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Permit (186) in CITY OF TIGARD MASTER PERMIT 111 COMMUNITY DEVELOPMENT Permit#: MST2016-00261 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/17/2016 Parcel: 2S 108DB03600 Jurisdiction: Tigard Site address: 15110 SW THAMES CT Subdivision: POLYGON AT BULL MOUNTAIN Lot: 34 Project: Polygon at Bull Mountain, Lot 34 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1254 sf Basement: 735 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front 15 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 3644 sf Value: $437,687.81 Rear: 20 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: Bckflw Prevntr: 1 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: Y 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 Group:Y Square Feet: NEW SF VB R-3 3644 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 Geotechnical Inspection Required before foundation PHONE: PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,040.23 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 throng Q 52-001- 090. 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: ' ./ Qit/ l L/ (1.1---770,1 — Permittee Signature: 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. -- L. 0 % 3 V ,..5"1/e) �� Building Permit Application Residential '' --- % i r.^°- 1FOR OFFICE USE ONLY f Received 131SW Hall Blvd.,Tigazd. .( 97223 Y 18 ? Damiv :�� H� PermitN... �. ��-00,267- City Farintowi 1 1 4 ■ Phone: 503.718.2439 Fax: )03.598.1960 -6,0,R 3 Inspection Line: 503.639.4175 CITY OF 1 k .2A r ate Ready/By: / A„i Juris: H See Page 2 for I f G�1 K 1) + ed/Method:fF f( /1" 1' Supplemental Information Internet: www.tigard-or.gov BUILDING ► r'q S bi L; 1-'1- "971/6 f .-- ginflEMESOVOnt*OC!'cit,W67iiketINEWARlirffitili!!Eiii.gpr,::: RF Q1 JIEED DATA 1 ANDS F4MILY 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 CATEGORWOF CQNS17tUL1ION # work indicated on this application. Valuation: 133471" /-1'- '7.) 6V ® 1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms: 4 0 Accessory building 0 Multi-family ❑Master builder ❑Other: Number of bathrooms: �y JOB SITE INFORMATION;;ANI) LOCATION Total number of floors 5,. +10 Job site address: i 5 I to SIV - arn�S a New dwelling area: 3641 9--.square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 464 1 square feet Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain Covered porch area: 167 square feet ! „S Cross street/directions to job site: Deck area: I(pO square feet 16 Other structure area: square feet > I SQUIRED'DATA COMIiIERCIAIAJSE GHECIL,YST ` Subdivision:Polygon at Bull Mountain Lot no.: 3E-1 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESGIroN OF WORD n work indicated on this application. tam..,_ t u„e , ,,,, , ,; ..> Plan 5B-DL Valuation: $ Existing building area: square feet New building area: square feet , RUPRY zW R ' m © I,ATd, m Number of stories: n , 4 r a.r A�, 'f 2 s �. W x 6,:, : K. i 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: PLICANT .❑ CCJ 1T 1 ER$ BICJILDII�1GPERMITTEE•S* ., . A' I .1@QSe refei-a0fee,a ii!i w , .r,,, Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) PHOTOVOLTAIOSOLAR PANEL SYSTEM FEES* E-mail:Angela.Grajewski@polygonhomes.com ... . : x, .. . , . p. Commercial and residential prescriptive installation of : I�, g CONTRACTOR„ �f n, 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,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): hone:(360)695-7700 0/ Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:204238 �' � Total fee due upon application: $201.60 Authorized signature: \-A/`!\ '� 1,, This permit application expires if a permit is not obtained �/�iV//���- J within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Angela Grajewski Date:5/2/16 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 'iViectianical Permit Applic441#iC FRIED FOR OFEl(l( I t SE ()NLN City of Tigard �p^^n 1 8 Received Datem3MAY 2016 Plan Review Permit No.:/ij'�f� j/ � � ) / 13125 SW Hall Blvd.,Tigard,OR 9722Gn Phone: 503.7182439 Fax: 503.598.1960 DateB Other Permit: 1 1 ci \x D Inspection Line: 503.639.4175 o $ s r" y' Internet: www.tigard-or.gov ' I("x °' Date Ready/By: Auris: ® See page 2 for Ls , I i.l p ;l« L,g /i ,€ Notified/Method: Supplemental Information _.., TYPE OF WORK s COMMERCIAL FEE*,:SCHEDULE`-USE-CHECKLIST :. Me 0 Addition/alteration/r lacemen ®New constructiont Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit t ,., CATEGORY:OF CONSTRUCTION Value:$ '. .,`.: 3tESl1)ENTIAL EQUIPMENT/SYSTEMS FEES*, ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION ANI)LOCATION Heating/cooling: Job site address: 15 1 \ v�.J Air conditioning 46.75 l 1 rn�S L.T Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt no.: Project name:Polygon at Bull Mountain Heat pump 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 Lot no.: . Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater _ D., 23.32 f 'DESCRIP'T'ION OF WORD Gas fireplace/insert 33.39 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 P10I'ERTY OWNER T25,-0114,0845-9•41:'1: �]TENANT ': 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, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax ( ) Attic/crawlspace fans 23.32 AuggiNAMAtit PLICANT ' U CONACTPERSON Other2332t . amvv 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 E-mail:Angela.Grajewski@polygonhomes.com Range Barbecue f ,...,__ _r,. Z*...F' , F ;CONTItACTQR= . Clothes dryer(gas) Business name:Apex Air LLC Other: Address:18004 NE 72nd Ave ,i. 1KECHANICALP.ERMIT FETaS* 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: LFee methodology set by Tri-County Building I Industry Service Board Print name: rQ �w S� Date: 5 ?) (0 L\Building\Permits\J C PermitApp_040113. 440-46 7T(1 1/02/COM/WEB) $" 1 $ en Itl1{t311It sp. ' Tigard Received 13 323 Std`Hall/31).4.Tigard,OR 97223 SEP 2 0 2016 l t B�;Al l uniz si f�-f� / Plan Review Alone: 503 718.2439 Fax.. 503.55x11.1 Pa ci'll Related Remit d Inspe�lionLoe: 503,639,4175 �� Il�l>t11- - g BUILDING DIVISIG No d$od: Su oe lInf Information Internet t6�s6'ie'.Yigstd-or, ov 2;aontied'2vEt}+ud: ;�oppi�rnaa3t6nrrragtlon __s ' 't-O.F WOE - _; C:: New construction 0 Addition/alteration/replacement Pleacheck eek all that apply(submit 2 sets Al pians w liest%chocked) Demolition Oilier: L'1 Service or feeder 400 amps or more ClBuilding over three stories. Where the evnilable fault canner[ r Marinas and boatyards 'a`.` e C1T'EG,OR,.OF' CO.rISTRIlCI'iO1iL -:.-' exscerls 10,000 amps 4150 volts or 0!win,buildings. );a I-and 2-Patnily dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Cominmeaai-m agricultural amps for all other installations. buildings. El Mulil-family° 0 Master builder 0 Other: 0 Fera;pump. ®lautaIlapon of 150 KVA or irAfi.t -_ . • •• 3O:r Sly; !IF 33'si 1A OP�t:A 3=t OCATJOix'-.-, ' '+ ,'; 0Emngency System.. largerar.parately derived / 0 Addition of new motor load of 3vstean Job#: Job site.address,/?t//V SUV 7yan ee Cr 140iflaormore. ©"A.,"E”.„1-27,.1-3", r tty` tateFZiP,TigardOR 97224 0 Six or more residential units, occupancy. O health-care facilities. Recreational vehicle parks. Suite ltig/apt. l: Project name:� � fr. l liarardaus location, gv s1=i Supply voltage for more theta /'� t , J Il' � J a Service Lir feeder s amps or more. 600 volts nominal. Cross su trdirections to job site: .. 'Description 1 Qrv. I Lath ( Total �1`' I0ew residential single-or mitill-ramify dwelling unit. Subdivision:17t:111.16,0 i agribuil,,vV cxfue rt 1I i Lot#: MI Includes attached garage. Tax cusp/parcel#: 1,000 sq.t?,or less 1 8,54 4 h _£ 4 . 4:44$ $# tO S4)I 1 _ ��ater � . . _ Ea,add'1 SOD sq..ft or portion � /J 833,92 1 Limited energy,residential (' 73 00 1 2 (with above sq.fl.) Limited energy,multi-family �`-� :.� (�>°�Ra!'I'''-Y94i�R::-= _,_�� •,-.,.-',5-7.";', `Tti�i� �:` _. ' residential(with above sq.IL) 73.OD 2 Blame:ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Address:7600 E Doubletree Ranch Road Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 • City/Slate/ZIP;Scottsdale,AZ 85258 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 property that I own which is not 601 amps to 1,000 amps 1 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 . 2 Owner signature: Date: c. APPT;1er--,;7 Tennporary services or feeders installation,alteration,and/or ~ ,-,...,;„,..._,..i..:...;:ii.,_ iYIIAG'1, F5f3'I re*canon Business name:William Lyon Homes,Inc. 200 amps or less 59.36 1 Contact name:Angela Grajewski 201 amps to 400 amps 125.08 Address:109 East 13th Street 2 ' . 401 amps to 599 amps 168.54 3 City/State/ZIP:Vancouver,WA 98660 - Branch circuits—new,alteration,or extension, er panel Phone:(360)695-7700 I Fax::(360)693142 A.:Fee for branch circuits with above service or feeder fee, Email:Angela.Grajewski®polygonhomes.com each branch circuit 7,42 }r Fr �� B.Fee for branch circuits witlmur . r _, C_s3i #A 1111 _:, r ' service or feeder fee,first 55.18 1 2 Business name:alameda electric branch circuit Address:.3415 ne 44th Each add'l branch Circuit. 7.42 . 2 I )a,,,,,,, ./,/2- ) Miscellaneous(service or feeder not included) City/State/ZIP:owa,,--1)a .,,'Z ` 7',..2.- e /3 Each manufactured or modular. .. dwelling,service and/or feeder 62.• 2 Phone:(503)3192192 I Fax:( ) Email:solatpdxme.com Reconnect only s .s4 ; Pump or irrigation circle 67.84 ; 1 CCB Lie.: 199185 I Electrical Lie,: c923 Suprv.Lie.: 9,07/.5 :• Signor outline lighting 67.842 Suprv.Electrician signature,required: p Signal circuit(,)or limited-energy Print name: y - panel,alteration,or extension. 0 See Page 2. , lG►�� ��r�c✓� Date: �����f� Each additional inspection over a€lov alalc in avis,of the same: _-- Authorized signature: Additional inspection(1 hr min) 6051 hr Print name; ./ ame; .-- , ...„..-/--;--. Date5-2 investigation(1 hr min) • 90 t30'hr r'aaaaiagyumi etc peYuitAno E3.R.£AE.dm P"W171'815 440-46157111/0510ED.£AW.E$ .. Plumbing Permit Application Building Fixtures 1.()12 OF1F1( 1: 1 SE ()\1.1 City of Tigard Received1111 II permit No': ���f/ 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 18 2010 Date/BY: `� 1 Platt Review Phone: 503.718.2439 Fax: 503.598.1960 Date By Other Permit No.: Inspection Line: 503 639 4175 CY OFTiGASA to Rv I I t 13 tun, iLSee pace 2 for internes ww tt ard or goy rc( iLiVA Sa10.1 tfed'Method Supplemental info rmation f t Cr ' - skD .f r-.:4 4 T D'o o t ) ' .. %' F ),. ..' tif ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) /* t , cA'1tGORR,o CO)1,'es_rR1d1i s„ SFR(I)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory buildingSFR(3)bath I 500.32 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other Fire sprinkler sq.ft.) Page 2 V ` ` : ..JO$'S1't i14FORR Kf.1)l4 . k Li eliki k T Site utilities: Job site address: 15 I I d V W "fila al @ S Cr Catch basin or area drain 18.76 Ul Drvwcll,leach line,or trench drain 18.76 City/State/ZiP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Polygon at Bull Mountain I Lot no.: 3L-/ Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ai 5 hw,r$^'fay a }H{�qtr. r a r. r1r(igiifofatirMOl'S- -R7 f '. Backwater valve 12.51 - Clothes washer 25,02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 M i4W. 1 iWINDIrc . �� L ,, (3TANA1 ; ... t5. Expansion tank 1251 ,,, Name:Polygon WLH,LLC Fixture sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:109 East 13th Street Garbage disposal 25.02 Cit}/State/Z1P:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) ice maker 12.51 - h,ix�', f ASar .r. N yT:&- =Jy }YkA"f 1 } ii s ] ,, i ? r Interceptor/grease trap25.02 . ,,,,,p:$ rt 4.1 7 44,tr,x . n' . t ✓ _w ....�^7,i, Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Angela Grajewski Root'drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:Angela.Grajewski,,^apolygonhomes.com Urinal 25.02 z ' " r € sy t:* -aiif 1k. Sx f fa ,i .. Water closet 25.02 t - 3' yyg water heater 37.52 Business name:BDL Plumbing LLc Water piping/DWV 56.29 Address:PO Box 85 Other: 25.02 City/State2iP:Corbett OR 97019 Subtotal Phone:(503)351-3903 Fax:( ) Minimum permit fee: $72.50 CCB Lic.:180345 Plumbing Lic.no.:PB1582 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: 1 _�'t �` TOTAL PERMIT FEE '�j/ Print name:Brandon Lanter Date: 513 f 3 I IC. This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. kFee methodology set by Tri-County Buildine Industry Service Board. 1:1Building'Permits\PL6M13-PermitApp.doc 10/01569 440-4616T(10i02/COMJ EB) Plumbing Permit A_p lalepilitto ECEIVED Building Fixtures FOR OFFICE 1 SE ONI.‘ City of Tigard AUG 1 6 2018 Permit No.: 13125 SW HMI Blvd.,Tigard,OR 97223 ilh •Date/Bp Plan Review : g.- Phone: 503.718.2439 Fa_x: 503.5980LTY OF 11GA1D ,b6t.ei3„ Other pennitNo.: 1 inspection tine: 503.639.4175 BUILDING r)IVIC' '`'-bate Ready/Dy:TIGARD Juris. I 61 See PAge 2 for Internet: ‘irww.tigard-or.gov Notified/Method: Supplemental Information „•.:,..4,4:mii;.-j,,..',;,1:4!.,r.iii.,,:.:24w,....4,,i,,i...,i, b„..i„,.e.,,,, ,_, ....,ftiiti.i-.:.za, -• ,4,. 5..*,?.2,....".i.:1:, 1, :,!:riN:..-,:i!,:..:1;.:Ai Y• 4i, ki.kt: oit, t',,...4.C'!'.`',,:Pf.0t,r .;,4t-A'a-:-:-..-- Nev construction 1 0 Demolition For special information use checklist • Description Qty. I Ea. [ Total 0 Addiooniotcrationkoiaament 0:Other.; New 1-24amily dwellings(includes 108 ft.for each utility connection) ,,?.-,.;',, ,V1-;;; ' -4, ;',, 4.5$• .,4 -;,iii.,i.i:*441`74,.„:;4:Z. .,.,nft,.',!*. ,. SFR(1)bath 312.70 ',',':''•il', 1.`;-1!;;;:,:,',.::,,Y:',..It'',',,.":,W,;,:,'-",,k.r. .4.. il., ,,.. .1.7.:7,. .'n,l, f.--.''''.'-'1':-.rv,-:: ::'',..t.: Eg,I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 50032 , 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft,) Page 2 Zt.iii.:'.!:lig":.,:: 1'14t1:4(0:01: lc,!..**:,4*J*Wfii****Liefligi, ;:i„5 Site utilities: - Job site address: I cl 5\\) -rames -- Catch basin or area drain 18.76 - DryWell,leach'line,cr trench drain 18.76 City/State/ZIP':Tigard,OR 97224 1 Footing drain(no.linear ft,: ) Page 2, Suite/bldg/apt,no.: Project name:Polygon at Bull Mountain Manufactured home utilities' ' 50.03 Cross stivet/directionS to job site: Manholes 18.76 Rain drain connector 18.76 _.„.,.... Sanitary sewer(no.linear ft.: ) Page.2 Ston n sewer(no.linear It.: . ) , Pace 2 , 1 Water service(no.linear IL: ) Page 2 Subdivision;Polygon at BUR Mountain Lot no.: 3Lt Fliture or item; Backflow prevent& 31,27 Tax map/parcel no.: =icoi:ii,i..wtijt:ti.r:::.,. Backwater valve 12.51,:.,;v;,4',„Ar''t?,Av;.:,:.f,,:n: ,z,z:•, kvi'•'..111.1.1---",V: ', ;1-j-':-N,.-.-,"-'.'-'-•''''''',0'4,'-,''''','''-'4''1:7'1'. 7'''''''Ik.'i'' ''k'":" Clothes washer 25.02 • Dishwasher 25.02 Drinking,fountain /5.01 EjecitorS/Surnp . 25.02 1 .k0 :67:i4i*.0.t:.k.':'Ig.i':'2;:ag"I 'ael,,,f0::1:r.:#01tk ,;:41::,;,...:4;1;;.,',.44.', F4pansion tank 1 12.51 Fixture/sewer cap t 25.02 Name:Polygon W ,Hl. ,LLC Floor drain/floor sink/hub . 25.02 . Address:.109 East 136 Street Garbage disposal • 25,02 City/Stater/IP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fay:.( ) lee maker 12.51 - .-aok,,goolii00fi;i ..E.,..? fltercepterigrea.5e trap 25.02 Medical gas(value:$ ) Page 2 Huaines name:Polygon WEB,ELC Primer 12.51 Contact name:Angela Grajewski Roof dram(commercial) 12.51 Address:109 East 13th Street SjniObasinitayator.V 25.02 City/State/ZIP:Vancouver,WA 98660 ,Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 • Ttib/shower/shower pan . 12.51 25 E-mail:Ange1a.Grajmvskiirupolygnribarties,corn Urinal .02 „. Water'closet 25.02' 5ia.. ..'''''' ," 4 ' ‘'•e:',' At.•:r,-, 4.•.>•.:Ir..3.;-.---::10';,-. ::'; 44,!: •••,..„..--.:,44.... .-,•,...--W,Itazi".';':•...4H- 1v3.7,:,,,,,l',. (-.45,,,'••:-:-I.,,..' .water heater :: I 37.52 . •"'7.62, Business name:name:BBL Plumbing LLe • Water piping/DWV 56.29 Addreas:.PO Box 85 Other: 25.02 City/State/ZIP:Corbett OR 97019 Subtotal Phone:(503)351-3903 Fax:( ) • Minimum permit fee: $72.50 •• Plan review (25%of permit fee) CCB Lie.:180345 :Pl • • umbing Lie.nO.::PI11582 • State. surcharge(12%of permit fee) Authorized signature: rL,s..et..,..... Le...6...t.....-- TOTAL PERMIT FEE , Date: 8 in" it, • This permit application expires if a permit is not obtained within 180 days Print name:.Branti• nu.Eanter • after it:has been accepted as Conti**. *Pee methodology set by Tri-County Building Indu.stry Service Beard. 1:1134itclingTvrmitAPLAI-PermitApp,dec 10101/09 440,46161(10/02/MWWEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard H Received (� /� / DateBy: 3 O'9' /CY 0, Permit No.: i1/415r96l4„.......6&7% � `cam 71 13125 SW Hall Blvd.,Tigard,OR 9722.. '"' I ,t Phone: 503.718.2439 Fax: 503.598A view Date/BPlan y: �� Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 2016 DateReadyBy: Juris: H See Page2for Internet: www.tigard-or.gov CrNotified/Method: f �� OF ic1iia1) Supplemental Information 'TYPE{?+,F,t 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 ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONS'!4 ;CTJQN Value $ -_ _... _ RE$IDElV17r I XQiIIM M1 I'.TEMSI . ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder ❑Other: Description P I Qty. I Ea. I Total QB SITE lNl9QRM�TIE111J Hr conditioning Air conditioning 46.75 Job site address: 61 10 SA) Thames r 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.: 3 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 f _ �EB.Citlfl''fro IEw WOR_l , fireplace/insert 3339 Gas °d .` 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 23.32FRf)PER (1WNTsiixi yyc Other: 23.32 W:411414;""11119"1 .2 ,.c-:. .._.__ _<_ __ .,__... ..___ 1_:.. ',: _ Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment Address:109 East 13th Street 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/crawispace fans 23.32 ".- ' =-' a" N,. '_ LM*.t4 WW 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 WalUsuspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue r t", x s ly¢, ` , { -' sem '§' li a`x�:4.,_,. -.+' .w x .,n.,1113'� _,: �- '""�:.k.�.._�'...,— Clothes dryer(gas) Business name:Apex Air LLC Other Address:18004 NE 72"d Ave .. s14EBeI lt£3� 1<! ; . ;e 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) State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE This permit application expires if a permit isa 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: " . � . I Date:8/22/16 I I:1Building\Pennits\MEC PermitApp_0401/3. oc 440-4617T(11/02/COM/WEB) „ . , • Alechanical Permit A I lie ut}R(IFTICE I SE:II\IA -- ---- ---,..• City of Tigard W Imemy, Mona No,: , . , * 13125 SW&W1l'Bled.,Tinted,OR, 97223_ ' EIVED JPhone: 503..2182439 Flx: 503.5911,191EP 2 0 2016 IN Men Re:lea tkaetl4y: - Other Permit. TrGARD Jrlx•pwrien Line: 303439,4175 Date Reade/Is- re4s- . lid See Page 2 for .., lnicater ww:vrigard-orov CITY OF TIGARD _ Netille41-1erhini: Supplementst Information BUILDING OM ',SION . ' TYPE OF WORK COMNFAC1141,,FEE*.SCRED2X5E- un C/IECICLIST • 1:lethal-deal permit fees*are based on the Value oldie nor* .s. Now cm/ruction 0 Addition/alteration/replacement • performed,Indicate the value(rounded to the nearrpa(10%1031/ id lar oe tnethenical materials,•,,u- aen bovrbeatt,arefit, 0 Demolition El Other , value:1 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT i SESTEMS FES* ... 0.4,,,and 2-family dwelling 0 Cotttmercial/industrial 0 Accessory building 1 _ For wiitif iiiforigation aliSe theriliat 0 Multi-family 0 Master budder 0 Other; I Description Qty. Sa. Itgat •' * JOB SITE INFORMATION AND LOCATION Ht-Alin°"*” 1 •/' Air.:mmtitioning I 4,535 Job slw'144m5 "I 111. Ili b. Illi . Pluonee 100900/1rumucraivefito i 46,75 City/Slate/ZIP:Tigard,OR 97224 Furnace 100460+BID doeWmts) .54,91 fleet pump 61,06 Suite/bldg./apt no,: Project name:Po4lou at Bun Mountain Ow work 2332 Cross strectfdirectfons to job site: tlydmitic hot water systerri 2332 Resishuitial boiler(radiator or hydronie) _ 2332 Oaf heaters(fuel-type,not electric), . . irEwail,inthret suspended.0.00. 46.75 , , FlucA•ent for ftal-of;thew i 2332 Subdivistorc Polygon al.Boll Alounbrin Lot no,: - Other flap - 23.,32 Tax mapipaocel no.: Water beater ; 2332 1 DESCRIPTION OF WORK Gas firepleurAusert 33_39 I 1 --- Flue wet for water beater or grin Contrar-jur eh 6 23.32 1 Lo,it, ,• ( , , lAto el " .. woad/mkt.. 3339 . Wood firenliteetinsint 233.2 i Chintnevilintallinekeett 23 32 , . . • '4,PROPERTY OWNER I ' . tf TENANT ather: 2332 , - frivironmental friltriSt and ventilation: Name:Polygon WL11,LW Range hood/other kitchen ---- i t,I e-iii meta I 33,30 Address:109 East 13th Street . Clothes diver exhaust CiterStufeZiP:Vorterinver,WA 90660 I Singte-duct enhatial(bathroom, toilet cornonitoteras,utility roam ) LI 2,3,32 Phone:(360)69.5-77110 i Fax:( ) Attie/era wispace fans 2332 i „,,,, 1 23_,2 El cor. Ner OaRsopi ' . Other Fuel piping; Smitten name:Polygon iVLR,LW $1435 the Postinar;$4.413 far oath addithinat Crintee1 name:Angela Graiewski rt c, 1 1 , ... . .. „ Address:109 East OM Street Gas heat puree , . . Wellistismodedfunit beater I CState/IP:Vaneoui-er,WA 98660 Water beater , , Phone:(360)695-7700 1 Far.:(360)6934442 FirgnIace IIIII .. a E-atail:Angeht.Gmjewskii4ulygonhomeitom , . CONTRACTOR ' Clothes thyta-(gas) , 13u,siness name:Apex-Air LLC Other: . MECHANICAL PERMIT Address:18004 NE 7r4 Ave Subtotal DityiStateiZIP:Vancouver,WA 98686 tyliniornat permit fee 490,00) , . . , FUT TeVICW(2-Vh OrPOITIlt Tei) I PhOtt4:13601342-8109 I Fos:(3601 3264 769 .. i Statesarehame(sc%of pebnil Ito) I Cal lie203034 form,.PER,MIT PEE I - thix permit appitanion tspira iia perva la nigbittained Ithin Ilia days arberit has hes%Accepted as complete, Authorized signature- * Fee rneatedulnay est by 111-Cottaty&Oats in1,14o,,-Rosins bawd [Print I agaci7t.,Pv,mitiAlrilf,erfrlamtgqi Mew tAttOortt i i I 0:::41.-e,tAcEllt r R City of Tigard a II r COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: iL7-f 7 2ei// Qd Site Address: ( Sit C SW Thoi mom.s CA- - Project Name: rot.j y o r o%+ 'B v 1 I Mev r1- ;✓) Lot #: 34 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N€AA) S c- R- 7 Verify site address/suite#exists and active in permit system. 21. River Terrace Neighborhood: ❑ No izT Yes,See River Terrace Review Addendum Attached Site Plan Elements: ?Three (3)copies of site plan -13E-misting structures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper 'Footprint of new structure(including decks)with finished /.,,{{Drawn to scale (standard architect or engineer scale) floor elevations North arrow ti ity locations(required for new,may apply for additions) Site address,project or subdivision name and lot number Location of wells/septic systems Applicant information(name and phone number) /Erosion control(including drainage-way protection,silt fence gfLot dimensions and building setback dimensions design,location of catch basin,etc.) /Lot area,building coverage area,percentage of coverage and cAtreet names impervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location /Property corner elevations(2 foot contour lines if more than ❑rxtgting trees to be retained with drip line,and tree 4 foot differential) protection measures yr Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No W Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified El No Applied For: ❑ Yes ❑ No,stop intake / Land Use Case#: S Ug Zo 15 - 0000 i IKI Zoning: R- '1. 5 Setbacks: Front 2,0 Rear ( 5 Side 5 Street Side I S Garage 2 0 yr Landscape Requirement: 7 Lot Coverage Maximum: X Building Height: Maximum Height ?0 Actual Height Z 13 4 Visual Clearance $'Easements $sensitive Lands: ❑ Yes ❑ No Type Zr Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: Cpncl.i'I-i ns -}v be rrl et- priOC -t-O issvclnc.. 0G- buil o(,; nvJ tQrrn►-F , Approved By Planning: /i On;"7,(A_ 127110 Date: S/ $/ 1 ") 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\B1dgPernitRvw RES 012116.docx Building Permit Submittal Original Submittal Date: - �C,�f Site Plans: # _�' Building Plans: # . Building Permit#: .2'Enter building permit#above. �, � Workflow Routing: ErPlanning g--Engineering E 1 ermit Coordinator l—Building Workflow Sign-off: ILL-"Sign-off for Planning(include notes from planning review) Route Application Documents: 2-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: , ` r le Date: "//7/ Engineering Review Slope at building pad: l414 !d Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes CI No Assess Water Quantity Fee in lieu: CI Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No El NOT Approved by Engineering: Date: Notes: Approved by Engineering: 04 7_ Date: ft-140—144 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: SDC Fees Entered: Wash Co Trans Dev Tax:)0 es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A 10OK to Issue Permit g#4 Approved by Permit Coordinator: ate: i/A V(( 7 I:\Building\Fonns\B1dgPennitRvw_RES_012116.docx City o•f TTY COMMUNITY DEVELOPMENT DEPARTMENT 111 River Terrace Building Permit Review Add TI GARD' Addendum Building Permit #: ..-. Site Address: Silo sem/ l GvNt,21 G+. Project Name: Pol 0n ci-+ (3vII Movntc.,, n Lot #: (New dwelling=subdivision name;,Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1): Is the project subject to the plan district design standards? ❑ Yes 9/No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft. wide min. 2 ft., 6ft. wide Gabled dormer ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 3. Entrances:At least one entrance must meet both of the following standards: facing wall ❑ Parallel to street, angle no more than 45° from street, ❑ Max. 8 ft. setback from longest street Entrance opens to a porch: ❑ Yes ❑No or open onto porch If yes,all the following apply: ❑ One street facing entry ❑ 25 sq.ft. min. ❑ 5 ft. depth min. ❑ 12 ft. max. roof above floor of porch ❑ 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. deep ❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft. wide ❑ Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood min. 500 sq. ft. ❑ Gable,hip or gambrel roof design ❑ Roof pitch oriented south ❑ Horizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40%of street facade ❑ Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft. wide by 2 ft. deep ❑ Balcony min. 5 ft. wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story 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: Nl 0 wt.i ►( t> €G 1:Buildin�`,Forms� (A... Date: �� �' Building BldgPerm itRx�� RES RT 031416.docx 7 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15110 SW THAMES CT, TIGARD, OR, 97224 June 27, 2017 at 1 :34:47 PM Record Type: Record ID: Residential - Master Permit MST2016-00261 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections from previous inspection appear to be complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15110 SW THAMES CT, TIGARD, OR, 97224 June 27, 2017 at 1 :35:53 PM Record Type: Record ID: Residential - Master Permit MST2016-00261 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Corrections from previous inspection appear to be complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15110 SW THAMES CT, TIGARD, OR, 97224 June 27, 2017 at 1 :43:28 PM Record Type: Record ID: Residential - Master Permit MST2016-00261 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Seal penetrations from pan drains in mechanical room floor. R302.5.3 Patch wall by dining room electrical outlet with gap greater than 1/8". Patch hole to crawl at exterior by sump pump power. Provide positive connection at post to beams at deck landing per approved plans. AC unit not set level. M1401 .4 Light under lower level stair not to code. 410.2, 410-8, 12, 220.70(5) Violation Summary: Inspector Contractor