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Permit 111111 n CITY OF TIGARD MASTER PERMIT 2 ' COMMUNITY DEVELOPMENT • Permit#: MST2016-00077 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ®� �� Date Issued: 04/28/2016 Parcel: 2S1080001505 Jurisdiction: Tigard Site address: 15284 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 69 Project Description: New SF. 6/14/2016: Reduce bathrooms from 4 to 3. 8/25/16:Add heat pump in basement. 10/21/2016:Add A/C and 2nd water heater. 4/11/2017: Add 4th bathroom. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1518 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 2144 sf Garage: 739 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4488 sf Value: $542,166.44 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 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 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]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 4488 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: $37,675.06 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 0,- 9�-.'1-009'. 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: 1 Permittee Signature: (l// G= ¢%7Q Al 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 1111 at • Transmittal Letter e T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEWED: DEPT: BUILDING DIVISION HECEI V ED APR 06 2017 FROM: Angela Grajewski BUCITY ILDING IGDIVD N COMPANY: Polygon Northwest PHONE: 971-212-2144 BY ode2/ RE: up)ihrtftes Lckf1e., NtS 1V—oc)o-l (Site Address) (Permit Number) Polygon at Bull Mountain lot Loci (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: : 3escri '' : .:. c p es _ Descr ption . 3 Additional set(s) of plans. L44k 0 Revisions: 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. _ 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. Adding Additional Bathroom . FOR Off`" ... USE ONLY. Routed to Permit Technician: Date: 14. - j — j-7 Initials: .9 Fees Due [ Yes ❑No Fee Description: Amount Due: Ah v 'i r�,./ $ �r P1 ,�= — $ /s. f •ibd c E}c/ -eL5% $ c-�.. , 3 Special � `� /L`"�t� /°Z-r.7 C! Instructions: /2- 9,5 /LlCL. _ Reprint Permit(per PE): IN Yes ❑ No Done 1 Applicant Notified: /Q-i -&. ,'� ate: �/ �/ '7 Initials•. I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD r MASTER PERMIT • COMMUNITY DEVELOPMENT rie 'L 4117Y Permit#: MST2016-00077 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 251080001505 Jurisdiction: Tigard Site address: 15284 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 69 Project Description: New SF. 6/14/2016: Reduce bathrooms from 4 to 3.8/25/16:Add heat pump in basement. 10/21/2016:Add NC and 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1518 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2144 sf Garage: 739 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4488 sf Value: $542,166.44 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 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!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 4488 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: $37,440.91 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 throug •AR• 401-0090. 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: Permittee Signature: `� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. , anica :Perm itA pplicala ECEIV ED . [DFLI . . . R OFE 1.SE % M. ch ONE........ . ......... . . - - :-Eitv of Tigard 1:,.,,t; k ;2://6,,''' .4i.i,TA----.1'„2tH)Z::::ie-,e; ;y - •.••% .131ii sw 1,4,11 Rpm mum olt 0-7-sA3 SEP 2 0 Z016 111 otherIN-a•enit, ,,.., .;;- ' -Mono 503.11&24a9,Fax: 503.598„1/61... „. ... . T I GA R ta anie: 803.619A 175 U Pt(OF TIGARD D3WilY: thee Readyitty hog- ..El Sae Page 2 rot ., , ; linemen wiyir,tigarelor,gov BUILDING DIVISION WatifieWhiathael Supplementat Intartnation :- ;`. ,.'. '.' ' - :- - ;;; ; •-:. TYPE OF.WORK.-:!:.• :.,:.: . ''.. ,... . ..., : .:.•:.••.•!'.:, A--,::!...' ..._ ,"..1.,:k., , ,•':,--, - • I OM. , Mechanical permit ti..vs*are based on the value of the work New coliSiructi011 0 Additionialteratioalreptacelnera ' wortinned.„lodieste the vehM(tounded to the togrestelatio)of all 0 Demolition 0 Other - mechanical materials-v.a*mon,labor,oivimait.anti MIL ; - ::,:.: ::::- .:., , _ •:.--: :: rATEGOR1pF7 comptuermy -. , .:: :, .RESIDENTIAESOUIPilENTISYSTEMS iEES, . , 0 I..,and 24amily dwelling 0 Coratnereialiindnstrial 0 Accessory building For vedilt injiirmation 100 cher:Alin ID Multi-candly 0'Master builder 0 OtherI Deseription • /1; tba kot lin,,. ,I08•SITE INFORMATION.AND-EOfATION.: . . 213MENIIIIIIIIIIMIIIIIIrS1/1.-....71 • • , Job site addrws. cm' fa 0.id: LC Formoi;100 000.13Illteinvoiivie0 1111111111111Mkumm City/StaterZIP:Tiprd,OR 97224 Furnace I lIOSIO0'BTU tdoctVventei' rein= rtrjnllMIIIMIIIM : 61,06 i . ' • Stateildrigiapt,no.: Project name:Polygon at Rail Mountain ' 11.111111111111 . Duct work , Cross strooltdireetiotts to lob site: - tis4dreare'' hot.water system Residential boiler(radiator or • /II livdronial . 23,32 - - . Una beaters(Illef4)*1191 elockic), III , .in-wall,in-duct sus. ,,dee,ere, . . 46,25 II.1 MacNeill for ane of above - .. : Other - 23,32 Subdivision:Pol : ygon atilull-Mountain Lot no,: i • .4. er fuel* .ilitumn. Tax mapiparcel no.: Water heater. . 4!,''.Aial1Urg1Ir- ;':. '.: .::.::. .':.•: .. .•':,'' :::1 DESCRIPTION OF RrAi-frrs/m•Npfig—giil/owpmlnsissi _ ilpillI*oIli*IlIl.i','. llIl...I'll'i'' MLillig•N4liI4g0IhM0ter(nasiE WaiilirilifirttMoe vent kir waer b1111oaer10?1a1a11settml1111111111111111,:1': 22.321.3312 2 11 „Wweedi:;:-„let skive :4339 1 IIIIIIIIIIIIIIIIIEITAIIIIIIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII W99-0 ill-•loceiostlt alummt .-1 11111111111111111111111111111111111111111.1111m alimamlia"fflitem# anntiomm . mulnimion :. .,-,..ino.....„11,..w.N.A: , 1:1 TENANT - '.-'' "her: . . . Eilvironmental exhaust and ventilation:. - Name:Polygon W1,14 1.4,C i Range hooliother kitchen ..._-..—, .„ . I t; tp tri 01 1 ..._ I ' 33.39 Address;109 East re Street I Clothes dwer exh0 IR33,39 CityrStrae/ZW Vancouver,WA 18160 i Sitigiviluct-odiarist(bathrooms, unto vom.-.rervats.,•utility warisi 2332 -. . Phone:(360)6984700 Fax:1 I •Auicterawls •cc fans la 23.32. . .1S1 ,AlPEI081.44. 1:.',::-;-:::-''''.. :- ':''' . .':p:opitiiitilso$':.:-::.'i;;:.-;,:.:,;: 'Other: azrams Business name:Polygon%TR,UC Fuel '.'f ill:141-J 5 rot fitst.faur;$443 far glitila:4trakinal Contact name:Angela Grajorski : ,:11211M111111111111111111.1111a1 .111.111111111111 .no ratiallill Addressy 100 East 13th Street : : Oettival : '`,,,.., • ],e.neivilitititt heater , ........ .M11111111............ (NtyiState/ZiP:Vancouver,WA 98660 -r7Water heater _-_' inummilm Phone (360 6954100 fax '.:(3606934441 ; ] Fire boy .111111111111111111111111 • . . , „ E-mail:Angeta,Grajtirskr4olnonbinntatom - Barbwoo ::' ';,-'; •''-:' '•- : ]: :-] - - -EONTRACrOk 5;- . . •,: . '. - : . . Clothes d en:aas- . IIIIIIIIIIMIMIIIIII i..13 tisinvss na'..Me:A-palt. 1,W. . ' ' . . 12211.111111111111111.111111 - : .:,'.: ,w4-114,,jeAL•tE1611***Eg','•-•:. ': .j.': ,.•.-••• Addresai 180414 NE 72'4 AT.t. Subtotal 1111111.111 City/StateiZIR Yaneanyer,WA 986B Minittann ovarnit:fve 09000 Matt Devito,(25%of neratiribe Phone:060342-8169 I (360)3264169 State suivharo(12%anomie fee) I . - - • CCS lit..:'203034 *TOTAL PERMIT TEE This permit applimilun affirm 11s&mit is not:owned within litn daysAtrithas beeg:aertniell.as vimplete, Authorized signature: ,i. -:- - ('' ettetliaaaktgy set W,Tri.Couatelioriding industiy Waite Bawd Print name:-• j4/\ ,. .. IDa- ,te. • , 4PI..i 4- —I .,...... raod ,0.11Aty4t00110404 1.3,dw. 40.4w7T.!i IAKVCIIki,'Weri, t $t'ICa ,,rt't`i il' kc _ EC�EI d t ORfli P[{ C t SU_ti\t.\ Tigard /Rate.$ / .0v /(, '-Al Petmrt- - '/.9076*--©dd I 13125 SW SWI 131vd.,Tigard,OR 9772 EP 2 0 2016 Plan 1teviiF Phone: 503.,118,2439 Pat, 503,595.1 Date>B Related Permitil Inspection Line: 503,639,4175 (,I OF-�IGR► a t etc Y: t5'agr3 for Ititeruet: ro'w'er rigid-or gos° ■ i ' a lntit3edt 1 thud' Supplemental Information BRA i _ New construction 0 Additiontalterationireplacement Please check all that apply(submit 2 sets of plates sv,iiotna checked): DemolitionDService or feeder 400 amps or more D Building over three stories. 0 Other: where the:avaifsb.e:_faalt;no Lid El Clarions and boatyards, y j,TECOR'. F_CtiK R1J Q' ._ •. _ esteeds 10,000 amps at 150 volas or Unmansbuildings, ►;a 1-and 2-family dwelling 0 Commercialttndustrial 0 Accessory building testo mond,or exceeds l4,000 0Commercial•use agricultural El amps for nil other installations. buildings. ElMulti-family 0 Master builder 0 Other: DFire pump. 13jnstnflation of 150 KVA or JO = lit I O 1ATION AND LOCATION. .. DFanergencv system, larger separately derived Job#: . Job site addressiS2$l.I 5w 1, 'o_►t s �� Q 1 OHP.n of new motor load of "A".system vvv L 10011P or more. D A".-2".1-27,"i.3", • ©Sit or more residential units, occupancy. City,'StatetZlOR 97224 P:Tigard, ._ ©Iiealtit-care facilities. 0 Recreational vehicle parks. Suite/bld a t.#: Project aame: � 1, ' J1,.- ��n Ia ��� a flaxardo�4s location. Supply voltage for.ore than 1 l� V l b 1' G1j'dd D Serest or feeder 500 amps ar more; 600 volts nominal., Cross street/directions to job site: F` .SC EDULE ; . .. 0caeripnon I (Div. 1 Exch r To. r_ New residential single-or multi-family dwelling unit. Subdivision:yalicion 64--V ' a iurtC _A, Lot#: ,OF Includes attached garage. Tax map/parcel# 1,000 sq,n,or less I 168,54 4 '° + /y;D/ CZ fOA7 t�F.W i) "_ Ea,add'1500 sq:ft or portion g 33"92 1 V V��t ic, CIAOW* . Limited energy,residential 75.110 2 (with above sq.ft.) Limited energy,multi-family A._:"44,5:?, :27. residential(with above sq.ft) 75.00 2 Nattte;.AD L Land Holdings,LLC Renewable Energy 13 See Page 2 Address7600 E Doubletree Ranch Road. Services or feeders installation,alteration,anchor 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 Fax':( I. Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation i5 being made on property that I own which is hot 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 � AIaPi,7�!llt!17'-" - - _,,Er L't))�t'TAC':I`.1'E1t5+137�T -, reface#Ion Business name:William Lyon Homes,inc. 200 amps Or less 59.36 I Contact name:Angela Grajewski 201 ampII s to 400 snips 125.08 2 Address:109 East 13th Street 401 amps to 599 amps I68.54 2 City/State/ZIP:Vancouver,WA 98660 .. . '. Branch circuits-new.attention,or extension, er panel Phone:(360)695-7700 i Fax'::(360)693-4442 A..Fee for branch circuits with above service or feeder fee, Email:Angela.Grajewski®polygonhoines.coni each branch circuit uit 7¢` -- B.Fee for or branchfer circuitsfee without ' 's Cfl.I±1TltA ,:::,-,:::±•;, serviceeedfirst Business name:alameda electric branch circuit S6.i8 II 2 Each add'i branch circuit. 7,42 Addrtess:3915 ne 44th Miscellaneous(service or feeder not included) City/Sta1CIZIP:Sale Pr-,1 ia,, /,ia /4f 2 -„i3 Each manufactured or modular .. dwelling,service ander feeder 67.84 2 Phone:(503)3192193 I Pax:( ) Reconnect only 57.84 - : 2' Email:solatpdx@taie.cont . Pump or irrigation circle 67.,84 ; ? CCB Lie.: 199188 i Electrical Lie,: c923 Slimy.Lie.: 9,(7/.5 Signor outline lighting 67.84 2 Suprv,Electrician signature,required: • 'signal ctrcuigs)or limited-energ Print name; lLi/L /20,,,,,C JDam' rfj//j Panel alteration,or extension. D ,fa e Each additional inspection over allatvablein aril'ofthe aba+t Additional inspection<1 hr min) ' 25i hr ` , Authorized signature: Print name; ./. .....-- ..„71 -,---''' ! ^^�- "/ .3 Investigation{d hr min) 1 9000 lir r Dates" II t:aiat.th parsileatc_eisaittappiadit,,�ER£.dac Rn ce'ivzets .40-46t5TO1105JCQS.n Es - Plumbing Permit Application Building Fixtures FOR OFFICE 1 SE O1.1 City-Of Tigarcl ere t ,,, c. Pe aiLt-7 'Oatellb,f /4X25//42 41.571---- 11-7* j :020/6 -029'7 7 131/5 SW Hall Blvd Ti ,o ° .ard OR 97223'..-", , ,' e• i Plaulleview• • r Phone ;03 718 2419. Fax 503:598.1068 ,-: • • , Other Peralit'No.: Inspection;One! 503.639:4175 ,,,..,j::' '',1 't 3:: -. • , 3.. '_ I TIGARD Date Ready/By: twit. Eil See Page 2 for Internet wtvw.tigirel4or.gov. . 3; f.;; .:'• :,-, :-. 7:--•' '.'•'-" ''•'. Notified/Method: Supplemental Infitrinatioit . • ,:;:.4:•$::14 =.,.;:41,1F.;:0:•••72,#:••,:: :.•.•::-:,;;-• 1 ..-.Qt.-livf,:mt,,,,,::4;g.,-,iy.::.-,..-47, ,--..i.,4::;..1-j -i.;.::,-,:-,-`.4:,?:':,,, $1-4,-.•,:.'-i.:-:,-.P.,:::--.!,',:-4E.C*,'.:kititailiii.:::;t7,-='.:!.1,7:4:-'7 '',':',1:: -'''''•...' , I For special-Mformation use clieeklist 0:New construction El Derrialiiien DeseriOnbn 'Qty. I Ea. I Tot& El Additionfaiteration/replacement 0 0.61-ey:; Ncw 1-.1*-1.turilly dwellings(includes 108 ft for each utility connection) „ .. .. OURGORVOr tONSTRUCT,10W'.,:1T,i,--,,,..:..-',, •,et,,.,,•:.,--11,, SFR(1)bath 312.70 Eg. i-and 2- tnlydelling 0 Commeallindisttial SFR(2) ath and • 457.18.. . . - -• ' .•SFR(3)bath . . ... 500:32 o Accessory blinding Eimpity-flutiity - Each additional bath/kitchen 25::02 ' 0 Masterbuilder El'Otber.:. . . Fire sprinkler( . sth ft,) .Ragcl.2 ;''''''!1".:7;:;;49•31:;-:.::*'-":411:1411;A:#-:*#*•4:.:1::*,'•.:- -4:1411)::: ::'1-9PATK01'4w,:;.s; -:- ;4-:: Site nolities; Job site address: i• -2.A31- 5\k). -Thanes Lcvric . Catch basin:or iii-ea drain 1.8,76; DryWell;:leach line,or trench dtdiff. . l g.76. City/State/ZIP.Tigatd.OR 97224 - , Footing drain(no,linear rt;,:, I Page 2 , Saite/bIdgiapt.no.: Project name:Polygon at B011 Mountain : iManufactined home utilities'. 5a 03 .... . . • Cft4s: eetldit9diOn to job site: . Manholes 18.76 . ... Rain-drain connector 18.76 . ,.. .. . . .... -' • • • Sanitary sewer(no.linear fl..: ) Page 2 . . .. . . • .'•Stfirtrt sewer(no.linear.11.-:._ ) I. Ne 2 Water ser ice(rte.linear IL; ) I Page 2 Subdivision;Polygon:it Bull Mountain ' -Let int.;(J9 Fixture or item • ---- - . Tax map/parcel no.: Bacitflow prevent& . .. ... ...1 31,27 : . . . ....,.. ' , WORK-i-k121P&14OPHz , -:'.:;,(K ,1571:::.gf:-.7,,. .: 10',1 Backwater Y-Ye . 3 12'11 . . i:-,,-;;;.''''.''',K-!1?:'-,-!::j•c'-r•.Yi--'!-'••••'.-•;?:-:-.414 :-.-3-7,,-z- .,..4.s• 7,•••:•.•-•-.:-: . -''., iilothes washer 25.02 /419-767.- 64,17-e-77-C-7Z— .. Dishwasher25.02 . .. . . Drinking:NMI:du 25.02 . . . . .. Ejectors/Sump 25.02 i -Ti!:6:****:::: -:1-Wi7,„:far...',i.i..:t't7E4/40Tlit.itr-.:: ,:i::,,,;::,.i. E?Tallmn.tank 1151 : Fixture/seer cap, ' 75,07 • Name;Polyp*1:111.41,,LLC ' . . - • • Floor.drairtifiner.sinkthab _ . 25:02 .i Address::11)9 East 13th Street . • ::-. : Garbage. dis,posal . 1 '5,62 1 • • ., Cit /Statellip:Vanettuver,WA 98660 Hose bib . .. . Phone:(300095-7706 • Fax ( ) lee Maker ' 1151 ' I 1 - .4.:.,!: ,i ....74:!.(1 :03017g.0.):g4$0';,,c,2' fntgrcePtPrisrfiPliP trap 25...02 ' - . Medidat gas-(value:$ : ..) Page 2 Business name:Polygtni W.Llli LLC •• '' • . .. Pithier - 12.51 contact name:Angela. ralew4ti . .. ... .,,,. • , • "- . Roof drain. commercial) 12,5,1 Address 109 East 13th Street . -SinItibastrithwaterY 25...02 .. Cily/..StptelZIP:Vatteouyer,WA 9866(1 ,Selor•imitt(potable water) • 62,54 . . . ... .. . Phone:(360)69$-7700 Pax:'::(300)6”-4442 ,.Tab/shower/shower pan : 12.51. . - Urinal . ' :25-.M E-mail:Angeja.grajewSkl@polygotiftomeskcont . . .. u,T,,,, .Water'closet ' 25,92 ;',...ttci•:473f...Z ,17,ANkaiitiT;;-. 1rilSi7i-V57W-,;•0•-::-'''-or-,iv• - .. • - . ... .'.‘".14(•'.3,,• •:,-4,tflt,'''',,:i1:4=tV3- 1-W .- -;•,',14 .--,,,,dfiv7-•,Tirtii.ci-. -•,.*.,-4:',-:0....'"Miti,:*,--it. 7E- Akiatet heater : I. '..31-12 ' ..7•62) . Business name:BDL Plumbing'1_1;c_ -- Water piping/DWV 56.29' : . . . Address:PO Box 85 • Other. 25.61 .... . .. .. City/State/ZIP:Corbett OR 97019 • _ Subtotal, . . . . . . . . . : Phone t(503)351-3903 Fax:( ,, ) ... • Minimum permit fee; $72.50 Plairrevieor PS%df permit fee) CC13 Lie.f 8045 Plumbing Lie:n0:::1131582 .. .. . :State stwehatze(12%Of permit fee) I .... . Authorized signature: 1,2 iike..,„ ,oi.0-' TOTAL PERMITTEE Pribt.name:,Brandrot j_Anier l•Dab: 8 Hi i(„ This prtnit.appfication.expires ifs permit iu am abtoinetiwititip tqn days' -. after it has been accepted as tom:Mete. *Fee tueibudefuev set biTri-Count).Building industry Service Bard. • 1:`,334iirlinsTermitaPLNITI,TermitApp.doc 1WO 1 tt% 44Ci,46161(0021..COMAVEB) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENTf� Y P �;,� Permit#: MST2016-00077 TECa, R, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 b Date Issued: 04/28/2016 Parcel: 2S1080001505 Site address: 15284 SW THAMES LN Jurisdiction: Tigard Subdivision: POLYGON AT BULL MOUNTAIN Project: Polygon at Bull Mountain, Lot 69 Lot: Multiple Project Description: New SF. 6/14/2016: REPRINT permit to reduce bathrooms from 4 to 3. 8/25/16 ADD heat pump in basement BUILDING Floor Areas Required Setbacks Stories: 3 Bedrooms: 4 Required First: 1518 sf Basement 826 sf Left 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2144 sf Garage: 739 sf Front: 20 Dwelling Units: 1 Smoke Third: 0 sf Right: 5 Detectors: Yes Total: 4488 sf Value: $542,166.44 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 WashingMach: 1 Laundry Trays: 1 Rain Drain: 1 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer LiUrinals: 0 Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 0 Water Lines: 100 Drains: Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1Catch Basins: 0 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 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 1000 sf or less: 1 Branch Circuits 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 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 p 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N SecurityAlarm: N Vaccuum System' N Garage Opener: N All Other: N Other Description: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: Square Feet: SF VB R-3 4488 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: $37,230.42 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 to•• • OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.80Q.332.2344. Issued By .. / �i/� PermitteeeetSignature:le � t . Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applic FOR OFFICE USE ONLY Citi®f Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 _-° Date/By: �� Permit No.: ).1 r� l� O c-7 ' il - Plan Review 6 Phone: 503.718.2439 Fax: 503.598.1944 G Date/B :y Other Permit: TIGARD Inspection Line: 503.639.4175 Z 2016 Internet: www.tigard-or.gov pp Date eRd Metho: u See Paget 2l Informationnr pp � (d��jj } (�yy 5sr•, RD Notified/Method: Supplemental 9..I�teDiNG G11Y y� ` YPE E)F WORK I� F3;E SCBE 17th New construction Mechanical permit fees*are based on the value of the work ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. -._ . �EGDI Y i(} CO1 ST LIfC1[ QN` Value $ ® 1-and 2-family dwelling 0 Commercial/industrial � 17 '""x�sml�v �Q�� � p 0Accessory building ❑Multi-family ❑Master builderFor special information use checklist 0 Other: Description JOB STi'E b Heatin co Qty. Ea I Total �;- - ....,.. ,_ TIf)11T A�-i:OC'A�+DI�I` . � oling: Job site address: i J zba SW ,-t'1 Air conditioning 46.75 ®! es Lane. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Heat pump 1 61.06 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Polygon at Bull Mountain I Lot no.: �' Other: 23.32 Tax map/parcel no.: Other fuel appliances: r Water heater 23.32 `$ t l)FS I41 0 4 :60 . Gas fireplace/insert 3339 Change 2°d 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/flue/vent 23.32 YIVIIiF Other: 23.32, �IOPERT 4_. �-_, --._ z ---__ 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:(360)695-7700 Fax: ( ) Attic/crawispace fans 23.32 O . It -` O:*i'.4rL Y R max,:: 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 City/State/ZIP:Vancouver,WA 98660 WalUsuspended/unitneater Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace • E-mail:Angela.Grajewski@polygonhomes.com Range Barbecue 1.,� cP M112-14;. R'00 �O��:-�, ;; ft,.-t �..g Clothes dryer(gas) Business name:Apex Air LLC Other: Address:18004 NE 72°d Ave `'r - A ' PS, •w. .: �'t Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 I Fax (360)326-1769 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Authorized signature: a. Fee methodology set by TriCounty Building Industry Service Board Print name: ,v) �f g i:� I Date:8/22/16 I t:\Bui]ding\Permits\MEC_PermitApp 04043. oc/ 440-46177(11/02/COM/WEB) CITY OF TIGARD 4.4211 MASTER PERMIT 711Lf//L COMMUNITY DEVELOPMENT Permit#: MST2016-00077 Date Issued: 04/28/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1080001505 Jurisdiction: Tigard Site address: 15284 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 69 Project Description: New SF. 6/14/2016: REPRINT permit to reduce bathrooms from 4 to 3. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1518 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2144 sf Garage: 739 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4488 sf Value: $542,166.44 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains. 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Heat Pump: N 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 4488 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: $37,117.03 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 952-0 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19�/",503.232.1987or1.800.332.2344. Issued By: tom---- Permittee Signature: e247 `% r , --77e2"/ 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 4, COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter TIG \R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE ll4 V E D DEPT: BUILDING DIVISION MAY 17 2016 FROM: Angela Grajewski/Chris Walther CITY OIGARD BUILDING DIVISION COMPANY: Polygon Northwest PHONE: 503-312-6213 By:_ ¢fL RE: 15284 SW Thames Lane MST2016-000 7l- / 5 5 u.'...1). (Site Address) (Permit Number) Polygon at Bull Mountain LOT (pq (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 0 Additional set(s) of plans. 3 Revisions: WIC/4th bath change 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: Removal of 4th Bedroom bathroom into Walk-in Closet FOR OFFICE USE ONLY Route to Permit Technician: Date:6 / 6 / / 6 Initials: /j Fees Due: Yes ❑No Fee Description: Amount Due: }-1 v- P1col r e.V ; c_v./ $ 90 3 A '9—a Mitis `�C $ V5 07) $ Special (3j .097,�/LvoriS L.�)Lily's, (3) 7743/.5 'zn cJ> =s �k �/r9 . Instructions: e_iod'�7 / (ig-z.,./.6 Y �y .v5.' //fi 7--. NS P Re rint Permit(per PE): Yes ❑ No/ C !.,one Applicant Notified://x/e/& Date: C/197/ 6 �yi }-/L_ nitials:� _ I.\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT B. COMMUNITY DEVELOPMENT Permit#: MST2016-00077 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 2S1080001505 Jurisdiction: Tigard Site address: 15284 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 69 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1518 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 2144 sf Garage: 739 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 4488 sf Value: $542,166.44 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: 1 Water Lines: 100 Drains: 0 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 Tvoes Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Heat Pump: N Hoods: 1 Other Units: 0 Fum<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 4488 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: $37,005.35 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 AR 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: ,g( Permittee Signature: Call 603.639.4176 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. 1 t Building Permit Application L C 1 9 .= i te 1 a RECEIVE I FOR OFFICE t 'IF O\1.) 1J Ci of Tigard Received 3 y//6, Permit No 13125,SW Hall Blvd.,Tigard,OR 97223 MAR 8 2016 D By / I /%TSD/6 SOU 7 7 • Phone: 503.718.2439 Fax: 503.598.1960 DateBy: / &/ b '�"J other P"m'�W�e�Q/�o (o� r I(i Iz i_) Inspection Line: 503.639.4175 CITY OF TIGAR' Date ReadyBy. / Juns. H See Page 2 for Internet: www.tigard or.gov BUILDING DIVISI• 'otified/Method: Supplemental Information � " E � svi" � . ' .,µ:. 'ki 4 x: ®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 work indicated on this application. 3r# ,'';''e''' :' ,.', .ire i.7.:§' f, ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: 4 ❑Master builder ❑Other Number of bathrooms ` .41 ". k Total number of floors: 6 A • : • t !,::;.:...21.-(,,:°_.,...' "�-,R£-.te c ,,r ,, f ^T,Ii.,:.,...,..:....:. • Job site address: (5 S� "� � a_� i „0 New dwelling area: Li square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: r square feet Suite/bldg./apt no.: I Project name:PD 1V1(3-on (& . b�)r` n Covered porch area 3 \ square feeta,l II-4 Cross street/directions to job site: Deck area: (Ls i square feet S I Other structure area: 0 square feet$a a`,, : s. t �. fit",,„..,,,.;.. „.....,I.::,..!...,......:,,,., ;- Subdivision:Polygon at Bull Mountain I Lot no.:(Jo 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 By -,,r{:::-.,-r.Tj=,;r,-.",.a �. , work indicated on this •I plication. ne� 1,n3� ��� ! �. •. �, Valuation: S Existing building area square feet New building area: square feet . r '' '' a :. t L.s:`' 4 , Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 E 136 Street Occupancy groups: City/State/ZIP:Vancouver,CA 98660 Existing: Phone:(360)695.7700 Fax:(360)693.4442 New: .... ....—tee. ... �. �+ 2 Business name: po, Structural plan feview fee(or deposit): Contact name: a f ,e, c2Drd\ n p�-L FLS plan review fee(if applicable): Address: O�-1 i I.� N ✓ 1 Total fees due upon application: City/State/ZIP: V[(.A l 0 V or W p, er i kc k`,0 Phone:eAQD) t9 Q , -Too I Fax:: tof) U,Q3-1)(112, Amount received E-mail:maggie.gordon@polygonhomes.com Commercial and residential prescriptive installation o f r, e roof-top mounted PhotoVoltaic Solar Panel System. Business name: (C7I a on W L'-1 1 n C Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon i Address: \9 Cl, 13 '0 - ( _ Solar Installation Special Code checklist J (f City/StatetLIP: t cOu0e r v..) A Q DlQ 0 Permit Fee(includes plan review $180.00 and administrative fees Phone:6_,70) to Q 5,-3--q-c)() Fax:(5'U) `0Q3 % u222 State surcharge(12%of permit fee): $21.60 ,V •. CCB lic.:204238 Total fee due upon application: $201.60 Authorized signature: �i� , I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date- I —�--4.=1L0 *Fee methodology set by Tri-County Building Industry Service Board. — I:\Building\PermitsiBUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) r 1Vcla�tical Permit Appli CEIVED I:UftOFFICE t.SL.O [.� - , 71 city of`Ttgard .. • rtrro,YS 0 MAR 8 2Qi6-_ T�oi.G—r i 13125 SW'Ha i 131td.;Ttaard,QR 9223 Out Rcview . . Pett. shone 503 7183§39 Fax 5035 � °1(OF TIGARD Dat�Y ' [xr ' rurss,' H See1'at a :ra< on Linc, SlI3.�639.d175: Date R�By ... • Inspects Suppttmearat iafor uxhos: ':. -.':�� _ �-}cw.trgara-ar.gov BUILDING DIVISION 'a°n�""l -- __ _- E-01 WOR _ - ...v ,�•�. � � �; o�ne>3er�.� sin �+ . clrs?`' �_ �,,-;�_ �:�.� .._._ ._... ..._ ��_._.� ... -. . . Mscttamcal rtfees'are b>1std,ou Nie value of the work- ... petm performcd.indicate the value.(rounded to the neatest dollar)of all 1.1�y.tptrStrUCirilil [�tldd'ttlaTltaltesanUni�1'el?lacement mechanical.materiats,equipment labor,ovcnccad.and profit t—.t. I]gerlrerlttlon 1:1 Other Yale:S Jam, �, `� �-PailalVV-.1--C. A470R O A00.STBvc . ,, R' 70 1'Gi3s E:Q>1 tf 4,0*-M5 j£S, - - ®1 and 2 fsthily dwelling 0 Commerciallndustrial 0 Accessary building •ForspeOizl tuf t oa use.rhodeUsX [,. Master builder 0 Other Descnpuan ( Qfr. I Ea. _I Total Multi fititttly }1ta6nl lwot --':',`;f: - -k"'. . , Qlvt:SITE`nitti. IDN�r D L, -f3011%: _ 3._. ,._ .,> ` .Air conakiunu 46.75 c'' �V� cu p; seg�o6,�lon to id.t. ( I �s.1s. .Furnace 100.006+,STU{dudsrennts) =54:91 .e1. toteadi1 --rt era OR G022u • {� Fleat ramp. $1.t16 uiEelbltlg lapt tto I Project.nine: PO,y rn CJsj\1 i1 Duct work I 23.32 �J flydronic hot water system 2332 b site: (rbSSSp;eeildiiectians W.3,oRrslacOtial bmler(radiator or hydmnic) 2332 04..11 W. ('Ou1.-type,:noa electric), iti w�11,iii-chxtt,. ..: uapded.eic. 46.75 Fludvant for any of above 2332: 2332 iiioLoom.: , Scc "----:s,- - _ Otherth eft troll iriei . .. 2333 Wa3er1 T4F tttapl l no Gas fire33.39 x Ittg Q',Lif 3'(40RK�. 4{� et: Vii... ;for fir heatsargas 23.32 Conti (eat) .23.32 • Woodfpefetstuve. 33.39 _ _ Wood;fuep-laccrttisui . . 23.E .. .. "Cliimiicylline fitfavent 2132 �g6 p *. .,,4: E ati edtat xtl asst and vendla t iirt: 23:32 hooalathei3.itchen Name Polygon 3riarthw,est ultimo+ 1 3339 1 33.39 :,169E13* St • CtoN> drxer� v Singtadzid exhaust(bsihrooros. y 'kancouve,LY 98Sb1 . totleivompar uliity.rotiais) 4 '2332. ,glume(360.)Siir7()()- Fax.( ) lvatte fans 2332 2332 �.,� ".fel f. N ;1 � aas� , .}..._��._, ... _� ,+�."w», W=Fuel Paptn�c' 'Business aam.e Polygon.l�iortiiivest r Sld_i5 for first tour $4,03 for.each additional 1 Chntaix'deme . - _ Gas:beatpirapi-. Aa3tras;_109 E 13°St _ Wiesuspeudettgi ffheater l;)L,ylStat.0ZIP'�sat_txruvtr,NYA:98661 Water;fes' .... ..:.:::::: Fuepltice. 1 Pfiorte (3§0)8164800Pax :( ) bR ,, 1., ( arverrver:(gas).. 14em s rtaniC Andersort HeStuigt€ru Ofben . ATA 1 -, a�+rrs�cc,�,ri -—S 140 5W11r Ave.*:410 Snbto tttl 3vfmumim pertnif fee($9D.00) Otfy�SfniarLlp Trgaiiyl,L3R:97224 Plah reti iew(25%offpeen*Set)" pain (003)9924664 ` Fax:(503)536-66155. Stats.stircharge(t2%ofpetmit fee) TOTAL P�21AFF.PEE G{,'�1u; 164414 TOTAL not.ebtained witbl 180 'CL6 Permit appttcatiea t>iptno'�f a peta:r days atter it kei(man stetted as compleiz *: Sec methodology set:try Tri-County$mldh+d ing u Service Baud Authorized srgnattus: _ ��ritlrnamAft-A'tiderse��,,, _. _ nam 11720/2015 I kvialisiso iniiitoiEt Pena ti O401).i lot 4404617 tt 1,O2. nMtWEa) . 1 , Electrical Permit ApplicatiRECEIVED FOR OFFICE 1'SE ONL1 City of Tigard R S 2016 Received -- Dawn3y:- Permit islq/Y.C.7 -10/6,'..120° • • 13125 SW!tall Blvd..Tigard.OR 07223MA— Plan Review ' 1 Phone 503.718.2439 Fax: 503.598C.1iry60 OFTIGARD illil Other Per Inspection Line: 503.639 4175 Date Readyiliy: illOS IZI See Page 2 for Internet www.tigard-orgov BUILDING DIVISION Notified/Method! Supplemental Information -'7V'OvSt.:'W.FIIZ,W'i'.TT,ti!i '.'rZsr: Y.'F.ifiii'ifjf:.iiitigC,'-- E NeW construction 0 Addition/alteration/replacement Please check all!hal apply(subunit 2 sets of plans wni iltes checked below) 0 Service or feeder 400 amps or more 0 13iiilding mer three stones DDemolition 0 Other: where the available Ibillt current 0 Marinas and boat)ards . , . _. „, exceeds 10a ..OO ,000 mps at 150 lis r 0 iliiing buildings ..,,i.KMIt.-.::;4 '- 01tg000.'titi.-01'414-41,010i ; ::;-:.- - ' ' - ':'; .4';' less to ground.or exceeds 14.000 0 Commercial-use am it:aural Z I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other nisi:Mat icnis buildings 0 Multi-family 0 Master builder 0 Other: 0 Fire pump 0 Installation of 75 K VA or • • ,. , 0 Eitteigency system larger sentimiely domed:t.stem ..,2%T.:4A11-7i71, ,.t,-2.Allit!AlrigWoji*:A7. 1:1[0:*44.*:.kt.401**-:.'-' '• • . ::•' . 0 Alltliiion of nett motor load of Job no.: Job site address: 15? )LYI•Qn\QZ) in 100111'or more. 0 Six or more residenlial units0 occupancv Recreational telucle parks City/State/ZIP: ---r, ,90,6 01:: C117., LA 0 I lealth-care hicilnies 0 SuPply soilage for more Man Dila:tau-dons locations 600 t ohs nominal Suite/bldg/apt, no.: Project name:pi:A.15, 04- B,..)\ fl ) -r _pS7.vice or leeder 6 a 00 amps cur more 1",:-`,. ';'',-:;'",:-..'::',':*.--:••.-, .--;OC''-$011,0:J..14:4 ',;;,-,-.i z • . , • - Cross strect/directions to job size: Description I Qty. I Ere. I Total I • New residential single-or multi-family dwelling unit. Includes attached garage. _1.000 sq it or less 168 54 4 Subdivision: Lot no.:(0 qI --, - Ea.addl 500 sq.9 or portion g 33 92 I Tax map/parcel no.: limited enemy.residential ;'-; .i:40ifritiCkt.W4011/e ?'''''''''''''''''''7''''''..:' ...-1''''''Y.--{-' (with above sq.It) 1 75 00 I Limited energy.multi-lam ily• 75 00 ., 1 New electrical service and wiring ' residential(with above sq 9) Services or feeders installation,alteration,and/or relocation 200 amps or less 100 70 1 ,':',''''i•':.-.;;IV•itif4iiitiiiiiiitii!:. iiiiiis';:.::,;i;:::-,2',. '.11;..'). ....'::::-:'.:':.--;',..414:ti '.iii.4.004''',' --' ' ', 1-^;',,,-: 201 amps to 400 amps 133 56 1 401 amps to 600 amps 200.34 1 _ Name: poqq_7-y-N. 601 amps to 1,1)00 amps 301 0 ,4 - Address: ‘ 0 CI t ol.--1. 54- Over 1.000 amps or volts 552 26 2 City/State/ZIP: \joDukgr 'temporary services or feeders installation.alteration,and/or artlA.) Aok q ,?-5,,k,,c) Temporary Phone:?lip) 6 c(5...-T-40D Fax'atD ) lac15-4-4V2200 1 amps to amps or less 59 36 1 1 I 20 40()amps 125 08 Owner installation: This installation is being made on property that I own which is not - 1 5 1 intended for sale, lease,rent,or exchange. 401 amps to 99 amps 65 54 1 according to()RS 447,449.670.and 701. --__, , 1Branch circuits—new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with above service or feeder lee. •• •••'.0i..,44..1010:: :**:..k.Atil!" .::: ':--' ' t-li,:o5liittert,rEpscoil,,,,,y411,--. , 742 . . . .,_ . ,• ., . . ... . •. 7-,. ... . . —,, . ,. each branch circuit - Business name: Ef 73-1 ip 13.Fee for branch circuits wirhotri • service or feeder fee.first Contact name: rfl • # e ve, (--10--- branch circuit 56 Each add'l branch circuit 7 42 ' _ Address: 0 • I A Miscellaneous(service or feeder not included) loch manufactured or modular 67 84 ' C ity/StalCri I P: ail COU ' ' V) ali I 2 /U.6 dwelling.service anti/or feeder - )'hone:( ) Fax::( ) Reconnect only 67 84 ., _ Pump or irrigation circle 67 84 2 F-mail• bnho-A.0 co-r-c-N. '7)9"Save-* CRIND - • Sign or outline lighting 67 84 ,::'''...i.'.,::::- '--....-.: -;'--• ...,,',.:'. :-./..---;i'.' -:.-.CP..',.:..,..-• CIP -..'.' ' • -',' ....- - - : -:- : ' Signal circuit(s)or limited-energy . 2 panel.alteration.or extension Page 2 ; Business name:Simply Electric Each additional inspection over allowable in any of the above Address: PO Box 822408 Additional inspection(I hr min) 66 25/hr Investigation(I hr min) 66 25/hr —1 City/State/Z1P:Vancouver,WA.98682 Industrial plum(1 hr min) 78 18/hr I'honc:(503)849-8202 Fax:(360)314-4945 Inspections for which no fee ix 90.00/hr I specifically listed(V,hr min) ... .. . . . , ._,_. CCR Lie.: 204615 rI7Flectrical Lic.: , 067 Suprv. I.ic.: 4394S "'-'':' '•'Y:':;•":ELECTItleA1117PEIRMTVFEES. ' . . Subtotal Suprv. Electrician signature. required: . (..,..a.f-e.,( f5 Plan rcviex% (25%of permit fee) Print name: Victor Aarzhitsky Date: 11117/2015 State surcharge(12%olpermit lee) TOTAL PERMIT HF Authorized signature: This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Print name: Dale: • Number ur inspections:allowed per per mit I Buildirig,PerronsTI.C-Perrnit A pp doc 07,01;10 .1.41)-.1515T1 I I,OS'COMWEB Plumbing Permit Application Fixtures RECEIVED FOR OFFICE l SE O?L\ Building City of Tigard Received Permit No j-7;70/6-000 77 Q 1 11,- 13125 SW Hall Blvd-,Tigard,OR 97123 MAR g Z r_ Date/Br- Plm Review Other permit>to Phone: 503.7182 439 Fax: 503.598.1960 Date/By: I id See Psee 2 for Inspection Line: 503.639.4175 CITY OF TIGARD DateReady/BT iff See Page2 Toro Information L www b gov : I . 1, Notified/Method S Supplemental en __ ion x .. ...,,-----,--,- ---- ----x-_-..--- -:-..-,........ --Yt-L ������--•1.-..... -.-.:-= --,t-it, F-- ,_,___.--,.-------,:a7.- - ''_-'S�,.A" t-- > 7.7.:--_„� zi Lai F-'t -' i=--1" " =_ 7L _ J For special information use checklist • (%New construction 0 Demolition Description I Qty• I Ea I Total 0 Addition/alteration/replacement D ahs New 1-2-family dwellings(includes 100 R for each utility connection) �,•� � f ,.,. - cy-y:.ci,• SFR(I)bath 312.70 , �g.�,s ?r--, :c�� ::.a-s 1 ^? .3,- --__:;_t t---_,--:,-5.------,--,--L ..-c 3:s:�" "_` 437.78 SFR(2)bath 1-and 2-family dwelling 0 Coatmercial(tndustrial SFR(3)bath I 50032 500,3 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 OtherFire sprinkler(_sq.R) . Page 2 • 1•:-'''.-.11: _ r '-- Site utilities: sX , ,� :, „m - G t ' , , , Catch basin or area drain 18.76 - Job site address: 1 � /� �,J f�Q G�2n' ` Drywcll,leach line,or trench drain 18.76 City/State/ZIP: T ural v 1 `_ l lLl1.'�` rn Footing drain(no-linear R: ) Page 2 Suite/bldgJapt.no.: Project name: ?o\y 9, CL -5,A t 1 r]1 1 Manufactured home utilities 50.03 Manholes 18.76 Cross street/directions to job site: 18.76 Rain drain connector Sanitary sewer(no.linear 1t:._) Page 2 • Storm sewer(no.linear ft.: ) Page 2 ' Water service(no.linear it: ) Page 2 Subdivision: I Lot no.: (S/q Fixture or item: _ Backflowpreventcr I 31.27 ,2I" Tax map/parcel no.: r Backwater valve 1251 12...5 . � Fe '1 - = r 1r. �. Clothes washer I 25.02 a5,0Z Dishwasher I 25-°2 x.02 //.t 4/ l 0 `bvi c"Pi40644i3./115 Drinking fountain 25.02 Ejectws/suntp 25.02 Expansion tank 12.51 r x ' f. =°r s-< Fn dure/sewer cap 25.02 Name_ 910\1,�] Floor drain/floor sink/1mb 25.02 Address: C11 U ` �--I'l 5*--- \.A.9 ,n /� ,]}�.� _Garbage disposal 25.02 2_ ,(:)//.. City/StateZIP: 1 l +0 D )T q f,i3 A) Hose bib 25.02 7 ,011, i Ice maker• I 4 12.51 l J, lxttott� r` 1 �n + Fax( ) motor/grease trap 25.02 - . �� �- e- - _-� /�_ --- ,-,Business = Medical gas(value:S ) 2 Business Harvie 3D {L(/IM,bjl/���C,�nJ4- Pq 1251 Contact Hamm` ve.Victe,n anti` Roof drain(commercial) 12.51 ifig Address:r.)0 Sink/basin/lavatory 25.02 � 6254 City/Stale/LIP: C42-111519 Solar units(potable water)at3)351 -3903Fax :( ) n Tub/shower/shower pan. 9 1251 '2 5•(7/ . -_ E-mail: f) wct:t '.1 ,..,,,,:„...i...„_..,....7...1 . r' r Wte1 25.02 . -. V Water beam ( . 37.52 y1.51.. Business name-Bz ? P%its L Water piping/DWV - 56.29 Odin-. 25.02 Address: -i��t Subtotal City/State/ZIP: P t1 - Minimum permit fee: 57250 Pb =! 3) ,3';i t -,39a3 Fax( ) Plan inimueview per of permit .50 CCB . Q,h3� (,C��' Plumbing Lie.r ! Z State surcharge(12'%of permit fee) Gam/ "T� TOTAL PERMIT FEE Authorized signtatttr This permit application expires if a permit is not obtained within 180 days I(( -.,��� ; J Date:42/.51 after it has been accepted as complete. I Print irarrl� • :/"' �_" BuildingIndustry Service Board. � � •Fx methodology set by Tri-Co�mty doe l0/Ol/D9 4464616T(10JOJCOM/WEB) 1:18u0d'mglPev�ec1P11.3U-Permiu►pp- City of Tigard III COMMUNITY DEVELOPMENT DEPARTMENT T 1 G n R D Building Permit Review — Residential Building Permit #: S7 p/le —Doe 7 7 Site Address: I S 2 34 c vv 111 CA (1' 4_i Ln Project Name: P019 o n 614- Quit �M 0 U n t-vl i r) Lot #: (p c (New dwelling= subdivision name;;Addition or.Alteration=last name of owner) Planning Review Proposal: Nle' S F 2 Verify site address/suite#exists and active in permit system. 7 River Terrace Neighborhood: E No Yes, See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan Existing structures on site ///////Site plan must 1bg on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure (including decks)with finished /Drawn to scale (standard architect or engineer scale) �floor elevations /North arrow /CJ Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number —t1 ocation of wells/septic systems -kpplicant information (name and phone number) XrErosion control(including drainage-way protection, silt fence /Lot dimensions and building setback dimensions design,location of catch basin,etc.) -- Tarea,building coverage area,percentage of coverage and "'Street 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 '❑sting trees to be retained with drip line,and tree 4 foot differential) protection measures M. Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: E Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: SOB WI S 00002— Zoning: (2- . 4. S • Setbacks: Front 2,0 Rear ( S Side S Street Side I S Garage • Landscape Requirement: Lot Coverage Maximum: 0/0 4 Building Height: Maximum Height 3 0 Actual Height `. v al Visual Clearance Easements ,Sensitive Lands: ❑ Yes E No Type Urban Forestry Plan �7PConditions "Met"prior to issuance of building permit otes: (Jn d,! t O r')S tO be (np i- PIfto I 170 SSS CIG1 ''1 L e_ 0 C 10(jil d flet 9 1,10,r m i +- Approved By Planning: /kJ-0 el 12-4-- (3i f n Date: 3/8 / / b 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\BldgPermitRvw_RES_O 121 I 6.docx Building Permit Submittal Original Submittal Date: 3//// Site Plans: # 3 Building Plans: # 3 Building Permit#: El.-Enter building permit#above. Workflow Routing: p- Planning Er-Engineering Permit Coordinator ifil3uilding Workflow Sign-off: u-Sign-off for Planning(include notes from planning review) Route Application Documents: 2-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: Date: 3�//( Engjzeering Review Slope at building pad: /g4 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: _ _ Condition remain unmet that are required prior to issuance of bldg. permits. Approved by Engineering: /42. ly Date: _.7-4p - Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved E Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit pproved,NOT Released: / i Date: 3 /0/4, otes: 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: iIIP DC Fees Entered: Wash Co Trans Dev Tax: ►i es ❑ N/A Tigard Trans SDC: ►l'Yes E N/A Parks SDC: r4 Yes ❑ N/A rOK to Issue Permit Approved by Permit Coordinator: Date: - / <// I:\Building\Fonns\BldgPennitRvw_RES_0121 I6.docx City of Tigard i 71 ■ ~ COMMUNITY DEVELOPMENT DEPARTMENT T 1 G n R o River Terrace Building Permit Review Addendum Building Permit #: /iS7aO1(, _eoo77 Site Address: `S2g y SvY Th(4 LIQ Project Name: QOI y C p n oi+ Bvi I M0url tV1 ,v� Lot #: C�0 (New dwelli 1;=subdivision name;.Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1.): 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 \Vindow Projection Vertical Wall Offset a Porch min. 5 ft. deep Gabled dormer ft. deep min. 2ft., 5 ft. wide min. 2 ft., 6f wide ❑ ❑ ❑ 2. Eyes on the street: a minimum f 12°'0 of each street facing facade must include windows or entrance doors. Percentage Shown: I V . I 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street- facing wall Parallel to street, angle no more than 45` from street, or open onto porch Entrance opens to a porch: ❑ Yes ❑ No If yes, all the following apply: X.25 sq.ft. min. /One street facing entry 2 ft. max. roof height above porch �5 ft. depth min. ICJ 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: 0 Covered porch min. 5 ft.wide x 5 ft. deep ,.ecessed entry area min. 5 ft.wide x 2 ft. deep /Fall offset min. 16 inches El 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 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. ❑ YeNo. 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) .3z1 ❑ 12-foot-wide garage door /40% max. of street facade ❑ 50% max. of street facade with 7 detailed design elements Notes: /- Approved By Planning: 111 Vk -1-(A- 6116 Date: / g/ I (' I:ABuilding\Forms\BldgPermitRvw_RES_RT 012116.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DATE RECE 'D: DEPT: BUILDING DIVISION 1 ; :. x FROM: Angela Graj ewski .IG 2 2 206 COMPANY: Polygon Northwest �y�I 0_ ; u� PHONE: 971-212-2144 3,.)2 RE: ISL S'v� 1T1&1n 5 Una- t / MST20 uD-0011 (Site Ad cess) (Permit Number) Polygon at Bull Mountain (Project name or subdivision name and lot num ATTACHED ARE THE F°1414°WIN1404, -. • , 0 Additional set(s) of plans. 0 Revisions: 0 Cross section(s) and deta" s. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 3 Other(explain): Additional d- k details requested by inspector REMARKS: ;.t'LtZ. + & deo & Routed to Permit Technician: Date:71..:.1-11.41,411`t g_ - ) ,4 Initials: Fees Due: /!1 Yes ❑No Fee Description: Amount D e: r p) c.1-,_ fcA/ c $ 1-kc 142 Special Instructions: Reprint Permit(per PE): ❑Yes 14To ❑ Done Applicant Notified: Date: Initials: I:\Building\Fonns\TransmittalLetter-Revisions.doc 05/25/2012 Electrical Permit Application" FOR OFFICE 1 SF.O\l,\ ipliCity of Tigard Emsatiiimi N 1 U 17 ?01 C eft ti LIQ I I r e 13125 S W Hall Blvd.,Tigard,OR 97223 Plan Review 2 Phone: 503.718.2439 Fax: 503.598.1960, m t y t.. t l ., Date/B : Inspection Line: 503.639.4175 4„' 4 ' '4- v. ';,3'.., , Ready Date/By: loris; H See Page 2 for I I( R D Internet: www.tigard-or.gov 2,m3 otifed/Method: Supplemental Information .. .,..,. 4 " n ter^..04, ' IL? Please check all that apply ,q . ►Ai New construction ❑Addition/alterationireplacement {submit 2 sets of plans w/hems checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. e = : ry Y''-7" t ,.gyp P+ ;7 � a• f is :; _E , exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial Q Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural amps for all other installations. buildings. Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or ?' 44 ',g 1:"ii:3-11 63 ''',17,?;.:, tffi mb �e ! KWat' Emergency system. larger separately derived Job# Joh site address:`may 5v ire Q L /J le D Addition of new motor load of system. V 1► aMt RJ �-'"^aC IOOIiP ormore. ❑"A; E""1_�•, •l_�,• City/State/ZIP' Tigard,UR 97224 0 Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:Polygon at Bull Mountain 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal, Cross sA eetJdrecdons to job site: _ 1- _�, Sta .ems�.h:'! "9 is � , Description Qty. I�•Earb I Total ( New residential single-or multi-family dwelling unit. Subdivision:Polygon at Bull Mountain Lot#� ( Includes attached garage. i 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: �+' •$ a f ei'l, . r ,1.. e.. .: ' -<w. ' ° Liim ted en gy resident:lig 1 33.92 r�. 75.00 2 � [c Qk cL (with above sq.ftt J Limned energy,multi-family 75.00 2 residential(with above sq.ft.) eo ,,c , s: ., ,,,,,,,,r,„,,�'^r , ' ,, :1's. Renewable Energy 0 See Page 2 ,.es -. - - ' > t Services or feeders installation,alteration,and/or relocation Name:Polygon WLH,LLC 200 amps or less 100.70 2 Address:109 East 13th Street 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447.449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 t Branch circuits—new,alteration,or extension,per panel ,. �. .". _.:� . ��. 3 A.Feefor branch circuits with Business name:Polygon WLH,LLC above service or feeder fee, 7.42 2 each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits withoutser ' Address:109 East 13th Street branch iot feederitfee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 I Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax::(360)693-4442 Each manufactured or modular 67.84 2 Email:Angela.Grajewski®polygonhomes.com dwelling, only service and/or feeder Reconnect o 67.84 2 32‘ ��„1 ; 3. -24‘ v z- l��.:z;:;!r_„ ,�k ..ewn - �`' ...erbr . �x Pump or irrigation circle 67.84 2 Business name:Simply Electric LLC Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy See Page-2 2 Address:PO Box 822408 panel,alteration,or extension. City/State/ZIP:Vancouver,WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr Phone:(503)849-8202 Fax:(360) 3!y-ti'c -i s Investigation(i hr min) 90.00/hr Email:simplyelectricpdx@gmailcom Industrial plant(I hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 204615 Electrical Lic.: C. ..... ,, 1067 Suprv.Lie.: 4394S specifically listed(%:hr min} _ , , x ;3111),c�°` :'F *of Yt e.. �� fSuprv.Electrician signature,required: Subtotal: Print name: Victor Zarzhitsky Dat : 11/16/2016 0 Plan Review Required(25%of permit fee): • State surcharge(12%of permit fec}: Authorized signature:' 4,.......----t t;....- TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Dimitriy Mishchuk Date: 11/16/2016 days after it has been accepted as complete. Number of inspections allowed per permit. 1\Buitdiag\Permits',ELC_PermitApp_ELR_ERE.dae Rev 96/172015 440.46151(11/Q5/COM/VEB. City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15284 SW THAMES LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00077 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Lighting in added 4th bath not done. Romex sticking out of wall by sink. 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: 15284 SW THAMES LN, TIGARD, OR, 97224 June 28, 2017 at 10:52:48 AM Record Type: Record ID: Residential - Master Permit MST2016-00077 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Light in added 4th bath not installed, Bare Romex hanging out of wall by sink. 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: 15284 SW THAMES LN, TIGARD, OR, 97224 June 30, 2017 at 9:05:21 AM Record Type: Record ID: Residential - Master Permit MST2016-00077 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Correction from previous inspection complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15284 SW THAMES LN, TIGARD, OR, 97224 June 30, 2017 at 9:05:57 AM Record Type: Record ID: Residential - Master Permit MST2016-00077 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide solid blocking at deck rail screws per railing manufacturer requirements. Provide positive connections at posts to ledger at upper landing. Seal around AC lines at foundation vent penetration. R408.2 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15284 SW THAMES LN, TIGARD, OR, 97224 June 30, 2017 at 9:04:44 AM Record Type: Record ID: Residential - Master Permit MST2016-00077 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Correction from previous inspection complete. Violation Summary: Inspector Contractor