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Permit t CITY OF TIGARD 1071011111 MASTER PERMIT `ri 2 COMMUNITY DEVELOPMENT Permit#: MST2015-00252 T FGAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/28/2016 Parcel: 2S1080001504 Jurisdiction: TIGARD Site address: 15138 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 61 Project: Polygon at Bull Mountain, Lot 61 Project Description: New SF. 8/10/16, REPRINTED to add 2nd water heater. 9/8/16, REPRINTED to change electrical contractor to Garner Electric. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1591 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1842 sf Garage: 679 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3433 sf Value: $422,146.98 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 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: N 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: 6 201-400 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 3433 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: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,635.27 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 952-001-00 through*AR 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 y: /-� Permittee Signatu _,, , r Call 503.639.4175 by 7:00 a.m.for the next available inspec ion da 4 This permit card shall be kept in a conspicuous place on the job site until comp etion of the project. Approved plans are required on the job site at the time of each inspection. Electrical Permit Applicatik hit P 1 44,1, i "FOR arm CE, USE ONL-V - --Y. ._ __ -,• - _, _ . . . .., • ..., , - City ofTigard Received Date/i3y: Permit*: 4 GT0 IS_OD-2_..52. IIII 13125 SW Hail Blvd.,Tigard,OR 97223S E P 7 2016 Plan Review ; , ' Phone: 503.718.2439 Fax 503.598.1960 De/fty: .Related Permit ik Inspection Liam 503.639.4175 c ii-y Oh I 1 ciiAt:i fo Ready Date/By: •.Terk iii See Page 2 for 1 W A RR, Weald: www.tigard-or.gov , Notifted/Method: . Supplemental Information ...- W- soIr RaDIN.It..0t..c,,i ,..,,, „. s. .„.,.. . ............... ..... . ..,...., -... ,- 'C'S-.AkViiWg'Altigi'fk;:g'iVilli4t):M ,,i;i-;.(:.4._igiqagii:1.'le;2',TieiP., .'414W/Weiclgt:1440.11Kft : ...4 New constriction 0 Addition/altenstion/replavr,ment Please check all that apply(sabre:0a sets alpine wfitema checked): Pthrrvicc or feeder 400 amps or more 0 Building over lime stories. 0 Demolition 0 Other: . where the available&Amnia 1::)Marinas and bootyanis. : 57tS'AgYPS.PegfiCtA:VatrIt6lAitilliegftiMtiblagiffittalt<1;kg'ig:RF:g4/.! exceeds WO°amps at ISO vas or Di Floatin8 bugdinP. El 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building isse to ground,°reset:oda 14,000 0 Commercial-nse agricultural amps for all other insiaftallawx• building. 0 Muld-family . 0 Master builder 0 Other: 0 Fire pomp. El ID:mouton of ISO KVA or 1A-Y11';:::''sf:..NIABis,..,r,.:C,i .:,ilklitft„:-ift0.40.30004.001 i4'..•. :'.''''''.:', '..':.'.;\ ';..,-•':'.:. 0 04.'18'316Y sYslera• larger separately derived Job#: Job site address: 1 5 a SW isii-th Avr, Cl Addition of new motor load of 100HP or ntore. Ci velem. "A","E”,"l-2","l-.3", CI Six or mem residential units, occupancy. . Oty/StaterZW:Tigard,OR 97224 Eilleaith-owe facilities. ID Recreational vehicle parks. Suite/bldg./apt.#: I Project name:Polygon at Bull Mountain ElHatranious hollow. 13 Supply voltage liar more than - 0 Service or feeder 600 stops ormolu. 600"Ks nonmetal. Cross street/directions to job site: ''...V;; * -.i; ''::*.'il'*':'.,'',.ktkr..'•Akifikb-Ar.i';R:j:Ii- n.iil.:i:s.-IM ' • batoiptien (Oh. I ikib -i Total f New residential single-or multi-famlly dwelling unit. Subdivision:Polygon at Bull Mountain I Lot#:Li) 1 Includes attached garage. 1.000 sq.IL or less 168.54.,. 4 Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1 . iff,Wilfgaitarifigel-VA11`..., c'....:I'.;-ii‘i;....•itik-Meriiiii.CV•If V.?..i.:':Xki-t-•:'ig‘",..,7k..i1;:i :t4:..0,..,St. Limited energy,residential Cji/large cbotviior7500 2 (with above sq.ft.) Limited energy,multi-family . 75,00 2 residential(with above sq.ft.) Renewable Energy 1:1 See Page 2 -14.141,0MAtliNgeAti*Alti ,..:... ;Tlit},0.R.O.VC ,r3,ini0111:t2W.;.: ;:N.,:i:1:iqi Services or feeders Installation,alteration,and/or relocation Name:Polygon WWI,LLC 200 amps or fess ... 100.70 2 Address109 But 13th Street _ 201 amps to 400 amps. 133.56 2 : 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2.. Phone:(360)695-7700 I Fax:( ) Over 1,000 amps or volts 55226 2 Temporary services or feeders Installation,alteration,and/or Email: . relocation • Owner Installation:This installation is being made on property that town which is not 200 amps or less 59.36 I.. intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 , Owner signature: Date: 401 amps to 599 amps 168.54 2 *Anpurraggilleatii4 ve.'ellik?;i':!,:ry';,•rtoe.j•-•' ' '- " - '' . . Kibtriflirfilit Branch circuits-new,alteration,or extension,per panel _ •`;0511it.fikii:M:As ' .4.,•:;*;:',..Zka-xili•i:AA='I'IC":''erg-•;*-'e V- e.'''• ' "',': e'' ..1:0•'-'"•' ' A.Fee for breach chtuits with Business name:Polygon WLB,LLC above service or feeder fee, 7.42 2 each bunch circuit : Contact name:Angela Gra j ewskl B.Fee for branch cimuits without service or feeder fee,ling : Address:. x3thRreet brand circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each addi branch circuit 7.42 2 Miscellaneous(service or feeder not included) _ Phone:(360)695-7700 • '.•'. _I Fax::(360)693-4442 ' Bach manufactured or ncodular 6714 2 dwellingg,service and/or feeder Email:Angela.Grajewsid®.polygonhomes.com Reconnect only 67.84 2 Zf4471'.W.; 1,7.4r,i7if.:01.6ri-Vgf70.0,' 0' i,.31114.2,1-Pgn'e::N:WitiiiRlafr.4'itarMii% Fump or inigation circle 6784 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 4... Signal cheeks)or limitcd-energy 0 sae rage 2 2 Address:6101WE St Johns Rd • panel,alteration,or extension. Each additional Inspection aver allowable in any of the above City/State/ZIP:Vancouver WA 98661 Additional inspection(1 hr min) 66251 hr _. Phone:(253)320-165/ Fax:( ) Investigation(I hrmin) 90.00/br Indushial plant(1 hr min) 78.18/1v Bmail bdaniels@gweusa.com Inspections for which no fee is MOO/he CCB Lic.: C1158 Electrical Lie.: 208174 Suprv.Lie,: 44965 sPeciTical, ,li!`!Fel( I.I.r min) ., ,,... ii.:::z .. - ,.. Lit: • r ;',g.j....e.V ,O.tiktIatted,q(kattiliMatt*,';11NY4.01St Suprv.Electrician signature,required: -(AI UV.i--•.',. . no Subtotal: ,_.—. Print name: Joan P Albert .. Date: )'13 A.() 0 Plan Review Required(25%of permit fee): State surcharge(12%ofpemdt fee): TOTAL PERMIT FEB: Authorized signature: r,,•;••2, ..-•• ___.....,-- ....--- This permit application expires if a permit b not obtained-within 580 Print name: Bill Daniels' Date .3- days after it has been accepted as complete. * Number of inspections allowed per permit. JABuilfesiPeurthstELC_peopitApp ETA BRELdoe Rev 061170015 4404615TO 1105/COM/WE5 • CITY OF TIGARD IIIM MASTER PERMIT I II . . COMMUNITY DEVELOPMENT Permit#: MST2015 00252 T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/28/2016 Parcel: 2S1080001504 Jurisdiction: TIGARD Site address: 15138 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lo 61 Project: Polygon at Bull Mountain, Lot 61 Project Description: New SF. 8/10/16, REPRINTED to add 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1591 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1842 sf Garage: 679 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3433 sf Value: $422,146.98 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 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 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N 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 add9 500 sf: 6 201-400 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 3433 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: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,590.27 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 thr AR 952-001-0090.-0 You may obtain a copy of the rules or direct questions to OUNC by calling 503..1987 or 1.800.332.2344. Issued By: ( —�(5G Permittee Signature: (` -t=eC dam( 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. Plumbing Permit Application Building Fixtures RECEIVED . FOR OFFICE USE ONLY . .. , ... .. • i II ... 13125 5W Ha111.31sd, kigatd.OR 97-AUG 1 0 2016 1.,,,,,,R, ,.....„„„__„.,,_„_„___, ,„„ . „. , l'onnt No MST.2.n6—Thr,"?..5/-1--• 1 "" VO ''"....._i i Plan kt, -i ' ^ 3 ' Phont.`: 503.'18,2431/ I;aN' :',(17, `,081960 . ()Tim'Poinn\ti.,.., 1 Diikil it - inspection line: 5(13,639.-1175 CITY OF TIGARD ..........__, ,TIGART) , . , , OctSee l'age 2 for 11100101 wssei.tujia l.1-01.g,0t guiLDINaDivisioN, L, i,,,,i,Nictiii-. i StiOldVillVtital Information 1 TYPE OF WORK ----- I FEE* SC111;31/11LE i 1 E N(11:1 constructirm 1 [•-] Demolition for speeioll infortittnit)tr use elieeAtist -1 1)e.. e.r ijition 7 ()1.,. 1 1;a, ;;;;;; )));1 trial;;;;;;_;;;;;• 1 Fa Arklititmlalterationdcplaccmeni 2-bimilv(Eve/brigs tincluites l 00 ft.lor analt nninii).eimne,,,,noto ) CATEtjORA'LLE CONSTR1 E-110N " ! SI-Pill bat h 1 I-and 2iamil), dvsell11 Comm ing 1ercial/Mciusititil I 5 ,1R LI i bath 1- : 431.7x I _ 1--- • ' --- ; ;I 51.P.13i bath i 300 ;2 1 1,„1 Aecessors building ; rd Multi-Ian-Ms. 0i; 1 I !kb addrili,1011 1)i1111/101.1.110.1 1 ! 2..'.'.0.."' ' I J Master builder [I ri(Mier; ilate sprinkler t sq. Ild ..,-......„.......„_„.....„--„................_____________ .....„...„.„.....„._„.„.„........_ ...___.........„,....„ ...-„....__ .. .„„_...............„. _ ...........„„„_, „........... 1...„. ] JOB NEFE INFL)RAINIION AND IA)(AtION ; sow utilities- , , . . . . ... Job site address: 1 t k . (-,6 Sw Ii-t A-11 tac-ve__. , Catch basm or area drain 1 , I Tle1X , Dts\sell. ach Ole.or trench drain ("it)/Si ale/11P: igard,OR 97224 , ! Footing dram mo. IMearkt.: 'i ! , Part);2 ! . ) Suite/bldg./apt,no.: 1. Project narne: Polygon at Bull Nittutitaiti viallwaci„,„„„d h,,,,,,,wilinc,, it Cross street/directitins to job site ! Manholes I 18 76 i ,, Kant dram cidinectot i 18 76 ; . 1\ ' " ' ' I " -1 ' 'ma 05 01.,51 r 010 .11'!. 11 .I 1 ' ! Phr a11C 2 1 1 5to1111 sesser i no.lineon.._ i j ),..."),' ! I ' " .„ Witter service mo linear ID i._,..) ! I i „, ) , ,, ,.. , Subdivision: P(ilygoio at Bolt Alountain 1 1.rit no,: Lo 1 .... Prvtore tw iii RaCk/11.1l1 pi eVerill/t 1 2i 27 ; I',ix mopfliareel no.: —I! j ; . ),; Ilaekvsater salve 1 12 51 ! 1 DFSCRIPTILLN OF WORK ,,, 1 - 1 psc ja„,„,, ox..1(i.I. - vvo , \....\ oul i.., ( is,,111,!„,!,,•\ ,,,,,r i 25.(t2 I - •k \).1 ,k ),(- c -(.-'( ' - 0,,i,,,, her ,, , 1, , ,,,,0,2 , I , -.1 Drinkme louniam I ! . ! I Doorsistimp . 23 n2 I * ; La -PROP}R11) t-LAANER . I Li TYNAN' I . I \I!Ill ilt II putts ; 1 kiktute/sesset cap 41' -i3 iD r , Name: 1,0t,,,,g,,,,,wi.It,Li...(''' ,', ,..... -, . Iloor drain 1)111 sinkhnb Address' 109 Last 13"Street ) 1 _ ! Darhaste disposal I I (Its'State/ZIP:Vancouver.W A 98660 I [lose bib ! 25,02 i , Phone'(36(11695-77110 1 Idis:( l ! lee maker 1 ) i , CZ APPLICANT 0 CON'FACT PF,RSON ! IllIelce18 ertill\-1152'Ion 1 ,,,o,), ii . . I is Italic:al gas(.24.all1C'$ ) ! Page B uistioss ,tmW e: Polygon 1,11,113( 1 ) - ! Printer 1 12.51 ; I Contact name:Angela.Cita:jets-ski „ .. , Rooldrinti(omato:tool) ) 12 51 Address: 109 East 13111 Street Sinktbasindavitiois I :'0(I) I ; (itsi5tate'/IP: ValiCftliVer,WA 98660 I Sok» linos(potable ssater) t') ,2,3,I , . I , ; 1 1 Phone:(360)695-7700 I l!as: :(360)6934442 ; lith-shosser shyi oer p51 an 1 l 12, ; I; i--- . ,. _ I mini ; );to 1:2•1110 II:Angela(;ra jewskiri liol.);goo bittnescoin t — 4, . 1 \\.ate,ck),,,,,j, -.).) / — "----"-.------(--i)N1'wkt7ratt I, , ' ‘ ! ,7 52 '316/ i ,„,„,„„..,,,,,,,..„,_._ ...._.:,........._ ,... _....... '............,.....:„...___ , Water heater ) Business name" 13)01,Plumbing 1.1,eI 56.70 j ;diet mrimit.Tivs t„..- . Address: Pt)Box 85 I other I I. 02 ! . , . { CksiStatelZIP:( ii riett OR 07019 Solon)it I I --T Minimum penlet lee: 572 50 I I l'hime:(503)351,3903i Fax:I 1 . 1„ : I . „„„„...... Plan res less i7".I5'20 of permit DM (CB 1.1c.: 180345 1 Plumbing I it no.: 1'131582 , . „ Yale snide-age(12I!!!,anemia leek Authrtri/ts1 signature: , : i.!; „ .- Ill PI:RNI1 1 HA „„______.. __„ , .„„...1._:: . ,..• • . lint.nermit application espies 11 a permit-is not.obtained within 180 ilas I Print.name: Bratition Lanter ; I)atc: , 61_ ,/,, 1 4ifter it tras 110V11!ivt.Tpi(Nt a,i.1,411.111(111`.. •i, ,.„. Ir.!,."1110i10; . '.el I1V h!-S,1toll) U0(11.114'01111(II So)ii..',..-niiind [hating i'i.,iiiii;II 1.11.;-0,,,011 Arp d,,,,, R,0 i oR 1.-1i..!0,,K!C00VO Iii CITY OF TIGARD MASTER PERMIT "`I 8 COMMUNITY DEVELOPMENT Permit#: MST2015-00252 Date Issued: 03/28/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 3/28/2 001504 Jurisdiction: TIGARD Site address: 15138 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 61 Project: Polygon at Bull Mountain, Lot 61 Project Description: New SF BUILDING Floor Areas Required Setbacks Reaulred Stories: 2 Bedrooms: 4 First: 1591 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1842 sf Garage: 679 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 3433 sf Value: $422,146.98 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 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N 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: 6 201-400 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 3433 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: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,458.25 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 952-001-009 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.3 / Issued B : Permittee Signature: OA✓ SPL_icf, `4.rON Call 503.639.4176 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. td7— 6 / ja Building Permit Application RECEIVED Ls /Q//9 /s- Kederi 12015 N. DEC 2 Received City of Tigard DateBy: �02/1//,<� PermitNo/t .cr eiJ 7O 5j 71 al 13125 SW Hall Blvd.,Tigard,OR 9722 � ��D/d CIAF111)_ 'TY � � ( (}� PlanReview� / Other Pe Phone: 503.718.2439 Fax: 503.598 , f-, 01\119:40N DateBy: CIL a 6 1 I,; R I, Inspection Line: 503.639.4175 1 LD I '-� Date Ready/By . 7uris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method0'441/(0 Supplemental Information s , .:.x . 4 6 d v :: 'a2 d^ .c �, f, a 4 s ,„- Y # • a �®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 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the -,.-7.'',' �� t, - i:x • .� ' work indicated on this application. yfE �'`_ ® 1-and 2-family dwelling 0 Commercial/industrial Valuations 1 I 1-7 $ � J D Accessory building ❑Multi-family Number of bedrooms: 4 0 Master builder 0 Other: Number of bathrooms: /la � t- . °k F, " ,. Total number of floors: 2 �x,�c��:�,,;'-si+: u.a��ac# auc.�'[�*�'...x�.'�a.�.�., �a `� .. .T,�S°•-"�. .� �.s Job site address:15138 SW y- i-- 4-//� New dwelling area: 121" square feeti I 0 C City/State/ZIP:Tigard,OR 97224 Garage/carport area: 1 square feet Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Covered porch area: < <?b' square feet 1 g 4� Cross street/directions to job site: Deck area: 030 Yquare feet i\cc Other structure area: fp square feet Subdivision: 1 Lot no.:61 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 -, • •• , • 1 ',. .1,:.7,,1-',..,,, o ,,, t s , •R - work indicated on this application. New Single Family Detached Construction Valuation: $ Existing building area: square feet New building area: square feet ., � , _.. ... r r , ' _.:541',2 �;; � g F t .Zi Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 E 13th Street Occupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695.7700 Fax:(360)693.4442 New: • "• ::�fi 'gym f -s`'f Business name:Polygon WLH,LLC - "u� ..-r s. a .A., .e...,.", �.� ..., ,.. ,� Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address: 109 E 13th Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Phone:(360)695.7700 I Fax::(360)693.4442 • Amount received: a E-mail:maggie.gordon@polygonhomes.com .. .... - - s Commercial and residential prescriptive installation of _..� .. ' ...: ter , _._.-, � 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 E 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: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Maggie Gordon Date: 12/11/15 *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) , Electrical Permit ApplicationREC IV D FOR OFFICE 1 SE OS El City of Tigard Receiver) Pennit - D/ DDaS12 g 2 015 gait:ny: • 13125 SW(tall Blvd.,'Tigard,OR 97223 DEC�C flan Review '' • Phone. 503.718.2439 Fax: 503.598.1960 ^�_ n t}aldBy: Oilier Per I I C .\F I) Inspection Line: 503.639.4175 CITY Oh TIC,\ �-� Date Readyll3y: Jwiz 0 See Page 2 for Internet: www.1igard-or.goV >vt( 9l.t?ttk�.�'NG 01\nS'�` otifed/Metltod: Supplemental Information '� t �]�.Tif 44ylW• IrralfL407.#0�. yC ^ Y • fc .I - ox .. _P•t ..... } ..• Please check all that apply(submit 2 sets of plans ./items checked below) ®New construction ❑Addition/alteration/rcplaccmcnt ❑Service or feeder 400 amps or more 0 Budding over three stories ❑Demolition 0 Other: where the available faith current 0 Marinas and boatyards 5, f1t ar 4. „]k�FC14SfJ�iCt1 ( - :,.1,..;,..... .1:.;.. exceeds 10.000 amps a t 150 volts or ❑floating buddtnes • y . s?..it , , z ,.... •a. *,•Os , less to ground.or exceeds 14.010 ❑connncrcial-use agricultural ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building' amps for all other Installations buildings 0 Multi-family 0 Master builder 0 Other: /5.-',' 47/'v+�'0 Fire puuti l' 0 Installation of 75 KVA to =�,y.;��.+-_ ,��s-=�.., r cs•pe >� v+ �}max' h-r Einergenev system' larger sepa'mtely dem cd s)u elli ::ws 4A:21 4_ =AV- s @7 a"'-f� ;'may L - b]; :.` .. - ❑Addition of n-ew motor load of ❑ A Ir 1 l_) _ `5V �� I(xlor or more. Recreational Joh no.: Job site address: �/� - 1 ❑Six or more rcstda'lial units 0 Rccre:uu>n:d vthtcle pails City/State/ZIP: 30.1. ,a c�/ �� e� _ ❑Ileahh-cart facilities 0 Supply voltage lin more than �1 O (/ ❑I larardnus Icealions 6011 volts nonunal l ha it-t� 0 Service or feeder 600 amps or more. Suite/bldg./apt. no.: I Project name: �� , /�t ` ..'''''T _ Cross street/directions t0 Job site: nescnpti°a,• I Vtv. ( Fee. I Total I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: U \ 1.000 sq n.or less j 168 54 4 I:'a.add'I 5(X)sq.Il.or portion 6 33 92 I Tax map/parcel no.: Limited energy.residential 75 00 2 dy I �r, w s4 _ + N = with above. .ft , Ax -6. t l X30 50-c ( w ) Limited energy.muni-family 75 nn New electrical service and wiring residential(with above sq It.) - Services or feeders installation,alteration.and/or relocation 1 200 amps or less 100.70 a 44 p .Ra e ' c `� ,� lEi?l/►i 201 amps to 400 amps 133.56 t-- Name: Pd` 401 amps to 600 amps 2(X)34 `, 601 amps to 1,000 amps 301.114 ' Address: 1 b a ,,o'1” ` Over 1.000 amps or volts 552 26 City/State/ZIP: V t(OjD ^c `�q rj, �v T Temporary services or feeders installal .alteration,and/or tv/(w}(%� /i' relocation Phone:bz,D) to Ct5 ?'"4-0D Fax: ) t Q -4 21x)amps or less 59 36 1 201 amps to 400 amps 125 Ox Owner installation:This installation is being made on property that I own which is not , intended for sale,lease.rent,or exchange.according to ORS 447,449.670.and 701. 401 amps to 599 amps 168 54 Branch circuits-new,alteration,or extension, et-panel Owner signature: Date: A.Fee for branch circuits will: tc .ea :�¢¢ = ,.• - r •_'- above service.or feeder Iver. .i.� �•. Awl 71 ':sirs 1 j :ie iq,:wy `F'{9 Tt4 '� l�.`-.2' k.x? 7,la r.✓ _: ,. ,x- each branch circuit - Business name: �o • ! 13.Fee for branch circuits without service or feeder lees first 56 18 2 Contact name: m a if ave, -air branch circuit IV Each add'I branch circuit 7 42 2 Address: i r• 1 Miscellaneous(service or feeder not included) �•t ` . . ' /.j (� Each manufactured or modular 67 84 I City/State/ZIP: QX1 l l r lY dwelling service and/or leerier " Phone:( ) Fax: :( ) Reconnect only 67 R4 2 r VI Dn� ��-��\ Pump or irrigation circle 67 84 I - 2 E-mail: .tJ Sign or outline lighting 67 84 I _ •_. ,.':_.#.' :.;..'_..,,,_.._.t: F -C'�!„ � - , - - � Signal circuits)or limited-energy Business name:Simply Electric panel,alteration.or extension Page 2j . _ Each additional inspection over allowable in any of the above Address: PO Box 822408 Additional inspection(I hr min) 6625/hr Investigation(I hr min) 66.25/hr City/State/ZIP:Vancouver,WA.98682 Industrial plant(1 hr mm) 78 18/hr Phone:(503)849-8202 Fax:(360)314-4945 Inspections for which no I'ee is 90.1)0/hr specifically listed(%,hr man) CCB I.ic-: 204615 I Electrical Lie.: . 067 Suprv. Lit.: 4394S '. :EELEC] ttit.—.RI1IT=:TEES ' Subtotal- Supry.Electrician signature, required: &-c_ i Plan review(25%of permit lace.) Print name: Victor Zarzhitsky Date: I 117/2015 State surcharge(12%ofpermit lee). TOTAL PERMI.l'FI'N. Authorized signature: This permit application expires if a permit is not obtained within ISI) days after it has been accepted as complete. Print name: Date: ' N her of inspections allowed per permit I liuddnnecrrnittIJl.r-Pcnnit App don 07,01:10 4411.461.Tc I t•uc•('pstANLIt • , . .efigcEivEE) Mechanical:P+ermit,A;AAIi C. y O Tigard ADCC 21 2015 i 13yS S19 salt 61vd.•;Tigard,.OR:9T71 Mit Reeietr . r Pbttit; ,5Q3t7i&2439 Fvp 5935 t . , 4, T i f',r R 1 i)aidBr;-. — .-.._ . .__ �: tr�� (3dre'Perwt 9 ,tF i 1 �l,� {5aati H StePaee�ioc Int t+or►a... 303 634.4175 i C.,t•'".A I D 1 dY�Y Suppterate. .far aatibr: ' laninet +w lgard-or.goY EUIL35;'�,,�� ),,1's,-� t..tfv Noah :, • • l' Ar .rn . r. i''I en'--.4•Z -41-' ' °.' aR Exp =_ - 3-`�`. MecheniceY pertirt:feels.BCC basedoa.'8ee valutbEtbC work- 121 NC*s vdiof 0 Additiciniattre atioitlrCplacanent performed indicate the value(rounded to the nares dn11�)of all ❑Othe= mechanical material' equipment labor,ova-bead.and profit Q A 11,* !{ Yalitc S ®i-m d2-Airoity dwdning 0 cttmmetcielimi4ti1al 0 Ate'baig For*Oki f axeld:lot use c6adt 'ai c _T e "i Al-- 1:004641:1111. ❑t bthder ❑ote / "709 --�vor rro6n 1 Q• Ifie I Total H "S _ .- .-Y- 'g ^r3•7r a g7 Othn3: � ..��? u.— -� 46.75 Jobsrte .. I)Ib O `O / elm"'I'ditG,r"-I._I I 1 Ilyw Fu rrace':IOO,a00 VW?a adr; l 1 46.75 -r, 0.)C.ak 0 ii -aana a 10O;006i-.$TU(dam:vents) -54:91 � a- 61.06 • Bathe.' ‘.6p,?)U 11 mtn 13aiWork 2332 'Orositapchiections to job site: Hydrant- hot water system 2332 . ReiiEmfial Wer(ramal or or hy2332 �c) thit#otltt(4.-ty!p4etc>?!t . iiisia ,an.-0 iAseBP -irk. 46.75 ._... Letan ` FlitWast.foraarfy of abaft 2332 2332 ub . :wa _ \ te cr .tom lfide`rteski - .. ", .t- 'mss ftxevlsaTutsat �S 4 <. c < water-• 3339 . .< �•saotfoc . -2332 ybt .fyatl 2332 - . - _ _ . _ by 3339 _ 23.32 VW:S:ep7acil�t. 74-1., _ — 23.32 < , < = 3'arotal rsliaast acid>rcudhtriotc: .'N ne N1 Nor1bwtst I 33339. 24>3dtem,,1O EI3°St .. .t'bibaahIerzbaust 1 .3339 Sin adtaz=Must s>s, [' oartf,W 95661 ufikty.ra rxis) . 4 23.32. • 'mss; Fax C j 21.3 1 2332 8a error Pa1,ygon$urtitwest .. .SikiS or fast Foos;S4.03 tor.etu#i nrkittio al _Faininee.cfm I - Arf l®4 E 13 Sc Yir�+1Brt> . lefar YaleAav�_,S A:98661 "4gi®erireamr .:� - Vis. ._ z� 1 ' !ffi t1ail1C.lritldl7aHn j ( i .E .- ... -, _ Subtotal _.,..: .en,,. 3Jluiamun permit toe i�9D D0) ' i d►t31t'97224 Plait iatii i i 0.5%a£pei'tuR biz)" Phase; 992-064 1 Fa=Ste)53646B - _ -Stott kill a(12,5 o paatitfee) tO7%t41 4TOTAL player FEE yper• apPlicifsati eigfeees7.1fspemtiarotsbralaedwithia130 days siker it-Mei beim iroerOtadAi tompletE• ., fit metbodobci'tet bI'U.-CoaxalBwl�nt;Wass,Service Board Aufbprizrd gigot/lir: )'rintnariae N't A'aderie1 Date 11/20/211T5 Iiitoit6'sii iwriraMkjaaitApp-04a1 i].doc 440461 Tr{1LO ccovWEB) Plumbin Permit Application 6f 3! ,-r rolz ori l SE oNLN building Futures lved ;,Na- y�7�/S--po.z 5- City of Tigard GEC 2 12 015 lir. 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Reviw Other Permit No. _ • Date/BY Phone: 503.7182439 Fart: 503-598.1 �r. r-t �� Sec page 2 for ]nspedion Linc: 503.639.4175 Y OI- T I G AR D > Reedy/BY 14 See rage 2 Information }1�_ Internet www.tigard-ot.gov B •i S r + etlw� __ lnfo _7.-'''''"-----:,'? c .. .1. - - _ ", «�.y'�=' 1 -`-,Z -,-.,=-_-_,_:_-„, _ >� 5 For special ir¢ormrdon use checklist ❑ Description I Qty. I Ea. ( Total -`- Nciv � Derndition ❑Addtiodalte ationlreplatxmeot 0 Other New 1- -� — -� - 2-familyly dwellings(includes 100 ft.for� connection) {t - ,,-.1-,.----,--.--:-.* ` H , . -.L.--•-_:'-1.-._'-----------,--_:.-.F- l.� r >> SFR(1)bath 3L270 - Fi `e � _..; . � SFR bath 437.78 p[1_and 2-family dwelling 0 Conunercialfwdush-ial SFR(3)bath 1 50032 50(9,'5 ❑Accessory bnildmg • ❑Multi-family- Eachadditional bath/kitchen 25.02 • ❑Master builder 0 Otbrr /5 ,97/ Fire sprinkler(__s4 ft-) Page 2 -� Site utilities: --•-- i - - `i - -1-,..".-.' -Catch basin or area drain Job site 4.'m•-rrv1��.e:,��•,-(��— �' 1,leach area,or trench drain 18.76 City/StateZlP: �1 9 ER `-'1--r�-\ ` Footing drain(no.linear ft: ) = - 'j��( n 50.03 Y V 1�'l]c g, ry, Mmwfactvrcd home utilities SuitdbldgJapt no.: .Projext name: U C z Cross strset/direrbons to job rete Manholes 18.76 Rain drain tend 18.76 Sanitary sewer(no.linear ft:____) Page 2 Strum sewer(no.linear ft.: ) Page 2 • Water service(no.linear ft. ) Page 2 • Subdivision: 1 Lot no- LO \ Ferrari or item: f 3127 �`,2� Backflow premier Ta :: -mu.1-2 --el no.: � z� - Backwater valve 1 1151 1"'Z...5` s = _ - clod=washer I 25.02 a5,0Z � Dishwasher 25.02 (V W (. k/ 21 b '1 n U i f tJ Drinking fountain . 25.02 I �J Ejcctoa/surup 25.02 Expansion tank 12.51 — = ---,-*-----:-.t•''-' ,-,:-.•,, -- - -- ' ,_-_--1 Fnttrnelscvrcr c� 25.02 _: ._...__n 25.02 Name• ,. Y O e t , C� . _Floor moor sink/hub Address. t A_�f i �J-� p `� Garbage disposal t 25.02 2C .V L City/SteteiZIP: 1125 )0 D\/ W T\ I l 6Hose bib I 25.02 7 5.f/- Ice maker 1251 �2 ?boom ,`• , 00 Floc( ) _ r Intl; �p 25.172 r - /..--A ; r l- ,-t=- - - Medical (value:S ) 2 Business name 13D L�V,iA�,bivls Primer . 1251 Contact marc vr_Lv(,pn /,i „a{f [j Roof dram(commercial) 12.51 ��•� V� Sink/basin/lavatory 25.02 Aity/St : p i ,G62.54 City/State/ZIP: "16 t_1 ..Solar m (potable water) wa/showu pan a 12.51 25-02. Phaic >3�l -3q63�b3 • Fax :( ) Tub/sho- Urinal 25.02 • E-mail: • / �i' �l '6144V • -Water t loser 25.02 r Waterltramer t 3752 yi-. 52. ' f �j Business name�z 1 M j x _ - LLl'.._ Water piping/DW V 562925.0¢ Odic Address; I ` •a Subtotal City/�IP: P f e , 0, •-7 1„Sm;rtitnn permit 57250- :�3 r �I -3c1.3F�( ) �-�Q _ Plan review (25%of permit fee) CCB Lit 1 Eb "r�7 Plumbing Lie. 15 J 2 State surcharge(12%of permit fee) TOTAL PERMIT FEE 1 >?ate Authorized Signature is not obtained sritbie 180 days _ / /Sl This permit apptiratioe expires if a permit after it has been accepted as complete-I -- *Fee methodology set by Tri-Camdy Building Industry Service Board t: +7' .doer tdotlD9 Mo-asisniolta CDMIWF$) , . . " City of Tigard 74 COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: /1-5-7-020/5---- ee„2.5.-:2.... r�� Site Address: /5738 Sit) . ;'� ,r,• 4..-'i /5 pL.¢/ Project Name: Pel ,�jJ/ , , a, l0 Lot #: 1 (Ne d. ng= subdivision name;.Addition or.Alteration=last name of owner) Planning Review Proposal: 4 e ) &Fe D4Verify site address/suite# exists and activiti permit system. IV River Terrace Neighborhood: IV Yes ❑ No Sits Plan Elements: 1hree (3) copies of site plan III iC -isting structures on site te plan must be on 8-1/2”x 11"or 11 x 17"paper I! ootprint of new structure(including decks)with finished Yai. yrraven to scale(standard architect or engineer scale) �oor elevations LIV orth arrow IJUrilit} locations(required for new,may apply for additions) pe address,project or subdivision name and lot number I1 i•cation of wells/septic systems plicant information(name and phone number) TA Erosion control(including drainage-way protection, silt fence I1dtot dimensions and building setback dimensionssign,location of catch basin,etc.) pot area,building coverage area,percentage of coverage and 1J treet names lypervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location Uroperty corner elevations(2 foot contour lines if more than xisting trees to be retained with drip line,and tree 4 foot differential) protection measures &Clean\Vater Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes E No gf Public Faciliti/s Improvement (PFI) Permit: / Required: Yes,applicant was notified ❑ No Applied For: Yes E No,stop intake Eand Use Case #: �_ (gp2ei = oOOO Land /2- 2. s- llQ Setbacks: Front avi Rear Side Street Side /.- Garage '/) 111b Landscape Requirement: % HI of Coverage Maximum: 0/0 1'! Building Height: Maximum Height 30 Actual Height 0-4. IV'Visual Clearance asements ensitive Lands: Yes ❑ No Type _ •' Urban Forestry Plan r ❑ Conditions "Met"prior to issuance of building permit Notes: i . y // . _ /�' .ii\. i './ i • ,,A` ti i Approved By Planning: I I I — I Mir Date: /0475 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: El Approved ❑ Not Approved i:\Building\Forms\BIdgPermitRvw__RES_070915.docx N Building Permit Submittal Original Submittal Date: /...2-A 7A5-. Site Plans: # 3 Building Plans: # 3 Building Permit#: Er-Enter building permit#above. Workflow Routing: Planning Ff.-Engineering C ermit Coordinator 1E--Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: 1 .-"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: ,052147417-c-- Date: /-2/.2///-5 Engineering Review .0"Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit E Easements (encroachments) per engineering conditions of approval and plat ,\Fater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ,_ No Assess Water Quantity Fee in-lieu: ❑ Yes An No LIDA Facility on lot: ❑ Yes ,E No ❑ NOT Approved by Engineering: Date: Notes: Al" 1 14574 6' 4›. a IS4' - ivlft-xz Co..benaelS Ta "B v44,b Approved by Engineering: Ali Ic-41_ l.>11 era- Date: /L /2...ais--- 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 ti;Zilti/Z, SNotepproved,NOT Released: _ e f Date: / ,s- Notes: s: 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:245;2 DC Fees Entered: Wash Co Trans Dev Tax: `Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: iiWYes ❑ N/A K to Issue Permit Approved by Permit Coordinator: Date: 3L /41 ' 1:\Building\Forms\BldgPenmitRvw_R ES_0709 1 5.docx Albert Shields From: Albert Shields Sent: Wednesday, December 30, 2015 4:48 PM To: Maggie Gordon (Maggie.Gordon@polygonhomes.com) Cc: Cheryl Caines; Susan Shanks; Mike White Subject: Permit Applications, Bull Mountain Area 7-MST2015-00250, -00251, -00252, -00253, Attachments: Conditions - 12-30-2015.pdf Maggie, in reviewing the permit applications for MST2015-00250, -00251, -00252, and -00253 we find that there are two issues with the applications that must be resolved before we can release them for plan review, let alone issuance: 1. Each of these applications calls for an address on "Rio Grande Terrace" but we find no such street on the draft final plat that we have received. Instead, we find that the street on which those lots are located is "154`h Ave." If your intention is to establish "Rio Grande Terrace" as the street name please submit to us a plat that is revised accordingly. Please let me know which way you want to go. 2. Multiple Conditions of Approval under the governing Land Use Case,SUB2015-00002 that are required to be met before final plat approval and/or issuance of building permits remain Not Met. I've attached a printout of the Conditions on which I have highlighted those that must be met before we can continue to process these permit applications. We will put these applications on "Hold" until the requisite Conditions have been met. Please let me know if you have any questions. Albert Shields 1 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 711 Transmittal Letter T I GA R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DAT r;'i ;MEI) DEPT: BUILDING DIVISION AUG 2 2016 FROM: Angela Grajewski CITY OF TIGARD BUI COMPANY: Polygon NorthwestLING DIVISION PHONE: 971-212-2144 RE: l51 S V 41h r+ v ` MST2015 — 002.5?-- (Site OZ52(Site Address) (Permit Number) Polygon at Bull Mountain (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: yes It scr;#401on: C pr ies: mon 0 Additional set(s) of plans. 3 Revisions: add garage man door 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: • -.., : • ._ . • : • -r In s- : •_ •. .. ••i ROFFICE L Routed to Permit Technician: Date: g - { .4 Initials: - Fees Due Yes ❑No Fee Description: Amount Due: j Jr pl rev ?� ' $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes No ❑ Done Applicant Notified:,' C5-16 Date: .9146., Initials -- I.\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 15138 SW 154TH AVE, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00252 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Blower door test results received. Insulation certiﬁcation checked. C of O left on site with contractor. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 15138 SW 154TH AVE, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00252 David Young Contractor on open ELC permit with no inspections to be added to MST permit, electrical contractor on MST permit to be removed as they did no work on site. All else ok, city required documents left on site for ﬁnal inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 15138 SW 154TH AVE, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00252 David Young Note: no AC installed at time of ﬁnal inspection, permit and inspections required at time of installation. Violation Summary: Inspector Contractor