Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
r . Plumbing Permit Applica >ECEIVED Building Fixtures SEP 1 Z021 r01z OFFICE i'st: ()NIA + City of Tigard Received Permit No. • g I3TY OF TIGARD Date/By: 7///2/ MST2021 00099 13125 SW Hall Blvd.,Tigard,OR 97 Plan ReviewU G :1 . h .718.25C/ �� Other PermitNo.:3UiNG DIVISION / ! 6nsti394175 Date Read /B A R D y y: / , loos ® See Page 2 for Internet www tigard-or gov Nohfied/Method YrJ/j?/ u/ Supplemental Information TYPE OF WORK tpo` t9-' CM . FEE* SCHEDULE 1-_-_] construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 IDI-and 2-family dwelling IIICommercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/ki en 25.02 ❑Master builder ❑Other: 1729 Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:14158 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.:1166 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION 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 ® PROPERTY OWNER 1 ❑ 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 CONTRACTOR; Water closet 25.02 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 � State surcharge(12%of permit fee) Authorized signature: ' TOTAL PERMIT FEE 11 t p ,l� 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. i ABuildingAPermitsVPLMU-PermuApp.doc 10/01/119 440-4616T(I 0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Q . Fee(ea) Total 'Square Footage; Permit Fee: Footing drain-1"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- I st 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 Valuation Permit Fee. Storm&Rain Drain-I st 100' 62.54 . $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 Qty. Fee{ea;! Total each additional$100.00 or fraction thereof,to Other Inspections or Fees 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) w 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 as defined in OAR918-780-0040. -Drive Thru Cuspidor/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 4„ ❑ 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/Serv/lJtil food related -Service *Note: tf 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 fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:ABuilding\Permits\PLMF PermitApp.doc 08/04/2011 2 CITY OF TIGARD MASTER PERMIT IN _ . ' COMMUNITY DEVELOPMENT Permit#: MST2021-00099 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2021 T i(;;1(2!� 9 Parcel: 2S107AA16600 Jurisdiction: Tigard Site address: 14158 SW 165TH AVE Subdivision: ROSHAK RIDGE Lot: 166 Project: Polygon at Roshak Ridge, Lot 166-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 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvoes 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: Ho Vcwi'De'We�e Permittee Signature: 0niApplf cat'wn 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. -• ECEIVE isuilding Permit Application Residential MAR 1 6 2021 hcl'lz orrlc h: I sl:()NI.) City of Tigard Received ( 1�-- MET 202 60 q vITY OF TIGAR' Date/By: V Z/Z� { Permit No.: L — 13125 SW Hall Blvd.,Tigard,OR 97223 Pl Review a" Phone: 503.718.2439 Fax: 503.598.1960 dUILQIN(a'®NISI 'bateanBy: Lj(is/i_i Other Permit: S 4 2''I-60oGf9 T I GAR D Inspection Line: 503.639.4175 D Ready/By: a H See Page 2 for Internet: www.tigard-or.gov tified/Method: ! � G I Supplemental Information I TYPE OF WORK 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 ❑Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. _ CATEGORY OF CONSTRUCTION , ^S� . ,(„Q ❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ (�` r l ElAccessory building ❑Multi-family Number of bedrooms: 3 ❑Master builder ®Other: ADU 2 Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 D-I Job site address: 14158 SW 165th Ave. New dwelling area: s2?initl']''A square feet I bdq City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 398 n square feet '7'� 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.: 166 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-Accessory Dwelling Unit(ADU 2) Valuation: $ - /eltA4�( &4i�(� Existing building area: square feet ..�r New building area: square feet PRE RTY OWNER ❑ 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: Phone:(360)946 8674 Fax:( New: APPLICANT 0 CONTACT PERSON U9 BUILDING PERMIT FEES* Business name:Polygon Homes WLH LLC (Pteace refer tnfc¢srkedale) Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs FLS plan review fee(if applicable): Address:703 Broadway St., Ste 710 Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:( 360) 946 8674 Fax::( ) E-mail: PermitSubmittals cJtaylormorrison.com,OAlamiAbouhafs@taylormorrison.com PHOTOVOLTAIC SOLAR PANEL 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 CCB lie.:207247 Total fee due upon application: $201.60 Authorized signature: £ /4242, i //.66*G1/te/I,(1-- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 03/08/2021 *Fee methodology set by Tri-County Building Industry Smvice Board. l:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46 i 3T(1 I/02/COM/WEB) . ,. . i.. • . r , , E . .IL Mechanical Permit ApplicatioECEIV n FOR OFFICE LSE ONLY ! . City of Tigard _ . . MAR 1 6 2021 RD:cei,;(1, ;/7z/11 or. permi Na rri svcet_0000,9 i _, .. 1. 13125 SW Hall Blvd..Tigard,OR 97223 1111 Plan RLVICW - phone; 503.718.2439 Fax: 503.598.1960 'ITY OF TIGARD Other Permit' g,tog 2oz i-toc6ci Inspection Line: 503.639.4175 k., Dalesy. . ' Juris• El See Page 2 e; for Intern ww‘.v.tigard-or,gov 3UILDING DIVISION DN:itc:micawdYttd., Supplemental Information — . TYPE OF WORK 1COMMERCIAL PEE* SCHEDULE - USE CHECKLIST J ,-- ' Mechanical permit f/xs*are based on the value of the work [Z1 New constriction 0 Addition/alteration/replacement performed,Indicatit the value(rounad to the nearest dollar)of all 0 Demolition 0 Other: , mechanical thatelj.ais,equApmerat,laborLoverhead,and profiL___ Value.$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT t SYSTEMS FEES* — 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist .... ._..... ......_ Multi family E.1 Master builder 2]Other ADU 2 Description Qty. Ea. Total JOB SITE LNFORMATION AND LOCATION Heatino/ lin „- - „ I_Air conditioning 46.75 Job site address: 14158 SW 165th Ave. Furnace 100,000 BTU(doctsiverats) 46.75 City/State/ZIP:Tigard,OR 97224 ‘ Furnace 100,000+BTU(ductstverns) 54,91 61.06 Suiteibldgf Heat pump apt.no,; I Project name: Polygon at Roshak Ridge _ ...... ......,..._ _ I Duct work 23.32 Cross weer/directions to job site: Hydronie hot wate4-system 23.32 - 1 Residential boiler(radiator or ____ _hydronic) ___ „_._.____. ..._..... ... Unit heaters(fuel-type,not electric), . 1 in-wall.in-duct,suspended.etc. , 46.75 • _ L Other, Lot no: 166 Flue/vent for any of above 23.32 23.32 Subdivision: Polygon at Roshak Ridge ...._ - I Other fuel appliances: E Tax map/parcel no.: I Water beater 23,32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 New Single Family -Accessory Accessory Dwelling Unit(ADU 2)[.... , Flue vent for water heater or gas fireplace LogliKhter( as) -.: • 23,32 • 23.32 Wood/pellet stove - 33.39 ................., _Woad fireplace/insert _ 23.32 . , . Chttnneyliner/flueivent , 23.32 J 2333,.3, . _ .IS1 PROPERTY OWNER I , CI TENANT Other: 32 ___ ____ __._ __. ___ .........„___ ____... Environmental exliaust and ventilation; Name:Polygon WL.R,LLC 1 Range hood/other kitchen - 1 equ_i2ment. Address:703 Broadway St.,Ste.510 _1_. Clothes dryer exhaust 33.39 I City/State/ZIP:Vancouver,WA 98660 1 Single-duct exhaust(bathrooms, — - ii toilet com attrucnts,unlit rooms 23.32 Phone:(360)695-7700 Fax;( ) 1 Attic/crawls ace fans 23.32 APPLICANT 0 CONTACT PERSON Other: _ 23.32 Fuel piping: Business name: Polygon WLH,LLC .._ S14,15 for first four-$4.03 for e'en additional Contact;lane:Tonja Morris 1 Furnace,etc. I Gasbeat num Address;703 Broadway St,Ste 510 • ---1 Wall/suspendediunii heater i C!ty/State./1.1P.Vancouver,WA 98660 1 Water heater........... Phone:(360)695-7700 Fax :(360)693-4442 1 F la.. irep. ce ; — 4 Range_ Email:perenitsubmittalsOaylOIMOrriSOrl.GOM , • Barbecue i CONTRACTOR Clothes dryer(gas) I "-- Business name:Pro Heating&Cooling Other. --- MECELANICAL PERMIT FEES* Address: NW Alociek Dr, te 1104 S ......,.. , _ _ , •Subtotal 1_ i City/State/ZIP:/lillsboro,OR Minimum permit fee($90.00) I Plan review(25%of permit fee)Phone:(360)270-1590 --ri-ax:.( ) . . t. . State surcharge(12%of permit fee) - CCB lie.:209001 TOTAL PERMIT FEE 1 ___,...... .......--- ' - This permit application expires if a permit fs not obtained wittily!so' 1.i.a. 1)ttit. ..11. days after it has been accepted as complete. oz Autbized signature: - Fee methodology set by Tri,County Building Industry Service Board i Print name:Elia Duran 1 Date 10/30/20 .. 1.1FloiVinolPerinitctitolFr YPt.,ot A..,namll 6nr d Oh Ai,*I';t,m,v-V1, ,�.. Electrical Permit Application , UR c,, , U l t sf t l\l.l City of Tigard I •'�/ Receives rill • 13125 SW Hall Blvd.,Tigard,OR 97223 Iyate/By e-773\� '��-L1 l 1'emait a ,f � ,��— `� 8 Phone. 543.71$.2439 Fax: 503.598.I960 AY Z�Z Plan Review Dewily Mated Permit a: r l GA R v Inspection Line: 503.639 4175 Ready Date/Ry turn: FaSee Page 2 for Internet: www.tigard-or.gov -.1'Y OF TIS5j1f, Nottfrcd04cthod_ Supplemmtall.rormation TYPE OF WOR IIILD NG DIVISION) PLAN REVWF.ts' Ij New construction ❑Addition/alteration/replacement Please check all that apply(submit I sets of plans w/it.'s checked) 0 Sze vice or feeder 400 amps or more ❑Building over three stones 0 Demolition 0 Other: whore tlx:available fault current 0 Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds lo,(K10 amps at Ise soiLs or 0 Homing buildings ❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building lr sx w around,or exceeds 14.000 0 Commercial-use agrieuhund ❑Multi-family ❑Master builder I Other. ADU 2 amps for all other installations Insbutalatro ❑Fare pump ❑Installation of 150 KVA or JOB SITE INFORMATION AND I.00A,TIO? 0 Emergency system larger separately derived Job : Job siteaddress:14158 SW 165th Ave El Addition of new motor load of spasm_ or[note. ❑„A`'k;',"1-2' "1 3" City/State/ZIP: Tigard,OR 97140 ' ❑six or more residential units mxopan'y •' ❑Healthcare facilities. ❑Recreational vehicle park5- Suite/bldg.apt.#: Project name: Polygon at Roshak Ridge 0 Hazardous bestows 0 Supply voltage for more than ❑Service or!Cede,600 amps or more 600 volts nominal. Cross street/directions to job site: FF.1F. SCHEDULE • ascription I +Otr- I Each .( Total I • New residential single-or multi-family dwelling unit Subdivision:Polygon at Roshak Ridge ( Lot#: 166 Includes attached garage. Tax map/parcel#: —'` 1,000's o.ft.or kss 168 54 4 Ea,add'!500 sq.It.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 New construction. Type: ADU 2 (with above sq.tt) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy Cl Sec Page 2 GI PROPERTY PROPERTY OWNER ❑ TENANT Services or f eders installation,alteration,and/or relocation Name: Polygon Homes WLH LLC 200 amps or leg 100 70 2 Address: 703 Broadway St.,Ste 710 201 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 )946 8674 Fax:( ) Oyer 1,000 amps or volts 552.26 2 Email: OAf gpyjp Temporary services or feeders installation,alteration,and/or bouhafs(a taylonnolrison.com-PermitSubmiltals@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 an to 400 amps 125.08 2 Owner signature: _ Date: 401 amps to 599 amps 168-54 2 0 APPLICANT000NTAC-r PERSON Branch circuits-new,alteration,or extension,per panel AFee for Business name: Polygon Homes W aboveservice vrcc or LLCery branch r circuits with r fcaka lie, 7-42 2 each branch circuit Contact name: Omar Alami Aboubaf8 B.Fee for branch circuits without Address: 703 Broadway St.,Ste 710 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Vancouver,WA 98660 Each adc]'l blanch circuit 7.42 2 Phone: 360 946 8674Miscellaneous(service or feeder not included) ( ) Fax::( ) Each manufactured or modular 67.84 2 Email:OAlamiAbouhafs to lormorrisoncom-PertnitSubmittal. dwelling,service and/or feeder y S�taylnTlIlomson-COm Reconnect cxilY 67 84 2 _ CONTRA('I OR Pump or ungation circle 67 84 2 Business name: Wallace Electric Sign or outline lighting 67.84 2 Address: 105 Dresden St Signal crreuasee(s)or limited energy0 y page 2 2 panel,alteration,or extension. City/State/ZIP: ptig OR 97103 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr Phone:(503 308 0563 Fax:( ) Investigation(1 hr min) 90.00/hr Email: Uavid(t7i wallaccwirt s.com Industrial plant(I hr min) 78 18/hr Inspections for which no fix is CCB Lie.:224868 Electrical Li • C 1441 Su .1; .: 6363S specifically listed Ol hr min) 90 00!hr Suprv.Electrician signature,required: ELECTRICAL. PERMIT FEES _ Subtotal- Print name:D..o. yp Date: 0 Plan Review Required(25%of permit fcc): / State surcharge(12%of permit fee) Authorized signature9. ,/ TOTAL AL PERMIT FL i �I 'I1it permit application expires if a poled!ix not obtained within 180 Print name: ``rT"L1r� _i�t Date: / I days atter tt has been accepted as complete. (�t"__ a Mamba of iatpe Lions allowed pet permit tlieildangilkmits'L1.0 PcrmrtApp_ELR ERE.doc Rev06'17/2015 t -4b157(11A19C0AitLt7E8 • Plumbing Permit ApplicatioIRECEIVEi Building Fixtures FOR tll1.1t1 1 ',1, t)y1_1 MAR 16 Z021 Received City of Tigard / / /� permit No.:rA 13125 SW Hall Blvd.,Tigard,01t 97223 Dat `13, 3l D ii �r 1"1 (" Q� ITY OF TIGARD plan Review Ry,�/'�Q,� S Phone: 503.718.2439 Fax: 503.598.190V Uatetl3 other Permit No.; 3�I'cm-,� Inspection Line: 503.639.4175 3U LDING DI�IISIra 'Date Ready/By:dw>3y: huv. Ste Page 2 for t'1i;atRlT Internet: www:ti arc1-or_ oy R K tJt>:iftctUMethod: Supplemental information TYPE OF WORK FEE* SCHEDULE 1 ►. New construction 0 Demolition For special information use checklist ._ --_ - _.- --- I Description tv. Ea. 1 oral 0 Addition/alteration/replacement ❑Other: New 12•family dwellings(includes 100 ft.for each utility connection) l CATEGORY OF CONSTRUCTION SFR(1)bath f 31.2 70 • f SFR(2)bath 437.78 i 1_and 2-family dwelling 0 Commercial/industrial ",- __ _._ _ SFR(3)bath 500.32 ❑Accessory building -Multi-family - -- [ Each additional bath/kitchen L 25,02 Master builder _ 1.1 Other:ADU 2 Fire sprinkler( aq,ft.) j Page 2 F JOB SITE INFORMATION AND LOCATION Site utilities: _ basin or area drain 18.76 :lob site address: 14158 SW 165th Ave. Catch Dtywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 M -- Footing drain(no.linear ft.;_) Page 2 Suite/bldg.,apt.no,: _ Project name: Polygon at Roshak Ridge — Manufacttircd h.nne utilities t # 50.03 t Cross street/directions to job site: Manholes j 18.76 Rain drain connector i 18.76- a_ Sanitary sewer(no.linear ft: ) Page 2 Storm sewer(no,linear ft::^) Page 2 ____..._._ __ Water service(no.linear ft: ) Page 2 g i — Subdivision: ( Lot tic 166 ` 1 Fixture or Item:Backflow prevcnter 31,27 Tax mapiparcel no.: _ DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New Single Family -Accessory Dwelling Unit(ADU 2) Dishwasher 25.02 Drinking fountain J 25.02 __A Ejectors/sump { 25,02 1 L1 PROPERTY OWNER 0 TENANT . Expansion tank t 12.51— Name:Polygon WLH,LLC Fixturdsewe•cap 25.02 ! Floor drain/floor sink/hub i-5 Address:703 Broadway St.,Ste 510 _._ Garbage disposal 25,02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25,02 I - Phone:(360)695-7700 I Fax:( ) Ice maker 12,51 t APPLICANT 0 CONTACT PERSON f Interceptorg tease trap 25.02 Business name,:Polygon W LFI,LLC r Medical gas(value:S ) Page 2 Primer 12.51 • Contact name:Tonja Morris • Roof drain(commercial) .: . I 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-mailPermitSubmittals@taylormorrison.com,OAIamiAbouhafs@taylormorrison.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater IIII 37.52 Business name:G&B Plumbing R Sans Inc Water pipit yt71uV 56.29 Address:P.Q.Box 92 Other: - 25.02 City/State/ZIP:St. Paul,OR 971371 Subtotal i Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee, S72.50 • I._ _ __ .. ... _......._.,._ __.__ Plan review (25%of permit fee) LCB Lie.: 184372 Plumbing ac.no,:pb634 t 1 State surcharge(12 ya of permit fee) Authorized signature: +#(r1 '�� TOTAL PERMITFEE _ i nIriI rats permit application expires if a permit is not obtained within 180 days E Print name:Steve Fowler ©ate; 20 after it has been accepted as complete. 'Fee methodology set by In-County Building Industry Service Board, . 1;tlkaiiding\1'trrnatTLMU-tetsetnpp..ax ID/iixe 44.5.4ot bit lu,02%COM/wy.B) City of Tigard :IfCOMMUNITY DEVELOPMENT DEPARTMENT ■ T t c 1t D Building Permit Review — Residential Building Permit #: 02 1-(300g9 Site Address: 14158 5W 165th Ave Project Name: Polygon at Roshak Ridge Lot #: 166 Planning Review Proposal: New attached ADU ElVerify address/suite#active in Accela. ❑ In River Terrace: ❑ No ❑r Yes,River Terrace Review Addendum Site Plan Elements: erosion Control Di copies of site plan on 8-1/2"x 11"or 11 x 17"paper Retained trees with drip line and tree protection measures III fawnto 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) O'ite address,project or subdivision name and lot number Jiidewalk/driveway approach 0 pplicant information(name and phone number) location of wells/septic systems 111 of dimensions and building setback dimensions :.',.�treet tree size,type and location Iquare footage of buildings to be demolished Litreet names 111 xisting structures on site °,,orner elevations(2'contours if more than 4'differential 111 .t 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: 0 Yes,applicant was notified El No Received: ❑Yes ❑r No ❑ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ° No Received: C Yes H No 11 SDC Exemption for ADU applied for: Yes El No Received: C Yes No Q Public Facilities Improvement(PFI) Permit: Required: El Yes,applicant was notified 0 No Applied For: El Yes 0 No,stop intake ❑o Land Use Case#: ADU2020-00014 ❑ Zoning: R-4.5 ❑o Required Setbacks: Front: 8 Rear: 15 Side: 3 Street Side: NSA Garage: 3 Q Building Height: Max. Height: 30 Actual Height: 25.5 O Landsca e Area: % ❑ Lot Coverage Max: Entrance ° Set back no more than 8'from street-facing wall El Parallel to street or offset 45 degrees or less Windows ° Minimum 12%of area of all street-facing facades Garage Garage door is behind widest street-facing wall ❑Yes ❑ No,one of the following is met: ADoor extends no more than 5'from wall and there is a covered porch extending beyond garage. Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. ❑ Garage door width is 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following: Covered porch Recessed entrance ❑Wall offset 1'Roof eave Roof offset Fire shingles Lap Siding ❑ Roof itch 0 Gable,mp,or gambrel roof Dormer Accent siding Window trim LI Window recess U Window projection ❑ Balcony ❑ Visual Clearance ❑o Urban Forestry Plan ❑ Sensitive Lands: ❑ Yes 12:1 No Type: ❑r Conditions met prior to issuance of building permit Notes: El Approved By Planning: #sktot Date: 3/te/li Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES_122419.docx Building Permit Submittal Original Submittal Date: 3/U€ IzI Site Plans: # 3 Building Plans: # ?j Building Permit#: REnter buildin permit#above. ❑' Workflow Routing: „ Planning Jngineering alermit 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 �f original plan review routing form. -L_I Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 7( Date: 3/t$/C/ Engyneering Review Slope at building pad: S Conditions"Met"prior to issuance of building permit MA51" Easements (encroachments)per engineering conditions of approval and plat ff Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes IE'No Assess Water Quantity Fee in-lieu: ❑ Yes FNo �p LIDA Facility on lot: ❑ Yes ErNo LI Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: a-Approved by Engineering: Date: /- 0:7Z/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved dP mit Coordinator Review Conditions "Met"prior to issuance of building permit 0 ' pproved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: & i.*C Exemption: ❑ Received �oes not ai 1 P Y LI SDC Fees Entered: Wash Co Trans Dev Tax: s N/A Tigard Trans SDC: es ❑ N/ Parks SDC: Yes ❑ 'i/A LIDA ❑ Yes N/A OK to Issue Permit 17 Approved by Permit Coordinator: s— Date: ,�,.i�/7/:2 f I:\Building\Forms\B1dgPermitRvw_RES_122419.docx City of Tigard 114 COMMUNITY DEVELOPMENT DEPARTMENT T 1 G River Terrace Building Permit Review Addendum Building Permit #: A c 2 t - 000qq Site Address: 14156 SW 165th Ave Project Name: Polygon at Roshak Ridge Lot #: 166 (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 ❑o No (Per MMD2020-00044) Articulation: a minimum of 1 element per each street-facing façade 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 I. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gable. .oorner ❑ ❑ ❑ 0 2. Eyes on the str : a minimum of 12%of each street facing façade must include windows P. entrance doors. Percentage Shown: 3. Entrances:At least one e ance must meet both of the following standards: facing wall CI Parallelto street, . gle no more than 45° from street, ❑Max. 8 ft. setback from longes treet- or open onto por Entrance opens to a porch: 0 Yes I o IfUes,all the following apply: El25 sq.ft. 'n. One street facing entry El 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 v- of the following elements on all street-facing facades: ❑Covered porch min. 5 ft.wide x 5 ft. deep I Recessed entry area min. 5 ft.wide x 2 ft. deep ❑Wall offset min. 16 inches I II oomer min. 4 ft.wide ❑Roof eave min. 12 inch projection ❑R.• offset min. of 2 ft. ❑Roof shingles either tile or wood ❑Gable, I'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 .1 street facing ❑Bay window min. ft.wide by 2 ft. deep ❑Balcony min. 5 ft.wide x 3 ft. eep with inside access 0 Attached garage is 3 '0 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. El 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) O -foot-wide garage door 0 40%max. of street facade 111 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: ',3/22/?/ I:\Building\Fomu\BldgPennitRvw_RES_RT_121417.docx 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 Transmittal Letter 1 c, , I, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Allyson A. DATE RECEIVED: DEPT: BUILDING DWISION RECEIVED ECEt /C D FROM: Omar Alami Abouhafs V G AN, 2 0 2021 COMPANY: Taylor Morrison CITY OF TIGARD PHONE: (360)946 8674 BUILDING DIVISION By: .Jt, EMAIL: OAIamiAbouhafs@taylormorrison.com/PermitSubmittals@... RE: 14156/ 14158/ 14160 SW 165TH AVE. MST2021-00098/00099/00097 (Site Address) (Permit Number) Polygon at Roshak Ridge( lot 166 ) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: d'�r„ c,* �4�;� tkk*✓"a+E3t` "�' *' ,� bl4c' z ,�'`}i;� �:y �r�^w� �L �as� � a� �,�� ,� �� ,�c3� 3��� ,"i ¢g'q, f df 6 I '7Zl '+^ s _ V,,li k,'t, s Ott E ,. €,tt�N�,f�1n�s i 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 OF 'ICE USE ONLY Routed to Permit Technic. n: Date. ZS Z) Initials: Fees Due: E Yes No ee Desc iptio : Amount Due: 1,\,..5D N.) e $ f2 Special Instructions: Reprint Permit(per PE): ❑ Yes No 6 ❑ Done Applicant Notified: Date: q/ ?, - Initials: