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Permit
. n CITY OF TIGARD MASTER PERMIT 1 C . COMMUNITY DEVELOPMENTs'`# 11 = Permit#: MST2016-00210 TIGARD13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2016 ���i Parcel: 2S108DB05200 Jurisdiction: Tigard Site address: 15189 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 50 Project: Polygon at Bull Mountain, Lot 50 Project Description: New SF. 8/25/16 ADD heat pump in basement. 10/28/2016: Add 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1254 sf Basement: 735 sf Left: 5 Parking Spaces: 0 Height 32 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3644 sf Value: $441,155.01 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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 Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 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 3644 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 A Geotechnical report is required before the footing PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,128.82 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 thrqugh 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:��//^/447/32� Permittee Signature: /t/ 7,-7/32./e,9-77 )N 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. .r„,tect,rficai re rm 1 t Application I ill{0111( 1 1 ‘NI ONLN City of Tigard 111 .11:tztL1 ''..., ::::F?-- 1*1'714.2f//(, -.';',.. Pt 0 I i• 60 t 10 . A - 13125 SW Hall fiNd,Ties*OR 97223 Phut Review Phone 503 718 2439 Fax 503.5981%Q Inspection Line' 503.639,4175 Internet: www.ttprd-or gov SEP 1 6 2016 mdea, r=Eirilillilill1111111 " iaIIIIIIEEE3Egall C Me 0 i'' I;,,„-:1\';:'-',1'.. NatifiediMedwd -..• ...,,,,,,....,,,,, . in ,,. , .' .. , LZIf , ,..,. . • , ,,' Cs New construction 0 Addition/alteration/replacement Plane check all that apply(mann';mtts of''" wilims checked) Service or feeder 400 amps or more 0 Sinkiang OVti duet stones 13 Demolition 0 Other ° Ma the available fault current Ci tures and boatyards ' '..."--C.: ':7..;.:::!I. C:- ' - -...";:...'.' ..,'.':3L.'' Where'''"'::;:.7;77.EI,L1Z3V:47f.f2o;;:Z.]:. exceeds 10,000 mos at 150 volts or 0 Muting buildings 1-and 2-family dwelling 0 CommerciaLindustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commerce/Awe alpiculnaid amps for all other installations buddinp. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump Olastailatioa of 150 kVA or 'IPA' ' ''... 1.7'13 .'77. ' '1;- ; i. :'''''':'::t' '1':';'77:a:;717:P;;;:4r.7M7374;AdrAtia 0 Emergency system larger separately derived : ...AA - c1. _ ,i,,.., .3,,' i 0 Adchtion of new motor load of symem,,, .., , , Job#: Job site address: 1517sci a vu rpt.iri -fort 100HP Or Mat 0"A",'I ,"1-2 , '1-3 , 0 Six or more residential anus occupancy City/State/ZIP:Tigard,OR 97224 .:venous]vehicle pmts. El H 0 Rect ealth-care facilities. Suite/bldg./apt.IS: I Project name:Polygon at Weeti-R:iver-frep -BM( 0 Hazardous locanons 0 Supply voltage for more than .,,,. ,_ • El Service or feeder 600 amps or more 600"its nominal Cross street/directions to job site: 7;47g ittitriptiott Qty. Loth Total New residential single-or multi-family dwelling unit. Subdivision:Polygon atiVest-fttrerTetTeare B A(( IVIty) 1 Lot 4: 50 Includes attached garage. Tax map/parcel#: 1,000 sq.ftor less 168.54 4 -.--,:,- '-.-:',474',.,:'77,..7 , '..':i1'.7 7:t! , ‘..,-:z%:;. ,..2,7.: :.,7„!.. :.:.,..,.;::. ' Ea add'I 500 sq.ft.or portion 33.92 416 A - A a AA `All ' Limited energy,residential 75.00 2 • (with above sq.ft) Limited energy,multi-family 75.00 ..,.-.-,-.:.---...' --- -- -..,,, —2.'", .._ , residential(with above sq.It) 2 i Name:AD Land Holdin,.... LLC Renewable Energy 0 See Page 2 ccA.n\--P-7, ci-s _,____ Services or feeders installation,alteration,and/or relocation Address:7600 1 oublet, Ranch Road 0..{4,,, cr,LA,\7c- 2040 amps or less 100,70 2 City/State/ZIP:See .,' e,AZ 85258 Phone:(602)694 • , 1 .I Fax:( ) 201 amps to 4°43 amps 13156 2 Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature: Date: _ „,..„.,-;,'.j:itipi:1-2i,,,,:-,:, -, ,..:•..-,,-..T--.x.ifj,,,:,t1,,,, ,,-747-m.i.gc;;-.7,,.. .L 7..-7„....7.7,7,,::,7...x.,,,,,..z,z, Temporary services or feeders installation,alteration,and/or Business name:Wi4iirm-6,..0414ates,Int. poion kALK L,Lc.... 200 amps or less 59.36 1 i Contact name:Angela Grajewski 201 amps to 400 amps j 125.08 I 2 Address: 109 East 13th Street 401 amps to 599 amps )68.54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits-new,alteration,or extension,pr panel Phone:(360)695-7700 J Fax: :(360)693-4442 A Fee for branch circuits with 742 1 2 above serx ice or feeder fee, Email:Angela.Grajewski@polygonhomes.com each branch circuit :„ B Fs:torf branch cirfeZ7stahma 56.18 2 ' Business name:alameda electric Address:3415 ne 44th City/State/ZIP:SIM #3.-1 /4, 2.2- /3 branch circuit Each addi branch circuit 7.42 2 Miscellaneous(service or feeder not included) Each manufactured or modular dwelling,service andfor feeder 67 84 2 Plume:(503)3192192 I Fax:( ) Reconnect only 67 84 2 Email:solarpdt(4)me.com P2 CCB Lic.: 199188 Electrical Lie,: c923 Suprv.Lic.: 'If?i$ 67 84 Sign or outline lighting 67 84 2 Suprv.Electrician signature,required: Signal circtuns)or I imited-enerm; Print name: t,k. )2,4„e„,<„ I Date: ,,..(7/23./1 ( 0 See Page 2 2 lEaancell;:ictledriittiloorritaclwi:p7e7ona over allowable in an y of the above Authorized signature: Additional inspection(1 hr mini I 66 25:hr Print name: /ptp,,,,...,X---------- I Date,: 43/4 .1 Investigation(1 hr mm) 90 00 hr t tikdttetiforraiii\ELC_ _ELR_EkEdec Rev 0611712015 440-4615P I 1/05/COMAVEB Plumbing Permit Application Building Fixtures- . . . . . . . . City Or Tiga.rci Received i i . Q C L 1 ','06 ': a.tei.03,:la-1..2: -) . PerP"°1/17.57;10/6'-'004;)/0 13115 SW Flair Blvd Tioard OR 97223''4-' - ;•-, L ' Plan Review- ' A! Phone- 501.718 2439 Fax. 503,M8.196g . - • :Date/Bv: . , 0therpermitl4a.: inspection Line' 1 503,639,4175 , . „ .,..,. , ,.. :- , TIGARD Date Ready/By: Anis. I 0 See Page 2 fur Internet:www.tigariVorgov ' :,.,:'; ;:):'. ' . -', ''1.,..!,..' J Notigeilimethed: Supplemental iniarmatioir 4. • :.',,,-.•;4:44:',`••=7. .. -'•::!.'•.;:'-':;'!Att''':.....-.•!-P.'''i4iii;:..4:•••34`iiiitiej .,,,:,'•;:, ...tr.1;i.- - .13.:New construction I El Denidiitlio. ..F.'0.1.speciatinfirmatipfi are checklist Description :. ' . J Qty. i Ea. [ Total 0 Additionlaiteration/replacement. 0 Pattiz; New I-2:-,farally dweifings(includes 100/1 for each utility connection) .. ...i•4d6iiiDr,VVDisifRir_C4ielqW':t;'tk:-,. :(':'s:'''';A.'.-7'.;•:':'r4r'iP: SFR(1)bath 31270 Eg.1-and 2-family dwelling 0 Ciannietelailindiistrial , • ,sFR(2)bath . i .437.78 [:j Accessory building 0,MultiLibinily : . . I —•• • .;SFR c3)bath Each additional bath/kitchen. P ._ .: .. .:. . Fire sprinkler( - sa.ft). .15 0 Masterbuilder 0:Qthet'l Page-2 7-44:.W:..V:;-4t00,:**1. 1(..1(.0.6A,*::;;40- 4,t10*2-14,-s:. 1=-:',,ig9i-..--:.:: silo ntilitieg .-- . . ' - .• ' 50 0.32 • : Catch basin&Ai-ea draln . kb site address f i 5 6,-'1 Svj 15(-1111 Ne. . - 111110•11331110.1 - Dry.well',reach:line,or trench dram 18.76 City/State/ZIP.Tigard,O1 97224 1 • . .. •• -- • . Footing drain(no,iirtear ft:..: ) • Page 2, • Suite/bldg./apt.ri9.,: Project name:,Polygnit at, Buil Mountain : mamicktured home utilities. • ... 50,03 CtOsSAiveildifeetiOnS to job site: ' Manhales111111 18.76 11111101— • Rain drain connector ... ME i8.76 ' • • • •Sartitaiy sewer(no.linear fl.: ) Paae,2 • .. . • .' Storm sewer(no,Uncoil::.. . ) I Page 2 Water$ervipg(0.linear it; ) I Page.2 Subdivision;Polygon At nuIrMiiunaiii ' j Lot no4 Si) Fixture At item: 31, I Tax irtapipareetno,:- Backflow/*venter 27 12.51 . . w,...___,.-..,....,,„:,,.;_;,,5,:y-.7Q02; ,..:;.7,-..;:,% Backwater valve ,;•::,.i'rk-f4:;:.-,:.J. .'.-,,.4,iK ,.: .,A61'.0E*RIPT.XP.M.PFY9W7:-:V::':• .z,'•'••5• ,7..,;:•* k.::,. ..:' ., . ' . • • - - I Z/.-1::• eilq-7-67L. /-/-6W-7,-7e— Clothes washer . „.. 25.02 1 .. Dishwasher 25.02. •. Driulting fountain • ' jectersiSurim . 1501 25.02 li' ..W..••,-. :igiiiiiiiiiii,:,-6*.riii*- ,.....iikfi...-i;;I: ..:,:-F,...,: :,:,.:4,,,7::-.Eriiii.f .v. .:,;,,T,i_i..„:„ 4pamton tank 2 Fixture/sewer cap: . .I 2.15;1 Name;Polygon*W141.,,!LC • • Floor draintiloor.sinictlatb ' 25.02 Address::JO Vast 1Y;Street • . ::- Garbage disposal ' 1 2 .O25 City/State/Zip:.VarteAuver,WA 98460 Rose bib 25.02 . ... . .. .. . . .. . . Phone (360)695 7700 Faxl.( ) lee maker 25.1 I zw: t4. •.:..i-:f.gi 41.0* 0.*** :-..`;:gif inteicepter/Epase trap L, 1 Business namePolygon LII, . Medical gas(value $ •) Page 2 .. : W1.1,C Primer - 12.51 Contact name:Angela Gralesivki .Rodfdrain.(commercial) _ . 12,51 .Address:109 East 13th Street. . . , SinititasintlayMMY 25.02 . . . CitylStatealP:.Vaneanyer,WA-98660 ' Solar units(potable water) 62,54' .. .. u . . Phone (36(k)695-7700Fax ':(360)03-4442 Tub/shower/shower pea 12.51 . Urinal ;2507 B-mail:Aogc0 14. -ajeyki.gpolyiptihonms.com . . .. ..... ... „ . Watet cl2 oset 5.02 . ..1V.'fdl;. . 6'iAAOaitt&,4y. :lA,i:k.. :..rC .,. ,.. ... .„. . . 'iater heater 37 2 ' i7 62) Busiiless name:RDL Ln BDL . .. . . .. ... - Water piping:OWN?' 5.6..29 , . . Address!PO Box 85 .- Other:. 1 .25.02 - .. city/State/DR Corbett OR 97019 • Phone ( 03)..$1,3903 .. I Fax ( ., ) Sittgotat, . . . Mininnonpennit fee; $72:50. .. I .. . . . Plan tea (25%&peanut fee)t CCB LiC.f PlbjnLick no: R1582 . g P :Statesinchage 02%ofpermitfee) ... Authorized signature: n .,... _. tekeoetoee— i ------ . TOTAL PERMITPEE „.. .,,L,„.....w.....=:• . . . print name:,Brandon LiMter I Date; 8 ity i(do •ti • This permit apptientinn expires if a permit ii netninnited within 150 days . . ' arte-r ithas been acceited.as einnpiete..• • - • . *F66 methodOlogy set bytri-connty.Biiiding Industry genie&Beinid. FAiiidiesTeirnii4LARI‘Perenti4nvice 1010ti1.9 140416161116'024COSMS1 CITY OF TIGARD MASTER PERMIT r, COMMUNITY DEVELOPMENT ��` Permit#: MST2016 00210 TIGA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2016 Parcel: 2S 108 DB05200 Site address: 15189 SW 154TH AVE Jurisdiction: Tigard Subdivision: POLYGON AT BULL MOUNTAIN Lot: 50 Project: Polygon at Bull Mountain, Lot 50 Project Description: New SF. 8/25/16 ADD heat pump in basement BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1254 sf Basement: 735 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front 12 Smoke Dwelling Units: 1 Third: 0 sf Yes Right 5 Detectors: Total: 3644 sf Value: $441,155.01 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Y 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 0 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 0 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: 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 Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc orFdr: 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 SecurityAlarm: 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 3644 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 A Geotechnical report is VANCOUVER,WA 98660 VANCOUVER,WA 98660 required before the footing 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,996.80 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 oug AR 95 - 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 .1987 or 1.800. 32.2344. Issued By j . Permittee Signature: C Qr' c 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 Application FOR OFFICE USE O\/L1 City Of Tigard Received 13125 S W Hall Blvd.,Tigard,OR ' x`i� Date/By: a Up 1 Permit No.: FtSTo'o l/_6b^ l0 ' Phone: 503.718.2439 Fax: 503.59..1'' ,, 1� Plan Review Io P-/ i Date/By: Other Permit: TI CARD Inspection Line: 503.639.4175 Internet: www.tigard-or.gov Date Ready/By: Juris: H See Page 2 for AUG 2 2 2016 Notified/Method: Supplemental Information t I 4 taH # ° roly Rgt xA �> €r cr 4* IN constructioni v 1r�1�( Mechanical pemlit fees*are based on the value of the work 0 Addition/alteration/replacemen performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. ar�i - _ ._. _"_�> > �'.I+�GORy OE OIJR ICtLON Value $ .- _, AESIDIIVL.EQ�IIIP1VID�i'li1S,Wji�.MStii,Sr':' ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessorybuilding " ❑Multi-family For special information use checklist 0 Master builder ❑Other: Description I Qty. I Ea. I Total r : O11i Sn Th.1F, LItf&TION Al4A-LOCATIOIY Heating/cooling: Job site address:i e:(( Gi ��.f 1 A Air conditioning 46.75 ' � Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Heat pump 1 61.06 61.06 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 I Lot no.: , Other. 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 T -:� ClPT30TI QF WORK Gas fireplace/insert ... t... _�._ ,.,,_ �_: 33.39 Flue vent for water heater or gas Change 2"d 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 t i g UPERCit 23.32 '�5, `' r .�.._..:_ � Other: _...,_. -...—.__ ..-} EIVANI` 23.32 .-_. _.._ .:__.:._ E__. _. ..- ---..__..--_...,..F: ._..:_.::-_�-:-.-- Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:109 East 13th Street equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, Phone (360)695 7700 Fax ( ) toilet compartments,utility rooms) 23.32 ;; W ":_ ..... 1 -+r R11�1�4 I' aF e� Othercraw p ce fans 2332 is a 23 32 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 City/State/ZIP:Vancouver,WA 98660 Wall/suspended/unithxcter Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace E-mail:An ela.Gra'ewsld Range • g ) @polygonhomes corn -" Barbecue . abR :, Clothes dryer(gas) a.._ -,-„iso .,-._. �' ; ��: Business name:Apex Air LLC Other: Address:18004 NE 72"'Ave ¢-""� """•"�*� -.r-- - <fU-.' ,°" x. -t . ..fit`. Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 I Fax-(360)326-1769 Plan review(25%of permit fee) 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 signature: -. * Fee methodology set by Tri-County Building Industry Service Board Print name: ��+ifrO JI I Date:8/22/16 I I:\BuildingwemvtsllvsEC PennitApp 0401 3. oc 440-4617T(11/02/COM/WEB) N CITY OF TIGARD MASTER PERMIT 1111111 COMMUNITY DEVELOPMENT Permit#: MST2016-00210 Date Issued: 06/02/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB05200 Jurisdiction: Tigard Site address: 15189 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 50 Project: Polygon at Bull Mountain, Lot 50 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1254 sf Basement: 735 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 3644 sf Value: $441,155.01 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvaes Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=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 3644 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 A Geotechnical report is required before the footing PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,883.41 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2`32.1 //"1987�orr 1.800.332.2344. / Issued By: Permittee Signature: ©/V ,4 I.CAIN 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. Z_ G i �o Building Permit Application RECEIVED Residential FOR OFFI('L ISE O\I,l City of Tigard Receivedl DateBy` � /"�p #(.612-64-- Permit N/Jj7 o/6 042/0 0 M 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960MAY 0 2016 DPlaatneBReyvi : l) L HT1 Other PermS���/4�/7 I I.,:\I;I) Inspection Line: 503.639.4175 CITY OF TIGA R D Date Ready/By- ,/ _ / Juris: I ® See Page 2 for Internet: www.tigard-or.gov Notified/Method.(r7 / Supplemental Information BUILDING DIVISION $a_ 4--,VG-6g" TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING. N ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONS1RUCTION work indicated o this,application. ® I-and 2-family dwelling 0 Commercial/industrial Valuation: v3440a 4 4 )r 1 aszf' ❑Accessory building 0 Multi-family Number of bedrooms: 4 +l J 0 Master builder 0 Other: Number of bathrooms .3 Total number of floors: 4 ' a 8 JOB SITE INFORMATION AND LOCATION 3 Job site address: 15 IN SW 15i-1441 A Ye. New dwelling area: 3643 � square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 464 square feet Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: 167 square feet I CSTS'''' Cross street/directions to job site: Deck area: 320 square feet 0,L"'4- • Other structure area: square feet-73s' REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Polygon at Bull Mountain Lot no.: Sb Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Plan 5B-DL Valuation: $ Existing building area: square feet New building area: square feet e PROPERTY OWNER 0 TENANT Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 East 13th Street Occupancy groups: City/State/ZIP:Vancouver WA 98660 Existing: Phone:(360)695-7700 Fax:( ) New: El APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH,LLC (Please refer tofee schedule) Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) E-mail:Angela.Grajewski@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:204238 ` zi Total fee due upon application: $201.60 Authorized signature: ` � This permit application expires if a permit is not obtained VVV��_ � within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:5/2/16 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . Mechanical Permit ApplicationR ECEiVE RateB16y �J/ �1� �D City of Tigard Received Permit No. 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 1 d plan Review 111 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: \It n Inspection Line: 503.639.4175 !/ 1 RD Date Ready/By: lnt;5. H See Page 2 for Internet: www.tigard-or.gov ��Y ! � l�➢`�I`ll Notified/Method: Supplemental Information BUILDING DIVISICN - TYPE`OF WORK • COMMERCIAL FEE* SCHEDULE —USE CHECKLIST• Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB• 'SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 151 Sq 5 �T r 15 3 Ave_ Furnace 100,000 BTU(ducts/vents) S 46.75 _ City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 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.: 5U Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK • Gas fireplace/insert 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 fEl PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation: 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/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 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 BarbecueI CONTRACTOR` Clothes dryer(gas) Business name:Apex Air LLC Other: MECHANICAL PERMIT FEES* Address:18004 NE 72nd Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: / A r&j e_w SkJ Date: 5 3 1 t(o :\B Iuilding\Permits\MEC_PennitApp_040113. c 440-46 7T(11/0I/COM/WEB) Electrical Ci tyl f Permit er�p1icatioflEC lV xRetchedFOR• OFI'JCE USE ONLY �» r Tig Date/ft , Permit S 57 #/, 0/‘,2 0 7 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718 2434 Fax 503.598.19 AY 10 2016 nam/B : Related Penni(a: Inspection Line: 503.639.4175 ReadyDatdBy: Jurlc H see Paget for 1-1CiAR ,, Internet: www.tigard-oGgoY ,t. , g Notitied/Method: Supplemental Information • i r% ~ 1�1 . . � �� v ®New eotstiidion ❑Additixl .s ■4, ;� a F �+ � IPlease check all that apply(submit seta of vrlitans checked): ❑Demolition 0 Other. - 0 Service or feeder 400 amps or more 0 Beading over three stories. where the available fault current ❑Marinas and boatyards. + '` •} ;1„.-= H,::r%; ?.:•.ti cs:r,.;_ -:,.i exceeds 10 000 : ' s's,,',:g use .sxx,= .... 0 dOF'^ l i , _ 1,:egZiy.:a r ,' sat 150 volts or ::�#w+!r�9�J�'....'.�,''+�. ,���'Y...�'... �:�.�!•'r•-z�.:.:.,:�.o<.•. ,:,�r:� amps ❑Fioatingbwldiags. ►�/ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building leas t°ground or exceeds 14,000 0 Commercial-use agricultural 0 ❑Master builder amps for all other installations. buildings.Multi-family ❑Other: ❑Fire immix ❑Installation of 150 KVA or ..`''. :., , H#;.0.',,-: 1..iJNFQRM . ND;LQ Tfp1!I. . . ❑Addition f system. larger separately derived El ofnaw motor load of system. Job#: I Job site address: 15 I$i SO 15(4 it 'we.• 100HP or more. ❑'•A',E-,"1-2-,"1-3”, City/StatealP:Tigard,OR 97224 • ❑Six or more residential units. may. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt#: 1 Project name:Polygon at Bull Mountain 0 Hazardous locations. 0 Supply voltage for more than - 0 Service or feeder 600 amps or morn 600 volts nominal. Cross street/directions to job site: :. ; _ . . � . , sen ;•: - - a° "�__ • Description < I Qty. I Ead 1 Total I ' New residential single-or multi-family dwelling unit. Subdivision:Polygon at Bull Mountain , Lot#: 5 0 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less j 16834 4 yi�. Fs.add'1500 sq.ft.or portion 6- 33.92 1 ,..!"l tit�, ;dl,trn.,?_'` Da? _i1OI!1.QF`a.. ORtC`_: c E;gt,, i3''�`z :�:-1 .. -fe•, n��t t si•,+;. .. _.. _. ,, �':.''� , ., �. .... . .....•.�; .. . ...... . -,. Limited energy,residential (with above sq.ft.) I 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ': -'ice ... jp ^?': .. Renewable Energy ❑ See Page 2 :!,--,. ;,._ . .. `<.� ., ... >. . ; ,t a r,:.:, .._, Services or feeders installation,alteration,and/or relocation Name:Polygon WLH,LLC 200 amps or less 100.70 2 Address:109 East 13th Street 201 amps to 400 amps . 133.56 2 401 amps to 600 amps 20034 2 City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 1 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders Installation,alteration,and/or Email: . relocation • Owner installation:This installation is being made on property that I own which is not 200 saps or loss 5936 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 • p:ry ;••,,x n:•:re: s; -,.,-,v;.: ;•• c•: : -.;4�,_i} Branch clrcnits—new,alteration,or extension,per panel l?,'13,7 1.41.:sw 3S. ?... , .:i]:�:,Sa-c_•.Y _._...� .• o.. .,.,: eS:.^,,.,:: `�' '� A.Fca for trench circuits with Business name:Polygon WLE,LLC abovbranch e si circuit feeder fee, 7.42 z Contact name:Angela Grajewski B.Fee for branch circuits without ceAddress;109 East 13th Street branch 8Oryc °f fucircuistt fee,fust56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 - •'. 1 Fax::(360)693-4442 ' • Each manufactured or modular 67.84 • 2 Email:Angela.Grajewski(4)polygonbomes.com dwelling,t onservly and/or feeder �!. y, Reconnect only 67.84 2 . .�: iY:i!£f� ':k't�3:•... ... ....,:.. ....���§•_t ._...AO;:, .�3 -f:': •-;Yt=, Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 SAddress:6101'NE St Johns Rd • panel,circuit(s)eon or extension. 0 See Page 2 2 pend,alteration,or egttetisitm. City/State/ZdP:Vancouver WA 98661 Each additional Inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)320-1657 I Fax:( ) Investigation(I hrmit) 90.03/hr Email:bdaniels®gweusa.com Industrial plant{1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lic.: 4496S • cal hated 90.00/hr Suprv.Electrician signature,required: — - •. r .:+ ei. ?f:c.,i= Subtotal: Print name: Joan P Albert Date: -3-\(p 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized si /, • lit TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels." Dates.3-4, after It has been accepted as complete. * Number of inspections allowed per permit 1:113mldingtPermiaELC-PermitApp ELR BRtidoo Rev 06/17/2015 4404615T(e1JOS/COM/WEB Plumbing Permit Application �+ Building Fixtures RECEIVE IIIIEEIIIEIMIIIIIIIIIIMIIII City of Tigard Received Permit ll`'/S 73.20/‘ .--aQ � Date/By: 114 1. 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 1 0 2016 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date1By: Other Permit No.: Inspection Line: 503.639.4175 tt, ,IT(/f p g t il Date Ready!By: June El See Page 2 for " 1.1 Internet: www.tigard-or.govf,ev i L !3 j9q��iGiy}�i Notified Mahod: Rey Supplemental Information 1. iii y-$ek t 1 2} E, :il#t4 O 7Cx• 4{4 � - T FGi'i' D0 r*. ... Demolition For specialinformation use checklist ®New constructionDescription I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) EGoRY :itik ilii 19 y'' SFR(I)bath 312.70 `'.:...: . .... AT ..,:,�., .,.,... SFR(2)bath 437.78 CO 1-and 2-family dwelling 0 Commercial/industrialSFR(3)bath I 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other Fire sprinkler( sq.ft.) Page 2 a s,r +t' ac t r{4 a --,.. Site utilities: ,Pc. t . s.,+1�$'S...„,_�/}i•�r `1,y`_lu+� '.,.�1F�„,'- ,,,' r�.f ' 5 I S`"1 v W 15 y 4 r five, Catch basin or area drain 18.76 Job site address: Drywvell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldgiapt.no.: Project name:Polygon at Bull Mountain Manufactured home utilities _ 50.03 Cross street/directions to job site: Manholes 18.76 _ Ram drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 - Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Polygon at Bull Mountain Lot no.: D Fixture or item: Backflow preventer I 31.27 Tax map/parcel no.: ' S -Y •4M i •y/ R .4 iero }r+,. LK •�• �'•',, A ' Back�Y•ater valve l2.-1 .,r `}'.24-!:: -.7 te r.t .,,,,..:-$,..' "k:..;i�,C,.,0,1c,..+�w.�' -.��aY�4o,.z_ ,::;+ Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 - Ejectors/sump 25.02 ,,,,,,,..,::: ,...a,,,/".., j 4 x r s }� `Fr -wWeTW � r 11kKTT . r1414 Expansion tan: 12.51 Fixture/sewer cap 25.02 Name:Polygon Wl.11,LLC Floor drain/floor sink/hub 25.02 Address:109 East 13`k Street Garbage disposal _ 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone (360)695-7700 Fax ( ) Ice maker 12.51 -..n...., 25.02 ck �nn � . x4 wlit-biPAG ` iiiwi `� Interceptor/grease trap M"ikCrjrru,,.�, . Y.. wr.«G t�� :4,.* �rri .,s f€tAS�r K:.1. g1 Medical gas(value:$ ) Page 2 Business name:Polygon WLH,LLC Primer 12.51 Contact name:Angela Ct ajewslti Roof drain(commercial) _ 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:Angela Grajewskt(apolygonhomes tom i SIa � 0x4 ~t i F�ti VZ6ktt" t tsv. hf20.1tSfl' water closet 25.02 „,-;o ,, 'Y4 ..r, 5 t ' , g n_ 4c, r . ,i i� .: Water heater 37.52 Business name:BDL Plumbing LLc Water piping/DWV 56.29 , Address:PO Box 85 Other: 25.02 Subtotal City/State/ZIP:Corbett OR 97019 Minimum permit fee: 572.50 Phone:(503)351-3903 Fax:( ) Plan review (25%of permit fee) CCB Lic.:180345 Plumbing Lic.no.:PB1582 State surcharge(12%of permit fee) Authorized signature: I'„ _ i /� TOTAL PERMIT FEE Print name:Brandon Lanter r!er Date: 513 1 IC, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodolo)set by Tri-County Building Industry Service Board. I:\Building+Permits\PLMt-PermilAppdoe IC/01,09 440.4616T110i0:;COMIWEB) City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT 111111 T 1 G n 11 n Building Permit Review — Residential Building Permit #: /1757—ale/6 -- £10c7/0 Site Address: ( S I 9q S W (SI1 t-1 0'v-e . Project Name: Polj 5 o n Cn+ Boil Po ou-oa- ,.v Lot #: S'0 (New dwelling= subdivision name;.Addition or,Aiteration=last name of owner) Planning Review Proposal: N,eflv s F R 7 Verify site address/suite#exists and active in permit system. VRiver Terrace Neighborhood: ❑ No C 'es, See River Terrace Review Addendum Attached Site Plan Elements: Three (3)copies of site plan - -Existing 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 /Utility locations(required for new,may apply for additions) /Site address,project or subdivision name and lot number -4ecation of wells/septic systems /applicant information (name and phone number) grErosion control(including drainage-way protection,silt fence SLot dimensions and building setback dimensions design,location of catch basin,etc.) ratirea,building coverage area,percentage of coverage and Street names impervious area (applicable if R-7,R-12,R-25&R-40) ,1Street tree size,type and location Property corner elevations (2 foot contour lines if more than riDEacisting trees to be retained with drip line,and tree 4 foot differential) protection measures gClean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No W Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified E No Applied For: ❑ Yes ❑ No,stop intake i Land Use Case#: EU IS 2,0 l S — 0 0(DO 7--- Zoning: R - 1--1 . - Zr Setbacks: Front ZO Rear 1 S Side S' Street Side I S Garage 2,0 -B-Landscape Requirement: Lot Coverage Maximum: °Vo 0 Building Height: Maximum Height 3 0 Actual Height V0 7 Visual Clearance 7 Easements Sensitive Lands: ❑ Yes E No Type AUrban Forestry Plan AConditions "Met"prior to issuance of building permit Notes: CO 11 r1.0 t 1 SS (re V rHi 1 eW CO/)S1 f7 o OJ a/ .., Approved By Planning: MO ✓) 1-6.c...\_ /.7/7011-61-44--- Date: S-1/0 i i c Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw_R ES_012116.docx d N. Building Permit Submittal Original Submittal Date: s10//6 Site Plans: # ' Building Plans: # _3 Building Permit#: KrEnter building permit# above. Workflow Routing: EPlanning L-Engineering ermit Coordinator El-Building Workflow Sign-off: [ '"Sign-off for Planning(include notes from planning review) Route Application Documents: [c�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: -.00•-'i / - Date: �,74PAE, Engineering Review 1/Slope at building pad: 6-8%. V Conditions "Met"prior to issuance of building permit CI' Easements (encroachments) per engineering conditions of approval and plat L4- Vater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes lieNo Assess Water Quantity Fee in-lieu: ❑ Yes l(No LIDA Facility on lot: ❑ Yes ®" No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: al9PIDate: ,s7...67/6, Revisions (after Building Submittal only) / Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: E Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: 7 SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: 710" Date: /'2 3v/,)‘ I: 16.docx p.. .e' City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T l G R n River Terrace Building Permit Review Addendum Building Permit #: /X57;2-0/6 — 00t%,// 0 Site Address: 15j1 e9 ( 5 4 a et . Project Name: Po y,o r c+ Bull 1ul O U(1 t- lv-) Lot #: (j (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? ❑ Yes "No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage. An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft. wide Gabled dormer ❑ ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 3. Entrances:At least one entrance must meet both of the following standards: ❑ Parallel to street,angle no more than 45° from street, ❑ Max. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch: El Yes ❑ No If yes, all the following apply: El 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft. max. roof above floor of porch ❑ 5 ft. depth min. ❑ 30%min. porch roof coverage 4. Detailed Design: All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft. wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide ❑ Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft. El Roof shingles either tile or wood ❑ Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40%of street facade ❑ Window trim min. 2 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 El Balcony min. 5 ft. wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Al 0 vi vu. 6l IP ou—evt Date: g/la b4, isBuilding\Forms,BIdgPemitR,, RES RT 03I 416 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 111 Transmittal Letter C t 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DATE RE DEPT: BUILDING DIVISION 4r , NOG 2220$ g J r—'1 FROM: Angela Grajewski CITY O Bk,i1LDING T,11 COMPANY: Polygon Northwest PHONE: 971-212-2144 RE: S1S 1 JVJ. iSt f,(e 1,01- MST201(9 -)7.10 (Site Address) (Permit Number) Polygon at Bull Mountain (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 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): Additional deck details requested by inspector REMARKS: Routed to Permit Technician: Date: - - 6 Initials: Fees Due: :4 Yes • No Fee Descri•tion: Amount Due: Special Instructions: Re.rint Permit .er PE : ❑ Yes VI No ❑Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doe 05/25/2012 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15189 SW 154TH AVE, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: FA I L Comments: No power in entry. Dining plug not gfci protected. Not ready for inspection at this time. Violation Summary: Tel: 503.718.2439 Inspection Date: December 21, 2016 at 10:16:58 AM Record ID: MST2016-00210 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15189 SW 154TH AVE, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 399 Plumbing final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: December 22, 2016 at 12:58:46 PM Record ID: MST2016-00210 Inspector: David Young Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15189 SW 154TH AVE, 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. Insulation certification checked. C of O left on site with contractor. Violation Summary: Tel: 503.718.2439 Inspection Date: December 23, 2016 at 11:54:21 AM Record ID: MST2016-00210 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15189 SW 154TH AVE, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: December 22, 2016 at 12:43:43 PM Record ID: MST2016-00210 Inspector: David Young Outlet in master missing faceplate has no power. Dryer outlet missing faceplate. Provide documentation for cans over shower and tub rated for wet locations. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15189 SW 154TH AVE, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Corrections complete. Trim at lights over shower and tub replaced. Violation Summary: Tel: 503.718.2439 Inspection Date: December 23, 2016 at 11:47:18 AM Record ID: MST2016-00210 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15189 SW 154TH AVE, 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: December 22, 2016 at 12:46:37 PM Record ID: MST2016-00210 Inspector: David Young Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15189 SW 154TH AVE, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Corrections complete. Trim at lights over shower and tub replaced. Violation Summary: Tel: 503.718.2439 Inspection Date: December 23, 2016 at 11:47:18 AM Record ID: MST2016-00210 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17109 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: December 23, 2016 at 12:36:40 PM Record ID: MST2016-00096 Inspector: David Young Add AC to permit. AC inspection complete, final to be approved after permit for AC is paid. Violation Summary: Inspector Contractor