Loading...
Permit (13) el CITY CITY OF TIGARD ,r?; 7 MASTER PERMIT II COMMUNITY DEVELOPMENT . �� Permit#: MST2016-00067 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2016 Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15372 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 55 Project Description: New SF. 6/14/2016: Reduce baths to 3. 8/4/2016:Add storm water sump pump. 8/25/16:Add heat pump&2nd water heater. 9/27/2016:Add 4th bathroom/closet remodel. 10/21/2016:A/C. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1504 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 2155 sf Garage: 739 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4485 sf Value: $546,639.23 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 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: 6 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=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: 1 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4485 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: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,756.41 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0Issued 010 through OAR 952-001-0 90. You obtain a copy of the rules or direPceq questions SigOUNC nature:atu eby callin503.232.1987 ���.���ln� By: �( ! 9 11%V Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. T.4.4rviricat rertnit Application 11 .„, ,-- I ()It OI I 1( 1 1 s1 (1S1,\ City of Tigard 111 Received Permit 0 • SEP 16 2016 Delay 13125 SW Hall Blvd,Tigard,OR 97223 ` Plan R ' ez,T a • • • .4, .... Phone 503 718.2439 Fax 503.598.19613, , "seed Poma e Inspection Line" 503639A175 ,s-',t .! ‘"''',.., .' ' '''''.':'!"'-' RemlY pme'HY MillitHEEEffEi Internet WV%tigard-or gov ;:::,4t....i t1.',..)`; ;;,-,-, 'T,".:',,.f:; C (tiothedimdbod Zrt New construction 0 Addition/alteration/replacement Please check all that"Sy(submit;was of plans Winans checked) 0&Pim or feeder 400 amps or more 0 Bal over Mom mores 0 Demolition 0 Other Where The available fault citirmt °Marinas and bouyieds Z$¼7:" '..' 1..;'....., _ .:: . 7,7LEEIVARSITIVM: exceeds 10,000 maim at ISO volts or 0 Fiemta8 buildings Cd I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use Kizmularral amps for all other installations buildinp. 0 Multi-family 0 Master builder 0 Other: 0 Fire Pump 0 lamination of 150 KVA or F3 Emergency"ern larger SelPar&"4 derived 1.3 Addition of new motor load of system Job St: Job site address: 112_ 5t,,,) 1...ine P mow or more 0Six or more residential units oceufammi City/State/ZIP:Tigard,OR 97224 0 aectostxuA vehicle oinks 0 Health-care facilities. Suite/bldg./apt,#: Project name:Polygon at West-RiverTer Bali 0 Hazardous locations 0 Sun*voltaP for more than 0 Service or feeder 600 amps or more efk volts normaM Cross street/directions to job site: rA44 A rikkIltairi;ZZ.f1Z.:'.:..77::7:',17•WeigitatV Inearanien Qty. Lich Teen New residential single-or multi-family dwelling unit. Subdivision:Polygon at lieretrIttverrerroant blitn, ailek I Lot#: 55 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 iii: .'''.:.:77.1 17'-,' .7 ' ,,,..:..,:::.::. .ii,f . ..:t Z: ., ,: !HW.,,,,::,: ,,,,.,:: :‘;,,',... .,iii.4ij..',4;: a addl 500 sq.ft or portion 33.92 1 600 da-bY* Oh:3414e— Limited energy,residential (with above sq.It) 75.00 2 Limited energy,multi-family 75.00 2 * , residential(withabovesq.ft) Renewable Energy 0 See Page 2 Name:A: I Land Holdings, C Address:7600 ; 1 oublet - ' nch Road 9nle Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 City/State/ZIP:Sco • e t AZ 85258 201 amps to 400 amps 133.56 2 Phone:(602)6'. i 1 Fax:( ) . Email: 401 amps to 600 amps 200 34 2 Owner installation:This installation is being made on prope 6. :t I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to OR •47,449,670,and 701. ' * Over 1,000 amps or volts 552.26 2 Owner signature: Date: Temporaryservices or feeders installation,alteration,and/or Business name:WiltionAarrirlicrn po ilry, uoLt-k. u_c_. 200 amps or less 59 36 1 / Contact name:Angela Grajewski 201 amps to 400 amps 125.08 2 Address: 109 East 13th Street 401 amps to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits-new,alteration,or extension,per panel Phone:(360)695-7700 I Fax: :(360)693-4442 A Fee for branch circuits with abo'e service or feeder fee, 742 2 Email:Angela.Grajewski@polygonhomes.com each branch circuit :.,,-- B Feeserti't:etovrefileb eitr t5euettsfirwsetth°tit 56 18 2 Business name:alameda electric branch circuit Each add'l branch circuit 7.42 2 Address:3415 ne 44th i Miscellaneous(service or feeder not included) City/State/Z1P:Sligi lijrvi J „"(/;ii /°*, 2.2- /3 Each manufactured or modular 67 84 2 dwelling,service andior feeder Phone:(503)3192192 Fax:( ) Reconnect only 67.84 2 Entail:solarpdx@me.com 67 84 2 CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: iiir7/S - - Sign or outline lighting 67.84 2 Suprv.Electrician signature,required: /i paneSign111:1Zittit!,otrirex limited-energytens0 See Page 2 2 Print name: t i it /2420‘..."( Date" r/z-V-- Each'additional inspection over allowable in any of the above Authorized signature', Additional inspection(I hr mm) 66 25;hr I Print name: - Date23//-14 investigation(I hr mull 90 0 hr t sauwatioeinewELC_PernmAati_ELR_ERE dot Rev O6/17/2015 440-46151111/05/CONMEB . . .. woa.on RD,:mA .., •Iwtil.RECEI VE I ,oR,,,,i,...t SE(1\t.‘ SEP 2 0 2016 D''''''4' 141/?/ :•.',:City of Tigard ://ip' • ,t,:!,• '..lrot.No/L-7 I-1—•c.p.i?1/ —,v06,71 .e.g. 44 13125 SW Mil Blvd„Tigard,OR 97223 Plan Review • kt ' ;Plume: 503 718 2439 .Far: 501598 1969 ifit ' ' Meg Alva T;c:,A RD 00,5ffeetitan 1:411'.e...' 503,634,475 - . CITY OF TIGAR ti':::::::,d,' ,,,B,. ' - - '''''' Mk- ,NI See Pagg•2 tor .. .. , . .•.'Internet: www.tigatd-or.gov BUILDING DIVISI it fitifiaNieth4 , 1 suppkmotabf....d. i . •,:-. . :-.. -, •• :.: ,• . •. • ._..........., ..,-,---- . . :-• • •,: : , • :.,,, COMMEK.141,-•FEE*SC1101-1I-E-, sit'SrefiE(.1CL151:: 1 . , 1 yrk, OF A)URA . •Mecharneal pennit fees*are based on the Vehle(4'the work , h... NeW enriStruction . 0 A dditionlalterationtopiacement ' peribrtnett Indicate die value(mended to lbe neatest dollar/of all 0 Demolition 0 Other toecha„ Yazd 1noterints-ettolF'IllenL 1-.tot---overhead„,aud profit , „ . . .. .. . . .., .: : . , . . ,...., , .: :' '': .,. '. .:::.• : CATEGORY OF coriisatc-r1P. .:;:y....' ., '. ......, : ...: . . ...;-: Rimpimi.01),iininiiiisysTEms Otis -•.:, ••. ID i-grid 2-lantily dwelling 0 Commerciallindhstria 1 0 A:ccessory buildingI Fur sperial lizji.n-uration use cheat& . ra Moiti-famity 0 Master builder 0 Oth .er: Description ' O - : Ea. ' fetal ''' :,-.; '' •• ' • .100 SITE INEORM.ATION ANiflOCATION - - - :a!-1-4Ti"1-1)Ultr. it-i-in c„, r. .., „. ,_ - AirConditioulng. 1 :: 46:75 —1 job site.addrtss: 17-3.) IL 0\Ai DLA int, 11( . Furitaci300,001)Vitlfductsivents) 1 '..,4635 ': • -' - _.... ..„ City/StatevZIP:Tjpril,OR 97224 Pure=1 911P00+BTU(dtiosiwato, ; 5491 • Heat D 31 pump „, J. Stritelbldgiapi no..: jProject name:.Polygon 0 BOO Mounlbiti I I 61-11.5 . • ud work - 73 .. - .., _,.. Crossstreeb'directions to job site: : Owl:rook bot.lvater aysttaa . 23:32 Rao-dem:fat hoiter(rattiator or ' hylironie) , 2132 ,. , . _ Unit Tresten1Fuel,tyk not electric), in--wall in-duet suspended etc- . . 46.15 Other . 2332 for soy of above , ' 2332 ' . ....,. ., _ 2 233 allill - - - ubdivision::Polygon at.Rull!Tyalgal-It Lot.no. 3 •011o!!rubl sipollauem. Tax 1114pipactef no,: Water heater . _ .•23.32.1 ,' - - ' - ''• ' DF.SCRIPTIOsi,-OF AVOirkil ' ' •... _ ' au 17freE4c411454re .33.3,9 I Flue veal l'er wafer heater or gas „ contr Tay% % n" Cuntrlowce, ..,.. ... . 2132 1, Ct- - -- -- -- : Woodtpellet stove , , : 33,39 lik2,00d, dreulandinsert ..,, . chlinueyilinertfluetwol . , ' . 23,32 Other . :, 23_32 ijiii.iiti'V',oiii*tti:1; : i ,'' . - Cli*NANT • . ' ' - . . • .- -- " " •• - - Euvirtnintentst exhaust and ventilatiort: - • Name:rttlyett WEIL:LLC i Range hoodlother kitchen I -------- . '',ivi rwili I ' 33,39 .., Addrex Id!East 13,th Street . , Clothes dryer exhaust ' 3139 Citr-Statell4P:Vancouver,WA 911660 Siosle-thist exhaust(hatinnoluS. , 1 ,toilet eollgJannlents,bsitity roams) LI . 23.32 .Phone:(360)09S-7700 Fax:( ) 1 . Aiett /crawl's/lace.farts '73-31. I . . . . , . 1 2332 Artitidikt-;?;.--; -.'-:, ' :::' ' ''El'etiiitizkii' •':' ' ..''' •.01110r; Fuel piping: _ Business name:Polygan WIAL LLC , . ... . .. • $1,43$fisr nest four 34,63 turf-coo natiftinnat . .1 1.. .. . (..7 t naontacme:Angela Grajeveski .Furnace,ets, i ' , •, y I Address:109 East 13th Street Casheut pun . ... . . We:Mats oe t etbealt beater _- City/State/4P:Vancouver,WA 98660 - - Waterbtuter , . . .. „... . ., , . Phone:(360)69S-7100 Fax::(3.60)693-4441 -: : Efrenisee _ Estnnik AngettCrajewskapulygenhatnes.cota Satbecue . .., . 1:',1--.,1:: ',--:• --.:E.:-...;-•',:--::: ..:.: '.':.: .- _ ••••:.:•CONTRACTOR :---. - :- '''!. ;: - • -: ' '• COlbes•dryer 045)-- . . - . , ... ... 13tisiness wine:Apex Air -LLC . 1 : ."..- -•:':Other 5- .•, •.mECHANICAL FER.ifrrnt:s., Addrtnrf 10004 NE 1r4 Ate. Subtotal . City/StateatE:Nt;tncouver4 WA 9061* .. _... Minimum peanut,tee 096,00) Kau trelew(2-514;of Montt fett) I Phone:(36443424169 Fax:(360)326-1169 ., . . , .. . ; 11% CCB he,:203034 Stalestuchmet._ ( of penult tee) I . . ,.. . . i . TOTAL PERMIT FEE I This-peewit-optiottidtt tspires lin.ttertaitis oat obtained within Ito tlaysaforif has haat aitepOitas Isintpletw. Authorized signalurt . :,,,, * Fee tnettio.lotogy set by Tirl-CourttyPoildittp teltstry Service nand ... -....."-"i'.--- • • .. . 1!sir notne-: 1(0",.. •-fa:I Date: 4.tot--,tc.. • t'444444c4144T4,64:4N4.1fr 1.464.44App MI 11.464 4444647T(4 ig,2.47.1.444Wril.j 1111CITY OF TIGARD MASTER PERMIT III COMMUNITY DEVELOPMENT Permit#: MST2016-00067 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 % wAIll Date Issued: 04/13/2016 Parcel: 2S1 080001504 Jurisdiction: Tigard Site address: 15372 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 55 Project Description: New SF. 6/14/2016: REDUCE bathrooms to 3. 8/4/2016:ADD sump pump for storm water. 8/25/16 ADD heat pump&2nd water heater. 9/27/2016: ADD 4th bathroom (remodel closet). BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1504 of Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 2155 sf Garage: 739 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4485 sf Value: $546,639.23 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 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: 6 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=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: 1 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 asin Other: N Other Description: Ecom p g: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4485 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: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,659.05 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344."1;34 / Issued By: 4.71--e---- Permittee Signature: C.9// ''/ '/('1 770 e21 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. IIICity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T i G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE R> LYE�? i r � DEPT: BUILDING DIVISION , s "1+ AUG 29 nik FROM: Angela Grajewski i COMPANY: Polygon Northwest ,;;1“*,- , , 0 4 4 PHONE: 971-212-2144 B _ RE: 15372 SW Seine Dr MST2016-00067 (Site Address) (Permit Number) Polygon at Bull Mountain lot 55 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: topic Description: Copies: Pte ., 0 Additional set(s) of plans. 3 Revisions: Add 4th Bathroom 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: * .. 11 4 .„ AOR OFF ICE SE OI ty �14frA *i Routed to Permit Technician: Date: C _ al J Initials: -71 Fees Due Yes ❑No Fee Description:3 1 Amount Due: � � �• � }fir (31 r�r,=w $ �a � _ or :/ c.,Pt,?, rec. f 7z/' i/ /---6,6s $ 55', ?(p i4 /,(70 .5.tre_6 v' $ C. 42( Special 771 7717.— Instructions: Reprint Permit(per PE): [ Yes ❑No Mgt one Applicant Notified: v,q- a e: 7,„2_7//,(,, nitials: .4 t 4 /3 4,v £'lzC-,u4-/ T .6-etc re) I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 , E/ 1 'b cz.. 4.'C/ d-cos f-' I CITY OF TIGARD jr / MASTER PERMIT COMMUNITY DEVELOPMENT 71 � Permit#: MST2016 00067 TEGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2016 Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15372 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 55 Project Description: New SF. 6/14/2016: REPRINT permit to reduce bathrooms from 4 to 3. 