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Permit ipq CITY OF TIGARD Jy��!;!� MASTER PERMIT is s Gti: � COMMUNITY DEVELOPMENT Permit#: MST2017-00210 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/14/2017 Parcel: 2S108DB01600 Jurisdiction: Tigard Site address: 15331 SW PEACE AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 14 Project: Polygon at Bull Mountain, Lot 14 Project Description: New SF. 12/20/2017: REPRINT permit to add 4th bathroom. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1547 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 4 Second: 2144 sf Garage: 735 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3691 sf Value: $453,750.12 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3691 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $36,228.11 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 throug a f/AR�1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. , `1. Issued By: / -e ms-- Permittee Signature: e /°G/e170,c,/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ,111 Transmittal Letter I 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. " 'J DATE ' � E �t �� � DEPT: BUILDING DIVISION �J I. 3 2017 EIELIP‘IINOrGDIVAISRIgN FROM: Nichole Thorpe 'Li 'lI ' COMPANY: Polygon Northwest PHONE: 360-989-4204 By RE: 15331 SW Peace Ave MST2017-00210 (Site Address) (Permit Number) Polygon at Bull Mountian Lot 14 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 1 Copies: Description: 1 Copies: 1 Description: 1 0 Additional set(s) of plans. 3 Revisions: Plan Sets-4th Bathroom add 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. FOR OFFICE USE ONLY Routed to Permit Technician: Date: 1 a: 19 _j_7 Initials: Fees Due: Yes ❑No Fee Description: Amount Due: I-� r P $ gp $ $ Special Instructions: Reprint Permit(per PE): J4] Yes I 0 No , Done Applicant Notified:Aff ,j. r- Date: /Z/zc/,7 Initials: d�'�' I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT 11111 h" Permit#: MST2017-00210 COMMUNITY DEVELOPMENT Date Issued: 06/14/2017 T (3 A 1R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB01600 Jurisdiction: Tigard Site address: 15331 SW PEACE AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 14 Project: Polygon at Bull Mountain, Lot 14 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1547 sf Basement: 0 sf Left: 5 ParkingSpaces: 0 Height: 24 Bathrooms: 3 Second: 2144 sf Garage: 735 sf Front: 20 Smoke Detectors: Yes Dwelling Units: 1 Third: 0 sf Right: 5 Total: 3691 sf Value: $453,750.12 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Water Heaters: 2 Water Lines: 100 Drains: Catch Basins: 0 Tubs/Showers: 3 Garbage Disp: 1 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: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Ecompasing: Y Other: N Other Description: BUILDING INFO Square Feet: Class of Work: Type of Use: Type of Constr: Occupancy Group: 3691 NEW SF VB R-3 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 . VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,983.17 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may o�bttain�a copy� of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.33,2..2344. / Issued By: —C• . r,:tI������ E'+C� Permittee Signature: $ser iiieA-6-�[ god Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Z.--. 07 lel Ri,gp„, RECEIVED FOR OFFICE l SE O\E1 ��m City of Tigard MAR 2 8 2017 D ay: Received lr (��/7 PtN�is �Z2( 114 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review = Phone: 503.718.2439 Fax: 503.598.196 Date/By: 6_7_ j 7' �'�Penni �- /1 S Inspection Line: 503.639.4175 U ILD OF TIGARD Date Read B �7 /�(/ Juris: H See Page 2 for T I G A i [> Internet: www.tigard-or.gov BUILDING DIVISION Notified/Methodi // �Df-K Supplemental Information 4/Z g g'��'J6/ ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Q 0 Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial ValuationI.�S3J 73O$ y ❑Accessory building 0 Multi-family Number of bedrooms: ' 1 ❑Master builder 0 Other: Number of bathrooms: Total number of floors: :f -. - 369 1 ' �#aG Job site address:/S I2 I 5 V ��� /� New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: .7 square feet Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: \ square feeta j T!I, Cross street/directions to job site: 1 19 area: I square feet s y 7 Other structure area: square feet Subdivision:Polygon at Bull Mountain Lot no.:{ 1/ 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 6.,1 p i° , work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 East 13th Street Occupancy groups: City/State/ZIP:Vancouver WA 98660 Existing: Phone:(360)695-7700 Fax:( ) New: -� 4` tea w t NgTri . Business name:Polygon WLH,LLC Ff Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 Fax::( ) Amount received E-mail:Angela.Grajewski@polygonhomes.com �� „ � � � � ,, Commercial and residential prescriptive installation of ' ' ''•°' '''-'''-'-'''-'1:4-i ;- roof-top mounted Photovoltaic Solar Panel System. Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:204238 Total fee due upon application: $201.60 Authorized signature: VA; This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:1/20/2017 *Fee methodology set by Tri County Building Industry Service Board. I:1BuildinglPermitsBBUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ... . % , .. Mechanical Permit Application ,u1 ,, [ 1( i , ,, 0\1 \ City of Tigard : ''', . , Reccii•ed 13125 SW Hall Blvd..Tigard,OR 97223 Phone: 503.7133439 Far:5033983,96a , , ‘ , Iffliiill °Il'er Pmtlii. Inspection Line: 503.639.4175 --- - . D„Roomy, BM 21 See Pace 2 rav 'Internet: ww,w.tigard-orgov - f , ,tobtineaughod: Supplemental Information ,,,,1,,,,g,..,,,;:,,tic:,.,.,..z,.;..,„,i-7:..«.....,!1,..,.,,,,....f.,,,,:j-,1,4:,„.. _,..7.n1,„-tz,",p.:1,,:;j: ,•,.:',-;-,.:5.1k1.0',.:,,,,„..,,,:wi.',1,?,.t.:-.742,4,:i„;:.-1,7,:' ".'„Z4,'•3.,...)•ii,,t. '.-_,....;'..•..,,-:- ..3. .,. ..,11 • ...,-b.,', - , -.= ,.-i;--1,,:.7-''',1''.''.1::•''''''''''''';'-1 5:'1',1. '''': '''''''''''''''''''' '''''''''''''-''''''''' ''''' '..'4'.'"-" ''. - - ' Mechanical permit fees*are based on the‘'alue of the WOrk El New construction 0 Additionfalterationfreplace,ment performed.Indicate the value(rotmded to the nearest dollar)of all mechanical materials.equipment_Islxv,overhead.and profit. 0 Demolition 0 Other: value:S W..-;:i.:,:i.5,...74-:,,e'i7;t:737,4:41,'it:.4,4.,ar.k! ..„*.vz,,Ir,:.,l,p-g-J,i.,.1,4-4,-,,,:,--4-- . -..‘,03,-;-4".•'''''''.-''' 101c.,,j;i:k:t'.5,1 1 i,/,r;k V`tO"'EE I 44'I.' 4.itz„t..'. t.', '''' 1%! 1-and 0-family dwelling 0 Commercial/industrial 0 Accessory building far special htfirroallort use checklist Multi-family 0 Master builder 0 Other Description I Qty. I Ea. I Total :•41;1?;,s'Y,:'..1i-•4‘'E-11'4.*E IE ',-,,N..:1V.,1',';`,17..i'4,11,7.411:3::;.:q-ji;-` 6.4.--, ,•,,,c'1- ligatin°k"linr4 1 46.75 Job site address: I s' 3 I 51A1 i Lg._ A e...„ Furnace 100,000 BTU(luerskents) i 46,75 .. City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU rductsiventst 54.91 Heat pump 61.06 Suite/bldg./apt no.: I Project name:Polygon at Bull Mountain Duct work 23,32 Cross street/directions to job site: Hydronic hot water stern 2332 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 I 23.32 .. - Other 23.32 Subdivision:Polygon at Bull Mountain 1 Lot no.:I Li ' Other%el appliances: Tax mup/parocl no,: Water heater 171-- 23.32 ,...-(1'.„.:;•:',i',.:4,, -.'-'':-"V.-,'..:`.i-`-rJ• ''-', -''`..'•i-P.`'''',:•-11',7'i•fin',-;-4,-;•;#N-••,.;:;'-,'-',,-,.11:7•,,,,;- :0A,-,-',,.,4-„:1,4•,..11-.;.;_-;---st gas firenlacefinsert 1 3339 Flue vent for water heater or gas 5 I I-1- I. if fireplace 23-32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplacelinscd _ 23.32 , Chirnitey/linertfluervimt 2332 he 23,32 ''''.''''..3'..;{".:':-!':-.i..-''.1',....1.>1)::::*.-1_!:f.":'-,1..-til'5,•*-''''''''' '` .-1-‘*:-:*'C'''*4>' -*--,'*:.'is2'';')''')-,`::'i.'1.L.-1'-''`:-'!<:',F-'7';','.;''-'4,'' Etwit„w„int exhaust Nut,„dittne, Name:Polygon%VLF),LLC Range hoodfother kitchen "--- SOttipment I 33.39 Address:109 East IP Street Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms. City/State/ZI•P:Vantouver,WA 911660 toilet annnanmentsutility rooms) 2332 Phone:(340)695-7700 Fax:( ) Attic/crawls/lace fans 2332 -3,-5-N_ ::,-,. ,-,-,,.2.,:,yt:1-z,,-.f,'.--s.-.,-(.':-•. ---..'''$;'-','. :-,'„ips*•:-,-. :',---,-;•--:,..`-'--..-',1,-:.•-1'.-.,'-'-'.--''-'1'-'-:.:•,,--'-,.'; '*J,,,--•" "-2-* :''''•- --•-`•--4T-,.-- •--•--- - -' Other 2332 ' Fuel plition1 Business name:Polygon WLI1,LLC 314.16 fur first four;$4.03 for each additional, Contact flan,6:with Die Th(if-pe Furnace,etc. I Gas heat pump Address:109 East 13th Street Wallfsuspended/unit heater City/State/Z1P:Vancouver,WA 98660 Water beater Phone:(360)693-7700 I Fax::(360)6934442 Fireplace - I Range i 1 a-mail:•i 'oil*. id,u!, ,IP DI a i I 11L. . &Ad, Barbecue ' ..--',- . -,-' -';W7' ' .1j07 - '7y777Clothes dryer/gas) .......--.,,--,-,,,,.,4 ..-f..-.1,:,-.-:-.-..--- -,:-....'-'''A'Sf....,-.2."..,-- -A.,,,-..-''e-P,....,-..Z.,,,,..-..":.-7.=`j:2-.--..t,L,.....- 2._,,L,, • • - Other Business name:Apex Mr LLC ----,7••------•-•--,•-:-.."--,-,-,.t-,i',.;-,'-1-,-.,,,,i-,;'-',.',"7,r--,,----q-rs,•77:-:,,---:,,- . Address:13404 Nt 72 Ave Subtotal Minimum.pennit fee(390.00) City/State/ZIP:Vancouver,WA 911686 • Plan review(25%of permit fee) Phone:(360)3424109 Fax:(360)326-1769 stale surcharge(12%of permit fee) CCB lic.:203034 TOTAL PIF3RM1T FEE I Thk permit application tapir=Ifs permit is soi obtained withilt ISO days after it has been accepted as complete. Authorized signature: • Fec methodology sd by Tri-Cottaly Building Industry Saws Board Print name. [gek 1 Date: 4.1st. „, t 41.1640,4,0m PrAitAms..41401 13 doe 440-4617T(I litr-/COMIWPISI , - Electrical Permit Application i fFu U ilii '1 ,1 F,:i City of Tigard n Received: terms ll: $ /7-Gl f� /013125 SW'Flail Blvd..Tigard,OR 97223 Ku Review Phone: 503.718.2439 Fax 503.3981968 Date/8rr iect lnspectionLLm: 503.639A17$ ,, ,Ready, efff Inteamet www.tigard-Or.gov llied hillIllltil .' , - -_a•l ..•-_._..._ -' -..mese dere-digmt i rater x was plans wraemsdo )cked _> _r NewGOtistt uclion 0 Addition/alteration/replacementO Service a feeder 400 amps et more O Building ova three maim. 0 Demolition 0 Oom: what the wild*faok eaten El Mantas and boatyards. -''.: 117-s-;';,-..'.:-.. �. .., ° r, :kt x '_� ,F ^..�.; ,N; exceeds 10.000 amps at 150 voles or 0 Flora*Flora*buildings• < .. e �. __ kis to ground,or exceeds 14,000 O Comwaeiaiase ae�wral ei ! and 2-family dwelling Commercial/industrial 0 Accessory building amps for 0I Otha installations buildings, 0 Multi-family ❑Master budder 0 Other: Orem pump. 0lnstdFa6on of 150 KVA or r E lEmergaxaey system. lags separately daivol :� >� � '�� �/y "` ... .,"` ❑Addition ofncw maor load of avian. Job#: Job site address: hl+ �� �'y IooEig a more. GI's~. .`t-a"."1-3". w I 0 Siff or mete residential unie6. otamanty City/State/ZIP:Tigard,OR 97224 O Health-tare faoifmies, 0 Recreational vehicle parks. Elibroodom locations 0 Supply voltage for morenum Suite/bldg./aptH: Project name f� : i►1 t1 r.. "aMr ii- / gSynth*orfeeder 600amps ormots. 600vd1Amamuat• .may {mob 1 Cross sueaettdirechons w job site: `' �' x z.` .�=Zh �:rrt"' 'raw ne;cripdaa Qui. New residential single-or math-family dwelling malt. ��{ Lot#:�a" Includes attached garage. _ TaxmEv Subdivision: pi lie ,l f(. ! 1,000 sq.A.or less i 161.54 4 '', ', 'ilir'Tax trlap/paaroel if: - e 1 33 92 a_.-L , Ea ndd'I 500 sq.R or portion alt { -i ..,.•.. ..9 ....i.. ,,C v, Limited energy,residential 75.00 2 (with above A.lL) Limited efasrgy,multi-ihmily 75.00 2 S- restdarai(wiaa alfove sq.R) _ _. _. . ..-.- Renewable Energy ❑ Sec Page 2 Nettie ADVL Land Holdings,LLC Services or feeders FneWlation.alteration,and/or relocation Address:7600 E Doubletree Ranch Road 200 amps or less 100.70 2 City/Slate/Z1P:Scottsdale,AZ 85258 201 amps to 400 amps 133 s6 2 Phone:(6x294-4931 ©Ir 401 amps to 600 amps 200.34 2 Email: Owner installation:This installation is being made on property that 1 ownwhich is not 601 amps to1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature Dale: 'Temporary services or feeders installation,alteration,and/or }� - l ( t. a l2,. �::!i,,�<.,.4....=.14.,...:,h``-,.-; ....:'..e ,cam. xt3 f:L,y....L.e_i.-zr.,,.cc.ti:. relocation Business name:William Lyon Homes,Inc. 200 amps or less 59.36 I Contact name: 147; ,e. C) ; 201 amps to 400 amps 125.08 2 Address.109 East 13th street401 amps to 599 amps 168.54 2 City/State/ZiP:Vancouver,WA 98660 Branch circuits—new,alteration,or extension, panel Fax::(360)693-4442 A.Fee for brach circuits with Phone:(360)695-7700above service or feeder fee, 7.42 2 % V each branch circuit ®� 1/ • [ / a l B.Fee for brae errs wrout // 2 t � .._w >a_..� .,��... ..�1-._ ._.___.. � .sm'ceor f 56.18 ..,� o_,.�. . .. ._� ._...�...... brach circuit Business name:*lamed*electric Each add•/branch circuit 7.42 a Address:3415 ne 44th 11;isceliaaeons(service or feeder not included) City/State/21P:ails II, 1 , Olz'; / Each manufactured or modular 67:84 2 dwelling,service arulior feeder . Phone:(503)3192392OIIIIIIIIIIIIIIIIIIIIIIIIII Reconnect orth 67,84 • . 7° Email:aohit pdit@me totePump or irrigation tittle 67.84 -., Electrical Lic.: c923 Supr'f Lic.: 4f f7/S Signor outline lighting 67.84 3. - Suprv.Electrician signattue,required: signal tircuigs)or limited—energy ❑sic Page 3 a. :; pard,alteration,or extension.Print name: kik toe,.."( Date: z � Each additional inspection overalloyed*Fn any of the above. Additional inspection(1 hr min) ' 66.25,'hi. Authorized s',, •,, : • •rad /l Investigation(I hr min) 90.001 hr Print name: I Date / S i'ae.a ta�Y'aa 1nn.c _ •. f'i.itpRE.doc asvOwl 7'Sals ala•�61Sr1irASaCO%lsWta - - • f L • Plumbing Permit Application Building Fixtures ` g:' i(Til oil It is t Si oyI.\ City of Tigard Received Pennit N°111-5 7-go/7.00 02/0 13125 Ski'Hall Blvd.,Tigard,OR 97273 , - pian Rebiew . II ' Phone: 503:715.2439 Fax: 503.598.1960. , .patnAa: Other Permit No.: Inspection Line: 503.639.4175 `' lute IB !olio. &I See Pa a 2 for 1:C> Internet: www.tigard-or.gav Notif�ethod' Su.,lemental Information � < �,r i� � � � iiT�."fipp2 ��'.�civ '`' w4'•�w' ... 'v?(�''Y� YG. '�' k 1 i7.F��,.tiz S! 1 x2� '�J.t1�r: ��r -*� � �' .� Y� ih •a �„ ,,:i t�_'� '? `. ' :,i. .. .. .Y :a •': .t.Y..•Tla'Y •:' ar. .o'.: ®New construction 0 Demolition For special£,formation 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) y?-''''''.1-`1.-E(.4-'•:17,0'•,.. r". 13 .1 t ,ffit'::.;5'.'4).' ,i1g1 it ,4:'' :''''Crw SFR.(1)bath 312.70 + 5:.•Y 'l, , 1.62.: .,P.-.,1„4i4:-,--1 � ,..- w`t=-- : Y M- ---4•••• 4 1-and 2-family dwelling 0 Commercial/industrialSFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Muster builder 0 Other Fire sprinkler( sq.ft.) I Page 2 3s ..r r*:r''Q. `7„• 'f'.1 -°.tell��it. "-, °.�.5� .., , -1.,;:7, : .. a Site utilities: . Job site address:) � Peat- Catch basin or arca drain 18.7b City/State/Z1P`.Tigard,OR 97224 Drytvell,leach lint.or trench drain 18.76 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 ft.:_) Pace 2 Waterservice(no.linear IL: ) Page 2 J Subdivision:Polygon at Bull Mountain ( Lot no.:) Fixture or item: Tax map/parcel no.: f /// Backflow preventer I. 31.27 Backwater t2.51 %:?73ii.'.A:•:".`i ,r). '�'# ta'�h..._ :41.4_ 4.ir 1v,. ', .�° _.,a a,+ .°,.. 7.1.. ...:7..,..,..) ,..,la Clothes.washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 F.jectors/suibp 25.02 , 4. ,,;^l i-f - n\.;„ ,,i t 5 atm zM- e , ��t;!;"' '� Expansion tank 12.51 Name:Polygon WLF1,.LLC Fixture sewer cap 25.02 Floor drain/Iloor sink/hub 25,02 Address 109 gest 134 Street Garbage disposal 25,02 i City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 I his `f s :4 "s'tx 'Til "$ f - ,W 1nterce tor/ cess trap25.02 7 _. 1. ..,+ e . :1 6 h-,..--'...t.-:,Y 4 J"�}tt r i., -' p • Business name'Polygon WL11,�L LC ivtedicnl gas(volae:$ ) Page 2 Primer . 12.51 Contact name: N,that, Thorpc Roof drain(commercial) 12.51 Address:109 Bast 13th Street Sink/basin/lardory `41.t n/soy r 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 t ■( ,(� Urinal •25.02 r 11 11 i li' 1A /.s 1 1 ,//i► !A Water closet 25.02 7 Ye '41 1 Z 3'`-'MS ; 3, 'x� ,. h'u„S" 1 -z 3^,`".tcr? ser R-n-a. '' " - .. _ �slgt, __ f 1-:-" .>x%i „ _ .: :,, 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( 5%ofpennit fee) ( CCB 1-ic.i 180345 Plumbing Lie.no.:P01.582 . State surcharge(12%of permit fee) I Authorized signature: L t^-s em TOTAL PERMIT FEE Print name Brandon Lmnter Date' This permit application expires if a permit is not obtained within 180 days after it been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. VABui ng'PnrmhstPLh1U-ParmitAppdcc 16'01709 .14O6fet(10f02:tOMJWE8) F City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 c o Building Permit Review — Residential Building Permit #: ,/f/LS TA0/ — aopio Site Address: (57331 'lk PEA.C5 A\1E Project Name: Vo(nr? c4 Bu(( Maj �� Lot #: )L1 (New w ng=subdivision name;A Trion or Alteration=last name of owner) Planning Review Proposal: t 5K. Lam'Verify site address/suite#exists and active in permit ystem. V River Terrace Neighborhood: E No LYes,See River Terrace Review Addendum Attached Site Plan Elements: [ Three(3) copies of site plan !Y xisting structures on site 2 ite plan must be on 8-1/2"x 11"or 11 x 17"paper 1J Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations North arrow [U i 'ty locations&easements (required for new and additions) L✓J Site address,project or subdivision name and lot number L Sidewalk/driveway approach [ Applicant information(name and phone number) t i Location of wells/septic systems ,,}}[ Lot dimensions and building setback dimensions Nra xisting trees to be retained with drip line,and tree NN tSquare footage of buildings to be demolished protection measures 1\1I!±t1 of area,building coverage area,percentage of coverage and gStreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) [ Street names Property corner elevations(2 foot contour lines if more than t4AStorm water quality facility required if>1,000 sf of 4 foot differential) impervious area is created or replaced. 1-Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified n. No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: 9 P I5—oCO Required: I=1 Yes,applicant was notified ❑ No Applied For: E Yes ❑ No,stop intake CJ Land Use Case#: 5(4132c215"- Oo072 E Zoning: i2:4 5 Lid/Required Setbacks: Front 1.0 Rear 15 Side 5 Street Side (C Garage '2.0 1.)V$ Landscape Requirement: \ 0—Lot Coverage Maximum: \l0/0 Vi/Building Height: Maximum Height 3() Actual Height '29 121 Visual Clearance W—/Sensitive Lands: ❑ Yes El No Type LI Urban Forestry Plan gr Conditions "Met"prior to issuance of building permit Notes: S—ra\ covIcalCv1.5 GU$20t4 -©000'2 c y+e $4-:]( OU'5 Y i Approved By Planning: f� �``1`"(10^A..., Date: ()/5/17 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\BldgPennitRvw REs o51617.docx f A Building Permit Submittal Original Submittal Date: ?7, • i2 Site Plans: # Building Plans: # Building Permit#: VEnter building permit#above. Workflow Routing: Planning ❑ Engineering Permit Coordinator Building Workflow Sign-off: Sign off for Xllanning(include notes from planning review) Route Application Documents: ) i. 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: /�� 4 Date: _`4;,i/ _ Engineering Review r7 J2"-Slope at building pad: 0 ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Z( Assess Water Quality Fee in-lieu: ❑ Yes XJ No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes ,'No ❑ NOT Approved by Engineering: Date: Notes: ..& ...., Approved by Engineering: Date: • 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: C Fees Entered: Wash Co Trans Dev Tax: r Yes ❑ N/A Tigard Trans SDC: AS. Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes rN/A OK to Issue Permitdir /_ /� Approved by Permit Coordinator: Date:(7 ?---- I:\Building\Forms\BldgPermitRvw_RES_051617.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A Il D River Terrace Building Permit Review Addendum Building Permit #: Site Address: — 15331 -PEA-CE �V E Project Name: Po( 4or) itAA Lot #: (New``aielling=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 0 No 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. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep Gabled d• er ft. deep min.2ft.,5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ ❑ 2.Eyes on the street: a minimum of 12%of each street facing facade must include windows or e ance doors. Percentage Shown: 3.Entrances:At least one entrance must meet both of the following standards: facing wall ❑ Parallel to street,an• no more than 45° from street, ❑ Max. 8 ft. setback from longest street- or open onto porch Entrance opens to a porch: El Yes ❑ No If yes,all the following apply: ❑ 25 sq.ft. . ❑ One street facing entry 0 12 ft. ax.roof above floor of porch ❑ 5 ft. depth min. 0 31'o min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five .f 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 0 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. ft ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of street facae ❑ Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for street facing 0 Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. eep with inside access 0 Attached garage is 35%or less of street facade 5. Garages and Carports• ay face the front or side lot line on a corner lot. Setbacks: No closer to front • side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ May extend e to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May ext- d up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above th, garage that faces the street with a min. area of 12 sq.ft. Wid : (Check one) I. 12-foot-wide garage door 0 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: 1-8y1 c—ce 'c, 5 co>.h o.)-.40 (v.0-\-- 1-14.?D) Approved By Planning: � Date: G/6(17 I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15331 SW PEACE AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00210 Inspection Type: Inspector: 699 Mechanical final Allyson Armstrong Result: PASS Comments: Corrections complete No AC at time of mechanical final. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15331 SW PEACE AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00210 Inspection Type: Inspector: 399 Plumbing final Allyson Armstrong Result: PASS Comments: Leak repaired. Impact protection complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15331 SW PEACE AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00210 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Collected Air leakage test report High efficiency lighting form Moisture content acknowledgement form Moisture barrier acknowledgement form Left C of 0 on the counter Violation Summary: Inspector Contractor