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Permit (66) 111 CITY OF TIGARD tony,,Thr r MASTER PERMIT ' < COMMUNITY DEVELOPMENT Permit#: MST2017-00170 �� •�� Date Issued: 05/18/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.24 • Parcel: 2S108DB02300 Jurisdiction: Tigard Site address: 15275 SW HUDSON AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 21 Project: Polygon at Bull Mountain, Lot 21 Project Description: New SF. 9/6/2017: REPRINT permit to add heat pump. BUILDING Floor Areas . Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1575 sf Basement: 940 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 4351 sf Value: $523,836.56 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 0 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 Tvpes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit . Service Feeder . Temp Srvc/Feeders . Branch Circuits . 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 9 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4351 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 Geotechnical Inspection Required before foundation PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,672.71 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 RAR 01-0090. You�may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19876 / or 1.800.332.2344. Issued By: di O '�p — Permittee Signature: AN 4°, ( 277v 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. Mechanical Permit APPlicati - -,,,, FOR Oki l( I- I ‘,1 ()NI \ City of Tigard t( FiviED , . ,_ , _ Received i.; ., , AfflUirrr_1; matt No, ....- A,;—7 A Dateltyl 0 ....f/,, ,,i ,Ilr.44 —4/ir I ,V N__ . 13125 SW Ball 13h'4..Timed.OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 AUG 30 2017 IESIMIIIIIIIIIIIIIIIIIIIIIIIIIIMIIZEIIIIIIIIIIIIIIIIIII 11,, ,..,, Inspection Line: 503.639.4175 Date Ry cadlRy: 111E 0 See Priae 2 for Internet: Www.tiga rcl-or.g o v CITY OF TIG.ARI) Notificd&Ictliod: Sup mental Information c' Ts. ., .. a , . • --.„. ., a.„..., q„,.&,-, ,,4".-,-,,;•;,0-.4.:.4;.s4.4•,..;,..z,...4..„;:--q-ck;-4t:ON r 4 -T. 1...•7'Vs1, 4 ''`7.415V-44ALSA.1:+671, 4,;;;077-4V'Mft l't'u•''),''Pt,)1:61-*,:'fl',,,;%/-V.,' .1*:"':'1';11 '',....MR‘ M, •-4,- , ,•—, -,- " ' ," • '," '' ' ''" ; ,'''- 't ''' ''''r- ' " -' ' '-''' f.' Mechanical permit feesarc based on the value of the wort •0 New construction 0 Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)dull 0 Demolition 0 Other: mechanical materials,equipmeni labor,overhead,anti profit, verge.c :4.'.0't:. .',',413.4'.?,.;7A;--,Z.Vi,'-i->R.. .- a:.?', 'J.4'‘,',,.1*,','.;•I'V J..).ciiri, 11-0:1-" ..7:`,"41eiger}3.;4, :,,,i,,. .,,,,,3,11..x1,-,,,t- e ,, . rl')• 1-and 2-farnily dwelling 0 Commercial/industrial 0 Accessory building Far spedel information Kw thecilist. ; IMO:I-fmily 0 Master builder 0 Other: Description Qty. I Ea. 1 Total -‘tin‘;:,,,,,,''',,t.541.:;,s,,,,,t..,,?`Ct,,;.,,`..'.L., •0 `,..g.•''. -.4' '`4-.-4"'4-4' ' '4'''''''4-''4'..47'''''''''' -1'.' ''''''''' Air conditioning I 46.75 Job site address: ((5 1-1 5 \j,i H-ixds Din pr4e, Furnace 100.000 BTU(dticts'veres) ._46.75 City/Stale/ZIP:Tigard,OR 97224 Furnace 100.000+BTU klucutvents) 54.91 . limn pump 1 61.06 Suite/bldg./apt no.: 1 Project name:Polygon at Bull Mountain Duet WOrk 23.32 . Cross streetidirections to job site: I lydronic hot water system , 23.32 Residential boiler(radiator or hvdronie) • 23.32 Unit heaters(fuel-type,not electric), in-wall.in-duet.sesPerlda elc, 46.75 Flue/mut for any of above 23.32 Other: 23.32 Subdivision:.Polygon at Bull Mountain I Lot no.:-4 Other fuel apPlianecs: Tax maptparcel no.: Water homer 23.32 '•••--,-;=;-='.F.Ai-Z;T.,•=c,Fq;:ln.:,:;,... ...V-hL,a q At. .-nfIlita-4 if Iv=,:i.,,,,,, ,.:.t.`$.4).,7-.n4;,q-. (in r"Plactfingen _ . 33.39 ,.... . ... .... ..'(,-,,,.A, --' t,4-,----"D-r e,,r.,*., ,• Flue vent for water heater or gas tAST-u)n — ()Ono fireplace 23.32 , Log lighter(tuts) 23,32 Woodtpellet slow 3139 Wood.fireplanoinsen 23.32 . Chironevilinediludvent 23.32 23.32 '4-'1§,':'1111-LIQ;-11; *3-: ;11*'121 - ??'4-: ''''''''''''77 -4''t' DP1';'11.4W4' '''k:: 4,.''' Entironmeatal exhaust and ventilation: Name:Polygon WtH,LLC itange hoodfother kitchen equipment .___ 33.39 Addrxl$V 103 BrOCCW0,1 Stkitit'Ae.. GI 0 Clothes dryer exhaust 33.39 MY/SmtaIZIP: Val\COU.1,6"/"i V\J VI-qe1°to 0 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)69S-7700 Fax:( ) Anklet:wisp=fans 23.32 ' 7;:c0.11t‘kq—i. re f.1-tvAiIir- 1;1-.""-e:3:4..; ., :fi 01.4r: 23.32 _ Fuel piping: Business name:Polygon WLH,LLC S14.1S for Ora four S4.113.for each additional Coined narno: IJ i till Ott.-Thor-pg.__ , Furnace,dc, GU heat PUMP t Address:1103 1-3Y10061i Ix, St SQ.4-ke. SW Wantsuspendedrunif beater City/State/ZIP: \I 01/4,f\Eoav 1 pr 9 ej,.000 wata heater Phone:(360)69S-7700 Fax::(3(i0)693-4442 Fireplace , Range E-mail: , .4.40, Tv ' , Barbecue -,---.-f.:7_,-.:.,f, aothes dryer(nos) •'" ' ---`c"'. .---T4-....,..,1,4:.' •:-2, • • „4-hf,s.::,.---,,,-.171•,/0- -.A. L.....?:ri. Business name:Apex Air LLC Other. • • ::::':.'.' ."..,':_-g,.-''kt. '`i:-! ..;216,..i 6.11"'.•.;,-Z'ql.'.P"'41. -''.-'4i4''''' ' Address:18004 NE 72d Ave Subtotal City/Stale/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-0109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 1 TOTAL PERMIT FEE • • This permit application caritas ire pencil taunt obtained within Mb dop Aar it ban two accepted as complete. Authorized signature' ' Fee methodology so by 1)1-County Building Industry Service Board JDate: A/V.ii.it,...- rinotrashremonesscivrompp,s,an Is doc 44046(7T i t MICOMMS10 11111 , �, CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00170 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2017 Parcel: 2S108DB02300 Jurisdiction: Tigard Site address: 15275 SW HUDSON AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 21 Project: Polygon at Bull Mountain, Lot 21 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1575 sf Basement: 940 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 4351 sf Value: $523,836.56 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 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: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 500 sf: 9 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4351 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 Geotechnical Inspection Required before foundation PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,604.33 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throug e A R 952-001-0190. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ',1/117 Issued By: ��� Permittee Signature: ! '1:1,e- � c"1 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. Lor A1 Building Permit Application Resineunal , „c„,,,,,,,,„,,,„,,,,,,, RECEIVEDED FOR OFFICE I SE ONLI City of Tigard Received ,S'"// /7 t Permit NoHS%o�/7—eW 7o 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 8 2017 PlanRe NI _ Plan Review V i 1."' 17 -yy Other Permi(�aj120/7-e7/�7j Phone: 503.718.2439 Fax: 503.598.1960 Date/By: '/ inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: Juris: H See Page 2 for TIGAI G p g g BUILDING DIVISION J 7 ,r�{/ Internet: WWW.tI azdOr. ov Notfied/Method: // // T Supplemental Information ®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 e I� � �� work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuatiot 3 JI ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: Q Total number of floors: 0 7 � ,: � , � k2. � .� X030 I. Job site address: , lag . fit New dwelling area: square 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:sp 1 Z square feet le 36 Cross street/directions to job site: Deck area:140 g kil square feet)c /1/4S– Other s Other structure area:` square feet q %-0 Subdivision:Polygon at Bull Mountain Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: — equipment,materials,labor,overhead,and the profit for the t i . , work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ` ' , i';° c , �' 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: � t t tt 1. . , 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 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 Fax::( ) Amount received E-mail:Angela.Grajewski@polygonhomes.com Commercial and residential prescriptive installation of � , ) d ` 'n t` `:' 1 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:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:204238 Total fee due upon application: $201.60 Authorized signature: C�E This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski ( Date:1/20/2017 "Fee methodology set by TriCounty Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) OgCEIVED Mechanical Permit Anplic I oRcH lit 1 1 \1 (1\1 "I 'city of Tigard MAY 11 Z017 Retaivod Datefily: OfertiglIN '13125 SW Hall Blvd.,Tigard,OR 97223 imr,,ti pkm Revim Other Penult Phone: 503.71$.1439 Fair 503.59Cirry oF TIGAtiDate/By: • 1 11„speo" 63 4175 gardov BUILDING DIVISION tt:fiReadYla hill Leia=1111 Internet: v.ww.ti -or.g .., 7,--i!:,_:..f.*-;..-,•.1:,:f 1,..-.. ...,',._:,:',-:":*,',..T:...,=-.'::'-:Y..,-....,::!)",:--''.-:,`.-j,'S.7-..i,,,'-•%I.'-.1"-;:.--:-:,---'1:-:v,zi- -,s' --.'"--- = mechi;tic;11;e'relit*tee ere be's-eierk(he woe of the work .1E New antstruction 0 Addition/alteration/replacement pr.rfOrmed.Indicate the value(rounded to the nearest dollar)of all mechanical materials.equipment labor.overhead,and profit. 0 Demolition 0 Other: Value:$ „ „,„,__.,...„,..,,,.,-,, ...„,.......„.,...... ,...,v.„:,..7.,:...,,,,,,,,,:.7...,:`,..-:.,.....,474-7.4if,:.-:-.:,•7`7.-7-.1Z-7.,.."rif:73'.':•.1.7"?' -•,. ."4-.*-4-,...7-....."...Zr"...,-,-.,-,-,--÷-,,,--.,..-,;.:4_,-.-,77,:-.47.-..y.-.7.4.7,-_,I,..,.. ..- 11-7,-.-.g.„_7 1 -- ,;':i:1:',t-,•;...±:-z-1.. --::------;----.,------;-- ,----:2F,-,.:::i121,,_1L'_-t&,.,:::_2t2.14,_,,,..::"..--;;;,!,,!.-- 1.1,-',;'Zit;-'..7,;*..,:e7f-'•-,-.•-.4i.z. . .... Forrieditheibtration iseclieddbt.1-and 2-family dwelling ....,n Corinne:Mal/industrial U Accessory building r Multi-family 0 Master builder CI Other: Description Qty. I Ea.. I Total ..-,C": , Heating/coolies: ..--.„.,___,:_-,_,,,...-.,•_„.„-„,.--,.:- '-,(-;,-.., ..:-',.',..-,-.1-i-.,,•-.j•-•"7::.-;':?-i7;.--1,,,II:-'!--,‘,..'3-:'..('"4. " *•:-:::". .,..:•:_.".T "..--: . • .. . 1 46:75 Joh site oddreSs: t1:1' Si.) rir on NE, Furnaoi100,000 BTU tralessevents) i 46.75 Furnace 100,000+BTU(duets/veto) 54.91 City/Slate/ZIP:Tigard,OR 97224 Heat Pomo 61.06 Suite/bldg./apt,no,: I Project name:Polygon at Bull Mountain Duct work 23.32 Cross street/directions to job site: Hydronit hot water system 23.32 Residential heifer(radiator or hydronie) 2332 . Unit beaters(fitekype.not eleetne* ). in-wall,in-duet,susparded.etc. 46.15 Floc/vent foray of above I 23.32 Subdivision:1'01)ton at Bull Mountain I Lot tio.:2,1 Other 2332 .Other fuel reppliatar,ev Tax map/poet:a no.: Water heater 23.32. I 3339 ---;- _:„ ..,..-2.-_, -,.....-,-3....,.,;,-:.--,-....- --s--,-....-'-- ,-:---:.'-"'•'"- ,-'---'-=`-''''-'-'. ''- ---‘- '''''--' --- '- Fine vent for water heater or gas N8'llbc1VIIfireplace 23.32 , - Log lighler(gas) ,23.32 Woodijsellet stove 33.39 Wood fireplace/insen 23.32 ChinincyrlintellueNent 23.32 23.32 l'-'1-'171.:----:4•1•-,:-,1.--.1T;'-',-,.:7:3';11-7(:;:7::iri,.. .:71-7...7:73:;.-Z7- 7`-'7,77-i-7-.F;;;-..:), ,-,-; Eevirounr„tat exheitict and ventile ion: Name;Polyinti WL.11,1.3.,C Range hood(ether kitchen equipment 33.39 Address:109 Ea at 13 Street Clothes dfr•exhaust 3339 eust(bathromns, . City/State24P:Vancouver,WA 98660 Single-dua xha toilet ouropanments,utility moms) 2332 Phone:(360)69S-7700 Fax:( ) Attleimawispact fans 23,32 Otber 23.32 ''..._:::- Fupin Business name:Polygon WI,11,il,LC $14.15 for that faun 64.03-for each additional , Contact name:Angels Grajewski Furnace.etc. mp I Address:109 East 13th Street Gas heat pu Wallitaispendedfunit heater City/State/ZIP:Vuncouver,WA 98660. Water heater Phone:(360)695-7700 I Fax:;(360)693-4442 fireolace Range E-rnitil:Augria.Grajewski0polygoultatues.cooti , Bilbec„ --'--'" -.-- s-:'-',.'-'-''.-1,-2:7---:--'- '-:-':-‘-..4::':' '.;%i''W' ''.;'.•'77.,--‘':':;.''''.-5-..:-''--=-:-,-,',.-----7,,,::=.-_..--.:53-,rs: -i:-,, Clothes drier WO Business name;Apta AlrILC ' ,., - - -'-.-.-,.-,' ,F:-'t 7-_•-.:-:':- -'':.'.;' . -,''•:.`. --,..----,..:e.•..-- -.- Atkirtss:18004 NE 7rd Ava Subtotal Miaimunt permit fee($90.00) CitydlateTZIP:Vancouver,WA 98686 , _ Plan review(25%or permit fee) phone:(360)342-8109 Fax:(360)326-1769 , State surcharp(12%of permit fee) CCB lie.:203034 Fee methadoiou so byTTOri.coomyTAL PseERtrindestryFEE service 04.14 Authorized signature' 1 Prim nante. ' i ook ..1 ,...r_srail Date: 4-14.140 nix parfait applications:spirts If permit knot obtaioed within 180 days titles+has ham accepted as complain. ViSvildineransirs'Aitt PermitApp_1310113<loc oe-tatir catiovcowenan Electrical Permit AppiiE ;oto OF1 x 1 71.74‘..��Irz< i City of Tigard ` Receiver ?mak li: 13125 SW Hep Blvd.,Tigard,OR 97223 Dale/13, �• — f 7 i©et 70 L, Phone: 503.718.2439 ]Fax 503.51411‘000 I, 2417 3P1�'Review DalerB: • jig"'F i? Inspection Line: 503.639.4175 heady Date/By: lillIMI Et 8a Rage1 for intense: www.tigard-or.gov QF TtG RD NotiftedRtdalbod: Supplemental L ppleat formation 3 -' .. r nT ,ryyy`�}}'Qv;.�:sc Riga d-...�•p .3 -� .�j�y t� �►' ..'1': ,4Asy.^i'..: iiw:, _ .��:.q.�T�.'p, rt--:;•.7...,ur^s.:y. e,. . .. -t':�titV.L,F '� �` �..1'.;, C k..''i .,.n .v , .'t R.:,•.i tir:;!..0.Lit.l,i.*,7N :4.1� ,..�•[� E i +,E 1�New construction 0 Aldi+'1 t•r--E•on/replacement Please check all that apply(submit 2 sets of plans w 1teln,uhecked): . El Demolition ❑Other: ❑Servi000rfeedet400amps ormore ❑Building overtbreestories. '°;'n+ •this"�;olit irU' -:tri y:. use."r' k ,•, •••Y-:s,? y..r wham the available faultcunnat ❑1viariassandboatyards, _;,;.:.._..:'+i3; ani•''ii i�:r:iWOU ga`bEzt; !z' t. IF(0�. :� :'<..'`':tr'i'i;;r"t%'a exceeds amps at 150 w3ryz`•>�fS;::• ?.:rt::. i:`v1; to,00e ups volts or °Pleating bullUng& I I-and 2 family dwelling ❑Commercial!tndustrlai 0 Accessory building tens to ground,or exceeds 1000 C]Co maercial-ase agricultural amps 0 Multi-family • 0 Master builder ❑Other for all other iastattsti ' ta lags ❑��pump.• D Insnsfathtioa of 150 KVA or •:Y. K:�Yli- .:gZi DRi `' t v.;•','.;:•:°:6. .- ''S4�tJ,'.°Zr};�,!;rt:r3'P:�.'.,.-� ��4 .9E� X�.;<�luMry�.'•�• •�'�.•'.} t � .•:.••,zr;rt ❑Bene►$anaYsysbem. far8ae'separately derived Job#: Job site address' '] ��y�jj 0 Addition of new tooter toad of system. �aZ1s C�i7V b0013Paraare. ©A".'1%","1.2","1-3, i City/Stat ,'Tigard,OR 97224 ID six or more residential units. occupancy. 1313eaitn•eare facilities. °Recreational vehicle parks. SuitelbldgJapt.#: Project name:Polygon at Bull Mountain OITihrardoue locations. Cl Supply voltage for more than I . ❑Service or feeder 600 amps or more. 600 volts sominal. Cross street/directions to job site: T.C.0:,zx r:Sf;I...0 ;.:,: 7.—,.. _t:• 1 A^..f;,,,?; .,g, ; Descriptio, no. I soca 1 Toto1 1 • .. New residential single-or multi-family dwelling unit. Subdivision:Polygon at Bull Mountain Lot#1 I Includes attached garage. Tax snap/parcel#: 1,000 sq,R.or less 1 ( 168.54 4 < p Ea. 11.orportion "1 =;i`.$,"a-a4 sib° x V b EQ •x.- sq. poll I 33.92 1 `:f::••:a.r .i'-' E: i1 R' Ec. ... r�1:t:t,�r•`i.T�''"r`.,;'t;c':.': r. •A E+.Y. /• rix' energy,renGte8ti51 •`;.:.•:'ir`' . r . . Limited • (with above aq.ft.) 75.00 2 Limited energy,multi-fanily 75.00 2 residential(with above sq.R,) W..::� q� EBF: s<Ayyr-.b �• •.,. •t• Renewable Energy ❑See Page 2 ;3 t-MO a6 'tip sSt:E .s,- 'h u•E.y7:•..''1•+," vi ,,.._ .gym '.'"�its�L�?rrn•• .,i.•.=i . :,Y!#',!";'s•rn;'��2i ;;1•i>, Services or fteders insfalIntionLaltera tion,awWor relocation Name:Polygon WLR,LLC 200 amps or less 10070 2 Address:109 East 13th Street 201 amps to 400 amps 133.56 2 • City/State/DP:Vancouver,WA 98660 401 amps to , 600amps 3011.04 2 601 amps to 11000 amps 301.04 2 Phone:(360)695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 e-mail: Temporary services or feeders installation,alteration,and/or ' • relocation • Owner Installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended far sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps - 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 NiC"4';0LY?,i: u 1";'^tt; ` �.1ae�iSri'}.3+•; Branch etFCs1IS—nCW,alteration,or extension,per panel AAeI -" 'w ,A. ' %y;;''' A.Bee for blanch circuits with Business name:Polygon WLH,LLC above service or feeder fee, Contact Harm Angela Gra ewski each branch circuit 7.42 2 g j B.Fee for branch circuits without Address:109 East 13th Street service or fheder fee,first 56.18 2 • branch Circuit City/State/ZIP:Vancouver,WA 98660 Each add'!branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 I Fax::(360)693-4442 Bach manathcttr'ad or modular 67.89 • a dwelling,service and/or fader Email;AngeIa.Grajowskipolygoobomes.corn Reconnect only 6784 2 .'! �"'zs'.:*,Len .?. a'. �r l i��•'',�S J a`k.�}l•F'+n:. zd.;).;•+'..,.yiE4? ^+.:i;.a �•i ,. :. ..' � 'r- :ti'1r� Pvat.xa 5a ,n ..vl;la iIA i Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:402 Valley Ave NW Ste 106 panel Signal dreuti(s)on or limited-energy Q See Page 2 2 panel,alteration,or extension. City/State/ZIPPuyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(1hr min) 66.251 hr Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) _ 90.00/hr Entail.bdaniels@gsveusa.coar Industrial plant('lomat) 78.181hr Inspections der which no fee is 90.00/hr CCB Lic.: 01158 I Electrical_Lie.: 208174 I Suprv.Lic.: 44968 s i... 1.1.1..0.t".:,sted l4 hrolin / � Al}'4Im.,..i•. 1c 5;.,e rol-'�l��•'�c,`•";`?;'s};fF=,i-m Suprv.Electrician signature,required: (IAA/PL la yr, ^..v. 2Wr1 x,•5..,,,•.,5 Subtotal: Print name: Joan P Albert Date: O Plan Review Required(25%of psnnit fee): r — State surcharge(12%repemit fee): Authorized signature: ' __ TOTAL PERMIT FEE: This permit application expires If a permit is net obtained within 180 Print name: Bill Daniels Date: days after it has been accepted as complete. * Number of inspections allowed per permit. LtBailifeigi insitr d.CJrnnhtApp BLR BREdoo Rev 05/17/5015 440.4615i0iA058Ard,YE8 . . Is - . Plumbing Permit Applica "I. CEIVEr) ... • .-- . . • . . . . • Building Fixtures. mg 1 1 2017 FoR ()HA( I. Cityof Tigard Pelnillokt,57;72e/7—00/70 11.„......:.. -13125 SW Hall Blvd.,Tigard,OR ,...417:11.1Y LNG DIVISION Plootaie. • OtherPennitNo.: - ' Phone: 50318/430 Fax 5 f.1•4'II,1.. - toieby: OF TIGN-10 .•rriaten3r. ,. Inspection Line: 50.639.4175 &deftWY/BY: Awls. ei See Page 2 for. T I' A is') Internet: Vilvw.tiggd-or.gov. Notified/Method:. Su•*mental inforniatioit .. . „....„,-,--_,z_-,„_-•••"- r-2,-:;.--,.„1.i5.7...;•-•-tr..7:7-311.t"-tk,''il ,,,,,,,i,,T,....,,,,,,,,.1,,,..vz.j,T,;z•r.,,x.tcrAVZ7TrrZt:-rP,,:',i35,;F:1 ,7",.. jikj=,5::::t..;;;717,77.7.7.W.:7"-lita.:,,fr;Ic0,1-2.C.;i,%.!.*.tft.;'...--.:,..--:,',...:*.f'....,;::•.ia:,tz....4-,,, 0 7:T:7k',..;471-;;;:f,-2.W.:;,}1f:.-1, 4•':;;;11:1.- ''-''.,i,/V..".!ji.Ia''':i.kr--4'.''V-41:F\'.1..... ..\4.4'2.:-..'4'1.4',..,aLD: ,1,;...----:-''''-'.....-,'•'''-''...'''..'''..'".--•"''''''''''' - "'''''- - -:- ----• ' ' gfon use Oecklist 18):New construction 0.DeitiolitiOn For special informa • Description I Qty. I Ea. I Total nAddition/alterationfrenlacement 0 Other:. New 1--2-family dwellings(includes 100 ft.for each utility connection) -- -----,\--,,,--- -----ir•-•:;-„,.....,.-----,::::.'-----f..--.2,-7-,.t:',:;...r4,7;F,--,7%;-..%.4'.;47,: 77-.4r4-17:y-"s..-7`.:7'.-V:::;",..1. SFR(1)bath 312.70 .1.1. ....::\:,..„.„.,:,•-*-;:litif..-:,,,TY-7,1,.:&.',..:,-,-A1,,..5.,pi'il':,...,--.T.tti:;._:,,,,,,,,,,,',1.,3.,.!-....1.,.,- „t-,...-.:-,..,,,:::;Aik--,::„1,-.... ,,,:,;- .: 417.78 IR i-and 2-family dwelling E]toirkrnettialtibdutttial svil(2)bath • SFR 0)bath ft 500.32, 0 Accessory building 0 Multi4kruily Each additional bathAcitchen. . , 25.02 ,- 13 Master builder 0 Other •Fire sprinkler( sq.R.) Page 2 1:11.'''',4_.%:H.* -4,,,q7-.\-:.\f.1-741g,._ .:.,..'.1.1e,'W..k.' ili:.:..,'..-^.'e.\,,..,_•7•... .....77:7-Wi'i_,,,,,,,,f;i2?K`,11-Cji.,•i•-i:OEZTiitin;'`-:-..,;.F. _ \1-A Site utilities. 1,-,;',.:::4014:7-5,';-:±;5-frLIOii-....r%;:.;,,:-. 4.uil-f,,404E7:2::::7- n..a..^^,:: •IF,......-..ir:i.,:::-.4.,;...MtgiV.--.,.-,.. ,e.,. catch.basin,or.asea drain 18.76 . Job site address:is2,-is- s‘\/ 711;gon , . Drywell,leach line,or trench drain 18.76 City/State/ZIP:.Tigard,.OR 97224 Footing drain(no.linear ft.:___,) Page 2 ... Siiite/bIdgiapt.mi.: I Project name:Polygon at Buil MountainManufacuired lime utilities 50.03 .. .. . , . Crosi4treet/directiOnsto job site: Manholes . 18.76 Rain Arai!!connecter . 18.76 - • Sanitary sewer(no.linear ft:_) Page 2 Storm sewer(no.linear ft: ) Page 2 'Water service(nolinear It.:____) Page 2 . . Subdivision:Polygon iit.liiiii Mountain 1 Lot no.: •Fixture Or item: ... Bacictiow PfeYeller 1 31;27 . . Tax map/parcel 00.: . -,-.,--,--- Backw•ater valve . ... . i 12.51 . ...-'. .:....'"f7.•'•-i,.,,,u_'!""2-:•-•*-7;.vii2:- --:-.-.2,fiit3v,,ii, 1';-. - i:, . • • •••b. ,,,•,,,,s\,..-•..-------_-q4::....1'....... ,,,,,-,......z`,:::\>Aegr... J• --,..,•.-.\•.,r--.f..,..•.:,-.. .,•2.-._...,, !.........-..,....n....,, .- - ,, clothes was a. . 25.02 - • Dishwasher 25.02 ' • . . . Drinking fountain 25.02 . . ... ' ' .. . Ejectors/sump 25.02 . . ... • -,,,,,,,i/r.,r.r.\-1 - • W12.51 A-...•,-T----.:1,--r....7r....,,,v,..: Expansion. . , ; ,.... ....:,,,•,.... tank „ . . . -,,:i:-•:‘,\•.-- ,----,..\;•-..4,34:4.-1., :.-e,o.f.,,,,'•-.1.1.,,,,,c-,,I.:-..,:..-...•,..Ilit.-,•\,...„-.......-..4X:r.z-zz-.: :_.-.----- ,:.-4-v--,11 ' FIxture/sewer cap 25.02 Name;Polygan•WLWLLC . Piaci,drain/floor.sielfthab 25.02 Address:109.Einir 13”Street - Garbage disposal 25.02 CityiState/ZIP:Vancouver,WA 08660 .. .. Hose bib 25.02 .: .. Phone:(360)0954700 Fax:( ) -. .. it.*Mater • 12,51 . Interceptor/grease trap 25.02 • . P ..:,11.,i• ,.*.?&LI-1-.4:.:. . , • • .....- -. -- . •- • - 0402 • . AS.,;IL::-.,. .t ,'12',.. !:;!'-:..:,:i.,:il.t.I.,'...r-,-:-b,:.-Eitk.-:,..,.:1:,1,-,•.-.7.,,,,, =..:..,.... .,.... . . - , Medical gas(value: $......_,_) .. . Business name:Polygon WLII,LLC ' Prinier , 12.51 . . . . . .. Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address: 109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water). 62.54 Phone:(360)695-7700 1 Fax:: ,(360)69S-4442 . Tub/shower/shower pan .12.51 . • Urinal 2502 E-mail:Angela.crajewaki@polygonhomes.com , 25.02 - -,,,,... --,...-,,r.--r...-:.,..:.. :Water closet . ,......_.,..,.„..-•,..,:-,..z.-,,,-,,,,,,i;---.,..-s-7--..'.,L.--,2:r.•:;177-ri.,YLV:3,---.7,M.,7';:;.vi.-7:-:,17,:-.7::.!-47:::74::,;,--i'llit` ''-7'',- . . tr.•:,:::,.. -.:•;"-,3,4.:'„,..,'An.:!'*--;i,-;',.': ; :•2....,,--.'''i: Water heatera152 Business name:BOL Plumbing LlLe Water piping/DWV 56.29 Address:P0Bo85 Other: 25.02 • Subtotal. 'City/State/Z1P:Corbett OR 97019 . Minimum permit fee: S72.51) Phone:(503)1514903 Fax:( ) . Plan review (25%of permit fee) GCB Lic.f.180345 Plumbing Lic,no.:.P51582 • State surcharge(12%of permit.fee) Authorized signature: 00.7.....4„,..... iii,44E.,,r . TOTAL PERMIT FEE . This perinit.application expires if a perniit IS not Obtained within 180 days Print name:.Brandon Lanier . Date; after it hes hem;Accepted as eitinPlete. . ... 6Fk methodology set by Tri-Colinty Betiding Industry Service Beatd. 44046i oTtioreairOmiw00) LiatiildingiermitAWLMU-ParnitAppAtoc 10/01/09 City of Tigard 111 NI COMMUNITY DEVELOPMENT DEPARTMENT a TIGARo Building Permit Review — Residential Building Permit #: /4.S / 7— 0d/7 6 Site Address: 6'22\ Sw \-krill Nie, Project Name: PO kiqin a PAI t i 1„l n-tn Lot #: 22 i (New dwang=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: ►Jev)) &V. XVerify site address/suite# exists and active in permit system. iiit River Terrace Neighborhood: ❑ No X Yes,See River Terrace Review Addendum Attached Site Plan Elements: hree(3)copies of site plankxisting structures on site lite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished ,Brawn to scale(standard architect or engineer scale) floor elevations `North arrow Utility locations (required for new,may apply for additions) mite address,project or subdivision name and lot number ocation of wells/septic systems ' Applicant information(name and phone number) xisting trees to be retained with drip line,and tree . Lot dimensions and building setback dimensions - protection measures .{ Lot area,building coverage area,percentage of coverage andtreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Street names roperty corner elevations (2 foot contour lines if more than _„Storm water quality facility,if>1,000 sf of impervious �� 4 foot differential) area is created or replaced. On site plan: ❑ CI1`ll0%Yes 1 1 lean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified -,-IS. No Received: E Yes ❑ No kPublic Facilities Improvement(PH) Permit: Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: a,t b =amoa Zoning: Z 4 Required Setbacks: Front Rear Side Street Side 1 q � ���i �� �I� Garage /24i Landscape Requirement: i A Lot Coverage Maximum: r Li % ❑ Building Height: ' ffi Maximum Height Actual Height-2 9 - N Visual Clearance - Easements ,,Sensitive Lands: ❑ Yes ,A No Type Urban Forestry Plan Conditio s "Met"prior to issuance of building permit Notes: MI ( v 1C lity? c '3WIlik l'. l 1t 1SS\IZ:LnC Approved By Planning: NA&I, , V,: ja4 Date: if 10 ) 11 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\BldgPermitRvw RES O42017.docx I Building Permit Submittal Original Submittal Date: 2Y/ ' 7 Site Plans: # Building Plans: # T_____3 Building Permit#: Enter building permit#above. Workflow Routing: EVPlanning Engineering D.—Permit Coordinator aBuilding Workflow Sign-off: I '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 riginal 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: .ill'1- , _.x .___ Date: //i//7 En: ' eerie Review g � �_ lope at building pad: ®, y6frOrr onditions "Met"prior to issuance of building permit –••? ... / ❑ Easements (encroachments) per engineering conditions of approval andpllaat`1 ❑ 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: ,"l/' JJ Date: 5-/��—/7 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: Revisio Notice 2: Date Sent to Applicant: Re *cion Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: / Yes ❑ N/A Tigard Trans SDC: aP2fEs ❑ N/A Parks SDC: A Yes ❑ N/A LIDA ❑ Yes ❑ N/A '?I4OK to Issue Permit Approved by Permit Coordinator: firDate: 57/4/(/-4— I:\Building\Forms\BIdgPermitRvw_RES_091216.docx /4// —I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT /11111 T l c A R D River Terrace Building Permit Review Addendum Building Permit #: j 2t1/7 Ql1 C? ` C) Site Address: 62-19 So) \UC1& Are/ Project Name: PO t C,� N1U t'A DA V-ht V1 Lot #: (New dtGe11i g=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?‘K Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deepBalcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 10/0 3. Entrances:At least one entrance must meet both of the following standards: ,` Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: El Yes ❑ No If yes,all the following apply: . 25 sq.ft. min. LOne street facing entry -.12 ft. max.roof above floor of porch A5 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 2ScWall offset min. 16 inches ❑ Dormer min. 4 ft.wide *Roof eave min. 12 inch projection eltoof 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 inches wide Cl Accent siding min. 40%of street facade ❑ Window trim min.2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door '40%max. of street facade El 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ( i CD.t 1 Date:S1 1° I:\Building\Forms\B1dgPermitRvw_RBs_RT_062216.docx (" City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15275 SW HUDSON AVE, TIGARD, OR, 97224 November 27, 2017 at 11 :40:20 AM Record Type: Record ID: Residential - Master Permit MST2017-00170 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed All other electrical ok Violation Summary: Inspector Contractor