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Permit (53) CITY OF TIGARD MASTER PERMIT iN r 14 COMMUNITY DEVELOPMENT Permit#: MST2017-00222 Tt GRD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/02/2017 Parcel: 2S 108 D B00300 Jurisdiction: Tigard Site address: 15320 SW PEACE AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 1 Project: Polygon at Bull Mountain, Lot 1 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: 25 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 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: 0 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 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. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. lIssued By: Permittee Signature: ,�r—_ �/,/�n 9Ii?'Q Oh Call 503.639.417 / s 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. 1 _ I Building Permit Application L.— 0 7-- I K,e iaptiaal RECEIVED FOR OFFICE I SE ONE) City TigardDat Y' tlw>. / ATI G/?- 02,2_2 .. of PermitNo.' 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 8 2017 Plan Review C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: k'p1p1 ' )2 . mer Permit: / — �`Q 7 T G..R D Inspection Line: 503.6394175 CITY OF TI GARD Date Ready/By: ,t / Jas: H See age 2 for F Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method:!e/Z4 //7 �'7 Supplemental Information 5 s f , _=i ®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 O Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the R.� work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation:LJ Q q7 —s L rj ` o Accessory building 0 Multi-family Number of bedrooms: 14- 0 Master builder 0 Other: Number of bathrooms: 3 o , �; `�- �..� s > : q. , f Total number offloors:2- '1106 Job site address:I S310 S ,��ft� New dwelling area:3t.f .� square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 0 q square feet Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Covered porch area: �Y I1 square feet!t $3 c Cross street/directions to job site: Deck area: square feet j C1Cle7rculct ire areaj: )CS square feet -Ir, 1 1 4 €, i i° ham` _. ,:,.. a Kr-----t,.. Subdivision:Polygon at Bull Mountain I 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 € t t « , work indicated on this application. Valuation: S Existing building area: square feet New building area: square feet ° s 4a° ro Number of stories: Name:PolYgon WLH,LLC Type of construction: Address:109 East 13th Street Occupancy groups: City/State/ZIP:Vancouver WA 98660 Existing: Phone:(360)695-7700 Fax:( ) New: Business name:Polygon WLH,LLC ��� Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com r, 4 Commercial and residential prescriptive installation of •,!'„.1,!,•:„-::-..:,::::•`„`,,, "' -,`g roof-top mounted Photovoltaic Solar Panel System. Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:204238 Total fee due upon application: $201.60 �v„, Authorized signature: `A�� C�( /,v �/" This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. nt name:Angela Grajewski Date:1/20/2017 *Fee methodology set by TriCounty Building Industry Service Board. lding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) CEIVEI) Mechanical Permit Applicatif it,kt)11 H. 1 t s,1 11\I 1 City of Tigard Q ")111/ Reottoved DoeliStr. eStriPM172gliWP N___. : 13125 SW Hall Blvd..Tigard,OR 97223 JU N to t,u i I Nan Review ' Phone: 503.7181439 Fax: 503.598.1960 —,, i.„. Daten3y: Other Permit: Inspection Line. 501639.4175 F TIC _ V DaieR..418,:. CITY 0 -AR www. Inerne1111111i5=21111 tt: tigard-ar.gov e bleolied/Mthod: BUILDING DIVISION ,-,4„-.....,,_,..„,,,,,,y,--•-:-...c„,,,,s,...,,„,•:_,..-,,,-,,,,,,,,,,,--,-..4,„..7,,5 ...;',..1,....„..„...__•....,..........., ,.. • . _ ..,,. .. .. ... . , mechiniad pe.rmit fees*arc based an the value of the work 1:81 New constniction 0 Addition/alteration/replacement perfiymed.Indicate the value(poundal to the nearest dollar)of all 0 Demolition E3 Other: mechanical materials,.am iromenL labor,overhead.and profit. ,t•J -,-.„,- .....--,...N.J. -..;•,,,,.. ..,....,.. -!•-,,,,-.0.,--,v •,..c*,,,i; ......,,*:t7,- jr„,--.r.,,-,:r•-kr,-' '-1-1.41-4•••*];`,.;.'-",r-`15:',"r:k,p1 ,• . Val!e.:'$, , , . . e Q,,..., ,,,.:6 tyiVes..:,,,,,„:1,57:WN;Tv,,,L,1,,•:,11t„,...,::',14,,,,T1,,4.4,V,..174,.,!4-4"4,,,,1,1„.4.1.,..,,. ..L.,,..../i. ••,:,, , '‘, ."-'-',.1..:Tgry r''''''.I.Z. ,:j..L.,,,,:::,;y:.,1-:tn,,zr, ,v..‘r,,,,Ei t...,,1.-..,r r$f-,•:4, ' . 4'.2.'74 - i 1.! I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedal infronriaton me checklist Multi-Pamily 0 Master builder 0 Other: Description 1 Qty. 1 Ea. ( Total -..,,n........,,,,,i':!.-,,,-...,:s..Tf',..7...,,,t•T') ,-..,,--,,,,•,..z--.•-1 ii,,, -'-e' '''''','Cr-4F;i 1-C.,,,4-1,r'i. 4,,:?-7•:,•i',4---- -'—'s•-• "`,1 ii8athtirAW4/2r: 44-;*-`i.-'.'",',-: ••''',.,,-.',,s:...,:.-,,--,"•:.,.?....:,; 46. 1,,I.It..',,,,,....-,',4f.J. ..1:-,r-i-Y4-,-.7.-•••- ,,4,- -4.ri-•-",,--,,,--.v.',-,,,,,, :,r, Air toodoninx i 75 Job site orictressiS3 1 (SW Nit., Furnace 100.000 BTU(dem/vents) i 46.75 City/Stale/ZIP:Tigard,OR 97224 Furnace ioo.000+on'1ductrivents1 54.91 Ike pump 61.06 Suite/bldg./apt.no.: Project tumid Polygon at Bull Mountain Duci work 23.32 Cross street/directions to job site: /Wreak hot water system 2332 Residential boiler(radiator or hydronic) 2332 Unit ' heaters(fuel-type.not ckarie), in-wall,in-duct,suspended,etc. 46.75 Fludvent for any of above I 2332 • Other 23.32 Subdivision:Polygon at Buil Mountain Lot no.: Other fuel applianem. Tax nutp/partel no,: Water heater i.i--- 23.32 P.•'',71:7:';‘---''---.77. 77.f...,7:- .7::::T,--7-:-,..c5frAiWliT:717,7ff;:l't,-7.7:1?-,iR&t.--,,,-..:474gzi7:7-,-,:n7.- qttS firchTheatttscrt 33.39 ...--_,.„,..,-•.•._.;-...,,,,,s,.....-4._:,;.-..-,.,....e,:A•,,.....••_,=,47....:=1,,'.,.•,,,,,..:-•,..-.--..1.7--....._, Flue volt for wider heato or 05 I l' 4 ' i 4) I •á'‘.1 fireplace 23.32 Loa lighter fps/ 2312 Wood/pellet stove 33.39 Wood fireplacefinsert 2332 Chimney/liner/nue/vent 23.32 r'''''''r',"•7:,7::'-'!7-1 s'.1,iV-,.--,. v'tr,-,.±.-7,77-7,i'',717-V.;,T7,..,r7T.FT;i1F.-.7,"-r,...75.1,7337:77,cfnry;....-Zr.t,r-,t-,77.:3 Other: 2332 t'i'''11-':-.--1';:i'-'''"a.'-':''''''4.':'-'''..--t'lr-'`".4''1.'1'-'''' .- :4;'. -4ti' k'''''''1.i.tt'''' ''-'''''''k''''''41"'''-''.:---A"''ir.:±..i'•::=1';'--s`a Environmental exhaust end ventilation: Name:Polygon WLIL I,LC Range hood/other kitrUtt enuirniauti I 33,39 Address: 109[Cast 13°4 Street Clothes dryer exhaust 33.39 City/State/21P:Vancouver,WA 98660 Single-duct exhaust(bathrooms, mild campartencras.utility moms) 23.32 Phone:(360)69S-7700 Fax:( 1 Attielcrawlspace fans 23.32 17.r. :,:•,T:. ;;,...-5,1Tr: . - 7- TPPi723..AUDTPUIT7:05Y- 57',C :77': GI/I": 23.32 Fuel Phd118: Business ozone:Polygon WL111,LLC 814.14 far rint ftwit:$4.03 for each additional Contact Pante:Ai/eh ge Th Cr'pe Furnace,etc. 1 Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater , City/State/ZIP:Vancouver,WA 98660 Won heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace 1 Rime I E-mll:.