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Permit CITY OF TIGARD MASTER PERMIT III s 2 COMMUNITY DEVELOPMENT Permit#: MST2021-00407 Date Issued: 04/18/2022 T1GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 b . Parcel: 2S107AA18800 Jurisdiction: Tigard Site address: 16730 SW DARWIN LOOP Subdivision: ROSHAK RIDGE Lot: 188 Project: Polygon at Roshak Ridge, Lot 188 Primary Project Description: New 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 Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2023 sf Value: $293,700.62 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: 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 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>=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: 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) 703 BROADWAY ST STE 510 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 One Hour Fire Rated Eaves PHONE: PHONE: 360-695-7700 FAX: Total Fees: $23,105.80 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 oc9-nni..nnln thrn,inh(1GR ac9-M1-nnon Vnii mnv rnnv of the mace nr riirflrt nucctinnc to(1I InI(.hu rnIlinn grit 919 1QR7 nr'I Rnn`19 9144% Issued By: Permittee Signature: j4a- Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application' - FIVE Building Fixtures FEB 2 20n F012 Ohl.l( Il I I. t)NI.1 City of Tigard ,i'' OF IIGARL Received 2'2'22 •� Permit No.: MST2021-00407 ill ■ 13125 SW Hall Blvd.,Tigard,OR 972�{3p�pp���� c Date/By: U . Phone: 503.718.2439 Fax: 503.599ll 1y47 DIVISION Plan Review h�j �� Date/By ! Other Permit No Inspection Line 503 639 4175 I I[ 1 h 1) Date Ready/By GJY,�-Juns ® See Page 2 for Internet www tlgard or gov Rio-"�/1 g 4�� x Nohfi�d/M SupplementalInformation � tt ethod View construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) .r r V4 RY F' F.. .. ,„ SFR(1)bath 312.70 ID 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: 2023 Fire sprinkler( sq.ft.) ✓ Page 2 n. r1t E ,,;, , D L ,, ` ..,....,.. Site utilities: Job site address: 16730 SW Darwin Loop 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.:188(SFU) Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ) ",r Backwater valve 12.51 ,t, ,.. .,r x .. ',.' .,; ..., ,..h . , Clothes washer 25.02 MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02 Drinking fountain 25.02 �iY yr P ' ' 4 c i tank Ejectors/sump 25.02 �,: , W Expansion 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 25.02 816-7805 Phone:( 360) Fax ( ) Ice maker 12.51 11 ;IL ii4- Yrg 1 ' '' v;A 14 Interceptor/grease trap 25.02 ✓� a� ,<��.... ..r::,,,.. ., awn., ,�„a.l ... .,., _ o :. .:..,�.�4, .e Business name: Alliance Plumbing, LLC Medical gas(value:$ ) Page 2 Contact name: Gavin Thomas 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 4 Water closet 25.02 Business name: . 6 .-, , +per '. ', IPI Water heater 37.52 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 Plumbing Lic.no.: PB732 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature:Hannah Thomas A 7 , TOTAL PERMIT FEE Print name: Hannah Thomas o -.-�. 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. 1:\Bwlding\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) ...w.ww .. w.uoaawxxuwuixxawak xxsrxtxx xilxrx.xu !.11#,Ise. fi nexrr. xllalf.tlixklHi4(kN1aul.NUfvld4Yblu.krFlka&bxafve.,.. CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00407 Date Issued: 04/18/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA18800 Jurisdiction: Tigard Site address: 16730 SW DARWIN LOOP Subdivision: ROSHAK RIDGE Lot: 188 Project: Polygon at Roshak Ridge, Lot 188 Primary Project Description: New dwelling with (1)attached ADU. NO FINAL INSP UNTIL DEFERRED SDCs ARE PAID& WATER METER HAS BEEN UPSIZED, 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: $293,700.62 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: 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 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>=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 addl 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 8 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 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 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 One Hour Fire Rated Eaves PHONE PHONE: 360-695-7700 FAX: Total Fees: $23,105.80 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 ocAnnl nnln fhrni,nh clap ec9_nnl nnon Vnn may nhinin a rnn„of the nelcc nr rtircrf n„ccrinnc to cl1 IAIC by rainnn cn'i 739 1QR7 nr 1 Ann'Y27 724.4 HcrLLLy Va.w Dr,Wege Ow A Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. t LoII I, ' Building Permit ApplicationREcEtVED 1S12 Residential CC GG VV FOR OFFICE USE ONLY City of Tigard sEI' 0 8 ZOn Received pf Date/By: /2 i Air— Permit No.: NIST2eYll—pp40l lig 13125 SW Hall Blvd.,Tigard,OR 97223 -ry OF TIGARD Plan Review L' W Phone: 503.718.2439 Fax: 503.598.1960 D'1 1 V DateBy: I 0 �/ Other Permit: -e 4-tcess- 7 16,1 RI) Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready By: / 'mj'f/s 0 See Page 2 for Internet: www.tigard-or.gov nfied ethod: 1 Ir: Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑ Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. P_ ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ . Zg3,.7ob ❑Accessory building El Multi-familyNumber of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors:2 a Y79 Job site address: 16730 SW DARWIN LOOP New dwelling area: 2,023 square feet / V/ City/State/ZIP:Sherwood, OR 97140 Garage/carport area: 456 square feet 2 Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet Cross street/directions to job site: Deck e k area:.— square feet V. D acttiue�rea:4t120 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Polygon at Roshak Ridge Lot no.: 188 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 ka(tfkplaly work indicated on this application. i7New Construction/Type: Duplex(unit I out of 2) Valuation: $ Deferrals:YES-deferral of TSDC fees and park SDCs until occupancy. Existing building area: square feet Projected start: 2022 New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name:Polygon Homes WLH LLC Type of construction: Address:703 Broadway St., Ste 510 Occupancy groups: City/State/ZIP:Vancouver, WA 98660 Existing: Phone:(360) 946-8674 Fax:( ) New: ® APPLICANT 0 CONTACT PERSON Vi9 BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Polygon Homes WLH LLC Structural plan review fee(or deposit): i Contact name:Omar Alami Abouhafs FLS plan review fee(if applicable): Address:703 Broadway St., Ste 510 Total fees due upon application: City/State/ZIP:Vancouver, WA 98660 Phone:(360)946-8674 Fax::( )360 693-4442 Amount received: E-mail: permitsubmittals@taylormorrison.com-OAIamiAbouhafs@taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:Polygon Homes WLH LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway St., Ste 510 Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver, WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( )360 695-7700 Fax: ( )360 693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: c 7ma _4/ 466%4 Adel- 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: 09/07/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BIJP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) i. it Mechanical Permit Application FOR OFFICE USE ONLY �t+ City Of Tigard Received Date/By: Permit No." 'I 13125 SW Hall Blvd.,Tigard.OR 97223 - �� J��S'1 6V�i�— `70� 9 Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Permit:y; Cj022021 U D 21"S" T ILilt1U7 Inspection Line: 503.639.4175 Date Ready/By lulls- B See Page 2 far Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Additionlalteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:S RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. I j Multi-family ❑ Master builder ❑Other: Description P Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 l 46.75 Job site address: 16730 SW DARWIN LOOP Furnace 100.000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ductsrveots) 54.91 Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge Heat pump 61.06 Duct work 23.32 V Cross street/directions to jab 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 na: 188 Other 23.32 -- __ Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 - - Flue vent for water heater or gas New construction-Type SFU fireplace 23.32 Log lighter(gas) _ 23.32 Woodipellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent — 23.32 RTENANT PROPERTY OWNER 0 Other 23.32 - Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:703 Broadway St.,Ste.510 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 I Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Polygon WLH,LLC Fuel piping: Contact name: Omar Alami Abouhafs 514.15 for first four;S4.03 for each additional Furnace,etc. Address:703 Broadway St.,Ste 510 Gas heat putn - Wall/suspendediunit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax: (360)693-4442 Fireplace Range E-mail:permitsubmittats@taylormorrison.com 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) Plan review(25%of permit fee) Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee) CCB lie.:209001 _ I TOTAL PERMIT FEE � � �u f This permit application expires if a permit is not obtained within 180 V Q � 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•\RnilainntPrrmac',}A,i P.rmi,Onn mini it an. A A1,A<1 TT 0,m,K"n,.n„c;u, Electrical Permit Application City of Tigard Received o, /�_ MST"lo2I-0o 0 '� Dew% f Pen"z o f • 13125 SW hall Blvd.,Tigard,OR 97223 b a' Phone: 503.718.2439 Fax: 503 598.1960 Plan Review Idatcrly Related Permit 4: Ski Q,ZDZi-Cp 2 :1 Inspection line! 503.639 41750 See Page 2 for T LCi�t,fi i) Ready Uato`Ry funs: Internet: www.pgard-or.gov Notihcd/Pdcthod_ Supplemental Information I TYPE OF WORK _ r PLAN REVIEW' 12.q New construction 0 Addition/alteration/replacement Please check all that apply(submit a sets of plans yr/items checked) 0 Demolition Other: 0 Some or feeder 490 am ca more amps ❑Marinas over three statics where the usaitabte fault current 0 Marinas and Is:atty. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑bloating bmldings 1 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to gruu d,or exceeds 14,000 ❑Cummereial-trse agricultural ❑Multi-family ❑Master builder amps for all other Installations buildups ❑Other. ❑Fire pump 0 Installation of 150 KVA or JOB sin: INFORMATION AND lAX'.al'IO' - CI Emergency system larger separately(halved Job#: I Job site address:16730 SW DARWIN LOOP ❑Addition of new motor load of system 10011P or more. ❑"A. 1""i 2"."T-3 City/State/ZIP: Tigard,OR 97140 ❑Six or more ressd,-nual units occuparu_y 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt#: I Project name: Polygon at Roshak Ridge ❑ilazardeus Locations ❑Supply voltage for more than �-- ❑Service or!cedes 600 cps or more. 600 volts nominal Cross street/directions to job site: FEE SCHEDULE • Description _ 1 rats. I Lark 1 'fetal 1 New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: 188 includes attached garage. Tax map/parcel#: 1,000 sq ft.or less 168 54 4 — DESCRIPTION OF WORK Fa add'!SOU%q.(tft or portion 33 92 1 Limited energy,nrxitkntial New construction.Type SFU (with above sq.fl} 7s eta 2 Limited ostiigy,multi-family residential(with above sq ft.) 75.60 ® PROPERTY' OWNER R Renewable Energy ❑ Sec Pare 2 ❑ TENAN'i ..___ Services or feeders installation,alteration and/or relocation Name: Polygon Homes WLH LLC i 200 snips or its 100.70 Address: 703 Broadway St.,Ste 710 201 amps to aoa amps 133.56 City/State/L1P: Vancouver,WA 98660 401 amp;to 600 amps 200 34 2 �- 601 amps to 1,000 amps 301 04 2 Phone:( 360 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 2 Entail: flAlcmliAl>otihafSwLtaylorntorriSOn.COn1-PermitSllbnit[tal — Temporary services or feeders installation,alteration,and/or s(a" taylormorrison.e0m relocation Owner installation:This installation is being made on property that i own which is not 200 amps or less 59_36 1 intended for sale,lease,rent,or exchange,according to ORS 447_449,670,and 701. 201 amps to 400 amps 125 08 7 Owner signature: Date: 401 amps to 599 amps 168 54 2 Branch circuits-new,alteration,or extension,per panel 0 APPLiCANT ❑ CONTACT PERSON A Fee for hornet eucuits with Business name: Polygon Homes W1.1-1 LLC above service or feeder lee, Contact name: Omar Alami Abouhafs 7 42 each branch carotin B Fee for branch circuits without Address: 703 Broadway St.,Ste 710 service (ceder fee,first 56.18 branch circuit City/State/Z.IP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone: 360 946 8674Miscellaneous(service or feeder not included) ( ) Fax::( ) Each manufactured or modular Email:OAlamiAbouhafs@•taylormotrison_com-PermitSubntittals(a�taylormorrison.com Recodwelnnect service and/or feeder G7 84 2 Reconnect only 67 84 2 CONTRA( 1'OR Pump or snspatiun circle 67 84 2 Business name: Wallace Electric Sift or eutlme liphtmg 67 84 2 Address: 105 Dresden St - -- Signal esrcutt(s)or limited-energy panel,alteration,or extension. ❑ Page 2 2 f City/State/ZIP: Astoria,OR 97103 .—~ Each additional inspection over allowable in any of the above Adiimenar inspection(1 Fir min) 66 25/hr Phone:(5t13 308 0563 I fax:( ) Investigation(I hr min) 90.180:hr Email: llavid{avvallaeesvir'es.com Industrial plant(1 hr min) 78 18/fir Inspections for which no tee is CCiI Lie.:224868 Electrical Li'' C 1441 Su v_1.' .- 6363S specifically listed os hr min) 90 0111 tr Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES 1 Subtotal Print name: a' Date: {�/L /�I _0 Plan Re_____view Required(25%of permit fee): t 1State surcharge(12%of permit fee) Authorized signature TOTAL PERMIT FEt This permit application expires if a permit to not obtained within` 0— Frintname ,4_ Date: Li / days after It has been accepted es complete. b �t ' Number of tnspcctruns allowed per permit. L:1Benchnerermiti1ELc_PcrnutApp_ELR PRE.dcc Rev06,'11/2011 4 G4615TOl/o5/COMMES Plui'nbing Permit Application Building Fixtures FOR OFFICE USE ONLY Cityof Tigard Received //20/21 �� Mii4 7,% t�}0f' Permit No n 13125 SW Hall Blvd.,Tigard,OR 97223 DateJBy: = Plan Review Phone: 503.71$.2439 Fax: 503.598.1960 Date By: Other Permit No.: 1.-Ce2Sr T IGA R D Inspection Line: 503.639.4175 Date Ready/By: furs: H See Page 2 for Internet: www.tigard-or.gov NotificdiMethod: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist. Description I Qty. 1 Ea. J Total ❑Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ( l-and 2-family dwelling 0 Commercial/industrial SFR(2)bath _ 437.78 /❑'Accessory building %aMulti-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16730 SW DARWIN LOOP 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.: Project name:AilierhailoillkigePolygon 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.:,) I Page 2 Subdivision: Polygon at Roshak Ridge Lot no.: 188 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New construction-Type SFU Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump _ 25.02 ® PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixture'sewercap 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 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon�VLH,Lt,C Medical gas(value:S ) Page 2 Primer 12.51 Contact name: Omar Alami Abouhafs Roof drain(commercial) II._ 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:permitsubmittais®polygonhomes.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water piping/DWV 56.29 Address:P.O.Box 92 Other 75.02 City/State/ZIP:St.Paul,OR 97137 Subtotal Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: S72.50 Plan review (25%of permit fee) CCB Lie.: 184372 Plumbing Lic.no.:pb634 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE I f Print name:Steve Fowler ( 10/30/20 This permit application expires if a permit is not obtained within 180 days Date: after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Sen•ice Board. 1:,BuildinVcrmdsPLMU-PennitApp.doe 10/01/09 440-46161(10+02/COMWEn) City of Tigard II I , Deferral Until Occupancy Request TIGARD 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: 16730 SW Darwin Loop Project Land Use Case or Polygon at Roshak Ridge MST2021-00407 Name: Building Permit#: Tax Lot Total Parks #: 2S107AA18800 Amount*: $5,839.00 Lot 188 TDT Total TSDC $2,134.00 Amount: N/A Amount*: *The total TSDC amount shown above is the sum of$ 0 for TSDC-Improvement,$ 225.00 for TSDC- Reimbursement,and $1,909.00 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 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: 0m44-Warne;4156G Date: 11/4/21 Developer: 2ma.-4kuiu .46ou.&z - Date: 11/4/21 11/3/2021 Permit Coordinator: ATMDate: Water Meter Fixture Unit Worksheet For New Buildings Please complete the following information: Contractor Name: Polygon Home, WLH LLC 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: 16730 SW DARWIN LOOP /ADU : 16728 SW DARWIN LOOP Subdivision Name: Polygon at Roshak Ridge Lot#: 188 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 0 1 x 2.5 = 2.5 Hose bib, each add'! 1 2 3 x 1 = 3 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 Fixture Unit Points: 1 to 30= 5/8" 37.5 to 89= 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 City of Tigard IIa COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: I A 4'21-0001- Site Address: 16730 SW Darwin Loop Project Name: Polygon at Roshak Ridge Lot #: 188 Planning Review Proposal: New detached dwelling ElVerify address/suite#active in Accela. CI In River Terrace: ❑ No Q Yes,River Terrace Review Addendum Site Plan Elements: erosion Control I: copies of site plan on 8-1/2"x 11"or 11 x 17"paper ,ftetained trees with drip line and tree protection measures 12brawn to scale(standard architect or engineer scale) ,00tprint of new structure(including decks)and FFE 11 orth arrow 'LJtility locations&easements(required for new and additions) Dbite address,project or subdivision name and lot number 1::5idewalk/driveway approach 13'pplicant information(name and phone number) ..1.ocation of wells/septic systems 111.ot dimensions and building setback dimensions tree size,type and location II.quare footage of buildings to be demolished ,treet names I xisting structures on site _L'orner elevations(2'contours if more than 4'differential 12 of 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? es ° o ElClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): r Required: ❑Yes,applicant was notified 0 No Received: ❑Yes ❑No 0 Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ° No Received: Yes No ❑o SDC Exemption for ADU applied for: ❑Yes El No Received: H Yes A No CI Public Facilities Improvement(PF1) Permit: Required: ❑Yes,applicant was notified ❑o No Applied For: ❑Yes ❑ No,stop intake El Land Use Case#: SUB2015-00004 0 Zoning: R-7 0 Required Setbacks: Front: 8/12 Rear: 10 Side: 3 Street Side: NSA Garage: 20 ❑' Building Height: Max. Height: N/A Actual Height: 26 ElLandscape Area: 20 % 3 Lot Coverage Max: 80 Entrance , Set back no more than 8'from street-facing wall 0 Parallel to street