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Permit (32) CITY OF TIGARDs' # MASTER PERMIT COMMUNITY DEVELOPMENT t II •, Permit#: MST2017-00205 Iiii filiritl TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2017 Parcel: 2S108DB01200 Jurisdiction: Tigard Site address: 15241 SW PEACE AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 10 Project: Polygon at Bull Mountain, Lot 10 Project Description: New SF. 8/29/2017: REPRINT permit to add laundry tray. BUILDING Floor Areas . Required Setbacks Required . Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2914 sf Value: $349,907.86 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 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types . Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit . Service Feeder . Temp Srvc/Feeders . Branch Circuits . 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add]500 sf: 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 2914 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: $33,841.97 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 th.ug OAR 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 : : 1 e-t/ �'G./e j�),l Permittee Signature: 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. CITY OF TIGARD MASTER PERMIT a 2. COMMUNITY DEVELOPMENT Permit#: MST2017-00205 T i GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2017 Parcel: 2S108DB01200 Jurisdiction: Tigard Site address: 15241 SW PEACE AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 10 Project: Polygon at Bull Mountain, Lot 10 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2914 sf Value: $349,907.86 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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 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 W/Svc or Fdr: 0 Ea add'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 2914 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: $33,813.95 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: i��_. •%.l L<r`/A_ Permittee Signature: S _ � 7 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. r . 4, Building Permit Application / 07--- /() Ki i RECEIVED FOR OFFICE 1 SE ON Ll Received City of Tigard Dati : iv Permit No.- f I,..... Off"" 13125 SW Hall Blvd.,Tigard,OR 97223 LiA,D 2 8 2017 Plan Review ^ -Q`V 7 Phone: 503.718.2439 Fax: 503.598.196 DateBy: G Q, ) Other Permit:,<Z, /7_/j/�f/ TIG:LRD Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: � /� �� Juris: H See page 2 fo(r `(/'0` Internet: www.tigard-or.gov BUILDING DIVISION x°tifieea�Method / Supplemental Information y i f L tr r a ''''','-‘", . .,.'",4,-"4'.,.. '>; ,.;,mss � ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the ' , 7 work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation:349a 901$ r�` ❑Accessory building 0 Multi-family Number of bedrooms: ~� ❑Master builder 0 Other. Number of bathrooms: 3 $v.v..,r, e,,; .;1,,, t 'r ° ,,k= ,F rr t. V Total number of floors:2. 33 7 $ Job site address:!51-141 s1 J /•(Auz., Nes New dwelling area: 261 IL} square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4 square feet Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Covered porch area: V square feet 16 6 6 Cross street/directions to job site: Deck area: square feet,a4 g Other structure area: square feet Subdivision:Polygon at Bull Mountain I Lot no.:I D 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 equipment,materials,labor,overhead,and the profit for the a , I, . i i work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet < , > Il 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: >e t .0' € Ts 1 at Business name:Polygon WLH,LLC a 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 , . t O t t • - 7.—,� - � � 7 Commercial and residential prescriptive installation of �' n• � � _ � � . 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 VA: Authorized signature: /7��// /, This permit application expires if a permit is not obtained `G WV�+ within 180 days after it has been accepted as complete. Print name:Angela Grajewski I Date:1/20/2017 *Fee methodology set by Tri-County Building Industry Service Board. 1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 0 F i Mechanical Permit Application I (m It 1)I b I( I 1 1 t)\1 \ City of Tigard ' , tt «I } 13125 SW tial!Blvd..Tigard,OR 97223 I s 'i''' I Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Datetu : Other Permit: s tnspeetion Line: 503.639.4175I dy40y: we ltea Iii.lie!EZ=1 .. Interact: www,tigard-or,gov .;+iatitcd�Method: 2"" ,,...— ..cC{ :'� `.- '..' 6�c,'r.1`.,3.'t5,�' ;:...a ra'L i a s4''c' ."'�-,.a,.d +t �lcFa.d'' ( on ti tuc of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)olall ❑Demolition 0 Other: mechanical materials.cquprtnent.labor,escthcad.and profit. }„ - s. 44,—,--„, ri ,, ;. „b9'..iiva Value $ ' ' � �,. 5,r,.'?"4At4.. k� =lr rt..„'444 QEj.` :e�,1at' ,x:41^ ria;.,,e1{x, .>74�?5 ', -.yfi; >., i,A, e tit ,-, t+4 ,,,C ,:) , li! I.and 2^fatnily dwelling 0 Commcrciallindustrial 0 Accessory building For rpedalfiifarmai1on trsacheekIise. Mulct-family 0 Master builder 0 Other: _Description I Qty. I Ea. ] Total `wx� l �.,ti e § _ ta� .„x�� r.cvEw7 ',l.,.r kp.ad,4'h.!l k.t r!,:�t hti 'C, ,.� yz .6 r, 1;- a,, IHL cIratlnit5/etiarilUlnatR: 46.75 Job site address/ iZ�`lls.// ' az, e Furnace 100.000 BTU(dunsiventsi I 46,75 City/State/ZIP;Tigard,OR 97224 Furnace 100,000+1311)(ducts/vents) 54.91 Pleat.pump 61.06 Suite/bldg./apt.no,: I Project name:Polygon at Bull Mountain Dud work 23.32 Cross street/directions to job site: Hvdronic hat wate:rswstem 23.32 Residential boiler(radiator or hydropic) 23.32 Unit healers(fuer-type,not electric), in-wall,in-dud;suspended,etc. 46.75 Flue;'veel for any of above 1 23.32 Other 2332 Subdivision:Polygon at Bull Mountain 11,ot no,: 1 0Other ft;el*polls nem: Fax map/parcel no.: Water heater 23.32. €r�7 '4 ." ' r < r7.� <lr ��a��J-n r = Lias fireirla nserr 1 33,39 '- .,,. .7 . F 1 tr- 2! r 14�' 4F •4;"`''''''''''''''P . �� .`.A r ., . � � .......:-.2-‘\,....-.•:‘,.:-.::•-: r.., , � . :._,., .. ...:._ .. . - ._ - �- .. �vent for water heater or� F STZ/y 1 7—to—l_ fireplace 23,32 J i [IL!j EJB j Log lighter(gas) 23.32 Wood/pellet stove 3339 Wood fircplacctinsurt 2332 C imnevllinerlfluefvent 23.32 . . .e.,,.' ' . 23.32 f i s - � + - K ; ,r . > i ,t) r_ t,;,> ,� ,:cC . x,,,ke ',. [1; 's,a� ' : w Environmental exhaust and ventilation: tdne:Polygon! I.1r LLC Range hood/other kitchen equipment i 33,39 Address:109 fast 13`1'Street Clothes drverexhaust I 33.39 I CityiState/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, t•-• 2332 tolled compartments,utility moms( Phone:(360)69S-7700 I Fax:( ) k c awtspacc fans 2332 } l 1 Y.�.4tr'.1:€',•-•:,,::-:,-.1,-;,,I C fP "Kr. Y .... Other 27 32 7„ r : r..�. ' Sa----. ., ..._'t..,y �.,. v -.. +"'.. ..,:z Fuel Piping Business name:Polygon wI,.11,�"LLC 514.15 for first faur:,54.03 for each additional_. Contact name ftJ/Chs , lb0,peFurnace.etc. if Address:109 East 13th Street Gas heat pump Wia1Ususpendcdtunit heater City/State/ZIP:Vancouver,WA 98660 water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace I Rane I E-orad , G L Olt Ii i i .. ad 4 I u r.4 4 Barbecue ,; ) '" Clothesdryor(gas) Business name:Apex Air LLC Other Address: 18004 NE 72*d Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fte(590.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax (360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE Authorized signature' This epmrmethitodoappt dalyos.&aafsettrbyitexTpsa ri-Counteefs tay permi oeepted Budint sgasntad ioctmobtained vcewthinoain1d8 0 Print name. t * ./ j Date: 4.M-14.- 1 ¢'f't hiiLiings.PersitOltr_PomitApts_04011 dOe 4444617r(1tfD'_4'Owwv.$) r Electrical Permit Application i,, .-, • I ,)u Off It t t ,t t t\l �N City of Tigard Received CMIIIIIIIIIIIIIIIIIIIII 13125 SW Hall Blvd.,Tigard,OR 92223•- ' a,. u '-' Phone: 503.738.2439 Fax: 503.598-.:0(0' ►.- Eillillillillillifi lncpecOon Lie= 503.639.4175 9 '` Rem ABY: Internet vrww.tigud-or.gov __Wim; - r w ►4 New construction D Addition/alteration/replacement Please ctwdr ori that (rasbann isms..plans whims checked): Q Service or feeder 400 amps at more 13 Building over daa stories. 0 Demolition 0 Other whore the available fault current o AblinAs and bostyade. .-2,):::::.P:..-1k t r `' . r SU.. ,1. -.,:,--;;%1P'77......2-;,-,2 exceeds 14.004 Amps al 150 volts or ©Ftnalin$bue'ldlo P• 'sato ground,or exceeds 14,000 ❑commaeiai-ase agricultural ® 1-and 2-family dwelling 0 t:ommercial/(ndustrial MI Accessory building amps for all other iasnllruions. building. ❑Multi-family []Master builder El Other: CI Fire swop. O Inudiatiou of 150 KVA or tr r^ r ;1 Cl larger separately delved ori a ,moi, rz-a`�:. .,..i!!���;`V..o. tom �:.� ..... -.•n.x s Additionofnesaa. �Ii arkirt .I f j 0 low motor iOad of system. labtM. ��--. ' . _�jolt she address' fot111pamaee. ❑"A^,~6^.-1-r>`i s^. 0 Six or more ❑Health glee facilitieAoi units. City/State/ZIP:Tigard,OR 97224 ❑ vehicle paries. 'L r 13 Harredous locations. ❑Supply voltage for more dean Suite/bldg./apt./apt : Project name 1 P-1 Ott 1,. L_' . r'. 1. Q Service or feeder 600 amps or more, 600 veils Combat, Cross street/directions to job site: . ` :.� 't . "'`. f Dettriadon iii; t:+ea- Tont • • New residential single-or mblti-family dwelling unit. Subdivision' q y1 - 131dt M inti .1 Ir. 1 Lot*: j Includes attachedgarage Tart trwp/parcel 8: 1,000 sq,ft.or less ' 16$.54 4 r a i,,c[ err `3.f ''_','-.7.;;::-1-'5:1-:::.. •---,I'-..''.7.:-.7f.:,:";.1'2.--': ES.add l 500 sq.ft.or portion 9 33.92 t Limited energy.sesidmtiei 75.00 2 (with above sq.al Limited energy.multi-farm! 7500 2 Y t1 residential(with above sq.ft,) Naim.AD'VL Land Holdings,LIC Renewable Energy El Ste Page 2 Servicesor feeders installation,alteration,and/or relocation Address:7600 E Houhletree Ranch Road 200 amps or less 100.70 2 City/State/ZIP:Scottsdale,AZ 85258 - Phone:(602)694-4031 Fax:( ) 201 amps to 400 amps 133.56 2 Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that i own which is not 601 amps la 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 volts 552.26 2 Owner signature _ • Date Temporary services or feeders installation,alteration,and/or __. :, z.t._ . _ ','-'2::.' - f.`: `'sA,y i....,,.,.:;:i.:.a% . .- C',m,-��. t •u-�.i < ' .. -,,,s relocation - Business name:William Lyon Homes,Inc. 200 amps or less 59.36 i Contact nam0 e: , e . , 201 amps to 400 amps 125.08 2 Address;109 East 13th Street 401 amps to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 Broach circuits-new,alteration,or extension,per panel Phone:(360)695-7700 Fax::(360)693-4442 A.Fee for branch circuits with above savicc or feeder fee,Emil! �_ i/ • Ii Dom' / ��j r J 4�/ B.Feefor branchbranch circuits without .. 7.42 2 .w. ., .__.-_�.:-,_.,..-..„.,,._,!1!.-.. 2.7:77::'-_2::::::.w., . . ,_..,.,1' .service or feeder fee,rust 56.111 2 Business name:*lameelectric branch circuit da Each 0(11 branch circuit 7.42 2 Address:3415 ae 14th Miscellaneous(_service or feeder not included) City/State/ZIP: Rs ja , AIZ "n'l aZ-/ Each manufactured or modular 67:84 2 dwelling,service endfor feeder Phone:(503)3192192 Fax:( ) Reconnect osiy 67.54 - d, Email:solatpdx@Iine>tom Pump or irrigation circle 69.84 IIEMZDEM Electrical Lic.: c923 Suprv.Lic.: t f f7/5 . Signor outline lighting 67.84 ,, .; ,. Suprv,Electrician signature,required: -Signal circuits)or limited-energy CI See ;..? pal,alteration,or extension. _ Print name: i k �pv/t,. Date: UAW Each additional inspection over allowable in any ottbe above. • Additional inspection(1 ter mit) 66.25/hi--' -_ ' Authorized signature: // ,. ;;:. Print name; • ir�rsna Date,...:5- Z,3 f fs Irures6galson(I hr 911.00tfir uvt,:t a Ui R5dec Raw W170315 ce0 n6tsrpt/osrCOr4+wt8 e 1 Plumbing Permit Application' j Building Fixtures i- i OR Oi i•R I 1 SF: ONI ! Received Penni/No.: City of Tigard Date/By: • 13125 SW Hall Blvd.,Tigard,OR 97323 plan Review Other Pcnnir No.: ,, L Phone: 503.718.2439 Fax 503.598.1960 ,a Dme.By: inspection Line: 503.639.414%% Dale Ready/ay mot. I ® Son P 2 for T i , , y Supplemental information Internet won\ngard or god Nott edlvi 1. yC > ,fes 13t 9, -'4V t , y r, ' Notified/Method:adllpd. n 4`luno d"f`. d�:-\e� $ k �':"�'}p •1 L`t 4 `,v '$ r�.s r F'` +1R�� ?'a .wr S � . a C -,.. . '.4 ,Rt't ?-,K *1' d l 'J��c'" *'-'�u 7'-''' ' r as - ' rt 3 ti - u G.� ..a t 4 • . •• •c For special information use cleeckilst �+New construction 0 Demolition Description I Qty. 1 Ea. I Total 0 Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) " �,. i fv ,- ' r .:t- 3,,,,.4.„r=.1 _SPR(I)bath 312.70 ,��" i ti !a.. i .t.sP 11 ,v. -:6x 5'i 8r,,,,j, i�3 s, F-• :4ea � ' �,. ;.., ., SFR(2)bath 437.78 ® t-and 2-family dwelling 0 CotttmercialAndustrial SFR(3)bath 1 500.32 ❑Accessory building 0 Multifamily Each additional bath/kitchen 25.02 0 Mastcr'builder 0 Other: Fire sprinkler( --sq.ft.) Page 2 i k .'S-i A :Y�9 i C 9- -c,--------1..E„,, '?,,t„,,,-1k1-Pr..; ..i--,..b.,..\: ~sue utilities . ,�r• �� �-�' '-� "':`.�� � . ''. '. ?' Catch basin or arca drain 18.16 rf ��- • Sob site address�• Drywaell,leach line.or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:,_,_.J Past 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 f1.:______} 11Page2 Storm sewer(no.linear ft.:__) 1 Page 2 Water service(no.linear it:.__) Page 2 Subdivision:Polygon at Bull Mountain l Lot no::1 0 Fixture or item: Backflow preventer I 31,27 Tax map/parcel no '' W1 12.51 BeckuroRer valve F ri3s�Pp:',,,•{1-,,i1:-1:i.7-46.1)_ � ' /a` „..t%,,,, > 25.02 5. ,r :,'3 a. .x;i.:: 4Clothes.washer Dishwasher 25.02 Drinking fountain 25.02 Ejectors/501p 25.02 .�,, r� x�w'.+- sit X n, G-x ti'''.''-'1 ,4",,,,,---..:.,-.., Expansion tank 12.5.1 , , * mak,-. F �"'6 `IvI�:� --',5'1.. .x c " :�'1 <:,3 z>. . 5;I 25.02 »FixturcJseueer cap Naple:PolygoniA'Lll,.LLC Floor drain/floorsink/hub 25,02 3 Address:109 East 13th Street .Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 `Phone (300)695-7700 Fax ( ) Ice Maker 12 51 I :mc <.r. r ' � a ' ? ir:Tr }? o -v�.;,•,,, lntcreptor/grease trap z f. , -�ri nf . 4 � x4 i3 ty 0. 25.02 Medical gas(value:$ ) P418 ..2 Business name:Nithrjle Polygon W1:11,LLC Primer • 12.51 Contactname: 6Y1 Roof drain(commercial) 12.51 : Address:109 East 13th Street Sink/basin/lavatory 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 Email 1 f „ II /of j / i,.,',,,.4.,.4 11 6 ,q. Water closet 25.02 ,- • -, 7,1-:;'1,1:-`. sX _a _•-- I , 5'r='" " Water heater 37.52 Business name:BAL Plumbing LLe Water piping/DWV 56.29 Address:PO Box 85 Other. 25.02 Subtotal City/State/ZIP:Corbett OR 97019 Minimum permit fee: $72.50 Phone:(.503)351-3903 Fax:( ) Plan review(25%of permit fee) CCB Lie.:180345 Plumbing Lic.no.;PB1582 State surcharge(12%of permit fee) Authorized signature: 12....2 ! .Z,/ , � TOTAL PERMIT FEE �[ ''r"'�` I This permit application expires if a permit is not obtained within I80 days I Print name:Brandon Ladter Date: after ithas been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board, 1:\auildingsFaxmnu ..411-1 mitApp.duc 10/01109 4404616T(I0t02/CO?vwEa) City of Tigard .71 COMMUNITY DEVELOPMENT DEPARTMENT : 1111 Building Permit Review — Residential TIGARD Building Permit #: /4 SW/7-00?O5— Site Address: I ) 211 sco p E Ace ANE7 Project Name: Vot' 9 on qk isu�1 utAiret iq Lot #: 10 (New d ng=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 5F L✓J Verify site address/suite# exists and active in permit system. "River Terrace Neighborhood: ❑ No Er Yes,See River Terrace Review Addendum Attached Sit Plan Elements: Three(3)copies of site plan sting structures on site "Site plan must be on 8-1/2"x 11"or 11 x 17"paper L1dFootprint of new structure(including decks)with finished I ( rawn to scale(standard architect or engineer scale) or elevations sorth arrow LJ Utility locations&easements(required for new and additions) to address,project or subdivision name and lot number Sidewalk/driveway approach AlApplicant information(name and phone number) ocation of wells/septic systems [ Lot dimensions and building setback dimensions JWxisting trees to be retained with drip line,and tree 11!'.quare footage of buildings to be demolished protection measures IP of area,building coverage area,percentage of coverage and LJStreet tree size,type and location jpervious area(applicable if R-7,R-12,R-25&R-40) D/Street names LJProperty corner elevations(2 foot contour lines if more than ?Storm water quality facility required if>1,000 sf of 4 foot differential) impervious area is created or replaced. 4 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified 'J No Received: ❑ Yes ❑ No "Public Facilities Improvement (PFI)Permit. p pn.,4\5-00071 Required: ❑ Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake G]/Land Use Case#: Cfut13'2-ok 5 -00002. 2' Zoning: '(L— 4, Required Setbacks: Front ,2..ei Rear 1 5 Side 5 Street Side I yJ Garage ZC) `` Iiiik Landscape Requirement: \ N, of Coverage Maximum: LJ Building Height: Maximum Height lj p Actual Height (25\ Visual Clearance(vial— 5100Wl1 ©r? S 1l Pion, 1,4- deskY17 n ce o _ 0' Sensitive Lands: ❑ Yes ❑ No Type ❑ Urban Forestry Plan eConditions "Met"prior to issuance ofbuilding permit Notes: 5 i OZWICl/l OY1& c - 5 W32.ol5-00 2- are,$11 I Cu-i-gl-on d) Approved By Planning: A616,04, 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\BldgPermitRvw_RES_051617.docx Building Permit Submittal Original Submittal Date: SZO/7 /, Site Plans: # I Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning engineering 0"Permit Coordinator Building Workflow Sign-off: Sign-off for P nntng(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. 7 Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: /4%.,1 r 4 Date: Ze/S*172 Engineering Review K. Slope at building pad: 4/,0 X Conditions "Met"prior to issuance of building permit vkt Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ?Xi No Assess Water Quantity Fee in-lieu: ❑ Yes R1 No LIDA Facility on lot: ❑ Yes l4 No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Q 0 Date: 64//7 Revisions (after Building Submittal only) Reviewer Date Revision 1: E Approved ❑ Not Approved Revision 2: ❑ Approved E 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: DC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: fr Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes f?"-N/A rOK to Issue Permit Approved by Permit Coordinator: ' Date:Wer/ I:\Building\Forms\BldgPermitRvw_RES_051617.docx City of Tigard lig 1 e COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: 152.91 5k.0 PEACE kJ Project Name: 'R011 Pal qo�► q�- Moon d► Lot #: �O (New g=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070 ): Is the project subject to the plan district design standards? ❑ Yes 1K No 1.Articulation: a minimum of 1 element per each street-facing façade that has 30-60 ft. of fronta:-.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 Offs--a Porch min. 5 ft. deepGabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft. '.e ❑ ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must inc de windows or entrance doors. Percentage Shown: 3. Entrances:At least one entrance must meet both of the following s .ndards: ❑ Max. 8 ft. setback from longest street- facing wall ElPa : fel to street,angle no more than 45° from street, or ..en 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 includ; a min. of five of the following elements on all street-facing façades: El Covered porch min. 5 ft.wide x 5 ft. de-. ❑ 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 woo,. ❑ Gable,hip or gambrel roof design ❑ Roof pitch oriented south 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%o street façade ❑ Window trim min. 2'/2"wide by 5/8"deep ❑ Window recess min. 3 ches for all street facing El Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wit- x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade 5. Garages and C. orts:May face the front or side lot line on a corner lot. Setbacks: No closer to f int or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ May exte•d up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May e. end up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above •e garage that faces the street with a min. area of 12 sq.ft. Wi. : (Check one) 12-foot-wide garage door ❑ 40%max. of street façade ❑ 50%max. of street façade with 7 detailed design elements Notes: pesw A s�uvic s do ✓a.;- cppty, vlok- q P arpC\ Approved By Planning: A,492d A! /if Date: (P 15( 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: 15241 SW PEACE AVE, TIGARD, OR, 97224 April 13, 2018 at 9:15:21 AM Record Type: Record ID: Residential - Master Permit MST2017-00205 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15241 SW PEACE AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00205 Inspection Type: Inspector: 399 Plumbing 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: 15241 SW PEACE AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00205 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Corrections complete Collected Moisture content acknowledgement form Moisture barrier acknowledgement form High efficiency lighting form Air leakage test report Left C of 0 on the counter Violation Summary: Inspector Contractor