Permit CITY OF TIGARD MASTER PERMIT
_ COMMUNITY DEVELOPMENT Permit*: MST2021-00140
T f C.;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2021
Parcel: 2S107AA14100
Jurisdiction: Tigard
Site address: 16629 SW SUNSHINE COAST ST
Subdivision: ROSHAK RIDGE Lot: 141
Project: Polygon at Roshak Ridge, Lot 141
Project Description: New detached dwelling
BUILDING
Floor Areas Reauired Setbacks Reauired
Stories: 2 Bedrooms: 5 First: 1107 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1461 sf Garage: 400 sf Front: B Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2568 sf Value: $333,797.28 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
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: I 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
Yasin :
Other: N Other Description: Ecom P 9�
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2568
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: $42,171.76
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
h7��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: V 4 €VwP C Permittee Signature: 0v14p/ 1Lca iifi-n
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 "0-4-f n/Zl
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard
Received - 2021 3 .M STZOZI-C7/q c
- (�T / Permit N
" 13125 SW Hall Blvd.,Tigard,OR 97223 APR (1 �, 1021 Plan Review u�J �f�w ,'I
Phone: 503.718.2439 Fax: 503.598.1960 pste/By: -1 4`� LI OtherrPermite-W 2021-(��O
TIGARD Inspection Line: 503.639.4175 Date Ready/By: I f ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARCI No ethod:�`�/�� .21 j6r Supplemental Information
rsoor• !^,n.l!f'.If1Fa Gte'1iSGbf
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
21 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.I-and 2-family dwelling IDCommercial/industrial Valuation: $ 33311 1(�
7
❑Accessory building El Multi-family Number of bedrooms: 5
❑Master builder
❑Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 16629 SW Sunshine Coast St New dwelling area: 2,568 square feet Y(4(1
City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 400 square feet I l 0.7
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.: 141 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 Construction/Type: SFU/Elevation plan: 222200AR Valuation: $
Projected start: July 2021 Existing building area: square feet
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 ❑ CONTACT PERSON U9 BUILDING PERMIT FEES*
Business name:Polygon Homes WLH LLC (Pteaserejerrofieschedate)
Structural plan review fee(or deposit):
Contact name:Omar Alami Abouhafs
FLS plan review fee(if applicable):
Address:703 Broadway St., Ste 510
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660
Amount received:
Phone:(360)946-8674 Fax::( )360 693-4442
E-mail:permitsubmittalsrataylormorrison.com-0AlamiAbouhafs@taylormorrison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
n
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 S180.00
and administrative fees):
Phone:( )360 695-7700 Fax:( )360 693-4442 State surcharge(12%of permit fee): $21.60
CCB lie.:207247 �t/ �t _ Total fee due upon application: $201.60
Authorized signature: 641242 .cy L' .47.2G.cY�BLL�GL This permit application expires if a permit is not obtained
I(// within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Omar Alami Abouhafs Date: 04/07/2021
Service Board.
I:\Building\Pernits\BUP-RESPermitApp.doc 02/24/201 I 440-4613T(l l/02/COM/WEB)
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVE Received '('+') 4.0
g pise Re: PermitNo.. '../,sr2ort_co
't 13125 SW Hall Blvd.,Tigard,OR 97223
I 9 e. Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 APR {� Q4' Date/By: Ocher Permit:
71tr+.c17Ready/By:Inspection Line: 503.639.4175 Date mrh: —
Internet: www.tigard-or.gov CITY OF TIGARD Natified/Method: Cd See Page 2 for
Sup plemental Information
&WILDING DIVISION
• TYPE OF VV COMMERC AL FEE!SCHEDULE...USE CHECKLIST-
®New construction Mechanical permit fees*are based on the value of the work
❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.0 Demolition ❑Other
Value:$
CATEGORY OF CONSTRUCTION
'- - RESIDENTIAL EQUIPMENT/SYSTEMS FEES'
®1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information a>e checklist
I j Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
- - - Air conditioning I 46.75
Job site address: 16629 SW Sunshine Coast St Furnace 100,000 BTU(duct/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducWvents) 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: Hydrouic 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.: 141 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater
23.32
DESCRIPTTON OF WORK Gas fireplace/insert 33.39
- - - Flue vent for water heater or gas
New construction.Type: SFU fireplace 23.32
New Construction/Type:SFU/Elevation plan:222200AR 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
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/crawlspace fans 23.32
® APPLICANT D.CONTACT PERSON Other. 23.32
Business name:Polygon WLH,LLC Fuel piping:
$14.15 for first four;S4.03 for each additional
Contact name: Omar Alami Abouhafs Furnace,etc. 1
Address:703 Broadway St.,Ste 510 Gas heat pump
Wall/suspended/unit beater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range 1
E-mail:permitsubmittalsctaylOrmorrnSon.COM Barbecue
CONTRACTOR _ Clothes dryer(gas)
Business name:Pro Heating&Cooling Other:
R1ObHANICAL PERM 1T FEES*
Address: NW Alociek Dr,Ste.1104
Subtotal
City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee)
CCB tic.:209001 TOTAL PERMIT FEE
( This permit application expires if a permit is not obtained within 180
ZQi I\u 11, days after it has been accepted as complete.
Authorized signature: w JJJ ' Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 04/07/21
r'tttnnriinolPmmli,MFf'➢nnani Ann n5m1 IA An. .,nil a',Tr n,NI,rnnnrm,co,
Electrical Permit ADDIicatiap%ECEIVE[. FOR OFFICE USE ONL�V7/� �/� ��/�City of Tigard i 1 Received Panel a µ St WZl Wl 40
11111 • 13125 SW Hall Blvd„Tigard,OR 972232 ? flan
11e
11 Phan: 503.718.2439 F x: 503.598.1960 APR a7 kit;Review Related Permit$.
1-j L:..kn inspection Line: 503.639.4175 CITY 0F 1'IGAHD Ready dOY ._ __ Ions: ' ..65 See Paget for
Internet: www.figard-or.gov t� Not led Medod_ Snpplememalr.fonnatioo
TYPE OF 1VBIr1KLO NG DIVIC!( PLANRBVww'
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/it®s checked):
0 Demolition ❑Other: ❑Smsice or feeder 400 amps or more Cl Building over three stones.
where the available fault cmreot ❑Idarinas aed boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings
® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building leas w mound,° Ce la.ouo ❑eommeK al-use am-Mood
❑Multi-family ❑Master budder 0Other amps for all otherimstauRiau. buildings-
❑Fire pump. ❑humiliator)of 150 KVA or
JOB Srl'E INFORMATION Ar'D LOCATION ❑Emergency system. larger separately chimed
Job#: Job she address: 16629 SW Sunshine Coast St ❑Addition of'new motor load nf syusw
100IP or more. ❑"A"_>_"I 2""1-3"
City/State/ZIP: Tigard,OR 97140 ❑Six or mom residential units occupancy
❑Eeillb-cam facilities ❑Recreational vehicle parks-
Suite/bidgapt.#: Project name: Polygon at Roshak Ridge ❑Haardous locations 0 Supply votiage for more than
❑Serviso or feeder 600 amps or more. WO volts nominal
Cross street/directions to job site: FF,F.SCII(FflULI ;`
Daernaa. I Ott. I lath I Tetat I •
New residential single-or multi-famny dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 141 Includes attached garage.
Tax map/parcel#: towsy-ft or less 164% 4
Fa.add'l 500 sq-Ii.or portion 3392 I
DESCRIPTION OF WORK Limited energy,residential
(with above 75 2
00
New Construction.Type SFU Limited �I ft)
energy.multifamily 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 Set Page 2
. PROPERTY OWNER ❑ TF.NAN I Services or feelers 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 atop,le 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
Email: services or feeders iostallariou,alteration,and/or
OAlamiAbouhafs(ujfaylormorrison.com-PermitSubmittals®taylamofrison.eom relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 ' I
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 168.542
❑ APPLICANT I ❑ CONTACT PERSON Branch circuits-ram,alteration,or extension,per panel
Business name: Polygon Homes Wi.H LLC A.above service Feefar eranch a feed circuit
with
above foe-, 7.42
each branch circuit
Contact name: Omar Akami Abouhafs B Fee for branch circuits wirJmap
service or feeder fee,lint
Address: 703 Broadway St,Ste 710 56.18 2
branch errant
City/State/ZiP:Vancouver,WA 98660 Eachadd'I branch circuit 7.42 2
Phone: 360 )946 8674 Miscellaneous(service or feeder not included)
( Fax::( ) Each manufactured or modular 67.44 2
dEmail:OAlamiAbouhafs@laylotmorrisoacom-Permilbubmittals@taylonnorrison.com Reconne t oseray and/or redo
Rocareiect only 67.84 2
CONTRACTOR` Pump or trcigation circle 67.84 2
Business name: Wallace Electric Sign or outline lighting 67.84 2
Address: 105 Dresden St Signal circuits)or limited-energy ❑ 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) 66 25/hr
Phone:(503 38 0563 Fax:( ) rovmtigatice(I hr min) 90.00/hr
Email:David(Jwallacewires.com Industrial pleat(1 6r min) 78.I8/hr
Inspections for which no fee is
Electrical Lie.: C1441 1 Suprv.I.ie,: 6363S specifically 90.00/M
CCB Lie.:224868
Suprv.Electrician signature,required: ELECTRICAL PERMIT
b FEES
Subtotal
Print name: tI4orynt_444, Date: I /xf —D Plan Review Required(25%ofpemut fee):(�L! State surcharge(12%of
pelmet fe :Authorized signatu oardkr, TOTAL,PERMIT FEE:
This permit application expires if a peewit is not obtained relthie 180
Print name: �,S � Date: / / f days after It this been accepted as complete.
C1}1tJt. 67!!Z • Number of inspections allowed
N tiltIMWeallls Pardt II.R FM.doo Rev 0rrl70013 per permit.
- IST(11dYSC0irM1Y58
Plumbing Permit Application—
,. CEI V E r
BuildingE
Fixtures CC FOR OFFICE USE ONLY
Cityof Tigard APR 0 8 ? 21 Receives
g APR �I]L Pamir No.:
11111 rr 13125 SW Hall Blvd.,Tigard,OR 97223 Date 8y: M SrS 2021 00 t _
Plan Review
m Phone: 503.718.2439 Fax: 503.598.1T ITY OF TIGARD D'19/13r Otter Permit No.:
TIGARD Inspection Line: 503.639.4175 Dale ReadyBy: lair Fi sec Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notifed/Method: Supplemental Information
TYPE OF WORK FEE* SCIlEDtJLE
®New construction 0 Demolition For special information use checklist
Description I Oty. I Ea. 1 Total
❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection)
!l!
CATEGORY OF CONSTRUCTION SFR(l)bath +312,70
9tI-and 2-family dwelling 0 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 sprinkler L___sq.ft.) Page 2
JOB SETE INFORMATION AND LOCATION Site utilities:
Job site address: 16629 SW Sunshine Coast St Catch basin or area drain 18.76
City/State/ZIP:Tigard OR 97224 Dryweli,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I 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:Roshak Ridge I Lot tic 141 Fixture or item:
Tax map/parcel no,: Baeldlow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New construction-Typer: SFU Dishwasher 25.02
New Construction/Type: SFU/Elevation plan: 222200AR Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER f 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 Sr.,Ste 510
Garbage disposal 25,02
City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02
Phone:(360)695-7700 Fax:( ) Ice maker 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,LLC Medical gas(value:S_) Page 2
Primer 12.51
Contact name:Omar Alami Abouhafs 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:permitsubmittals@polygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water piping/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: 572.50
CCB Lie.:184372 I Plumbing Lic.no.:pb634
Plan review (25%of permit fee)
i'D� State surcharge(12%of permit fee)
Authorized signature: C 01
. 1� TOTAL PERMIT FEE
This permit application expires if s permit Is not obtained within 180 days
Print name:Steve Fowler Date: 10/30/20 after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:10uildingrPermim\PLMU-PamltApp.doc 10/01N9 440-4616T(I012/COM+NRB)
0 City of Tigard
IIIU COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: M ST202.1-0 0 L 4O
Site Address: 16629 SW Sunshine Coast St
Project Name: Polygon at Roshak Ridge Lot #: 141
Planning Review
Proposal: New house
® Verify address/suite# active in Accela. ® In River Terrace: ❑ No ® Yes, River Terrace Review Addendum
Site Plan Elements: ElErosion Control
l3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper fC]Retained trees with drip line and tree protection measures
®Drawn to scale (standard architect or engineer scale) ®Footprint of new structure(including decks)and FFE
$]North arrow RlUtility locations&easements(required for new and additions)
®Site address,project or subdivision name and lot number ®Sidewalk/driveway approach
®Applicant information(name and phone number) Il Location of wells/septic systems
RLot dimensions and building setback dimensions KJStreet tree size,type and location
Square footage of buildings to be demolished ieStreet names
rlaExisting structures on site ji7Corner 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? /eA❑No
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? nlYes ❑No
® Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified Igl No Received: ❑ Yes ❑ No
® 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 M No Received: ❑ Yes ❑ No
® Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified ® No Applied For: ❑ Yes ❑ No,stop intake
I Land Use Case #: SU B2015-00004 Igil Zoning: R-12
® Required Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: na Garage: 20
® Building Height: Max.Height: n/a Actual Height: 28 I
l Landscape Area: 20 % lI Lot Coverage Max: 80 %
Entrance no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degre
Windows ❑ Minimum of all street-facing facades
Garage ❑ Garage door is behind wi - cing wall ❑ Yes , e of the following is met:
❑ Door extends no more than 5' oSee River Terrace Addenmun ding beyond garage.
❑ Door extends no more than 5'froattached. we garage on 2nd floor.
❑ Garage door width is ❑ 12' w%o or Less or racaae less and includes 7 of following:
O Covered por ecessed entrance 0 Wall offset 0 1'Roof ea 0 Roof offset
O es ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof
Accent siding ❑ Window trim 0 Window recess 0 Window projection ❑ Balcony
® Visual Clearance ® Urban Forestry Plan
6c7 Sensitive Lands: ❑ Yes ® No Type:
11 Conditions met prior to issuance of building permit
Notes: ,�,, �
® Approved By Planning: if, 6 ci rtAtabt, Date: 4/12/2021
Revisions (after Building Submittal onl 0 Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
1:\Building\Forms\B!dgPerm itRvw_RES_1224 19.docx
Building Permit Submittal l
Original Submittal Date: €i-i/d P/202l
Site Plans: #
Building Plans: # �✓
Building Permit#: Enter building permit#above.
Workflow Routing: [H-Planning Engineering 11/Permit Coordinator 1WBuilding
Workflow Sign-off: I/�Sign-off for Planning(include notes from planning review)
Route Application Documents: IIKEngineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
E Building: original permit application,site plans,building plans,engineer and
beam calculations and t details,if applicable,etc.
Notes:
1
By Permit Technician: Date: Q /L lry'
Engineering Review
It/-9.ope at building pad: 24
UV Conditions "Met"prior to issuance of building permit /VA-
F•Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility.
Assess Water Quality Fee in-lieu: ❑ Yes V No
Assess Water Quantity Fee in-lieu: ❑ Yes [1VNo
LIDA Facility on lot: E Yes 'No
4inal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
LJ Approved by Engineering: Date: d 2/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
ermit Coordinator Review
Conditions "Met"prior to issuance of building permit
AN pproved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
R ision Notice 2: Date Sent to Applicant:
C Exemption: 0 Received oes not apply
0 SDC Fees Entered: Wash Co Trans Dev Tax: ,Yes 0 N/A
Tigard Trans SDC: V es 0 N/A
Parks SDC: QQ Yes ❑�/A
LIDA 0 Yes IQ N/A
OK to Issue Permit
Approved by Permit Coordinator: c Date: 1/-2/121
I:1B ui Id ing1Forms\BIdgPermitRvw_RES_122419.docx
UPI City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: M 5TZ02l-001 o
Site Address: 16629 SW Sunshine Coast St
Project Name: Polygon at Roshak Ridge Lot #: 141
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planninw.4evietv of$iver 1'errace Plan?District DcNsikn Standards (18.640.070.1.):
Is the project subject to the plan district design standards? ® 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 ft. deep min. 2ft., 5 ft.wide min.2 ft.,6ft.wide Gabled dormer
® ❑ ❑ ❑ E
2.Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 14%
3. Entrances:At least one entrance must meet both of the following standards:
E 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: Q 25 sq.ft.min.
® One street facing entry ® 12 ft. max.roof above floor of porch
® 5 ft.depth min. LJ 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 ❑ Dormer min. 4 ft.wide
l Roof eave min. 12 inch projection k7 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 al Window trim min. 2 Y"wide by 5/8"deep
E 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. ® 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 facade
® 50%max.of street facade with 7 detailed design elements
Notes: PP ���Qo�.v Approved By Planning: A/� O Date: 4/12/2021
I:\Building\Forms\BIdgPermilRvw_RES_RT_I 21417,docx U