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Permit (76) q CITY OF TIGARD ,, MASTER PERMIT 1 2' - COMMUNITY DEVELOPMENT `lPermit#: MST2017-00176 "" Date Issued: 05/18/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB02500 Jurisdiction: Tigard Site address: 15341 SW HUDSON AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 23 Project: Polygon at Bull Mountain, Lot 23 Project Description: New SF. 8/17/2017: REPRINT permit to add 4th bathroom. 9/6/2017: REPRINT permit to add heat pump. BUILDING Floor Areas . Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1542 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 2167 sf Garage: 739 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 4535 sf Value: $548,536.52 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 2 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 Tvpes Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 2 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: 9 201-400 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 4535 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Geotechnical Inspection VANCOUVER,WA 98660 VANCOUVER,WA 98660 Required before foundation 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $38,299.25 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: r'% '/ Ji-e-- Permittee Signature: eiv -,'2'./ e2 Call 503.639.4176 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Appiica r OR 01 ir 1:t SE c) t,t City of Tigard rB;° 3/ ��, `n.s '/ /- ,' f. ' ' II._: 13125 SW Ball Blvd..Tigard.OR 37223 AUG 3 0 2017 Phone: 503,718,2439 Fax: 503.598.1960 Other Penni!: 7 Inspection Line: 503.639.4173 iii. 01 Se c Page 2 far Internet: www.tivard-or.gov 1iHU1WD ` t3 NotitMcho3: SaPPeaeutalInfo Information BUILDING , 'a 1• +a 'ro -'prr 4t .AKadY,1: .,&--,,. ..- fl b,'r$ * v. .yiK,,w ...^....-, F , ''''''''.Z,'o. y. , 1 V:',(e4 fCkvt, vT lyilin.. ,* ;:,-z."-,..::•1-4, '` : yr.^`i y.J . 1,''' . ,hr "".1%.r• F..-J1, ,1, ». •-,m--v.i...:„- , Mechanical permit fees'are based on the value of the work •®New construction 0 Addition.!alterttion/replacement performed.Indicate the value(rounded to the nearest dotlnri of all 0 Demolition 0 Other: mechanical materials.equipment.labor.overhead.and profit. -n < Value 6 ''..‘1,.1-4%.2.it C HE � #' • 4 Yn R i k.. =` zy 1 71-and 2-family dwelling 0 Commercial/industrial 0 Accessory building n Pat Spada inforrmdIon uscckethirr. Multi-family= 0 Master builder 0 Other. Description City. I Ea. I 'fetal T51-';u4 "•i k r Y alfy eja„ i ; ! ;e'`r.•• 1 y7'.114;. ri l -..,%.-..;'. Heatiugtcaaiing: Air conditioning 46.75 Joh site address:1539 I SIN f t Adson live_ Furnace 100.000 13Th 100.000 13TU tductsrvents) , 46.75 City/Stale/ZIP;Tigard,OR 97224 - Furnace 100.000+BTU fdoctstventil 54.91 } heat pump 1 61.06 _ Suite/bldg./apt.no.: j Project name:Polygon at Bull Mountain t work 23.32 Cross street/directions to job site: Uydronic hot water system 23.32 Residential boiler(radiator or hvdronie) _ 23.32 Unit heaters(fuel-type,not electric), fn-wall.in-duct.suspended.etc. 46.75 _ Flue/vent for any of above 23.32 Otber. 23.32 Subdivision:Polygon at Bull Mountain Lot no.: Other fatal appliances: Tax map/parcel no.: Water heater23.32 I m a. { *- - i t .meg,.A.- t a'.�.*, e!...':� , .`' , Gas fireplace/insert 33.39 a 4 ,.a y t�I ti t'ie2.2 'tis ,�•$,v.` •• '.-",.y`t�. p.�{�" �^1; �` � " Flue vent for water healer or gas 1 V b 1 1 - 00 11(.# . . . fireplace _. 23.32. Log lighter(gas) 2332 Woodfpehlet stove 33.39 Woad fireplace/insert e/insert 23.32 chirunev/liner/fluchfcnt 23.32 : n: '',. ,„` y t. 3 1 v r Otho: - 23.32 t rGla ' 1,-4 ) t � ; c .5- it , - .a61'tw1sis :" �;4,- • _ . L ,l m , G :: r w. • Y. *. 5t_, , . Environmental cabana(and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen t equipment 33.39 Address: .1 0 2j r-oodu.M St S, Sic) Clolhesdryer cxhattst 33.39 City/St.ue/Z1P: •"_IN /, Single-duct exhaust(balhr<tonts, �a�e17�Jry !Uv `i�OtO toilet compartments,utility moms) . 23.32 Phone:(360)695.7100 rax:( ) •Attic/crmtspaee fans 23.32. .... wr afC r2'gr.:,... ik rµ }- ..x'' 1 her. 23.32 t..,., , _>_f,w,tu ..,1._ , a,. ,M. .. ,7i:sji:ii� a Viq FZ -t . ,,kzek,).,,= Other Business name:Polygon W'Lli,LLC Pod pip[st j{ �� 1Y8 Sl.f.iS for first.four.54.03 for each additional Contact name: t\J i C'1'1O1,t- j� '�[ , Furnace.etc. Address: 1'i. D3_ t51 lA.1 �' `St SUAke. SW Gas hent pump Wall/suspended/unit heater City/State/ZIP: \1/41 &c'e OUv 9 8(0 b0 Water beater Phone:(360)695-877700 Fax::(360)693-4442 Fireplace _ Runge E-mail: , '' 0 tl 13111bectae Business name:Apex Air LLC Other: r.a.. . , s s i>s.6.cx.!,,,,,::,”1,,,1:3 s }}r, _,,, Address:18004 NE 72""Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan.review(25%of penult fee) !'hone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fen) CCD lie.;203034 TOTAL PERMIT FEE This permit apprteatien expires Oa permit is not obtained within 1811 days alien ithaa been accepted as complete. Authorized signature: " Fee methctdelooy set by Tri-County Building Industry Service Board - Print name. i ri *1 j Date: 4.PI-/t.. bllailtittitteermitAM C_i'aMit41104013 do:: 4311-4077(I macaw-eau �, CITY OF TIGARD �visa MASTER PERMIT s 2, COMMUNITY DEVELOPMENT F /7``�P Permit#: MST2017-00176 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2017 Parcel: 2S108DB02500 Jurisdiction: Tigard Site address: 15341 SW HUDSON AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 23 Project: Polygon at Bull Mountain, Lot 23 Project Description: New SF. 8/17/2017: REPRINT permit to add 4th bathroom. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1542 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 2167 sf Garage: 739 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4535 sf Value: $548,536.52 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 2 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: 9 201-400 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: OccupancyGroup:NEW Square Feet: SF VB R-3 4535 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Geotechnical Inspection VANCOUVER,WA 98660 VANCOUVER,WA 98660 Required before foundation 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $38,230.87 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 1, Permittee Signature: d/I- /17 /PL/CV-77L7 1 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Appli IJ. a . E Building Fixtures FOR OFFICE (SE Oi\L! City of Tigard [ 101 tteco,cd 7 l?125 SW Hall Blvd 1 igard,pli�. �.�""i`-yy • -Date/B ,' 1 X Phone: 03.718.2 ti9 Fax: i.f13. ivot r il.=:°. " Plan Rrtiecs t)ate'T3� Other Permit No TIC;ARD Ins ction Line: 5O3 x.39.41 1 DIVISION � ��,� �� Aa""��s,�����!'T t3�rtrrt oily SY' surf t$ See t'agr2for Internet: www tigard or govh I Ll u J kVutrtird 1.tethu^ Supplemental laforntat€on j. x - i• ' .T t• t - .,,:it, _ " sr sc mar El New construction I 0 Demolition i Description For.specialinfurniutionuse checklist f L Qty. 1 I a [ Total ❑Addiliorx`alteratioiilr €iaeentc nt 1 0 Other: New 1-2-family dwellings(includes 100 ft,for each utility connection) T cE) z (3 � « FIS(l')bath r 311.70 t I and 2-family dwelling 0('ommcrctaltrndustriat SFR(2)bath 437,78 • ' SFR(31 bath 500,,2 [ 0 Accessory building 0 Multi-family -; ❑Master hu€Icier 0 Other: Each additional kitchen ,02 4 hath , TiresprinRttr( €t.) Page IAS Ft INN R;4JATlt , Vfl EATT K Site utilities: ..__ --33-33 j. Job site address sal--( f ry s, _ €1 rn A t� I)rvwetl C'atch leach or line. itrain 1 of :ee ___ ,leach e,or trench drain 14,76 City/State/ZIP:Tigard,OR 97224 hooting drain(no.linear ft.:_) I Page 22 Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Manufactured_33.33_ home utilities 5(1.Q3 _ ,._. Cross streetidirections to job site: Manholes 18.76 (��-� yy\� — Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) I've 2 Storm sewer too_linear ft. ) , i c - .- Water service(no,linear it,:�) Page Subdivision;Polygon at Bull Mountain I Lot no::23 Fixture item: __ _3333. _ Tax mapfparcel no.: Backflow preventer _ 31.27 0451=Riefio C7;f oRi 4 ',,,,,,,,,/,,,,e,,,,-4,,,,,,,,..,„$,,, i3ackvs ater valve 12 51 Clothes washer • 25.02 Dishwasher 23.02 1 i i '/-Df &)C,----(/—&---fiC401/ Drinking fountain 25,02 Ejectors/st mp 25.02 � t __ P t P T1 (fW I Jt T €M l:xp uxsion tarsi. f 12.51 Name: Polygon \'Illi,EEC Fisturarsow r Bali 25 t3? Floor dram;�tl€>or stnkrhuh I 2�02 f Address:I_� c a� __. St ,11 _tiarhaae disposal 25,02 I City/State/ZIP:Vancouver,WA 986611 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) lee maker 12.51 ►,.��P11.114 (3 is-1€'T.,„ ke. t, inicrceptor%scale trap ., 25.02 Business name:Polygon%'4`1.'1-I,LLr(' Medical was(value.$ ) Page Printer 12.51 ' Contact name: N i _ \tl,► _�^�—�^ Roof drain Address: CD3 i3Y 1s) S J ki-ke S.. SinkbasinilaarnoneecitiEi 215.01 2 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)6934442 Tubishowerrshov er pan 12.51 , E-mail: i t,nnal "'5.02 N ►>✓h o IM a , ku1v 1 A ►. .. --- _..� Water closet . 2 5.02 3333. Y ,'r . , ,, �: , ,... . ' �, �4 -.-f4ater heater 1 31.52. Business name:801..Plumbing Ile Water pipitt <Ul4'E- 56 29 Address:PO Box 85 t#theMr: I 25.02 City/States—ZIP:Corbett OR 97(119 Subtotal , Phone:(503)351 3903 Fax:( ) Minimum permit tee: $72-50 Plan review (25%o of permit fee) I C(,I3 Lie.:180345 , Plumbing Lie.no.:PI11582 1 State surcharge(12%of permit tee) i 3333-._. -3333 Authorized signature: i1iike,,,,„„,,t„,„,,,,,,0"- L TOTAL PERMIT FEE- Print name:Brandon I.anter Date: 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 'Fee methodology set by Tri-County Building industry Service Board. i"auiidinsiPdnaiiet'LMe-permi€tip.dec €eair'cs .140-4616 rfttf'oz,coett WEBI 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 GA R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE ' . bVF DEPT: BUILDING DIVISIONAU 2017 CTO TWA.R FROM: Angela Grajewski 5UILDING DIVISION COMPANY: Polygon Northwest PHONE: 971-212-2144 RE: 15341 SW Hudson Ave MST2017-00176 (Site Address) (Permit Number) Polygon at Bull Moutain Lot 23 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS Copies: Dc cripition 0 Additional set(s) of plans. 3 Revisions: Plans adding 4th Bath Room 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. (plans adding 4th Bathroom) ) _ W c J ) � � aw ) -To b ).', ,- Vv- 'OR OFFCE $ C NL`Y It Routecto Permit Technician: Date: $- )7— ) Initials: Fees Dit-efil Yes ❑No Fee Description: Amount Due: )--Ir P)cr. reAr qo N $ Special Instructions: Reprint Permit(per PE): E Yes I ❑NoDone Applicant Notified:gNG/E Date: p,/7//7 /Initials: p' z I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Ill CITY OF TIGARD MASTER PERMIT 114 -> COMMUNITY DEVELOPMENT Permit#: MST2017-00176 Date Issued: 05/18/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S108DB02500 Jurisdiction: Tigard Site address: 15341 SW HUDSON AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 23 Project: Polygon at Bull Mountain, Lot 23 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1542 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2167 sf Garage: 739 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 4535 sf Value: $548,536.52 Rear: 15 PLUMBING Sinks: 1 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 Rain0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 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 Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 2 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: 9 201-400 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 Y Ecompasing: Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4535 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Geotechnical Inspection VANCOUVER,WA 98660 VANCOUVER,WA 98660 Required before foundation 2 Ersn Cntrl 503-639-4175 PHONE PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $38,041.72 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: t Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application ` c 3 ka'Oii.41 RECEIVE FOR OFFICE ISE ON EI City of Tigard MAR 2 8 2017 Received _ �j� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan R view® 7s _ Perm�tNo/ / � jlr,��1C,��� ■ Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD DateBy: S� - °��Permi yt t�' t�7> /$'7 TI G rl RD Inspection Line: 503.639.4175 Date ReadyBy: Kris: H See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information ;; ffi =I '' I t 9 & i i Br 6�a .C:117:'-'17::::7 �` :rod s "• _. ,.:� r . '�:w @ ac 'ssec ®New construction ❑Demolition Permit fees*are based on the value of the work performed Indicate the value(rounded to the nearest dollar)of all O Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the ' - � � work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation:�4 g1 ($ 0 Accessory building 0 Multi-family Number of bedr&oms:��ee !' 0 Master builder 0 Other Number of bathrooms: 7D ) s --} i� s l . . fF Total number of floors: 3 3s Job site address��y CW in s [ ��I1/ New dwelling area: L�cj square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: '-/ I square feet Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Covered porch area: 96 square fee 1 6 7 Cross street/directions to job site: Deck area: ` 11_ square feet)g La Other structure area: square feet Z ,, 4T lI041.. t 4 a .s[aTirTaTi't r . Subdivision:Polygon at Bull Mountain J Lot no.:e] ) 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 r - `� . , work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet Fi' ` f 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: , ate � `, .. 1 _ �.I� i Business name:Polygon WLH,LLC � i Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 I Fax::( ) *UYa £7- ,rye,` -'' gy' l>' E-mail:Angela.Grajewski@polygonhomes.com , Commercial and residential prescriptive installation of �� � roof-top mounted Photovoltaic 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 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.:204238 Total fee due upon application: $201.60 • Authorized signature: VOI ('1y`/ k This permit application expires if a permit is not obtained Jwithin 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:1/20/2017 *Fee methodology set by Tri County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) t Mechanical-Permit A I 1 ii w CLL.. ENEr) IIIIII/M/MIIIIMIIIIIIIIIIIIMII: 4 City of Tigard DinefPmnil NVY...IT..v20/7-00/ 7‘.› 13125 SW Hell Blvd.,Tiganl,OR 97223 -1 Han Iteview 'Phone: 503.71/1.2439 Fax: 503.598.1911 ( 1 1 7.,.11DatertIr °titer Permit , l'inspection tine: 503.639.4175 r..„ Dale Ready/By: hail. 1 03 See Rite 2 tor -Anteater www.tigard-or.gov Supplemental lateraistion Grry OF 'TM-etfiu _ flotifiedAtedi orl, 1, SION . - -..:„_.... ,.,-i,J.2-?,i:-,-.,-,,,_v_.:,.11,7::,,,---..:.:1,7„.72,i--.7-± ::-:"._:„.7,..„-yz:,:r....„7,7,..,L,r,37.L.L.._.ev-r.,*-}1, . El New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)Mall . 0 Demolition 0 Other: mechanical materials.equipment labor.overhead.and profit. Value:$ .1.'`,i:JAti.::_:::::q.j.:. ,::;:•:,:.2::::-./-•:::''' '...t7•;... *I ;:71.1.-:;_,'-'),:."!c.: _'' - `';'..i --.''!.:7',7:i'lj.-2E.;:ji*.:;.1,.-:1:...:-.7.:** ,,j•::-.'":.'ii:.''.V f,ri./.7;',F1',11',..,,i,.'',:::.L.i..,':!'!':::=7_`'..<':.,i'..... /.-01Z‘ir';'''-17-T3-:-5.1i".;:4.i. ij 1.and 24family dwelling 0 Commercial/industrial 0 Accessory building ' For ipechrikfirmWtint ore plientline , 123 Multi-family 0 Master builder 0 Other: Description i Qty. 1 la. 1 Total ‘,....:,:i i. ,,,.1,-.. ;, „. .-,..._._;:-:,-,.y,--s-, , ,,,,,17.-7... ...-•;:-.3'...;:;--7--;:77..7;:: Hleatingiceolinv ,......- -:-....,-,—..L.f:,,..:-.:.J..,... ..,...-.:..:.,, . L,.....1.7...L'...„-- -....,,.-,..'•:..,..-..1,_,..,-.:: ,..:,-....y.,-..L.../.,--„f:-...1...,-2...J...,,,,. Air ionditionina 1 46.75 Job site addritssiS'3L)i SLA/ °710,1 "4 Furnace 100,000 BTU blueish-taw I City/State/7-1P:Tigard,OR 97224 Furnace 100.000+BTU iducisfvents) $491 • . Heat pump 6213:03: Suite/bldg./apt.no.; I Project name:Polygon at BuU Mountain Duct wodc Cross street/directions to job site: llydronic hot water system 23.32 Residential boiler(radiator or kydronie) . 23.32 Unit heaters(fuel-typenot electric), in-wait,in-duet suspended.etc. i 46.75 atflue/vent for any of above 1 23.32 , Subdivision:lolygon at Ball Mountain I Loi no.:70:73 Other Intl appli23.32 ances; Tax arap/parcel no.: Wetter heater - . 23.32. 7".:T"'"-::- •-,I...,"L--.--.-:7.L.-.-",---,_--.:---.77.7.,.5;r1.,,,,_:..,,:lriFtf„.7.-ii.2men.-',E,=I.,,,-,7--_,7,-,;- 1:,:f.:---..;4-,--..-:...7"...7.,,. oasfirepiaaatiasart 1 33.39 ...-_'.1-...: ::- .:.,,,.-rr...2,..,'„,....,,:2-....;2:::.,.,-:.:-.1,:,,,,',L:L_-,........i.-...',_,...,,,,,,,.-..--,.--,-.,---,...,,. nix.veal for uster heater or pts fireplace 23.32 f Loa tioncr(tits) 23.32 • Wood/pact stove 33.39 Wood fireplace/insert 23.32 • Glituncyflinedflociverrt 23.32 ''..'n -r-,---9."-:-.YF."'P" F-',..' :-F.-::I--, 016°11 . 23.32 ':..;cali._.;_-",."'."-"'.f.:_-:.!:"..1.•t-;'-',"-"5:',. ',:.,c1'..:if?:'•' ' ' - -,.::::::":;:-: Eitviroaments1 exhaust sad ventilation: , Mom Polygon VLH,LIC Range hoodfothcr kitchen equipment 3139 Address:1 09 East 13 Street Clothes dryer exhaust I 33.39 City/StalealF:Vancouver,WA 98660 Single-duct exhaust(bathrooms, LI toilet compartments:utility rooms) —I . 23.32• , Phone:(340)691-7700 Fax:( ) Atticknnvistatee fans 23.32 Othei 23.32 'T::::-..:'::-....-..":1,22-.-c.',..~.`...-,." .,--',.`-:..f.:-.,.. .i'-: ',..,--'.iz,-,--,:li,.f.:•ti::,,!.:1.:. -i---:-,-.5.,, ,,,,,-..,k!,..,.:1..,F,. .!:.:-.' ,-...,:::1,,..--= f'-'---'7-._,:,ii. End pionai Business narne:Ninon WLH.ELC • $14.1S far first four:$4.03 for each addltkiard Contact mune:Anger*Grajewski Furnace..etc. ' s heatpunin Address:109 East 13th Street Ci Wallfraispendedtunit heater City/State/ZAP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax :(360)693-4442 Fireplace 1 - . Same E-mail:Angela.Grajewskpolygonhomes.com Barbemle :f4.-..i.T.:-,7:;:::1:P'7:f;'::4::,..::j;:... ....;i::: Ciathes-dr/tcr(Ps) Other. BuSiness nathe:Apex A Or LLC ,--..-.,....."-,-,-,,--I,'.2-....;,„':.', --,•.'-..:.-„I.,,,„ -,,!„...51,...:,„.j,',",,-,-",-..-,.:,..":',..:',--iii:,-;.,--L, Address:18004 NE 72"Ave Subtotal CityiStateiZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Flan review(25%of penvit fee) Phone:(360)342-8109 Fax (360)364769 State surcharge(12134,of permit fee) TOTAL,PEANUT FEE CCB tic.:203034 Authorized signature: - Print mini.' i t^ 1 „........._00.1/ Dale: 4.tot.tt,„ .11*Feep:rtemftodoisppoulia::::: ournyffsuporsuiruseangtkc not able.lastrviceed within ISO days atter lebas bans emoted us ample*. laevatfiustPcmihomr reireirnapsoi nem 44046 PT i iffitOOMAYEA) ,.,. "GEN ED Permit Appli r, ii. : ]OI2 f)iii+Tf,£"E,SI f)}L�' I City of Tigard mg 1 i 2017 Received kiiiiiiMa 13125 SW lieu Blvd,Tigard,OR 97223 Ilir �Q ° ` 4)F 11CGf�RI� Plan Review Phone: 503.7#8.2439 Pax: S III pa,- rnspection Line:eme w .tigord 39.416 11LAtNC DIVISION Readylhte/Be 1'i C, iZf): 0 SeePege2tor Notified/Method: ® Supplemental Information j� .1.1a +iN: ^ OY,QW. nIn; i , r:Yi'gR, ji i:'••-:.Yt f::.-e{_..y•` -1 ri; .te��t�ryA_u i•iy^at.iJffgg e Newconstrucion ❑Addition/alteration/repiacernent Please check ell that apply(submit a sets ofplans nt citecuea): ❑Serviceortbeder400ampsormore ❑Buildingoverthreestorks. ❑Demolition ❑Other .x where the available fault marmot 0 Marines and boatyards, Yi',y': tt:a; Y::, `"° exceeds now f0•w ::i+�`,'tjii: s`Aa�'rteixt�i: ��Y�l4P-• .. .v.9>. `�..1,�.tY�?`w�.+�^`�3;e�S�z;S::,:A`•..i'�.s`: amps at 15U 0Floating :: . ,.i`.f.t'�. A votes orbuildings. igl 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commeuoial-ase agricultural El Multi-family • Q Master builder ❑Other amps torah otheriwtalhdioae. •buildings Mal S faro ily s<^e� builder v Dmre pump. 0 installation 0(150 KVA or '?% ;sir,'.41::,:�.'-.C:iq,Q1- ,tt're a�t,O M.: 'JbtjXs..l i _ . :�`:761.!. :?.:h ❑Emergenaysystem. bee separately derived .� . . � �`'`'�iC ��//.,,• � i]Addition of new motor iced of system. Job s: Tota site address �7 C SW a&LY1^ Ave, looHP or more. ©A^,'7r',^I-r,"I-3,, City/State/Lm.Tigard,OR 97224 0 Six or more residential units. occupancy. ❑Heallh.oem technics. ORocrealiwmi vehicle pars. Suite/bldg./apt.#: l Project name:Polygon at Bull Mountain 011aeardoas locations. C]Supply voltage for more than ©Service or tmader 600 amps or more. 600 rolts 000dnal. Cross street/directions to job site: .., u�,,;;�,.,•;:3•. ��rya�; St �.::y;,•+,4'{l:?:..7;y .,:• ;:Y>, .:Y.:...'.1'a`. .. •,J^'..31T #;tate::?^•J I jc.'<:nt: '4: nucdetioa I tgp. Rath t' Antal II . F New residential single-or multi-family dwelling milt. Subdivision:Polygon at Bull Mountain Lot#: 25 _Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 r• u T •,�° .h ;S�A ; 'r `f' Ba.add't500sq.tt.orportion I 33.92 1 , '.t�:ists, . tQT IC . . . }..:,',;::';' Limited energy residential 75.00 2 (with above sq.it.) Limited energy,multi-family 75,00 2 residential(with above sq.ft.) • i ^`�b' rS(:a ": ;};:.:•�y-�}'.`_�"�•`4 Renewable idla 0 See Page 2 1.1.4i7;,..t��=�s .rilTt,-::.a E '1, yGRii^:` ,.;.ix' y;i.,'t•; '•< Services or feeders installation,alteration,and/or relocation Name:Polygon WLEF,LLC 200 amps or less 100.70 2 Address:109 East 13n'Street 201 amps 400 amps 133.56 2 401 amps to 600 amps 200.34 2 CitylState/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 lax:( ) Over 1,000 amps or volts 552.26 2 Bin: Temporary services or feeders installation,alteration,anNor • relocation {Avner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I intended for sale,leap,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 I68.54 2 61 �'' , ',,• ti "t r`-e� '+�I;I:i,'12p. t gi :-•.'1 Branch circuits—new,alteration,or extensionpanel A.Fee for breach circuits wok Business name:Polygon WLR,LLC above service or feeder fee, 7.42 2 each branch circuit Contact name:Angela Gtajewski B.Fee for branch circuits wtthoat Address:109 East 13th Street branacdnh oitouitt fuok fee,first trra5618 2 City/State/ZIP:Vancouver,WA 98660 Bach add'!blanch circuit 7.42 t 2 Miscellaneous(service or feeder not Included) Phone:(360)6954700 Fax::(360)693-4442 Bach manutlyduaed or modular 67.84 • 2 Email:Angels.Grajewski@polygonhomen.com dweling,servlceanalorfeeder . •y,.r� : Reconnect only 6784 2 ry� =?q7 __ %'. ,.,rte . e��.��3141 x !.. ' i �114,a: Pump orIrrigation circle 67.84 2 Business name:garner Electric Washington,LLC Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address 402 Valley Ave NW ate 106 • panel,alteration,or oxthtsioa 13 Sore Page 2 2 City/State/El':Puyallup WA 98371 Each additional Inspection over allowable In any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)872-6051 Fax:(253)8721801 Investigation(I brant)) 90.0W hr Email:bdaniels"gryveusa.corn bdaslrialplamt{1lnrmhr} 78.#8t hr CCB Lie.: C115Inspections which no tea is 90.001hr 8 Electrical Lie.: 208174 I Suprv.Lie.: 44968 spec8catil/listed 34 hr :jow..M Suprv.Electrician signature,required: 4 wwCC tr YY Alb"LP-J140/lJ�t i LVii.:: .... Print name: Joan P Albert I Date: 0 Plan Review Required of Subtotal: � i�h fee): r- State surcharge(12%of permit fee): Authorized signature: .010"""---__, -— TOTAL PERMIT PEE: This permit application expires if a permit is not ebtalaedwithin 180 Print name: Bill Daniels Date: days after it has been accepted as complete. • Number of hnspeotions allowed per permit. I5seldkuthmehrOLC PecuMApp tlLR SREdae Rav05t17@01$ 440-46157(1IM . OM/WES Plumbing Permit Annlicatiaritt-CENED . . . . . . ... Building Fixtures1.01; 01:1.1( 1: 1 SF (.-.)'1 C mg 11 2017 . geois..4 • . . •ity or Tigard tiate/fty: Pertnithic./Vf77,2et j 7 yiv 7e0 13125 SW Hall'Blvd.,Tigard,OR 97223 - - • -, irt phin.fteview t• ---:- i. Phone: 503.718.2439 Fax: 503.$90WY 01- I It,An'a, ,Deteigy: Other Permit ' . in4lectigr.i Line. 50 149.4175 BUILDING DIVISIO• '111,WitiY10).:. kirk,. Ri See' Page 2 for Internet: www.tigardor.gov. . Notified/Method: .Supplemental information • • .-.<7..3.-7, i --,ngtr:•:-....7.-...7,7_-.,.,..',:,.t......-,71m.":7;7:7,--717.71•67,?..:;"-n7.7WitVW,S,T: • .-'•;.,':',-',5.T.'.::-..-0',..':-....,...,..,..-,f.4..7:2....p.,..._i.-..4..44-az?::,-.1.w..,:,7,-,.0,.:,......:17,---..,:e -...-^4.-,..-,-.....- -.7-• -• -,.-.4....".L.,- ..:.,-,_,.- -.... _ -- - . ' .'.•I'' 181 New construction D Demolition For speciolinfortnation use checklist. • DesctiOtion . . I *Qty. I Ea: I Total 0 Addition/alteration/replacement a Other: New 1-2-family dwellings(includes 100'1 for each utility connection) ...:.„.,., s ,-,,;-.7...\;•;--,.; .. .. ..'*40.4c . T0.- 7.:•.'i....,:-.1s' spit(1)bath 312.70 fi-: .1,',..1*.= -: . i •1,i4,11::'•:3-Sfil%:iN V !' , 1.LI!;...-%--7, '''tiz,'5.43 :;',. ..a,.:•;;.'i". ....;.. '4......:..-ra.,,-.... --.,24,.... ...,-.-..z,k . SFR(2)bath 437.78 gi 1-and 2-family dwelling 1:1 Comm t SFR(3)bath 1 500.32 1,:j Accrissory building Cl Multi-family . Each additional bath/kitchen 25.02, . . ID Master builder ID Other: •Fire:sprinitler( sq.ft.) Page.2 =•'-'7-1:;'1.'35'1•2-'Til':; ',WWT,':$1:iiii.:'-z Mi,..,:-',A-45.'W.;:r:=1. ,,,,, PF.,,,0--.:.-;_;2:' site utilities: Catch basin or area drain 18.76 Job site address: rig.fOn t • Dry-well,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drairi.'(no.linear ft, __) Page 2 •• . Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Ivlanufactured home utilities • •Crosnstreetidirectient to job site: • Manholes 18.76 Rain drain connector 18.76 ••• • • ' Sanitary sewer(no.linear IL:_ _,) Page.2 . • StOrrn sewer(no.linear 11.: ) Page 2 . . . Water service(no.linear it:____) Page-2 Subdivision:Polygon At Bull Mountain I Lot nont.25 -Fixture or item: . .. • , .. • • Back-flow Maven* 31 .27 fax inaPiPmel31°.: ' - •Backwatervalve' i 12.51 , efl'::' '.'i'' 4i§il,1 .. -- isg:..-" -Y:.,•;'railt:27:-:z• clothes washer 25.02 ... ' Dishwasher 25.02.. • . .. Drinking fountain 25.02 . • . • . .. .. . . . . - Ejectortisump 25.02 Expansion tank. .:`.."..7?-•11.E-f-ZT• TAtic.7,7?..fil.v...4'..,-,IN.L.--4.-.T.'-'•: -.41.t. -.,•-,- '----•:, •,-,--F. ...,-.14.3i;if, -'-.a---- -,....'i-,-...t . • 12.51 • ..,,.- --,.42:.,-.:1.:::_l_:,.:...-..-,.1f,:..::= 1,,,...,:,,,.,....-..- ri..x.tureisevice cap 25.02. • Name:Polygon W1,11,LLC. . , .Floor.dminftloor.sink/hub 25032 • Address:.109 East 13' Street Garbage disposal . 25.02 . City/Stateg:IP.:Vancouver,WA 98660 ... , Hose bib 25.02 , . . . Phone:(360)69$.7700 Fag( ) ice Maker : 1251 ___:..:, ' 25.02 ......,„_.., .,,,....,,-..,..,,....F ,.;,---. -,--0,.€,- .-1,-77,-,w'.;:';'.i'42-Altt'--,,:.:•-- Intercepter/810Se trap .-•-•----7.A•i..---i-.;-4,'•-• .-77.:..-.s.-4-r-r,v,:;.,,.. ,,,-.11:-.:-.,...-.:-,,,,.r.,.. '• . . i.:::!':.:.*:-Jj..-ft:t •15:4, 2.411'ilz ;:i.:-.:.3.:,',.:‘,-''.......,.. .:. 7-- Nteditittsa,(value;$ , . ) Page 2 . .. • Business name:Polygon WL14,LLC •" Primer • 12.51, . .. . • Contact name;Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/tar:al* 25.02 , . . CitlIStgtegIP:.Yaneouver,WA 98660 ,Solar units Volatile water) 62,54 • Phone:(360)6954700 Pax::(360)693-4442 1 Tub/shower/shower pan 12.51 Urinal .25,02 E-mail:Angela*Grajewski@polygoithomes.com ..._ .,_,, ...,, , 25,02 -..,. Water closet • . .. -; ,4,..,--•,. ..--,,,,,'''-''1' .?-47..-•- ;::---;,7:,.,W:-;'-'-'v.-7,77ThWI7-ri-iZ.7.Z,-...-:.---'- . A;.; . : . .,....•;:.,F,i....•.:,,,•-?...-. ,.'4.,,•4.- .,•,-.-,....f=,,,;•,,-,•,l,-.,:.,,,,..-i--•-•_. (.,-,• --;-•._ T.,.. -.-.. • ,.,•. ..- waNT.heater . 3.1.52 • . Business name:BDL Plumbing LLC ,'Water piping/DWV , . 56.29 Address:PO Box 85 . Other., 25.02 City/State/ZIP:Corbett OR 97019 ' Subtotal . • Minimum permit fee; $72.50 Phone:(503)1514003 Fax:( ) • , . Plan review (25%of perMit Tee) C.CB Lic.:J80345 Plumbing Lie.no.:P01.582 `-- • . . State surcharge(12%of permit fee) • . . , ,TOTAL PERMIT FEE. Authorized signature: 0,02.,..4,,,....,, teero#1.00"."- This permit application expires if'a tern&rit not obtained within ISO days ' 7 Print name:.Brandon Lanter Date: after it has been accepted as Complete. *Fee methodology set by Tri-County Building industry Service Board. 44041614400/02/COMMEB) LABOdingVermitOLAW-PerreitApp.Aoc PAUM9 4 ` ' IIICity of Tigard 'I COMMUNITY DEVELOPMENT DEPARTMENT 1 T 1 GA lz o Building Permit Review — Residential Building Permit #: 'S T /7 --®d /7 , Site Address: i SZLi I Sii0 4-Iut)5c X) ANE Project Name: Pa i .� (A-k ILA MotAr�-c�.n Lot #: .-/- (New d g=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 45 dVerify site address/suite# exists and active in permit yrstem. [ River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: hree(3)copies of site plan R igSite plan must be on 8-1/2"x 11"or 11 x 17"paper L1*ootprint of new structure(including decks)with finished ,,,{Drawn to scale(standard architect or engineer scale) floor elevations e;North arrow sktility locations(required for new,may apply for additions) LE Site address,project or subdivision name and lot number1;141yeeotifiluaafauals,Lsatatir...ciistatas [ Applicant information(name and phone number) KLot dimensions and building setback dimensions [ot area,building coverage area,percentage of coverage and [l4S� reet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) treet names dProperty corner elevations(2 foot contour lines if more than Ntilkorm water quality facility,if>1,000 sf of impervious 4 foot differential) area is created or replaced. On site plan: ❑ Yes ❑ No Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): �f Required: ❑ Yes,applicant was notified yNo Received: CI Yes ❑ No Of Public Facilities Improvement(PFI) Permit: 'Q 2o'\5 CO-fl Required: ❑ Yes,applicant was notified ❑ No Applied For: d Yes ❑ No,stop intake V Land Use Case#: -i4 2C,i 5._OCOO2 Cz Zoning: 12--M.5 qQ Required Setbacks: Front -2c Rear i 5 Side 5 Street Side 16 Garage -;0 e i • -iv-. va u : - % 1161 Building Height: Maximum Height Actual Height 30 Visual Clearance Easements ®)Sensitive Lands: ❑ Yes [iii No Type E Urban Forestry Plan Ili Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: ;AN. 2 it Date: rj /16//17 P 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 042017.docx Building Permit Submittal Original Submittal Date: -..V 07 Site Plans: # 1 Building Plans: # 3 Building Permit#: l Enter building permit#above. Workflow Routing: Et-Planning [ Engineering Permit Coordinator [ --$Wilding Workflow Sign-off: e'Sign-off for Planning(include notes from planning review) Route Application Documents: a--Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 4uilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: i(,„� ` 7 : Date: .57/6,/7 n EnObering Review / Slope at building pad: /® ,,e, _ i f _ s ;,Ar J, ,110 Conditions "Met"prior to issuance of built: I permit 4.. o,, iee----1—' • 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: .42 7 Date: 5.-,—/7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ 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: 7 C Fees Entered: Wash Co Trans Dev Tax: S''es ❑ N/A Tigard Trans SDC: �� es CI N/A Parks SDC: /a'Yes El N/A LIDA ❑ Yes ❑ N/A 'C:10K to Issue Permit (Approved by Permit Coordinator: Date: ��bl I:\Building\Forms\BldgPermitRvw_RES 091216.docx f City of Tigard IIICOMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD River Terrace Building Permit Review Addendum Building Permit #: /272o 7 —00/ 76 Site Address: I 5Bi.4 I Ste; kluk' cK) kt Project Name: TO r c31 ak ° 1,111 Rt vil-at�1 Lot #: "25 (New dweing=subdivision 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? E Yes I No 1.Articulation: a minimum of 1 element per each street-facing façade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 3. Entrances:At least one entrance must meet both of the following standards: facing wall ❑ Parallel to street,angle no more than 45° from street, ❑ Max. 8 ft. setback from longest street- or open onto porch Entrance opens to a porch: ❑ Yes ❑ No If yes,all the following apply: ❑ 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft.max.roof above floor of porch ❑ 5 ft. depth min. ❑ 30%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 ❑ 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 ❑ Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade ❑ Window trim min. 2 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. ❑ 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 ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: 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: 15341 SW HUDSON AVE, TIGARD, OR, 97224 November 3, 2017 at 9:40:58 AM Record Type: Record ID: Residential - Master Permit MST2017-00176 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed at this time Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15341 SW HUDSON AVE, TIGARD, OR, 97224 November 15, 2017 at 10:24:20 AM Record Type: Record ID: Residential - Master Permit MST2017-00176 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