Permit CITY OF TIGARD MASTER PERMIT
' COMMUNITY DEVELOPMENT PermitU: MST2021-00139
-TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/03/2021
Parcel: 2S 107AA 14000
Jurisdiction: Tigard
Site address: 16647 SW SUNSHINE COAST ST
Subdivision: ROSHAK RIDGE Lot: 140
Project: Polygon at Roshak Ridge, Lot 140
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First 925 at Basement 0 sf Left 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1188 sf Garage: 422 sf Front: 8 Smoke
Dwelling Units: 0 Third: 0 sf Right: 3
Detectors: Yes
Total: 2113 sf Value: $279,140.58 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temo 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: 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&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 2113
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 2 One Hour Fire Rated Eaves
PHONE: PHONE: 380-695-7700
FAX:
Total Fees: $40,372.55
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.
OYt7A Ucati,cm.
Issued By: H �O Va.fvD/Wege Permittee Signature: rr
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 she until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application ''`ei Is!2 i
Residential RECEIVED FOR OFFICE USE ONLY
Received 'w� / A&T 0.21-0O 131
City of Tigard 2 !r� AA 11f.u/G!
g � Q n Date/By:f�7 � Permit No.:
IN q 13125 SW Hall Blvd.,Tigard,OR 97223 APR 8 0. Plan ReviewU )1 ��� An
s Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1 I 11 7,1 , i �erPermit W gq
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: / ( J� ® See Page 2 for
CITY OF TIGARL 1 1�//++
Internet: www.tigard-or.gov ified/Method: .2/ /, 1 1G. supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
La 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.
Valuation: $ ..1- Iy O® I-and 2-familydwelling 0 Commercial/industrial
indusial /
ElAccessory building ❑Multi-family Number of bedrooms: 3
0 Master builder ❑Other: Number of bathrooms: 143
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 2535
Job site address: 16647 SW Sunshine Coast St New dwelling area: 2,113 square feet ( 's$
City/State/ZIP:Sherwood,OR 97140 Garage/carportarea: 422 square feet 92,5
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet I
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Polygon at Roshak Ridge I Lot no.: 140 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no,: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New Construction/Type: SFU /Elevation plan: 222100AR Valuation: $
Projected start: July 2021 Existing building area: square feet
New building area: square feet
la 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) 946-8674 Fax:( ) New:
® APPLICANT ElCONTACT PERSON 09 BUILDING PERMIT FEES*
(Please refer to 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
Phone:(360)946-8674 Fax::( )360 693-4442 Amount received:
E-mail:permitsubmittals@taylonnorrison.com-OAIamiAbouhafs@taylormorrison.com 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 Total fee due upon application: $201.60
Authorized signature: QjryL(2L Al ,(y,611. G[ This permit application expires if a permit is not obtained
r within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Omar Alami Abouhafs Date: 04/07/2021 Service Board.
l:\Building\Permits\BUP-RESPetmitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Applicat'
V�-+EIVC� /C . FOR OFFICE USE ONLY
City of Tigard Re«iPw ry�
't 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No.:1,,,` ss I L-LI21—00(39
' A ? q) Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 HP� C8 !Oil Date/By: Other Permit
YIci I:I7 Inspection Line: 503.639.4175 Date Ready/By: orris:
Internet: www.tigardror.gov CITY OF TIGARD S See Pent Inc
Notified/Method: Supplemental
Information
LDING DIVISION
TYPE OF W _ COMMERCIAL FEE*' SCHEDULE — USE CI ECELIST.
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION - RESIDENTIAL EQUIPMR.NTl SYSTEMS FEES*
-
®1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist
I j Multi-family 0 Master builder El Other: Description Qty. Ea. Total
SOB SITE INFORMATION AND LOCATION , . Heating/cooling:
Air conditioning 46.75
Job site address: 16647 SW Sunshine Coast St Furnace 100,000 BTU(ducu/vens) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/veats) 54.91
Suite/bldg./apt.no.: Project name: Polygon at 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: Polygon at Roshak Ridge Lot no.: 140 Oche 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
New construction.Type: SFU fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
. IZ PROPERTY OWNER ❑ TENANT - Other. 23.32
Environmental exhaust and ventilation:
Name:Polygon VtLH,LLC Range hood/other kitchen
Address:703 Broadway St.,Ste.510 equipment 33.39
Clothes dryer exhaust 33.39
City/State/UP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
r_APPLICANT 0 CONTACT PERSON Other. 23.32
•
Business name.Polygon WLH,LLC Fuel piping:
$14.15 for first four;S4.03 for each additional
Contact name: Omar Alami Abouhafs Furnace,etc. 1
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 t
Range 1
E-mail:permitsubmittals@taylormorrison.com Barbecue
- CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other
Address: N Alociek Dr,Ste.1104 MECIIANICAT PERMIT FEES*NW
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 lic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Z�,, 1)f i n n n days after it has been accepted as complete.
Authorized signature: tn�'t�Lt'f i' ' Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 04/07/21
r innildlnn\PennBdMFC P..mfl Ann alnnl An. n„n nurr.r,m„rnatm,co,
Electrical Permit ApplicationRECEIVE I I )R OFFICE USE ONLY
City°fT Tigard Pita. -4&T2o21—oa 13 ?
OR 97223
Phone:103.7 82439 Blvd,TFr �503.S9B.I960 NPR 8 ..lig
w Reb[edPeneix#:
,1'1. •. v Inspection Line: 503.639.4175 CITY
!o r ®see Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARU Nolifc Mlethad: Jet Supplemental Informadou
TYPE OF WO1 JILUINU DIVISION' pull,
f AIQ REVIF.R '
®New construction 0 Addition/alteration/replacement Please cheek all that apply(saran 2 sets of plans writems ctrerked)•.
❑Demolition ID Other: ❑Scss,ce or feeder 400 amps os more ❑Budding over Once stones.
where the available fault currmr 0 Marina.and boaty:adi
. CATEGORY OF CONSTRUCTION caeoeds 10,000 amps at 150 volts or I]Floating buildma.
In 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building ire k'ground,or exceeds 14000 ❑Co4,merci i.am agricultural
0 Other: amps for all Ohm iaxalladons. buildings.
❑Multi-family 0 Master builder
❑Foe pimp. 0 Installation of ISO KVA or
JOB SITE INFORMATION AND LOCATION ❑Emer8eaeY system. larger separately daired
Job#: Job site address: 16647 SW Sunshine Coast St ❑Atilt mornev motor load of system
lOORPor more. ❑.•A"._k_..12...•I-3..
City/State/ZIP: Tigard,OR 97140 ❑six orroam residenval units occupancy
❑HrslNrarc facilities. ❑Recreational%chick parks.
Suite/bldgapt.#: Project name: Polygon at Roshak Ridge CI Hazardous locations 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts normnsl
Cross street/directions to job site: FF,E SCIIBbULB
Description 1OW, I Earh 1 Total I •
New residential single-or multi-family dwelling aldt.
Subdivision:Polygon at Roshak Ridge Lot#: 140 Includes attached garage.
Tax map/parcel#: 1,000nl.It.or less 168 54 4
Ea.add'1500 sq.R or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
New construction.Type SFU (with above aq lt)
Limited energy,multi-family 75.00 2
residential(with above sq.ft)
®",P1lOPFRTY OWNER Renewable Energy ❑ See Page 2
N 1 Services or feeders installation attendee,' and/or relocation
Name: Polygon Homes WLH LLC 200 amps or less 100.70 2
Address: 703 Broadway Si,Ste 710 201 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 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 2_
Email: OAIamiAbo Temporary services or feeders installation,alteration,and/or
uhafs a@taylosmorrrison.tom-Permit Submittal s@taylonnomson.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 to400 amps 125..08 2
Owner signature: _- Dom: 401 amps to 599 amps 168.54 2
•
APPLICANT I El CONTACT' PERSON Breech circuits-now,alteration,or extension,per pond
Business name: Polygon Homes Wi.H LLC above s feeder
A. bo for branch circuits with
service orf fee, 742 2
Contact name: Omar Alaml Abouhafs each branch circuit
B.Fee for branch circuits Wager
Address: 703 Broadway St.,Ste 710 service r feeder fee,first 56.18 2
broach Circuit
City/State/ZIP:Vancouver,WA 98660 Eachadd'l launch circuit 7.42 2
Phone: 360 946 8674 Miscellaneous(service or feeder not included)
( ) Fax::( ) Each manufactured ea modular
dwelling,service and/or fader 67.84 2
Email:0AlamiAbouhafs@taylormccrison.com-PermitSubmittals@taylormorrison.tom
Raoamcct only 67 84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Wallace Electric Sign or outline fighting 67.84 2
Address: 105 Dresden St 3iyoal circuit(s)or Woeful-energy
panel,alteration,or extension. ❑ See Page 2 I 2
City/StatelZ]P: A is OR 97103 _Each additional inspection over allowable to any of the above
Additional inspection(l hr min) 66 25/hr
Phone:(503 3)8 0563 Fax:( ) Investigation(I hr min) 90.00/hr
Email: David@;wallaccwires.com Indtcstnalplant(]hrtnrr) 78.18lhr
Inspections for which no fee is
CCB Lie.:224868 Electrical Lie.:C1441 Suprv. I.ic-: 6363S specifically listed(tA hr min) 90.00/hr
Suprv.Electrician signature,required ELECTRICAL REPMTI;'F13tS
Print nerve:^� jSubtotal:
111.1 e° (. , rule: t Aizt 0 Plan Review Required(25%ofpemtit fcc):
State surcharge(1.2%of permit fee):
Authorized signature �r lia�fL�'.'—_ TOTAL PERMIT FEE:
This permit apples lion expires it a permit is not ebtareed wlthio 185
Print name: 44a `f�,."i Date: tt J clap:nuns a has been accepted as complete.
V V�'++T a'L 7 /z,t_.,.— a Number of mspeetions allowed per permit.
tieatlduaT mast£I.C_ +1pp-IIa.EAE.doc Rev 06(17R011 _ 4 I5T0145/COWWT'B
.. Plumbing Permit Application
Building Fixtures n FOR OFFICE USE ONLY
ofTi and RECEIVED Received µSrzo2lrer(it3q
City g Permit No.:
n 13125 SW Hall Blvd.,Tigard,OR 97223 �temy'
p
g Phone: 503.718.2439 Fax: 503.598.19pt1 R O S 202 Plan Review Other Permit No.:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Inds: la See Page 2 for
Internet: www.tigard-orgov CITY OF TIGARD Notified/Method: _ Supplemental Information
TYPE OF WQ JILDING DIVISION FEE* SCHEDULE
®New construction ❑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 connection)
H CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
(�I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
/❑"Accessory building ga-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: 16647 SW Sunshine Coast St Catch basin or area drain 18.76
Dtywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
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 ft. _) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear fr.: ) Page 2
Subdivision:Roshak Ridge I Lot sr 140 - Fixture or item:
Tax map/parcel no,: Backflow preventer • 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New construction-Typer: SFU Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25,02
IN PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixturdsewer cap 25.02
Address:703 Broadway St.,Ste 510 Floor drain/floor sink hub 25.02
Garbage disposal 25.02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
IN APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$_) Page 2
Primer 12.51
Contact name:Omar Alami Abouhafs 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 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: $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: 0/30/20 This permit application expires if a pertains not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:43eilding'PermistPLMU•PenaitAPP.dee 10/01/09 440.4616T(10m1/COMMWEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #: MSTz024-00I39
Site Address: 16647 SW Sunshine Coast St
Project Name: Polygon at Roshak Ridge Lot#: 140
Planning Review
Proposal: New house
® Verify address/suite# active in Accela. ® In River Terrace: ❑ No M Yes, River Terrace Review Addendum
Site Plan Elements: ®Erosion Control
J:13 copies of site plan on 8-1/2"x 11"or 11 x 17"paper $\Retained trees with drip line and tree protection measures
®Drawn to scale (standard architect or engineer scale) :1 Footprint of new structure(including decks)and FFE
1HNorth arrow MUtility locations&easements(required for new and additions)
®Site address,project or subdivision name and lot number ®Sidewalk/driveway approach
®Applicant information(name and phone number) nilLocation of wells/septic systems
l lLot dimensions and building setback dimensions KlStreet tree size,type and location
square footage of buildings to be demolished XJStreet names
nIlExisting structures on site JO 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? ❑No
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? DrYes ❑No
® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified E No Received: ❑ Yes ❑ No
M Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes ❑ No
l SDC Exemption for ADU applied for: ❑ Yes ® No Received: ❑ Yes ❑ No
® Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified E No Applied For: ❑ Yes ❑ No,stop intake
® Land Use Case#: SUB2015-00004 ® Zoning: R-12
® Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: na Garage: 20
M Building Height: Max.Height: n/a Actual Height: 28
® Landscape Area: 20 E Lot Coverage Max: 80
Entrance no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degre
Windows ❑ Minimum of all street-facing facades
Garage ❑ Garage door is behind wi cin¢wall ❑ Yes , e of the following is met:
❑ Door extends no more than 5' oSee River Terrace Addenmuniding beyond garage.
❑ Door extends no more than 5' froattached. we garage on 2"d floor.
❑ Garage door width is ❑ 12' Ju r°or less or racaae less and includes 7 of following:
❑ Covered por ecessed entrance ❑ Wall offset ❑ 1'Roof ea ❑ Roof offset
❑ es ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof
Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
® Visual Clearance II Urban Forestry Plan
W7 Sensitive Lands: El Yes N No Type:
XI Conditions met prior to issuance of building permit
Notes:
IK Approved By Planning: d G .tab i Date: 4/12/2021
Revisions (after Building Submittal onl Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Fors\BldgPermitRvw_RES_122419.docx
c
Building Permit Submittal
Original Submittal Date: D 7 '/2c2J
Site Plans: # 3
Building Plans: # 3
Building Permit#: 2-Enter building permit# above.
Workflow Routing: [-Planning [Engineering EL/Permit Coordinator ill—Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: g. Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
P'Building: original permit a 'cation,site plans,building plans,engineer and
beam calculations and t t tails,if applicable,etc.
Notes:
By Permit Technician: Date: 6 J_ 214
Engineering Review
lope at building pad: f
Conditions"Met"prior to issuance of building permit /' //'1
1);}'Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility: /
Assess Water Quality Fee in-lieu: ❑ Yes LK No
Assess Water Quantity Fee in-lieu: ❑ Yes C 'No
LIDA Facility on lot: 0 Yes leNo
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
I/J Approved by Engineering: Date: y//l�/P�/
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
Pc\gpproved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
\ 1,1':DC Exemption: ❑ Received 1 Does not apply
!IF SDC Fees Entered: Wash Co Trans Dev Tax: 01 Yes ❑ N/A
Tigard Trans SDC: Aes ❑ N/A
Parks SDC: Yes ❑ /A
LIDA El Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: 17/1714--/
l:\Building\Fonns\BldgPermitRvw_RES_122419.docx
•
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: P4C'TZ-021-Mt 39
Site Address: 16647 SW Sunshine Coast St
Project Name: Polygon at Roshak Ridge Lot #: 140
(New dwelling= subdivision name;Addition or Alteration=last name of owner)
Plannir1k Review oflZiver 7l errace Plan District Desi ri 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 ft. deep min. 2ft.,5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
® ❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 12%
3. Entrances:At least one entrance must meet both of the following standards:
R7 Max. 8 ft. setback from longest street-facing wall al Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: M Yes ❑ No
If yes,all the following apply CX7 25 sq.ft. min.
® One street facing entry A 12 ft.max. roof above floor of porch
® 5 ft.depth min. a 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:
® Covered porch min. 5 ft.wide x 5 ft. deep ® Recessed entry area min. 5 ft.wide x 2 ft.deep
n Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
® Roof eave min. 12 inch projection 1E1 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°/s of street facade Rl Window trim min. 2 '/2"wide by 5/8"deep
❑ 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 Cl Attached garage is 35%or less of street facade
5. Garages and Carports:May face the front or side lot line on a comer lot.
Setbacks:
No closer to front or side lot line,than longest street-facing wall. M 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.
E 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: n Oeit,t���Nt Date: 4/12/2021
I:\Building\Forms\BldgPertnilRvw_REs_RT_I21417,docx UUU