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Permit (55) II q CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00205 Date Issued: 06/02/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 e r Parcel: 2S108DB04700 �• / (sial Jurisdiction: Tigard Site address: 15047 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 45 Project: Polygon at Bull Mountain, Lot 45 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: 1542 sf Basement: 826 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2167 sf Garage: 739 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4535 sf Value: $551,946.68 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 • Ea add'I 500 sf: 9 201-400 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 4535 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: $37,242.82 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through R 952-0 1-009 . 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: �-%� ;> C�"'��__.. �G f('67"%7U Permittee Signature: 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. pivsaric#fi re rrn it Application /,i—r-,, I tilt tit lit I 1 *N1 ttNI.N i',..... ., City of Tigard 97.i:75503;ms:2i3 Et„,,ri::h.P 1,.„,,t,f RareiveJ A i „,, 111 13125 SW Hall Blvd.Tigard.OR Phone 503 718 2439 F 9 960 Inspection Linc 503 63 Datelly /a/..2,e ,,, - :it# k(sr-zpb .0() SEP 1 2016 'Zedrit:lew Related Penult 0 4_ 44 , .,, Reedy Dimetty —Twit Id'See Paw 2 fat Internal_ swum.tigard-or gos crry UF i;iz:,,i',%,;--,X: Notified/Method Selllgiimooltd In‘rollltiolo , ....„ ,,,, • r,i, k ,, , . ,,,' . .4.,,,,,4 - - :.y-.-..,-, F r,,,". ' -x"......,t,:t.,,r 014 New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 seas of plans wineins Checked) 0 Service Or feeder 400 amps or more 0 Bwkhall ova*wee atonesCI Demolition 0 Other: where the available fault current 0 Alarmist and limuyenb 1•:' 7...1'- 7,-' 7::;;:;,. ...:7:::::.E:',':''.7:ftrr,.,77:SSII4:4ZY.RffhQZ,Zi exceeds.10,000 amps at 150 volts or 0 Floating be-..,••• 0:4 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commeacial-use mpicultand amps for all other installations buildings. 0 Multi-family 0 Master builder 0 Other: Ohre pump Q Installation of 150 KVA or ,,,''.1- : 4,44.:L:44271%-%-'.7.:7, ', '.;.:;.1.•a:'''''-`r:-. ';-:-.17.•:::I.:1117:WLMTSSEgii-faritlitf 8EmeroyfPnfeternillotorloal of systemel 5cParal**lived Job#: Job site address: 1 $5()yi siv t. Li 441 4tre 100FEP or more 0"A","E","1-2"."13", 0 Six or more residential units occuPancY City/State/ZIP:Tigard,OR 97224 Elliethh-care facilities 0 Recreational vehicle parks Suite/bIdg./apt.4: Project name:Polygon atikesalisatraterpao Kill 0_Hazard9us imat191". 13 Supply voltage for more than U Service Or feeder 600 amps or more 600 volts nominal Cross street/directions to job site: Mtn 141472'3270VZIEC.:4,7"'.: 7.7'''.'72'''',/,'Z'iffAtingintir ovicciption Q15. Loeb Total . New residential single-or multi-family dwelling unit. Subdivision:Polygon at Wsia*Ree. 10,1 INA-' Lot#: 45 Includes attached garage. Tax map/parcel n: 1,000 sq.ft or less 168.54 4 I.J5.';''..H'17717:77;7 '''.. ' *::1;^•;,-:7,-',„„:2-1,'11..::: s:If.Z7.. ..frl. .1114.4•:,.../c ..F';;;7,';:.AZFS:1`...Z1.1.' Ea addi Mk sq.ft.or portion 33.92 1 arrin 6 ( o / Limited energy,residential i (with above sq.fl) 75,00 2 Limited energy,multi-family 75.(k 2 ...., „,.,:lT!:,.,.'.:. ,s•,,,'7.4:-.:.-7-.' ',.:.:FETtik,:.4:;_w„..::::::.",.:,.ii-,4:::,,4 ,,,,,,.;; ._ 74 .- ,L,•,,,.: :,_,,., residential(with above sq.ft.) ,.. Name:ADVL and Holding- LC Slet Itt. *S Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Address:7600 E ) .able - Ranch Road tSgr"P I/1C-41k\e-C-- 200 amps or less 100.70 2 City/State/ZIP:Sco.-4 AZ 85258 201 amps to 400 amps 133.56 2 Phone:(602)6• , 131 ..,. Fax:( ) Email: 401 amps to 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 552262_ Owner signature: Date: Temporary services or feeders installation,alteration,and/or relocation Business name:Witthent-4,14ws-Hassues,kic. T>0130spn GU Lii--, Lie_ • 200 amps or less 59 36 I Contact name:Angela Grajewski '''' 1 201 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, .panel Phone:(360)695-7700 Fax: :(360)693-4442 A Fee for branch circuits with above service or feeder fee, . Email:Angela.Grajewski@polygonhomes.com each branch circuit 7 42 2 13 Fee for branch circuits without 7: :::::::....;: ::„.:::-...TSZ.,,,,:::::;:::::::7[. ..!:.;.777'.7'•l'.'1.11:rfvLis7n:::;;F:72.1!:',S.K.'.7*.itiNitit service or feeder fee,first 56.18 2 Business name:alameda electric branch circuit Each add.'branch circuit 7.42 2 Address:3415 me 44th Miscellaneous(service or feeder not included) City/State/ZIP:AMPS # 1 Jaye(/4A/Z /4/4? 7 col- /3 Each manufactured or modular -67842 dwelling,service and/or feeder Phone:(503)3192192 Fax:( ) - Reconnect only 67 84 2 Email:solarpdx@me.com .. Pump or lingation circle • 67 84 2 CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: '/f 7/5 - Sign or outline lighting 67 84 2 Suprv.Electrician signature,required: 2,?ij/ Signal Litrecrtt,73rhemxtenends,eonner° 0 see Page 2 2 Print name: it.,it i/2400‘,-,( Date: Each additional inspection over allowable in any of the above: Authorized signature' Additional inspection(I hr min) 66 25:hr I ..,,,,. ...,Print name: j4 --... .• DateS /t3//-14 Investigation(1 hr mm) 9000:hr 1\eateneximumia.0 jammospe,ELP,EREdoc Row 06117/2415 44446151111/05/COMVE13 Plumbing Permit Application Building Fixtures SEP 1 5 2016 IlltiCity Of Tigard fa:ri ,,: „frefe:/------ PerP'it ofrirsir4,-(7,0, 05- ...: . 13125 SW Halt Blvd.,Tigard,OR 9722. ',..." "-: ,,'- '.,:plan-Review *'• Phone. 503:718.2439 Fax: 503.598.14A1:, ;,..,' -''' '' :'' :''•'' :T2Oteinv: Other Permit No: - ' inspection Line: 5016394175 TIGARD Dot,Roady/0y: Jara• WI See Page 2 for Internet: www.tigard-orgov Notified/Method: Supplemental information I 7*.. **.., 4t17141:r:-1 ' i`i - : ::74 ::::10.3:,-; '. --•.wA.,,,a. ,,,f4i:,- :,,--lei•:•.,.;.,',-;;:::,,,!. I o,New construction 1 0 Demolition Description 1 Qty. I Ea. J Total 0 Addition/alteration/replacement 1 0,0her:; 161-'2-ltinilyil:vres:;:l dwellings special information ;der:til.:0711;.;;Otheeacek:u4tility connection) i'.411.;',116i:<:',Xillt:::'":•-b.';::Attair•O;':oiiiiifiWtkikilt 1.1";r1::. ,;Rtdr..0.:":•:''.glik SFR(0 bath 312.70 0 1-and 2-family dwelling 0 Commereiallindlistrial SFR(2)bath 437.78 SFR(3)bath 500:32 0 Accessory building 0.Multi4anii ly — Each additional bath/kitchen ' 25.02 0 Master builder 0-0tber: Fire:sprinkler( sq.ft.) Pag e 2 AP-;Jii,*!:01:01.04i14,414i:1;ifiektalii.iiiiiiiirria. :..E.:W•:." :: Site utilities: Job site address:: n s ,k) 04 11(1 Ar\i'e Catch basin or area drain 18.76 • Drywall,Teach line.or trench drain 18.76 City/State/Z1P:Tigard,OR 97224 , , , Footing drain(no.linear ft::. ) Page 2 • Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Manufactured home utilitieS 50,43 Cross:Street/directions to job site: Manholes 18,76 Rain drain connector 18.76 .....,.. Sanitary sewer(no.linear 11.: 1 Page:2 Storm sewer(no.linear if: ) i Page 2 1 Water service(no.linear II.; ) I Page 2 I Subdivision:Polygon at BUB Mountain Lot no.;t-4 Fixture or item; Tax map/parcel no.: Baekflow preventer 31,27 '::,.:.:•N,•,:t!,•.:' '4,47,,•,6i4f.,,":...7 v:4,r4cf,,ltioNt. Backwater valve 12.51 kst, •A!tf.-:.,,,,,;•::::':'.-:17,--:i-,,:::6W",,,,,it-...,, : --..-,: -,,,, ••,z:v:-...,•-,;-,,,--6-7,,,464,'-,':I6',..-61!-- -' .''''-'"'''"•'''''''' Clothes washer 25.02 71-- i , 7 t(.1 -7-6-7 ."1676z-7-672—. Dishwasher 25.02 Drinking fountain ' 25.02 Ejectors/Sump 25.02 1,.,..7,...: .-WpRolviativ:.-cistolot:.;:1:,,....':,:4:?,', ,t,:,:., „,,:,, ..•0:,-;trotort :::: q,,..1,V...:.,. Expansion tank 12.51 , Fixture/sewer cap 25,02 Name:Polygon wim,.1.1,C7 Floor drain/floor sink/hula 25.02 1 '-- i Address:109 East 1315 Street - " Garbage disposal • 25,02 i City/Statealp:Vancouver,WA 98660 Hose bib ' 25.02 Phone:(360)695-7700 Fax,.( ) lee.Maker ' 12.51 1 ,i,:t'''14-:'-::!','!•a74.,NICAM,';',fdiii4i-lt.1;:4:4„ti.....,,:biL ,,,f.: :„u.,tiamXtry.litigM,: -:.'•:::: : luterceptorkrease trap 2's 02 4;,:::,!,:••:- '.1-•• 11, - ',,,',,q7.7,'i*4Z-.,. -- . Medical'gas(value:$ ) Page 2 Business name;PolygMt WL1L LLC Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial), 12.51 Address:109 East 13th Street. SinklbasirtilayannY 25.02 City/State/Z7P:Vancouver,WA 98660 Solar MUM(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 • Tub/shower/shower pan • 12.51 E-mail:Artge1a.Grajeyvski.@,polygonhaings.gom Urinal 25:02 ,,,,,'.:16=,, ,,,,,,.: ,4•:,.f:..-:v,-::-,,/,•, --„..,: 7--7.!:;. "stet closet 1V4-Pt W.A )i '.'7-:-,tT ..,..„„- ,„-,..,..,- .;...W-. 25.02 ow•,..,... v.r.140:- .-r..- .4,4,,at, '----,4:','-'41"''''''''',;,"'•" Waterheater IwiNfag410 . 1 37.52 Business name:BBL Plumbing LLe • • Waterpiping/DWV 56.29 Address:PO Box 85 Other • I 25.02 City/State/ZIP:Corbett OR 97019 • Subtotal, Phone (503)351,3903 • CCB Lie.:180345 Fax:( , ) Plumbing Lie,no.i P111582 Minimum permit fee: $72.511 Plan review p.5%of permit fee) State soreharee(12%of permit fee) Authorized signature: ittwe..... 0.-' TOTAL PERMIT FEE , t Print name:.Brandon Lanter , Date: 811(0 1/(0 I 1 Ting permitapplication expires if permit Js net obtained within ISO days after ithaabegn accepted as Couiplete. • *Fee methodology Set by Id-County Building Industry Service Board. i:mordinetimiiAminu-PemiitApp:att 10/01/09 44046:16111•0/024COMWEA) CITY OF TIGARDaliq ., MASTER PERMIT COMMUNITY DEVELOPMENT •M Permit#: MST2016-00205 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2016 Parcel: 2S108DB04700 Jurisdiction: Tigard Site address: 15047 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 45 Project: Polygon at Bull Mountain, Lot 45 Project Description: New SF. 8/25/16 ADD heat pump in basement. 10/28/2016: Add 2nd water heater. 4/4/2017: REPRINT permit to add 4th bathroom. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1542 sf Basement: 826 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 2167 sf Garage: 739 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 4535 sf Value: $551,946.68 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 2 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: 9 201-400 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 4535 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: $37,484.33 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throu -:I -00.0. 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: / -67-1-e--__T _, Permittee Signature: � �� /C 9 77 Call 503.639.4176 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 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 . 4 • : g Transmittal Letter 7,4 TiGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DA V L:i. 1 'I„44,1 DEPT: BUILDING DIVISION MAR 3 0 ?ni7 FROM: Angela Grajewski ', '1 ,` '; ,,,.- ',i,",',.• COMPANY: Polygon Northwest . ' PHONE: 971-212-2144 RE: 15047 SW 154th Ave MST2016-00205 (Site Address) (Permit Number) Polygon at Bull Mountain Lo-- (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: ,G.opi *, Dei70tion... C° -1,g. Description: --70,/-- •-,%*, '', 3 Additional set(s) of plans. 3 Revisions: adding 4th bathroom 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. Adding 4th bathroom. '''''kf,- 'i'',;e• -4,i4 :,,,:,,4,0 , 4%, FOR OFFICE USE ONLY Routed to Permit Technician: Date: 1-+ —...3 — 7 Initials:It Fees DuPi Yes 0 No Fee Description: Amount Due: , , , , •R• ...,,',,, 1: 1y $ }-ir p) .,•N „,-; .N.,/- $ -.,-,,, • -., • , ,,,,,,‘ --'-f - $ '4; t:- ','•!" '' se ,, ' ,-.*X1',- ' $ Special Instructions: Reprint Permit(per PE): X Yes fl No N Done Applicant Notified: #v6-z' L'7-,- Date: Y/V//7 Initials I:\Building\Forms\TransmittalLetter-Revisionsdoc 05/25/2012 CITY OF TIGARD 1 . 1 '' MASTER PERMIT ,ipi WM/0 COMMUNITY DEVELOPMENT Permit#: MST2016-00205 T[GAR13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2016 Parcel: 2S108DB04700 Jurisdiction: Tigard Site address: 15047 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 45 Project: Polygon at Bull Mountain, Lot 45 Project Description: New SF. 8/25/16 ADD heat pump in basement BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1542 sf Basement: 826 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2167 sf Garage: 739 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Yes Right: 5 Detectors: Total: 4535 sf Value: $551,946.68 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 0 Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Catch Basins: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 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: 9 201-400 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: NEWp y Square Feet: SF VB R-3 4535 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: $37,110.80 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. ATTEN N. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 10 throug OAR 9 001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �t .:___, Issue ‘e----44Permittee Signature: C . ...-40-7i e{.G yr Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 0 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 ONLY City Of Tigard Received 111 a 13125 S W Hall Blvd.,Tigard,OR 9722 Date/By: (p Permit No.: '1/4.44 j� ' Phone: 503.718.2439 Fax: 503.598.1 ECAVEPlan Review ��� Inspection Line: 503.639.4175 ` Date/By: Other Permit: TIGARD ,+ y= Internet: www.tigard-or.gov Note ed/Method Su See Page l for Notified/Method: 2 _ AUG 2 2 2016 Supplemental Information it $ l�d Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alt ❑Demolition performed.Indicate the value(rounded to the nearest dollar)of all ❑Other mechanical materials,equipment,labor,overhead,and profit. 1:3-1x GOR7� QF}tt()N5 73IICT oN Value $ ®1-and 2-familydwellingt_� � L*Q?*b��V'�IBi' ;�E�•- ❑Commercial/industrial 0 Accessory building = For special information use checklist 0 Multifamily 0 Master builder ❑Other: Description I Qty. I Ea. I Total JOB:Sii,Lr'1<1sTFQ110Atktfo.11'Ilam Ta>,.a z ATI+IiIV Heatinditi oling: Job site address:f a-_1 I .51A/.51A/ I 94 ill Air conditioning 46.75 L. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 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 Other. I Lot no.:(�S 23.32 Tax map/parcel no.: Other fuel appliances: f�- � -�-—' �F� �F��OI��F WOR7� Water heater 2332 Gas ce/insert 3339 Change 2°d furance for basement to Heat Pump Flue vent ffor 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 N: l ». AkR f i k Other: 23.32__rr Environmental exhaust and ventilation: Name:Polygon WELL LLC Range hood/other kitchen Address:109 East 136 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 ( ) Attic/crawlspace fans P �. .[ 1 ���n _ .._ � ...: -CQ 'i+!04 „' __ Other p 23 32 . , 2332 Business name:Polygon WLH,LLC Fuel piping: Contact name:Angela Gra jewsld $14.15 for first four;54.03 for each additional Furnace,etc. Address:109 East 13th Street Gas heat pump City/State/ZIP:Vancouver,WA 98660 Wall/suspended/unithexter Phone:(360)695-7700 I Water heater Fax::(360)693-4442 Fireplace E-mail:Angela.Grajewski@polygonhomes.com Range Barbecue { '-,_ ` x;11 '1 1 5 a " ' . �`�`� Clothes dryer(gas) Business name:Apex Air LLC Other Address:18004 NE 72°d Ave .: t ltkr 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 Tins 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 Print name: . Date:8/22/16 I:1Eui1dinglpennits1MEC PennitApp 0401 3. oc 4404617T(I I/02/COM/ivEB) mi CITY OF TIGARD MASTER PERMIT 111111 1 • COMMUNITY DEVELOPMENT Permit#: MST2016-00205 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2016 Parcel: 2S108DB04700 Jurisdiction: Tigard Site address: 15047 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 45 Project: Polygon at Bull Mountain, Lot 45 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1542 sf Basement: 826 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2167 sf Garage: 739 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4535 sf Value: $551,946.68 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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 add'500 sf: 9 201-400 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 4535 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: $37,110.80 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 952- 01-0090. 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: 7- Permittee Signature: &A/ �_'Z_..ie UA/ Call 503.639.4176 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. t Building Permit Application L-07- '75' RECEIVED Received S Mf Residential �jj� Folz c�rrlc l�: l SE 0\1.1 L City of Tigard AI / fl- Permit No. ,/ ,, 4 13125 SW Hall Blvd.,Tigard,OR 97223 c Plan Review 6 �•' /^i�/ F/�6 (/©OZO� Phone: 503.718.2439 Fax: 503.598.196M 1 0 2016 DateB : S a" - , Other Perm /6#40/66, i ,t ,E\i I Inspection Line: 503.639.4175 Date Ready/By. / 0 A Juris; ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method. (p / 47 4,el Supplemental Information TYPE OF13,111WING DIVISION €471e/e.- Gita REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this a lication. ® 1-and 2-family dwelling Valuation: $5 SS-1) f 9 6 0Commercial/industrial / / ❑Accessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms: 2.5 JOB SITE INFORMATION AND LOCATION Total number of floors: 2.5 sal 4. Job site address: 1504-7 S Uv 15 y*" PcVt New dwelling area: 4535 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 739 square feet Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: 98 square feetaj 67 Cross street/directions to job site: Deck area: 32D square feet j$4 Other structure area: square feet 8 ac REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Polygon at Bull Mountain Lot no.: 45 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Plan 19A-DL Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 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: Phone:(360)695-7700 Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH,LLC (Please refer tofee schedule) Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 131h Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application_ Phone:(360)695-7700 Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic 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): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 !( /� CCB lic.:204238 — Total fee due upon application: $201.60 VVV Authorized signature: /� ( ' This permit application expires if a permit is not obtained l 11+" " within 180 days after it has been accepted as complete. *Fee methodologyset byTri-CountyBuilding Print name:Angela Grajewski Date:5/2/16 Industry Service Board. L:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit ApplicatiiECEIVEi 1oR oiI l( 1 1 �1 O\l l City of Tigardy " Permit No/l/sjo?p/6 -e15420.5°. 113125 SW Hall Blvd.,Tigard,OR 97223 MAY 10 2016 Plan Review Phone: 503.7182439 Fax: 503.598.1960 Date/By: Other Permit: I I t, i11 Inspection Line: 503.639.41751 CITY OF fl Gi'�RD DateReady/By: 1v is: El See Page 2 for Internet www.tigard-or.gov Notified/Method: Supplemental Information BUII,111NG DIVISIO r TYPE OF WORK -COMMERCIAL FEE':;SCHEI IJLE _•USE:CHECIQ IST .,., Mechanical permit fees'are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit Value:$ :CATEGORY OFCONSTRU0011i STEMS FEES* ENTIAL EQUIPMENT I SY - , RESID . ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist 0 Multi-family ❑Master builder 0 Other. Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heatittg/cooling: Atr conditioning 46.75 Job site address: I50 u, 5 GO 151.4'F" AVE_ Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldgJapt no.: Project name:Polygon at Bull Mountain Duct work 2332 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 2332 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 �y Other 23.32 Subdivision:Polygon at Bull Mountain Lot no.: �J Other fuel appliances: Tax map/parcel no.: Water heater 23.32 .r tl, h -i r, r , ,, - �' a 5 fi �. '� I ate' ; Gas fireplace/insert 33.39 �, f r it DESCRIPTTO.I OF.R'flRK � "fi ._'§1: I r._ _ - }w Flue vent for water heater or gas fireplace 2332 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ,� ,, 1 q f -+ y,_ -r � Other. 2332 x ® PROPERTY OWNER _ 7 . NANT.g$ ;Is _: ---,—,vim- ' - _ E ''---------- " •' Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:109 East 13'"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 ' �- x ® AFLICIVT GONTAGT PEISON Other. 2332 Fuel piping: Business name:Polygon WLH,LLC 514.15 for first four,54.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue .1. ` :M , ` a r - .!aCO VTRACTOR ; .. ,.. .." Clothes dryer(gas) Other. Business name:Apex Air LLC l �1VIECHAIVICALP:ERNII'i'F,,EES* :. Address:18004 NE 72°d 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 lie.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 ���`/,,,,,/�k, ' days after it has been accepted as complete. Authorized signature 11 ��J * Fee methodology set by Tri-County Building Industry Service Board Print name: /0 , A ret J e w s Date: 5 . t(p 1:\Building\Petmits\MtEC PermitApp_0401131fic 440-46 7T(I1ro7JCOM/WEB) Electrical Permit ApulicatiR C IVED FOR OFFICE t L ONLY , «_1 Cl f g O Tigard rd Received Date/n _ / /aS / 6 �- 0 Permit 11: IN " 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review Phone: 503.718.2439 Fax: 503.598.1VCAY 1 0 2016 Date/8 : Related Permit 0: Inspection Line: 503.639.4175 Ready Date/By. •Jude EI See Page 2 for 11G.+P.D Internet www.tigard-or.gov 11�((//�.� Notified/Metlrod: • Supplemental Information -vS::: :,.• ' {1. ?iJ . Ti t, 'y:.� : `i� 'i'' ,_y��.,y � �h e._+n::::,"r., iaZ�:�•i.1•eG�f icR,+ .•�N :,:�.. .,��•R�4� 1,„4r }� t.., . ._. :„tl�.tiJrR. �`�'b�-4-. . ,. . ®New construction 0 Addition/4 l S1 ti Please check all`that apply(submitA sets of plans w/items checked): 0 Demolition 0 Other: 0 Service or feeder 400 amps or more 0 Building over three stories where the available fault current C]Marinas and boatyards. -:t y'ni✓ -.,-a»}Y-Acyp;_��.W—-.. _ p_ ..,,� ._ .;h.:..1.CS..•Trv: .��.1�: ,, f” _ }, h i ''2+ '�Y`:'.a::`. �'' .•:i exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations, buildings. ❑Multi-family • 0 Master builder ❑Other: or pump. 0 iet Ilelina of 150 IC VA or ..`- . 4 %' tl!B SLTE FQllt , fQK! E;fl.) O (1(!l.`' % _..:•; ❑emergency system. larger separately derived #: I Job site address: t 50 y-I s W 1511 A ,e ❑Addition ofne v motor bad of system. . � � rooms armors. ❑"A',"E`,"1-2","1-3". City/StatefLIP:Tigard,OR 97224 • CJ Six or more residential units. occupancy. ❑Health-este facilities. 0 Recreational vehicle perks. Suitc/bldgJapt#: I Project name:Polygon at Bull Mountain ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: :':;;; ,i;} r�•::::•.:• :. ' DescrierLa Oh. I Each :1:, Total I •; New residential single-or multi-family dwelling unit. Subdivision:Polygon at Bull Mountain 1 Lot#: 45 Includes attached garage. Tax map/parcel#: 1,000 a4 tt or less I 168.54 4 0 x4 OA-11 �t;';Ti a'glitr r'ftij11 QF`...Q...fC :�;':.: :<<;::r:: :'sl............................ Ea.add'l 500 sq.f.or portion 9 33.92 1 .�:�:.a�r,�r���t:t,.t.. ......r_,�.. `:,.;, :�$�, _: �"..�--... . ..c ,.,, .. .. I.imitedenergy,residential f .. . ..,. .._. .... 75.00 2 (with above sq.ti) Limited energy,multi-family 75.00 2 residential(with above sq.ft) F,: t�- :,�, Renewable Energy 0 See Page 2 p, ., �q�r�4 2!'�.• ;M5:!:,'; •-ii;;' Services or feeders instsllatiortLalteration,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 l 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 amps to 599 amps 168.54 2 i•'.,,�... _,.,4,••1. _ ,,•...i :�,. -• `--; y Branch circuits-new,alteration,or extension,per panel $�� ry�J���f :'• ` r,e_.O',. �. r`7yr_•'�` ;`,; A.Fee for branch circuits with i��:.-�lu :JA*5:=��v'f 41+T..��i � --. _ -v'��`�,f'`.i��_:::k nS•�-.. +, Business name:Polygon WLB,LLC above service or feeder Fee. 7.42 2 each branch circuit Contact name:Angela Graj ewski B.Fee for branch circuits without service feed Address:.109 Least 13th Street bomb or ier fCe'fast 56.18 2 City/State/ZIP:Vancouver,WA 9.8660. Bath add'l 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 and/or feeder 67,84 2 ed Email:Angela.Grajewski®polygonhomes.com Reconnect only 67.84 2 sif yrS4.ta �iki_ . :.2, r: � ;-i.•+.. :.f . i �:�; '< Pumpor irrigation circle 6784 2 Business name:Garner Electric Washington,ILC Sign or outline lighting 67.84 2 Address:6101'NE St Johns Rd Signal eucutt(s)or extension. y 0 See Page 2 2 panel,alteration,or extension, City/State/ZIP:Vancouver WA 98661 Each additional Inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr `/ Phone:(253)320-1657 1 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels®gweusa.com Industrial plant(1 hr min) 78.18/hr _`v Inspections for which no fee is 90,00/hr Yr CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lic.: 4496S seew 1 .II listed CA hr nein) _ Suprv.Electrician signature,required: 4... lid 0'l ` Subtotal: Print name: Joan P Albert Date: -3't(,p 0 Plan Review Required(25%of permit fee): State surcharge(12%ofpennit fee): Authorized signature: /- - • _ -_2 TOTAL PERMIT FEE: ! [ a" '- Thls permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Dates•3-`(p days after It has been accepted as complete. * Number of inspections allowed per permit 1:1BuildinylPermiu\ELC PermitApp ER ER6.doo Rev 06/17/2015 440.46151t11A5/COM/WIB r - • Plumbing Permit Application RECEIVED Fixtures City of Tigard ReceivedN . Permit No. ������� M�Y 10 2016 PlanRDate/By: 13125 SW Hall Blvd.,Tigard,OR 972 Review Phone: 503.718.2439 Fax: 503.598. 6Date'By: Other Permit No.: Inspection Line: 503.639.4175 {T�J G [(�' j'► Date Ready/By lurit. ® See Page 2 for 1,, i'.1 CITY l ■ 1\J1��L Supplemental information Internet: wWw.tigard-or.gov Notiliied/Mdhod: p{ ��+�a+ �•(ppl :r` �frg1! ) 5 c r S /(/�jp, tl 1= 4� y5_., ...,i� s t t KK. ... .....1lri •�?#^aJ�a'�" ,',V. Demolition For specialinformation use checklist ®New construction Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) y CATIGORiFQ CO'� .x1• ii SFR(I)bath 31270 F . . : 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 21.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 S '' 11) , Ii U 1 9v � i r ` r ��B �� .• s t) , Site utilities: lob Job site address: 15dy� Sy 15y- h Ye, Catch basin or r area drain 18.76 Dnwcll.leach line,or trench drain 18.76 City/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 Lot no.: 4s Fixture or item: Backflow preventer I 31.27 Tax ma cel no ` a. r .i x a i -•sr aFz 4 v -_ Backwater valve ' 12.51 .z, _ ,_, I_ ,i ..,. _,,.,_ -.w,s. �• :..s.s <. . rfd-?"..,: . ...:., ,,a:v,.: ._ Clothes washer 25. 2 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 225.02 it t( T - A-?4, ki.i x1 :4:i si : Expansion tank 12.51 . r Fixture/sewer cap 25.02 Name:Polygon Will,LLC Floor drain/floor sink/hub 25.02 Address:109 East 134 Street Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 , 'v `; ;s 'n , _ re - x t•.`? •i,i C ' Interceptor/grease trap 25.02 iK,,ks,•'Svrzra" . : - e�'c';jI-c4tt - ntea n.«. ,tip ...^ - 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@pollgonhomes corn •iizF ryr..al Z�F4�...yi xA F,x * :;1-gX 1 ? C e.' t Water closet 25.02 •\_rr. %.F tKd1k*Vp44y4? 4( 4v r ^,}f,i)PJ „ �),ia<.'z .,. F,? 1titk.,•: 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 Lic.no.:PB1582 State surcharge(12%of permit fee) Authorized signature: p w _ � TOTAL PERMIT FEE Print name:Brandon Lanter li[ Date: 513 C This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "Fee methodology set by Tri-County Buildine Industry Service Board. l:\Building\Permits\PLMl1-PermitAPPdoc 10;01/09 440.461M1Tt1002/COMJWEB) L . t City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT T l c n R D Building Permit Review — Residential Building Permit #: /f-C7 20« -- 00 ,Q 0 5 Site Address: ISO 4-7 Sw 15 q a v-e Project Name: Polygon ai- Bu 11 MOvn-hcioct Lot #: 1 5 (New dwelling=subdivision name;.Addition or:Alteration=last name of owner) Planning Review Proposal: Ni J2AN G ft- AVerify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No ti7J Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three (3)copies of site plan nr" ructures 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 ?Drawn to scale (standard architect or engineer scale) floor elevations /North arrow Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number Location 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.) NLot Brea,building coverage area,percentage of coverage and 'Street names impervious area (applicable if R-7,R-12,R-25&R-40) E-Street-treesize,type and location /Property corner elevations (2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures 0191 Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: E Yes ❑ No ,JZ] Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: 1 V`j-tl 6 2,0 Lc— 00002 Zoning: S Setbacks: Front 1,0 Rear 15 Side S Street Side f S Garage ez ❑ Landscape Requirement: °'o -ffZot Coverage Maximum: -- Building Height: Maximum Height 3o Actual Height 30 Visual Clearance /Basements Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan ZConditions "Met"prior to issuance of building permit otes: Cannot ISS-ve. on-hi off, bO n CL t o in S cti"e ink' — Approved By Planning: IvL'O h rat. 6 i 10 Gt1--A-' Date: S1(0 /1e. Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPermit Rvw_RES_O 121 16.docx Building Permit Submittal Original Submittal Date: S`/O//fv Site Plans: # 3 Building Plans: # 3 Building Permit#: LJ Enter building permit# above. Workflow Routing: 2-"Planning Engineering Ei5ermit Coordinator Building Workflow Sign-off: ErSign-off for Planning(include notes from planning review) Route Application Documents: ./2'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: `��/i, Engineering Review Zr Slope at building pad: .S3 j �Conditions "Met"prior to issuance of building permit asements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes O'No Assess Water Quantity Fee in-lieu: ❑ Yes ["No LIDA Facility on lot: ❑ Yes 11�No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: ( Date: Revisions (after Building Submittal only) / , s/as' Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review E 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: 5DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A :;.OK to Issue Permit Approved by Permit Coordinator: /7/7/4<r)a ,/c//6' 1:'.Building\Fonns\BldgPennitRvw_RES 012116.docx ...,, / , 'Pi City of Tigard , . 4 COMMUNITY DEVELOPMENT DEPARTMENT T l G n R n River Terrace Building Permit Review Addendum Building Permit #: /157;20/6 - C Oa20..5- Site Address: 150L17 SSW I Sy 4-11 ave . Project Name: pp( 90n of 6v11 MOvntnin Lot #: 45 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1): Is the project subject to the plan district design standards? ❑ Yes/No 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. Porch min. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a 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: 3. Entrances: At least one entrance must meet both of the following standards: facing wall ❑ Parallel to street,angle no more than 45° from street, ❑ Max. 8 ft. setback from longest street or open onto porch A//ik- Entrance opens to a porch: ❑ Yes ❑ No If yes, all the following apply: ❑ 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft. max. roof above floor of porch ❑ 5 ft. depth min. ❑ 30%min. porch roof coverage 4. Detailed Design: All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft. wide x 5 ft. deep ❑ Recessed entry area min. 5 ft. wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft. wide ❑ Roof eave min. 12 inch projection ❑ 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 that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50% max. of street facade with 7 detailed design elements Notes: Approved By Planning: 6.`1,r1 8 A.,o Date: S-710 / 1 0 I Building.Forms BldgPermuRsu 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 1111 T I c_ A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. ATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED AUG 222016 FROM: Angela Grajewski CI-1Y OF T fGA D BDIVISIO COMPANY: Polygon Northwest �l �ING N PHONE: 971-212-2144 VT RE: IS 4 \ J• t$ 'J. �ot' L{,- MST201 ► - JLO� (Site Address) (Permit Number) Polygon at Bull Mo Main (Project name or subdivi:io. name d at number) ATTACHED ARE THE FO 0 ►t TEMS: Copies: - �?'N'a VM” �`„a �Airra it ,41 0 Additional set(s) of p1 s. 0 Revisions: 0 Cross section(s) and %etails. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculation 0 Engineer's calculations. 3 Other(explain): Additional deck details requested by inspector REMARKS: Aiifill`g -. , 5 Permit Technician: Date: u���:��� � � e„ W � � �.� Routed to � f $ a s - )-� Initials: Fees Due: u Yes ❑No Fee Description: Amount Dud: WitgrageteikrI $ r $ Special Instructions: Reprint Permit(per PE): ❑ YesNo ❑ Done Applicant Notified: Date: Initials: IABuilding\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15047 SW 154TH AVE, TIGARD, OR, 97224 May 10, 2017 at 11 :41 :54 AM Record Type: Record ID: Residential - Master Permit MST2016-00205 Inspection Type: Inspector: 295 Misc. inspection David Young Result: FA I L Comments: Fan venting not installed at this time. Inspections to be scheduled when work is complete and ready for inspection. R109.3 Investigative fee for reinspect applied for scheduling inspections prior to work being complete and ready for inspection. Note: electrical rough in for added 4th bath ok. For final, bath fan to be on timer or de humidistat. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15047 SW 154TH AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00205 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor