Permit III CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2021-00242
Date Issued: 08/11/2021
T t G A R j7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA15600
Jurisdiction: Tigard
Site address: 16709 SW TOWNSVILLE ST
Subdivision: ROSHAK RIDGE Lot: 156
Project: Polygon at Roshak Ridge, Lot 156
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 1231 sf Basement: 763 sf Left: 3 Parking Spaces: 0
Height: 29 Bathrooms: 4 Second: 1730 sf Garage: 486 sf Front: 8 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 3724 sf Value: $482,606.04 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 5 Garbage Disp: 0 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Bckflw Prevntr: 0
Drywell-Trench Drain: 0 Other Fixtures: 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: 3
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: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 3724
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 Geo Tech Report Required
Prior To Pour
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $46,917.55
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
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Issued By: Holly V aryD&W€ Permittee Signature: OVI AppliC.GItCala
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 lob site at the time of each inspection.
Building Permit Application
Residential RECEIVED FOR OFFICE LSE ONLY
Received1�yy �/ / PAT2 2/—MZ(lZ
. City of Tigard ig r� Dateived 6 .. �2, t Permit No.: U G(lL W T
"N . 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 2 3 2021
g Plan ReviewAik
�t220Z/^M y//__
Phone: 503.718.2439 Fax: 503.598.19 Date/By: pZ� p� Other Permita t/`'i C9�
Inspection Line: 503.639.4175 6ITY OF I I GAR U Date Ready/By: fur s. H See Page 2 for
f IGARD A,
Internet: www.tigard-or.gov BUILDING DIVISION t61!ifedMethod: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 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
work indicated on this application. roc(
CATEGORY OF CONSTRUCTION ��� ���
1-and 2-familyValuation:
0 dwelling ❑Commercial/industrial $
❑Accessory building 0 Multi-family Number of bedrooms: 5
❑Master builder 0 Other: Number of bathrooms: 4
JOB SITE INFORMATION AND LOCATION Total number of floors:3 (f aI
Job site address: 16709 SW Townsville St New dwelling area: 3,724 square feet 03 C)
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 486 square feet /4:)
3
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet 7
Cross street/directions to job site: Deck area: `2g . square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Polygon at Roshak Ridge I Lot no.: 156 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.
New Construction/Type: SFU/Elevation plan: 222803ER Valuation: $
Projected start: October 2021 Existing building area: square feet
Deferrals: N/A New building area: square feet
0 PROPERTY OWNER 0 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) 946-8674 Fax:( ) New:
0 APPLICANT ❑ CONTACT PERSON CIO 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
Phone:(360)946-8674 Fax::( )360 693-4442 Amount received:
E-mail:permitsubmittals@taylormorrison.com-OAIamiAbouhafs@taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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.
Fe
e ee(includes plan review
city/state/zIP:Vaneouver, WA 98660 Permit $180.00
and administrative fees):
Phone:( )360 695-7700 Fax:( )360 693-4442
State surcharge(12%of permit fee): $21.60
CCB lic.:207247 Total fee due upon application: $201.60
Authorized signature: 0hi-a/2..cY gailtG 4.4eoze 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: 06/22/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
:Mechanical Permit APPlicati FOR OFFICE USE any
��Ik,r.! 4fE ; Received ,
City of TigardDateBy: Permit No.: MSL.f.-VOwZ
't 13125 SW Hall Blvd.,Tigard,OR 97223 jUN 2 3 2021 "i __
! UN (+ Plan Review
Phone: 503.718.2439 Fax: 503598,1960 Date/By. Other Permit
Tlti2tltl7 Inspection Line: 503.639.4175 Date Ready/By:10 )nr s-
CITY OF I R:JAHD > Y El See Page 2 for
Internet: www.tigard-or.gov Notified/Method' Supplemental Information
BUILDING DIVISION ----- __._.
_
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CRECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY OF CONSTRUCTION — RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
I a Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE LNFORhiATION AND LOCATION ,_Heatinr/coolin8:
Air conditioning ' I 46.75
Job site address: 16709 SW TOWNSVILLE ST Furnace 100.000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000 t.BTU(ducts/vents) 54.91 _
Suite/bld4./apt.no.: Project name: Polygon at Roshak Ridge 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),
W in-wall,in-duct,suspended.etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Polygon at Roshak Ridge Lot no.: 156 Other. _ 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK. Gas fireplace/insert 33.39
New SFU construction Flue vent for water heater or gas
fireplace 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 J TENANT Other. f 23.32
Environmental exhaust and ventilation: _
Name:Polygon WLH,LLC Range hood/other kitchen
equipment 33.39
Address:703 Broadway St.,Ste.510
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/crawlspace fans 23.32
i4 APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Polygon WLH,LLC
___ S1415 for first four;S4.03 for each additional
Contact name:Tonja Morris Furnace,etc.
Address:703 Broadway St,Ste 510 �e —.__-___ __-- _Gas beat pump
-- WalLrsuspended/unit heater
City/State/ZIP:Vancouver,WA 98660 _Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Rance
E-mail.permitsubmittals(¢taylOrmOrriSOil.COM Barbecue
n _ _ CONTRACTOR M Clothes dryer(gas)
Business name:Pro Heating&Cooling Other:
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104 -
Subtotal City/State/ZIP:Hillsboro,OR Minimum permit fee(S90.00)
Plan review(25%o of permit fee)
Phone:(360)270-1590 Fax:( )
State surcharge(12%of permit fee)
CCB hc.:209001 TOTAL PERMIT FEE
- '"""�`"-""" ----- ---- -- This permit application expires if a permit is not obtained within 180
,i a 1)(j ^ ^ N days after it has been accepted as complete.
Authorized signature: t�G(i [a i�t t f t • Fee methodology set by Tri-Coun),Building industry Service Board
Print name:Elia Duran Date: 10/30/20
I in,n.r,n7o.rma,kV5r POrItIll a,,,nani r7 An-
Electrical Permit Application RECEIVE:► lillt of fI( l:1'st:I I\i 1
. City of Tigard Received Permits M S�2U2(� () Z
13125 SR'hall Blvd.,Tigard,OR Date/By
a'' Phone: 503 7l8 2439 Fax: 503 S9897223 1960 JUN 6+ 3 2021 Plan Review Related Permit a:
Date/By-
llCiAItll Inspection Line: 503 639 4175 ReadyOatclRy Juris: See Page 2for
Internet: www.ugard-or.gov �� OF �(ARC NotifiedMethod. Supplemental information
B(./0.-rl�il Vi I .,
TYPE OF WORK PLAN REVIEW
[Xl New constniction ❑Addition/alteration/replacement Please check all that apply(submit d sets of plats wlirmus checked)
El Demolition ❑Other: ❑SQC'ice or feeder 400 snips of more ❑Building over three stones
where die available fault current ❑Marinas and boatyards
CATEGORY OF CONSTRi cTION exceeds 10,000 amps al l M I volts or 0 Floating buildings
M t-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ims to t°°und,or exceeds 14.000 ❑Commercial-use agricultural
amps fot all other installations buttiltrn.s
El Multi-family ❑Master builder ❑Otl ❑Fire pump
❑Installation of 150 KVA or
JOB SITE INFORMATION AM) TAXATION 1:1 Emergency system larger separately derived
Job#: Job site address:16709 SW TOWNSVILLE ST ❑Add 100IIF or Ption moeirmotorlxdof yste t_
re. ❑.,Aw-_�-,"1-2"."1-3",
City/State/ZIP: Tigard,OR 97140 ❑Six or more residential ands occupancy
0 Health-care facilities. 0 Recreational vehicle parks.
Suitc/bldgJapt.#: [Project name: Polygon at Roshak Ridge ❑Hazardous locations Cl Supply voltage for more than
❑Service or fcedei 600 amps or more F00 volts notrtinal
Cross street/directions to job Site: FEE SCI3EDULE
___.. nescnpnoa I Qty. 1 Tads I Tatai 1
•
New residential single.or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 156 includes attached garage. _
Tax map/parcel#:
1,000 sq ft.or less 168 54 4
Fa-add'!500 sq.(k or portion 33 92 1
DE s('RlPflO\OF WORK Limited energy,residtxittat
(with atmt c ft 75 00 2
New construction.Type SFU Limited t is city muhi-family
residential(with above sq ft.) 7S.OD
Renewable Energy ❑ Sec Page 2
® PROPERTY OWNER 0 TFNAh'I Senders or feeders installation,alteration,and/or relocation
Name: Polygon Homes WLH LLC 200 amps or less 100.70 2
Address: 703 Broadway St.,Ste 710 201 amps to 400 amps 133.5_6 2_
401 amps to 600 amps 200 34 2
City/State/ZIP: Vancouver,WA 98660 601 amps to 1,000 amps 301 04 2
Phone:(360 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 v2
Temporary services or feeders installation,alteration,and/or
Email: OAlamiAbouhafs@taylormorrison.com-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 I
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
0 APPLICkNT ___1 ❑ CONTACT PERSO'NI Branch circuits—new,alteration or extension,per panel
A Fee for branch circuits with
Business name: Polygon Homes Wi.H LLC above service or feeder fee, 7 42
each branch circuit
Contact name: Omar Alami Abonhafs B Fee for branch circuits without
Address: 703 Broadway St.,Ste 710 service or Roder fee,first 56.I 8
branch circuit
City/Statc/ZIP: Vancouver,WA 98660 Each add'l bnuteh circuit 7.42 2
360 946 8674 Miscellaneous(service or feeder not included)
Phone:
( ) Fax::( ) Each manufactured or modular 67 84
dwelling,scram andior feeder
Email:OA1amiAbonhafs(i4taylormorrisoncom-PcrmitSubmittals(6)tayktrtnorrison.com neCO111..t }. 67 84 2
_,. CONTRA(3014 Pump or in igatiun circle 67 84 2
Business name: Wallace Electric Sign or outline 1eghtimg 67 84 2
Sinai circuits)or latruted-energy Address: 105 Dresden St panel,ahcratton,or extension. ❑ see Page 2 2
City/State/ZIP: Astoria OR 97103 Each additional inspection over allowable in any of the above
Additional inspection(1 hr nun) 66 25/hr
Phone:(503 31fi110563 lax;( ) Investigation(1 hr min) 90 t10J lir
Email: llavid(ahvallacewires.c0m Industrial plant(1 hr mitt) 78 18/lu
Inspections for which no tee is
CCl3 lie.;224868 Electrical Li-' C 1441 Su '.1: .: 6363S specifically listed OShr min) 90.00/hr
Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES
a,".—......,---- Subtotal
PrintPrint name; •p pale: JL,z t r❑Plan Review Required(25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature _Awn" TOTAL PERA4IT Pl:L:
Print name: s �[JJJ` // This permit application expires if a permit is not obtained within 180
_Stlttit, ' U !t.A' Date: -j��!Z fdays after It has been accepted as complete_
! * Number of insomni ns allowed per permit
Li8oil4ting'Pemsits'dilLyerrattApp_Etit ERF,dcc Rev 16/1/2015 4 l-46lST(i l/851COMIWEB
•
Plumbing Permit ApplicatiRtErl
Building Fixtures JUN FOR OFFICE USE ONLY
JUN 2 3 2071 Received /��
City of Tigard Permit No.. MST26210/2 Z
�-n 13125 SW Hall Blvd.,Tigard,OR 97OF DatelDy:
Y TIGARD Plan Review
Phone: 503.718.2439 Fax: 503. Iwr DIVISION Dates: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Jura: es See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
El New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
9(1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building 411-Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Catch
Job site address: 16709 SW TOWNSVILLE ST h basin or area drain 18.76
City;StatelZIP:Tigard,OR 97224 T Drywell,leach line,or trench drain 18.76
Footing drain(no linear ft• ) Page 2
Suite/bldg./apt.no.: Project name:41eoloolkilriiltePolygon 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: Polygon at Roshak Ridge Lot no.: 156 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New SFU construction
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixtura'sewer cap _ 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
'4 APPLICANT 0 CONTACT PERSON Interceptor/grease 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) 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 Water piping/DWV 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 Lie.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature'. TOTAL PERMIT FEE
Print name:Steve Fowler Date: 10/30/20 This permit application expires if a permit it not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tn-County Building Industry Service Board.
1:Suitding‘Pamitn;PLMU-PcnnitApp.doc 10701/09 440-4616TC t0'02'COM,WEB)
City of Tigard
li
COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Residential
Building Permit #: q&1-202-/-dO2 . _
Site Address: ,1 q lZ 7VlUn,R vl"ILp 2- -
Project Name: Polygon at Roshak Ridge Lot #: _4_____
Planning Review
Pr Pr New single detached house
Verify address/suite#active in Accela. In River Terr ce: ❑ No Yes, River Terrace Review Addendum
Si - Plan Elements: r ion Control
Ji opies of site plan on 8-1/2"x 11"or 11 x 17"paper tained trees with drip line and tree protection measures
J''i rawn to scale(standard architect or engineer scale) otprint of new structure(including decks)and FFh
4 orth arrow tility locations&easements(required for new and additions)
kte address,project or subdivision name and lot number ide alk/driveway approach
M, .plicant information(name and phone number) ation of wells/septic systems
M .t dimensions and building setback dimensions eet tree size,type and location
It.uare footage of buildings to be demolished eet names
Ilr xisting structures on site orner elevations(2'contours if more than 4'diffe--ntial
FA .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 7h es o
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown m es o
0 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
06 Required: ❑Yes,applicant was notified ❑No Received: ❑ Yes ❑ No
Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑Yes,applicant was notified ❑No Received: ❑ Yes ❑ No
DC Exempti for ADU applied for: El Yes El No Received: El Y s :I No
L Public Facili • s Improvement (PFI) Permit:
Required: Yes,applicant was notified ❑ No plied For Yes ❑ No,stop intake
and Use Case#: SUB2015-00004 Zoning: k 42 IN 2_
equired Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: 8 Garage: 20utlding Height Max.Height: NSA Actual H ' ht: c2_t?
Landsca e Area: 2.0 % l2 Lot Coverage Max: f i0/0
+si Entrance ack no more than 8'from street-facing wall I71 Par to street or offset 45 degrees or less
Windows Minimum ° of area of all street-facing facades *'
ii' Garage Garage door is behin • st street-facing wall 1_ ❑Yes ❑ No,one of the following is met:
t' ❑ Door extends no more tha ' om and there is a covered porch extending beyond garage.
Door extends no more tha ' rom w there is a 12 sq ft.window above garage on 2nd floor.
+( ❑ Garage door width is 'or less ❑ 50%or les cade 60%or less and includes 7 of following:
(i Covered Recessed entrance ❑ Wall offset 1'Roof eave ` Roof offset
r, F angles Lap Siding ❑ Roof itch ❑ Gable,hi ,o brel roof _ Dormer
i Accent siding Window trim U Window recess U Window proj • ❑ Balcony
V'.ua1 Clearance Urban Forest an
is
R,,.ensitive Lands: ❑ Yes No Type:
Conditions met prior to issuance of building permit
'I'
, Notes: _
,
` ❑ Approved By Planning: — �- Date: 23
' Revisions (after Building Submittal only) Reviewer Date
i Revision 1: ❑ Approved ❑ Not Approved
ri
Revision 2: ❑ Approved ❑ Not Approved
.1 1:1:\Building\Forms\BldgPermitRvw_RES_122419.docx
r
Building Permit Submittal
Original Submittal Date: O�j/a 24 2/
Site Plans: # oZ 1
Building Plans: # .1
Building Permit#: Enter building\permit#above.
Workflow Routing: El-Planning L1 Engineering Et Permit Coordinator ErBuilding
Workflow Sign-off: la Sign-off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
Building: original permit application,site plans,building plans, engineer and
beam calculations . . trust details,if applicable,etc.
Notes: /
By Permit Technician: �jl//1," Date: eV/Z4/OZ/
En:ineering Review
O Slope at building pad: a® /'
Conditions"Met"prior to issuance of building permit �//4
Easements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility: Er
Assess Water Quality Fee in-lieu: El Yes (�✓,1'No
Assess Water Quantity Fee in-lieu: ❑ Yes LEI No
LIDA Facility on lot ❑ Yes In/No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
[Mpproved by Engineering: Date: 7/72./
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
ktConditions"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 Exem tion: El Received Does not an 1
Y
P
SDC Fees Entered: Wash Co Trans Dev Tax: Yes I N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA Yes Al N/A
IAOK to Issue Permit
Approved by Permit Coordinator: 3\top4/" _„ Date: "M012.02,1
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
I
City of Tigard
IIIr COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
1
Building Permit #: NI s72i2!- 00 2'f Z
Site Address: 1009 StQ T7 Wn. viiL j9---
Project Name: Polygon at Roshak Ridge Lot #: /
# (New dwelling=subdivision name;Addition or Alteration=last name of owner)
I, Planning.4epiety ofJ iver ?Terrace.Pan District Desi n Standards (18.640.070.L):
i
Is the project subject to the plan district design standards? ❑Yes ❑No
'E 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage. An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
€i Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. ft. deep Gabled doilivie,
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide
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2. Eyes street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: >42 ,p
3. trances:At least one entrance must meet both of the folio ing standards:
I' Max. 8 ft. setback from long t street- facing wall
Parallel to street,angle no more than 45° from street,
or open onto porch
Ent ance opens to a porch: Yes ❑No
If es all the following apply: g2/';sq.ft. min.
ne street facing entry ld ft.max. roof above floor of porch
5 ft.depth min. 30%min. porch roof coverage
p g
4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
di
Covered porch min. 5 ft.wide x 5 ft. deepf ❑ ecessed entry area min. 5 ft.wide x 2 ft. deep
❑ all offset min. 16 inches S Dormer min. 4 ft.wide S
LA Roof eave min. 12 inch projection'R oof offset min. of 2 ft.
0 Roof shingles either tile or wood p(J Gable,hip or gambrel roof design'/
oof pitch oriented south min. 500 sq. ft.Accent ❑ orizontal lap siding min. 3-7 inches wide
siding min. 40%of street façade pQ Window trim min. 2 1/2"wide by 5/8"deep
❑Window recess min. 3 inches for all street facing ❑Bay window min. 5 ft.wide by 2 ft. deep
❑Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑Attached garage is 35% or less of street facade
5. Garages and Carports:May face the front or side lot line on a co er lot.
Setbacks:
No closer to front or side lot line, than longest street-facing wall. Yes ❑No. If No (Check one):
❑May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
❑May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
❑12-foot-wide garage door 40%max. of street facade
❑50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: / Date: 2 _2-
I:\Buildi ng\Fonns\Bl dgPermi tRvw_RES_RT_121417.docx
i
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
. . N Transmittal Letter
r 1 c,A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: AP&sov? Agra,5t(.2op ` DATE RECEIVED:
DEPT: BUILDING DIVISION
RECEIVED
FROM: — • Rom/ � A ou � , JUL 2 7 2021
CITY OF TIGHkv
COMPANY: �, i /`�lp,4r4�J' BUILDING DIVISION/
PHONE: By:
EMAIL: i9da v�Abe vl74P @ taga La il t/t.0e‘.
RE: /6709 QV (avrlS v�t�Pe 51-. 1`e\S-' 2,0.21 - 0014-2
(Site Address) �ry (Permit Number)
p4r��i-j i A4ok Ride At 4.�b
(., ct name or subdivision name and lot berl
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.
Other(explain): () s M sf ed- A q_ + C.2.)), 42eda LQigittuj
REMARKS: r '
,veil,s 0 Ren 1 *I _leeviAti asrn. iger6 v .
/i Aee rt fzneeA t ii ze 01 (fo/Joni j_ flYti
FOROF ICE USE ONLY
Routed to Perm' ,hnician: Date: '7 '2.� 2 I Initials: -' /
Fees Due: Yes ❑ No Fee Description: Amount Dcif.ue: /
4-- $
1 P ,.
, .,„4„.. $
Special
Instructions: �,--
Reprint Permit (per PE): _ Yes No ❑ Done
Applicant Notified: Date: �L ( Initials>
I:\Building\Forms\TransmittalLetter-Revisions_073120.doc
D
Plumbing Permit Applicatil CEI v E
Building Fixtures jUL ,.. 6 202., FOR ()Ft:1(TH: lst: O\I,\
City of Tigard r� Received ,12,
e 13125 'J''�/OF TIGARD Date/By. '2 Permit No.:msr 2m�-.W040
SW Hall Blvd., OR 9 �5' , LSJN
c�y� t� Plan Review
Phone: 503.718.2439 Fax: 503:�5IL` }lNG DIVISION! b 1/O/21 Ae6) Other Permit No.:
Datc/By.
Inspection Line: 503.639.4175
7 I(r A R E Date Ready/By �// h s ® See Page 2 for
Internet www.tigard-or.gov Notified/Method r�/ )-/ � Supplemental Information
TYPE'OF WORK g';-Piel./4,.: "t t' .. FEE* SCHEDULE
❑■ New construrhon ❑Demolition For special information use checklist.
Description I Qty. I Fa. I Total
❑Addition/alteration/replacement ❑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 SFR(2)bath 437.78
❑ y g ❑Commercial/industrial
SFR(3)bath 500.32
❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler(t,97, sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:12997 SW Meadowbrook Ln Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard, OR Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: River Terrace NE No. 2 Bldg 4 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.:15 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
PERMIT# MST2021-00046 Drinking fountain 25 02
UNIT PLAN# E20 Ejectors/sump 25.02
911 PROPERTY OWNER ❑ 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 25 02
City/State/ZIP: Vancouver,WA 98660 Hose bib 25.02
Phone:( 360)816-7788 Fax:( ) Ice maker 12.51
❑ APPLICANT a 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
City/State/ZIP: Troutdale,OR 97060 Subtotal
Phone:( 503)492-3490 Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.:184601 Plumbing Lic.no.:PB732
State surcharge(12%of permit fee)
Authorized signature: N-_L,- /� TOTAL PERMIT FEE ili ,5,
Print name:Gavin Thomes t)ate:6.14.2021 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 Building Indushy Service Board.
I'.ABuildingV Permits VPLMU-PermitApp.doc 10/01/00 440-461OT(10102/(OM/WEBI
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 Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 62.54
$100 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other Ins ectiorts or`Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
pand including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge—1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge—2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge—1/2 hour) each additional$100.00 or fraction thereof.Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Plan Review 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
❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath. -Tub/Shower
engineer.
-Jacuzzi/Whirlpool
❑
Car 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 CI 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
-4„ ❑ 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 Fitter 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:
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