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Permit Plumbing Permit Applicatio>lRr(""7-"'' ."v-^ Il_ , VL- . Building Fixtures FOR OFFICE USE ONLY g EC 15 Zv7O DReceived% 1\22�2.020 +�v MST2o1g-ecAo'-} Cl of Tigard Recateive . Pcrmit No.: IN/U 13125 SW Hall Blvd.,Tigard,OR 97223pITY OF TIGA D plan Review / Phone: 503.718.2439 Fax: 503.598 1956 Date/By: I)3/0 0?1 A c/Up Other Permit No.: IIZ�nRD Inspection Line: 503.639.4175 BUi9_®ING D.v;a,-j('s' Date Ready/By: p 7 41 See Page 2 for Internet: www.tigard-orgov Notified/Method:1� !21 V G' Supplemental Information TYPE OF WORK FEE* SCHEDULE ew construction El Demolition For special information use checklist �����' ``"`""''' Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 1 )1-and 2-family dwelling g ❑Commercial/indnslrial SFR(2)bath 437.78 Accessorybuilding SFR(3)bath 500.32 g ❑Multi-family Each additional bhen 25.02 ❑Master builder ❑Other: Fire sprinkler( q.ft.)\382, Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: ( 3" <. c i ('! I. Catch basin or area drain 18.76 1 ��: i p1� _iti I kL� I a - rt., , City/State/ZIP: .I t FTY 0 (c, �.c',)-9"li _/."'� FoDroting drin( oh .lnetrenchdrain 18.76e CVO Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.:V3\c5 i Project name: 1 c'c' �� � �C Manufactured home utilities 50-03 Cross street/directions tbilob 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: rt c j' J,._.I ExJ Jt ;Q 6}/„/ I I Lot no.: Fixture or item: "Tax map/parcel no.: / Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 C ///��, Dishwasher 25.02 JD Q.�n o^^1 1 �-. Drinking fountain 25.02 ` Ejectors/sump 25.02 ❑ PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: 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 ❑ APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$_) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail. Urinal 25.02 Water closet 25.02 CONTRACTOR �� �J/�/� Water heater 37.52 Business name: 1 q;L�i c.)(rt> 1 2�� ((�,�i)C1 �_)�.Al 1e.1 Water piping/DWV 56.29 Address: (.)1).+ cc- t)� ISU C,c 1.4_..� I / 'ii �.I ' if tA.I Other: 25.02 City/State/ZIP: TQ�Ld dw. (' 0 CO° Subtotal Phone:(HD3 (QIC. `r^ ) Fax:(,gn &)6_7.- q e11 Minimum permit fee: $72.50 q� /7() Plan review (25%of permit fee) CCB Lic.: t 122 7� ,/^1 Plumbing Lie.no.: zfO, Lx Lt Y� State surcharge(12%of permit fee) Authorized signature: `. TOTAL PERMIT FEE Print name: �/�\1P_l r\�^]+ Date: r1/I 702 D 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. "Building\Permits\PLMU-PemtitApp.doc 10/01/09 44046I6T(10,02/COM/WEB) • CITY OF TIGARD MASTER PERMIT . COMMUNITY DEVELOPMENT Permit at: MST2019-00104 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/09/2020 TIC t It C, g Parcel: 2S107AA08100 Jurisdiction: Tigard Site address: 14399 SW 169TH AVE Subdivision: ROSHAK RIDGE Lot: 81 Project: Polygon at Roshak Ridge, Lot 81 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 646 sf Basement: 103 sf Left: 0 Parking Spaces: 0 Height: 29 Bathrooms: 3 Second: 633 sf Garage: 499 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 1382 sf Value: $187,550.10 Rear: 0 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 Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Healers: 1 Water Lines: 100 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 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 of or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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 1382 Owner: Contractor: POLYGON WLH 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 Geo Tech Required Prior To Pour 3 NFPA 13D Sprinklers PHONE: 360-695-7700 PHONE: 360-695-7700 Required FAX: Total Fees: $24,959.13 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. Thi 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 yo o 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. Yo ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.19877 o- 33 r`1.800.33j2.2233444. Issued By: Permittee Signature: X 4/� r 6(64 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 { �\L1�11�1(� # ' Residential RECEIVE , FOR OFFICE USE ONL1 Received ^� - City of Tigard MAR�j 2 ZOI9 Date/By: `,I 1111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Mli �'`G Syr Permit xoMcTj.k.Aq—C)Q;1 OA Plan Review (1 �'s Other PermiS -� r Phone: 503.718.2439 Fax: 503.598.1960 �y Pan Re ! V.1Z�C 1C1 (..... ...fa.-- InspectionTIGARD Line: 503.639.4175 Gil Y Oh ',Li/AHD Date Ready/By. rO hris: J See Page2for Internet: www.tigard-or.gov -- UILDING DIVISION otited/Method: ��/�(,+ 5 Supplemental Information TYPE OF WORK t (Ter- _ REQUIRED DATA: 1-AND2F 3ILYDWELLING , ®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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRICTION work indicated on this application. ® 1-and 2-family dwelling ❑Commerciabindustrial Valuation: $ l lrS�JQ �� ❑Accessory building ❑Multi-family Number of bedrooms: 9- CiVNumber of bathrooms: � ❑Master builder ❑Other: �l�Q � JOB SITE INFORMAEION AND LOCATION Total number of floors: I V Job site address: 1 t.193C C 5v� l'�tC n( nv J New dwelling area: f ', square feet C033 City/State/ZIP:Tigard,OR 97224 Garage/carport area: lye r. square feet (p({ / VI Suilelbldg./apt.no.: V.}. Project name:Polygon at Roshak Ridge Covered porch area: square feet (03 Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCLAL-USE CLIIECi4ICf Subdivision:Polygon at Roshak Ridge Lot no.: ' Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New SEA Valuation:Valuation: $ Existing building area: square feet New building area: square feet ® 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 Existing: Phone:(360)695-7700 Fax:(360)693-4442 Nev: ® APPLICANT J] ONTACT ERLSON , BUILDING PERMIT FEES* Business name:Polygon WLH LLC {Please rejerza fee schedule Structural plan review fee(or deposit): Contact name:Amanda Gavin FLS plan review fee(if applicable): Address:703 Broadway St.Ste 510 City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax: :(360)693-4442 Amount received E-mail:permitsubmittals a polygonhomes.com PIICI OVOLTAIC SOLAR PANEI.SI STEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic 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 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 lie.:207247 Total fee due upon application: $201.60 Authorized sign This permit application expires if a permit is not obtained ,,,ttt within 180 days after it has been accepted as complete. Print name:Amand avin Date: �i Si I er *Fee methodology set by Tri-County Building Industry Service Board. I:1Building1Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) f , 4- Mechanical Permit Applicat�1�— I CEVED FOR OFFICE USE ONLY City of Tigard Received Permit i'(1ST�'PI—ODIO�-� '! 13125 SW Hall Blvd.,Tigard,OR 97223 APR 2 b 2019 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: I I ti?.I:.I? Inspection Line: 503.639.4175 Internet: www.tigard-or.gov cis OF TIGA[R� /D�s N Date Ready/By: Juris: El See Page 2 for rr��I I D!\!'lil./�� of-N. Supplemental Information RuiLTYPE OF WORK -_ COMMERCIAL FEE* SCHEDULE- USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT 1 SYSTEMS FEES* tgl 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. • Multi-family D Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: t 43ga Air conditioning 46.75 Job site address: SW t Lo`k f rt# Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Roshak Ridge Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Roshak Ridge Lot no.: 06 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 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ElPROPERTY OWNER 0 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 ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name:Polygon WLH,LLC $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 - WalUsuspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range F.-mail:permitsubmittals@polygonhomes.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 tic.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ISO V Wo 4; \ days after it has been accepted as complete. Authorized signature: J � = Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date:04/08/2019 I:'Building\PermirsO4EC PemiltApp_040113.doc 440-0617r(I 1/02/COM/wEB) Electrical Permit A licatio °L.I it 4.- FOR OFFICE USE ONLY City of Tigard Received Permit#,l\�1aUCI^00\ III - Date/By: 1 v�, CIA. 13125 SW Hall Blvd.,Tigard,OR 97223 U2 2019 Plan Review Phone: 503.718,2439 Fax: 503.598.1960 DateBy: Related Permit t: TIGARD Inspection Line: 503.639.4175 Gila OF- 1 tt• _..` Ready Date/By: Jails: I el See Page 2for ,. Internet: www.tigard-or.gov ;'tee °� �- Notified/Me[hod: I 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. 0 Demolition 0 Other: where the available fault current 0 Marines and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural 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 5% 1 c w 1 I_c ,(� ❑1001 Addition of new motor load of system. Job#: Job site address: c7 l lQ `'f ILVt•t`"irv, ]OOHP or more. ❑system. City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑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 Descrlpdon l Qty. I Each 1 Total New residential single-or multi-family dwelling unit. Subdivision:Polygon at Roshak Ridge Lot#: i1 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 l DESCRIPTION OF WORK Limited energy,residential ed above ti 75.00 2 \MA liking_ 'MA Yh —t ZllLcA —00(0 Limited(with aboveenergy,sq.ft.)multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 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 I 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 2 Owner signature: • Date: 401 amps to 599 amps 168.54 2 El APPLICANT 0 CONTACT.PERSON Branch circuits—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 Contact name:Nichole Thorpe circirc • B.Fee for b branch circuits without service or feeder fee,first Address:703 Broadway St Suite 510 branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'1 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 Business name: Alameda Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address:3415 NE 44th panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP:Portland,OR 97213 Each additional inspection over allowable in any of the above Additional inspection(I 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 Lie.: c923 Suprv.Lic.: 4871/s specifically listed(h hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Kile Rood Date: 03/08/2019 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: / - TOTAL PERMIT FEE: /// r This permit application expires if a permit is not obtained within 180 Print name: Kile Rood Date: 03/08/2019 days after it has been accepted as complete. a Number of inspections allowed per permit. I:\Buildiag1Permss\ELC.PumitApp ELR ERE.doc Rev D6/17/2015 aaalaurrl I ra<mnn.nucn Plumbing Permit Applicatio ,, 4 Building Fixtures rI FOR OFFICE USE ONLY City of Tigard I 16 2019 Receivedi ��T�`��_WWI U�- Date/By: Permit No.: �!`''� a 13125 S W Hall Blvd.,Tigard,OR 97223 Plan Review _ Phone: 503.718.2439 Fax: 50 5Q8.1960 t �,, i 0�.ref l,. Date/By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 i!ft,- Date Ready/By: Ms: FJ See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist. Description Qty. I Ea. j Total El 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 ❑ 1-and 2-familydwellingConunercial/industrial SFR(2)bath 437.78 0 ElAccessory building El Multi-familySFR(3)bath 500.32 Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITEn INFORMATION AND LOCATION Site utilities: Job site address: 1`i 'tsCk-n-{ I'TVI� Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 - Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: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 Lot no.: 1 / Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 �/ t Clothes washer 25.02 `"��^"p�"r� w� t"i � ���` �b`�w Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixtruelsewercap 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 ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$_) Page 2 Primer 12.51 Contact name:Tonja Morris Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02 City/State/ZIP: Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax: :(360)693-4442 Tub/shower/shower pan 12.51 E-mail:permitsubmittals@polygonhomes.com Urinal 25.02 n CONTRACTOR Water closet 25.02 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 Print name:Robert Dishman Date: 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. BBuildingWmnits1PLM1J-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) ' a City of Tigard w COMMUNITY DEVELOPMENT DEPARTMENT ifil T G Building Permit Review — Residential ARD Building Permit #: T- \C _(nkc , Site Address: ilym Sw IMth Ave. Project Name: .0 Ii o\ 01- 0'k Rile Lot #: _ (New elling= subdivision name;Addition or Alteration=last name of owner) Planning Review /� ++__ P�roo�osal: ut',1,J S FA . W 110,0,See L� Verify address/suite#active in Accela. CJd' In River Te e: D No Yes,RiverTen-ace Review Addendum Sit Plan Elements: Ire Sion Control I143 ,spies of site plan on 8-1/2"x 11"or 11 x 17"paper rained trees with drip line and tree protection measures wn to scale(standard architect or engineer scale) ��°tprint of new structure(including decks)and FFE rth arrow l 1 riuity locations&easements(required for new and additions) e address,project or subdivision name and lot number rdewalk/driveway approachlicant information(name and phone number) cation of wells/septic systems art dimensions and building setback dimensions I2St eet tree size,type and location re footage of buildings to be demolished Geet names Iii E fisting structures on site E Corner elevations(2'contours if more than 4'difffer,ntial) Ud1Jot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? [ es ❑No �ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑ ❑No L�J Clean Water Services—Service Provider Letter,Oot platted prior to 9/10/1995): L— tlJ quired: ❑ Yes,applicant was notified No Received: ❑ yes ❑ No Public Facilitieprovement(PFI) Permit vu /Required: O Yes,applicantl was notified ❑ No Applied For: �j Yes ❑ No,stop intake [ and Use Case#: PO -2-o IS-0000 12 Zoning. V IL flirt equired Setbacks: Front-a Rear: 0 Side: 0 Street Side: 3 Garage: S? Ark,'.. L l3„,pilding Height Max.Height—11A -- Actual Height: ZJs LIB'Landscape Area: 2 0 /o [❑//Lot Coverage Max: ( V /o ntrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less OA Windows ❑ Minimum 12%of area of all street-facing facades Garage ❑ Garage door is behind widest street-facing wall 0 Yes ❑ No,one of the following is met: l `— 0 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 2d floor. ?+Y7>(e ❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance 0 Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding Pg Window trim ❑ Window recess ❑ Window projection ❑ Balcony tisual Clearance F► rban Forestry Ploi VSensitive Lands: it es 314. Type: Conditions et prior,to is uance of buildin permit r Approved By Planning: Date: 3-2,6 -1`1 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved I:1Building\Forms\BldgPennitRvw_RES_022819.docx s It Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning 0 Engineering ❑ Permit Coordinator ❑ Building Workflow Sign-off: 0 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. 0 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: Engineering Review 2:./-' Slope at building pad: o ,12'Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes 7-No LIDA Facility on lot: ❑ Yes l?No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: %Approved by Engineering: Date: 4 / i 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 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: vision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: 0 y s ❑ N/A Tigard Trans SDC: �/Yes ❑ N/A Parks SDC: E Yes ❑ N� LIDA 0 Yes N/A OK to Issue PermitII Approved by Permit Coordinator: ✓��r, te:'4 I t °ij I L:\Building\Forms\BldgPermitRvw_RES_0228 19.docx I. 1 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT II T n}R D River Terrace Building Permit Review Addendum Building Permit #: M -\- 01a-.0( 1 t-}.. Site Address: I4,3gii S\/ 1616 AVt, Project Name: Pot ar a)- k P, e Lot #: Qi (New d�delling=subdivision name;Adlittion or Alteration=last name of owner) Planning Review of River Terrace Plan Distyict,_ Design Standards (18.640.070.1.): Is the project subject to the plan district design standards? [ Yes 0 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 dr ft. deep min. 2ft.,5 ft.wide min.2 ft.,6ft wide 1 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 237;J LO,67. 3.Entrances:At least one entrance must meet both of the folio g standards: L+7 Max. 8 ft. setback from longest street- facing wall to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: 'Yes 0 No If yes,all the following apply: [Q'225 sq.ft. min. e street facing entry al 122 t.max.roof above floor of porch e5tt depth min. LW 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 ❑ cessed entry area min. 5 ft.wide x 2 ft. deep �/ 000ffset min. 16 inches P/S ©']dormer min. 4 ft.wide .5f eave min. 12 inch projection Rf5 Caf/eof offset min. of 2 ftl ❑ Roof shingles either tile or wood lE Gable,hip or gambrel roof design I 0 3.eof pitch oriented south min. 500 sq. ft. ED4Iorizontal lap siding min. 3-7 inches wide 5 Accent siding min.40%of street facade P Ci7.1 i idow trim min.2 '/2"wide by 5/8"deep p ❑ Window recess min.3 inches for all street facing �❑ B y window min. 5 ft.wide by 2 ft.deep O Balcony min. 5 ft.wide x 3 ft.deep with inside access [ Attached garage is 35%or less of street facade I' 5. Garages and Carports:May face the front or side lot line on a corner lot Jp., Setbacks: ITT o closer to front or side lot line,than longest street-facing wall. 0 Yes 0 No. If No (Check one): Q1v'l8, 0 May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story 5arajt ove the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) Q 2-foot-wide garage door ❑ 40%max. of street facade O 50%max. of street façade with 7 detailed design elements Notes: .,s " —., - Approved By Planning: ji-ovNtAtt Grai,&A Date: 3-?..6 i q I:\Building\Forms\B1dgPmnitRvw RES RT 1214I7.docx