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Permit (48) Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard EIVE r ceived Permit No.. �E� 1ate/By: /2-��/� MST20l`t'o022fo - 13125 SW Hall Blvd.,Tigard,OR 97223 _ Phone: 503.718.2439 Fax: 503.598.1960 DEC 17 2019 Dan Review 0 /l Date/By: /.-/til ^� �-7G&? Other Permit No.: TIGARD Inspection Line: 503.639.4175 Date Ready/By: "" ns 0 See Page 2 for Internet: www.tigard-or.gov �ITY OF TI GARC�Notified/ ethd{/'`i/�� T u Supplemental Information j�. 1 .TYPE OF WORK ; U1LD D MM ip . ,67-7,971,_ € r FEE* SCHEDULE ®New construction ❑ Demolition For special information use checklist Description Qty. I Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(1214 sq.ft.) Page 2 JOB BFORMATIO IEN AND LOCATION • Site utilities: Job site address: 14241 SW 169t'Ave 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.: 1 Project name:Roshak at River Terrace 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:Townhomes at Roshak I Lot no.:65 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 ' -" ' ' Clothes washer 25.02 MULTIPURPOSE FIRE SPRINKLER SYSTEM Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ►e PROPERTY OWNER ( ❑ TENANT Expansion tank 12.51 Name: Polygon Northwest Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 El APPLICANT NtA t%TERSON Interceptor/grease trap 25.02 Business name:Polygon Northwest Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Jennifer Lopez Roof drain(commercial) 12.51 Address:703 Broadway St.Suite 510 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax: :(360)816-7817 Tub/shower/shower pan 12.51 E-mail:jennifer.lopethI/polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Alliance Plumbing,LL(' 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 Lie.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) / State surcharge(12%of permit fee) � Authorized signature: / -'� >// ) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name:Gavin Thornes Date:12.16.2019 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain- 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee: $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Fee tea) Total each additional$100.00 or fraction thereof,to - - - and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge 1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Other Fixtures: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Fixture Type for Replace/ Plan Review for Plumbing Installations Work Performed: Capped Added Relocate Baptistry/Font Plan review is required for any of the following. Bath Tub/Shower Please check all that apply. Jacuzzi/Whirlpool ID Any new commercial building with water service 2"and Car Wash -Each Stall greater,except systems designed and stamped by licensed -Drive Thru engineer. Cuspidor/Water Aspirator ❑ New exterior plumbing site utilities for any complex structure Dishwasher -Commercial as defined in OAR918-780-0040. -Domestic ❑ Medical gas and vacuum systems for health care facilities. Drinking Fountain ® Any multipurpose fire sprinkler system. Eye Wash ❑ Any complex structure as defined in OAR918-780-0040. Floor Drain/sink -2" 3' Submit 2 sets of plans with any of the above. -4" Car Wash Drain Isometric or Riser Diagram Garbage -Domestic-non-food Disposal -Domestic-food related Cl Isometric or riser diagram is required for new buildings -Commercial-food related that meet the qualifications above. -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Rec.Vehicle Dump Station Comments regarding fixture work: Shower -Gang -Stall Sink/Lay -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor Water Closet-Toilet increase of sewer EDUs,a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the https://allianceplumbing-my.sharepoint.com/personal/gavin_allianceplum12ng_net/Documents/Documents/Fire Sprinklers/RT/PLMF_PermitApp (3).doc CITY OF TIGARD MASTER PERMIT '." COMMUNITY DEVELOPMENT Permit#: MST2019-00226 T[ ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/10/2019 Parcel: 2S107AA06500 Jurisdiction: Tigard Site address: 14241 SW 169TH AVE Subdivision: ROSHAK RIDGE Lot: 65 Project: Polygon at Roshak Ridge, Lot 65 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 562 sf Basement: 90 sf Left: 0 Parking Spaces: 0 Height: 37 Bathrooms: 3 Second: 562 sf Garage: 0 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 1214 sf Value: $164,352.30 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 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: 2 201-400 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1214 Owner: Contractor: POLYGON WLH LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) - 789 $T-STE 441- ,9ftfTE-5,& -1 Efafr€r #5-34#-76 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Geo Tech Required Prior To Pour PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: Total Fees: $24,534.23 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 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 53.232.1987 or 1.800.332.2344. 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. . . Building Permit Application ��. lr1e� �r 1.-kV---1.— U 5 Residential r r in FOR OFFICE USE ONLY y City of Tigard Received 13125III SW Hall Blvd.,Tigard,OR 97223 )'i t t3 Date/By: 51 v (q S;; Permit No. !\1' c'i_CL ,. ..k ." Plan Review Iw ��/ g_. Phone: 503.718.2439 Fax: 503.598.1960 DateBy: "G (I) C 1 Apr ] Other Permc44' l�` �� ,1_t <I 1 TIGARD Inspection Line: 503.639.4175 Date Ready/By' Juris: H See Page t2_for �V Internet: www.tigard-or.gov a Notified/Method: Supplemental Information D,: IS ON TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING , ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: S \LP(4 } 352- Number of bedrooms: I ❑ Accessorybuilding 0 Multi-family ly ElMaster builder 0 Other: Number of bathrooms: :TOBIts. L3IFORMA I Total number of floors: S TON AND LOCATION 1/1.04Ct Job site address: \Lk VA , Col0 I ' New dwelling area: '2I 4 square feet 51,,,z_ City/State/ZIP:Tigard,OR 97224 Garage/carport area: 14square feet 51a2., Suite/bldg./apt.no.: \` Project name:Polygon at Roshak Ridge Covered porch area: square feet q-p Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKT IST Subdivision:Polygon at Roshak Ridge Lot no.: ka C 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,IIS, and the profit for the DESCRIPTION OF WORK work indicated on this application. New SF Valuation: $ Existing building area: square feet New building area: square feet El PROPERTY OWNER 0 TENANT Number of stories: Name:Polygon WLH LLC Type of construction: Address:703 Broadway Street Ste 510 Occupancy groups: City/State/ZIP:Vancouver,WA 98660 g: 0 Existing. CVPhone:(360)695-7700 Fax:(360)693-4442 New: igi APPLICANT ❑ CONTACT PERSON BLIILDLNG PERMIT FEES* n (Please refer 10 fee schedule) V Business name:Polygon WLH LLC Structural plan review fee(or deposit): Contact name:Amanda Gavin FLS plan review fee(if applicable): Address:703 Broadway St.Ste 510 Total fees due upon application: Amount received: Phone:(360)695-7700 Fax::(360)693-4442 E-mail:permitsubmitta►s@polygonhomes.cam PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc. 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 '8660 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: $201.60 Authorized signs This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Am- a avin Date: a/��/ *Fee methodology set by Tri-County Building Industry LService Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applica , , .� ONLY �,, � � xg Cl of Tigard Received `Jg Permit No r Date/By: , DC) ��� tt 13125 SW Hall Blvd.,Tigard,OR 97223 ?pig U Plan Review w . Phone: 503.718.2439 Fax: 503.598.1960 i�'"1' ' ' Date/By: Other Permit: T i till is I�i Inspection Line: 503.639.4175 il y 1£ A i Date Read By' tris: Internet www.tigard-or.gov W y H See Page for l ", , i a, .., l ytf t ;,'") t Notified/Metbod: Supplemental Information TYPE OF;VPORK COMMERCIAL;FEE' SCHEDULE::— USE CHECKLIST Mechanical permit fees*are based on the value of the work El New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION, Value:$ RESIDENTIAL EQUIPMENT/SYSTEMS k'EES* ® 1-and 2-family dwelling ❑ Commercial/industr-ial ❑Accessory building For special information use checklist. I j Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 Job site address: (L{ \, 6w `tsck-rpt d W Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: �� Project name: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:Roshak Ridge Lot no.: J Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gras fireplace/insert 33.39 `t� Flue vent for water heater or gas 11)A, SO ^b0 V2&p fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 E PROPERTY OWNER D 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 ® APPLICANT. 0 CONTACT PERSON Other: 23.32 Business name:Polygon WLH,LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway St.,Ste 510 Gas heat pump W4U/si snended/unitheater ___ _ ._._4. ' Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:permitsubmittals@polygonhomes.com Barbecue 'illt CONTRACTOR Clothes dryer(gas) Business name:Pro Heating&Cooling Other: MECHANICAL PERMITTEES* 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 lic.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 �a. h/i n n vt days after it has been accepted as complete. Authorized sigtlature: t�'✓u�f t * Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date:04/08/2019 Electrical Permit Application ...3 . 1 `.' FOR OFFICE USE ONLY City ofTigard and Received ! i Date/B Permit#:�sc.N(.,T 1,"1— t$2 14 q 13125 SW Hall Blvd.,Tigard,OR 97223- Plan Review _ Phone: 503.718.2439 Fax: 503.59$..196Q ; Date/B : Related Permit#: TIGARD Inspection Line: 503.639.4175 w Ready Date/By: Juris: Ed See Page 2 for w Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK `. PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® less to ground,or exceeds 14,000 0 Commercial-use agricultural 2-family dwelling ❑Commercial/industrial 0Accessory building amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND:LOCATION 0 Emergency system. larger separately derived .,,`'M n � ❑Addition of new motor load of system. Job#: Job site address: \ 1 ) SW k,t0° i fide, IOOHP or more. ❑"A", 'E, `l-2", 1-3", City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Polygon At Roshak Ridge 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description f Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: 45 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF.WORK Limited energy,residential 75.00 2 C �t5 t L61 - bb (with above sq.ft.) �1 t� �� ILimited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 ® PROPERTY OWNER 0 TENANT; Services or feeders installation,alteration,and/or relocation Name: William Lyon Homes,Inc. • 200 amps or less 100.70 2 Address:703 Broadway St Suite 510 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 Fax:(360)693-4442 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 1 59.36 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ® APPLICANT 0 CONTACT PERSON Branch circuits-c new,alteration,or extension,per panel ? A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Nichole Thorpe B.Fee for branch circuits without Address:703 Broadway St Suite 510 eae or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not Included) Phone:(360)695-7700 Fax: :(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:permitsubmittals@polygonhomes.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 D t1iii gs name:Alameda Electric ign of oufl ne ligl t ng -- - 67.84_ - 2 Address:3415 NE 44th Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP: Portland,OR 97213 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)319-2192 Fax: ( ) Investigation(1 hr min) 90.00/hr Email:solarpdx@me.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lie.: 4871f s specifically listed(1/2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Kile Rood Date: 03/08/2019 0 Plan Review Required(25%of permit fee): - State surcharge(12%of permit fee): Authorized signature: .,/, '".. ..0..„,1",,,,,--t" TOTAL PERMIT FEE: Date: 03/08/2019 This permit application expires if a permit is notobtained within 180 Print name: Kile Rood days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR ERE.dor Rev 06/17/2015 440-46151(11/05/COM/WEB . Plumbing Permit Application Building Fixtures -0-.1 A ... I , f.% _ .., a ,: . ' FOR OFFICE USE ONLY City of Tigard -Z019 Received . L Date/B -I-12r'\C` Permit No.lscfc VlG y " 13125 SW Hall Blvd.,Tigard,OR 97228)1- s y' , Plan Review Phone: 503.718.2439 Fax 503, 981960 Other Permit No.: Date/By: TIGARD Inspection Line: 503.639.4175 1>' ,s B Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov s K �; ��,,,,,i ,j�,, , ,g,r,�`t t ,1 i�� Notified/Method: Supplemental Information TYPE`OF WORK. .. - , „? .. �FEE :SCHEDULE.; .,4�-'"T-,-„,,,,44,, ®New construction 0 Demolition For special information use checklist. Description I Qty. Ea. Total El Addition/alteration/replacement El Other: - New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ElAccessory building E Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑ Master builder El Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: `A'L(t` IW l k.ock-pil 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.: t\ I Project name: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:Roshak Ridge I Lot no.: Li 5 Fixture or item: Tax map/parcel no,: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Vtilt' -""' w1 DieN5-c 2.0kak -00 " "'� Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ►4 PROPERTY OWNER- ❑ TENANT E I t ' Expansion tank 12.51 Name:Polygon WLH,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:703 Broadway St.,Ste 510 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 ®APPLICANT ; 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Tonja Morris Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solarunitstaatable_water.) ¢_ Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:permitsubmittals@polygonhomes.com Urinal 25.02 a Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Alliance Plumbing 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: TOTAL PERMIT FEE This permit application expires if a permit Is not obtained within 180 days Print name:Robert Dishman Date: after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. [:\Building\Permits\PLMU-PermitAoo.doc 10/01/09 440-46161(10/02/COM/WEB) City of Tigard 111 v COMMUNITY DEVELOPMENT DEPARTMENT I T i c K n Building Permit Review — Residential Building Permit #: IMS--( jet-C1 Site Address: /21'2 l0. /&(1 /9yi Project Name: iD �n 41�` - Lot #: (e .c— (New�� elling=subdivision name;Addition or Alteratio st name of owner) Planning Review Propsal: V Verify address/suite# active in Accela. In River Terra e: ❑ No /Yes,River Terrace Review Addendum Sit Plan Elements: `►. rosion Control "copies of site plan on 8-1/2"x 11"or 11 x 17"paper BO?.tained trees with drip line and tree protection measures VJrawn to scale(standard architect or engineer scale) [%F:otprint of new structure(including decks)and FFE op rth arrow M . -ty locations&easements (required for new and additions) VSzite address,project or subdivision name and lot number M Sidewalk/driveway approach V •plicant information(name and phone number) ' Il a cation of wells/septic systems Xi Lo dimensions and building setback dimensions ►S eet tree size,type and location `1 are footage of buildings to be demolished Vreet names • A.ting structures on site Id Corner elevations(2'contours if more than 4'differ 1iial) r. .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Res ❑NN impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown Yes tQNo 06.ean Water Services—Service Provider Lette of platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified �1 No Received: ❑ Yes ❑ No Public Faciliti mprovement(PFI)Permit: � Required: Yes,applicant was notified 1:1No Applied For: 1d Yes ❑ o,st p intake iand Use Case#: a(i O7 �)A ❑ Zoning: -1'C , 4� _ equired Setbacks: Front: 0 Rear: Side: 0 Street Side: PIP— Garage: i :uilding Height: Max.Height: Actual He' ht: , 5 Landscape Area: •�6 % IJP Lot Coverage Max: Entrance i - .ack no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows ❑ Minimum -' . . area of all street-facing facades Garage ❑ Garage door is behind . eet-facing wall Or❑ Yes ❑ No,one o •- .lowing is met: ❑ Door extends no more than 5' r. .11 and there is a covered .o • - ending beyond garage. ❑ Door extends no more than 5'from wall an a i - • - sq ft.window above garage on 2nd floor. ❑ Garage door width is ❑ 12'or less • 11.o or less of faca.- II 60%or less and includes 7 of following: O Covered porch-__• ' sed entrance 0Wall offset __La__l'_Ro• a-:.'- _ _17_Roof offset___ __- ❑ Fire s a'•: ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roo ■ Dormer a Accent siding • Window trim ❑ Window recess ❑ Window projection ❑ :a •- MVP isual Clearance L Urban Forestry "kri wk.-nsitive Lands: ❑ Yes V No Type: Y. Conditions met prior to issuance of building permit Not Approved By Planning: ` Date: (—f'x' 'h j Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES_022819.docx Building Permit Submittal Original Submittal Date: A \tC1 Site Plans: # 3 Building Plans: # Building Permit#: 2' Enter building permit#above. ` Workflow Routing. Et Planning C'Engineering 13/Permit Coordinator [ 'Building Workflow Sign-off: Q/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. El/Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: l'&_1 kat Engineering Review o� Slope at building pad: S v Conditions "Met"prior to issuance of building permit 0"Easements (encroachments)per engineering conditions of approval and plat J2rWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes ,a.No Assess Water Quantity Fee in-lieu: ❑ Yes 1 No LIDA Facility on lot: 0 Yes ,0" No gr Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: %1, Date: ((3ê71ci Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review 0 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: Revision Notice 3: Date Sent to Applicant: Q/SDC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A I" Tigard Trans SDC: V/Yes ❑ N/A Parks SDC: [ Yes �❑ /A LIDA ❑ Yes Ld' N/A 'OK to Issue Permit Approved by Permit Coordinator: 410Date: to°13 I:\Building\Forms\BldgPermitRvw_RES_022819.docx City of Tigard ofi COMMUNITY DEVELOPMENT DEPARTMENT C TIGARD River Terrace Building Permit Review Addendum Building Permit #: MS-T-.per_Co els Site Address: / 2L) / -91 ) )/ /-L Project Name: 1 e` / v� � Lot #: (r ew f( III g=subdivision name;Addition or Alteration= ..t name of owner) Planning Review of River Terrace Plan Dist ct Design Standards (18.640.070.1): Is the project subject to the plan district design standards? HJ Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a Gabled dorm ft. deep min. 2ft.,5 ft.wide min.2 ft.,6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum pf 12%ofch street facing facade must include windows or entrance doors. Percentage Shown: S G, f 3. trances:At least one entrance must meet both of the follo g standards: Max. 8 ft. setback from longest street acing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: ❑ Yes No If yes, all the following apply: 0 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft.max. roof above floor of porch ❑ 5 ft. depth min. ❑ 30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep ❑ lj.eeessed entry area min. 5 ft.wide x 2 ft. deep ❑ ydll offset min. 16 inches /Dormer min.4 ft.wide Roof eave min. 12 inch projection Oyeo'of offset min. of 2 ft. ❑ Roof shingles either tile or wood V Gable,hip or gambrel roof design ❑ycoof pitch oriented south min. 500 sq. ft. ❑ Ijorizontal lap siding min. 3-7 inches wide Of Accent siding min. 40%of street facade ©Window trim min. 2'/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade an arpcmg:My face the wont or side- o on a corner lot. No closer to ro s e lot line,than longest street-facing wall. ❑ Yes ❑ ► -. No (Check one): ❑ May extend up to 5 ft. if there ' : • ered front porch and x ._- •oes not extend beyond the front porch. ❑ May extend up to 5 ft. where the garage is par • :•.•o-story building and there is a window at the second story above the garage that faces the street wi 8 . n. area of 12 sq. . Width: (Check one) ❑ 12-foot- :.- _arage door ❑ 40%max. of street facade • i•()max. of street facade with 7 detailed design elements Notes: Approved By Planning: _ 1;, Date: cM//I/! I:\Budding\Forms\B1dgPermitRvw RES RT 121417.docx