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Permit
CITY OF TIGARD MASTER PERMIT 111 a n COMMUNITY DEVELOPMENT Permit#: MST2021-00054 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2S1072021 Parcel: S107AA13600 Jurisdiction: Tigard Site address: 16705 SW SUNSHINE COAST ST Subdivision: ROSHAK RIDGE Lot: 136 Project: Polygon at Roshak Ridge, Lot 136 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1050 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1461 sf Garage: 400 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2511 sf Value: $326,989.06 Rear: 10 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 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bcktlw 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 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=10OK: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-800 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 SF VB R-3 2511 Owner: Contractor: POLYGON WLH LLC Vv1LLIAM 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: 380-695-7700 FAX: Total Fees: $41,953.01 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�y or 1.800.332.2344. Issued By: Ho-ly Varvi e'Wege Permlttee Signature: On.AppU.cat'Lovt 9 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 13-21I7/21 Residential R FOR OFFICE USE ONLY '/' / /1/) City of Tigard �� Datellya t� Z .`g Permit No.:Ksr�VzL 1X)0 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ♦ 11 Other Pernti Phone: 503.718.2439 Fax: 503.598.1960 FEB 17 2021 Date/By. 'IE/Z(, GVR JZ�-A7443 TIGARD Inspection Line: 503.639.4175 Date Ready/By: f IN See Paget for Internet: www.tigard-or.gov CITY OF TIGARD Notifi ethod:3J / G Supplemental Information GILDING DIVISION TYPE OF W REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. (P 32L 6i8°1 ° ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ ( ❑Accessory building ❑Multi-family Number of bedrooms: 5 El Master builder El Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 ICI ' I Job site address: 16705 SW Sunshine Coast St New dwelling area: 2511 square feet I y lo t City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 400 square feet I O D Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: X square feet l Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: 136 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 DES CItIPTION,OF WORK. work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name:Polygon Homes WLH LLC Type of construction: Address:703 Broadway St.,Ste 510 Occupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:( )360 695-7700 Fax:( )360 693-4442 New: ® APPLICANT El CONTACT PERSON Vi9 BUILDING PERMIT FEES* Business name:Polygon Homes WLH LLC (Please refer mfee schedule 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 Amount received: Phone:( )360 695-7700 Fax::( )360 693-4442 E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of 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 lic.:207247 �t �r Total fee due upon application: $201.60 , Authorized signature: 0m.a...icy ,cy 66. 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: 02/15/2021 a Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application lr� FOR OFFICE USE ONLY j c ECEIVED Received Msr2 2f-VOOU5. City of Tigard Permit No.: 13125 SW Hall Blvd,Tigard,OR 97 3 Plaa Review Phone: 503.718.2439 Fax: 503.598.1960 Otter Permit: Dak/By: 1'i t i is It b Inspection Line: 503.639.4175 FEB 17 2021 Date ReadyBy: Iaris: 8J See Page 2 far Internet www.tigard-or.gov Notified/Method! Supplemental Information CITY OF TIGARD TYPE OF "M1LDING DIVISION 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 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY.OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ®1-and 2-family dwelling ❑CommerciaUindustrial ❑Accessory building For special information use checklist ( j Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning I 46.75 Job site address: 16705 SW Sunshine Coast St Furnace 100,000 BTU(ducts/vews) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducte/vents) 54.91 Suite/bldgiapL no.: Project name: Polygon at Roshak Ridge Heat pump 61.06 Duct work 23.32 Cross street/directioos 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.: 136 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 Loa Winer(VS) 23.32 Wood/pellet stove 33.39 Wood fireplace/mse t 23.32 Chimney/liner/flue/vent 23.32 Other 23.32 ® PROPERTY OWNER 0 TENANT - ' - Environmental exhaust and venttladon: Name:Polygon WLH,LLC Range hood/other kitchen pii Address:703 Broadway St.,Ste.510 6°t 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, mild compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 2332 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 - Business name:Polygon WLH,LLC Fuel piping: S14.15 for first four;54.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway St.,Ste 510 Gas beat pump W all/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax:(360)693-4442 Fireplace I E-mail:perm sitsub ittalstrytaylOrmOrrlSOn.COm age l Barheeue t CONTRACTOR Clothes dryer(gas) Business name:Pro Healing&Cooling Other MECHANICAL PERMIT FEES* Address: NW Alociek Dr,Ste.1104 Subtotal City/State/LIP:Hillsboro,OR Minimum permit fee(590.00) Plan review(25%of permit fee) Phone (360)270-1590 Fax:( ) 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 signature: �a" ��"n'Q''n' ` Fce methodology set by Tti-County Building Industry Service Board Print name:Elia Duran Date 10/30/20 ,n,,OrlinaAPnmlrc\Mai Permit Ann N1111S An. AAA.ur+r.1.rn.r....rm.ce, Electrical Perntjp_pliglia E C E I V E D FOR OFFICE USE ONLY Received A/C��1n7�A,1 City of Tigard Date/B : Permit#: /vt O �+VL VCJO g, IIi • 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 17 2021 Plan Review I Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Inspection Line: 503.639.4175 CITY OF TIGARD Ready DateBy: cans: 121 See Page 2 for T I c,A RI) Internet: www.tigard-or.gov Notified/Method: Supplemental Information RUILDING DIVISION TYPE OF WORK PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ElService or feeder 400 amps or more ❑Building over three stories. 0 Demolition El Other: where the available fault current ❑Marinas and boatyards. CATEGORY.OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. El I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 El Cornme vial-use agricultural • amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION:AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 16705 SW Sunshine Coast 100HPormore. ❑"A,"E"."I-2","lJ", City/State/ZIP: Tigard OR 97224 0 Six or more residential units. occupancy. ry g ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Polygon at Roshak Ridge ❑Hazardous locations. 0 Supply voltage for more than O Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Earls I Total I * New residential single-or multi-family dwelling unit. Subdivision: Roshak Ridge Lot#:136 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 (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) fa PROPERTY OWNER El TENANT Renewable Energy ❑ See Page 2 Services or 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 Got amps to 1,000 amps 301.04 2 Phone:(360 )695-7700 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 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 ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Polygon Homes WLH, LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: Omar Alami Abouhafs B.Fee for branch circuits without service or feeder fee,first Address: 56.18 2 703 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 Email: permitsubmittals©taylormorrison.com dwelling,service and/or feeder Reconnect only 67.84 2 - CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Portland Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ 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 Email:paul@portlandelectric.biz Industrialplant(lhrmin) 78.18 hr Inspections for which no fee is 90.00/hr CCB Lic.: 194066 Electrical Lic.: C760 Suprv.Lic.: 4920&S specifically listed(/hr min) n s- ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: l.�I.CT.x Subtotal: Print name: Alex Shalya Da(ie/:10/30/20 0 Plan Review Required(25o/a of permit fee): Q State surcharge(12%of permit fee): �Authorized signature: e11 - l,d�fL[J►I.( k, TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within ISO Print name: Sergey Mishchuk Date:10/30/20 days after it has been accepted as complete. ' Number of inspections allowed per permit. LtBuilding\Pesa nls1ELC_PertnitApp_ELR_FRF doe Rev 06/17/2015 440-4615T(1 l/05/COM/WEB Electrical Permit Application—City of Tigard . . Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description Qtr. I Each I Total I y Renewable electrical energy systems: Check Type of Work Involved: s kva orless 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 n Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kvain(fee accordance 552.26 2 with OAR 918-309-0040) El Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr charged at an hourly(t hr min) Inspections for which no fee is 90,00/hr specifically listed('/hr min) ELECTRICAL PERMIT FEES COMMERCIAL WORK ONLY: Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 a Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls El Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC El Instrumentation El Intercom and Paging Systems ❑ Landscape Irrigation Control* O Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* El Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I'.1 Building\Pemtits\ELC PemtitApp_ELR ERE.doc Rev 06/1712015 • a Plumbing Permit Application Building Fixtures RECEIVE • • ONLY eeeived q City of Tigard Pe„ns:N M sr11)Z! t VaS v 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: ® Phone: 503.7181439 Fax: 503.598.1960 FEB 17 2021 Plan Reyiew Other Permit No.: Inspection Line: 503.639.4175 Date/By: TIGARD Date Ready/By: Iris: ® See Page 2 for Internet: www.tigardor.gov CITY OF TIGARD Notified/Method: Supplemental Information TYPE OF WO k. FEE* SCHEDULE 51 New construction 0 Demolition For special information use checklist Description I Qty. I Fa. I Total ID Addition/alteration/replacementOther: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 Xl-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 ❑Accessory %�Multl-family Each additional bathJkitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16705 SW Sunshine Coast St Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywall,leach line,or trench drain I8.76 Footing drain(no.linear ft.: ) Page 2 Suitebldg./apt.no.: I Project name:iiwi •Polygon at Roshak Ridge Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: 1 Page 2 Subdivision:Roshak Ridge I Lot no': 136 Fixture or item: Tax map/parcel no.: Bacldlow 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 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:Polygon WLH,LLC Fixmrr sewer cap 25.02 Floor drain/floor sinkJhub 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 Inteteeplodgrease trap 25.02 Business name:Polygon WLH,LLC Medial gas(value:S ) Page 2 Primer 12.51 Contact name:Tonja Morris Roof drain(commercial) 12.51 Address:703 Broadway St.,Ste 510 Sink/basin/avatory 25.02 City/StateJZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shawerpan 12.51 E-mail:permitsubmittals®polygoohomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water PIP P�m W 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: S72.50 CCB Lic.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authoriz�signature: j{, C `�. 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:IiiiiidanslecrmitsTLMUiPensitAcp.der o as es 440.4616T(10/02 COMME8) a/I1laj City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T i c n x D Building Permit Review — Residential Building Permit #: M STZO2 L-OOO 1 Site Address: 16705 SW Sunshine Coast St Project Name: Polygon @ Roshack Ridge Lot #: 136 Planning Review Proposal: new house ® Verify address/suite#active in Accela. ® In River Terrace: ❑ No ❑ Yes, River Terrace Review Addendum Site Plan Elements: XC Erosion Control C]Z3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper naRetained trees with drip line and tree protection measures ®Drawn to scale (standard architect or engineer scale) K Footprint of new structure(including decks)and FFE 1&North arrow K Utility locations&easements(required for new and additions) X7Site address,project or subdivision name and lot number ®Sidewalk/driveway approach ®Applicant information(name and phone number) 1'aLocation of wells/septic systems ®Lot dimensions and building setback dimensions ®Street tree size,type and location na Square footage of buildings to be demolished ®Street names na1Existing structures on site ,f]Corner elevations (2'contours if more than 4'differential) ®Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 14iicA ElNo impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes ❑No E Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified K No Received: ❑ Yes ❑ No ® Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes ❑ No SDC Exemption for ADU applied for: ❑ Yes K No Received: ❑ Yes ❑ No ® Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified kJ No Applied For: ❑ Yes El No,stop intake ® Land Use Case#: PDR2015-00002 ® Zoning: R-12 ® Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: 8 Garage: 20 ® Building Height Max. I ieight: na Actual Height: 27 XI Landscape Area: 20 % ® Lot Coverage Max: 80 Entrance back no more than 8' from street-facing wall ❑ Parallel to street or offset 45 degree Windows ❑ Minim ° of area of all street-facing facades Garage ❑ Garage door is e • st street-facing wall ❑ Yes e of the following is met: ❑ Door extends no more ' m wall and there is a orch extending beyond garage. ❑ Door extends no more than 5'See RT Addendum t.window above garage on 2nd floor. ❑ Garage door width is ❑ 12'o 0°/n or ade ❑ 60%or less and includes 7 of following: ❑ Covered porc cessed entrance ❑ Wall of se 'Roof eave ❑ Roof offset ❑ F' s El Lap Siding ❑ Roof pitch ❑ Gable,hip, rel roof ❑ Dormer Accent siding ❑ Window trim ❑ Window recess ❑ Window pr • ❑ Balcony ® Visual Clearance ® Urban Forestry Plan gi Sensitive Lands: ❑ Yes g No Type: ® Conditions met prior to issuance of building permit Notes: /8 zf Approved By Planning: , jl,0 �j 7M tJ)tl Date: 201/2021 Revisions (after Building Submittal only) (J Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitR vw_RE S_122419.docx Building Permit Submittal Original Submittal Date: 62/T/662/ Site Plans: # . Building Plans: # Building Permit#: Er-Enter building permit#above. Workflow Routing: t Planning Engineering O'Permit Coordinator L��Building Workflow Sign-off: 2/Sign-off for Planning(include notes from planning review) Route Application Documents: Er Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. CR/Building: original permit application,site plans,building plans, engineer and beam calculations and details,if applicable,etc. Notes: By Permit Technician: Date: 43/ 42/ Engineering� gi/ Review [ ' ope at building pad: 2 CfConditions "Met"prior to issuance of building permit W"Easements (encroachments)per engineering conditions of approval and plat L7 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: E Yes No LIDA Facility on lot ❑ Yes !2 too Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Cfrpproved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Permit Coordinator Review X1 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: 6(1 SDC Exemption: 0 Received JZ Does not apply Ill SDC Fees Entered: Wash Co Trans Dev Tax: l4 Yes ❑ N/A Tigard Trans SDC: Zi Yes 0 N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes JZ N/A LEI OK to Issue Permit Approved by Permit Coordinator: trA9Q61/1v. Date: 2I Z3 ) 1674 I:1Building\Forms\BldgPermitRvw_RES_I22419.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T i G A R D River Terrace Building Permit Review Addendum Building Permit #: /AST-021-000 g4 Site Address: 16705 SW Sunshine Coast St Project Name: Polygon @ Roshack Ridge Lot #: 136 (New dwelling= subdivision name;Addition or Alteration=last name of owner) Plannink l)eviety ofRiver Perrace Plan District Desiko 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 façade 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. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep Gabled dormer ft. deep min. 2ft., 5 ft. wide min.2 ft.,6ft.wide ® FIS ❑ ❑ ❑ ® S 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: F:15% I S:12% 3. Entrances:At least one entrance must meet both of the following standards: El 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. E One street facing entry 4 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 façades: Covered porch min. 5 ft.wide x 5 ft. deep F Ca Recessed entry area min. 5 ft.wide x 2 ft. deep F ® Wall offset min. 16 inches F ® Dormer min. 4 ft.wide S ® Roof eave min. 12 inch projectionF/S ® Roof offset min. of 2 ft. F ❑ Roof shingles either tile or wood ® Gable,hip or gambrel roof design FIS ❑ Roof pitch oriented south min. 500 sq. ft. ® Horizontal lap siding min. 3-7 inches wideS ❑ Accent siding min. 40%of street facade ® Window trim min. 2 1/2" wide by 5/8" deep F/S ❑ 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 façade 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 ❑ No. If No (Check one): ❑ 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 ® 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: Airm 4frtek Date: 2/18/2021 I'.\Building\Forms\BldgPermitRvw_RES_RT_121417.docx