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Permit (37) CITY OF TIGARD MASTER PERMIT 2 ` • COMMUNITY DEVELOPMENT Permit#: MST2017-00225 13125 SW Hall Blvd.,Ti Date Issued: 08/02/2017 Tt C .' Ft. and OR 97223 503.718.2439 9 Parcel: 2S108DB00700 Jurisdiction: Tigard Site address: 15230 SW PEACE AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 5 Project: Polygon Bull Mountain, Lot 5 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1259 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2917 sf Value: $402,917.17 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: 2 Drains: 0 gWater Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All 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 2917 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: $34,474.06 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090.��00� You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: /�I� 'SLG ld/iGti, 600, Permittee Signature: 1Gv� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application L-0 T L 46S7,a *APal RFCF'\IED FOR OFFICE ISE ONL1 ipi .4 City of Tigard • MAR jj Received �� �Z/�? �7 Permit No./)•A�Tj r� /1 - 13125 SW Hall Blvd.,Tigard,OR 97223 V 2017 plan Review gg Q / , "`�/a L/ —JL Phone: 503.718.2439 Fax: 503.598.1960., Date/By: ( -' ) 7-)7 11 mei Permit5e /D�` „6 Inspection Line: 503.639.4175 CI FY OF i i uARD Date Read/B " Juris: H See Page 2 for T c.n n BUILDING DIVISION Supplemental Information Internet: www.tigard-or.gov Notised/Method:� �9�7 '/L 4 67E— „,r.7,•::•;•:, iE ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the ` work indicated on this application. Q ® 1-and 2-family dwelling �Valuation:yQG t '7$ ! ' - ❑Commercial/industrial ) �� 0 Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: �<, m 1wi`i ° anit D� :, ' Total number of floors: 2/x9 17 j.33 g 1 Job site address:I S23) S lI V 'met, O Vj� New dwelling area: RADD[f]j square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 1(/)4 �f'square feet Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: "i`pg9'� [' 0 square feet J 64.18 Cross street/directions to job site: Deck area: `G square feet ,a g Other structure area: square feet 1)777,5;74,1 r, , ° a Subdivision:Polygon at Bull Mountain Lot no.:5 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 e a ; work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet '” i 04P l Number of stories: ,,,,,i, 3:,.-5y-t s _ H _. . 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 a> Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com = �� % Commercial and residential prescriptive installation of ' t�: - �P' roof-tomounted Photo Voltaic Solar Panel S stem. P Y 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: $201.60 �/f /�/� r Authorized signature: �¢� � �' `CU`�(/��`�' This permit application expires if a permit is not obtained r within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:1/20/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ` Mechanical Permit Application I ()i.,.0111( I 1 ‘,I 11\1 \ .City of Tigard , .. .13125 SW Hall Blvd.,M Tiprd,OR 97223 _ Plan Review Mona: 501718.3439 Fax: 501598.1940, ,--; -;; , ' -,- rbidity. :Inspection Line: 505.639.4175 'Internet www.tigard-or.gov -' ' ' ' Date itorlyeBy: 1,,,,.,r- - , - ; '' ,,,:.i NotiliedMeMod: linal Otto-PaMit: hililliEtai= ' j.-• ''''''''''''*:.;'1/4i'''';'6'7'.-.'''''''''' :'1'74:•:::- .1.;1: 14:''''11'3 Z'''F'''' A?::F.'" '-`,',..,,,, ,I.6,.