Loading...
Permit (26) a,,, CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00211 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 s . I.sa�' Date Issued: 06/02/2016 9.-g,,4 '.4 ;:' • Parcel: 2S108DB07200' Jurisdiction: Tigard Site address: 15270 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 70 Project: Polygon at Bull Mountain, Lot 70 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: 1575 sf Basement: 940 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 12 Smoke DwellingUnits: 1 Detectors: Yes Third: 0 sf Right: 5 Total: 4351 sf Value: $525,845.52 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 Natural Gas Heat Pump: Y 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''500 sf: 8 201-400 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 p 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 4351 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: $36,902.28 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through I A- 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: '7--e------- Permittee Signature: 61/1/- '�-1?,G-1 e42-l�C%Ai/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. gityvtricpt lctio,_,` SEP 2 0 2016 Re�;ye /� 1312a S troll Bis'd„Tigard,oR 97223 i ateAv;/1��+�"LL i!vi Pmt" S% v6 'C1l a1 Phone 501718.2434 Fax.: 503.598,1S✓l{ 1 OF TiGARD t3ate�'$rPlan ltes:deKE` Related Permit d: lrrspeetion Line, 503,6394175 Rrdy t3aiclBy: lstlerttet: mist ed-ar>sn5 BUILDING -'�/���f`a Notfied: od: S �' for �9p�gy�y�, {. upgrrerapriral Information Neu construction El Additionialteration replacement' yPlease chi aft that apply(submit 2 sets of pians sv°moans checked): o Demalltton Other Service or feeder 400 amps or more C Building over*thee stories, where the available:fault curie nt C1marioas and boatyards. _, . T . ;CA EC 1j3,1t. }F CZJ11iS RUC1icts._ . _„ -- esceeda 10,1100 amps at 150 volts or Cl Floating buildings. 1�-<� 1-and 2-family dwelling 0 C'ommercialfindustnal 0 Accessory building seas to smand,or exceeds 14,000 O Commercial-use nwriwlrtral t multi-family j Master builder 0. for all other lastallanians. buildings. t 0 filler: 0 Fire pump. D installations of 150 KVA or 3O SITE; DRMATL fl`rrnO LOCAT31)h'. ©Emergency system, larger.separately derived Sob Site address;15110 Addition of new motor load of system doh (5110 5W 1t a ne..Se 100EPormore. 0t1' Cityfi SlateIZlP:Tigard,OR 97224 1�Six or more residential units. occupancy. t31le.aith-care facilities. Q Recreational vehicle parks. Suiteibldg=apt. : project name:.91 lI n �p 1711larardous locations, 0 Supply voltage,for more than l i r lt✓i o 11 `. o 1144;es4 fib' U 600 vQits nominal, a Sars�ice or feeder ta00 amps or more, Crass street/directions to job site: _; -: E s D Dmrrption 1 Qtr 1 Each i Total t = Nest residential single-or in URI-far-nil},dwelling unit. Subdivrision c' ,�j cion Vbuvuy as,j � j t 4Lot 4: , 1 Includes attached garage. Tax map/parcel l#: 1,000 sq,ft,or less I 168<54 4 y�r}',�/,,/_'r '` ,.. p3 11:V11 A7;0F 'i O Ea.Rai Sd0 ft.or 1 33.92 �'J,1 V�V�� sq: portion 1 i Ch��gc Limited energy,residential (with above sq.fl.) 75.00 . 2 Limited energy,mufti-family Li , 75,00 2 N."41•''''•::,;,.0.."l'1 1rR{fl1l'3t:°'Dit*ilt -_, _14 ice,-"1itt,T�3�IT residential{with above sq.IL) Name; Land Holdings,LLC Renewable Energy 0 See Page 2 Address:7600 E'Dnuhletree Ranch Road Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 ' City/State/ZIP:Scottsdale,AZ 85258 602 94-4031 201 amps to 400 amps 133.56 2 Phone: ' I F3:x:( . ) Entail: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I owl which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,e,rent,or exchange,according to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature: ..... Date: Temporary services or feeders installation,alteration,and/or ' APi?1TtrAl!77- �. Lt)i4TA''-"- —RS>tll i.: y relocation Business name:William Lyon Homes,inc.. _ 200 amps or less 59.36 1 Contact name:Angela Grajewski 201 amps to 400 strips 125.08 2 Address:109 East 13th Street 401 amps to 599 amps 168.54 2 City/Stat/ZIP:Vancouver,WA 98660 Branch circuits-new,alteration,or extension,ger panel Phone:(360)695-7700 I Fax::0360)693-4442 A.:Fee for branch circuits with above service or feeder fee, Email:tlrrgela.Grajem3ski polygarrhtimes com each branch circuit 7.42 - y B.Fee far braiach its without -t zr r i0tVTflR .. .. J.. service or feeder fee,first Business name;alaeda electric branch circuit 36.18 2 Address:3415 rte 44th Each arlil'lbranch circuit. 7.42 2 �p , Miscellaneous(service or feeder not included) City/State/ZIP;sawil�1r"'7 ILr ./.1,/z / 4497..2._ 3�-r� Each manufactured or moduiaz. .. Phone:(503)3192192 Fax:{ j deterring service and�•or feeder 67;84 : 2 Email:SOIs>rp d Reconnect only 67.84 • 42: x@me.com Pump or irrigation circle 6784 :$2.;' COB Lie.: 199188 l Electrical Lic.: c923 I Suprv.Lie.: V 671.5 Signar outline lighting . : 67.84 2 -- Suprv,Electrician signature,required: ( Signal circuit js)or limited-energy Print name: ) f el,alteration.or extension. Cl See°Page 2 1/G i.G. lav J Date: (72,,?/// n Each additional inspection over alienable in trig'of the abate, Authorized signature: Additional inspection i 1 hr lain) i 66"V hr ' .. • 1' ! Print name: / '417,, -rte-^- InveStigatiok1•hr min t t:aitm tirtmif 44oasts1rnm5lr.©c _t'tasoir�tp�Ei.A.,ERI.+loe rtes 13fx:7 r-_n QSS - Plumbing Permit Application ., . • • •-. - , • , . ,:.. : : . : ,: : ,rit,,, ,•t:,.., -.,:, ,-: , ,. ' Building Fixtures - city of Tigarti '','"'-:P i 5 Z01(6 •: :ele.ii,s;d: 4 ,y , • 13115 SW H ' 'all Blvd Tigard OR 97223 Pe '''''Nif-7.--20/ ..-. Plan Review 11 :::' Phone-, 503.718.2439Fax: 503.598.1W,: ;,,'; .,, • , ,-',: "' batemye. ' - , Other Period No.: Line: 503.639.4175 ..„. .,,,,'.,..:,-,. . =, :-, •,-,'' -'":-- Date Ready/By: TIGAlk D Inspection Atris. gi See Page 2 for 1, Internet www.tigard-orgov ,,..-, ''', ' '- - Notified/Method: Supplemental Information s'.,!.:4;i'!','V:At.:::%:,*1.::;.!:,•'::...P7:*,i:'e)i:::*fi**lt.';i''','Yl:::AO.W,-i3XF:',::;:',',3ti ,.7:-.A:T.••••-'::51',..*:got...WilEPekAt-V4i4: '''..:)-4*. . :New construction I El Demolition For special information use checklist. Description I Qty. I E . f Total 0 Addition/alteration/replacement 0 Other:: New 1-2-family dwellings(includes 10011.for each utility connection) IEDiiiitii4i ,461,1Z,',-5:40 ,...MFR(1)bath 312.70 1.•and 2-family dwelling 0 Commereiallindtistrial SFR(2):bath 437.78 SFR(3)bath 50032 El AcceSsory building 0.Multi4amily Each additional bath/kitchen 25.02 _. 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 I 611:104f Votiltivekciptc Mfiliy,t,:404-1001e.-';.;;;;:-Pg,':-,,,4Av;..:•':,:: site utilities: I V5a,.:'...'.1tV.,..;..i...15.W.P.i,"'..-,4.4a•..,-., ,,,,'. .,., v.,-'4,..:.,,,,,, ...•..'..,•7 .1,:-,,,. ..,,,,,,..<,.-,,...;,..-,..'.:'....,..%'..,1*.; : S ---^ , n1\ZCatch basin or area drain 18.76 Job site address: 52.1 ,‘At i tV, S , - Dwell teach line:.or trench drain 18.76 • City/State./Z1P Tigard,OR 97224 Footing drain"Mo.linear ft.:. ) Page 2 t Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Manutbetured home Utilities 50,03 Cross.street/directions to job site: Manholes 18.76 Rain drain connector 18.76 _ 1 ........__ Sanitary sewer(no.linear ft', ) Page 2 . Storm sewer(no,linear IL ) i Page 2 Water service(no.linear it: ) I Page 2 Subdivision:Polygon at Bull Mountain Lot no.: -1 0 Fixture or item: Tax map/parcel no.: Backflow Deventer 31,27 - " •' . •• Backwater valve 4:f.:lt: '''''!:,A:? ekifiitOilr4tgti-2•1--''s:f-V,':,*',.-Vfrt:? :A'gg'..:.5t.:' 12.51 • -,-, A.'''.'."''..."''';''''Sa''''- .'''''''.'''4.•''' •4'•`:', Clothes washer 25,02 /92-)4eS . --1-1-' 44.51-77-4-• /44-142-7-77-1--- Dishwasher 25.02 Prinking fountain 75.07 EjeetOrs/Surtip 25.02 iiiiiikiiii,qAioii: .,,,,?.k.-;;;,L!,,,,,, .J;i: .f.,: .:..g,: taf.i...0Ai,-;;:t.,:r i.,,;,r, .:...,:s.1 Expansion tank 12.51 ! Fixturelsower cap ' 25.02 Name:Polygon WLIL LLC -- „ - Floor drain/floor sink/hub 25:02 • Address:•109 East 13th Street Garbage disposal : 25.02 1 City/Stat&Z1Pi Vancouver,WA 98660 Rose bib 25.02 Phone:(360)09S-7700 • Fax;( ) Ice Maker 12.51 I ,,., . ..,, , ,,,,,,, - 1 2itt-X.:-..it,.,,C4120:- , :',Eff,!:, Intereeptorfgrease trap 25.02 Medical gas(value:$ ) Page 2 Business name:Polygon Willi•LLC Primer 12.51 Codndrtect naess: 0m9e:EAngast lelahGsrajewski Roofdrain(commercial) 12,51 treet SinitthasinlitiyatorY 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700. Fax:r:(360)693-4442 Tub/shower/shower pan 12.51 , Urinal 25.02 E-mail:Angela.qrajeyvski@palygonhoines.com -,,,, Water closet 25..02 •::f,gci..;,,.!,li,,•j- 4.tj,c:;Azfsi4Mtf;t7!M: jifiiia.''.6ibi.''4i'oi.:::;iiil.r.:?.V.i-j:!PZ,A:.:•::,''-f- ;,,*;;,,,:;-. -- .11(:-;;;:,-?..,ili.',71Xx..';; ;s4;&:,•-; :`...nwc4,47-,..;- .,,,. ..,;,.ii.,siv-,stiils-fi..;"-JiKt- •''I'.,. 3',..-*.i .''''-',:,.. -'i.. watet heater - _mor,, li I 37,52 - .'"i.5 Business name:BDL Plumbing[Le Water pipingiDWV 56.29 Address:P0'Box 85 Other: , 25,02 City/State/ZIP:Corbett OR 97019 Subtotal 7 Phone:(503)351-3903 Fax:( ) Minimum permit fee: $72.54 Plan review (25%of permit Fee) . CCI3 Lie.:180345 'Plumbing Lic.n(.:PI31582 State surcharge(12%of permit lee) Authorized signature: . .„,„....4,* TOTAL PERMIT FEE .. 1 Thix permit application expires if a permit is not obtained within ISO days Print name:.Brandon Lanter Date: R 8 IO 16 1after ithasbeen accepted as complete.* Fee methodology set by Tri-County Building Industry Sersiee Board. 1:`,BuildingTtornits\PLitlUsPermitApp.doc 1010109 440-4616T(101024:0NME:11) 71CITY OF TIGARD MASTER PERMIT `- COMMUNITY DEVELOPMENT �� Permit#: MST2016 00211 TIIGA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439�ar' Date Issued: 06/02/2016 Parcel: 2S108DB07200 Site address: 15270 SW THAMES LN Jurisdiction: Tigard Subdivision: POLYGON AT BULL MOUNTAIN Lot: 70 Project: Polygon at Bull Mountain, Lot 70 Project Description: New SF. 8/25/16 ADD heat pump in basement BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1575 sf Basement: 940 sf Left 5 Height: 32Parking Spaces: 0 9 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front 12 Dwelling Units: 1 Smoke Third: 0 sf Right: 5 Detectors: Yes Total: 4351 sf Value: $525,845.52 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays:Y 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 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: 5 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'I 500 sf: 8 201-400 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 All Other Description: Ecompasing: V BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Grou NEW p y p: Square Feet: SF VB R-3 4351 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: $36,770.26 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thr gh 0 952-001-0090. 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: Ole p�"I� o t 4.2 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 Application • FOR OFFICE USE ONLY Ceview ity of Tigard a � w, Received C, II `11 13125 S W Hall Blvd.,Tigard,O a I VE "1 II " Date/By: d l}�' Permit No.: Mh r 4!/..��i i Phone: 503318.2439 Fax: 503.598.1960 Plan B Inspection Line: 503.639.4175 Date/By: Other Permit: TIGARD P AUG 2 2 DateRead/B Internet: www.tigard-or.gov 2016 y o� J S H See Pent l for Notified/Method CITY OF TIGARD gD PP mental Information OO RCL4j,k3:* - se1�Pus�:c� sr ®New construction to permit fees*are based on the value of the work ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit � .. C.JIG,,,-, t'OF c NSII:[ICTI(QN Value $ ® 1-and 2-family dwelling 0 Commercial/industrial1�SIDlriSr QIIlI�.D1Elvl:T&�';;3'EA3SlF��- P 0 Accessory building For special information use checklist ❑Multifamily 0 Master builder ❑Other: Description I Qty. I Ea. I Total , 4si *0-W 1 r r1J11D-1.00A004 Heating/cooling: . . Job site address: 7 (j � f Air conditioning 46.75 `1 0 S �k� r° `C e5 L ve 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 0 Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 2332 <::= tESCRI[110151 9F:1:—"W Gas fireplace/insert 3339 _„ r Change 2°d 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 Chimney/liner/flue/vent 23.32 sROP.IEBTj OIyN Other: 23.32 Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:109 East 13th Street equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, , . Otoilet: compartments,utility rooms) 23.32 32Phone:(360)695-7700 Fax� Atticcrawlspace fans 23,32i VI���? X�I zgs �001/ A y Fuel piping: 2332 Business name:Polygon WLH,LLC 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/Z1P:Vancouver,WA 98660 Wall/suspended/unittieater Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace E-mail:An ela.Gra'ewski Range • g J @polygonhomes.com ; _�, +_- Barbecue K€n; ��° �°" : . 1117 A AN 's ;� t Clothes dryer(gas) Business name:Apex Air LLC Other: Address:180041E 72°d Ave `'ts1' � I, = r 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. Print name: * Fee methodology set by Tri-County Building Industry Service Board a,r, 9 t,k, I Date:8/22/16 I L\Building\Permits\MEC Pem,itApp_0401(3. oc 440-461TT(11/02/COM/W13B) v CITY OF TIGARD MASTER PERMIT 111111 COMMUNITY DEVELOPMENT Permit#: MST2016-00211 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2016 Parcel: 2S108DB07200 Jurisdiction: Tigard Site address: 15270 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 70 Project: Polygon at Bull Mountain, Lot 70 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1575 sf Basement: 940 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1836 sf Garage: 679 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 4351 sf Value: $525,845.52 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: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 8 201-400 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 4351 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: $36,656.87 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 OAR 952- . 90. 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: ,ed ' — Permittee Signature: � /770,z-/ 77o 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. ‘7 0 Building Permit Application % . 710 /(o Residential RECEIV FOR 011 I( Ill SE 0\1.1 City of Tigard ReceivesDateB : 023 / , Permit N.. 13125 SW Hall Blvd.,Tigard,OR 9722 ��—, �� /<!/,� i' g AY 18 .016 Plan Review_ , ./ , aril Other P it.�' o� n w/4,–I//7 Phone: 503.718.2439 Fax: 503.598.19 Date/B : v ` d le /�oCIJ Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for i<,N t:[> g g CI[V OF K IGARD . Supplemental www.ti ard-0r. ov Notified/Method: Co.tp / -; Su lemental Information J 1NC MVISIO� 7lfyic, nJf�t� I TYPE O W K REQUIRED DATA*1 AND 2-FAMILY DWELLING • ®New constn :ion 1 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/al ation/replacement Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF iSTRUCTION work indicated on this application. ® 1-and 2 ily dwelling j Con ercial/mdustrial Valuation:- `35252,811\a.,E g 1� 0 Access' ulding ]Mul family Number of bedrooms: 4 0 Master ler ]0th Number of bathrooms: 2.5 JOB SITE INFORM? Nr AN LOCATION Total number of floors: 2.5 SQ 3 0 Job site: ..ss: 152.10 S(.0 --n2sAineL New dwelling area: 4351 square feet Garage/carport area: 679 City/St.. ,IP:Tigard,OR 97224square feet Suite/b ./apt.no.: Project n. PolY1 n at Bull Mountain Covered porch area: 150 square feet)g34 Cross .tet/directions to job site: Deck area: 1140 square feet 16"7S" Other structure area: square feet q 4 0 IIEQUIRED oATA«COMMERCIAL-IJSE t CKI4 s T; Subdivision:Polygon at Bull Mountain Lot no.: 7C I Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION'OF WORK work indicated on this application. Plan 17B-DL Valuation: $ Existing building uildin area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT` Number of stories: ✓Name:Polygon WLH,LLC Type of construction: Address:109 East 13th Street groups:OccuPancY City/State/ZIP:Vancouver WA 98660 Existing: — Phone:(360)695-7700 Fax:( ) New: APPLICANT ` ' 0 CONTACT PERSON BUILDING PERMIT FEES* . Business name:Polygon WLH,LLC (P/easerefectojecscJadwlej Structural plan review fee(or deposit): Contact name:Angela Grajewski FLSplan review fee(if applicable): Address:109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Amount received: Phone:(360)695-7700 Fax::( ) E-mail:Angela.Grajewski@polygonhomes.com .PHOTOVOLTAIC.... . SOLAR PANEL'SYSTEM"FEES*. Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details and fire department access, ess,alon with the 2010 010 OreSo n Address: 109 East 13thStreet Solar Installation Specialty Code checklist. Permit Fee(includes plan review City/State/ZIP:Vancouver WA 98660 and administrative fees): $180.00 Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:204238 - A n Total fee due upon application: $201.60 Authorized signature: L/r �j This permit application expires if a permit is not obtained �.G ' within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:5/2/16 *Fee methodology set by Tri County Building Industry Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) v Mechanical Permit ApplicationRrr I L l ',l O\l.l Lk,City of Tigard nte/s Permit No.t1S7 O - %L/ IN . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 MAY 18 2016 Date/By: Other Permit: 1 1 , } 1 Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov CITY OF YC-k a :' otified/Method: Supplemental Information a*• ••• -= TYPEO WOilitIt 3 f l$40k ; cMa*xA FEE•SCHDULE ,USE CECLIST Mechanical permit fees* arc based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit Value:$ , . °CATEGO1 Y OF SCONS'I;RUCTION >. -_ FEES*. ;... '` ,. � RESIDENTIAL EQUIPMENT 1 SYSTEMS ; ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND,tOCATTON -...,-:;:,,-.:.±,:,q_= Heating/cooling: �7 f -' Air conditioning 46.75 Job site address: i S a, O 5 ma rn es La Furnace 100,000 BTU(ducts/vents) 1 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 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 Other: 23.32 Subdivision:Polygon at Bull Mountain Lot no.: O Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ffl', W �,L`-..4 B, . 3 q ,.., *r k - r¢'r6 :4 4 Gas firePlacerassert , 33.39 s; -., _: -> DESGRI—'—': j OF7 ORK, , �,,.. 7 '' _. 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 - z ether: 2332 ® pROYERT, : OWNER 0 !? NT ;:3 ,r+��,�. w,.,�x, -..�:,� � _, � �� �...- . � ,. 7:r Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:109 East 13th Street Clothes dryer exhaust 33.39 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 u ° � PPLICANT t r.1: ` :1F CON)rgfiER501Y Other23.32 u. 4 xa4; „ { Aics 4, �:: .,� :'fi , .. , Fuel piping: Business name:Polygon WLH,LLC S14.15 for first four,54.03 for each additional Contact name:Angela Grajewski Furnace,etc. Gas Address:109 East 13th Street 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 € ` coNTTtA OR Clothes dryer(gas) Business name:Apex Air LLC .2ther t t6Z...gMECHAIVICALP.ERMIT,IpEF,S`4„,. `. + E_ w 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 C���,�,,,/1t�j _� days after it has bcen accepted as complete. Authorized signature: I1_Nv'(/k • Fee methodology set by Tri-County Building Industry Service Board Print name: A , A ra ie- )S� Date: 5 t(o is\Building\Permits\MEC_PermitApp 040113 44046 7T(11/02/COM/WEB) RECE1V Electrical Permit Application FOR OFFICE ESE ONLY City of'Tigard Received Rawer Permit#:/yj.V-0/61.-6119 l 'I111 13125 SW Hail Blvd.,Tigard,OR 97223 MAY 18 2016 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit ii: - Inspection Line: 503.639.4175 D ( ReadyDaeeoay Jude I El SeePage2for riG,\Il D; Internet: www.tigard-or.gov L I OF 1 ' Nolified/Metbod: Supplemental Information • ::4i=l- .Y•- LF t - ^ :{-, .:y:' - - 'i1Svy:S ,:1::'i'sZ(r'.�d:l"r.":.;;i .s ; O �, IjA �: .. . ►tet New construction 0 Addition/alteration/replacement Please crack all that apply(submit A sets of plans write..,.checked): • 0 Service or feeder 4D0 amps or more 0 Bonding over three stories. 0 Demolition 0 Other where the available fault current 1J Marinas and boatyards. r`._ ";;""`z'i~i*-5. = .✓': ;'"-; j H v:`* .; _: r��'; -i l exceeds 10,000 amps at 150 voila or ❑Floating buridiags. :'• _ .;hsd=...`�?tt<v:v`;;a:= �` t .S���'lK¢CF"a'+�'':.:-k'-�:e�'�',.�d :i <�.,:�;:,-:;�'`:�.,:.._ � 0 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations, buildings. 0 Multi-family - 0 Master builder ❑Other: 0 Fire pump. ❑Installation of 150 KVA or °}' ❑Emergonoy system. larger separately derived T`obII 1b27^ s� -Thames L ❑100iPoofomvmotorloadof system. Job i!: Job site address: U J looltP or more. ❑`.A","E".'•t_z","1_s", City/State/ZIP:Tigard,OR 97224 • ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bidgJapt.il: Project name:Polygon at Buil Mountain ❑Hazardous locations. 0 Supply voltage for more than _ ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: - ".. . ?tl ':`S LEEach D1JLE`: -,: ' . Description '.. .I Qty. I x ':•I:: Total:'.:I�•;; New residential single-or multi-family dwelling unit. Subdivision:Polygon at Bull Mountain Lot#: '•7 O Includes attached garage. 1,000 sq.R or less16854 4 Tax map/parcel#: addl 500 sq.ft.or portion 1.1) 33.92 1 .:iya����;R::{`5;,:. 'la:.,..saD0!!''.�'1tUff..... .vl�'. *0I�.,.. ....,<i;•..MA:.... .. ....... Limited energy,residential I (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) i,. _ �: Renewable Energy ❑ See Page 2 ;.r-.�G":-.Y��i��?�`<'L�'Qf`• .;' .;:i'. . . �Q:_. . -:;`Yi::��>•' Services or feeders insts11ationalterstion,and/or relocation Name:Polygon WLH,LLC 200 amps or less 100.70 2 Address:109 East 13th Street _ 201 amps to 400 amps . 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: . relocation ' Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 • Owner signature: Date: 401 amps to 599 amps 168.54 2 t•; :- - ^ - :,-, Branch ciircuits-new,alteration,or extension,per panel `A•`.iThr'�e�=rx;4 } --. "-',-•-•''''''''''''','''''''_''''','-'1:''''''f'- �` <'#° A.Fee for branch circuits with Business name:Polygon WLH,LLC above service or feeder fee, 7.42 2 each(ranch circuit Contact name:Angela Grajewski B.Fee for branch circuits without vAddress:.409 East 13th Street s acc t feeder fee'first branch circuit 56J 8 2 City/State/Z1P:Vancouver,WA 98660 Each Merl branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax::(360)693-4442 • Each manufactured or modular- 67.84 2 dwelling,service and/or feeder Email:Angela.Grajewski®polygonhomes.comReconnect only 67.84 2 t= i .4^+ aiY `. OQ #ei.#0 - r ...,.._.. », $ c::: s�" 4T; Pu Por irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address:6101'NE St Johns Rd - panel,alteration,or extension. City/StatelZIP:Vancouver WA 98661 Each additional inspection overallowable 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 90.00/hr CCB Lie.: C1158 Electrical Lic.: 208174 Suprv.Lic.: 4496S s ca11 lishd .4 hr min _ _ ! cl-•. :.,;.,: It ,Y _� i`'Is✓L;p� i /�// //l/-}/L`_ I ,. vr' r �i.•�;;!.t.i:iF,':"µ1k Suprv.Electrician signature,required: ��I J V. fl L Subtotal: Print name: Joan P Albert Date:S' 3'l.0 ;— 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: - -.- TOTAL PERMIT FI3E• � :' _ � This permit application expires if a permit Is not obtained within 180 Print name: Bill Daniels/ Date 3- , days after It has been accepted as complete. s Number of inspections allowed per permit LIBmldineeru i 1EI.0 PennitApp MLR ERE.doe Ref06/17/20t5 410.4615T(11/05/COM/WEB 1 Plumbing Permit Applica I. r L ii- Building Fixtures HReceived14 iti Permit No. ����6� � City of Tigard Date'By: 13125 SW Hall Blvd.,Tigard,OR 97Y 1 g 2016 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/BK Other Permit No.: Inspection Line: 503.639.4175 CITY OF TIG ARD Date Ready/By: tuns: ® See Page 2 for t t� Internet: +w+++a dor o. I 1 � Noafied Me hod Supplemental Information �•r� ,�- �& .�_ rix� , fly- ., Ki .7.. ..� - F . - Demolition For spedal informelron use checklist ®New construction Description 1 Qty. 1 Ea. 1 Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) r �. ekitibO.R k NS3i1 01 {' 4• . SFR(11 bath 312.70 -.'r -. .._. SFR(2)bath 437.78 ® 1-and 2-family dwelling 0 Commercial/industrial 500.32 SFR(3)bath D Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 " f .TOB'S) Xhl�Ff3R C0i3N1-:1t+ill ]( blk 4 T,-. Site utilities: '6 �,` Iw0 bJ nig�1 e Catch basin or area drain I I 18.76 Job site address: L Drywell.leach line,or trench drain 18.76 City/State/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 ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Polygon at Bull Mountain I Lot no.: 7/\ Fixture or item: Backflow preventer ' 31.27 Tax map/parcel no.: .;,m ".^ -x ��ri h0..<.3,47F1 'wrs f3 :� -2 t i� � Backwater valve 12 .51 5 . Y,. x .r _ . .. Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ` .thz.rM� C4r...... r, (JV3R uk. , e .v cln,.., t•. % . Expansion lank 1211 •`Ir "' '.� ,, yy.e.,,, .,W..-,..i.-A4.....1--^ .i ; ,-,-,. . Fixturdsewer cap25.02 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:( ) lee maker 12.51 �^� ` • r ) w" ' Interceptor/grease trap25.02 r-r-� .'.igie::'�,..r . ,t>, . -Ae.MTI.,,.., zn. /,ani::7:, ) Page 2 n �xrux_� rt. Medical gas(value:S 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 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:Angela.Grajewski@polygonhomes.com tL �Fr y"' 4zr � J• *..N-h.ep, Y+ Bt W,"V; Z ;', 1 Water closet 25.02 ?. z e�L �O�/l/WAF�AFr�r� R .:s. , :?'- y?..;1;.,pi0. ,11sNe)� ^ f01ii, . 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 Minimum permit fee: 572.50 Phone:(503)351-3903 Fax:( ) Plan review (25%of permit fes) CCB Lic.: 180345 Plumbing Lic.no.:PB1582 State surcharge(12%of permit fee) Authorized signature: O w - - TOTAL PERMIT FEE Print name:Brandon Lanter Date: Jr3 ' 1 'c. This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. *Fee methodology set by Tri-County Building industry Ser%ice Board. L',Building\Permits1PLMO-Pei mit App.doc 10/01/09 440-46161110412:COW1+ZI3) 1 +' City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: / 'J 2i/6 — oe a// Site Address: I Sd 7 o S t.1 -ri,a.., c_s Lvt. Project Name: -o 141 o,,, G,.t- -5,,..A t -4+.-,_ Lot #: -7 0 (New dwelling=subdivision name;.Addition or.Aiteration=last name of owner) Planning Review Proposal: iJe t,J S F12- ❑ Verify site address/suite#exists and active in permit system. I%S1''River Terrace Neighborhood: ❑ No X Yes,See River Terrace Review Addendum Attached Site Plan Elements: 0Three (3)copies of site plan .Existing structures on site E Site plan must be on 8-1/2"x 11"or 11 x 17"paper ErFootprint of new structure (including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations ZNorth arrow Utility locations (required for new,may apply for additions) 0-Site address,project or subdivision name and lot number ,1Location of wells/septic systems C9_sipplicant information(name and phone number) 2frosion control(including drainage-way protection,silt fence EBilot dimensions and building setback dimensions design,location of catch basin,etc.) FrLot area,building coverage area,percentage of coverage and B'Street names impervious area (applicable if R-7,R-12,R-25&R-40) ✓❑Street tree size,type and location ZiProperty corner elevations(2 foot contour lines if more than CT1'xisting trees to be retained with drip line,and tree 4 foot differential) protection measures Ifr Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified Ltt� .'vo Received: ❑ Yes ❑ No 2/Public Facilities Improvement (PFI) Permit: Required: "Yes,applicant was notified ❑ No Applied For: Q"Yes ❑ No,stop intake [ 'Land Use Case#: 5u-13a O15— 0000a. Er Zoning: - '4. 6 2f Setbacks: Front oZ o Rear 15 Side 5 Street Side 15 Garage a o Landscape Requirement: % ,Lot Coverage Maximum: • Building Height: Maximum Height 30 Actual Height (-12/Visual Clearance Q'Easements //Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan RI Conditions "Met"prior to issuance of building permit Notes: Approvedi B Y Planning: l,Ge-(iv‘i >✓ Date: 5 - l 8 -l to Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPennitRvw_RES 012 116.docx Building Permit Submittal Original Submittal Date: Site Plans: # 3 Building Plans: # Building Permit#: enter building permit#above. Workflow Routing: [Planning CJ Engineering Q3-"Permit Coordinator L�'Building Workflow Sign-off: L 'Sign-off for Planning(include notes from planning review) Route Application Documents: 0' Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. aVtuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: � ` /o Date: „7.02..7/4, Engineering Review 0 Ca` Slope at building pad: $3 0 L2' Conditions "Met"prior to issuance of building permit VEasements (encroachments) per engineering conditions of approval and plat ▪ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes V No Assess Water Quantity Fee in-lieu: ❑ Yes [P/No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: , Date: 571-6f/�o Revisions (after Building Submittal only) Rev'ler 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: 17,DC Fees Entered: Wash Co Trans Dev Tax: \Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A /AK to Issue Permit Approved by Permit Coordinator: "dirtDate: 512 5/4 1:ABuilding\Fonns\BldgPermitRvw_RES_012116.docx l 11111 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 1 G n River Terrace Building Permit Review Addendum Building Permit #: /1,(7 p/6 —0 esa. // Site Address: 15.170 S t J 'Marne s Lri . Project Name: Polygon at 734.4.t( M o u rt ka i n Lot #: -70 (New dwelling=subdivision name;addition or Alteration=last nam )f owner) Planning Review River Terrace Plan District Design Stand rds (18.660.070.1): Is the project subject to the plan district design standards? ❑ Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that ,as 30-60 ft. of frontage. An additional element required for lots with over 60 ft. of street frontage shall be provi.-d every 30 ft. Porch thin. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft. wide min. 2 ft., Eft. wide ❑ ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street faci : facade must include windows or entrance doors. Percentage Shown: 3. Entrances: At least one entrance must meet both o e following standards: ❑ Max. 8 ft. setback from longest street- facing wa 1=1 Parallel to street,angle no more than 45` from street, or open onto porch Entrance opens to a porch: ❑ Yes ❑ No If yes, all the following apply: ❑ 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft. max. roof above floor of porch ❑ 5 ft. depth min. ❑ 30%min. porch roof coverage 4. Detailed Design: All buildings sha. include a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft. wide x ft. deep ❑ Recessed entry area min. 5 ft. wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft. wide ❑ Roof eave min. 12 inch proj- tion ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or • ood ❑ Gable,hip or gambrel roof design ❑ Roof pitch oriented sou • min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40% of street facade ❑ Window trim min. 2 '/2"wide by 5/8"deep ❑ Window recess min. . inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft. ide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade 5. Garages and C:rports: May face the front or side lot line on a corner lot. Setbacks: No closer to f int or side lot line, than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ May exte,d up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. ❑ May ex •nd up to 5 ft. where the garage is part of a two-story building and there is a window at the second story above 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: /`// Date: L.Building Forms BldgPermitRs-o RES RT 031416 docx o 4 E D 0 vi cd bio b bA U cv � 0 U) Cd a3�w' Lmg000© 7 0 c3 o x A Cd o 4 •� O O a 0 vi cd bio b bA U cv � 0 U) Cd a3�w' Lmg000© 7 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15270 SW THAMES LN, TIGARD, OR, 97224 March 16, 2017 at 10:57:34 AM Record Type: Record ID: Residential - Master Permit MST2016-00211 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15270 SW THAMES LN, TIGARD, OR, 97224 March 17, 2017 at 12:04:23 PM Record Type: Record ID: Residential - Master Permit MST2016-00211 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Main level power to furnace off. No AC at this time. No power at gfci at back deck. No power at lower level exterior outlet, interior gfci has no power for exterior outlet. Lower level heat system not working. Work not complete, not ready for electrical final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15270 SW THAMES LN, TIGARD, OR, 97224 March 20, 2017 at 1 :11 :30 PM Record Type: Record ID: Residential - Master Permit MST2016-00211 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Corrections complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15270 SW THAMES LN, TIGARD, OR, 97224 March 21 , 2017 at 1 :45:35 PM Record Type: Record ID: Residential - Master Permit MST2016-00211 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15270 SW THAMES LN, TIGARD, OR, 97224 March 21 , 2017 at 1 :49:16 PM Record Type: Record ID: Residential - Master Permit MST2016-00211 Inspection Type: Inspector: 299 Final inspection Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received High efficiency lighting form received Insulation certification verified Blower door or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor