct.suspended,etc. 46,75 Flue/vent for any of above A .23.32 Other: 23,32 Subdivision:.:Polygon at Bull Mountain I Lot no.2.0 Other fuel appliances: - Winer herder 23.32 rr.'1‘711,1‘aPi.,„771114.)::,,,. , ,,_..,..„,„,„ ,,,.,,,,-in--,.,... ,.-,... ..„,...-: Ti.:-47-7,',:.-,-7-L G4S fireplace/insert 1 3339 _.:,:::.::; -.:''.:-.:-..r,.4.:._z.."'_'•':'i.,Z_Llz,"::.,',4',:.'.‘;,5r .'-.!.!-",'`... 1--:-a-2-',..•.1--;:f•-', -f).---:---='-: Filio vent for wat,t,how or sits MS11Z11...60 t tpCi fireplace - 23.32 Loa lighter(gas) 2332 , Wood/pellet Merv* 33.39 %ow fireplace/insert ' 23.32 Chinutey/lincrffluckera 23.32 • 23.32 !''''-;) ::'.:I°. ;:!- -;;T'S57.'.';:7:.:::: h:ill'e-'41:8;'''i:':-Zer-E.11-7-ii:i: 'r ,:•'*- Environmental exhaust and ventilation: Name:Polygon WL11,LI.0 - Rene hood/other kitchen I e4uipment33.39 . , Address:109 East 131`Street Clothe$drVei exhaust i . 33.39 , .Single-dual exhaust(bathrooms, City/State/ZIP;Vancutwer,WA 9,0660 toilet eumpormtcnts.utility rooms) --r , 23.32 Phone',(360)69S-7700 Fax:( 1 Attic/crawl-space fens _ ,....i.„.4.. T.:..,.:,.272::5Zi -.-:-.7.:7-f....-,••-d--.,:l1 .:::: .4,,..,-;',.,:t ,--- -.f--n.---..', ,--' —r 23.32 , Fuel men; Business name:Polygon W141,LEX 514.t.5 for first tour;54.03 Tarter-1r additional Contact name Angela Gtrajewski Furnace,etc. I Address:109 East 13th Street Gas beat pump Wall/suspended/unit beater City/State/2.11%Vancouver,WA 93669 Water beater P1leme:,(360)69S-7700 I Fax::.(360)6934442 Fireplace -I Range I . E-mail:Aagela.Grajewski*polygonhontos.com Barbecue c1cete5 drYcr(gas) Business name'.Apex Air LIA: liter: . . .. . .. . ........:_.:!....1-;',.-:_- . _ _ . --5;;;;,..,..-..-,-•-.71--.•,-.:.,...,. Address:100114 hilt:72"1 Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of:permit fee) Phone:(360)3424109 Fax:(360)326-1769 State sracharge(12%of permit fee) E Celit lie.:210034 TOTAL PERMIT PE This permit application:spires if a permit is not obtained within inn days afterlt has been accepted as eamptese. Authorized signature. . Fee methodology us by Th-Cottnty!lading Industry Service Board Print rtamer1Z-0‘. / Date: 4I1-ito* 1 knnikOstsPositstMEC PmitA119,-1:04131 13 dot 4104417TO IMCOMAVF10 e CE1vEc Electrical Permit AD lice I FOROF If ETSE oNL;a� City of Tigard MAY 112017 1 Received 1- isr �s�•��,FIMMIll i N13125 SW Hall Blvd.,Tigard,OR 97223 pt,,,Review0 ( Phins;et:ionlanc: 503639.4175°3 II OF TIGARD _, _.: rd SeePagetfer }I GA ic/24; Internetxnrw.tigardwr.gov BUILDING DIVISION Notifiedma/ aU*od: illiMI Sappkmeatatluforma8on • • •;K�.'i - - -...ti a:," ':a <".�T :r•:}:v+:a:a:l;''.z��S`{:: "4».'74:`":.>.�. .xa:�s.: `"`s{<, •.y^t ;;:� .:rtyg'u;�•n•!3Ftiv:. ==•IX.n l iCl' .'- g i:}''t'4.f�L:"a .1;:,. . re::'. .:1 _•:,%.. ''1°'•.,'.:fit* .r: {fir •_t .4..,�.�.,..r:.g•i'i . ."•t6;:'.�•.I�"�'..K?i7,•-,�c�'�.-`dyG�?`i'.'L'�,..•,•.•.��GT:iso....,.nF...,...i.�.3.,ts"'st�N,.. i`-a r..a..,. „ [•�`;.. �'•�'..+-is)�`,��4�^',a'j .4.'#'z .7... i New construction 0 Additian/alteration/rep)acement Neese check all drat apply(submita sees of plans wPdemaoboc a*: • other: ❑Sovice or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 O where are available fault current ❑l daritas and boatyards. • -_. �ti' t i7iFinTrnih ��f�tg ��kZt:ittigl C..;t.:?o.i:;,?yi v_' exceeds 10,o00aap4a1150vo11eor ❑Mating badiaim ®I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to groan!,or moods HAM ❑COMMaolai-1180 agricultural amps for all other batallatioaa. •buildings. ❑Multi-family • p Master builder O Other: 4ailPare pump.. D Is tallation of 150 KVA or tg=4?• wdin�ri? SB- " ll r • r?`'.?•;':ag: '. •C1' :.;1OEm I ^Jaytm' larger separately derived ❑Addition new motor badof Job 0: Job site addressSl}j SW } iSal ie I0011P or more. ❑A">"E","1-2",`1.3 City/State/ZIP:Tigard,OR 97224 ❑Six or more residential unite. occupancy. Pxealth-0amfacilities. °Itemcatbiat vehicleparks. Suite/bldg./apt.8: Project name:Polygon at Bail Mountain El Hazardous locations. ©Supply voltage for more tbaa D Service or feeder 600 snips�or mora. 600+;vee nominal. Sim s+ Cross street/directions to job site: .u,� a >•.'{ r• c 'TF:i-: ."pj :n_k.{==i '-'::5;? • o-rS. Peuriatisa Qtr. Serb I Tete! II * . � ^ New residential single-or multi-family dwelling unit Subdivision:Polygon at Bull Mountain Lot 8: (,l! includes attached garage. Tax map/parcel#: 1,000 sq.ft.ode= I I 168.54 4 t,:,: x: "nae%F ` 2. . c �`' .. ": { ..1::;• Limited addene50rgy, y,sqs orportion on 33.92 I °+f i u "'d`:w. ;"t'ia :. : :'',.:. :. energy,residential 75.00 2 (whh above sq.It) Limited energy,multi-family 75.00 2 residential(with above sq.ft) , n Renewable Entry ❑ See Pima 2 . ' SAr rti?Nfir:ra;e ; 5Svili-._, . , ir> . . : : ertea or tLeers iastatlatonahtxation,and/or relocation Name:Polygon WLH,LLC 200 amps or less 100.70 2 Address:109 East 13th Street 201 amps to 400 amps 133.56 2 • 401 amps to 600 amps 200,34 2 City/StatJ71P:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 • Phone:(360)695-7700 Fax:( ) Over 1,000 amps orvolts 552.26 2 Temporary services or feeders Installation,alteration,and/or Email: • relocation • Owner installation:This installation is being made on property that!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 * , I. � .r ,ivs 7rJ- t ssi•-,:.;..tBranch circuits—new alteration,or extension,per panel ,rr. A.Fee for brach circuits with Business name:Polygon WL:,LLC above service or feeder fee, 7.42 2 each broochcircuit Contact name:Angela Grajewsid B.Fee for brandy circuits without service or rst Address:109 East 13th Street br>trtdt circuit eder f ft 56.18 2 City/State/ZIP:Vancouver,WA 98660 ' Each add'1 brands circuit 7.42 2 • MiscPhone:(360).695-7700 Fax::(360)693-4442 Bachminu�ormodulaar not Included) • dwelling,service and/or Rieder84 2 Email:Angela.Grajewsld®polygonhomes.com � only 67.84 2 • erra s>'• "5 M ,1l b5;IV PI5 n• :.uluars..��y.a,v.>.i•Rt+.•; :, . ,ea ;r s� .�'lea �' i1tu ¢,;:�,: 7r ., F, Pomp or irrigdton circle 67.84 2 Business name:Garner Electric Washington,LW Sign or outline lighting 67.84 2 -.Address:402 ValleyAve NW Ste 106 • panel,alteration, ion(s)or Minted-energyxnion. 0 See Page 2 2 penal,alteration,orextasion. Each additional Inspection over allowable in any of the above ' City/StatelZlP:Puyallup YWA 98371 Additional iaspeclion(1 hr mho) 66.25/hr Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 in min) 90.00/hr Email:bdanlels®gweusa.com Tndustdatplant(1llrmin) 7L18/hr Inspections for which no tee is 90.00/hr CCB Lie.: C11S8 I Electrical Lie,: 208174 1 Supprv.Lie.: 4496S r ly listed_ lir min) .Lt1`r �3i � , ij a 3�>.` Suprv.Electrician signature,required: F � , / X/Ili Subtotal: Print name: Joan P Albert .. Date: El Plan Review Required(25%of permit foe): t, State surcharge(12%of permit fee): Authorized signature: '""fir—__._-_. TOTAL PERMIT FEB: This permit appKcafma expire Ira permit is net obtained withbr 180 Print name: Bill Daniels Date: days after alma been accepted as complete. * Number of inspections allowed per permit. L411a8dIsdiPetmkslBLC_PerntatAppjttLR BRadoc Rev 0607/2015 446461ST(11/0SSCOi&W6e Plumbing Permit Application • Building Fixtures FIECEIVED „, , I „ City of Tigard Rectivei, ?milt Na.,,i_ r,,,ev7-a,/b1 . 13125 SW Hill Blvd.,Tigard,OR 972160 AY 1 1 2017 Date/BY' Plan Review ' ..t.. Phone: 503.718.2439 Fax 503.598. beteilly: Other Penult No.: Inspection Line: 503.639.4175 CITY OF TIGARD ,...,,,,,,,,,,Dy, kris, VI See Page 2 for Internet: www.tigard-or.gov. Notified/Method: Su.piemen!al Inte73ation -,..,.-_,R.,,, ,,..i I, '.:„•-•;. .t,arq,„7,...,;,,,..;W;:4:...-7;17 i'-..r9tlrgF.---7z'FE;4. . -, ti.5'a:•:'';.t.t, ...'•:F'FfVr-...:`-.:'T::4.'-''ai p•-*%-'4\'''-"..--141,'',':-,..1:-Ftf ‘''-.....,%4, .,_,....,-..-'-i-..ra•T.-,0',... ,,,,Q.,-7-t__A-ek:,v....,,,I, ,-,.- .-,.. ,-. . ,.A%-..„-,-- -- ,,,Id;,:_-.__ _..--_,5.-,A-,,.::,;,..,,v-_,2:-.,._,,,,:-.....,:,,,,,,_ , ,„,.........,,,—. L.,._:.:,..z.__.1-....,,,,,,,,,,,,,,,,:t..t.....„.,......_.:_,,,,,,..__, „„..,,_-3.__ ___,_ ... _For special iniamiadail use ooraist El New construction 0 Demolition . Description I Qty. I Ea. I Total o Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ev.. -"... I I V 0 7.-'',FF7:;:::::7,::::',",,N37T7-7;t147:t7f).7 ::::::Sfii*?-Tig;Fj:a71:71*!;,;',..-4i. SFR(1)bath 31270 '4•7.....4&:...-:::...1,,.....Y.go"..:!•:0,',-L..'...1.-.,..-':.'„- ...3,.:'..,..=:;.-.-..'..,.....,-'f,...a...,-,__-;:i.t...-, - ..::::,,,,,,...Z-,-,,,,ale, •—•— () El I-and 2-family dwelling 0 Commercial/industrial SFR 2bath 437.78 - SFR(3)bath I 500.32 0 Accessory building. 0 Multi-family Each additional bativtitchen . 25,02 0 Master builder 0 Other: Fire sprinkler( sq.ti) Page 2 -,724Mir- IP.1.?..7751iiqtTAKiTFIrrtgPT:717-ki?. .07:4i3IZIT.':44Z-101.1i' Site utilities: Job site address:152.5b Svj thAcisoo Ne_, - Drywell,Icaah line.or trench drain I I )8.76 I 18.76 City/State/ZIP:.Tigard,OR 97224 Footing drain(no.linear R.: 1 Page 2 Stiite/bIdgJapt.no.: I Project name:Polygon atRull Mountain 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 R.: . ) 1 Page 2 Water service(no.linear ft,: ) 1 Page 2 I Subdivision:Polygon at Bull Mountain ( Lot no.:"2d0 FItture or item: Backflow Preveiner I 31.27 Tax map/parcel no.: 4*i :-,,....--;,'. ; . -.,, Vir7.----1:,i i . -, ,- p .. -• .-;.,,,,.--.:.. Backwater- - . i 12.5.4 ,4',.f,',.i.'.1,;.*f_.:,--;•.-',...z4.-: -'.'-'..k.''''''',:.•-4,,,1/4-,?-"-----'. ---:''-'1,---`‘' - ---''''' .--" -'•'''' - ''-'" -. - Clothes washer 25.02 - Dishwasher : 25.02 Drinking fountain 25.02 .. . . Ejectort/sump 25,02 Expansion tank ..77,,,:i*,'.. .7,1:4;,:ff.:"•,: 1231 - • .,..',.iii--:-•--.1,-,?v.:-J.:c z---',.,?r,.:-;:::.z1.4.:;Jf,--4-0;.,... ..--.- .....A -,-_-_,‘_:...1:- •.._,..-v.,,,iutE.....•=,------..-.....- rixturatamci,cap ' '75—02 I . Name:PolygonWL11.,LLC Floordrain/floor sink/hub 25.02 Address:100 East 13°Street Garbage disposal 2.4.02 City/State/ZIP:Vancouver,WA 98660 . Rose bib 25.02 Phone:(300)695-7700 Fax:( ) Ice maker 12.51 , ,„ .. , ,,,..... , . „,..„.;...,_.,...--,,...:-,•-,.--.,,, g.: . ,,..„„I„.-1,,... -0.•; „,,-....-: 3,..:1.,...w.---..--.-..,:t, Intercvtor/grease trap 25.02 :.'i•-•,..ef'-'-'...-',-1-':-:..-i--.:lr.:;,;),T3,-,,',:.?.'4,k73-.2.-.:,--;-;*,,...-,1,_4.;„,t ., „,-.. ,,,,,..: -.. -,1 .-_,:- ,-,•--„.,,, . • . Ntedical gas vaitte:$_) Page 2 Business name:Polygon Willi LLC Primer • 12.51 Contact name:Angela Grajewski Roof drain(commercial). 12.51 • Address:109 East 13th Street• Sink/basin/lavatory 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 12.51• . . , . 25.02 E-mail:-mail:•Angcla.GraJewski®PolygonhomeaUrinal com _ Sn'-.7,...:7---s.,:c.- ;.7 Water°I°3" 25.02 .i.:1.1.:;-.''';''..--.' •A,41._.:-..:;,7-''.'4-''''''-• :---,' Water heater 37.52 Business name:BDL Plumbing LLeWater piping/DWV 56,29 • Address:PO Box 85 Other. 1 25.02 City/State/ZIP:Corbett OR 97019 , ' Subtotal Phone:(503)351-3903 Fax:( ) Minimum permit fee: $72.50 CCB Lie.:180345 ...wt.? / „ Plumbing Lic.no.:P111582 Plan review(25%of permit fee) Suite surcharge(12%Of pertn it.fee) Authorized signature: - , al. iie....-‘,....--- TOTAL PERMIT FEE This permit application expires if a permit ii not obtained within 180 days Print name:Brandon Laster Date: after it has been accepted es eionplete. *Fee methodology set by Tri-Cininly building Industry Service Board, imitataiegyettnitouatercritappciee iciotar 440-eatar(Iotemomvsa) IIIL City of Tigard 111/11 e COMMUNITY DEVELOPMENT DEPARTMENT ■ r 1 cARo Building Permit Review — Residential Building Permit #: HST e�7 C1�/� �' Site Address: t 52- 3 Sv\I fi4. Are- Project Name: Ply U1 . ;,i i Vcon-tom i n Lot #: 20 (New&swing=su division name;Addition or Alteration=last name of owner) Planning Review Proposal: 1\)e,.\Jyl rJ Verify site address/suite# exists and active in permit system. Nur FA River Terrace Neighborhood: ❑ No % Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan Iti xisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper „ •u ootprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) floor elevations ,.North arrow ,Utility locations(required for new,may apply for additions) ..Site address,project or subdivision name and lot number Il►, 'cation of wells/septic systems .EApplicant information(name and phone number) xisting trees to be retained with drip line,and tree Tot dimensions and building setback dimensions protection measures ANI Lot area,building coverage area,percentage of coverage and .Street tree size,type and location 41-impervious area(applicable if R-7,R-12,R-25&R-40) ,NStreet names A'roperty corner elevations (2 foot contour lines if more than ,Storm water quality facility,if>1,000 sf of impervious Iv 4 foot differential) area is created or replaced. On site plan: 1:1Yes El N6 IR'Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified tgi No Received: ❑ Yes ❑ No 'z Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified X No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: 5me,2 -(;OCX) ''Zoning: R 1-t-.Lj i Required Setbacks: Front 1j Rear 1 ` Side Street Side 15 Garage ID .J Landscape Requirement: -11417- % .'K Lot Coverage Maximum: 1 �;Building Height: Maximum Height � Actual Height 1-2---C1 �. Visual Clearance 1J'A Easements . Sensitive Lands: ,Yes El No Type CA g Vet-) con-IL( Mooi. IleAlitP X-Urban Forestry Plan net 0074r �Y Conditions "Met"prior to issuance of building permit Notes: Cz I tl :i (OA( 10C,1, ._..pro -h 11044110 Approved By Planning: ,.. - Date: ld Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES_042017.docx Ar Building Permit Submittal Original Submittal Date: `3/ 1>1/7 Site Plans: # _..5 Building Plans: # 3 Building Permit#: [}Enter building permit#above. Workflow Routing: Planninge.Engineering C�P El.-Planning Coordinator 15-Building Workflow Sign-off: U.-Sign-off for Planning(include notes from planning review) Route Application Documents: Lk 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: l *41' Date: j/, En}neerin Review ' • Slope at building pad: . /4O/C, �/ Conditions "Met"prior to issuance of building permit --"Z"7— �� ❑ 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: Approved by Engineering: ir! (47Date: 5-/—/7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes ❑ N/A to Issue Permit Approved by Permit Coordinator: 77kKate /161/14--- I:\BuildingTorms\BIdgPennitRvw_ 091216.docx City of Tigard :11 lg1 COMMUNITY DEVELOPMENT DEPARTMENT T I GA RD River Terrace Building Permit Review Addendum Building Permit #: S 7-,20 j Site Address: 15253 S 7\ ie Project Name: R,711 c l( Mt-i'1I'GJ...4 Lot #: (New dw sub vision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1): 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. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimu of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: t2 ______ 3. Entrances:At least one entrance must meet both of the following standards: 1-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: ..k25 sq.ft. min. One street facing entry „X 12 ft.max.roof above floor of porch ft. depth min. AT0%min. porch roof coverage 4. Detailed 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 N<Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide )Roof eave min. 12 inch projection ,'Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood EGable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. El Horizontal lap siding min. 3-7 inches 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 35% 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: Yes ❑ 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. El May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade . 550%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ? - Date: 51 10111 I:\Building\Forms\BldgPermitRvw_RES RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15233 SW HUDSON AVE, TIGARD, OR, 97224 December 18, 2017 at 9:56:56 AM Record Type: Record ID: Residential - Master Permit MST2017-00169 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15233 SW HUDSON AVE, TIGARD, OR, 97224 December 18, 2017 at 9:50:56 AM Record Type: Record ID: Residential - Master Permit MST2017-00169 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15233 SW HUDSON AVE, TIGARD, OR, 97224 December 19, 2017 at 12:51 :50 PM Record Type: Record ID: Residential - Master Permit MST2017-00169 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. No A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15233 SW HUDSON AVE, TIGARD, OR, 97224 December 22, 2017 at 3:09:24 PM Record Type: Record ID: Residential - Master Permit MST2017-00169 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor