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Permit (176) II � ,� CITY OF TIGARD MASTER PERMIT I : COMMUNITY DEVELOPMENT Permit#: MST2016-00260 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/17/2016 Parcel: 2S108DB03500 Jurisdiction: Tigard Site address: 15150 SW THAMES CT Subdivision: POLYGON AT BULL MOUNTAIN Lot: 33 Project: Polygon at Bull Mountain, Lot 33 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1575 sf Basement: 940 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4351 sf Value: $523,938.56 Rear: 20 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywall-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4351 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geotechnical Inspection Required before foundation PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $36,315.95 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!- 95�2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.0. ,� Issued By: G.'tel Permittee Signature: / 4%",r G-/el1-7 7n' O 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 Application t 0 / 3-347/s /h Residential RECETP � D FOR OFFICE USE ONLY City of Tigard DReacteeBiveyd: P 7//0- 4 - Permit N9e'1JT /� 10 6„v, 49 . 13125 SW Hall Blvd.,Tigard,OR 9721AAY 1 8 2016 Plan Revie41110 / { _ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1 I C Other Permg�fit�.V/G �Q n Inspection Line: 503.639.41 75 OF . Date Ready/By: Juris: ® See Page 2 forI tCARUInternet www tigard or govBLJRx1 4IqION Notified/Method:////6/t Supplemental Inf ormation i '�"'� 'bai ' �r r , jfi .��,�' wsl .may '/,L.. 7 &i sn - * ._. E,OF WOR T =-, ' s E O 44 QUI D ATA Al 2 AMil Y E G'F ®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 ak � - i �' � ` >t"x ' a� T , ' ��lwork indicated on this aPPlication.za. � m , �IO ]eMC4RMM` ; ijfs 4 ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: 2131 li ElAccessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder 0 Other: Number of bathrooms:s.'Z-A. 'ei i SlL�a1NORaT �AND LOM / �t- Total number of floors: C a o Job site address: 15 1 W SkA) "1-1e\orn€S CA • New dwelling area: 4351 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 679 square feet Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: 12 square feet 1 .8.,jc, Cross street/directions to job site: Deck area: )9 0 19." square feet i,S. 7 S Other structure area: square feet 9 140 v QL DATA:,c0 CIAL USE CHECKLIST ', Subdivision:Polygon at Bull Mountain Lot no.: 3 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 gingliftefle : � DESCRIPTION F'WO i a'h gat work indicated on this application. Plan 17D-DL Valuation: $ Existing building area: square feet New building area: square feet i liiimi,',1 ®®.M OW1~IVI AZ TENA €TTr t..q Number of stories: fName: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: rIt= ® 'PLICfi e.l ' F 0 ,CONTACT PE Olsl wu ����{„�u{ vit. '' G iER IT F E x i Business name:Polygon WLH,LLC a =(Please're,er to- °sedulech ”. Structural plan review fee(or deposit): Contact name:Angela Grajewski to FLS plan review fee(if applicable): Address:109 East 13 Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount received: E-mail:An ela.Gra jewski of iEI;IO''I`OT'(1' T4N,, II.AR PAtGL S`Y'$ M FEELS g J �P Ygonhomes.com im � 1Commercial and residential prescriptive installation of �, •`a-= VAN ' +k CONTRACT I2 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): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 tp/CCB lic.:204238 • +' Total fee due upon application: $201.60 Authorized signature: L. il-jida/340 I/ �1 This permit application expires if a permit is not obtained lll///��_ FFF��� 111 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-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE t SE o\L\ City of TigardFit.-CEIVE IN I 13125 SW Hall Blvd.,Tigard,OR 97223 , Plan Review Phone: 503.718.2439 Fax: 503.598.1960 MAY 2016 y Other Permit: TI }`n Inspection Line: 503.639.4175Date Ready/By: Faris: H See Page 2 for Internet: www.tigard-or.gov C I--\ F • Notified/Method: Supplemental Information r r",k FEE• SCHED TYPE OF WORK <-. C©MDSERCAL ,; ULE LTSE�CHEC'IOi�'f":" Mechanical permit fees*are based on the value of the work ®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. CATEGORY OF CONSTRUCTION Value: .. . - `` ,ItESIDE1VTIAL EQ. NT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For spedaiinformation use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total HJOB`STIR INFORMATION AND LOCATION; eaten cooling: - Air conditioning � 46.75 Job site address: 15150 (�(/� `rte a rn�s C^ Furnace 100,000 BTU(ducts/vents) .cSL j 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 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Polygon at Bull Mountain Lot no.: Other. 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 s - ��,... .DESCRIPTION oF:wORK} 3 y' `. Gas lace/insert 3339 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. 23.32 agarif... ® PROPERTtOWNER ice. x ; Fn fWgi i titlieignag 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 * }E APPLICANT �� F LL, `,D CONTAC 'PERSON ,, Other. 2332 Business name:Polygon WLH,LLC Fuel piping: $14.15 for first four;54.03 for additional el Contact name:Angela Grajewski Furnace,etc. J Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater pZ Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue FCONTItACTOR _ .- , Clothes dryer(gas) Business name:Apex Air LLCM MECHANICALPERMIT F,S* , _:- Address:18004 NE 72nd 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 LThis permit application expires if a permit is not obtained within 180 �f J�j days after it has been accepted as complete. Authorized signature: �^��� * Fee methodology set by Tri-County Building Industry Service Board Print name: /) rQ, f✓W s N Date: 5 3 (0 I:\Building\Permits\MEC_PermitApp_040113' c 440-46 7T(11/02/COM/WEB) "flea tio4:1 EC EIU'E 111 City Of Tigard SEP 2 0 2016 / 1312.d S Hall filvd.,`figat-d,OR 97223 � cid' / ' 1t' rmA / Q/l �v f7 Plan Review Mont: 501718,2439 501718,2439 Fax; 501595:. P.clted Permit d; trY OF TIGARD fiat m}. Inspection Line 503,639A175 R'-ady ateEBy: r»dr a Page Z far Ititetnet: w w.t2 1-ot,eov BUILDING !.ttV�.�, a . . 'NnttllediMethod: Supplemental ipfarmx#ion 'lPE:OF OR _ � ttW?, ;17r.,: b- Neweonstrifction 0 Additionialteratiothep1ccement fleas ohir.1 all that apply tauhmtt 2 sass of atolls w.t€ctns a(reekevi)" °Ser ice or feeder 400 amps or more 13 Building over Olive sanies. 0 Demolition 0 Other: where the avail ble fault current fl Afaritt s and boatyards. Y=+.- C 4T£ OR OF_COI STRLCTIO_ - exceeds 10,000 amps at 150 colts or 0 floating buildings. rz 1-and 2-family dwelling 0 Commercialfindustrial 0 Accessory"building less to ground,or exceeds 14,00o O Co-otmoviai-use agricultural EI A�ltrjtifarrlly Master builder ET Other: amps far all otheriustallations, buildings, pump )�Fin Q lnstullation of 150 KVA o- JO SITE; lit. T1'ON-A 3 tA)CATICOIN':. ".." "- DEmagoney aastem. larger:separately derived Job �1 C /1 0 Addition of new motor load of system Job site,addresss:`SI J b w ]rtes e1i— 100HP.ormore, 0 "1-2i3""A","E". , tlt�;''Stat 'zlP: ligard,OR97.224 IJ Si or more residential units oaulaareY, ©Recreational vehicle parks. l�Health-care facilities Project name: i llarardoas location. 0 Supply Suite/Mt./apt. : r' /( � p2 Y voltage for 2nore than 3 /l,ll��rl, go J U'�� ' .� c �� 1 0 S.trssce or feeder 606 amps nr more, 600 tall;nominal. Cross street/directions to job site: m.�p1TI.E . .. -Description 1 (ptv, I Each r .Total l.II New residential single-or malfi-ftamily dwelling unit Subdivision: ij ' ' c';on �'1 'icy � v! vn..�9 U� -jai Lot#: Includes attached garage. Tax tnap/paccel#; 1,000 sq.Il.or less ' 168.54 4 ' ::::i.4:- .:IIT I3IPemetyricTiO OF°W 7Ris; ��� ,.. .- ... Ea.add'1500 sq..ft or portion � :33.92 3 ciontLimited energy,residential 75,00 2 (with above sq.ft-) Limited energy,multi-family residential(with above 0) 75"00 2 :ON,'-‘4.4,:.':,:i,.,:-',4;,:-._1'�Ii;'(IP B' It"Yl.�' it ;> _' ioAl i sq' Natne:.AW:l'L Land Holdings,LLC Renewable Energy El See rage 2 Services or feeders installation,alteration,and/or relocation Address:7600 E Doubletree Ranch Road 200 amps or less 100.70 2 City/State/ZIP;Scottsdale,AZ 85258- Phone:(602)694-4031 Fax:( ) 201 amps to 400 amps 133.56 2 Email: 401 amps to 600 snips 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301,04 2 intended for sale,lease,rent,or exchange,according:to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature: . :.. Date: Temporary services or feeders installation,alteration,and/or -` ' r•:A0M6_d?1PI'- -, t043*O i.'Elt$0,7d; - relocation Business name:William Lyon Homes,Inc.. . 200 amps or less 5936 1 Contact-name:Angela Grajewslci • 201 amps to 400 amps 125.08 Address:109 East 13th Street 401 amps to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 .. I Branch circuits-new,alteration,or extension, er panel Phone:(360)695-7700 1 Fax::(360)'693-4442 • A Fee for branch circuits with above service or feeder fee, Email:Angela.Grajewski@polygonhomes.com each branch circuit 7.42 - . : .- ;K . .0014 r1 'Ilii ., - B.Fee Far or feebrafrehder circuitsfee,first w thorn : service Business name:alameda electric branch circuit 55"18 2 Address:3415 ne 44th Each add'/branch circuit. 7:42 .- 2 Miscellaneous(service or feeder not laclndedl• City/State/ZIP; ' je ,,,,,l. /�47 7 —f 3 Each msnufa a or modular. 67.89 2 Phone:(503)3192192 i Fax:( ): dwelling service and'or feeder ( Reconnect only 67"84 .... Email:solarpdatgine.coln . Pump or irrigation circle 0.g4 CCB Lic.: 199188 1 Electrical Lie,: c923 I Suprv.Lie.: .'f/-j . Signor outline lighting - -57,g4 2 Suprvr.Electrician signature,required: Signal circuil{s)or limited-energp . Print name; 1 57/23//f el,alteration,or extension. 