Permit CITY OF TIGARD MASTER PERMIT
4` ' COMMUNITY DEVELOPMENT 1111 Penn
CITY MST2021-00234
Date issued: 07/19/2021
T I G A R t") 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA23600
Jurisdiction: Tigard
Site address: 16870 SW ROCKHAMPTON LN
Subdivision: ROSHAK RIDGE Lot: 236
Project: Polygon at Roshak Ridge, Lot 236
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: 26.5 Bathrooms: 3 Second: 1188 sf Garage: 422 sf Front: 8 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
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 Drains: 0 Storm Sewer: 100
Tubs/Showers: 3 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: 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 SrvclFeeders Branch Circuits
1000 sf or less: 1 0-200 amp:
0 0-200 amp: 0 W/Svc or Fdr: 0
Ea addl 500 sf: 4 201-400 amp: 0 201400 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 Y
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 One Hour Fire Rated Eaves
VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175
PHONE: PHONE: 360-895-7700
FAX:
Total Fees: $40,371.55
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
ac9-nn1_ant n rhmnnh r1CR a69-nni_nnon Vnu mo„nhtain a nnn,,of hha ruler nr,lirart nupcflnnc to ni INr.by rnnlnn cn'i 9'V9 10137 nr'I Ann AA?'Yid4
Issued By: Nally Vaw'De klege Permittee Signature: OVvAppl4,catt,of
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 iob site at the time of each inspection.
Building Permit Anplicatiol .EC E I V E D
Residential FOR OFFICE USE ONLY l
• JUN 1 'l 2021 Received 14ST2D21-0023y
City of Tigard Date/By .Z/-ZoZI - Perini(No
• 131zs SW Hall Blvd.,Tigard,OR 9722 (T+(OF TIGARL) Plan Review a�^�15/ 1,4 Other Permit
Phone: 503.718.2439 Fax: 503.598.19 1 p /� IeBy: L (JI �r' ! k/5T2
I WARD
9
Inspection Line: 503.639.4175BUILDING DIVISION to Ready/By: Zil2j
/ If lwic ® See Page 2 for
Internet: www.tigardor.gov Notified/Me d: Supplemental Information
TYPE OF WORK REQUIRED DATA:I-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
lir
Valuation: $ ., t/ Iy 0-
® 1-and 2-family dwelling 0 Commercial/industrial
❑Accessory building El Multi-familyNumber of bedrooms: 3
• 0 Master builder El Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors:2 7-535
Job site address: 16870 SW Rockhampton Ln New dwelling area: 2,113 square feet "ta$
City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 422 square feet 92,6
Suite/bldg./apt.no.: Project namte: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.: 236 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New residential construction-Total R3 Occupancy: 3,365 SF(SFU) Valuation: $
Elevation: 222100B -Projected Start: End of July 2021 Existing building area: square feet
Deferrals:N/A 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 v9 BUILDING PERMIT FEES*
Business name:Polygon Homes WLH LLC (Please refer so fee schedule)
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) 695-7700 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.
WA 98660 Permit Fee(includes plan review $180.00
City/State/ZIP:Vancouver, and administrative fees):
Phone:( 360)695-7700 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:207247 4.2111i
�� Total fee due upon application: $201.60
\ Authorized signature: O1fl Ii, 44.2111 46et 2G[ a+ This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 06/15/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building1Permits'BtJP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
R
Mechanical Permit Application ECEIV • 'a FOR OFFICE USE ONLY
City of Tigard JUN 1 7 2021 n7c/Bi Pesm3No.: Hs72092/-CO23y
'f 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
• Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGAR dpale/BP: Other Permit:
—
It 1;i+1 ll inspection Line: 503.639.4175 p� r� /± tt,ry�+ ate RcadyBy. < 0 Ste Page 2 for
Internet www.tigard-or.aov BUILDING DI ISI titediMethod: Supplemental Information
TYPE OF WORK COMMERCIAL FEE• SCHEDULE — USE CIIECKLLST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY.OF CONSTRUCTION RESIDENTIAL EQUIPMENT 1 SYSTEMS FEES*
1-and 2-family dwelling 0 Commercial/iinduslrial 0 Accessory building For special information use checklist
I j Multi-family 0 Master builder ❑Other. Description j Qty. Ea. Total _
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: 16870 SW Rockhampton Ln Furnacerconditioning0 ,0 ( 46.75
100,000 BTU(ducts/veins) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(doctshmaa) 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
hydronic) 23.32
1 Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32 _
Sulsdivision: Polygon at Roshak Ridge I Lot no.: 236 Other. 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace insert 33.39
— New SFU type construction Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 2332
Other. 23.32
0 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 rooms) 23.32
Phone:(360)695-7700 Fax( ) Attiel rawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other. 23.32
Business name:Polygon WLH,LLC Fuel piping:
S14.15 for first four;54.03 for each additional
Contact name:Toni a Morris Furnace,etc.
Gas
Address:703 Broadway St.,Ste 510 heat pump
WaNsuspendedhmit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
R
E-mail:permitsubmittalsfdtaylOrM01TlSorl.COM Barbecue
iltk CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling Other
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste.1104 Subtotal
City/State/ZIP:Hillsboro,OR Minimum permit fee(590.00)
Phone:(360)270-1590 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.:209001 TOTAL PERMIT FEE
[� e This permit application expires if a permit is not obtained within 180
7 q- 1���An, days after is has been accepted as complete.
Authorized signature: I.i G(.-GL '.J ' Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date: 10/30/20
r.1AniM;neiPmni,ct.ere P-.m“.en,Muhl An. �„n.e,�r.•.nnv'r,ssmiee•
Electrical Permit Application f ECE IryVg1E F FOR OFFICE USE ONLY r/7
` City of Tigard JUN 1 r! L0L I ReteiVed
1Ynte/B Permit a.�r 5T20.2/-0623q
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
• a.. Phone: 503.718.2439 Fax: 503.598.I960' nrsnav t rlY Related
Inspection Liles: 503.639.4175 OF PIG' " Ready�td6y Eris ®See Page 2 for
T1f:sARE Internet: www.tigard-or.gov LDING DIVISION Notifed/Mediad- Supplemental Information
TYPE OF WORK PLAN REVIEW
El New construction ❑Addition/alteration/replacement Please chew all thar apply(submit lsea of plans whams checked)
❑Demolition 0 Other: ❑Sea Mee or feeder 400 amps a more CIBudding over three stones.
where the available fault current ❑Mari and boatyard
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 159 cobs or 0 Klaanng buildings
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to grand,or exceeds 14.000 0 Commererut-ale egricalmal
CI Multi-family ❑Master builder �•ry amps for all other mstallmirma buildings.
CI Other: ❑Fire pump. 0 Instillation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system larger sepa ately derived
Job#: Job site address:16870 SW Rockhampton Ln 0 Addition
me Imo mew motorkwlof s s m.
City/State/ZIP: Tigard,OR 97140 ❑Six or mom residenesai unns occupancy
0 Health-v.=facilities 0 accrcuhoml'.chile parks.
f
Suite/bld, ! #: name: Polygon0 Supply'mirage far nose than
b"aPt Project .at ROsbek Ridge ❑Service or(dr 600 amps or mom 600 soils nominal-
Cross slreeVdirections to job sue: FEE SCIIEDIJl.£. -
nncrinaoa I Qty. I rode I 'Total I °
New residential single.or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot 4: 236 Includes attached garage.
Tax map/parcel# 1,000 sq.ft.or less 168 54 4
Ea.ndd'l 500 sq.It or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 7500 2
New construction.Type SFU (with above sq.R) .
Limited enagy,multi-family 75.00 2
reridennal(with above sq.ft.) _
® PROPERTY OWNER I 0 TENANT Renewable Energy 0 See Pane 2
Services or feeders installatiotsj lteratloa,and/or relocation
Name: Polygon Hamel WLH LLC 200 amps or less 100.70 2
Address: 703 Broadway St.,Ste 710 ... ..— 201 amps to 400 amps , 13336_ 2
•
401 amps to 600 amps
City/State/ZIP: Vancouver,WA 98660 60, 200.342
amps to LW ampsO 301.0
4 2
Phone:(360 )946 8674 J Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders iastallatioa,alteration,and/or
Email: OAlamiAbouhafs@ataylormarrison.com-PermitSubmittals@taylixmorrison.com relocation
Owner installation:This installation is being made on property that 1 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 16854 2
0 APPLICANT I - ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Polygon Homes WILT LLC above service or feeder fee, 7.42
Contact name: Omar Alami Abouhafs inch ranch c c
B Fee for branch camels without
service or feeder fee,first
Address: 703 Broadway St,Ste 710 branch circuit 56.18 2
City/State/ZIP: Vancouver,WA 98660 Each add'l branch circuit 7A2 2
Phone: 360 )946 8674Miscela aeons(service or feeder not included)
( Fax::( ) Each manufactured M modular 67.84 2
m
Email:0AlamiAbouhafs@taylormorrison.com-PermitSubmittaIs a taylormorrison.com dwe ong,service aalfor reedfeederRocrwct cmty 67.84 2
CON TRA(7'OR Pump Of ms&ation circle 67.84 2
Business name: Wallace Electric Sign or outline lighting 67.84 2
Address: 105 Dresden$t Sigrrai circurt(s)or limited-wergy 0 seePage 2 2
Panel,alteration,or extension.
CnY/Siate/ZIP Astoria OR 97103 Each additional Inspection over allowable in any of the above
Additional inspection(1 to min) 66.25/hr
Phone:(503 308 0563 Fux:( ) Investigation(I lit min) 90.00/hr
Email: David@wallaccwines.com Industrial plant(1 hr min) 78 I S/Irr
Inspections for which no fee is 90.00/hr
CCB Lie.:224868 Electrical Li ' C1441 Su . I: .: 6363S specifically listed 04 tr min)
Suprv.Electrician signature, ELECTRICAL PERMrr••FEES
gn required: a"._,....-----
^ Subtotal-
Print name: )A•u ap cr (fie- q f4/y i ❑Plan Review Required(25%of permit Ice):v
l( State surcharge(12%of permit See):
Authorized signature C%` TOTAL Pf�TFRE: _
This permit application expires if a peewit Is not Wised Wilda ISO
Print name: et L4 rk Date: g 6 /T t I days after It has bean accepted
pen aN in complete.
C 11"i, / * Number of inspections allowed per pert.
lfSatdieg'a'omilatU.C_PemaAppMR.BE.dcc Ra96'17/2013 4 04615111/05.COMV B
Plumbing Permit ApplicatiECEIVE,
'Building Fixtures FOR OFFICE USE ONLY
JUN 17 2021
City of Tigard Dao- Permit No.::/ r;2O.Z!-G6.23e/
• 13125 SW Hall Blvd.,Tigard,OR 9720ny OF TIGARD
11111 a Phone: 503 Date/By:ate Review
.7182439 Fax: 503.5 Other Permit No.:
D
IIC::P.0 InspecnonLine: 503.639.4175 ING DIVISION Date Reedy/By. runs: El See Page 2 for
Internet: aww.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑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
/ I-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(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16870 SW Rockhampton Ln Catch basin or area drain J 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.: I Project name:°raaarlr.Y"EPolygon 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 fr.: 1 Page 2
Water service(no.linear ft.: ) Page 2
Subdivision:)Polygon at Roshak Ridge 1 Lot no.: 236 Fixture or item:
Tax map/parcel no.: Backflow preventer • I 31.27
DESCRIPTION OF WORK Backwater valve 12.51
New SFU Clothes washer 25.02
type construction Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:Polygon WLH,LLC Fixmrelsewercap 25.02
Address:703 Broadway St.,Ste 510 Floor drain/floor sink/hub 25.02
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:S_} 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:permltsubmittats®polygonhomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water piping/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: S72.50
CCB Lie.:184372 Plumbing Lic.no.:pb634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: 91Stait L.tati.."+.-` TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180 days
Print name:Steve Fowler Date: 1 O/30/20 after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
tiBuildng'PermitsTLMU-PnmitApp.doc 13i01r1:9 440.4616T(IO&ONCOMN/EB)
•
p City of Tigard
1,1 COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A uD Building Permit Review — Residential
Building Permit #: 1-45r202(-o0 23q
Site Address: /eia8 - () et- PA.2erionZ
Project Name: Polygon at Roshak Ridge Lot #: _2-3 fD
Planning Review
Pjoposal: New single detached house
Verify address/suite #active in Accela. NJ( In River Ter ce: El No Yes, River Terrace Review Addendum
Si Plan Elements: 5c5 'on Control
opies of site plan on 8-1/2"x 11"or 11 x 17"paper RAJ' ed trees with drip line and tree protection measures
rawn to scale(standard architect or engineer scale) 46otprint of new structure(including decks)and FFE
th arrow tility locations&easements(required for new and additions)
e address,project or subdivision name and lot number id walk/driveway approach
pplicant information(name and phone number) ation of wells/septic systems
t dimensions and building setback dimensionsseet tree size,type and location
square footage of buildings to be demolishedreet names
sting structures on site ..L omer elevations(2'contours if more than 4'cliff- ential
mot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? Vi es o
a area
impervious
(applicable if R-7,R-12,R-25&
( pp R-40) If yes,is a storm water quality facility shownQ �I es o
❑ Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Requited: ❑Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: 0 Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
❑/SDC Exemptio for ADU applied for: ElYes ElNo Received: ❑Y s ❑ No
Public Faciliti s Improvement (PFI) Permit:
equired: Yes,applicant was notified ❑ No plied For: Yes ElNo,stop intake
and Use Case#: SUB2015-00004 M Zoning: �Z
and
Setbacks: Front: 8 Rear: 10 Side: 3 Street Side: -N Garage: 20
wilding Height: Max. Height: NSA Actual He hr. (0
►Q Landscape Area:__—20 % Lot Coverage Max:
Entrance back no more than 8' from street-facing wall 1 arallel to street or offset 45 degrees or less
%
Windows Minim of area of all street-facing facad
Garage Gara e door is widest street-facing wall ❑Yes ElNo,one of the following is met:
❑gDoor extends no mo an 5' fro all and there is a covered porch extending beyond garage.
❑u Door extends no more tha wall and there is a 12 sq ft.window above garage on 2nd floor.
❑ Gam e door width is 'or less ° or less of facade 60%or less and includes 7 of following:
Covered por Recessed entrance offset ❑ 1'Roof eave Roof offset
Fire s ' g es Lap Siding ❑ Roof itch ble,hi ,or gambrel roof ❑ Dormer
ccent siding Window trim U Window recess Window projection ❑ Balcony
c\ Visual Clearance Urban Forestry an
ensitive Lands: ❑ Yes No Type:
pa Co ditions met prior to issuance of building permit
No s:
Approved By Planning: Date: ' .2/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Form s\BldgPermitRvw_RE S_122419.docx
Building Permit Submittal
Original Submittal Date: CV/2 2/ N
Site Plans: # 3
Building Plans: # 3
Building Permit#: IkrErrt buildinggermit#above. n
Workflow Routing: Planning L�Engineering L� Permit Coordinator EVBuilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑e 'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
n original plan review routing form.
l tuilding: original permit a lication, site plans,building plans, engineer and
beam calculations and t etails,if applicable,etc.
Notes:
By Permit Technician: Date: /74/21/452 t
Engineering Review
�R lope at building pad: /3%
'Conditions "Met"prior to issuance of building permit
L`7 sements (encroachments)per engineering conditions of approval and plat
2Water Quality/Quantity Facility: �y
Assess Water Quality Fee in-lieu: ❑ Yes �N�J- No
Assess Water Quantity Fee in-lieu: ❑ Yes L'J yy o
N LIDA Facility on lot: El Yeshid No
L� Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Trt-n*jeyi2,14 tAl Date: („ 1'2a/a2,1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
,t ermit Coordinator Review
C ditions "Met"prior to issuance of building permit
4 proved,NOT Released:\ proved,NOT Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
1�42DC Exemption: ❑ Received Does not a ly
P SDC Fees Entered: Wash Co Trans Dev Tax: Yes � N/A
Tigard Trans SDC: Yes ❑ N/A
i Parks SDC: Yes VN/A
LIDA ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: f— � Date: eI 2-/'2/
I:1Building\Forms\BldgPermitRvw_RES_122419.docx
City of Tigard
11111 COMMUNITY DEVELOPMENT DEPARTMENT
i
T t c :D River Terrace Building Permit Review Addendum
Building Permit #: M ST20Z(-0523 q
Site Address: / 44 c'jt) / `ly-„p}on
Project Name: Polygon at Roshak Ridge l/ Lot #: ,2S i,
(New dwelling= subdivision name;Addition or Alteration= last name of owner)
Planning Review of River Terrace Plan Dist et Design Standards (18.64O.07O.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.
n.
Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch rnift. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer
El ❑ ❑ ❑
2. Eyes do the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: > /2/D
3. trances:At least one entrance must meet both of the follo g standards:
Max. 8 ft. setback from longes street- facing wall Parallel to street, angle no more than 45' from street,
or open onto porch
En nce opens to a porch: Yes ❑No
If es all the following apply: M sq.ft. min.
n06"e street facing entry 1 ft.max.roof above floor of porch
5 ft. depth min. 30%min. porch roof coverage
etailed Design: All buildings shall include a . of five of the following elements on all street-facing facades:
vered porch min. 5 ft.wide x 5 ft. deep)/ ❑Recessed entry area min. 5 ft.wide x 2 ft. deep
all offset min. 16 inches /
4. f/ / ❑Dormer min. 4 ft.wide
Roof eave min. 12 inch projection ` ' 11 of offset min. of 2 ft. N
❑R of shingles either tile or wood able,hip or gambrel roof design
❑ oof 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'/z"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)
❑ -foot-wide garage door ❑40%max. of street facade
50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: /m) Date: 60//./2!
I'.\Buildi ng\Form s\Bl dgPerrnitRvw_RES_RT_121417.docx
Plan # 22221 V ZI _ laA,)'J -Cvv4--
Floors a Large
Bed rooms 3 Small 31
We a....
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Tub 3 Basement
Vent (4 1st Floor l 2s--
Water Heater 1 2nd Floor 1 l g$
AC 3rd Floor
School R-3 Total 2 1 13
`� Garage "I ZZ
c-.`rt-- ? .r.•+ « Total 2s7J..5
3 cpc,-, as 31"- 1-14--:
#for Elec 4