Loading...
Permit (173) CITY OF TIGARDMASTER PERMIT t s COMMUNITY DEVELOPMENT s .r :` Permit#: MST2016-00251 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 9 Zf /2 ''a� Date Issued: 11/17/2016 TIGARD 13125 2S108DB02600 Jurisdiction: Tigard Site address: 15260 SW MISSOURI AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 24 Project: Polygon at Bull Mountain, Lot 24 Project Description: New SF. 8/17/2017: REPRINT permit to add 4th bathroom. 9/28/2017: REPRINT permit to add 210 sf deck and deck cover. BUILDING Floor Areas . Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1531 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 29 Bathrooms: 4 Second: 2155 sf Garage: 740 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 3686 sf Value: $462,309.41 Rear: 12 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: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types . Air Conditioning: Y Vent Fans: 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'l 500 sf: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3686 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,459.59 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 throug R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �1,r,.�� Issued By: r� '" � "�— Permittee Signature: � e-`/e�77e2'`v/ 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. Nichole Thorpe From: Ken Wilde Sent Wednesday,August 23, 2017 11:58 AM To: Arne Solomon;Alexia Fukui Cc: Nichole Thorpe Subject: Deck for Lot 24 at Bull Mountain Attachments: imagel.JPG;ATT00001.txt; image2JPG;ATT00002.txt; image3.JPG;ATT00003.txt; image4JPG;ATT00004.txt Arne and Alexia-we built a deck in the back of lot 24 at Bull Mountain.The print show that it's supposed to have a concrete patio with a roof over it but the house is high enough off of the ground that we did a deck with a roof.The city wants us to submit for a permit for the deck.Attached are pictures of what is built. We basically built the same deck that we have on all of the other 19 plans that have basements.Arne already did engineering for the roof to deck connections for the posts. We now need something drawn up for the deck construction that we can submit. Nichole-we will need to submit this for plan review once we have it. 1 FOR OFFICE USE ONLY—SITE ADDRESS: /5700 S43 M(55('Ge(-6 /IV-C.-- 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. 1,1City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT = Transmittal Letter J G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RCIVEP) SEP 0 7 2017 FROM: Angela Grajewski CITY Of. 1 IGARI) COMPANY: Polygon Northwest 'BUILDING OIV1SION PHONE: 971-212-2144 By. te-- 2ot4 RE: 15260 SW Missouri Ave MSTL 00251 (Site Address) (Permit Number) Polygon at Bull Mountain Lot 24 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: le4tiit ,,Ra ':C , r'''' Copies: Description Etta,,, 0 Additional set(s) of plans. 3 Revisions: Plans for deck changes 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 :ex lain ( P ) REMARKS: Please pay fees owed with Trust Account. Dec )( tiplc coVCv' a )O \ v G/4971/6-6-2 MP77 .Le ,t_ cove-4,_ s7 -yS S76- ..,i 9 � 'x x E,, LY ' Routed to ermit Technician: Date: C) — 7 , . )-1 Initials: Fees Due: Yes n No Fee Description: Amount Due: r fo) &I1 CevN.i/ $ LiS W.,,,.,... `s 1 $ / Special Instructions: Reprint Permit (per PE): $ Yes ❑ No Done Applicant Notified: Niek/eL Date: q7/ / 7 "OW e-;41,9-/4— I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 r. t i City of Tigard : r COMMUNITY DEVELOPMENT DEPARTMENT ■ Building Permit Review — Residential TRGAkD Building Permit #: /7--57-.3-0/6 — tO.2S/ Site Address: AC--",3610 ,Y-0 ,f jsgrun• Ae Project Name: Pi )7 .61e# & 4 k Lot#: c,72/(New subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal• &,Zeft' W_ 0 C%C/ v c i' 1-10 //Verify' site address/suite#exists and active in permit s ern. la River Terrace Neighborhood: 0 Nos,See River Terrace Review Addendum Attached Site Plan Elements: 7 a. -e(3)copies of site plan :I,'.a:sting structures on site .r..,Site plan must he on 8-1/2"x 11"or 11 x 17"paper ,.Footprint of new structure(including decks)with finished Brawn to scale(standard architect or engineer scale) I•'r elevations °r t h arrow '4 tility locations(required for new,may apply for additions) 'te address,project or subdivision name and lot number ri i :tion of wells/septic systems •• cant information(name and phone number) E -rosion control(including drainage-way protection,silt fence 'G •t dimensions and building setback dimensionsgn,location of catch basin,etc.) / area,building coverage area,percentage of coverage and t names jalpervious area(applicable if R-7,R-12,R-25&R-40) tree size,type and location roperty corner elevations(2 foot contour lines if more than 'I 0I ting trees to be retained with drip line,and tree 4 foot differential) protection measures lI'' lean Water Services—Service Provider LettOot platted prior to 9/10/1995): Acquired: 0 Yes,applicant was notified Pr No Received: 0 Yes 0 No 10 Public Facilities improvement(PFI)Permit Reqs: Pi Yes,applicant was notified 0 No Applied For: Yes 0 No,stop intake 0232.and Use Case#: Slf, j 2O/s7:-£cZ)O ' g/Zoning: R_14S- 0 Setbacks: Front 1Qe Rear /6" Side 8-- Street Side ,,S—""Garage c„26 I)kandscape Requirement: Vs It. Lot Coverage Maximum: Vo l? ding Height Maximum Height SO Actual Height as2, riVe Visual Clearance asements vilinsitive Lands: 0 Yes No Type Urban Forestry Plan 0 Conditions �itr�issuance of�uilding permit Notes: �/ ,eQurC, Approved By Planning: ,/ Date: Revisions (after Building Submittal only) n Reviewer ate Revision 1: Approved 0 Not Approved /1 t 0/1/1.i� �- 9 1/ i Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved ------ 1 /y'"ii 1:1BuildingiFormslBldgPern tRvw_RES 012116.docz K M/K6 L-6-2 i‘____.8) ..4 --,3 _.. _ _._9114/l a's i City of Tigard s 11 COMMUNITY DEVELOPMENT DEPARTMENT I ►,n Building Permit Review — Residential Building Permit#: /t7-57;20/6 — 194_231 Site Address: /, 7360 $ti) /P/S3&fa. ,%e Project Name: P1 , j i g4ff K Lot #: o? (New ,(=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: / 140 &/� )k1�/j �j 1f 4S 1 Uh I i erify site address/suite#exists and active in permit sptetn. Tr River Terrace Neighborhood: 0 No VYes,See River Terrace Review Addendum Attached Site Plan Elements: r !l, r, ee(3)copies of site plan :II,'.. :sting structures on site r_ )ire plan must he on 8-1/2"x 11"or 11 x 17"paper r•Footprint of new structure(including decks)with finished Prawn to scale(standard architect or engineer scale) poor elevations orth arrow tility locations(required for new,may apply for additions) • 'it address,project or subdivision name and lot number Vi i cation of wells/septic systems .• 'cant information(name and phone number) ►. •rosion control(including drainage-way protection,silt fence '% •t dimensions and building setback dimensionslocation of catch basin,etc.) r r area,building coverage area,percentage of coverage and �tteet names � fpervious area(applicable if R-7,R-12,R-25&R-40) l Leet size,type and location lP roperty corner elevations(2 foot contour lines if more than 'V * ting trees to be retained with drip line,and tree 4 foot differential) protection measures &Clean Water Services—Service Provider Le�tt of platted prior to 9/10/1995): /Required: 0 Yes,applicant was notified V No Received: ❑ Yes 0 No iiid Public Faciliti94 Improvement(PFI)Permit Yes,applicant was notified 0 No Applied For: 1/Yes 0 No,stop intake ilaticLand Use Case#: Slife5cQQJs--:-OR g: ,J_I "C Setbacks: Front QC)Rear /ST Side Street Side /S"'Garage cQd P)&andscape Requirement: % l'!`Lot Coverage Maximum: % ? ding HeightMaximum Height SO Actual Height tat g Visual Clearance asements "liftsitive Lands: 0 Yes No Type Urban Forestry Plan 0 Conditions"Met"prior to issuance ofbuilding permit / Notes: C )Lc' /I Le J7S /j,,-Ab- f inen r rs: teowl c.-C. Approved By Planning. x ' 71., Date: 4 Revisions(after Building Submittal only) Reviewer ate Revision 1: )2in Approved ❑ Not Approved ( " `61v1/ki-. L--. 9 1 / Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved t:\Building\Fonns\BldgPermitRwv_RES 012116.docx 1 Building Permit Submittal Original Submittal Date: s/��/��' Site Plans: Building Plans: # # --V Building Permit#: 19-Enter building permit#above. Workflow Routing ®'Planning •0" Engineering E 1 ermit Coordinator Crnilding Workflow Sign-off: i-'Sign-off for Planning(include notes from planning review) Route Application Documents: a'Engineering: (1)copy of permit application,(1)site plan,(1)building plan and riginal plan review routing form. Building: original permit application,site plans,buildirg plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 474/214 Engineering Review Slope at building pad: !{� Conditions"Met"prior to issuance of building permit Ar Easements(encroachments)per engineering conditions of approval and plat 'Water Quality/Quantity Facility: f Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 Yes ❑ Not Approved ❑ Not Approved ❑ Not Approved 0 No om 0 NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: Revisions(after Building Submittal only) Reviewer O N/A O N/A O N/A Date Date: //l b/ Revision 1: 0 Approved Revision 2: ❑ Approved Revision 3: 0 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: Y '•C Fees Entered: Wash Co Trans Dev Tax: ( Yes Tigard Trans SDC: WYes Parks SDC: 'Yes ►:•S K to Issue Permit Approved by Permit Coordinator: l a 1:\Building\Fomes\BldgPermitRvw_RES_012116.docx CITY OF TIGARD ` 'I MASTER PERMIT ° 11< - COMMUNITY DEVELOPMENT '� ��� Permit*: MST2016-00251 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/17/2016 Parcel: 2S 108DB02600 Jurisdiction: Tigard Site address: 15260 SW MISSOURI AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 24 Project: Polygon at Bull Mountain, Lot 24 Project Description: New SF. 8/17/2017: REPRINT permit to add 4th bathroom. BUILDING Floor Areas . Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1531 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 29 Bathrooms: 4 Second: 2155 sf Garage: 740 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3686 sf Value: $457,108.61 Rear: 12 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: 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: Y 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: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3686 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,375.48 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through••• c.1-0q9 4. 10094. 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: 1 G j'�-.- Permittee Signature: 6v ' /6/697�© g 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. -nr C VET) Plumbing Permit ApplieataL El_ _ - Building Fixtures FOR OFFICE (SE. ONIN AUG 15 2017 City of Tigard taareReeei'13td Permit No..).QLj1 -O/7-Gia Jr/ r' 1 125 SW flail Blvd.,Tigard,OR 3 , p —pi,-;.-R- ,,,,„. _ ,( / t g Phone: 503.7182439 Fax: 503..) tl 0 ' � � A . , oats 9v: j Other Permit No.: Pian R.i BUILDING DIVISION ._......_.__ ___ .-W._ TI GARS Inspection Line: 503,639.4175 - t)ai�ltxael�:I3}: Jun, See Page 2 for Internet: www.tlgard-ar.gov Not€fterlltethod: ; Supplemental Information ►l1 New construction I 0 Demolition For special information use checklist __. i Description I Qty. 1 Ea. ( Total i 0 Additiontaltcration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) 0 SFR t bm17..._...._ € 312,70E _€ c 1-and 2-family dwelling Coinrnetciallindiistrial SFR t2)bath 437.78 _... w SFR(3)bath 1500 32 ` ---1- _ ._ € ❑Accessory building 0 Multi-family Inch additional bath/kitchen 24 02 1 I ❑Masterbuilder 1. 0 Other: Fire sprinkier ) Page 2 I I � T ;1 §l a I`^�1 ii, =i ION' ;,LI T�t ,-.50q..,...,.. site utilities:t -...1 I �;q.t. Job site address: {{G }(,,/� c / ` �. Catch basin or area drain 18 f ' Lw SUV ..-# 1 t�1 7. xi _.__. �E7rvwell,leach line,or trench drain 14.76 City/State ZIP:Tigard,OR 97224 _..... __ € Footing drain(nii.linear ft.: ) i Pane 2 I • Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain i_ Manufactured home utilities 50.03 Cross street-directions to job site: Manholes i 1876 € i Rain drain connector 18.76 � t -_ -" __ '"`-— i Sanitary sewer(ra.linear ft.:_) Palle 2 Storm sewer tno linear ft i I Page 2 Water service(no.linear 11.:__.) Page 2 1 Subdivision:Polygon at Bull Mountain I Lot no.: 1,(31 Fixture or item: Tax maplparttel no.: I3a Backflow preventer 31.27 € Backwater valveFP::'''',., , l',,, .::::' '''''',1r, 12.51 ,an.._....e :. , rs-r.. "• L• % - .. �',<. _..._ � 2 .. 602-Si � - - Clothes washer � s P MS 1 ? U0 ZS i__ Dishwasher 2155,0022 E Drinking fountain I r�bnl n1 L �DI� l.,j�ctor sump 25,02 o,13gOP Y'ly, OW"1 1t ' ,,., ' " ! Expansion tank 12.51 " - Pixttire sewer c ap l 15.01 Name:Polygon WEB,LTC Floor drain;floor sink/hub I 25.02 Address D3 0. W S U r S W t Garbage disposal 25.02 1 City/State/ZIP:Vancouver,WA 98660 IHose bib 25.02 Phone;(360)695-7700 Fax:( ) Ice maker " 1251 , '-'-'A'4.5.:',4'1''14.0. PP Ata ' : , , ;'; lk"1`A£ 4'E i'v i 1 nterceptor%ei wase trap I 25.02 N� Medical gas(value:$ Page 2 Business name:Polygon Will,LLC' i ( Printer i 12.51 ' Contact name, i C I 1 Roof drain(commercial) 12,51 Address: , g, a)/ , A-ir.., s t 0 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver.WA 9x166 I Solar units(potable aster) ' 62.54 Phone:(360)695-7700 Fax::(360)693-4442 II Tub/shower/shower pan 12.51 .. a 25.02 E-mail: i. (�I 1 ��• et 25 02 i �, Urinal -- �. ,11')I,0 - Water Chis ..Qa -.. .:�•.. ' � � water heater 1 37.52, t Business name:SDI..Plumbing LLe 1 Water piping/DWV 56.29 1 r_ _ i Address:PO Box 85 [ Other i 25.02 City/State/ZIP:Corbett OR 97019 I I Subtotal ; Phone:(S03)351-3903 Fax ( ) [ Minimum permit fee: $72.50 Plan review (25%of permit ice) ; I CCI3 Lie.:180345 1 Plumbing Lie.no.:'PB1582 . € State surcharge(12%of permit fee) Authorized signature: TOTAL A1 PERMIT FET: Print name:Brandon Lanier' Date: This permit application expires if a permit is not obtained within 180 days I after itt hashas been accepted as complete. 'tee methodology sei by Tri-uuiuy Building industry Service Beard. ttBuitding'Pamitslt.MtF-Permittpp.doe €0.01109 441-46E6tl trFJ•f;.OM:WE13) 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 =71 Transmittal s ittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DAT :a . Rl ailm: DEPT: BUILDING DIVISION FROM: Angela Grajewski 'C�6 ' Off' (f A ,9 COMPANY: Polygon Northwest PHONE: 97 -212-2144 By:`AiiiiiN 771ArAr RE: 15260 SW Missouri Ave MST201\-00251 (Site Address) (Permit Number) Polygon at Bull Moutain Lot 24 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 'Copes_ bescription ` Copies: =_ Description: 0 Additional set(s) of plans. 3 Revisions: Plans adding 4th Bath Room 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. (plans adding 4th Bathroom) ) we / J Lw J I • tub I ) v'cv--i' "414'4,- f - � � �. , A ��� � � 1�`DR,CtFF;ICE �,,�L Routed t.g Permit Technician: Date: / ) 7_ ) J Initials: Fees Du Yes ❑No Fee Description: Amount Date: 1 ) 1`ir P)c Y?-vi z' $ 90 $ $ * AY' --,,,4,,, $ Special Instructions: Reprint Permit(per PE): f Yes ❑Noone Applicant Notified: f}7V6-(C Date: f//7 17I' nitials: i 7 9i L__ I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT 111 e COMMUNITY DEVELOPMENT Permit#: MST2016-00251 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/17/2016 Parcel: 2S108DB02600 Site address: 15260 SW MISSOURI AVE Jurisdiction: Tigard Subdivision: POLYGON AT BULL MOUNTAIN Project: Polygon at Bull Mountain, Lot 24 Lot: 24 Project Description: New SF BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 4 First: 1531 sf Repaired Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 29 Bathrooms: 3 Second: 2155 sf Garage: 740 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3686 sf Value: $457,108.61 Rear: 12 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Lavatories: 5 Laundry Trays: 1 Rain Drain: 1 Dishwashers: 1 Floor Drains: 0 Urinals: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 0 Water Lines: 100 Drains: Footing Drain: 0 Ice Maker: 1 Bckflw Prevntr: 0 Catch Basins: 0 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders 1000 sf or less: 1 Branch Circuits 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 7 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 P 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: SF VB SquareFeet: R-3 3686 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,175.53 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 '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: 1 yff � Permittee Signature: �/°G4 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application L 0 I VL2 Residential RECEIVED FOR OFFICE USE ONLY City of TigardReceived • 13125 S W Hall Blvd.,Tigard,OR 97223 Date/By `/��`/7 Permit N .. .111111 .4 Plan Review" Kelt/ �0A 57 Phc 503.718.2439 Fax: 503.598.1960 MAY 18 2016 Date/By. Ej/412,a f iC Other Permit. k/de vi,_79 0.20...1 1 1 G A 1a) Inspection Line: 503.639.4175 Date Read B Internet www.tigard-or.gov CITYTIGARD Notified/Method:!� ns. Supplemental See Page 2 nr OF Information BUILDING DIVON ,914 171/671E-` `TYPE,OF.-WORK ` REQITB�D DATA:1-AND 2-FA MII.Y DWELLING `- ®New construction ❑Demolition Permit fees*are based on the value of the work performed. 0 Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all 0 Other: equipment,materials,labor,overhead,and the profit for the - CATEGORY_OF CONSTR1ICTION work indicated on this application. -)t ® 1_and 2-family dwelling 0 Commercial/industrial Valuation: S M8 1-i 5 )I J 0 9 ❑Accessory building 0 Multi-family Number of bedrooms: 4 � Number of bathrooms: 5❑Master builder 0 Other: y ` JOB SI I E INFORMATION.AND LOCATION, Total number of floors N5 a *. , e C Job site address: 152 420 L3bti I ss otik_ri iklit. New dwelling area: "'3934.. square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 71-1, square feet Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Covered porch area: 273 square feet-)j,c Cross street/directions to job site: Deck area: square feet I;c73 I Other structure area: square feet REQUIRED•DATA:•COM IERCIAI USE CHECKLIST Subdivision:Polygon at Bull Mountain I Lot no.: zA 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 .�D,EScR€PTION OF WORK • "` work indicated on this application. Plan 191 Valuation: $ Existing building area: square feet New building area: square feet E.PROPERTY OWNER ` : I .a 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:P60)695-7700 Fax:( ) New: APPLICANT 0 CONTACT PERSON[, BUILDING PERMIT FEES* - t� v+Business name:Polygon WLH,LLC (Please refer lo fee schedule) ` Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 13th Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTt}R ° , 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 Address: 109 East 13th Street and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review and administrative fees): $180.00 Phone:(360)695-7700 I Fax:(360)693-4442 CCB lic.:204238 State surcharge(12%of permit fee): $21.60 �A(J /( , 9 Totalmitfee due upon pineapplication:ifa $201.60ine Authorized signature: / f�-'�^(� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski I Date:5/2/16 I *Fee methodology set by Tri-County Building Industry Service Board. I:\BuildingTermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit A li w; �' �® FOR OFFICE USE ONLY City of Tigard Received Date/By: Permit No./ 7 0// r� .5'� 1114 III 13125 SW Hall Blvd.,Tigard,OR 972 1 $ 2016 CC�� FCJ7 G Phone: 503.718.2439 Fax: 503.598.1VA' Plan Review Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 CITY OF I tGAR Date Read B Juris: Internet: www.tigard-or.gov t Ready/By: Supplemental See Pagefor Bti1t 01NG DIvislopt Notified/Method: Information 44.4: � .... '414k.: _ lof6.� t�,A 1a�1 i\8 TYE°OEWORK ; .._ % .. •. " CO RCIAL FEE* SCULDULE USECHECKIIST ®New 44 . t ... Mechanical permit fees*are based on the value of the work 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 OF CONSTRUC=TION : RESIDENTIAL EQIj1PMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description P Qty. Ea. Total - 4O8 SITE-'INFOR IATION;AEI'LOCATION Heating/cooling: ` Air conditioning ( 46.75 Job site address: '' ''Wll S /0 i ft l� (ducts/vents) / 46.75 15�O 3 kit�S � r `I � Furnace 100,000 BTU ducts/vents 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 Subdivision:Polygon at Bull Mountain Lot no.: ?L.-) Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DCRIPTION OF,°WORK Gas fireplace/insert 33.39 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 ►� PROPERTYOWNEROther: 23.32 << ? 0 TENANT Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment Address:109 East 13th Street 33.39 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 ►/.APPLIC-ANT-'s. ❑ CONTACT PERSON, Other: 23.32 Business name:Polygon WLH,LLC Fuel piping: $14.15 for first four;$4.03 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 °°°" CONTRACTOR' Clothes dryer(gas) Business name:Apex Air LLC Other: 1VIECIIt11VICAL PERMIT FEES* 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 /��'� /An days after it has been accepted as complete. Authorized signature: L� t V * Fee methodology set by Tri-County Building Industry Service Board Print name: li , A raj ew S�/ r Date: 5 3( t(O I:\Building\Permits\MEC_PermitApp_040113. c 1�-� 440-46 7T(1 I/02/COM/WEB) �le�trlE+r�1 r�rmilt APP11c�ti�.; `e ,.�.- iTigard .,-� L1 ECEIVED E 1(1!,*(" 1 R I t '1 (v"" City .J' R«xived . 13125 SW Hail 131v-d,.Ti Plan Review: e ew t t lttrait . 11 Tigard,OR ' SEP 2 0 2016 Plan Reviasa �i o/G, 4�asi Phone: 503 718:2439 Fax 503-598.1 oatei y Related Permit 0: Inspection Line: 503.639.4175 Rudy Bate/Rr Internet wsvutt rd orgov CITY OF TIGAR AN* 0 See Page 2for £ *1 ail tethod � ■ � ■ Snpptementallaformatron t►--^Et New construction 0 Addition/alteration/replacement Please cheek all that apply(submit► " of pea � i- ",.; ` t_J DemolitionSarsice or feeds Ub amor of peens various shocked): 0 Other: p ©Building over three stories. 9 a E where the available fault current ❑Mantras and boatyards- a4,: - :' R.t F CttliSTR11IC TJO.'11_ - _-t exceeds 10,000 amps at 150 volts or l Floating buildings. ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 °Comme cial-use agricultural Multi-family 0 amps for all other installations. buildings. Master builder 0 Other: 0 Fire pump, fl Installation of 150 KVA or - _-.71 W0004.'fa o ;±1115m 1. ICATIO ;: ' _ .,_a ; 8Emagetecy s�•stem. larger separately derived Job#: Job site addreSS:I S S Mi S l c �• ❑Addilirnr o€new motor load of system. W Soft. iNL 100HHPnrmore. p•'A"...r..-1-2-,"I-3" City>'StBtt'ZIP;Tigard, R S?7 2A 0 Six or mare residential units. oexupancy. ©Health-care€a¢ilities, ©Rexreaticnai vehicle par)cs. Suitefbldg.lapt:4: Project name: 0 Hazardous locations. Ca Supply �� li'4 �Jfi voltage for more than Crass street/directions to job site: �✓ ❑Service or feeder 600 amps or more 600 volts nominai' . , t "EEE , _... Descrpttun I Qts'. I Each f <Totat l New residential single-or multi-family dwelling unit Subdivision. i4j i aji,", G ,,Lill .1 Lot 4: Includes attached garage. Tax map/parcel 4; 1,000 sq,ft-or less i 168.54 ' 11' ttNF.W tI s 4.^ Ea.add'15oo sq:#t.or portion 3392 i V 01/11 I/�ge. Limited energy,residential �vvv ""' {with above sq.II} 75,Oo 2 Limited energy,multi-family "a= tQ i ,s - ��v _,, residential(with above Et 1 75.oU 2 Name;ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Address:7600 E Doubletree Ranch/iced, Services or feeders installation,alteration,and/or relocation City/State/ZIP:Scottsdale,AZ 85258 200 amps or less 100ao 2 Phone:(602)694-4031 Fax:( ) 201 amps to 400 snips 133,56 2 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 io t,000 amps 301.04 intended for sale,lease,rent,or exchange,according.to ORS 447,449,670,and 701. 2 Owner signature: Over 1,000 amps or volts 552.26 2 Date: -'.1t 1E.:+kPP t:+kht7 „ Temporary or feeders installation,alteration,and/or �,.Cf)itTislCT,t'ERSf13X:,`- reimpor n Business name:William Lyon Homes,Inc. 200 amps Or less 59.36 1 Contact name:Angela Grajewski Address:109 East 13th Street 201 amps to 400 amps 324 2 City/State/ZIP:Vancouver,WA 98660 401 amps to 599 amps 168.54 2 Branch circuits new,alteration,or extension, Phone:(360)695-7700 panel Fax::(360)693-4442 A..Fee for branch circuits with Email:Art ela.Gra'stvsk' above service or feeder fee, S 1 iG?a polygorthomes,com 7.42 2 each branch circa** `?n �; ,�. R Li ` " �5?^ate li-Fee for branch circuits without �rvice or fceder fee,first Business name:alameda electric branch circuit 56.18 2 Address;3415 ne 44th Each add'/branch circuit 7,42 City/State/ZIP; Miscellaneous(service or feeder not included) jf't"'10"., iz J /�e /3 Each manufactured or modular 2Phone:{503}3I92193 ! Fax:( dwelling,service andr'or feeder 57:84 2 Email:solar d ! Reconnect only . p z@me.com 67.84 2 CCB Lic.: 199188 Electrical Lic.: c923 Pump or irrigation circle 67.84 ? 1 Suprv.Lic.: '/f7/5 Stiprv,Electrician signature,required: Signor outline fighting 67,84 2 / )� / Signal circuit(s)or limited-energy Print name: !G,/L. /24,a,‘,.."(,, Date: "'/Z?//,4 panel,alteration.ru exterrsiotr a Set Page 2. Each additional inspection over alkwkable in miry of the above Authorized Additional inspection(i hr min) 1 66.25:'hr Print name: , 1 ie* 9D,0o'hr - . Print na „ .....f, + Date Investigation(1 hr min) t aria '�1F.�_ P�t4pp EI.R�RE,doc Rev 9W171:-'015 , uut�tsrtt teostccttstt>uEs Plumbing Permit Applicata ffEcEivED Building Fixtures FOR OFFR, E ESE O'SL1 INCity o€Tigard MAY 1 $ 2016 Received t 3125 SW Hall Blvd.,Tigard,OR 97223 Date:'By: Permit No S ��,LJ� �� Q Phone: 503.718.2439 Fax: 503._ t'Y,( X� r' Plan Review Inspection Line: 503.639.4175 �� 1t`" DateBv Other Permit No.: T l� vt D BUILDING DIVISION l DateRead t y hair: Internet: wwtiv ttgard or goy t\ B e Notified Method See Page 2 for ''•. ' N... Supplemental Information iOF%Q11 Iy414cy v 0 New construction ❑Demolition For special information use checklist 0 Addition/alteration/replacementDescription Qty. ) Ea. Total 0 Other New 1-2-family dwellings(includes 100 ft.for each utility connection) - CA I1 GORX Ols trg1I5IRRI)t1C SFR(()bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building SFR(3)bath X00 32 ❑Multi-famih ID Master builderEach additional bath/kitchen ( 25,02 0 Other: Fire sprinkler( sq.ft.) Page 2 "JOB 5ffi*0R)1I TJ tit AND i OGAtTGtI+a 'ti ` Site utilities: Job site address: 1 5c9(0 0 \SvV AAi &octrl P' Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Dryvyeli,leach line,or trench drain 18.76 Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Footing drain(no.linear ft.: ) page2 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 Subdivision:Polygon at Bull MountainWater service(no.linear ft.:_) I Page 2 I Lot no.: LI Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 e°.' '' ' _ ... [1 tO .QP•WWR1K Backwater valve I 12.51 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ae t'I� *..b1 S* A1.. . . { Trot Expansion tank 12.51 Name:Polygon WLH,LLC Fixture/sewer cap 25.02 Address: 109 East 13th Street Floor drain/floor sink/hub 25.02 City/State/ZIP:Vancouver,WA 98660 Garbage disposal 25.02 Hose bib 25.02 Phone:(360)695-7700 Fax ( ) ice maker 12.51 < `. v :,a$ i tCr 1Y - .[;j,',,OMr; '3'ERgOIV • Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC. ,�, Medical gas(value:$ ) Page 2 Contact name:Angela Grajewski Primer 12.51 Address:109 East 13th Street Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 E matt Angela.Grajewski@polygon homes.com Urinal 25.02 ,z.. . rt C`)iOl • Water closet 25.02r u:,g : - . s pis. Business name:BDL Plumbing LLe • Water heater 1 37.52 Water piping/DW V 56.29 Address:PO Box 85 Other: 25.02 City/Stage/ZiP:Corbett OR 97019 Subtotal Phone:(503)351-3903 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 180345 Plumbing Lic.no.:PB1582 Plan review (25%ofpermit fee) PERMIT FEE Authorized signature: State surcharge(12%of permit fee) I '"� �,- TOTALI Print name:Brandon Lanier J Date: 5/31(/ I This permit application expires if a permit is not obtained within ISO days 1n after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. i:'=.Building`Pcrmits5PLsiU-permitApp.doc 1010 V09 440-461 b it t OiO2iC0M..11'GI3} Plumbing Permit_ Application REiVEl -, Building Fixtures FOR OFFICE 1 SE ONL'i City of Tigard AUG 1 62316 ilaete,e7:1 Pennit N es.„-, . .--- .. • ,,,,5 SW Hall.Blvd.,Tigard,OR 97223 ----'-' . ' 10% - Phone: 503.718,2439 Fax: 503:598.1 'ti'' TY OF TIGAR I Other PermitNe.: )1 Inspection Line: 503.639.4175 TIGARD BUILDING DIVISI•We-Ready/0r tuns fd see Page 2 for Internet: www.tigard-or.gov '' ' 'Rotitied/Mothod: Supplemental information •••';':-''',.'''1:';'''',K'':VS,..'1, -,,:::',..,,,,,„ ,;,:;W'.,.::, ,!..i-ii:4:‘,F;,..'..:wiiiiiik . ..,:,:',.,0:,::,1-9-4,:.;',..,,,.:tt,:*-E,1:-,::::,,.,-42,.i.:•,.,:.,,i,, :..:.,,,w::.,.,,s,,,,,A,?:,:,:;;;,:z:,y,:,....,,,clakiiiisii.,i,.. ':i.:,_:..:,..,,,,NI,:;;,,,,,,4,-„,p,„0-4::...,..,,,.."..„,„:„. ',...,..,. .::::,,-.1?,..•.,,,,1:;:,?::.- --:•,.,.'A•.,'•:`•,,,,,'iii';',''.:,..,5,7•77••••44•,::' .,..•,,,,,,,,,,,.:','4".•,4,1...:',,, •'.:•.',•4'.' '''',<A,•:2':',., ,I'•'.'if- -,'•1:-.7,''''!:.i:,..' '•',':IN ''':',.',!&;:f•''',,,•2:•'''''';r,15it,"•,•.•::',1:4,:- .-",",,N4-:f.,,' -•;,.f,:e. ..5,',,,,..;:.: , . . ED:New construction i 0 Demolition for special information use c/reektist . - Descrii nem Qty. Ea. Total 0 AdditionlnIterationplacement 0 Other:: New I-24amily dwellings(includes 100 ft.for each utility connection) :44;.:[0:-.5:# :',,:',Ni,,':',• ::::::40t6.67:0430okiiii;,1#1.011.A4:.''.5.:,•:',23:',VA' i.;4.:%kI: SFR(1)bath NMI 31270 Z 1-and 2-family dwelling ED Cornmeitiallinaistrial SFR(2)bath 11132111111111111 .SFR(3)bath 500.32 0 Accessory building 0/Vital-family Each additional bath/kitchen 25:02 ' 0 Master builder 0 Oilier: Fire.sprinkler( sq.ft,) MIN Page,2 ..:4:.'...'.f.;:::',1:::1'.:'.1•141',474* '11 ,..! 0q4,'*•;.-i. 0i ; .14 raliniPalliallainnill . Catch basin or area drain all 8. 6 ME --1-7:"mm..I.....I...l.II.II.IIIIIllMlIIlllIlllIIllIIllIIIIllIllIIIIlllIIlllIIlIIIIIlllJobsiteaddress ' oe C i Lit ''''' *) L ' At " . Dwell.leach line,or trench drain 1&76 NM City/State/Zip:Tigard,OR 97224 — - Footing drain(no.linear ft.: ) IIIII Page . I Suite/bldg./apt.no.: Project name:Polygon at BOB hlountain maimbetureci home utilities all 50.03 _ Cross:stre.et/directionS to job site: Manholes I 8.76 an. Rain drain connector 11111 8.76 Sanitary sewer(no.linear ft,: ) Page:2 Stiion sewer(no,linear if: ) i Pane 2 i Water service(no.linear IL: ) Page 2 Subdivision:Polygon at Bull Mountain Lot no.:.2. Flittirc or item: Tax map/parcel no.:. Backflow*venter all 31,27 , , ,,, :::.,;.....„,,,,,j),,,,t.„. 10,irto,,..„ 44,044,, r;,,,,,,,,,,c,;;;,,,,,,,,,,,..,,,o,...77,,,,,,,oz..y.:.f1,•.,:...„,_,,,,..:! !..; Backwater valve 01.1 2... ,:,:. '":'1'.Z.•;:.-.,:'..2.. .:Ait••:•.}.,?-f:t"I',: , ...,,,.:.:;„-,:,.'::. .4•-..;..,::,;;--,•:.,,,,,1„:. ,;,:.!,...;,.;t ,::,.,-,-:,,s,t,:.4,',.:•':::''::: . Clothes Cwasher ..5,402 allall Dishwasher MN 25.02 Drinking fountain aninEll Ejecting/Sump 25.02 Cjil"*.siNT:•*:,,:,':'-.:..',.1.,i',:,.4:i. Expansion tank 11111MIME i ----- -------'-------- ' ' , Fixtureisew-i cap . ' 25.02 Name:Polygon Will,LLC ' ‘' Floor drain/floor sink/hta 25,02 1 Address:'109 East 136 Street : Garbane disposal ' 25,02 City/State/Zip:Vancouver,WA 98660 ' Bose bib 11111111191 Phone:(360)695-7700 Fax:( ) lee maker 111111= - I .:*i4;:cAN-.F: Ip„::..:i.,-,,os,::ik;,....,,...,::awsit,.„ , ,,, s . , Inter,eptor/grk,a,c trap : _ 15,0 Business name:Polygon WLB,LLC Medical gas(value.$ ) : ' =MUM Primer 1111111111133 I Contact name:Angela Grajewski Roof dram(commereial) 12.5 aillIll Address:109 East 13th Street Sinlobasin/layalotY all 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) Mill 62.54 Min Phone:(360)695-7700 Fax::(360)693-4442 Tab/shower/shower part :MI : Urinal ' 25.02 11.1111. E-mail:AngelaGrajeyrskii*polygotihomes,com •::,---7,..f-':,:,P'. -1:11'-,:',:aL'''.,-1-,:•:;':'- :;n4eti''''1'.''')'''.:-',::: .0'.,'.:4r.!..:t4;4:41.i''..'",,v4:',,•',--,;--;',$.;• .:'.:,c., W atet chIset alli : •02 -,. ::::!.-, :-,;',.:f-,;:••••••• ,: '4.,•'-' ..'•'',,,-,,,,,k,,•,,•'' •-',•'''', •'-;•'''',., ''''''••"•.'''''''''''''''AY.'''''''•'''' Water heater .1.1111M12103 IV Business name:BBL Plumbing LLe Water piping/DWI En 5629 : Address!PO Jinx 85 Other: MN 25.02 all1111 City/State/Zip:Corbett OR 97019 Subtotal MN Phone!(503)351-3903 FON:( ) Minimum permit fee: $72.50 Plan review (25%of fee) I CCB Lie.:180345 Plumbing Lie,no.:P131582 State surcharge(12%Of permit fee) Authorized signature: TOTAL PERMIT FEE . This name:.Brandon Lanier permit appbcation expires if a permit is not obtained within 180 days Empfn. : after it has. been accepted as coniplete. *FCC methodology set by Tri-County Budding industry Sersiee Bard. Mizotilding,.Permitskoutal-PermiiApp.doc 10/01io9 4404616T(r0/02/.C.ONIAVIEB) Mechanical Permit Appijc CEIV� [I)I{(AU( : 1)\I !" I.al2y SW Hall l3l�d..Tigard,City of Tward >ll,.; I*ermnit t4a ""[ x: Phone: tu3.7I8.3 39 Fax: �; r �, SEP 2 0 2 016 rt ev:; �s� !F� !9[J 5! T'ttia tD Inspection Lbw iO16$39,4t7g la Ottnrt as: TIAIage rat !3 fithue/t19: 0awOr CITY OF GRred icibod: Supplemental Ifee nfn rnatlutBUILCIRG C?IVIRdo _ TVPl or woo COMMERCIAL FEE'S SCHEDULE.-. ISE CHECKu r Indicate£ >��}} �t'c 23�a t Y t$dit€ttvtilt 3" it3it,#t p�cement 1 Mechanical petit fees*are based on the value of the work L.!DemolitiontinlDemolitionother : �t7alatt:tl, thevalue(founded to the nearest f�L�llar)�`s�`81 mechanical materials,equipment,labor,overhead,and profit.. CATEGORY OF CONSTRUCTION Value: Ell�and 2-f£tJ13a dWcUtn D{;gait tCt tt ¢Y,, j RESIDENTIAL EQUIPME,\TX51STE FEES* L]Accessory building For special information nse crhecxtitx Multi-family 0 Master builder 0 Other, • 1ripti53tr4. Ea.= 1 "f'a t sl .1011SITE INFORMATION AM) LOCATION II atlraElcrataTiaa Job site nddu / O SW V L v 1 I SS V�r Air t irrrt rte 1 46+.5 �• Furnace 100,000 f3` u€dsec ) i 46,73 Cztyi'Stat ZIP:Tigard,OR 97224 furnace I00000+BTU(ducts%•czzto 54.9I Suite/bldg./apt,no.: Project name:Po4y nu at Bull Mountain t pump 6106 Cross cucetailirecti�3ns to job site: Ono or 2332 flydrerr£ic hot.water system 23,32 Residential boiler{radiator or hydropic) Ut£It heaters{tires-type.not electric), in-wallin-sfuek.suspended,etc. ,7 5 F'tuedreul for any of above ` 2332 Subdivision.Ptal�ygon of Bull Mountain Other I.ot : Zy23.32 Yemap/pared no.: Other tttel appllancea Water heater i 2332 [ _ .a_ DF' flrrftvi OF WORK Ona fit place=iuusc _ ti C�ntrar �hgas . 9 1 p 3 ltu vent furatrr biter or(� ti '''az e 2332 1 A � t Log lighter(gas) 2332 1� W ,. .ltsto Wood firtmlacelinsett 23,32 Chimoeyainerffluelvent 23,32 i PROPERTY OWNER. I 0 TENANT; t3tlaer 23.32 Name:Polygon 4S°,Bb l i Fm lr anmental exhaust and cella/anon: "" Range hood'ather kitchen I 1 Address:109 East I3`*Street IL`ui rrs,art _�usj_ 33 30 1 C tt_ tat lla: `aucutut tr,WA 95660 a Clothes diver exhaust $3,3# ! 1 4inale-dnet exhaust(bathrooms,. j Phone:(360$95-7700 toilet compartments,utility rooms) L� . 2312 Fax:( ) Attie:'zrt3rl�pace faros 23.32. 1 APPi ICANT 0,CONTACT PERSON Other 23.3? l nt Business name:Po ' A 1,11,LLC Ettd.*Pi Contact Angela CSrajtvkxk 514.1$for forstfxsur$4.03 toreaelt additional Address:109 East 13th Street Furnace, , Gas hit pump 1.-..- .. City/State/ZIP:Vancouver,et,WA 90460 want t,; a.d unit tater water gutiharc: 361}f9S-r7 Fax: (360)6934442Fire E-mail: III Angria.Gratj i/:polygonlrtammera rtKnow Barbecue CONTRACTOR Clothes ztrlert,= Business naume.:Apex.Air EEC Other: Atldrss 15004 NE 72 Ave Subtotal IaIECRs1,iIC�LPER,'4 tEl CttyeSttate;%1p:Vancouver,WA 98686 Minimum permit f ($94100) Phone:(361})34 81119 Fax:( 6U)3 17139 Plan t °ies (25%of rmit:fee) I CCB lie 203034State surcharge(12%ofp reit fry) 1 TOTAL PERMIT IAF MSpenaita ttka espirrleapermit oustOhlainedwithin:tItO Authorized .07/ stapsa4ta athieh reseaate .pas asptcrc Isee rsae3e 3 ri Ctcraua3ditag rndn sriee a mac# Print name: I i r`s. 4-f%w '4.:. Date: ?:t£i"a a r_Po-11,'At flftemitApp r I 13 oe "`"•"•`"` 0-40 t ,. ,.,E{°LS 31 2:':+ , IN City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T l G A R n Building Permit Review — Residential Building Permit #: S i c7-0/ _ ..._. a� Site Address: r;/,,c-� Project Name: f ) 1S .g 0` • (New', `';� =subdivision name;Addition or Alteration last name of owner) Lot #: ��.�,� Planning Review —=- - Proposal: 44, Verify site address/suite#exists and active TE River Terrace Neighborhood: m pest s em. ❑ NoYes,See Diver Terrace BeviervAddendum Attached Site Plan Elements: !1 0 ree(3)copies of site plan �yStte plan must be on 8-1 2" :IF/ii / x 11"or 11 x 17 paper K. sang structures on site fawn to scale(standard architect or engineerFootprint t f onew structure(including decks)with Pi orth arrow scale) 7.or elevations finished ply/V. to address,project or subdivision name and lot number '2-Utility locations(required for new,may apply for additions) �plicant information(name ���cation of wells/septic systems and phone number) %t dimensions and buildingsetback rosion control including dimensions drainage-way protection,silt fence • 0 area,building coverage area,percentage of coverage and std'location of catch basin,etc.) pervious area(applicable if R-7,R-12,R-25&R-40) eet names TPProperty corner elevations(2 foot contour '1�', deet tree size, 4 foot differential lines if more than type and location stingAt A trees to be retained with drip line,and tree lI lean Water Services-Service Provider Lette of platted n otection measures /Required: ❑ Yes,applicantprior to 9/10/1995): Of was notified No Public Facilirieg Improvement(PFI) Received: 0 Yes 0 No Required: 4+�/ Permit: Yes,applicant was notified 0 No and Use Case#: Applied For: ortitt �Lf,� C�IS'= - eyes 0 No,stop intake ulai Setbacks: FrontD Rear andscape Requirement: S- Side Street Side It%'Lot Coverage Maximum: — % Garage _I ding Height: /Visual Clearance Ma Height ,l Actual Height t;), ki asements ransitive Lands: Urban Forestry0 Yes VioPlanType 0 Conditions "Met"prior to issuance of building permit Notes: i La,' Approved By Planning: / 4.1‘. ' `� Revisions (after Building Submittal only) ��- Date: Aa 0 Approved ❑ N❑ Not Approved Reviewer Revision 2: ❑ Approved Date Revision 1: 0 ot Approved Revision 3: 0 Approved 0 Not Approved 1:\Budding\Fonns\BldgpennitRvw_RES_0121 I 6.docx , r Building Permit Submittal J� �� Original Submittal Date: # �— Site Plans: # --qBuilding Plans: Building Permit#: [ permit#above. a'tiuilding 'Enter building �I'ermit Coordinator Planning Q Engineering Workflow Routing: (include notes from planning review) Ian and Workflow Sign-off: Sign-off for Planning (1) site plan, (1)building p Route Application Documents: aEngineering: (1) copy of permit application, riginal plan review routing form.-41 engineer and original permit application,site plans,building plans, beam calculations and trust details,if applicable,etc. Notes: �� Date:Adirairl 7 ��' Technician By Permit Engineering Review Slope at building pad: 1 Conditions"Met"prior to issuance of building permit /01Easements (encroachments)per engineering conditions of approval and plat >21/Water Quality/Quantity Facility: 0 No Assess Water QualityFeein-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 YesDate: 0 NOT Approved by Engineering: Notes: Date: -' Approved by Engineering: I ar Revisions (after Building Submittal❑onlNot Approved Reviewer Date Revision 1: 0 Approved Revision 2: 0 Approved 0 Not Approved pp Revision 3: 0 Approved 0 Not Approved • Permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit Date: 0 Approved,NOT Released: Notes: Revisions (after Building Submittal talSeoot nly) Applicant: Revision Notice 1: DateRevision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: �es 0 N/A C Fees Entered: Wash Co Trans Dev Tax: 0 N/A Tigard Trans SDC: ` Yes Parks SDC: Yes 0 N/A ►=O•K to Issue Permit Vi Date: t )b Approved by Permit Coordinator: 1:13uilding\Forms\BldgperautRvw_RES_012116.docx I IN City of Tigard 1 n COMMUNITY DEVELOPMENT DEPARTMENT #y ,, River Terrace Building Permit Review Addendum k ' -, Building Permit #: Site Address: /C;? ,,, {, Project Name: Polygon at Bull Mountain C____g_*___ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: 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 .,.imum 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. Calcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft. wide min. 2 ft., 6ft. wide Gable, 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 mus' eet both of the following standards: fac .. wall ❑ Parallel to street, .ngle no more than 45° from street, ❑ Max. 8 ft. setback from longest street- Entrance opens to a porch: ❑ Yes ❑ No or open onto po If yes, all the following apply: tg\ ❑ One street facing entry ❑ 25 sq.f n. ❑ 5 ft. depth ruin. ❑ 12 f.max.roof above floor of porch ❑ /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 ❑ Roof eave min. 12 inch projection ❑ D. er min. 4 ft. wide ❑ Roof shingles either tile or wood ❑ Roo' offset min. of 2 ft. ❑ Roof pitch oriented south min. 500 sq. ❑ Gable, • or gambrel roof design . ❑ Horizonte ap siding min. 3-7 ft.wide ❑ Accent siding min. 40% of street fa ,de ❑ Window recess min. 3 inches fo .11 street facing � Window tr. � . 2 1/2"wide by 5/8"deep ❑ Balcony min. 5 ft. wide x 3 f •eep with inside access ❑ Attac0 Bay hed garage is5 5t% or leswides of streetf acade 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 u% to 5 ft. if there is a covered front porch and garage does not extend beyond .e front porch. ❑ May exte ,. 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. Widt • 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: �.....- AVI:\Building\Forms\BldgPermitRvw RES_RT_031416.docx ate: / City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15260 SW MISSOURI AVE, TIGARD, OR, 97224 November 2, 2017 at 11 :49:06 AM Record Type: Record ID: Residential - Master Permit MST2016-00251 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15260 SW MISSOURI AVE, TIGARD, OR, 97224 November 2, 2017 at 11 :50:10 AM Record Type: Record ID: Residential - Master Permit MST2016-00251 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15260 SW MISSOURI AVE, TIGARD, OR, 97224 November 2, 2017 at 11 :48:02 AM Record Type: Record ID: Residential - Master Permit MST2016-00251 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15260 SW MISSOURI AVE, TIGARD, OR, 97224 November 6, 2017 at 2:36:04 PM Record Type: Record ID: Residential - Master Permit MST2016-00251 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE 14IYED;' �°, DEPT: BUILDING DIVISION f - Nig o FROM: Angela Graj ewski/Chris Walther COMPANY: Polygon Northwesta�' \� PHONE: 503-312-6213 RE: 152(0() SW Missouri Ave MST2016-00� (Site Address) (Permit Number) Polygon at Bull Mountain LOT a.y (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: : 114404/ g ti 4:4 o Additional set(s) of plans. 3 Revisions: WIC/4th bath change 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Removal of 4t Bedroom bathroom into Walk-in Closet Fibit tiw `:' ; Routed to Permit Technician: Date: 6 — j �� Initials: Fees Due: RI Yes ❑No Fee Description: Amount Due: X96 ' Special Instructions: Reprint Permit(per PE): I'n Yes No Nor :SSzc.„ ❑ Done Applicant Notified: Date: yE "Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012