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Permit (120) CITY OF TIGARD _ fi MASTER PERMIT ■ COMMUNITY DEVELOPMENT Z� �`� Permit#: MST2017 00368 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2018 T t�'''� "�� 9 Parcel: 2S 108DB04600 Jurisdiction: Tigard Site address: 15385 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 44 Project: Polygon at Bull Mountain, Lot 44 Project Description: New SF. 8/16/2018: REPRINT permit to add 2nd washer,dryer,furnace,A/C and(1)lay. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 3039 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 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: $386,167.00 Rear: 15 PLUMBING Sinks: 1 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 Drywell-Trench Drain: 0 Other Fixtures: 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: 1 Furn<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 6 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 Ecompasing: Y Other: N Other Description: 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: $36,011.11 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 AR 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. r ! r►/ /51—fl' cD�T7t// Issued By. �--�f — � Permittee Signature: /� / Call 503.639.4175 by 7:00 a.m.for the next available Inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD SITS COPY MASTER PERMIT Iii 11111 COMMUNITY DEVELOPMENT Permit#: MST2017-00368 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2018 'Parcel: 2S108DB04600 Jurisdiction: Tigard Site address: 15385 SW THAMES LN 4�4.5-‘°Subdivision: POLYGON AT BULL MOUNTAIN Lot: 44 r— O Project: Polygon at Bull Mountain, Lot 44 Project Description: New SF. BUILDING Floor Areas Reauired Setbacks Required Stories: 1 Bedrooms: 3 First: ,3039 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height: 26 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: $386,167.00 Rear. 15 PLUMBING Sinks:2 f 7 Water Closets: 4 Washing Mad it ,1/ /Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories:je/_�D Dishwashers: 1 Floor Drains: 0 V ✓ 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 Footing Drain: 0 Ice Maker. 1 Hose Bib: 2 Backwater Value: 1 Bckfiw Prevntr. 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Times Air Conditioning: Y a ,/ Vent Fans: ..8-1 Clothes Dryers: I v tv- Natural Gas Heat Pump: N Hoods: 1 ! Other Units: 0 ' ^ Fum<100K:4 o� '/- Vents: 0 Woodstoves: 0 Gas Outlets: / L.K Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temn 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 st 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 8 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 Cntrt 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,615.03 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 throug •.R 95ot -,,,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. i Issued By: /Z. Permittee Signature: 1'' �/.ek.��l 0/1/ ' 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. I:\Building\Forms\Inspection Cards\MST Insp Case By Case\InspCard_NewMST_031815.doc Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLI' - City of Tigard Received Date/By:view N4,3" e,7• �6, ill 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: S pplemental Iomation ' \ tTi F i ic ' Z New construction 0 Demolition For special information use checklist Description Qty. Ea. Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) c i P i 1I " ` SFR(1)bath 312.70 OIC e :•.: • '. .,ate.... ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 . 3 i 1,,., i 6 ,. ► D '''A'�-`' _Site utilities: Catch basin or area drain 18.76 Job site address: City/State/ZIP: Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:East River Terrace 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:River Terrace Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 C?� Backwater valve 12.51 fftl •, E 4 spa. • '" Clothes washer 't/ 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 y' T'RC?I*. iql Expansion tank 12.51 Name:ADVL Land Holdings LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Rd Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 28660 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 "v ® 'g • i?, A ' y,� Interceptor/grease trap 25.02 Business name:Polygon WLH LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Tom Dicianno Roof drain(commercial) 12.51 Address:109 E 13"'St Sink/basin/lavatory 4- ( 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(503)577-4160 Fax::( ) Tub/shower/shower pan 12.51 E-mail:tom.dicianno@polygonhomes.com Urinal 25.02 Water closet 25.02 ii o tili ' yyz ' Water heater 37.52 Business name: (3t)L rLyKOW 6 it, „. Water piping/DWV 56.29 Address: l p (jpX 8 5 Other: 25.02 City/State/ZIP: Ceee,E('r QR 110t1 Subtotal Phone:(51) ) 35 I 3 ct 03 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: I FU 3 L'S Plumbing Lic.no.: 1 o 157A Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: 1`T.a_....%.........._‘ TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: pejo � � Date: I after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I'\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Mechanical Permit Application FOR OFFICE. USE ONL\ - Received City of Tigard Date/By: Permit No/. 13125 S W Hall Blvd.,Tigard,OR 97223 034, Plan Review Phone: 503.718.2439 Fax: 503.598.1960DateBy: Other Permit: TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: Pi See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ t'‘ 711C''- ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total � 9 AMC; Heating/cooling• . � JOB ITE INEpoN rIcA. O 1 • " Air conditioning 7` 46.75 _ Job site address: 15 3 p 5' sw I f'�1y110 1-N Furnace 100,000 BTU(ducts/vents) f I 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:E 5 UC-L_Ii9ou/Vr74-/N 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 ig1,u_ (4604/9410 1 Lot no.: (7/Y Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 Vgi � IPTIOF OF`wo Gas fireplace/insert 33.39 /�,,� Flue vent for water heater or gas CI'I f7ii4t -it405 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 *rs< ,t ov - Other: 23.32 ' ® ",#'a'''' ` k A ' ! -, Environmental exhaust and ventilation: Name:ADVL Land Holdings LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Rd Clothes dryer exhaust It 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) + 1 23.32 Phone:(602)6944031 Fax:( ) Attic/crawlspace fans 23.32 SA ig)APFLICAN Z\\t C()N PEIISOALT Axle, 23.32 Other. Business name:Polygon WLH LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Tom Dicianno Furnace,etc. 'f Address:109 E 13th St Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(503)577-4160 Fax::( ) Fireplace Range E-mail:tom.dicianno@polygonhomes.com Barbecue %b ac '.. ! t , k1& Clothes dryer(gas) Q Business name: I PE b rR LLC Other: Ito cur ,eb 1.. \. Address ' gooti pc ?oZ / UE Subtotal City/State/ZIP: tIfpen)uE2 V 61867(0 Minimum permit fee($90.00) Phone:(�(�) ,�j a � � f Fax:( ) Plan review(25%of permit fee) / State surcharge(12%of permit fee) CCB lic.: a 03 0 3 q 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: / i M Date: 1/6/1, \ \ I:\BuildingPermitsMEC_PermitApp_040113.doc 440--46 t 7T(11/02/COM/WEB) CITY OF TIGARD MASTER PERMIT III --'`t Permit#: MST2017-00368 COMMUNITY DEVELOPMENT Date Issued: 02/05/2018 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB04600 Jurisdiction: Tigard Site address: 15385 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 44 Project: Polygon at Bull Mountain, Lot 44 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 26 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: $386,167.00 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 add9 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3039 Owner: Contractor: POLYGON Will 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: $35,615.03 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 I•R 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: / 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. 1 . Building Permit Application tits*freniiii FOR OFFICE l SE ON LI' City of Tigard Received DateBy: fdfj /) / 41# Permit No.: Iii " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit: /� �!7-© � Phone: 503.718.2439 Fax: 503.598.1960 '.) `"2 Date/By- i o' ) ) j 7 , c� f Jori ® See Page 2 for Inspection Line: 503.639.4175 Date Ready/By: //�� T I G A F B Notified/Methoda/ �7 ^ , �- 1 Supplemental Information Internet: www.tigard-or.gov // Abe' 1-/L- /V IC L `� t � „ . § t iR . F ,- ei 1; 1 0 Demolition Permit fees*are based on the value of the work performed. ®New constructionIndicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 0 Addition/alteration/replacement ❑Other: work indicated on this application. t A Valuation: $ ® 1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms:Number of bathrooms: ❑Accessory building 0 Multi-family 4. ❑Master builder ❑Other: (,� Total number of floors: 3 7 6 ! Job site address:15385 SW Thames Lane New dwelling area: 3g square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 1 square feet Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Covered porch area: ` ' square feet Cross street/directions to job site: i QN square feet,o39 efir QOM✓ ��++ Other structure area: '4'.-. square feet l° 1 , f" A t' Subdivision:Polygon at Bull Mountain I Lot no.:44 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the t t e?, 7 work indicated on this application . Valuation: $ Existing building area: square feet New building area: square feet Number of stories: Name:Polygon WLH,LLC Type of construction: Address:703 Broadway St Suite 510 Occupancy groups: City/State/ZIP:Vancouver WA 98660 Existing: Phone:(360)695-7700 Fax:( ) New: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address:703 Broadway ST Suite 510 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 I Fax::( ) tt t E-mail:Nichole Thorpe Commercial and residential prescriptive installation of t t ° roof-top mounted Photovoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:Polygon WLH,LLC and fire department access,along with the 2010 Oregon Address:703 Broadway ST Suite 510 Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver WA 98660 and administrative fees): Phone:(360)695-7700 I Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:204238 Total fee due upon application: $201.60 /64.71t-1This permit application expires if a permit is not obtained Authorized signature: within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe I Date:9/19/2017 I Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist r. One- and Two-Family Dwelling FOR OFFICE USE ONLY J City of Tigard Received "y 13125 SW Hall Blvd.,Tigard,OR 97223 D socjat Permit No.: IIIPhone: 503.718.2439 Fax: 503.598.1960 Associated permits: 1'f GA R ll 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No N/:A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 ❑ 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: ❑ 0 0 5. Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ • 6 Sewer permit. ❑ 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ ❑ 9 Erosion control O plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and''driveway;footprint of structure(includingdecks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ 0 ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ 0 0 architect licensed in Orel on and shall be shown to be a..licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Sr, r r-,/,,t J•-•‘ 71"'i*4-",:?, Mechanical Permit Applic:1 ,#'..1 ,'4,,,,,'-'-4,--- - --, , FOR()Ell(1 1 SE ON EN City of Tigard Received Downy: Ptrmil NftillSr.r720/7--003L, 15123 SW 1101 Blvd.,Tigard,OR 9722)"•,1'- "4 li ?P.1-1 P1.111 ROVIeW ' 1 Phone: 503.71g/439 Fax: $01598.1960- ''- ' Datety: Other Permit . TIOA RD Inspection Line: 503.639.4175 ,,. ,i,/ , ,-1 1 Dait Readyiny: lociR El Soo regal for Internet: www-ligarsl-ormov 0 I t 01' i.'t...t.ri.•,‘,......./ 7,/,,tifiedi4Am: Supplanting Information i t.CI 1 1••:^..!';1 — . 41:1114.V,::-.i" ?, '-.? .:_. .... -,,-, ---- • -., -.. - —. :.'.i'',''.4t;V-S-:'.:4."Zri•Fj.n:-..ni: . 7,:,.!- --*A.41,4*-. F*Wp_ Z ,:!. , .. 40147!IFIT44Intql- COEYS14717...V.SP.citEct,.:os-r, Mechanical permit fees*are based on the vahte of the work El New COnstinetiOn 0 Additionialterationfreplacentent performed,indicate the'Value(rounded to the nearest dollar)°to • IJ Demolition 0 Other: mechanical materials.equtpmeni labor,overhead.and profit. Value:S .•,-•... .:.:,,,,-:••,,,.TA,p4....fii:$,v,*;- c.kr:0(AV-.r.ror cp!ss'OP .119_11-wit',..t.:s" .:54:vriN -1:1,1t:;, :,-, :!:•:1;:,,,!,:iglitstiAiitu-fitottomotti.§:iimtektg:tizst,::::::•:-•-:: )6 I.and 2-family dwelling 0 Ccrtnmercialiindtistrial 0 Accessory building For special information UNe rho:Alla Multi-family 0 Master builder 0 Other: Description Qty. I Fa. I Total .''•'!:-.:T.--. 5Z'''''."4 .7.-0;'n!!'i4:.'10*,':Oft."010614*ItkriNj._KNO.'00*ii.9*;;; M411Q9r••••• lItsfingitpfilifteI - - ' - - • " ' - Mr conditioning • I 46.75 Job site address: /S S\NI-1-y\o,s.,(\e_.5 (.....fia\.i..I.__ • . . Furnace 100_000 BTU Wactskents) 1 is City/StatelIP:Tigard,OR 97224 Ftintaee 100.000t BTU Mous/vents) , 54.91 _ . Ilea;pump „ 61.06 Sultelbldg.tapt.no.: Project name:Polygon at Bull Mountain . . Duct work 23.32 Cross street/diremions to job site: Hvdronic hot water system 7_3.32 „ . Residential boiler(radiator or hydmniel 23.32 _ . . Unit heaters(ftael-type,not electric), • - in-wall.in-duet.suspended.etc. 46_73 , Fittelvent for any of above t , 23.32 l Other: ' 11.3.1 Subdivision:Polygon at Bull Mountain Lot no.: LfLi Other fuel appliances!, Tax map/parcel no.: Water heater23.32 .•;,.•7-,-,-g-.•::':::::-•':''','..::4: ;),;•;t -•..•I',It:::- .33t0t7ROtleil*..',:00:1]*vOlti4•"•.'"':•1 ! :,,4 J. :••.:.,'-' ....t0-;•.--:,%:i7;;;;.i4-. ' Gas firer'wennsert 1 33,39 Flue veal for water heater or gas fireplace 23.32 . • ' Log lighter( as) 23.32 Wood/pellet stove 33.39 Wood Greplacefinsen 23.32 Chintneyilinertilueivent 23,32 saii.010t.14TX0*(hTi;:.:',t*j.i:::4';-..:': 'TA: riF);'..l.,,\:,..`i -.',7..., :...El.,TEN..k. 4-,..;t7::':i:,,-',:n.W.f4.1::',.::. Enoronintntnt gxhang and veptitialon! 23.32 Name:Polygon%VLH,LLC Range hood/other kitchen ' 1 ectohnuent 33.39 Addren.:71 0.- / 7f0(1CY-OCt.P .C-- \)s.iLdi-C, ‘() Clothes dryer exhaust ' II 33.39 CitY/StIltelZ/P: \.10 ( C,011Ab9,) (i1/6-q 6(Ot_00 Single-duct exhaust(bathrooms. 1.3, I toilet comparmtems,utility rooms) 1 23,32 Phone:(360)69S-7700 • Fax:( ) Attickrawlspace fans , 23.32 !:...'.,'•:,•: Ri.:•APPLIc*I7, :•;:-,i_,'i,:',;•:" ..:1:;:',Z•::',i'i.:E'-', 13,;.•c.01it..#*ligsti*;:li...;':.:!: Other: 23-32 Fuel pipings Business name:Polygon W1,11,LLC 314.15 no first faun 5U13 for each additional , ,. C°PtaCt/iarn!:. Al i chole_ ThorcF.,,,,,,..etc. . ,_ ,n Address: 103 BrDad tdouti .ct-,)(,(4,1-c... a 1 V Oda heat paratt Wall/suspended)unit heater CityiStaterLIP:'Vancouver,WA 98660/ Water heater 1 _ Phone:(360)695-7700 Fox::(360)693-4442 Fimplaec .. Ranee E-mail:Angela.Grajewsktsolygonhomer-cona Barbeette t9NTR*.etkiii '-il..!''.- :;?:,.:,,,;7,. :f.-:ik-,.i.::.-?g-.S;::1÷:;:,.:47-:it. -,'. Clothes dlTer(ens) Other: Business name:Apex Mr LW :-'i..7:::-1-:,-:--:;::::,,:;;'3:iiiittitAisittIrEriturr.,*.tiv-.4-7.-1,-;:•--.:,... '..,::',..-•--:-: Address:18004 NE 72"Ave „ Subtotal_ . , City/Sta.teIZIP:Vancouver,WA'98686 Minimum permit fee(S90.00) Plan review(25%-of pennit fee) Phone:(360)3424109 Fax:(360)3264769 — State surcharge(12%of permit fee) —.--, CCB lic.:203034 ...,4 , . . _ , . TOTAL PERMIT FEE This permit application expirut sin permit is not obtained within ilia 1 days after it has been accepted as complete. Authorized signature.. - - . Pea methodology so by Tst.County Building indasto Senior Board Print name: 1 le1/4 1I Date: 4.11./4„. I ” )11.44,,,,sp,..,mit.2mc„.paximm.,.c.101 C de 44(i-407T(I rn24:VMAVNIi t }q �+y� ,S 1 4 4 J E ectrical Permit.App1acati( >It q, 4 ho*o h4cl;i34 ooIa'Y - City of Tigard aRecetvea Permit# J(t '" 13125 SW Hall Blvd.,Tigard,OR 97223).- 1 '•4 a ///1 Plan Review � ��'�© g Phone: 503.718.2439 Fax: 503 598.1960 pang ; Related Permit#: Inspection Line: 503.639.4175 t ) 14 ••4 k o , eo y Ready Date/By: brie: III See Paget for TIG ARD Internet: www.tigard-or.gov ' gg Notitied/Matbod: Supplemental Information r he++'.•�isv •i"ri Vii%, l t :�. . ..f.� .. .;,..�.:�.:y�..�?:' ",`.k< •,: .l:. .,.,; .i 1_ tz:Zr, 5,,,,� "4:''''...'•.;-. ;rE,y'c ; :T: S 5,,,v,,•�r., 'I 0 New construction 0 Addition/alteration/replacement Please check all that apply(submit a sets of plans w/items ohcaked): Cl Service or feeder400 amps or more ❑Building over three stories. ID Demolition 0 Other: _ where the available fault current ❑Marinas and boatyards. s;;7 vi }¢ SIM: r/� i-:ytAt 4 E:::i g ;,::•,%::s;,t:: ex�da 10,000 ampsat 150 volas or 0 Floating buildings. -�x•-. r«��',�';'Et��ir''.��"�.rkSr�.k. �,;,dk:� F�:Y�f1r�3j3.,Fm•`.,e�r.•.2s�..:'�',Y,;S6'..'.:..:.•.:<'E:13:t::'-<K�:i ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building lessto ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations, 'buildings. ❑Multi-family • 0 Master builder 0 Other: 0 Fire pump, 0 Installation of 150 KVA or :i,:;Yi�;.f; -^ _ 02mergencysystem. larger separately derived :.t:.:..:ins:<.a:dn�','•".;i�.l�`i'+7'�.�`�1.�'+''„'!�r()�:�{�1.�'���:�'•�Q�.�!S�R'�101��v'+,'i'a :^=' •���`... . J 53 3( �`,,� ❑ So moawruotorloadof system. Job it: Job site address VV a }QS IOOIdPormoro, A: ';"1-z°;�1-s'; City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. Recreational veldale arks. El Health-care facilities, p Suite/bldg./apt#: Project name:Polygon at Bull Mountain DHazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: ' t"'.i"rq=" i ;?•'':NN'El g54i `' :;1:'- :�': , . � nucripnon I Qty. I Each •i •`Total I ' New residential single-or multi family dwelling unit Subdivision:Polygon at Bull Mountain Lot#: L/ (, h Includes attached garage. J 1,000 sq.ft.or less ` 168.54 4 Tax map/parcel#: F.a add'1500 sq.ft.or portion 2 33.92 t ' :3t- ii .n `t ?<aa..�4'{.4`'.40,.C34*..;�'1�., '0, Vt,0:1 (C lf::'`:ori::',.. . ....•`'t•.;:. Limited energy,residential (with above sq.ft) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 . e?e °' :.2 j 4i>e a.4 , r;NrtkAW". ;t?i,0;v1 Services or feeders installation,alteration,and/or relocation Name:Polygon WLH,LLC 200 amps or less 100.70 2 Address: 201 amps to 400 amps I33.56 2 �10 wact UJ ,St �v �k2. V 401 amps to slaps zoo 34 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 Temporary services or feeders installation,alteration,and/or Email: • relocation Owner Installation:This installation Is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 R ,�:=r. t:clx:r,: :l. ,„ ,•:_ - •::�-,;:x: Branch circuits—new,alteration,or extension,per panel ��� �'�����Y;°,.ri .-.�'.rl Pa••� i'`;�•3{�P.?!1;�� ,xK!�1��4'i� ,e�t: «>;}: k• a :'• -t.:.�`•Ss.��i:.:•ico--t•.i.-'�;l':t's tt, ,-;,••: A.Feeforbtsnchcirglifsrrith Business name:Polygon WLH,LLC above service or feeder fee, 7.42 2 each branch circuit - Contact name. j di t)lp M' ft t) 9f , B.Fee for branch circuits without t v "r 0 ” service or feeder fee,first 56.18 2 Address el Q . - , _ branch circuit City/State/ZIP:Vancouver,WA 98660 '. Bach add'1 branch circuit 7.42 _ 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax::(360)693-4442 Bach manufactured or modular • f dwelling,service and/or feeder 67.84 • 2 Email 4/311-e....-419442 ,QL ,j� ( Q Reconnect only 67.84 2 �i",'�'4E`yt'• ' M ,te j/r{F:..t'fn-.: :.r:•}.ra.p- �,.:Ya.::.'6 .; i:`•'F�:-.. 3�?:airt,,-.r•-�.'�, a?,� �tt' � :'� itl�._'.1+;'3sia`rn'e�..:''e,?C,lr~;;xt:.'"1-.r:i�i�ti�i:>bl:x9• Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 signal circuit(,)or limited-anergy 0 see page 2 2 Address:402 ... alley Ave NW Ste 106 • panel,alteration,or extension. City/StateiZIP:Puyellup 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(I hr min) 90.001 hr Email:bdaniels@gweusa.com Industrial plant(i!omin) 78.18/hr Inspections for which no fee is 90.001 hr CCB Lie.: C1158 Electrical Lie,: 208174 1 Suprv.Lic' 4496S aft y bsted(`h lsnih � " sr ^:Ft'r iii,_ �l;E j, /,� 4' ry tri?;:`s4�r.;J Suprv.Electrician signature,required: /p/ !l lJ f' Subtotal: Print name: Joan P Albert Date: 0 Plan Review Required(25%of permit flee): State surcharge(12%of permit fee): Authorized signature: ' TOTAL PERMIT FEB: � _ This portrait application expires if a permit is not obtained within ISO I Print name: Bill Daniels — Date: days after it has been accepted as complete. ��-- • Number of inspections showed per permit LABuiiding1Permits5LC PeradtApp_ELK lREdoc Rev 06/17/2015 41D-4615T(11105/CObPWBS •,,,"N"-,C, I',i. J...i—,,I, n-,,, ,,,,7 ' ii 1 d 1 ,p r Plumbing Permit Application Building Fixtures ')(:). 2017 FOR OFFICE USE oNt:v Received Permit No./f..57 .0/7"er3 City of Tigard c a Dete/By: M 13125 SW Nall Blvd.,Tigard.OR,Q 3 ,,b y Pian Review I Phone: 503.718.2439 Fax: S1966th - } I . Dateigy: .Other Permit No.: Inspection Line: 503.639.4175:Y.)s"d+✓i t*-3 " �1-)1 Date Ready/By: Jugs: @J See Page z for TIGARD Internet www.tigard-or.gov Notified/Method Supplemental Information k. _� Y- S'¢z � Y TtPFOP`WOt r aVi.' • . . vr c� - : .., --'., ,p •-- . _ z. For sedrr~ anon use checklist CI New construction 0 Demolition Description I Qty. 1 Ea. I Total , ❑Addition/alteration/replacement : 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) r 2= acini OF CtILV9 R`[)G libll ` i ,. • ? SFR(1)b 31230.--., ..... SFR(2)bath 437,7$ El 1 and 2-family dwelling 0 Commercial(mdustrial SFR(3)bath 500.32 ❑Accessory building 0 Multi-fancily Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 t i e; 'JOB SY1T total,'i'1Ot LAND idelif6iii '; '� Site utilities: x,,-. .. kap 18.76 — / � ,�� Catch basin or area drain Job site address: • ,� I. \1� C. Drywell,leach line,or trench drain 18,76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear 8.:___) Page 2 Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 , Rain drain connector I8,76 Sanitary sewer(no.linear ft.: ) Page 2 • Storm sewer(no.linear ft.: 1 Page 2 Water service(no.linear ft,:„•_) Page 2 Subdivision:Polygon at Bull Mountain Lot no.:Lt19 Fixture or Item: ' Backflow preventer I 31.27 Tax map/parcel no.: 1 12,51 ,a '.....A.:4',1-7.;.:' 7iEg(= i!TIO V q#�'VORIC'. 5'. �2l.�• . _1. Backwater valve 1 M'" 25,02 `': J.,.. Clothes washer Dishwasher 25.02 Drinking fountain , 25.02 Ejectors/sump 25.02 xx PT ' iArT ' pansiantank 12.51 ItdPERI O%yER µ - - T ,A1I.:,,,, i _ Fixture/sewer cap 25.02 Name:Polygon WLH,LLC Floor drain/floor sink/hub 25.02 Address: `(77 ?) )(1 y^lg_A_ S111v-r‹) \Q Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 J Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12,51 ''';-':'•!':•!.'":•'-'' •- , s -,: v I CONTACT tERSQN ::' Interceptor/grease trap 25.02 rl A.T'PLiCAIs14'�F•_t ..'_ _. ._ , . ... Medical gas(value:$ .1 Page 2 Business name:Polygon WLFI,LLC primer 12.51 Contact name: Ail eh d/e....7)gripe- _Roaf drain(eonnnerciai) 12.51 Address: 1 p;; e:,,,,'00, Q.,A Sr svlJl tt- /c) Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 J Solar units(potable water) 62.54 IFax::(360)693-4442 • Tub/shower/shower pan 12.51 • Phone:{360)695-770025.02 —�7� E-mail:N p(P ,fie) govt e,,o! I „A a UWater closet 25.02 rinal • C N Ott Water heater 37.52 Business name:BDL Plumbing LLC Water piping/DWV 56.29 I Address:PO Box 85 Other, 25.02 Subtotal Cily/State/ZIP:Corbett OR 97019 Minimum permit fee; $72.50 Phone:(503)351-3903 Fax:( ) Plan review (25%of permit fee) CCB Lic.:180345 . Plumbing tic,no.:PB1582 State surcharge(12%of permit fee) Authorized signature: ,/"` TOTAL PERMIT FEE "' This permit application expires If a permit is not obtained within 180 days Print name:Brandon Fainter I Date: 1 after It has been accepted as complete. *Fee methodology set by Td-County Building Industry Service Board. I:1Bulldtn5Wrnnitsl'Chill-PermitApp.doc 10/01519 440-46lemouvCOMAVEn) City of Tigard lig ' COMMUNITY DEVELOPMENT DEPARTMENT 1 Building Permit Review — Residential TIGARD Building Permit #: Art c f 7 -C; 3 Ok. Site Address: I S gg S S w Th A mei L-n Project Name: Poly y d h a} 13 U11 M.Ovfn t-riivn Lot #: y 1 (New Swelling=subdivision name;Addition or Alteration=last name of owner) Planning Review n Proposal: NUM S r'" 01 Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No , Yes,See River Terrace Review Addendumttached.` /WA Site Plan Elements: /Three(3) copies of site plan ung structures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper )Footprint of new structure(including decks)with finished /Drawn to scale(standard architect or engineer scale) floor elevations )North arrow 'Utility locations&easements (required for new and additions) /Site address,project or subdivision name and lot number Sidewalk/driveway approach %Applicant information(name and phone number) mon of wells/septic systems /Lot dimensions and building setback dimensions wig trees to be retained with drip line,and tree B-Sgaare footage of buildings to be demolished protection measures area,building coverage area,percentage of coverage and ,2Setreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) ,Street names )Property corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Cee(IA 4 foot differential) If yes,is a storm water quality facility shown? moo= XClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: il Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: /1 Yes ❑ No,stop intake Land Use Case#: uQ 2O is - o�02 Roning: 1. S equired Setbacks: Front 2_0 Rear 1 S Side S Street Side ' C Garage 10 1 Landscape Requirement: N/A of,Lot Coverage Maximum: n// A iii Building Height: Maximum Height 3 O f'} Actual Height Z3 Visual Clearance Sensitive Lands: ❑ Yes ❑ No Type ,Urban Forestry Plan 1/J Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: /1 0A",":::- V..\---..... Date: 91 2-1 11 '1 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: '�.Z(/2 7 Site Plans: # Building Plans: # 2 Building Permit#: Enterntbuilding permit#above. Workflow Routing: PlanningEngineering --Permit Coordinator Buildin Workflow Si off: � 's / g (�Sign-off for Planning(include notes from planning review) Route Application Documents: (El—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: r r By Permit Technician: /L� �-F � Date: /C)© N Engineering Review / Slope at building pad: 6..C-� i�-77- Conditions "Met" P}-� -71-i (S prior to issuance of buildingpermit p tnit ❑ Easements (encroachments)per engineering conditions of approval and plat pWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 0 No Assess Water Quantity Fee in-lieu: ❑ Yes V No LIDA Facility on lot: ❑ Yes C'' No LiNOT Approved by Engineering: !! Date: Notes: Approved by Engineering: ik/k h Date: /6 c- (7 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: DC Fees Entered: Wash Co Trans Dev Tax: 'A*Yes ❑ N/A Tigard Trans SDC: A-Yes ❑ N/A Parks SDC: ,ek Yes ❑ N/A W�,p LIDA }❑ Yes /A OK to Issue Permit Approved by Permit Coordinator: Date:/D/4/ EBuilding\Forms\BldgPermitRvw RES 061417.docx /1 57 0 1?-- vv32r FOR OFFICE USE ONLY-SITE ADDRESS: �`j — S / �s This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 111 „ 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439•www.tigard-or.gov TO: Dianna /4// 5r , DATE DEPT: BUILDING DIVISION WEI) APR 6 Z018 FROM: Tom Dicianno (Try OF TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 503-577-4160 By: - RE: Bow MST201g-00044 kt (Site Address) 6.,51 (Permit Number) River Terrace /nof Zo If- 0009-,°44ilY1- (Project name or subdivision name and lot number) ' Q Y a tet AA/.11'1tAi AliatelOWSeite for kat ATTACHED ARE THE FOLLOWING ITEMS: 1' /VT aO l t-00163 /4y--( F CoPieig 0 Additional set(s)of plans. 0 Revisions: 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. jr0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Routed to Pe go' Technician: Date: rlf/j� Initials: nit Fees Due: / Yes No Fee Description: J Amount Due: of Z \fiv>,.. tL't.Lt $ 96 ♦ti'}aa � - as ° $ Special Instructions: Reprint Permit(per P�E): ED Yes [ o D Done Applicant Notified:`t/be/At E Date: /•/,..yi.ez-- Initials• I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 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 7 = Transmittal Letter r I c;A R i) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: R LL`(fcBt' DATE DEPT: U RE BUILDING DIVISION I j AUG 8 2016 FROM: F®Lylba� /C)M1) )C14Niv0 C:�T ' f:'a ocvi/ COMPANY: POLY6os' f e) PHONE: SD 3 5 7 7 (PC,b By: RE: /536P:s -CV 71, iz-_,--S 1,/‘/ /1S7 / 7 ---p®36 (Site Address) (Permit Number) /JDL y6Tr1/C/ ,4---7- Ata -L✓ /`9Du'✓77/& % 9t (Project name or subdivision name and lot number) 7 ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 02 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: CNAstiGO IV hg P 1N6 Attic coin ter., L/7 77 194-6 .. L # /2d-y - , ,e.v j Leh," FOR FF CE USE ONLY Routed to P echnician: Date: t3 1,5 11> Initials: Alk Fees Due: Yes [No Fee Description. Amount Due: $ acD 2 � $ -707--,9-6. brae- $ ?SO , t Special Instructions: Reprint Permit(per PE): Yes ❑No one Applicant Notified: /9•71/16--/E Date: 6PASAef-' Initials; Ey9-A1911 I:\Building\Forms\TransmittalLetter-Revisions_061316.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15385 SW THAMES LN, TIGARD, OR, 97224 November 19, 2018 at 10:07:25 AM Record Type: Record ID: Residential - Master Permit MST2017-00368 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15385 SW THAMES LN, TIGARD, OR, 97224 November 20, 2018 at 11 :15:06 AM Record Type: Record ID: Residential - Master Permit MST2017-00368 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Corrections completed. Note: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15385 SW THAMES LN, TIGARD, OR, 97224 November 20, 2018 at 11 :15:14 AM Record Type: Record ID: Residential - Master Permit MST2017-00368 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Corrections completed. Note: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15385 SW THAMES LN, TIGARD, OR, 97224 November 26, 2018 at 10:35:04 AM Record Type: Record ID: Residential - Master Permit MST2017-00368 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Corrections completed. Final paper work received. Final erosion control passed Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor