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Permit CITY OF TIGARD MASTER PERMIT ' COMMUNITY DEVELOPMENT7111 �� Permit#: MST2021-00003 ' // Date Issued: 03/08/2021 T I i;A I:(? 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 1$ Of/ Parcel: 2S107AA18100 Jurisdiction: Tigard Site address: 16733 SW DARWIN LOOP Subdivision: ROSHAK RIDGE Lot: 181 Project: Polygon at Roshak Ridge, Lot 181 Project Description: New detached dwelling. MODEL HOME. 6/15/21: REPRINT to remove(1)tub and(1)hose bib. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 978 sf Basement: 841 sf Left: 3 Parking Spaces: 0 Height: 26.5 Bathrooms: 4 Second: 1331 sf Garage: 416 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3150 sf Value: $409,603.07 Rear: 10 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 6 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: 1 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: 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: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 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 3150 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 One Hour Fire Rated Eaves VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Report Required Prior To Pour 3 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 ' FAX: Total Fees: $43,748.81 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 OA 2-001-0090 You may obtai copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: c"..e- d &�f Call 503.639.4175 by 7:00 a.m.for the next available inspection date. L%((4/ /G 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. 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 !PIr Transmittal Letter 1 r G A Ez n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 404 A, DATE RECEIVED: DEPT: BUILDING DIVISION FROM: 9g,,oi 477; RECEIVED COMPANY: 7— zie term gt NAY 2 7 1021 CITY OF TIGARU PHONE: 60 695 I-7o0 BUIL DING DIVISI EMAIL: 6c:t/am RE: Vass) S IA/ Onpacil Loop C`7SZ �a2I - 0Oo0 (Permit Number) o f on �- ( shk Rd L f l (Pro name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. 3 Floor/roof framing. Basement and retaining walls. Beam calculations. E�f i eer's calcu tions. Other(explain): AVM (/iv, j; t (,k�ri..A On REMARKS: 304 Pjt ,%X.it /eAp2J gC oitodi re tiseJ ,'1 AS , A; ave /rol$J A �'1 - -om o -k� b - I l/1,0s c, lo,'b 1 r �or aAj" fS3rry' -s j r,n� r L A - J / ( u o )S FO O ICEyUSE Routed to Pe ician: Date: lj a IA Initials: Mit Fees Due: �� ❑ No Fee Descripti n: Amount Due: 1/lir ittVf 4001 ,Gwt ,fl t` $ $ $ Special Instructions: Reprint Permit (per PE): Ye Z No ❑ Done�,. ejs_ Applicant Notified: L___- Date: Z., 1 L< /L/ Initials: I:\Building\Fonns\TransmittalLetter-Revisions 073120.doc ' . City of Tigard 1212,z1 , 11, COMMUNITY DEVELOPMENT DEPARTMENT I ,c.n x 17 Building Permit Review — Residential Building Permit #: t 4 ST 2021-0O0O 3 Site Address: 16733 SW Darwin Loop Project Name: Polygon at Roshak Ridge Lot #: 181 Planning Review 15,4424 - esrb c, 'q Z. Pry�posal: New single detached house Verify address/suite #active in Accela. In River Terrace: ❑ No Yes,Riper Terrace Rez'iew Addendum Site Plan Elements: e . n Control 112; copies of site plan on 8-1/2"x 11"or 11 x 17"paper rained trees with drip line and tree protection measures 12 a rawn to scale(standard architect or engineer scale) „footprint of new structure(including decks)and FFE 'orth arrow 1tility locations&easements(required for new and additions) site address,project or subdivision name and lot number t� alk/driveway approach 12 Applicant information(name and phone number) anon of wells/septic systems GI.ot dimensions and building setback dimensions ,treet tree size,type and location ILquare footage of buildings to be demolished ,,itreet names 1 II xisting structures on site _,,:,omen elevations(2'contours if more than 4'differential Q,ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 'es o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es '' o 0 Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑Yes,applicant was notified 0 No Received: El Yes No Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ° No Received: ❑Yes ❑ No ❑ SDC Exemption for ADU applied for: LJ Yes El No Received: ❑Yes El No 0 Public Facilities Improvement(PH) Permit: Required: El Yes,applicant was notified 0 No Applied For: Cl Yes El No,stop intake 0 Land Use Case#: SUB2015-00004 0 Zoning: R-7 LIRequired Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: N/A Garage: 20 0 Building Height: Max. Height: N/A _ Actual Height: 26.5 0 Landsc e Area: 20 % El Lot Coverage M x: 80 Entrance .ack no more than 8'from street-facing wall Parallel to s or offset 45 degrees or less Windows Minimum °0 of area of all street-facing facades Garage Gara e door is be- •• widest street-facing wall \ 2 Yes 0 No,one of the following is met: 1 ❑gDoor extends no mo .an 5'from wall al- . ere is a covered porch extending beyond garage. uuDoor extends no ore than n .11 and there is a 12 sq ft.window above garage on 2"d floor. 0 Gara:- door width is I 1 ' . ess ■ !°/0 or less of facade — 60%or less and includes 7 of following: Covered porcr % Recessed entrance iimi ` . offset _ 1'Roof cave .-, Roof offset Fire •.. es III Lap Siding 0 Roof itch P. Gable,hi.,or gambrel roof Dormer , ccent siding II Window trim U Window recess I Window projection 0 Balcony ❑ Vis 1 earance 0 Urban Forests,Plan i Sensitive Lands: ❑ Yes LI No Type: QConditions met prior to issuance of building permit Notes: _ El Approved By Plan ' g: ---,-- i Date: 12/30/20 Revisions(after Bu• ing Submittal only) Revi er t -- Da • Revision 1: Approved ❑ Not Approved . •----- :---- Revision 2: ❑ Approved ❑ Not Approved I I:\Building\Forms\BldgPernitRvw_RES 122419,docx Building Permit Submittal ' ,, Original Submittal Date: /?3,Z.Z/,202D Site Plans: # /9 Building Plans: # 3 Building Permit#: Enter huildingjermit#above. Workflow Routing: 1lanning U.-Engineering [n Permit Coordinator a-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. Et-Building: original permit application,site plans,building plans,engineer and beam calculations an trust details,if applicable,etc. Notes: By Permit Technician: Date: Dy,/,0 9/202/ En ineering Review Slope at building pad: p 'fe ❑ Conditions "Met"prior to issuance of building permit/V/1 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: ❑ Yes No LIDA Facility on lot: 0 Yes No tr.Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: E teApproved by Engineering: Date: //572/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review g.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 41 Does not apply R-SDC Fees Entered: Wash Co Trans Dev Tax: Yes N/A Tigard Trans SDC: ` Yes ❑ N/A Parks SDC: 2'Yes {❑ N/A LIDA 0 Yes �S! N/A E OK to Issue Permit Approved by Permit Coordinator: /?(I- Date: ` IS'J J 2,02-4 I:\Building\Forms\Bldg PermitRvw_R F S_122419.docx CITY OF TIGARD MASTER PERMIT II I COMMUNITY DEVELOPMENT Permit#: MST2021-00003 T f(-3 A R II13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2021 Parcel: 2S107AA18100 Jurisdiction: Tigard Site address: 16733 SW DARWIN LOOP Subdivision: ROSHAK RIDGE Lot: 181 Project: Polygon at Roshak Ridge, Lot 181 Project Description: New detached dwelling. MODEL HOME. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 978 sf Basement: 841 sf Left: 3 Parking Spaces: 0 Height: 26.5 Bathrooms: 4 Second: 1331 sf Garage: 416 sf Front: 8 Dwelling Units: 1 Smoke Third: 0 sf Right: 3 Detectors: Yes Total: 3150 sf Value: $409,603.07 Rear: 10 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 LaundryTrays: 0 Y Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Catch Basins: 0 Drywall-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 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvcfFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: NEWP y p: Square Feet: SF VB R-3 3150 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 One Hour Fire Rated Eaves VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Report Required Prior To Pour 3 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $43,703.81 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ` 3:7)`,\3 'iCA-✓l l.Je° PermitteeSignature: O \ 09:)ijLCt\mtY\ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application C.---C/ / t' e7 'ej- 1212'2-120 Residential RECEIVED FOR OFFICE USE ONLY City of Tigard f, Received O/ of/a/ /i aemitNo.:A,(M$]/�gp�,z7/� o3 •lig13125 SW Hall Blvd.,Tigard,OR 97223 DEC 2 4 2020 Plan Review ) M Other Pertn�V�// 2o2 -�Qd� Phone: 503.718.2439 Fax: 503.598.1960 DateB : a/ Inspection Line: 503.639.4175 CITY OF T IGARD Date Ready/B �r Q) ® See Page 2 for l lt'', U Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method::Z � Z'/ �y K M Supplemental Information °�I tit/4 f t-. ()N1.9,2-- TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction D 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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application.Valuation: $ L1 o1, (Q03 O' ® I-and 2-family dwelling ElCommercial/industrial , Number of bedrooms:5 ❑Accessory building El Multi-family ❑Other: Number of bathrooms: Li ID Master builder JOB SITE INFORMATION AND LOCATION Total number of floors:3 35(SQ Job site address: 16733 SW Darwin Loop New dwelling area: 3150 square feet )331 City/State/ZIP: Tigard Oregon 97224 Garage/carport area: 416 square feet 191S Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: C. square feet (2)4 I Cross street/directions to job site: Deck area: 147 square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Roshak Ridge Lot no.: 181 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 Single Family Valuation: $ ili OD f= 14f) 7 ?C e)0,0/0 Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 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 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Polygon Homes WLH LLC Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs 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 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES' E-mail: permitsubmittals@taylormorrison.com Commercial and residential prescriptive installation of CONTRACTOR 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: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: $201.60 Authorized signature: QJfl4 2. .eY 411 4619. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date: 12/21/20 *Fee methodology set by Tri-County Building Industry Print name:Omar Alami Abouhafs Service Board. l:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613'1(11/02/COM/WEB) • Mechanical Permit Application J _ FOR OFFICE USE ONLY City of Tigard RECE \! D DReact:iiEvedy: Permit No.M$T 7 ♦v04x�•3 'l 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review i Phone: 503.718.2439 Fax: 503.598.196 2 cj Omer Permit: Inspection Line: 503.639.4175 Z�ZQ Date/By:Ready/By:p Date Ready/By: taxis: H See Page 2 for Internet: www.tigard-or.gov CITY OF-IIOARD Notified/Method: �'•j•( Supplemental information BUILDING DIVISION 1``1 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 0 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 j Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning I 46.75 Job site address: 16733 SW Darwin Loop Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge Duct work 23.32 Cross street/directions to job site: Hydrotvc hot water system _ _ 23.32 Residential boiler(radiator or bydronic) 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.: 181 Other. 23.32 Other fuel appliances: Tax trap/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 Other: 23.32 ® PROPERTY OWNER • 0 TENANT 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/LIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT O.CONTACT PERSON Other: 23.32 Fuel piping: Business name:Polygon WLH,LLC $14.15 for first four;$4.03 for each additional Contact name:Tonja Morris Furnace,etc. 1 Address:703 Broadway St.,Ste 510 Gas heat pump Wall/suspendediunit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range 1 E-mail:permitsubmittals@taylormorrison.com Barbecue t '(C CONTRACTOR Clothes dryer(gas) Other Business name:Pro Heating&Cooling MECHANICAL 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 if a permit is not obtained within 180 Za, h , 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: 12/21/20 Electrical Permit Application FOR OFFICE USE /ONLY 7� ��y�t ' City of Tigard " DateBea Permit#: 14 S 2d2/ 'MVO 93 • 13125 SW Hall Blvd.,Tigard,OR 97223 e g DEC 2 c, 2[12� Plan Review Related Permit#: Phone: 503.718.2439 Fax: SD3.598.1960 Date/By: Inspection Line: 503.639.4175 Ready Date/By: Leis: ® See Page 2 for TI GA R D. Internet: www.tigard-or.gov CITY OF'liCaARD Notified/Method: Supplemental Information n t 2' r4, nv TYPE OF WO x �" PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wiitems checked): 0 Service or feeder 400 amps or more 0 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 0 Floating buildings. ® I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑ Multi-family ❑ Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived ['Addition of new motor load of system. Job#: Job site address:16733 SW Darwin Loop 1o0I-IPormore. ❑"A",^E","1-z "I-3". City/State/ZIP: Tigard OR 97224 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Polygon at Roshak Ridge ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 snips or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total 1 ' New residential single-or multi-family dwelling unit. Subdivision: Roshak Ridge Lot#:181 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK 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 $] PROPERTY OWNER 0 TENANT 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 I 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 0 CONTACT PERSON 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, 7.42 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 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(I hr min) 66.25/hr Phone:( 360)314-4915 Fax: ( ) Investigation(I hr min) 90.00/hr Email:paul@portlandelectric.biz Industrial plant(I hr mm ) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 194066 Electrical Lie.: C760 Suprv. Lic.: 49205 specifically listed(Vs hr min) n �- ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: lzl C�ix Subtotal: Print name: Alex Shalya Da e:10/30/20 ❑Plan Review Required(25%of permit fee): .Jot - QuQ ,' k, State surcharge(12%of permit fee): Authorized signature: w .41� Tlc� TOTAL PERMIT FEE: Q (/ This permit application expires if a permit is not obtained within 180 Print name: Sergey Mishchuk Date:12121/20 days after it has been accepted as complete. a Number of inspections allowed per permit. I?Building\Permits\ELC_PermitApp ELR ERE.doe Rev 06/17/2015 440-4615T(11/05/COMM'EB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description Qt,. Eneh Total y Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 • ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr charged at an hourly(1 hr min) Inspections for which no fcc is 90.00/hr specifically listed('A hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT,;FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 • Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* • ❑ Medical 1 ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:1BuildingiPrrmits'IELC_PermitApp_ELR_ERE.doc Rev 06/17,2015 Plumbing Permit Application Building Fixtures RECEIVED ED FOR OFFICE USE ONLY Received ��j/� �/�� - Cityof Tigard DEC Date/By: Permit No AJ/zaL WD 1111 0 131 SW Hall Blvd.,Tigard,OR 9722Y E C 2 2020 Phone: 503.718.2439 Fax: 503.598. ffy Plan Review Date/By: Other Permit No.: Inspection Line: 503.639.4175 �r (I V��D Date Ready/By: Jy��:- 0 See Page 2 for Tianxn Internet: www.ti rd-or. ov BUILDING DIVISION `1 yi ga g Da"ReadYIBod: „�4 Supplemental Information TYPE OF WORK FEE* SCHEDULE t5 New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building %Multi-family Each additional bath/ldtchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16733 SW Darwin Loop 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.: I Project name:asigudiakjesPolygon at 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 I Lot no.: 181 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 e4 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 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 PiP @�m in WV 56.29 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: $72.50 CCB Lic.: 184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: + < Qy,�1 TOTAL PERMIT FEE Print name:Steve Fowler Date: 12/21/20 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. 19BuIdine\Permi¢IPI.MU-PemhAeo.doc 10/01/09 440-4616T(10IO2/COM'WEB) City of Tigard 12t2Z12a • li COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential TIGARD Building Permit #: IA ST 202( -0000 3 Site Address: 16733 SW Darwin Loop Project Name: Polygon at Roshak Ridge Lot #: 181 Planning Review Prp(posal: New single detached house 0 Verify address/suite#active in Accela. 01 In River Terrace: ❑ No Yes, River Terrace Review Addendum Site Plan Elements: x n Control 0: copies of site plan on 8-1/2"x 11"or 11 x 17"paper tained trees with drip line and tree protection measures ID rawn to scale(standard architect or engineer scale) ootprint of new structure(including decks) and FFE 0 orth arrow ".,:Jtility locations&easements(required for new and additions) 0.ite address,project or subdivision name and lot number "'i alk/driveway approach 0 pplicant information(name and phone number) cation of wells/septic systems 0 t dimensions and building setback dimensions Street tree size,type and location II.quare footage of buildings to be demolished Street names II xisting structures on site °Comer elevations(2'contours if more than 4'differential 0 .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es o 0 Clean Water Services —Service Provider Letter (lot platted prior to 9/10/1995): ❑ OcaRequired: ❑Yes,applicant was notified ❑° No Received: ❑ Yes No Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: 0 Yes,applicant was notified ❑No Received: 0 Yes El No ❑ SDC Exemption for ADU applied for: ❑ Yes El No Received: ❑Yes El No El Public Facilities Improvement (PFI) Permit: Required: 0 Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake ElLand Use Case#: SUB2015-00004 Q Zoning: R-7 QRequired Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: N/A Garage: 20 ❑° Building Height: Max. Height: N/A Actual Height: 26.5 ElLandsc. .e Area: 20 % El Lot Coverage M x: 80 Entrance I - .ack no more than 8'from street-facing wall Parallel to s - or offset 45 degrees or less Windows I Minimum °o of area of all street-facing facades Garage Gara e door is be-i-. widest street-facing wall .\ 0 Yes ElNo,one of the following is met: ❑gDoor extends no mo - .an 5' from wall a 1, i ere is a covered porch extending beyond garage. ❑❑ Door extends no more than s . .11 and there is a 12 sq ft.window above garage on 2'd floor. ❑ Gara:- door width is I 1 ' . ess 0 !0 0 or less of facade 60%or less and includes 7 of following: I Covered pore. % Recessed entrance 0 .11 offset 1'Roof cave 8 Roof offset I Fire • es II Lap Siding El Roopt itch 9 Gable,hi.,or gambrel roof Dormer tigi ccent siding 0 Window trim LI Window recess 1 Window projection ❑ Balcony ❑ Vis - earance Q Urban Forestry Plan e Sensitive Lands: ❑ Yes LI No Type: ElConditions met prior to issuance of building permit Notes: C Q Approved By Planning: ,- Date: 12/30/20 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved I:\Building\Forms\BI dgPermitRvw_RE 5_122419.docx Y Building Permit Submittal Original Submittal Date: /�Z,Z/A2ZO Site Plans: # 3 Building Plans: #�y ,3 Building Permit#: Et Enter building}permit# above. n _ n ^ Workflow Routing: 1�Planning U.-Engineering Engineering I y'Permit Coordinator la-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. Pt uilding: original permit application, site plans,building plans,engineer and beam calculations trust details,if applicable,etc. Notes: By Permit Technician: ��, / Date: D/O''{�ZIIZ,/ En ineering Review Slope at building pad: �A"fe 0 Conditions "Met"prior to issuance of building permit47; Easements (encroachments) per engineering conditions of approval and plat r Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes lierNo Assess Water Quantity Fee in-lieu: ❑ Yes No / LIDA Facility on lot: ❑ Yes No A/ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:,_ te {a/Approved Approved by Engineering: Date: /.,—�2/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review JX.Conditions "Met"prior to issuance of building permit 0 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 10 Does not a-7ply USDC Fees Entered: Wash Co Trans Dev Tax: S Yes J N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Q Yes ❑ N/A LIDA ❑ Yes kt N/A El OK to Issue Permit Approved by Permit Coordinator: AlOwl IRil Date: 1 ICJ I 2-02► L\Building\Forms\BldgPerm itRvw_RE S_122419.docx IN City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT River Terrace Building Permit Review Addendum TIGARD Building Permit #: M S120z/ - OevU 3 Site Address: 16733 SW Darwin Loop Project Name: Polygon at Roshak Ridge Lot #: 181 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.070.I.): Is the project subject to the plan district design standards? El 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. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset aep m 2 ft., Gabled dormer ft. dein. 2ft., 5 ft.wide min. Eft. wide 0 0 ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: >12% 3. Entrances:At least one entrance must meet both of the following standards: ❑. Parallel to street,angle no more than 45° from street, ❑Max. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch: 11 Yes ❑No If yes, all the following apply: 0 25 sq.ft. min. ❑r One street facing entry 012 ft.max. roof above floor of porch 115 ft. depth min. El 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: ElCovered porch min. 5 ft. wide x 5 ft. deep 0 Recessed entry area min. 5 ft.wide x 2 ft. deep ElWall offset min. 16 inches ❑Dormer min. 4 ft.wide 0 Roof eave min. 12 inch projection ❑Roof offset min. of 2 ft. ❑Roof shingles either tile or wood El Gable,hip or gambrel roof design ❑Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide 0 Accent siding min.40%of street facade El Window trim min. 2 1/2"wide by 5/8"deep ❑Window recess min. 3 inches for all street facing ❑Bay window min. 5 ft.wide by 2 ft. deep OBalcony min. 5 ft.wide x 3 ft. deep with inside access ❑Attached garage is 35%or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. 0 Yes ❑No. If No (Check one): ❑May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑12-foot-wide garage door ❑40%max. of street facade 0 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: -' _---_.y Date: 12/30/20 1:leuilding\Fonnsd3IdgPermilRvw_RES_RT_121417 docx