Loading...
Permit (28) r i CITY OF TIGARD ,. '' r , ' MASTER PERMIT 1111 ii � �. COMMUNITY DEVELOPMENT O " /7 '" Permit#: MST2017-00243 TIGARD 13125 SW Hat Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/11/2017 Parcel: 2S108DB02000 Jurisdiction: Tigard Site address: 15260 SW HUDSON AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 18 Project: Polygon at bull Mountain, Lot 18 Project Description: New SF. 10/12/2017: REPRINT permit to add 4th bathroom. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1531 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 4 Second: 2155 sf Garage: 740 sf Front: 20 Smoke DwellingUnits: 1 Yes Third: 0 sf Right: 5 Detectors: Total: 3686 sf Value: $458,365.06 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 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 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 add9 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 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 3686 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $36,163.82 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 throug R 952-001-009 . 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: "\_/ , ✓ 6TH Permittee Signature: O`V 4../e 77C 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 Apptient,i' COVET.) Building Fixtures FOR ob1A('F: LSE ONLv City of Tigard OCT 12 2017 Received Penult 72_e ' !s l��SW Hall Blvd.. Tigard,OR 97223 y�yp y�� Plan Review 2 Phone: 503.71 2439 Fax: 503. TI L7ate23y. Other Permit No Inspection Line: 503.639.4175 1CI� ( fd See Page 2 for 1 T1AR1 �r 1� I7afeReaclYrBy: Jens. Internet: a w.tigard or.gov 't ILP ING a lvotified Method: i Supplemental Information New construction 0 Demolition For special information use checklist. Description Qty. ] Fa. I "Dotal El Addition/ I 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) % %� r� ��y��`'�'(} ���g ,,Irt1);011-;--11::4,,,,::::. ,�... 12(i)bath 312.70 5F" 0Commercial/industrial 1 I-and 2-family dwelling sFR(2)bath 437.78 SIR(3)bath 50032 0 Accessory building 0 Multi-family Each additional bath/kitchen 1 25.02 0 Master builder i 0 Other: Fire sprinkler( sq.ft.) 1 Page 2 I . OSf*1PORM 1�* &*N ` site utilities; 1 -1 Job site address:I Slid D S4dcor/1 - � Catch basin or area dram 18.76 " V 13rywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 ` Footing drain(no.linear ft.: ) Page 2 1 Suite/bldg./apt,no.: Project name:Polygon at Bull Mountain Manufactured home utilities l 50,03 1 Cross street/directions to job site: Manholes I 8.76 Rain drain connector 1 18.76 Sanitary sewer(no.linear ft.: ) 1 Page 2 Storm sewer(no.linear ft.: ) Page 2 0. Water service(no,linear it.: ) , Page 2 Subdivision:Polygon tit Bull Mountain Lot no.: le, Fixture or item: Tax map/parcel no.: Bae:ktlow preventer ! 31.27 I ;� � ��/ Backwater valve 12.51 ? LIF ��� ;��� c.. »,.. ,..... Clothes usher 25.02 �itilo �6 Dishwasher 25,02 1 i "' n Kovyt Drinking fountain 25.02 Ejectors/sump 25.02 f_ s. io ❑ TI NT , �� Expansion tank 12.51 Name:Polygon WILL LLC Fixture/sewer cap 25.02t Floor drain/fluor sink%hub 25.02 ' Address: Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib I 25,02 i Phone:(360)695-7700 Fax ( ) i lee maker 12.51 >n i1, , C 'coNf i'1" itol ,' Interceptor/grease trap 25.02 fi. Business name:Polygon%%'LII,I.LC, Medical gas(value:$ ) Page 2 _4 Primer 12,51 Contact name:: _..„..._._.r._.__...._., ,.. Roof drain(commercial) 12.51 t. Address: Sink/basin/lavatory 1 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 F-mail Ext Urinal 25.02 t Water closet 25.0 2 - �� ;� ','4' 1�� �: � �"� . �� �. ,.„ � �. Water eater 37.52 Business name:BDL Plumbing Lle - � Water piping,lT)WV 56.29 Address:PO Box 85 ' Other: l 25.02 ; City/State/ZIP:Corbett OR 97019 Subtotal Phone:(503)351-3903 Fax:( ) Minimum permit fee: $72.50 1 ; CCBLie,:180345 I Plumbing Lac.no.:P111582 Plan review (25%of permit fee) State surcharge(12%ofpermit fee) Authorized signature: Lee......r_"`"`00"- I'C)'I:AL,PERMIT FEE 1 ( , This permit application expires if a permit is not obtained within 180 days I Print name:Brandon Limiter i Date: after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. E Building'permats:Pi.M:=PermitApedoe 10,01;09 440-4616"C(1OO ,CC}YtiWEB) 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. 11111 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Angela Grajewski OCT 2 2017 CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVJSIQN, ' PHONE: 971-212-2144 I B.: �t f RE: L5Z(o v s vJ f h/t��S o1 ' IV€. ^�- DZ , rte Address) -'l�L e nut Number) P.6o GJ� ?",vd--Ktkbuni.6.?h L1 `-A(Prod c name or subvision name and of number) ATTACHED ARE THE FOLLOWING ITEMS: I Copies: ! Description: I Copies: I Description: 1 0 Additional set(s) of plans. 3 Revisions: p tan WA '0 `Uu Y1AN) 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. Ma 1+13A" i ,-wwo yi FOR OFFICE USE ONLY Routed to Permit Technician: Date: )c, Ja _ 13 Initials' Fees Due:' Yes [1 No Fee Description: Amount Due: 1 i-)r Phs re-v;r,-./ $ 9 0 $ $ Special Instructions: Reprint Permit (per PE): .� Yes I 1:1 No D one Applicant Notified:/►N'.!,q?L & Date: /c//7/i7 nitials: '' I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT : 1 • • COMMUNITY DEVELOPMENT Permit#: MST2017-00243 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 07/11/2017 TIGARD9 Parcel: 2S108DB02000 Jurisdiction: Tigard Site address: 15260 SW HUDSON AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 18 Project: Polygon at bull Mountain, Lot 18 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1531 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 2155 sf Garage: 740 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3686 sf Value: $458,365.06 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 Tubs/Showers: 3 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: 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 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 3686 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $36,019.68 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 ma yobtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Signature: Vi/ebd77"`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 L.07-- 1 a MOOn0 tl RECEIVED ReceivF012 OFFICE t SE ON Ll e City of Tigard DateBy:d 22 (J permitNxR577,0,7_6 13125 SW Hall Blvd.,Tigard,OR 972 a R 2 8 2017 plan Revie Phone: 503.718.2439 Fax: 503.598. 6 DateBy: 41.7-1 def Permit: J, /S T 1 1 r) Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: auris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method:�/�� �� Supplemental Information BUILDING DIVISION w , 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 a '7.:4., 97501771147,T,:•, this application. work indicated on ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: 1( ❑Accessory building ❑Multi-family Number of bedooms: ❑Master builder 0 Other: Number of bathrooms: . Total number of floors: --2/3c e[., 49a 6 Job site address: I �, ' ., 1 �, i New dwelling area: square feet ,,, City/State/ZIP:Tigard,OR 97224 Garage/carport area: 140 square feet 3 Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: 'lib square feet a j Sc" Cross street/directions to job site: De ecck area: L square feet)S'3 PeOther stru�chu are a" ) 80 square feet Wit . .,,1 ` 1 u 1 1161. 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 work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet A 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: t 1 1 Ii l_ Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLSplan review fee(if applicable): Address:109 East 13th Street pp )' Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 Fax::( ) Amount received: �" F7a .; E-mail:Angela.Grajewski@polygonhomes.com �',; � � � • RCommercial and residentialprescriptive installation of - 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 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: u,oThis 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) Mechanical Permit Application I()R oi i i 1 1 •I II\I 1 City of Tigard ''., ' ''-' E a 11 I I I I I I I I I I I I I I i iiiii".A ZteMeirikibffgl sw Han Eilvd..Tigard,OR 97223 Ph503Fasiimilimicz one: .7 439 Fax:1S/ 503398.1960 Ii --„. inspection Line: 503.639.4175 s Dot acsdymy: NM 63 See!Page 2 for 'Internet: 1.vsslv4pard-or.gov NosiliedNethed: Supplententat Information 1' . • - ''' - t ' - ` Ateeluirstatl pemtit fees.arc based on the value of the work 0 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)elan 0 Demolition 0 Other: meel%anical materials„equhrmenl,labor,overhead.and profit, Value:S 1-and 24iunily dwelling 0 Commercial/industrial 0 Accessory building Fur special hafonnalion air diecktin. Multi-family 0 Master builder 0 Other: Description I Qty. I- Ea. I Total fItatin/coolingr '::5.,,,11?,-.;!;:-..,.`:"--- -?1,;',V,rift-,,:ili.er.I.:',•':3;i1-t-si,:rc,_,..i_,:,..,....7..,-niY:5'''',.',7,14-:?-,-,g,;',.F.i .::-#-,,k, • Air conditionieg , I 46.75 , j°b silt address: I S2.1,0 a 111117ri'50(\ A4e-, Furnace 100.000 STU(douskant) I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(thassivemt) 54.91 Heat pump 61.06 Suite/Mg/apt.no.: I Project name:Polygon at Bull Mountain DUCt weds 2332 Cross street/directions to jiah site: Hydronie hot water nstent 23.32 Residential boiler(radiator or hydronie) 23.32 Unit heaters(fuel-typo,notelet:Ark). M-wall,in-duel suspended.etc. 46.75 Flue/vent for any of above I 23.32 Other 23.32 Subdivision:Polygon at Bull Mountain I Lot no.: (6 _ Other feel:MAMA ces: Tax map/parcel no.; Water heater 23.32 , „ : ,2',',:- firmkcerniscrt I 33.39 Flue veal for water healer or gas fireplace 23.32 Log lighter(gas) 2332 - Wood/Mfg stove 33.39 Wood rtreolaeg'insert 2332 Chinmey/lInegfluevent 23.32 23.32 :,A.:..). %.2,.':,...,''-, 1 i'''''.',r,i'';',...-i';'.',:f'.;•';:i..,-21•''',z4-tf,e'l---:,,r,....-,,,,.,,%':.---,:',,,;,;....e,.,,,,c.c.,.-,-&-,t.,-...-...*-..---;- gportytuntnim exhaust and yentitationt. Name;Polygon Wl..11,.1...1.0 Range llood/other kitchen equipment 33.39 Address:109 East 1.16 Street Clothes drier exhaust 3339 City/State/ZIP:Vancouver,WA 98660 Single-deg exhaust(bathrooms, toilet cotroartments,utility rooms) 23.32 Phone:(360)69$-7700 Fax:( ) Attidennvispar.c farts 2332 _ F7,-57; ,:,!.e...,.: -.--,i--t;.-.4- ::.:. -..2'-'.--4`.-`k-2.=.V:.A.:,-:.:-,,.ZN-,,, 11--!.-..-i.i..;,,,IW,::::.v.?..a-i:.4.,21...•k.'.:..---.L-.: 7- - Other23.32 !...P,'",:•.,-.).L7,;.',. Fuel piping: . Blisiness blip=ninon WI.%LLC $14.15 for first four:54.03 for each additional. Contact wino:Ai(eh/fie 73,1 ape Furnace,tie. 1 Gas heal Address;109 East 13th Street Munn . • Wall/suspended/unit boater City/State/7.1P:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::060)693.4442 Fireplace I Range I E-Mail:'./. '6401e. 11244 1 Pi , ei 4 ill— ....Ai_ Barbecue 7:,,,,7::::{.., -,.'r''•,:::'I:7,';:::;','4":-'''''i:'.'';'!..j,':;:f.:.:6.1:SF:.e-,;;,:';'1i:!::;:r3.::.,.'i‘ ',7:7'''!":;'..2-'::-C.17;7.''77::k.' 747': Cicabes dryer(gas) Business nainr a:Apex Air Lie Other: Address:18004 NE12"Ave Subtotal City/State/VP:Vancouver,WA 98686 Minimum permit fee($90.00) - Plan review(25%of permit fee) Plume:(360)3424109 Fax:(360)326-1769 State surcharge(12%of pearat fee) CCB lie.:203034 TOTAL.PERMIT FEE. This permit application expires lie permit is notebtaised within 184 cloys after it bas been accepted as complete. Authorized signature' . Feetneritodology rd by TA-County Building Inc/may Service Boma Print nanter. ../ Date: 4.11.14.. i 1111111trogftraltAMMIPermitApp_040113&le 441-4417T(11/D2/COWWINI) . , Electrical l!erinit Application City Tid 1111 ,., Received Date/Br 1312,5 SofW Nall garBlvd.,Tigard,OR 97223 pi=Review :=IIIIIIIIIIIIIMNI Phone: 503.718.2439 Fax: 503.598.1960 Dana. .1" L. . laSpeotion Line 503,639A 175 ' Ready pareffty: iii Internet www.tigard-or,gov .„ •' laatiftecliMethod: rafiliMiferffiffrilli 1111111 fl 1 7'''',' ' '” .:1 New construction 0 Addition/alteration/replacement Please check ail tbat apply(subttiit 1 sets• plans whients chocked); 0 SerAce or feeder 400 imps or mote 0 Building over three pones. 0 Demolition CI Other $vbere the available twit earn* 01larinas and boatyards JYLL:,,e3..Yiqi,. 7;1171-C,C5,T,,...7 ,.7:',:,-;.7:;:.'i--. . ''..7:, tweite to.000 taps at iso volts or 0 Matins bandings. 0:4 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building ins to gonad,or exceeds 14,000 a Commerciskese agricultural amps for all other iesudbtions building& 0 holulti-famil 0 Master builder 0 Other: 0 Fire pump. 0 Installedon of 150 KVA or ,.."-', , .."-r:-,.......;-:.:,,' '..':.',,......,,,,.:.T.-.,1Q,-,..5:,!$_.,.',.• .1.-11,`;.U,,..'„„ „ ..!:"--....j-,,-.._,. .:. Fmetileml sYsiems larger separately derived 0 Addition of new motor load of system. Job d: Job site address ifflEijginlrtarcnYar'4E 100HP Of more. 0"A~,"ryt-r,-i-r, 0 six or more tesidendal units. occupanGY. City/State/Z1P:Tigard,OR 97224 0 Ilealdt-ove facilities. 0 Recreational vehicle parks. 1 0 Supply voltage tor em ..._i_ r °Hazardous locatiomore t ns. Suitt/bldg./apt.0: Project naMe i 6 iii cur IP- -- ØI4 f', 4 0 Service or feeder 600 amps or more, 6°°"Its"'mint. Cross street/directions to job site: 312.-.,...,..:',, ,--,Ti t-LL,..-:1',5":-.'!,"-_," ,:iii '''''--% lkst-41ion---- -- ' —:— MIIIIIIIIIIIIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII (Ny. Lath -iota New residential single-or mirlti-family dwelling unit. • Subdivision: „ 1, t 8Lat M 0 ,a gi ,. a Lot 0: rig= Includes attached garage. , .54 4 Tax nmplpareel d: 1,000 sq.ft.or less 168 -.1-'-;T:., '. _----; I r::::- ;.,..;,-",;-:iin:" IitZ,I.t(Kr.. ...1.7--•..."4,i,V.17,..-',,a!,-.::,,,';`,::::,. `.:,:',----,;.•4.:„,:„.,.f.t.:,.-;',-;_2, Ea.add.'500 sq.ft.Of portion 33.92 i Limiled energy,residential 75.00 2 above sq.ft.) l (with Limited energy.nuki-fmilY 75.00 2 ' , ',.._`. i...'...' 'r 2:L.' ..':c2...'.'),„„.',Y.i.:2..r.,";:-1..••2 —.., .., Name:ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Address:7600 E Doubletree Ranch Road 413 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Phone:(602)694-4031 Fox:( ) 401 amps to 600 amps 200.34 2 Email: ' • Owner installation:This installation is being made on property that town 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: , - Date: - x- Timporan,services or feeders installation,alteration,and/or .._,,r,„•;,:,...J.,.'''';',:'-,. -,':•]..;:,-V...-''.7::‘.7,I.U.;:tir'.:4.7 .E2,17..r:f.:=Mr_i7L7,.-,17,EaS.C. 1_,',-, xxioxxiion. Business name:William Lyon Homes,Inc. ' 200 amps or less 59.36 1 Contact name: ill; e 0 A 201 amps to 400 amps 125.08 2 ,. Address:199 East 13tb Street - - - 401 tulips to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 Branch Circuits-new,alteration,or extension,ker panel Phone:(360)695-7700 Fax::(360)693-4442 A.fee for branch circuits with IMErabove service or tboder fee, I 4 • 0 / la ../# 11•ill i Gaii each branch circuit 7.42 2 • r-r--;------- B.Fee for branch circuits without _ -, ..-...— .-,. —— --....,4,..,.....-. ....~..- .:._ i'...:::, r_L'..L'2,s2 _41.1: .servir,e or feeder fee,lust 56.18 2 branch circuit Each add'I branch circuit Addr7.42 2ess:3415 me 44th . . Miscellaneous(service or feeder not included) City/State/ZIP:NM R2 1' , AviZ 407 .2.-/ Each manufactured or modular 67.14 2 Phone:(503)3192192 imimirimiimi dwelling.service and/or feeder , ......„..,_ Reconnect only 67.84 ' - a Email:solat)dX(i)me.tont .. Pump or irrigation circle 67.14 : 2, ', IIEMEMEZIE Electrical Lit.: c923 Suprv%Lie.: y r7/5 2 Sivror outline lighting 67.84 2 '• : Sum.Electrician signature,required: . .-. , . Signal cirtarit(s)or limited-energy 0 ste,Page 2 - : - • ' Print nante: /c,1i ,r704.. Date: /1.405111 Pand,alteration,or extension. 2,.'"' . . . Each additional inspection over allowable In any Of the'sboVe. Additional inspection(1 hr min) 66.25/bi Authorized sigantz ....--4,:p - Ptint name: ,4---- DaIrSYZN3//-1 Investigation(1 hr min) 90.001 hr vedudistersorkwa.c ELA emit«Kw o6nitio 1 s 4.10-46151X1M5/COM/WEEI ' ' . .. .., '' ' s Plumbing Permit Application ,,,, > ,, ,. l(}it 01 1 is I: t Si-: 011 l Building Fixtures Received Pennitl�o !-tSTom)7�'�-N9 Ifi ,� C1ty SW Ha and �t l�mre,: r 1.3125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit No.: Phone: 503.718.2439 Fac. 5o34 84960�-_. --. ' .' ,P,1ate18y. tnspection lane: 503.639.4175 ,: : bole Read}/11y haK. 621 See Page 2 forSppptemenal Information T, Not fled/Method Internet www.tigard-or.gov got : ,74.--,,,,,,—,7«..r,,. �,, '''�. •`"Je'{ ,., , r d; u> ` ;k".vf .. . ry"t. t',,, , , ", ,p �»n,,€,w F l . rT .`iXr Ase 6 t ` ,,.. � For special information use checklist ®New construction 0 Demolition Description I Qty. I Ea, 1 Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) 1,�� n.*:.:'':":"';',7;f1'.'%.� tlJ�'rF �i4.�A,1. giq Yril` e.tx'. SFR(1)bath 312.70 *.-,.*Lf.,„ 4 ,„ F , r _ i --'''''..7'.'4'..''' , , . SFR(2)bath r 437.78 ®1-arid 2-family dwelling 0 Commercial/industrial SFR(3)bath 1 500.32 ©Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other Fire sprinkler(_sq.ft.) Page 2 4 !.f“.''',',;;',,:....,-1,-, G=, i,17',1-77," ' i b a `r Ism 's ;il —Site utilities: 1 Z.,,,,,:—:5;"'&1'..e>"s7 , --.......,-,4:-,-..e....,�/� K` Catch basin or arca drain 18.76 Job site addressiltp i S / Eon Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: Page 2 „ lProject name:Polygon at Bull Mountain Manufactured home utilities 50.03 Stiiie/bidoJapf.no.: y8 Cross street/directions to joie site: Manholes 18,7618,76 Rain drain connector Sanitary sewer(no.linear ft.:__) Page 2 • • Storm sewer(no.linear ft.: I Page 2 f Water service(no.linear it.:___) 1 Page 2 Subdivision:Polygon at Bull Mountain 1 Lot no::{f) Fixture or item: - Backflow preventer 1 3127 1 Tax map/parcel no.: � � � -: liackaater valve 1 12.51 ,,,pptCvj ''; 25.02 ,.,(7(•„,.., "4„ M,4,1 G...Y ,o--*;t:;,'n .�F.:kl K<�ti ti.-a ? •? "" .' clothes washer Dishwasher 25.02 Drinking fountain 25,02 Ejectors/sutfp 25.02 �� . i.a '�'iTO' . rgr T+ c.: W;a,.9w , "k- c- -- � ansontank 1251 . 5,r, ram'c 2_� µ .w: s4A ,.:S�-�.,, ..�. .< y ,. rixtvrlscvtrcep 25,02. Name:Polygon WL1.1,.LLC Floor drain/floor sink/hub 25.02 I Address:109 East 136'Street .Garbage disposal_ 25.02C.ity/StefelGIP Vancouver,'9FA 96660Nose bib 25.02 Fax ( ) Ice maker 12,51 Phone:(3b0 45-7?00 YG: ,7 4-'1 Interce toil tra 25.02 t3,-cr• :. Sk:' CAIB'y zi S7':f;• •r .. 4-; a)6;Ff `'' k;1`yJr ,:,; . P "ase p r,s -'$,-,; r_.4,,c.'-.0.4.-.`-.L-,-A...:- 'A-1-•,.. : `- Medical gas(vette:$ �) _ Page 2 Business name;Polygon WLH,LW . 1 Printer 12.51 Contact name:N (haC 77/Orr/it Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 Solar units(potable water) 62,54 City/StateJZ:1P:Vancouver',WA 98660 12.51 I Fax::(360)693-4442 Tub/showerlshower pan Phone:(360)G93-7700 N._ Urinal 25.02 � 1 E-mail: �� ! !1' ►1 t /1, Water closet 25.02 ' 4T r j � � / r i '. . 37.52 �� � kT� ..Y�° f'r � ... C .. ... Water heater KBusiness name:BDL Plumbing LLe Water piping/DWV 56.29 Other. 25.02 Address:PO Box 85 Subtotal City/State/ZIP:Corbett OR 9'7019 Minimum permit fee: 572.50 Phone:(503)351-3903 I Fax:( ) Plan review(25%of permit fee) i CCB Lie.:180345 Plumbing Lie.no.:PB1582 State surcharge(12%of permit fee) Authorized signature: f7 ��,� ` �`'" TOTAL PERMIT FEE r"""C This permit application expires if a permit is not obtained within 180 days I Print name:Brandon Lanter Date: atter it has been accepted es complete. 4 t *Fee methodology set by Tri-County Building Inuiustry Service 13oerd. 1,131+i1dinK.Pnmitn1P[.Mtf-YmaitAppdoc 1401109 440-4610(10+0VCOMl ' } i City of Tigard 114 COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: /R5P-0(7— Q02'13 Site Address: 1 SitPD Sw f15OY' . Project Name: Polk r� e> ll V([,�,(iAtiiyn� Lot #: t (New d llig=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NON (41;11g— . .t Verify site address/suite#exists and active in permit system. ARiver Terrace Neighborhood: ❑ No ,R Yes,See River Terrace Review Addendum Attached Site Plan Elements: KThree(3)copies of site plan alikxisting structures on site .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 ,T5North arrow OUtility locations&easements(required for new and additions) $ite address,project or subdivision name and lot number gSidewalk/driveway approach , pplicant information(name and phone number) NALocation of wells/septic systems I ,ot dimensions and building setback dimensions N Existing trees to be retained with drip line,and tree quare footage of buildings to be demolished protection measures ,,Lot 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) KStreet names Property corner elevations(2 foot contour lines if more than ..Storm water quality facility required if>1,000 sf of 4 foot differential) impervious area is created or replaced. Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ,X No Applied For: ❑ Yes ❑ No,stop intake .Land Use Case#: sut 0. IS•-coup 2 , i Zoning: R `L.c ` '° Front ` Side C Street Side Garage Setbacks: � �� �� .._� �� g Landscape Requirement: 1\] i:\ . Lot Coverage Maximum: Ni o 0 X Building Height: Maximum Height Actual Height -t229 K Visual Clearance'NIA- Iii Sensitive Lands: ❑ Yes No Type XUrban Forestry Plan R Conditions "Met"prior to issuance of building permit Notes: CMA tfi^'�S cteNctiA 1.X, WVR - pnvY 'o I.SS' *-Q.Q , Approved By Planning: 4/17 Date: (P1 2.2, (1 Revisions (after Building Submitt only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_051617.docx a, Building Permit Submittal Original Submittal Date: 3/A((/7 Site Plans: # Building Plans: # 3 Building Permit#: nter building permit#above. Workflow Routing: >..Pianning pa-Engineering ermit Coordinator Building Workflow Sign-off: Sign-off for Planning(include no es 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 calculations and trust details,if applicable,etc. Notes: r9By Permit Technician: Date: // !/�j Engineering Review Slope at building pad: 5 13 ❑ Conditions "Met"prior to issuance of building permit E Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ,i No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes Z/No ❑ NOT Approved by Engineering: Date: 6 S21 7 Notes: Approved by Engineering: A4, ( <ll, A 1-11 Date: 6 2--a• Revisions (after Building Submittal only) Reviewer II ate Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: E 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: PNSDC Fees Entered: Wash Co Trans Dev Tax: 5 'es ❑ N/A Tigard Trans SDC: Z.Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes rT/A K to Issue Permit J� /� /� Approved by Permit Coordinator: ate: L`/ I:\Building\Forms\BldgPermitRvw RES_051617.docx .t. City of Tigard III " COMMUNITY DEVELOPMENT DEPARTMENT 1 T 1 GA RD River Terrace Building Permit Review Addendum Building Permit #: Site Address: ISD ,SVS OC tCLt ) ie-- Project Name: al p,a, �1 � ori Lot #: U (New dwe ' g=suivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.. . •.070.I.): 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. . "frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 . Balcony w/ access 2 Window Projection Vertical -all Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. t.,6ft.wide Gabled dormer ❑ ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12% f each street facing farad- ust include windows or entrance doors. Percentage Shown: 3. Entrances:At least on : ust�neeeAboth of the fo swing standards: ❑ Max. 8 ft. setback from lon t t king w El Parallel to street,angle no more than 45° from street, 0 Max. 8 ft. setback from ion or open onto porch Entrance opens to a porch: 11 If yes,all the following apply: • (i�- El 25 sq.ft. min. 111 One street facing entry ❑ 12 ft.max.roof above floor of porch ❑ 5 ft. depth min. El 30%min.porch roof coverage 4. Detailed Design:All buildings shall dude a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ''. 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 proje' 'on ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or • ood ❑ Gable,hip or gambrel roof design ❑ Roof pitch oriented sou. min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide El Accent siding min.41'o of street facade El Window trim min. 2 1/2tt wide by 5/8"deep ❑ Window recess ' . 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 f.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade 5. Garages an, Carports:May face the front or side lot line on a corner lot. Setbacks: No closer t. front or side lot line,than longest street-facing wall. El Yes ❑ No. If No (Check one): El May - tend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ Ma extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story abov- the garage that faces the street with a min. area of 12 sq.ft. W.•the (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: L\Building\Forms\BldgPermitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15260 SW HUDSON AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00243 Inspection Type: Inspector: 399 Plumbing final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15260 SW HUDSON AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00243 Inspection Type: Inspector: 699 Mechanical final Allyson Armstrong Result: PASS Comments: Ballard correction complete. No AC at time of mechanical final. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15260 SW HUDSON AVE, TIGARD, OR, 97224 March 23, 2018 at 5:04:47 PM Record Type: Record ID: Residential - Master Permit MST2017-00243 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Correction from previous inspection complete, tempered window installed. Final erosion control approved. Moisture content form received. High efficiency lighting form received. Moisture barrier form received. Insulation certification checked. Blower door test report received. C of 0 left on site with contractor. Note: 2 hr minimum after hours Inspection fee applied for a request by contractor for a after hours re inspection and C of 0 for this permit. Violation Summary: Inspector Contractor