Permit CITY OF TIGARD MASTER PERMIT
II u COMMUNITY DEVELOPMENT Permit#: MST2021-00209
Date Issued: 07/19/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA14400
Jurisdiction: Tigard
Site address: 16581 SW SUNSHINE COAST ST
Subdivision: ROSHAK RIDGE Lot: 144
Project: Polygon at Roshak Ridge, Lot 144
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1050 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 27.5 Bathrooms: 3 Second: 1461 sf Garage: 400 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 2511 sf Value: $326,817.06 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 Drains: 0 Storm Sewer: 100
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bcktlw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump; N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
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 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 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 2511
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: $41,952.09
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 require you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc,_r.n1_M1in♦hrnnnh f1GR 0 ni_nnon Vnu m nhfain a nnn,,of (reline nr el nucetinne 1n fll Wr:by palliest,Sn9 999 1047 nr 1 Ann TO 91d4.
Issued By: Permittee Signature: Tine" �'�.-1 Gg2 /U'(i
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 lob site at the time of each Inspection.
Building Permit Application !_6/2-� pi
Residential RECEIVE* FOR OFFICE USE ONLY
Received Permit No.: 2i�LV-1
. City of Tigard Date/By: 116 �� r�
13125 SW Hall Blvd.,Tigard,OR 9722319 Plan Review / a Aril other PermitSW�21 00 1.35
Phone: 503.718 2439 Fax: 503.598.1960I�+T� OF T!' A t7 DatelBy: �C (/ ✓
"f14'ARD Inspection Line: 503.639.4175 CITY {IGARD Date ReadyBy: //' / ) % lid See Page 2for
Internet: www.tigard-or.gov BUILDING DIVISION Notilie thod// /�/ /, Supplemental Information
TYPE OF WORK ``ff REQUIRED r•TA: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 D
0 I-and 2-family dwelling ElCommercial/industrial Valuation: $ 1$t�1
IDAccessory building El Multi-familyNumber of bedrooms: 5
❑Master builder 0 Other:
Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 261 I I
Job site address: 16581 SW Sunshine Coast New dwelling area: 2,511 square feet }LI(,p t
City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 400 square feet [('50
Suite/bldg./apt.no.: Project name:Polygon at Roshak Ridge Covered porch area: square feet
Cross street/directions to job site: i• Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Polygon at Roshak Ridge I Lot no.: 144 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-Type: R3 Occupancy 2,511 s.f. (SFU) Valuation: $
Elevation: 222200 BR-Projected Start: 11/2021 or before if available. Existing building area: square feet
Deferrals: N/A New building area: square feet
is PROPERTY OWNER 0 TENANT Number of stories:
Name:Polygon Homes WLH LLC Type of construction:
•
Address:703 Broadway St.,Ste 510 Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
Phone:( 360 946 8674 Fax:( ) New:
la APPLICANT ❑ CONTACT PERSON V49 BUILDING PERMIT FEES"
Business name:Polygon Homes WLH LLC (Please refer ro 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
Phone:(360) 695-7700 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 lic.:207247 �l// �7 d! / ' Total fee due upon application: $201.60
Authorized signature: QHL ,cy�,G/L alte ,cybGG�L This permit application expires if a permit is not obtained
I(/1 within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 05/24/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\PermitslBUP-RESPermitApp.doc 02/24/2011 440-4613T(l I/02/COM/WEB)
Mechanical Permit A licati
�� � �`� �r� ,„. .4v. ` �FOR OFFICE USE ONLY
City of Tigard Rem"`" tiISTZOZI-0O l
g Date/By: Permit No.
_ 't 13125 SW Hall Blvd.,Tigard,OR 97223 '�•„,/ ---
i Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 it p l Date/By: Other Permit:
TIti?�IU? Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: his; 0See Page 2 for
Internet: www.tigard-or.gov aifiedlMdtod
BUILDING DIVISIONSupplemental Information
TYPE OF WORK COtriMERCLIL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees'are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY,OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
®l-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
I i Multi-family 0 Master builder ❑Other. Description Qty. Ea. I Total
JOB SITE INFORMATION .A_ND LOCATION Heating/cooling:
Air conditioning I 46.75
Job site address: 16581 SW Sunshine Coast St Furnace 100,000 BTU(duets/vents) 46.75 _
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/vents) 54.91
Suite/bldg./apt.no.: Project name: Polygon at Roshak Ridge Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
' Residential boiler(radiator or
hydrant.) 23.32
Unit beaters(fuel-type,not electric),
in-wall,in-duet,suspended,_etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Polygon at Roshak Ridge I Lot no.: 144 ______ � 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplacchmert 33.39
—
New Single Family 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 _ 23.32
® PROPERTY OWNER ❑ TENANT Other 23.32
' -. Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
_....._
pm
t
Address:703 Broadway St.,Ste.510 egwr 33.39
Clothheses dry 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 ❑ CONTACT PERSON Otter: 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.
Address:703 Broadway St,Ste 510 Gas heat pump
W all/suspendedhmit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
E-mail:permitsubmittalsitayl0rmOrrlSOrl.COD Range
Barbecue
'AtCONTRACTOR Clothes dryer(gas)
Business name:Pro Heating&Cooling -Ota '
MECHANICAL PERMIT FEES*
Address: NW Alociek Dr,Ste. 1104
Subtotal
City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00)
Nan 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
�f' 6 4 w n vI days after it has been accepted as complete.
Authorized signature: ^'Q"' h�"r r't't'f 4 • Fec methodology set by Tri-County Building industry Service Board
Print name:Ella Duran Date: 10/30/20
r.\/iniIAinnlPnmItsWrr Pnrmn Ann WI II 4,,... a�n�[1 Prr „n�.m„mso
• Electrical Permit Application® V '� V FOR OFFICE USE O\I.
City of Tigard i 1 Permit y 202440 10 9
13125 SW Hall Blvd.,Tigard,OR 97223 y Plea Review -"-_-
a' Phone: 103.718.2439 Fax: 503.598.1960 ' ` Dawn Related Peanit a:
Inspection Line: 503.639.4175 Y r p f
TIGARD.. Internet: www.tigard-or.gov CITY Or li'. rot �Y6methe Suriz: S See Pn6KZ for
NotiSt>dilrlctltod. Supplemental Iaformadon
TYPE OF woodiJILDING DIVISION PLAN REVIEW:
®New construction ❑Addition/alteration/replacement Please check all that apply(submit Z.sets alpines widema checked):
❑Sauce or feeder 400 amps a more I]Building over three stones.
0 Demolition 0 Other:
where the available fault wrocol ❑Marinas sad boatyards
CATEGORY OF CONSTRUCTION exceed,10,000 auras at 150 voles or ❑Floating buildings
M 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building IOU m aroma or exceed'14.000 D commrre al-tree agricultural
ID Multi-family ❑Master builder amps fin ale other installations buildings.
❑Other: ❑Fire pimp. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system_ larger separately desired
AdJob#: Job site address:16581 SW Sunshine Coast St ❑ItOH ono of
mores minor load of system.
WIIP or more.
City/State/ZIP: Tigard,OR 97140 ❑six w mac residential units oceop r y
❑Health-care Fulham. 0 Recreational vehicle parks.
Suite/bldglapt.#: Project name: Polygon at Roshak Ridge D Hazardous locations ❑Supply voltage for mar Than
0 Service or feeder 600 amps or more 600 volts oomival
Cross street/directions to job site: ERE Srttp,DULE
Slot Option I Qtr. I Each I 'Total I `
i Ncw residential single-or multi-family dwelling unit.
Subdivision:Polygon at Roshak Ridge Lot#: 144 Includes attached garage.
1,000 sq.ft or less 168 54 4
Tax map/parcel#: Ea.add?500 sq.fk or portion 33 92 I
DESCRIPTION OF WORK Limited enemy,residential -
(with above sq.ft) 75.00 2
New construction.Type SP(J Limited energy,muhi•fsmily
residential(with above s ) 75.00
o.ft.)
® PROPERTY OWNER ❑ TF.NAfv t, Renewable Energy 0 Sec Pace 2
Services or readers iustallatlontalteration,and/or relocation
Name: Polygon Homes WLEI LLC 200 amps or leas room 2
Address: 703 Broadway St.,Ste 710 201 amps to 400 amp, 13356 2
01 amps to 0 amps 200.34 2
City/State/ZIP: Vancouver,WA 98660 6 1.0f amps to 000 amps 30L04 2
Phone:(360 )946 8674 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or faders installation,alteration,and/or
Email: OAIamiAbouhafs@iaylonnorrison.com-PermitSubmittals@tayloonorrison.com 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 to400 amps 125 08 2
Owner signature:____ Date: 401 amps to 599 amps 168.54 2
0 APPIICANr I 0 CONTACT PERSON Branchcircuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Polygon Homes WI.H LLC above service or feeder fee,
each branch circuit 7.42 ?
Contact name: Omar Aiami Abouhafs B.Fee for branch circuits wafture _.
•
Address: 703 Broadway St.,Ste 710 service or funds fee,fleas 56.18 2
branch circuit
1 Cily/State/ZI15: Vancouver,WA 98660 Ea add'!branch curcu 742 2
Phone: 360 )946 8674Miscellaneous(service or feeder not included)
( Fax::( ) Each manufactured or modular 67 84 2
dwel/MR,service andlor feeder
Email:OAlamiAbouhafs@taylormorriso0.com-PennitSubmittals@taylormorrison.com" Recomecm at1Y 67 84 2
CONTRACTOR Pump or irrigation circle 67 84 2
Business name: Wallace Electric Sign or outline lighter 67.84 2
Signal eircirt(s)or tmsited-energy
Address: !OS Dresden St ❑ See Yag6 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 br min) 66 25/he-
Phone:(503 3()8 0563 Fax:( ) Investigation(I In min) 90.00/Itr
Email:David n@wnllaccwires.com Industrial plant(I hrnua) 78.18thr
Iaspeetima for which to fee is 90.00!he-
CCB Lic.:224868 Electrical Li • C1441 Su .1. .• 6363S specifically listed(ye-hr min)
ELECTRICAL PERMIT.FEIS
Suprv.Electrician signature,required: 64",,f- Subtotal-
Print name:1- a� '" , Date: !(rL I&f ❑Plan Review Required(25%of permit Sec):Y t f f State surchar
ge(12%of permit fee):
Authorized signature �. TPERMIT TOTAL FEE:
TVs permit appticabee expires If a permit is not obtained within 184
Print name: jet„ n,e, ,a bf< `4 _ Date: I days after It has been accepted as complete.
r'+r'l� V W'"�r• • Number of tnsputiuns allowed per permit
L+8ailehig ermil/ilLC_PmaitApp_ELR ERE.dec gar 0617015 4r Ia615T(1 1.05FIX)MftJE3
Plumbing Permit Applic RECEIVE p.
Building Fixtures FOR OFFICE USE ONLY
. Received MSt cf
City of Tigard Date/By: PermitTdo.: ZOZI-OQZIJ
1111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rev ew
Phone: 503.7182439 Fax: 503.598.190ITY OF TIGARD Dam/By, Other Permit Na:
TIGARD Inspection BUILDING DIVISION Dale Ready/By: '> ® See Page 2for
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 ❑Other: New 1-2-family dwellings(includes 100 ft.for each utili connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
,I-and 2-family dwelling ❑Commercial industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building Multi-family
Each additional bath/kitchen 25.02
❑Master builder ['Other: Fire sprinkler(`sq.It) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16581 SW Sunshine Coast St Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywall,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:iiLLY.LLNsi_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.: 144 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New Single Family
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
_4 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
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name.Polygon WLH,LLC Medical gas(value:$_} Paget
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/shower pan 12.51
E-mail:permitsubmittats[apolygonbomes.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:G&B Plumbing&Sons Inc Water 8/D t in WV 56.29
PP
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°k of permit fee)
State surcharge(12%of permit fee)
Authorizedsibmature: 7�j{a e�- TOTAL PERMIT FEE
Print name:Steve Fowler Date: 10/30/20 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
`Fee methodology set by Tri-County Building Industry Service Board.
1\BuildingTermns\PLM1/4e91uupp.doc 10/01/09 440.4616T(10t02tCOM'WEB)
City of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: OST-204 -0O2O9
Site Address: 16581 SW Sunshine Coast Street
Project Name: Polygon at Roshak Ridge Lot #: 144
Planning Review
Proposal: New house
$1 Verify address/suite# active in Accela. 7I l In River Terrace: ❑ No ® Yes, River Terrace Review Addendum
Site Plan Elements: ®Erosion Control
C 3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper na Y 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 ®Utility locations&easements(required for new and additions)
f(7Site address,project or subdivision name and lot number ®Sidewalk/driveway approach
f�y7,Applicant information(name and phone number) faLocation of wells/septic systems
C]Lot dimensions and building setback dimensions nStreet tree size,type and location
naSquare footage of buildings to be demolished ; ]Street names
nillExisting structures on site XCorner 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? [I py1❑No
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es ❑No
® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified IN No Received: ❑ Yes ❑ No
® Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified IX No Received: ❑ Yes ❑ No
SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
® Public Facilities Improvement (PFI) Permit
Required: ❑ Yes,applicant was notified LXJ No Applied For: ❑ Yes ❑ No,stop intake
I Land Use Case#: PDR2015-0002/SUB2015-00004 ® Zoning: R-4.5
I! Required Setbacks: Front: 12 Rear: 10 Side: 3 Street Side: na Garage: 20
® Building Height: Max.Height: na Actual Height:
IX Landscape Area: 20 % ® Lot Coverage Max: 20
Entrance ack no more than 8'from street-facing wall ❑ Parallel to street or offset 45 de e
Windows ❑ minim i area of all street-facing facades
Garage ❑ Garage door is be treet-facing wall ❑ Yes ,one of the following is met:
❑ Door extends no more th ' extending beyond garage.
❑ Door extends no more thSee River Terrace Addendum w above garage on 2nd floor.
❑ Garage door width is ❑ ' 50%or less o 60°/u or less and includes 7 of following:
❑ Cover Recessed entrance 0 Wall offset ve ❑ Roof offset
s singles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gam ❑ Dormer
❑ Accent siding ❑ Window trim. ❑ Window recess ❑ Window projection
I Visual Clearance Urban Forestry Plan
Q Sensitive Lands: ❑ Yes al No Type:
® Conditions met prior to issuance of building permit
Notes:
ls7 Approved By Planning: AltyVA XtivIebib Date: 5/25/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
1:1Building\Fonns\BldgPermitR vw_RES_122419.docx
Building Permit Submittal r 1
l CZ I Original Submittal Date: Q5/2-7/Z
Site Plans: # i,3
Building Plans: # ,3
Building Permit #: [jVEnter building permit#above.
Workflow Routing: [rPlanning 2-Engineering IrPermit Coordinator 111'l`3uilding
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: 2-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
[ iuilding: original permit application,site plans,building plans,engineer and
beam calculations and t t details,if applicable, etc.
Notes:
By Permit Technician: _ i 'riff' , Date: jf 5/26/2p2)
Engineering Review
Slope at building pad: '5
r ' Conditions "Met"prior to issuance of building permit /1/11-
W' Easements (encroachments)per engineering conditions of approval and plat
Z.-Water Quality/Quantity Facility
Assess Water Quality Fee in-lieu: ❑ Yes [t"No
Assess Water Quantity Fee in-lieu: ❑ Yes rirNo
LIDA Facility on lot ❑ Yes ll'No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
L Approved by Engineering: Date: 4.7e/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
yf 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:
gSDC Exemption: E Received 1.41 Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: K�/{ Yes 0 N/A
Tigard Trans SDC: Yes 0 N/A
Parks SDC: I/ Yes ❑ N/A
LIDA ❑ Yes / N/A
OK to Issue Permit
Approved by Permit Coordinator: M / Date: (a `t 1 WV
I:\Building\Forms\BIdgPermitRvw_RES_122419.docx
City of Tigard
M COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: MST202I-OOZOq
Site Address: 16581 SW Sunshine Coast Street
Project Name: Polygon at Roshak Ridge Lot #: 144
(New dwelling= subdivision name;Addition or Alteration=last name of owner)
Planning Review-°n ver ?'errace Plan District besiRn Standards (78.640.070.4):
Is the project subject to the plan district design standards? In 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
FS7 ❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 15%
3. Entrances:At least one entrance must meet both of the following standards:
0 Parallel to street,angle no more than 45° from street,
® Max. 8 ft. setback from longest street- facing wall
or open onto porch
Entrance opens to a porch: ® Yes ❑ No
If yes,all the following apply: ® 25 sq.ft. min.
n 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:
RI Covered porch min. 5 ft.wide x 5 ft. deep k7 Recessed entry area min. 5 ft. wide x 2 ft. deep
❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft. wide
f7 Roof eave min. 12 inch projection ® Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood )0 Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. 1] Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street facade n Window trim min. 21/2" 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 0 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 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
Xl 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: /46eA1 Date: 5/25/2021
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