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Permit Plumbing Permit ApplicaCEIVED Building Fixtures SEP 1 20/.. FOR OFFICE; i'sh: ()MA City of Tigard Eiew �j�Z/ MST2021-00097 III g zo Y O F TIGARD Pen"``No� 13125 SW Hall Blvd,Ti ard,OR 9D Phone: 503.718.2439 Fax: 503 ^ / Other Permit No.: 11I1...9(3i NG DIVISION Date/By At!H Inspection Line: 503.639.4175Date Read/B ////// Jrns: H See Page 2 for 7 I C A R ll Internet www ti ard-or ov y y /-'/ / �� g g g Notified/Method:✓G) Supplemental Information TYPE OF WORK• /C,- e,4' FEE* SCHEDULE ❑Q New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑I 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ID Accessory buildingSFR(3)bath 500.32 ❑Multi-family Each additional bath/ki hen 25.02 ❑Master builder ❑Other: t/ Fire sprinkler(2408_sq.ft.) Page 2 JOH SITE INFORMATION AND LOCATION Site utilities: Job site address:14160 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.:SFU 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.:\166 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 11 PROPERTY OWNER 3 ❑ 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 0 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 State surcharge(12%of permit fee) Authorized signature: 1-74----) TOTAL PERMIT FEE lrq-"l f This permit application expires if a permit is not obtained within 180 days/ Print name:Gavin Thomes Date:8.25.2021after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. LV Building V Permits V ELM U-PermitApp.doc 10/01/09 440-4616T(I 0/02/COM/WEB) Plumbing Permit Application - City of Tigard Pagr.e 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Q�'. teas 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-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 Valuation: Permit Fee: Storm&Rain Drain-1st 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 S72.50 for the first$5,000.00 and$1.52 for Wither Inspections or , 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 ❑ Any new commercial building with water service 2"and Baptistry/Font greater.except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash, -Each Stall El 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 ID 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 MachiRefrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/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 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 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. II m City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter r ,, ,; I, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Allyson A. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Omar Alami Abouhafs GAF' , 2 0 202I COMPANY: Taylor Morrison CRY TIGARD PHONE: (360)946 8674 BUILDING DIVISION By: 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: t y f f + 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 examiners comment: Provide Radon Mitigation. Radon mitigation provided in an A4 document(8.5x11). Please attach this document to the plans referenced above. FOR OF 'ICE USE ONLY 7 Routed to Permit Technic' n: Date ZS ZI Initials: Fees Due: ❑ Yes No ee Desc ptio Amount Due: ijoi N) e `, $ ____<-_, Special -- Instructions: Reprint Permit(per PE): ❑ Yes VNo 6� ❑ Done ibi\____ Applicant Notified: Date: 7I 6202—,' Initials: INCITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00097 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2021 T t c;A R.f� g Parcel: 2S107AA16600 Jurisdiction: Tigard Site address: 14160 SW 165TH AVE Subdivision: ROSHAK RIDGE Lot: 166 Project: Polygon at Roshak Ridge, Lot 166-Primary Dwelling Project Description: New primary dwelling with(2)attached ADUs on separate permits. BUILDING Floor Areas Reauired Setbacks Required Stories: 2 Bedrooms: 5 First: 971 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 25.5 Bathrooms: 4 Second: 1437 sf Garage: 477 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2408 sf Value: $317,922.78 Rear: 15 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: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 7 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: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2408 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: $31,117.73 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 503.232.1779�887 or 1.800.332.2344. Issued By: 1IoUy Val f'ti e,WP.e Permittee Signature: 0ivA 1''f 'artfirn 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. 1 i �C�Lb Building Permit Application �_ 0- 3/l 4,J2.1 RECEIV Residential FOR OFFICE I S1:Oy'1.1 MAR 1 6 2021 Received M W"`.OOO 1 City of Tigard Permit No. 0 J 7 1111 '� 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: 3 Z /21 f I— m Phone: 503.718.2439 Fax: 503.598.1960 �.ITY OF TIGAa fljlanReview t L Jjç/j IA'PSUJ at ' f11T Other Permit v lQ�ZFj bu Jam'"( tic i iN RI) Inspection Line: 503.639.4175 BUILDING DIVIS ON Ready::-t3y: H See Page t for Internet: www.tigard-or.sov iVbitizd/Method �iL/� r�7 Supplemental Information 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 CATEGORY OF CONSTRUCTION work indicated on this application. 1 46 f ® I-and 2-family dwelling ❑Commercial/industrial Valuation: $ `�( a • ❑Accessory building ❑Multi-family Number of bedrooms: 5 0 Master builder ❑Other: Number of bathrooms:).4 JOB SITE INFORMATION AND LOCATION Total number of floors:2 1�46S-- Job site address: 14160 SW 165TH AVE _ New dwelling area: !-ipS square feet'9-37 City/State/ZIP:Sherwood, OR 97140 ^ _ Garage/carport area: 477 square feet ell l 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:COMIIERCIAT:I'SE CIIF(k.lIST 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. . 1 DESCRIPTION OF WORK work indicated on this application. New Single Family Valuation: $ Aked KArth IV �j,��� /�v„ �{r� .(_{I7 Existing building area: square feet /1 et`Ziffit0.7,441/ New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:Polygon Homes WLH LLC Type of construction: Address:703 Broadway St., Ste 510 Occupancy groups: City/State/ZIP:Vancouver, WA 98660 Existing: Phone.( 360 946 8674 Fax:( )360 693-4442 New: 0 APPLICANT 0 CONTACT PERSON U9 BUILDING PERMIT FEES* (Please refer to leeschedule) 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: Commercial and residential prescriptive installation of (ON FRAC'1't)R roof-top mounted PhotoVoltaic Solar Panel System. Business name:Polygon Homes WLH LLC Submit two(2)sets of roof plan with connection details and fire department access.along with the 2010 Oregon Address:703 Broadway St., Ste 510 Solar Installation Specialyy Code checklist. • City/State/"LIP: Permit Fee fiftcludes plan review Vancouver, WA 98660 $180.00 and administrative tees): 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: 2J'tt i2.•,t 1e;yyG,C'�Clttei a^,,,G.t - 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: 02/15/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BIJP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) IEG E1VE Nfechanical Permit Applicatio FOR OFFICE LSE:ONLY . , 1 . .....- MAR 1 6 2021 Receteiaivay, s 1 City of Tigard 1 Petmit No,' Iv)yoca‘_occril, I ; .;,. 'I, 13125 SW Hall Blvd.,Tigard,OR 97223 ,..1. ji r_A ran man R.MCW . . ..., • Phone: 503.718.2439 Fax: 503.598.1960 CITY n „di, —F1-1,.." ..- Date/By, Other Permit S(A0202 t-OC:0€7.1 Inspection Line: 503,639.4175 — T 1 W.I.,i'.1 BUILDING DIVIslc-Ft.Readyil3r. iaitc SI See Page 2.for Internet: wwv.,..tigard•or.gov Notifieetavletheit.-. Supplertientai information t— TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CEIECWST 1 - Mechanical permit fees are based on the value of the work L. New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition El Other: inechanical materials,cluipment.labor,overhead,and profit: - Value; . CATEGORY OF CONSTRUCIION RESIDENTIAL.EQUIPMENT/SYSTEMS FEM* 2 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist _ .. 1 j Multi-family 0 Master builder 0 Other: EITe.Teription Qty. Ea. . Total ----7" '. Ile...long/cooling: , _.JOB SITE INFORMATION AND LOCATION Air conditioning 1 46.75 Job site address; 14160 SW 165TH AVE Furnac0 e 10,000 BTU(duets/years) 46,75 • : City/State/Z1P: 1i Tigard,OR 97224 Furnace 100,000+BTU(duets/vents) 54.91 • 1 ---- 1 Heat DUmp • Suite/bldg./apt.no.: . Project name: Polygon at Roshak Ridge I Duct work .__ 61.06. 23,32 — i — Cross street/directions to job site: I Rydronic hot watra.system 23.32 --4 Residential boiler(radiator or hydrottic) 23.32_, _j Unit heaters(fire-___1 type,not electrie),-7 in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23,32 subdivision:. Polygon at Roshak Ridge L°t 31°'' 166 r' - Other fuel appliances: .„. Tax mapipare.el no.: I Water heater 23.32 I I D.ESCRIrl ION OF WORK Gas fireplace/insert _ 33.39 1.- Flue vent for water hcat-er or gas New Single Family fireplace _ 23.32 _____ , -__ Log ligiter(gas) 23,32 L......,..____ Woodisellet stove ' 33.39 Wood fireplace/insert 23.32 Chimneyilinertnuelvent 23.32 Other 23.32 1'4 PROPERTY OWNER I El TENANT i Environmental exhaust and ventilation: Name:Polygon MB,LLC Range hood/other kitchen —1 LeRuiPTellt 33.39 ..... .„....„..... Address:703 Broadway St.,Ste.510 i i Clothes dryer exhaust 33.39 •• City/State/ZIP:Vancouver,WA 98660 1 Single-duct exhaust(bathrooms, „.„._... i toilet cotnpartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 APPLICANT 0 CONTACT PERSON Other 23.32 , . Fuel piping: ' ' Business name: Polygon WL11,LLC _ $34.15 for first four;$4.03 for each additional Contact name:Tonja Morris _pas Address:703 Broadway St.,Ste 510 heat pump Wall/suspended/unit heater City/State/ZIP: Vancouver,WA 98660 Water.JIR!P1._ „_„......... , _ Phone:(360)695-7700 Fax::(360)693-4442 Fireplace ..._ .... -1 Ramie E-mail:-permitsubmittals@tayiormorrison.com Barbecue . . -. -- . .....17------- CONTRACTOR Clothes dryer(gas) „,.._..„. . ___.... Business name:Pro Heating 84 Cooling Other... ,, __________MECITAMCAL PERMIT FEES* I Address', NW Alociel:Dr,Ste.1104 _ r ___ City/State/ZIP:Hillsboro,OR Subtotal Minimum permit fee(590.00) — 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 1811 m:L 1)64.-4,0.41. days after it has bees accepted as complete. Authorized signature: • Fee methodology set by Tri-County Building Indosey Service Board { Print name:Elia Duran Date: 1 0/30/20 T•114.tilrloka{PrrentirttAff,..- 11/2-rm.14nn(110111 rico A An A A S TT A,*IlAs 6,11k A narCtr. • • i Electrical Permit Applicatio, RECEIVED . City©Tigard 5. \t -zi yo Permit#(x)(;: `-e -cyjocLZ . 13125 SW Ball Blvd.,Tigard,OR 97223 NAY 1 8 2021 PlanReview Related Permit 4: Phone: 303.718.2439 Fax: 303,598.1960 llatrrtty 1�. r lJ Inspection Line: 503.6394175 CITY OF TIGARD 'heady t)atWAy- Ions See Page 2 for Internet: www.tigtad-or.gov NonftcNMnM,d Supplemental h i.1 D!r,liDIVISIC) i PIS Information TYPE OF WORK PLAN REVIEW IN New construction 0 Addition/alteration/replacement Please check all that apply(submit/sets of plans whir-ors checked) ❑Service or feeder 400 amps or more 0 Building over three stones ❑Demolition ❑Other: where the mailable fault current ❑Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Hosting buddurgs Vg 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,0110 ❑Commercial-rue agricultural amps❑Multi-family ❑Master builderfor all other installations buildings. 0 Other: ❑Fie pump 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately denved 0 Addition of new motor load of system. Job# 14160 S W 165 th Ave: Job site address: 1001TP or more. ❑"A".'!' "I-2' -t-3", City/State/ZIP: Tigard,OR 97140 0 Six or more residential units occupancy 0 Mahn-care facilities. ❑Recreational Schick parks. Suite/bidg.apt_4: Project name: Polygon at Roshak Ridge ❑Lrarardon lacattrms 0 Supply voltage for more than _- 0 Service or feeder 600 amps or more 600 volts nominal Cross street/directions to job Site: FEE SCHEDULE E mot»■ i otv, I Each [ row i • New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: 166 includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168 54 4 Ea.add'I 500 sq.it.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.fL) 75.00 2 New construction,Type SFU Limited urn,gy,multi•famdy residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 al PROPERTY (AVNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: Polygon Homes WLH LLC 200 amps or Tess 100 70 . 2 Address: 703 Broadway St.,Ste 710 201 soaps 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:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: OAlamiAbouhafs@taylormorrison.com-PermitSubinilIats@day[txmorrison.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps tn400 amps 125 08 2 Owner signature: Date: 401 amps to 599 amps 168 34 2 0 APPi.ICAN'F i ❑ CONTACT PERSON Branch circuits•-new,alteration,or extension,per panel A Fee for Business name: Polygon Homes WI.H LLC above s servai branch circuits with ce Of feeder foe, 7.42 2 • each branch circuit Contact name: Omar Alami Abouhafs B Fee for branch circuits without _ Address: 703 Broadway St.,Ste 710 sbowel err fu crrcu d fee,first b 56 18 2 branch City/State/ZIP: Vancouver,WA 98660 Each add'I branch circuit 7.42 2 Phone: 360 946 8674Miscellaneous(service or feeder not included) ( ) Fax::( ) Each manufactured or modular 67 84 2 Email:OAiamiAbouhafs to lormorrison.com-PermitSubmittal. dwelling,t only and/or feeder Y c@taylottnotrison.ctxn ttocrxurwr only 67&t 2 CONTRACTOR Pump or irrigation circle 67.84 —2— Business name: Wallace Electric So or outline lighting 67.84 2 Signal errcutt(s)or limited-energy ' I Address: 105 Dresden St -panel,alteration,orextension. 0 See Page 2 2 City/State/ZIP: Astoria OR 97103 Each additional inspection over allowable its any of the above Additional inspection(I hr:nth) 66 25/hr I-Phone:(503 38 0563 lax:( ) Investigation(1 hr min) 90.001 hr Email: David()wallaccwires.com Industrial plant(1 hr rain) 78 I8/hr Inspections for which nu fee is 90 00t hr COI l.ie•:224868 Electrical Li • C1441 Su . I: 6363S specifically listed OS hr min) ELECTRICAL. PERMIT FEES Supra.Electrician signature,required: Subtotal (�ii.a© Date: ///� j i __El Plan Review Required(25%of permit fcc): Print name: i j�j State surcharge(12%of permit fee) Authorized signature -- TOTAL PERMIT T ill This permit application expires if a permit is not obtained within 180 Print name , Date: /j / days aftertr has been accepted as complete. +i r b r L_. " Number of inspections allowed per permit. l lBuihhng'or ts'ELC_PcrmRApp_ELi;ERE.dcc Rev 06'17/2013 4 C 46l ST(1 UOSfColdAt1EB 1 . Plumbingv Permit pplicatiot E��� E4 i Building Fixtures MAR 1 6 2021 I tllt 01,11t F I'"1 ()\I 1' Received HallTig ✓ITY OF 11UAHU r 3/Wzi ^ ___ PerrnitN©:Nisr2U21`OObT 1 13125 SW Hall Blvd.,Tigard.OR 97223 L?rt=1"D € Plan Review t 3,, Phone: 503.71.82439 Fax: 503,598,449ILDING DIVISION Date/By Other Permit No.::&AOKI-Opq hispection Line: 503.639,4175 Date Ready,t3y° !u eX: ® See page 2 for Tit+Alt-1) Internet: www.ti and-oc ov & & Notified/Method: Supplementx!Information ' 1 TYPE OF WORK FEE* SCHEDULE New construction ❑Den Demolition Forspecial information use checklist p _.__.__. . New 1-2-farrti dwelling s(includes 100 Q . for each utility Conn etal_Description __ __ _ Y 0 Addition/alteration/replacement lacement 0 Other: action CATEGORY OF CONSTRUCTION SFR(1)bath : 312,70_ (X I-and 2-family dwelling ❑Commercial/industrialL SFR{2}bathj 437.78 �" I SFR(3)bath 500.32 I ❑Accessory building 12-Multi-family Each additional bath/kitchen 2:5,02 I ©;Master builder 0 Other: Fire sprinkler( sq.ft) Page 2 JOB SITE INFORMATION ANT) LOCATION Site utilities: _... 14160 SW 165TH AVE Catch basin or area drain 18.16 Job site address: ,...--.--�.. .�..___.. Dtywell, each line,or ,76 City/State/"LIP:Tigard,OR 97224 _ µ Footing dlrain(tto linear fi trensh drai e.Pag2 Suite/bldg/apt.no.: Project name ittePolygon at Roshak Ridge Mtinttfactured home utilities 50,03 I Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear R.: ) Page 2 ' j _ __..__._ ----. Stonn sewer(no,linear ft.:_;) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Polygon at Roshak Ridge Lot no.: 166 1 Fixture or lisp: _ Tax map/parcel no.: Backflow prey enter 31.27 Backwater valve 12.51 DESCRIPTION OF WORK - - ---- Clothes washer 25.02 New Single Family ( Dishwasher t 25.02 Drinking fhuntain 25.02 _ Ejectors/sump 25.02 Expansion tank 12.51 El PROPERTY OWNER. 0 TENANT p Name:Poiyl on WLH,LLC Fixture'sewer cap 25.02 Floor drain floor sink/hub 25,02 Address:703 Broadway St.,Ste 510 — i Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 1 Hose bib 25.02 Phone:(360)695-7700 I Fax:( ) Ice maker 12.51 I. APPLICANT t ❑ CONTACT PERSON I intercepto.grasp trap 25.02 Business name:Polygon WL11,LI.0 Medical gas(value:S_) Page 2 Contact name:Tonja Morris Primer 12.51 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) I 62..34 Phone:(360)695-7700 Fax: :(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:permitsubmitaals{g polygonhornes.com . - _ ®. Water closet 25.02 CONTRACTOR -- _ ... Water heater 37.52 j ! Business name:C&B Plumbing&Sons Inc Water p tpgDin WV 56.29 Address:P.G.Box 92 Other, 25,02 I I City/State/Z1P:St.Paul,OR 97137 • Subtotal i I Phone,(503)868-1417 I Fax:(471)72',-8170 I Minimum permit fee: E72.50 Plan review (25%of permit fee) CCB Lie,:184372 Plumbing Lie.no.:pb634 L - j State surcharge(12%of permit fee) Authoriz i signature. r-p- TOTAL PERMIT FEE Print name:Steve Fowler Date: 10/30/20 This permit application expires it a permit is not obtained wIthln t80 days after it has been accepted as complete. "Fes methodology set by Tri-County Buitdiug Industry Service Board. 1:01:3Ing,,Permits\FLMCi i Tau App,skx :O'O1'O5 440.46I6T(.i e'ii:'C'O MAwkii) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ T►ci n u n Building Permit Review — Residential Building Permit #: WIST2cf2 - OGO 9- Site Address: 14160 SW 165th Ave Project Name: Polygon at Roshak Ridge Lot #: 166 Planning Review Proposal: New single detached house 17V2,1 Wl a 12--/ 0 Verify address/suite#active in Accela. 0 In River Terrace: ❑ No 0 Yes,River Terrace Review Addendum Site Plan Elements: 'Lgrosion Control 0: copies of site plan on 8-1/2"x 11"or 11 x 17"paper Retained trees with drip line and tree protection measures 13 Prawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE 0 orth arrow 'LJtility locations&easements(required for new and additions) Fite address,project or subdivision name and lot number °Sidewalk/driveway approach 0 applicant information(name and phone number) 4,ocation of wells/septic systems 0 ot dimensions and building setback dimensions street tree size,type and location n'quare footage of buildings to be demolished .Street names NIP II xisting structures on site orner elevations(2'contours if more than 4'differential_� II ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? LJres 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): n n Required: ❑Yes,applicant was notified ❑o No Received: El Yes ❑No 14 P tr-J Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified "No Received: ❑Yes Id No 0 SDC Exemption for ADU applied for: Yes El No Received: ❑Yes No El Public Facilities Improvement(PFI) Permit: Required: ❑o Yes,applicant was notified ❑No Applied For: 0 Yes 0 No,stop intake O Land Use Case#: SUB2015-00004 0 Zoning: R-4.5 O Required Setbacks: Front: 8 Rear: 15 Side: 3 Street Side: NSA Garage: 3 O Building Height: Max. Height: 30 Actual Height: 25.5 P m Landsca e Area: PIA % ii) Lot Coverage Max:. _ Entrance ° Set back no more than 8'from street-fac. g wall El Parallel to street or offset 45 degrees or less Windows ° Minimum 12%of area of all street-facing facades Garage door is behind widest street-facing wall ❑Yes ❑ No,one of the following is met: oo no more than 5'from wall and there is a covered porch extending beyond garage. Door extends no more ' m wall and there is a 12 sq ft.window abov 2rni floor. t4/1". ❑ Garage door width is 12'or less 5 0 of fac %or less and includes 7 of following: Covered porch Recessed entra all offse 'Roof eave B Roof offset of ap Siding Ro itch ❑ Gable,kip,or oof Dormer _ Accent siding _ Window trim U Window recess U Window projection ❑Balcony 0\t A Visual Clearance 0 Urban ForestrPlan Sensitive Lands: El Yes al No Type: ElConditions met prior to issuance of building per 't Notes: 0 Approved By Planning: Date: ie 21.- /. / Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: El Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES_122419.docx t Building Permit Submittal Original Submittal Date: ?j/L(p 12 Site Plans: # 3 Building Plans: # g Building Permit#: Et Enter buildin permit#above. Workflow Routing: a Planning ngineering Iermit Coordinator Building Workflow Sign-off: ,Sign-off for Planning(include notes from planning review) Route Application Documents: Er Engineering: (1) copy of permit application, (1)site plan, (1) building plan and /original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: __- - Date: 31/40.t En neering Review 0 ff Slope at building pad: .2/0 Eronditions "Met"prior to issuance of building permit /t11452 Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes L -. Assess Water Quantity Fee in-lieu: ❑ Yes L ►o LIDA Facility on lot: ❑ Yes I No IN'inal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: Z`�y,--72/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review MC. ditions "Met"prior to issuance of building permit r a , pproved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: J2 4.:DC Exemption: ❑ Received Xoes not a-� ly SDC Fees Entered: Wash Co Trans Dev Tax: �es 1 N/A Tigard Trans SDC: �es ❑ N/A Parks SDC: Yes ❑ /A LIDA Yes ! N/A OK to Issue Permit Approved by Permit Coordinator: _ iilL' Date: g/g//-! I:\Building\Fonns\BldgPennitRvw_RES_122419.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT Ill T l G A R D River Terrace Building Permit Review Addendum Building Permit #: Mcr20^2 1 - OOO' - Site Address: 14160 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? El Yes ❑° 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 ❑ ❑ ❑ ❑ 2. Eyes on the str- : 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: ❑Max. 8 ft. setback from longes treet facing wall El Parallelto street, . gle no more than 45° from street, or open onto por Entrance opens to a porch: ❑Yes I o If es,all the following apply: ❑25 sq.ft. 'n. 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 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 Il ormer min. 4 ft.wide ❑Roof eave min. 12 inch projection ❑R., offset min. of 2 ft. ElRoof 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 El Accent siding min. 40%of street fa .e ❑Window trim , ' . 2 1/2"wide by 5/8"deep ❑Window recess min.3 inches for • street facing ❑Bay window min. ft.wide by 2 ft. deep ElBalcony min. 5 ft.wide x 3 ft. .eep with inside access ❑Attached garage is 3 'o or less of street façade 5. Garages and Carports: '1 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. ElMay 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 ❑40%max. of street façade 50%max. of street façade with 7 detailed design elements Notes:Approved By Planning: _ Date: A/Z/ I:\Building\Forms\BIdgPennitRvw_RES_RT_121417.docz YIED City of Tigard • COMMUNITY DEVELOPMENT DEREWI 114 I Water Meter Fixture Unit Workshee 6 m T1AR CIlYO�TIR For New Buildings 3UILDING 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 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: 14160 SW 165th Ave(SFU)- 14156 SW 165th Ave(ADU 1)- 14158 SW 165th Ave(ADU 2) Subdivision Name: Polygon at Roshak Ridge Lot#: 166 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 1 3 x 2.5 = 7.5 Hose bib, each add'1 x 1 = Kitchen sink 1 1 1 3 x 1.5 = 4.5 Laundry sink x 1.5 = Lavatory 6 4 5 15 x 1 = 15 Water closet, 1.6 GPF 4 3 3 10 x 2.5 = 25 Bathtub/whirlpool x 4 = Shower stall 2 1 1 4 x 2 = 8 Bath/shower combo 1 1 1 3 x 4 = 12 Total Fixture Unit Points: 88.5 Fixture Unit Points: 1 to 30=5/8" 37.5 to 89= 1" 30.5 to 37=3/4" Meter Size: 1" 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:/Bui(ding/Forms/WaterMeters_010121 New.dOCX Page 2