Loading...
Permit Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Qty. Fee(ea) `fatal ' y�, Square Footage: Permit Fee,. Footing drain-I'100' 50.03 0 to 2,000 $121 90 Footing drain-each additional 100' 37.52 2,001to3,600 $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: stems Water Service-each additional 100' 37.52 t )-r `"` ° • Storm&Rain Drain-1st 100' 62.54 Val $ ai c s $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$1.52 for Other Inspections or Fees Qty. Fee(ea) ' Totat 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 90.001hr 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 pp y' Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. ElCar Wash Each Stall New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes Water Extractor fees assessed for the sewer increase must be paid before the WaterCloset-Toilet plumbing permit can be issued. Urinal Other Fixtures: 1:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 CITY OF TIGARD MASTER PERMIT 1 ' COMMUNITY DEVELOPMENT Permit#: MST2021-00081 TTGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/12/2021 Parcel: 2S 107AA15200 Jurisdiction: Tigard Site address: 16682 SW SUNSHINE COAST ST Subdivision: ROSHAK RIDGE Lot: 152 Project: Polygon at Roshak Ridge, Lot 152-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: 25 Bathrooms: 2 Second: 0 sf Garage: 275 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1228 sf Value: $163,663.38 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 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckfw 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,500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 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: $24,384.58 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. a. Issued By: CZ& 9✓W�_. 29 Permittee Signature: 7 0 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. go. Building Permit Application (v. R,,_ 1'f -w' - - j e 1 .. j` o.nn Residential FOR OFFICE USE ONLY City of Tigard I ` �OZS Received 315/2ovt NV PermitNo.: MSfio2 1- fig( 111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan ReviewU LI Phone: 503.718.2439 Fax: 503 598 la. i Y L/I i i _3/-t.i) Date/By: l,7 2l 1 : Other Permit: [I U A it i) Inspection Line: 503.639.4175 „-1.., I_' �,,,i,c j,.,,^ Date Ready/By: i-� /f �/ 63 See Page 2 for Internet: www.tigard-or.gov ,. s` U ..i:V,) tied/Method: ` / ( `41: Supplemental Information gro TYPE OF WORK ' QUIRED D :1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees'are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ( 3$ D 1-and 2-family dwelling ElCommercial/industrial Valuation: $ , 3 i IYc� ElAccessory building El Multi-family Number of bedrooms: 3 ❑Master builder ❑Other: ADU Number of bathrooms: 2 JOB SITE INFORMATION AND LOCATION Total number of floors: 1 16-63 Job site address: 16682 SW Sunshine Coast St New dwelling area: 1228 square feet i).a.$ City/State/ZIP:Sherwood,OR 97140 Garage/carport area: D7 rare feet Suite/bldg./apt.no.: Project name:kiyerTorrao9Narthea t Covered porch area: square feet Cross street/directions to job site: k�fig Q r P, � �yy� Q Deck area: square feet U/ (f��� Other structure area: square feet • REQUIRED DATA:COMMERCIAL.USE CHECKLIST Subdivision: I Lot no.: 152 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. � Accessory Dwelling Unit Valuation: $ , 9 Existing building area: square feet N-snN New building area: square feet N. ® PROPERTY OWNER. ❑ TENANT Number of stories: 'iName: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 El CONTACT PERSON U9 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 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 Total fee due upon application: $201.60 Authorized signature: (31./242 .rY CCCaltz:46BZ.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: 02/12/2021 *Fee methodology set by Tn-County Building Industry Service Board. I:Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(I 1/02/COM/WEB) ccllanical Permit Application �,�� t t it ° of-Tigard menu -�r ? � 0� 1 P'e.nid'e.o.: ECE11/EC Da1era c SW Han}3vd. Tigard OR i72' P snAavica� ..--... __ €'Bunt- n n ,2439. £a' Stl3.5o t.G' 1]ait/19a. Other Pun:§ . lns^recionLnne Sf1.i.&,a4,4175 for ? Lite.m„v cswrw,naarti or. ov MAR L7ata iedNetlax Juan, r See Fa t y Ini c g 2 4 2021 Na4ihcailMethad: 9npp3ementatlnfeexmafioq TYPE OF wC i4741 I Y UI- I IUAHb COCr4MERCibd PEE* SCHEDULE USE CHECKLIST 1 1__. 1j i ,QJVISION Mechanwal petnat Foes*are 1;scd on the rr r of the work 1 ®New c:onstntcticn ©Additiorialter �°P' perFnrmed.Indicate the value(rounded to the nearest..dash.)of all l..molition mechanicsl materials et;yipment„tebar,overhead,aadprofit,. _ 0 t�tithe ADU r CATEGORY OF CONSTRUCrfr a a' i. _ _ .�� ,_.W. ,A !, RESIDENTIAL EQUIPMENT/S1S EMS FEES* 8•and 2-family dwelling 0 Commercial/industrial , . _ _ I For special Information use checklist. --_. i I ;Multi-trinity [Ti 'hlastri 'builder ri C°Mel. 1 t]csc tpt an �grts J Ea I Total . 1 Beann coating: - : JOB SITE INFORMATION AND LOCATION '"� Sob s;teaddress' 16682 SW Sunshine Coast St rcJnttianin 46.75 �b•T7 .._._..-_._ Fuma..eiQQ,000 BTU tdactstvenia 46.75 _ i 1 CityfSxataliPc Tigard,OR 97224 unlace 100.200r Ei w U(slec+slveats 54.91 i t tiateiblda,raps no. i Projec€name River Terrace Northeast I 3 _M Ductwork: 23.32 i 4. ("loss street/directions to job sate: Hydrouic hot water system 23.32 - .......�...__ .. ._.......... .. ...-.___._ ."._..."'-+ Rea dentral facile. (radiator ce ! �.'. 1 -hydrprac) 23.32 Unit .eaters(fuel type,not electric), _._..__._ ' in-waGL in-ducts ended etc. 46.75 Flueivent for any of above 23.32 E Snbdivlsiati: t.of no.: 1 52 Other-, _T I 23.32 .......... __.,._-..... .._......._..__ ._-__..a. ! Other fuel appliances: 1 Tax snap/parcel no.: Water heater 23.32 ; DESCRIPTION OF WORK Gas frcptaceimsert . 33.39 NN// r� L T /J Flue 4 cat for water heater or gas _ ' __. /41_4�4!`" 1/.. _., -.._l._�g_..... ...v._. 9; i Ore_ -e` 23.32 ,/1 �l� 1 fry lehtsr{„as) .... 23't2 -� U -r-'-"r/�'F-r —, . W oopypeliae stove 333.39 _Wood Brenlaeetinsec 23.32 • .,, Chtmneyiliner/flu.h_rnt 23.32 _ 1 Other: 2332IS PROPERTY OWNER 1.. 0 TENANTr--- I Environmental exhaust nod ventilation: • Nacre:Polygon NAT..H,LLC. + Range hood/other l tcrim z,guiLxncnt___._._. • .„._,.,...-._ _......-.. ... 33.3 7 Address;703 Broadway Sr,Ste.510 I .0 ..._._..__._-_---_ lathos dsy_uechaust _..__ 33,39 i City/State/ZIP Vancouver,WA 9II660 Single-duct exhaust(bathrooms, € toilet compartments,utility rooms 23.32 I Phone.(360)695-7700 Fax:( ) i Attw/Gawls ace fans 23.32 APPLICANT 0 CONTACT PERSON Other- . 23.32 i Business name:Polygon WLH,LLC.. 'S -°e j--P..iRg' �.___.-.._...... .. .,._._._. ...._...___.. S14 '4.03 for each additional ' Contact name.Tonja otna i Furnace etc. 1 I — _L_ 4. � Al i Address,703 Broadway St„Ste 510 4 L Gas heat pus ilrarrirr.r i j _ __--- ..r...._...._ I Watitsuspendeih:ntt beater j ' 1 Cr y;Ssrat71P Vancouver,WA 98660 1 r Watts heater Phone:(360)695-7700 i Fax::(360)693-4442 Firpplae , ._._.— ' r.trail:pet mitsnbmuials ctaylormorrison.com — aaz CONTRACTOR 1. k,,rn 1 °too- 1 Business ranee.Pro Heating&Cooling R' € .,. .__� .;' MECHANICAL PERMI'L"FEES* Address: NW Alociek Dr,tire,1164 /� r. p Subtotal � 1 City/State/JP::Hillsboro,OR E Minimum permitfee($90.00) _ _ Plan review t %of person fee} I EPhone.(360)270-I590 C Far ( ) State surcharge e q t 2,v orpe permit f e) _ ,i CL B tic.:209001 TOTAL PERMIT 1IT FEET ....,.._..... - _- ..--._ .....-......_._._. _...-..-_. ._.�__.. • This permit applientian expires of a permit is not obtained within lith 45e: 0, b days after it has been accepted as ctmptete, Authorized signature: LL �1��..II 7 Pei mrihoe(eslogyaetb}TriCounry Building lydoaryServxrBoard Pant nand!t'Ina Arran Date 1 0/30/20 x-iGniln&mPnnnaeMPf n...wenne iwnt a:n„- nor.a...r* m,:a-a,an. >. Electrical Permit Application r FOR OFFICE USE ONLY Received /r/� 21 ST. 0 6 Obit City of Tigard Receve 3 !/ o IJ Permit :M 2 Z\ D i 13125 SW Hall Blvd.,Tigard,OR 97223 - Plan Review Related Permit#: U Phone: 503.718.2439 Fax: 503.598.1960 Date/By: _ Inspection Line: 503.639.4175 Ready Date/By: Saris: I El See Page 2 for IIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK""- t'' 11''""'r;`''' PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/item s checked): O Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. 1-and 2-farnil dwelling less to ground,or exceeds 14,000 ❑Commercial-use agricultural Ely g ❑Commercial/industrial ❑Accessory building amps for all other ns allations, buildings. 0 Multi-family ❑Master builder X❑Other: ADU 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived O Addition of new motor load of system. Job#: Job site address: 16682 SW Sunshine Coast 100HP or more. ❑"A","E',"1-2","1-3", Ci /State/ZIP: Tt ard OR 97224 El Six or more residential units. occupancy. ty g ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: River Terrace Northeast ❑Hazardous locations 0 Supply voltage for more than O Service or feeder 600 stops or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qtv. I Each I Total I " New residential single-or multi-family dwelling unit. Subdivision: River Terrace Northeast Lot#:152 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 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.) Renewable Energy 0 See Page 2 Cl PROPERTY OWNER ❑ TENANT 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 l l 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, 742 2 each branch circuit Contact name: Omar Alami Abouhafs B.Fee for branch circuits without service or feeder fee,first Address: 56.18 2 703 Broadway St., Ste 510 branch circuit City/State/ZIP: Vancouver WA 98660 Each add'l 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 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 1915 E 5th St., Ste D panel,alteration,or extension. City/State/ZIP: Vancouver, WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 360)314-4915 Fax:( ) Investigation(1 hr min) 90.00/hr Email:paul@portlandelectric.biz Industrial Plauphrm ) 78.18 hr Inspections for which no fee is 90.00/hr CCB Lie.: 194066 Electrical Lie.: C760 Suprv.Lie.: 49208 specifically listed('h hr min) n '_ ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: IJI,CLX- Subtotal: Print name: Alex Shalya Da e:10l30l20 ❑Plan Review Required(25%of permit fee): a,o� Q Q State surcharge(12%of permit fee): Authorized signature: 'Sup L. mfiWIAJf JA.t4. TOTAL PERMIT FEE: (/ This permit application expires if a permit is not obtained within l80 Print name: Sergey Mishchuk Date:10/30l20 days after it has been accepted as complete. * Number of inspections allowed per permit. I:IBuilding\PermaslELC_PemutApp ELR-ERE.doc Rev 06/17/2015 44tv4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 _Description oe newa rIn I Each Tatai y Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 0 Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: 0 B• urglar Alarm 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to100 kva 552.26 2 >100 kva(fee in accordance 55226 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 66.25/hr 1 charged al an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed MID min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Paget): (SEE OAR 918-309-0000) Number of inspections allowed per permit Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls ❑ C• lock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical n Nurse Calls n Outdoor Landscape Lighting* n P• rotective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 19Baitding\PennitdELC Pern tApp ELR_ERE.doc Rev 06/17/2015 r • Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received /P/ � iki �I &rt.aZt '006gI ll Parley: 3 ` Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.7182439 Fax. 503,598.1960 • DatlBy: Other Permit No.: I I G A II D Inspection Line: 503.639.4175 Dale Ready/By: tufts: H See Page 2 for Internet www.tigard-or.gov NotirtrNMethod: _ Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description I Qty. I Es. i Total 0 Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath I 312.70 I-and 2-family dwelling 0 Commerciallindustrial SFR(2)bath 437.78 ❑Accessory building -Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder Q Other. ADU Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities; Job site address: 16682 SW Sunshine Coast St Catch basin or area drain 18.76 City/Stat&Zli:Tigard,OR 97224 Drywell,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.: 1 Page 2 Subdivision: Lot nc 152 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 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 Address:703 Broadway St.,Ste 510 Floor drain/floor sink/hub 25.02 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 iaterceptor/greasc trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$_) 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) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:permitsubmittals®polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:G&B Plumbing&Sons Inc Waterr PPng�i WV SG 29 Address:P.O.BoN 92 Other 25.02 City/State/ZIP:St.Paul,OR 97137 Subtotal Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: 572.50 CCB Lie.:184372 Plumbing Lic.no.:ph634 Plan review (25%of permit fee) cCka State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: Steve Fowler Date: 10/30/20 after It has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. 1:1BuadingtPamin'PLMU-PermhApp.doe 10JOIO9 440-0616T(1e132,COMN.'EB) tiVb0 Pl S��J �� /� 0 Flanoors Large \1 r Q �,r� ���6 — &S Bed rooms 3 Small r leg Tub 3 44.i S I o n,e> (' c1 -�-� Tub 2- Basement cry 6�I7A Vent 3 1st Floor (22U I Water Heater I 2nd Floor AC 3rd Floor School k i R-3 Total Garage �75 �}p (,t ?tRQ,� Total 1 �j Z kO�-A-- k°b S #for Elec 2_ `/2 0-co orJ es-9v .•'wi0 rS1^-1:4. rn.2_IADw n°-.) Are_ y` 441f..., 1) u lea c o✓•gA.ru c_-„,b n - a car Act U r1.e c.a 4--, bad k- 4- k> n k5401 °Li-it-ems f--6 y-- t..31,.6-)r- .5) 1,/,_n, r\k) ywbAr-- 0 i- c.s6 Lt-) 12 A-lii-an (•( \. 1se..›-i-. ),Iel , ,- 5-) ectrrki- 4-- Dij71 S`) -C (6 2- f;u2—A- ,c).r La.--Li--- -e-roi (ADO ? Co.,;‘, (.\.% \ t.s1 5\-- Y City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential iio Building Permit #: rAS '2oo...\_ 00111 Site Address: 16682 SW Sunshine Coast St Project Name: Polygon at Roshak Ridge Lot #: 152 Planning Review Proposal: New attached ADU ElVerify address/suite#active in Accela. 0 In River Terrace: El No El Yes,River Terrace Review Addendum Site Plan Elements: ,erosion Control M. copies of site plan on 8-1/2"x 11"or 11 x 17"paper _.etained trees with drip line and tree protection measures G P rawn to scale(standard architect or engineer scale) ,Footprint of new structure(including decks)and FFE GI orth arrow 'L.Jtility locations&easements (required for new and additions) I.ite address,project or subdivision name and lot number -'l jidewalk/driveway approach ril pplicant information(name and phone number) Hf 1,..ocation of wells/septic systems 13 .t dimensions and building setback dimensions ,itreet tree size,type and location olA ILquare footage of buildings to be demolished ".itreet names II misting structures on site , ,.Comer elevations(2'contours if more than 4'differential 0 of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? L"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: El Yes,applicant was notified ❑r No Received: ❑Yes ❑r No ❑ Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: ❑Yes,applicant was notified El No Received: Yes ❑r No ElSDC Exemption for ADU applied for: ❑Yes ❑r No Received: Yes El No ❑r Public Facilities Improvement(PFI)Permit: Required: El Yes,applicant was notified ❑ No Applied For: ❑r Yes ❑No,stop intake ❑ Land Use Case#: ADU2021-00003 ❑ Zoning: R-12 ❑. Required Setbacks: Front: 8/12 Rear: 10 Side: 3 Street Side: N/A Garage: 20 ❑r Building Height: Max. Height: N/A Actual Height:"2--5 ElLandsca.e Area: 20 % El Lot Coverage Max: 80 % Entrance 13 Set back no more than 8'from street-facing wall ❑r Parallel to street or offset 45 degrees or less Windows 0 Minimum 12%of area of all street-facing facades Garage 0 Gara 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 2°d floor. ❑r Gara e door width is 12'or less 0 50%or less of facade 60%or less and includes 7 of following: Covered porch 0 Recessed entrance❑ El Wall offset 8 1'Roof eave El Roof offset Fire shingles Lap Siding Roof itch Gable,hi ,or gambrel roof Dormer Accent siding Window trim Window recess LI Window projection ❑Balcony ,,IIP LU Visual Clearance ❑o Urban Forestry Plan Sensitive Lands: El Yes LI No Type: ElConditions met prior to issuance of building permi Notes: El Approved By Planning: iota--- Date: 3/8/21 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved El Not Approved Revision 2: El Approved ❑ Not Approved 1:1Building\Forms\BldgpermitRvw RES_122419.docx - a Building Permit Submittal Original Submittal Date: 2/( f/21 Site Plans: # 4 Building Plans: # 3 Building Permit#: Enter buildingermit#above. Workflow Routing: Planning Engineering Permit Coordinator RBuilding Workflow Sign-off: 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 al 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: .J/ r(Za2 f Engineering Review m S ope at building pad: 2 J y f L�1 onditions"Met"prior to issuance of building permit �j E sements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes LJ o Assess Water Quantity Fee in-lieu: ❑ Yes No � LIDA Facility on lot: ❑ Yes No In/Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:,te U/ Approved by Engineering: Date: - 37/2/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved yIO+P�ermit 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: ❑ Received Does not a7 1 a: �y SDC Fees Entered: Wash Co Trans Dev Tax: Yes N/A Tigard Trans SDC: 4Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA Yes 7N/A ISLOK to Issue Permit Approved by Permit Coordinator: Date: 3t9,1ZOZ1 F\Building\Forms\BI dg Pe rm itRvw_RE S_122419.docx City of Tigard 7 , COMMUNITY DEVELOPMENT DEPARTMENT FIGARD River Terrace Building Permit Review Addendum Building Permit #: MsTW21- 60481 Site Address: 16680 SW Sunshine Coast St Project Name: Polygon at Roshak Ridge Lot #: 152 (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 proj&'ct subject to the plan district design standards? ❑Yes El No (Per MMD2020-00044) iculation: a minimum of 1 element per each street-facing facade that has 30-60 ft.of frontage.An additio ele - t 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.,6ft.wide ■ ❑ ❑ ❑ ❑ 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 lunges eet- facing wall or open onto poi Entrance opens to a porch: ❑Yes I o IfUes,all the following apply: ❑25 sq.ft. . ' . One street facing entry ❑12 f ax. roof above floor of porch ❑5 ft. depth min. ❑3 0/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 I IIP ormer 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. 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 El 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 . .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: Date: 3/8/21 I:\BuildingTonns,BIdgPemtitRvw_RES RT_121417.docx 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: 16680 SW Sunshine Coast /ADU : 16682 SW Sunshine Coast Subdivision Name: Polygon at Roshak Ridge Lot#: 152 Building Permit#: MST2021-00080 / MST2021-00081 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, 1st one 1 1 2 x 2.5 = 5 Hose bib, each add'l 1 1 2 x I = 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: 56.6 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/Farms/WaterMeters_010121_New.dOCX Page 2