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Permit (32) k i CITY OF TIGARD f .0;,, MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00024 TiG RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/15/2016 Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15410 SW SEINE CT Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 51 Project Description: New SF. 5/9/2017: REPRINT permit to add 77 sf and stairs to existing deck. 5/18/2017: REPRINT to correct sf of decks: upper deck= 160 sf, lower deck=400 sf BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1575 sf Basement: 940 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4351 sf Value: $535,882.82 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4351 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 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: $37,262.11 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 throu•- • R 95 -,.1-r''90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. I An .�G Issued By: ice" Permittee Signature: OA/ r/��G/ j %!D 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. .,11 .,. ,i l CITY OF TIGARD 'irag= MASTER PERMIT :1114 :. COMMUNITY DEVELOPMENT Permit#: MST2016-00024 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/15/2016 Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15410 SW SEINE CT Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 51 Project Description: New SF. 5/9/2017: REPRINT permit to add 77 sf and stairs to existing deck. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1575 sf Basement: 940 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4351 sf Value: $528,673.46 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvpes 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 add9 500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4351 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 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: $37,110.51 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through }R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �>, � '711 — Permittee Signature: GVt1 „ /L /6,,iL - '!G'/ ), 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. J City of Tigard s COMMUNITY DEVELOPMENT DEPARTMENT 411 T c n K n Building Permit Review — Residential Building Permit #: /�S;gti/(,,,(_X)).-4 a- Site Address: /5/ii1 � (,j Se'int jQ' Project Name: /�oK,fir, w*- A1/ /lf yLot #: Sl (New dRing=subdivision name;Addition or Alteration=last name of owner) Planning Review -?f`s� f?�f� E""L%�_S€.1 Proposal: AAA/ Sr6 ""del.4G � }, <r�3 �i&f ,IW G� `, '3 Cif - -- t V.erify site address/suite#exists and active in permits m. N pp ,- .- �c f._ a 'River Terrace Neighborhood: ❑ No `L(' Yes,See River 7"errace RetrieivAddendum Attached A Site ' .n Elements: LI! •e(3)copies of site plan X7 g structures on site E ite plan trust]fie on 8-1/2"x 11"or 11 x 17"paper footprint of new structure(including decks)with finished ❑9s vn to scale(standard architect or engineer scale) floo evations orth arrow tility locations(required for new,may apply for additions) ❑Sit address,projectErA or subdivision name and u bettion of wells/septic systems •cant information(name and phone number) L�fErosion control(including drainage-way protection,silt fence L�t1 o�,dtmensions and building setback dimensions de • �,location of catch basin,etc.) of area,building coverage area,percentage of coverage and SL'7 tr ames ri2 ervious area(applicable if R-7,R-12,R-25&R-40) tree#tree size,type and location roperty corner elevations(2 foot contour lines if more than $existing trees to be retained with drip line,and tree 4 foot differential) ,protection measures ❑ Clean Water Services—Service Provider Letter t platted prior to 9/10/1995): R ed: ❑ Yes,applicant was notified No Received: ❑ Yes 0 No ublic Facilities Improvement(PFI)Permit: �_� Required: ❑ yes,applicant was notified 0 No Applied For: 0 No,stop intake sand Use Case#: Sue oil?/Sr Dr9�o.�. C�`�jring: f r 41.S B Setbacks: Front aQ Rear �j Side �- 1r Street Side Garage , � [_s��'ndscape Requirement: L! % / E /L Coverage Maximum: ��� ii R'Building Height: Maximum Height Actual Height ,L(,S C ual Clearance f 'Easements ❑ Sensitive Lands: 0 Yes �0 Type • Urban Forestry Plan ❑ Conditi.- y e t Building Permit Submittal Original Submittal Date: a/j A/ Site Plans: # .3 Building Plans: # Building Permit#: nter building permit ove. Workflow Routing: ( ,,tea iming ngineering ertnit Coordinator tit ding Workflow Sign-off: t��, �5ign--off for Planning(include notes from planning review) Route Application Documents: Ek<lgineering: (1) copy of permit application,(1) site plan,(1)building plan and ori anal plan review routing form. wilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 4..-- � r-c--- Date: t;he)/f6 Engineering Review _ Slope at building pad: �`� _ + i . _.:B.f.0 Conditions"Met"prior to issuance of building pe -t ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approv-,• .y Engineering: Date: , Notes: . w •l �� -r. _ + Approved by Engineering: /44 0 Date: _ +, Revisions(after Building Submittal only) Revi r Date Revision 1: X Approved 0 Not Approved Jv4 p5-...50.../7 Revision 2: 0 Approved 0 Not Approved . Revision 3: ❑ Approved 0 Not Approved Permit Coordinator Review El Conditions"Met"prior to issuance of building permit Approved,NOT Released: gli---Date: •2-/ 2 ' Notes: .0,/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 0 N/A CC Tigard Trans SDC: es 0 N/A Parks SDC: //Yes 0 N/A to Issue Permit pproved by Permit Coordinator: ' ', D � te:1 31:1e°' I:\Building\Forms\B1dgPermitRvw_RES_012116.docx / / FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT : Transmittal ansmittal Letter 1 c,n R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED DEPT: BUILDING DIVISION MAY 8 2017 FROM: �� h9 2 i j — CITY OF TIGARD COMPANY: ./1 . 41.," BUILDING DIVISION PHONE: 3/,- BY�� RE: /33 '/ , S� ✓t/$ (2o/6�vv2(Site Ad (Permit Num er) Asir /n OW_Project or subdivision name an of number ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: 3y.0"*rCross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. 3 Beam calculations. Engineer's calculations. Other(explain): REMARKS: :, i — �P v, .e �C FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: D Yes D No Fee Description: Amount Due: • Special Instructions: Reprint Permit(per PE): Yes D No D Done Applicant Notified: ate: Initials: I:\Building\Forms\TransmittalLetter-Revisions 061316.doc 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 _ II 1111 Transmittal s ttal Letter 1 :c n it n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE NEFaivED DEPT: BUILDING DIVISION MAY 8 2017 FROM: tc 4", I, ,-,-- CITY OF TIGARD COMPANY: / ' BUILDING DIVISION PHONE: 3/,- -,, By:ci RE: /5 /a .J _ )s�_ e�-- 644$ --,-90/‘-e2247. -5 (Site Ad ess) (Permit Number) o/ r ,j .5-/ 'roject Mir or su ivision name an. of num.er ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. Revisions: 3y-Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. 3 Beam calculations. Engineer's calculations. Other(explain): 0 REMARKS: _� o �? - -7 ` , rP i� /C FOR OFFICE USE ONLY Routed to Permit Technician: Date: - 4 - ry Initials: Fees Duel: J Yes ❑No Fee Description: Amount Due: r p1 ch re,/, w $ qo $ . $ $ Special Instructions: Reprint Permit(per PE): Yes ❑No [J Done Applicant Notified: ate: Initials: I:\Building\Forms\TransmittalLetter-Revisions 061316.doc 111 CITY OF TIGARD MASTER PERMIT g ' COMMUNITY DEVELOPMENT Permit#: MST2016-00024 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/15/2016 Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15410 SW SEINE CT Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 51 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1575 sf Basement: 940 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4351 sf Value: $526,954.82 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: 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 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 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: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4351 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 A geotechnical report is required before the footing PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $36,763.36 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 •' 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. ,-41/1i ! £ /V �GiP9i�n.j 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. f Building Permit Application a f s [ � e� FOR OFFICE L SE O\L\ Received City of Tigard �� Datersy: 'i(0 6 Permit N°.:M 13125 SW Hall Blvd.,Tigard,OR 97223P1anReview� J `sT / �- 11 . ' Phone: 503.718.2439 Fax: 503.598.196 3 14-C\`'\'° DateBy: 1 fd/I OtherPermitak p ).yt //_ I t G; t:t i Inspection Line: 503.639.4175 ���� �p ReadyBy: /, 4, 7wis: Hsi:P--Z:1 Inr Y% httemet: www.tigard-or.gov ° 1‘.%‘S ed/Meth°d: - j‘-jt. � Supplemental Information u � ,�� � Vit::: ��9g,� � � . a �.� te« , `a- xx ---ur.' °� ski ®New construction Demolition Permit fees*are based on the value of the work performed ❑ Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 0 Addition/alteration/replacement 0 Other:« � -‘,6;,:' � ' work indicated on this application. '� ,.,z, a ‘ zL� r,�;2 ' .'' - .. Valuation: f, $ ® 1-and 2-family dwelling ❑Commercial/industrial i jS 5 tiJ o Accessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder 0 Other; Number of bathrooms: 24 ` • E 2- �,te fi ��a,a P . :, '44 - x�F � Total number of floors: 4 -, Job site address: �� 1 +N- . A,J 1 - New dwelling area: L) 35 square feetS p 36 City/State/ZIP:Tigard,OR 97224 151/0 Garage/carport area: 1square feet Suite/bldgJapt.no.: I Project name: Po`Vf J 3-on mak, 6�;'i1 n Covered porch area: t 5() square feet! Cross street/directions to job site: Deck area: 1 U0 square feet IS',- Other structure area: f, square feet q 4O may, Subdivision:Polygon at Bull Mountain I Lot no.: 5 Permit fees*are based on the`Xalue of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all ' equipment,materials,labor,ove ead,and the profit for the � � . work indicated on this application. nein i f l c�� (�' 9Y1��� Pc Valuation: $ Existing building area: square feet New building area: ) square feet `., .: � � Number of stories: ...�e�.x�.c .e,.:..,:N..� v ,... . .�t 4.s,„ ��€ is,ru+� r��. Name:Polygon WLH,LLC Type of construction: Address:109 E 13`s Street Occupancy groups: City/State/ZIP:Vancouver,CA 98660 Existing: Phone:(360)695.7700 Fax:(360)693.4442 New: , � -: e rte 1 ' - � i .. ..:5 ,, � 3r^`�� a f , � -�,*. � �i r � 7 f':_,;,,•,-; ° b� � �Ar€ ,.,. ....,...,...:�.. ..,a..i:. .,:<.., �-.a��i:.�h�„ `�..,���.w - m�`z - ���. ':� eQ .., �� p � "`�a•�- � �`�€ a " �f.°�`y�n,�� Business name: Pte, l'L n C ,, 1 a i \-e. C2 O rc�� Structural plan review fee(or deposit): v, Contact name: , FLS plan review fee(if applicable): Address: li 0(.1 134 )- City/State/Z1P: I(u10 V.or W pt 0\(6�l 11 Total fees due upon application: Phone:6.4)0) v C( , -1-00 I Fax:: to'13) U c -urt/2, Amount received E-mail:maggie.gordon@polygonhomes.com � �� � y Commercial and residential prescriptive installation of �. . .. � �£ - �, roof-top mounted Photovoltaic Solar Panel System. Business name: Po I ' C Submit two(2)sets of roof plan with connection details �� and fire department access,along with the 2010 Oregon Address: k 9"1 i l 3 Solar Installation Specialty Code checklist. City/State/ZIP: V an eouoe w q Sto(o 0 Permit Fee(includes plan review $180.00 Phone:OIL) b a 5''41-00 Fax:( D) t0Q3 ' L 222 and administrative fees): VCCB State surcharge(12%of permit fee): $21.60 lic.:204238 Total fee due upon application: $201.60 Authorized signature: Opp •! ' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: Date — _1� Service Board iilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l I/02/COM/WEB) Mechanical Permit A 1 r ligation FOR OFFICE USE ONLY ,�� / Received /, City Of Tigard (JEWEL) Re eineg 4' PermitNo.: H‘-,rao4-QQby/ ;1 - w 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Other Permit: AUG 2 2 2016 Juris: H See Page 2 for TI GA R D Inspection Line: 503.639.4175 Date Ready/By: Supplemental Information Internet: www.tigard-or.gov Notified/Method: pp Bull,DI ...meotfaokanto3 so T'Y�r of wvRx 1 X41 c931 n o oxer. ! cr A Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑�AOD7ther: mechanical materials,equipment, labor,overhead,and profit Value: fit Value:$ , Ayidi:'Ew,i� IrV�(Tjtiizx U fP, ', � � ..,._..__-� ,.,_ __ _._., _ ... _. .._ � gjp & E 3PMATSS � ,- .; ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist 0 Multi-family ❑Master builder 0 Other Description Qty. Ea. Total SOB SSE IlSTFbR1tiiATI...... A» L1' (A n Heating/cooling: "-= Air conditioning 46.75 Job site address:I Gj1l 10 5�1 1 5.g,t fl.� est Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,_lOR 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 Other. 23.32 Subdivision:Polygon at Bull Mountain Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 -, ESCR ,i)l P 1?'003 oIns r water heater or gas 33.39 Gas fireplac Flue ventf Change 2"furance for basement to Heat Pump fireplace 2.332 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 * F+ {- ventilation: 23.32 Other• 1'R1' '-- -,'-',-,'-'="-: Environmental exhaust and Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:109 East 13th Street Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, City/State/ZIP:Vancouver,WA 98660 toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 i ma ' 4 :�0,1 `Fr t.r- , i jriatso�id.- 4: OOther:. 2332 . ,. ... xY . l'* , Fuel piping: Business name:Polygon WLH,LLC 514.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Gas heat pump Address:109 East 13th Street Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Fax::(360)693-4442 Fireplace Phone:(360)695-7700 Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue . LL- 3 � .7-kr. ar F x � 7 , , � t,.. �^-. ti-Mw_r.... X �t a- 94-M.'mss s Clothes ryer(gs) Other. Business name:Apex Air LLC Address:18004 NE 72nd Ave Subtotal Minimum permit fee($90.00) City/State/ZIP:Vancouver,WA 98686 Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) . TOTAL PERMIT FEE CCB lie.:203034 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: . �Ld - Date:8/22/16 G , t ovcorwvwEs I:\Building\Permits\MEC PermitApp_04016. oc 440-4617T(11/ ) PArctriCldA ret-mit 4pplicttttpt! mii()111( 1 1 ,1 0..1.‘ 11111 ' City of Tigard Received Din613v Permit a M 5120 ,- ,• 0 13125 SW Hall Blvd,Tigard,OR 97223 Mau Review Phone 503 718 2439 Fax 503.598,1960 Date/B 122=111111111111. Inspection Line' 503.639,4175 Ready Dscay Iii1111111EENEN Int www.ngard-or go v Notifie&Skabod IC4 New construction IIII Addition/alteration/replacement 11".„,. secheck all 010 apply(submit 2 ems of. .. winces checked) Demolition 0 Other: U Savior or feeder 400 amps or more CI Hui-,,, ova Om stones where the available fault current 0 Ntannas and boatya*i .:,k2.1" `. 7.-. ,.. '.'. ,,7,,Fi.,, :.:7. .NRIENSWZRZ:k exceeds 10000 amps at 150 volts or 0 Fkwane ba' C4 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Comm:all-ue agricultural amps for all other innielarions buildings. 0 Multi-anlily 0 Master builder 0 Other: Ohre pump 0 Installation of 150 KVA or ....2;:: ;:,':' :: .07:, =3:7474MFM-MiZAREO r-10 Emergency system larger separately derived 30b n. Job site address: I 5LII b SW St int, 04- L'Irtrerottl,e,neeew motor load of 0!Yrks'172E-.1-2-,-1-3-, City/State/ZIP:Tigard,OR 97224 1:1 Six or more residential units occupancy CI Health-cam facilities 0 Reatutienal vehicle parks Suitelbldgdapt,4: Project name:Polygon atT664,1444114,fit,'n (3 HaZard°45 h)C8trnaL 0 SUPtilY VOltage fCr MfIrC than o Service Of feeder 600 amps or more 600 volts nominal LksrrtpdeaCross street/directions to job site: RANZigki7Lit;7::' '17.---`:.'.:11" ;:iintiga.A0:3 (NY. Eath *num New residential single-or multi-family dwelling unit. Subdivision:Polygon at 1ilitstsR4046vou4oe PAM) I Lot ti: r5 I Includes aftaehed garne- t (4 ti 1,000 sq.ft or less 168,54 4 Tax map/parcel 4: 0/0 co nirci,c, # c.haJt\o6L... Limited energy,residential 75,00 2 (with above sq.ft) Limited energy,multi-family 7500 2 ;27,T residential(with above sq.ft) Name:AllAk.,...........111.ffe,LAL-£ Renewable Energy 0 See Page 2 Address:7600.4Dudale4fee-ResehRoad. _____ Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 City/State/ZIP:SeettlidatS1W P1/4°- ! - ---- . - I Fax:( ) 201 imps to 400 amps 133.56 2 Phon • - *mail: 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: • .: .-.,:.r.,-....-ft7'•.-„L„:2. ' ,;,;:'•''':'7";..nr..4,,„:•:.la 7.1%,./,,,::::7,..1:,77.1:7":,-,.'20.?"-..47-74-:771,„.b,wliv Temporary services or feeders installation,alteration,and/or Business name:WORiawriarrniQuintess4swis p.e.)1ctir) (A) 1.,,t- /AL, 200 amps or less 59.36 I Contact name:Angela Grajewski 201 amps to 400 amps 125.08 2 Address: 109 East 13th Street 401 amps to 599 anms 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 with abose service or feeder fee, 7 42 2 Email:Angela.Grajewski(gpolygonhomes.com each branch circuit B 4: flfr,:;_e,..,..l:Z.,„,;:::I..77 Tr .. ',,'L7.7.1 -..)..fra.7.77;7..:12-f,IY:L .T .t.fi';'. Fseeeritborrafnch cir;euel,tsfi:i:h6la 56 18 2 Business name:slanted*electric branch circuit Each add'l branch circuit 7.42 2 Address:3415 tie 44th Miscellaneous(service or feeder not included) City/State/ZIP:AIM A u...1/ey,,,,ve./1?ii / 2,,,-- /3 Each manufactured or modular 67 84 2 dwelling,service andor feeder Phone:(503)3192192 I Fax:( ) Reconnect only 67,84 2 Email:solarpdx@me.com Pump or irrigation circle 67 84 2 CCB Lic.: 199188 1 Electrical Lic.: c923 1 Suprv.Lic.: y f7/ 5 Sign or outline lighting 67 84 2 Suprv.Electrician signature,required: Signal,ciiitieertatittl(:)ort,riienx?ed-enecip, 0 see Page 2 2 Print name: ic.)) /2,40,9e.."C I Date: ri/Z-Viii panel, additionaltinspection over allowable in any of the above Authorized signature' Additional inspection(I hr min) } 66 25,hr . , Print name: / -1.-,.----.... .----- DateS /Z„..3//,‘ Investigation(1 hr min) 90 00,,his l'aswiwne4Nermsen.C_ ..gan_Ea.r.eoc Rev OW17/2015 440-461sro itescostwEa .a Plumbing Permit Application FOR OFFICE. I_SE O\Ll Building Fixturesel _Received Pe No.: in STao/ _'/`p 4.11r'i' City of Tigard . !! >�tdsY 13125 SW Hall Blvd.,Tigard,OR 97223 6eNof r Plan Review Other Permit No.: IN Phone: 503.718.2439 Fax: 503.598.19 n `��1 �Y Page 2 for Inspection Line: 503.639.4175 C y I tmi Ready/By: Supplemental Information T1 D Internet www hgard-0r goY r { _ ..t1:`,�. ^� -> � '-.�q'`._s-'y p`F:1� �� '.."'.' �2a "-3' . -iL S- E Y(' S':: , 4 4rs-'- '''.--4-"- ,'y AY-s �",' ---'M` rt- ._.m`& ���EEE -., = ., 1-- For speQo/irrfarmoiion use checklist 1; New construction ❑Dem �� Description i Qty. I Es. I Total ❑Addition/alteration/replacement 0 Other' New 1-2-family dwellings(includes 100 ft.for each utility connection) t t - r' z '' -%' SFR(1)bath 312.70 ` iz i.. � C ` res_...._ 437.78 � v. � SFR(2)bath �[1-and 2-family dwelling 0 Commercial/industrialSFR(3)bath I 50032 500t3 /o Accessory building • 0 Multi-family Each additional bathticitchen 25.02 . ❑Master builder /S•'V/0: ❑Oto Page 2 • Catch basin or area drain 18.76 Job site address: 90 'Ri/�. Drywell,leach line,or trench drain 18.76 City/StatcJZIP: T e cd: OR \'(2- 4 ting. = Suite/bldg./apt.no.: I Project name: 'Po\\ ('p �li,\1 _ .. :,Manufactured home utilities 50.03 Manholes 18.76 Cross street/directions to job site: 18.76 Rain drain connector Sanitary sewer(no.linear ft.: Page 2 Storm sewer(no.linear IL: ) Page 2 Water service(no.linear IL: ) Page 2 Subdivision: 1 Lot no.:5 , Fixture or item: Sackflowpreventer i 3127 N‘21- Tax map/parcel no.: Backwater valve 12.51 2 cj ..�, z. z ter' �-,�- /j �.= #' a ri_-�t 5 ` : �NM '_ .rnv,r ia =-i- ----- '-. Clothes washer I 25.02 05,�L+ � )/ /� � Dishwasher 25-02 0 IV.tom� � � OC � bin CP LW b*/i25.02 Deinking fountain Ejectors/sump 25.02 Expansion tank 1251 -� '�� ' ��_�. -_.�-�--->.s� _ .. - 25.02 ti"-,s..��- --`=�` - %�-'= - _. � Fixture/sewer cap Name Q��f f��)lY` `� Floordrain/floorsink/hub 25.02 Address: L ii U i __.:h �3 kik) n f� qGarbage disposal t 25.02 2'S,Crr� City/State/ZIP: n e D\h uz_�{ kN A ; 11 Hosc bib i 25.02 /Fj,l l, Phone: ,r ,Q a O Fart( ) Ice maker i 12.51 j1_,Gj t n � Y SoY-�. - 4F73`- --.-... {`WiR� - - • -t -` Interceptor/grease trap 25.02 y.,_�, €.� _�:-3._ _ • _,-e. Fs a -.,v --- _ ��,.,` lit )vledjcatgas(YaIUe:S ) Page 2 Business narrlG "61) � ,[n vls Primer 12.51 Contact name: »,O/triton Roof drain(commercial) 1231 Address: .Q` +>♦ Sink/basin/lavatory 25.02 City/SrstdZlP: 'f ' cif-1_91649 Solar units(potable water) 62.54 � a 1251 'Z5.02_,- Phone:a3)351 -3963 . I Faaxx:( ) Tub/shouter/shower pan • E-mail: '- rl h ( t.) Urinal Ware closet 25.02 _ _ Water heater ( 37.52 ?)7}. 59, Business name:�� '� ►ii j U_cL Water piping/DWV - 56.29 �� 25.02 Address: [ he t h �-7619 Subtotal City/StlrtdZlP: V 1�- E Minimum petntit fee: 57230 Phone: 3) .':.7qi r —.3903 Fait( ) Plan review (25%of permit fee) CCB Lie.: �3 Plumbing Lie.4451582_ State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized signaM a Date: J This permit application expires ifs permit is not obtained within 186 days I / / /sl after it has been accepted as complete- 1 Print rtartrle: (`-�� l l *fee methodology set by Tri-County Building Industry Service Board. L•IBusdinglPemWAPLMU-PmnitAPP.doe IO/0L09 440-4616T(IUm/COM/WEB) l A Plumbing Permit Application . � l FOR OFFICE USE f3�C.1 Building Fixtures . . . AUG L 2016 Received P t — oee; enti,��s;�,� ��y 13125 City-Or igsli t Date i' t 13125 'W Hall:131y d Tigard OR 97223 Plaii Re�7efu Oilier PL�rJIlEt�O.: Phone 03718 7437 Fax: ,563:598.0)1 :11 TJeterFiu a e Read FS3 Sun r Iiii Cee Page 2 fur Inspection Line: 503.6'32,4,1TJ Zt i :t g ti t . r Y' appTemen#at tnfri€ma#ruii T(G1RD € tntantet fV11'�4 tigard-or gov oafiscU'vtothod , I. i ; FTEE*:�GfiEi31�E ,� � _.,�:_.„ ,,e-,,,....--".: : ,- r > - ”" � ., •`• -°T � �For special infarncaiean ase Checklist . _ ®.Ne11 construction Q I7erriolttton Description Ott } � Qty. 1 Ea Total . Other New i 2[am il}dwellings(inChides 10 for each utility connection Q�ddztzontaltera€zonttx placement 0 SFR(1}.hath - � r 312.70 ...- SFR(2)bath iglaiiiiiiii ®i.,and 2-famtlji diveflin • :SFR(3)bath Crtmmercialindtistrial 500:32. 0 Accessory building. Q Multi-family Each attititional bath kitchen. I Q Ot Fire sprinkler( 111111 .P ya .. • ❑Mesterbutider I1e� �'� �}'• . • ��� �. t 1ivOiii-4 j01�. i.hieXTlUh t t* Site utiilt#es t rJQ SI`[E 3, rR. _ ... Catch basin or area drttiri 187 . Scab site address`. 1 S t 0 5\V- 1��. c . _ Dry li..icach Tine..or treniji drain. 1 7f CitvlState/ZIP..Tigard,€R 97224 Footing drain(no linear tt ; ) ® Page 2: Snitelbidgfapt.rib.: 1Pr --w• ! •--name:Fubg(iii tBullMountairi lanuactired dome ttiliiie5. 500+ .Viztnlziiles 1.8:76 .. •(toss streetldii eGiian5 to job site: Rain drain connector111111 18' 6 • Sammy/sewerIno,linear t1-: ) Pat Z. . _ 'Stonn sewer(no,lineai'.11.:�) s Page2 r. i _ \titer service.(ntz.linear IL, ...) , Page 2 1 Lot no.;j l Fixture or item: Subdivision;Pcttrgfsn.;rt.Btili?lSiaunti iti t Bacl.Aow pseventer 31.27 :� Tax map/parcel no,: .0 ,,. �cr r trk> �� sr.{�r'��,: �' s;c s., I�aGlC1i 3{CI'Val'ti �J�� ,14,4 gip O t)F)YOAi ._ -"',,,•'--i:•.-4-,::•., E Clothes tl-ashere ... . • .6. t- I S 77(:\f6-.• r r—..... Dishwasher . 2102 • s _ Prinking ftzuniaui r E3ectersisump Ex ansion.tank t st ..• � ' , i`mimic/sewer Gap, Na ;ntePfflS.gtin Whit,:LLC Floor drainitloor sint*jhub I 25:02 1 Address:109.East 136 Street ` Garbage disposal 25,02 • City/Stain/ZIP:Yauctiuver, ;9856U- Bose bib 7OZ g Fx ( Ice maker Phtiue.(3TiQ)595 77t3E} �2 51 1 k filter eptor/gra ase trap 02 'nom d !(r'ft)TIt` +�.C RS ,,•.: awe 2 . -`. ,. ..Medical'gas(value:.$ ) P - Bus�tiess name:Pol'gall �'LH,LLC Primer 12.51. -Contact.nape:Angela.Grajewski . . Raaf drain.(Gommercial) 12,51 Address:309 Eos#.13th street _ . •Sinkfbasin�ayatory 25.02 Solar units(potable eater)' 6 5 CitytStatelIP:Yartc©over,4 A 98600 :fdblshol�ershGlver Poi?. 12,51. 11 695-7700 Fax,:'(360)693-4442 22.5 Phone:(360) • Urinal, E-mail Angela crajnw,sktrgpalvgontiames cont _ .W er closet .. .. - ; ,� t U., ' 'OW t ' ',a 4 tt:ater.heater ? .- `� . r�. Sh#-: .- • Busitess name:BDL I lumbtng Md. . 4#ater Pipingill V 56,29 Other.. .2542 Address:P4 Box 85 5nbfotat; • City/State/ZIP.:Corbett.OR 970:79 - ,'viinrmriui.lrermit fee: $72.:59. . Phone (503)351,3903 Fax:(. - ) • • n e pla...re1 t u per itfP emrit fee) CCI Lie 18034 Plumbing Lte no.:P111582 State surcharge(13°%dfpermit feel Authorized signature: This:t pp Y. TOTAL PERMIT FEE yy++�y � to#Eon ex ares t#a permit Is net uL#ainc p s ierfnit.i. Er d�tthin l80 d Print I?ate: 8I's' . after it hasbeen acce #eft as tura lefea sli S i1 name:>l3randon:Lan#er . �Fze methodology Sat h}Tn-Cti7tmt}T3ueldin�Tndustr�7 Service T3katd. 7::13uildiniPsrmiLa4P.LNIt=Pcrnxitpp:dcc 101409 44O,46t 6T(.i o1G21 COMME11) City of Tigard ■ V COMMUNITY DEVELOPMENT DEPARTMENT G n R n Building Permit Review — Residential Building Permit #: Site Address: /5-Y1/0 � 1 (,j Se let Project Name: Pt/ en COL 134 NiVLot #: (New dwkng= subdivision name;Addition or Alteration=last name of owner) �� Planning Review Proposal: IAA/ SFIO -da tIGhra L' Verify site address/suite# exists and active in permit syttm. El River Terrace Neighborhood: E No Ivo � oc ` t� Yes,See Diver Terrace ReviewAddendum Attach-- ct Site n Elements: Ze (3)copies of site plan plan must be on 8-1/2"x 11"or 11 x 17"paper ��1 ng structures on site ❑D n to scale (standard architect or engineer c ale floO 1 v tirint new structure (including decks)with finished arions orth arrow ❑Sit address,project or subdivision name and u bee t ty locations (required for new,may apply for additions) ,'L�'l��cant information(name and phone number) 1 �tron of wells/septic systems &•L'( mensions and building setback dimensions de gn,location(f catch baincluding sin, drainage-way protection,silt fence L Lot area,building coverage area,percentage of coverage and SL7 tr ames etc.) im ervious 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 than t7Existing trees to be retained with drip line,and tree 4 foot differential) protection measures ❑ Clean Water Services—Service Provider.Lette t platted prior to 9/10/1995): Re aired: ❑ Yes,applicant was notified No Received: ua^'�l'ublic Facilities Improvement(PFI) Permit: ❑ Yes ❑ No Required: ❑ Yes,applicant was notified ❑ No Applied For: -��� u Yes ❑ No,stop intake L KLand Use Case#: sue(90/S 0000.x. EV ning: R%S IB Setbacks: Front 00 0�0 Rear /,s Side SI.-Street Side -- Garage „y EV andscape Requirement: j L Coverage Maximum: iri4 % uilding Height: Maximum Height - / tsual ClearanceCV Actual Height �G S Easements E)Sensitive Lands: ❑ Yes �o L� Type Urban Forestry Plan ❑ Conditi•• isd e "prio to issuance of building pe Notes: , 1 I-, (Mai frorr, Approved By Planning: Al l(Dk) .GU ' U -C4'_A-4.. Date: j:3 / i Revisions (after Building Submittal only) Revision 1: ❑ Approved ❑ Not Approved Reviewer Date Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Fonns\B1dgPennitRvw_RES_012116.docx Building Permit Submittal Original Submittal Date: #?ft/ill Site Plans: Building Plans: # Building Permit#: nter building permit ove. ut ding arming ngineering ermit Coordinator Workflow Routing: �, S`'i�gn-s Workflow Sign-off: S'' off for Planning(include notes from planning review) Route Application Documents: IL} ineering: (1) copy of permit application, (1) site plan, (1) building plan and ort anal plan review routing form wilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: - c---� ic-�" Date: al ��j�f'l., By Permit Technician: ;%% -�-'�J=—� Engineering Review Slope at building pad: ��- . - — ❑a Conditions "Met"prior to issuance of building pe t ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No Date: LiNOT Approv• s .y Engineering: Notes: _, �,,._ -, - _ _ . , v��i s ., r .� �.•.r_ -ofLir Date: Approved by Engineering: 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?XI: Z//r/- .4"Approved,NOT Released�: Ai/1---_ Date: Notes: C'h'i"✓! l/am`^/ 4-L'!il'GCe c.4.42--, 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: VSDCFees 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: I:\Building\Forms\B1dgPeimitRvw_RES_012116.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15410 SW SEINE CT, TIGARD, OR, 97224 May 10, 2017 at 11 :22:41 AM Record Type: Record ID: Residential - Master Permit MST2016-00024 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Fix gap around outlet in master over 1/8". Article 314 No outlet covers in back left of garage, removed by drywallers. No AC installed at this time, mini split heat pump only installed at time of final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15410 SW SEINE CT, TIGARD, OR, 97224 May 16, 2017 at 7:07:35 AM Record Type: Record ID: Residential - Master Permit MST2016-00024 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved trade final inspections prior to building final inspection. R109.1 .6, R109.3 Provide approved final erosion control inspection prior to building final inspection. Provide corrections for deck footings poured without inspection. Engineers approval or special inspectors report to verify frost depth and any rebar required per approved plans. Inspections to be scheduled when work is complete and ready for inspection, re inspect fees to be applied for inspections scheduled with work not complete and not ready for inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15410 SW SEINE CT, TIGARD, OR, 97224 May 18, 2017 at 7:08:11 AM Record Type: Record ID: Residential - Master Permit MST2016-00024 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved final erosion control inspection prior to building final inspection as noted on previously failed building final. Provide approved engineering or approved special inspection report for footings covered without inspection prior to building final as noted on previously failed inspection. No inspection done at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15410 SW SEINE CT, TIGARD, OR, 97224 May 22, 2017 at 12:11 :48 PM Record Type: Record ID: Residential - Master Permit MST2016-00024 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Tighten loose rail post screws at base at deck stairs and any other locations. Install all screws into blocking per manufacturer installation instructions. End 2 posts of lower rail and any other location. Seal foundation vent penetrations at drain line under deck and electrical whip for sump pump R408.2. Recommend correct weatherproof housing cover for sump pump outlet. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15410 SW SEINE CT, TIGARD, OR, 97224 May 23, 2017 at 10:18:28 AM Record Type: Record ID: Residential - Master Permit MST2016-00024 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Corrections completed Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor