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Permit CITY OF TIGARD MASTER PERMIT ,,::: 1 . r 2 ' COMMUNITY DEVELOPMENT < ALAI Permit#: MST2020-00311 T i CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/20/2021 Parcel: 2S107AA24100 Jurisdiction: Tigard Site address: 16944 SW ROCKHAMPTON LN Subdivision: ROSHAK RIDGE Lot: 241 Project: Polygon at Roshak Ridge, Lot 241 Project Description: New detached dwelling.2/25/21: REPRINT to add (1)lay to primary bathroom. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1168 sf Garage: 422 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2116 sf Value: $279,689.42 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Drains: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: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 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: 4 201-400 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 2116 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 One Hour Fire Rated Eaves PHONE: PHONE: 360-695-7700 FAX: Total Fees: $39,523.39 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 thro OAR -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: e---1 Permittee Signature: O'CN/ ,.c,I C*4-770/%/1 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. , C M. Plumbing Permit ApplicatiRE CEiVGD Building Fixtures FEB 2 4 2021 FOR OFFICE., USE ONI,1 City of Tigard Received LTY OF T1GAi�D Dsie!B eZ ( G/ PPerm"N. �. a 13125 SW Hall Blvd.,Tigard,OR 9723b I Plan Review a Phone: 503.7182439 Fax: 503.5 1 ING DIVISION Date/By: Other Permit No.: Inspection Line: 503.639.4175 TIGARD Date Ready/By: Juris. ® Sec Pate 2 for Internet: www.tigard-or.gov Notified/Method: Suppkmental Information TYPE OF WORK FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist -- Description I Qty. I Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 X.E.-and 2-family dwelling ❑CommerciaUindustrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building •Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16944 SW ROC KHAM PTON LN 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/bld Ja t.no.: 'oln at Roshak Ridge g P I Project name ygo _ _ 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:Roshak Ridge Lot no.: 241 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 5th lavatory added after plan review Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER l ❑ 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 1111 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap I 25.02 Business name:Polygon WLH,LLC Medical gas(value:b ) Page 2 Primer 12.51 Contact name:Tonja Morris Roof drain(commercial) 11111 12.51 111 Address:703 Broadway St.,Ste 510 Sink/basin/1 atory_:..7 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:permltsubmittalsgpolygonbomes.corn Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:G& B Plumbing&Sons Inc Water tPing'DWV 56.29 - P Address:P.O.Box 92 Other: 25.02 City/State/ZIP:St.Paul,OR 97137 Subtotal Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: 572.50 CCB Lie.: 184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee) Authorized signature: .. ge(12%of pernut fee) TOTAL PERMIT FEE Print name:Steve Fowler State surcharge 10/30/20 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-tiuildinr\Permi,,PLMtJ•PermitAoo.doc IWOI/09 440.4616T(10/02VCOMM'E.B1 1114 CITY OF TIGARD MASTER PERMIT f Permit#: MST2020-00311 COMMUNITY DEVELOPMENT Date issued: 01l20/2021 T r i,A R I7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S107AA24100 /" Jurisdiction: Tigard Site address: 16944 SW ROCKHAMPTON LN Subdivision: ROSHAK RIDGE Lot: 241 Project: Polygon at Roshak Ridge, Lot 241 Project Description: New detached dwelling.2/25/21: REPRINT to add (1)lay to primary bathroom. 5/20/21: REPRINT to correct the total number of exhaust fans. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1168 sf Garage: 422 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: I Total: 2116 sf Value: $279,689.42 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 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!500 sf: 4 201-400 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 2116 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 One Hour Fire Rated Eaves PHONE: PHONE: 360-695-7700 FAX: Total Fees: $39,549.51 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/P'r�01-0090. uQ� may obtain a py les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. _�/j Issued By: /l�.f - . " ` Permittee Signature: �C J ..!� / Call 503.639.4175 by 7:00 a.m.for the next available inspection date. �� This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16944 SW ROCKHAMPTON LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2020-00311 Inspection Type: Inspector: 615 Mechanical rough-in David Young Result: FAIL Comments: Condensate line not complete at washer box, does not terminate in box at this time. R109 Add 5th vent fan to permit, only 4 listed on permit. Violation Summary: Inspector Contractor CITY OF TIGARD MASTER PERMIT L. ' COMMUNITY DEVELOPMENT Permit#: MST2020-00311 13125 SW Hall Blvd.,Ti Date Issued: 01/20/2021 Tf( i+ lip and OR 97223 503.718.2439 g Parcel: 2S107AA24100 Jurisdiction: Tigard Site address: 16944 SW ROCKHAMPTON LN Subdivision: ROSHAK RIDGE Lot: 241 Project: Polygon at Roshak Ridge, Lot 241 Project Description: New detached dwelling. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1168 sf Garage: 422 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2116 sf Value: $279,689.42 Rear: 15 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckfiw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 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 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,500 sf: 4 201-400 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 2116 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 One Hour Fire Rated Eaves PHONE: PHONE: 360-695-7700 FAX: Total Fees: $39,495.37 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. A Issued By: CCou 1 \1Qf-\ ��7- Permittee Signature: Clh �--CAW Call 503.639.4175 by 7:00 a.m.for the next available Inspection date. This permit card shall be kept In a conspicuous place on the Job site until completion of the project. Approved plans are required on the job site at the time of each inspection. l Building Permit Application / g.- t i i 3 20 Residential FOR OFFICE USE ONLY City of Tigard �� �� V �� D ;Bed �10�5/ r�- '%! No�(STZ�ZD'��1► Y r.0 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �,q� c ill Phone: 503.718.2439 Fax: 503.598.1960 N O V 03 ZO ZO Date/By: I(i I 7.Q7 Other Pe my�W �� Old( l TIGARD Inspection Line: 503.639.4175 Date Ready/By: ,.�7 orris HI See Paget for Internet www.tigard-or.gov CITY OF TIGARD Notified/Method: i/ 76'/2 .e ' v Supplemental Information BUILDING DIVISION Eluq,L 'an/T4- TYPE OF WORKS (1 I L #TA:I-AND 2 I AD1ILY DWE ,ING ® New construction ❑ Demolition Permit fees*are based on the value of the work perlurmed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement E Other: equipment,materials,labor,overhead,and the profit for the ,' work indicated on this a lication. CATEGORY f,$NSfRL: ION :,1 ,, PP Valuation: S 2 / 1 7q) I( y�Aq ® I-and 2-family dwelling ElCommercial/industrial Number of bedrooms: ❑Accessory building El Multi-family3 ❑ \9aster builder El Other: Number of bathrooms:?`, JOB SITE INFORNIATIO\ AND LOCATION Total numberof floors:2 253b Job site address:16944 SW Rockhampton Ln New dwelling area: 2116 square feet I I (.0 U City/State/ZIP: Garage/carport area: 422 square feet 91 Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: Npi< square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet Subdivision:Polygon at Roshak Ridge Lot no.:241 Permit fees*are based on the value of the work performed. fax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK -` 'l(I l(l5—�.. s work indicated on this application. Plan 3410B Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:Polygon Homes WLH LLC Type of construction: Address:703 Broadway St., Ste 510 Occupancy groups: City/State/ZIP:Vancouver, WA 98660 Existing: Phone:( )360 695-7700 Fax:( )360 693-4442 New: ® APPLICANT ❑ CONTACT PERSON B•LILDING PERNIrr FEES','ill I1 (PleasereferfeeI ll 111IMIF to schedule r Business name:Polygon Homes WLH LLC Structural plan review fee(or deposit): Contact name:Tonja Morris FLS plan review fee(if applicable): Address:703 Broadway St., Ste 510 Total fees due upon application: City/State/ZIP:Vancouver, WA 98660 Phone:( )360 695-7700 Fax: :( )360 693-4442 Amount received: E-mail: `= s r. 1, k SOLAR PANEL SN',S;1UUI FEES*. 1 1I Commercial and residential prescriptive installation of it U l iJ( ,!;,; ,,. — � r roof-top mounted PhotoVoltaic Solar Panel System. Business name:Polygon Homes 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., Ste 510 Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review Y Var1COUVer, WA 98660 and administrative fees): $180.00 Phone:( )360 695-7700 Fax:( )360 693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 Total fee due upon application: $201.60 Authorized signature: /gy�y� y��y This permit application expires if a permit is not obtained owithin 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Tonja Morris Date:10l21/2020 Service Board. I:1Building\Permits1BUP-RESPemvtApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ' Mechanical Permit Applicatiori ion OFEIC USE ONLY Er.- INIE City of Tigard DatRe/By Permit No.:A18 {,Q�-©U-3// 13125 SW Hall Blvd.,Tigard,OR 97223 N O V 0 3 2020 Plan Review ") Phone: 503.718.2434 Fax: 503.548.146Q r' Date/By: Other Permit: YILr.tatsl7 Inspection Line: 503.639.4175 GI TY OF TI(GARD Date Ready/Ely: orris: Internet: www.tigard-or.gov See Page 2 for i3UILDING DIVISIOI`i Noti6ediMethod: -T1A, Supplemental Information TYPE OR WORK COMMERCIAL FEE*SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* `.' 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist I. j Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heatingleaoling: Job site address: 16944 NW Rockhampton Air Furnace 100,000ning I 46.75 p _ 100,000 BTU(docfslvents) 46.75 City/State/GIP:Tigard,OR 97224 Furnace 100,000+BTU(duees/veets) 54.91 Suite/bldgJapt no.: Project name: Roshak Ridge Duct 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: Roshak Ridge Lot no.: 241 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 beater or gas fireplace 23.32 _ Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other 23.32 PROPERTY OWNER El TENANT Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:703 Broadway St.,Ste.510 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 ® APPLICANT 0 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 Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone.(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:permitsubmittalsttaylOrmOrrlSOfl.com Barbecue CONTRACTOR Clothes dryer(gas) ilk Business name:Pro Heating&Cooling Other. MECHANICAL PERMIT FEES* Address: NW Alociek Dr,Ste.1104 Subtotal City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00) Phone:(360)270-1590 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 t:/..' days after it has been accepted as complete. Authorized signature: " � '�"' � * Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date: 10/30/20 t. Electrical Permit ApplicatioARECE!1!ED FOR OFFICE USE ONLY City of Tigard NOV 0 3 Received 2QZQ Date/B : Permit#: MrSr,2020 .003if 11 ,,, 4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 OF TIGARD Date/B : Related Permit#: Inspection Line: 503.639.4175 - Ready Date/By: ® See Page 2 for T I c;A Pt D. Internet: slww.tigard-or.gov NotifedJMethod: IliMIISupplemental Information TYPE OF WORKS .I ,ili ' .tt` 1 ® Neu, construction ❑ Add ition%alteration,ireplacement Please check all that apply(submit 2 sets of plans w/items checked): E Demolition El Other: 0 Service or feeder 400 amps or more ❑Building over three stories. where the available fault current 0 Marinas and boatyards. CATF.GORY OF COi'}'S'PR' O{(1,1A, exceeds 10,000 amps at 150 volts or ❑Floating buildings. ® I-and 2-family dwelline ❑ Commercial/industrial El Accessory building less to ground,or exceeds 14,000 El Commercial-use agricultural amps for all other installations. buildings. ❑ Multi-family ❑ Master builder ❑ Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION I I, ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 16944 NW Rockhampton 1001mormore. ❑ A , 12 , 1_3", ❑Six or more residential units. occupancy. City/State/ZIP: El vehicle parks. ❑Health-care facilities. P Suite/bldg./apt.#: Project name: Roshak Ridge ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: R t e Description Qty. Each Total • New residential single-or multi-family dwelling unit. Subdivision: Roshak Ridge Lot#:241 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel 4: Ea.add'l 500 sq.ft.or portion 33.92 1 D '�l"`„t •,y "s r r_ .4 Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 Z] PROPERTY OWN) 0 ^' rrl Services or feeders installation,alteration,and/or relocation Name: Polygon Homes WLH, LLC 200 amps or less 100.70 2 Address: 703 Broadway St., Ste 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: ( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:permitsubmittals@taylormorrison.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 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 I` :.. COS A ^) y7 ,„( t_ Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Polygon Homes WLH, LLC above service or feeder fee, 742 2 each branch circuit Contact name: Tonja Morris B.Fee for branch circuits without service or feeder fee,first Address: 56.18 2 703 Broadway St., Ste 510 branch circuit City/State/ZIP: Vancouver WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360 )816-7800 Fax: :( ) Each manufactured or modular 67 84 2 Email: permitsubmittals@taylormorrison.com dwelling,service and/or feeder Reconnect only 67.84 2 CONTRACTOR' j rf Ip"'� 1' � Pump or irrigation circle 67.84 2 Business name: Portland Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 1915 E 5th St., Ste D panel,alteration,or extension. City/State/ZIP: Vancouver, WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 360)314-4915 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:pawl@portlandelectric.biz Inspections for which no fee is 90.00/hr CCB Lie.: 194066 Electrical Lie.: C760 Suprv.Lie.: 49205 s ectficall listed %hr min n �- IT FEES Suprv.Electrician signature,required: l�I.GP.x J��OI(_t^.CA(J LJ_[ Subtotal: Print name: Alex Shalya Date:1 0/30/20 ❑Plan Review Required(25%of permit fee): ,,/0� Q L State surcharge(12%of permit fee): Authorized signature: ,3CJel1�QiGY irti,4�I1.(/rl /.J . TOTAI.PERMIT FEE: (/ This permit application expires if a permit is not obtained within 180 Print name: Sergey Mishchuk Date:10/30r20 days after it has been accepted as complete. * Number of inspections allowed per permit. I.\nuilding\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(11/05/COM/WEB Plumbing Permit ApplicaticnfECF ''E Building Fixtures FOR OFFICE USE ONM V NOV 0 4 2020 Received - City of Tigard a By: Permit No.:N/Sr:20z0 � i * 13125SWHallBlvd.,Tigard,OR 97223.,11Y OF TIGARD Plan Review Phone: 503,7182439 Fax: 503.598519 q P I' s I O N Date/BY: Other Pe mil Na.: Inspection Line: 503.639.4175 n'J TIGARA p DateReadytBy; ttuis: RI See I'age2 lot Internet: www.tigard-or.gov Notified/Method: Irtz, Supplemental Information TYPE OF WORK FEE* SCIIEDULE 0 Demolition For special information use checklist. �! New constructionDescription I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 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 Elm Comercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 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: 16944 NW Rockhampton Catch bas n or area drain 18.76 Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing dram(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.:_) Page 2 Water service(no linear ft.: ) Page 2 Subdivision:Roshak Ridge Lot no.: 241 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ 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 14 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$_) Page 2 Primer 12.51 Contact name:Tonic Morris Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basinnavatory 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:permitsubmittals@polygonhomes.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water pipingtDWV 56.29 Address:P.O.Box 92 Other: 25.02 City/State/Z1P:St.Paul,OR 97137 Subtotal Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.:184372 Plumbing Lic.no.:pb634 State surcharge(12%of permit fee) Authorized signature: °(; ji+., � TOTAL PERMIT FEE LPrint name:Steve Fowler Date: 1 O/30/20 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. 1\Ilnildinn\Permits\PLMU-PmmitAns doc 10/01/09 4404616T(10/02/COM/WEE1 City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT T I c A x D Building Permit Review — Residential Building Permit #: M STZdZO " 003 l Site Address: 16944 SW Rockhampton Lane Project Name: Polygon @ Roshak Ridge Lot #: 241 Planning Review Proposal: New house XI Verify address/suite#active in Accela. ® In River Terrace: ❑ No ® Yes, River Terrace Review Addendum Site Plan Elements: FC]Erosion Control ®3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper retained trees with drip line and tree protection measures 0Drawn to scale(standard architect or engineer scale) EFootprint of new structure(including decks)and FFE ®North arrow E Utility locations&easements(required for new and additions) ®Site address,project or subdivision name and lot number SlSidewalk/driveway approach ®Applicant information(name and phone number) ntaLocation of wells/septic systems $]Lot dimensions and building setback dimensions &Street tree size,type and location nig Square footage of buildings to be demolished 10 Street names IY/ xisting structures on site E Corner elevations(2'contours if more than 4'differential) $]Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? [yks ❑No impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes ❑No ® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified 5C7 No Received: ❑ Yes ❑ No ki Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified f7 No Received: ❑ Yes El No ® SDC Exemption for ADU applied for: ❑ Yes 0 No Received: ❑ Yes El No ® Public Facilities Improvement (PH) Permit Required: ❑ Yes,applicant was notified %] No Applied For: ❑ Yes ❑ No,stop intake ® Land Use Case#: PDR2015-000021SUB2015-00004 X7 Zoning: R-12 ® Required Setbacks: Front: 8 Rear: 15 Side: 3 Street Side: n/a Garage: 20 ® Building Height Max.Height: 35 ft Actual Height: 27 ft kJ Landscape Area: 20 % ® Lot Coverage Max: 80 Entrance ❑ c no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees Windows El Minimum 1 a of all street-facing facades Garage El Garage door is behind wi t-facing wall ❑ Yes ❑ , e of the following is met: ❑ Door extends no more t},an S'fen nd there is a en orenreh extending beyond garage. El Door extends no more t+See River Terrace Addendum w above garage on 2"d floor. ❑ Garage door width is ❑ 12 or les JU%or less of tacade o or less and includes 7 of following: ❑ Covered porch essed entrance ❑ Wall offset ❑ 1'Roo ❑ Roof offset El Fire s • ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roo ormer ccent siding ❑ Window trim ❑ Window recess El Window projection El B c $1 Visual Clearance $7 Urban Forestry Plan ® Sensitive Lands: ❑ Yes fl No Type: 1] Conditions met prior to issuance of building permit Notes: 77 ��� in Approved By Planning: G t_ Date: 11/4/20 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved 1:\Building\Forms\Bl dgPermitRvw_RE S 122419.docx Building Permit Submittal Original Submittal Date: Site Plans: Building Plans: Building Permit#: ❑ Enter building permit# above. Workflow Routing: ❑ Planning D Engineering ❑ Permit Coordinator ❑ Building Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review) Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and 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: Date: Engineering Review Slope at building pad: 2 l conditions"Met"prior to issuance of building permit/t/r/� asements (encroachments) per engineering conditions of approval and plat EV Water Quality/Quantity Facility / Assess Water Quality Fee in-lieu: ❑ Yes L{d' No Assess Water Quantity Fee in-lieu: ❑ Yes INo LIDA Facility on lot: ❑ Yes LNo Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: JVA--pproved by Engineering: Date: l///f��� Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review IA 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: SDC Exemption: ❑ Received g Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: ,c Yes ❑ N/A Parks SDC: 'Yes ❑ N/A LIDA ❑ Yes gf N/A yOK to Issue Permit Approved by Permit Coordinator: Date:1St l ID,20 I:\Building\Forms\BldgPernitRvw_RF:S_122419.docx • City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: 1,4 ST-020 -CO Site Address: 16944 SW Rockhampton Lane Project Name: Polygon @Roshak Ridge Lot #: 241 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Plannink Review of1ltiver Terrace Plan District.Desr Standards (18.640.070.1d: Is the project subject to the plan district design standards? ® Yes ❑ 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 ® Front/Rear ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: F= 14% / R= 16% 3. Entrances:At least one entrance must meet both of the following standards: ® Max. 8 ft. setback from longest street- facing wall ® Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: ® Yes ❑ No If yes,all the following apply: ® 25 sq.ft. min. �C7 One street facing entry $] 12 ft. max. roof above floor of porch ® 5 ft. depth min. ® 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 F ® Recessed entry area min. 5 ft. wide x 2 ft. deep F ® Wall offset min. 16 inches F ❑ Dormer min. 4 ft.wide gl Roof eave min. 12 inch projection F/R ® Roof offset min. of 2 ft. FIR ❑ Roof shingles either tile or wood ® Gable, hip or gambrel roof designF/R O Roof pitch oriented south min. 500 sq. ft. ® Horizontal lap siding min. 3-7 inches wide R O Accent siding min. 40%of street facade ® Window trim min. 2 '/2"wide by 5/8" deep FIR 0 Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35%or less of street facade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. ® 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 0 40%max. of street facade ® 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning. fAitileirb Date: 11/4/20 I:\Buildin8 B 1Forms`.131d PermitRvw_RCS_ _RT 121417.docx