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Permit CITY OF TIGARD MASTER PERMIT Ill I / - Permit#: MST2018-00013 ' COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2018 T E t ,;1 i�[? 9 Parcel: 2S108DB04500 Jurisdiction: Tigard Site address: 15377 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 43 Project: Polygon at Bull Mountain, Lot 43 Project Description: New SF. 8/16/2018: REPRINT permit to add 2nd washer,dryer,furnace,A/C and(1)lay. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2734 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 0 sf Garage: 501 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2734 sf Value: $340,823.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 2 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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: 6 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 1 Other Units: 1 Furn<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 5 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'l 500 sf: 5 201-400 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2734 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) I 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: $34,951.53 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••R 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: Illf '4)-7--€"-- Permittee Signature: 47/1.7 ,6 fc '?7-7f%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. CITY OF TIGARD SITE COPY , r MASTER PERMIT 141 �'- I; COMMUNITY DEVELOPMENT Permit#: MST2018-00013 TI GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2018 Parcel: 2S108DB04500 Jurisdiction: Tigard Site address: 15377 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 43 Project: Polygon at Bull Mountain, Lot 43 is 5le Project Description: New SF. BUILDING Floor Areas Reauired Setbacks Reaulred Stories: 1 Bedrooms: 3 First 2734 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 0 sf Garage: 501 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 2734 sf Value: $340,823.94 Rear. 15 /P�tlMBING Sinks: 1 ter Closets: 3 Washing Mach:/ ✓ Laundry Trays: 1 Rain Drain: 1 OZ Urinals: 0 Lavatories:.4'...C. Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer. 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 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 Tvoes Air Conditioning: Y a ✓ Vent Fans:✓ ,6'(p ✓Clothes Dryers: ,a Natural Gas Heat Pump: N / P Hoods: 1 Other Units: 0 .*' Fum<100K:, Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Tema 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: 5 201-400 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 2734 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: $34,710.28 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••- 951.n.11-0090. 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: i(� � i/ Permittee Signature: o6' /all ll�f-7D� 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. L\Building\Forms\Inspection Cards\MST Insp Case By Case\InspCard_NewMST 031815.doc Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY - City of Tigard Received Date/By: Permit No Sfa p .10A° O j1p ill IN 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit No.: Date/By: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: .auris: H See Page 2 for Internet www.tigard-or.gov Notified/Method: Supplemental Information ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ` F * ,, t 1 s i, k0o t) SFR(1)bath 312.70 y dwelling and 2-famil ® ❑Commercial/industrial SFR(2)bath 437.78 0 Accessory buildingSFR(3)bath 500.32 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: \\ \ Fire sprinklersq.ft.) Page2 R11, ,,,„'ft 1 t `TO'k' Site utilities: • 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.: 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 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 . : •, Backwater valve 12.51 t f 18S N;it Ww , Clothes washer / 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 , A OWNER [ i '/ 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 �,, o , ! \\` o-"1:;""Il'140`i 0 ' � CONTACT P t• Interceptor/grease trap I t 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 /---,41/ / 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(503)577-4160 Fax::( ) Tub/shower/shower pan 12.51 E-mail:tom.dicianno@polygonhomes.com Urinal 25.02 z« - ,,,,,, ��`, Water closet 25.02 d,,,,rOISTr"'454i311fi `i Water heater 37.52 Business name: ( �J Water piping/DWV 56.29 Address: (( Other: 25.02 City/State/ZIP: l!�+ � Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: �' Plumbing Lic.no.: Plan review (25%of permit fee) �j State surcharge(12%of permit fee) Authorized signature: L/ TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Mechanical Permit Application FOR OFFICE 11SE ONLY City of Tigard Received Date/By: Permit Nvxr 13125 SW Hall Blvd.,Tigard,OR 97223 :114 Plan Review ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: 503.639.4175 TIGARD Date Ready/By: Juris: gi See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information Mechanical permit fees*are based on the value of the work Al New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ op coTpij€7106t ;4 • •,.• •• • ‘..K• • :,4%.46:=6,' • .,,,,,„Ali4gAjtIPMENTkrikISTTITEM• El 1-and 2-family dwelling 0 Commercial/industrial Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total Heating/cooling: 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 Other: 23.32 Subdivision:River Terrace Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 Gas fireplace/insert 33.39 '','WMN4.1811111111111111,' 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 ••%, AK, Other: 23.32 0 TENANTW4, ;!;),44,AffiNFLitti,6,;14.4411111#'1''At 41V Environmental exhaust and ventilation: Name:ADVL Land Holdings LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Rd Clothes dryer exhaust t" 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 '64 41111111311i1;11ketpii Other: 23.32 Fuel piping: Business name:Polygon WLH LLC $14.15 for first four;$4.03 for each additional Contact name:Tom Dicianno Furnace,etc. Address:109 E 13th Gas heat pump St 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 !JII CONTRA(T fr Clothes dryer(gas) 1 Other: Business name: 1 7,11111111iii.1* ojjAs.'",cz. Address: Subtotal Minimum permit fee($90.00) City/State/ZIP: Plan review(25%of permit fee) Phone:( ) Fax:( ) 14/ State surcharge(12%of permit fee) CCB lic.: ' 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: * Fee methodology set by Tri-County Building Industry Service Board Print name: Date: 1:\Building\Permits\MEC_PermitApp_040113 doc 440-4617T(11/02/COM/WEB) CITY OF TIGARD MASTER PERMIT 111 - n Permit#: MST2018-00013 COMMUNITY DEVELOPMENT Date Issued: 02/05/2018 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB04500 Jurisdiction: Tigard Site address: 15377 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 43 Project: Polygon at Bull Mountain, Lot 43 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2734 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 0 sf Garage: 501 sf Front: 20 Smoke YesDetectors: Dwelling Units: 1 Third: 0 sf Right: 5 Total: 2734 sf Value: $340,823.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Catch Basins: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 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 Y Ecompasing: Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2734 Owner: Contractor: Required Items and Reports(Conditions) POLYGON WLH LLC POLYGON WLH,LLC 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: $34,710.28 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 e'R 95 -111-0090. 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:Agit �- _ e Permittee Signature: .,/1/ / ' 'c./Z,}--77e 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. 9 L-O 1-13 Building Permit Application y , 401-kr ' ' FOR OFFICE CSE ON 1.1 Cl of Tigard(� Received G �[U /l C y- SEP 2 -i ?.. a 7 ,/a i� Permit N /�d�O t� � City g v L i � r.� Date/By: 7 li I a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.7182439 Fax: 503.598.1960 Date/By: — — +� other permit.Siv�4�pif—ryx� Z Inspection Line: 503.639.4175 DateReady/By: e. 1 Juris: H See Page 2 for T t G A R I� Internet : www.tigard-or.gov Notified/Method.f/�// j°t' Supplemental Information 67t11c.. ,4//G e' G x. s ; e. ® emoli oNew construction Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. Valuation: $ 9 ® 1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms: 1 311 V/$z . O Accessory building 0 Multi-family Number of bathrooms: ❑Master builder 0 Other: i lel:- ; t e:Yi Total number of floors. Job site address:15377 SW Thames Lane New dwelling area: 11/44 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: So i square feet Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Covered porch area: lit square feet Cross street/directions to job site: Olza:, 2,.-..).-14. square feet _ssi Other structure area: square feet c st s I ter 1 Subdivision:Polygon at Bull Mountain I Lot no.:43 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 t k work indicated on this application. A„ ,, Valuation: $ Existing building area: square feet New building area: square feet « ak � f t1 ,e y a Number of stories: 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: �q f 4 ';r_ ,,1'- E Business name:Polygon WLH,LLC Structural . an review fee(or deposit): Contact name:Nichole Thorpe FLS . . .. Address:703 Broadway ST Suite 510 Totaldue uponapplication: City/State/ZIP:Vancouver WA 98660 Amount Phone:(360)695-7700 I Fax::( ) f t is E-mail:Nichole Thorpe Commercial and residential prescriptive installation of t roof-top mounted Photovoltaic Solar Panel System. Business name:PolygonWLH,LLC Submit two(2)sets of roof plan with connection details 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: i This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date:9/19/2017 *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) r Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE LSE ONLI City of Tigard Received Date/By: No.: *I 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: ■` Phone: 503.718.2439 Fax: 503.598.1960 C1 G A EZ i3 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing 0 Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ ❑ 3 Verification of approved plat/lot. ❑ p 0 4 Fire district approval required. Name of district: ❑ 0 0 5 Septic system permit or authorization for remodel. Existing system capacity . 0 ❑ ❑ 6 Sewer permit. ❑ 0 ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ ❑ 9 Erosion control 0 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 ❑ ❑ ❑ 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- ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ architect licensed in Ore_on 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". ❑ 0 ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 ❑ ❑ 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. ❑ ❑ ❑ 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) ,.. Mechanieal Permit ADDlickition, .. ; ., , Ftlit OFFR L t SE()NIA City of Tigard :, Received Datedir. Permit Na/757;2e,itep.,00e/3 It 4 13123 SW Hall Blvd,Tigard.OR 97223 _ ,- , :, .',.,,,1`,; Man liesmw Pitons-. 503.715.2439 Fax: 5035983940 J -, - oatezur. Other Permit Inspection Line:A I:E) TR 503.6394175 mu,it,,,adylay.. :aria la See rags 2 far , Internet: wwgard-or.gov ,k ,, , t‘ituifiedisiedieth Supplemental Inforamelan ..,. ,:' '. ' • . .-Y,,'-:F4'.i;i317i.',;:."'i.5*-';'.. :,•41f...,`,..;4',;.',,:' ,1'..,5',.1,;',..-.ili';'.",,Iiiefoigi*ojik.,:,fiT-a4-fA-!-4137-,:i.:4'i',1-;!:.,-;:',- 12;:,-PifiE'... ,FA., ',•,r,1",,!' 15',.,..,PI/Itil,4F-4,0.‘,C.00",-,40.0.1111Xi*:,,AISt,-c00.41.St-:::.:!..i I: Mechanical permit fees'P are based on the value of the work tgi New construction 0 Addition/alteration/replacement . performed.Indicate the Valk(rourtdc4 to the nearest(Mist.)of all 0 Demolition 0 Other ineehanieol niatcrials.equipment labor,overhead.and Pm111. ..,_. f ',. V..au.,e._S CATEGORY,ki,aigtfiCi6i, r ., -..;,..t...-...:11:-.arsookNitAt;liQUIPM1019T-10VSTEItdRITE,.9,*,--.7,:---:•-,, A1.and 2-11unily dwelling 0 Commercial/industrial 0 Acta:wry building rar special information kw checidist. Multi-family 0 Mas-ter builder 0 Other, Description Qty. I Ea. Total „,,..i., ,, 40:.4,,..s40,:-_..0AF0104----- 11.0, 14,_,,,...,4,..140it,t...Qc4,-..- ittiks, „, .i.j..,,,,T...,,,:l..,1,t2;q1.,1,,p51,-,..::i-e,..,,,;•,;.,..,-14_..-,.,.- - li!iiilitle.cooti.au: ..,_ - Air conditiontna . 1 46.75 Job site address: 1 5 33 3 so/-Thanjts LiAfit.„ - Furnace 100.000 BTU(lintslyents) ft 46.7$ City/State/ZIP:Tigard,OR 97224 Furnace 100.0001.13Th ohms/vents) 54.91 Heat mann 61.06 Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain . Duet work _ 23.32 Cross street/directions to job site: livdronie hot water system 23.32 • . Residential boilertradiator or hydronie) ..., 2132 .. ._ Unit heaters(fuel-type,not electric), in-wall.induct.emirate&etc. 46.75 Flue/vent for any of above 1 23.32 Subdivision:Polygon at Bull Mountain Lot no.: 2332 L- - Other fuel appliance= .. - Tax map/parcel no.: Water heater 23.32 ;4N). 1--.:!t,11i:.:. ;ilitik.-/11*.FII*r.Olf.:1-,*(iiih. t:-.,..,,./.?.4. ...1.4,N,j.",1,,'XIlial:',.:1,,,i',..,:::;#. ' tlas firePliicermsort - . I 33-39 ' - Flue vent for water heater or gas fireplace 23.32 . ' Loa lighter(gas) 23.32 . .. „. „ Woodipelict Move 33.39 Wood fimplaectineert 23.32 Chimney/liner/fluckent ., 23.32 23.n .....:.. ...0;iitooigirnif.;704iotc:,:iig,;:',•:,:; :!,-----•,::'.,.,:t'j:',.:::',::::,:-.L:la#.9.0; &?:41''''"'It?''''''':::,...''. . . ” '''' ''. '-:'". Environmental exit:lust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen 0104N:will 33.39 Addms;"110 -P7r006-134-0i .1C-- _S\A-Al A'S.,e Sk0 . . . Clotitm dryer exhaust I 33.39 C"Y/StalarZiP' kla.ACOUAle,i) 1,Jn)(4 96(440 - Singlc-duet exhaust(bathrooms. L1. toile amp:truncate.utility rotims1 1 . 2332 Phone:(360)6954700 ‘.. Fax:( ) Atticicrawlepace fans 23.32 .,' •:. l'-;...'s...... ..Er OLIOIT.!':','f-',..,::','',:ia:!:: :i"..'; :'';..','.'4". ..-1C1,0iiiT*0'..0.4,s0P,",;)t':,?:::::,,'. {:; Other 23.31 , Business name.:Polygon WLII,LLC Fuel piping: S14.15 for first four:54.03 for each additional. Contact name: Ni c/1 O k. Th D r19t-- Furnace,ete, ,,' 1 . Address: -103 BrOacitdot,Li 'IL,S.c.441e. 9 0 Otte heat pump WallIsuspendoPunit hotter City/StaterLIP:Vancouver,WA 98660/ Water heater . Phone:(360)695.7700 Tux:-.(360)693-4442 Fireplaet . - Range .. ' E-mail:Angeht.Grajesorkipolygonhommeora Barbecue . . ',..;.:4-;;,;;;;;, :i.." .',..-:....5;,;:-::*;,.7,•;:i.:E.:;....,..:.7.':',',4.-.J.:::'-i-.7.:::;',"''...";:.-CoPiiii'AC113ii?..:;::ii"'„, . . . . 5.' ,:: Oodles arva'(Sas/ Other: Saltless name:Apex Air LW. ,-i,.,---,:,:-','•..-...;•:,,I,'.0-::;;MT.Eihilt,BEALPF.1160.0;5is!':,:7a...-;:;;;:::,,',',',:i., Address:18004 NE 72"Ave Subtotal , . _ City/State2iP:Vancouver,WA.98686 . _ Minimum permit fee(590,00) . .. . Plea review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326.1769 ____ State surcharge(12%of permit Re) ' CCH Pm:.203034 TOTAL PERMIT FEE - ... . -.-, Thit petemit application expires it a permit is not obtaiied within IRO • siva atter It hits been accepted as complete. Authorized signature: - * fee methodelog,v set*76-County Banding Industrt-Service Board Print=Ma ..... : I took si Date: 4.ti 1 Toad...t.pcnn-aymr,c.,sp.milAm.040,13 dttc 44(At,trr t11,02470MAITS) : glect ncal Permit Application • I,oY OFFICE 1;4'-0NI 1 1INCity of Tilgamd ', Received " 13125 SW Hall Blvd.,Tigard,OR 97223 Dare/1i g ' Phone: 503.718.2439 Pax: 503.598.19150 Plan Review Inspeotion Line: 503.639.4175 Da rilMiNglRelated Pemdt#; .TIGAAl7i ReadyDate/By: farts: tN See Paget for c; Internet: www.tigard-or.gov v t ryNotified/Method: Supplemental Information . - ..l.yvr.i::.^+:!4:2�C�i1.u'^a+:�'i•%+i:i1�t;3.:.t-�Y;l;'t.t': - ®New construction ��"�'';.'i`•i":�i.�!i.'s��r';sly;t�*�i`.•,E�G4r.:•.��•'�:� :�;'ti�"«'.':�+_S.'},�h?i,`1 0 Addition/alteration/i ti /replacement Please cheek all that apply(submitI sets of plans nditemeoheciced): Q Demolition 0 Other: 0 Service or feeder 400 amps "::g q"<>'t'.':tr. 2.2,�u.c}+"s>:{� q ` }r,y,.T.tia where the available fault current snore ❑BuildingMarinas andover oathree:Hylas. -r; •- +t•?t : :u. - ' '1a� a ,may i i-�"".' isy ... EI Plo i ing hes boat -.,+ `�xr:;?` "1` „A� .'_ niw .;f _'' X., 5'-'•.,.v,. i: -�'.:*".•. ..''?:•: yards, `•;�;�.,.:�.' ,k.�(�,,;;;� ';I:•yr�,r exceeds 10,000 amps nt 150 volts or ❑Fioating buildings. ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commeroial-use agricnhansl ❑Multi-family ampother installations. •buil• Master builder 0 Other: r�3.�:1�5�%,••-r�;' _ ..:-?!...-C.:'5'-:::: :,;.&:;',. _. ❑Fire pump. ❑InstaOa&onaf150ICVAor : .;%an. .: FF Q '? ; r'r "1�'•6.SV10:0-0:4: (1!���,i.;is .. . • :,;&:-. ❑Emergency system. "''•`�,"•�'` .- larger separately derived Job#: Job site address ❑Addition of new motor load of system. mow or more, ❑A"."E","1-2•,"1-3", City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy, ❑Heatth-oarefacilities. ❑Recreationalvehioleparks. Suite/bldg./apt. I Project name:Polygon at Bull Mountain DHazardous locations. El Supply voltage for more than ❑ Cross street/directions to job site levee feeder 600 amps or more, voila nominal. x_.,,. ,i :twe:4^:.11.1. n 'i '7Ci•!C'k]/ Vd•:• i•l:?a•+•tiv :Mi Description i Qty• 1 Each I Total i * Subdivision:Polygon at Bull Mountain New residential single-or multi fancily dwelling unit. Lal#: 3 Includes attached garage. Tax map/parcel#: 1,000 sq.it.or less 168.54 4 ar s `b:•,;` Ea,add'1500 sq.ft.or on 33.92 1 �,'„ i,:t:s: ;.4)**4;1.. kli0?;uYO ;f`::::.i;t' ;,.:,•.:, :.,... ,:t.; Limited otter A- 75.00 gy,residential(with above sq.ft.) 2 Limited energy,mild-family _ residential(with above sq.ft.) 75.00 2 Kri1`r l aY °>s�91R'x'`i l'4: rel ay x`rwt.tr: :� 11f!! xt.r` ` ;2:;.r,';: Renewable Energy ❑See Page 2 ' �`" a""'```'' `_' Services or feeders installation,alteration,and/or relocation Name:Polygon WLI ,LLC 200 amps or less 100.70 2 Address: 0)j fftad(0a1 `St ucc's� j� 201 amps to 400 amps 133.56 2 City/State/ZIP:Vancouver,WA 98660— —J 1 v 401 amps to 600 amps 20034 2 Phone:(36095-7700 ( Fax: 601 amps to 1,000 amps 301.04 2 ( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,attention,and/or Owner Installation:This installation is beingmade on propertyrelocation • intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701,not 201 a200 mps to 400 amps or less 125.086 112 Owner signature: ��� t .4• 1 t Date: 401 amps to 599 amps 168.54 rF..1& rirkR led, 5• -.0R':Ion:41.0, »i'+`7, k'i� •1.�t. 5 •..•.p -..r.,;.' . Branch elrenits—new,=ration, extension, 2 ti°K:,. ��Q?�.�#,�'�'• .., � a �,��.: tion orper panel Business name:Polygon WLR,LLC A.above brands or feeder the,' above satvice feeder fee, Contact name, each branch circuit 7.42 2 Address t)1n_� L B.Fee for branch circuits without service or branch circuit der fee,first 2 56.18 City/State/ZIP:Vancouver,WA 98660 Bach add'l branch circuit 7.42 2 Phone:(360)695-7700 Fax (360)693-4442 Miscellaneous(service or feeder not included) Each manufactured or modular Email /� dwellin er sV ��/l� /O ectonlcoattdlorfbed • nil ,� � � 67 84 w•i.'r2ttck '�rc¢'- ,.T' �°- ;-, i",•('•� 5'Y•?ra>F 4f",+�•- ' gin l�;*,e.-v^-:,r:•-. 1ZECannCet y :1:46,:.b0 . s'��-rq.FtL.zItA' a?• of:�+F?+:;+t a�f1;>`r� 67.84 2 Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address.402 Valley Ave NW Ste 106 • Signal ciretdt(s)or limited-energy 0 See Page 2 2 • panel,alteration,or extension. City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above Additional impaction(1 hr min) 66.25/hr Phone:(253)872-6051 I Fax:(253)872-1801 Investigation(I hr min) 90,0W hr Email:bdaniels@gweusa.cotcl Industrial plant(1 lir min) 78.18/hr CCB Lic.: C1158 Electrical LIe.: 208I74 ( Inspections which no fee is Suprv.Lic• 4496S pey listed fs hrnshc 9_ ...,r SuprV.Electrician signature,required: tai •l/ . »t.;: ti 1 f' ta,-r Print name: Joan P Albert • Subtotal: I Date: ❑Plan Review Required(25%of permit flee): State surcharge(12%of permit fee): Authorized signature: ti !"� TOTAL PERMIT : Print name: Bill Daniels This permit application expires If a permit is not obtained within 180 Date: days after films been accepted as complete r18aildinglParwitslElC!'erudtRpp-p[alittgdoaRwOf/tTIm15 * Number of inspections allowed per permit 440.45157(1I/05/00Lo ns Plumbing Permit Applicatipitl: _ Building Fixtures FOR OFFICE USE ONLY Ci 'of Tigard Received Dere/By:- . atetBy Permit No.:��7�,2c-j,/6'^L /7 il 13125 SW Hall Blvd.,Tigard,OR 97223 man Review r7 _7 = Phone: 503.718.2439 Fax: 503159 .1960 DatelBy: Other Permit No.: TIC A It D Inspection Line: 503.639.4175 Date Ready/By: Juris: 91 See Page 2 for Internet: www tigard-or gov iN hod Supplemental ag W"t T0. TiPliOE,w� tj i' 1 5Ate! 4 YF.y f el New construction 0 Demolition For special information use checklist Description I Qty. j Ea. ( Total J ❑Addition/alteration/replacement 0 Other. New I-2-familydwellings(includes 100 ft.for each utilityconnection) . �€ 5 64 G'(1ftt 4F foci .tit` ' : SFR(1)bath 312..70 ®I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath _ 431.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ©Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 tt, 14iiB S *4:1,0RMAT1QN Al4'D f Otkti.31�t :; r te , Site utilities: Catch basin or area drain Job site address: 18.76 City/skate/IIP Tigard,OR 97224 Drywall,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.; .... ) Page 2 • Storm sewer(no.linear ft.:, ) Page.2 Water service(no.linear ft.:, ) Page 2 Subdivision:Polygon at Bull Mountain Lot no.:^ Fixture or item: Tax map/parcel no.: Backflow preventer ` 31.27 r o" ;IFS1::1B VORCss o Ba waterhv 12.51 _ ' Clothes was er Z5. 2 Dishwasher 25.02 Drinking fountain 25,02 Ejectors/sump 25.02 - f :....Q.. . Z''1 of E T'1'QW)"iER ti ,2 ,, ,. :i-.14,V,''''';'', Expansion tank 12.51 . Name:Polygon'4VLH,LLC Fixture/sewer cap 25;02 Floor drain/floor sink/hub 25.02 Address:'O.; t??roctr.lkkriai J C u�Ln' 510 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 \� Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 is .. aA:..�.. elj..:Y t;F_ r tifk:•; ' []�C `ACFRERSN f'� Interee tor/rease trap 25.02 Business name:Polygon gon WLB,LLC � Medical gas(value:$ ) Page 2 Contact name: /V1 Ch O/1 /t'Io Primero12.51 Address: �'?� �� � �St-- ��, . 'L �'1 Roof drain(commercial) ",�,� 12.51 l :l/�.ddt.t- D V Sink/basin/lavatory Lite J / 25.02 City/State/ZIP:Vancouver,WA 98660 J Solar units(potable water) 62.54 Phone:(360)69,5-7700 Fax::(360)693-4442 693-4442 • n: Tub/shower/shower pan 12,51 Urinal 25.02E-mail With° L � ,4 i �rp,l �nalel25.02 ' E. Water heater 37.52 Business name:BDL Plumbing LLc Water pipinglDWtr 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 CCB Lie.:180345 . Plumbing Lie.no.:PB1582 Plan review (25%of permit fee) State surcharge(12%of permit fee) . Authorized signature: i "" TOTAL PERMIT FEE Print llama:Brandon Canter Die; This permit application expires if a permit is not obtained within 180 days atter it has been accepted as complete. *Fee methodology set by Tri•Cotmty Building Industry Service Board. LABuildinglpermitsTISOPerm&App.doe IWOIV9 440-46167(10,02t00M/WEn) I 1 City of Tigard 'I COMMUNITY DEVELOPMENT DEPARTMENT III1 TIARD Building Permit Review — Residential Building Permit #: S7-0.zU//l-0oc)(,1 Site Address: 1 5 3 7 SW MantS Lane Project Name: 19417141 0,1- RSI I lifj Lot #: 9 3 (New dweliffig=subdivision name;Addition or Alteration=last name of owner) Planning Review �r+ HZ Proposal: �.ar,S�ric rl�' ne,W (c Verify site address/suite#exists and actio in permit system. River Terrace Neighborhood: 91i No El Yes,See River Terrace Review Addendum Attached Site Plan Elements: IT/Three�� (3)copies of site plan r/AIl sting structures on site I=Xte plan must be on 8-1/2"x 11"or 11 x 17"paper 'A Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) or elevations orth arrow tility locations&easements (required for new and additions) Lf:ite address,project or subdivision name and lot number l/�5idewalk drive / way approach ' pplicant information(name and phone number) ,Location of wells/septic systems Ci of dimensions and building setback dimensions Vxisting trees to be retained with drip line,and tree *.k.quare footage of buildings to be demolished protection measures Pfot area,building coverage area,percentage of coverage andLie eet tree size,type and location }impervious area(applicable if R-7,R-12,R-25&R-40) LVJStreet names / Property corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? 'Yes ❑No 4,foot differential) If yes,is a storm water quality facility shown? ❑ .. 0!No if Clean Water Services—Service Provider Lett- (lot platted prior to 9/10/1995): equired: Yes,applicant was notified 0 No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified [No Applied For: ❑ Yes ❑ No,stop intake g'iLand Use Case#: S U ?z0IS-00001 El Zoning: K 4,5 ig,Required Setbacks: Front Rear 1 Side 5 Street Side 15 Garage zo Mlf/Landscape Requirement: ifil 0/0 (321' Lot Coverage Maximum: WI % kQ Building Height: Maximum Height 30 Actual Height rii-6et 0 Visual Clearance —/ Sensitive Lands: Ltd Yes ❑ No Type G56,I 5 Si,., 1-ki;l-ri 416., Lt,. L4,?I Urban Forestry Plan ❑ Conditions "Met"prior to issunce of puilding perrpit Notes: (o4)-CN ) htth fr4x- tlM'[` q��(�dinCQ 1 Approved By Planning: i 'it-0.'10'2— Date: G it_t___ Revisions (after Building Submitta°only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw RES 061417.docx p Building Permit Submittal r . Original Submittal Date: q`l (11 Site Plans: # Building Plans: # Building Permit#: M►=nter building permit#above. Workflow Routing: C411 lanning 9-Engineering (fin Permit Coordinator )-wilding Workflow Sign-off: 'd Sign-off for Planning(include notes from planning review) Route Application Documents: Pri Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 'Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: /:Li/� . Ai/AL..,,,,..46--.,...._.....,- Date: .0 Engineering Review )2f. Slope at building pad: a p ❑ 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: El Yes ,Z1 No Assess Water Quantity Fee in-lieu: ❑ Yes ,Z No LIDA Facility on lot: ❑ Yes ,❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 5,,,,,,l7 R , 34 Date: / - i U - / a 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: ?A/jISDC Fees Entered: Wash Co Trans Dev Tax: 0 es ❑ N/A Tigard Trans SDC: ! Yes ❑ N/A Parks SDC: ►'I Yes ❑ N/A LIDA ❑ Yes N/A s 'dOK to Issue Permit roved byPermit Coordinator: /�f/�" Date: PP I:\Building\Forms\BldgPermitRvw_RES_061417.docx 1 s • City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT 111I T I G A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: 1S377 S Q T hattled Lle Project Name: poi or 61- MI hovnIain Lot #: y3 (New dwelling=`subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? ❑ Yes ❑ No NI:\, 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage. ' additional j element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., Eft.wide Gabled dormer di-‘ k ❑ ❑ [11 CI CI 2. Eyes on the street: a minimum of 12%of each street facing facade must include ' dows or entrance doors. PD Percentage Shown: 3. Entrances:At least one entrance must meet both of the following standa s: ❑ Parallel t. street,angle no more than 45° from street, GI Max. 8 ft. setback from longest street- facing wall or open • to porch Entrance opens to a porch: ❑ Yes ❑ No If yes, all the following apply: ❑ sq.ft. min. ❑ One street facing entry 12 ft.max. roof above floor of porch ❑ 5 ft. depth min. ❑ 30%min.porch roof coverage i 4. Detailed Design:All buildings shall include a mi/of 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 ❑ Roof eave min. 12 inch projection / ❑ Roof offset min. of 2 ft. CI Roof shingles either tile or wood f/'r ❑ Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 50O sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade ❑ Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 incWs for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide,(3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade ,; � 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No closer to fpt or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ Mayektend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story abovethe garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) '❑ 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: I:\Building\Forms\B1dgPermitRvw RES RT 062216.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. 1114 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 1,,c,n R 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: J9 LL1 fo) DATE RE -. 4 .I : DEPT: BUILDING DIVISION . ` . D AUG 8 2018 FROM: Poi'i(�a D+vl 1ClArvwC7 stl T,DAYL6\ t3 i;1tr R COMPANY: f ol,YGo ' l � l rC PHONE: 50 3 S 7 7 y/Cr O By: A ne/ RE: /S3 7 7 .14377,44- _-_--s iL.A/ A' J 77d/I--e,e,e 3 (Site Address) (Permit Number) 'et/6A/ .19— , U GC, /lea f7f/A]/ G 0 TT iia (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: CNA$1b0 !u P.4toy fag PW 31Nt/ht ttG' Court, Lj yo-if re ft1, W.s 2>/yam, ,�c>o/ mica- J G e FOR OC USE ONLY Routed to P echnician: Date: c6 k-- l S Initials: Fees Due: Yes El Fee Descripti n: Amount Due: $ ‘h,- ?l n Lvi e/t) $ � � $ 7e77---z--- .2S-6,--& $ 2 VI 02-,5' Special Instructions: Reprint Permit(per PE): Yes 0 No one Applicant Notified: iv6'ir" Date: -/.S// Initials: 9?-V'•,1 I:\Building\Forms\TransmittalLetter-Revisions 061316.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15377 SW THAMES LN, TIGARD, OR, 97224 March 12, 2019 at 11 :26:58 AM Record Type: Record ID: Residential - Master Permit MST2018-00013 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Note: no A/C Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15377 SW THAMES LN, TIGARD, OR, 97224 March 19, 2019 at 10:09:52 AM Record Type: Record ID: Residential - Master Permit MST2018-00013 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Correction completed Note: no A/C Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15377 SW THAMES LN, TIGARD, OR, 97224 March 20, 2019 at 8:59:08 AM Record Type: Record ID: Residential - Master Permit MST2018-00013 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control passed Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Blower door and/or duct seal test certificate received Insulation certificate verified C of 0 left on counter. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15377 SW THAMES LN, TIGARD, OR, 97224 March 20, 2019 at 8:59:02 AM Record Type: Record ID: Residential - Master Permit MST2018-00013 Inspection Type: Inspector: 399 Plumbing final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor