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Permit (172) CITY OF TIGARD -t •'' tg " ., *7: MASTER PERMIT COMMUNITY DEVELOPMENT cr 3 Permit*: MST2016-00254 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/17/2016 Parcel: 2S108DB02900 Jurisdiction: Tigard Site address: 15252 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: 27 Project: Polygon at Bull Mountain, Lot 27 Project Description: New SF. 8/3/2017: REPRINT permit to add 4th bathroom. BUILDING Floor AreasRequired Setbacks Required Stories: 3 Bedrooms: 4 First: 1542 sf Basement: 826 sf Left: 15 Parking Spaces: 0 Height: 28 Bathrooms: 4 Second: 2167 sf Garage: 739 sf Front: 5 Smoke Dwelling Units: 1 Third: 0 sf Right: 15 Detectors: Yes Total: 4535 sf Value: $548,479.48 Rear: 5 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'I 500 sf: 9 201-400 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 4535 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: $37,447.78 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: Ore on 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 52-001-0090. 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: /J, ( Permittee Signature: Z/1/ f i-'7(4- 04/" 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. 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 Letter 711 T i G A R rD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DEPT: BUILDING DIVISION . JUL 31 2017 FROM: Angela Grajewski CITY OF TIGA RD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 By: RE: 4215;37 ,M SEIN �� ,!e�� urn ier r) PA4fale-gslubiceMEOMArt4number) ATTACHED ARE THE FOLLOWING ITEMS: ! op ..�.� . . ,.. ;: Z. 0 Additional set(s) of plans. 3 Revisions: .1 h i.iv) o Cross section(s) and details. 0 Wall bracing and/or lateralanalysis. 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: e- -. J--1 Initials: Fees Due I Yes ❑No Fee Description: Amount D'ue: % �� 1 Hr Plo.n J� ev' cAsr- $ 44 4-;4• s*,‘,w 44, $ V $ Special Instructions: Reprint Permit(per PE): Yes ❑No �GDone Applicant Notified: !tV6(C a}e: f/3//7 Initials: \Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Plumbing Permit AEIVEDppli '.' 'i ' Building Fixtures .JUL 31 2017 .11111110PI, ill=11(P City of Tigard , V LF// 7 .41/1/ Pem/it NWS7C20/ 55/ 13125 SW Hall Blvd.,TifarantAP2 Phone: ;03 71 24 9 "a.::.5,03.5RIL.96ft _ . 8. 3 F ‘ N-- Of TIGARD Plan Review Other Permit Ne.: , ,., Inspection Line: 501639-B1J ILIVN6 DIV/S/ON D'Iteill . Date Readyllys halt 0 See Page 2 for 1 I t'''''' Internet: www.tigard-or.gov - NotifiedMethod: Supplemental Information ,gi..:.-• ,.%V:*-- - , .3-4,i- " --i '- -",;10 -'•" ,,•3 - ,,-- f A., S-; -,,- ,,,.. /,e ,,,,-ii--,•:„.vg,.,,,- .... New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. 1 Total 0 Addition/alteration/replacement D Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) 1,;•:"A''.7.14,-.,n‘,i ,,'''''i;;;,til,51,''.,):6,-1,- '-'.i.-3'',„,4i.t0'.4. :71Zilr 44 SFR(1)bath 312.70 [El 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 1 437.78 SFR(3)bath 500.32 El Accessory building 0 Multi-family additional bath/kitchen Each1 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 ":"fig--A,,,,,w,.., ,,,,,;,';'4 I, '1 4 ;.,i`",'r§,l'57..- ra)r.,N-r# IP:•-1114,4-:,,,,,M, ,,,.. I Site utilities. Job site address:/s-2 .5 L., 5 v0 S'f .A Irl e,D\r - 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.: 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 1 Water service(no,linear It.:, ) 1 Page 2 Subdivision:Polygon at Bull Mountain Lot no.: Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: qtr ,s-,:jr,;,,,' ;',31.f,'-:'',--':',"!`=7 ";•Y-:",;',4:•i'',7•-g.,',:10,75";:.4 4,•;;_• , Backwater valve I 2.51 Clothe.s washer 25.02 _Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 4 • 1' ''''''''"It7,,f''' s'',.1, :----,,a,...-- ,,,,-,..;,,,w-0,- --.,,, , Expansion tank 12.51 Fixture/sewer cap , .);.0 -_ ,- Name:Polygon Will,LLC Floor drain/floor sink/hub 25.02 I Address. Garbage disposal 25 02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 )----- Phone:(360)695-7700 Fax:( ) ice maker 12.51 .,,,,F:7-110_,:,:fzi -:',,i ,;;,:c-,-ei;,rizs, Interceptor/grease trap 25.02 • Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name ' Roof drain(commercial) 12.51 Address: Sink/hasintlavatory25.02 _ City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 , Tub/showaishower pan 12.51 Urinal 25.02 E-mail: w loset , -ater c 25.02 Water heater 37.52 Business name:BDL Plumbing LLc Water piping/DWV 56.29 Address:PO Box 85 Other. 25.02 City/State/ZIP:Corbett OR 97019 Subtotal ' Phone:(503)351-3903 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.:180345 Plumbing Lie.no.:PB1582 State surcharge(12%of permit tee) Authorized signature: t .00.- TOTAL PERMIT FEE 7 This permit application expires if a permit is not obtained within 180 da s Print name:Brandon Larger Date:1/21 124), after it has been accepted as complete. y *Fee methodotogy szt by Tri-Ceunty Building industry Service Beard. 1.‘BuildinerrrnitskPLMC-PerraitApp dcc i0,019 44046161(10/021COM/WEB) . CITY OF TIGARD MASTER PERMIT 11 '- COMMUNITY DEVELOPMENT Permit#: MST2016-00254 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/17/2016 Parcel: 2S108DB02900 Jurisdiction: Tigard Site address: 15252 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: 27 Project: Polygon at Bull Mountain, Lot 27 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1542 sf Basement: 826 sf Left 15 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 2167 sf Garage: 739 sf Front 5 Smoke Dwelling Units: 1 Third: 0 sf Right: 15 Detectors: Yes Total: 4535 sf Value: $548,479.48 Rear: 5 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 1 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: 2 Drains: 0 Water Lines: 100 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: 6 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'500 sf: 9 201-400 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 G NEW p yrou p: Square Feet: SF VB R-3 4535 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: $37,303.63 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. )-� Issued By: /t l' Permittee Permittee Signature: A/ + t''' e.../L7770/<1 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • Building Permit Applicationc,20 T � 7 .5;74// Residential FOR OFFICE USE ONI,\ City of Tigard " Received 13125 SW Hall Blvd.,Tigard,OR 97223 2 DateB : //7 / t Ar' Permit N. J-e/6— �c : C Phone: 503.718.2439 Fax: 503.598.1960 WI AY 4 2016 Plan Review d Inspection Line: 503.639.4175 DateB : .'.�q', .� Other Permit "��.�a TIGAKD p DateRead B Internet: www.tigard-or.gov Cu 9�e � Ready/By: Juris: see Page 2l for CITY 1 Notified/Method: Supplemental Information BUIL. P'..`42 DIVISION TYPE OF WORK' REQUIRED.DATA:1-AND 2-FAMILY DWELLING ®New construction 1 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: :; -} CATEGORY OF-CONSTRUCTION; work indicatedton this application. and theprofit for the equipment, r ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ . 2;11�I t•-}7 C ❑Accessory building ❑Multi-family Number of bedrooms: I l 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION : Total number of floorsS41 3-417 if Job site address: { p 15152 SW Se,t , -bc New dwelling area: 4535 square feet City/State/ZIP:Tigard,OR 97224 Gara e/c g arport area: 739 square feet Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Covered porch area: 98 square feet 67 Cross street/directions to job site: )sy'� Deck area: 160 square feet Other structure area: square feel a[ REQUIRED DATA:COMMERCIAL-USE CHECKLIST„" Subdivision:Polygon at Bull Mountain I Lot no.: 27 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ESCRIPIION OF WORK work indicated on this application. Plan 19A-DL Valuation: $ Existing building area: square feet New building area: square feet PROPERTY OWNER ❑=TENANT Number of stories: i 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: . APPLICANT" .. 0 CONTACT PERSON : BUILDING PERMIT FEES* Business name:Polygon WLH,LLC • (P[easerefeilofeeschedule) Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 13th Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela-Grajewski@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential er installation of Business name:Polygon ." roof-top mounted Photo Voltaic Solar Panel System. WLH,LLC Submit two(2)sets of roof plan with connection details Address: 109 East 13th Street and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review and administrative fees): $180.00 Pone:(360)695-7700 I Fax:(360)693-4442 CCB lic.:204238 State surcharge(12%of permit fee): $21.60 • Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski I Date:5/2/16 I *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Y 'Mechanical Permit Applicati FOR OFFICE I I.0\L' City of TigardNECEIVE Received: Permit x . r: 13125 SW Hall Blvd.,Tigard,OR 97223 1� r� Phone: 503.718.2439 Fax: 503.598.1960 MAY 2 4 2 016 DateBy:an Review Other Permit: 1.1 G ,,It a Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov CITY O 1-I( / H,D p Notified/Method: Supplemental Information Mill DING' 1S/1SJ rC , TYPE OF WORK FEE" SCBE — j COMMERCrAt• DULE" :USECHECICIIST,:: , Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit Value:$ CATEGORY OF CONSTRUCTION FEES* . .. .. . : �, '' RESIDENTr7lT,EQUIPMENT/SYSTEMS ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SriE 1NFORMATiON TD,LOCATION Heating/cooling: Job site address: 1'J 2_6 2 pp Q Air conditioning • 46.75 S V(n` c- Furnace 100,000 BTU(ducts/vents) 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.: )_ Other. 23.32 Other fuel appliances: Tax map/parcel no.: Water beater 23.32 -'4 .DESCRIPTION OFg*S'ORK,- , g r w "� Gas fireplace/insert 3339 ' "��.._- ' a ' '` = e -' ' '"`"" "` '6' Flue vent for water heater or gas fireplace 2.3.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 2332 Other 23.32 g •P1tOPE-R1 VNER ❑ T NANT °�'•a l. + `'—. ..,a.,.r. h.,.wk, *r ..., e „2,u:= . . . .,..x �. . - - - Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:109 East 13`"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 -l- aAfiiL1GAN'Z` tU CONTACT PERSON Other. 2332 . �-u.. yr _.... Business name:Polygon WLH,LLC Fuel piping: $14.15 for first four,$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue ,: . .,NREZIERSPEggRingifCNTRCTOR , . .. .., _.. °J - Clothes dryer(gas) Business name:Apex Air LLC Other: MECRANICAL PERMIT FEES• _ Address:18004 NE 72°d Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 — TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: t.]47afefj�i = Fee methodology set by Tri-County Building Industry Service Board Print name: i) . A ret, , 1 ew S kJ Date: 5 ? ( ((O I:1Building\Permits\MEC PermitApp_040113`d6c 440-46 7T(11/02/COM/WEB) RECEI •V cib Permit � t I �ill l i€e.r .fi�l.1 Cita ofTigardSEP 2 0 2016 Reeery�a ... ,2.,";/.,/..___ '�7Si�i/G— ,t,�S' �a#z�, • °,inti 131't+S'�l�ltll Bled,..Tigard,qR 977 Plan Beslezr Pfittirie: 5133.'1$.543' Feu 111 5U3.59 1Y OF 1ICiPkt-tt.f Rdinaesipemitt4 . lttspe iionL,ine 303,6311.4175t\/lc4s * ..5asetBx: Jura: BUILDING �� � �: � Page far Julemeti 56"b3'Yr.tig*arill-t)r. ov Bonged/Method:ed'avlEihod: Snppl arra ta1Inlitrm ion iii News construction ,,:i,.-...-_,,'..-.6-_.- 0Addition/alteration/replacement l'e�3i2eetalt«rit Pleas*,rhe all that apply(submit 3 sets of ptsrhs is�tifeans cbecicexi). 0 I Demolition 0 Other: 0 Service or feeder 400 amps or snore J0 Building over three stories, where the available:Alai cuarnu rMar7nas end boatyards, _ f L3 _ _ F. TEG R€OF_COl°1STRL CTIOII 7 _ ._ tWvmds l0,si00 amps at 150 volts or ®Floating huildings. +d 1,,and 2-family dwelling a Conimt rciaJlindustrinl L Accessory building lets to ground,or exceeds 14,000 OCommercial-use ngricoltuaal amps for all other installations, buildings. 0 Multi fatilily' 0 Master builder 0 Other: 0 Fire pump, [l ins#allatiati of!So KVA ar { "`OlpSiTE;i ORMA 'ON•_1S o Citibi 10r1 ,, 0Emneaep system. lager separately devised Jolt Job site address �r1 ❑Addition ofnew motor load of system 5252 SIN $e4 P t? U �\JG iOOHPortnaz. © A,�`.E.."1-2",'1>3', iT�fz' tBt F )P;Iaggr€lr OR97224 IJ Six or moreresidentiall.units. o uP 3• 0}ieaith-care facilities. ®Recreational vehicle parks. ' p 1 project name:� f m�y aHazardous lc mon, t7 Supply voltage far more Than Suitc. )d rat li: r r++ / / -j '•gib wJ �a�v.1 g �'kJdl 0 Seniee of feeder 600 amps or more: GOO v9its natuinal Cross street/directions to job site: =FES. # J3. -.. Retcrtption l eta: ) Eac4 ') Tstat l a a p New residential single-or multi-family dwelling unit. Stlbtlieinion s J cio 3 � ill U v` 1/411,;;Kt '1/ Lot#: • 1 Includes attached garage. Tax rnap/parcel#: J 1,000 sq,il,or less I68.54 4 a.: ".. ''':...3'7',4; '= :jf3 1;[}T1Q?�t'dlir: CI •?7,l7,.. .. Ea.add'I 500 sq.:fl.or portion 46 33,92. 1 control-0r & Limited energy,residential 75.00 2 (with above sq.fl.) ener ly $t. ,,.. .. ?_aLRQP.E 'S,",:ow1i E •:`` _.r'- r Limited residential (with above sq fl,) 75. ): .`1 1.., . AAAA sq. 0{I 2 Name;ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Address:7600 E Doubletree Ranch Road Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 ' City/State/ZIP:Scottsdale,AZ 85258 201 amps to 400 amps 133.56 2 Phone:(602)694-4031 I Fan:( Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made ori pi-0011y 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, Tempoorarysservices orfeeders installation,alteration,and/or relocatlou 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 City/State/,ZIP:Vancouver,WA 98660 j • Branch circuits—new,alteration,or extension. .er panel Phone:(360)695-7700 1 Fax::(360 j 693-4442 A:Fee for branch circuits with above service or feeder fee, Email:Angela.Grajewski®poiygonhomes.com each branch circuit 7.42 - g 'z B.Fee for brant]circui#s without - -- .r C�. ' A 0R ,�. - ,.service or feeder fee,first Business name:alaslterla electric branch circuit 56.18 2 . Address:3415 rte 44th Each add'ibraiich circuit 7.42 ' 2 -y p Miscellaneous(serviee or feeder not included) City/State/QIP: Tj�! ,07)2...,0y' // .a2./3 Each manufactured or modular .. Phone:(503)3192192 Fax: f dwelling.service andior feeder 67:&i - ( ) Reconnect only 67.84 ._ 2: Email:solntpdx@iale.corn Pump or irrigation circle 67..84 . ?' CCB Lic.: 199188 I Electrical Lie,: c923 1 Suprv.Lie.: 9,ir7/,j . • . Sign or outline lighting 67.84 2 Sum.Electrician signature,required: Signal circuit(s)or limited-enegy ] .Print name; istk10.�e.C e: / 3/j Datpatcl,alteration,or extension, lSte-Page a? Each additional inspection overallossablg to eros`of the atm re Autlit)ri2ed signature: Additional inspection(I lir min) 662,5=hr' �� .5_' . j . Print name: f -,---- Date: - investigation(1 hr min) 1 90,0ft In t",.riu#4i,r$'.muriuma_c P » 440-461510#1/43.K.'OM`WEE , _�tat�,_raxa-�nz,•nrN'i 7 Plumbing Permit Application Building Fixtures ED i oit Ol••rlcl: I SE OyL1 City of Tigardn Received MAY2016 , 'DaleaY: Permit No.•,t<� / 13125 SW Hall Blvd.,Tigard,OR 97223 �a�sy Phone: 503.718.2439 Fax: 503.598. Plan Review : " 1 E` Date/By: Other Permit No.: +4 Inspection Line: 503.639.4175 / " � Date Read T I ' 1 RI' Internet: www.ti d-or. ov gg gg I 0'iv,a' 0 }Nils; I ).By- runs. ® See Page 2 for gaz € t 6 s 1a � R Notified Method Su ` .: qz ns'a'.. s a L • a xFY. '?1 � fr n•� 3 - ✓: ' + -: may, i Supplemental- to Information hon ®New construction 0 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) `` `' ' CA' cORY t l Cb�fSTIt11+ lit' - SFR(I)bath 312.70 .,s ® I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory buildingSFR(3)bath , 500.32 0 Multi-family Each additional bath/kitchen 25.02 El Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 r 0 `, L u+>I.8 S)L i 1`Irt7R , l :A `!'iIO., �zT ," Site utilities: Job site address: Catch basin or area drain 18.76 t s a5a s W .,dei n 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 ft.:_) Page 2 Subdivision:Polygon at Bull Mountain I Lot no.: , ..--7 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 �4�"`Estmt„r h'Q r urt � `x r u i {, NC14�5 r iftwi wo,t,:�c f Backwater valve ' 12.51 t.;..: Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 K kit ' �. § ,s,,,,t,,,,:,,,,,,,,,.%,,,,,,,,,,,,,,,,,,,,:A;,.. .% < _.+-r_, ' 1 d -. w. tma .. A!,:F.. Expansion tank 1151 Name:Polygon WEAL LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:109 East 13th Street Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) ice maker 12.51 ; -V,* . i T /; s.0 130;.1tTtirtif SQt1 ,.. ip Interceptor/grease trap 25.02. y„ a A.x.,, ..-$,,S._ i .), ! 4 vix. i- ..}cYh.. :pp.,,,w - ;rG Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Angela Grajewski Root-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 E-mail:Angela.Grajewski,a^�,polygonhomes.com Urinal 21.02 X0f* btxaM.Vii- W`a.,. tiBi � S . t a, -i Water closet 25.02 . liYs� goagMy. ... , .c.. r �3a ,fi a 7 .. .- nWater heater 37.52 Business name:BDL Plumbing LLc Water piping/DWV 56.29 Address:PO Box 85 Other: 25.02 City/Statee/ZiP:Corbett OR 97019 Subtotal Phone:(503)351-3903 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 180345 Plumbing Lic.no.:PB1582 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: j? �.. ��- TOTAL PERMIT FEE �C [3 I (� This permit application expires if o permit is not obtained within 180 days Print name:Brandon Lanier Date: J after it has been accepted as complete. "fee methodology set by Tri-County Building industry Service Board. I:sBuilding'PermitsPLMU-PermitApp.doc 10/01/09 440-46I6T(10./2/CO:MME13) ' 'm••••••••••.••i.min•im•mmmmmmm.......____________. . NumbingRer nt it-A. ...lieali .. . •--P-P-----A..ECI-..1 VED - . • ' ' ' _ . Building Fixtures- city-0 Tiga.rO AUG 16 2016 : eP'!:'.., -perniit ,-,.! , . ... 13115 SW Hell Blyd.,Tigard-,OR 97• • - • Patei14. Plan:Review' OF TIGARD tat,i3,„ , 0am'Pormit No.: !aspect:ion iile:. 501639,4175 b ING DIVISION -- •" Ti GA R D .- DateResdyLpy: Yu ri& I Ed See Page 2 for Internet WWw.tiOrd.;orov Notified/Method: . Supplementsi Information 'i-,•,:•:, .,,,,.j,...•--i..;::;,•i•n;.,.....1,,:;7 TJ:t ::.i.;•-,!•:.Wk9f.1YOPIc..i,:';,filr..:!.-.•-,..v.- -,- ,,•=4k,.',.,- ';-7. -s - '.44..-:,Y - D a,E..:-.-] ,q.2--,,-;.,4z,::.,•-•:,:,:v:-.::,.-,:z:,- . la New construction I El Demolition For speciatitylarmarion us e ekeekiLit • • -- • - • DescriptiOn .• i Qty. 1 Ea. 1 Total 0 Additioninfteration/replacement 0,Olitet:;. • New;1-j-family dwellings(includes 100ft.for each utility-connection) -'--?•:'::• 1::::42,•;:-';': ''''''' ':',•':1;.'''• tliieniiiis;-iiibil4g'.iiur&ini4±k-ki.NcL,'...;: ..-1-,.,---,,,It-• ' FR(1)bath • 312,70 :-?••:::-':- ::'4,,.'-. ...,,1::.C'•:11.7•','".:.-:;,.•.:-....,4-r.:-•...,..-,'.•.-•••-4.k.',., ...,,,::. '! . '- -''- .':'fq.'7Z"r:i;:',':;2F. SFR(2)bath 437:78 1-and 2-family dwelling 0 COrnmereiailindistrial • .:SFR(3)bath 51)0.32 0 Accessory building 0:Molti,fathily 0 Masteflitillder 0:Other:, - .Path additional hadukitchen. 25,62 . • Fire sprinkler( sq„ft) Page2 JO'''••317'.''''''''':';'4;'.:''''''''''.1?; iiiktiliAiiia*ie iliektiie.'1 ,-'''.';', 4,' ''- .'..t- • • .. - • • Sob site address: -LS'-i SAM sekfle, II ' - : Catclitiasitioearee drain - . Dryweli'leach ftne.,or trend)drain . 18.76 1111111111 CityiState/ZIR.Tigaid,OR 97224 . • • •- • . • , Footing drain,(no,linear ft.: ) • Page 2• ': Suite/bldg/apt fib.: 1 Project name:Polygon*BOB Mountain .... Manufactured home utilitreS'. 50,03 CrOsS,StreettclitectiOnS to-job site: : •Manlibles . . . 18,76 . _ • Rain drain convector 18.76 Sanitary seW,er(go,lineax11;- ) NMI Patte:2 - Storm sewer(no,linear.It ... .....„,_ . • . Water service(no.linear IL i ) i Page:2 Subdivision;Polygon at Bill1341euritalli • . Lottit.L; 21 Fixttire or item; . . . . Tax map/pared:pc.: Bad:flow pleyenter . 31,27 .1 ff,,,mr:;gr:,.;o.,r., .ffjigtijiif.ibif:di.,-ivtiitt,z ;(.6.:.:,,;;f.. ..-7 ::;.i.E.,-;:.,,,,-,z4t:• •,z,1 .r:!acioyatervaiye. 1251 -- Clothes washer . 2102 . . Bishwasfter 2102 . • Drinking fouritain 1101 1 • ' EjecterS/Stimp 7109 - I .l:.,:-.7.•. iiiikii.T.I,......iiiiii0 •.tin:,.-A:!•: ;..•Ii,:':7:'.tr lEf44.-&-i . :•.1..V.:::,.:;... Expansion tank 1 .Ii5l • : . . .1 , , ..,.. . „.„. :.. . Fixture/sewer cap - i 2107 Nome:Polygon 1;y0„1..1.-C • : Floor driiiti/floor sinkihnb 1 25:02 1 . Address::109 got 13th Street . • ::•• Garbage disposal j 25.02 I City/StatdZipt Vatteem%WA 98660- ' Rose bib • 25 02 Phone (360)695 7700 Fax.( ) ice inaker" 12.51 ..:,:,7,1;$••',:s4,4-7:14 --;•felii41 ,=!•isk-•::..',.1.311•wz:••,--%.0?ailittAti-tottsfoi-,.;,1,,,,-4:, interceptor/grease trap . 25,02 Medicalgas(value:$ . ) . Page?.„. .. Business name:Polygon Willi LLC -• -- . • - - Primer • 12.51 i •Contact name:AngolA.GrAiewiki - - . . ...:. . . Roof drain(commercial) 12.5.1 .. Address:109 East 13th Street .Si .. ,. . . . ... . . . .. nklbastritlavatory • 25.02 City/StatZP:Vancouver,IVA 98660 :Solar units(potable watery - 62.54 „ . Phone:(360)695-7700 j Fax.T(360)6934442 :.Tab/shower/shower pan 12.51 E-mail:ApgeloiOrajewskjapolygorthomesicoro : Urinal S02 '.. 4',•:,'•'.-*.,,,...''.'t-..,t,' W4krilit-vz..2.:„ ;7•4v.i,„7Arto: ..-. ,;Water closet • • 25,02 ,-.-:t.!e.••:,-....,44,,,,..1b,I,-,•-•:,.4:,iia.C,:t.:,:'' '''',7....-,r:N^ .1 ''',=. wAtet.heater : ,1 37,52 :.67.0 . ,,,,," Business name:B.DL PluMbittg:LLe W Address:PO Box 85 ..: :0t7ilateer.r PiPirili/DWV I 212029:. Stibtotat City/State/ZIP:Corbett OR 97019 • "Mond(503)'351,3903 Fax ( .• ) CCB Lie 180345 • Plumbing Lid nO.::1111582 • . . -. .• - • Minimum permit fee $72.50 • Plaifteviow 05%of mil*fee) State surcharge(12%of permit lee) .. Authorized signature.. ... Lisr140eZeo''.-- TOTAL PERMITFEE Print pante:,Itrotiden j.janter . ••Dap; 8/1(9 jc, 4 Thw permitP A pile lion expires if.1 permit is not obtained aithm 180 days . after ithas been accepted as e:otti•iete:. .. . "Feo methodology sot by DI-County Building IndPustry Senice Beard. EilitOldinikPormitstPLMUPerrnii,4pp.-doc it/eies ' 440,45167110/024COMMEB) Mechanical Permit Application FOR OFFICE USE ONLY E11City of Tigard '>t Received '" 13125 S W Hall Blvd.,Tigard,OR 9 2 l DateBy: ' ' � �� Permit No.: M�f-�! _���Si ' ' • . Phone: 503.718.2439 Fax: 503.598.1960 Plan Review ns ection Line: 503.639.4175 AUG2 2 2016 DDate/By: Other Permit: IH TIGARD p G ate Ready/By: Internet: www.tigard-or.gov Notified/Method: Supplemental Y Y Juris: H See Page for Information CITY OF "UA D _... _ v i a> E)i # f COl I 1: *TSE CRECEUST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and [iI_�3T yI� profit Value $lEGQRYOFCOSjCTflI ^ , ? 1tESIIV17LEQTS � � oltES -'`w }� d®1-and 2-family dwelling 0 CommercialJindustrial ❑Accessorybuilding For special information use checklist.❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total ;, flB SIS INFb� - T Al Ij LoCr1'I`or Heating/cooling: Job site address: (72_,S.-2- y n v' C` Air conditioning 46.75 U Je,�y)e. DR. 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.: '2:1Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 23 32 i JS.Cf#1FFJON vF Wo II Gas fireplace/insert 33.39 Flue vent for water heater or gas Change 2"furance for basement to Heat Pump fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chiai�,i ® ikifiaiiiii viiii Other: mer/flue/vent 23.32 /1' _ ... _...._. 723.32 r = 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 98660Single-duct exhaust(bathrooms, Phone:(360)695-7700 toilet compartments,utility rooms) 2332 Fax ( ) Attic%raw p ce fans is a 23.32 .f— . _ -WW; tb a+C+Oid#A;*gw Other: 23.32 Business name:Polygon WLH,LLC Fuel piping: Contact name:Angela Grajewski $14.15 for first four;$4.03 for each additional Furnace,etc. Address:109 East 13th Street Gas heat pump City/State/ZIP:Vancouver,WA 98660 Wall/suspended/unithexter Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace _ T • Range Angela.Grajewski@polygonhomes.com Barbecue ue = z .... 4: Tic* a ^ Tt '- avy Clothes dryer(gas) Business name:Apex Air LLCMitiOther: Address:18004 NE 72°d Ave `" 14 CHAIYIEA&1' R1Yf1S 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) CCB lie.:203034 State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name: .f g 4 I Date:8/22/16 I L1Building\Permits\MEC PemutApp 04016. oc f 440-4617T(11/02/COM/WEB) . , legliatileaf Permit.ApplicRECEIVED POR OFFICE[SE 0 1.V ..',Citv of Tigard Peanit No:, * 1 1 . .) 11 I ` ' ki SEP 2 0 2016 . 31,..5'‘3A I-a B yd., Dear,OR 97223 Dyaes,y,, Man Review . Mono: 503.73.2439 Fas: 5033983960 ilawalys Doha Permit; IAI T 1G-A R D. :17Pecilicall'ille:13°3'639.41:75 CITY OF-TIGARD -b ;4. . , - - - 7 0 ste pawl ror wul"Alue."'8Gv BUILDING DIVISION Nelifiedllethcd: Sltbilietbentat lotonnadon t '. Y •Yy : : • TYPE- ap., woRK . . ' .: CoaDVERCIAL•FEE'r SCHEDULE;-• ISE•CHECKLIST .. . T. , , . . Meehan:cal penult fees*are based on the value of the work tt.4.New constriletion_ El Additintilalterationfreplacement iterftirtacd,Indicate the value(rounded to the ocatcattletiar)of di o Demolition 0 Other mectonical matoids,encittaatint.lakit,overhead,cud profit Val:tic S . . . . '.- CATEGORY OF corksraucriorf-,.-r. '- • ;- : , ' --.- arsiDENTIAL Num-mist/sysTEms OCES* ... •.. Li.1-•end 2-family dwelling El annmoviallindesirinl 0 Accessoly building 1 Forspoiaitaforouttion ireSe Mee:44st " ' Z,I Multi-family IJ Master batter 0 Other I Description Qiy . , i4. 'Icatlog,Y' : • ' JOB SITE iNFORMATIQN AN61.0fATIPN . . '. .. . gicoolin ' - .T. .. . _.,4 rt... Air etablitionota 1 Job site address:: 5,k i sejiAl. 9,(- 45.7.5 1 i'''' . Fornaci 100.000 IITUIducts/Yelite) j ' 46:75 1,',. , 1 ., CityiStateMP:Tigard,OR 97224 . Flamm 100,000+Dili tdoetslyanti Statelbidgiapl no,: 1.Proiect name'Polygon at Doll Mountain ' Heal.pp I 61.0'6 . .- ' ' Duct-wart . 2332 Cross streetftliteetions to lob site: ttydrortie.hot water sty$tort — - . Residential hotter(radiator-or hydra/tin) 213:2 I I Unit IteateTs tibelYtypr:%uot electric) in-wadi,in-duet suspended,t4e. 46.75 . , PloeiVent tbr any of above 23.32 , , . other 2132 Subdon:Polygon of Bull Mountain I Lot no.: . OtItte fuel appitattees: Tax mapipartel no.; Water heater -P 23 3-3 I ..:: ..,... ... . ..:. : ... ,. .:. DEseitiolos:.oF lavogix ':.-. ' .. ' :y y. - Gas itrepiacelinsat 3139 I —TT----- iml7mMMMlMMMMMl.M.M.lM...MMMMMc niractor tharric Veer:mice few'water beater or gas- 39 , 2332 1 W _ 1 A , I • W1'(''as.1 2132 • 4.c U mi ..i ,e 33. , I . Wood firtadam'inaett , 2332 ' 1 CbannevilitoWilnelvent • . • 2132 .17f'PHOPiRTV,OliVNERY . • f ' 0-TENANT ' Other 2132 I Ftwittiumentat estanst and ventilation': - Name:Polygon WLY4 ILC I Ranee hood/other kitchen ..._— i cY oi meta I ' 3339 Address:10;East.13,th Stmt.' clothes Myer,exhaust 1 33,39 i ../ City/StatelZIP:Vancouver WA 9,8660 1 Single-duet e-'theils3(bathreeths.,, Li • I v" , toilet eclopentbettia,utility teems) 2132 i Phone:(360)69S-7700 . Pax:( ) 1 Attie,'Crtovi5 .•a fang 2332 :.:: : .. .:•:.• r. 'Y.:*t.c4- AP/iLicANTY:.:1'Y.,:iy "-Y •••' . . 0:cippiciA6i:iiejloS.,-,.--:' :.."Y* Other: 2332 i • Business mate:Polygon%TH.LLC Fad PiPillM; ,Z. . , $1-tiS for litst font-54,93 for 4:20 additional Contact name:A/vela Graitarski (*gam,ate ' 1 , , • Gas hex- Address:109 East 13th Street 'porno Walika endedhotit beater City/State/ZIP:Vancouver,WA 98660 . went-finnine, I itonc:(360)69S-7700 Fax::(360)6934442 ' : FirePlace : _ ., .. gnu v, Eilliii;Angth.Graikwski'h?.ptilygorthinnes.com Barbecue ..,..',...,:-:'. :,-' - ..:•.: .:.'... . . ..•. .CONTRACTQR . :--. . :- '.: .. •:, Ckthes d .'er(us: . 13tisiness name:Apex Alt LLC "kr: . , • '*" -. . : ,MEtRAMtALTERittir:Fiti*:.::. Addreas:',18044 NE 721°4 Aye .y S b il total City/StateZIP:Vancouver,WA 98686 Minimum peratit,14($900.9 .. I . . - Pica society(2.S%of North-fop i Phone:(3603424109 Fax (Ad)3244769 Srata_xuretange )2,1%tirpAllixit the) 1 _ CCB lie.;203034 • TOTAL Prituff EVE I iiiis peewit appRratina tspim irapeendtis no obtained within len llosalferitikaA beta/terepted as-complete, Authorind signatur- ..,. - *• Pet rnenuelalory.„.$ei by Tii-Coonty gnifding TndkrAr-Sk,./Vitt Demal IPrim xlartle ."-/4 e‘ -4,/ — j Date: 4,pi 14._ j _....... 1:ka.adi,y,p,,,,,,,,mut PetrikApp Nei Li,ckx, 444-11477 f i i,,e,2.442NiViin) 1, r 11111 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T c n R n Building Permit Review — Residential Building Permit #: '`-1,7,20/6 c .. Site Address: I c 2 S"L S Ui Se ,n e. 0'- Project Name: FoIv yon oo+ 8uli tittov ('ti.,n Lot #: L-1 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: nl€N i S c 12 7 Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No 1Z1 Yes, See River Terrace Review Addendum Attached Site Plan Elements: ?Three(3)copies of site plan -grEmisSite plan must be on 8-1/2"x 11"or 11 x 17"paper ting structures on site /Drawn to scale(standard architect or engineer scale) e) ?Footprint oore le elevatof ions structure(including decks)with fuushed North arrow �ISite address,project or subdivision name and lot number uht'locations(required for new,may apply for additions) information(name and phone number) Location of wells/septic systems [/Erosion control(including drainage-way protection,silt fence JZ1Lot dimensions and building setback dimensions /Lot area,building coverage area,percentage of coverage and design,location of catch basin,etc.) s impervious area(applicable if R-7,R-12,R-25&R-40) Ctreet names ?Street tree size,type and location ?Property corner elevations (2 foot contour lines if more than ❑Existing trees to be retained with drip line,and tree 4 foot differential) protection measures g Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): VIRequired: ❑ Yes,applicant was notified ❑ No Received: Public Facilities Improvement(PFI) Permit: ❑ yes ❑ No Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ yeS ❑ No,stop intake 0 Land Use Case#: S U U 20 I S - 0000 2e`1 Zoning: R_ 41: 5 y) Setbacks: Front 9 Q RearSide Landscape Requirement: % I rJJr Street Side S Garage Z p Lot Coverage Maximum: /'Building Height: Maximum Height gi Visual Clearance g Actual Height easements - ensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: CpnaillanS -i-D he in, t✓-4- prior -i-v is:avnc �► ..� o4- bvtl eQr'rn ii , d' n t!J Approved By Planning: n,A 0 A. 61 0 444,Revisions (after Building Submittal only) Date: 6 �, l ( .b Revision 1: ❑ Approved ❑ Not Approved Reviewer Date Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved I:lBuIlding\Forms\BIdgpe1nitRvw RES_0121I6.docx s Building Permit Submittal Original Submittal Date: W. 9//fe) Site Plans: # 3 Building Plans: # -3 Building Permit#: Enter building permit# above. Workflow Routing: Et-Planning engineering -Permit Coordinator i;1.--.Building Workflow Sign-off: 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. 'erBuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: A7.544-k)-1-54—s �j� /�� //� By Permit Technician: ' y�� _ Date: Amissamegimismksootasansepossausgressmassimsdesesameasras Engineering Review Slope at building pad: 8; 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 Date: ❑ NOT Approved by Engineering: Notes: Approved by Engineering: 'IL V Date: /frip--/Z)_ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: 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: p"-Yes CI N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A ire'OK to Issue Permit ai(K)ate: /l /a�/�Approved by Permit Coordinator: 1\Building\Forms\B1dgPennitRvw_RES_012116.docx s i City of Tigard ti COMMUNITY DEVELOPMENT DEPARTMENT i T River Terrace Building Permit Review Addendum Building ----,--",,,---,--,-;,--a----.,,,,„ Permit #: /'�S'Tzt1/7 -- 0-025.--7 Site Address: \ 5 2 S 2- S. kAi .ce lit Or Project Name: Po I. .o n 11.4- Boil M ov n#z,; Lot #: DI (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. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep 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. tV/ 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 ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Gable, hip or gambrel roof design ❑ 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 ❑ 500/o max. of street façade with 7 detailed design elements Notes: Approved By Planning: nil 0 '►'P'Y i c er_/l3 1( 0 r,I-eCi Date: 5/ 13 l t Co I BoildingFormsgidgperrmiRvw_RES_RT_031416.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15252 SW SEINE DR, TIGARD, OR, 97224 February 9, 2018 at 12:20:17 PM Record Type: Record ID: Residential - Master Permit MST2016-00254 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 80 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15252 SW SEINE DR, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00254 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Collected Moisture content acknowledgement form High efficiency lighting form Moisture barrier acknowledgement form PTCS air leakage test report Left C of 0 on the counter Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15252 SW SEINE DR, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00254 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15252 SW SEINE DR, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00254 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor