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Permit (92) CITY OF TIGARD MASTER PERMIT ii COMMUNITY DEVELOPMENT 4, � Permit#: MST2016-00074 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 k41, 23108 Date Issued: 0 TIGARDTIGARDParcel: 2S108000011 506 Jurisdiction: Tigard Site address: 15360 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 66 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: 940 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1575 sf Garage: 679 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 1836 sf Right: 5 Detectors: Total: 4351 sf Value: $524,133.59 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: 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 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 4351 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: $37,073.42 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 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. - / llA7 e0a/C'f-i�es,V Issued By: ' Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Meehanical Permit APP,,caFtECEIVED UOR OFFICE I.SE ONE% _1 . . 1 DateST/0„. /0 ,414/74e-- ect'l'husl -7, --0/ - 0 7 m` 1125 SW HeIl Blvd To-rd OR 9'223 SEP 2 I/ 0 2016 Plan-Review Phone: 501711.2439 Fax: 503398.1W Otha Permit Ilatedly . T IGA It 0 inspection/rine: 503,639A 175 CITY OF TIGARD tmwR.a):135: .T. .k' a s,Page 2 roe Intentet: wwsvtigud-or.govtaial,kilux1, Supplemeotat leformetion BUILDING DIVISION '"' TYPE OF tIOR} COMMZZCIAL FEZ*SCIIEMZE- I':SE COEtlain ace t... New wnstruction 0 Additionialteratiortirepinterd Mechanical permit fres*are based on the value of the ssork performed,Indicate the sahic(rounded to the nearest(1(10101o(all 0 Dernotilion 0 Other ,mechanical materials.e ult mein,labor,osTrbead,and f mitt Valet;5 CATEGORY OF CONSTRUCTION .... RESIDENTLA1.EQIIIPAIENs— /SYSTEMS FEES, 0 I-and 2-family&ceding 0 commurehdfindostrial 0 Accessory building For special.Information 31)e CheeAliSt la Multi-family 0 Master budder 0 Other: Description Qty. En. I Tote/ JOB SITE INFORMATION AND LOCATION Atr coodMont , 11 46.75 1 Job site addrun: '3 / 11 £4.ilia' c.s,' Furtm4100,000 frrUfdlleleveals) i 4675 City/StatealP:Tigard,OR 97224 Furnace 100.000+BILI idactsimmts 5t91 Hest pump 61„96 i Suireibidgiapt no..: Flujoet name:Pnlylon at Rull Mountain Duct work 2332 I Cross strcetfilireetiorm to Job she: 14&era hut water 6vstem 11=11111111 Residential boiler(radiator or ItYdronits) Unit healers(thei-type,um electric), in-wall,in-duet suspended,tter 4675 Rueivent for tine of above ' 1332 -_,4_, IIIIIIII A. Other fuel oppliaoeme "1"n map/parcel no. Water heater .... 2132 DESCRIPTION OF WORK. tars ttrePt=ctihscrt 1 3339 i i I list] AtA , ' Floe s-'ent Il -'ace r water heater or ' ga's 2132 1 Log lialiner(gas) 2332 1 mminammaiiminipwimunini ../ ..i 4 Woodipellet slow 3139 1 *owl fimplaethesert 2132 , eMni4eriatIch'tflt 23 32 23-32 re PROPERTY OWNER 0 TENANT .' Environmeorat exhaust sod vend/at/ow Name:Polygon Will,LLC i Range hoodiother kitchen 1 I1 :109 East 13th Struer C 4i niCni 33 39 Address i Clothes dryer exhaust 3139 i City/StatetZIP:Vancouver,WA 98660 Sirode-duct esimust(bath/mos. toilet winpartments,utility rooms) 4 2132 I Phone:(360)6954700 Fax ( ) Allier:raw!space fans1 2332 I ...._,4 la APPLICANT' 0 CONTACF PERSON Met:: i ollo Business name:Polygon WLII,,LEC . . $14.15 for lint four;$4.03 for_eitt6 alittilionat Contact name:Angela Grajewski FigifaM etc. 1 1 I Address:109 East 13th Street °11$1141/PtImP Wal 40gal/des:I/mit heater City/State/ZIP:Varteout er,WA 986613 Water beater, Phone:.(30)695:7700 Fox::(360)693-4442 Fireptee It.,,e 13-rnait Artgeht„Grajawskiliquilygonhaunes.aero Barbecue " - CONTRACTOR Ckahecd ''I" ' 1- , atiSinems name:Apex Air Ilk Other: MECILANICAL PERMIT FEES* Address:13004 NE le-Ave Subtotal , .. City/StutoMP:Vartvouver,WA 98686 Minimum permit rue 090.00) Plan review(25%of pentlittlee) I PllOrler(360)3424109 Fax:(360)3244769 i .. Slats soluttarpt(32.4 or parent fbe) f CCB lie.:203034 TOTAL PERI III'FEE 1 1 This permit application tapiret Ifs permit k iliA Obtained uithin ISO Iluysofter it hat beets accepted as complete, Authorized signature: , * Fee meatodelev n't by Tri.Countellading Industry Semi-0 Ott Print name: J1'. Alf Date: 4. 'Vitvadpg Prr-ig-,:it C..,Pmliapp 470-113(kse 444f4 71.11 WI. OM-WM) c �/ n , ECEI i/EL.J U�`�'t�"iCs°���Llj`tI1it;��I�3lICp�`I l t)lt(il l it [: t .t (10 i.5 City of Tigard11 � i 4, , ' l a -1�T�C�r�--C200 f 13)2,5 S Mall Blvd_,Tigard,OR 97223 S E P 2 0 2 016 Baa ; Phone; 503,718.2439 Pam. 503,598.1960 p7at�Hy RelatedPrarait>t; Inspection Line: 503,6394175 CITY O F TI GAR D Page 2 for Internet: w v.tiggarrd-or.go'< i \ , 1, Notified/Method; Snp ,n€s+uattatarmstiaa X.2F ,3. Y^ .I ..H�.....3.. :,..., !-"«.,A• .'<. "'*p ,--...4.: C134.1$':q* tt gr. New constriction 0 Addition,=alteratio replacement t'leaseeheek an that apply(submit 2 sets of plans winema ebeclredy Demolition 0 t3#er: D Unice or fader 400 amps Of more a anildialg over dace stories where the available fault current D Marinas and boatyard.. �7. -, l 'liioF EOt31V,5'11C;r1(k' _ ..>_ exceeds 10,1810 amps at 150 volts or 0 Floating buildings. ISI I-and 2-family dwelling 0 Commercial/industrial 1 Accessory building terata ground,or exceeds 14,000 0 Comm ial-use agricultural amps for all other installations. buildings. 14iulti-family 0 Master builder 0 Other: 0 Fire pump. ©Installation of ISO KVA or 7 J O ' DFanerge9t7 s stem.. larger separately derived ,. � . . "� _. .w� __.,, II+TF,i)T ►t�i ,;i.... A�Iuifl3��.Q!CA'CID�1: �T 'i,''.2.':,:'-it='::',' _..� ,: Job# Job site address' ` 1 [ 5w � s Lithe_ D io 'Addition mom,f new motor load of systema. = ssCC/ L 140HP ar tnorc. 0"A","E';"1-2","1-3", City/State/ZIP: Tigard,OR 97224 0 Six or more residential units, ouP3' D Healthcare facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: �� D Hazardous locavoms. D supply voltage rot more than g p r 'c b i e t ,f.[ PAC"ta litiird 600 volts nominal. D Service or feeder 600 anulus or more Crass street/directions to job site '� ,, _~ prescription 1 Qty. 1 Each 1 'ratan 1`,J New residential single-or multi-family dwelling unit. Subdivision t,11.1.6' , 9s f '- A Lot#: . A U) Includes attached garage. Tax map/parcel#: 8 1,000 sq,0.or less I 168.54 4 ., -' ` .,. "^` -,M r "" R I1 1�7' 1 1 # -4 1, 7 „. 4 ,, Ea.add'/500 Sq:ft or portion 3192 I CAm'aror charc1t Limited energy,residential 75.00 2 "1 (with above sq.EL) Limited energy,multi-family 75,00 2 residential(with above sq.ft) Name:A.DVL Land Holdings,LLC Renewable Energy 0 See Page 2 Address:7600 E Doubletree Ranch Road Services or feeders installation.alteration,and/or relocation 200 amps or less 10030 2 ' City/State/ZIP;Scottsdale,AZ 85258 201 amps to 400 amps 133.56 2 Phone:(602)694-4031 Fax:( Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according.to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature Date: v Temporary services or feeders installation,alteration,and/or .®-APPt7t1i I= � ' 7A C�Ji4]Ate'"PEIt5t3311 e relocation Business name:William Lyon Homes,Inc 200 amps or less 59.36 l 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, panel Phone:(360)69S-7700 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 ,i ` � ,” B.Fee for branch cirouits without 'a;`"«. `' r "` "':i = meg ,Az _-. seavice ar feeder fee,fust 56.18 2 Business name:alameda electric branch circuit Address:3415 ne 44th Each add'lbranch circuit 7.42 2 / Miscellaneous(service or feeder not included) City/State/ZIP:l Ia s,,,,,101 Z /4, 2 /3 _ Each manufactured or modular dwelling,service and{or feeder 67.84 2 Phone:(503)3192192 l Fax:( ) Reconnect only 67.84 2 Email:solarpdx@me.cora Pump or irrigation circle 67.84 3 # CCB Lic.: 199188 Electrical Lic,: c923 Suprv.Lie,: y(7/5 Signor outline lighting 57.84 2 Suprv.Electrician signature,required: Signal circuit(s)or limited-energy panel,alteration or extension. 0 See Page 2 Print name: t �. a2ta Date: 5-723/4/ - Each additional inspection over allowable in atiy of the above ' Authorized g n Additional inspection(1 hr min) 66.3.5.'hr •' / , i Inve�tgation(1 hr tion) 90.x011 r Print titttne; ,« '. I)ateS } /r/ 3 I �+ t St+r3ai. pa,su -PtpraiaF,pi�Ft.R.r;RE,dac trey 06/1 73-t3t5 540-451S111 trDs/Cot.ew n Plumbing Permit Applie4ti*:: Building Fixtures Citv;ttf 1ard Reogive4 , , '4:?•'a.teity, /e / 2 riefi--- Pe-11-0150./(IST:2-0- /6—0007 11 . - •• -. SW HaltTigBlyd.,Ttardi OR 9.723.,•:,, .,. ...,•• ,, -,,.-.•...-' Platt lievliew• Phone: 501718.2439. Fax 5034pfl.,•460.,:'',, . _, ,.,`.;: '..-...,. 'tjteri3,„. . Other Permittslc.: - •• • . Inspection Line: 503.639,4175 .1•.:: ;f•'.: ,'.,1:. :: -,. . : • I' .: -TIGARD. • - ' Date Raady,lij .y.: Adis. RI See Page 2 ttn , . . Internet www.ti,riard,,or.gov .... Notifiedimetho: . . sitpvieme..1.4 Informatioir :':::.4,f,A. 14,"..!.:07:''.1":••',:::'17.7* l'0 0.41P.4:410..:!:::1:: -, AltIcf,"*:pi -':#0ii;;xl.-*T.4-1.7....:;)5::,,:..:',':::.Zili,•::,:. ::::“: 2:New construction - - LI De 0 Additionialterationtreplacernent . . 1 . niOlitiOn . 0 Obey:. - - : for special Warn-maw:US awn& Ea. . DescrintiOn :I - y. 1 J Total - New T-2--Xamily dwellings(incudes 10041.Ilk each utility-connection) ;'!A:i:;1,',•''....•::Ii1::',:'.I:•4-g.f:.1.7.747.#:00kijAt X910*190.P$P.00 •'•';::!::'•Y-•:'.?•:.V:: ;,<••- ,• :SIR(1)bath '. . Z 1-and 2-family di,velling 0 CentuteitiallindUstlial - .SFR(2)hath - -• : SFR plinth I 31270 457:78 , 500:32 0 Accessory building 0,M01114thilly • . . • - . Each'additional bath/kitchen. ' 25:02 4 0 Master builder 0 0.010.:. Fire sprinkler( sq fi) ,P4v2 '•;.-•''.:,..:i7A'17-"&".;:.?;.::-. .P.:i::Az.4914:1.$11PCOP,11*.;_ilw-i.k0:;,1.,;90T4ONA,Fv..:A.,,:r -,,,01:,::: sap utilities: • - " • Catch basin oratea drain 1.8,76; . . .10b site address: I 5 t#.1) 5\iki illairiles Let,,ne, • • DryWell;:leackline,or twitch drain 18.76. . 1 CityiStateiZIR Tigattl,,OR 97224 . . Footing. _ drain Ipo,linear ft::. 1 Page 2 Stiteibldgjapt.no Project name:PelygOtynt Bull Mountain .... Manufactured home militia. • -50 01 ., . •tfeisS:StreeticlikeetionS 1w job site: Manheles 18.76 . . . Rain drain connector 18.76 " . . .. . .-. • • . -Saititar‘f sewer(no.linear ft ). Paee2 . . . •• . . . .'Storm sewer(no.lincar.11::.. . ) r P agFs 2. . . . , . .. „ .Water service(no.linear IL; ) I Page2 .. Subdivision;Polygon it RIM M6untitid Let.i10.:.GI(.) FiXtiite or item . ..... . . Tax map/pm-eel no.: Backflow 0-reyenter 31,27 : . .. . . . ... .. ._ ''•••:•*••4.--';',. :?,--'f-143":, niki..i,„)`,_ticiip..-t,wo-g-...,,,.t,:,:%.• ',':,,•Ji,,a ,•--2,1.r5-,2,-':- •f.:-:,,e:-'; ac Ya ‘v 'e 12.51aClothes, . . wisher . 25.02 . • g-&•2'. , 7-irl'... eVe-777Z. ti-/C-e--,-7-E-le-- . : Dishwasher 25.02 f. I . . . . . . prinkinefottiaain 25.01 EjectOrWsurnp j 25.02 c,,.•,:.1:: ::=4--;•::.,,(3:*k044:•Frifilgil;,::..T...i .;•,7 ;,..::„;•7.-.,...,:i .,•Eti•Oligkvx;:15,-,:_.,..::: -., .t... Expansion tank I '12.51 . • ". 409 East 13th Street[Name;Polygen 71AU1LLC- :: • City/ tate/ZIP:VaticOuver,WA 98664 thr Phone: . .• - -- - • ••••• ' i Fixtureisewer cap:• ,,- ;..(. ) ... ice maker. Floor drain/floor sink/hub .. • ::-. G.arbaue disposal .e bib .... ' 25,02 2502 I Address ' 25,62 -.25M (360)095-7700 Fax •• " 12:51 • . . f --, j101iqil'; g. t::•.;'.:?-:: :-Y.:Itf;40i.***)**-:;E:,,;;;,e,f. Interceptor/grease trap 25..02 - • --• :'• :- ••• - :- " , •Medieal:gas(value:$ :. ..) .. .. Page.2., •. BusinesS name:PolygOt IVElli LLC Primer' • 12.51.• 1 .Contact name:Angela. rajewikl . Rodf drain. (contmetcial), .. . . Address:109 East PO*ea. SinkibasintlayMory: .. 25,02 City/..Stategl.P:Vapeonyer.,WA 98660 :Solar units(potable:water): - 62 54 . Phone:(300)695-7700• Fax:::-(360)693-4442 ,Iiih/showerishower pan . 12.51 • : Urinal.;e 25,02 i.,.,,.:4i E-mail:.AngelarajewskTegpoly..gettharrtes4.eort r .. . . .'"'::4t:'.:. ':::X.W1i.r&-4.tii1046:*,i4:37.•:trsi7'„, t-..':;,.:151,-:.* l.". 1.(.7et . . Business name:BBL Plunij3f0g-L1.4 r ... . . ...Water:pining./DWV 5-6.2q . .• Address.:PO Box 85 • Other.: .75..0: .... .. - • City/State/ZIP:Corbett OR 97019. Phone ( 0).151,3903 Fax ( ,. ) . . . . . . .. Subtotal ... Minimunt.pormit fee; $7150. . . Platifeviet# (2S%at ppm-0 fee) 1 [ CCH Lie.:18045 .— . . . . :Plumbing Lie,no P131582 - - :Shite stire.harge(12%cif Don*Tee) I 1 Authorized signature: eL . ..k.e..... ,e' . TOTAL PERMYrfEE Print name Brandon ji0ter I Date: 8 ple, i(f, ..1 This,permitApplirattenexpires if a pit-Tit is natiibtaingOvittda Pa day ' -. .. .... after it has been accepted as Corapiete.. .. . . Fe rtlethodapgy sat by-Trk-County 13aildinFladustry Service Bard. IA.tildinsOentitsTalt1=PcmgiApp.doc-16/01/09 440,:4616T(1.01024COMMg8) INCITY OF TIGARD MASTER PERMIT . ' COMMUNITY DEVELOPMENT ={ I Permit#: MST2016-00074 T11GAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ?f ,$<- Date Issued: 04/28/2016 Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15360 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 66 Project Description: New SF. 8/25/16 ADD heat pump in basement BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 940 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1575 sf Garage: 679 sf Front: 20 Smoke Dwelling Units: 1 Third: 1836 sf Right: 5 Detectors: Yes Total: 4351 sf Value: $524,133.59 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 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: 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: Square Feet: NEW SF VB R-3 4351 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: $36,776.56 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTI • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-001-001 rough R 95 - 01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50332.1987 or 1.800.332.2344. Issued By. Permittee Signature: C�1le el---is QCa-1 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. Cl This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application • FOR OFFICE USE ONLY `�° � ,,, City Of Tigard EEew ® 13125 SWHalllvd,TigardOR 972DPermitNo.: /6O 7 Phone: 503.718.2439 Fax: 503.598.1960Pl TIGARD11, 11' Inspection Line: 503.639.4175 AUG2 n cc Date/By: Other Permit: Internet: www.tigard-or.gov HUG Q U Date Ready/By: JAS: H See Page 2 for Notified/Method: Supplemental Information CITY OF i IG-IAR T ` � IS r �, _:F �. "��'1'$�:� ��' C1AT:FEE* S�ED><II;E '[I$E**t K*T...... ....::.::. New construction Mechanical permit fees*are based on the value of the work ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. �E+GOR7t'OF CO e:$ NS 'RtITCT1OT-. Valu ® 1-and 2-family dwelling 0 Commercial/industrial ��®EN'��eiE�QI�7Ms"�3EE *- _ ❑Accessory building For special information use checklist ❑Multifamily ❑Master builder 0 Other: Description u 705 Sri'E I iSkit Iif i ,;a:v.+UC '[iC)I�T Heating/cooling: Q� Ea Total Job site address: �'�3 � �v� Air conditioning 46.75 ° 'c es Lane, Furnace 100,000 BTU(duets/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Heat pump 1 61.06 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 • Residential boiler(radiator or hydropic) 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.:(Ai/ Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 23.32 N ._ - ,`1DF5 ,`ION pF WOR7� Gas fireplace/insert __ 3339 ` Flue vent for water heater or gas Change 2°d furance for basement to Heat Pump fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 3� ERTi' 23.32 �.�.:;,� ...:'�O�_--_:_... t � '.:. _ Other: 23.32 _. __ - SANT Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:109 East 13th Street equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments, ompartments,u tility rooms) 23.32Phone:(360)695-7700 Fax ( ) Attic/crawlspace fans 23.32 -rf _. »Y Iit. if ®, OW1- *.AttdiOther: 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/unit heater Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace E-mail:An ela.Gra"ewski Range g 1 @polygonhomes.com + _ -v s Barbecue _ . . ..�r. _ .2,-,.,-.:,. .. ,s .,a.-.-,.i 4 . - Clothes dryer _�-� r (gas) Business name:Apex Air LLC Other: Address:18004 NE 72°d Ave £1TAl�TICALP otal as..z. ti-VW...-Av.:i Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 I Fax:(360)3264769 Plan review(25%of permit fee) CCB EC.:203034 • State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 uthorized signature: days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name: ('( I I Date:8/22/16 I:1Building\Pennits\MEC PermitApp 0401 3. oc 440-4617T(I1/02/COM/WEB) 1 CITY OF TIGARD MASTER PERMIT 11111. $ COMMUNITY DEVELOPMENT Permit#: MST2016-00074 Date Issued: 04/28/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 001506 Jurisdiction: Tigard Site address: 15360 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 66 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 940 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1575 sf Garage: 679 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 1836 sf Right: 5 Detectors: Total: 4351 sf Value: $524,133.59 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 I Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 Tubs/Showers: 3 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 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 SrvclFeeders 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 I SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y 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 4351 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: $36,647.90 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: 7 /ale Permittee Signature: Ae/V /920,Pc-/elf7-70,\/ 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. i'lluilding Permit Application DoT 6c ! ; Pq'', FOR OFFICE l SE O\l,l City of Tigard Received 3 /'/4,/ Permit No /`!1 /b--eel/27/ 11 13125 SW Hall Blvd.,Tigard,OR 97223 r, Plan Revie ' Phone: 503.718.2439 Fax: 503.598.1960 1,1 H R 8 2016 Date/By: W �14 4 Other PermiS4J��/6_oo� I tz!_ Inspection Line: 503.639.4175 CITY `j-: Date Ready/By: ✓✓✓✓ +++���111 Juris. H See Page 2 for Internet: www.tigard-or.gov C! i 0,- :GARD Notified/Method: Supplemental Information 3UILID!fr'si3 DR SS O "e 37.,,;, •,:-.;-:::,• r ^` �'t' 9 1 i 4„C%n 39e„s# d s e(t b yg m ° das - " ,._ k� � _ �� �um�� �'te � � �. � - ��a tis _x e�, .F�_, .., �a,� .yam<.„� �. ,vyw mss, .�:. ' # ' :�e e _ on t� a �� R¢ ®New construction ❑Demolition Permit fees*are based the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other. equipment,materials,labor,overhead,and the profit for the 45 5 ” work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: _ $ 1'l r'/II, ❑Accessory building ❑Multi-family Number of bedrooms: 4 ❑Master builder ❑Other Number of bathrooms: �s rr ,-- , of it'. '17 , Total number of floors: - 3O Job site address: (,...e--D - . New dwelling area:U ) Ti square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: ,, g square feet % J4 Suite/bldg./apt.no.: I Project name: pD\ (3�jn (. �V r\ rr}'rn Covered porch ar-••fA�: square feet 3" O Cross street/directions to job site: JJ Deck area: , • square feet • .