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Permit (89) CITY OF TIGARD gyffil 1•;:Iil MASTER PERMIT t COMMUNITY DEVELOPMENT Permit#: MST2016-00075 Date Issued: 04/28/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15340 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 67 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. 1/17/17: Add 4th bathroom. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1504 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 2155 sf Garage: 739 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 4485 sf Value: $546,639.23 Rear: 20 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 Drains: 0 Tubs/Showers: 4 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: 6 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4485 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 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: $37,857.15 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- 0. Yo 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: /941 1P (177e/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. Plumbing Permit Application RECEIVE Building Fixtures 9111111111MMIIIIIMIIIIIIIIiA City of, Tigard JAN 1 0 2017 ' Received / Da./By, / /7/47 <C1,41--- PegnitNa.'w6T2Dit,- 6 0 UT 5 13125 SW Hall Blvd,Tigard,OR 97223 Phone: 503.718/439 Fax: 503.598.1%i. TY OF -FIGARO PD:i tneite7 Other Permit No.. ..i. ,' ,.. R n Inspection Line: 503.639A175 BUILDING DIVISICIM.Ready/By: (um. ta See Page 2 for ' ' ' ' Internet: www.tigard-orgov 1 Notified/Method: Supplemental Information f:e. „,;-74:; :,,,i.;;,.!,4g6N,,,,I,,sr,<1 ---,A,s:t.. ,,,,;1,71,,,, .,„in4A, :;;.,„;:.,--.,-7-;;;20 -Mr:4 '*,,,,,:;:--,:-,,,,:t'- *„.4,'..);.?-r.,."1.•...0Y;;;:J1,1* 1*,-.4-,,,A7*,-mor,,,,,,,v,,--7,14:-,4,;- ,':, „;f,s,-,`.7,,W....:.,A&i'.'', ;",'•hM,F,.'r'''.:n•'',,50 ' : .e'..0,,--L'A'.`:"; 2 !,,,,...„ ' .',."!.• ii.f.. ,....;t4i.'..:...5 ."'..%.V," -Z-';'..-' ',04,C4 New construction 0 Demolition For special information use checklist Description I Qty. 1 Ea. 1 Total 0 Addition/alteration/replacement t 0 Other: New 1-2-family dwellings(includes 100 fl.for each utility connection) •;i• ,•-'... •' " SFR(I)bath 312.70 El 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen i 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 31:-4 Site utilities. Job site address: I 5 3 go ,s oi----rhanies , ne- Catch basin or area drain 18,76 Drywell.leach line.or trench drain 18.76 City/State/ZIP:Tigard,OR 97224Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain .... Manufactured home utilities 50.03..... Cross street/directions to job site: . Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 - -- Storm sewer(no.linear ft. ) ... Page 2 i Water service(no.linear IL: ) i Page 2 I .... Subdivision;Polygon at Bull Mountain Lot no.: Log Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 T.17.7'''',,"' IW:'',:::7'.:::.A?4;i 7-cr,,C'f;'•fit's;,Airii,f.'''.,i`1,.r.",f7i;S:, -,M5:2-01 Backwatcr valve 12.51 Clothes washer 25.02 Prark Li-f-ti c(_44,) Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25,07 i!IV:E,,*W Ifiqii . *,,,,A,;:,-*,,,,,;;;A'77.-etr,'-',ir.-.:, ,;,,;I:zitt4,-, Expansion tank I 1151 Fixture/sewer cap 1 25.02 Name:Polygon Vs LLC Floor drain/floor sink/hub 25.02 Address:109 East 136 Street - Garbage disposal 25.02 City/StaterL1P:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax ( ) j lee maker 12.51 ,t7;„:•4A11w1::,:;14: :"'; ,'.,?'-,latt41-S.:- Interceptor/greae trap 2502 Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Angela GrajewskiRoof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/Z1P:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:Angela,Grajewskigpolygonhoines.tom 25.02 ',!,-:-,`,-S,ie.4,4,-,i',f ',,..•.:,1"Z;:AlaiNtLAW",az..t41,1,:s7ft' t.',.;-V44,Ve V,',:c,k,.--',:;,f--,---' ,:',4: water heater. 37.52 Business name:BDL Plumbing LLe Water piping/DWV 56.29 Address:PO Box 85 Other: 25.02 City/State/Z1P:Corbett OR 97019 Subtotal Phone;(503)351-3903 Fax:( ) Minimum permit fee: 572.50 Plan review (25%of permit fee) CCB Lie.:180345 Plumbing Lie.no•P111582 - State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Brandon Lanier Date: 1 1 ei I 11 I This permit application aspires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Beard. 1,‘BuildingTer rhitg,PLNie-PermitA pp doc.10101/0 4404616f(10/021COMMEB) 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 IL _ Transmittal Letter T:G A R 1) 13125 SW Hall BIVd2 Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED JAN 1 0 2017 FROM: Angela Grajewski CITY OF TIGARD BUILDING DIVISIONCOMPANY: Polygon Northwest PHONE: 971-212-2144 By.Z RE: 15340 SW Thames Lane MST2016-00075 (Site Address) (Permit Number) Polygon at Bull Mountain Lot 67 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: i . t� Vtion: I 0 Additional set(s) of plans. 3 Revisions: add 4a'bath 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. per buyer selection syr � M �� �� � Try FORO FICEUS Routed to Permit Technician: Date: ) - 17 Initials: Fees Duesa Yes ❑No Fee Description: Amount Due: $ Special Instructions: Reprint Permit(per PE): [� Yes (�No Done Applicant Notified: w6=/ /Date: 7/7/j 7 &7-2 f9/z- Initials '— I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Ipln iCITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT 4 ,,"VI ,- Permit#: MST2016-00075 BERMT1GAR0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15340 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 67 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. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1504 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height 32 Bathrooms: 3 Second: 2155 sf Garage: 739 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4485 sf Value: $546,639.23 Rear: 20 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 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4485 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 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: $37,567.21 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. s 413 Issued By: ` Permittee Signature: if/ i° 6-''977041/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicattrftr- rtcCEIVED Fi)R t)Fricv 1 SE(ALI CiIV of Tigard fLt...41111:.:02///4 - _,;7f44`. I'm'''Nv41-‘717/4 WOO 7-5 .13123 SW Hall Blvd,,Tigard,OR 97223 Iv SEP 2 0 2016 PIM WM St371.3,2439 Fax: 503-590960Oilea Permit: ilaterny. „, 'T r GA RD "Itwiwoinfl Lin& 503.639.4175 CITY OF TIGAR D Due Renty,41,-; totiv El-Soo Pagel tor , , Interact: www tigand-or,gov wotio<4.74,zthad: Supplemottet tafarmatioa BUILDING DIVISIO • ' TYPE OF WOltk' Ca144Aft4 cI4-1*. •FIE.E'r Sco,Eptlz--'I SE clfEeKtist ,_, Ivitxhanical permit fees*are based on the value of the work .41 New construction L.)Addifionialterationireplacemetu • performed.indicate the:Moo(ronatied to Ow nearest Jolla)of ali 0 Dernolitirm 0 Other: mechanical materiatv. If:me:IL labor overhead,and Vttle:S , . •, CATECORY OF CONSTRUCTION,• . _ . ' , • RESIDENTIAL EQUIPVIEN r/6 I STEMS FEES* 0 1-and 2-family dwelling U Commerciallindo$tri al 0 Accessory bui1dian for speiial information mac ellecAlia 4 Muld-family 0 Master builder 0 Other: DL-wripfion 0 Y. E*. MEN JO H SITE INFORIATION.ANTI LOCATION r•tatIngit""g' . ..... „ .4 it.condniontro: 475 1 Job site address. Ilk 0_Aid,' c ! Purnace 100000 1111.114acisA?nas) i 46...7'• City/S:tatriZIP:Tigard,OR 97224 Pumice 100.000'4.131V biactsivent0 .54,9 Heat pump 61461 Suite/bit*Apt.no,.: J Project name:Polygon at tall Mountain . Duct Ivo* 2132 Cross greetklirections to job site: th*onie hot water$men: 11=1111111111 ReMdential intler(radiator or 1111111.11111 hviirooki , — Unit beaters libel-typo,:tot electric/' in-datn sospt.vded.etc. 46, ,1- ,/ h1 /'en t for any of above ' 1332 _ Other 2332 alline„,„/111 Subdivisio i' `ollg.a I ; II Nio t i Lot no.: / o, or fuel up2lintines: Tax map/parcel MI: Witter heater I..... 23-1,3 ,i ,eak . . , . . O ,. -' ' , DESCRIPTION OP WORK ' ka firePhornas-crt I 33-39 L Flue veal for water beater nt tax „, allitini _ AiA.1; ' ii, IMIIIIIIIIIIIVAM I ..WIIIIIIIIIIIIIIIIIIIIIIIIIIIIII La lizfit1314as' • ....failiiilnii I Woo* -. 1 stove NNW 3139 I 111 0 fr Wood ti t. lotwirtsert MINI 1332 alitryWilittfa#311( 2132 • 2132 • 1r4•PkOPERTOWE Y NR. . ' 0 4TENANT ' Other • - - ' ' Envirtunnental cilia list and ventilation: - Name:Polygon WLEI,LLC I %Mat'beed'other kitchen 1 --1 oi merit 33,39 I Address.:109 East 13t'Street i , I aelbes dryer exhaust 33,19 I Cily/Stalo/ZIP:Vancouver,WA 98660 on Sxhaust ite-doet e (tothrotont. I - toilet cx•: ... mortiv.,unlit*morns 2332 I. Phone:(360)69 -7700 Fax:( ) Attiecran!spec ant a 2332 APPLICANT, . ' . - 0 CONTACT PERSON , - 111E2111111111111 Fuel pilling: Business name:Polygon WIJ-1,LL-C $1.41.1$for Erg fm l 54.03-fer earl)ad meat Conine)name:Angela Graies-ski Furnace.etc, .1 • Address:109 East 13th Street Oas heat pump WW1't.temledfunit beater i 111111,11 CityiStateiZIP:Vancouver,WA 98660 Water heater i.„.aIIIIIIIIIIIIIIIIII Plum(360)69S-7700 Fax::(360)6934442 Fiteplace ., INN' E-mail;Angeln.Grajowskriptilygoohnmnt es.co Darbeent CONTRACTOR , Cielhes 0 '41(a0.5, 1111111111111 O Other usiness name:Apex Air LLC ' .' - MECILANICAL PEIINIIT FEES* • Address:18004 NE it'f Ave Subtotal . eftyiStateZIP:Vancouver,WA 98686 M., oumit ref.,, , ,.. outrn per ($90,00) , Plan trview12316.ofpormi:fee) I Phone:(360)342-8109 Fax:(360)3264169 Snag surcharge 02%of peon it leo i .... CCE lie.:203034 TOTAL PER‘iFf'FEE ' Thit permit opplicatito entires fro Omni(is not obtained mithin 180 daysetterit hos&mit orreptod at romptete. Authorized*nature: * P4t metedology oet by Tri-otototy Banding lottatny Servito flood Print tul______itne: Date: 4- -----. I 06L-;:r5",rt,rilt-'\it-f_PvtvitApp 061 t3.(km 4404617T i 1A,S,CDMAVII4i p_. ...: c ECEIVEC) 'i ofTigard ReceiveA O .t Pcrmii ii��i /� G�0 13/25 S ,l Blvd.. -i 223 SEP 2 0 2 016 . • , 1Jate33v. OR 97.. Flan lteviata� .. , Moue: 501711,2439 Fax: 5613.595..t till R:r1ated Pe mit Inspectionlinc .503,639A175 1TYOFTIGARD Reaadytate y: � for Internet; b4tiLW.t3gdrd P,gtta BUILDING (�11�I &F� dosifaedt?4etl� isMIME 8upplew .stuiicformation • 1 L1 6i! New Construction 0 Addifi ntalteration/replacetnent Please cheek all that apply(submit 2 sets of plus winetns checked) Demolition 0 Other: O Seamice or feeder 400 amps or more fl Building ovcrthre stories, uliere the available fault current U Mations and boatyards, ' 4-:: AT;ECQR'Q .ii Gt iN' alelliQk ..- _ exceeds 10,000 amps m150 volts or afloat-Mg buildings. l a 1-and 2-family dwelling 0 Cotnmerciat/industrial 0 4ccessot}°building leaf()ground,or exceeds 14,000 0 Comm and-use 0.000ltural ID l+ inti-tal3iil amps for all other rust nations. buildings. } 0 Master builder 0 Other: 0 Fire pump. 0 installation of 150 KVA or IO SS1 O1 i$,leibl-ASbr.EQC 11O1V; :>,' D Emergency system, l er:separatela derived Job : Job site address, O Addition of new motor load of system S3yb SW 1 amps Cage 16t0.1lPormore, © A.,,:. ..1-2';"1- Gies iStaterZlP:Ta'gard,OR97224 l3 Sixnrraaoreresidcxat#al units, occupancy.l_1Heatih care facilities © Recreational vehicle parks. Suile bldg rapt ; Project name: U" g 1_l flarardous iocanons. O Suppl y volt18o for more roan uii otv �'�l � uyi��`t: l Sersice or feeder 600 amps or more,�� 600 volts nomirtalT Cross street/directions to job site: t .. D eription l Qty. 1 Each ..I `Tatal. 1 s New residential single-or menti-family dwelling unit. Subdivision: , 4 , llud kit ) ' /a, U' _/, Lot#: / Includes attached garage, Tax roup/parcel#, .. 1,000 sq.ft.or less ' 168.54 4 - : �(/�/+-�_.,?� _ . . =;T CRf'FTIO ,OF:WO 00 sq .or portion 33.92 1 !111U1.NVI C Eaadde ;il Q1 3 1 Limited energy,residential V 5 g0 2 (with above sq,ft.) Limited energy,multi-family tg,:. .-. :=`,r3"ROPLrR1`70:i R.. a:_I '. . "1tiDa's314Ff, . residential(with above sq.ft) 75.00 2 Name;.ADVL Land Holdings,LLC Renewable Energy 9 See Page 2 Services or feeders installation,alteration,and/or relocation Address:7641(?E Doubletree Ranch Road. 200 amps or less 100,70 2 . City/State/ZIP;Seottsdale,.AZ 85258 Phone:(602)694-4031 I Fa;( j 201 amps to 400 amps 133.'36 2 Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.64 2 intended for safe,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 ►< APPL7eANT- :- �= -- . .. L'�U14'TA0T.I'E7t5 l*l . relocation Business name:William'Lyon Homes,Inc.. . '200 amps or less 59.36 1 Contact name:Angela Grajewski • 201 amps to 400 amps 125,08 2 Address:109 East. 13th Street 401 amps to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 .. . Branch circuits-new.alteration,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@polygonhomes.com each branch circuit 7.42 2 B.Fee for branch circuits without = CflR = F - service or feeder fee,first 56.18 2 Business name;alameda electric branch circuit Address:3415 nt 44th Each add'i branch circuit. 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP;SEM Fbr4 1a.z..y4/®)Z /4t 7.i /_3 Each manufactured or modular. dwelling service and`or feeder 67.84 2 Phone:(503)3192.1.93 I Fax:( ) Reconnect only 67.84 . . a Email:solatpdx@ine.cont . • Pump or irrigation circle CCB Lie.: 199188 I Electrical Lie,: c923 I Suprv.Lie.: y(7/S Suprv.Electrician signature,required: sign or outline lighting • .. .67.84 -2 Signal circuit(s)or limited-energy . Print natter: ed,alteration,arextension. 0 Ste Page'2 Pri e fluter Each additional inspection over allossable in any itf else above Authorized sigmaturej:,�- Additional inspection(1 hr thin) ,� :' ' :Pratt name: investiganon(1,hr min) ,. ..K.,- Dates" I90.0(/ht 1.t9:ai6`irry itAMC n _P .R .daz Rey9641712015 7._Q73 G4fl-4St.�T{t 3.A15.€CUS£`iV.f3} ... • Plumbing Permit Applic [ ' Building.Fixtures FOR OFFICE USE,aO L.1 ) ' 201 . . . . . City Or:ri 0 ' gettiYed f //.•�- /� 13.125 SW I-lull.Blvd Tigard,O 97323 Date By/ o2//�� I.« Perznit i o J/��;e7— 7o 7S � OR Plan ReYieev . Phone (13:718 2439+ Faxx:509;5010 960` ..•. Iliiterfly: , Other PerlltitNu.: Ins ection 1 tile_ 503.6394175; . _ I • T 1 G A It D I# Bate ReadyiBY: lurl.. Fra see Page 2 for Internet. W%%%u.tigard-Or.goV. Iyr b ,. ottttedt:vtethod: Sapplenzenta!In€iirmafioir i t , ,E OF W1)12K -,'., t- iitl-:. 4 . FFESEE13[ - ED:New conslmetion additionlalferafionlieptacemenf [ Ic rriolitzan . 0 Oh.r: rro.r"sPe ciaiin ormatiu uselferhlist y ! Ea . ( Tata °civ l 2�,fanrily dwellings(includes 1,00.11.for each utility connection) {s : C T R4 t'U F57 RIi IkTN i SFR(I)bath 312:70 . ®1-and 2-fariiily:d welling 0 Commerctallindustrial • SFR(2)bath 437:78 - SFR(3)bath 500:32. Accessory building D 141tiltr ftmrt} Each additional bathikitehen. 25:02 . : Fire spniikler( sq:ft) Page.2 ❑blaster builder ❑Other r ijOR si RM 1 o '? iii L ieiiiiON Site utilities: lob site address' Catch basin&area drain Ill 76. S3 b SUV ale LA.,Y1,, .. . . -Thanes r BryWell,Ieaeh line.or trench drain. 14.76 • City/State/ZIY`.Tigard,OR 97224 Footing drain(no,tin_e tr tr::. ) Page 2 Snitelbidg:lapt.no.: Project nurse:Pol gon At Bull-Mee ntain • Manufactured home utiiilics'. 50,03.E •Cross:streetfditeetians ti-job site: Manholes 1.8:76 ' Rain drain connector 18.76 Sanitary sewer(no.linear ft.:__,,) Page.2 Storm sewer(no.linear.ft.:.,•,) , Page'2 i Water:service(nil.lmcar ti: ) Pam 2 Subdivision;Polygon At.BullMountain • I,Ot no. �� Fixture of item Tax map/parcel no,: Baekflozu eyen 3127 .ij, S • `... Tc.s .. •x:rz i.'r '- Backwater Yfll'6.G.tel" .. ... - 12.51 4 . , ,i-,DESCRIP'i;:1U F V4'QERI„ . .:_. :;, ClotYtes.washer ?5.02 +7I. b 7j _' 4fJ22 ,4746-,--e?-77E72... Dishwasher 25.02,, : Drinking foiiirtaiii 25_t12 Eget s r i or•fst rnp 25.02 e ['IttO [tTl t3R'1tiBR Q TE iSI�rL span ... i _- . . .j sign tank I 54 Nance;Polygon WL.}I,:L1.C F Fixturc sewer cap 25.02 • Floor drain/ oorsink/hub 25;02 I Address 109 East 135'Street _ Garbage disposal 25.02 . Hose bib 5 02 Cie.y IState ZIP.Yaiicoiiver,WA 98660z Phone (A40)695-7706 Fax ( ) Ice Maker z Interce for/grease tra ' ,, ,- f rt [c,.itrr ll"Oris , c, ,.,4 P P . _ : -! t. d.C. .moi ....t*._ .n3. . .+L9, m., ..-.-1:1•-:•-• 3�. __.- S�>,, �. Medical gas(value:8 .) Fate 2 a Business name:Poi Yt;.tin W.11-1;LLC Primer 12.51 i Contact nape:Angela.Grajewske . Roof drain(,cimmercial} 12,51 Address 109 East 13th Street Sin hf/lavntrjiY 25,02 City/State.ZIP:V aacoczver,'WA"98660 Solar units(potable water) 62.54 Phone:(300).695-770f3 I Fax;:(300)69$:-4442 .Tab/shower/shower pan. 12.51. • F mailsAng€la Grajes ski r@'�i polygonbomeskeom t,sille �. , t h nc f •. G . i eOSeF ' ,4 AtViiiiViw ° ' n Y:. , :,x;- ,,4,tet heater Business name:BDL PluihiiLLe. GaterptrintJOVS25.t2 2502 : (. 37'523I•620 35.29 . I Address:PO flax 85 011ier:. 25.02: City/State/ZIP:Corbett OR 97019Subtotal: • Phone (503)3 1-3903 Fax f. ) Minimum gi rinit fee; ee $ 7 5 e ev (25%of pem it fee.) • CCB Lie.:180345 Plumbinglie:M)::::31315/32 ' an r r•E :State surcharge(12%ofperrnit fee) Authorized signature: s TOTAL PFRMIT.FEE . ec methodology n o vai. e This permit application expires if permit is notab.tained within I80 days' 1 Print.name Brandon Cantel• :I Date: 8 Ilo i a€ter it lits been accepted as conip#efe. *F thodotoec sot by-Id-County Seitiii B^' d J auilaiag:PermitiTLMMU-PemutApp:dce'10101i!34 44o-46.16T(.lwo21,coMxw1ra) • MASTER PERMIT CITY OF TIGARD;9i 11 COMMUNITY DEVELOPMENT Permit#: MST2016-00075 T R,D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15340 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 67 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 Required Stories: 3 Bedrooms: 4 First: 1504 sf Basement: 826 sf Left 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2155 sf Garage: 739 sf Front 12 Smoke Dwelling Units: 1 Third: 0 sf Yes Right: 5 Detectors: Total: 4485 sf Value: $546,639.23 Rear: 20 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 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 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: NEWp y Square Feet: SF VB R-3 4485 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 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: $37,356.72 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 • ..; OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued :y: ! != - Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit 1�pplicati FOR OFFICE USE ON- L1 City of Tigard &� RIEW .111 13125SWHalllvdTigardOR 97223DPermitNo.:Phone: 503.7182439 Fax: 503.598.1960 Inspection Line: 503.639.4175 AUG4 U G 2 2016 Date/By: Other Permit: TIGARD p Date Read/B Internet: www.tigard-or.gov CITY rys Ready/By: u See pentge 21 nr �✓�i T OF�"'f t"•yt kyr` Notified/Method: Supplemental Information BUILDING DIVISION 9 ';1 j _` tk 'YI E O.F WORK �R' G A1: --,,'c Ell C+0 ®New construction ❑Addition/alteration/replacement Mechanical pernut fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. WATE+�©RY OF GONSTAMCTIQN Value:$ ® 1-and 2-family dwelling 0 Commercial/industrial QiNTlSY-1'E-7SFEE5*. 0 Accessory building ❑Multi-family ❑Master builderFor special information use checklist Other: Description :�O$ S1i.B > O.RMATJ€O1�I tfll k.LOCN110.1�7 Heating/cooling. QtY Ea. Total Job site address: 'S 0 �� -r►„ ,� Air conditioning 46.75 6 f 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/bldgJapt.no.: I Project name:Polygon at Bull Mountain Heat pump 1 61.06 61.06 Cross street/directions to job site: Duct work 23.32 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.:in Other: 23.32 Tax map/parcel no.: Other fuel appliances: �,I. � Water heater 23.32 ••, _,_.._ ESCRI ;ION- 1woRI$ Gas fireplace/insert 3339 Change 2"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 P `j IA 'tOther: 23.32-tlmERT - m Environmental exhaust and ventilation:Polygon WLH,LLC Range hood/other kitchen Address:109 East 13th Street equipment 33.39 City/State/ZIP:Vancouver,WA 98660 Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, . , ✓ .<.. � ,plk t5p - toilet compartments,utility rooms) 23.32(360)695-7700 Fax ( ) Attic%rawlspacefans 23.32 * � *� te - � lfi Ot Yt Other23.32 Business name:Polygon WLH,LLC Fuel piping: Contact name:Angela Grajewski $14.15 for fust four;$4.03 for each additional Furnace,etc. Address:109 East 13th Street Gas heat pump City/State/ZIP:Vancouver,WA 98660 Wall/suspended/unitlieater Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace E-mail:Angela.Grajewski@polygonhomes.com Range Barbecue„ .ix . jB' R �.�# 0 dryer Business name:Apex Air LLC - Other: Address:18004 NE 72°d Ave _:, TICAL IIS City/State/ZIP:Vancouver,WA 98686 Subtotal Minimum permit fee($90.00) Phone:(360)342-8109 I Fax:(360)326-1769 Plan review(25%of permit fee) CCB lic.:203034 State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized Signature: • days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name: . J Date:8/22/16 I t:\Building\Permits\MEC PermitApp 04016. oc 440-4617T(11/02/COM/WEB) CITY OF TIGARD - MASTER PERMIT 311 COMMUNITY DEVELOPMENT Permit#: MST2016-00075 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15340 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 67 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: 1504 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2155 sf Garage: 739 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4485 sf Value: $546,639.23 Rear: 20 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 Other Fixtures: 0 Drywell-Trench Drain: 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: 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 Ecom asin Y Other: N Other Description: p g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4485 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 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: $37,243.33 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 503.232.197° 03.23219087 or 1.800.332.2344. Issued By: 4 11101r ' Permittee Signature: 0'' ' ��'! Call 503.639.4176 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. 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 111111 Transmittal Letter T i\.l A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATiktkffto DEPT: BUILDING DIVISION MAY 17 2016 FROM: Angela Grajewski/Chris Walther CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 503-312-6213 Byy RE: 1 Cj34O SW Thames Lane MST2016-000 75 I ss'u- 7 (Site Address) (Permit Number) Polygon at Bull Mountain LOT (07 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: P P P P 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 Routed to Permit Technician: Date: 6 j ( j ) 6 Initials: Fees Due {•Yes ❑No Fee Description: Amount Due: A. 1yr Pic., (eJ; r +,✓ $ 9O f2s/w l ,6 $ V..0-6 $ $ Special 3 8#90-00/i—C ( j 1-91/.5 (3j tie.3/.1'/ exs C.3J ester s Instructions: (/ 641-Aid772M (- //e7/-, , --.9n/S , Reprint Permit(per PE): Yes ❑No Done Applicant Notified: .9 J6>' - Dale: 6/'r/,' i971_____ ' Initialser,--' I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT 111 '2' COMMUNITY DEVELOPMENT Permit*: MST2016-00075 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 TIGARD Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15340 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 67 Project Description: New SF BUILDING Floor Areas Required Setbacks Reauired Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $546,639.23 Rear: 0 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 Rain0 Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvpes Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas 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 0 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 I PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $31,749.65 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 OA; •2-001-0090. 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: / . A/Permittee Signature: "9-1),L'/eel-w"^ J/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. Building Pe,rirmit Application L-O 7 6 7 e•-S.-..",..k;2:111„,,.5,„ FOR OFFICE SE 0 1.1 : „. 7.---1T' ..�. —�- n E..-.aF a I City of Tigard 1 ..---;*'-/---:,° ' ,- Received PermitN gDateBy: 3 /i' - IsTaoib DDD 25 1 11111 111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review A / ,�/ q Phone: 503.718.2439 Fax: 503.598.1960 LIAR 8 2016 DateBy: 4/C/jL ""P"m'tSuiueh�i-�S/ `� Inspection Line: 503.639.4175 Date Ready/By: Page 2 for IR,, }:1 r P� Internet: www.tigard-or.gov C 1TY OF T3-.rr NotiSed/tvletbod: Supplemental Information � R'5' � Ey na r A r� v 'rH., ?�,' � P ii'Mr xi' ","'°a:'' w; ,. ,..r.ce..' ,7N" �.X � ¢�.� .v .....,: �..�....,- :.». u�Y .......aw.�..�a.., e..�.........i...u....>.,� .. .. .....r',. .,..,b...d..u.,��:..:xi,a w .....a...w:��-w.�,:a_:, e.. a?,�� . ,,; ...�.,.., e .12..",....`2:, ®New construction 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 fi work indicated on this application. , - �rc . , valuationsy 6i ' $ -� 111 ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building ❑Multi-family Number of bedrooms: 4 ❑ ^z Master builder 0 Other: Number of bathrooms: �c 4 Total number of floors: � t',7-7.17,7- ° � s F, 11111MFA Job site address: 1 gQ ' -i2 New dwelling area: square feet _4 City/State/ZIP:Tigard,OR 97224 Garage/carport area: S square feet Suite/bldg./apt no.: I Project name:PD\\J(3-en (& f5V r\ r11--Yr) Covered porch area: a---4-3 square feetd1 SS Cross street/directions to job site: J Deck area: `U square feet 0 4 Other structure area: 0, square feet .3)..6 #al -4 I Subdivision:Polygon at Bull Mountain I Lot no.: Le q- Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the �� r work indicated on this ...lication ,� ,r�; ,.o-. ,>. . err Gin „� r z . . to e� 1,1--13\12 . o ' 1\.\ ..... P, ,. M ;. �. . Valuation: $ 1 1 Existing building area: square feet New building area: square feet r Number of stories: .:.... ,a. .. � .....�. �. .. ... ��....,:, ,., Name:Polygon WLH,LLC Type of construction: Address:109 E 13*Street Occupancy groups: City/State/ZIP:Vancouver,CA 98660 Existing: Phone:(360)695.7700 Fax:(360)693.4442 New: ' e "'.: ' `.: -r r t L.71:^r* fi"-^,z,-; z • Business name: P0 Structural plan review fee(or deposit): Contact name: 0, • 1e, c7,Oc ciCY \ Address: I O 01 131 FLS plan review fee(if applicable): a_ 0 ' 1 e� v3 ' l ^ Total fees due upon application: City/State/ZIP: V 0,Gll1�St Phone:emu) `9(:‘,c5 ---4-1-0O I Fax::NeD) U Q3-i222 Amount received. E-mail:maggie.gordon@polygonhomes.com A._ �._ -..- ,. ..,_ . of Commercial and residential prescriptiveinstallation <= roof-top mounted PhotoVoltaic Solar Panel System. Business name: IP Q I �1 W \n C Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: \01A l.. 13 ' Solar Installation Special Code checklist. City/State/ZIP: J an eoute w A Q 7L9(o 0 Permit Fee(includes plan review $180.00 and administrative fees : Phone:611Q) to Q 5.-3"- C) Fax:( teD) .0C/3 . '\222 State surcharge(12%of permit fee): $21.60 ,wCCB/CCB lic.:204238 Total fee due upon application: $201.60 Authorized signature: , I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: Date 1 —2.1.:.:1_U) I Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ,. P -..s.. - Iii ... � .... .. 1'�tl.�ti I1CL 1�1�U�t.l: - Mechanical Permit Auplicat>io , - , Ct�`Of'T1gST'd y (� Ft, .� DaEeIAY Rtc4vtd. %t Iii,-, 13125 sW;L-ial( hia;Tigard;: rt97'....3 "..p v L U I J t'lau cif it 041w Permit.:, . Phone 503.718.2434: Fax 5 359$1960 �' laatd9Y lnspechon I me '503.039.4175 Jurui� H Sia Pa¢e''foi Supptinfinttat Informahoa: Interact www.igaid•or.gov »..- 44''''''4.'''''''''''''''. Tyre=O •WOR WCt1tCIA'i.FEES�..C:H£DrII.F� ,,i3St. .,,...�_.... . . cchanicel permit fees'arr based an flte value of Ste tvor� pe rtorrned_indicate the value(rounded to the t dollar)of all 0 I�Tevvo1onnotruction 0 OdditiontalsefarionrTrePtacarren mechanical materials,equipment labor,overhead,and profit _. j]Ilemtttttctn ❑outer ' � S'8�C [ -.... ESI_DYale!$ Maftg�� S� '�Af�{:Dt�OF O�IQa ., a eREQII� t15YFAFS _ For rprdal InformIItion use,chee 4st ®1 .ar)d 2::femily dw'etltng ❑Commet'eralftndustrial 0 Accessory building Drscnpndn � Qt/H Ea. I Total Q Muth'family ❑Master builder D Outer` :-. . - F301� �n<�`,c. � 'OS SIT£"II�iFORit3A3`1D'V�� �,.._.._, _-..... _ Air.condtEioh4ngI 46.73 c_ I-N 10,r --P Aumacc 10( idueurts) I 1 40.15. Job stte adt9ress:_. � 1. :Furnace 100:000+3TU{ducisivents) 1 :54 91 CliYI� 'Tt (;a- Q 0 R U: _... _ I lip 61.06 st;it ibldgfapt_,tri. �J I ?Meat win po`1 aD-r c go\\ rn 6r'oior�4 I 23.3 J Hydronic hot water system 2332 Cross°5EteeilditectioaS to.jab.site: Residcniial boiler'(-radiator or hydronle 2332 Usitthtattcxs(t'iicl'typt,nra electric), iri ua11,tit{lu Y:suspended.tic. 46.7S. 1 lttetvent for any of above 2332 {3il4e- 2332 Subdivision: _ _._ Lot no t L.0-4- (?theYftltlAPAiiim TSx11 uo 33.39 ...... 4?T�LfS ` '45iii fuep mite j? �_�,, ,__ .. .,»- ;. *^E.. � for water beater or gas '-332 L"og.lie ,ems) .23.32 Wood(prlletsf$re 33.39 - :- Wa6d,5rep7zvie.ftiisert � . 23M . b)itQieoplli*fllo .vent 21_32 ; am ,�'" p ''Ef-',''"--.!''''''''''''''''''*'4"4'.'"'''''''"'-'"-"-c.":-.:, :�.r A,(1 - .'"''''''''"'''''''""4-'''"i - ` Enviroaraeptai eiliaastaii. vent-gallon:ion: 2332 ... _. itaagehood/attterkitchen $ami go}ygaa NorthwesteqQitae< 1 33.39 Ad*tss:,09 Egi,$t : C[abei dtucr haunt 1 3339 _ . Sirtgladttr2 exhaust{ • est ltlZTP iK'ttn(oiwcr, Y 98661 toile:rompertatrnts.Agility.rotiais) 4 23.32 •p ' 360)816.7800 Fax } 2332 2332 .. uel€xPtag' _ oa_Nart1m est $14;15 for fust tour:$4,03 for.each additional $utaaess.atuoc Potyg i - .Funtaco,etc: Co 'tiame : _._.. Gas:beatpmttt,. Ad esss:lpg E 1 St Willtsuspeuded/oitii beater i,tw_eouver,WA:98661 Wilier beattr Fax::( ) Pittpleoe P '(360)81G-7808R gn... _ :1 R` - Barboet4t _ Clad4adrvc.(bas).. Otho $tronas flffitie,Andersen lliithig,Inc41E p' r ,r< f 16�.'$i 1W�83u Ave.Stlt;410 Subtotal Minimumpe'permit fee 090.00)t3I2:97224 Git}�S dZIP:Ttgiertl,:.. Plait review(23%of pallidi flee) Phone;(303)9914664 ( Fatc(503)5364615. ;State Stitch**(12%ofpermit fee) TOTAL PERMIT FEE C liC:36 21+{ TbI peva t application edits 0a pea'mit is not.ebtaiued within 180 days after it ka.been acerited ai rump err. *, Feeinetaodelogy.set.byTri•Coarny8u+7d'urigInaas3Service soma Authorized sirattnc: _ I'fitttuaitlC At'CMH3Gi'dc11 Dates 11/20/2015 I g yp iK>MEG PemptApp o4ol l3 id. 440.4617r{.4UR.COSL'&'EST 4 ` Electrical Permit Application c,, _`, FOR OFFICE 1'SF: ONES City of Tigard - , Received rt/�f /�/� �7 Permit Nn/t/y7,2a// ODD /� • 13125 SW I tall Blvd..Tigard,OR 97223 ) r. 2 r ,13 Datert3y V (? -+ / U L IJ Plan Review liqPhone- 503.7(8.2439 Fax: 503.598.1960 �.I:p.,` Datefliv: Other Permit I lc - R I) Inspection Line: 503.639 4175 , Date Rcadylliy: loris El See Page 2 for Internet: www ngard or goy 'Ind-led/method: tiupplcmcntal Information i,euwvxu�x.�-.ate - �-r. xs f S _ r .' ` art z if- � :.iii!E-O0 W PLA'1i-RErV:IENlr Please check all that apply(submit 2 sets of plans w.'items checked below) ®New construction ❑Addition/alteration/replacement ❑Service or(ceder 400 amps or more ❑Building user three stories 0 Demolition 0 Other: where the available hitt current 0 Marinas and boatyards c''t t CA1TEO©RY OF CONSTR{JCi'I 1N. exceeds 10,000 amps at 150 1.611s or ❑Floating buildings less to ground.or exceeds 14.000 0 Commercial-use afticultural ® I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building amps for all other nisia0ations buildings I 0 Multi-family 0 Master builder 0 Other: ❑Fire pump l 1 0 Installation of 75 ti V;\or 0 loner genes,system larger separaiel s Jencd 7, Memr- fir 7 :i *Ab£e .OJtMAUONAD LOCATION 0 Add.,or new motor load of 0"A" II . 1 . Job no.: Job site address: `✓ 0 5‘,0---01V` 1.41\ 100111'or more. occupancy n 1:3 SIN or marc residential amts ❑Recreational vehicle parks City/Slate/LII': 1 1 CjcL(d op\ ci -W-\ ❑I1e:11th-care facilities ❑Supply subage for more than J ❑I l v udous location. (110 ohs nominal Suite/bldg./apt.no.: Project name:p 011 Q CO( B1 1 m.}-`-1 ❑Service or feeder 60)amps or more. CSCI3EpI)LE Cross street/directions to job site: Description I Qty. I Ere. I Total New residential single-or multi-family dwelling unit. Includes attached garage. i I.(H0 ss, 11.or less 16s Subdivision: I.ot no.: �' Ia.add'(500 sq.II or ponton 33 92 1 Tax map/parcel no.: limited energy.residential -M`is't;•-,%.., s okiitiIQs'$ ,V t RK ,. (with above ss,.ti) J 75 00 Limited energy.multi-family 75 00 2 t New electrical service and wiring - residential(with above sq Il) Services or feeders installation,alteration.and/or relocation 20)amps or less I(x)70 1 `» r .ROPl)1$w'�'aD ER, ). + ,Ci TENANd 201 amps to 400 amps 133 56 2 (1b1� 401 amps to 600 amps '(x).34 3 Name: Y 601 amps to 1.000 amps 301 (14 2 Address: I b a 4-6Over 1.000 amps or volts 552 26 City/State%../_IP: V W��`,tll�,� w -i �{/��( e Temporary services or feeders installation.alteration.and/or , ` � .(l��J relocation Phone:&D) h a5'-454Faa:ax ) I „/YJ�,(, It p� 201 amps or less 59 36 1 t `� U "4`"i which f 201 amps to 400 amps 125 08 Owner installation: This installation is being made on property that I own wicis not intended for sale, lease,rent,or exchange.according to ORS 447,449.670.and 701. 4(>I amps to 599 amps l6 54 2 Branch circuits-new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with , - ;f fi I , . . D cO1�TACT'P4zJj06TH above service or feeder lee. 7 42 , each branch circuit Business name: (P—F.).-0 T 13.Fee for branch circuits without service or feeder Icc,first m l� ' (—)ord 56 1 x Contact name: branch circuit Each add'(branch circuit 7 42 2 Address: r i 1 j _ Miscellaneous(service or feeder not included) City/Stale/ZIP: Ca),L�J� Vv X i (^ . liach manufactured or modular f AJC dwelling.service and/or feeder 67 84 , Phone:( ) Fax::( ) Reconnect only 67 84 1 Pump or irrigationcircle67 7 x4 1E-mall V1Qg ,Q b,A.„, ,, ,\-, n C© „ Sign or outline lighting 67 84 ' . . - ' Signal circuit(s)or limited-energy Business name:Simply Electric panel,alteration.or c\tension 1'age 2 j 2 Each additional inspection over allowable in any of the above Address:PO Box 822408 Additional inspection(I hr min) 66 25/hr Cily/Slate/%1P:Vancouver,WA.98682 Investigation(I hr min) 66 25/hr Industrial plant(I hr min) 78 I x/hr Phone:(503)849-8202 Fax:(360)314-4945 Inspections for which no( c is 9(10(1/hr specifically listed(''/ hr min) CCI3 Lie.: 204615 Electrical Lie.: 067 Suprv. l-ic.: 4394S 'ELECPKICA`PIRJI7I1771FEES;' O Subtotal ' Suprv. Electrician signature. required: �1-1,..: Plan review (25%i of permit Ice) Print name: Victor Zarzhitsky Date: 1 117/2015 State surcharge(12%ofpermit fee) Authorized signature: TOTALPLRMFI'F1.1: - This permit application expires if a permit is not obtained within 1811 days after it has been accepted as Complete. Print name: Date: eNumber or insp:lions allowed per pcnnit I )laa)dme,rerm,,s\ad.c-rr n,i„tpr dna,07,01;10 441)-Inv t I)i rusvonlAveu • Plumbin Permit Application ..r• , •;,..� 't4 a., Building Fixtures Peewit 110 City of Tigard ia >�t�r- 3tcccllAIMIIIIIIIMM=IMIIIIIIIII 13125 SW Hall Blvd.,Tigard,OR 97223 ''.,p•: Phu Review Other Permit No.: Phone: 503.7182439 Fax: 503.598.1960 p pateBy. heir See Page 2 for Inspection Line: 503.639.4175 Ry/Bytho Supplemental information Irtterrtet vmw hgard or goo stixd/Meth°d t s - a .*' ..-..s...-. �x. -�.' ^•'....- -,;,, -- K:-"-%.'Y, a"IIl ,,- o' .-€.. 7+t` .:-'- __.:: = `� ''�':�� . .��+•- -..,� ►� New construction For specl1al information use checklist Descxiption 0 Demolition I Qty. 1 Ea. I Total El Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 It for each utility connection) t rte" z + SFR(1)bath l 312.70 -..-x� F rte: _:..-t- 437.78 r.,. � . � - :4=-a-. -� h- SFR(2)bath 1-and 2-family dwelling 0 Commerciallundushial SFR(3)bath 1 500.32 50(95 ❑Accessory Willing 0 Multi-family Each additional bath/kitchen 25.02 . ❑Master builder ❑Other. -Fire sprinkler(__sq.ft) . Page 2 - - .. Site utilities: ``wx�*t'" r.,. y _,..„,,,,,,,...6,-, „r..,,,._ 1,t7.6-7-2F--7-71-4 4, _. :17r - 18.76 Joy_'-� ,, r re 1"1 t a. , . `" /1 Catch basin or area drain ' Job site address: 153 O S�Q G�l����.d..f -y Drywall,leach line,or trench drain 18.76 City/State/ZIP: T 0S8 1 ` 1 �' Footing drain(no.linear R: ) Page 2 SuitdbldgJapt : Project name: YO\\ B C�.V i50)\ rnbri Manufactured home utilities 50.03 l Manholes 18.76 Cross sh eet/ditt lions to job site: Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 • Storm sewer(no.linear ft: ) Page 2 Water service(no.linear ft: ) Page 2 Subdivision: • I Lot no.: Ls Fixture or item: Backflow pm-venter I 3127 ,I..,1" Tax map/pm-cel no Backwater valve 12 51 2 O s ! k _ p. M Clothes i 25.02 05, 2 ,,-.±-,.,:,.,.-_---,....,,,,,___-F-: ____ ----, Clothes washer i 25.02 aF,02 N'/(/) 001 v 4vLejb vi eiit.4_144kai lit,5 Drinking formtain 25.02 Ejectors/sump 25.02 Expansion tank 12.51 -,,-',74-,----.7,-z---;=•:-...-.7 - �'.._.. ,-i-,:,qt.--•' � ,:� .._ - -_ , � 25.02 Fixlmthcwcr cap T3ame: /�� � Floor drain floor sink/hub 25.02 Address: t 1 I 7--.f 5 Garbage disposal25-022C7,dL A U ; f il Hose bib I 25.02 Z�,,d� City/StntefLlP: �n I,Q - 1251 Gj, Ice maker' Phone.: SA-t` ,a + Interceptor/ trap 25.02 Fax: for ?"�,��-. :::t.:-::r-,1_ :yA= ��r--' - _ F...��;_�-AA_.._ Medical gat(value:S ) 2 Business nano: 3'p L ,k,�,N,4,bMs (- Primer Page 2 Contact naammm VCI n l-- Roof drain(commercial) 12.51 Address: j<0 l ,• its City ►_/St�rJL>P: Sink/basin/lavatory 25.02 f ' 11-f 619 Solar units(potable water) 62.54 � I L ! 12.51 F.02_._, 2 /, ( Tub/shower/shoWtr pan .Z Pharte:( )31�� -J�b3 • I Fax : ) Urinal 25.02 E-mail1 IWAl -7, - -Wats closd 25.02 z { r " __ - Wats heater 37.52 2)1-.52 + ,.- SIA - Business name. ) I j\4 LLL y Wats piping/DWV 56.29 `fie 25.02 Address: V F 11 0 q )E9 Subtotal City/State/ZIP: L - Minimum permit fee: $72S0 p�:,�j'i) .�� -,3Cf d3 Fax( ) Plan review (25%of permit fee) CCB Lia: t$36,345- Plumbing Lia 1582. State surcharge(12%of permit fee) AtilbTOTAL PERMIT FEE rued signature~ _ This permit application expire''Ira permit is not obtained within 180 days Date:�� �..J after it has been accepted as complete- • I Print rlatrte • ���� ■ I F«methodology set by Tri-Comuy Building Industry Service Beard. IAButdingWemilAPLMU-PvmitAPP.doc 1.0101/09 4464616T(IOV2FCOMIWEB) I . City of Tigard i II ~ COMMUNITY DEVELOPMENT DEPARTMENT I T 1 GIt n Building Permit Review — Residential Building Permit #: /y�S'7"d20/6 -- DOO 7-5 Site Address: 15340 Sw Tho e s L n , Project Name: P0)y g o ti m 1- 6u) I N) O(i r1 Tir i r1 Lot #: 6-7 (New dwelling=subdivision name;.Addition or \Iteration=last name of owner) Planning Review/ Proposal: / "e /V SF g Verify site address/suite# exists and active in permit system. 7 River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan Existing structures on site tZ'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 Horth arrow AUtility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number -0Lulation of wells/septic systems /Applicant information (name and phone number) Erosion control(including drainage-way protection,silt fence /Lot dimensions and building setback dimensions design,location of catch basin,etc.) 'B4 et area,building coverage area,percentage of coverage and ,treet names impervious area (applicable if R-7,R-12,R-25&R-40) ,Street tree size,type and location Property corner elevations (2 foot contour lines if more than ❑Existing trees to be retained with drip line,and tree 4 foot differential) protection measures yr Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: E Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No , I Public Facilities Improvement(PFI) Permit: Required: n Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake /u Land Use Case#: S UQ 2 Oi c 0 o00 2 Zo7ning: I` 4 /rzi Setbacks: Front "2. J9 Rear ( S Side g Street Side 1 c Garage Q 4 Landscape Requirement: 7 Lot Coverage Maximum: Building Height: Maximum Height 30 Actual Height 30 Visual Clearance Easements Z,�/ Sensitive Lands: ❑ Yes ❑ No Type 41 Urban Forestry Plan Conditions "Met" rtor to issuance of building permit Notes: C nti fi n r l n eecd fo he m e F- P Ci r to I ssucinu 0 1- b0.iId ( 0 (o_ f-(-1--‘ , 1-- Approved By Planning: 11/00/7--(?L Vi l O 3 Date: / / / la Revisions (after Building Submittal only) Reviewer Date Revision 1: E Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPennitRvw_RES_012116.doc x w!► Building Permit Submittal Original Submittal Date: ,3 cF//fe, Site Plans: # / 3 Building Plans: # 3 Building Permit#: ,ia.Enter building permit#above. Workflow Routing: 2"Planning Er-Engineering ❑-le-rmit Coordinator L Building Workflow Sign-off: 0'Sign-off for Planning(include notes from planning review) Route Application Documents: 12i'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: t –i"2 Date: 3/cyy/A6 Engineering Review el Slope at building pad: /,92; 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: n'*,.' Notes: Condition remain unmet that are required prior to issuance of bldg. permits. Approved by Engineering: di. .12 Date: 3...."2,„.../.4 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved, NOT Released: ,1 /�/ Date: Vioi((/ Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: PI Yes ❑ N/A Tigard Trans SDC: 'Ci Yes ❑ N/A Parks SDC: *' Yes ❑ N/A K to Issue Permit2456 ' Approved by Permit Coordinator: 7/ — Date: '7/ 74/4' I:\Building\Forms\B IdgPennitRvw_RES_O 12116.doc x City of Tigard , . 1 1 71COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G n R D River Terrace Building Permit Review Addendum Building Permit #: / "e —0,m "/Is r 7S Site Address: 1 S-24 D SVi hU rrle I ( 0 . Project Name: PO 110=004 60- 16 u I 1 10 v h t,l'jLot #: 9 1 (New dwelling!= 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 Porch min. 5 ft. deep Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide / 0 0 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: dP 1 se 3 3. Entrances: At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street facing wall 121 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 app}: p'7225 sq.ft. min. /One street facing entry C 12 ft. max. roof height above porch 5 ft. depth min. porch roof coverage �30% min. 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 24ecessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection 'Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. C Horizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 400/0 of street facade /ET Window trim min. 2 '/z"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 façade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. ❑ Yes, No. If No (Check one): ,May extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. /May extend up to 5 ft. where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) 2 °Cr ❑ 12-foot-wide garage door 40% max. of street facade ❑ 50% max. of street facade with 7 detailed design elements Notes: Approved By Planning: Al 0 0 il-t,& /S II)(9 cLe. Date: 3/8 /1 (o 1:ABuilding\Forms\BldgPennitRvw_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 II _` ' Transmittal Letter -I-1 G A k r) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DATE '. i► ko A i• ED• DEPT: BUILDING DIVISION AUG 222016 FROM: Angela Grajewski CI, TY OF TIGARD BUILDINGDIVISION COMPANY: Polygon Northwest i/ PHONE: 971-212-2144 RE: /(7 l- Q SUS -Nksyys Lou - f. _ 0 P MST201(1 — 0001S— (Site 001E(Site Address) (Permit Number) Polygon at Bull Mountain (Project name or subdivision name and 1• num'> ) ATTACHED ARE THE FOLLOWING TE / S: 0 Additional set(s) of plans. 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. 3 Other(explain): Additio :1 deck details requested by inspector REMARKS: Y Date: g �a 111111 Routed to Permit Technician: - " 1 .0 Initials: Fees Due: a1 Yes • No Fee Descri•tion: Amount Due: 3 - 'f� - Q .� Br • • r - LIMBRIMIII t� � $ , $ Special Instructions: 111111. 41111111111.1.11.1111111111.1.11111 Re•riot Permit •er PE : ❑Yes ► No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15340 SW THAMES LN, TIGARD, OR, 97224 March 16, 2017 at 10:40:51 AM Record Type: Record ID: Residential - Master Permit MST2016-00075 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15340 SW THAMES LN, TIGARD, OR, 97224 March 20, 2017 at 12:44:08 PM Record Type: Record ID: Residential - Master Permit MST2016-00075 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide outlet cover at garage door opener. Flush and seal around garage door opener supply box for separation from living space. 314.20 Kitchen island outlets not gfci protected. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15340 SW THAMES LN, TIGARD, OR, 97224 March 17, 2017 at 12:14:57 PM Record Type: Record ID: Residential - Master Permit MST2016-00075 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide access for inspections, house and garage locked. R109.1 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15340 SW THAMES LN, TIGARD, OR, 97224 March 21 , 2017 at 1 :04:10 PM Record Type: Record ID: Residential - Master Permit MST2016-00075 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Corrections 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: 15340 SW THAMES LN, TIGARD, OR, 97224 March 23, 2017 at 11 :59:01 AM Record Type: Record ID: Residential - Master Permit MST2016-00075 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Corrections completed Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15340 SW THAMES LN, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 275 Framing Result: CNCL Comments: Inspection cancelled by contractor. Violation Summary: Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00075 Inspector: David Young Inspector Contractor