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Permit
CITY OF TIGARDI 7 , MASTER PERMIT III gi - COMMUNITY DEVELOPMENT /0,2/ 4., cr,61 Permit#: MST2016-00041 TIGARD D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2016 Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15386 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 64 Project Description: New SF. 6/13/2016: Reduce bathrooms to 3,add 166 sq ft covered deck.8/25/16:Add 2nd water heater. 10/3/2016:Add 4th bathroom. 10/21/2016:Add NC. BUILDING Floor Areas Required SetbacksRequired Stories: 2 Bedrooms: 4 First: 1550 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 2155 sf Garage: 661 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3705 sf Value: $463,887.13 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 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: 2 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 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 1 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 3705 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,670.52 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through•. - 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987or 1.800.332.2344. Issued By: r - Permittee Signature: eAr /9-/-7/'4/(,,717--70k/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applies i t CEIVEr Ei)rz()EFti E. • -- . City of Tigard Da. / .04 P'"""'1494-zs'7.- e/6-ee a e/./ deouisvedr //0 r - - 1312$SW Hall Blvd.,'lipid,OR 97223 ^ oh ocr.5EP 2 0 2016 Plan Review It' Mane- M1718,2439 Fax: 503.598.,1 9 Other Polon. Datedy: , ... T f GA.it(.1 1nsineetion Line: 5(13.639.4175 li lir* , a SO Page 2 , Unmet: ww-Av tigard-or.pv CITY OF TI( AIlD .str.:4"stih-ad-: $upplententat Information, BUILDING DI\nqIni, , TYPE OF ,I11)/1.1( CaltiM1E4C1A14 PEE'r SCIIEDtV-,uSE CIIECKEtST Mechanical penult fees*are based on the value attic trl,rk .t4 New colas/ruction 0 Additionfalterationireplacement performed.Judicate the value(rounded td the noitt4s1 Jolla)of A 0 Demolition 0 Other mechanical materiats.. a"tmen" labor,overhead,and refit. Value;$ CATEC,011-1, OF CONSTRUCTION • • • RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ID i,and 2-family dwelling 0 Cotrtrucrciallindostrial 0 Accessory bltildina For spesiill information ince checAlig. 72 WkrnIy 0 Master builder 0 Other; I IS)=tiption . Qty. El„_1_,Tetal I . „ , lfratingfenoliacr JOB SITE INFORMATION AND LOCATION . „Mt conthtionin= 46.75• i Itlb sil(1 adftaiOSO SV\J linCUMe S. 1aA9)te Furnace 100600 1311.14duclOottusi • 1 - City/State/ZIP:Tigard,OR 97224 Furnace 100400+13113 Auctshents 54.91 Suiteibldgiapt,no: Protea name:Potnon at Dull Mountam .1. . ' Hem pump nuot work 61.06 I 1 2332 Cross ace4tfiliredians to job sit::: 14ydrente hot water systm 2332 -- ,. tte$idential boiler(radiator dr hydreniel 2132 — ' Unit heaters(bet-type.not electric), 111 vall,in-dn4,nunPendect etc , 46.15 flue/vent fur say of above L 2332 Other 23.32 L.,_ Subdivision;Polygon ot Bull Alonittain Lot no.:is , , Other fuel appliarmes: Tax map/panel no..: Warm limiter i 2332 I ........... DES•CRIP•TION OF• VVO•RK Gas firepineefiosert 33,39 Flue vent int water heater or eas COntraCiThr j 6 t , , lace , • itum_ ... 23-12 1 itl. I ang Loa hanter(Aas) 2332 . • - Wood/mild Anve 3139 1 _ - Wood fireptiosert • 23,32 1, • ChirnneyiTincoTiaefveM • 23.32 , Q Other • 1 2132 •• • •• • •PROPERTY OWNER TENANT ..,, kinirantnental trhAust and vemilatiOn 1 _ Name:Polygon WL11,LLC • ; Range hood/other Iduthen • 1 - mot I 3339 1 1 Addrew 109 East 13 Street I Clothes d ,er exhaust L 3339_ „ I City/StateiZIP:Vancouver,WA 98660 I Statar iagia- tAISEL5t(battitOonM • wild colt:paranoias,utility roams) 4 2332• I Phone:(360)69S-7100 • I Fax;( 3 • Aijklertmhpaee fans 2332.• I .. . ri APPLICANT • - 1] cONTACT PERSON' Other: 2132 Fuel Pining: Business name:Polyglot WI,11,LLC • , S14.1$tor&Afoot;StO3 for oath addle:at:at • Contact name:Angela Grajen-ski Furnace..eto., 1 j Address;109 East 131.6 Street Cres heat pomp • • WatllaospendrxVtmrt heater CityiStatearP:Vancouver,WA 90866Water heater , • Phone;(360)695-7700 I Fax:.:(360)693-4442 • Fireplace • - it•p e B-math Angeli-Grajewskikpolygoohomes.toto Darbecoe ' ^ - CONTRACTOR ' antics d *alas) Business name:Apex Air LUC Other : • - MECILINICIAL PERIVITTFEES* Addtess:10004 NE 72'4 Ave Stthrotal I . .., CityiStatetZIP:'Vancouver,WA 90656 . Minimum permit fee(590.001 , 4 Flan neview(25%of pennit feet I _ Phone:($60)3424109 I,ux:(360)326-1769 / State surcharge 02%of permit fee) I Cea lic.:203034 I • TOTAL Pf:RNIIT FEE I — pa porxrlit application expirts ira froth k not olainrti mithin 1$6 days Ittkr it lum heft Atcrepted as compktr, Authorized$ignature:.... ' * t,' irokylolety k't by Tii-Coom Bonding-%dusty Serv*4 Bead 4 ant name: 1 4,et.I • All Date: 4-pl..lc— I.0-na:-.1q...:.,,,P,,nn-sirclnoreatAntptel 43(ail: 440,461.7T 1.1.•n2-f ok,lnynn 4 • Electrical Permit A s 1 lication . FOR OFFICE USE ONLY City of Tigard ._.. t 'i t Received Date/B : Permit#: a 0 ,— 6.014i 13125 SW Hall Blvd.,Tigard,OR 97223 - `' Phone: 503.7182439 Fax: 503.598.190E P 1 h 2016 DateB ReviewPlan Inspection Line: 503.639.4175 y CEMEIMINIMMI TIGARD Ready Date/By: -nils: C+1 See Page 2 for Internet: www ttgard or gov t '€ i§P r t Notified/Method:CITY OFr Supplemental Information 1 't Pl` P' .... ;... .. ,: ,. .: PAN REVIEW' ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition 0 Other: ❑Service or feeder 400 amps or more ❑Building over three stories. where e available ;_` CATEGORY`.:OF CONSTRIJCT'ION xceeds 10,000 amps at 1150 volts or current 0 ElFloat rig bus annd llggsboatyards. ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,D00 ❑Commercial-use agricultural 0 Multi family 0 Master builder ❑Otheramps for a other installations. buildings.II boil 0 Fire pump. ❑installation of ISO IC VA or JOB SITE':1NFOR117ATION AeNI) 'LOCATION ❑Emergency system. larger separately derived Job#: Job site address: 153 7v0 s �^I' /IC ( < . ❑100H Addition of new.motor load of system. w N' ,�X.J vV 1001-1P or more. 0•`A» `.E» `.1-2„ ,°1.3„ City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name:Polygon at We i4t;,ti E bytA 1 0 Hazardous locations, 0 Supply voltage for more than ❑Service or feeder 600 amps or more 600 volts nominal Cross street/directions to job site: rni-nPEE SCHEDULE gioSsisiegginant �� �� 11 1 Description I`Qty. 1 Each I Total 1 '- Q��// New residential single-or multi-family dwelling unit. Subdivision:Polygon at We 'Riv__ _,.-____ 8'N�{l U-tn Lot#: ( 4 Includes attached garage. Tax map/parcel#: ` 1,000 sq.ft.or less 168.54 4 Ea.add'I 500 sq.ft.or portion 33.92 1 Sig •it '"i'"- .,; DESCRIPTION OF WORK Limited energy,residential 0411 ,/lam tr�, ',(�j/�"v' MAQ/1445C- (with above sq.ft.) 75.00 2 ' (f/ Limited energy,multi-family residential(with above sq.ft.) 75.00 2 nkgtigailaiPRSEBI1OR Q TNANT Renewable r fEeneedrergys installation,al❑teraSeonP,aagnd2/o r relocation Name:ADVL La d Holdings, neut.- 200 amps or less 100.70 2 Address:7600 E ubletr anch Road S4 201 amps to 400 amps 133.56 2 City/State/ZIP:Sco ale,AZ 85258 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 30I.04 2 Phone:(602)69 03 Fax:( Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being ma on property that I own which is not 200 amps or less 59.36 I intended for sale,lease,rent,or exchange,accor ng 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 ;,r1Ll PLrCAPIT ,,? [� CONTACT PERSON Branch circuits—new,alteration,or extension,per panel �� �'� """ � A.Fee for branch circuits:ration, name:Trthiwirtryerrfflf . / W/ 4, above service or feeder fee, 1:20/ 90,/`// v v i-'fl each breach circuit 7.42 2 Contact name:Angela Grajewski B.Fee for branch circuits without Address: 109 East 13th Street service or feeder fee,first branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7,42 2 Phone:(360)695-7700Miscellaneous(service or feeder not included) Fax: :(360)693-4442 Each manufactured or modular Email:Angela.Grajewski@polygonhomes.com dwelling,service and/or feeder 67.84 2 .J."iw..3'.�',2�... l• .. CON AC OR , Pu Reconnectirrigation circle 67.84 2 only 67.84 2 Pumpp i or rriga Business name:Garner Electric Washington,LLC Sign or outline lighting b7.84 2 Address:6101 NE St Johns Rd Sigxal circuit(s)or limited energy panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels@gweusa.com Industrial plant(1 hr min) • 78.18/hr Inspections for which no fee is CCB Lic.: C1158 Electrical Lic.: 208174 1Suprv.Lic.: 4496S specifically fisted(14 hr min) 90.00/hr ` .... `—"- CITY OF TIGARD MASTER PERMIT IN ii I, '> COMMUNITY DEVELOPMENT Permit#: MST2016-00041 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2016 jb !!," Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15386 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 64 Project Description: New SF. 6/13/2016: REPRINT to reduce bathrooms to 3,and add 166 sq ft covered deck. 8/25/16 ADD 2nd water heater. 10/3/2016: REPRINT to add 4th bathroom. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1550 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 2155 sf Garage: 661 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3705 sf Value: $463,887.13 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 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: 2 Water Lines: 100 Drains: Catch Basins: 0 Bckfiw 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: N Vent Fans: 6 Clothes Dryers: 1 Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 1 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 3705 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,573.16 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 throu OA 52-001-0090. 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: �i/1/' �/�44L1�7G 'A/ 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. SECEIVET) Plumbing Permit Applienti Building Fixtures SEP 2 2 2016 City of Tigard Received II , 13125 SW Hall Blvd Tigard,OR 9/01TV OF TIGARD Permit Na -CIA79/ .F:la:::::view : • ` Phone: 503.718.2439 Fax: 503,....5911,1,90- DING 1111/ISION D'ItelBY: Other Permit No.: Inspection Line: 503.639,4175 BU IL TIGARD Date Ready/By: him FA See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ,,,;41.I : i:",-?,J motig,to-:::1--i-.7::iwz:',:i-A4*-41-1'-',,,,,,idlp.,-;;;A:....7*-,A !,,rik.mi,:eifk:,..4, ,:i ,_ „:.,. . ,, ,,,,,,,,,,, • .„:•,.,,,,,,„,,..,:.,,,„4..„,•,... ,,, .,. •.,,,,,„,,:,... „--,e.,,,,,as.,,,,,,,,.. ,,,,,,,..,,, ,,i,.••••.„,i., '4':,,',te.i-..-:;=,.:.•:::!.;Ai,li.,,..,..,„,•*.-Z.•°:"'• :-:"•,- 1::.'N-',42.1It.:-.--; ....1 New construction 0 Demolition For special information use checklist Description I Qty. I Ea, I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 R.for each utility connection) Va71,k,4=4,;W:=4;r ,TitA k1tt7::.7141li ,!, SFR(1)bath 312.70 SFR(2)bath I 437.78 El 1-and 2-family dwelling 0 Commercial/industrial SFR(3)bath I 500.32 0 Accessory building 0 Multi-family = . Each additional bath/kitchen 4 I 25.02 1 0 Master builder 0 Other: Fire sprinkler( sq.ft) Page 2 4:kti:i:IAO*jrt::: ,:I,tk4elir.4 Site utilities: Catch basin m area drain Job site address: I 531SG, 5 (A) -.71.N.NrY\4A Ur )836 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bIdglapt.no.: I Project name:Polygon at Bull Mountain Mariniwaved home utilities 50.03 Cross street/directions to job site: Manholes 18.76 ft Rain drain connector _............... 18.76 Sanitary sewer(no.linear ft.: ) Page 2 ..- Storm sewer(no.linear R.: ) Page 2 I Water service(no.linear ft.: ) Page 2 I Subdivision:Polygon at Bull Mountain Lot no.: (0/.4 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 1 -(45:13Ntiflet3f4;;Z.17- 4,1-Fiii-,13,szt ot,---..,4.- ,-.:-:71-74.7i;,4,0e,•.;,:ik,t-mi". Backwater valve 1 1251 , a''''-'4'wl- Pidlok 4 4P\ t) Pt-N-W Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 75,07 Expansion tank 12.$1 Fixture/sewer cap 25.02 Name:Polygon WLH,LLC Floor drain/floor sink/hub 25.02 Address:109 East 136 Street Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 ... Phone:(360)695-7700 Fax:( ) lee maker 12.51 - t,Ti4.4i •iiii,,°•7i7- . , Interceptor/grease trap _._ 25,02 Medical gas(value:$ ) Page 2 Business name:Polygon WLH,LLC Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address: 109 East 13th Street Sink/basin/lavatory 25.02 CityiStateiZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)6934442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:Angela.Crajewski(iSpolygonhomes.com ,-,:-.4.-:' 54:Fisr.i;:-64.*-414,,I,L.-4ft.Nstatesiposi,,,,:...„„.,,,..ge#.+A:.t,....:,..!,,,,„,„:,-..;,c ,:,,,„,,,:e.,110..•,.:::,-4.:.,- :,1k., Water closet 25.02 ';'t'"":',''',1:140g-,•It=".':Vlig;:-4 ,74=:.;'';;Aillia&gribrAlik-Valtt,- 4k't4d:'4424'7"t.'''''''=--:='4.-4:':''i'41::,''''- Water heater 37.52 Business name:131)L Plumbing LLc Water pipingiDWV 56.29 Address:PO Box 85 Other: 25.02 City/State/ZIP:Corbett OR 97019 Subtotal Phone:(503)351-3903 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.: 180345 Plumbing Lie.no.:PB1582 State surcharge(12%of permit fee) Authorized signature: as, tese.00e000.- TOTAL PERMIT FEE . Print name:Brandon Lanier Date: et zi 16 This permit a putkaaft=tieornitexhpaisresbe'ti.fna peraccepmtedit isasnacot mohptlaeitnee.d within 180 days *Fee methodology set by Tri-County Building Industry Service Board 1:\BuildingTermets\PLNIU-PermitApp doc 10101/09 440-1616T(10/021COMAVER) 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 g Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DAT riti 4, DEPT: BUILDING DIVISION - SEP 2 2 Z016 FROM: Angela Grajewski _ , F,T , COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 By:, / RE: 15386 SW Thames Lane MST2016-00041 (Site Address) (Permit Number) Polygon at Bull Mountain Lot 64 (Project name or subdivision name and lot number) ATTACHED R ARE THE FOLLOWING ITEMS: i Dc "6111:- _ � .,. • Coi,ies.1 De cr1 \ ,; 4U \�. .. ,.. 0 Additional set(s) of plans. 3 Revisions: Add 4t Bathroom 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed wi4 Trust Account. "V, f 1 0 . ,, C�F� �,USE �. y��..- �,. " .,.. �-., '...�. Routed to Permit Technician: Date: 9 - 9 - j (, Initials: Fees Due: ►L1 Yes ❑No Fee Description: , Amount D e: ;! JL H /r�ocr P444 t/icw- $ qv; 0-6 /, A-.n/1I/J / $ VS; ©r� OI �. r- ,t 5 $ A',,:.: 472 67/ .moi�G' 2-6 $ , 70 Special ru PPI . 94, Instructions: Reprint Permit(per PE): Yes ❑No one Applicant Notified: ,9-n/r� ate: ,gyp/0y 4, Imtials. - I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD . , , -` MASTER PERMIT ' COMMUNITY DEVELOPMENTOh Permit#: MST201600041 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2016 Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15386 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 64 Project Description: New SF. 6/13/2016: REPRINT permit to reduce bathrooms from 4 to 3, and add 166 sq ft covered deck. 8/25/16 ADD 2nd water heater BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1550 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2155 sf Garage: 661 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3705 sf Value: $463,887.13 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 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: N Vent Fans: 5 Clothes Dryers: 1 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 7 201-400 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 1 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 3705 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,330.70 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95�2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: c'"v Permittee Signature: Q,_ .61-4 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application • Building Fixtures imm,i,licz=imum, 121 e;)y:: Pertait Nis.: M5rao/(o—co Citi Of Tli arcl AUG 1 6 2 016 Datevte lrllo 1h 13125 SW Hall.Blvd Tigard,OR X97223 Pian,Review i 0.,:, Phones 503 718 2439 FC /5r3{ Dater'Hv Qui rPennitNo.: • • ���(� a lnspectton One; `113 63 1 Date ReadylBy: Juni. i RI See Page e 2 fa E!GARD "--u ° t)!I/(,�,°i lyl Supplemental.intormatian� Want av�a�v.tlgard-or.g— u 1�', � Na{rf[cdl�rfethod: • ,r k” ThT'E OF NiORI . : ..F.EE* SC11EDI7L . la New constriction 1 ❑17einolitlnn' For special information use checklist 1Jescrrptxan ftp. Es. [ Total Additi..on/alterationlreplacement 0 Other::. New 1 2-1'aunity dwellings(includes 100 ft (ireach utility cauinection) �$; t� SFR(1)"bath 312,70 4 CATEGOR'E,C1F f O:�57RGtiGI'1dN _rs -"I : SFR(2)bath . 43738" E.} and 2-family dwelling 0 Commercial/industrial - :SFR(3)hath 500:32 . ❑Aceesseiry building . ❑Mttlti-fatriil,: Each addtfianat bath/kitchen. . 25:02 ❑Master builder ❑Otliet. Fire sprinkler( s9,it;) I , .Page 2 JOE SITE'1NFORAIA'flidi.AND LikkiiON _ Site utilities: • • • - 2(�( , ' j r �,y�ep Catch basrik or arca drain 1.8.3b Job site addresa I S 1 V( `t" -1�1�I,n'1.'.r�5 - 1 L4 12r Wd11,:leach line;9r trpichr drain 104 city/Statet M.Tigard,OR 97224 Footma drain(no,Kinear ft:: ) Page 2: 1: Suiteibldg:/apt;an.: Project name:Pollgnu at Bull'Manntain �Manufaeturreed home utilities`. 50,03 " • • Cross-setidirectic nstojoh site: ' Manholes 18:76 Rain drain connector 18.76 , . , Sanitary sewer(no.linear 0.: ) Page:2 • • . .'Stlimi sewer(no.linear li.:. . ) I Paget ; t .. Water service(nia linear f1: ) Page.2 Subdivision;I*olvgon.at.Wilt Mountain I at nv. Lp4 kluiture its item ." Taxrlma arcel no,:-no,:- Backfow presenter 33'_27 P/P Baakvvater valve 1251 DL'SCRIPT'IO OF WORK l A,1,--'",' ._,41 . -: Clothes washer ._ 25.02 . : . .. Dishwasher .. .25.02:. • • Drinking f'ouiitain 25.0 E;ectersfsurinp 75.02 'ROFEItTI" ow-rER r. ' I&N ..❑ FE T ... Expansion ansivn tank 12.51 • .__.._. • Pixtuma'sesvei cap I 25,:02 • Name:Polygon 1111 LLLC • F(oor.draiiviioar sink/huI b 25:02 Mdr s::109 East I3tn'SfreetGarbage disposal2x.02 • . .. . Cit}/StatefZLPt 1'ancauver,WA;98660Hose bib 25.02 Phone:(360)695-7700 Fax;(. ) 12.51 I e ce torf eaae tra 25,0 . . • '� �rr�rcxtvr_= - _ ❑ BCONTACT�rR�o� � �'-' � 2 ) . ... 144edical gas(value:$ . Page 2 Business name:Polygon W'IH;LLC • Milne 12,51 .•Contact..name:Angela.Grajewski . .. Roafdrsin.(corumerciri 12.51 Address:109 East.130)Street Sinkibasiri/lavatoty 25,02 City/State/ZIP:Vapenus er,WA-98660 Solar units(potablewatery 62.54 Phone:(360)'695-7700 Fax: (•360)693-4442 Tii&shower/shower pan 12,51. . : Urinal . 25:02 Email: Angela.Crajewski g poiygonmm hOes co . .. .. .. .... _ .. Water closet 25 O2 a CO T Rae•ro r zr' Y' 4_ 'r".14. ater ater 37;-2 'IT Business name:BBL Piunib'ing LLc. Water;pipingjDWV • 56..29 Address:PO Ea 85 •• Outer... .25.02. . Citk/State/ZAP:Corbett OR 97019ti Subtotal ' .. . 'Minima/itit'kimt m patriot fee $32. 4 • . { ;(03)`451-3903 1; .:( ) Plait reviec (25%&permit.fee) -• CCIT.Lie.:180343 :Plunttiing T_ic:no :P111582 .. . sur . :State -"" eha'iige"(12 '6of pernitt. ) Authorized signature TOTAL PERMIT F son ex fires€f la t a f D Y. TI a erne s iw a t e is permit ap{tlic�rt p ntn d within days 'Milt.riaine::.firprd0n Cantel Ps1g: 8 11p ' attar it has been'acce ted as complete., ._ J � , I *Feu nethedulaot set by Txi-Cass ty Huelding Industry Seiv-t¢e Beard. kteuiIdingPtru td2L 401erraitAppdce'10/01109 446,46.16r(.1.0io2COM/Wga1 mg CITY OF TIGARD JLC - 74 MASTER PERMIT 2 COMMUNITY DEVELOPMENT Permit#: MST2016 00041 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2016 TIGARD Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15386 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 64 Project Description: New SF. 6/13/2016: REPRINT permit to reduce bathrooms from 4 to 3, and add 166 sq ft covered deck. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1550 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2155 sf Garage: 661 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3705 sf Value: $463,887.13 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 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 TvDes Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 7 201-400 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 3705 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,243.68 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 thro 0 952-0 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued B Permittee Signature: ' /f/ "Z/.(t0--„0•k47 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. q CITY OF TIGARD MASTER PERMIT 111 $, COMMUNITY DEVELOPMENT Permit#: MST2016-00041 Date Issued: 04/13/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1080001506 Jurisdiction: Tigard Site address: 15386 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project: Polygon at Bull Mountain, Lot 64 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1550 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 2155 sf Garage: 661 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3705 sf Value: $456,692.69 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 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 Tvoes Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 7 201-400 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 3705 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,284.02 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 0 2-9 1-0 0. 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: . 1/1/ /�Z/e1�r7/1/ 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. , /- 6 7---- Z r BuiMin!Permit Application r! ' 1 RECEIVED ED FOR 01.1.1( E t SE 0\l.\ City 'TigardReceivedBy / fL o Permit Ni ysj'20/6_40 IN " 131SW Hall Blvd.,Tigard,OR 97223 Eg 18 2016 lar ew rJ 1 Phone: 503.718.2439 Fax: 503.598.19 Dan Ry: 3) J) 6 other Pe`reaSie ge/6—©aQ. . , 1, ., F;, Inspection Line: 503.639.4175 Date ReadyBy: J See Page 2 for Internet: www.tigard-or.gov CITY 6��r �RD Notified/Method: Supplemental Information BUILDING DIVISION . ,3 . , gJ. �rz __. .-.....,._.� � - .>m_=,.. ..-_ ..> ._...,.�..,..�..�....,a.-, -e.....,-..,�..1.�,,.. _.. ..._,.3,r::�.n.:a..,,.»�tu�.w..,..-v�._,�...F� dG.� .�..t.,» � .....�,.a.._- ��.....�` .a, �'��; ,H. ,>.- ®New construction ❑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 >F ff r .- = work indicated on this applic. •a ® 1-and 2-family dwelling 0 Commercial/industrialValuation:a_ . a $ U —""ily D Accessory building ❑Multi-family Number of bedrooms: 4 ❑Master builder / 5.3 g(p , 0 Other: Number of bathrooms: 71!MI 4V21111lFillIl — , Total number of floors: 2 3-7E . 4 3 . . Job site address: S /f a0 \ae New dwelling area: jj square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: • • square feet Suite/bldg./apt no.: I Project name: Po\ C313n (.... P6 N.)r\ r�i-n Covered porch areaa. �0 4 square feet_ 13 Cross street/directions to job site: f J Deck area:4 . +, square feet r1/45' Other structure area: OF square feet Subdivision:Polygon at Bull Mountain I Lot no.: � Permit fees*are based on the value of the work performed. Indicate Tax map/parcel no.: the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ' am'i , ,.. it ? d ., ,..,.�a a-. work indicated on this a.hcatlon. . . H ' . " 'm . ' » , -" Valaon•ne-.1.0 iJ11 \Q . 1v.\ .3 * ti $ Existing building area: square feet New building area: square feet -:# r''''''•;'-'::7- : '` / II:., r i ri Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 E 136 Street Occupancy groups: City/State/ZIP:Vancouver,CA 98660 Existing: Phone:(360)695.7700 Fax:(360)693.4442 New: ,s �� i , err 7. x Business name: Po .• t l..) C �. .-�° , • ._ M � Structural plan review fee(or deposit): 111 Contact name: 0, • `_e. �ore\ FLS plan review fee(if applicable): Address: I 0 Q i 1'7 , Total fees due upon application: City/State/ZIP: \Ctir)0 v C.( ii 0\G�to 0 2 Amount received: Phone:lltQ i�l�) n l�' ���� I Fax :(���) Q�'�2�� E-mail:maggie.gordon@polygonhomes corn 9 Commercial and residential prescriptive installation of , � ,. , _ .. . �_ J �_,._-_ roof-top mounted Photovoltaic Solar Panel System. Business name: , v', Submit two(2)sets of roof plan with connection details 11 W'1 L11 I C- and fire department access,along with the 2010 Oregon Address: 19 a l' ''64.1n Solar Installation Siecial Code checklist. City/State/ZIP: J Qin CO ul7e_f" v3 A Q D(.0(o0 Permit Fee(includes plan review $180.00 Phone:e3lpO) to a5`-31-0C) Fax:act)) 0Q3 . 4222, State administrative fees State surcharge(12%of permit fee): $21.60 CCB lic.:204238 Total fee due upon application: $201.60 Authorized signature: 1 This permit application expires if a permit is not obtained • within 180 days after it has been accepted as complete. 1 *Fee methodology set by Tri-County Building Industry Print name: Date —Z�_ l� Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB) . ' ' Elecrict4Permit Applicati FOR OFFICE 1E t)Ni, ,S ‘ City of Tigard tECEIVED Received Permit myr,f7-4 2 e/6 40:23,// • ll 13125 SW I kill Blvd..'t igard,OR 97223 Dateaiy: Ilan Review 11 Phone- 503.718.2439 tax: 503.598.19B 1 8 2016 DOther Permit aienty: Inspection Linc: 503.639.4175 Date Ready/liy: rails ID See Page 2 for I I‘,• \t:I) r..r,r,A01-1 Internet: www.tigard-or.gov CITY Or 1 ...7,m-it, Notified/m.1NA: Supplemental Information 4:frittdrir7.4,1VM.V.Xlit;44X1*10.:.:4:45:Mailat.0%,qt,\.0§‘.1L,':'i,:-:, ,,:.-:.:•'.f;':-.',.:..,,.,- ; -,,l':',.': •'. ..,;:':: ::''':.:!,-,-' if ....0 '1.,,.::::,,'•-'•1, ,! 1: '-' '- E Please check all that apply(submit 2 sets of plaits Witettis checked below) New construction El Addition/alteration/replacement 0 Service or feeder 400 amps or more El Building mei.three stories 0 Demolition 0 Other: where the available built current 0 Marinas and bottartls " '''':':J'4'''''''' itti6eiitie-kifii.'-titifiglit&tiiiiv - : - 1 ' -';-- '' '-' exceeds 10.000 amps at 150 volts or 0 Floating buildings : .. , . ... ..: ..,:.,:', , ,t,,,:..„. .,,.,..,,t.„: •:,,, ..,,,,,,,,„.,, _ ,,.,. .. ,,. .,.. . ,, , . ,z less to ground.or exceeds 14.000 0 Commercial-use agiicultural 0 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations buildings 1 0 Multi-family 0 Master builder 0 Other: 0 Fire pump 0 Installation of 75 K VA or 1 i:: :41.: Tt'i!i '''...:'!.7dirirrr..riiitaltitiWi.'lLtleisti' I .e„...7 Op. . ..:. 0 l'.inetgeney system larger sepataiely dens ed:: stem ,.. , ,,,,..,„77,%,,?,•,,i.., ,, .,_, ,-„_ ,....„,,,i ..;....,,,, ON' •.- „,„:.?0.a .. 0 Addition of new motor ImIll or Job no.: Job site address: '1- 14-titt SW-11-No_ok_eD n 100111'or more. occupancy 0 Six or more residential 11111N 0 Recreational kehiele parks City/State/ZIP: -1-% .9eLid o . ci-nziA 011e:11th-care facilities 0 SI10171Y‘011age lin more than 0 Hazardous locations 600 N Oil%110111111:11 Suite/bldg./apt. no.: Project name:Y(:, )9,, cor o\ M-1-1-) CI Service or leeder 600 amps or more. ScTLE Cross street/directions to job siZe: Description I Qty. i Fee. I Total I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.:t, 1.001)sq fl.or less I 168 54 4 Fa.add'I 500 sq.Ii or ponion 7 33 92 I Tax map/parcel no.: limited enemy.residential ) 75 00 , t'C;4ISiiiiitfiif,i:'tiie.Votti&.''"''-"!';..--...'7'4-.'''' ''.-''-'" '''-' (with abo‘T sq.It) limited energy.multi-family 75 00 , 1 New electrical service and wiring - residential(with abtwe sq 11) _ Services or feeders installation,alteration.and/or relocation 200 amps or less 100 7(1 2 'i1461ifike*siliAlkif;::::-:::: '-',,-::- ',: ;.•,-2' ' '''' ,(4-4,13'TENANT- '.- j •' ,''''. ,-,.. 201 amps to 400 amps I 33 56 1 401 Nameamps to 600 amps 200.34 , : po\,1 601 amps to 1.000 amps 3(11 04 .1 Address: 1 t)CA Lt ‘,..61/4"kr‘ 54' Over 1.000 amps or volts 552 26 , _ DW City/State/ZIP: \.) r kil‘YP 'temporary services or feeders installation.talent 1 i011.and/or OXIOeCA (eke/14 C.) relocation Phone:biD) 6 ct5,--mD Fax: 1)514 ) U2C15,qq1/411....„. 21/0 amps or less 59 36 1 I I , 201 amps to 4()0 amps 125 08 , _ Owner installation: This installation is being made on property that I own which is not I 1 intended for sale, lease, rent,or exchange.according to ORS 447,449.670. and 701. 401 amps to 599 amps 68 54 , - Branch circuits-new,alteration,or extension.per panel Owner signature: Date: A.Fee for branch circuits with above service or feeder fee. ,-,.,., ID:,,,perITAq!,!riftgioN-c:Jf. 1''-:-:,',. 7 42 7 each branch circuit - Business name: (P- -)---9 1p 13 Fee for branch circuits withrna service or feeder rec.first 51 Contact name: me .0, a ve, (--)orip branch circuit 6 Is - Each add'I branch circuit 7 42 2 Address: 0 0 0' AMiscellaneous(service or feeder not included) City/State/ZIP: ail C_,OU • '' \.)) I 1. Each manufactured or modular dwelling.service and/or feeder 67 84 , - Phone:( ) Fax: :( ) Reconnect onl) 67 84 5 _ E-Mai 1:mapi,q ve,.Clibraof\ CD Do kig Denhayvt, cAp-Nc- , Sign or outline lighting 67 84 - , ',..'•C-:7,',... ..'-‘''' .;.:*;:..,.:•,, i:''. . .,:A,;,7•, ,.•:'',-.COSIT.*.k0 .''. .'., -,.. •Pump or irrigation circle 67 54 s , , , . • -. Signal circuit(s)or limited-energy Business name:Simply Electric txmel,alteration,or extension Page 2 I 2 Each additional inspection over allowable in any of the above Address: PO Box 822408 Additional inspection(I hr min) 66 25/hr Investigation(I hr min) 66 25/hr ---1 City/State/ZIP:Vancouver,WA.98682 Industrial plant(I hr min) 78 I X/hr Phone:(503)849-8202 Fax:(360)314-4945 Inspections for which no lee is 90 00/ 1 lir — specifically listed(Y,hr min) CCF3 Lie.: 204615 Electrical I.ic.: . 067 Suprv. I.ic.: 4394S ,'- ''''.'!'.''''''ElLiECTItteAt7PETtligt7IFEES ' Subtotal Suprv. Electrician signature. required: ( f5 Plan review(25%of permit lee) Print name: Victor Zarzhitsky Date: 11 I 7/2015 State surcharge(12%of permit fee) TOTAL PERMIT FEN Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: • Number of in,:pections allowed per pet Mil I ii.idlnl.nrernlite.H.C-PcrinaApp doe 07,01;10 4411-161S n I 1,0C VONIAVEIS 4 Mechanical Permit APplica " Feu OFI-Ici „i:v.Ll C MED Itte iyed City.of Tigard D err: remit k4/1.S%�B/6-"�0`t 13125 SW.Hai1'Blvd.,Tigard,OR 97223 . FEB 18 2016 8 . _ ( Permit: � Phone 51:13.31P439 Fax: 503598.12960 -' Inspection Line 503.639.4175 Doc Rca¢y/145 'uricH See Pate t for Internet waw.tigatd.ar.gov CITY OF T"GARD - Supplements!tntorm.tion. z` a.,,rr -.. ,-- a .,.s --'tve' 4 .. , ,• Mccharltcal permit fees*are based on the value of tate Rork 181 Ne*eiiiistrUction 0 Addi ionlaltcrationtrtplactmetit performed.indicate the value(rounded to the nearest dollar)of all inoclianical materials,equipment.labor.overhead,and profit ❑ � ❑Oth� Value.5 e7 ,f-,144:5:4?moi Bk`s @. @ t ,-.14 i!':,Li .'. ®1-rand 2-fatiitydwelling ❑Commercialfmdustrial 0 Accessory building For special'infomotton;de cieddist p Multifamily 5 ❑neer builder :0 other: Dcscarpncn I QtY• I Fa. I Total dd , ^- 17 i-`V pt 7 E f l r .t, . 5 I r 6 t.ry 11E q --", -ara`S,-` '^ t-.,...k' }it9 : �p"°r' :g. l LS.-',--mo- ., f' �$`fa.c. � - m l�-:,` 1n Airrnttditionu 46.71 Job site bddlcs � w,X3.117 ..} 0 i J a 4 I Eumact 100,000 B7�1(dums/wan) 1 46.75 RCityig: G 7' u Furnace 100.000+Bl11(dam) 54.91 /StatilZ T1 `,ci • 61.06 Suitelbldglapt nog `J I Pmject aamm P0\1 C J— Pr%\\ nr)1:n Duct work 2332 Cross:soret/direr ons to.job site: Hydmrtic hot water system 2332 Residential boiler(radiator or hydronic) 2332 Unitheatex(Etd-type,not electric). in wail,in-dtict.ausPerrdad.etc. 46.75 Flue/vent for any of above 2332 + ^1 , mei:- 2332 Set..... .aa: _ Lot pm: ll/`� (Aee3oe7apptiai►cdi Tazanapl ' 7 k - `3 Pias fine' t asect. 39 ,.: .�.".,.. -- i?Int:vtmt:for'W9�Lcrhe2Rerargas fireplace 23.32 1,; 1 .(p s) 23.32 Wood[prlletstove 33.39 Woodfireplsceduisa32332 CliiiimOYAM �:vent 23:32 - ` � a! °'s "c` s trsiioomental ezliMast and veotl4iioa: Name:PolygonNorthwest Ramp hood/other Cr kitchen eau ' 1 3339 Addiess:,109 E St Clothes dryer eadtaust 1 33.39 'Su gle4tuct exhaust(bathrooms, iljr1 ZIP.['aacvavcr,WA 98661 toilet compartments,:uttlity.ronnu) . 4 2332 phone {360oS1b?8D9 Fax ( ) AtlseasV>spmxs fans , 23.32 ,, k 2332 - 777,7r77"-,,7.7:'"F',..:31,71::::-.14r -tea z e _�.�;.,,�ti�C -,j��b..-t" ,t�' .'^n,«: ,,t 4.,w..- _... r„ , ._ - Fac!ptplag: Bum acme Polygon Northwest - 51135 for fast four.S4.03 for each sddibonal COntactoeme. EUMAoo,etc: 1 :Cras.hcatouttm Address:-169 E 13*St Wallrsuspeadedluait heater CityiStati�ZIp:Vancouver,WA 98661 "Water heater Phi=(360)816-7860 l Far:( ) Fel 1 Ran® i E-marl: Barbecue C, th+ Other $trsiness elan=Andersen Hating, _ ..� toe '''''%':,:.',4'” .t,,.k�,F�_a� 5� t 4. i � rYe t, e��" x": -`";€W, Addresr.1&2$5 SW'8S'a Ave Ste 410 Sabeotol 1Jlmimtrn pewit fee(S90.00) � �'AZI 97224: Plan review(25%of permit See) Phone 003)992-6664 Fate(503)S36-6615. ;State sures(12%of permit fes) CCB lie.:18214 TOTAL PERMIT FEE Tbk permit application ezplrei era permit's not obtained within 150 days alaerlt has been accepted at eoa+pieia Authorized signature: - • Fee methodology set by Tri-County Bu+lding Industry Service Bond Printneme Art-Aoderae Date:11/20/2015 M0-4617r{4110_.CQMIWEa) L-l1wl�pltamill4ECja>tpU1PP_O40113.doc r , _ di Plnmbin Permit Applicatl E VED FOR Or! ler I SF oNL1 Building FixturessFEB 1 8 2016 Received Permit No• Seo/b'-'40110 9/ City of Tigard ter 14 i 13125 SW Hall Blvd,Tigard.,OR�P1l�Tr Plan Review Otter Permit No.: Phone: 503.7182439 Fax: 503• 117 Date/Br L L + LOIN {�° n' has ® See Page 2 for Inspection Line: 503.639.4175 i�i i i t DIVISION I i V InternetwwwUgazd or 8� Supplementalm,eata7 Information. - , J _, -6 r �- ii-' ,t -`Y�t:"» 'g '`3 r „ s#.' For special information use checklist 1; New construction 0 Demolition Description I Qty. I Ea. I Total 0 Addition/alteration/replacement ❑Other New 1-2-family dwellings(includes 100 ft for each utility connection) -}ate SFR(1)bath 312.70 _, s -. .je tt'- : »F A G ., " ^`.;__.:-,a,_ ', b,. _ SFR(2)bath 437.78 li[I_and 2-fazail3'dwelling 0 Cammucialfinduslrial SFR(3)bath 1 50032 50(9,-54._- 0 Ate,building ❑Multi-family Each additional bath/kitchen 25.02 . ❑Master builder 3.3 _ 0 Other: ^Y Fire sprinkler(__sq.ft) . Page 2 - W -J--�. --_-F--' 34 ' Site airlines. -sem 3=r n� 1-, „ I•- --.----s-,----TIC . -•le `�.c'� as.� r � a t - 18.76 F,a - �:.. - Catch basin or area drain - Job site address: ( Vii Drywcll,leach line,or trench drain ]8.76 Z �1 drain no. linear R• Page 6 Footin g �R G Ci /StatrlLiP: � �� 1 1 50.03 no.: �.Project name: Yo\\1 , CLQ IN Manufactured home utilities� Suite/bldg/apt. � Manholes 18.76 Cross street/directions to job site: 18.76 Rain drain connector Sanitary sewer(no.linear ft:_ ) Page 2 • Storm sewer(no.linear ft.:_, , Page 2 • Water service(no.linear ft:__J Page 2 Subdivision: I Lot no.: ( C\ Fixture or item: Backflowprevcntcr I 31.27 N r2,' Tax map/parcel no.: Badavates valve 1251 ‘ 7J} yam- - ` - _ y - 'Y-- - =: _ . y J - --- r Clothevimim. ( 25.02 g5,0Z DishwasbQ I 25.02 (915,02 I V e,/. ~b rP•"'4-'" '`3 r 1 Drinking fountain 25.02 1 Ejectors/sump 25.02 -4 Expansion tank 12.51 :.....r, ... - Fixture/sew=cap 25.02 Name: oN��f 7� t `� Floor drain/floor sink/hub 25.02 Address: t, 1 Yh 5 , ' n Garbage disposal C 25.02 2c7,dL City/State/ZIP: )(IOU W)'f�` "1 ) Hose bib 1 25.02 75.0(1.- G.I` 7 Fax:( ) Ice maker• 1 12-51 12.,C5, i ' Q 412x - :, r' M rj , - i-7-7--.7%+.3°;:---7-:,1.,A- Interceptor/grease hap 25.02 .„-„,,,,..-.4. ,,,..,,,,_ ,,;: -1-, .._.. _-= _ s�:.- te - , _.,_ Business name 3DL�AL�, � ( , AMedical gas(value:S ) Primer P2 1251 Contact name ` YL, ZGbYC)yt_A Roof drain(commercial) 12.51 AD 37 Sink/basin/lavatory 25.02 41 1 Solar units(potable water) 62.54 City/StetclZ�: C$12- 7 lb 1 F-(�2._ /, Tub/shower/shower pan. 0- 12.51 ,Z Num:( ) 1 3�V3 Fax :( ) �� 25. 02 E-mail: r ..AV.),_. 1rnw1 ebH'ti Water closet r 25.02 -�� •: .._ - _._,_ Water hearer L 37.52 271-.52- Business � Busrtness name:�� ► j� LLI_ Watt piping/DW V 5629 r'� .� �� 25.02 Address: f(f f-J 0 C l6ri Subtotal City/State/ZIP: Minimum permit fee: S7230 Phone�j?j) . � j�d3 Fax ( ) Plan review (25%of permit fee) CCB Lk.: 1 66345. Plumbing Lia teD 1582_ State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorizes sigaatrac _ This permit application expires if a permit 7s not obtained within 180 days Date: I / SI after it has berm accepted as complete. - Print name: /- ��� - ' I ��� F«methodology set by Tri-County Building industry Service Board 1:\&,adingtPcmeAPLMU_i vmitApp.doe 10/01/09 a404616r(tokr-Pcovwt B) Albert Shields From: Albert Shields Sent: Wednesday, February 24, 2016 2:51 PM To: 'Maggie Gordon (Maggie.Gordon@polygonhomes.com)' Subject: RE: MST2016-00038, -00039, -00040, -00041 & -00042 Attachments: Conditions-02-24-2016.pdf Maggie,various of the Conditions of Approval under SUB2015-00002, highlighted on the attached conditions list, remain to be Met before we can release these 5 permit applications, meanwhile we will put them on Hold marked "Approved but Not Released." Please let me know when the conditions have been met. Thanks, Albert. 1 t City of Tigard 1111 I 41COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: /y_r7"b2a/e, - OQV y/ Site Address: )5.3k0 154W SW 1A 0-Le., Ln Project Name: Or Po) ) )O h (7* (3 U 11 MCU4 tu'l 1\1") Lot #: ( 4 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: (\J l SFR' pVerify site address/suite# exists and active in permit system. ,j:a River Terrace Neighborhood: ❑ No ,Z Yes, See River Terrace Review Addendum Attached Site Plan Elements: /Three (3)copies of site plan Existing structures on site )'Site plan must be on 8-1/2"x 11"or 11 x 17"paper 2Footprint of new structure (including decks)with finished /Drawn to scale (standard architect or engineer scale) floor elevations ;21�North arrow ZUtility locations (required for new,may apply for additions) C�Site address,project or subdivision name and lot number -ffLocation of wells/septic systems C,2\-\pplicant information(name and phone number) /Erosion control(including drainage-way protection, silt fence ZLot dimensions and b ding setback dimensions design,location of catch basin,etc.) PLot area,building covI4'aiea,percentage of coverage and Street names impervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location (2l'roperty corner elevations (2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) _ protection measures jZi Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No pe Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant wasnotifiednotified E No Applied For: CI Yes ❑ No,stop intake 0 Land Use Case #: SV l� 201.C-0000/ 2.1 i Zoning: 12 Z I 5 � Setbacks: Front 2-o Rear ( S Side S Street Side IS. Garage ?O Z- Landscape Requirement: cya 1Lot Coverage Maximum: ,Z/Building Height: Maximum Height v3 0 Actual Height 2q Z Visual Clearance ,, 2 Easements ©Sensitive Lands: E Yes ❑ No Type Ck-firban Forestry Plan 2r-Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: ,4") (9 l/1 RI* l3 tic; cL G(..<ch. Date: 2/ ) S / j ,i Revisions (after Building Submittal only) Reviewer Date Revision li ❑ Approved ❑ Not Approved Revision 2: E Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\B1dgPennitRvw RES 012116.docx ,44 Building Permit Submittal Original Submittal Date: 02�46PA,6 Site Plans: # 3 Building Plans: # J Building Permit#: enter building permit#above. Workflow Routing: Planning •B-Engineering icrmit Coordinator building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: ErEngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans, building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: 49/4Date: „3/2 �{�, Engineering Review Slope at building pad: ZA CPConditions "Met" rior to issuance of buildingpermit P Easements (encroachments)per engineering conditions of approval and plat fr Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No El NOT Approve• by r, gineering: Date: Notes: r _ Ayr is !_� /�i�/�, .O►Ai!: — _ Approved by Engineering: /12,.._ Date: -. 0.;..Z. :. G �� 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 ?0Approved,NOT Released: / Date: 2-124/16 r Notes: Ju ecce. 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: ff'SDC Fees Entered: Wash Co Trans Dev Tax: -4e'Yes ❑ N/A Tigard Trans SDC: , 'Yes ❑ N/A Parks SDC: Yes CI N/A OK to Issue Permit • Approved by Permit Coordinator: /.. e, Date: (1-/3 -I co 1:\Building\Forms\BldgPe7nitRvw_RES_0121 1 6.docx w a City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT "II ■ T I C;A R D River Terrace Building Permit Review Addendum Building Permit #: i/S7 o/(, - 00 0 V/ Site Address: 1538 SW m 01 ryl.Q-S Ln Project Name: PO( l 00r) 01-1- Lill m 0 i n 17/1 i 71 Lot #: (oil (New chienliK=subdivision name;.1ddition or.1Iteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1.): 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage. An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: f S, 3 /- 3. Entrances: At least one entrance must meet both of the folio ing standards: Max. 8 ft. setback from longest street facing wall Parallel to street,angle no more than 45" from street, or open onto porch Entrance opens to a porch: VYes ❑ No If yes, all the following apply: 425 sq.ft. min. 1,, /LJ One street facing entry ,'12 ft. max. roof height above porch /5 ft. depth min. ?30% min. porch roof coverage 4. Detailed Design: All buildings shall include a min. of five of the following elements on all street-facing facades: jZi Covered porch min. 5 ft.wide x 5 ft. deep /Recessed entry area min. 5 ft. wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide VRoof eave min. 12 inch projection 7� Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood Jam' Gable,hip or gambrel roof design E Roof pitch oriented south min. 500 sq. ft. / Horizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40% of street facade / Window trim min. 2 1/2"wide by 5/8" deep E Window recess min. 3 inches for all street facing E Bay window min. 5 ft. wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access , Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. ❑ Yeyt No. If No (Check one): ❑ May extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. May extend up to 5 ft. where the garage is part of a two-story building and there is a window at the second story 7above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door /40% max. of street facade ❑ 50°'" max. of street facade with 7 detailed design elements Notes: Approved By Planning: 01,0 h l2 cam{ /j,t p Date: ql o / If., 1:\Building\Forms'BldgPennit Rvw_RES_RT_012116.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. 1 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 11, li 11 Transmittal Letter T k_;A iz D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED MAY 17 ?nib FROM: Angela Grajewski/Chris Walther OR COMPANY: Polygon Northwest CiTYft :GAD BUILDING DIVISIONS PHONE: 503-312-6213 By. RE: IBJ SW Thames Lane MST2016-00041 /55 -X C. (Site Address) (Permit Number) Polygon at Bull Mountain LOT (p 1--I (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description ,. '` ;:Copies: . Description: 0 Additional set(s) of plans. 3 Revisions: WIC/4th bath change 0 Cross section(s)and details. 0 _ Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Removal of 4th Bedroom bathroom into Walk-in Closet x, _ ,�.5 % ;3, FOR OFFICE USE ONLY Routed to Permit Technician: Date: 6 / C l ) .6' Initials: - Fees Due: tj Yes ❑No Fee Description: Amount Due: 1 })y JO/c.n r,•,e., rte, $ 90� f�M/AJ A $ - -e- Special Instructions: Reprint Permit(per PE): Yes ❑No n Done Applicant Notified: 'G'i' Datel/3/1 a---Ale,g.— Initials:, -- 1:\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 D.r4a for trnsn itting infofmatiol•• 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•g you.projgit. • • • • • • • •• • • • ••• • • •• • • •• City of Tigard • COMMUNITY DEVELOPMENT dEPtTM!N I: Transmittal Letter • .. T A R F) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718:243D •'wwv:.tigard-olr.gov • • •.• ••. •• - • ••. . • TO: Tom H. DAT ED DEPT: BUILDING DIVISION MAY 2 4 2016 CITY OF TIGARD FROM: Angela Grajewski/Chris Walther BUILDING DIVISION COMPANY: Polygon Northwest PHONE: 503-312-6213 RE: 15386 SW Thames Lane MST2016-00041 (Site Address) (Permit Number) Polygon at Bull Mountain LOT 64 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies:, Description: Copies: Description: 0 Additional set(s) of plans. 3 Revisions: change from patio to deck 0 Cross section(s) and details. 0 _ Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 2 Engineer's calculations. 0 Other(explain): REMARKS: Terrain makes a deck necessary FOR OFFICE USE ONLY Routed to Permit Technician: Date: S' / a,6 r Initials: Fees ue D Yes ❑No FeeDescription: AmountDue: ,S r p1 a-h rev $ 6- a (7 - a (7 Gleet c o ve,r d $ /9A/7/Ai , - $ a-0 Special A9-61S --ti Vgz-tt417'A/ Instructions: ¢ ft Eck}C,C /'°6-14/17/7- Reprint °E7Lt7/7-Reprint Permit (per PE): es ❑ No ❑ Done Applicant Notified: Date: 6/14, k7'/091c.._ Initials; -- ,9�G/E / I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 15386 SW THAMES LN, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final PASS November 3, 2016 at 11:08:43 AM MST2016-00041 David Young Secure outlet in master by tv plug. Remove smoke detector cover for testing in upper level back bedroom. Will check at building final inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 15386 SW THAMES LN, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final PASS November 8, 2016 at 5:24:35 PM MST2016-00041 David Young Note: no AC installed at time of final inspection, permit and inspections required at time of installation. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 15386 SW THAMES LN, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final PASS November 8, 2016 at 5:17:01 PM MST2016-00041 David Young Corrections from previous inspection complete. Violation Summary: Inspector Contractor 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 .rovides hel's the review process and res'onse to our p ro'ect. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 11/41 . Transmittal Letter T I G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti lard •r.l ov TO: Tom H. DATE -,;.� (� ,!. DEPT: BUILDING DIVISION AUG 2 2 2016 FROM: Angela Grajewski i CITY OF TIGARD COMPANY: Polygon BUILDING DIVISION PHONE: 971-212-2144 / By / RE: +i 0 N ii f 11,' j I MST201> t®�( . �C.� (Si e Address) (Permit Number) Polygon at Bull Mountain (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS• 0 Additional set(s) of plans. 0 Cross section(s) and details. 0= Revisions: Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 3 Other(explain): Additional eck details re. deseu by ins sector REMARKS: t Technician: ." $, ra Routed to Pe• . 9 Date: Initials: � Fees Due: Yes Initials: ❑No Fee Description: Amount Due: $ `F $ Special $ Instructions: Re print Permit(per PE : ❑ YesIii Applicant Notified: Date: �' NO ❑ Done Initials: IABuildingWorms1TransmittalLetter_Revisions.doe 05/25/2012 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 15386 SW THAMES LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O November 9, 2016 at 4:30:49 PM MST2016-00041 David Young Final erosion control approved. Street tree certification received. Moisture content form received. Vapor barrier form received. High efficiency lighting form received. Blower door test report received. Insulation certification checked. C of O left on site with contractor. Violation Summary: Inspector Contractor