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Permit
itli * CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT r "" ` Permit#: MST2021-00303 T t C A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 'k Date Issued: 11/04/2021 I / Parcel: 2S 107AA20300 Jurisdiction: Tigard Site address: 16566 SW DARWIN LOOP Subdivision: ROSHAK RIDGE Lot: 203 Project: Polygon at Roshak Ridge, Lot 203 Project Description: New single detached house. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES PAID. 12/7/21: REPRINT to remove(1)hose bib, BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1211 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1715 sf Garage: 485 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2926 sf Value: $406,947.88 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 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: 5 201-400 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 2926 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 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $37,144.75 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 QF9-M1_nMn thrni inh CILIP oc9_nni_nnon Vnn may nhtain a rnnv of tha ndoc nr riirort nnoctinnc to fll WC by Tallinn WI 9919 1QA7 nr 1 Ann 119 91dd Issued By: +.G1ti �•.� • , Permittee Signature: ce/- i"� �i# r22 y 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. 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 111 I Transmittal a smittal Letter Tit,A It r) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov r i +1 I�K� I TO: j\ l` iyl rni_c RO/?5 DATE RECEIVED: DEPT: BUILDG DIVISION RECEIVED FROM: 9Iyva AA DEC 17021 COMPANY: 0g t"'1o2;�e-.. 1 c -�itpP r L(C CITY NG DIVITIGARSION 3UILDING DIVISION PHONE: 3 6 0 9(E(0 g674 By: EMAIL: nPo✓r,c c.`i 0uVla is al, `` RE: i6 6I`- su j /D6,,cu,%7 LJo MST d©2( — 00 03 Ate Address) (Permit Number) PasIv t 101— �203 (Pro e or subdivision name and lot number ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. '1 Revisions: 10(cI4it, - Veloy.. O :j Cross section(s) and details. Wall bracingand/or lateral anal sis. Y Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: .P PU iS i IRS' e •S : fZ 2ymfJtl3,•C 6 CA) A CAP b i 6 ( Kew) R.e n�,i I b, �o -gym -}�-c : (.�m.t ,b N D ,c.e,.e_ __. . FOR OFF,CE USE ONLY k `t ;., Routed to Permit Techn ate: 4 I.7- - Ce/'2 )i Initials: �/ _ Fees Due: ❑ Yes KNi9 Fee Description: Amount Due: ,ht1 T li.4 , Pf (i /\ e- $ g5-z-- $ Special Instructions: Reprint Permit(per PE): [' Yes No v ❑ Done Applicant Notified: Date: /.L / 7 24 Initials: y I:\Building\Forms\Transmittal Letter-Revisions_073120.doc s 1. ' I. Plumbing Permit A �licat mud! �� CEiVE Building Fixtures DEC 1 2021 FOR OFFICE USE ONLY City of Tigard � Received Permit No.: 'r 13125 SW Hall Blvd.,Tigard.OR 97Yi8TY OF TIGANV DateBy: Plan Review I 2 Phone: 503.7182439 Fax: 503. Date/By: Other Permit Na.: Inspection Line: 503.639.4175 11MING DIVISION D f TIGARD Date Ready,By: luris: 1 El See Page 2 for Internet: www.tigard-or.gor Notified/Method; Supplemental information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For s/tecial in°rotation use checklist. - Description Qty. I Ea. i Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 fI-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑y Accessory building -Multi-familySFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( ,sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16566 SW DARWIN LOOP Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76- - Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: Polygon 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.: 203 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New single-family unit construction. (MST2021-00303) -- - Dishwasher - 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: Taylor Morrison Northwest LLC. FixturG`sewer cap T 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 1 25.02 Phone:(360)695-7700 I Fax:( ) Ice maker _ 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Taylor Morrison Northwest LLC. Medical gas(value:S ) Page 2 Primer 12.51 Contact name:.Omar Alami Abouhafs 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@taylormorrison.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water pipingT)WV 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 Plan review (25%of permit fee) CCB Lie.: 184372 Plumbing Lic.no.:pb634 - 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 is not obtained within 180 days after it has been accepted as complete. "Fee methodology set by TO-County Building Industry Service Board i/Buiidmg.Permits,PIM U-PermeApp.doe I0'01/07 440.4616T(10101'COM•WEB) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00303 Date Issued: 11/04/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA20300 Jurisdiction: Tigard Site address: 16566 SW DARWIN LOOP Subdivision: ROSHAK RIDGE Lot: 203 Project: Polygon at Roshak Ridge,Lot 203 Project Description: New single detached house. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES PAID BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1211 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1715 sf Garage: 485 g sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors. Yes Total: 2926 sf Value: $406,947.88 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 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: 5 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: 5 201-400 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 2926 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 PHONE PHONE: 360-695-7700 FAX: Total Fees: $37,144.75 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 Q.9-nnl-nnln thrn„nh(1dP -noon Vnu may nhtnin a rnn,r of tha ndue nr rtirurt n,toctinnc fn(ll iNiC by rollinn cnQ 779 10R7 nr 1 Rnn'Y39 9Zdd Issued By: HaU,N Vt De-We9e- Permittee Signature: 'Ap'pt 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. Buil'din Permit � Application et3- 7/ 7&I ,Residential R f r / FOR OFFICE USE ONLY City of Tigard Received n/ R '�` .}—� M ,l f i:. Date/By: Si G! ' 1�1 Pennit No.: M S f Zaz 1 W 3Q"T ;� _ 't 13125 SW Flail Blvd.,Tigard,OR 97223 Plan Review. l Phone: 503.718.2439 Fax: 503.598.1960 -�/ �y Date/By: 13 Other Permit:5w Q2Uz4-00 203 1'I G A R I> Inspection Line: 503.639.4175 CITY 1 OF TIGARD Date Ready/By / J /� ® See Page 2 for "'`--' Internet: www.tigard-or.gov BUILDING DIVISIC o' -d/Method: / i ((r� Supplemental Information t /,!i_�/ TYPE OF WORK REQUIRED DA A:I-AND 2-FAMILY DWELLING ®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 CATEGORY OF CONSTRUCTION work indicated on this application. Q� ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ t'Otc j'yT "— 1 1 ❑Accessory building 0 Multi-family Number of bedrooms: 5 ❑Master builder El Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors:2 3 Job site address: 16566 SW DARWIN LOOP New dwelling area: 2,926 square feet i"7/6"--- City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 485 square feet 04 j Suite/bldg./apt.no.: 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 no.: 203 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New Construction/Type: SFU/Elevation plan: 222300B. Valuation: $ Projected start: February 2022 Existing building area: square feet Deferrals:deferral of payment of transportation&park SDCs to occupancy. New building area: square feet ® 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: ® APPLICANT 0 CONTACT PERSON (9 BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Polygon Homes WLH LLC 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-OAlamiAbouhafs@taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of 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. 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 n/� �/!!`9 r Total fee due upon application: $201.60 Authorized signature: £)1 t'24,,(y ti. ,ty 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: 07/26/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) A'ZCeZlaf11C2i1 PCI'IIIIt A�j)IIC�IfI E�EIVE I FOR OFFICE USE ONLY City of Tigard I Received r���//�����tt gte/By: 8 �� Permit No.: MST?AZ1-co 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review , ` 4tJ JULJUa ';' ' . Phone: 503.718.2439 Fax: 503.598.1960 Date/By Other Permit: Q�0-ik_OOZb3 7I AIt l7 Inspection Line: 503.639.4175 CITY TIG A t]1 , Date Ready/By: a.ris !l�2 W Internet www.tigard-or.gov; OF lafYflVH Seepage lfor Notified/Method Supplemental Information BUILDING DIVISIOr ____ TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ®New construction — Mechanical permit fees*are based on the value of the work ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:S RESIDENTIAL EQUIPMENT/SYSTEMS FEES* Ni I-and 2-family dwelling ❑Commerciallindustrial ❑Accessory building For special information use checklist 1 j Multi-family ❑Master builder ❑Other: ti Descri on p I Qty. I Ear T Total JOB SITE LNFORMATION AND LOCATION V Heating/cooling: Air conditioning f 46.75 Job site address: 16566 SW DARWIN LOOP Furnace 100.000 BTU(duets/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000 t:BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge Heat pump 61.06 _ Duct work 23.32 Cross street/directions to job site: Hydronic hot waterstcm 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 Lot no.: 203 Other. 23.32 ___ Other fuel appliances: Tax map/parcel no.: Water heater 23.32 w DESCRIPTION OF WORK Gas fireplace/insert 33.39 - Flue vent for water heater or gas New construction-Type SFU fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 h.1 PROPERTY OWNER ❑ TEN ANT Other. 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:( ) Atticlerawlspacc fans 23.32 ® APPLICANT 0 CONTACT PERSON Other: j 23.32 Business name:Polygon WrLH,LLC Fuel piping: S14.15 for first four;S4.03 for each additional Contact name: Omar Alami Abouhafs Furnace,etc. Address:703 Broadway St.,Ste 510 Gas beat pump Wallisuspended/unit heater 1HE City/State/ZIP:Vancouver,WA 98660 Water heater _ Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Ranee E-mail:permitsubmittalsgtaylorfilorrison.cool Barbecue __ CONTRACTOR 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%of permit fee) Phone:(360)270-1590 Fax:( ) State surcharge(12%4 of permit fee) CCB lie.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 _ . b l-L(�!n days after it has been accepted as complete. Authorized si¢rtat re: wn l • Fee methodology set by Tri-Count'Building Industry Service Board Print name:Elia Duran Date: 10/30/20 r%AnilAi.e1Prcmn,\MS,^ De.mir.Anal OASIIIAnr r ,a , Electrical Permit Application I()R oI1I( 1 t lie()\I City of Tigard Recened MN Prm»t at 71 • 13125 SW hall Blvd.,Tigard,OR 97223 , � t�'�°• -� V � ��� �� ! !'hone: 503.71$2439 Fax: 503 598 1960 CITY OF i1GA�i 'PlaAReview 7)aratfv- Related Permit 4: S('Q ��1-CO�3 Inspection Line: 503.6394175 3 Reado UILDING MIfil- aten 0 See Page 2for T1CiARD Y' y' kris: Internet: www.tigard-or.gov Notified/Method. 1 Supplemental Information TYPE OF WORK y - PLAN REVIEW IA New construction ❑Addition/alteratiou/replacement Please check all that apply(submit j sets of plans iv/items checked) 0 Demolition Other: ❑Sazsice or feeder 400 amps an more 0 Budding over three stones where the available fault current ❑Marinas and Ix,atyants C'.ATEGORI' OF CONSTRUCTION exceeds 10,060 amps at 150 volts or ❑floating buildings ® 1-and 2-family dwelling ❑Commercial/industrial ID Accessory building )d° to mound,or exceeds 14,ou0 ❑Conimereial-use agricultural ❑Multi-family ❑Master builder ❑O amps for all Mira installations buildings Other: ❑Fire pump 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived Job#: I Job site address:16566 SW DARWIN LOOP ❑Addition of new motor land of system- 1007IP or more. ❑"A" k""I 2 "I 3„ City/State/ZIP: Tigard,OR 97140 0 six or more residential units occupancy SUltt/bid .Ja t #: ❑Healthcare facilites 0 Recreational vehtek parks. g P Project name: Polygon at Roshak Ridge ❑hazardous locations 0 Supply voltage for more than ..._ 0 Service or feedc,600 amps or more 6(t)volts nominal.. Cross street/directions to job site: FEE 8(:11EDUI.E mu-opium I QtY. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot 4: 203 Includes attached garage. Tax map/parcel#: 1,000 sq n.or less 168 54 4 Fa.add'l 500 sq.Q.or portion 33.92 1 DES('R1PTION OF WORK Limited energy,rmtitleutial New construction.Type SFU (with above sq.ft.) 75.00 2 _ Limited energy,muhi-family residential(with above sq.it) 75 00 2 ® PROPERTY OWNER I Renewable Energy 0 Sec Page 2 ❑ TFNAN'l Services or feeders installation,alteration, on and/or relocationName: Polygon Homes WLH LLC _ 200 antes or less 100.70 2 2 Address: 703 Broadway SL,Ste 7I0 201 snips to 400 amps 133.56 City/State/'LIP: Vancouver,WA 98660 401 ung to 600 amps 200 34 2 601 amps to 1,000 amps 301 04 2 Phone:(360 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: OAiamiAbouhafs to lormorrison.corn-PermitSubmittal o•ormorrison.eom Temporary services or feeders installation,'alteration,andlnr y �tyl relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 1 intended for sale,lease,rem,or exchange,according to ORS 447,449,670,and 701, 201 an to 400 amps 125 08 2 Owner signature: _.__ Date: 401 amps to 599 amps 168 54 2 ❑ APPI,ICA.NT ____L o CONTACT PERSON 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 lice, each branch circuit 7.42 i Contact name: Omar Alami Abouhsfs B Fee for branch circuits without Address: 703 Broadway St.,Ste 710 service or feeder fee,first s6.18 2 branch circuit City/State/ZIP: Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone:(360 )946 8674 Fax::( ) ' Miscellaneous(service or feeder not included) Each manufactured or modular dwelling,service and/or feeder 67 84 2 Email:OAlamiAbouhafs@taylormorrison.com-PermitSubmittals@taytormomson.com Reconnect only 67&t 2 CONTRA(.'f )It Pump or irrigation circle 67 84 2 Business name: Wallace Electric Sign or outline lighting 67 84 2 Address: 105 Dresden St Signal circuit(s)or limited-energy panel,alteration,or extension. ❑ See Page 2 2 City/StateIZIP: Astoria,OR 97103 Each additional inspection over allowable in any of the above Additional inspoction(1 ltr mitt) 66 25/br Phone:(503 308 0563 Fax:( ) Investigation(1 hr min) 90.00/hr Email: Dattidrawallaccwires.com Industrial plant(l hr min) 78 18f hr Inspections for winch no lee is CCB Lie.:224868 Electrical Li-- C I441 Su v.I: .: 6363S specifically listed 04 hr min) 90 nor hr Suprv.Electrician signature,required: ELEClRICAI. PERMIT FEES Subtotal Print name:D1 r Date: itr /4/z I, `❑Plan Review Required(25%of permit fee):V State surcharge(12%of permit fee) Authorized signature TOTAL PI RIvIIT TIE: This permit application expires if a permit is not obtained within 180 Print name: 'hr — Date: if/4 /tZf days after It has been accepted as complete, r t I • Number of inspections allowed per permit l.'EuaidingTermiutL A PmnitApp_IIR ERE.dcc Rev 061111015 4.a4615r(t 1,05,,C0M/WE$ ei.ase.. itifiilei yyt•• 1MIIrr1FLWipI'-' ""'HYYYgt""" """"" WY Ili; Plumbing Permit Applicatit Building Fixtures CLIVED FOR OFFICE USE ONLY City Of Tigard ah i ' 4,' DateBed Permit Na.: 't 13125 Su'Hall Blvd,Tigard,OR 97223 Plan Review ' �Sf2oti� W` ��y�� t _ 'OF TIGAR� n Phone: 503.718.2439 Fax: 503,5 Other Permit No:S�RaO21-l.(,I71)3 Date/By: TIGARD Inspection Line: 503.639.4175 Date Ready/By: runs- H See Page 2 for Internet: www.tigard-or.gov guILDING DIVISIGI` Nntifed/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 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 - XI-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building V-Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16566 SW DARWIN LOOP Catch basin or area drain 18.76 Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no,linear ft.: ) Page 2 Suiteibldg./apt.no.: Project name:name:44eiholviliiii,ePolygon 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 1 Lot no.: 203 Fixture or item: Tax map/parcel no.: Back-flow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New construction-Type SFU _._._ Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 .4 PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name:Polygon WLH,LLC cap 25.02 Address:703 Broadway St.,Ste 510 Floor drain/floor sink/hub 25.02 s 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 Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Contact name: Omar Alami Abouhafs Primer 12,51 Roof dram(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:permitsubmittats 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 Plan review (25%of permit fee) CCB Lie.:184372 Plumbing Lic.no.:pb634 State surcharge(12%of permit fee) Authorized signature: 1 TOTAL PERMIT FEE Print name:Steve Fowler Date: 10/30/20 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 Industry Service Board ttnuildmg!Permits/PL.MUU•Permithpp.don IO./OI4099 440-4616T(10'021COM'WEB) City of Tigard i COMMUNITY DEVELOPMENT DEPARTMENT II T l RD Building Permit Review — Residential Building Permit #: MS-V-2bn - OOS6S Site Address: 16566 SW Darwin Loop Project Name: Polygon at Roshak Ridge Lot #: 203 Planning Review Proposal: New house ] Verify address/suite#active in Accela. gi In River Terrace: ❑ No $1 Yes, River Terrace Review Addendum Site Plan Elements: %]Erosion Control ®3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper IlaRetained trees with drip line and tree protection measures ®Drawn to scale(standard architect or engineer scale) IC Footprint of new structure(including decks)and FFE ®North arrow f(1Utility locations&easements(required for new and additions) ®Site address,project or subdivision name and lot number X Sidewalk/driveway approach ®Applicant information(name and phone number) ULocation of wells/septic systems . ®Lot dimensions and building setback dimensions ®Street tree size,type and location IflSquare footage of buildings to be demolished &Street names tli Existing structures on site Li Corner elevations(2'contours if more than 4'differential) ®Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? liWit❑No impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? EYes ENo ® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes ❑ No 5] Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes ❑ No Iiii SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No ® Public Facilities Improvement (PFI) Permit Required: ❑ Yes,applicant was notified qpp � � No Applied For: ❑ Yes ❑ No,stop intake ® Land Use Case#: SUB2015-00004 ® Zoning: R-7 X1 Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: N/A Garage: 20 $7 Building Height Max.Height: N/A Actual Height: 28 ® Landscape Area: 20 % P Lot Coverage Max: 80 Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45(let. -- Windows %of area o . - . '.• . ..- Garage ❑ Garage door is 'ThIS section does not apply - _ ,o,one of the following is met: ❑ Door extends non See River Terrace Addendum extending beyond garage. ❑ Door extends no _. _ —. . .•. .ow above garage on 2nd floor. j' ❑ Garage door widt . or less ❑ 50%or less of faca.- j0. or less and includes 7 of following: z, • . .orch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roo -. ❑ Roof offset IN Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof NI _ -- ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony ® Visual Clearance ® Urban Forestry Plan J Sensitive Lands: ❑ Yes ® No Type: k;4 Conditions met prior to issuance of building permit Notes: ® Approved By Planning: OetA4ebti Date: 7/27/2021 l, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 1 I.•\Building\Fonns\BIdgPermitRvw_RES_122419.docx l3 Building Permit Submittal Original Submittal Date: '414 7"4 Site Plans: # 3 Building Plans: # Building Permit#: (An P ter building permit#above. Workflow Routing: a ning ❑ Engineering ❑ Permit Coordinator ❑ Building Workflow Sign-off: ign-off for Planning(include notes from planning review) Route Application Documents: End eering: (1) copy of permit application, (1) site plan, (1)building plan and riginal plan review routing form. 511 Building: original pe t application,site plans,building plans, engineer and beam calcul .ons d trust details,if applicable,etc. Notes: By Permit Technician: Date: 2/z:A En:ineering Review 7. Slope at building pad: 4/76 L!a Conditions"Met"prior to issuance of building permit Ea Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Ia/No Assess Water Quantity Fee in-lieu: ❑ Yes EY No LIDA Facility on lot ❑ Yes o inal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: 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 SDC Exemption: ❑ Received /Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: yes ❑ N/A S[Y.S defeArrci=4 Tigard Trans SDC: Al Yes ❑ N/A Parks SDC: 'Yes ❑ N/A LIDA ❑ Yes N/A ilZOK to Issue Permit Approved by Permit Coordinator: AtNio tk/L. Date: $l IS( OL I I:\Building\Fonns\BIdgPermitRvw_RES_122419.docx City of Tigard p COMMUNITY DEVELOPMENT DEPARTMENT T 1 G a R D River Terrace Building Permit Review Addendum Building Permit #: MSrzipZ1- P6303 Site Address: 16566 SW Darwin Loop Project Name: Polygon at Roshak Ridge Lot #: 203 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Pia/V//W-Review of ljiver ?'terrace Plan .bi'strict.I)esi Standards (18.640.070.)): Is the project subject to the plan district design standards? ® Yes ❑ No 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. Porch min. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer I ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 18% 3. Entrances:At least one entrance must meet both of the following standards: facing wall ® Parallel to street,angle no more than 45° from street, ® Max. 8 ft. setback from longest street- or open onto porch Entrance opens to a porch: ® Yes ❑ No If yes,all the following apply: ® 25 sq.ft. min. ® One street facing entry ® 12 ft.max. roof above floor of porch ® 5 ft. depth min. ® 30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: I1 Covered porch min. 5 ft.wide x 5 ft.deep E Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide ER Roof eave min. 12 inch projection ® Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood ® Gable,hip or gambrel roof design El Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of street facade ❑ 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 corner 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 El 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ATM fitfriek Date: 7/27/2021 I:\BuildingWorms\BIdgPermitRvw_RES_RT_121417.docx City of Tigard I N Transportation System Development Charge p y T 1 G A R D Notification of Fee and Payment Options This advises you that the total TSDC for this project is as shown below and outlines the payment options that may be available to you. This total includes charges for TSDC-Improvement,TSDC-Reimbursement, and TSDC-River Terrace,if relevant. This form is to be signed and submitted prior building permit issuance or, if no building permit is required, then upon land use approval (TMC 3.24, as amended by Ordinance No. 21-09). City of Tigard Date: Site Address: 8/4/2021 16566 SW Darwin Loop Project Polygon at Roshak Ridge - Land Use Case or Name: Lot 203 Building Permit#: MST2021-00303 Tax Total TSDC 2S107AA20300 $10,348 Lot#: Amount*: *The total TSDC amount shown above is the sum of$6,690 for TSDC-Improvement, $386 for TSDC-Reimbursement, plus $ 3,272 for TSDC-River Terrace,if relevant. This constitutes my request to use the TSDC payment option or combination of options I have selected below. [This selection can be changed up to the time a building permit is issued.] I realize that TSDC charges are due and payable at the time a building permit is issued unless those charges are Deferred or are financed through Installment Payments. ❑ Cash,Check, or Credit Card, payment due at building permit issuance. • Deferral until Occupancy,payment due before issuance of an occupancy permit. Payment of the TSDC may be deferred until issuance of the occupancy permit. In requesting this option, I understand that any deferred TSDC must be paid prior to issuance of a Certificate of Occupancy or final inspection. For a deferral request to be accepted both the Property Owner and the Developer must sign this request. ❑ Credit Voucher for developer-built required public improvements, subject to approval, completion,and acceptance of creditable improvements.) NOTE: TSDC Credits must be redeemed at the time TSDC Payment is due, either at the time the building permit is issued or,if payment is deferred,prior to issuance of an occupancy permit. If you expect to claim TSDC Credits be sure the improvements, any creditable payments,and your Request for Credits is complete either before your building permit is to be issued or,if payment is deferred, before you request an occupancy permit. No refund of TSDC Payments will be made if Credits are submitted more than 30 days after issuance of the relevant building or occupancy permit. ❑ "Bancroft" or Installment Payments (separate application required.) Df ,,A2a 46du Dom,.A '.46au PROPERTY OWNER DEVELOPER DATE: 08/04/2021 DATE: 08/04/2021 I:ACommunity Development\Permit Coordinator\SDC Forms\TSDC Combination Payment Option Form 112718 AMS City of Tigard Parks SDC Charge (Parks) TlGARI Notification of Fee and Payment Options Please sign and return prior to building permit issuance. This advises you that the total Parks SDC charge for this project is as shown below and outlines the payment options that may be available to you. This total includes Parks SDC-Improvement, Parks SDC-Reimbursement, and either Parks-Neighborhood or Parks-Neighborhood River Terrace charges as relevant. This form is to be signed and submitted prior to issuance of a building permit. City of Tigard Date: 8/4/2021 Site Address: 16566 SW Darwin Loop Project Polygon at Roshak Ridge - Land Use Case MST2021-00303 Name: Lot 203 or Permit #: Tax Total Parks 2S107AA20300 $10,903 Lot#: SDC Amount*: *The total Parks SDC amount shown above is the sum of$ 6,278 for Parks-Improvement,$1,739 for Parks- Reimbursement, and either$ N/A for Parks-Neighborhood or$2,886 for Parks-Neighborhood River Terrace. This constitutes my request to use the Parks SDC payment option or combination of options I have selected below. [This selection can be changed up to the time a building permit is issued.] I realize that SDC charges are due and payable at the time a building permit is issued unless those charges are Deferred or are financed through Installment Payments. ❑ Cash, Check,or Credit Card,payment due at building permit issuance. • Deferral until Occupancy,payment due before issuance of an occupancy permit. Payment of the Parks SDC may be deferred until issuance of the occupancy permit. In requesting this option, I understand that any deferred Parks SDC must be paid prior to issuance of a Certificate of Occupancy. For a deferral request to be accepted both the Property Owner and the Developer must sign this request. ❑ Credit Voucher (for developer-built required public improvements, subject to approval, completion,and acceptance of creditable improvements.) PLEASE NOTE: Parks SDC Credits must be redeemed at the time Parks SDC Payment is due, either at the time the building permit is issued or,if payment is deferred,prior to issuance of an occupancy permit. If you expect to claim Parks SDC Credits be sure the improvements, any creditable payments, and your Request for Credits is complete either before your building permit is to be issued or,if payment is deferred,before you request an occupancy permit. No refund of Parks SDC Payments will be made if Credits are submitted more than 30 days after issuance of the relevant building or occupancy permit. ❑ "Bancroft" or Installment Payments (separate application required.) Omail,4leu u 4etvilta64. maA .AEamb 46ou PROPERTY OWNER DEVELOPER DATE: 08/04/2021 DATE: 08/04/2021 L•\Community Development\Permit Coordinator\SDC Forms\Payment Option Forms 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 'PiN " Tr ansmittal Letter T i t,A It i) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: q«t;� lk ,sRona DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: STRevn A Lor Pvhot9 C l 4S SAP 8 2071 COMPANY: t2 tC(('iSQv - CITY OF TIUAHLd PHONE: ?)6 Q 31 K E61-1+ BUILDING DIVISI(l EMAIL: gaeOW1 01'3OU SO4 eay4R tiPO(r1S , eO RE: 16 5 66 Sell It5Qt,u 'el Z4o0 //ST eko, r - pO3©3 (Site Address) (Permit Number) PO(4141"v al— 00-541d (-02,03 (Pro t( ame or subdivision name and lot number)u�(/ I 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): REMARKS: ?Le see 2c(iodfilnate&. tAAA ReO se's jot ciA. .001 j04t. FOR FTC . USE ONLY Routed to Permit Technic' • ate: 7 3 , G/ Initials: i '` 2 Fees Due: I] Yes No Fee Descrip ion: Amount Due: $ /0/- 1\i\ D ij °( e - $ Special Instructions: Reprint Permit (per PE): ❑ Yes / No 6� ❑ Done Applicant Notified: Date: ', //742 Initials: I:\Building\Forms\TransmittalLetter-Revisions 073120.doc