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Permit (37) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT �� ': '.ff Permit#: MST2016 00209 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 .C9 O/ .tell Date Issued: 06/02/2016 Parcel: 2S108DB05100 Jurisdiction: Tigard Site address: 15177 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 49 Project: Polygon at Bull Mountain, Lot 49 Project Description: New SF. 8/25/16 ADD heat pump in basement. 10/28/2016:Add 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1575 sf Basement: 940 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4351 sf Value: $525,888.86 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 Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 8 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy G NEW p yrou p: Square Feet: SF VB R-3 4351 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 A Geotechnical report is required before the footing PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,011.72 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thr/oug/ AR 9 1001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. < > / - e1- , � Permittee Signature: � ��J( ��•,,/ Issued By: 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. pacstiriKtt,l,rermit Application 1O1(0111( 1 1st 0\1A City of Tigard 111111 ';'i.:..ii.:::1-''i.C;\1 F:Iii Received/e, ,,,45 ire-y Permits 11 1 ' .0 oci 13125 SW Hall Blvd,TigArd,OR 9#2,243''"''''i '''' - V"'' Phut R v- Phone. 503 718 2439 Fax. 5035981 Inspvton Line503,639A175 L LI „Ku I u ReinePanful 0 Ready Dategy Internet www.tigarti-or go v .„ , Nonfied/h4etbod % fiat Page 2 far Supplemental Interment* . _ . , 1/4 New construction 0 Additiontaltirabbrirreplacement Mode check all that apply(udinut/.,sets o plans iv/items checked) 0 Service or feeder 400 amps of more 0 Building ova dm stones 0 Demolition 0 Other: where the available fault current 0 Maness and boatyards exceeds 10,000 amps at 150 volts or 0 Mama buildings Cs 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building kris to ground,or exceeds 14,000 0 Commercial-use agricultural amps fix all other installations buildings El Multi-family 0 Master builder 0 Other: 0 Ftre PtimP 0 innallation of 150 KVA or ',.; si. .?''',,,, !1:-Ca.,!..711 ,L7t;Mifitcflizame .8 Emergency system load of larger separately derived lob#: Job site address: IS1-11 310 1 51.4 4+1 j - 100,HP or more 0 Six or more residential units CityiNtatei'ZIP:Tigard.OR 97224 0 failines 0 RAVICaticeid vehicle parks, Health-ewe Suite/bldg./apt #: Project name:Polygon at Wes4-Rinvir-Ter B14(i 0 Hazardous locations 0 Supply voltage for more than 0 Service or feeder 600 amps or more 600 volts nominal Cross street/directions to job site: riltr) ttiEZ,471146WLS177L''':77-77Lath;"50Malitfy . , I New residential single-or multi-family dwelling unit. Subdivision:Polygon at West-fl; .—T-errtime5fAA IVIlli I Lot#: 41 Includes attached garage. Tax map/parcel#: 1,000 sq.ft or less 168.54 4 it,i,':;...- 7--.;.j.7,...7 7.1'.:i5UIU:' Ea,awl 500 sq„ft or portion 33.92 1 eonlria c , r” e -1-robe. Limited energy,residential (with above sq ft) 75.00 2 .... Limited energy,multi-family 75.00 2 :r, .:_,:.7,_,,,...., ,: ., .„:„,„„,..,„i„...,„7,1z4z....,..L.7.:,:.,i.:f:::,, ,-, ,.1 - ,...-, , „.1::,:, , residential(with above sq,ft.) Name:ADV Land Holdin. LC 611-ME as Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Address:7600 » loubkt. Ranch Road et-pp t4 (C1 ifki- 200 amps or less 100.70 2 City/State/Z1P:Seo r. ,ale,AZ 85258 , 201 amps to 400 amps 133.56 2 Phone:(602)69 131 i Fax:( ) Email: 401 amps 10 600 amps 200.34 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: :(, .:7-11',. .i.L .--sit:',7,:i.::,-,4i,,,, 77,..;LI Temporary services or feeders installation,alteration,and/or relocation Business name:wit ftwurbyttre-mainaunt— Fb ../ori tnit—ti-i LIC, 200 amps or less 59 36 1 Contact name:Angela Grajewski 201 amps to 400 amps 125.08 2 Address: 109 East 13th Street 401 amps to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits-new,alteration,or extension,rr panel Phone:(360)695-7700 Fax: :(360)693-4442 A Fee for branch circuits with above service or feeder fee, 7.42 2 Email:Angela.Grajewski@polygonhomes.com each branch circuit - .;. ,:,„:';,:,`„ ,„,, ,:;-1,.,,,„;,;:7.:',1::”.'",r.T.*:',„"J'77::','..„:±",:::'', 777:ff„Xr:'•.: 1INial:,AtitEZ:!.! B FeeseriffitcVovraft*Ich cirr fceuei,t';ili first 56 18 2 branch circuit Business name:*lamed*electric Each addl branch circuit 7.42 2 Address:3415 ne 44th Miscellaneous(service or feeder not included) City/State/ZIP:=UM, cbrvis ilets-vX.../9/2- /4' 7 7.7.-- /3 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 Lie.: 199188 Electrical Lie.: c923 Suprv.Lie.: y f7/....5 Sign or outline lighting 67 84 2 Suprv.Electrician signature,required: jr_ , Signal circuit(s)or limited-energy 2 Print name: t,k /20,,,,,( i fy panel,alteration,or extension 0 See Page 2 Date: 11/2"3". '' Each additional inspection over allowable in any of the above Authorized Additional msPecoon(lhr min) 1 1 66 25Air 1 -, IPrint name: .../. ..7) ._.„,....----2' ' 1 Da2,...VA4 Investigation(1 hr min) 90 00,'hr t 41takhattermastLe_PaniutApc„EllifiltEdoc Rev 06/17/2015 440-46151111/09COM/WEB Plumbing Permit Application Building.Fixtures + ( ¢.—° ` `' City 0f.T1 and Received - . li ' -' ? Dat }: 4) r�l�/6 PennitNo/717;20- 717; /6"--de 9-0 Jit 13175 SW Half Blvd Tigard;OR 97223 L ' i Pian Review Phone-. 503:718 2429 Fax 503 598 19 0 [7ater}3v, � � L711t4rPc�rtntt�hr.: • T I G A R D ltisp ction Line 503 63 7,4:175 l y` " i3aie Read Icy: Tuns. lis(See Page 2 for Internet wwe tigard=or gov. ; , fvotifiedfMethod Sopplemen€a7 infbrmatioii l r s i'E OF'j ORJN.:,.., .;:-.1,-,-..,-,,w- r,;: ,_. ...,.:.__;,,,,:mi-.: ti. : EEE Sf Ili h;. , E.,.a: -i:>: .0 N'ew constriction , Q Demolition For special information yse chteel jest Descri tion ©Additionlalterationlreplacement 0 Other c tt Total Bch utility } New ip2�,famil�dwellings(in'lodes 1©0�t refy. each.� �cannL�;tlon ` .. : CATF!;GOiiii qF L�ti�S7 RII[ 'ii0A7 f , ,.' , SIR(1)bath I I 312,70 E(1-and 2 tamtly:dwelling 0(;itmmercial/industrial SFR(2).bath ' 437:78 •Aceessriry knitting. • .. • .SFR(3)bath 560-32 $ ❑lSftlltt taint: .Each additional batfiilcitchen. 25:62 Master builder : y Other. OB Si'l E ,� Fire sprinkler . j ..ytii iORA lrifi T L,O64TiUd1Y' . .: Site utilities..{ 5:4- -) Page,2 t Job site address: `�, J�� 1 -i 1 Catch basiia or Med dr2m 1.8....76. City/State/ZIP.Tigard,OR 97224 1 • bry ell,;leach line;.or trends drain 14 76 Footing drain(no,l:inear ft::. ). ' Page 2 • Saitelbldg.lapt.no.: I Project name:Pot}eon at BuiliMtountaan Manufactured home utilities'. 50,03 C.Loss:streetldirections tn,job site: Manholes NM 1$-76 Rain drain connector 18.16 • Sanitary sewer(no,linear 1: ) Passe 2 'Storm sewer(no.lineartl.: ) !- Page 2 , t i Water serviee.{ b.linear fl.:. I Page s2.: Subdivision;Polygon ai.Bull Menntain • I Lot na.: (.4O Fixture or item: - Tax map/parcel no,; Bac hfioty prev rater { 31,27 . t 4 ti tiirP`hiss OF`WO;t ,' , F{ii . Backwater valve 12 5) - -- , . . .-_.. .. .,r.. . . -,._.. ...:, CI . .116 2io-r!- 4/9-7 z_ fr/e7i-r--6---,-- 25_02 • I - .. I3ish�vasher ; 2.02 Prinking fountain 25.92 Fjeetors/sttrnp 25..02 , ,PROFERT1 OwNgR Q *41.- . r. 4parision tank. 12. Nance:Polygon%iL.f-I,:LLC` l<ixiare:"sect^cr caji �;(}51? __ Floor drainifloor sinkihub I 25.02 F t Address 149 East 13a Street . . ; .• Garbage disposal I • 2y,82 ' i city/Stale/ZIP:Vancouver,WA 90660- . (lose bib ill 25-t12 Phone (364)695 7709 Fax;--f ) rte Maker 12 5 j `- rC a�.."A;IfiNTp t f ` ` d kiiNTsit6:"CFRSE11'► for/grease trap —i. I3tisit ess name:Ir4lygoii 1i T H,LLC Medical'.gas(value :) IN Page 2 Contact name:Angela.(rajewski Pruner 12.51 Roofdrain.(commercial} 12.51 • address:.109 East.13th Street Sink:basinila3aiz7r 25,t12 City/StatetZIF:Vancouver,WA 98660 Solar units•(potablec}ater)` 62.5 ' Phone:(360)695-7700- Fax;:(360).6i93-x'442 Ttih/showerlshower pan • 12.51. E-mail A-agela.Grnjewski^eupol}.gontiomes corn [Liras 23(}Z - n _ .. p �- ' . °u it. h �r � gt. ' WatetGlfset 25.0' F_ _ .� _' :, .., ;p Water heater3952 '37. Business name:BDL Plumbing LLC. ater piping/1)w $G 29 .. 5 Address:PO Boit 85 Onset:. .2 .02: City/State/ZIP;Corbett OR 97019 Subtotal: Phone;( 03).