Permit I
Plumbing Permit Applicat u 1ECEIVED
Building Fixtures FOR OFFICE USE ONLY
SEP 12021 Received
. City of Tigard Date/By' ay Z/ Permit No.: MST2021-00069
e 13125 SW Hall Blvd.,Tigard,OR 97a2�'I'�/OF TIGARD Plan Review Phone: 503.718.2439 Fax: 503.59 ..{ 90' -7 Date/By_ /q/d' �, �0 Other Permit No.:
Inspection Line: 503.639 4175 BUILDING DIVISION T ibA1sD Date Ready/By. q A.0 tuns ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method- `I '"f Supplemental Information
TYPE OF WORK - = ,er/ i 9:?rat.. 'EE* SCHEDULE
For special information use checklist.
0 New construction III Demolition
Description I Qty, 1 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
E I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kit en 25 02
❑Master builder ❑Other: Fire sprinkler(2023 sq.ft.) Page 2
JOB SITE INFORMATION AM) LOCATION Site utilities:
Job site address:16671 SW Sunshine Coast Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/Z,IP: Tigard,OR 97224
Footing drain(no.linear R.: ) 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: Lot no.:139 Fixture or item:
Tax map/parcel no.: Backflowpreventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer 25.02
MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 2502
Drinking fountain 25.02
Ejectors/sump 25.02
Ill PROPERTY OWNER .❑ 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 1 695-7700 Fax:( ) Ice maker 12.51
❑ APPLICANT. , I CONTACT PERSON. Interceptor/grease trap 25,02
Business name:Alliance Plumbing, LLC Medical gas(value $ ) Page 2
Primer 12.51
Contact name:Gavin Thomes
Roof drain(commercial) 12.51
Address:146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02
City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54
Phone:( 503)577-6535 Fax::( ) Tub/shower/shower pan 12.51
E-mail: gavin@allianceplumbing.net Urinal 25.02
Water closet 25.02
CONTRACTOR Water heater 37.52
Business name:Alliance Plumbing, LLC Water piping/DWV 56.29
Address:146 W Historic Columbia River Hwy Other: 25.02 I
City/State/ZIP:Troutdale, OR 97060 Subtotal
Phone:( 503)492-3490 Fax:( ) Minimum permit fee: $72 50
CCB Lie.:184601Plumbing P Plan review (25%of permit fee)
Lie.no.: B732
) State surcharge(12%of permit fee)
Authorized signature: �_ / C....-1TOTAL PERMIT FEE 'k Q S
Print name: 8.25.2021 This permit application expires if a permit is not obtained within 180 days
Gavin Thomes Date: after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:1BuildingiPermits\PLMr1-PermitApp.dac 10/01/00 44(I-4616r(I0/02/COM1WEB)
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- I'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 intkiktv�
Storm&Rain Drain-1st 100' 6254 "°
$1.00 to$5,000.00 Minimum fee$72 50
Storm&Rain Drain-each additional 100' 3752 $5,001 00 to$10,000.00 $72.50 for the first$5,000.00 and$152 for
Other Inspections or Fees Qt9 Fee{ea) Total each additional$100.00 or fraction thereof,to
- - and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54for
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
Baptistry/Font ElAny new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath. -Tub/Shower
-Jacuzzi/Whirlpool engineer.
Car Wash. Each Stall ❑ New exterior plumbing site utilities for any complex structure
Drive Thru 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.
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
-q ❑ 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: -Lau/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes
Water Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet plumbing permit can be issued.
UrinalOther Fixtures:
1:1t3uilding\Permits\PI.MF_PermitApp.doc 08/04/2011 2
CITY OF TIGARD MASTER PERMIT
114 ..
s ' COMMUNITY DEVELOPMENT Permit#: MST2021-00069
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/12/2021
Parcel: 2S107AA13900
Jurisdiction: Tigard
Site address: 16671 SW SUNSHINE COAST ST
Subdivision: ROSHAK RIDGE Lot: 139
Project: Polygon at Roshak Ridge, Lot 139-Primary Dwelling
Project Description: New primary dwelling with(1)ADU on separate permit.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 82 sf Basement: 0 sf Left: 3 Parking Spaces: Cl
Height: 26 Bathrooms: 3 Second: 1941 sf Garage: 415 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2023 sf Value: $273,603.48 Rear: 10
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: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100Catch Basins: 0
Bcktlw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 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: 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'500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description:
Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2023
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 One Hour Fire Rated Eaves
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $29,556.82
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 9552-001--,( T 952-001-0090.
You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1J1..8000.333'2.2344.
Issued By: q L) l p(_i�t_�v Permittee Signature: M1, (i1 t' i.1 1) 1
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 lob site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
'goading Permit Application
Residential RE C E B Y E D FOR OFFICE USE ONLY ,���y
City of Tigard MAP 0 1 Received B�i 2--/ Zv I Permit No.; n/y s(Zo,1t^CX�C�1
14; 13125 SW Hall Blvd.,Tigard,OR 2'3 i- L U 2 plea Review Sh�R2� [1(, /�/�� Other Permit 1^0005
Phone: 503.718.2439 Fax: 5�+ 1 DmeBy: / � Z� /7•)
Inspection Line: 503.639.4175"i u r TI GaA S D Date ReadyB . J ® See Paget for
ticAnn DIVISION
Internet: www.tigard-or.gov !IP_DING DIVISION N' &Method' /S I1 I I Supplemental Information
TYPE OF WORK REQUIRED DAT•:1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. t ,
J
® 1-and 2-family dwelling
Valuation: $ 73f(p63❑ConunerciaFindusirial
El building El Multi-family Number of bedrooms: 4
0 Master builder ❑Other:
JOB SITE INFORMATION AND LOCATION
•
Number of bathrooms: 3
Total number of floors: 2 ` L 17
Job site address: 16671 SW Sunshine Coast St !-n/PiQ-ft/ New dwelling area: 2023 square feet ( 1 7 I
city/State/zit.:Sherwood,OR 97140 Garage carport area: 415 square feet 7i
Suite Bldg./apt.no.: Project Warn ' Covered porch area: square feet
Cross street/directions to job site: / /t.t .on ,. L Q� Deck area: `2b square feet
J Oft Slrycllrab , ' `70 square feet
REQUIRED DATA:COMMERCIALUSE CHECKLIST
Subdivision: I Lot no.: 139 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 Valuation: $
HExisting building area: square feet
New building area: square feet
`�� El PROPERTY OWNER 0 TENANT Number of stories:
-1 Name:Polygon Homes WLH LLC Type of construction:
Address:703 Broadway St., Ste 510 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
Phone:( )360 695-7700 Fax:( )360 693-4442 New:
El APPLICANT ElCONTACT PERSON Ui9 BUILDING PERMIT FEES*
(Please?Wes rofee schedule)
name:Polygon Homes WLH LLC
Structural plan review fee(or deposit):
Contact name:Omar Alami Abouhafs
FLS plan review fee(if applicable):
Address:703 Broadway St., Ste 510
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660
Amount received:
Phone:( )360 695-7700 Fax::( )360 693-4442
E-mail: permitsubmittals@taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR 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 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( )360 695-7700 Fax:( )360 693-4442 State surcharge(12%of permit fee): $21.60
CCB lie.:207247 �t A �J` �" Total fee due upon application: $201.60
Authorized signature: O/ium..A lto A fJ9G4/l:rryra� 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 I Date: 02/12/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
L:\Building\Permits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(l1/02/COM/WEB)
i
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVE Received
IIII 't 13125 SW Hall Blvd,Tigard, Date/By: Permit No.:
_ OR 97223 Plan Review
Phone: 503.718.2439 Fax 503598.1960 Other Perron:
h Dale/By:
Inspection
y i.i,, 1,�_i Line: 503.639.4175 MAR 2 9 2019 Dale Ready/By: mro. 0 See Page 1 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF TIGARy
TYPE of wciiiiNLDING DIVISION COMMERCIAL FEE' SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/r. a.- ,. performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: t I mechanical lttaterials equipment labor,overhead,and profit. _
CATEGORY OF CONSTR ON si •
Value:S
RFSII)ENCIAL EQUIPMENT/SYSTEMS FEES•
/T 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist
1 j Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Beating/cooling:
Air conditioning I 46.75
Job site address: 16671 SW Sunshine Coast St Furnace 100,000 BTU(ductserects) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/yews) 54.91
Suitefbldg./apt.no.: Project name: River Terrace Northeast 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: Lot no.: 139 ref 23.32
Other fuel appliances:
Tax map/parcel no.: Water heave
2132
DESCRIPTION OF WORK Gas fireplace/insert 33.39
n ' Flue vent for water heater or gas
'V e ve (.But l f ) ( i-es-.. 1 1'r t/) H SI J7. opt ) A) firePlace 23.32
Loa lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimneyniner/flue/vent 23.32
® PROPERTY OWNER 0 TENANT Other 23.32
• Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
Address:703 Broadway St.,Ste.510 equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,WA 913660 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:
03 for each additional
Contact name:Tonja Morris Furnace,ere. 1 14.15 14.15
Address:703 Broadway St,Ste 510 Gas beat Haw
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 99660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
E-mail:permitsubmittals(a aytOrmOrriSOn.Com Barbecue
1 14.15 14.15
CONTRACTOR Clothes dryer(gas)
Boeinrce name:Pro Heating&Cooling Other:
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104
Subtotal
City/Slate,/ZIP:Hillsboro,OR Minimum permit fee(S90.00)
Plan review(25%of permit fee)
Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE
[`�� This permit application expires If a permit Is eat obtained within 1a0
Authorized signature: G days after it has been accepted as complete.
Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Dam: 10/30/20
r t.,nclnelPmmi,,Iar P.nn:f Ann(WII Ii— mM 4411T„1 r,+rnw.h„y.
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Descri combined: $75.00 Renewable on I Qn I Each Total
Fee for all residential systems
electrical energy systems:
Check Type of Work Involved: s kva or 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
•
❑ Garage Door Opener* 50.01 •
to 100 kva 552.26 2
100 kva(fee in accordance 552.25 2
with OAR 918-309-0040)
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.251 hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/lu
specifically listed('/_hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page t):
' Number of impactions allowed per permit
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
IisBuildinglPemsss\ELC_PernitApp_ELR_ERE.doc Rev 06/17/2015
1
' ,Plumbing Permit AppticAtipl
Building Fixtures -1 V FOR OFFICE USE ONLY
Received
Cityof Tigard A p R Q 1 Permit No.:
g Mg
9 Z I� 21 Date/Bv: M( �oZl
a 13125 S W Hall Blvd.,Tigard,0 72 3
Phone: 503.718.2439 or.,9f,(3,,,,,ij Dan Review
� 011mr Permit No.:
In tionLine: 503.63Date By:Tlc: Ro 51 INO DIVISION Notified/Method:
ied/Metho Jurist ® See Paget for
Internet: www.ligerd or Notitted/Alethod: Supplemental Information
TYPE OF WORK FEE" SCHEDULE
®New construction ❑Demolition For special information use checklist
Description 1 Qty. I Ea. I Total
❑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
1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 .
SFR(3)bath 500.32
❑Accessory building 41-Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler(..._____sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities;
Job site address: 16671 SW Sunshine Coast St Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 DryweB,leach line,or trench drain 18.76
Footing drain(no.linear ft.:, ) Page 2
Suite/bldg./apt.no.: I Project name: River Terrace Northeast 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 nc 139 Fixture or item:
Tax map/parcel no.: J Backtlow preventer 3 t.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixture/sewer cap 25.02
Floor drain/floor sittk/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
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon Will,LLC Medical gas(value:S_) Page 2
Primer 12.51
Contact name:Tonle Morris
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 U1 25.02
CONTRACTOR Water closet 25.02
Water beater 37.52
Business name:G&B Plumbing&Sons Inc Water piping/DWV 5629
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: S72.50
Plan review (25%of permit fee)
CCB Lic.:184372 Plumbing Lic.no.:pb634
=
�y��� - State surcharge(12%of permit fee)
Authorized signature: 5SL tTi u< TOTAL PERMIT FEE
Print name:Steve Fowler Date: 0/30/20 This permit application expires Ifs permit is not obtained within 180 days
after it has been accepted es complete.
'Pee methodology set by Tri-County Building Industry Service Board.
I'iBuiiding,Pamas'PLMll-PenutApp.doc 10/01R19 440-46 16T(I0102/COM/WEB)
Tay
Plan # prOf rj--r �)vo 25 Floors 2 Large �� -� __J ��
Bed rooms 9 Small rj� J
LAV Li
Tub Tj Basement
Vent 1st Floor 82i
Water Heater I 2nd Floor l
AC �[�S� 3rd Floor
School (�y� R-3 Total 2 023
Garage
�� [Z O Total -2,5.1 ' e;i3
De-Lk Coo--Qs-- ►20 3
#for Elec
2 DJf.-1,
I) of575 ,,,..--, ob.- .ten (i--d U s;z-k_- s �
P
City of Tigard
11111 w COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Residential
Building Permit #: re 2I --
Site Address: 16671 SW Sunshine Coast St
Project Name: Polygon at Roshak Ridge Lot #: 139
Planning Review
Proposal: New single detached house P R..1 M rt Z./ . ui cz_Llnl(T
❑ Verify address/suite #active in Accela. Q In River Terrace: ❑ No ❑r Yes, River Terrace Review Addendum
Site Plan Elements: � r 'on Control
0, copies of site plan on 8-1/2"x 11"or 11 x 17"paper tained trees with drip line and tree protection measures
011 rawn to scale(standard architect or engineer scale) ,Footprint of new structure (including decks)and FF'F,
0 orth arrow .Jtility locations&easements(required for new and additions)
Oldie address,project or subdivision name and lot number °'i walk/driveway approach
0 pplicant information(name and phone number) cation of wells/septic systems
0 .t dimensions and building setback dimensions Street tree size,type and location
$ 1 .quare footage of buildings to be demolished Street names
II xisting structures on site �.omer elevations (2'contours if more than 4'differential
0 .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? es ° o
❑ Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑Yes,applicant was notified El No Received: ❑ Yes ❑° No
� ❑ Water Meter Fixture Unit t was notified
—Additions,Remodels and ADUs
Required: ❑Yes,applicant was notified El No Received: ❑ Yes ❑r No
SDC Exemption for ADU applied for: ❑ Yes 0 No Received: El Yes No
Public Facilities Improvement(PSI) Permit:
Required: ❑✓ Yes,applicant was notified ❑ No Applied For: ❑r Yes ❑ No,stop intake
CI Land Use Case#: SUB2015-00004 El Zoning: R-12
❑r Required Setbacks: Front: 8/12 Rear: 10 Side: 3 Street Side: N/A Garage: 20
❑r Building Height: Max. Height: N/A Actual Height: 26
ElLandscape Area: 20 % El Lot Coverage Max: 80
Entrance ., Set back no more than 8' from street-facing wall ❑✓ Parallel to street or offset 45 degrees or less
Windows ,. Minimum 12%of area of all street-facing facades
Garage ' Gara e door is behind widest street-facing wall ❑ Yes ❑r No,one of the following is met:
Door extends no more than 5' from wall and there is a covered porch extending beyond garage.
Door extends no more than 5' from wall and there is a 12 sq ft.window above garage on 2na floor.
❑r Gara e door width is I 12'or less El50%or less of facade ' 60%or less and includes 7 of following:
Covered porch 0 Recessed entrance 0 Wall offset 1'Roof eave
' Roof offset
Fire shingles 0 Lap Siding ❑ Roof itch ❑° Gable,hi ,or gambrel roof B Dormer
Accent siding I Window trimU Window recess U Window projection ❑Balcony
1 II Visual Clearance Q Urban Forest,Plan
II Sensitive Lands: ❑ Yes LI No Type:
ElConditions met prior to issuance of building permit
Notes:
CI Approved By Planning: , Date: 3/1/21
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
1:\BuildinglForms\BldgPermitRvw_RES_122419.docx
f k
Building Permit Submittal
Original Submittal Date: 3/1 /20z 1
Site Plans: #
Building Plans: # '3
Building Permit#: Enter buildin ermit#above. �,�
Workflow Routing: Planning Engineering /CJ Permit Coordinator Building
Workflow Sign-off: ign-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:
l
By Permit Technician: Date: 'S //2c2!
Enineering Review
11 Slope at building pad: 3 a
onditions "Met"prior to issuance of building permit/4/l/0f
Easements (encroachments)per engineering conditions of approval and plat
III/Water Quality/Quantity Facility: �/
Assess Water Quality Fee in-lieu: ❑ Yes 11'J No
Assess Water Quantity Fee in-lieu: ❑ Yes
/ LIDA Facility on lot: El YesfLLJI No
'E Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes: l
®Approved by Engineering: Date: ,3 `3/2/
Revisions (after Building Submittal only) Reviewer f Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
EjConditions "Met"prior to issuance of building permit
0 Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
�q
L1 SDC Exemption: ❑ Received .2 Does not aegly
RSDC Fees Entered: Wash Co Trans Dev Tax: yes 1 N/A
Tigard Trans SDC: 2.Yes ❑ N/A
Parks SDC: Yes 0 N/A
ry LIDA ❑ Yes aN/A
lam, OK to Issue Permit
Approved by Permit Coordinator: Afrie4.. Date: 31 S`U-24
I:\Building\Fortis\BI dgPermitRvwRES_122419,docx
1 }
City of Tigard
w COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD
River Terrace Building Permit Review Addendum
Building Permit #: KACT- .0P-1 - tc c7
Site Address: 16671 SW Sunshine Coast St
Project Name: Polygon at Roshak Ridge Lot #: 139
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1):
Is the project subject to the plan district design standards? El Yes 0 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 ormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gable
❑ ❑ ❑ ❑
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 - ance must meet both of the following standards:
Parallel to street, . gle no more than 45° from street,
❑Max. 8 ft. setback from longes trees- facing wall
or open onto por
Entrance opens to a porch: ❑Yes U o
If es,all the following apply: ❑25 sq.ft. 'n.
UOne street facing entry 0 12 f ax. roof above floor of porch
❑5 ft. depth min. ❑3./o min. porch roof coverage
4. Detailed Design: All buildings shall include a min. o v' of the following elements on all street-facing facades:
❑Covered porch min. 5 ft.wide x 5 ft. deep II Recessed entry area min. 5 ft. wide x 2 ft. deep
❑Wall offset min. 16 inches I Dormer min. 4 ft.wide
❑Roof eave 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. . ❑Horizon . 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 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 u. o 5 ft.if there is a covered front porch and garage does not extend beyond the fro : s 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
50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: <.7 5 Date: 3/1/21
I:,Buildi ng\Forms\BldgPermilRvw_RES_RT_121417.door
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: OAlamiAbouhafs@taylormorrison.com
New Meter Address: SFU: 16671 SW Sunshine Coast /ADU : 16673 SW Sunshine Coast
Subdivision Name: Polygon at Roshak Ridge Lot#: 139
Building Permit#: MST2021-00069 / MST2021-00071
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
ADU SFU Total
Bar sink x 1 =
Bidet x 1 =
Clothes washer 1 1 2 x 4 = 8
Dishwasher 1 1 2 x 1.5 = 3
Hose bib, 1'one 1 1 2 x 2.5 = 5
Hose bib, each add'! 1 1 2 x 1 = 2
Kitchen sink 1 1 2 x 1.5 = 3
Laundry sink x 1.5 =
Lavatory 3 4 7 x 1 = 7
Water closet, 1.6 GPF 2 3 5 x 2.5 = 12.5
Bathtub/whirlpool x 4 =
Shower stall 1 1 2 x 2 = 4
Bath/shower combo 1 2 3 x 4 = 12
Total Fixture Unit Points: 56.5
Fixture Unit Points:
1to30= 5/8" 37.5 to 89= 1"
30.5 to 37 = 3/4"
Meter Size: 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
Ng q' Transmittal Letter
Tics;v k n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE tbrivED
DEPT: BUILDING DIVISION
FROM: 61 dame'r d/N MAR 2 9 2021
r CITY OF TIGARD
COMPANY: / J 1prr,t6sv, BUILDING DIV SIGN
PHONE: 3 94.6 g6li By:/.',/,
EMAIL: 9 Aim r 9'uJ__ e &„,, -
•
RE: / 6'1 /661 - I-1s740D _ COO )
(S.e Address it Num er)
631 �/ 61 A az A "coil n57" ► - 000
-II-
(Pr$id name or subdivision name and lot number)
ATTACHED ARE1 THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:Additional set(s) of plans. 3 Revisions: A) .51.4 C`3/11, D1 CI,3
Cross section(s) and details. Wall bracing and/or lateral analysis. i
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: '. % Cj I . 0 9. 0 O t Q 3 ,
f �n) ,Q�
,11)Tr'ec tI4 ni zy°��' ti re i -c�` ,rho 9 0.A r xitlihs,
FO OF ICE USE ONLY
Routed to Permit Tec nician: Date: 7''Z4 �j( Initials:
Fees Due: ❑ Yes No✓ Fee Des It
: Amount e
$
,c>fz----/
N---/ $
Special
Instructions:
Reprint Permit (per PE): ❑ Yes 1CNo ❑ Done /JApplicant Notified: Date: y� , i Initials: j
I:\Building1Forms\TransmittalLetter-Revisions_073120.doc
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
'$ is
1 =. Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: DATE ME
DEPT: BUILDING DIVISION
FROM: Omar AlamiAbouhafs APR 121011
COMPANY: Polygon WLH LLC. CITY OF TIGAHL'
BUILDING DITSIOty,_
PHONE: (360)946-8674
I By /1.J
EMAIL: OAlamiAbouhafs@taylormorrison.com
RE: 16671/16673 Sunshine Coast St MST2021-00069/ ST2021-00071
(Site Address) ermit Nmber)
Polygon at Roshak Ridge
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
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.
3 Other(explain):Roof Plan R1 page
REMARKS: The Roof Plan R1 page was missing from the plans
FOR�--z-( -E USE ONLY
Routed to Permit Technic'an: Date: r_#-�ilz( /J7i` Initials: IA-
Fees Due: ❑Yes No Fee Descr ption: Amount Due:
$ 0-4,„
` b, c\-) E
Special
Instructions:
Reprint Permit(per PE): ❑Yes No 0 Don.e*4_
Applicant Notified: t -PZ Date: G//6-AI/ Initials,
I:1Building\Forms\TransmittalLetter-Revviisions 073120.doc