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Permit (97) CITY OF TIGARD COMMUNITY DEVELOPMENT �x� zrn, r� MASTER PERMIT rr �, Permit#: MST2016-00068 ' �� , Date Issued: 04/28/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 e /0 Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15364 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 56 Project Description: New SF. 8/4/2016:ADD storm water sump pump. 8/25/16:ADD heat pump&2nd water heater. 10/21/2016:Add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 735 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3649 sf Value: $432,075.11 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 1 Drywell-Trench Drain: 0 Other Fixture Units: Sump pump for storm water. MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Fum<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 3649 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: $35,211.73 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: A1` �;= r/ ' Permittee Signature: (I/v"-- e17'''. --/r ey-x-70'V Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit A . PPlicati°RECEIVE B I. City of Tigard t ..".: * .1312$SAV 1461 Blvd-T72"4"1'°R 97223 SEP 2 0 2016 Pkin-Rewlai" 1114 , . Phone: 503.718,2439 •Fax: 503398_1960 - Otlici Patric Datrill3.: Jawed-km Line:. 503.639A175 1'FGA RD CITY OF TIGAR D °Aft R"4/13:''' .riets- .RI See I*0-2 fa r •loinmer: www.ticard-or_gov Nooatcthad: Supplemental intermation BUILDING DIVISI 4.: - TYPE OF woRK rom1ER0AL FU SCF11tfLE- 1115E en (KUST . Nlechamcal permit fees'are itased on the value(tithe work .t... New wraStruction 0 Additionlalteratiotheplueernent • perftumeil Indicate the value(roundod to the nearest dollar)of all 0 Demolition 0 Other: ineckanieal materials.equipment.tabor.overhead_and profit, %duet . . CATEGORY OF cONSTRLCTION REAIDENTIAL EQUIPMENT/SYSTEMS OEES* 0 I-and 2-1-amily dwelling 0 Cummercialliodustrial 0 Atzessoty building 1 Foe special.infurniatiun use eherAtisz . rd Multi-family 0 Master builder 0 Other: I Description Qt , E4, Total ", . _,,,, - , - _ cacatcoricoolingz -• 3011 SITE INFORMATION ANr0 LocAnaN --1 Air-cemdirronlito i 46-75 Job site raddrmst n3(nti ' w 56rte, R-. Furnace 100000 BTU 6Incti,fice-ro) 46,75 CityiStatetZfR Tigarll,OR 97224 atradAV 100.000+BTU idttettimits.) 54.91 . , Hem pump Duet work I 61.06 Suite/bldg./ape no...,' 1 Project name:Polvgon at Roll'Mout-114in 2132 CrOSS StreetidireetiOtti U.9,106 Site: HYdAnik hot water system 2332 Residential boiler(radiator or livitronict 23,32 ; Unit heaters(Mel-typo.not electric), in-tvall_in-durt,sum etc. 46,75 , Flueivent for any of glom 23_32 , . , 2132 Subdion:Pitman at Bull Mountain I Lot rats.: 5 ito Other: I oth,„fuel appliance= Tax map/parcel rm.': Water heater 23 32 1 DESCRIP-FION OF WORK • T . Ciaa Illatilav•efiusett .33,39 ' 1 Flue Vera for Vizier heattr or gas _ „ Con i th c II riaco 23.32 k i 0 C. • Al Woodtpenat stove 3119 Wood firephoreinsert /33, _..... i Chintnevflintelluevern 23 32 _ 23,32 I PROPE,RTrOWNER ' 9 TENANT ' Environmental tiCha list and ventitarion: - Name:Polystot WEN;LLC 9 Range hoodlother kitchen o I ,„, I twin 1 33,30 l Address;lel Fast 13 Street 1 ' ClotheOwe r exhaust 33,39 l CitytSialoiLIP:Vinericivtc,WA 944660 1 Sioalc-duct cxhanst(ltatitroonotrHI toilet cto . melds.,utilitv rooms) 2132 i ( ;) Phone:(3603695-77Fax:00 Aittelenovispace fans 2132 ' ..,„„_ • 'JR AtritICANT, .. U CONTACT PERSO4I' '''' r: i 23_12 futt piping: litsiows name:Polygon WL/I,LW *Sit i 8 far fita.ft93111 SUO kg-each additintint COBtart 110100:Angela Grujewski Furnace.ere, I I Goa heat pump Address;109 East•13th Street 1111 Width. -4 entietVurrit beater City/State/21P:Vancouver,WA 98660 Water heater: Phone:060)695-1100 . .. ,. , (300 6934142 Fireplace E-mail:Angell:Grajewskilipolygoohomes.corn Barbecue CONTRACTOR ' Clothes. 'cr MS • Ill Other:. Blisiness name:Apex Air LW MECRANICAL PERNITF FEES* Address:18004 NE 12'4 Ave Subtotal CityiStatufZIP:'Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(23%&permit fee) I Moe:(360)342-8189 Fax:(360)326-1169 ,... Strut sorehame 02%o-foto:sir lee) I CCE3 Lie.:203034 TOTAL PERMIT FEE - Tim%peewit anoticatien expires Ka permit is notabtaineit within Igo days afterit hot her*areepiett as complete- , Authrarzed' signature, ' Fee matiodolezry set by Id-Comity Reikitog tedmiry.S...ret amui Print name: I / , , I Date: 4.0 ft, I 1 9.9314:UP.-,9991*-NtrilftturitApp,_,040113 dot rat:t-k,r7T I 1%,24-akilik"M',1 cliec tricAtrerrn if ../1,,p_plicatipci ii:::(-7;...:: 1 1 il:::-''''', Itilt0111( 1 I sl tiNIN City of Tigard II Received „.,r. Dte/By 12D • ili II : 13125 SW Hail Blvd.Tigard,OR 97223 SEP 1 b (..ujo pun a Phone. 5037)82439 Fax 503.598.1960 Dan: Inspection Lint- 503.639.4175 c Fry .0 RI*Darlay Internet. www.ttgard-Or gov ,-,-: 7,0 , --, .,--,.,,,,=,-,':,,,--,;,, Noetiftdethod Nan" a • ,'''..:''.' „'''J...Z''',-.-7-;L::-::;::-.,-: -.:•; :i,-,:t...----,ta ,,,_.- „ :.,--.....:. , , , ''..--. ,.' :,:::':—.. ,• New construction 0 Addition/alteration/replacement Please cheek all that apply(sulamt 2 sets of Main Watasts checked) 0 Service or feeder 400 400 maps more 0 audAns ova Mora momes 0 Demolition 0 Other: where the available fault current 0 Mama and boatyards I..; : ;.- :";{:;''''''i.7':lr717i..REAUST:NP.241,Z:: exceeds 10,000 amps at 150 volts m 0 Floating Warns 0:4 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less lo IP 0 u n d.or excise&14,000 0 Commermalmse*rtailateal amps for all other innallations buildings. CI Multi-family 0 Master builder 0 Other: CI Fire pump 0 Installation of 150 KVA ce ..t.t::',t,'.. . '...°.,•;";';,%tCittrr-::—.' '. '...:-.:2,;.2-;,.:•'''':•, 1'7:'ri;E::.:L"-7:?;:i.:Li17.Wang24311.174. 0Emergency system larger seemingly derived r ,n 0 Addition of new motor load of system Job U: Job site address: I 53(p 4 ,5 uo se ' ..,, o 100HP Of more 0"A',"E",-1-r,"1-3", 0 Sis or more residential units occoPaneY City/State/ZIP:Tigard,OR 97224 0 Recreaticeial vehicle parts 0 Health-care facilities Suite/bldg./apt 4: Project name:Polygon at Wesfaboep-Ter 6(A,1,1 0 Hazardous locations 0 supply voltage for more than 0 Service or feeder 600 amps or more 600 v°14 nominal Cross street/directions to job site: tenty, vikvitillifigia."7....- .**7-:.`1:''.. 71.12VaZial'4': Descripoimk ''.- ' Qt. IAA To* .i. New residential single-or multi-family dwelling unit. Subdivision:Polygon at Wont-Riumr-T-emanami-- 5-1A,(1,t Antell Lot ii: 5b Includes attached garage. Tax map/parcel 4: 1,000 sq.ftor less 168.54 4 33.92 1 , ,n • ir ciekovise-- Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 - .,:yf,,-,'.:,.',-..:-..-.;,-: '' .'-,;,:-..:- -,,--:•57,94117.,7‘,-.:::::,7:---,...--,.,,,,.. ,-, .- ''''. ,.': ,, , , ,,,',:,,., ... residential(with above so,ft.) ,, „ Name:ADVL Land Holdin C gRenewable Energy 0 See Page 2 Address:7600 Double Ranch Road: Services or feeders installation,alteration,and/or relocation ' - rh..4., 200 amps or less 100.70 2 City/State/ZIP:Seo. -.ale,AZ 85258 .. 201 amps to 400 amps 133.56 2 Phone:(602 '.-4031 Fax:( ) Email: 401 amps to 600 amps 200.34 2 . . Owner installation:This installation is being ' ade on property that I own which is not 601 amps to 1,000 amps 301,04 2 intended for sale,lease,rent,or exchange, :. 4 rding to ORS 447,449,670,and 70). Over 1,000 amps or volts 552.26 2 Owner signature: Date: relocation services or feeders installation,alteration,and/or Business name:'4Vigiaar...Lynaffializing. 436.itcpt% Wi....R. IL Lc..... 200 amps or less 59 36 1 Contact name:Angela Grajewski 201 amps to 400 amps 125.08 2 Address: 109 East 13th Street 401 amps to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits-new,alteration,or extension,per panel Phone:(360)695-7700 Fax: :(360)693-4442 A Fee for branch circuits wish above service or feeder fee, 7. 2 .mail:Angda.Grajewski@polygonhomes.com each branch circuit 42 .'.'..l. f.,.'..,:t7.72;;JF:,'.7T:;:i.:,1,:::747I2C7 B Fee servicefor b ) oirafnch c:rfceuel,tsfirwsitthow 56 18 branch circuit 2 Business name:alameda electric Each adds'branch circuit 7.42 2 Address:3415 ne 44th Miscellaneous(service or feeder not included) City/State/ZIP:allin An-vi javve.%Ira ,..4,_,7 40,2- /3 Each manufactured or modular 67 84 2 dwelling,service and/or feeder Phone:(503)3192192 Fax:( ) Reconnect only 67.84 2 Email:solarpdx@me.com Pump or imgation circle 67 84 2 CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lie.: ii f7/ $ Sign or outline lighting 67 84 2 Suprv.Electrician signature,required: - i/ Sigealweiteremainot(sn)otorleireited-en:t& 0 See Page 2 2 Print name: .k i)4, /2420e,...,C Date: (71Z-V.L4 panel,Eachaddition'al inspection over allowable in av,of the above Authorized signature' Additional inspection(l hr min) 66 25/hr f _ I Print name: ;A .,..,5 7 =)„ooy,„.--- -------- Date:SY 23// Investigation(1 hr mm ) "00 hr tatuatartamermitsNELC,PiemaAse_ELA_ERE.dec Rev 06/111015 44046!Srt I 1/051COM1WEB CITY OF TIGARD iy s le. I p E ] MASTER PERMIT F :- ' COMMUNITY DEVELOPMENT Permit#: MST2016-00068 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15364 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 56 Project Description: New SF. 8/4/2016: ADD sump pump for storm water. 8/25/16 ADD heat pump&2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 735 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3649 sf Value: $432,075.11 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 1 Drywell-Trench Drain: 0 Other Fixture Units: Sump pump for storm water. MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add.'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 3649 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: $35,069.37 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 roug 9AR 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. 'E)Issued By: Permittee Signature: /! Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit APPliOftri- ..., Building Fixtures- EGEIVEDFO R OFFICE USE ONL 1 -at-y.0f Tigayd .gvAei-0-0 :oatei-oy.: "'"5°' M'ird-oiev-ex>o : 'ill 13125 SW Half Wyd:,TigardAUG 1 62(116 i OR 97223 Platildview P . . - • : *'' Milne:. 50.1718.243.9. Fax 5601V60F TIGARD '1.16113F ptlier Eennitliti.: tn.spectim OM 50,4.63941Tb . Date Ready/0y: Turi5. 0 See Page 2 fdr TIGARD - HiLDING DIVIS ii "taeme: .www.tigard-or.gov LI 1JNOti&Aletfifid: $upplenzen.p.1 Information '--=.. ,•".:'::?-1 •-11f14.k•-, `::•*:!:-'''.-" .:7•''iVrE,OF IiVillgifik.: 2'•••••'-": ,- -i' ' -•:.:-• '- '-'. . -.::•''-;' ' •.' - ' - kEE'=•:..kiiiptite- "''' Mil:',"''t;',0-1 New comsction For specialinforttraticw we Owen&trai 0 Deraatj.Mq ... " . • • PescriOtiOn :: 1 I 'Qty.. E . t Iowa 0 AcidlOpfaJtptation/replac'ement 0 Otbey:;. . Nciv,1-7-tamfly dwelliap(inelades 100 ft fbi'tach:utility connection) .. --... .. :"'.- ',,,',''',--••••'. ',,'',"','-'•'•• CATEGOR1',OF•CONSTRUCTIONF,,'• •y-,..--.. •-,-.-,..- „A.,.., SFR(1)bath 31210 : . . El I and 2-family&wain a 0 comme:Mialiinthisitial SFR(2)bath 437:18.