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Permit CITY OF TIGARD MASTER PERMIT . ' COMMUNITY DEVELOPMENT Permit#: MST2017-00224 T t AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/02/2017 Parcel: 2S 108D 600600 Jurisdiction: Tigard Site address: 15250 SW PEACE AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 4 Project: Polygon Bull Mountain, Lot 4 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Drains: 0 gWater Lines: 100 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 3427 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: $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 952-001-0090.2You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: /�� a Permittee Signature: See_ < ?e-1- !D!7 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. in Permit A licatio l_0 T L/ 1 Bu>'�a g pp �;ECEIVED ' 4 �" FOR OFFICE CSG O\Ll .gcna1 MAR 2 8 2017 Received L//' , Permit NoCity of Tigard Rec _ / It 13125 SW Hall Blvd.,Tigard,OR 9722CITY OF TIGARD Plan Review 6 .,1 B Phone: 503.718.2439 Fax: 503.598MIDING DIVISION Date/By: -1 7 otherPermrt.`/ �t 1 � Date Ready/By: / Juris: JH�'Seee(�P_age 2 for T l r.,,l, Inspection Line: 503.639.4175 r Supplemental Information Internet: www.tigard-or.gov Notified/Method: P9/27/7 a pp f t,. "€�Atirli '"` ilk ' t �', :-_> a _ ' - 1 ' ,'_=e ; -. � . ,. , . . Permit fees*are based on the value of the work performed. ® Demolition New construction 0 Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the ' , tv'€ work indicated on this application. a � ��'e� °�, Valuationlao -xsi 4' ® 1-and 2-family dwelling 0 Commercial industrial . 1 Number of b ooms: ❑Accessory building ❑Multi-family Number of bathrooms: Other. ❑Master builder 0 f --,: --- Total number of floors: 2,gol , y• e g= I 0 6 Job site address: I S .� S k 't _ A -ej New dwelling area: 3 square feet City/State/ZIP:Tigard,OR 97224 �� Garage/carport area: l square feet Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: '.1 square feet j 83 6 Cross street/directions to job site: Deck area: square feet 16 9) p`*';"©du./ ` square feet Other structure area: j s q 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 TK a work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ii, I 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: 6 i i Y l w g 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::( ) 'z � ,gip E-mail:Angela.Grajewski@polygonhomes corn „: Commercial and residential prescriptive installation of T , S� "1 : : ,,,,,,,,,,,,,.;_..,,_,:or roof-top mounted Photovoltaic Solar Panel System. °` Submit two(2)sets of roof plan with connection details Business name:Polygon WLH,LLC and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver WA 98660 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: $201.60 r,WiA,VThis permit application expires if a permit is not obtained Authorized signature: within 180 days after it has been accepted as complete. 20/2017 1 *Fee methodology set by Tri-County Building Industry IDate:1/Print name:Angela Grajewski Service Board. I:\Building\Permits\BUP-RESPermitApp. oc 02/24/2011d 440 4613T(11/02/COM/WEB) Mechanical Permit Application 1 tw(if I .City of Tigard illk, ,:s., / it , Reecii.ed . 11=1:11M.Ai 11125 Hall Blvd..Tigard,OR 97223 Dewily: flan Review • Phone: 503.718.2439 Fax: 503.5911.19904.' '. •' • ' ' •••. -,•'‘, Dniemy: 14-- ,. - SWOther Penton: .,,.l' . . s t i-• ...,‘, _. Inspection Line: 503.639.4175 - ' Date Raedymy: : . ' •.- „. Internet: www.tigard-or.gov i" 1.'., , , ./ .= 1-;s-•,,•-,, mairietymethad, 1111'Mal= 'r.,•-''6 ,i;1;..,..:,r'S' '.;'6•1;,"i:-'-'7,-;!'2*.J....C".....•,---:7"r'f-!`?"..'14;.:-;,.' P i;":4-4."r 1 ..in ,,,-:,--'1,- ,-seal, . rts penult fees.arc based on the wane of the work IS1 New construction 0 Addition/alteration/replacement performed.Indicate the value(mended to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials.equipment,labor.overhead,and profit. Value:$ v. /.. • ........ • T34:1Yj14,rfZ:4.1'' ,G ., 1 a,,,•,..4•••I' ..' ...4's 7.,....i," 4,..-s., 'V ' ' ... ."LI, a .1. I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For weds!infiumatioa roie ch.:calla MUM-family 0 Master builder 0 Other: Description 1. Q . 1 Ea. I Total '.. .n.,,- • --....-- 4. 7, Heatin miller- .2,,,, ...,...,;1!;.•,---1...,..e..-t,,,,,, -.•:-.,,t-,..If,..-,..1 --t,=•,k N,i t.,,,,.;,.x.,--,•-•J 7,-. E,.t :,..,,,t,t,,tt,..e.,-:,.•'.,...t,e,-,,--,-.,-,'!...?..v .-...v., Job site address:/ • E ' .flitte... 1)11C.- Furnace 100.000 BTU(duas'vents) I 46,75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duerstwass) 54.91 • Heat pump 61.06 Suite/bldg./apt.no.: I Project name:Polygon at Bull kfauntain Duct work 23.32 Cross strcctfdirections to job site: Ilydixonie hot water system 23.32 • Residential boiler(radiator or bydronic) 23.32 Unit heaters(fuektype,not electric), in-wall,in-duct;suspended.etc. 46.75 Flue/vent for any of above _I 23.32 Subdivision:polygon at Bull Mountain I Lot no.: 14 Other: Other fuel appliances: Tax nom/parcel DO,: Water heater 23.32 ,, , , ,,„,• . , .......; 7F`'''Z. '''f'r'ff',1'..4 I.Vpr I:,;:q'''j.;.,,,,,,F15±',C!-4,,,,•,......• .. Glis riprourfil,sert I 3339 .„,..„...,,,:,:..1. •4:-,-...,'",o'''' '.:_ .., .. •'1±'`7,-Trj.-•• '''-''j.:' ''',"''e'-'•) *:.•'-.4.---','"'• '''''''''''' 7--'' r' flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Woodipellet stove 33.39 Wood lirtmlaceittstrt 23.32 • Chianneyfilnerlfluervent • 23.32 23.32 • . .•, .,.....,---4 ,,,,..; , -)-,:y. .,,,,;:,.4,,i,.‘...,..-.::::,..a'-;,,`.f:..I'll:.:%.e-,,,,,,,nn,,,,,:,...„:... ,-...4....,,,-,-. --.--;,:',..l.rta_.-4F,.,,,2,..!..4,...;.--...,...z;:...er ,-;2-.;v!...e...,-az....a,...v., -,,,,zt,,---,,...-.,L:•L-,,-.:,:_,-.„...-.- Egivirennitnial cameo and vim/160km: Nome:Polygon'W1.11,11-C Range hood/other kitchen • equipment I 33.39 Address: 109 East 134 Street Clothes diver exhaust I. 33.39 Single-duct exhaust(bathrooms, CityiStateiZIP:Vancouver,WA 98660 • toilet ettn_tpatuncnis,utility rooms) , 2132 Phone:(360)69$-1700 Fax:( ) Anic/crowiapace fans 23.32 (±44:-",r, ç:,..'`.,:fii7,....girt;P%',.RCSI.:`:.., :-.:‘;-,-: Other. • 23.32 .. Fuel piping: Business name:Polygon WU',LLC $14.15 far first tour:S4.03 for each*debar! Contact lamp:IV/chyle "Thorpe Funtam etc. i Gas heat Address:109 East 13th Street mann WWI/suspended/unit heater CityiStatetZIP:Vancouver,WA 98660 %to-heater Phone:(360)695-1700 I Fax::(360)693-4442 Fireplace I Range I E-mail:.•i sc 61e. 1124/ ,ir ,DI • , a A I 014_ _. 44 _Barbecue Clothes dryer(gas) Other Business name:Apex Mr LLC "::',;'1-..71-T.:7-r:.-....i:',.:•'...1:-if):'4..,,'-.1t-•--r-',-Q-.-`•-,`.::-!-,t.-. .i.l...i`t•-"_..r.::-. Address:18004 NE 72"Ave Subtotal City/State/ZIP:Vancouver,WA 98686 „,, • Minimum wink fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie,„ 203034 r " TOTAL rtatorirr FEE_ This permit application aspires/Ira permit is net obtained within Ian days afterit has been accepted as Authorized - Authorizgd signature • * Fee methodology ed by Tri-County Building insiostrr Service Board Print name. t ek 4Date: 4.pl.1(... I WIthittecrmitIRMEr PeemilAmt40113 doe 44o-our tt ticatroutwani . . fir ` 3 '''v :1 Electrical Permit Application ,, , ,i > I i�a t a{ i I( I is,' , y i 1 City of TigardIII Received �lrll 3.� err z R°ce ive .L �A 13124 SW licit alva..Tigard,o :; .. Phone: $03M 8.3439 Fax: 503.59$1969.. ;,-b,-,, ilRi inspection Line: 303.639 4175 'A t+ _ �y bate/By Irdentet www.tiga d-or gov Notified/Method: ., A ®New construction 0 Addition/alteration/replacement r ral apply(submit 1 • sw ): Demolition ❑Other: ❑Service a feeder 400 amps or more 13 Building max tines Stone. where the available faun current (,i Me ainend boatyards. r r, "r-�,r `t x ,R ' 4'' i P`7' .-.. --._. . + , ,�� excseds 10,000 amps n Elating 150 volts or © btaldiagr. ®I-and 2-family dwelling 0 Commercialrtndustrial 0 A_ .ccessory building urs to ground.or exceeds 14,000 a Commereisl-nae apiculture amps far alt other installations b u`ding& ❑Multi-family ❑Master builder ❑Other: i7 Fere pump. i7lnawladon of 150 KVA or -n-77::r:, Y..---i':;:"-,:',.1-1,:i1 .7[.,..;',..to s 7 iYi VE.v IcY -- 4 n DEmori c syatera. load of Ismer separately derived ..._. —.e .+(i T....tC� wa 0.v^-r� 11.ver�•'r. 4..G_ .—....'.G f 1 '""1! ' / �1 01008 oo more. "Atm• Job*: Job site address: r I,� 1 oat or O"A^,V',"l-z:-t a; 0 Sig or more residential units. occupancy. City/State/ZIP:Tigard,OR97224 DHelm-cane facilities. 0 vehicle parks. Suiteibldg./apt.#: Project name f/ r 63 - rl.. ff d D Ilarardoas iacanoar, D S voltage or mom Awn O Service or feeder600 amps or more, NO vats manta, Cross Strcet/d*rcctmns to job Site: :.a.Y ''-...-:":7t71,',';'-'•-:-.7,7-...,� L_: IIIIIIIIIIIIIIMINIIIIIIIIIIMIIIIIINMIIIIIIMI necrtanaaor 7. iaeb feat New r sideatal single-or aaalti-famtiy dwelling aak. Subdivision: b1�i!i NO )1/1+,}.:l 1/A. A Lot#:S leeludes attached garage. Tax map/patael#: 1,000 sq.ft.or less 168.54 4 c.,"':: ry t x nom.! t4.:i i 4-Y':_C '. : `-. ; -! ,_ , 1- Ea add'1500 sq.ft.or portion 5 33.92 1 Limited energy,residential 75.00 2 `11111d with above sq.n.) familY Lu anal((whit above 75.00 2 _._ . a-.. ... r- .'..... --'....1,__ a.,_._._ Name:ADVL Land Holdings,LLC Rentwablc Energy 0 See Page 2 Address:7600 E Doubletree Ranch Road Services or feeders Installation.alteration,and/or relocation 200 amps or less 100.70 2 City/State/ZIP:Scottsdale,AZ 85258 Phone:(602)694-4031 20I amps to 400 amps 13456 2 mail: 401 amps to 600 amps 200.34 2 EOwner installation:This installation is being made on property that I 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 signatureDate - - Temporary services or feeders installation,aiteratlou,and/or .. ._ _,. ! r;....._.�` t _. s: ej;`.� i..vu Y e`J_ysHx� relocation Business name:William Lyon Homes,Inc. 200 amps or less 59.36 I Contact name: ,_ e . ad,, 201 amps to 400 amps 125.08 2 Address:109 East 13th Street . ' 401 amps to 599 amps 168.54 2 • City/State/ZIP:Vancouver,WA 98660 Branch circuits-new,alteration,or extension,par Panel Phone:(360)695-7700 Fax::(360)693-4442 A.Fee for breach rdrmits with ] above service or feeder fee, 7.42 2 Email ,l le • 0 / /a A►_1/ ,--- each branch circuit ci , .� B.Fee for branch circuits without _ a _ --- , f:. .__ti ,�....:.� __..2.: ..�.�__. ._�.__ ,.serviceorfeedsfee,tint •Business'name:*lamed*electric _> branch circuit 56.16 2 Address:3415 nte44th Each add'lbranch circuit 7.42 I „ 2 Miscellaneous jaerviee or feeder not included) City/State/ZIP:,1 /47 1, , do/2_ 00, nZ.,r Each manufactured or modular 61.84 2 dwelling,service end/or feeder Phone:(5(0)3192192 Fax:( ) Reconnect onb 67.64 - 3' Email:solarpds®me.cota • Pump or inigatirm circle 69.64 ' . Electrical Lie.: c923 Suprv.Lie.: 'y f7/5 Sign'oroudioslighting 67.84 2 -•;. Supty,Electrician tagna ore,required: - - signal draws)or limited-energy ❑ Set page/ ''' .3'4,i' Print name: t pa ,alteration,or extension. g "k,.. O� Date: �'�� nel Each additional.inspection over allowable In oily of ME above . Additional inspection(I hr min) 66.231iu ' '- Authorized Bignadtne: / �:: . IPrint name:/ ..,1 D .T�/!I Investigation(I hr mm) ` 90.00/ter ", t�nt.c _Elit_ERLdoc Rev 0G17#0IS ec0-4615tYt rmsIcnt Utvt:9 . r1 1''t \7 T' p j t li 1 Plumbing Permit Applicatio; ` ' "-`.�'.' - . Building Fixtures �1 I OR Oi ( 1( 11 "I:. OvI.v City of Tigard Received Permit Na. DatelBy 7 -)07-" r SW 97123^ i �;t i , plan Review Phone: 503.718.2439 Fax: 503.598"1960 t�qy; Other?emir No.: t ,,r I> inspection Line: 503.639.4175 v.,. . _ . , r _ P Ready/Dy: runs. 611 Sae Page 2 for Internet: AVNw.tigard or,go Notified/Method: Supplemental Information' i',..,-411211,;,-";;,,,: tu,t r -av`:.:41r v I0Y ,,a ; 1 .c s A.,.„. , " '•8 z -,i 'r i '6'- 5,P 'tfr1.' '''-.. .> '4.1' n. ®New construction 0 Demolition For special Information use checklist Description f Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) s:r .., 'e ?f4-4'f 041. :t.7.A:41;rti 8 4Ys . v: ; l'ary " SFR(i)bath I I 312.70 ®1.-and 2-family dwelling ❑Commercial/industrialSFR(2)bath 437.78 SFR(3)bath ' 500.32 ©Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(____sq.8.) Page 2 i':.,,,,,"4-','Is.. x*wAl y �'elka a `I `: „„„i; t^� e ,iii Y,twavxc' c `1'_, Site utilities: Job site address: / $? .S'Ai .oraa live_ Catch basinor arca drain 18.76 f Drywall,leach line.or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear It:,...1 Page 2 Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear it.:_) i Page 2 Water.service(no.linear IL:_...1 Page 2 Subdivision:Polygon at Bull 14 fountain 1 Lel no.: C/ fixture or item: Tax map/parcel no.: J` Backflow preventer 1 31.27 - v '' r£"^'> -':44.;-_-:•--.;": jam, _:' Backwater valve I 12.51 Clothes.washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 iAc W tµs`, E, reign lank 12.51 m.,qt•�tt 'A.V. J.4,K ma c.-, / .. ct�v,. 11 .A.:::::,,,4-- c a5 ;�; � l`t � ':4.- ,. - r Name:Polygon V1lLk1..LLC Fixture/sewer cap 25.02 . }$ Floor drain/Boor sink/hub 25.02 Address:109 East 13's Street Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax ( ) Ice maker 12.51 t " 3 't S' ro r }7.77W, ;� rn ` `, , ` ,. s' . ?_.1✓ Interceptor/pease trap25.02 4. 1/k, Yi ''--_-,, L� 4 b ✓ 19 r Medical gas(value:$,._) Page 2 Business name:Polygon WLii,LLC } Primer 12.51 Contact.name:i i ch is �6 Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/StatetZiP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:{360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 iUrinal 25.02 &mall j j j ( n 1 t ,�l' � z; water closet 25.02 Water heater 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 Phone:(503)35]-39(13 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.:180345 Plumbing Lie.no.:P131.582 State surcharge(12%of permit fee) Authorized signature. ,,,,. ,,,r TOTAL PERMIT FE} Print name:Brandon Curter Date: 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 Bard. i:,BuildinstPamica\PLMU•PermltApp.doc 10101/09 440-4616T(10102.COMMEa) .X City of Tigard IIIIICOMMUNITY DEVELOPMENT DEPARTMENT 1111 TiGARD Building Permit Review — Residential Building Permit #: /��/l 57)..o 7-&aou cf Site Address: t 52'x,5.0 QAge Project Name: Pc-kygci Ck =lull Moi,u 4-e Lot #: 9. (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: litikl, 5 HZ Ld Verify site address/suite#exists and active in permit stem. River Terrace Neighborhood: ❑ No Lel Yes,See River Terrace Review Addendum Attached Sit Plan Elements: I Three(3)copies of site plan It' 'sting structures on site E Site plan must be on 8-1/2"x 11"or 11 x 17"paper LL Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) oor elevations IVINorth arrow tility locations&easements(required for new and additions) ite address,project or subdivision name and lot number �t Sidewalk/driveway approach Applicant information(name and phone number) !` Location of wells/septic systems 112Lot dimensions and building setback dimensions xisting trees to be retained with drip line,and tree 11.° quare footage of buildings to be demolished protection measures 1 i• et area,building coverage area,percentage of coverage and [l treet tree size,type and location )mpervious area(applicable if R-7,R-12,R-25&R-40) I' Street names Property corner elevations (2 foot contour lines if more than ItE*torm water quality facility required if>1,000 sf of 4 foot differential) impervious area is created or replaced. 0 Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified IS No Received: ❑ Yes ❑ No ci/Public Facilities Improvement(PFI) Permit: .1k7F2 - (r77 Required: ❑ Yes,applicant was notified ❑ No Applied For: 1E/Yes ❑ No,stop intake Er Land Use Case#: `. i,1 Vi ) .-fJ Q2— Zoning: 12-11A Required Setbacks: Front , Rear \6 Side 5 Street Side 1,5 Garage 2 0 4t \``tLandscape Requirement: W of Coverage Maximum: 1 Building Height: Maximum Height -60 Actual Height 21 III►: Visual Clearance ih. ensitive Lands: CI Yes ❑ No Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: OL tic i ei cr:�xk,li� r)5 ,4 5u13,._(-A5--nr)0 2. -11-��[a cC) 4c :he v -1 p � c - cC "�l q 1C . Approve By Planning: i/ 0`) ' i Date: & i ( r 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\BldgPern itRvw RES 051617.docx Building Permit Submittal Original Submittal Date: 37)42/7 Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering Permit Coordinator/L Building Workflow Sign-off: Sign-off for anning(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. 7 Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: /LEA, •C i�, ,AI/4/iii �. Date: (/:,),//2 Engineering Review ).•4 Slope at building pad: 11,0 60 Conditions "Met"prior to issuance of building permit kEasements (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 No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: 6//07 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El 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: C Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes /Iii=7N/A PPOK to Issue Permit roved byPermit Coordinator: /�f'G9 Late -7/ /� PP 1:\Building\Fonns\BldgPermitRvw_RES_051617.docx City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT Q T l cA RD River Terrace Building Permit Review Addendum Building Permit #: Site Address: 1525 , te PEReJ& AvL Project Name: 9e l j ov'1 cck- tai t Moiko krY) Lot #: 4-141, (New dwelling=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? El Yes XNo 1. . ticulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An .ditional elemen equired for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 deep Balcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ ❑ ❑ 2. Eyes on the street: a urn of 12%of each street facing facade must includ, ' dows or entrance doors. Percentage Shown: 3. Entrances:At least one entrance m. t meet both of the following sta..ards: CI Max. 8 ft. setback from longest street a.' g wall ❑ Para to street,angle no more than 45° from street, or o n 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 min. of five o e following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. dee. ❑ R-.essed entry area min. 5 ft.wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ Do -r min. 4 ft.wide ❑ Roof eave min. 12 inch projection ❑ Roof of -t min. of 2 ft. Cl Roof shingles either tile or woo. El Gable,hip o !ambrel roof design ❑ Roof pitch oriented south mi r. 500 sq. ft. ❑ Horizontal lap 'ding min. 3-7 inches wide ❑ Accent siding min. 40%o treet facade ❑ Window trim min. 1/2"wide by 5/8"deep ❑ Window recess min. 3 '-ches for all street facing ❑ Bay window min. 5 wide by 2 ft. deep ❑ Balcony min. 5 ft. ' e x 3 ft. deep with inside access ❑ Attached garage is 35% •r less of street facade 5. Garages and C. .orts:May face the front or side lot line on a corner lot. Setbacks: No closer to f int or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check o - . ❑ May ext- d up to 5 ft.if there is a covered front porch and garage does not extend beyond the fr. t porch. ❑ May e end up to 5 ft.where the garage is part of a two-story building and there is a window at the s; and story above e garage that faces the street with a min. area of 12 sq.ft. Wi. : (Check one) V 12-foot-wide garage door ❑ 40%max. of street facade El 50%max. of street facade with 7 detailed design elements Notes: C1Q5 IS Y) 5 v)ca 110off (,c_a 616, (v10 clre,) Approved By Planning: 7 �' ,74,E Date: (of (2/ / I:\Building\Forms\B1dgPermitRvw REs RT 062216.docx _/ City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15250 SW PEACE AVE, TIGARD, OR, 97224 June 27, 2018 at 9:47:27 AM Record Type: Record ID: Residential - Master Permit MST2017-00224 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15250 SW PEACE AVE, TIGARD, OR, 97224 June 27, 2018 at 9:48:24 AM Record Type: Record ID: Residential - Master Permit MST2017-00224 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15250 SW PEACE AVE, TIGARD, OR, 97224 June 27, 2018 at 9:48:59 AM Record Type: Record ID: Residential - Master Permit MST2017-00224 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 50 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15250 SW PEACE AVE, TIGARD, OR, 97224 July 10, 2018 at 9:32:22 AM Record Type: Record ID: Residential - Master Permit MST2017-00224 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control passed 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. Note: no A/C installed at this time Violation Summary: Inspector Contractor