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Permit (138) CITY OF TIGARD MASTER PERMIT .INst COMMUNITY DEVELOPMENT 2 ' t, " c '` Permit#: MST2017-00438 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/14/2017 it.j T r C.A IZ s g I Parcel: 2S108DB04000 �� Jurisdiction: Tigard Site address: 15223 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 38 Project: Polygon at Bull Mountain, Lot 38 Project Description: New SF. 6/25/2018: REPRINT permit to add additional laundry room, lay,furnace,vent fans and gas outlets. 7/2/18: REPRINT to add 2nd A/C unit. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2734 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 0 sf Garage: 501 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2734 sf Value: $340,823.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 2 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 7 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: 5 201-400 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 2734 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,993.10 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You rmay obtain /a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. A� //i i/// Issued By: 4 %l'/l��i Permittee Signature: T5 / - `-/ `-1/1— �/� U _ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicati f FOR OFFICE LL SE ONL\ City of Tigard Received _ ,� 13125 SW Hall Blvd.,Tigard,OR 97223 '. ✓`l e Date/By: / ef , !, .ermitNo. a 7, u _ Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit: Date/By: T i G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information .,/ ;X )''','','.'',7' '!'''-'''7'7'1'','e'' ;''''' f `; 4 ° r,' i a4-AtI :moi �u-'!'- \� «: '1••t n 4:,4, ;:" v ' am` ... ," ' .. Hk'' Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. � r.mvw e �� Value:$ ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. 0 Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total / •'. s�-i/ Heating/cooling: .*.: ''';4L';'''';'.. ..‘' •\. a.. .. .'�\� ':..,.. Air conditioning / 46.75 Job site address: 13 a 3 5k) ES GM. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 / Heat pump 61.06 Suite/bldg./apt.no.: Project name: pD/� --cctl Duct work 23.32 Cross street/directions to job site: &7 f)Gc r! /vc 14-*-, .k-i 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:River Terrace Lot no.: 3 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 I ° ` iiiitioN 71,ctea , y Gas fireplace/insert 33.39 Flue vent for water heater or gas ADo , rd) R/c..- 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 "", Environmental exhaust and ventilation: Name:ADVL Land Holdings LLC Range hood/other kitchen Address:7600 E Doubletree Rd equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)6944031 Fax:( ) Attic/crawlspace fans 23.32 ;y/,,► iiiiiicA.1' ❑ CO:" 1 N 23.32 Other: Business name:Polygon WLH LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Tom Dicianno Furnace,etc. Address:109 E 13th St Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(503)577-4160 Fax::( ) Fireplace Range E-mail:tom.dicianno@polygonhomes.com Barbecue ue ; f �. ., C.ONTRAC" ,'',!''''''''',„„..„,:.',I',,,, , ��; Clothes rer(g ) Other:Business name: A eZT A 1Q rE tt*Egs+° : Address: 11009NE7a� AVE Subtotal City/State/ZIP: VA Nc-Ouv ER ',VA q fag(o Minimum permit fee($90.00) Phone:/lib) 3 ifa 8 1 •q Fax:( ) Plan review(25%of permit fee) ( State surcharge(12%of permit fee) CCB lie.: a 03 0 3`I. TOTAL PERMIT FEE 3�� 3.e . This permit application expires if a permit is not obtaitg within 180 ��' days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: 5)4 k W/V i 0 ," / Date: 7,•Z 1 10 I:\Building\Permits\MEC Perm. pp_040113.do. 440-4617T(I I/02/COM/WEB) CITY OF TIGARDIN ( i 1 MASTER PERMIT COMMUNITY DEVELOPMENT ����' Permit#: MST2017-00438 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/14/2017 T t�'3 } .0 9 Parcel: 2S 108D B04000 Jurisdiction: Tigard Site address: 15223 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 38 Project: Polygon at Bull Mountain, Lot 38 Project Description: New SF. 6/25/2018: REPRINT permit to add additional laundry room, lay, furnace,vent fans and gas outlets. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2734 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 0 sf Garage: 501 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2734 sf Value: $340,823.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 2 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 7 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: 5 201-400 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2734 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,940.74 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 throug�AR 952-001-0090. You y�_obtain a copy of the rules or dirPermittee Signature:et questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Ci'V /�'4,,/ C // Issued By: �� 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. CITY OF TIGARD MASTER PERMIT l: COMMUNITY DEVELOPMENT Permit#: MST2017-00438 Ti.GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/14/2017 Parcel: 2S 108DB04000 Site address: 15223 SW THAMES LN Jurisdiction: Tigard Subdivision: POLYGON AT BULL MOUNTAIN Lot: 38 Project: Polygon at Bull Mountain, Lot 38 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2734 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height 26 Bathrooms: 3 Second: 0 sf Garage: 501 sf Front: 20 Dwelling Units: 1 Smake Third: 0 sf Right 5 Detectors: Yes Total: 2734 sf Value: $340,823.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 1 Y Rain Drain: 1 Urinals: 0 Lavatories: 4 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 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: i Catch Basins: 0 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: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 P W/O SVGFdr: 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 SecurityAlarm: N Vaccuum System: N Garage Opener N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW TYPe of Constr: Occupancy Group: Square Feet: SF VB R-3 2734 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,710.28 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 52-001-0090. You •-y obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: / s •,1 % • - --ermittee Signature: t�/ TY / �� �� � � / 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. ` ,,'3uilding Permit Application Z- O733 Riadent,ait FOR OFFICE CSE ON Ll City of Tigard p Received w SEP 21 2017 Date/BY: // ��j? Permit 7 y 1/j 13125 SW Hall Blvd.,Tigard,OR 97223 y STI! '{>l> /✓� _ Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit: - ` L A.. ._ T i G A R D Inspection Line: 503.639.4175 , ,1,?ate Ready/By: ,.7 a Juris: ® See Page or Internet: www.tigard-or.gov _ - - - - ., . Wotlfied/Method: ft/4/ ! '''"' Supplemental Information .f(j! ft 11,//e ' 7 G-6 ®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 r e tfT work indicated on this application. ® 1-and 2-family dwelling 1]Comrnercial/industrial Valuation: $ 0 Accessory building ❑Multi-family Number of bedrooms: 3 3 t Ol 1111 2 0 Master builder 0 Other: Number of bathrooms: 3 y+ • i t t t Total number of floors: , S Job site address:15223 SW Thames Lane New dwelling area: 2^134 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 5 O , square feet Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Covered porch area: square feet Cross street/directions to job site: Deck area: square feet •oV'C 1 P3 Other structure area: aa, square feet Subdivision:Polygon at Bull Mountain I Lot no.:38 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 ate„ equipment,materials,labor,overhead,and the profit for the ems , ic ; � t R # ,i ... ,_ >:- � ,, work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet Number of stories: Name:Polygon WLH,LLC Type of construction: Address:703 Broadway St Suite 510 Occupancy groups: City/State/ZIP:Vancouver WA 98660 Existing: Phone:(360)695-7700 Fax:( ) New: WX,..,g ,, 1v1 ..c r JO Business name:Polygon WLH,LLC "' Structural plan review fee(or deposit): Contact name:Nichole Thorpe Address:703 Broadway ST Suite 510 FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 j Fax::( ) Amount received: -1. liirrioitlr-ATSIVR:4147172,,,4,4,2-7,77W,,77- E-mail:Nichole Thorpe 3,"-i = t t Commercial and residential prescriptive installation of t '.. 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:703 Broadway ST Suite 510 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 CCB lic.:204238 Total fee due upon application: $201.60 Authorized signature2. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:9/19/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , Building Permit Application Checklist i if One- and Two-Family Dwelling FOR OFFICE USE 01L1 City of Tigard Deceived Permit No.: 114 It 13125 SW Hall Blvd., Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 O Electrical 0 Plumbing 0 Mechanical 1 1 G A€Z I) Internet: www.tigard-or.gov O Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 e No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0 0 _ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ 0 3 Verification of approved plat/lot. ❑ 0 0 4 Fire district approval required. Name of district: ❑ ❑ 0 5 Septic system permit or authorization for remodel. Existing system capacity _ . 0 0 ❑ 6 Sewer permit. 0 ❑ 0 7 Water district approval. ❑ 0 ❑ 8 Soils report. Must carry+original applicable stamp and signature on file or with application. Cl ❑ ❑ 9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ Cl architect licensed in Oreton and shall be shown to be a..licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , , Mechanical Permit Annlication u()It tiFFICE LSE()NIA City of Tigard Rouival .: Danel3yPunish No : 1111 " 13125 SW Hall Blvd„Tigard.OR. 97223 Mao itumw ' / ' Phone: 503.718.2439 Fax: 503,598.1960 Daintily: Othur Penni: TIGARD Inspection Lille: 503:6394175 rnan Rmidyiny: ituix I [121 See Page 2 roe nternet: www.tigapkir.gov Notified/Method: Supplemental information ;;.4 .g• ii;M-;%.5,;gitiYE:',:00i".:*filik:2::. OI4'4Af:: C0,14.,F4*C.14:4;:*41;$.0frOPI.41'3,1*IfHt4;t4.4.$7 :::j Mechanical poimit Ices*are based on the value of the work 13 New i:xmVtruction 0 Addition/alteration/replacement performed,Indicate the Value(rounded to the nearest dollarlof all 0 Demolition 1:3 Other: mechanical materials.equipment.labor.overhead.and milt. Value:S •::: :',', :!:':#;.•44i4Ri;',... . .41#-'6*.7.f-0i'i:** *.i.01,0i,',4afj-Ig,;i4i1;,Prl:-M9giWI firmozNl - - - ---- ----- • -":- -'''' -----; -- -; ----- - ytt:4(ilaPMgkrfs.isTEMS.FECV-6.,7;.:2•,. PI 1-and 2-fautily duelling El Commetriai/industrial 0 Accessory building - For special WorftratIon use citeallst Multi-family 0 Master builder CD Other: Description 1 Qty, 1 Ea. 1 Total .. . , -;•:•!:•••:!...'4:f:.,:4i:!. .i.44.i-,,;',,.:-5.,;;-f;Olt S.M.CIFORlISAT1GISEANk4OCFAT1.0*-:;--..„9k...t.11..::-,4,'" .Q3,;:f!,,„ - Art conditianine ; 1 -4675 1°11s"e acidress'' i 727.3 So/ilnahine.g LaAf ________ : Furnaee 100.000 BTU(darts-Nein%) lt 46.75 City/State/ZIP:Tigard,OR 9-7224 Furnace 100.000-r BTU(ducts/vents) , 54.91 _lleat puntp ,., 61.06 Suite/bldg./apt.no.: Project name:Polygon at Bull hfountain . . Duct work 23.32 . Cross street/directions to job she: flvdronic hot water system , 23.32 , Residential boller(mdiator or . hydronic) , 2132 ' Unit heaters(fuel-type,not electric), ' in-wall.in.:duet.suspended,etc. , 46,75 Flue/vent for any of above t; 23.32 . , Other: Subdivision:Polygon at Bull Mountain Lot....36 . . . 23.32 Other feel appliances: . Tax map/parcel no.: Water heater , ; . _ 23.32 14i's.:N***,ir.;*10;*;'..01t*Oit.14..t:?..-if.0.?;,f-,T;-.0g;:ti;:;%t§V.-.;-:4'X • Gas flambe:a/insert , I 33.39 ' ' • ' - • ' Flue vent for water heater or gas iirephtee 23.32 " 1,og lighter(gas) 23.32 , • • wood/pen:A stove 3339 , Wood fireplaterntstert 23,32 Chintnewlinerilluthent .2332 '.. •••.;:•• gt:iitiiigirtv,,l,wstikaT.:; ,.•,,i;f1:;.:,:.:,,,,t:4:,,,,,,,,,,,,,-:..:a itickiiitA...-„4,,,,,i4J-,,,, i7,- ;., Other' _ 23.32. - ;— - Environmental exhaust and ventilation: . Name:Polygon Will,LLC Range hood/other kitchen 1 .. - equipment 33.39 :11O" pxbaivockA ..\._ a.A.A.,-i..c., so Clothes diver exhaust I 33.39 ('itYllateiZIP: VOAC,I)Wit9,1) 111)iti-90(6140 Single-duct exhaust(bathrooms. i toilet compartments.utility morns) Li 23.32 Phone:(,360)695-7700 ; Fax:( ) Attickninispace fans; 1 23.32APPI — .. : „. _„ , . ;,,' ''';•. 1-400ST-1:.F.".,;',:: -;',.-: L•,.;i'...; iii::f;i:;,:..17. 03fAtT:tF.-,100X11,;';;;;Ji_;;,..- °tiler: 23.32 Fnel pipinp Business name:_Polygon WLII,LLC $14.15 for first four:$4.03 for each additionet . i I , . Contactt rirlme; N C h 0 k.Th D1/1A- Furnace,me. •, .1 Address: -103gr-Oadbitae_st2441 0 . Walilsuspended,unit healer City/State/Zit):Vancouver,WA 986 Water heater i ______ . .. . Phone:(360)695-7700 Fax::(360)693-4442 Fireplace . Ranee ., . C-mail: BarbecueAngela.GrajewskiliTtifyonhom ;;:!?.-:'&;''',-i,* i-,---.''''.7.;-.C•;!;••413;F:t,;:r•,-.g:s.;-.‘:'.':;.,;;T-::;C9791;ACTP4 .::17--,::.-i.:',:zg...-...:;.:..er,::,i.:',',,, :•:.::.;:i!:•:,:.:411,I.pi-e4-ff.:•:?: CkailtS diver teas) Business frame:Apex Air LLC Other: - ; 75:,..-- ..._-.-7, .t::,*41400it:...rosto#04,04:,.. ,,,,: Address:18004 NE 72"Ave Subtotal . . City/StateZIP:Vancouver,WA;98686 . Minimum permit fee(S90.00) , " ' Km review(25%of permit fee) Phone:(360)3424109 Fax;(360)326470 State surcharge(12%of warn fee) . CCB lic.:203034 TOTAL PERMIT FEE . — This permit applietition=pins if a perrnii is not tibhii within ISO , dap etterh lois how now,ined as complete. Authorized signature: - ; * Put methodology set by Tri,Counly Banding industry Service Scoard ; Print rtantet1/4 */ I Date: 4.pg./4,... , 1,Nigh,p,,Thiuwipc.p.mit.Ams.wi Li diK 440-40.1T it VA2,COMAVElii Electrical Per ,i At Application {y T /� r CiOf Tigard Received ,, t 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B ' ' Phone: 503.718.2439 Fax: 503.598.1960 Plan Review t: Inspection Line: 503.639,4175 Datd9 • Related Permit ii: TI GA:RD( Internee wwe: rd-or, ov Ready Date/By: Judi t$See Page 2 for g Notified/method Supplemental Information ti . • VI '',.- 3�!i , 0.•:l..t:ir.'=�'`s�:i s s:: `-'•1• :%t is"::(iI''..c•:- ' '2::: .'a i:'�'::,...��:.uu.«2... `, -.fl.:'�,',•"` '.a.• l- >,..�:,.. i5�ti -;;c;.:.::..t,?:is- g:swt:!.!:. � xn:.v':{s'."4��+':�;4�.:'JXt'"} ®New construction 0 Addition/alteration/replacement 2 ~ isns ..r ': t:;':; Please cheek all that apply(submit sets of plans w/iteme obeckod): ❑Demolition Other: El Service or feeder400 maps or more 0 Building over three stories, wherethe available fault current ❑Marti oaly ards.'n.« att4Tg.: .. .. t alf tai:3?. ra munch 10,00 amps&ISOvolts or 13 Floatingbuildings® -and 2-family dwelling 0 Commercial/industrial 0 Accessory building toss to ground,or exceeds 14,000 ❑Cotnmerolal-use agricultural Q Multi-family • 0 Master builder amps for all outer installations. •buildings. • .;a„ Other: �Yi24i;�•�a;s_�ifr:: ,_.;M ❑PinpumP• ❑Instalhtionofl50KVAm .;,.: .;:;•.t.:�agi:.is '-'C 5 :tS,..,ti; O 'A 'is ..,(j ,,, .•.'I`::-;;?: ❑Emergetwysystem' larger separately derived Job#: J Job site address:'S 2 7.i� W 0 n� editioo new motor load of system. [OO1IP ormore. 0"A",'B'"a","l-2„,1-3”, City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. °Health-care facilities. iRecreationalvehieleparks. Suite/b1d Japt#: i Project name:Polygon at Bull Mountain DHazardous locations. Q Supply voltage for more than Cross street/directions to job site: ❑Service or feeder 600 amps or more. 600 volts nominal. •.l:.:i:S'`.'i1: I'}:j. , :?l';1��1•,?CY. � '`•.aCz..:x::i4 _,3c. :i r:. 9 Aeacriptien ``:;: t" . I Qtr. I Each I Total l New residential single-or multi-family dwelling unit Subdivision:Polygon at Bull Mountain 1 Lot#: •-1 6 includes attached garage. Tax map/parcel#: 1,000 sq,ft,or less 168.54 4 k iY 4T 2 1 <S-'t;'�' :F::irk '"`= �"3;+'�`it%: Ea.edd'1 c .-.:. portion 3 9 '•...•s,�"�-.e:..,-:n�� c1=.r. .I...:.'�'A '`�.� .:� 'i.��;f�3;Qli:�C. .`'�`,' .. .., :. . �- residential • • " Limited energy, (with above sq.ft,) 75.00 2 Limited energy,multi-family ni-fitet ++jjppe.t. residential(with above sq.ft.) 75.00 2 rt _© 4:Si?a"ly J= Ltiti ^t �' `1SReernvecYeasIO:i(cedys installation,a[pteraStieeoaP,aangedlto r relocation Name:Polygon WLH,LLC 200 amps or less ' 100.70 2 `S- SUAS10 _2olamps toA00amps l33133.56 2 Address: —1 0.) Rnad,U3 City/State/ZIP:Vancouver,WA 98660 401 amps to 600 amps 20034 2 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 i Fax:( ) Over 1,000 amps orvolts 55226 2 Email: Temporary services or feeders installation,alteration,and/or • Qtr. I Ea• Installation:This installation is beingmade on property that I own which is not 200 amps or less I I 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 - �34 amps to 599 amps 16854 2 ZY-3•`3 hF �-�••` �i nd�if• „1 •7' =�",�ci:tT.i {e��:L';"11.r��ji_ tr. t.%' rk. t .:(: r t ry.�.}y „•..•:.;q : Branch er -1.'ac st::'::Y.s�'-�`.;i'r;�i�:z�.:ry:' i'd,'!W '��`�.�,�„�,�,wl�,y�,�'�„�'�'�:p;.,K;�:?;:.�: renifS—nCly,altet'Atlnn,Or extension,eeY panel '''"' A Fee for breach chcirits with Business name;Polygon WLH,LLC above service or feeder fee. Contact name. 1 ..rr-- j�,, each branch circuit 7.42 2 I�t j y lL B.Fee for branch circuits without Address el S S\ rervfee or feeder fee,first CU/.�CLN ,S4-- l 1 0 branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 , Bach add'I branch circuit 7.42 2 Phone:(360)695-7700 ( Fax (360)693 4442 Miscellaneous(service or feeder not included) Email: Bach manufactured or modular dwelling,service and/or Iheder 67.84 2 E,, ach Reconnect only 67.84 2 'liT,•3<t " _:. ," :•- k.,: 'rSx-.:,,o1.9 N. 'Zi .I ,Ove �� "flit +f',ti ikii•';'.Y..,r: :l ifikiV. Pomp or irrigation circle 67,84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address 402 Valley Ave NW Ste 106 Signal cixcult(s)or limited-energy O See Page 2 2 • panel,alteration,or extension. City/State/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(1 hr.min) 66.25/hr Phone:(253)872-6051 I Fax:(253)872-1801 Investigation1 hr ( ) 90.00/hr Email:hdaniels@glveusa.cont Industrial plant(l hr min) 78.18/hr Inspections for which no fee Is CCB Lie.: C1158 Electrical Lie.: 208174 I Suprv.Lie.: 4496S speoificaUi listed li hrmin) 9o,00/hr J� 12:Ti-''•f£ii ,tr., _ Suprv.Electrician signature,required: (' ` Ji� /l_.'I� f. i •�-t�. ..3 t .,q. ..FF,. 'Cfi.l? ,:,. .P t tit`s:•- Subtotal: Print name: Joan P Albert ! Date: 13 Plan Review Required(25%of perznit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT Print name: Bill Daniels This permit application expires if a permit is not obtained within 180 Date: days after it baa been accepted as complete. L18uildi • Number of inspections allowed per permit ng1PemritslEW PennilAPA_MA ,*Rev 06/1712013 440.461Srati05/COM/►iBn Plumbing Permit Application Building Fixtures FOR OFFICE USE ONE1 City of Tigard Received /ByII 13125 SW Hall Blvd.,Tigard,OR 97223 PiaPian n Re Ponnit No.: ew = Phone: 503.718.2439 Fax: 503.598.1960 I Daterlly: sy: Other Permit No.: T I G n R D Inspection Line: 503.639.4175 Date Ready y, lwix M See Page 2 for Internet: www tigard or gov Notified/Method: Supplemental Information :a r7 " T''PEbF Wf1 " s• ,R , FEE" egtirtLF wV ..: k. . i i .:# ' u .. ,, r sF ax ; A '' ®New Construction 0 Demolition For special information on use checklist Description I Qty. ]_ Ea 1 Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) a`t k G ty OF e,tio er1Or h f _,, ; SFR(1)bath 312.70 El 1-and 2-family dwelling 0 Commercial/industrial rSFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Master builderEach additional bath/kitchen 25.02 0 Other Fire sprinkler( sq.ft.) Pae 2 K •?'.1 'Jb$Slit 3 t)RMATIOr A1''n.LOZ'AT1OTt1 :M - g Site utilities: Job site address: 11.''23 SvJ he r L Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 r S t s Drywell.leach line,or trench drain 1$.76 Footing drain(no.linear ft.: ) . Page 2 Suite/bldg./apt..no.: I Project name:Polygon at Bull Mountain Maanufactured 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 it.: ) Pagel Water service(no.linear ft: ) Page 2 Subdivision:Polygon at Ball Mountain Lot no.:346 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 N x NF.St QON S?P/VORIf ; '' .: a :: , Backwater valve ve 12.51 Clo es was er 25.02 Dishwasher 25.02 . Drinking fountain 25.02 Ejectors/sump 25.02 .-...r . 3 1ip.it01 n 0V}'NER. > .r.. ! . r ._. .a" _ .: /1.:.;._:-' Expansion tank 12,51 . Name:Polygon WLH,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.0 Address:-1( AYIYo Lnitj st_ Stns. � 51�V Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 I' :p4A7'P1.1r41VT +: ' Q co-.1,1 AC-r P QkW,.; LL' Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Primer 12.51 name: All c- _vi��_o �' ` Roof drain(commercial) 12.51 Address: 1O e)kr Citit Sr" S, ,> Sink/basin/lavatory 25,02 t� 1 CIty/State/ZIP:Vancouver,WA 98660 J Solar units(potable water) 62.54 i Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02E-mil NlC1U& 0f Evil 2Jn Water closet 25.02 - Water heater 37.52 Business name:BDL Plumbing LLc Water t in WV { _ pip g� 56.29 Address:PO Box 85 Other: 25.02 City/State/ZIP:Corbett OR 97019 • Subtotal Phone:(503)351-3903 Fax:( ) Minimum permit fee: 572.50 CCB Lie.:180345 . Plumbing Lie.no.:PB1582 Pian review (25%of permit fee) State surcharge(12%of permit tee) Authorized signature: 4.4„.400.- W TOTAL PERMIT FEE • ' Print name:Brandon Lanter I Date: This permit application expires if a permit is not obtained within 180 days atter it has been accepted as complete. *Fee methodology set by Tri-Courtly Building industry Service Board. I BuildInatPencilsl't_Mtt-PermitApp.doe 10/0IR09 440-461SrootavCOM/WEB) illA, City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT T1GaizD Building Permit Review — Residential Building Permit #: / L�72NO0— 001'3 r Site Address: /Sc2,Jcio L1- Project ue Name: -- 2 i// An lr', 4 Lot #: ' (New s ;rr � g=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: / J Verify site address/suite# exists and active in permit stem. .River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached S. • Plan Elements: II ree(3)copies of site plan II sting structures on site /1 cite plan must be on 8-1/2"x 11"or 11 x 17"paper 1�i Footprint of new structure(including decks)with finished I/ Drawn to scale(standard architect or engineer scale) oor elevations VA- orth arrow tility locations&easements (required for new and additions) !i ite address,project or subdivision name and lot numberIe NJS -walk/driveway approach pplicant information(name and phone number) • e',ation of wells/septic systems LTA •t dimensions and building setback dimensions IA Existing trees to be retained with drip line,and tree i'1'a are footage of buildings to be demolished otection measures 0 area,building coverage area,percentage of coverage and M reet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names ►1,Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? VJYes ❑N 4 foot differential) If yes,is a storm water quali facility shown? i ❑Y-s [ o 0 t lean Water Services—Service Provider Let'-r(lot platted prior to 9/10/1995): p�n�'i , l s Lt FI 'equired: ❑ Y ,applicant was notified No Received: I=1 Yes V� No !1 Public Faciliti Improvement(PFI) Permit: J�y�—/�, equired: Yes,applicant was notified ❑ No A hed For: / / No, PP Yes ❑ stop intake NO/Land Use Case#: G( 0Zi Q- oning: S-- Lv a Required Setbacks: Front ,,jRear / c— Side Street Side 1 Gara e I�ndscape Requirement: % /v/' g TO *•t Coverage Maximum: A Building Height: Maximum Height Z7-3 Com' Actual Height TO frisual Clearance i1 P ensitive Lands: ❑ Yes ❑ No Type ,+►4 Urban Forestry Plan ❑ Conditions " et"p . rrito issuance obuilAing permit Notes: Or r ,c7 ),— Approved By Planning: Date: /hh-R-- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved I:\BuildingTorms\BldgPermitRvw_RES_061417.doex Building Permit Submittal r Original Submittal Date: 7/I-i/17 Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: TPlanning Engineering 7 Permit Coordinator Building Workflow Sign-off: Sign-off for lanning(include notes from planning review) Route Application Documents: 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: / / -i, , , / �,��..r�i Date: 7 fir. _ Engineering Review �� Slope at building pad: El Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes -No Assess Water Quantity Fee in-lieu: El Yes Er No LIDA Facility on lot: ❑ Yes ,,l2No ❑ NOT Approved by Engineering: Date: Notes: � /kg, Date: / f) 17 Approved by Engineering: !�'jl,�1. 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: 111 C Fees Entered: Wash Co Trans Dev Tax: Iles ❑ N/A Tigard Trans SDC: / es ❑ N/A Parks SDC: Yes ❑ N/A LIDA El Yes p N/A l ►'�i K to Issue Permit roved b Permit Coordinator: AK:late: / / / �/ App y I:Building\Forms\BldgPermitRvw_RES_061417.docx .-- IN ii City of Tigard 2 COMMUNITY DEVELOPMENT DEPARTMENT GA River Terrace Building Permit Review Addendum Building Permit #: Site Address: / ;Z a 7T-)' j ,/ ,7_44.4___ Project Name: Pc*-9n �` tc// 4,n�ll�.._ Lot #: (Newng=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Deign Standards (18.660.070.1.): Is e project subject to the plan district design standards? ❑ Yes Ad No 1.Arti lation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additio-al element r-.aired 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 . deep ft. deep min. 2ft., 5 ft.wide min.2 ft., 6ft. wide Gabl . dormer El CI El El 2. Eyes on the street: a • ' ' urn of 12%of each street facing facade must include windows .r entrance doors. Percentage Shown: 3. Entrances:At least one entra e must meet both of the following standards: ❑ Parallel to street :ngle no more than 45° from street, ❑ Max. 8 ft. setback from longest str--t- facing wall Entrance opens to a porch: ElYes ❑ N. or open onto po 0) If yes,all the following apply: ❑ One street facing entry ❑ 25 sq.f min. ❑ 12 max. roof above floor of porch ❑ 5 ft. depth min. ❑ i')/0 min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of - of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep 31 Recessed entry area min. 5 ft.wide x 2 ft. deep El Wall offset min. 16 inches ❑ Dormermin. 4 ft.wide 0 Roof eave min. 12 inch projection ❑ Ro. offset min. of 2 ft. ❑ Roof shingles either file or wood ❑ Gable, ,ip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. . ❑ Horizonta ap siding min. 3-7 inches wide ❑ Accent siding min.40%of street fa .de ❑ Window trim . ' .2 t/2t'wide by 5/8"deep ❑ Window recess min. 3 inches for . street facing 0 Bay ❑ Balcony min. 5 ft.wide x 3 ft deep with inside access ❑ Attached garage is 3dow min. f 00 t. r less of streetpc facade 5. Garages and Carports• ay face the front or side lot line on a corner lot. Setbacks: No closer to front o ide lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check..e): ❑ May extend u. o 5 ft.if there is a covered front porch and garage does not extend beyond the fre t porch. El May exten. up to 5 ft.where the garage is part of a two-story building and there is a window at the s c and story above the •.rage that faces the street with a min. area of 12 sq.ft. Width: heck one) CI -foot-wide garage door 4 50%max. of street facade with 7 detailed design elements ❑ 40%max. of street facade \\ Notes: Approved By Planning: - .k Date: I:\Building\Forms\BldgPermitRvw_RES_RT_0622I6.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15223 SW THAMES LN, TIGARD, OR, 97224 February 19, 2019 at 11 :24:52 AM Record Type: Record ID: Residential - Master Permit MST2017-00438 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Note: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15223 SW THAMES LN, TIGARD, OR, 97224 February 19, 2019 at 11 :24:57 AM Record Type: Record ID: Residential - Master Permit MST2017-00438 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Note: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15223 SW THAMES LN, TIGARD, OR, 97224 February 22, 2019 at 9:52:58 AM Record Type: Record ID: Residential - Master Permit MST2017-00438 Inspection Type: Inspector: 399 Plumbing final Jeremy Burrows Result: PASS Comments: Correction completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15223 SW THAMES LN, TIGARD, OR, 97224 February 25, 2019 at 12:45:31 PM Record Type: Record ID: Residential - Master Permit MST2017-00438 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Fix grade at front vent well at cleanout location. Grade higher than exposed foundation vent. Dryer duct termination covered in vent well left side of house. Grade not to code left side of house. R401 .3 Protection Ballard loose in garage in front of water heater. Not ready for final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15223 SW THAMES LN, TIGARD, OR, 97224 March 6, 2019 at 11 :03:56 AM Record Type: Record ID: Residential - Master Permit MST2017-00438 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Corrections completed. Final erosion control passed Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Blower door and/or duct seal test certificate received Insulation certificate verified C of 0 left on counter. Violation Summary: Inspector Contractor CITY OF TIGARDMASTER PERMIT 14 1i. ,- ' COMMUNITY DEVELOPMENT Permit*: MST2017-00438 13125 SW Hall Blvd.,Ti Date Issued: 11/14/2017 I c_.rt la ly and OR 97223 503.718.2439 9 Parcel: 2S 1080604000 Jurisdiction: Tigard Site address: 15223 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 38 Project: Polygon at Bull Mountain,Lot 38 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2734 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height 26 Bathrooms: 3 Second: 0 sf Garage: 501 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2734 sf Value: $340,823.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: ir a Laundry Trays: 1 Rain Drain: 1 Unnals: 0 Lavatories:.i s Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Drains: 0 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywall-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: /t f Clothes Dryers: 4 a Natural Gas ^ Heat Pump: N Hoods: 1 `� Other Units: 0 Furn<100K:.r.a Vents: 0 Woodstoves: 0 Gas Outlets: / `, 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 WI Svc or Fdr: 0 Ea addl 500 sf: 5 201-400 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 2734 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,710.28 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and ail other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR:52-001-0090. You •-y obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 1 / Issued By: �i L . i Ill��i/ ermittee Signature: 1cc � 1 �5 �, ' Call 603.639.4175 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. . . • op[61A/4 .L._ Plumbing Permit Application Building Fixtures rinz UI FR e I r: otill City of Tigard Received pmmit No.: ,- 13125 SW Hall Blvd.,Tigard,OR 97223 DatclBy E„ Phone: 503.718.2439 Fax 503.598.1960 Nun Review e/gy; Other Pernik No.: I t D Inspection Line: 503.639A175 Dew Read Internet www-ttgard-or gov aart�Meihood. Aviv S See Pagel for N Snpptemm,talInforauNioa �..-,,,,,,......6,s,--•:•�. � ,� . � �tom:w � � 5. _.- �'��� _ � F :1 New Construction 0 Demolition For special k,orma ton use checklist 0 Addition/alteration/replacement Description 1 Qty. j Ea I Total t '',� � i ^- e ,i ,�, New tr 2-family dwellings(includes 100 ft.for each utility connection) �: )'^''f" ' 3 SFR(!)bath312.70 Dil 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 50032 ©Master builderEach additional batiekitchea 25.02 0 � b,5' `; Fire sprinkler( sq.ft.) Page yt4.,!:.?-4,412:::. Aiiii .,�,4Site utilities: 2 Job site adress: 1 ►! _23 3W.71*ITr Gatch basin or area drain 18,76 I City/StaterL1P:Tigard,OR 97224 Dtyvrell,leach line or trench drain 18.96 Footing drain(no.linear ft.:___) Page 2 Suite/bldg./apt..no.: ! Project name:Polygon at Bull Mountain Mmurfaanrted 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 Stone sewer(no.linear it.:,__) Page 2 Water service(ao.-linepr it:,_„•_) Page 21 Subdivision:Polygonal Bull Mountain Lot no.36 Fixture or hem: Tax map/parcel no.: Backflow preventer 1 31.27 x;, _ :r r.. ;. t 1 Q� 1VORrE p:as i41Backwater valve ( 1251 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 _ �_,,." Bjectors/snmp 25.02_ .sv`aF '^'. 4 'F:,"_Y ,urr�j if c1'� .-, 4 an3lm tank 15.51 Nenu Polygon R'LB,LLC Fixtnre/sewer cap - 25.02 Address: O� � r L SW.. y� Floor drain/floor sink/hub 25.02 4 rte- �� S �' �0 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25,02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 interceptor/grease trap 25.02 Business nine:Polygon WLB,LLCer Medical gas(value S ) Page 2 Contact name: p/l t'wc /hoi Prim12.51 ��`�-- Roof drain(eonwterciai) 12.51 Address: 1Q.?, bre t Flo .Sr- �V _ Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7790 Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail: 1 /I et IA 114074 flc S.C9n1 ,„r ` 4 r eIl . t < Water closet 25.02 - 3- . 4- ` ). : Water heater 37.52 Business name:BDL Plumbing Lia 1 Water piping/DWV 51129 Address:PO Bos 85 Other: 25.02 City/State/ZIP:Corbett OR 97019 • Subtotal Phone:(503)351.3903 Fax:( ) Minimum permit far S72.50 J CCB Lit.:1.80345 . Plumbing Lie.no.:501582 Plan review (25%of permit fee): { State surcharge(12%ofpermlt fee) Authorized signature: 'rlr'"a."'- ,�r , � *. TOTAL PERMIT FEE Print name:Brandon Lanier Date: This permit appiradna expires If a permit is not obtained within 180 days after ft has been accepted as complete. *Fee methodology set by Tri-County Building industry Service Board. f UHdina$pa tMU-PerreitApp.doc I0aI109 440.4eldU1OR0'COMWES) I . „ Mechanical Permit Application 1 OR Ot 11( 1 t 1/4,I (1\1 ‘ City of Tigard KIIIIIIIIIIIIIIIIIIIU 111,--- . 13125 SW ita11131vdt,Tiro&OR 97223 Man Resiew Phone: 503.718.2439 fax: 503.598.1960 Other Permit LCI • „,.,,,,, Inspection Line: 503.639A 175 Dam Readylny: Aro, 'r"." Interact imme.tigard-orgov stottficdrmohod: 1.„114*341"41000.01110TitEASgtaig4141'..:: .-- - Mmitanical permit fees*are based on the Wile of the work 21 New construction Q Additiontalterationfteplacentent performed.Indicate the eahre Bounded to the nearest dollar)of all 0 Demolition 0 Other: • mediunical materials,ettuilment,labor.overhead.and profit. Value!S Z!.:;;:.:,';'::'-:''-':;-9•Wiftt*5:r.Eifr't;°:itVnilaYil*'741Cj°V:A4*;'?za4'W' '14-.'11.181.- '--' --eittekiWtiffrfd' ' -'-. . ..'' A ---.....,... ,.. .-e,4,-..,- - --, .. — -. -.-- --.--.•' -..:4*,g, '-4 '''' '''',At,' F.:r.,:1,..k...—P.,.k0,7444. --. .,. r,. ..,_.10.0, -;:ii:',: -. 1-and 2-family dwelling 13 Commercialtindastrial c]Mecum building Fa speckfl triftwerfation sur cherkft klutti-family El Master builder 0 Other: Description I Qty. I Re. I Total - 1 46.75 :lob she address'. s-223 s ,,i-Thaones, 1.441e, : Pomace 100.000 BTU(dams/vents) 4_ 46.75 City/Stale/73P:Nerd,OR 9-7224 Nonage 100.000r BTU rductarvenet_ , 54.91 heat pump 61.06 e_ Suite/bldg./0PC no.: Project name:Polygon at Bail Mountain Duct work 23.32 Cross sueet/directioas to job site: Ilvdronic het wirer sYPtam 23.32 \ Residential boiler(adiator or tridmaie) 11.32 - • Unit batters(fuet-type,not electric), !INVER.Merino,sonaroded.me. 46.75 _ . Plutevent fan,of above 23.32 Other: ' Subdivision:Polygon at Bull Mountain Lot no.:323.32 Other feel pollaneem , Tax maplpareel no.: Waterloos: 23.32 '.'..4ii, ".•.....7"...0,.. ...11.,--. .A..:':..:,::,..z:A33.E5Clurf., _ jag pg5WQRpc.fli•;;Kte..N..1E,,,4,,.,?....*s.r„.,,,iv;,,,,,.. Oat firephrefinsen , I , 3339 ' ' Filai Vag for Wafer heater or gas : fireplace 23.32 Los lighter leas) 2332 - - Woadipelha Moro 3339 Wood fireplace/Mon 23.32 Chininewlinertfluchma 23.32 griiiiiiiime . -owiitt--7..ffpt..,,-.. ..13 ..... .-...,:.,,,,,,,..;„-14,..„:.,;.1.vii, omen _23.32 ' - ,_Ell*Ivernuesttal calmest Rad veatilatimat Name:Polygon WLH,LLC Range hood/other kitchen madmen! 3339 Addass;11 0 ktintAQ3CU•N Sk" CskAij-C., SQ • Clothes drver exhaust I CitYqththiZIP: ValNeiwtie,v%I I )0 e,(644 ) Single-dom exhaust(bathrooms. toner conmanments.tmlity rooms) _ ti , 23.32 Phone:(360)695-7700 ? Fax:( ) Atticicrewlspece fans 23.32 **S0*".F4 -tW:ifi'ii'L:-i sgl'.. .-tt**Ott 41.4i:43** 4 : °then 2332 Admit Business name:Polygon W1,11,LLC Fuel $14.15 far One fear:$403 for atch addition* °with°rththc:• N i chok. TY- UL. . Furnace, Athire= .701 grOadti/84, St SUAlk. Si 0 Om best palm WatitsumendedAmit beater — . CityiSta1MZUP:Vancouver,WA Worm beater - I _ Phone:(360)695-7700 Fax::(360)6934442 Fireplace 1 - . Runge E-mail:Angeht.Grarjesmitirripolygonhomea.ann - Barbecue 1..P.54,,.-. ;.f,.., 111..rpi45-,?!,. Clothes drver(gas)• . Business amain Apes Alr LLC Other 7.-3kii.:,-.,11-17: ktatAx91:4PERigOtg*-1, -,.-;. Adebess:18004 NE 72"Ave Subtotal ._ C..ity/StatelTP:Vancoaver,WA 98686 h4inimunt permh fee(59000) Platt review t25%o(permit fee) Phone:(360)3424109 Fax;(360)326470 Suite surcharge(12%uf pamit fee) . CCB fie.:203134 ....i _ TOTAL PERMIT FEE This permit applieetim arum ira permit is tam obtained;within ISO ' dip fahrlit lou kw"mond as eaumkers Authorized signature: - • fee methodolocr ashy 76-County liumliste Wan SaVir4 Board Prild flamer-17;71/4 Date 4•ti. itos _ i Itoit,144TentitiMECjtamitApp 040113 d.c 440,4M ilINLVerhtiVEm PermitApoH Caa EcEivE g Fixtures 3lRi 1 JUN 21 ZO1fkkoreit 14Tiblara 503.7162420 rah: ,R 2960 . 131611"111 Line 5°343941 75 Q3 b39I75 CITY OF GARTI ' -*t8 8r6 x sir pasertlatioa F$1 .. tvecisi 00,141istlattmate alt•Iltailt, ti&!x{S k$A f.x t ss wCt 9f Nov 1. lag 1001 'each`4•.,=„ $ z� M(1)64 1 312,7 I- d2- ilwdlisig a,iR6oG<..a+c (2437,78 ry l ( ' ; ) 562.32 BlvithoStikkehilthholihtsbeis 2,5„0:t rit://splissider sq.ft.) No2 J /Saa3 3w 1H)9rs,efCR*6 bh or nu 46144:6' 11.1111:63 i1y18 'Z': • , 11.76 no,. I Pithiest twatne: r tsc.L .c,rt./�41N 66tramicturedIschitais,611://igh 50,03 1 .76 Shia 60666ctor IS 76 Sanitt//1/some/(pa.Iihrsir ft._ iPar 2 fidech sewer(act.hete : ' 2 Subdivision: Wier .»....} 2 R I Lo/ 116611/6 or Isom TTx t+,.,< no.: 21,27 41P464r °RUaNik 'GgiVs ODish,,,60:4her 25,02 sie t s ifs 25.02 - . .�.3_ .,•rEgerisice to 1.2,51 I L alb P3 € 'orta 2.5.02 16,04 ` Dw$tet,f -* 47. 25.02 Cksiiisp 25,02 ,5`Cir/rcif41„ 8'5x.$1 Pi o o3 I Par( fir 12.51 _ �_ ��;•.__.. ,• 25.0 t 12..51 Roof„a,rD t ► ) 22.31 Ati:bess: DI/ 04,1* 3 .e 25.42 C w: Pcuv � A Y&too s ,.,.w., 62.54 ( 3)5.7? 1 Fax::( veer pail 12.51 ' 1 € t�4, 25,E nattlel id 1 L.1» 3"x.52` 1/ oii _ 11k6,, W. . per' $6, 9 Akitinsis: #6 /73r'_ other 25.02 Ci :V 46‘,4 4.1 45W, (3100) (64115. 7?t)41:3 fah : 572.50 Lit: a 0 1 Plutubinsrm.: - ) State nachinic(124141 orptioit fee) �.elk . : MrittitiMei AA/A.0/:)_, Dalt: ' 0 ' atter ft teas bees seteptes as bkarhisks. "Pee iselbedeicee set b Tii.r.tousey Service Select. ,, s4444sitiiileetvCOlifeVelle ' IVEMechanical Permit_App - ,t, . , .,,„,,... i( . L Si.0,1 "i City of Tigard Received Datelliy, Pernat No,: 13125 SW Hall Blvd,,Tigard,OR osi 21 2118 Plan Review 8 Phone 503.718.2439 Fax: 503.595,1960 liatelliy: other Pemit: ' Inspection Line,,503.639.4175C ITY OF TIGARD mt.R..dY3IY: MIS' fill See Pogo 2 for Internet: wwwatgard-orgov Notilischtdethed: Supplemental lamination 1 1 LDING DIVISION *to,-....„.ii- - -,./4,--,..., ...,--.,..,r, it...,- ,----..cmy ....., -4,-,-:-,, ,,.7 ,,,q4.§ite.,..v.;74.,,,i,,f,.5:„-,, f;.,-,:-,:w ,,it , ,o.p..:,-, '$- - -----a-y -.6.-- --.-4,------ - -•--. - --'''''''' ''°- : '--,'s& -- ;-'-.:--' -'"66" '''''' '‘ -: ' - Mechanical permit fees*are;;-ed on the value of the work New construction U Addition/alteration/replacement performet Indicate the value(rounded to the nearest dollar)of a mechanical tranerials,equipment,labor,overhead,and profit. 0 Demolition 0 Other: ,, ,44,,,,,,,,,,,, ,, . , ,,,, •, .;. Value:$ ;;;::#f,;*c %';'--f,7,1!:,,,\,::!;'.: ,7i.:46s2;.': .:::16116 ,'; ',.;•,-; ,•6,... A ,-:/,'`',.;;:','„p -'4:•'"TA''''',,'I'- 1-and 2-1innily dwelling 0 Commercial/industrial 0 Accessory building FOr wcial information toe checklist 0 Multi-family 0 Master builder 0 Other: Description 1 Qty. Ea. i Total r•J..7."'',„,:i: V.' „t*if..",7.f.7„,."..4;;;''' "'"" i446,7ittrirf v.; ;''''-,--.W.t.:11:.:;;; •::::•:?/- --t. - - Hes in, eeehh..,: ''' '14%, %,',.i'4;.','ImAM4iiaiiiidon "leo' '° - A0,4, ' .::-, ,1:•••1'/ ''''' Air conditioning I 46.75 Job site address: 16 g 3 .51v -plitvi e 5 4v. Furnace 100,000 BTU(duets/venal 46,75 City/State/ZIP: Furnace 100,000+BTU tdocievetro) 54.91 , diA _ _...A It) Heat puny 61.06 Suite/bldg./apt.no.: Project name: N.012_filoWertt Duct work 23.32 Cross street/directions to job site: Hydronie hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 ........ _ Unit heaters(thel-type,not electric), imvall,is-duct,suspended,etc. 46,75 Flue/vent for any of above 23.32 23.32i A8 ...r- Other:SubSubdivision: 1i.4114-ii i (4414 a)Q RiVert rEie06114#-4- Lot 11°*: 3 O ir ()ther fuel applianees: D Tax map/parcel no.: Watereater h 23,32 .. 44--- -vv.1,,-6-io ', "-4 Gas firepbc insen 33.39 ta4;*:‘ ''','t:T.',7,;,; ?1-1'''17/ .lit!!' r..:,:4-:1gZiQlai.M'';!iiatheil... l'st •'-=,'/,'' , nue vem for water heater Or t',S CAYIWX 10 Ci(1411,41 /MO fireplace 23,32 .. Log lighter gas) ftopect itoil-Mt PkYEIt s fAti ifumAve i rii4ePlit . ft:di, net'A , 23.32 ... . I pe me 33.39 Wood Fuenaceinsert 23,32 Chunneylineraluevent 23.32 23,32 4 -44V'' '', .:='4.4,4V,W ,'.. ,-,, ;.1,•A--,,w<eA,k, W to',`,'P 4.,''t''''%-. iScl,1r rt Other: ,,, w.„ ...,,i,,,,,-..,.4'.:44,,,,%, '';" * i exhaust en• " Name: a ri L 44 we. b(,fp6 e.„ C Range hood/other kitchen equipment 33.39 Address: 71•o6 e 1)tdeteriCES ' P64 RP Clothes dtyer exhaust i 33.39 City/State/2W: JedirjOsl Le- A-2 irS c?sg tsoi ingietie70,,,,aftint exhaers!utibachiityms.; 1 23,32 Phone:(Gitta) 6,1 6 3 I Fax:( ) Attic/erawispace fans 23.33, Other: 23.32 %:4-4 i.,Ads...inseelhaisiiirrairdref ,,'"" ,c' ;\,,... ‘wr.icssW .''',Misratstann".aisem,a, za,,a,' /* Business name: 10(4640 11.4,14 Fuel piping, 1—t-C 514,15 for first four;$4.03 for each additional Contact name: 0 Di C.,4 # Furnace etc, I Gas heat pump Address: 10,1 6.-A,T. 1, 57- WA/suspended/unit heater City/State/Z1P: VttpeOwt)ER itii) 02 iitoGib Water beater Phone:t5'63) 5.77 Lff(, Fax::( ) Fireplace 1 Range E-mail: rAtin.D la tAgAio Q r,Ly caw gat,So. 4:5741 Barbecue , ..,...,„, ;,,,„,;„,..;.,,..../..o.e..046,-;•1,,,. ......•',/,;;;'+e.s Wi.,';:,,,:..i;-,,-°:%•;--';,',:r?'2,,,:•'",ak:7:172,r;:7'.,,,,!:,16c',:4,,,K:.4371 '''''''' ''.: 7,. .W" P':';> ''•.': aohedryer(gas) 1 Oa. , Business name: teiu4 net 0 60 ',Aim/,./a, -•„Afes-,-;. 4 Wirrolr'firlOTT4.,V3Bpr,...7-%, Address: c ' ofr or*,97 Subtotal Minimum permit fee($90.00) City/StaterZIP: vilticoovoe w' crrto ,r) Plan review(25%of permit fee) Phone:136,o416 7700 I Fax l / State surcharge(12%of permit fee) _ CCB lie.: ao a q 7 TOTAL PERMIT FEE This permit appileaties expires Ira permit is not obtained siirtiln I:;; Authorized signature:—17 days after it has been accepted as complete, * Pee methodology set by Tri-Comay Building Industry Service Board Printname: Took D )c(Asixic Date: ( tø t r i SuartiareerialtstelPr_Peordiopp 040113.det 440.46.17T 4E1 OVMACWEBI 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 4 Transmittal Letter I i c mt n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DAT ' L_K1 II II ;1 DEPT: BUILDING DIVISION JUN 21 2018 FROM: 1";nkDICAA,vtvv on OF TIGARD COMPANY: Fp L./00,vtea BUILDING DIVISION PHONE: S-0 3 5 )7 (No() By: /e ./*, RE: /52&3 Jest, Nef 411 415Ta?o)?—ooLf 3 (Site Address) (Permit Number) BiAt. //?owL11Yt7 , 4 38' (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: I a Copies: I Description: I Copies: I Description: Additional set(s) of plans. I Cross section(s) and details. Revisions: �Lv/at�3 9/ O�m� Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: 4;64\/n/6- /9--.64 't,. te9-ze.A7 6 ley- nce A.7 , FOR OF ICE USE ONLY Routed to P ' Technician: Date: U 2 (� Fees Due: Yes Initials: ❑No Fee Descri do Amount Due: 1/2 ��\ CIA/ e.-.3 $ Li S-.6 $ Special $ Instructions: I Reprint Permit(per PE): es i Applicant Notified: j p -7 I ate: o one �`����' � I Initials: -- I:\Building\Forms\TransmittalLetter-Revisions 061316.doc