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Permit (123) 11114 CITY OF TIGARD MASTER PERMIT a COMMUNITY DEVELOPMENT '�r� ri,� Permit#: MST2018-00012 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ,Pik Date Issued: 02/05/2018 T I C.A Iz.I 9 j f Parcel: 2S108DB04400 t Jurisdiction: Tigard Site address: 15371 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 42 Project: Polygon at Bull Mountain, Lot 42 Project Description: New SF. 8/16/2018: REPRINT permit to add 2nd washer,dryer, furnace,NC and(1)lay. 11/14/18: REPRINT to add(1)gas line for outdoor fireplace. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2734 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 0 sf Garage: 501 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2734 sf Value: $340,823.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 2 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: 3 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: 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!500 sf: 5 201-400 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 2734 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: $35,157.65 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-00 You may btain oopy of the r les or irect questions to OUNC by calling 503.23' •87 0 1,800.332.2344. P Issued By: /f Permittee Signature: �4 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicat' VED FOR OFFICE USE ONLY City of Tigard Received �"j/%� P ' 1114 . yy i Q Date/By: 4 �����///� L�% r. 1?--V0/)----- Other (/�� 13125 SW Hall Blvd.,Tigard,OR 97223 N O V 1 4 2Q 1 R Plan Revie / Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: Date/By: TI G A R D Inspection Line: 503.639.4175 CITY ;F: 9 I GAR�rI Date Ready/By:y: Juris: See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified Method: Supplemental Information COMMERCIAI."FEE* SCHEDULE :'SSE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction V Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. ":. Value:$ , CATEGORY OF 1N Uq:'JON S 1 ESIDENTIA EQUIPMENT 7SYSTE FEES* x NI1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family D Master builder 0 Other: Description Qty. Ea. Total 'x tf1 JOB SITE INFORMATION 4w LOCATION • ` Heating/cooling: �• Air conditioning 46.75 Job site address: 15:17 1 1Iru,.M Nxit4n( Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: ` Furnace 100,000+BTU(ducts/vents) 54.91 �U t 7> Heatum Suite/bldg./apt.no.: Project name: 11 &., p p 61.06 AA" 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: jj) fA 'w- Lot no.: Y,2 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 - ES ION OF WORK r# �! Gas fireplace/insert 33.39 ' AAA ` c�/ t Flue vent for water heater or gas ev It n� Y d�'i a fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 q„ Other: 23.32 PROP , t:, `r � " f= Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi Family Fee Schedule: TotaValkatioxn: . s: ''Penult e `` }`' $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 MASTER PERMIT CITY OF TIGARD d"-M--. a ' COMMUNITY DEVELOPMENT Permit#: MST2018-00012 13125 SW Hall Blvd.,Ti Date Issued: 02/05/2018 Tigard OR 97223 503.718.2439 T[C 3.r\ L 9 Parcel: 2S 108D604400 Jurisdiction: Tigard Site address: 15371 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 42 Project: Polygon at Bull Mountain, Lot 42 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: 2734 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 0 sf Garage: 501 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2734 sf Value: $340,823.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 2 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: 3 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: 2 Natural Gas Heat Pump: N Hoods: 1 Other Units: 1 Furn<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 5 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: 5 201-400 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 2734 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: $34,951.53 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 95 - 01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. r G C, Issued By: re( —� Permittee Signature: �� �L ���! 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. 4A CITY OF TIGARD SITE COPY MASTER PERMIT `' * COMMUNITY DEVELOPMENT Permit#: MST2018-00012 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2018 Parcel: 2S108DB04400 Site address: 15371 SW THAMES LN Jurisdiction: Tigard Subdivision: POLYGON AT BULL MOUNTAIN Lot: 42 rasf Project: Polygon at Bull Mountain, Lot 42 Project Description: New SF. BUILDING Floor Areas Reaulred Setbacks Reauired Stories: 1 Bedrooms: 3 First 2734 sf Basement 0 sf Left 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 0 sf Garage: 501 sf Front 20 Dwelling Units: 1 Third: 0 sf Smoke Yes Right 5 Detectors: Total: 2734 sf Value: $340,823.94 Rear. 15 PLUMBING Sinks: 1 Water Closets: 3 Washing-Mach: Laundry Trays: t -Rain-Drain: 1 Urinals: 0 Lavatories:Ay,/ Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker. 1 Hose Bib: 2 Backwater Value: 1 Btkflw Prevntr 0 Drywall-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tunes Air Conditioning: Y a Vent Fans: 5 ( Clothes Dryers: 1 eA Natural Gas Heat Pump: N Hoods: 1 ✓ Other Units: 0 Fum<10OK: 1 a Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temo 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: 5 201-400 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 panty Group: Square Feel: SF VB R-3 2734 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: $34,710.28 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 thr h 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: /r/ / /57-,'/©' e-'',17.— 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 FOR OFFICE USE ONLY City of Tigard Received Date/By: Permit No/47, 7; 4"- yy,2 III - 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960DateBy: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for Internet www.tigard-or.gov Notified/Method: Supplemental Information . g / are . d .Fly 1J1�• .1 • ,% .,,,,at,, ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) , 0 ,..,a4kA'll ?(`oiti of C. TpN , ilt SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 R3T1 � � ;i4,,,,,44,,,, 3��x3r�>r �� -,.y�� �a �� •74:4:44:-"':'''''' ' .,,. �... y,v Site utilities: Job site address: 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.: 1 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 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 a ,1, r , \ s Backwater valve 12.51 1 '�, 1 WW1 Clothes washer / 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ji Ci to T`�ko. k ,' © ... r^ 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 6,t: 4 't, 1 1%ifej r ,, p 'a, � b 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 13th St Sink/basin/lavatory / / 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 g nm Water closet 25.02 Water heater 37.52 Business name: tri Water piping/DWV 56.29 Address: Y Other: 25.02 City/State/ZIP: (Li . Subtotal Phone:( ) v Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 6 Plumbing Lic.no.: Plan review (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 days Print name: Date: after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY Cif Ti and Received Permit No r °J g Date/By: .5/' G1/, 0 if„2..... 11111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review S Phone: 503.718.2439 Fax: 503.598.1960DateBy: Other Permit: T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: .auris: H 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 D Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. $ I;A� RI.IC1'ltff ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total ,... 4fl 1$TI"E'' j% j Heating/cooling: �" Air conditioning / 46.75 Job site address: Furnace 100,000 BTU(ducts/vents) / 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:East River Terrace 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:River Terrace Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 rF 1 1 \_ Gas fireplace/insert 33.39 , ,.. 4, ,,, ., tf�lS W€1tRR � '` �""" Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 IliOther: 23.32 " -•••� •- ' • �•• - �� ' Environmental exhaust and ventilation: Name:ADVL Land Holdings LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Rd Clothes dryer exhaust / 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, / toilet compartments,utility rooms) 23.32 Phone:(602)6944031 Fax:( ) Attic/crawlspace fans 23.32 f ►,, �'-I �s Y ,r ❑Y co ( ' ®, 1„j z Other23.32 , Business name:Polygon WLH LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Tom Dicianno Furnace,etc. 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 `` �w. 0- . , iy5, _ W Clothes dryer(gas) Other: Business name: ri l >;IcAU PERMI"I" ,*L 4K-1:!, Address: (f Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) U Fax:( ) State surcharge(12%of permit fee) CCB lic.: �Y! 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: Date: 1:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) CITY OF 7iiTIGARD MASTER PERMIT - COMMUNITY DEVELOPMENT Permit#: MST2018-00012 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2018 Parcel: 2S 108DB04400 Jurisdiction: Tigard Site address: 15371 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 42 Project: Polygon at Bull Mountain, Lot 42 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2734 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 0 sf Garage: 501 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2734 sf Value: $340,823.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 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: 5 201-400 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 2734 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: $34,710.28 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 thr h 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."57-7471e-:,' / Issued By: Permittee Signature: , 1><;/ 7e,'e- /� ',V 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. A 71 — 47 Building Permit ApplicationLD eiiiial , FOR OFFICE 1SE ONLY City of Tigard Received r, `i 7 Date o / ) // / Permit No. 1,1 . 13125 SW Hall Blvd.,Tigard,OR 972238 p „ .t- On' y r ! ` 5� �f���f � Plan Review G Phone: 503.718.2439 Fax: 503.598.1960 Date/By: J 1 0 Other Permit:,5/a/Zola th,_1L7�/f T i G` R D Inspection Line: 503.639.4175 Date Ready/By: G pais: El See Page 2 for L Internet: www.tigard-or.gov Notified/Method/ /2/fie Supplemental Information r.. , t'� et_ice. r ` 0 a. ! t .l t , r 1 t ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application '` tok::-':Z' PP ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ .S-6'2J ❑Accessory building 0 Multi-family Number of bedrooms:3 W Sa3 0 Master builder ❑Other: Number of bathroom$-_; �'�- - 3 i 'l . Total number of floors: 3 Job site address:15371 SW Thames Lane New dwelling area: 71314 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 50 ( square feet Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Covered porch area: 'i 30- square feet Cross street/directions to job site: coavti aat+ square feet �iv Other structure area: square feet 17 *i lt i i i l 41 s`° ,4 Subdivision:Polygon at Bull Mountain I Lot no.:42 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the il° »' i f<° y 1-` work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet w �1,...". .`� t ' , f? , � ` ; _," ' 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: a g gi. (, 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 City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: ts_ E-mail:Nichole Thorpe f Commercial and residential prescriptive installation of t roof-top mounted Photo Voltaic Solar Panel System. Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway ST Suite 510 Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:204238 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained /gn4ettt„„ r,,. within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:9/19/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) r Building Permit Application Checklist , One- and Two-Family Dwelling FOR OFFICE ISE ONE) City of Tigard Received permit No.: lig Date/By:13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: ■ Phone: 503.718.2439 Fax: 503.598.1960 ❑ Electrical ❑ Plumbing 0 Mechanical 24-Hour Inspection Line: 503.639.4175 ❑ ether: IIGAIZL7 Internet: www.tigard-or.gov THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No NIA 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 00 0 0 ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 ❑ 3 Verification of approved plat/lot. 0 ❑ ❑ 4 Fire district approval required. Name of district: 0 CI 0 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 Cl 6' Sewer permit. ❑ ❑ ❑ 7 -,.Water district approval. ❑ CI ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 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 ❑ ❑ ❑ 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(including decks);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- ❑ ❑ 0 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. CI ❑ CI Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 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. 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 architect licensed in Ore Ion 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". CI ❑ CI Two(2)sets each are required for Items 16, 19,20 and 22 above. 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. ❑ 0 El ❑ ❑ CI"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, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 0 ❑ CI 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. L. 440-4613T 11/02/COM/WEB) �Building�Permits�BUP-RESPermitApp.doc 02/24/2011 ( Mechanical Permit Annlientl6n' - ' FOR OFFICE VSE 0\LI II City of Tigard r ,.`k., ',V,-!.'.I Received Permit Non*-,2t4/1.-...-oele6,, '" 1312$SW Hall Blvd.,Tigard.OR 97223 Phone: 503318/439 Fax: $0359 Plan Review I . 8.1960 .i , - ' ' : newsy. Other Permit: , • . , • . 1 I 6 A RI) Inspoctien Litre: 503.639A 175 `:-- ' -!_.mitc Re4dyilir: Aldo fit See pout 2 rot Internet: www.tigard- r.gov ' : Notific.cliklethod; Supplemeatal Information ;,,.,:::.,t'.,•;•,rifiR5-,TliiiwrI,:gliii.N;:riAr, ". i.;:.i;.•41Vit.':;_0•*iti_04-•: .'47;••' 7,3;ii :1:-.•;i'i• -:If.fg";i.:fi'W41;;;1040;.'!-:... .k6,..XPA.11. 4.1.•,;,A0,115*-.4EPIA.E.;74.1-W?•.•:;40044$:t•;;:::i-: •••"•' - -•'"•-", -"-'•'•','''••'---' • ' •.- •• ''' •••• '" -- '' " . - . - ' Mechanical permit fees*are based on the value of the work E.1 New construction 0 Additiontalterationfreplacenient performed.Inditanc the valuc(rounded to the nearest dollar)cif all 0 Demolition 0 Other: mechanical malaria's.equipment,labor.overhead_and profit. Value:S LCAT.E.CsOg.1''.PF.-ij CRIOTAtrimrf074,,e;:f.A,-;,ty117,:3;u ; ..,i5v,,44,:tioiti4.tiettit ktiootike,-**04,4tAts*-cik;;:k:';...-, ..: .„. ,.. Pt l•and 2-family dwelling 0 Commercial/industrial E:i Accesscny building ror special information axe therillst Multi-family 0 Master builder El Other Description Qty. I Ea. 1 Total :!•1'..:•-::".1 .-..-"4"f's0.,fi:ja!',:5;:!:g401i:'':kttirifti.041.1iliN''':,Aiii.0;:1;06-14j***i'5-41:,$,iiMfit;1„;-;:.: . 1Zranfidglititmlii": • 1 4635 Job site address: 15311 SW /how/ Ladiete, Furnace 100:000 BTU(itictx.kenfs) A 46.75 CitytStataZIP:Tigard,OR 97224 Furnace 100.000t BTU Mum/vents) 54.91 . .„ Ilea mann , _ 61_06 SulteNdglapt.no.: Project name:Polygon at Buff Mountain . Duct work . , 2132 Cross street/directions to job site: flydronic hot water syptern 23.32 . . - Residential boiler(radiator or hydronie) , 23.32 „. Unit healers(fuel-type,not eleetrk), . „ in-wall.induct,suspended.etc. 46.15 Fluehent for any of shave 1 • 23.32 Subdivision:Polygon et Bull Mountain Lot oft:41_ , . " ' Oilier fee!appliances: . Tax map/parcel no.: Water heater „ 2132 .....a......t.: . 5;4.'...::if 7.-..'Pi.',.1tDr4:i'.!.:.''Z';'.i,': ;i:/i§i4i.*E16.5e.bit.:*C1.1itir4.':;',! *;:i';'*. t.,tf!'"-:44'''ll'7.7j i:.:1?''''.: Cols fffeftlaceillsert 1 3339 Flue teat for waler heater or gas fireplace 23.32 - • • • Loa lighter(en) 2132 , . • - —• _Wood/pellet stone 33.39 Wood fireplacerrasert 23.32 Citirrinevilinertfladvent 23.32 23.32*oorki',6***t*o;.t'A,:r',''',::;i''g-'-::lfi'4T,':',itl•tts,o4* :'4-g''.,ih:e,'':'t,'.o,g °Inthlerdrettrotatitt exhaust and ventilation: Name:Polygon WLR,EEC Range hoodfoilter kitchen I equipment , , 33.39 Addrgss;"1 k). P7reockwm s\-- SAAii-c, SO Clothes drsur exhaust I 33.39 . .. ... City/State/ZIP: vciAcow , I iron_go(ot,0 Singlc-doct exhaust(bathrooms. Li, toilet comportnitmts,utility rooms) 23.32 , Phone:(360)695-7700 Fax:( ) Atticierawlspaec fans 23.32 ."::: :•4'10i::**01400,:r:f.:'::',:t:::: ::;:-.:::4::.. ;:'::APeit:I:,:i.:414:4-0:f***i.41'!,:i::!W.;-:'• Other 13.31 Opine:, Business name:Polygon Vi'L.II,LIC Fuel MIS fin-first four:$4.03 for each additional Contact name- N i C h o te. Th Dri9t- . . . Ftlfrine,CgC, ' I : Address: -7()43 0 Brbaciatad_ii st,Swik. 0 . Gas heat nomP Wallisuspendediunit heater . City/State/ZIP:Vancouver,WA 91/060' Water healer 1 . .. ,. Phone:(360)695-7780 Fax:-.(360)693-4442 Fireplace 1 • ,Range E•mail:Angelit.Grajewsldlilsolygonhonses.cont — Barbecue _ i'.,.;...i..,;.:•:.14.I. :::!.-,,i 'q-",ii:..f.:'L:'k''.f.9.4%*:('Obir*OEIR .:;.:I:Fii.C:Q.'ii:::?:::,i,. .t.,,:;,,:V,-;,lig:,fi::::..6,:0'4.1:.,,. Clotho dryer(ens) Other Business nariic:Apex Air EEC -.•:;•;:.t, ;It3,301ECI1ANICAL tit1MT1418,S ,;.:*:.„-2--,,:2.:-•-•:', Address:18004 NE 72 Ave Subtotal . . . . CityiStateiZIP:Vancouv . 'er,'WA-98686 Minianun permit fee 1S90:00) ... . Plan review(25%,of permit lee) Phone:(360)3424109 Fax:(360)3264769 . ...--- State surcharge(12%of permit(ee) CCB 1k.:203834 TOTAL PERMIT F:F, ' this penult oinpliention nupirt%if*permit is not obtained irithin ISO ; , days after h has been accepted as complete. Authorized signature: - * Pee methodology set*Tn.-County Building Industry Service Board ,.. Print name I Date: 4.11. I‘fkiikinIttrmii,..mix.y.iiiApr r40{12 dbc 44r1-40-7 11 Ix*icciwwrs) 1 Electrical Permit Aa phcat oim INF . City t7,jd•TIlgs`rd Received e 13125 SW Hall Blvd.,Tigard,OR 97223 ' ' G Date/B: i Phone: 503.718.2439 Fax: 503.59$.1960 Plan Review TIGARD IruPonLine: 503.639.4]75 Da1dB Internet Line:g 03.63 ,41gov Ready Date/By: Jure: Notified/Method: See Page 2 for ��a _n �1 fl-siQtiTL. t l 4 , Supplemental Information ®Newconstructian � �:z <..,., >,i, .4... :;ice�i-`��= t i•-+=t4 `•. :iF? i'.-".:<�s°.... -' or . 0 Addition/aIteration/r i • • u?m"t2 t. laps whtemsc'e . r =':1 Addition/alteration/replacement Please cheek ail that applyc''`"�?,. ❑Demolition 0 Other (submit sets ofplans wtitems checked): a:F,, y zn.;. �� r 'v j'` ❑Service or feeder amps or snore ❑Building over three stories. _y,:;:r<',3^•tip,.,:-:•.'x••��?":siti:`.t -- E [Z. - 4 ;,' - :1,: k,, .,,•�.`i:i wtt ,: where theavaiiablefaultcurrent ❑Marinasandboatyaeds. ©I-and 2-family dwelling 0 Commercial/Industrial "`°'`` exceeds lo,000 amps at]so volts or ❑Floating butt-ese , QMulti- 0 Accessory building less to ground,or exceeds]4 000 Multi-family C er lei-ase agricultural t t4§�uI4 famil 0Master builder ❑Other: amps for all other installations, 1-buildings.e ys4 i` p.? ;'?,'t r JyAlYtf,; q,-:.fib a`,:;:.:. ❑Pirepump. ❑Insiailationof150KVAor Job#: :'a:...:..`:c'.�.-_ - ❑Bmergenoysystem. Job site adtiress:it, ❑Additionofrra'vmotorioadof largerseparatelyderfved �I i / ' >. system. City/State/Z P:Tigard,OR 97224 /. IOOHp ormore. ❑A';'B;"I•z;"]_3'; ©Six or mora residential units. occupancy, Sutbe/bidg./apt 1/: Project name:Polygon at Bull Mountain OHealth-care facilities. tionai vehicle parka. ❑xazardous locations. Supply❑ voltage for more than Cross street/directions to job site: ID Service or feeder 600 ayymttps or snore, 600 volts nominal.•Aete flan i• 8.•, L'..''d 33 H .•.�•'� Subdivision:Polygon at Bull Mountain New residential single-or multi-family dwelling Lot : includes attached garage. Tax map/parcel/: mmmil ''•'' xs`map/parcel <i ti t` `°> EiPz4s 1,000 sq.ft.or less ���Q Stx ::h0':lei@1G?'i d t .;(i; P.a.it d eaen sq. `7 -,sW R C : -:r,. : ft.or portion 0 - - - Limited allergy,residential with above ft, II 75.00 -© ' Limited energy,multi-family al 75,00 1111 residential with aove .$ ❑ See P•: 2 `.- Q.Egr oetil q4!a".5s:04 "•0.Al " ',12s` .:is Services or feeders installation alteration and/or relocation Polygon WL$LLC Address; 200 amps or less I00.70 _Q L sS� t 20I amps to 400 amps 1111111112131111111E1 13 City/State/ZIP:Vancouver,WA 98660 401 amps to Goo amps 111120034 = Phone:(360)695-770fl 601 amps to],000 ami 301.04 El Over],000 amps orvolts 13mat1, Temporaryservices or feeders Installation,alteration,and/or Owner Installation:This installation is being made onpropertywrelocation intended for sale,lease,rent,or exchange,according to R 4.7,,that49,670,and 701. 2001 amps or less r Owner signature; 201 amps to 400 amps 5936 �a �, 125,08 IIIIIIIEI F?. F�>t TA, ' �H:-r yy�i-,.':s,;.�'i Date:�_ 401 amps to 599 amps II. 168.54 .:. ry .:J,.,�;,-,,,i'f::,-.i,:! ;;t' ic'•i,";;Iy w..,zp. -P _ r:.;r;:,,- ,,,,-4`'.1�0"•• ;� •'"' T':;:> --' . .FeeBranch circuits-branch circuits withalteration Business name:Polygon WL$,LLC a ''"': A.Fee for branch or extension ,er.anal oifeede fee, II�■© Contact name. above service or feeder fee, -• / �I each branch circ Address B.Fee far breach circuits without © • e it f s service or feeder fee,first City/State/DP:Vancouver,WA 98660 1 branch d'lcircuitbranch 11111111111 Hach add'1 branch circuit 7.42 _© Phone:(360)695-7700 Fax::(360)693-4442 Miscellaneous service or feeder not includ , Each mantilhcnaed or modular :7730.E41;73 , d�/!1. //p P ,/ PO' dwellin.,serve arnVor feederIII 67.84 � t�� ; 3 , ,� r c '.17.2. ry o; r � 1 v 'jz:`v� :, Reconnect on �© '�, ori it d x t rf3�:iti:;.-'V y, ::..• 67.84 Business name:Garner Electric }`:4 p or htigotion cirole 4 �© Washington,LLC 67.8 Address:402 Valley Ave NW Ste 106 Si. or outline lighting � �© Signal circuit(s)or limited-energy lowCity/Statel,ZlP:Puyallup WA 98371 alteration or extension 0 See Paget © Each additional ins,ection over allowable in a of the above Phone:(253)872-6051 Additional inspection(I hr min) - 66.25/hr Fax:(253)872-1801 Email:bdantels lavestrgatron(2 1 hrm) /hr =: (tt�gweUSa.COnl Industrial pleat(1itrmin) 78.18/k- IIMMIEMMI _■ Electrical Lic: 208174 Suprv.Lie.: 44968 Inspections for which no fee is ■ Suprv.Electrician listed yshr 90.00/hr �. signature,required: Vii, lit • Print name: + t I.'.�. ` t .Fe`1.,,-1if.L to , ?'rt C'M*.:-V Joan P Albert Date: Subtotal: 0 Plan Review Required %of permit fee): EMMEN Authorized signature: — State surcharge(12%of permit fee): 11111111111. TOTAL PERMIT FEB: IMMO Print name: $111 DanielsThis permit application expires if a permit is not obtainedained Date: within ISO L'tauild days after Intim been accepted as complete. i0 eredtI gdtApp! BREdoc aw 061t7t2015 " Number of inspections allowed per pannit p 44x46 t Sl'(i l/aSACQIvt/tYag Plumbing Permit Application Building Fixtures FOR OFFICE USE ()NEI' City of Tigard Received Permit No.: Ill 13I25 SW Hall Blvd,Tigard,OR 97223, Alan Review Date/By: j7, 77 � �f 14 _ Phone: 503.718.2439 Fax: 503.598:1960 Dan Review Other Permit No.: Inspection Line: 503.639.4175 T 1 C A tt D121 .. , �� Date Ready/By: dJuris. SeePage fInternetwww;tigard-or.gov Notifua/Metho: supplemental Information ' YI 4e. 1rorWOliCx #�� " x4 4pEitikZ " N :"-::� + , iT ' - Egi New Construction 0 Demolition For special information use checklist Description I Qty. „ Ea. 1 Total ❑Addition/alteration/replacement 0 Other: New t-2-family dwellings(includes 100 ft.for each utility connection) w 4 Gt}:* OF: 0.timai+GTl ig . i i u SFR(l)bath 312.10 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)basin 500.32 Each additional bath/kitchen 23.02 ©Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 ..,` ;14• OB'S .It�tIaDR1l�Ld,ON AND GQLA_) TC01 --: t 5 Site utilities: Job site address: �� . 1.. `UV QUO l ., Catch basin or area drain 18:76 City/State/ZIP:Tigard,OR 97224 r! Drywall.leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bidg./apt..no.: I Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18,76 Sanitary sewer(no.linear ft.: .. ) Page 2 . Storm sewer(no.linear It,: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Polygon at Bull Mountain Lot no,:tfl. Fixture or item: Tax map/parcel no.; Backflow preventer 1 31.27 zr �rw,, k `, l}FS 014°�O1t fositiit # Backwater valve 12.51 51 a..... M. Clothes was er 25,02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ^_.. , •,I* - E1►Ll ','- OUW1un _: 4.-.1,.7./.4.,:-.,.:. ts .w*; Expansion tank 12.51 Name:Polygon WLt3,LLC Y Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:1 O� YD� - Su Cl Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 �J J Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 . Interee tor/ ease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Contact name: All c h W .. 7')o Roofder 12.51 1 �'` drain(commercial) 12,51 Address: 1 D b�^( � Sf J tv Sink/basin/lavatory /hit,tUAt2( / 23.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) / 62.54 I Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail 1 I I j/ //G x. i0` /I 4 ainr,T. CO) Water closet 25.02 z s z x C Tit qlt, {" .., I.‘'-'''.'.' Water heater 37.52 Business name:BDL Plumbing LLc Water piping/DWV 56.29 Address:PO Box 85 Other: 25.02 City/State/ZIP:Corbett OR 97019 • Subtotal Phone:(503)351-3903 Fax:( ) Minimum permit fee: $72.50 ' Plan review (25%of permit fee) CCB tic.:180345 . Plumbing tic.no.:P131582 ' State surcharge(12%of permit fee) Authorized signature: Fii' woa..' TOTAL PERMIT FEE Print name:Brandon Latter Date: This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tel-County Building industry:Service Board. IABuild'mglPorm&at,PLMU-PermilApp,doc 10le1XI9 440.46167(10/62/CoM/WEB) City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT I TIGARD Building Permit Review — Residential Building Permit #: ,r/457--Aa r oop/Z Site Address: ISIT I SQ 7hArnti Lie Project Name: Poi A l- QJ)I h 4hn Lot #: 9 Z (New d g=subdivision name;Addition or Alteration=last name of owner) Planning Review } Proposal: I\f eU Ce 'rJj A 0C ,S r R El/Verify site address/suite# exists and active in permit system. Ei River Terrace Neighborhood: ll7 No ❑ Yes,See River Terrace Review Addendum Attached Si ll I xisting structures on site Plan Elements: )Site (3)copies of site plan plan must be on 8-1/2"x 11"or 11 x 17"paper 0 ootprint of new structure(including decks)with finished AI raven to scale(standard architect or engineer scale) oor elevations FIV M%�orth arrowy tility locations&easements(required for new and additions) S to address,project or subdivision name and lot number L1dSidewalk/drivewa approach licant information(name andphone number) y PP /" P ocation of wells/septic systems �- .t dimensions and building setback dimensions Existing trees to be retained with drip line,and tree square footage of buildings to be demolished rotection measures firdLot area,building coverage area,percentage of coverage and ltreet tree size,type and location pervious 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 re 1 ? 4 foot differential) paced. � e}� No If yes,is a storm water quality facility shown? 0 , No Eh Clean Water Services—Service Provider Lett r(lot platted prior to 9/10/1995): I Required: Yes,applicant was notified 01 No Received: ❑ Yes ❑ No Cid Public Facilities Improvement(PFI) Permit1: Required: 0 Yes,applicant was notified LTJ No Applied For: pP ❑ Yes ❑ No,stop intake Le Land Use Case#: cue 2 O 00002_ ,D/Zoning: K-4.S. El/ Required Setbacks: Front a0 Rear )5 Side 5 Street Side IS Garage �0 Gl/Landscape Requirement: Ik/A % LLot Coverage Maximum: J4 II0 DcLot Height: Maximum Height 30 Actual Height 18 ',Visual Clearance g ensitive Lands: EiYes ❑ No Type CM/S TO14 ,1 irract Urban Forestry Plan Conditions "Met"prior to issuapce of building permit Notes: Cli‘al'i '4 11bt rpt F errtif` 11' i13�ui(C Approved By Planning: Jp'\ JJ) ' Date: 1 1 Cl 1 tf) Revisions (after Building Submittal only) Reviewer Revision 1: ❑ Approved ❑ Not Approved Date Revision 2: El Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: )(,, ///7 Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning Engineering permit Coordinator ,Building Workflow Sign-off: Sign-off for Planning(include notesfromplanning review) Route Application Documents: L Engineering: (1) copy of permit application, (1) site plan, (1) building plan and // original plan review routing form. ILr Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. 1L Notes: _. , j�O� By Permit Technician: / , ft,, Date: / Engineering Review Z Slope at building pad: o a El Conditions "Met"prior to � nuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ,Ei No Assess Water Quantity Fee in-lieu: ❑ Yes ,0 No LIDA Facility on lot: ❑ Yes ET No Date: CINOT Approved by Engineering: Notes: Approved by Engineering: j,1 K Date: I-10 -/# Revisions (after Building Submittal only) Li 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: NI DIC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: Yes— ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes 'St+N/A r—OK to Issue Permit / 1 0/1 b Approved by Permit Coordinator: ate: 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 !Pi Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: fi LL1f0A DATE RE 1.IA .1 : DEPT: BUILDING DIVISION EID AUG 8 2018 FROM: FOL16.011 /dwt bBUCITY fLl�fNf SGA COMPANY: PD(,Y&BA� � > ✓ DIVISION PHONE: SD 3 - 7 7 Me D By: °C(.477 RE: /537/ .SIU 7iG' c,--S LA/ .S� �p/r� eoe/e2 (Site Address) (Permit Number) ,et)/6-0A/ f}T ,amu LC. Ilett'v7 "\/ L-O T 47/.7- (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 0. 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: CNAM'0 lu r fp12 PW 1NAi14G coin te7j go-119 '9LJ # /2 y , , c , e_ Lei FOR OF J CE USE ONLY Routed to P chnician: Date: i�j (,92 Initials: telos Fees Due: es [ No Fee Desc ption. Amount Due: $ bo $ - l2 'Ake\ `tkr; $ $ Special 779E C6 2 V/. �_S" Instructions: Reprint Permit(per PE): Yes ❑No LI`one Applicant Notified: e-iteriE Date: F Initials: Aft.e---' 1:\Building\Forms\Transmittallxtter-Revisions_061316.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15371 SW THAMES LN, TIGARD, OR, 97224 December 18, 2018 at 12:30:21 PM Record Type: Record ID: Residential - Master Permit MST2018-00012 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Correction from previous inspection complete. No ac installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15371 SW THAMES LN, TIGARD, OR, 97224 December 18, 2018 at 12:37:09 PM Record Type: Record ID: Residential - Master Permit MST2018-00012 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Correction from previous inspection complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15371 SW THAMES LN, TIGARD, OR, 97224 December 18, 2018 at 12:34:38 PM Record Type: Record ID: Residential - Master Permit MST2018-00012 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Corrections from previous inspection complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15371 SW THAMES LN, TIGARD, OR, 97224 December 26, 2018 at 10:04:18 AM Record Type: Record ID: Residential - Master Permit MST2018-00012 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Corrections completed Note: A/C not installed 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