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Permit
'.1 CITY OF TIGARD MASTER PERMIT 111 COMMUNITY DEVELOPMENT Permit#: MST2021-00405 Date Issued: 04/18/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA18700 TIM: Jurisdiction: Tigard Site address: 16724 SW DARWIN LOOP Subdivision: ROSHAK RIDGE Lot: 187 Project: Polygon at Roshak Ridge, Lot 187 Primary Project Description: New dwelling with (1)attached ADU. NO FINAL UNTIL DEFERRED SDC FEES ARE PAID. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 82 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 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: $23,096.80 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 oc ..nnl-nnln rhrni,nh nAR ac9-nnl-nnon vni,maw nhtain a rnnw of the r,doc nr dinar}nuacfinnc to(II InIC.hw Tallinn Fn'3 919 10R7 nr 1 Ann 149 91d4 Issued By: Permittee Signature: 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. CITY OF TIGARD MASTER PERMIT 111 a COMMUNITY DEVELOPMENT Permit#: MST2021-00405 Date Issued: 04/18/2022 T r GAR D 13125 SW Hat Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 107AA18700 Jurisdiction: Tigard Site address: 16724 SW DARWIN LOOP Subdivision: ROSHAK RIDGE Lot: 187 Project: Polygon at Roshak Ridge, Lot 187 Primary Project Description: New dwelling with(1)attached ADU. NO FINAL UNTIL DEFERRED SDC FEES 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: 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 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 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!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 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: $23,096.80 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-nnl-nnln rhrrainh nAR ac9-nnl-nnan vnii may nhTaln a rnnv of fha rnlce nr dirarf nnaeflnne fn rll INiC by Tallinn An'3 Y39 101:17 nr 1 RN)'3'39 9'34d Issued By: Ho-U.9 Va.vv De,Weg� Permittee Signature: Ol^'A Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the iob site at the time of each inspection. , tor/e7 Building Permit Application RECEIV I zi. q 1b12. Residential FOR OFFICE USE ONLY Cl of Tigard SEw O 7 7021 Received /� Q( j� '1 �j g ` _ �/ „spy Permit No.: !f^'�' CO( O/ 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGAR Pan Re: �,��((// g Plan Review _ Phone: 503.718.2439 Fax: 503.598.1960 (0 11 Z, / Other Permit:Svv 2/_• t/to/By: 1 r"' - i Ti G ARD Inspection Line: 503.639.4175 BUILDING DM&111 ate Ready/By: / �7u-r]'�-� O See Page 2 for Internet: www.tigard-or.gov Notified/Method: 2 711 (Y� Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction El 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. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 1°I311 ❑Accessory building El Multi-familyNumber of bedrooms: 4 �0 ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors:2 2(1?9 Job site address: 16724 SW DARWIN LOOP New dwelling area: 2,023 square feet19y , City/State/ZIP:Sherwood, OR 97140 Garage/carport area: liSl square feet q t/�f' Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet Cross street/directions to job site: Deck area: l • square feet Ott)1%4 re tt Q_( 12,0 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Polygon at Roshak Ridge Lot no.: 187 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK fit,i9/ work indicated on this application. ./New Construction/Type: Duplex (unit 1 out of 2) Valuation: $ V Deferrals: YES-deferral of TSDC fees and park SDCs until occupancy. Existing building area: square feet Projected start: 2022 New building area: square feet 0 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: 0 APPLICANT 0 CONTACT PERSON 6)9 BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Polygon Homes WLH LLC Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs FLS plan review fee(if applicable): Address:703 Broadway St., Ste 510 Total fees due upon application: City/State/ZIP:Vancouver, WA 98660 Phone:(360)946-8674 Fax::( )360 693-4442 Amount received: E-mail: permitsubmittals@taylormorrison.com-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: D/'1tCiiL .cy//E ,fy e9GC 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\BUP-RESPermitApp.doc 02/24/2011 440.4613T(11/02/COM/WEB) " 9 RECEIV ' Mechanical Permit Application SEP 0 7 q FOR OFFICE USE ONLY Cityof Tigard Z011 Received 4j �J / 4 ; g' Date/By: l (j �� (�V Permit No.: 1,..1_ �/� 't 13125 SW Hall Blvd.,Tigard,OR 97223 y t CITY 1 7 s • ettlan atc/13y:Review Other Pertnit.5�R2e� d 0 Z Phone: 503.718.2439 Fax: 503.598.1960 VI 1 1 OF 1( a �.11 TICARD• Inspection Line. 503.639.4175 BUILDING DIVISI I /B t' Ready y: lurk Internet: www.tigard-or.gov � El See Page 2 for otifiedNlethod: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work E New constntction 0 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 special information use checklisi j Multi-family 0 Master builder ❑Other: Description P Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 r 46.75 Job site address: 16724 SW DARWIN LOOP Furnace 100,000 BTU(ductslvent;) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100 000+BTU(ducts/vents) 54.91 _ Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge ` Heat pump 61.06 ___-.________-_---_.---_-___.. Duct work _ 23.32 Cross street/directions to job site: Hydronic hot 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.: 1 87 Od"r' 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 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent l 23.32 El PROPERTY OWNER ❑ TENANT Other: 23.32 ' Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 Address:703 Broadway St.,Ste.510 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 8• APPLICANT ❑ CONTACT PERSON Other: 23.32 _ _ Business name:Polygon WLH,LLC Fuel piping: 514.15 for first four;$4.03 for each additional Contact name: Omar Alami Abouhafs Furnace,etc. Address:703 Broadway St.,Ste 510 Gas heat pump __. Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater ___ Phone:(360)695-7700 I Fax: :(360)693-4442 Fireplace Range E-mail:permitsubmittals(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(S90.00) Plan review(25%of permit fee) Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee) COB lie.:209001 TOTAL PERMIT FEE — This permit application expires if a permit h not obtained within 180 C �a �e r. n days after it has been accepted as complete. Authorized signature: t�'t�[�.i t. ' Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date: 10/30/20 fATiuilrime1Perunirc1144Pr Vr,mil&nn NMI 11 du, n..0.4i171„r„rrn,.rn,r..n. RECELVED Electrical Permit Application 3F!> ? 1071 I It►2(Ii•H(1 i s1 ()MN City of Tigard CITY OF TIGAR 4�Z • 13125 SW Hall Blvd.,Tigard,OR 97223 �/ r pc 't k /I 1 1 O .. Phone. 503.7182439 Fax: 503.598.1960 BUILDING DtVI vvrew Related Permit 8: 5j 14J e�2(--OO I 294 t n t� Inspection Line: 501.639 4175 4�7 V Ready Datc(Ry rurir ®'See Page 2 for Internet: www a and-or. ov g B g Notified/Method. Supplemental Information TYPE OF WORK • PLAN REVIEW t INNew construction ❑Addition/alteration/replacement Please check all that apply(submit/sets of plans w(items checked)' El or feeder 400 amps or more 0 Budding over three stones 0 Demolition 0 Other: where the available fault current 0 Mammas aid boatyard. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Heating 6wldm8s ® t-and 2-family dwelling 0 Commercial/industrial ❑Accessory building J leto to iguand,or exceeds 14.000 0 Commercial-use agteulturai amps for all other installations buildings. ❑Multi-family 0 Master builder 0 Other: ❑Firs pump P 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Job#: Job site address:16724 SW DARWIN LOOP ❑Addition ofnew motor load nf syst.mi. 10oIIP or more. City/State/ZIP: Tigard,OR 97140 ❑six or mots residential units occupancy ❑Health-care facilities. ❑Recreational vrlucle parks. Suite/bldg,/apt.#: Project name: Polygon at Roshak Ridge ❑11azardous lceatrtxva ❑supply voltage for more than ❑Service or feeler 600 amps or more 600 volts nominal_ Cross street/directions to job site: FRF.SCHEDULE Description J QM. 1_ Each .1 Tow I • New residential single-or multi-family dwelling unit Subdivision:Polygon at Rosh*Ridge Lot 4: 187 Includes attached garage. Tax map/parcel#: 1,000 sq.it or Ices 168 54 4 DESCRIPTION OF WORKadd'l 500 ft°f am 33 92 1 Limited energy,residential New construction.Type75.00 SFU (with above sq tt) Limited cm'gy,multi-family 75.00 2 residential(with above sq.ft.) 1 PROPERTY OWNER ❑ TENAN'C Renewable Energy ❑ Sec Page 2 Services or feeders installation alteration,and/or relocation Name: Polygon Homes WLH LLC 200 amps or km 100.70 2 Address: 703 Broadway St.,Ste 710 201 amps to 400 amps 133.56 2 401 tunru to600 araps City/State/ZIP: Vancouver,WA 98660 601 amps to 1,000 30104 2 Phone:(360 )946 8674 Fax:( ) ther 1,000 amps or volts 552.26 2 Temporary Email: OAIamiAbouhafs�'a taylonnorrisoncom-PermitSubmittals r@taylormorrisofl.cow relocation services or feeders installation alteration,and/or Owner installation:This installation is being made on property that I own which is not 200 amps or less I 1 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 , Owner signature: Date: 401 amps to 599 amps 168 54 2 0 APpIdC NT I ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch cumuli with Business name: Polygon Homes Wi.H LLC above service or feeder foe, 7,42 Contact name: Omar Alami Abouhafs each branch circuit ' B Fee for branch circuits vredrour Address: 703 Broadway St.,Ste 710 service or feeder fee,first 56.18 p branch circuit City/State/ZIP:Vancouver,WA 98660 Each add't branch circuit 7.42 2 Phone: 360 946 8674Miscellaneous(service or feeder not included) ( ) Fax::( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:OAIamiAbouhafsgtaylormturison.coin-PermitSubmittalsegtaylonnorrisan.coin Rccameer only 67 84 2 CONTRACTOR OR Pump or nnfation circle 67 84 2 Business name: Wallace Electric Sign or outlive lighting 67.84 2 Address: 105 Dresden St Signal circuit(s)or(united energy ❑See Page 2 2 panel,alteration,or extension City/State/ZIP: Astoria,OR 97103 Each additional inspection over allowable In any of the above Additional inspection(I hr min) 66 25/hr Phone:(501 308 0563 Fax:( ) Investigation(1 hr min) 90.00/hr Email: David Q�1val laccwlres.l Industrial plant(Ihr fain) 78 I SI hr CCB Lie.:224868 Electrical Li C1441 Su l: specifically 6363S Inspectionsis hued( fur m ) 90 00/hr Suprv.Electrician signature,required: ELECTRICAL PE[t11i T..FEES Subtotal" _ Print name:7)1itt7 tp Date: 1//z)�1 ❑Plan Review Required(2s%of pemfit fee): _ I State surcharge(12%of permit fee): Authorized signature TOTAL PERMIT FEE: This permit application expires if a permit is sot obtained within tall Print name: IN., �b ^C1¢` Er t()ate: `r r/ E..•» days aver It has been accepted as complete. ---.... + Number of ins tins allowed l.wwuebngid'emtitctht•C PereutApp ELR ERF-doc Rev06'17/201i pit per permit. •t L615T(i1Po5ICOldlllrEB . Plumbing Permit Application RECEIVED Building Fixtures SEP 0 7 ZO21 FOR OFFICE USE ONLY City of Tigard Received �/ Received a iv �/ (r Permit No.: INq 13125 SW Hall Blvd.,Tigard,OR 97223 CITY 1 OF T� �" �' S " --- - ' C Phone: 503.718.2439 Fax: 503,598.196 I Review Other Permit No.: Inspection Line: 503.639.4175 tUILDING DIVISIONne+By. 5 V 4-074- 2.43(1 TIGARD Date Ready/By: Iu is El See Page 2 for Internet. www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. -T�- -- Description I Qty. ] 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 [X I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 1❑`'Accessory building Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16724 SW DARWIN LOOP Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 - Footing dram(no.linear ft.: ) Page 2 Suitctbldg./apt.no.: Project name:QeskapirRitigiePolygon 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 Subdivision: Polygon at Roshak Ridge - 187 -. Water service(no.linear ft.: ) Page 2 Yg b Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 , Backwater valve 12.51 DESCRIPTION OF WORK 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 W'LH,LLC Fixturc'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:( ) lee maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:S ) Page? Contact name: Omar Alami Abouhafs Primer 12.51 Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basinlavatory 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(a?polygonhomes.com Urinal - 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water Pp t m W'D V 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: 572.50 Plan review (25%of permit fee) CCB Lie.: 184372 Plumbing Lie,no.:pb634 State surcharge(12%of permit fee) Authorized signature: a --- TOTAL PERMIT FEE Print name:Steve Fowler Date: 1 0/30/20 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building'.Pcrmits':PL.MU-PermiiApp_doe la/al/09 440-4616T(I0/02!COM+WEB) City of Tigard :71 q Deferral Until Occupancy Request TIGARD Washington County Transportation Development Tax (TDT),Transportation and Parks System Development Charges (SDCs) fia/VIP *MUM 'HMV MstkihiffirMMIllitit/MIMPOYMV 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: 16724 SW Darwin Loop Project Polygon at Roshak Ridge Land Use Case or MST2021-00405 Name: Building Permit#: Tax Lot Total Parks #: 2S107AA18700 Amount*: $5,839.00 Lot 187 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 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: Dtno.-4 ',cQ6ea/F Date: 11/4/21 Developer: -, k...ou'.R6ea U Date: 11/4/21 Permit Coordinator: ATM Oelfrteirb Date: 11/3/2021 Wa. City of Tigard 11,1 COMMUNITY DEVELOPMENT DEPARTMENT s : . TlcAxD Building Permit Review — Residential Building Permit #: /Vlv$i2 ,2,( —00(4d Site Address: 16724 SW Darwin Loop Project Name: Polygon at Roshak Ridge Lot #: 187 Planning Review Proposal: New detached dwelling NVerify address/suite# active in Accela. El In River Terrace: ❑ No El Yes, River Terrace Review Addendum Site Plan Elements: xosion Control 0: copies of site plan on 8-1/2"x 11"or 11 x 17"paper •Retained trees with drip line and tree protection measures OD rawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE 13 orth arrow ,r,:Jtility locations&easements(required for new and additions) O'ite address,project or subdivision name and lot number iiidewalk/driveway approach lEpplicant information(name and phone number) location of wells/septic systems 13 ot dimensions and building setback dimensions •'itreet tree size,type and location I:quare footage of buildings to be demolished ,'street names IIIa xisting structures on site orner elevations(2'contours if more than 4'differential CI ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ' es o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es ° o ElClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑Yes,applicant was notified El No Received: ❑Yes ❑ No ElWater Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified El No Received: ❑Yes ❑ No I 0 SDC Exemption for ADU applied for: ❑Yes 0 No Received: ❑Yes ❑No 0 Public Facilities Improvement(PFI) Permit: Required: ❑Yes,applicant was notified El No Applied For: 0 Yes ❑No,stop intake 0 Land Use Case#: SUB2015-00004 El Zoning: R-7 ElRequired Setbacks: Front: 8/12 Rear: 10 Side: 3 Street Side: 8 Garage: 20 li II El Building Height: Max.Height: N/A Actual Height: ElLandscape Area: 20% % El Lot Coverage Max: 80% Entrance I Set back no more than 8'from street-facing wall El Parallel to street or offset 45 degrees or less °I Windows I Minimum 12%of area of all street-facing facades i Garage L Garage door is behind widest street-facing wall ❑r Yes ❑r 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 2nd floor. ElGarage door width is 111 12'or less ❑ 50%or less of facade ' 60%or less and includes 7 of following: Covered porch II Recessed entrance ❑Wall offset 8 1'Roof eave = Roof offset Fire shingles IIII Lap Siding ❑ Roof itch El Gable,hi or gambrel roof L Dormer _ Accent siding Window trim Window recess ❑pWindow projection El Balcony ElVisual Clearance 0 Urban Forest Plan 0 Sensitive Lands: El Yes U No Type: ElConditions met prior to issuance of building permit Notes: 0 Approved By Planning: SPV 4Date: 09-13-2021 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\B uild ing\Forms\BldgPerm itRvw_RES_122419.docx a z. Building Permit Submittal 6 v�hy / Original Submittal Date: 6/6?/Z (mil Site Plans: # , Building Plans: # 3 Building Permit#: ® Enter building ermit# above. Workflow Routing: W Planning di Engineering ElPermit Coordinator ELI{ Building Workflow Sign-off: ® Sign-off for Planning(include notes from planning review) Route Application Documents: © Engineering: (1) copy of permit application, (1)site plan, (1)building plan and original plan review routing form. jilBuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 0 q/�4ZO 2-I Etgineering Review ` LE Slope at building pad: 3<v Conditions "Met"prior to issuance of building permit asements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 17 'No Assess Water Quantity Fee in-lieu: ❑ Yes vI No LIDA Facility on lot: ❑ Yes 'No �inal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: '9(21/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review .frConditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: x Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: El Received Does not an ly SDC Fees Entered: Wash Co Trans Dev Tax: Yes N/A Tigard Trans SDC: ,'Yes ❑ N/A Parks SDC: 0Yes ❑ N/A LIDA ❑ Yes ON/A fro/OK to Issue Permit Approved by Permit Coordinator: I- Date: �I23 2 2/k , , I:\Building\Forms\B1dgPermitRvw_RES_122419.docx City of Tigard !Pi 'I' COMMUNITY DEVELOPMENT DEPARTMENT e River Terrace Building Permit Review Addendum TIGARD Building Permit #: ,,577e 2j( 00g0 Site Address: 4 .. '-1)-e p,v'W NI ( ey°le f. Project Name: Polygon at Roshak Ridge Lot #: a7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) P/QaPhik 1>teview ofliiver ?'terrace Plan Distriet besikn Standards (18 640.070.4): Is the project subject to the plan district design standards? El Yes ❑No (Per MMD2020-00044) Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additio ele -nt required for lots with over 60 ft. of street frontage shall be provided every 30 ft. . Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch :..5 ft. deep Gable. •ormer ft. deep min.2ft.,5 ft.wide min.2 ft.,6ft.wide II 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: ❑Parallel to street, , gle no more than 45° from street, ❑Max. 8 ft. setback from longes reet-facing wall or open onto por Entrance opens to a porch: ❑Yes II o If es,all the following apply: ❑25 sq.ft. .n. One 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 I Recessed entry area min. 5 ft.wide x 2 ft.deep ❑Wall offset min. 16 inches I D ormer min. 4 ft.wide ❑Roof eave min. 12 inch projection ❑R.' offset min. of 2 ft. ❑Roof shingles either tile or wood ❑Gable, .13 or gambrel roof design ❑Roof pitch oriented south min. 500 sq. ,. 0 Horizont.. .p siding min. 3-7 inches wide ❑Accent siding min. 40%of street fa de ❑Window trim • ' . 2 1/2"wide by 5/8"deep '' facing 0 Bay window min. ft.wide by 2 ft.deep El recess min. 3 inches for I street t El Balcony min. 5 ft.wide x 3 ft. .eep with inside access ❑Attached garage is 3 'o or less of street façade 5. Garages and Carports: !ay face the front or side lot line on a corner lot. i Setbacks: No closer to front o Side 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. i 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 3r above the ,v, age that faces the street with a min. area of 12 sq.ft. Width• heck one) ❑ -foot-wide garage door ❑40%max.of street facade III 50%max.of street facade with 7 detailed design elements Notes: Approved By Planning: 5 Pt/ Date: 2051 q/(3(2-f �: 1:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT N g41 Transmittal Letter T 1 t;A it l) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: A1( con A Rigra-S1-2Ona DATE RECEIVED: DEPT: BUILDING DIVISION d RECEIVED FROM: (�z CiSc,,r\ C i AA, OCT 13 2021 COMPANY: ��w\ (, ,c V C\ Sm. VIT1f OF TIGARD PHONE: "36 0 (14 6 $( 4 3UILDING DIVIS1O Y_ EMAIL: 9N i J O vb C ,la /.or n ,c. _, _. RE: i 6 g fit....{{ / Ve 2 2 Sul 1D iveumv LP I7 S 70 02r-c itte (Site Addresl) (Permit Number) ?OQ'L tat Q he ., 46- .1(P- Q 004 06 (Prce or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 'Copies: Description: Copies: Description; Additional set(s) of plans. 3 Revisions: RI El pp 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): n q� REMARKS: ?lea ce d;i 5 c ipA / , i=4 -� D if 5 iee,> 4 tO Pe1CLN'tfee rep S'e" i n 'U 1 FO F ICE USE ONLY 7 Routed to Perm' ecian: Date: I 0 l Initials: Fees Due: is u No Fee Desc 'ptio : Amount Due: IA. ploki aou-:/e--' $ t-f .A eiVi Special 5 ( 19 .0,.--(---- $ Instructions: . ,,,.Q Reprint Permit(per PE): ❑ Yes o ❑ Done f' Applicant Notified: V---6-e____— Date: '3 /)..3 Li__ Initials: I:\Bui(ding\Forms\TransmittalLetter-Revis ions_073 1 20.doc