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Permit CITY OF TIGARD r *77 ,; MASTER PERMIT IN t"/ COMMUNITY DEVELOPMENTPermit#: MST2016-00073 ife ' / / ZM Date Issued: 04/28/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15369 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 58 Project Description: New SF. 10/21/2016:Add NC 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: 682 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3427 sf Value: $454,810.47 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 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: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 7 201-400 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: $34,980.48 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: - �it. - �r Permittee Signature: /LC /ce--- /ej/t1A/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. REI .AileceatiECVED Orl FOR tIFFICE t SE .21$(:AtfIT-Talligflalinird„Tigard,OR 97223 11";telOdy: /.0 62/ /0 4.*l'' t*Mlit 140.1,7S7-4,2e7/4,_ee,e)731 ' • ilAt SEP 2 0 2016 Man-R,eine'ke 5033182439 .Fax: 50-3.59&1901TY OF TIGARD flatafily ' .011.zt Penxiit, .. .. . . T I GA RI) ;.1fisPmtimi li''' 51/3'639A175 BUILDING DIVISIO 1:4tft R.4.113'':. /tufa- :7 Sem Page 2 Vn- ., •:.intanet: www,tigard-or,gov NotifitaNetbsa-, Supplaneatat Information . ..,_. TYPE OF wrinh: . - - -..' COSIMERCIAL FEE''•SCIIEDTLE- ISE effECKLIST . ' ,,__, • ' .li.4echanical permit fees*arc based on the value oldie work h.,.New construction. . Li A adonialterationfiephmente01. • peril:it-riled,Indic-ow the value.(rounded in Me nearest dollar)of ail 0 Demuth:lop 0 Other mechanical materials.equipment,.Labor,overhead.and profit ‘.. . -.. CATEGORY OF CONSTRtCflON : - , ': • RES/DENTLA L EQUIPMENT/S YSTEMS FEES* 0 J'..and 2fainily&tiling 0 ethritherciallindusidal 0 Aceessoty building 1 For speeid ii$firmution SiSe ehearat El Multi-family 0 Master blinder 0 Other; 1 Description gyms 134. EMI . • . - . ratingite0' BOB SITE INFORMATIO1N AND:-LOCATION - . . . , . . . . Air eenaltioni •_ mig job At-Warm: /9 5W 6 • . Ftunate loom-wry.4..wvorgo inum.111.1111 otyistateszfp:Tigard,OR 97324 Furnace 100.1100+BTU idtieskotai 11111112Ellilm .. . Heat pump 61.06 I Suitelbldginpt,no Project merle:roll-gun at Ruff Nionntain nuct worl, .23.32 Cross streebifirectioret to job site: Write-ore hetwater svatem 23.32 bo Re . mit ., sidential iler(mtliMor or • - .., . itydrortio) Mill 23,32 Oaf limos ilbei-tilk,not eloctrkl 11111,11.11 . in-wall.in-dart sus. ded,etc. Flnekemt for nne of above Oth23.32 1. • .. . er Sirbaivisiou:;,Polygon tit Ralf A1uuntuin I Let rum is • - 011ter Doti<Apulia:arm i Tax mapipmeel no.: Winer beater• - eor 23.32 U ...._.... . • . . . . • DESCItIMON'OF WORK ' ' -. 01-5 r-..1.41usat mil 33 39 Flue vent fi.ir water halter nrgns CO.nirtiCivreacC h 6 „... . . . ti!otIace (e1 2332 1 int.a - . . t tt , 5 .a .0- -37-32 W.m. "! ve allil 33.39 Wood,fireiaavolinsett Eli23.32 . • cilirprieviinerfiluelstot 212 - 2132 PROPERTY OWNER 0-TENANT ' • ' - ' - • - ' Enyironmental exbanst and ventilation: - Name:Polygon W1,14 LLC i R555e boodlother kitchen . „ kti mem I 3339 Address:109 East 1,36.Street , _ i Clotbe$dryer exhaust :3339 City/Stater4P:Vancoirear,WA 98640 Sioate-thict eAanst(batbrooms,.., toilet cottapetltnentl..utility moms) LI 2.,32 Phone:(360)69$4780 Fax:( 3 Attiecrawh 'cc fans . - . • •' "' APPLICA/4 '-- .: . El CONTACT FERSON'.-:-'- '. - 011741: 2332 • . 113/ Fuel piping: liminess some.Polygon WI,R,EEC - - . 14.15 far neat Thar;54.03 for out additional .... Conic name:Angela Grajewski . Furnace,cto, , I ,I I - _ . , hot pump I Address;109 East 13th StGas- reet . Wallisti v en4editnitt healer City/State/24P Vancouver,WA 98660 Water&wok ... ., .. • Phone (360)695-7100 Fax:,..(360)69,141.42 finViace . - R• ,c E-initit Angela.Grajenskilepolygorthomes.com • cue Barbe . , . CONTRACTOR .. -. . Clothes d ,er,gas- V IIEIBIIIIIIIIIIIIIIIMIIIIIMIUIIIIIIIIIIIIII • Business name:Apex Air LLC . . , . .. ,.. . . . .. ' .-" - MECHANICAL PERIVIEUFEES! : . . Adt.ltess:'.18004 NE 1rd Ave Subtotal . . - .. City/State/ZIP:Vancouver.WA 98686 ., . Minimum permittee($90.00) . , Flan review(25%eine-mit fee) i Phone:(3643t)3424109 fax (360)3244169 . . - 1 8latastnebncre 02%et pemat fee) 1 . CCB lie.:283034 Tor.AL PERMIT FEE I Th4 permit applientiou tapires ita Permit 6:not obtAiried Akilhitt Igo dap antrit has beta aietepted as eintplete. Authorized signature: ..., • * Fee trtetiztxfok-a pet by Tii-Coitufy Boilding To dli Ary Serkiet Orraa I,yrintirt attic,.. 1(^ - .,4 . I Date: etti*/or./4.--- -j reead,,,..4-re,terarr....reneitApp TAN 0.ctzt 4404-6,r,IT i I 1,1,2-COMAVElYi e.,feeirfsaf rert0.it Appt1eatt0Ni Fr Hwoll1( 1 I sl ()NIA City of Tigard IIII i, Dateinv 13125 SW Hall Blvd,Tigud,OR 97223 sEp 1 b (..0 io ph.Revie. Phone 503 718 2439 Fax 503,598,1960 Daustsv itabuad P4wan# InspectiOn Line- 503 639A 175 1,1-ry ni,„1, -1-,;:i3Ai.:,,,,,,,) RmiyDateitty Internet www.tiprd-orgm CIT\',.'„'", Notified/Method Pcmt° as zo(b00 . al atieagaipOensito *tem MEM "t42:r 17.1 New construction 0 AdditiOnfalteratiO" niteplaCeMen1 Please dad(all 8110 appy turban 2 401$0 DIMS amems checked) 0 Service or feeder 400 maps or more 0 Bolide*over dam genes 0 Demolition 0 Other: . , where the award&fault current 0 Mimes and boatywds -', - 'f': '..4'4',C .;:!..•'::'-":=:':' ' ' ,.. -I.';'..- :'''-'.... 7. 1:47irEAPIVSIRSIZIZZ, exceeds 10,099=Pa at 150 volts or 0 Mama be '.- Cg. 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to mend,or exceeds 14,000 0 Commeretaktse agrlealawal amps for all other installations buildinp. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump 0 Instalhaion of 150 KVA Of ..jj,;:- ';:'L.:17.2L: :a7MISS5*ritAL cs,EkmdthertgirofsYswn load of larger seP"lelY derived Iii Job 4; Job site address: I S 5(09 S )Sti ne,br__ ,00.,,,,more 0-A","E",-1-2","1-3", 0 Six or more residential units OCC44)ancY City/State/ZIP:Tigard,.OR 97224 nt:mad vehicle maim °Health-we facili0 Recrea ties Suite/bldg./apt.4: Project name:Polygon at NWst-River-Ter 134,tt 0 Hazardous locenems 0 Supply voltage for more than ,.. . , 0 Service or feeder 600 amps Of more 690 volts aommal Cross street/directions to job site: Description Qty. Each Total • New residential single-or multi-family dwelling unit. Subdivision:Polygon at Volsatviltivvr-Terrritce ,rA,A,‘ Min, j Lot 4: 56 Includes attached enrage. Tax map/parcel 4: 1,000 sq.fl or less 168.54 4 . l'I'/-7::::: ''.!:M77.77,7 ";..':::i,::;::—T.... !.,,--.. .?2'. Z.::::‘-:: 11,A4C1.,L :ia7"1-0.: Ea add'l 500 sq.ft.or portion 33.92 I Con - / ei/Eogc- Limited energy,residential (with above sq.ft) 75.00 2 Limited energy,multi-family 75.00 2 .,,:,t`,.,.:,:-:::.-•:A;' •- - -:.''. '?7yrfe;;4.74::i!!.:T.;::::. ..i.„: ,::: 7. ..-z1: - : :,i,: -: residential(with above sq.ft.) Name:A t VI,Land Holdi i .:4, LLC &I WI E as Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Address:7600 ' , .u. tree Ranch Road pyprtiOuLt 200 amps or less 100.70 2 City/State/ZIP:S-.ttsda - Z 85258 201 amps to 400 amps 133,56 2 Phone:(60 . .94-4031 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: , ., ,.::, :i:,-.7.p:-,:::i„`.;.,, ,,v•::,'„:-..=re..,:„'17447:72w47--,i_',-....,:p,----,/44...,--,!=r-7.1::.rgogger Temporary services or feeders installation,alteration,and/or Business name:Wilfilmrbrwritrrneesrlwe. - Oil9r1 LOL-kk, 1-tc‘-• 200 amps or less 59 36 1 l 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,i panel Phone:(360)695-7700 I Fax: :(360)693-4442 A Fee for branch circuits with above service or feeder fee, EmaiL Angela-Grajewski@polygonhomes.com each branch circuit 7 42 2 B Fee for branch circuits ruut 56,18 2 Business name:alameda electric branch circuit Each add')branch circuit 7.42 2 Address:3415 tie 44th Miscellaneous(service or feeder sot included) City/State/ZIP:simpa 1:I,rvi)avve/,911 /g, .7.,-- 13 Each manufactured or modular 67 84 2 dwelling,service andior feeder Phone:(503)3192192 Fax:( ) - Reconnect only 67,84 2 Email:solarpdx@me.com Pump or irrigation circle 67 84 2 CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: y f7/..,5 Sign or outline lighting 67 84 2 , Suprv.Electrician signature,required: ti Sil icilitr:rdaitti(On,lheTiteerstinerD 0 See Page 2 , 2 Print name: t..1 jc /2,00.4,..,( Date: 5-123/ panel,Each additional inspection over allowable in any of the above Authorized signature: -,- Additional inspection(1 hr mm)- DateSZ3 Ai 66 25:hr iPrint name: /Zs, 41.1 -- ------- Investigation(1 le mm) 90 00;hr .., ... , 4" - 4. 1.4....sdine.,,mumstc_p . . .•_F-111„ERE.doc Are Ofin 720t 5 140-4615P I it09COMAIrEB Plumbing Permit.Appliention,.: _, :. Building Fixtures- FOR OFFICE t'SE ONLY Cid of Tigard c° f u i ii •IteceiYeif Permit i tt .. y�/-.t Date Py: $•? O/C `"[/00 7_3 v 13125 S 4C Hal Blvd.,Tigard;OR 47723.; Flan Review Phone. _03:718.2439 Fax 503 59b`106b11 0t1lerPerniit:fo.: IJate}3v Inspection Line 40;639.4175 Nip i2c ad•i3 iuris. �f Seen e z fur TIGARD Y= K Internet: iwvw tigard-or.gav Notified/Method: Supplemental lnformatioii 1f 'IPE OF !*fJEK i a, x"'..FEE SUft DtjY lv .: � is '`� �:- .. ®New construction 17erriolititrn F.or speciu7_informatiost use cOreeblfs& Descrlptian C Qty • I Ea. 1., Total Q addition(alteration/cep'Iaceirtent 0 Othr2:;. Nev t 2•-.fatniIg dwellings(includes 100 ft.for each utility.'connection) 4TF R ?O.1r acO b1 R &ION SFR(1)bath 312.70 1-and.2 familydvailing SFR(2)Doth 4.3778 []iaommerciair`iiidusirial :SITZ{3)hath 590:32, Accessary building 0:.Mttiti famniiy , ..Each additional'bath/kitchen. 25.02 ❑Master builder [❑Other Fire sprinkler sq,ftj .Page :' ,dt);B.Sif Iii PORi1�9,T - AND L bATLOA " , Site irtiLties ( • EE I I 3 j _9 f^ , , t s e k t1� Catch basin or area druid 18 7b Itib site address: lL' J J l J Drywetl,reachline;or trench drain -la 76 City/State/ZIP:.Tigard,OR 97224 Footing drain(no,1.[near fr..._) Pa Siiitelbldg:iapt no.: Project name:Polygon at BullNiountain Manufactured home utilities'. 50,03. Crass streetidirectiona to.job site: �lanheles 18.76 . Rain drain connector 18.76 . • Sanitary sewer(no linear ft,: ) Paue:2 _ . . • .'Stone sewer(no,linear IL.. ) f .Page.2 ; Waley service(no.linear it;,) I Page 2 Subdivision;Polygon tit.Bull Mountain ' Lot.no.: SE Fixture or item _- .. fax inaplparcel loo.: Backflow preveiiter 3L27 - rr t;: BackwatcrvaNe 12"1 _ C lotlie �i'as er 25.02 ,�, s�� h < L� L� 41/ 2- /71C-19-7.- ---• ... . .. Dishwasher 25.02. Drinkine.fountain 2S.t12 ` Fto S. u ... .... Ejec r'`s riip 2 .02 anion tank 12.51 1 �- �>Rar>�crio�ivl� . .� Q T> �r4.,!.-.1....:41,:.', ,,,:;:., �p _ 1 ixturc sewer cap. 2.02 Name Polygon 14111 LLC . Floor dram.tlovr sink/hub 25 02 f address;;1t19.fast iia Street . .... Garbage disposal j 25.02 I . Cit%.Srate.ZIP:'artcou%er,WA;98660 Idose bib 25.02 Phone (360)695 7700 Fax ( ) lee maker 1151 4 :0 idik s '.. . _..0 CONTAC FRS{h'li ale . - _ �l: Inter eptorigr trap -i,02 . - . Medical gas(value:$ ... .) Page 2 Business name.Polygon Mil;LLC I Printer - 12.51 . Contact.nanie: Angela.Grajewski .. . . .. Roof drain(commerciai) 12.5°1 . Address:I09 East,13lb Street- SinkrtiasinlleyeterY 25.02 CityfState'ZIP:'%ancauy.er,WA 98660 Solar units(potable-Fater) 62.54 Phone (360 695-7700 I rax.:'(360)693-4442 Tub/shower/shower pan 12,51 urinal :25.1)2 E-mail:Ange1a.Gra3,ewskaarn polygorihomesco . .. .. , e , er closet 25.02 } A, _:; , _ `. Ate_. s'*3; et heater I 37:52 .37. 5 Business name:BDL Plumbing LLe. T glllwL 5fi.29 .. . .. .. ... Water gipin Address:POO Box 85 - Other. I 2 .02 I • City/State/ZIP:Corbett OR 977019 Subtotal . • tnimu mrrit fee; $7250(53)351 3903 Fax ( ) PIau re (25%ofpermit fee) v'ie c� CCB.Lic.1:80345 :Plumbinglie no.:.P131.582 - - •, :State surcharge(12%Of permit.lee) Authorized signature v,t. „ ., TOTAL PERMIT'FEE r o- T io ifitis ant obtained Print name.:.Brandon: anter • Data; 811(0 1 E liis l,ern,it,apllhc,t n expires beo crept fFithen 180 days r i nt'ter it:has.been accepted as ceniglefe *Fed methodology sot by Tri-Count,BuildingIndusur Service Beard. t:ioatdins.Permifs i'L„MMC=Pemaitspp.dce IOIOMI9 440-461611 r0/O21.Camt vt:n) - CITY OF TIGARD MASTER PERMIT IIICOMMUNITY DEVELOPMENT Permit#: MST2016-00073 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15369 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 58 Project Description: New SF BUILDING Floor Areas Reauired 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: 682 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3427 sf Value: $454,810.47 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 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel TYDOS 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'l 500 sf: 7 201-400 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: $34,751.10 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. J Issued By: /+- / .. Permittee Signature: '1 ,� �° Call 603.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application L 0 r 3 P . ,. 1,-,5,,,„-..Til-,3-11,,, ,i . FOR OF Fl( 1 SL OM 1 City Tigard Received�`� ,( I Permit No/1ST02O/6 -0OO I.3 it'' 13125 SW Hall Blvd.,Tigard,OR 97223 r.,i.R 0 i U j 6 Plan Review 4 J V Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1 S//b Other Pe'm'lrid/e,2p/,6__dap Inspection Line: 503.639.4175 G' " ' r i r Date ReadyBy: J ® See Page 2 for fl ' 'tt:lr p ��� � 7 t f:t •„� Internet www.tigard-or.gov B 1 t otified/Method: Supplemental Information °_k _... _._,me.- „_.n x.-.. ...a,.. . _a'_.�..:,..:.�..e_. ., _,. ..',s .-..,..b..- '' --. ..�.- ate..... .,..... £n .e .. u�. ti � .3<a .�__ ..am e . ®New construction 0 Demolition Permit fees*are based on the value of the work performed Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the work indicated on this application. _ . ,.. .�, . Valuatio. ' O 4 $ •1Raar�b__ a I ® 1-and 2-family dwelling , ❑Commercial/industrial ElAccessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder ) 5 (09 ❑Other. Number of bathrooms"!--.2.0 Total number of floors: 2 Job site address: -t- c "5' L') _ o i �R.... 12 . New dwelling area: ' "iiii • square feet 71 City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4 1,, square feet Suite/bldg./apt.no.: I Project name:Pc \I(3-on (c1. i5,)r\ rr�n Covered .. t . . square feet -,Cross street/directions to job site: J Deck area: 111P4Wia square feet JS CI ) Other structure area: square feet a -1 bS Pa ca ` d 4d.�r i�L.a„i. '£ .�' Subdivision:Polygon at Bull Mountain I Lot no.: 5 3 Permit fees*are based on the value of the work performed. Tax m / arcel no.: Indicate the value(rounded to the nearest dollar)of all aP P equipment,materials,labor,overhead,and the profit for the € work indicated on this ...lication. ne_W „ .. .. ,.a,. iii���/// �� 9 'r.. ,. Valuation: $ 1 I �� ln�,�`,_,1 y Existing building area: square feet New building area: square feet t P Number of stones: Name:Polygon WLH,LLC Type of construction: Address:109 E 13th Street Occupancy groups: City/State/ZIP:Vancouver,CA 98660 Existing: Phone:(360)695.7700 Fax:(360)693.4442 New: Business name: 'Po �,w� L n C .,..,. ....,, �. Structural plan review fee(or deposit): MContact name: a f �_e. C9 Qct FLS plan review fee(if applicable): Address: 1 O a i 13h ` - (� Total fees due upon application: City/State/ZIP: \I QA`1( v oi— W 11 C\Grt Phone:t,p)) Vo(�J 7�cC I Fax:: 10.0) 1p -U222 Amount received E-mail:maggie.gordon@polygonhomes.com Commercial and residential prescnphve installation of �: _ . .,. u` ltai roof top mounted PhotoVo 'c Solar Panel System Business name: v D)a ( �\ �L� k n C Submit two(2)sets of roof plan with connection details ��^ � and fire department access,along with the 2010 Oregon Address: t 9 a i 13 \ ' - Solar Installation Special Code checklist. City/State/ZIP: V Q11 couoX \ A `(1 Cj(PLO 0 Permit Fee(includes plan review $180.00 P one:('j [3) to Cl5,-3'q'QC) Fax:( D) UQ3 . �_'122� and administrative fees State surcharge(12/o of permit fee): $21.60 CCB lic.:204238 Total fee due upon application: $201.60 Authorized signature: / I This permit application expires if a permit is not obtained / * within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: Date —2,-.-4._1� Service Board. I:\Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 -' Electrical Permit Application ' C °.z FOR OFFIce 1ISF ONL1 City of Tigard ::::::Ri:liew `. ( c '7 t! :I'C Di _. _ Permit <1-6.0.,.;20,,,,r„ rfJa (l 73 131_5 S�1 I lilt L31vd.,"I"igard,OR )7223 I O 2� U ' I Phone 503.71 R 2439 Fax: 503 598.1960 t ' patclliy: (liber Pe Inspection Line: 503.639 4175 a .Date Read d0 lull~ I I C..\1..I) 6 y . s�s n ) > 8 See Page 2 for Internet: www.tigard-or.eov !+ �r�n.itied/Method: Supplemental Information ""S" rl -ai5i 4 a. � SViy1!ej50 i1'o ,PJ( 1ESV.1T'.r Please cheek all that apply(submit 2;els of plans,vJilens checked below) ®flet+ construction ❑Addition/alteration/replacement 0 Service or[ceder 400 amps or more ❑Building oxer three Stores 0 Demolition 0 Other: where the available faith current 0 Marinas and boat,ands kt GA30OR3' OF';CONSTRitcfi lV = -?. exceeds 10.000 amps at 150 volts or 0 Floating bmldmgs _:1'�.. .r.a-..:.c .n.., ..., .. . .: : .r, . .. + ,, r., less luround.or exceeds 14.000 g 0 Commercial-use atnicultural ® I-and 2 lamily dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations buildings 0 Multi-family 0 Master builder 0 Other: 0 Fire pomp 0 Installation of 75 1:VA or ❑limergency sa•slcm larger scpataiely Jen,cd>,stein . . 3 �1+ rh �#S!� ARMA#UN LfApciON �;'���,,�j J ❑Addition of new motor load of 0"A" "li" "I_'.. "1 ,. Job no.: Job site address: i..9 i l�j 50 1J r 1001IP or more. occupancy �7/�i JJ�' ❑Six or more reStdcnlial units ❑Recreational,chicle parks City/Slate/LIP: f1 Cjc O G 1-/ LLA ❑I Iealth-care lacilnics ❑Supply.phage fin more than JCCC��illl V ❑I I ata d ms locations 600,oils nominal Suitt/bldg./apt.no.: Project name:U b�j ,,r, 0...4,-- Bo\ m�)� 0 Scrvcc or fudcr 600 mop or More J .g::$C.1E :ft.: Cross street/directions to job site: Description t I Qts. I Fee. TI 'final I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.:5 ' 1.000 so R.or less t 68 54 4 ^l a.add')500 sq.IL or ponion 7 33 92 I Tax map/parcel no.: Limited energy.residential +. rte . nicRnrJo1 1<1'foilief '; (with above sq.11 75 00 Limited energy.multi-family 75 00 2 1 New electrical service and wiring residential(with above sq 11) - Services or feeders installation,alteration,and/or relocation 200 amps or less 1(0 7(1 1 tpdttOY l t u 1 - �IER• j '[] TENAi --e 201 amps to 4(0 amps 133 36 Name: PO\\...j 401 amps to 600 amps 200.34 601 amps to 1,000 amps ;UL04 2 Address: I b a �� /� T Over 1.000 amps or volts 552 26 - City/State/ZIP: J OJ-t D�e�,� WIN a Y{ . „U Temporary services or feeders installation,alteration.and/nr ` �/V��(C relocation Phone: D) l9 q5...,---45-4-0D Fax:aeD ) t.a`'K1,q`-'I`ti C-___ 200 amps or less 59 36 I I • 201 amps to 400 amps 125 08 , 1 Owner installation: This installation is being made on property that I own which is not - 1 I intended for sale, lease.rent,or exchange.according to ORS 447,449.670.and 701. 401 amps to 599 amps 16x54 ? l Branch circuits—new,alteration,or extension,per panel —1 Owner signature: Date: A.Fee for branch circuits with r` y s above service or feeder lee. 2 m� 11 00,108 . „ O COI�TAC"P-Pb.t601 each branch circuit 7 4 Business name: (P----5--- • 13.Fee for branch circuits without service or(ceder lee.first ib 18 Contact name: m i t i (�O1 branch circuit / 1 Each add')branch circuit 7 42 Address: r A _ Aliscellaneous(service or feeder not included) City/State/ZIP: Q 1 l' I : �, Each manufactured or modular I w�/► N dwelling,service and/or feeder 67 84 1 Phone:( ) Fax: :( ) Reconnect only 67 84 I ,�^ l-�1 /� Pump or Irrigation circle 67 84 i 1 I.-mail: . b.. ]()7 ` CD Vr ha),LeC/ . % '`' C© CT1D ;,. Sign or outline lighting 67 8a '-::-..'',i:':'., "':i • -. Signal circuit(s)or limited-energy Business name:Simply Electric panel,alteration,or extensionParc 2 Each additional inspection over allov.able in any of the above Address: PO Box 822408 Additional inspection(I hr min) 66 25/hr City/State/ZIP:Vancouver,WA.98682 Investigation(I hr min) 66 25/hr Industrial plant(1 hr min) 78 181 hr Phone:(503)849-8202 Fax:(360)314-4945 Inspections for which no lux is 90.00/hr specifically listed(%,hr min) CCB Lie.: 204615 JIIcctrical Lic.: .. 067 Suprv. I.ic.: 43945 '* -ELECTRICAL"PERMrr FIEFS ' Supn'. Electrician signature. required: r &r4i fs 1 Subtotal �`'`f flan revien (25%ofpermit lee) — Print name: Victor Larzhitsky Date: 11)17/2015 State surcharge(12%ofpermit fee) Authorized signature: TOTAL..PERMIT FEN. This permit apptic:t ' aspires if a permit is not obtained within 1811 Print name: days after it has been accepted as complete. Dale: ` Number of inspections allowed per p nnut. I lIuddmr+.pecm,,a`d`.t.C-Penn in App doe 07,01,10 4411.41,15r111;0SVO AVfi Plumbing Permit Application ►t '' . : € r it OR Oil ICE l �F O\Ll Building Fixtures I ^� U 1 \ O 2016 Received Perrrrit No �To 0/6 '( d /7..3 City of Tigard e ilg - 13125 SW Hall Blvd,Tigard,OR 9T223 r Plan ltevie+v, Other Permit No.: i i ace/By:Phone: 503.718.2439 Fax 503.598.191;9 t hair See Page z r°� IntLine: 503.634.4175 �4 � l Supplemental information 1 Internet www,hgard•ar gw Notified/M� - �-�-�:. '_'7,7-.-;.-•-.-t,c- r - gyL �- �`.71-r--.P. - � `--- '�C�� .` -:�.at,-,- »-1_ ei-..nom-- .c _r e.,O.l�:_-.,--.---s-..............-......--.^ � '-•� D For special information use checklist 0 Demolition I Qty. 1 Es. 1 Total I'. New construction Description Other- New 1-2-family dwellings(includes 100 ft.for each utility connection) Addheo/altcation/rcplacement b t, 0 .. -V..y- SFR(1)bath 312.70 'r , -r-. ._..ei1 • 9 __ fiq i �T: -�;`�,,�' ".:tab . 437.78 /> r__ SFR(2)bath 1-and 2-family dwelling Comma cialrindustrial SFR(3)bath t 50032 50(91-5'L El Accessory building 0 Multi-family Each additional bath/kitchen 25.02 • 0 Master builder '5 --• 0 Other. Fire sprinkler(,_sq.R) . Page 2 • _ ' ` ' T'� a ' Site utilities: kc Yr7.--J - i ce i Tr-h•1 � �1,° 5- 1 :_ �.�-- f'jr'�.----- 18.76 masite ad address: A 't Catch basin or arca drain Job address: {fir✓ v Q G���� - Drywall,leach lint:,or trench drain 18.76 City/StatdZIP: S 9qt O 1 \_ l Footing drain(no.linear R:_) Page 2 SwWbldgJapt. Yo `J no.: Project name: \\1 Bun � jij \ '' '11y Manufactured home utilities 50.03 Cross Manholes 18.76 street/directions to job site: 18.76 Rain drain connector Sanitary sewer(no.linear ft.:___) Page 2 Storm sewer(no.linear ft.: Page 2 Water service(no.linear ft.:_-.) Page 2 Subdivision: • I Lot no.:J V Fixture or item: _ Backflow,pm-venter 1 31.27 ?•A,1:4' Tax map/parcel no 3 _ Backwater valve 1 12.51 2•GJ` =� a5T- f,_. _. --,-_-...----,---,LL.,,,-,--- -�=,-'---;•7--''''-'"-=',=-.4'-',t-:;,,,,._':-> Clothes washer 1 2502 .oZ - Dishwasher I 25.02 e915.0 2 N /lc ,/t! `bV1 % 1 Drinking fountain 25.02 ( Ejectors/sump 25.02 r�. ,,� ;= ; - Expansion tank 12.51 Fixturdsctvcr cap 25.02 Name: 9 o�{�& 1 `i f G, Floor drain/floor sink/hub 25.02 Address: I 1 �1 r JGarbage disposal C 25.02 2_S,0'L � C D\ p f W A q I I City/State/ZIP Hose bib 1 25.02 7 Fj,O� : -� .S _ Phone: ((�� t Ice maker. 1 12.51 j'Z,G7 1 �JN•t` ` r + i , --------� : _. Interceptor grease trap .02 Fax: *4;-.6" ---.0:119;-g- �= '�- r, '., , Medical gas(value:S ) 2 Business tram= 3D 1,,[/liftax lis�( fj Primer 1251 Contact trema 'vaiikibn t a n.ei Roof drain(commercial) 12.51 Address 0 �(' { sink/basirs/lavatnry 25.02 ' - ` ar1 Z 7_b! 1 62.54 City/StateJZ�: Solar units(potable water) /� TuNsltower/showerpan. a 1251 ''Z5•(72.Lhinal _ Phone X3)35( 3�b3 Fax :( ) - 25.02 • E-mail: .{ .�► VbIGi�F '/ Water closet 25.02 �. w r _ - t,. Water heater 37.52 . 52, '' AA Water piping/DWV 5629 Business name: �� ) ? - - /l�Ste' l//.i�l'._ Other. 25.02 Address: i'. ox. l City/Sthte/ZIP:( b 11619 ' - Minimum permit fee: S72S Subtota0 l 1 Pho ::7ne: ') t 7 1 3903 F ( ) Plan review 05%of permit fee) CCB Lia: t B6345. Plumbing Lic.riet I8Z State surcharge(12%of permit fee) TOTAL PERMIT FEE P Authorized signatraa / _ _ This permit application expires if a permit is not obtained within 180 days . /// , I}ate ! 451 after it has trees accepted as complete. Print �_ r"" •Fee methodology set by Tri-County Building Industry Service Board. l:lauld• P• doe t0/01/D9 440-4616T(IOb?1COMM1VFBI Mechanical Permit Apnli+eatlo` . : 1-()1(ori-1(1 : s1:O\L\ Received City p€Tigard Y-. n 2 0 nsiat;r.: t' rro.:/tJ-CTc2p/(o --V007.7 13125 SW'Hall B1vd..,Tigard,OR 97223 ., '.. -' L L f Plea Review :. t Phmie:'503 7182439 Fax 3U3 5981964 tiaulBy Othrr Perna • inspection Lme. 503:639.4175 '. = `,' rtadyl9y,. rvra: H.See Patel.for . . Soppleme tit informriibt: Inarnet w uw iigazd or.gov . . ._ s,�., . .i, c7)1t to a ":.4.1;. 6,1iv!I ,,; �4.71 ... :i t e6,kz�e Mechanical permit fees'are based an the value of the wexk- IR New txirishvction 0 Additionlalteratior:,Treplacciiiwit' performed.indicate the-value.(rounded to the nearest dollar)of all rneehanlcal materials,equipment,labor.overhead.and profit. . []Demolrtton ❑Other Yahie:$ 7'. z e tiia r .......t:- _,---„,,,,,,,,„144.ptf 1„,,, --„: �,• .,,,x,- ®t-and•2-.family dwelling 0 Commercial mdristrial 0 Accessory building For spedot tr o riea fon;de diet liar. ❑Multi family 153 - - ❑Master builder O Other: Descnption Qty- I .Ea. _ Total _-.... �` al a t � Za s $ HfJenolin : _ n .as A. wtw. Airoonditionm 46,75 _ .Joh.site-address:. ' -Ty.vim. J21.-i.�. �( Puma 100,000 BTU(ducw*is) 1 46.75 . r G i3e1S P: 11 c are/ 0 "17 • • .Furnace 100.000•(BTU{ductstv�s) 54.91 Heat prim61-06 6i'.-.. tPo\ •inTh ci- : i\\ M to Thiel work 2332 'G ms sheet/directions to.iob.site: flydronic hot water system 2332 Residential bow(radiator or hydropic) 23.32 U t ( -rnx,:uot decide), in-wall,iii-diict,suMended.Mc. 46.75 Flnetveitt for any of above 2332 - i `other_ .. 2332 - Loma: t>lirerfnei saPliances: Tmc1000040-':,- W4ikfLeater 2332 F!-..,---. . 7-7E"' ,F,:k ' `'.- "ms "'' ,.. .~F ' '<5 'GAs terfnIXltierr 3339 . ¢ 3 a. Y tc- t' ; „ : , . : . --- -- F3nevent:for water hexer gas fatalism- 23.32 Log.lig (tat) 23.32 Rrgod/pelletstOvc 3339 Wood firepla ietnisert , 23.32 , ehintOrt ilioed8uevent2111 - Oth> 2332 `"`�' �� -�' ' 75 r � i � � ...1< _. • � »k �Fuiromtdta exbAa>d aiid ventilation; Name Polygon Northwest Amp hoodlathekitchen Wim, 1 3334 Address:169 E•5.36$t Clothes dryeradhaust 1 .33.39 iS ryi3tiReslZ :�!aoisoirvtr,F4''3.98661 ta7ecoapartmei>ts.:uti7ity.raoais) 4 23.32. p (360)ltitr7800 Fax ( ) Amdarawlspeee fens _ 2332 { ,777k7:17---: i ,..a- ,� nm•:���„R�u �a�'+;� w_�t�'�"-r`"�^�� �-'-: *lite 2332 tea. sz tee., .. Pad _ PiPInB: Bnamess:auvc Polygon Northwest :$14.15 for fast four,$4.03 for ends additional Giieme. .Ftionee,etc 1 Addrear•109 E1,4.6 St .Gas.Deet pump. WaNsuspeodediunit heater i'syeowver,xVA:90661 _, virga heater ! That=(36O)816.78e0 far:( ) F°epL°e Ranke 1 E-mail: Barbecue . . _.. - _ ,,;c_f-_`. •�wm�. _ �� � z z..:..<?..�A ...4.u„..". � Clabes - Oteir .Budness Min=Andersen Baking,lac i pE`tv t V PAF , E,n s ° ::res^ 'a. - '�`'4: Address:.16785 SW8 Ave.*410 Subtotal I mmnrm permit fee($90:00) CiC)dStatid Tigard.,UR:97324 Plan review(25%of permit Sec) Phasic:t9)992.6664 Fax(503)536-6615 . Statesurrharge(12%o!permit See) 011ie.:1t Z14 TOTAL PERMIT FEE nal permk appFinfion eiipinei'ff 1 permit's igt.ebtaFised within IRO days alta it ilea:lit acceptedss eau pken Authorized signature: ' fee.metbodoloty set*Ti-county Building industry Service Board Print minim AKAudayen ,l�+i Date:11120/2015 resat d uEECJ niApp o4o1i].aoc 440-40T(I uo3. oWWEa) 4, • City of Tigard 71 COMMUNITY DEVELOPMENT DEPARTMENT T 1 G n It D Building Permit Review — Residential Building Permit #: ./(4-77,2,0/6 -- D D 0 73 Site Address: 1530 S Sof seine Dr. Project Name: / P0).v90 v 0,i 4- BO MD Un 1 nLot #: S 0 (New welling=subdivision name;.Addition or.AIteration=last name of owner) Planning Review�� / Proposal: 1 V P S F f . )Z Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No /21 Yes,See River Terrace Review.9ddendum Attached Site Plan Elements: Three (3) copies of site plan ,Existing structures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper ZFootprint of new structure (including decks)with finished lrDrawn to scale(standard architect or engineer scale) floor elevations 'orth arrow 2Utility locations (required for new,may apply for additions) Site address,project or subdivision name and lot number tt,cation of wells/septic systems Z-kpplicant information (name and phone number) l 'Erosion control(including drainage-way protection,silt fence ZfLot dimensions and building setback dimensions design,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and ILJStreet names impervious area (applicable if R-7,R-12,R-25&R-40)e'11 .Street tree size,type and location /Property corner elevations (2 foot contour lines if more than $Existing trees to be retained with drip line,and tree 4 foot differential) protection measures 0 Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: E Yes,applicant was notified 1=1No Received: ❑ Yes E No 6 Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified E No Applied For: ❑ Yes ❑ No,stop intake Xi Land Use Case#: 4ili.//ePL%/'4• S(J8'L(71 c - Q 0002 Gi Zoning: g 4. S Setbacks: Front `Ltd Rear 1 S Side S Street Side I f Garage 7,0 Landscape Requirement: 7 Lot Coverage Maximum: 7 Building Height: Maximum Height 30 Actual Height `Z4 ZVisual Clearance czr Easements Z Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan Conditio s "Met"prior to issuance of building permit / otes: , conk-1100J 0-70- je_ SG1'ft JG17'�( pro), ft) ISSLC1r1c.t of- 12,,,,.106y?, P2rrn r 1-i Approved By Planning: pip✓- a fi o dL Gu1 Date: 3/ $ / J 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 rP Building Permit Submittal Original Submittal Date: ON/Co Site Plans: # 3 Building Plans: # 5 Building Permit#: ©-Enter building permit# above. Workflow Routing: 1;I,-Planning E9frngineering C e'rmit Coordinator El---fuilding Workflow Sign-off: E}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: c-° –. /�W� Engineering Review Slope at building pad: 7/ 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 Approved by Engineering: Date: Notes: Condition remain unmet that are required prior to issuance of bldg. permits. Approved by Engineering: A 13 Date: 3—1c:,---7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved E Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: E Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Npp• roved, NOT Released: Date: 3 o � ' 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: ?61SDC Fees Entered: Wash Co Trans Dev Tax: 'es ❑ N/A Tigard Trans SDC: Yes ❑ N/A 2 Parks SDC: Yes El N/A OK to Issue Permit Z / �/ //Approved by Permit Coordinator: Date: - / I:\Building\Forms\BldgPennitRvw_RES_0121 16.docx City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT i 7 ■ T l G n It n River Terrace Building Permit Review Addendum Building Permit #: /7S7;2Oo6 —DDi 2-3 Site Address: 1 gel 1 .S stAi Se im.. 7 r Project Name: PO i 9 9U r) of 6 U 11 Moon tri(VI Lot #: .S (New dwelling=subdivision name;.Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1): 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage. An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6f. wide ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1 of , 3. Entrances: At least one entrance must meet both of the following standards: ..Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: g Yes ❑ No If yes,all the following apply: 025sq.ft. min. / One street facing entry Er12 ft.max. roof height above porch n5 ft. depth min. 30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep .Recessed entry area min. 5 ft.wide x 2 ft. deep .el Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Zi Roof eave min. 12 inch projection Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood 2rGable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40%of street facade A Window trim min. 2 '/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access Attached garage is 35% or less of street facade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. ❑ Yes,e No. If No (Check one): )'May extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. May extend up to 5 ft. where the garage is part of a two-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) 'j .2-/c ❑ 12-foot-wide garage door eLl 40%max. of street facade ❑ 50% max. of street facade with 7 detailed design elements Notes: Approved By Planning: MOO ax, [4OcLP OttiA- Date: 2/8/ , b 1:\Building\Fonns\BldgPennit Rvw_R ES_RT_012 116.docx 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. DATE DEPT: BUILDING DIVISION AUC 2 201E FROM: Angela Grajewski CITY OFTIG ,RI) COMPANY: Polygon Northwest BUILDINGVISION PHONE: 971-212-2144 RE: )5.4 (0q 6(o seAMST20l(° — o00 73 (Site Address) (Permit Number) Polygon at Bull Mountain (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Cfl i esu r N 'i ;� 7314, P Des' ' ,a.� .l<pisl 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: please-de-not e • •• • •- • •- •c ••. FOR; „ _ CE.:, E ONLY' w Routed to Permit Technician: Date: g-3 — j Initials: `� Fees Due: Yes ❑No Fee Description: Amount Due: ) )-{r P ti rev ; $ O ,�. A ` \ $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes ]No ❑ Done Applicant Notified: /097 t 9,'C Date: ,-/V/0 Ei-i'9 i Initials: 4a4,--- I:\BuildingWorms\TransmittalLetter-Revisions.doc 05/25/2012 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15369 SW SEINE DR, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: December 6, 2016 at 12:26:40 PM Record ID: MST2016-00073 Inspector: David Young Provide breakerlock for dishwasher not plug and cord connected. 422.32 Front outlets in family room front wall have no power. Entry outlet by front door not GFCI protected. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15369 SW SEINE DR, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Previous corrections have been completed Violation Summary: Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00073 Inspector: Chip Barnett Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15369 SW SEINE DR, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: December 15, 2016 at 11:48:43 AM Record ID: MST2016-00073 Inspector: David Young Corrections from previous failed inspection not complete. Inspections to be scheduled when work is complete and ready for inspection. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15369 SW SEINE DR, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00073 Inspector: David Young Corrections complete from previous inspection dated 12/14/16. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15369 SW SEINE DR, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: December 15, 2016 at 11:47:03 AM Record ID: MST2016-00073 Inspector: David Young Corrections from previous failed inspection not done. No power at range and microwave, breakers on. Re inspection fee applied for scheduling inspection prior to correction being completed or not cancelling inspection for work not complete. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15369 SW SEINE DR, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Letter from electrical contractor received. Remove non pt wood in contact with concrete at entry. Final erosion control approved. Street tree certification received. Moisture content form received. Vapor barrier form received. High efficiency lighting form received. Blower door test report received. Insulation certification checked. C of O left on site with contractor. Violation Summary: Tel: 503.718.2439 Inspection Date: December 16, 2016 at 12:00:23 PM Record ID: MST2016-00073 Inspector: David Young Inspector Contractor