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Permit (61) �" MASTER PERMIT y.q CITY OF TIGARD �Y IE : COMMUNITY DEVELOPMENT ld Permit#: MST2016-00084 TIG ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 251080001506 Jurisdiction: Tigard Site address: 15367 SW MISSISSIPPI CT Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 80 Project Description: New SF. 10/28/2016: Add A/C and 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1591 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 682 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3427 sf Value: $420,239.99 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: 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: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 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 3427 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,635.99 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 ►, 1,1952-001-0090. 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: �' _ '-.�—< Permittee Signature: e4 et/ f" '& �e'w 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. • Mc,c2kan lea I Permit A p plicFIEC u(IR twuricr,l St ON I 1 ' . . .. . EIVED : - - - . ._. ... . .- :-.::City of Tigard D ),,,ii ,77"..., E„ ..0fr, . yw, . IN _. , . 13125 SW-Hell Hied,Timird,OR 9722S EP 2 0 2016 Peat Review 7 3.71L2439.Fax: 503.598„1960 Dattally: ' Ostaa-rAtaif: inspection.1..intt .503.639A 0'5 CITY OF TIGARD , ..,.... T[GARD Data kaadv11,-;. Tartly ;HI See, Page 2 for -.inthatet www_rtgard-or.gov BUILDING DIVISION NoltriaNiethod: Supplemental ibiannation - , '•:• --,,..' . .• . 'Typc OF woRK - ' . COMMERC7141.'FEE*.SCTIEDDTE.:- ILSHCRECKEIST i , . . •Mt:cbartleal penult fees*an based Oil ille value of the work ,A NeNV tatastruction 0 Additionfaltemtiontreplaceatent • performed,Indicate the wale troundod to tjto=rest dollar)of all 0 Demolition 0 Other: mechanical materials....ti'.meat labor,overhead,and milt Value:S . . . . _. . . . . . .. . ... . ... ... , ... . - ..• " "-• • CATEGORY.OF CONSTRUCTION . . - -- •. - • . , - • - -- - - - - • - - ' --'-'RESIDENTIAL EQUIPMENTi SYSTEMS FEES* • - - 0 1-arid 2-family dwelling In Commerciatlittdostrlal 0 Accessory building 1 ,_ . For*aid infirmation Nye thecAtin. . , r !...4cawily 0 Master builder 0 Other 1 Omription * Qty. Ea. 1 Total .-: - - :. • - •. - ljeatin acoolin,- : ' •. JOH SITE INFORMATION AND LOCATION . ,. 11111111113111 '-'"' siteadd&-ts,.: ' - Ak.c411min. Job ,-1 5\AI Mtssissi fl Furnace/00 000.1311Joackoventit 1 46 75 City/State/ZIP:Tigard,OR 97224 Furnace 1001)00+BTU fditchthents)• 54.91 ' . Ilea. urn. 1 61.96 1 • Suitelitidgiapt.no.: Projcet name:Polygon atBall Alountain „ . Duct ivork 23.32 1 Cress•streetklirectioo ojob site: Ilydrerric hot wafts'system .23.32 Residential boiler(radiator et •. hydronio) 2332 I ..— . thnt heaters(lbel-t)..pc,.not electric), in-duet suspended,etc, 46,75 Flnekent for t of above 2332 . . . .. Other 11111 .Z.1,3i L......_ _ Subdivision:.Polygon at.Ball Mountain Lot no' ° ' Other Intl a-pultancest Tec niapipareel TM:: Wiler fiefttift- ' ..- 23.32 I ' —....... ...„ .. . -.- . .. .. . . . .. .. -• .. -... . - DESCREPT1014 OF'WORE:, .-: - -a"firePiaeeneseft ' 33-39 . Flue Nvat for water heater-or gas ii W, ti _ Afiat# ' fitxtplace - 2332 111111111111.111111111Migill1111111111111111111M11,, L 04eiver( --) 23.32 , A WCAhii. ',let stme an 3339 IIIIIIIIIIII INN iTiATi.A A II Asecilasert 111111111111 -I . Chironeyflinerffiteduent ' . 23,.32 Other -PROPERTV.OWNER.. - * - El TENANT ' ' - — ' • 23.32 •• ' - ' • ' ' " - * - •- Fortritomeolat t XhAUSt And ventilation: - Nam:Pely*un WLf1 TLC - Range hood'other kitchen i equipment .... I . 33.39 Addmss:109 East Erb Street I Clothes timer exhaust 33.39 i City/State/24P:Vancouver,WA 911661) Sieult.duct exhaust(bathelonts, 1 ,toilet corupartmentthility roans) 1-4 2132 1 (360)695-1700 Ta..v( ) . Atlicterawispace fans 2332 -I . , . 1 2332 ..., -. • '-- -.. .'21. .f,pcic,.Ast:,, ...-. -. , - -: .:. -ID' cg.7icr4,cr..it,Rs(A- -.• • Other .... . . Fecl RIPIPHr. .. Business name:Polygon W1,31„LLC • • . , . . $14.16 for R •ea jourr Stit3,Jor eitch nditionent Cooled tauten A.ngeht GrvrjewsJd Furnace,etc, 1 I. I I ' ' Onsittat pump I Address;109 East 13th Street . . . Well - ,. dad/milt heater . I City/Stale/DP:Vancouver,%VA 9S66.1) Water neuter • I -- . ..... . . . . „ ... " Pbme:060)695-7100 Fax::4360)693-4442. . Fimleee • • . Range< . . fl-tuitit:Angelit,Grajewsk3Zpolygotthantes.coin 13 .artnrcue .. • ,•-r• - • CONTRACTOR :'"-- •' - . Clothes d ' ca.52- Burliness name:Apex Ail.LLC Other: . ... .. --:- '.• " ,ME.1:2114NIC4I.,TERSDTFEES* Address.;IMAM NE 72Avg Subtotal I City/StaterZIP:Vancouver,WA 98686 ... Minitunta permit:fee($90,00) . . , • Platt tuifiewe *tit eo) I nom(360l 342-8109 1ax:(360)326-1169 State sorektugo 42%amnia Poe) I CCB lie::201034 TCTAL•PERtilTITEE Tins permit ciiptiention.exphesira.perat' t is nut ebta.inist*:hhin JIM days at*, fats!mat atreptad as rattiplete, Authorized signature: . . *- Re taethadalczy set kr Tif-Caiwy Bediag ffalastry Sallies itromf . • - Mtn 114114:-' 1 4 ek , _.1 Date: 4.pi..it,- I VIvilthn,5-Trmtn-:Airr l'orgiapp.0401 flAfocl 44046€71"f 110:,:_,COMAVEill) E 1"a 1 9._: I(Jed()1liEE.t4F.f'r‘1.5 - SEP 2 0 2016 D fei , it0Y� 7/ , -�?ccO 13)25 S Hall Blvd, Tigard, 1?atelYlr: OR 'i7 3 Plan Review w. Phones 5113,.71T3 043E Fax -�13,5�#8�t t3ate.Bs• l{elawd Paints r1; Inspection Line 503.639 4175 'i ii I mit,i OFr Ti6Fit" ''„) Ready f ate/sy; puri 0 rev for Internet: i5Yoi4,Yi and-orgo- I 1PI I a"�f§C . '>r. 1otiEed;ulzthod; Supplemental information N: iTYP _OI.WOli7 4t1WWIt -s t1 New construction a,AfddirionLfalteralioWreplaee ent Pleas check all that apply(submit 2 sets of.plans Wilms ebta ed): DemolitionOther: .D Service or feeder 400 amps or mare El Building over three stories. I WI=the available fault current a Marinas sod boatyards.. _ ` EG R? .OF CONsrRuCTD _ . exceeds 34,1i00 autos at i5p volts or �Floating buildings. ►;4 1-and 2-family dwelling 0 Commercial/industrial Li Accessory building less to ground,or exceeds 14,400 0Cauimereial-use agrieldttral amps for all other insulations, buitd'ings. a Lk/laid-family 0 Master builder 0 Other: D Fire pump, D Installation of 150 RVA or T3 3OI1I I :INFOR}1 (ION;Atm. .LOCATIO 7 ._ DEmergenev system. larget:sepparately derived Job*: , Job site adddressrpl 5w M i S5\�i P(rA c. ❑Addition mof ore.motor load of 3ysiem. � 1taDl?P or more. © A".":E',"1-2-.."1-3', City/4t8tefZ10"Tigard,rd,13 197224 0 Six or more residential units, occupancy. DItealtb-care€acilities. D eaYiAndvehicle parks. r rrD Jla7ai'do.is ItxatiAns. D Supply voltage for more then Suitc l€Idg.apt.#: Project l axile: / ziijd � ,)� �i��6 (new U' � 6°0 olt>aom,nal.. D Service or feeder600 amps or more, Cross street/directions to job site: _ g SG14PDULE,, -- . .. Description 1 Qty. I Ladd Total r, . ._ _._ New residential single-or iniilii-family dwelling unit Subdivision: • ' ?I)901o1�er 6bujul u /' .1 Ut . 1( Lot ii: Includes attached garage. Tax map/parcel#; t 1,000 sq,fl,or less ` 168.54 4 z:� —' , L'Ii11 tION:Oft-,'W) , , 'r,' _ . Ea.add'15°0 4 it.or portion S. 33.92 1 tiO yit V'ac1-' Q/�� JA,L Limited energy,residential 73.t7i1 2 v V �w.a r'J (with above sq.fl.) Limited energy,multi-family 75.00 2 +'-- • , -<< 3i?1t i S , i vjsiw - - residential(with above sq.ft.) Name;.ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Address:7600 E boubletree Ranch Road. 20o amps or less 100.70 2 ' Cit}/State/ZIP:Scottsdale,AZ 85258 201 amps to 400 amps 133.56 2 Phone:(602)694-4031 ! Fax;( 401 amps to 600 amps 200.34 2 Email: Owner installation: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: .. L. Date: Temporary services or feeders installation,alteration and/or t AP' ,-kb.. 47-" .tD ' ' ,OTAC7l'- EIdso3Y ` ,-_ reiocaiion Business name:William Lyon Homes,Inc.. . 200 amps or less 59.36 1 Contact name:Angela Grajewski 201 amps to 400 snips I 11125.08 2 Address:109 East 13th Street . , 401 amps to 599 amps 168..54 2 City/State/ZIP:Vancouver,WA 98660 j - Branch circuits-new.alteration,or extension,per panel 1 Phone:(360)695-7700 Fax::(360)693-4442 A.:Fee for branch circuits with . • above service or feeder fee, Email:Angela.Grajewski®polygonhames.com each branch circuit 7.42 - ' ' ;;, 4rt1I±7 tigt 5::"-.A1-:.;. .. . -. f. service or feeder fee,first• B Business name:alameda electric branch circuit 56.18 2 Each 0(11 branch eirciait. 7:42 Address:3415 ne 44th � /J.# Miscellaneous(service or feeder not included) City/State/ZIP;l jjr"i!fi'rA,,,4 ,z /e 7 c —/ .. Each manufactured or modular. _ 67.84 - 2 ( dwelling,service and/or feeder Phone:(503)3192192 i Fax:( ) . . - Reconnect only 67.84 .... Email:solatpdx@me.com Pump or irrigation circle 67.84 ' - :11:: ' GCB Lie.: 199188 I Electrical Lic,: c923 I Suprv.Lic.: 9,(7/S Signor outline lighting . 67.84 2 Suprv,Electrician signature,required: Signal circuit(s)or limited-ener y Print name- i /2,06,‘."( ! Date: ('/23/2'{, - panel alteration,or extension D Ste Pagt 2. Each additional inspection over alioasable in may of the above - Authorized Sig[ta�Yure` Additional.inspection(1 hr min) ` 60• 25;hi•: IPrint name; �• . ,.-er ,�,,,.- I Date 6 &//-• investigationi(1 hr min) t 90,061 l VauilAing,twe;ss3St.C_PtsatitApp ELR t"R£:dac Rev 0ew`371,015 440-46ISTftrle:..Co?.S�`ti'.EH II. ... A Plumbing Permit Application . ... - •- -.,----,. ;.