• ... .::SFR(3)bath 500:32., 0 Accessory bailding. p„Mititilfaiitily - .. , . .. . .• - .Each•additionat bath/kitchen25.02 • . . 0 Motet builder 0'0.010:- •Fire sprinkler( sq,,fi) • Pbge.2 .''*..; :.:.•-;:,,,i'&!2t;Yli'413i.wsruglavi)BItiATtioN:-''AINTV LOCATION,-*7,••-•5--;••'!:'•- ••'::•‘*'' Site utilities' i.:::::•,..,.1'-i-:,,i4,:i!:-.,.-:•:„.......,,,, '".-...,-:, ...-1:- .•...- 1 ,..,_. -':'::::2 7-VCil'.. -;''' '1,.- • .' " . ., • .- - . Jobsite address: . Catchliasirtot area drain. I s 6 3(9 LI SW Se‘ne, Qt • • • - 187 .. • " bryweiLleach:bum or trench drain .106: City/State/ZIP.Tipid,OR 97224 . . -. . •- Footing drain(no,Row ft::. ). • Page 2 Saiteibldg/apt.no Project name:Polygon at Bull Mountain ' Manufactured home Militia. co03 . . . . Cfeksp;&t•eaiditectiOna to job Site: ...' Manholes 18.76 . .. . . - Rain drain connector 18.76 ' • " . . .. . • - Sanitary sewer(no,itnear ft,: ) Page:2 . .•SM.=sewer Mo.Itnear.R.•:.. „) i Pago-2 • . . .. . . Water$ervipg Mft. o.linear : ) . , . Page.2 I Subdiyision;Polygon at BillEMOnntaill • -Lot fib:: Lo Fixtureot item • — . •••••• - . ..-. . Backflow Oteyenter 3 L27 . Tax map/parcel no.: - . . .. .. ... .. . _ .. • .:::,, Backwater l•*tivt. 12.5.1 . . ''''-;S)-''''f;Z''.1::-Y4P,-.4":1•75.*:f4.- ....:V.---•.:.";:;4.•16iS C:141P 11b*.0F 1461*-''''?.',ffilt:L'efr,-.1.1:4421t1--4.!;.:,'.'::':.:;;!''.:.1.--11 - : : - • ' - .• ...;,,,,,,..,::. ..-:,.. .-, .• _ ,•-•• • - -F-.--, • .•'.- Clotha wisher „. 25.02 . • • •• . .•••• Dishwasher .25.02 " ' -' • • . . . - . Drinking fountain 25.92 . . . . _ . .. EjectOrump 25,02 — .. . ... Expansion tank 12.51 ,.•:,:,-;•:.-:pr,',..;:.-WpROFERTy OWI\ER ••:(-;;. ......• •:• -''':..., ,,_;7:,•:','Et::-TENitrip,..:, 'Lfrtv•-,;•4..., Fixtmelsewer cap.:• 25.02 Ne;Polygon'WLII„LLC • • • Floor.cirairtfloor. initthab 25,02 1 . Address;100 pot Oti,Street • -•-• Oarhaae disposal : 25.92 ' • C.ityiStat041)::81a/tat:Myer,WA 90660. . - Nose bib 25.02 .. ... ...... . . .... . . . ... „ Phone:(360)695-7706 Fax ( ) Ice Maker ' 1151 . . 4PPUCAI'ff .,'4,',,-::.::.-LI:::.".--T:• ,.-4,.:: -:.-'..&ca.s44-H -i-;,:liii:iisthi.,i? ..17 (rItcrcePt9r/.81:egc trap . 25:02 • - . Medieargas.(valtim$ . -:) ..: .. Pilge..?• augMeas name;Polygon WLII;LLC ... . . - Prima' • 12.51 .Contactnamm Angela GrajewAi . . . . .. ' Read:min.(Conimercial) Addras:109 East 13th Stteet. : . 'Sinkibasittilayal 25,02 ... •City/State/ZIP:.Vapeonyet,WS 98.6'60 :SolgtaniK•Motable watery . 62 i4 ' . . Phone:(300)-69$-7700. Fax T(360)40-4442 ;.TUti/shower/shower pan : 1151. :• Urinal :• „•,:."-- ',.••, '•.--•,.,-:•-• ;E:••':,.-•,r•,.,;,-,•::::--••!'_i•:t,.:•'If;'"'....•'-•' •.•- •.•-.'.:-•'.:,':..',-. -,,n: rir.:,••-4•.10.":"•4•,'n",•: , .. t .. . . .:. .. ... 2.592 E-mail:Argela.grajewskrpolygotbomeseop . ... . - • --"' 'a2•, ,tWatecoet :25,92 - * LV' : • ... _ „ •' •,',,,--,..''-''- ''-'4- Water heater i I. 31;52 .17.ea .. Business name BBL Pluntitllig•LLe. -• • Water•piping/DWV. 56.25' . . . .. . _ .. ... . Address::PO Box 85 •- 'Other_ 25.62:. .... . .. . .. . . . . - .OR I . . .. . •City/State/ZIP:Corbett 97019 . . Subtotal... . . . - • . . . .„ . . • - • Mininutraparnit tem $7250 Phone ($10).'$51,3903 Fax 1. • ) • -• • •• : - Plante:view (25%of PSung fee) . . . . . .. ... CCB Lie 188345 - ?lambing tie:nil:,P111582 . . • - . . • •-•• .... . . .,. State sarcbarge(12%of Detmit.fee) . . Authorized signature t Likte0Z0.7°- TOTAL PERMIT PEE .... - ... • . , Tide permikapidscation.expires Ka permit Ian Otainalkwit!da ISD days Print name:,Brendon I_Anter -Date -gin, it, . atter it has.been accepted as complete, *F6•6 metbodOlOgy sit by Tr-Ctiun:tyBmildingibdu.stry Sofv.ii.:o Board. MAtildinikPormitskPLNIU.Permiittgalco-161009 44046161(TOMCOMMEB) - Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard I Received Da e/By /IN Permit No.: t��n�w,,_. /� 9 1,11111 I'l 13125 SW Hall Blvd.,Tigard,OR 2 r Pv fi Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 AUG 2 2 2016 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF TIGARD f ,, g t 'x t a' t " ' COMERCAL FEE* SCHEDULE—USE CHECKLIST < # t e4L; Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ ' WI CONSIICTIOri-1.,. .,,-,-, , WF , fix , `RESIDEIIAL EQUIP l a r/ FEES* ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total : JOB S1INFORMAT1ON,AN1} LOCATION Heating/cooling:. 'i441:- � '—' Air conditioning 46.75 Job site address: 154,)Li Jei y ,c Lr it Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 1 61.06 61.06 Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or ' hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Polygon at Bull Mountain Lot no.: Other 23.32 "�' Other fuel appliances: Tax map/parcel no.: Water heater 23.32 "4 : A I :� g IOS F iiK Gas fireplace/insert 33.39 ' " ` ' �'' Flue vent for water heater or gas Change 2"furance for basement to Heat Pump fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ! ® PROPERTY ER ❑ AN, .' _..-4 t.- d ventilation: 23.32 PES' Other - � -� I - ��� � �� `" � � � Environmental exhaust an Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:109 East 13th Street Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawispace fans 23.32 r e" r a ' .a Other: 23.32 Q.7't)NIACT PERSON Business name:Polygon WLH,LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range • E-mail:Angela.Grajewski@polygonhomes.com Barbecue 4 ;I:UA :' �or �, l.t:.� g Clothes dryer(gas) Business name:Apex Air LLC Other: ` „ i ,.:.141ECHANICALPERMrTFEES* -`'` Address:18004 NE 72'd Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized ili signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: ‘74, ( , (J Date:8/22/16 I:\Building\Permits\MEC_PermitApp_040133.. oc 440-4617T(I 1/02/COM/WEB) CITY OF TIGARD . r,, .` MASTER PERMIT COMMUNITY DEVELOPMENT Permit# MST2016_ 00068 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 2S 1080001504 Site address: 15364 SW SEINE DR Jurisdiction: Tigard Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 56 Project Description: New SF.,8/4/2016: ADD sump pump for storm water. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 735 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front 20 Dwelling Units: 1 Smoke Third: 0 sf Right: 5 Detectors: Yes Total: 3649 sf Value: $432,075.11 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Lavatories: 5 Dishwashers: 1 Urinals: 0 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 Footing Drain: 0 Ice Maker: 1 Bckflw Prevntr: 0 Catch Basins: 0 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 1 Other Fixture Units: Sump pump for storm water. 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'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: NEWp y Square Feet: SF VB R-3 3649 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: $34,913.96 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 95 -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: /�``{ G ! ��pd Permittee Signature: 0� �'T� /-(—< <e=777()A7 Call 503.639.4176 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. FOR OFFICE USE ONLY-SITE"DRESS: This form is recognized by most buildiepartments in the Tri-County area for transmitting information. Please complete this form when submitinformation for plan review responses and revisions. This form and the information it providelps the review process and response to your project. City of Tigard OMMUNITY DEVELOPMENT DEPARTMENT TransmittLetter 1111 13125 SW Hall Blvd. igard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: r ( - DATE��CE1G'yED. .f �'`DEPT: BUILDING DIVISIO (' JILL 1 1 nori FROM: GrljioJ - : -, _ , ,, - 'N COMPANY: M.v!lA. Co - 0\ Opl W Ltk C Itr PHONE: -2)69 0 " S-- 7100 1 I fr- 12 RE: '0 ..6 0 $ GVf 'dA \, O . l 1 P-15 r09v l eo—00 ot!p ite :?:1 (Permit Number) /5 36)` .S` `�,,,t` �✓: �,$-540 (rrojeci nam or subdivision name and lot number) ATTACHED ARE THE3FOLLOWING ITEMS: •..0'S:,-1 d *7r ..y3 A 1x.79' '" '3' -p c v ' £ 3 y,. =.13`a{g K. ur .F}�,a ",;,� ¢ !,:1,i6;44:>ze:.. Additional set(s)of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: - N . - . 1 _A b r� ( ' .. -P : As i �,� . - 0, , .044.,,,, , ,. ..) , I h „:41:pot 7,irytid*Mt. 'ItifitiftlgWialcntsVKIRINARA444,1444, Routed to Permit Technician: Date: Initi ' ials: Fees Due: 2 es ❑No Fee Description: Amount Due: litt'�y �� � alLt r4' C'�5 � �Z{ ,fib yr. __ __ i � a "' 71—:— �G�6A 1* SA P �tJ�4�7' — i-4 , - M • $ .S=0� 3, Speciale` $ Instructions: '002- Reprint Permit(per PE): ❑ Yes o ❑Done Applicant Notified:e G/E— Date: -7/24Yi6 �1i9-/L_ I Initials: . I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT 111 I COMMUNITY DEVELOPMENT Permit#: MST2016-00068 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 251080001504 Jurisdiction: Tigard Site address: 15364 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 56 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 735 sf Left: 5 Parking Spaces: 0 Height 32 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 3649 sf Value: $432,075.11 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: Catch Basins: 0 Bckfiw 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 Times 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'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 3649 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: $34,789.10 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: dA/ ,,,G-i C' 7p',/ 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. t --- Building Permit Application 0 / LS a Ci of Ti D Receied City Tigard -� 1') 4t 1111 13125 SWHall Blvd,Tigard,OR97223 2o6 Date/By: Other Per rif e.20/6—600.5:2: I 1 c It 1_, Inspection Line: 503.639.4175 Date Ready/By: runs: H See Page 2 for Internet: www.tigard-or.gov iTY OF i AB0 Notified/Method: Supplemental Information �� ...w.,.�.. ..._.x.-__A�, ._.._.,.� .,..ab:.a.S.. ...�....� ®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 work indicated on this application. . Valuation: $ 0 ® 1-and 2-family dwelling 0 Commercial/industrial — -4 ❑Accessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder ) 5 0 Other: Number of bathrooms:x'27 3 Total number of floors 2 Job site address: _44) 1,(.0 5l., J _ New dwelling area: U 0 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: q t square feet Suite/bldgJapt no.: I Project name:Pc\..i J( tf (A, \)r\ minminCovered porch area square feet) . 66 Cross street/directions to job site: Deck area: l 1 • square feet - • Other structure area V` square feet 35 i,r Yg Subdivision:Polygon at Bull Mountain I Lot no.: Permit fees*are based on the value of the work performecL Indicate the value(rounded to the nearest dollar)of Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the - work indicated on this •.lication. nr_ 1_ng\QCum\- 9 _ i - Valuation: $ Existing building area square feet New building area: square feet .. Number of stories: 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: Poi 1.iL Inc c Business name: Structural plan review fee(or deposit): Contact name: M a f ,e ( Orc\O-7m FLS plan review fee(if applicable): Address: I 0 Q i I Total fees due upon application: City/State/ZIP: V 10 V c[2, �) ��` �� W R er G r k f 0 Phone: I Fax::Noe) Ct6,u'7) Amount received: E-mail:ma a ordon 1 onhomes.com Y� g @Po Yg r Commercial and residential prescriptive installation.v f = - ' x ` -� roof-top mounted PhotoVoltaic Solar Panel System.o Businessname: � __ _ _ __ Submit two(2)sets of roof plan with connection details n I �� l' \ and fire department access,along with the 2010 Oregon Address: 1u C1 l -\ 5.\- ../ ` Solar Installation S.•cial Code checklist City/State/ZIP: V (1(1 Ca.-(Vejr A Q S.0(00 Permit Fee(includes plan review $180.00 Phone:i3\ J) b a 5,-4--3-0C) Fax:(5420) .0Q3 . �2_L.� and administrative fees State surcharge(12%of permit fee): $21.60 y1/CCB lic.:204238 Total fee due upon application: $201.60 Authorized signature:- /t. ' This permit application expires if a permit is not obtained • within 180 days after it has been accepted as complete. Print name: Date —Z'}_1�j I *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) .-Electrical Permit Applicatiot 1, - ,T, fin FOR Orrlc-1. t.SE O',1,1 City of Tigard ' :-.`r�i -, '—` Received Date/By: Permit NfT�/� -000�4y 13125 SW Hall Blvd.,'Iigard,OR 97223 r. n C I'hottc 503.718.2439 Fax: 503.59R.1960Fi= i 2016 Plan Rcvcts• Datelny: (Aber Per I I c, `E:i) Inspection Line: 503.639.4175 n:_� Date Ready/13y: minis O See Page 2 for Internet www.tigard-orL'ov S f%/, s"_) l'-'•I .12,.�"'ti.. Noiilicd/Methal: Supplemental Information reuratair .riM'� "fi s a „ n — t I_ r �f,- ' .'"S�sb i:'; «! iT �'+.-4F' w u.�" A, I. SLJ ‘-..4.1WRFritigi Please check all that apply(submit 2 sets o1 plans"'items checked below) ®New construction ❑Addition/alteration/replacement 0 Service or feeder 400 amps or inure 0 Boldin_0%er Ihrce Mortes 0 Demolition 0 Other: where the;mailable liudl current 0 Marinas and bung:ads 4i 31 ' cA'T JG®RF OF:CONST8i3CTION `. exceeds 10,000 amps at 150 colts ar 0 Floating buildings �.••'' ` ."+ .�. .. c'`' less toround_or exceeds 14.000 g 0 Conunererd-use agricultural El I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations buildings 0 Multi-family 0 Master builder 0 other: ❑Fire pump 0 Installation of 75 ICV.\in +¢fi v i 1 t,-,a.._ t.• _ ❑(imcrgcncy system larger sepalalel\ dented.,.teal ..' .,1: ... -{.,.„r, .Ji>i CPJE,)NI) •RI AVON ND [ACA'TION.'.,/ ;3,�o y .`' ❑Addition of nets motor load or Job no.: Job site address: r S .0 . 100111'or more. occupancy 1 �j eY' t ❑Six or more residential units 0 Recreational tehlcle parks City'/State/ZIP: '-1 cJ VVV111 pxi OR �liLIA ❑I lealh-care facilities 0 l'upply‘oltaee lir more than ❑Hazardous locations 600,ohs nominal Suite/bldg./apt.no.: Project name:(U Q0-,yTh � &\ m 4-n ❑Service or feeder 600 amps or inure Cross street/directions to job site: Description I Qtv. 1 Fee. I Total I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: I.(x)11 sy li.or less 168 54^Iia.add')5(10 sq.Il or portion 33 92 1 Tax map/parcel no.: y Limited energy.residential * £3� ala 3 s v IyFS'RIPTIQ$ OIF;V O K - (with above sq.ft) 75 00 ? New electrical service and wirin Limited energy.multi-family 1; residential(with above sq Ii) 75 DO l Services or feeders installation,alteration.and/or relocation 2(X)amps or less 101)70 2 1.ROP.I IRi3'•ORF IER ' <U TENANT 201 amps to 400 amps 133.56 2 (�O(� 401 amps to 600 amps 2(10.34 , Name: Y ' `(� 601 amps to 1,00X)amps 301.(14 Address: t b ck tom ` Over 1.000 amps or volts 552 26 - )^ „l A^, yp q (� r CD 'Temporary services or feeders installation,alteration,and/or City/State/ZIP: \J(�J 1,('��(LJ� � (�,Q� /� relocation I Phone: D) I„ a 5,',L' {�-D Fax: D) 'n C15 (t 0 p / 2(R)amps or less 59 36 I CCCNNinst v f L lJ�� y that J }`L L� 201 amps to 400 amps 125 08 Owner installation: l-his 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 54 2 I Branch circuits-new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with w T .2 I_ 0:CON J'ACI.'`PERSON ahttve service or('ceder let. 7 42 1 ('� each branch circuit Business name: Y V — ' 13.Fee for branch circuits without service or feeder lee.lost 56 18 i Contact name: In a 0,1 r Ve, -IOC, branch circuit 2 Address: e 0 rEach udd'I branch circuit 7 42 2 1 Miscellaneous(service or feeder not included) City/Stale/7.)1': Q �� ' i ,Ce Each manufactured or modular I. dwelling.service and/or(ceder 67 X4 j - Phone.( ) Reconnect only67 Fax: :( ) 54 i - 0r Doh /, m,� Pump or irrigation circle 67 84 ; s E-mail: (tel ` UI t l.C! ' i - : Sign or outline lighting G7 R4 ' CTt3 • • Signal circuit(s)or limited-energy I Business name: Simply Electric panel.Aeration.or estensmn Page I Each additional inspection over allossable in any of time above Address: PO Box 822408 Additional inspection(I hr mm) 66 25/hr L Investigation(I hr min) 66 25/hr City/State/ZIP:Vancouver,WA.98682 - Industrial plant(I hr mm) 75 I RI hr ('hone:(503)849-8202 Fax:(360)314-4945 Inspections for which no lee is 9)).00/hr specifically.listed(V:hr min) CCB Lie.: 204615 Flectrical Lic.: : 067 Suprv. Lie.: 4394S ,'`�- * ECECtIt1C: l,TEOIETT,?TEES ® Subtotal Suprv. Electrician signature, required: e c'.._415-G41 Plan revic\s (25%of permit fee) Print name: Victor Zarzhitsky Date: 11 17/2015 State surcharge(12%of permit fee) Authorized signature: IOTA!..PERMIT Illi This permit application expires if a permit is not obtained within 1811 Print name: days after it has been accepted as complete. IDale: • Number of inspections allowed per perntil. I ltuddmNPermn 11:1.C-Permil.\pp doe 07tt11;10 -1411-441.1 S'rt I I.0C q'o!.Llti Ea a Plumbing Permit Applica t,-:r p E ,,,„ ;.,t-', 9 .4. -� FO Building WE l Sr (1\L� Building Fixtures '^ ! �Q n � Received Permit No:/`1-ST�0�6 D��e70 Cit}' r 1 2�s5 of Tigard L' .� yr 13125 SW Hall Blvd,Tigard,OR 97223 Plan Review Other Permit No.: phone: 503.7182439 Fax: 503 9LI y T=;,,R.,,,--,,,. ��y: hes Si Sex Page I for Inspection Line: 503.639 4175 "�� name Ready/By: Supplemental two t t- Nat35�d vpplemee Informs Internet www hgard or gm --.-----,7:-., _ . ._ s-,----,-, 03 . - v-� For special information use checklist 0 Demolition � Qty. I Es. I Total I\New constructionpescription ❑Addtiania1teratilon/replacement ❑Other: New 1-2-family dwellings(includes 100 ft for each utility connection) E_ , �-:� �rye SFR(1)bath 312"70 Ts- ,��"'�--.�s'x -• ' -,-,-- t! _.. 3 .-- -- -�:;. 1.- - .,.`_.j=-- 3.x6-- b 437"78 x:_ SFR(2) 1-and 2-family dwelling ❑Commcrcial(tndustrial SFR(3)bath i 50032 500t3 L 0 Accessory building • 0 Multi-family Each additional bath/kitchen 25.02 . ❑Master builder C ❑Other. _Fire sprinkler sq.ft) . Page2 • - r i. M 7, Site utilities:�- ,, .,r ~,-..:,-.7'.•,,..-,:;k-,::,,,,...4.::-,' 1= _+_....I. sem.._ ' 18.76 Jos., address: sgkr► n .„71 ‘ Catch basin or area drain " lob site address: ► r0 � OQ G^�n� � Drywell,leech line,or trench drain 18.76 City/State�LlP: T G�\ ► \_ l �' ` Footing drain(no.linear R:,__) Page 2 no.: cJ Project name: p\\13 0A-?:),A\ � Manufactured home utilities 50.03 Suite/bldg./apt. P Cros street/directions street/directions/direexis to job site: Manholes 18.7618.76 Rain drain connector Sanitary sewer(no.linear it:_J Page 2 • Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:__) Page 2 Subdivision: I Lot :l Fixture or item: Backflow preventer r 1 3127 __N r 11- Tax map/parcel no.: _ -� Badavates valve 1231 2.ej` «i ;- --1 rv------ ----_�- - - Clothes washer 1 25.02 , 5,()Z Dishwasher 1 25.02 e9177-,02 V ' q All RIM 't)in P It t4_,..5_, Drinking fountain 25.02 Ejectors/sump 25.02 o- :::-7...,--__ t ` Expansion tank 12.51 r� -z FtXhrrdscwcr cap 25.02 Tlamc Poll�15 ) l `�t � Floor drain/floor sink/hub 25.02 Address: C 1 '� 5 Garbage disposal 25.02 2Gj,�d7L • kk9A Li 4' i O Hose bib I 25.02 7..),i City/StatdZlP: (1(i ,Q _ G(p r` � + i Fax( ) Ice maker' j 1231 2- , ii _ --A Int rceptor/ 25.02 =,�(erra��-'-- z -.:.� tom, :,"=.1"----:--;7 .7-7,--'--,:-7-7c. . . d y '`� .-fI k� '; �� 'r r �;._�=/� Medical gas(value:S ) 2 Business Hamm 3D LT*1 /,l�li �,t,��fJl,.Y . Primer 12.51 Contact Hamm .- Lf„R�t'1'[Jt Roof drain(commercial) 12.51 Address D Sink/basit✓lavatory 25.02 Ci /State/ZIP: ci L.. 1.61 1 Solar units(potabh water) 62.54 ty 1251 (� Fax::( ) . Tub/shower/shower pan a 7 ✓ 2._ Phare' ) - �b3 25.02 -�3 351 3Urinal E-mail: , �. II i�I e I water closet 25.02 t 3752 ��} r� - Business name:-211) - /-vis L.LL` _Water V 5629 piping/DW Other. 25.02 Address: ?, 1619 q Subtotal City/State/ZIP: t aD -E E V` J Miaimtmm permit fee: S72.50l ply; ' ) -.3903 Fad( ) Plan review (25%of permit fee) CCB Lie.: t$b3 Plumbing Lic.rt 1582_ State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized sigpattaz: Print name ( (�C� _ This permit spplitatioa expiresif:permit is cot obtained withinithie 180 days , Date: ! ' ,'�� after it has been accepted as complete - .Fee methodology set by Tri-Gowdy Building Industry Service Board. aloe lM l D9 440-4616T(ln02 OM/WmB) I:IauBd'mg‘Pcmits\Pl.Mll-PvmitAPP- r Mechanical Permit Applicati City of Tigard tutelar: puaM 24.2,4,,,c7--c,2„,6,0,„(0? 13125 SW.Hall Blvd.,Tigard,OR:97223r n r-1 'n i u U c p1°Revue Phone'503:718.2439 Fax 503598.1960 F L W J DatdBlr: . ._ Other-Permit. , , .., Inspection Line: 503:639.4175: Br.R In Dal ReadYft Atriss Ila see Patel for Internet xww.iigard-or.gov 'Li" c T i )b ,a:::,,-,n Naif> od: Supplemei[a1in1ormatioa: .y . i i"`.'9 r, _. F1 s 0 , L.l i 3. a..t ... N I 7e 4.. B: S t °:.,.i '~ .a,t..:1 x ser liktalAk,,•• .Bis '` . c8,�e�o: Mechanical permit.fees*are based on the value of the work .Z I!1C'*coiisiitit tion 0 AdditionlalteraiionTreplaccrnirak ;puforrneel•Indicate the value.{mended to the nearest dollar}of all 0 i7entaltttoa ❑Otho mechanical' materials equipment.labor,overheat and profit * 4. Value:S ss m5 ., , ttI:L B ®1-10)&2-family dwelling 0 Commercialftndustrial 0 Accessory building For ip,o4a1 btfarmntf ❑:Multi-family ❑Master builder El Other Description 1 Qty. Irt EA. I Total � . .` e_ -'` Fie ® a. i e 7.-,,,,,,A=,,,,,' a 41 Headieleootiug: Job sere DC. Fumed 100,000 13111(duenl uec) 1 46.75 ttddrtxr 'atv.�.G=.• �,,L� � t tY/State tF: '(�, JOX. 0 Q "1-'' Pomace 100.000+STU{e stxnts> -549.1 2 :3Suite/bldg./apt.no IPrjectnailPaysty o W11m 3 trOas sheetldiiections to job site: Bydronic hot water system _ 2332 Resi4ential boiler(radiator or hydrouic) 2132 UnrtbtaDdrs( -type,not electric), in+veli,it is,Sutpcodo4 tic. 46.755 Flue/vein for any of above 2332 submv tugo_. .... Lot.nos Other ... .. 2332 O� 13tbas'iitei appliaucest Titmmp/¢aneel no '1 iter healer 23.32 . ems&,,f.<4.',7?,--ii a .1.-:<.'-,-<.'N,-..-:.<,'".4"<:',<"-<-=<- ttjfta wakrbeateror s 33.39 regaled I213 Lit.lii .{gat) 23.32 Wood/priletahive: 3339 Vinod.fireplacern sera2332 23.32 23.32 .= : . - � �--„.s � �- � M~ `-^ 'F.usitvutnttrtal ctrltttttst snd vcttti4t2'totr. Dame" non Northwest Range Lundlatherkitchen -equrpttztnt` 1 3339 Andress:109 E IP St .Clothes shyer exhaust I 3339 Ctty7Sttt ZEls Va>ieeouvct, 98661 5vyl et exhaust(bathroorns, toileloou>l>ertntrxrts,tuilit}'cams) 4 23.32. 'Phon (360)816-7800 Fax:t ) Auidcravlspt►ce fans 23.32 sx a ° k ri SIF 2332 Fad olulau:- Thigpen rant=Polygon Northwest . StX.XS for first tire';S4.03 for each additional Cvotacf n81nC:. .Furnace,eta: 1 Addre:as 104E 13w St Gas hria p ran. VPalUsttsptatde8(tbtitlirxoeti t ity(Stttle;IZIY'yaacpuver,WA$8661 'water;hee ::aoct . . .:- :- : -. : PTiatte:(369)$16-7880 ) fax::( ) 1 Rings, . 1 E-rant: Derivate t .:. :::::1,:,.,,..:: �,., ,N2_V�, ''"{", "';. , ::i.4' •kz 4,. �Clothes— ri�((gas). _. BtnIness name Andersen'Reatin8,Int Other. A;t 16285:;SW:85a Ave.Ste 410 Subtotal GiFyfStlitdZIP:Ttgai+tl,d12 47724 Minimum permit fix(59000) Plan review(25%of permit fee) Pbotii~(503)992.6664 Fate(503)536.6615. ;State surto(12%ofpermit lee) . LCB 1X.:168214 TOTAL PERMIT FEE This perm*apptiradoa eaphea'Oa permit is aor.ebtstoed within 180 days altalrkee lima scripted'$a,mpktz Authorized signature: ter methodology ser by Td-Cotmty Building Industry Service Board •Printniow Art Atiderset Dann 11/2012015 1:%•SA16iPt hWECJ nn pP O4Ot t3.doc 440-46t7r(1 Lm2.WM/waB) Albert Shields From: Albert Shields Sent: Wednesday, March 09, 2016 2:59 PM To: 'Chris Walther(Chris.Walther@polygonhomes.com)' Subject: RE: MST2016-00067, -00068, -00069 Attachments: Conditions-03-09-2016.pdf Here's the attachment. AMS From: Albert Shields Sent: Wednesday, March 09, 2016 2:58 PM To: Chris Walther (Chris.Walther(apolvgonhomes.com) Subject: MST2016-00067, -00068, -00069 Chris, as you know, we still have a few more of the conditions of approval that must be met before we can release building permits, including the 3 permits mentioned above. They will be put on Hold as Approved but Not Released. But thanks to the packet of items you had delivered yesterday we are now down to 4 conditions that remain to be met, as highlighted on the attached. Albert Shields City of Tigard i. it . Permits/Projects lit Coordinator Albert. tigard-or.goy+ (503)713-2426 -x. (503)624-3681° 13125 SW mail Vic. 3 ard,OR 97223 1 L r `L City of Tigard IIr COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: /11S7-.2-0/6 - 000 hoe" Site Address: ) 0� 3 Project Name: `'' -67/ cal A4e/I ,41 uh d 1 . Lot #: S (New li ==subdivision name;Addition or Alteration= last name of owner) Planning Review Proposal: /t,1g j —REY2 'Verify site address/suite# exists and active in perm,.i,t..,/stem. River Terrace Neighborhood: ❑ No L(d Yes,See River Ten-ace Review Addendum Attached Sit lain Elements: ree (3)copies of site plan �r� sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper iL Footprint of new structure (mcluding decks)with finished awn to scale (standard architect or engineer scale) or elevations orth arrow lflJtility locations (required for new,may apply for additions) S. e address,project or subdivision name and lot number ,!,cation of wells/septic systems licant information(name and phone number) W. rosion control(including drainage-way protection, silt fence IIV' t dimensions and building setback dimensions sign,location of catch basin,etc.) OW area,building coverage area,percentage of coverage and S eet names pervious area (applicable if R-7,R-12,R-25&R-40) treet tree size,type and location 'roperty corner elevations (2 foot contour lines if more thansting trees to be retained with drip line,and tree 4 foot differential) protection measures ¶f lean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): Pequired: ❑ Yes,applicant was notified No Received: ❑ Yes CI No ublic Facilitie Improvement (PFI) Permit: equired: ase #es,applicant was notified CI No Applied For: 'es ❑ No,stop intake I/and Use C : � •( 0/S- e.2;�!)C AQ oning: L/ 5 Setbacks: Front 020 Rear /5- Side 4 Street Side /5 Garage Q© 0?Landscape Requirement: of Coverage Maximum: pi), 0/0 utlding Height: Maximum Height 30 Actual Height (QS tsual Clearance 12,7 asements , Sensitive Lands: V/Yes CI No Type Lc u- t /t , i,,A :gyred [ Urban Forestry Plan ❑ Conditions "Met"� 1c'prior to issuance of bu ding permit �/ Notes: Leri :J e riz_ nr- i ,nr1.f' IL` /.s.Sz,i-04‘,.e ,,J • 2Pfr' / - Approvedelrlanning: - r� Date: c2 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved LI Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw_RES_012I I 6.docx Y Building Permit Submittal Original Submittal Date: 2��9A6:. Site Plans: # 3 Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning ❑Engineering ( Permit Coordinator ©—Building Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: E'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and 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: Date: Engineering Review Slope at building pad: 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 Approved Engineering: Date: Notes: _ ..i .riii, -4111. Approved by Engineering: Date: ,„7-91--.Z Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: Notes: €441- Revisions 4*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: es ❑ N/A Parks SDC: ,Yes ❑ N/A OK to Issue Permit ,�,( ,, ! // Approved by Permit Coordinator: Date: / `�"j`!� 1:\Building\Fonns\BldgPennitRvw_RES_012116.doc x c i ii Ill City of Tigard IIICOMMUNITY DEVELOPMENT DEPARTMENT TI G A R D River Terrace Building Permit Review Addendum Building Permit #: /t1,5-7-0Z0/67 — OO O 'F Site Address: /SS 94, `S)1, ) Se/kV Ar: Project Name: sj/L,`� C , Lot #: (New 0n= 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 O fset a Porch min. 5 t. deep ft. deep min. 2ft., 5 ft. wide min. 2 ft., 6ft vide Gabled dormer ❑ ❑ ❑ 2. Eyes on the e street: a minimum p 12°/o f each street facing facade must include windows or entrance doors. Percentage Shown: / A 3. trances: At least one entrance must meet both of the folio ng standards: tzzi Max. 8 ft. setback from longe 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 ; s,all the following apply: 12/i11 sq.ft. min. �ne street facing entryft. max. roof height above porch ft. depth min. % min. porch roof coverage etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: overed porch min. 5 ft. wide x 5 ft. deep ❑ Recessed entry area min. 5 ft. wide x 2 ft. deep t 11 offset min. 16 inches ❑ Dormer min. 4 ft.wide 12 Roof cave min. 12 inch projection ❑ of 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. ❑ orizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40% of street facade Window trim min. 2 '/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft. wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No loser to front or side lot line, than longest street-facing wall. ❑ Yes IJ No. If No (Check one): a extend upto 5 ft. if there is a covered frontporch and garage does not extend beyond the front porch. Y g g Y 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: 7 Approved By Planning: Date: p7 ci / h 1::\Building\Fonns\BldgPennitRvw_RES_RT_012116.docx III ' ' TIGARD City of Tigard June 3, 2016 Polygon WLH,LLC Attn: Angela Grajewski 109 E 13th Street Vancouver,WA 98660 Re:Permit No. MST2016-00068 Dear Applicant: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 15364 SW Seine Dr Project Name: Polygon at Bull Mountain,Lot 56 Job No.: N/A Refund: ® Check#221211 in the amount of$100.00. ❑ Credit card"return"receipt in the amount of$ . ❑ Trust account"deposit" receipt in the amount of$ . Notes: If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Coordinator Enc. •I:\Building\Refundl��i S PA� d- �e Ticar �l� gon 97223 • 503.639.4171 TT Reay: 50 .684.2772 • www.tigard-or.gov III " City of Tigard T I G ARD Accela Refund Request This form is used for refund requests of land use,development engineering and building permit application fees. Receipts,documentation and the Keguest for Permit Action form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: Polygon WLH,LLC DATE: 5/26/2016 Attn: Angela Grajewski 109 E 13th Street REQUESTED BY: Dianna Howse Vancouver,WA 98660 TRANSACTION INFORMATION: Receipt#: 403570 Case#: MST2016-00068 Date: 4/28/2016 Address/Parcel: 15364 SW Seine Dr Pay Method: CreditCard Project Name: Polygon at Bull Mountain,Lot 56 EXPLANATION: Overpayment of$100.00 paid on permit fees. R�1744%1, D INFQRMATION. ; Feei�a4pt[ ri Fton"Recii�E - 'Riv.#Ii* cotiiNci ''t • E&a nple: .Bwlding Permit Fee . _E*ample :2300000-43104 $F i; r ili:;,, Cash Over 100-0000-48001 $100.00 TOTAL REFUND: $100.00 APPROVALS: SIGN/ t S l ATE: If under$5,000 Professional Staff li j `t If under$12,500 Division Manager If under$25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: �,-7/4 By: I:\Building\Refunds\RefundRequest.doc x 09/01/2010 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 .111 a Transmittal Letter T i G,\1,D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RE 0 D: DEPT: BUILDING DIVISION -rCIV CD- AUG 222016 FROM: Angela Grajewski r T > COMPANY: Polygon Northwest lj1 ., 1i`°' '� ,yt it PHONE: 971-212-214409 RE: 19,(.p 5\"s0 SLS 1 nt 0c l Ot-, j MST201' _ (Site Address) lob (Permit Number) Polygon at Bull Mountain / (Project name or subdivision name and lot number)/ i ATTACHED ARE THE FOLLOWING ITEM: � e , s 0 Additional set(s) of plans. 0 Revisions: 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. 3 Other(explain): Addi 'final deck details requested by inspector REMARKS: ►�-clinician: Date: R_ � � ar Routed to Perini g a.5' 1 4 -6 ' Initials: Fees Due: ri •es ❑No Fee Description: Amount Due: C "Ir � E� � p i c.� rev e $ 14" $ $ $ Special Instructions: Reprint Permit(per PE): Yes I [-72;4.1-0 ❑Done Applicant Notified: I I1]Date: I Initials: I:1BuildingWorms\TransmittalLetter_Revisions.doe 05/25/2012 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15364 SW SEINE DR, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 399 Plumbing final Result: PASS Comments: Corrections from previous inspection complete. Violation Summary: Tel: 503.718.2439 Inspection Date: November 16, 2016 at 2:27:14 PM Record ID: MST2016-00068 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15364 SW SEINE DR, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 275 Framing Result: PASS Comments: Deck framing correction complete. Violation Summary: Tel: 503.718.2439 Inspection Date: November 16, 2016 at 2:36:35 PM Record ID: MST2016-00068 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15364 SW SEINE DR, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Fix broken face plate and loose outlet in garage. Fix excessively loose outlets thru-out the house. Will check at building final. Violation Summary: Tel: 503.718.2439 Inspection Date: November 16, 2016 at 2:49:52 PM Record ID: MST2016-00068 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15364 SW SEINE DR, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: November 17, 2016 at 8:58:27 AM Record ID: MST2016-00068 Inspector: Mark VanDomelen Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15364 SW SEINE DR, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00068 Inspector: Jeff Grove Contractor