Loading...
Permit - I'V v Plumbing Permit Applicatio• fl -V Building Fixtures FEB 2 2022 ►oR ()FF1('I: i sI.: 0yl 1 City of Tigard �-Y OF YI n MST2021-00414 g GARD Date Received By: `�'II 2-2. T� Pemtit No.: • 13125 SW Hall Blvd.,Tigard,OR 9 Review DING DIVISIONlig Plan �/y ■ Phone: 503.718.2439 Fax: 503. Plan y: i /i Q a AL� Other Permit No.: I i G A t;i) Inspection Line: 503.639.4175 Date Ready/By: Az /' Juris: Hi See Page 2 for Internet www tgard or gov _Notified/Methode� Supplemental Information ' a � A T TYPEO W RK i ss' ear � .. Vew 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) 4cA ` Y Off' ONSTRUct y SFR(1)bath 312.70 1 and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78 0 Accessory building, • El Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: 2023 Fire sprinkler( sq.ft.) V Page 2 JOB S1T t , f , , tTRY Site utilities.- Job site address: 16625 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: Lot no.:197(SFU) Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ,tt ? OF w, Backwater valve 12.51 . • < Clothes washer 25.02 MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 2 ,, �1,- ,W'"` .(� k� ,, ? Expansion tank 12.515 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 ( 360) 816 7805 Fax ( ) Ice maker 12.51 4l # :S 4 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 )492-3490 Fax::(503 )912-6438 Tub/shower/shower pan 12.51 E-mail: gavin@aliiai iceplumbing.net Urinal 25.02 o;,' , � , , Water closet 25.02 �... m. .. ,,. :0 fib- ,;,., „ . 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 CCB Lic.: 184601 Plan review (25%of permit fee) Plumbing Lic.no.: PB732 State surcharge(12%of permit fee) Authorized signature:Hannah Thomas w o r=,g�„,� TOTAL PERMIT FEE Print name: Hannah Thomas 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-PernctApp.doc 10/01/09 440-4616T(10/02/COM/WEB) CITY OF TIGARD MASTER PERMIT l ! •' Permit#: MST2021-00414 COMMUNITY DEVELOPMENT Date Issued: 01/26/2022 T I G A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 107AA19700 Jurisdiction: Tigard Site address: 16625 SW BOTANY BAY LN Subdivision: ROSHAK RIDGE Lot: 197 Project: Polygon at Roshak Ridge, Lot 197 Primary Project Description: New primary dwelling with (1) attached ADU. NO FINAL INSP UNTIL DEFERRED SDCs 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: 8293,700.62 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: 10D 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: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2 Fum>=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'I 500 sf: 3 201-400 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 2023 Owner: Contractor: TAYLOR MORRISON NORTHWEST LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7D3 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: 360-946-8674 PHONE: 360-695-7700 FAX: Total Fees: 522,861.85 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 ❑<9-nn+-nnin rhrn„nh()AG O9-nn1-nnan 'in,,may nhlain a rnnv of lha n Jae nr rlircrl n„ce+inne+n rn I Jr h,,r&Jinn 007 919 1007 nr 1 Rnn'1'19,naa Issued By: HO'LLlg Vo-w Dt- Wege, Permittee Signature: Okt,Ap1 -Li.ccv-.c.'i'. 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. /?;;Building Permit Application /CT- p _c 121 /2 Residential RE I.OR USE ONLY City of Tigard .o�B� 1041 <0,� 51Z4Z1'( q/if Permit 13125 SW Hall Blvd.,Tigard,OR 97223 F S Retj f_ i, 7. Other Permit:S(4202i� 0OZ5 1 ' r Phone: 503.718.2439 Fax: 503.598.1960 DateBy: 1{.y( r E _, Inspection Line: 503.639.4175 CITY Q 'q iiu H n- See Page 2 for Internet: www.tigard-or.gov ` Y d: 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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. —7 Uy ®1-and 2-family dwelling ElCommercial/industrial Valuation - $ �31 I�� El Accessory building ❑Multi-family Number of bedrooms: 4 f ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors:2 OrZ I Job site address: 16625 SW BOTANY BAY LN New dwelling area: 2,023 square feet City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 44gp square feet Suite/bldg./apt.no.: Project name:Pr 'ge Covered porch area: square feet«G� Cross street/directions to job site: __ Deck area: 12(� square feet O OthctjEtiet (its square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Polygon at Roshak Ridge Lot no.: 197 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. SFU:New home construction Elevation:221100AR/221000AR Duplex J Type:Duplex_Projected Start:January 2022 Valuation: $ Existing building area: square feet Deferrals:Please defer payment of transportation&park SDCs until 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 710 Occupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360 946 8674 Fax:( ) New: la APPLICANT ElCONTACT PERSON vA BUILDING PERMIT FEES* Business name:Polygon Homes WLH LLC (Please refer m fee schedule) Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs FLS plan review fee(if applicable): Address:703 Broadway St., Ste 710 City/State/ZIP:Vancouver,WA 98660 Total fees due upon application: ' Amount received: Phone:(360) 695-7700 Fax::( ) E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic 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. Permit Fee(includes plan review City/State/ZIP:VaI1C0UVef, WA 98660 and administrative fees): $180.00 Phone:( )360 695-7700 Fax:( )360 693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 s� AA AA��_� CC Total fee due upon application: $201.60 Authorized signature: ©/lLLBb JCY(.fJZllfb 4tTdx This wi permit 180 daapys expireshs if a permi is notcop obtained. withinoa days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 09/20/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:1Building\Pernrits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . tMechanical Permit Application FOR OFFICE USE ONLY City of Tigard RECE +++) : Penn Na.: siku_mg!(,� tl 13125 SW Hall Blvd.,Tigard,OR 97223 y Jj -� rho Review Phone: 503.718.2439 Fax: 503.598.1960 tolBy.ca Other Permit:S migz tof_co L+Q/"L t 11.1.a it Inspection Line: 503.639.4175 SEP 17 Zia:Rd/9 : Jwh: QI See PageW!r// Y Y 1 for Internet: wwwiigard-or.gnv No Tied/Method• Supplemental Information GTY OF TIC,AR� __ TYPE OF WORIPLANNINGINKINalititiCOMMERCIAL FEE* SCHEDULE - USE CHECKLIST ' 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. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ®1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For rpeciol rtrfarmadon use checklist j Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION HeatinglcooBug: Job site address: 16625 SW BOTANY BAY LN Furnace 100,000 BTU(ducts/vents) 46.75 J City/State/ZIP:Tigard,OR 97224 Furnace 100,000 t BTU(duos/veins) 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 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 Subdivision: Polygon at Roshak Ridge Lot no.: 197 Other: 2132 other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert33.39 Flue vent for water heater or gas New construction,new Single Family fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplacclinsert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER ❑ TENANT Other: 23.32TENANT Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment Address:703 Broadway St.,Ste.510 33.39 r 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:( ) Anic/crawlspacc fans 23.32 ® APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:Polygon WLH,LLC 514.15 for first four;S4.03 for each additional Contact name:Ionia Morris Furnace,etc. Address:703 Broadway St,Ste 510 Gas heat pump Wall/suspended/unit beater City/StateZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:permitsubmittalsttaylOrmOrriSOf1.COR1 Barbecue iNt CONTRACTOR Clothes dryer(Ras) Business name:Pro Hearing&Cooling Other: MECIIANICAL PERMIT FEES* Address: NW Alociek Dr,Ste.1104 Subtotal City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee) CCB tic.:209001 /fia/D1. TOTAL PERMIT FEE 1 r�� � u= This permit application expires if a permit is not obtained within 186 Cj days after it hat been aepted as complete. Authorized signature: a x Fee methodology set by Di-Con/try Building Industry Service Board Print name:Elia Duran Date: 10/30/20 r1An3IAim}PrrmnskAAOC P..n.IAnn Mn111 M. n.n r.r'rr,,,enxv,n.m+ewr A RECEIVE. ° Electrical Permit Application SEp 1 '121 1 1,a 41, t HI I I .I t lv I City of Tigard T p p 4 oC c..t«.,:.' Pace w: i �-• 13125 SW Ball Blvd.,Tigard,OR 97223 �' y v, • . Phone: 503.7181439 Fax: 503-�8.196D `N�E1 1►' Raised Permit 4. / y .4 i0 it TfGn1 D Remedial Line: 503.639.4175 Pier y r Sao QI See Page 2far Internet: www-Ugad-ad.80v Nott6ad1A7n6ad. 5 pp1um i L[°em.oiea -- • - TYPE OF WORK PLAN I1KV WEW. ' ®New construction 0 Addition/alteration/replacement Phase check all tot apply(submit 2 set of pl.os.aiams Mocked) 0 Service or(cedes 400 amps a mare 0 Bu.Wtag over three mom, ❑Demolition El Other: where mbe a.oa bk fault mama a Memos and boatyard. G.TEGORY'OF CONSTRUCTION - accede 10.000 amps at lso volts et 0 rkwina boddio. ®t-and 2-family dwelling 0 Commercial/industrial ❑Accessory building Out to Rand,or exceeds 14.000 0 Commerur-rye mpoiruleuai amps for el calm mmaltanes beatings ❑Multi-family ❑Master builder ❑other. ❑Fire pomp. ❑lnrillae°n of 150 KVAo JOB SITE INFORMATION AND LOCATION 0 Finagrnry system_ larva sepemtdy derived lob#: lob site address:16625 SW BOTANY BAY LN ❑looms more.of new cantor load°r system IOWIP tie more. ❑"A",S,"1-2","1-3', City/State/ZIP: Tigard,OR 97140 ❑six a mar rcuderjm°n;u 13 neelth-oae beailes ❑unemotional vehicle parks_ SuitdbldgJapt d: Project Dame: Polygon atRoshak Ridge 0 Bearden bestroes 0 Supply valuer fa more than Servicc or fordo 600 mops or more 600.om m®maL Cross suect/diratioasta job site: FER SCIIr))r)I E oratiat:n I Or.. I cam I Tar I • New residential single-or multi-family dwelling milt- Subdivision:Polygon at Roshak Ridge Lot g: 197 Imclmdes attached garage. 1,000 sq.ft.a less 166.54 4 Tax map/parcel#: Pa.add15m sq.it armistice 3392 1 DESCRIPTION OF.WORK • Libeled anew.residential Ism 2 New construction.Type SFU (with above eq.ft) Limited csr gy,multi-family 75-00 z residential(with above sq.a.) ®PROPERTY OWNER I ❑TENANT. • RenewableK.srty ❑See Page 2 t3ervioa or feeders I■ata8atb■ alteration,and/or relocates Name: Polygon Homes WLH LLC 200 amps or has 100.70 :2 Address: 703BroadwaySt.,Ste710 201strapsm400amps 133.5E 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Vancouver,WA 98660 601 amp.to 1,000 amps 301.04 2 Phone:(360 )946 8674 For( ) Over 1,Mo toys or volt 55226 2 Temporary services or faders Installation,alteration,aadior Email: 0AlamiAboohafs@taylorotorrison.com-PermitSuhminah@taylormoniameom rjpo, Owner installation:This installation is being made on property that I own which is not 200 amps a leas 59.36 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 stops 125.08 2 Owner signature:- _ Date: 401 amps to599 amps 168.54 2 0 APPLICANT I - ❑ CONTACT PERSON Brachdamlh—new,alteraliom,aeslenake.Eapod A.Pee for Manch circuits walk Business name: Polygon Homes WLH LLC above morose or render fee, mdm branch ohcutt 7.42 2 Contact name: Omar Aland Abouhafi B.Fee for Manch cimmt Moamar ' Address: 703 BroadwaySt.,Ste 710 sanch a feeder fax f000 56.18 2 branch Circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous Phone:(360 )946 8674 Fax::( ) Shah manufactured(serenem feeder ant taelmded) odelar ding,service amNor fades 67.84 2 wef Email:OAlamiAbouhads@taylormorrison.com-PemlitSubmittals@taylormorrisan.cont ,.......4 67.84' 2 CONTRACTOR Pump or',ligation circle 67.34 2 Businessname: wawa Electric Sign Or eutliee lighting 67.84 2 Address: 105 Dresden St Sippul e000()a Iextam.tmsion, gy pail,alteration,a eR 0 See Page 2 2 City/State/ZIP: Aslotie OR 97103 Each additional Ierpeel een over allowable l■say of the above Additional inspection(1 ter mat) 66.25/hr Phone:(503 3118 0563 Fax:( ) Iavetigalien(1 ter min) 90.00/kr Email:David twallacewires.c m Industrial plant(1 lnra o) 78.18 ter hepaticas for which no fan 90.00/hr CCB Lic.:224868 Electrical Liff1441 1/�0p/6363S s�5mliv listed OS err min) Suprv.Electrician signature,required: y/p j,[� -ELECTRICAL PERMIT•tau- e ,:. p.'' K ,I _ Subtotal- Print name: rhos, LE, Date: i(/L/xi Cl Rao Review Roquirod(25%of permit fee): t Staresr agep2%ofpermitfe): Authorized sigoallu � /" TOTAL PSRlaur TE6: Print name 2 •341.4gt l.( .rF Date: of /Zl TM permit application an gampler'permit w.htate. w4ir ta0 ( day. sepses as template. ttaddaietesitnEc_PmmtApp_[i.E pld.aoe Rev06170N113 151S1109C010Win • Hof tympanums allowed per permit. U . . Plumbing Permit Application i 11 Building Fixtures RECE FOR OFFICE USE ONLY City of Tigard eiBed •J g 4 1 II:l/8}. Pcm,it No.: Y �(/a'I OQ {�� :�i + 1 Phone:3125 SW Hall Blvd.,Tigard,OR. 97223 I �-ln'e �}�s��,,p Plan Review g ivezep-oo25 1 503.71$.2439 Fax: 303.598.1960 SE �, Other Permit Na.: Go -1 1 t,!\It D Inspection Line: 503.634.4175 V1 t ` t t ', Page 1 for Internet: www.tigard-or.gov q1' lmiso ® See Supplemental Information TYPE OF WORK PI1�NNi FEE* SCHEDULE 1- ICI New construction ❑Demolition For special information use checklist. Description I Qry. I Ea. 1 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 I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 ❑Accessory Multi-family • ---- Each additional bath/kitchen 2 .02 ❑Master builder 0 Other: Fire sprinkler( ,sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16625 SW BOTANY BAY LN Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywall,leach line,or trench drain 1$.76 Footing drain(no.linear ft.: ) Page 2 Suite bldg./apt.no.: , Project name:JilrabohlkBidgTPolygon 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.: 197 Fixture or item: Tax map/parcel no.: Back/low preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New construction SFU Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I 0 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:S_) Page 2 Contact name:Tonja Morris Pr mar 12.51 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:permitsubmfttals@polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water pipinglDWY 56.29 Address:P.O.Box 92 Other. 25.02 City/State/7.IP:St.Paul,OR 97137 Subtotal Phone:(503)86S-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) IS:1 Authorized signature: +vb e ,stiii TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name:Steve Fowler Date: 10/30/20 after it has been accepted as complete. *Fee methodology set by Tn-County Building Industry Service Board. 1:lauadm5WemitslPLMU•PtrmitApp.doe 10/01.09 440.46161(Ia412/COM'WWEBI City of Tigard RECEIVED v COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential SEP 1 7 Z0;>> CITY nF Tlr'+n nD ✓ I'WNNING/ENGINEERING Building Permit #: M(J'?�. oo 414. Site Address: i, V GJ 8W ' j f a r (Ku `0(- . Project Name: d(.y 0V1 0 1V_ijS_ k ,k Kr�. c Lot #: l C( Planning Review JJ (( v Proposal: tJ MW etUktEAat G (I i.,9 LD Verify address/suite# active in Accela. 1® In River Terrace: ❑ No ? Yes,River Terrace Review Addendum Site Plan Elements: 4Erosion Control I:S copies of site plan on 8-1/2"x 11"or 11 x 17"paper a'Retained trees with drip line and tree protection measures eDrawn to scale(standard architect or engineer scale) I 'Footprint of new structure (including decks)and FFE gRorth arrow aUtility locations&easements(required for new and additions) JP Site address,project or subdivision name and lot number Sidewalk/driveway approach Applicant information(name and phone number) PLot dimensions and building setback dimensions OStreet tree size,type and location e-fant3Pe of buildines to he demolisheri IA Street names ng"'"`ta "f+sPar &Comer 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? EYes ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑YeS4PNo ® Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Nofic- % 1/f91}t /41.! 5r��n �1/0 seevikr _ Wt. r/9� Required: Ne Yes,applicant was notified ❑ No Received: I& Yes ❑ No j�(VV. /� CO Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ® Yes,applicant was notified ❑ No Received: 4 Yes ❑ No DL applied for: ❑ Vac IT 1\1.n Rereive+ El vPc Q-4,-- 7 Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicantppi was notified go' No Applied For: CI Yes I: No,stop intake 7 Land Use Case#: v`U620.[ 5 - oc30.0Y gi. Zoning: g" y crio Required Setbacks: Front: iii Rear: tD 1 Side: 3 t Street Side: Garage: 20` bat Building Height: Max.Height: IU/A Actual Hei hr. Z b If LE- Landscape Area: 20 % p Lot Coverage Max: Entrance [ Set back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less Windows ® Minimum 12%of area of all street-facing facades Garage Garage door is behind widest street-facing wall ❑ Yes 1,3 No,one of the following is met: 5) 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 2nd floor. ,10 Garage door width is ❑ 12'or less ❑ 50%or less of facade W 60%or less and includes 7 of following: W Covered porch ❑ Recessed entrance Gd Wall offset r 1'Roof eave JO Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch V Gable,hip,or gambrel roof W.1 Dormer ❑ Accent siding V Wmdow trim ❑ Window recess ❑ Window projection ❑ Balcony co Visual Clearance raj Urban Forestry Plan NI Sensitive Lands: El Yes 0 No Type: Conditions met prior to issuance of building permit Notes: 10 Approved By Planning: J-eal4-- E 7,0,4 Date: Fi Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved 1:\Building Toms\BIdgPermitRvw_RES_122419.docx V Building Permit Submittal Original Submittal Date: /(7 y 'i-i Site Plans: # r3 Building Plans: # Building Permit#: IFf' Enter building permit# above. Workflow Routing. p.Planning 0"Engineering 14jPermit Coordinator ) Building Workflow Sign-off: g) Sign-off for Planning(mclude notes from planning review) Route Application Documents: p Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. gi Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: q z Engineering Review 777 [Slope at building pad: /2:240 iv Conditions "Met"prior to issuance of building permit g,/Easements (encroachments) per engineering conditions of approval and plat La Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes eNo Assess Water Quantity Fee in-lieu: ❑ Yes ArNo LIDA Facility on lot: D Yes 'No te:Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: EV-Approved by Engineering: Date: Q Zd 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 Jam' Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: 0 Yes ❑ N/A LIDA ❑ Yes N/A yf OK to Issue Permit Approved by Permit Coordinator: Date: lb 1 tS I2621 1:\Building\Forms\BldgPermitRvw_RES_122419.docx • RECEIVED City of Tigard ; , 0 ; 12021 COMMUNITY DEVET OPMENT DEPARTMENT -III CITY OF TIGARD TIGARD River Terrace Building Permit Review INEERING e - - -. Building Permit #: M4t2 - 0-60 Site Address: 1 CC 7- 5-W ,ei'0.V1./ FictQ IA/. Project Name: Pa yg r). �, _ s- k ) Lot #: Ig7- (New dwelfinhf=subdivision name;Addition or Alteration=last name of,! er) P1. ning Review of River Terrace Plan District Design Standards (18.640.070.1.): Is the ...sect subject to the plan district design standards? ❑ Yes ❑ No /4 PI 2e7O—OfPDCi[1- 1.Articulati. .: a minimum of 1 element per each street-facing facade that has 30-60 ft.of frontage.An additional_ element require. for lots with over 60 ft.of street frontage shall be provided every 30 ft. Porch min. 5 ft. de Balcony w/ access 2 Window Projection Vertical Wall Offset a G..led dormer ft.deep min. 2ft, 5 ft.wide min. 2 ft.,6ft.wide ❑ ❑ ❑ ❑ 0 2.Eyes on the street:a mini m of 12%of each street facing facade must include win..ws or entrance doors. Percentage Shown: 3. Entrances:At least one entrance m, t meet both of the following standards: ❑ Parallel to s et,angle no more than 45° from street, ❑ Max. 8 ft. setback from longest street- .. ing wall or open onto .orch Entrance opens to a porch: 0 Yes 0 No If yes,all the following apply: ❑ 25 s,..ft. min. ❑ One street facing entry ❑ ft.max. roof above floor of porch ❑ 5 ft.depth min. I. 30%min. porch roof coverage 4.Detailed Design:All buildings shall include a min.of 'v, of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft.deep I Recessed entry area min. 5 ft.wide x 2 ft.deep ❑ Wall offset min. 16 inches ❑ ►`oomer min.4 ft.wide ❑ Roof eave min. 12 inch projection 0 Ro. offset min. of 2 ft. O Roof shingles either tile or wood ❑ Gable hip or gambrel roof design ❑ Roof pitch oriented south min. 500 s.. ft. ❑ Horizo al lap siding min.3-7 inches wide 0 Accent siding min. 40%of street :cade ❑ Window :m min.2 '/2"wide by 5/8"deep 0 Window recess min. 3 inches fs all street facing ❑ Bay window • in. 5 ft.wide by 2 ft.deep ❑ Balcony min. 5 ft.wide x 3 . deep with inside access 0 Attached gara• is 35%or less of street facade 5. Garages and Carpor ;:May face the front or side lot line on a corner lot. Setbacks: No closer to front . side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No heck one): 0 May extend . to 5 ft.if there is a covered front porch and garage does not extend beyo . the front porch. ❑ May ext-.. up to 5 ft.where the garage is part of a two-story building and there is a windo, at the second story above th- :. age that faces the street with a min. area of 12 sq.ft. Width: (Check one) O 12-foot-wide garage door 0 40%max.of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: AeSCA,L. ��fl,9J2f Date: /z /Z,Zp� I\Building\Fonm\ m BldgPeortRvw_RES_RT_121417.docx l G J City of Tigard ;74 Deferral Until Occupancy Request T I G A RD 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: 10/4/2021 Site Address: 16625 SW BOTANY BAY LANE Project Land Use Case or Polygon at Roshak Ridge MST2021-00414 Name: Building Permit#: Tax Lot 2S107AA19700 Total Parks #: Lot 197Amount*: $5,839.00 ot97 TDT Total TSDC $225.00 Amount: N/A Amount*: *The total TSDC amount shown above is the sum of$ 0 for TSDC-Improvement,$ 225.00 for TSDC- Reimbursement,and $ 0 for TSDC-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 1DT 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: ChrG�-46-nte:466, Date: 10/05/21 Developer: Ohtzi.A. Rom' Abe Date: 10/05/21 Permit Coordinator: 16V Date: 10/4/2021 RECEIVED Water Meter Fixture Unit Worksheet For New Buildings sEP 1 7 2021 Please complete the following information: �'6ANMN OF��AF Contractor Name: Polygon Home, WLH LLC Q/ENQLNEFRJ 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: 16625 SW Botany Bay LN (SFU) / 16627 SW Botany Bay LN(ADU) Subdivision Name: Polygon at Roshak Ridge Lot#: 197 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 Primary 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, 1"one 1 1 2 x 2.5 = 5 Hose bib, each add'l 1 1 x 1 = 1 Kitchen sink 1 1 2 x 1.5 = 3 Laundry sink x 1.5 = Lavatory 4 3 7 x 1 = 7 Water closet, 1.6 GPF 3 2 5 x 2.5 = 12.5 Bathtub/whirlpool x 4 = Shower stall 1 1 2 x 2 = 4 Bath/shower combo 2 1 3 x 4 = 12 Total Fixture Unit Points: 55.5 Fixture Unit Points: 1to30=5/8" 37.5to89= 1" 30.5 to 37=3/4" Meter Size: 1 Meter Cost: $ 24,886.00 FOR OFFICE USE ONLY Fixture Units Points verified with Building(Master)Permit or Plumbing ❑Yes ❑ No ❑ Other: Meter#: Sale Date: Receipt#: Meter Cost: Employee Name: I:/Building/Forms/WaterMeters_010121_New.dOCx Page 2 t/SrlYti/1-1-e-r! RfiloC rj Plan# rye, 5-r Floors 2, �I Large (p / 141OUR FIRE RATED EAVES Bed rooms Li Small wc '3 -7U LAV Vr `'� Tub 3 Basement / Vent Lii 1st Floor '67-- Water Heater i 2nd Floor [ 1 li ' AC t 3rd Floor School 74$Gtej R-3 Total 2025 N(? ,Ei•rZ�tG�,A_ Garage 4 (, S c�.¢..1 1 Y\ Total 2 4-71 1 - 6 t 6 #for Elec `' D-e-c-L 170 0 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 1,111 Transmittal Letter T 16 A It.l D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: A(( cc n RYri1Si-tiZOIl DATE RECEIVED: DEPT: BU DING DIVISION FROM: IMI AMA /A S DECEIVED --- f NOV 2 Z02! COMPANY: 1 ki JRI?4-ev Noa WI(1te_ Ltlf i;fFY OF TIGARD PHONE: e3 6 C }4 (off ?4 1 WILDING nIVISION By EMAIL: fq47-i, iLDu 'W.f s g (7 1Oe f Qao u._.c_x_-____ RE: 1 ) 6.2_5 / 166):4 sw E go j UJ v 5-rp2oW - QV414 (Site Address) (Permit Number) Ol 1G V1 c i- R. h h ' dca e . i 9'1- C?n f S (Prof ame or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 'Copies: Description: Copies: Description: Additional set(s) of plans. ,2, Revisions: i Oc2, allou- +tRU 1' le el-- Cross section(s) and details. Wall bracing an or1ateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FO OFFICE USE ONLY Routed to Permit Technic' ate: I.1 37ZI Initials: Fees Due: ❑ Yes o Fee Description: Amount Due: c NDN $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ' ❑ Done Applicant Notified: Date: // No/7 /,41 Initials: I:1Building\Forms 1TransminalLetler-Revisions 073120.doc