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Permit
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 G ; R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION k3 �9 2 2Q16 FROM: Angela Grajewski , p` ! COMPANY: Polygon Northwest 530‘.9" .9 .� - PHONE: 971-212-2144 RE: IC19 5V\11• �$4 k 1 MST201 j- OO10es (Site Address) (Permit Number) Polygon at Bull Mountain (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 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): Additional deck details requested by inspector REMARKS: Routed to Permit Technician: Date: :- ► - Initials: Fees Due: EI Yes • No Fee Descri•tion: Amount Due: . Special Instructions: Re•rint Permit .er PE): ❑ Yes [E No ❑ Done A•plicant Notified: Date: Initials: I:\luilding\Forms\TransmittalLetter-Revisions.doc 05/25/2012 ;. ii 'I 'AiCITY OF TIGARD © 0 MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00208 Date Issued: 06/02/2016 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 6/02/2 805000 Jurisdiction: Tigard Site address: 15153 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 48 Project: Polygon at Bull Mountain, Lot 48 Project Description: New SF. 8/25/16 ADD heat pump in basement. 10/28/2016:Add 2nd water heater. 5/9/2017: REPRINT to add 4th bathroom. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1518 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 2144 sf Garage: 735 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 4488 sf Value: $545,460.32 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100 Tubs/Showers: 4 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 Tvpes Air Conditioning: N Vent Fans: 7 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: 1 Ea add]500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4488 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 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: $37,514.73 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 952-001-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 550033 2332.1987 or 1.800.332.2344., Issued By: ` Permittee Signature: v" "` / e./C_ DA/ 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 A Inp_i_g_tiRiCEIVEI) Building Fixtures 11111111111==11111111111. MAY 4 2017 City of Tigard itziavIzi , . 13125 SW Hall 13Iyd.,Tigard,OR db6 OF'TIGARD Plan Review BUll DING DTVISION Date Ready/By. tutu. id see Page 2 for '' Internet: ethod: Supplemental Information www.tigard-or.gov '—___--_ 0 New construction 0 Demolition Far special information use checklist Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 1 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CI 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family Each additional bath/kitchen I 25.02 0 Master builder 0 Other: , Fire sprinkler( sq.ft) Page 2 Job site address: 5/5 3 5IA/ 194-m nye, Catch basin or area drain 18.76 Drywell.leach line.or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross streetidirections to job site: Manholes 18,76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 1 Subdivision:Polygon at Bull Mountain Lot no.49D Fixture or item: Backflow preventer Tax map/parcel no.: 31.27 25.02 Dishwasher 25.02 I Drinking fountain 25.02 Ejectors/sump 25.02 Fixture/sewer cap 25.02 Name:Polygon WEB,I-LC Floor drain/floor sink/huh 25.02 Address: 109 East 13th Street Garbage disposal 25.02 City/State/Z1P:Vancouver,WA 98660 Hose bib 25.02 12.51 Medical gas(value:$ ) Page 2 Business name:Polygon WEI-1.,EEC Primer 12.51 Roof drain(commercial) 12,51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62,54 Phone:(360)695-7700 Fax:1(360)693-4442 'AM/shower/shower pan 12.51 Urinal 25.02 37.52 Business name:BBL Plumbing Lic Water piping/DWG' 56.29 Address:PO Box 85 Other: 25.02 City/State/ZIP:Corbett OR 97019 Subtotal Phone:(503)351-3903 Fax:( ) Minimum pennit fee: $72.50 Plan review (25%of permit fee) CCB Lie.:180345 I Plumbing Lie.no.:PB1582 State surcharge(12%of permit fee) I Print name:Brandon Lanter Date: 0313 to vt 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-Coimty Building Industry Service Board. 10;0»* . CITY OF TIGARD MASTER PERMIT lIl 2 ` COMMUNITY DEVELOPMENT '_ ` ry Permit#: MST2016-00208 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 d 4 �( Date Issued: 06/02/2016 Parcel: 2S 108DB05000 Jurisdiction: Tigard Site address: 15153 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 48 Project: Polygon at Bull Mountain, Lot 48 Project Description: New SF. 8/25/16 ADD heat pump in basement. 10/28/2016:Add 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1518 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2144 sf Garage: 735 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4488 sf Value: $545,460.32 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 Drains: 0 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4488 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 A Geotechnical report is required before the footing PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,261.47 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 4 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ,,.: 5g4; Issued By: , 14--C— Permittee Signature: elk/ 41/-'77)e,I ("177°kJ 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. PiKt.IFIcal rertnit...Applicatkqq-„,—,..,-- r-- 1 (w()I I I( I 1 sl 0\1 1 City of Tigard 111 it rt.1,-,,,,,;1;71 ,,f; rzi.,,, ._ . iiii =4) a-orr/ 41-eis PtImil° k 1 SO 6-0• 6• 13125 SW Vial!Blvd.Tigard,OR 97223 c r p 1 7016 Plan Review Phone 503"718.2439 Fax 503.598 1960 3 L-, 1 r' 4- Rel*ed Pell"I Inspection Line' 303 639.4175 .,, ,„ .,,, I,,t,A--i ir-I, Ready Deseily ".. See Pap 2 F®r Internet: war*itgard-or gov Gii Y Or ,,,...-,-0:,-,L. Notified/Method Supplemental leformattee New construction 0 Addition'alteration/replacement Please check all that apply larbarit 2 sets of plans*Maws checked) 0 Demolition 0 Other: 0 Service or feeder 400 amps or more 0 Budding over dace stones „here the„mud*fault current 0 mtunua and netecynnin :: ' 7,7,1 .c',17..,:::',::: .W-- ' - .' ',' 'r 1-,,,:: 7-1'.7;-7T.AZIPL:6itz.:451-111:1Z.1..,:: ex CCedS 10000 amps a 150 volts or 0 noway Nithhap on 1-and 2-family dwelling 0 CommerciaPindustrial 0 Accessory building loss to wend en'exceeds 14,000 °Com/navel-use apicunand amps for all other mstallaions buildings 0 Multi-family 0 Master builder 0 Other: Ohm:mint' 0 Installation of 150 KVA or ..'`:'''',7.7.;' •-.,..W.14,4"''7.7 .. ‘..:::,,,...,`1,.,.'''..-, ..i,::ri.:7%,'771:a'.'.:::..T 71/Ei7161,Aiti2.-f-rei2 ,CErnergencY system larger separately derived am u Addition of new motor load of system Job 4: Job site address: (5 I -.6 s w k%4.41i -.0 tamp or more 0"A""E"-1-2",-1-3", 0 Six or more residential units oectiPtineY Cit)/State/ZIP:Tigard,OR 97224 0 Health-eare facilities 0 Recreameal vehicle parks Suite/bldg./apt,4: J Project name:Polygon at West-River-TT?1414,1( 0 Hazardous locations. 0 Supply voltage for more than •. O Service or feeder 600 amps or more 600 volts nominal Cross street/directions to job site: rYttn RiftS‘72J!1)iiigiri41)74.47::i .7:7772,7'•;:t,7.:,;:s5E-143Wigtit),;:7 DestrMtion Qty. Each Tarsi New residential single-or multi-family dwelling unit. Subdivision:Polygon at'West-Rivisiit eat I fl-fn i Let 4: ..1 Includes attached garage. Tax map/parcel 4: l'°°°sq•ft m less 168.54 4 -Tti-:...:,!:77'„,:.,..,,:, '2?t,""i.:2:. . 11,i'6.7,.....".:IT:;-:'''';:r,:;r::;41,:;i:f7,411.... Ea midi RV squ ft or Portion 33 92 1 12/'? i r , , 0 Limited energy,residential 75.00 2 4 (with above sq ft.) Limited energy,multi-family residential(with above sq.tO 75.00 2 Name:AD L Lan, , Renewable Energy 0 See Page 2 !dings,LLC Address:7,i 1 ' D 4bletret Ranch Road /VtAl. OUS Services or feeders installation,alteration,and/or relocation , City/State/ZIP: 4, ...•i ale,AZ 85258 !!' 200 amps or less 100.70 2 0 Cailltk Phone:(602 494 031 j Fax:( ' 1 2°1 arr1P4 to 400 amPs 133.56 2 Email: 401 amps to 600 amps 200.344 ,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: ' ,. , ,„:;:„,,,„,,,,:ip;:::,, -:',.,.... . (,,"'„':::-,•:V,Ttr,,r-.:,...ra7u.:ziz-iz7.4.,:,::„...w.:72,,.:.:1,;..27.772.121n Temporary -retocatonservices or feeders installation,alteration,and/or Business name:Wiffianrtymr-litrtnerrtnc. i"oti.kopkbg IA)(7:74. 1..1C.. 200 amps or less 59.36 , 1 Contact name:Angela Grajewski "")") I 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, r panel Phone:(360)695-7700 al Fax: :(360)693-4442 A Fee for branch circuits with 742 2 above service or feeder fee, Email:Angela.Grajewski@polygonhomes.com il each branch circuit 77* :..`,.!.:..:7'i::;-7:T::fST E..n-1;:;III;i117,43-PAris Fseetivfi(c):.1Orrainch cil.rfceuelirwsittiww Business name:alameda electric branch circuit . 56.18 2 Each addl branch circuit 7.42 2 Address:3415 tie 44th Miscellaneous(service or feeder not include City/State/ZIP:swim cbriei)ai"ore/,ii /4" 702-- /3 Each manufactured or modular 67 84 2 dwelling,service solar feeder Phone:(503)3192192 .I Fax:( ) Reconnect only 67 84 2 Email:solarpdz@me.com ,„, Pump or irritation circle 67 84 2 CCB Lic.: 199188 Electrical Lic.: c923 1 Suprv.Lic.: y g-7/ > Si -41 -, gn or outline lighting 6784 2 Suprv.Electrician signature,required: Signal circuit(s)or limited-energy Print name: .,k i it, 12,00,c....<„ I Date: (--/Z3 //4/ panel.alteration,or extension 0 See Page 2 2 Each additional inspection over allowable in any of the above .., Authorized signature: • Additional inspection 0 br mint I 06 25,hr 1 IPrint name: / f , ----- j Date,S/Z,3/1.,„ 1 investigation(I htmin) 900G.hi, _ vaiaithereaennitinta.c,,Piernithie„.81.8„EltEdoc Rin,06117/2015 440-4615TO 1,051COSSAVEB • Plumbing Permit-Application : ..,„: .„ _. • ' :,--0.-- '•:--•,:7i'' ,•' ' ' - .. . .. Building Fixtures. , ,:,,,.,,,,,..,F!,._,.I :',. .,,44: 4, FOR OFFICE (SE OLI 'City'retr T..igaycl QT-P 1 i‘ 2 0 15 4::::;yd:: ic.426P//, ,d47V- PwPijr/7157-2evc, 13125 SW Hall Blvd Ti.ard OR 97223 —' '' ` ' g Phone 56.3.7182.439Fax. 50.3.598.clef•,.,, ; .,, „_i .,,,,:.,,, , IT,11:,,3 . Other Perinit'Ne.: inspection 1„ine: 503.639.4175 .-2,,. -..,,, t,; 4.,4 ,'',.4 44.4:4-t4.'-,:'4.,4:",Nie,gadyity. -: -: • ,.. Page • TIGARD • ,,.,,,,2...., , ,,:- : • ' .Iletifiediktethed: tuns. tO sft P 2 far Internet: www.tigarcPor.gov. Supplemental Inturrnation • . . • #1.4.-'W,00:;eI':: -''-14i::'IC-g-T-171 :,': ..-::.I- : t :-'i-f-:-T.F.1::1'::111-*- 4 lI.VIVr:171.i:' :',4:::-:: .IR Noy construction • 0 Additionfaiterationireplacernent , 0 Deroiitio. - - -0,Othq:: " For special infirmatips use e Yee/dist DescrintiOn . . . , I 'Qty. I a j Tow ' New„I-1-rainny dwellings(includes 1001.fa:teach utility-connection) .. ..... . -N.,:7:.+;:-.--.5,•.1:;0;.-: --,--,„%/, ,....,-.,.cATEGORVOY-ti7ON81BUIMON5-4!:,,,:,,,.„:„.„ ,.„,..;•,,,,,,,...,..:„, ,,,-,,,, SIR(1 bath IEg. 312.70 43778'1-and 2-fathily.dWelling 0 Co • SFR:(44th -• '' .;:SFR(:.- bath 500:32 , 0 Accessory building. 0,Multi4ifinily • . .; : • Each additional;battokitchen. . 25..02 0 Master builder 0'Other Fire Fire sprinkler( . sq,1,.). Paget .1 , . -•---.„,----, -- „,,,.. ...',....._.-, .- V-;4:;11.4.0-560,*00;„4-71ii.000::„...00::A:vocat44):?.-;•.45-91::: Sitekiwi,: • -. . - . ... . .kib site addreSsf 1 519) -1 SJ i 't-1411 (-1-v-t- -..- - '-- . Catch-basin or Alva drain 1 a76.• DrvWeiLleach tine:or trench drain 1 a 76 "" • " - • city/State/ZIP:.Tigard,OR 97224 '' -- Footing drain(no,tiriear 6.; 1 Page 2 Sone/bldg./apt.no.: I Project name:Pulygan,at Bull Mountain Manufactured home utilities .50.63 ..... OtOsS-Stkeet/ditectiona try job site: ... • Manholes I 8:76 Rain drain connector 18.76 ...„ .,. Sanitary se*r(no.linear ft: ) Pag_e, ...,... 2 . ... , • . _ .'Storm sewer(no.linear.11::.. . ) I- .page 2 / . . I - .. ... ... • .. .Water service(fin.linear R.; ) I Page 2 Subdivision;Polygon of Bull • -LotH.O.:; L4 '6 Fixture ar'item; . . . w preventerBackflo31.27 Tax niap/pareelbo.: . 7.• '" . ... „. . . - ' 1:- 7)---.6 2-`-=`• ei:49-7-&-x-..44-7-ere-R-- 12151 - .• 25.02 ' 1 . .. Dishwasher .25.02,. I . . .. .Drinking fountain EjectorS/Sump • 25.02 2-5.02 . . +:40"*,..li..1-,iiwN•-',''-0-,'-.g,r,,.-ii if:,,,f :,. ,,ii:1,1,-171,A014*,i7ii.-47.:i....::::: ., Egansiou tank '.0 • - ' • - • ' , C/ ...n... . . : • 1251 .Fixtursewea25,02N4p :Polygon N4,LLC - FIoar4011floorsinkib I 25.02 Address:149 Fat 13th Street - .1• , . : . Garbage disposal 202• 1'I •. • I . I city/Statitl-ZIpt•Vaneouver,WA 98/660 :004095-7700 ... Ice Fax:( ) ... ' Hose bib maker ..... . . :25.02 Phonej 12.5.1 25,02 ,'':zir, . *-:. ,..* :e !...:,; -.. -_o*.4iox-o--orsils-..,..,.--...7.-.0.--a, ,.- -g7 •IntercePt9r1";c415C•trap ... .,).,,,, , . ..7 • •Bukrie;ss name'Polygon WLH LLC ., , . , . paee 7 Primer - 12.51 .-Contact.name:Angela Grajewiki • • Rodflirain(commercial), 12,51 .Address:169 EaS215,th Street. . .. .Sinkl:basintlayaIbr 25,02 . .. City/State(ZIP:-Vaneuttyer,WA-9860 . Solar units ootable-watery - 62.54 . . . . Phone:(360)695-7700 Fax ':(360)693.-4442 :.tab/shower/shower pan , 12.51 ','.:'..3.:•:-,,--- .:. ,tfr:IrtI "tiAtaij0::,;.i:"A;::1:.:•:41 ,,W, .- 12,,-..-,..,1„::- ;.-Ur.inal ... 25,02E-mai .$figela,OrajeWSkipo491homts4901 . . . . . . V " : .. .tecloset - " :25,02 .7......!..r.:,1%:.--,„,,-!.tif',"'•::•,"440a..w::'-:-,.:' ,,o,:,.;,-P.. •,..,= -•,:.,-,-..4i.71iretirs,•,,,,,i'i'tftItLet:' ,--,..."..,,,,Y.W-'.'74.-,,,,,4 :wa.tetteater 111114wie,„„ . ... 37.:: ' -7.62) Business name.:BDL Pluniifog.-LLe. ., . . . . .. . . .. ... • Water:piping/VW. 1629. Address:PO Box 85 . 'Other.: 2512., , .. . • ... 'city/State/ZIP Corbett OR 97019. . Sohtotal. - • . . . . . . . . • ! . . . . permitpla•Minvimunl . , .fe,e...;(25%of ppm*7fee). 27 . Fhb*(503)351-3903' Fax f . ) , . CCB.Lie.f 186345 Plumbing 1;10:no.:::1".01582 .. -- - *State slueharge"(12%of pettrafee) . .. . , . Authorized Signature: ei e- TOFAL PERMIt FEE . I Mil .... .. t name:LBratitIOn ljnoter I Dam; 8 Iv it, ThL5 Permit / .- -t application expires if a pent&is ItaI Obtained within ISO days • after it:has been aecelited as efininlete.. . *fee methodology set bytti-Couaty.Building Industry Seniee Beard. lAiii4ldingTerrnit.40.111,PerniiiAppxlco'10/010 440465T(1W021,CQMAYKI) • CITY OF TIGARDMASTER PERMIT Pri COMMUNITY DEVELOPMENT Permit#: MST2016 00208 TEGRD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ' �� Date Issued: 06/02/2016 A Parcel: 2S108DB05000 Site address: 15153 SW 154TH AVE Jurisdiction: Tigard Subdivision: POLYGON AT BULL MOUNTAIN Lot: 48 Project: Polygon at Bull Mountain, Lot 48 Project Description: New SF. 8/25/16 ADD heat pump in basement BUILDING Floor Areas Required Setbacks Stories: 3 Bedrooms: 4 First: 1518 sf RSpaired Basement: 826 sf Left 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2144 sf Garage: 735 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 4488 sf Value: $545,460.32 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 WashingMach: 1 Laundry Trays: 1 Rain Drain: 1 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Urinals: 0 Sewer Lines: 100 SF Rain Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 0 Storm Sewer: 000 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 0 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Furn<100K: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders 1000 sf or less: 1 Branch Circuits 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 8 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 p W/O Svc/Fdr: 0 p amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL•RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N SecurityAlarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: Square Feet: SF VB R-3 4488 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 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: $37,129.45 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 952-001-00 a gh OAR 9 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 .1987 or 1.800.332.2344. Issued Permittee Signature: � ti Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 1,7t- Call 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 ONL1 City of Tigard Received pi ® 13125 S W Hall Blvd.,Tigard,OR 97223 Date/By: b ei f to Permit No.: H!/--dei,‘, j� I 11 Phone: 503.718.2439 Fax: 50,1161p if I.!.0IN Plan Review TI G A RD Inspection Line: 503.639.4175 Date/By: Other Permit: Internet: www.tigard-or.gov El V ED Date Ready/By: H See Page 2 for AUGotified/Method: V �+ 206 Supplemental Information T M3a COM11#24*.FE.E* ScEDIJTE '[13zcRECKIIST `_- ®New construction 0 Additi rrD' 'pU Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all Demolition ❑Other mechanical materials,equipment,labor,overhead,and profit. x: ...;s s 7A9.911Y LIFT 1ONS'tRUC3'l(ON Value $ .:- .. �'_ 1l�SIDEN�TAI.�Q3Il'1HKINTl��'�ill�S�S*- ® 1-and 2-familydwelling � _,_ 4 0 Commercial/industrial ❑Accessory building For special information use checklist❑Multifamily 0 Master builder 0 Other: DescriptionI Qty. Ea Total ating/cooling:aroS_$1, 1NEO1 0Y ANDLOCH IOS Job site address:' 5�� p Air conditioning 46.75 ' L Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Heat pump 1 61.06 61.06 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.: l Other: 23.32 15 Tax map/parcel no.: Other fuel appliances: Water heater 23.32 . . 3i oN QF OItK Gas fireplace/insert 33.39 ..., Change 2°d furance for basement to Heat Pump Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 1l'1tO 23.32 p '#'-� Other: Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:109 East 136 Street equipment 33.39 City/State/ZIP:Vancouver,WA 98660 Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, Phone (360)695 7700 Fax ( ) toilet compartments,utility rooms) 23.32 � ""� x Attic/crawlspace fans 23.32 ilft CIA `rA4 at t= Other: 2332 Business name:Polygon WLH,LLC Fuel piping: Contact name:Angela Grajewski $14.15 for first four;$4.03 for each additional Furnace,etc. Address:109 East 13th Street Gas heat pump City/State/ZIP:Vancouver,WA 98660 Wall/suspended/unitheater Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace E-mail:Angela.Grajewski@polygonhomes.com Range Barbecue W*4 44Z ,,;,WWti:.4:a,� r % Clothes dryer(gas) Business name:Apex Air LLC Other: Address:18004 NE 72°d Ave � l 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: )41 4,, J Date:8/22/16 I I:1BuildinglPennitslIvlEC PermitApp 0401'3. oc 440-4617T(11/02/COM/WEB) 11111 q CITY OF TIGARDMASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016 00208 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2016 TIGARD 13125 2S108DB05000 Jurisdiction: Tigard Site address: 15153 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 48 Project: Polygon at Bull Mountain, Lot 48 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1518 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2144 sf Garage: 735 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 4488 sf Value: $545,460.32 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 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: 6 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 I ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: . Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4488 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 A Geotechnical report is required before the footing PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,016.07 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 R 952- 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: i/v `9� ,6/C TOJ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. , Building Permit ApplicatiIt E C E IV 1 it/ / "(IC' LS- .57i0& Residential City of Tigard MAY 17 2016 Received 4,...... Permit�577 Datemy: /(��V 2(J� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review w�I Phone: 503.718.2439 Fax: 503.5y�yt C 1�p( p DateBy: 4,...„... )� OtherPer � �� ��j9 E�[I"I uI l i[ ARD I i U;\R I, Inspection Line: 503.639.4175 Date Ready/By: ��r(/ Juris: El See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method:t`/ I'� �C�`f�� Supplemental Information oi`1 R>G. gill,/ TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. O 1-and 2-family dwelling 0 Commercial/industrial Valuation: 526 \S-lc '1'/ Q ❑Accessory building 0 Multi-family Number of bedrooms: 4 11 'e ❑Master builder 0 Other: Number of bathrooms: 3 floors: JOB SITE INFORMATION'AND LOCATION Total number of "143 .1c1.3 Job site address: 1515 3 Sw (514+h 1' U New dwelling area: 4488 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 735 square feet Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: 51 square feet'4 4 Cross street/directions to job site: Deck area: 32,0 square feet,s'' Other structure area: square feetga‘ REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Polygon at Bull Mountain Lot no.: 48 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Ine value( )of equipment,materials,laroundedbor,overtothehead,andnearest thedollarprofit fall or the DESCRIPTION OF WORK work indicated on this application. Plan 19D-DL Valuation: $ Existing building area: square feet New building area: square feet ®:PROPERTY OWNER 0 TENANT Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 East 13th Street Occupancy groups: City/State/ZIP:Vancouver WA 98660 Existing: Phone:(360)695-7700 Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH,LLC (Please refer tofee schedule) Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13'h Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) E-mail:Angela.Grajewski@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specially Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): �//Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 Qj� CCB lie.:204238 v Total fee due upon application: $201.60 Authorized signature: I4, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:5/2/16 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application RECEIVE I (l 11 ()l F l( I, I I. O`l. I City of Tigard Received Date/By:y: Permit No s?;2y6_122,02ap " 13125 SW Hall Blvd.,Tigard,OR 97223 '16 Plan Review 1 Phone: 503.718.2439 Fax: 503.598.1960 MAY 17 20Date/sY Other Permit: I I I) Inspection Line: 503.639.4175 s ate Ready/By: Juris: ® See Page 2 for w Internet ww•tigard-or.gov Cr IV OF Tijs t otifed/Metlad: Supplemental Information II.DING I IV1SI _ TYPE OF WO * SCHEDULE .USE CHECKLIST i.. r... .` ' .. Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit Value:$ CATEGORY OF,.CONSTRUCTIOTT FEES* ,, RESIDENTIALEQ1 JIPMENT 1 SYSTEMS 1E11-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checlllist ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total Heating/cooling: JOB SITE INFORMATION AND LOCATION _ conditioning 46.75 Job site address: 1 (63 5W ( 51-1 AVE_ Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt no.: Project name:Polygon at Bull Mountain Duct work 2332 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 491Other 23.32 Subdivision:Polygon at Bull Mountain Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 * • . Y insert 33.39 W' " *#" k1 'x'11'�DESCRII'TTON OF 'ORI''''''4''''''''''''''''"4.'''''-''v Gas fireplfce/ B � rqt@,�.� ,�� ;�.u:,��i���.. �•P�^- , � = s� '� Fliuventfor water heater or gas fireplace 2332 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 WEt M ' � 4H = w .,- o f Other. 2332 �4 PR � RY _NR— � . r• — -��,�s,� .� �, � Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:109 East 136 Street Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 x 1 _ ® PLG1VE X ❑,CON ' jr 1)TRSO . = kOthe. 2332 94k, ,,: v..,,,#,.,.41.i s.-w,,,, ,,,, Z-, ..e. , , -- -....,1,x _.-, f.4-,,,,--.7.. . Fuel piping: Business name:Polygon WLH,LLC $14.15 for first four,$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Gas heat pump Address:109 East 13th Street Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski®polygonhomes.com Barbecue dryer(gas) ,, k', �� - ,w 4 COIVTTtA�I'OR.• ." _ . ,,, Clothes as Other. Business name:Apex Air LLC =w-': g <: .-- _{ N CHANICALPERMIT EEES�, . Address:18004 NE 72°d Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 le../t. days after it has been accepted as complete. Authorized signature:_ l 1 * Fee methodology set by Tri-County Building Industry Service Board Print name: A . (r'a` }e-w S k„( Date: 5 3 I t 6 I:\Building\Permits\Mrm EC_PeitApp_040113d c 440-46 7T(11`/02/COM/WEB) • ' Electrical Permit Application RECEIVE roti oil lel i15L()Nl.1/ i • CityN. Of Tigard Received al 13125 SW Hall Blvd„Tigard,OR 97223 MAY 1 7 Date/B : 2 6 Plan Review Related Permit d: Phone: 503.718.2439 Fax: 503.598.1960 Date/El T 1 c..R U Inspection Line: 503.639.4175 Ready DatrfBy. Jude l3 See Page 2 for Internet: www.tigard-or.gov CITYaF �G�� �, Notifuai/Metbod: SupplementalIaforwafton ,,,meg„ l t� � �3 _ -- ���A .:x:•..:a, ;,::;.:. -�$ ,:,.•,.t . , ,' � .. .. . ... . .tea ixE=."xS�w `w .ivrt a;.r,.. :..:,y,.•. _.:.'.� t�•�Srlf3 •� _ �:7.;'� i '�r€t '�^. . ... �....: ®New constriction ❑Addition/alteration/replacement i Please check all that`apply(submit a sets of plans w/itema checked): ❑Demolition 0 Other: - ❑service or feeder 400 amps or more 0 Building over three stories. where the available fault current ❑Marinas and boatyards. -r4 _»S.Ric _ t •::Y.�:h' _.1.T.�Fi': _i^eii:':— 3• :;c,� =+"ti'�'rh`-'I _ r ,.. ',�Gr0, ' G'I'1 ;`gw.:.r.>xs `:_=:'-::.;%:; ^`'= exceeds 10,000 amps at ISO volts or ❑Floating buildings. ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations • building,,. 0 Multi-family • 0 Master builder ❑Other: ❑Fuc pump. ❑Installation of 150 KVA or •{; - ,;JOB:WLTT '.JNFQRM� A11D:i' CAT1Qff..'. : -_.. ❑Emeri eysystem' larger separately derived Job#:' l Job site address: ': ?e?' ❑Addition of new motor load of system. 1 *J 153 so Irju ��C.,. loom,.,curie ❑"A', ,"1-2".-1-3", City/State/DP:Tigard,OR 97224 • 0 Six or more residential units. octamancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldgJapt.#: Project name:Polygon at Bull Mountain ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: ":::'.:'•::.::' ::ice' ".j':;:::"'::`:.; : .'-;j_::; • Description Qtt. I Each '( : Teta! 1 • , ( New residential single-or multi-family dwelling unit. Subdivision:Polygon at Bull Mountain Lot#: `tel B Includes attached garage. I,000 sq.ft.or less J 168.54 4 Tax map/parcel#: _ Ea.add'I 500 sq.ft.or portion g 33.92 1 Wes :St,•ITIg z% ': 'FDI *:;00.W0R1*-51' -iN,vg'.. it ::... .. residential (with above sq.R.) 1 75.00 2 Limited energy,multi-faintly residential(with above sq.ft.) 75.00 2 :,.i },-; -,i,i_ :. .. Renewable Energy 0 St!Page 2 ... `- 1:.•:�a -2•-•-• ,1 ,"`,*4.1:1� ;�`:-:t.::: �',1;:•• '•1 Services or feeders installatfonzalteration,and/or relocation 4. . •:y�4�P.-i��.4T::t: .�!Y:2+r^-.1' . �: .':_;-. Name:Polygon WLH,LLC 200 amps or less 100.70 2 Address:109 East 13a'Street 201 amps to 400 amps . 133.56 2 401 amps to 600 amps 200.34 2 City/State/LIP:Vancouver,WA 98660 601 amps to 1,000 amps 30L04 2 Phone:(360)695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders Installation,alteration,and/or Email: . relocation • Owner installation:This installation is being made on property that I own which is not 200 an Cr less 5936 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 angor to 599 amps 168.54 2 klFyy;<, x x : •.n.:1:+; - i a • ~+�- ,:t. Branch circuits—new,alteration,or extension,per panel « at;=: f :,s.... , _: ','.> ; . _ .,:. s : =�t :; A.Fee for branch circuits with Business name:Polygon WLH,LLC above service or feeder fee, 7.42 2 each branch circuit Contact name:Angela Grajewslci B.Fee for branch circuits without Address:-109 Last 13th Street service or feeder fee'first b 56.18 2 ranch circuit City/State/ZIP:Vancouver,WA 98660. Bachhadd'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax :(360)693-4442 Each manufactured or modular • – dwelling,service and/or feeds 67.84 2 Email:Angela.Grajewski®polygonhomes.coin Reconnect only 67.84 2 F_ :+:r£fu !Ftti:-F C i -s '..: ;' i=`ii:. :;; ..,:[z' Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address'6101ri4IL St Johns Rd • Signal circuit(s)or limited-energy (3 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Vancouver WA 98661 Each additional inspection overallowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(I hrmin) 90.00/hr Email:bdaniels®gweusa.com Ldttstrialplant(1 In min) 78.18/hr Inspections for which no fee is 90.00/ler CCB Lie.: C1158 Electrical Lic.: 208174 Suprv.Lic.: 4496S S li'ca[,t listed Ch hr min) . Suprv.Electrician signature,required: '• ,e Subtotal: Print name: Joan P Albert Date:S-�j'�� — 0 Plan Review Required(25%of permit fee): _ State surcharge(12%of permit fee): Authorized signature: ----:7--------- --) . __2 TOTAL PBRMiT FEE: /-- S -a-"-"'� This permit application expires if a permit is not obtained with In 180 Print name: Bill Daniels/ Dates 3-i(t) days after It has been accepted as complete. * Number of inspections allowed per permit. 13BuldinglPermitalfl.0 PernitApp ELR RRB.doo Rev 06/17/2015 440461511;11/05/COMIWEB Plumbing Permit Application 1 Building Fixtures R CEDE I FOR 011 1( I. I SI.. ON 1.1 City Of Tigard Received Date43v: Permit No/t57,42/6��6+u/ � O- III t+ 13125 SW Hall Blvd.,Tigard,OR 97223plan Review Phone: 503.718 2439 Fax: 503.598.1960 MAY 1 7 20 6 Dat y: Other Permit No.: Inspection Line: 503.639.4175Date Ready/By: tan: ® See Page 2 for Internet: ww w tigard or goy 3' (`t}� �t Notifed•'Methy.ad fi,n Supplemental Information Yz1E . -�,i'� "r i ' , r„r S r ` '31i PK .k'' .A' i ..k'- .: �1TJI f'. ..., :' :-. .,-. � >' � ors ectal rn ormauon use checklist New construction ❑ 01 ion ® Description � Qty• I Ea. I Total ID Addition/alteration/replacement relacement ❑Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) r )0r C"ATE ORY{ T.0f.igriu1g4IQR:.s y',1':.., . SFR(I)bath 312.70 ❑Commercial/industrial SFR(2)bath 437.78 ® I-and 2-family dwelling SFR(3)bath I 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 r ''� + 4 r .`,y"o5'Sl' XNF .TION AttttFt 4)M-'` ,y '' Site utilities: - ?� - Catch basin or area drain 18.76 Job site address: 15 1 s3 'S `f h Y C'� Dowell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Ram drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 B Water service(no.linear ft.:_) Page 2 Subdivision:Polygon at Bull Mountain I Lot no.: 4 Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: RV.2 � V,=;.? 3 f lfeit ?.. / te2rtilK :V Baekwater valve ' 12.51 git . iua :,. -:• ., ,,.;,.. . Clothes washer 25.02 Dishwasher 25.02 - Drinking fountain 25.02 Ejectors/sump 25.02 K r tiv • A tl , "(tom: Expansion tank 12.51 .A� :, ., � ,i.`_o . ..3.`._ _ - .. p,: Fixture/sewer cap 25.02 Name:Polygon Will,LLC Floor drain/floor sink/hub 25.02 Address:109 East 13`s Street Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker _ 12.51 - TV Z ' �, r �' 0 � , a ' � WInterceptor/grease trap 5• 02 .'.1 ;0,'lT474-,.>,wF;P: 'giv" 1..1fg . h .Mw. . Medical gas(value:$ ) Page 2 Business name:Polygon WLH,LLC 12 St Primer Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 - Urinal 25.02 E-mail:Angela.Grajewsuapolygonhome`corn . . \r. water closet 25.02 • s gy O )tatga YMB4a 1 � ,74. � fislXrs:0r k ,4,4.0 .bl ft { i-..:.:.r. . �.t. ,':. : ...wx ,-:4(1,std .,. ,,-;.-Y4 2;•. 37.52 Water heater Business name:BDL Plumbing LLc Water pipinc/DWV 56.29 Address:PO Box 85 Other: 25.02 City/State/ZIP:Corbett OR 97019 Subtotal Minimum permit fee: $72.50 Phone:(503)351.-3903 Fax:( ) Plan review (25%of permit fee) CCB Lic.: 180345 Plumbing Lic.no.:PB1582 State surcharge(12%of permit fee) Authorized signature: '2L-'-- - TOTAL PERMIT FEE rDate: 513 I This permit application expires if a permit is not obtained within 180 days Print name:Brandon Lanter I 73 after it has been accepted as complete. *Fee metbodolouv-set by Tri-County Building Industry Service Board. i:'Buildin5\Permits\PLMU-PermitAPP doc 10101/09 440.46161110(02JCOM,WEB) 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 $111 - Transmittal Letter T 1(,;A R r) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION FROM: Angela Grajewski/Chris Walther COMPANY: Polygon Northwest PHONE: 503-312-6213 By. RE: 15163 SW 154th Ave MST2016-000 (Site Address) (Permit Number) Polygon at Bull Mountain LOT 4g (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: ':. I Copies: Description x F:= , 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:.. / / ) Initials: "i Fees Due 23 Yes n No Fee Description: .. Amount Due: it v. 4ti rev.�.,,r '`}7 �}- y' g $ q O .. $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes Xl.No , T Done Applicant Notified: Date: Initials: I.\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 v City of Tigard 1111 ■ r COMMUNITY DEVELOPMENT DEPARTMENT TIGp Building Permit Review - Residential Building Permit #: r4-C7.--20-/6 — Z3'4:=2-0cP Site Address: /S7 SS SA) /S'-717LA /}✓f' . Project Name: pi h ,S . k/1 /62/n n Lot #: ��j (New d�✓subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: kle40 __ erify site address/suite#exists and active in permit s em. Yd River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: 7 1 ree(3)copies of site plan Li 4 'sting structures on site ')e plan must be on 8-1/2"x 11"or 11 x 17"paper /.Footprint of new structure(including decks)with finished laii ItiAl rawn to scale(standard architect or engineer scale) I•or elevations orth arrow I tility locations(required for new,may apply for additions) ite address,project or subdivision name and lot number cation of wells/septic systems plicant information(name and phone number) rosion control(including drainage-way protection,silt fence qI t dimensions and building setback dimensions sign,location of catch basin,etc.) area,building coverage area,percentage of coverage and eet names pervious area(applicable if R-7,R-12,R-25&R-40) beet tree size,type and location roperty corner elevations(2 foot contour lines if more than \ r sting trees to be retained with drip line,and tree 4 foot differential) protection measures lean Water Services—Service Provider Lette of platted prior to 9/10/1995): /Pequired: ❑ Yes,applicant was notified 9d No Received: ❑ Yes ❑ No ublic Facilitiy Improvement (PFI) Permit: Required: V Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake �i and Use Case#: S� S 2(�'/S=0000.q omng: le'4 g— etbacks: Front cgQ Rear /6-- Side S— Street Side 04 Garage cQO Okandscape Requirement: I b Lot Coverage Maximum: ►A Building Height: Maximum Height 50 Actual Height cQS 11isual Clearance vrikr /Easements IFr ensitive Lands: Yes ❑ No Type Lau --w.11eez Ikah:i2_71.- Urban Forestry Plan 0 Conditions "Met"prior to issuance of/building permit �J Notes: C >�61s // 1/4S }7'7b c j ilae jib L l' t("74ce le-:L Approved By Planning: Date: T,S=4-- — Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw_RES_012116.docx r Building Permit Submittal Original Submittal Date: �S��/ /� Site Plans: # .3 Building Plans: # � Building Permit#: EEnter building permit#above. Workflow Routing: Er-Planning 4.8 Engineering 1ermit Coordinator wilding Workflow Sign-off: ErSign-offfor Planning(include notes from planning review) Route Application Documents: Ei-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. tr Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: �7 / Engineering Review X) a Slope at building pad: SO o EVConditions "Met"prior to issuance of building permit IT/Easements (encroachments) per engineering conditions of approval and plat IV Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes I' No Assess Water Quantity Fee in-lieu: ❑ Yes Er No LIDA Facility on lot: ❑ Yes aYNo ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: / �� Date: _67a4/47_ �, Revisions (after Building Submittal only) Re lwer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A rOK to Issue Permit 741i by Permit Coordinator: Date: 5-A,,--- Approved J 1:\Building\Forms\BIdgPermitRvw_RES_012116.docx City of Tigard 44 COMMUNITY DEVELOPMENT DEPARTMENT p ;* River Terrace Building Permit Review Addendum Building Permit #: /y.-77- 20/0 Site Address: J YS.SL�' v / 171-74 Project Name: Polygon at Bull Mountain Lot #: /716 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1): Is the project sub•ect to the plan district design standards? ❑ Yes fk(No 1.Articulation: a •sirnum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additio• element required for 1. with over 60 ft. of street frontage shall be provided every 30 ft. i alcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep Gable dormerft. deep min. 2ft., 5 ft. wide min. 2 ft., 6ft. wide ❑ ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum .f 12% of each street facing facade must include windows sr entrance doors. Percentage Shown: 3. Entrances:At least one entrance mus' eet both of the following standards: e• wall ❑ Parallel to street, .ngle no more than 45° from street, ❑ Max. 8 ft. setback from longest street- fac or open onto po Entrance opens to a porch: ❑ Yes ❑ No If yes, all the following apply: ❑ 25 sq.f •n. \1 ❑ One street facing entry ❑ 12 f.max. roof above floor of porch ❑ 5 ft. depth min. ❑ iVo min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of fi - •f the following elements on all street-facing facades: ❑ Covered porch min. 5 ft. wide x 5 ft. deep ■ 'ecessed entry area min. 5 ft. wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ D. er min. 4 ft.wide ❑ Roof eave min. 12 inch projection ❑ Roo' offset min. of 2 ft. ❑ Roof shingles either tile or wood ❑ Gable, 's or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. . ❑ Horizonta ap siding min. 3-7 ft. wide ❑ Accent siding min. 40% of street fa .de ❑ Window tr • . 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches fo . street facing ❑ Bay window rm . 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft. wide x 3 f seep with inside access ❑ Attached garage is 5% or less of street facade 5. Garages and Carports• ay face the front or side lot line on a corner lot. Setbacks: No closer to front o, side lot line, than longest street-facing wall. ❑ Yes ❑ No. If No (Ch. k one): ❑ May extend u to 5 ft. if there is a covered front porch and garage does not extend beyond se front porch. ❑ May exte up to 5 ft. where the garage is part of a two-story building and there is a window a the second story above the •.rage that faces the street with a min. area of 12 sq.ft. Width- Check one) ❑ 2-foot-wide garage door ❑ 40%max. of street facade • 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: Date: s7/ 47 I:\Bu iIding\Forms\BIdgPermitRvw_RES_RT_031416.docx FOR OFFICE USE ONLY—SITE ADDRESS: I This form is recognized by most building departments in the Tri-County area for transmitting information. ! Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1111 le : Transmittal Letter T I Ci A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 1111N/IAIII II/I TO: Tom H. DATE RECEIVED. DEPT: BUILDING DIVISION RECEIVEP MAY 4 2017 FROM: Angela Grajewski CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 By: q;P(74---- RE: 15153 5\r 15' f i MsTZZIta DO 2,D6 (Site Address) (Permit Number) POItIpr CO- 'L l N .ouxNft \,nk L3 (Prof ame or subdivision name and lot number) `AACHED ARE THE FOLLO4V'I\(. ITEMS: - opl S ,y escription ,` copies: Description: h 7./ 3 ..,.'. .r 0 Additional set(s) of plans. .6 Revisions: 4 ea he th ;, 0 Cross section(s) and details. 0 Wall bracing and/or la .ral 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. t , OR OFFICE USE ONLY Y Routed to Permit Technician: Date: — C)- ) Initials: 41' Fees Due: Ncyes El No Fee Description: Amount Due: ) H r pJc-r rev ; e ' $ c10 $ h Special Instructions: Reprint Permit(per PE): Yes n No 01 Done _ Applicant Notified: E D ate: 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: 15153 SW 154TH AVE, TIGARD, OR, 97224 June 21 , 2017 at 2:02:08 PM Record Type: Record ID: Residential - Master Permit MST2016-00208 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: 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