or offset 45 degrees or less Windows .. Minimum 12%of area of all street-facing facades Garage r Gaffe door is behind widest street-facing wall ❑Yes ❑v No,one of the following is met: 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. ❑o Garage door width is II 12'or less ❑ 50%or less of facade lil 60%or less and includes 7 of following: Covered porch 0 Recessed entrance ❑r Wall offset 1'Roof eave Roof offset Fire shingles 13 Lap Siding El Roof itch 0 Gable,hi ,or gambrel roof ❑Dormer _ Accent siding I Window trim U Window recess U Window projection 0 Balcony ❑ Visual Clearance 0 Urban Forest Plan ❑ Sensitive Lands: 0 Yes Li No Type: 0 Conditions met prior to issuance of building .er it Notes: CI Approved By Planning: I Dater ?/13/Zf t Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved I:\Building\Fonns\B1dgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: /gl?A Site Plans: # 3 Building Plans: # 5 Building Permit#: 0 Enter building perm #above. �/ Workflow Routing: g Planning LJEngineering Permit Coordinator I3 Building Workflow Sign-off: Er� Sign-off for Planning(include notes from planning review) ILI Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1)building plan and iginal 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: Date: �Q 2 Engineering Review r Slope at building pad: .3A: L1 Conditions "Met"prior to issuance of building permit FEasements (encroachments)per engineering conditions of approval and plat I /Water Quality/Quantity Facility: �/ Assess Water Quality Fee in-lieu: ❑ Yes E o Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: 0 Yes No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: /2/ 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 oes not a ly gSDC Fees Entered: Wash Co Trans Dev Tax: es N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes /ErN/A OK to Issue Permit Approved by Permit Coordinator: Arr17Q\--1' Date: f 3 12011 r I:\Building\Forms\BldgPermitRvw_RES_122419.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 71 a Transmittal Letter T 1 G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: \((J5©ai ARran c DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Jjcy\ /,Lo4 1 jq'J0(4)C s OCT 13 2011 COMPANY: �� Ice . •S&v. CITY OF TIGAR PHONE: 360 (..., ,4 I 9UILDING DIVISICRy:_ EMAIL: P Mim 1 11x uhCl f [.DObi/ RE: 167'2)0 / i61-2S2 sw oARI,irry L.p HST.2w.1 - OO40 (Site Address) (Permit Number) ?oc -- octiq d' P, , 4-1- �gi - 04 08 (Prg,i ame or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 'Copies: Description: ' Copies: Description: Additional set(s)of plans. Revisions: 009d624g1-, , 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: Pd,04 S'- eu S&!,'<-1 cial i°81-- ram d 0 2.e, cc.r _ FOR FF CE USE ONLY Routed to Pe t Tec ' tan: Date: 1 0 �S 2( Initials: Fees Due: 1 Y s ❑No Fee Descri do . Amount Due: iit fl $ ` ; Special � 6°/ -71-i $ \ L P 0 �)-) Instructions: Reprint Permit(per PE): ❑ Yes o ❑ Done Applicant Notified: VDate: , /L31�, " i Initials: 9/2L- I:\Building\Forms\TransmittalLetter-Revisions 073120.doc City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ r 1 c a n River Terrace Building Permit Review Addendum Building Permit #: tV)cc 2o21-0011b - Site Address: 16730 SW Darwin Loop Project Name: Polygon at Roshak Ridge Lot #: 188 (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? ❑Yes ONo (Per MMD2020-00044) 'culation: a minimum of 1 element per each street-facing façade 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. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gable. .ormer ft.deep min.2ft., 5❑ft.wide min.2 ft.,6❑ft.wide ❑ 2.Eyes on the str- t: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: ❑Parallel to street, . gle no more than 45° from street, ❑Max. 8 ft. setback from longer trees- facing wall or open onto por Entrance opens to a porch: ['Yes N o If es,all the following apply: El25 sq.ft. in. LOne street facing entry ❑12 f ax. roof above floor of porch ❑5 ft.depth min. ❑30/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: 0 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 g 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., ap siding min.3-7 inches wide 0 Accent siding min.40%of street fa .e ❑Window trim , ' .2 1/2"wide by 5/8"deep ❑Window recess min.3 inches for 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 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 - : ❑May extend u. o 5 ft.if there is a covered front porch and garage does not extend beyond the fro .orch. 0 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 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 façade 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: Date: 3 Z 1 :\Building\Forms\BldgPennitRvw_RES_RT_121417.docx 71(7461/4