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Permit (175)
f q CITY OF TIGARD COMMUNITY p T11gj7 13125 SW Hall Blvd., TigEd OR VEyOPMENT MASTER PERMIT 3 503.718,2439 Permit#. MST2016-00258 Date Issued: 11/17/2016 Parcel: 2S108DB03400 Jurisdiction: Tigard Site address: 15172 SW THAMES CT Subdivision: POLYGON AT BULL MOUNTAIN Project: Polygon at Bull Mountain, Lot 32 Lot: 32 New SF Stories: 3 BUILDING Bedrooms: q Floor Areas Height 30 Bathrooms: 3 First. 1248 sf DwellingBasement: 735 sf Reguired�get- Units: 1 Second: 1666 sf Reau_ Ir` e_� Garage: Left: 5 Third: 0 9 464 sf Parking Spaces: 0 sf Front: 20 Total: 3649 sf Smoke Value: Right: 5 Detectors: Yes Sinks: 1 $435,759.p1 Water Closets: 3 PLUMBING Rear: 15 5 Washing Mach: 1 Tub Lavatories: 3 Dishwashers: 1 Laundry Trays: 0 FootingGarbage Disp: 1 Sewer Lines: 100 Rain Drain: 1 Drain: 0 Water Heaters: 2 Urinals: p Ice Maker: 1 Water Lines: 100 SF Rain Drywell-Trench Drain: 0 Hose Bib: 2 Drains: 0 Storm Sewer: 100 Backwater Value: 1 Bckflw Prevntr: 0 Catch Basins: 0 Other Fixtures: 0 Other Fixture Units: Fuel T es MECHANICAL Air Conditioning: Y Natural Gas Vent Fans: 5 Clothes D Fum< Heat Pump; y 100K: 1 Hoods: 1 Dryers: 1 Fum>=100K: Vents: p Woodstoves: 0 Other Units: p o Gas Outlets: 4 Reside ) ELECTRICAL 1000 sf or less: 1 Service W/Svc or Fd Ea add'I 500 sf: 6 °"200 amp: 0 Tem Srvc/Feeders Branch Circuits 0"200 amp. 0 Mfd Home/Feeder/Svc: 0 201-400 amp: 0 r: 401-600 amp: 0 201 400 amp: 0 0 601-1000 amp: 0 401-600 amp: 0 W/O Svc/Fdr: 0 1000+amp/volt: p 601+amp-1000v: 0 ELECTRICAL"RESTRICTED ENERGY SF Residential Audio&Stereo: N Other: N HVAC: N Other Description: Security Alarm: N Vaccuum System: N Garage Opener: N All Class of Work: Ecompasing: Y NEW Type of Use: BUILDING INFO SF Type of Con Occupancy Group: S POLYGON Contractor: VB WLH LLC R_3 quare Feet: 109E 13TH ST, POLYGON WLH,LLC 3649 VANCOUVER, STE 200 WA 98660 109E 13TH STREET Required Items and Re o VANCOUVER,WA 98660 1 Ersn Cntrl 9-4175 p (Conditions) 2 A Geotechnicalical report is PHONE: required before the footing PHONE: 360-695-7700 Total Fees: $35,065.76FAX: 360-693-4442 This permit is issued subject to the regulations be done in accordance with a contained in the Tigard Municipal Code, days. ATTENTION: to th ed regulations This be do a in through Oregon law requires permit will expire if work is not started of 180 9 AR 952-001-0090. y0U to follow Specialty Codes and all other the rules ado days is issuance, or if work is suspended for more the 180 You may obtain a co pted by the Oregonof applicable law. All work will py of the rules or direct questions to OUNC Utility Notification Issued By: ! Center. Those rules are set forth in „ by calling 503.232.1987 or 1.800.332.2344. OAR Call 503.639.4175 byPermittee Signature: .� /l This permit card shalll5 be3. 3 7:00 a.m.for the next available ins ~ +�� /�lJ/t! pt in a conspicuous place on the jobe inspection date. iiimmiiiimmen Approved plans are required on the job site at the time of each completion oof the project. inspection. r �-- Building Permit Application RECEIVER Z--Q' -3c:2-- s�,%� Residential FOR OFFICE USE ONLY rip. �y of Tigard MAY 18 2016 Received/ / `��,� PermitN .. t�12 SW Hall Blvd.,Tigard,OR 97223 DateB .[c7 /7 ka 14 � 1y6 teg.5. Plan Review—i 4S Phone: 503.718.2439 Fax: 503.598.1960 CITY OF IIA : Date/13 d/:Mf - 3 1M OtherPerr��j�/7f &-- /,2/I Inspection Line: 503.639.4175 Jurs: H See Page 2 forI[GA K ? Internet: www.tigard-or.gov BUILDING /4 .. Supplemental Information 67'1 ,' ... cfE µf` a ,�^-II.i 11111 11111 y TY`P • ,y flip i i ,�I n �� i; ,�E 3 i;•Q ED ATA:1, A S. 22 1 IL. w .a, £ .-' ®New construction 0 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 Iriamasmi� PO01 ?" TRtJ19 work indicated on this apPlication.t: 3 & � ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: -1131475 3 1 7.c1 ❑Accessory building ❑Multi-family Number of bedrooms: 4 ❑Master builder 0 Other: Number of bathrooms: �5 mo � : 9IIa r u ' dO at .E ° O �D� fl,.„, �f '. . �„ Total number of floors Job site address: I I,2. SW Thames C{,, 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 16 6/b Cross street/directions to job site: Deck area: j 70 AV) square feet jail8 Other structure area: square feet 735- REQUIREDA COM IA -1JSE L EG FST Subdivision:Polygon at Bull Mountain Lot no.: 32. 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 �� �kn equipment,materials,labor,overhead,and the profit for the ` _ **_ #3CRPTIO Oar W � hk work indicated on this application. IMAI Plan 5A-DL Valuation: $ Existing building area: square feet New building area: square feet ® TOE ° zemauassss Number of stories: t/ 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: APPLI ANT j.. ❑ COI ` CT PFR`SON '.11;111 MIIIIIPHIPRIati4t4L.OltOrkkmirOESilMipOrmanm Business name:Polygon WLH,LLC !Please rd)er to feeschedi le) Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax: :( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com n" OT4W`Q TAI SC1AEO VBTE I ESQ �. .,E° M M - 4 qvionsimosat '" Commercial and residential prescriptive installation of MlllagO:Nff " ° k roof-top mounted PhotoVoltaic Solar Panel System. Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): /�/ Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 :5 CCB lie.:204238 V Total fee due upon application: $201.60 Authorized signature: ‘......X(}/2/ -" � ( This permit application expires if a permit is not obtained dddd within 180 days after it has been accepted as complete. *Fee methodologyset byTri-County BuildingIndustry name:Angela GrajewskiDate:5/2/16 Service Board. I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE CSE ONE l City of Tigard P ‘i f--0' _ 0. ; Permit No. 'f Ill 13125 SW Hall Blvd.,Tigard,OR 97223 " 1""'° -r 1�/fib�� "�q ' I Phone: 503.718.2439 Fax: 503.598.1960 an Review DfeBy: Other Permit: p� {c rI RDInspection Line: 503.639.4175 MAY 18 20Iu Date Ready/By: 7uris: Internet: www.tigard-or.govSupplemental See Page 2 for Notified/Method: SInformation CITY 1F: 0. R PE OF WOI� � " t 4 i i � ;' CO1HDl�l CIAL FEE*SC ' HEDULE'- TYUSE CHECI 1' Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. V slue 1.- CATEGORY OF C.,ONSTRUCiTION J ® 1-and 2-familyItEIDEN17EQiTIP1vIE1vT!SYSTEMS FEES* ❑Commercial/industrial 0 Accessory building For spedal information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: I� ) Q', ) C+ Air conditioning 46.75 Job site address: Z V I Thames rn eS 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.: name:PolygonHeat pump 61.06 Project 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 Subdivision:Polygon at Bull Mountain Lot no.: 3 a Other 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 vvm : '' SCRiPTTON of woRIC ,' ` 'y Gas fireplace/insert 3339 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32' ® ROPER3 OWR TF.N�NT `� " q .q `'- 2 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, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 4 ® APPIJGANI' # ❑ CONTACT PERSON Other. 2332 Business name:Polygon WLH,LLC Fuel piping: $14.15 for Srst four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue <„ .. - . F 1,GONTR 1CTQR t y, _# Clothes dryer(gas) Business name:Apex Air LLC Other: W 14ZECRANjCALPEEMjT FEFS•, Address:18004 NE 72nd Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 Fax:(360)326-1769 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.:203034 _ TOTAL PERMIT FEE kA: This permit application expires if a p � ermit is not obtained within 180 C��`� �V1 days after it has been accepted as complete Authorized signature: k * Fee methodology set by Tri-County Building Industry Service Board Print name: A , A ra 1 ew S� Date: 5 . I ((O I:\Building\Permits\MEC_PermitApp 040113. 440-46 7T(11/02/COM/WEB) Electrical PermitI' tic n RECEIVED _ ,....�._ ___„pp .,� ,,.„ i t l tt()I f-1( i t `t (1\1.1 503.598.1 City n, 'Tigartl 13123 SW Ball Blvd.,Tigard,OR 9722 Phone: 5SEP 2 0 2016 1 OF TIU, �7 Datc9.";/4/d'/(e, Pcaran ��o21►/6__l� S 413.718/439 FaxPlan Review Inspe�tion Line: 503,639.4175 t)atezBv. Related Permit : lttterttet ward� � BUILDING D IVI S I•,I x tfa # tart 1 ta goo Pair a far �r Notdfied1ktethod t„ Supplemental iaformattoa nn . : ER New Construction 0 Addition/alteration/replacement replacement � Please check all that apply(submit 2 sets of plans w:itetns checked): O S«,c or fader 400 amps or more ]Building three steries: ❑Demolition ❑Other: where the available fault current L]marinas and boatyards f t t t exceeds 10,0110 ampsat 150 volts or 0 Floating lntililings, int 1-and 2-family dwelling i Commercial/industrial ® Accessory building Jess to i rrwnd,or exceeds 14,000 0 Commercial-use agricultural ® ti iMaster builder ` amps for all other installations. buildings. t' �- v 0 Fire pump. Q lnstalladon of 130 KVA or a ;, ,-r 4 .• .- m7i 1F>bI 7'tt 1.!t . . iiI101'1 ;..:;:r Ohm er&en 'system.- larger separately derived Job Job site address: 0 Addition of new motor load of system. f Sll2 5w es el--I l0ORP or more. ©"A.,,"E","l-2","1-3", City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: owil011arardous locations. 0 Supply voltage for more than Cross street/directions to job site: ©Service or feeder 600 amps or more. 600 v9its nomtna3. -lir u Description I Qtc.. I Each I Total 1 •., New residential single-or multi-family dwelling unit. Subdivision:tv ( G,)zn d j y t 'C;ali, 6 t l; :/ Lot# Includes attached garage. Tax map/parcel At; 1,000 sq,ft.or less 1 168,54 4 Ea.add'I 500 4.or j/}�' /���j� /� �''�° sq, portion � 33.J2 1 J t old t A o- J f 9J Limited energy,residential (with above sq.Et.) 75.00 2 Limited energy,multi-family R.1,414.,•t46( 0,41(01,743 _rt75.00 2 �tt;" .. �, ,, *°`SET., .; residential(withabovesq.ft) Name;ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Service,or feeder,installation,alteration,and/or relocation Address:7600 E Uottbietree Ranch Road City/State/ZIP:Scottsdale,AZ 85258 200 amps or less 100.702 Phone:(602)694-4031 Fax:( ) 201 amps to 400 amps 133.56 2 Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on pmperty that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according.to ORS 447,X149,670,and 701. Owner Signature: Over 1,000 amps or volts 552.26 2 Date: tE ttPFI,7 Temporary services or feeders installation,alteration,and/or ; .J. .,_ ,.�{� twl.;Tl�---,- a relate ton Business name:William Lyon Homes,Inc. 200 amps lir less 5936 1 Contact name:Angela Grajewski 201 amps to 400 amps 125.08 7 Address:109 East 13th Street 401 amps to 599 amps I I 168.54 I 2 City/State/Z1P:Vancouver,WA 98660 Branch circuits new,alteration,or extension, r panel I Phone:(360)695-7700 Fax::(360)693-4442 A,.Fee for branch circuits with Email:An ela.Gra'cwski above service or feeder fee. S 1 @polygonhomes.com each branch circuit 7.42 2 r, . „: �.; � a B.Fee for branch circtuts w shout .3 I L 1 rte r =' mice or feeder fee Frst Business name:alameda electric branch circuit 56.28 2 Address:3415 ne 44th Each add'/branch circuit 7:42 Miscellaneous(service or feeder not included) City/State/ZIP:Mlle + r a ,/Z / , 2 /3 Each manufactured or modular Phone:(503}3192192 I Fax:( j dwelling,service author feeder 67.84 • 2 Email:solarpdsttne.com Reconnect only 67,84 • _. Pump or irrigation Circle 1111111311111111111 CCB Lia: 199188 I Electrical Lie.: c923 I Suprv.Lie.: y 87 t.5 Suprv,Electrician signature,required: Signor outline lighting ?.s4 2 �r 3,// Signal circuit(s)or limited-energy . , Print name; kik / trier;,, I Date: 5"/2 /J panel,alteration,or extension. ❑See Page 2 2 Each additional inspection over allowable in any of the above Authorized signazure' Additional inspection(t hr min) 66,25.'hr j Print mune: It , -- 1 Da :". Zj/11* I investigation(1 hr min) , /, / I 90i3O(k}<r _ Fl.R . Ray051U12015 440.46191(1i/nsv'os.vwES Plumbing Permit Application Building Fixtures , l OR 01=1:1( 1. 1 SE 0\1.1 Fr FIVP E!iew TigDPermits 13125 SW Hall B ,Tigard,OR 97223 MAY 18 2016 t 1 M Phone: 503.718.2439 Fax: 503.598.1960plit r DateBvc Other Permit No.: Inspection Line: 503.639.4175q� B )t It to Read/Bv lun, 0 See Page 2 for Tl6 11 D 7 Internet ww tlgard or gov r §'3`'.s v ' ett2° 1: .�..y�y� +�� Eat$ . fir '+ s t,,,,l tified:Method yr�, Supplemental Information '3f �k3tw)` t L .#a.Ea7.q'Qg'L�� k , f„ y ,,t n fig 3 iE SCHED _. ®New construction ❑Demolition For special information use checklist Description 1 Qty. 1 Ea. 1 Total ❑Addition/alteration/replacement ['Other New 1-2-family dwellings(includes 100 ft.for each utility connection) x1T + Af GRYQ!Z(IRIJ iO I 5 SFR(I)bath 31270 5 r . ® I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath I 500.32 ❑Accessory building 0 Multi-family Each additional hath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 T' 3 of l6:*4 1E 1$F T16K0. �i .lL T011 " Site utilities: Job site address: I S 112 V W ` 1116n C S CT Catch basin or area drain 18.76 Dr well.leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Polygon at Bull Mountain Lot no.: 3.2. Fixture or item: Tax map/parcel no.: Backflow preventer .4 31.27 .;: S { k w . 1::*1:Aktt gf { ?. Backwater valve ' 12.51 .,-,. -&ball , ._ , .,. .. 34 .. ,- . � z. .a.. ... 5r. - Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ,`4 ax - iga 3 F,. xa r'ti.: A�{tw''c .,: 24 `:ta:,:� ; Expansion tank 12.51 Name:Polygon WLH,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:109 East 134 Street Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) ice maker 12.51 L , 7-10.40-60,01,400M.„ Gadti t kigiO Interceptor/grease trap 25.02 k , !- . .. . Business name:Polygon Vt LH,LLC Medical gas(value:$ ) Page 2 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 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:Angela.Grajewski^apolygonhomes.com Urinal 25.02 f y a rYE.s+O& Ai � { .-.- xCltil 4 ,t}. 1 ,, : ^ Water closet 25.02 � -kAt I.;:;gf±s x-uAw,„ .<5....Ti- ,�.=, aTw' . al1 :; r. ,. ,? water ater heater 37.52 Business name:BDL Plumbing LLc Water piping/DWV 56.29 Address:PO Box 85 Other: 25.02 City/State/ZiP:Corbett OR 97019 Subtotal Phone:(503)351-3903 Fax:( ) Minimum permit fee: $72.50 CCB Lie.: 180345 Plumbing Lie.no.:PB1582 Plan review (25%of permit fee) State surcharge(12%ofpermit fee) Authorized signature: 11,,z_�" moi" TOTAL PERMIT FEE 1 Print name:Brandon Lanter Date: 5f 3 I ' , This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:ffiuilding\Permits\PLMU.Permit App.doc 10/01/09 440.4616T110/02/COMJWEB) . . Pli_J.L...nllija .po- .A tiotiAlECEIVED . . • „ , ,. .. . Building Fixturos. FOR OFFICE 1SE ONLI .. . .. . 1/11 City Of Tit40.1 AUG 1 6 2 016 . tee:ii3ve,4, Permit No.! 13125 SW flail:131yd.,Tigard,OR 9722C1TY OF TIGAR _ IP aan:ReYvliev.- , X. Phone;• 501718..2439 Fax '598effLDING DIVISI Nttmy:- Other permit No.: I. ....._.. , . Inspection Line: 503.639.4175- TIGARD - •. DqteRea4y/Py: :kwis, 1 :See Page 21 fel; . :.,,.: :..,:_.:.,,,„. ..,,,,:fiternet:7ww..nard,orgov.,a,... ..,:, . „ti...r.NotifiediMethed: ,.. ..:._ ,,,pperneitta.... normarren :;.;.•..:'.4'-:,,4..',,Ait,7.;, : ,':;.i,... .,:'1:4.-f5'..,', ::g.;W- t.:-9-E.V)..fqc,';14iir'.4Y •'•j.i';'' c'''•'41 :r- ..rf::'1.7 :•.",''Kt 1' '.j":-.:1'31:' .';';'F''ffP::':APPEDU4:" . . . .0:New construction I 0 Derridliden- For speciatinformatiph ?,ve checklist . • ' ' .. PescriPtiOn „. : • 1 •Qty. i Ea. 1. Total 1 0 Addition/alteration/replacement 0 Diner:: - New,1- ..-Family dwellings(includes 108 if for each utility connection) . . ''''....!'-`:-:--".'•;•- .: . •-,,•-•;.• t'',•*;;.-•7'','.."-•" '.,-,•-•,.:••• ,•%,"•', •••,,,,..-•-•• '''''''-:- -i.,'E. .:i".... i.j:•'-f:.:.4.'Ni.. - - C94:71GOKIN-010INSIVIIMIONI.,:',.a,a:,-,..-:,,t.,:,-.1:....=,..,,,.....-7.2.., SFR(I)bath 312.10 N )I-and 2-family.dYttelling 0 Cornmerelabintinstrial •SFR(2bath 43.7:18 •• .. - , :SFR(3)bath 500:32 LI Accessary betiding ' 0,Nltilt14huti Ty ' . •- - . Each additional bath/kitchen 25.02 0 Musterbuilder DOther ' Fire sprinkler( ict.:ft) Paget ''.,f'i.-;'',12k.;;V--•::IV:r:::* If,.):*g0'01.0*47...lig**4,614110, 1,4o' ,Oti.i: ;: Site utilities Job site address: 1 5 i 1 7, s w IA-lanes e f City/State/ZIP.Tigatd,OR 97224 Staite/bidg.lapt.no 1 Project • 01,45:Street/dirnetionS to job site: . : Catch basin otarea drain- 1.8.76. DrpVell,:feachlinc,or trench drain 18.76 • Footing drain(no,linear ft.::, ) Page 2. . . , name:1Polyg60 at Buil MOuntain f‘i • t•• - • . 50,03 . ... Mann'ctured home uty Jim-. : Manholes I&,:76 r__ i 8: 1 - E Rain drain connector 16 — ... _ . : ... , Sanitary sewfr(no.linear II.: ) Pag.e:2 • 1---- . . . . . .Stikrn sewer(no,ahear.11:: _ ) I page 2 . Subdivision:Polygon at Bull Mountain . Tax map/parcel no.: I.Vater ser ice(up.linear IL;: ) _ Let ii0.; .3z, Fixture Or item; Backflow preventer . . Page 2 3127 . . --- -, , •.••• - -, -..--.&.---,, 13ackwater valve 1151 .r'''11*400J.6 *10.,440,1Y1;g5.71]. -12:- gi 6101.1167 „; Pishw 25.02 f. - • • Prinking fountain 75.0 EjectOrS/Sump i 25.02 • - • liniji1I ttrkjoiNt* :iff.,.N.:;.,:kl.::-77,,t, ,,, :,,ErtEAhrt:%kz ,:,..,,;-._.r:::,,,,,_, Evanston tank I 17.51 Name:..PolygOn 1:y01,,LLC Address:109 East 13thStreet • city/Statef211):Vaneouver,ii'A 90660 Phone:(340)0954706 II Fw.( ) . .--. . . • ' /..:•, .- .. ,..L.-- ...,.... i Fixture/sewer cap- Floor draiti/floor.sink/htb . . ::. Garbage disposal Bose bib Ice Maker .... 25,02 I :I 25.02 25.02 • 1 • • 1,5 • 0,:*•tittiefAi4.1 1.,,ti,-.c=:::24,Z;.,7,4::::1:..",:TraT 0iskRe t-A4$e*:;i';': :t?: tniercePI9r/ES:q-59 trap 702 • ' BitainesS name:Polygon Willi LW contact.nante:Angelo rojew4ti Address:109 East 13th Street- - . • CitylStater4IP:.Varteanyet,WA 98660 • Phone:(366)695-7700 f . . :. ... .... . . .. Fax:':.(300)6934442 . .IvIedieal gas(value:$ : ) Page?,., .... Priniet • Rodforain.(commeteiallf. SinkibasindayalOry: :Solar units(potable water). .Rib/shower/shower pan 1 ... 12.51 12.5.1 75.07 62.54 , 1/51. .. '1 B-mail:.4ingela4tajewskii@polyiotthoirtes,.com : Urinal .-.• Water.closet 'c:-.$4 ';'1"'fIlkriSiOr#'4065iitC-.:.4rIta.i-MrAtt7,7: -Ir '.. '-'2.-•:.;•.,7"..4-:‘,:tAll•-:',•;:ilfaitt:i;',: L .•;:s4A,.,,,--.:..-.,'-t ,4,, ,i,.7•':'r4l'i'-:.'''' ',''' ':-:. '' '' '''''-5.:-..:7 •'Water-heater Business name:BDL Pluntking•LLe „.. , Addregs!PO Box 85 . . . . .. . . . . Water•pipirigi.DWV . Other - 25.02' • 1 3152 Z'7.62) . .. 56..29- :75,0 . -Z - - . city/State/Z1P:Corbett OR 97019 Subtotal Phone!($03)351,3903 1 C. •• I Fax:1 .. ) • - -• . . 'Minimum,'permit fee; 5.7250_ Plan-review (25%of p,ennit fee) CB Lie.:10030 Plumbing I ic.nØ::P111582 - • .. . ' . . ' . . . .. . • :State shrebarge/12%Of pettnitTee) Authorized signature: al iiitose....Z...ee— TOTAL PERNAT:FEE f . . . . .. . . . . . ... .. .. . - Priin.name:,BrandOn LittfteI PAW 811( 11G i r This permit application expires if a perinit is not nbtamedwithin 180 days' # after ithas.been accepted as compiete. . .. . . *Fed methodology set by Tri-County Building Industry Seiviee Bard. 1.-.11kildini.Permit4LNIUPgrmitApp.doc IN 1/09 440,46.16T(10,024COM/WES) - Mechanical Permit AppliFIVE FOR OFFICE USE ONLY City of Tigard Received II - r Date/By: 01-9' /4, �,Q.j Permit No.:ML5r3�,,,_Q 0a -p 13125 SW Hall Blvd.,Tigard,OR 9724DV 2 2 zQ, plan Review �( ow S Phone: 503.718.2439 Fax: 503 S j60 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.417 L.. ' ( Date Ready/By: Iuris: Internet: www.tigard-or.gov `„1?!l DCA rH See Page 2 for �Dyll e qeg 1• R� Notified/Method: Supplemental Information �J � ��Vi�C�1� '+-: tte v "r tfo T,eeS a_£3-� t5 w-t TTn1 rt Y ,; k a i3 -5,, ✓ t 1.. L .7]� t 1CF' R (YY�fI ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all' ❑Demolition y� ❑Other: mechanical materials,equipment,labor,overhead,and profit. - ..X.”- t5,. �k$�. ;:.<'`-,w.1,00,0 <E Mmit..�.4 ,�,�..y-mug e. 4�. Value:$ ® 1-and 2-familydwelling ��_� , -�. . _ �q 'lAL `IJ�'E �SX� ��°�R.:...__::. 0 Commercial/industrial "*a s ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total „ y [�g 3r �['(� I `� Heating/cooling: a� ���, � ` r��� � 1W?�! �Y��.^<.?„�L",..$..F 4 � •f<�:`y .�'.. Air conditioning 46.75 Job site address: i5 'i 72_ J erne, (.JA-- Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 sr Suite/bldg./apt.no.: Project name:PolygonHeat pump 1 61.06 61.06 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 Subdivision:Polygon at Bull Mountain Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 j { 4 ? "4M"'Il l"`ON W ll 1 �m Gas fireplace/insert 3339 ria Flue vent for water heater or gas Change 2 furance for basement to Heat Pump fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 _ .F..• Plt Other: 23.32' '1ttW ' ❑ rEVA` �f� i Ti � Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:109 East 13th Street q 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 Other: .��. � ���.� r, ..� �. .. �s 4x,..-, ��� ����������� 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 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 k74941.4-1 t 9 ail _.: ..' '' � Clothes dryer(gas). . . . l , ..._ Business name:Apex Air LLC Other: y� �•Mile 9 1*,1 .r»ma".nye.. .f.��g}x+;,-t<' Address:18004 NE 72'd Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 Plan review(25%of permit fee) Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri County Building Industry Service Board Print name: j I;i7 1*_.4.1 I Date:8/22/16 I:Building\PermM its\ EC_PermitApp_0401 l3, oc 440-4617T(11/02/COM/WEB) Mechanical Permit Applicatt3tECEIVED U(UR Of H( U t 4f ()\I \ City of Tigard 4 ,Dat&-'3)- pomit No,,, ..--- " 13 05 SW Hall Blvd..Tigard,OR 97223 11 SEP 2 0 2016 , Plan IttVtea, Phone: 5113.71142439 Fax: 503598,1960 Other Peoria, r„, thee nv i i,,,,.i it il Inspection 1.rue: 503,639A 175 Immo: wsswrigard-orgen CITY°F Ti GAR uDarrtmr4d':it3' ' h''''''',, rttposeLtr*.lrult:trmrtittttm*. BUILDING DIVISION N. tid TYPE OF WORK COMMERCIAL FEE.scr‘cortz- VSE CIIECIatsi Mechanical permit fees*arc based on the value of the Ai(Irk i4 New construction 0 Additionlalterationireplacement performed Indicate die value(rounded to the nearest dollar of all 0 Demolition C]Other mechanical materials,equipment.labor,overhead,and profit Value: CATEGORY OF CONiSTIIVCTION ...... RESIDENTIAL EQUIPMENT/SYSTEMS FEES* L..I 1-and 2-family duelling 0 Coinmerciallindusitial 0 Accessory building Fur special Information use eherAtig. Multi-family 0 Master builder 0 Other Des•CT ipitatl 1 Ileathigfenelin.. JOH SITE INFORMATION AND LOCATION . . Air taanditiorting 46.75 ,./.. Job site addiess, 1 15117_ s\im --1-110,,rots c),*-- Furnace 100,000 BTU(dada*ores) 1 46.75 t/-- City/StateiZIP:Tigard.OR 97224 Furnace 1001.000+BIM rdoctikentvi 34.91 ... Hera mono nine I Sinterbldciapt.no.: 1 Project name:Polygon at Hull Mountain Dud unit 7332 Cross streetidireetions to job silo; Ilydronic hot water system 2132 Residential holler(radiator or hydronicl 23 32 Unit heaters(fuel-type..not electric), in-wall,in-duet,suspended.etc, 46.75 Flue/vent for;Inv of above 23,32 Other 1332 Subdivision:Polygon at Bull Alnuntala Lot no:37_ Other fuel appliances: Tax atop/parcel.no_ Water heater ," to - - DESCRIPTION OF WORE ties ltreplacvmsen Flue vent hit water heater or gas I Contrachnr thange fire'ace 2332 Log tighter(gas! 23.32 No\ Qs .,,,, wood", get stove 3339 , Wood fireplace/laved 23,32 .Chimnevilioertfluelvent 23.32 0-, Other Li 23.32 co PROPERTY awNER TENANT Environmental exhaust and ventilation: Name:Polygon WL/i,LLC - Ranee hood,other kitchen I ,/ ........-.... i equiprinint I 33 39 i Address: 109 East 13'Set tre ,I Clothes dryer exhaust 33,39 1 CityiState/ZIP:Vancutrver,WA 98660 ,1 Single-duet exhaust(bothrotrins' 4 toilet crimpartments,toil-fly rooms) LI 23.32 Phone:(360)69.5-7700 Fax:( ) Attic'cravvispace fans 2332 1 ti 1 irOther:APPLICA.NT 1:".] CONTACT PERSON - r: 2332 Fuel piping:, Bu,siness name'Polygon 8-VI-II LLE $14.15 for first four 54.03 fer each additional , Contact name:Angel*Grajetvski Furnace etc. 1 I i Address:109 East 13th Street Gas heat pump Walltsuspemledfunit heater City/State/ZIP:S'ancein er,WA 9E460 • Water heater Phone:(360)695-7700 ' Fax::1360)4934142 Fireplace E-mail:Ange.la,Grairwskiitpttlygonhernes.entn Barbecue , . CONTRACTOR Clothes dryortreas) Business name:Apex Air LW MECHANICAL PERNIIT pm. Address: 18004 NE 124 Ave &eluvial City/State/ZIP:Vancouver,WA 98686 Ivitivitnum permit fee($90.001 • Plan review(25%of penatt feet Phone:(360)3424109 Fax:(360)326-1769 i State surcharge(12%()Frierson lee) ...,....., CCB tic.:203034 ',f4 ....._.__ . TOTAL PERMIT FEE I , This permit apptication esprint ifa gamin is not obtained*iihin tan days vener it has been arrepterl as maniere, Authorized signature: * Ftv methods:Ana set by Th-Corraty nodding industry Satice Board Prim mime. I tooN Dale: 4-il.lt...---1 t:131,..d=f,5 Pr,--.1..kli C_PeNtitApp 45401 iA.d4.: 440-4671,•:.`t':.,ir OM'Wit 1 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ T l c n R n Building Permit Review — Residential Building Permit #: /`1S /6 Site Address: 1 5 [ 12- S vV T1r1 s C#-. Project Name: po I y y o n 471+ 'Soli M C L) n-t-n•;r Lot #: 3 2 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N€Ak $ C 12. 7 Verify site address/suite#exists and active in permit system. gi River Terrace Neighborhood: ❑ No AZT Yes,See Diver Terrace Review Addendum Attached Site Plan Elements: ?Three(3)copies of site plan .PExisting structures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(mcluding decks)with finished Drawn to scale (standard architect or engineer scale) floor elevations XNorth arrow tility locations(required for new,mayapply for additions) Site address,project or subdivision name and lot number PP y Location of wells/septic systems gfApplicant information(name and phone number) /Erosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions design,location of catch basin,etc.) %Lot area,building coverage area,percentage of coverage and Vtreet names impervious area (applicable if R-7,R-12,R-25&R-40 and on ti Property corner elevations(2 foot contour lines if more than ❑Existing trees to be/Street tree size,typeretainedawith drip line,and tree 4 foot differential) protection measures gClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ Nolied For: PP ❑ Yes ❑ No,stop intake jzr Land Use Case#: S Ula ZO S - 00002- Z pop2Z Zoning: R_ y. S Setbacks: Front Zo Rear 15 Side 5 Street Side I s Garage Z p Landscape Requirement: - % 7 Lot Coverage Maximum: 0/0 Building Height: Maximum Height 0 Actual Height Visual Clearance "-Easements -e—Sensitive Lands: ❑ Yes ❑ No Type Or Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: Conti]-jnnS ft, be rve4- prior -{-o ISsv Approved By Planning: ( V ►d n T iva , 6/16,6 Date: �S� 97/4 Revisions (after Building Submittal only) Reviewer Revision 1: ❑ Approved ❑ Not Approved Date Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved t:\Bur Iding\Forms\B1dgPermitRvw_RES_0121 I 6.docx I Building Permit Submittal Original Submittal Date: -5.14C//,' Site Plans: # Building Plans: # =3 Building Permit#: D- Enter building�peerr-mit# above. Workflow Routing: 2"Planning L -Engineering IPermit Coordinator lBuilding Workflow Sign-off: 2-"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. Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 07°9-04&.40—____. Date: 0/,/k Engineering Review II Slope at building pad: afe, ■I Conditions "Met"prior to issuance of building permit I1 Easements (encroachments)per engineering conditions of approval and plat IIIf1; . ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: elG 27 Date: /f—/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: AUC Fees Entered: Wash Co Trans Dev Tax: Ves ❑ N/A Tigard Trans SDC: L!'Yes ❑ N/A Parks SDC: ►/Yes ❑ N/A 7°OK to Issue Permit / ( � ,, Approved by Permit Coordinator: Date: / 1:\Building\Fonns\B1dgPennitRvw_RES_012116.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT .w.1 River Terrace Building Permit Review AddendumTIGARDa Building Permit #: �'S•72®/ 00.25`�� '� Site Address: S 1 Z S w +nee 1 Ct Project Name: Po I 0 n U-}- Bull M ov r�.tz , r� Lot #: 3 2 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards18.660.070 plan district designstandards? ❑ Yes /No 'I�' Is the project subject to the 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft. wide Gabled dormer ❑ ❑ ❑ min. 2 ft., Eft wide ❑ ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. N/A Percentage Shown: 3. Entrances:At least one entrance must meet both of the following standards: ❑ Parallel to street,angle no more than 45° from street, 0 Max. 8 ft. setback from longest street- facing wall Entrance opens to a porch: 0 Yes 0 No or open onto porch If yes,all the following apply: ❑ One street facing entry 0 25 sq.ft. min. ❑ 5 ft. depth min. ❑ 12 ft. max. roof above floor of porch 0 30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft. wide x 2 ft. ❑ Wall offset min. 16 inches deep ❑ Roof eave min. 12 inch projection 0 Dormer min. 4 ft. wide 0 Roof shingles either tile or wood ❑ Roof offset min. of 2 ft. 0 Roof pitch oriented south min. 500 sq. ft. 0 Gable,hip or gambrel roof design ❑ Horizontal lap siding min. 3-7 ft. wide ❑Accent siding min. 40%of street facade 0Window trim min, 2 V2"wide by 5/8"deep 0 Window recess min. 3 inches for all street facia 0 Balcon facing 0 Bay window min. 5 ft. wide by 2 ft. deep y min. 5 ft. wide x 3 ft. deep with inside access 0 Attached garage is 35%or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. 0 Yes 0 No. If No (Check one): 0 May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the frontorch. ❑ May extend up to 5 ft. where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) 0 12-foot-wide garage door 0 50%max. of street facade with 7 detailed design elements 0 40%max. of street facade Notes: Approved By Planning: /1/10 m ,( O 1.Building'.Form5�,BldgPermitRv, RES R7_031416 docx �� Date: _§.119:11L, City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15172 SW THAMES CT, TIGARD, OR, 97224 August 1 , 2017 at 11 :54:45 AM Record Type: Record ID: Residential - Master Permit MST2016-00259 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: No AC or heat pump installed at time of mechanical final inspection. Permits and inspections required at time of installation. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15172 SW THAMES CT, TIGARD, OR, 97224 August 1 , 2017 at 11 :33:36 AM Record Type: Record ID: Residential - Master Permit MST2016-00259 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Hose bib left side structure not secured as noted on previous failed inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15172 SW THAMES CT, TIGARD, OR, 97224 August 1 , 2017 at 11 :56:31 AM Record Type: Record ID: Residential - Master Permit MST2016-00259 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Note: no AC or heat pump installed at final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15172 SW THAMES CT, TIGARD, OR, 97224 August 8, 2017 at 10:17:35 AM Record Type: Record ID: Residential - Master Permit MST2016-00259 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: 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