0 See Page 2 • , t{ � Date: £h additional inspection over allowable in any of the altos i Authorized signature Additional inspection(l hr/min) ' Print name; e -;,' Date;S- 43 , /2‘ Investigation(1 hr min) 90-00'hr tAsaeirOrmrnfalE:t.0 PermitAppEL.a Eacdac Rey 051.172015 440-46t3T:01/05,ror.e EE .. ... • s ' Plumbing Permit Application Building Fixtures FOR OFFICE ISE ()NEN MAY 2 016 Eiew /yjr.�/6-ia20 INPermit No.13125 SW Hall Blvd.,Tigard,OR 97 i Phone: 501718.2439 Fax: 503�. ,9(10-.r• (p,, �, z r Date/By: Other Permit No.: Inspection Line: 503.639.4I71 is J T I i A R ll P 7 a ) I 2 r �q s t Date Ready/Bv: furis: 0 See Page 2 for Internet: www.tigar+d-or.gov 9 sy,� i, a ,,, i..,i; «ac,,� fir, Notified.Method: }�S�u�rp[pllemental Information Eg New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) GATj:GO1 Y QE;C-ONSa1 R'[.7... ,,,.„.1�T SFR(1)bath 312.70 0 1-and 2-family dwelling 0 Commercial/ndustrial SFR(2)bath 437.78 SFR(3)bath I 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOU S1TE i1NNF 1V1A. 'lt)N AND tl'if �.'tON , Site utilities: Job site address: t5t13 b -"rh/t i e�' Catch basin or area drain 18.76 Ul Drvwell.leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt,no.: 1 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.:_) t Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Polygon at Bull Mountain Lot no.: '---- Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 i {,, .)(��`{� Backwater valve 12.51 �........ ... ..�.. Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 figif'iiiii* *bW ;( 1 kii e Expansion tank 12.51 Name:Polygon WLit,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:109 East 13`"Street Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 r at r11;t1')ACt4N3 fl tV`ottl'Ci1�cr P so - Interceptor/grease trap 25.02 Business name:Polygon WLIi,L1.0 ,� < .- ,.r.„ „ .. Medical gas(value:$ ) Page 2 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 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:Angela.Grajewski@polygonhomes.com Urinal 25.02 _.,-.. i Water closet 25.02 tTl ,WTO .- .1. , . x=., . , .. Water heater 37.52 Business name:BDL Plumbing LLc Water piping/DW V 56.29 Address:PO Box 85 Other: 25.02 City/State/ZiP:Corbett OR 97019 Subtotal Phone:(503)351-3903 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.: 180345 Plumbing Lie.no.:PB1582 State surcharge(12%of permit fee) Authorized signature: j_ t+,e,„„, /'+ TOTAL.PERMIT FEE 1 Print name:Brandon Lanter Date: Jr 1�3 I I/ This permit application expires if a permit is not obtained within iSO days IC, after it has been accepted as complete. *Fee methodoto y set by Tri-County Building Industry Service Board. I:'tBuitdina`Permits'\PI.MU-Permit App doc I0/01X09 440.4616 1110/02/COMAVEI3) Pl[1.1t1lIItp ji_p1 p3j:1 3_ i EI V ED . Building Fixtures• FOR OFFICE USE ON1,1 ei orTi and AUG 16 2016 Regeived Sl4 Fia1l Blvd T r aid; Pate B} Permit lvo.: ;i 13125 F TIGARD Plan Review. mow 503.718..143.p Fa-,x,... U OtherPerinztNo: Inspection ane 501431,41 G DIVISION TIGARD Date luri>. I BI See Page 2 for i Inteniet. •www.tigerd-or.gov nrotrhedl:iitethod: supplenreutal.Information' ,--7,-:,&-i-,,,. ..._..... '; --,:,:y-,-.:.,,i.,-..---a . "E OF 1igORK ,; a -----1...,•: .:_.. r=. .._::z .FEE?a SEHEDII .,.¢ tion ®I ctv constriction l7etrialitznn For sperm! nftrrtuat nrr use cFreektast Descri p Qty. j Ea. 1. 'fatal 1 (�Additioillaitera€ionrtep'tacement 0(?filter:;. New 12=family dwellings(ineludes 100.:11.for each utility connection) l �s._ t TEGOR' `o co*b.l t{•UC Tt?1,I ' .:.!., ,,,..,:„.V.,!:-:;1.; •SFR(1)bath 7 1 and 2-tarirtly dixellin 3120 0 Commercial indttstrial SFR(2l.bath 431/ .bath (3)bath 500:32. 0 Accessrtry building. Q Itit:.tlti farm(- Path additional bath/kitchen. 25.62 ' 0 Master builder Q Chhet Fire s rinkle r( sq:ft;) Page? JOB.SITEtAVFORA1<A:TE JI AND IA-AT1Or 4c sprinkler Ste utiories ,Job site address: (7 `SI— —rIr� r , t.-.1-- £arch„rests urrc.a drzttn Ifs 16. • � J.1V�i X11 1.1,1c �.. ' I1ry}ie[i lc ach line or trench drain 14 76 City/State/ZIP 'Tigard,OR 97224 1 Footing drain(no,linear ft..:. ). Page 2 Suite/bldg./apt.rte.: I Project wane:.Pol}gory at Briff Pti©nntaii _ Manufactured dome utilities'. 50,0 • Cross streetldtrections ta.job site: Manholes I/3,76 Rain drain connector 18.16 . , Sanitary sewer er(no:linear ft t_ ) Passe.2 . • 'Storm sewer(no,linear 11::_) I Pate 2 ;. Water service{no.linear 11.: ) Pane 2 Mil. Subdivision;Polrgon.:tt:Bull lountair • Lot no. . Fixture or item, Tax map/parcel no,: Backtiow prevent& 31_,27 e x.. Backwater valve 1151 r L •• .DESts'ItiP1<Tfl UR' QR _ t, -. .-: . .. Clothes.washer 25,02 • I7ish1}dsher 25.02:, Drinking fountain2 _01 • Ejectorststtnrp 25.02 I�PR(ffERT']' (OWNER Q 7'B1dr r Expansion tank 12.51 4 _. ... re,i Fixtusewer'cap- 25,02 Name;Polygo 'MAL,LR,:LLC . . Flour.drairviloor sini;7ftub25,02 Address 109.East t3a'Street i Garbage disposal .j 2S 02 Cit /State ZIP:•Vancouver,WA.9$660 Hasa bib 25 a? Phone (360)695 7700 • Fad ( ) ice Maker 11.51 c -- IC NT . Q iiiTA,C"r,1J s i .ceptu casetrap 21,02 Inter r1+t; i ' Business=Tv:Pallg611 wLii;LI..G t�iedical gas(value;S ) Page 2 Primer 12.51 Contact name:Angela.Grajetvaki -- ((( Roof.drarn(cornmerciair 12.5.1 Address:I09 East 13th Street Sink/basin/lavatdry 25.02 .City/State/LIP:Vanaoyser,'t;F',A_9%660 Solar units-(potabletwater): t 62.54 Phone:(360)'695-7700 I Fax:T(360)693-4442 nib/shower/shower pan. 12.51. E-mail:4ngela.Grajewski€^rupolygonham.es coin Urinal: .ptpjngt s _ 25:02 O .. U> .a , i 4Vafertloset 25:02 .. ... � o.�- 4 . .�... Ate. ,,;. ?: -*: .. Water heater a7 S? •3 Business name:BDL Plnmjring LLe. it ater 'i T 56.29 Address:FQ Box 85 Other 25.02 city/State/ZIP:Corbett OR 97019Subto€a1; Phone;(503)35I 3903 Fax:1. ) i�1 inimttm permit fee S7` 50 CCB I is ISQ3 f Plumbing Lie;no..:P131582 Plan rev iet (-2504;of permit fee) 1 _ - stiF Authorized Signature: s :State ch irge(12%of permit feel TOTAL PERMIT..FEE • Print name Braridon ConferI Date.. i This permit appticateon expires if a permit js not ohtained;within 180 days' p 1 Q 1 Ii l after it(-las been accepted as complete *Fed methodology set byTri-Goun y BuildingIndustrr Service Beard. 1;`Euiiding-,PermitsWLMU'Permit,App,dce'10/01/119 44a,46l r(I0/02;;0O vivEB) . ' Mechanical Permit Application • FOR OFFICE 1 SE ONL1- ' City of Tigard EEew 0 a.a- /(p PermitNo.:Hr ,/d—c,'13125 SWHall Blvd.,Tigard,OR 97 'Phone: 503.718.2439 Fax: 503.598.1960 III .a Date/1337: Other Permit: TIGARD Inspection Line: 503.639.4175 RU�j2 p Date Read/B Jnr s: Internet: www.tigard-or.gov 2O�U Ready/By: H See Page 2l for Notified/Method:�" Supplemental Information 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 $caT-.'k�iji c. C5A5 t t'*oAI_. V �..: ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total :WilgL OkS13E I15T�4RA7�AT. !111 A1�TD )1 ATi(OAT Heating/cooling: "(� I I K.�^ Air conditioning 46.75 Job site address: i� J l.� S\ Arne j C _[- 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 V Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Polygon at Bull Mountain I Lot no.:2 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 n7tE5cRIPllfnA1 OF*OR7( _ Gas fireplace/insert33.39 -- Flue vent for water heater or gas Change 2"furance for basement to Heat Pump fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 RPERICY QIER 23.32 Other: `� -`� -- - -- `�� Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:109 East 13th Street equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax ( ) Attic/crawlspace fans 23.32 01, , . +l** -NP) t ,, - Other: 23.32 Business name:Polygon WLH,LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 ( Fax::(360)693-4442 Fireplace • E-mail:Angela.Grajewski@polygonhomes.com Range Barbecue WI. �V%' : : ....... 0*~TtaM l, t44 Clothes dryer(gas) Business name:Apex Air LLC Other: it* N' ±t+'v1L(:*:l A P* - 1 ZlitVai Address:18004 NE 72nd Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 Plan review(25%of permit fee) Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: ff l I Date:8/22/16 I I:1BuildingWermits\MaC PernutApp 0401/3. oocc/ 440-4617T(11/02/COM/WEB) • Niee. CEIVED : - FOR C}FEEC'E t SE :tity of Tigard , ill '13115 SW Fbil Blvd TO-til OR 9.72,/3 SEP 2 0 2016 IN th....my: , . i ,11n1fCtiler SWw...Ii..v.M NgarM.d-orF.LAuX,se: $9 TRARvqsptine -8..C196IT0, Y OF TIGAR D NaateiliRaeal dsiye/fhlynd:: '' . ieris• ;El Ssv. .P4ge 2 the BUILDING DNIS0 . Supplemema/lufarmation _ — TYPE OF woRK.. .... . .. . . ;. ...COMMERC14.14.y8r SCR.. „FfpLIT•18..-,.IlSEiCIIE("latsT '.', Nfechanical permit frees*are based on Ihe value of the lx,prk 'Al Newcodit-truction 0 Additionfalterationirepincetnent poribrmeti.Indicate the value(mailed to lite!mama dollar"Grafi 0 Demelitirm 0 Other monhanient vantetials. n.".nunIL tabor ovethead,,and go fit • . . . . , . , . . CATEGORY OF CONSTRUCTION - ' . : .i.-. - . . .- . . . - •". RESIDENTLALEQUIPMENTi SYSTEMS FEFS* CI 1.-and 2-family&tiling 0 Cononottininndustrial 0 Accessoty Indiding 1 For wills,information use Medlin ESI Mufti-family 0 Master builder D Other 1 TX,mcrigiell 11:4Y, '• FA. I Tont — JOB SITE INFORMATION AN LOCATION .- . -- ,• il°441F1-"'tdin'g'" Air Sxmaiertism. 1 46.75 , it/- Job site address: 110 ,i,... hi. ili- A Furnace 300000 43114dactsisents) City/State/ZIP:Tigard,OR 97224 Fyrnnee oo„..opot Sib fdy0=,;0=1.5.4 - . Heat pump 61.06 I V Suittibidalapl no.: ProjW name:rtilygnn at Roll MOurilain 131.1cf worli . 23 32 Cross strentidireetioms to job gito: . tly4sonie hot water srslein 2332 11. sideistfal boiler oror hydroe) 23,32 Unit healers(111e14ypq.nal efeetric), . M--wall in-duct usPeeded..ste' . 46.75 : .. Fluehent air?Inv of above 23.32 . . ..• Subdivision::Polygon stRutl Mountain 3 Other; 23 32 - _ Lot 114:: 1:140 APPlietees; : 1 Tax mapiputtel no:, Waxer hegfer 13 32 I V- ..,, . ... . , . . . • -..r••. .-: . ... . : ... .. - DE*IiartION-40-i4'0114* : . - - clu ilm0homilmrt ' 33-39 I Contrachir tharqc fiepc Flue Waft*water heater or sal rlae - I..,o2 lighfer(gas) 2132 Wood, bet stekse . 3339 I • " i i! 0.' 4 Ilk :a A Is . .. ; Wood tisepta•eolinsert . 2132 . Chimumelitterifluelvent . 2332 . j 2132 ..E .'• •:,.,..-.:_.i.:3 4414..*:-RiIkOWNEli: ' : I ." - 1:1 TENANT °ACC.- - • Environmental exhaust and ventilatintr, - Name:Polygon W134 LAX Range hoodlother kitchen ei nit:01 1 33,39 Athire*.s:..109 East le Street I 4 anthns dmgr eAbaust son CilyiStal014P:Vancouver,WA 98660 , Stugle-dumexhauSt(hatemouth.„ , tr Wild ear t attmettm-Willy rooms) Ell Phone:(360695-7700 her:( ) Allielcraysis • e.fans — 2332 .:**P4-I-CAINT. --,-.--. - -.:... ,-- ' -El CONTACT PERSON . :,. ., allicr . . . ,, ... Furl mum: 61.1SintRS nairie:Polygon W1A LLC $14•1$far Orst.folul$411.3 for each, adtatitioal Contact lump::Angela Grojewski . : Farm&etc., 1 I AddresE 109 East 13th Street 94,6':$1lifistied:t,re17110L0—tunst healer , • ....- CilyiStmetZfr:Vancouver,WA 98660 Phone:(360)69S-7700 Fat.,060 693-4442 . Fireplace i,.... E-mail:Angtla,G.rojtwskili5polnonhomes..corn Barbetate :.±:': .'"-.....*;: .:•..,.::' ..'-. :- ,::...'1 . - , CONTRACTOR ... . ':: r - . • ' . Clothes d alms} • - Bigness name:Apex Air LLC Other ..'.-: : . mEgmANKAL,PERMIT.:AESI,-- ‘ - Addre4s:'.18004 NE 7r4 Aye. Subtotal Cily/Statz7IP:Vancouver,WA 98686 Minimum permiike 090;00)• .. . Plan reysew 0)%utkruatt fee} I Phone;(360)342,3149 Fax:(360)3244769 „ . I Stalesurehave 02%,uipm.n. it kc) 1. „-,.. . Cat.tie...:203434 TOTAL PERMIT FEE I nix reernis apptiptkm espim if&*malt is nosulstained):siibils OM dAYSotterit hzt'S bet4 aireptpd as rompletr. Authorized signal-4r . • Fit metheltfloV dh,Tif-Coaty goildinginda4ry Swvitt&mai I„ Print namertio. tk,/ Date: e»1-•pi•/4.• ,..........j 1 Vhil.thr.li..1,c-rmiiO4r.11.rem..iiApp 44410,dva 440.-467t1 i iti',2.4"4.)Mcivrifii G. City of Tigard IICOMMUNITY DEVELOPMENT DEPARTMENT 11 T c n R D Building Permit Review — Residential Building Permit #: /(7/S-7- 20/6 O.0 ,D6 e Site Address: 1515 0 SAN rh o m e s C k- Project Name: Fo I y y ors 014- 'B v I I M c v rYrc ,e1 Lot #: ?j 3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N€N.J S fr 12 7 Verify site address/suite#exists and active in permit system. E River Terrace Neighborhood: ❑ No Of Yes, See River Terrace Review Addendum Attached Site Plan Elements: ?Three (3)copies of site plan -QE i ting structures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished ,.,,{{Drawn to scale (standard architect or engineer scale) floor elevations ZxJNorth arrow ttlity locations (required for new,may apply for additions) Site address,project or subdivision name and lot number Location of wells/septic systems Applicant information(name and phone number) /Erosion control(including drainage-way protection,silt fence /Lot dimensions and building setback dimensions design,location of catch basin,etc.) /Lot area,building coverage area,percentage of coverage and Street names impervious area (applicable if R-7,R-12,R-25&R-40) /Street tree size,type and location /Property corner elevations(2 foot contour lines if more than ❑txtsting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No 171 Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake 0 Land Use Case#: S U a 20 15 - 0 000 2- Zoning: Zoning: R- 1. 5 Setbacks: Front t 0 Rear ( 5 Side 5 Street Side j S Garage Z.0 Landscape Requirement: Lot Coverage Maximum: Building Height: Maximum Height 3 0 Actual Height 31) 4 Visual Clearance $Easements -P—Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: Conaii unS -ht, be me{- priar to iISsvcnc..,,... 0c- bvilc(.nnc� eQrrni-} . Approved By Planning: /I/l 01 .,_ 6.A4-1.0 w- Date: r/ / eh 4 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved 1:\Building\Forms\B1dgPermitRvw RES 012116.docx Building Permit Submittal Original Submittal Date: .57/F//,{,. Site Plans: # 3 Building Plans: # Building Permit#: Er Enter building permit# above. Workflow Routing: Er-Planning ' Engineering CT'ermit Coordinator Ci-wilding Workflow Sign-off: HSign-off for Planning(include notes from planning review) Route Application Documents: 2' Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: -- Date: 0A7/56. 4,4/___, Engineering Review Slope at building pad: oZa Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: le//j J Date: i i—/O fL Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: 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,DC Fees Entered: Wash Co Trans Dev Tax: IJ Yes ❑ N/A Tigard Trans SDC: [ Yes ❑ N/A Parks SDC: [Yes ❑ N/A OK to Issue Permit /� Approved by Permit Coordinator: /G %/ Date: ii JI D�l 1:\Building\Forms\BldgPennitRvw_RES 0121 1 6.docx a "I I ®f` ard !!fl COMCityMUNITYTigDEVELOPMENT DEPARTMENT -GA River Terrace Building Permit Review Addendum Building Permit #: /y.S /& C90 Site Address: ) S I S O SW TInci✓rus C.si-. Project Name: P°I 0 00- Butt M 3 (New dwelling subdivision name;r Lot #: 3 � Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1). Is the project subject to the plan district design standards? ❑ Yes 'No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft. wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 3. Entrances:At least one entrance must meet both of the following standards: ❑ Parallel to street,angle no more than 45° from street, ❑ Max. 8 ft. setback from longest street- facing wall Entrance opens to a porch: ❑ Yes ❑No or open onto porch If yes, all the following apply: ❑ One street facing entry ❑ 25 sq.ft. min. ❑ 5 ft. depth min. ❑ 12 ft. max. roof above floor of porch ❑ 30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft. wide x 5 ft. deep ❑ Recessed entry area min. 5 ft. wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft. wide ❑ Roof eave min. 12 inch projection ❑ Roof shingles either tile or wood ❑ Roof offset min. of 2 ft. 1:11 Roof pitch oriented south min. 500 sq. ft. ❑ Gable,hip or gambrel roof design ❑ Horizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40%of street facade ❑ Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing 1171 Bay window_ . 5 wide❑ Balcony min. 5 ft. wide x 3 ft. deep with inside access ❑ Attached garage is 35t% or leys of street fa ade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: /110 wt, • ( 0 €.Gi t&. (a 1.Building'.Forms`,B1dgPerrnitRs-w_RES_RT_031416.docx Date: 5/ I J '