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Permit (58) t CITY OF TIGARD MASTER PERMIT mil 2 COMMUNITY DEVELOPMENT Permit#: MST2017-00367 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 1" Date Issued: 11/01/2017 �t"ECJA t.L'� 9 � ,`' Parcel: 23108DB03700 Jurisdiction: Tigard Site address: 15117 SW THAMES CT Subdivision: POLYGON AT BULL MOUNTAIN Lot: 35 Project: Polygon at Bull Mountain, Lot 35 Project Description: New SF. 4/2/18: REPRINT to add(1)furnace, (1)gas fireplace, (1)clothes dryer, (1)lavatory, (1) clothes washer, (1)A/C, (3)gas outlets, and (1)fan. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 3039 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 4 Second: 0 sf Garage: 725 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3039 sf Value: $386,663.10 Rear: 15 PLUMBING Sinks: 2 Water Closets: 4 Washing Mach: 2 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 7 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 7 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 6 201-400 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 3039 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,885.82 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon faw requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: , ,' �. Permittee Signature: t ." Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application roR 01 I 1( l ISI oyl.l Ci of Tigard E Da° �/ / /7- �Y g WED y. (1 /�— Permit No is7- ®D tc Iiiii . 13125 SW Hall Blvd.,Tigard,OR 9 Plan Review e� s Phone: 503.718.2439 Fax: 503.598.1960 ��d` + Other Permit: Date/ ey 1 i t;n U;10 Inspection Line: 503.639.4175 , , • 2 Q 18 Date Ready/By: Anis: Ea See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF T IGAR x+_w 4,,,,,,,,,-,t.;.Y a .i�"a.z & N 'I -r i , , t 8 t k�, , `_`,. ,, ` p..;�,' tfld t• `d`d � "� `',,N k` # .i.�,,,,3,Cr 4 „c., .; ro,gg„} �.ne+,xkw,'Ps '.,?,, r -"<,.:, .u �',s,--> r4�" *;- 4, ,-..".$,et,"*,.s* ,'r, x %�. .i —._�w ,eaaa, .r '; 0illNew construction •)� `o 114 ,�'r 'cal permit fees*are based on the value of the work Addition/alteration/replacement �,/ •Formed,Indicate the value(rounded to the nearest dollar)of: ❑Demolition 0 Other: ' mechanical materials,equipment,labor,overhead,and profit. c^ i Value:$ t 1 t d 6 r a c a r - ti t k ' � ?€� t 1 . „I es-.. ,,,a� n �; ='' ., ryr' u�. ..,� t� ;������e,?�:exen'. ?'��x �,^,,,:1,-:tv'."�'��.s, �� dry 4 c ° l i�"`'^ .e g^ ,y�.: Tl-and 2-familydwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other Description Qty. Ea. Total y, -, 'v -7-'Fn E ,tea ';`,7''''' a ;, : s 7 a `: 7. ��: e`'. � 'a " $ ise vi k:z. .a...-.-::"+..»a ,r°F3I,.. ,5.L s:?. ,L,,,,,,,±6-.&42 .e Heroin: ti olio I S Sw Air conditionin: 46.75 Job site address: JFurnace 100,000 City/State/ZIP: T I Gf1f`.D, • 0 Furnace 100,000+ Suite/bldg./apt.no.: 1 Project name: PoL.1(,ohl AT (3014. j1 .) t 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: R Other': 23.32 V 1)4.4, OVN11pr(n� I Lot no.:3.5—' Other fuel appliances: Tax map/parcel no.: Water heater 23.32 IiP - , -«, - x r ",i,,,--,' , z • 1 Gas fireplace/insert 33.39 �0 ID i" sc 1 pa rn6R CSS Flue vent for water heater or gas FAO fir-.lace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 23.32 ' `.,e :: u-.-..‘....,!.. .',11,,t.2,,-.f.:111,,, f ' ;:a_, ....;2_,1,...•,-,:e., ..,, .,.<_ '.>..,"a�,wr.°w a 4ti. ., cl � Environmental exhaust and ventilation: L 1)V 1.. I.�uD nb W(7 5 L.L C Range hood/other kitchen ' 1. 1 ` r • t /00 • -.ui.ment 33.39 Address: -1 Clothes dryer exhaust 33.39 P ! Single-duct exhaust(bathrooms, toilet compartments,utility rooms) Phone: •I • Li- Attic/crawlspace fans 23.32 r -x10.t.c.f.x z -;s _ � T s. „ . t'.7, .:' 3,1 . , t �'.--'37 r,:t^^y, Othel4, mE --'" we o }: .` Business name: Po c-1670 A) WL LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: 'Do\D 1G LAtt/ND Furnace,etc. ■. Address: 1641 EA5f 1,415 Gas heat. . . Q Wall/suspended/unit heater City/State/ZIP: V'Aive ot ) 1 W t t 8'L(C Water heater Phone:(Sp 3) 5?7 ((Q• Fax::( ) F. .lace Range E-mail: -rto" D 1 G tit'vivo ' Po t,`I 6 0"l °41 of.40171 Barbecue t- :,,,, Barbecue " s0.4 s q �_l`�r. ` ' y*717%4 ' `- - Clothes. er :.s Business name: (X)/L(,(/44 400/ rrte- .rAlC. other • / 3_^s-�.?'.r '" `'}' 17 , .0,�',a. Address: 2 01 Oji' (3y' Subtotal -- _. City/State/ZIP: Vi 4JcoUtj ee 1 CUP ct r(p(Q1) Minimum pennit fee($90.00) _ Plan review(25%of permit fee) Phone: ( Q) (., S-"?7 (J b Fax:( ) State surcharge(12%of permit fee) CCB lic.: Dia(f" TOTAL PERMIT FEE This permit application expires if a permit is not obtained within l& --(7'.-- fr'sta\__________C:2 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building industry Service Board Print name: 1 6 V IC I AIll IVO Date: y 1t 11F I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) CITY OF TIGARD SITE COPY MASTER PERMIT ii, - COMMUNITY DEVELOPMENT Permit#: MST2017-00367 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/01/2017 Parcel: 2S108DB03700 Jurisdiction: Tigard Site address: 15117 SW THAMES CT 'Subdivision: POLYGON AT BULL MOUNTAIN Lot: 35 Project: Polygon at Bull Mountain, Lot 35 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 3039 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 4 Second: 0 sf Garage: 725 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 3039 sf Value: $386,663.10 Rear: 15 PLUMBING Sinks: 2 Water Closets: 4 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: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 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: Y Vent Fans: 6 Clothes Dryers: 1 a Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 NO /.s Vr Furn<100K: 1 a Vents: 0 Woodstoves: 0 Gas Outlets: 4 du Furn>=100K: 0 +(JR ELECTRICAL c V KY•& 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: 6 201-400 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 3039 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 1 109 E 13TH ST,STE 200 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,638.63 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: 04/ (�U e4;1770"\d/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. I:\Building\Forms\Inspection Cards\MST Insp Case By Case\InspCard_NewMST_031815.doc Plumbing Permit Application_ Building Fixtures HEGEIVED FOR OFFICE USE ONE)' City of Tigard 2018 Received Permit N �' i7.. ��j 7g MAR R Date/By: III 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • Phone: 503.718.2439 Fax: 503.598 9 Other Permit No.: e1 i i iwrl i itti�I 14�,,t Date/By: T 1 G A R D Inspection Line: 503.639.4175 Buil I r.1 B'�r ry' / t t Date Ready/By: kris See Page 2 for " 't.A.t=.'sl`. P 1-= `'$(-` �'" SupplementalInformation Internet: www.tigard-or.gov Notified/Method: FE*"S �� ,�.; TYPE�cF WORK � ` FEE* CHEDfILE`"". .," .KNew construction 0 Demolition For special information use checklist Description Qty. Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ' SFR(1)bath 312.70 ', ,(4, CATGOR'Y OF';CON 'TRUCTION x.*r e ` K ri and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATIONµ Site utilities: Job site address: /5 (11 Sq/ 7A nlE S Cr. Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: �/ Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: �VC1. /r'l5t)/� /l) tf� 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: Pbui(ow Nr- Ruts`, tAct • I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 p r Backwater valve 12.51 , ":' -.tet:,~ RIP O11I .M -z ., . / 25.02 Clothes washer , r-.6,d 73 r -7c/..S my c--- I )2 hI/T Dishwasher 25.02 /Is% O7/ 7 -D© 3( 7 Drinking fountain 25.02 Ejectors/sump 25.02 w. . R lj'ER1V O R �" I d TE .M,. Expansion tank 12.51 Name: O V L LAND Wp4I:P(M(e9 (,CC" Fixture/sewer cap 25.02 -I� Floor drain/floor sink/hub 25.02 Address: 7(p()CI c POUP>LE.TREE' RA elf)/4'. Garbage disposal 25.02 City/State/ZIP: Scowl 0At( A? 'sa 5 '' Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 # x Intor/ ease trap25.02 N. �v. , � ��':�I �AN1 �`CO C PERON . t4 terc' " eP gt' r0 y( WLMedical gas(value:$ ) Page 2 Business name: I4 U.0 Primer 12.51 Contact name: To M T 1<litl✓/L� Roof drain(commercial) 12.51 Address: 1 61 EST (31 ,7 Sink/basi lavatory -L 25.02 City/State/ZIP: VA NCp UV Ele. wA 76(a? Solar units(potable water) 62.54 Phone:($ 721) r7 7 Lf((� , ( ) Tub/shower/shower pan 12.51 Urinal 25.02 E-mail 1`0►A t T21 CIA*AD& Pa•Y 6,Ow GIN. >, C troll r '71'. w , xCO RACOR " Water closet 25.02 C-,. < . �, Water heater 37.52 Business name: Ono. I.(pr, Arr)ie't' r,G Water piping/DWV 56.29 Address: 'bei rj,T ryfrt % Other: 25.02 A Subtotal City/State/ZIP: VAucv0 tJ6 W71 [11. 0 Minimum permit fee: $7otal Phone:($63) 577 y(�,p Fax:()40) X93 4/1 4622.50 Minimum review (25%of permit fee) CCB Lic.: a(>?a 4 7 Plumbing Lic.no.: State surcharge(12%of permit fee) Authorized signature: < Q TOTAL PERMIT FEE Print name: Ti,„,,Dm,AAIM) This permit application expires if a permit is not obtained within 180 days Date: 3Al) /y after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site'Utilities {,. Qt >F tea); Toil S uare'Foota P` Fee: g�,�, ;�. .� rrntt: Footing drain-l'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 Valuation x 'ermt $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for ether Inspections or Fees F (ea) ' Tom each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/1r $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge 2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees* I'la Ite ie�fOlr E'lti in Install x n sW Quanhiy by'ixture'type Plan review is required for any of the following. Fixture1'ypefor Replace/ Please check all that apply. Work Performed: Capped dded x, "Relocate Baptistry/Font ❑ Any new commercial building with water service 2"and Bath: Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall 0 New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: -Commercial ❑ Any multipurpose fire sprinkler system. -Domestic ❑ Any complex structure as defined in OAR918-780 0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" 4 tri ic; , I 'user !Jia .In 4 0 Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Sery/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Mechanical Permit Applicatf C. �. t FOR OFFICE USE ONLY City of Tigard ReceivedDate/By: Permit No/47.S7 % _00 36 r illh13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 4 2018 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: Inspection Line: 503.639.4175 CITY O f� Date/By: T 1 G A R D p 1 4 6 i"�i�t Date Ready/By: funs: ® See Page 2 for Internet: www.tigard-or.gov IDI Vit,,--');1/4.. Notified Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work IRICIew construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION., RESIDEI ITiAI,EQUIPMENT/SYSTEMS FEES* ISrl-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total Heating/cooling: � �00 � NFOIt14tATiON AND` LOCATION Air conditioning ) 46.75 Job site address: 15111 SLI/ 77/401E-1-1 Cr. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: ELL. /40,,,,,,,A.,,t) tic 35 Heat pump 61.06 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: PoL,�6i#lil AT OV .. fi LrLot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 v . ..w 18 ION OF,WORK Gas fireplace/insert 33.39. '-.. Flue vent for water heater or gas /546L 6..----) /s 7-/'v'6- /`7/7— fireplace 23.32 f /�}0 3Log lighter(gas) 23.32 1 7---2'/ 7 —v7 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 t '-'7,70).';':AkrOther: 23.32 n, 4 b .4,...,4--%I TY OWN ,., ,r..i . ,•.^"_° Environmental exhaust and ventilation: Name: A Q%L ej .4 Hot-01410 LCC Range hood/other kitchen Address: -1/-treD0 E Pout—FIXES q t4 go equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: Searrn4LE A i 1.5 425 S Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 e fic ,. `wy „a .. 'dNTACT PERON... Other: 23.32 Fuel piping: Business $.16,6 name: P6 & Wi,..li L(C $14.15 for first four;$4.03 for each additional Contact name: T6 M 1)1 C%A.Nl4/0 Furnace,etc. / Address: 101orr 1�7Gas heat pump �/ J }{ IT Wall/suspended/unit heater City/State/ZIP: yA0cpovE1 6` �vA Cf O Water heater Phone:(565) S77//Coo Fax::( ) _Fireplace Range E-mail: To POI C IAwrvt7&7 ifonr ew14 ewne5,cow% Barbecue CONTR ICH S ` Clothes dryer(gas) / Business name: + Other �7Lc.lArH L) 1�owt�� rod( ",FMECHANICAL PERMIT FEES* Address: !b 1 G /374 ST Subtotal City/State/ZIP: VAlikokyDER 1 le 11 4,1 0 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(Y03) 5 77 ii(te(> Fax:(3 f,o)G q3 yyya State surcharge(12%of permit fee) CCB lie.: a o?a yl TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: (..--- * Fee methodology set by Tri-County Building Industry Service Board _ Print name: 7-oh Dreg,Ado Date: 31x0)17 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Tot$Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 RECEIPT CITY OF TIGARD il • 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: Polygon at Bull Mountain, Lot 35 Site Address: 15117 SW THAMES CT IReceipt Number: 413616 - 10/31/2017 I CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID 230-0000-43104 $2,136.08 MST2017-00367 Building Permit-New Construction 230-0000-43106 $751.3416 MST2017-00367 Plan Review $256.33 MST2017-00367 12%State Surcharge-Building 40 100-0000-24000-0000-24001 1 $$256.33 0 MST2017-00367 Wash Co Trans Dev Tax-SF Detached 405-0000-43320 $5,496.00 MST2017-00367 Tigard Trans SDC Improvement-SF Detached 415-0000 43301 $317.00 MST2017-00367 Tigard Trans SDC Reimbursement-SF Detached 415 0000-43302 $2,688.00 MST2017-00367 Tigard Trans SDC River Terrace-SF Detached 425 0000-43300 $4,877.00 MST2017-00367 Parks SDC Improvement-SF Dwelling (detached/attached) 425-0000 43301 $1,351.00 MST2017-00367 Parks SDC Reimbursement-SF Dwelling(detached/attached) 425-0000-43302 $2,242.00 MST2017-00367 Parks SDC River Terrace-SF Dwelling (detached/attached) 100-0000-43112 $90.00 MST2017-00367 DC Provision Review, SF-Ping 230-0000-43135 $90.00 MST2017-00367 Info Process/Archiving-Lg$2.00(over 11x17) 230 0000-43135 $60.50 MST2017-00367 Info Process/Archiving-Sm$0.50(up to 11x17) 0 464. 0 $ 0 • MST2017-00367 Metro Const. Excise Tax 230-0000-2 230-0000-2401010 $$464.00 MST2017-00367 Tig-Tual School CET-Residential 220-0000-431034 $829.14 MST2017-00367 Permit Fee-Elect(per dwelling unit) 220-0000-43103 $72.06 MST2017-00367 Limited Energy 01 65 MST2017-00367 12%State Surcharge-Electrical 100-0000-24200-0000-240002 $46.65�� MST2017-00367 —.4XAir Conditioning 230-0000-43102 ✓$46.75 MST2017-00367 „....2.—X < 100K BTU 230-0000-43102 I $46.75 MST2017-00367 L Water Heater 230-0000-43102 s/$33.39MST2017-00367 ^Q,frGas Fireplace 230-0000-43102 $33.39 MST2017-00367 1 Range Hood/Other Kitchen ✓$33.39 MST2017-00367 230-0000-43102 2—erClothes Dryer Exhaust 230-0000-43102 1 $133.39 MST2017-00367 7 Single Duct Exhaust(Bathrooms,Toilet, Utility Rooms) 230 0000-43102 $14.15 MST2017-00367 r-7 Fuel Piping 01 $44.53 MST2017-00367 12%State Surcharge-Mechanical 100-0000-24200-0000-240001 $525.344 MST2017-00367 SFR-Baths 230-0000-43101 $25.02 MST2017-00367 Sink 230-0000-43101 $25.02 MST2017-00367 Laundry Tray 230-0000-43101 $69.05 MST2017-00367 12%State Surcharge-Plumbing 100-0000-431340 $$69.05 MST2017-00367 Erosion Control w/Development 230-0000-43106 $637.11 MST2017-00367 Plan Review Total: $35,638.63 Page 1 of 2 City of Tigard IICOMMUNITY DEVELOPMENT DEPARTMENT II T I c A RD Building Permit Review — Residential Building Permit #: //z(cad.+J 7--- 0()S 622 Site Address: t/V �t5I11 � lingtrA65 Project Name: PQk•-14Y1 t ?At! Vt0)1 V (yI Lot #: T (New dw subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N) �►NI — , .',, )A- ) ; .' ``L , ? /'9 C i'7/7 CAL. / Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ZK.No ❑ Yes,See River Terrace Review Addendum Attached i/Site Plan Elements: " + ree(3)copies of site plan i s sting structures on site :i Site plan must bg on 8-1/2"x 11"or 11 x 17"paper ►A Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) floor elevations Vorth arrowr�i tility locations&easements(required for new and additions) ite address,project or subdivision name and lot number ' Sidewalk/driveway approach 'Applicant information(name and phone number) illtmation of wells/septic systems OXILot dimensions and building setback dimensions Existing trees to be retained with drip line,and tree W! bquare footage of buildings to be demolished rotection measures of area,building coverage area,percentage of coverage and treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) treet names t/ roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? L y �l to 4 foot differential) If yes,is a storm water quality facility shown? s No , -Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): / Required: ❑ Yes,applicant was notified -No Received: ❑ Yes ❑ No " Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: (. 7A:;'1 s-• CXXCO2 Zoning: �-�-S" Required Setbacks: Front 2.0 Rear `s'0/0 Side Street Side I C, Garage go Landscape Requirement: f f Lot Coverage Maximum: (ix 0,0 -Az Building Height: Maximum Height ' 2O Actual Height 12.E `� Visual Clearance t (ftr e Sensitive Lands: ❑ Yes " No Type Urban Forestry Plan 1- Conditions "Met"prior to issuance of building permit I�// Notes: .! C'v l'/'1"-Ls S PIA 14r C / dY 11) Ig*I,ALP,_C4. Approved By Planning: rL Date: /'PPS(17 Revisions (after Bding Submittal onl Reviewer Date Revision 1: Ltd Approved 0 Not Approved i� ,t C411.11" 3--10-?' Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved I:\Building\Forms\BldgPemutRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: (,?t!l 7 Site Plans: # 3 Building Plans: # ,/ Building Permit#: Enter building permit#above. Workflow Routing: Planning ''Engineering -Permit Coordinator 'Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. p. Building original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / By Permit Technician: .,At.‘, . ~ AIt, „.� , _ 4.j Date: 07 Engineering Review fkr-Slope at building pad: Z 7 ❑ Conditions "Met"prior to issuance of building permit El Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ZrNo Assess Water Quantity Fee in-lieu: ❑ Yes ."No LIDA Facility on lot: ❑ Yes ) No El NOT Approved by Engineering: Date: Notes: Approved by Engineering: `Lr, I u , Date: i (7 Revisions (after Building Submittal only) Reviewer _/ ate Revision 1: pproved ❑ Not Approved r �j a 2 tg Revision 2: Al Approved i0 Not Approved "L 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: es ❑ N/A Tigard Trans SDC: es ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes T/A OK to Issue Permit pproved by Permit Coordinator: Date: V9�� 2--- )(0t TO (SSW — P i - 32.7 I[8 I:\Building\Forms\BldgPermitRvw_RES_061417.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 i iii ill 1111 Transmittal Letter I !c,A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 7"7 /7r DATE RECEIVED: DEPT: BUILDING DIVISION ECEW EIP -�-DM T lCIANAw MAR 2 0 2018 FROM: li COMPANY: IbLy&ON �oMkS ' 1� 1 PHONE: 5b 3 577 L{1 to b BUILDING 1 )By:Si 'r,. RE: /5//7 S6-2 9/C5 /IST2'7- Do 3‘„, 7 (Site Address) (Permit Number) Any, o,ci (-� /?amuit_. pieuvr-„A/, ; 3.3- (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: /9- / / -//2.(=`/aen C 0 Tf7z- /i A 1 Gc./- -S SE-1 66'/9 .,/ e 62-7-70,\/S FOR OFFICE USE ONLY Routed to Permit Tech*' . Date: 3 2-7_ ) i( Initials: 1 Fees Due: Yes i0 No Fee Description: Amount Due: S ,PG:-/-"/2 v&-z ) $ 1/5,67) $ $ $ Special Instructions: / Reprint Permit(per PE): [41] Yes 1/ 4 El No ❑ Done �` Applicant Notified: rj.-- Date: el fl Initials: G f p I:\Building\Forms\TransmittalLetter-Revisions_061316.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15117 SW THAMES CT, TIGARD, OR, 97224 February 19, 2019 at 10:25:15 AM Record Type: Record ID: Residential - Master Permit MST2017-00367 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15117 SW THAMES CT, TIGARD, OR, 97224 February 19, 2019 at 10:25:38 AM Record Type: Record ID: Residential - Master Permit MST2017-00367 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15117 SW THAMES CT, TIGARD, OR, 97224 February 19, 2019 at 10:24:51 AM Record Type: Record ID: Residential - Master Permit MST2017-00367 Inspection Type: Inspector: 399 Plumbing final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15117 SW THAMES CT, TIGARD, OR, 97224 February 25, 2019 at 12:46:46 PM Record Type: Record ID: Residential - Master Permit MST2017-00367 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Grade at paver area by ac units sloped back to house not away from house. R401 .3 Romex wire exposed and not terminated in mechanical closet. Not ready for final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15117 SW THAMES CT, TIGARD, OR, 97224 February 26, 2019 at 1 :06:54 PM Record Type: Record ID: Residential - Master Permit MST2017-00367 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Corrections completed. All else appears ok. Final erosion control passed Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Blower door and/or duct seal test certificate received Insulation certificate verified C of 0 left on counter. Violation Summary: Inspector Contractor Ir . CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00367 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/01/2017 Parcel: 2S108DB03700 Jurisdiction: Tigard Site address: 15117 SW THAMES CT Subdivision: POLYGON AT BULL MOUNTAIN Lot: 35 Project: Polygon at Bull Mountain, Lot 35 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 3039 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 4 Second: 0 sf Garage: 725 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3039 sf Value: $386,663.10 Rear: 15 PLUMBING Sinks: 2 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y 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 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: 6 201-400 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 3039 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,638.63 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198787or 1.800.332.2344. )9, Issued By: � -1 <._� Permittee Signature: 04/ (9-lee.,/e4. //CJ.1 / 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. Bi IdinPermit Application / 3 j FOR OFFICE FSE ONLY City of Tigard Received I 13125 SW Hall Blvd.,Tigard,OR 97223 5 E Pi O 17 Date/B : 4� , j Permit No.: 3 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review RI, Inspection Line: 503.639.4175 Date/B _ Othe1 Permit Internet: www.tigard-or.gov Date Ready /By: Notified/Methodie e .r H See Page for t, Supplemental Information • � '• , t /C. /V'l LC ®New construction 0 Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all 1131t equipment,materials,labor,overhead,and the profit for the work indicated on this application. 1-and 2-family dwelling Valuation: ❑CommerciaUindustrial $ ❑Accessory building ��•" 0 Multi-family Number of bedrooms: 3 ❑Master builder ❑Other: Number of bathrooms: ';'1.450:4:1MagINE3Fralggialq Total number of floors Job site address:15117 SW Thames CT . City/State/ZIP:Tigard,OR 97224 New dwelling area: 039 square feet Suite/bldg./apt.no.: Garage/carport area: , square feet Project name:Polygon at Bull Mountain Covered porch Cross street/directions to job site: azea�"� }��� square feet .43498k-emu ' �� VVr+ %.square feet 3 03 111 Other structure area: square feet Subdivision:Polygon at Bull MountainI° . ;. Lot no.:35 p °. 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 t « t, equipment,materials,labor,overhead,and the profit for the work indicated on this a..lication. Valuation: $ Existing building area: square feet New building area: square feet I P175 Y1 Name:Polygon WLH,LLC Number of stories: Address:703 Broadway St Suite 510 Type of construction: City/State/ZIP:Vancouver WA 98660 Occupancy groups: Phone:(360)695-7700 Existing: Fax:( ) New: Business name:Polygon WLH,LLCdallantillittafttitattiCr ` 't t t Contact name:Nichole Thorpe Structural plan review fee(or deposit): Address:703 Broadway ST Suite 510 FLS plan review fee(if applicable): Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 Fax::( ) Amount received: E-mail:Nichole Thorpe Commercial and residential prescriptive installation of Business name:Polygon WLH,LLC roof-top mounted PhotoVoltazc Solar Panel System. Submit two(2)sets of roof plan with connection details Address:703 Broadway ST Suite 510 and fire department access,along with the 2010 Oregon City/State/ZIP:Vancouver WA 98660 Solar Installation l Code checklist. Permit Fee(includes plan review Phone:(360)695-7700 Fax:(360)693-4442 and administrative fees): $180.00 CCB lic.:204238 State surcharge(12%of permit fee): $21.60 Authorized signature. / Total fee due upon application: $201.60 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date:9/19/2017 *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Service Board. \BuildingTermitsNBUP-RESPenmitApp doc 02/24/2011 440-4613T(11/02/COM/WEB) 4 w: s , Building Permit AppCh lication ecklist R FOR OFFICE USE O\Ll One- and Two-Family Dwelling Received Date/By: Associated permits: Permit No.: City of Tigard r13125 SW Hall Blvd.,Tigard,OR 97223 II I Phone:- 503.718.2439 Fax: 503.598.1960 ❑ Electrical 0 Plumbing 0 Mechanical 24-Hour Inspection Line: 503.639.4175 ❑ Other: H GA RD Internet: www.tigard-or.gov yes No N/A THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 0 A 1 Land use actions coin•leted. See'urisdiction criteria for concurrent reviews. 0 0 2 Zonin:. Flood ►lain,solar balance points,seismic soils desi• ation,historic district,etc. 00 0 0 0 0 3 Verification of a' ,roved ,lat/lot 0 0 0 4 Fire district a' 1 royal re s uired. Name of district: ty 0 0 0 5 Se i tic system s ermit or authorization for remodel. Existing stem ca.aci 0 0 0 6 Sewer d is ric 0 0 0 8 Wate district a royal. 0 8 Soils re i ort. Must c. ori•final a►•licable stam. and si� ature on file or with a.plication. 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0 basin protection,etc. drawnle plans. Must be scale,showing ❑ ❑ 10 ' u Complees s Lateral deign details and connections must be incorporated into the plans on al separate full-size sheet building code sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if 0 copyright violations exist. corner elevations(if 0 0 11 Site/plot plan drawn to scale. The plan must show lot,and building setback dimensions;property there is more f a r nt4-ft. of structure(including decks);location of wells/septic tsys ems;eutility�locat ons;direction cation of nts elevation differential,plan-must show contour lines and driveway; tp indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and 0 0 0 surface draina:e. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 furnace,ventilation fans, ,lumbin:fixtures,balconies and decks 30 inches above a ade,etc. 14 Cross section(s)and details. Show all framing- and d spacing n may be requirefloord bo ams, headers, joists,sub- 0 0 floor,wall construction,roof construction. Morethan one cross construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings 0 _ and foundation,stairs,fire',lace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimumof two elevations greater than four footr ditt building envelope. 0 0 Exterior elevations must reflect the actual grade if the change in grade Full-size sheet addendums showin:foundation elevations with cross references are acce►table. ❑ ❑ 0 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 prescriptive lath anal sis provide specifications and calculations to en•ineerin:standards. 0 0 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered0 s stems,see item 22,"En•ineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 00 0 over 10 feet Ion• and/or an beamf oist c. in.a non-uniform load. 00 20 Manufactured floor/roof truss desi:n details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 for four or more a.,liances. shear wall,roof truss)shall be stamped by an engineer or 0 0 0 22 Engineer's calculations. When required or provided,(i.e., architect licensed in Ore•on and shall be shown to be a.,licable to the ,ro'ect under review. JURISDICTIONAL SPECIFICS 0❑ ❑❑ 23 Three 3 site plans are resuired for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 0 24 Two(2)sets each are resuired for Items 16, 19,20 and 22 above. 0 0 25 Buildin• plans shall not contain red lines or tape-ons. "Mirrored"buildin• plans will not be accepted. 0 0 0 26 "Reversed"buildin: plans must meet criteria outlined in the Permit&System Develo►ment Fees document. 0 0 0 27 "Drawn to scale"indicates standard architect or en•ineer scale. 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0 Street Tree List. by 0 29 Site plan to include ttres mustree protection measures t be drawn to scale and must include the c�oaect arborists ap •proval. of a•locations, driplines, 0 and protection Services' 30 A Clean Water Services'Sensitive Area Pre-Screening surface)Assessment form is required for all and accessory structures to existing resadentialing ditions,dwellings 0 0 including decks,patio covers(over non-impervious on a lot of record as proved prior to Se,tember 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . , RECEIVED Mechanical Permit Application FOR()Flu i I. SI:0\t \ City of Tigard Received Permit bielifSiav 7_ a,36 7 , ... 13125 SW Hall Blvd.,Tigard,OR 97223 0 C T 3 1 2017 7s4 Datetty; Plan Riview ober ramit: • Phone: 503.718.2439 Fax: 503.598. t-y of,-1c/kit f,, ,:,...,3„. I,, ,,,I, Inspection Line: 503,639,4175 ' if ' --t-hie Readyitty-. Anis VI See Page 2 for Internet: www,tigard-or.gov BUILDING piv is 10) Notified/Nit/his& Supplemental Information iiiii,7iiii7,---:-. 1L, :44,:neWif,r.:: : : .?; :z,r3::,7 ---;143—$7.)*ER`. . -''.„, .-*.it0. -_*iitttlh1*T-i , , . Mechanical permu fees*are based on the value of the work EI New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)oral] 0 Demolition 0 Other: mechanical materials,cqutpment,labor.Mt rhea',and profit. Value:S r.i,,.., ,-.11-:,. .._?4.--;.7:„I..041Y..LOV:-.0„...-- r.tlArl.: ±I;r. "'' '', -.42--. .';' -'„:;, ::::',4..:-;j'Arti,00-4014-374,413*-804ttiiitik'f';-Z,'-;:,";f: AI-and 2-family dwelling 0 Commercial/industrial 0 Accessory building rot special Ittionnatieut use chailist , Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total ,c, Beatineituolitiar .• ,,,-,',-„,---?.;,.-4--; 438,-St1WitiVORt itait*I.AM).'i'._W(*.-Tgottt-1-:.;-,74.--7,----,w;-,41:';,t-, I 46;75 Arconditiaurng Job site address: t '.".t t--1 Sv1-11(}0,Me...,S C..,,i Furnace 100:000 B1'0(doosivents) it 46,75 City/SmterZIP:rtgard,OR 97224 Furnace t00.000'+BTU tdactsiveacs) 54.91 Heat pump 61,06 Suitcibldglapt,no.: Project name:Polygon al Bull Mountain 13uct work23.32 Cross strectiditedions to job site: •ilvdrottic hot water system 23.32 Residential boiler(nidiator or hydronie) 23.32 Unit heaters(fuel-type,not cies:Mei, in-wall.in-duct,suspended.etc. 46.75 Duo/vent for any of above 23.32 Other: 23.32 Subdivision:Polygon at Boll Mountain Lot no.: s"-- Other fuel applittuest Tax map/parcel no.', Water heater 23.32 ' . Gas firePlaceinscri 13.39 t - t.1-:-,,7 -.7."-f.,• ,:. :. ;',- ,..:1;:;,7;: ::. - - I - - * ' Flue vent for water heater or$8$ _ fireplace 23,32 Log lighter(gas) 23.32 . . Woodipellet stove 33.39 Wood fireplacclinsert 23.32 Chinniewlineriflueivent 23.32 23,32 istrit:::otOrri: , ,11,WN01'.''-r-.-'..',:-''''-:-:.--:-,=---':-.-11:,U.,..-- .:.".'.'•;,.'"-',-;;'::'--' -''-----1 —. . — .,, , ..7,. . ---''-' Environmental exhaust and ventilation: _ Name:Polygon Will,Ilk Range hood!other kitchen - equipment 33.39 Address;110 ?.11-00634)A s\-- c,,k,1/4;1/4.k..., DCI Clothes dryer exhaust I 33,39 . City/State/ZIP: Valyaniey9 to H.9 b(Dt00 Single-duct exhaust(tr.ithrooms, ,4 . t toilet rximpartments utility ntoinsi 23.32 Phone:(360)695-7700 Fax:( ) Attietrawispaixt fdt* 23.32 ...-.;.::" ,'. ..1144.tiq'.-:,..'-:';.:-'::.'.'--:-..,:i--:',. .-- . -0: 7041VT:'',7****1-'2'-. ..i,-; t"*' 13.32 Business name:Polygon Will,LLC Fuel piping: ... 514.15 for that four:$4.03 for each addithrind . Contact name: Nichok ThOrpt_ Furnace,ett, Gas heat pump Address: # 4 d 4,, 4)4 -y-t--,s-.(A4R,, go Wallisuipendediunit heater City/Slate/ZIP:Vancouver,WA 98660' Water healer 1 . Phone:(360)695-7700 Fax. ;1360)693-4442 Fireplace i Runge F-mail:A ugela.Grajewskiliptlygonhomes.cont Barbecue .: -,i7.:i.::'"7:-:?::::: ,-M.4: ;-'0 :'40-0:10-;::::-'.1:::. .-7- ,..'1,,' . -1 cltlhc$ttrYc'r(gas) i Other: i Business name Apex Air 1.3_,C .?:-,..4.•!ittz-,,,,,„:,,---.,-mitaiiiitAt,radii&tati*-:-..-..,,. •.:-:1-:,-. Address:18004 NE 72"Ave Subtotal City/StatelZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review t25° of permit fee) Phone:(3691342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB tic.:203034 TOTAL PERMIT FEE This permit application expires if a permit lanai obtained within Inn days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building industry Service Board Print name / Date: si.(7 l‘istadmorsmiwmtx yettnitApp_,o4o1 u dac 44A-ti,t IT t 11 Ittttarsi wr-rn .' V .�.. Electrical t'errmit Application T- I,ozz on 10E 1),sl+ONLY- Cityo�'7Ciga citOCT201/ Receive e e iv a Permit u_ 't 13125 SW Hall Blvd.,Tigard,OR 97223 �'� f #0 Plea Review ' u rt Phone: 503.718.2439 Fax: 503.59#.4 i (i-- I 5, "v i l Datemy;IN Related Permittt: s: Gil T'1GARD Inspection Line: 503.639.4175 $I ,, a ReadyDate/By: ,turiSeePagetfor Internet; www.tigard-or,gov -,,,t.f , 1 v/ Notified/Method: � � 9��� Supplemental Information .. :� a:? . . 0��id6..4a u : 5..... ,Cs. iii• •:t� ' YL_ 1Ia4 - mt rAS ,4 ®New construction 0 Addition/alteration/replacement Please cheeks!tthataPPb(submit isols of plans w/itaa checked): ❑Demolition ©Other: Cl Service or feeder400 amps or more ❑Building over three stories. ,r ;Demolition xe i c-;"'s•3:: ; ?Y..0 k x..r where the available fault current 0 Marinas and boatyards. ';.:3 <'•;r`;. .3n: 0: liy,IOR=; hJ' moi' - ; - ; ,._. .��_:.....,,.��� .r�° �+.,•���;,:,_��� ^� ,,......, .. exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building.• less to ground,or moods 14,000 ❑Commercial-use agricultural . i amps 6or allother installations. •buildings.❑Mufti-family • 0 Master builder 0 Other: ❑Fire pump. 0 Installatio n of 150 KVA or4^,era":V'' 0.� . i1 ;r "1�, AY :LlT[oY. "`.: .-::-• :'s':.::;-'- ❑EmWSeY Ysto larger separately derived Job#: Job site address: 1 SI/1 S W ❑Addition of new motor load of system. Q,m es loom'or more. 0'A';"E","1-2","1-3", City/State/ZIP;Tigard,OR 97224 - 0 Six or mato residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bIdg.iapt.#: Project name:Polygon at Bull Mountain ❑Hazardous locations. 0 Supply voltage for mare thee Cross street/directions to job site; 0 Service or feeder 600 amps or more, 600 volts nominal. Description I Qty. I Each; `1 Total I New residential single-or multi-family dwelling unit. Subdivision:Polygon at Bull Mountain Lot#: 7J ' Includes attached garage. Tax map/parcel#: 1,000 sq,ft,or lessA..._ 168.54 4 `:: _y�!3 s�cel//:,: s,,: Ea.add'!50D sq.ft.or portion 33.92 1 ..._...-.>..tI _.:'�t,,..1........i'iib.'' td$ t'+ff+1.k..Qki E 0.tki >`•` . Limited energy,residential 75.00 2 (with above sq.ft,) Limited energy,multi-fatnily 75.00 2 residential(with above sq.ft.) `=, �r1a �, .r, f�i' rip '';>; i<'` :i rii (fT�7�-;��77��}��►rr�ii"�y,, a;,- r. Renewable Energy ❑See Page 2 Services or feeders installation,alteration and/or relocation Name:Polygon WLl3,LLC 200 amps or fess 100.70 2 Address: O Cta,+,`„ ,,, St ,i-..- c�'t' 201 amps to 400 amps 133.56 2 J 1 J\ 401 amps to 600 amps 20034 2 City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders Installation,alteration,and/or 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 amps to 599 amps 168.54 2 2 ''' '4:r{- ?''a5;•; _ ;•i? k::-''= :'['tizi l<';."s;°',' >-' 3 -•h= .:7>: Branch circuits-new,alteration or extension er t.+:..�.�vrk7ew�_-..s ..��.. z...�..�t'::Y.,^..,�:7 .. ;�.5'-'�.:�Q�.'ri'��+..'+�,` , : r +i! panel -.:a� r;;:;.. 1-�15.0'1!i��...,..-; " A.Faeforb[an rlh ohcults tPtlh Business name:Polygon WLR,LLC above service or feeder fee, 7.42 2 eContact name. i, / Feeel branchbrcircuit c `^'`1)1P....-11(1 B. for branch circuits without serviceS S ,i.,�, SA branch or feeder fee,first Address c�,u,�-l.)J '� 11 M�•' �� tgttchcitcuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 .. Each add'I branch circuit 7.42 2 Phone:(360)695-7700 Fax (360)693-4442Miscellaneous(set•vite or feeder not included) Each manufactured or modular 6714 • 2 'EmaEmail l�,7J/ /�y,,(/��► otirAjni/20/no.,,Q[pa. j dwelling,service and/or feeder il`.. sr . "" '7*R:,:c"y .'."'�.: 0ot .,yn,C lr7/:•(o.,,�.,;:C,w) _- Reconnect only 67.84 2 ,..•a tlills..N:»5�7 sal .�. t 4 A)D' u ,:: i e:i1'r 114,` },5s:,;;, ,1 =r.': y . �*•. L.. . .. <iii:... . . Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67,84 2 Address:402 Valley Ave NW Ste 106 Signal circuits)or limited-energy ❑ See Page 2 2 • panel,alteration,or extension. g City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90,00/hr Email:bdaniels@gweusa.com Industrial plant(1 hr min) 78.18/hr CCB LIC.: C115$ Inspections for which no fee is Electrical Lic.: 208174 I Suprv.Lie.: 4496S specifically listed(hh hrp.1 90.00/hr •''fie i 3 Sc. ! �..:,: .f., Suprv.Electrici •an a ....; ? :'Jl i$:n ;:ti,i..!.;.; an signature,required: Subtotal:` Print name: Joan P Albert I Date: 0 Plan Review Required(25%of permit fee): ,' State surcharge(12%of permit fee); Authorized signature; �_ — TOTAL PERMIT FEE: - This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: days after films been accepted as complete. • Number of inspections allowed per permit. LABuildtng1Pmmiu\ffi.0 PemhkApp WLR liandoc Rev 06/1712015 440-46I57(l1/05/COWlvae T .,,.,.,'�. ,„, Plumbing Permit ApplicatiORE Building Fixtures Ft)R 01 FILE USE OM INI r ! 31 '1017 Received S�.�h + Permit N : v"". City s TigardDate. y: / -C?C�3�'"7 r 13125 SW Hall Blvd,,Tigard,OR 97223 Plan Review C Phone: 503,718"2439 Fax: 503.54114 i' DataR . Other Permit No.: TI v A R D Inspection Line 503 639 4175 1. /tote Ready/By Ions 0 See Page 2 for Internet www trgerd-or gov �t r N . b 81A % , IutiftedMethod Supplemental Information [d _ ;a :f { E :T L II. ; rg _. t`..';'„::. .. n' z ti ". • _'.- 4.- .;;,::- .r la New construction 0 Demolition For special irtforntation use checklist Description I Qty. .1 . Ea. 1 Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) 'O ( Y' 0}F CrUiT;3ffiil .R7W • SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath ' 500.32 Q Accessory building 0 Multi-family Each additional bath/kitchen 25.02 Q Master builder _! El Other: } Fire sprinkler(_ sq.ft.) _ Page 2 ::IMAg��� . '�,�k =.=.�:- , T;_ .,:.. _N �" Site utilities: Job site address: l 5( ii S W a n`NeS Gatch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/Z1P:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suitelbldg,/apt.no.: Project name:Polygon at Bull Mountain Manufactured home utilities 50,03 " Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no,linear ft.: �) Page 2 Storm sewer(no.linear II.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Polygon at Bull Mountain Lot no.:'3 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 r Backwater 12,51 .. . .m 1Pt) ti _. , Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 - _ Ejectors/sump 25.02 r a i It11� O R Y Expansion tank 1231 Name:Polygon WLH,LLC Fixture/sewer cap 25.02 '^t Floor drain/floor sink/hub 25.02 Address: D ) V o „ sS' SLU O Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) ice maker 12,51 , rAi e:';Ma l :;, Interceptor/grease trap 25.02 1I Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: aJ ch Die...--7710/ye. f� Roof drain(commercial) 12.51 Address: I ilip`s r i y� "1{.J Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)69S-7700 Fax: (360)69.3-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail: 1ZOIY) �t \� �/�yy Water closet 25.02 w ,r°:. .. :, .,_ . . •_. ., "-s :` Water heater �.,. ,x r .-, ...., ��.� 37.52 Business name:BDL Plumbing tic Water piping/DWV 56.29 Address:PO Box 85 Other: 25A)2 City/State/ZIP:Corbett OR 97019 Subtotal Phone:(503)351-3903 Fax;( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Inc:180345 . Plumbing Lie.no.:PB1582 ~ State surcharge(12%of permit fee) Authorized signature; E ""� t.� /- TOTAL PERMIT FEE This permit application expiro lin permit is not obtained wifhin 180 days Print name:Brandon Lancer Date: after It has been accepted as complete. "Fee methodology set by Tri-County Betiding industry Service Board. Llliuilding,PcrmitsU'Lbitl-PermitApp.doc 10/ti/6S 44o-4616(IWa?1COM/WEn) City of Tigard Ili u COMMUNITY DEVELOPMENT DEPARTMENT C TIcaRD Building Permit Review — Residential 0 Building Permit #: ///t c7:40/2— DUS��7 Site Address: S 1/ Project Name: POklir Ibttt( 'MO t{ ih Lot #: 6 (New dw subd& ision name;Addition or Alteration=last name of owner) Planning Review Proposal: NI SFIQ-- Verify site address/suite# exists and active in permit system. .N River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: Inil ree(3)copies of site plan it sting structures on site .i Site plan must be on 8-1/2"x 11"or 11 x 17"paper !4 Footprint of new structure(including decks)with finished j2fibrawn to scale(standard architect or engineer scale) floor elevations ,North arrow litJtility locations&easements(required for new and additions) 5Igite address,project or subdivision name and lot number `Sidewalk/driveway approach 'Applicant information(name and phone number) cation of wells/septic systems ,Lot dimensions and building setback dimensions Existing trees to be retained with drip line,and tree IN! quare footage of buildings to be demolished rotection measures of area,building coverage area,percentage of coverage and Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) ,Street names _LL roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Iy �1No foot differential) If yes,is a storm water quality facility shown? sj��No . Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notifiedNo Received: ❑ Yes ❑ No eK Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake „IR—Land Use Case#: I.j' 0, 5- CY W 2 X Zoning: P-4--s Required Setbacks: Front 20 Rear tS Side 5 Street Side t G, Garage ID .X Landscape Requirement: tj f Lot Coverage Maximum: N tA_ ,Building Height: Maximum Height 'gyp Actual Height f'214 Visual Clearance(4(A- . - Sensitive A- Sensitive Lands: ❑ Yes 'No Type Urban Forestry Plan 'Conditions "Met"prior to issuance of building permitrL Notes: fV &1/4 ill"-Lc 5�14 �/L I'���,,+ pilky ID (111.01_C.4- Approved By Planning: l/(.., Date: Z� Revisions (after Building Submittal onl Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: �t1i7 Site Plans: # 3 Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning 5'Engineering J-Permit Coordinator -'Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: [i Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. P" Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: - l Date: Q/ 1 Engineering Review Slope at building pad: 7i 7D ❑ 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 )2-"No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: `Ll, L k 1-t. , Date: /b 4- t 7 Revisions (after Building Submittal only) Reviewer ate 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: �. es El N/A Tigard Trans SDC: es CI N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes l"/A irOK to Issue Permit pproved by Permit Coordinator: Date:f/9// I:\Building\Forms\BldgPermitRvw_RES_061417.docx