Loading...
Permit (61) IN CITY OF TIGARD ` -.1 z MASTER PERMIT II I � COMMUNITY DEVELOPMENT "/I 'f 4, ( a Permit#: MST2016-00100 TICGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 251080001506 Jurisdiction: Tigard Site address: 15391 SW MISSISSIPPI CT Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 81 Project Description: New SF. 6/15/2016: REPRINT permit to reduce bathrooms from 4 to 3. 10/28/2016: Add NC and 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1571 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2160 sf Garage: 661 sf Front: 20 Smoke DwellingUnits: 1 Yes Third: 0 sf Right: 5 Detectors: Total: 3731 sf Value: $459,274.87 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 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 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: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3731 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) ATTN:FRED GAST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 109 E 13TH ST VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,430.07 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thro . OAR•-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: AO, '''X--- Permittee Signature: 1577°,4-/elZ-77e) ,,"7 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. AlechanicalPermit Ap 1.0.cEIVED C ['OR OFFICE 1 SE • f Ti(ard ite.in-ed / • ----- , . . . „..;,:- . :ot.v.:.0. . , _ SEP 2 0 2016 i 4 „,2,f- ,tp /-3- • .f,,,,,,,,N0rz:s. /../o/t,-ro/e;0 _. '.. 2312)SW HaIl Blvd.,Imo&Olt 9nz., plm Rev'. . ., '. Phone: 503.11$.2,-439.Fut 503.59/Lary OF TIGARD ,,,,,,„,,,,,,,: - 0.41.1w...!, II Inspection Late: 503,639.4175 TIGARD - BUILDING DIVISION i)a,.,76,RdIiiL, .1.6. sfrutuvel: wwwriear5-oranv sti plemerttallutormAtton . . . - , . . - - . • , TYPE- OF WORK . • • - . CO Cl FEi''$CifiCi9PLE---, I.fSE CHECKLIST " •Mechanical permit fees°are based on the value of the work .4..NeW construction 0 Addnialterationimplacemeni • performed,Indicate the value(ounded to the nearest dotlar)of all 0 D,„,011,1,„ 0 other mechanical materials„.-if.went,Wan,otterneatl„nod word, Value:$ • ,. .. • . •• . , . . • .. . . . . , . -• -: ' . . CATEGORY,OF corisTRuctioN..• . - -.. - • - . . ' ..%:RE,..5.1DENrot EQuirlOgrisiSTEMS FEES- o I-arid 2-family dwelling 0 Commercialliodusfrial 0 A ceessoly buildine 1 For speiiell'hiermation foe eheatisz, . ., . . .- , r_ Multi-family 0 Master budder 0 Other: I Q./ascription Qty. Total ........ . . . . . 1 atingrennling: ' • ' -• - 3011 SITE INFORMATION AND LOCATION Aireontilitionin. i 46:75 Joh sirenddiess:: 9 SIN MfsSiSSi 91 Furnaci Juaboo zruaid.liAtnu) 1 46. S . . City/StatnfZ,IP;Tigard,OR 97224 Firm=100,900-t-WM &tots-twins4_9. titan mann I 6 t,06 I • Su iteibl iig,..falp I no.; Projeut name:Polygon at Bull Mountain 13net weds •23,32 Cross strexttdirections•to joh Silo: tiwtronit Itet water system 2322 .., Residendat hotter(radiator er . . . hydronio) 23,32 . . Unit hers Mei-type,net eiontrie), in-waltin-duct suspended.etc. 46,75 . - . • Iltichent for one of above 2332 .. — • "• - ' ' ' • " - -"'"" - °ow: -2,.... -z L . Subdion-Polygon at.Boll litomulain Lot on: I. . • Other Thi:applianem. Tax alaPIPar'eet 110.: Witter limier- I ..., 2332 ,,, . . . DESCRIPTION OF WORK - - tlas firePlawfinseil 33,59 Flue will ittr water heater bl.tAS . 1 I I I : k i i 4 li 41.4 - fite lace 2332 Lo,11.fifer(gas' . 111111agra . .. . . _ . .. . . . Woodi. Het stove . — Wood h -tlanainsett 111111111.3 ..I 1111111111M1 "."- Ae, ,;...r..„...,,,,..,,,.. _ : _. 23:32 , , . • .. . . . . (Mier. • • 23:32 , •- . • ' - - - • - ' ' ' Ettswitninsidal exha not and ivntitation: - Name:Polygon WLR;LLC Ranee hood'other klishoi I 3 elipfirliWill I 33,39 thlress:.109 Eost Le Street 4 i , _, .. cioifte$dryer exhaustm33,34 i City/BMW/4P:Vane-weer WA 98660 I Sifielb-39cl c8.660s1(halfitrotng.. 1 ' . mi(m WO1.adoleats,041106 mans) 2132 Phone:(360).69.14700 Fax:t: ) Mrictcrowts ace fans • 111111111 2332 .,.. ...,:.. ,. .. ...: . ,i:PrilcAltor':' ... . 'i . -. . a COTACT'PERSON ' .. . Other 1 2322 Fuel ' ' Nang. Business name.:Polygon WLI-1,LIC . . • $14.1$kr lira Tone;84.03 Ism pteltadilitional Canitaet mm16:Angela Grojoulki Furnace etc, '• . 4 Addressu 109 East 13th Street OnsIteat pomp i . . - • WolPstispeadedionit healer CItyiStateafr:'Vancouver WA 98660 I ' 404 atm homer . .... . . . . Plmne:001)69S-7700 Fax::(360 693-.1442 FimPlace • • I R.• E-ntail:Angels.Grajewski*pnlygonhomes.ento Barbsimit -..... . : ., , CONTRACTOR .--'--- Clothos drver eas .. . .. . . , , 13tisittess name:Apex Air LLCOthoc " - --, • '..-:- ' " • MEUIAN1CAL PERMITFERS* Address::18004 NE 72'4 Aye • • Subtotal I CityiSinietZIP:Vitnetturer,WA 98686 . .. . ,.. , Mlnimnm permit fee($90.0P) : Pie serw(25%—`-of Pmattit fee) I Phone:060)3424169 Fax Q60)3204769 ....1 statentrantge(22%of permit fee) cal tic,:203034 • • • TOTALPEXMITETI: I . 1 . - • nos pernytt application espirealfavomit 4 nntollinined within Inn tisysaftst-it has heap sessvesil as convicts. Aulhorizod a."ignmure - -- . Pee inctlindalczy set by Tri-CosaVilotdingiciastr.,,Swaim&rad • - , . . A .......__........... 04:4104txt 440,4W7T i 4111=2:,COMAITS) y� ®e � g11r 4.l P r "I1 . lhc t iilECEI V ftilIOOIi•if..tNI.€'t\t Cit.Of"Tigard 3teeeiv.:4 l it , 1312iS 'llallBl}a..Ti SEP 2 0 2016 1tati.Bv-, 02, / .,v� 9-S.� /(v--CO/oC� Bard t7R 97223 _ Plan By Related P "brit 4; Phone: 4f13,718.243tJ Fax; 503,598.1%0 IlatrfBv:' 1n lion Latae: 503,639..4175 CITY i O F tiuti-010 wily Datea3}: Im3 a See Pag?3 for Internet tvwai.Yl tiot:¢ns $U1) DWr, `i Pse iot;bed izil,txt: Suppteme.atalt'rrnrrnation i: .,y a4' ,::. `'PE>OF WDA . -- -�, ; New constriction 0 Addition alkeralion"replaee"ment flea a check all That**(submit 2 sets of peaces wt items cbeeloid)' 0 Other: 1=1 Service or feeder 400 amps or more 0 Building ever darer stories. Demolition .where the:available:fault cioru,t ci marinas etas aril boaynrrls, TE"G'ORY OF CO1YSTRIJc4'IOl.4•_ _ - tweeds 10,000 amps at 150 colts er D Flaming buildings, int 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14;000 Cl Couiramoiai-use agricultural amps for all other installations, buiidtrgs, o multi-family 0 Master builder 0 Other: °Fire pump. L7 Installation of 1 5 KVA or • T 31O ITE;C7 11'd:470 T,AND t,OCATION ;:.:_ DEmergencv system. lr.rgo':separately derived ii - • 10b Job site addrt SS1 C; 0 Addition of new motor load of system. J✓ I SW �iS SSOP� 100HPormore< D"A",-F..,-14",'I-3"i Cl City/State1P"Tigard, 3R.97224 Six or more residential:units, occupancy. --- • 1_l Health Gare facilities. Cl Recreational vehicle parks. Stilet;blt4 a i.#: Project flai7le: /( y �(tom�n ry� ( 13Hazardo rs 1Deatrans. L' Supply voltage for more than > �J . y gi'Vu cBQs.J. U',��u'�U 6blJ 600 vltsnominal.. l�Sersace D feeder MO amps nX more, Cross street/directions to job site: :'-'7:':-..'-i';.1:'-,_Egg lis, _ _ Description1 Qty. 1 Each ) , Total l . .. , New residential single-or multi-family dwelling unit Subdivision:1'4�,.�_ ,,; . I1 ; ( p $ Lot it: C7 Includes attached garage. .— -: �� �le� lids U�V r Jj�.0 �6 i� Tax tliai?IfktrCel ;. 1,000 sq,ft,or less ( 168.54 4 ;-I CRII'T1ON"OF O • ,q'..��/,,'�, '- — . _.. Ea.add'1500 sq::ft.or portion U :33..42 1 �A1�'f "��al°Me Limited energy,residential 25,00 2 • (With above sq,fl.) Limited energy,multi-family a s' :A< PROT B' '_73 i'tA'Eit ";' residential(with above f,) 75.00 2 Name:.ADPL Land holdings,LLC Renewable Energy 0 See Page 2 Address:7600 E }ottbletree Ranch RoadServices or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 ' City/State/ZIP:Scottsdale„.AZ 85258 Phone:(602)694-4031 I Fax:( 201 amps to 400 amps 133.56 2 Entail: 401 snips to 600 amps 200.34 2 Owner installation:This installation is/aging made on property that l own which is not 601 amps to 1,1100 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Owner signature: --- - , Date: Over 1,000 amps or volts 552.26 . 2 Temporary services or feeders installation,.alteration and/or .,-_� _ > . AI'1!t.�6Afi!T �. .tCfll'ekiifte PO 0*. P , relocation Business name:William Lyon Homes,Inc.. . . . 200 snips am less 59.36 1 Contact name:Angela G ra jewski 201 amps to 400 scups • 125.08 Address:109 East 13th Street 2 401 amps to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits-new.alteration,or extension, .er panel Phone:(360)695-7700 J Fax::060 693.4442 A.:Fee for branch circuits with above service or feeder fee, Email:Angela.Grajewski®polygonhames.cam each branch circuit 7.42 2 B.Fee for branch circuits without 1 ' -< f.1, ,, , , ' I0 Ig 2 .if..-e. ,.service or feeder fee,first 56.18 2 Business name:Alameda electric branch circuit Address:3415 ne 44th Each add'!branch circuit. 7,42 2 1 Miscellaneous(service or feeder rent included)• City/State/ZIP:: i f Q/Z /`moi 7...2-/3 Each manufactured or modular. Phone:(503)3192192 per: -dwelling,service and/'or feeder 67.&4 7 ( ) Reconnect only 67,84 2:: Email:solat•pdx@rne.com Pump or irrigation click6784 ,2 CCB Lie,: 199188 I Electrical Lie,: c923 1 J Suprv.Lie.: y(7/.5 ..; Suprv.Electrician signature',required: Signor outline lighting _• •67.84 2 Signal circuit(s)or ltimited-energy Print name; /G.,' �'1 /2.0,f2 ,-"C Date: / 3,�j panel,alteration,or extension ❑ See`Pagc 9" Each additional inspection overalloalablc in ariv elthe Authorized signature: Additional inspection I1 lir . _ 66.25j hr`..'' Print name: Investigation(1 hr ruin) 9000=lis Date V Vaigit/irv� ts'nLC Periaitikpp ELRERE:doc Rev 061.1 71,413 440-4615Th t.UASICOMAYE8 _: -•... i Plumbing Permit ApplitUtiug:;. . .,, ' , , -,-• • I _,:'1,r r.:''' , : ' . ' .. .. . Building fixtures FOR OFFICE (SE ONL1 . i MAIRf 13125 SW Hall:131yd.,Tigard,OR 97M . -'- * : Phone- ;071 718.2419 Fax: 503.-59046 ' ,. an I." 7:peiRoy-7(ey-2e-/a, 406(--- PeTiit 191//f7;2-0/6'60/0 0 SIS1BV , Other Permit No..: Inspection)',..iitel MI3.6394175 •_i. '; : - . • . DetcAe46.0y: •: ,,-.. T I G A R D Awls, Ks See Page 2 far Internet smw.tigartPor.goy Notified/Method: Supplemental Information t- .: • : .. ... 7!:**Aiii-*10*174'..4r.'Ii:';. i'i.:1'..'3.711':..,:'....;'7:::;-::f:=',,; :::: a .:. 1:7-r..:1140 :42(jii;OW:QF=.7:47.e.i!.7';:':•,,i.5:..•-:5F1:1: la New conslrOctionI 0 DerriOilition For special informaa on use eiteeklist . . . . . . - Description : ' , 'Qty. 1 Ea. [ Total 0 Addition/alteration/replacement 0 Other - New j--.Z-.family dwellings(includes 100 ft Ter:each utility-connection) -P7T•l'i.•':t.,'''''':'-`-:;07' •-7'f,'',-"•:',77' ettiTER0RWOUCONSTROQTIONH'.,-.,:v,,,..,.-..-i,,-,,.f..e..72-,,.. ,,--ii, - SFR(1)bath [0. Omte ) 312.70 1-and 2-fanily dwelling 0 CmeialiindUsrial . SFR(2bath ..-• . , 437.78 . : • • ::-S.FR(3)bath . 50032. 0 Accessory building 0„Matti7-fataily - • Each additional baibtkitehen 25.02 ' I 0 Master builder 0'0010-1- . ' ire spunkier( . sq,ft) .Page.2 •:. •:1•',4:-.7:7•:-.-:•i-r-'':k•-;:-,,i,'L-:':';410.13:1:Stir'INEORittajOg'Alto:::LOOATION7T:liq.':,-,--:%,...4 '-'.,•-•.-4.,•*--: Site titilitiei- - • - Catch'basin or'area drain' Job site address: (z)31 1 3\1,1 NA v.ss‘55,N' c --v • .. -... . 18.76. • -• • D*.lyclI,.leach,ime,or trench drain 18.76 City/State/ZIP:Tigard.OR 97224 •• Footing drain(no,linear It: ). Page 2 Saiteibick./apt.no Project name:Pol3.go04t BliiiM6untain. Manufactured home utilities 50,0.3 _ • cross to job site: ' Manbbles 18.76 . Rain drain connector 18.76 I . . Sanitary sewer(Ito.linear ft: ) Page2 — , • . • • 'Storm sewer(no.lticar.0.-:. . ) 1 Pane 2 •. . - • - - . • . . . Vfr ater service01o,linear ti.; ) I Page 2 Subdivision;Polygon at RiillMountain Lot tiO.', 481 Fi*titte or item ... - - - Tax map/parcel no.: . Backflow*yenta, 31:27 . . . . . . .. .. . . ' . . . . Backwater valve . . :.-;:g.'..-..','•i-til;•-.-Z.i,--:.••.,.',-,:tr,',....,-.4,-tr..:41,4 _•.,:•:',z. .-.,,,-: ',.,.!'.=::.:,..,..,:i-.,,.,,,A,.;,..,-..,' i[.I .7,,..5!.c.: .: •,91S2- 4"--=' 449-7- 7.z. //c--",---/--E-7' Clot -- es.washer * : Dishwasher - . 1151 ... 25.02 .25.02:. .. Drinking fountain 25_02 . . . . . Ejectors/Sump 25,02 .. . . . . .... .1:77597 1.,:ripiari,!.:6-4,iilkii -:- ', ,:,-....,;.,,;:, :-.,;-5-.1:::.•.7, a,triiiI4N-r,:i.:± ,:r.,,, . -_ Expansion lank 12.54 , Fixtureisewer cap 25,02 Name:PulygunlY01,,LLC . • . '-- • : Floor draintflogrsinkilutb 25:02 Address:109 fast 1.3th Street Garbage disposal : 25.02 ' . • .city&atitIZIP:.Vatic-ewer,WA 90660 . . - Hose bib 25_02 ._ Phone:04005-770 Fax ( ) ice Maker . ... . . . • •' • 1151 ,.,',7',...!L :.,..14: id,kre.;:,4;,,s-E.,,,,,;. jlt:::•...1g7.:Eltejkilkert-lE1280.11:::7.7::7119 tillCrcePtPrigrrea.-5c trap 25,02 • - IvIediCat gas(value:S .. ) Pae 2 Business name:PolygonWLIIiLLC --- --,-- - • Printer • 12.51 Contact name:Angela CrajewSki .. ... .... ..::.:. . . . . . . . „ ROdfdtaip.(contniercial), 12,51 Address:109 East 13th Street. _ SistiOaaintitwatbry? •• - 25;02 • CitylState.ZIP:-Vapeugyet,WA-98660 Solar units(potable water) 6/54 . ._ . . Phone:(360)495-T7007 Fax ':-(360)693-4442 ,nth/shower/shower pan : 1/51. : Uringt , 25,02 Email:.AppIa1,42,jewsk''.`t&uly.goithuntes,eom • . . . ..,..-...,...,„.—:-,..,,,,,,, ,sd,,.. .,......, . • 25.02 - • i :7-71- :,..,...4.ft. ,,,,4 ,71*:.: 71iiirrlefi•-:.. .-Nt74- 11: „.%• tt...*:-7::::-7,7:- •:-: . 7 .. • . ...... ... 7-7- !::.:'.-,..•:4...',•; :'•7-,:i7:0.4::: :::'7.',.7:-.7_4o.'-!',.`di.,.r., 77- -rar,. : y74,271.7•7:70A:-••-•-•V--7 :7 -7777lat•-: --7.;7:...:,:..,...at :wateheAter I. .. 3:152 : -""/.0 Business name.:BOL Pluniking-LLe. . . . . .. .. . . Water-pipin*DWV $.6,29 I Address PO Bat 85 • Other 2-.i 02 .... . . ... . . .. Cin/State/ZIP:Corbett OR 97019 . _ Subtotal . . . • • Phone (563)351,3903 " - Fax:( .: ) • • .. • Minn-man permit fee; $72:50 Plan review (25%at fee MB Lie.f 180345 Plumbing LiC,nO:::140.582 • ... . ' :State surcharge(12%of petrnjt..fee) , .. .. i Authorized signature: ti,s*,..c.,,..... ./. ,4„,„„ze.„0,e- TOTAL PERMIT-FEE t ... . . ... . .. . . . .. . . . Print name::Brandon Ltinter --Date• 8 liG qi(0 .1 Tins pernut application expires if a permit ia not obtained within 180 days atter Ithas.been accepted as conapiefe. . *Fee ractbadolco VA bytri:Codoty goading Industry,Seiviee Bdaill. . lAlikildings,PerrnitM,M1.1cPermiiApp.doc 1001/09 44t46i6T(.it/O2/cO.MW.itii) - CITY OF TIGARD ,;, • MASTER PERMIT : �! = COMMUNITY DEVELOPMENT ®® "� Permit#: MST2016-00100 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15391 SW MISSISSIPPI CT Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 81 Project Description: New SF. 6/15/2016: REPRINT permit to reduce bathrooms from 4 to 3. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1571 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2160 sf Garage: 661 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3731 sf Value: $459,274.87 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: 1 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: N 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: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3731 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) ATTN:FRED GAST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 109 E 13TH ST VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,290.69 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 952-001-0Q 0. 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: Permittee Signature: 04 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 �! _ Transmittal Letter T 3 G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DAT i f D DEPT: BUILDING DIVISION MAY 17 2016 FROM: Angela Grajewski/Chris Walther CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 503-312-6213 By' RE: 1539 I SW Mississippi Ct MST2016-00(00 /..S..5" cA �� (Site Address) (Permit Number) Polygon at Bull Mountain LOT (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Descriptioni', y : 0 Additional set(s) of plans. 3 Revisions: WIC/4th bath change 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Removal of 4th Bedroom bathroom into Walk-in Closet FOR OFFICE USE ONLY . `. Routed to Permit Technician: Date: (,/Z/ j 6 Initials: Fees Due: es n No Fee Description: Amount Due: /4)24-A.1.' /e4-6//67-c) $ 0, C A)////1/ .6" $ `/�-o-0 $ $ Special (3_5 6,9'1//2‘71/15 £ )( .9.7-6 toy (f) Lqv5, (3) n Y:fie -) Instructions: C, ) ,Vp� T724-y (Sj 1./-6---Ary- ,,�y-/,S Reprint Permit(p r PE): 02j es / ❑ Noone Applicant Notified: /iV '/e Date: ///.57/6, l-}-/c., 7Initialf, I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT III a Permit#: MST2016-00100 COMMUNITY DEVELOPMENT Date Issued: 04/28/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15391 SW MISSISSIPPI CT Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 81 Project Description: New SF BUILDING Floor Areas Required Setbacks Reauired Stories: 2 Bedrooms: 4 First: 1571 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 2160 sf Garage: 661 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 3731 sf Value: $459,274.87 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 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 Tvaes Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder 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 l 500 sf: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Ecompasing: Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3731 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) ATTN:FRED GAST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 109 E 13TH ST VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,179.01 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503�.f232.1987 or 1.800.332.2344. //l Issued By: v Permittee Signature: �i.3 / '977o " Call 603.639.4176 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. 11 ' 0 CP ` • Building Permit Application / ¢�: •;t RECEIVEDI'"° FOR orrlcl, lsr ON City of Tigard Received 4.y / pmtN9tiJs7r�jb-DO/00 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 14 2016 Plan Revi Other Perini /� �j,,, Phone: 503.718.2439 Fax: 503.598.1960 p p Date/By: l / /�aV/6� O i i, R€_, Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By:. J H See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Noti5ed/MetbodSupplemental Information .`•�4A. .. -6 i 4«.,�R�,.;,� r �,...}...;:_ 6 i7:-,,F r,,.`.. ...�E ®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 the profit for the c`" work indicated on this applica - - .=. ... .., � .. : �� �. �_ z�.,._.,n n Valuation• � � $ �� � ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building 0 Multi-family Number of oo�� 4 Cl Master builder 0 Other: Number of bathrooms: 2. 41 t ti,':, " K Total number of floors: 2 - Job site address: ( 3?k S CAkbp1/s.d t tv New dwelling area: • square feet 4 C) City/State/ZIP:Tigard,OR 97224 M ISS I SS 14>Q I Garage/carport area: •Lo square feet Suite/bldg./apt.no.: 1 Project name:PDA.i(3-on ca., by\` rnirn Covered porch area: 1• t square feet a/ co Cross street/directions to job site: Deck area ,C' 4 7 square feet 7 Other structure area: 4) square feet on at Bull Mountain Lot no.: Permita s t r Subdivision:Polygon 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 r work indicated on this s.lication. ne 3 ,. _, „ n la-n\..\ 9T .K * ; Valuation: $ Existing building area: square feet New building area: square feet ,,, -^, , f -:, k -. , m €I 9 S"f" i'-x ' Number of stories: Name:Polygon WLHLLC Type of construction: Address:109 E 13th Street Occupancy groups: City/State/ZIP:Vancouver,CA 98660 Existing: Phone:(360)695.7700 Fax:(360)693.4442 New: Business name: .C) • k.)L- ITh C �...,n .. ._ Structural plan review fee(or deposit): Contact name: 0, # 1e. OrC-\0Y1 FLS plan review fee(if applicable): Address: I O Qi � r34-r1 CD-if` - � Total fees due upon application: -. City/State/ZIP: \I an 0ASI or- W a 0,G r to 0 Phone: ?)(pO) `9( S5: -4-1-00 I Fax::Nip) U -1_A222, Amount received E-mail:maggie.gordon@polygonhomes.com .. _, . FA.. _. __ >. �._. Commercial and residential prescriptive installation of roof-to mounted Photovoltaic Solar Panel S stem. Business name: "b W LNA 1 n c Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: \0 C i 1340 E / Solar Installation Special Code checklist. City/State/ZIP: J ail C'+ (0� N `-1\J,' ` (Olt)0 Permit Fee(includes plan review $180.00 and administrative fees : Phone:e L1U) t Q 5' 3C) Fax:()VD) �0Q3 s u'Z22 State surcharge(12%of permit fee): $21.60 CCB lic.:204238 Total fee due upon application: $201.60 I This permit application expires if a permit is not obtained Authorized signature: ei. • within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: Date- I -2:4-7_1 D Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) i ' 13lit3t OFFICE Lam; C3\L1 -Mecha ical Permit A)PTicafi0n E ::. COY.'of`Tigard CIVbotiij.r _. / p�raur rw: S - IN,_,. .. 13125 SR'Fial!Blvd:,Ttaa'rdDb 97223 Plan Fic ie . phone 503:718:2439' Fax5(3-59$1969 fetPcruu t Inspection Lint; 503.b39.4175 M AR 1. 4 201w Dat•ReadfEy: tric I Srage.. for Internet mmw.tigaid-or gov fierth ei ii, SupplemenntInfo rmnhoa — ' . CITY OE �u t .- em xa., ' 1YP$ QFW[? '7 �1�- }l ' 0.0", O-'!t .FEtS40. _54:1 Ef :2-704*:-::;.;s — ' ..- . ��' _� ficchanicaennits* aim based on the Value iif the W4rk performed_Indicate the value(rounded to the nearest dollar)of all El rretu coiis�etiort 0 ttiddititin/ettaxa6tiit,�replaceirient - mectianieal materials,equipment_labor:overhead.and profit. .. []I}erpolitton ❑Other � �� `� � r5 - .TEG.DA OPCONS37A1 - ... �Rg3ifl EQ ,� �lS5Fh �£-S _ 21 • de djedd.is4 .: aiK12_family&NTHitlg 0 CommeretaSfmdtMtnal 0 Accessory bitNing I Qh' ?yin*builder '0 Other Drscrtpnon []Muni-fatrttiy 6apJrbo}nR Total ''`4 QS 51TE`IL�1FORtMA'3iDN dl4[1IACA'£3a1\. .- f � �. .,.. Apr candttioamg I 46.7 Job.site address: i "l l 3 lW+Dv*rt/ ' ` 1 Furnnee 100000 STU(doubt cats) I 1 4b.75 G�ZZu Furnace 100 000+ (ducts'rrnts) 51:91 t;/ talrJG► 'r1 (`� � �R .. .. Pleat pump. J l 5491 61.06 Stu-ta/blttgiapL: I rcoect.nainm Pal(� 1 ( ' \%I\ 1�Y1-Li1 Ductvroclt 1 23.32 J vroaic hot water system 2332 site: Hd t stre�i/diteCtious toI job Rc4deniisl'6otTer(radiator or hvdronic) 2332 17nithrate x(fuel.-t}±O.,no*ele9tric). is w'll.iisdud;"suspended,ere. 46.75 Fhlelveiit for arty of abiivc 2332 23.32 IoLnot Snbdtvuion: - -..._.. -... . V \ 'Other iaei at►Altanrxs 14sderhealer 2332 Ta�caoa$pJpar>ael do fir•—li33' . tee/inSi t' �9 ' :�a �' '" 31ESQZI 33 Q'' .**.Cii. -• < _; .._;< a F)uev t;for water heater or gas Brerilace 123.32 7.;ogtiirlitet'( ) .23.32 Wood Eton=' 3339 WOW.frep1ttenti serf:.. 33.32 3iimncy lioa'lfltiavent 2132 �' t7Hxr 23.32 .: 2., 7. r ' ;. ..�.„" raanteatio iittaust ad xt:ntttati n: •Raagc buo3/atl�cz kitche?t Name-galygwls Nardtvrest eqn I 33.39. 3� Ai3r)rtss:,109 E 1 $t (;tolbes dryeratrhatsst I 33.39 :Singiadud exhemst(hifinne ik„ C' � Vitncoitrcq�4':'i 98561 toilit; ypartinctns,:utility.rotiais) : 4 23.32. 'Pliotie 0690164000* Fax ( ) y3mc/irauvlspaax Z#33 t 2332 - -Fuel ptpiitg $ittii s>iamc Polygon Ili Mt-vrvid $id_IS for foal tour:84,03 breachi additional canta«i -- _ - .- _.. _ . .Furnace,toe: 1 .-. . . . - :cos htatpuaih.. Adtirtss;109E 13'�St Wallhuspendedfimit heater Atit 'Gartn_ixiirvr,NYA98661 _ 'Wateriteaoet . :: ,.._.::: ._ -.. I Fax::( ) Fi,laoe p) (36D)$1!57800 ._. :1 E-mail 3 - $tis frank: •HGB taag,lac E..--ea- .�iu-C' _1II. ,—v *r_ tat,. Y- n Arkitag 62$5 pW85"AvSf;410 Subtotal 1 NFinanum ptxmit fee(590.00) 01)./.$taittarZIP _... .•Trgard,OR 97274 Pian review(25%of ptstna fret) Phone(503)99241.664 I Fait(583)536441.55. :State sutt:harge(12%of permit fee) TOTAL PERMIT FEE .,-1.. , T}s mit application exp`iria If a permit m not.obtined Within 180 days atter it has.Bern*edited as Complete. C. Fee mctbdology.set.by Tri-County Bolding Industry Service Board Authorized signature . I Frtntnaitii^Art-Aaticilen 1 Date:1113012015 1 • ,Electrical Permit Applicati IVEV °RECE FOR OFFICE 1'51.: ONLY City of Tigard Received Ratediy: Permit Nn//f7;2 o 00/0 0 1,1 • 13125 SSV)tall Blvd.,Tigard.OR 97223 plAR 14 2016 Ilan Review : . Phone 503.718.2439 Fax: 503.598.196 uaionv: Other Permit Inspection Line: 503.639.4175 TIE' D Date Read /li Inds 21 I I( �1 1.I) CITY OF t� )I 1 See 1 gni 2 for Internet www tiand or uov /�� Notibed Method 11 Y:7f o I h Supplemental Information j.„yr,.n -rc++e5a¢r,- ...a pia + y+ c lvIgl°"' ♦ ,�•y C 'N_/ ...704 47,l.,; ...�14 ? i.' :A,:.�TS E Off• - �L4 ic- V1E t : Please Ise check all Mai apply(submit 2 sets of plans uditems checked below) ®New construction ❑Addition/alteration/replacement 0 Demolition 0 Other: 0 Service or feeder 400 amps or more ❑Budding mer three stories where the available fault current 0 Marinas and boats:uds 'l CATEGORY OF::CONSTRUCTIhN - exceeds 10.000 amps at 150.alis or 0 Floating t.buil ho �_+....>. - r' less toround.or exceeds 14.000 B ❑Commercial-use agnculmral ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amp.for all other Installations buildings I 0 Multi-family 0 Master builder 0 Other: ❑Dire pump ❑Installation of 75 kVA or I yr .ey ) = a.a.._ t system ,, t em 3, :+(x ,., , B:S1T A�tMATItON .i ND LOCA`T1bN.'. .. r, n:„•motor lord of Emergency. larger septi�teh dem•d..,. Job no.: Job site address:1�.(_lCt 1 SO``(AAADvo ,2, ( 100111'or more uccupanc, /`, // ` - `?" 1 ❑Sts or more residential units 0 Recreational,chicle p:ul... City/State/ZIP: �\Cj��c O� ( ,{'L�� ❑Health-care facilities ❑Supply.phage fix marc than ���111 —1 ❑I I zarduus location (410 N ohs annum) Suite/bldg./apt. no.: Project name:i.,....)„„\.1 9, cur B,,\1 m--r ❑Service or feeder 600 amps or mol, >FEF SC IEDJJ E Cross street/directions to oh sue: Description I Qty. I ire. ] iau,l New residential single-or multi-family dwelling 111111. Includes attached garage. Subdivision: Lot no.: g`1 1.00(1 sy II.or less I 168 54 4 Ea.add'I 500 sq.II or portion 7 33 92 Tax map/parcel no.: z5 `iir � 1�L'Sf I >v' _ Limited energy.residential ) 75 00 ? R1PT Q1 VVbRK - - �.' - It(with above sq.Ii) New electrical service and wiring Limited energy.multi-family 75 00 , residential(with above sq II) - Services or feeders installation,alteration,and/or relocation 2(X)amps or less I(X)70 , <` 4tititiWi / 1'7ER= ' :ti TENANT 201 amps to 400 amps 133.56 2 Name: pt:) .1 401 amps to 6(X)amps 200.34 ' ��y-� 601 amps to 1.000 amps 301 1)4 2 Address: I b a vo4' ` Over 1.000 amps or volts 551,6 , City/Slater/JP: )OJ160\..Gl�_ WIN q ee _( „c) r empnrary services or feeders installation,altcralion,and/or lJ�y�•l relocation Phone:to) 6 a 5,'-i<'•„].f�D Fax: -f„D ) 1^(}5-`It Ili 20 amps or less 59 36 i I 77 a�� ion Esc I which �/ 01 amps to 4(X)amps 125 08 s I Owner installation: This installation is being made on property that I own which is not I 401 amps to 599 amps 168 54 intended for sale, lease. rent,or exchange.according to ORS 447,449.670.and 701. 2 Branch circuits-new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with • T •• above service or feeder lee.. : � j • © OO�TACIPSON 7 t2 , each branch circuit - Business name: , ' 13.Fee for branch circuits without service or feeder fee.first 56 I8 Contact name: m a 1 j `e (--)01 branch circuit •v Each add'I branch circuit 7 42 , Address: e I i _Ai _ Miscellaneous(service or feeder not included) City/State/Z11': a1 Cc\ , ," VG 1 4 1 Si (^ . )tach manufactured or modular I / dwelling.service anti/or feeder 67 84 Phone:( ) Fax: :( ) Reconnect only 67 84 i , E-mail: o /� }��\ a or Ion circle 67 - rn0.9 ve .90( �Q �- `) `-N " Sign or outline lighting) 67 84 RR"�� 1 , '' .. ;' ' Signal circuit(s)or limited-energy l Business name: Simply Electric panel,alteration.or extension Page 2 I , F:ach additional inspection over allowable in any of the above Address: PO Box 822408 Additional inspection(I hr min) 66 25/hr Investigation(I hr min) 66 25/hr City/State/ZIP:Vancouver,WA.98682 Industrial plant(I hr min) 78 I 8/hr Phone:(503)849-8202 Fax:(360)314-4945 Inspections for which no Ice is 9(100/hr specifically listed(V2 hr min) CCR Lie.: 204615 Electrical I.ic.: 067 Suprv. I.ic.: 4394S "'''''''-4. '";'.ELECT[tICA i 4 11T'FEES ' O /_ Subtotal ' Zajac. Suprv.Electrician signature. required: T3 j Plan review (25%of permit lee) Print name: Victor%arzhitsky Date: 11 17/2015 State surcharge(12%ofpermit Ice) TOTAL PERMIT FIN. i Authorized signature: This permit applies two expires if a permit is not obtained within ISO Prti)l na1nC: days after it has been accepted as complete. Dale: ` Nundnr of inspections allowed per pemil I Il::ddms4'srmnd.t 4.C-permil App doe 07'01,l0 -140-11,151.1 I I.0s(OyVsFli YJ.' 'Plumbin Permit A li E'V G Building Fixtures G FOR OFFICE t SE O\L\ City of Tigard MAR 14 Z016 `.ived Permit No"/tfs i6'!,�/OD �9'fi23 ��Y- 13125 SW Hall Blvd.,Tigard,OR �y Plan Review other Permit No.: Phone: 503.7182439 Fax: pQ4{10- TIG RD '�>' Inspection Line: 503.639.417 1 (��,0Iv'S+ION lurk. e Page 2 for l 1 -- ' L' Internet www.ttgard-or.g• 'UILDII^ Notified/Method: Supplemental formative _ -,�.L�_ .�`-�-�'- .a z, �t,- Y ..rti:=�-�_ .,..aas.... -.� 1 a :� `-- "` For special information use checklist 0 Demolition I Qty. I Ea I Total rt.New construction Description `0 Addahon/alteation/replacement 0 Other: New 1-2-family dwellings(incudes 100 R for each utility connection) 1 .•.� 4 M-.- IVa_` ; z�. -w ', .. .; SFR(1)bath 312.70 - r i y - -:- t.,1 . ---s fi q ., _ _- --• -o :__ SFR(2)bath 43738 �[1-and 2-family dwelling 0 Commercialfrndustrial SFR(3)bath 1 50032 .5�t?�� /0 Accessory building • 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other. Fire sprinkler(__sq.ft) Page 2 : = -' :Site utilities: t� ".� ...>-r 4ir'�?i:., e, lel err :.;... '�r � �:.-�� ..�--."'~= rY := 1-;�/� -'��G� y�,� � �� y-� Catch basin or arca drain 18.76 Job site address: `� �0-8 tIv t t w�G �Y l Drywell,leach line,or trench drain 18.76 City/State/ZIP: T OR l 3-214 ` Footing drain(no.linear ft:_� Page 2 P©\\1 3Y Qy lI) Manufactured home utilities 50.03 SuitrJbldgJapt no.: Project name: ` 1 �� u" t'r11 ► Cross sheet/directions to job site: Manholes 18.7618.76 Rain drain connector Sanitary sewer(no.linear ft.:_) Page 2 • Storm sewer(no.linear ft:__) Page 2 _. Water service(no.linear ft.:_.) Page 2 • Subdivision: I Lot no_: SL- Fixture or item: _ Backflow preventer I 31.27 _9)I,-ij1- Tax map/parcel no.: -m.-, Backwater valve = -.. �- Clothes I 12.51 1 Z.j r .,-__,- -. -:--.-__,--,_,-_-s-._- -..,--,-- 1 - - � washe1 25.02 , 5,0 `L Dishwasher I 25.02 09C-5,0 2 NWS/ Ort ~Vk/ cPlA. ,,14t 'JDrinkingfountain25.02 Ejectors/sump 25.02 Expansion tank 12"51 ;- `.-t_' . = . r • ..--}_. _�-_, _ -_ - FixtrudscwcrcaP 25.02 Name: P(pH(� 1 -Floor drain/floor sink/hub 25.02 v Garb disposal25.02 1S,dL t G� Address: C 1 I `J City/State/ZIP: �,()OD ?( W F 1 q a ` ) Hose bib 1 25.02 2F),Cft OFie( ) Ice maker' I 12.51 -a_ I, Phone. t` -_F_,_ a .1 7, Interceptor/grease trap 25.02 ,.-7.4.,..- -,_!_.. -.-__-.. ...+...,..'_•_- -,--.=-:.:7---�� _ - _ {• =� . _ �` _ Medical gas(value:S ) 2 Business nems" 15D L ,�l/ S�, /� . ._Primer 12.51 age Contact name ��:L .bn ��,h Roof drain(commercial) 12.51 Address:r j 0 Sink/basin/lavatcay 25.02 Oty/Stake/ZIP: tig 7b1 cl Solar units(potable water) 62.54 �. Pltotle: 3)351 3963 Fax :( ) Tub/showu/shower pan. a 12.51 .7 5.o' ?. _Urinal 25.02 E-mail: „� 45 -�' .I _ Water closet 25.02 �i :-• ' �'z�' __ r .._ . _=_,. .. Watenc�ffier 37.52 yl-.✓ +�_ � - ,_--. • 5629 Business name:13�in" - I i j l 1 Water piping/DW V iV�Li.. RC1 25.02 Address: -F 1 V Subtotal CitylStamdZlP • �} [ - Minimum permit fee: S72_50 Phone:43A) . / -3�d3 I Fax'( ) Plan review (25%of permit fee) CCB Lia: 1 B63 1 Plumbing Lie.tt5 1582_ State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized signatturer _ This permit application expires if a permit is not obtained within 180 days Print dame: i- ( Date• !//7/5.-1 after it has been accepted as complete. - �! _ .Fee methodology set by Tri-Cowry Building Industry Service Board_ IABuldingWermiLAPI-1411-PermilApp"doe IO/o1u9 4404616T(IMI:i COWWEB) e City of Tigard 111 COMMUNITY DEVELOPMENT DEPARTMENT T 1 G AR D Building Permit Review — Residential Building Permit #: /VS 7,,,,20/(c) - CO /0O Site Address: i S 3 1 I 5 L.) 1vli ss;JJ:ep, CA-- Project Name: Po lL cl 0 v, al- Bt(1M o u.-1-f-u t-, Lot #: la I , (New dwclhng=subdivision name;.Addition or.Aiteration=last name of owner) Planning Review Proposal: N e t.i SF 2- y2 Verify site address/suite# exists and active in permit system. �� n o d e S i vl 5 I a wet a rd s Goel �i L� River Terrace Neighborhood: ❑ No Ig Yes,: U Site Plan Elements: a hree(3)copies of site plan Existing structures on site L$Site plan must Lq on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Drawn to scale (standard architect or engineer scale) floor elevations North arrow L$Utility locations (required for new,may apply for additions) XSite address,project or subdivision name and lot number ,Location of wells/septic systems (kiApplicant information(name and phone number) E Erosion control(including drainage-way protection, silt fence R'Lot dimensions and building setback dimensions design,location of catch basin,etc.) kLot area,building coverage area,percentage of coverage and ZStreet names impervious area (applicable if R-7,R-12,R-25&R-40) XStreet tree size,type and location 'Property corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures K Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified Ce/No Received: ❑ Yes E No Public Facilities Improvement (PFI) Permit: Required: K-Yes,applicant was notified ❑ No Applied For: 'Yes ❑ No,stop intake Nr Land Use Case #: Sk-L3 .2o Is - D000a. k' Zoning: 'R - 4- , 5 O_etbacks: Front gtQ Rear 15 Side X95 Street Side — Garage a a 0 Landscape Requirement: f 0 °/o kr Lot Coverage Maximum: 400 ❑ Building Height: Maximum Height 30 Actual Height p? a Visual Clearance • Easements ae Sensitive Lands: ❑ Yes e No Type Da- Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: Co f1 1'7 b til s to b€ W lL-t- en o r -I-0 I SS v Gi ✓l ct C' i- 04.1a&on J Pe ten; i - 0 Approved By Planning: 440•.' 6 ie_A L2 CiW\., Date: 3/ 14 / I ' 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\BldgPermit Rvw_RES_0121 16.docx I Building Permit Submittal Original Submittal Date: 3/y/�b Site Plans: # 3 Building Plans: Building Permit#: Ly' Enter building pe t#above. Workflow Routing: Er Planning Engineering 'CI Permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: 2'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: �) By Permit Technician: /�X Date: ////k, Engineering Review Slope at building pad: S7> Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: E Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approve. by Engineerin_: Date: Notes: Approved by Engineering: 142 22 Date: /S—l6 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 pproved,NOT Released: /Oft- Date: 3)51/40 Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: , Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: ?Yes ❑ N/A /CJ OK to Issue Permit Approved by Permit Coordinator: Date: 27 40 I:`Building`forms\BldgPennitRvw_RES_012116.docx 4 4 City of Tigard i III ■ COMMUNITY DEVELOPMENT DEPARTMENT TI G n R n River Terrace Building Permit Review Addendum Building Permit #: /`1''77- /6 --00/D, Site Address: 1c39i Sw M i S i S'3 .p P' L I- Project Name: p0 0 r N 13u1) v n tt�l n Lot #: 1 (New dwel nl,= subdivision name;.Addition or.Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1): Is the project subject to the plan district design standards? ❑ Yes_No NO Po 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. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft. wide min. 2 ft., 6ft. wide Gabled dormer ❑ ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 3. Entrances: At least one entrance must meet both of the following standards: facing wall ❑ Parallel to street,angle no more than 45` from street, ❑ Max. 8 ft. setback from longest street- or open onto porch Entrance opens to a porch: ❑ Yes ❑ No If yes,all the following apply: ❑ 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft. max. roof above floor of porch ❑ 5 ft. depth min. ❑ 30%min. porch roof coverage 4. Detailed Design: All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft. wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft. wide ❑ Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood ❑ Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40% of street facade ❑ Window trim min. 2 '/z"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 comer lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft. where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40% max. of street facade ❑ 50% max. of street facade with 7 detailed design elements Notes: /�� Approved By Planning: •' 1 / 0"71 CM 6 J O i MA- Date: 3//q A (p I:Building Forms BldgPermitRsn RFS R7 031416 dors 1 uildinz Permit Application �� �i Li y RECEIVED e,S1t�Cntlal FOR OFFICE USE O\Ll v City of Tigard Received Date/By. // 6' ,e17,-/---- permit N�,s j //v-0p/0O II14 13125 SW Hall Blvd.,Tigard,OR 97223 M FtR 14 L u Plan Revs = Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Pte' el,eo2(/6'-21M:Pl] TIG:l{:l7 Inspection Line: 503.639.4175 CITY OF TIGARD DateReady/By: hvis: ® SeePage2for Internet: www.tigard-or.gov8UILDI N DIVISION Notified/Method. Supplemental Information '�'..: ;�, 'v.' ' ' ,0 rte€' 0: ,,- -a.z. . . A ,_ °, i a� 4 ; 1 i al 4 i , ..i..__n_044. in to 8 ®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 ❑Other: equipment,materials,labor,overhead,and the profit for the p.,. tet: work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ L' ❑Accessory building ❑Multi-family Number of bedrooms: 4 ❑Master builder 0 Other. Number of bathrooms: 2.5 z Total number of floors: 2 Job site address: l 5&_l, 9D rIA, /� ..A-Vt.L 0..„-tNew dwelling area: square feet H City/State/ZIP:Tigard,OR 97224 1 $)ss i.Q f i Garage/carport area: c LD \ square feet Suite/bldgJapt no.: Project name: pp (3-un c -G b,),A n Covered porch area: co q square feet Cross street/directions to job site: Deck area: square feet Other structure area: II square feet ,.. �,.:.. Subdivision:Polygon at Bull Mountain Lot no.: 6 , 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 r equipment,materials,labor,overhead,and the profit for the : ; ..4.4...,..,,'! ,, j _ work indicated on this application ��lia � �S' �21��` 1 0 Valuation: $ J Existing building area: square feet New building area: square feet 74. :1q'x ° ° �. Number of stories: Name:Polygon WJ.A,LLC Type of construction: Address: 109 E 13th Street Occupancy groups: City/State/GIP:Vancouver,CA 98660 Existing: Phone:(360)695.7700 Fax:(360)693.4442 New: Business name: �1 l�L1 n C .,_g. ¢ x ..... �1�C �' n Structural plan review fee(or deposit): MContact name: a gJ 1� (occ1L71 FLS plan review fee(if applicable): Address: I C C‘ 1r` 13�h Total fees due upon application: City/State/ZIP: V O AQ of- W g e,ikr to 0 Phone:a�) V..c( -7--4-OO I Fax:: IU) U .u227_, Amount received E-mail:maggie.gordon@polygonhomes.com ..- • 1-1 x. ,, ° . r s a ,7 4 _ ,:-i.17;-.,.-21'„,, .- ,--,;.0-- * � . Commercial and residential prescriptive installation of — - roof-top mounted Photovoltaic Solar Panel System. Business name: PC ki O (rt -)L\,�1 � \n C Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon `) Address: \ i 3A.'n 1 — � Solar Installation Specialty Code checklist. � City/State/ZIP: V QCou\)ex v) D Q (f2(6,0 Permit Fee(includes plan review $180.00 cQ3 . Phone:(�(p0) to(�5.--4-- -00 Fax:( ,D) L\222_ and administrative permit State surcharge(12/o of fee): $21.60 CCB lie.:204238 Total fee due upon application: $201.60 Authorized signature: OP A This permit application expires if a permit is not obtained , within 180 days after it has been accepted as complete. Print name: Date• 1 —Z�_1� Fee methodology set by Tri-County Building Industry Service Board. I.\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB)