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Permit
Plumbing Permit Applica CEIVED Building Fixtures SE h,�', R 2021 City of Tigard Received Date/By: q' /702_i ?-' - Permit No.: MST2021-00115 II No 13125 SW Hall Blvd.,Tigard,OR 9 }}12 "rQF TIGARD Plan Review S Phone: 503.718.2439 Fax: 503`D .19 Date/By: q/q/.0/ A647 Other Permit No.: Inspection Line: 503.639.4175 ;GILDING DIVISION I(i AR 13 Date Ready/By: / // inns ® See Page 2 for Internet: www.tigard-or.gov Notified/Method./(��3/ / _<(d Supplemental Information TYPE'.OF W '� �n'- i ..++17/ EE* SCHEDULE Q 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 ❑■ I-and 2-famil dwellin SFR(2)bath 437.78 y g ❑Commercial/industrial [3 Accessory buildingSFR(3)bath 500.32 ❑Multi-family Each additional bath/kiJ.ehen 25.02 El Master builder [:I Other: =f Fire sprinkler(1729sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:14272 SW 165th Ave 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.:ADU-2 I Project name: Polygon 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: I Lot no.:p174 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 U RIETION OF'WORK Backwater valve 12.51 Clothes washer 25.02 MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 IIN PROPERTY OWNER I © TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name:Taylor Morrison Floor drain/floor sink/hub 25.02 Address:703 Broadway Street Suite 710 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:Alliance Plumbing, LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Gavin Thomes Roof drain(commercial) 12.51 Address:146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:( 503)577-6535 Fax::( ) Tub/shower/shower pan 12.51 E-mail: gavin@allianceplumbing.net Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Alliance Plumbing, LLC 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:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lic.no.:PB732 g _ J �/ l State surcharge T %L f p fee) EE r� Authorized signature: �IJ�'�s TOTAL PERMIT FEE /./ (4,r5,7 Thispermitapplication expires if a permit is not obtained within 180 days Print name:Gavin Thomes Date:8.25.2021 after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. 1.A Building V Permits VPLMU-PermitApp.doc 10/01/00 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: ....... .. .. Site Utilities , Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-1 s`100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee: $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qt3'•, Fee(ea) Total each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped,' Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool ❑ Car Wash: -Each Stall New exterior plumbing site utilities for any complex structure Drive as defined in OAR918-780-0040. ElCuspidor/Water Aspirator Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lay/Bar non-food related -Bradley Com/Sen/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: 1:ABuilding\Permits\PLMF PermitApp.doc 08/04/2011 2 CITY OF TIGARD MASTER PERMIT a . COMMUNITY DEVELOPMENT Permit#: MST2021-00115 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2021 T 1��'� T7 9 Parcel: 2S107AA17400 Jurisdiction: Tigard Site address: 14272 SW 165TH AVE Subdivision: ROSHAK RIDGE Lot: 174 Project: Polygon at Roshak Ridge, Lot 174 ADU 2 Project Description: New attached ADU 2 of 2. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 720 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 25.5 Bathrooms: 3 Second: 1009 sf Garage: 398 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1729 sf Value: $230,956.74 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 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: 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: 2 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: 3 201-400 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 ADU VB R-3 1729 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 Fire Rated Conditions PHONE: PHONE: 360-695-7700 FAX: Total Fees: $25,893.98 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: HOUyVctvvDe-Wecre Permittee Signature: OwAppliCatian 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. i litii'ding Permit Application ,�F Residential �� roR Orrlc l: Lsl:Oyl.v City of Tigard MAR 1 ti 2021 Received 7 Z' f J.- M. rzoZ—�'I Date/By. Al7 N, Permit No.:'Y1 III • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review..,.. Li/ 21 Other Permit:SI�Q2D21-000340 Phone: 503.718.2439 Fax: 503.598. IY OF 71 t l PlanDate/By: Inspection Line: g03.63 g4175 BUILDING DIVISION l Dat eady/By: k"5/..,/,_ H See Page 2 for TIGARD ' vT Internet: www.tigard-or.gov ov tified/Method: Vol, Supplemental Information TYPE OF WUItI( REQUIRED DATA:I-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. —f9 0 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ Z �)q��, I ❑Accessory building El Multi-familyNumber of bedrooms: 3 0 Master builder ®Other: ADU 2 Number of bathrooms: 3 Total number of floors: 2 ^ 7 JOB SITE INFORMATION AND' LOCATION a�I�, Job site address: 14272 SW 165th Ave. New dwelling area: )er...7 fl '(square feet I 00C II City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 398 square feet "7b Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Polygon at Roshak Ridge Lot no.: 174 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 WORD, work indicated on this application. New Single Family-Accessory Dwelling Unit(ADU 2) Valuation: $ /y y Yw Existing building area: square feet ..v .�,t6 .i — """� / r „ New building area: square feet . i.auia. ... .. 4� /' I f.. ® PROPERTY OWNER 0 TENANT Number of stories: Name:Polygon Homes WLH LLC Type of construction: Address:703 Broadway St., Ste 710 Occupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: I Phone:(360)946 8674 Fax:( ) New: EZ APPLICANT ❑ CONTACT PERSON Vi9 BUILDING PERMIT FEES* (Heave refer to feesehedute) Business name:Polygon Homes WLH LLC Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs - - Address:703 Broadway St., Ste 710 FLS plan review fee(if applicable): Total fees due upon application: City/State/ZIP:Vancouver, WA 98660 Amount received: Phone:( 360) 946 8674 Fax::( ) E-mail: PermitSubmittals@taylormorrison.com,OAlamiAbouhafs cr taylormorrison.com PHOTO VOLTAIC SOLAR PANEI SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic 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 710 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 1 CCB lie.:207247 �/ �/` Total fee due upon application: $201.60 Authorized signature: Dk,'t.a!. ,ry E ,c' 9L / This permit application expires if a permit is not obtained i * ithin 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 03/08/2021 "1 *Fee methodology set by Tri-County Building Industry Service Board. L\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB) Mechanical ' - ' Permit ApplicalRECFIN/F1) Fe.,OFFICE USE ONLY City of Tigard Received ea DaleBY: ,tliti Nr--- Pt nn"No': PAST202t—Op lir 1 , .... il 13125 SW hall Blvd..Tigard,OR 97223M AR 1 G 2021 _., Plan Review Phone: 503.718.2439 Fax: 503.598.1960' Dinelay: Other Permit:S4i2.231(—OCZ14:7 if,./,‘0 Inspection Line: 503.639.4175 CITY OF 1 ILIARD Date Ready/By; P Jure. l See Page 2 for Internet: www.ugardor.gov BUILDING DIVISION Notified/Method' Suppeinentat Information 1 _.... TYPE OF WORIC COMMERCIAL FEE* SCHEDULE — USE CHECKLIST. • , _ _ Mechanical permit fees*are based on the.value of the work IZI New construction Ci Additionialteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materialS,equipment,linos,overhead,and profit. Value:$ CATEGORY OF CONSTRUC LION RESIDENTIAL EQUEPM11:ENT/SYSTEMS FEES••—-- . _ — 1-and 2 family dwelling El Commercial/industrial 0 Accessory building For special inArmation use checklist -- _ —__ Multi-family E]Master builder EZ Other ADU 2 [De',,..ription I qty.:1 Ea, .......Total , I 1 Js..a JOB SITE INFORMATION AND LOCATION ting/eooling: An conditioning 1 46 75 Job site address: 14272 SW 165th Ave. . _. I — Farnace 100.000 BTU(duets/vents) 46,75 City/State./Z1P:Tigard,OR 97224 Furnace 00,000+13111 ouetsivents) ,. 54.91 ., ----- __________ I • —I Beat pump _ 61.06 Suitetbldg./apt.no.: I Project name: Polygon at Roshak Ridge Duct work 23.32 ..._ Crass street/directions to job site: Hydronic hot water system 23.32 " Residential boiler(radiator or hydronic) ___ „ 23.32 1 --- __...__ Unit heaters(fuel-type,not electric), .. in-wall.in-duct,suspendecl,etc. 46.75 ,Flue/vent for any of above 2332 _ Other Subdivision: Polygon at Roshak Ridge Lot no,: 174 i Other s fuel appliance : 23.32 Tax map/parcel no,: Water heater 23.32 — DESCRIPTION OF WORK Gas fireptacchnsert 33.39 Flue vent for water beater or gas New Single Family-Accessory Dwelling Unit(ADU 2) i ftreplace 23.32 .. _ Lop lighter(gas) 23.32 , . -- Wood/pellet stove: , if . 33,39 i ......__ _Wood fireplace/insert - r--- 23.32 I 1- Chimney/liner/flue/ven t 23.32 I Other: 23.32 I El PROPERTY OWNER 0 TENANT _ Environmental exhaust and ventilation; - — Name:Polygon WLH,LLC Range hood/other kitchen ---1I c '_91_11P/Perlt _ 33,39 _, Address:703 Broadway St.,Ste.510 1 r Clothes dryer exh _ _...,aust _ 33.39_ 1 : City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) , Artiacrawlspace fane 23,32 1 APPLICANT D CONTACT PERSON Other: 23.32 1 1 Fuel piping: 1 Business name:Polygon WLH,LLC -- „ I S14.15 for first four S4.03 for each additional Contact name:Tonja Morris I Furnace,etc• — 1 I Gas heat_purn Address;703 Broadway St_,Ste 510 i 1------ - ---1 I Wall/suspended/unit heater City/State/ZIP, Vancouver,WA 98660 i Water heater . ___...........Phone:(360)695-7700 I Fax: .(360)693-4442 i Fireplace i, Ranee E-mail:permitsubmittals(eaylOIMOrrison.corn Barbecue CONTRACTOR Cls,drver fgai) _..... '--- Cooling i ... _ ,_.--.... _ __ ........... . ... ......... _........... 1 Oth,y: I I I Business narne:Pro/leafing& ' hIECH.ANICAL PERMIT FEES* . ----- _ Address: NrYi'Alorick Dr,Ste, 1104 Subtotal .1 , City/StattIZIP:Ilillsboro,OR -Mini:rum permitter($90.00) —I Plan review(25%of permit fee) Phone:(360)270-)590 _ Fax:( ) State surcharge(12%of petmit lee) CCB tic.:209001 , , TOTAL PERMIT FEE I ,., ____„,__________ ...,_....... --- This permit application expire.%if a permit is not obtained wlihiu in Zgi,a, luiu2-n. dlyl after it ban been accepted at complete. Authorized signature: ' Fee methodology sec by Tri-County Building Industry Service Board ..... Print name:Elia Duran Date: 10/30/20 ,..—,,,Ann Ildfil 11 Me .1.1i1 ACT,Os o•••,,,rst A MITI, D .Electrical Permit Appticaa CEIVE City of Tigard -,:4AY 6RI; DategRecavedy <1 1C;()\Z1 (*.j, . Permit 4(y)5T7, 1— \1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review II Phone. 503.718.2439 Fax: 503.5111 ur 1)atdFty Related Permit 4 Inspection line: 503.639.4175 TIGAI�L Ready De�A larir: agc _ or 1 i61RLI Internet: www.tigard-or.gov BUILDING DIVISION NotifirNMethod. S pplementallnformation TYPE OF WORK PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit a sets of plans wlitems checked) 0 So vice or feeder 400 amps of more 0 Building over three stones 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards CATEGORI' OF CONSTRUCTION exceeds 10,000 amps at 15o volts or 0 Floating building% ❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14.000 0 Commercial-use agneulttual amps 0 Multi-family 0 Master builder ®Other. ADU 2 to all other instatiaticns Instabuildllation tiFoe pump ❑lastallatiort of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system_ larger separately derived Job#: Job site address:14272 SW 165th Ave ❑Ad4tioo of new motor load of system. 1oonP or more. ©"A`"E","1-2","1-3", City/State/LIP: Tigard,OR 97140 ❑sot ar more residential units occupancy O health-care facilities. 0 Recreational vehicle parks. Suite/bldgJapt.4: Project name: Polygon at Roshak Ridge 0 Baz erdona locations 0 Supply voltage for more than Service or feee do,600 amps or more 600 volts narntaal Cross street/directions to job site: FF.F,SCHEDULE ..^ lMcrioaaa 1 Qty. 1 Erb 1 Total I • New residential single•or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: 174 Includes attached garage. I,000 sq.R.or less 168 54 4 Tax map/parcel#: J Ea.add'1 500 sq.ft.or portion 33.92 1 r DESCRIPTION OF 14'ORK Limited energy,residential r 75.00 2 New construction. Type: ADU 2 (with above sq.ft) . ... Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ' Renewable Energy D See Page 2 j PROPERTY OWNER �� 0 TENANT ;Services or feeders installation,alteration,and/or relocation Name: Polygon Homes WLH LLC 200 amps or leas 100.70 z Address: 703 Broadway St.,Ste 710 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/LIP: Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 Phone:( 360 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: OAlamiAbouhafs@taylormorrison.com-PermitSubmittals@taylormorrison.corn 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 0 APPLICA E I ❑ CONTACT PERSON Branch circuits•-aewt alteration,or extension,per panel with Business name: Polygon Homes Wi.H LLC A aboveFbo for service branch or cents fee, service feaxkx fee, 7 42 each branch circuit Contact name: Omar Alami Abouhafs B.Fee for branch circuits without service or feeder fee,first Address: 703 Broadway St.,Ste 710 branch circuit 56.18 2 City/State/ZIP: Vancouver,WA 98660 Each add'i branch circuit 7.42 2 Phone: 360 445 8674Miscellaneous(service or feeder not included) ( ) Fax::( ) ilach manufactured or modular 67 84 2 Email:OAlamiAboubafs@taylotmofrison.corn-PermitSubmittaN@taylormorrison.com taylormorrison.ccxn awell;Reconneeocti only a and/or feeder. .— _.a.. 67 84 2 CONTRACTOR Pump or'irrigation circle 67.84 2 Business name: Wallace Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-encrgy Address: 105 Dresden St panel,alteration,or extension._ 0 See page 2 2 Each additional inspectionof the above City/State/ZIP: Astoria,OR 97103 over allowable in any Additional Inspect on(1 hr min) 66 25/hr Phone:(5t13 3,8 0563 Fax:( ) investigation(I hr min) 90DO/hr Email: David al lrlcewires.com Industrial plant(1 hr min) 78 18/hr CCB l,ic.;224868 Inapretrons for which no lee is 90 00/hr Electrical Li • C1441 Su .I: 6363S specifically listed(OS hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: '�w � Subtotal Print name:' ep _. Date: p`i I�t _0 Plan Review Required(25%ofpermit foe): -- _ `f / State surcharge(12%of permit fee) Authorized signature TOTAL PERMIT EEL: IPrint name: This permit application empires if a permit is not obtained Within 180 mom,�1$ dnR's•£` Date:_t ( jz.t days after{t has been accepted as complete. " Number of tnsprxttoas allowed per permit 1.nBeikkngylnmits'LLC PenadApp_Ej ,ERE.doc Rev 0641(20I5 4 0-4615T(1 I/051COMMER t ' Plumbin Permit A licati.. ECEIVED Building Fixtures FOR 01 1^11 I. USE. ONI.1' City of Tigard MAR 1 u 2021 Received �..�7.� /�' -Dot/By: 3/19 Z.� �r Permit No: M X,01 "W(I S "" 13125 SW Hall Blvd.,Tigard,OR 972 iTY OF Ti AN!a Plan Review Phone; 503,718.2439 Fax 503,5 i Other Permit No.: a `I [ DING DIVi`ION Uate/By; S k�L2CjZf"Co� Inspection Lute; 503.639.4175 Date Ready/By: luris. I fa.See Page 2 for 1�1t„�P,pJ y' � Internet: www.tigard-or.gov Notiftee/Method' 1 Supplemental Information TYPE OF WORK FEE* SCHEDULE 4 New construction ❑Demolition For special information use checklist Description _ .._ �_____, Qt!'. Ea, Total ❑Addition/alteration/replacement ©t_)ther New 1-2-fantlly dwellin x iilLc odes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION S_FR(I)bath __ 31210 _._ I-and 2-family dwelling [)Commercial/industrial ciaUindustrial SFR(2)bath I 437.78 ' -• - SFR(3)bath 500.32 ❑Accessory building -Multi-family — _~ Each additional bath/kitchen 25.02 0 Master builder 1•t Other: ADU 2 .-- �� : Fire sprinkler( ,q,ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14272 SW 165th Ave. Catch basin or area drain 18.76 Dtywell,leach lute,or trench C drain 18.76 ryiState/ZIP:Tigard,OR 97224 __ ..__ .w- , Footing drain(no,linear ft. _) • Page 2 Suiic/bldg./apt.no.: TProject name: Polygon at Roshak Ridge Manufactured home utilities• ** : 50.03 Cross street/directions to job site: Manholes j 18.76 i Rain drain connector 18,76 1 linear ft..: sewer(no,linear ft,:.: ) 2 • Santa sewer(no. :_} Page 2 _____ . l Water service(no,linear ft.:_) I Page 2 Subdivision: I Lot ne 174 Fixture or item: p -• Tax::tap/parcel no,: Back low reverter 311.27 DESCRIPTION OF WORK Backwater valve 12.51 I Clothes washer 25.02 New Single Family -Accessory Dwelling Unit(ADU 2) i---- - _ _ _ Dishwasher t Drinking fountain 25.02 r ._ Ejectors/sump 25.02 i:4 PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Polygon WLH,_LLC Fixture/sewer cap • 25,02 Name: 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 ft APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25,02 . • Business name:Polygon Will,LLC I Medical gas(value S ) Page 2 Contact name:Tonja Morris Primer 12.51 Roof drain(commercial) "' 12,51 Address:703 Broadway Sc.,Ste 510 a Sink/basin/lavatory I 25.02 City/State/ZIP,Vancouver,WA 98660Y ^ M Solar units'potable water) 62,54 Phone:(360)695-7700 Fax: (360)693-4442 ub/showt:!shower pan 12.51 TE-mailPermitSubmittals@taylormorrison.com,OAlamiAbouhafs@taylormorrison.com Urinal 25.02 i -- Water closet 25.02 CONTRACTOR __w._.___._....._ Water heater 37,52 Business name:G& B Plumbing&Sons Inc Water piping/DWV 56.29 Address;P.O.Box 92 Other, 25,02 City/State/ZIP:St.Paul,OR 97137 Subtotal I Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: $72.50 1 .....__.., __.. _-_— ___ ______. Plat review (25%of permit fee) CCB Lie,: 184372 t Plumbing Lie.no.:pb634 1 State suro'tiarge(12%of permit fee) Authorized signature: mow ' TOTAL PERMIT FEE Print name:Steve Fowler Date: 1 0/30/201 This permit application expires if a permit is not obtained wititn t86 days after it has sera accepted as complete. *Fee methodology set by Tr-County Building Industry Service Board. I\BaiiduleTz aits.PLMtt-PeroutApp.doe.16/Olf.9 440.44I57t I0,0 iCQMNIEtt City of Tigard I/ . COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential . Building Permit #: MST2o2i- 001 I.0 Site Address: 14272 SW 165th Ave Project Name: Polygon at Roshak Ridge Lot #: 174 Planning Review Proposal: New attached ADU AOV 4 2 CIVerify address/suite#active in Accela. ❑° In River Terrace: ❑ No 0 Yes,River Terrace Review Addendum Site Plan Elements: erosion Control I2: copies of site plan on 8-1/2"x 11"or 11 x 17"paper •Retained trees with drip line and tree protection measures Drawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE 0 orth arrow ;Jtility locations&easements(required for new and additions) Fite address,project or subdivision name and lot number 'Sidewalk/driveway approach Cpplicant information(name and phone number) 14� T ocation of wells/septic systems ait dimensions and building setback dimensions ;Street tree size,type and location NIA II quare footage of buildings to be demolished •Street names A II xisting structures on site L�orner elevations(2'contours if more than 4'differential IIof area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? °�i 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 ❑ Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: El Yes,applicant was notified ❑✓ No Received: ❑Yes ❑r No ❑ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: 0 Yes,applicant was notified ❑r No Received: Yes ❑o No El SDC Exemption for ADU applied for: ❑Yes ❑ No Received: Yes ❑o No ❑r Public Facilities Improvement(PFI) Permit: Required: ❑r Yes,applicant was notified 0 No Applied For: El Yes El No,stop intake ❑° Land Use Case#: ADU2020-00016 ElZoning: R-4.5 ❑o Required Setbacks: Front: 8 Rear: 15 Side: 3 Street Side: N/A Garage: 3 El Building Height: Max.Height: 30 Actual Hei ht: 25.5 Landsca e Area: �'A, % L ot Coverage Max:_j � ntrance ' Set back no more than 8'from street-faci g wall El Parallel to street or offset 45 degrees or less Windows ' Minimum 12%of area of all street-facing facades G Gara e door is behind widest street-facing wall ❑Yes ❑ No,one a fe ?trg is met: Door exten s n n 5' from wall and there is a cover c extending beyond garage. Door extends no more than 5'from d ' a 12 sq ft.window above garage on 2nd floor. 11/4 lit'' ❑ Garage door width is 12'or 1 0%or less e 60%or less and includes 7 of following: Covered o ecessed entrance ❑Wall offset ❑ Roof offset ❑e shingles Lap Siding Roof itch ❑ Gable,Ap,or gambrel ro Dormer Accent siding Window trim u Window recess LI Window projection alcony ❑ Visual Clearance El Urban Forestry Plan ❑ Sensitive Lands: ❑ Yes ILI No Type: ❑° Conditions met prior to issuance of building p rmit Notes: O Approved By Planning: Date: Z/ Revisions(after Building Submittal only) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal /� / Original Submittal Date: 4g44_, .V6/2l Site Plans: # 4 Building Plans: # 3 Building Permit#: IIEnter buildin pet#above. g Workflow Routing: ErPlannin Engineering Permit Coordinator ICJ Bu lding Workflow Sign-off: D. ign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1)building plan and wiginal plan review routing form. ilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: s5/97/ Engineering Review a Slope at building pad: 2. ErConditions "Met"prior to issuance of building permit 09- Easements (encroachments)per engineering conditions of approval and plat Er Water Quality/Quantity Facility:Assess Water Quality Fee in-lieu: ❑ Yes [�y No Assess Water Quantity Fee in-lieu: ❑ Yes J o ,y LIDA Facility on lot: ❑ Yes 3 No E/Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: E Approved by Engineering: Date: O2// Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ 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: giv SDC Exemption: ❑ Received Does not a ly 0 SDC Fees Entered: Wash Co Trans Dev Tax: Z Yes U N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes PrN/A gOK to Issue Permit � � Approved by Permit Coordinator: jrPft/1° ��-I ` Date: I (Q wy" ` t I:\Buil ding\Forms\BldgPennitRvw_RES_122419.docx City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: AST2021-00((S Site Address: 14272 SW 165th Ave Project Name: Polygon at Roshak Ridge Lot #: 174 (New dwelling=subdivision name;Addition or Alteration=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 I No (Per MMD2020-00044) Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additio ele •nt 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 :.. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gable• .ormer ❑ 0 ❑ ❑ 2. Eyes on the str• •t: a minimum of 12%of each street facing facade must include windows .. entrance doors. Percentage Shown: 3. Entrances:At least one e ance must meet both of the following standards: ❑Parallel to street, . gle no more than 45° from street, El Max. 8 ft. setback from longes trees-facing wall or open onto por Entrance opens to a porch: ❑Yes o I�f j es,all the following apply: El25 sq.ft. u One street facing entry ❑12 f ax. roof above floor of porch ❑5 ft. depth min. ❑3,/o min.porch roof coverage 4.Detailed Design:All buildings shall include a min. o iv- of the following elements on all street-facing facades: ❑Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep ❑Wall offset min. 16 inches ormer min. 4 ft.wide ❑Roof eave min. 12 inch projection ❑R•, offset min.of 2 ft. 0 Roof shingles either tile or wood ❑Gable, •'p or gambrel roof design ❑Roof pitch oriented south min. 500 sq. ❑Horizont. ap siding min. 3-7 inches wide ❑Accent siding min. 40%of street fa ..e ❑Window trim • . 2 1/2"wide by 5/8"deep ❑Window recess min. 3 inches for .i street facing ❑Bay window min. ft.wide by 2 ft. deep ❑Balcony min. 5 ft.wide x 3 ft. eep with inside access ❑Attached garage is 3 'o or less of street facade 5. Garages and Carports: ' ay face the front or side lot line on a corner lot. Setbacks: No closer to front o .ide lot line,than longest street-facing wall. ❑Yes ❑No. If No (Check o : ❑May extend u. o 5 ft.if there is a covered front porch and garage does not extend beyond the fro . •orch. ❑May exten. p to 5 ft.where the garage is part of a two-story building and there is a window at the se d story above the .. age that faces the street with a min. area of 12 sq.ft. Width• heck one) ❑ -foot-wide garage door ❑40%max. of street facade III 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: - Date: 3 0. 2 I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx City of Tigard • COMMUNITY DEVELOPMENT DEPA 1 h►, I:.1 VED 111 I q Water Meter Fixture Unit WorksheetMAR 13 2021 E l k,A R D CITY OF TIGARD For New Buildings BUILDING DIVISION 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov LOCATION: City of Tigard—City Hall WATER METER SALES: Utility Billing By Appointment Only: 503-718-2460 13125 SW Hall Blvd. (No more than five meter sales per appointment) Tigard, OR 97223 METER: SIZE: FEE: Effective 01/01/2021 5/8" $9,495.00 Fee includes: 3/4" $13,554.00 water system development charge, 1" $24,886.00 water meter, and 1-1/2" $73,689.00 meter installation fee. 2" $119,333.00 Note: An additional charge will apply for water meters where an"existing water main"requires a new service line to be installed by the City to the property address and is paid by the property owner as follows: • Up to 1"_$3,815.00 • Over 1"=Cost+ 10% DETERMINING METER SIZE FOR RESIDENTIAL CUSTOMERS City of Tigard Water Service Area uses the American Water Works Association Manual and the Oregon Plumbing Specialty Code to determine the size of meter needed to adequately serve new buildings. In most cases, new residential buildings require a 3/4"meter, however, due to the size of homes built in the Tigard area, we now count the fixture units of all homes prior to selling a meter. Buildings with 37 or less fixture points can use a 3/4" meter. For those over 37, a 1"meter must be purchased. Use the worksheet on Page 2 to calculate the number of fixture units. DOCUMENTATION Please provide the following items to the Utility Billing counter to purchase your meter: • Completed water meter fixture unit worksheet(on back page). • Copy of building or plumbing permit application date-stamped by building division. • Copy of issued building or plumbing permit. Your fixture count will be verified and your request will be processed upon receipt of these documents. No exceptions. INSTALLATION TIME Most meters are installed within 10-14 business days. If your meter is not located within an existing subdivision we may need additional time in order to verify the location of other underground utilities. Please keep these time frames in mind when purchasing your water meter. I:/Building/Forms/WaterMeters_010121_New.dOCx Page 1 iP Water Meter Fixture Unit Worksheet For New Buildings Please complete the following information: Contractor Name: Polygon Home, WLH LLC Billing Address: Street/Suite#: 703 Broadway St, STE 710 City: Vancouver State: WA Zip: 98660 Phone Number: 360 946 8674 Email: New Meter Address: 14374 SW 165th Ave(SFU)- 14270 SW 165th Ave(ADU 1)- 14272 SW 165th Ave(ADU 2) Subdivision Name: Polygon at Roshak Ridge Lot#: 174 Building Permit#: Please fill in the number of each fixture as detailed on the plans. Multiply the quantity by the point value to arrive at the point total. Add all point totals together for total fixture unit points. Fixture Unit Quantity Point Value Point Total SFU ADU1 ADU2 Total Bar sink x 1 = Bidet x 1 Clothes washer 1 1 1 3 x 4 = 12 Dishwasher 1 1 1 3 x 1.5 = 4.5 Hose bib, lst one 1 1 x 2.5 = 2.5 Hose bib, each add'I 1 x 1 = 1 Kitchen sink 1 1 1 3 x 1.5 = 4.5 Laundry sink x 1.5 = Lavatory 6 4 5 15 x l = 15 Water closet, 1.6 GPF 4 3 3 10 x 2.5 = 25 Bathtub/whirlpool x 4 = Shower stall x 2 Bath/shower combo 3 2 2 7 x 4 = 24 Total Fixture Unit Points: 88.5 Fixture Unit Points: 1 to30= 5/8" 37.5to89 = 1" 30.5 to 37= 3/4" Meter Size: l" Meter Cost: $ 24,886.00 ************************************************************************************* FOR OFFICE USE ONLY Fixture Units Points verified with Building(Master) Permit or Plumbing ❑ Yes ❑ No ❑ Other: Meter#: Sale Date: Receipt#: Meter Cost: Employee Name: • I:/Building/Forms/WaterMeters_010121_New.doCX Page 2 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 111 Transmittal Letter 1 !!I is I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tiaard-or.gov TO: Allyson A. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Omar Alami Abouhafs APn 2 0 202 COMPANY: Taylor Morrison CITY OF TIGARD 3UILDING DIVISION PHONE: (360)946 8674 II y: EMAIL: OAIamiAbouhafs@taylormorrison.com/PermitSubmittals@... RE: 14374/ 14272/ 14270 SW 165TH AVE. MST2021-00113/00114/00115 (Site Address) (Permit Number) Polygon at Roshak Ridge ( lot 174 ) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. 1 Other(explain): Radon Mitigation detail. REMARKS: Plan examiner's comment: Provide Radon Mitigation. Radon mitigation provided in an A4 document(8.5x11). Please attach this document to the plans referenced above. FO, OFFICE USE-ONLY Routed to Permit Technician: Date: 2�l Z 1 Initials: Fees Due: ❑ Yes No Fee Description! Amount Due: $ 6- 1 ----. $ I KY0 N4)- L'i $ 7 z_., I ' I $ Special I Instructions: Reprint Permit(per PEt „ Yes , i'i No ❑ Done AApplicant Notified: /, ❑ate: 5/3/z I Initials: i