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Permit Plumbing Permit AuDlicat �`+EIuCn Building Fixtures SEP!l�� q CCI„ FOR OFFICE USE ONL1 Cl of Tigard 1 20V Received 61/4/....2i Penmt No.: tt 13125 SW HallllBlvd.,Tigard,OR 97 Date/By: ` / T� MST2021-00071 �1 ■ 911T6Y OF TIGARD Plan Review d Phone. 503.718.2439 Fax 503 5 I DatelBy �/Cf/� i rl G(„ Oilier Permit No TI L AR U Inspection Line: 503 639 4175 11 Ill DING DIVISION Dale Ready By :3fl 1. .z.: ftmds ® See Page 2 forInternet www fi and-or ov ' Notfcdi\eIhod Supplemental Information TYPE OF WORK - r "`" I' F': ," , '-i r:___= FEF:* SCHEDULE ❑■ New construction For special information use checklist. l ❑ Demolition l Description I Qty. 1 Ea. I Total ❑ Addition/alteration/replacement El Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 31270 ■ 1-and 2-family dwellingSFR(2)bath 437 78 ❑ ❑Commercial/industrial SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/ hen 25.02 ❑ Master builder ❑Other. Fire sprinkler(1228 sq.ft.) Page 2 111111''l ' . i(III(, I :JOB STEINT I AND !- Cty Aj,s , ,.) i Site utilities Job site address:16673 SW Sunshine Coast Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard,OR 97224 Footing drain(no linear ft.. ) Page 2 Suite/bldg./apt.no.:ADU I Project name: Polygon at Roshak Ridge 1 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 It: ) Page 2 Subdivision I Lot no.:y.139 I Fixture or item: Tax map/parcel no Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 - Clothes washer 25.02 MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 IN PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name.Taylor Morrison Fixture/sewer cap 25 02 Floor drain/floor sink/hub 25 02 Address:703 Broadway Street Suite 710 Garbage disposal zs oz City/State/ZIP: Vancouver,WA 98660 Hose bib 25.02 Phone:(360 ) 695-7700 Fax:( ) Ice maker 12.51 l'i1i -1,04,44411 : 1,' II111; Itlill - .011ii . 1 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:( 5031 577-6535 I Fax::( ) Tub/shower/shower pan 12 51 E-mail: gavin@allianceplumbing.net Unnal 25.02 Water closet 25 02 CONTRACTOR Water heater 37 52 Business name:Alliance Plumbing, LLC Water piping/DWV I 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 Lie.:184601 Plumbing Lie.no..PB732 State surcharge(12%of permit fee) r'I] Authorized signature: /6-7,._....,771,—.—.) TOTAL PERMIT FEE 1.S/,‘ -1 Print name:Gavin Thomes I Date 8.25.2021 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Budding Industry Service Board. IABuildmgVPermasiPLMU-PernutApp doc 10/01109 440-4616T(10/02/COM/WBB) Plumbinll Permit Annlication - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site utilities ! �(1i' Qt Fee(ea) TotarFootage: PPS : I Stivare Pe iEt `;g Footing drain-1'100. 50.03 I O to 2,000 $121.90 I Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 I Sewer-1st 100' 62.54 � 7,201 and greater $327.54 I Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm Sc.Rain Drain-1st 100' 62.54 $1 00 to$5,000 00 Minimum tee$7250 Stormi�&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 tOtm� nSpeetiDnS or Fees Q"Y` i; I� 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 champ—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 A0 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 MrI Plan review is required for any of the following. Fixture Type for Work Performed: licReplace/ I Please check all that a Gapped Added locate pPI y' ❑ Any new commercial building with water service 2"and I Ba tistry/Font greater,except systems designed and stamped by licensed i Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall 0 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 0 Any multipurpose fire sprinkler system. Domestic 0 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" I Isometric or Riser Diagram 4 I 0 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 I -Commercial food related I -Industrial food related Ice Mach/Refrig Comments regarding fixture work: Drains Oil Separator(Gas Station) Rec Vehicle Dump Station Shower: -Gang -Stall Sink -Lav/Bar non-food related -Bradley -Com/Serv/Util food related I -Service *Note: If the fixture work under this permit results in an Swimmint Pool Filter increase of sewer EDUs,a sewer permit will be issued and washer- lothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be-issued. Urinal Other Fixtures. 1:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 N.,,, . CITY OF TIGARD MASTER PERMIT I COMMUNITY DEVELOPMENT Permit#: MST2021-00071 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/12/2021 Parcel: 2S107AA13900 Jurisdiction: Tigard Site address: 16673 SW SUNSHINE COAST ST Subdivision: ROSHAK RIDGE Lot: 139 Project: Polygon at Roshak Ridge, LOT 139 -ADU Project Description: New attached ADU. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 1228 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 2 Second: sf Garage: 265 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1228 sf Value: $163,180.38 Rear: 10 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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: 3 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 1 201-400 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 ADU VB R-3 1228 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: $24,346.01 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 throughug OAR 952-001-0090.09 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987^ or 1.800.332.2344. r Issued By: (V 1- j bO. _Q_ 1 Permittee Signature: 1 ,Arv-.ck Call 503.639.4175 by 7:00 a.m.for the next available inspection date. Thls 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. r a D Ruildin>? Permit Applied ' Residential i FOR OFFICE USE ONLY u City of Tigard MAR 0 1 ?0?' ReceivedDate/By: /,/g/ 'V Permit No.:M(T r(t— JO I IN • l3125 SW Hall Blvd.,Tigard,OR Q22 , Plan Review ! la a� t Phone: 503.7I8.2439 Fax: 503.5 C TIGARD Date/By Ohe Permit: I.'GALLD Inspection Line: 503.639.4175 BUILDING DIVISION Date Reddy/By: S �� . 1 �+ H sPR eagezror Internet: www.tigard-or.gov r&Method: I G Supplemental Information G./i./L', TYPE OF WORK REQUIRED DATA: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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 1V5 I lb 3 0 1-and 2-family dwelling IDCommercial/industrial ❑Accessory building El Multi-familyNumber of bedrooms: 3 ❑Master builder - IT Other: ADU Number of bathrooms: 2 JOB SITE INFORMATION AND LOCATION Total number of floors: 1 / f73 Job site address: 16673 SW Sunshine Coast St /9 D C, New dwelling area: 1228 square feet 122- 13, City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 265 square feet Suite/bldg./apt.no.: Project nam Covered porch area: square feet Cross street/directions to job site: filly on f ,e0S cte— Deck area: square feet Other structure area: square feet '�� REQUIRED DATA:COMMERCIAL-USE CHECKLIST 4 Subdivision: I Lot no.: 139 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 1 DESCRIPTION OF WORK work indicated on this application. Accessory Dwelling Unit Valuation: $ Existing building area: square feet New building area: square feet t ® 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:( )360 695-7700 Fax:( )360 693-4442 New: ® APPLICANT 0 CONTACT PERSON 9 BUILDING PERMIT FEES* Business name:Polygon Homes WLH LLC (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs FLS plan review fee(if applicable): Address:703 Broadway St., Ste 510 City/State/ZIP:Vancouver,WA 98660 Total fees due upon application: 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 Total fee due upon application: $201.60 Authorized signature: Ql4LQi?, .t G iii124 440'' 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: 02/12/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received g /*��* / Dates Permit No,: 'I 13125 SW Hall Blvd.,Tigard,OR 972 E` _r I M E D Plan Review - Phone: 503.718.2439 Fax: 503.598.l 1/ Daffy, Other Permit: r l t i I. Inspection Line 503.639.4175 Date Ready/By: lyric ®See Page 2 for Internet www.tigard-or.gov MAR 2 91021 Notified/Method: Supplemental Information TYPE of w yopiii�l I Y��Of- . rTII�GARC; COMMERCIA FEE* SCHEDULE- USE CHECKLIST ®New construction ❑Addition/alteratrtSef/ gdP DIIVI.SION Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: !f mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTR RESIDENTIAL EQUIPMENT/SYSTEMS FEES* — age 1-and 2-family dwelling ❑Commercial/Indus lding For special information use checklist Multi-family 0 Master builder ®Other: ADU Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Beating/cooling: Job site address: 16673 SW Sunshine Coast St Air COnd3t1Oning l 46.75 46.75 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ductsNenu) 54.91 Suite/bldg./apt no.: Project name: River Terrace Northeast Heat pump 61.06 Duct wo& 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or bydronic) 23.32 Unit beaters(fuel-type,not electric), in-wail,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Oth Subdivision: Lot no.: 139er: 23.32 — Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplauJuvun 33.39 r - /�77 J Flue vent for water heater or gas Ap,, Aie1b1 t l '1 S/tlUdi : T'1 H $T Pv fe% t I emplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/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 eqm'pmCDS 33.39 Clothes dryer exhaust 33.39 City/State/Z.1P:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) AttirJcrawlspace fans 23.32 ® APPLICANT 0 CONTACT PERSON Other 23.32 Business name:Polygon WLH,LLC Fuel piping: S4.03 for each additional Contact name:Tonja Morris Furnace,lie. 1 14.15 14.15 Address:703 Broadway St.,Ste 510 Gas heat map Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)03-4442 Firepla E-mail:permitsubmittalsCatayIOrmoRlson.COm Range 1 14.15 14.15 Barbew •"1.h CONTRACTOR Clothes dryer(Ras) Business name:Pro Heating&Cooling Other Address: NW Aloekk Dr,Ste.1104 MECHANICAL PERMIT FEES* Subtotal City/StatelZiP:Hillsboro,OR Minimum permit fee(S90.00) Plan review(25%of pennit 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 k not obtained within ISO C7� days after it bas bees accepted as complete. Authorized signature: b * Fee methodology sm by Tri-County Building Industry Service Board Print name:Elia Duran Date: 10/30/20 t.Ir4,11A.neAP,nnirdMFC P.n,ii Ann Neel i1 M. ..an..trur Pr.n+mWr MIL'. • Electrical Permit Applicati�q,'F VED FOR OFFICE USE ONLY Received W�����-�1 City5 Tigard ((�A�1�pp ()� 12021 Date/ft : Pest k'tr nil -0ZA—o 3- • 13125 SW Hall Blvd.,Tigard,(Ct^9T223 1 Plan Review Phone: 503.718.2439 Fax: sU _ Date/13 : Related Permit tt: Inspection Line: 503.639.411151 II IGARD Ready Date/By: hats: HI See Page 2 for IIGARU Internet: wwwti and-or.plijt.t 11 mr, DIVISION Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wlitems checked): 0 Service or feeder 400 amps or more ❑Building over three stories. El Demolition El Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ©Other: ADU ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION El Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 16673 SW Sunshine Coast 100HP or more. ❑"A","E","l-2","1-3", City/State/ZIP: Tigard OR 97224 El Six or more residential units. occupancy. ry g ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: River Terrace Northeast ❑Hazardous locations. ❑Supply voltage for more than O Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I QIy. I Each I Total New residential single-or multi-family dwelling unit. Subdivision: River Terrace Northeast Lot#:139 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add':500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 • residential(with above sq.ft) ❑ TENANT Renewable Energy El See Page 2 El PROPERTY OWNER • 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 510 201 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 )695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:permitsubmittals@taylormorrison.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ® APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Polygon Homes WLH, LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: Omar Alami Abouhafs B.Fee for branch circuits without service or Address: 703 Broadway St., Ste 510 branch circuit fee,first 56.18 2 City/State/ZIP: Vancouver WA 98660 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360 )816-7800 Fax: :( ) Each manufactured or modular 67.84 2 Email: permitsubmittals@taylormorrison.com dwelling,service and/or feeder Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Portland Electric Sign or outline lighting 67.84 2 Address: 1915 E 5th St., Ste D Signalnel, trn)or extension. ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP: Vancouver,WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:( 360)314-4915 Fax:( ) Investigation(1 hr min) 90.00/hr Email:paul@portlandelectric.biz Industrial plant(lhr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 194066 Electrical Lie.: C760 Suprv.Lic.: 49206'S specifically listed(Vs hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: (1 x, Subtotal: Print name: Alex Shalya Da e:10/30/20 ❑Plan Review Required(25%of permit fee): p 0 ', L State surcharge(12%of permit fee): Authorized signature: �el L 2 f- TYlt,C�h,C/fL(.f�K+ TOTAL PERMIT FEE: (/ This permit application expires if a permit is not obtained within 180 Print name: SergevMishchuk Date:10/30/20 days after it has been accepted as complete. • Number of inspections allowed per permit. 11Building\Permils\ELC_PermitApp_ELR ERE.dos Rev 06/17/2015 440-4615T(ll/05/COMJWEB Electrical Permit Application—City of Tigard • Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Bee Fee for all residential systems combined: $75.00 Description Qry. Each TooRennewable electrical energy systems: Check Type of Work Involved: 5 kva or less 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 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ 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:_ O Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR918-309-0000) ` Number of inspections allowed per permit. Check Type of Work Involved: El Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation O Fire Alarm Installation El HVAC ❑ Instrumentation ❑ Intercom and Paging Systems El 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 LABuildinglPermits\ELC_PemtitApp_ELR_ERE.doc Rev 0N17/2015 ., Plumbing Permit APPRECIE1 V E V Building Fixtures MAR 0 1 ZJZI FOR OFFICE USE ONLY City of Tigard Y9! 1iGARD Received Date/By Permit No.: TVlsr2azl-vow I 1111 iv P13ho2n5e:SW503HaU8B214v3d9.,Ti '� .3ivisiQN Plan Review Other Permit No.: Date/Ely: Inspection Line: 503.639.4175 TIGARD Date Ready/By: Juis: ra See Page 2 for Internet: www.tigard-or.gav NotifiedlMethod: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑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 utili _connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building • -Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder iX Other: ADU Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16673 SW Sunshine Coast St Catch basinorareadrain 18.76 City/State/ZIP:Tigard,OR 97224 DtyweL,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 h.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot et 139 Fixture or Item: Tax map/parcel no.: Bacldlow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectorsrsump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixturelsewercap 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 Interceptodgrease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:S ) Page 2 Primer 12.51 Contact name:Tonja 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) 6254 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:permitsubmitttals(§polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water'piping/DW V 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: S72.50 CCB Lic.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: r TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name:Steve Fowler Date: 1 Ol30/20 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board IhBotdinoPmmits\PLMU-PmnitApp.doe I 0PoIN9 440-0616T(INOVCOWWEB} Plan # Floors Large Bed Bed rooms Small R all We Z. LAV Tub 2— Basement Vent 1st Floor l S Water Heater 2nd Floor AC \(,�Q.S 3rd Floor School 11 1acj R-3 Total � tt Garage �L5 jV c r. La1-Q- Total /L/ 33 u #for Elec to;\o t City of Tigard III I r COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential TIGARD Building Permit #: Kn '2O'L1- 'r' Site Address: 16673 SW Sunshine Coast St Project Name: Polygon at Roshak Ridge Lot #: 139 Planning Review Proposal: New attached ADU QVerify address/suite # active in Accela. Q In River Terrace: ❑ No ❑r Yes, River Terrace Review Addendum Site Plan Elements: ion Control 0. copies of site plan on 8-1/2"x 11"or 11 x 17" paper '\ rtained trees with drip line and tree protection measures lairawn to scale(standard architect or engineer scale) , Footprint of new structure(including decks)and FFE 11 orth arrow 'LJtility locations&easements(required for new and additions) D:ite address,project or subdivision name and lot number 'i walk/driveway approach o pplicant information(name and phone number) cation of wells/septic systems 11 .t dimensions and building setback dimensions Street tree size,type and location I1.quare footage of buildings to be demolished street names II xisting structures on site L,,omer elevations(2'contours if more than 4'differential d •t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? r 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 ❑ No Received: ❑Yes 0 No Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ❑o No Received: ❑Yes ❑ No HReceSDC Exemption for ADU applied for: ElYes CINo ived: ❑ Yes 0 No Public Facilities Improvement(PH)Permit: Required: ❑Yes,applicant was notified ❑ No Applied For: ❑r Yes ❑ No,stop intake ❑ Land Use Case#: ADU2021-00001 0 Zoning: R-12 tEl Required Setbacks: Front: 8/12 Rear: 10 Side: 3 Street Side: N/A Garage: 20 0 Building Height: Max. Height: N/A Actual Height: 26 CILandscape Area: 20 % 0 Lot Coverage Max: 80 % Entrance ° Set back no more than 8' from street-facing wall Cl Parallel to street or offset 45 degrees or less Windows v Minimum 12%of area of all street-facing facades Garage ° Gara e door is behind widest street-facing wall ❑Yes 0 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 2°d floor. ❑r Gara e door width is 12'or less CI or less of facade E 60%or less and includes 7 of following: Covered porch Recessed entrance CIWall offset 1'Roof eave ' Roof offset Fire shingles Lap Siding ❑Roof itch ❑r Gable,hip,or gambrel roof Dormer Accent siding II Window trim U Window recess U Window projection 0 Balcony . II Visual Clearance ❑a Urban Forestry Plan II Sensitive Lands: ❑ Yes ° No Type: 111 Conditions met prior to issuance of building permit Notes: ` X t 0 Approved By Planning: _��j, Date: 3/1/21 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 1:\Building\Forms\BI deerm itRvw_RE S_122419.docx Building Permit Submittal Original Submittal Date: SA/202 Site Plans: # 3 Building Plans: Building Permit#: # Enter buildingermit# above. Pla Workflow Routing: nning Engineering Permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: ,ICJ 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: � Pi' ' ---. . Date: VI h/ Engineering Review iffl Slope at building pad: ,2 a/Conditions "Met"prior to issuance of building permit eU�j9- 1i Easements (encroachments) per engineering conditions of approval and plat Er Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Er No Assess Water Quantity Fee in-lieu: ❑ Yes Irnmo�, N No / LIDA Facility on lot: ❑ Yes L�f o gFinal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: _ / /2/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ 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: aSDC Exemption: 0 Received E Does not a7 ly faSDC Fees Entered: Wash Co Trans Dev Tax: #Yes N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes 0 N/A LIDA Yes gN/A El OK to Issue Permit n Approved by Permit Coordinator: g "\- Date: 3/8120 2 1:1BuildingTormslBldgPermitRvw RES 122419.docx lit I City of Tigard au 1111 COMMUNITY DEVELOPMENT DEPARTMENT River Terrace Building Permit Review Addendum TIGARD Building Permit #: MG-v.202_1 ' OOO1-1 Site Address: 16673 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? ❑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 Gable. .ormer ft. deep min. 2ft., 5 ft. wide min. 2 ft.,Eft. wide I 0 0 ❑ 0 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, El Max. 8 ft. setback from longes trees- facing wall or open onto por Entrance opens to a porch: ❑Yes o IfUes,all the following apply: El25 sq.ft. 'n. One street facing entry ❑12 f ax.roof above floor of porch ❑5 ft. depth min. ❑3 P/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 Recessed entry area min. 5 ft.wide x 2 ft. deep ❑Wall offset min. 16 inches II wormer 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. . ❑Horizont. .p siding min. 3-7 inches wide 0 Accent siding min. 40%of street fa .e ❑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 .tde lot line,than longest street-facing wall. ❑Yes ❑No. If No (Check o • : ❑May extend u. o 5 ft. if there is a covered front porch and garage does not extend beyond the fro .orch. ❑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 p. age that faces the street with a min. area of 12 sq.ft. Width. .heck one) 0 -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: 3/1/21 1:1Building\For,'B1dg ermitRvw_RES_RT_121417 docz 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 yourproject. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter TIGAR n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE fftttIVED DEPT: BUILDING DIVVISION n FROM: e9/Z77a1 ,4 ,,i ghad4L MAR 2 9 2021 0 CITY OF TIGARD COMPANY: /��9�j or11- BUILDING DIVSION PHONE: (260, 94b '6g1t By:/�-% EMAIL: & " JAbe.'u e (ole ,r'A0d iletB .(�J-tY-, RE: / 3 / /661) SLIJ S'u, .inj I- � — (17 (S' a Address nit Number) 631 Am �,� r�ST��I - 000 (Pr ' name or subdivision name and lot number) Q�� ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 3 Revisions: A)1 51.4 cei.V1 Of, t 3 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: (S) & revt'(Pi A%. s l .O 9. 0 O� Q 3, 0(1/ Y e i4 YI i c.-1 Qke-4/7 5+-J ('eu(0_4 skid4 OR, ,a.1h r�►�I f .f, FOROF ICE USE ONLY Routed to Permit Tec ician: ate: �i{ Initials: Fees Due: ❑ Yes o✓ Fee Des npti : Amount ue: Nve Special Instructions: Reprint Permit(per PE): ❑ Yes Z10 ❑ Done Applicant Notified: Date: %&2.,� / Initials: ' I:\Building\Forms\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 Transmittal Letter T I( A ii 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE ivE6 , DEPT: BUILDING DIVISION ' �/ i APR 12 2021 FROM: Omar Alami Abouhafs CITY OF rIGARG COMPANY: Polygon WLH LLC. BUILDING DI IISIOP PHONE: (360)946-8674 I By: EMAIL: OAIamiAbouhafs@taylormorrison.com RE: 16671 /16673 Sunshine Coast St MST2021-000 9/MST2021-00071 ) (Site Address) (Permit Num 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 R KS: The Roof Plan R1 page was missing from the plans FOR. FF E USE ONLY Routed to Permit Technic-an: Date: L1f _1 7/( Initials: Fees Due: ❑Yes o V Fee Description: Amount Due: $ ib .\.) e--7, $ $ (....„ $ Special Instructions: Reprint Permit(per PE): ❑ Yes NE No 0 Dow_ Applicant Notified: Date: G//G/�/ Initials: I.\Bui lding(Forms\TransmittalLetter-Revis ions_073120.doc