Permit 01,05c-4 t /O c l b‘tKE
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
I WAR R r) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Allyson Armstrong DATE RECEIVED: yy
DEPT: BUILDING DIVISION tittlVtLJ
FROM: Chris Roberts 1AUG 2 2
CITY OF TIGARL
COMPANY: Taylor Morrison BUILDING DIVISIQh
PHONE: 503-313-9449 By
EMAIL: crobertsl@taylormorrison.com
RE: (Sitei a$s s.,J ( �� � M S Y 3-7` - I - col 3
(Permit Number)
.t4h1 IVse-r 14-P' L.a1- I
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. X Revisions: Adding a deck.
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: Bulletins to add a deck to the submitted plans.
PrM L66 9
FOR CE USE ONLY A A2
Routed to Per technician: Date: L /t. 2'L_ Initials:
Fees Due: I Yes El No Fee Description:: Amount Due:
(l2 D( ('.t-v $ 00
Special
Instructions:
Reprint Permit(per PE): Yes ❑ No ❑ Done
Applicant Notified: NfeS Date: 1004 12 r1 Initials:
Nri o Su' ites7-1
kt, `zc'u -CEO 1
CT ENGINEERING ECEIVED
I N C 180 Nickerson St.
rAUG 2 2 2022 Suite 302
Approved piano Seattle,WA98109
Shall be on job site. CITY OF TIGARD (206)295-4512(y)
BUILDING DIVISION (206)285 0618(F)
aso lomon(ai ctengineering.com
OFFICE COPY
BULLETIN
Date: April 14,2022 Number: CT-112 Project#: 15238
Project Name: River Terrace Area 4 SF Attached: CT-112.1 to CT-112.3
Subject: Lot 171 (Plan 6040BR)—Patio to Deck Conversion
Drawings Affected: Sheet A5 (Foundation Plan), Sheet A2 (Floor Plan)
Description/Action:
This bulletin provides response to RFI's, design clarifications and/or variation requests for the 'River
Terrace Area 4 SF' project located in Tigard, Oregon.
Per our discussion with Taylor Morrison, it's our understanding that for the lot/plan type noted above,
the patio adjacent to the Great Room will need to be converted to a wood framed deck (due to the
topography) as shown on attached pages CT-112.1 to CT-112.3.
City of Tiger, RUCTUR
Approved Plans ,c° PROF
Prk Date (3/S-31.1":7--- I N4-
D CI VS—I
VAS � 4GON
04/14/2022
CALL WITH ANY QUESTIONS
Issued by: Arnold R. Solomon Date: April 14, 2022
Distribution:
Contact Information:
Dennis Gaudreault Taylor Morrison
Frank Sandoval Taylor Morrison
Sam Scott Taylor Morrison
Amy Russell Taylor Morrison
Elizabeth Erlandson Milbrandt Architects
R:115238 River Terrace SF\Bulletins115238_2022.04.14_CT112_Lot 171 (Plan 6040BR)_Patio to Deck Conversion.doc
Structural Engineers
CT-112 BULLETIN CT-112.3
SEE ARCHITECTURAL MANUFACTURED RAIL
FOR ALL FLASHING SYSTEM AND
DETAILS CONNECTION DESIGN
BY OTHERS
I—JOIST W/WEB FILLERS
DECK JOISTS PER PLAN
P.T. 1X6 DIAGONAL BRACE
W/ (3) 8d EA. JST.
� lil��,►,1 _ ' /
►�i / A
1 JOIST BLOCKING 'ROVIDE DTT2Z
�I AT 6 FEET MAX O.C.
2) 0.228" DIA. LedgerLok
FASTENERS W/ 2" MIN.
PENETRATION TO RIM AT
16" O.C. STAGGERED
PT :EAM PER PLAN
2X LEDGER
SQUARE POST TO MATCH
PROVIDE DTT2Z ASS Y. AT NOTE BEAM
WIDTH
8 FEET MAX O.C. LedgerLok Fasteners shall POST CAPTO W/ PC
LOCATE ASS'Y. WITHIN 2 be per ICC ESR-1078
FEET OF EACH END OF
CK
I—JOIST PERPENDICULAR
SCALE: 3/4" = 1'-0"
TYPICAL DECK DETAIL
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2021-00137
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2021
T t c;;�I£T� 9 Parcel: 2S107AA17100
Jurisdiction: Tigard
Site address: 14288 SW 165TH AVE
Subdivision: ROSHAK RIDGE Lot: 171
Project: Polygon at Roshak Ridge, Lot 171
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 3 First: 1819 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 17 Bathrooms: 3 Second: 0 sf Garage: 430 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1819 sf Value: $243,523.74 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 4 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: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
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 addi 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:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1819
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
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $39,318.67
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 OAR952-001-0090. 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: Holly Va De'w ow�4ppLt;Caz'w-Y1.
Permittee Signature:
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 : 4 i 2
Residential RECEIVE 1_ FOR OFFICE USE ONLY'
City g Received ,yI / - 20Z/ Mar2021-00 37
- of Tigard //`T L !J Permit No.:
Date/By:
v 13125 SW Hall Blvd.,Tigard,OR 97223 �l 't g1 Plan Review
APR V ,',O! Date By: Other Permit. n �/ M
Phone: 503.718.2439 Fax: 503.598.1960 '1 s�✓l �u-�V�
I"1 G A R D Inspection Line: 503.639.4175 Date Ready/By: See 2
Internet: www.tigard-or.gov CITY OF TIGARLI N '�ed/Method:� 1 ��+ SupplementalPage Information
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
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. -�
® 1-and 2-family dwelling . 0 Commercial/industrial Valuation: $ 6 3 I r
ElAccessory building 0 Multi-family Number of bedrooms: 3
0 Other: Number of bathrooms:
❑Master builder3 ��
JOB SITE INFORMATION AND LOCATION Total number of floors: 1
Job site address: 14288 SW 165TH AVE New dwelling area: 1,819 square feet 1 To
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 430 square feet
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 I Lot no.: 171 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New Construction/Type: SFU /Elevation plan: 6040BR Valuation: $
Projected start: July 2021 Existing building area: square feet
New building area: square feet
El 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:( ) New:
El APPLICANT 0 CONTACT PERSON CIO BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Polygon Homes WLH LLC Structural plan review fee(or deposit):
Contact name:Omar Alami Abouhafs
Address:
703 Broadway St., Ste 510 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660
Amount received:
Phone:(360)946-8674 Fax::( )360 693-4442
E-mail: permitsubmittals@taylormorrison.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 510 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver, WA 98660 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( )360 695-7700 Fax:( )360 693-4442
State surcharge(12%of permit fee): $21.60
CCB lic.:207247 Total fee due upon application: $201.60
Authorized signature: Orna.t.,(91Qma icy 69Gz/;CL�L4. This permit application expires if a permit is not obtained
�� within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 04/07/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
1
Mechanical Permit Applicatio FOR OFFICE USE ONLY
City of Tigard DECEIVE eceived Permit No. G 3-7
t 13125 SW Hall Blvd.,Tigard,OR 97223 �ate/By. F+ S ,r.�`
Plan Review s�
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
Inspection Line: 503.639.4175 APR 8 1U2
Y I ii�i 1:17 Date Ready/By: hris: E1 See Page 2 for
Internet: www.tigard-or.gov CITY OF
rlG„Rr' Notified/Method: Supplemental Information
TYPE OF WI -DING DIV11SlOf' COMMERCIAL FEE*SCHEDULE - USE CHECkTIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition D Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY.OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
®I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
1 j Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning I 46.75
Job site address: 14288 SW 165TH AVE Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Polygon at Roshak Ridge Lot no.: 171 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
New Construction/Type:SFU/Elevation plan:6040BR Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
ElPROPERTY OWNER ❑ TENS Other. 23.32
- Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
equipment 33.39
Address:703 Broadway St.,Ste.510 —
Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other 23.32
Business name:Polygon WLH,LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Omar Alami Abouhafs Furnace,etc. 1
Address:703 Broadway St.,Ste 510 Gas heat pump
Wall/suspended/unit beater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range 1
E-mail:permitsubmittals@taylormorriSOD.COm Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other.
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104
Subtotal
City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00)
Plan review(23%of permit fee)
Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee)
CCB lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Q� days after it has been accepted as complete.
Authorized signature: *��{ "n' * Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 04/07/21
r.ta„nrlinetPrrn,A,tMFr P.nnit Ann um 11,Inr ..n.4,rr,,,,n„r.,..r,mn,
Electrical Permit Application ECEI V E 1()u OFFICE USE ONLY
City of Tigard p Received Permit rz 'STZG21 -col 3 7
M 13125 SW IIal1 Blvd.,Tigard,OR 97223 APR 0 8 ?QVV t '
3•' Phone: 503.718.2439 Fax: 503.598 1960 1'lan aie.B Review Related Permit 8:
DatnBv
Inspection Line: 503.6394175 ' 'ITY OF TIGARD xead DauoB runs: g
TtCiAfiD ea Y Y' �SeePa c2for
Internet: www.tigard-or gov Notified/Method. Supplemental Information
1l1'E OF ���or �'0I�IG DIVISION
PLAN REVIEW
New construction Addition/alteration/replacementPlease check all that apply(submit jt sets of plans whtems chccked)-
0 Demolition ❑Other: 0 Savice or feeder 400 amps figmom El Building over three stones.
where the mailable fault current ❑Marinas and boatyards
•
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings
•
f 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building has to gonad,or exceeds 14,000 ❑Co+nmer'cial-use agricultural
amps for all ether installations. buildings.
❑Multi-family ❑Master builder ❑Other; ❑Fire pump ❑Installation of 150 KVA or
JOB SUE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: Job site address: 14288 SW 165TH AVE 0 Addition of new motor keel d or system.
100HP or more. ❑"A"."L'°"1-Z„"I-3
City/State/ZIP: Tigard,OR 97140 ❑Sax or more residential units oceuparu-y
❑Health-care facilities 0 Recreational vehicle parks.
Suite/bldg./apt,#: l Project name: Polygon at Roshak Ridge Ottazardous locations 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 colts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Lath 1 Total I
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge 171:;#: 171 Includes attached garage.
Tax map/parcel#: 1,000 sq 1t.or less 168 54 4
F.n add'!500 sq.ft.or portion 33 92 1
DESCRIPTION OF WORK _ Limited energy,«-aitkuLal
New construction.Type SRI (with nerg sq.R}
7500 2
ve
Limited energy,multi-family. 75.00 2
Type: SFU/Elevation plan: 6040BR residential(with above sq.ft.)
Ea PROPERTY OWNER
Renewable Energy ❑ Sec Page 2
TFNAN T Services or feeders installation alteration and/or relocation
Name: Polygon Homes WLH LLC 200 amps or less 100.70 2
Address: 703 Broadway St.,Ste 710 201 amps to 400 amps 133-ss 2
401 am 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 55226 2
E-mail: OAlamiAbouhafs@taylormorrison.com-PermitSubmittal a lorrnorrison.com Temporary services or feeders installation,alteration,and/or
Y 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
Owner signature: Date: 401 amps to 599 amps 168 54 2
0 APPLICANT 0 CONTACT PERSOv Branch circuits-new,alteration,or extension,per panel
A.Fee for branch ciecuits with
Business name: Polygon Homes WU-I LLC above service or feeder fee,
ash branch circuit 7-42
e
Contact name: Omar Alarm Abouhafs 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 odrrl branch circuit r 7.42 2
Phone: 360 946 8674Miscellaneous(service or feeder not included)
( ) Fax::( ) Each enamnfactureil or modular 67.84 2
Email:OAlamiAbouhafs�taylormorrison,com-PermitSubmittals/�to lormorrison-core (IWC°inn'
Reconnect only s only
and/or f`xdcr
L`s y 67 84 2
CONTRACTOR Pump or rrripation circle 67 84 2
Business name: Wallace Electric Sign or outline lighting 67.84 2
Signal circuit(s)or iitruted-r:ncrgy
Address. 105 Dresden St _panel,alteration,or extension 0 See Page 2 2
City/State/ZIP: A grj OR 97103 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66 25/tar
Phone:(503 308 0563 Fax:( ) Investigation(1 hr min) 90.tX1/hr
Email: David@wallaccwires.com Industrial plant(t hr min) 78 t 81 err
Inspections for which no tee is
CCB Lie.:224868 Electrical Lie,: C1441 Suprv.Lie.: 6363S specifically listed(/hr min) 90.00+hr
ELECTRICALPERMIT FEES
Suprv.Electrician signature,required: Subtotal
Print name: a Date: ir
f /z 1 0 Plan Review Required(25%of permit fee):
State surcharge(12%of pcmnit fee)
it57,
,64:464
Authorized signature TCl"1'AL PERMIT FEE.
Pallet name: _ This permit application expires if a permit is not obtained within 180
0_14"*', ^.l ., ._. ._. Date. days after it has been accepted as complete_
' Number of inspections allowed per permit
1.'l8uildinel'crariti'i1:LC_PerrpttApp-gJt£RE.dcc Rev06(17/2011 4 0-4615T(1l/O51C01diWFS
Plumbing Permit Application
Building Fixtures RECEIVE'E'. FOR OFFICE USE ONLY
City of Tigard ppp /� Q q$ Received
t' APR EP 8 7.0 t Date/By: Permit Na.: µ�j'q ZOZ -oO(?j
,t 13125 SW Hall Blvd.,Tigard,OR 97223
s ` Plan Review
Phone: 503.718.2439 Fax: 503.598.1� Date
Other Permit No.:
TIGARD Inspection Line: 503.634.4175 vl�OF TIGARD Date Ready%By: Iuris: El See Page 2 for
Internet: www.tigard-or.gov 3 IILI DING D VJSIO�( Notified/Method: I Supplemental information
TYPE OF WORK VUVIy t� FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
9kl-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building 42-Multi-family Each additional bath/kitchen 25.02
❑Master builder 0 Other:
_ Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION ANT) LOCATION Site utilities:
Job site address: 14288 SW 165TH AVE Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
- - Footing drain(no.linear ft.: ) Page 2
Suite/bldg/apt.no.: 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:Roshak Ridge Lot nt 171 _ Fixture or item:
Tax map/parcel no.: Backflow preventer 3I.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
New Construction/Type' SFU/Elevation plan: 6040BR Drinking fountain 25.02
Ejectors sump 25.02
0.0 PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixture sewer cap _ 25.02
Floor drain/floor sink/hub 25.02
Address:703 Broadway St.,Ste 510
Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker _ 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Omar Alami Abouhafs
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:permitsubmittals/:polygonhomes.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water piF €r in D15N 56.29
Address:P.O.Box 92 Other: 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal
Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: $72.50 F
Plan review (25%of permit fee)
CCB Lie.:184372 Plumbing Lic.no.:pb634
State surcharge(12%of permit fee)
Authorized signature: "�'"� TOTAL PERMIT FEE
Pnnl name:Steve Fowler Date: This permit application expires if a permit is not obtained within 180 days
10/30/20 after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
InBuilding\Prnnits\PLMtt-Permitnpp.dec 10)01/04 440.4616T(10,021COM/WEB)
City of Tigard
go
COMMUNITY DEVELOPMENT DEPARTMENT
•
T 1 G A R D Building Permit Review — Residential
Building Permit #: .'\5Y .O2I -0C) 137
Site Address: 14288 SW 165th Ave
Project Name: Polygon at Roshak Ridge Lot #: 171
Planning Review
Proposal: New house
® Verify address/suite# active in Accela. NI In River Terrace: ❑ No l] Yes,River Terrace Review Addendum
Site Plan Elements: ®Erosion Control
E3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ]Retained trees with drip line and tree protection measures
®Drawn to scale(standard architect or engineer scale) ®Footprint of new structure(including decks)and FFE
]North arrow ]Utility locations&easements(required for new and additions)
®Site address,project or subdivision name and lot number ®Sidewalk/driveway'approach
E Applicant information(name and phone number) nia Location of wells/septic systems
R1Lot dimensions and building setback dimensions ]Street tree size,type and location
Square footage of buildings to be demolished UStreet names
rlaExisting structures on site )Corner elevations(2'contours if more than 4'differential)
®Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? rA U ❑No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes ❑No
IN Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes ❑ No
® Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes ❑ No
® SDC Exemption for ADU applied for: ❑ Yes 11 No Received: ❑ Yes ❑ No
® Public Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified E No Applied For: ❑ Yes ❑ No,stop intake
® Land Use Case#: SU B201 5-00004 ® Zoning: R-4.5
® Required Setbacks: Front: 8 Rear: 15 Side: 3 Street Side: na Garage: 20
® Building Height: Max.Height: 30 Actual Height: 17
® Landscape Area: 20 % ® Lot Coverage Max: 80
Entrance . no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degre
Windows ❑ Minimum . • •. of all street-facing facades
Garage 0 Garage door is behind wi.- - .cing wall 0 Yes e of the following is met:
O Door extends no more than 5' roSee River Terrace Addenmun ding beyond garage.
❑ Door extends no more than 5'froattaChed. we garage on 2nd floor.
0 Garage door width is 0 12' Du 70 or less or racaae less and includes 7 of following:
❑ Covered por ecessed entrance ❑ Wall offset 0 1'Roof ea ❑ Roof offset
❑ es 0 Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof
Accent siding ❑ Window trim 0 Window recess ❑ Window projection ❑ Balcony
® Visual Clearance ® Urban Forestry Plan
ii] Sensitive Lands: ❑ Yes IN No Type:
g7 Conditions met prior to issuance of building permit
Notes:
2 Approved By Planning: Lizf 1 Date: 41 N?A31
Revisions (after Building Submittal only Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Build ing\Form s\BldgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: 64 2.0
Site Plans: #
Building Plans: #
Building Permit#: I Enter building permit# above.
Workflow Routing: [Planning 1Engineering WI—Permit Coordinator I/-Building
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: En-Engineering: (1) copy of permit application, (1)site plan, (1)building plan and
original plan review routing form.
Ptuilding: original permit application,site plans,building plans,engineer and
beam calculations and trus etails,if applicable,etc.
Notes:
By Permit Technician: Date: -°//
En:ineering Review
1. lope at building pad: 3/r V Conditions "Met"prior to issuance of building permit Nf/
VEasements (encroachments)per engineering conditions of approval and plat
Z Water Quality/Quantity Facility /
Assess Water Quality Fee in-lieu: ❑ Yes l!X No
Assess Water Quantity Fee in-lieu: ❑ Yes 2/No
LIDA Facility on lot: ❑ Yes Let No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes: ,..---�
VApproved by Engineering: Date: / Z
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
iP mit Coordinator Review
C. ditions "Met"prior to issuance of building permit
A' ' pproved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
R-vision Notice 2: Date Sent to Applicant:
It
IV 'DC Exemption: ❑ Received fiDoes not apply
VA SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: j'Yes ❑ N/A
Parks SDC: Yes VI/A
LIDA ❑ Yes A
/0K to Issue Permit
Approved by Permit Coordinator: - " Date: z/1471/y/
1:\Build ing1Forms\BldgPerm itRvw_RES_122419.docx
' WWN
City of Tigard
IN
COMMUNITY DEVELOPMENT DEPARTMENT
s
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #: M.5T202I-QD 1 �1
Site Address: 14288 SW 165th Ave
Project Name: Polygon at Roshak Ridge Lot #: 171
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review ofRiver ?terrace Plan-District 1 kp Standards (18 640.0701.):
Is the project subject to the plan district design standards? ® Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage. An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft.deep Gabled dormer
ft. deep min. 2ft.,5 ft.wide min.2 ft.,6ft.wide
® ❑ ❑ ® ❑
2.Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 17%
3. Entrances:At least one entrance must meet both of the following standards:
al
K] Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: ® Yes ❑ No
If yes,all the following apply: I1 25 sq.ft. min.
® One street facing entry ® 12 ft. max.roof above floor of porch
® 5 ft. depth min. C.ja 30%min.porch roof coverage
4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
® Covered porch min. 5 ft.wide x 5 ft.deep ® Recessed entry area min. 5 ft.wide x 2 ft.deep
® Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
J Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood ® Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street facade ❑ Window trim min. 2 1/2"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft.deep with inside access ❑ Attached garage is 35%or less of street facade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or side lot line,than longest street-facing wall. ® Yes ❑ No. If No (Check one):
❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
❑ 12-foot-wide garage door ® 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: Date: 4_4'li(/014
I:\Building\Forms\BI dgPermitRvw_RES_RT_I21417,docx