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Permit (56) ,, CITY OF TIGARD MASTER PERMIT In 1 ;; COMMUNITY DEVELOPMENT a.; ,;L� .;,. s.4 Permit#: MST2016-00207 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 /P /, . Date Issued: 06/02/2016 4.--...ArParcel: 2S108DB04900 Jurisdiction: Tigard Site address: 15121 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 47 Project: Polygon at Bull Mountain, Lot 47 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: 1504 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2155 sf Garage: 740 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4485 sf Value: $550,149.76 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4485 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 A Geotechnical report is required before the footing PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,297.79 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 O 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ' -, Permittee Signature: (J f0G/lv 7e Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application . . Building Fixtures- 1'1 ft.(.....,r r7,„- 'City-of Tigapi :teagt:ilv... 7e/,4,4„, 444._. Nip*Nvi,...c72e,,,a,-a)020 7 13125 SW Hall Blvd Tigardi OR 97223 S E P 1 .t") 2016 Plan.Revie%.y. Phone-, 503318.2439 Fax 503398.1960 b6teg.„. 74 . Other P,ermitNo.: TIGARD InspectionI the, 503 639 4175 1::..i1',•( i,...'1 ' :‘'--';',',,•'-!'.,i'-' DuthR;ady/i2y: 'runs. VI See Page 2 farInternet www.tigg&or,gov. ','": i.' ,"'. t 'r:` --,.....1 ,!'',-•r'',': Notified/Method: . Supplemental information • :,„:. •, ,,,,,. .,- _ ...,,s,'„,„:„„;,,..,: ..-„„,„.. ..,. - ,,.N.,,..;,- '•.:::-.lk..4,:: . .5'Lit.'!:.,::1,,:-:'f.i.t4',5'''''' •T''!.'7';'''','''',:a%,',:::%17:-*V.:P!....,"'Z't:,.''Z'''''f ':,('.:,:,,t...:: .*:;.•.::0,l.:Zi .*:?;.::::=., ,q. *A :FrgiST::,Sr '*:-.', .i-rg :''W'I'- ;,:r..''7-: s..-411f:-.'.•:j'F::.' "'4,::.1,1i.i.gf ,41F- ::',.c.-P- -i:taiii,t:i:,l' •:1':-.::''';','"'': .. 1-I ;Far special information use checklist New cons1roction i D D erti oji ii 0/1 . . .. - • Description . . , I Qty. I Ea. 1. 'Anal 0 Addition/alteration/replacement 0 Otilq-:;. • Ncyi 1-:24amily dwellings(includes 100:11.for each,utility connection) . ..... - Pf-,:sri:fi..;:- .':;•-.4'''' ."'.:5:•'•4':';''',•illat.i abR100,,,CONSifitlal ,...--.-x...:,-..;-'7., .:•:',.:.-in-, SIR(1)bath 312.70 .. • , 4373S.2D,1-and 2-farnitydiNelling 0 Cimnperdiallindilstriat .S.FR(2)..hath - - • .- .:SFR(3)bath 56032. 0 Accessory btiildtng 0„hdati4aMily - • • - .Each additionat bathikitehen. CI Master builder fa Other: Fire sprinkler( . sq„.-ft) -25j/2 Page 2 !....,-.41-.'...:•::g.,..:.:Agtf,1- 4: 4itilie6iiiiitialliA,,1,i,AH.L5titteiisi7W,,,,,;:t.k ASii,-:,. site iiiiiitteg: • - • • ' .. ..---- ...:, :,. -,.,--..;v4.--,,,r ,,, ,,. ,. _I,„ lob site address c3p ‘ SW I"31 I n Ave, : Catch-basin or area drain 18.76:• . • Dry Well,:reaelthite,.or trench drain:, . 1836 cityiState/ZIP:.Thgatd„OR 97224 Footing drain(no,111.1ear ft.„:• ). Page.2 : Sate/bldg./apt no.: Project name:Polygon at BtilliNitittittairt Manufactured home utilitIeS. 50,93. ,• CrOss:Street/directiOnS to job site: . ' Manholes 176 ..: •- Rain drain connector 18.76 .. .... .... • • • - .. • • • 1 Sanitary sewer(no.linear RI )' Page..2 . . , , •• " '•StOrrn sewer(no.finear.fi:: . . ) - Page.2 . . . • . W.gter service(no.linear ft.; ) Page 2 Subdiyisiott Polygou,itt RitiliSlhuntitili • .Lot.0.0.: 1....11 Flatitte at item - . -... • • BaCkflowPOYI;Ot& 31,27 . Tax nqapiparcelpo,:- . ... ... .. 1 kwater valve 11:'...!'-ait: qi7-70:if417:!:?-41':1•4?-Sik.8•66keiEticiiiii6:1:Nif..*45.rIAT5 .5 ,- f!ac: . . - ' - I- 12.51 ... 25.02 /9- ‘S 0 '' 4 t 4 7 6-14 tie 7.-62.1- .... Dishwasher 25.02•. Drinking fountain 2502 . . .. gieetorSlautup 25.02 .. . . . . . r,•°,-,-Iff,:,..„.iN7:.k.:41'0.-kitits:fiiii4ii.:.ig.:',i iif.. '-"L'..:,: ., .:cktri.istee.... ,t-. 4:,,4i. Eapausiou tank 12.51 . . kixtnredsewer cap: '5,42 Name;Polygon 1)14,LLC 1 - H . - •Floortitainfflour sink/hub 25.02 I Acidre$s...:109 East 13'Street ' . . 7. 61v-baize disposal 25.62 cityiStateaIP:Vaiienuver,WA 98660 Rose.bib _ 25.02 . . _. Phone:(34(1)095-7706 Fax,,..( ) lee inakUr• • ' • 1251 • • i I. '::." ;,,..,.,!..1:744,.1ppl' 17I4:140::;-.*:;;.:11 4.1.-:',..: :.:agilisTAX....pro4§.,q*, ,r.,. -,r .intereeporigtepae trap . . ,., . ....._._ . ... .. 25.02 '. ,. . -"-.-• .. - ,-. - - . Medical gas(value:$ : •.) Page:7,-:E .. : i Businessename;Polygon Willi LLC .. ., Primer - 12.51 • . .contact name:Angela• rajewki• ... ...- .... . . . Rudf0taip.(eouttneteta4 12.$1 Address:149 East1th Street. .8ink/hasintfayaMrY 25,0', . City/..StaWZ.IP:-Vape9tryer.,WA.98660 . :Solar units(potable'watery 6z.51 Phone:(360)695-7700 Fax:.:.(360)6934442 • :.•I•tib/showerishower pp. : 1151. E-mail:Artgcja.ct-ajoa!,akfpolygutifiontes.400t Urinal . . .. .,... . 'F.:'Att-T.:'.,S-ii,t.;‘ .4.-. ..47i...i.::-^P.'5-.-4.;,..',,,,;tr':'.11','::Wir ..-::-:,47:''''',, I i-Wate.t•Oael .. . 25,02 • . . ... . -•rIll-i-:;:•:•.1%.1.4W"-,.::::t.f.7iiirAl.. Wutette•ater-4tigglig : I • 3252 'V.1.62) Business name;BDL Plumbing Md. Address::PO But 85 . .. .. ... • Water:piping/DWV • Other , ... .. . City/State/ZIP:Corbett OR 970.19 . Phone ($03).'$51,390.1 1 CCB Lie.f 180345 [ - .. . . Fax k. ,. ) . . . . sopyor, ; Minimum permit fee: $72:50; •• Plan review 0594 of penult fee.) • Phintitriog Lid:O.::P01582 .. -. . - . .. ' . -. .' • .757 State StIfthilIV.(1:2%of permk.fee) - •.. . . Authorized signature: A _ I.L.oe....., ...,e'"" TOTAL PERtvlit.FEE • . tieV„........s..t . foOrTs•... I Print name:,Brandon j_;40te•r. - • I This permit a lication expires if a permit 15 not ribtainetrudthin 180 days I Date. , i- ' P•P- - - • :, - --- - ' • • . •- . .,:. Mkt ithasbegn accepted as complete. . .. . *Fe6 tnediodObity Se byTti-County Building isdustry-Seniee B.lard. c;b4jidinwzi,ormit4L.MucPermiiApp.doc-loVito. 44a,46!.6r(roto2xonven) • CITY OF TIGARD t MASTER PERMIT COMMUNITY DEVELOPMENTM f Permit#: MST2016-00207 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2016 Parcel: 28108DB04900 Jurisdiction: Tigard Site address: 15121 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 47 Project: Polygon at Bull Mountain, Lot 47 Project Description: New SF. 8/25/16 ADD heat pump in basement. 10/28/2016:Add 2nd water heater. 05/17/2017: REPRINT to add 4th bathroom. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1504 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 2155 sf Garage: 740 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4485 sf Value: $550,149.76 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All asin Y Other: N Other Description: Ecom P 9� BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4485 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 A Geotechnical report is required before the footing PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,516.62 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throu. -*A- !_ -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. A-44 Issued By: 4 Permittee Signature: ./6G/C1-77n'i Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. III City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal a Letter U i€a A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Angela Grajewski MAY 16 2017 CITY OF't IGARD COMPANY: Polygon Northwest BUILDING DIVI O`: mt PHONE: 971-212-2144 By: j' .h" RE: - (C12,I SvJ (S t- `'1 n`e �J 00-1D7 ( ) (PermitNumber) Por ar cul- 13 4 Munfaxr L L1 (Prod name or subdivision name and lot number) ATTP CITED ARE THE FOLLOWING ITEM;;. , _ 1 Copi s ...MDescription:;y ' , Copes .a Description: _, til, AA ,,,, 3 Additional set(s) of plans. �j Revisions: 1,04_ I h ptGr.1f 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. FOR OFFICE ugktiny Routed to Permit Technician: Date: - I 7— —7 Initials: P�6m, r Fees Due)X Yes n No Fee Description: Amount Due: Hr ^ 9 j �,�i/ `a . ., $ Special Instructions: Reprint Permit(per PE): "� Yes ❑No js Done ' _ Applicant Notified: , s` ate 5 /7//7 -77 / Initials: L % ' I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Plumbing Permit AppheatRpE . CEIVE1) Building Fixtures City of Tigard MAY 1 6 2017 11111111111111111111=IMIDRecame,Biveyd, Permit NV:t7_,-5-7-,./7c/iireet=249 13125 SW Hall Blvd.,Tigard. tOF TIGARD Plan Review Other Permit No.: '• ' Phone: 503.718.2439 Fax: 50 i Dateifiy- " .. Inspection Line: 503.639. -= 4175B u ILDING DIVISION Date Ready/By:. Jum. Id See Page 2 for Supplemental Information T i G A'R 1) Internet: www.tigard-orgov - N°PfiediMeth°d, :,, ,..,-•i%,:, 4,4r=.7iw,°:::'',..,M7r,fr",:',71::4,743,W111174,,-:;1, --- .,,,,,g. , A'-':' .'.°;11C.'4,77,7t.:11!:•,,,..14,,;1 ,.'''',,,IW:',.e` '---•'-e•,,'• ' 5'''.1.",,',•'•e;-,'111IIK''',iti??4.1L4kii,':•:-4W110.::,,,,410",..4,',112,t"-;,..:‘,V4V,421,7, 17'''''19Miii;1'r''-'112:'-'1. '''''' For special information use checklist E New construction i 0 Demolition Description I Qty. I Ea. f Total 0 Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes(00 R.for each utility connection) bath 312.70 g:ii: ;:;!'7,::1-:''''4-t,'P'4,1444;iiit ' ti„!:-rg,,,.„'„!''''''' , ,?,.. ,-.-mt, ,---q---. ,•- SFR(2)bath 437,78 El 1-and 2-family dwelling 0 Commercialnndustnal SFR(3)bath 500.32 0 Accessory building 0 Multi-family ..._ Each additional bath/kitchen 1 25.02 i 0 Master builder 0 Other Fire sprinkler( sq.f1.) Page 2 ,_ ,„„ , e ,, - "me, ,--7•• ...t. Site ;44i:1 '' 411' '''' ';'''41'''':-''' 2 ''fi'''';'•:::Mai- ':;:•;,1;§ :3;••7,-.,../1 1'*--; .' '''''''' -' :!` 8litiliti" Catch basin or areadrain Job site address: I 11.1 5W i 9-1 Ne , Drywall.leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Page 2 Footing drain(no.linear ft.:_) Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 - -- : Sanitary sewer(no.linear it'_,,j . Page 2 -. - Storm sewer(no.linear h._ ) ! Page 2 Water service(no.linear It.: ) Page 2 Subdivision:Polygon at Bull Mountain Lot no.:480 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 1 ;'''' -'•k")a--,•„,"--a -444,--;:...w.,,,,,,,,,, Backwater valve 12.51 '' Clothes washer I 75.°2 '•:#4----:,.. -'-' "'4.':::' ItLft,L.„.....---:",- ''''''' ''' ' - I j____:_____--- --- . -------- '----: 2..,02 i 401(14 nei 41t4 Ptiin rk)(Y) Dishwasher M 311Atte '001.01 Drinking fountain 25.02 Ejectors/sump * 25.02 ' Expansion tank i 12.51 Li-I!' ',,,,:-447 tr-ii--;4i1:.17 t-''',eu.v04.41'-1:;-,:'*1,7"-C .0-, _4(,,`,,_--• -- .•,,w" fr-.' .,. i':' ' ''''• '' ' •-•'•''''''''''" - ''' '- - ' - , tixtureisewer cap 25.02 Name:Polygon WLII,LLC Floor drain/floor sink/hub 25.02 Address:109 East 13t4 Street Garbane-- disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 -----i Phone:(360)695-7700 Fax:( ) Ice maker 12.51 ..-=•--, - • ''-'• •l',,,',..' • - • -Interceptor/arease trap 25.02 1 ff,,,,,•,-,:-„,,,- .,,,;‘,,,x01.,› tc:;-,,;- '.-": ,..;-,,,,,i,-7;,--f.,f7,A,,.,,,;..'''',;',4 HA AO ,',ti:t,, r*'7:"S'; ''' , .- Page 2 y 1). ;sr', '''',:..71-_-,'' :i!,-;;•:- ,--‘-'",--z-z-viA4'- ''"' ---- '-' .--'."' .- Medical gas(value:$____) li Business name:Polygon%%LH,LLC imer 12.51 Pr Contact name: ki(C,VIOtt Thr9 - • 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:, , f VI iNtee 1 Or I ' lb -0 I6-4 A --"; .„,.. ,Itka .. , Water Onset 25.02 ,:: ,,,,,, :l 37.52 , ,,, ,r „,, . ,k•_,•.,e ,it , ,-'...-- ,•'' -, Water heater Business name:BDL Plumbing LLc Water piping/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 Lie.: 180345 Plumbing Lic.no.:£131582 I - State surcharge(12%of permit fee) TOTAL PERMIT FEE ... I Authorized signature: 12...1..0.1........„ j - - -1 TnThispe claP;i;aiinezhpaisrebiciTnaacpecerpmtedas it isnotmobptiaeitened within 180 days Date: Print name:Brandon Lanter after it *Fee methodology set by Tri-County Building industry Service Board. 440-461611 I 0/01tOMIWEB) 1::Buildineermits,,PLMU-PennitApp<lac 10/01,109 CITY OF TIGARD MASTER PERMIT 2 ' COMMUNITY DEVELOPMENT Permit#: MST2016 00207 TI£.GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 gas /(p Date Issued: 06/02/2016 Parcel: 2S 108 DB04900 Site address: 15121 SW 154TH AVE Jurisdiction: Tigard Subdivision: POLYGON AT BULL MOUNTAIN Lot: 47 Project: Polygon at Bull Mountain, Lot 47 Project Description: New SF. 8/25/16 ADD heat pump in basement BUILDING Floor Areas Required Setbacks Stories: 3 Bedrooms: 4 Required First: 1504 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2155 sf Garage: 740 sf Front: 12 Dwelling Units: 1 Smoke Third: 0 sf Right: 5 Detectors: Yes Total: 4485 sf Value: $550,149.76 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 WashingMach: 1 Laundry Trays: 1 Rain Drain: 1 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer LiUrinals: 0 Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Li0 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 Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 P 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 p W/O Svc/Fdr: 0 P 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N SecurityAlarm: N Vaccuum System: N Garage Opener N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4485 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 A Geotechnical report is required before the footing PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,165.77 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 AR 952-0001-0`090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332,2344. Issued By: l' Cee-C62---0(-4-1L/ Permittee Signature: �' �>/ q�� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. v( 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°NI City®f Tigard Received 13125 SW Hall Blvd.,Tigard,OR 972 ®°C Date/By: �f (p Permit No.: M',r� C��7 F ' 2- Phone: 503.718.2439 Fax: 503.598.19IV ED Plan Review Ins ection Line: 503.639.4175 Date/By: Other Permit: p TIGARD Internet: www.tigard-or.gov .1 d or gov AUG 2 2016 Date Ready/By: ® C+I See Page 2 for Notified/Method: SupplementalInformation o replacement Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alter performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. ' I GORY ?>kyCfll'�IS RiICTlfll�i c Value $ - .r._.., " ` :,1tES1blENI'IAiE 7P.111�N'!' �l�illyS�3E_S'�— ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building special o e ❑Multi-family 0 Master builder Forseczat information use checklist ❑Other Description I Qty. I Ea_ I Total 1. t iOH 51I4 I tJ1,th O1�T BTU- Dt AT1flI Heating/cooling: Job site address:Ici Zt W I 94 rk Mete_ Air conditioning 46.75 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.:Lti Other: 23.32 Tax map/parcel no.: Other fuel appliances: t Water heater 23.32 :11.1:441'4"; a11-7:151:41M125-T4':"'''''''''''• k IiES '1-OI Ql�WflR '` 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 �, YR(IPEi' Other: r f - r}'IfEbT a 2332 Environmental exhaust and ventilation:Polygon WLH,LLC Range hood/other kitchen Address:109 East 13th Street equipment 33.39 City/State/ZIP:Vancouver,WA 98660 Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, Phone:(360)695-7700 toilet compartments,utility rooms) 23.32 �� ,w ( Attic/crawlspace fans Fax .- ''"'. _ -M _ f _: .-L'+D 't :: Sp�1i:I _ Other: 23.32 _r - ,- 2332 Business name:Polygon WLH,LLC Fuel piping: Contact name:Angela Gra jewski $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/unithexter Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace • E-mail:Angela.Grajewski@polygonhomes.com Range Y ..._, .. . k4 �11�1'Jll pR E - - ��.,n. Barbecue .._� � Clothes dryer(gas) Business name:Apex Air LLC Other: Address:18004 NE 72°d Ave •Vi. � r74> 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. Print name: * Fee methodology set by Tri-County Building Industry Service Board alt, ��;` I Date:8/22/16 I I:1Building1PemiitsWIEC PermitApp 04010.. oc 440-4617T(I 1/02/COM/WEB) CITY OF TIGARD MASTER PERMIT 2 p COMMUNITY DEVELOPMENT Permit#: MST2016-00207 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2016 TIGARD Parcel: 2S108DB04900 Jurisdiction: Tigard Site address: 15121 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 47 Project: Polygon at Bull Mountain, Lot 47 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1504 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2155 sf Garage: 740 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4485 sf Value: $550,149.76 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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 1 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 add9 500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4485 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 A Geotechnical report is required before the footing PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,052.39 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throu 1 52-0 -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: d/v ,—/a,6 G/Cw#j Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project Approved plans are required on the job site at the time of each inspection. V Building Permit Application G LS S S ' /6 Residential RECEIVE 111 Receiveyd ��Q^_ City of Tigard Date/B ...5-A, ��I Permit p(Q 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 17 2016 planRevie '' 'R Phone: 503.718.2439 Fax: 503.598.1960 DateBy: C. Other Pe yL!�4/1 N/6, I 1 c :1 It 1, Inspection Line: 503.639.4175 CITY OF TIGARDDateReady/ J 's: la See Page 2 for Internet: www.tigard-or.gov Notified/Method:0 I �to tail Supplemental Information BUILDING DIVISIO1 TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: 33215413•C*S 0) i Q ❑Accessory building 0 Multi-family Number of bedrooms: 4 J J ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: z-aa s- Job site address: 15 121 ,s(4) 15 ``, Ave., New dwelling area: 4485 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 740 square feet Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: 273 square feel 66.' Cross street/directions to job site: Deck area: 320 square feels. 1 0 Other structure area: square feet 'LI REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Polygon at Bull Mountain Lot no.: 4/ 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 DESCRIPTION OF WORK work indicated on this application. Plan 19B-DL Valuation: $ Existing building area: square feet New building area: square feet @ PROPERTY OWNER ❑ 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) I Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address: 109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: 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 Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): hone:(360)695-7700CFax:(360)693-4442 State surcharge(12%of permit fee): $21.60tAKPCB lic.:204238 Total fee due upon application: $201.60 Authorized signature: LA„46-7`7'��m This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:5/2/16 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 l/02/COM/WEB) •Mechanical Permit Appli CE1VE I t t It 01 i1( 1. 1 ,,I. ()\1.1 City of Tigard ate/Received y: Permit No/AyST�o/6 ' p D n 13125 SW Hall Blvd.,Tigard,OR 97223 P�Review 11 0 Phone: 503.718.2439 Fax: 503.598.MOW 17 2016 Date/By: Other Permit: ii( . i i> Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet www.tigard-or.gov cl,l I OF TICARD Notified/Method: Supplemental Information C[AL.ng SCAE E USE C13EGIO.IST _ _ •:' - ' - ` ' `•• permit fees*are based on the value of the work COM1ylER :.` Mechanical ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit Value:$ '.'CATEGORY OF CONSTRUCTION --f; • '- `' RESIDENTIAL EQUIPMENT 1 SY ,. . SEEMS FEES ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION M 1) LOCATION _ Heating/cooling: /� Air conditioning 46.75 Job site address: 15 12, 1 S w f51-1* Tlve_ Furnace 100,000 BTU(ducts/vents) ) 46.75 City/State/Z1P: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 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 4.--1 Other: 23.32 Subdivision:Polygon at Bull Mountain Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 F V.. '''' ' y ;' "DESCRP73f OF' ORK a ' ; } Gas fireplacermsed 33.39 7:44'--37:;-•'47;''-i'''''''' IO ' _ 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 Other. 2332 is -FOt-.itTY,:OWNERs �` :- xu .:, ys" .:4-7, ..,,,,_,---j.,..,,.1 r* *T4*' Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:109 East 13th 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 « ®.-' IiL'I,T.,q24=,, : } cl CO IT,ACT,pjRSO. =�.; � -0 Other. 23.32 Fuel piping: Business name:Polygon WLH,LLC $14.15 for first four,$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Gas beat 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 '- { `; -' aCONiRACFOR, '. Clothes dryer(gas) Other: Business name:Apex Air LLC �' 4r'MEcR N1CALP,ERMIT FEES z �� s ,,. .. „.: err 5 .F_;. Address:18004 NE 72"Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 ��'/„�,,/�(4�/64 � days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: A , A ret 1 e w S Date: 5 3 t b 040113 440-46 7T(11/02/COM/WEB) I:�Building�PermissV.tEC_PamitApp_ Electrical Permit Asp>plica>tia E ==IViI) FOR OFFICE USE onx.'w ', City ofTigard Received Permitik/t/S G2e/6'.000c20 13125 SW Hall IIlvd.,Tigard,OR 9722 ,s 7 1 O 6 Plan Review Phone: 503.7182439 Fax: 503.598.1 1 1 L Related Permit/: Inspection Line: 503.639.4175 Keaayvatdsy: • Junk H See Page 2 for 11 'AR l'. Internet: www.tigard-or.govTV OF TIGARD Notified/Method: Supplemental Information ®New conshvction ❑Addition/: 136 r."replacement Please&Jsaak a0 that apply(submits sets of plain whrwna checked): ❑Demolition 0 Other: - 0 Service or feeder 400 amps or more 0 Building overthree stories. where the available fault oared Marinas and boatyards. ice`* .,`• `d::;1++:-- :'��pr „"' --'-=•'-... ......_ i1 ' ex...a.10,000 amps at 150 vol mg buildings. ;:}_ik.,:;:� .t��a> ..-5��a��GaOt?i4('?, �M�/a�,~tr��N�'' �",..,�,•:r.;$`':-��::r��;;:-`=�:-i nor ❑Float' .ray':% `:?tY-Y.':�A=.��;f. c.:4. '.:z�Y:.:: :•,:;;._:�:3�:: ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building las to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder� ❑Other: 0 Fire pump. 0 Installation of 150 K VA or 'u JO4...Al r: NFQR1 ,{� Q se..AAI .IQ TTRg.`i. -_..:j ❑anallorroy system. Larger separately derived k ❑Addition of new motor bad of system. Job#: : . .I Job site address: ' 512,A S I5L1'f'n A.te_. loollp or more, ❑"A""E","1-2","I-3", City/State/ZIP:Tigard,OR 97224 • 0 six or more residential units. occupancy. ❑Meatal-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: , Profect name:Polygon at Bull Mountain ❑Haandonc locations. 0 Supply voltage for more than _ 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: '-; ::;., ;W t""r" ;:•'. ;.' .._`=_'_.- - Descripiin% I.Qb. I Each ':l `Total I �_ New residential single-or multi-family dwelling unit. Subdivision:Polygon at Bull Mountain I Lot#: 41 Includes attached garage. 1,000 sq.12 or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion $ 3392 �F�y�r .ti3 :' x'=D$S' 011i:`'[i•'.i• ,tet: '�i:. c:: i:::::'. _.:•v.2�k`''�"Z'i-�i3f�i..�s;�'e..,i::�FdtL4c.. .r,[�. :.Nti:.�.L`:�.. ..Q. ��.... ....."v:'... .:�,s�::..... .. ...... Limited energy,residential (with above sq.ft.) ) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft) .�` _ ,�, , - .t.;.._ Renewable Energy ❑ Sce Page 2 >i,=. 5:;�aeIe g `,: .;= .°.i!:I','.v` , .`.0.< % ;=:=' u '.y Services or feeders installation,alteration,and/or relocation Name:Polygon WLH,LLC 200 amps or less 100.70 2 Address:109 East 13°i Street 201 amps to 400 amp: . 133.56 2 401 amps to 600 amps 20034 2 City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 Phone:(360)695-7700 Fax:( ) Temporary services or feeders installation,alteration,and/or Email: . relocation • Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 tamps to 599 amps 168.54 2 t�eg --i� n;._...i ." ::;. .: .1f -.:�<;_'.;,; Branch circuits-new,alteration,or extension,per panel :t .wk Y a;z•.wk�k,: ,'_ a =` e}�'< :-.,..4, • 3�k .�ai•'u:+=`t=a;; 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 Grajewski B.Fee for branch circuits wlthotu Address: h circuit 109 East 13th Street service or feeder fee,first 56.18 2 !ranch City/State/ZIP:Vancouver,WA 98660 Bach add'l branch circuit 7.42 2 - . Miscellaneous(service or feeder not included) Phone:(360)695-7700 l:I Fa :(360)693-4442 Bach manufactured or modular 67.64 • 2 - Email:Angela.Grajewsld®polygonhomes.com dwelling,service and/or feeder 2 Reconnect only 67.84 ,t7:�,;: :-�.;i��"'i "�iik": .`Te_'�'��t.:il.:�. ,r^- :l: _ :y;�:e9�r -.r.-• ,..�."r4 °A: .ie. ;;:erg. ;g• r,�.(,{��I}yj��(y{[vj�. ••,.: - x;-µ::rcr :1 'on circle67.84 2 ,�.i1rv�r:»14 -M�".I:w•'il.-:'r.�.s.. .t...1�T'�t'Le.%.'re:iz��}�- �. JY%'� .-....:..�... .. :.:fi'1;'�1:�.':. :iY~. Pump or irrigation Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 -r Signal circuit(s)or limited-wergy ❑ See Page 2 2 Address:610141E St Johns Rd • panel,alteration,or extension. City/State/ZIP:Vancouver WA 98661 Each additional Inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)320-1657 I Fax ( ) Investigation(I hr min) 90.00/hr Email:bdaniels®gweusa.com Industrial plant(I hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: C1158 Electrical Lic.: 208174 Suprv.Lie.: 4496S s�ecifi.a.I. listed CA hr aria Suprv.ElectricianBn e,required: '�;K.GP.�/.•rp �'- . . .... ,, .. - .. �+�;.�.�`,'.t �x�+.�.ikr-.:t��f si atur � Subtotal: Print name: Joan P Albert Date:19"3-1.Q 0 Plan Review Required(25%of permit fee): �__ State surcharge(12%of permit fee): Authorized signature: f - _.- ~• _/ TOTAL PERMIT'FEE: lgn8 - c --'� This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels/ Dates.3._ days after It has been accepted as complete. * Number of inspections allowed per permit IABuiIdirag\PamiIdaC_PeneitApp ELK ERE.doo U1,06/17/2015 4 0.4615T(IIN5/COMIWEB • Plumbing Permit Applica ffE ✓ Fixtures � Building C 'IVSD l ()It OH It 1 l Si t,\l.\ City of Tigard Received Date Plan R IN 13125 SW Hall Blvd.,Tigard,OR 97Y 1 7 2O 16 ye Plan Review Permit No/.7.ST�/C-Ma47 Phone: 503.718.2439 Fax: 503.598.1960 DateJBv: Other Permit No.: Inspection Line: 503.639.4175 Y OF r( Date Ready/By: Juris. ® Sec Page 2 for l ��I �r TIC V� � Supplemental Information Internet: www.tigard-or.gov Notifu:d<Method: PP 1tG - x s � �.,{ti.., y. .s r"5 �t .r 7 t_....:Tkt4±flas-Ur1'.t - -r'. Demolition For special information use checklist ®New construction ❑ Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) 7, LZA dliiiiV`� 3� 0 ta ', :..,.... . ,:._ `.... SFR(1)bath 312.70 - - : SFR(2)bath 437.78 ® 1-and 2-family dwelling ❑CommerciaVindustrial SFR(3)bath 50032 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 ax . , . rSlCi #s ., 1Iu �V -ik : "1; k 1s.'4 . 1 • llS .e.: ' . . Site utilities: II,,\\ Q- Catch basin or area drain 18.76 Job site address: IS 12 I S Lo �5 h �v 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.: I Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Polygon at Bull Mountain I Lot no.: u 1 Fixture or item: Backflow preventer I 31.27 Tax map/parcel no 12 1 hay� ' f / S .i 4 `r^ rsR ieii �TA Backwater valve ." 1s i,- F .. .. , , . ? f`er i. ._ . . ' ..� Clothes washer 25.0 2 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 '?} S' x �^ t �'� om'"-.t Y0iP: „ . - i yks � �. y .~ Expansion tank 12.51 Fixture/sewer cap 25.02 Name:Polygon WLH,LLC Floor drain/floor sink/hub 25.02 Address:109 East 13th Street Garbage disposal 25. 02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone (360)695-7700 Fax:( ) Ice maker 12.51 ;t '/ « st r''t ••`5 <a. -:K 1A4ai 'eitkii.iC itga;`;'„ Interceptor/grease trap ..02 Fees Uh,. n.- ,. . . .- Medical gas(value:$ ) Page Business name:Polygon WLH,LLC Primer 12.51 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 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:Angela.Grajewski pol)gonhomec con 0 :'c .,4,,,-,-,4.4..0 t3 .� .. • "' Water closet 25.02 4 „:.sRa.� A ; vr-�.r., ., s,,-0 " •�.t, ', ,,. ,,4-' . ..,. �^t <:•: Water heater 37.52 Business name:BDL Plumbing LLc Water piping/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.:PBIS82 State surcharge(12%of permit fee) Authorized signature: O /" TOTAL PERMIT FEE Print name:Brandon Lanter1 ( This permit application expires if a permit is not obtained within 180 days ter Date: 5 I3 (j after it has been accepted as complete. *Fee inethodolo -set by Tri-County Building Industry Service Board. 1:1BuildingTermits1PLM11-PermitApp doe 10/01/09 440-46t(T110i02.COMIWEB) r City of Tigard 11111 ■ COMMUNITY DEVELOPMENT DEPARTMENT T, ARD Building Permit Review — Residential Building Permit #: "7S7a.20/6 —00, 207 Site Address: /90/ /S--e7174 / Project Name: i, I /PG 4An Lot #: 41 (New d��subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Alet,j S/ lialvderify site address/suite#exists and active in permits em. al River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: 7 P ree(3)copies of site plan A I,° 'sting structures on site r:Ard>ite plan must be on 8-1/2"x 11"or 11 x 17"paper Yi Footprint of new structure(including decks)with finished yawn to scale(standard architect or engineer scale)i1i i.or elevations orth arrow TA tility locations(required for new,may apply for additions) 'te address,project or subdivision name and lot number cation of wells/septic systems iii5tplicant information(name and phone number) rosion control(including drainage-way protection,silt fence dimensions and building setback dimensions sign,location of catch basin,etc.) area,building coverage area,percentage of coverage and Street 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 Mr i sting trees to be retained with drip line,and tree 4 foot differential) protection measures &Clean Water Services–Service Provider Lettttof platted prior to 9/10/1995): Pequired: CI Yes,applicant was notified Li No Received: CIYes CINo ublic Faciliti7 Improvement(PFI)Permit: Required: V Yes,applicant was notified ❑ No Applied For: t f Yes ❑ No,stop intake land Use Case#: SPf,�3o2Q/,S=-C3000 JC - S' 0 Setbacks: Front ,QQ Rear /S Side S— Street Side Pfr Garage re4kandscape Requirement: It;°Lot Coverage Maximum: 0/0 !4 :uilding Height: Maximum Height 5C) Actual Height lbti.sual Clearance gyri/Easements Vi'es V ensitive Lands: ❑ No Type �� -• j} Urban Forestry Plan \;✓ i _*- ❑ Conditions "Met"prior to issuance oflbuilding permit �f Notes: ( j14;it?NS' /'/ Le /'rx'c 7� ieri111 L i&zeo4c Approved By Planning: S.I:itt....-- Date: is Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_012116.docx F Building Permit Submittal Original Submittal Date: _S//7/4:, Site Plans: # �z Building Plans: # ,3' Building Permit#: O'Enter building permit#above. Workflow Routing: 2"-Planning Engineering [rmit Coordinator L..Building Workflow Sign-off: arSign-off for Planning(include notes from planning review) Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan, (1) building plan and oginal plan review routing form. [ Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: --<7�0A,,6 Engineering Review C9' Slope at building pad: 5-3 %a' EKConditions "Met"prior to issuance of building permit 11'Easements (encroachments) per engineering conditions of approval and plat QYWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ®' No Assess Water Quantity Fee in-lieu: El Yes KeNo LIDA Facility on lot: ❑ Yes IR-No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 4, 1/ r Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved MINIIIIIIP 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: ( C Fees Entered: Wash Co Trans Dev Tax: El Yes CI N/A Tigard Trans SDC: El Yes ❑ N/A Parks SDC: `l Yes ❑ N/A 1 OK to Issue Permit V Approved by Permit Coordinator: Date: /" ' I:\Building\Forms\BldgPermitRvw_RES_012116.docx .- - City of Tigard �� COMMUNITY DEVELOPMENT DEPARTMENT I" GARD River Terrace Building Permit Review Addendum Building Permit #: /if r:24/6 —00'0 7 Site Address: /S762/ Flit) /S-14 ,/ . Project Name: Polygon at Bull Mountain Lot #: i! (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 No 1. Articulation: a • urn of 1 element per each street-facing façade 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. :alcony w/ access 2 Window Projection Vertical Wall Offset a Gable, dormer Porch min. 5 ft. deep ft. 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: ❑ Max. 8 ft. setback from longest street fac wall ❑ Parallel to street, .ngle no more than 45° from street, or open onto po - Entrance opens to a porch: ❑ Yes ❑ No Isg\ . . If yes, all the following apply: ❑ 25 sq.f 'n. ❑ One street facing entry ❑ 12 f.max. roof above floor of porch ❑ 5 ft. depth min. ❑ i'/o 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 Al street facing ❑ Bay window '. 5 ft.wide by 2 ft. deep 1 ❑ 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 ..e 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 facade with 7 detailed design elements Notes: I Approved By Planning: �� 140.... Date: Sj4/4 I:\Building\Forms\BldgPermitRvw_RES_RT_031416.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT II _ Transmittal Letter ,, ,,F i 7 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. SAT " DEPT: BUILDING DIVISION `� AUG 2 2 2016 lor- FROM: An.ela Gra ewskiBUILDINGCITY OF I K.A1R1) O IV S 3 '°? COMPANY: Polygon Northwest PHONE: 971-212-2144 11P2 RE: (SILT 5\Ni. ist-i64 leNt tui- n MST2o11- 2..01 (Permit Number) (Site Address) 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: " ; °t''''77::-�'� _ @ t m m r /— �; , �� s � �- ")-� � t Initials: Routed to Permit Technician: Date: $— a Fees Due: LI Yes II No Fee Descri•tion: Amount Due: � . st'--;,,-.1 -:,...7; ' i Specal Instructions: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIVAIIIIIIIIIIIIIIIIIIIIIIIIIIII ❑ Re•rint Permit .er PE): ❑ Yes 1►j/ No Done [] A..licant Notified: Date: I:Building\FormsgransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15121 SW 154TH AVE, TIGARD, OR, 97224 July 18, 2017 at 11 :36:36 AM Record Type: Record ID: Residential - Master Permit MST2016-00207 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No AC installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15121 SW 154TH AVE, TIGARD, OR, 97224 July 18, 2017 at 11 :45:40 AM Record Type: Record ID: Residential - Master Permit MST2016-00207 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Disregard previous inspection, hot water took awhile to come thru. Plumbing final approved. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15121 SW 154TH AVE, TIGARD, OR, 97224 July 18, 2017 at 11 :48:33 AM Record Type: Record ID: Residential - Master Permit MST2016-00207 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Provide impact protection for water heaters in garage. Figure M1307.1 No AC installed at this time. All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15121 SW 154TH AVE, TIGARD, OR, 97224 July 18, 2017 at 11 :41 :17 AM Record Type: Record ID: Residential - Master Permit MST2016-00207 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Hot and cold reversed at the laundry tray. 415.0 All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15121 SW 154TH AVE, TIGARD, OR, 97224 July 27, 2017 at 1 :57:41 PM Record Type: Record ID: Residential - Master Permit MST2016-00207 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