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Permit (55) CITY OF TIGARD MASTER PERMIT 111_. COMMUNITY DEVELOPMENT Permit#: MST2016-00213 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 0 F" 4' Date Issued: 06/02/2016 �',}i/`. Parcel: 2S108Tigard 607400 iiYY L�, t',"" Jurisdiction: Tigard Site address: 15236 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 72 Project: Polygon at Bull Mountain, Lot 72 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: 1248 sf Basement: 735 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3649 . sf Value: $435,542.31 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Catch Basins: 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'I 500 sf: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy G NEW p yrou p: Square Feet: SF VB R-3 3649 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: $35,083.14 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 O'' •52-. -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: L�41 ,TE-'rL</e 77c,/j 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. RECEIVE fill ill • rit Lr SF.t3t1. 1 0 Oty of Tig2rd 13125 S 4all Blvd,Tigard,OR 97223 Pilone: 503.718.2439 Fax 503.598.I luspeetion Line: 75 Internet § bb tt ardKr a)aSEP 202016 / I�i ; r2Ptratt ijlti c 1/ 'D / Plan Review 96 t OF IGAR Lafe:BvpelaedPermit d;BUILDING fI /I I Cedre : Srggexge0.lwla-r atanIIMI Pe 3p►i New construction m 0 Additionxalterationreplacement )Meas"checl all that apply{submit 2 sets of pians w•,seas theelced): LJ Demolition a Stmeiw or feeder 400 amps or mote 0 Building over three stories, 0 t Other: witere the available fault Anima El Marines sad bowers. C411ECoittOF COtiSTR11GFI4 N_ .' „ ,:,-,.-i. exceeds 10,1)00 amps at 150 volts or 0 Floating buildings i:4 I-and 2-family dwelling 0 Commercial/industrial El.Accessory building less to ground,or exceeds 14,000 0 Cummerciafuse agictafttral amps for all other installations. buildings, ®Multi fsslzlilyj 0 Master builder 0 Other: 0 Fire pump. L7lnsiellanon of ISO KVA or JOS1EO .f1 NldlI1�� : CEmergency s3stem, l er s zparasetederived A " 0 Addition of new motor load of system.lth Job site addressi52%0 SVlhOMILS Lonv a 100137,or more. ©A",`•E 1-2-,'1.3", City'StateIZIP:Tigard,OR 97224 0 Six or more residential units, occupancy. 01fealth-cane facilities. Recreational vehicle parks, 4- ®Supply voltage for more than Suiteitrg'aptProject name:6f r0.10kiMc``,n6 [ aadosicatons. � 4 Service or feeder 500 amps or more. 600voltsnominal. Cross street/directions to job site: .:--"..7`:7.-. ..1--,L:.FEE.SMIA:E . Description I Qtv, I Each I _Total r New residential single-or mtiW-fami1 dwelling unit Subdivision P Cj 4J1—� i)y U„ H aas U�,:_t Lot#: Includes attached garage. Tax map/parcel#; i �v 1,000 sq.R.or less ) 168.54 4 �":,;::1-?.:7X'2,-,73"'".'t'41:::::'2.. R1PTWNt t F WORK '�'�/'/�/1�}7�� '_ Ea.add'l SOD sq:ft,or portion � 33.92 1 l 1 a ,I i Chn,n)e Limited energy,residential (with above sq.fl.) 75.60 2 Limited energy,multi-family 3,<,'." �* >'1RtT Y75.00 2 � ' . ... `: residential(with above sq.ft.) Naive:AD:VL Land Holdings,LLC Renewable Energy El See Page 2 Address:7600 E Doubletree Ranch RoadServices or feeders installation,alteration,andfor relocation City/State/ZIP;Scottsdale,AZ 85258 200 amps or less 100.70 2 • Phone:(602)694-4031 I Fax:( 3 til l amps to 400 amps 133.56 2 Email: 401 amps to 600 amps 200.34 1 2 Owner installation This installation is being made on property that I own which is not 601 amps to 1,000 amps 3.01.04 2 intended for safe,lease,rent,or exchange,according-to ORS 447,4.49,670 and 701. Owner signature: Over 1,000 amps or volts 55226 2 .. _. .... ..... Date:- " ® Ap}E1, Temporary services or feeders installation,alteration,andlor ,v '.l] Lbh"T�AiCT PERS+TD�4 retoca#ion Business name:William Lyon Homes,Inc.. 200less amps Or 59.36 1 Contact name:Angela Grajewski 201 amps to 400 amps 124 D$ Address:109 East 13th Street 2 401 amps to 599 amps 168,54 2 City/State/ZIP:Vancouver,WA 98660 .. . Branch circuits-Beta•,alteration,or extension, er panel Phone:(360)695-7700 i Fax::.(360).693-4442 A:.Fee for branch circuits with above service or feeder fee, Email:Angela.Grajewski®polygonbomes.com each branch circuit 7.42 - �- `s _, --' B.Fee for branch circuits without : -.. 0.I T1#ACTOR _ 7,1,-. .-2-.`%:;-).' ,.service or feeder fee,first Business name:alameda electric branch circuit . 56.1$ 2 Address:39115 ne 44thEach add'l branch circuit. 7:42 2 City/State/21P:1 ;3 / Miscellaneous(service or feeder not luelttded) is a-`u 11 � /� 7. ' Each manufactured or modular. .. Phone:(503).3192192 Fax:( ) dwelling,service and;iar feeder 57 ..: 2 rt -6.7,84' Reconnect only 67.84 .2- Entail:solarpdx@tue.com . . Pump or irrigation circle til 8,1 :Si- a CCB Lie.: 199188 (Electrical Lic,: c923 Suprv.Lie.: /f7/5 • Sign-or outline lighting 67.84 2 Suprv.Electrician signature,required: Signal circuits)or limited-enemy . Print Hants; fl h JJ / panel,alteration,pr extension. g.0 Ste Pa a_2 J./4,/4, 1 p I hate: /21/Z Each additional ins.ection over allowable in ate*of tate atmi4. Authorized Signature: Additional inspection i I hr min) 6613/h. .. Pritht name: " ,....K.,.----' Date: Investigation(1 hr 5 , - I 9!1 D0=hr' a." - , st'ffi,aiss reanaApp_ .dac tis+taG::tzots . ._ e40.45t5T{3 t.�t15fGQ:.isY✓ES � .' Plumbing Permit Application . . . . _ .. . . Building.Fixtures. FOR OFFICE [SE ONLY _ . . . City:Of Tiga.-0 c.,!.-.:p -1 !..i, al 1 fi :RIpi. ive4 ,•,/,,, j-, ,a,,,,,i , 13125$W Hall BIrd Tigard OR 97223 ., . • .Plan:Review . - Phone '03 ..Fax 03 : '7, k .' '', ,'':•, ' ''-ht,qtql,,.. - 111 077/ .' !VII-- Pervrot 15411,ST,"201:6, -‘,04243 I : 0(her Permit Nci,:. ....,„, ••. • • . Inspection Line: 504.6394175 ,--1,:',f.,,-, , , --.. .,-,: :::--s,g1:".---,.„. .. T I G A ll D - : ,„,;., ,,,,...„ :,,• _ - • , :, -•.. Ri'4cfy,sPy. :ruffs. 0-$ee Page 2 kr Internet www.tigard-orgov Notrfied/Metlfod: upplemental Infonnatitsit t: , . . ' ;,tt.: ',..W. Fl-: ::-,. -.,-',.*I'7:Vii"..t,:.4*tiite•t4t.,:;:.*',:;,:,:;•`-".k'i'7.411-::::::.-* *-; ;.:'.::01::::...--, ,..:1,.,:-,-;•7,,,s,,, :.T..7!.116:-4-g1.6-,6,--,D-----IfEtt .....: ;,. .i,.7,-.1-1,-i.... ..,4i., i 12:New construction . I El Den-it-Alden- en. . • For use...treeklist - - . DeScrilition . •Qty. I Ea. I Total o-Additionialteration/repladement 0,Other:; • New 1-1-family dwellings(includes 100,11.for each:utility connection) .4::•7:1...:.,.ii.,-.:,;--,,_•,;•iy:-i:..,•.:,;:l.-,; -,1.,.',., 440,i,;,404,;:oggiitykieioRt.ovi.:,.„;-:.:5z.,.a.,!,,,.z::7,,:t:: SFR(1)bath El 312.70 I,-and 2-fan-lily dwelling 0 ermunerdiallinditstrial SFR(2):bath ... .... .. 437:78 0 AceeSsory building 0:1MaltiL,fartiity° SFR(3)bath • . .bitch Additional bail6kitchen 25.07 -Fire...sprinkler( sq.ft,) 500,32. 0 Master 0 Met. .- .Page-.2 I. :,...',4`, ;',2•-.:J.ilt tititotgyt8otksul)E*1,=oi:b;-t,kiokto*-.f:-I,,i:y:.q,,-..•.,x-fk.-y..,•:. Site utilities:. . . .. . /rib Site addressf NI3(X S ikiN,IFILPOLS tilXn, I, Catch basin.or ar ea drain IIIII 11176 • . " Drywell.,..leacb-line,Qr trench drain 1.,-.76- (ity/State/ZIR Tigard,OR 97224 — • . . . ------ - - Footing drain(no,linear ft.: ) ME Page.2 • ' . • Suitelbldglapt.no.: Project name:Pulygon:Al.Bull MOuntaht Manufactured home utilities50,03 . . Cross:street/direct-16ns to job site: Manholes . . Rain drain connector MN 18.76 ._. . " ... , • Sanitary sower Mo.linear ft.; ) Page.2 • _ .... — i - • 'Storni sower(no.linear(1.: ) i Pa,..ge 2 • • - • - -- . • 1 .Water serviCA(nolinear 11:: ) . Page 2 Subdivision:Polygort,A Bull Mountain . 1-k0l110•: 12.. Fixti,,,,oritem . . . . Tax inapiparceltm: Backflow*renter 3127. :1 •i:I'.0,!....::'..•'. .r.1•:•4-71•'5-Ar':;J:41.i.e://iPetb*,6•04:itlII41M;''.7r7.4,1r;:,.. W.g.;.:i -lacjc'vate•••valYe Ael /7/r-7e-7E7z— Dishwasher . . 12.51 ... 25.02 . .2102 I • • . . Prinking:Tonna' in Ejectors/Salty• . ' 25.02 25-.02 . . . „ . .. ... .... .. .,..., • .. _ ... -l.•••-';'•''...-'2:-,';'::SVAQPERTY:OWNER,-',=!-:;-.-7:-,'.4::.i :- •-••.: ..,,::,,,,ExTFINANT,:t.z.., .,.,..„,-,.„.:-.--,,,, EPattS1011 tank -I 12.51 1 i Fixture/sewer cap ' 25..02 • Name:Polygon W41,,LL.0 . . . - Floor drainitloorsinhtlAtb . . . 2102 I . Address:.109 East 11.6 Street • • .. Garbage disposal -1 25.02 city/State,OpiVartentiver,WA 90660 Hose bib IIIIIII 7---f) ... .-. . ...- - • •••• 2 Phone:(300)05,7700 - Fax( ) li.e maker 12,51 . •, ..-,•.... •• . ...."•,... . ..... ,••., 1 .;35At'ICL'f',A1454.Kti4k .i;•.*;'• 2,:fa•!‘-e•••-•:.:Fil.:P.:04.470-(4.vit$:0:4:•.',.'e- IntqcrePtWgcc4-5clraP 2-102 Mei:hoar gas(value: . -.) Page 2 . . Business nante Polygon WI...Bi-/LC •i. .. Pruner • 12.51 •Contact Aogela.Grikiewski : • • ' Roof drain Mornmercial): • 12,51 . . Address:109 East 13th Street SInklbasintlavatorY 2-102 .. Cityt.StatwZIP:Vaneotrer.,884 98660 Solar omit(potablewatery 62..54 Phone:(309 695-7700° Fax ':(360)693-4442 :nibilshowerisbower pan. . , 12,51 Urinal . . 2102 E-mail:Angeta.GrajoeSkpolygonliontes,com .. . : - 25,02 ;,..4:::;,-Ikr. .:if.'---'1,10 '7., :,,:;:pir'- '015kf.4.-.•;-:`,:,,,,if.:'-':'.'.V.. .': .•;. 1g:.* .:: 'tet-0,°s•tt • ,.„. ...,„:::.,.,:‘,1,,,t,•:,:k.,:,.-.z:-.„....:11.:...404,,,-.:.:A.4.: :_t•-•:-!.....:„...,- -4.-.,-- :..-,, iiie:F.-rkii.--5.-----.::.,:iir--'11x.16:`:".:".s-.-.0...•-•,,wv• ---..:-$.,..,:.., -wat.o..heat ; .31.,52 : ..7„,62) Business name:8,1)1,Plumbing Llje. . WaterpipineDWV 56..29- . , . .. ... .. I Address':PO Box 85 .' 0 Other a5.. : .... . . • City/State/ZIP:Corbett OR 97019 sototit '1911Q.;($03)351-.3903 Fax f. ) • — . . • 1 • ” . ., , Minh-aunt permit fee; $72.10.Plan review (25%of permit Tee) t [..F.B,Lic.f .18030 • -Plumbing Lie-nri.:::3111582 T . • • :State surcharge(12%Of perrniffee) ... . . . . . . . Authorized sigiAture• 6...2...4....... 7/4-k.,,e,,,,,c0.,4-*-' TOTAL PERMITFEE 1 , ; .;: 7. ....-, . • . .. . i., • • Ttit permit application gxpires Ifs permit is net obtaiheft within 150 days Print Print name::Brandon 1-J4flteF • • -1):Atb: 8j1 p 1 fa ' .atter it has been accepted as CouiPlete. 'Fee metiiodokiv$et bytri-county Building indusity.Seni&B..iii. egjoildiniPeraiitskPLMUlermitApp.doc. 10./Q1/09 441,46.16.410/02,r0Minfl) • . - ' CITY OF TIGARD � `' 11111 MASTER PERMIT COMMUNITY DEVELOPMENT ' Permit#: MST2016-00213 T u GAR_D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2016 Parcel: 2S 108D B07400 Jurisdiction: Tigard Site address: 15236 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 72 Project: Polygon at Bull Mountain, Lot 72 Project Description: New SF. 8/25/16 ADD heat pump in basement BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1248 sf Basement: 735 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3649 sf Value: $435,542.31 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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 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: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3649 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 A Geotechnical report is VANCOUVER,WA 98660 VANCOUVER,WA 98660 required before the footing 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,951.12 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. 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: - C1-46e...44-t....4_.. Permittee Signature: etfi Z 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 CASE O\L} City Of'Tigard Received 18 /47 2 .11111 ® 13125 SW Hall Blvd.,Tigard,OR 9 �c Ct DateBy: �� Permit No.:r ti Ali �.d c /3 pi D ' Phone: 503.7182439 Fax: 503.59:.1'.. Plan Review Inspection 503.639.4175 Date/By: Other Permit: T I GA RD p Date Ready/By: Internet: www tr and or ov A G H See Page 2 for g g U 2 2 2016 Notified/Method: ® Supplemental Information ii ; �' >�� - ; _:'__ = CO�CIAI.�;FEE* iII:: TI�E;CHE�It�.ST ®New construction Mechanical 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 0 Other: mechanical materials,equipment,labor,overheadrofit.,and p GAIEG©RY(1FOT�.> [QN Value $ _ -.< RESIDEkaII,.f ® 1-and 2-familydwelling '4 — Q1►l�NIVTS'Yh1LA�S1FIEE 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi family 0 Master builderI I ❑Other Description Qty. Ea. I Total gifgfg.._ • OB SI L 11FORRll 4TjONAN)) )CiT1ON = Heating/cooling: Job site address: I C'jw3i S�� 9 r t'1- „� � Air conditioning 46.75 J sj ill 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 -:: ".,._. ` r71!kSCR16T:ION OF WflWlti Gas fireplace/insert 3339 Change 2°d furance for basement to Heat Pump firfrep 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 ..: TRbRTYflE _: _ -- - _ T��"INA T � `- Other: 23.32 Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:109 East 136'Street equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, Phone:(360)695-7700 Fax: toilet compartments,utility rooms) 23.32 �� : � ,��� �� � � ( ) Attic%rawlspace fans 23.32 r..tt: ....,., ._. + ._s.�fiFAR + IiitaG 4 Other: ..<" 2332 Business name:Polygon WLH,LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump City/State/ZIP:Vancouver,WA 98660 Wall/suspended/unittreater Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace E-mail:An ela Gra'ewski Range • g j @polygonhomes.com i Barbecue �-' 'i. .' '%- ' 13�R ' ` s- ` rW.A V 3 _ Clothes dryer(gas) . :�-mss... .. 4.,-..g».. Business name:Apex Air LLC Other: Address:18004 NE 72°d Ave 704.57411fitiV.T4i Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 I Fax:(360)3264769 Plan review(25%of permit fee) CCB lie.:203034 " State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 signature: days after it has been accepted as complete. Authorized .. " * Fee methodology set by Tri-Connty Building Industry Service Board Print name: -:.�w � � I Date:8/22/16 I I:1Building\Pemaits\MEC_PemtitApp 0401"3. oc ' 440-4617T(11/02/COM/WEB) 11. el CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00213 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2016 TIGARD Parcel: 2S108 DB07400 Jurisdiction: Tigard Site address: 15236 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 72 Project: Polygon at Bull Mountain, Lot 72 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1248 sf Basement: 735 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 3649 sf Value: $435,542.31 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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 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 l 500 sf: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3649 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: $34,837.73 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: . Permittee Signature: ®'i/ ei �4 i C l—z'70"i 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 O7 7,2--- -/%/.6 RECEIVED �� S � Residential City of Tigard ReceivedDateBy: _s7:22/ S7 //(� . Permit I �' e/6,�-Opa� 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 18 2016 e .111 Plan Review A^ �,/ Phone: 503.718.2439 Fax: 503.598.1960 DateBy: S/34 ii c Other Pert2p20/6��1/ I ,t ,It 1, Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: /7/ Juin: ® See Page 2 for Internet: www.tigard-or.gov Nonfied/Method: �/ / /6 I Supplemental Information BUILDING DIVISION �`ie-i- 4--A/676- TYPE OF;WORK REQUIRED'DATAt 1-AND 2-FAMILY DWELLING; ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: 42JlL5 ® 1-and 2-family dwelling 0 Commercial/industrial ‘13J 4 e2 ElAccessory building ❑Multi-family Number of bedrooms: 4 ❑Master builder 0 Other: Number of bathrooms: *-4:5...-a : 4 1 13 JOB SITE'INFORMATION AND LOCATION Total number of floors Job site address: 15250 SW Thames (a ne, New dwelling area: 3649 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 464 square feet Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: 42 square feet i 6/z Cross street/directions to job site: Deck area: 1(p( square feet)2.4 s Other structure area: square feet 7 3 REQUIRED DATA:COMMERCIAL-USE CH1 CKLIST Subdivision:Polygon at Bull Mountain Lot no.: -72, 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 5A-DL Valuation: $ Existing building area: square feet New building area: square feet / ® PROPERTY OWNER 0 TENANT Number of stories: 'V Name:Polygon WLH,LLC Type of construction: Address:109 East 13th Street Occupancy groups: City/State/ZIP:Vancouver WA 98660 Existing: Phone:(360)695-7700 Fax:( ) New: El APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH,LLC (Please refer to fee schedule) 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 Phone:(360)695-7700 Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*, 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 Specially Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): hone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 kNi CCB lie.:204238 _ Total fee due upon application: $201.60 Authorized signature: zX/ V.k This permit application expires if a permit is not obtained 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. l:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) t Mechanical Permit ApplicatioRECEl v '1 i (,lz O i I 1( 1. i �i (1.i.1 City of Tigard Received Permit No./8��/6.�a�� _ Plan Re II � 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 18 2016 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit I i I, • I� Inspection Line: 503.639.4175 CITY I-�Y O Y, T!f ` R D Date Ready/By: rte: HI See Page 2 for Internet: www.tigard-or.gov lli llld Notified/Method: Supplemental Information BUILDING DIV'ISI® ' c COM1 ERCL4L•FEE•`SCHEDLE , USE CHECKLIST m{zr .,?:. _ • TYPE OFr WORK . ,, • ., U '•' ••rt " " 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 0 Other: mechanical materials,equipment,labor,overhead,and profit Value:S 'CATEGORY OF CONS iiiit'ION - RESIDENTIALEQ•)IPMEN'I'/SYSTEMS FEES• ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other. Description Qty. Ea. Total JOB Sfl INFORMATION AND,)(.QCATION Heating/cooling: Air conditioning 46.75 Job site address: 1523(7 51A) Thames es La.1 1X. Furnace 100,000 BTU(duets/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 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.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 4, - t.., ;° ° Gas lace/nrsert 33.39 �. , f,�' - D GR1PITO�2- 1 b -e R4'Ea5 + . P . t < • `'4:- 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 2332 ;;; RS � n A '; . / illxOther2332 tla ®1RPERR31i ; 41- 4, � ,4a ; .v , 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 ' +d x¢ t # l � '` 'd " l4 ❑ CO ', R "Si..zx }ft ' p= im- _.0f " iiEt ' ' 1 Other 23.32 .0ittNrriat4.4-1 .4, do,,,,5 .... 2*03-,. ,r.a4ursS « ;14H, Fuel piping: Business name:Polygon WLH,LLC $14.15 for first four,$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Gas heat pump Address:109 East 13th Street 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 ': cor RA. TOR y Clothes dryer(gas) r � � . Other: Business name:Apex Air LLC e 'tib ME B P 0,-.1 )-$10IT 'EFrSr"I 441l Address:18004 NE 72nd 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��'���,,/�kA � days after it has been accepted as complete. Authorized signature: �J • Fee methodology set by Tri-County Building Industry Service Board Print name: A , Ara, eAw S k,f Date: 5 ?) l(o I:\Building\Pttmits\MEC__PennitApp_040113`6.c 440-46 TT(11/02/COM/WEB) 'llECEtVl ' Electrical Pe>rmAtA ➢ica41" oRort 1cL 1: L 01f7:_i _ . _ City ojB'Igard Received Dam Pormk tF /1---C7.:-,. /t6 0/42,(g 111 n 13125 SW Hall Blvd.,Tigard,OR 9722MAY 18 2016 , Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Ding ; Related Permit it: Inspection Line: 503.639.4175 �(' Ready Date/Sy: AMC H See Page 2 for 'I/GARP Internet: wtvw.tigard-or.gov �iTY�rT��Ii- Noti£ed/Melhod: Supplemental Information • -�r-r r_-. 't'i 11. '0 �. 4 Y . p .;Y' - - 4�Lt/lily.?� - :i_+';:�-ti_Y���01'..:;':i 4 q ®New construction 0 Addition/alteration/replacement Please check all that apply(submit sets of plans w/items checked):~ ❑Service or feeder 400 amps or more ❑Bonding over three stories. ❑Demolition _ ❑Other where the available fauk current 1�Marinas and boatyards. .t' ;r �-iy s. `CiE T • `OgJC.W.!' �kfr:QYV(y''�•-•�fON r'fp -c+-��;E;y>r,_. ;-:;.-:, i exceeds 10,000 amps at 150 volll or El Floating buildings. 5 :-5�. ��� t •4'.�.�;h`„i :i-. ...-. �'.�Ya�•.[T;f(}G�w...« �•i je,-'ll'; � •..!•�.ti.2'.j.:.=:• ®1-and 2-family dwelling 0 Commercial/industrial El Accessory building los to ground,or exceed`14,000 O Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family - ❑Master builder ❑Other: 0 Fire pump. 0 installation of 150 KVA or ::;' Gq': t, ❑Fmergencyayatern. largerseparat y - .. _ :_;iTO�t�?l<,T'�.r:��RQI��Qi7.'��;i�'�r�\Ql�.`.':•;.:�= .. � -.• el derived Job#: I Job site address: t 5s3(0 G�) - es L 0 Addition of new motor load of system. . 100HP or more. ❑•A,•�'••,"1-2”"[-3^ • Ci ty/State/ZIP•Tigard,OR 9721,1 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational l vehicle Pmks- Suite/bidgJapt#: I Project name:Polygon at Bull Mountain ❑Hazardous locations. 0 Supply voltage for more than - 0 Service or feeder 600 amps Or man 600 volts nominal Cross street/directions to job site: ;: \ 1 ', ''•'r'' :' -._- • beserIpilsa • 1 Otr. I each TomsI New residential single-or multi-family dwelling unit. Subdivision:Polygon at Bull Mountain I Lot#: —[2, Includes attached garage. 1.000 sq.ft.or less I 168.54 4 Tax Map/parcel#: or portion33.92 1 - - .;-�s�ra•�,��:;,:• _ _ - -- •,;::. Ba.add'I 500 sq.ft. '•7.•e' •'i' `%�'iD O$ .F.:;W•. .,K:'" ':'i ':t:;-��is�;+ _.:•,,I�s��,'�M�,fiilSiC'.+::-'�'l�ss;a. .,.�1:','x1�s�,... ..Q. �:©I�,.. ..., s'y•... a�?�::... .. : ....:. Limited energy residential ) 75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.@.) _ .�..r.:,,. _:i•. Renewable Energy 0 See Page 2 ;,?.. -:;..��.����`� �.;'-= - •..1-;Li:'=��=���'�^,,. ::�.t :�=�:<,-*=.'�"' %t;''�<^� Services or feeders insfallationLalteration,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 r City/State/ZIP:Vancouver,WA 98660 ' 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 I Fax:( ) Over 1,000 argrs 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 5936 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- ,.�` ;Y,-.o��l t,- - n:.• : ...,21 - -_:Y ;.y-.V Branch circuits-new,alteration,or extension,per panel `:�'.« 5 ,:v'(4 = .. .,x ? {'.:' t•�rc A.Fee for branch circuits with Business name:Polygon WLl3,LLC above service or feeder fee, 7.42 2 each branch circuit Contact name:Angela Grajewslcl B.Fee for branch circuits without Address:_109 East 13th Street service or feeder foe'first branch circuit56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 • Miscellaneous(service or feeder not included) Phone:(360)695-7700 • . I 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 -.-tit:7Y«a4£.V+��F, g+ Y»ti'N {9„�0IA . : . ... _ tiv.r , ; ;.� . ,`•R:. Pump or iffigtition circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:6101'NE St Johni Rd • panel,nal alteration, circuit(s)or ie tension. 0 See Page 2 2 Auld, or extension. Each additional Inspection over allowable in any of the above City/State/ZIP:Vancouver WA 98661 Additional inspection(1 hr min) 66.25/hr ' 1 Phone:(253)320-1657 Fax ( ) Investigation(I hrrnin) 90.0W hr Email:bdaniels®gweusa.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.OW hr CCB Lie.: C1158 Electrical Lic.: 208174 Suprv.Lic.: 4496S s -..' :dated(!i4 6r mi°) . f�':.'::�1~::ti;'•r•�:':�•-T'Srt�'•iw":�TT•v�ff.0'.0.'iZ:jdiU=ask7:14il Suprv.Electrician signature,required: -C f t/_pf Subtotal: Print name: Joan P Albert Date6-3-\(.f? ' 0 Plan Review Required(25%of permit fee): _ _�•.•_,_� State surcharge(12%of permit fee): Authorized signature: t —_ - TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels" Dates 3- days after It has been accepted as complete. . * Number of inspections allowed per permit. t_-{BmldiaglPermitAELC-PermitApp SLR ERn.doo Rev 06/17/2015 410.4615T(11/05/OOANWEB • `' ' Plumbing Permit App1iicatit !,C ,jV Building Fixtures IOR Oil1( I. 1 sl. OvI.v MAY 18 2016 Received Dare,By: Permit No, �'r �6.09,/13 City Of Tigard 11111 13125 SW Hall Blvd.,Tigard,OR 97223 n Review Other Permit No.: Phone: 503.718.2439 Fax: 503.5 IIT66 O Plan Rev TIGARD Dae% Inspection Line: 503.639.4175 Date Ready/By: /uric ® See Page 2 for l I i' \K D Internet: www.tigard-or.gov BUILDING DIVISION Notiliied/Method: Supplemental information Sl A-'"70os'�;� v xt fVY$t..R S $PF"." X'Y T ',, 1,... a g Ki r .... SP >...: .. r . ®New construction 0 Demolition ,.. _., .. ... For special"ClOI information use checklist Description I Qq•. I Ea. I Total Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) ❑ t CATEGORY OF'tii43i.iiir 'IQl!1.• ' SFR(I)bath 312.70 SFR(2)bath 437.78 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 s N r - \ Site utilities: x -i: : SOI.. BXT..IIVF UN 1aID' i, ., `Y. c t r area tarn site :,. '52_ . VW) , ' tame6. by Catch d • Job site address: 18.76 Dowell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:-) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Polygon at Bull Mountain I Lot no.: -72 Fixture or item: Backflow preventer I 31.27 Tax map/parcel no.: fs Backwater valve we. .yt405 :W` uggggf h 1 -, 12.a I .Y .Sv 4 ,;.x F. _ /. ..F... Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 r. " cr '( .i.f.iii,6F ,• x4 ,, .es n ` r Expansion tank 12.11 t ter _r7 7 r 1 3 , ,. Fixture/sewer cap 25.02 Name:Polygon WI,H,LLC Floor drain/floor sink/hub 25.02 Address:109 East 1311'Street Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax ( ) Ice maker 12.51 st e s F:rn „ F , Alts 4tg ; Interceptor/grease trap 25.02 1 « � .. . �>.. .... _,,w ,t. , A Medical gas(value:$ ) Page 2 Business name:Polygon WLH,LLC- Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 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 Gralewskt @poli gonhomes tom x r *n r -TlAtt� tt: Water closet 25.02 c, � n4xJNk &pit�:iwr ..1 4 _.:s.,n,D-x. n c2z;G1cu.r• �, ,.,Ma�.cr.�b jr"• �..' . :, r,, , 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: $72.50 Phone:(503)351-3903 Fax:( ) Plan review (25%of permit fee) CCB Lic.:180345 Plumbing Lic.no.:PB1582 State surcharge(12"/o of permit fee) Authorized signature: ` TOTAL PERMIT FEE I Date: 53 I6 I This permit application expires if a permit is not obtained within ISO days [ Print name:Brandon Lanter after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PL1,111-Permit App.doc I1:1'01i09 440-4616ri IOiO2iCOW11tB) II k City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 c A n Building Permit Review — Residential Building Permit #: / ç72 / c, — ppa/3 Site Address: /Sa36 au •77/,3177,e Ls,.7it.Q Project Name: Pd B / k// Maine Lot #: (New d�� ubdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A W Yd erify site address/suite# exists and active in permits em. Ya River Terrace Neighborhood: CI No Yes,See River Terrace Review Addendum Attached Site Plan Elements: Fl. P ree(3)copies of site plan Pi ra 'sting structures on site '/ ' e plan mus be on 8-1/2"x 11"or 11 x 17"paper ri Footprint of new structure(including decks)with finished frg yawn to scale(standard architect or engineer scale)ili I.or elevations orth arrow1 FA Utility locations(required for new,may apply for additions) Y"t to address,project or subdivision name and lot number cation of wells/septic systems plicant information(name and phone number) rosion control(Including drainage-way protection,silt fence 2. tt dimensions and building setback dimensions sign,location of catch basin,etc.) area,building coverage area,percentage of coverage and street names pervious area(applicable if R-7,R-12,R-25&R-40) I� oeet tree size,type and location roperty corner elevations (2 foot contour lines if more than I r i sting trees to be retained with drip line,and tree 44O foot differential) protection measures lean Water Services—Service Provider Letttee of platted prior to 9/10/1995): Pequired: ❑ Yes,applicant was notified (d No Received: ❑ Yes ❑ No ublic Facilitiy Improvement(PFI)Permit: Required: V Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake Band Use Case#: I/ cQC)f 5-7-C(.)Oq ViZoning: k2-1/..g" to Setbacks: Front c'0 Rear /S Side c-- Street Side I v. Garage cQO .kandscape Requirement: 0/0 FA 4 Lot Coverage Maximum: cyo II :uilding Height: Maximum Height SC) Actual Height 77 p 'isual Clearance Aasements E. ensitive Lands: CI Yes �o Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit- // �ff� Notes: Cejl1�j�'y1S' // Le l✓ � / >7b. 7� if /1,L IS Zfro/1Ce Approved By Planning: =� ' Date: , 18/0 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\BldgPemvtRvw_RES_012116.docx r Building Permit Submittal Original Submittal Date: _.S'`/r, Site Plans: # Building Plans: # _3 Building Permit#: le Enter building permit#above. Workflow Routing: C'Planning ngineering Cg-"Permit Coordinator AffrBuilding Workflow Sign-off: le-Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and 9riginal plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Jjr , _ Dater/��/,C, Engineering Review 0 El"Slope at building pad: 3 0 0 CKConditions "Met"prior to issuance of building permit [Zl asements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes fil/No Assess Water Quantity Fee in-lieu: ❑ Yes O No LIDA Facility on lot: ❑ Yes CIYNo ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: iii. Date: ___L pZ ` / Revisions (after Building Submittal only) eviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved r 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: DC Fees Entered: Wash Co Trans Dev Tax: Yes CI N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A W#4 K to Issue Permit /� :proved by Permit Coordinator: A KDate: 51 `' C\Building\Forms\B IdgPermitRvw_RES_012116.docx L 1 4111 a • griCity of Tigard 4 COMMUNITY DEVELOPMENT DEPARTMENT :� River Terrace Building Permit Review Addendum Building Permit #: /"sr„2e/6 "DOv,/3 Site Address: / 7 S/0 j j ,S L Project Name: Polygon at Bull Mountain Lot #: .(R (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1): Is the project sub'ect to the plan district design standards? ❑ Yes No 1. Articulation: a .,•. urn of 1 element per each street-facing facade that has 30-60 ft. of frontage. An additio•. element required for lo with over 60 ft. of street frontage shall be provided every 30 ft. :alcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft. wide min. 2 ft., Eft. wide Gables dormer ❑ ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum •f 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 ❑ Parallel to street, .ngle no more than 45° from street, ❑ Max. 8 ft. setback from longest street- or open onto po • ,\"\ii)\ Entrance opens to a porch: ❑ Yes ❑ No If yes, all the following apply: ❑ 25 sq.f •n. v ❑ One street facing entry ❑ 12 f. max. roof above floor of porch ❑ 5 ft. depth min. ❑ i'/o min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of fi - sf 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 .11 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 Ie 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. Width. 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: Date: Si/ 4 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 1 Transmittal Letter 1(1,,,it 1-, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DA Le•r•-Lib._ tt:.�' DEPT: BUILDING DIVISION " g AUG 2 2 2016 FROM: Angela Grajewski z 1-1 COMPANY: Polygon Northwest PHONE: 971-212-2144 B RE: 1c)2.3L0MST21 -C O a-1 SV\c .�am�s 0 (Permit 0 Number) 3 Site Address) ) Polygon at Bull Mountain (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: keki:W17:4Aii.164_;3 =� � s >w.. 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: Fees Due: r: Yes ❑No Fee Descri.tion: Amount Due: 77,77 777, 75.11N1191EMINNIMIll Special Instructions: Re.rint Permit .er PE): ❑ Yes I►, No ❑ Done A. •licant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15236 SW THAMES LN, TIGARD, OR, 97224 May 10, 2017 at 11 :20:55 AM Record Type: Record ID: Residential - Master Permit MST2016-00213 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: 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: 15236 SW THAMES LN, TIGARD, OR, 97224 May 11 , 2017 at 11 :28:03 AM Record Type: Record ID: Residential - Master Permit MST2016-00213 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Seal penetration in mechanical room at fresh air intake. R302.5.3 Fix back pitched pan drain in mechanical room. Note: 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: 15236 SW THAMES LN, TIGARD, OR, 97224 May 16, 2017 at 9:19:52 AM Record Type: Record ID: Residential - Master Permit MST2016-00213 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: House locked, 9:17 am Provide access for inspections. R109.1 Investigative fee for reinspection applied for no access for inspections. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15236 SW THAMES LN, TIGARD, OR, 97224 May 23, 2017 at 11 :27:35 AM Record Type: Record ID: Residential - Master Permit MST2016-00213 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Corrections completed Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor