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Permit (49) .t CITY 'jr TIGARD . MASTER PERMIT N .., COMMUNITY DEVELOPMENT Permit*: MST2017-00223 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/02/2017 Parcel: 2S 108DB00500 Jurisdiction: Tigard Site address: 15270 SW PEACE AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 3 Project: Polygon Bull Mountain, Lot 3 Project Description: New SF. 12/20/2017: REPRINT permit to add 4th bathroom. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1547 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 4 Second: 2144 sf Garage: 735 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 3691 sf Value: $453,750.12 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 Bckflw Prevntr: 0 Catch Basins: 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 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 3691 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: $36,127.31 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 throu•i 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. Illi Issued By: (1 ar ..- y1 ,!� _ Permittee Signature: �N/ �/ /" 69-770 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. 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 III 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 �r I'VE]) DEPT: BUILDING DIVISION DEC 13 2017 FROM: Nichole Thorpe CITY OF T IGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 360-989-4204 Bet ---/' RE: 15270 SW Peace Ave MST2017-00223 (Site Address) (Permit Number) Polygon at Bull Mountian Lot 3 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: " Description: Copies: Description: 0 Additional set(s) of plans. 3 Revisions: Plan Sets- 4th Bathroom add 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. FOR OFFICE USE ONLY Routed to Permit Technician: Date: )a ) C3_ I-) Initials: Fees Due: ►1 Yes ❑ No Fee Description: Amount D(ie: J H le p)o,e) rev : P.V./ $ qo $ $ Special $ Instructions: Reprint Permit(per PE): Yes ❑No one Applicant Notified:Wle t r ate: /2-/Zt://' Initials: 6:771,9-,./.- I\Building\Forms\TransmittalLetter-Revisions doc ,q,,rI:\Building\Fonns\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT IIIIs COMMUNITY DEVELOPMENT Permit#: MST2017-00223 T t G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/02/2017 Parcel: 2S108DB00500 Jurisdiction: Tigard Site address: 15270 SW PEACE AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 3 Project: Polygon Bull Mountain, Lot 3 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1547 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 2144 sf Garage: 735 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3691 sf Value: $453,750.12 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 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: 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 3691 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: $35,983.17 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /04Z Issued By: Permittee Signature: Af/6 /�14 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. /J This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application L_, 7 / 3 - ,,,-.,„....,,,,,.,-, Itmdential FOR OFFICE I SE ON LI RECEIVED Received City of Tigard DateBy: l),/7? ,: Permit N ��DUu 11 " 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 8 2017 Plan Review / I g 0 Phone: 503.718.2439 Fax: 503.598.1960 Date/Sy: 6 p�0•Ins , '� Other Pe'm't�!�G�� l� /�O f I C:\R D temet�nwww tigard or.gov75 Date CITY OF TIGARD No ifed/Method:6/Z5'//"� �t�, 7uris: ®pp mental Information BUILDING DIVISION ,q,- ,¢Ae« ig ®New construction ❑Demolition Permit fees*are based on the value of the work performed. 0 Addition/alteration/replacement 0 Other equipment, the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the '� 6�`� ;,:':<—%';,,-%:,,-,---,1,--r QE F work indicated on this application. �� �a� .., �E - � ® Valuatio�M1-and 2-family dwelling 0 Commercial/industrial O$ �V,_ —if ❑Accessory building 0 Multi-family Number of bedrooms: L# 0 Master builder 0 Other: Number of bathrooms: 3 ✓ y� / � `` -�;t :.; lst°t a �. ae '' Total number of floors: '�-3 1 l �O Job site address: irjul V V t , r , , ;t, , New dwelling area: �'�9Qi n square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: bS square feet Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: 5 t square feet'1 1 114 O Cross street/directions to job site: square feetiS47 Other structure area: + square feet 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 y . t ° 1 work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ° 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: � ,r 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 E-mail:Angela.Grajewski@polygonhomes.com � Commercial and residential prescriptive installation of ,- r' t ' .:=2_,1,-_1:,,-..,;.;-,- roof-top mounted PhotoVoltaic Solar Panel System. n� 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 p Authorized signature: tiov...,,, 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-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB) Mechanical Permit Application , _ t UR()I I it I 1 '0 ti\1 1 ?' '/ 1=0"ZilimMWISW-41-4 41,/ # 1 City of Tigard Dateiny: It..--. .; 13125 SW Hall Biwa.,Tigard,OR 9724,i'4' '''-iii."I' ,- 7- - or> ESaIIIIIIIII=M Phone: 503.7182439 Fax: 503$919you 1, Inspection'jilt: 503.639.4175 1.„..„1. .., .. - ,-,,-,1,-:--1,,,*N,t.,,i Date Readyn3y: Ian% Internet: www,tigard-or.gov :r., i j,,i.',,,,,..,,,:„,, .: j, ; ,„2,,:1,, mmiliediwthod.. %-',:; ;;'''''' ',!"15.,'---5:',',....-1c." ,77::,4.,.;'1,,,:i'6.,-;t:P.,I;':•?..!)'',.--'''SiSIIT.:0;,..:!?..1`4f--- Fg,t,;.*..34 .?:,41..ei.1,:.,,,: i.s, , g,-`"J,,"r..'1,1,.t::'. .%11.-.:'..A.,.;:. .*:3.C:'.i.r.iP:::')-A,14a011400..10t, . ' ' " "' ' " Mechanical permit fees*arc based on the value of the work tig Nevi construction 0 Addition/alteratiOnfreplamment performed,Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials.equipment.labor,overhead,and wilt. Value:$ kk, "44-A``,'•-•',-,-7,k-•::.4.`tz''.L...V,-cz'3•74).-r")!,'''•*•""r'Nt t'r: .,'"`isi''''.". .., "F-4•L'' it'--"V.- , =e-.i.-, • , - . . ., - -k- „.,-„, ,,^4,r.z.',,i'tf4,40,,,'*'9,,-,.5:,.',W,,,,:'1. "..',?..-K.:;,;,,t/i....A.I.V.9p;-„,gLit..f.,..t.L.4-1....,,i,t,,,.4,4t:c.4i, ...„4:-.....:,-,--,,,istsst-f- '''..'. jliio,,i'ri- 1,e-,* ;ti:7! 14,5:-5.1-1‘te:y.5j,,..,,tc• : •*-" :' I! I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Per spedal Woimallon sir checklist Multi-family 0 Master builder 0 Other: Description I Qty. 1 EL I. Total Air eonditioninn i 46.75 Job site address:1 s?-70 .k/k) pectee thts, Furnace 100.000 BTU(dacievemil I 46,75 City/State/ZIP:Tigard,OR 97224 Furnace,100.000+BTU(duets/vents) , 54.91 Heat pump 61.06 Suiteibldgiapt.no.; 1 Project name:Polygon at Bull Mountain Duct work 23.32 . Cross street/directions to job site: Hydronin hot water system 23,32 Residential boiler(radiator or hydronic) 2332 Unit heaters(fuel-type,not electric), in-vall,in-duet,suspended,etc. 46.75 Flue/vent for any of above 1 , 23.32 1- Other: 23.32 Subdivision:Polygon at Bull Mountain I Lot no.:-5 Other Thal appliances; 'Fax nutplparcel no.: Water heater 23.32 ....".7,7''V.rart-',;:r.:-..---=,7-4,-7-7,-:.;r-1-12.,,Z.L,T.'7,-,.. „-i_..„.7.,..„,..,,,,,i„,,,iS.,,.._.:,r.•_,:.,7,,T,T,y,,, .-n-:.,:,...7,,,,-,.1,.-•,,,-,• rz..4%..... I 33.39 'fr.--.',.., .:'',..7.-:'-'tt. ',:,A.3:2., ,•.-I-1,02--:.1a,:' f,,f,"-r.0').‘1,''U1,.-',-.4e-4'.3.:-V'i4.' ,vg::-.-,,,,,-.4r64.4.- r.,,-,,,,,. ----_---.Pke,4, Rs"' - - - -----— s—- --------- Flue vent for water heater or gas firesdace 23.32 Log Oehler(ens) _ 23.32 Wood/pellet stove 33.39 Wood lireplacetinsen 23.32 Chinntevnintrfiluetvent 23.32 2332 ..,-,,,,:).;',-.'"..7,,,,,,-...,:: ?_.1')..i...1.".Y1-!..''''1/4'4t'',.'1.-YA',.1 itz:,,,,;:',,7- '4 t'.:,:a:ztv'-t-,-,7.2.-'-= 1-W F',."..,F`i- -V'''),%7'.'fm- "•:.-:".':-': Eaviroantgatid exhaust sad ventilationt Name;Polygon WL1.1,LLC Range hood/other kitchen equipment I 33.39 Address:109 Rest 13'h Street Clothes drver exhaust 33.39 CitpiStaterZIP:Vancouver,WA 98660 •Singio-duct exhaust(bathrooms, mild compartments,utility moms) 2132 Phone:(360)69S-7 ., 700 Fax:( ) Atticierawlspace fans 23.32 :....,i--lc:"7,- -.:-,..1.,...,t,...1,-,..1v:2.1-'-, ,;:1`•-,,--,:,-.:----,..;;4,,,,,,.......::±i.,-*`:i" .D7 t e->It'',• ...E.-•$ , ,.ri...r.-....,„,_.,,,- Other: 2132 '• Fuel piping; atSiiIMS name:Polygon W1.18,LLC 51435 for rust four;P.M for emelt additional, Contact name:Al I thvle 'Thorpe Furnace.de. I Gas heal pump Address:109 East 13th Street WaWstisPendedhunt beater City/State/ZIP;Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 1 Fireplace i Range I E-mail:;i 'cAdaie• ir./.4:A!A 21 a . i il .1 1 IL . -11.A.4 Eigibecue Z'5,j2._7rfi.-- -aife,)-',:.t - :-:=R.37:3s-- --r..:. , :-1..:-;-, ctoih„dryer(gas) ... Business name:Apes Mr LLC • Other: -,..'!- ‘-'',.,` Address:18004 NE 72'4 Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Mininonn permit fee(590.00) Plan review(23%of permit fee) Phone:(360)3424109 Fax:(360)326-1769 Statc surcharge(12%of pennit fee) CCB lie.:203034 I TOTAL PERMIT FEE. This-Permit eradication oxPlecs if*penult boot*Willow within ital days stow it has bees accepted as vmsnpktc. Authorized signature, • ilea methodology sis by Tri-Cortary Building toclosoy Som.=ttozoti Print name:- I I" .1 Date: 4.1 1„it.„„ 1 - I-414044P.r.-6.04cuetinitApp o4D 1 LI dc 440-46t7T(I 102/170WWPM , .._ ' Electrical Permit_Application I two, ' It I I,tiE t).i1 City of Tigard him I %i-it.7123.111 13125 SW*Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.196.t9, ' �r �_ inspection Liner 503.639,4175Ready Date/By: Internet: www.tigandror,gov 'l , i=?1^,r Notifi edtod: 11111111111111 . _,--,'''',-7-1-1,,-'11,--...' ,..-a....... .. ... . ..... -.-,. •:+�..z�v'1....: ti....d__.v._..:Y`...i..•._..a_M�..v..Sl....,_v.� ;I,.. -,-, „,:-_-__=;:.--,,,...',-:-::..-. ..c.: ..y..�... CR New amsiructian 0 Addiaonralterationrreplacement ck II that apply(sonnet I,sots• plans wtllans the ked): D Service or feeder 400 amps remora (]Bmildiag over dace nodes. CI Demolition ❑Daher where the available fault currant D Marinas and boatyards. - _ -7::-:--.,.1 ' � 1 r ' r t , , -.is 10,0001.1.at 150 Yobs W D plaaiag bat0din8+s• +7 1-and 2-family dwelling 0 ConutlerciaUindustriai 0 Accessory building lento ground or exceeds 14,000 0 Commercial-ase mgricataas amps Wall other installations. buildings fJ Multi-011611y 0 Master builder ❑Other. DFire pomp. Dinstall auanr or tso RVA or ii ri a " - I-0 ? DEm an. 1 derived goon X.v �1' t •K /. t .a . El Addition ofnew motor load of system. Jobe': Job site address. ' Z7 0 cull PrA,(�. � T " 100fiPormom. ❑"A","E"."t-r,.1 3", City/State/Z)P:Tigard,OR 97224 V 0 Six or more midmliamts. D vehicle D ltedtintae facilitiesReaceriond, parks. �.tI A� ( Hazardous locations. D Supply voltage for more than Suite/bldg./apt./apt #: Project name('a/yp`�'� p -C l•t �. 600 vola nominal. JJ ❑Samoa or feeder 600 amps or mac Cross street/directions to job site: •,:;':,.47:;,,;',` e.;4---' -t. + ;tl i) t z T s' Dacrigodsa '1.QwR Lady TaW • New residential single-or Maid-family dwelling unit. Subdivlsion:poitim.sof BitaivittAtivtaAn Lot/1:3 Includes attached garage. _ 1,000 sq.ft.or leas 168.54 4 Tax map/parcel#: _ _., -F'-j,ai- _,,.-.U*.- . .E. } „.. ,,..<.,_, -.":,'.-;,:-,:;•!r---:,-:::.:' -_._3`_,tFa atd'I 500 sq.ft.or portion 33.92 1 Limited energy.residential 75.00 2 (with above sq.ft.) Limited energy.maid-fatuity 75.00 2 V ',..;"','-'7, ',.,.""•";"-- i, , , ,'1• residential(with above R. fl,) Name:AD.VL Land Holdings,LLC Renewable Eaergy 17 Ste Page 2 Address '7600 E'Doubletree Ranch/toad Services or feeders installation.alteration,and/or relocation 200 amps or less 100.70 2 City/State/ZAP;Scottsdale.AZ 85258 Phone:(602)694-40031 I Fax:( ) 201 amps to 400 amps 133.56 2 Entail: 401 ani to 600 amps 200.34 2 Owner installation:This installation is being made on property that 1 own'which is not 691 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,679,and 701. Owner Signatlgt Date Over 1,000 amps or volts 552.26 2 F :r F 5y.rY .,. •Temporary services or feeders Installation.alteration,and/or __.z_..n..._ ,1:....',%—...:'-7 ::E l_,;4s�.. '.1.1.. e' •. roc.c..,c.b_!Y....:1O.Z,..,�fc .4 eetotatton Business name:William Lyon Homes,Inc. 200 amps or less 59.36 I Contact name:Xifil4ge. 111149 e 201 amps to 400 amps 125.08 2 Address:109 Past 13th Street 40t tabs to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuiti•-new,alteration,or extension, panel Phone:(360)695-7700 Fax::(360)693-4442 A,Fee for branch circuits with above service or Seeder fee, 7,42 2 Email J. le : 0 / '0( i r ,t t/ J A to each branch circuit s B.Fee for branch circuits without .. '_ . : . �t ,..._,_�,. _R: .. . .._ ~., _ _> _ 1 ,., ... . ~.,. _ ,.__.'::::•„.1,,- _.,. , . h ,.servkx or feeder tae,first business name:Alameda electric branch circuit56,18 2 Each add'Ibranch circuit 7,42 2 Address:3415 ne 44th 1Hiateilaneoas(servke or feeder not included) City/State/ZIP:MIR Ar'/f a,,,A Zara _107 7 o7.-/3 F.nch manufactured or modular 67,84 ' 2 dwelling,service araVor feeder Phone:(503)3192192 Fax:( ) Reconnect only 67.84 Email:solatpdx®pre.com • Pump or irrigation circle 67.84 ' ' CCB Lic.: 199188 I Electrical Lic,: c923 1 Suprv.Lic.: r'f715 •' Signor outline lighting 67.84 2' Suprv.Electrician signature,required: Signal eircuh s)orlimilad-enst ' :. , Print name: kik /2.00.44, Date: Slz /"i panel.alteration,or esaetaion. 0 x , 2', Each additionIns Inspection over allowable any of&albovo Alaborized 0igtlatufc: Additional inspection( hrmia) 6625/br `y .re.► '„.. ,.ilast taunt: tnve56igadon(1 hr mins) mod:hr ina.:f Cera E.c. .._Er.rl EAadoc Kew 54I 7l2 5 140-16fST(11 / . , unxbiing Permit AputieatrI `° r Pill Building.Fixtures :, Received Permit Notj15� 1 1 City of Tigard Receive• 13125 SW Hail Blvd.,Tigard,OR,,4 7123 t, t Pian Review � Phone: 503718.2439 Fax: 50359161960 DatdBy: Other er PtxaitNo.: r 1 •Inspection 50�53r' r'a Doe ReadyiRy ItMs. g Page 2 for Internet: tvww.tigard or.gov Notified/Method: Su pimeal Information , c A 1 ,. r. s ' . ...,wi, 'F',7-' +2 4 .?apt` °` .�c v. y.,.: ,ow 't+a}.$..-2.r C�`r`f: ik-:,:'t,s7 ?'i ,x;-`ACI ah - t 0'. � ?;;�37 a `�",� �'^""."k'i$x,� -;'+`- Q.a `ry y : . �. rr� ,^. For special information USC checklist „t, �, ��., n J NewEl construction Demolition Description 1 Qty. I Ea, I Total ©Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 it for each utility connection) s 'v� A B m ;.rr, 2x 4 . `' c ° SFR( )bath • 31270 fi „a sr4„ , SFR(2)bath 437.78 _t 1-and 2-family dwelling 0 CommerciaUmdustrial SFR(3)bath 500.32 r(]Accessory building ❑Multi-fatally • - Each additional bath/kitchen 25.02 []Other: Fire sprinkler(_._sq.ft.) Page 2 _ ..� iat- O Masterboulder- • {. ia iat ? NS .o /. t e.,:din it ll V: '-ii.:„ Site utilities: Catch basin or r area drain 18.76 Job site address: Bra tW / pp,A / p _ lyrywell,leach line,or trench drain 18.76 CityIStatetZlP:Tigard,OR 97224 Footing drain(no,linear ft.;_) Page 2 Project name:Polygon at Butt Mountain Manpfactured tome utilities 0 Suite(bldaJapt.no.: I j r Cross streiet/ditrctions to job site: ivlanholes 18.76 Rain drain connector 18.76 Sanitary sewer(no,linear ft.: T_) Page 2 } ' Page Storm sewer(no.linear ft.; ) l g Water service(no.linear i1.: ) 1 Page 2 Subdivision:Polygon at Bull Mountain , Lot no.: - Fixture*rite= 31,27 Back-flow preventer ' fax map/parcel no Backwater valve I 12.51 r i N: -.E- a' Gi t _,$h E g C,i:4,,'.`' e .Fz 4�u c 11za: , `t '.:7`,...:2f. e..S,A;;.: -Clothes washer 25.02 ���i,i L. :i�� �-* Dishwasher 25.02 Drinking fbuidain 25.02 Ejectors/sump 25.02 k s ? ,.. Expansion tank 1.251 �; s. �t :., a Fixture/sewercap 25.02. Nance:Polygon vvLH,:LLC Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 Address:109'East 13th`Street 25.02 City/State/ZIP:Vancouver,WA 98660 Rose bib ---- ?bane.(340X95-7700 Fax:( ) Ice maker . 12.51 - 25,02 -i ;` 5 r .J.7471 - :{ sI i1 s" ak 't inlereeptor/grease trap M -roes ,Medical gas(value:$ ) Page 2 Business name:Polygon WLH,•LLC Primer • 12.51 Contact name: �Y L Nis -monk k -Roof drain(commercial) 12.51 : 25.02 Address;109 East 13th Street Sirdc/basln/lavatvey Solar twits(potable water) 62.54 C%ty/StptelZlP:Vancouver,WA 98661E Tull/shower/shower pan t2.51 I Fax::(360)693-4442 12.51 Phone:(360)69595-77�--- /�� Unna r"matl 1.1', P 14 ,•,,1 f 0A-06 !♦ w t. closet 1• i� ' r:+ i t.r > r : ? u�4, .: ' ,r . A1x7..,...-.a".,*.._...,..-a.,., Y_.••zr•.las...--,.....- Water heater •37.52 Business name:BDL Plumbing LLe Water pipingIDWV 56.29 Other. 25.02 Address;PO Box 85 - Subtotal City/S#ate/ZlP:Corbett OR 97019 Minimum permit fee: 572.50 Phone:(503)351-3903 Fax:( ) Plan review as%of permit fee) CCL'Lie.:180345Plumbing Lie.no.:PB1582 g �• surcharge(12%of permit fee) • jr pERIvi1T FEE Authorized signature: ,1'"[ F4'4""�•+r- This permit Application expires if a petioli TOTAL notPE obtoiued_withln IHa days Date: .( after ithas been accepted as complete. IPrint name:Brandon Lanier 'Fee methodology set by Tri-County building Industry Ser ice Beard. 44046I6f110ro21C0 ' ) IrBuipdingJ�mrtiGu\PLtdU-kam�itAi+p-doc 16101/99 e 4 City of Tigard Dr. COTi NITY DEVELOPMENT DEPARTMENT TBuing Permit Review - Residential Building Permi /fjls7� �7—�D Site Address: Project Name: poi 1r�0„1 4 'Duo iAou►2 ;� Lot #: -- (Nw dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: ik1' " Verify site address/suite#exists and active inp ermit syyem. EP/River Terrace Neighborhood: 0 No aKes,See River Terrace Review Addendum Attached Site Plan Elements: 1:1,14hree(3)copies of site plan IOExisting structures on site [(Ate plan must be on 8-1/2"x 11"or 11 x 17"paper Ili.eootprint of new structure(including decks)with finished [6rawn to scale(standard architect or engineer scale) floorfelevations � orth arrow [utility locations&easements(required for new and additions) Tote address,project or subdivision name and lot number t.c}4idewalk/driveway approach q Applicant information(name and phone number) [Location of wells/septic systems of dimensions and building setback dimensions O xisting trees to be retained with drip line,and tree quare footage of buildings to be demolished N:KI. ��pp`rotection measures ot area,building coverage area,percentage of coverage and L�d'Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) 2/Street names [roperty corner elevations(2 foot contour lines if more than 4Astorm 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: 0 Yes,applicant was notified - 7 No Received: 0 Yes 0 No 2 Public Facilities Improvement(PFI) Permit: `? -j`5.--o r0 7 7 /Required: 0 Yes,applicant was notified 0 No Applied For: [ Yes 0 No,stop intake ELand Use Case#: (,(s 5—GCCO—2— VE/Zoning: ,5 Required Setbacks: Front -1.0 Rear 6 Side £ Street Side 1G Garage 70 %JP Landscape Requirement: cyo of Coverage Maximum: LSI Building Height: Maximum Height 220 Actual Height U NIA Visual Clearance Sensitive Lands: ❑ Yes ❑ No Type "Urban Forestry Plan eil Conditions "Met"prior to issuance of buil.' g permit 'otes: ` , , ..t . 1 , i . •: - • ., ( • .>• • Approved By 'lannin g' ' 07 j/V Date: ( /121 i 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw REs 051617.docx Building Permit Submittal Original Submittal Date: iT A/ AP Site Plans: # Building Plans: Building Permit#: nter building permit#above. Workflow Routing: Planning Engineeringermit Coordinatorzilding Workflow Sign-off: 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. 7 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: 1� ‘. By Permit Technician: '" / Date: ‘e(�/, Engineering Review Slope at building pad: S VT-Conditions "Met"prior to issuance of building permit )lasements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Vr--No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes gr--No ❑ NOT Approved by Engineering: Date: Notes: /6 Approved by Engineering: Date: ( ( Revisions (after Building Submittal only) Reviewer 1 ate 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: C Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: Yes CI N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes x=11 N/A OK to Issue Permit 73/ Approved by Permit Coordinator: Date: o 7/I:\Building\Forms\BldgPermitRvw_RES_051617.docx City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: 152-10 $w PEA 4\;E, Project Name: PO I 99 q MQltry 'i0 Lot #: 3 (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? ❑ Yes rkNo 1.Arti lation: a minimum of 1 element per each street-facing façade that has 30-60 ft. of frontage.An a.. tional element re. fired for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft: .eep Balcony w/ access 2 Window Projection Vertical Wall Offset a , abled dormer ft. deep min. 2ft.,5 ft.wide min. 2 ft.,Eft.wide ❑ ❑ ❑ ❑ ❑ 2. Eyes on the street: a '""imum of 12%of each street facing facade must include dows or entrance doors. Percentage Shown: 3. Entrances:At least one entranc- must meet both of the following standar,. : ❑ Parallel t. street,angle no more than 45° from street, ❑ Max. 8 ft. setback from longest stree. facing wall or open . to porch Entrance opens to a porch: ❑ Yes ❑ No If yes,all the following apply: ❑ 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 . o ye 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 \ I ormer min. 4 ft.wide ❑ Roof eave min. 12 inch projection ❑ R..f offset min. of 2 ft. ❑ Roof shingles either tile or wood ❑ Gab - hip or gambrel roof design ❑ Roof pitch oriented south min. sq. ft. ❑ Horizon <1 lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of s ,et facade ❑ Window min. 2 '/z"wide by 5/8"deep ❑ Window recess min. 3 inc 's for all street facing ❑ Bay window 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide 3 ft. deep with inside access ❑ Attached garage is 5%or less of street facade 5. Garages and Carp.rts:May face the front or side lot line on a corner lot. Setbacks: No closer to fro r or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check ane): ❑ May exten• up to 5 ft.if there is a covered front porch and garage does not extend beyond the ' .nt porch. ❑ May ex •nd up to 5 ft.where the garage is part of a two-story building and there is a window at the •cond story above t garage that faces the street with a min. area of 12 sq.ft. Widt : (Check one) ❑ 2-foot-wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: (e; )r) 1'1,ki 4. it 0 Qv? k1c b 1i- (1'io 4- T U t) rri-p1/4) • Approved By Planning: ./, Date:de with 7 1:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15270 SW PEACE AVE, TIGARD, OR, 97224 May 21 , 2018 at 11 :10:31 AM Record Type: Record ID: Residential - Master Permit MST2017-00223 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15270 SW PEACE AVE, TIGARD, OR, 97224 May 22, 2018 at 11 :14:14 AM Record Type: Record ID: Residential - Master Permit MST2017-00223 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel 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. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15270 SW PEACE AVE, TIGARD, OR, 97224 May 22, 2018 at 11 :02:57 AM Record Type: Record ID: Residential - Master Permit MST2017-00223 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed. No A/C installed Violation Summary: Inspector Contractor