Permit CITY OF TIGARD MASTER PERMIT
N . . COMMUNITY DEVELOPMENT Permit#: MST2021-00155
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2021
T l�''L l{�� g Parcel: 2S107AA14900
Jurisdiction: Tigard
Site address: 16604 SW SUNSHINE COAST ST
Subdivision: ROSHAK RIDGE Lot: 149
Project: Polygon at Roshak Ridge, Lot 149
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1225 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1723 sf Garage: 486 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2948 sf Value: $384,485.88 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
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-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'I 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
Ecompasing: Y
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2948
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: $43,702.14
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 503.232.11987 or 1.800.332.2344.
Issued By: Holly V De.wege Permittee Signature: 0wAPPliCa' C07/1
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application • — , II 121
Residential �ECE� FOR OFFICE USE ONLY
City of Tigard APR 1 ti 2� Received 7/
Date/By:4. " Permit No.:A4 Sr,zaLI l56.
a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review y q S`✓�q ��tr7O
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Z ! �j/ Other Permit. 2 2/�
CITY OF TIGARD
T I C A R D Inspection Line: 503.639.4175 Date Ready/By: ^ la See Page 2 for
All
Internet: www.tigard-or.gov BUILDING DIVISION red Method " /J (/���� 1 . Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. %ell)
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 31164( V ffg'
❑Accessory building ❑Multi-family Number of bedrooms: 5
❑Master builder El Other:
Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors:2 4/3LI
:f Job site address: 16604 SW SUNSHINE COAST ST New dwelling area: 2,948 square feet (l a3
City/State/ZIP:Tigard, OR 97140 Garage/carport area: 486 square feet I a
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: Polygon at Roshak Ridge I Lot no.: 149 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 residential construction: SFU
Valuation: $
Elevation: 222300A Existing building area: square feet
Scheduled construction start: July 2021 New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Polygon Homes WLH LLC Type of construction:
Address:703 Broadway St.,Ste 510 Occupancy groups:
Existin
city/state/ZIP:Vancouver,WA 98660
1 g:
Phone:(360 946 8674 Fax:( )360 693-4442 New:
0 APPLICANT El CONTACT PERSON v,9 BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Polygon Homes WLH LLC Structural plan review fee(or deposit): 7 7.I`/
Contact name:Omar Alami Abouhafs
Address:
703 Broadway St., Ste 710 FLS plan review fee(if applicable):
City/State/ZIP:Vancouver,WA 98660 Total fees due upon application:
Amount received:
Phone:( 360 946 8674 Fax::( )
E-mail: PermitSubmittals@taylormorrison.com_OAIamiAbouhafs@taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
ii Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:207247 Total fee due upon application: $201.60
Authorized signature: Qyyt, ,41z m.46o. This permit application expires if a permit is not obtained
U within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 04/14/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-3613T(11/02/COM/WEB)
' Mechanical Permit ApplicatiRECEI V E ' FOR
City of Tigard Receivedii c ,.,/��
5 a g Permit No.: M 7 W 5-5
13125 SW Mali Blvd.,Tigard,OR 97223 APR 1 161 Plsu Rr_ � l
C Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
Inspection Line: 503.639.4175 CITY OF TIGARD Dale Re
'TIGARD Dale Ready/By. ;twit @ See Page 2 for
Internet: www.tigard-or.gov Notifed/Methxl.
BUILDING DIVISION Supplemental 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.
Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1: I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
l j Multi-family [1]Master builder ❑Other: Description ( Qty. Ea._ Total
JOB SrrE LNFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75
Job site address: 16604 SW SUNSHINE COAST ST Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ductstveats) 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.: 149 Other 23.32
-- _ -___.- Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39 i
- Flue vent for water heater or gas
New SFU fireplace 23.32
Log lighter(gas) 23.32
----- - Wood/pellet stove w 33.39
Wood fireplace/insert f 23.32
Chimney/liner/flue/vent I 23.32
® PROPERTY OWNER ❑ TENANT Other: 23.32
' — Environmental exhaust and ventilation: __
Name:Polygon WLH,LLC Range hood/other kitchen
equipment 33.39
Address:703 Broadway St.,Ste.510 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:( ) Anic/crawispace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: - 23.32
Fuel piping:
Business name:Polygon WLH,LLC S14.15 for first four;S4.03 for each additional
Contact name:Tonja Morris Furnace,etc. 1
Address:703 Broadway St,Ste 510 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water beater _
Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace
Range 1
E-mail:permitsubmittals(taylOrmOrriSOfn.CORI Barbecue
iNtt CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other:
MECHANICAL PERMIT FEES*
Address: NV4'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)
eCCB lie.:209001 TOTAL PERMIT FEE
L This permit application expires if a permit is not obtained within 180
.6 f\(J 2 y, days after it has been accepted as complete.
Authorized signature: W JJJw't.t c.�t� ' Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
—
41nikt:no1Prrmrrcik(Fr P,mie tow UM 11 Anr
'i
Electrical Permit Application FOR OFFICE USE ONI.1
t �eeeieYd �1,,, /City of Tigard DECEIVE lIaLJBy Permit 14ST-2°2i-ab6S5
* 13125 SW Ball Blvd.,Tigard,OR 97223
Plan Review
S
' Phone: 503.718 2439 Fax: 503.598 1960 APR 1 �Q " ` Related Permit d:
TIGARD Inspection Line: 503 639.4175 Ready )atnRy' tarts: $f See Page 2 for
Internet: www.tigard-or.gov Notified/Method. Supplemental Information
_CITY OF TIGARD
TYPE OF WORK
+[ A PLAN REVIEWREVIEW®New construction CIAddition/alteratWI I V�(IStO N, Please check all that apply(submit 1 sets of plans w/itwu checked).
7 (Late
❑Su vice or 400 amps
❑Demolition ❑Other: ua more 0 Budding over three stones
where the:nailable fault current 0 Marinas and boatyarrit
CATEGORY OF CONSTRUCTION exceeds 10,E+00 amps at 150 volts or 0 Floating buildings
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less w ground,or exceeds 14,000 0 Commercial-use agricultural
amps 0 Multi-family ❑Master builder Cl Other: for all other installations buildu ins.
❑Fire pump 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived
lob#: Iob site address: 16604 SW SUNSHINE COAST ST ❑Addition°t new motor load°f system.
1001IP or more. ❑"A' "k ,"i-Z","I-3
City/State/LIP: Tigard,OR 97140 0 Six or more residential uniti occuparu:y
❑Health-care facihnes. ❑Recreational vehicle parks..
Suite/bldg./apt_4: 1 Project name: Polygon at Roshak Ridge ❑tlazardaus locations O Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
/'
Description oe. Each 'ruts[ '�
New residential singe-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot 4: 149 Includes attached garage.
Tax map/parcel#: 1,000 sq ft or less 168 54 4
Ea.add'l 500 sq ft.or portion 33.92 1
DESCRIPTION OF MORK Limited energy,residential
(with above sq ft.) 75 00 2
New construction.Type SkU T Limited energy,multi-family
[ residential(with above sq.ft.) 75 00 2
Renewable Energy ❑ See Pare 2
El PROPERTY OWNER 0 TENANT R
Services or faders installation,alteration,and/or relocation
Name: Polygon Homes WLH LLC 200 amps or less 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/Statel!_IP: Vancouver,WA 98660 6111 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: nA.lamiAbouhafs@taylormorrison.corn-PermitSubmittalsstaylormorrison.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
Owner signature: Date: 401 amps to 599 amps _ 168 54 2
0 APPLICANT E El CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Polygon Homes W1.1H LLC above service or feeder fee, 7 Q5
each branch circuit
Contact name: Omar Alami Abouhafs $ Pee for branch circuits wathngt
Address: 703 Broadway St.,Ste 710 service or feeder fee,tint 56 18 2
branch circuit
City/State/ZIP:Vancouver,WA 98660 Each add%broach circuit 7.42 2
Phone: 360 946 8674 Miscellaneous(service or feeder not included)
{ ) Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:OAlamiAbouhafsgtaylormorrison.corn-PennitSubmittalsgtaylormotrison.com Re-connect only 67 84 2
,�, CONTRA(TOIL Pump or intgatiun circle 67.84 V 2
Business name: Wallace Electric Sign or outline lighting 67.84 2
Address: 105 Dresden St sisal me-mitts)or limited-energy DI See Page 2 2
_panel,alteration,or extension.
City/State/ZIP: As(ptj OR 97103 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66 25/to
Phone:
(503 3018 0563 Pax:( ) Investigation(1 hr min) 90.00!ht
Email; David@wallaccwires.com Industrial plans(I hr min) 78 t8/hr
Inspections for which no fee is
Cal I.ie.:224868 Electrical Lic.: C1441 Suprv.Lie:. 6363S specifically listed(/hr min) 90 ot/hr
ELECTRICAL. PERMIT FEES
Suprv.Electrician signature,required: Subtotal
Print name: tom?,ep ya/=. ,. Date: IAA,1 _0 Plan Review Required(25%of permit foe):
State surcharge(12%of permit fee)
Authorized signature,I� TOTAL PERMIT ME;
This permit application expires if a permit is not obtained within 180
Print nam Date: f days after it has been accepted as complete.
—� � � `w ' Number of inspectionsallowed per permit.
i.iAuzldingY'ermils'dir,C,PcnnrApp_EI.A ERE,dcc Rev 06/17(2015 4 0.4615T(i IK151C0WWE0
Plumbing Permit Application
Building Fixtures RECEIVE I FOR OFFICE USE ONLY
City of Tigard Received k5f202.I-UU 155-
y Permit Na.:
It u 13125 SW Hall Blvd.,Tigard,OR 97223 APR 15 ZOZ 1 Dates
Phone: 5037182439 Fax: 5035981960 Plan Review
_ . . . Date/By: Other Permit No•
Inspection Line: 503.639.4175 Re
TIGARD Internet: www.ti arts or- ov CITY OF TIGARD Date Ready/By torts: H Sec Page 2 for
g g RJ?UILDING DIVISIONNottfiedlMethod: Supplemental Information
TYPE OF WO FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist.
Description I Qty. 1 Fa. I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
[X 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building Vi-Multi-family
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: 16604 SW SUNSHINE COAST ST Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Dtyu ell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name:44/evisafrfilimkg*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 Lot no.: 149 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New SFU
..__.-__-__ Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER 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
Primer 12.51
Contact name:Tonja Morris
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sinkfbasinflavatory 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:permitsubntittalsiwpolygonbomes.cons Urinal 25.02
Water closet 25.02
CONTRACTOR
6 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: 572.50
Plan review (25%of permit fee)
CCB Lie.:184372 Plumbing Lie.no.:pb634
�} State surcharge(12%of permit fee)
Authorized signature: _ �{ .ti C.��,- 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
r.lfleaungtPmnitsTIALi-PernutAppdoe 1(1,01,04 440-4616TI14,021COMAVEB)
1
MrrrM0,
City of Tigard
t N COMMUNITY DEVELOPMENT DEPARTMENT
■
T lD Building Permit Review — Residential
Building Permit #: M$1102_I -00155
Site Address: 16604 SW Sunshine Coast Street
Project Name: Polygon at Roshak Ridge Lot #: 149
Planning Review
Proposal: New house
® Verify address/suite#active in Accela. ® In River Terrace: ❑ No [X Yes, River Terrace Review Addendum
Site Plan Elements: $]Erosion Control
X13 copies of site plan on 8-1/2"x 11"or 11 x 17"paper faRetained trees with drip line and tree protection measures
®Drawn to scale(standard architect or engineer scale) KI Footprint of new structure(including decks)and FF'F,
( North arrow []Utility locations&easements(required for new and additions)
lXSite address,project or subdivision name and lot number ®Sidewalk/driveway approach
( Applicant information(name and phone number) tl.ocation of wells/septic systems
®Lot dimensions and building setback dimensions ®Street tree size,type and location
square footage of buildings to be demolished ®Street names
llxisting structures on site ®Corner elevations(2'contours if more than 4'differential)
l❑Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? L fAENo
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes ❑No
® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified II No Received: ❑ Yes ❑ No
fl
l 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 X No Received: ❑ Yes ❑ No
RI Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified R No Applied For: ❑ Yes ❑ No,stop intake
® Land Use Case#: SUB2015-00004 ® Zoning: R-4.5
l l] Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: N/A Garage: 20
® Building Height: Max.Height: na Actual Height: 28
® Landscape Area: 20 % ® Lot Coverage Max: 80 0/0
Entrance ck no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees
Windows ❑ Minim area of all street-facing facades
Garage ❑ Garage door is be • treet-facing wall ❑ Yes e of the following is met:
❑ Door extends no more'See River Terrace Addendum extending beyond garage.h
❑ Door extends no more low above garage on 2nd floor.
❑ Garage door width is ❑ 12' 50%or less o ❑ 60%or less and includes 7 of following:
❑ Covered o ecessed entrance ❑ Wall offset eave ❑ Roof offset
g es ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or ga f ❑ Dormer
i Accent siding ❑ Window trim ❑ Window recess ❑ Window projectio alcony
SI Visual Clearance NI Urban Forestry Plan
] Sensitive Lands: ❑ Yes lill No Type:
RI Conditions met prior to issuance of building permit
Notes:
® Approved By Planning: OfA Date: 4/20/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
4
r
Np
Building Permit Submittal 2
/v j Original Submittal Date: Dy � zdzi
Site Plans: # 3
Building Plans: # 3
Building Permit#: enter building permit#above.
Workflow Routing: L i lanning [Engineering Q—Permit Coordinator ill--Building
Workflow Sign-off: [1ign-off for Planning(include notes from planning review)
Route Application Documents: [uEngineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
[uilding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: 20
Enn;ineering Review
1'Slope at building pad: 2 4
Ud' Conditions"Met"prior to issuance of building permit ///7�i
[r Easements (encroachments)per engineering conditions of approval and plat
f Water Quality/Quantity Facility.
Assess Water Quality Fee in-lieu: ❑ Yes iNo
Assess Water Quantity Fee in-lieu: ❑ Yes & No
LIDA Facility on lot: ❑ Yes 'No
l�/Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date: ,C//Zd/2�'
Revisions (after Building Submittal only) Reviewer !Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
P rmit Coordinator Review
Conditions"Met"prior to issuance of building permit
04 pproved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
IN', DC Exemption: ❑ Received oes not apply
IP SDC Fees Entered: Wash Co Trans Dev Tax: bYes ❑ N/A
Tigard Trans SDC: VI/Yes
❑ N/A
Parks SDC: 'apes
El /A
LIDA El N/A
OK to Issue Permit
Approved by Permit Coordinator: - Date: �.2/�.2/
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
City of Tigard
IN 4.
COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 A R D River Terrace Building Permit Review Addendum
Building Permit #: M STZOZI -0v155
Site Address: 16604 SW Sunshine Coast Street
Project Name: Polygon at Roshak Ridge Lot #: 149
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Alanni i evietly of.River ?Terrace Alan District ami m Standards (18 640.070.4):
Is the project subject to the plan district design standards? L4 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
,:1 ❑ ❑ 0 0
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 18%
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 0 No
If yes,all the following apply: g 25 sq.ft. min.
fl One street facing entry ® 12 ft. max.roof above floor of porch
5 ft. depth min. E 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 0 Recessed entry area min. 5 ft.wide x 2 ft. deep
O Wall offset min. 16 inches 0 Dormer min. 4 ft.wide
® Roof eave min. 12 inch projection $I Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood 7 Gable,hip or gambrel roof design
O Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 inches wide
O Accent siding min. 40%of street facade IKi Window trim min. 21/2"wide by 5/8" deep
0 Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft.deep
• 0 Balcony min. 5 ft.wide x 3 ft.deep with inside access 0 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. Gil Yes 0 No. If No (Check one):
O May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
0 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 façade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: Gi�2iit`JQ Date: 4/20/2021
I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
r i c A l:n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: tll5SoY t\ DATE RECEIVED:
DEPT: BUILDING DIVISION pP RECEIVED
FROM: 8j1iait 4(cvm; /lb° di 4}S
APR 2 9 ZOZt
COMPANY: 7 Dg ®((iSe.K.1 CITY OF TIGARD
PHONE: .'93G8 914,6 Sblif BUILDING DIVISION-
EMAIL: g AP i° 4b0h4 (ow, v,y_c f:y7.
RE: I6:G04 SW cL9 s1e,+19P i --St— ItICT2Qi22.1 — 00I55
(Sit ddress (Permit Number)
01— -ig: 1-1cfif tZ4,,,
(Projec e or subdivision name and lot number) vr
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
.2, Other(explain): ( fftI. .go,e cp6.
REMARKS: 910Y1 eyernyvC►1{Al co an fined „ fSSi a (' Qit feud At. .
FOR F ICE USE ONLY
Routed to Permit Te ni ian: Date: 5LI 7i Initials: f '
Fees Due: ❑ Yes o v Fee Descrip ion. Amount Due:
/'- $
\--) ° )i i `� $
p5,--
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes No n Done
Applicant Notified: � Date: /r// Initials: _
I:ABuilding\Forms\TransmittalLetter-Revisions_073120.doc