-- -t ,..t-- f ' :. ': ".:. ' Building Fixtures r F, .'' onir • ,It 13125:1:1;laig11:41111,-dd”Tigard'OR Pe Mi Wri:20/S-•-. 4'6,6f, 1, 97223. , '-a- '2 . . - . Phone,- 501718.2439 Fax:"503,5981066,' i i.i'.•_ . ,' -_-,'.: ,-,'• i- :6;1--e./3"---y;"-"' , (Mu pcnnit Nu.: :-'.;: C;I •'.-,-':'- ,- ' ' .:": . ',Date:Ready/Br inspection Liil : 503.639;4175 1. TIGARD : hths. fa See Page 2 Air Internet www.tigarder,gov. Notiffeilii&thOd: $iippleinentai information '. 4::: ::%t:I.;•!.:::3•1-.::t...,-..,;;::.; .:,..-.:':.;: :;:7'.'*-. 06*1#0.0til':; 1t.1•11:,-4'i'l-:.:'3*..'s',".P...: , :''..: .ii•: '' '',. .:!•rni::•:-1:::I-4:4tY-MIiC00* ,i1:::-3)V-1.: ii•'••.::.:';•:!'1:1;:-1: .E:New cons-true-don • use 0 Additiorr/4teration/replacernent • I 0 Deni64004. For spec -- . 0 DOxr.:... - - . . . iatinformatipnOtecklist Description . ] Qty Ea. [ fo I ' wl . '\ew A-1:-.fainily dwellings(includes 1001.for each utility connection) 1?--i.','' -il'''••::e„-i.I.,! , : ki:16.iiiiiikoi1f,ti&gliietIT'46.41f.;,4.14%• .j-4i,,,,•:::::,,,i:-. *:7-,-at: • Fk(1)bath I 312,70 El.1-and 2-fatinly dWelling 0 CiamrpertialfindUstrial SFR(2)bath 437.78 • :SFR(3)bath 500:32. 0 Accessory building 0 Multi family Each'additional bath/kitchen 25.,02 i CI Master builder O'Othet: ' .Page-. I ..,.... ........._, - Fire.sprinkter( sq if) 2 .;',.;:'74":".•• •:; ],tiile.i:1:1,'1:Bitt&ift*.ijiiiiiiiiiirplAYiii*.C60.iiii*e}?,-:-..:t%'..-,W.,,::-..., Sitc utilities: . . .. . C.atch basin&area 18,76. • . Job site addressf 1 C131.01 SV\1 i\A !.-..,s‘,5,- .1 Nk k-- drain,- -- Dryweir,.teach:11m;or trench drain city/State/ZIP 'rigatd,OR 97224 . . Footing drain(no,l'ineat ft . ) Page 2 Suite/bldg./apt.no Project name:Poly:Tr-in*Bull Mountain . Manufactured home Militia 50,03 Cixiss:Street/ditectionS to job site: ...' Manholes 18,76 . . •• Rain drain connector 1 ... :. .. . Sanitary,sewer(no.linear It: i Page:2 . .. . . . ... . . • • , — . '•Stirrin sewer(no,linear.IL ) 1- Paael : .. • ,..• .. it B I age2 Subdivision:Polygon I . rillik4iinntrriii Tax inapiparceino,; . . Lot to:: Bo . •142.ater erviee(110.linPiir fl:.',. i P ... Fixture ot iternt Backflow pr.-eye:titer• . .. . ... 31,27 ,-.',.. ..?f_",i.:!E--, ,J:k.N..1..i..:.-;1'7,-1,;:,-•::i4.,,,,.:-.6,44'*-.• ---:..«,-,---.s .,-..,:,.-,a4V:. ,::;:(4,:,.:.;,,,,,•Ii.s.r.-4.41,1iff .,,, Backwater valve 12.51 . • • • §03.1KW#C9v-NRTS-.7:-..,=.;;FvF„:fg:,:..-::;=.,-, .,..,pai. . : - -.. '- Clothes washer • . „ •-.,•;,....6 2. 414!" de -g7' ,41E—ijL-7 ,C— ..„ : Dishwasher 25.02 . Drinking fountain 25_1P . . . . . . . .. jectOrS/Surrip 25.09 . . . . ....1 TR:,.;.rta4,0:Okiiiii...6*ki-,s..::::', ,...,0..,,:1: ,i;): . ;.;:,:DE:.4E., .--ty... - _ Expansion tank 12.51 Fixture/sewer cap 25.02 Name;Polygon W1..itl.,,LL•C " . '• . . .. a . iFloot.drn/foor snk/110 .. 25,02 I -I . . i Address 109 fast 13th•Street . . ::.. Garbage disposal :I 25,1:12 1 .C/ity/Stateglp:Vancouver,WA 98660 , Hose bib 25..02 ... • — . . .-. . .. Phone (3(0)09S-7706 :, Fax.( ) lee Maker ' 12.51 . ._,.... .:4.. : (4dE,, I;i , .: ty,:".tkoifo-listbi;i:;:.ip interceptor/grease trap 2502 -—4:- -. • :-.: — : '- - .•MediCat gas(valire:$ .. ..) • Pe,a-oe 7 .13uSinesS name;Polygon WLH,Ilk .... -• • . , Primer • 12.51 l Contact name;ApgefrA6rajewski - .. _. .... :-,.:: : • ..1 • . . Roof drain.(commercial-) 17,5.1 Address:.109 Eakt,1 :tb Street. Sinif:/basifitinriior,i/ 25,02 .. . City/State.q1P::Vanenttyer,'WA•98660 'Solar units(potable 1.VaterY 6254 . . Phone:(309)•69 -77.0(1 I Fax ':(360)604442 :Intl/shower/shower pan. , 12,51 :' Urine] ;75.97 E-inaiE:Aoge4417401sl4@polygothoros4Ofin . --,,,.. :W. ,••closet • ' :75,92 • ,..::::e„ii;:•:.-41 ,Iii'sOci :.',Itz,,47,. . 4,1Urai*Z.:-. 1r,,-7:.:Triii.j.,e :1X, ::•* y - •_ • • . .. ... :',•-ar•••.,..,:z. :7:M.f.:F', :'.1.4',"-. :';',•:".A&5•417.t,--.' ' .(4.4i"'•''! .:•••,4gSr:" •,..t.A•t• -•;W, -':-.''.:dg.' '.vatetheater 1 137,32 .17.62) . . . .. Business name:BDL PluntiOng•LLe. • Water piping./DWV 526..79' . . . . . . .. . . . .. Addre&S!PO Box 8% • Other_ ] 25_02 . . .. City/State/ZIP:Corbett OR 97019 .. 5017totat . . . ._. Phone t($13)• 51,3903... Fax ( . ) ... . MainuuttpOrmit fee; $72.5i/.. •. . .. • • ' - Plailteview (2594 of permit fee) -.. CCB Lw 180345 ... :Plumbing he no kB1 -: 582 . . . . ... State surcharge(12%of WI*fee) Authorized signature g.20.0 ..,,....„ 140.4,,f,„..c., TOTAL PERMIT FEE . : . .... . .. Print name:,Brandt*Lanier ... ..Date: 8 1%41(0 I ' -I This pgriiiii.application expires Wu pennit ii itiii Obtaineft:within.180 Or •. ittier ii:has.hcen accepted se complete. *F.e.mahtx10100 set hytri-County Building industry Service Board. . MniiiidingweimliAnuiti‘PenufiApp.dhc.10.141/09 40,46161116/024CMWEB) - 1 li q CITY OF TIGARD MASTER PERMIT ''`'! # COMMUNITY DEVELOPMENT Permit#: MST2016-00084 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15367 SW MISSISSIPPI CT Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 80 Project Description: New SF BUILDING Floor Areas Required SetbacksRequired Stories: 2 Bedrooms: 4 First: 1591 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 682 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3427 sf Value: $420,239.99 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 Tvpes 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 SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y j BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3427 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,406.61 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 R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. , ,A7Issued By: Permittee Signature: �V /T, �6./ e•17-770,v) Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project Approved plans are required on the Job site at the time of each inspection. , Building Permit Application c 7 PO '. • t s ', RECEIVED FOR OFFICE I. SE O\LN gJ City of Tigard1,111 MAR 8 2016 irate/Bye:: 3/9/' i1�' Penni'N�yST�v/6-i+900Fy 13125 SW Hall Blvd.,Tigard OR 97223 Plan Review /� a Phone: 503.718.2439 Fax: 503.598.196 Date/By: 4/11)i.�, --f—' Other Perna ���/4'/, ,7 eITY OF TIGARD y y: Juns: li3 See Page 2 for 1.,, ;tt 1_ Inspection Line: 503.639.4175 Date Read /B Internet: www.tigard-or.gov BUILDING DIVISIO Notified/Method: Supplemental Information f , . _ s'£ar " ' ,:,7,-,,-1-1-,' 0''�.�:i '".e, � G"4` ^:--'-;'?"7 `,''-7-' [.‘1.1.:!4'7'.'i �:�.7' 2:�. '':a47_ �'�➢» � " �;' ' r qF :..I,:6€ Pe 'b, ��.to(�.;��'-_ ., . —.��..ac,aaW—.,�_ — s.. —,,5.�.— �,._« .--� a.,� � ®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 : E z a 3k*- t ^..!...r''''' "I work indicated on this application. �.rz ". • ' �'r �� �,•.k:,,,:-;:,;<�".'`�: 3 2 �a:,:1;� a,F,us# Valuation:d•gyp 9$ i ® 1-and 2-family dwelling 0 Commercial/industrial �) ❑Accessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder 0 Other: Number of bathrooms 3 r ,, 1. ..,�. a<; �� Total number of floors: 2 27 - 4 10 7 �w m � ..: -,!- %.wz .aye " ? -,-... , _ Job site address: t1-' \ b\h-b l L CA' New dwelling area:N square feet City/State/ZIP:Tigard,OR 97224 H f s5 f S S( P P ( Garage/carport area&0 square feet Suite/bldg./apt.no.: I Project name:PO\I Bin ca., V A\ n'Nrn Covered porch area: w,r; square feet i g34. Cross street/directions to job site: JJ Deck area: f)a 14 square feet i.q 1 Other structure area: 4r/ square feet Subdivision:Polygon at Bull Mountain I Lot no.: SD 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 . - - , : yq "` ""jc " :, ff'�`'' .,'', " ,€ work indicated on this application. '�.. � ne_v ).,r-13\Q arn 1P - t Valuation: $ Existing building area: square feet New building area: square feet {k , s �, , , fix, ,-' s_ , ,• t �A 4 -'. ;:.'''7-7'':'''''""' r ."''""'" ; y§ '. s:'''' '"� .. t Number of stones: _.�7.,•.-:�a,a_.i ....__...._.e.. . .....,._se. .u_..�_.:.........e„u.,:�u.c..,av�."::�cti.:. �'ta'��•_�.�. .s..a...�..,...'" .._r_....�:.........ust! Name:Polygon WLH,LLC Type of construction: Address:109 E 136 Street Occupancy groups: City/State/ZIP:Vancouver,CA 98660 Existing: Phone:(360)695.7700 Fax:(360)693.4442 New: �,a..�.. , _U �, �,�vs.�.� .��- ter,' �a,� i 3�> J Business name: \..J L 1t(1 C. ` Structural plan review fee(or deposit): Contact name: a f '1{, (2occ c—im FLS plan review fee(if applicable): Address: 1 0 Q i 0 , Total fees due upon application: City/State/ZIP: I ar)o aAQ er W p, 0,s� 0 Phone:c O) V9 4 �-1'Do I Fax::No0) U C3•u222 Amount received F � tee �@ �k�� � , 7� ,� �� € t ��� � E-mail:maggie.gordon@polygonhomes.com ���.,� �. : t,,.,, Commercial and residential prescriptive installation of _' ° _, c CZ,, _� i'l -_ roof-top mounted PhotoVoltaic Solar Panel System. Business name: lir) a„-y--, u....; \n c Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: '0 0 i '3a0 r Solar Installation Specialty Code checklist. City/State/ZIP: V 1 e�u0er P q p(Plo0 Permit Fee(includes plan review $180.00 Phone:1jlpt3) ko a 5,-3---3-0C) Fax:( 4),1-1/43) 0Q3 . LV�2 age(12adm%ofperm fees): State surcharge(12/o permit fee): $21.60 ,t(�i/L`CB lic.:204238 W'' Total fee due upon application: $201.60 Authorized signature:F /ice 3 This permit application expires if a permit is not obtained / ! within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: Date —Z'}_1�j Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) r • cchanicai Pe -mIt pplica#io DECEIVE " l:oulOF-l-ICE LSE ONLY City of`Tlgard MAR 8 201 raamrra;/11,S'T ,o, 'i.e. 7,/,. .: 13125 SW hall 1 054Tisard; lz:00'2;3 pt#w Pe+viit Phone 503.71$3439: Fax' 3(1359$1960 .; inspcchoa3.ine. Sa3.:634A175 CITY OFTIGA !T° „.-a jws la See g * eioc Internet wwwugard.'or.gov BUILDING DMS _. Suppteinsalatlnfotimatioa. • YPVOz ' o itt am" , tilE 7 Lti 3R1 x .. . tx: . £ ;_ , . .. . ochtmi•c1 pe ndfes**rebated,on the value of the rsr w�- . i AdditiotttUtlCd&UortrreOlAeettie[lt performed_indicate the value.(rounded to the neatestzloliar)of all D DcmoOI...9q CttUr1 ❑ Mechanical.materials.equipment labor.overhead.and profit .. []penitilitton 0 Other; yaw$ 4<41 £tSut 0.k. 01 COl4b iWO.T „ i ';" ii0e. EQE7 i`k7tY:4 1�35 '-S* . • •For spr_'dai iaforniti ion use rheeklist ®t and 2�fetiiily dwelling 0 Comtnexciallindustriat 0 Accessa;5 budding � mos. .i.4 betide; ❑Outer Desenpuvsi .-: I Fa. Total Cl Mu}ti famtl� 0 1#eattn�Icoot S : 0:4) I A1FT:gR3IA47.41T4i0 Ll'�9M1--011 T .rlireondttioiiuig . 1 4675 Job sttc address I `Q q ) 1 1.11.)19 >aLP P 1 C/+ urnacc l0t?,t10D ti'PO ido i+ s) 1 1 4-6.75 U Furnace 160;000+$T(3{darts si �4-:4I txlstal —r, c Cid GZZ Heats Ftp. 61.06 •Siutelbldtatt t itp.: , Pm ect.naine: Poly on (moi' P7�%11 )n"I.V 1 Duct Work 23.32 `J .. 23:32 ob.site: Bydronic hot water system gtreet/dtttctioas to. • job. iator or ...::.. ItcSiddlt791,'hOtlet(rad" 2132 hydmme) 1-10-aeatas(#4.:431.001Pt electric), iii-wall,iti•duq.suspended.tic. 4675 ntiaivelif.for.at vof above 2332. 733 32 LO-no.t Stib3ttas.—.r. . .. t?fher fnd appliances: Tazlaplpa..r,eet tsn3339 . , fi.... . .-._ VFllaievefnta;fsa. 23_32 's+a4tiar#it2telorgri 3g • -76',-..;-;!,.4.,.."7:;- ,4.3-��t" 0 1ESC!L{i*L2K �,r ve -< 'oasftePtrirti 33 «.. 23.32 Loglieliter(tom) 23.32 .w odi.pe letatfty 3339 Wadd,firep1ae litiseri. 23.32 .. .. a iimi4tlii erlfiudvcnt 2.3..32 ,7.,u a� k -. B r .Q i- - .4 E roarututal esliiaust and r-eniiiaito>r: X3.32 Range hoodlothu'kitclten • Name polygimNartltwest eqniiithc., 1 3339 A3idess:109 WO*St iDtlies'drveri� 1 .3339 Siugierdtect oetiaiut(hathiooias, �itylfP kitncouvct•,'44i:�98661 totlelonmpaitutatis.:uh'1itYsorims) 4 2332 'Pliorie.(3Co(1)/ 6' - Fax ( ) AftidiArasolspaos tails 23 32 =And pf $ tI8l1iC Pofiygon riottlt rst. $'14..1.5 for first tour.$4,43 for each additioaal Fvtisace tic: I Gtacfttimie': • Csnaitiat)»- Address 1.09$136 St Walltsuspenderftaint Beeler.. /5tateIZII'-' sn_eouver,S`1#.98(!61 Pl ori(360)1116:7800 I Fax :( ) ... .. 1 Ffions;l _ , ,r^. s as e$ ' 3_ 4S'' `x Z'__ F: l~idaydn'er..k )- ilininisi "nine.'Andersen liinit,,,+�nC . E,.. o- rir�. . �7:,- +iR�'.�T_''4'�`r1CR1h.f4ti - t ....-4 J62S5.;....i.;8S AVE Ste.410 Sulrtatxl ..... _.- ..- lVlmatulmpenult fit 090.00CtatIP Ttai , }R:97224 _._ ... Ftait itV,etr 05°r9 rzf:pe;nu ie;tl.. p 1;MO)94)1=6.664 I Fax (Se)5364615. Stiitc.surrhharrc(12%afpetiuit fce). t�+,�,�y�� TOTAL'KRMM�.. ..... tel168214- Tha permit apiditahan er23ras'if s permit is not.obtzlned within Igo days a tent 4'4.tinea se.egted au rotmpiote. Authorized signature: * fee mcihodniogyy wd.lrr Tri.-GumuyBuilding Incluse."Service Bomd l Iitte:11120/2#115 Printltatri��.1�rA�raeraer,�- iesri.ikaiowiFrgrAked App 24011 :dae 44e-.4657r{ii./'r-OM/WEB) L y Electrical Permit Application RECEIVE r FOR OFFICE 1'SE ONI_1 City of Tigard Reaecivcd - Peniol Nn/J �6 .DOD Qy. • ►3125 SW Ball Blvd.,Tigard,OR 97223 MAR V 2016 I>atc;lay. Q 1114 Plan Review $ Phone- 503.718.2439 Fax: 503.598.1960 3a1e/1iy_ Other Pc Inspection Line: 503.639.4175 CITY OF TIGAR,Ir,)ate Read 'li Jutis I IC. \R!) IVI� Readyilly: See l'•rie2 for Internet: www.tigard-or.gov BUILDING D I flied/Method: Supplemental Information art sr �7 4a: � c M :€ TSrEE OF ,w PLAN REVIEVY Please check all that apply(submit 2 sets of plans%viiteins checked below) ®New construction ❑Addition/alteration/replacement ❑Service or['ceder 400 amps or more 0 podding oxer three stories 0 Demolition 0 Other: where the available(:,illi current ❑Marinas and buate:lids : rq + cA`rt'EGORY OF:'CONSTRUCTI `,,-'.r` exceeds I().000:m,ps at 150 volts or ❑Floati,g bu,ldmg, SYibt .n.'.."",. .. : err `- :,.. less toround.or exceeds 14.000 g ❑Commercial-use agriculnrral ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations buildings I 0 Multi-family ❑ Master builder 0 Other: ❑Fire pump 0 Installation of 75 KVA m I • ❑lunergene y system larger sepma,el dem ed,:x stem $ z it:) 1ii kit ei fi?ON D LOCA"TION' 0 Addition of ilex,motor load of Joh no.: Job site address: 1,5--, 64.- D rf\A r L ( 10011P or more. occupancy ❑ at �}� \\\ Six or more residential units 0 Recreational xchicle parks City/State/LIP: ��9c9Xd OR G 122\ ❑Health-cart ftcihties ❑I l,r,rd,uti locations ❑Supply x oleate for more Chart l�1 600,ohs nominal Suite/bldg./apt.no.: Project name:Ub8„.)f);Vm \1 m -1'•1-� ❑Sac ice or feeder 600 ampsor more.Jt ' FgESC'}�EDII7+E Cross street/directions to job size: nescripiion+ I Qtv. I Fee. I Total New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.:4801.0o0 sy Il.or less I 168 54 4 milia.add')500 sq.Il.or ponion 33 92 1 Tax map/parcel no6 I.i( energy.residential75 00 ?,Z £ " IyFS RiPIIQRK x it above sq.11 New electrical service and ��trio limited energy.multi-lamely t; residential(with above sq Ii) 75 00 Services or feeders installation,alteration.and/or relocation 200 amps or less I00 711 • 1 - ..ROYI-tIR E3D [ER'': a f - ...fl TENA '• 201 amps to 400 amps 133.56 2 f1O\`j 401 amps to 600 amps 200.34 2 Name: Y n �(� 601 amps to 1.000 amps 301 04 Address: 1 b C1 to T' ' Over 1.000 amps or volts 552 26 , \.)Cit�ot t ' q CA C) Temporary services or feeders installation,alteration,and/or te/State/LII: Vv W �f relocation Phone:&O) to CtS� D 'ax:a"D) 1 _M,,l to fA p i 2(x)mops or less 59 36 1 I �(��(/ "4��( �/ 201 amps to 400 amps 125 08 Owner installation: phis installation is being made on property that I own which is not intended for sale, lease.rent,or exchange.according to ORS 447,449.670.and 701. 401 amps to 599 amps 168 542-1 Branch circuits-new,alteration,or extension,per panel Owner signature: Date.: A.Fee for branch circuits with „` _. above scrucc or feeder lee. 0,0,100.S .r© IFOlirtAC,!:11 tS011i each branch circuit 7 42 ' Business name: -1' 13.Fee for branch circuits u•idrnw m service or feeder Ice.First " { -e- (- o1. SfiIx Contact name: branch circuit - Each udd•I branch circuit 7 42 2 Address: • 0 r j Miscellaneous(service or feeder not included) �•1� '.'4Each manufactured or modular I City/State/7.IP: QXII_CJ� 1),) ' ' /�• dwelling.service-and/or teeter 67 84 j _ Phone: Reconnect only ' ( ) Fax: :( ) 67 84 rn„ 6 9 ,9br col-)0),,,0 ol- (, Pump or Irrigation circle 67 84 j , E-mail:t t K.Ci�.JhM lit t t ) ...C/ ' - � _ Sign or outline lighting 67 84 '_ . -C CTD.." - Signal circuit(s)or limited-energy Business name:Simply Electric panel.alteration,or extension Pape 2 i • - I Each additional inspection over:MON able in any of the above Address: PO Box 822408 Additional inspection(I hr min) 66 25/hr City/State/7.11 :Vancouver,WA.98682 Investigation(I hr min) 66 25/hr Industrial plant(I hr min) 78 15/hr Phone:(503)849-8202 Fax:(360)314-4945 Inspections for which no Ice is 90.011/hr specifically listed(V:hr min) CCB Lic.: 204615 Electrical I.ic.: ., 067 Suprv. I.ic-: 4394S '.7T4.:.,'''''. ELECTRICAL'PER)17IT'FEES O Subtotal Suprv.Electrician signature. required: , 1 e �'`f Plait review(25%or permit fee) Print name: Victor Zarzhitsky Date: 11)17/2015 State surcharge(12%of permit fee). TOTA).PERMIT FEE Authorized signature: 'I-his permit application expires if a permit is not obtained within IRO days after it has been accepted as complete. Prim name: Dale: ` Number of inspections allowed per penult I Jt00drng+.permu0.11_C-Pcrntit,\pp doc(17,01010 440-0,15n I Uttvo�Lwiiii 7 Plumbing Permit Applicatio11vE(~ 1.a EIVE Building Fixtures fl FOR OFFICE ISE ONLY City of Tigard MAR 8 2016 Date/ Permit No.: /1S�/6j-D00�y 1?eceive 71, 13125 SW Hall Blvd.,Tigard,OR 9 Plw Review Otter Permit No 72UTY OF TIGARD j it Page 2 for Phone: 503.7182439 Fax: 503.598. °Y Inspection Line: 503.639.4175 BUILDING DIVISIO Ed See Page 2 fororvtation T I L' Internet www hgard-0r go• - -�'�,..;''y .-5.=-���3a �= - y'` Fors ecidinorm�onusecheck/at' ❑Demolition � Qty. I Ea I Total 1 i New construction Description ❑Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 R for each utility connection) ;. 5 �i '-:4- . g R eY ---. #` Skilt� SFR(1)bath 312.70 3 - � �` � ;; � . SFR(2)bath 437"78 dwelling0 Commercialfmdnstrial SFR(3) 50032 1-and 2-family bath I 50013 '0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 . Master balder 0 Other Fire sprinkler(__sq.ft.) . Page 2 • _ ' '" �Y Site utilities: .' �,,^^--.,,, =~''r.;- .1..,',.,,,V,,,0:4177, 7-.• -Ili a ,.r:,:, ----2.,2). .T..1,-; 43---r �W � _ r 18.76 JO - -" - t Catch basin or arca drain Job site address: ' • , ` 1 Dryweil,leach line,or trench drain 18.76 Ci /State/VP: Sac c OR q 3114 - Footing drain(no.linear R: ) ■ Page 2 SuiteJbSuite/bldg./apt.no: Project name: '1 3, I. \ o\ ( ,\ Manufactured home utilities 50.03 Cross street/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.: V) Fixture or item: _ Backflow pm-venter i 31.27 ?A;II- Tax map/parcel no.: g water valve ( 1251 12•ej` sl; 16-,-* -"- Clothes wasitex IIIII 25.02 1?_.5 4 � } '7-7.-'1- 1'7:..-_-"I[.� � �� --;‘ .-*Jit.'-' =; Dishwasher 25.02 _,0 N/?t/tJ OXIAw6C-P hbill ./iL5 Drinking fountain 25.02 Ejectors/sump 25.02 Expansion tank 12.51 u .�.....,„:____,_„,..,,.. .,...5,-.-_-=-_-_,..° -_--- ��_ �,.-__• .. ._-., 25.02 � �--• Fixttuclscwer caP IJame: Q o4nI G, " Floor drain/floor sink/hub 25.02 Address: L II i `J , '^ 1� r Garbage disposal MI25.02 City/State/ZIP: (1,()(I0`/ \-Q( W f 1 12 p / 4 Hose bib 1111 25.02 7G.1 OIce maker. 12.51 �. ' , !'hone' /""� -,/`'1 + '' Fax ( -T- C� -V,� lntcrceptor/greau trap 25.02 �.+ai � �; .FM,-T-f77,-J,---v.. �,, *----:,.------.7--,----..._. �u� /� - Medical gas(value:S ) � Page Business name: VOL. LU4 ( �,t,��JL Primer 12.51 Contact nems yn (Cul t:ft Roof drain(commercial) 12.51 Address: `0 Sink/basin/lavatory 25.02 �(- ^ �j Solar units(potable water) 62.54 City/Sttlte/LiP: I � �,. I�� 1 1251 .0 W 32(�/� Fay:( ) Tub/shower/shower pan. a .2- phone:(553)351 ;!-lt V IUrina25.02 E-mail: , ` . ,� �i� t.1 C U�'� ,,, VJatu closet 25.02 ry ;�-LL "^�{ , • u" _ - `-------- _ Water heater • 37.52 Mjr Business name:'$�T /i\43 1-1-e_ Water piping/DWV 56.29 Address: T Offer. 25.02 h � Subtotal City/Sts�ZIP: 0'1f, 1 Minimum permit fee: 57250 Phone:43) SL-75/ -3903 Fax ( ) Plan review (25%of permit fee) CCB Lie.: �3 Plumbing Lic.t ' Z State surcharge(12%of permit fee) Authorized sigaaturm TOTAL PERMIT FEE �I This permit application expires if*permit is not obtained within 180 days P nt name: /-- / '/�� � I Date: ! // atter it has been accepted as complete. •*Fee methodology set by Tri-Comity Building Industry Service Board. 1:\BuidinePvIDKAP1.MU-PermitAPP-doe 10/01/09 44O"4616T(10/O2COM/W5B) • City of Tigard III COMMUNITY DEVELOPMENT DEPARTMENT TI G n li D Building Permit Review — Residential Building Permit #: /YS�,,20/ (o -- 0040,Y Site Address: 153 7 W M ss is s Q C+ Project Name: poi cj(.11-/ at By 11 AlCurl l7 ilrl Lot #: 'g O (New crwctling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: �e/V✓ S F ft l Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ No /Yes, See River Terrace Review Addendum Attached Site Plan Elements: /Three (3)copies of site planxisting structures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations North arrow plUtility locations (required for new,may apply for additions) // rte address,project or subdivision name and lot number -'BT cation of wells/septic systems Applicant information(name and phone number) Erosion control(including drainage-way protection,silt fence /Lot dimensions and building setback dimensions design,location of catch basin,etc.) !--'Brat area,building coverage area,percentage of coverage and Xtreet names impervious area (applicable if R-7,R-12,R-25&R-40) ,Street tree size,type and location ,roperty corner elevations (2 foot contour lines if more thanB•E'Risting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: E Yes,applicant was notified ❑ No Received: E Yes, ❑ No 21 Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Z Land Use Case#: SU6 2A)Lc - 00002 ,1 Zoning: 2 4, S Setbacks: Front 2.0 Rear I S Side S Street Side ft 5 Garage 2P-0 7 Landscape Requirement: ,i Lot Coverage Maximum: '-- Building Height: Maximum Height ';/() Actual Height .3 0 iVisual Clearance 2i Easements f2rSensitive Lands: ❑ Yes ❑ No Type 6 Urban Forestry Plan Conditions"Met" rior to issuance of building permit Notes: Con 1 hon S flr /Cf rfl i-- Pr12 fh j S s vGl ii ce 0 c_ b a 1 idA). r eL'-i-m i }— Approved By Planning: /4 4-1.".::\ 4 A- C i(J cA.A..," Date: -Z/3 / /(o Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\BldgPennitRvw_RES_012116.docx Building Permit Submittal Original Submittal Date: 3/0b Site Plans: # Building Plans: # < Building Permit#: [ "Enter building permit#above. Workflow Routing: ['Planning i2 Engineering �ermit Coordinatorlding Workflow Sign-off: Er-Sign-off for Planning(include notes from planning review) Route Application Documents: KI—Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. [uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: f9/% Engineering Review Slope at building pad: zit.. Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes Lcl No ❑ NOT Approved by Engineering: Date: Notes: — Condition remain unmet that are requiredprior to issuance of bldg. permits. Approved by Engineering: 64 D Date: j—JQ 6d 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 ?4kApproved,NOT Released: / I Date: 3H/4,9 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: 7 SDC Fees Entered: Wash Co Trans Dev Tax: fiYes ❑ N/A Tigard Trans SDC: 1 Xr:Ies ❑ N/A Parks SDC: ies ❑ N/A OK to Issue Permit / Approved by Permit Coordinator: Date: 4��Lc/ /� 1:\Building\Fonns\BldgPennitRvw_RES_O 121 1 6.docx !!! • City of Tigard 114 COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D River Terrace Building Permit Review Addendum Building Permit #: fi$7 2 p// -'ODD ef5/ Site Address: 153 .-1 SW M.(SS i S S ;PpC-k Project Name: poij,on mi-- Buli Moo n tz i i n Lot #: _ 00 (New dwelling= subdivision name;Addition or alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1.): 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 Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft. wide ❑ ❑ �' ❑ 2. Eyes on the street: a minimum of/1 % of each street facing facade must include windows or entrance doors. Percentage Shown: I�I , I 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: Yes ❑ No If yes,all the following apply: 0/25 sq.ft. min. 7 One street facing entry X 12 ft. max. roof height above porch 5 ft. depth min. ,e30%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 8 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 ,Lif Roof offset min. of 2 ft. ow Roof shingles either tile or wood 0 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 /Ll 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,,ii No. If No (Check one): XMay 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) /3 j I. ❑ 12-foot-wide garage door X40% max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: /14 O h 12-(A6,zo Date: 7 18 / / 4 I:\Building\Fonns\B1dgPennitRvw_RES_RT_012116.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 114 ■ Transmittal Letter T i G A RD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Angela Grajewski AUG 2 2016 COMPANY: Polygon Northwest CITY OfICA' ) BUILDING DI ISI PHONE: 971-212-2144 RE: 1G3(9-1 SW kitiViS�(14)i a to-0000-4 (Site Address) (Permit Number) Polygon at Bull Mountain 80 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: :, j 0 Additional set(s) of plans. 3 Revisions: add garage man door 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: please-do norlo . I. : . -- ' , a •. • -, i0*wFha USEO . o Routed to Permit Technician: Date: g -- 3- ) C Initials: -j-f Fees Due: 0 Yes ❑No Fee Description: Amount Due: 1-4 ir p,ch Ycv trw 0 a .ate\ W 1,,t z Special Instructions: Reprint Permit(per PE): ❑ Yes No ❑ Done Applicant Notified:, v6/ Date: cryy//C,,, E7`j..97.4._ Initials: 4 I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15367 SW MISSISSIPPI CT, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: February 8, 2017 at 10:44:36 AM Record ID: MST2016-00084 Inspector: David Young Breaker marked utility shorting in panel. This breaker does not appear to affect utility room. Fix breaker short and label correctly for area served. Not ready for electrical final inspection. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15367 SW MISSISSIPPI CT, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: CNCL Comments: Inspection cancelled by contractor. Violation Summary: Tel: 503.718.2439 Inspection Date: February 10, 2017 at 11:51:03 AM Record ID: MST2016-00084 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15367 SW MISSISSIPPI CT, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: February 13, 2017 at 2:48:47 PM Record ID: MST2016-00084 Inspector: David Young Provide approved electrical and mechanical final inspections prior to building final inspection. No inspection done at this time. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15367 SW MISSISSIPPI CT, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: CNCL Comments: Inspection cancelled by contractor. Violation Summary: Tel: 503.718.2439 Inspection Date: February 10, 2017 at 11:51:03 AM Record ID: MST2016-00084 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15367 SW MISSISSIPPI CT, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: Corrections from previous inspection complete. Violation Summary: Tel: 503.718.2439 Inspection Date: February 21, 2017 at 11:37:21 AM Record ID: MST2016-00084 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15367 SW MISSISSIPPI CT, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. Vapor barrier form received. High efficiency lighting form received. Blower door test report received. C of O left on site with contractor. Violation Summary: Tel: 503.718.2439 Inspection Date: February 23, 2017 at 11:04:11 AM Record ID: MST2016-00084 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15367 SW MISSISSIPPI CT, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: February 14, 2017 at 1:49:46 PM Record ID: MST2016-00084 Inspector: David Young Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15367 SW MISSISSIPPI CT, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: February 21, 2017 at 11:51:56 AM Record ID: MST2016-00084 Inspector: David Young Provide correct light trim kits at wet locations in master bath. All else appears ok. Violation Summary: Inspector Contractor