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Permit
CITY OF TIGARD MASTER PERMIT = a COMMUNITY DEVELOPMENT Permit#: MST2020-00314 T I G ARL) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/2 312 0 2 1 Parcel: 2S 107AA23900 Jurisdiction: Tigard Site address: 16904 SW ROCKHAMPTON LN Subdivision: ROSHAK RIDGE Lot: 239 Project: Polygon at Roshak Ridge, Lot 239 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1093 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26.5 Bathrooms: 3 Second: 1410 sf Garage: 400 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2503 sf Value: $326,009.38 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 0 StormSewer: 100 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 Tvoes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Gasoline Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvcfFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 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 8 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 V B R-3 2503 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: $41,049.91 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: i{oUyVavvVe'Weg-e Permittee Signature: 0""AppUCtiLtrlYL 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. •r 1 • Building Permit Application q E,- 1 103120 Residential FOR OFFICE USE ONLY City of Tigard R E C E I V E Li Received! Date/By: y 10Z0 �' Permit Ne.:M gT202.0- 3/4- i ..III . 13125 S W Hall Blvd.,Tigard,OR 97223 Plan Re ew ��1,' Phone: 503.718.2439 Fax: 503.598.1960 NO V 0 3 2020 DateBy: l 1 f 10J/2�20 . . Other Permits WR2O20 -00184 TI GA R D Inspection Line: 503.639.4175 _ Date Ready/By. J� 7ans H See Page 2 for Internet: www.tigard-or.gov CITY Y OF TIGARD Notified/Method. I II 3-/�' 4e -1T Supplemental Information TYPE OF WORK r16P D'VISIDN 11 4 K ,Y�r It REQ[JRF.DDATA: 1-AND 2 FA4fjY'RWEI,LiM1G ® New construction ❑ Demolition Permit fees*arc based on the value of the work pertbu ned. 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 CONSTRUCTIONwork indicated on this application. ® 1-and 2-family dwelling ['Commercial/industrial Valuation: $ 32 / Do ❑Accessory building 0 Multi-family Number of bedrooms: 5 ❑ Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 2-9 03 Job site address:16904 SW Rockhampton Ln New dwelling area: 2503 square feet (4 t Q City/State/ZIP: Garage/carport area: 400 square feet l 09 3 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 ' REQt IRE )ATA:COYISIERCIAL USE i 5 Subdivision:Polygon at Roshak Ridge Lot no.:239 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. Plan 3B Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY" OWNER ❑ TENANT it 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 ❑ CONTACT PERSON BUILDING PEI `,�'.�,�,� rIt1� "!! businessname:Polygon Homes WLH LLC (Pleane refer to fee stkPe h i(� „I11 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 Phone:( )360 695-7700 Fax: :( )360 693-4442 Amount received: E-mail: °=OTOVOLTAIQ�"cJ >'It °Ic.` i/nn ,, -' li.i,'1'i. a tiT" , 1 1' :ljit yt '^ ( ir'< <I1 11 , �l` r t ] t Commercial and residential prescriptive installation of ,,'1 '- , - ,'[j 1I1 ' +I ,.� G1li1 '�- �L'; _II' `_ Li,it" "f)',e 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 S180 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: $201.60 Authorized signature: %gypya. �,� This permit application expires if a permit is not obtained Vim/ within 180 days after it has been accepted as complete. Print name:Tonja Morris Date:10/21/2020 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB) r 1 • Mechanical Permit Applicatio ������� FOR OFFICE USE ONLY City of Tigard Received Date/By: Penn,t No.:M �ZG ' Sd 1 '1 13125 S W hall Blvd.,Tigard,OR 97223 Plan Review --- 5T C i 1 ' Phone: 503.718.2439 Fax: 503.598.1960 N O V 0 3 2020 DateBy. Othe Perm t: 7t{i.hlcl7 Inspection Line: 503.639.4175 DateReady/By: huts: El Internet: www.tigard-or.gov CITY Y OF (IU 1 ARD NotifiedMethnd: See Page for BUILDING DIVISION 1 t Supplemental Information — TYPE OF WORK COMMERCIAL FEE* SCHEDULE`— USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead.and profit. CATEGORY OF CONSTRUCTION Value:$ ® 1-and 2-family dwelling ❑Commercial/industrial RESIDENTIAL spec EQTJ1P erion !SYSTEMS FEES* ❑Accessory building For special information.use checklist l !Multi-family ❑Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: 16904 NW Rockhampton Air conditioning t 46.75 p Job site address: Furnace 100,000 BTU(ducts/vents) j 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/veins) 54.91 Suite/bldg./apt.no.: Project name: Roshak Ridge Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23,32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Roshak Ridge Lot no.: 239 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater I 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 ® PROPERTY OWNER .CI TENANT Other 23.32 Environmentalexhaustandventilation: Name:Polygon WLFI,LLC Range hood/other kitchen 1 1 Address:703 Broadway St„Ste: 510 equipment 33.39 Clothes dryerexhaust 1 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, Q toilet compartments,utility rooms) ./ 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT 0 CONTACT:rgi? ON Other: 23.32 Business name:Polygon WLH,LLC Fuel piping: S14.15 for first four;$4.03 for each additional Contact name:Tonja Morris Furnace,etc. l Address:703 Broadway St.,Ste 510 Gas beat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace j RangeEl E-mail:permitsnbmittalsCtaylOr17T0ITISOf1.00171 Barbecue 'IV 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($90.00) Plan review(25%of permit fee) Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 .e&�, b days after it has been accepted as complete. Authorized signaaue: * Fee methodology set by Tri-County Building industry Service Board Print name:Elia Duran Date: 10/30/20 , Electrical Permit Application RECEIVE.' FOR OFFICE USE ONLY City of Tigard Received IIIIt 13125 SW Hall Blvd.,Tigard,OR 97223 NOV 0 3 LO.0 Date/f3y. P` it" M$f10�o Qe314� Plan Review IL ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit 6: Inspection lane: 503 639.4175 Cl I Y OF 1 IC..Hi-ii.+ Ready Date/By: Juris: El See Page 2 for TIUARD Internet: v+Ns v5 Tigard-or guv BUILr1 DIN.tir I_; Notified/Method �� Supplemental Information TYPE OF WORK 1 &a' ;a' IEW . V New construction ❑ Addition/alteration/replacement Picasc check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. E 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. ® I-and 2-family d\vel ling �" less to ground,or exceeds 14,000 ❑Commercial-use agricultural O ❑ Commercial/industrial ❑ Accessor building amps for all other installations. buildings. ❑ Multi-family ❑ Master builder ❑ Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE,INFORWATXQN AND LOCATION ` ❑Emergency system. larger separately derived Job4: Job site address:16904 NW Rockhampton ❑100Hionofnew motor load of system. 00HP or more. ❑"A" "E""1-2" "1-3", City/State/ZIP: ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 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: 'I +`: - 3 ' !11l1Y: Description I Qty. Each I Total I New residential single-or multi-family dwelling unit. Subdivision: Roshak Ridge Lot#:239 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 1 p switAtt.ti I ii D.E .-— - i li'fi „., h l Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) gil'EItTY OW` ER i ,rd Renewable Energy 0 See Page 2 l ! I, , � ''.TENANT: L 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 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 Branch circuits—new,alteration,or extension, •er panel H lII -I Y4 s 1 1 -l(t A.Fee for branch circuits with Business name: Polygon Homes WLH, LLC above service or feeder fee, 7 42 2 Contact name: Tonja Morris eache branch an circuit ) B.Fee for branch circuits without Address: 703 BroadwaySt., Ste 510 branchce or feederitfee,first 56.18 2 branch circuit City/State/ZIP: Vancouver WA 98660 Each add'I branch circuit 742 2 Miscellaneous(service or feeder not included) Phone:(360 )816-7800 Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: permitsubmittals@taylormorrison.com ' Reconnect only 67.84 2 CON'l RAC FOR Pump or irrigation circle 67.84 2 Business name: Portland Electric Sign or outline lighting 67.84 2 Address: 1915 E 5th St., Ste D Signale lte ati n or lextension. 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) 66.25i hr Phone:( 360)314-4915 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:paul@portlandelectric.biz Inspections for which no fee is 90 00/fir CCB Lie.: 194066 Electrical Lie.: C760 Suprv.Lic.: 49205 s. ctficat] listed 'A hr min Suprv.Electrician signature.required: ate,x, xS Q.�p�. Subtotal Print name: Alex Shalya Da e:10/30/20 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: AQll i - V I L(AL,C Wt_t¢, TOTAL PERMIT FEE: (I This permit application expires if a permit is not obtained within 180 Print name: Serqey Mishchuk Date:10/30/20 days after it has been accepted as complete. * Number of inspections allowed per permit. 1:UJuilding\Permits6ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-46t5T(11/05/COM/WEB 0 ' Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE ESE ONLY City Tigard Ti and Received M 5�1020'003/�/ III 't 13125 SW Hall Blvd.,Tigard, 97223 NOV o 3 2020 Plan/By: Permit No: S _ Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 _ Other Permit No.: Inspection Line: 503.639.4175 CITY OF TIGARD Date/By: TIGARD g g BUILDING DIVISION Date Ready/By -Si BJ See Page 2 for Internet: www.ti and-or. ov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE i1 New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 /[ 1-and2-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 AND LOCATION Site utilities: Job site address: 16904 NW Rockhampton Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 CitylState/7.,1P:Tigard,OR 97224 Footing drain(no.linear ft:_) Page 2 Suite/bldg/apt.no.: 1 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.: 239 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.5I Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 1 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 ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2 Contact name:Tonja Morris Fr mer 12.51 Roof drain(commercial) 12.51 Address:703 Broadway St,Ste 510 Sink/basin/lavatory g tA1/1i yC / 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 pipingfDWV 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: $72.50 Plan review (25%of permit fee) CCB Lie.: 184372 Plumbing Lie.no.:pb634 A o .D - State surcharge(12%of permit fee) Authorized signature: W ,Qj�-<., 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. I.\Ruildinv\Permiv'c1PLMU-PermitAoador 10/01iln 44D4616T(I OPo2/COMAWEBI i City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT I TIGARD Building Permit Review — Residential Building Permit #: M STZ02D - 00314- Site Address: 16904 SW Rockhampton Lane Project Name: Polygon at Roshak Ridge Lot #: 239 Planning Review Proposal: New single detached house 0 Verify address/suite #active in Accela. ElIn River Terrace: ❑ No El Yes, River Terrace Review Addendum Site Plan Elements: arsion Control �1 copies of site plan on 8-1/2"x 11"or 11 x 17" paper ained trees with drip line and tree protection measures IS prawn to scale(standard architect or engineer scale) Footprint of new structure (including decks)and FFE 0 orth arrow •LJtility locations&easements(required for new and additions) Mite address,project or subdivision name and lot number °,i. walk/driveway approach 0 kpplicant information(name and phone number) & a.cation of wells/septic systems 0 .t dimensions and building setback dimensions jtreet tree size,type and location ,`i.�+...are footage of buildings to be demolished ,street names ,11.0 'sting structures on site 'Corner elevations (2'contours if more than 4'differential- 0 .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? LfYeso impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es ° -o ❑ Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑r No Received: ❑ Yes ❑° No ❑ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ❑r No Received: ❑ Yes ❑r No ❑ SDC Exemption for ADU applied for: ❑Yes El No Received: ❑Yes El No ❑o Public Facilities Improvement (PFI) Permit: Required: ❑✓ Yes,applicant was notified ❑ No Applied For: El Yes ❑ No,stop intake El Land Use Case#: SUB2015-00004 ❑r Zoning: R-12 ❑o Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: NSA Garage: 20 ❑. Building Height: Max. Height: N/A Actual Height: 26.5 ❑o Landsca.e Area: 20 °i° ElLot Coverage Max: 80 Entrance e no more than 8'from street-facing wall / ❑ Parallel to street or offset 45 et s or less Windows Minimum 12 ., of all street-facing facades 'nO(( Garage Gara e door is behind wades Stxe -facing wall 1: \ ElYe No,one of the following is met: ❑gDoor extends no more than 5' from d ther - covered porch extending beyond garage. uuDoor extends no more than 5'from n there' sq ft.window above garage on 2"d floor. ❑ Gara e door width is 1 ' ss 50%or less of facade °.,or less and includes 7 of following: Covered Recessed entrance ❑ Wall offset 1'Roof ea Roof offset ' s ' gles Lap Siding 0 Roof itch ❑ Gable,A5i,or gambrel roof rmer Accent siding Window trim U Window recess U Window projection Balcon N ii Visual Clearance ElUrban Forestryry Plan II Sensitive Lands: ❑ Yes EI No Type: II C ditions met prior to issuance of building permit No s: Approved By Planning: — /, Date: p Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRv w_RES_122419.docx Building Permit Submittal Original Submittal Date: //lb 3/z02 b Site Plans: # 0 Building Plans: # 3 Building Permit#: © .-Enter buildingermit# above. Workflow Routing: Planning ngineering RePermit Coordinator atuilding Workflow Sign-off: Q'Sign-off for Planning(include notes from planning review) Route Application Documents: Q'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. El-Building: original permit application, site plans,building plans,engineer and beam calculations a : trust details,if applicable,etc. Notes: .20 - . I U ByPermit Technician: �-iiir,//// Date: � �� Engineering Review w Slope at building pad: 2; ❑U,Conditions "Met"prior to issuance of building permit/4;4- I1Q Easements (encroachments) per engineering conditions of approval and plat II/Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Assess Water Quantity Fee in-lieu: El Yes u�A/>o LIDA Facility on lot: El Yesl1" No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: _//://7 Q 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: 4SDC Exemption: ❑ Received Pill Does not a ly SDC Fees Entered: Wash Co Trans Dev Tax: Y Yes � N/A Tigard Trans SDC: II Yes ❑ N/A Parks SDC: Yes ❑� N/A LIDA ❑ ,mi(Yes l N/A a-OK to Issue Permit Approved by Permit Coordinator: 7 1‘—, / \ -� Date: II (10120 I:\Building\Forms\BI dgPerm itRvw_RE S_122419.docx City of Tigard COMMUNTTY DEVELOPMENT DEPARTMENT C T I G A R D River Terrace Building Permit Review Addendum Building Permit #: HSTZOZ,O -- D03 t 4 Site Address: 16904 SW Rockhampton Lane Project Name: Polygon at Roshak Ridge Lot #: 239 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.640.070.L): Is the project subject to the plan district design standards? ❑o 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. ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ ❑ 2. Eyes 1 the street: a minimumof b0 1 %o each street facing facade must include windows or entrance doors. Percentage Shown: 3.ntrances: At least one entrance must meet both of the folio ing standards: UJ Max. 8 ft. setback from longe street- facing wall Parallel to street,angle no more than 45° from street, or op n onto porch ce opens to a porch: Yes CI No If s, all the following apply: sq.ft. min. ne street facing entry Entrft.max. roof above floor of porch 5 ft. depth min. 30%min. porch roof coverage 4. etailed Design:All buildings shall indude a min. of five of e following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ all offset min. 16 inches ❑ !dormer min. 4 ft.wide Lid Roof eave min. 12 inch projection oof offset min. of 2 ft. ❑Roof shingles either tile or wood IE able,hip or gambrel roof design ❑Roof pitch oriented south min. 500 sq. ft. rizontal lap siding min. 3-7 inches wide` ❑Accent siding min. 40%of street facade Window trim min. 2 1/2"wide by 5/8" deep r 1 c-- ❑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. Setb cks: N 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) ❑ foot-wide garage door ❑40% max. of street facade IA 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: �/ .2-a I\Building\Forms\BIdgPermitRvw.RES_RT_121417.docx