Permit III CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00140
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/8/2021
Parcel: 2S107AA26300
Jurisdiction: Tigard
Site address: 14450 SW RIVER TERRACE BLVD
Project: Polygon at Roshak Ridge Swim Center Subdivision: ROSHAK RIDGE Lot: U
Project Description: Swim Center-construction of(1)wood frame building.
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
11
PHONE: 360-695-7700 PHONE:
FAX:
•
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: NEW Type of Const: VB Permit Fee-COM-New Construction 09/08/2021 $2,151.93
Occupancy Grp: A-4 Occupancy Load: 158 12%State Surcharge-Building 09/08/2021 $258.23
Plan Review 09/08/2021 $1,398.75
Dwelling Units: 0 DC Provision Review,COM New-Bldg 09/08/2021 $205.00
Stories: 1 Height: 20 it DC Provision Review,COM New-Ping 09/08/2021 $205.00
Bedrooms: 0 Bathrooms: 2 Plan Review-Fire Life Safety 09/08/2021 $860.77
Value: $399,000 Info Process/Archiving-Lg$2.00(over 09/08/2021 $38.00
11x17)
Info Process/Archiving-Sm$0.50(up to 09/08/2021 $29.50
Floor Areas:
11x17)
Total Area: 2255 Metro CET 09/08/2021 $478.80
Accessory Struct: 0 Tigard CET-Non-Residential-Admin 09/08/2021 $159.60
Basement: 0 Tigard CET-Non-Residential-AH 09/08/2021 $3,830.40
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $9,615.98
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet: No
Fire Alarm: Yes Protected Corridors: No
Smoke Detectors: Yes Manual Pull Stations: No
Accessible Parking: 0
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_
Issued By: 1-ta VawDe/Weele Permittee Signature: OVVAph -fin
'^'J' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. r
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.
Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard Received iz124 2621 e Permit No.: 3O2/Vt/I A
13125 SW Hall Blvd.,Tigard,OR 97223 JUN 1 7 2021 Plan Review
' 1Phone: 503-718-2439 Fax: 503-598-1960 Date/By: 3O .„,),) Related Permit: 14_6
G R n Inspection Line: 503-639-4175 �OF TI GAHU Date Ready By: hats: 0 ee`S Page 2 for
Internet: www.tigard-or.gov Noli[ed/Methad: .3` �� 677
Supplemental Information
BUILDING DIVISION
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.
❑ 1-and 2-family dwelling NI Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family
Number of bedrooms:
❑Master builder ❑Other:
Number of bathrooms:
j JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 14450 SW River Terrace Blvd New dwelling area: square feet
City/State/ZIP: Tigard,OR 97224 Garage carport area: square feet
Suite/bldg./apt.#: Project name: Polygon at Roshak Ridge Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Polygon at Roshak Ridge I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
Swim Center:Type V-B new commercial construction of(1)wood framed building Valuation: $ 3 C' )
Projected Start:As soon as building permit is approved. Existing building area: square feet
Deferred submittals:All other permits(including mechanical,Fire sprinklers...) New building area: 2255 square feet
® PROPERTY OWNER 0 TENANT Number of stories: I
Name: Polygon Homes WLH LLC Type of construction: Type V-B
Address: 703 Broadway St,STE 710 Occupancy groups: A-4,B and S-2 occupanci
City/State/ZIP: Vancouver,WA 98660 Existing:
Phone:( 360)946 8674 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
'Business name: Polygon Homes WLH LLC (Please refer 7ofee schedule)
Structural plan review fee(or deposit):
Contact name: Omar Alami Abouhafs
FLS plan review fee(if applicable):
Address: 703 Broadway St,STE 710
Total fees due upon application:
City/State/ZIP: Vancouver,WA 98660
Amount received:
Phone:( 360)946 8674 Fax::( )
•
E-mail: permitsubmittals@taylormorrison.com-OAIamiAbouhafs@taylormolrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Polygon Homes WL1"I 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 710 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:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 207247
� �t Total fee due upon application: $201.60
Authorized signature: 67M.a.L ,r yJ ,ry 6.9 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: 06/15/21 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
•
111111 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - With Land Use
Building Permit #: BUP2OZ(-031 7
Site Address: 14450 SW River Terrace Blvd Suite/Bldg#:
Project Name: Roshak Ridge Swim Center
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: New swim center
❑. Verify site address/suite#exists and active in permit system.
❑o River Terrace Neighborhood: D Yes ❑ No
0 Land Use Case#: MMD2020-00042
❑r Plans Match Approved Land Use: 'tether:
♦Sit- Plan ��(`andscape Plan a to ther:
No/rban Forestry Plan ❑r Elevation Plan
❑r Buil.ing Height: Maximum Height N/A Actual Height 24
❑ Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
n!':usiness License:
E ists: ❑ Yes El No,applicant was provided a business license application
`ublic Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑r No Applied For: ❑ Yes ❑ No,stop intake
Notes: Do not issue until applicant obtains encroachment permit for roof overhangs in ROW
Approved by Planning: Date: 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: Z9,�/T .ZOZ/
Site Plans: #
Building Plans: #n ^� 3
Building Permit#: [n PlanningEl-Building Engineering CI Permit Coordinator
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: 'Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: OL
1:1Bui I di ng\Forms'B IdgPemiitRvw_COM_W ithLandUse_111819.docx
Engineering Review
❑ Slope at building pad: /(///1
I Permit#:
Conditions "Met"prior to issuance of building permit
-SO' ❑❑Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP)
PG water Quality/Quantity Facility: �yelfe2;7G4-/C471
Assess Water Quality Fee in-lieu: ❑ Yes 'No
1 i
Assess Water Quantity Fee in-lieu: ❑ Yes LEI No � w/7�/
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: Date
/�
Notes: 2c7 �i,. ���— £ -'/c ce-7' ,f— ee/-eor.
Approved by Engineering: Date: 7��z/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Permit Coordinator Review
Conditions "Met"prior to issuance of building permit
CD
❑ Approved,NOT Released: Datc:
Notes: Nec40 enc.-Kw-41044-4 vvei a-ii , -61.pp(c4�y►.+ Vic -ta 1 il.(2.24 - Ott--
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes � N/A
Tigard Trans SDC: El YesN/A Yk*O Pert,'0
Parks SDC: ❑ Yes Er N/A (a--blic I na��!t.
�OK to Issue Permit Pvl.lot to pa ^
Approved by Permit Coordinator: rr Date: ' m l2 '24
I:\Building\Forms\uldgPermitRvw_COM_W ithLandUse_111819.docx