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Permit / Plumbing Permit ApplicCEIVE Building Fixtures FEB 2 2022 Lu i OI i l( I. I SI, t)yI 1 Received 21212.Z'TE. City of Tigard �/ /+pp Permit No.: MST2021-00440 III IN 13125 SW Hall Blvd.,Tigard,OR 4,7�231 OF TIGARu Date/By: C : E!ai ,V __ _,_ s° n038.2 1Permit No.:13YL It.DIVISION D50639.4175 QJ/ un: Page 2 for Internet: wwwtigard-or.gov Notifed/MethodSupplemental Information ew construction ` El 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) I-.,s � ,. t 'TE' Yi'O �.;, _,, tt� • SFR(1)bath 312.70 and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 building - SFR(3)bath 500.32 ❑Accessory g 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(2°23sq.ft.) t/ Page 2 18 M' . , ,- -, .. ,,, tI •• Site utilities: Job site address: 16644 SW Botany Bay Ln. Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard,OR 97223 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.:195(SFU) Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 1 �," Backwater valve 12.51 MULTIPURPOSE FIRE SPRINKLER SYSTEM Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 k OPe • 00 Expansion tank 12.51 Name: Taylor Morrison Fixture/sewer cap 25.02 Address: 703 Broadway St.Suite 710 Floor drain floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Vancouver,WA 98660 Hose bib 25.02 Phone: 816 7805( 360) Fax ( ) Ice maker 12.51 fir, ate'\ a,r t �,>a b 0 -� s is,;, y,,{ P Interceptor/grease trap 25.02 Business name: Alliance Plumbing, LLC Medical gas(value:$ ) Page 2 Contact name: Gavin Thomes Primer 12.51 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 )492-3490 Fax::(503 )912-6438 Tub/shower/shower pan 12.51 E-mail: gavin@allianceplumbing-net Urinal 25.02 i,� Water closet 25.02 °: 7,, " lfg 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:( 503)912-6438 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: 184601 Plumbing Lic.no.: PB732 a �,,by nannah Mom. State surcharge(12%of permit fee) Authorized signature:Hannah Thomas az.-: 7:1 mar...„- TOTAL PERMIT FEE Print name: Hannah Thomas wry ro, s,1013 Date: 1/27/2022 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. i,\Building\Permits\PLMU-PemtitApp.doc 10/01/09 440-4616T(IO/02/COM/WEB) CITY OF TIGARD MASTER PERMIT ■ ' Permit#: MST2021-00440 COMMUNITY DEVELOPMENT T I A 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/25/2022 G R.L7 Parcel: 2S107AA19500 Jurisdiction: Tigard Site address: 16644 SW BOTANY BAY LN Subdivision: ROSHAK RIDGE Lot: 195 Project: Polygon at Roshak Ridge, Lot 195-Primary Project Description: New primary dwelling with (1)attached ADU. NO FINAL INSP UNTIL DEFERRED SDCs ARE PAID BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 82 sf Basement: 0 sf Left. 3 Parking Spaces. 0 Height: 26 Bathrooms: 3 Second: 1941 sf Garage: 456 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2023 sf Value: 5293,700.62 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals. 0 Lavatories: 4 Dishwashers: 1 Floor Drains. 0 Sewer Lines: 100 SF Rain Drains: Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 0 g 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: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units. 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2 Furn>=10OK: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvciFeeders Branch Circuits 1000 of or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf, 3 201-400 amp: 0 201-400 amp. 0 W/O SvciFdr: 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 2023 Owner: Contractor: TAYLOR MORRISON NORTHWEST 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 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $22,861.85 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 o S9-nn1_nnln thrn„nh no oco_nninnon vmt mw nhf in o r.nntr of the n due nr rllmrt n„cefinne to rll IMC by rddlinn Sm 919 1oa7 nr 1 arm n49 9'1d11 Issued By: Ho{l y VO.4 De,�A/P9E Permittee Signature: O -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 lob site at the time of each inspection. w Mechanical PermitApplicati{{��] FOR OFFICE USE ONLY City of Tigard HanECEIVE® Recei.Kd �5�� , B PemsitNo.: �� L�7�4��O . 11 13125 SW Hall Blvd.,Tigard,OR 97223 Date/ y' oW 1 Phone: 503.718.2439 Fax: 503.598.1960 SEP 2 1 2021 Plan Review y Other Pormit: T I{r,J:1) Inspection Line: 503.639.4175 Date Ready/By. Ws. B See Page Internet: www.tigard-or.gov - rs t 2l for CITY OF i I(aARD NotdJcd/Mabod Supplemental Information BUILDING DIVISIQN TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USE CHECIO,IST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:5 RESIDENTIAL EQUIPMENT/SYSTEMS FEES•.. 1. I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information ase checklist I i Multi-family 0 Master builder 0 Other: Description Qty. Ea Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: 16644 SW BOTANY BAY LN Air conditioning I a6.75 Furnace 100,000 BTU(ducts/veys) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bl /a t-no: name: Po Heat pump 61.06 dg- p Projectygon at Roshak Ridge Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duet,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Polygon at Roshak Ridge Lot no.: 195 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 New construction,new Single Family Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stave 33.39 Wood fireplace/men 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER 0 TENANT Other 23.32 • Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:703 Broadway St.,Ste.510 equipment 33.39 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:( ) An ic/crawlspace fans 23.32 ® APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Polygon WLH,LLC Fuel piping: 514.15 for first four;S4.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway St.,Ste 510 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 99660 Water healer Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:permitsubmittalsEttaylormorrison-cold 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($90.00.1 Phone:(360)270-1590 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB tic.:20900] TOTAL PERMIT FEE W�} " This permit application expires if a permit is not obtained within 180 Q. beL La. rN. days after it has been accepted as complete. Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran 13a-tc--:-- 10/30/20 f lnr,i0r11,vlPmn,,clhrfNr P.m,.Ann WI 13 tine .ran,<r+r ft,,t,,r arn,ay. Electrical Permit Applicat i .CEI V ED IOR OFFAL L I 'I `, City of Tigard „CEP 2 1 2021 %tr.,d me EMS r2C2'—01 -a n, . 13125 sat hall Blvd.,Tigard,OR a Phone: 503.7182439 Fax: 503.598. ,..-,:, Weed Permit it. rl , ku Inspection Liar 503.639.4175 GIITY OF "i IGARD Repay Dade . Lai.: ¢Secrete 2 for Lamm:www.ligmabe'eav BUILDING DIVISION Nctir"3/Mcthut x� 'TYPE OF'W0Rif PLAI1 REV FW ®New construction 0 Addition/alteration/replacement Please chock all that apply(submit 2 se of plum whine alerted): ❑Demolition 0 Seem orfeeder 400 amps a more ❑n r udUiag over trace sons. ❑ where hie awiL6k 6mi mamas ❑Marinas aid boatyards CATEGORY-OF CONsrityc ION exceeds 10,000 amps at 150 von or 0 F1oa..g buildings El 1-and 2-family dwelling 0 CommeaoiaVindustrial 0 Accessory building trx to grvaod,«h¢LH'�la,000 ❑Commatial-wc agncsamral El Multi-family ❑Mash builderamps for as aria iomllanm mWdm�- 0Other: []Fire pomp 1:11astallatino of 150 RVAor JOB SITE INFORMATION AND,:LOCATION a1m sy Valero Luger sap redly derived lobo: Job site address:16644 SW TOWNSVILLE ST aAdddawof new motor load of eyeing,. 10011Pa mote. 13"A-,13;1-2“,-1-r, City/StaMIZTP: Tigard,OR 97140 asu«mere esdmtia on oMp icy. a Ilealm-carc facilities ❑Rees-endwhisk Pala. Sune/bldglapt#: Project name: Polyg n at Roshak Ridge 0 -' location 0 sorely whale cos most dun El Service or feeder 600 naps or more 600 voia aaonamel Cross street/di/edict's to job site: _ • • FEE.9(:fIFD[1I.E `- assabtw. 1 ouch I fah I Tatat I • New residential Subdivision:Polygon at Re/shalt Ridgelaeladesattached shade-or naltl Gmuy dwelling mil 3'8 Lot 4: 216 garage. Tax map/parcel(I: 1,000 sq.ft.a laps 168.54 4 Ea.add'1500 aq.R or portion 33.92 1 DESCRIPTION OF WORK - Limited energy,mmidmeal 75.00 2 New construction.Type SFU (what above aq.ft) Limited teaidem (with, pY.n.) 7s 00 2 ISi'lRo917eR7Y=oviNul I 0 TENANT • Re■ewableEnergy 0 SeePage2 • .. Services or faders lestalatlo alleratioe,and/or rejecatios Name: Polygon Homes WLH LLC 200 amps or 1® 100.70 2 Address: 703 Broadway St,Ste 710 201 taps to 400 snips 13356 2 City/StateJZlP: Vancouver,WA 98660 401 maps So 6W t 200'34 2 601 asap to 1,000 amps 301_04_ 2 pi (360 )946 B674 Fax:( ) Over 1,000 amps or sobs 55226 2 Temporary Email: OAIamiAboohafs@taylormorrlsoncom-Permitsnl:mittals(�tay(amoma socom services or faders laewi.uoa,.lheratian,aad/rx Owner Installation:This installation is being made improperly that I own which is not 200 amps or lee 5936 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 mina 10400 amps 125.08 2 Owner signature: _ Date: 401 amps to 599 amps 168.54 2 ❑ APPLICANT I - El CONTACT-P9SRSOTl Branch ttrcath—sew.akeratkm,or exteasbe,Per paid A.Poe for branch onsets with Business name: Polygon Homes W1.H LLC above service or feeder fee, each branch oat 7.42 caveat Control name: Omar Alami Abouhafs B.Pee for branch cucuite widmW Address: 703 Broadway St.,Ste 7l0 service eaeu or r fee fie 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each WW1 blanch chaser i 42 2 Miacellaneten Phone:(360 )946 8674 Fax::( ) manufactured me oduarr not included) dwelling aavi c aodr«reeler 67.842 Email:OA1am .c iAbouhafs@taylormorrison_com-PermitSubmitlals@1sylormonisonam aonly 67. ,« a4 2 CONTRACTOR. Pump or.ni non circle 67.84 2 Business name: Wallace Electric Signor outline hasps 67.84 2 Address: 105 Dresden St sigu:,l circa**«liavieed.magy 0 See Page 2 2 panel,alteration,or esensen. City/State/ZIP: Aetns4s OR 97103 Each additional boWaaon over allowable la any of the above Additional inspection(1 In mu) 66.25/hr Phone:(503 308 0563 Fax:( ) lnvertigaeim(1 hr min) 90.001 hr Email:Davidtwallacewires.com Industrial plant(I hr min) 78.Ixrhr Inspections for which ou tee is 90.001 hr CCB Lie.:224868 Electrical LipC144I S Ljp.;d anfa+m 6363S ay listed%Iv men) Suprv.Electrician signature,required: /C/ ELECI1t[CAI;•PF$1Sawed- Print Warne:Dftt,4, Y G Date: 1/d/ 0 Plan Review Required(25%of permit hey s State sur harge(12%ofpermitfee). Authorised signet TOTAL PERMIT ITT: , Print name: 1 permit appa aphis phis r isere a permit h obt®ned welds tall ga 144444...440.. �' T/`/L i &r after a lens bum eneepsed as complete. ' Neater or inspections allowed per permit. LeundlopPr al.M mie23.4 fa _Pr6.FaE.doe Per 98r17110u 10J 46I((/5R1Ig 9m54 11Y I Plumbing Permit Application Building Fixtures RECEIVE "' FOR OFFICE USE ONLY .. City of Tigard SEP 2 1 2021 Received ST2021�1 • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No.: ■ Phone: 503.7182439 Fax: 503.598.1960 Pkn Review CITY OF f•IGARn Dare/By: Other Permit No.: T 1 G A R D Inspection Line: 503.639.4175 BUILDING DIVISIOI tine et ® to Ready/By: Lua; See Page 2 for Internet: www.tigard-or.gov Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total 0 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 dwellingSFR(2)bath 437.78 0 Commercial/industrial ElAccessory building 41--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: lob site address: 16644 SW BOTANY BAY LN 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:allraiditladgapolygon 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.: 195 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.S1 Clothes washer 25.02 New construction SFU - Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 _t PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixture/sewer cap 25.02 Address:703 Broadway St.,Ste 510 Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 181 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-mail:permitsubmittals®potygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water pip ng/UWV 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: $72.50 CCB Lic.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Steve Fowler Date: 0/30/20 This permit application expires if a permit Is not obtained within I80 days after it has been accepted as complete. 'Fee methodology set by TrnCounty Building Industry Service Board. I:ilaildmeii'amnsrPLMU-PamitApp.doe InT14D9 440-4616T(10r021COM.WE6) City of Tigard ,. ■ COMMUNITY DEVELOPMENT DEPARTMENT , ■ c, D Building Permit Review — Residential Building Permit #: 14T2 Z 9sJL d Site Address: I kylq S.(/U` SO L� Project Name: 4VL aA-- 75 k I'` Lot #: 1.16 Planning Review / Proposal: GO ) kM Sj(u k t&t e,((I(y IR'Verify address/suite#active in Accela. jo In River Terrace:/ ❑ No ' Yes, River Terrace Review Addendum Site Plan Elements: allErosion Control @3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper gRetained trees with drip line and tree protection measures Drawn to scale(standard architect or engineer scale) PFootprint of new structure(including decks)and FFE WNorth arrow ®Utility locations&easements(required for new and additions) ®Site address,project or subdivision name and lot number WiSidewalk/driveway approach Applicant information(name and phone number) gjeecaton-of• J AVMS gLot dimensions and building setback dimensions r � � feeteg� F t 'ta' g hr rlam ' t d Street name 7J .£xstiugstructures on site [ Comer elevations(2'contours if more than 4'differential) liLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? EYes No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? LgYes No El Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: [) Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: W Yes,applicant was notified ❑ No Received: ®?Yes ❑ No -£5eetnpuui, for ADU applied fU,. ❑ Yes ❑ No xeceived: ❑ Yes----El ® Public Facilities Improvement(PH) Permit: Required: iif Yes,applicant was notified ❑ No Applied For: IP YesYe ID No, stop intake ® Land Use Case #:Su 6 tO(5 -O4��f Fl Zoning. A. 7 t CZRequired Setbacks: Front: 12 t Rear: O. Side: ". Street Side: &I Garage: Le i 52 Building Height: Max. Height: Al IA Actual Height: 2167 N. Landscape Area: 2'4 % lie Lot Coverage Max: 80 "/" Entrance re an ro wall /.15? Parallel to street or offset 45 degrees or less Windo s Minimum 12%of area of all street-facing faca e J Garage C* Garage oor is betund wi est street- acing w ❑ Yes I No,one of the following is met: m Door extends no more than 5' from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2"d floor. Garage door width is ❑ 12'or less ❑ 50%or less of facade [:!fl 60%or less and includes 7 of following: ® Covered porch Recessed entrance ❑ Wall offset ❑ 1'Roof eave ® Roof offset ❑ Fire shingles V2 Lap Siding ❑ Roof pitch IT: Gable,hip,or gambrel roof Eli Dormer ❑ Accent siding ❑ Window trim El Window recess ❑ Window projection Id Balcony ® Visual Clearance © Urban Forestry Plan Sensitive Lands: ❑ Yes g No Type: IA Conditions met prior to issuance of building permit Notes: fp Approved By Planning: Date: CO ze 2- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Bui Id i ng\Form s1B ldgP ermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: l2f/low ` Site Plans: # 3 Building Plans: l+�Building Permit#: Enter building permit#above. V.-Permit �� �� Workflow Routing: 'Planning Fr Engineering Lot' Permit Coordinator '� Building Workflow Sign-off: LW Sign-off for Planning(include notes from planning review) Route Application Documents: I 'Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. 'Building. original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: ‘L Date: /0 0,�� Engineering Review [Slope at building pad: /0% Q"�Conditions "Met"prior to issuance of building permit Ly' >✓asements (encroachments)per engineering conditions of approval and plat C'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Gl'/No Assess Water Quantity Fee in-lieu: ❑ Yes r.No LIDA Facility on lot: 2/Yes ❑ No Er Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 2 te Approved by Engineering: anvil /2;,'S4-S1.% Date: Bo f i, I2az/ 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 fiZi Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: X Yes ❑ N/A gem �� Tigard Trans SDC: X, Yes 0 N/A m Parks SDC: All Yes ❑ N/A LIDA ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: (�/ � Date: ID\A t/.Y2il I:\Building\Forms\B1dgPermitRvw_RES_122419.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: 14 2420-QQ4L[0 Site Address: V t 1 S'W d'— 3 L . Project Name: Polygon at Roshak Ridge / Lot #: /5 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.64O.O70.I.): Is the project subject to the plan district design standards? ❑Yes 0 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. Porch :.. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft.deep min.2ft.,5 ft.wide min. 2 ft.,6ft.wide Gable• .ormer ■ El 0 ❑ 2.Eyes on the str • :a minimum of 12%of each street facing facade must include windows • entrance doors. Percentage Shown: 3.Entrances:At least one e ance must meet both of the following standards: ElParallel to street, . :le no more than 45" from street, ❑Max.8 fr. setback from longes treet-facing wall or open onto por Entrance opens to a porch: El Yes o If yes,all the following apply: ❑25 sq.ft. in. UOne street facing entry ❑12 f ax.roof above floor of porch ❑5 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 facades: ❑Covered porch min. 5 ft.wide x 5 ft.deep ■Recessed entry area min.5 ft.wide x 2 ft.deep ❑Wall offset min. 16 inches e. I ormer min.4 ft.wide ❑Roof eave min. 12 inch projection ❑R. offset min.of 2 ft. ❑Roof shingles either tile or wood ❑Gable, .ip or gambrel roof design ❑Roof pitch oriented south min. 500 sq. . ❑Horizont., .p siding min.3-7 inches wide ❑Accent siding min. 40%of street fa .e ❑Window trim • ' .2 1/2"wide by 5/8"deep ElWindow recess min.3 inches for '. street facing ❑Bay window min. ft.wide by 2 ft.deep ❑Balcony min. 5 ft.wide x 3 ft. .eep with inside access ❑Attached garage is 'o or less of street facade 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 0 No. If No(Check o - : 0 May extend u. o 5 ft.if there is a covered front porch and garage does not extend beyond the fro ..rch. ❑May exten. 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 ". .•e that faces the street with a min.area of 12 sq.ft. Width heck one) ■ -foot-wide garage door ❑40% max. of street facade P 50%max.of street facade with 7 detailed design elements Notes: Approved By Planning: Date: I:Boildiog1Fmms\BldgPermitRv.v RES_RT_1214 17.doex Water Meter Fixture Unit Worksheet For New Buildings RECEIVED Please complete the following information: SEP 2 1 2021 Contractor Name: Polygon Home, WLH LLC CON OF-TIiaAiiD aUILDINC DIVISION Billing Address: Street/Suite#: 703 Broadway St, STE 710 City: Vancouver State: WA Zip: 98660 Phone Number: 360 946 8674 Email: OAlamiAbouhafs@taylormorrison.com New Meter Address: SFU: 16644 SW BOTANY BAY LN /ADU : 16646 SW BOTANY BAY LN Subdivision Name: Polygon at Roshak Ridge Lot#: 195 Building Permit#: Please fill in the number of each fixture as detailed on the plans. Multiply the quantity by the point value to arrive at the point total. Add all point totals together for total fixture unit points. Fixture Unit Quantity Point Value Point Total SFU ADU Total Bar sink x 1 = Bidet x 1 = Clothes washer 1 1 2 x 4 = 8 Dishwasher 1 1 2 x 1.5 = 3 Hose bib, 1st one 1 1 2 x 2.5 = 5 Hose bib,each add'l 1 1 2 x 1 = 2 Kitchen sink 1 1 2 x 1.5 = 3 Laundry sink x 1.5 = Lavatory 3 4 7 x 1 = 7 Water closet, 1.6 GPF 2 3 5 x 2.5 = 12.5 Bathtub/whirlpool x 4 = Shower stall 1 1 2 x 2 = 4 Bath/shower combo 1 2 3 x 4 = 12 Total Fixture Unit Points: 56.5 Fixture Unit Points: 1 to 30=5/8" 37.5 to 89= 1" 30.5 to 37=3/4" Meter Size: Meter Cost: $ 24,886.00 ************************************************************************************* FOR OFFICE USE ONLY Fixture Units Points verified with Building (Master)Permit or Plumbing ❑Yes ❑No D Other: Meter#: Sale Date: Receipt#: Meter Cost: Employee Name: iminee I:/Building/Forms/WaterMeters_010121 New.doCx Page 2 City of Tigard Deferral Until Occupancy Request T I GARD Washington County Transportation Development Tax (TDT),Transportation and Parks System Development Charges (SDCs) 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: 11/3/2021 Site Address: 16644 SW BOTANY BAY LANE Project Polygon at Roshak Ridge Land Use Case or MST2021-00440 Name: Building Permit#: Tax Lot 2S107AA19500 Total Parks #: Lot 195 Amount*: $5,839.00 TDT Total TSDC Amount: N/A Amount*: $2,134.00 *The total TSDC amount shown above is the sum of$ 0 for TSDC-Improvement,$225.00 for TSDC- Reimbursement,and $ 1.909.00 for 1SDC-River Terrace,if applicable.. *The total Parks SDC amount shown above is the sum of$4,727.00 for Parks-Improvement,$1,112 00 for Parks- Reimbursement,and either$ 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: O.'ta-,.A 14'46eu Date: 11/3/2021 Developer: c nay-4 u 46erh. Date: 11/3/2021 Permit Coordinator: AIWA £ I JtASk Date: 11/3/2021 fit- /Sp n.)1, k-l-t- ciC ate Plan# u-- cJ i Floors 1 �� �(p / HOUR FIRE RATED EAY Bed rooms 4 Small 714 WC .1 p(1�Yyv,"r"✓J LAV 4 Tub T Basement Vent (p ^ 1st Floor cal- water Heater 1 2nd Floor t 41 1-1 ' AC \(.eiS 3rd Floor School r d cpsq R-3 Total L023 N.)0 �.` l0_r___e__ Garage C45lp 2 COLI i i."Va Total 2y-79 1 - 6: #for Elec n� ,c b2v-& ) 2-o 1