Permit (51) CITY OF TIGARD 7a°` • °yry` MASTER PERMIT
I
COMMUNITY DEVELOPMENT ��e- t-. Permit#: MST2017-00240
T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/02/2017
Parcel: 2S108DB00400
Jurisdiction: Tigard
Site address: 15310 SW PEACE AVE
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 2
Project: Polygon at Bull Mountain, Lot 2
Project Description: New SF. 1/25/2018: 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: 25 Bathrooms: 4 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: 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 Drains: 0
Water 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: 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.'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: $36,168.34
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 AR 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: Gr CCi', C—... rf
Permittee Signature: 17°,L> e, 7704/
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.
71 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 EI E
DEPT: BUILDING DIVISION (
JAN 18 2018
FROM: Nichole Thorpe x.11
COMPANY: Polygon Northwest
PHONE: 360-989-4204 BYt �
RE: 153105W Peace Ave MST2017-00240
(Site Address) (Permit Number)
Polygon at Bull Mountian Lot 2
(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: Plans with 4th bathroom
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. /2&7U/2 Ai 7 i -nr A/09"
Adding 4th bathroom
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: ) — ONS.— ) , Initials: sif
Fees Due: 1Yes ❑No Fee Description: Amount Due:
1 r Pl c v r.- Nr: $ q o
$
$
Special
Instructions:
Reprint Permit(per PE): J Yes ❑ No Done
Applicant Notified:A.// r- Date: //2$//c--- Initials
I:\Budding\ones\TransmittalLetter-Revisions.doc 05/25/2012
CITY OF TIGARD MASTER PERMIT
71 ' COMMUNITY DEVELOPMENT Permit#: MST2017-00240
T[GA.R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/02/2017
Parcel: 2S108DB00400
Jurisdiction: Tigard
Site address: 15310 SW PEACE AVE
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 2
Project: Polygon at Bull Mountain, Lot 2
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: 25 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 Drains: 0
Water 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 adds 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: $36,024.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,, Permittee Signature: 5e-e_ 4jjo✓��o7v,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. ����77
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 !,a 1
K V.,-,-,7,,,,,m RECEIVED
'� '�dg� 1 FOR OFFICE l SE O\Ll
City of Tigard Received �! .
I DateBy: Permit N �iiT j y, 7y
13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 8 2 17 Plan Review ��l���I'� D...._f1" fQ
Phone: 503.718.2439 Fax: 503.598.19�Q_,. Afr 11 Other Permit: i17t4.1 02"ai,V.3
Date/By:
T 1 ci,,RD Inspection Line: 503.639.4175 OF TIGARD Date ReadyBy: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: 0 �F /7 ,of Supplemental Information
i/L,. l/ g-
t flam � w.:.� 11 t * r
®New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhea4,1aps14e pro t fake
°� � � 4 f, � t work indicated on this application. r.
® 1-and 2-family dwellingValuation: $
0 Commercialmdustrial
'' ,! 0 Accessory building 0 Multi-family Number of bedrooms: L.
0 Master builder 0 Other: Number of bathrooms: 3
, r y t s t. 1 4 , t: Total number of floors:
Job site address:'S)j 0 5'W "Mit /��p1� New dwelling area4
fij(_ "2,A6pfsquare feet "2,A6
Tigard,OR 97224 I Garage/carport area: 1�1..'b� / square feet ic 3
Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Covered porch area: -221 square feet
Cross street/directions to job site: .� t.cv-‘,..f.
25a square feet
Other structure area: square feet
Subdivision:Polygon at Bull Mountain I Lot no.: 2 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
,rt .¢. , x equipment,materials,labor,overhead,and the profit for the
t 1' e t62: 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:( )
7; li
New:
..` . ,,r'
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:Angela Grajewski
Address:109 East 13th Street FLS plan review fee(if applicable):
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 I Fax::( ) Amount received
f .1 t 1 ;
E-mail:Angels.Grajewski@polygonhomes.com , ,,..
17. Commercial and residential prescriptive installation of
' -u- ` tv. mounted Phot
`� � roof-top oVoltaic 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: $201.60
Authorized signature: �4��jJ This permit application expires if a permit is not obtained
` within 180 days after it has been accepted as complete.
*Fee methodology set by Tri County Building Industry
II Print name:Angela Grajewski Date:1/20/2017
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
.. ............. .
-$ i
l .Mechanical Permit Apptc.
J o (11 1 it 1 t ()ti 1 e
City of TI Tds n r,^ od t3y: Permit Hn S,. 17....4,,),L-1,0
U13125 SW Hall 1i1vd.,Tigard,OR 97223, =t
• Phone: 503.718.2439 Fax: 503.593.1.960
Ilnspcckon Cine: 503.639A 175 ,/ a 4 bmeReedyrlly x Il zeC-is 11111 it2E21:111
'Internet: www.tigard-or.gov tiwifee&Mafiod:
T e TII. i 4
,:,...5;1.,-...,/:,-,: ,,r... w yc- t yfs:... ,:' ,.i1.1 73 i , ,'$ r n *$,. ,,V.,-.5-
?, t: 551), I !NAY_ FsF c..-_•�'C4iii��c'+� '.5.1.. 3 kV-i,A.a •t .
"` 3 a "e Mechanical Omit feet"arc based bn the imbue of the work
®New construction 0 Additionlaltcrationfreplacctnent performed.Indicate the value(rounded to the nearest dollar)of ail
❑Demolition 0 Other: mechanical materials.equipment.labor,overhead.and profit.
Value S
t ni.. :''. .g :",may ^' •a'+ J- <'-i°" w ti 1 la jx `:
e"1`" ;7 ° s� Lr ceF ^3 F`Sc e) ti°5 _ a x r ease+ I ,7,4� V7 t'i ft'�r`t 1:;, 'lI' 7,e . ,4 '
1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For sprdail ifermadon Ale(*edam
Multi-family 0 Master builder 0 Other: Description I Qty. I Es. I Total
fi F by { ro o-'ir cn *' r lirati&cooling:
^'xtia.a...._. - v...o.. ..r...�.....z: iS d -e-1?z .',.....,r f. �..�.cm..:�-........a: girconditloni ` 46.75
d S3/() SW IP '. • J�
.lob site addrec5:/ � Furnace 100.00013TH Tdudxh<tatts) ! 46.75
City/State/ZIP:Tiigard,OR 97224 Furnaise 100,000+1311.1(dnotsrvents) 54 91
Heat pump 61.06
Suite/bldg./apt.no.: ( Project name:Polygon at.Bull Mountain Duct work 23.32
Cross svectldirectibns to job site: Hydropic hot water swim 23.32
Residtmlial boiler(radiator or
hydronic) 23.32
Unit heaters(fuel--type,not electric),
in-wall,in-duct,suspended.etc. 46.75
PlueAtent for any of above I 23.32
-Subdivision:•Polygon at Bull Mountain I Cot no.:Z 23.32
Other Mei*Main net=
Tax map/parcel no.: Water heater 23.32
..,: } c'7,3.'• c Jt r,t ,L N 7. 7-: Gas(irrigate/insert rt: I33.39
_ 7tf,,,,,-,;.:5-,, ,,,, _ k 4� n(tt a.4 t ,,; i w'a i s u4 'a K. �. Pyr � I.u �:, .,, _ w�6 . n Y. Flue vent for wglcr heater or gas •
1�/+`v`r1 ;, 9 113 . fireplace 23.32
' Log lighter fps) 23.32
Woedtpcllet stove 33.39
Wood armlet:dieser' 23.32
Chitnney,73ncr/tluetvent 23.32
-.;;;:;i4,:;.',5{,7:; ,,,,g,...:.:....1.1.! •'. - .ULhCf: 23 32"; i -] �yt� a t 1� f .*.r^i z t kt•
x
-- . _ Environmental calmest and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
equipment _ I 33.39
Address:109 riot!134 Street .
Cloiitesdryer exhaust 33.39
City,State/ZiP:Vancouver,WA 98660 'Single-duct exhaust(bathrooms,
toilet compartments..utility moms) 23.32
Phone:(360)6S-7700 rax:( ) Auieferuwtspacc fans 23.32
ptis w- r x.: l- t , YrJ , " .5--'- , .t 7 ,c;.7.:,',,, ,',-.,,,:.
.....-' k..',',,,,,.:7--; >? other: 23.32
. ,.L.., ,. � ,a._. . k.+.4 a%..' . tea_ oa.a J�.-r,, .....� ,n.r,z7 Eumf•'
Business name:Polygon W1.H,LLC Pur e1 g n-9g1
. Si 4.15 for first faun:S4.03 Wench additional
contact name:a//Ch v' j/rpe Fwnaec,etc_
Address:109 East 13th Street "" Gas heat Catnap
Walilsuspendediunit heater
CitylState/ P:Vancouver,WA 98660 Water hater
Phone:(360)69S-7700 I Fax::(360)693-4442 ptixplacr I
Range 1 .
E-mail: G f v le ii ! 1 Pi a s I /L.. I a, Barbecue.
r j 5 ,} � y E : v.:t.' ,7 ,7-'7'..,'F',-'-':/ Clothes dryer(�)
a__�._..:1. ,._ .__. •SJ.-.. SL
...,::2_".' 4.2..
, .uL. .. ":.iS" .a. T :.vs.ax_,-_ z"i/
13tt'sinessnaine:Apex Air LLC Cather' '
".7.•' r� ',-::.7';'::.1% ,_li �7�. :==53‘
Address:18004 NE 72"4 Ave Subtotal
cltylstaterzir:Vancouver,WA 936116 •
Minimumpermit fee($90.00)
Plan review(25%of pemtit fee)
Phone:(360)342-8109 Fax:(360)3264769 Stale surcharge(12%of permit fee) _
CCB lie.:203034 TOTAL.PERMIT FEE
This permit application.expires Ila permit is net obtained within 186
day,afterit has been accepted aa compete.
Authorized signature: . Fee tnct todology set by Tri•Comty Banding industry Service Board
,
Print matte. a f Darr: ie t'7.14..
t:t6uttdinaY"c,adn94EC_Pamit4pp i4r1I 0 ad 440.44trr 0 tiO221c .44 WT•dr)
4 � 1 ,
Electrical Permi
Plumbing Permit Application
Building Fixtures JUN 'i'' 11111111111111111=M1111111111111 I
+ s a Received permit No:
City-of Tigard a -n Date�'By: /ri 5 T.i-oi 7-06.14-/e)
•�y13125 SW Halt Blvd.,Tigard,OR 1I7 -s`0 P Plan Review
•_ Other Permit No.:
Phone: M3.718.2439 Fax 5fi.e$49 ',5,1,1 <()IN pale/BY:
-__IL
Inspection Line: 503.639.4175"J�,•L- LLe ,w '` ' -"1; .1, Date Ready/By: furl,, ca See Page 2 for
r 1 I.
Internet: w•V,w.tigard-or.gor Notified/Method: Snpplemeutei information
.y ck 4vi 4 �.t' 4w...7 FK� t';r.'•�t r`4'"�` r:-�'�S �..-%a <`i+ t1>;l_ '4`.1Z'1"*""-n ::7,:,..i.,,,VM:
:.�,:
j -T-1 ' ,Ti:.'.if..x c*sat `,"• ^h"F ' ,i � . . ''' ' .. •-
Demolition For special information use checklist:
NewIS). construction Description 4 qty. l Ea. I Total
Cj Addition/alteration/replacement ❑Other: New 1-2-family dwellings(ncludes 100 ft.for each utility connection)
t?Zv `��, " »�� ` y 3F. kat,e1,b� �eC� �Ya(` �721 50'Rh,-? �-` t*>.e° SFR(I)bath 312.70
SFR(2)bath 437.78
®I.and 2-family dwelling 0 Commercial/industrial SFR(3)bath , 500.32
❑Accessory building 0 Multi-family Each additional bathildtchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft,) Page 2
3� grt 4 1N) t sfgl�`,,-, - .., z•Is i :,t t ;('' t'a ' Site utilities.
Ir 5kt:, s.'0� :�*,> ie.'tf.Y 'rc '.. ,;.,'..S� w"t rl-i-f" 'N_ ;i y,t
•
. 0 S V V ' -face-'I` - Catch basin or arca drain 18.76
Job site address: Drywell,leach lilts,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 Footing drain(no,linear ft.:___.,.) Page 2
Suite/bldgJapt.no.: I Project name:Polygon at Bull Mountain Manufactured borne utilities 50.03 •
Cross street/directions to job site: Manholes 1.8.76
)lain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.: ) 1 Page 2
water service(no.linear it.: ) I Page 2
Subdivision:Polygon at Bull Mountain I Lot no.: '2„... Fixture or item:
Backflow preventer I 1 31.27
Tax map/parcel no.: - *;,w Backwater valve J t2.51
,,-,:.-47'.-- w .i•, -„•'�44,,:-b 1 ,,r ji- 3 E Ci.Y_la,,ixf ` ..'^a t;- -- .� Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25,02
Fjectors/surtnp 25.02
el > ,iir ba ,Y . n,x. , ;s�. , s Expansion tank 12.51
t ,, . A
x Fixture/sewer cap 25.02
Name:Polygon WL11,.LLC Floor drain/floor sink/hub 25.02
Address:109 East 13'"Street •Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660 Close bib 25.02
Phone:(30095-7900 Fax:( ) lee maker 12.51
o `-
k 3 i1 a»r v i 1 c e r X.ass i:: � .` � Interceptor/grease trap 25.02
.r�...C:.�v
Medical gas(value:$ ) _ Page 2
Bttsitless name:,Pelygon W1.31.,ilk Primer . 12.51
IContact name: V I thdt Thoirpt Roof drain(commercial). 12.51
Address:109 East 13th Street Sink/basinliavatory 25.02
City/State/EP:Vancouver,WA 98660 Solar units(potable water) 62.54
Fax::(360)693-4442 Tub/shower/shower pan 12.51
Phone:(360)695-7700 ,25.02
A Urtnei
E-mail i i'Ml it !'� i.I !,p .- Iiit+ ,. L Water closet - 25.02
r
..,.4.,,-.-....4,-._..,,,, ,,, '@ t-j ' ` - = .i .".. 37.52
i�� ,.T = : ?� ' :'^` . .. ,. . .. . .. - water heatet
Business fame:BDL Plumbing LLe 1 Water piping/DWV 56.29
Address:PO Box 85 Other. 23.02
Subtotal
City/State/ZIP:Corbett OR 97019
Minimum permit fee: $72.50
Phone:(503)351-3903 Fax:( )
Plan review(25%of permit fee)
CCB Lie.:130345 Plumbing Lic.no,:FR1582 State surcharge(12%of permit fee)
Authorized signature: } , ..,,r "'+' TOTAL PERMIT FEE
r�Z/""� 1 This permit application expires it a permit is not obtained within 120 days
Print name:Brandon Cattier 11?ate: atter ithas teen accepted as complete.
'Fee methodology set by Tri-County Building industry Service Beard.
i:l9uildingPmmi,s'PLfdt;-PermhArr.doe 1010109 440.46167(IW02r'E<OMMEB)
i,
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
1
TIGARD Building Permit Review - Residential
Building Permit #: /44 57-A-0/7- do a(10
Site Address: 1,5N o sup P&AC A'
Project Name: PcA,gen'! (i „l(` 01.61,�'I Lot #: a
(New welling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: PI:-N0 c
dVerify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
,,,...,,,___...,,,//////fhree(3)copies of site plan 4VYlExisting structures on site
[ite 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
forth arrow 9�1 tility locations&easements(required for new and additions)
E ite address,project or subdivision name and lot number
rig
Sidewalk/driveway approach
pplicant information(name and phone number) P►.' *cation of wells/septic systems
0Lot dimensions and building setback dimensions .'Existing trees to be retained with drip line,and tree
Square footage of buildings to be demolished protection measures
051.ot area,building coverage area,percentage of coverage andeet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) (Street 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.
1'1 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: O. Yes,applicant was notified S No Received: ❑ Yes CI No
Public Facilities Improvement(PFI)Permit:mickJ_coc-77
Jequired: CI Yes,applicant was notified ❑ No Applied For: [/Yes ❑ No,stop intake
LT1 Land Use Case#:
�Zoning: 5�1�1.ci5 'L (1 2-
g V- ,5
t Required Setbacks: Front IC) Rear \ Cj Side rJ Street Side .15 Garage ;
Ili Al ands cape Requirement: .
0/0
if: Lot Coverage Maximum: 04,
`,N
'A Building Height: Maximum Height 30 Actual Height
Iti Visual Clearance
klai;ensitive Lands: ❑ Yes ❑ No Type
L' Urban Forestry Plan
Conditions "Met"prior to issuance of building permit Notes: (�UASJfanci cr�>7r Louis, r+i- I,1G3:2� i6 -VCKt2- ( � c` �c 4—ecIin �j`� iM ,1O(' CSC,C.QCavi .� �l
Approve By Planning:
/I..�_�) .. . Date: (,CIZ'� ( l
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\B1dgPennitRvw REs 051617.docx
Building Permit Submittal
Original Submittal Date: /,2-,10
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning p.Engineering Permit Coordinator ��'Building
Workflow Sign-off: Sign-off for Planning(include notesTrom planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
F' Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
/
By Permit Technician: /4%;/ v ‘Aa Date: 61 -//7
Engineering Review 5-7°
�
lope at building pad: d
❑ Conditions "Met"prior to issuance of building permit
El Easements (encroachments) per engineering conditions of approval and plat
Ia.-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ,CrNo
Assess Water Quantity Fee in-lieu: ❑ Yes .0' No
LIDA Facility on lot: ❑ Yes
El NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date: ,A 24?) 17
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
El Conditions "Met"prior to issuance of building permit
El Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
7-4°11C Fees Entered: Wash Co Trans Dev Tax: _:'Yes El N/A
Tigard Trans SDC: ►_ Yes El N/A
Parks SDC: Yes El N/A
LIDA El YesN/A
XOK to Issue Permit `
VeiV
Approved by Permit Coordinator:
Date: /
I:\Building\Forms\BldgPernutRvw_RES 051617.docx
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
I
TIGARD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 53 r S 'L-At c,we
Project Name: j C) c Bill l n ;� Lot #: 2
(New welling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.660.0701):
Is the project subject to the plan district design standards? ❑ Yes ra,No
Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An addi
ele ent required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch . 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft., 5 ft.wide m . 2 ft., 6ft.wide G.. ed dormer
in
❑
El ❑ ❑ ❑
2. Eyes on the str- -t: a minimum of 12%of each street facing façade must include win,.ws or entrance doors.
Percentage Shown:
3. Entrances:At least one e trance must meet both of the following standard .
CI Max. 8 ft. setback from longe .street facing wall
CI Parallel to :.eet,angle no more than 45° from street,
or open o. o porch
Entrance opens to a porch: ❑ Yes h No
If yes, all the following apply: ❑ ,`'sq.ft.min.
❑ One street facing entry Iii 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 mi.. if five of the following elements on all street-facing facades:
❑ Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
❑ Wall offset min. 16 inches ■ Dormer min. 4 ft.wide
El Roof eave min. 12 inch projection ■ 'oof offset min. of 2 ft.
❑ Roof shingles either tile or wood ❑ G. .1e,hip or gambrel roof design
El Roof pitch oriented south min. 50 sq. ft. ❑ Horiztal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of s -et facade ❑ Window ►: min. 2 1/2"wide by 5/8"deep
❑ Window recess min. 3 inc.•s for all street facing ❑ Bay window `S'n. 5 ft.wide by 2 ft. deep
El Balcony min. 5 ft.wid- 3 ft. deep with inside access ❑ Attached garage • 35% or less of street facade
5. Garages and Ca ,..rts:May face the front or side lot line on a corner lot.
Setbacks:
No closer to fro, or side lot line,than longest street-facing wall. ❑ Yes El No. If No (Chec• one):
❑ May exte . up to 5 ft.if there is a covered front porch and garage does not extend beyond the ont 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 -cond story
above e garage that faces the street with a min. area of 12 sq.ft.
Wi. : (Check one)
MI 12-foot-wide garage door ❑ 40%max. of street facade
❑ 50%max. of street facade 'th 7 detailed desi• elements
Notes: ' ,a. , . . i [a. l�• ' 1
Approved By Planning: Date:
I:\BuildingEorms\BldgPennitRvw RES RT 062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15310 SW PEACE AVE, TIGARD, OR, 97224 May 21 , 2018 at 1 :19:55 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00240
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