Permit Plumbing Permit Application
Building Fixtures rcC'l'VE • FOIL OFFICE USE ONLY
Cityof Tigard Received r�/� �x /yet y
.� g Date/Bv: 121ZZI a=7-0 Permit No.:MST�\6\-.0
4 13125 SW HaII Blvd.,Tigard,OR 97223 qn9!
'. DECC /,�� Plan Review I
Phone: 503.718.2439 Fax: 503.598.1960 5 Date/By: 1 '��/2141 A Other Permit No.:
-i 1 G.4 I:I) Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: fqq,�,"� +� jilt
See Page 2 for
Internet: www.tigard-or.gov Notified/tutethod: (/'�Y/L^'l � �af Supplemental Information
TYPE OF WORK BU LDING DIVISION FEE* SCHEDULE
XNew construction ❑Demolition For special information use checklist.
-- Description I Qty. I Ea, I Total
❑Addition/alteration/replacement D Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
gyp-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/vitchen 25.02
❑Master builder ❑Other:
Fire sprinkler( _4.ft.)134)2 Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:1LVDC3c1 • 1l 1': tl Nk Catch basin or area drain 18.76
City/State/ZIP: r11C-�( � �_ C 2 7.1.. , Drywell,leach line,or trench drain age18. 2
t `^,\', Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: 6.5 i4`, I Project name: cLA V lc 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: �^.1-)�� ' .fr VOLO-1 'tJ I Lot no.:T Fixture or item:
Tax map/parcel no.: j� Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
,^, (n� Dishwasher 25.02
,Q__ Aa�n klid_. �1 E & Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
- Water closet 25.02
CONTRACTOR
l Water heater 37.52
Business name: o,' (I AL j . � .:1} ckia L.k'c. CO h _
VlC���ti� 1 WaterpipingDWV 56.29
Address: �O~!� �)L. J 0-CLC-4 rn b`Zn "ci Si {f 1A-I Other: 25.02
City/State/ZIP: Qp c/Ala S�•Qj , L . 9 (p0 Subtotal
Phone:( 71"9 0 k.-)4 I--) Fax:( _lb ^��.. cm p Minimum permit fee: $72.50
CCB Lic.: i 1?Z?0� PI bing Lic.no.: L�. `Zj2(P Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized sign lure: \ TOTAL PERMIT FEE
Print name: Ylr �� mJ Date: `y. I�� 7010 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:1Boilding\Pormits'PLMU-PemtitApp.doc 10/01/09 440-0616r(10/02JCOM'VEB)
A
111 CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2019-00100
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/09/2020
Parcel: 2S107AA07700
Jurisdiction: Tigard
Site address: 14359 SW 169TH AVE
Subdivision: ROSHAK RIDGE Lot: 77
Project: Polygon at Roshak Ridge, Lot 77
Project Description: New SFA.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 2 First: 646 sf Basement: 103 sf Left: 0 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 633 sf Garage: 499 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 0
Detectors: Yes
Total: 1382 sf Value: $187,550.10 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1
Other Fixtures: 0
Drywall-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvcFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add.'500 sf: 2 201-400 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 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y
Other. N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SFA VB R-3 1382
Owner: Contractor:
POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Required Prior To
Pour
3 NFPA 13D Sprinklers
PHONE: 360-695-7700 PHONE: 360-695-7700 Required
FAX:
Total Fees: $25,126.63
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 plan 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 requir=- ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-00• ou may•btain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
i
/ /ii e
Issued By: �����/ Permittee Signature: !/i[1 N7/c
rti
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.
I
Building Permit Application
Residential riECEIVED
FOR OFFICE USE ONLY
- City of Tigard Received Date/By: Di i CI _ PermitNo.:mS( 1Ci-b01QG
` Planate
13125 SW Hall Blvd.,Tigard,OR 97223 MAR 1 2019 Review
Phone: 503.718.2439 Fax: 503.598.1960 Rev u 1 (1 Other Permit a _
Date Read/B Juris: H See Page 2 for
TIGARD Inspection Line: 503.639.4175 CITY F�1= "IUA�� y y /�/ /�.
Internet: www.tigard-or.gov ',l±1')ING DIVISION Noufied/Method:o 7y / --c% Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILYDWF.LLING
®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, d the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. 141 i SSQ___
Valuation: $
® 1-and 2-family dwelling ❑Commercial/industrial
ElAccessory building
❑Multi-family Number of bedrooms: 9'
❑Master builder D Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION' Total number of floors:2.
l St k
44. Job site address: I Li 3 V silo I ic 1 t Y i{v New dwelling area: 1 / j square feet I '2 3
City/State/ZIP:Tigard,OR 97224 Garage/carport area: - -.% ell square feet 6,
q Suite/bldg./apt.no.: 1 Project name:Polygon at Roshak Ridge Covered porch area: square feet l03
Cross street/directions to job site: Deck area: :x square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-1 SE ClITT KLIS-I
Subdivision:Polygon at Roshak Ridge Lot no.: 11 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
DESCRIPTION OF WORK work indicated on this application.
New SEA Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories:
Name:Polygon W'LH LLC Type of construction:
Address:703 Broadway Street Ste 510 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
Phone:(360)695-7700 Fax:(360)693-1442 New:
l APPLIC_AN'T ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Polygon WLH LLC
Structural plan review fee(or deposit):
Contact name:Amanda Gavin
FLS plan review fee(if applicable):
Address:703 Broadway St.Ste 510
Total fees due upon application:
City/State/ZIP:Vancouver WA 98660
Amount received:
Phone:(360)695-7700 Fax::(360)693-4442
PIIOTOVOLTA1C SOLAR PANEL SYSTEM FEES*
E-mail: permitsubmittalsa/polygonhomes.com
„,,.T, ,,. Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:William Lyon Homes,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:703 Broadway St.Ste 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 lie.:207247 Total fee due upon application: $201.60
Authorize i This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amand Gavin Date:
31 C J I Iel *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613'F(11/02/COM/WEB)
D
Mechanical Permit Applicati I"E FOR OFFICE USE ONLY
a Ant, ) C 20{(t Received M
City of Tigard APR 6 ;J L I J Permit No.: co k1o/�c
'( 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: 1`1� , - lll�
Phone: 503.718.2439 Fax: 503.598.19 �v p O f Plan Review
T.jITY OF TIGARD Date/By: Other Permit:
71;rttPi� Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By:
mda: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method. Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist
Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE. INFORMATION AND LOCATION Heating/cooling:
n � , ` Air conditioning 46.75
Job site address: tI4 q Sw 11 R-r 17"� Furnace 100,000 BTU(dacts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Roshak Ridge
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:Roshak Ridge Lot no.: 11 Other: 23.32
Other fuel.appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK 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
PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
equipment 33.39
Address:703 Broadway St.,Ste.510 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
.t ' LICANT (] CONTACT PERSON Other: 23.32
Business name:Polygon WLH,LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St.,Ste 510 Gas heat pump
WalUsuspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace
Range
E-mail:permitsubmittals@polygonhomes.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other:
MECIIA1vTCAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104 Subtotal
City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE
This permit application expires ifa permit is not obtained within 180/J. o- bu days after it has been accepted as complete.
Authorized signature: (�LIB * Fee methodology set by To-County Building Industry Service Board
Print name:Elia Duran Date:04/08/2019
I:iBeildmgtPerolitalt, C_PennitApp_040113.doc 440-4617T(lt/02/COM/VEB)
a
Electrical Permit Applicatio -„ , FOR OFFICE USE ONLY
City of Tigard Received S\. 'k J^^ r�,�jII
Permit#: W �
Date/B
.113125 SW Hall Blvd.,Tigard,OR 97223 1 u L 9 9 2119 Plan Review
-
Phone: 503.718.2439 Fax: 503.598.1960 '' ' Date/B : Related Permit#:
TIGARD Inspection Line: 503.639.4175 ReadyDate/By: ruru: El SeePage2for
Internet: www.tigard-or.gov NotifiedlMe hod: Supplemental Information
TYPE OF WORK PLAN REVIEW
�/ New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition ❑ Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling D Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
5Q Q ,( .,,._ El Addition of new motor load of system.1�
Job#: Job site address: v _1 SA) tiO \T r H J VC, 1001IP or more. ❑"A",'E","1-2","1-3",
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Polygon At Roshak Ridge 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more, 600 volts nominal
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 1'1 Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
CTIA, (1AST2.01: -pU}lid (with d ne gy,bove q.niuh)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name:William Lyon Homes,Inc. 200 amps or less 100.70 2
Address:703 Broadway St Suite 510 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps _ 301.04 2
Phone:(360)695-7700 Fax:(360)693-4442 Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 1 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
® APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: William Lyon Homes,Inc. above service or feeder the, 7.42 2
each branch circuit
Contact name:Nichole Thorpe B.Fee for branch circuits without
sAddress:703 BroadwaySt Suite 510 branchranice or feeder fee,first 56.18 2
circuit
City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 Fax: :(360)693-4442 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:permitsubmittals@polygonhomes.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Alameda Electric Sign or outline lighting 67.84 2
Address:3415 NE 44th Signaln , eui(s)or extension. 0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Portland,OR 97213 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)319-2192 Fax: ( ) Investigation(1 hr min) 90.00/lu
Email:solarpdx@me.cnm Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 4871% 5 specifically listed(Ahrmin)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:
Subtotal:
Print name: Kile Rood Date: 03/08/2019 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Kile Rood Date: 03/08/2019 days after it has been accepted as complete.
* Number of inspections allowed per permit.
P\Rnilelino\Petunia\RTC Pw.mi,Ann Pi FRP An.a..,nett-trim[ .m.r,r.r.,...o.........+
Plumbing Permit Application
Building Fixtures RECEIV. E FOR OFFICE USE ONLY
ReceivedII permit No.hr�C �Q (�{\ r
City of Tigard III L 16 2°19 Date/By: 't Ci;VA- `- w,l-c-
's 13125 S W Hall Blvd.,Tigard,OR 9725 Plan Review
Phone: 503.718.2439 Fax: 503r5996?-1r Date/By: Other Permit No.:
Inspection Line: 503 639.4175 .l , ri I l(h+-4?"'t''
TIGARD p Date Ready/By: Jars: E7 See Paget for
Internet: www.tigard-or.gov NotifiediMethod: Supplemental Information
TYPE OF WORK L FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building El Multi-family Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: `u(36R t(oa-IYr (-A- - Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: ,L\ Project name:Roshak Ridge 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.: 1 Page 2
Water service(no.linear ft.: ) Page 2
Subdivision:Roshak Ridge I Lot no.: 11 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer 25.02
vN t1 xJ--c 2-01 ek,opt 00 Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:703 Broadway St.,Ste 510 Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$_) Page 2
Primer 12.51
Contact name:Tonja Morris Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 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
Urinal 25.02
E-mail:permitsubmittals@polygonhomes.com
polygonhomes.com
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:Alliance Plumbing Water piping/DWV 56.29
Address:146 W Historic Columbia River Hwy Other: 25.02
City/State/ZIP:Troutdale,OR 97060 Subtotal
Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lie.:184601 Plumbing Lic.no.:PB732
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Robert Minim Date: This permit application expires if a permit Is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Budding/Permits'PLMU-PermitApp.doc 10/01/09 440-0616T(10102/COMIWEB)
I II
City of Tigard
71 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #: 'c-r p\C\_ (C O(i
Site Address: /I/359' S'bt) /6 )11 7v Q.
Project Name: Poi gon cd Wc2s o L 1 .-Q Lot #: /7
(New dwellifig=subdivision name;Addition or eration=last name of owner)
Planning Review
Proposal: N "U p Vo cU Lc,vS,62
[Terify address/suite#active in Accela. -EYIn River Terrace: ❑ No a-Yes,River Terrace Review Addendum
Site Plan Elements: .O"Erosion Control
C�copies of site plan on 8-1/2"x 11"or 11 x 17"paper -flI • trees with drip line and tree protection measures
t if yawn to scale (standard architect or engineer scale) ootprint of new structure(including decks)and FF'L
arrowty locations&easements (required for new and additions)
L7
3/Site address,project or subdivision name and lot number idewalk/driveway approach
E Applicant information(name and phone number) eiScaiton of wells/septic systems
dimensions and building setback dimensions -B'Street tree size,type and location
e footage of buildings to be demolished Jet names
tructures on site $Comer elevations(2'contours if more than 4'differ nal)
t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? GrYes No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes ❑ S��
No
J-Clean Water Services-Service Provider Lett5r.(lot platted prior to 9/10/1995):
quired: ❑ Yes,applicant was notified E No Received: E Yes ❑ No
1106' Public Facilities Improvement (PFI)Permit:
Required: E Yes,applicant was notified ❑ No Applied For: E Yes ❑ No,stop intake
• and Use Case#: - PI R 1015 -v66) ❑ Zoning:
L . -.uired Setbacks: Front: P�3 Rear:CL Side: 0Street Side: 4413 Garage: 3
n Building Height . Max. Height: 1-'14 Actual H Se : . 5 rorc"�
a Landscape Area: 2 J % -2--Lot Coverage Max:
Entrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ❑ Minim %of area of all street-facing facades
Garage ❑ Garage door is be ' idest street-facing wall - ❑ Yes ❑ No,one of the f • is met:
❑ Door extends no more ' torn wall and there is a covered porch •ig eyond garage.
❑ Door extends no more than 5'from w there is .window above garage on 2°d floor.
❑ Garage door width is ❑ 12'or less o or less o e ❑ 60%or less and includes 7 of following:
❑ Covered porch ecessed entrance ❑ Wall offset ' f eave ❑ Roof offset
❑ F' • g es ❑ Lap Siding ❑ Roof pitch . ❑ Gable,hip,or gam of 0 Dormer
Accent siding 9 Window trim ❑ Window recess 0 Window projection Balcony
. ' Visual Clearance Urban Forestry Plan
-ICI Sensitive Lands: ❑ Yes ifil No : Type:
IA Conditions me prior to issuance f buil g permit
I'V ( o`.j 4,-a r'`r,r 4r r5�>an C-Q
Bh6 r-;Approved By Planning: Date: '5`Z 1-(t{
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: 51 al 1 1g
Site Plans: #
Building Plans: # J
Building Permit#: Enter building permit#above.
Workflow Routing: l4 Planning Engineering Permit Coordinator Q'Building
Workflow Sign-off: It Sign-off for Planning(include notes from planning review)
Route Application Documents: Q'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
2/Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
a
By Permit Technician: ,�_A Date: '3 1' -A-'1 R
Engineering Review
lope at building pad: TO -O
❑ Conditions "Met"prior to issuance of building permit
E Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 2I.No
Assess Water Quantity Fee in-lieu: 0 Yes '5.No
LIDA Facility on lot: ❑ Yes 'No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
-12'-Approved by Engineering: Date: /i //
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 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:
5roision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ryes ❑ N/A
Tigard Trans SDC: I/Yes ❑ N/A
Parks SDC: "Yes ❑ N/A
LIDA ❑ Yes VYN/A
OK to Issue Permit 7 Approved by Permit Coordinator: EiDatt-ilie2/11 9
L\Building\Forms\BldgPermitRvw_RES_0228I9.docx
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A R D River Terrace Building Permit Review Addendum
Building Permit #: 1`t1S-T "ai\ \Q— ,100
Site Address: f L,1359 S Gu f 6 nth 241.R
Project Name: R 1��i�//// on a I PPS L .k Q,4 e Lot #: -77
(New dweNn7=subdivision name;Addition or Alteratiot=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1):
Is the project subject to the plan district design standards? ❑ Yes 0 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 frontagsshaalll be provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep Gabled dormer
Jr . deep min. 2ft,5 ft.wide min.2 ft.,6ft.wide
C� �1 0 0 DIP/5
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: �3 ` 0 6
n Z
3
3. Entrances:At least one entrance must meet both of the follog standards:
Max. 8 ft. setback from longest treet- facing wall - el to street, angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes 0 No 1
If yes ll the following apply: 15�Q/2� sq.ft. min.
IV:pne street facing entry L;d" 2 ft max.roof above floor of porch
® 5 ft. depth min. L.
30%min.porch roof coverage
4. P-tailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
VA Covered porch min. 5 ft.wide x 5 ft. deep r ❑ R cessed entry area min. 5 ft. wide x 2 ft. deep
M all offset min. 16 inches F7. oorner min. 4 ft.wide S
. Roof eave min. 12 inch projection VS ^^//Roof offset min.of 2 ft.5
❑ Roof shingles either tile or wood ft�' b1e, hip or gambrel roof design C
❑ Roof pitch oriented south min. 500 sq. ft. a,� Horizontal lap siding min. 3-7 inch s wide f
O Accent siding min.40%of street facade -2"Window trim min.2'/2"wide by 5/8"deep V
O Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
O Balcony min. 5 ft. wide x 3 ft. deep with inside access 0 Attached garage is 35%or less of street façade
5. Garages and Carports:May face the front or side lot line on a corner lot.
IAA.' Setbacks:
RNo closer to front or side lot line,than longest street-facing wall. 0 Yes ❑ No. If No (Check one):
!or ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
ld,`d41 ❑ 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
9u bove the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
L7dt12-foot-wide garage door 0 40%max. of street facade
❑ 50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: S _ Date: 3-L1-14
B I:\ uilding\Forms‘BldgPermitRvw_RRS_RT_1214 17.docx /
Tonja Morris
From: Chris Herzig <chris@pacific-community.com>
Sent: Thursday, March 14, 2019 4:00 PM
To: Tonja Morris; David Burnett;Jessie King
Cc: 'Rhealyn Galvezo'; PermitSubmittals
Subject: RE:A4 Lots 77-81 Bldg 14
Tonja,
It's a bit confusing, but the curb and gutter on the alley loaded rowhome is an approved "rollover curb".This just means
that no concrete approaches are constructed.The sidewalk is constructed right next to the curb and we show the 9.0'
driveway beginning at the back of sidewalk.
I hope this is helpful.
Christian M. Herzig
(503)941-9484
12564 SW Main Street
Tigard,OR 97223
II Please consider the environment before printing this e-mail
Original Message
From:Tonja Morris<Tonja.Morris@polygonhomes.com>
Sent:Thursday, March 14,2019 11:41 AM
To: David Burnett<drb@milbrandtarch.com>;Jessie King<jessie@pacific-community.com>
Cc: 'Rhealyn Galvezo'<rdg@milbrandtarch.com>; Chris Herzig<chris@pacific-community.com>; PermitSubmittals
<PermitSubmittals@polygonhomes.com>
Subject:A4 Lots 77-81 Bldg 14
Good Morning-
I took A4 Bldg 14 to City of Tigard to submit this morning.Attached, please find the issues they found with the plan.
#1: No driveway approach & apron are shown on the site plan.
#2: If porch is to be called out as point of articulation, it must me dimensioned on the floor plans, including porch roof
height.
#3: Gabled Dormer called out as point of articulation, but not found on exterior elevation.
Plans examiner Schuyler Warren also requested that lot numbers be added to the B1 Floor Plans page so which plan
goes to which lot can be more easily identified. I personally think this is silly and will hand write it on the plans if needed
upon resubmittal.
Tonja Morris
Permit Specialist
Tonja.Morris@Polygonhomes.com
Office 360-695-7700 Fax 360-693-4442
www.polvgonhomes.com
Original Message
From: IrvineDesignCenter@lyonhomes.com <IrvineDesignCenter@lyonhomes.com>
1