►J Other structure area: 411 square feet Subdivision:Polygon at Bull Mountain I Lot no.: LQ(.0 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 �>> i ii' work indicated on this •u.hcation. e� )�_ ttl : � Valuation: $ Ctirn Existing building area: square feet New building area: square feet ! k , p 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: • , . Structural plan review fee(or deposit): -. Contact name: 1 _,1 0, # ' C9 oc c\o iTh FLS plan review fee(if applicable): Address: 1 O Q 13M Total fees due upon application: City/State/ZIP: )(l_9`)(0,,,V e,r \,i p, cr s r. 0 Phone:6f(p0) V9��• ?---OO I Fax::() j)) u q•t\222 Amount received E-mail:maggie.gordon@polygonhomes.com .! - R. e., Commercial and residential prescriptive installation of _<_<` _ roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name: �' �, ," L� and fire department access,along with the 2010 Oregon Address: \9 q 11640 C Solar Installation S,ecial Code checklist. City/StateIZIP: V Qn COUVor \ A Q D(o(oD Permit Fee(includes plan review $180.00 Phone:(NU) a 5,��0 Fax:( D) 0Q3 . '\22Z and administrative fees ff,, //CB lic.:204238 State surcharge(12%of permit fee): $21.60 ii1/4 C i llllllll���� Total fee due upon application: $201.60 Authorized signature: I This permit application expires if a permit is not obtained • within 180 days after it has been accepted as complete. Print name: Date _Z�71.0 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440.4613T(11/02/COM/WEB) r�.rt ,�-� 1:t31tclri'1c>_LS�.c��1~3 11Z cbanicat Permi€ApUli+ea . -,,,k '8 .... vtd r� Cory of:Tigard rSr 1312DSW.11ai Blvd:,Tieard,OR 9.7, 3 11;aR 0 2076 PtauRevitvi • 6: P hide'503 7183439 Fair 5{1339$.1960 IJatdliy t see paEe n ioc (3th�Pemu Inspection Line. 503.639.4175, ) ) Dais ItcadydEY. S�upplPmenla[Enforpmahoa, t, • t {{ediethad Internet ?R`A'SY.Iig87�-�07 IEOV M r f ` . - ,. r 1 i,� �,-:�CD3?�RCiAa'FE ..i,„;--s0_,:„. I1LE ,,175'E f'E�C�;iS�' ~' :. TYPE (3F it* r. ,. . ,,,mss .. ..,.. «.. - - Meohan�cel fees'aro bused,an the value of 9se u�- Li or ed_'Indiicate the"value.(rounded to the nearest dollar)of all o I em`GoiksuGtlon Otber 1a1teranan;reQlacatirrt` inerhenical materials,equipment.labor.overhead and profit _. .114N41.0.01 0 ptltcr yaitte S .TY„i-CAtE4AY OF,i O$SiBU&:04 RE5ID EQ-••••— fYFEildS S` • budding For special uh orrita ion use ilnocklis[ ®1 01.2_:#tioilyd*iiing 0 Col,ponttaviii.4,0 rtal 0 Areess°t5 Dsalpnati Q.d. Es Total .1:1Mutes- 0 Master builder CI Otfi DeScri Heol nuc fscmly er °t OS, 6ITE II� 4:0A3S0.ga..___ CAT3011_ _, -_.. p„�+...,t..�r�:.�� < ,..,.-. . �(i2.V\-/l Arrmnditionmg; 46.73 Job site eddtess t o 3 Piunaee 10o 006 B`i`i1(d ;vnia) 1 46 .75 runtime 10U;000+B1T1(d rnacucts,'mds) --4•:91 51.06 Suitc&bldgfapt_n6_ ( Project.Heine: PO,y on SO 1\ ) l 1 fl Duct wHeat�orkP I 2332 fvdronie hot water system 2332 C1arg-gtCCes/dthCCltOnS to1o17 site: Rtsidentiai,bollen(radiator or hvdritMie 2132 . tJnitlttatt (file)_-t}+pZ,not*otic), in iall.tti-du t..us fended.tie. 46.75 Flnelvent for s Y of allure 2332. _. _. 23.32 Subdivison: Lotno.. Q :: i _ _.. - Qfbetfnelappi►aHees Tx Pl lno Wa{CrLeaiir 1 23 32 R_;IP3; . . f111e•f'Yeatuee isert . =.� _.= .x�FSma� .K , ppr . tpbnl7e�teT I$as 33.39 Si1ep}act 2332 L0.-lie '"( ) 23.32 - Wov a 3339 Wa6d:fsteplat ?itisert 2332 iiimiiaWlitit rfisieh+e`rt' 2332 23.32 ra "p14,4 i: aA - - e - diW , Zuvlrouatatal exhaust anrola iar: I Range hood/ather kttcheti Nth Pa}ygon Northwest equ - 1 33.39 At7dres061)E13a St atithccdryer: iausc I 33_39 Srng ehduct itchiest(bathioortik City agirt-Vanetiuvcr,WA 9$661 toiletnompazfataits.:uniity.razims) 4 2332. 6,47110a nc '� F -Altickaavilspueeitts2332 tarMagt,S" .�- °� °s ass ;� � 2332 $msss aaPoygon Northwest 4ffo :S403 f316 additional .Funisee,rte. 1 Csas:l>catpittti$-. Address109 E 13°St • WalllSuspendediiaru heater Wttlerficatrx ( ty/Statd, Vzncouver,V498661 ! Far:( ) Fireplsec. P>ioh1�(360)$16x7800 ._. /.. 1 Tiadtectse . .,<., - ,,, ,t i.,^i'i.." s..�^F.`R 'C1Cr07Cxdiver.ifi )'.. ... 4V4,4 ` S s�{IE.i& 'sd-_. 5 'rF� t.r c rG9'--,:r'"- Business iiiitc Andersen Heating,Inc _.Te.�r . ��071- rY�a';hGt �. +r .: 63$5S83"A-se.Ste410 $itbtot`' 1W ... -:: ,: lalmihtwmpermdCtre(S9D00) Cit} t>3tolZlPi?"tgard,OR 97224 Plan rericw(25%ofpermit fne)-. Plias*OW)561-4.664 I Far(,503j536-668. Siete.surcher e02%ofpermitfee) TOTAL PERIOD'FEE CCB liC:X6$214' Thapenmit appticitimi eirpirt4'if i permit is not.obtained Within 180 days tiller it kes:been seexpted a4 eampkte. Authorized signature: *. Pec mei3toda last'set by Td-County Scalding indusia'Service Board � nate 1.1>0/2015 I PnmihamCAtrtA;aderaen ,. 1 .. to113.doc 440.46irr{tllter-0M WEB) L-�BuiVSPam�i1MEC���F- 0 „E' rt`rical Permit Applications l r .V P 6 FOR OFFICE test. o,�t.V Ci of Tigard (it J.` ” v ` Received / yr}�� h g --- - -- Permit N- /ST07/�6* at% 7r • 13125 SW I tall Blvd.,Tigard,OR 97223 n ^ Datdny: d i Il Plan Review Phone- 503.718.2439 Fax: 503.598.1960 :_; LO{� DateBv: Other Porton. Inspection Line: 503.639.4175r Dacid /tiy lx hJ See Page 2 forI I :: ti > • Internet www.tigard-or.gov ( e..1-‘,( ° i. ' , Notified/Method: - Supplemental Information Lr «uf,.. . ,�:C.:1. ..RFs lEH9 ®NOV construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans,litems checked('elms) ❑Service or feeder 400 amps or more ❑Budding user three stories 0 Demolition 0 Other: where the available fault current 0 Marinas and boat lids - i..o. r .,, .(:A'�_.r6. .D...R-rYoF-C •ONTR{7C1}V - exceeds 10.000 amps al 150 volts Cr 0 rh+aunb buildings less toround.or exceeds 14.000 K ❑Commercial-use agncultural ® I-and 2-family,dwelling 0 Commercial/industrial 0 Accessory building for allotic, installations buildings �ut ,. I 0 Multi family 0 Master builder 0 Other: 0 Fire pump 0 Installation of 75 KVA or I .. � i , • ❑lanegeny system larger sepatatel,dened System • .• 4 - r!. "$QBSI4k1MT'ON AND LOc nN.•` .. 0 of ucw motor load of ❑"A" "I.. 'I '_. 1-�.-. Job no.: Job site address: 100111'or more. occupancy 1 17 CJS ��� �,�� �� O� ��7 L\ ❑Six ht more residential units 0 Supply Recreational'elude parks Cit '/Slate:/Z.IP' ❑I k ahh-car facilities ❑Supply,oha>:e for more than ❑IIarm-dons locations 600,011s nominal Suite/bldg./apt. no.: Project name:c,:-.)1:4,1_50--,r) Bu\" m--n ❑Service(Cr feeder 600 amps or more Fft SC)FiEAI71.E Cross street/directions to lob size: Description I Qty. I Fre r rI mint 1 New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: ( ^� 1_1. sq Ii.or h s j 168 54 4 Tax map/parcel no.: �1 I a.add'I 500 sq.Ii-or portion li 33 92 I s t I.tnited energy.residential `a S ' ]SE RZF TI<Q ' Vii�RK (with above sq.Il ) 75 00 2 Limited energy.multi-family New electrical service and wiring - residential(with above so Ii) 7'00 Services or feeders installation,alteration,a nd/or relocation 200 amps or less I(N)70 , II•I ", " ..iipFERTE O ER ,' A 201 am , ,..a .. .� ,. - '� TEDJATI3' � ,• .=: ps to 4UU amps I33.�6 _ Name: Ptd 1� 401 amps to 600 amps 200.34 �� 1.0s to 1, UO amps ;01 04 2 Address: Over I.UUO amps or volts 552 26 , City/State/ZIP: \)GJ I O _ vei w fa( _( „CD Temporary services or feeders installation.alteration,and/or (�(-j� 1 q lJ�((�L/ relocation CJI,20 to q 5_,- ��f�D '� ) 1 _q ,..- It p( � _ 200 amps or less 59 36 Phone: ) 7 t v Fax: �,(L"I(J `'{`"Y`'L C.� • p• � 1 201 amps to 400 amps 125 os , 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 Branch circuits-new,alteration,or extension,per panel Owner signature: I)ate: A.Fee for branch circuits trill, ' above service or feeder lee. - ,. ` CONTACT;P1tSU1K 7 a, , each brunch circuit Business name: Pc 13.Fee for branch circuits trirhour • service or feeder Ice.first 56 I8 ti Contact name: m . j`,� 6-)0140branchcircuit - Each add'I branch circuit 7 42 Address: i _ Miscellaneous(service or feeder not included) , City/State/ZIP: Q COU - , 1 I f (n . Each manufactured or modular I 67 K /� �I[ dwelling.service and/or feeder t Phone:( ) Fax: :( ) Reconnect only 67 84 , brae �� c � , Pump or irrigation circle 67 84 i f-mall 1�V1 Q[]' � W' ` `'a . . .. .. s . ' . , ,C© cry 1 Signor outline lighting 67 R4 `' Signal circuit(s)orlimited-energy I Business name:Simply Electric panel,alteration,or extension Page 2 i , F:ach additional inspection over allowable in any of the above Address: PO Box 822408 Additional Inspection(I hr min) 66 25/hr City/Slate/ZIP:Vancouver,WA.98682 Investigation(I hr min) 66 25/hr Industrial plant(I hr min) 78 18/hr Phone: 503 849-8202 inspections for which no fee is (, ) Fax:(360)314-4945 + specifically listed(Y hr min) 90.00/hr CCB Lic.: 204615 E=lectrical Lie.: : 067 Suprv. laic: 4394S '`?• a EELEttitle L'PEgtJ IrF FEES. ' Suprv.Electrician signature. required: 0 �{� k...4.1. Subtotal �ttG�tt ,J Plan revictr(25%of permit fee) Print name: Victor Zarzhitsky Date: 11)17/2015 State surcharge(12%ofperntit fee) Authorised signature: TOTAL.PERMIT I:l..N This permit application expires if a permit is not obtained within tall Print name. I days after it has been accepted as complete. Dalt:: • Number of mspeciions allowed per penntt. I lluildinutPermei5T/r-Prrrnii,yep der 07,01;10 440.4615 ri I i ncrCOstnvHa • Plumbing Permit Application, ,,, , •s-., � � , � � ;,.y ,., Building Fixtures .�. ,. FOR OI"MCL LSF ONE) �`9570/6 2' 10�`� P r, gexived Penult No. City of Tigard (,°;:;;=: o Z C'i e 13125 SW Hall Blvd.,Tigard,OR 97223 Plan ReviewIlli, Otter Permit No: Phone: 503.7182439 Fax 503.59860 qeigY 7..s S«Page 2 for Inspection Line: 501639.4175 - . n. Ready/BY A i� Internet www.tigard-or.gov r . ,:;.,Ca.: . � _ Supplemental �Information »--,. , :" ter _ * ' 'yv) R7ypi4 PF1 ,J" r'- ` .ft c 4-. ��.._ j -��i -','s .,,,-.5:---- -!...,_,-- -•-•-, ----,----- -0 • _ m.... •3..,,,---..-..,-__....p- •- For special information use checklist a i'; New construction ❑Demolition Description I Qty. I Ea. I Total New 1-2-family dwellings(includes 100 ft for each utility connection) Addition/alteration/replacement 0 Other fay rxr SFR(I)bath i 312.70 5. `- „ ;c s1E ._'r . ,;, -.- --,:,-,,t,-;:1-7..':. _ 437.78 r;.-z.,. - SFR(2)bath Tm 1_and 2-family dwelling 0 Comercialfindustriai SFR(3)bath t 50032 5010,-5-z_ O Accessory building 0 Multi-family Each additional bath/kitchen 2/02 ❑Master builder 0 Other. Fire sprinkler(_-_sq.ft) . Page 2 _ --� -- '-" Site utilities: - -•.•.,,„:”,--7e4,-..,,,,,..1,„;_.-...2_1:-....,, i1`tr t s" t o t -1 18.76 tgrP , - g , Catch basin or area drain Job site address: 'G Q/� r Q G 4.-2 it • J Drywcil,leach line,or trench drain 18.76 City/State/ZIP: 1-N 90...C41. ..1 1 O 1 \_ 1 Footing drain(no.linear ft:__ ) Page 2 no.: tJ I.Project name: YO\\,3fl 0A- t��)\ � Manufactured home utilities 50.03 SuiWbldgJapt_ l Manholes 18.76 Cross street/directions to job site: 18.76 Rain drain connector Sanitary sewer(no.linear ft:__J Page 2 Storm sewer(no.linear ft:_j Page 2 Water service(no.linear ft: ) Page 2 Subdivision: • I Lot no-: O l.,0 Fixture or item: Backflow prevents I 3127 12 ‘1,...1- Tax map/parcel n° r , -. Backwater valve 1231 12._.5` k-.,..'2,.....,,,.:15.....,-.: '- -`` = __' -y--_,_:_-=,----,---„- ? -, Clothes washer i 25.02 0�j,oZ -- Dishwasher I 25.02 ^j.O 2 ►. o --con b 1 E n.4.5 Drinking fountain 25.02 Ejectors/sump 25.02 Expansion tank 12.51 t,'-A-----=',2f..-....7-ix� �t 3 `' `.2.--� _��_... ,,._�-ter_ - =-- _�---- =---` __-_ ----- Frxtrudsewercap 25.02 erate: P 61919 l-n •,J Floor drain/floor sink/hub 25.02 Address: ( v ' �--b 5 T Garbage disposal 25.02 2 ,dL J q ; f Hose bib 1 25.02 'Z,, ,{Y/.. City/SUle/ZIP: 0 0\I �y,1 q + Fax( ) Ice maker. I 12.51 a, \ Phone OD I Interceptor/grease 25.02 Medical gas(value:S ) 2 Business nmrla 3 D �/�, � Jl til. Primer 12.51 w 134,65n ( Contact name (ail Jle 4 Roof~ drain(commercial) 12.51 Address: 0 7 Sink/basin/lavatory 25.02 City/Stata/ZZIP: G 6234 t Phtxle: ) 1 --1�j�(��j Fab 1 Solar units(potable watter,x :( ) Tub/shower/shower pan. a- 12.51 '2.5.02._ Urinal 25.02 i 25.02 E-mail ,o 4i�1 MG't r 6 vieL Water closes �} 37.52 [/ � � // ,, Water piping/DWV • 5629 Business ttame:'�� ?� - ": )'"�Li-C_. Other. 25.02 Address: �. __ Q��x� h� ��b� Subtotal City/State/Z1P:(b JC..+1 0./ ci Minimum permit fee: 57230al ' 3) .':.r?r !03 l Far( ) Plan review (25%of permit fee) CCB tic.: t ge,345 I Plumbing Lic.Int 158-2_ State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized signatraz: This permit application expires if a permit is not obtained within 180 days I Date:/I /�I after it has been accepted as completer I Print ttatne . ��{�` I �� Fee methodology set by Tri-County Building Industry Service Board l:\BuldingWemec\PL U-PermitAPP•doc 10/01/09 4404616T(10W1:01COMfWEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT . s T 1 c,n It n Building Permit Review — Residential Building Permit #: /7-5T,20/& — 000 7y Site Address: 1 53(A 0 Ste' Th&i fri Qs L() Project Name: PO1uJ9on 011- tall Aft©ulit- Ivl Lot #: ()C (New dwelling=subdivision name;.Addition or.Alteration= last name of owner) Planning Review Proposal: New S Fp �" Verify site address/suite#exists and active in permit system. /River Terrace Neighborhood: ❑ No Yes,See RiverTenrace 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 %Utility locations (required for new,may apply for additions) /Site address,project or subdivision name and lot number ..-O-berrItion of wells/septic systems /Applicant information(name and phone number) ZiErosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions design,location of catch basin,etc.) 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 C roperty corner elevations (2 foot contour lines if more than -BEsiSting trees to be retained with drip line,and tree / 4 foot differential) protection measures pClean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified E No Received: ❑ Yes E No / Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified E No Applied For: ❑ Yes ❑ No,stop intake /Land Use Case#: SO O Z)S - 0000-2- -ErZoning: R. 1 , C X Setbacks: Front 2;0 Rear f 5 Side 5 Street Side I Garage 2_0 Landscape Requirement: — % ,12"--Lot Coverage Maximum: °'o L/J Building Height: Maximum Height 7 0 Actual Height 5 g xVisual Clearance Easements Z Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit otes: C o o cl-i tl v n S m•)i t be Cr)e t- PrOD r 1-12 \S S u C.t rl CSL 0 G— t1►I COI rex-rte, i-- Approved By Planning: /✓1 0 t1 i—L.e.,_ s 1 o c _o cam.".. Date: 2/8 1 / ;t., Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\B IdgPennit Rvw_RES_O 12 116.docx Building Permit Submittal Original Submittal Date: 3/d�4 Site Plans: # Building Plans: # _'3 Building Permit#: Enter building permit#above. Workflow Routing: ILL—Planning -Engineering Lermit Coordinator wilding Workflow Sign-off: lLVSign-off for Planning(include notes from planning review) I Route Application Documents: ILI—Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. RBuilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: �� Date: �/,6 Engineering Review ,r Slope at building pad: 7� 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 F.nsrineerinly! Date: Notes: Condition remain unmet that are required prior to issuance of bldg. permits. Approved by Engineering: AL p Date: J—/ i r�� 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 pproved, NOT Released: Date: 3,2143//4p 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: rSDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: pb Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: Date: ' /'YS`/(p I:\Building\Fonns\BldgPermitRvw_RES_0121 16.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 0 TI G n o River Terrace Building Permit Review Addendum Building Permit #: 000 7/ Site Address: S3SoJ Gt mei L Project Name: Pot o n Q1 t oil M o L/el tit o Lot #: 6 G (New dwelling= subdivision name;.Addition or.Aiteration= 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 ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ 7 ❑ 2. Eyes on the street: a minimum of 2%of each street facing facade must include windows or entrance doors. Percentage Shown: 2 . 8 /: 3. Entrances: At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street- facing wall fi Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: ❑ YesNo If yes, all the following apply: ❑ 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft. max. roof height above porch ❑ 5 ft. depth min. ❑ 30%min. porch roof coverage 4. Detailed Design: All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep 'Recessed entry area min. 5 ft. wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood /3 Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40% of street facade /Window trim min. 2 Y2"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 prAttached 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/ZNo. 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) 3 2-- 0 ❑ 12 foot wide garage door /0%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: � � � � ,l0oCZ Date: 3 � / I:\Building\Fonns\BldgPennitRvw_R ES_RT_O 1 21 I 6.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 i C,,k r) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DA .`. , 5 IrIlErt DEPT: BUILDING DIVISION AUG 2 2 2016 1 CITY OF TIGARD FROM: Angela Grajewski BUILDING DIVISION COMPANY: Polygon Northwest 13 PHONE: 971-212-2144 RE: / 3(0D M ihei••es ,ot40MST2010 0000-1 (Site Address) (Permit Number) Polygon at Bull Moun ..n (Project name or subdivision ..•.- and lot umber ATTACKED ARE THE FOLLOWING E pi o 1. a °_..,- � , 1 ` ,._.� K t .. . . . __ 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): Addi onal deck details requested by inspector REMARKS: Routed • Permit Technician: Date: ; - -- ! ,C Initials: MEI Fees Due: Yes ❑No Fee Descri•tion: Amount t ue: —1 s �,� C n. ✓^'fin Special Instructions: Re•riot Permit •er PE : ❑Yes in No ❑ Done Applicant Notified: Date: Initials: I:\Building\Fors\Transmittalittter-Revisions.doc 05/25/2012 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15360 SW THAMES LN, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: February 10, 2017 at 12:48:12 PM Record ID: MST2016-00074 Inspector: David Young Dual outlets in laundry room not gfci protected. 210.8 A10 No AC installed at time of final inspection. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15360 SW THAMES LN, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Correction from previous inspection complete. No AC installed at this time. Violation Summary: Tel: 503.718.2439 Inspection Date: February 14, 2017 at 12:28:23 PM Record ID: MST2016-00074 Inspector: David Young Inspector Contractor