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Permit (72) CITY OF TIGARD MASTER PERMIT Permit#: MST2017-00202 COMMUNITY DEVELOPMENT Date Issued: 06/14/2017 T f GAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB01900 Jurisdiction: Tigard Site address: 15280 SW HUDSON AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 17 Project: Polygon at Bull Mountain, Lot 17 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1591 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height 24 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3427 sf Value: $420,975.56 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 Rain Storm Sewer: 100 0 Water Heaters: 2 Water Lines: 100 Drains: Catch Basins: 0 Tubs/Showers: 3 Garbage Disp: 1 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 7 201-400 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 3427 Owner: Contractor: Required Items and Reports(Conditions) POLYGON WLH LLC POLYGON WLH,LLC 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,360.94 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•btain a copy of the rules or direct questions to OUNC by calling 503.232`1987 or 1.800.332.2344. i Issued By: 4 -i Permittee Signature: $Trr 4-7 ls.!/l rl Call 503.639.4176 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • LOT / Braiding Permit Application 0'= :0RECEIVED FOR OFFICE CSE O\Ll City of Tigard Received y. � /�0 `J g DateBy: (/ / Permit No.: 1111 13125 SW Hall Blvd.,Tigard,OR 9R 2 8 2017 Plan Review /'� � Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 6 6 Other Permit`���,C,y /V I ) T I GA 1;1: Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: // Iuris: H See Page l for Notified/Method: (D 0 4 7 Supplemental Information Internet: www.tigard-or.gov BUILDING DIVISION ®New construction 0 Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement ❑Other. Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the q& work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial 1 Valuation O �S$ i •J ElAccessory building 0 Multi-family Number of bedrooms: Ct 0 Master builder 0 Other: Number of bathrooms: 7, .• a w " ` Total number of floors: -2_ 1 © irk site address:I � , �, , New dwelling area: 3ysquare feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: I /J� square feet Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: S-1 square feet%¢3C Cross street/directions to job site: seeker":doWe/ ! C.-it:, square feet jS'q j Other struccttur9e a ea: square feet Subdivision:Polygon at Bull Mountain Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the 1` MA« work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ° e 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 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 Fax::( ) E-mail:An ela.Grajewski of onhomes.com p � t s l l [ g 1 @P Yg � _ Commercial and residential prescriptive installation of F `t�t°� 1 �E 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 r Authorized signature: ✓ V This 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 440-4613T(11/02/COM/WEB) i ' Mechanical Permit.Application lr)kt)IIl( 1 1 .l (1\1 amity o[Tigard !''nerd trA f AO eat. Received . . pmcr13y: 13125 SW 14ail Blvd.,Tigard,OR 97223 Plan Review ir 'Phone: 503.7183439 Fax: 503198.1965 V Datenly: - , ;Inspection Line: 503.639.4175 - wove areaey//ivy: hair H see Page Z for . SQ ementat Information Internet: atvtr.tlgardstr.gov lvaifiedrMethod 1'PI ,...,;:;-:.;•,-F'-',.'c+` t."x:.^ "* aa ,1 ',VI r4 t '......,1 i,-7-,,?. .r+E+� eg '' i V..: :*-1< 'L, ...- ....." �! . _ -..r t 1'�'. �' °ik.a,, "�' c... v'y:.', ..„ c•.,�,e.,: , ,t;r.-,. `Mechanical permit fees'arc based On the Valle Of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials.equipment.,labor.overhead.and profit. Value S _ •••,-..1:-,."'>:�,--e1,i r .,-, ;, -. o,./ -t1 - �- -•" -•"° `.''Nr ,. .4:�f rY :t y# .�.:tea d- : g•k4.::i „z+r lif 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedal biome/fon use checkrest Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. J Total y;`c w ti '^` e r'Y t r,.t p,d fs E 7 ,u„ t e•: Y F `t, -,E, :v S eatinPfeabling; F r a E- s as .�.. wM.. .. � I 46.75 �.� � �� •'� y Air conditioning Joh silt address: al S - SO r L Putdtace!OO coo BTU Mums/vents) ! 46.75 City/StatedZlP:Tigard,OR 97224 Fu t00 000 B TU(ducls'vaitsl 54.91 ^Hear pump 61.06 Sulk/bldg./apt.no.: I Project mune Polygon at Bull Mountain Duet work 23.32 • Cross street/directions to job site: 14ydronic hot water system 23.32 Residential boiler(radiator or hydrnnic) 2332 Unit heaters(fuer-type,not electric), in-wa1L in-due;suspended,etc. 46.75 _ Fluefvent for arty of above I 23.32 7 Other: 23.32 Subdivision:Polygon at Bull Mountain 1 Lot no.: 01hc(fuel appliances: Tax maptpareel no.: Water heater 23.32 . d,. •.,,!„.;,,,,,,f,,,,,•,.- -t �, r.-,,a,....4-,:: "5 c„ a is •F '~-{ Gas firepplacetmscrt 33.39 •. .,- ... : •'�"`)<_ K' ...." 1 Irte went for iteral heater or gas • til I /�'� fyrep 2332 �{J •(J(,� Leg lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fircplaecrnsert 2312 Chimney/liner{ilueiven( ' 23.32 '''1 x G-w Odicr: _ 23.32 vtrx`cr.av1l;.n't:L .a_, .. siPa=*,_, �.,. _0{.. ..3_.._s9-a.ai^e eLer...t.ts».izE. F,yt.YlranpitQta!exhaust and YtQt!(a116n: Nntnc:Polygon W1.11,LLC Range hood/other kitchen ectulpinent 133.39 Address: 109 East 13`s Street Clothes dryer exha tsl 4 33,39 City/State/ZIP:Vancouver,4%°A 911660 Single-duel exhaust(bathrooms, Wild osmparmnents.utility rooms) : 23.32 Phone:(360098-7700 Fax:( ) Atlidcrnwtspacc fans ' 23.32 f. zk a r.v pr� :x f ,sa Other: 23.32 ....•._ _ • Fuel piping: Business name:PolygonrW 11.11,1.L 415 for first four.$ C 514.03 for each additional Contact t2,unes- All Gh vie ThFurnace.etti. 1 Oas heat imam Address:309 East 13th Street Wall/suspended/unit heater CitylState/ZlP:Vancouver,WA 98660 Water heater Phone:(360)696-7700 I Fax::(360)693.4442 Fireplace . I `, Range I E-mail: � •�jd �� r ��4 46 �+��. Barbecue�� z €. t c r, 5 l aj 4-,.,214.,-.1,:-.,-;::,....- r t� � L„ y`. Mil)"dryer(gas) Business nadide,Apes Air LLC^ J,r .,.^ e ..._..1._� ... ...._..._.. rte, .'_>..i.,vu..�'�•._,_ai Address:18304 NE 72"4 Ave Subtotal City/Slate/ZIP:Vancouver,WA 986116 Minimum permit fee(690.00) Plan review(25%of permit fee) Phone:(360).342,8109 Fax:(360)326-1769 Stale surcharge(12%of permit fee) CCB lie.:203034TOT L PEBM.tT FEE- This permit application expires ifspermit is not*mined within 180 days after it has Wee accepted as complete Authorized signature' • Pee methodology ret by Tri.Cot my Ritiiding tndestn Seroma Board Prim name! y Date: 4.lit-l rl4o I 0don 44&44,!7T tt r.K}71COMMES) i‘0uiidintt'Yout3hel�r'1�xtil.A�}t� . r Electrical Permit Application l tier cti ; It 1 I ,[ Ossi City of Tigard F ' . �.� �� Pctunl -6it1�- Plum: SW'Hall B1vd..Tigpard,OR 97x23 ., ne: 303.711.2439 Fax. 50).598.1960 Inspection Line: 503.639A 175 - may: NatifedlMdbod: a.: inland: www.tigtud-or•gov t 4; ! .� _ ' - Tom i _ . �, 4 New construction0Addition/alteration/replacement W Pleaadteckallthatapply(sabsaiiatem• plansw/itaats O Service or feeder 400 amps or mom O Building over dace stories. Other where the available fault current. O Marinas and boatyards. • T— '..-Demolition c - f j gx; �.M:_ ;!,".�_�..F_ ::.,. exceeds 10,000 amps an ISO volts or O Floating buildings. ►_ I and 2 Phonily dwelling 0 Commercitlfiudustriat 0 Accessory building less to ground,or exceeds 14,000 O Commereid.use apgiatttmal amps far all other imtallatioas. betiding& 0 Multi-family ❑Master builder n Other O Fire pump. ©lustdtauoa of ISO KVA or s 4` Vel . - ❑Em 7-1 sl wean. larger Immentdy derived ��,, ,,`` - ©AdtSition of new moult load o! syd ;`Job(R;. _. Job site address 5 41 S ') aiT1 on 1001iPe 0fmne O"A-,'E",-1x.-1.3", City/State/ZIP:Tigard,OR 97224 O Six or sante residentialies, wits. occupancy. ❑Haddtctaefacilities, ORxrediagaivehicle parks. ❑Hazardous locations ❑Stay vaitape for more than Suite/bidg lapt. Project name p01/104 ( Mpa O Swvia or feeder 600 amps or more, 600 volts nommaL Cross street/directions to job site: -,-c'-'[. ,... i ! ri '" ' '` Loeb"''-^I That •' Description 1 Orr. 1 y,.. New residential single-or mild-family dwelling unit. Subdivision: §� A� (, - � f lefttan t to Lot :I lselndea attached garage. Tex map/parcel 4: 6 -`-`s' sq .or less 164.54 4 1000 .A 1: s 1 u' 1 1,i r } - $ Es.add'1500 sq.0.or palion 33.92 1 Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy.multi-family 75.00 2 _ ,. ttsidentia l(witty above aq.ft.) Name:ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Services or feeders installation.alteration,and/or relocation Address:7600 F.Doubletree Ranch Road 200 amps or.less 100.70 2 City/State/ZIP:Scottsdale,AZ 8525813156 2 201 amps to 400 amps Pho»e:(602)694-4031 I Fax:( ) 401 ampsio 600 amps 200.34 2 Entail: Owner installation:This installation is being made on property that t own which Is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Over 1.000 amps or volts 552.26 2 Owner signature: z =Dam a Temporary services or faders installation,alteration,and/or , y,',-,,..,1„ .;:,,,,p;'..-`.•;.:•13.1.----4Y..'...,t k Sal. .,t.';',...-1.' A,;` -• . reloeatioa Business name:William'Lyon Homes,Inc. 200amps orless 59.36 1 Contact name: t rt h,01,1► l�. `!y a 201 amps to 400 amps 125.04 2 Address:109 East 13th Street 401 amps to 599 amps 164.54 2 City/State/7R:Vancouver,WA 98660Sranch cirraits-new,alteration,or ezteasion, panel Phone:(360)695-7700 Fax::(360)693-4442 A.Fa for branch circuits with above service or feeder fee, 7.42 2 Email .i L K t /1 ' / �' / f (A el Foch btamdt h circuit VH.Fee for branch desalts wirimie ,.,.+. . ._,.__-.,..... .,.... ...:?--..17.'"7__.__ _r .service or feeder fee,first 56.18 2 Business name:slanted*electric :.service circuit Each add'I branch circuit 7.42 2 Address:3415 ne 44th MbeeUaatons(service or feeder sot included) City/Staee/ZlP: A"-'T/a..,at/ 'Z /n% .7a-/3 S 1Eah mantufactured or modular 67.84 2, 111 dweliirtm,service and/or feeder Phone:(503)3192192 Fax:( ). Raomtat ob 67.84 • ' a' Email solltfltdx@ml.cOm putrtp or irrigation circle 67.84 ' : /..- Cal .''CCB Lie.: 19918,8 I Electrical Lie,: e923 [ Suprv.Lic.: Y$'7/,5 Signor outline lighting 47.44 x Suprv. m Electrician signature,required: Signal circuit(s)or limited-energy ' / pond,alteration or extension, O see page 2 Print mune; Dom' Z3 ! Each additional inspection over alienable in env of the above '. Additional inspection(1 hr min) ` 66.251h-, .., ' Authorized signature: .. .. .rr� Date• ;S"', Z3 ,4 Investigation(I hrmin) tf .. Print tearn= / 90.00.1- . • va.stainotathava.e • _Bt.A-ratBdoc K,vCW1772e1S 440.46t31tlI5lS c`cn,I/Wss , Plumbing Permit Application Building Fixtures `' ,, i Oli CH l li i l •j: O\l.' City.of Tigard - may: Permit No.: �i'epa7,a) „, 13I25 SW Hail Blvd.,Tigard OR 97223 Plan Review Phone: 503.718.2439 Fax: 5044934960' ':, -_, Date gy: Other Permit No.: inspecsxti•on Linc:.5 03.639 4175 ;, - i- - Dale Ready/gy: 1 +r.. toric1 3 See Page 2 for internet ww .tigard-orgoti NotifeddvetoSupplemental info • ma tion 'a `g { l' (+ "S1 � T6t .,F•W "`L 91 . i �F.7•':1:,,,, -Al • �,,,Z. gri�� . N ��; � '�:,w :;firis. 4-1( -. ._�. Ees,Ai ti Y�` 'F,4•. . . : ' `, t wal ®New construction 0 Demolition For special information use checklist Description ( Qty. j Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ,.,. ��.M j^7c� °-'-'1,-S=4,-';`� €V' Z�� i'�1 �� i SFR 1}bah 31270 K;n . 'y ry*;.. "3' . ,;:• -.,•••0',:M,•." .Xn' -SFR(2)bath 437.78 ®i-and 2-family dwelling 0 Commercial/industrial SFR(3(2)bath I 500.32 ❑Accessory building [(Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 Y� c ',-,,- , `4i t'G p•iU,-,,r If 4.,r t, t:,.,,�a ',.:.�k - ,r}i^'x Site ntltities Job siteaaddress: 1�` IV w r1 c •i Catch basin or arca drain MN18.76 Pi Dryweil,leach folic,or trench drain I8.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Polygon at Bull 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.: ) Pa=2 Storm sewer(no.linear ft.:_) - I Page 2 Water service(no.linear fl.: ) Page 2 Subdivision:Polygon at Bull Mountain I Lot no.:f 7 Fixture or item: Tax map/parcel no.: Backflow preventer ( 31,27 - „t • Backwater valve l� "3 I I � dE � �� r 12.51 ;�z.,x •�dw_.�v +_.s���u :T1' a�. v.r- ., r, F�.�:. u; Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ... _' v.„;.,•:,,,,,,,,, r,, " Prx ' u 4rt... </v r -r.."."-_,,,5, =F ' Expansion tank 12.51 'Fto . ' a1"-,r,r SJ f )d Y - �_ " , • .4 T Fixturefsewer cap 25.02 Name:Polygon WE.H,LLC Floor drain/floor sink/hub 25.02 Address:109 East 131h Street Garbage disposal ' 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695.7700 Fax:( ) Ice maker ..12.51 s.j f ,`4F" :r,.< 7.4 a:. . . - , c , 4' u` i,: n ,-..e..:%.-..:t',4interceptor/grease trap 25.02 -.3,.... r v_ :,Eu.__ ,-::,:-..-L__....,"'_,..",-;.i,'_: .a. A;: .4,s..... _ ,,._.-- -- 1-,".-,.....;4. Medical gas(value:$ ) Page 2 Business name:Polygon WLH;LLC 12.51 Primer Contact name:N, Mc Melt Roof drain(commerciai) 12.51 Address:109 East 13th Street Sink/basin/lavatory ifittki / 25.02 units Vancouver,WA 98660 Solar (potable water) / 62.54 Phone:(360)695-7700 / __.1.Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E mail 1,*il 1� � f' I'" /At 0,t 1 X44 Watei closet 25.02 r 8 ..2. - ' Water 11taLCi 37.52 Business name:BDL Plumbing LLe Water piping/DWV 56.29 Address:Po Box 85 Other. 25.02 City/State/ZIP:Corbett OR 97019 subtotal 351-3903 - ____ Phone:(503) Fax ( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.:180345 Plumbing lac.no.:PB1582 State surcharge(12%of permit fee) Authorized signature: 0 ,60.t..,/^ TOTAL PERMIT FEE Date: This permit application expires if.a permit le not obtained within 180 days Print name:Brandon Latterafter arms been accepted as complete. *Fee methodology sat by Tri-County Building Industry Service Bead, 1,'FBuildinstP°4mim\Pt.MU-PermiiAp5doc 1010109 .440-4616T(IO/02JCOM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G A R D Building Permit Review — Residential Building Permit #: x//71,5 r /?--op (Jk Site Address: S 2S 0 SW Ifii (..;\ Project Name: ?o).99vo c f- 6 ti i MLvrIIrl I r, Lot #: �l (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NekI S /Z- 0 Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan ❑Existing structures on site ,Zl Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations North arrow jZiUtility locations(required for new,may apply for additions) /Site address,project or subdivision name and lot number ocation of wells/septic systems Applicant information(name and phone number) sfinig trees to be retained with drip line,and tree Lot dimensions and building setback dimensions protection measures iLot area,building coverage area,percentage of coverage and Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Xtreet names Property corner elevations(2 foot contour lines if more than 4 foot differential) 7 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes El No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: 5/�V 6� I S 0000 Z" Zoning: 1'` L .5. ARequired Setbacks: Front Za Rear 1 c, Side S Street Side 5 Garage 2 () /l Landscape Requirement: '— Lot Coverage Maximum: --- ,� Building Height: Maximum Height 3 0 Actual Height 3� Visual Clearance xiEasements Sensitive Lands: ❑ Yes ❑ No Type iUrban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: /' 01 t, Date: 3 291 17 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 091216.docx r Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # i Building Permit#: VEnter building permit#above. Workflow Routing: Planning Ag- Engineering lig-Permit Coordinator Building Workflow Sign-off: k 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. Building: original permit application, site plans,building plans, engineer and beam calculas .tions and trust details,if applicable, etc. Notes: r By Permit Technician: A Date: (Si() Engineering Review Slope at building pad: ____�� 3° ®Conditions "Met"prior to issuance of building permit 2.441.../ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: El Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: "1Or Date: �051Sr 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: 7 DC Fees Entered: Wash Co Trans Dev Tax: Yes CI N/A Tigard Trans SDC: Yes El N/A Parks SDC: Yes El N/A /OK to Issue Permit Approved by Permit Coordinator: Date: /4/1 ?"-- I:\BuildingTonns\131dgPermitRvw ""I:\Building\Fonns\B1dgPermitRvw RES 091216.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 1 TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: f S-2_QSh/ Iry j o v-e, Project Name: p0I v19 c'n t i' B�,j � �.Ov r)trA t ) Lot #: l-] (Ne'd elling=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?i ,;v t es Ao j(,I -- 0 1.Articul. ion: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element req ' ed 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 stree` 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: ❑ Max. 8 ft. setback from lo est street facing wall CI Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: ❑ es ❑ 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 in. ude a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. dee. ❑ 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 o' a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. E Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage .oes not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story buildin_ 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 s eet facade ❑ 50%max. of street facade with 7 detailed desi_• elements Notes: Approved By Planning: 721 0 Date: -'C7- / 1-7 I:\Building\Forms\BldgPennitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15280 SW HUDSON AVE, TIGARD, OR, 97224 May 31 , 2018 at 1 :52:00 PM Record Type: Record ID: Residential - Master Permit MST2017-00202 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Finish caulking main bath tub/shower at wall, top and sides as noted on previous inspection. Other corrections complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15280 SW HUDSON AVE, TIGARD, OR, 97224 May 31 , 2018 at 1 :54:01 PM Record Type: Record ID: Residential - Master Permit MST2017-00202 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide guard rails at front entry and rear patio at areas more than 30" above grade measured 3' horizontally. R312.1 .1 Electrical junction box under kitchen sink cabinet not complete. Provide approved plumbing final inspection. No ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15280 SW HUDSON AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00202 Inspection Type: Inspector: 399 Plumbing final Allyson Armstrong Result: PASS Comments: Water pressure = 59psi Caulking Correction complete Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15280 SW HUDSON AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00202 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Corrections complete Collected Air leakage test report Moisture content acknowledgement form Moisture barrier acknowledgement form High efficiency lighting form Left C of 0 on the counter Violation Summary: Inspector Contractor