Permit CITY OF TIGARD MASTER PERMIT
• COMMUNITY DEVELOPMENT Permit#: MST2021-00152
13125 SW Hall Blvd.,Ti Date Issued: 05/18/2021
T[GAI� f. and OR 97223 503.718.2439 9
Parcel: 2S107AA15000
Jurisdiction: Tigard
Site address: 16642 SW SUNSHINE COAST ST
Subdivision: ROSHAK RIDGE Lot: 150
Project: Polygon at Roshak Ridge, Lot 150
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: 28 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
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckfiw 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 Tvoes 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
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.'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 98860 VANCOUVER,WA 98660 2 One Hour Fire Rated Eaves
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $40,371.05
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 503.232.1987or.1..8.0.00..332.2344.
Issued By: ffiYUyVci vDe.'Weie Permittee Signature: OWAppifcatI,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.
Building Permit Application ' .— .' 15 2
Residential RECEIVE FOR OFFICE USE ONLY
Received
. City of Tigard n n Date/By: / 20 PennitNo.MSflp2.1-00152
13125 SW Hall Blvd.,Tigard,OR 97223 APR 1 « _I r Plan Review (,�
[�
Phone: 503718.2439 Fax: 503.598.1960 Date/By: r '{ !.f 1 oli other Pem 102,24021'000
77.
TIGARD Inspection Line: 503.639.4175 Date Ready/By: 3 // Jiver SeePage2for
Internet: www.tigard-or.gov CITY OF TIGAR[� ...fted/Method: / //�� S Supplemental Information
BUILDING DIVISIOI Aii. . ilia:,,
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 5�
®1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 21 l 14,0 t
0 Accessory building El Multi-familyNumber of bedrooms: 3
❑Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors:2 t9)5
Job site address: 16642 SW SUNSHINE COAST S'I' New dwelling area: 2,113 square feet C(946
City/State/ZIP:Tigard, OR 97140 Garage/carport area: 422 square feet 0126
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.: 150 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.
Valuation: $
New residential construction: SFU
Elevation: 222100B Existing building area: square feet
Scheduled construction start: July 2021 New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Polygon Homes WLH LLC Type of construction:
Address:703 Broadway St., Ste 510 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
Phone:(360 946 8674 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON Ui9 BUILDING PERMIT FEES*
Business name:Polygon Homes WLH LLC (Raise refer to fee schedule)
Structural plan review fee(or deposit): �•V
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
Phone:( 360 946 8674 Fax::( ) Amount received:
E-mail: PermitSubmittals@taylormorrison.com_OAIamiAbouhafs@taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name:Polygon Homes WLH LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:703 Broadway St., Ste 510 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver, WA 98660 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( 360) 695-7700 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.:207247 Total fee due upon application: $201.60
Authorized signature: Qom,4 Mr. '4z46,146 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: 04/15/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits1BUP-RESPermitApp.doc 02/24/201 I 440-4613T(11/02/COM/WEB)
Mechanical Permit Applicati(� rr
>-IECEI y _. FORO££ICEUSEO�LY } <.
City of Tigard y Received ` �^-yI
It g APR t r nl Date/By PenultNo.. I,,A�t)T2�,II-60/ 2�
13125 S W Hall Blvd.,Tigard,OR 97223 J wLl
' : : Phone 503.718.2439 Fax: 503.598.1960 Plan Review O her Permit:
Date/By:
Y I{���i.l Inspection Line 503.639.4175 Date Read/B
Intemet. www.tigard-or.gov CITY OF I Y�U�1'IL : Inds'y Nottfed/Method, Supplemental Page
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 perforated.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other. mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:S
. - RESIDENTIAL EQUIPMENT/SYSTEMS FEES*.
►. I-and 2-family
dwelling ❑Commercial/industrial ❑Accessory building For spe«at 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: 16642 SW SUNSHINE COAST ST
Furnace 100.000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bld5Japt.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 _73.32
Subdivision: Polygon at Roshak Ridge Lot no.: 150 Other 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/msert 33.39
- Flue vent for water heater or gas
New SFU fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 3339
Wood fuenlace/insert 23.32
Chimney/liner/flue/vent 23.32
Other. 23.32
PROPERTY OWNER • 0 TENANT 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 morns) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace 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
WalVsuspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
E-mail:permitsubmittals(dtaylOrmOrrISOfl.COm Range 1
Barbecue
iNt CONTRACTOR Clothes dryer(gas)
Bustness name:Pro Heating&Cooling Other:
MECHANICAL PERMIT FEES*
Address: NW 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)
CCB lic.:209001 TOTAL PERMIT FEE
' ( This permit application expires it a permit Is not obtained within ISO
/; days after it has been accepted as complete.
Authorized signature: w_ I_::)J ' Fee methodology set by Tri.Cosmty Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
t'niniloins,R,,-,n,>,rwr R..rrW•nn M AI;A an.
Electrical Permit ApplicatiO eCEIV' .- - FOR OFFICE USE ONLY
Cityo Tigard !�G G 1 R�ei��a
111
r 131SWilt Btvd.,Tigard,OR 97223 p il80PBy Pmm�# I(�('��.601�j 2i
Phone: 503.718.2439 Fax: 503.596.1960„�� ` Plan Review Related Permit is
1)aavRr
Inspection Litz: 503.639.4 175
CITY O eth font
Interest: www.ligard or.gov Supplemental see Pent for
Information
TYPE OF MAW_ '- PLAN REVWW. .
®New construction ❑Addition/alteration/replacement Please cheek ell that apply(submit=sets of plans w/items eeedmd)
❑Demolition ❑Other; 0 Starke or feeder 400 amps at mom ❑Budding over three stones.
where the available fault coma 0 Mariam and boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps a 150 volts or ❑Floating buildings
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building lets to emend,or exceeds 14,000 ❑Comme ei:d-use asrieniturct
El Multi-familyEl Master builder El Other: amps fin all edict instillations. bmldinge.
❑Fire pomp. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately denied
Job#: Jab site address: 16642 SW SUNSHINE COAST ST El Additton of new motor load nf ayq
1001IP or more. ❑"A"."E""i 2" "l-3"
City/State/ZIP: Tigard,OR 97140 Psis or more residential twits occupant
0 Recreational
Suite/bld ./ t.#: name: Polygon ❑Haza dour facilities. ❑Supply voltage for le more than
g aP Project at Roshak Ridge ❑Elazaraouc locations
❑Servece or feeder 600 amps m more. 600 volts nominal.
Cross street/directions to job site: FFF. SCIIFDOI E '
Oearipthm I Qtr. I Each I rata i •
New residential single-or multi-family dwdliag unit.
Subdivision:Polygon at Roshak Ridge Lot#: 150 Includes attached garage.
Taxmap/parcel#: 1.WO:ti1_R-orlws 14654 4
Fa add'1 500 sq.R.or portion 33.92 1
DESCRIPTION OF WORK Limited enerr,,,y,residential
—
New cor6Struction.Type SFU
(with above sq.ft) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.R)
Renewable Energy ❑ See Page 2
® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Polygon Homes WLH LLC 200 amps or leas 100.70 2
_.
Address: 703 Broadway St.,Ste 710 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP' Vancouver,WA 98660 sol amps toi,000amps 301.04 2
Phone:(360 )946 8674 Fax:( ) over I,000 amps or volts 552.26 2
Email: OAlamiAbouhafs@taylormorrison.com-PemlitSubmival IormartisoILCDm T dry services or feeders iosfallatiae,alteration,and/or
�Y 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
0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel 0 APPIJCA1 T f
Business name: Polygon Homes WI.H LLC A.aboveFbo for a branch fcfcvsts with
atrvicc or fmdtT Coe, 7.42
Contact name: Omar Aland Abouhafs each branch circuit
B.Fee for branch circuits wirlmrd
Address: 703 Broadway St.,Ste 710 service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:Vancouver,WA 98660 Each add'!branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360 )946 8674 Fax::
( ) Each manufactured or modular 07.84 2
Email:oAlamiAbouhafs@taylotmorrison.com-PermitSubmitfals(ytaylnrmorrison.com dwelling,service a a/a feeder
R4Cnnneee only 67 84 2
CONTRACTOR" Pump or irrigation circle 67.84 2
Business name: Wallace Electric Sign or outline lighting 67.84 7
Addr s: 105 Dresden St s grel circa t[s)or limited-energy CI See Page 2 2
Panel,alteration,or extension
City/State/ZIP: Astoria OR 97103 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 6625/hr
Phone:(503 388 0563 1'ax:( ) Investigation(I hr min) 90.00'hr -
bFinail: I)avid@l'wailaccwires.com Industrial plant(1broun) 78.18lbr
Inspections for which no f'ee is
COI LIe.:224868 ElectricalLic.:C1441 Suprv. Lie:. 6363S specifically listed(16 hr min) 90.00IM
-- - ELECTRICAL FEltpflrr.FEES ..:
Suprv.Electrician signature,required: Subtotal:
Print name:DAt7 eo Date: q /4 Jx 1 ❑Plan Review Required(25%of permit foe):
/%//�////r//� r r / State surcharge(12%of permit fee):
Authorized signaturei. 57.
!�d�(, TOTAL PSRibi1T TTE:
This permit appheatiea expires If a pe.r.il is nor°htaiaed within ISO
Print name: ?� 10 1 a A 4 41,.i Date: tt/j ifZ t .` days a$er it has iron accepted as rompicte
-�'1"1 YY �+ �r .1//GLV 1 • Number of inspections allowed per permit.
bfitne a ermitnac_PermiUpp E1R ERE.doc era 06/l7n0ti t d6151-01N5lCOM/WER
•
Plumbing Permit Applicat4ECEIVED
Building Fixtures HHtt FOR OFFICE USE ONLY
Cityof Tigard APR 1 Received M ST2O2l l J LSv
gu 3021 Reev Permit No.:
at 13125 SW Hall Blvd.,Tigard,OR. 97223 Plan Review
a Phone: 503.7182439 Fax; 503.598trY OF TIGARD DateJBy Other Permit No.:
T I G A R D Inspection Line: 503.639.4175 Date Ready/Br subs: Si See Page 2 for
Internet: www.tigard-or.gov _',u ILDI NG DIVISION Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist.
Description 1 Qry. 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
�{ m 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
/" SFR(3)bath 500.32
0 Accessory building 41I-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: 16642 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: _Polygon at Roshak Ridge Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.:, ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: Polygon at Roshak Ridge I Lot no.: 150 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 ❑ 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
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:$_) Page2
Primer 12.51
Contact name:Tonja Morris
Roof drain(commercial) 12.51
Address:703 Broadway St.,Ste 510 Sittk/basirt'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:permitsubmlttals@polygonbomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water PP �u m 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
CCB Lie.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
�-�o�,��� State surcharge(12%of permit fee)
Authorized signature: k, i TOTAL PERMIT FEE
Print name:Steve Fowler Date: 10/30/20 This permit application expires ire permit is not obtained within 180 days
after it hat been accepted as complete.
"Fee methodology set by TmConnty Building Industry Service Board.
149e0diogtPerme0PLMU-PennitApp.doc 1040009 440-461611(10/02/COMAWEB)
Plan# 2Z21 (250 Floors I 1!� •��j��, "a Large 2
Bed rooms 3 Small 3t
WC 3
LAV
Tub 3 Basement
Vent 1st Floor Ci).-S�2
Water Heater 1 2nd Floor \l550
AC V-C-3 n 3rd Floor
School ---1 t R-3 Total 2-
Garage 4 a a
e La..-C.-SL, Total 5• S
#for Elec
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
T l G A R D Building Permit Review — Residential
Building Permit #: M ST Z O ZJ-00 (52—
Site Address: 16642 SW Sunshine Coast Street
Project Name: Polygon at Roshak Ridge Lot #: 150
Planning Review
Proposal: New house
® Verify address/suite# active in Acccla. ® In River Terrace: ❑ No ® Yes, River Terrace Review Addendum
Site Plan Elements: liilErosion Control
X13 copies of site plan on 8-1/2"x 11" or 11 x 17"paper $l Retained trees with drip line and tree protection measures
L Drawn to scale(standard architect or engineer scale) X Footprint of new structure(including decks)and FFE
®North arrow ®Utility locations&easements(required for new and additions)
®Site address,project or subdivision name and lot number ®Sidewalk/driveway approach
6(lApplicant information(name and phone number) Wocation of wells/septic systems
XLot dimensions and building setback dimensions E Street tree size,type and location
fquare footage of buildings to be demolished k(lStreet names
filiExisting structures on site kICorner 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? CAA ENo
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes ENo
® Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: El Yes,applicant was notified ® No Received: ❑ Yes ❑ No
Xl 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 fd No Received: ❑ Yes ❑ No
® Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake
® Land Use Case #: SUB20015-0fl004 ® Zoning: R-12
J Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: na Garage: 20
E Building Height: Max.Height: na Actual Height:
Landscape Area: 20 % IN Lot Coverage Max: 80
El Set back no more than 8' from street-facing wall ❑ Parallel to street or offset 45 degree
Windows 12%of area of all street-facing facades
Garage ❑ Garage doo 'dest street-facing wall ❑ Yes ,one of the following is met:
❑ Door extends no m _h extending beyond garage.
❑ Door extends no ma dow River Terrace Addendum dow above garage on 2nd floor.
❑ Garage door width is 60%or less and includes 7 of following:
❑ rc ❑ Recessed entrance ❑ Wall offset ve ❑ Roof offset
Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gam r Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection
RI Visual Clearance ® Urban Forestry Plan
® Sensitive Lands: ❑ Yes ® No Type:
® Conditions met prior to issuance of building permit
Notes: � -_�N �
® U Approved By Planning: ce Date: 4/19/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
I:\Building\Forms\BI dgPerm itRvw_RE S_122419.docx
Building Permit Submittal
Original Submittal Date: °9/15 f-OZ/
Site Plans: #
Building Plans: #
Building Permit#: [ Enter building permit#above.
Workflow Routing: 11,--15lanning engineering [rmit Coordinator IL-Building
Workflow Sign-off: [ti1-""Sign-off for Planning(include notes from planning review)
Route Application Documents: engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
[ Building: original permit application,site plans,building plans, engineer and
beam calculations d trust details,if applicable, etc.
Notes:
By Permit Technician: �zl/Or/ Date: D 09/20 24
Engineering Review
Slope at building pad: 62./4
"Conditions"Met"prior to issuance of building permit
117 basements (encroachments) per engineering conditions of approval and plat
/Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Q21'No
Assess Water Quantity Fee in-lieu: ❑ Yes L,.'.�'/No
/ LIDA Facility on lot ❑ Yes L� No
[d Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes: _
L(d' Approved by Engineering: Date: _ ZU2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
`Q Conditions "Met"prior to issuance of building permit
�pproved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
1V',DC Exemption: ❑ Received ,Ooes not apply
VI SDC Fees Entered: Wash Co Trans Dev Tax: �es ❑ N/A
Tigard Trans SDC: Des ❑ N/A
Parks SDC: NJ Yes ❑ /A
LIDA ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: _ Date: /..J,Z/
1:1Building1 Forms\BI dgPerm itRv w_RES_1224I9.docx
I
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
i 71ti
T 1 G ARD River Terrace Building Permit Review Addendum
Building Permit #: h-4 sr ZOZ(-00 l 5Z
Site Address: 16642 SW Sunshine Coast Street
Project Name: Polygon at Roshak Ridge Lot #: 150
(New dwelling=subdivision name;Addition or Alteration_last name of owner)
Planning.4eview ofl2iver ?'mace Plan District besiRo Standards (78.640.07O.1.):
Is the project subject to the plan district design standards? IN Yes ❑ No
1.Articulation: a minimum of 1 element pet 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
® ❑ E
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 13%
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 ❑ No
If yes,all the following apply: ® 25 sq.ft. min.
® One street facing entry ® 12 ft. max. roof above floor of porch
® 5 ft. depth min. ® 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
❑ Wall offset min. 16 inches D Dormer min. 4 ft.wide
® Roof eave min. 12 inch projection ® Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood ® Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ® Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street facade ® Window trim min. 2 1"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
O 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 corner lot.
Setbacks:
No closer to front or side lot line, than longest street-facing wall. Al 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.
❑ 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 0 40%max. of street facade
® 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: PT1A detivilieb Date: 4/19/2021
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