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Permit (177) III OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00257 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/17/2016 Parcel: 2S108DB03200 Jurisdiction: Tigard Site address: 15188 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: 30 Project: Polygon at Bull Mountain, Lot 30 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1591 sf Basement: 948 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4375 sf Value: $526,533.81 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4375 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 A Geotechnical report is required before the footing PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $36,932.53 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. lam' Issued By: i 1 Permittee Signature: el4iAPe—/Gj.¢ '7c`) 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 Application t d / 30 -� /0/42 Residential FOR OFFICE USE ONLY City of Tigard `""'EI ED DateBea r7 �� or", Permit No J� �� -e S7 III - v 13125 SW Hall Blvd.,Tigard,OR 97223 Q C PI Revie, / .� w Phone: 503.718.2439 Fax: 503.598.1960 MAY 1 $ 2016 Date/By: >a Other Perna-4)/U, Inspection Line: 503.639.4175 : ® See e Page 2W�Rfor .11GAkLI Internet: www.tigard-or.gov Notified/Metho / Supplemental Information 4-14' $'/V /E'amt�isiOi : i s CITY r j soTPE OP . ,d i " i . REQUIRED `/ Y2FA ,YUNV y ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the M 5 TEG Y OF S, D 3r i l work indicated on this application. E wk.. i ii Valuation: $523,500 c,) ( c-' 3 ® 1-and 2-family dwelling ❑Commercial/industrial Number of bedrooms: 4 ❑Accessory building ❑Multi-family ❑Master builder ❑Other: Number of bathrooms: '2:5s F , ' Total number of floors: -2:5--S 5 O S I' ©„, SIT7 :II CI�IIMMA 1 Al4 lC Ot ookii:N, A S , g Job site address: 15($$ SC_K) Se_ire r New dwelling area: 4375 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 679 square feet Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: 57 square feet ' g 3 c Cross street/directions to job site: Deck area: 114 p square feet)S Ci , Other structure area: square feet T 0 ,,„„iplmji4wpivipAgigaigai,, ,fie Subdivision:Polygon at Bull Mountain Lot no.: 33 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 i. enr� f rOP work indicated on this application. AIM Plan 17A-DI. Valuation: $ Existing building area: square feet New building area: square feet latil « FR OW.1 ER1 N 0 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: P.lI A T h 11 U ��hf�.❑ G i NTACT NPERSON' , I.,.I - : R �G,P ERMIT F S* u mo ` +, s i,; -�. i e_a i4 (ffease re tor, heti* ��„,. r �._' _ er eesc Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address: 109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax: :( ) r g a, PHOTOVOLTAIC SOLA PASSYSTEM FEES*_ , E-mail Angela.Grajewski a polygonhomes com 010 Commercial and residential prescriptive installation of qiAiliii y;w ;„L- t T 3 R la (1 _ roof-top mounted Photovoltaic Solar Panel System. Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:204238 _ 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. 'tint name:Angela Grajewski Date:5/2/16 *Fee methodology set by Tri-County Building Industry k Service Board. ding\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ' Mechanical Permit Application Folz orrice. ISE(Y\EN City of Tigard � DEew es PermitNo.: "r',17;20/6,-00,257 'Pliu 13125 SW Hall Blvd.,Tigard,OR 972 I M,', ' I Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: Date/By: l 1 ,,\k t) Inspection Line: 503.639.4175 MAY 8 2016 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF 31;AI.) TYPE.OF 00:01t th S' COMMERCLAL FEE* SCHEDULE-'USE CHECKLIST' ' Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value $ CATEGORY OF CONSTRUCTION wu.:•:NTTAL EQUIPMENT 1 SYSTEMS FEES ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. 0 Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION eating/coohng: H = Air conditioning 46.75 Job site address: be, S Lk) S• vi n� c Furnace 100,000 BTU(ducts/vents) F 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.: 30 other. 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 `''" Y . zR�y'.DEs.c u TOlu 1OF WORK a` iy „4 4 -K Gas fireplace/insert 3339 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 2332 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 , 4# Other 23.32 3 ROPER3NER N NAVT y ,•.-..,.- 3,T_, .'P,',, , . .,,„± ..., q, ._ �,.-;: Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:109 East 13th Street Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 ' ' ® PPLICe1 ii 9 6 4 5 -,GON'fA i�k:RSON Other. 2332 Pigj Business name:Polygon WLH,LLC Fuel piping: $14.15 for first four,$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski®polygonhomes.com Barbecue CONTRACTOR; Clothes dryer(gas) Business name:Apex Air LLC Other ,-, MEC$ANICALPE1 ITT FEES* Address:18004 NE 72nd Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 61a151/(731(Al days after it has been accepted as complete. Authorized signature: • Fee methodology set by TriCounty Building Industry Service Board Print name: i) , A r&1 e w Sid Date: 5t(0 I:\Building\Permits\MEC PermitApp_040113. 440-461. ( 7T(11/02/COM/WEB) , ECEIVED < tt y �i° � Ap tic ti E .n l curt(il Fit t.t 4r.()NIA City a f Tigard SEP 2 0 2016 Received _.' t ix/�ST /312 SWHall i3lb'd.,Tigard,OR 97223 Date/Br v / tNi /�i ee r 5J7 Phone,' 503.718.2439 Far503.59 y O F T I G AR D .Dale'Bvi Relined Permit g: Inspection Linn: 503,6394 175 intemet: 4vtrw,ti t'd-or..gtls: BUILDING iA��� a Notified/Method:od: r pgjemennallnformation ..:�T'P14OF - �,.RV11 1, 6 ii New constrt1Ction 0 AdditiO ittlteratiot replacewent Herm-,check all that apply(submit 2 acts of plans,uterus cbeelced): 0 ()Service or feeder 400 amps or more ®Sniffling over three ories. 0 Dem .t,ilon Other: where the available fault cumin Q Marinas end booty , _ iTEGQRV:OF:COl'ISTi31iCTIO'I _ .. - eseeeds 10,1100 amps at 150 volts or Cl Floating buildings. L4 I-and 2-Family dwelling 0 Commercial/industrial 0 Accessory building leas to second,or exceeds 14,000 O Commociettrat agricultural l+rTutiritily Master builderOther: amps fur all other installations. buildings. O Fire pump. U Installation of 150 RVA or i .877V- ltii1:s. 'lON Ai l.,i)C,ATrnrl • 0Emergooey system, lmgerseparately derived Job#: e Job site address] '0; C1 A f Stine VI r _ ❑Ad100II c mf new motor load of system. JI►r JVD v(i lQ0#3Farmtre: l3 A",'E .•t-2,,"1-3", is ity/StaterZlP:'Tigard,OR 97224 ©Siz or more residential units, Occupancy. ©Health-care facilities. C�Recreational vehicle s. LSupply voltage more than' mus na ( al j/ Raid � ` jOSzaid6 • ice or feeder 0amps or more, 600'mks f Cross street/directions to job site: ---.':''.1`.'"::1.. ..' Egg:$0100111X - 7..--1-• Description I tom. I Each I . Tata I = New residential single-or multi-family dwelling unit. Subdivision: r^ C Lot 4: 11 Includes attached garage. Tax map/parcel 1,000 sq,11.or less ( 168.54 4 —' 1- I1'T[+ClA7`0-Ei W0 Ea.add'l 500 sq,ft.or portion —1 33,92 1 �,,t I i l l Limited energy,residential 75,00 . 2 V v l/t V I V• ��IIA/1 l (with above sq.iii `y- �.�OFRo1' TY'Ems. .'.. 71:1.2.7j.-'1,r7,, : iTl 'IuA4 i .'::,-, -,.,,5,:-";y-7,:..-,..2,,,:,-., residential(with above sq.ft) 75.00 2 Limited ,ti Nance AD.VL Land Holdings,LLC Renewable Energy El See Page 2 Address:7600 E Doubletree Ranch Road Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 ' City/State/ZIP:Scottsdale,AZ 85258- 20I amps to 400 amps 133.56 2 Phone:(602)694-4031 I Fax:( ) Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,400 amps 301.04 2 intended for sale,lease,rent,or exchange,according.to ORS 447,449.670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature: ••• • Date: Temporary services or feeders installation,alteration,and/or - _ "''r$ Aii:itlCAN. �, .'D COtift* 1' ON reloa#ion Business name:William Lyon Homes,Inc. 200 amps 6r 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:%'ancouver,WA 98664 Branch circuits-new.alteration,or extension, empanel Phone:(360)695-7700 I Fax:;(360)693-4442 A.:Fee for branch circuits with above service or feeder fee, 7,42 2 Email:Angela.Grajewski@polygonhomes.com each branch circuit a B_Fee for branch circuits without ; t UIaAJ l� . • f ,.service or feeder fee,first Business name:alanteda electric branch circuit 56.18 2 Each�1 add'lbranch circuit. „ 2 Address;3415 ne 44th : 7:4' d / r Miscellaneous(service or feeder not iacladed) City/StateiZiP:saw 4#77r,//Atm j�jZ //4, 7-Z--!. Each manufactured or modular Phone:(50 )3I92192 Fax: dwelling service author feeder 67 84 . 2 t ) . . . Reconnect only 67.84 Email:solar d Y: II QiP.eoltl ] Pump or irrigation circle 67.84 2 CCB Lie.: 199188 l Electrical Lie,: c923 I Suprv.Lie.: y f 7LS Sign or outline lighting 67.842 Suprv.Electrician signature required: • Signal circuits)or limited-energy panel,alteration.or extension. F}See Page 2 Print name; t, � Date: 5721/// h additional inspection aver allowable in any'of the above- Authorized signature: Additional inspection(1 hrrnin) 66 35/hr' r Print name; _, � Date: Investigation(I hr min) 90,00'tie 1" urin,SagiPannitsIELC PsonitApp ELF&EttE.doc Rev L6.4717015 440-45i51{i 11051COM/WEB ... ' . Plumbing Permit Applicatin RECEIVED Building Fixtures Received Permit No./�� � �`1C1S"7 City of Tigard SAY $ 201b Plaji e: 1 1,1 . 13125 SR'Hall Blvd.,Tigard,OR 97223' Plan Review Other Permit No.: Phone: 503.718.2439 Fax: 503.5911960, t7atGBy: 2 for Inspection Line 503.639A175mill t Y1 F soy + t Date Readl�By Juris: I 0 see Page o T I \1 17 g l i l t l °'l a'% 9•,�r o - Nonfe l.'Method Supplemental Internet: mvw�ttgar�drVoryyQ�o� ��r fsyt �s i4 batt t o °^,i: a4r(f�' Axi'�+', 'iP tract r`C.: ` �. .:,f ,. .,. .};.•F' isr., t4 _.. ., Ys�c tit ._, . , _ Supp Information Demolition For special information use checklist to New construction 0 Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) j:0i M CAT$!�(11R74` �; �� � { SFR(I)bath 312.70 ... .. -...;., .. .::< . •... :. ...... ... -.. ... ..... .:. SFR(2)bath 437.78 IS t-and 2-family dwelling 0 Commercial/industrial SFR(3)bath + 500.32 ❑Accessory building ❑Multi-familc Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 r 3 . O! t Site utilities: t ,"- -�.. - Catch basin or area drain 18.76 Job site address: 1S I?;14isW �� e' Drvwell.leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Polygon at Bull Mountain I Lot no.: Fixture or item: Backflow preventer I I 31.27 Tax map/parcel no 12.51 y r t-.v�'ti -s v, t t�fl � "tai� -¢, �`+7 ""�I,`�,'tl'�7"`�'y7 Lit-��'+ ah` _ Backwater valve ..., „, `r- `.s,3 .. ` a zk6'r al `$ K,,,. , h".`.. ,,,`,A*: Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ..4 '""r (H Eu . E 'k3f+ •Y f1 •,4- Expansion tank 12.5 1 , b.., , _t. . P 'VX,.i . n • fifie -Fixture/sewer cap 25.02 Name:Polygon WLII,LLC Floor drain/floor sink/hub 25.02 Address:109 East 13'Street Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax ( ) Ice maker 12.51 0 oaNma4i7 ,yyc,,.�.. t•�m•.fri ,. _ ,ly..v�iltY' � #' SC''sW A - Interceptor/grease trap 25.02 i - . :4•fik��<.. ,ate,:-. ..cz e�, .s,_ Rt:S, + ut:Y4.,: S f- +� .3!• 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 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 Phone:(360)695-7700Urinal 25.02 E-mail:Angela.Grajewski@polygonbomes.com a. ; ��.. A . ; Water closet t tOt t 1c 4 1 � s*Mi rifA Y.tk-ti t ..w.- ? 25.02 j� vm-r:ag?E.rte�%-ist5nf h zi. . � x §.�a :,Ku J,, r_. water heater 37.52 Business name:BDL Plumbing LLc Water piping/DWV 56.29 Address:PO Box 85 Other: 25.02 Subtotal City/State/ZIP:Corbett OR 97019 Minimum permit fee: $72.50tl Phone:(503)351-3903 Fax:( ) Plan review (25%of permit fee) CCB Lie.: 180345 Plumbing Lie.no.:PB1.582 State surcharge(12%of permit fee) Authorized signature: �} - TOTAL PERMIT FEE �v` "^ I Date: 53 I I This permit application expires if a permit is not obtained within ISO days Print name:Brandon Latterr after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. I.nuildingiPermits\PL'"1U•PormitApp.dcx 10101i09 540•4616n 1 n02;COw1V2u) , 1 Plumbing Permit Application RECEIVED Building . .. . , . . . Building Fixtures AUG 16 2016 . - - • - - . City"f Tfiga.171., , •Received . .. . 13125 SW HAli Blvd Tioard.OR 97223 • ,:".,.. Phone:- 503,718.2439 Fax .503598. IN IVILDING DIV1,S1E44mr , otiwps..rinitux: Inspection Line: 503.6394175 'bate Re.aily,'13y: TIGARD - - • leis. I lil See Page 2 for Tiitetnet .www.tigard-or.gov CITY OF TIGAriLt'il5IralZ,-;iew Perialt-No.! Notified/Method: Supplemental Information . ...',-! :':7,. ..i - t.. ::- '0:.4* 0F.44fa gistew consirnetion i El BerriOlitino - - DescriptiOn .. I Qty. 1 Ea. I Teta] o Addition/alteration/replacement 1 I1,,0litc,„:;:: : Nc,,,,t4ilainiiy'--‘d:,:e51jlie.;::11:clitfilf61:dffelsaili:::::1;ft;.efO4thedfkehlis:utility4con.rietion) 6iiiaSiWiiitii*igiiiitairigYAoszY,•, ,1,34'7, 1,71=t' .8FR(1)bath . •- . 1-and 2-family dwelling0 Accessory building 0*stet builder - . . • 0 CianmerelailindUstrial SFR(2)ba 0,Mult1-farnity 0'0014:- . bath SFR(3)bath 500:32 • • 31270 437:78 - • .Each additional bathikitehen 25.:02 .. ..•. . Firesprinkler( sq.ft,). Page 2 Kiiikikiit*iiiiirtk*ii*iiiii...ecreiii6i.11N,.=;.,-,ff,--'4:4'2' Site utilities: . . . . .. Job site address:: 1 C-.)I B(6 SW Se '\e Ot . Catch-basin.Dr.area drain 18.:76 . arywaL leach:fine,or titmeli drain .106 . City/State/Z1P'.Tigaid,OR 97224 - •... . - Footing drain,(no,linear 0...:-. ). • Page 2 . • Suite/bldg./apt no Project name:Polygon*Bull Mountain . Manufactured home Militia. 50,03 Cross;Street/di/et:tient to-job site: ' ManhOles 18.76 1 - Rain drain connector 18.76.. Sanitary sewer 0.10.linear ft: ) Pare 2 . . „ • ,..:,,__________ • 'St6nn sewer(no,lincar.h.:.. . ) i Pagel 1 ... .... - . W.ater sere (no.linear IL; ) Page2 Subdivision;:Polygon.At Bull Mauritaiii • Lot ' . •,..,..3 D Fixture or Rem; • . . .. . . Backflow ptexenter 31,27 • Tax map/pared/W.: _ .. .. ,,:,,,yz:..,,,,-...7.*: ,-,INtr.,;,,,.; 7.,..,.,4.,r,i-.,........,,:r.e:•,.,--:. --_,,-.7....,-..,-...,,,,-. 4,:-.•, :,E.=:, .,,-,,,im,f;-,fily, Backwater valve 12.51 : . • . "...5_.4•01!50Tpo*p_t,Wqm7,. .,,,t,1.1 .::-:,,:i? :.° -i..:,.-. .-7.,::;..-!i57R .6106 es washer ... 1 .01 5 - - - Dishwasher 25.02 f • Drinkine fountain /5,01 . . 1 . . . .. - - , - • - EjectOrgiSump 25.09 . . . . . .... .r.:,-.!%.,,•;:fif:f:6 Jiiiiiii;O:•7..43.'**0:.•.-. .1.,;l.. r.:1.4siiiii4*.i,- ..,47,...;;,;;;..4., Expansion tank 1 12.51 Fixture/sewer cap • 1 Nome;PolygOn yptLLC . . •' • H Floor driiinfilonr.sinkhjh 25,02 I i Address 109 Last 13a Street . • ::-. Garbage disposal • I 25.02 Cit/Statellip:\aneouver,WA 98660 Bose bib 25.(12 ... Phone:040054706 FaX-',.4".. ) lee Maker • • ' 12,51 . 1 ._. .. ' . . ... : .: . ... .. .. .... ;„....„. :- .„,...-;.,...., 4. 2t: 6*ittr,-. 4.,j.t. :-•..i:11.4.1.: rz.ii%;! .:TiLt&tik-ekt*fiStiti,.;,;,... .;14, Interceptor/grease trap 25.02 Medidat gas(value:$ . - ) Page 2., • .flusiriess name;PolygonWilli 11,C .. . . Primer • 1.2.51. • ' I •Contact/lame:Angela.Oralewski • - - . . Roof drain.(commerpia4 12.61 .Addrss:.109 East 13th .. Street- Sialt:tbasintiayntiti 25.02 City/State,17111:-Vancouver,WA 98660 Solar: 'Unita(potable water) - 62..54 . . Phone:(360)695-7700 I fax:':'(340)693-4442 :.Tab/shower/shower pan , 12.51. E-mail;.. : Urinal . . .. . ... --,A,.;.-••,z .,....w,.-2i.:....i.;:1-4.,,,goa-..,-,,•,...,•,te:t,..ii":,,-..,,;' ,',,44EK.,,-,,r4V .71:,f,-,;', - i. ,'`YateP' 100 . .... . .,.- . . .....,:22.....55..,00.2 1Water heater3752 -• ..I 6 Business nameBBL Plum lung LLe water:pipinDwv 56.29 2• ) . 1 Address PO Box 85 • Other: ... 1 25.02 - - • i Ci /State/ZIP-Corbett OR 97019 • . 13 , $4t Phone (504)'451,3903 Fax ( .. ) „ . . „ • • . .. 1totat . • „Minimum permit fee $72.5.0..• . • CCB Lie.f 180345 • Plumbing Lie:no:::P111.582 • .. . .. - - Plan review (.2594 of permit fee) 1 State surcharge(12%of pp/Mg:the) , .. Authorized signature 11,2„...4...,.., -tokie.00.Z.,0.e.— TOTAL PERMIT FEE f., .. . . I This pe.rrait application.expires ifs permit la not ohtatned within 180 days , I Print name:,..BtandanliAnter 1.Date 8 llo /(0 , - r h been- • • .- — ... . 1 a ter it: as. accepted as complete.. ... , ... . 'Tee raelliodOlOgy i.t hyTrlConoty auliding:Industry sm‘vii:o Bo:aid, lqiuildinegrrnif4LMU‘Penali4ppA .cc toio1119 440-,46161-(ri),02/C,ONOVED) Mechanical Permit Application FOR OFFICE USE ONL1 Permit No.:1 ty gCI Received: t lr�/� � 2 ■ DateBy /�' 01- A`T aS 13125CiSW of HallTiBlvd.,ard Tigard,OR 97223 Plan Review 0Pg Phone: 503.718.2439 Fax: 503.598.1960, A U G 2 016 Date/By: Other Permit: TI GARD Inspection Line: 503.639.4175 Date Ready/By: Jurist Internet: www.tigard-or.gov �^. y yH See Page 2 for CITY OF y L- y! ;+{OAR Notified/Method: Supplemental Information >` - TYPE` -:- --- _ _ 3urn4utt'tAl k1Sr scatDT3)<.E DIStvHBCI $a' 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 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value $ _ ....- s:.: 7.'E'GO1 O CONSTRUGTJQl1T ,--: --- ,.I_..E ill' ® 1-and 2-family dwelling ❑Commercial/industriale li ..3 information u e checklist EES* 0 Accessory building For special injormalion use checklist 0 Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total _.JOB Sly CRilat.iON A1*7.t3GA fo Heating/cooling: Job site address: S1 sod i Air conditioning 46.75 v V e,,( ,� ®�, 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: Hydropic 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.: 30 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 rli kink'orb,1woti Gas fireplace/insert __. I 3339 Change 2nd furance for basement to Heat Pump 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/the/vent 23.32 fr0FROPERTIr�R `. TQVANk Other: 23.32 ._ - Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:109 East 13th Street equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone: ( ) Attic/crawlspace fans 23.32 Fax Y' ti � •ar�z`._> ` �� 4 ; _._ .'PZPatt GWS -. .Ti28A $' sr. _` 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/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace ela.Gra'ewski Range E-mail:An g J @polygonhomes.com 4 - iiCfl11�1 ' G . :''.4.4. 47{ .""- u Barbecue ,-4;.-'._. .a ., . , ,_ a t a nr Clothes dryer(gas) Business name:Apex Air LLC Other: l * SAI�TI I .i'EitiY11 ` Address:18004 NE 72nd Ave -- - Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 Plan review(25%of permit fee) 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: * Feemethodology set by Tri-County Building Industry Service Board Print name: 4,LØr 4,340(.../IL, I Date:8/22/16 I I:1BuildingTemilts\MEC PemritApp 0401oc 440-4617T(11/02/COM/WEB) Niecitattical Permit.ApplicatRE.CEIVED ,,,R,,ITICE:i SE or .. , - .. , ,, : .. ,,, . -:.titY of Tigard fUy:e"14 Penn:it ite:, ...,,,,.. *: 13125 SW Han Blvd,,Tigard,Ott 97223 SEP 2 0 2016 IN Mannar Piste:Review ' 11' /Stone: 503.71$1439 Fax: 501598.1960 kki, ,,remit: Iltitethy.: . jfw090lien 1..drie:„ m3,09.4175 CITY OF TIGARD _ teR„..443, . . . .4.,,..i.„ ...0 Ser.Page 2 tor , . 'Internet: www.tinard,or.gol BUILDING DIVIS. 10 -14,Dlicar,mt,th..ad: thJ.1.1pIementat information . .... . ,. . - . TYPE OF WORK - - • - -- :' COMMEltel-91., FEE'SCTIEDIYIX;-, ESECIIECKLIST. „_., Mechanical permit Res*are based on the value of the iter New coristruction Li Additionialtenationfroolneement .peritinned.Indicate the value(rounded to the ritammt.dollat)of all 0 Demolition 0 Other . mechanical malerials...t. if men" flbor.ovratmd,.nod 4.. fit. Value;8 CATEGORY OF CONSTRUCTION::',.-.: - ..,. .... - - RESIDENTEACEQUIPMENT,SYSTEMS FEES* 1 - '• ' ID i-mid 2-fainily dwelling 0 Commoreiallindustrial CI Aecessoly buntline For speeiill ii7formation 1,ne chealiq r: Multi-catniiy Q Master builder 0 Other I Dmription . Qh.% e Ea. ranal ... . ---. ,.... . .-..! ..• .-: • . . Dratinalcooling* - -- - JOB SITE INFORMATION AND:LOCATION - . ' , . . .. . ,Air amuStiorting , 46,75 1 - ,71 Job site address; 15 I ae, 5 w 56 vi.e, tx. ..,....,100,00:ertifdittWiwitt) 1 ' 46,7S . ./ City/Sta1eraP;:Tigard,OR 97224 Furanee 100,000+BTU'idnearnated: - .54,91 fleet pump 1 . Suite/bldg./apt.ou;: Proon iect ne .;Polygon at Ruff Aleuntnt e D .3„.3.,1- -6 1 uet-work Crtus$treeb,tlifectionc to Joh site: 11.4ronie hot water aystem IMIII Reshiential boiler(radiant or liyilmnie) - 2132 .............. , _ - , Unit healers(rnebiya;not electric), in-svalt 111-duer,suspended.etc. ; 46,25 . fluekent for rine of above L .23,32 • Other • 23 U Stibdivision::Polygon at Bull Mountain Lot no,: A fuel appliatioese Tax otapipared no.; Water heater 2332 • ' . ' ••'' - - ' - .- - . • -• DE.SCRIPTION OF WORK - • 044$ISIMP4Wfilnell ' 31.39 u•''...- . ' . 4 ' Flue vent fly water heater ot sas Contrarily- char/6 _ x,re..... ' . 23-12 1 . Loa Ilk:fuer gas) . 21.32 e/ - - Wood's::.let etow ' 3339 1 : Woad firenlaceinaelt . 2332 : Chintrteyainevilluerceot 2112 ....."*.F1O0itirk.'.:O*NEA:::- . : .1.: : .' • . d;i-EANT : . . Other 2132 Environmental exhaust and ventilation: - Name;Polygon W114 LLC Ranee hood other kitcI hen .....„........,...... . . . -- i ' kii meet 3339 Address:109 East 13,th Street 1 Clothes;doer exhaust 1 : 33.39 i City/Sinful:Z-0:Vancouver,WA 98660 i 1 Simla-dna exharts.1th (barooms - ' 1 s/ toilet Compannents,utility roams) Li ' 2332 Phone:(360169$-7700 Fax:( ) Attkicrawb •ce fens 2137 i 4.14,06,10',;::--..: ..'•r: '.' ' C.c0AfAci.::itRO:s.;:-. .':-- :. . Other 1 2132. . Fuel pining: Business name:Polygnn WIAL LW „„ . 3143S list not:foor;SIM for esett additional Contact name:Angela Grajewski Fortran&And, i I ; Address:109 East 13th Street ; Gas heat pump , I warsti ,codedlutiit beater City/StatmtP:Vancouver,WA 98660 Water heater ..11 , Mom:(360)69S-7700 ; Fax::(360)693-4442 • FCC Range !____ E-mail:Angela.(rajewskiltptilygonhomes.coin Barbecue MB ..':::.,..,.-:'.: .,1':::-... '.-•.. :: ::' , ;' CONTR4C*0R . -. ' : - :f - • Clothes drier kaha- 111111111111 fatalness name:Apex Air LLC : Other '• •r- ,MECILANICAL PERMIT:FEE:4'f:--:''• Addiess.'.18004 NE 72"Ave Subtotal I City/StateZiP:Vancouver,WA 98686 Minimum parnitrfec($90X) - 1 " Flan trview(2304 etf*mit the) 1 nom;(360)3424109 Fax:(360)326-1169 i SWV-StirchaTgt 02%Of pmfit fee) I CCB fie:203034 TOTAL PERMIT FEE I ' Ma penult anntleattert onion tfa retfi#1 f$Wit 41113411 ed 4Viiiiin tan 4eYs efterir has hero opted as earnidere Authorized sipat I-• -,t Fee moillogalogy tea b Tii-COIN*61trdinp,rndkliztry SerVice Beard 1 Printrintrieri a,k :.; I Date: 4,il.it,.., 4:41,-„ad..,,p.,?,,eNIFC_P-otrizApp tel aa 4ml .4te....t,t7.1"i:'i.1, ',..,,,eaktriVilt:i I. IICity of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T r c n �n Building Permit Review — Residential Building Permit #: S r-,;)-0/6 <- .670..2-.57 Site Address: 151 g ir8 S\At Skin.¢., 0 r. Project Name: po I ij y on 01+ 13 11 til e v ni-cl i e1 Lot #: ?-p (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N Q A) S 1- 12 Verify site address/suite# exists and active in permit system. Z River Terrace Neighborhood: ❑ No Vi Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan -misting structures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished /,(Drawn to scale (standard architect or engineer scale) floor elevations }CJNorth arrow tility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number Location of wells/septic systems grApplicant information(name and phone number) /Erosion control(including drainage-way protection, silt fence Lot dimensions and building setback dimensions design,location of catch basin,etc.) %Lot area,building coverage area,percentage of coverage and {2 treet 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 ❑rxtsting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): �( WRequired: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified E No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: S U g 20 l S - 00002_ 2.1 Zoning: R- 1. 5 Setbacks: Front 2.0 Rear f 5 Side 5 Street Side 1 S Garage Z,O /Landscape Requirement: 7 Lot Coverage Maximum: ^___- Building Height: Maximum Height 20 Actual Height >0 4 Visual Clearance 'Et-Easements $tensitive Lands: ❑ Yes ❑ No Type ZUrban Forestry Plan Li Conditions "Met"prior to issuance of building permit Notes: Cpnai -ions -}„ be r ek- prior to ISsvc1nLt OG- buil4.,; nc� Permi-F Approved By Planning: M Jf)1Z 2t ( lI n Le:444. Date: 5/ 19 / 1 to 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\BldgPennitRvw RES 012116.docx Y Building Permit Submittal Original Submittal Date: .1�f/flc, Site Plans: # 3 Building Plans: # 9 Building Permit#: B'Enter building permit#above. Workflow Routing: 1 --"Planning Engineering B—Permit Coordinator Building Workflow Sign-off: 8'"Sign-off for Planning(include notes from planning review) Route Application Documents: fr Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. , Notes: By Permit Technician: s U--.Tx_._ Date: 6/27///Cn Engineering Review fr Slope at building pad: i‘/D 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: /IL Date: ( —k ''2 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: 'S,DC Fees Entered: Wash Co Trans Dev Tax: Ni-"les ❑ N/A Tigard Trans SDC: ::Yes ❑ N/A Parks SDC: es ❑ N/A OK to Issue Permit /(P Approved by Permit Coordinator: Date: )///a/ _ 1:\Building\Fonns\BldgPefnitRvw_RES_012116.docx r 1111111 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARDRiver Terrace Building Permit Review Addendum �`h' . , Nti . .. Building Permit #: ..._. .:.: Site Address: S (g 53 S w 'e ifil. Cor. Project Name: Po I o' ci+- 1301 11 M ov ri•t i; Lot #: 31:) (Ncw 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. 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 Entrance opens to a porch: ❑ Yes ❑No or open onto porch 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 ❑ Roof eave min. 12 inch projection ❑ Dormer min. 4 ft.wide ❑ 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 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft. wide by 2 ft. deep ❑ 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: 0 '►�'1, C-e,L7'3 1( D ct.e G til Date: 5/ 19 / ! Co 1rBuilding FormslBldgPermitRyv_RES_R7_031416.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15188 SW SEINE DR, TIGARD, OR, 97224 September 20, 2017 at 8:07:37 AM Record Type: Record ID: Residential - Master Permit MST2016-00257 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Inspection cancelled by contractor, not ready for inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15188 SW SEINE DR, TIGARD, OR, 97224 September 20, 2017 at 8:13:02 AM Record Type: Record ID: Residential - Master Permit MST2016-00257 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Inspection cancelled by contractor, not ready for inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15188 SW SEINE DR, TIGARD, OR, 97224 September 20, 2017 at 8:09:10 AM Record Type: Record ID: Residential - Master Permit MST2016-00257 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Inspection cancelled by contractor, not ready for inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15188 SW SEINE DR, TIGARD, OR, 97224 September 22, 2017 at 10:59:10 AM Record Type: Record ID: Residential - Master Permit MST2016-00257 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Shower doors taped shut, no access for inspection. Water closets taped up marked do not use, no access for inspection. Re call final with access to test all plumbing, no further inspection done. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15188 SW SEINE DR, TIGARD, OR, 97224 September 22, 2017 at 10:59:50 AM Record Type: Record ID: Residential - Master Permit MST2016-00257 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Check penetrations in mechanical room ceiling, insulation falling into hub drain. Range not installed, gas line to appliance not protected from damage. Not ready for final inspection, work not complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15188 SW SEINE DR, TIGARD, OR, 97224 September 22, 2017 at 1 :41 :02 PM Record Type: Record ID: Residential - Master Permit MST2016-00257 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Protect exposed Romex in basement at fished wire. 334.15(B) Fix gap at outlet in front den. 314.21 Appears to be no power at top half of switched plugs in master. No ac installed at this time. All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15188 SW SEINE DR, TIGARD, OR, 97224 September 27, 2017 at 11 :24:26 AM Record Type: Record ID: Residential - Master Permit MST2016-00257 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. No A/C installed at this time Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15188 SW SEINE DR, TIGARD, OR, 97224 September 27, 2017 at 11 :20:44 AM Record Type: Record ID: Residential - Master Permit MST2016-00257 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 70 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15188 SW SEINE DR, TIGARD, OR, 97224 October 6, 2017 at 11 :52:40 AM Record Type: Record ID: Residential - Master Permit MST2016-00257 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Corrections as noted on previous inspection complete. No ac installed at this time. Street tree certification received. Moisture content form received. Vapor barrier form received. High efficiency lighting form received. Insulation certification checked. Blower door test report received. C of 0 left on site with approved plans. Violation Summary: Inspector Contractor