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Permit (187) IvAll CITY OF TIGARD t. . ;, 1 MASTER PERMIT ll COMMUNITY DEVELOPMENT 6 cP/7 i Permit#: MST2016-00255 Date Issued: 11/17/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2817/20/6 000 Jurisdiction: Tigard Site address: 15230 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: 28 Project: Polygon at Bull Mountain, Lot 28 Project Description: New SF. 6/8/2017: REPRINTED to add(1)laundry tray. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1259 sf Basement: 735 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 3652 sf Value: $488,149.86 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100 Tubs/Showers: 3 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 Tvoes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 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: 6 201-400 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 Y Ecompasing: Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3652 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: $35,562.89 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thro OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / Issued By. "Zile-- Permittee Signature: e24,4 -7°/-7'4 7'/-'G'C 42 770 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • Plumbing Permit ApplicatiotRECEI y E Building Fixtures JUN 6 2017 FOR OFFICE USE ONI.\ teceroid. ,//,,,/,/ , ,7 4:I' rill N0 J/ `ca zid0-4 .s City of'irigarti UateRiy: , '� 13125 SW Hair Blvd.,Tigard,OR 97213 ITY OF TiGARD Pian Review 71,r. other PennitNo.: 1a'_ Phone: 503.718.2439 Fax: 503.5a DING DIVISIO,N`I te/t3y: inspection Line: 503.639.4175 15 ate-Ready/By: tura. RI See Page 2 for T 1 G h it U •d-or v Notified/M Notified/Method: Supp t Inform Internet: Ivewtiger go tr cmcat� no ,F, a : ,,t, T� ne .04 '� `w& ,y ,•,e,.y , 373 �,:.tiq x„s<„� S.: r ":M g. �"t.�-^ t vAa 'a >, °^?*4r,s. IZ.Ne w construction 0 Demolition For special information use c1,eckiisi Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 ft.for each utility connection) f'..`ry i t 9r' ' VIri: i i .:..,r.rc n7. ?$ '; SFR(1)bah312.70 • 7$ 2-family SFR(2)bath ®.1 and rfamdy dwelling 0 SFR(3)hath 500,32. ©Accessory building 0:Multi-family .Each additional bath/kitchen _, 25:02 ❑Master builder ❑ thersq.ft.) g .. �.S 0 Fire sprinkler(__ Pa�c.2 �,�• � I , • t 1/4"�i; ��ti Site utilities: p .r"s �,??�•ns� . . •- ,•�� ,''} .. . ^Catch basin.or area drain � 18;76 . Sob site address: `J Z.7 V S VJ ��-'�� /� Dryw sll,leach tine,or trench drain 18.76 . City/State/ZIP:.Tigard,OR 97224 • Footing drain(no.linear ft.; ) Page 2 Syite/bldg./apt.no,: I Project name:Polygon at Bull Mountain Manufactured home utilities _50.03. Cr'oss•strect/directions to job site: . Manholes 18,76 Rain drain conne for 18.76 _... Sanitary sewer(no.linear ft.: ) Page.2 Storni sewer(no.linear ft.: ) Page 2 • Water service.(no,linear It.:_) • Page 2 • Subdivision:Polygon at Bull Mountain I Lot no. Fixture or item: . 13ackflow preveinter I 31,27 : Tax map/parcel no 12.51 . 11 M ;=, Back'w'ater_valve • • .�4� i y-s 15" 1:°t i wt ki` 0 6 :&4.°`,6 *+' �,.� • l ``��;; pp .'.?•ii, :' .,. . Clothes washer . 25.02 ' 00,yr vut q, Dishwasher 25,02 ,5�`t `OO1 SF Drinking,fountain 25:02 . `V` �/ [-� Ejectors/sump 25.02 q¢ � ' t '° '' . Expansion tank 12.31 a� t•4 � r - ft3 e o, y .�., 't;EL+W.nrF " a u �, � 2:5:.02 a .a,.�, �.. ..'-� ,,._,.....4* .'' Fixturefsecver cap • Name:Polygon WT.0,LLC. . - .. Floor.drain/floor sink/bun 25102 • • Address:10 Pest 13`"'Street . _ Garbage disposal 25.02 City/State%ZII':.Vancouver,WA 98660 . . ldasc bib 25.02 •l Phone:(360)695-7700 tee maker( ) te 1 S1 --1. . R.t Interceptor/grv�tac trap 2:5.02 a • "" Medical gas(value:$ ) f3usitless name:Polygon VV11i,LLC • Primer32.51 Contztct:/Ianre:Angela GrajewskiRoof drain(commercial). 12.51 Address::109 East 13th Street _. SinkTasin/iayatory I 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. Chinas 25;02 E-mail:Angela Grajestski@polvgonhonnes eopt Water closet 4-::' r . i. � �e. ;4- �ro g ik,i :41 t'^A-i&AV tom' >v�”• °3 ; 3.52 �ii .�max1 -.,••':, ., .?: , •x) ,, ••• '" Water heater Yi/^`y • : "Y.. ?�+ �t3+L.Eu�, Y`a4 e ' Business name:BDL Plumbing LLe Water piping/DWV • 56 29 . Address:PO Box 85Other:. 25.x2 . SuhteIal. City/State/ZIP:Corbett OR 97019 • • Fax: •• Minimum fee: 572:50. Phone: 503)351 3903 ( } (. • Plan review (25%of permit fee) CCB LiG.:.180345 Plumbing Lie.m:1111582 - .. — State surcharge(12%dfpemtltfee) . ed signature: TOTAL PERMIT:FEE .I puthonz gn ���'' ,.�"'� ""ter r•� "` This permit applicstion expires if a permit Is not 0lefaigerl;within.l.$0 days I,.Print name:Brandon LanierDate: atter it hes been yccepted as cirml:lefe *Fee methodology set by Tri-County Building Industry Service Board. l:lavildini PermitilPL 4t/4A:rmil 1pp:dac 10;01109 440-46I61(10t02E0Ba) y ,, CITY OF TIGARD MASTER PERMIT 114COMMUNITY DEVELOPMENT Permit#: MST2016-00255 Date Issued: 11/17/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108D603000 Jurisdiction: Tigard Site address: 15230 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: 28 Project: Polygon at Bull Mountain, Lot 28 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1259 sf Basement: 735 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 3652 sf Value: $488,149.86 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: 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: 6 201-400 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3652 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: $35,534.87 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 95 -D01-0090. 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: I / Permittee Signature: ‘041/t/ X74 iet9-770 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1 sr 0 % C2 ? Building Permit Application 5A.9//' Residential RECEIVED FOR OFFICE USE ONLY r, .. Received Tigard Date/B : y Permit N .. MAY 2 4 2016 /7 9'y_S'i�v�b �'d�.5" W Hall Blvd.,Tigard,OR 97223 Plan Revie :one: 503.718.2439 Fax: 503.598.1960 Date/B : C. - ;.S Other Perms leZ/6 V),20 7 Inspection Line: 503.639.4175 CITY OF TI GAR " Date Ready/By: Iuris: See Page 2 for Internet www tt and or ov Notified/Method// /• f g g �.k�Ll1g11 {� {, /• �� n Supplemental Information q LP = l wife OE W6 � I } GP ®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 ° a CATEGORY=OF COI `11 0 H,' work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial �. Valuation: $ 0 Li `di 15 0 0 Accessory building 0 Multi-family Number of bedrooms:\4 0 Master builder 0 Other: Number of bathrooms: , '� Total number of floors: 1.5 Job site address: k23C) 3O 5 Cil h e. INa... New dwelling area: 365\) square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 464 square feet Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: 42 square feet i(. S Cross street/directions to job site: Deck area: l‘o square feet 'a. (- Other structure area: square feet 7.3 �j - �ni�R� iia RE 1 DATA: ®., 6 , CIAL-USE CKLI `° Subdivision:Polygon at Bull Mountain Lot no.: 28 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 ''G IOl W ��M' work indicated on this application. Plan 5D-DL Valuation: $ Existing building area: square feet New building area: square feet off' ►o P OPERTY OW tER 'I'ENA 'T; . Number of stories: iigiName: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 r LICAN' i Q CONTACT PERSO ' 'k 3 LDING PERMIT`FEES* iltOMres,., ''= ti,::'t'VtiNP,*. g' _ IIl#101',., Sf A, I,;,t" �'is Business name:Polygon WLH,LLC au (t'letserefertor�sQ)e� lei. Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com PHOTOVULTAIG o�� PANEL SYSTEM ) * cs ldli ����ih9 Commercial and residential prescriptive installation of �4S.t"RACTda1di!Mglililiiiiliiiin,-.'',1...0.14,:, 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 lie.:204238 • Total fee due upon application: $201.60 Authorized signature: ._,4 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:5/2/16 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ..Mechanical Permit Application FOR OFE1( E 1 SE 0 1.) Received Permit • r / --e0 p23.2.5 ipiCity of Tigard EV Date/By:13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Inspection Line: 503.639.4175 MAY 2 4 2O 16 Date Ready/By: Juris: ® See Page 2 for 1 I G:\1,,,-) Internet www.tigard-or.govNotified/Method: Supplemental Information Y F C 11(:Af �) kii� t k?!,.P ?� C0190,1 RC7AL FEE*`SCHEDIILE iJSE:.coo- IST TYPE QF „.. Mechanical permit fees*are based on the value of the work b ®New construction ❑Addition/alteration/replacement pemechanicalmed.Indicate materials,equipment,value ounded labor,ovto 1hehnea eared st liar)of all ❑Demolition 0 Other: Value:$ T�'GORY OFyCONSTIRUCIION • .,. 1SYSTEMSFEES• . r• CA"., '' .. (RESIDENTIAL EQIlIPME1VT. ., _. . ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total SOB STLE INFORMATION AND LOCATION Heating/coo mg: d ,/�Q • Air conditioning 46.75 Job site address: )52,52 0 S(JJ se(, I` Furnace 100,000 BTU(ducts/vents) ) 4635 Furnace 100,000+BTU(ducts/vents) 54.91 City/State/ZIP:Tigard,OR 97224 Heat pump 61.06 Suite/bldg./apt no.: I Project name:Polygon at Bull Mountain Duct work 23.32 Hydronic hot water system 23.32 Cross street/directions to job site: Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 $ Other. 23.32 Subdivision:Polygon at Bull Mountain Lot no.: ZOther fuel appliances: Water heater 23.32 Tax map/parcel no Gas fireplace/insert 33.39 DSCRIPTION OF FORK _ , „ - 4 ' '°- Flue vent for water heater or gas 23.32 :-, fE fireplace Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 23.32 } , PROPET3 OWNR 4 i % ; ❑ TENANT 1.-4,.#'''' -•• {0'''''''i Environmental exhaust and ventilation: Range hood/other kitchen Name:Polygon WLH,LLC equipment 33.39 Address:109 East 13th Street Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, City/State/ZIP:Vancouver,WA 98660 toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 Other. 2332 -2 l 9 0"A)�,LIC.A•t : ;*r d.0,4CT4:I!;R 01gint -> Fuel piping. Business name:Polygon WLH,LLC $14.15 for first four,$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Gas heat pump Address:109 East 13th Street Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater : Phone:(360)695-7700 I Fax: (360)693-4442 Fireplace Range E-mail:Angela Grajewskt@polygonhomes cornB arbecue ' CONTRACTOR Clothes dryer(gas) Other: Business name:Apex Air LLCRLL MEQHAN10AV 07.0:FEES* { Address:18004 NE 72nd Ave Subtotal Minimum permit fee($90.00) City/State/Z1P:Vancouver,WA 98686 Plan review(25%of permit fee) Phone:(360)342-8109 I Fax:(360)326-1769 State surcharge(12%of permit fee) TOTAL PERMIT FEE CCB lie.:203034 _ This permit application expires if a permit is not obtained within 180 aqK " days after it hasTri been accepted as complete. % * Fee methodology set by Tr-County Building Industry Service Board Authorized signature: I Print name: p . A ret , J Ieta S leiI Date: 5 3 `(0 I I:\Building\Petmits\MECPermitApp_040113' C 440-46 7T(I1/02JCOM/WEB) A Electrical Permit p L c t RECE �f " 1 OR ret 1-if L.t sr tip"%I.N C111 of Tigard 'eiv /0 a/�' if= Pe11rl;t sill/6 em.215 13125 S Hall l Blvd.,Tigat d,OR 97223 SEP 2 0 ?_016 Plan t"',wkclated Retort d; Pituita 503.718 2439 Fax 503,598.19 1 13a ells,: Irtspe ion Line: 303,639,4175 CITY OF I i Ui-°�ti l ReAdy bate : w: £°age 2 forInlemet 43�t+h stl and r gns BUILDING P " °' Not'ined/Siethod Supplemental information eh.1OF-WOE` - -" ', .;=- `:'• ' `� Please all that apply(submit 2 sets of pleas wiiiams checked) )e Newconstruction _0rid ill tt'alteraitDtL'tzpl Cet£ts 71t ()service or feeder 400 amps or more 0l wilding-over three stories. ®Demolition 0 Other: where the available fault current CI-marinas and boatyards, t h TE(OR'Y"OF_ DNSTTRI4CTIO,N_ exceeds 10,000 amps at 130 volts or 0 filleting trnildin " less to ground,or exceeds 14,000 L7 Coatr..ercia l-use agricultural ►;a I and 2-family duelling Ctyrtamere altindustti�l 0 Accessory building amps for all other installationsbuildings. 0 Multi family 0 Master builder Other: 0 Fire pump. ®installation of 150 KVA or ®Erntucv system. larger separately derived '-''''' '''''1":'''''''''''''''''''""---"' = 'I + } 1l 4 CA'1313P7 - 0 Addition of new motor load of system. Job 4, Job siteaddressi51 Sw SeA Int UyDJt, t00HPormore 0 Six or more residential units. occupancy tty tat ;ZIP Tigard,OR 9722L1Health-care€aciliti€s, 0 Recreational vehicle parka. 1 i? '©naraveoas locations: 0 Supply svolto t ei for more than Suite/bldg./apt 4: Protect name:poivrlof G a t iia Alk 'G �'l ®SerSice or faedes SDO amps or more, Gt)O bolts nomtnal< Cross street/directions to job site: tt�� RR�� neacrigtien 1 Qts', 1 Each .1 Tatar 1 ' New residential single-or ma1ti-familj dwelling unit: Subdivision: Ij m L„ i ,11" l-t( Lot 4: Zo includes attached garage. I 1,000 sq.ft or less " 1 168.54 4 Tax map/parcel ii :, Ea.add'150D ft orportion (p 33:92 1 ,. — �;d1Cltl1'T[4�7''�1r:�i�1 sq:: Y Limited energy,residential 75.00 2 . � (with above sq.ft.) Limited energy,multi-family 75.00 2 WN''--": .l oi'1$ _aW, 1 ' I -_" residential(with above sq.ft,) Name;At3.1:L Land holdings,LLC Renewable Energy 0 Sen Page 2 Services or feeders installation,alteration,and/or relocation Address:7600 E Doubletree Ranch Road. 200 amps or less 100.70 2 City/State/ZIP:Scottsdale,AZ 85258- 201.amps to 400 amps 133.56 2 Phone:(602)694-4031 Fax:( 401 amps to 600 amps 200.34 2 Email: Owner installation:Ills installation is being made on prbperty 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 l 552.26 2 Otrier signature: Date Temporary services or feeders installation,alteration,and/or ®.Aia37I,7 #!l7= '0 +LYD67`PieT 1TEItSS�lAI;.." - • relocation l Business name:William'Lyon Homes,Inc.. 200 amps or less 59.36 1 Contact name:Angela Grajewski 201 amps to 400 amps 12508 2 Address:109 East 13th Street 401 amps to 399 amps 168,54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits-nen,alteration,or extension,pfr panel Phone:(360)695-7700 I Fax:::(360)693-4442 A Fee for branch circuits with above service or feeder fee, 7,42 2 Email:Angela.Grajewski®polygonhomes.com each branch circuit B,Fee for branch circuits without , ' 5 , l t3l!l7'13Af t0: , . ;.`'`_ , u ,. , .service-or feeder fee,first 56.18 2 branch circuit Business name:alaaneda electric . Each add l branch circuit. 7;42 2 - Addiess:3415 ne 44th /f 4ilscellaneous(service or feeder unt included) City/State/2M saw 17x, 1a' /,#IZ _,,,'/ , 7.2-r3 Each manufactured or modular. 67.84 : ' 2 dwelling,service andfor feeder ) Phone:(503)3132193 Fax:( Reconnect only 67.84 2": Email:eclat pdxintrte.coanPump or irrigation circle GCB Lic.: 199188 Electrical Lic,: c923 SupSignor outline lighting 67.84 2 v.Lie.: `(7/.,5 . Suprv.Electrician signature,required: Signal circuits)or limited-energy • " , t /y r, / panel,alteration or extension0 See Page"? Print name: kik, )2,,,,,(„, Date: ' i/,y IG i Each additional inspection over allosroable in oily of the abet e Additional inspection(1 hr min) :I 66.23/lir- Auhorized signature,,..- , Print name: -11, .. I1ate +s y ,f veshganon(11ir min) 90 Dt3 fir_ 1`- itiklis&1ptrituVi..0 PctinttApp£t.R EftEdoc Res it,1712015 440.46(52{311051COMM E8 :, Plumbin Permit A lication w Building Fixtures Received Permit No.:/y�%��� Q� � City of Hall Blvd., MAY 2 4 ZQ16 Date/By: opi a 13125 SW Hall Blvd.,Tigard,OR 97223 Plmt Review Other Permit Na.: ( „` r y x (�' r Date B tun it See Page 2 for Phone: 503.718.2439 Fax: 503.598. 1{ NI �! S i"f a Date Ready/By:Inspection Line: 503.639.4175 BUILDING s>p /t ¢ Supplemental Information T I t i ll i 4 ', NotiledfMethod Internet: w�r�v ugard or govg� r a tFiSCHiD[tL'E�;.�, , . -. t, 1,:: �0 at, `'" a F: 4>1 5;k,.`.. '-..., .. . . For s,eclat information use checklist ti New ,.. Ig o Add construction 0 Demolition For QIv. Ea. Total Other: New 1-2-family dwellings(includes 100 each utility connection) ❑Addition/alteration/replacement 0 ,? SFR(I)bath 312.70 — iCOPJS!*R>J r , . . . SFR(2)bath 437-78 0 Commercial/industrialSFR(3)bath �- 500.32 ® t-and 2-family dwelling r — 0 Multi-family Each additional bath/kitchen 25.02 ❑Accessory building Page 2 0 Other: Fire sprinkler( sq.ft.) Master builder — s �� � -���tII1`�d�-e 1 '�.~,"x,y�,�,=.i51 Site utilities: x �4 x= O>g 5 : : ,:' . ' Catch basin or area drain 18.76 N site address: c d • Sw e- �� Drvweli.leach line,or trench dram 18.76 Job _ Footing drain(no.linear ft.: ) Page 2_ City/State/ZIP:Tigard,OR 97224 50 2 Project name:Polygon at Bull Mountain Manufactured home utilities _ Wis 3 Suite/bldg./apt.no.: Manholes 18.76 Cross street/directions to job site: 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.: „Dg Fixture or item: , ;... Backflow preventer n ter Tax map/parcel no.: .211111191Ycxer e;xll74atC� h� !� fr. xxMiAL � i -' . *F.,7,. o... e. ._ .f;cv k ''l . ,SClothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 5.02 Ejectors/sump ,` _��g .�;r ` Expansion tank 12,'l X1'i\ i' y5".d'e`'-,...r 3. r ir�,�-s�-'� r ..�,r .��. '_,<^•.sr 25.02 ` • Expansion cap 51 � x�ati� b. �.�.-5 ......,. . . .. .. 25.02 Name:Polygon WLH,LLC Floor drain/Mx:1r sink/hub disposal 25.02 Address:109 East 13th Street Garbage City/State/ZIP:Vancouver, ancouver,WA 98660 ., Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 5 ✓ z tit r `P•1 7 fi s GirA u = Inteptorlgriase trap 25.02 : Ai* , s 4: sf* ;..xwMedical gas(value:$ ) Paget _ Business name:Polygon WLH,LLC Primer Contact name:Angela Grajewski Root drain(commercial) 12'5125 02 — Address:109 East 13th Street S ink/basin/lavatory°Solar units(potable water) 62.54 City/State/ZIP:Vancouver,WA 98660 Tublshower/shoteer pan 12.51 Fax::(360)693-4442 .5 Phone:(360)695-7700 Urinal 2 E-mail:Angela Grajewskt gpolvgonhomescom . Water closet 2502 } r,t, „3a 4 � { rrv' 1 „ r �� 0W414'�.116 �'l1. 3r;n;:z<.''Y 'xkk:; ..z ..s "fM Water heater ,7. 2 _ �6�9 Business name:BDL Plumbing LLc Water piping/DWV 25.02 Address:PO Box 85 Other: Subtotal City/State/ZIP:Corbett OR 97019 Minimum permit fee: $72.50 Phone:(503)351-3903 Fax:( ) Plan review (25%of permit fee) CCB Lie.: 180345 Plumbing Lic.no.:PBI582 State surcharge(12%of permit fee) ���.�/"- TOTAL PERMIT FEE Authorized signature: i `w'� �' © Thic permit applicatii,n expiree it a permit is not obtained within IRO dad's Date: Jr after it has been accepted as complete. Print name:Brandon Lanter +Fce methodology set by Tri-County Building industry Service Board. 440-4616Tt 10,12%COM/WEB) 1:SuildingTermitstPLMU-Permit App.doe 10;009 I Plumbing Permit Application Building Fixtures RECEIVEt•immtlie=imam City of Tigard AUG I. 6 2016 :rat:iiBt'ec! Petmit to.: Y, 13125 SW Hall Blvd Tigard,OR 97223 Plan:Review : 64: Phone: 503.718.2439 Fax: 503.598.19erry OF TIGAfiDtby: Other.Pernat No: inspection Lind: 503.639,4.175 TIGAft 0 BUILDING ehen. See Page 2 for Internet: www.tgar -orgov tlee : Supplemental information ,.:,,:..,,-,•;I:,.1f,4.',','.0:4.,:,,,,..g.Lw:, PE R1 .. ."....!'e'1,-;e, •.'.'11r,,i,,:'ir.:q-iiiiAkiit.4,,1 ::..:!,.:,,:tZ:Tif:, 1 ..;V:11"t. '-'..4.':',. :' -lc,.,,,,:*;:t'in.-4,011''';',-ZA,`,:'::,,:::,',4.'-'''''•:: *-,,,,:v.•.'i'1‘r-,...,,iy,, m.;.::vi. -,.dr,ti,..,,,,z0:,.;,„,s.,,•,---:.J : -:.!;1!,,,,, .,,,:.:•,,,,:n:,:f.,,,,4,',::41 „..:_,.-.,„: ;,,,, ..-.!:-.,..!:'7-ti,.,-,-.,ac.::•,'',.!i ,.,..,:,-,;:_...,:,. iFor special information use checklist El New construction i D Demolition Description 1 Qty. 1 Ea. f Total 0 Additionialteration/replacernent 0 Other: New 1-:24atrilly dwellings(includes 100 ft.for each,utility connection) '4,,ii ;:f.1, :'..11: ,.;:Vaiiiiiiiiiti'it50..eiiit. Ogri4.`";:t,Z7"..•:WI:::.;* . ,? SFR(1)bath 312.70 ,...,-,,,:'4.., .....::-....... ';', I, :..,,,,,,..4.7":7C:!,,,,.:,,,,,,,'•,,Sk,,,, _,,t1,77:,, ,,,I,:i ,i: ''OT'';;i,,'!;:40V El 1,-and 2-family(Melling 0 Commereialtindtistrial SFR(2)bath 43 ,I MEI SFR(3)bath 500.32 , 0 Accessory btiilding 0:Multi-family Each additional bath/kitchen 25.02 0 Master builder 0Qther: _ Fire sprinkler( sq.ft.) Rage2 r441:,::•;:.:',:::';:'. *4 ::.,,:ilji*gitil rif404,40e,4,101*:,,0 *180 ,Og ../pA-'-. , Site utilities: „ Job site address'. 6 2 () S v.) se‘ne. Q\ ,, • Catch basin or dica drain I8.76 Drywall,leach line;or trench drain 18.76 111111111111, City/State/ZIP:Tigatd,OR 97224Footing drain(no.linear ft:: ) Page 2. Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain . Manufactured home utilities 50.03 Cross Street/directions to job site: Manholes NM 18.76 Rain drain connector 11111 18.76 Sanitary sewer(no.linear ft.: ) Page:2 — Stenn sewer(no.linear It.: ) 1 Pane 2 , Water service(no.linear IL: ) I Page 2 Subdivision:Polygon at Bull Mountain Lot 1.10.:2:6- Fixture or item: . Backflow preyenter 31,27 Tax map/parcel no.: Itp,:tp:m ,y:.„.:ri.- -4&*!:tiovici-jtil, ,V.::„.,..:,4.e. ltvfi„;..41;,?,:;,4„ Backwater valve 12.51 :4.:(...:,.:.,:,.6V.,.:,,,uw, , ..:,,,.....=.i,i, .,s,",.',....,7'":.7'.,.' ''' - 4 '' 16: Clothes,washer „ 25.02 Dishwasher 25.02 Prinking fountain 75.07 , Ejectors/Sump 25.02 I 11:, ..:,..0.',.: pAtx,4)4740 ,-..f.4:-L. ,,..,,,:14... ., ,,, ,[3.,..1-tgis t..t.,!•::...,,;.:.,: -.-,.,:::„,;,,:. Expansion tank 12.51 11 • Fixture/sewer cap 25,02 Nate;Polygon:Vi/L11,,LLC1 Floor drain/floor sinkiluib 25.02 i Address:109 fast 1.36 Street .Garbage dsposal _ 25.02 1 City/State/Zip:.Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax ( ) lee Maker 12.51 44„. .iasrpt,I.:,.4,,,4c..,::,;iu,,qt.!:,-:•,,?.Eteiisitket,,,.,got .•.t*....;... . Interceptor/grease trap -- 25,02 Medical gas(value:$ , ) Page 2 Business name:PolygOn WL11;LLC Primer - 12.51 Contact name:Angela GrajewSki Rod drain(commercial}, 12.51 Address:109 East 13th Street Sink/basin/lavatory 75.07 City/Statc/Z111:Vancouver,WA 98660 Solar units(potable water): 62.54 Phone:(36°)695-7700. )03-4442 1 —Fax..(360 :Tub/shower/shower pan : 12.51 Urinal ' .25,02 E-mail:Angcla.Grajowskigpolygonhomes,com 25,02 .. M....f'; rM:.'ia,''-, 'P?" WateF c1(')et '--,:-':,4 .*',';:t:-,.1-,--74•: '•-i-:.:*,,L':- .Waterheater .. I 31.52 Business name:BDL Malkin LLe ' Water pipingfDWV 56.29 Address:PO Box 85 Other: " 15,02. ' City/State/ZIP:Corbett OR 97019 Subtotal. Phone:(503)351-3903 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.:180345 :Plumbing Lic.nii,::P131582 State surcharge(12%of permit fee) Authorized signature: ri .... ioe,,,..t000e— TOTAL PERMIT FEE Print name:.Brinidan.LaoterI This permit application expires if a permit is not obtained within 180 days 1 Date: 8 III, I(,,, after ithas been accepted as complete. *Fee methodology set by Id-County Building Industry Service BOW. LISuildingWermitsYRLMO-PerntitApp.doc 10/01/09 4404,616T(101021COMIWbB) Mechanical Permit APPlicatitEGFIVEDFOR OFFICE USE ONLY Received ' p ^ City of Tigard Date/By: 0 as /(i �� Permit 1C°':N 5rat,lt,_6,0/6,-6,05 - Plan 13125 SW Hall Blvd.,Tigard,OR 97223 A G 2016 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I GARD Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for Internet: www.tigard-or.gov � � �� 6 r' Notified/Method: Supplemental Information BUILDING 11Isi r TYPE,- OF woiuo _COM CL4L FEE* St**Pl C.E ..FTSE LKLIS7 - + > - -. Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. ❑Demolition ❑Other: Value:$ 'TEG!4RY+ F 4� S 9t[CT N M.l. _.._.. 1V — - -- SID7N77AIEQ11Tht .. SFES*- ( _ ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total Heafing/cooling: —{ i ,IUB 513E INFbRM..... 11":Al.ID IACAT 0/1 ,_ . 46.75 Air conditioning Job site address: !t L Oc5kNi San t, DR- _ Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 1 61.06 61.06 Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision:Polygon at Bull Mountain Lot no.: 22.)- Other(� Other fuel appliances: Tax map/parcel no.: Water heater 23.32 13ISC1lJPTJ01�T OF'WORK Gas fireplace/insert 3339 Flue vent for water heater or gas Change 2"furance for basement to Heat Pump fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® 1;ROPF.RTiC- fN*1VER _.. .._ - Environmental exhaust and ventilation: 23.32 O 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 4 ®� �3 � ' 1 ' riOthep— MR � $ : ❑ O A � Ts2332 Fuel piping: Business name:Polygon WLH,LLC $14.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Gas heat pump Address:109 East 13th Street Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range • E-mail:Angela.Grajewski@polygonhomes.com Barbecue -,£t *x g _x W aPf s ' "'i - Clothes dryer(gas) Other: Business name:Apex Air LLC N-MT. � V4 Address:18004 NE 72' 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) TOTAL lic.:203034 PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: _d Date:8/22/16 L1Building\Pemuts\MEC_PermitApp_0401 3. oc 440-46I7T(l i/02/COM/WEB) Mechanical Permit Anniicaga t.cENEr) ,oR,„,,( t' i ..,,, ,,,,, ,s iteCeiva I' an "igt OR 97223 14 4 City itysofHTelligBai,d.,rd 303.718,2439 Fat: 503.598,196CSEP 2 0 2.016DinetRy. Permit Ho,: (lutiw Fweint tPbabtnalte‘view -11,,,it II inspection Line: 503,639.4175 - Dute Rcatf:.'II!. kg.v. la..SeePage2 for Internet www,tkaard-orgov CITY OF 1 turA=‘,;-...;\ Nunfind Method: SuppleMeM2i Infertnatina BUILDING nr\1191" ''' - ESE CR . --- Tyrz or WORKcommractim Fri.SCHEDULE ECIOIST Mechanical ricotta fees*are based on the value of the work k. NOV construction 0 Additionfalterationireplacernent perforrued,Indicate the value(rounded to the wart.%dollar)of all 0 Demolition 0 Other raccbanical materials,. or merit,.labor.merhead and roti ,,• , rATEoaRv or coNsutticrioN , RESIDENTLAL EQUIPMENT/SYSTEMS FEES, ID i-and 2-family dwelling El cotrunaciavindustriai 0 Accessory building 1111111111111ZSIZIE27212111 multi-nullify 0 Master builder 0 Other: Dr..raiption XIII FA, MINN ,/ -: JOB SITE INFORMATION AND LOCATION Radio main- In, ........ v Air eonditionial 1.111111111 Job site address: 1 sl,)20 SW SOne, Qr, Furnace 100;000 BTU Oath/tents) 11111111"111111111 . City/StaterLIP:Tigard,OR 97224 Furnace 100.,000+BTU idecnitveincl ININIMMIIIIIII IIMON111111111111 61-06 IIIIIII Suitelbldgiapt no.: Project name:Polygon at Bull Mountain IIME111111111111111111111111111111111M111111111111 Cross street/directions to jolt site Ilvdrorrie hot water st'stein 11111•111111.1111 ' Residential boiler(radiator or 111 I. hvdronici 23 32 Unit heaters(Mei-type._not elcetriel. Ill ME in-wall ia-durt sus,.‘, dal.etc. 46..3 Fluekent for MTV of'above 1.111. Oth,er IllginIIIIIIII Subdivision..Polygon at Roll Mountain Lot no.: lb " Other fuel.444,lin Oftl; Tan map/parcel flia:, Water heater DESCRIPTION OF WORK to's f °W-Cd4Sert all 3339 Flue vent vent for water heater or gas ContraciThr Change tire likCe 21.32 ' 1 .Ir.hter(- • satill' Ettill Wendt Bet stove 1.111 33,39 1 i AI/ ikc,. w<wil ..Wain-cc:1 111111 23_32 IMMINTERMINI.1111111111111111111111111 1101111111111111111111111111111111111111111111111111111111110 PROPERTY OWNER 0 TENANT Ensirrininrotal exhaust and ventilation: Name:Polygon WL1I,LLC Ranee hoettother kitchen 1111111!I ,.s . i — 1 e•ui merit Address:109 Ea$t tr Streetoth --------- Cles rimer exhaust 33 City/State/ZIP:Vancouver,WA 911660 Single-duet exhaust(bathroom. li tact co ,4 moots_unlit rooms) 2132 Phone:(360)695-7700 , Fax:( ) the Is .f ce fans 23.32 - ,14 APPLICANT • 0 CONTACT PERSON , Other: 111/111111111 Fuel =*4"tv,:, Business name-Polygon WLII,LLC $14.14.5.for first four;Stit3 for tarh additional Contact name:Angel*Grajewski IlifffilINIIIIIIIIIIIIIIIIIIIIII Address:109 East 13tit Strtet ) Gas haat, f IIIIIIIIIIIMNIN , WallAus.eadeantart heater IINIIIIIIIIIIIIMIIIIIIMIII Cit /State/ZIP:Vancout et-,WA 911660 • ' Water heater 1111111111111111111111111 0 FirMillignillffillillill 11111111111111111111111 Phone:(360)69S-770 Fax::060)6934442 ' IIMNINIIIIIIIIIIINNIIIIIIIIIIIINNININNINNI E-mail:Angelt.Grajewskipolygonhomectom TNN - , CONTRACTOR Clothes, ,,er ens) amiminim 13u.siness name:Apes Air LLC 11211111111111111111111111111 MgatatNICAL PERMIT rms. Address:1.0004 NE 72.4 AN't • Subtotal MEM CityiStatetZIP:Vancouver,WA 986116 Minimum penult fee($90.00) 11111111111 ---- — Plan review(25%of penult feel Phone:(360)3424109 Fax:(360)326-1769 State'surcharge(12%of penult fee) 1 CCB he:203034TOTAL PERMIT FEE Thus permit applieetimt expires if a ptrash is net obta ined s,iihki 150 daysott-tr it has hash at-rept:NI as compiem Authorized signature: ' Fee trteilinaolm set by TO-County Building linkrary Sere Board Print nantarli";---‘, / Date: 4 . , r.8.4z! ,r.,,,,ro--.1-\II ClftmlitAm.tt 01 tidate 4404t,r`I :r. :t Oki"it Lis t s City of Tigard IIICOMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: /1-1.577,2e/( — Q 0, —s-` Site Address: 15230 S knt S-e.i f-e.. 0 r . Project Name: Fc:.1,j y on o‘+ i:3011 Mc v ni-C,',rm Lot #: 2Q (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N QiW S i2 7 Verify site address/suite# exists and active in permit system. IZ River Terrace Neighborhood: ❑ No IZT Yes,See River Terrace Review Addendum Attached Site Plan Elements: 'Three(3)copies of site plan -Q-Existing structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper 'Footprint of new structure(including decks)with finished /Drawn to scale (standard architect or engineer scale) floor elevations /North arrow tility locations (required for new,may apply for additions) Site address,project or subdivision name and lot number JLocation 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.) /Lot area,building coverage area,percentage of coverage and Street names impervious area(applicable if R-7,R-12,R-25&R-40) /Street tree size,type and location Property corner elevations (2 foot contour lines if more than l t xisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean\Vater Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: E Yes,applicant was notified E No Received: ❑ Yes E No VI Public Facilities Improvement(PFI) Permit: Required: E Yes,applicant was notified ❑ No Applied For: ❑ Yes E No,stop intake 0 Land Use Case#: S U(Zo I S - O oD0 2 Z Zoning: R- 1. S Setbacks: Front 2_0 Rear I 5 Side 5 Street Side I S Garage 2 0 pr Landscape Requirement: Lot Coverage Maximum: % Building Height: Maximum Height 3 0 Actual Height 2-C3 4 Visual Clearance "ElThasements $,/Sensitive Lands: El Yes ❑ No Type YJ Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: COrtct ifons -I-iv be inn - prio -to 15S'val.nc_¢.. 04- buil cUncj e rm+-F , Approved By Planning: M0 Vit _ e 110 aCae,i 4A.. Date: 5/2q 1/6 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPennitRvw_RES_012116.docx eo Building Permit Submittal Original Submittal Date: _ 7 -V/O1. Site Plans: # 2 Building Plans: # Building Permit#: [ ''Enter building permit# above. Workflow Routing: ErPlanning Er Engineering g--"Permit Coordinator H uilding Workflow Sign-off: Et-Sign-off for Planning(include notes from planning review) Route Application Documents: P.-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: 7� Dater//,(v Engineering Review Slope at building pad: /21: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 4z 7 Date: 14.- Revisions /Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: 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: SDC Fees Entered: Wash Co Trans Dev Tax: Z>Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: Date: 1//D/I I:\Building\Fonns\B1dgPennitRvw_RES_0121 16.docx City of Tigard .11111 COMMUNITY DEVELOPMENT DEPARTMENT ■ r1 GA n River Terrace Building Permit Review Addendum Building Permit #: /1 S7r i'6 e),o Site Address: ( S 2 30 S W S ec n.e.. p r. Project Name: ?o I. 0 r Gi-I- Q v 11 M ov n ► eN Lot #: 2 e (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 IVA 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 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 '/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: X10 '►'1'1.i C- 3 '( O d 2(1 (A, Date: 5/ 19 I I co 1:•,Building lForms\BldgPermitRvw RES RT 031416.docx FOR OFFICE USE ONLY–SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ;IN I Transmittal Letter r n K n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Q DAIREfeEtwED DEPT: BUILDING DIVISION `'f I JUN 122017 FROM: j (r1d CITY Of TIGARD COMPANY: Vol y r IA) BUILDING DIVISION. PHONE: 97,- 5(93 Ift99s By;Ai612 ----- RE: ( 3) S J i.An� bf.. P4 to -42.?SS' rte Address) (Permit Number) SO 141 4k (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: /2. 704,8e_/9-7‘i ._< — /7C S 7-7?-/1-71' A/ ,/Z./9-",/ S , / --er-72-- .S// C0 y FOR OFFICE USE ONLY Routed to Permit Technician: Date: , i ) Initials'.' Fees Due: e. Yes p No Fee Description: Amount Due: Hr P) r. r cv $ 416-----___ Special -fee 6-9 Instructions: 11 Reprint Permit(per PE): ❑Yes t'l No ❑ Done Applicant Notified: -"J Date: 6/iz/7 Initials:�C " 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: 15230 SW SEINE DR, TIGARD, OR, 97224 October 13, 2017 at 11 :31 :34 AM Record Type: Record ID: Residential - Master Permit MST2016-00255 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No ac at this time. Note: sump pump not plugged in at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15230 SW SEINE DR, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00255 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed at this time Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15230 SW SEINE DR, TIGARD, OR, 97224 October 23, 2017 at 1 :55:04 PM Record Type: Record ID: Residential - Master Permit MST2016-00255 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