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Permit Support Document (127) 1 CITY OF TIGARD1T MASTER PERMIT ,,,..-:,,,,,v.,,c y,,<,:t'4'111 .. ,,, _„ :. ,, :: , ,,,_ ' COMMUNITY DEVELOPMENT Permit#: MST2016-00078 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 / d, Date Issued: 05/05/2016 Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15243 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 75 Project Description: New SF. 10/28/2016: Add NC and 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1591 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 682 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3427 sf Value: $416,816.13 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: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 500 sf: 0 201-400 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: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3427 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,622.59 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through•AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 4 o 4% e.!4:77 Issued By: Permittee Signature: �� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Aleeka n jea I Permit.A:.=._ li P()R(}1:1:1(1.-:t SF!,(FM.% City of Tigard 13125 SW Mil Blvd.,Tigard,OR 97223 r,r D ' O zol6 1---C*:-. .13' CE1VED D..7.,,,,,,,,,,.,.. iys.„,.. ..4p ,. ..,, gi, ,,..6_..,,,0, Phut goyim ' 5017IL2439 Fax: 50.1.398.1W C r m :met rertnic •-.T r GA.RD i.,b1SpeCtieiT LInc. O3.639475$ CITY OF TIGARD paw 0vadv/11,--. A,', ' II Sec Pne 2-tar :Internet: www.tiguni,ongov DIVISION Nerifieril-lethmt Supplemental thlarmarian — _ _ : - - . - : . : - . ... COMMERCIAL,FEE"SCHEDULE i:5SECHECXLIST. • . • - TIM OF V}ORK . . :. . . BUILDING Mechanical permit fees*are based on the value of the vri-rk .New construction 0 A dditiontalterationireplacement Iiterforined„bdicitte the value(rounded-to die nearest dollar-I:anti 0 Other • mechanical runterials,ertuipment,labor:overhead:end profit . 0 Denlati" . . I--4 a-mg-mo,.. tbe. mroama-au- ma--a-.. i...-':.-- -' -' - : - : NI-41/1Je:1 '"`7''-'`"-':"'" `". '''''''''.1"'-'9'7..':.--:. -- '• :-. .,-.-1:', RESIDFOIALlOLifPNIEititi SYSTEMS FEESA .. ..- 0 i and 2-family dwelling 0 Commercial/industrial 0 Accessory building I For sped&iiiflieviotion mac cheatin 1 Multi-family 0 Master builder 0 Other; Deveription a y. : Ea, Total ' : : nnentroulingr JOH SITE INFORMATION AND'LOCATION : Aireculditioni _ ' 46.75 Job site addr&ss:: fr 5 6 • . Prance:100,000Brtinineniveras) j ' 4635 Farriacel001100+1.3TUidoothrento 54.91 • Heat pump 61.06 1 Suitebldglapi no,,i Project name':Polygon at Bull Niormlnirt Duet vverk 1 23,32 Cross stre..etidivections mien sae: 14,mrorlit hot-water system 2132 Itcsidential tinder Oudiattir or: hydro/de) . 2132 ; tibel-l-v;p4..net electric), inwall:iraduel so.;- dal,etc. 4615 . Flue:hem for nav of rthave 23,32 11.111. Other 21 Subdivision::Polygon at Bull.Mouritain Lot no.: .....' — ,Plhar Ihel OpRO-nrm Tax outp/pattel no,: Water healer C9— „i2 23" I _ „ . DESCRW11014.OF WORK • - -' • '-' -,. .'.- OAS firtpt=fillSOrt ' 33,39 r .:.. ,. . . ..:. . . . :. ... . . . .. . .. Flue vent For water heeler or gas i 1 ii Xi AI 0 114 ' _ lkeP11" 13 : - - --. 2 ;2 1 -- . Lou 1:7:.Mt'-:. I . Wornitvilet Move 1111111111= .....I Wortrifireplacalinsen 2132 23 32 Chinineyllimmilluelvers - Other 2112 ..N.'-'11ti*Irry:roiringli.. . , I ' a iTNANT ' . Envithutnental exhaust and ventilation: - Name:Polygon W4,14,-ILC I Range hoodlother kitchen i _.- i ul meetI . 3339 _Address:lop East oth Street I abates d .er exhaust 13.39 i city Vancouver,WA 91660 Singte„-thict utmost(bathrooms. I ruilet not.muntals,tail' :moms 2132 Phone:(360)69$4100 Fat( 3 Attielerawlspace fans 2132 1 '-- ••• . ;''' 4-'''21'Arrilekci::'' .: -:', '.. ' ' 0..ciiiiiiier'Ptioi, :--::' '. - :. othef: 1 233/ Fuel PiPiRg: Business name:Polygon WIA LLC $14.15 tar first four;5443 for tath additional Coninet uarn -:.Angela Grajews.ki • affrill...111111191111111111111111111111 Addim 109-East 13th Street . Gas float pump Wall& waded/WM heater ....... City/Stare/74P:Vancouver,WA.98660 Witter beater: MI Phone:(360)695-mo Fax:•.:(360)693-4442 . Fireplace .rillai 1,3-mail:Amgela--Grajewskillpulnouhurues.tom Mtrbecite COI,ITI.IACTOR..-...--. ....: ':-: : . :: . -. Males it 'e! .!..ss . - 1.11111111111111111111111111 ! Business name:Apex Aft LLC Other : -.- ,. - .. ,MECILANICAL.PEILMITFEES*--:' '. l'... • Addressi 15004 NT Ted Avv Is7nhtntai City/StuleiZIP:Vancouver,WA 98686Wittman parmilleu($90.00) i Plan review(25%.,of penult-Re) I Phone:(3603342-8109 Fax!(360)326-1169- „ Staiesurcharge(12%ofperinit fen) I , ...... COB lie::203034 TOTAL PERMITTEE I " - ibis,pentait application.expims Ws OfXttlit i.*Rin tthigined i*.ithin 1541 days-at-Writ has bean aCceptatt as can/kir. Authorized signature; -: 4 Pkt MS:41#Cdfnea$tt by Til-Connty thitiding InITA.4-Stec atiVii • I Print mom I tiek , ',/ I.Dale:,01,ti 14_ .i ........ 1:331.0.thrg-Tem1.15`Mtr,,retvaitApp.04C,/taxtoa 44-1-46i7T i t.i.,24.1.2,1ACEB) . . ee11r`wwa Permit 11ca.O ����� i au tet Pit'E,t st.ONLY•^ icy o Tia l rt l 7O e Plumbing Permit Auplieu-flog 4.„.:: i ',-.: ''- ; '',.:- ''''.: ... ... , : . :. . . . Building Fixturos. FOR OFFICE LSE OL't n 1 r Ci ty.of Tigortl c)r P I. ',) Z li 0 ' Received .,..i,.i! 13125 SW Hail B1?-d„Tigard,OR 972.23. .. Phone 503.718.2439 Fax a03 96O ', ''''-; :: C.-:; :-..,:-, :i.j .riy - II M/7d-e/P /-q ,_e-./— Peq'ijt15'}•71D7C9t1/6-000 7 ' Othor P,ermit-No.: Inspection 4ine: 503.639.4;175 . --.'', '': ' -'.''''•' - ' : ' - '','''DateReadyigy: • . TIGARD Jura. VI See Page 2 fol.- Internet: www.tigard,or.gov. NotifiadtMetliod:.. Supplemental information. . . . ,..•.--,_..fk._:i%,i,-•:.*.,--,,.c,;.,'!,:'..,.,7,,,7A;.74.1.'t:..r.:;:,:---::;-..,-...-..:.....'-,-.•,:,f.-.4.‘yi:::l::.-...„.,..i;,..,:--:•.;--:.,..1,7'.:-15i. --w.,..o,..-..:Re.._:.:-•-,.-,,.:,.k.i0.....:-..,,,.,':::" .5.,,,.. !:,..74i,E-.:6.-...:4,,- daint.;:.,..=.-1:bf-,,..;.... ......,-..'-.-...,.--,,,..Y":!:•.:: . ••._,,Itt.4.:•-... :.,,,,:',,_..:,•:•,,::, .12:.New construction Q Ei De D Addition/alteration/replacement Demolition FQ 0 Pater: Description ...,special .infOrplagps use Otecklist. •I ty.. Ea, t fotal I ' • 'sew I-,-2.-fatrilty dwellings(incindes.100,€1.for each utility connection) . . 4W•i;:i:',.-`-,:-eK-.:.': '4:,..',••'-',.5-;'aiiiii;.o.F.,4,;.iisiiiiireithip;hikgst-,.....,.g,..,,--..o4-.:-,- ..77t: FR ti)..bath 31170 . • .c. ,,,•••;(.."- .._ .2?- .....' ...,..-•:: . ...,-..:• ..?-.. :•''''." 'P4.....':.---r:.-',','--,,,-_!''' ' Z.1,-and 2-family dwelling 0 timunctiAallinthistrial SFR(2)hath 437;78. • . • • • SFR(3)bath 500,32. 0 Accessory building 0:Multi4iniiily :. . . Etta additional bath/kitchen. ' 0 Master builder ( 0..00er. - Fire sprinkler( sq.ft.,) Page2 A'i.:1i4::.-:4)....-:•,:S:.,.:t.,: ,.VK1.7., tf1-i:i,..iig--..,o:..f;'ei7k7,kkif,.i•atr[4ojw.-.•-i•,i,,i,,-i:.::b-st-,'•q.i'.f.i,i'.4.i•' .''Ifr,s-- Site utiti.es inhSiteaddress:. ; . . . i 6 -2-i-i 3 5 v\I SCi(le vz_ : ca.tetitic Asin tar aita draist 18.7 . „ -e. ' - - • - - - - Drvwelf leach tine or trench drain: 18.76 ' 1 City/StateiZIP Tigakd,,OR 97224 . •• Footing drain(no,linear ft.: ) . Page 2 I Suiteibldgdapt.no Project name:Polygon at BOil,MOufitain. ., . Manalactered helm ntilitieS. .,50 03,.,, . • 1 . . CroSstreettdittctiOns to site,. Manholes 18-.76 , . . - - . Rain drain connector 18.76 . --.. . • " 1 Sanitary sewer(no...lineartt: ) _.., Page 2 • - .... ... Storm sewer(no.linear It: .. ) 1: Page 2 *ater service(no.linear IL:: ) :I Page 2 r"--- " Subdi7fision:Polygon at 11tilLMOuntaiii ' •LOt 00.2:1h Fixture or item; . ... - • " Tax map/parcel no,: Backflow Oreventer 31;27 : . .. . . ,-;::,-.:-....Iff..'g..•:,:,:tlfi,:.,, 44-4,',.•,-.•,:,-,..nL,,....-,0,-. .;:k.a.,.7..:.., ..,....2.::.,:,..fic...ri,.;.!„.:;.,12.27...7-4.111..r-.4-1,:r.7.:j:;,,,:. Backwater valve 1151 i...c.,... ,:-:•%•R,--.....t...,.:::;,.'.-••:i:.•::•4•:•••.7-44,'40}EsigRuTomormugt.,-...' -.:73-- s..;•-:.7--:....„21.;.i- - -, : -.. '' - • Clothes washer .... 25.02 it=e— A-lg.-7-En_ .4 ---,---&-x._. . . : Dishwasher 25,02 . .. i .. . Drinking fonntain /5(// _ . _ E,jeaorS/Stimp25,01 . . . . . .. I-' .7::-..P•4,-is:.:.:aiioFERT,:..ii*,i,o*..:,,,5-V-. ! .;.'f! :R.7,,,i....: .;ji.,:<,-d4.0.4.iii.e..- 7f,,,:,.....,..,, txpanatna tank 1151 , I ' i Fbctercisewer cap 2.5..02 • Nunre:PulygOn.W04,LLC: . . . . • - Floor drainhloor..$ink/h0b . 25:02 Address I00 Fast 13th Street . ... Garbage disposal s : 25.02 City/State/ZIP f Vaneouver,WA 98660 Rose bib ...... .25.02 .. . -7- Phone:(300)05,1700 Fax-( ) lee maker ' ' 1151 —1 0it/i5isit2tAtigelii,;:ki,-5.--: Interceptorgrease.trap 25.02 - ' Medical gas(value:$ . . .) Page2. Business name:Polygon WLB,LLC -•- — - - - - - Primer • .,.,. . .. 12.51. Contact name;Angela OrAjewiki . . .. . • Rooldrain(cornincreia1): • 12,51 Address:109 East 13th Street 'S.initibasitt/layatbr.ii - 25;02 ... CitylState(ZW:°Vapeouyet,.,WA 98660 Solar units(potable water). - q.54 . .... ... . . Phone:(300)69.5-77.00Fax T(360)-6”4442 Ttihishowerfshower pan. . . . 1251. • • : Uriog, s s 25.02 E-mail:411g01.GraieOkigliobtoithenles49P1 . . .. .. ..J.I''','01....1•.-t--1(i!;...-ri:'--:`,V.-;', .7.'. .%.,`,....:":'. 7•-.. .t.ika."::',•_•,...,4";•„7:-:,,:ri... ..;.!.;.a..:-.1..,:c:-.7, ,,i. ..„,:m,:: 7tet,eloet - • 25.02 . . . . . -ili,•:.-4-41,-:!.A:-:•::-,•:$4=N4FiSt-'-:•-:-.:,:... "'-7-4,7.--"AZ-7:74F-r----;.•-q,':;-tAlik.'....4-'101.4.'°2 s. ''-'.4.".'";44.-'''7''''' Water-heater :- .I . . 33--'11 ' --1•620 . Business name:BBL Plumbing LLe ..... .. Water-pipirteDAN5429 .. . . Address:PO Box 85 - Other: .75..0,• ... . ... . • - (ity/State/ZIP:Corbett OR 97019 I _ Subtotal .. • " . . . ... , Phone:($03) 51,3903.... Fax:( ) . . . ... , . Mirtirrautt permit fee; $72.50, • . ., , . Plan review (25%of peanut fee) I C.CB1.1c.;180345 Plumbing lie no P131582 _ . - .• , . •-•-• • • - - . State surcharge(12%Of Renoi(.the) . ... . .. . Authorized signature ti...ze.t..„.. itep,,rzeoi•''' TOTAL PP.RMIT.FEE . I . ... Print name::.BrandOtt jianter s Date: 8 Ho i., - This perrnit application expires if a permit ia not obtained.within.1SO days ". ' 1 42 . • after it::has been accepted as complete. .. ... ... _ *pee methodology Set byTri-caunty...tipildingladustry Service Bo•aid. IfaigildingsPgraiits1PLMiMemlitApp:doc 16/01/09 440,461641W02.1rOMINVEM) . . .,