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Permit (59) CITY OF TIGARD MASTER PERMIT s COMMUNITY DEVELOPMENT t ? Permit#: MST2017-00040 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 j '�f Date Issued: 02/14/2017 TIGARD 9 AVL(/ �`�' Parcel: 2S108DB07600 Jurisdiction: Tigard Site address: 15227 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: 74 Project: Polygon at Bull Mountain, Lot 74 Project Description: New SF. 3/20/2017: REPRINT permit to add 152 sf deck. 9/11/2017: REPRINT permit to add 2nd water heater. BUILDING Floor Areas . Required SetbacksRequired Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2914 sf Value: $353,300.50 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types . Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit . Service Feeder . Temp Srvc/Feeders . Branch Circuits . 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 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 2914 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC 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: Total Fees: $34,048.39 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 . ' •�i-11-0t t0.YYoouu mmaayrobtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �'`e �- Permittee Signature: G14/ AlG/r -77U 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. RECEIVEP Plumbing Permit Application Building Fixtures SCP 1 1 2017 Foil �irrlc�, USE ONLY i Received Pannit N« City of Tigard � 1 . r,�.. Dater;y: ��� -S 0/7 °-�1�O�l? w` 13125 SW Rall Blvd.,Tigard,OR 972 x T�^ Plan Reyie�v Uther Permi�No.: d Phone: 503.718 Fax: s 141 ea I;N€7 s 1... 0 DateiBy: Inspection Line: 503.639.4175 Date Readv Icy anis 8l See Page 2 fur t'1 C A K T} Notidcd/ii tefhod Supplemental Information 1ntCntt,t. t�'tvtv.tigtntrd-or.}�cn .. ,�r�. ..-4- i5:•:.vao..� .. ..,s•;.;:;,yr�R;;�E'xs'�;. Y"."; 'L;,'�'�ek? "° w R�'tr�°.i`t'�F�r4'�� iµt ��S�.S�:3 -�.,,' '1[ or - ' x+R ,,,.�: � � �,y icn..rj�,� .a ���ffi. �l"as` .,�'F� �a... ; o c o' 2 ,. "; s �..•es..,a. �7.��'','.•;ra�.�• ` . .. �1 :•�,;�_•. '��a� „ � �. m - ®New construction 03crrolitut For special in amativa use checklist Description ty. � E:a. j Total New 1-2�famil dwellings(includes 100 R.for each utility connection) ❑Addition/alteration/replacement 0 Other: Y - W _ - � �'�` '� Q, 1;�' '' -�,��„ ., SFR(�)bath �® "`� 31270 SFR O bath 437.78. ® I-and 2-family dwelling 0 Cott mercialhndustnal SFR(3)bath 500.32 ❑Accessory building 0 Multi-family ----- Each additional bathikitchen 25;02 ❑Master builder 0 Other Fire:sprinkler( sq.ft.) Page 2 Page2 y,a: s"0• S it'l 94 0 t„ 00 6 L, , r :!, '.f4 Site utilities: Job site address: 51 S\pj5 ,i....) - Catch basin or area drain 18.76 Drywell leach line,or trench drain 18.76 City/State/ZIP:Tigard;OR 97224 — Footing dram.(no.linear ft.: ) Page 2 Suite,lildg.`apt.no.: I Project name:Polygon at Bull Mountain -- Menu-fltctured home utilities �« 54:03 • Cross street/directions to job site: Manholes 13;76 - -- 18 76 i Rain drain connector -.__ _ Sanitary sewer(no.linear ft.: ) Page 2 • -_ - --- ' Storm sewer(no.linear fl.: ) Page 2 _.._- Water service(no.linear ft.:�,.) I Page 2 — Subdivision:Polygon at Bull.Mountain - I Lot no,I L _Fixture or item: Raekt}ow=preventer 31.27 Tax rnap/parcel 110.: �, Back-Water valve }:2. ! i. .A.a i', [ , -t,, ”: er.. r r J.�,Se,.*6*'� -+ •.,� 25.51 s..� a#xt 1* `''i ,a`a« ,I-i .. .Tani; 0 :?e»:..��,. .0 61 f a7ey,v clothes washer --- 02 Oaa' 4 �. ' \U 6,-:k:"-ry6F-fkeAr. Dishwasher 25.02 Prinking fountain 25:02. EJectorsfsump 25,02 .. ',.1111,1P401*,.. :a :467,04e4 1 xpansi°°tank 5l �,.,t,.. !`-� LI- Fixture/sewer cap 25,02 Name:,Polyggn WL11,LLC — .Floor.drain/floor sink/hub 25.02 Address; 1 D 3 . ,A .A. l ! Qarbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 . Rose bib 25:02 Ice maker 12.51 1 _I Phone:(360)695 77(10 Fax ( ) 21.51 -� �r�1rk,,. r..3 eori fi .� ),.y, .:47--:',iwigid. -'" <ma - �.x..Vat ltttercCptor/grCaSC trip Yet..k r -V 4t^ 1~ Page 2 .;. € . , Medical gas(value:$ ) g I3ttsiness dame:Polygon WL11,LLC Primer 12.51 Roof drain(commercial) 12.51 Contact:natrte; S�InOIeTil�v125,02 Address:--V03 G(('o i_ it • Sink/basin/lavatory Solar units.(potable water) 62.54 Cify!Stater`LII':.Vancouver,WA 98660 12.51 i Fax: 300 693-4442 Tub/shower/shower pan Phone:(3:60)69:k770U. ) 25.02 CM.. n Urinal E-mail.: L CiY L AU. ..,,,„,„,„,11 0 9'}� !lk 'V., t Water closet 25.02 i, 'ast'y frret s ,:: '',.'..,,,',4,,,,,,7,- . , 7 ;.1 4 6,140#:0:::; e :r.'q 37.02 sw c P.al t" f. x ,•.,. ,i.: -ri'�',2'.z ..' a�...A4 «-'i'4 ..xM r',Y^e„ ,.. 7, ??„ ... . .. Water heater Business name:.BDL Plumbing.lit — Water piping{DWV 56.29' Other; 25:02 Address:PO Boxl3S Subfetal City/State/ZIP:Corbett OR 970:19 Minimum permit fee: $72tal ['hone:(503)351-3903 Fax ( ) i - Plan review (25%of permit fee) CCB Lit.:180345 i Plumbing Laic.no.:P13I582 I 7 State surcharge(L2%of'perinitfee) TOTAL PERMIT Authorizctlsignature: �..,,,, to„ ,e_.* ,."-- j rats permit application expires if a permit ii LWrit'ObtainedFEE within 180 days I Print name:Brandon Lanter Date: after it has been accepted as complete; *Pee methodology set by'Id-County Building Industry Service Board. ialiuiiaing;ratrit$?ri�tti.rprrn;t.,pp Inc 1,0/01/09 44o-46ia r(wroarcONt'v n n) CITY OF TIGARD MASTER PERMIT 11 4 III ' - COMMUNITY DEVELOPMENT Permit#: MST2017-00040 Date Issued: 02/14/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439�� ��, parcel: 2S108DB07600 Jurisdiction: Tigard Site address: 15227 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: 74 Project: Polygon at Bull Mountain, Lot 74 Project Description: New SF. 3/20/2017: REPRINT permit to add 152 sf deck. 9/11/2017: REPRINT permit to add 2nd water heater. 9/13/2017: REPRINT permit to add irrigation backflow. BUILDING Floor Areas . Required Setbacks Reauired . Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2914 sf Value: $353,300.50 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvpes • 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 . Tema 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: 5 201-400 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 2914 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC 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: Total Fees: $34,083.41 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throu•h OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987.187or 1.800.332.2344. Issued B . .�/''/ JC---- Permittee Signature: ON C 9 646/ei---770A,7" 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 AnplicaltiRECEIVED Building Fixtures l�OR OFi iCE, USE'ONLY CI of Tigard S E f 1 ? 2017 Received ( ateiBr. / /3 /7 Pennif Ni% OJ j/�/e Ilh ©9 0 c115 SW all Blvd.,Tigard,OR 97223 Plan Review III Phone.$03.718.2439 Fax 503, 9I:T911b OF'r:I G l .) 1)atc43y: Other Permit No.: Inspection Line: 503.639.4175para R.¢n(tv:Dy. _haw 81'See rage 2 far t'tGAlil� 1nternel svwwtigtrd-Or.gov IiLDING DIVISION- Notified/Method: Supplemental Information a r.- ` 5 '+-.s,Pg ' t a ,.-. ..0: C- ' 4 y3q'r r tX40315204:2:''�L • n .G-i t.;.a, ,,...e�: Y7� „LL,... li `� -, . .:.X?7 �@ „' t ?4�2�:-s g niutwg ff..,,, is ..?., ,...'k'r.`., Mia, s... L` �1 .�$ ••-tow VL.n: ..s ... , z:,;. ®New construction ❑Demolition. For special i oraxriion use checklist. Description I Qty. I Ea. 1 Total ❑Addition/aiterntion/replacement 0 Other: New'I-2-family dwellings(includes 100 ft.for each utility;connection) 1;,-11 : ( s�^,.s .44'-'44I,'S ` SFR 1 bath 312.70 4 :` `"&--z;-.a'�L '. r .�"`t� i�R,:.)f ... .�ny,.s-za.sa. . :t. 21,:-I •i;.....i 31EA:: ( � 0 1-and 2-family dwelling 0 CoMMereial/industrial SIR(2)bath 437.78 '---" SFR(3)bath 500.32 .. ❑Accessory building _ 0 Multi-family - Each additional bath/kitchen 25.02 ❑Master builder 0 Other. Fire sprinkler( sq.ft.) Page 2 . w c_ __t4 B S*-Tstep Oyt Ay �rd � �F• Site utilites: .. 'i� . ..i,.v. !Lr.,:rw: f. .M.. .. nAHeA ..r�..RC_� . t._.. x3^ yt1 ,4 I 1(?b site address: C� f \j,„) 1�� Catch basin or arca drain _ 18.76 C 11 i)rywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 - - ._ --- Footing drain(no.linear ft.:,�) Page 2 Suite/bldg./apt...no.: Project name:Polygon at Bull Mountain M,anut etured home utilities 50.03 V Cross street/directions to,job site: Manholes _18,76 - Rain drain connector __ 18.76 - "` Sanitary sewer(no.linear ft.: ) Page 2 _ ^ . -- - _....._ Storni sewer(no,linear ft,: ) Page 2 Water service(no linear ft.: ) Paige 2 :' - - Subdivision:Polygon at Bull Mountain IMIN Fixture or item: Tax trap/parcel no.: Backfiosv preventer 1 31.27 : vt ,.y,. -194:1W,..y a:� �'I,lib it •-t ` �f' " Backwntt.r valve (2.51 ...•t . . . ..� .,... :,4. , .. ..,..„, r ..•.. v a, �+tt .,. +'; Clothes washer 25.02 at (d1(Yr 'J{ ,gni t,..FI&' '.2k Y01±(-` Dishwasher 25.02 - / f..c7 21/7 -000 O Drinking fountain 25.02 Ejectors/sump 25.02 - lA�Hl( .:10i'h x' 1:':1 : ` WExpansion tank 12.51 ix : i.., ..a7 -r a � - rte,. 't.'. ^ ?,w _ W Name:.Polygon WLII,LLC i ixturelse vcncap 25,02 - Floor.drain/1100r sink/hub 25.02 Address;.1 U3 , st (S'4i S - , Garbage disposal 25.02 City/State/2:IP:`Vancouver,WA 98660 :• Hosie bib 25,02 Phone:($0)69S-7.760 Fox;•( ). ice maker 12.51 -I ay....,-s 1....:,..4.15,..4- 0...v-,:v.•,, � � M ��,§ .{r � ,. 'c , " i , , h Interceptor/grease trap 25.02 .182:%,..i...,� u�.,t : _, °,,. ` +� R. �. , aa Y ,,, .. Business nate:Polygon WLI{;LIC Medical gas(value:$ ) Pan 2 I. �`] Primer 12.51 Contact.rtameWiati0/e t'/vY4yy RooPdrain.(commercial) 12,51 Address::c ,SI-S c S70 .. .Sink/basin/lavatory 25.02 City/State/ZIP.; 866l Vancouver,WA 9 •Solar units(potable water) 62.54 Phone:(360)695-7700 Fax: (360)693-4442 .Tubtshmver/shower pan 12.51 _... .. /rinal 25.02 F^madj V IA 1 411.. � A e / / A /i• Nater-Clnsef rt „ I RTa • e �1P7 ; , t r- + • 25.02 37.52 • Walef heateF Business name:BDL Plumbing:LLe _, Water piping/QWV 56.29 Address:PO Box 85. Other: 25:02 City/State/ZIP;Corbett OR 97019Subtotal Phone:(503)351-3903 far;( ) Minimum permit fee: 572.50 j CCB l:ic.:180345. Plumbing Lie,no.:PB1582 Plan review (25a/4 of permit fee) State surcharge(12%ofpermit fee) Authorized signature: z„�,✓' TOTAL PERMIT FEE - This permit application expires if a permit.is not Obtained within ISO'days Print name:Brandon[.anter Dote: after it.has been accepted ascompiete: • *Fee methodology sot by Tri-County Building;Industry Service Board. 1;tBuildingsPennital.Mtl-PcrmitApp 10e 1(1101/00 440.4(I6T(10102/COMAVGB) CITY OF TIGARD i .µ .. MASTER PERMIT II 1 COMMUNITY DEVELOPMENT �;�� Permit#: MST2017-00040 Date Issued: 02/14/2017 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB07600 Jurisdiction: Tigard Site address: 15227 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: 74 Project: Polygon at Bull Mountain, Lot 74 Project Description: New SF. 3/20/2017: REPRINT to add 152 sf deck. 9/11/2017: REPRINT to add 2nd water heater. 9/13/2017: REPRINT to add irrigation backflow&increase deck area from 152 to 200 sf. BUILDING Floor Areas . Required Setbacks Required . Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2914 sf Value: $354,371.86 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: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit . Service Feeder . Temp Srvc/Feeders . Branch Circuits . 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 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 2914 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC 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: Total Fees: $34,091.24 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: i 1W -- Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017 00040 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2017 :: Parcel: 2S108DB07600 Jurisdiction: Tigard Site address: 15227 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: 74 Project: Polygon at Bull Mountain, Lot 74 Project Description: New SF. 3/20/2017: REPRINT permit to add 152 sf deck. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2914 sf Value: $353,300.50 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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: 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'I 500 sf: 5 201-400 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 - 9#tE # € BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2914 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC 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: Total Fees: $33,935.25 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: Ore.. 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 ••2-01 -0.90 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. All a/ Issued By: '` Permittee Signature: v1 F -`c97�L'�� 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. 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 N. " 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 RECEIVED: DEPT: BUILDING DIVISION RECE FROM: Angela Grajewski MAR 14 2.017 COMPANY: Polygon Northwest ..,� rrl' OFT IGA Dx �- -,_ 1 is 1 4, jf PHONE: 971-212-2144 /5-i g '7 st ) S6-/tJG Zee- tO'f' RE: e -- RE: MST2017-00040 (Site Address) (Permit Number) Polygon at Bull Mountain lot 74 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS ate: Description: €pi+ Il c iptig d If * ,44- A 7 0 Additional set(s) of plans. 3 Revisions: deck 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): add deck due to terrain Routed to Permit Technician: Date: 3(2c://7 Initials: 7 f. Fees Due: at Yes El No Fee Descrip{tion: 2 c C lG j52-- Amount mount Due:: Y ri, f / -.L y f#. , 1 - $ op) � $ t - % $ 4 v $ Special Instructions: Reprint Permit(per PE): 1Yes ❑No )Done Applicant Notified: /fire- - Date: 3/7c/r7 -71,-/---/L__ Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 . c City of Tigard COMMUNITY DEVEI OPMENT DEPARTMENT III ■ T 1 G A R D Building Permit Review — Residential Building Permit #: /7S7-020/7 --°D0 va Site Address: 4S-0.2.3-- .c4t) /i219 $67 Project Name: Rp// y/ * ea/1 /Ar.iih4,4 Lot #: 91/ (Newg subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /veto 3Ce PI/Verify site address/suite#exists and active in permit stem. Ei River Terrace Neighborhood: 0 No 1101 Yes,See River Terrace Review Addendum Attached Sire Plan Elements: ee(3)copies of site plan f'sting structures on site itelan must m t lI'e on 8-1/2"x 11"or 11 x 17"paper iG Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) or elevations Orth arrow Utility locations(required for new,may apply for additions) ite address,project or subdivision name and lot number ,11 10. ation of wells/septic systems pplicant information(name and phone number) g`! ling trees to be retained with drip line,and tree rd Lot dimensions and building setback dimensions • tection measures II f.t area,building coverage area,percentage of coverage and rA treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than 4 foot differential) J lean Water Services—Service Provider Lett(lot platted prior to 9/10/1995): equtred: 0 Yes,applicant was notified ' No Received: 0 Yes 0 No Public Facili44 Improvement(PFI)Permit: utred: 0 Yes,applicant was notified 0 No Applied For: YJ Yes El No,stop intake U/Lad Use Case#: 4 O j — y ` oning: / — ..." 1-"7--- — _ i e .e arage _ jy ai , dscape Requirement: r' "" •t Coverage Maximutn: % 1YBuilding Height: Maximum Height &7 Actual Height oGF3 • isual Clearance 71 Easements 1 b ensitive Lands: 0 Yes 0 No Type Y1 rban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: ,* Date: 'IMF Revisions(after Bing Submittal only) Review to Revision 1: q0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:1Building\Forms\BldgPermitRvw_RES_09 t 216.docx Or 4 Building Permit Submittal Original Submittal Date: i/2 y//7 Site Plans: # 3 Building Plans: # j Building Permit#: CY-Enter building permit#above. Workflow Routing: Er-Planning iia-Engineering B -Permit Coordinator ❑""ding Workflow Sign-off: E"Sign-off for Planning(include notes from planning review) Route Application Documents: E'Engineering: (1) copy of permit application,(1)site plan,(1)building plan and I al plan review routing form. ir Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 4 Date: 0U`/7 Engineering Review Slope at building pad: !� Conditions"Met"prior to issuance of building permit ❑ Easements(encroachments)per engineering conditions of approval and plat 0 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 Yes 0 No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: ,4/ .0 Date: (--_,47.-17 Revisions(after Building Submittal only) , ewer Date Revision 1: 0 Approved 0 Not Approved 14 3./14-1 7 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit _ / Approved,NOT Released: /0/Date: 1 31/1 (g0. 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 C Fees Entered: Wash Co Trans Dev Tax: es 0 N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes 0 N/A �=' OK to Issue Permit )10.___--.1. ./ f/i 9– dApproved by Permit Coordinator: ,Zate3//1.'/I-9— I:\Building\Forms\BldgPermitRvw_RES_091216.docx CITY OF TIGARD MASTER PERMIT 1 COMMUNITY DEVELOPMENT Permit#: MST2017-00040 T 1 Ck' ;A .1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2017 Parcel: 2S108DB07600 Jurisdiction: Tigard Site address: 15227 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: 74 Project: Polygon at Bull Mountain, Lot 74 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2914 sf Value: $349,907.86 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 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 2914 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC 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: Total Fees: $33,813.95 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: M-2\4 hi/' r permittee Signature: ._.C( _._ a,/tea. G`jCall 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. v Building Permit Application �Q % 7Y/ itis t FOR OFFICE FSE ONLI RECEIVED Received , City of Tigard Date/By: // �/7 i �$ Permit No 7/7--OOC29O IIII 'I 13125 SW Hall Blvd.,Tigard,OR 972Tu Al 2 4 2017 Plan Revie( -� OtherPe> � ,✓ Phone: 503.718.2439 Fax: 503.598.1 d Date/By: J"3 J' /�t7 /�'©� 3J TI G A R D Inspection Line: 503.639.4175 Date Ready/By: f� C , Jas: Ea See Page 2 for Internet: www.tigard-or.gov CITY OF rIGARD Notified/Method?/� Supplemental Information BUILDING DIVISION ,..4e,,4-it. u '7e" r tP t ° �._ ' . t ii I , r al I , i� °.: ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and jute pr fit for the t , t '' e t •# work indicated on this application. 3l�L�1 0-I ® 1-and 2-family dwelling El Commercial/industrial Valuation: 4 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder ❑Other Number of bathrooms: ", ,l F Total number of floors: 2. 3 3 Job site address: k. ,(Iv New dwelling area: luare feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: /� square feet Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: 1.-/ 2 square feet , �[� Cross street/directions to job site: Deck area: square feet 178 Other structure area: square feet 3 ; Subdivision:Polygon at Bull Mountain Lot no.: 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 TI-` dt s E ," work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ,4 xaff f z :, Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 East 13th Street Occupancy groups: City/State/ZIP:Vancouver WA 98660 Existing: Phone:(360)695-7700 Fax:( ) New: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount received: t t n^ as E-mail:Angela.Grajewski@polygonhomes.com ..•,a; ,, ,,, , ., .: gyri Commercial and residential prescriptive installation of ,, , ;' roof-top mounted Photovoltaic Solar Panel System. Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(368).695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:204238 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:5/2/16 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • Mechanical Permit ApplicatiFECEIVED ,„,,,,,, „ u ....._ City of Tigard 000nved - 1312.5 SW Hall Blvd-Tigard.OR 97223 JAN 2 4 2017 Dateilly. Pion Review Permit No/C/17;20/2-.,e(20 re Other Pertim, Phone: 503.718.2439 Fax: 503,5981960 Ditteily- Inspection Litie: 503.5394175 CITY OF TIGARD Date Reem.fiv, lam WI See Peet 2 tor , Internet: www.tigard-or.gov BUILDING DIVISION Notifieddielehod Supplemental Information ifei,07:,.i.z,..:.,A,,,ci4L4,2,4,,,,,o,,A&,.„pe•L-2i-"'" 'I' ':';':,,:.'''i.'S').(.532.30(7.72,,",","-,.-II,e- ',..*;*.„)(S-.4,7(.$?4,-;(, ,.;-2-,i- (:.,t,i. ,* ---1V44,,*:1— 0' -;wi-,44graVganigilsp, ;'. «,,,,,..ipmr...;-,hzcs4m:, •:-;-.-r".-.•10.0,1e-04.4--. . -...-',0,--,,,f„:„;„ ....,..yr..v..'e,..-R.*Fi'As,.-...=1-weR-1,404-../;,..-2,4......,4-4,., ««-'- -----••,' '' -'. '' ' • --- --' ' -,---- -- --- •'-- - ",',« Mechanical permit fees*are based on the value of the work i New construction 0 Additiottialteralionfreplacement perforated,Indicate the value(rounded to the nearest dollen of all 0 Dernolition 0 Other: ,,,mechanical materials.equipment.labor,overhead,and profit Value:$ ''1":'':'"4-:'• il:(04ittIitikkl*'alttiftitiltatelltet: :l<,#-. -V*4..i"*;?•?-;'','"'. /---,(.---,-,-,- ----- '-- - --- — -,-: •- -- • ,-, -,„.„. --3..,2.--,--,,,,,, ,,,,,-,,,;----,„„, -,„,,,,, ..„,,,,,,,,-,,,,--,„,,-,„, „,-,, ,, --,s,-..4.14,.:,..,• ;.4((„:•,:,-;,":,/,:.',',......'n ) 94...."; :": t))3 , ..„,,,-....**#*11,*$*fili,*; El 1-and 2-family dwelling 0 Commerciatindustrial 0 Accessory building Far spechathrfannadon axe cheat& r Multi-family 0 Master builder 0 Other: Descrtption 1 Qty I EL I Total ' ',::-...1.'.'','-1%%''''.0.4f':,..:.•,:ixtr ',..:,`...,,t&iii0.1%,14........itiatmi*." , .4...,„L.,,,,--.!,.....':':,-*,:-F,--,-:,-:.,;::-.:,,4-fi-p'i,,,-:-l-.7,-,..:-.-&....- , ., .. An condttioning Joh site address:1622,i: svi S ..,i,m _ f / Ve-4.. Furnace 100.(Ria BTU iductsNentsi t :17755 City/Stale/ZIP:Tigard,OR 97224 Furnace 100,000.BTU iductsn(onst 34-91 , I lest pump 61.06 Suite/bldg./mt.no.: Project name Polygon at Bull Mountain 2332 Duct vvork Cross street/directions to job site: I()Auntie hot water sx-stem 23,32 Residential boiler(radiator or hydronic) 23 32 Unit heaters(fuel-type,not electric), in-wall,trodaet,suspended.etc 46,75 flueverit for anv of above 1 23.32 Other 23 32 . Subtlivimon:Polygon at Buff Mountain int no.1 Other fad appliances: fax map/parcel no.: Water heater 2332 Flue Seat for water heater or gas fireplace 2332 Log lighter(gas) 2337 Wood-pellet stove 33.39 Wood fireplace/insert 23,32 Chinmeyilintriflue/vent 23,32 ,, ;,", --, ,--,',0:fiittnile4t.i(litioloixtle, „*"4:',V(;1,•:;,:**I-F(,,RVe --;-,41, -''',' •:-.,:• -g,i,, ,,-.•S,"('-,.:3i-7-',,'‹:' " ' 2332 9''''''''' ''' ' ''';'''' Environinental-exhaust and ventilation: Name:Polygon Will,MC Range hood/other kitchen equipment % 33 39 • Address- 109 East iP Street C lorhex dryer exhatod i 33,39 City/State:71P:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet coinitartments.utility rooms) LA' 23 32 Phone-(360)695-7700 Fax:( 3 Atticierinvispace fans 23.32 1 ;:-,l-Ilt";;'•. ''W.-10,%1'','„,„'''',-%1ZI"'f7":0'1"z;.,;"4:<‘.'::.",14:ifb.-;lk):,,,toitz,57,,,,,;00F":"t"Yr,''' •"'"':,-"•°:ii-WiC,,,iI " Other23,32 -,,,-..:-..1',4".:: 'Y.." .--wis,4***:....--'4•Vtitte-Avslitita t',K4-,,,,,iss-,•••,1444,'S:41,44- 4,3,74,i°,,,ii,:-44ilsof • . . , l Rosiness name:Polygon W1,11,1.1,C Fuepiping: . 514.15 fur fkst four.S4.03 foe each additions! .. . . . Contact name-A rigeb Grajewski Furnace,etc. Address: 109 East 13th Street Gas heat pump Wall/stispendedionii heater CliviState/ZIP:Vancouver,WA 98660 Water heater Phone,(3601695-7700 Fax::(360)693-4442 Firepbee 1 Range E-mail:Angelit.Grajewski(aDpolygonhomes.torn Barbecue ..„,ll j,,W.1...('-2'Y;(,',,,,O'll:l:gev sat.,•4•(„,,> •,-,:‘,T2--•-- ', ' ,','*----' ':;•'V.'"WAr-(;'1-;.:'''.-,;:,,..5i4'-',,,'.1V.',1-i:?.. ,-'-/--,44P-t,i,-,,-,". ‘,/...„1..„,,A Pilf"4'1'.k•O',..t^:;',S1',,t'i. ..!'•411.z..Ait.)Mit'Illig,:s.-',,,it,,:";.:—...ts4;,..--,k;!3,5,-,;;;:v.;,;;ih*,,(Fv:, '' ',.,,,001F.4-‘,::/fn ----ur-s-"`"(gas) Other Business name:Apes Mr LIE ' ' '/•;::-,!;;I : '' 'ili:i:? :- Address: 18004 NE 72"Ave Subtotal . Cit.).State/ZIP:Vancouver,WA 98646 Mitirriono permit fee($90.00) ---' Plan review(25%of permit fee) Phone:(360)342-8109 Fax:1.360)326-1769 State surcharge(12%of permit feet CCB tic:203034 TOTAL PERMIT EEE This permit application mains its permit is ant obtained within the days atter it has Ikea accepted as completc. Authorized signature- — . Fee methodology set by TO-County Building!otiosity Service Board iI rame. 4^. / 1 'im nDale: 4-ti./t..., I favAsiosgTormK1,1LC_PtavtItApp_rf401 It do, 44a4t,t7T, POZ-VON4 Vail i ..111111 , • mettrical Perm itApplkaji9R ECEIVED IIIIIIIIIIIEIIINIIIIIIIIIIIIIIIIIII City of Tigard 111 13123 SW Hall Bh-d_,Tqpird,OR tew Phone' 503 718 2439 Fax 98 Inspection Line: 503,639,4 175 503.597223.H1960AN 2 4 2017 1,',::::':..Y thdolly• crry OF TIGARD Ready Datray" Prnn't*NCZ2V/7 -00090 Related Penne% hint lift Ste Pagel far Internet wwwitgard-Or gov BUILDING DIVISION N66fiedMelliad' SaPPleottialat haorinahani 0 New construction 0 Additionlalteration/replacernerit Please auk all that apply(submit 1 sets. plans wherns&mired) 0 Service or feeder 400 angsor more 0 gadding over dime stories 0 Demolition 0 Other _ ,,.,, , where etc available(auk arrant 0&boats sad boatyards : :'"' :Ey::,r2X7::::iii :".0- ,, eactieds10,000 amps re 150 voila or 0 notaang holdings S7.4 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Pasta groonit Or exceeds 14,000 0 Commactal-use agneultural amps for all other installations bulldogs. 0 Multi-family 0 Master builder 0 Other: 0 Ffft pump 0 installation of 150 KVA or 0 Addition of new motor load of aYalein Job a: Job site address:/52271 SIA) SE,ti..)5_, 02.. imp or mon, 0 Si or more residential units, occoPaiwY City/State/ZIP:Tigard,OR 97224 014ealtb-care facilities. 0 ltecreational vehicle parks. Suitelbidg./apt.4: Project name:Polygon OA bull hAtkukkii:v. Eil Hazardous locations 0 Supply voltage for more than Servicefeeder 600 amps or more, 600 vans nominal Qy. Lack Total • New residential single-or multi-family dwelling unit. Subdivision:Polygon Ak- 64.11 mountain Lot#: q Includes attached garage. Tax map/parcel 4: 4000 sq.ft or less 1 168.54 4 ,7' TX73:::72:'zi:;-„;17.;.-7.17;:iciZX'Zr a addi 500 sq ft or portion Li 33.92 I Limited energy,residential 75.00 2 (with above sq.It) Limited energy,multi-family 75.00 2 •-•::••'.0„:,,,';':::;•:7'7."7:,','",. ;I''' '°71,444.440..74:,. s. ::::-..:tf, '‘'':7",.Tai:f,..::' ''fF:,,aL,Iii re-J-6a'(with atA've sq.ft') Name:ADVL Land Holdings,LLC Renewable Energy 0 See rage 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 Phone:(602)694-4031 I Fax:( ) 201 maps to 400 amps 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 to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. over 1,000 amps or volts 552.26 2 Owner signature: Date: ',,• -..,:--7, ,-=';4717.4iriZr.Pr-,,,,--,,,,,,7-4.4.;:k7,-,44 ri,,,,,,.,„ ..0,...,„,,,i=rt.ricy771,,,,,,,,,,,,,,..„ Temporary services or feeders installation,alteration,and/or • *.t.'''',- relocation Business name:William Lyon Homes,Inc. 200 amps or less 59.36 I Contact name:Angela Grajewski 201 amps to 400 amps 125.08 2 Address:109 East 13th Street 401 amps to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits-new,alteration,or extension,per 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.Grajewskitgpolygonhomes.com each branch circuit ,):::174:7:77:7777'7,17VE;:1741, 11,1T B.Fee forservibranch0 . eireâer feeeelZheet 56'18 2 Business name:*lamed*electric branch circuit Each add'l branch circuit 742 2 Address:3415 it.44th Miscellaneous(service or feeder not included) City/State/ZIP: fl,,-,/jai,„,,e 1,/a /4" 7.2-/3 Eachmanufactured°r modular 67 84 2 ' dwelling,service anclior feeder Phone:(503)3192192 Fax:( ) Reconnect only 67 84 2 Email:solarpds*Ene.cont Patric,or irrigation circle 67 84 2 CCB Lic.: 199188 Electrical Lic,: c923 Suprv.Lic.: 9,f7/5 - - Sign or outline lighting 67.84 2 Suprv.Electrician signature,required: Signal circuit(s)or limited-energy ,...., ,,,,_ 'Print name: k k /1,40ae,-,C I Date: 5—/Z3//01,1 panel,alteration,or extension. Li aye Page 2 2 Each additional inspection over allowable in any-of the above Authorized signature' Additional inspection(I hr mat) 66 25.hr g Print name: ...up).....___.-.------ Date /Z3/4 investigation(I hr nun) 9000'hr l'esaidiftwsentatALCP ElliEREdot Re.MA Ilail$ 440.46istriimicce.o.vEa • . Plumbing Permit Application Building Fixtures RECEIVED J., ()FFICF. 1 SE OI.‘ City of Tigard ,.1N 2 4 2017 . Received Date,13y: Permit No.:HST2o/7_011a ,,- - 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review • , Phone: 503.718.2439 Fax: 503.501840a • - Ul- -KA i T TIGARD Date/By: Other Permit No.: . . . ... ., Inspection Line: 503.639.417 1 i t''Al'L" Internet: www.tigard-or.gov Date ReadviBv- BUILDING DIVISION Notifiedmiied;o'd. torn 10 See Page 2 for Supplemental Information Allojecl,;:',Z.f`l,k• j;iri*I*AORZ:IF!',ArkV.: lig*i -14,1M:titr-T•;34::.*,:::iiri ma 7,-;ffterfAk:v 0 New construction D Demolition For spechrintorrnation use checklist Description I Qty. I Ea. I Total 0 Addition/alterationlreplacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) Z41P-,47'- I '*i.:-'ii':'IllVtitrfit!XTrl'c'4i;,-ew.::iniilar, SFR(1)bath 312.70 SFR(2)bath 437.78 0 I-and 2-family dwelling 0 Commercial/industrial SFR(3)bath 1 500.32 0 Accessory building 0 Multi-family - - Each additional bath/kitchen 25.02 ' 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 4";;,J4II.O1W•IS,,a .:,=,.: ii010,:Cr:*;'ci4,,II:I,Stit:71 :,.',T_$' Site utilities: Job site address:/52:2.-1 ,Ski\J 34"A Catch basin or area drain 18.76 -. 6.-.41i\rr**""`D-2'..6*r"-C--*- - Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Manufactured borne utilities 50.03 .... Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 ----- , Sanitary sewer(no.linear ft.: ) Page 2 - - •••- - Storm sewer(no.linear IL: ) I Page 2 • i Water service(no.linear ft.: ) I Page 2 ... Subdivision:Polygon at Bull Mountain Lot no.:1 14 Fixture or item: Backflow preventer -1 31.27 Tax map/parcel no.: - 1 -- --, - " Backwater rvalve rl:,'''' :ll.; l'-''''I''':?T'reifi::li:soitiff,i C#I.2`IATIFfl.'-11IeW: 1251 25.02 • Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ...... Akvii*elii*-iiriek,a,:,*,,1*a.4.*:a fois11646:-.:71/0.1:-44, Expansion tank pit Fixture/Sewer cap I 25.02 Name:Polygon WM,LLC -- Floor drain/floor sink/hub 25.02 Address:109 East 136 Street - Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 i::.t.'°.:I,..(4*(14kr,W.,4):, '1r W4.44r1;:iS Interceptor/grease trap 25.02 ,,,- -,,,i.,'Ir•--,-,', .- •-•, -,,,,,,,,,-,,-,- ,,A, z ,A" Medical gas(value:$ ) Page 2 Business name:Polygon WLH,LLC Primer 12.51 I Contact name:Angela Grajewski 12.51 Address: 109 East 13th Street 25.02 m - Roof City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/showerishower pan 12.51 , Urinal 25.02 E-mail:Angela.Grajewskigpolygonhomes.cont Water closet 25.02 ; '*.i.f4" s'rM;•.. •'•ORiG,,,,,.,.,.'44'f:p:•'•-Srgrs:„.Vr-Itii, 3E6'' • Z,2'.:' ,',.!A0,40.4,«': 4ei'ati,i'',' ,.,v---t z-,•-' , :',',,,,,,''' "' Water heater 37.52 Business name:BBL Plumbing LLc Water piping/DWV 56.29 Address:PO Box 85 Other: I 25.02 City/State/ZIP:Corbett OR 97019 Subtotal ' Minimum permit fee: $72.50 Phone:(503)351-3903 Fax:( ) Plan review (25%of permit fee) CCB Lie.: 180345 Plumbing Lic.no.:PB1582 State surcharge(12%of permit lee) Authorized signature: ii.. ..t........ 4.04.0to,""°"" TOTAL PERMIT FEE 1 This permit application expires if a permit is not obtained within 180 days I Print name:Brandon Lander Date: after it has been accepted as complete. *Fee methodology set by Tri-County Building industry Service Board. L'BuildinerrmittOLNILLPermitApp doc 10/0019 440-461611,10i0VCOWWEB) ti City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT IN ■ • T 1 c A R o Building Permit Review — Residential Building Permit #: 7 7 2o/7 -- Oc p'/ Site Address: Project Name: RO/ ,n - &e J/ /l j yi Lot #: - . .if (New 6,C ag=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: -eeo SPE al/Verify site address/suite#exists and active in permits stem. Vi River Terrace Neighborhood: ❑ No ICJ Yes,See River Terrace Review Addendum Attached Sive Plan Elements: , ree(3)copies of site plan 1,0 'e sting structures on site itplan must be on 8-1/2"x 11"or 11 x 17"paper iii Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) oor elevations orth arrow Utility locations(required for new,may apply for additions) ite address,project or subdivision name and lot number MI k cation of wells/septic systems pplicant information(name and phone number) tge,sting trees to be retained with drip line,and tree Lot dimensions and building setback dimensions tection measures 't t area,building coverage area,percentage of coverage and T/ treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than ffin4 foot differential) 4 Clean Water Services—Service Provider Let (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No DPIK Public Faciliti s Improvement(PFI)Permit: equired: Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake ,�/�"and Use Case#: � r j lid ontng: �'I7 Required Setbacks: FrontQO Rear / Side Street Side lS 7 Garage O 0 randscape Requirement: of Coverage Maximum: Building Height: Maximum Height LQ Actual Height cV P3 !I; ! isual Clearance 7I Easements •111.�' ensitive Lands: ❑ Yes ❑ No Type TA/Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: -�w` _- Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw RES 091216.docx Of 4 Building Permit Submittal Original Submittal Date: //2 9//7 Site Plans: # 3 Building Plans: # 'j Building Permit#: [ Enter building permit#above. Workflow Routing: Er-Planning S"Engineering Permit Coordinator ding Workflow Sign-off: El-Sign-off for Planning(include notes from planning review) Route Application Documents: [r'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and "riginal plan review routing form. ni Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: -C 7-1-- Date: 0 eV/7 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 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 Yes 0 No O NOT Approved by Engineering: Date: Notes: Approved by Engineering: /I/ .0 Date: (-�/. -/7 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit ( Aroved NOT Released: //3l� /0/(3-ate: 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: Cg C Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes 0 N/A ti?OK to Issue Permit Approved by Permit Coordinator: Date: ai r/ I:\Building\Forms\BldgPermitRvw_RES_091216.docx w 4 City of Tigard ei COMMUNITY DEVELOPMENT DEPARTMENT 1 TIGARD River Terrace Building Permit Review Addendum Building Permit #: /157 /7— p pQ r() Site Address: /5 Q a) Sei, br Project Name: v/ b_ . // /Maui ' . , Lot #: 7,1. (New OW g=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District De ign Standards (18.660.070.1.): Is the project subject to the plan district design standards? ❑ Yes No 1. ticulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An addi..nal eleme required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. ft. deep Ga. ed dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ 0 2. Eyes on the street. < minimum of 12%of each street facing facade must include windo, or entrance doors. Percentage Shown: 3. Entrances:At least one entr. .ce must meet both of the following standards: et facing wall 0 Parallel to stre- angle no more than 45° from street, ❑ Max. 8 ft. setback from longest s or open onto p. ch Entrance opens to a porch: 0 Yes 0 If yes,all the following apply: 0 25 s..• .min. O One street facing entry 0 12 't.max.roof above floor of porch O 5 ft. depth min. 0 0%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of r,- of the following elements on all street-facing façades: O Covered porch min. 5 ft.wide x 5 ft. deep h Recessed entry area min. 5 ft.wide x 2 ft. deep O Wall offset min. 16 inches 0 i o er min. 4 ft.wide O Roof eave min. 12 inch projection 0 Roo offset min. of 2 ft. O Roof shingles either tile or wood 0 Gable, . or gambrel roof design O Roof pitch oriented south min. 500 s. t. 0 Horizontal 1.. siding min. 3-7 inches wide O Accent siding min. 40% of street f.- de 0 Window trim 1,. 2'/2"wide by 5/8"deep O Window recess min. 3 inches fo•all street facing 0 Bay window min. 5 .wide by 2 ft. deep O Balcony min. 5 ft.wide x 3 f deep with inside access 0 Attached garage is 35°o ar less of street façade 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. 0 Yes 0 No. If No (Check one): O May extend u. to 5 ft.if there is a covered front porch and garage does not extend beyond the front .arch. O May exte s up to 5 ft.where the garage is part of a two-story building and there is a window at the seconstory above the :.rage that faces the street with a min. area of 12 sq.ft. Width. Check one) O -foot-wide garage door ❑ 40%max. of street façade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: """", ` Date: /___c___4,/, I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx 1 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ' Building Permit Review -- Residential Building Permit#: r7S7- o/7--00,09/) Site Address: Project Name: �d f n (5,,,// r7/11 21214 Lot#: .a1/ i (New subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /V & cPe , mrd, rem- 1vck O s's -"km 3Cee n A//j 4Terisite address/suite#exists and active in permit tern. fy River Terrace Neighborhood: 0 No IZf Yes,See River Terme Rolaw Addend=Attached SiS Plan Elements: , •. (3)copies of site plan ting structures on site ; 4:'te plan mast lx on 8-1/2"z 11"or 11 x 17"paper Footprint of new structure(including decks)with finished GI ' wn to scale(standard architect or engineer scale) +..r elevations '4 Orth arrow 'A Utility locations(required for new,may apply for additions) y.to address,project or subdivision name and bt number 1i i!.ton of wells/septic systems 'I • .-,t information(name and phone number) !L� .•.;trees to be retained with drip line,and tree , r.Lot dimensions and building setback dimensions ., measures PI !t area.building coverage area,percentage of coverage and 'IItreet tree size,type and location i rvious area(applicable if R-7,R-12,R-25&R-40) ri Street names Property corner elevations(2 foot contour lines if more than I , 4 foot differential) dean Water Services—Service Provider Lett(lot platted prior to 9/10/1995): aired: 0 Yes,applicant was notified 1V No Received: 0 Yes 0 No Public Faciliti,(Improvement(PH)Permit g Yes,applicant was notified 0 No Applied For: Yes 0 No,stop intake I ' ,Land Use Case#: RoeaegO 0,12 LA sting: a' E .dsc ape Requirement: a •t Coverage Maximum: Balding Height•. Maximum Height Se Actual Height _c,QF •- '' isual Clearance 'I Easements sl ` -.skive Lands: 0 Yes 0 No Type V�/Urbaa Forestry Plan Iiii Conditions"Met"prior to issuance of building permit Notes: i Approved By Planning: ,,.�7 Date: ffL/�r Revisions(after pyilding Submittal only) Re! i to Revision 1: proved 0 Not Approved G Revision 2: V Approved 0 Not Approved '- Revision 3: 0 Approved 0 Not Approved 1:1BoildingW rmslBldgpermitRvwRPS 091216docx 0 o Building Permit Submittal / Original Submittal Date: /,Z 91/7 Site Plans: # 3 Building Plans: # ____ Building Permit#: (9Enter building permit#above. Workflow Routing Planning $"Engineering Permit Coordinator Ert ding Workflow Sign-off: la-Sign-off for Planning(include notes from planning review) Route Application Documents: Er-Engineering: (1)copy of permit application,(1)site plan,(1)building plan and ! .94nal plan review routing form. P�Buildinv original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. ' Notes:i . By Permit Technician: �� 5447v-4�-- Date: 0‘)//7 i Engineering Review j Slope at building pad: az /:/2r Conditions"Met"prior to issuance of building permit 0 Easements(encroachments)per engineering conditions of approval and plat 0 Water Quality/Quantity Facility Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot 0 Yes 0 No , ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: i ° D Date: 1--__V--4(7 Revisions(after B Submittal only) nevi f277Date Revision 1: Approved 0 Not Approved G • • 7 -wrRj '�►x Revision 0 Approved 0 Not Approved3, 7 Revision 3: 0 Approved 0 Not Approved - . Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit - Approved,NOT Released: ///7/13ate: 1J3//J3- Notes: ' Revisions(after Building Submittal only) 1 Revision Notice 1: Date Sent to Applicant Revision Notice 2: Date Sent to Applicant , Revision Notice 3: Date Sent to Applicant C Fees Entered: Wash Co Trans Dev Tax: es 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: Yes 0 N/A - OK to Issue Permit i . a.Irll�— �' , by Permit Coordinator: ' 7 �,. I:�Builcting�Fom$\BldgPamitRvw Ras_091216.docx /3 o/C • RECEIVED MAY 222017 • CITY OF TIGARD BUILDING DIVISION Bulletin MILBRANDT ARCHITECTS Bulletin#: MA-17 Date: 5-16-17 ATTACHMENTS: MA-17 Job Name: Polygon at River Terrace-Area 7,Plan 5AR Job No: 1503 Bulletin issued at request of Chris Walther.Deck for Plan 5AR at Lot 74 shown in original drawings as a simple raised deck with stairs down.Due to grades per the attached photos,the deck will expand and be revised as shown on the attached bulletin page:MA-17 and any accompanying structural documents. Distribution Job Site Client Chris Walther Angela Grajewski Struct.Eng. Arne Solomon Ken Wilde 25 CENTRAL WAY SUITE 210 : KIRKLAND,WA 98033 : 425.454.7130 : WWW.MRBRANDTARCN.COM 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 r; ,i Ei n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: �/'� ,z4 DATE ' r WJIIVED DEPT: BUILDING DIVISION MAY 2 2 2017 FROM: / �S 2 fayG� CITY OF TIGARDr / /C- „ �� BUILDING DIVISION COMPANY: V PHONE: RE: 7s/4761-e_, ' 4 ,S&711 - I �/�S / i.►,�yC e 'ennit `um.er 'roject n:" -'T su T'vision name an, of num.- ' ATTACHED ARE THE FOLLOWING ITEMS: Copies: Descriptio is Copies: I Description: Additional set(s) plans. of 3 Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. 3 Beam calculations. Engineer's calculations. Other(explain): REMARKS: ,,,./110‘36-�,y,•• , FOR OFFICE USE ONLY Routed to Permit Technician: Date: 3 - r J Initials: -j Fees Due: 0 Yes ❑No Fee Description: Amount Due: $ $ $ Special Instructions: Reprint Permit(per PE): ❑Yes it No ' Done A licant Notified:, Date: ��j IJitials: iig - I:\BuildingTonns\TransinittalLetter-Revisions_061316.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15227 SW SEINE DR, TIGARD, OR, 97224 September 14, 2017 at 9:32:37 AM Record Type: Record ID: Residential - Master Permit MST2017-00040 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Backflow device located back yard right side of deck approved with test report. Febco model 850 ser#76318 Violation Summary: Inspector Contractor