Permit CITY OF TIGARD MASTER PERMIT
s COMMUNITY DEVELOPMENT Permit#: MST2021-00149
T 1 GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2021
Parcel: 2S107AA14200
Jurisdiction: Tigard
Site address: 16611 SW SUNSHINE COAST ST
Subdivision: ROSHAK RIDGE Lot: 142
Project: Polygon at Roshak Ridge, Lot 142
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1215 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1715 sf Garage: 485 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2930 sf Value: $382,233.30 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
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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+amplvoll 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 2930
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: $43,640.75
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: nattyVary V e'w Permittee Signature:ege 0 vt/Applicati,on
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 .
Building Permit Application 13—'e{115 2-
Residential RECEIVE I FOR OFFICE USE ONLY
Received/1C�
• - City of Tigard APR " ` Dateived/ • !9 262! PermtNaM S f7D21-Od!4y
III13125 SW]Tall Blvd.,Tigard,OR 97223 Plan Review ylo�,7 i Q,q. C A�l�OOOq
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: / / A U d OtherPermi4) L
Inspection Line: 503.639.4175 CITY OF TIUHNL Date Ready/By: tom: H See Page 2for
TIGARD g g BUILDING DIVISION �S /i T pp
Internet:
www.ti azd-or.goy Notified/Method: �� ' 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.Valuation: $ 362;A I d r
ll
® 1-and 2-family dwelling ❑Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms: 5
0 Master builder ❑Other: Number of bathrooms:3
JOB SITE INFORMATION AND LOCATION Total number of lloors:2 31-i (
Job site address: 16611 SW SUNSHINE COAST ST New dwelling area: 2,930 square feet i S
City/State/ZIP:Tigard, OR 97140 Garage/carport area: 485 square feet I 115
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 Lot no.: 142 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: 222300BR 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:
City/State/ZIP:Vancouver, WA 98660 Existing:
Phone:(360 946 8674 Fax:( )360 693-4442 New:
El APPLICANT ❑ CONTACT PERSON u9 BUILDING PERMIT FEES*
Business name:Polygon Homes WLH LLC (Please refer mfee s¢heduleJ
Structural plan review fee(or deposit): Sp 3c'
Contact name:Omar Alami Abouhafs FLS plan review fee(if applicable):
Address:703 Broadway St., Ste 710 Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660
Amount received:
Phone:( 360 946 8674 Fax::( )
E-mail: PermitSubmittalsc�taylormorrison.com_OAlamiAbouhafs@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.
Permit Fee(includes plan review $180.00
City/State/ZIP:Vancouver, WA 98660 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: Qom,.AEamtz: 46e_, 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: 04/14/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
L\Building\Permits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
A
Mechanical Permit ApplicataF C E I VE 1 FOR OFFICE USE ONLY
City Tigard Ti and Received 4q
,00 t
't 13125 SW Nall Hlvd.,Tigard,OR 97223 APR 1 v 9 I]�f Date/By: Permit No.: �,t, 'b Zl _
Plan Review
Phone: 503.718.2439. Fax: 503.598,1960 Datc/By: Other Permit:
iltiAl;U inspection Line: 503.639.4175 CITY OFTIGARD DateReady/ByIwis:
S See Page 2 for
Internet www.tigard-or.gov BUILDING DIVISIOf�! Notified/Method! Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST
Mechanical permit fees*are based on the value of the work
►:4 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:S
CATEGORY_OF CONSTRUCTION RrSIDE�lIALEQUr1'MErT/SYSTEMS FEES'
®1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For spedai information use checklist.
1 j Multi-family ❑Master builder El Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heatina/cooling:
Job site address: 16611 SW SUNSHINE COAST ST Air conditioning 46.75
Furnace 100.000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ductsPoets) 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
bydronic) 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.: 142 Other 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 beater or gas
New SFU fireplace 23.32
Loa lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
IN PROPE1.TY OWNER 0 TENANT Environmental exhaust and ventilation:
Name:Polygon WLII,LLC Range hood/other kitchen
Address:703 Broadway St.,Ste.510 equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Polygon WLH,LLC Fuel piping:
S14.15 for Qrat roar;S4.03(or each additional
Contact name:Tonja Morris Furnace,etc. 1
Address:703 Broadway St.,Ste 510 Gas beat pump
Wan/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range ,
E-mail:permitsubmittalsttaylormorrison.com 1
Barbecue
iNk CONTRACTOR Clothes dryer(gas)
Other:
Business name:Pro Heating&Cooling
MECHANICAL PERMIT FEES'
Address: NW Aiociek Dr,Ste.1104
Subtotal .
City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00)
Plan review(25°A 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 ISO
e`-a bU days after it has been accepted as complete.
Authorized signature: " R�'n • Fee methodology set by Tri-Count}Building industry Service Board
Print name:Ella Duran Date: 10/30/20
Painildj p n,o,U,Wr F.mma.rnn Wm11 An,.
Electrical Permit Application RECEIVE FOR OFFICE IF ONLY
City of Tigard 1 r. 9 A2 Received Peca;ta Ml ST p2.1'COl
13125 SW Ran Blvd,Tigard,OR 97223 APR. , r, .
2,, Phone: 503.718,2439 Fax: 503,598,1960 �y w Related Permit a:
IlupcctinLine: 503.6394175 CITY OF TIGARC ReedyDntday lads: 21 See Page 2for
Eli.;ARD Internet: www.tlgard-or.gov NotifiediMedwd: Supplemental Information
Prll!:[SING nlvisi lc',
TYPE OF WORK • PLAN REVIEW
El New construction ❑Addition/alteration/replacement Please check all that apply(submit J sets of plans wlitems checked):
❑Demolition ❑Other: ❑ k Sasiee or crkr 400or amps or me 0 Beddin n g ovrs three stones"
where the available Sault cmrmt ❑Marinas and boatyards
CATEGORIC OF CONSTRUCTION eacocds 10,000 amps at 150 volts or ['Floating buildings
j t-and 2-family dwelling 0 Commercial/industrial ❑Accessory building Ion to Fad,or exceeds 14 000 0 Commercial-also agricultural
r. antes for as other installations. bud dings.
ng,.
❑Multi-family ❑Master builder 0 Othe
0 Fvc pump. ❑installation of 154 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system- larger separately derived
Job#: Job site address: 16611 SW SUNSHINE COAST ST 0 Addition of new motor load of &ysnm
mow nr more. ❑"A"`E""1 Z""1-3"
City/State/ZIP: Tigard,OR 97140 ❑Six or more residential units occupancy
❑fkalthcare facilities ❑Recreational vehicle Parks.
Suite/bldgiapt-#: Project name: Polygon at Roshak Ridge ❑llazardaus location., 0 Supply voltage rot our than
❑Service or feeder 600 amps or more. 600 cells nonsioat
Cross street/directions to job site: FEE SCHEDULE
Description I Qt., I rash I Total 1 .
New residential single-or multi-family dwelling malt.
Subdivision:Polygon at Roshak Ridge Lot#: 142 Includes attached garage.
Tax map/parcel#: 1,1300 an R or less _ 168 54 4
Es add'1500 sq.It.or portion 33.92 1
DESCRIPTION OF'WORK Limited energy,residential
(with above sq.R)
75 00 2
New construction.Type SFU Limited energy,multi-family
residenbal(with above sq.R) 75.00 2
® PROPERTY OWNER I 0 TENANT Renewable Energy ❑ Sec Page 2
Services to feeders installation,alteration,and/or relocation
Name: Polygon Homes WLHLLC 200 amps or less _ 100.70 2
Address: 703 Broadway St.,Ste 710 201 amps to 400 amps 133.56 -2
401 amp&to 600 amps 200.34 2
City/SlateJLIP: Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2
Phone:(360 )946 8674 Fax:( ) ever 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: 0AlarniAbouhaLs@taylonnorrison.com com-PermmitSubmittals(1Ltaylormorrison.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
❑ APPLIC:ANT . I ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Polygon Homes WI.H LLC above service or reeler fee, 7 42
each branch oireuit -
Contact name: Omar Alarm Abouhafa B.Fee for branch circuits without
Address: 703 Broadway St.,Ste 710 s ee Cuit fee,first
branch ctrh uit 56 18 2
_
City/State/21P:Vancouver,WA 98660 Eachaakl'1 branch circuit 7.42 2
phone:(360 )946 8674 Fax: Miscellaneous(service or feeder not included)
( ) Each manufactured or modular 67.84 2
Email:OAlamiAboubafs lolmon ison.com-Pemli1Submittal dwelling,service aodlor renaC[
flay S(Q1layluiTnOf[t.SOn-coo Rmcaranccr only 67 84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business nim,p: Wallace Electric Sian or outline lighting 67.84 .2
Sign nr Signal eutt(s)or lunited 8'i
Address: 105 Dresden St 0 See Page 2 2
parcel,aherabon,or extension.
City/State/ZIP: Astoria OR 97103 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66 25/tar
Phone:(503 3118 0563 Fax:( ) Investigation(I ltr min) 90.00/hr
Email: David@wallaccwires.com Industrial plant(I tar to n) 78.I8/tar
Inspections for which nu fee is 90.
00/la
CCB ire.:224868 F3ectrical Lie.: C1441 Suprv.Lie.: 6363S specifieafy listed(14 hr min)
ELECTRICAL:PERM1T'FEES :'
Suprv.Electrician signature,required: Subtotal
Print name:"DAy 4pLe. Date: ,r/4 F/z/ 0 Plan Review Required(25%of permit Mc): .
/ S State surcharge(12%ofpanditfee):
Authorized signature �!,ta"" - TOTAL PERMIT FEE:
This permit application expires If a permit is not obtained within 1.80
Print n_a_ e: 0 t jai I a, Date: zt ', a-t.. ,lays a0ter It has been accepted as complete.
--- T ......... , Number of inspections allowed
Psi per permit.
L+Emile$Og'H4rmuetiLC_IkmudApp_F7.R FRF..dcc lies 06u1771011 4 G9(i15T(,1NSrCOMiWEB
Plumbing Permit Applicatio�ECEIVE D
Building Fixtures FOR OFFICE USE ONLY
City of Tigard APR 1 F 2021 [ .1n
. g U Received
Permit No.:NST2O2.141U1L.f ,
n 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review
ill Phone: 503.7182439 Fax: 503.598.196�ITY OF TIGARD Uatrl6y: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISIO\Pate Ready/By: Arms: ® See Page for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For suede!information use checklist
Description I Qty. I Ea. I Total
0 Addition/alteration/replacement ❑Other: New 1-2-fanilly dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
,l-and 2-family dwelling ❑Commercialindustrial SFR(2)bath 437.78
❑Accessory building WA•Multi-fantily SFR(3)bath 500.32
Each additional bathikitchen 25.02
❑Master builder ID Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16611 SW SUNSHINE COAST ST Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 D ywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:, ) Page 2
Suite/bldg./apt.no.: I Project name:name:•RiaohellailesPolygon 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.: 142 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
New SFU Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
ID PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixture/sewer sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:703 Broadway St.,Ste 510
Garbage disposal 25.02
City/State/Z1P:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:TonJa Morris
--- - Roof chain(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®apolygonbomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water 8/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: 572.50
CCB Lie.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: litatit e ` TOTAL PERMIT FEE
Print name:Steve Fowler Date: 10/30/20 This permit application expires if a permit is not obtained within 180 clays
after it has been accepted as complete.
"Fee methodology set by Tri.County Building Industry Service Board.
1:sBuitd,gtPermin5PLFN-PermitArp.dne I0/01A9 4404616T(t0'00C0MwE81
Plan # ,Th227:6be>e,
Floors Large 2.,0
Bed rooms S Small 53
We lS
LAV S
Tub y Basement _
Vent 5- 1st Floor 1. 2-I 5
Water Heater 2nd Floor 1 7 )5
AC r 3rd Floor 2School R-3 Total Z-7 J�Garage Li (6 S
PC r4.._ e i.zrr,�
3 t �T�-f-- Total 3y l�
�� ' #for Elec s
City of Tigard
4 COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A R D Building Permit Review — Residential
Building Permit #: KA ST'2021 -O0 j 49
Site Address: 16611 SW Sunshine Coast
Project Name: Polygon at Roshak Ridge Lot #: 142
dPlanning Review
P oposal: New single detached house
Verify address/suite#active in Accela. In River Terr e: ❑ No Yes, River Terrace Review Addendum
Si Plan Elements: V r..ion Control
copies of site plan on 8-1/2"x 11"or 11 x 17"paper 'i 4 tamed trees with drip line and tree protection measures
rawn to scale(standard architect or engineer scale) otprint of new structure (including decks)and FFE
rth arrow 1/ lity locations&easements(required for new and additions)
e address,project or subdivision name and lot number tt alk/driveway approach
pplicant information(name and phone number) . A.cation of wells/septic systems
t dimensions and building setback dimensions = e t tree size,type and location
quare footage of buildings to be demolished reet names
xisting structures on site y omer elevations(2'contours if more than 4'diffe -ntial
t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace.? FA es o
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown , I es o
0 Clean Water Services —Service Provider Lett (lot platted prior to 9/10/1995):
Required: ❑Yes,applicant was notified LJ No Received: ❑ Yes ❑ No
•d Water Meter Fixture Unit Worksheet—Addi ns, Remodels and ADUs
\ / Required: ❑Yes,applicant was notified No Received: ❑Yes 0 No
DC Exempti for ADU applied for: ❑ Yes I 1 No VReceived: El Y s ❑ No
I d Public Facili s Improvement(PFI) Permit:
iiequired: Yes,applicant was notified ❑ No plied For: Yes El No,stop intake
and Use Case #: SUB201quired Setbacks: Front:5-00004
equired �d Zoning: R-4.5
8 Rear: 10 Side: 3 Street Side: N/A Garage: 20
Building Height: Max. Height: N/A Actual Height:
1 , dscape Area: % ❑ Lot Coverage A ax:
Entrance 1 Set back no more than 8'from street-facing wall P arallel to street or offset 45 degrees or less
Windows I 12%of area of all street-facing facades
Garage I Gara e door is .- -:.d widest street-facing w. ❑ Yes ❑ No,one of the following is met:
Door extends no mo - -.,n 5'f • wall and there is a covered porch extending beyond garage.
Door extends no more . wall and there is a 12 sq ft.window above garage on 2nd floor.
❑ Gara•e door width is 1 12'or less 51' . - less of facade 60%or less and includes 7 of following:
I•Covere• :.rch I Recessed entrance I W.i . et ❑ 1'Roof eave Roof offset
I . - shingles I Lap Siding ❑ Roof itch I a - . .,or gambrel roof ❑ Dormer
a Accent siding I Window trim LiWmdow recess I .: . •rojection ❑ Balcony
'' II V'sual Clearance I7 Urban Foxes Ian
I4 ensitive Lands: ❑ Yes No Type:
Co..itions met prior to issuance of building permit
No -s:
1, Approved By Planning: — • Date: C%2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
1:\Building\Forms\BI dgPerm itRvwRE S_122419.docx
Building Permit Submittal
r
Original Submittal Date: DV/I5/2624
Site Plans: # ----
Building Plans: # 3
Building Permit#: Et Enter buildingpferrmit#above. �� �
Workflow Routing: ❑ Ur-Engineering Engineering E Permit Coordinator L� iuilding
Workflow Sign-off: ign-off for Planning(include notes from planning review)
Route Application Documents: EkEngineering: (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 d trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 40 g/2021
En: *neering Review
A Slope at building pad: 2.t.
114 Conditions "Met"prior to issuance of building permit ,U7i7
aEasements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility: �
Assess Water Quality Fee in-lieu: ❑ Yes L�'/No
Assess Water Quantity Fee in-lieu: ❑ Yes �2 L�J No
/ LIDA Facility on lot: ❑ Yes No
" Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
l
Approved by Engineering: _/�� Date: WhrZ./
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:
'SDC Exemption: ❑ Received Does not aIjly
,Er SDC Fees Entered: Wash Co Trans Dev Tax: gYes IJ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: elaYes ❑ N/A
LIDA ❑ Yes )2(N/A
AOK to Issue Permit
Approved by Permit Coordinator: Date: L{(2,40 L\
1:1Building\Fortes\B I dgPerm itRvw_RE S_122419.do cx
4
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: 1-f$T2OZ/-OO ( LIg
Site Address: U ( '// SW Sunshine Coast St
Project Name: Polygon at Roshak Ridge Lot #: 142
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1):
Is the project subject to the plan district design standards? ElYes ❑No
1. Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element require 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 t. 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: > ) U
3. ntrances:At least one entrance must meet both of the folio ing standards:
Max. 8 ft. setback from lon st street- facing wall Parallel to street,angle no more than 45° from street,
or o en onto porch
En ance opens to a porch: Yes ❑No
If ,all the following apply: - sq.ft. min.
ne street facing entry 2 ft. max. roof above floor of porch
5 ft. depth min. 30%min. porch roof coverage
4.etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
overed porch min. 5 ft.wide x 5 ft. deep CI Recessed entry area min. 5 ft.wide x 2 ft. deep
_}fall offset min. 16 inches CI Dormer min. 4 ft.wide
Roof eave min. 12 inch projection ❑f�oof offset min.of 2 ft.
❑Roof shingles either tile or wood ® able,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 '/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 ❑Attached garage is 35% or less of street facade
5. Garages and Carports:May face the front or side lot line on a co r lot.
Setbacks:
No closer to front or side lot line,than longest street-facing wall. Yes ❑No. If No (Check one):
0 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: -, Date: 171 ./
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