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Permit
CITY OF TIGARD t F MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016 00076 �� TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 2S 1080001506 Jurisdiction: Tigard Site address: 15326 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 68 Project Description: New SF. 8/25/16 ADD heat pump in basement. 10/21/2016:Add A/C and 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1591 sf Basement: 948 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4375 sf Value: $533,251.51 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Catch Basins: 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: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Fum<100K: 0 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: 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: $37,059.97 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 419,"110i :� Permittee Signature: Q ����'�/ 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. • •: . : •.: . •RECEIVED , --- — - :;' ' ‘-----.!. .'i - i- ' :. •-; ' ''-' ' '''''' ' ''' . , ketoc,!:parfinft Application LCm Oh - ( Lt SF ( L' ,..„„,...,..._ I City of Tigard SEP 2 0 2016 Received , . nateit3 , g 07/ / .'.'irli -nnil ff ' . .-7;70/ 13125 SW Hall 131vd,Tigard.OR 972:CITY OF TIGAHD PlaniRev''"' Phone: 503,718,243 5039,639r."41:755°3459P-t01-DING D"Vic If, ir''' .Rewtypat4Ttlat.' emr Related Patna oi.;. Inspection 1,inc finis: til fieziragt 2 for hamlet wwwrigard-or,gov NotinediMethed; Supplemental Infirtnalion C:::,..;'...i:F,t.-i.i• J;',:iC`,-'7:,';;;V,..';*!;::14',:;:,-.57-71.,,Vii.-...:17Xfg.'..--„Qt,W4.14..k.„'.:-.7.,'it;',7,:,.':',47,,=',..:;i . ..; ..;::-.'' . ' ::":,.:, ' ---4fittfix-VfEw.f.L.:11.:. '::,•:..,:_-.•.;,r:.,t,•-:,,,,:95: r4 New Wristrtictitm 0 Additionfalterationlitplacetnent Piza. .cheek all that apply(submit 2 sots of plans wiiterris cheated); 13 Serviceor eder 400 amps or more Cl Building over three stories, 0 Demolition , , . 0 Other,: . where the available:fault current CI Marinas and tionlYisrds, , Ti.",7:i'li:;:',[..;;;:. 17ATEO;itticit:coN*Biticri0K. :7 ' '.L--:.-,,i. L_ 7--i eNOCMS 10,000 amps at 150 vIts or 0 floating buildings. r4 1,,and 2-family dwelling 0 Commercial/industrial 0 Accessory building fess to ground,or exceeds 14,000 0 Commercial.use agricultural amps for all other itstallations buildings. 0 Multi-fantily 0 Master builder 0 Other: 0 Fire pump, Q installa0ori a/50 KVA or 14:1;! ; ‘;:',..7'7.7:::".'.i;7:4170t Siltt P.4.0100110Ni'f.M17/0.1i0Oklite,4; ,-:;-1,1;' -,:,:,:i.ii:.,i'...?. 12E-Tnnen6Y .)`$•te°7' larger separately derived 0 Addition of new motor load of- system. Job site addressis374 5v1/4ilhaimes Lturie_ 100}P or more. 0"A7,"1E7,-I-2-,"14', 0 Six or more residential units. DCCUpancy. City/ State/ZIP :Tigard,OR 97224 a Recreational vehicle parks. 1:11fealth-Care facilities. uy e for Suit—eib-7-11dg.iapt.#: Project nante:engpAq i9 4--- Sa niji Mr,,,4jIllajf) 1:311'd"s ic`c'*". ei ri,gitA !yip 0 Service or feeder 600 amps or more, 0 6S°ppl0 volt6 voltag64 more Mao Cross strettdtreetwns to job site: ::.; , -.- ''.r,':.•,'- `7.f.':'-.F"kg•'SPICPPX:',-.--rs::7::'.7:: ..'-t''. ...• -; " Detiription 1 Qt=,. I Elsa I Tana I = New residential single-or multi-family dwelling unit Subdivision:9b1qcort(jdr- w „;1/41,,,„.,1 .,,, , Lot#: / • Includes attached garage. Tax map/parce ,i; 1.000 sq,ft or less 16104 4 l ' .,DEKR4070$;..90WORK: :'.'.7::: -:::';,-"I''‘-7...' -„""'"''.;r:i'S.,."'7 r1; a.0(1'15004 ft.or portion 1 33.92 1 13n1Yet dDr 0/40tAnCle • Limited energy,residential - (with above sq.fl;) 75.00 2 • Limited energy,multi-family-family 75,00 2 onict0.,!..0 --,,,v4,14.0E1--,-,,:::-,-.77.11-27-s1 -f-,_4-14-,-„,..!,--7- ..,:. residential(with above sq.fl„) Nettle;ADVI,Land holdings,LLC Renewable Energy 0 See Page 2 Services or feeders installation,alteration,andtor relocation Address:7600 E Doubletree Ranch Road. 200 amps or less 100.70 2 • City/State/ZIP:Scottsdale,.AZ 85258 Phone:(602)694-4031 ' F ( 201 amps to 400 amps 133.56 2 I ax: ) 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 l,(100 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:" • e:.:::.,..„..,_::,., ...,,.„..,,.. ,..,::t...:"._. .,::.0,65wiA,m,,,:r... ...!....:..14;, .,::_...,,. Tern porary services or feeders instailation,alteration,andior -* : reface 1011 Business name:William Lyon Homes,Inc. . - • 200 amps Or less 59.36 1 Contact name:Angela Grajewski . • 201 amps to 400 adios 12508 2 Address:109 East 13th Street , . 401 ampito 599 amps 168,54 2 City/State/ZIP:Vancouver,WA 98660 . • ' . - - Branch circuits-new.alteration,or-extension, r panel Phone:(360)695-7700 I Fax::(360)693-4442 A.:.Fee for branch circuits with above sen-ice or feeder fee, 7.42 Email:Angela.Grajewski@polygonhomes.cont • each branch circuit _,. , - . . R Fee for branch circuits without fii534lek.;.:#:,-,1.705,..:,-it43-47lli*AX;t/iti:Z:',71--.;"f-f'',eri-117-.1:: ! ,t. ;:. .:;-..7. 7.:,-,: :' -::-: ; .bserviche or feeder r fee,first : i• 5618 2 Business name:alameda electric • Address:3415 ne 44th Each add'I branch circuit • 7A2 • • 2 , Miscellaneous(service or feeder notincinderi) City/State/ZIP:SEW* chr-/jave:./(9'/a. /4, 7,2--/3 .'' Each manufactured or modular ' 6.7i4 :. . 2 dwellino service andlor feeder Phone:(503)3192192 I Fax:( ). .. ..- . Reconnect only 67,84 - -: . Email:solarpdx@me.com . • Pump or inigation circle 0784 ' '1::;::11.'r CCB Lie.: 199188 I Electrical Lic,: c923 Suprv.Lie,: -9,(7f$ Sign or outline lighting - '67,84 -. - ..2 Suprv.Electrician signature,required: Signal eircuins)or limited-energy ::„ -- ,_ ...7. ;2 Print name; k i/4, /24 ,‘.4, Date: c://23/Zof Panel,alteration,or extension. 0 Ste Page2 . : Each additional inspection over aiknkiblt in an',of the abo4 -- Additional inspection(1 hr min) •' .1 66,251 hi' ';'- . '..::: Authorized signature.: . , ", , : .• Print name:. . _4..0- , ' ,../.-------„, Date:3 2,3 /4 InveStigation(1 hr min) _Ofk Irr . ,. • - ...., .. . vaulkaathixiansna,c_PeriunApp alicEILEAioc Res 90,17a01 S 440-4515111 LOSICICO•VOIEB , '' • .- -,- - , , . _ ..... . .. . .. .. . .. , ., . - - , : ...•.- : -,' , ., :::, , . Plumbing Permit A pplitu lion .. .„„. , . :..,.... . Building.Fixtures- . .., . . FOR OFFICE USE O\L Citv-Of Tigard ,.-I) 1 AWO '. i.c'eg le9A/M7 •44)/ P .. N /1 '77.9€7 en"'O- .,.--( .-*MO 76 :1- ..'I' 12125 SW1-lall:Blyd.,Tigard,OR 9724.1-' - '-' - Plan:13;eview• t Phone 503 718 2439 Fax 501598.196121 ,.::: •:,--: DateIP : Other PennitNe.: Ti G A R 0 . Inspection t.,toe: 503.6394175 -,...,, ,:. -- . I.. ; ..,_ .. ,„,. DateReady/fly: Yens. RI See Page 2 fel- Internet 1..v%%-tv.tigerd-:or,gov -•.:, ''i: ' 1-. ,: • ' ' Notified/Method:„ ... $upplemeroa!Information '.:Z.-...V:7 .1.,%,!1•7.';'•**,::•#00.1".4et::41.t:2. : ;; 411:::.2 : '-1.,1::'';5::'73ra' AEF.!."*Iiiiii. Nest covstrection 0 Addittorrietterationfreplaternent . f 0 D etri Wi ti im For Special i : . .0 Ddrep:;. . Qty. Eh. [ Total nformatim USC gltecklist ' - peserifitiOn I - I ' 1:.;yt.'Z„'2-,!-':•.::':':.:.'•;,;:.;-••,V;-g,.:17:•',--,'',,:'‘'..-frt,,';r',;".-,::''•-••--:tt,t,:•,- s•4:':'',,L.V'' .::,,,,..'r-,-,r-7,:ii=,.7.:---. yy,i4-„,pl.-,,' ',1r..:2f.,,,;,,-.„!ii-,.:--,,,: •'sew 1-2-,famiy dw egn... gs.(includes 100 ft Ter each utility-cormection) CATEGORVOVCONSTRUCTON ' 1 SFR(1).bath 31270 437.78 El..1-and 2-farinly:dwelling 0 Cdnurtereiallihdtistrial SFR;(2)ilath . SFR 131 bath 500:32. 0 Accasary building Ea.Mqlti;.-fitrilily . .Each additional'badi/kitebeu 25;62 0 Master builder EFOther:. Fire sprinkler( sq ti,) ` .Pagc2 1:Y•s.''•-i4iY?-41:1; ;•:St49,.*:$W1toirip,prop::,.wpApor ,3-1,,;:ioi .,,, ,,,:t;::,-,,_,;:: Site utilities; . .. . . lob.site addressf Catch basin or area drain I S3'211) 5 W -rirlarnes Lr.unc, • • 1.8.:76 • ... DryWelirleacItline,or twitch Main 113.76 • City/State/ZIP;.Tigakd.OR 97224 I --- Footing drain(no,linear A::• ) Page 2. • Stile/bldg./apt r113.: Project name:PolygOn.at Bull Mbuittain Manufactured borne militia. 50,03 - • Ctosa:Str .eet/dircetiOnS to job site: , Manitities I/3.76 .., • Rain drain connector 18.76 • ... .. - ' • Sanitary sewer(no.linear IL ) Page.2 . . .. . . . Storm sewer(no.iihear.11.-:.. . ..) I Page.2 • • . . Water service(no.linear ft; ) Patte-2 SubdiVision;Polygon tit BOB Mituutitill • •Lot rm.:J(1.7(..) Fixture et item; --- • " Tax map/parcel no.: 13acisflow preyenter 31,27 - . . . • . ... .. ... ' . •- • •-- • ------ .- ------•••-- • ---t- -• ---- 13ack-water valve WOR -':,--;::;s1Zit..:1•YE:4.1r4-.57: -.4:E''''-'•24.0.iciiip614.Wv.- ,- :-:,:ti.-4:;-.,,,,,::: .:Ncr..:-Kg.;.:;.4q 1151 - - • • w.-•:•;i.-• .1.:11, 77.'. 41 . •':%.,,'Afr.t... ...,7,.. -i.G , :i ...4-,2- ,.m.,,t7,--.,'':ri,'-i.::--":, : ...': ;' -:,,A1714 doita,,,, ,sher - 1 . 25.02 /9-2>6 2 tlig-7-6-2Z- ./ /-t---,--- : : . Oishwalter 25.02.. I . • Drinking fountain . . .. Ejectors/lump 25..(P 25..02 • - • . ... ... .. : .:, --• -- ...,..,. ,., ,• . . . . .. . 1:,:rgt..,•1;i:,. ...010i0gliT:it:5***;•::::, ..:ii2;,,,i‘.:;f.:.:::47.;,..,:,::ti.,.:cp,-.#0.41.407::,•3,,i:i.:,.•::, ,,•:_, Expansion tank ... 12.51 • , Fixtnrcisewer cap 25, 02 Name;PolygongNI/ill.,LW • : Floor drainiflonrsink/htib 2502 i I Address::109 g,. 4 13th Street * ... Garbage di . sposal .: 25.02 1 . city&ateIZIP:Vaneenver,WA 98660. Hose,bib -.25..az .. - -. ..... ... Phone:(360)695 7700 Fwc,..(-. ) Ice maker ' 1151 . I -1 -:!Ifittl,-',,A.•-:.,E:.#:.:••±;'fi-r-F:ONT*V:04017i4:::;:iii : tntercePt9r4r.cq-5C trap 2 02 .- "' • ;' - • - - Mediealga(value:$_____.:. ) . Page 2 Business name;Polygon Willi TIC Prima - 12.51 -Contact name:Angela.Orniewild • . - • . „ . Roortirain .(commetein1) 12,51 ,I .Address:109 East 13th Stteet. Sinhibasintinyaiery: 25.02 City/StatOZIP:•liancotiyek,WA98660 :Soler units(potable-ttatter) - 62.51 . . .. . . Phone:(360)695-7700 1 Pax:':-(360)6934442 ..Itib/shower/sItower pan . 12.5.1. .Uritigl. &mail:Angejn.qrajew,ski@polygoithinnes,com . . ...-.. W "closet • :25.02 ''•iii•:':::Ii:iaf7711Iiiiri.:4W •qtt"'.!--'.:';• 9-7F..;:li-i-gr.77;4-C:::'t,•, A)..;eta:::heater: : .1. ....33..!52 .V7.62) Business name:BDL PluMlifitg-Llje. . . .. . . .. ... •. Water:piping/DAN $6.,29- . . .. Address PO Bel 85 • 'Other .25.02 .. . . . , City/State/ZIP:Corbett OR 97019 • • Phone t 003).351,3903... Fax ( , ) :. • . ... . Mininunit pOrmit1ee!4:::::. • • ' - - Plati-tevicW P94 of penbit.Tee) 1 cal Lie.:114130 !Plumbing Ile:ni):;:i*B1582 .. .. -. .• • -. • . State surcharge(12%Of penult:fee) . . . . Authorized Signature- - . . . idoe..0.0e.04i***-‘ -TOTAL PER/v11'.1-FEB i ... " ' ... . Print nameBrandfin.:14.0ter pate8 n„, ..- .- This permit . . . .. . This .application.expires if a perant JS notobtained is.lthm 180 days :, - ; a ter It:has.been accep as complete.. . . . ped methodology set bytreari.ty'f3y.ilding industry Sofsdee Beiti. . 1.:ABRitaini‘PermitgVialitiPermitApp.cloc10101102 440,46.16T(.iD1024CMWEB) CITY OF TIGARD , MASTER PERMIT COMMUNITY DEVELOPMENT ,gyp Permit#: MST2016-00076 TFGATI.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 2S1080001506 Site address: 15326 SW THAMES LN Jurisdiction: Tigard Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 68 Project Description: New SF. 8/25/16 ADD heat pump in basement BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1591 sf Basement: 948 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 20 Dwelling Units: 1 Smoke Third: 0 sf Right: 5 Detectors: Yes Total: 4375 sf Value: $533,251.51 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays:Y 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 10 Water Lines: 100 Drains: 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: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 0 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 P W/O SvGFdr: 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 SecurityAlarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: Square Feet: 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 A Geotechnical report is VANCOUVER,WA 98660 VANCOUVER,WA 98660 required before the footing 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $36,849.48 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 oug AR 95 001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5 232.1987 or 1.800.332.2344. Issued Bk._ 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. Mechanical Permit Application FOR OFFICE USE O\L1 - City of Tigard , t Received �� /�,, �J /- 11 13125 SW Hall Blvd.,Tigard,OR 97223 111 >Y's a.... Date/By: as \"rC'i/ Permit No.: / GS�� �tP`�V 7� Phone: 503.718.2439 Fax: 503.598.1960 Plan Review T I G A R D Inspection Line: 503.639.4175 A U G 2Date/By: Other Permit: Internet: www.tigard-or.gov 2016 Date Ready/By: Juris: H See Page 2 for CITY Notified/Method Cil Y Off- T i(iARD Supplemental Information r r '' ..'f. is4-""'r �,' V iL FI' ;:." 47, .... V �. } .- ' � � � �; ,...E�C11lI'lt�9 ,, ����.1T.alt*:10:**�'i' i: ®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. $ * Value: e $' �QOrfj � . yM :5 - 3Ay�� lq+ � aaN . , �45W�� wi� �� � w' g o® 1-and 2-family dwelling 0 Commercial/industrial0 Accessorybuildmg For special information use checklist.❑MultiMulti-family ❑Master builder ❑ Other: Description Qt3'• I Ea. I Total A **-1,;44it a �6 i. 4 LtflCA ai Heating/cooling: Job site address: �/ 1� '�'�� i Air conditioning 46.75 �j SV� t t6u Lune,une 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:Pol Heat pump ] 1 61.06 61.06 ygon 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.: I Other: 23.32 Lit) Other fuel appliances: Tax map/parcel no.: Water heater 23.32 S y i a < `1lk bRlf?� I o'l`x7r'( £ Gas fireplace/insert 33.39 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 e �i Other: 23.32 may, r Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:109 East 13'Street equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, Phone:(360)695 7700 Fax:( ) toilet compartments,utility rooms) 23.32 - Attic/crawlspace fans 23.32 ��h .,a w jy -.. yb Other: .-z4:� .,<<fi� �. ��� -�,� k 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 Wall/suspended/unittieater Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace E-mail:An ela.Gra'ewski Range g j @polygonhomes.com lit °_ � aau � , *" '` atTa = (gas) Barbecue �-: ��, z4, � - • � Clothesdryer as Business name:Apex Air LLC Other: Address:18004 NE 72nd Ave A� � , . 1_ }�i ry Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 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: * Fee methodology set by Tri-County Building Industry Service Board Print name: . oc , I Date:8/22/16 I I:\Building\Permits1MEC_PermitApp_0401'� 440-4617T(I1/02/COM/WEB) CITY OF TIGARD MASTER PERMIT �'" s , COMMUNITY DEVELOPMENT Permit#: MST2016-00076 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15326 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 68 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Required Stories: 3 Bedrooms: 4 First: 1591 sf Basement: 948 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4375 sf Value: $533,251.51 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 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: V 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: $36,736.09 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throu OAR 952-001- 090. 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: g/17 �� L� /el-770/ 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. . Building Permit Application Z 0 T 6 P ,,,.•.4....7',"-' _.�'. . ES I V FOR OFFICE L SE 0\1_1 13 City of Tigard MAR 8 2016 D effiReceived 3 pl�0 Permit N s�'w/6evo-7 , It 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review // �YJ b Other Penni-574/C�/ *--�t,D Phone: 503.718.2439 Fax: 503.598.1960 DateBv: �' Inspection Line: 503.639.4175 CITY OF TIGARC Date ReadyBy: Juris: H See Page 2 for I i . } 1 Internet: www.tigard-or.gov BUILDING D iJ I S c othedetbod: Supplemental Information ' a ,;(37/;;:i7; ss��77 ,, ; e b,1✓��k ,a'C "' a .+.. �` u a"°a^" .a «a „x E c i 174ti i.. x .......a�.w...�,,.�_...s...�..... ....:..M.,..m.�. ....�.�.._�.�...w. �.,��-�,..s:e_..�.,.�.��� az_ ®New construction a D Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all D Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. v �,. Valuation: $ �� ® 1-and 2-family dwelling DCommercial/industrial S ..1 D Accessory building 0 Multi-family Number of bedron 4 ❑Master builder ❑Other Number of bathrooms: Total number of floors: LTO 4 Job site address: � �� skZ ��� t - f New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 0 all square feet Suite/bldg./apt.no.: I Project name:PO\\.i,B --on � b J r1 �h Covered porch area square feet i Cross street/directions to job site: JJ Deck are.- .. liitr�i square feet I 1 Other structure area: 0 A p square feet 9 Subdivision:Polygon at Bull Mountain I Lot no.: Lo5 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 -- work indicated on this a..lication. n�\,J H) ,,, l(! 11\.\. . , . *.... N.. . .._ . . �.. Valuation: S Existing building area: square feet New building area: square feet * . ; � �# � ".� °� � �- � •,��:a' "- �a � 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 Business name: l L n c. _ _._ ._• . . .... .. �, Structural plan review fee(or deposit): Contact name: M 0, • . 1� (OCC`Cf) Address: I 0 a _. 1.77h FLS plan review fee(if applicable): ` � � Total fees due upon application: \ I City/State/ZIP: CLO O � .) Or A C\Sf.k.0 0 Phone:bt,QD) V9 c\.5 fl-OO I Fax::otoe) U a3-U222 Amount received E-mail:maggie.gordon@polygonhomes.com :� Commercial and residential prescriptive installation of `-- ,_ roof-top mounted PhotoVoltaic Solar Panel System. Business name: 1P D I (j Win W L� \n C Submit two(2)sets of roof plan with connection details J and fire department access,along with the 2010 Oregon Address: \9 a i '3 Solar Installation S.ecial Code checklist. City/StatetLlP: J cur)COU\)t( w A a Sj(0(00 Permit Fee(includes plan review $180.00 Phone:61/10) 10 a 5.-31-0C) Fax:(3tQD) 0Q3 . `.1�2 and administrative fees State surcharge(12%of permit fee): $21.60 CB lic.:204238 Total fee due upon application: $201.60 I This permit application expires if a permit is not obtained Authorized signature:- , • within 180 days after it has been accepted as complete. * methodolo \ Print name: Date- —2;1_�� Fee Service Board.methodology set by Tri-County Building Industry ��Building�Pernits�BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1Y�echanicatPermt.A�:uplicatifl�����VE ' ." '."' �� Z'i�`af'`�1g8I'� ,� , - IA. _ Play Revues' � . 131�s SW:HaII BiFd.,Ttearrl,i)R 97 t pthrr Phtxle 543.7183439. Fax 5(Y339$.196t} p A n,R 8 'n L1 c t atdBx-: ._.- •PGm • on Line. 503.639.4175 ti i U pate Rwd�By Bl See Page 2 Cor Internet WWWiigard-or.gov Notifed/medhod Suppiemenlat•Informahoa _ CITY <Ca RCrAT' .$ n1 �-~4s &e: sr ` s t. � Mechanicalpfs� • b . on ltValeoQermpeare , . k paned_Indicate the value.(rounded to the nearest dollar)of all 0 Dem etitrn 0 Othetcmralt ttaatt;�replacairetu�' m eniscal materials•ts�uipmetr4 labor,overhead and profit. }� 0 UCher Yaluc:.S dI3emo t)� EIN „tum•s� ` x1tESii?Exp7ZCii" EQ> ::*#. NSFus7, �� ��� LA'F1GOA _O'F tC0$S3Rff1l1 . .._.... : .. .. . Forspeelal freorm�fox rest tlreddisL ®1 and2fstnily dyvclling 0 Comrnercial/utdustrtal 0 Accessory building � � IEa. I Total []Maid-fminlly El iviaster builder 0 Otfier' He¢6aaJerioltn�: 01SIf€`II4FOIi?y1A [DlQPIA;I GI13TS _ .E. _.::s. Asroondmbnurg: I 46.75 • Va..� l Job alta address: (�}� Furnace]0 ,4i0tf B t i1(doasl, s. I 1 43.75 u .Purace 100:000+:BTU{dints nes) x1.91 tylslaw 'ri Jr� �cA l� . ,:G ` may^ •Iicat•menp. 61.06 t_:nn. �' ( Project.oam P0\1 alb C &i \ m"LY I Duct*DA, I 23.32 SiiitelbldgJap .J ?333 i ob.site liydronid hot wafer system i0ss.sttet/direettom to.job. Residential boler(radiator or hytlrourc) 2332 unrtbeadas( ?' n9.eiecteic), in aal txltiet suspended.nit. 46.75 nitiNi t fcirlaiiY,Of aticive 12332: / � � Outer _. ... 2332_ ] Lotto.: U/V SubCLvmon- _ . .. . .... .. 1 Ut6eitilifirpplaances: Waltrliealir ' 2332 Tazxiaapl,¢aneel nn .39 .i_- Gas 1scztinstrc' _ , , W-:TIES RII"S1<Ct'LL{b)t" '(-1 - . M ,. ._ ;. , ._:E 33 ' ``.�r�..r. .�.,_� .� �v ._ .._ Eittewtat:for water heater or gas tircpiers 1 23.32 • lbglfithtOi ) .2332 - _ _. 33.39 33.39 Gtrotitl;fiiep-1 i e'iiisert 23.32 . .. #iiiiitiog/1ite tftjjvent 2332 "•. ^',,� 23.32 "Mg0 x e 1 g E8 : .. ._ r47a .£. r <, - Enstroatltetttal ealiaust ana veniitatiart: Ttsngebo_od/atherktt•.hen Ns. P.... i'.tarthvrrst egihtptnertt 1 3339 :,. . E 3°i Si C( tidseddtyerrxriatcst 1 3339 �inglydurt exitaztsc(bathioor>ri. t} '�'itnGoiavcr,4Y'3 98£261 'trnldcompartatenks.:uh7itY.rooaris) 4 2332. P1uosac36U)SiS-?SllO Fax ( ) 3nidara vlspaee faits 23.32 r x 2332 a: .... �..,. uel pa _ PrtrPr 'Std autos Polygon 1iorttr4+e 4'I4:15 tor first tour.S403 for endi additional .Futn.etn. 1 Cimlaia'3ieme :dot htacpnmp-. AddtesF,104 E 06 St _ • walksuspendedhati heaov *f..a4i�nver,PYA98661 Water header t�tytStt ,GIPa 1 Fax::( ) Farepliet Pliotre(369)816 7800Rte,_. 1 liutis. - ---,.."'.'ti-PA .s a 0._..::,. 4 ��'r'.iia -_iii S t Y 7..F C'�� _ .. )_. .... . =. h _, ..�.w: tiro( $frsttiess iiiiiim.Andersen liiitiog,I= .f.-17ME(:33 'g-._ 1.63$ ..$W'$5th Ave.Sebe 410 Subtotal Ivim'anmm penult fee(590;00) OR:97224 City t ZIP•Ttgird, Plata rotiiew(23mIt *tali flet) Pliea .tri)$2.604 I Fax;(503)536-6615. ;State siirtaarge(12%of penult fee). �y �y-� TOTAL PERMIT FEE l. D�i4.:168214- ... - This parmit application exj8rn Ef s permit is not.sbtained within 180 days atterii-81.toe=sctepted a$tumplete. s, Pee Y.04040)00.set:by Tri-County Weser"ustry Service Board Authorized siguatwr Y.04040)00._: I Pridtnartiin ArtA►tideraeo I Date~11.720/2015 I L'+S+u'ktR81Pa }Yan4hPP 04011#.doe 440-465 Tr ti tm33. ONVWEB) Electrical Permit Application BECE1 FOR OFFICE 1'SE oN[.1 city of Tigard Received •J g Permit f,g",R o 2016 I)atcrny: Yys7 2 / coo 7� et 13125 SW I lan Blvd.,Tigard,OR 97223 Plan Ruvicvs, ' 8 Pbonc 503.718.2439 Fax: 503598.1960 `_ u-ncrnv: Oilier Per I C, \I u Inspection Line: 503.639.4175 (1 9 X L T'.'3.i e< Readyiliy: )oris p tree Page 2 for Internet: www.tigard-or.gov t f•F ii'b. t ed/Mcihod: s ��js�y$ �9� Supplemental Information _i 'r''` k..q i'.•� .4y.J"•,' iL O' V IaJ:Lt11t RFaV1SNY I'Icasc check all Ilial apply(submit 2.cls of plans voritenn checked below) ®Nev,.construction ❑Addition/alteration/replacement O Service or feeler 400 amps or more 0 nmidint 0,er three stones ❑ Demolition ❑Other: where the available faith current 0 Marinas and boat :ods CATEGORY Ofr-.coNSTR4?€'T1�lN `, exor:r:Ic 10.000 amps in 150 volts or ❑Floating buJdnIgs •, ;+..•� .r..x" .. . ....-v . ."•, :-:' ', �, less luround.or exceeds 14.000 g 0 commercial-use acrieuhural ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations buildings 0 Multi-family 0 Master builder 0 Other: 1 1 0 ❑Pirc pumpInst;Jlalinn a 75 I:V:\ur I k :y't'+ -+: a a,• ❑Emetgcncysystem. largerseparatel Jen,cd>,strnr -s byx,..ii` .c,... 4.„. :.,„„i,...,,.:,,,..,,„,. .„,....1 ' . OAT[ON ND LOCA'T1ON - . .;. ❑Addition of nuns motor load of ❑larger Job no.: Job site address: «, 5L 1 f 1001I1'or marc. 0 occupancy❑SIX or more residential units ucc ancv Recreational vehicle parks L\City/Slate/LIP: —1—\ jcXA OR. /,1-i2, ❑l leahh-care facilities 0 Supply soilage lir more Ih an ❑IIvvJ,us lac tion. inn sults nominal Suite/bldg./apt.no.: — Project name:L)bp4 Q,�1�\ p 9J`\ fl') ❑Sn« eror seeder 600 raps or inure.J kW SC Epx)LET . Cross street/directions to job site: Description I Qty. I fie. I lbtal New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1.12 1--.1.000 At ftor less J 168 54 4 Ea.add'I 500 sq.IL or portion % 33 92 1 Tax map/parcel no.. Limited energy.residential xfg•�'�i£s',•, sf.,W:r- 7iE3(t'R#itlikwk iv(SRK".. . . (with shove sq.ft) ) 75 00 Limited energy.multi-family 75 nn 2 I New electrical service and wiring residential(with above sq It) Services or feeders installation,alteration,and/or relocation 200 amps or less 100 70 ' . *0.1 ER=. I4 -:0TENAiV1' 201 amps to 400 amps 133.56 ' (lOt� 401 amps to 600 amps (X).34 ' Name: Y 1 - �e��j 601 amps to 1,000 amps 301 04 ' Address: , b"k 4-6 Over 1.000 amps or volts 552 26 _ City/State/ZIP: J C�I�A .� l.,0 q eb ( ,2 Temporary services(Cr feeders installation,nitcration,and/or w �( ) n. ` vS.(i/t.K relocation Phone: p) V "15�� `� Fax:'I"1.D ) I „M,. '1 Q� tZ 2(N)amps or less 59 36 I ?lop) IIon y that I Is t`b (� 201 amps to 4(A)amps 1251/8 ' I Owner installation: This installation is being made on property that I own which is not intended for sale, lease,rent,or exchange.according to ORS 447,449.670. and 701. 401 amps to 599 amps 168 54 2 Branch circuits—new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with l above service or feeder lee. p t� * _r . ., T ©,rONTACT'1,Ji SUTtI -- each branch circuit 7 42 -' Business name: 0 0, I3. Fee for branch circuits without service or feeder fee,first 56 I. ' Contact name: m 4 # ii ' a . branch circuit - Each add'I branch circuit 7 42 ' Address: Mj _ Miscellaneous(service or feeder not included) 0.11City/State/ZIP: 1 C>�� ` 1, I S U., Foch manufactured or modular �/" dwelling.service and/or feeder 67 84 - Phone:( ) Fax: :( ) Reconnect only 67 84 b1 - Nunn or irrigation circle 67 Rd j ' E-mail: �-80,,,,z0a � ' Sign or outline lighting 67 84 , y ,` ...'1-• - • CTO - Signal circuit(s)or limited-energy Business name:Simply Electric panel,alteration.or extension Page 2 2 I Each additional inspection over allowable in any of the above Address: PO Box 822408 Additional inspection(I hr mm) 66 25/hr Investigation(I hr min) 66225/hr City/Slate/ZIP:Vancouver,WA.98682 Industrial plant(I hr min) 78 I 8/hr Phone:(503)849-8202 Fax:(360)314-4945 Inspections for which no fee is 91)00/hr — specifically listed(Y:hr mm) CCB I.ic.: 204615 Electrical I.ic.: . 067 Suprv. I.ic.: 4394S ' r, •ELECIiR C: h-PER)►1IT'FEt - Subtotal Suprv. Electrician signature. required: &fe-6..,' Plan revie\\ (25%of permit fee) Print name: Victor Larzhitsky Date: I 117/2015 State surcharge(12%ofpermit I'ee) Authorized signature: TOTAL.PERMIT Fl..li 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Dilly: . Nonbcr or nupeclions allowed per pet mit I )iuildme,pmmns\I:I.C-Pcrmil App doe 07,01.10 4411--1615(111,0CV)\VwPa plumbingPermit APPlicatiO Z A?'ED X012 OFT1CL 1SE O\L1 Building Fixtures 1 6 e_O1-o (��� ^� �', i\ Dl>ate/B ved City of Tigard r•: Permit No-y/�T�/6....000I/7 , - 13125 SW Hall Blvd.,Ttgani,OR 97221:. \ , t ,_,„r1 plan Review Other Permit No.: 14 i s,.emir Phone: on Line:2439 Fait:1503 598 3 ` ., IL/ 5 Ready/By: lurk ` ® �Page 2 for Inspection Line: 503.639 41751), J Supplemental Iemevhl lnfonau6oa I Internet www tlgard-0r goY r `mss= 11)t !:'- a: - ` -Tr-a-.-• s _� E_ eF _`'t.4.-x:1�-� ; +--a:�SPT- ".`r5 ----,-,,....,=.- :r —= - ¢` For special information use cheekiest /�,New � P ' s t ❑Demolition Descri tion j Qty. I Ea. I Total ❑Addihon/alteranott/tep New 1-2-family dwellings(includes 100 ft for each utility connection) lacernent ❑ SFR(1)bath t ---;'''477-7- 1,;?-:-..."1.7g-7-5;`-'1'7,-"r54,.. x -- r_i _c SFR(2)bath 437.78 i': 1-and 2-family dwelling TM [0 mmercialfmdustrial 50032% l ❑Accessory building ❑Multi-familyEach ' ❑Master builder 0 Other. Fire sprinkler(______sq.ft.) . Page 2 -Z-1 Site utilities: ;WY' :,- . ' ''-'3-'.;-e” lr_. - s a � q„-J 3 '�- r e ". :. -'':- �. ' drain 18.76 • Ob Site address: U , ` % Dxywell,leach line, trench City/StatJZIP: �, fc OR c 7-214\ _ ooF ting dmin(no.linear ft.:____) Page 2 Ca'bl)) n t rl1 1 Manufactured home utilities 50.03 • SuitJbldgJapt no.: Project name: Poky 501—) 1 Manholes 18.76 Cross street/directions mjob site: Rain drain connector 18.76 Sanitary sewer(no.linear ft:_J Page 2 • Storm sewer(no.linear ft:_) Page 2 Water service(no.linear ft:__) Page 2 • Subdivision: ( Lot no.: Lc br Fixture or item: 3127 ;� ckflow prevent= I ,1� Tax map/parcel no.: ,, e. .: Backwater valve ( 12_51 \2•cj ry T't ti • •-,-.2,----___,---_,..-,-_-:----,-,-,,- Clothes washer 25.02 05,02, f== — { Dishwasher 1 25-°2 ah.02 kk �.�10 1.54Y1�LIb e i . -'r''3i Yt Drinking fountain 25.02 Ejectors/sump _ 25.02 _ 5. ti=--`,r .i.+ - •7 t. -:-. 7:_f-,-,71--,. Expansion tank 12.51 �mm �_ 1 _- Fixtudsewer cap 25.02 Name: P oN 9 1 - Floor drain/floor sink/hub 25.02 t `+ h 3 f 25.02 2Gj,dL Address: C 1 V-4Th �/� ' 'n A /� H�b�rbd��� ` 1 25.02 7 G'j,dt City/StateIZI :\ ( of)\/vex- W vl Pbota r` ‘,11 _ + FLOC( ) Icmaker 15.01 1Z'r ' '� i--,--7-:----3--.: - �/grease trap 25.02 zc -jms ;, ` j-e. r4 _ � ter — 's=— ___-- �—� . _ medical gas (value:S ) Page 2 Business name: "6DC*Ii „wA5CA. Pruner 12.51 Contact name L U (an tit. Roof drain(commercial) 12.51 Address:r.�Ol t8g sink/basin/lavatory 25.02 �( Solar units(potable water) 6234 City/state/ZIP: ?61 1 a 12.51 Z (� Fax::( ) Tub/shower/showcr Pan. ?Ilene: )351 3�b3 S3iynal 25.02 • Fannin. # i' l /Mk. _ water closet 25.02 ��7 s� 1. • -r = -.� I_ water heater 2) ✓2, • W t 37 52 ,.. _ - .._ 5629 ILL AA Waterpipinf/DWV Business name:'�� - ' J �.��Li�l� Other. 25.02 Address: ?, 'i 1C) Subtotal City/State/ZIP: a • Minimum permit fee: $72.50l Lk.: :,n f —30.3 Fax ( ) Plan review (25%of permit fee) CCB Lie.: i B63 Plumbing Lie.'r' 1552_ State surcharge(12%of permit fee) TOTAL PERMIT FEE A signauac This permit application expires if s permit' is not obtained within 786 days // �� Date: i/ / /Sl after it has been steepled as complete. . I Print Itatrte: r' y / *Fee methodology set by Tri-County Building industry Service Board. LA&SidiP- doe 10/01/09 440-4616T(t1 i2FCOWW1B) City Of Tigard 114 COMMUNITY DEVELOPMENT DEPARTMENT T l Gi��� Building Permit Review — Residential Building Permit #: esT20/6 —000 ?(a Site Address: 1 3 5-2v SW ThorrLes Project Name: PQ) 9 9 o n of f- 601 I m O v In A-j, 6n Lot #: 6' 8 (New dwelling=subdivision name;.Addition or.Aiteration=last name of owner) Planning Review Proposal: (yew S F R XI Verify site address/suite#exists and active in permit system. ARiver Terrace Neighborhood: ❑ No "Yes,See River Terrace Review_Addendum Attached Site Plan Elements: /Three (3) copies of site plan Existing 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 North arrow igrrinty locations (required for new,may apply for additions) Site address,project or subdivision name and lot number —ErF ation of wells/septic systems /Applicant information (name and phone number) Erosion control (including drainage-way protection,silt fence /Lot dimensions and building setback dimensions I design,location of catch basin,etc.) ,__.114,et area,building coverage area,percentage of coverage and 1treet names impervious area(applicable if R-7,R-12,R-25&R-40) ,treet tree size,type and location roperty corner elevations (2 foot contour lines if more thanLJ1~,.xisting 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): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No XPublic Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: E Yes ❑ No,stop intake Land Use Case#: .S 06 Z 01 S — 0 000 2 2' Zoning: vf Setbacks: Front 20 Rear ' S Side S Street Side /f Garage -2,(-2 0 Landscape Requirement: jLf Lot Coverage Maximum: JZ Building Height: Maximum Height ql l Actual Height 24 /`J Visual Clearance Easements 0 Sensitive Lands: ❑ Yes ❑ No Type IZI Urban Forestry Plan onditions "Met"prior to issuance of building permit aotes: CO n d i n o b1 S nivi f b e S 047-s F1TG( p1i be- t9 I SSVG1 hc_t__ CI1— bvild-inr9 re,rmit . Approved By Planning: /110 61 i Lc- 'I j t� LL C.c.« Date: 1/ 6/ 1 T kO 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\BldgPennit Rvw_RES_O 12 1 16.docx Building Permit Submittal Original Submittal Date: 3/ /fc, Site Plans: # Building Plans: # 3 Building Permit#: Er-Enter building permit#above. Workflow Routing: D.-Planning L ngineering KI--rermit Coordinator Wilding Workflow Sign-off: R'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: 3/1,4' Engineering Review A Slope at building pad: (g!` Ci] Conditions "Met"prior to issuance of building permit QEasements (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: )44 Date: 3—/ZI_A„, 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 1 pproved, NOT Released: Date: 3J40/i4: 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: SDC Fees Entered: Wash Co Trans Dev Tax: Yes El N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: gffr Date: "e1/2"57/c" I: Building'\FoIms\BldgPerrnitRvw_RES_O 12116.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT Ti G A R D River Terrace Building Permit Review Addendum Building Permit #: /f.�.f 7-�/b —000 7(® Site Address: 1352 co w -T '- o i e Project Name: poly0 n U t B()I I M o Jr �O 0j tzi r1 Lot #: (New&cling= 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 Window Projection Vertical Wall Offset a in Porch m . 5 ft. deep ft. deep min. 2ft., 5 ft. wide m . 2 ft., 6ft.wide Gabled dormer in ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: 0. 1 / 3. Entrances:At least one entrance must meet both of the following standards: i 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 E No If yes, all the following apply: ?25 sq.ft. min. )6 One street facing entry 2r 12 ft. max. roof height above porch JZt 5 ft. depth min. Er30%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 ilecessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood ,Z1 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 ,zr Window trim min. 2 1/2"wide by 5/8" deep E Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep E 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. 7 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: /11 0 ii 0-01- l 11(9 di-OWL- Date: ?! v / / b I:\Building\Forms\BldgPennitRvw_RES_RT_O 12116.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 T i 6 A P.n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gr TO: Tom H. DATE RECEIVFAD: DEPT: BUILDING DIVISION AUG 2 2 2016 FROM: Angela Grajewski CITY 0 t o,„- -. COMPANY: Polygon Northwest PHONE: 971-212-2144 RE: 153 Sv'� T1e:nn25 � f J `+1MST201(p- (40 (SiteAddress (Permit Number) Polygon at Bull Mountain (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEM . 4 0 Additional set(s) of plans. 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. 3 Other(explain): Additional deck d; ails requested by inspector REMARKS: Routed to Permit Technician: !tate: g- - ) Initials: Fees Due: .4 Yes ❑No -e Description: Amount Due: v. • D r Y Special Instructions: Reprint Permit(per PE): ❑Yes No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittRli.e tter-Revisions.doc 05/25/2012 1 v CIA' I IvT tt !..tti, , ' i., '1,L,.. '. , . , Electrical Permit Application FOR 01-FICE (•SE O\L\ City of Tigard Nov 1 7 2016 v:R ' .'. Date/B ,, miczcommenrwo Iiii 11 13125 SW Hall Blvd.,Tigard,OR 97223 , . Plan Review / : 11 Phone: 503.718.2439 Fax: 503.598 if Asp ,' , Date/By: Related Permit 0: ,,, .„u, Inspection Line:.503.639.4175 .''':: ," ,.:. , .:',. : :, Ready Date/By: Lin. 0 See Page 2 for `'`-':'"— Internet www.tigard-Or gas 4 I.!I;..; .' :,:, I:,‘,, , ,'. ', s; ',Notified/Method: Supplemental Information :::::::.!',1i 4.'4-'V''.‘',Ittli::: :fi‘,,••"*. f.i'l';-1 ,7::,3:.:,1)Tkil7,171r*,,, ,,,,!Ii-4144e4=-1 ti,:ift24..figU:',,,,--;-il.,4F :,;-°,:ar-' .,:,'':,i,.>,,;,::akit:',1.14f Cl New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. El Demolition 0 Other: ,, where the available fault current 0 Marinas and boatyards. #,,,,,x-AL: exceeds 10,000 amps allSO volts or 0 Floating buildings [8] 1-and 2-family dwelling 0 Commercial/industrial [3 Accessory building less to grotmd,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. El Multi-family 0 Master builder 0 Other: 0 Fire pump, 0 Installation of 150 KVA or tf:::707,',::'!i,.;;; L.A 0 Emergency system. larger separately derived 0 Addition of new motor load of system. _ Job#: Job site address:i 3.1.Ap s\NyTh&mes I ftir)e, o lookip or film, 8 Six or more residential units. occuPatleY• City/State/ZIP:Tigard,OR 97224 o Health-care facilities. 0 Recreational vehicle parks. Suiteibldg./apt.#: 1 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 street/directions to job site: Description i Qty. r Earn r Total New residential single-or multi-family dwelling unit. Subdivision:Polygon at Bull Mountain Lot Alpe) Includes attached garage. 1,000 sq.ft.or less I 168.54 4 Tax map/parcel#: , Ea.add'!500 sq.ft.or portion —1. 33.92 I Vnie. `,'‘‘,.,‘,:::-.!`,,...2,1t#4„V„,!':,,: e,‘,.-;,,,',,**IcatAA,41407,1*.X4114 Limited energy,residential 75,00 2 (with above sq.ft.) oniractor Cha.nele Limited energy,multi-family 75 00 2 residential(with above sq.ft.) , „,,.. .‘,„,, ,,_1_, Renewable Energy 0 See Page 2 7'"f;-"4.:,-•.P... ..',i:::'.4!..:',.7,..,S(: ,-1:2 •-4----':.--0"1-4E,;-'1,141-14-4--,Lik ---if.-*-*7- !?. 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 I 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 Branch circuits—new,alteration,or extension,per panel --,.--,-,---, tWIE‘Y:::'jP:"4;;'-*;.."'''':11:6*-WA.i1Ail"!*:16°1:°t:° :74*64: 4;- -<; A.Fee for branch circuits with Business name:Polygon WLH,LLC above service or feeder fee, 7A2 2 each branch circuit Contact name:Angela Crajewski B.Fee for branch circuits without service or feeder fee,first Address: 109 East 13th Street branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'I 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 dwelling,service and/or feeder Email:Angela.Grajewski®polygonhomes.com _ , Reconnect only 67.84 2 i4='4*'2;,-;-` ,,,'::',, :474,,,i'r,-..•:-''....277icoot.,:mtx.:ow..w.e.v-te..-4-ti%rdin,:.,;:;;;;..,"-, Pump or irrigation circle 67.84 2 Business name:Simply Electric LLC Sign or outline lighting 67.84 2 Address:PO Box 822408 Signal circuit(s)or Iirnited-energy r see p...e 2 2 panel,alteration,or extension. `-' ...8 Each additional inspection over allowable in any of the above City/State/ZIP:Vancouver,WA 98661 Additional inspection(1 hr mm) 66.25/hr Phone:(503)849-8202 Fax:(360) 301-4 99 S..-- Investigation(1 hr min) 90.00/hr Industrial plant(1 hr mm ) 78.18/hr Email:simplyelectricpdx@gmail.com Inspections for which no fee is 90.00/hr CCB Lie.: 204615 Electrical Lie,: C1067 Suprv.Lic.: 4394S specifically listed Ch(strain) I t ,- W.:'r4: ji'.:,::,,,1 * I''; Suprv.Electrician signature,required: f 0/ arzt4Al i. ;,t1 Subtotal: Print name: Victor Zarzhitsky Da : 11/16/2016 0 Plan Review Required(25%of permit fee): , ,, ...... \ , _ State surcharge(12%of permit fee): ( ' -' 7 o Authorized signature: • (.....--- %.---,--.----( TOTAL PERMIT FEE: . Tins permit application expires ifs 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:\BuildingTormitsNELCierrnitApp_ELR_ERE.doe Rev 06/172015 4404615TOMS/COM/WEB .. .... ._ City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15326 SW THAMES LN, TIGARD, OR, 97224 May 8, 2017 at 11 :19:41 AM Record Type: Record ID: Residential - Master Permit MST2016-00076 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Provide access to storm cleanout, appears to be hard capped right front. Water line leaking in garage under PRV. Tighten lower loose strap on left WH. 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: 15326 SW THAMES LN, TIGARD, OR, 97224 May 8, 2017 at 11 :18:35 AM Record Type: Record ID: Residential - Master Permit MST2016-00076 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Upper level main bath outlet right side shows bad ground. Outlet by laundry tray shows bad ground. Washer outlet shows bad ground. 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: 15326 SW THAMES LN, TIGARD, OR, 97224 May 9, 2017 at 10:30:36 AM Record Type: Record ID: Residential - Master Permit MST2016-00076 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Correction from previous inspection not done. Cleanout cap not installed in place of hard cap right side front at storm piping from sump pump and downspout. 1101 .3.4 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15326 SW THAMES LN, TIGARD, OR, 97224 May 9, 2017 at 10:33:14 AM Record Type: Record ID: Residential - Master Permit MST2016-00076 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Violation Summary: Inspector Contractor