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Permit (13) „, CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT71 a Permit#: MST2016-00039 Date Issued: 04/13/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 /0 342 t litilig Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15388 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 54 Project Description: New SF. 8/4/2016: ADD sump pump for storm water.8/25/16 ADD heat pump&2nd water heater. 10/3/2016: REPRINT to add NC. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1575 sf Basement: 940 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4351 sf Value: $523,964.36 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: 1 Drywell-Trench Drain: 0 Other Fixture Units: Sump pump for storm water MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y 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: 8 201-400 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 4351 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 2 A geotechnical report is required before the footing PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $36,920.37 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA 52-00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: � / ” , %',52-770,-‘,// Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • MjechaniestPerrokAppik at oIFIECEIVE II FOR tilFFICE t SE 0\IA •.City of Tigard nootive4 /,-/ Dvefir 0...ii /6, ,„cige— pamt to,../7s7- ,,,z__cie-2193 ei , . ,4.- 13125 SlAt Hall Blvd„Tigard,OR 9743 SEP 2 0 2016 PIm it'vi'm'y IN ' Othel Ponsii: * :Phone: 5017181439 ..Fax: 503.598.1%0 newly . . T i GA it o r.111-5Pection Lille: 3-03,639.4175 CITY OF TIGAR 1 1)4e Re4.13;-Iv: _• W.: .7 Set Page 2 rot otratt www.tigard-oLgov ,NottfittiNtetk—: suppieecote Jaerinotion BUILDING OIVISI ._....-- ___ ---- com-lEar:01._,FEF,SCSEDI1LE- irSE Et-MC/OAST 1 Vrt II I' 11 LAMA , Mechanical permit fees*arc hied on the value of the work .tel New construction 13 A donfalterationireplammerit • peril/meg,Indicate the value(rounded to the nearest data)/Wall 0 Des 0 Other mechanical matelials. ailment,laboi%oVetheati sod rolit Value:$ . . .„. • . •• • • • .. -. CATEGORY OF CONSTRUCTION '. .- . , ..,.._____,, ' - • RLSIDENTIAL EQUIPMENT/Si STEM5 eta.b , - ID I-arid 2-family dwelling 0 Commereinbeindustrial 0 Accessory building 1 ,,,,, ,forspesid information nye cherAlis4 "w4 Mufamily 0 Mitster builder 0 Other; i Description . I Qty. : I . Tool - - . ' . - • ileatingfconfing: -- ' .IO11 SITE INFORMATION AND'LOCATION ' '. . _4 Air toulitionint i 4635 .1 ;lob site Ilddross,.: I 53?s 5\i,i 500e, pr p.,,..,J.,000'fil'Uolcasi<con) 1 45,75 City/StatelLIP;Tigard,OR 97224 f unlace IMMO+BTU neenivalco 5491 . Hein pump I I .61.0b 4 I Suiteibidgioni,no,: Project mum lvgun at Bull Mountain Bud work •2132 Cross streou'llircetfons to Job site: tiv.clronic hal:weer Systeln 2132 .. Rdectial 6oilor(radiator or - MAironiel 23,32 , - — Unit lioatels tillef-tym tiot citadel. ... ... , . in-wall in-duct,suspended<am 46,75 illockent for row of above 2132 . Subdivision:Polygon at.13n0 34onntain Lot no.:$14 Otter: • 23 3Z - Otloor fool gpplisocce Tax mapipottel mei': . Wier heater- _23.33 . • orsatipT-10.24 oF tivEtK • . . . Gas fireiga=fiunft t . a3,39 I Co ;have . .. file...vet!fOr writm heater ow gas „.... . 23_32 1 „I . nirlaa .fr c.. Eng lighter(nos/ --, wood/wile/stove • • - 2132 3139 Wood fireutoectiosen •• 2132 . .. Chintrievilinzeffludvent 2132 • • • • f 2332 •4'PROPERTY OWNER'. - 0 TENANT . • • . . • Etivireinmentni-exhaust And ivittliatiOn: - Name:robrn win,LLC 3 Rance boo:Veber Michel . — tnoloinall I 33,39 Address.:1911 Est 13 Street • 4 Clothes d ,cr adman 1 33,39 City1StatoiZIP:Valltuirstr,WA 98660 I Sioer-dlitt exhaust(be:Moms: I • Mile companrcord%utility moms) 14 • 2132• Phone:(3603093-71110 I --P _( ox. I • Alticierowle cc fans 2132 4 ,,,.'AreLvejoti :• . '. . • El coNTAcr rtjzsox.. other 1331 _ . . • ' ' . .. . . ... , . Fuel piPiegr.... Business nape:Polygon W1,11,LLC . . . ,. 814.15 ar non faun SW Thr each additional Contact name:Angela Grttjewskl ' Eu c-.air: 1 I I .. ,. ..... .. , Address;1-09 East 13lb Street Gasbre pomp • • . • • itVallieti ,,', eolnolit healer .......... _ City/StatefLIP:Vancouver,WA 98669 . Water heater 1 . „ . Phone.(360)695-7700 I Fax:•:.(360)693-4441 FIrt-Plac° ' _ E-mall:Allgebt.GraitWadie-pitlygtnibettleSX0iti BUTINVOC, coNTRAcrOk , ,' :•.- . Clothes 091a-(gal. , ,„ , • „ Other. • 13tsiness nettle:Apex Air LLC . . • . . , ... •' • '- • MECIIANItAL PERMIT FEES*1- ' Address:I801)4 NE 72Ase • Subtotal City/StatufZIP:Vancouver,WA 98686Monmom permit the 09a 0(1) • Pion roam(25%or Pcomit fee) i Phone:(3603424109 Fax,(360 3264169 . . - - CCB lie,:203034 Salo s•urcharge(0%orpormil fez) ToTAL rEtt8trr FEE i rata' permit upplicatioo expires ifs ptreitit is wool/leaned-within ilia days ietterit has hem nirepted as roMplere. Authorized signal ,': ..,. - • * Pee methodology set by Tri-Couuty tioilding tedestiy&vitt Rona iPrint rigincH- 1 4 e-1/4 ./ Dine: 44 t/4/4...„ l'avadm.5-frIntli'MIT POrtgiltApp 0401 flax: 44046 171' I 1:v2,COMAVElly CITY OF TIGARD t '' ' ' 4 MASTER PERMIT II t COMMUNITY DEVELOPMENT W8</b • Permit MST2016-00039 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2016 Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15388 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 54 Project Description: New SF. 8/4/2016: ADD sump pump for storm water. 8/25/16 ADD heat pump&2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1575 sf Basement: 940 sf Left 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 4351 sf Value: $523,964.36 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: Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 1 Other Fixture Units: Sump pump for storm water MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y 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: 8 201-400 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:Y Square Feet: NEW SF VB R-3 4351 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 2 A geotechnical report is required before the footing PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $36,778.01 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 thhgg AR 9aLL.--ykin-lc.....4 52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 3.232.1987 or 1.800.332.2344. Issued By: \ 1\ Permittee Signature: ` — �S ,�firi.1 ri.,_} 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- FOR OFFICE t'SE ONLY RECEIVE �\ �� U e*:' loo/1 tr CD/ fenntlo.:rI4JT�1 ea .23 1 Cil[ of Tigard ge e ive 13125 Sly Hall:Blr d-Tigard OR 97223 C flan Rekle�3 0th r P�nitit fo:: 71 "'' Phone: 01 718.24 9 Fax 503 54+Ui01 6 2016 D:let"Bv Inspection/ine: 50;639;4175riatc Read1F1iy runs See Page 2 fur T l G A R D Internet F4 a w.tig ird or.gov , • OF Slatifledt�rtethod: Supplemental lnforntatiutt • e TWE lilt s_ c.F"EE'tUI. 8C ilDE ; : ;::. --•-. rat rn .EI:New construction I.)erticilitign Forspec' .innfo natio rs z se checklist . Description Qty. I Ea. [_ Total Additionfalteration/replacement 0 Other New:1-2-•family dwellings(inclnties.100 ft foreach utility connection) `i 8FR(1)bath 312.70 Y "' C TEG, ., OF• CO'iSTRL t'lON e , El 1 and 2-family dwelling 0 CemmerciaLindusttial .SFR(2)bath X37,78 SFR(3)bath 51)0;32; Multi�famil}: 1 Accessory biildiiig. Q .Each additional bathlkitchen. 25.02 ❑Master builder 0 Other Fire sprinkler( sq.It) Page;2 tr.,_ {� ; Sifeutilities: • .... . '' *" 30B.SITE'jI.�IEOR1tIA71QR A14t� LO (1 . _ {� i p , seone,/} (�i� Catch basin:or area drain 18,76 'kb site afidreas: t � U V V C:i t 1C .W�-' — c h 111yxrala teach area dr trench drain 1.1.76 City/State/ZIP:.Tigard,OR!37224Ftxotina drain(ria,linear fr;: ) • Page 2 •• Siiite/lsidg:faPt no.: Project name:Polygon at Buil t ttiiintain tianu.lat tilled home utilities 50.03. Cross:stteelldirectiOna to job site: Mad-tiles 1&76 Rain drain connector 18.76 Sanitary sewer(no.linear fl.:_ ) Page:2 Stone sewer Clio.linear.i1.:. .) Pagel \ ater ser ice(tie linear 1.1.; ) 1 Page. Subdivision;Pols:gen,at.Bull•Miiuntain Lot no. .Sy Fix-titre re ar.ttetn; . -‘ .: **ter31.27 Tax map/parcel ria Bacf flow water valy 11.5I Bask e Clothes.washer 25.02 . • ..... . .. . Dishwasher .25.02 Drinking fountain 25-02 EjeLtarsfsuriip 25.02 .. . . ..... rg ¢.NT Expansion tank •' t :-: ::-.'''.4--'11g4-1:T'ROFERTI OWNER Q _<. 5 Ftxturersower cap �_5.02 Name:Polygon'i Ln,LL. Ptoor dratn(.tloot sinklhub 25;02 Address:109 East L3°StreetGarbage disiinsai ��0? 1 • • . CitylState ZIP:ifarictiuxer,WA:98660. . _. Hose bib 25.02 Phone (340)695-7700 • Fax;.( ) ice Maker 12.51 r CONTACC FRSOI'� rceptor/r trap 2.5..02 - _ Info zaie ? .. .. - g Page 2 111edical„as(value:$ ) Business name:Polygon WLH;LLC . - ... . - 12.51 i Primes ontact name:Angela Grajewiki . . . .. Roof:drain.(conunerciaiy 12,5.1 .. Address:10:4 Faat.13tb Street. 8inkfbasin7laxatmy. 25,02 Cita lState/ZJP: silt oiiyer,WA.9866.0S"plat units(potable vtater)` 62.'i4 'Tiib/showerFslmxverpan: 12,51. Phone (36th)X95-fi.TOU° Fax:::.(13•60)-69.3-4102 Urinal 23:02 E-mail: tngela GrajeWsl iii polxgOnhomes earn s. W tet closet . .. .. 02 • .... .. ... CONTRACTOR + , .,'.. = �r 37..E . _ . : ti __ . ;� . .. � stet beaten I 3'1.55 . Business name:BBL Plunijiiiig LLe. dater pipmg/D Jit s6 29 AddreSal PO Box 8S 'Other 25tln. • City/State/ZIP:ii/State/QIP:Corbett OR 97019x i . . .Minims m permit fee,1$72:54 P 503' 1-3443 liotte..(. . ) . .. . . Plait tt t€iecx (25°!o appal*fee Pas:; P:- ) [ CCB.Lie:180345 • :Plumbing lig,no,::1411-582 ,1 - • surcharge(12%ti£perni t 1te) .. Authorised signature: tdays State 1' '"" "r" r»4 � nig exp'res if a permit s nutoLt tacit.. ... . i ._ I s permit.apphreation 3 is t o lean tsithin 150 1'rint.name .Brandon Lanter 1?ete: 8 Rip I,10 { atter4:has;been accepted complete.( *Elie methudtzfdgy set hv'Tri-Gallons E}uilding Industry Setvree Beerd. • I;:Buildinit,ormitliELMu Pem6tspp,-dcc if,'01fi4 44o 46ler(to:o2go.sewgB) Mecha t ical ,'emit Applicatio 1 FOROFFICE USE ONLY City of Tigard !i IneceiRveevidew eBD /40 ''l55r Q, '. y Permit No.: 1 lilw 13125 SW Hall Blvd.,Tigard,OR 97223q c� Phone: 503.718.2439 Fax: 503.598.196A U G 2 2 2016 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/Sy: Juris: H See Page 2 for Internet: www.tigard-or.gov CITY OF TI G A R D Notified/Method: Supplemental Information 9l ! fliNG P ' S°QN 7 L 1 W SSULIE t. CD C : C� cA �- � .� � TYPE �sF WORD - �--,, �._.... - - .� _ . . :_ .�. . ` Mechanical permit fees*are basedon the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. _. .. Value:$ Nfi : l _ CATEGORY OF COSTRUCIOIi q `g w = RE \rrrr S . QU1P4 SYSTEMS x;.. ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. I Total JOB Sii•i INFORIVMATION AND LOCAi`IOIV "� Heating/cooling: ;: e Air conditioning 46.75 Job site address: tj e 5v4 5 7e1 fl t 1)12-,(3-- t) Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 1 61.06 61.06 Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or . hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Polygon at Bull Mountain Lot no.: 5(4 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 2332 '-` 73ESCIU TION OF;WORT Gas fireplace/insert 3339 Flue vent for water heater or gas Change 2°d furance for basement to Heat Pump fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 3339 • Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 r :-.V r23.32 Other: Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:109 East 13'Street Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 : *�. ,...� ❑ CD'�17ACTP�RS(��T Other: 2332 Fuel piping: Business name:Polygon WLH,LLC $14.15 for fust four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range • E-mail:Angela.Grajewski@polygonhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Other: � Business name:Apex Air LLC r i i 1: E14L1P TEUSYr Address:18004 NE 72°d Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 I Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: .. * Fee methodology set by Tri-County Building Industry Service Board Print name: 1, - N, Date:8/22/16 I:Build ng Pem BC_PermitApp_0401'3.oc 440-4617T(11/02/COM/WEB) 1`P r 7 CITY OF TIGARD . " MASTER PERMIT COMMUNITY DEVELOPMENT /� Permit#: MST2016 00039 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2016 Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15388 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 54 Project Description: New SF. 8/4/2016: ADD sump pump for storm water. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1575 sf Basement: 940 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 4351 sf Value: $523,964.36 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: 1 Drywell-Trench Drain: 0 Other Fixture Units: Sump pump for storm water 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'I 500 sf: 8 201-400 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 4351 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 2 A geotechnical report is required before the footing PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $36,622.60 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 throu a• 9 -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: 1•/ Permittee Signature: .e`n '/r1Z i(977c2A. / Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. IS -11- City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter • i , 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tht. DATE. ,ECEIVED:• 4 DEPT: BUILDING DIVISION 1 MR FROM: 1 / / / Gtraevosbla Ff COMPANY: FAA co c"Ol (A) _ ° , r PHONE: '2)(0 ' LP 5 ThoI RE: 'O .t. 0 A (ti (AC. L. i. •( NSA a6/�-coo3? rte . (Permit Number) .153 i. L , 5,-f (Project name or subdivision name and lot number) ram ATTACHED ARE THE FOLLOWING ITEMS: Additional set(s) of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: _6 0, ; . Wit. . LA - II A,. 4 _ ter` Routed to Permit Technician: Date: ;. a' � $° �,� es Initials: Fees Due: ❑No Fee Description: " ��4� � °4�� , , 1 Amount Due: _ Special 74-- $ ,. ituv Instructions: ,26ead (902- Reprint Permit(per PE): ❑ Yes I jgrAlo ❑Done , Applicant Notified:/4)-7/6, - Date: 7/2,f//e -j$f I Initials: ,rJ "-- IMuilding\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT •111 • ' COMMUNITY DEVELOPMENT Permit#: MST2016-00039 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2016 Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15388 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 54 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1575 sf Basement: 940 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 4351 sf Value: $523,964.36 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 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 add'500 sf: 8 201-400 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 4351 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 2 A geotechnical report is required before the footing PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $36,594.58 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 0 R 95 -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: - Permittee Signature: gA ,9-70,67.._./69-770A/ 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. . . / 2-0 7— �y Building Permit Application / �� . RECEIVED FOR OF OFFICE 1 S ONI.I City of Tigard n eBec �� 4., Permit No/y5-7-- /6 _e,00_39 It _13125 SW Hall Blvd.,Tigard,OR 97223 FEB 18 2016 Plan Revie / LriJ��6 --4000014e'Phone: 503.718.2439 Fax 503.598.1960 Date/Ely: 2.7' i G other Perm' Inspection Line: 503.639.4175 CITY OF TiGARDe Reay' 7irs' See Page 2 for f . ',{:.' Notifed/Method: Supplemental Information Internet: www.tigard-or.gov BUILDING DIVISIO , .l ' ,,, c‘.,:,-.1•').:,:,- , ' "' ;7, 1, ®New construction ❑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 work indicated on this appli• 'en. CO • 1-and 2-family dwelling ❑Commercial/industrial Valuations y Number of bedrooms: 4 ❑Accessory building 0 Multi-family ❑Master builder / 5 d , 0 Other: Number of bathrooms: � � x�t � �, ��ti Total numberoffloors: . Job site address: ‘1 ' A\.AD ezY2_, `ew dwe mg area: square feet Inn City/State/ZIP:Tigard,OR 97224 Garage/carport area: (..s, If square feet Suite/bldg./apt.no.: I Project name: Po\ (3-on cA, b J\\ rr}n Covered porch area: i'2 square feet Cross street/directions to job site: J Deck area: 1(.1'o square feet S 75 Other structure area al feet ' 0 c '(l ? ti •,•,_.-:-' St 7: -' Subdivision:Polygon at Bull Mountain I Lot no.:5 ..\ Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no equipment,materials,labor,overhead,and the profit for the , %, work indicated on this •..lication. 1ne�; ).(-)3\ll,, Cum ��.\�.. 9 ... a. . Valuation: $ I Existing building area: square feet New building area: square feet ., Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 E 13ts Street Occupancy groups: City/State/ZIP:Vancouver,CA 98660 Existing: Phone:(360)695.7700 Fax:(360)693.4442 New: Business name: 111,0‘ .. 13 L n C ` Structural plan review fee(or deposit): Contact name: M a f ,-e. OcC\( \ Address: I O Q i."-)) , FLS plan review fee(if applicable): City/State/ZIP: )�1( CU er W Ii C\'jt( , Total fees due upon application: Phone:eXQ)) `9 C : - oO I Fax::Not) U 15-U222 Amount received g�t r r E-mail:maggie.gordon@polygonhomes.com Commercial and residential prescriptive installation i ' roof-top mounted PhotoVoltaic Solar Panel System. Business name: P b 1 e i \n C Submit two(2)sets of roof plan with connectionor the , � and fire department access,along with the 2010 Oregon Address: \0 a i '�J�''r _ I, P Solar Installation Special Code checklist. City/State/ZIP: V Qf CQI,(o� W A q D /(0 0 Permit Fee(includes plan review $180.00 t 1 and administrative fees Phone:e3\.piJ) b Q 5,-31-0() Fax:(54;0) OQ3 ' "�2_2Z State surcharge(12%of permit fee): $21.60 CCB lic.:204238 Total fee due upon application: $201.60 Authorized signature: I This permit application expires if a permit is not obtained J a within 180 days after it has been accepted as complete. Print name: .-Date *Fee methodology set by Tri-County Building Industry �- _��.1....0I Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) - El'ectrical Permit ApplicationRECEIVED ECEIVED FOR OFFICE 1 SI': O.Nl.N City of Tigard lteeeie'ed Date/ny: Pcn"N 9 • 13125 SW I tall Blvd.. Tigard,OR 97223 FEB 18 2016 9'`�-5 �6—0�3 > = Plan Review ' 4 Phone 503.718.2439 Fax: 503.598.1960 Dale/liy: Other Penult 1 1 C, \K I) Inspection Line: 503.639.4175 CITY Y OF'WARD Dale RcadyJB?•: huic r p .tiee Pakc 2 for Interne! www ltgard Of c.ov oubul Mclbod I Supplemental Information LNG siO ,.-725.'iH1+oz,arEe .7, +-"^- .Fa a prs - . �' .'{.-�..,jerk � �L ,eMJ L-1 ' ill IPlease check all that apply(subunit 2 sets of plans t.-'items checked helots) ®New construction 0 Addition/alteration/replacement 0 Service or feeder 400 amps or more 0 Building aper three stones 0 Demolition 0 Other: where the available laud'current 0 Marinas and bututctuls a it+ ^`- CATEGORY OF':••CONSTR cFI N .--•''':',..,!:% esu. tis 10.000 amps at 150 volts or ❑Floating buildings less toground.or exceeds 14.000 0 Commercial-use agricultural ® I-and 2-family dwelling 0 Commercial/industrialAccessory building I 0 � amps kir all other installations buildings 0 Multi-family 0 Master builder 0 Other: 0 Fire pump 0 Installation of 75 K VA Cr q,q,.• tpr','�a 1 c: - s,..o.._ +:• : -73 r, ❑I:mekgcney system Lugar sep:ualel?ilemed:c.lcm -� x tx "-; 1)14 'E .ORMAT1ON LQCATiON,°r•' -7 g0 ❑Addition of tie„motor load of ❑ 'n 1' 1_, t_; Job no.: Job site address: lJ�^ 1 e 1i\• 100111'or nuxc, occupancy �/ ❑SIX or more residential units ❑Recreational kehicle parks City/State/LIP: -1-%cjct oR G rlZ� ❑Health-care facilnics ❑Supply,ohagc lift more than JJV��1111 1 I ❑I I v nrklous lie Niun WO sults nominal Suite/hide./apt. no.: Project name:V e, J', go\ m4-n ❑Sen Its or feeder 600 amps or more CS04.*01 LE Cross street/directions to job size: Description I Qty. I Fee. I Total I ' New residential single-or multi-family dwelling unit. Includes attached garage. 1.000 sy Ii.or less 168 54 4 Subdivision: Lot no.:5U1 ^iia.add')500 sq.Il or portion a 33 92 I Tax map/parcel no.: Limited energy.residential . ... 1A �--"' . ]regOilPTIQ$ ±t'`,VYO X (with above sq. ft) 75 UO ? Limited energy.multi-family 7.00 2 1 New electrical service and wiring residential(with above sq 11) Services or feeders installation,alteration,and/or relocation 2(8)amps or less I(x)70 2 z rC u - r 3JtOPE1R `' ER.e r:, '.,),..,i:: ::`'..4' '''''$;{l TENA3i1T 201 amps to 400 amps 133.56 3 Name: Qd1 401 amps to 6(N)amps '!x).34 U� 601 amps to 1,000 amps 301 (14 -,Q Address: , b �- r Over 1.000 amps or volts 552 26 2 y Temporary services or feeders installation.alteration,and/orCity/Stale/LI : \JalAD �Jp, � 0( ( ,Qr�C) relocation Phone: F(./ ---rrr D) 6 a5- e7 fax: D) s" ,44"t.Z-- 200 amps or less 59 36 l I -�i 301 amps to 400 amps 125 08 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,per panel Owner signature: Date: A.Fee for branch circuits with above service or feeder fee. _ :yI+ ®,;po>�TAC'P'•PItSOTI 7 43 , • each branch circuit Business name: P70-0,! 13.Fee for branch circuits u•idmnr mservice or feeder fee.first SCi 18 Contact name: ► 1 { • t e (mor. branch circuit - Each add'I branch circuit 7 42 Address: • rj _ Nliscellancous(service or feeder not included) City/Stale/7.11': \,(1.1�� ` ' ' (�{ • Each manufactured or modular I - 1l" VG dwelling.service and/or feeder 67 S i Phone: Reconnect nil 67 84 I 3 m„ r1 j D COra r (3(11-)0124b �� n�A _ Pump or irrigation circleg67 84 : - I. mal I f l \1.t1�/1J11 Yl. 1(may ` o • C� TY . Sign or outline fighting 67 84 : c© acro ' - Sienal circuit(s)or limited-enrrg Business name:Simply Electric panel.alteration.or e\tension Page 2 i . 2 F:ach additional inspection over allowable in any of the above Address: PO Box 822408 Additional Inspection(I hr min) 66 25/hr Investigation(I hr min) 66 25/hr City/State/LIP:Vancouver,WA.98682 Industrial plant(1 hr min) 78 18/hr Phone:(503)849-8202 Fax:(360)314-4945 Inspections For which no fee is yO 01)/hr specifically listed(/ hr miry) CCR Lie.: 204615 Electrical I.ic.: 067 Suprv. lie.: 4394S ELEC•TRitkET:P RNIIT'FEES - O l Subtotal Suprv.Electrician signature. required: • PfGtCu TS Plan review (25%of permit lee) Print name: Victor Larzhitsky Date: 11 17/2015 State surcharge(12%of permit Ice) Authorized signature: TOTAL.PERMIT FI.I: — This permit application expires if a permit is not obtained within 1811 clays after it has been accepted as complete. Print namr. 1)alr. • Idumbcr of inspections allowed per'WI ni1 I liulldmpPecmncan.r-Permit,\pp dor 117•01/10 4:111..11,151'11 I•I)ceOtI,\VHiI 1- .tr r . Plumbing Permit Application Building Fixtures RECEIVED ED FOR OF1-ICL ( SF ONL\ Received City of Tigard - r Permit No 57a p/6.�0_3 9 13126 SW Ha Blvd.,Tigard,OR 97223 FEB 182016 Re,;e,,, Other Permit No.: Phone: 5n 5 19 F41 503.598-CITY OF TiGARD Date Ready/By: hair 1 0 See Page 2 for Inspection Line: 503.639 4175 1 Internet Wwwh g� : \ \ ■ �� PP�ata)lnforamtioa � T�. . :.-- ;;-7,...-----.- �-:;',a � .� ,4^,-..--«,... -,'"-------',--,„„.„, - , _ ^ _ .t � = For special infornrohon use checkltsf ❑Demolition Qty. Es. I Total 1� New construction Description ❑Additia /alterzdion/replacement 0 Other New 1-2-fam ly dwellings(includescludes 100 R for� connection) -- -1-',`.,,-s..-3;. -7. - . -�` eI ,r- -- i �_ SFR(1)bath 3I2 7it = ,;. , : : ; r ! - - �.:, , ---_ ..., SFR (2)bath 437.78 f,1-and 2-family dwelling 0 Commercialfuadustrial SFR(3)bath I 50032 5019,b 0 Accessory building • 0 Multi-family Each additional bath/kitchen 25.02 �/ ❑Master budder 1 5 ?d 0 Other. Fire sprinkler(___sq.R) . Page 2 -rtU =r r Ile - -iI: •;- 1. . ;-tea_ -„,.•,:-..,5,:_=_ .-.'' 18.76 ..-, , - �. 1,:2,--V i ', Catch basin or area drawl Job site address: S- +.tom,^G .__-_ rDryCatch ,leach line,or trench drain 18.76 City/State/ZIP: T urd O► `_ l�. !, 1' Footing drain(no.linear R:_) Page 2 �j-.Project name: RN Bur 1. '\ Manufactured home utilities 50.03 Suite/bldg./apt.apt.no.: l Cross street/directions to job site: Manholes 18.7618.76 Raid drain connector • Sanitary sewer(no.linear ft.:__) Page 2 • Storm sewer(no.linear R:_, Page 2 Waterservice(no.linear 8:__ Page 2 Subdivision: I Lot no.:3 Frstnre or item: Backflow prevent= 3127 _,�`% Tax mapipmcd no r n Backwater valve I 12.51 1 rZ.5 ^ -- J -- _- Clothes washer I 25.02 , 5,oZ Dishwasher I 25.02 a1-5,02 A J `b vi ;ft Drinking fountain 25.02 �/ e...1.4) Ejectors/sump 2102 '� Expansion tank 12.51 � = _ - ,-' `,_ ...__ _ -,- - Fixturcdsewer cap 25.02 Name o� �71 Floor drain/floor sink/hub 25.02 25.02 ,Cf - 9 2 G disposal ff t Garbagel Address' 1 `` � 'tom ' 25.02 ,�✓ t ‘x)A q Hose bib 2 CitylStatdZIP: 1 0,.Q ��{�/ - 2 51 Ice maker. I 1 -1 , Phone: l` e�/-�l +O Fax ( ) ., yy S �� u -, _ _.r- tZ^es Inerceptor/grease trap 25.02 Medical gas(value:S ) Page 2 Business nom= -51:1(._ ILIAdapivts ( ,, AA - Primer 1251 Contact name: >/a(, 1) `1 tit Roof drain(commercial) 12.51 1 ` tp),e7 Address: 0 Slide/basin/lavatory 25.02 t iL City/City/State/ZIP: etao Solar units(potable water) 62.54 /� Tub/shower/shower pan. a 12.51 ''Z5•(72 Mime: ) l 3�b3 Fax :( ) Urinal 25.02 E-mail1t Water closet } V-}//�, 25.02 �'-'• -- :3.-x � r. ' ,_1 .ILL = II AA . ... _ - .__ �.� Warner heamer 37.52 Business name:�� / I LI," WaterpipingfDWV - 56.29 �/ � 25.02 Address: �, 1( 5 Subtotal City/State/ZIP: -i 1619 Minimum permit fee: S72S0 Pte- ) r:.J.i?f -.3903 D3 Far( ) Plan review (25%of permit fee) CCB Lk.: 166345- Plumbing Lic.ft 1582 - State surcharge(12%of permit fee) TOTAL PERMIT FEE Authoaizcd signally= This permit application expires if:permit is sot obtained within 180 days A / I Date://// after it has been accepted as complete. • Punt i1a[[te f'�, ( .Fee methodology set by Tri-County Building Industry Service Board. L•\auadingWer its%PLMU-ParmiUpp.doe 10/01/D9 4404616T(1omFCOM/WFB) , • , . Mechanical Permit APPlica l'OR 011.1€L 1 SL OLt City of Tigard riE- N CEIVED • a . . 13125 SW.Hill 131vd..,Tizard,OR 972:3) ,__ 'MOW; 503:71114439 Fax 503.598.1960l- lnspedion Linc 503:639.417S Internet wwwtigard-or.gov Received Datelliy:' EB 1 8 2016 „„,,,,,,.. CITY OF TiGARD Nwifiednmthod: DoPlatIcReVieWacadyisy; . _ Other Pcnnit Anis:. 0 See Pagel.for Sappiemental InForaintimi , 011:‘,. lez,t,,,,,,,,,,vt.., .1,4,c,,11,54.,.....,:,,,,I .,,,,t,.;:w.3„ ,,.,: ,5,....*:,,,,.4.4-• r-5"7.•:.,-*e4'.".,!..„,...1 f.,,--€1....----..-,,..-:,,,7-,,,...1:..,,,,,,-47i:,i'livir'i-tv-t'.""-k...-7f.,4,...ii:.:;;; 1:---..---'-:-'.--.:.,.. ...-',.:.',....:-.'-i.--":::,,.. ....7-.--.- ,-.:7-..*7;......: ?4....;--4..-,• - 2 ' '-.."'-'.'''.. - 'D '--***.."' ' '.''- -"*-"-- ' Mechanical permit fees*are based on the value of the work El NC*-construction 0 Additionialterationircplacarerit performed.Indicate the value(rounded ua dic nearest dollar)of all Demo01W1OR 0 Other: inechaninal materiats,equipment,labor,overhead.and profit ,. . .. . . yalue:S 'htl., - .,:.,:i7ari.x.. z::' ..' .2.;,...- ;tii'-';':--:::' el I--and-2,family dwelling 0 Commercialfmdurnial 0 Accessory building For-spectid bbtonttationt stie cheddist. a Multi-family 1,53goi Master builder El Other: Description Qty. Ea. Total . • , ,.....t. .. -, .... .,,,-..,,,, Benting/cooling: 4-13..!' '''.1'i';.',:,6".1,1i:r0;t-Y lil 0".--"a-'71,-,:ie.4,-Pitr..''' ,..r.,-,,...-1 • - ... . . . 46.75 • loli site address: izt±i ,,,,") Se'- \.Q. DC. Filimix 10000 BTU(dueftricats) 1 46.75 . atY/Stat6r4gt -ri sa.rA ock ci-422L\ • Furnace 100.000+BTU(ciumsivents) 34.91 Hest pomp 61.06 Suite/Mg/apt no.: Project.nam 2o\'I 31)-y-) ak ti3.,.)\\ in n Duct work 2332 trorn-streetldirections to.job site: Hydronic hot water system 2332 Rrnidential boiler(radiator or hyilrnisic) 23.32 thillb ,eatets(fltel-lYPe..flot electric), iti-Wall.in-duct,:mini:ride&etc. 4635 Flueiveht for ally of above 2332 _.. Orna-:-.• . 2332 Suhriliron: . Lot po.: 51...\ _.. - Other fuel applianies: Ta /rel IiP::-- Winitheater- -• . 2332 water hotter or gas &tom 23.32 IA4-1101t0(m) 23_32 . WondMelletslrive 33.39 Vretid fireelsiolinsert , 2332 Cliiinn4Aincelitia/vent 2332 . Other 23:32 'ca.t.1'•", -1-,,,,,V•,-;'1.: ,Ilttf..,,,--„;.',";,.r..„...,2,-,t,,,IrTiV,I,?4:1-,4 '', '::::--::,''1;:';'::::`‘':''''.'..-.t.'s,t,:.: I.,:S,...:....4.?:;:';$,ii*.e'1°..-.4.:,'".X,..,1';`,1-14.!:-....'t.J.:2--,:.----*•-•:.",=,-*,::"°...l.a::1'4:,,h sin.h.wonenbd=hang and maibition, . . _- • Igimtm Polygon Northwest Range hood/other kitchen equilaheta- 1 3339 Address:109 8131'St Clothes tinnstadlaust 1 .3339 Singladuct exhaust(baihroosns, City/StiterLIP:Valconver,WA 98661 toilet compartments,utility.roonts) 4 2332 Pholici.(360)816,7806- Fax:( ) Atticietrawispace fans 2332 23.32 Butioess nom=Polygon Nortluvest S14.15 Oar first fear;S4.03 for tads additional Contact nansm: .Furnace,eta. I - • - Ous bett_puran Address:41P)Eir& Will/suspended/mit heater Cityt8tatUr4P:'runt:Paver,WA-98661 - lliOnm.(360)816-7800 I Roc:( ) Fireplace Range I -Frusta: Barbecue , , '-. - -.'. '- -‘ :-'''' -'--'-- ''''';'"7"-- --'''ri.-,'r.'•-;rt'''''-'''.:-.--...':,E-4-: .;:e4.--t-,:i..--..,-- .7:1'. ,-;..---i:";if:- .:='',.. :11'i Clothes diver(gas) (ghee Business nun=Andersen Besting.1ne ,1-,-'11'.."''''"°::':-..--t!" ,i,.!!.1-f.:11I--_,TOTiU.W;CF",.71'.:75-'-.Ff-i'''. .•.ii:-T: Addresc161.0 SWitOit Ave.*410 Subtotal cdyr.StaterLIP:Tiptd,OR 97214 lvfmimum penult fee(590.00) Plan review(25%of permit fee) rum:(sp)9924664 Fax(563)536-6615 .State surcharge(12%of PS110111:0 Malin.:168214 TOTAL FERMI FEE This penult application expinis fie pameit is oat Audited within 150 days after it lum been accented la clralPlere. Authorized aiiplantre: • Fee methodology set*Tri-Coinicy Building Industry Service Board Printuarne Art Anderse ...._ Datc 11/20/2015 1:,BuiltrmsWagolit.ilMEC jastiitApp_1740113.doc 440-4617T(11WCONWEB) City of Tigard 71 ■ ■ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: /7S7;20/6 -- 00as? Site Address: I53 , SVv Se i— 0 r-. Project Name: Po 1 011 01i-- (3 U I1 MOU'1tk\) Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: k,P .'Verify site address/suite# exists and active in permit system. XRiver Terrace Neighborhood: ❑ No Yes, See River Ten-ace Review Addendum Attached Site Plan Elements: /Three (3) copies of site plan /Existing structures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper 2/Footprint of new structure (including decks)with finished /Drawn to scale (standard architect or engineer scale) floor elevations I,. orth arrow Utility locations (required for new,may apply for additions) Site address,project or subdivision name and lot number Location of wells/septic systems '-lpplicant information(name and phone number) /Erosion control (including drainage-way protection, silt fence Lot dimensions and b ding setback dimensions design,location of catch basin,etc.) PLot area,building covdag'aaea,percentage of coverage and yiStreet names impervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location Property corner elevations (2 foot contour lines if more than {t'Existing trees to be retained with drip line,and tree 4 foot differential) protection measures kf Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified E No Received: ❑ Yes ❑ No pPublic Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant wasp notified ❑ No Applied For: ❑ Yes ❑ No,stop intake 0 Land Use Case#: S U Q 2°I-C-00002 LI Zoning: (2 4 , 5 j ;2 Setbacks: Front 7-0 Rear ( S Side s Street Side ( .S Garage 2-0 Landscape Requirement: zrLot Coverage Maximum: PI ,ZCuilding Height: Maximum Height 3 0 Actual Height Visual Clearance Easements 12-"Sensitive Lands: ❑ Yes ❑ No Type l; Urban Forestry Plan YJ Conditions "Met"prior to issuance of building permit Notes: Approved B Planning: 11 I A 8 I v c - Date: ,h By g Al�� r, 1 S t Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPennitRvw_RES_0121 16.doc x Building Permit Submittal Original Submittal Date: of//P /jo 1 Site Plans: # .3 Building Plans: # 3 Building Permit#: Er-Enter building peit#above. Workflow Routing: 0"-Planning Engineering 'Permit Coordinator ®Building Workflow Sign-off: ®'Sign-off for Planning(include notes from planning review) Route Application Documents: 1;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: _ Date: eP 2i//c., Engineering Review Slope at building pad: /1)!m Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat 4 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Appro e y Engineering _ �/� Date: Notes: LTJ w s .� �Z _bL /�(J r-1I:Y`" /< � . Approved by Engineering: Wf, Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit jj pproved, NOT Released: 1 Date: ) ,/1 //S. Notes: �.-� xC .Gose aZ� 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: 4.S.":" es ❑ N/A Tigard Trans SDC: .'%' Yes ❑ N/A ,/ Parks SDC: :: es 111 N/A fzf, OK to Issue Permit �r Approved by Permit Coordinator: (�Gw+�., Date: — /3 -1 1:ABuilding\Fonns\BIdgPennitRvw_RES 012116.docx City of Tigard IIICOMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: /fxr.,2 veo —44037 Site Address: 153 3>3 S W S-i n€ 0 r Project Name: Pot c o n (1-f- B U I I � t 0V n of i c) Lot #: s4 (New dwc m = subdivision name;.Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1): 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage. An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep Gabled dormer ft. deep min. 2ft., 5 ft. wide min. 2 ft.,?. wide ❑ E ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: 2-3 3. Entrances: At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street- facing wall / Parallel to street, angle no more than 45° from street, or open onto porch Entrance opens to a porch.. Yes No If yes, all the followinga l-: / ❑ 25 sq.ft. min. Pp, q ❑ One street facing entry ❑ 12 ft. max. roof height above porch ❑ 5 ft. depth min. ❑ 30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five 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 E Dormer min. 4 ft. wide 'Roof cave min. 12 inch projection ,'Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood a.Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40%of street facade 7-Window trim min. 2 ' wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing E Bay window min. 5 ft. wide by 2 ft. deep ❑ Balcony min. 5 ft. wide x 3 ft. deep with inside access /Attached garage is 35% or less of street facade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. ❑ Yes iNo. If No (Check one): ❑ May extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. May extend up to 5 ft. where the garage is part of a two-storybuilding and there is a window at the second story ve the garage that faces the street with a min. area of 12 sq.ft. 7 Width: (Check one) ❑ 12-foot-wide garage door / 40% max. of street fade ❑ 50% max. of street facade with 7 detailed design elements Notes: Approved By Planning: ./1/7 0 til /2-ea` 7j it Ocie— rk- Date: -21/ ci,, / I-2 L\Building\Forms\BIdgPennitRvw_RES_RT 012116.docx Albert Shields From: Albert Shields Sent: Wednesday, February 24, 2016 2:51 PM To: 'Maggie Gordon (Maggie.Gordon@polygonhomes.com)' Subject: RE: MST2016-00038, -00039, -00040, -00041 & -00042 Attachments: Conditions- 02-24-2016.pdf Maggie,various of the Conditions of Approval under SUB2015-00002, highlighted on the attached conditions list, remain to be Met before we can release these 5 permit applications, meanwhile we will put them on Hold marked "Approved but Not Released." Please let me know when the conditions have been met. Thanks, Albert. 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 .rovides hel.s the review .rocess and res.onse to our .ro'ect. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ll Ili x Transmittal Letter T i G,:R 17 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard�ov TO: Tom H. DATE RECE ► D: DEPT: BUILDING DIVISION 3.I FROM: Angela Gra.ewskiA"J G 2 2016 COMPANY: Polygon Northwest BCU1\ c PHONE: 971-212-2144 [49 RE: "' • A ILITOY1%I'Ott:36167) Rs SLS J Sept�e fi.is i.; MST201 ?a (Site Address) �� (Permit Number) Polygon at Bull Mountain AI (Project name or subdivision name and lot number)v ATTACHED ARE THE FOLLOWING ITE 0 Additional set(s) of plans. 0 Cross section(s) and details. 0 Revisions: 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 3 Other(explain): Addition. deck details re•u dese by ins.ector REMARKS: L_di,S rTiMIS t4M Pei 63 ^^ � 8��. � ...o... Routed o Permit Technici. .� - 01 Date: Initials: v Fe--- ' —- -' '- '''--- - 7:'-1111111111.1111111111111111111.inci........1111Brall.. es Due:-`• Yes • No Fee Descri'tion: Amount Due: �V •' c_\.../ CAMOIMMINEMI EMIIIIIIIIIIIIII Special $ Instructions: Re.rint Permit •er PE): ❑Yes Ap•licant Notified: Date: 1M No El Done Initials: I:1BuildingWorms\TransmittidLet _ge,isions.doc 05/25/2012 Atcsiricafi rertnIt AlipiicatipAI — 11,R(Hmii ,i ti N I \ City of Tigard il, ...„,A,,,,,17:11 V C.,Z-- ,,,,d Dabilay /, -2., / 4•1..• Pe-4" PA I i b• 600 13125 SW lie Blvd,Tisarg,OR 97223 is,,,r:p 1 1.3 9 ni6 Pis Review Phone. 303 7182439 Fax' 303.59t 1960"L' ' ' Dates Relined Pees a Inspection Lies: 503.6394175 ..:, ,,,, -., Ready Ihmalky Internet wwniigard-or goy 1/4-. 1 1 A '-° ;_,';-;'i,,;`:::,:11:,:1„,t Notified/Msbad III 1111111111FEREMEI '. ''' :-. - '1. : :',..1. C,4 Nev construction 0 Addition/alteration/replacement Please dt*ck all that apply(sham 2 sets of plans whtems tbeeked) U Same or feeder 400 amps ce more 0 Budding evades stones 0 Demolition 0 Other: . where the available fault cturent Chiannas ianl boalyarch exceeds 10,000 amps at 150 volts or 0 Firming huddings CS 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less ic ground,ce exceeds 14,004 0 Commernalsise wicultural amps for all other ingallatams &gawp. 0 Multi-family 0 Master builder 0 Other: Ohre Temp. 0 Installation of 150 KVA or ,;,4"$121TAV:',7 7, ... ,,-..,....!.:),:2-'', .'! ",-C.Z.27:'..42;Mirl.rini,"i:ZiEia B0 EAztiemsy.k:newotor load of isl;ger separately*rived Job 4: Job site address: 1,15.3CZ5 SLO SeA 1\.,1--0e, MOW Or mcwe O"A","E","1-2,"1-3', 0 Six or more residential umis occupancy City/State/ZIP:Tigard,OR 97224 itscrestumst vehicle parks 0 Health-care facilities 0 Suite/bldg./apt 4: _ Project name:Polygon at West4ivar—T4r 5(4 11 Euht7odouseorri.ocao,eeder 67).0.opsor o 0Lryveiolts ntage.nfaelt mme dm Cross street/directions to job site: WI ti ttiZgiairai;r:,:'..:-77-i.7:ta:ArAizzatu 06. Each Mat • 1 New residential single-or multi-family dwelling unit. Subdivision:Polygon at West-Itioeur—Isetwitte 130,([ mfv, I Lot 4: 1.1 Includes attached garage. Tax map/parcel#: 1,000 sq.ft or less 168,54 4 III ..-1;'27T.:V:7 .:'. - -.5:.:;',..:„' 7".....7iii:t •'7:t:-::F..7:- ::'-',"'',..:1;;:ki :.:1'''-',.,----lg :,.' Z.‘;-i!":3:07 Eaaddl 500 sq it or portion 33,92 1 44911 fro , y ,. , Limited energy,residential 2500 2 (with above sq.ft) Limited energy,multi-family 75.00 2 Renewable Energy 0 See Page 2 Name:ADV nd Holdings, C liqt.51-- Services or feeders installation,alteration,and/or relocation Address:7600 E D. , .let - Ranch Road 200 amps or less 100,70 2 City/State/ZIP:Scot '• le, :Z 85258 201 amps to 400 tunps 133.56 2 Phone:(602)6944031 Fax:( ) Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is i ing made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchan7: ,according to ORS 447,449,670,and 701. Over i,000 amps or volts 552.26 2 Owner signature: Date: .. f,,,-;::4'41:1-41' ...:„.''. i,,.- •...::',,,..,Z:.7.4tir.,...0..,:.:71,-;:t.Q;2,11i7e..7.77.,;:-..-.. .,„:-.7:::::„..,,,,iii,„ Temporary services or feeders installation,alteration,and/or Business name:'W11flTWL-yn714osnattr4se. 1,0titkakov‘ (ANA 1 LIC,.. 200 amps or less 59.36 I Contact name:Angela Grajewski --) ") 201 amps to 400 amps 125.48 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,pr panel Phone:(360)695-7700 Fax: :(360)693-4442 A Fee for branch circuits with above service or feeder fee, 7.42 2 Email:Angela.Grajewski@polygonhomes.com each branch circuit B Fee for branch circuits without ..-'1'.:,:-'.24,.:;;:li'6'--.L'.0.141L:::*.-L:.:'..1:::h:.1.-';':!:',.,;,.;77 7'':.'•'.1.1'..111:::;;;77;1;3•77!;17,1 ::.tZ.711M1,47 ser"„or feeder fee.first 56 18 2 branch circuit Business name:slanted*electric Each add'l branch circuit 7.42 2 Address:3415 ne 44th Miscellaneous(service or feeder not included) City/State/ZIP:SOW P,rs1 fitz4,‘„poe ii#./2- / , 74.1- /3 Each manufactured or modular 67 84 2 dwelling,service andlor feeder Phone:(503)3192192 Fax:( ) Reconnect only 67 84 2 Email:solsrpdx®me.com Pump or imgation circle 67 84 2 CCB Lie.: 1991:: Electrical Lie.: c923 Suprv.Liu. sign or outline lighting 67 84 2 Suprv.Electrician signature,required: Signal circuit(s)or limited-caeca 0 see page 2 2 Print name: A )k. /241044... Date: ..5-7/3/-''' panel,alteration,or extension_ ii Each additional inspection over allowable in any of the above Authorized signature: Additional InsPecuon(1 hr mut) 1 1 66 25:hr LPrint name: e0.7-, ------%------ DateSy Z-,3/44 invesrigarien(1 hr mm) 90 00/hr I Atuktilinalhnotia1ELC_ _ELlt_ERE doc RAN 06/17/201 S 440-4615T(1 I/OS/COM/WEB 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 15388 SW SEINE DR, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2016-00039 David Young Contractor changing AC breaker to 40 amp max per unit labeling. 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 15388 SW SEINE DR, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2016-00039 David Young Not ready for inspection. Outlet buried in garage wall, missing clamp on AC whip. Work not complete, no inspection done. 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 15388 SW SEINE DR, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL October 20, 2016 at 1:20:02 PM MST2016-00039 David Young AC units to be on level pad 3" above grade. Error code on mini split, unit not working correctly. Re call with plumbing and building 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 15388 SW SEINE DR, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2016-00039 David Young Corrections complete from previous 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 15388 SW SEINE DR, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2016-00039 David Young Provide approved plumbing ﬁnal inspection prior to building ﬁnal inspection. No inspection done at this time. 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 15388 SW SEINE DR, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2016-00039 David Young Corrections complete from previous 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 15388 SW SEINE DR, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00039 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Blower door test report checked. Insulation certiﬁcation to be provided by builder. Vapor barrier acknowledgment form to be provided by builder. C of O left on site with builder. Violation Summary: Inspector Contractor