Permit CITY OF TIGARD MASTER PERMIT
•' COMMUNITY DEVELOPMENT Permit#: MST2021-00150
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2021
T I i-A it t. 9 Parcel: 2S107AA14300
Jurisdiction: Tigard
Site address: 16595 SW SUNSHINE COAST ST
Subdivision: ROSHAK RIDGE Lot: 143
Project: Polygon at Roshak Ridge, Lot 143
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 925 sf Basement: 0 sf Left. 3 Parking Spaces: 0
Height: 29 Bathrooms: 3 Second: 1188 sf Garage: 422 sf Front: 8 Smoke
Dwelling Units: 1 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
Tubs/Showers: 3 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: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furnc100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Fum>=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: 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:
•
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 98660 2 One Hour Fire Rated Eaves
PHONE: PHONE: 360-695-7700
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.
Issued By: Ho Vow/ Wege Permittee Signature: 0 in/Appltc i-o-rt
Call 503.699.4175 by 7:00 a.m.for the next available inspection date.
Thls 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 ei3-4j 15(z
Residential FOR mulct: I SE ONLY
RECEIVE Received �r{i��[/ Q 'I y�^ `
City of Tigard DateBy: UY ! 2. a permit No.:1.4 77 72J vV I so
• 13125 SW Hall Blvd.,Tigard,OR 97223 APR 1 t- y9?. Plan Rev ew Other PetmitSW Ie 7Z�I (f(�(0
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: ,4/''7 Z1
i t ,,i,,,, Inspection Line: 503.639.4175 Date Ready/By: / /d 7 c la See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD No ethod: Supplemental Information
RU;LDING D!VISlO:.
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
O 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 0 Other: equipment,materials,labor,overhead,and the profit for the
`'. " t'!a"»s ., work indicated on this application.
CATEGORY OF CONSTRUCTION Valuation: $ • I `Li 0 r
® 1-and 2-family dwelling 0 Commercial/industrial
❑Accessory building El Multi-familyNumber of bedrooms: 3
❑Master builder ❑Other: Number of bathrooms: 2.5
JOB SITE INFORMATION AND LOCATION Total number of floors:22- 3 S
Job site address: 16595 SW SUNSHINE COAST ST New dwelling area: 2,113 square feet \,1 at
City/State/ZIP:Tigard, OR 97140 Garage/carport area: 422 square feet lers
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.: 143 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: 222100AR 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:( ) New:
la APPLICANT 0 CONTACT PERSON U9 BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Polygon Homes WLH LLC Structural plan review fee(or deposit): 7,,57 31
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
( 360 946 8674 ( ) Amount received:
Phone: Fax:
E-mail: PermitSubmittalsnataylormorrison.com_OA lam iAbouhafsataytormorrison.corn 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:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:207247 Total fee due upon application: $201.60
11 '10,-,ta.2..A6irr`'A6su+/,c- This permit application expires if a permit is not obtained
C/ within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
lami Abouhafs Date: 04/15/2021 Service Board.
P-RESPermitApp.doc 02/24/2011 440-4613T(l1/02/COM/WEB)
r Mechanical Permit Applicati � '-. �`" ` i'
`DECEIVE W � - �aRol:Eic>;I:sEo�i1.�-
Received
City of Tigard Date/By: Permit No.: 1.46T702_(.0Di93
rt 13125 SW Hall Blvd.,Tigard,OR 97223 APR
t � . Af R 1 C 7Q2' Plan Review
Phone:• 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T I Zi?.It I� Inspection Line: 503.639A 175 Date Ready/By; Jars, El See Page 2 for -
Internet: www.tigard-or_gov CITY OF TIGARD Notified/Mellott
Supplemental Inform a don
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST
Mechanical permit fees*are based on the value of the work
In New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY_OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
I j Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning i 46.75
Job site address: 16595 SW SUNSHINE COAST ST Furnace 100.000 BTU(ducts/venfs) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000f BTU(ducts/vents) 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
ydronic) 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.: 143 Other. 23.32
Older fad 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 SFU fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/finer/flue/vent 23.32
Other. 23.32
® PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Rangebood/othcrkitchen
equAddress:703 Broadway St.,Ste.510 Clothes nt 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:( ) Anic/crawispace fans 23.32
® APPLICANT ❑ 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. 1
Address:703 Broadway St,Ste 510 Gas heat pump
Wall/suspended/mit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range 1
E-mail:permitsubmittalsGataylOrmOrr1SOn.COm Barbecue
CONTRACTOR Clothes dryer( as)
Business name:Pro Heating&Cooling Other:
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104
Subtotal
City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00)
Phone:(360)270-li90 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCH tic.:209001 TOTAL PERMIT FEE
' (.L4.fL This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Authorized signature: ' Fee methodology set by Tri-County Building Industry Service Board
Print name;Elia Duran Date: 10/30/20
t-1gniN:nal5mmisl04rr P..n.alnn Mal 11 eine AAA acl+r.,3 in,vvv..ru+cv:
Electrical Permit Applicatiio ECEIVE FOR OFFICE 1SE ONI.V
•
J� g
City o Tigard Received
t /By Permit ft M S
T2)2(-o c
• 13125 SW Hal Blvd.,Tigard,OR 97223 13R I flan Review
Phone: 503.7182439 Fax: 503.598-1960 . "' _Q�: lsatrinv Related Permit 4:
^1 Inspection Line 503639.4175 �Y�r-- ARD Y��r anima 0 See Page 2 for
Internet: www.ugard-or.gov NtxiOcdl lethad. Supplemental Information
TYPE OF vamktiLDING DiVISIO pLA11 reevlFn
®New construction El Addition/alteration/replamment Please check all that apply(submit S sets of plans wrieem checked):
El Demolition ❑Other: ❑Same or feeder 400 amps or mom El Building over three stones
where the available fault cannot 0 Marinas and boatyard
CATEGORY OF CONSTRUCTION exceeds 10,000 amps as 150 volts or 0 Floating buildings
® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building hiss m mound,es exceeds 14.000 0 Commercial-use agrn dbnal
❑Multi-family ❑Master builder El amps for all vibes ieaallatioa buildings_
❑Fire pomp ❑Imtallarson of 150 KVA or
JOB STIT INFORMATION AND I.00'ATION ❑Emergency system. larger separately derived
Job#: Job site address: 16595 SW SUNSHINE COAST ST ❑Addf m of area motor toad of system
100I1P ex mon. ❑"A".`E""1 2""I 3"
City/State-aZIP: Tigard,OR 97140 ❑six or more rands-anal aoits occupancy
a❑Health-care facilities. ❑Reeanoaal vehicle parks.
Suite/bldgJapt.#: Project name: Polygon at Roshak Ridge ❑Iraz rdous locations 0 Supply vahage for more than
❑Sconce or fader 600 amps or more. 600 Welts nominal.
Cross alree t/dirtjctirins to job site: w FEESCHEDULE
neerriptioa I Obi, I Each 1 'fatal I •
Polygon at Roshak New residential single-or multi-ranny dwelling unit.
Subdivision:
oly8RidgeLot*: 143 Includes attached garage.
Tax map/parcel#: 1,000 sq.ft or less 1 168 54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
New construction.Type SFU (with above sq.R)
Limited energy,multi-family 75.00 2
_ residential(with above sq.ft.)
(la PROPERTY OK... Renewable Energy ❑ gee Page 2
!] TENAN i Services or feeders installation;alteration,and/or reiocal1on
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/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
Temporary Email: OAlamiAbouhafsaiaylannotrison.com-PermitSubmittals(�taylormorrison.com relocation services or feeders installation alteration,and/or
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: 1)a e: 401 amps to 599 amps _ 168.54 2
❑ APPLICANT
I ❑ CON-TACT PERSON Branch circuits--new,alteration,or extension,per panel
Business name: Polygon Homes WLR LLC A.above service or feeder fee, 7.42 2
each branch circuit
Contact name: Omar Alami Abouhafa n.Fee for branch circuits without
Address: 703 Broadway St.,Ste 710 service or feeder fee,first
561 s 2
branch circuit
City/State/ZIP: Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone'(360 )946 8674 Fax:
:( ) Eli' b manufactured er modulo 67.84 2
Email:0AlamiAboultafs@taylormorrison.com ftaylotmorrison_com-PennitSubmittals@taylamorrison.coon dwelling,scram and/or reeds.
Reconnect vniy 67 84 2
CONTRACTOR Pump or irruption circle 67.84 2
Business name: Wallace Electric Sign or outline lighting - 67.84 2
Address: 105 Dresden St Signal circuit(s)or limited-rangy 0 See Page 2 z
_panel,alteration,or extension
City/State/ZIP: Astoria OR 97103 Each additional inspection over allowable In any of the above
Additional inspection(1 lrr min) 66 25/hr
Phone:(503 3)8 0563 Fax:( ) Investigation(1 hr min) e 9tL00/hr
Entail: David(a3wallaccwires.com Industrial plant(1 hrmin) 78.181hr
COILie.:224868 Flecteical Lie.:C144I I specifInspeically
ions for which no tee is
90001M
Suprv.1,iC.' 6363S spedfieally listed('/r hr min)
• ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: he' )ate: It jL/xr mit
_QPlanReviewReyuired(25%ofperfa):
ii! ..,
t! State surcharge(12%of pennit fee):
Authorized stature TOTAL PERMIT FEE:
This permit application espirea if a permit is not obtained within 180
Print name: n u .4, Date: qC(//Z 1 days after it has been mired as complete
"-`+-F'"v _....._...._ �f 6+ ' Number of mspeAmus allowed per permit.
I:unaildinectmileflc Pcr84 pp 17,g ERE.acc lin06:17n013 a,1:-16157(11/O5FCOMIWID
• Plumbing Permit Application
Building Fixtures RECEIVE 1 FOR OFFICE USE ONL\
City of Tigard Received S.�M ;t e�
•J g T ma y: ._ Pennit No.:pi t O Q(56
:,y.- 13125 SW Hall Blvd.,Tigard,OR 97223 APR 1. J .Q7- Plan Review --_--��
a' Phone: 503.718.2439 Fax: 503.598.1960 Date/By Other Permit No:
T I c A R D Inspection Line: 503639.4175 CITY OF TIGARD Dale Ready/By: Ivo, ES Sec Page 2 for
Internet: wlvw.ligard-or.gov Notified/Method: Supplemental Information
TYPE OF woRKRUILDINU DIVISION FEE* SCHEDULE
e 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 connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
X1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building Multi-family SFR(3)bath 500 32
Each additional bath/kitchen 25.02
D Master builder ❑Other: Fire sprinkler(_____sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
lob site address: 16595 SW SUNSHINE COAST ST Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
- Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name:omit i•FlidgerPolygon 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.: 143 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
® PROPERTY OWNER I 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 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$ ) Page 2
Contact name:Tonja Morris Primer 12.51
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:permitsubmittais®polygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:C&B Plumbing&Sons Inc Water pip ng/DW V 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
CCB Lie.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: i'S �y�.,e�.�
-- ' - TOTAL PERMIT FEE
Print name:Steve Fowler Date: 1 0/30/20 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
"Fee methodology set by Tti-County Building Industry Service Board
1 113aading\Pam251PLMU-PamitApp.do, 10/01/09 440.4616T(10/07/COWWEB)
Plan # DDA-K 2 l r �J
Floors Large F— rye
Bed rooms 3 Small 31 111
we 3
LAV 5
Tub 3 Basement
Vent '1 1st Floor I Z S
Water Heater 2nd Floor [ I S
AC \ 3rd Floor •
School R-3 Total Z4 3
Garage (--1a.a
VG.3S OL1 Total -2_5-35
#for Elec lam{
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
: 1
T I G A RD Building Permit Review — Residential
Building Permit #: t4 ST2-02J -0015 )
Site Address: 16595 SW Sunshine Coast St
Project Name: Polygon at Roshak Ridge Lot #: 143
Planning Review
Proposal: New single detached house
O Verify address/suite#active in Accela. El In River Terrace: ❑ No El Yes, River Terrace Reviesv Addendum
Site Plan Elements: ' ion Control
Ilkcopies of site plan on 8-1/2"x 11"or 11 x 17"paper tained trees with drip line and tree protection measures
prawn to scale(standard architect or engineer scale) footprint of new structure(including decks)and FFE
• orth arrow ::Jtility locations&easements (required for new and additions)
Mite address,project or subdivision name and lot number ';.,ewalk/driveway approach
• pplicant information(name and phone number) �'II,cation of wells/septic systems
• of dimensions and building setback dimensions jtreet tree size,type and location
ILquare footage of buildings to be demolished .Street names
�- j)(I I xisting structures on site ''Corner elevations (2'contours if more than 4'differential-
II .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? LJres 'o
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es '' o
❑ Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
��{� Required: CI Yes,applicant was notified 0 No Received: ❑Yes El No
0 Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: El Yes,applicant was notified El No Received: 0 Yes ❑e No
El SDC Exemption for ADU applied for: ❑Yes El No Received: El Yes 0 No
El Public Facilities Improvement (PFI) Permit:
Required: 0 Yes,applicant was notified ❑No Applied For: 0 Yes ❑ No,stop intake
SUB2015-00004 0 Zoning: R-4.5
❑° Land Use Case #:
❑r Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: N/A Garage: 20
El Building Height: Max. Height: N/A Actual Height: 29
dscape Area: % ❑ Lot Coverage Max: cyo
Entrance et back no more than 8'from street-facing wall rallel to street or offset 45 degrees or less
Windows Minim 2%of area of all street-facing facades 1t,
Garage Gara e door is widest street-facing
wall 0 Yes ❑ No,one of the following is met:
Door extends no more 5' fro all and there is a covered porch extending beyond garage.
Door extends no more th ll and there is a 12 sq ft.window above garage on 2nd floor.
❑ Gara e door width is 2'or less 50°u s of facade 60%or less and includes 7 of following:
Covered Recessed entrance ❑Wall o 1'Roof cave Roof offset
Fir gles Lap Siding ❑ Roof itch ❑ Gab e, or gambrel roof ❑ Dormer
Accent siding Window trim 11 Window recess Win ojection ❑ Balcony
II Visual Clearance ❑✓ Urban Fores Plan
\" II Sensitive Lands: 0 Yes l No Type:
III nditions met prior to issuance of building permit
No s:
Approved By Planning: �i A—_____ Date: Z7I/C—
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
I`\Bui lding\Forms\B1dgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: e 4/16/Lo2J
Site Plans: # 3
Building Plans: # ,3
Building Permit#: Enter buildinpermit#above. ��
Workflow Routing: 2-Planning ngineering Pe-rmit Coordinator Building
Workflow Sign-off: E 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.
[uilding: original permit application,site plans,building plans,engineer and
beam calculations . - I trust details,if applicable,etc.
Notes:By Permit Technician: 24,/rd Date: DL/ /V.242i
Engineering Review
Slope at building pad: /4
l "Conditions "Met"prior to issuance of building permit /./01
t� asements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes
Assess Water Quantity Fee in-lieu: ❑ Yes
� LIDA Facility on lot: ❑ Yes V No
L.j Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:, l
E 'Approved by Engineering: Date:
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:ff
❑ Received Does not a7 ly
SDC Fees Entered: Wash Co Trans Dev Tax: Yes N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes gN/A
OK to Issue Permit
Approved by Permit Coordinator: tr--3
Date: 4(241 wt..'
1:\Building\Forms\BI dgPerm i tRv w_RES_122419.docx
City of Tigard
INr COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #: V"I 7-2O21 -Co 1 SO
Site Address: 16595 SW Sunshine Coast St
Project Name: Polygon at Roshak Ridge Lot #: 143
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.I.):
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 required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch min. ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer
ElEl ❑ ❑
2. Eyes on the street: a minimum of 2/q of each street facing facade must include windows or entrance doors.
Percentage Shown: P /p
i3. ntrances:At least one entrance must meet both of the follcy(vmg standards:
Max. 8 ft. setback from ion st street- facing wall Parallel to street,angle no more than 45° from street,
or op onto porch
En ance opens to a porch: Yes ❑No
If s,all the following apply: sq.ft. min.
One street facing entry ft. max. roof above floor of porch
5 ft. depth min. 30%min. porch roof coverage
iiledDesign:All buildings shall include a min. of five of e following elements on all street-facing facades:
i.
ered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep
offset min. 16 inches ❑ ►ormer min. 4 ft.wide
IPA Roof eave min. 12 inch projection • 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. 21"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 er lot.
Setbacks:
No closer to front or side lot line,than longest street-facing wall. Yes ❑No. If No (Check one):
❑May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
❑May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min. area of 12 sq.ft.
Widt : (Check one)
2-foot-wide garage door ❑40%max. of street facade
50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: Date: 4
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