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Permit (219) CITY OF TIGARD r/ MASTER PERMIT "'1 11. COMMUNITY DEVELOPMENT / /t Permit#: MST2017-00520 Date Issued: 01/18/2018 TIG R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108D604200 Jurisdiction: Tigard Site address: 15277 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 40 Project: Polygon at Bull Mountain, Lot 40 Project Description: New SF. 8/16/2018: REPRINT permit to add 2nd washer,dryer, furnace,A/C and(1)lay. BUILDING Floor Areas Reauired Setbacks Reauired Stories: 1 Bedrooms: 4 First: 3039 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 17 Bathrooms: 4 Second: 0 sf Garage: 725 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3039 sf Value: $387,249.40 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 2 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: 1 Water Lines: 100 Drains: 0 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: 7 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 1 Other Units: 1 Furn<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 6 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: 6 201-400 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 3039 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 703 BROADWAY STREET,SUITE 510 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: $35,865.41 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 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5503.232.1987 or 1.800.332.2344. Issued By: ,.9 ,7674,.€._ %kFlh ,7l7Permittee Signature: G i✓ e7P/°G/N.52-77eN 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. CITY OF TIGARD SITE COPY MASTER PERMIT a'' COMMUNITY DEVELOPMENT Permit*: MST2017-00520 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2018 Parcel: 2S108DB04200 Jurisdiction: Tigard Site address: 15277 SW THAMES LN p� Subdivision: POLYGON AT BULL MOUNTAIN ~Lot: 40 0 a560 Project: Polygon at Bull Mountain, Lot 40 Project Description: New SF. BUILDING Floor Areas jteauired Setbacks Required Stories: 1 Bedrooms: 4 First 3039 sf Basement 0 sf Left 5 Parking Spaces: 0 Height 17 Bathrooms: 4 Second: 0 sf Garage: 725 sf Front 20 Smoke DwellingUnits: 1 Detectors: Yes Third: 0 sf Right 5 Total: 3039 sf Value: $387,249.40 Rear. 15 ' ^ PLUMBING Sinks: tri ,/ Water Closets: 4/ Washing Mach:xa .1 -Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: le(`p i Dishwashers. 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100 Tubs/Showers:,2' / '- Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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 a ✓ Vent Fans: it 7. Clothes Dryers: ,r a ,7 Natural Gas Heat Pump: N Hoods: 1 a Other Units: 0 Fum<100i( 7 -,/ Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temo Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr. 0 Ea add'l 500 sf: 6 201-400 amp: 0 201-400 amp: 0 W/O SvclFdr. 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 3039 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 703 BROADWAY STREET,SUITE 510 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: $35,598.04 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 952-001-0 90. 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: . 147,9—",e./e41-7--70/1/ r 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. I:\Building\Forms\Inspection Cards\MSI'Insp Case By Case\InspCard_NewMST 031$15.doc Plumbing Permit Application Building Fixtures FOR OFFICE If SE ONLY - City of Tigard Received Date/By: ..Permit Nt2,5•-::,2 O III 13125 SW Hall Blvd.,Tigard,OR 97223 �T �I0 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: Other Permit No.: T i G A R D Inspection Line: 503.639.4175 Date Ready/By: .auris: la See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information VP WORK ®New construction 0 Demolition For special information use checklist Description I Qty. Ea. Total El Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) t / , ? SFR(1)bath 312.70 __ ..� ��� .�s'..,„'���TCII� € i '�!'; 1: ��/«�.. , fy ® 1-and 2-family dwelling ❑Commercial/industrial p SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JI , w i TION #NDaLOY • Site utilities: ... x , , , , _ . Job site address: Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 Project name:East River Terrace 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 ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:River Terrace 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 r Backwater valve 12.51 - , �;.,. /,,,,, . Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 " "' ` ` F ' • `` Expansion tank 12.51 Name:ADVL Land Holdings LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Rd Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 28660 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 17.41 IC,AN'1 .,. y ?'A014;ei i ; ON Interceptor/grease trap 25.02 Business name:Polygon WLH LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Tom Dicianno Roof drain(commercial) 12.51 Address:109 E 13th St Sink/basin/lavatory .✓1 50416-1,41 / 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(503)577-4160 Fax::( ) Tub/shower/shower pan r 12.51 E-mail:tom.dicianno@polygonhomes.com Urinal 25.02 Water closet 25.02 co ,Na ��. :,>.:4,,,,,, ;.-': .,:60,,!•',N''',', .-,,t i,�.' '-iii/..... _ ,,:.; Water heater 37.52 Business name: j b Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: C �,0` Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 7- Plumbing Lic.no.: Plan review (25%of permit fee) CCB Lic.: /// J� State surcharge(12%of permit fee) Authorized signature: 'V TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received Date/By: Permit No//f77::„.,20/ ����0 111‘ 13125 SW Hall Blvd.,Tigard,OR 97223 PlanReview = Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: Date/By: T 1 G A RD Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. ❑Demolition ❑Other: �� �t h r Value:$ 5. ,. { 0, '' Qr' teN ... noN ,, '-' .'� \--- t1 AL ZQuiPki""iv' ,S `Fm*E. ,..... ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total tri \'' *E # ! Heating/cooling: >fi,,,,>. Air conditioning 46.75 Job site address: Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:East River Terrace Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:River Terrace I Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 tON i % Gas fireplace/insert 33.39 ski �` ��� -''"' '4` Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 ® ', OWlK 2' , '"--,,,,,,,,',,,r .- A!\' ventilation: <.<....,..... ....�.,.....��� � ' m.' ; .,.. .ate Environmental exhaust and Name:ADVL Land Holdings LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Rd Clothes dryer exhaust i 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)6944031 Fax:( ) Attic/crawlspace fans 23.32 v 4���' x\� ,',:!,,,f,7,.:'.: Other: 23.32 \: , , ©::Cfl)'�'I'A�T` PERSQN �� •. Business name:Polygon WLH LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Tom Dicianno Furnace,etc. Address:109 E 13th St Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(503)577-4160 Fax: :( ) Fireplace Range E-mail:tom.dicianno@polygonhomes.com Barbecue ,k CONT A 1 Clothes dryer(gas) Business name: Other: t IIIANIt A1�PE F Address: I Subtotal City/State/ZIP: ; c' Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fact ) State surcharge(12%of permit fee) CCB lic.: �j TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: IC/ * Fee methodology set by Tri-County Building Industry Service Board Print name: ‘,1 Date: I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) CITY OF TIGARD MASTER PERMIT 11 q 2 ' COMMUNITY DEVELOPMENT Permit#: MST2017-00520 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2018 Parcel: 2S108DB04200 Jurisdiction: Tigard Site address: 15277 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 40 Project: Polygon at Bull Mountain, Lot 40 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 4 First: 3039 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 17 Bathrooms: 4 Second: 0 sf Garage: 725 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3039 sf Value: $387,249.40 Rear: 15 PLUMBING Sinks: 2 Water Closets: 4 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: 1 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 Times 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!500 sf: 6 201-400 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 3039 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 703 BROADWAY STREET,SUITE 510 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: $35,598.04 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 952-001-0 90. 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: I --. ' . -- Permittee Signature: � 1'17 /-/�e--1 A/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • Building Permit Application L_L2 7 a esintia FOR OFFICE l SE ONLI Ci of Tigard r 7 '� '2217 Dae eBed 6 A,/ ,/0 I Permit N:..).....,;‘,„(57;46))7_9(,)f`� Iiii 'r 13125 SW Hall Blvd.,Tigard,OR 9722��``` 2 Plan Review J ��D+_ > Other Permit: p�� pe ,,/ 111 Phone: 503.718.2439 Fax: 503.598.1960 DateBy: i � �� � tw( rco�U��� l.Zb T l r A R D Inspection Line: 503.639.4175 Date Ready/By: � Jur s H See Page 2 for Internet: www.tigard-or.gov Notified/Method: / /2 /eG h'Supplemental Information Ai//4.-,, A/`C,:-/U c C t t a a _. a,.l S l l t Permit fees*are based on the value of the work performed. ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhea d the rot r the t % ``t ork indicated on this application. 31 a. , n =. / /° „��r `` Valuation: $ W-0® 1-and 2-family dwelling 0 Commercial/industrial ' Number of bedrooms: ❑Accessory building ElMulti-family❑Master builder 0 Other: Number of bathrooms: �,� _ � 1,� ; � t � •� '� Total number of floors: Job site address:15277 SW Thames Lane New dwelling area: 3 b3 cr square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet • • Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Covered porch area: f I square feet Cross street/directions to job site: aresquare feet Other structure►ar +0 area: square feet Subdivision:Polygon at Bull Mountain 1 Lot no.:40 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 * PW : W F workindicated on this application. �. Valuation: $ Existing building area: square feet New building area: square feet' Number of stones -� �* t s t� � Name:Polygon WLH,LLC Type of construction: Address:703 Broadway St Suite 510 Occupancy groups: City/State/ZIP:Vancouver WA 98660 Existing: Phone:(360)695-7700 Fax:( ) New: f ,,„v„,„, ..,:,.„ „: y t & i , t €- !' t7 -. 1 ! It Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address:703 Broadway ST Suite 510 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 I Fax::( ) E-mail:Nichole Thorpe $ t t t t " ,,-- , . , Commercial and residential prescriptive installation of P = 64'4,'"'"' t ' ` ` = roof-to mounted Photo Voltaic 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:703 Broadway ST Suite 510 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: 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 Print name:Nichole Thorpe Date:9/19/2017 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • Building Permit Application Checklist ' • , • One- and Two-Family Dwelling FOR OFFICE USE ONE1 City of Tigard Received Permit No.: MI 13125 SW Hall Blvd.,Tigard,OR 97223 Date 111Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical 1 1 G A fZ C3 Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l'es No 1/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire,district approval required. Name of district: ❑ 0 ❑ 5. Septic system permit or authorization for remodel. Existing system capacityID ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ 0 ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ 0 ❑ architect licensed in Oreton and shall be shown to be a..licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application '', ,-: : '-' - FOR()Ill(F. ("SE ONI.'i augeseciaivoAr. City of Tigard ' ' . , ,i Permit Ns"7_ oint724:v7-ex.5-42e . 7111 " 13125 SW Ball Blvd,Tigard.OR 97223.; ; ‘' - - ; ••'• Plan ROVICW : I Phone: 503.715..2439 Fax: 50.3595.1960 Downy: Other Pinot: TIGARD inspection Line: $03A439.4175 i'„,:i, Dine Ready:31y: bits fa Sec Paige 2 for Inland: WWW•dgerd-Ora0V '', - .' ' ' 1.lotifitaiMelhod; Supplement'Information ..,...":".s•1•:=',.•.-gniqs-;:i."11-,0.3-?-t:',;.•,•9-•.:Aii-:,'„;:t,....:;•••.:4,..iie-,II.:: '''-:riii4oiiii0i.f.,'..qi;.;035- ",ii.i2;' ;',:;:r";it:44!„it'-'4.?!... ''"W•J'cl0).'11:40W.14!;:i0R-4.,'*0-14EOPW-7.7!;;Al4kg't -)44A-, .-:. ,,,,:,,-.!:;.4.-.:;•7.,,,i,-..,: r•-"‘.,1';;•itL:-"''..:..,'i-,','",;&1`,--1-.`" ,- --' .'F'-''-'-' . ' '-''''' 4 - Mechanical permit fees*are based on the value of the wort: 21 New construction 0 Addition/alteration/replacement performed.Indicate the idue(rounded to the nearest dollar)of ell • 0 Demolition 0 Other mechanical materials.equipment.labor,overhead,and prat. Value:S 4:(j'411a4:4,7Aiit**00t*i0fi.:0. 0:01,0*F':AF!1:t't"&5'T:117;4".•UsTfiri „fiEkl7tl?fi*ti.O.At-Si4'.t0.3.W4)#-*''.:ii:;;:::"::;': 361.and 2-family dwelling 0 Commercial/industrial 0 Amami);building For special inforaration site eiteellist Multi-family 0 Master builder 0 Other Description 1 Qty. 1 En. "fond .'"..,.."•-•.t irilttiii;iike-Pi4Piiiii0411.6irl).T.-049,41.3'01Clt..'.4.-.1il " ''.' illatingk"'hn°' - Joh site address'. i s Li 1 s IA/ plain/its Lavrit, " Furnace 100.000 BTU idiriaskents" A 46.7.5 City/State/Z1P:Tigard,OR 97224 Furnace 100.000+Writ fdticrolvenrm 54.91 , . Ilea'pump . 61.06 Suite/bldg./apt no.: Project name:Polygon at Butt Mountain . . Duct work 2332 .• Cross street/directions to job site: HYdronic hot water system 23.32 , . Residential boner(radiator or hydronic) r; . 23.32 Unit betters(fuel-type,pot electric), in-svall.induct.suspended.etc. 46_75 Fluelyent for any of above 1 23.32 Subdivision:Polygon at Bull Mountain LOther 23.32 ot ne.:90 - Other fact appliances: Tax map/pared l no.: Water heater 2,3-32 /iii'4.;:::",',..f.1:-'?:117,•„;;Q:' ,.:Iz'r•:' iitib(iiiitii4('.0it*O9J,.'1. 5+.4'4;:',1-.E5.!1,:i::.;!•42.:-1;'ZIa-;4q ' ()as rffeotricelltsen 1 33.39 Flue vent r' ter heater or gas Emplace 23.32 • • 1,0g tighter teas) 23.32 .. . „ Woad/pellet stove 33.39 Wood fireplace/insert23.32 . , Chirrineyilinertfludvent 2132 . "i",-:::::••••',...:"•.4"..0.1.:}*1**437.0-09'.7.44EftZ.,? i:;:'..r-.'r...4!'!,::`ii.t,'",i.i47'Z.i:...i'D i*E15.4I'el!,?;;-'1' '71-?:'''''''''"'''''.-. Euviroluncotal exhaust and ventiliti2332 lon: Nam:Polygon WLH,Lir Range hood?other kitchim equipment . 33.39 Address:11 k11 k)11006\-k..)Ct../) \'''' SI,A.A.4‹..., -kp Clothes dryer exhamst I 33.39 Single-duct exhaust(bathrooms.. Li City/Stale/ZIP: OJw - i 10 19.q 6(000 _ tokt contpartmetas.utility rooinS I 23,32 Phone:(360)695-7700 : Fax:( ) Attic/crawls/taco fans 23.32 APPLICANT ! j.5:T;";-•::::i:1";":::';:la;'-'0BisitAL'i::PERSO*7;i1:?;j.:;'.:: .. Other 2332 Pining: Business name:Polygon WLH,LLC Fuel $14.15 for first foam$4.03 for each additional Contact name: Nicht)k. Th 0 rpt- Furnace,etc. ' I Address: 703 Brbaclakui st,SGGik 00 Gas beat Puq111 WalVstiiitendecitunit hemer ' Cit /State/ZIP:Vancouver,WA 986601 Watm•heater I. - . Phone:(360)695-7701) Fax:;(360)693-4442 Fireplace I Range E-mail:Angeht.Ontjewsktipilygonhonies,cent Barbecue .1;:•::.:-,-..i1::•T„:":-,:::...'1:•!.:; ,"i'..t.ii".-. .- 4,-.11j..A..3*coprift.,4001L':::-:':f•i:-- -if-0 , 'F.:"..:LTAI:.z..:',"4::: Clothes dryer(gas) Other Business tante:Apex Air LLC 7,•::::::::1::.t-:.01E0.141)401.L.0111i1OFEES*:.'''.. :•-::. ,•:;...•::-.:'.. Address:18004 NE 72 Ave . Subtotal City/Stateg.1P:Vancouver,'WA.98686 Minimum permit fee i S9000) . ._ Plan review(25:4111 of pit fee) Phone:(360)3424109 Fax:(360)326.1769 _ State surchatge(12%ape-milt fee) _ CCB lie:.203034 . TOTAL PERMIT FEE This permit application expimi if a permit is ant obtained within ISO days after it has been accepted to vontplete. . Authorized signature: • * Fee methodology set by Tti.Ctenty Building indugiry Service Board Prim name I Dole; 4.t4 1.14. 1,1k.,kb,,,,lp,,,,niKA4i2c.jApp."94=013 da4 44G-ti,r7T/11.4)24:11WWF.14 Electrical Permit iacat oo�rxcl �,yi Q>yI '= :� City of Tiga r� Received- Ili13125 SW Hal!Blvd.,Tigard,OR 97223 t' / Astern ; Permlt N:�� i/� Seg ®:''• Phone: 503.718.2439 Fax: 503.598.1960 Plan Review TICARD Inspection Line: 503.639.4175 _r { Aate/B. Related Permit H: rc Internet: Line:gsrd.or.gov ReadyDate/By: brie lE SeePage2for �� �• .x e.. NotifiedtMetNod: ,� �s�'i ,s +,- �': � �c�`�'-h�+�� �tsl '' c � y n - Supplemental Information 3" t tigtl,`.{".W;•";�j„�u�'h7�.1+. r,,u_}i -? .a f.y'.:#,.n. `,:s ;jiff:;i,: :.., ..i.,. �,:. - ::r A ®New construc • .r `ts . ._ . ` t;''.=:''.:?4;,: ; Iii sR. .tc'tu:• ,k ,;x;';T tion Addltion/alteration/replacement Please cheek �:k :swl mo.'' t:4 ❑Demolition lurk all that apply(submit2 sets of plans w/items checked): _ Other: ❑Service ":P4,.P Y, l t, :t a a.., or feeder 400 faultamps cu emore ❑Marinas andover boatyards.stories. -':"` t,.l y:.:i`�r 1 C}#�± �► ,[L O ;' (�' ' "� "�^r•,,:,_:°:;;,.. .;e:•:• where the available current ❑ and boat ;m 34 �r,r d yards. • •�:•�`-���.��>..�:�•`•:.:?:�;;�: ?:. exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory buildingless to ground,or exceeds 14,000 ❑Multi=family • 0 Master builderOther: amps for all other installations. ❑Comings. l-use agricultural inti 0 Installation :.t '1 :t.,t A r:', i ,161#.t.. ';W fi**'(}ril t:, ,;...;i:;' .ty• ❑Fire rseac 0 Installs ' " 1►i'.i; [l mergenoy system. tion of 150 derived Job#: [sill ji2" "••.=�t (1:.:�. targcraaparatelyderived 1 Job site address: Sr t i�LiJ El Addition ofnew motor load of\/Vsystem 1001E'or more. 1:3"A",'13,"1-2","1-3, City/5tate/ZII�:1 Tigard,OR 97224 ■Six or more residential units. occues icy. Suite/bldg./apt#: j Project name:Polygon at Bull Mountain ❑Hazaardous locations. Cl Supply volta8 formoorre than Cross street/directions to job site: El service or feeder 600 amps or more. 600 volts nominal. •x;;r ; t ": Description 1 Qty. Each I '' Total New residential single-or multidwelling unit Subdivision:Polygon at Bull Mountain I Lot II:Lib includes attached garage. Tax map/parcel#: i:s• "+u a r 1,000 sq.ft,or less 168.54 4 ..:tis'.x�"#5 ,F4 ��>: = r`t� BIITIUjpWQT{IC�:; _ .:1: :..' : Ea.add'1500sq.ft.orportion 33.92 1 Limited enrgy,residential (with above eq.ft.) 75.00 Limited energy,multi-family _ _ Y residential(with above sq.R.) 75.00 2 i•r t .P*W*Zt t .`<l r;'i:y;;:.,4.u� f.•..._ i:iiK',•�.c<<.•::-•: Renewable Eu Name:Polygon W � ..; ,i�.•:.��^J-.,�hi�>VV4'axi.� .,:t;;=-;:,:;,5; �` ❑See Page 2 Yg L$LLC Services of feeders installation,altcratlon,a sd/or relocation Address: 2Q0 amps or less 100.70 2 01) Nroa_d,U3a->l st S S1 20I amps to400amps 13356 2 City/State/ZIP:Vancouver,WA 98660 J t 401 amps to 600 ampsIIII 20034 2 Phone:(360)695-7700 601 ampsto 1,000 amps 301.04 2 I Fax:( ) Over 1,000 amps orvolts 552.26 Email: Temporary 2 • p try services or feeders installation,alteration,and/or Owner installation;This installation is beingmade onpropertysrelocation intended for sale,lease,rent,or exchange,according to R 447,449,670,and 701 not 2001 amps o 400 less 55.08 Owner signature: 201 amps to 400 amps 125.08 6, �: x, �5 ey Date: 401 amps to 599 amps 2 r��t�}.i'nK�l9�� il'e'f';;:1ixs^�r:�,,,'fi•,;.'��.•-•r,•s S.:_. 168.54 2 .Yk of . T "' F..:, Bran `.`�i::-1;��•�"��"?�:¢'s:,=e'�a'�rQ�,�,G�,�(�`1� .�3�;,;:` eh circuits—new,alteration,or extension,per panel Business name:Polygon WL$,LLC A Fes for brooch rfe de with above service or feeder fee, Contact name. ' . /_ i 1„(WC, sash branch circuit 7.42 2 �'1�}p� (y i B.Fee for branch circuits without Address branch fee,first 2 s 56.18 City/State/ZIP:Vancouver,WA 98660 4 Each add'1 branch circuit 7.42 2 Phone:(360)695-7700 Fax: (360)693-4442 Miscellaneous(service or feeder not included) Email: / !�:--)10 -iEating,service or modular _ �, dwelling,service and/or feeder 67.84 • 2 }} n t f MI 67.84 2 3 YrFd} .y. F wd$.. a0.�/moo W, f$?01:? r Recon - -�;� ,za Ara)tiukl �� t>'t�hs!�C.�!<,= i; nectanl �; r1ulS��.a�����.,1;!•°-fr: �';:.,;:�,,•<„'ta�t:.� :,i�:v Business name:Garner Electric Washington, Pump or irrigation circle 67.84 2 LLC Sign or outline lighting 67.84 Address:402 Valley Ave NW Ste 106 SIgnat circttit(s)or Limited energy 2 panel,alteration,or extension. ❑See Page 2 2 City/State/ZIP:Puyallup WA 98371 Each additional inspection overallowable in any of the above Phone:(253)872-6051Additional inspection(1 br min) 66.25/hr I Fax:(253)872-1801 Investigation(I hr min) 90.0W hr Email:bdaniels®gweusa.com industrial phut(i!aurin) 78.18/hr CCB Lie.: C1158 Electrical Lie,: 208I74Inspections for which no fee h Suprv.Lie.: 44968 :�_ ;^: listed brain 90.00/hr Suprv.Electrician signature,Iequired: Y>:t...N:!k":1(.1',',.....', f .4 5.•..;,'ti.. ..;.+-,... , :.�.. ii ; ::rr:`.....:_ • Print name: Joan P Albert Subtatat I Date: ❑Plan Review Required(25%of permit fee): i State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEB: Print name: Bill Daniels Thar perautappneafton expires if a permit is not obtained within ISO Date: days after Rhea been accepted as complete. L1Buildi lParmit:�GC ParodtAPP med.Rev06/17/2015 • Number of inspeotions allowed perpermit p 44046t5 01/05/CO fnyEg Plumbing Permit Application :. Building Fixtures i.tlR OFFICE USE OyLv City of Tigard Received Permit Na.:/tr,,.20/ IN 14 13125 SW Hall Blvd.,Tigard,OR.97223` planRv 7S ���)�s„ j Phone: 503.718.2439 Fax 503.598:1960 Pian Review Dateii3y: Other Permit No.: TI c A R D Inspection Line: 503.639,4175 Date Ready/By: Jule -F11 See Page 2 for Internet: www:tigard or.gav `i7,y Notified/Method: Supplemental Information tit '� •+ e} LTX L-t TYPE�� r7''4I St t'f� `` ",, v -:"i.. - _ t.i-._.._. -fl 5 t r... t kc ,,,. , w' hf ,y••,-, -KZ',�- +r• ---: 1 4 , ,.. 3.7,Z--,',..f.-',1?,:: .. ®New Construction 0 Demolition For special information use checklist Description Qty. r Ea I Total ❑Addition/alterationfreplacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ? tbl+ �4 �� -' SFR(1)bath AK 1OtYOiQ_ GEI4.e...-7-et.: ; 312.70l ®I-and 2-family dwelling [3Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 50032 Each additional bath/kitchen 25.02 ©Master builder [3(Kier: Fire sprinkler( sq.ft.) Page 2 '4 /` e -ffoi 'Sff 3ti`E?)ItIiiktidi kkii,.)LCklf_rdii t F Fxt Site utilities: Job site address: SZI� yTv-VAL•t Catch basin or area drain 18,76 Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./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(no.linear ft.:,,,,--_) Page 2 - Storm sewer(no,linear it.:___) Page 2 � Water service(no.linear ft.:_) Page 2 Subdivision:Polygon at Bull Mountain Lot no,;tfyb Fixture or item: Tax map/parcel no.: Baoktlow preventer 31.27 " 'kb8**_*i0.01, *.f'i't;} {n s ClothBackes awasherter I 12.51 ` Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 f *; RQP>1tTX,QWJER _;..� -i::7-4:!1;1,`,6y._'7?::;:-...4,,,44.0. !. TiE ?►N,, ,.. ,.p.e Expansion tank - 12.51 Name:Polygon WLH,LLC Fixtare/sewer cap 25.02 elf Floor drge disposal sink/hub 25.02 Address:,O� ,/+p (� Garbage disposal 25,02 City/StaterZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12,51 r. t - `n^ LiccoI rEl soN 41 Interceptor/grease trap 25.02r {APP CAVr Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 . r�Ch V 1/�7I o Primer 12.51 Contact name: ,V Roof drain(commercial) , 12,51 Address: 1 n ()rOa o„t A SC ` �� �Sink/basinflavatoty 25,02 • City/State/ZIP:Vancouver,\ WA 98660" i Solar units(potable water' 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-11111/1:// / ^77� /� �1 Urinal 25.02 "I CkpP° ThO O 1 �/ (L }�}P,l j1 1 Water closet 25.02 - 'f4'ia4- _... llai l� Olt ... a .. .. .. ;: , 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)351-3903 Fax:( ) Minimum permit fee $72.50 Plan review (25%of permit fee) CCB Lic.:180345 . Plumbing Lic.no.:PB1582 State surcharge(12%of permit fee) Authorized signature: f1.2 1, ,„,,,,r- TOTAL PERMIT FEE Print name:Brandon Lanter 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 Irl-County Building Industry Service Board. CtBuitdingWmnitstPLMU-PermilApp_doc 1001/09 44o-4616T1i0P ICOWWEB) et City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT I T I c A R D Building Permit Review — Residential ® Building Permit #: /Li,51 o-Ul7— D S—.ZC) Site Address: 152-/ SQ -Melts Lame Project Name: 'PQ l 61J- gc'II iv Lot #: CIO (Newedwe =subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NQ.W S F R Fe/Verify site address/suite#exists and active in permit system. [ River Terrace Neighborhood: 2/No ❑ Yes,See River Terrace Review Addendum Attached Sitie Plan Elements: lZ ree(3)copies of site plan JI 'sting structures on site C✓JSite plan must be on 8-1/2"x 11"or 11 x 17"paper 'f►. ootprint of new structure(including decks)with finished {Zf rawn to scale(standard architect or engineer scale) 1poor elevations F •rth arrow nItility locations&easements(required for new and additions) KiXte address,project or subdivision name and lot numberiL SSk ewalk/driveway approach i0Vpplicant information(name and phone number) t •canon of wells/septic systems Lot dimensions and building setback dimensions Y Existing trees to be retained with drip line,and tree 7:+•uare footage of buildings to be demolished potection measures l&Lot area,building coverage area,percentage of coverage and 'L'�J Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) LLJ'Street names • Property corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ,e [o 4 foot differential) If yes,is a storm water quality facility shown? ❑ es o Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No "Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified PrNo Applied For: ❑ Yes ❑ No,stop intake Er Land Use Case#: gUN.OjS 0000Z. Ltd Zoning: K 9,5 Ll Required Setbacks: Front 1 Rear I C Side E Street Side j Garage ZD Ur Landscape Requirement: NA % [ Lot Coverage Maximum: J4 0/0 Lif Building Height: Maximum Height 3 0 Actual Height /7 Utki Visual Clearance densitive Lands: ❑ Yes riNo Type L;X Urban Forestry Plan ❑ Conditions "Met"prior to i suance of building permit Notes: \NII k N1 Lf r,r,llr i ISSJtvlcQ �� - Approved By Planning: Date: 1./_71V21,1 7-- 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\BldgPermitRvw RES 061417.docx Building Permit Submittal w Original Submittal Date: 1/.01/10 Site Plans: # Building Plans: # Building Permit#: ir,- nter building permit#above. Workflow Routing: it Planning j-Engineering Permit Coordinator j5 Building Workflow Sign-off: P 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. 'P' Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: ,/ , By Permit Technician: 60z� i/ �' Date: l, ` ,) Engineering Review of zr Slope at building pad: 3 10 ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: ,{ Assess Water Quality Fee in-lieu: ❑ Yes SC1J No Assess Water Quantity Fee in-lieu: ❑ Yes �J o LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: !' (io, K/, Date: 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: Ole II C Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes ' %1WA KOK to Issue Permit _ Approved by Permit Coordinator: Date: 0/14r- I:\Building\Forms\BldgPermitRvw_RES 061417.docx City of Tigard ill " COMMUNITY DEVELOPMENT DEPARTMENT C T l c A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: IS Zn- S LI 7ktr,6 Lan, Project Name: 110(yviN al- QLI(1 hojAo, Lot #: 90 (New dwefling=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 ❑ No 1.Articulation:a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage. 'n additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset . ft. deep min.2ft., 5 ft.wide min. 2 ft.,6ft.wid Gabled dormer ❑ ❑ ❑ ❑ ❑ 2. Eyes on the str t: a • ' um of 12%of each street facing facade must includ- • dows or entrance doors. Percentage o n: A- 3. Entrances: t lea t ne entrance must meet oth of the following stand. a s: ❑ Max. 8 ft. setback fro . street-facing wall ❑ Parallel t.`street,angle no more than 45°from street, or open o,to porch Entrance opens to a porc ❑ es ❑ No If yes,all the following apply: ❑ 2 sq.ft.min. ❑ One street facing entry ■ 2 ft.max.roof above floor of porch ❑ 5 ft. depth min. , 30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min.of 'we of the following elements on all street-facing façades: ❑ 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 ❑ Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood ❑ Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. f ❑ Horizontal lap siding min. 3-7 ft.wide 0 Accent siding min. 40%of street fara.= ❑ Window trim min.2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for a treet facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. de.. with inside access ❑ Attached garage is 35%or less of street facade 5. Garages and Carports:May/ace the front or side lot line on a corner lot. Setbacks: !! No closer to front or side 1c9 line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ May extend up to 5 fv.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to .where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check opt) ❑ 12-foot-wide'garage door ❑ 40%max. of street façade ❑ 50%max.bf street façade with 7 detailed design elements Notes: Approved By Planning: JC Date: I I- 13-I-. F\Building\Forms\BldgPermitRvw_RES_RT_031416.docx 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 1111111 Transmittal Letter 1 !c_;A R 1-1 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: /9LL1cCry DATE RE DEPT: BUILDING DIVISION tituE E AUG $ 2016 N FROM: POL'!bent) OM biGr,¢,vyvD B[j ' IL.D11`�1 ' 1G%G 1w3 COMPANY: POLY 60v" fIvrii 6, PHONE: SU 3 s 77 yl fv a By: f / RE: /5--707 72 SA-) 7-44�yLrs L A7 "7S7-5y 7 -OoS".2o (Site Address) (Permit Number) / t y6-0 ,/ ,4-7- -u /`i t€#V7? ii‘i GO T y0 (Project name or subdivision name and lot number) / ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 0 Additional set(s)of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: CNrIotiGE, W &IVY fig PW► ,N6 fr/llc cavj 47,5 0-111 7 4946 c.2''- L •1--,5 e 2/ 6-!L/ /'j�L/'eiv -,'$j '1A 4. Lek' FO OF ICE USE ONLY �� Routed to Perm' echnician: Date: t) (3 ( $ Initials: Fees Due: Yes El No Fee Desc ptio . Amount Due: $ lb— 17 �Gti� G' i .C.tiJ $ t l o0 $ 7-a7 4 ILE $ ..4.7, 37 Special Instructions: Reprint Permit(per PE): Yes ❑No one Applicant Notified: Avv61 6— Date: -As//f-- Initials4� I:\Building\Forms\TransmittalLetter-Revisions 061316.doc