Permitr
CITY OF TIGARD MASTER PERMIT
14 COMMUNITY DEVELOPMENT Permit#: MST2021-00100
Date Issued: 04/22/2021
T t C;A P.D 13125 SW Hall Blvd.,Tigard OR 97223 503,718.2439
Parcel: 2S 107AA 16800
Jurisdiction: Tigard
Site address: 14218 SW 165TH AVE
Subdivision: ROSHAK RIDGE Lot: 168
Project: Polygon at Roshak Ridge, Lot 168
Project Description: New detached dwelling unit with 230sf covered patio.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 3 First: 2386 sf Basement: 0 at Left: 3 Parking Spaces: 0
Height: 20 Bathrooms: 3 Second: 0 sf Garage: 688 sf Front: 8 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors
Total: 2386 sf Value: $331,320.90 Rear: 20
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 Storm Sewer: 100
Tubs/Showers: 3 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
Furn<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'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O SvclFdr: 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 2386
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 96660
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $41,912.39
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: t Van/De,Wecje Permittee Signature: OWAppL1A.4 rLO'Vl
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.
Iv
Building Permit Applicatio>�ECEIVED •• - 3 2x- 21
Residential FOR OFFICE USE ONLY
City of Tigard MAR 2 2 2021 D«iB� 4e...
1 1 Permit No.:AI�r ��t Co
11 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 11 ►_ror/{„I
Phone: 503.718.2439 Fax: 503.598.1 Dete/B : Other Permit
' °ITY OF TIC�ARD y y a �� an -�n7
Inspection Line: 503.639.4175 p �t ^' Date Ready/By. / rms. ® gee'Page i or
IlG ARU Internet: www.tigard-or.gov BUILDIf3 DIVISION -otifred/Met,: 21 .2(),( / `) Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION d -
Valuation: $ 33(/ 32 0 r
® 1-and 2-family dwelling El Commercial/industrial
ElAccessory building El Multi-familyNumber of bedrooms:',K'lj
❑Master builder 0 Other: Number of bathrooms:)3
JOB SITE INFORMATION AND LOCATION Total number of floors t Sblit Job site address: 14218 SW 165th AVE New dwelling area: ' square feet ZDlb�
a
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: dM square feet
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet
Cross street/directions to job site: De k area: Q square feet
�k t l50 square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Polygon at Roshak Ridge Lot no.: 168 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
la PROPERTY OWNER ❑ 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:( 360 946 8674 Fax:( )360 693-4442 New:
l APPLICANT 0 CONTACT PERSON 6s9 BUILDING PERMIT FEES*
(Please refer is fee schedule)
Business name:Polygon Homes WLH LLC
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
.C,
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: 04la- iabAuhofc' LQ+OA1tyrMUlrntW• LIkte%
'd 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 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: D/42Qi1. 41amte FY(79 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: 03/19/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Mechanical Permit Applic �nCEIVED FOR OFFICE USE ONLY
City of Tigard Received r��,J g Permit N . t0 I O U
'I 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 21011 Plan
w 23 2l '� MST
t - Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit:
Inspection Line: 503.639.4175 DatelBy.
Y UGA RD CITY OF TIGARD Dam Ready/By: twin El See Page 2 for
Internet: www.tigard-or.gov Notifsed/Mdhod
BUILDING DIVISION Sapplementnl Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other. mechanical materials,equipment,labor,overhead,and profit.
CATEGORY,OF CONSTRUCTION RESIDENTIAL EQWPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
I j Multi-family 0 Master builder 0 Other: Description Qty. I Ea, Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning I 46.75
Job site address: 14218 SW 165th AVE. Furnace 100,000 BTU(ductshents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge Heat 61.06
Duct w work
23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit beaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Polygon at Roshak Ridge I Lot no.: 168 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplacefuuat 33.39
New Single Family Flue vent for water heater or gas
fireplace 23.32 ,
Log lighter(Ras) 23.32 _
Wood/pellet stove 33.39
Wood fireplace/insert 2332
Chiumey/liner/fluelvent 23.32
® PROPERTY OWNER 0 TENANT
Other: 23.32
' - Environmental exhaust and ventilation:
Name:Polygon WLB,LLC Range boodlorher 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/cm wlspacefans 23.32
IZ APPLICANT 0 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. I Ili.)5
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 1
Range I I it J 5
E-mail:permitsubmittalsCataylormorrison.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other.
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.[104
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 lie.:209001 TOTAL PERMIT FEE
This permit application expires If a permit It not obtained within 180
q� {I�> days after h has been accepted as complete.
Authorized signature: W(� J L'('�'�"�' • Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 1 0/30/20
Pt40t4mmsPrrmbdIAnr Pnrmir Ann MA11t M. ••n nm rr nrn�rnumrcv.
.
Electrical Permit Application l t,,; i 11 11, 1 .I r,v I ,
City of Tigard RECEIV,rozoim Psamita: , tazi -(x,160
13125 SW Hall Blvd,Tigard,OR 97223 plan Review - -
. Phew: 503.718.2439 Fax: 503.598.1960 MAR 2 '. 71"1 r. : - Related Ramie 4:
Inspection Lice: 503.639.4175
i i t;n h:7 Internet: www.ttgad-or;gov „ Ready _ Serer Pane 2 ten
CITY OF i I(,r�I s. Supplemental Information
TYPE OF wOws RI'►ILDING .0lV4SION PIAN'BEVIEw
ElNew construction ElAddition/alteration/replacement Fleece_Jteek ell dial apply(,olamt I oats of plans Mama Cord):
0 Demolition 0 Other: 0 Shill..of feeder 400 amps or more 0 Building ewer 6nee stones
CATEGORY" OF CONSTRUCTION - �d 110 0090 am the atm-1116k faun current 0 Mourn and dings v
1-and 2-family dwelling less to amps a volts000 or ❑C eg headings
agricultural0ground, Commercial
El Multi-family ❑Master builder ❑Other: amps for all other installations. building,.
❑Fire pomp. ❑lasnllatioe of 150 KVA or
JOB SITE INFORMATION AND LOCATION - ❑Emergency system. lama separately derived
Job#: Job site address: 14218 SW 165th AVE `- ['Addition of new motor load of traria
LOOT or more. 0"A","B',"i Z-,"I 3",
City/State/ZIP: Tigard,OR 97140 0 sis Of mite res dent ai nuts accamecy.
❑Health-care facilities- ❑Recreational vehicle parks.
Suite/bldgJapt.;l: Project name: Polygon at Roshak Ridge ❑Hazardous locations ❑Supply vurtage for more than
Cl Service or feed.600 amps or more. 600 volts nominal.
Cross slreet/directims to job site: _ FEE SCHEDULE
oarrietin I a,, I Lodi I Total I ll
New residential single-or nt,ltl-family dwelling ann.
Subdivision:Polygon at Roshak Ridge Lot#: 168 Wades attached garage.
Tax map/parcel*: l,txw aq,R.or teen 168.54 4
Ea.add'1500 sq.(t.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
New construction.Type SFU (with above q.ii)
Limited many,multi amity 75-00 2
residential(with above SO.R)
Reaewable Energy 0 See Pao 2
® PROPERTY" OWNER ❑ TENAI.I Services or feeders lastallatioaolteratby and/or relocation
Name: Polygon Homes WLH LLC 200 amps or leas 100.70 2
Address 703 Broadway St.,Ste 710 201 amps to 400 amps 133-56 2
401 amps to 600 amps 200.34 2
City/State/21P: Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2
Phone:( 360 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: OAlamiAbotthafs@tayltxmorrison.com-PemtitSubmiltals@taylamorrison.com relocation
Owaer 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 ampa 165 54 2
❑ APPLICANT ( [] CONTACT P1RSON Branch circuits—mew,alteration,or extension, r panel
A,Fee for boom airmails with
Business name: Polygon Homes W[d-I LLC above service or feeder fee,
each branch ocelot 7.42 '-
each
Contact name: Omar Alatnl Aboubafa B.Fee for branch circuits without
=vice or feeder
Address: 703 Broadway St,Ste 710 branch otrcf«'fi`stuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Earth add'l blanch circuit 7.42 2
Miscellaneous Phone:(360 )946 8674 Fax::( ) Earl manufactured or mserviood ladder cot included)
dwelling.service and/or fends 67.81 2
Email:OAlamiAboahafs@laylorm�iSOD.00m-PemfitSuhmittals@taylormorriSon.com othy
67.84 2
• CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Wallace Electric Sign or oud ne lighting 67.54 2
Address: 105 Dresden St Signal aucttn(a)a limited energy
panel,alteration,or octcasioa ❑ Sea Page 2 2
Cily/StaM/212: Astoria,OR 97103 Each additional inspection over allowable In any of the above
Additional inspection(l hr min) 66.25/hr
Phone:(503 308 0563 Fax:( ) Investigation(1 hr min) ' 90.00/hr
Email:Davidtwallaccwires.corn Industrial plant(1 hr min) 78.18/hr
Inspections for winch no fee is 40.001 hr
CCB Lic.:224868 Electrical Lic.: C1441 J Suprv.Lie.: 6363S specifically listed(s5 hr mil)
Suprv.Electrician signature,required: • EI ECIRICAI, P Mf1;PEES
Subtotal:
Print name:Dfget aQ 1 Date: :VIZ/Z t O Plan Review Required(25%of permit foe):
State surcharge(12%of permit fee):
Authorized signature ar /fti�� early TOTAL PERMIT FEE:
c This permit application expk Ifs pea It is sot aWpined.rithin 180
Print name: t(LLrl it Date: Sft/f.4.t
days peter a has Ian accepted as complete.
•lalwild pgWam9siELC_PmotApp ELR 6pe,doo Rev 0 6/170 2 01 5 Number of inspections allowed pa permit.
157'(11/DS/L'�(IWpB
i . .
*Plumbing Permit Application
Building Fixtures RECEIVED FOR OFFICE USE ONLY
City of Tigard Received 1123 Z i 2021 3 Permit No.:
III a 13125 SW Hall Blvd.,Tigard,OR 97 }r R 2 2 Pla`e B " ' ' -�)�
_ Plan Review
Phone: 503.7182439 Fax: 503.5 ,�qy0 Other Permit No.:
TIGARD Inspection Line 543.639.4175 ��iY OF TIGARD pate RcadyBy: kris: ® See Page 2 for
Internet:
01em" `w `iga"I°`g BUILDING DIVISION Nntined/Metiatd: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility,cotmection)
ik� CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
�7p t-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
/❑AccessorybuildingSFR(3)bath 500.32
%Multi-fart ily
Each additional bath/kitchen 25.02
❑Master builder 0 Other
Fire sprinkler(___s9.ft) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 14218 SW 165th AVE Catch basin or area drain 18.76
City/State/ZtP:Tigard,OR 97224 DrywelL leach line,err trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/ldg./apt.no.: l Project name:iiasitJ.l itig_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.: ) Page 2
Subdivision: Polygon at Roshak Ridge I Lot no.: 168 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
New Single Family Clothes washer 25.02
Dishwasher 25.02
Drinldng 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
Floordrain/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
1.1 APPLICANT ❑ CONTACT PERSON Interceptodgrease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Tonja Morris
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:permitsubmittals@polygonhomes.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water g/D t in WV 56.29
P P
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 Lic.:184372 Plumbing Lic.no.:pb634
State surcharge(12%of permit fee)
Authorized signature: , 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.
MEnalingPemitstPLMU-PernutApp.doc IW01/09 440-4616T(10432COMWE13)
Plan# U0 (ot B QZ) q
Floors I Large I I
Bed rooms 3 Small 5
we 3
LAV
Tub 3 Basement ' Q��
Vent 5 1st Floor Z'j,Cp �3 1ZZ.'Y/(� x�3"" - 2c)a, I cactL,/
Water Heater I 2nd Floor U j �3 3 / SZLO
Sc 4J2.--S 3rd Floor `� X U�U
School fir- alLa - iD COJ`Q_-r --ZL{•37x � 5/ �I) , /0
Garage
Nvife..f -i D Total gv
2 3°�� -D l = 331 , 320
(� I / ,/ #for Elec 5
r rA._ p� Ca—CA
3 •se,.5j 1-e7
City of Tigard
IIII
C COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
m,
Building Permit #: MST202k- O01 O'?
Site Address: 14218 SW 165th Ave
Project Name: Polygon @ Roshak Ridge Lot #: 168
Planning Review
Proposal: new house
® Verify address/suite# active in Accela. L73 In River Terrace: ❑ No al Yes, River Terrace Review Addendum
Site Plan Elements: ®Erosion Control
X3 copies of site plan on 8-1/2"x 11" or 11 x 17"paper KK�Retained trees with drip line and tree protection measures
X Drawn to scale (standard architect or engineer scale) ]Footprint of new structure(including decks)and FFE
X]North arrow X Utility locations&easements(required for new and additions)
®Site address,project or subdivision name and lot number $1Sidewalk/driveway approach
KiApplicant information(name and phone number) II3Location of wells/septic systems
CJLot dimensions and building setback dimensions XStreet tree size,type and location
naSquare footage of buildings to be demolished ®Street names
n®Existing structures on site %]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? k 4 ENo
&impervious area (applicable if R-7,R-12,R-25 R-40) If yes,is a storm water quality facility shown? Yes ❑No
r] Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: E Yes,applicant was notified X1 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 M No Received: ❑ Yes ❑ No
® Public Facilities Improvement (PFI) Permit.
Required: ❑ Yes,applicant was notified Kl No Applied For: ❑ Yes ❑ No,stop intake
N Land Use Case #: PDR2015-00002 ® Zoning: R-4.5
® Required Setbacks: Front: 8 Rear: 20 Side: 3 Street Side: na Garage: 20
]1 Building Height: Max.Height: 30 Actual Hetht: 20
® Landscape Area: 20 % g] Lot Coverage Max: 8U °A)
- • . e ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 d- --
Windows — •', urn 12%of area of all street-facing facades
Garage ❑ Garage ... --.. d widest street-facing wall ❑ Y- . 'o,one of the following is met:
❑ Door extends n. . • . 5'from wall and • . •vered porch extending beyond garage.
❑ Door extends See River Terrace Addendum t.window above garage on 2"""floor.
❑ Garage door width i — . . . _ .. ❑ 60%or less and includes 7 of following:
❑ - -. .orch ❑ Recessed entrance ❑ Wall of se 'Roof eave ❑ Roof offset
■ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip, . : - - roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projec i. ■ Balcony
® Visual Clearance Il0 Urban Forestry Plan
kl Sensitive Lands: ❑ Ycs ® No Type:
® Conditions met prior to issuance of building permit
Notes: l77 ���
Xi Approved By Planning: G tiKeC,Y1i Date: 3/23/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:1Building\Forms\B1dgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: 3 12212
Site Plans: # 3
Building Plans: # 3
Building Permit#: [ Enter building permit#above.
Workflow Routing: (. Planning Engineering Ea Permit Coordinator cg1 Building
Workflow Sign-off: CS$- Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
❑ Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: d O a) eii5GOQ Date: / (Z 1
Engineering Review
TMJ lope at building pad: . `
ILA Conditions"Met"prior to issuance of building permit 41/e
Easements (encroachments) per engineering conditions of approval and plat
'Water Quality/Quantity Facility.
Assess Water Quality Fee in-lieu: ❑ Yes 'No
Assess Water Quantity Fee in-lieu: ❑ Yes Ai-"-No,.,�/
LIDA Facility on lot: ❑ Yes L'J No
(Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
VApproved by Engineering: Date: ___5 S'�a/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
rmit Coordinator Review
PI
Conditions"Met"prior to issuance of building permit
v Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
M :DC Exemption: 0 Received Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: IFYes 0 N/A
Tigard Trans SDC: es 0 N/A
Parks SDC: s El Ye ❑ /A
LIDA El Yes /A
OK to Issue Permit _
Approved by Permit Coordinator: Date: . 2(e./a/
I:1Building\Forms\B1dgPermitRvw_RE S_122419.docx
City of Tigard
1114 . V COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: 14218 SW 165th Ave
Project Name: Polygon @ Roshak Ridge Lot #: 168
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning.Relrietv of) iver ?Terrace Plan District Desk Standards (18 640.070.7.):
Is the project subject to the plan district design standards? ® Yes E 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 ft. deep min. 2ft., 5 ft. wide nun. 2 ft., 6ft.wide Gabled dormer
IC ❑ ❑ ❑ KI
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 17%
3. Entrances:At least one entrance must meet both of the following standards:
l Max. 8 ft. setback from longest street- facing wall 119 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: TE 25 sq.ft. min.
•
l One street facing entry EJ 12 ft. max. roof above floor of porch
❑ 5 ft. depth min. l 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:
iti Covered porch min. 5 ft.wide x 5 ft. deep Al Recessed entry area min. 5 ft.wide x 2 ft. deep
❑ Wall offset min. 16 inches El Dormer min. 4 ft.wide
❑ Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood ® Gable,hip or gambrel roof design
❑ Roof 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 1/2" wide by 5/8" deep
❑ Window recess min. 3 inches for all street facing El Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft.deep with inside access KI 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.TS7 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 facade with 7 detailed design elements
Notes:
Approved By Planning: pJ c Date: 3/23/2021
1:t ilding`Forms'\BldgPermitRvw_RES_RT_121417.docx "�
•
Taylor Morrison
703 Broadway Street
Suite 710 RECEIVED
Vancouver, WA 98660
MAR 2 2 2021
UITY OF TIGARD
SUBJECT: Deferred Payment Request 3UILDINGDIVISION
We would like to defer payment of transportation and park System Development Charges (SDC) until
occupancy.
Any deferred System Development Charges will be paid in full prior to the issuance of occupancy.
Community: Polygon at Roshak Ridge
Lot number: 168 •
Address: 14218 SW 165th Ave
Thank you for considering this request,
Omar Alami Abouhafs
03/ i4 / (Ai •