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Permit CITY OF TIGARD MASTER PERMIT IN---1 . ' COMMUNITY DEVELOPMENT Permit#: MST2020-00315 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/20/2021 Parcel: 2S107AA24200 Jurisdiction: Tigard Site address: 16970 SW ROCKHAMPTON LN Subdivision: ROSHAK RIDGE Lot: 242 Project: Polygon at Roshak Ridge, Lot 242 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stones: 2 Bedrooms: 5 First: 1237 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1688 sf Garage: 486 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2925 sf Value: $381,878.28 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 801-1000 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 SF VB R-3 2925 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 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $42,737.50 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 503.232.1987 or 1.800.332.2344. Issued By: 1 1-\, a r\ Z.\ Permittee Signature: (`Y\ Gpp 1 t L Clw- \ 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 / "2-- ej- 11 j 20 Residential ��RECEIVED -- FOR OFFICE USE ONLY Received City of Tigard Date/By: // 9/20 0 / Pe mit No.iySTZOZO GC)5/S Phone: SW Hall Blvd.,Tigard,OR 97223MI N O V 0 3 2020 Nan Rev ew (ii ^ MA ��� �DQlh503718243 Wf/ 1R Sin other Permi 55 TIGARD Inspection Line: 503.639.4175 ci s Y C)F TICaARD Date Ready/By: (+�2 `� -lun ® See Page 2 for Internet: www.tigard-or.gov 4 Il lEl(' r11\/Icilnm Notified/Method.1 I I p 3l NC.a t (lit Supplemental Information t.rri +t L- ni n — TYPE OF WORK DATA'1-AND 2-t AMITY DWFI LING ® NcvY 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 OP CONSTRUCTION "' work indicated on this application. Valuation: $ 36 11( —1 Z ® I-and 2-family dwelling ❑Commercial/industrial ElAccessory building ID Multi-familyNumber of bedrooms:5 ❑ Master builder ❑ Other: Number of bathrooms:3 JOB SITE INFORMATION, ' Total number of floors:2 39 I 1 Job site address:16970 SW Rockhampton Ln New dwelling area: 2925 square feet (U in City/State/ZIP: Garage/carport area: 486 square feet ,7:57. Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL.-USE'CHECKLIST Subdivision:Polygon at Roshak Ridge Lot no.:242 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 r DESCRIPTION OF WORK "it jn„,, " l work indicated on this application. Plan 5B ASE Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT IlF- 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: ( )360 695-7700 Fax:( )360 693-4442 New: 0 APPLICANT ❑ CON'rAC'I' PERSON ' BUILDING PER]II f FEES' (Please refer to fee schedule) Business name:Polygon Homes WLH LLC Structural plan review fee(or deposit): Contact name:Tonja Morris FLS plan review fee(if applicable): Address:703 Broadway St., Ste 510 Total fees due upon application: City/State/ZIP:Vancouver, WA 98660 Amount received: Phone:( )360 695-7700 Fax::( )360 693-4442 6-mail PIIOI'OVOLT.41C SOLAR PANEL S t Commercial and residential prescriptive installation of CONTRA "+ ' t roof-top mounted PhotoVoltaic Solar Panel System. Business name:Polygon Homes WLH LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway St., Ste 510 Solar Installation Specialty Code checklist. 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: $201.60 Authorized signature: /gia, 22LGi This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Tonja Morris Date:10/21/2020 *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application "' - �i � ' FOR OFFICE USE ONLY City of Tigard RECEfVE® RDate/By: /-4sr d0 t Received �y� P'i No. 20 0 'r 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 NOVq qq Dan Review N 0 3 20LU pateBy: Other Permit: T 14i h 141� Inspection Line: 503.639.4175 __ Date Ready/By; lids: Etfa See Page 2 r Internet: www.tigard-or.gov CITY OF i"IGARD Notified/Method: "+`ei Supplemental Information BUILDING DIVISION t+7 TYPE OF WORK COMMERCIAL FEE* SCHEDULE`-USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit Value:$ CATEGORY OF CONSTRUCTION . - RESIDENTIAL EQUIPMENT/SYSTEMS FEES*. 12 1-and 2-family dwelling ❑Commercial/industrial ❑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: 16970 NW Rockhampton Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duc:s/veers) 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(fires-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Roshak Ridge Lot no.: 242 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 Other, 23.32 ►: PROPERTY OWNER ❑ TENANT - 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/ZLP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 ►i APPLICANT. ❑ CONTACT PERSON Other: 23.32 Business name:Polygon WLH,LLC Fuel piping: 514.15 for first four;S4.03 for each additional Contact name:Tonja Morris 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 Fax::(360)693-4442 Fireplace Range E-mail:permitsubmittalsCtayIOrMOlTISOD.COM Barbecue iNt CONTRACTOR Clothes dryer(gas) Business name:Pro Heating&Cooling Other. . ECIIANICALPERMIT FEES* Address: NW Alociek Dr,Ste.1104 Subtotal City/State/ZIP:Hillsboro,OR Minimum permit fee(S90.00) Phone:(360)270-1590 Fax:( ) Plan review(25%ofpermit fee) State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT FEE This permit application expires if a permit Is not obtained within 180 days after it has been accepted as complete. Authorized si�tature: �Q'' * Fee methodology set by Tri-County Building Industry Service Board Print name:Elia Duran Date: 10/30/20 Electrical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVE Received veed Permit#: K 2f-z(� 51$ IIII13125 SW Hall Blvd.,Tigard,OR 97223 N 0 V 0 3 2020 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit Inspection Line: 503.639.4175 _ Ready Date/By Saris ® See Page 2 for TIC ARD Internet: wwwtigard-or.gov ppCI-�iryYpip�l' I'l e FO Notified/Method 71� Supplemental Information TYPE OF *ORK 1 () - IRE . 1 . ® New construction ❑ Additionialteration/replacement Please check all that apply(submit 2 sets of plans w/Iten6 chcckedl: ❑Service or feeder 400 amps or more 0 Building over three stones. ❑ Demolition E Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® I-and 2-ftttnilt dwelling ❑ Commercial/industrial ❑ Accessory building lesstogound,orexceeds14,o00 ❑Commercial-useagriculural amps for all other installations. buildings. ❑ Multi-famiy ❑ Master builder ❑ Other: ❑Fire pump. 0 Installation of 150 KVA or .JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived --- 0 Addition of new motor load of system. Job#: Job site address:16970 NW Rockhampton looHPormore. ❑ ' ", E, '1-2 ,`1-sn. 0 Six or more residential units. occupancy. City/State/ZIP: 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Roshak Ridge ❑Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: si I, m l�w��� . � � �,�� B F tL`; Description Qty. Each Total I * New residential single-or multi-family dwelling unit. Subdivision: Roshak Ridge Lot#:242 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 I a L , 4N OF WORK Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.if) II I'1 µ � r°i � r 1 I , , Renewable EDergy ❑ See Page 2 , F o-t �' J iflr � P(`:- Services le feeders installation,alteration,and/or relocation Name: Polygon Homes WLH, LLC 200 amps or less 100.70 2 Address: 703 Broadway St., Ste 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 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:permitsubmittals@taylormorrison.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 t intended fbr 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 16854 2 i rye- : I1 I /o L 1111 t Branch circuits-new,alteration,or extension,per panel �.n 614 ���i rtl W": - '.i(� i ,.n-, 11 A.Fee for branch circuits with Business name: Polygon Homes WLH, LLC above service or feeder fee, 742 2 each branch circuit Contact name: Tonja Morris B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: 703 Broadway St., Ste 510 branch circuit City/State/ZIP: Vancouver WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 360 )816-7800 Fax: : ( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: permitsubmittals@taylormorrison.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 l3usincss name: Portland Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy El See Page 2 2 Address: 1915 E 5th St., Ste D panel,alteration,or extension. City/State/ZIP: Vancouver, WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 360)314-4915 Fax:( ) Investigation(1 hr min) 90.00/hr aUl ortlandelectric.biz Industrial plant(lhrmin) 78.18/hr Email p @p Inspections for which no fee is 90 00/hr CCB Lie.: 194066 Electrical Lic.: C760 Suprv.Lie: 49205 s cificallja listed Ya hr min) n e_ r.,,. a ,°1C1/. PERYIrr FEES Suprv. Electrician signature,required: a x AR m a Subtotal: Print name: Alex Shalya I Da e:1 0/30/20 0 Plan Review Required(25%of permit fee): Q State surcharge(12%of permit fee): Authorized signature: ..k - � �I1�L//I.(idii & 'TOTAL PERMIT FEE.: 0 (J This permit application expires if a permit is not obtained within 180 Print name: Sergey Mishchuk Date:10/30/20 days after it has been accepted as complete. * Number of inspections allowed per permit. I\Building\PermitstELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I I/05/COM/WEB Plumbing Permit Application `, Building Fixtures RECEIVE E 1 FOR OFFICE USE ONL1` Received r7 -DU 315 - City of Tigard Permit tic i�j�rZQ,Zp r 13125 SW Hall Blvd.,Tigard,OR 97223 NOV 0 3 2020 Date/By: Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date By: Other Permit No.: TIG11tiq Inspection Line: 503.639.4175 CITY OF TIGARD DateReadyBy: .yu� NJ See Page 2for Internet: www.tigard-or.gov BUILDING DIVISIO .Notified/Method. 1 1t Supplemental Information TYPE OF WORK FEET SCHEDULE ®New construction 0 Demolition For special information use checklist Description Qty. Ea. I 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 ©"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 AM) LOCATION Site utilities: rob site address: 16970 NW Rockhampton Catch basin or area do n 1$.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:Roshak Ridge Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Roshak Ridge Lot no.: 242 Fixture or item: Tax map/parcel no.: Backilow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 Ei PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixture/sewer cap 25,02 Floor drain/floor sink/hub 25.02 Address:703 Broadway St.,Ste 510 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 ID APPLICANT 0 CONTACT PERSON Interceptor/greasetrap 25.02 Business name:Polygon WLIi,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Tonja Morris Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basin/lavatory Li-htil4-y ( 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 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:G&B Plumbing&Sons Inc _ Water piping/DWV 56.29 Address:P.O.Box 92 Other. 25.02 City/State/ZIP:St.Paul,OR 97137 Subtotal Phone:(503)868-1417 Fax:(971)727-8170 Minimum per t fee: $72.50 CCB Lie.:184372 Plumbing Lie.no.:pb634 Plan review (25%of permit fee) ;® State surcharge(12%of permit fee) Authorized signature: ^j yt.Nl, �- TOTAL PERMIT FEE Print name:Steve Fowler Date: 10/30/20 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. LtRnildinn\P,rnitc\Pt.Mtl-PermkAn°.doe 10/01109 440-4616T(10/02/COM/WEB1 Ci Tigard o.f COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: M STZo 2_0- 00315 Site Address: 16970 SW Rockhampton Lane Project Name: Polygon @, Roshak Ridge Lot #: 242 Planning Review Proposal: New House ® Verify address/suite# active in Accela.- ID In River Terrace: El No ® Yes, River Ten-ace Review Addendum Site Plan'Elements: Erosion Control W3 copies of site plan on 8-1/2"x 11" or 11 x 17"paper ilia Retained trees with drip line and tree protection measures ®Drawn to scale(standard architect or engineer scale) ®Footprint of new structure(including decks)and FFE ®North arrow IIJUtility locations&easements(required for new and additions) ; ]Site address,project or subdivision name and lot number Sidewalk/driveway approach K]Applicant information(name and phone number) ntaLocation of wells/septic systems g7Lot dimensions and building setback dimensions E4 Street tree size,type and location n/®Square footage of buildings to be demolished Ci]Street names n/®Existing structures on site K]Comer elevations(2'contours if more than 4'differential) XI Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? CI1 ❑No impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es ENo J Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified X No Received: ❑ Yes El No ® Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified EX No Received: El Yes ❑ No ® SDC Exemption for ADU applied for: ❑ Yes X No Received: ❑ Yes ❑ No ® Public Facilities Improvement (PH) Permit: Required: ❑ Yes,applicant was notified X No Applied For: ❑ Yes ❑ No,stop intake ® Land Use Case#: PDR2016-00002/SU B2015-00004 ® Zoning: R-12 ❑ Required Setbacks: Front: 8' Rear: 15' Side: 3' Street Side: t\1/Pr Garage: 20' tgl Building Height Max.Height: 35 ft Actual Height: 28 ft • Landscape Area: 20 % ® Lot Coverage Max: 80 Entrance k no more than 8' from street-facing wall ❑ Parallel to street or offset 45 degrees or Windows ❑ Minimum a of all street-facing facades Garage ❑ Garage door is behind wi -facing wall ❑ Yes ❑ of the following is met: ❑ Door extends no more than 5'fr nrl there is o env rch extenring beyond garage. El Door extends no more SEE RIVER TERRACE ADDENDUM ;e garage on 2"floor. El Garage door width is ❑ 12'or le 0%or less of facade ° or less and includes 7 of following: ❑ Covered porch cessed entrance ❑ Wall offset El 1'Roo e ❑ Roof offset ❑ Fire s El Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof er Accent siding 0 Window trim ❑ Window recess ❑ Window projection ❑ Balcon Visual Clearance $II Urban Forestry Plan Sensitive Lands: El Yes N No Type: IX Conditions met prior to issuance of building permit Notes: I Approved By Planning: Date: 11 121 Revisions (after Building Submittal on y) Reviewer Datc Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved l:\Building\Forms\BI dgPenn itRvw_RE S_122419.docx Building Permit Submittal r Original Submittal Date: !//3/2020 Site Plans: # 3 Building Plans: # 3 Building Permit#: CY$nter building permit#above. Workflow Routing: W/Planning Q.-Engineering Permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: ail- Engineering: (1) copy of permit application, (1)site plan, (1) building plan and original plan review routing form. lr uilding: original permit application,site plans,building plans, engineer and beam calculations a . st details,if applicable,etc. Notes: By Permit Technician: -...F.yo/ii,'/////G Date: /f/'?/2o20 Engineering Review r Ar Slope at building pad: 2 ❑ Conditions "Met"prior to issuance of building permit w//47 V.�Ea•sements (encroachments)per engineering conditions of approval and plat IP Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Assess Water Quantity Fee in-lieu: ❑ Yes Vo � LIDA Facility on lot: ❑ Yes 'No LK F�inal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: tApproved by Engineering: Date: fl Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: g.SDC Exemption: ❑ Received ,' Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: V Yes El N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: I Yes ❑ N/A LIDA ❑ Yes X N/A X OK to Issue Permit Approved by Permit Coordinator: Vtq / Y Date: II i 10 IZQ I:\Bui Id ing\Forms\BldgPermitRvwRE S_I22419.docx City of Tigard _ q COMMUNITY DEVELOPMENT DEPARTMENT River Terrace Building Permit Review Addendum TIGARD Building Permit #: (' . 720 2-0 -00 31 S. Site Address: 16970 SW Rockhampton Lane Project Name: Polygon @ Roshak Ridge Lot #: 242 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planniri 1Jeviety of) fiver terrace Plan District Design Standards (18.640.070.1): Is the project subject to the plan district design standards? ® 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 dormer ft. deep min. 2ft., 5 ft. wide min. 2 ft., 6ft.wide N F/R/S ❑ E ❑ g7 S 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: F:19% / R:17% / S:13% 3. Entrances: At least one entrance must meet both of the following standards: ® Max. 8 ft. setback from longest street- facing 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: ® 25 sq.ft. min. ® One street facing entry ® 12 ft. max. roof above floor of porch ® 5 ft. depth min. 130% 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 F/R/S ;Z] Recessed entry area min. 5 ft.wide x 2 ft. deep F/R ® Wall offset min. 16 inches F ® Dormer min. 4 ft.wide S IN Roof eave min. 12 inch projection F/R/S ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood ® Gable,hip or gambrel roof design F/R/S ❑ Roof pitch oriented south min. 500 sq. ft. ® Horizontal lap siding min. 3-7 inches wide R ❑ Accent siding min. 40%of street facade ® Window trim min. 2 1/2"wide by 5/8" deep R/S O Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft.deep with inside access 0 Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. ® Yes 0 No. If No (Check one): O 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 above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ® 40%max. of street facade O 50% max. of street facade with 7 detailed design elements Notes:Approved By Planning: }} _.,,� p'/)�ti.�- Date: j /'1 /20 I:\Building\Forms\BldgPermaRvw_RES_RT_I 21417.docx (