•.ii--..,17,7-,,..4,,,.1.qi.,-,-.:-*-,;, :-.Z-,f,t'.::i:‘17,2-1.,.,:.___;;:;j:::::.;•:f.,:',:i.,f i. '-,a,=ef.,,-;,:i W.,'',.i.'''',t:-,.',4%. Mechanical pCmut fees*arc based on the value of the work pa New construction 0 Addition/alteration/replacement performed.indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials.equipment.labor,overhear!,and Profit Valuc$ ....,-*-iefr,g,i,t.-zisCe ,*.iTh.-tii,= F41;-•-•:-1114,1-:"It'al'''. .P.`"I'Vt.7:1,1)-'.'`i-,-',7,4•?,;;N:,34,:,-,‘„144.:?-1-;-?,;_.34.4,-.i.4-,1,4 , --e,3,•,-.,--.,---,---v----- -v--- -N-,•'3-- =.,s.-..t."''" ' ,:''''''. ::t.-M.' -.•-•-_*-i1,4",-;',.1,,----v-...:2--.1,,v,..:.-..,,, ...,:,-,, _- 4.---0, ,--:---,:, : 1-... ..„--,,;„3-- <-1,--,----r-,--3--- 3-----• ; -33----.:':-1.•' j,,-,f-..1-113,-:i N? I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Por spedttl Infitrouttion sise riteatist Muld-family 0 Master builder 0 Other: Description •f Qty. I Ea. 1 Total liratinkooling: '31-.-1,„;•;iZf.z.,:!.. ..-at-.1;.:,;.;:15:-.1f,:lt,1-5E4,11-2.itl-:;;A:).1C-1-41gztGLezi4.---..:-.11.4A,I...... -',1a:.7....,,,i3triia. Air conditioning , 1 46.75 # • Job site address:i/s2 ,s. /ee, ii\je.j Ftunace 100,000 BTU(ductsfvents) 46,75 City/StaterZIP:Tigard,OR 97224 Furnace 100,000+BTU Nocis/vereal 54.91 Heat Pump 61.06 SuiteibldgJapt,no.: I Project name:Polygon at Bull Mountain Duet work 23,32 Cross Sifect/directions to job site: Ilydronie hot water system 23.32 • Residential boiler(radiator or hydronie) , 23,32 Unit heaters(fuel-type,not electric), in-wall,in-duct.suspended.etc. 46.7$ Flue/vent for any of abOVe I 23.32 Other: 23.32 Subdivisirm:Polygon at Bull Mountain I Lot no.: Other fact appliances: Tax map/pared no.: Water beater „2- 23.32 .. G ,...,, ,„r,, ...1.,7, as fireOlasermsert I 33.39 .. fireplace 23.32 Log lighter(gas) , 23.32 Woodipelletston 33.39 Wood firenitteefillsnit 23.32 Chirrineyflinerfflueivent 23.32 23.32 ..,p,„..7.4..t.i.....7,44,,,,,I.,,f,,,‘;',--,---;::,;,,il', .,7,11:,9 st.971,,,,,,,,,,,_.v,lt,"-,iVat..;,',4,..,';;-4-,,,,•,7,f:',.P..:67,t..t.t,',..'6...,e, ,=,',.,,7,:',.... :i' 1.1....4,-_-.3,:-.4i:1,..,,t-,_,'...,.....,•','-,,,...L'..,,:,":....._.--ii1-16,?;',..-41::.ti."-::-.V4r,...Llt..-Ac."16isoiflai 4-74,..-,TS.:.e.Y.A....AZZ:,141'‘,,,e-,,:.q1+,4Zi.—,-.,:c;l:i Envivoninentiti exhaust and ventilation: Name:Polygon%nil,LLC Range hood/other kitchen equipment I 33.39 Address:109 East ir street Clothes dryer exhaust I 33.39 CityiState/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 9 23.32 Phone:.(360)695-7700 Fax:( ) . Atticternwlspace fans 23.32 Other- 23.32 .1Z;z41.,W.:.--,-;, ,:i„..:`-•,-_:f.....,..-•,;," I-412.....4-,--•?i.....;_,;,:-...1,7.1Zn .-j4:Zt.2:IWZA.-,I.'•:::!,;:;, :..',..1 .`4L11...„z.:* . • Fuel_plping: Business nod*:Polygon W1.11,LLC ' 814.IS for rust four;SW for each additional Contact nsane:A I I chyle Thorpe .F.....OR. r- 1 Address:109 East 13tb Strer.t Gas heat falalp Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)69S-7700 I Fax::(360)693-4442 Fireplace I Range AN&• 11,614 ' ill ", , a a Al a—ILI . tá.• Blubeen9 , -"•--",,--,-.------7.-,---,,,-,,-:. ,.,....:--...-,'Vf.77 V.'"'5,:-.,---Iry--,',. -..','.::=1,r."-:,7,,"7":"",,,,,,,i,"5,,,,,,,r.r.;.7.-.4,7,',:,,-,17,..4"..--,...,,:.", --:::-'f,.K°-;••:"1.,_••:,'•,•,...,.•,, ,,•"?'...;•,•,-- ......•....,°.,.‘......151t.J s. ., ,..,' Clothes dila(gas) Other; Business mune:Apex Air LLC Address:18Q04 NE 72'd Ave Se/dotal City/Stale/ZIP:Vancouver,WA 98666 Minimum permit fee(00.00) • Plan review(25%of pernift fee) Phone:(360)3424109 Fax:(.360)3264769 51310 surcharge(12%or permit fee) CCB lie.:203034 TOTAL PERMFF FEE. This penult epplicstton expirts Ira permit is not obtained within ISO days srterit bat bet*accepted as compteit. Authorized signature: , Fee methodology set by Tri-County Betiding hicittshy Service React Print namerit.0T, f Date; 4-11., lAtfultd4PormilAMEC_NtamApp_0401 13 6ac. 440441 n ft isracciatiwas) , Electrical Permit Ap licatiorI ()It.()I f It I I '‘I ()\I;, �, a �i Ci o Tigard ' ' Received 13125 SW'Halt Blvd,.Tigard,Old'97423 ', Phone: 503.718 2439 Fax; 50#598:[960° ', ' , Inspection Ian.: 503,639 4175»--<x ''". Nem'p . 1 www.tigtnd-or gor i�--• 1,.4 .. ' '� 7_ NoofiedrMe>!haMdhcd: ... z,� err r..1zd..�._._-..1._...r-+«_r n :> ta New'construction ❑Addition/aiteration/replacement Fslasecheck all that apply(suborn isets plans wirtans checks; OService or feeder 400 amps mama 0 Building overtime modes. ❑tkmolition ❑Other. where the available fault censor 0 Maus cad bwtymds, .., "< _^ :74:5 I '..* -77;.,.... _.,7-- ,- maths 10,000 amps a¢15O volts or O Floating Ixdldinp. ,;. 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14.000 O CammescW4ne agricultural ❑Multi-family 0 Master builder t—� recall oiler iosuliatioos• instelnts u Other: ©Fire puce, ❑lnstaFllairm of 130 KYR or { ,,,,-.--,,,,,i. i ° f ,c,z, rz ,T„-...-7c-cv? s l -o'.3F ..."7-7,1?...:...a:_.1 ❑Em y stn, litter separately A J' R�i � �� Addition mnew minor load system. Job#: Job site oddness: 100HPor more. O"A".`E","►-z",`1.3", City/State/ZIP:Tigard,OR 97224 O six or more residential units. o C7Health-we facilities. ORewealiofuivehicle parks. Suite/bldg./apt.#: Project name p i / ❑Narardana locations. Q Supply voltage for more dun -I y._. - r / O Service or feeder 600 amps or mere 600 volts aomdmd, Cross street/directions to job site: , " �y u-t �«a_, " Dc;c;iptionno. Iran c.e4 Te41_. �A New residential single-or motel-family dwelling unit. Subdivision' p era tc�1 8t�t uI. m e, ,i L al Lot it: "NI includes attached garage. , Tax map/pan:el 4: 1,000 sq.A.or lash I 168,54 4 c R r es t r r fi Ea,add'1500 sq.R,or portion 9 33.42 1 Limited tangy,residential 75.00 2 (with above sq.IL) Unshed town,multi-family 75,00 2 '> ---,Iv. ----71*"... --1,r.-.7-7-;.-----.7 r t. t" resldeatdal(whh above sq.tL) Names AAVL Land Holdings,LLC Renewable Energy ❑ Sec Page 2 Addxcss:7600 E Doubletree Ranch Road Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 City/State/ZIP:Scottsdale,AZ 85258 201 amps to 400 amps 133,56 2 Phone:{1502)694-403I lerl 401 antesto 600 amps 200.34 2 Owner installation:This installation is being made on property that[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 volts 552.26 2 Owner signature [?ate --12'-'72-,1 ..,,.'. r..e_.,...,.. ..,..:_ .- ,`..,v..s ,.._.. •; , Temporary services or feeders 3ostallatioa,alteration,and/or _.. . . 1,� sC.-a4 6._tiux ✓„•t ^` 5. ::4-7Ea :.1. �.,�Lnwrr. G � relocation Business name:William Lyon Homes,inc. 200 amps or less 59.36 1 Contact name: .t . d i 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 Branch circuits-new,alteration,or extension, panel Phone:(360)69S-7.700 jj Fax::(360)693-4442 A.Fee for branch circuits with above Erroll tv, 4I jr r 1 it branch each a fee. 7.42 2 !Z / s s A EI ,, .Fee for o circuits without .- - _ _... ,..;,1,, ,- v:....0 _ . ,._.. .__..-., _,.,. .. .a._.___ $.service or feeder fee,rust Business name:alanteda electric branch circuit sb.i8 2 Address:3415 ne 44thEach add`l branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP:H a , .012. '7 ...7.-/ Each manufactured or modular 6714 2 Phone:{S03)3192192 Fax ( dwelling,service andior feeder Reconnect only 67.84 2. Email:soiatpdxigme coin Pump or irrigation circle 67.84; ' Electrical Lic.: c923 Suprv.LW.: if(7/5 Signor outline lighting 87.84 Suprv.Electrician signature,required: Signal circuit(s)orlinuted-etwrgy • 0�•tsa r2 � ..2.; '� Print name: k i k. ,0.04. Date 23� Pte,alteration,or exiension. g ` . Each additional inspection overailowable hr any of the*bora' • Authorized 6i_� / Additignal inspection(I hr min) ' 66,251 hr - Print name: e • w Dotes" / Investigation(l hr min) 90.001hr nt taketrosere:eorac_ ..p23r_EtlE.doc Rev OGl17r2015 No 16157Ct(!d5/LOrdlR'� N: x • Plumbing Permit Application ` . : .. Building Fixtures ,..2; -i 1 OR 1)1 1 1 t l: 1 s} a\1.1 City of Tigard Received Permit uay/��/��� ,Ilk r 13125 SW Hall Blvd.,Tigard,OR 9;7,323 � man Review t7tlnrParntit No.: Phone: 503.718.2439 Fax 50 5.$8.,1960 , , ., !)ate0y: I Inspection Linc: 503.639.4175 '3 t.,_ _. _ pate Readyaty: huh. 6d See Page 2 for I i Internet: MFVV tigard-0r got 11ob8od/Method I Supplemental Informatto to rt -�7f�` l' `';'.'.' -r` '7i4 'u'c1 �' -Yei: �4 1£a 1 ! f%:?,• ,9 ` - i.�••S "?5 3 x tfi? 3t')'. 5';'•7:'''15:-;-:g'-..:2:7.45,r ,,, ' '�.,n� .zL;wIli % � / M:r.-- %•.. 7:(,-;'.-", ' »ri For special information use checidise )s)New construction ❑Demolition Description I Qty, I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) - SFR(1)bath 312.70 a. t,;.r. ;�',,,''''''' '"""Or.) ' ? u`� y f 'N� .,, -, '' L''' '- ''' �' .�c'v +`''; •i �-f sib'-1 �f,' ."" Commercial/industrial SFR(2)bath 437,78 ® I and 2-1;tmily dwelling SFR(3)bath 500.32 Q Accessory building 0 Multi-family Each additional bath/kitchen II 25.02 ❑Master:builder 0 Other _ Fire sprinkler( sq.ft.) : 'T' Stl ,"7 �''�I'''''' Tk i �.''.!r ria.-Y.y - S';Y v 4 3 'y t¢ I � E r, 7 F etc utilities: 52 D s� Pt t�t� Catch basin or arca drain 18.76 Joh Site Drywell,leach line.or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no,linear ft.:^) Page 2 Suite!bldgJapt.no.: f Project name:Polygon at Bull Mountain Manufactured borne utilities 50.03 Cross-street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_,j Page 2 Storm sewer(no.linear ft.:__) , Page 2 Water service(no.linear 114_) Page 2 Subdivision:Polygon at.Bull Mountain I Lot no::5 Fixture or item: Taxmap/parcel Aacf tlow preventer 1 31.27 n^^n. -z,el l -- '""IF" ,:;. > •'r< .. Blackwater Valve 1 12.51 .�'r j-k `:hr's _, ,� . f .t+7.'�.`c_r,.p"'.s,. '_'-'g .Tn ,„.:-.47:17'-;./"' 'brit a:: Clothes washer 25.02 Dishwasher 23.02 Drinking fountain 25.02 Ejectors/sump 25.02 • n ,, Expansion tank '::,,,,::,k... ..;;;.7-,T.,:?'�a ' t" f' • "a�:n } �; i•'P _ , 12.51 < y - .. Fixture/sewer cap 25.02 Pnlygon WL11.LLC Floor drain/floor sink/hub 25,02 Address: Garbage disposal 25.02 • • Hose bib 25.02 Phone:(360)695-7700 Fat { ) Ice maker ..12.51 .A �g " 1e r . 4 '9 .4,' r ; ., +' '`�"> r lntercepior/grcnse trap 25.02 Medical gas(value:$ ) Page 2 :Business name:PNI1CC olygon!'VLH;LLC Primer 12.51 Contact.name -Th6f Roof drain(commercial) 12.51 Address:7. 9 East 13th Street Sink/basin/lavatory 25.02 City/StateIZ.IP:Vancouver,WA 98660 Solar units(potable water) 62.54 I l Fare: t , Tub/shower/shower pan 12.51 Phone:(36 /11,_ Urinal 25.02 l ,, i,I i� _tom . ,,�, 1,,P.,10.„, ,ill ,,�,, '_ 25.02 ` t s ar . Water closet ' . T _.i - ,1 ...�_, ,...„14.,,,..,,,-_,,, .. 3:. ...,- _ Water heater 37.52 . name:BDL Water piping/l.)WV 56.29 t Box 85 Otho 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) ICCB Lic.s 180345 Plumbing Lie.no.:PB1.582 State surcharge(12%ofpermit fee) Authorized signature: ;.e,,��•'" TOTAL PERMIT FEE g"'� This permit application expires Ir a permit is not obtained within 180 days Print name:Brandon Lanter Date: after ithasbeen accepted as complete. "Fee methodology set by Tri-County Building Industry Service Btiard. 49a-48t6r(IU�02rC1'xvT1W3:a) 1\BuildiregermitAPL W-PermitApp.doc j lIQ9 1 IIIIICity of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT II TICARo Building Permit Review — Residential Building Permit #: _ __5T /7 2L Site Address: I fTho Si,U 1'&.Aa& A'J& Project Name: Pc (ii�cC)y) Q4.- RAI) k to..v 0-e r Lot #: 5 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: / i, Vii/Verify site address/suite# exists and active in permit yystem. LE' River Terrace Neighborhood: IIINo g Yes,See River Terrace Review Addendum Attached Sit Plan Elements: 4 ree(3)copies of site plan/ xisting structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper rJ Footprint of new structure(including decks)with finished ,,/� Drawn to scale(standard architect or engineer scale) floor elevations Liii/orth arrow �� tility locations&easements(required for new and additions) E Eite address,project or subdivision name and lot number hdSidewalk/driveway approach Of/Applicant information(name and phone number) N. .cation of wells/septic systems G .ot dimensions and building setback dimensions Likxisting trees to be retained with drip line,and tree l! quare footage of buildings to be demolished protection measures Rfeot area,building coverage area,percentage of coverage and Itreet 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 kiiitStorm water quality facility required if>1,000 sf of 4 foot differential) impervious area is created or replaced. Itlf)NClean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): ,_ /Required: ❑ Yes,applicant was notified X No Received: ❑ Yes CI No LW'Public Facilities Improvement(PFI) Permit: 9U-'2_0t 5-CC7 J Required: ❑ Yes,applicant was notified ❑ No Applied For: 'Yes ❑ No,stop intake Land Use Case#: Lk\-62.0)5-00062- Zoning: R-41' 4/ Required Setbacks: Front 20 Rear tr.) Side 5 Street Side IS Garage 7 Olt Landscape Requirement: Iti Lot Coverage Maximum: El Building Height: Maximum Height *-2,-7c, Actual Height -2_9 >! Et Visual Clearance f' 0Sensitive Lands:dGI Yes CI No Type Urban Forestry Plan Conditions "Met",prior to issuance of building permit Notes: ()i;1 v2 `Y1 C'f''►ld/4 005 C Si i /iS . iO Y t'' ,., ._',L.HC Approved By Planning: fly-M.04,a., �- Date: (��ii 2/ 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 N. Building Permit Submittal Original Submittal Date: 1/476,M, Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering Ct1 Permit Coordinator— Building Workflow Sign-off: 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: / X By Permit Technician: /Ai / . &moi Date: 4Z Engineering Review 5,1 AI Slope at building pad: zr Conditions "Met"prior to issuance of building permit Z1Easements (encroachments) per engineering conditions of approval and plat J21 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes eNo Assess Water Quantity Fee in-lieu: ❑ Yes ,No LIDA Facility on lot: El Yes )2"`No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: -A---k- Date: k, [ti i 1 Revisions (after Building Submittal only) Reviewer Date Revision 1: Cl Approved ❑ Not Approved Revision 2: ❑ Approved El 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: SDC Fees Entered: Wash Co Trans Dev Tax: Yes El N/A Tigard Trans SDC: *F Yes El N/A Parks SDC: Yes El N/A LIDA El Yes ,ieN/A OK to Issue Permit 40 �/�.- I�L. Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPemlitRvw_RES_051617.docx City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT ill I TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: j 2-3D PE ACE AL c- Project Name: i.,,j�r ) cti- Dui! N�aty�.n'y, Lot #: C�,- ( ew dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? ❑ Yes KNo 1. iculation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An addition al ele ent required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gab d dormer 12 ❑ ❑ ❑ ❑ 2. Eyes on the eet: a minimum of 12% of each street facing facade must include window: or entrance doors. Percentage Sho ,: 3. Entrances:At least on: entrance must meet both of the following standards: facing wall ❑ Parallel to street, angle no more than 45° from street, El Max. 8 ft. setback from lon:est street- or open onto porn Entrance opens to a porch: ❑ Y• ❑ No If yes,all the following apply: ❑ 25 sq.ft . ❑ One street facing entry ❑ 12 f max. roof above floor of porch ❑ 5 ft. depth min. ❑ 3:Vo min.porch roof coverage 4. Detailed Design:All buildings shall include a . . of fi - of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide ❑ Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood ► Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. . ❑ ` irizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of street fa .de ❑ Win.•w trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches fo .11 street facing ❑ Bay win..w min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 f deep with inside access ❑ Attached g. ..ge 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 fronto ide lot line, than longest street-facing wall. ❑ Yes ❑ No. If No heck one): ❑ May extend u. o 5 ft.if there is a covered front porch and garage does not extend beyo • the front porch. ❑ May exten. p to 5 ft.where the garage is part of a two-story building and there is a windo • at the second story above the . age that faces the street with a min. area of 12 sq.ft. Width: ' heck one) ❑ 1 -foot-wide garage door ❑ 40%max. of street facade • 0%max. of street facade with 7 detailed design elements Notes: -A , j. I rr � .� VI Approved By Planning: ✓� Date: 4/f--7 / 7 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: 15230 SW PEACE AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00225 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS Comments: No A/C installed at this time Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15230 SW PEACE AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00225 Inspection Type: Inspector: 399 Plumbing final Allyson Armstrong Result: PASS Comments: Water pressure = 60psi Note: Hall left lavatory stopper not working. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15230 SW PEACE AVE, TIGARD, OR, 97224 June 15, 2018 at 11 :33:00 AM Record Type: Record ID: Residential - Master Permit MST2017-00225 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control passed Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor