Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00520
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2018
T t(;;k I<.r7 8 Parcel: 2S108DB04200
Jurisdiction: Tigard
Site address: 15277 SW THAMES LN
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 40
Project: Polygon at Bull Mountain, Lot 40
Project Description: New SF. 8/16/2018: REPRINT permit to add 2nd washer,dryer,furnace,A/C and(1)lay.
10/10/18: REPRINT to add(2)gas lines for BBQ and outdoor fireplace.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 4 First: 3039 sf Basement: 0 sf Left 5 Parking Spaces: 0
Height: 17 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: $387,249.40 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
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: 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: 8
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 3039
Owner: Contractor:
POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions)
109 E 13TH ST,STE 200 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: 360-695-7700 PHONE: 360-695-7700
FAX: 360-693-4442
Total Fees: $35,883.47
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. Y may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987/` or 1.800.332.2344.
Issued By: mit 4I, �/ Permittee Signature: ✓fit ��'2ii r/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.
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Value
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Address: 109 East 13th Street taas heat pump
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City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15277 SW THAMES LN, TIGARD, OR, 97224 March 12, 2019 at
11 :28:08 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00520
Inspection Type: Inspector:
199 Electrical final Jeremy Burrows
Result:
PASS
Comments:
Note: no A/C
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15277 SW THAMES LN, TIGARD, OR, 97224 March 19, 2019 at 9:58:46 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00520
Inspection Type: Inspector:
299 Final inspection Jeremy Burrows
Result:
PASS - CofO
Comments:
Corrections completed
Final erosion control passed
Moisture content form received
Moisture barrier acknowledgement form received
High efficiency lighting form received
Blower door and/or duct seal test certificate received
Insulation certificate verified
C of 0 left on counter.
Violation Summary:
Inspector Contractor