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Permit CITY OF TIGARD MASTER PERMIT . COMMUNITY DEVELOPMENT Permit#: MST2018-00106 T I G A Rr,j 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/17/2018 Parcel: 2S108DB00800 Site address: 15015 SW DANUBE DR Jurisdiction: Tigard Subdivision: POLYGON AT BULL MOUNTAIN Lot: 6 Project: Polygon at Bull Mountain, Lot 6 Project Description: New SF BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 4 Required First: 1254 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height: 0 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 20 Dwelling Units: 1 Smoke Third: 0 sf Right: 5 Detectors: Yes Total: 2909 sf Value: $352,111.41 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 1 y Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 Tubs/Showers: 3SF Rain Storm Sewer: 100 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Catch Basins: 0 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 P W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 P 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: NEW SF VB p Square Feet: R-332909 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: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,121.35 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 9 101-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: 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. k r ‘,107---- , Building Permit Application Residential .. FOR OFFICE USE ONLY City of Tigard tt w Received 9 �, ."saA 4 y 3�..4GJ ��.. Permit No l�1 �pCl�� lity 13125 SW Hall Blvd.,Tigard,OR 97223 DPlanReview Other Penn 1, ,) a 4 503.598.1960 �v7- Phone: 503.718.2 39 Fax: 503 598. 9 � Date/By: � � �� � �/�7�� Inspection Line: 503.639.4175 _ Date Ready/By:� l Juris: H See Page 2 for TIGARD Notified/Method: /� 4-- Supplemental Internet: www.tigard-or.gov y// r PP Ei'i` h/'C,liv t- --C— , 7/ TYI'E OF W It % % R# SIRED DA T AND 2-FAMILY DWEELL/NG:.,.._,; ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overheadte prof.�-or SO4 work indicated on this application. �� l // �; CATEGORY P OFCOl r R 1C' cJi' Valuation: a uation: ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: —1 $ ❑Master builder 0 Other: Number of bathrooms: 3 'i' Total number of floors: Z d(�B STI' J1�`C3R�lA'TIOI� AND LOCATION , ��/ Job site address: J I7 S� pan u he n Ne i J <; quare feet LiesS City/State/ZIP:Tigard,OR 97224 _ Garage/carport area: L4\ square feet 12,91 Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feei ....././ taG , lST °aREQ 'ATA:COMMERCIAL , Subdivision:Polygon at Bull Mountain Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all P equi ment,materials,labor,overhead,and the profit for the i// �i ESCRI TION OF WORK ,i work indicated on this application. Valuation: $ Existing building area: square feet ----I - New building area: square feet jj/ PROPERTY` OWNER 1] TENANT" i/i Number of stores: � �<,, iii-.- —�_ 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: Ej -- APPLICANTH'.4:,�fiki%i, 0❑ CONTACT E;R ' /� BUiL�G 1? MIT PEES* Business name:Polygon WLH,LLC ;"•// .(.l'lerrsereJertofeeschedule 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 Fax::( ) P @P g LIOTOVOLTAIC 5013/tAANEL SYSTEM FEES*. E-mail:Nichole.Thor a olv onhomes coin ,„ , Commercial and residential prescriptive installation of O1)1A R 1.,w;-, roof-top mounted Photo Voltaic Solar Panel System. Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: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 lie.: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. Print name:Nichole Thorpe Date:3/7/2018 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permitp is io 6a alma. a st.o y . INCite of Tigard Received itif._ • �� l TriPerro: / C�f1/QZ . .w+' t 3I SW I lull Ttlsd. Tigard,f R 9722 o. .: e. _._:"7 tans Ftp Plume: M3.718.2/39 tax. 503.598.1460 - ,,...... t � '� � tame I lex, Inspection Line: 503.634A 17Pair 18ea ylls ner, 1 2 r Inset: www/is rd r r. & Rict;Fi t : ,Sonotentestot inforroation -,r •s y✓ /i may„ ..k4'4''':':': l hnnicet permits fees*are used no the elite of tlxe std I New construction 0 Add tioWaatcration•fr:plicement performedFite the value(rounded to the nearest(killer t Of all 0 I ern/Ili/ion 0 Other: : mechanical rrttteraa#*,.equipment,nt,la .�+r,€ver ead,and profit, I arid 2-family dwelling C tttixtxtt rc3ul art y.... Ir= A t t t 'industrial 0 Accessory building for spedal informationt u e list • 7 Multi-family 0 Master builder 0 Other er. Ik"stariftti€att spas Ea. fetal <; . Ott „,,,,4,/,,,, % ;� itestitecuo6aa;satilimiciallie Job site adores Furnace 1(a),(1(10 1/ideas/erns titsJState.-llP:Tigard,OR 97224 Furnace 102.00x-BTU t uCO vents( 34,91 Suitc-hldg,rapt.rut..' Project,narme-Polygon at Bud 3lttantaan ticat_ rrlf 6I, F thief stork 23.32 € Cross utrectidneetions to yeah site: t a to inn water system 23,32 Ftesithmtial boiler(radiator et hs-dron ) 23.32 I I'nit heaters tfuel-type,not electric), • ire-wali.in-duct.sus `rate#.etc. 46.75 Flue/vent for any of atone Ni. 11 32 Other1 21 12 Su ditisio is Polygon at Bull Mountain... mal_l___,..oimc+,. Other fart a Her= Tan t tnp'partel no. Water heaterst 32 w r `.- .-- '-'47.— . , st _'tt'i > i t"lasfiwrahstone-n to. „ . Flee tent for water heater or tatt fire lace 23.32 I tril lighter tarot III 2t 42 all a Wood'; -net stove >3 � • Wood cl fare lace in art t`himnen liner Fla scot E 33.32 313' -- n;- tsauaaeaaenansrte4atira: Name:Polygon WEIL.EEC, Ranee homilmhzt kitchen IIIdctscs ,, ,I , .^ C-t-- 7� all e it • : at 3,39 103 G'arockci al S 1 SJU\ \C) f.lothesdry~,e,exhaust1. I 33 39 6`itc t IIIP.Vancouver.'kVA 9866 J Sin duet exhaust Ihathrrrc an, • Phone.139c7 .... et art n ,u 23 32 • Ia. t 3 toilet utr utility mints) Attic emulsfans I 23 32 t23.33 Business name:.Potygoa''WW`1.11,LLC 51.143 has lust four;S4„tl3 fur each addltiottal Contact mann.. hj e.__ a •e, Furnace,u,rte- Idzlress r • . S fiat heat pump • � a44i %k allrnuspenti nnrt heater Cit,:tate/IP:Vancouver, Water heater Phone:136 0)695=1700 Fax: (360)693-44#2 f trettla 1 I txr�xsl �D ens . l u e 1 �rp-e, T 'Ql n,hofYe I 1:,'•(.,-.-"',74-,„ *_ ,fry .•< : .. e, �;" % ; , ..sa if ',, ,, �- 4 1 C,tCttla elay+�$;r t-;3:> . I3usine^sn name:Apex Air U c I Ether: r .Axl r'_ '4- I ,,,-. rthtrttx6 City"State-LIF Vancouver.%`�A 9 686 „ Minimum permit f t tl:Ettrt Plan review(25%ofpermit feel Phone-(360)342-11109 Fax.(360)326-1769 State surcharge 112 permit Feet CCB lig;.:203034 ° O`FA#. E MIT FEE This pronit application impiffic tt.permit it not obtained otthis roll dais after it bat been occepted as coontictri Authorized si ru zre t ec mobidehigs^net 1s T 04.(ouon,tiallchrtg iodostx)5emswe Bond I Print nae: I ..” Date' 4./47. s,--s^,S:lS .r" a „Peaa 5"r ais -31 oaf .. _. n ,w-1.:-.:4'1-•a-i w c'€oti to 4eetticA!Teri:pit Applic,atiort I OR of I If 1, I x‘1,O\1, City ofTigard i 13125 SW flail Ilivti.Ti OR 97223 pr. , _..., maliDawReveived,telA Nome fr"7:,--17:2-e/cf--G'e/e) Phone 503 713 2439 Fax 503.59t til60',:), i _,.,.') Date,,t. Relined Permit rt, Inspection Lint- 503 6394175 Ready Dahal3y 0 See Page 2 for Internet www.ngard-or go% ' Noorted14ethod Supplemental Information New construction 0 Addon/alteration/replacement Please died all that apply(submit 2 sets orplam vanans ebecked) 0 Demolition 0 Other: 13rerece theravallerabt4:::1:or more goodd-ga:74,74.na exceeds 10,080 mix at 15ft Yobs tx 0 Mannaj nftong buildings 1-and 2-ftunily dwelling 0 Commercial/industrial 0 Accessory building less to ground,ra exceeds 14,000 0 Commercial-use agricultural amps for all other installations Exeldlets 0 Multi-family , 0 Master builder 0 Other: 0 Fire pump 0 Installation of 150 KVA or Witi,7,,•!:.:ii2ti#4`,' 1717,3111Z:7ZZ2,iltATTILIrretrb„,,,','-'j,s;,,' .,,,,,,,itan 8 ftleetrsencY system larger sclera*domed Job St: Job Site address:/S7)/5- i 4,/ 4 / P ITB7arofiarei mow'.load of 0!::71E-,.-1-2""1-3", 0 Six or more residential units _occoPancY Cit)/State/ZIP:Tigard,OR 97224 U Recreational vehicle parks 0 Health-care facihnes Sultelbldpapt.#: Project name:Polygon at Ig ., i Ala ,i sisi:::::::...,0eeder Z0 amps Of 0(5,07!it:°14°841:4°111°°4°than CTOSS$treetidireCtienS to job site: iz... -.-4f.,71,11 .Ifni2:more 7,77,7rirrc..v ,• 1,-;...41 New . .. ' fj`'h antlissi residential single-or multi family dwelling unit. Subdivision:Polygon at t ,., IA Lot#: • Includes attached garage. Tim map/parcel W.: 1,000 sti.it or less illeelaal RStabS,,r,JrWialltff t 7.7:27.SitTafFiZ74„:"27434L". Militilrili,.e':1113 Ea-addT500 ni ft of Portion 111111110:11111111111 Limited ?Z.residential IIIII 7500 ammill11111:1 Limited mew,.multi-famity 5 00 ;:,'';:litlIT:crtaTIZZEIZiT717, '7"--",---atfariatc4;;st7 27117:4-.T.,eals:44 residential twIth above *.ft III . 111111111 Name: .1% I" iii C.... Renewable Energy 0 See Page 2 allill Services or feeders installation,alteration,and/or relocation Address: .,... -...., , I "lik 0 200 amps or less 111 00.70 EIMI City/StaterZIP: 44k A it lo i ,0 Phone: i,0 - 201 amps to 400 amps am1111123L111111 L P I eb 401 amps to 600 amps IIIII 200,34 MEMO A IA Owner Installation:This installatio 1stI"g ade *4 ,ropeny that 1 own which is not 601 amps to 1,000 amps III 301,04 Ma intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. over 1,000 amps or volts 1111=111MI Owner signature: "'"--",.S.."771=7E7tf f;f1:•2r,Pfrawitia#U,'>-`-ks-ai. u.„..*„ #„,,e,40,,,, ,, ,,,,,,,‘,..-----"7"—,-„ -4,.5i,,,,, ; Temporary services or feeders installadon,alteration.and/or Business name: IP. a 0 I a A, .ft ._„, 200 amps or less 1111112:3111111111 Contact name: ' 1 it 201 amps to 400 amps 111 125.08 MI/ Address: Ifilk IL - .4-AA . _ , '1„, TV-0 401 amps to 599 amps 11111:1111111111 City/State/Z1P;Vancouver,WA 98660 Branch circuits-new,alteration,or extension , r Phone:(360)695-7700 Fax::(360)693-4442 A Fee for branch circuits with 1111111.11111 above service or feeder fee, Email:, i 4 , i, f,, a 0 1 A A A • . A.di each branch circuit 4*,::;:t;jr:4,31:;ZZ:a'4E.f;;Sriti::!Yit.II.:!11.'„!..r c't;ESTintRaratntirif 4/-ri:-'''l 8 Fsee:vif:er:Inch itsc117stiMPul 111111111111 Business name:alatneda electric branch circuit Address:3415 ne 44th Each addl branch circuit 11111=1.1101 Miscellaneous service or feeder not Included 11 City/State/Z1P:awe Each manufactured or modular IIIIIMrrIIIIIIIIII dwellt : service andtor feeder Eng Phone:(503)3192192 1111111111111111111111111111 Reconnect only 111/711M 2 i Email:solarpdt*mexont no 2 „„. Pump or irrigation circle CCB Lic.: 199188 Electrical Lic„: c923 Suprv.Lic.: y 17 it.,> Sign or outline lighting 1111=1111111111 Suprv.Electrician signature,required: Signal circuit(i)or hmited-energy 0 See Page 2 Mil Print name: it,k 2004...t Date: 23452111 .... el,alteration,or extension Each additional in.. etion over allowable in an of the above Additional inspection il hr mint IlliEM3 IIIIIII AtithOriZed signature: Print name: „„ i 404111PPOr'i Datez— 4.3 if.24 invesugation(1 hr mm) 90 00.hr )1a.kkvp....1-*EiC_Permaikstp,FikEREOS Ii Ray .11201544o...4,i51yt tfORCOMVES 111 . • Plumbing Permit Application Building Fixtures FOR (141.1CF. 1 SF. ONFA IICity of Tigard Dateifiy. . 111 13125 SW Hall Blvd..Tigard,OR 97223 . Permit No/ficrTpevcf,..e4/2,7(.7 : 2 Phone: 503,718.2430 Fax: 503.598_190- -' .' • - -.' D-aa.iteVjiew 1 Other Permit No,: Inspection Line: 503.639,4175 T 1(-;A It D Date Ready/By. Juris 0 See Page 2 for Internet: ww ,tig,ard-or.gov , „„ ' Notitied/Methea: Supplemental Information 1,..,,, ,,:c.,..,--,..-_i•;-.,....,..m,-4::,4,,,,:-..fok,-# ,d-i.W.:7‘ ' 4 h .",4A4,"-.:;/,...,',-,`'.1./..---1!5-;::".' 'FtE.4'..a 1.1'''',"-T'' • ,""-.-',"t '4 t'ItE t4 !'1'1' tj! 1 ''''''t;tr?'t tAlki Ai New construction 0 Demolition For special information use checklist Description I Qty. 1 Ea, 1 Total 0 Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 1(10 ft.for each utility connection) '7.0:ii;:'i','1,'...rifijrf;::2* 47;:.4t-11 :‘';-:: ' SFR(1)bath 312,70 r4 1-and 2-family dwelling I 0 Commercial/Industnal 437.73 , t ' SFR(3)bath t 500.32 0 Accessory building ' 0 Multi-family Each additional bath/kitchen 25,02 0 Master builder Page 2 P. .Other: - -.• .; ., Fire sprinkler( sq.It.) t*::!'',;,14 . •„,„lr,'--341ilti4Org 4,rfT O4T-11C:-AS1:4',''r ,:'Tirte,' (:-4*-J„';,- , - ":1; Site utilities: i Job site address:115-0 ic sw DaftiA, e., or- Catch basin or area drain 18.76 ----' Drywell,leach line,or trench drain 18,76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Stritelbldg./apt.no.: Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 I Cross street/directions to job site: Manholes 18,76 Rain drain connector 18.76 Sanitary sewer(no.linear(t,: ) Page 2 Storni sewer(no.linear ft.: 1 Page 2 Water service(no,linear II.: ) j Page 2 Subdivision:Polygon at Bull Mountain 1 I.ot no.: Lo Fixture or item; Tax map/parcel no,: Backflow preventer 31.27 ;:•:..,, - -„i I,::,---,,y:,T,-of:-u,,,-o- ,ri-s.,-ii.ji,,isc,i-iti;ttk.-,-,1:,:-.,/.,titife,* :i,, ,-‘,,,,, Backwater valve I 12.51 -,...-, 25.02 .._. . ' Dishwasher 25.02 Drinking fountain 25,02 Ejectors/sump 25.02 -/4,-, •, ':.:*px.,,,,„,,Aits4,1„,„ , ,w74-Eit,-'',„t!: ':tt.i..$::.'/,,410 TOANT; ,,,,,,,,:';,„--, ' Expansion tank 12,51 .,'-,/,,.-''' 4'-w1d51-,"flr'7:7 '..rZfl ,t;',,,'::1<" •,t'' -'-:"•:: '',-st.e. ',',,,,,,.,, ' ',t1.5,1trA Fixture/sewer cap 25.02 Name:Polygon WLH,1.1,C • I Floor drain/floor sink/hub 25.02 Address: -103 Zkooctjuo,ctil si, 3 ,k..;Lk_e___.sw Garbage disposal 2502 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 ' Fax:( ) Ice maker 12.51 4,-,,,, 1‘,! cRiA4t9:14, #*.orl , ,, Interceptor/grease trap 25.02 Medical eas(value:$ ) Page 2 Business name:Polygon WL14,LLC Primer 12.51 Contact name: 0 k c 1/40 k ---T\(- 0nctc., Roof drain(commercial) 12.51 I Address: 7 tyb 1(1)v-oa4jujajo si_ sv:A.c.„ s--10 sink/basin/lavatory tfithlity - / 25.02 City/State/ZIP:Vancouver,WA 98660 `- Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 ' Tub/shower/shower pan 12.51 Urinal 25,02 E-mail; :--.-hi\,e_,,,:-'m-•tof1/4zt1-,-?-,i0..,,Tf.A-,4„' I Water closet 75.02:g _ - :-,-7--=,:,: ::41',...,',-.,-'-t'skir,Lk•,, water heater c..7...- 37.52 Business name:BBL Plumbing lie Water piping/DWV 56.79 . Address:PO Box 85 Other: 25.02 ...i City/State/ZIP:Corbett OR 97019 Subtotal , , Phone:(503)351-3903 Fax:( ) Minimum permit fee: 572.50 fee) Plan review (25%ofpemut 1 CUB Lie.: 180345 Plumbing Lie.no.:PB1582 I State surcharge(12%of permit fee) Authorized signature: /00,6,0z00°— TOTAL PERMIT FEE I I — This permit application expires if a permit is not obtained within ISO days Print name:Brandon Lanter I Date: after it has been accepted as complete. *Fee methodology set by Tri-Coluity Building rodustry Service Board. L‘131...ilding-Permits,,PLNIU-AernutApp doc 10/01,r/q 440-46161f I 01021CONME13 i t City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT IIII T l A u n Building Permit Review — Residential Building Permit #: / S j /1` - a0./ea Site Address: / g---- tc) ,��� JAh' _ Project Name: ` . t ��1� o ( 'L� i, Lot #: (New,"g=subdivision name;Addition or Alteration=last name of owner) Planning Review /� Proposal: / ecc) �� _% NJ Verifysite address suite#exists and active in / permit stem. ❑ River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Si Plan Elements: W �� ree(3)copies of site plan J 1 xisting structures on site cicplanmust be on 8-1/2"x 11"or 11 x 17"paper VA Footprint of new structure(including decks)with finished yawn to scale(standard architect or engineer scale) oor elevations orth arrow tthty locations&easements(required for new and additions) to address,project or subdivision name and lot number S.ewalk/driveway approach pplicant information(name and phone number) P ^ ation of wells/septic systems TA Lot dimensions and building setback dimensionst4'sting trees to be retained with drip line,and tree t , Pi'�a uare footage of buildings to be demolished .rotection measures .t area,building coverage area,percentage of coverage and J treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Street names N1 Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? o 4 foot differential) If yes,is a storm water quality facility shown? e o Ohlean Water Services—Service Provider Lett/(lot platted prior to 9/10/1995): iReceequired: ❑ y s,applicant was notified ¶ No ived: CI Yes ❑ No L�f Public Facili ' s Improvement(PFI) Permit: /equired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake ® and Use Case#: 0146‹C)/ , .JOD Ilr oiling: rC— Required Setbacks: Front c ''.-26,1 Rear ts Side $ Street Side tc. Garage (1,20 it tandscape Requirement: r7 �1 of Coverage Maximum: VA i uilding Height: Maximum Height g , 7(.) Actual Height 1rd Visual Clearance 0 ensitive Lands: ❑ Yes No Type Y Urban Forestry Plan ❑ Conditions "M- "prior to issuance of building permit , Notes: it ,, % / ❑ Approved By Planning: -- - ,�k Date: 'lad fil' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPermitRvw RES 061417.docx 1 4v Building Permit Submittal Original Submittal Date: 3 3/AF- Site ISite Plans: # _? Building Plans: # _. Building Permit#: a Enter building permit#above. Workflow Routing: ©-Planning Engineering D"-Permit Coordinator Building Workflow Sign-off: Ei-•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. -Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: J ;`7 By Permit Technician: / s. • y--,- __ Date: ,3/3',//1/4.1----- Engineering Review 16 ;:i•-"Slope at building pad: ❑ 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 No Assess Water Quantity Fee in-lieu: ❑ Yes Er No LIDA Facility on lot: ❑ Yes VNo Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: ,Approved by Engineering: AA, 1M, w , Date: .173/I es Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: C Fees Entered: Wash Co Trans Dev Tax: ' es ❑ N/A Tigard Trans SDC: �I'es CI N/A Parks SDC: ( es Yes ❑ N/A LIDA El Yes ( T/A �OK to Issue Permit 1 V Approved by Permit Coordinator: / /Date: 0 I:\Building\Forms\BldgPermitRvw_RES_010118.docx City of Tigard 1,1 r COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: /C-17-C-- r2k) Ao.ro.640 c)1/e Project Name: Pd/ ai Lot #: (e d e subdivision / ./1„4/ Alteraname;Addition or tion=last name of owner) Planning Review of River Terrace Plan District Defign Standards (18.640.070.1.): Is the project subject to the plan district design standards? El Yes VNo 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. t. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep2ft., 5 ft.wide min. 2 ft., 6f wide Gabled dormer ❑ ❑ El Ili El 2. Eyes on the street: < minimum of 12%of each street facing façade must • ' ude windows or entrance doors. Percentage Shown: 3. Entrances:At least one en.ance must meet both of the following st dards: facing wall CI Para el to street,angle no more than 45° from street, CI Max. 8 ft. setback from longes treet- or op: onto porch Entrance opens to a porch: ❑ Yes \\ No If yes,all the following apply: )V 25 sq.ft. min. CI One street facing entry ■ 12 ft.max.roof above floor of porch El 5 ft. depth min. ❑ 30%min. porch roof coverage 4. Detailed Design:All buildings shall include a . .f five of the following elements on all street-facing facades: El 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 ■ able,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft ❑ . .zontal lap siding min. 3-7 inches wide El Accent siding min. 40%of street farad- El Win.ow trim min. 2 1/2"wide by 5/8"deep El Window recess min. 3 inches for all s eet facing El Bay win..w min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep - 'th inside access El Attached :.. age is 35%or less of street façade 5. Garages and Carports:May fac: the front or side lot line on a corner lot. Setbacks: No closer to front or side lot lin- than longest street-facing wall. ❑ Yes ❑ No. If o (Check one): El May extend up to 5 ft.if the e is a covered front porch and garage does not extend b: and the front porch. ❑ May extend up to 5 ft.wh• e the garage is part of a two-story building and there is a win,ow at the second story above the garage that faces r e street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street façade El 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: — — ...._ 44. Date: Q2 s f I:\Building\Forms\B1dgFermitRvw_RES_RT_121417.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15015 SW DANUBE DR, TIGARD, OR, 97224 September 20, 2018 at 9:46:39 AM Record Type: Record ID: Residential - Master Permit MST2018-00106 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: No A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15015 SW DANUBE DR, TIGARD, OR, 97224 September 21 , 2018 at 8:21 :44 AM Record Type: Record ID: Residential - Master Permit MST2018-00106 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15015 SW DANUBE DR, TIGARD, OR, 97224 September 27, 2018 at 4:43:32 PM Record Type: Record ID: Residential - Master Permit MST2018-00106 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Contractor on site completing corrections. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15015 SW DANUBE DR, TIGARD, OR, 97224 September 27, 2018 at 4:47:05 PM Record Type: Record ID: Residential - Master Permit MST2018-00106 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Note: after hour inspection requested by contractor. Violation Summary: Inspector Contractor