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Permit (67) CITY OF TIGARD MASTER PERMIT '!i : COMMUNITY DEVELOPMENT11 Permit#: MST2017 00200 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/14/2017 T[Ca.1te Parcel: 2S108DB01700 Jurisdiction: Tigard Site address: 15328 SW HUDSON AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 15 Project: Polygon at Bull Mountain, Lot 15 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1591 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3427 sf Value: $423,051.32 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 RainStorm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 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: 5 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 500 sf: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3427 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,360.78 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.�` 4'_ You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.53 Issued By: T/l/L 00���i(�/'L -G� Permittee Signature: aLr4 -c/1 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-0 - / S- RECEIVED Holz oHr1cl: I SE oNl,N i City of Tigard DRece �� �lateBy: LPe ved � � 5Uc21? rmitNo 13125 SW Hall Blvd.,Tigard OR 97223 LIAR 2 $ 2017 Plan Review ■ Phone: 503.718.2439 Fax: 503.598.196 MAR — 6 ' , 7 Other Permit �(J! j 77 Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: /f�/ 7uris: See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method:t/ v / 7 Supplemental Information . <;'a f � " r;�, a. .s ,.:M" ��._'4h`3gy,' °t d aa" l.. a p p r ?i#�`.« •. •' � r` ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. ® 1-and 2-family dwelling ❑Commercialfmdustrial Valuation ��,���$ ❑Accessory building ❑Multi-family Number of bedrooms: r 0 Master builder ❑Other. Number of bathrooms: " t 1 ° - 4 t ., Total number of floors: "2Q Job site address: 15613 'S b 11J.Scf�IQ New dwelling area: 3L-+ square feet City/State/ZIP:Tigard,OR 97224 t 1 " Garage/carport area: square feet Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Covered porch area: t c0 square feet S 3� Cross street/directions to job site: . WYE/ ' ,1-� square feet' C, Other structure area: v �+1 S square feet Subdivision:Polygon at Bull Mountain I 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 work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet AI n i* Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 East 13th Street Occupancy groups: City/State/ZIP:Vancouver WA 98660 Existing: Phone:(360)695-7700 Fax:( ) New: Business name:Polygon WLH,LLC �3� 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 I Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com ,�� � ��� ��� � � � � � �,� � �- � Commercial and residential prescriptive installation of _.. 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: 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: tjo Ct(� `/ This permit application expires if a permit is not obtained JVV VV 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:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical.Permit Application , , . 1 (31,1 01 II( I I ' (1\11 tity of Tigard Received " . DaterBy: Permit No.;/(7.5/7,,,cy 2,-04:3,70 It 13125 SW Hell Bird.,Tigard,OR 97223 , p Review 'Phone: 503.7181439 Fax: 501598.1960- ' ' * D3-ferny: Otha Nattit 1:54110Crmlrwi.nne,:iissi.503d..063r9.g.40v175 ,' 2 , 3,:riReady. tor: 1111 ittia211 '-;;;'-4' -t'''.::=1-'''-,-.::...i.`.ir';',..---7,`,F-'414.'''',''''-',1 ;;;;L.,i'ti'l•;::;', 11.I''',•ksf.---!...t.A,--,ger:-.^.-;...4."4::.-1:=.:r.'',.: L.e.1?",,, ''7L S') 't.',,'4,.t,t,•,_`....f;;;,e...2:"'`,,,`4,1 U:03.-"k,-;„1:-,''..,'4•I, ,, 1 i.„1. El New construction 0 AddilioniallcradontrePlacement performed.indicate the value(rounded to the nearest dollar)of el 0 Demolition 0 Other mechanical materals.nonhuman.labor.overhea&and profit. Value:S 1,--;:..h.'!.-7,:irie.-..,.„,',7_11,;-:-:-',.,:i.:17.:;',:f..f.;f:-_,t.1,;?- -,f2ir-x.i.....411., ,,,,31§:ip.-FA.,...li.,t!,,,,.ik...-j:iiivip_iz:.....-:,:±I-.II ... .,,,,...„,........,„,-.._.,.f.-aa-,:. .-.. , .• •_ , .,,,.-s,. .... , .,. 1-and 2-frunily dwelling 0 Commerciallindustrial 0 Accessory building For spedat lisfontradon use doickilet Muftunily 0 Master builder El Other: Description 1 QtY• 1 Ea. 1 Total 1!) 4'-`-'1.-r;I:"Fi1Y'71i:):1.qcf.-fNI`.'5-.0.k,L. , ,,, .../..:,,, ...'-,s.74::?,?.?:. HtlitinWermiinZ: e zonditionina 46,75 lob silt tiddiss: 5372? so i-4-1 1 A 1 f ii. n\i-e_. - Air ti Furnacil00.000 BTU Ohictth eau) i 46.73 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(ducts/vnurt , 54.91 Heat mono 61.06 SuiteibldeJapt.no.: I Project name:Polygon al Bull Mountain ,Duct work 23.32 Cross street/directions to job site: l4ydronic hot water system 23.32 Residential boiler(radiator or bydronic) 23.32 Unit beaters(lbel-type,not elor.tric),, in-wall,hi-duct,suspended.etc. 46.75 ,Flue/vent for any of above I 2332 ,.. 15 Other 23.32 SUbdivisio :Polygon at Bull Mountain Lot no.: m Other fuel amdiitueere Tax nutp/purcel no.: Water heater P--- 23.32 — ,: '..f ,f.T.;-,..-:'''..'-',';-: •‘:;.17' Gal firer/Ig1ccrnIscrt 1 33,39 Aorbon .- aih ) -- Rue vont for water heater or gas • fireplace 23,32 Log lighter(eat) , 23.32 WomPpettet stove ., 33.39 ,.. Wood fireplaceinscrt , 23.32 Chimneyflinerilluchent 23.32 ;,7;:t'i TAf.t..i.t,1,:. -;;;.:-;vw,-,,,-,;,-,1y15.v.i.R•i.r..;`-,,, f.i:ik; ':-'..7- °thel; 2332 - s--' Environmental rxhaost and ventilation: Name:Polygon WL/I,LLC Range hood/other kitr.hets equipment 33.39 Address: 109 East le Street. Clothes diver exhaust 33.39 CitylState/Z1P:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet winpormicnts.utility rooms) , 23.32 Phone:(360)69 -7700 Fax:( ) Attieterawispace fans 23.32 , ,.-f,..W., „_`-;•1:':::::'''', '.'ii,.-il.'1.:,',1-;41''Z'7;:airi7;'".7PC'''?.X.t1A.17-1:fit:.7..,771'iq:';Til:-,;::-: Mer: 2132 Fuelittping; Business man&Polygon W1.11,LLC ' S14.15 for first four;84.03 for each additionalCOfltacfflamtf(JICh(?1f, emits°namp:AI 1 chvie 'Thorpe Furnace,etc. I Address:109 East 13th Street (las heal pump Wall/stopendedrunit heater City/State/ZIP:Vancouver,WA 98660 Water.heater Phone:(360)695-7700 I Fax::(360)693-4442 Firggace , I Range E-mail:'.1 s 4 Ole• 112,4.'1 t Pi ,, k 1 a I 0 AIL_ . a4i4 Barbecue ..-----:,`T:Tr'S'... .V;F,',,`,7:ji4s1Sn't:,;2:'.3 c2-..T4,;;!::2*'q:::".:;:4:.1:rrt.,-,7:•;--:!:::71.i.: ClotbestbTer(Ps) Business natne:Apes Air LLC Other - ,'--•-3,-r-7.7--------F:.-:-A.,-7--,--- r.—•..,.•.-7:.,-,--.-,-7,4-77.-.r..--,!-F.7..-' Address:18004 NE 72”Ave Subtotal • City/Stale/ZIP:Vancouver,WA 98686 Minimum parnit fee($90.00) Plan review(25%of pemtit fee) Phone;(360)342-8109 Fax:(360)3'1-6-1769 - Slate Surcharge OM of penult fee) CCB lic.:203034 TOTAL PERMIT FEE . This permit spplication expires ifs permit is not obtained within 180 atterit has brew mectaton as complete. Authorized signature: •• Fee methodology sally Tri-Couto Building Indust!).Service Orad Print muner177-k. 1 Dale: 4.1.1.It. 10,00,0.1,444ec fttalitApp_4401 L3 tbe Aeo-4et7r(1 ticCx.oum'Esi Electrical Permit Application j4,t.(li 1 I( 1 1 ,1 (Ai 1 111 City of Tigard Pen11i3O'/7 020/7-01&C20 13123 SW Hall• Blvd.,Tigard,OR 97723 Received Phone: 503.7384439 Fax 503 598,1 Si60 Inspection Line: 503.639,4175 , ,1 �': ��.. Internet: www.ligsrd-or.gov Nodded/Method ' -::? , ',72::::; ' ?II, i I { -, :.r.,,,,:z7.--:::1:::',2_,-17,7„,:,;::::, `. ;-1„ '. •.. -C:. r+ New construction 0 Addition/alteration/replacement Pt that apply ts+ it 2 sots• plmu wntems mai: r-7 ❑Service or feeder 400 maps err more 0 Building over duce stories. El Demolition Demolition Off'. °+ ' .. � , what the available fault current Q Marina sad boaryanis. _ui ... .,,..>�,._ _, `i. ❑ s exceeds 10,000 ampsat!50voltsor floatingbw76ags. Icss to ground.or exettds 14000 ❑Caaasaeitd-use agriatlmrat ;t; 1-and 2 fatuity dwelling 0 Commercial/industrial � ]Accessory building maps keep otheriaaallatioa:t. baildiags. ❑Multi-family 0 Master builder ❑Other D Fire pump. ❑Installation of 150 KVA or ❑ e envy 5Yst i derived :: = i -s..,-;',',1-,;if a-,'�F I fi,,. °�' ISx f �„�.`�a �a x�., ry :::`:::',,7::..,c3 A Ctrl. separately.�.-,-. sr. �..�. .._. �� ❑/4�balt�nGW motor)A�orf. ��• lob#1: Job site address:/►�I,R�' 2117 ' t / /� 1oo11P or more 0 "."0".-1-2^.-1.3-, 0 Sift amore residential units orpeupasay. City/State/ZIP:Tigard,OR 97224 Oiteattb-cmc facilities. 0 Recreational vekiceparks. s j t ❑Hazardous bunions, (3 Supply voltage for more than Suitt ttbldg/apt,ii: Project name r i �l #2.4- I.. :40 '.-/ ❑Service or feeder 600 amps or more, 600 volts neenttal• Cross street/directions to job site: �.,,,_.:':;!--4;;,.'--1.----:•!-.;;-..1-----,` `� . ��Peeeriptlaa� <.. New rt:sldendal single-or multi-family dwelling unit. �a�•�.�f/1 ��{ Lot#: • includes attached garages Subdivision: L /rt i,F.l [� 1 1,000 sq.A.or less 4168,54 4 Tax map/parcel II `r s' Ea.add'l 500 sq.0.or portion 3392 1 _ ,.,.,�U- ��.°.�:���S,.Pin,i..r..r��� _ ..z.�.� Limited energy,residential 75.00 2 (with above sq,d.) Limited energy,multi-family 7500 2 1,, residential isvitis , j---•'''''''' . '.. ,._.. .,?„f..�,..�.._ is r, ..::=24,-;-.,:-_,-...;•';._._�;. ":..- ._ `F-- Renewable EaerggbuvesY►.R.} p See Page Name:ADVL Land Holdings.LLC Services or feeders installation,alteration,and/or relocation Address:7600E Doubletree Ranch Road 200 drops or less 100.70 2 City/State/ZIP:Scottsdale,AZ 85258 201 amps 400 an 133.56 2 Phone:(602)694-4031 Fax:( ) • 401 amps to 600 amps 200.34 2 Email: Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. over 1,000 amps or vale 552.26 2 Owner signature Date: t ' d,e 6 me.-„ ,r, .rr-.:., '-1.,....,-...,..„.,-,-,7,,,-....„.,„,- +., .,- q^4 TrccmocpaodOranty services or feeders Installation,alteration,asdlor ' } '" , . kiMe' • . .:. 1-7'' ' t. r.��SY_r..• - _Z. Business name:William Lyon Homes,inc. • 200 amps or less 59.36 I 201 amps to 400 amps 125.08 2 Contact name: �. G _ Address:109 East 13th Street • 401 amps to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits-new,alteration,or extension,per prod Fax::.(360)693-4442 A,Fee for branch circuits with Phone:(360)69 -7700 above service or Sadder fee. 7.42 2 .,I trews V j` • xi / 1(Jt J a Lit , B.Fee for branch deceits without i/ �nI ._•, u._ ....�:.; or feeder floe,first 56.18 , r ..:zs•_., . . . .__..._.... ..,,__,....r_ ..__ .. 2 branch Circuit Busittess name:*lamed*electric . Each WWI lmautcb cirtztit 7.42 2 Address:3415 ire 44th Misceflanieoss(service or feeder sot lacluded) City/S1ate/ZiP:PM /' b- , 0/Z aJ f �Each manufactured or modular 67.84 2 dwetlirg.service andlor feeder , Phone:(503)3192192 Fax:( ) iteeotalxtonly 67.64 :t• Email:solarpdx@me.eowP„mp or irrigation circle 67.84 `' I �' a Electrical Lit:.: c923 Suprv.Lin.: Y�7/,S Signor outline ligating 67,84 2 Suprv.Electrician signature,required: signet dreui�s)or lirnitod © ,Page 2 .,alteration,or extension, Print name: kik. O�/t�/ Ham' 13/4111 panel alteEaeb additional inspection over allowable hi sny of 1b6 above : // Additional inspection(1 br min) 66,251 br j-„ ' : Authorized signature: �' / l-fs Aate;�" Investit (i humin) 90.00/fir :..... tim.c _._. ..,11.x„Ea6.doc Rev 0017/3015 440-461nt11)05caMMna - _.. 4 Plumbing Permit Application . tORc.ir-I l( t: t til c7\d.t Building Fixtures l 1 Received. Permit No,/7s7"2}/7,..e/V 1�) City of Tigard Dar,�a>: 13125 SW Hall Blvd„Tigard,OR 97223 Plan Review Other Permit No.; Phone 503.718.2439 Fax 50'x-1,440960 Dote/By: lune. RI See Page 2 for Inspection hind: 503,639.4175 Date Ready/By: ' 'l' :,! ' Notrfiod/Method: , Supplemental Information Internet: rvst�M ti arQ or goy g t,yym ,.i is t,P' , iK j°'s *%."-1, ,$ t' r ,1(��- may, u ' 3tea a v.Y..}, i',1''...:',..4:4:14"4".`5:;?"• 4. :41 '�.... : `. ',.a'.,- 4's,A,,,; ',,,=,...-'.;fi.., x ' -'. , " s.. 'iY'F 'd .tl1 ^..'z.'$. "'1�N..+iia. :Y. .. For special information use checklist ®New construction 0 Demolition Description I Qty. 1 Ea. I Total Q Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 IL for each utility connection) }- �ax t<�' -4-a-;.' SFR(1)bath 312.70 ?�,,t,+,tae.: '] �., I1',,...,,,,,..4.,,,.:..f..;„" 'li�.V4'. ' {',,,=)'MS1,',, e "`„c`.,��,, , ti : - SFR(2)bath 437,78 ®1-and 2-family dwelling 0 Commercial/industrial SFR(3)bath I 500.32 ❑Accessary building 0 Multi-family Each additional bath/kitchen 25,02 ❑Master'builder 0 Other Fire sprinkler(__,_s9.ft.) Pane 2 I V& s ,� --Ar 6 16 .',: IC t t'+a�:qa S S .. 1st ,`' ,.'S.**'.� S1te Iltillti": i�t1'. . ) . � ,- ,.. "` '" '.fin ` ' p• Catch basin or area drain 18.76 Job site address: 5 w i r,Son e. �DryKell,leach line.or trench drain 18.76 City/Statc/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:�) Page 2 Suite/bldg./apt.no,: I Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.7618.76 Rain drain connector l Sanitary sewer(no.linear ft.:_) I Page 2 Sturm sewer(no.linear R.: ) Page 2 Water service(no,linear IL: ) I Page 2 Subdivision:Polygon at Bull Mountain I Lot no.: Is- Fixture or item: Backflow preventer I. 31,27 Tax map/parcel no.: qy �, i q :F} (d V9 4 rf ,i- P c wt t!M « ,-_ 3ackwatcvalve 12.51 ,„•-,4,..+.1Z,;, a , '^a -z,„.4•i , � , , 1,-- u7.". Cloths washer 25,02 Dishwasher 25.02 Drinking fountain 25.02 Ejectars/suMp 25.02 h ,--a - ;r rtit ja ` -P e za s7 /ti �,. l`' Expansion tank 1251 < L ._ w ) i .1 } z r. µ ,,,,,, _ t-..+- " Fixture/setivei cap 25.02 Name:Pelygop WLII,LLC Floor drain/floor sink/hub 25.02 Address:109 East 13th Street •Garbage disposal 25.02 City/SlatrJZTP:Vancouver,WA 98660 Rose bib 25.02 Fax.( ) Ice Maker 12.51 ` Phone (360)695 7740 2..02 ."c '-;;; -r j, i u-; 1 Interceptor/grease trap i -., cd _;,_:., - . r _ Medical gas(value $ ) -. Page 2 -Business name:Nichcie Polygon W'LH,`LLC Primer 12.51 Contact name: �'1 Roof drain(commercial) 12.51 Sink/basin/lavatoty //9l?AfDRr / 25.02 Address:100 East 13th Street Solar units(potable water) 62.54 City/State/ZIP:Vancouver,WA 98660 Tub/shower/shouter pan 12.51 Phone:(360)'695.-7700 I Fax::(360)693-4442 . Urinal 25.02 Frmaii DI 11( p, ji 4 OA / .11 0, v� .. W_51,1.1.,oset 25.02 '''J. 7 -'r.F'i ��< _. ' ..f. ra, _. d ,,;„v :.,..�'�__,'<L J1':,:1..:i se*,... v a., :s....•,,_i • Water heater :Z 37.52 ..,r ._.a� ...�..,_ 56.29 Business name:BDL Plumbing-LLe Water piping/DWV Other. 25.02 Address:PO Box 85 Subtotal CitylState/ZJP:Corbett OR 97019 Minimum permit fee: $72.50 Phone:(503)351-3903 Fax:( ) Plan review (25%of permit fee) CCB Lie.:180345 Plumbing Lie,no.:PB1S82 State surcharge(12%of permit Dee) TOTAL PERMIT PAuthorized int n me sigandre:on r, rI•�lr.^�.� ""u [his permit application expires if a permit is not obtained FEE within 100 days Print name:Brandon Lanter 11?ace: after It has been accepted as complete. "Fee methodology an by'l7i-County Building Industry Service Board. dor 10'01109 44a-46161(I0+02tCOMwE8} T;tEuadipgiP�mitalYF.Mt:-PcrmiNpp. t IF City of Tigard 1111 ■ ® COMMUNITY DEVELOPMENT DEPARTMENT T r G A u D Building Permit Review — Residential Building Permit #: 4j$7 /)- 0a,..,200 Site Address: 1 Cj 3 2S Go) {-}Vct&on ,ftv•2� Project Name: ►p ,... ll Makiltriiirl Lot #: I S (New d ,-II g=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Iv-CVv STL ;Ff Verify site address/suite#exists and active in permit system. XRiver Terrace Neighborhood: ❑ No 3S1 Yes,See River Terrace Review Addendum Attached Site Plan Elements: RThree(3)copies of site plan 'G Existing structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper . ootprint of new structure(including decks)with finished ,NDr wn to scale(standard architect or engineer scale) floor elevations Torth arrow Utility locations&easements(required for new and additions) Site address,project or subdivision name and lot number ❑Sidewalk/driveway approach 9Applicant information(name and phone number) ViALocation of wells/septic systems Lot dimensions and building setback dimensions t. Existing trees to be retained with drip line,and tree OfaSquare footage of buildings to be demolished rotection measures tOLot area,building coverage area,percentage of coverage and treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) street names VAProperty corner elevations(2 foot contour lines if more than E Storm water quality facility required if>1,000 sf of ' -4 foot differential) impervious area is created or replaced. Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified No Applied For: PP ❑ Yes ❑ No,stop intake Land Use Case#: %'%(5lA.0 O _00002 sit!.Zoning: P--1.,,C Required Setbacks: Front 21) Rear 15 Side 5 Street Side IS Garage 8, Landscape Requirement: N/A KLot Coverage Maximum: N/ % ❑ Building Height: Maximum Height O Actual Height 4.2_,Z, Z(Visual Clearance 1%)1k ,Sensitive Lands: ❑ Yes KNo Type -•Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Al Cyr1 VL( mil(it ix- ma m,- .1v l ,A kivt,� Approved By Planning: kck,t,14 06, 62 Date: Ce f I I fl evisions (after Building SubmittaReviewer 4 Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw REs 051617.docx IF Building Permit Submittal Original Submittal Date: 3/�F/o Site Plans: # Building Plans: # Building Permit#: Z4.. nter building permit# above. Workflow Routing: Planning Engineering ?"Permit Coordinator Building Workflow Sign-off: ea Sign-off for Planning(include notes from planning review Route Application Documents: P 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: AA- , i ''' �� Date: 6/37/2 Engineering Review lope at building pad: ZZ ❑ ' onditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat Afr Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes I No Assess Water Quantity Fee in-lieu: E Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: A07) Date: 617/ 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: 7 SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes El N/A Parks SDC: Yes El N/A rLIDA ❑ Yes /A OK to Issue Permit Approved by Permit Coordinator: te: Ll y --- I:\Building\Fonns\BldgPermitRvw_RES 051617.docx n City of Tigard 1111 a COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: 15 32£7 SW -ti-EuASDn fie /, Project Name: Po 1,-taot- ''n? ' c'.";- , Bw 1 j-. of #: 15 (New dw g=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards 18.660.070.1.): Is the project subject to the plan district design standards?41 Yes ❑ 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 eve 30 ft. Porch min. 5 ft. deepBalcony w/access 2 Window Projection Verti•al Wall Offset a ft. deep min. 2ft., 5 ft.wide ' 2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing faca.e must include windows or entrance doors. Percentage Shown: 3. Entrances:At least one entrance must meet both of the f..d owing standards: facing wall ❑ Parallel to street,angle no more than 45° from street, ❑ Max. 8 ft. setback from longest street- or open onto porch Entrance opens to a porch: ❑ Yes ❑ No If yes,all the following apply: ❑ 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft.max. roof above floor of porch ❑ 5 ft. depth min. ❑ 30%min.porch roof coverage 4. Detailed Design:All buildings shall in . de a min. of five of the following elements on all street-facing façades: ❑ Covered porch min. 5 ft.wide x 5 ft. .eep ❑ 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 projecti. ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or w..d ❑ Gable,hip or gambrel roof design ❑ Roof pitch oriented south , . 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40% . street façade ❑ Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 • ches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft. .4e x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street façade 5. Garages and C. ,orts:May face the front or side lot line on a corner lot. Setbacks: No closer to fro t or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ May exten• up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the arage that faces the street with a min. area of 12 sq.ft. Width: (2heck one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: ,Voe►r►-i a ppu 1 , hLs is ho-I- oL. PD Approved By Planning: 74+�t4 QL 1, Date: Co t I Ii I:\Buiding\Forms\B1dgPermitRvw_RES_RT_o62216.docx J City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15328 SW HUDSON AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00200 Inspection Type: Inspector: 399 Plumbing final Allyson Armstrong Result: PASS Comments: Water pressure =58psi. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15328 SW HUDSON AVE, TIGARD, OR, 97224 March 29, 2018 at 12:04:35 PM Record Type: Record ID: Residential - Master Permit MST2017-00200 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15328 SW HUDSON AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00200 Inspection Type: Inspector: 699 Mechanical final Allyson Armstrong Result: PASS Comments: Correction complete Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15328 SW HUDSON AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00200 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