Permit CITY OF TIGARD MASTER PERMIT
IIICOMMUNITY DEVELOPMENT Permit#: MST2021-00156
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2021
T f G A I;C7 g Parcel: 2S107AA14700
Jurisdiction: Tigard
Site address: 16576 SW SUNSHINE COAST ST
Subdivision: ROSHAK RIDGE Lot: 147
Project: Polygon at Roshak Ridge, Lot 147
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1242 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1722 sf Garage: 486 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors. Yes
Total: 2984 sf Value: $386,445.24 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
Other Fixtures: 0
Drywell-Trench Drain: 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!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
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VP R-3 2964
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 One Hour Fire Rated Eaves
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $43,770.97
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: 1404.lyVa4vDe,Weje Permittee Signature: OIvAp7UC.at'wn
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 • 13—'1( (2_I
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard RDaateBy: ') 1 � Permit No.: �[/�l e1V`: I.d ST9� t56,
" 13125 SW Hall Blvd.,Tigard,OR 97223 PR 1 5:2OV PlaDat nelBy Rev:iew q,
1 1 -- Phone: 503.718.2439 Fax 503.598.1960 5 3 1.l otherPermW♦ 01 ^00/0 1
Ins0 See Page 2 for
Dale ReadY/BY
TIGARD Internet:nwww.tigard-orgov5 CITY OF TIGARD Notified/Me Me od: /` �� Supplements 1 Information
BUILDING DIVISION / . ,e/14,e„r
TYPE OF WORK REQ PI DATA:1-A'I 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.
.44
® 1-and 2-family dwelling ❑Commercial{industrial Valuation: $ 5 v(0l y 45
IDAccessory building El Multi-familyNumber of bedrooms: 5
❑Master builder ❑Other: Number of bathrooms:3
JOB SITE INFORMATION AND LOCATION Total number of flyer :2 345�7
Job site address: 16576 SW SUNSHINE COAST ST New dwelling area: square feet I t
City/State/ZIP:Tigard,OR 97140 Garage/carport area: 486 square feet tDs. a_
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area:>It( 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.: 147 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: 222300GR 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:( )360 693-4442 New:
® APPLICANT 0 CONTACT PERSON U9 BUILDING PERMIT FEES*
Business name:Polygon Homes WLH LLC (Please refer m fee schedule)
Structural plan review fee(or deposit):
Contact name:Omar Alami Abouhafs
Address:703 Broadway St., Ste 710 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660
( 360 946 8674 ( ) Amount received:
Phone: Fax::
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.
Permit Fee(includes plan review
City/State/Z1P:Vancouver, WA 98660 $180.00and administrative fees):
Phone:( 360) 695-7700 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:207247 Total fee due upon application: $201.60
Authorized signature: norms 4 u .•46e Ia/ This permit application expires if a permit is not obtained
Q within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Omar Alami Abouhafs Date: 04/14/2021 Service Board.
I:1Building\Permits1BUP-RESPermitApp.doc 02/24/2011 4404613T(l l/02/COM/WEB)
Mechanical Permit ApplicatRECEIVE FOR •
OFFICE USE ONLY
City of Tigard Received
iv'ST?_CJZI,a)(56,
a
'i. 13125 SW Hall Blvd.,Tigard,OR 97223 API7 1 5 ,.021 Date ive Ham Review
Permit No.:
t Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
inspection Line: 503.639.4175 CITY OF TIGARD Date Rc
TI iiA 1:I) Date Rcady/Br. ' leis: 13 See Page 2 for
Internet: nww.tigard-or.gov BUILDING DIVISION Notified/Method- Supplemental Information
TYPE OF WORK COMMERCIAL FEE" SCHEDULE USE CHECKLIST
lacement Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/r
ep performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES"
®1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist
I i Multi-family 0 Master builder ❑Other. Description Qty_ _ Ea. _ Total
JOB SITE INFORMATION AND LOCATIONHeating/cooling:
Air conditioning I 46.75
Job site address: 16576 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
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge Ductwork 2332
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.: 147 Other: 23.32
Other fuel appliances:
Tax roan/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/liner/flue/vent 23.32
® PROPERTY OWNER 0 TENANT Other: 23.32 I
• 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:( ) Attic/erawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Polygon WLH,LLC Fnel piping:
$14.15 for first four;54.03 for each additional
Contact name:Tonja Morris Furnace,etc. 1
Address:703 Broadway St.,Ste 510 Gas heat pump
Wallisuspendedlunit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax:(360)693-4442 Fireplace
E-mail:permitsubmittalsc taylor DOIT1SOf.Com Range 1
Barbecue
' CONTRACTOR Clothes dryer(gas)
Business name:Pro Rearing&Cooling Other:
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104
Subtotal
City/State/LIP:Hillsboro,OR Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE
This permit application expires if a permit hoot obtained within 180
yet. J days after it has been accepted as complete.
Authorized signature: —" "JU"r"Q'n' a Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
rnlnil6*pn-na0,Mvr O....nit4aa nem to a,.. •4n 4<t'rr.r.n,rev,„MAMA,
Electrical Permit Application ONLY
FOR OFFICE USE O
City of Tigard RECEIVE Permit MSTzOlI-ocj(S(o
:14_ 13125 SW Ball Blvd.,Tigard,OR 97223 4 P�Review •--
Phone: 503.718.2439 Fax: 503-598.1960 1PR 1 6 .?.OZ: morn . Related Permit n:
!input:Dun Line: 503.639.4175 21 see Pare 2 for
L Internet: www.tigard-or.gov CITY OF TIGARD N 1�,
TYPE OF wmgU!LDINGDIVISION PLAN-Rl:v1F.w -
®New construction El Addition/alteration/replacement P16866 Eck ell thularmly(wheal,seta of plans writemaeterkcd):
❑Demolition ❑Other: ❑Smvxe ce feeder 400 amps or mom ❑Budding over three stones.
where the in-fable fault current ❑Marinas and boatyards
CATEGORY OF CONSTRUCTION csmcda 10,000 amps et 150 volts or 0 Floating bulldmpa
M 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building Imga to ground,or exceeds 14,000 El Commercial-are agricultural
El Multi-family ❑Master builder 0 Other:
feu all other nstallatioas. bui11 ogs_
❑Foe pomp. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emer8"Y system. larger separately loused
Job#: Job site address: 16576 SW SUNSHINE COAST ST ❑Adddumof new meter kind nf system.
19011P or more. ❑"A'_$_"1 Z" "l-3"
City/StalmraP: Tigard,OR 97140 0 Sur or more residential outs OLCUpetty
❑Health-care facilities. ❑Recreational vehicle parks'_
Suite/bldg./apt#: Project name: Polygon at Roshak Ridge ❑]lazardoum Iceaticns 0 Supply voltage for morn thus
❑Service or feeder 600 amps or more. 600 vuirs nominal.
Cross stied/directions to job site: FEE SCHEME
Darden= I ov. I rata I Total I •
New residential single-or malts-family dwelling unit
Subdivision:Polygon at Roshak Ridge Lot 4: 147 includes attached garage.
Tax mag/parcel#: 1,000 rat ft.or less 268..54 4
Ea.add'I 500 sq.B.or portion 33.92 1
DF.Sr R1PIION OF WORK Limited energy,residential
75.00 2
New construction.Type SFU Limited above
f energy,
multifamily 75.00 2
residential(with above sq.R)
Renewable Energy ❑ gee Page 2
® PROPERTY E1HFJt I 0 TF.IVAA I Services or feeders installation,alteration,and/or relocation
Name: Polygon Homes Will LLC 200 amps or less 100.70 2
Address: 703 Broadway Si,Ste 710 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2
Phone:(360 )946 8674 Fax:( ) Over 1,000 amps or volts 55226 2
Temporary services or faders installation,alteration,and/or
Email: 0AlamiAboubafs@taylonnorrison.com taylormorrison.cons-PetmitSubmittals@dtaylormorrison.coo relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps I2.508
Owner signature:__ _._ .._ Date: 401 amps to 599 amps 168.54 2
❑ APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch climatic with
Business name: Polygon Homes WIN LLC above service or/ced r flee, 7.42
Conrad name: Omar Alami Abouhab branch circuit
B.Fee for Match circuits wit ma
Address: 703 Broadway St.,Ste 710 service en-leerier fee first
56.18 a
branch circuit
City/State/DP::Vancouver,WA 98660 Each edd'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
phone;(360 )946 8674 Fax::
) Each manufactured or modular 67.94 2
Email:OAIamiAboubafs@taylormorrison-com-PermitSubmittils@taylonnorrison.com dwelling.aar•;ar a tiros lradar
lieearu.cc[sm}v 67.84 2
CONTRICIY)R Pump or irrigation circle 67.84 2
Business name: Wallace Electric sign or outline lighting 67.84 2
Address: 105 Dresden St 8ilyiat circuits)or tunitecl-energy
_panel,altcnhon,or eatcasion. ❑ See Page 2 2
City/State/ZIP: Astoria OR 97103 Each additional inspection over allowable in any of the above
- Additional inspection(1 hr min) 66 25/hr
Phone:(503 3lI8 0563 Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Daviti�i�wallaccwires.com Industrial plant(Ihim n) 78.181 hr
Inspections for which no fee is
Cal Lie.:224868 Electrical lac.: C1441 Suprv.Lic.: 63635 specifically listed(I hr min) 90 o i hr
ELECTRICAL PERMIT FEES -
Suprv.Electrician signature,required: Subtotal
Print name:DA ao LS Date: Y 4/Z f —ID Plan Review Required(25%of pemsit fee):
I State surcharge(12%of penult fee):
Authorized signet ‘44�'�J_ TOTAL PERMIT FEE:
/ t This permit application expires If a permit ss not obtained within 1a0
Print name: �a _ [,�'I L,x Date: �/ )7 i .._ 1 days after It has Imam accepted es complete.
-+�a/�. Ya7r++a+/a—r,/ b( • Number of inspections allowed per permit.
11Huile6rtg niulFYc_PamitAgilt RAlFdoe Rar0607r1613 4,ii4[t75T(i 1,0S'COd1+@FB
Plumbing Permit Applicatinn
Building Fixtures FOR OFFICE USE ONLY
City of Tigard iPR 1 5 2021 Received
te/B 4,
Permit No.:M s'r'L-v�-(+V
,1,- . 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review
III,-
Phone: 503.718.2439 Fax: 503.598ary OF TIGARD Date''' Oar Permit No.:
TIC A R Inspection Line: 503.639.4175 Dale Reedy/By: lads: El See Page 2 for
Internet: www.tigard-orgov BUILDING DIVISION Notifted/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
t 4 New construction ❑Demolition For special information rise checklist
Description I Qty. I Ea. 1 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
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
❑Master builder 0 Other. Fire sprinlder(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16576 SW SUNSHINE COAST ST Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Diywell,leach line or trench drain 16.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: Aiel.JPoygon al 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 R: ) Page 2
Storm sewer(no.linear ft.: 1 Page 2
Water service(no.linear ft.:, 1 Page 2
Subdivision: Polygon at Roshak Ridge l Lot no.: 147 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 WLII,LLC Fixturdsewer 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
it APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon W LH,LLC Medical gas(value:$_) Page 2
Primer 12.51
Contact name:Tonja Morris
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/showerpan 12.51
E-mail:permitsubmittals@apolygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:C&B Plumbing&Sons Inc Water P1PmP/D WV 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 Lic.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Steve Fowler Date: 10/30/20 This permit application expires if a permit is not obtained within I80 days
after it has been accepted as complete.
'Fee methodology set by Tri-County Building Industry Service Board.
I:113,ddiwtpmnitd:PLhn%-pmmitAr,.dm t11e01;04 440-4616T(IOO1,COMAYEa)
Plan# Z1-23D0 C�.
Floors a. Large a Z>
Bed rooms 5 Small + _ ) L r c_ kg4.,..) .6.A.,..
we 3 lL
LAV 5
Tub I Basement
Vent 5 1st Floor \ai-p-
Water Heater 2nd Floor \1 aD
AC Ni..2..-3 3rd Floor q
School 1,L{ R-3 Total act�P I/��
3 ( J _\AL, Garage L{ u
Total 3 .IS0
L.4-,‘J,\ih #for Elec S
ZSA--," I A-ti c ace wk C-s.i -kg-4-- SJbrvx-E-{w-,lS .
' u n v L�% � ,I c I 1 -� u-✓1
f t� cz�.cr�
E3rws la
7 . zS ( LH - 119a , 3z
1 )Z, 32 7 .S sc ,A \r1.-0-f r-` `i'-e-�}s-
City of Tigard
IN
■ COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: M STZort-p o 1 Sc
Site Address: 16576 SW Sunshine Coast Street
Project Name: Polygon at Roshak Ridge Lot #: 147
Planning Review
Proposal: New house
® Verify address/suite # active in Accela. M In River Terrace: ❑ No ® Yes, River Terrace Review Addendum
Site Plan Elements: ICI Erosion Control
K13 copies of site plan on 8-1/2"x 11"or 11 x 17"paper IURetained trees with drip line and tree protection measures
®Drawn to scale (standard architect or engineer scale) in Footprint of new structure(including decks)and FFE
I4North arrow []Utility locations&easements(required for new and additions)
[XSite address,project or subdivision name and lot number ®Sidewalk/driveway approach
kApplicant information(name and phone number) intocation of wells/septic systems
®Lot dimensions and building setback dimensions ®Street tree size,type and location
lquare footage of buildings to be demolished ®Street names
naExisting structures on site X Corner elevations(2'contours if more than 4'differential)
XIlLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? [afA❑No
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 No Received: ❑ Yes ❑ No
!] Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes E No
® SDC Exemption for ADU applied for: ❑ Yes ® No Received: ❑ Yes ❑ No
(xl Public Facilities Improvement (PFI) Permit
Required: 0 Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake
® Land Use Case#: SUB2015-00004 ® Zoning: R-4.5
f 1 Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: 8 Garage: 20
® Building Height: Max.Height: na Actual Height: 28
1.i Landscape Area: 20 % E Lot Coverage Max: 80
Entrance ck no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees
Windows ❑ Minimu area of all street-facing facades
Garage 0 Garage door is be treet-facing wall ❑ Yes of the following is met:
❑ Door extends no more See River Terrace Addendum extending beyond garage.
❑ Door extends no more low above garage on 2"d floor.
0 Garage door width is 0 12' 50%or less ❑ 60%or less and includes 7 of following:
O Covered o• ecessed entrance ❑ Wall offset cave ❑ Roof offset
❑ es ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or ga f ❑ Dormer
Accent siding ❑ Window trim 0 Window recess 0 Window projectio alcony
$7 Visual Clearance ® Urban Forestry Plan
g Sensitive Lands: ❑ Yes ® No Type:
Q Conditions met prior to issuance of building permit
Notes:
® Approved By Planning: Date: 4(20 ('Z.o 2"(
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
1:1B uildi n gFo nns1B l dg Perm i tRv w_RE S_122419.docx
Building Permit Submittal
Original Submittal Date: C L///5/2C22
Site Plans: # 3
Building Plans: # 3
Building Permit#: V—Enter building permit#above.
Workflow Routing: [( Manning 121"Engineering Permit Coordinator I/L.-Building
Workflow Sign-off: IP—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.
1Building: original permit application,site plans,building plans, engineer and
beam calculations an st details,if applicable,etc.
Notes:
By Permit Technician: Date: G�ZUL/
En ineering Review
0
,Slope at building pad: 2%
'°►e Conditions"Met"prior to issuance of building permit 4./42-
(Easements (encroachments) per engineering conditions of approval and plat
[ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes ,17,Y No
�� LIDA Facility on lot: ❑ Yes l(d'No
ti Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
[Td Approved by Engineering: Date: /2� �/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
tat 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 apply
SDC Fees Entered: Wash Co Trans Dev Tax: [/Yes ❑ N/A
Tigard Trans SDC: < Yes ❑ N/A
Parks SDC: yr Yes ❑ N/A
LIDA ❑ Yes 7 N/A
"I OK to Issue Permit
Approved by Permit Coordinator: Date: Lt121110V1
I:\Building\Fo rms\BI dgPermitRvw_RES_122419.docx
City of Tigard
COMMUNTIY DEVELOPMENT DEPARTMENT
C
r 1 c A D River Terrace Building Permit Review Addendum
Building Permit #: Ivi 5T202 -00/5!�
Site Address: 16576 SW Sunshine Coast Street
Project Name: Polygon at Roshak Ridge Lot #: 147
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Plato-irw IletrieW of1n'er ?'errace P1ao .District Z)esi Standards (18 640.070.1.):
Is the project subject to the plan district design standards? 4 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
:A F ❑ ❑ ❑ ® Side=
2 dormers
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: F: 16% / S:12%
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.
1 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 F ❑ Recessed entry area min. 5 ft. wide x 2 ft. deep
❑ Wall offset min. 16 inches Dormer min. 4 ft.wide S X Z
® Roof eave min. 12 inch projection F/S kJ Roof offset min. of 2 ft. F
❑ Roof shingles either tile or wood E7 Gable,hip or gambrel roof design F/S
❑ 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 1/2"wide by 5/8" deep F/S
El 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 corner lot.
Setbacks:
No closer to front or side lot line, than longest street-facing wall. E$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.
Width: (Check one)
❑ 12-foot-wide garage door ® 40%max. of street façade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: ,,c/eA.`_ Date: 4 20(Za2-I
L\Building\Forms\BldgPermitRvw_RES_RT_121417.docx