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Permit (182) 1111I1 CITY OF TIGARD + ( MASTER PERMIT 1 -2 .- COMMUNITY DEVELOPMENT Mils Permit#: MST2016-00256 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/17/2016 Parcel: 2S108DB03100 Jurisdiction: Tigard Site address: 15206 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: 29 Project: Polygon at Bull Mountain, Lot 29 Project Description: New SF. 8/3/2017: REPRINT permit to add 4th bathroom. BUILDING Floor Areas . Required Setbacks Required . Stories: 3 Bedrooms: 4 First: 1504 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 4 Second: 2155 sf Garage: 740 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4485 sf Value: $556,802.45 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 7 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 add'l 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 4485 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: $37,578.12 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. -411110, Issued By: I /'- .T�-� Permittee Signature: eA/ /971,4--/L' ' ` 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. tiEI Plumbing Permit ApplicatioiCVET) Building Fixtures JUL 31 2017 Foli 011,1CF. 1 SF ()NE's City of Tigard t TIGARD Datelly: 7/3 / /7 ,d-'I' Permit N9" '•-(.7.:2a/-4.--de,a2_s(c, . 13125 SW Hall Blvd.,Tigard,OR 97,Cipli 0; a.i • Plan Review Phone: 503.718.2439 Fax: 503.598. 0_ , Other Permit No.: - Inspection Line: 507 639 4175 BUII PING DIVISIOrt))r'alteteiBRLd' yiBy: TItiAlz.D ' - - . j Jorii, la See Page 2 for Internet: www.tigard-orgov Notified/Method: Supplemental Information kIrrVilig*F,,,:,:eK:',WoNint:ii,k,,iiinito:',41 2 New construction 0 Demolition For special hi/urination use checklist Description I Qty. I Ea. f Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) SFR(I)bath 312.70 --- ,4*,*/:.*.,'.,::±; ,,: og';:..,,//-,-.:&Aieirez.',,..t*e.i.r.-,-o''',.,...,`,,o-_;L.,..,*•=.4.I.:'; :Ar;„,;,.trr;*„.„gr.-,-,-/-qm,.„;,:,v,,,, ED 1-and 2-family dwelling 0 Commercial/Industrial SFR.(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building D Multi-family Each additional bath/kitchen I 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 ';' .-'.-f g:fl'ii..,4:',''';'s:1";'-'."f ' ''t.T",','?iqii''‘:1,It':.'i't .iiigrij.::(zik.,-4a:'-3P •.• ,. - g' - '7'--31:>-!2te,''.716-':,:,=-;„-:,::,7::• ':',;:,::::::: .-•,,,a:!...,';,,V,,i, ,: ..''.-,Z.E6--A.--,,.r*-:yee: Site utilities Joh site address:/S 2,049 SA) se,tvle., Dy- Catch basin or area drain 1836 Drywell leach line.or trench drain , 18.76 City/State/Z1P:Tigard,OR 97224 Footing drain(no.linear ft.; ) Page 2 - Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 ... . - f Storm sewer(no.linear ft.: ) I Page 2 I I i Water service(no,linear it,: ) I Page 2 Subdivision:Polygon at Bull Mountain Lot no.:21 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 1 L.1...e,''',.-*:/,'//. ..,'..Afftt"-'!"'- ',. /-4l.,--:,-,,,',',.,-----,a4;:::•--'14-A, ,,'',;''''''''" '-'-'-'11'1420'''''' '.'4'•""i'''''''4''''''''' '''''' Clothes washer 25.02 _ . Dishwasher 25.02 Drinking fountain ' 25.02 Ejectors/sump 25.02 ;4'',7-Wi:'-f.:';';7•.'''''',04-00*t:'“?':::-alittiv.lie.fila),..3,s .:.-.,-,-.4.::..,,, i, ,,, ,Ati Expansion tank I 12.51 4r';...'i.. ;,..' ',..--, r-,-1g-,•-14.,-'4,/- Fixture/sewer cap ' 25.02 Name:Polygon WL1L LLC -titi*._, m Floor drain/Boor sink/hub 25.02 Address: ' Q DIC04.1J,Akj r V Gartman disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) lee maker 12.51 I if,7412,,Wgtti.',4Wg'tniSj.: 37-;:i,t0lil 011,:4;14,;; ;%0K4,1 Interceptor/grease trap 25.02 -1 Medical gas(value:$ ) Page 2 Business name:Polygon WL1-1,LLC Primer I 12.51 Contact namt. \CA/4,,t,-1-ITIOACX Roof drain(commercial) 12.51 ,. Si , 5- 0 _ Sinidbasin/lavatory 25.02 Address 1 0 c?3,c0aclis0 City/State/ZIP:Vancouver,WA 986, Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail.lit (C 1 - Urinal:--01 0 r i POI i 4 Oy)f 25.02 25.02 37.52 trk.,,--,1,:yozz: Ii3.1"-c-fay.ftri"ftio!,k:,.i:'i;'-ir-..*-sgc-,;rrilik,'::orzN;::lt Water eleser Business name:BBL Plumbing LLe Water piping/DWV 56.29 Address:PO Box 85 Other: 25.02 City/State/Z1P:Corbett OR 97019 Subtotal Phone:(503)351-3903 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.: 180345 I Plumbing Lie.no.;PB1582 , I State surcharge(12%of permit fee) Authorized signature: ri.1 /40,40,„to,„..*- TOTAL PERMIT FEE Print name:Brandon Lanier Date: 7 (2J-1 (24),7 This permit application expires if a permit is not obtainedwithin 180 days after it has been accepted as complete. *Fee methodology set by'Fri-County Building Industry Service Board. VauildingTermitAPLMU-PerraitApp doe 10/009 440-46I 6T(I OWCOMIWER) 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 proje �;i , Cityit v Ely COMMUNITYi o f Tigard • DEVELOPMENT DEPARTMENT = Trti JUL 31 2017 ansmittal Letter T J G, F2 D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tilAT-14,11GARD 10E111NQ IHVBION TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION FROM: Angela Grajewski COMPANY: Polygon Northwest PI /A c IIPHONE: 971-212-2144 = /�� RE: � S"f NT per- �Q (�)nZS(p Site. dress.) _-- (Permit umber) (Proj1Oct,hanie or subdivisionname and to nu numb2& ATTACHED ARE THE FOLLOWING ITEMS: Copies: I esccript on .AL*" ..Z,,-"diPiiiLI Descl ption: k N ... .*';',,,..,-;%,,,,:*:::1 0 Additional set(s) of plans. 3 Revisions: ^ CIG /2121) 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. Routed to Permit Technician: Date: g - ) - f 7 Initials Fees Due: X] Yes ❑ No Fee Description: Amount 1):: Ham- P) 0 R ' -' $ 910 -- Special Instructions: Reprint Permit(per PE): 'KJ Yes ❑ No ,,{ one Applicant Notified: /9A(6,-/4;-,-. Date: ,,P/g7/7 Initials: /91erL-- I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT `- COMMUNITY DEVELOPMENT Permit#: MST2016 00256 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/17/2016 Parcel: 2S 108DB03100 Jurisdiction: Tigard Site address: 15206 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: 29 Project: Polygon at Bull Mountain, Lot 29 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1504 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 2155 sf Garage: 740 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4485 sf Value: $556,802.45 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 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: Y Vent Fans: 6 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 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 4485 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: $37,333.17 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 952-001-009 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or✓1.800.332.2344. T Issued By: Permittee Signature: 'Xi ,-,77-1-11� 7 7e / 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. I G; Building Permit Application L-o / / 5' / /b Q-" .ilial RECEIVEDFOR OFFICE USE ONLI Received�' City of Tigard Date/By:4'0I/?//P 4:0c4/ Permit DflriSitv 02 5, a 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 1 g 2016 Plan Revie „ -� / eJ C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ��‘L.--.., 1 _ 16 i1 Other Pe / /6— O�f 1 1 G n R U Inspection Line: 501639.4175 Date Ready/By: / / ,�/_ loris: I II See Page 2 for Intemet: Line: gard- CITY OF r.gov ° 1 Notified/Method:�j'//W / Y' Supplemental Information BUILDING DIVISION 71- 9-Aie-rc .,. TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION , work indicated on this application. Valuation: 1543415 k— c•, ® 1-and 2-family dwelling 0 Commercial/industrial �/ `�, ❑Accessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms:',3 .of fl number floors:JOB SITE INFORMATION AND LOCATION Total � 5 3 ra A Jf Job site address: 1 D Sw St,(ae, 1)-r- New dwelling area: 4485 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 740 square feet Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: 273 square feet I S-5 Cross street/directions to job site: Deck area: 160 square feet i J ;) 1 Other structure area: square feet gaC` REQUIRED DATA .COMMERCIAL USE CHECKLIST ;._ Subdivision:Polygon at Bull Mountain Lot no.: 25:1 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 DESCRIPTIONO WORD work indicated on this application. I Plan 19B-DL Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ 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: ®I APPLICANT; ❑ CONTACT PERSON BUILDING PERMIT FEES* �' WLH,LLC lPIese refer to fee schedule , Business name:Polygon Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 136 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 SYSTEMxFEES* CONTRACTOt Commercial and residential prescriptive installation of P �° � • � � _ .. - 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. Permit Fee(includes plan review City/State/ZIP:Vancouver WA 98660 $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:204238 Total fee due upon application: $201.60 Authorized signature: LAtvi4/0b, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:5/2/16 'r 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 Application fOR OFFICE I SE ONE Ci of Tigard Received Permit No ✓r 13125rSW Hall Blvd.,Tigard,OR 97223 �"4� Date/B • S/ /G . I ( _EIVE Plan Review Phone: 503.718.2439 Fax: 503.598.196 @�,d as__ Date/By. Other Permit: 1 Inspection Line: 503.639.4175 Date Ready/By: loris: ® See Page 2 for Internet: www.tigard-or.gov MAY 1 8 2016 Notified/Method: Supplemental Information ,. s ' �N Mechanical perm t fees*are based oin the value o ®New construction ❑Addition/alteratoll/ree' �mnentthe work P performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUC 1 I ON Value . . RESIDENTIAL EQUIPNT ME- El 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special Information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total ,JOB SITE INFORMATION(AND LOCATION . ating/coolin e g: Air conditioning 46.75 Job site address: 152.0& S 0.3 se,(W Furnace 100,000 BTU(duets/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/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.: „2,.9 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 2332 N * ,, t -' r DESCRIPTIONT WORIC E 2 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 2332 Vi EROPER3 OWNER ' Other 23.32 n. .r h w __ ... _ . Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 3339 Address:109 East 13th Street Clothes dryer exhaust 33.39 City/State/LIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 E, _ -APPILI(A1 7 g �h i $ U CONTACT,TkiRSON . Other. 2332 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/Z1P:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue . ,..._ g. CONTRACTOR 0r ti Clothes dryer(gas) Other Business name:Apex Air LLC � C ,PERMIT FEES* Address:18004 NE 72nd Ave Subtotal City/State/DP: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 (ram e-w Ski Date: 5 1 t( — I:\Building�Pevnits\MEC PermitApp 040113 440-46 7T(11/02/COM/WEB) Elec r;c:4 poem tAplicationp RECEIVE 13125 SW hall Blvd.,Tigard,OR 97223 City of TigardReceived SEP 2 0 2 016 Plan Review ' Phone: 503 718 2439 Fax: 503.598.1 17ate lv Related Permit P; Inspe tion Line: 5013.639.1175 l.i l �F�I U f'► R C itelftr rash B! Set Page 2 for Internet; www,tz l-or.gov BUILDING U)IVfig1n1� hod: Supplenteateltafnrnatwa � . t 6x9 Cyt New construction ❑Addition'alteratianfreplaeeement PleaSt check Al that apply(sumit2setsofplansw/nettle checked): ©Service or feeder 404 amps or more 0 tl+nlrlbroover three stories, p^�� 1 J Demolition ❑Other: where the available fault current ©Marinas and boatyards.. . `:- :-A-4.41-11�a .! r :,g60* N,fiTR13C UO ,," . - _.._; exceeds 10,000 amps at 150 volts or ©floating buildings. fess to ground,or exceeds 14,040 D Canrnerciat-use agrieultarral OD I-and 2-family dwelling 0Cammcrcialtindusirial 0 Accessory building amps for all other installations. buildings. 1J Multi-family- 0 Master builder 0 Other: 0 Fire pump. 0Installation of 150 KVA or . x a . >"-:..;:::4'!"-----T, � i*AtiOit t SFO OCAII:OPI ..; ,, 3 ©Faaergencysystema larger separately derived snot vL ❑Addition oforemrnarload of "A Job 4:. Job site.addressi Sw 100APormora. 0 ,'°E",-1-2",-1-3A, 0 Six or more residt itiel units, occupancy, City/State/ZIP:Tigard,OR 97224D Health-care facilities. D Recreational vehicle parks. Suiteibld �'a t.4: Project name: ��n c: `D of locations. p D Supply voltage for more than g' p a 1 ����'iJ ©Str+iCe ai feeder 5fld amps or mom 500 voles nominal= Cross street/directianstojob site: ' '-'7,':-.'.,,.ti tg* '7` _` .v` ''' - .. Description 1 Q . 1 Each l Tow 1 New residential single-or multi-family dwelling unit. Subdivision:1) 'Q�,�' i`114� �"� Lot 4:2q Includes attached garage. 1,000 sq.ft.or l 168.54 4 Tax map/parcel 4; 1 a 4 _t.¢ x o ES ti. O'F"'Wf7RK + 3":4'- ... Est add'1500 sq.:ft-or portion $ 33.92 1 011114l/� Limited energy,residential 75.00 2 �, � � (with above sq.fl.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Name;ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Address:7600 E Doubletree Ranch Road 2 200 amps or less 100.70 City/State/ZIP:Scottsdale,AZ 85258 201 amps to 400 amps 133.56 2 t Phone:(602)694-4031 Fax:( ) 401 amps to 600 amps 200.34 2 Email: Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature Date: Temporary services or feeders installation,alteration,and/or *' a _4 t 0414.0 PI'- - ' :PPN AlutUASa ,'L-, relocation Business name:William Lyon Homes,Inc. 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 1 CitylSiatsJZiP:1'ancottver,WA 98660 Branch circuits-new,alteration,or extension,pier panel Phone:(360)695-7700 Fax::(360)693-4442 A.Fee for branch circuits with above service or feeder fee, 7,42 2 1 Email Angela Grajewski®a polygonhomes.eom each branch circuit B.Fee for branch circuits without 4, 11 ''� �3 m-ry, . _. service or feeder fee,first • „ llr`` . - . 'tr .. 56.18 2 Business name:alameda electric branch circuit Each edd'lbranch circuit 7:42 2 Address:3415 ne 44th 7 Miscellaneous(service or feeder not included) City/State/ZIP: r !�}m'r€`m'10/ /{/!1Z f`., , '; /3 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Phone:(503)3192192 Fax:( ) Reconnect only 57.84 ' Email:solarpdx@ne.com - Pump or irrigation circle 67.84 - , CCB Lie.: 199188 Electrical Lic.: c923 Suprv.Lie,: y f7/S Sign or outline lighting 67.84 2 Suprv.Electrician signature,required: Signal circuit(s)or limited-energy / panel,alteration,or extension. ❑See Page 2 Print name; kr 1G ,1lnr. Date: fZ �/�f, Each additional inspection over allowable in any Of the above Additional inspection(1 hr mitt) 65 25/hr ' Authorized signature: Print narnc: , ....,..0,,,,.-__„_,-- i NDate ' investigation(I hr min) 40.0(1'hr Iiant4 c�p?Pmediat.0 PmartApp ELR£RE.doc Rev 04/11/2015 440-4415111 I/OYCa'f;U E$ • Plumbing Permit Application Building Fixtures FOR OFl l( F 1 SL OAL1 City of Tigard Received azeB Petntit No.://37;20/6.-C,iri,23", ) IN 13125 SW Hall Blvd.,Tigard,OR 97223 �Y 8 2016Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date)By: Other Permit No.: Inspection Line: 503.639.4171 z i I pate Ready/By: funs: ® Sec Page 2 for T I t A l:llCITY M tdom' Su Internet: www.tigard-or.gov �l)lotified:'Method: Supplemental information ` -V.cSJj ,.WiAi {SP^Y 'tilt C tV t K 1 :l $h F Kf w ,.., l�l�l,'} �7.1.�y. .. ,rt,:,--',,,,--,�. , _.. ®New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) a CAI[ GfiR1F 41r' ' SFR(1)bath 312.70 SFR(2)bath 437.78 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 a;a 1 `r' ]4D,!ION0 0 -(F zz Site utilities: Job site address: x 5 acx:, Su) Stine_ Catch basin or area drain 18.76 - Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft-:_) Page 2 Water service(no.linear IL:_) Page 2 Subdivision:Polygon at Bull Mountain I Lot no.: aCT Fixture or item: Backflow preventer I 31.27 Tax map/parcel no.: - b..rd.s i 'exp ..:., : a"- �^L`.f�"-FV�`S ka k rK f,f Backwater valve 12.- R sz, a� ;t 1 r,,;l`..t.t. AI...„ .,;. .` _.. ° Yom.. . ,., ,,x Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 n .+. F m4:m _... s w +a3iWl��VI �, r t : Expansion tank 12,51 :. .. ..<a ..t, . tt / ,A- , :,,, , ;, Fxture/sewer cap 25.02 Name:Polygon WLFI,LLC Floor drain/floor sink/hub 25.02 Address:109 East 13ih Street Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 t r X0-41�x.-..x, .4 s `i { R -.,. `t Interceptor/grease trap 25.02 ,r ,,,k4r .�.k ,z :x_u-;. t.asgbs•... - e 4,4 re. r r ., .Fi.f, s. xnr..n Medical gas(value:$ ) Page 2 Business name:Polygon WLH,LLC Primer 12.51 Contact name:Angela Grajewski 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 Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:Angela Grajewski®polyganhometi corn l ne ta ! v"x' xa , r r' ry , `; i„ "f ,` , Water closet 25.02 ., m*:40� qwa����, . Y <� � }. .Vinr , S f A,^. Wafer heater 37.52 Business name:BDL Plumbing LLe water piping/DWV 56.29 Address:PO Box 85 Other: 25.02 City/State/ZIP:Corbett OR 97019 Subtotal Minimum permit fee: $72.50 Phone:(503)351-3903 Fax:( .) Plan review (25%of permit fee) CCB Lic.: 180345 Plumbing Lic.no.:PB1582 State surcharge(12%of permit fee) `Authorized signature: its TOTAL PERMIT FEE Print name: I Brandon Lanter Date: 53 I I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 'Fee methodology set by Tri-County Building industry Service Board. I:,Building'Permits'PLMU-PcrmitApp.doe IWOt,f9 440-4616T(t0r02/COM/WEB) Plumbing Permit AnplieutitRErN LiEIVED •• • •• . . • . .. . . Building Fixtures FOR OFFICE (SE O\L City or Tigard 16 2016 -gk.,Aei,,,e4 . Permit y , 4 13125 SW Hall Blv.d..:Figarth OR 9 Ph -Date.i13p Plan:Review*OF TIGARD '. ' , Other l*InifNe.: ' L . Ph • ;0-71g 2414 F •'cl)3.5.9 • •''...'' '''. - -1* ‘s -.' arx.' bd I DING DIVISIO 6°telY' Inspection Line 503.6j9.4175 ' :- .- ., TIGARD • • tiogReadyitly: JUrt. I 2.1 See Page 2 for• f Internet: sv.:,,x.w.t!tr -or:gov ,... .,, ..._:: __...._ Notified/Method:..,,. ... ., ... ,,,,.,....„ .,.., ,‘..$npplernental Information • gift, ,,': - .7ttl,,..4f::: iiit' : :ift':1.k:i.li. .'":'- C:fi....: ':'.'::;. :':-', .., ': : "' :.•Ti'..ttti4014iiiat.:,'4,1,':,-V'. .'--EV-' .a New construction ' D Demolition For special Informatipp yse Oeeklist - - - . pesatintiOn . ' 1 Qty. 1 a t Total E)Additlocialtetationfreplacernent . 0:Othq:; ' New 1-2•-,fatrilly dwellings(includes 100 ft for each utility connection) . ... *:1;•liiii-4. 42.''' ,7.;1•474-. . isji...*::a)s-1:0i*Ote#1F435?...07-...1N::;'„-%--T-t-':• SFR(1)bath 312,70 ,SER: O.1-and 2-family dwelling 0 Onmicerelailinchtstrial - (2)bath 4:37:78 '.• .,SFR(3)bath 500:32 , 0 AceoSsory bedding. El Multi'-fatnity. - . .Each additional bath/kitchen 25.02 D Mattes budder aQtber . Fire_sprinkler( sq.ft) ' Pngel: 1. liQ:.2'.-:14:51: 40.1tttitl*.k.***0.1.**.-;-C9I4V01741 -,?... .7t,tA::::: bite utilities:. . .. . • • , . • . Catch-has:41 or aita drain'• 76.. Job site address f ND S\N) Set '\e.. (:),_ OryWal:reach:tine,or trencI 18_:h drain. 1g.76 . I city/State/Z.M.Tigaid,OR 97224. ... - Footing drain(no,linear t.: ) • Page 2' Suite/bldg./apt-.no: 1 Project pame.:1Poimin at Bull iktinittairt . Manufactured home util ales 50.03 Cross Street/direciiOnS Us job site: : •Manhales 18..76 • I Rain drain connector 18.76 • 1 . ....„-... .. •.• . _ ' l Sanitaly sewer(no.Iniear 11.; ) Page2 . •' . " ''Storni sewer(rio,linear IL:.. .„) 1 Pue•2 f . , . •1*atgr:serviao(no.linear IL:.-,i ..i Page 2 .' Subdivision;'Polygon.at Bull Mountain • Lot no...;,2C91 Fixture or item; Backflow**ter_ .I 31.27 1 Tax map/parcelm.; . . . . . • .. .. ._ Bacvalve :,.;,44:r7hrg;'-',:;7• 1:;c,:P: .Backwater - C-...tt.'4".''''.,11-1.:",-,,DV!" .!.i.f.e.',:'''''f,.. -7•4.1.;' : .,.,,:...,4'..s-. --.711.?%.:,.4.x..-".-1--,--.1:-..:''''r.',,,:.4-':'''..• ''''%'',.:1-,::•.0"`''''7',,,,- I 410tha wisher • - ' - Dishwasher 12.51 C 25.02 .. 25.02 i Drinking fountain EjeetOrX/Surnp 4 75.01 25.02 ("::•••sf&;:014::4404067:•'45.iiiiii4:ii...."?O'ii.;f:'.„........4 ....:,.4.g.:.:•!,'.0Af.0.4:Nit...ir. '".ili.... .: Expansion tank .. . ' 12.51 .. . . .EixtureIsewer cap ' ' 25,02 Nagle:Polygon'WLTL,LLC - . . Floor Cfraht.f.floorsinkihtib _ . 25.02 I 1 Address:109 East 136 Street ,_...Garbage . ::. una!vosal . ::1 25.02 1 . . . . Otty/Statertlpt Vancouver WA 9$660. Hose bib 25_02 . .. . . .. „_..., Phone 00)695-47700 Fax.( ) lee ineker ' 12.51 . 1 1 ,"' 704.T .t:Okrliy. iizti,y,.;,l.ffl..7.;1'f.y42., :,-::,:; :itt.,,,,,6150,x0.*$.0,:if-i.,..fi, linerceptor4rease trap 25,02 . . - - .-Mecliaalgas(value,.$ . ..) Page 2 . Business now:Polygon WLH,LLC •- • Primer • 12.51 I ontact.narce:Angelo..Grajewkiz' . - - - . .. goof 4taio.(eotorneteraO 125..1 ,I .. Address:.109 East 13th Street- .8110basintlayalorY . 25.02 ... . . . City/State/ZIP:Van:mover,WA-9860 :Solar units(potable water) - 62.54 . . Phone (360)-69 -7700 fax•:.(360)6934442 :.Ilk/shower/shower p141 .1251 L7 E-mail:-mail:Ainc4.Grajewski@polygpfihnufg.s.i.com : Urinal ,4:„.,,,,,, -,.:.,-;.:..,,,u,....•,,,,,.4 ,,.. .,.,,-...4,,,,,,,r:- t:.:-:.::;:z„.1.:,,,,,;,:iiirei,::„J.i,?:„.,,,f„:474.:. ,;Weep qoat . gre;•i•,11`ii:;11iP".:.'nfigi'.:',,IM::•,,i.PTI4Z4.0.;9AVI,4ist• '4,:P44::-;..-#:t .,"1;47',.".ft ,Aki.Atettater Business name.:ROL PlumbingWater:pioinglOW.jilag LLe. Address:PO Rot 85 . • • - . -• -- . . . 25,02 . . .. . . . . . '. I 31.52 .V7.§2) , . :50;292 ' - Other. 75.6): .. . . .. . . . . . . City/State/Z1P:Corbett OR 97039 I .. Subtotal • Phone.;(04'451,3903 Fax ( , ) Plan review (25%of permit fee) i C.COLie.fi80.145 • 'Plunibina tip:no:::ill1582 .. .. .- Mininilli*rmit fee; $72:5.4 4 4 I . . :State surcharge(12%of perm1t.:le) __ I Authorized signature 1,2,......t..,,,,..., tifore,,o0e„.00"....- TOTAL PERMIT FEE . .. : . . . • • •f ' This permit application expires if a pertnit-i net obtained within 180 days I Print'lame:,Brandon Lgoter . . . ... 1 Date 8j I(# I tit -4 ' Atte t it:has been .accepted as complete. 'Ted methodology$ei bytri-Ceunty Building Industry•Sefviee Been]. tAttititinecireit4offt-PcnnitApn.dcc-10101/09 446,..46161110/024COMMM) . Mechanical Permit Application • FOR OFFICE USE ONLY Received Permit No.: yT��6--co City of'Tigard Date/By: i _ ® 13125 SW Hall Blvd.,Tigard,Gina/ Plan Review Other Permit: _ Phone: 503.718.2439 Fax: 50 ` Date/By: Date ReadyBy: Juds: H See Page 2 for TIGARD Inspection Line: 503.639.4175 AUG 2 2 2016 Supplemental Information Internet: www.tigard-or.gov Notified/Method: ,T Y permitfees*arebasedon the value of the work T '- - _ - }i VISION Mechanical penni ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit ❑Demolition ❑Other Value $ ^C�lTEGQRY O ,CO1 LJCT.ON _. _. _._. __ _,- i2LSID7E1V117 iiiiE?QIT C iV lBY I' iiMSIES`* ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total i U$ SiTf!. i)51 itApi ATilw4:04:DCA 'inN xmog Air Heating/cooling:: 46.75 Job site address: I l►�f' U ��" pi S,Ae1 l Sane, ()(_ Furnace 100,000 BTU(ducts/vents) 46.75 Furnace 100,000+BT'U(ducts/vents) 54.91 ` City/State/ZIP:Tigard,OR 97224 Heat pump 1 61.06 61.06 +/ Suite/bldg./apt.no.: 1 Project name:Polygon at Bull Mountain Duct work 23.32 Hydronic hot water system 23.32 Cross street/directions to job site: 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 1 Lot no.: 2Li Other fuel appliances: Water heater 23.32 Tax map/parcel no Gas fireplace/insert 33.39 O p''=•p - _ Flue vent for water heater or gas _.;=:. ... . :- .. - fireplace 23.32 Change rd furance for basement to Heat Pump 23.32 Log lighter(gas) Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 L, �PEB Y'{1' .,, T-:... .. - —. Environmental exhaust and ventilation: Range hood/other kitchen Name:Polygon WLH,LLC equipment 33.39 Address:109 East 13'Street Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, City/State/ZIP:Vancouver,WA 98660 toilet compartments,utility rooms) 23.32 Fax:( ) Attic/crawlspace fans 23.32 Phone (360)695 7700 Other: 2332 ,_ 0 r [� ,cOil O W- • . ; Fuel i in Business name:Polygon WLH,LLC $14.15 for first four,$4.03 for each additional Furnace,etc. Contact name:Angela Grajewski Gas heat pump Address:109 East 13th Street Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Fireplace Phone:(360)695-7700 I Fax::(360)693-4442 Range • E-mail:Angela.Grajewski@polygonhomes.com Barbecue 1 . .-a�� = � s ▪ , } ", a �T . r . Clothes dryer(gas) Other: Business name:Apex Air LLC -*** � _ "" 2 Subtotal Address:18004 NE 72nd Ave Minimum permit fee($90.00) City/State/ZIP:Vancouver,WA 98686 Plan review(25%of permit fee) Phone:(360)342-8109 I Fax:(360)326-1769 State surcharge(12%of permit fee) TOTAL PERMIT FEE CCB lie.:203034 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Authorized signature: Print name: _.,74}1 I Date:8/22/16 L1Building�Permits�bffiC PetnutApp_0401�3- oc 440-4617T(11/02/COM/WEB) • , • IVIeehatiteal Permit:A . lie : ENED . FOR t)FTICE.[ E ONE.% :„....,,,„...:.........,.... -,....... ...... • ACity of Tigard ri. .„....,Yeay, Permit No„!: . •• • . : .. 11115 SW iihil Blvd Ttoard OR 97223SEP 2 0 2016 ..... '1 ,. plum, io 718 2439 Fax: 53398-1960 P TI nat4 - Ober Pent* Plan Jiziew _ _. . T 1 GA R D ill$P3Ctien 17 31)3'639'4175 CITY O. • - r.,,r.,t,/ Eitite Ready/13y.; ' Itg:i6.7 :43 Seg Pg.go 2 far „ .,_ „, -,itrittanet: www.tigard-or.gov BUILDING _ 01\11z,lui, NotiftedNiethad: ihmplaratotai itiforntation TV OF.WORK ' . 'i•• L. •. -.r . :... . :::.7 r24)52:14 (711Sli'F"''SCffED'ILE'-' IfSk'enekliST'' .3 Mechanical permit lee's*are based 011 Ow value of the work New gotiStmetion 0 Addidartialterationfreplagement • perfOrtned,Indicate the value(rounded to the rawest•dollar)of slI 0 mmolion 0 Other :, meetatineal materials_vonnatumL labow.to;erbead,and profit _ Val=$ • 'L:C-' .'. .• ' ' . * OikiiitiCTION' ''•- • • 1,' i .. CATEGOIrk OF C i '.' , ::„,•:.. ' .. - : -- '-. RES1DEN...41jit(1.11PNIE.-;TiSYSTEMS FEES* . ,.. ' 0 1-arid 2-family dWctling 0 Commerciallindostrial 0 Accessory'builtling 1 For special infirmation litle chevAiist • r MUtti-fainiiy 0 Mager builder 0 Other i , 1)=m/ion 1,.. Qw, ' U. ' Total . , L •MR'SITE INFORMATION ANR---torEATION • ' -•.. .•: . atal;ingftoolingt or. e. . ' . Aireanditioping 1 I 4675 Joh site-oddres,tn ) SLOU sDW e.i‘trle, P(. , Funtaoe'100,000 IITUldnersfverits) 1 ' 4635 • V _ . City/StateiZIP:Tigard,OR 97224 . Furnace 100,000+BTU 10,1(41wilisi: i4-91 - . 7 . Heat mono 1 61 06 I 17 1 •„ ..„„• 1 Suitethidgiapt no_: , Pmjent name:Polygon at DOH Mountain Duet utak • 23.32 Cross street/direetions to Joh site: . :Hydro-nib hot.watet system 2132 Rusidernial boiler(ladle/Or itydronic) • 23,32 Unit-heaters(bel-type not electric), - • :• in-A4IL in-duet,suspended,etc. . . 46.75 Fineivent fbr tow or above ., ' 2332 Other: : 2112 Subdivisioir Potygon atBult Mountain Lot no.:2a9 - - - Other reel appliances; 7...._ . ,, f. j tr- Tax map/paced no,: Water homer- , 23 .:•:. :."..:...: , -::.. . ,...,' . ., ::', .:'DE.Sciitri10.:4.9F-.1y0111.; t..-'. ' . 1 -: : , Gas fitentaecratstat „' 33-19,;J2Z Flue vent for miter heater or gas Contrarizir thamc fireplaco , • 23-32 i Log Ogler(g.i.is) , , . 2332 ' Woodtellet$ ve10 , • ..10(.6( IINC..) . . . ' - ,: 13_31 .. . ' W_'imii. fircalaceinsert Chirratevillocelueivent .•;_ 23.12 , Other •.-- •' • 4 R'OPiTO-W' ER •- ' 3 LTENANT • •: Z332. • - : ' Etvrtanewal exhatgt and vertilfatiort: - Name:Polygon WIA LEC9 Ranee hoodfother kitchen • 1 r . — ..... • , „„. - „ 1. vio.ipment • 33.39 I Address:109 East le Meet i s , CO..yrSiatec4P:Vancouver,WA 90660 —I ClSinogthesdryerexhaut 33.39 le-Mid exlianst(bathrooms, i V 1 toilet oompatments.-mility rooms) L-4 2332 Phone:(36()695-1700 . Pax.: ( ) • Atrielenovispsee fans : 23:32 1 • . .. ' ' : ::'f'•.'-'',:w' APPLI-CANT::,-.'-: Lr - , . : .0 CONTACT:•PERSON:-..,:-;' - ' Other 1 2332 , . .L . . ' ." Eatipipingt Rosiness name:Polygon%VIA,EEC . . : .- . 514.1•5 Oar nest four;S4.03-for eaph additional ., „ Contact name:Angela Grajayski • : Fornatte,sae: 1 I 1' :--- • , --. „ t - - Address:,109 East 13th Street . Gas heat pomp 1 • WelsPentledAtint heater City/Signe/2'4P:Vancouver,WA 98660 - . Witter heater„ • • • • :Phone:(360)695-7100 -' Fax::(360)693-4442 ' • Fireplace . - . flange . I E-matit Angoala.Grafewsklinpolygonhontes.cont • '• •' Barbecue . -:.L..j.'„;:::',•.. . :::•• •,:, . .,--. . :, : ;•--c ONTRACIOR .,,,',... •'::i . .: - , -, Clothes drver:cas.• , - linainess name:Apex Air EEC Other: , .., . ....: ,, • • . • . • ' .••••'.:: :•:-- ' MEtRANIAL PERNI1TFEES,'''-: -,' : • • Address:18004 NE 72'4 Aye • Subinta1 ... , City/Stale/71P:Vancouver,WA 95656 Minimum penultfee($90-00) , • Man review(25%oitaantit It,e) Phone:(360042-8109 Fax 060)3744169 • . , „ State-sun:harp(I2$of penult fee) TOTAL rEgglt FEE CCB tic 20$03--4 Authorized signature: - • ., 4sse54:1:0:0471-ocyYslitkrantkintpr7r*:1411':raf:y:i'eccl*fittittd-1:::*st7c4,:mt°4P.717iSepitticd mealithL":" pritm .,..14::.....-4-----1 e\ • , • 1 .,, , 1 Dale. 1,-11-/4:,- . 4 . . _ . ., I:\aviicilvg,PrtniECtPtmlitApp.....NOIC,Vfoa 44.44.6g7/f i ifi..2-4.4YMICVlan'i City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T,c n n Building Permit Review — Residential Building Permit #: S Site Address: 15 20 (o Sw S ei D r. Project Name: ro I y y o rs a+ 13 U I i M 0 v ntr,',r) Lot #: 2- 1 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N eAW S c- R. Verify site address/suite# exists and active in permit system. fZ River Terrace Neighborhood: ❑ No 121 Yes,See River Terrace Review Addendum Attached Site Plan Elements: ?'three(3)copies of site plan -Q-Existing structures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper /Footprint of new structure(mcluding decks)with finished /Drawn to scale(standard architect or engineer scale) floor elevations 1UNorth arrow tility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number Location of wells/septic systems ,ZApplicant information (name and phone number) Erosion control(including drainage-way protection,silt fence giLot dimensions and building setback dimensions design,location of catch basin,etc.) /Lot area,building coverage area,percentage of coverage and CAtreet names impervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location /Property corner elevations (2 foot contour lines if more than ❑r,xisting trees to be retained with drip line,and tree 4 foot differential) protection measures Zi Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: S U(3 20 I S - O 000?- Pi Pi Zoning: R- 1, 5 Setbacks: Front `LQ Rear 15 Side 5 Street Side S Garage Z Q Landscape Requirement: 7 Lot Coverage Maximum: X Building Height: Maximum Height 0 Actual Height Zi Visual Clearance 6"-Easements $-Sensitive Lands: ❑ Yes ❑ No Type Or Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: CpnclitiOns -}v be mei prior -1-0 ISEvcrc_e_ o(- buil GU; nci p. rrn►-F . Approved By Planning: n') 0111-7---64- 6 i/0 1-e Date: I S l 1 (o Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\B1dgPennitRvw_RES 012116.docx Building Permit Submittal Original Submittal Date: 574,f'b Site Plans: # _g Building Plans: # __3 Building Permit#: 0—Enter building permit#above. Workflow Routing: Planning Engineering -Permit Coordinator ''Building Workflow Sign-off: l--Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. g"-Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 17-e......— Date: // 7/ 5e' Engineering Review Slope at building pad: j ' Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: AL , Date: //-1,4'-14 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Cl 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: \DC Fees Entered: Wash Co Trans Dev Tax: n f es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes CI N/A �'OK to Issue Permit j 0 l Approved by Permit Coordinator: Allate: / / I:\Building\Ferns\B1dgPennitRvw_RES 012116.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARDRiver Terrace Building Permit Review Addendum Building Permit #: /vJ 7Pp/6, - 620;2-5-h Site Address: 15 20 (o S W S r Project Name: Po I ' o' G-1- Q v i I M oo r1 t i; r Lot #: 1 i (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 ❑ ❑ ❑ ❑ ❑ N/jc 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: ❑ Yes ❑ No If yes, all the following apply: ❑ 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft. max. roof above floor of porch ❑ 5 ft. depth min. ❑ 30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft. wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft. wide ❑ Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood ❑ Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40%of street facade ❑ Window trim min. 2 '/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft. wide by 2 ft. deep ❑ Balcony min. 5 ft. wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft. where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: /1 )0 m G.e.t.A3 it O d 2 Gl (As_ Date: 5/ I S I I c I.Building FormslBldgPeimitRvw RES RT 031416.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15206 SW SEINE DR, TIGARD, OR, 97224 July 21 , 2017 at 9:52:13 AM Record Type: Record ID: Residential - Master Permit MST2016-00256 Inspection Type: Inspector: 115 Electrical service David Young Result: FA I L Comments: Remove nails from service entrance conduit at sill area. Note: provide permits for 4th bathroom not on permit. Investigative fee applied for additional work without permits. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15206 SW SEINE DR, TIGARD, OR, 97224 October 6, 2017 at 7:04:45 AM Record Type: Record ID: Residential - Master Permit MST2016-00256 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 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15206 SW SEINE DR, TIGARD, OR, 97224 October 18, 2017 at 2:44:32 PM Record Type: Record ID: Residential - Master Permit MST2016-00256 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15206 SW SEINE DR, TIGARD, OR, 97224 October 18, 2017 at 2:40:39 PM Record Type: Record ID: Residential - Master Permit MST2016-00256 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15206 SW SEINE DR, TIGARD, OR, 97224 October 26, 2017 at 12:57:53 PM Record Type: Record ID: Residential - Master Permit MST2016-00256 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