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: 1504 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2155 sf Garage: 739 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4485 sf Value: $546,639.23 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: 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]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 4485 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 A geotechnical report is VANCOUVER,WA 98660 VANCOUVER,WA 98660 required before the footing 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,416.61 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thr h OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 or 1.800.332.2344. Issued By: 1f� /, 01)(a_...44.,---4...L4Permittee Signature: \ 6/! /L� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. d This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing P.prmit-Appi".i. n ,--,. EIVED ... . .. Buildinglixtures- FOR OFFICE (SE ONLY AUG 16 2016 •gvpgiveti. City'Of Tiga.TO Aatoy., V /if /le CQ49 PefPijt.N°''' itirc9.0/6-60,06 .111 . .... 13I23 SAV Half 13Yd,PPG 1 Plan.10v*w• f # •. Kone-,: 50171$ ( .2439 bon 7, . bIGARD Dateiriv: Other P:ormieNtx.: .6.., 6 • Invegion Lihd: 51:2A,67101-/ IVIS 10 N • • TIGAR D - - • - • 12*Re44Y164Y: Twig. ta'See Page 2 fcir fittempt www.tidard4mnov Notifleafigethod: , Supplemental Information 5•;.6..,,,,-. 6....:,'.''';::,-t.:6.„6..;.::::. • TYPE OF wOR.K :::: .:,tli'!4.;•ip, .s..i:.':-• :.4.: ., 7•: ::iiii: • :'..-):g. A".s!OlErn.PJA..,4:,--;pAr7.?":;-:,,_;.-$: ..[EINew conitrOction •• o Additionfalterationittplacement• 1 i 0 D eni cai i:i 0.4. 0:Oljigs:. '"' - • Description Total QiEa For special use cheat& I ' y. [ , [ • Nciv 1-:2'-family dwellings(includes 100 ft liktach utility connection) _ ...... .... ...-,,-,,••f,,,t•.:Nk•-••ert•-,1:41-,-:-.4,Tr.,:•!.,-.-,-1,.5.---- • :.::-.. -._.;-• ..,.,,,,.,,.-..-,:••••,,,,,,:..•• ,:igi * ,,,A.Af.,7;:4, :.‘,.,.• •SFR(1)bath 10.bath .4#10041t:Ci,F.. 6.N.$101T949....*1110 : a.,;.-4.i•AV 312.10 El 1-and 2-family dwelling 0 COmmetelailindlistrial • •- SFR(2)bath . • 437.7$ , • •• •• ,:SFR(31 bath 50o:32 Et Accessory building 0,14ulti-family •• - .Each-additionalbath/kitchen . 25,02 .I 0 MasterbuilderprOther: - Fire sprinkler( . s9:ft). Page :•.•'14*-;',%••:n..;•!,,,,,"!-..::::,:•.-4.iiriTCSJETB•44.',OR iiiiTIO/4:':ANU:LOZATI(N'741-4,J745i Site utilities: ' .. '' •, ' ... . Job site address f 1 -1.•2_S\lk) Se k Ae. .C) . . • • . eatclitiasikkor area drain' • 113,76..• Divwell,reach fine:.or trench drain ,I.8.76- - • • ' City/State/ZIP:Tigard,OR 97224 .. . .. .. .... • •-- Footing drain(no,linear#:::, 4. • Page 2 Suite/bldg/apt O.: Project name:Polygon 4t B011•Mtiuntain Manufactieed home utilities - 50,03. .,. . .. , .. . . 000:Streetidirectiona to job site: . , Manholes 1$4,76 • • . •- Ruin drain connector 18.76 • ... - . . : .. . " • Sartitar,sewer(no.linear 41.; ). Paae 2 ,. , • . . — • • " • • ' Storm sewer Mo,linear.11::.. . ) l' Pa.gP•2 . .. .... .... - - . .. Water service(no.linear IL; ..,.,,,,) Page 2 ... . . Subdivision:Polvgon at Brill Mountain • Lot no SS Fixture or item •• . . Tax map/parcel no.: Backflow pteyenter I 31,27 .I • , I 1251Backatcrvahe - . • • : •:,..;144.1E-1:5f4.&-••-,,-:-::::: ••,:t:-.42,•: .EIESCRIPTION:l OF W(011FC.. • :,-..-.".•.:::• -J.--:.''.—...--•::::,..'2 :. : - -- • . 25.02 .. . .. . . . . . Dishwasher .25.02 f. .. .1?rialcing fountain 25,4)2 . . .- . - . . . BjectOrgsurnp 21,07 rAPRoiEitTY:(*Wilt :''','" ::::-:!...,LI: :•!•:'-' ,..f.•,.:..;la4fX.fLIN-1 ::,::: ,:e,•,:i,•.,::•:-.,„ Expansion tank . . ... . 1 12..:.t,I . ,.• ,.„ ....,._. ,.,. •.•-• -::•:, • •••- ::,, - -•• ••• •'''' ' Fixture/sewn cap ' • Nagle;.Polygon WO-1,,LLC • i•' - - ' Addri34K.169 Pist 13' Street . Floor drain-ifloor.sinkilnib • ..... .... I . • :-.. Garbage disposal -1 2.54, 1 75022 1 : 2 .0 - , city/StaterZipt Vatiettuver, %A 9$660. ' Nose bib 25.02 ' 1 ... ...... Phone (360)695-7700 .., Fax ( . . . ). . .,• •• Ice Maker ' 12.51 • i 1 ,-. i'••••'--r.P,P"'r,igs:kiiiitie:96-r•-'24*-': ,'.L:2::---• *'::-:-..-Et'CoiViAl&t-l'iii8(W,l'-'..:::" tiltqFxPtcrivP4-5C trap 25.02 1:"••••••4$e-7,.: .. •Medieatgas•(value:$ -, Business name:Polygon - .WilliLLC . Prit - er - 12.51 Contact.name:Ange.14.. .r-41ewAti . . . .. • Rodfdrain.(Corn-meread)i Address:.109 Bait 13th Street. . ... _. SinlObasinilaynaIrY 25..02 1 C.itylStaretZIP:-Vartem.r.Yer,WA.98660 Solar mitts(potable-water) - 62.54 ._ .. Phone (360)495-7700' I Fax;:v(360)693-4442 Tub/shower/shower pan. , 1.2,51. : Urinal 25,02 ' E-mail:Aagelaqtajewski@pulygotiltumes4ont • e---• . . . -..... - 44,, .: Watetloset• ,- • :25,02 • 11*L:1*:,•-•"5,q4r4WA-siWajeji.:: '6&•F.:-':-..- •-7-',ar-0-71.- ''T,,.:':-.V4, ' •• • •.. • - .-tsir '.. '-'2•j;11,,,`i-,''', :',44tlik:i"•:.,:, :_ L, ,..A.• ' -H,,,,..: ,,,•-:;c1':t14. :•'TO-. :,:'''-',-.0.-e'",-'4W•l'-':-.7.'-'.—• .Water heater . .. . I 31;52 'We 62. Business name.:RDL Pluaitng•LLe. •• WaterpipirteDWV. *29. . • - •• -- - . . .. .... Address.:PO Box 85 • "Other.. .25.(12 .. . . City/StateZIP.:Corbett OR 97019 SObtotat .I . . . . .. . . . • - • - • . • -Mininouttpetmit fee; $7250 Aqua:(5831:451,3903.... Fax k. •• ) . ... .. • • • • • Plantestima (2514&permit fee) i CCB Lie .18045 ... • Plumbing t;le;no P111582 . . .. .. .. .• - . . .... . - . low surcharge(12%of permit:lee) ... ... Authorized signature 11,,a.„4.„,..,1,,, freset,,,iie.". -TOTAL PERMIT FEE , I ' I • Piiilt.pAme:BralidOol._;40ter .PLit4: 8/110.11(0 .4 I • Thi'pgrntit apoisation.expires if St per/SRO ant obtained Neitpis.W1 tins. iirtSr ithas.ligen-secefited se tentiilefs.. . *Pt inetinidoloo set Iv'id-County Building Industry Seryien Bard. • 4.daniidinecsmits‘nuanunitAprcdne 10./01/64. 440,461611.0024COM/WEB) - • Mechanical Permit A4 I li v t_ : - lVED FOR OFFICE USE ONLY City Of Tigard !Eew d 111 - AA2- f'tO / PermitNo.: M6D-- a 6413125 SWHall Blvd,Tigard,OR 9722AUr' 2 2 2Q a Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 C�++ Internet: Www.tigard-oI.gOV V IT i`�O 9t TIGARD Date Ready/By: Juris: H See Page 2 for YaF BUILDING DIVISION NC Notified/Method: Supplemental Information j } xSt11Z C�LTIrr '42-7,--'7.-:-' , {FWOKA4zY , i - . _i , ::; _ , W ,: = Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. • C.4.1:g'=OI3'T�hW�CONSTRi)C Ql , ria+ Value:$ _ _,� ._ r__4 - -. -It S3>OIIVT ALEQ1TIP1l�T/SYsTEMs IES* ® 1-and 2-familydwellingp f ❑CommerciaUindustrial 0Accessory building Fors special information use checklist. ❑Multi-family ❑Master builder 0 Other: Description P I Qty. I Ea. I Total Heating/cooling:JOBSITE IIFOII1WATIOTAN1D LOCATION Job site address: Au conditioning 46.75 I C)31/l 3V' 5•1A fl 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.: I Project name:Polygon at Bull Mountain Duct work 2332 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 I Lot no.: S<)-- Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 2332 , �= .. ' t TIESCB1P..,,i O WORK i .t,' W < ,- Gas fireplace/insert 3339 yr¢ ` ' Flue vent for water heater or gas Change 2ndfurance for basement to Heat Pump fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 23.32x4 _® PROPERTY' OWIVEky Other:l F Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment Address:109 East 136 Street 33.39 Clothes dryer exhaust 33.39 City/State/ZLP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 ®.'APPLIC iNT = QCCONiTfAG ilt5011T Other 2332 Business name:Polygon WLH,LLC Fuel piping: $14.15 for first 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 I Fax::(360)6934442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue . ... CONTRACTORAK`, "' ; Clothes dryer(gas) Business name:Apex Air LLC Other. a"ti ik MECHANICALPEEMITIEEE* r t, . Address:18004 NE 72nd 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 lie.: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: I Date:8/22/16 I I:\Buildineennits1MEC PermitApp_0401 3. oc 440-4617T(11/02/COM/WEB) CITY OF TIGARD 44' MASTER PERMIT COMMUNITY DEVELOPMENT1111 Permit#: MST2016-00067 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2016 Parcel: 251080001504 Site address: 15372 SW SEINE DR Jurisdiction: Tigard Subdivision: POLYGON AT BULL MOUNTAIN Project: Polygon at Bull Mountain, Lot 55 Lot: Multiple Project Description: New SF. 6/14/2016: REPRINT permit to reduce bathrooms from 4 to 3. 8/4/2016: ADD sump pump for storm water. BUILDING Floor Areas Required Setbacks Stories: 3 Bedrooms: 4 First: 1504 sf Basement: 826 sfRepaired Height: 32 Bathrooms: 3 Second: Left 5 sf Front: 20 Parking Spa0 2155 sf Garage: 739 Dwelling Units: 1 Smoke Third: 0 sf Right: 5 Detectors: Yes Total: 4485 sf Value: $546,639.23 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Lavatories: 5 Laundry Trays: 1 Rain Drain: 1 Dishwashers: 1 Floor Drains: 0 Urinals: 0 Sewer Lines: 100 SFDrains:Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 10 Footing Drain: 0 Ice Maker: 1 Water Lines: 100 Hose Bib: 2 Bckflw Prevntr: 0 Catch Basins: 0 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 1 Other Fixture Units: Sump pump for storm water. MECHANICAL Fuel Tvpes 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 1000 sf or less: 1 Branch Circuits 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 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 P 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: SF VB Square Feet: R-3 4485 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 A geotechnical report is VANCOUVER,WA 98660 VANCOUVER,WA 98660 required before the footing 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,261.19 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 •A-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. f : Issued By: �q-� Permittee Signature: art) 4// /4—. ��i7LJ 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. V 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 a rovides hel•s the review •rocess and res•onse to our •ro'ect. IN City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT • Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE ICEIVED i. i >. DEPT: BUILDING DIVISION � a °_ a (FROM: i / j(�l 1 Hifi r, , , ,, , , COMPANY: FA / ( G ra3evosb A . (# r 0 k (A) :' PHONE: 2)(0 v - tO S 7100 M RE: 1°0 .L.. # A tit} WINP(AJlr . L 0i Z l 5 �o lte T loo -000 6 7 (Permit Number) � s-s-- roject name—or su,a'vision name an• of num.er ATTACHED ARE THE FOLLOWING ITEMS Additional set(s) of plans. Cross section(s)and details. --------- Revisions: Floor/roof framing. Wall bracing and/or lateral analysis. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: J,,,,, 3 4 v�.m,� . a plEIMMe NNW to• . A / ;.. — is ,,: - ; '..:1-- -,--,4A ,," i,'.,-%`t. r Routed to Permit Technician: ' *' 4-'' Date: ,, , ; Fees Due: �.Yes Initials: No Fee Descri.tion: Amount Due: yea :Ott' 'r Tk A �.. { �, W/1141. '. . ,T pia Special ,-..zy 7-79-4.,_ $ �.. Instructions: , I', CO2 Re.rint Permit •er PE : ❑ Yes 2'No A. •licant Notified: ,y /E Date: 2- /_ ❑Done ilmiz.....mr I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD ' -t- MASTER PERMIT I�! = - COMMUNITY DEVELOPMENT / Permit#: MST2016-00067 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2016 Parcel: 2S1080001604 Jurisdiction: Tigard Site address: 15372 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 55 Project Description: New SF. 6/14/2016: REPRINT permit to reduce bathrooms from 4 to 3. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1504 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2155 sf Garage: 739 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4485 sf Value: $546,639.23 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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 4485 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: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,233.17 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•'R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / • Issued By: t /4; - Permittee Signature: 7i"� �/ G/e��o',�v 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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATRLiWED DEPT: BUILDING DIVISION MAY 172011 FROM: Angela Grajewski/Chris Walther CITY OIGARD BUILDING DIVISION COMPANY: Polygon Northwest PHONE: 503-312-6213 By: RE: 155/-2_ SW Seine Drive MST2016-000 col /5-5ci (Site Address) (Permit Number) Polygon at Bull Mountain LOT 55 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: 1 Description:', 0 Additional set(s) of plans. 3 Revisions: WIC/4th bath change 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: Removal of 4th Bedroom bathroom into Walk-in Closet FOR OFFICE USE ONLY. , Routed to Permit Technician: Date: 6 l 6 / I c Initials: Fees Due: Yes II]No Fee Description: Amount due: I i r FI c.r $ 9 0 a' Special 3 ,81177,128,0i`I S, (IS)' I-414C (, ) 774 6/..C/7"0-w672-S) (3) Instructions: in-u.i y 7 ( G'eJ7 Reprint Permit(per PE): Yes 111 No .201,II one Applicant Notified: ,96f4"-- ate: //y//c„ Initials: ,4___ I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT NI S COMMUNITY DEVELOPMENT Permit#: MST2016-00067 Date Issued: 04/13/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15372 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 55 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Required Stories: 3 Bedrooms: 4 First: 1504 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 2155 sf Garage: 739 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 4485 sf Value: $546,639.23 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 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 Tomo 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 4485 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: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,024.65 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 95 -.. -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 410 Issued By: Permittee Signature: 'N4',/ e--/051-770P1 Call 603.639.4176 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. I to SSf iii iiimi__. Building Permit Application L-S _ :.; RECEIVED �// P City of Tigard Received / Permit N ..y • J`_ ,�� Date/By7 /,- / — /S &, �7 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review. 1111 I Phone: 503.718.2439 Fax: 508.598.1960 FEB 2 9 2016 Date/By: 11/ )L ° 4//Z, / -eOOS t,; }\i Inspection Line: 503.639.4175 Date Ready/By: Jurist la See Page 2 for Internet: www.tigard-or.gov CITY OF ToGARD Notifed/Method: Supplemental Information � d : - 9-, t e v kB z a s € 6 �_5 x t ._ > � .r � =tea a .ti•p ._ ,,, — — , — as � � 7 � � vu ®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 "� s - t c � work indicated on this application. ..,tN,e ..,r . �,.t �,. x, „ > Valuation: (� ® 1-and 2-family dwelling ❑Commercial/industrial ua ,. _ $ Db-- It t, ❑Accessory building ElMulti-familyNumber of b ooms: 4 ❑Master builder ) 5 3 70/... 0 Other. Number of bathrooms: AMIIIIIIMIll e s'' 1^: " Total number of floors: .., - :,.. . a_„— 4—.1—_—a— .......s.. :_ Job site address: •ji`i1 • . .,,F,„„,1_,/\12. Q - New dwelling area:L\Z square feetcaal'a City/State/ZIP:Tigard,OR 97224 Garage/carport area: r square feet Suite/bldg./apt no.: I Project name:Po 9-on ol f5j)r\ rn-j-n Covered porch area: mg square feeta1 Cross street/directions to job site: Deck area: 1k..Q) square feet V 0 ■ Other structure area: or, square feet a Subdivision:Polygon at Bull Mountain I Lot no.: 55 Permit fees*are based on the value of the work performed Tax map/parcel no.: Indicate the value((rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ":-,-, .--,-.7.``"' t` "''`fi - ` ','''..:2”1-- '` `(... ` work indicated on this as shcation. � P _ a ,. ne� 1�,g� Valuation: S Existing building area: square feet New building area: square feet - -. � t � �$...:-�' . Ia� u �' 'g tF �"" 3�� t�` "o'fd l ��'���`` ,�- '�.: Number of stories Name:Polygon WLH,LLC Type of construction: Address:109 E 136'Street Occupancy groups: City/State/ZIP:Vancouver,CA 98660 Existing: Phone:(360)695.7700 Fax:(360)693.4442 New: ...,s c.,.- .., _ >----..a._E.a...w..F:.---2- '......a,<_mv.-;.-....-iY a7u...w�`i. 4-----_,x.e...�.� a F a$,$�•�"� k Business name: Pc> .■ j.j L i n C ,_ ,..•,_.%_—_, "Y p � Structural plan review fee(or deposit): Contact name: 1 _ 1 a f y� (9 orb FLS plan review fee(if applicable): Address: 1 O a i `774-1-1 Total fees due upon application: City/State/Z1P: IQn OCuQ or W R o\s r. 0 Phone:60) c), . -4_1-00 1,,Fax:: ).01D) UCti6-U22ZAmount received Emailmaggie.gordon@polygonhomes.com .>b . : �. ;..�e 6 , A • Commercial and residential prescriptive installation of � �� n , E '._.�-_�_ roof-top mounted PhotoVoltaic Solar Panel System. Business name: ' \.)() \ , Submit two(2)sets of roof plan with connection details I ( �� L1'1 \n C. and fire department access,along with the 2010 Oregon Address: \9 a l. '3� 5-..\— Solar Installation S.ecial Code checklist. City/State/ZIP: \J CLO COu\Fir n A `-'1 g(0(00 Permit Fee(includes plan review $180.00 Phone:(NU) 1,0 a5`-1-00 Fax:OD) �Q3 . '222 age administrative fees State surcharge(12%of permit fee): $21.60 CCB lit.:204238 Total fee due upon application: $201.60 Authorized signature:- et. ! 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: Date —2�:.___ _0 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) N Electrical Permit Applicatioi ECEIV D FOR OFFICE I'SF O,\1.1 City of Tigard Received Permit 1,19,41.37;247/6....z20,067tit 13125 SW Ilan Blvd.,Tigard,OR 97223 FEB 2 U 20�C tate ny: li Plan Review Other Pc Phone- 503.718.2439 Fax: 503.598.1960 p;,,e(n).: Inspection ection Line: 503.639.4175 )alis RI See Page 2 for( F t) CITY UI ' y1NoecMemdInternet ww hoard of goy Supplemental Info rnatiun a BUOI1 /J3104 0 ec ' 8 zT dE O V{ kt1USrVIENtli . ®Nt Please check all that apply(subunit 2 sets of plans./items checked helm.) ew construction El ❑Service or feeder 400 amps or more 0 Budding user three stories 0 Demolition 0 Other: where the available faith current 0 Marinas and boaix aids i.i t cA'TE'0OR'' O :CO FNSTRUCt1ON. ' ` exceeds 1(1.000 amps at 150.ohs or 0 Floating but,hng.. '.: less in ground.or exceeds 14.000 ❑Commercial-use agricultural ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps lot all other installations buildings 0 Multi-family 0 Master builder 0 Other: 0 Fire pump 0 Installation of 75 K VA or 0 hmergcncv systemlarger sepal aely tensed ss stem - xycr; . .,0 £� ORMA,,#0V344410,1*",A'ToN•... 7,p..„...- 0 Addition of mess multi luau of '.. Job no.: Job site address: Ve-)0CM 5"''' at.:, 1001IP or more. uccupancv /�, /`,�i/� ❑Six or more residential onus ❑Recreational schicle park. City/State/ZIP: 1—%()t..il.rc\ OR G {121 ❑health-care facilities 0 Supply soltage for more than J ���111 `1 / ` ❑I I trvdous location r 00%ohs nominal Suite/hide./apt.no.: Project name:Lb�5 ,, o-k B \1 fl ) )" ❑S.rsiccorfeeder600 iimps ,r more.J71 F'EE�•.SC(F1EITLE ;~ .. . Cross street/directions to jos site: Description I Qty. l Fee. l Total I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.:5 1.000 sq Ilor less f 168 54 4 Ea.add'I 500 sq.IL or portion 8 33 92 1 Tax map/parcel no.: limited energy.residential i rt5 �ta.`;:3 ... s•i==- .- .•-.... 1 75 00 t.:;:s.-'k ra K.•- s : .«-s �E80iiii io *)614-- (with above sq.fl) 1 New electrical service and wiring limited energy.tnuhi-Tamil)' 75 0 1; residential(with above sq Il) (1 i Services or feeders installation,alteration,and/or relocation 200 amps or less I 0 7(1 ' oi.Rp1'$ .QUER< e.:r ' �. `:,Q TENAi 201 amps to 4(X)amps 133.56 ' 401 amps to 600 amps 200.34 ' Name: 2�,, 601 amps to 1,000 amps 301 04 Address: t b a � -,'1" ` 5.�• Over 1.000 amps or volts 552 26 _ � t ,9 / q c) Temporary services or feeders installation,alteration,and/or City/State/ZIP: \i0 r-� ""n/� relocation Phone:&p) V a 5, -D Fax:'I"f.�1) ) 1�i( ��1 1 2(10 amps or less 59 36 I CCCC��IIN(((///! v lJ� vc tv `{`'t"L C/ 201 amps to 4(X)amps 125 03 ' Owner installation: 1-his 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 16x 54 Branch circuits-new,alteration,or extension,per panel Owner signature: Dale: A.Fee for branch circuits with 4::4 'M above service or feeder lee. � .' E1�.I �?1Tr ®,.ir(aNTACT'iPJ$SU1V 7 42 each branch circuit Business name: PT-DI-71 mo ,' 13 Fee for branch circuits without service or feeder Ice.first 56 18 ' Contact name: m f ve, —krbranch circuit Each add'I branch circuit 7 42 2 Address: b a ;Miscellaneous(service or feeder not included) . CCity/State/ZIP: �QX1CAt�.t ,N1 f q �f� Each manufactured or modular I 67x4 _ rr• +++ dwelling.service and/or feeder 1 h h > 'Reconnect oil 67 x4 Phone:( ) Fax: :( ) - rnnnn 1 D br,,r coo (, Pump or irrigation stele 67 xd i ' E-mail: l Yx (�7 ` gyp UI 1 .CJ ' x Sign or outline lighting 67 81 _ '-.. ...'� - Signal circuit(s)or limited-energy Business name:Simply Electric panel.alteration.or estenston Page 2 � . - Each additional inspection over allow able in any of the above Address: PO Box 822408 Additional inspection(I hr mm) 66 25/hr City/Slate/IIP:Vancouver,WA.98682 Investigation(1 hr min) 66 25/hr Industrial plant(I hr mm) 7R I x/hr Phone:(503)849-8202 Fax:(360)314-4945 Inspections for which no fix is y0110/hr specifically listed(V:hr min) CCB Lie.: 204615 Electrical I.ic.: 067 Suprv. I.ic.: 4394S •ELECTR1C:tJ, ER A71T'FEES ' OO J Subtotal Suprv.Electrician signature. required: �re.. TS e Plan revictt (25%01 permit fee) Print name: Victor Tarzhitsky Date: 11 17/2015 State surcharge(12%ofpermit lee) TOTAI.PERMIT FI'.I{. Authorized signature: This permit application expires if a permit is not obtained within 11111 Clays after it has been accepted as complete. Print name: Date: . Number or inspections allowed per permit I nuildrne4ermits\EI C-PermiiApp dos 07m1;10 J40..tl.I5'n 11.IMS 5'OiVUaai 3 • Plumbing Permit Applicatio -C 4.-- ` l) `_^ FOR OFFICE l(E 1 SF OtiL1 Building Fixtures City of Tigard FEB 2 9 2016 Datey Permit NodyJ7-A9/6'D00(o7 14 - 13125 SW Hall Blvd.,Tigard,OR 97273 r Plan Review Odin-Permit No.: "irpt'. t) DatdBy. Phone: 503.718.2439 Fax: 503.598My y k3+;• �� +fit _ �� � S«page 2 for Inspection Line: 503.639.4175 O( ,f r•_, , }� i i f r pp� f Internet www tigard-0r gov C7 L, NaUied/MReadYfar �a Supp �- '-- -�._ . ��-' w nabou " F .• For special information use checklist` /� New construction 0 Demolition Description 1 Qty. 1 Ea. 1 Total ❑Other New 1-2-family dwellings(includes 100 ft.for each utility connection) Additiodaltaatitxtlreplit _ 312.70 -:r ti ,;4z_' -�,, ` :Z zy SFR(1)bath r};,,'.�. -; � " ``ie..--'<.. "--;-.4-':-., ` ':.a - ,,`-----. 3,6 �) 437.78 SFR bath y1-and 2-family dwelling 0 CotmercialfindustrialSFR(3)bath t 50032 .5�t3 0 5 Accessory building • 0 Multi-family Each additional bat /kitchen 25.02 ❑Master builder 5 S / 0 Other. N Fire sprinkler(__sq.ft) . Page 2 • 5-fr ri i'�---- . Site utilities: •7 .�� � �� j F" �a�� � 1F� a ,.�� _�ti _t"3"�` -�,_s,,c.'�' - 18.76 Catch basin or area drain - Job site address: n Qcis-guip . � G���� Drywcil,leach lint,or trench drain l 8.76 City/StatilZW: T 1. 1 `- l rn - Footing drain(no.linear R: ) Page 2 ly x;11 t r11 1 Manufactured home utilities 50.03 Suite/bldgJapt.no: Project name: pp `l B Manholes 18.76 Cross strr et/dinxtions to job site: Rain drain connector 18.76 Sanitary sewer(no.linear tt:.___J Page 2 • Storm sewer(no.linear it: ) Page 2 - -G Water service(no.linear IL: ) Page 2 Subdivision: I Lot no.: J Fixture or item: 3127 ,`! - Back-flow tx ' Tax map/parcel no.: - Backwater valva .1 t2s1 12.5\ _ _J �� - 's-:------''.--'-:-:----- Clothes washer ( - 25.02 05,02 7r, Dishwasher ( 25.02 -j,D 2 k1 , `b i Drinking fountain 25.02 Ejectors/sump 25.02 Expansion tank 12.51 :---...--,-....--,--7..-•- _ _ -� ',c- ' . _ r Fixture/sewer cap 25.02 Name: aH 1 Floor drain/floor sink/hub 25.02 Address: C 9 1 5-'r- Garbage disposal 1. 25.02 2 ,dL 1. Hose bib 1 25.02 'Z 5,U`L City/State LIP: Q,n e o\/+ 1251 Fax( ) Ice maker. j -y2-G5 \ Phone: ,` �q r :- _tmtcrceptor/grease trap 25.02 ' - ..--..--c,27,-.- = _ r v ti, I �_ _ _- Medical gas(value:S ) Page 2 Business narrtC 3U L �,�, , 5 ( Primer 1231 Contact nems ' !t[„Jam` Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 Address }Neci_vidtme) �1/� _ 651� Solar units(potable water) 62.54 City/State/ZIP: (�I Lv 1G (� 1 Fex :( ) Tub/slwwa/showerpxn. a 1251 Z"✓ 7. Phtxte:(2,3)351 3�b3 Urinal 25.02 E-mail: Ala/ 1/kCCI 's IA& Water closet 25.02 /} /✓��f//(�J/ •Y = Watt7 heater I 37.52 Business name:151) 1 jiltj ILC Water pipingIDW V • 56.29 IP. Other. 25.02 Address: r 11 °A tr�qq11 Subtota City/StatefLlP: &e , Cy" [VE - Minimum permit fee: 57230 p :43) . i -39b3 Fax:( ) Plan review (25%of permit fee) CCB I.ia E 1 1� L^- Plumbing Lic.r �Z State surcharge(i 2%of permit fee) "��� TOTAL PERMIT FEE Authorized signattaz _ I Date: This permit application expire if a permit is not obtained within 180 days Print name: ��/rte �,/� //IV/51 pted as complete. . . aft y s it bas��Building Industry Service Board •F«methodology set by dot 10/01/09 M04616r(10/07/COM/WEB) L-1&nl6inglPamaclPl.MU-PcmMPP- Mechanical Permit APAlicatiR ` 1-()1(01'11€L t',1.ONLN City of Tigard F �+ 20 16 y; > ;r N°, ST�Q/(' D(v 7 13125 SW HaII Blvd.,Tieard,OR 97223 Received C7eh� c PhoAe: 5033184439 Fax: 543.598.1.960 s=A.'-r pMcjgx;_ Pani Inspection Line: 503:639.4175 ��Wr )` ,-;,r-,,, ft N -ae$eadylBY Attic H.Seel'aie21vr i't i Y lj8otifiedlMelfiod: SopPlemeatat taformatiim. Internet waw.rigacd.or.gov ��.'i�,(�f�,.1 1.�i i 1 a..; _ '''''''''.7"-'74,,7""717-+N.7 _, re'AT.I W $ Y• A s-.7".1.:q t� = c ':71 4s-Is F...-; ' , _ ..." _ L _ - Mahanlcal pump are:based.oa the valeie dill,WQrk.. ®11e*&instruction 0 Addition/altemtionTrcplacernetit performed.Indicate the value(minded to the nearest dollar)of all ener�ianical materials,equipment.labor,overhead.and profit. i3emohtuoo 0 ► yahic:5 ®1-and 2-.1ta5ily dwelling 0 CommerciaVmdustrial 0 Accessory building For spa3ad Infamtafion mit thec*IFst El Multi-fEartiiy. I 5.31.2-0 mask,builder 0 Otter: Description_ 1 . 1 >:,i. I Total --; .,..x* E_E*iF _It¢K -ler k ' 7 r""' Auconditioning 46.75 I.f J'k) S€U\f2 0 C. Pumice 100,600 ii'ru Moat/Vents) I 46.75 a G-4.2DU . Pumice 100000•+-BN i (doctshl 54.91 Heat pinup 61.06 Suite/144M%.no.: Prbject namv X01 m-, 11 m • filet work 23.32 Cross stn&dircetions to job site: Hydronic hot water system 2332 RUsidenfial.boiler(radiator or hydrouic) 2332 Unit hgstMs(fuel-type,not electric), inwa11,iii-dlutt.'suspOrided.Mc. 46.75 Fluefvesttt for ady of above 2332 .. 23.32 '- --— a Lrit not Other fad applisitien tw Taict�ip!¢atneiWtdrr2iealar 2332 s �yy� ea a e.�, e e a , ' . GasfzMPlilxlmsOn 33.39 `�•jw �Te.m T'•"0 e.e,. `+�. 4 >•.�.X..r^�Y�C.NixeaL'h5' �t�.aa.rcsv�.uT,Sus;�.s..iY.'z ,..,.._:sem..... _..:,.�.�...... . .. - Flne•wost for water beater or 6� frcvlace 2332 thg'Wei'.(10) 23.32 Wood stouve 3339 Wood fireplace/insert 2332 Chiiimoydiriciffhielvcat 2332 . - x-- r - rj 2332 Easlroaaiitndtl exhaust and auilatfoa: N PerlyEon Northwest Range hood/odic kitchen ogttmlifetit' 1 33.39 Mess:,109 E136 St .Clothes dryef exhaust I 3339 Single-duct=Must t(batiwoorns, +Gtty/3tYi ZW VaiiiMilvey,SVA 9$661 toiletoompartmats,:utiity.rooms) 4 23.32 Pte:('36dj8164808• Fax:( ) .Auld aw1SPace fans 2332 ,-7-=7-n:.•':71-11:`,.. 5°'',ter .7 t,` i a r "a "? , , ' L7ihIs' 2332 Bums opine Pdygon Northwest 514_15 for first four,S4.03 for aide additional G.oitarx ttemC. Rana 1 Address:109 E 13*St .Csas:hest titnaP Wallfsosveodedfunit heaoa • cltylSte ZIP:Vuconwer,WA'.98661 'Waterheaoer Mina(360)816-7800 Fac:( ) °tp180E 1 Range 1 i "r - tC '.� iE% 7.7,-7.7.:777:-. 77477.7,L.:,,,,,1-1-...a .', ^R.w� t.NViw dr -BEd') Business'riamC,Andersen Bolting,Inc c "'twg;s G (6s" ' a t*»a R' - o-. •A areas 16 ;(85&WSia`Ave. de 410 Slrbtodtl Nimbi=permit fee(S90.00) ' )R.972Nimbi=Plan review(25%of permit flet) MEM:Z503)092-6664 Fax (503)536-6615 safe Surcharge(I2%of permit fee) CC»1Ic.:168214 TOTAL PERMIT FEE This permit application Millais Rs permit is net.abtsfaed within 180 days atter it kat beta accepted as complete. Authorized lig e: * Fee roeabodolosy set by Tri-CooatyEm'iding Industry Service Road LTrintimnIM Art Aoderser _ Bates 12)'2011815 I: APV 401 e3.doe 44o-46i 7r(t1Jtu. OMAYEa) i • City of Tigard M COMMUNITY DEVELOPMENT DEPARTMENT 11111 s T I C A R D Building Permit Review — Residential Building Permit #: /`7-S-7-'020/6, — Op p6 7 Site Address: 1.53 ?tall? _- iite_ Project Name: 'P -177 840 N i y Lot #: SS (New i >=subdivision name;Addition or Alteration= last name of owner) Planning Review Proposal: /t&1j S>P:12 . 'Verify site address/suite# exists and active in permit�s tem. River Terrace Neighborhood: ❑ No L(d Yes,See River Terrace Review Addendum Attached Sit Ian Elements: 0 free(3)copies of site plan rdI,' "sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper IE Footprint of new structure (including decks)with finished awn to scale (standard architect or engineer scale) 9.goor elevations orth arrow 'Unlit} locations (required for new,may apply for additions) S e address,project or subdivision name and lot number ��,cation of wells/septic systems IV licant information(name and phone number) (1 rosion control(including drainage-way protection,silt fence of dimensions and building setback dimensions sign,location of catch basin,etc.) 6t area,building coverage area,percentage of coverage and S eet names pervious area (applicable if R-7,R-12,R-25&R-40) treet tree size,type and location t'roperty corner elevations (2 foot contour lines if more than N t 'sting trees to be retained with drip line,and tree 4((M�oot differential) protection measures T(!'lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Pequired: ❑ Yes,applicant was notified l No Received: ❑ Yes E No ublic Facilitie Improvement(PFI) Permit: equired: VYes,applicant was notified E No Applied For: Yes ❑ No,stop intake C and Use Case #: .`_S ,r� /�-- iC VSoning: 5 etbacks: Front 020 Rear !QS- Side 5 Street Side iv)Ft. Garage cQO Ilandscape Requirement: 0 0 of Coverage Maximum: 0/0 cvo To Building Height: Maximum Height 3(0 Actual Height / opTisual Clearance Vry,asements V/Sensitive Lands: "Yes ❑ No Type r— A.X/ ' [ Urban Forestry Plan ❑ Conditions "Met"prior to issuance of bu ding permit J / Notes: (J k C? Mi/i- 1 inn ,t7�): TL j 3t cs2rn t' ,,7Zr'1�/'�Li Approved y Planning: Date:,Al el02r' 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.docx Building Permit Submittal Original Submittal Date: ,,2_7�9/i Co Site Plans: # 3 Building Plans: # 3 Building Permit#: ErEnter building permit#above. Workflow Routing: ErPlanning Engineering 1ermit Coordinator Kfrtuilding Workflow Sign-off: 2-Sign-off for Planning(include notes from planning review) Route Application Documents: ['Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans, building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: -3/a//4o Engineering Review Slope at building pad: Vie, Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat 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 ed b Engineering: Date: .� - ,./ Notes: ... . � `>. �: i/�� � r ..�,,//-ff; .r �. Approved by Engineering: ,4Z Date: ,7-5)--/Z Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released:24 ,._ /0#-Da /4p te: 3) p Notes: 4-e-,./% .alsrer 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: /0SDC Fees Entered: Wash Co Trans Dev Tax: es El N/A Tigard Trans SDC: �dYes ❑ N/A Parks SDC: (15:31Yes ❑ N/A .1OK to Issue Permit Approved by Permit Coordinator: CAL,4_, Date: q —( 3 -10 1:\Building\Fonns\B IdgPennitRvw_RES_O 12116.docx City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: /7S7-02a/6 - paa 6 7 Site Address: 1537a .- k) .: 40/)-1., lir Project Name: J ,-.2;74 Ad/ Ihorrn 414 Lot #: S`� (New 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 . deep ft. deep min. 2ft., 5 ft. wide min. 2 ft., 6ft. ide Gabled dormer ❑ ❑ V ❑ 2. Eyes on the street: a minimum 9f 12%of each street facing facade must include windows or entrance doors. Percentage Shown: S 3 /° 7trances: At least one entrance must meet both of the folio g standards: ax. 8 ft. setback from longes 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 y ,all the following apply: sq.ft. min. e street facing entry ft. max. roof height above porch 5 ft. depth min. 30%min. porch roof coverage 4. etailedT, Design: All buildings shall include a min. of five of ate following elements on all street-facing facades: overed porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep , all offset min. 16 inches ❑ I•rmer min. 4 ft. wide I�Roof cave min. 12 inch projection 7 ' .of offset min. of 2 ft. ❑ Roof shingles either tile or wood ►I able,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. rizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40% of street facade V Window trim min. 2 '/a"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ :•y window min. 5 ft. wide by 2 ft. deep ❑ Balcony min. 5 ft. wide x 3 ft. deep with inside access f/. 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 loser to front or side lot line, than longest street-facing wall. ❑ Yes YJ No. If No (Check one): ay 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-story building and there is a window at the second story a ove the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: ���9/11e 1:\Building\Fonns\BldgPennitRvw_R ES_RT_012116.docx Albert Shields From: Albert Shields Sent: Wednesday, March 09, 2016 2:59 PM To: 'Chris Walther(Chris.Walther@polygonhomes.com)' Subject: RE: MST2016-00067, -00068, -00069 Attachments: Conditions-03-09-2016.pdf Here's the attachment. AMS From: Albert Shields Sent: Wednesday, March 09, 2016 2:58 PM To: Chris Walther (Chris.Waltherpolygonhomes.com) Subject: M5T2016-00067, -00068, -00069 Chris, as you know, we still have a few more of the conditions of approval that must be met before we can release building permits, including the 3 permits mentioned above. They will be put on Hold as Approved but Not Released. But thanks to the packet of items you had delivered yesterday we are now down to 4 conditions that remain to be met, as highlighted on the attached. Albert Shields iiw City of Tigard OA Permits/Projects Coordinator Albert tgard-or.ggo:• ,503, 713-2426 ' (503)624.3431'i 13125 SW stall B vc. 'sagard,OP. 97223 1 Building Permit Application tG, / S--S- LS ..=2 fl2 Re14 .hila fiE(, ,.,�, _ FOR OFFICE ['SE ONLY City of Tigard � eB� 3/2//(o Permit � /(o -DOD67 ` . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review = Phone: 503.7182439 Fax 503.598.1960 `�j 2 9 2015 DateBy: Other PertS4//:,;�j47 -oc25 TIC'E n Inspection Line: 503.639.4175 Date Ready/By: Juns H See Page 2 for Internet: www.tigard-or.gov C I'T 0 T"r r, Notified/Method: Supplemental Information 1 iLa ��� ' >zn�'"7^� �'©*�''4 �- -4te � t.`� S1 i 341 3 „�gx. ..t!i. v t 3 i ,��€�? *; CO 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 ❑Other: equipment,materials,labor,overhead,and the profit for the e t '- , "" work indicated on this application. ® 1-and 2-family dwelling ID Commercial/industrial Valuation: $ � , ( ❑Accessory building ❑Multi-family Number of bedrooms: 4 ❑Master builder ❑Other. Number of bathrooms: 2.5 _ . ,�+t} t i tl' I . Z. i r.E ' x .,4Total number of floors: Job site address: I5750 './�,L � �,�� 1� New dwelling area:L 1 5_'Q square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: l square feet Suite/bldg./apt.no.: I Project name: Po\Bin (t. 13 13,,,,\\ n Covered porch area: r square feet Cross street/directions to job site: J Deck area: ,U square feet Other structure area: 4/ ' square feet '. 4 $ asE a a- a :,._ Subdivision:Polygon at Bull Mountain I Lot no.: 5 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all 7t. , equipment,materials,labor,overhead,and the profit for the „ .,i a W O 1'-) p � ' ;_., "c work indicated on this application. ne- •l�3\�4'�, " aim\—\� 10 L^ Valuation: $ L� Existing building area: square feet New building area: square feet �. ;7-4 lt. <a a;4° 2i ` '' -. 12 •: Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 E 136 Street Occupancy groups: City/State/ZIP:Vancouver,CA 98660 Existing: Phone:(360)695.7700 Fax:(360)693.4442 New: it - 3 ,7 s � ram, - .; , -+a W, M � Business name. po\ \CI L n C Structural plan review fee(or deposit): Contact name: 1�1 a • `� c2O1-c\CT FLS plan review fee(if applicable): Address: 1 G( 1 )31- � � Total fees due upon application: City/State/ZIP: O� `v ei W PI 0\g�(o 0 Phone: -0) Qt • —4-i-oO Fax:: Ic1)) U(6 U/ZZAmount received E-mail:maggie-gordon@polygonhomes.com ' ¢ t ¢ s- ,,; , h..s } , ..�, et, Commercial and residential prescriptive installation of `«' " '0 s.,:.: s\ ,t--‘-,- --..- -1"•v,..7.- --2',..,-..1-.!. M roof-top mounted PhotoVoltaic Solar Panel System. Business name: Po Iti G�n �'u-1 1n C Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: \C)a 1i!V 3''x`1 Solar Installation Specialty Code checklist City/State/ZIP: \) (Z��CQUo �� i q s .0l0 D Permit Fee(includes plan review $180.00 and administrative fees): Phone:c3D) -q-00 Fax:( D) u(2_2Z State surcharge(12%of permit fee): $21.60 CCB lic.:204238 Total fee due upon application: $201.60 ' This permit application expires if a permit is not obtained Authorized signature:' erIP : within 180 days after it has been accepted as complete. Print name: < Date• 1 —r+_1l� *Fee methodology set by Tri-County Building Industry Service Board. I:\BuildinglPermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COMIWEB) 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. 1A1 1 City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter Tit %�r?n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www,tigardov TO: Tom H. DATE ' ,,CE . , — DEPT: BUILDING DIVISIONik AIG 2 2 2016 FROM: Angela Graj ewski • ITV OF. ,,3 - COMPANY: Polygon Northwest E iiia xr�P ��� o PHONE: 971-212-2144 411 r ice' RE: S-Y) Sr,"V SRA n-e r (Site Address) MST201�b r) t01 (Permit Number) Polygon at Bull Mountain (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: ' 0 Additional set(s) of plans. 00 Cross section(s) and details. Revisions: 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. _ p Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 3 Other(explain): Additional de details re.nested by ins.ector REMARKS: eek : 2 ' :;:;;,::':af:R :.T 'd°i.._ Q p.. .m..may'B` Routed , Permit Technici. A Date: - 02s Fees Due ► c Initials: /' / Yes � �o Fee Descri.tion: � ��7 k h�,' � Amount Due: L:1::72E17.L.M112:2 Special Instructions: Re.rint Permit 'er PE : ❑Yes P No Applicant Notified: Date: ❑Done Initials: IABuildingTorms 1 Transmit _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 15372 SW SEINE DR, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final PASS October 27, 2016 at 10:30:23 AM MST2016-00067 David Young Violation Summary: Inspector Contractor