Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Pernik#: MST2021-00109
T EG A n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07l19/2021
R
Parcel: 2S107AA23700
Jurisdiction: Tigard
Site address: 16882 SW ROCKHAMPTON LN
Subdivision: ROSHAK RIDGE Lot: 237
Project: Polygon at Roshak Ridge, Lot 237
Project Description: New detached dwelling
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1215 sf Basement: 0 sf Left: 10 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1715 sf Garage: 485 sf Front: 8 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 2930 sf Value: $382,441.85 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
Bckflw 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
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'I 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 Vaccuurn 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 V B R-3 2930
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: $43,639.60
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
OSAMT_rim CI Ihrn,inh()AP 059-OM_nnon ynii may nhtnin n ennu of the nine nr rlinart nnpeTinne to(II INr.by rallinn Rol 929 10R7 nr 1 4nn 227 724.d
Issued By: HOLLY Va.wVeJWege Permittee Signature: (W I4ppUCa tLon
Call 503.630.4175 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.
t , Building Permit Application 'j_g (22121
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard Received / , PernvtNo. r�� ��f�
- Date By
_ "' 13125 SW Hall Blvd.,Tigard,OR 97223 �j }}rr'11 { Date/By;
w __�y,'�7,, o9.
Phone: 503.718.2439 Fax: 503.598.1960 MAR W2 LV21 Date By: y N Perm 1AI .(/��w'�/
TIGARD Inspection Line: 503.639.4175 D e Ready/By: ` I H See Paget for
Internet: www.ti a[d-er. ov r Date
e+ Supplemental Information
g g CITY Cl -HOARD /°. `i PP
�.�l tls.vt_,n nt 1�',i!"1'�.), 077,i/"/2 4 _ ili,%!/il
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
VS-
® I-and 2-family dwelling ❑Commercial/industrial Valuation: $ 3$a1 i,1 I t
❑Accessory building ❑Multi-family Number of bedrooms: 5
❑Master builder ❑Other: Number of bathrooms:>3
JOB SITE INFORMATION AND LOCATION Total number of floors:2 2 3y 5:_,....
r
Job site address: 16882 SW ROCKHAMPTON LN New dwelling area: 29✓s uuare feet 1' I,
City/State/ZIP:Sherwood,OR 97140 Garage/carport area:yiT6 square feet I ais
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.: 237 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 Single Family Valuation: $
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:( )360 693-4442 New:
® APPLICANT ❑ CONTACT PERSON U9 BUILDING PERMIT FEES*
Business name:Polygon Homes WLH LLC (Please refer to 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::( )360 693-4442 Amount received:
E-mail: 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:( )360 693-4442 State surcharge(12%of permit fee): $21.60_
CCB Iic.:207247 �I �f` Total fee due upon application: $201.60
Authorized signature: D/4LQ/t./ ��J ulLG 4As This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Omar Alami Abouhafs Date: 03/19/2021 *Fee methodology set by Tri-Cowry Building Industry
Service Board.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
i
( , Mechanical Permit Application FOR OFFICE use ONLY ,:^ ? ,
City of Tigard RECEIVED Received
DateBY: Permit No.;
13125Hall Blvd.,Tigard,OR. 97223
i "; ° SW Plan Review
Phone: 503.718.2439 Fax: 503.598.19A,/,1 7 ;; 3 rf.1 DateiDy. Other Permit:
Inspection Line: 503.639.4175 1r�,-:n id LUl_f
Y1{'rAILII Date Ready/By: Judi: SISee Page 2 for
Internet: www.tigard-or.gov } TIGARD
Supplemental Information
CITY ,F i IGARD
BUILDII'! DIVIS;DN
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECK lST
®New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMSNI/SYSTEMS PEES*
IS 1-and 2-family dwelling 0 CommerciaUindustrial ❑Accessory building For special information use checklist
I j Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB srrE LNFORMATION AND LOCATION Heating/cooling:
Air conditioning I 46.75
Job site address: 16882 SW ROCKHAMPTON LN
Furnace 100,000 BTU(ducts/vents) 46,75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/wool 54.91
Suite/bldgJapt.no.: Project name: Polygon at Roshak Ridge Heat 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
OtherSubdivision: Polygon at Roshak Ridge Lot no.: 237 23.32
Other fuel appliances:
Tax map/parcel no.: Water beater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 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
Chiconey/liner/flue/vent 23.32
PROPERTY OWNER 0 TENANT Off' 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/crawispace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Polygon WLH,LLC Fuel piping:
S14.15 for first four;$4.03 for each additional
Contact name:Tonja Morris Furnace,etc. I i4.I$
Address:703 Broadway St.,Ste 510 lies heat pump
Wallisuspendedhmit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace `1
Range 1 ($./rj
E-mail:permitsubmlttalsCtaylOrmOrfiSOn.COM Barbecue
'IV 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(S90.00)
Phone:(360)270-1590 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB tic.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained sithln 180
A� days after it has been accepted as complete.
Authorized signature: ^' �u' n Fee methodology set by Td-County Building Industry Service Board
Print name:Elia Duran Dale: 10/30/20
rtnniuunawnrn,ias.`nr r.en,,ann rant ix" ..naa,.,r.,.e+,wmmm,ce.
' Electrical Permit Application 1ECEI V E FOR OFFICL t si t 1\I
City of Tigard AOeNOd 3`Z,�2\ Per n,t ix t'(1�?�X.I-c_x l 0 7
• 13125 SW Hall Blvd,T OR 97223 r ,, R . Fan Re
I' Phase: 503.718.2439 F��503.598.1960 MAR — — Flan
Rdtrted Permit a:
Inspection Lice: 503.639.4175 — ®Beene*2 few
1'i�1..1.7.1) Internet: vvww.tigard-or.gov CITY (1 F Ti' n'-� 'NNoB� d _ brit
Sappleas eW Idennatios
TYPE OF WORK fLATT REV)<CVf+
El New construction ❑Addition/alteration/replacement Please check al that ply(submit ism of plans wI>ntins chased):
❑Demolition ❑Other: ❑service or kola 400 amps or mere 0 Building over three stones.
where the availabk fault current (]Mariam and boatyard.
t:ATECORV OF CONSTRUCPION exceeds 10,000 amps at 150 vvhs or D floaheg briIdmas
1E1 l-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to round,or exceeds 14.000 D rommercral-tic agricultural
❑Mtil6-faknily ❑Masterbuiltler emps for all other installations buildings_
Other: ❑Fire pomp. 0 Installation of 150 KVA or
JOB SILL INFORMATION AND LOCATION ❑Emegrneysystem- larger separately derived
Job It: Job site address: 16882 SW ROCKHAMPTON LN ❑Additotr anew motor loud nt system
10018«more. ❑"A' -> -1,2-.1-3-
City/State/ZIP: Tigard,OR 97140 ❑Six of mare residrntiat oath OOP y
❑Hrslmrxre facilities. ❑neaeadaoai vehicle parka.
Suite/bldg./apt.#: Project name: Polygon at Roshak Ridge ❑hazardous locations 0 supply voltage for tome than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/direcfi0®s to job site: FEE_ CIIEDULE `
nesnmam I Our. I rareI rota i •
New residatlal single-or maltl-family dwelling unit
Subdivision:Polygon at Rosbak Ridge Lot#: 237 iaelydes attached garage.
Tar map/parcel#: 1,000 sq.R.or less 168.54 4
Es.add'l500aq.ft.or portion 33_92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
New conshuctioa Type SFU (with above eq.R)
Limited energy,muki•family 75.00 2
residential(with above sq.ft-)
Renewable Emr�y See Page 2
® PROPERTY OWNER —� 0 TENAI\I' Services or feeder Instaliatlonialkntloo,and/or relocation_
Name: Polygon Homes WLH LLC 200 amps or less 100.70 2
Addresk 703 Broadway St.,Ste 710 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZiP: Vancouver,WA 98660 601 proem 1,000 amps 301.04 2
Phone:( 360 )946 8674 Fax:( ) Over 1,000 amps or volts 55226 2
Email: OAIamlAbouhats Temporary services or feeders installation,alttration,and/or
([�tayloemorrison.com-Penn itSubmittals(�laylormofrison.com reloration
Owner installation:This installation is being made on property that I own which is not 200 amps cc less 5936 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: .,..._. Date: 401 amps to 599 amps 168.54 2
0 APPLICANT 1 - ❑ CONTACT PERSON Branch rircaits-new,attendant,or ateoskw,per panel
A.Fee far branch circuits with
Business name: Polygon Homes WI.H LLC above service or feeder fee, 7
each trench circuit
Contact name: Omar Alami Abouhafl B.Fee for branch circuits widens
Address: 703 Broadway St,Ste 710 twice fairer fee,first 56.18 2
branch circuit
City/Stale/AIP: Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Phone:(360 )94b 8674 Fes.. Miscellaneous(service or feeder not included)
( ) Each manufactured or modular 67.84 2
Email:0AlamiAbouhafs@taylormotrison.com-PemtitSubmittals@taylomtorrison.com dwenin&service and/or feeder
4 ONTRAC OR Reconnect only 67 84 2
Pump or irrigation circle 67.84 2
Business name: Wallace Electric Sign or outline lighting 67.84 2
Address: 105 Dresden St Signal circuit(s)or limited-energy D Sec Page 2 2
panel,alteration,or extension.
City/State/ZIP: Astoria,OR 97103 Each additional inspection over allowable Ia any oldie above
Addinaml inspection(I hr min) 66.25/hr
Phone:(503 308 0563 Fax:( ) investigation(1 In min) 90.00/hr
Email:David@wallacewires.00m Industrial pearl(I hr min) 78.1k/br
-
Cal Lie.:224868 Inspections for which no fee is
Electrical Lic.: C 1441 Suprv.Lic.: 6363 S specifically listed OS lir min)
Suprv.Electrician signature,required: te era
Subtotal-
Print name:7)J94Lo �r Date: y J I�r ❑Plan Review Requital(25%of permit fee):
t / Slate surcharge(IPA of permit fce)
Authorized signature MIT PEE:
TOTAL PER
Print name: �� 7Va'Immo Application expires ifs remit is net sMained within ma7l •4h t4kild-o Date: !f f / _r I Asp alter it has been mewperms ase emplete.
r: oguvaasiFLOJe f IA4a/P1R Bailee Be,06r17n01) I _ • hlsmba of inspections dlrnssd pc permit.
t . Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
Cityof Tigard RECEIVE! �e"ed
g Dam Permit No.:
W Hall Blvd.,
I IIIn 1Phone:3125 S503.7182439 Tigard,
03.598 19fi0`'!"1' `? C i. Plan Review Other Permit No.:
Date/By:
TIG.tRp Inspection Line: 503.6J9.4175 Ur(OF WARD Dale Ready/By: )uric: 6d See Page 2 for
Internet: www.tigard-or.gov ., r+t;r difiedlMethod: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
0 Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 it.for each utilia connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
X1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
0 Accessory building Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Ott: Fires sprinkler
prinkl (_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16882 SW ROCKHAMPTON LN Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name:444iaiels ielgaPolygon 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.: 237 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
New Single Family Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER I 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 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 ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Polygon WLH,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/shower pan 12.51
E-mail:permitsubmittals@potygonhomes.com Urinal 25.02
CONTRACTOR Water closet 25.02
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: 372.50
CCB Lic.:184372 Plumbing Lic.no.:pb634
Plan review (25%of permit fee)
�a,,�,,�y� State surcharge(12%of permit fee)
Authorized signature: ka:Cpt, < `� o TOTAL PERMIT FEE
Print name:Steve Fowler �..- Date: 10/30/20 This permit application expires It 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
l:kBuadmalPermiu\PLMU-PmnitApp.doe tontne 140.616T(10/02'COM'WEB)
r
City of Tigard
f{' COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Residential
Building Permit #: MST2OE-00f0
Site Address: Xeee.2 --Q L &c ui n La-
Project Name: e�n ay4- ,� ,e
,e,),, ,,(_ Lot #: �. —
P1a ing Review
P posal /0 /l�r7u e_
Verify address/suite # active in Accela. In River Terr e: ❑ No Yes, River Terrace Review Addendum
VPlan Elements: Ero 'on Control
/
copies of site plan on 8-1/2"x 11"or 11 x 17"paper WI�:. ained trees with drip line and tree protection measures
xawn to scale(standard architect or engineer scale) G .otprint of new structure(including decks)and FFE
orth arrow J I tty locations&easements(required for new and additions)
to address,project or subdivision name and lot number >/Sidewalk/driveway approach
Vrdil .plicant information(name and phone number) 1111)),,',cation of wells/septic systems
iL .t dimensions and building setback dimensions Pi et tree size,type and location
u e footage of buildings to be demolished eet names
sting structures on site �wwCorner elevations (2'contours if more than 4'diffe tial)
t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? Yes 01)T '
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown 7Yes No
Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
jWater Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
C Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Y s ❑ No
Public Faciliti Improvement (PFI) Permit:
equired: Yes,applicant was notified ❑ Noplied For: Yes El No,stop intake
and Use Case#: ' t4 t� /i' IQ Zoning: e JQ___
Buequired Setbacks: Front: no QL. Side: Street Side: —'Garage: `20
ilding Height: Max. Height Actual Height:
ndscape Area: % ❑ Lot Covera Max: %
Entrance et back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less
Windows ❑ Minim %of area of all street-facing facades
Garage ❑ Garage door is be dest street-facin ❑ Yes ❑ No,one of the following is met:
❑ Door extends no more ' om wall and there is a covered porch extending beyond garage.
❑ Door extends no mo an 5'from and there is a 12 sq ft.window above garage on 2"d floor.
❑ Garage door width' 12'or less ❑ 50%or f facade ❑ 60%or less and includes 7 of following:
❑ Cove porch ❑ Recessed entrance ❑ Wall of se ❑ 1'Roof eave ❑ Roof offset
ire shingles Lap Siding ❑ Roof pitch ❑ Gable,ht , ambrel roof ❑ Dormer
❑ Accent siding Window trim ❑ Window recess ❑ Window p - 'on ❑ Balcony
Or sual Clearance Urban Forest ana
IV'isensitive Lands: 0 Yes �d No Type:
ill C. ditions met prior to issuance of building permit
No -s:
1L Approved By Planning: e _ ,, Date: S/2-9/'�
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
1:\Building\Forms\BldgPennitRvw_RES_122419.docx
I
Building Permit Submittal ,
Original Submittal Date: O3/�20y ,
Site Plans: #
Building Plans: # �J
Building Permit#: [l�Enter building permit#above.
Workflow Routing: CO--Planning L ngineering [9--Isermit Coordinator C"Building
Workflow Sign-off: !IL-Sign-off for Planning(include notes from planning review)
Route Application Documents: [ ,ngineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
[WBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: /I / Date: d Zs/ 2-/
'En ineering Review
ai
_/
Slope at building pad: a� /
VConditions "Met"prior to issuance of building permit y/<�
E Easements (encroachments)per engineering conditions of approval and plat
k Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes It/No
Assess Water Quantity Fee in-lieu: 0 Yes eNo
1/ LIDA Facility on lot: 0 Yes 4'No
EL Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:Ind
Approved by Engineering: Date: .3r ,5/2/
Revisions (after Building Submittal only) Reviewer ` Date
Revision 1: ❑ Approved ❑ Not pproved
Revision 2: 0 Approved 0 Not Approved
rmit Coordinator Review
Co•ditions "Met"prior to issuance of building permit
IN ' pproved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only) •
Revision Notice 1: Date Sent to Applicant
Revision Notice 2: Date Sent to Applicant:
P,;#DC Exemption: 0 Received Does not apply
II SDC Fees Entered: Wash Co Trans Dev Tax: Vires 0 N/A
Tigard Trans SDC: re' es El N/A
Parks SDC: Yes ❑ /A
LIDA 1: Yes
Yes i�' N/A
OK to Issue Permit
Approved by Permit Coordinator: �— 4t, Date: 3/.2(0/2/
1:\Building\Forms\B1dgPermitRvw_RES_122419.docx
City of Tigard
III1" COMMUNITY DEVELOPMENT DEPARTMENT
■
T l c n u D River Terrace Building Permit Review Addendum
Building Permit #: M STW 2i- OW?
Site Address: /&.egs - .-2j_/14
Project Name: t0/ of in �[�s ` i Lot #: ,2!J�---
ew#�I g=subdivision name;Addition or Alteration=la... e of owner)
Planning Review of River Terrace Plan DistOcrDesign Standards (18.640.070.1):
Is the project subject to the plan district design standards? es ❑ 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 . deep ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6ft.wide
Gabled dormer
D ❑ 0 ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: >/)
VD
ntrances:At least one entrance must meet both of the folio g standards:
3. Max. 8 ft setback from longe street- facing wall Parallel to street,angle no more than 45` from street,
or op onto porch
ince opens to a porch: Yes 0 No
,all the following apply: c5 sq.ft.min.
ne street facing entry ft.max. roof above floor of porch
i
ft depth min. 30%min.porch roof coverage
tailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
overed 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 0 1rmer min. 4 ft.wide
❑ Roof eave min. 12 inch projection c/ oof offset min.of 2 ft.
❑ Roof shingles either tile or wood able,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. V orizontal lap siding min. 3-7 inches wide
❑ Accent siding min.40% of street facade Window trim min. 21/2"wide by 5/8" deep
❑ Window recess min. 3 inches for all street facing 0 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 co er lot.
Setbacks:
No closer to front or side lot line,than longest street-facing wall. Yes 0 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:
Approved By Planning: -- Date: 6/J4!/
I:\BuildingiForms1BldgPermitftvw_RES_RT_121417.docx
Plan# 227.3125p6
Floors a Large
Bed rooms 5 Small 51-f
Wc 3 2
Tub Basement R7j - 122 4X 213O - 35s,�U7,�
Vent 5 1st Floor 121 S os-
Water Heater 1 2nd Floor 1-1 15 U — yCb �3X y"O� 23� (43-1
AC IOW �� 3rd Floor
School �, _ _ R-3 Total 1150TA-a, (= 3�2, IN
2 `'�� -� Garage y�S
J an.) 0c.4 Total 3y 1 r
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f'b Dl loAtof,)' (6°`- 2" L-e.- )
on \`i 610- o nt_../ o sane, r `�
Taylor Morrison RECEIVED
703 Broadway Street
Suite 710 2, 2 2021
Vancouver, WA 98660 CITY C* i IGARD
BUILDING DIVISION
SUBJECT: Deferred Payment Request
We would like to defer payment of transportation and park System Development Charges (SDC) until
occupancy.
Any deferred System Development Charges will be paid in full prior to the issuance of occupancy.
Community: Polygon at Roshak Ridge
Lot number: 237
Address: 16882 SW Rockhampton
Thank you for considering this request,
Omar Alami Abouhafs
O?/
1