-1 &4 Ne• liSittia 4)1 a Ilii 1 44 Battle= , :,-.2 '.1 : ::: . j--,.:,X- 4, , z' AL:f.AT-11,7'.. s .:, ;,!.i.:, :L Cialksdrret(414) - Other: Business satin:Apes Mr Lie . .4. Address:18004 NE 72"Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee(S90.00) • Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)3264749 Slate surcharee(12%of permit fee) CC13 lie 203034 / TOTAL.PERMIT FEE MS permit application aspires Ira penal/i%nut obtained within 180 daysafter It bat been accepted as complete. Authorized signature: - * Fee nrellimiology set by Tri-Ormuy nodding industry Service tleard Print niarner17,•: v.,/ I Date: i uturop.,,,kstmsc_p...itApp_040( 55 non 140-Intrttl 002/COWW05) Fli , V iectrical Permit Application i t,u'(t1 1 it I 1 ,4 1)\11 City of Tigard JUN 8 2017 Receivedi3l2$SW flail Blvd.,Tigard ORrkr 1 etelli ; C /. 4110 Pe; 303.718.2439 Fax $03, I ;' ,.. Inspection Lima: 503.639A 175T a ply ps/gy: • lntuuct: www.tigsrd-OLS0v BUILDING PIVISION tiod6c*bMathod, ® r___,....-....-., 1-:- ,,,r. 22.,!%,,2.,,,,:.,...,_._-..,.:,..-,.---,11..—.. _.,U.,...,_,.. ... .,, .:n....„::,,. .. - 18)New ooltstnsction 0 Addition/alteration/replacement check an r>at apply(moa a aws*follies whims edeekeel: ❑Dtmolitiott 0 Other 0 Service or feeder 400 amps or more t.3 Building over three stories. where the available fault torrent 0 Marinas sod boatyards. • ,., . ____ _ ,' cS1_ ..°7. S. e.. a T°. '' ._'.;._ °:. __... exceeds 10,000 amps m 150 volts or ❑Floating buildings. ., I-and 2-family dwelling 0 Commercial/industrial C]Accessory building less to pound,or exon 140°0 ©Comme agricultural atrtilamps for aft other installations. ❑Multi-fanny 0 Master builder 0 Other: ❑Fire pump. 0 htsfdlatian of ISO KVA or _ ; _.__ ',! S 1 s`LL e.yy77`t,.I. 7 :0" aj,. " .C, .'..,.).'7.,';,7"'..:.1,,' rcV Ofimageocy system, lager separately derived '!• ,.R._..a, ❑iOOAddition Ornery motor load Of 'A'.system, Job 0: Job site address: T� / wow, 0 ^. ".-1-2^.~1s 0 City/State/ZIP:Tigard,Olt 97224 six or more residential units. `y °Health-car a facilities. 0 Reamtioual vehicle owlet Suildbldg/apt.!1: Project name I0 i 0i.,ti f O Hazardous locations. El Supply voltage for more dna, Crawl=or feeder 600 amps or more. 600 volts namtaal Cross street/directions to job site: r:1'1 ": �"`,;.r ". -_ F)':']'!-_, •-. . is=? tkac.t 14 Or,. Lad, Turd • �.,�,�� New residential single-or multi-family dwelling unit. Subdivision: bra um5M JAi g: Includes attached garage. Tax map/parcel p. 1,000 sq.fl or less 1 168.54 4 1 " t l r r Rey r 5, : : •,.r Ea,add'I 500 sq.fl or portion 5— 33.92 1 Limited etrvvBY,tesldemtial 75.00 2 (with above sq.IL) Limited ems,rnubi-family 75.00 2 1,1.-,__'','-' f -:., , h .r ' residential(with above sq,R.) Name:ADVL Land Holdings,LLC • Renewable Energy 0 See Page 2 Address'7600 Doubletree Ranch Asad Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 City/State/ZIP:Scottsdale,AZ 85258 Phone:(602)694-4031d@3! lar 201 amps to 400 amps 133.56 2 Email: 401 amps to 600 amps 200,34 2 Owner 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 signature batt . y I ' -- ,•77:7<-71'77-74,7-7,f1`.77,7:717--1' r T.V " i. Gr, Temporary services or feeders installation,alteration,andlor _t�<�_. r, .R_,z,�n, _....�s-1.,r`a5t.,.r4..::i -•,t,2 ,ESS ,..1.:,,. .n.i,a s.,, r'elocatloo Business name:WilliamLyon Homes,Inc. 200 amps or less 59,36 1 Contact name: c , 0 , 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 8raaeh circuits'—new,alteration,or extension, panel Phone:(360)696-7100 Fax::(360)693.4442 A.Fee for brach circuits with �j /� .�/ J�} above service or feeder fee, 7.42 2 Email /4 r4 • t V t 1 Of ad► /Y a! e� a flI Peeeac or branch , B.Fee far btamcb circuits without .. : _ ' , ,-,.: _.... ,--,..17,.. .._. „-:L:'1-.. ..._...._., _- _, „service or feeder fee,fust .. Btu:lass name:tdame&electric branch circuit x•18 2 Address 3 i i$ee 48th Each add'ihnusch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP:NEM /' cc , ,/2. 07 .7,--4 Eech manufactured or modular 6784 2 Phone:(503)3192192 Erimunimmi dwelling_service andira feeder Reconnect orb 57.84 ' -, 3l Email:solarpd4sne corn ���� Hump or irrigation circle 67,84 • g~' m'aiiir'� Electrical Lie.: c923 Suprv.Lie.: y Q•7/S $ Electrician signature, Signor outline lighting 6744 3 - .,. mom signal circuits)or iimi ed-energy - Priilt name: kik ,Oer 1/, Dade: Z..? .1/° •alteration,or extension, 0 geePsge 2 .2-'.,t”': Each additional inspection overalloneble in auk of.the above Authorized to Additional inspection(l hr min) 66 25/h f', Print dame: / ( J investigation(1 to min) 90.041 hr„ t�16Le Jle�nLdoc ttevora7712015 eaO+M131t1lAtSVone'w� .. , • • -• , tECI4 1-4 Plumbing Permit Applies . � '�' Building Fixtures 1 OR 01 rt(I: i `1; (I.t.� City of Tigard J U £0 j ReccDate/zd Perviit No� G�d?O .2j Date/0•: BGG 1,11_- 13125 SW Rall Blvd.,Tigard,013 g r, v Plan Review• ether Permit No.:Phone: 503.718.2939 Fax: 509. ' t t k^` .t Duoi3y: Inspection lane 503 639.4175 Ready/By; knit 0 Sce Page 2 for s X1"4 see � g`�� fi 7� Date Re 1"} a Internet• wwvt tigard-or gOv „Lx r N k '1.'1 n 1l Notified/Method: • Su plomeatai Information qtr„+ ,. 'fit .`.c,- ;',- +"r" 1„.‘...„,,„:4-,- For special informailon use clieckilsa ®New construction w ❑Demolition Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other- New 1-2-family dwellings(includes 100 ft.for each utility connection) ,� t F:-ti 9t k ',:t.---,,.'"'� SFR(t)bath 312.70 •talc` ti.r.:.. i.. S,,,_,•,,,-.. , 8 i,,0.,, gvy . •'1•-,,,•;-'rt,2rx, '.```r , •''...s 1-and 2-family 0 Commercial/industrial SFR(2)bath 437,78 ® Y dwelling SFR(3)bath 1 500.32 ❑Accessory building ❑Multi-familyEach additional bath/kitchen 25.02 0 Master•builder 0 Other: Fire sprinkler( sq.ft.) Page 2 u " c,.aa y :soa,t'a ,l`'r sis'',..� "`-'' ...7'. z zc ,:� lfl' Site utilities: :, s i r 4( ,4,e ,. ,'- .a o=r :.4o",,,'' . 18.76 2M1 til ^Catch basin or area drain Job site address: Drywall,leach line.or trench drain 18.76 City/State/ZlP:Tigard,OR 97224 Footing drain(no.linear ft.: r) Page 2 Siritelbldg./apt.no.: I Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer lno.linear ft.: ) I Page 2 Storm sower(no.linear fl.: ) i Page 2 Water service(no.linear f.:• ) I Page 2 Subdivision:Polygon at Bull Mountain I Lot no.: / Fixture or item: Backflow preventer I )1,27 Tax map/parcel no.: j . 12.51 _ ,-::::,,-i, r c ',, xit- ' ,r = �''� A. Ykr '4,',:7„....:::', Backwater valve r 41;, ,';'4 . _?__`S�:•,2FT S461:::.....--.-, .,4.t -',- .' � r :; _."` ?. s, c25.02 Clotlres washer Dishwasher 25.02 Drinking fountain 25.02 Ejectors/gutty 23.02 .• •-• ; 1 , c ti'w31i Expansion wtank w , s ..s. _` l". f, 3a-ayi• r, 5 .1: ¢,;12.:,,,,,,.:, f..-47-7,-. Pncap 12.51 25,02 Name:Polygon VV1.fi,.LLCFloor drain/floor sink/hub 25.02 Address:l09•Hast 1.3°6 Street .Garbage disposal , 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(30)69$-7700 Fax.( ) Ice maker 12.51 H w .. owi r, ., a ; '''''f-,'`-4,"_.:,{I , ' n t ", ,- '.i ' Interceptor/grease trap 25.02 ty af, t , `` - ' ate': i' Page? Medical gas(value:$ ) Business Hamra:Polygon WLII,LLCPrimer 12.51 Coptact.name: iv'chole 71160e Proof drain(commercial). 12.51 Address:'109 East 13th Street Sink/ nsinnavatory 25.02 t(tylStatelZlP:Vancouver,WA 98660 Solar units(potable water) 62.59 Tub/shower/shower pan 12.51 Phone:(360)695-7100 Fax (360)893-4442 - /� Urinal 25.02 E-mail: / 'd ! i, 1, 4 e' 1 //�► 0t _Wstatalosct 25.02 i._;F --:,.1,-;.=,4 , ,?... ,.,._.as „ e :t,......,... .»..x._. 4" ,1.�Jia._ .Yz. ._:mil ? ..7 3` ' ' ,� Water heater 37.52 Business name:BDL Plumbing LLe Water pipingfDWV 56.29 Address:PO Box 85 Other. 25.02 Subtotal City/State/ZlP:Corbett OR 97419 Minirtium permit fee: $72.50 Phone:(503)351-3903 Fax:( ) Plan review (25%of permit fee) , ICCB Lie.:180345 Plumbing Lie.no.:P1315582 State surcharge(12%of permit fee) . Authorized signature: Del. TOTAL PERMIT FEE �"'� i nix permit application expires If a permit Is not obtained,nithin 180 days I Print name:Brandon Larder ( Date: after it been accepted as complete. 11 *Fee methodology set by Tri-County Building Industry Service Board. 1 auil iPamita\P alti•PermiiApp.doc 10.'01/09 440.4616T(10f02.,COM/W£lr) „. City of Tigard IIII ” COMMUNITY DEVELOPMENT DEPARTMENT 111 T I G A R D Building Permit Review — Residential Building Permit #: Zirj s��/7--06i2 Site Address: t(:)'52-C1 ?EACE-A-\"i 6 Project Name: Pc i n X11 V A 1 od vi le Lot #: k (New dweffing=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: y\ 5 II/Verify site address/suite# exists and active in permit system. D Rtver Terrace Neighborhood: ❑ NoYes,See River Terrace Review Addendum Attached Site Plan Elements: 524-Three(3)copies of site plan ,,L�S1�'�,,LLxisting structures on site [ ite plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished C'Drawn to scale(standard architect or engineer scale) floor elevations orth arrow ffil lity locations&easements(required for new and additions) ,,,�����...////// ite address,project or subdivision name and lot number tdewalk/driveway approach , pplicant information(name and phone number) iLocation of wells/septic systems L7Lot dimensions and building setback dimensionskExisting trees to be retained with drip line,and tree h) '.Squarefootage of buildings to be demolished protection measures N OLot area,building coverage area,percentage of coverage and a5treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) VStreet names Property corner elevations(2 foot contour lines if more than 4f"G 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: CIYes,applicant was notified No Received: CIYes ElNo tom/Public Facilities Improvement(PFI) Permit: �Zc)i 5 .-0007 7 Required: ❑ Yes,applicant was notified ❑ No Applied For: E(Yes ❑ No,stop intake "Land Use Case#: 51M 2_01 7---C OCti-2-- VZoning: 12.-4`5 RiRequired Setbacks: Front 2t Rear i -) Side 5 Street Side i5 Garage 2c `` I'` Landscape Requirement: 0,0 1 Lot Coverage Maximum: IV/Building Height: Maximum Height -7-)0 Actual Height 42 7 L 7 Visual Clearance ' ,Sensitive Lands: ❑ Yes El No Type ®/Urban Forestry Plan r;; Conditions "Met"prior to issuance of building permits �i1`` otes: 5e, ''(i1) C,c'�d,1CIANt, t')S' ' '„' � ' Cx ) G ` -,037015-cz O2 5�1I C44ir[ ►� k 4%&r '✓'lei'.' y.,i,trrtiai _.� Approved By Planning: ptleiltd eike,_, Date: 6/ IV 1? Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: El Approved El Not Approved I:\Building\Forms\BldgPermitRvw REs 051617.docx Building Permit Submittal Original Submittal Date: .V2 7/7 Site Plans: # 3 Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning pi. Engineering Permit Coordinator /C Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: fr Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 1"Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: //� ,�� /i-Al,�� ,�i,�_�� (Date: ,247 Engineering Review q gf Slope at building pad: L/,Z 2g Conditions "Met"prior to issuance of building permit VI Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 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: GV/l//7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: •Ma DC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes N/A K to Issue Permit Approved by Permit Coordinator: Dat 7-2.Vi I:\Building\Forms\BldgPermitRvw_RES 051617.docx City of Tigard n COMMUNITY DEVELOPMENT DEPARTMENT T I G A RD River Terrace Building Permit Review Addendum c1 Building Permit #: Site Address: 1b1, P&AcE AN E Project Name: Plc -zI 1Y) Lot #: (New d e g=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 c,No Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional ele -nt 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 min. 2 ft., 6ft.wide Gabled d► er ❑ ❑ ❑ ❑ ❑ 2. Eyes on the stree minimum of 12%of each street facing facade must include windows .. entrance doors. Percentage Shown: 3. Entrances:At least one entr. ce must meet both of the following standards: et facing wall CI Parallel to stree .ngle no more than 45° from street, El Max. 8 ft. setback from longest s or open onto p.,ch Entrance opens to a porch: ❑ Yes ❑ If yes,all the following apply: ❑ 25 s. - min. ❑ One street facing entry ❑ 1 t.max.roof above floor of porch ❑ 5 ft. depth min. !' 0%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. o ve of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep j ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ Wall offset min. 16 inches \ ormer min. 4 ft.wide ❑ Roof eave min. 12 inch projection ❑ Rs a f offset min. of 2 ft. ❑ Roof shingles either tile or wood / ❑ Gabl= hip or gambrel roof design ❑ Roof pitch oriented south min. 500 .ft. ❑ Horizon lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street,`acade ❑ Window . min. 2 1/2"wide by 5/8" deep ❑ Window recess min. 3 inches - r all street facing ❑ Bay window 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3/'t. deep with inside access ❑ Attached garage is ' % or less of street facade 5. Garages and Carpo+ 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 ❑ No. If No (Check o•e): ❑ May extend ,p to 5 ft.if there is a covered front porch and garage does not extend beyond the fro i t porch. ❑ May exte"d up to 5 ft.where the garage is part of a two-story building and there is a window at the se end story above th/, age that faces the street with a min. area of 12 sq.ft. Widt/(Check one) ❑ 2-foot-wide garage door ❑ 40%max. of street façade VI 50%max. of street façade with 7 detailed design elements Notes: dam$ cjv S Y1CRd5 not ciff 1,toblz Cnof-f? Pr) Yeck� Approved By Planning: ./ .eirki, � i Date: 6l (7,1 )7 I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.dddoccx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15320 SW PEACE AVE, TIGARD, OR, 97224 May 29, 2018 at 11 :06:57 AM Record Type: Record ID: Residential - Master Permit MST2017-00222 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