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Permit
CITY OF TIGARD MASTER PERMIT 2.. COMMUNITY DEVELOPMENT Permit#: MST2021-00070 .TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/23/2021 Parcel: 2S107AA15500 Jurisdiction: Tigard Site address: 16714 SW SUNSHINE COAST ST Subdivision: ROSHAK RIDGE Lot: 155 Project: Polygon at Roshak Ridge, Lot 155 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1242 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 5 Second: 1722 sf Garage: 486 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2964 sf Value: $386,654.22 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 Bckew Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywall-Trench Drain: 0 Other Fixtures: 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: 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'!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: 0 601-1000 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 2964 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: $43,773.32 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 mare 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: lfb Van/Pe-we a Permittee Signature: 0IvAppUcatwn Call S03.639.4176 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. i * Building Permit Application 5- 17 la ` . • Residential FOR OFFICEO/ USE ONLY Iii City of Tigard RECEIVED Rego 03 01 202/ $I. PermtNoi ISrZ02 Ot7Q`7O • 13125 SW Hall Blvd.,Tigard,OR 97223 7 q Plan Review , �� Other PetmitSVf/2�Z't"OC7t�r7r7 Phone: 503.718.2439 Fax: 503.598.1960 FEB 1 2021 Date/By: 3 "1 I I(I A R U Inspection Line: 503.639.4175 Date Reedy/By r . /'1 0 See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD . ,tilled/method.3 C..62/ / / ' t��— Supplemental Information TYPE OF WORK REQUIRED DATA: -AM)2-FAMILY DWELLING 0 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 CONSTRUCTION work indicated on this application. dwellingValuation: S 35(Q 59, ® 1-and 2-family ❑Commercial industrial f 0 Accessory building 0 Multi-family Number of bedrooms: 5 El Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 l I S O Job site address: 16714 SW Sunshine Coast St New dwelling area: 2964 square feet `�17 1 City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 486 square feet t fl11.4 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: I Lot no.: 155 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 Single Family Valuation: $ Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name:Polygon Homes WLH LLC Type of construction: Address:703 Broadway St., Ste 510 Occupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:( )360 695-7700 Fax:( )360 693-4442 New: 0 APPLICANT 0 CONTACT PERSON v9 BUILDING PERMIT FEES* Business name:Polygon Homes WLH LLC (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Omar Alami Abouhafs 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: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: Commercial and residential prescriptive installation of CONTRACTOR 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, WA98660 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 tic.:207247 Total fee due upon application: $201.60 Authorized signature: (2In& .-4GQ.17Zlr.cY eenui le, This permit application expires if a permit is not obtained (J within 180 days after it has been accepted as complete. Print name:Omar Alami Abouhafs Date: 02/15/2021 *Fee methodology set by Tri-County Building Industry Service Board. C1Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY Received City of Tigard 2 ECEIVED Receive Permit Nn.:1457ZOzl 07o n114 13125 SW Hall Blvd.,Tigard,OR 972 .6 . Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 r� q q Dale Byt Other Permit: Tiii. i l} Inspection Line: 503.639.4175 FEB 1 C0L Date Ready/By.. MS: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental lnfonoation CITY Cr TIGARD — TYPE OF WORK 6WL DING DIVISION C014IAMERCter FEE* SCHEDULE - USE CFIECIO.LST New construction Mechanical permit fees*are based on the value of the work NI 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQTIIPAIENT/SYSTEMS FEES' ►l I-and 2-family dwelling 0 commercial/industrial 0 Accessory building Far special information use checklist. I j Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: — • Air conditioning 1 46.75 Job site address: 16714 SW Sunshine Coast St Furnace 100,000 BTU(ducWveois) 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: Polygon at 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.: 155 Other: 23.32 _ Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas frreplaceiinsert 33.39 Flue vent for water heater or gas fireplace 23.32 Loa lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® Oth' PROPERTY OWNER ❑ TENANTS 23.32 - ' - Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen Address:703 Broadway St.,Ste.510 equipment 33.39 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/crawispace fans 23.32 ® APPLICANT. ❑ CONTACT PERSON Other. 23.32 Business name:Polygon WLH,LLC Fuel piping: S14.15 for first four,S4.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway St.,Ste 510 Gas beat pump Wall/suspended/wit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax:(360)693-4442 Fireplace Range E-mail:permitsubmittalsl taylormorrison.com _ Barbecue k CONTRACTOR Clothes dryer(gas) Business name:Pro Heating&Cooling Other MECHANICAL PERMIT FEES' Address: ?'\V Alociek Dr,Ste.1104 Subtotal City/State/ZIP:Hillsboro,OR Minimum permit fee(S90.00) Plan review(25%of permit fee) Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee) CCB lilt.: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: �� "{1' ' Fee methodology set by Tri•County Building industry Service Board Print name:Elia Duran Date: 10/30/20 r-IAniWnePmmndMFr Pwnnii Ann lWuli fine .141‘flit?,rnnonimVcv, Electrical Permit Application RECEIVE!.., FOR OFFICE USE ONLY' City of Tigard Received MSI�(jZt "�QO 76 -. Date/B : Permit#. • 13125 SW Hall Blvd.,Tigard,OR 97223 q Plan Review Phone: 503.718.2439 Fax: 503.598.1960 FEB I 7 ZU F l DateB : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: tuns. HI See Page 2 for TIGARD Internet: wwwti rd-or. ov . - - Notified/Method: Supplemental Information � g ,,221IC11(`'` pP TYPE OF WOIt7[+ll 11 '.1. ... PLAN REVIEW ®New construction 0 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. El Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. El 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground or exceeds l4,000 ❑Comme c al-use ag cultural amps for all other installations. buildings. El Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ['Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 16714 SW Sunshine Coast 100HPormore. ❑"A "E","I-2"."1.3 City/State/ZIP: Tigard OR 97224 0 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 snips or more 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. i Each I Total I " New residential single-or multi-family dwelling unit. Subdivision: Roshak Ridge Lot#:155 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'1500 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.) Renewable Energy 0 See Page 2 tl PROPERTY OWNER ❑ TENANT 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 601 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 Branch circuits—new,alteration,or extension,per panel lil APPLICANT ❑ CONTACT' PERSON 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'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360 )816-7800 Fax: :( ) Each manufactured or modular 67.84 2 Email: ermitsubmittals to lormorrison.com dwelling,service and/or feeder p @ y Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle • 67.84 2 Business name: Portland Electric Sign or outline lighting 67.84 2 Address: 1915E 5th St., Ste D Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP: Vancouver, WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:( 360)314-4915 Fax:( ) Investigation(1 hr min) 90.00/hr Email:paul@portlandelectric.biz Indtnuialplant(lhrmn) 7s.ls/h Inspections for which no fee is 90.00/hr CCB Lie.: 194066 Electrical Lie.: C760 Suprv.Lie.: 4920y•5' specifically listed(Y:hr min) /� �� _R ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: l� tux, J�1�1rA A Subtotal: Print name: Alex Shalya D ee:10/30/20 ❑Plan Review Required(25%of permit fee): ,,/p� State surcharge(12%of permit fee): Authorized signature: �Jel1rQQ.fsd� fi'ul c iQ e,44, TOTAL PERMIT FEE: 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. 1:1Building\PemlltslELC PermitApp_ELR_ERE.doc Rev 06/17/2015 4404615T(il/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 fen Each Total y Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less loo 7o 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ 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 1 charged at an hourly(1 hr min) Inspections for which no fee is 90 00/hr specifically listed(92 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1)1 * 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 ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:lBuilding\PemsilslELC_PemutApp_ELR ERE.doc Rev 06/17/2015 Plumbing Permit Application " Building Fixtures RECE " ' FOR OFFICE USE ONLY Received Date/By: PennitNu.:M .TZ02. o City of Tigard • 1,111 MI 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 1 7 Plan Review 1 ill Phone: 503.718.2439 Fax: 503.598.1960 Date/By_ Other Permit No.: T I G A R I) Inspection Line: 503.639.4175 CITY OF 1, ,,, Dak Ready/By: tuns: Fl See Page 2 for Internet: www.tigard-or.gov BUll niNG PI\iv Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special itrformadon use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New I-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 ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: lob siteaddress:16714 SW Sunshine Coast St Catch basin ar 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.: I Project name: 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 R. ) Page 2 Storm sewer(no.linear ft.: ) Page 2 .-- Water service(no.linear ft.:_) Page 2 Subdivision:Rosbak Ridge Lot nc 155 Fixture or item: .......---------- Tax map/parcel no.: Backflow 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 0 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 ® APPLICANT 0 CONTACT PERSON interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:S_) Page 2 Primer 12.51 Contact name:Tonja Morris Roof chain(cotmnerial) 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 Water closet 25.02 CONTRACTOR 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 permit fee: S72.50 GCB Lic.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE This penult application expires if a permit is not obtained within 180 days Print name:Steve Fowler Date: 10/30/20 after it has been accepted as complete. "Fec methodology set by Tri-County Budding Industry Service Board. I:tBuiIdneennitsOPLMU-PemiiAPp.doe 10,01N9 440-4616T(Ia/I12/00M/wEB) A al)-7 1.2) City of Tigard 7 COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: M ST ZW ZI,-00070 Site Address: 16714 SW Sunshine Coast St Project Name: Polygon @ Roshak Ridge Lot #: 155 Planning Review Proposal: New house KI Verify address/suite# active in Accela. ® In Rives Terrace: ❑ No ® Yes, River Terrace Review Addendum Site Plan Elements: ®Erosion Control M3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper n®Retained trees with drip line and tree protection measures �l(Drawn to scale(standard architect or engineer scale) Xl Footprint of new structure(including decks)and FFE 6ClNorth arrow 1glUtility locations&easements (required for new and additions) XlSite address,project or subdivision name and lot number j�Sidewalk/driveway approach &Applicant information(name and phone number) naLocation of wells/septic systems INLot dimensions and building setback dimensions Kligtreet tree size,type and location fC Square footage of buildings to be demolished Zl Street names na0Existing structures on site XComer elevations(2'contours if more than 4'differential) MLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? E fA❑No impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? L],Yes ❑No ® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified M No Received: ❑ Yes ❑ No ® Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes El No KI SDC Exemption for ADU applied for: ❑ Yes E No Received: El Yes ❑ No l Public Facilities Improvement (PH) Permit: Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake ® Land Use Case#: SVS2©, 00 0I/ g1 Zoning: R-12 Il Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: 8 Garage: 20 ® Building Height: Max.Height: n/a Actual Height: 28 ® Landscape Area: 20 % l l Lot Coverage Max: 80 Entrance no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees Windows ❑ Minimum of all street-facing facades Garage ❑ Garage door is behind wi , cing wall ❑ Yes o the following is met: ❑ Door extends no more than 5' Do not apply. See River extending beyond garage. ❑ Door extends no more than 5'terrace Addendum w above garage on 2^d floor. ❑ Garage door width is ❑ 12' .,.,_...,...,. — ' •r less and includes 7 of following: ❑ Covered o ecessed entrance ❑ Wall offset 0 1'Roo e., ❑ Roof offset g es ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roo — - - .•er Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcon• ® Visual Clearance ® Urban Forestry Plan ® Sensitive Lands: ❑ Yes ® No Type: kl Conditions met prior to issuance of building permit Not Approved By Planning: c ' Date: '2/9S—/-21 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved I:1Buildi ng\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal ' Original Submittal Date: 02-(12.02I Site Plans: # .3 Building Plans: # 3 Building Permit#: [1:4""rnter building permit# above. ,��/ Workflow Routing: [ -'Planning [ L�Engineering t'ermit Coordinator Lt]'Building Workflow Sign-off: -Sign-off for Planning(include notes from planning review) Route Application Documents: [ .- ngineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculation trust details,if applicable,etc. Notes: By Permit Technician: - G / Date: 5-OI2O 2/ Engineering Review Slope at building pad: 3 71, VConditions Conditions "Met"prior to issuance of building permit /V C 4 2/Water (encroachments)per engineering conditions of approval and plat Itl Water Quality/Quantity Facility: , / Assess Water Quality Fee in-lieu: CI Yes UXNo Assess Water Quantity Fee in-lieu: CI Yes 1 :":„../No /LIDA Facility on lot: CIYes L� No Final Plat Recorded: El NOT Approved by Engineering: Date: N : V tes pproved by Engineering: Date: j Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved ermit Coordinator Review Co ditions "Met"prior to issuance of building permit illi/ • pproved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: R-vision Notice 2: Date Sent to Applicant: 14:D C Exemption: ❑ Received ID. � oes not apply PI / SDC Fees Entered: Wash Co Trans Dev Tax: 14 Yes ❑ N/A Tigard Trans SDC: O es ❑ N/A Parks SDC: V Yes ❑E/A LIDA CI Yes 94 N/A OK to Issue Permit Approved by Permit Coordinator: A-._ Date: 3/3A2-1 1:1B ui Id ing\Forms\BldgPermitRvw_RES_122419.docx City of Tigard Ie COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: i✓lST2_0Zl-00070 Site Address: 16714 SW Sunshine Coast St Project Name: Polygon @ Roshak Ridge Lot #: 155 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Plannixjj Review ofRiver 7-trrace 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. 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 2 Front ❑ ❑ ❑ kI Side- 2 dormers 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: F: 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. ❑ 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: It Covered porch min. 5 ft.wide x 5 ft.deep F ® Recessed entry area min. 5 ft.wide x 2 ft.deep F ❑ Wall offset min. 16 inches ® Dormer min. 4 ft.wide S ® Roof cave min. 12 inch projection F/S ❑ Roof offset min. of 2 ft. ❑ oof shingles either tile or woodvt ® Gable,hip or gambrel roof design F/S oof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min.3-7 inches wide Accent siding min. 40%of street facade ® Window trim min. 2 1/z'r 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 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. LJ 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) O 12-foot-wide garage door ® 40%max. of street facade ❑ 50%max.of street facade with 7 detailed design elements Notes: - 7.7 Approved By Planning: — _ � Date: —.2/.2,/2-/ IiBuiIding\Fornss\BldgPernulRv e_RES_RT_I 214I 7.docs