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Permit 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 a ' Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION IREGEIVED FROM: G •1 1 N --rAoMts MAR 2 3 2022 COMPANY: ALLIA-NcE Pl.'M31Nto i;I l Y OF HIGAHG PHONE: (503) 671-b536 lUILDING DIVISIONBY { EMAIL: GP14fr' ® ALLtANGEpLvMBt .0ET RE: 1440% 5V.j Ib5T4 PcvE• MS`rzOzl- Oo197 (Site Address) (Permit Number) Ros -/ INNovA i-or 2l'ice (Abu a) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 2- Revisions: FIRE SPR .114vLsk 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: $hSeMEN-1. BMWS MA Web, MAIN!RIM C' N DCC 16N FOR OFFICE USE ONLY Routed to Permit Technician:/rYate: '-1— t — l.2 Initials: Fees Due: ❑Yes viNv Fee Description: Amount Due: Special Instructions: Reprint Permit(per PE): ❑Yes ►,• 0 ❑ Done Applicant Notified: Date: Initials: ,d4 Plumbing Permit Application RECEIVED Building Fixtures MAR 2 3 20 l()R OtFl( 1-. I Sl: ()NI 1 City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGi-`bale/By: _( Permit No-(�,,�r)� f_c.J,ry 7 _ Phone: 503.718.2439 Fax 503.598.1960 DID)' `S'iar view. / / r"] BDILDING Date/By: `%'1U'a.0 A,� Other Permit No.: I I G.h A ll Inspection Line: 503.639.4175 Date Ready/By: Jruis: See Page 2 for Internet' www.tigard-o[.gov Notified/Method: Supplemental Information TYPE TypE oil WORK k �' t SCHEDULE • 0 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•Cth+.L"1dI1i l Ruer Io1 SFR(I)bath 312.70 1-and 2-familydwelling SFR(2)bath 437.78 ❑ g 0 Commercial/industrial ❑Accessory building ❑Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(2332eq.ft.) Page 2 jog SITE INFORMATION AND LOCATION Site utilities: Job site address: 1440e SyJ 1 tOST4+ /411E Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I 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: I Lot no.:231%0 Fixture or item: Tax map/parcel no.: (A)J 2.) Backflow preventer 31.27 Backwater valve 12.51 Clothes washer 25.02 MULTIPURPOSE FIRE SPRINKLER SYSTEM 4" Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY OWNER . "0 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 ) 695-7700 Fax:( ) Ice maker 12.51 Q,APPLICANT ,,,` CONTACT-I ERSON 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 CON`IA+C If) C Water closet 25.02 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 Lie.no.:PB732 77� State surcharge offee) Authorized signature: TOTAL PERMIT FEE Print name:Gavin Thomes Date:3.22.2022 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. 1:1 Building A Permits VPLMU-PermitApp_doc I(1/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Ilti i c t . Fee(ea) m rotaI square Footage: "e mit Feet Footing drain-1"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 Fly.' Storm&Rain Drain-1st 100' 62.54 $1.00 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 ,Fee „r Total" each additional$100.00 or fraction thereof,to r ct o11 1 f ea and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90 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 F u g I, , ,, 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 lteleeate ❑ 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 ❑ Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic 0 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: -Lay/Bar non-food related 1 -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: 1:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 f CITY OF TIGARD MASTER PERMIT 2':^" COMMUNITY DEVELOPMENT Permit#: MST2021-00197 Date Issued: 12/01/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA17600 Jurisdiction: Tigard Site address: 14408 SW 165TH AVE Subdivision: ROSHAK RIDGE Lot: 176 Project: Polygon at Roshak Ridge, Lot 176 (2 of 2)ADUs Project Description: New attached ADU. NO FINAL INSPECITON UNTIL SDC FEES ARE PAID. 5/16/22: REPRINT to add fir sorinklorc ^-- BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 841 sf Basement: 428 sf Left: 3 Parking Spaces: 0 Height: 25.5 Bathrooms: 3 Second: 1063 sf Garage: 365 sf Front: 12 Smoke Yes Right: 3 Detectors: Dwelling Units: 1 Third: 0 sf Ri 9 Total: 2332 sf Value: $303,206.22 Rear: 15 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: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bcktlw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 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 