Loading...
Permit 114 - 7CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT '`` "' Permit#: MST2016-00079 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ler. ' i f Date Issued: 05/05/2016 Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15261 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 76 Project Description: New SF. 6/14/2016: REPRINT permit to reduce bathrooms from 4 to 3. 10/28/2016: Add NC and 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1531 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 2155 sf Garage: 740 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3686 sf Value: $459,491.57 Rear: 20 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 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: 0 Ea add'I 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 3686 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: $35,399.83 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throug ,AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ) y 7 --- Permittee Signature: (-47 ,C/( 1/ 7e)"7 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. .:..:..‘.,.. h'e Permit. . I alVietiv I . . . ic- CEIVEC) : FORF}FTICE t SE()NIA at.i. .42, ie /4, 4-.-b,30:-. Potirt't St/ S72OX 017,07? • , ,;.•-4. ',13 I 2$SW gel 01vd..,Timed,On 97223 1114 SEP 2 0 2016 D,dr..4y, - , , A t? : Noit Review : - • ' .„. ...„. ' ' • Phone: i-03 710,2439 Fax: 501.594,1900 :Met remit ooy:, - - - - t GA RD qmPwIkal:099:: M3=639,4175 CITY OF TPD Date Readyi3y: ..,„ _ ..,. fees- :Id See Page'.7.•tor • n, Natilleittivethad- sv.Ippletrotinoi locomotion, • BUILDING fritq -. .. , - . . • -.:. . :,:, ._•-• , : ,. ., . .,:. _ :• . . . ,.: :- - . . :.,:.,,•i.,,,,....0.#(71AL f'EE SCIIEDXYLE;:::,liSEriCtrECIAtIST TITE OF 11.ORR • • • • , . •Mechanical penult.ftes*arc based On the value oldie work "t.....New omistractim 0 Additiorilalterationireplacemellt • verbtoned.indicate the value(roonded to the merest 40110 of all 0 Demolition 0 Other: ittectentical n era quiplarmi.labor,o‘Tritetel.,and rAroa:.. 'sifttlie,:$ ,:. ',,! -:':::. .• ':. :..:. . c4TEGOR! OF CoNsMbcriclk:,:,1,,:. : ,..,,: . RESIDENTLAE:EQ111PMENit SISTEMS FES •- .:: -, • o I-and 2-family dwelling 0 Connnerciallindestrial 0 Accessory building 1 For spedd iilfifrmation hedrot Ea Mu -funny 0 Master budder 0 Other: 1 Description .I:Qty. , Ee. - -rmal f'a•thigleooling, JOB SITE.INFORMATION AriiiiAt*ATION . • - -': .. -. Atr Conifiticriitr. 1 .: 46,75 • Job site addri„.‘w 15-L1pt 5%1 s6m, 9f-. „ . .,... , . Pomace 10011001VIVelecisiveras) I 4635 . , .„. .. CityiStateiZIP:Tigard,OR 97224 Foresee 100:000+13TU'doeissonato: . 54.9.1 3 : , . • Held pump Sultelbidglapf no.: l'roject name:Polygon at ROA Nibtlittain I 61,.06. - Dim work • 2.1v7 Cross streeildirections to job site: Owironic hot:water system • _ 2132 '; Residential bofter iradialtir or bydrorde) , • 73 32 ,.-,, heaters(Euel-lytte,not clOctric), .. „ ,. 1n-wall,in-iintit,gasper:4W..we. ' : 0,715 Flue/won ler sae of shove 2332 : 2,34,32 Other . . _. . : Subdivision::Polygon at Bull Mountain Lot no,: • I, 1 Odor diet sippibinceF i • Trax aritp4tattel no.: Water heater- IP' 2132 = —........_ DES-0/0110N'60"*ORK ' ':i. . ' ' ' ''' ' ' ' " G"fir4.1"104.Kea ' 33.39 1 Flue vent Ur nuns-heater or gas Contrarivr .. har16 /I.4e,.800 . , „ . 23_32 1 • " — " • Lo=fishier Masi . - : Woodit;oltet stove ..0.9 : Wood firtiplaccilom ::: 23_32 - t • 2131 --1 . , • " : Claininvolincedut*ern • : 13-12 ,.. .,....• : Other • ...- z3,32 ' .‘,-:.•,',..:,. : .,,-.-4,410,)riott.v,-.•::owtypi.--:- .. ., . ... :.' ; u'-.TENANT. : . ' .- - . - - . • • • Etwirbamenui exhaust and vette/allow - Name:Polygon WL1.4 LLC Range hoodjother kitchen . ; ..,..,......,..,.......... _ . ... ..„. -t• .--ui rtteel I ' $3,39 Addrss:109 Ernst tr Street , i Macs diyer eshnitst _ i i 3139 i CityiStatofZiP:Vancouver,WA 90660j• Singte-thict exhaust(hationolus • ... „ .„... .. • . ' tollet companmettla,vaility Rams) LI : 23.32• Phone:(360)b9S-1700 Fax:( ) • :Alikkralvis 'cc fans : 23.32 1• . . „.,,,, . :: : :':, -:'''•44-APPLICANT:-;':- ' '.' . : .ClCONTACT-PERSON':'-:''''' '; :.- 1-11101::: 1 23.32. .. . . - 'kW PiPitg:,. „ Business name.Polygnn LU.LU, utstfoor;544oforoacfl tenni-la:nal Contact name:Angela Grajesyski : • Furnace.etc I •1 .I Address:109:East 13th Stre • et . • WitillstisNmiedionit heater • _ City/Staterlift:Vancouver-,WA 90660 • Wittia healer • I . , . . . . ... . Pbene:,(360)695-7700 Fax::(360):693-4442 !. : Fireplace• fi &matt AtigelxGrajewskrkpolygonhentescom • - Barbecue , , • . . . . „. • ... : ..., . , . . .... , „. • -",. , :„ , -• . " . =•••••.::::: ,,-:::,::::: ::-,': ,F: -,, , :'-.::CONTRACTOR :::::'': : '-:;:: : ' ' :.- ' Clothes duvet least . „„, , . :. ,• :. . Other Realness name:Apex Air LIC . I • ••..: .,.. • ••• - - •..:. :, • - - ,:. :• . • : MECILANICAL:PERMTVETES*:<•:: : .. Address:'150114 NE 724Ave Subtotal _ CityiState/ZiPt Vancouver,AVA 90656 Minimum permit fee($90::00) ,...., ,. Si Pfau review(25wit ape:mitre-4* Phone:(360)3424109 Fax:(.360)324-1769— k:,.. .,.... nsurehartie„ (12%orgal lee) I • Calt Ile,:203034 TOTAL PERMIT FEE - Poe peemit apatteatiost espires Ita fienaiL is oetebtaineti militia 11M days aftesit has berg yea-00 as aimplete., Authorized signatofe: - • -------• * net realiedtto,sti by I'd-Coat&litiilding Indlisby SoNitt Els=1 .;.;4...........„,_ • • ., . 1 I i!rintnattt e: • 1 -4.4 Date: 4,il 44, 1 - tavikilny,Pv-TrA 5'.N111,t,PtatrApp 4101 OAK'. 44046€71`0.1. 2..,C,Oki:AVEii3 RECEIVED e t I ail e ° f , lie tkr i OROf Ht E.I 4l.(l\l<5 _ SEP 2 0 2016 Cit of" `i Received'3)25 S loll Bint,Tigard,OR 97 a irst�$v;� r / >, Petsnrt f! �/ C1C� Y OF1 i{a ►H o 7 Plan Re,iew Phone: 503.71 11.2439 Fax: 5'03, r,; i-t®! "/� l X31 Date/Br Related Permit#; 1111 Inspection Line: .503 639,4175 Ready Melly r: ru�i u3z"l'a for hamlet: w t'Lt^.tigard-or,gos is fifd f AE hod: Supplemental Information 'T`'PE.O F WOE. ._ ' -ft ' ei New t onstruction 0 Additionfaf terationfreplgcement Pleasecheckof all that apply submit 2 sets Dim,'horns chtekad): 0 Service or feeder 400 amps or more ©0uildinnova three stories: 0 Demolition 0 Other: .where the available:fault torrent C.l l✓latinns end hoary, r _ CATEGORY:OF_CONST IiCTIO exceeds 10,000 amps at 150 volts or 0 Floating buildings. ►.< I_and 2-family dwelling 0 Commercial/industrial p Accessor} building less to ground,or exceeds 14,000 a Commietrid'use agricultural l�iTtriti-fartiil Master builder t)tlrer: amps for an other installations, buildings. 0 Fire pump. El installation of ISo KVA or JO IT: RMATIO T,AND L4 CATION- 0Emergency system larger separately derrmed C �1 ❑Addition of new motor load of system. Job#: Job site address Svc V �J 1001IP or more ® A.,,".E"„1-27,"13„ 152 ^1 snot �+ c, l�97224 l0 Six or more residential.units, occupancy Cit) State.1P:Tigard, 1_7 Health-care are facilities. ©Recreational vehicle parks. •Suitelbidg.aapl#7-7-----1 Project natrie: t.ivrr: tl lb i V i`li^ ,r. 'Lltlarardeas Dations, L7 supply voltage for mare than -,4 C lt� �/ ��� .�u 1 0 Service or feeder 600 amps or more; 600,pits nominal. Crass streetidireetions to job site: - - s L' .. Description 1 Qts. 1 Each T Taal - New residential single-or multi-family dwelling unit. Subdivision:i"j lj c',0.i adr B'i.Yu"s ue ' A^ul s_t Lot ii: / Includes attached garage. Tax map/parcel ;" 1,000 sq.it or less I 168.54 4 —}. 13" t1 IIOII^OF" it3 ,_:,`,z„--.t...-;-.: add'1500 sq:ft.or portion 33.92 1 at �r pf /�Jll . Limited energy,residential 73..iltt 2 V W' N�/`v (with above sq.fl.? r? `s_(nL tt ?" '$ .-0 5. .•"".:v - o N r _•:_` residential(ith above sq-IL) 75. Limited 00 2 Name;AD.VL Land Holdings,LLC Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Address:7600 5 Doubletree Ranch Road . 200 amps or less 100.70 2 - CitylStateIZIP;Scottsdale,AZ 85258" 201 amps to 400 amps 133.56 2 Phone:(602)694-4031 .. I Fax:( ) Email401 amps to 600 amps 200.34 2 Owner installation:This installation is being made ori property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for safe,lease,rent,or exchange,according.to ORS €47,449,670,and'•01. Over 1,000 amps or volts 552.26 2 Owner signature: Date: 'Temporary services or feeders installation,alteration,and/or k1 :1.0 id-Os'= ttiSt .it 7 1' t51111f1 relocation Business name:William Lyon Homes,Inc.. . 200 amps or less 59.36 I Contact name:Angela 201 amps to 400 amps 125 os 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, panel Phone:(360)695-7700 I Fax::(360)693-4442 A.:Fee for branch circuits with above service or feeder fee, Email:Angela.Grajefvski®polygonhomes.com each branch circuit 7,42 - B_Fee for branch circuits without 1Cf0 f311L _. ` , -fservieeor feeder fee,first Business name:alameda electric branch circuli 56.18 2 Address:3415 site 44th Each edii'lbranch circuit. • 7,42 2. / Miscellaneous(service or feeder not included) City/State/ZIP;> ibr'yi Jr,+ / )Z / ., 7.2-/3 Each manufactured or modular. 67.84 , dwelling,service and/or feeder Phone:(503}3I92193 I Fax:( ) Reconnect only 67.84 Entail:solarpdxtgate.cotrt Pump or irrigation circle CCB Lie.: 199188 I Electrical Lit*,: c923 I Suprv.Lic.: ' f7/$ . - Signor outline lighting67.84 •2 Suprv.Electrician signature,required: - Signal circuii(s)or limited-energy ! t i � � G' '/ Date; � �, }camel alteration,or '2 0 Seer Pagel.Print name: -. l. Each additional inspection over allowable in an*Of the abor 7. , Authorized signature: inspection(1 hr mm) -66,25,,bi- j Print name; �wr, Date 5" ,,3 . /- Investigation(1 hr min) " j 90001 to . Lautiesupt,Pamsivitisx Peratimpp.,RL#EaE.dx Rev 964M-.o35 440-4615T(1 tiorcCow'wsn ..: ; ''. ': '•''.:, '' •.' : :::,.:'' • Plumbing Permit Applieatioir-:`,,C :,',°._r., -:. :. • :,.- . .... . ... . . • , , . .. .. . — .. . .. Building Fixtures. :'.)L.i• i :....,. 2013 City:0110N : r-v-ent4 /c#61. Peoj,N-0/7:C7,2e,/6 —Oe)t-7? -Datelf3y: 1,41 . 13125 SW Hall.Bhid,,.Tigard:,OR 9-722.§ '; ' '', - --• •,''•'.. p.1 . ,• ,. #1 .. Melte: 503.718.2439 Fax 503J-000Y.: •' : '7:.-- :il"-,:'.:7 .,.-. I.,:eils377 Other Permit No.: : Mspection Lille: 503.639,4175 ' TIGARD • ' • Date geadAy: furls. NI See Page 2 fin- Internet: .ww1v.tigard-or.aoe. ' Notified/Method: Supplemental Information . . . :..i.'-.-...-...--;44','•:'.'7•4t.-'.!•-:-::•;•''P:!1::'•••-•;•:•'-f-61'. iiroh011t5V.4.el,.;,tk.71:,,,,,P:174..,:;!•:-.,.. •-•-,: ;, -,i1;0. 2;!j;;:‘:'•4,1,..• •-•-.7.ilpE,OPkift1/11t707-1.7-74-T7'::•• :'''''..ti••..--7•''-'1; El New construction • use checklist Description El.Addioototoationfrepiaceinent 0 Demolition Other o..rspeciatiotormafchecklist Fst •1 Qty. I EL 1 Total • New I-.2•-familY dwellings(includes 100 ft for each:utility connection) `'",.''''•'.-'*-•"!-',4;for' ''''''':'"'''.''...diTEC;ORYwor!COINSTIMOCION5,4-v-;•,--;4,,,-,.-,..-•-...,.-,....-t--• SFR(0 bath 312.70 [EI,1,-and 2-faintly dwelling 0 eemrimitiallindtistrial ,SFR:(2):bath 437;78 — • • -• . •SFR(.3)bath 500,32 , 0 AceeSsory building 0,Multi'-farnily , • - - Eiteh additional bath/kitchen . 25 ,62 0 Mester builder , 0.001#: •Fire sprinkler( sq.ft) -P4,1e:? '_i,',,!",::P,4..i;.,' ,':•:•''.dt;*,4-1.h..OlkO,OWtj* 4:1,70;1S1t41507......,':C4004*741-7-Z';:K.44i,:•.: :',:l Site utilities:. . • .. . . Joh site address: 5.2LP 1 5 V\I ,21Z . . . t Catch basin or arca drain • 18.76. - - - • DryweIyeach line;or trench.iltaim , 18.76 . city/StatelZIP:.Tigard,OR 97224 . • . . Footing drain(no.linear ft; ) Page 2 t Suite/bldg./apt.rib,: Project name:Polygon at Bell:Mountain Manolactived home utilities .50,A3 ' • CreseE street/direct-lens to job site: _ • Manholes 1,8.76 • . . .. Rain drain connecter 18.764 •• . • •. . - .. . . . • ". . Sanitar.s.,sewer(no..11near ft.: y Page.2 • .. .. .... . . : • -Stonn sewer(no.linear It: . ) F Pane 2 • . . . Water service Mo.linear 11:, ) Page 2 SubdiVision:Polygon at Bull MOuntainLet tIO..-:/14, Fixture or item; . „. Tax map/parcel no.: ' Baew ckflPmenter - • .• • 3 L27 t - ... . . . . . ••,:..-;:r',..../tiii•:/.-.:•1..! .'••z-zi-.. .iTf,,,•,51.z-rE•,,-•:,:-.F.iiiiikwiliiitity,Tire.-,•:',„'„,,t7-,;,-,,,o.IF.,..,,..,k,•.;. : ,-,. .Backwater valve 12.51 ;.7.,sit:?','111:.:•':.,:ii ;;W:'•-,,•..:',-•-r......i..,,, '!".7.....-'t',`.,-.-:,,, ,,71..e .,.;::.7.7A ..At,,...'',':-i':,: fj..:. •''-:-.1'•-.;ss4", '•-•-•/-,'It dofiei vv4sher „. 25.02 . e . . /976.41 Z --'-'• e,tif-7-67Z., ./:-/-C-- ,:g7"-E72--- — .„ . , Oishsyasher .25.02 .. • Prinking fountain 15.(r.. . . . , • - - -: - 1- EjecterS/Satim 2502 . . ( Fiii 6iiii:i-.i -bifO*iii-...:-:g.';:, i:i:Ii-: . R:-:,:t.,:•.:43:11:14.ti3,6*RP.,..c.;', :1:::4'.. Expansion tank 1—t • , 1151 , Fixture/sower cap 1 25.02 M .• eng;Polygon WL11,,LLC • . Floor drairdlloor.sinitthab . I 2502 I j Address:.109 East 136 Street . . . . . • • • „ .• Garbage disposal : 25.02 ' city(Stateittpf.Vancritiver,WA 98660 time bib 25.02 . ... . Phone (360)695 7700 ( ) ice Maker ' 12 51 • •t ti:5',•..*;:t',.'igX,,':',Kig*,r0.q.?. .tAi-f ,': ..t7..!A:::::'1-07;0iFrAc p;.:it,filwp!•'.0,;:::,..E,-, n qePt9Tg1:,- ?c trap 25.02 . .. . . • - Medidat gas(value/.$ . ..:) Page 2 Business name:Polygon WEIL•LLC • • ----- . . . • Primer • 12.51 ' 1. Contact maw:.Angela Grajewski •-• - • . . - Roof iirain conimercia1): 12,51 Address:109 East 13th Street. Si*basintlavainrY 25:02 .. . . . . ... City/Steteq1P:Vanconyet,,WA 98660 'Solar units(potable water) - 62.54 . . • , . .... . . . Phone:(30069$-7700 Fax::-(360)-69344.42 . :Teti/shower/shower pan 12.51. : Urinal: . 25.02 E-mail:AngelA.Gra jew*it4polygoilhomes,eom . . . . . . • -4'::'•Nt.t: 4 ',iiiiwl,-;-`,A1,6-,ki. ..,:..a7::?,Ati-:i.,!.,-:,::t4tc,,,....A.r ..„.,,m *vat. 0 closa 25,92 . ''.'..11.--..,•..,:i.4--ge,i::',•,,,o.:t:•zogi.,:',2: 74,i,i•-• -.w.,:.,•xio,yi,4s:•4.',-.,.•11-4-s- :,.i.-:,3„.::,t-,:ii,g.p:?,44M-, - 7atet.hBater : 1 ... 31-52. ' -1•62. , Business name:BBL Plumbing LLe. .. . . .. . . . . . : Water pipitip/DWV 56.29- : ... . . . Address PO BOX 85Other: .25.61 ... .. .. . . .. City/State/ZIP:Corbett OR 9701.9 . .. Subtotal ; Phone::(503). 51-3903. F , :.---- ,,,... ) , ... . Minimum permit fee; 57150 •• - - Plan tevimv (25%of permit fee) 1 CCB Lie 180345 i Plumbing Lib,no PB1582 .. . . . . . ., :State sarclaame(12%Of permi(:fee) . . . : Authorized signature: at....4.,....,„ keoeoe' .TOTAL PERMIT'FEE. . . ... . .. . . i- ••• Print nameBrandon jiaoter Pete8 1ii, i 2• -I This permitapplication.expires if a permit is pot olitaltiediwiuiiii1A0 days. : :• : after ltbas been accepted as tomplete, *F methodology set by Tri-county.1.1,MIding Industry Service Beard. h'Jj1.0111ing,Perniit4LNIU,TerrnitAppstec 10i01/04 4404616T(10/021,COMM153) MASTER PERMIT CITY OF TIGARD - II ft f0 /P e'' Permit#: MST2016 00079 • It . COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/05/2016 TIGARD Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15261 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 76 Project Description: New SF. 6/14/2016: REPRINT permit to reduce bathrooms from 4 to 3. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1531 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 2155 sf Garage: 740 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3686 sf Value: $459,491.57 Rear: 20 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: 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: 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 3686 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: $35,260.45 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 throug AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 550/v`3..2232.19877or 1.800.332.2344. Issued By: v Permittee Signature: !/ girl-devil-7704/ 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 C A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DA ! i 14. 1 y. .0`, 1) DEPT: BUILDING DIVISION MAY 172016 FROM: Angela Grajewski/Chris Walther CITY Of TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 503-312-6213 By: RE: 1511 I SW Seine Drive MST2016-00071 (Site Address) (Permit Number) Polygon at Bull Mountain LOT 7(o (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: 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 / 6 / ) 6 Initials: Fees Du-] Yes ❑No Fee Description: Amount Due: Np n rcv $ i0 �� VA) $ VS%ot $ Special ( 619 /j400/Ig (9) 4j�''�ILCo'�'73 1i5 (�Tltl3�i�t Instructions: C�� Laq-ciA/J/2y1 , (S> (/a' Reprint Permit(per PE): � Yes ❑ No /2'Don Applicant Notified: �i�/C/� Date: 0y//t, e7`14-I L— Initials I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit*: MST2016-00079 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/05/2016 T I G A R.D Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15261 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 76 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $459,491.57 Rear: 0 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 0 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 Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 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 0 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: $30,725.57 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..19877o1.or1.800.332.2344. Issued By: Permittee Signature: U A `/ �L/e/9----77e Al 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 I. ,.1„ RECEIVED IROf:I l( l: 1 S1: O\1.1 N City of TigardMAR 8 2016 Date/BY3/9 /0 „ii.:), PermitNygs7-.2e/6' 7y `] lig 4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • Phone: 503.718.2439 Fax: 503.598.196c� DateBy: l ' Other Pe`m 14J, . /6 03 I I t, I;I-) Inspection Line: 503.639.4175 l iIT T OF TIGARD Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISIONNotised/Method: Supplemental Information ,_., ,.e,....wa.tG e£u„.,..e..,.c.....,,a::,d. aw..s«e ,....M . ,, wsu, c xxa »�..,5,•4e a> ,.,».a•a 3w»., ®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. H. ® 1-and 2-family dwelling « Valuation ., - A a $ LA❑Commercial/industrial �� 0 Accessory building 0 Multi-family Number of bedrooms: 4 0 Master builder 0 Other: Number of bathrooms: \ E � ■ t � Total number of floors: 2 _.. .. °: - _ . ...,.�.... a .. ..�,a-......., ._:I Job site address: i �ks k i — . I . New dwelling area: Al;� square feet 4 3 • .1 City/State/ZIP:Tigard,OR 97224 Garage/carport area: /(0 square feet Suite/bldg./apt.no.: I Project name: PQ\•,i C3-on c,. , 5k)1\ n Covered porch area: .A 4 square feet . .. , Cross street/directions to job site: J Deck area: 4 g 7 ', square feet )6 7 Other structure area: ea square feet Subdivision:Polygon at Bull Mountain I Lot no.: CO 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 'C € equipment,materials,labor,overhead,and the profit for the a �' �x 7-f-77,.: 7 '- : , work indicated on this .••lication. �e A„!( G GA-Nn 3 • _ * " Valuation: $ 1 1 � Existing building area: square feet New building area: square feet •' �. w t . `¢"g" a. 'a .. "` Number of stories: .. < E ,: ...,.,...2 ,_.. .. , .e, �:a:a`, . a, ex 5,.. .x,a_a4 n_ .r t„<zu: e..,. ._. _... ....�.h .....e._. 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: Business name: pe\ toL Inc Structural plan review fee(or deposit): Contact name: Mai ,-e. Ore\o�1 FLS plan review fee(if applicable): Address: 1 o q — 13 1 Total fees due upon application: City/State/ZIP: CIT) q Grk.,00 Phone:atgl)) (( , -1-00 I Fax:: )f)'0) U(6.i222Amount received 1,$,,% d . r c .,, 3 ,, E-mail:maggie.gordon@polygonhomes.com - , : �,. .. „. � „ ., ,"- roof-top P � � � - � • �e� � Commercial and residential prescriptive installation of 'g .. .'. r "!..y„ M`-:'- ,zs ,' >, J: .a y. _.,. '2i . op mounted Photo Voltaic Solar Panel System. Business name: P n at5n ' i L�-1 I n C. Submit two(2)sets of roof plan with connection details and�1 � and fire department access,along with the 2010 Oregon Address: 1 C�l i 13�n - -\ Solar Installation Siecial Code checklist. City/State/ZIP: V Qfl @CU\) .( V0 J\ q S(P(0 L.J Permit Fee(includes plan review $180.00 Phone:611210) 424(.1 5,1:400 Fax:( * D) .40(::43 . 4222._ and administrative fees State surcharge(12%of permit fee): $21.60 CCB lie.:204238 Total fee due upon application: $201.60 Authorized signature: f This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date- 1 � . 1 1 _2 . 1 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440 4613T(11/02/COM/WEB) Mecha ueal:PermitAi IiCa i l t)It c�r1 tt 1_ c� €t � ECEIVE, of Ti artaRescind • ; . > aixo 1 2 0/.—av79 i; -. 131 5SW'Hal!Blvd.,Tlgazd;:OR 97223 . 2 U j� Pian Rcvibtc " Phos 503 7182439 Fax:,593-598.1964 MAR al,�rer>Nr .- Dated$y ' I i t:, Inspection Line. 303639.4175 V T Datc Rcady/B rw,r' glSce pais. for. . Internet 3tticWIigard-or.gov CITY l OF 1IGAR Ii T)oufie,4,446cd Supplem•ental n0 rmstton: BUTLDINGOIVR _ .. lrfcehanical pamit.fea*the based,rut the value of the**it- "- NI I1e*iin dienatiott 0 AddlGottialteC&QDitizrei*Ltineri# performed 1ricEi ate the value.(minded to the nearestdnllar)of all d I}ernalehon ❑Other mechanicai.matcriats.equipment.labor,.overhead.and profit, _. "�'W A 4 7.:9-fA3'.O ,CO14S .?A 7 , ,: - `3i£SID 7? `LE[.IIII 4ys'7i;S EM5 k3 : - ®I 4i1d 2..fam ly dtveuing 0 CommercraUm3ustrial 0 Accessory building Fpr spinal tn,jarmationuse e i talist .. O Multi-family .❑Master builder ❑Other Desenpttoat I Qty: Ea Total .:,. O8 5x'fE ORiATiOI4 WCA esik(_ ' lie 6641. 6eDOlbrap,: . wv - �:ilsa ..>. ..:.. 46.75 ,.._ "'- r�acortclitiotttng, Lle \ cS 6 Job site trddrass: 1 FtmiacE 100.I100 B711(ileidsltiaets) 1 46.75 Gf22 ttyr -ri C � u Fnmace 1.00:000t,BTO(due sivenis) 34:91 jslal siriteJbldg/apt Po\\I(�i� aA- DV I I � t 1�Yl pump. teat 23.3322 • tto.: Ptolect.nain `J Cs:sreetIdiEectiooS to Job,site: H dronichotwafersystem 2332 • Rexidenlisi boiler f radiator or _hydmi;ic) 2332 .._.-_ _:. urutbtattss(,bel-type,Hart electric). in:uall;iz-duct,suspended.sic. _ 46.75 . Flt eirvent for'ar V of above 2.332. Other .. .. 2332 Lotam.: SnbdYvmoa .. ____ __. . Oiliiii'nd ttiPli..... Tax p/panceisto •Waitrhehirr _ .. . 2332 g°s g II Q i t i't tK 'cas mi'l.i cz:lmsur' 3339 WW. -N. .:�.r.a.:._ _. -: __ ,. ., ,,v- y.aw.,s��:n ."t�•�:• _, {` rmeientlor,wairrb butter or,Ps 3 rcplece' I '2132 Thk..fi%.}i++7:13?-1) '.23.32 - Woodlprlet`shive' 33.39 Wood:fitoplaceruisert 2332 Giiiauieflliar r8ne;!vent 2132 - . 23.32 i Ufher . . �3 -',....,.... ,.•••-e-,7--`_ � '' ' Exo . ..-. ,mow - . ` ., '. Attrtluiiir: Nine•Polygon Ivo_rthwest Range boodlothcrkitchen q> 1 3339. Addess:,i09 E S.3"'St Ctotbes ticverraehattst 1 .3339 • Gait.i frt Z. vantoirvcr. A 98661S ` °o'er` taeklr etds,:utiiity.raottis) . 4 '23.32 ':plica:C360)8164800` Fax:( ). 'MtitIMMOIspace fans2332 z i5� 4r4-.' enomf � '� ztt L_ ttec 2332 • • - . - fa paling $usmes Polygon Northwest 514:15(or fast four;3403-for each WOW' nal Gvnactn.emc. .Fain**etc: 1 . ._, ._.....- :Gttabeatotana.. :-. :ea..X09 E 1-.: . Wttll/suspmdudlintif htalit•• aacortver,W#9866I 7, . ped'iG(360)816-7809 Fax::( ) Ffl5 1aC s. i 'Rinke-.. .. - I -E-mar Baihocut fi - .. �J la isae>0 Rte` L'� . 41 .-;n k fi ,f ) c: ... 4 =.. �..a -F.._.t .:.w.....•.._.._- r'= wG...]��'s�n'�'..u..�.���Zn.: �.. __ ,�.y� �. '$,,sines Mine Andern`Heating,€nC r`rt3 Ib7. i$W$5'l'Ave.Ste 419 SU Ial . Cit}-/Slsiiga OR 97224 Nlinurtum permitfee(590.00) •- Plan review(23%of permit fee) • Mak::t5O3)9924664 Fax'(503)536-6615, Stafe.surrbargc(12%ofpermiticc) 003. hc: 1682'1 TOTAL PERMIT PEE 'this 06-g t applinfiari ezpirss H'ai pt tris net ebbeine4 idthin ISO days attecit kis:teen setepted an enmpiete. Andwrizcd st_ga tme: *. Fee.raethodolosyset b)r Tri.CountyBuilding Industry Service Beard 'Print haiii Atrt uderseri,.t De=11/30/2015 r raweliiiisho 1MEc ca64App 113.AX 44061 Tr(ElJO2tO vh'ES) 'Electrical Permit ApplicationRECEIVE! FOR OFFICE,': , SE Om,, City of Tigard $ 2016 Received MAR Date/fly: Permit Nn114 11,1 13125 SW I Tall Blvd.,Tigard,OR 97223 MA '/�����6 ��� flan Rcvicw ' I Phone. 503.718.2439 Fax 503.598.1960 (F TIGAR Other Permit �/ II natetlfy I ( .1 F I T Inspection Line: 503.639.4175 `j'T 1 w1/ D'`fIL+�(, c Ready/I;y. Jurix El See Pane 2 for Internet: www.tigard-or.gov BtJ%LD1\G V �7 otiticd/Method: Supplemental Information «y,r -4,-',_.1%-''' fi ;a �. .:':M-44,47:7',::.•,1- Ptstf,,.... V1EN➢ . ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans ts'itents checked below). 0 Service or feeder 400 amps or more 0 Bridling ox er three stories 0 Demolition 0 Other: where the available fsmlt current ❑Marinas and boatyards 4s x x• 1 • 1 6-A,, E6ORY OE`�CONSTR.o}exit • exceeds 10.000 amps at 150 volts or 0 I.-trailing buildings '`�."`• less to ground.or exceeds 14.000 0 Commercial-use agricultural ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations buildings 0 Multi-family 0 Master builder 0 Other: Ohre pump 0 Installation of 75 1.:VA or R sT-TgaLr t, ❑Emergency system larger sepatmeh dens ed,: stent'7 v(S ,' a 00 5 , OOCATION . ❑Addition of neve mover load of . ] 100111 OOI IP or more. occupancyJob no.: Job site address: /LL!` </.1� DJLlynI 0 tiffs ormarc residential units 0 Recreational e parksCity/State/ZIP: -r` J��-Ao. G'-nL\ ❑Iludth-care facilities ❑Supply voltage lin mine than an ❑l ltnduus fixation 600 tilts nominal Suite/bldg./apt.no.: Project name:9.613 , oj\ +f ❑ Service or feeder 6011 amps or inure $0,1E x71,,g Cross street/directions to job site: Description I Qty. I Fee. I Tout I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: Louo Sy II.or less Its 54 ^Ea.add'I 500 sq.IL or portion 7 33 92 1 fax map/parcel no.: Limited crier residential �lyd-r ?>1 a 5 v4 1 Ott*i fqs �y V oRIC (with above sq.ft) ) 75 00 2 -s ,-',3_.'- . 4 44' �;,,r'''''"L'''''' r '„r . . ''€• , - l.tmitedenergy.multi-family New electrical service and wiring75 00 residential(with above sq fl) Services or feeders installation,alteration,and/or relocation 200 amps or less 10(1 70 I , 1 ' ' ITR- s,-.0;TEIllA1N1'• : 201 amps to 400 amps 133 ib (��,` ` 401 amps to 600 amps 200.34 2 Name: Y �` 601 amps to I,000 amps 301 04 , Address: , b a t 't'x ` Over 1,000 amps or volts 552 26 , an, 0 1 , q /) q ee t _1) Temporary services or feeders installation,alteration,and/or City/State/ZIP: W vi `-'� (J\,Q�v,� relocation Phone: ,O) a '-f 0D hax:ND) la -� D�Y / ' 2(H)amps or less 59 36 1 i `' """tit��"111 ✓✓ 201 amps to 400 amps 125 03I Owner installatton: This installation is being made on property that I own which is not � 1 intended for sale, lease,rent,or exchange.according to ORS 447.449.670.and 701. 401 amps to 599 amps 16854 Branch circuits-new,alteration,or extension,per panel Owner signature: Date:_ A.Fee for branch circuits with _ � , above service or feeder lee. � .. -, 'C� ± ON7'ACP'P 1 11 7 42 , each branch circuit Business name: 2c ` lip 13.Fee 11w branch circuits without • service or feeder fee.first 56 18 , Contact name: m /i 4 ii VC (H01 branch circuit 11 1 Each add.]branch circuit 7 42 2 Address: l • ` Miscellaneous(service or feeder not included) City/Stale/LIP: wn Co\ . 1 (�O Each manufactured Or tT10dUIar 67 84 I f�/ -(�1 VG dwelling.service and/or feeder I Phone:( ) Fax: :( ) Reconnect only 67 84 1 , 57�� 9�r. r St5V�� /,-��� Pump or irrigation circle 67 84 , r, E: mall • W7 `1YIC,N'eltlJl_) \.C/ - Sign or outline lighting 67 84 ..CO op Signal circuit(s)or limited-energy Business name:Simply Electric panel.alteration.or extension Page 2 , 2 I Each additional inspection over allow able in say of the above Address:PO Box 822408 Additional inspection(I hr min) 66 25/hr City/State/"LII :Vancouver,WA.98682 Investigation(I hr min) 66 25/hr Industrial plant(I hr min) 78 18/hr Phone:(503)849-8202 lax:(360)314-4945 Inspections for which no fee is 90.00/hr specifically listed(Y:hr min) CCR Lic.: 204615 Electrical I.ic.: 067 Suprv. I.ic.: 4394S •ELECIRleAVPE'RA1Tr°FEES / Subtotal Suprv. Electrician signature. required: ' _AtfGtt, Plan review(25%of permit lee) Print name: Victor Zarzhitsky Date: 11 17/2015 State surcharge(12%of permit fee) Authorized signature: l-OTAI.PERMIT ITN. I This permit application expires if a permit is not obtained within 1811 Clays after it has been accepted as complete. Print name: Dale: • Number of inspections allowed per permit I lltnld nn rsrmim.1F1.C-Permit A pp doe 07,01.10 .140.451 ST(I Ins(:Oxl/wflI Plumbing Permit ApplicatiQ itCEj\ED ECEIV 01-1 10E t sr O\LI Building Fixtures MAR 8 2016 Received PermitNo.:/ff'�f,..,0912 75' City of Tigard liatdar. Igi 13125 SW Hall Blvd.,Tigard,OR 97223 Ill Plan Review Ocher Permit No.: Phone: 503.7182439 Fax: 503.598.19� OF D V S�II mdY/BY• 7 See Page 2 for Inspection Line: 503.639 4175 BUILDING N Method: _Y 7- I Supplemental Information Internet www ugnrd-0e gov :1) e-30-,,,`> s �' Y v For special information rue checklist •"� 0 Demolition � Q . � Ea. � Total I:. New construction peseription 0 Addition/alteration/replacement 0 O New 1-2-family dwellings(includes 100 R for each utility connection) to ..� i r > -.,., SFR(1)bath 312.70 • - �l -r-r .� gift ^h �. 437.78 SFR(2)bath 5 p 1-and 2-family dwelling 0m � al SFR(3)bath t �t32 50032 0 Accessory building • 0 Multi-family Each additional bath/kitchen I 25.02 . ,- 0 Master budder 0 Other Fie sprinkler (_-_sq. fi) . . Page 2 • s;.rteti -"" '` : . r ,3_r �' �'iP, ii -- :i as_ '" :T �_ " Site utilities: Job site address: t ' / Catch basin or area drain 18.76 n f�Q G��� 1 - Drywall,leach line,or trench drain 18.76 City/State/ZIP: T acCt O► `_ l G Footing drain(no.linear R: ) Page 2 `/ Manufactured home utilities 50.03 SuitdbldgJapt no.: Project name: Posy(�� (� b1, �] J Manholes 18.76 Cross street/directions to job site: Rain drain connector 18.76 Sanitary sewer(no.linear It:- J Page 2 • Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear It: ) Page 2 Subdivision: I Lot no.: - Blor enta I 31.27 5‘,'L,'1 Tax map/pm-eel no.: :: Backwater valve ( 12.51 12•�j\ f_f.� Clothes washer ( 25.02 aS.OZ -- - -'�' -'r --Vi"`µ' --�� _ ,._.. _7,-7-- � ,--",,,----_-_,-e-4":"..=- N�4Y- Dishwashu I 26.02 (91i0 2 k�/(/fj tV�J 1�1U, 0 / 0 `b� i 1L5 Drinking fountain 25.02 ' Ejectors/sump 25.02 ri- r 1 Expansion tank 12.51 F--- z.. - 25.02 Name: .__.. - c-----;-:--7=-1---2...__-_--- FildnrdseWer cap Name: Pool� l GG,, Floor drain/floor sink/hub 25.02 Address: _AD�•-�1 `J Garbage disposal t 2102 2_ ,0(Z„, �.�(IO, n r Q �/ vi A q t/�` " Hose bib 1 25.02 7 .�i, City/Stain/ZIP: 1.5 Ice maker. 1_ 12.51 Phone: ,r i Q a Fax ( ) rIn grease trap 25.02 • T £ : Interceptor/ grease Page �',�' �- -,24*----_ , ,�; � e . �"� .. A- =�_ ._ � - - -- _ Medical gas(value:S ) 2 Business name: "513(.. 0 J ,�{i(z Prima 1251 Contact name �i 44Dn (&n U Roof drain(commercial) 12.51 r 0 Sink/basinAavatory 25.02 Address . r �( .7 161 1 Solar units(potable water) 62.54 City/State/ZIP: �.� � 1251 25-�Z._ //�� Tub/shower/shower pan Phone:( ) � ,?j�'V3 • Fax::( ) Urinal 25.02 E-mail 1 -.40-) l e4144\. W atsx cosd 25.02 - z t _ _ _ .v- ,-.__ __ ._ ._.,. water heater ( 37.52 yi-.5 r+=_�.�� - - - � --- ,d_.._�.� 56.29 Business name:-Bb I'-s LLL _Water piping/DW V -r tea, 25.02 Address:Sta �, [ , x O �(� q1� Subtotal City/State/ZIP:(f 6�� ,"jjQ��,���!i � _f�V - Minimum permit fee: S7250 Ph ) .: 39003�3 F ( ) Plan review (25%of permit fee) CCB B Lis.:Lia: i a6,3 Plumbing Lic.Tirt 15B2 State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized signature: _ This permit application aspires if a permit is sot obtained w'ithia 180 days Print name • �-.� Z...„ " I Date:/! / /51 after it haT�acceptedal Industry Service Board. �'��*7L J *Fee methodology set by 8 doc 10/01/09 4404616T(1d02/COM/WEB) I:hauMing�PerminclPUrr1-P�^"uPP- City of Tigard IIIS COMMUNITY DEVELOPMENT DEPARTMENT T I C;A R D Building Permit Review — Residential Building Permit #: /7---C 7020 i(o --000 79 Site Address: I S2(, ( *SW S e,rte Dr, Project Name: )01,,Von 01+ 13U/ ( MOUn{-cit Lot #: 7/:a(l�Icw d i g=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: V e 111/ S R Verify site address/suite# exists and active in permit system. %River Terrace Neighborhood: ❑ No yYes,See River Terrace Review Addendum Attached Site Plan Elements: 'Three(3)copies of site plan ' xisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure (including decks)with finished ,yawn to scale(standard architect or engineer scale) {floor elevations iCJ /North arrow Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number --motion of wells/septic systems /Applicant information(name and phone number) ,'Erosion control(including drainage-way protection, silt fence ,Lot dimensions and building setback dimensions / design,location of catch basin,etc.) Afot area,building coverage area,percentage of coverage and Street names impervious area(applicable if R-7,R-12,R-25&R-40) ,treet tree size,type and location Property corner elevations (2 foot contour lines if more than ❑1✓.,i.,ting trees to be retained with drip line,and tree 4 foot differential) protection measures XClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: E Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake ,z./Land Use Case#: S U 6 ZOI S - 0000 7— Z'„ Zr Zoning: 12 4 . c Setbacks: Front 2,0 Rear I $ Side S Street Side 15 Garage XLandscape Requirement: Lot Coverage Maximum: -- Building Height: Maximum Height '0 Actual Height 30 Visual Clearance 7 Easements 7 Sensitive Lands: ❑ Yes ❑ No Type 0 Urban Forestry Plan �' Conditions "Met”prior to issuance of building permit otes: Corot {i0v J + be ale** P(Ibr h t-SSVGn L 01- by;t cUri, pe.rM i 1-3 Approved By Planning: ,i 0()ici (Jo Gto cc.c�. Date: 3/g f / la Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Forms\BldgPernitR vw_R ES_012 116.docx Building Permit Submittal Original Submittal Date: 3/e/f, Site Plans: # 3 Building Plans: # 3 Building Permit#: CJ Enter building permit#above. Workflow Routing: [Planning EEngineering 1r Permit Coordinator D—Building Workflow Sign-off: E'Sign-off for Planning(include notes from planning review) Route Application Documents: [Q.—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: .S/9`/:, Engeering Review Slope at building pad: B7; 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 iil No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes 4 No ❑ NOT Annroved by Engineering: Date: Notes: Condition remain unmet that are required prior to issuance of btdg. permits. Approved by Engineering: ell___ // Date: .0--/e:P-��p 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:zo Date: 3 /%cj otes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ?SDC Fees Entered: Wash Co Trans Dev Tax: rrYes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A Iy OK to Issue Permit Approved by Permit Coordinator: Ci -y C Date: S-4 -[b 1:\Building\Forms\BldgPermitRvw_RES_O 121 1 6.docx a ' City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G n R D River Terrace Building Permit Review Addendum Building Permit #: /IS 7,72e,(o -- ooO 7 7' Site Address: 1 S523. I S W Se ►n e 0 r- Project Name: PO( ?o of 8 01 PVi O u f tni. q Lot #: 7 (New dwelling=subdivision name;.Addition or:Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1.4: 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 ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft. wide Gabled dormer ❑ ❑ / ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1 S . 3 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street- facing wall /Parallel to street, angle no more than 45° from street, or open onto porch Entrance opens to a porch: Ves ❑ No Ifes, all the following apply2/25 sq.ft. min. One street facing entry ,e12 ft. max. roof height above porch �5 ft. depth min. /110% 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 7 Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection 7 Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood /Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. Horizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40% of street facade /Window trim min. 2 1/2"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 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 thatTaces the street with a min. area of 12 sq.ft. Width: (Check one) 32 ❑ 12-foot-wide garage door 40%max. of street facade ❑ 50% max. of street facade with 7 detailed design elements Notes: Approved By Planning: 'v!(On tze,t j 1V Date: ---g/ 9 /1(p I:ABuilding\Forms\BldgPennitRvw_RES_RT_O 12116.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15261 SW SEINE DR, TIGARD, OR, 97224 March 21 , 2017 at 1 :06:09 PM Record Type: Record ID: Residential - Master Permit MST2016-00079 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Provide address on site for inspections. R319.1 No AC installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15261 SW SEINE DR, TIGARD, OR, 97224 March 21 , 2017 at 2:02:58 PM Record Type: Record ID: Residential - Master Permit MST2016-00079 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Correction completed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15261 SW SEINE DR, TIGARD, OR, 97224 March 23, 2017 at 2:14:46 PM Record Type: Record ID: Residential - Master Permit MST2016-00079 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Corrections from previous inspection complete. 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 0 left on site with contractor. Violation Summary: Inspector Contractor