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Permit
CITY OF TIGARD rim IRE MASTER PERMIT III COMMUNITY DEVELOPMENT Permit#: MST2016-00212 Date Issued: 06/02/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB07300 Jurisdiction: Tigard Site address: 15258 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 71 Project: Polygon at Bull Mountain, Lot 71 Project Description: New SF. 8/25/16 ADD heat pump in basement. 10/28/2016:Add 2nd water heater. 1/17/17: Add 4th bathroom and A/C. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1542 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 2167 sf Garage: 739 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 4535 sf Value: $548,479.48 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 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: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 2 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'500 sf: 9 201-400 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 4535 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 2 A Geotechnical report is required before the footing PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,584.77 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: l 4dd _- Permittee Signature: 64V /C),PC/(7,9del 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 ApPlicatIRECEIVED Building Fixtures City of Tigard JAN 102.017 / / /%7 7tNo.:ty\ T1016-a0212- Dam+By: 1111 111 13r�one Ssd iBa�9 T Fa'5a3. h 1.I GARD Other Permit No.: U I LD I N G DIVISION O N Dere Ready/By 7 I ,Seer ge 2 for h1s Line 503 639 4175 a Sn pkmenW Infarmatloa f) Internet: www ngard-or gm t'�� -•1,,,,,.,-;.„,,,i „ -�z" T` • , �w, ._ ����w.rm .. �, �� ''" For special is farmatrar+"se checklist F�4 New c�strnction ii Demolition Description I Qty. 1 Ea I Total 0�. New 1-Z-familY dwellings(includes 1.00 it for each utility connection) ❑Addtticn lalteration/replacement SFR(l)bath 312.74 _s�, t!,,,-;.`L'.-;--,i €; :L 1 ': 437.78 .,. . _SFR(2)bath ►do 1-and 2-family dwelling C°» tal7tndnsinat_ SFR(3)bath 500.32 ybuildC3Multi family Each additional bath/kitchen 25.02 Accessorng ❑Other: Fire sprinkler( sq.ft.) Page 2 0 Master builder R Site utilities: :c W .r.. """ _Catch basin or area dram �, �t; �a �ae€• � It #s � ,� - I 18.76 Job site address: r52. (��`�(h(� S �� en,leach Linc,or drench drain 18.76 City/StateZIP:'Tigard,OR 97124 �t,t Footing drain(no.linear it:_.) Page 2 0r 0.'i IA,�� Ali'h. Manufactured home utilities 50.03 Suite/bldg./apt.no.: 1 Project name:.1�'olyg 18.76 Manholes Cross streetldirections to job site: cofor 18.76 Rain drainSanitary sewer(no.linear ft.:•_,_.) Page 2 Storm sewer(no.linear ft.:__J Page 2 Water service(no.linear ft.:__) Page 2 Lot no.: Fixture or item: Subdivision:POE aiOt� �} -?"‘A-k‘ (\Al.() ( ( Backflowprevcnter 31.27 Tax map/parcel no Backwater valve 12.51 as P cl ,..,I-e, . W :a: � Clothes washer 25.02 . 25.02 Ra (A�� "Dishwasher 25.02 Drinking fountain • i tie- (16'e. i--...k: ' 25.02 Ejectorsisutnp E io �� n tank 1251 ,. g,1,< s'4'11 r 25.02 ' ' , s : , Apt.,,, ,,.: Fixture/sewer cap L e- 25.02 Name:. �O�y90� W L1. Floor drain/floor sink/hub Garbage disposal 25.02 Address: ton etS4- ‘2 4etel Sir .-- 25.02 se City/StaterZlP: Ilancou` gyvvP #gilt C) H` bib Ice maker 12.51 Phone: t 6 (Q015-'7700 Fax:( ) Interceptor/grease:. trap 25.02 -.6 ,- - •° ,. re 1 Hellcat 8�(vaItxe S ) Page 2 Business name: '9©1 O Yl VV 1.-\t 1- Primer 12.51 yg Roof drain(commercial) 1151 Contact name:Angela Omit wsid 25.02 Address:109 East 13th Street Smklbasu>/larY Solar units(potable water) 62.54 City/State/ZIP:Vancouver,WA 98660 Tub/showerislwwer pan 12.51 Phone:(360)695-7700Fax::(360)693-4442 Urinal25.02 E-mail Aageda.cralewsk1®poly%gonhomes.com Water closet 25.02 . ig ' heated. 3752 ' §,! •" ,�. s � Water�=a ' �'�� , > ��� W _ r'l Water 56.29 Business name: ���1j `n r7 v''ls ..W`" PiPing/DWV 25.02 other Address: •4, $ _ A Subtotal City/State/ZEP: ST. p i t 0-rt. 1 -al - Minimum permit fee: 57250 Phone:( ,-84S-- (4411 Fax (G1 p..- 41 v - Plan review (25%of permit fee) Plumbinlgl ''Lit.no. rail State surcharge(12%of permit fee) TOTAI PERMTf FEE Authorized signature: i s permit application expires if a permit is not obtained within LU days r't 4` Date: ' V-1�+' after it has been accepted as complete 1 Pont name. ' `T✓� .. t'�• ( *`Fee methodology set by Tri-County Building Industry Serve Board latuitdmY�Pannits -P�tAPP' 101!1109 440.4 6 t 6T(10l02100WWan) 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 III = " Transmittal Letter T i G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.71$.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED JAN 1 0 2017 FROM: Angela Grajewski CITY OF IIGARD COMPANY: Polygon Northwest UILDING DIVISION PHONE: 971-212-2144 By. 27if RE: 15258 SW Thames Lane MST2016-00212 (Site Address) (Permit Number) Polygon at Bull Mountain Lot 71 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: �s ;Des�ptioln;,;' P „ , n. . ie;s`� �ecr, tQri , 0 Additional set(s) of plans. 3 Revisions: add 4th bath 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 with Trust Account. per buyer selection . � U NL EOY �... � Routed to Permit Technician: Date: )- ,)3- )-) Initials: -1-j Fees Due: Yes ❑No Fee Description: Amount Due: I N r p),, rev; $ q o $ Special Instructions: _Reprint Permit(per PE): 21 Yes ❑No ,J-Oone Applicant Notified: , -yi! Date: /A 7/7/7 z:7-/,#i Initials:. . ,----- I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 4 �F,,, CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT ?. ry '' Permit#: MST2016-00212 II �. r TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 /a4 4Date Issued: 06/02/2016 Parcel: 2S 108DB07300 Jurisdiction: Tigard Site address: 15258 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 71 Project: Polygon at Bull Mountain, Lot 71 Project Description: New SF. 8/25/16 ADD heat pump in basement. 10/28/2016:Add 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1542 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2167 sf Garage: 739 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4535 sf Value: $548,479.48 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: 2 Drains: 0 Water Lines: 100 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: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Fum<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'500 sf: 9 201-400 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 4535 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 2 A Geotechnical report is required before the footing PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,343.27 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: -_,7> 217‘,7 �- ,,1� Permittee Signature: flr61'e/(7,177l) 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. ° t X rip it Applien1 f F I()RtilFit I.1 `L(r,L1 city of Tigard SEP 2 0 2016 x ire4lei ?f -'l i; is i /4 eld 13125 S' !pall Blvd,Tigard,OR 97223 Date7lrv: 21? Plan teiiea P1lotte 5t13 718.2439 Fav; 51)3.518.l9 . Relaters Peertiit 8: Inspection Lino: 5a3,fr394175 I OF TiCi/ li' : Buten: gard I L®I�� _ klaie y: Internet uLine ,6y3. cb: n6\/lg6 l mage2for Notified/Method; s Supplemental lnfn-matipn �m�< New construction 0 Additiontalteratioreplucement taller rhea;all that apply�2 s u w LJ Detrit3lition (submit 2 sets n1 plans sa•}tems aherd). , 0 Other: CI S site or feeder amps or more Cl Building over three stories, where the available fault ourrtnt 0 Marinas end boatyards. ,,; - _ ,`:- x CA.T.g0f)R'''OF CO7Nis'RUC1'JO;' ,- ':.-:,:11exceeds 10,00 amps at 150 volts or 0 Floating buildings. >i4 I-and 2-family dwelling 0 Commercialfi ndustrial 0 Accessory building less in ground,ar exceeds 14,000 D Contmercid-use agrieultanr1 Multi tars!!! amps for all other installations buildings. } 0 Master builder ❑Other: 0 Fin 3 pump. l�Installation of 150 KVA or - :3O -SITE:L"'FOR'tbA'l',#ON A:3'd13 Lt CATION CiEmergencv system. larger separately derived Job Jolt site address:( J 0 Addition of new motor load of system 2 5W I OIne-s e t00HPormoA':.=l e, o '1-27,'1-3,,, C sty r Sta1t'ZI.P:Tigard,OR 97224 Cl Six or more residential units, occuPa}}cy. 1.7 Heatth•care facilities, ©Recreational vehicle partes. Suite/ idg apt. {; Project name:° ryp l Ha ardour lecsnons. El Supply voltage for aloft-than /l./�i¢; v8 J U'' i'� wt'� 600 voltsnominal. Cross streetr'direetions to job site: 0 Ssce of feeder Soft amps or more. Description I Qty. 1 Each I ..Tatar F New residential single-or multi-family dwelling unit Subdivision:VelAicaJort -�i2' y u vausAil/ _4, Lot 1/: Includes attached garage, Tax map/par-cel#: 1,000 sq,ft.or less ` 168.54 4 /.+/tC�,-40, = .;1� //��//��RIPTjON'OF:W'O Ea.owl 500 sq:ft or portion B 33,92 1 040 ratty Mame Limited energy,residential 75.530 2 (with above sq.11.) Limited energy,multi-family ?5.00 2 'SER--` 11 =` . F `TIsNoti' . .,5 .`; residential(With above sq.li,) Name:.AD:YL Land Holdings,LLC Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Address:7600 E Doubletree Ranch Road City/State/ZIP:Scottsdale,AZ 85252 200 amps or less 100.70 2 Phone:(602)694-4031 . I Fax;( ) 201 amps to 400 amps 53156 2 Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according.to ORS 447,449,670,and 701. Owner signature: Over:. Daze:.. Over 1,000 amps or volts 552.26 2 Tem orary services or feeders installation,alteration,and/or z ._, c E APPL1cAN7 t".":-.: f j_] tC0$4*-t!',PERSC?1N; ... - � a reparation Business name:William Lyon Homes,Inc.. . 20a amps or less 59.36 1 Contact name:Angela Grajewski 201 amps to 400 amps 125.08 a Address:109 East 13th Street " 401 amps to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits.—new.alteration,or extension, panel Phone:(360)695-7700 I Fax::(360)693-4442 A.:.fee for branch circuits with above service or feeder fee7.42 Email:Ana.G gelrajewski®polygonborrtes.COm each branch circuit , - '".�' .. -_. ; „ ,; /%1 0), _ B_Fee for serrfeed e3retthnur vice or feeder fee,first firsst 56.18 2 Business name:alameda electric branch circuit Address:3415 ret 44th Each add'!branch circuit. 7;42 2 Miscellaneous(service or feeder not included) City/State/ZIP;SEER ThrlJa,,,,e .l'ii /', 7.s..-/3 Each manufactured or modular. . dwelling,service and'or feeder 57.84 : 2 Phone:(503)3192192 I Fax:( ) • - Reconnect only 67.84 2 Email:solarpdx®me.com Pump or irrigation circle 67..&a 2 CGI Lie.: 199188 Electrical Lie,: c923 Suprv.Lie.: .�(7/5 . . • Sign or outline lighting 67.84 '„ 2 Suprv.Electrician signature,required: 1 Signal cirrings)orlimiled,energy . Print name: /,1!� �O Date: Panel°alteration.or extension. 0 See Page-2 . . Each additional inspection over alios able in any of the ithore .:- AtltlttlTfZCd signature: Additional inspection(1 hrrnin) 66 2_S/hr Print name: *' - ------- Date "-` _ /. Investigation(1 hr rain) 40,00.'ttr f . 00.av',E.0 7' 440.4s til t lm5Icoat,`W.a$ .. ... �_£LrC r'RE.dx iter 0&%}7.'2073 .. . Plumbing Permit Application . . • , - - - . Building Fixtures FOR OFFICE USE ONIA . . Citil:or Tigayd -Recened A, , ,,z,e-/& "a-7r- PeiPlit 9f641,-;2e/6 4 1312.5 SW Hall.131d.,Tigard,OR 97223 -— • `." --' ' .Plan Review , Phone: i0.3318.2439 Fax 503.598.1460 , ,,. : - -. batetit 1141 , Other Permit Ne.,: _ TIG A inspection tine: 503.639.4175 ..,L .' .':.„ :.., .. : - ' . , ' Dale Ready/By• Ado. I TO See Page 2 for et: w • ''u-s', Internet: .',,,-,:.-E'.: :-.' :'; - - '• No:tifTe,.;i;,,i,:letho'ciz Supplemental Information ,..P.'-.,.,.: ii'ci.°Aiir,',.•'''',?...:*.r .- - ''17.;.".*ilt ii,Wbilir,J :r.j.-...5f;, ,:t14.:--::.",:. '•;7. .::.'..-",.,flt . .-.7., .,/' 4.pEk :..,stjtEDax.•-.:':';'..,,. .., ;" ::. ---",./i-li.. .,.','•••,7::: .IZNew construction El DentOlitiOn. F'-n'special itifartnagap use elteeklist . . PeSctifitipo . . "I .Qty. I En: 1 Total 0..AdditiOnfalteration/repladement . 0:0.111gz. - 'sew 1-2-family dwellings(includes 100,11.far each utility-connection) ..?-4,.;1",4,727te...:.'•'.'•:!'i.7,-.,'-',.-•-;'.-::: taigdifiki.,:opeo-i,viiiieieilfAgai:.:.fn4.5:*).: . FIZ(1)bath - • Eg 312.70 1,-and 2-family dwelling ID Commertial.lindestrial SFR(2)bath .. 4-57.78 . .. . '. SFR c3)bath 500:32. 0 AceeSsOty building [alt.:406411mi ly • . .Each'additional bath/kitchen. 2102 EI Master builder 0 polo:. . Fire sprinkler( sq.-ft..) Page-2 iiil14.6050{#0.".-ilStkrj*il!:./ 0.';t97.41140,';=•lk:'•;4K.r. , Site utilities: 'rib Site address: I 5231 S. s LeV_hiLle..... Catch bas i or art, dr in 18_76 - - Doved:leachr -line:or trench-dinin• 18.76- .: ., ..., City/State/ZIP:.Tigard,OR 97224 . •--- -- . Footing drain(no,linear It i " Page 2 ' [ .Stilleibldg,./apt.no,: I Project name:Polygriii#BnilMoutitain . - Manofactiired home utilities .50,03 • • Crosastreefidirectinns tojob site: . „.,..: Manholes 18,76 • Rain drain connector 111111 . .8- 6 • _....„,_ ... . • Sanitary sewer(iso,linear It ) Page/ . . ... .. • 'Storm sewer(no.linear EL. ) 1: Page.2 _ . . . — . - -.• .. - .. Water service(no.linear 11.:: ) I Page 2 SubdiVision:Polygon at Rtill-MOuntairt ,Lea no Fixture Fixtore or item; Backtlow preyenter 3L27 12.51 . . — - Tax map/parcelno,: . .. . . .. . • . ...: kwater valve *0'..0,04$102•Wf; :l....1Yt";;M:711%•44:.%4 Clothes -.:h I 75.02 re- /1-/--&---e-7-Ex— . .25;62 Dishwasher Qrinkingfooritain - Ejectors/Sump • • . .. e,t47--t : 2502 25,02 1 , 1 .• . . . . " • .... ..: :: ... .... ...„. •„,„.• :. •I'r,.4..",-7......,:y:;,:::.:EttlagONFAITk:bwrilEk ,.,-..: Et..TovvE...„._ %„..,.... Expansion tank -, 12 Ni , ..:. . . t ... ..-• •. • ..-- . , . ,. . ,.. .I . ... . tin w411,,LLC Address:.109 fot 1.3th Street • ' I Frxtureisewer cap Floor drainifloorsinktintb . ' ' 25.07. Name:Polygon JJ( . - .-. Garbage disposal • : • • I 25.62 1 • cityiStalefZipi Vane-Myer.,WA 98660 Rose bib "25.02 ..... .. .-. ... - Phone (360)695 7700 • Fax,.( ) Ice maker ' 12.51 _. .0:V;;:t47:.,5-..::...!..i:g. d:oHsiixo.of., ...4...,z,:i,,,,: Intercepter/grease trap it.. - ''-' '-' . - —-• —.-— -- .. -` • • •- :Medidallaas(value,.$ • ) Ruainest name:Polygon WEIL LLC -Contget-name:Angelo 6-4,fewSki Primer . 15. ..... Page 2 . 12.51 • i . Roo:drain(commercial: • 12....51 ) .I Address:109 Last 134b Street. , ....aN:ao 25.02 . - . CitylStatealP:Napeotivet,WA 98660 :Solari:mit(potable water). 62.54 Phone:(360)69$-7700' I Fax:T(364'6934442 ,Tab/shower/shower an , . : -12.51 . . - : Urinal . .E":111a[11:44=ge-4'grajek:iCtil°13i•a911"ineskcQP:1-..,.... ..„ „ ,..„.,..,..0.,„•,:-i...,... „.•,,, „, ;: atereloset • •• -•• ift*:IMW;gPqk4:1.'ig:'ii"..l;:n4Z-::---t. 'ZJZI:;(':'• 7'.7' \k;:atet heat.. -"' 7' Business name:RDLPluttibIngt,Le . .. ... .. 2102 25 02 ' •• • • ,:, ' Water . . .:• 5367..25.91- '. ...1.62) .::. 1 Addis,!PO Box 85 .• "Other: - . .. . . . ... . • City/State/ZIP:Corbett OR 97019S.ottotat Phone (503)351-3903 C.CB,Lic.;18045 Fax ( ) .. . . . . . • Plumbing Lie,..n0•:.k.B1582 ,. .. .. .. . ... . Minimum permit fee: $72.5p. Plan review (25%of permit fee) 1 :State surcharge(12%Orpetnkfee) 1 .. Authorized sigiature: 6,2„.04........,, ...e.eszoo:-4-' . TOTAL PERMUIFEE .• . . ... . . . . . Prilit.name::BrandOn Lanter . : . ., - ' • .. This:permit apphcation expires if a pethiit 7.$not otnatitett within..1so days Date 8111_1IL ,,, ,lar, after ithas been accepted as complete. Fed raelhodoldev VA by Tri-county Badding industry Seii;ieo and iMpildiniPoiroitaMiW,PermitApprioe 101oww 440,4616T(10102/COMISVRB) CITY OF TIGARD � _ft� MASTER PERMIT v COMMUNITY DEVELOPMENTIII Permit#: MST2016-00212 TLGtkkt 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ��/� Date Issued: 06/02/2016 Parcel: 2S108DB07300 Site address: 15258 SW THAMES LN Jurisdiction: Tigard Subdivision: POLYGON AT BULL MOUNTAIN Lot: 71 Project: Polygon at Bull Mountain, Lot 71 Project Description: New SF. 8/25/16 ADD heat pump in basement BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1542 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2167 sf Garage: 739 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Yes Right: 5 Detectors: Total: 4535 sf Value: $548,479.48 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 1 Y 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: 0 Footing Drain: 0 Ice Maker: 1 Bckflw Prevntr: 0 Catch Basins: 0 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: Y 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!500 sf: 9 201-400 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: NEW Occupancy Group: Square Feet: SF VB R-3 4535 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 2 A Geotechnical report is required before the footing PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,211.25 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 h OAR 952-001-0090.0--T-C&----//14--41-4--/ You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. lX �`,'- Issued By: L� Permittee Signature: --1:9-1( e�� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. a This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY Cit'Of Tigard Received Mr.1114 ® 13125 SW Hall Blvd.,Tigard,OR 97 Date/By: ��.� i('Odab ,, Permit No.: w ",e r 4.4.c71/.9._ Phone: 503.718.2439 Fax: 503.598. I Date/By: n RIns ection Line: 503.639.4175 Other Permit: TIGARD p DateReadyBy: 7uris: Internet: www.tigard-or.govH See Page 2 for AUG 2 Notified/Method: Supplemental Information 2016 �p�j ,I * e Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/jr: '' 1 1 O N performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. TEG©RY QFO111SR[ICTJQIiT Value $ I ® 1-and 2-family dwelling ❑Commercial/industrial - -� _ . ,_ 1tESIDIIVi„EiQ3'I�I'�1'EMSFFIES*-. p ❑Accessory building ElMulti-family ID Master builderFor special information use checklist ❑Other: Description �.. [O$ 51. i151Fb_its. Heating/cooling: Q� Ea l Total ;; ,.__, TIo: A11�I1'�.L±t3(;A.TIHI�fi Job site address:l CASE) e�A 1 Lane, Air conditioning 46.75 v V ° t� �•� Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt no.: I Project name:Polygon at Bull Mountain Heat pump 1 61.06 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Polygon at Bull Mountain I Lot no.:1 ` Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 23.32 y l.. �.;- . E5 1OR ii �#'ORK Gas fireplace/insert 3339 Change 2”furance for basement to Heat Pump 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 x Chimney/liner/flue/vent 23.32 MTbP1V)( Other: 23.32 R..__ I"10f_.s.... .. .. _. . r\ .: F Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:109 East 13'Street equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, Phone:(360)695-7700 toilet compartments,utility rooms) 23.32 hoe Fax ( ) Attic/crawlspace fans :1— a` �•C ,. i ,--,--1':#4.7,-;;;; ;.`' f,C+(1 V ArG % _"-S - Other: 23.32 ice ._ .....,: . ....._ _:- k,-� 2,,- 23.32 Business name:Polygon WLH,LLC Fuel piping: Contact name:Angela Grajewski $14.15 for first four;$4.03 for each additional Furnace,etc. Address:109 East 13th Street Gas heat pump City/State/ZIP:Vancouver,WA 98660 Wall/suspended/unit heater Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace • RangeE-mail:An ela GraJewski@polygonhomes.eom Barbecue ue; _ .: �,...,, , ��� .'�' —tea ,.-: `�" E Clothes dryer(gas) Business name:Apex Air LLC Other: Ave x £BA1�i1GtlI 3' Few °d , :: `- _ Address:18004 NE 72 Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 I Fax:(360)326-1769 Plan review(25%of permit fee) CCB lic.:203034 State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name: r: r I Date:8/22/16 I t:\Building\Permits1MEC PeruutApp_0401I(3. oc if v-�'�//.,0� 440-4617f(11/02/COM/WEB) u CITY OF TIGARD MASTER PERMIT •''! a COMMUNITY DEVELOPMENT Permit#: MST2016-00212 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2016 TIGARD Parcel: 2S108DB07300 Jurisdiction: Tigard Site address: 15258 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 71 Project: Polygon at Bull Mountain, Lot 71 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Required Stories: 3 Bedrooms: 4 First: 1542 sf Basement: 826 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2167 sf Garage: 739 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4535 sf Value: $548,479.48 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 0 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 Tvpes Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 9 201-400 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 4535 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 2 A Geotechnical report is required before the footing PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $37,097.87 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 OA 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: O/t %/-/".3G'/e�-77e," 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. ` Building Permit Application La 7rI S c imiffs /(, Residential RECEIVE l()I2 Oi U1( 1 l tii O\I.1 Received Permit No City of Tigard Darive —�/oZ3 ,,k .jrc2I!%h"49,::;?„6.2.- Ill Ill 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 18 2016 Plan Review a.c)t ether Per �i �����-QQ��3 Phone: 503.718.2439 Fax: 503.598.1960 Date/By. / c. Inspection Line: 503.639.4175 Date Ready/By: Jung: la See Page 2 for I lc,:\Ki) p CITY OF K f GA RONotified/Method: 7��� Supplemental Information Internet: www.tigard-or.gov BUILDING DIVISION e/c.._ ,97.)G-/E--- TYPE OF WORK` REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction El 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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 3;912 d $J 7 9 ® 1-and 2-family dwelling El Commercial/industrial 7 Number of bedrooms: 4 O Accessory building 0 Multi-family ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors:-Z 3 5 a/y- Job site address: (Ib26S 51A) . fl.1 a c Ling ng New dwelling area: 4535 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 739 square feet) 67 Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: 98 square feet i 34 Cross street/directions to job site: Deck area: 160 square feet gac Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST_ Subdivision:Polygon at Bull Mountain Lot no.: -T 1 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK"- work indicated on this application. _ ` Valuation: $ Plan 19A-DL Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name:Polygon WLH,LLC Type of construction: I Address:109 East 13th Street Occupancy groups: City/State/ZIP:Vancouver WA 98660 Existing: Phone:(360)695-7700 Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:Angela.Grajewski@polygonhomes.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic 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: 109 East 13th Street 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 r//CCB lic.:204238 -. Total fee due upon application: $201.60 VV�a Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Angela Grajewski Date:5/2/16 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicatio Ej L, 1(,OR 01 r i( I. l e l: ()NI.) City of Tigard Received Date/By: 11:211111MENI III 111 4 13125 SW Hall Blvd.,Tigard,OR 97223A A 97223PReview MAY Phone: 503.718.2439 Fax: 503.598.1960 M 8 2016 Date/By: Other Permit: I I i .,1,,I, Inspection Line: 503.639.4175 Date Ready/By: ruris: ® See Page 2 for Internet: www.tigard-or.gov CITY CIOF TIG A D Notified/Method: Supplemental Information - DIVISION- .—'- CLS ' - ' ' - .. TYP$ OF MMER . FEE*SHEDUE U i"^ `" .. f _ Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit CATEGORY OF?CONSTRUCTION Value:$ I _... r, - ' 3t.IP. TIAL EQUIPMENT 1 SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION ;:. Heating/cooling: ^� �Q Air conditioning 46.75 Job site address: 15 d6 8 V� 7-h ci rn es Lane Furnace 100,000 BTU(ducts/vents) ) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt no.: Project name:Polygon at Bull Mountain Duct work 2332 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:Polygon at Bull Mountain Lot no.: � Other 23.32 -7 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ,a e .� DES( tIP,TION�OR !ORK - w r° $ >k'y ,�' Gas fireplace/msert 3339 r . .,:. fi : - 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 Other 23.32 ti, ; t •PROPERT5C�OWN it' s 3:i. , . r..`... z❑ Y tori v Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:109 East 13th Street Clothes dryer exhaust 3339 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 PLICANT 2 CQNT.tkcT PERSON Other. 2332 •=°�-,rrw�zkv. �=,�.,�a•e.z� 8:a•.r=+.,.-ter.-� ws3 ; . -!.^-.:r. .. _ .... t.�,P .-.. Fuel piping: Business name:Polygon WLH,LLC S14.15 for first four,$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue .: CONTRACTORS = Clothes dryer(gar) Business name:Apex Air LLC Other` - 4 -r. ..''' M c [ANICALPERMI;'rFEF,S* Address:18004 NE 72°d Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 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: A4laleydi * Fee methodology set by Tri-County Building Industry Service Board Print name: A , A r& -w S Date: 5 I:\Building\Permits\MECPemvtApp_0401I3. 440.461. ( 7T(11/02/COM/WEB) t Electrical Permit ApplicatiRECE 'Via ._ FOR OFFICE ESE oNJ,V V City of Tigard Receivedeffsizrzlimmi Ili o 13125 SW Hall Blvd.,Tigard,OR 972 PaitR g Y 1 S 2 016 Plan Review Related Permit it: Phone: 503.7182439 Far,: 503.598.1 Date/B Inspection Line: 503.639.4175 I�App. Ready Date/By: Jude H See Page 2 far 11G.1RI) Internet: www.tigard or.goY CITY' 'y O 1 y �; Notified/Metbod: • Supplemental Information - .,rs 111 ®New construction 0 Addition/:?} •'o'rep acement Please check all that apply(sobmita seta of plans w/itesns checked):' ❑Demolition 0 Other ❑Service or feeder 400 amps or more 0 Balding over three stories, where the available fault current 0 Marinas and boatyards. ='t. ;'.'VIN`,qr+r'*::?4 N. _ c ;4 rIOPI::iy ni,x'oki;.•: ='" r:;ai..fii''ti exceeds 10,000amP11 at 150 volts or ❑Floating buiidin ®1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ngs. ❑Multi-family - 0 Master builder 0 Other: >�for all other installations bwldiatio L` 0Fuc pump. 0 Installation of 150 KVA or .. _r; :tso8; 1.TF. tlY0 11.:0 1x.'1�1NI w `. iii",1::.` ..:-' . _.• ❑Emergency system- larger separately derived Job#• I Job site address: (558 G u3 �an eS ❑Addition ofnew motor bad of system. • V 100HPormore. ❑••A•,••E••,••I_2",•1_3", City/State/ZIP:Tigard,OR 97214 • 0 six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. SuitelbldgJapt.a: 1 Project name:Polygon at Bull Mountain ['Hazardous locations- 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: • �t,.:,;:i;;; .t °."'>` .• „);, _'s. : : • newiptiaa •) Qty. I inch _I Total I f.. New residential single-or multi-family dwelling unit. Subdivision:Polygon at Bull Mountain I Lot if: 71 Includes attached garage. Tax irtap/parcel#: 1,000 sq.ft.or less 1 168.54 4 Ea.add'1500 sq.ft.or portion q 33.92 1 Afa�X ,. ,t+.,�',.,:-:s'i1a.rRa:D10.fi.•.t1111#.0:i7SQP'*AIM ::i_: ':giM4:. . . ..- , Limitedemu.residential 75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) � ` c `e "". t-� =.,:. Renewable Erre gy 0 Sec Page 2 "= •,-x `.. •e.. , ., ..a'. -. `"i4�d: ;%•:,r:;;:'•..:i:",•:4'-. Services orfecders installation alteration,and/or relocation Name:Polygon WLH,LLC 200 amps or less 100.70 2 Address:109 East 13a'Street 201 amps to 400 amps . 133.56 2 401 amps to 600 amps 200.34 2 City/State/LIP:Vancouver,WA 98660 60t1, aha to 1,000 amps 301.04 2 Phone:(360)695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders Installation,alteration,and/or Email: . relocation • Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 II _;;_ :Y Yj:"q -;,,-- »; sr:i - . i - -::y:�r i • Branch circuits-new,alteration,or extension,per panel w;y=`;.•r��-..�S,' .::._ ....... .. r. int`.-•: s-t:.:•<i • �'=��.. _,.._. �S�i'•��1�'-�,:'``- ;:: A.Fee for bsaoch e3rcnits wf/h Business name:Polygon WLH,LLC above service or feeder fee, 7.42 2 each branch circuit Contact name:Angela Grajewski ii B. for branch circuitsw!rhoee • service or feeder fee first 56.18 2 Address:.109 East 13th Street brand)circuit City/State/ZIP:Vancouver,WA 98660. Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • •, Fax::(360)693-4442 ' Each manufactured or modular • dwelling,service and/or feeder 67'84 2 Email:Angela.Grajewsld®polygonhomes.com - Reconnect only 67.84 2 'tib' ^;'C'�' �`�`'�sF+.",.^'?ijy 1 .. f}�1!�.;r: rti:' __ >::t;', -S"`it {� tion ?:iii"�G�t.•.S.sly'i ?r.�Ti�3':2%;:°I:.b.}'�''-.,�:i:�:SQ���»' �Fts•.:... _ ,..'i'+'�t�'i;;t:.�� ": ...-., PUnlpOrin7ga circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:6101'fiNE St Johns Rd - Signalcircuit(s)or limited-energy extensn. 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Vancouver WA 98661 Each additional Inspection over allowable in any of the above- Additional inspection(I hr min) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hrmin) 90.00/hr Email:b daniels d®gweusa,com Industrial plant(I hr min) 78.18/hr Inspections far which no fee is 90.00/hr CCB Lic.: C1158 Electrical Lic. 208174 Suprv.Lic.: 4496S eca,l l,i_sed C4.hr mi) • F,'! ' • , _`,TTT 'rT. • C • . i �,J".t:...41 :J Suprv.Electrician signature,required: #4 4. a� 4_', Subtotal: • .. Print name: Joan P Albert Date:S-310 0 Plan Review Required(25%of permit fee): State surcharge(12%ofpeamit fee): Authorized signature: ��.. •^ _._ _____,-/ TOTAL PERMIT FEE: y -.`--- This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels,' Dates.3-'(p days atter It has been accepted as complete. * Number of inspections allowed per permit. 1:SBuildiag1PerminlF].C_PenuitApp FLA 8P.Edoe Rev06117/2015 440-46i5T(i1/05/OOMAYEB ' • Plumbing Permit Application Buildingb Fixtures y EE N "�-iI lOR Orll( I. I ,l. 011,N 14►16-� d ve cei City of Tigard Received Date/13y: Permit Notes�,2p/6 c24Z 114 II 13125 SW Hall Blvd.,Tigard,OR 972231 S �O�c Plan Review Other Permit No.: Phone: 503.718.2439 Fax: 503.598.1VI1 i l 1 U Date/By: Inspection Line: 503.639.4175 Date Ready/By: Jurit: ® See Page 2 for r D Internet: www tigard or gov t`+ Notilied/Method Supplemental Information `y/_ f ' _ Vritif S! H1Ei1iIT s.� „•Bn,,v, i tr t f h h,1 . $,.R'd•,. ;hY^�sitilleir 1,,,,,,,,,,,,..., , ,s .H ;w 7,,,„. r K �. `...... .. .. :�`. .., C 1 . construction t For special information use checklist ®New construction ion Ea. Total Description 1 Q4'• ❑Addition/alteration/replacement ❑Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) t OAIrtG10RRF(F CONS3 #U J'H1/T; _.. ',,, SFR(I)bath 312.70 i ,. •. SFR(2)bath 437.78 ® 1 and 2-family dwelling ❑Commercial/industrial SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 vr'1w it+K'c t y� r ' • Si •ilii • '' a f f�lri.s tR ► O -a . l•!� l!. teuttes. Job site address: 525S V I uU e . 1_1\1 Catch basin o r area drain 18.76 Dryw•ell.leach line,or trench drain 18.76 City/Statc/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear R:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Polygon at Bull Mountain I Lot no.: 7 1 Fixture or item: / Backflow preventer I 31.27 Tax map/parcel no pR..r } t. ,,�.,tgyt�7�cl fi•t.,,4t Aa x,ip h4yAc 7 Nf i a Backwater valve 12.51 t. - . ,1. Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 1 s r_.. . .� iik� li s-tk.. '�n - Expansion tank 251 �..,*r ..,-. - , • ,. . : .. ^ . .„ . . .... .. _. . - Fixture/sewer cap 25.02 Name:Polygon WLH,LLC Floor drain/floor sink/hub 25.02 Address:109 East 13''Street Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax ( ) Ice maker 12.51 y*v., , „ LYk ; -^ ` Y A' e = Interceptor/grease trap 25.02 A� � �4u, �•c �-:rr.nzt_�c :.r.rsa .:Y: A ,.Y . , bFa ra'i';-.. r Medical gas(value:$ ) Page 2 Business name:Polygon WLH,LLC Primer 12.51 Contact name:Angela Grajewski Root'drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::( )360 6934412 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:Angela Grajewski(a%polygonhome corn . /-.r :' � � + r yriN41. •3- � y ' r Water closet 1 f a � s4a$ss s 1 f 25.02 ,' �•.r:i '�3 .• $7��10.1 ur. vv.,. .n.1.a.{ .am_, c , A•„ .1 L :2c/r , na ; water heater 37.52 Business name:BDL Plumbing LLc Water piping/DWV 56.29 Address:PO Box 85 Other: 25.02 Subtotal City/State/ZIP:Corbett OR 97019 Phone:(503)351-3903 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:180345 Plumbing Lic.no.:PB1582 State surcharge(12%of permit fee) Authorized signature: 12...7 /r TOTAL PERMIT FEE Date: 513 116 I This permit application expires if a permit is not obtained within ISO days I Print name:Brandon Lanter after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. 1:1Building\Pcrmits\PLMU-PcrmitApp.doc 10/01/09 440-46161110/02:COMI\VEB) • City of Tigard ■ 11 COMMUNITY DEVELOPMENT DEPARTMENT TIn Building Permit Review — Residential Building Permit #: !020/6 -- 66 /ca_ Site Address: i0? 7A9-iic e c 4zaiik Project Name: Pd h , jk/l /C/,n n Lot #: / (New d�a✓ npl=subdivision name;Addition or Alteration=last name of owner) Planning Review `J Proposal: &lett) iV;ierify site address/suite#exists and active in permit s em. Ya River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: rf. 0- ee(3)copies of site plan Fl11a sting structures on site '/ a plan must be on 8-1/2"x 11"or 11 x 17"paper Y Footprint of new structure(including decks)with finished al yawn to scale(standard architect or engineer scale)ili 1.or elevations orth arrowI tility locations(required for new,may apply for additions) .te address,project or subdivision name and lot number 01 cation of wells/septic systems d•pplicant information(name and phone number) Erosion control(including drainage-way protection, silt fence LtttL dimensions and building setback dimensions stgnocation of catch basin,etc.) area,building coverage area,percentage of coverage and Street na,location pervious area(applicable if R-7,R-12,R-25&R-40) beet tree size,type and location roperty corner elevations(2 foot contour lines if more than MI ri sting trees to be retained with drip line,and tree OClean 44foot differential) protection measures Water Services—Service Provider Lette of platted prior to 9/10/1995): IiiIequired: ElYes,applicant was notified V No Received: CIYes CINo -3ublic Facilities Improvement(PFI)Permit: Required: V Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake �Land Use Case#: S116a 0/-0000q oning: R-4 s— {ICl Setbacks: Front cQ Rear /S Side S— Street Side 01 p-Garage ,; :26) r4 kandscape Requirement: V.'Lot Coverage Maximum: PA Building Height: Maximum Height SC Actual Height i 11 isual Clearance IFA Easements ensitive Lands:tv9) 111 Yes )/No Type Urban Forestry Plan 0 Conditions "Met"prior to issuance of building permit Notes: Cen4436/S' ,.13.17,2// YLte.T /h-/-7r •7 pP,/7f//- 1 tj'oi4C( Approved By Planning: <= ----_______ _:zt. Date: -4-6//0 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved 1::\Building\Fonns\BldgPemiltRvwRES 012116.docx A• a Building Permit Submittal Original Submittal Date: j//e//' Site Plans: # Building Plans: # 4 Building Permit#: Enter building permit#above. Workflow Routing: E-4-"Planning O—Engineering 'BTermit Coordinator 41;4"-l�uilding Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: g"-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and o ginal plan review routing form. le-Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: /,igh! ; Date: ��/0,‘ Engineering Review tr- 71)Slope at building pad: So Et/Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat ® Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes TY No Assess Water Quantity Fee in-lieu: ❑ Yes I/No LIDA Facility on lot: 0 Yes 1131\lo ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: � Date: ,�/a,5 Revisions (after Building Submittal only) / Reviewer / //''Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: C Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit ``Approved by Permit Coordinator: 41447--Date: Si; 4/ L\Building\Forms\B IdgPermitRvw_RES_O 121 16.docx • 'PI ,11:: City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ., River Terrace Building Permit Review Addendum Building Permit #: /7•�'7-o2,g/(o --42 ,P--/.==.2— Site Address: /C-c)? cj ) —74201.e_ Low2-e_ Project Name: Polygon at Bull Mountain Lot #: / (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.I). Is the project sub.ect to the plan district design standards? ❑ Yes No 1.Articulation: a ..imum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additio•. element required for 1. with over 60 ft. of street frontage shall be provided every 30 ft. ialcony 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 Gable dormer ❑ ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows .r entrance doors. Percentage Shown: 3. Entrances:At least one entrance mus' eet both of the following standards: fac wall 0 Parallel to street, .ngle no more than 45° from street, ❑ Max. 8 ft. setback from longest street- or open onto po 1 Entrance opens to a porch: CI Yes CI No If yes,all the following apply: ❑ 25 sq.f .n. ❑ One street facing entry ❑ 12 f.max.roof above floor of porch ❑ 5 ft. depth min. ❑ iVo min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of fi •- z,f the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep ■ 'ecessed entry area min. 5 ft. wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ D. er min. 4 ft. wide ❑ Roof eave min. 12 inch projection ❑ Roo' offset min. of 2 ft. ❑ Roof shingles either tile or wood ❑ Gable, .. or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. . ❑ Horizonta ap siding min. 3-7 ft. wide ❑ Accent siding min. 40% of street fa,.de ❑ Window tr. . . 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches fo . street facing ❑ Bay window mi•. 5 ft. wide by 2 ft. deep ❑ Balcony min. 5 ft. wide x 3 ft seep with inside access ❑ Attached garage is 5% or less of street facade 5. Garages and Carports- ay face the front or side lot line on a corner lot. Setbacks: No closer to front o, side lot line, than longest street-facing wall. ❑ Yes ❑ No. If No (Ch. k one): ❑ May extend u% to 5 ft. if there is a covered front porch and garage does not extend beyond ..e front porch. ❑ May exte . up to 5 ft. where the garage is part of a two-story building and there is a window a the second story above the •.rage that faces the street with a min. area of 12 sq.ft. Widt • Check one) ❑ 2-foot-wide garage door ❑ 40% max. of street facade • 50%max. of street facade with 7 detailed design elements Notes: —> Approved By Planning: ���TTT Date: �/ _ I\Building\Forms\BldgPermitRvw_RES_RT_031416.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 Transmittal Letter T ARE) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION FROM: Angela Grajewski/Chris Walther COMPANY: Polygon Northwest PHONE: 503-312-6213 By: RE: X 5258 SW Thames Lane MST2016-000 ? a (Site Address) (Permit Number) Polygon at Bull Mountain LOT 11 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copie "�ti©n: ' . :Cap .,. nption: ., 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 4t Bedroom bathroom into Walk-in Closet �,. FUR OFFiCE,USE ONLY. Routed to Permit Technician: Date:3 )a ( / ) Initials: Fees Due Yes ❑No Fee Description: Amount Due: £ fJI a,, rev t c‘../ $ / $ Special Instructions: Reprint Permit(per PE): ❑ Yes A No n Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT )11 Transmittal Letter A R F) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED AUG 2 2 2016 FROM: Angela GrajewskiMY _ay COMPANY: Polygon Northwest I3L HLQ NEG ITVIS1C11 PHONE: 971-212-2144 ByC2_ RE: (s2s- SkiNi -Thames Lane. t Ot1 I MST20*- &b al 2- (Site 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 Revisions: 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. 3 Other(explain): Additional deck details requested by inspector REMARKS: Routed to Permit Technician: Date: :- . _ Initials: AIME Fees Due: NI Yes ❑No Fee Descri.tion: Amount D e: $ v, gym- a �� .,z.s .w- • Special Instructions: Re stint Permit .er PE : ❑Yes 14 No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\Transmitta1Letter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15258 SW THAMES LN, TIGARD, OR, 97224 March 31 , 2017 at 11 :26:07 AM Record Type: Record ID: Residential - Master Permit MST2016-00212 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Garage plug by overhead door shows hot/ground or hot/neutral reversed, same at plug by water heater. Seal around garage opener plug. Install outlet cover in dining area. Smoke detector chirping lower level. Not ready for final inspection. 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: 15258 SW THAMES LN, TIGARD, OR, 97224 March 31 , 2017 at 11 :39:55 AM Record Type: Record ID: Residential - Master Permit MST2016-00212 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Seal all foundation vent penetrations for AC not installed and condensate drain. R408.2 Lower level smoke detector chirping. No AC installed at this time. All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15258 SW THAMES LN, TIGARD, OR, 97224 April 4, 2017 at 12:29:30 PM Record Type: Record ID: Residential - Master Permit MST2016-00212 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Corrections from previous inspections complete. AC installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15258 SW THAMES LN, TIGARD, OR, 97224 April 4, 2017 at 12:28:54 PM Record Type: Record ID: Residential - Master Permit MST2016-00212 Inspection Type: Inspector: 699 Mechanical final David Young Result: CNCL Comments: Inspection cancelled by contractor, corrections not complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15258 SW THAMES LN, TIGARD, OR, 97224 April 4, 2017 at 12:31 :29 PM Record Type: Record ID: Residential - Master Permit MST2016-00212 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Inspection cancelled by contractor, not ready for final inspection. Violation Summary: Inspector Contractor