-351,3903 Fax ( - ) i rim perms i i'nim it Pee 873 5b • I CCI).Lie 1.80345 Plumbing Tie:no..P131582 Plan review(2�9fo'ofpemiit fee) , . .. . surcharge(12%ofpeanut fire) . Statep Ear Authhorized signature: ". TOTAL PERMrt. E t Print name::.Bran'doa Latter Bate: • This permit.appIication expires if a aerinit is not pb(ncned:.ttithin-ISO day p O �� 1 slier it:has been accepted as complete. *Fed nieihodelegy set Ii)Tn-County.B_uilding.Indusiry Serviee Beetd. is Bui#dins;Pivmit kPLMMt-Permitspp.-dao tOi41/E9 44046i6Tt.n3:o2 co t1in11)n • ill gCITY OF TIGARD I. _ •• MASTER PERMIT ;, . III ''.- COMMUNITY DEVELOPMENT Mar Permit#: MST2016-00209 TIGA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2016 Parcel: 2S108DB05100 Site address: 15177 SW 154TH AVE Jurisdiction: Tigard Subdivision: POLYGON AT BULL MOUNTAIN Lot: 49 Project: Polygon at Bull Mountain, Lot 49 Project Description: New SF. 8/25/16 ADD heat pump in basement BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1575 sf Basement: 940 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 12 Dwelling Units: 1 Smoke Third: 0 sf Right: 5 Detectors: Yes Total: 4351 sf Value: $525,888.86 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 1 Y 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 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Catch Basins: 0 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvpes Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 8 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add,500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: Square Feet SF VB R-3 4351 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 A Geotechnical report is VANCOUVER,WA 98660 VANCOUVER,WA 98660 required before the footing 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $36,766.32 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010th •.-•OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 -2.1987 or 1.800.332.2344. Issued By: • aa-1i / •:.-...4. Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection dat=. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application " FOR OFFICE USE CiSE O\L1- C1$y Of Tigard Received _ - 13125 SW Hall Blvd.,Tigard,OR Date/By: ffilwil Permit No.:/ i ,/(to_�� ' 11. Phone: 503.718.2439 Fax: 503.5 8. ECEIVED. Plan Review TLGARD Inspection Line: 503.639.4175 Date/13y: Other Permit: Internet: www.tigard-or.gov I Date Ready/By: Juris: H See Page 2 for AUG 2 2 21110 Notified/Method: Supplemental Information Mechanical permit fees*are based on• the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition [❑Other: mechanical materials,equipment,labor,overhead,and profit. CATI GARY QF +ON3 7tlfICT)(ON Value $ ® 1-and 2-family dwelling ❑Commercial/industrial '` 1tESID>Ei�'rbr I'QSli�#;�1►tiS�ES'�- ❑ ❑Accessory building For special information use checklist Multi-family 0 Master builder 0 Other: Description :> SOH SITE 31R141AQ1iT iD-IACAIY+DI�T ating/cooling: Qty. Ea Total s II 1 He Job site address: 1 194 g Air conditioning 46.75 City/State/ZIP:Tigard,OR 97224 I J Furnace 100,000 BTU(ducts/vents) 46.75 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Heat pump 1 61.06 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler(radiator or • hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Polygon at Bull Mountain I Lot no.: 49 Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 23.32 ��.;:= __..,_:= 1tF oR €3P'fVP Gas fireplace/insert :.. 3339 Change 2"furance for basement to Heat Pump Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue./vent 23.32 , _.. rtR1<#Pl( L1`i'fflW1VER Other: _._..:_F { .TL1VM1;_ 23.32 Name:Polygon WLIT,LLC Environmental exhaust and ventilation: Range hood/other kitchen Address:109 East 13th Street equipment 33.39 City/State/ZIP:Vancouver,WA 98660 Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, Phone:(360)695-7700 toilet compartments,utility rooms) 23.32 Fax T( Attic/A ;�_ Other:crawlspacefans 23.32 gir.<- 2332 Business name:Polygon WLH,LLC Fuel piping: Contact name:Angela Gra jewski $14.15 for first four;$4.03 for each additional Furnace,etc. Address:109 East 13th Street Gas heat pump City/State/ZIP:Vancouver,WA 98660 Wall/suspended/unithhater Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace E-mail:Angela.Grajewski@polygonhomes.com Range Barbecue ,: — _ r:. ,A Nd*_:inVs % 4 , :. Clothes dryer(gas) Business name:Apex Air LLC Other: Address:18004 NE 72nd Ave r_ T P i * City/State/ZIP:Vancouver,WA 98686 Subtotal Minimum permit fee($90.00) Phone:(360)342-8109 I Fax:(360)326-1769 Plan review(25%of permit fee) CCB lic.:203034 State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized Signature' days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board All � Print name: ri � I Date:8/22/16 I:\Building\Permits\MEC PermitApp 0401 3. oc I 440-4617T(11/02/COM/WEB) CITY OF TIGARD MASTER PERMIT II'''! 2 ' COMMUNITY DEVELOPMENT Permit#: MST2016-00209 TIGARD 13125.SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2016 Parcel: 2S108DB05100 Jurisdiction: Tigard Site address: 15177 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 49 Project: Polygon at Bull Mountain, Lot 49 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1575 sf Basement: 940 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4351 sf Value: $525,888.86 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 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 Tvpes Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 8 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4351 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 A Geotechnical report is required before the footing PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $36,652.93 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987` or 1.800.332.2344. Issued By: Permittee Signature: Ti/ z9-" ,'/(#. --'/-770,\,/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. � o � yq Building Permit Application l_S 5- ...5/40 /, , Residential RECEIVE I OR 01.171( E l SE 0\l.1 Received /AY City of Tigard S/d7 /0 v. -Permit N .. '7 ` c O? `'J g MAY � ' ��/��4�0 / 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 1 7 2016 Plan Review I Phone: 503.718.2439 Fax: 503.598.1960 Date/Sy: tcja J G Other Per se�/4�00J 7 Inspection Line: 503.639.4175 CITY 1 Y V1�A � Date ReadyBy: Jade H See Page 2 for "\ i 1 V A V 9 Notified/Method:4, � i k/" SupplementalInformation Internet: www.ttgard-or.gov RUII�Dti I O�N eta — #Jwia TYPE OF WORK REQUIRED DATA 1 .AND 3 FAMILYDWELLING. ®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 CATEGORY OF CONSTRUCTION work indicated on this application. ® mI 1-and 2-family dwelling 0 Comercial/industrial Valuation: - S'319;$21 S a� 4 $8 ElAccessory building 0 Multi-family Number of bedrooms: 4 0 Master builder 0 Other: Number of bathroom -3 JOB SITE INFORMATION,AND LOCATION Total number of floo ,3 :co 3 ,' Job site address: 15117 s(A) t 5i4'w A VZ . New dwelling area: 4351 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 679 square feet Suite/bldg./apt.no.. _ Project name:Polygon at Bull l Juntain Covered porch area: 12 square feet /s,34 Cross street/directions to job site: Deck area: 220square feet 's"7 ' Other structure area: square feet Cy L/C .R)H;QUIRED DATA COMMERCIAL-USE CHECKLIST'.; Subdivision:Polygon at Bull Mountain Lot no.: 41 Permit fees*are based on the value of the work performed. value(rounded o the nearest )of Tax map/parcel no.: Indicate t equipment,men ematerials,labor,toverhead,and theprofitfor the q P � P ;', DESCRIPTION OF•WORK` work indicated on this application. Plan 17D-DL Valuation: $ Existing building area: square feet New building area: square feet :, , .0 PROPERTY OWNER , ❑ TENANT:- Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 East 13th Street Occupancy groups: City/State/ZIP:Vancouver WA 98660 Existing: I'li Phone:(360)695-7700 Fax:( ) New: j El APPLICANT El.CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH,LLC (P%aserefa.tojeesekedu7e) Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) E-mail:Angela.Grajewski@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES; CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Pone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 (VSA/�/CCB lic.:204238 Total fee due upon application: $201.60 Authorized signature: ��Y / f 1 This permit application expires if a permit is not obtained ll//"" ( �� within 180 days after it has been accepted as complete. *Fee name:Angela Grajewski Date:5/2/16 methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) A , ECE1V t-141) B . Mechanical Permit Applicata 1 OR (TI ll( I I ‘,1 O\I.1 City of Tigard MAY 17 2116 Received Date/By: Illi . i "J/- .,. /13 IN.-i- 11 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review Phone: 503.718.2439 Fax: 503.598.1960. `, A Other Permit: i Inspection Line: 503.639.4175 E OF 116ARD D Ready/By: Jam: 0 See Page 2 for Internet www.tigard-or.gov BUILDING fliVlslO Notified/Method: Supplemental Information COMMERCIAL F:EE* SCHEDtlLE—.IJSE CHECKLIST•,. _.:' „ , , TYPE OF.WORK . .: . . . Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:S ,. ,, " CATEGORY OF CONSTRUCTION .t' ,. '" RESIDENTIAL EQUIPMENT 1 SYSTEMS FEES* .:. s 0 1-and 2-family dwelling 0 Cornmercial/industrial 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total Heating/cooling: 10B:SITE INFORMATION AND LOCATION Air conditioning 46.75 Job site address: 1st' fl 5W ( 5L-I-% PAVE Furnace 100,000 BTU(ducts/vents) j 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt no.: Project name:Polygon at Bull Mountain Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other 23.32 Subdivision:Polygon at Bull Mountain Lot no.: 44(4 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 .., a � --- '-`"'''-.4 - p33.39 ,, +a1 T- " -r-DESGRIFITON OF 'FIRK : � d' P -.-"E'-'. :" �r- ' -:-.4 ".`-'''-‘4- r-, `x , g---. v w ..* st R' ie,- vF .--- Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 . ` , t®PROPER3Y - w WNERt ti ? i Tfs�` � in ttf, -- Othe23.32 rO _ h ` _ Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:109 East 13t6 Street Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 ,�. 2332 Etrr a� APPLIiNTA-nd t 15-+fir:T, 3„ . �, ONTAGTPERSO -4..+*:„: O . Fuel piping: Business name:Polygon WL$LLC $14.15 for first four,$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Gas heat pump Address:109 East 13th Street Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater . Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue r4 -CONT ACTR R. Clothes dryer(gas) t4 .... OOther: Business name:Apex Air LLC , r grCHANICALYERMITFEES*4, ., WNAL Address:18004 NE 72nd Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 C��� �,,,1/-N�/�k/t. days after it has been accepted as completesAuthorized signature: • Fee methodology set by Tri-County Building Industry Service Board Print name: /l� A mQ,u0 S k_i Date: 5 3 lb e\Building\Pennit:v gCn _PenitApP o40I lac 440-46 77(11/02./COM/WEB) ' ]Electrical Permit A licatio>tn �� BOR OFFICE, USE O,N1.1' City o�Tigard �1 EP Reeed DateB : Permit 8/1/_,..Tc20f ' (/ Plan 02 li 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B ; Related Permit t: Inspection Line: 503.639.4175 MAY 17 2016 Ready Date/By: Jude H See Page 2 far '11 GA RD Internet: www.tigard-or.gov Notified/Method: Supplemental ieformatton • ,;: �r�a t._ ®New constriction []Addition/al ^10N1' Please check all that apply(anbmit2 sets ofplaas w/ltema checked):' El Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current ❑Marinas and boatyards 'ry. .� »5n.gp _ - Y s :y 1.i'• ' �.1.T iSY:'..: f��t.i:i.l,: 't ,s:A,4 ,;S.e E � d(F K ,' i i.T 1. exceeds 10,000ampsal 150 volts or Floatingbuildings. ,;: ...=: �`i�,.:' � z•: ��..,.. ','4 � �1_N:�`•• a...,.:�!;�:.� :. �r.%`i. :,�,::� ❑ ®I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building las to ground,or exceeds 14,000 ❑commuciat-use agricultural amps for all other installations buildings. 0 Multi-family - 0 Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or `'u' ;:3 0 emergency system. larger separately derived ';'.g7::-. 3. ...: ... �OB�SI,,•`TPr::IN.R�?�?Ade!`.Glx'.�1,1�:iI.Q�`??►1'.(Rl!l.`'.'r.�.:`-"� .... � _.. I Job#: I Job site address: �(c�1� ..�i�� /� e ❑Addition of new motor load of system- �5 n-T sys I U ' &ie., 100IIPormem ❑••A• E••e._2,•e.3, City/State/ZIP:Tigard,OR 97224 ❑Six or more residentialunits. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt#: I Project name:Polygon at Bull Mountain 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more 600 volts nominal. Cross street/directions to job site: T::-.: ''i;_ 'r'.' •'•.:3.=: ':'' • Deeoiprisa 'I Qh. I Bach I Teta! 1 • New residential single-or multi-family dwelling unit. Subdivision:Polygon at Bull Mountain I Lot#: I4 q Includes attached garage. 1,000 sq.R or less J 16854 4 Tax map/parcel#: Ba.add'!500 sq.ft.or portion $ 33.92 1 _ L1ti" if( r* "' 'y,00pctIOh:Q 'Aj]L . . . . � `'i.�.. . Limited CtE�.residential (with above sq.ft.) ) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) 0 See Page 2 1 • „�,-.- ,.,, Renewable 13nergy :'.A.04...4-0.4.- : .03-r.-"'A�-VAr.-:r.X•`:s•Ck.:''i.:'. .:.. ;..':;:..`... .,..' ::43a.G'-:-••.. ......:' ,'''':::'....1.1Y;'4:-.''''. i . � Services or feeders installatlo»zalteration,and/or relocation , Name:Polygon WLH,LLC 200 amps or less 100.70 2 Address:109 East 13th Street 201 amps to 400 amps . 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders Installation,alteration,and/or Email: . relocation - Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 snips to 599 amps 168.54 2 `5• e'•i Y`,•, ►�i •tIv ii' 1:. n'Y :- ::- t:rp4,; , Branch Circuits-new,alteration,or extension,per panel h>'.7h yx; wa4�.i3 : r :':.:i t . 1 5 }...:.`==' A.Fee for tuaoch elreuits with Business name:Polygon WLE,LLC above service or fader fee, 7.42 2 each branch circuit Contact name:Angela Grajewslti B.Fee for brands circuits Without sloe or feeder fee,first 56.18 2 Address:•10p East 13th Street branch circuit City/State/ZIP:Vancouver,WA 98660 Eachttdd7 branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' . I Fax::(360)693-4442 Bach manufactured or modular ' dwelling,service ior feeder 67.84 2 and Email:Angela.Grajewski®polygonhomes.com Reconnect only 67.84 2 �{7:L:"_+rte}L.4$r" •:Pei:$". -Te_':n 7/.: . ,r-- - ': ; }r' - '� ;:'max• i.. ;�y'. .�:s�: - lir;::,�;.:e :%; '�-��^ circle6 84 2 . if�. aY=1:£���r,� ii':�=:is...,....:: . ....Sr ��...il..... ._ ._..._... .. ..�.•,::}_,. ... . Pump or lrrigatlon 7. Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy la see Page 2 2 Address:6101"(-11E St Johns Rd panel,alteration,or extension. City/State/DP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 lir min) 66.25/hr Phone:(253)320-1657 I Fax:( ) Investigation(I hr min) 90.00/hr Email:bdaniels al veusa.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lic.: 4496S seeciGeelt�!listed CAhr i) 90.00/hr �.• !' _ �x.L_j t i": ,. ter.* (iRj7j'�'�.,(`�'w� � y .;",. t � : a"67!:::iL+4+_'41,'a.=.»%51':5 �:F 4?:5rt?_'{ uk`.'S�F::'.aj Suprv.Electrician signature,required: ' P Subtotal: .- Print(ame: Joan Albert Date6 3'��Q 0 Plan Review Required(25%of permit fee): _•_ State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized signature: ,/,. _.-_- ' !' l This permit application expires if a permit Is not obtained within 180 Print name: Bill Daniels/ Date days after It has been accepted as complete. '�'�� * Number of inspections allowed per permit. 1:1BuildireermitAIELC PennitApp MLR ERlidoo Rev 06117/2015 440-4615T(11/05/COWWEB • ' Plumbing Permit ApplicatiRECEIVE1) Building Fixtures City of Tigard tsiiM 17 2016 Received iePermit Nofy,...r- �j6 -.00c20 II 13125 SW Hall Blvd.,Tigard OR 97223 {� Plan Review Phone: 503.718 2439 Fax: 503.5819) )0 .�11�1� D t?ale/ B,r: Other Permit Na.: Inspection Line: 503.639.41751 11 iI (( N Date Read !B luny ® See Page 2 for 1 17 D1VISIUi Ready y Internet: w+vw ugard Or go+ Nonfied:'Mrthod ,a. Supplemental information,` 9 � o-ti� 5 . a iybig.: �� �,� C t f tppb i i,• !: � F 0 Demolition For special information use checklist. ®New constructionDescription I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) y SFR(I)bath 312.70 SFR(2)bath 437.78 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other Fire sprinkler( sq.ft.) Page 2 ° 0''.6 `� .�:'sii ili''Sl it'j$Fii it. O'it ' 01 ,<`�' $'. , * Site utilities: lob site address: 5 fl 1 S. t5A-�h 4 ve, Catch basin or area drain 18.76 Dn'meell,leach line,or trench drain 18.76 Cite/State/Z1P:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Polygon at Bull Mountain I Lot no.: 401 Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 �l * x "e„' oman "y�t' 4r . ti wrn 4 frS,2cvg ?ssv Backwater valve ( 12.51 n; a ,.,.s _tr 11 r ert Brsrx s; f 5 1 v':::. Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 i Wrt% . + lt A} h ` Expansion tank1251 Fixture/sewer cap 25.02 Name:Polygon WI.LI,LLC Floor drain/floor sink/hub 25.02 Address:109 East 13"Street Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax ( ) Ice maker 12.51 ?ator A; ii'P3AC' `""Alj'� * �t` el >� .t '5(�1'Y`'-"-A)` . Interceptor/grease trap 25.02 } f,+3•-� hs.+;'l,".": �t v.. z o,,, f-e .'>;_,., 1.....w ,,,,,�. t,' ,G yr. iu1.. w. 0. l.��, Medical gas(value:$ ) Page 2 Business name:Polygon WLH,LLC Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:Angela.Grajewski@,polygonhomes.com ;l0r 0tv .. '4l: :F. rFw. t Water closet 25.02 ;i_;#.1a�� . y.{ frc9.,s. eir rr�s. t;n._. C� .c-,.r. 'c..p. ck.K .r4Jwe:.: Water heater 37.52 Business name:BDL Plumbing LLc water piping/DWV 56.29 Address:PO Box 85 Other: 25.02 City/State/ZIP:Corbett OR 97019 Subtotal Minimum permit fee: $72.50 Phone:(503)351-3903 Fax:( ) Plan review (25%of permit fee) CCB Lic.:180345 Plumbing Lie.no.:PB1582 State surcharge(12%of permit fee) Authorized signature: 17.2„..„., /` TOTAL PERMIT FEE Print name:Brandon Lanter Date: 513 I� This permit application expires if a permit is not obtained within IRO days 1 after it has been accepted as complete. *Fee inethodolotty set by Tri-County Building Industry Service Board. 1.',BuildingTermits\PLMU-PermitApp.doc 10/01/09 440.4616illWO21COMIWEB) t City of Tigard 1111 .4 ■ COMMUNITY DEVELOPMENT DEPARTMENT T t G A R D Building Permit Review — Residential Building Permit #: /kC7-o2,/, --Oa , Site Address: /57w `C 1�. Project Name: P. •� .,7-1 ,C ie// /Pa/4iviwit Lot #: (New. t' =subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal:' /'l. u_) /� Yd erify site address/suite# exists and active in permits em. ' River Terrace Neighborhood: ❑ No Yes,See River Terrace RevieivAddendum Attached Site Plan Elements: !/ P ree(3)copies of site plan Fl Ila 'sting structures on site ' Site plan must be on 8-1/2"x 11"or 11 x 17"paper I Footprint of new structure(including decks)with finished VI raven to scale(standard architect or engineer scale) i.or elevations orth arrow ! Utility locations(required for new,may apply for additions) ite address,project or subdivision name and lot number i cation of wells/septic systems vA4Stplicant information(name and phone number) h rosion control(including drainage-way protection,silt fence dimensions and building setback dimensionssign,location of catch basin,etc.) area,building coverage area,percentage of coverage and street names pervious area(applicable if R-7,R-12,R-25&R-40) •eet tree size,type and location roperty corner elevations(2 foot contour lines if more than \ r i sting trees to be retained with drip line,and tree 4 foot differential) protection measures 03/4Clean Water Services—Service Provider Lette of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified I No Received: ❑ Yes ❑V(I(..lublic Faciliti7 Improvement(PFI) Permit: Required: V Yes,applicant was notified ❑ No Applied For: iYes ❑ No,stop intake -Zand Use Case#: f6 Q U'/S-C�1 O� oning: /£-4.C- trr Setbacks: Front ,0 Rear /S---- Side ' Street Side Garage c7O raikandscape Requirement: t:'Lot Coverage Maximum: ►A Building Height: Maximum Height 30 Actual Height 30 143 f sual Clearance FAVasements ensitive Lands: yG Yes ❑ No Type Lao-— v/�il h i1,z_ Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit / f Notes: ( ;i1;Ng �/JLe )!J /4'r'?C v- 7'2� "29/71?/L i tt,,7Ace Approved By Planning: ���-'�' Dater/ 4 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_O 121 16.docx , Building Permit Submittal Original Submittal Date: '//7//� Site Plans: # 3 Building Plans: # Building Permit#: [ Enter building permit#above. Workflow Routing: 5--Planning € Engineering 'Et—Permit Coordinator C u lding Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: 0-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 Date: —s 423A, Permit Technician: 0��. Engineering Review [!3' Slope at building pad: [3 Conditions "Met"prior to issuance of building permit tr Easements (encroachments)per engineering conditions of approval and plat E"Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 1❑'No Assess Water Quantity Fee in-lieu: ❑ Yes I-No LIDA Facility on lot: ❑ Yes P—No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: _ , Revisions (after Building Submittal only) I67 eviewer 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: Date: 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: DC Fees Entered: Wash Co Trans Dev Tax: Yes Cl N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A ?570K to Issue Permit '''''./.2 //.k Approved by Permit Coordinator: Date: I:\Building\Fonns\B1dgPennitRvw_RES_0121 16.docx City of Tigard 1114ICOMMUNITY DEVELOPMENT DEPARTMENT River Terrace Building Permit Review Addendum Building Permit #: /157;2-0/G Q 02 Site Address: /s Ise /' Project Name: Polygon at Bull Mountain Lot #: 2/9 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1): Is the project sub.ect to the plan district design standards? ❑ Yes No 1.Articulation: a "simum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additio•. element required for lo with over 60 ft. of street frontage shall be provided every 30 ft. C alcony w/ access 2 Window Projection Vertical Wall Offset a in Porch m . 5 ft. deep ft. deep min. 2ft., 5 ft. wide min. 2 ft., 6ft. wide Gable,, dormer ❑ ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum .f 12% of each street facing facade must include windows .r entrance doors. Percentage Shown: 3. Entrances:At least one entrance mus' eet both of the following standards: facie wall ❑ Parallel to street, .ngle no more than 45° from street, 01 Max. 8 ft. setback from longest street- or open onto po \`\ Entrance opens to a porch: ❑ Yes El No 1 ` If yes, all the following apply: ❑ 25 sq.f 'n. ❑ One street facing entry ❑ 12 f. max. roof above floor of porch ❑ 5 ft. depth min. ❑ i'/o min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of fi • •f the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep ■ 'ecessed entry area min. 5 ft.wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ D. er min. 4 ft.wide ❑ Roof eave min. 12 inch projection ❑ Roo' offset min. of 2 ft. ❑ Roof shingles either tile or wood ❑ Gable, 'I, or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. . ❑ Horizonta ap siding min. 3-7 ft. wide ❑ Accent siding min. 40% of street fa .de ❑ Window tr. ' . 2 1/2"wide by 5/8" deep ❑ Window recess min. 3 inches fo .11 street facing ❑ Bay window 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 f seep with inside access ❑ Attached garage is 5% or less of street facade 5. Garages and Carports• ay face the front or side lot line on a corner lot. Setbacks: No closer to front o side lot line, than longest street-facing wall. ❑ Yes ❑ No. If No (Ch: k one): ❑ May extend us to 5 ft. if there is a covered front porch and garage does not extend beyond ..e front porch. ❑ May exte s up to 5 ft. where the garage is part of a two-story building and there is a window a the second story above the •.rage that faces the street with a min. area of 12 sq.ft. Width. Check one) ❑ 2-foot-wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: I.\Building\Forms\BldgPermitRvw_RES_RT_031416.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 G,;•k i, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DATE ' DEPT: BUILDING DIVISION % A� AUG 222016 FROM: Angela Grajewski -3!ALIEN ry DiVISICN COMPANY: Polygon Northwest PHONE: 971-212-2144 ‘js, RE: VS ibte ,k)*19 MST2Ol(e O3? QO I (Site Address) (Permit Number) Polygon at Bull Mountain (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 0 Additional set(s) of plans. 0 Revisions: 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. 3 Other(explain): Additional deck details requested by inspector REMARKS: Routed to Permit Technician: Date: : — _ — J _ Initials: Fees Due: Yes • No Fee Descri stion: Amount Due: .dxF.� "zr �✓A�. ' Special Instructions: Re•rint Permit •er PE : ❑ Yes ►1 No ❑ Done A splicant Notified: Date: Initials: I:\Building\Forms\TransmiaalLetter-Revisions.doc 05/25/2012 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15177 SW 154TH AVE, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: No AC installed at this time. Violation Summary: Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00209 Inspector: David Young Inspector Contractor