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 4 201-400 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 10004-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 ADU VB R-3 2332 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 Fire Rated Conditions VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Report Required Prior To Pour 3 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $25,956.38 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 require you to fo ow th rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR QF9-nn1-nn1n thrni inh(1CR QF9- 1..nnQn Vnu m ,nhtaln a rims a'lilac nr rlirart n na<finne in(11 IAI(1 hu Tallinn FM 939 10R7 nr 1 ann 349 94dd� ` /1 Issued By: ,9 �—rmittee Signature: �`�'r(_�' L // �/ /it Call 503.639.4175 by 7:00 a.m.for the next available inspection date. I This perrnit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the iob site at the time of each inspection. r Plumbing Permit Application 1'g Building Fixtures RECEIVE Cityof Tigard Received MST2021-00197 g Date/By: // /fj/ + Permit No.. Ilhil ... 13125 SW Hall Blvd.,Tigard,OR 97223 NOV91" /f�` f�✓✓ ITV Y C t Plan Review Phone: 503.718.2439 Fax: 503.598.1960 yy Other Permit No.: Inspection Line: 503.639.4175 Date/By: / `3/ ) ,�C i ICI AR I) g g CITY i/OF IiL`/"t l li n Date Ready/By: ii__ tuns: See Page 2 for Internet: www.ti and-or. ov i l l 1 riflLJ Notified Method: Supplemental Information TYPE Off'woitiguILDING iVIS1OW nr* scIIEI:Ki 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 ■ I-and 2-familydwellingSFR(2)bath 437.78 ❑ ❑Commercial/industrial SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder El Other: Fire sprinkler(2332 sq.ft.) Page 2 ' JOB SITE INFfIRNIA'TION AND LOCATION Site utilities: �; Catch basin or area drain 18.76 Job site address:14408 SW 165th Ave. t i. .;:, . Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard,OR 97224 `` g l Footing drain(no.linear ft.:_) Pa e 2 Suite/bldg./apt.no.: I Project name: '_ .. . -Os ak 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: I Lot no.:176-ADU 2 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION of AYIt Backwater valve 12.51 Clothes washer 25.02 MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®'PROPERTY OWN R, 1 ' ❑ TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name:Taylor Morrison 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 ) 695-7700 Fax:( ) Ice maker 12.51 0 APPLICANT 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 1 I Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit tee) CCB Lic.:184601 Plumbing Lic.no.:PB732 State surcharge(12%of permit fee) Authorized signature: 1.----7.._..,i�Z__„? TOTAL PERMIT FEE Print name:Gavin Thomes Date:II/812021 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. i A Budding A Permits VPLMU-PermitApp_doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Qty. Fee(ea) Total Site Utilities square Footage: Permit Fes. Footing drain-1'100' 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- I st 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: Per`niii Fee+ Storm&Rain Drain-1st 100' 62.54 • $1.00 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 a ions or + Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to p and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/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*. I l*n Review of P i> ld ti _: , 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 ❑ Any multipurpose fire sprinkler system. Domestic ID Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3» Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. 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: -Lay/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 .serwru.w,saws.uawwsawssaasa..ss<rneeamseasa.uaso-a.ueawu...s+sua«,a+ a i,ar,ca. ar..,..,,r. ... . ,...,ra.,ausstsuewusueuV •. .. CITY OF TIGARD MASTER PERMIT I $ COMMUNITY DEVELOPMENT Permit#: MST2021-00197 Date Issued: 12/01/2021 T(GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA17600 Jurisdiction: Tigard Site address: 14408 SW 165TH AVE Subdivision: ROSHAK RIDGE Lot: 176 Project: Polygon at Roshak Ridge, Lot 176 (2 of 2)ADUs Project Description: New attached ADU. NO FINAL INSPECITON UNTIL SDC FEES ARE PAID. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 841 sf Basement: 428 sf Left: 3 Parking Spaces: 0 Height: 25.5 Bathrooms: 4 Second: 1063 sf Garage: 365 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2332 sf Value $303,206.22 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW ADU VB R-3 2332 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 Fire Rated Conditions VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Report Required Prior To Pour 3 Ersn Cntrl 503-639-4175 PHONE PHONE: 360-695-7700 FAX: Total Fees: $19,903.43 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 oc nn1_nn1n fhrniinh rr P oc9-nnl-nnan vn,i mou nhtoin nnns,of fho rnloc nr rfiron}n,,octinnc fn nl iMC'by nallinn cnz az9 10R7 nr 1 Rnn z29 9zdd Issued By: HOth Va.v De.Wege Permittee Signature: 0vt'A 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 iob site at the time of each inspection. , 4,or / 76. Building Permit Application Residential RECEIVED FOR OFFICE USE ONLY Cityof Tigard 2021 Received ,� ` g MAY 1 L+J/II Date/By: I3- 2.1 /�,/1— Permit No.: KS'`'a::)Z`coq III q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ,Q,� • Phone: 503.718.2439 Fax: 503.598.19(�1TY OF TIGARD Date/By: ( I 13 Z /+/x Other Permit:sAkO,ZA_m(21- T1 G AR D Inspection Line: 503.639.4175 I DING �l� l Date ReadyBy: ❑ris: H See Page 2 for Internet: www.tigard-or.gov tJI""` DI1�I fled Method: OZ Supplemental Information TYPE OF WORK REQUIRED DATA:1-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. ❑ 1-and 2-family dwelling ElCommercial/industrial Valuation: $ 03' OW ❑Accessory building 0 Multi-family Number of bedrooms: 3 Master builderNumber of bathrooms: ❑ ®Other: ADU 2 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 149 7 Job site address: 14408 SW 165th Ave. New dwelling area: 2,332 square feet l 0(o3 City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 365 square feet $4 1 Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge Covered porch area: >< square feet 1'L,$ Cross street/directions to job site: Deck area: square feet 1 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Polygon at Roshak Ridge Lot no.: 176 Pennit 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 home construction_Type: Triplex(Accessory Dwelling Unit 2) Valuation: $ Elevation plan: MH DL Triplex(A)221903A Existing building area: square feet Projected Start: September 2021 S i 1&S IOG•4 aeel 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 710 Occupancy groups: City/State/ZIP:Vancouver, WA 98660 Existing: Phone:(360)946 8674 Fax:( ) New: ® APPLICANT 0 CONTACT PERSON Vi9 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 710 Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Phone:( 360) 946 8674 Fax::( ) Amount received: E-mail: PermitSubmittals taylormorrison.com, AlamiAbouha s 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 710 Solar Installation Specialty Code checklist. Ci /State/ZIP: Permit Fee(includes plan review ty Vancouver WA 98660 and administrative fees): $180.00 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: onli 1.4,4/J pry rye, 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: 04/29/2021 *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) Mechanical Permit Applicltiqn CF"VT:(.1 F()R OFFICE USE ONLY . . '2 ,,2,22- , —1 11---'---` Received i ' City of Tigard Date/By: Sill/1,( fjr Permit No.: .111-3:32A_00(97 13125 SW Hall Blvd.,Tigard,OR 97221A Ay 1 1 2021 Plan Review Phone: 503.718.2439 Fax: 503.598.196a' Date/By: Other Permit: Ailelig, t-eDI 27- Inection Line; 503.639A175 TRiAltl, -spCITY OF TIGA Dam Rcady/By: litris' 0 Sec Page 2 for unmet: wwwtigard-or.gov BUILDING DIVISIC)N Not m itied/Method: Suppleental Information TYPE OF WORK COALmEROAE FEE* SCHEDULE - USE CHECIaIST Mechanical permit fees*are based on the value of the work E New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all D Demolition D Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 1-and 2-family dwelling 0 Commerciallindustrial El Accessory building For special information use checklist. Multi-family 0 Master builder Lid Other: ADU 2 Description Qty. Ea. Total- JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning I 46.75 Job site address: 14408 SW 165th Ave. Furnace 100,000 BTU(duets/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,0001 BTU(ducts/veats) 54.91 Heat pump Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge 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), in-wall,in-duct,suspended etc. 46.75 Flue/vent for any of above 23.32 Other:Subdivision: Polygon at Roshak Ridge Lot no.: 176 ._• Other fuel appliances: 23.32 Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas New Sin le amily Accessory Dwelling Unit 1) fireplace . 23.32 Log lighter(gas) 23.32 - Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other. 23.32 IN PROPERTY OWNER 0 TENANT — - . — 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:( ) Attickrawlspace fans 23.32 rl APPLICANT D CONTACT PERSON Other: , 23.32 Fuel piping: Business name:Polygon WLH,LLC 514.15 tor first four;$4.03 for each additional Contact name:Tonja Morris Furnace,etc. Gas heat pump Address:703 Broadway St.,Ste 510 Wall/suspended/unit heater City/State/ZIP: Vancouver,WA 98660 Water heater _ Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace Range E-mail:permitsubmittalsgayi0IMOITISOD.COM Barbecue "i)tk CONTRACTOR Clothes dryer(gas) Other: Business name,Pro Heating&Cooling MECIIANICA.L PERMIT FEES' Address: NW Alociek Di',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%of permit fee) CCB lic.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 &i.a, 161.,ii.a,n, days after it has been accepted as complete. Authorized signature; • Fee methodology set by Tri•County Building industry Service Board Print name:Elia Duran Date: 10/30/20 I 1F11.11,1inalPermac11.1Fr Pr—rnil arm(4/1111 Arc- RECEIVE Electrical Permit Application City of Tigard MAY 1 2�21 Raomvaa permit n 13125 SW Ball Blvd.,Tigard,OR 97223 CITY OF 7 IGARD Plan Rev) e i�/� �I " 1V1S�2021—UCH(9 Phone 503.7182439 Fax: 5015981960, DIVJS1ON a1e'ny Related Permit 4: s9,�y(4�l-CO(23- Inspection Line. 503.639.4175y ®See Page 2 for C i C;:1 N ll Internet: www.tigard-or.gov ytficd M diod Sys Supplemental Information TYPE OF WORK PLAN REVIEW ®New construction ❑Addition!alteration/replacement Please check an that apply(submit a sets of plans iv/items checked). ❑Demolition ❑Other: ❑Sc'i site or feeder 400 amps or more ElBuilding over three stones. where the available fault current ❑Marinas and boatyards CATEGORY OF CONSTRU('TION exceeds 10,000 amps at 150 volts of ❑1^ioaung buildnga ❑ 1-and 2-family dwelling ❑Commercial/indusirial ❑Accessory building 1`'.w ground,or exceeds 14.000 0 Commercial-me agncultural T❑Multi-family ❑Master builder laOther: ADU 2 0 amps for all other installations buildings Hare pump ❑lrisnlla[ain of 150 KVA or JOB SITE INFORMATION AND I.00ATK/N 0> system'x stem larger separately derived Job#: Job site address:14408 SW 165th Ave ❑ada,tinn anew motor load of system. t0011P or more. 0"A","k,-,"1-2"."1-3", City/State/ZIP: Tigard,OR 97140 0 Six ot more residential unds 0 occupancy Recreational 0 Healthcare facilities parks. Suite/bldg./apt.tt: Project name: Polygon at Roshak Ridge ['Hazardous locations 0 Supply voltage for more than 0 Service or k'edcr 600 amps ur moat 600 welts nominal.. Cross street/directions to job site: FEE SCHEDULE Dncriplisa I rhea. l Each l Total i • New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: 176 Includes attached garage. Tax map/parcel#: 1,000 sq n or less 168 34 4 `--"'— F.e.add'1 500 sq tl or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 New construction. Type: ADU 2 (wirl,above sq.ti) Limited energy,multi-family 75 2 residential(with above sq.ft.) .tx1 ® PROPERTY OWNER El Energy ❑ Sea Page 2 ❑ TENANT Services or fe etkrs installatlonLalteration,and/or relocation Name: Polygon Homes WLH LLC 200 amps or leas 100.70 2 — Address: 703 Broadway St.,Ste 710 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200 34 2 City/State/ZIP: Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 Phone:( 360 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: OAlamiAbouhafs(a taylcxmorrison.com-PermitSubmittal to lormorristxl.com Temporary services or feeders installation,alteration,and/or � Y relocation Owner installation: This installation is being made on property that I own which is not 200 snips 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 1 0 APPLICANT _1 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 feeler fee, 7.42 each brand circuit Contact name: Omar Aland Abouhaafs B Fee for branch circuits without Address: 703 Broadway St,Ste 710 sue+ fader fee,first ss 18 2 branch circuit City/State/ZIP: Vancouver,WA 98660 Each add'!branch circuit 7.42 2 Phone: 36094b 8674Miscellaneous(service or feeder not included) ( ) Fax::( ) Each manufactured or modular 67 84 2 Entail:OAlarniAbouhafs@taylormorrison.corn-PerrnitSubmittais@taylormorrison.com dwelling,service and/or fender ttecanr, i only 67 84 2 CONTRACTOR OR Pump or irrigation circle 67 84 2 Busing name: Wallace Electric Sign or outline lighting 67 84 2 Address: 105 Dresden St Si ial circuit(s)or Invited energy ID See Page 2 2 panel,alteration,or extension. K CityfStaterZIP: Astoria OR 97103 Each additional inspection over allowable in any of the above - Addttumal inspection(1 hr min) 66 25/hr Phone:(503 3)8 0563 Fax:( ) Investigation(1 hr min) 90.00/hr Email: David@wallacewires.com Industrial plant(1 hr min) 78 lI/1u Inspections for which no tee is CCI3 Lie,:224868 LElectrical Li ' C 1441 Su .1 ' .• 6363S specifically listed(3,5 hr min) 90 00/hr - ELECTRICAL. PERMIT FEES , Suprv.Electrician signature.required: Subtotal- Print name:D 4 e ,c/.. , cz. Date: /t! permit�fz/7 i 0 Plan Review Required(25%of permit fee): / State surcharge(12%of permit fee). Authorized signature ;/ TOTAL PERMIT FI:L-' This permit application expires if a permit is not obtained within no Print name 4» Date: tip Jz I days after it has been accepted Si complete. //9 I ' Number of inspections allowed pet permit. t'�3uildmercrtwts'ELC,PcrimtApp_k1A ERE.dcc Rev 0617/2015 4 615TO liOSICOId4 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard MAY 1 1 202� Received Date/By: /1�. 2( N Permit No.: MSf �- (x)t9�'� Pr 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 5/_,2 -�y`r 1 OF TIGARD Other Permit No.. 1(VI[ KJt Phone: 503.718.2439 Fax: 503.598gaTY � pate/By TIGARD inspection Line: 503.639.4175 LD!NG DIVISION Date keady/By. Jnris H See Pale 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental information TYPE OF WORK FEE* SCHEDULE For special in ormation use checklist. ®New construction ID Demolition f F - Description I Qty. I Ea. J Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(l)bath 312.70 1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78 """' SFR(3)bath 500.32 ❑Accessory building -Multi-family Each additional bath/kitchen 25.02 ❑Master builder ®Other: ADU 2 Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14408 SW 165th Ave Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 T____��___,- 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 Stoma sewer(no.linear ft.: ) Page 2 Water service(no.linear ft,: ) Page 2 Subdivision: Lot nr 176 Fixture or item: Tax map/parcel no,: Backflow preventer _ 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixture 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 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Tonja Morris Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mailPermitSubmittals taylormorrison.com, AlamiAbouha s taylormorrison.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:C&B Plumbing&Sons Inc Water Pp i m 'D@UV 56.24 ~ 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: $72.50 CCB Lic.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: Aiii ! -f'"'�-- TOTAL PERMIT FEE Print name:Steve Fowler Date: O/3O/ZO 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 I:\itoiiding+PmniisTLMU-PernsiApp.doe 10/01/09 440-4616T(10(02'COM'WEB) ' " ` . City of Tigard 44 COMMUNITY DEVELOPMENT DEPARTMENT ■ T c 1z D Building Permit Review — Residential Building Permit #: tiiST-2021-DQIQ-i- Site Address: 14408 SW 165th Ave Project Name: Polygon at Roshak Ridge Lot #: 176 Planning Review V•I ' eeVIS€PSrTE FtA►V lb 6LV6y Ee jsai Proposal: New attached ADU (ADU 2) ❑r Verify address/suite#active in Accela. ❑o In River Terrace: ❑ No ❑o Yes,River Terrace Review Addendum Site Plan Elements: erosion Control Ol copies of site plan on 8-1/2"x 11"or 11 x 17"paper etained trees with drip line and tree protection measures Oprawn to scale(standard architect or engineer scale) ::Footprint of new structure(including decks)and FFE 11 orth arrow ,,Jtility locations&easements(required for new and additions) O'ite address,project or subdivision name and lot number °iidewalk/driveway approach 11 pplicant information(name and phone number) ON ,Location of wells/septic systems 11 ot dimensions and building setback dimensions ' treet tree size,type and location II'quare footage of buildings to be demolished 'itreet names tk)h 1! xisting structures on site ,Li-orner elevations(2'contours if more than 4'differential 1` 11 ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? R'es o I] Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑Yes,applicant was notified ❑No Received: 0 Yes ❑No 0 Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ❑ No Received: ❑° Yes ❑ No 0 SDC Exemption for ADU applied for: ❑Yes ❑ No Received: 0 Yes ❑No 0 Public Facilities Improvement(PFI)Permit: Required: ❑° Yes,applicant was notified ❑ No Applied For: ❑° Yes ❑ No,stop intake ❑° Land Use Case#: ADU2020-00024 0 Zoning: R-4.5 ❑ Required Setbacks: Front: 12 Rear: 15 Side: 3 Street Side: N/A Garage: 3 n ° Building Height: Max.Height: 30 Actual He' ht: 25.5 f' Landsca•e Area: 1\I to % Lot Coverage Max: 1 trance 11 Set back no more than 8'from street-faci g wall ❑r Parallel to street or offset 45 degrees or less Windows Q Minimum 12%of area of all street-facing facades Garage C .;. .- door is behind widest street-facing wall El Yes ❑ N N. -- • t e following is met: RDoor ex - ; •o more than 5'from wall and there is a cove -: •orch extending beyond garage. Door extends no more ' from wall and •- - . a 12 sq ft.window above garage on 2nd floor. ElGarage door width is 12'or less y..T1°o or less of facade 60%or less and includes 7 of following: Covered porch _ '-cessed entrance 111 •.: offset ❑ 1'Roof eave Roof offset F. - . :es Lap Siding ❑ Roof itch ale,hi3,or gambrel roof ❑Dormer Accent siding Window trim U Window recess ,•••a ow projection ❑ Balcony -` t Visual Clearance Q Urban Forestry Plan N Sensitive Lands: El Yes ❑° No Type: ElConditions met prior to issuance of building permit Notes: ..* _ 0 Approved By Planning: Date: SA 7/21 Revisions (after Building Submittal only) R viewer DT'1024 e Revision 1: jaApproved El NotApproved A�� D Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal ' ' Original Submittal Date: s/1 /2 Site Plans: # ', Building Plans: # ^� Building Permit#: ❑'Enter buildinK permit#above. Workflow Routing: anlanning LA7Engineering anermit Coordinator 123uilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1)building plan and iginal plan review routing form. •Building: -original permit applicatioh;site plan§,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 7Date: 5A-7121 En,ineering Review � 2 Slope at building pad: _j'4O� 11I Conditions "Met"prior to issuance of building permit ErEasements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes �ye� No IJ Assess Water Quantity Fee in-lieu: ❑ Yes o LIDA Facility on lot: ❑ Yes L`7 No LkJ F' al Plat Recorded: NOT Approved by Engineering: Date: ��/�V.._/' Notes: /et/e ice._,-. ..S-G !�� If pier- ., ,,,) tv "0.2? ,r4it. /././e.A.,..-7- r� A,r �J Approved by Engineering: ate: /r47/�,�/e/ Revisions (after Bui ing Submittal only) Reviewer Date Revision 1: YAdpproved ❑ Not Approved �> //. �� / Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review Conditions "Met"prior to issuance of building permit Er Approved,NOT Released: See c,,mmwd. Goa:" -At. 5124204 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 a�ly SDC Fees Entered: Wash Co Trans Dev Tax: , Yes N/A �` n Tigard Trans SDC: Yes ❑ N/A Sec 1�L6""�'r Parks SDC: aYes ❑ '1 N/A tb�r LIDA ❑ Yes 12y N/A ,t OK to Issue Permit Approved by Permit Coordinator: LDate: lc 1'21 (20Z1 I:\Building\Forms\BldgPennitRvw RES_122419.docx City of Tigard 114 r COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D River Terrace Building Permit Review Addendum Building Permit #: rY1SToc21-OO‘99- Site Address: 14408 SW 165th Ave Project Name: Polygon at Roshak Ridge Lot #: 176 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.070.1.): Is the project subject to the plan district design standards? El Yes ❑o No (Per MMD2020-00044) Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additio ele -nt required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch . 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gable. .oomer 0 ❑ 0 ❑ 2. Eyes on the str• • a minimum of 12%of each street facing façade must include windows . entrance doors. Percentage Shown: 3. Entrances:At least one e ance must meet both of the following standards: 0 Parallel to street, . gle no more than 45° from street, ❑Max. 8 ft. setback from longes trees-facing wall or open onto por Entrance opens to a porch: El Yes o IfUes,all the following apply: ❑25 sq.ft. .n. One street facing entry 0 12 f ax.roof above floor of porch El5 ft. depth min. ❑3'/o min.porch roof coverage 4.Detailed Design:All buildings shall include a min. o v- of the following elements on all street-facing façades: ❑Covered porch min. 5 ft.wide x 5 ft. deep IIIRecessed entry area min. 5 ft.wide x 2 ft. deep ElWall offset min. 16 inches •ormer min. 4 ft.wide ❑Roof eave min. 12 inch projection 0 Re' offset min.of 2 ft. 0 Roof shingles either tile or wood ❑Gable, .'p or gambrel roof design ElRoof pitch oriented south min. 500 sq. 0 Horizont. ap siding min. 3-7 inches wide ❑Accent siding min. 40%of street fa .e El Window trim ' ' . 2 1/2"wide by 5/8"deep ElWindow recess min.3 inches for i street facing 0 Bay window min. ft.wide by 2 ft. deep ❑Balcony min. 5 ft.wide x 3 ft. .eep with inside access ❑Attached garage is 3 'o or less of street façade 5. Garages and Carports: ' ay face the front or side lot line on a corner lot. Setbacks: No closer to front o ide lot line,than longest street-facing wall. ❑Yes ❑No. If No (Check o : ElMay extend u. o 5 ft.if there is a covered front porch and garage does not extend beyond the fro •orch. 0 May extent p to 5 ft.where the garage is part of a two-story building and there is a window at the se d story above the •. age that faces the street with a min. area of 12 sq.ft. Width.. heck one) 0 -foot-wide garage door ❑40%max. of street facade 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: Date: S"/-7/2 I:\Building\Forms\BldgPantitRvw_RES_RT_121417.docx 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 _ Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439•www.tigard-or.gov TO: Agnes Lindor DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Omar Alami Abouhafs OCT 1 3 2021 COMPANY: Taylor Morrison t✓ITY OF TIGARD PHONE: (360)946 8674 3UILDING DIVISMC N EMAIL: OAIamiAbouhafs@taylormorrison.com RE: 14410/14406/14408 SW 165th Ave MST2021,uQ195/.r99496/...00197 (Site Address) (Permit Number) Polygon at Roshak Ridge lot 176 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. 3 Revisions: site plan+ Details 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: Additional documents were provided with the site plan to resolve the waterline issue in the driveway. FORO FICE USE ONLY Routed to Permit Techn�i-c,�i : ,,,Date: 1,,1 �`� II Initials: i fr Fees Due: El]Yes [ No/ Fee Desert do : Amount Due: $$ Vi,----7 1\.) N) I Special Instructions: Reprint Permit(per PE): ❑Yes Nov []Done At ..._ Applicant Notified: Date: ///zc'1 �( Initials: City of Tigard 14 I ' Deferral Until Occupancy Request TIGARD Washington County Transportation Development Tax (TDT),Transportation and Parks System Development Charges (SDCs) .. FAaPt*ftlVK: .3 T.. as fl,0'1,KVWr�.:X::Y4k':5',.da`, ..AWO " IMA ','x'ffikk Y,,m4 agmr6ioao~easktmovrovartarm 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). Date: 10/26/2021 Site Address: 14408 SW 165th Ave Project Land Use Case or Polygon at Roshak Ridge MST2021-00197 Name: Building Permit#: Tax Lot Total Parks #: 2S107AA17600 Amount*: $5,652 Lot 176 TDT Total TSDC Amount: N/A Amount*: $211 *The total TSDC amount shown above is the sum of$ 0 for TSDC-Improvement,$211 for TSDC- Reimbursement,and $ 0 for TSDC-River Terrace,if applicable.. *The total Parks SDC amount shown above is the sum of$4,576 for Parks-Improvement,$ 1,076 for Parks- Reimbursement,and either$ N/A for Parks-Neighborhood or$ 0 for Parks-Neighborhood River Terrace. This constitutes my request to defer payment of the TDT,TSDC, and Parks SDCs, as provided above, until occupancy. Payment of the TDT,TSDC, and Parks SDCs may be deferred until issuance of the occupancy permit. In requesting this option, I understand that any deferred TDT,TSDC, and Parks SDCs must be paid prior to final inspection or issuance of an occupancy permit. TDT may only be deferred if the TDT is greater than the amount for a single-family residence. I further understand that the amount of TDT due on deferred obligations shall be the amount in effect at the time of issuance of the building permit. For a deferral request to be accepted both the Property Owner and the Developer must sign this request. Property Owner: D/fl44 4ieuni;46e1./l Date: 10/26/21 Developer: ()mail..c9&hd-46ea/La Date: 10/26/21 Permit Coordinator: Date: 10/26/2021