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Permit (63)
II) CITY OF TIGARD MASTER PERMIT 11, - COMMUNITY DEVELOPMENT Permit#: MST2016 00081 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 k Date Issued: 04/28/2016 D / , �, Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15303 SW MISSISSIPPI CT Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 78 Project Description: New SF. 10/28/2016: Add A/C and 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1591 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3427 sf Value: $422,948.77 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<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: 0 Ea add'I 500 sf: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3427 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,654.89 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,• OA: •52-001-0090. 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: w Permittee Signature: e./t/ ��./pL-/C' T70� 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. . . . EOR(JEER'I. 1 E 0\11 -.. .nle2 0—.,—. ...,.. .f..._ila44 - 1ECM -ha . ' i P mit I— EivED :: - — ,s. s: . , . • .. _ .. _ _ • ... .. . . .. . . . ..-Citv• of Tihiard it.woro 1 fil/02er// 4/91— .I'lnis NV7_57;20/6—e9C)0,f/ ' ... . ..,. . • . . .... , , ...... 7. 1312a SW Hail Blvd,figure),OR 972,2in r-n 0 0 20.16 14 Plan Review • 59171814.39 .Fax: .503.598.1941E r L Other IVIett: rummy. ... T I GARD Inspection Eine: 543.639,4 175 Date RtadvAlv: tarts- .fa Ste Page 2 ter • - interim www.tigard-or.gov CITY OF TIGARD watifitimith-od: Sapplententat hileratarion BUILDING DIVISION; ... -: - - -.. . - •ThPE OF isi.,,okti • • • - . commzuror FEE'r ScR FOLTLE,' ISE CitEtKLIST • , . - • Mechanical permit fee0 are based on the value of the work .0.New earistnIction 0 A dditionialterationkeplacement - performed,Indicate the value(rounded to(he=rest dollar)of all El Demolition 0 Other: • mechanical almerials.....u`me*,labor.everfrod and neat, . . - . -.'' -: . . • . - -• . . • . . , -•. . . - ••• - .-.. ..: .E•••SIDE' • ' .•... . •V-a-l-ueCATEGORY OF CONSTRUCTIONRNTIALEQUPV.-:.. T/S .STEMS F-EES , • U i..,arid 2-family dwelling In Commervialifindostrial 0 AtzenarY building i - for spedol information use fhecht41 7 Mtiiti-tatnify 0 Master builder 0 Other: i • D=11)10011 - Q Y• • 84: 11311 . - - - - .- lir„atin kaolin t ? • - -• • JOH SITE INFORMATION.AND LOCATION - . . .•- ......,..4 - . • A Ireonilltionin1 nimirgli lob sitc-nddfesit: b Sv\I lAtssissi fl -Euntace100 440131110hteWveari nal 46., 111111111 . . City/State/DP:Tigard,OR 97224 furnace 100,000+Bill ditenhenta : Nall M.:91 r IIIIIIIIIIIIIIII IPIMIIIIIIIIIIIIIIIZEUIIIIIIII SJ /pino.: Project natal::Polygon 4(Roll Mountain Ow'work 1111111111111111111111 cros,streutAirections to joh site: 14 stranic hotwater, ,•$teirt. 11111111111=111.1111. iimi . . ... Residential he iler tradiator or • - . ' 111.111 h'dram) Vail heaters(lbel-tyne„not cleetrie),. 1111111111. In-' wail in-thtet. ..•,. ed.etc: Ef 2 2 9 1M 7 2 1111.11111111111111111111111 11111111111 Other: 111111.111 subdivision::Polygon at.Btill Mountain Lot Other fuel k tioncm. Tax mapiparcel no.; Winer heater• • .111... 23.32 - • • •'. DESCRIFTIO OF 1Yolik ' . Gas f •*laccilusext Mall 31.39 Plue vent.far water heater or ps. is I : Iiii I ._ Ali III, ' •II.,lace 2339 12 `filer ta es' 111 vt,001 -'' 1111111111711 dt: let Awe 11111111. 1IarMil=111M11111111111111111111111111111111 Wood 0'lcox4insv't CNISI 3339 I 111111111111111 ---1 EIIIIIIIIIIIIIIIII IIIIIII.M.IIIIIIIIIIIMIIIIIIIIIIIIIII. lialnevilinWriunt MIN ;,.. - ...• . • • Other 11111Mil • -.- -': - •'..- •^,-tit 01.1111TV.OWNEK. • - -',-- -. . •Li TENANT. ,. ' ' - • - • ievirotuncutal • exits ust And ventilation: - I Name:roJystin W1,11;1,1,t,I - Range hood/other kitchen ' • • el meta ..._ 1111 33.39 Address:109 East 1r Street I clothoseiNer exhairst 33.39 . . i City1Statstale:Vancouver,WA 98664 I Sincle-duct exhattat(beano** MEI I • 10110 cont artroonts„-taili•'rooms) •Phone:(360).69$-7700 • Fax:( 1 Attielerawls 'ce fans' • 2332 1 . ., , . , . . . . .... . .. . . . ,.. ...., . . .__,, • • - : rar AWL/CANT,' •-.•- • '• t' .-• El CONTACT-PERSON--- .••• Other IEEE . ._ . . -- ..,: ............ .. Fuel 'Amu. . . Busilms Imme:Polygon WE11.,EEC $14,38 for not Tour;$4.93 for each addilitinal • Contact name:Angela 6rkfvsys1d • ,Fume&etc, 1 . 111 I I 111 EMI 4 Address3 109 East 13th Street •' • • Oaaheat tn. t I Wall! ' ,ailed/unit beater Illiniall City/State/ZIP:Vancouver,WA 98660 • Water healer IIIIIIIIII Mom:1360)695-711W Fax:-.:(360)693-4442 .-.N1400 1111111111111111111111 • Ran •=1111 &mat Angela,Grajewskiii)polnouhnines.coin Wien' un CriliTRACiOR: .',,'•:' ... ' ' . Clod=dryer(ma'-• . 11111111111111 Easiness nape:Apex Air EEC IEEMIIIIIIIINIIIIIIIIMIIIIIIIIII • .... , . , . .. -.. • .• mtaLoacAL'Tartar fErs-. Address::18404 NE le Aye • &IMMO City:State/ZIP:Vancouver,WA 98686 Walnut pounitilx($90,Clf I) • Flan rcTiow(25%.0fIxtrlit fee) I Phone:(360)3424149 Fax.!-(360)3264169 . - Statesurcharge OA%of molt fe0 - - - - , Cal lie.:20 _3034 TOTALTERMEr FEE I • . Thin ponnit application expiralta permit is not obtain cd nithin I li•O 4aysnittrittos been licAlolul.as nompletc. Authorized signature: ,, • w Fee tuoluhluliasy no l•-;)-rri-Countylioiltrn fildu.stry So-x*4 llcord Print name:-- I I e4A, Am Date: 4,,iir,.#4— 1 r.liod,,,,.p,,,,f,,,,mrc.....pemfiapp DM 13.450 44446 i7r ri1:1,24.-CNA:VI:13i Ek trJC 1J P r1 ljt Application RECEIVES . city of UB1 SEP 202016 t (e),.2/t6) /Ee2e ,e/ 1312.5 S Hall Blvd.,Tigard,OR 97223 Plan Re3teu Phone: 503.718.2439 Pax: so3598.i''7 ITY OF TI G AR D Deaf. Related Permit e:- Inspection Line: 503.639,4175 BUILDING DIVISICJIV dy : he 0 See rev 2for Internet w'ti"ta.tigprd-or,gov ; Notifiedt'hdethod: Supplemental Information ►r+ New construction 0 Addition/alteration/replacement Maser:heck all the apply(submit 2 sets of pleas wiimns cbetkedy D Basics or feeder 400 amps or more 0 araidd ng over three stories, 0 Demolition 0 Other: current ards. . c. x '.R It`., .t"+Ns CTft : ",:r:.;::::,,,..-,L. ''. -H:1:: ex 1 amps at150s or El Floating „0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to mind,r exceeds 14.E O Crnsrnercial-frac agricultural amps for all other installations. buildings. Multi-family 0 Master builder 0 Other: 0 Firs pump. 0Installation of 150 KVA or T"Y _. ._ AT0* 01.0.0 .P1,13= 4CA IO ,„.:',''..-1::::.;''',.1:.T,'1-4.,'...?'",;,-,: D EmuFency system, larger separately derived ' Job site addre �•-, n' 0 Addition of new motor load of system Job : n llllj M 1 St f i I00HP or more. D A...:E". t-2"r"13.., City/State/ZIP:Tigard,OR 97224 O Six or more faclitisresidential units. 0 occupancy, vehicle (]I#ratth-earttfarsrh'tit�, parks. Suite,tbldg./apt-4: Project name:.0711!? r;* ©Hazardous locations, a Simply voltage for more than "� ���'+e "'L 'i ©Service or feeder 600 amps or more 6°0 volts nominal Cross street/directions to job site: s'< 7. F . .',-L;) -- Deteriatim I Qt. I Each I Total I • New residential single-or multi-family dwelling unit Subdivision:P'alici 6,/ ty 1 i ? 4 t'C Lot 4:16 Includes attached garage.R.Tax map/parcel 4; 1,000 sq. or less I 168,54 4 M' `°-_ 4%;:tti, Ea.add.]500 sq,A or portion 33.92 I energr,residential t, 1 ' Gh�y y�/y�p�' Limited(with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 . . 'T" RIPE 1 R ,F ;;* [( � " .4"a residential(with above sq.Il.) m Nae:A.Dti L Land Holdings,LLCRenewable Energy 0 See Page 2 Address:7600 E 1}otthirtt to Ranch Road Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 City/State/ZIP:Scottsdale,AZ 85258 ' 201 amps to 400 amps 133.56 2 Phone:(602)694-4031 Fax:( Email: . 401 amps to 600 amps 20034 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature: Date : Q Temporary services or feeders installation,alteration,and/or -, 0, w^ ,Ativ-i*-1-1.: ,: _"'l,C(Jit7.AC�W(SSN,' -- relocation Business name:William Lyon Homes,Inc. 200 amps or less 59,36 1 Contact name:Angela Crajewski 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,7 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 ,,,;,,,,:,;,24,4,".„,,,; -s B.Fee for branch circuits without .4 ,` . r µ.'s! I I R� " �, ,x 'z.,:v,"r'..�«„ „,:,,,i.:,,,,,.,, . service or feeder fee,fust Business name:alameda electric branch circuit 56,18 2 Address:3415 tet 44th Each add'tbranch circuit 7.42 2 //, r f Miscellaneous(service or feeder not included) City/State/ZIP: f;17,-,./ltsx? iz .' 202,/3 Each manufactured or modular dwelling,service author feeder 67,84 2 Phone:(503)3192192 I Fax:( ) Reconnect only 67.84 - ' Email:solarpdz®me.com Pump or irrigation circle 67.84 ' 2 '' CCB Lia: 199188 Electrical Lic,: c923 Suprv.Lic.: 9,(7/j Signor outline lighting 67,842 Suprv.Electrician signature,required: / Signal eircutt(s)or limited-energy ' ❑ Pa e 2 2 Print name: it,t/4, /2.0,0e,4„ Date; � /z3/Ii lel,alteration,orextenston. g ' Each additional Inspection over allowable in arty of the above Authorized signature” Additional inspection(1 hrmin) 66.25;hr . / .: Print name: " ""` ^,e,r.�` Date/43/ : investigation(1 hr min) 90, 'fir i;$uitaintre t1Et.0 Pattaimpp E.R.£RE.doc Rev OM r ltil5 440-46 1ST('I.fi52Q:xt`wE8 .. .. ' Plumbing Permit Application . . . , .. .. . Build ing.Fixtures- FOR OFFICE USE OL' ) .,_,.,...- 13123 SW Hell Blyd.,Tigard,OR.97223‘-''- - 'OamiTht: (0-(r//6-., OF/4 . Nmiit15''•;01:-_(720/A;WO,/ , Plan:Review . . ' Phone-501 718 2419 Fax: 503 590.100 ' ' ' '.' '- ' - 11 , Other permitI4m: 1: inspection Lin503.6394175 -' 'i:? ''-',' ' - ' ' •' ' -• Date Readyilay: T i G A R D Ani5- 0 See Page 2 for Internet: www.tigard-:or.gov - - ... ' Notifiametbod: Supplemental information • ::,.,•4::i.7:.14..,::':'''1 .4F7 . T7.7":*. i.:20i#044r:LW,.-.4ii,.'.17:::::.; :r.'i.-:: :,:.s.4.:•..:.,....7 ::.;?2,.wi-:::.7.:4,40*oi;;067*t.;:jit3;•:-.;r.'.,,,:j.7-1 ,":: :4:,:: .ta New construction " • spe Be 0 Additionialterationireplacement • I El rrielitinn. ro 0 Other:. •' " For special information nse ef tecklist Descnptiori I 'Qty. fetal I Ea. 1 ' ' NeW 1-...-1-fan-41y dwellings(includes 100 ft for each utility connection) );:?.. .:',•:.,j'.:i.4-'0!..-::.:!'?C.:-;!;,,,:i.','Iii::440:6i5kt:-6( 40-PF45:f1:-''4:',.i,7 :1 --.'-1: SFR(1)bath ... ... . i IEg 31270 '. . . '43778 1-and 2-farinly dwelling 0 Curnmereiallindtisttial -SFR(2)401 :.SFR(3)bath 50032., 0 AceeSsery building 0:M1t4arily "• - - Eath additional bain/kitchen 25,02 0 Masleibuildet 0'Other" ' Fire sprinkler( sq..ft) Page.,2 fr'''.:•:.;.'-'!'.424,1.1:'41;40.4itikiiiii:01..4iiiiiii7d4. -..tiireitial!ii71.14,',.,>°A:.' .,::--'.- sae utilities: la site address f I .-IiL ..) 5\1\1 (\A;'2:'.4''.. '''''' '•• - drain drain 18.76 • • treneb drain: 18;76. City/StateIZIP Tigard,OR 97224 .. .... Footing drain(no,linear it.;. ) Page 2: Suite no I Project Moe:Polygon at Bull-mountain. Manufactured home militia. c . . • Cress,Streetidirection8 Iojob site: '. Manhdles 1876 . . Rain drain connector 18.76 . " • . Sanitary sewer(no.linear IL; . ) Paae2 . . . , . - • - . 'Stem"sewer(no.linear R.:.. . ) c Paael . . „ • Water service Mo,liticarl; ) Page 2 , Subdivision:Polygon at Bid'Mountain •Lotii0.; 1<e) Fit-tart Or item; ' • - - - - Tax reap/parcel no.: Backflow p:Myeiner 31,27 .I iiibkiiii..*bili0:: F 'F.,:.?, , ..- Pac/PVatq"Ie. 1.2.51' t:":st';.-:.fm.,';-,-.:',.e.-..,i'F.1-.-,.-'..-,t-::':',. ..tto:,4• ....,-;,„:. --tts: ..:A54 , ;t35 .Vk. ocrthes washer ' ... 25.02 . I: 2 1--4-4' 4-11.7.-C1Z-. /71/4-i9-7-C1?---- .. Dishwasher 1.• . Dripkina fountaiii 25.02 . . . - • - . .. EjectarsiSump 2502 t , ..,,.. . _ 4:t:-.1;:ti-37tgiiitikii:idif14E:ift-,!:_f::..j-.-- -.--0iii,iiii-ii-4-i...;:g:,.. .:.1.71- ..,,,-,:„ Lxpansion tank . . 12,..51 , Fixture /sewer cap-• • ',..v.02 Name;Polygon Ny41,LW .. .. . • Floor draintfiner.sinittlitib 25,02 i 1 .. Address:.109 fast 1.36 Street . • ::. Garbage disposal ' 25.02 ' • • • "— City/State.Z1P:Vatictiuyer,WA 98660 , Bose bib . . - • • - . . Phone (30)0954706 , Fax ( ) Ice Maker ' ' 12.51 ',.0• :•:irf:'.-.4:',.R:,05-,t.. t:0:-Atle..,* ,#.4.:.:.;i. dOisi,:kiii*4.6*'•::',',,..:70 iniercePt9r/g1Te4C1r4P 25.01 1 ....,. . . . ''''.4- . MecWat.gas(velee;:$ .. --) - Paoe 7 Business name:POiygOtt Will;1,1,C .. 7 •. . Printer - 12.51 Contact name:4togela..- raiewki . . .. .. . . . R.ocifdrain(conyttercial) 12.51 Address:109 East 13th Street- 'SinklibasindayatorY 25,02 .. . City/State.,ZIP:'Vancotryer,W.A.98660 Solar units(potable watery - 62,54 Phone:(360)695-7700 I Fax:;(360)6934442 :tab/shower/Shower pan. , 12.51. : Urinal. E-mail:.Angek.Oraletyoki@polygotihomes4ont . . .. ...„ .. . .. ...,,,,...,4t,s,,,,,,..tttrrp,,p,,,;,:.o_z,e,.f..:-,,-,,,4.e:,7:.,.j;,-,.i,.,,--L-.,t,:v+.-g;. ,Watet dead :25,02 ‘"4-.7 -~, ,,,-„,-,,,:,-44,,,.,,-„,;,1...„..,w.,.,.::.:., .* .. . , .. — Water heater . I. . ...37...52 Business name:BBL PluntkingtLe . . . . .. ' Water.piping/DWV 5429 . .. ..- Addresg!PO Box85 . Other: I .25,.6.1 • .... . . . . City/State/ZIP:Corbett OR 97019SItbtotat . : Phone;(564451-J903 CB Lie.:1S0A4S Fax t. -- ) - - • • • . :PI:umbipg Lie:n0:::P131582 .. .. . ; - .. • Minimum permit fee; $72..p. Plan review P5%of permit fee) C , 1 State surcharge(12%Of pg fee) . ..... Authorized signature 4,2 1,04.-z.....e-' . . TOTAL PERMIT FEE t . . Print name Brandon ljnoter . ... . Date 8 14, i t, .1 This"nitikaPPiicatian."pires 114 Permit:1 !"44h.tainOlvithiP 180 days .. atter Ithaa bcgn accepted as complete, *F6t.,methodology set byTn-Cottety Building Ihdastry&I-Vic&Raid, - 1::\EkildinOormifsTLMII‘PermitAppAcc 16/01/02 44U,46161(1W02COMM5B) CITY OF TIGARD MASTER PERMIT IEN COMMUNITY DEVELOPMENT Permit#: MST2016-00081 Date Issued: 04/28/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15303 SW MISSISSIPPI CT Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 78 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1591 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 3427 sf Value: $422,948.77 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: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckfiw 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 TYPOS Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<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: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3427 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,425.51 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 h OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By. Permittee Signature: , /1/. e7o/- PL ie 09770A/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each Inspection. ' Building Permit Application tl T 7cPLc g - RECEIVE City of Tigard 3 9 /� j�"� Permit N9�js7j/6—e/6, 14 "' 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 8 2016 Plan Review /4 /D .gyp / / II Phone: 503.7182439 Fax: 503.598.1960 Date/By: , 1 /ig thher Perm't�Ll/R R(//!��0fo� —J pe CITY OF TIGARU �' y. J See Page 2 for t i c ;t;a Inspection Line: 503.639.4175 Date R Bg Internet: www.tigard-or.gov BUILDING DIVISIONonSedRvlethod• Supplemental Information 1 V�1 Y �+ �+,, • : xe . .�� a.�,.,, -�,.�e.:. _..e..x.'a,�.».�w .._.. _..._ . ,.........,, -.,,:�,_u,.,.....�..;.,a...,� °:�. .._._.,. u®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 application. - ,. ., r, .._ , ,,. .H Valuation: $ 4 . ® 1-and 2-family dwelling ❑Commercial/industrial •_dl._ Number of bedrooms: 4 ElAccessory building 0 Multi-family ❑Master builder ❑Other Number of bathrooms:-.-2A-' 6 :[' Total number of floors: 2 . 4 Job site address: ` `-,_ 3 fl vwUpp 1 ` New dwelling area: LI 10 square feet City/State/ZIP:Tigard,OR 97224 M I SS I SS P I Garage/carport area: square feet Suite/bldg./apt.no.: l Project name:P011(3-on (;tk, 1:5,)r\ fflh n Covered porch area: T — square feet)$3 0 Cross street/directions to job site: J Deck area: 31,s- 0 square feet s q. Other structure area: ti' square feet fxa¢ > :s.E a E3 t - ; '6 t Subdivision:Polygon at Bull Mountain I Lot no.: S are Permit fees* 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 7 ,yv�;., \ work indicated on this •slication. ne 3 L13 ,2 r ' '1 \ �. �,. Valuation: $ Existing building area: square feet New building area: square feet r 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: I _ w, ,.. ... . . ..,,_..�. .._ Business name: .0 .� �L_ l n CStructural plan review fee(or deposit): Contact name: et t 1-e, (901-c\ r) Address: I O Q i 134-{1 ✓ 1 FLS plan review fee(if applicable): ;0 ' 1 e� ,S` l{ ^ Total fees due upon application: City/State/ZIP: V IA ell \J1 Phone:e3tpD) u CI DO I Fax: (JVD) U q3 u22ZAmotmt received: - E-mail:maggie.gordon@polygonhomes.com Commercial and residential prescriptive installation of - -2L:";-(-:-- ,_ , 1'2— Y rooftop mounted PhotoVoltaic Solar anel System. Business name: .,, (�� \I -\ \n �� Submit two(2)sets of roof plan with crime onnection details and fire department access,along with the 2010 Oregon Address: 'u"1 i 13v\ 5 Solar Installation S.ecial Code checklist.City/State/ZIP: \J n Q I �, (21,X1(21,X1 eck,co ( n D V!�0 Permit Fee(includes plan review $180.00 and administrative fees : Phone:O\,20) to a 5,'31-00 Fax:(5p0) _10Q3iQ3 ` .K7 2,Z State surcharge(12%of permit fee): $21.60 ^YCCB lic.:204238 Total fee due upon application: $201.60 I This permit application expires if a permit is not obtained Authorized signature: OPP 0 within 180 days after it has been accepted as complete. 1 *Fee methodology set by Tri-County Building Industry Print name: Date —n_�L� Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • • I eCha icai Permit.Appiica. . FOR OFFICE t_;]JClNLI - CEIVED , - . rro.;/Y 6„^Dpp iiy of Tigard 1Ydtafi3y .. 13125 SW Hail BiYd._;Tteard;OR 172 3 Pian As»eIi= . .. . iuu... T / Phone; 503.718.2439' Fiat• .5035984960 MAR 8 2016 i3etd9y-: --- .._. ' runs:' W-$1*.rage for ,att 3 to 503.639.1173 1Ja1s ltcady By insp�b soufieimdbod Suppiemenlat itormatwa . Internet I,�Idorgov CITY OF 1' ARD D Q ' ''coat t . 4 cr rsr' 7'9"-''''''''' '�::�- .._ :r T��� «-_-� _ 2.fitchanicel pam,t fees'ore based on the•Ksiae...tf th• e��- • . orated_Indicate the value.(rounded to the nearest•doltar)of all I�YeW coiislzttciioti 0 Additirnztait�aaorl;replacenemE :perforated_ equipun.ni,labor, an profit, .. Q 13emait 0 gaiter k� mow. ," ,'�4tESDi�%Q�tFs�I�?+l�f _ xz .ts �;�'��������ADIt'.i{#i:,q�4T�iSTRC31ti' _.._T . . . :° S7t5lE1kla`'.'.. . , , ®1 still 2 amity dwelling 0 6ommecia3/3ndtistrilti 0 Accessory building For"spedai itt,arriiii#onused,ecklist . Multi-1.1111.1 []Master b110414' 0 Ottley' lkscrt an Qt' Fs Total Pti Q }' Flea&n eool,na: z ' -.4 1 .�i(?B�51-1=r:Il 4RM i [DhT R 7.tH- ---.'.L_ -,�._..; .' •illy conditibhmg I 46.73 Job site Ad•d•ress: I ••••X J D) 'D ml/ b viu� A/i) I Furnace l oo fi40 BTU td t s) I 45 75' J ^I� ` ` O i :Furnace 10U Q+$T'U(dWath ,ts) 54:91 mat34.41tw '�1 s C_ra L/ ..:,��1 Z� x.•-a• •• - • Qo 01.06 •Sditi;/bidg:lapt tto_ 1 Projeet.naine: pa,13,, ( i 1\ r 1)uat wank 23.32 ab.site i J 'llydronic hot water system 2332 't�ass-saztxsldirechotss ta.p, Y ..:.:.-:... IZGSItifxllltll;bOiliX yradlaYAI or hyimiiie) .. 23,32 l Y }.10.10iS(f i.`=:P#,:nnt electric). art4k$]i,'1ni1i549. etideti.tie. 46•75- FIitefvelif fbr:anY of.above 2332: Q .23.32 Sniniis,o :. ] o nn1feer7teIapptraz 'Ip}rrxi•na latcrlsr n 2332 _... • '� - -�' ,�.. 1+ T1+ ff�!L#*�'C91iC;" ' ��� f �� 'Gas firepIacefiitstrt' 1.33.39 . rpt .... rinevratt:fircW he2rer ur$as firtplacc 23.32 1;r*.li itek,{Ear) .23:32 Wood/ ]letstriv'..' - 33:39 •S btisd;fi ep rtiisui1. 23.E thinineWlineefhievent 23:32 r t3�r 23.3 Enstmuruentai exhaust a.. yeutifati. !Tame Polygon Northwest Iiangehoo tothcrkitchei, equ .. 1 33.39• Address:,i09 iia'St .atitLcc&yet tabaust 1 33.39 .. ._....... ......... . Sintrduef exhaust(barhioo,as, tonet:; mpartas s,utility.robins) . 4 2332. ty/Stell kAneoirvcr,:Y 98Gb1 pl 21323� tee` 362S-?BtliF Frac j 2spsca s 2332 s c►n•I1orthwesY slats for first tour 54,03 for.eat6 additional 1 urnace cies I e t$a'tse» - GasauatvaAta-. „.. ,, . IU9 E St Wa71lsuspendedltmifhearer is ::�14rxi rr,WA98661 Water heater :.::_: Vir Theitie:(360)8167800 I Fax ( I ep ang ,.. _ . 1 '11itainess tannic Andersen His` litesx lz —vt V i • iAlsieg763$5 W8$ Ave S :410 ... Subtotal ,_ lirmirmttn permit.fee 090.00) Git}i5ttitIp Ttgai ,t3R:9727d Flail tttNew OA of Pismo fee) Phaii6;($/g)9924664 I Faac(S03)5364615 State.snrchacgc 02%:tafpctmttfeej TOTAL PERMIT:PEE ItG;16$214 Tb s :, a tion Its permit is not obtained within 150 . Pu'�� PPS+� .t��.. days after it his been atrxpted as eamptete. Authorized stratum: ' }. Ex atohodoloo-s'at.by Tri-County Roaches ledustry Service Board Iliriiitaaiu AttAtitioiireri. . I Date 11.12012015 L-'=9a4i- 1 aou414.c 44o4S1Trtt rt-toSL'lt'F8) Electrical Permit Appl -'eatimRECEIVED roR orncE I'SE: O\1.1 City of Tigard Received Datenly: Permit No Hi-7;2C*100 0 r/ 13125 SW I lall 13Ivd..Tigard,OR 97223 kA&R 8 2.016 pii,,,Review --I' s Phone. 503.718.2439 Fax: 503.598.19601"^ Dateitivi Other 'ennui Inspection Line: 503.639.4175gDate.Readyfliy:. Jilin 21 See Page 2 for Internet! www.tigard-or.g0V C FNotified/Method. Supplemental Information . ....„ lso ITV ie TDI GivA1 D fsitk;.!,6pAP::.:,•.,..; '-=,:.•--,.:',- : ....':,:-.--;..-.'.., ----....,,..,-, ..,-._-.:•..,,,. :.........•:...:.-... -illtiCS,.REIVIEVV-, E New construction 0 Addition/alteration/replacement Please check all that apply(subunit 2 sets of plaits w!itents checked helm.) 0 Service or feeder 400 amps or Imre El Building mer three stories 0 Demolition 0 Other: where the available kiiill Lail-fent 0 Marinas and biiat a,ds . .-. /k41t6tiiii''feik'et*StitifetiON:. - ' • -' .- •' ',•' - exceeds 10.000 amps at 150 volts or 0 Floating buildings less to ground,or exceeds 14.000 0 Commercial-use agricultural El 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps Ibr all other installations buildings 0 Multi-family 0 Master builder 0 Other: 0 Fire piing) 0 Installation of 75 K VA or I 0 Einei gene).system larger sepaiatel).del,Qd s.stem . , .. , 341?*•71,bii'ift Ellit4A'''t 1 arAii"-theitiok:t ' . . .. • - ,,••••,4 - •••••, ;•• •.. , ^ "."' " • ' . ' • 0 Addition of net, 111010,load of Job no.: Job site address: t n!;iit:YD 51/4.0 0 1001IPmor more. OCClinallCy SIN or ore residential inns 0 Recreational,ehicle parks 0 Ilealth-care facilities 0 Supply soltage lin mine t km City/State/Z1P: 1Th Cieif-c\ OR C11.-n_.\ 0 i tayaidous locations 600 s 011%ilinni nal Suite/bldg./apt.no.: Project name:y t,\,.1 5„ o_A- M B..), 4-n 0 Service or feeder 000 amps or more. J _ 1:'?;,-.:1,',1;'::-•.:,,:---: --, .--TfCWHO:04.-:.,,::;/:i:,t . ...,,: ••• . Cross street/directions to job site: Desrriplion I 01v. I fee. I -final 1 • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.:.--/-(15 1 1.000 Sy ft or less ) I 68 54 4 La.add'(500 sq.II or portion 6 33 92 I fax map/parcel no.: limited enerey.residential 4,51.400itlitro4-7,610:*45:00...,.::: :::,.-.,.,_ (wthiabove sq.it) ) 75 0(I "1 _ -''''..""6-ri'•'''''"''"t.''''''"'-1"--;';'''..--' '''--.-"-'-''-'•-- '''.- 'r-'"'-'" -'''''''''. '.---'' -.' '- '"'-'--. - . ' . -- Limited energy.multi-family 75 00 2 1 New electrical service and wiring residential(with above sq II) Services or feeders installation,alteration,a ndlor relocation 200 amps or less IOC)70 1 46iiiK,itiI,:;',,:.A,,,,1:i:,,,.:,i,I.:„,,I-: .. 4I,.;:li:.,..iiNAN't,1.:1. ;,; ' ,,,:,..:,,,:;.,.,.,-,:. 201 amps to 400 amps I.1.3 36 ' Name: PO\ 401 amps to 600 amps 200.34 ' .1,6k."-Y-N 601 amps to 1.000 amps 301 04 ' Address: k 0 CA V641-A - Over 1.000 amps or volts 351 26 ' City/State/ZIP: \jarl60\Akjr emporary services or feeders installation.alteration.and/or , ei-) P., q Qii,CD Trelocation Phone:to) q5,--/..,---40D Fax:atp ) U2615-441/4(2---- ::::amps 59 36 1 1 • 125 08 Owner installation: This installation is being made on property that I own which is not - I 5 I intended for sale, lease, rent,or exchange. 401 amps to 99 amps 68 54 1I,accordine to ORS 447,449. 670. and 701. _ Branch circuits-new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with P75— --13. 000t-Acli.1140.0.11 above service orfeeder fee. ''.,... A., 'iLfatitOgOVATITeiS&. , '•:.'. .'':- j:,'I ';,,-"!Ft''-:: :E. 7 42 1 _ each branch circuit . Business name: ( 10 lip 13.Fee for branch circuits without service or feeder lix.first 56 ' Contact name: rn a 0, a ye, (nor. branch circuit I 8 _ Each adc.F1 branch circuit 7 42 -, _ Address: 0 ..---' P. JII Miscellaneous(service or feeder not included) City/State/Z1P: ail CekA • `) . 6 • • Each manufactured or modular dwelling.service and/or feeder I 67 84 I 1 , _ __. Phone:( ) Fax: :( ) Reconnect only 67 84 i - _ ' Pump or irrigation circle 67 84 I " _ E-mail:rna89 ke )(Ajf\ 0 poillig DrIN,-)..1/4s.to co-TNi---\ Sign or outl ine lighting :. `.--..,-.:7:i.,---• .:::.-•:. j.•;...,::..,-,.'. :-',..,, ' . -MIKA- _- ". ' - : - . - -' Signal circuit(s)or limited-energy Business name:Simply Electric panel.alteration,or extension Page 2 i ! Each additional inspection over allow able in any of the above Address: PO Box 822408 Additional inspection(I hr mm) 66 25/hr Investigation(I hr min) 66 25/hr —I City/Slate/ZIP:Vancouver,WA.98682 Industrial plant(I hr min) 78 1 Si hr Phone:(503)849-8202 Fax:(360)314-4945 Inspections for which no fee is 90 00/lir I — specifically listed(1/2 hr min) CCR Lie.: 204615 Electrical Lie.: . 067 Suprv. tic.: 43945 Subtotal Suprv. Electrician signature. required: . (v"...af-c..(4_, f-.5 Plan review(25%apt:rink fee) Print name: Victor%arzhitsky Date: 11 17/2015 State surcharge(12%of permit fee) — TOTAL PF_RMIT1:1F. I Authorized signature: This permit application expires if a permit is not obtained within Illd days after it has been accepted as cornpicte. Print name: Date: • Ntimber of inspections allowed per peintit t I 1 ludd„..,r,:m,,;‘,1 c.,,,,,,ii,\pi,doe 07,o 1;10 440-161 Stiii,ocvosoviiit Plumbing Permit Applicafio_n Building Fixtures RECEIVE 1 FOR OFFICE l SE O\Ll // 2016 J '•y, Permit No_:/t'iST,2O/6,.1000A"/ IN City of Tigard MAR > r• i 13125 SW Hall Blvd-,Tigard,OR 97223 Plan Review other prrndt)No.: Phone: 503.718.2439 Fax sa3s9s-1960 .F{GAR�,°. Re lain: H See Page 2 for Inspection Line: 503.639.4175 CITY OF *a ReaayBy 10 L. vtetbod_ Supplemental information Ov � .ate-=d. - `^ T L Internet ---,or g ..ax , \_,,,- - w o r =F n s 4, - s' z ,.�--'I �.4,--:-..z7,,,--,.--- --- For special information use checklist ❑Demolition I Qty. ( Ea. I Total ►� New �� Description ❑Addition/alteration/replacement ❑Other. New 1-2-family dwellings(includes 100 ft-for each utility connection) f - sii T_ aI din -Y SFR(1)bath 312-70 ,, . s , �`_ a SFR(2)bath 437.78 i41,..!-.and 2-family dwelling 0 Commercial/industrial SFR(3)bath i 50032 5 13(_ ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Other Fire sprinkler(__-_sq.ft) . Page 2 • 0 Master builder _ _._ 1* �` rr i .tt r x:'ill-- .�--,-,,,.;.71,-,r i`- r-- C'7:- ".- .'- r Site utilities: ,.-----',..--.7.t4'_ j, Catch basin or area drain 18.76 Job site address: 1 5 �3 Q' """"G )T47 1 Catch ,leach l'me,or trench drain18.76 City/StatcfLLP' T 5��� O, ` l Q rn�,�-, Footing drain(no.linear R: 1 Page 2 Project name: (('�n� LJ�i�\ t/ r11 1 Manufactured home utilities 50.03 Suite/bldgJapt_no: J. Poly`-} Manholes 18.76 Cross street/directions to job site: �// 18.76 Rain drain connector Sanitary sewer(no.linear ft_:-J Page 2 • Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear fL: ) Page 2 Subdivision: I Lot no..1 Fixture or item: _ Backflow preventer ( 3127 ?)``1.1• Tax map/parcel no.: x �¢1 Fx _ r -a i _ Badewafer valve 1251 i2•j ,..--....7.,,,,,,-..,..,-,-.--:;-_-,_,.- -:-.- -,,, Clothes WeslteT ( 25.02 a5,02. Dishwasher i 25-02 69177.0 2 /k )♦ e , /� `b j'174tA-14410/i Drinking fountain 25.02 1�/(�t/\J aG/ Ejectors/sump 25.02 err $ - r. c- .*' - r_ T^' _ Expansion tank 1251 ---d�.m - -�` '�� _. . - F - ,_i Name: QD� FFxturdscwer cap Floor drain/floor sink/hub 25.02 25.02 address: C t t ' , n F\I� q/� 1 Garbage disposal 25.02 2_ ,()(/_,2_ ,()(/_,City/State/ZIP: 0 7 r W Hose bib 25.02 7.j,Ol, Phone: Ice maker- i 1251 12.C'7 �.t r iQ + 11110 Fax ( ) ;w ; r interceptor/grease trap 25.02 a 't3z„"'�xr ' x,�'• ��+-x"�'R,-�„�aT�. s�i, �- � ` -fir- _ -- 2 -+ds i' �.;��-..F..�=.__ ...,-----,,..---,,..1,....:.,,----_-.,---4.--.-- .. _."t: _ � � A ,.,..-=', _ ,_,� �.�= Medical gas(value:S ) � Business name: 3D� L(/�, b�s��(,���jjJl. Primer 1 Contact°ame stn (lk,,,t 1 rRoof drain(commercial) 12.51 Address r�0 I, iff3.7 -sink/basin/lavatory 25.02 City/StatelLIP: � � Solar units(potable water) 62.54 (�/� C42-.116) TuNstawedshowerpern. a- 1251 •Z5-(D7. • Phone:(�)351 3-1 tJ� Fa�Ox:/':�( ) -Urinal 25.02 E-mail: • i) t `-`'WL Q 7 W closd 25.02 n �; = � _ •,:,-,_-.;:-,...--_'--.-:-..- If. .y ^- Water heater { 37.52 , ?7,1_.92.,.-4ILL 5629 Business naine.'3�}__ - P 1ms lLL w Water piping/DWV r-� Otho. 25.02 Address: i' ibOXeS- Subtotal City/State/ZIP:Lis ikp il Cl !CI Minimum permit fee: 572.50l Phone:43) r':.7.i 7 t -,39a3 Faic( ) Plan review (25%of permit fee) - CCB Lia: � '"[ J3��, Plumbing Lie. 15E32. State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized signatraz j __ _ This permit application expires if:permit is sot obtained within I80 days . IPrint name: - i- �.� / -' � � I Date:/, � /•SI . after it pi been accepted as complete L Pee methodology set by Tri-County Building Industry Service Board. i:iBuadi P- doe 10/01/09 440-4616T(10/C21COM/wr:B1 I City of Tigard INN COMMUNITY DEVELOPMENT DEPARTMENT 1 T 1 G A R D Building Permit Review — Residential Building Permit #: /1-S7;2016. - 600./ Site Address: /S-730,S &j,) ,/I 'iss ' I a ,..- Project Name: it*.r >61-(j� °tih Ai rc_ Lot #:(New dubdivision name;Addition or Alteration= last name of owner) Planning Review Proposal: Akzo S> 14Verify site address/suite# exists and active in permit s tem. V River Terrace Neighborhood: ❑ No Yes, See River Terrace Review Addendum Attached Sit lan Elements: hree(3)copies of site plan �I. sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper iV Footprint of new structure (including decks)with finished awn to scale (standard architect or engineer scale) orth arrow or elevations Utility 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) It rosion control(including drainage-way protection,silt fence iekof dimensions and building setback dimensions sign,location of catch basin,etc.) Om area,building coverage area,percentage of coverage and VS eet names t pervious area (applicable if R-7,R-12,R-25&R-40) treet tree size,type and location 'roperty corner elevations (2 foot contour lines if more than 1J t ring trees to be retained with drip line,and tree 4 foot differential) protection measures flean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Pequired: E Yes,applicant was notified lTo Received: O Yes CI No ublic Facilitie Improvement (PFI) Permit: equired: es,applicant was notified E No Applied For: Yes ❑ No, stop intake and Use Case #: `S :t' QO/S- LX . /Z ,7• /Zoning: £_ 5 ` Setbacks: Front 020 Rear /5— Side 5 Street Side Oh Garage Qd aandscape Requirement: 0 0/0 1/4 of Coverage Maximum: -Building Height: Maximum Height 30 Actual Height c,,.74- isual Clearance Ecip/ asements a , /Sensitive Lands: Yes CI No Type Lau- v„2 7I < e.,2 Ild Urban Forestry Plan ❑ Conditionser/ "Met”prior to issuance of bu ding permit / / Notes: �-=G�1L{r>$Dnt' il7Uf i /7I) A ik L � cT(F' t'-' iZevl��C.irl.{> aA \_ 1 Approved :y Planning: I-",_',,7,-----T3---t--a ', . Date: _ ��gJ/�p 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\B1dgPennitRvw RES 012116.docx Building Permit Submittal Original Submittal Date: —3/s7' c Site Plans: # 3 Building Plans: # _5 Building Permit#: [ -Enter building permit#above. Workflow Routing: I Planning E- Engineering C 'ermit Coordinator [-Building Workflow Sign-off: ['Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. VBuilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: _ By Permit Technician: �'��17Gp Date: 31y//fo Enteering Review Slope at building pad: l 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\Vater Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes No ❑ NOTA ' t-.. �...' .;nPPrinv! Date: PP — Notes: Condition remain unmet that are required prior to issuance of bldg. permits. Approved by Engineering: IL Date: —/.2)--a, 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 pproved, NOT Released: Date: 3/0)/,6 Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: WSDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: es ❑ N/A Parks SDC: Yes ❑ N/A YOK to Issue Permit -pproved by Permit Coordinator: "1,1----------Date: 9/ ',/ ik 1:\Building\Fonns\BldgPennitRvw_RES_0121 16.docx I City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 C;A R D River Terrace Building Permit Review Addendum Building Permit #: /VS Told/ (e -- 00 p d'/ Site Address: /S-". 13 1//j /'c ")'` G i - Project Name: R)l �,r, ,1{/f Merin 4rrl Lot #: 3 (New d c ing=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 . deep Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6f.wide El ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: /7-8% 3. E trances:At least one entrance must meet both of the folio ng standards: Max. 8 ft. setback from longe t street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes El Ifs, all the following apply: sq.ft. min. 1!J • e street facing entry ft. max. roof height above porch 1 5 ft. depth min. 30%min. porch roof coverage 4. etailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: jovered 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 ❑ pormer min. 4 ft. wide Roof eave min. 12 inch projection ' .of offset min. of 2 ft. ❑ Roof shingles either tile or wood Il. fable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ,rl/ rtzontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40%of street facade Window trim min. 2 1/2"wide by 5/8" deep E Window recess min. 3 inches for all street facing ❑ lay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft. wide x 3 ft. deep with inside access It 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: N• closer to front or side lot line,than longest street-facing wall. ❑ Yes V No. If No (Check one): I4 ' ay extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. Ir. 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 above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door 4O%max. of street facade ❑ 50% max. of street facade with 7 detailed design elements Notes: Approved By Planning: c_.---- —.__/K �A Date: 3/7/7e— i: � l:\Building\Forms\BldgPennitRvw_RES_RT_0121 1 6.docx ti 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. IL, Ai City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T 1 G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DEPT: BUILDING DIVISION DATE • ►„�_ AUG 2 2016 FROM: Angela Grajewski CITY OF'TIGARD COMPANY: Polygon NorthwestBUILDINGDI ON PHONE: 971-212-2144 BY: RE: I Cj�JQ3 Sw 1\kt ce-ii 5cip 3 MST20((o - vb I (Site Address) (Permit Number) Polygon at Bull Mountain 7 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Cop cription CiPiav tnefinglon., 0 Additional set(s) of plans. 3 Revisions: add garage man door 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: p -. • • i . 1 • 11 . . . log") :Arley ujE ONIft # Routed to Permit Technician: Date: _ 3- Initials. -j f Fees Due: .� Yes ❑No Fee Description: Amount Due: 1 Lir p) r-v c`i $ ]Co $ $ $ Special Instructions: Reprint Permit(per PE): ❑ YesTo ❑ Done Applicant Notified: , /v is Date: cfA//0 Initials: 4#6,--- I\Building\FormsgransmittalLetter-Revisions doc —I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15303 SW MISSISSIPPI CT, TIGARD, OR, 97224 March 20, 2017 at 12:11 :12 PM Record Type: Record ID: Residential - Master Permit MST2016-00081 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: No power to right side and front wall by window outlets upper level front bedroom, master side.(2) Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15303 SW MISSISSIPPI CT, TIGARD, OR, 97224 March 21 , 2017 at 12:58:24 PM Record Type: Record ID: Residential - Master Permit MST2016-00081 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Corrections complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15303 SW MISSISSIPPI CT, TIGARD, OR, 97224 March 23, 2017 at 12:52:00 PM Record Type: Record ID: Residential - Master Permit MST2016-00081 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor