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Permit F1E Plumbing Permit Application n CEIVE® Building Fixtures SEP 20 '.' City of Tigard <.:i i Y OF 1I( A `v Received IIII • 13125 SW Hall Blvd.,Tigard,OR,97 �"�11A1�11 n,I cc AA t Date/By: 7// �/ Permit No.: MSS 2021_���grj S Phone: 503.718.2439 Fax: 503.,, .1I96b1y EA�U�A��'` Plan Review /� la / Date/By: / /4-662 Other Permit No.: I I G A R D Inspection Line: 503.639.4175 Date Ready/By: / ,/ J)jl Juris VI See Page 2 for Internet www.tigard-or.gov Notified/Method P. J Jj/ AJ t/ Supplemental Information TYPE OF WORK 'i- FEE* SCHEDULE E)New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total El Addition/alteration/replacement El Other: New I.2-family dwellings(includes 100 ft.for each utility connection) CATEGORY_ ,OF CONSTRUCTION SFR(1)bath 312.70 ❑■ I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ElAccessory building ❑Multi-family SFR(3)bath 500.32 Each additional bath/kiyien 25.02 ❑Master builder El Other: Fire sprinkler(1625 sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:14132 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-1 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: Lot no.:1165 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 ill PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:Taylor Morrison -_ Fixture/sewer cap 25.02 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 j 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 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 l �� State surcharge of fee) Authorized signature: TOTAL PERMIT FEE /3 53 Print name:Gavin Thomes Date:8.25.2021 This permit application expires if a permit is not obtained within 18 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. IA Building V Permits VPLMU-PermtApp.doc 10/01/09 440-461ST(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),` TOM 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 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 Qty Fes ) Total each additional$100.00 or fraction thereof,to Other Inspections s 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) 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 ❑ New exterior plumbing site utilities for any complex structure as defined in OAR9I8-780-0040. -Drive Thru ❑ Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator 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: -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 EDCs,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: L:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00095 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2021 TIC;;k I:f? 9 Parcel: 2S107AA16500 Jurisdiction: Tigard Site address: 14132 SW 165TH AVE Subdivision: ROSHAK RIDGE Lot: 165 Project: Polygon at Roshak Ridge, Lot 165-ADU 1 Project Description: New attached ADU, 1 of 2. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 672 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 22.5 Bathrooms: 3 Second: 953 sf Garage: 287 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1625 sf Value: $212,859.60 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 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: 2 201-400 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 Ecom asin Y Other: N Other Description: p g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW ADU VB R-3 1625 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: $25,547.61 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 503.232.19987 or 1.800.332.2344. Issued By: 1 'Uy V DeJwege Permittee Signature: 0wAI'1�t�8U'aJt,0 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. .- Building Permit Application RECEIVE Residential MAR 1 6 2021 Received Cityof Tigard Permit No.: boom- "" 131SW Hall lvd.,Tigard,OR 97223 Date/By: ''At:VI &yr-- kcr20,21- Plan Review I e,� gnA2 i ��Q/ II C `,, Phone: 503.718.2439 Fax: 503.598.1960 . I Y Ur C"IGARUDate/By: !�/j Other Permit: /„+ TIGARt? Inspection Line: 503.639.4175 3UILDING DIVISIO to Ready/By: / J�u(r�( El See Page 2 for Internet: www.tigard-or.gov ified/Method: !�/ 1 \G Supplemental Information 4 igr—r � TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application 1 ^^ - 0 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ,P t d-f sS / �� ❑Accessory building 0 Multi-family Number of bedrooms: 3 ❑Master builder ®Other: ADU 1 Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 2 6 l e— Job site address: 14132 SW 165th Ave. New dwelling area: i Ij4 ivare feet 153 City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 287 square feet (j1 a. 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.: 165 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 1) Valuation: $ , - < Existing building area: square feet z. • New building area: square feet ® PRO'ERTY 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: Phone:(360)946 8674 Fax:( ) New: ® APPLICANT 0 CONTACT PERSON ("9 BUILDING PERMIT FEES* ' Business name:Polygon Homes WLH LLC (P/earerejerrnjeesched� ) 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@taylormorrison.com,OAIamiAbouhafs o)taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM PEES* 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. Cit /State/ZIP: Permit Fee(includes plan review Y Vancouver WA 98660 and administrative fees): $180.00 Phone:(360 )695-7700 Fax:( )360 693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 // �/[ Total fee due upon application: $201.60 Authorized signature: £7J t&t-t'1/�u u .cycl. e+ 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/`.3/2021 *Fee methodology set by Tri-County Building Industry Service Board. C\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46=3T(1 I/02/COM/WEB) RECEIVED Mechanical Permit Application MAR 1 6 202 O ©F ICF ESEo 1 City of Tigard '' t L3, Permit ho. /y� t 131.25 SW Hall Bivd,Tigard,OR 97223 iv1 I Y OF TIGA•ip' 3�`�Z�L �� L'15 021-��5 i Phone 50�718.2439 Fax: 503.598.1.960 Other Perim. trite/tltl Inspection Line: 503 639,4r7s BUILDING DIVIlitrY'3d. ,u See PBgC for dGrfo Internet: ttnvw.rigard^ot'.gov id'Methods Supplement I information —.- TYPE OF WORK I COhiriIERCIA[r WEE' SCHEDULEUSE CHECKLIST Mechanical permit fees*are based on the value of die work New construction El Additionialterationlreplacetnent performed.Indicate the value(rounded to the nearest dollar)of all • ❑Demolition 0 Other: -mechanical materia)s.egnp nentr labor,overhead,.and profit.______ _ Value:S _ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* __--_.-, I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building i For special information use checklist Multi-family ❑Master builder ®Other: ADU 1 Description Qty. Ea. L_ Total JO13 SITE INFORMATION AND LOCATION l Hearin„/cooling: I Air conditioning 1 46.75 Job site address: 14132 SW 165th Ave. Furnace 100,000 BTU(ducib/venis) 46.75 _ City/State/ZIP:Tigard,OR 97224 Furnace 100,000*BTU(ducts/vents) 54.91 _.._ ..___,-___w_ Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge — I t pump 61.06 ._.. Due . 1 Duct work 23.32 Cross street/directions to job site:__ _.._.m_ Hydronic hot water system _ 23.32 Residential boiler(radiator or _hvdric) __ _ 23.32 -_ Unit heaters(fuel-type,not electric), ', I in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 1 Subdiivisiott: Polygon at Roshak Ridge Lot no.; 165 Other: 23.32 ______ __..__...-._.__.._._ Other fuel appliances _ Tax rnapiparcel no, Water heater 23.32 DESCRIPTION OF WORK ( Gas fireplace/insert 33.39 - Flue vent for water heater or gas New Single Family- Accessory Dwelling Unit(ADU 1) fireplace •-, . 23,32 _ _Log Lighter(gas) .• 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chirnneyliner/flue/vent 23.32 .. - Other: 23.32 0 PROPERTY OWNER. 1_2 p TENANT 1.__Name:Polygon WI.H,LLC -� ��� I Range hood/other her kitchen andtal exhaust ventilation: 1 ujpmcnt .._.._.. ._ 33.39 Address:7(13 Broadway St.,Ste.510 _ ._ .__.....___a Clothes dryerexhausi 33.39 _ [ City/State/ZIP'.Vancouver,WA 98660 Single-duct exhaust(bathrooms, . ....._..._..___ toilet I_.,..___ _.._..Y.-__..M. -..- _...._____. � compartments,utility rpotres) 23.32 Phone:(360)695-7700 Fax:( ) Attic/^rawlspace fans 23.32 APPLICANT 0 CONTACT PERSON Other Fuel_ptip ng: _____ Business©arise. Polygon WLR,LLC 3 S14.15 for first four;S4.03 for each additional Contact name: a Tonj Morris I Furnace,etc. Address;.703 Broadway St.,Ste 510 • Cray heat pump ! as __ I Wall/suspendediunttheatet 1— Ciry/State/ZIP-Vancouver,WA 98660 i Watts heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace V 1.______ •3 , Range E-mail:permitsubmittals(taylormOrnson.COm Barbecue CONTRACTOR Clothes dryer ttt.s0 _... Business name:Pro Heating&Cooling Other: - _p Address: NWAlocick Dr,Ste.1104 _ _N ANIC` LPERMITEES*` 5uFhtotal 1 City/State/ZIP:Hillsboro,OR Minimum permit fee{�90.p0) _ Plan review(2)°if,of pettuit fee} Phone:(360)270-1590 Fax:( ) State surcharge(12,`4 of permit fee) LCCB lic.:209001 TOTAL PERMIT FEE i This permit application expires if a permit is not obtained whisk,1A0 / days after it has been accepted as complete. Authorized signature: �""Q' �u' Per methodology set byTri-Coup Building iedur Service.Board B try I Print name:Elea Duran Dare: 10/30/20 ,.tn„n.t,„.<vvnm, tttFr,...mIIAnc 1341,1111 An, .<n.c>+r Its RI,,rn..n,rcn Electrical Permit Application I tilt OFFICI. I tit ONEE- City of Tigard f.Tigard REC£1V E r'•-.: .• L� � y 111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review y 5`\e .-Lk k'tv Permit 4 Lt -GCOt� S S ' Phone: 503.718.2439 Fax: 503.598.1960 MAY 202 Related Permit t1 inspoction lane: 503 639.4175 Ready Datenly T t t.i:t li i) Internet: www.tigard-or.gov CITY OF T'IGARD ldotiSedMethod. June: Supplemental Information TYPE OF WORIJULDiNG DIVISION • PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please chock all that apply(submit j sets of plans w/items checked) 0 Service or feeder 400 amps in more El Building over three stones 0 Demolition El Other: where the...ilable fault current ❑Marinas and boatyard CATEGORY' OF CONSTRUCTION exceeds 10,000 amps at 150 voles or 0 Floating buildings ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building lest to wand,or exceeds 14.060 0 C-ornmercial-me agncult5Iral ❑Multi-family ❑Master builder amps for all other installaticrts building's ®Other A D U 1 ❑Fire pump 0 Installation of 150 KVA or JOB STTE INFORMATION AND LOCATION 0 Emergency system larger separately derived Job#: Job site address: 14132 SW 165th Ave 0 Addition of now motor load of system. 1001rP or more. O"A"-6-"1-2"."1-3", City/State/ZIP: Tigard,OR 97140 ❑sex or more residential units occupancy ❑Health-care facilities. ❑Rsx tutored vehicle parks. Suite/bldgJapl 4: Project name: Polygon at Roshak Ridge ❑ltarardous locations 0 Supply voltage for more than ❑Service or feeder 600 amps or more 600 volts nmmnral Cross street/directions to job site: FEE SCHEDULE Description I Ob.. i Each I •Total l • New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: 165 includes attached garage. Tax map/parcel#: + 1,000 1 it s 168 54 4 Fa,add'!500 sq.n,or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above 75.t)(l 2 New construction. Type: ADU 1 &t ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 1 ® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation_ Name: Polygon Homes WLH LLC 200 amps or legs 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 Sot 04 2 Phone:( 360 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or nAlamiAbouhafsc taylormorrison.com-PermitSubmittals(a)taylormorrison.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: _._ Date: 401 amps to 599 amps 168 54 2 Branch circuits-,new,alteration,or extension, r panel 0 APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with Business name: Polygon Homes WEN LI.0 above service or fender fee, 7.42 each branch circuit - Contact name: Omar Alami Abouhafn B.Fee for branch circuits without Address: 703 Broadway St.,Ste 710 service or feeder fee,first l 8 2 branch circuit City/State/LIP: Vancouver,WA 98660 Each add'l branch circuit 7.42 _ 2 Miscellaneous(service or feeder not included) Phone:(360 )946 8674 Fax: ( ) Each manufactured or modular 67 84 2 ell Email:OAlamiAbouhafs gtaylormorrison.com-PcrmitSubmittalst. taylorrorrison.com a'" b'g'service ar'ai°r feeder Reconnect only 67 84 2 CONTRACTOR Pump or Irrigation circle 67 84 2 Business name: Wallace Electric Sign or outline lighting 67.84 .2 Address: 1 OS Dresden St Signal ctrcurt(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP: Astoria,OR 97103 Each additional inspection over allowable in any of the above Additional inspection,(I hr min) 66 25/hr Phone:(503 308 0563 Fax:( ) Investigation(1 hr min) 90.00/hr Email: David(a),wallaccwires.coJn - industrial plant(I hr min) 78 18/hr CCB lie,:224868 Inspections for which nu fee is " Electrical Li • C 1441 Su . i., .' 6363S specifically listed(h hrmin) 90 001 hi ELECTRICAL. PERMIT FEES Suprv.Electrician signature,required: _._ �/ � Subtotal Print name:D tip Date: q// l 0 Plan Review Required(25%of permit fcc): l• State surcharge(12%of permit fee) Authorized signaturejorooci TOTAL PERMIT 1F1:1i: Print name:' # —1� 1)atc: (j / This penal*adays after Ne 6wir bees ea epreerpmiiet cnepied isanco plctccd within ISO — i Z(_..._ • Number of msponrons allowed per permit 1-1\whrhrieermas\ELc_ParaitApp-aR ERF..doc Rev 06%17/2011 4 v-4615T(11/051COM WSW Plumbing Permit Application Building Fixtures MAR 1 6 I'OR OI1.1t 1 1'41. ONLY City of Tigard CI1Y OF TI _f l ?f./ni N Permit No.: �- 1-C D,Dgr INn 13125 SW Hall Blvd.,Tigard,OR 97223 t- / ^ y, Phone: 503,718.2439 Fax 503,598.1960 BUILDING DPVM,9111w Other P rrnitNo.: n2,0217Lb06/ 1It;,1RT_) InspectionLiuu: 501.639,4175 UatekeadwEiy; June: B1 See rage?lor Internet: www.tigard-or.gov NotifrrdMettwd!. Supplemental Informatitrn TYPE OF WORK FEE* SCHEDULE New construction ❑Demolition Far special in urination use checklist Description Qty, Ea, Total ❑Addition/alteration/replacement ❑Other New 1 2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath I 312.70 / i _ SFR(2}bathi 437,78 1-and 2-family dwelling IDCommereiaUindustrial !�..�.. SFR(3)bath 500.32 ❑Accessory building Multi-family Each additional bathrkitchcn 25.02 ADU 1 — ►5 ❑Master builder i Other; �.' ...- _ _.�, Fire sprinkler( s,4,7#.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: ._,..._ — __ Job site address: 14132 SW 165w Ave Catch basin or area drain 18,76 Drywell,leach line,or trench drain . ' 18,76 City/`State/ZIP:Tigard,OR 97224 =`-. '�-� Footing dram(no.linear ft.' ) . l Page 2 Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge Manufactured home utilities j 50.03 Cross street/directions to job site: Manholes I 18,76 I Rain drain connector 1 18.76 Sanitary sewer(no.linear ft.: ) Page 2 i Storm sewer(no,linear ft.: ) Page 2 r„_._ . I Water service(no.linear ft:_) Page 2 Subdivision: Lot nt 165 I Fixture or item _ Tax map/parcel no.: 1 Backflow preventer I31.27 Backwater valve 12.51 DESCRIPTION OF WORK t i I Clothes washer 25.02 Dishwasher 25.02 i T _W�_ _.-_ Drinking fountain 25.02 1 Ejectors/sump 25,02. PI PROPERTY OWNER ❑ TENANT Expansion tank 12.51 i Name:Polygon WLH,LLC N Fixtaresewercap _ 25,©2 Floor drain/floor sinkfhub 25.02 i I Address:703 Broadway Si,,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 ® APPLICANT 0 CONTACT PERSON i interceptor/grease trap 25.02 • Business name:Polygon WLII,LI.0 Medical gas(value Ste). ' Page 2 ' I Prime; i 12.51 Contact name:Tonja Morris _ _.__ - Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink'basin`lavatory I 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 l Phone:(360)695-7700 Fax: (360)693-4442 Tub/shower./shower pan 12.51 ( E-mailPermitSubmittals@taylormorrison.com,OAlamiAbouhafs@taylonnorrison.com Urinal 25.02 i I Water closet 25.02( CONTRACTOR I __ _..._ .._..__.__.....______ _ Water hatter 37,52 1 Business name:G&B Plumbing&Sons Inc Waterpipirrk'Dtvv 56.29 I t I Address:P.O.Box 92 Other, 25.02' I City/State/ZIP:St.Paul,OR 97137 Subtotal I. 1 I Phone:(503)868-1417 Fax:(9 71)727-8170 Minimum permit fir: 372.50 CCB Lic.: 184372 I Plumbing Lie.no.:pb634 Plan review (25%of permit fee) � r' State surcharge(l2%of permit fee) Authorized signature: St _ .._..._.___� __ TOTAL PERMIT FEE L. Print name:Steve Fowler i Date: 1 O/3O/2O This permit application expires if a permit is not obtained within 1.80 days Om It has been accepted as complete. 'Fee methodology set by Tn-County Building industry Service Board. IAEswidmEiYawitsWLMU•Petmrt\pp.aoc tNlucia 440-0E161iIOWG.COi4'WEni City of Tigard 11 COMMUNITY DEVELOPMENT DEPARTMENT ': 11 TICARD Building Permit Review — Residential Building Permit #: nr209,‘- Oooa.S Site Address: 14132 SW 165th Ave Project Name: Polygon at Roshak Ridge Lot #: 165 Planning Review Proposal: New attached ADU ❑ Verify address/suite#active in Accela. ❑ In River Terrace: ❑ No Q Yes, River Terrace Review Addendum Site Plan Elements: erosion Control 0: copies of site plan on 8-1/2"x 11"or 11 x 17"paper detained trees with drip line and tree protection measures 11 I rawn 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) rite address,project or subdivision name and lot number '"si. alk/driveway approach Q pplicant information(name and phone number) 31bi,cation of wells/septic systems 11 a dimensions and building setback dimensions street tree size,type and location Il.quare footage of buildings to be demolished •treet names . 4II xisting structures on site °7,orner elevations(2'contours if more than 4'differential II .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ° es o area ous ery im i (applicable if R-7,R-12,R-25& P 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: ❑Yes,applicant was notified ❑No Received: ❑Yes ❑No 1 Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ❑o No Received: ❑Yes ❑r No 1 ElSDC Exemption for ADU applied for: ❑Yes CI NoReceived: 11 Yes ❑No i Q Public Facilities Improvement(PFI)Permit: Required: ❑r Yes,applicant was notified ❑No Applied For: ❑r Yes ❑No,stop intake El Land Use Case#: ADU2020-00013 Q Zoning: R-4.5 QRequired Setbacks: Front: 8 Rear: 1S Side: 3 Street Side: NSA Garage: 3 0 B 1 ding Height: Max. Height: 30 Actual Height: 25.5 g* andscape Area: % 1,�1►.t Coverage Max: Entrance , Set back no more than 8'from street-facing wall ❑ arallel 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 �\ IDYes o,one of the following is met: ❑ Door exte more than 5'from wall and there is red porch extending beyond garage. Door extends no more ' om wall a ere is a 12 sq ft.window above garage on 2nd floor. ❑ Gara e door width is 12'or le ess of facade _1 60%or less and includes 7 of following: Covered porch cessed entrance Wall o 1'Roof eave Roof offset Fire s ' Lap Siding ❑ Roof itch ❑ Gable,.hip, brel roof Dormer ccent siding Window trim U Window recess U Window projec ' ❑ Balcony III Visual Clearance ❑r Urban Forest Plan VII Sensitive Lands: ❑ Yes L"I No Type: CI Conditions met prior to issuance of building permit Notes: ❑ Approved By Planning: Date: ' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw_RES_122419.docx Building Permit Submittal ,, F- Original Submittal Date: 3/AIM (h,cjZ(6 0o5- Site Plans: # 3 Building Plans: # 3 Building Permit#: 2-Enter building�er/mit# above. Workflow Routing: Planning 'Engineering Permit Coordinator uilding Workflow Sign-off: H Si -off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and ci4on ' 1 plan review routing form. uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 3/z C 47 Engineering Review Slope at building pad: 1r FConditions "Met"prior to is ance of building permit ,v7j�" Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: py Assess Water Quality Fee in-lieu: ❑ Yes IvJ No Assess Water Quantity Fee in-lieu: ❑ Yes Er No LIDA Facility on lot: ElYes LI No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: ®Z Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Permit Coordinator Review 0...Conditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: El Received 0 Does not ai ly SDC Fees Entered: Wash Co Trans Dev Tax: 0'Yes N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: ita Yes El N/A LIDA ❑ Yes eaN/A E - OK to Issue Permit D Approved by Permit Coordinator: ®'��. Date: 3(;v (20—( 1:\Building\Forms\BI dgPermitRvw_RES_122419.docx City of Tigard INCOMMUNITY DEVELOPMENT DEPARTMENT C TIGARD River Terrace Building Permit Review Addendum Building Permit #: Mgr ot�l - cifeCtr Site Address: 14132 SW 165th Ave Project Name: Polygon at Roshak Ridge Lot #: 165 (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 ❑r No (Per MMD2020-00044) • rticulation: 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: facing wall ❑Parallel to street, . gle no more than 45° from street, ❑Max. 8 ft. setback from longes treet or open onto por Entrance opens to a porch: ❑Yes I o Iff j es,all the following apply: ❑25 sq.ft. . LJ One street facing entry ❑12 f ax.roof above floor of porch ❑5 ft. depth min. ❑30/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 former min. 4 ft.wide ❑Roof eave min. 12 inch projection ❑R.: offset min. of 2 ft. ❑Roof shingles either tile or wood ❑Gable, .ip 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 de ❑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 façade 5. Garages and Carports: ay face the front or side lot line on a corner lot. Setbacks: No closer to front o Side lot line,than longest street-facing wall. ❑Yes ❑No. If No (Check o : ❑May extend u. 0 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 façade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ti -�✓ • Date: <5 ', _a I:\Building\F orm s\B I dgPerm itRvw_RES_RT_121417.docx • City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1111 Water Meter Fixture Unit Worksheet TIGARD For New Buildings 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: 14130 SW 165th Ave(SFU)- 14132 SW 165th Ave(ADU 1)- 14134 SW 165th Ave(ADU 2) Subdivision Name: Polygon at Roshak Ridge Lot#: 165 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'l x 1 = Kitchen sink 1 1 1 3 x 1.5 = 4.5 Laundry sink x 1.5 = Lavatory 5 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 1 1 1 3 x 2 = 6 Bath/shower combo 1 1 1 3 x 4 = 12 Total Fixture Unit Points: 86.5 Fixture Unit Points: 1to30 =5/8" 37.5to89= 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:/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 IN _ ' Tr • ans mittal Letter I ,, is I 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Allyson A. DATE RECEIVED: DEPT: BUILDING DIVISION FROM: Omar Alami Abouhafs RECEIVED COMPANY: Taylor Morrison APR 2 0 2021 CITY OF TIGARD PHONE: (360) 946 8674 BUILDING DIVISION By: EMAIL: OAIamiAbouhafs@taylormorrison.com/PermitSubmittals@... RE: 14130/ 14132/ 14134 SW 165TH AVE. MST2021-00093/00095/00096 (Site Address) (Permit Number) Polygon at Roshak Ridge (lot 165) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: i' ,,fd a.. s ,. :s, It :.. �'ttt 7 NJ Nr.s,' `. 17: ,:; , 0 y L t g "` din i .3E:. 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(TICE USE ONLY Routed to Permit Technic'an: Date:, Li l`31 Initials: f Fees Due: ❑ Yes No ee Descripti Amount Due: L �f $ is D $ feZ __ Special Instructions: Reprint Permit(per PE): ❑ Yes ,No ❑ Done Applicant Notified: , Date: '`��2 L ( Initials: ����/1 '