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Permit
Plumbing Permit Applica4 ' cEIVED Building Fixtures City of Tigard SEP 1 '. Received c'/ ZDate/By: / Permit No.- . 13125 SW Flail Blvd.,Tigard,OR 97223 Plan Review�j Phone: 503.718.2439 Fax 503.5IIQF I IGARD Date/By: h/v 1 ,d L(, Other Permit Na: Inspection Line 503.639.4175 �i fi! !+� � DIVISION! Date Read/B inns ® See Page 2 for TiC:ARD !1 I Y Y / �_:5 i Internet WWW ttgard-Or.gOv -.. Date Read Notified/Method:/O Supplemental Information TYPE OF WORK '1 Pi. (, Ai.4 FEE* SCHEDULE 0 New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ❑R 1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 El Accessory building ❑Multi-family - Each additional bath/kityhen 25.02 ElMaster builder ElOther: r/ Fire sprinkler(2408_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:14342 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.:173 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WOOR1K Backwater valve 12.51 ` Clothes washer 25.02 MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 no PROPERTY OWNER 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name:Taylor Morrison Floor drain/floor sink/hub 25.02 Address:703 Broadway Street Suite 710 Garbage disposal 25.02 City/State/ZIP: Vancouver,WA 98660 Hose bib 25.02 Phone:(360 ) 695-7700 Fax:( ) Ice maker 12.51 ❑ APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name:Alliance Plumbing, LLC 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 Urinal 25.02 E-mail: gavin@allianceplumbing.net CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:Alliance Plumbing, LLC Water piping/DWV 56.29 Address.146 W Historic Columbia River Hwy Other. 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:( 503)492-3490 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lic.no.:PB732 /� �� State surcharge(12%of permit fee) /Authorized signature: '-,�� TOTAL PERMIT FEE l VGA This permit application expires if a permit is not obtained within 180 days Print name:Gavin Thomes Date:8.25.2021 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:VBuildingA Permits VPLMU-PermitApp.doc 10/01/00 440-4616T(I 0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-1'"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3.600 $169.69 3,601 to 7,200 $233.20 Sewer-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 Pelt kit Fe: $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspe tttonn or Fees . F"tc(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 initalhttkins Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace! Please check all that apply. Work Performed: Capped Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool ElCar Wash: Each Stall New exterior plumbing site utilities for any complex structure Drive as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher. Commercial ❑ Any multipurpose fire sprinkler system. - ommeic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" -3" Isometric or Riser Diagram 4„ ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Sere/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: l:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 CITY OF TIGARD MASTER PERMIT $111COMMUNITY DEVELOPMENT Permit#: MST2021-00110 Date Issued: 05/18/2021 7 I i;A It rr 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA17300 Jurisdiction: Tigard Site address: 14342 SW 165TH AVE Subdivision: ROSHAK RIDGE Lot: 173 Project: Polygon at Roshak Ridge, Lot 173-Primary Dwelling Project Description: New primary dwelling with (2)attached ADUs on separate permits. BUILDING Floor Areas Required Setbacks Required Stones: 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 Yes Right: 3 Detectors: Dwelling Units: 1 Third: 0 sf Ri 9 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 D Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: 7 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<10OK: 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 Y 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 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 Cntri 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98680 2 Fire Rated Conditions PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,091.61 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 503.232.1987 or 1.800.332.2344. VattiDe&W PermitteeSi nature: OWApp1"'C"rl'Oi`t Issued By:'4�' �e g 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. �.UL l�3 • Building Permit Application RECEIVEDI 0, -414,/21 Residential Gt., FOROhl-ICE I St:OyIX City of Tigard MAR 16 2021 naieBYa 312. hi Jr N1s1"2o21-cou yV Permit No.. II Phone SW Hall Blvd.,Tigard,OR 98223 .l9 L I I 1 OF TIGARD Plan Review f� n r co Phone: 503.718.2439 Fax: SU3.598.1960 DatuBy: 41 Other Permit��?�-bW-ic Inspection Line. 503 639.4175 kf n (� /�to Date Read/B t /� El See Page 2 for T1GAP.0 Internet: www.tigard-or.eav UII-LAI�IG l`II�IG14 , tified/A•tethod .4 ( pp� Supplemental Information TYPE OF WORK i REQUIRED DATA: 1-AND 2-FAMILYDWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ! D Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the I CATEGORY OF CONS'TRMION work indicated on this application.Valuation: $ 3(1,-ldd"'�t ® I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: 5 0 Master builder ❑Other: Number of bathmoms: Li JOB SITE INFORMATION AND I.OfATION Total number of foors:2 2t6- lob site address: 14 342 SW 165 17 I AV E New dwelling area: . :14459CtOtisquare feet 1431 City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 477 square feet q-7 1 Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet Cross streeldirections to job site: Deck arey square feet Other structure area: square feet Iii041. A `A.s€ IE[:IAL VSJi t. ttt:IsT Subdivision: Polygon at Roshak Ridge Lot no.: 173 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 DESCRIP•I'ION OF WORK work indicated on this application. New Single Family Valuation: $ 2/ *' e l fr7m l.y-_ , ! , Existing building area: square feet G(rt fi eu! eee-I " ` -(4/Y•r,F, New building area: square feet 2 PROPERTY OWNER ❑jriNIN! 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: ® APPI,ICAvr 0 CONTACT PERSON $ BUILDING PERMIT FEES* (Please refer to fee.schedute) Business name Polygon Homes WLH LLC Structural plan roach fee(or deposit): Contact name:Omar Alami Abouhafs FI.S 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 T'HOTOVQ$iiTMc SOLAR PANEL SYSTEM FEES° tl-mail: �°lt 11 1 tl�(s(lt Wall SlJt s ' Wt '" Commercial and residential prescriptive installation of CONTRAtI R ,..i�.. 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 Specialty Code checklist. City/State/ZIP:Vancouver, WA 98660 Y Permit Fee(includes plan review $180.00 and administrative fees): Phone:( )360 695-7700 Fax:( )360693-4442 State surcharge(12%o f permit fee): $21.60 - CCB lie. 207247 /� /" Total fee due upon application: $201.60 ]Authorized signature: hta.4. 4Eezhee 4G7d°L4�i ?..- 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. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I1/02/COMMFB) r r Mechanical Permit ApplicatiRECEI V , g ` tz , ea _ a• City of WIIaU err LIAR h 202j DateiBv: 3/29/21 Mt' PC IINo.. �T2021. �I.1O 13I25 SW Had Blvd Tagand,OR 97223 NUB Review Phone: 503,711.2439 Fax- 503.5981960 : Other Penait ewel- ta'1inspect:en Lind 503,639.4E75 vIIV OF TIGARD tcy azRcadrt3y IWa: See Pant tor -Yirp Tanane: wwvtigard orgov 3UILDING DIVISIO Pk3tiued4lnoad= Sapplcmettral Information nf nna fop __ l TYPE OF WORK _ f- COMMERCIAL FEE*SCHEDULE - USE CHEMIST 1 - Menhatueat permit fees*arc based on the value of the work Ati New construction 0 Addit ontalterationireylaeement perforine4 Indite the value(rounded to the nearest dollar)of all i ❑Demolition ❑Other: _mechanical materials,cacuaaaentjtaber overhead,aa ul wofii€:._. _ - ' Value:S CATEGORY OF CONSTRUCTION RF.SIDEaMA.L EQUIPMENT/SYSTEMS FEES' ► 1-and 2 famil wen 7 dwelling 0 ComRterClallindU5t£ial Accessory budding FM' information use tht[llirt ._._ l Other: L1c&eriptien _.. Qty J_...Ea i. "rota) I ]Multi-family Master builder JOB SITE INFORMATION ANU LOCATION Ileahnu/canl'eng. Aircouditioniag N 46.75 -. ! Job site address, 14342 SW 165T'H AVE furnace 100.000 BTUfducrsNems s _ _ D 46,79 CitvIStateJ2lP:Tigard,OR 97224 ! Pomace 100,0004 BTU Cdectslveutsl 54:91 _ _. __ Suaefoldaiapt.no.: Project name: Polygon at Roshak Ridge II s t pump 61.06 l ,Duet work 123.32 Cross street/directions to job site: Hydrouic hot water system 23.32 4 Residential bailer(radiator or h 32 Unit heaters(feet-type,not electric) in-wall,umduct,suspended„etc. 46.75_ .. FlutPeent for any of above 23.32 Subdivision: Polygon at Roshak Ridge i.at no- 173 Ott; 2 23.;2 _ ...___ ___.._..._._. i Other fuel appliances: i Tax map4ureel en.: Water heater_ 23,22 DESCRIPTION OF WORK Gas Ciceptace,'msert 33.39 .�.._. -- Flue vent for water heater or,gas New Single Family ._. fireplace ,._...._...23.32 ................_ ;2-2 i _Log lighter(gas) 73,32 Wood/pellet stove _. 33.39 - Wood fixeplace/ieasert 23.32 1 Cbimneynirieniltustvent 23.32 r23.3< IcOPERTIt OWNER © TENANT Environmental exhaust and ventilation: Name.Polygon W11I,LT.0 Range hood/other kitchen in t_ 33,39 1 ...:. :ddress:703 Broadway Sr,Ste 3I0 .. . Clothes dryerexhaust 33.39 _ City(StateZIP:Vancouver,WA 9&660 Single-duct exhaust(baduooins, toilet cam ar..meets.nobly rooms) 23.32 Phone:(360)695-7700 I Fax( ) Ar;icfcrawis cee funs 23.32 L APPLICANT Q CONTACT PERSON Other: _._ i 23.32 _.. - Fuel Business name:Polygon WLH,L.LC piping: _ .:. 1 S14.15 for first four;S4.03 for each additional Contactua-ae:Tampa Morris Furnace etc. I Address:7,t3 Broadway St.,Ste 510 wW t-Gas heat pump t- -- Wall/s•.tspended/utit heater City/State/ZIP.Vancouver,WA 98660 Waterbeatrr Phone (360)695-7700 Fax: (360)693-+3442 _fireplace .... .... E-mail:permitsubrait'talst taylorm morrison.co Barbecue I ____ CON'ITZACTOR Clothes dryer(gas) Business name:Pro Heating&Cooling I Other: _ .._.... _�...�.._...... MECHANICAL PERMIT FEES' ,._._......f Adams- NW AIoriek Dr,Ste.1104 - _ `.. , Subtotal City/State:'LIP:lllflsborn, Minimum 9Q.O01 permit fee(5 _..r,...... OR ._.._. ......... ._.._._.__..._. Plan review(2t%of moan they Phone:(3601270-1590 1 Tax:( I ' State-surcharge(12%of peem_fee) t.:CI3 he. 209001 TOTAL PERMIT PEE I J.� _...�.-.�.,_._.._ ...._._._._. This permit a ateatims expires ita [` P Pppermit h ant obtained within t$d / o, 4 e' ^t a— :, days attar it has been accepted us campiete. Authorized signature: t.r J4 . Fee nyettu tlriagy set by'Tri-County 6ulid ag industry Service tIaard Print name Ella Duran :Dal:.:. 10/30/20 t-WllilrknpN'frmaertrOr PnrnLAnn Mal ak.Mew wax�2.5Y rs atngynarni9c:ia+. Electrical Permit Applisio ECEIVEG4 I OR rash I i `I' ()NI City of Tigard 5 tE121101 Permit a-(ns-v(21-urokk ', t• - w 13125 SW Hall Blvd.,Tigard,OR 97223 viM1 I. r 202 Plan Review ' Phone: 503.718.2439 Fax: 503.59/1.1960 .. RdroedPermi+a: TICiA:D hut mWwLine: 503.639.4175 CITY OF TIGARL ReadyDatersy- __ feria. '.. step. zr« ---- mtemet: www.tigard usages !II lIZnING DIVISION, N od Supplemm iJnformation �l TYPE OF WORK a_PLAN REVIEW IN New construction 0 Addition/alteration/replacement please cheek all that apply(submit a sets of plans sr/items cbc ed). ❑Demolition ❑Other 0 SOMC or realer400 amps or more a Haddamova three stones. where the available fault current ❑Marinas and boatyard: CATEGORY OF CONSTRUCTION • exceeds 10,000 amps at 150 roles or ri Floating buildings ® t-and 2-family dwelling 0 Commercial/industrial 0 Accessory building leas to ground,a exceeds 14.000 L]Commercial-me agrieahunal amps for as other installations. bud:bags- ❑Multi-family 0 Master builder 0 Other. a FM imam ❑ JOB SITE INFORMATION AND LOCATION ❑Emergency ursum. 14 or Cr s KVA Job it: Job site address:14342 SW 165th Ave ❑Additionof new motor load of syntax. I00IIP or more. ❑"A","E","1-2","11", City/State/ZIP: Tigard,OR 97140 - ❑sin or room murk:ial Mitt OCCISp11110Cy ❑He-nab-cam facilities ❑Rec aeoaat vehicle paths. SuiteibldgJapt 4: Project name: Polygon at Roshak Ridge O 1larardois loeaino. ❑Supply voltage for mare than ❑Service or freer,600 amps or more 600 wln rrttminar Cross street(directions to job site: FFF SCHFAiII E oimooaaa I our, I Lab 1 r nit I • -__ New residential single-or maltl-family dwelling wilt. Subdivision:Polygon at Rosbak Ridge Lot#: 173 Includes attached garage. Tax maplparcel#: 1,000 ecl.1R ekes 168.54 4 Ea add'1 Soo atl.ft or portion 33.92 1 DESCRIPTION OF WORK Limited et ergy residential New crxb,W ction.Type SFU (with above a 1.R) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft) . ® PROPERTY ON7iER I ❑ TENANT Renewable Energy ❑ Sec Pace 2 Saviors or Teeters installation,alteration,and/or retention Name: Polygon Homes Will LLC 200 amps or leas 100 70 2 Address: 703 Broadway St.,Ste 710 - 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 Phone:( 360 )946 8674 Fax:( ) Over l,000 amps or volts 552_26 2 EtnaO Temporary services or feeder,installation,alteration,and/or AlamiAbadtafs(�tayltxmarrison.com-PerrnitSubmittals@taylormofrisan.com 1 Owner installation:This installation is being made on property that I own which is not 200 amps or leas 59.36 t 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 • CI APPLICANT 1 Cl;CONTACT PEON Eranch rJrcaits 721,74 alieraJon,or extension,per panel A.Poe I.:re" with Business name: Polygon Homes WI.H LLC above service or feeder fee, 7.42 Contact name: Omar Alami Abouhafs each branch oinnrit B.Fee for branch circuits without Address: 703 Broadway St,Ste 710 service or seeder see,that 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7 42 2 Miscellaneous ce or Phone:(360 )946 8674 Fax::( ) Each manufactured tured oimodular feeder not included) en 67.84 2 Email:OAIamiAbouhafs@taylofmorrison.com-PermitSubmittals@taylormorrison.erm dwelling service ands«seeder CONTRACTOR Reoangav1 only 67.84 2 .. , Primp or irrigation circle 67.64 2 Business Dame: Wallace Electric Sign or outline lighting 67.84 -2 Address: 105 Dresden St Signal circuet(s)or limited-energy ❑ ace Page 2 2 prod,alteration,or e#msim. ell31Slaterar: Astoria,OR 97103 Each additional loapeeUon over allowable in any of the above Additional inspection(1 hr min) 66.25/br Phone:(503 31i8 0563 Fax:( ) Investigation(1 hr thin) 90.00/hr Final': David@wallaccwires.com Industrial plant(1]trrnin) 78.I&hr Inspection for which no fee is COI laic.:224868 Electrical LipC1441 Su 0.1,1E6363S specifically listed(x hr min) Su Electrician signature, ELECTRICAL PERMIT FEES required: — Subtotal- Print name:D eo . Dale: ",L�Z t 0 Plan Review Required(25%of permit fee): g Slate surcharge(12%of permit fee): Authorized sigma agr'cd,�. a� TOTAL PERMIT FEE: This}�p1" s permit applientiaa expires ifs permit is not obtained within ISO Print name: ,r 7 „ 1 sr�p u �yeC Date: (f 4��g days after h Ina been accepted as complete. '--r • Number of inspections allowed per permit. Lvidldsg'rootout C_PamaApp Rd ERE.tbc Bee 06/1712015 t5l(11/05lCdVW110 r , , . 'i"lum's�ingPermitApplient CEI`VED Building Fixtures MAR 16 202'1 - J ....�, . ..;:t City of Tigard i ti li 3/V4 ill ?Jr Perim No.:IASI)2 l- OO I L D •• 13125SW Hall Blvd.,Tigard,OR 9TI,11TY OF TIGARD 1.1taR view Otter 'TY Phone 503.718.2439 Fax S03: urLuING DIVISION y SW22o21-C ,, Inspection Line: 5'03:639AI i 5 Dale Readyf8y: fora; 53 Sec Page 2 for f Internet: wwwtigardwrgoe Netil+etitMethedr Supplementallntermatlnn TYPE OF WORK FEE* SCHEDULE 1 tiro construction I ©Demolrtton Far special infor,uanart use checklist. I scription ji_ tt E Ea ( Total ❑Additiorvalteratannlreplacement 0 Other: Nov 1-2-family drtscll,uss(moindcs 100 ffor each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 SFR(2)Lath 1 437.78 tr and?,-family dwelling ❑Commercial/industrial t.. / - . SFR(3)ba'h 500.32 ❑Accessory building Z:Multi-family "-- _ ____..- Each additional bath/Wm 2802 Master builder 0 Other Fire sprinkler( sq,fL) Page 2 JOB SITE INFORMATION AND LOCATION 1_,Sitcutilities: Job site address: 14342 SW 165THAVE I i Catch basin or area drain 187 Ci y State/ZlP Tigard,OR 97224 Llrywell,leach line,or trench drain 18-76 __ Footing drain(no.linear ft.:^_) Page 2M Suite/b �ldg.iapt no.: Project name: PoIy9on at Roshak Ridge Manufactured boom utilities S0.03 1 Cross strectldlrecttons to job site: Manholes . I 18.76 Rain drain connector 4 18.76 Sanitary sewer(no,linearft.:_l Page2 _..----...-. Storm sewer(no.linear R.: ) Page 2 Water service(no.linear ft. ) Page 2 Subdivision: Polygon at Roshak Ridge Lot no.: 173 a tixtore Or item: Tax mapiparcel na.;. Backflow preventer - 31.27 DESCRIPTION OF WORKBackwater valve 12.51 Clothes washer 25.02 New Single Family Dishwasher 25.02 Drinking le mtain 25.02 6jeetors/sut a i 25.02 ekes PROPERTY OWNER 0 TENANT Expansion tank_____._._._ I 12.51 Name:Polygon WLH,LLC Ftxture'sewereap 25.02 Floor drain/floorsink/hub 25.02 Address:703 Broadway St.,Ste 510 " " ___ Garbage disposal 25.02 City/State/ZIP,Vancouver,WA 98600 Hose bib 25.02 Phone:(3I0)695-7700 Fax:( ) Ice maker 12.51 El APPLICANT El CONTACT PERSON L tntaiceptoegrease trap 25.02 Business name:Polygon W`LI3,LLC Medical gas(value:S ) Page 2 Primer I2.51 Contact name: IanjaMorris Roof dram(commercial) ( 12,51 Address:703 Broadway St.,Ste 510 Y._---_- Sinklbasin./levatnry '. . 25.02 _ City/State:71P:Vancouver,WA 986643 Solar units(potable water) 52.54 �� Phone(360)695-7704 Fax: (360)613-4443 Tublshowerlshower an 12.51 rinal F-mxii.permitsubanitnds poiygoaiomes.eom L 25.02 Water closet 25,02 CONTRACTOR I - i Water heater 37 57. I Business name:G&B Plumbna;&Sons Inc .__.._ Wane pipit V 5629 Address:P.O.Box 92 Other 25.02 City/State/ZIP:St.Paul,OR 97137 Subtotal .22 Phone:(S03)868-1417 Fax:(971)727-8170 Minimum permit fee. 572.50 CCU Lie.:184372 Plumbing Lae.nos pb634 Plan review (25%of pem t fee) t State surcharge(12%of pennit fee) Authorized signature: Loot, ' "t TOTAL PERMIT TEE ��3��2� This permit application expires its,permit is not obtained within ISO days Print name Steve Fowler , Date: after it has been accepted as complete. "Foe methodology set by Tri.Coenty Building Industry Service Board. 14.3uildicg\Pc i44lL49i4-Praatp4.dnt 1479149 a40.4&161(!w02.,CO4Wals) City of Tigard IIII " COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential TIGARD Building Permit #: Mst'2o21' OD I D Site Address: 14342 SW 165th Ave Project Name: Polygon at Roshak Ridge Lot #: 173 Planning Review Proposal: New single detached house ?R 1 M A R?i QVerify address/suite#active in Accela. Q In River Terrace: 0 No ❑'' Yes,River Terrace Review Addendum Site Plan Elements: erosion Control CI. copies of site plan on 8-1/2"x 11"or 11 x 17"paper detained trees with drip line and tree protection measures 12 1rawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE 0 orth arrow •ltility locations&easements(required for new and additions) Mite address,project or subdivision name and lot number .;;Sidewalk/driveway approach 0 pplicant information(name and phone number) a 1 .ocation of wells/septic systems 0 of dimensions and building setback dimensions ,,:,Street tree size,type and location tSIn II.quare footage of buildings to be demolished �itreet names r II xisting structures on site ,'',2omer 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 impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? LKes o ❑ Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified CI No Received: 0 Yes CI No ❑ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: 0 Yes,applicant was notified ' No Received: A Yes H No CISDC Exemption for ADU applied for: Yes ❑r No Received: Yes No ❑r Public Facilities Improvement(PFI)Permit: Required: ❑r Yes,applicant was notified ❑No Applied For: ❑Yes 0 No,stop intake O Land Use Case#: SUB2015-00004 Q Zoning: R-4.5 ❑r Required Setbacks: Front: 8 Rear: 15 Side: 3 Street Side: N/A Garage: 3 Q Building Height: r' Max. Height: 30 Actual He ht 25.5 III Landsca e Area: Nt/A % r= Lot Coverage Max: N-t Entrance ° Set back no more than 8' from street-facing wall ❑r Parallel to street or offset 45 degrees or less Windows Minimum 12%of area of all street-facing facades e Gara e door is behind widest street-facing wall ❑Yes ❑No,one owing is met: extends no more than 5'from wall and there is a cov extending beyond garage. aDoor extends no 5'from wall an s a 12 sq ft.window above garage on 2 floor. ❑ Garage door width is 1 f facade 60%or less and includes 7 of following: C rc Recessed entrance ❑Wall offset ' of cave - Roof offset Fire shingles Lap Siding 0 Roof itch 0 Gable,hi ,or r Dormer Accent siding Window trim U Window recess LWindo projection B cony ElVisual Clearance ❑r Urban Forest ,Plan ❑ Sensitive Lands: ❑ Yes LI No Type: 0 Conditions met prior to issuance of building ermit Notes: ❑ Approved By Planning: - Date: -3/29 Z'/ Revisions (after Building Submittal only Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: .34(A/2- Site Plans: # 3 Building Plans: # 5 Building Permit#: Enter buildin t#above. �� Workflow Routing: lanning Engineering ennit Coordinator I2 uilding Workflow Sign-off: Q Sign-off for Planning(include notes from planning review) Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1)building plan and 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: 3!<9/2J __/ r Engineering Review Slope at building pad: �j / [Conditions"Met"prior to issuance of building permit/ III/Easements (encroachments)per engineering conditions of approval and plat �y fa Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ET Llivo Assess Water Quantity Fee in-lieu: ❑ Yes E No nl LIDA Facility on lot: ❑ Yes To EFinal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:� L'Approved by Engineering: Date: /2/ Revisions(after Building Submittal o ) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption:ii ❑ Received Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: Yes N/A Tigard Trans SDC: 4Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA Yes kr N/A DOK to Issue Permit Approved by Permit Coordinator: iV , Date: ' le (L2_ f I:\Building\Forms\BldgPermitRvw RES 122419.docx . 4T f 'pl . . City of Tigard i II COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: f(1S'f2d11- bp l\O Site Address: 14342 SW 165th Ave Project Name: Polygon at Roshak Ridge Lot #: 173 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.070.7.): Is the project subject to the plan district design standards? Dyes El 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. d❑eep min. 2ft., 5,ft.wide min. 2 ft.,6❑ft.wide Gable. . er I 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: ❑Parallel to street, . gle no more than 45° from street, CI Max. 8 ft. setback from longes treet- facing wall or open onto por Entrance opens to a porch: El Yes I o IfUes,all the following apply: ❑25 sq.ft. One street facing entry 0 12 f ax.roof above floor of porch ❑5 ft. depth min. ❑3 e/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 111 P oomer min.4 ft. wide ❑Roof cave min. 12 inch projection ❑R. . offset min. of 2 ft. ❑Roof shingles either tile or wood ❑Gable, . p or gambrel roof design ❑Roof pitch oriented south min. 500 sq. .. ❑Horizont.. ap siding min. 3-7 inches wide ❑Accent siding min. 40%of street fa .e ❑Window trim • ' . 2' "wide by 5/8"deep ❑Window recess min.3 inches for .1 street facing ❑Bay window min. ft.wide by 2 ft.deep ❑Balcony min. 5 ft.wide x 3 ft. .eep with inside access ❑Attached garage is 3 'o or less of street facade 5. Garages and Carports: '•• ay face the front or side lot line on a corner lot Setbacks: No closer to front o .ide lot line, than longest street-facing wall. ❑Yes ❑No. If No (Check o - : ❑May extend us o 5 ft.if there is a covered front porch and garage does not extend beyond the fro .orch. ❑May exten. p to 5 ft.where the garage is part of a two-story building and there is a window at the se d story above the , age that faces the street with a min. area of 12 sq.ft. Width.. heck one) ❑ -foot-wide garage door ❑40%max.of street facade I 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: afivZ t 1.1Building\Farms 1BldgPmuitRvw RES_RT_121417.docx ..i '' City of Tigard • COMMUNITY DEVELOPMENT DEPARIRKF,1 _ "_ " Water Meter Fixture Unit Worksheet �., , i 0 Gri i IN 71t,APO CITY OF IGARID For New Buildings ll lli n'N'r, �11/l !Ol`l 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. 1./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 a. City: Vancouver State: WA Zip: 98660 Phone Number: 360 946 8674 Email: New Meter Address: 14342 SW 165th Ave(SFU)- 14344 SW 165th Ave(ADU 1)- 14346 SW 165th Ave(ADU 2) Subdivision Name: Polygon at Roshak Ridge Lot#: 173 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 I Bidet x 1 = Clothes washer 1 1 1 3 x 4 = 12 Dishwasher 1 1 1 3 x 1.5 = 4.5 Hose bib, 1st 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 6 4 5 15 x I = 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: Amommemilme L/Building/Forms/WaterMeters_010121_New.docx Page 2