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Permit
III CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Pe COMMUNITY MEC2021-00 3 71 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/6/2021 TIGARD 9 Parcel: 2S107AA18000 Jurisdiction: Tigard Site address: 16741 SW DARWIN LOOP Project: Polygon at Roshak Ridge,Lot 180 Subdivision: ROSHAK RIDGE Lot: 180 Project Description: Additional fixture needed in temp sales office in garage.(1)mini split heat pump. Contractor: WILLIAM LYON HOMES INC Owner: POLYGON WLH LLC 703 BROADWAY STREET, SUITE 510 703 BROADWAY ST STE 510 VANCOUVER, WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 07/06/2021 $176.51 Class of Work: ALT Type of Const: VB Plan Review 07/06/2021 $44.13 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 07/06/2021 $21.18 Stories: 1 Info Process/Archiving-Sm$0.50(up to 07/06/2021 $3.00 Project Valuation: $4,000.00 11x17) Fuel Air Handlers Fuel Types: Electricity Units< 10000 cfm: Gas Pressure: Units> 10000 cfm: Furnaces Boilers&Compressors Furnaces< 100K BTU: 0-3 HP: Furnaces>= 100K BTU: 3-15 HP: Floor Furnaces: 15-30 HP: Unit Heaters: 30-50 HP: Vents w/o Appliances: 50 or Greater HP: Air Conditioning: Heat Pump: 1 Appliances Vent Fans: Vent Systems: Total $244.82 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 . 32.1987 or 1.800.332.2344. Issued By: �/ f� Permittee Signature: `e r .7 0b'� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicati4ECElED FOR OFFICE USE ONLY Received�62T l02/ tit EC2o21 0037I City of Tigard r ,5 y Permit No.: 41 13125 SW Hall Blvd.,Tigard,OR 97223 '1 , Date/B Phone: 503.718.2439 Fax: 503.598.1960 Plan Rev ewe. ^Q.) 1 1' Other Permit J P2 00 047 Inspection Line: 503.639.4175 7�/ F TIGARD Dale y. /n TIGARD CI I t - Date ReadyBy: .10,,, la See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified ethod:7 / "TMSupplemental Information TYPE OF WORK . COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction ❑X Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition E Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 4000 CATEGORY OF CONSTRUCTION ='i RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ©Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total O" Heating/cooling: i JOB SITE INFORMATION AND LOCATION Air conditioning 46.75 Job site address: 16741 SW Darwin Loop Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Sherwood,OR 97140 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 1 61.06 61.06 Suite/bldg./apt.no.: I Project name: Polygon at Roshak Ridge Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Polygon at Roshak Ridge I Lot no.: 180 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 „�.,, DESCRIPTION OF WORK Gas fireplace/insert 33.39 , Flue vent for water heater or gas Additional fixture needed in the temporary sales office in the garage: fireplace 23.32 (1) mini split heat pump need to be added . Permit#BUP2021-00047 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 'via&0 PROPERTYAINE ❑ TENANT AIL Other: 23.32 Environmental exhaust and ventilation: Name: Polygon Homes WLH LLC Range hood/other kitchen equipment 33.39 Address: 703 Broadway St,STE 710 Clothes dryer exhaust 33.39 City/State/ZIP: Vancouver,WA 98660 Single duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( 360)695 7700 Fax:( ) Attic/erawlspace fans 23.32 0 CONTACT PERSON Other: 2332 Fuel piping: Business name: Polygon Homes WLH LLC S14.15 for first four;S4.03 for each additional Contact name: Omar Alami Abouhafs Furnace,etc. Address: 703 Broadway St,STE 710 Gas heat pump Wall/suspended/unit heater City/State/ZIP: Vancouver,WA 98660 Water heater Phone:( 360) 695 7700 Fax: :( ) Fireplace Range E-mail: permitsubmittals dtaylormorrison.com-oalamiabouhafs"a�taylormorrison.com Barbecue • CONTRACTOR Clothes dryer(gas) Business name: Polygon Homes WLH LLC Other: — Idik PERMIT FEES* Address: 703 Broadway St.,Ste 710 Subtotal City/State/ZIP: Vancouver,WA 98660 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( 360)695 7700 Fax:( ) State surcharge(12%of permit fee) CCB lie.: 207247 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Ohra r..f no'.A6euJfit - days after it has been accepted as complete. Authorized signature: vv ' Fee methodology set by Tri-County Building Industry Service Board Print name: Omar Alami A Date: 5/25/2021 1.1BuildinglFermits/ MEC_PermimApp_040113.doc 440-4617T(I i102ICOMIWEB) City g Tigard INII COMMUNITY DEVELOPMENT DEPARTMENT T<G n u D Building Permit Review — Commercial - No Land Use Building Permit #: 003-7 Site Address: 16741 SW Darwin Loop Suite/Bldg#: 180 Project Name: Polygon at Roshak Ridge (Name of conunercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: New exterior mechanical equipment Existing Business Activity: Temporary Sales Office Pr.nosed Business Activity: Temporary Sales Office J Verify site address/suite#exists and activ in permit s stem. FA`''ver Terrace Neighborhood/ Yes No oning: R-7 FA Permit d Use: L Yes U No U Spec Space Co m no land use required. usiness License: Exists: ❑ Yes ❑ No, applicant was provided a business license application Notes: Approved by Planning: Date: c /2(p 2/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: O5/25/ZOZ/ Site Plans: # 2 Building Plans: #�7 2 Building Permit#: B�Enter buildingermit# above. Workflow Routing: ©"Planning ermit Coordinator Building Workflow Sign-off: ©n-S,�,ign-off for Planning(include notes from planning review) Route Application Documents: El-Building: original permit application, site plans, building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 'GS/2 02i I:\Bu ild ingForms\BldgPerm itRvw_COM_NoLandU se_111819.docx 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 Appli'ant: Revision Notice 2: Date Sent to Apo cant: Revision Notice 3: Date Sent to A t.licant: ❑ SDC Fees Entered: Wash Co Tra s Dev Tax: ❑ Yes ❑ N/A Tigard Tra . SDC: ❑ Yes ❑ N/A Parks SDI: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinato. : Date: I:\Building\Forms\B I dgPe rm itRvw_COM_NoLan dUs e_I 1 1819.d ocx